| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$3,744.43 |
— |
2.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$5,938.01 |
— |
2.0× |
| Amputation foot transmetarsal (28805) |
$5,938.01 |
— |
2.0× |
| Amputation metatarsal with toe single (28810) |
$5,938.01 |
— |
2.0× |
| Amputation toe interphalangeal joint (28825) |
$5,938.01 |
— |
2.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$5,938.01 |
— |
2.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$9,078.42 |
— |
2.0× |
| Application multiplane external fixation system (20692) |
$23,299.56 |
— |
2.0× |
| Application uniplane external fixation system (20690) |
$13,168.54 |
— |
2.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$23,299.56 |
— |
2.0× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$23,299.56 |
— |
2.0× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$23,299.56 |
— |
2.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$23,299.56 |
— |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$557.05 |
— |
2.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$557.05 |
— |
2.0× |
| Arthrodesis ankle open (27870) |
$23,299.56 |
— |
2.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$13,168.54 |
— |
2.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$13,168.54 |
— |
2.0× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$49,242.66 |
— |
2.0× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$31,820.27 |
— |
2.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$31,820.27 |
— |
2.0× |
| Arthrodesis subtalar (28725) |
$23,299.56 |
— |
2.0× |
| Arthrodesis triple (28715) |
$23,299.56 |
— |
2.0× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$49,242.66 |
— |
2.0× |
| Arthroplasty Ankle (27700) |
$13,168.54 |
— |
2.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$31,820.27 |
— |
2.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$5,938.01 |
— |
2.0× |
| Arthroplasty Patella W/Prosthesis (27438) |
$23,299.56 |
— |
2.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$5,938.01 |
— |
2.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$5,938.01 |
— |
2.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$5,938.01 |
— |
2.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$13,168.54 |
— |
2.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$5,938.01 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$13,168.54 |
— |
2.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$13,168.54 |
— |
2.0× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$2,918.17 |
— |
2.0× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$5,938.01 |
— |
2.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$23,299.56 |
— |
2.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$23,299.56 |
— |
2.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$13,168.54 |
— |
2.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$5,938.01 |
— |
2.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$5,938.01 |
— |
2.0× |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
$5,938.01 |
— |
2.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$5,938.01 |
— |
2.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,793.62 |
— |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$364.11 |
— |
2.0× |
| Biopsy of upper nose/throat (42806) |
$6,016.88 |
— |
2.0× |
| Biopsy Oropharynx (42800) |
$2,815.80 |
— |
2.0× |
| Biopsy/removal lymph nodes (38510) |
$7,105.71 |
— |
2.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$3,744.43 |
— |
2.0× |
| Blood Transfusion Service (36430) |
$800.64 |
$1,046.50 |
2.0× |
| Bone Graft Any Donor Area Major/Large (20902) |
$13,168.54 |
— |
2.0× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$13,168.54 |
— |
2.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$5,938.01 |
— |
2.0× |
| Capsulotomy Midfoot W/Tendon Lengthening (28261) |
$2,918.17 |
— |
2.0× |
| Carpal Tunnel Surgery (64721) |
$3,543.79 |
— |
2.0× |
| Cartilage graft; costochondral (20910) |
$1,341.26 |
— |
2.0× |
| Cataract surgery complex (66982) |
$4,188.23 |
— |
2.0× |
| Cerv artific diskectomy (22856) |
$31,820.27 |
— |
2.0× |
| Change Cystostomy Tube Complicated (51710) |
$1,265.45 |
— |
2.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,281.03 |
— |
2.0× |
| Circumcision 28 days or older (54161) |
$3,793.62 |
— |
2.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$6,016.88 |
— |
2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,918.17 |
— |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,918.17 |
— |
2.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,918.17 |
— |
2.0× |
| Collection of venous blood by venipuncture (36415) |
— |
$15.60 |
— |
| Colonoscopy w/ablation (45388) |
$2,171.66 |
— |
2.0× |
| Colonoscopy w/submucosal inj (45381) |
$2,171.66 |
— |
2.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,171.66 |
— |
2.0× |
| Complex drainage wound (10180) |
$5,271.46 |
— |
2.0× |
| Correction hammertoe (28285) |
$5,938.01 |
— |
2.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$5,938.01 |
— |
2.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$23,299.56 |
— |
2.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$13,168.54 |
— |
2.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$5,938.01 |
— |
2.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$13,168.54 |
— |
2.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,793.62 |
— |
2.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,793.62 |
— |
2.0× |
| Cysto w/complex removal stone & stent (52315) |
$3,793.62 |
— |
2.0× |
| Cysto w/destruction of lesions (52214) |
$6,397.11 |
— |
2.0× |
| Cysto w/insert ureteral stent (52332) |
$6,397.11 |
— |
2.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$6,397.11 |
— |
2.0× |
| Cysto w/removal of lesions small (52224) |
$6,397.11 |
— |
2.0× |
| Cysto w/removal of tumors small (52234) |
$6,397.11 |
— |
2.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,793.62 |
— |
2.0× |
| Cysto w/up stricture tx (52342) |
$6,397.11 |
— |
2.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$9,730.56 |
— |
2.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$6,397.11 |
— |
2.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$6,397.11 |
— |
2.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$6,397.11 |
— |
2.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$9,730.56 |
— |
2.0× |
| Cysto/uretero w/lithotripsy (52356) |
$9,730.56 |
— |
2.0× |
| Cysto/uretero w/up stricture (52345) |
$6,397.11 |
— |
2.0× |
| Cystourethroscopy (52000) |
$1,265.45 |
— |
2.0× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$6,397.11 |
— |
2.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$3,793.62 |
— |
2.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$6,397.11 |
— |
2.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$9,730.56 |
— |
2.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$3,793.62 |
— |
2.0× |
| Cystourethroscopy with biopsy (52204) |
$3,793.62 |
— |
2.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$3,793.62 |
— |
2.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,285.11 |
— |
2.0× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$5,938.01 |
— |
2.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,341.26 |
— |
2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,997.31 |
— |
2.0× |
| Decompress Spinal Cord Lmbr (63056) |
$13,168.54 |
— |
2.0× |
| Decompression of tibia nerve (28035) |
$3,543.79 |
— |
2.0× |
| Derma-fat-fascia graft (15770) |
$6,431.13 |
— |
2.0× |
| Destr penis lesion(s) (54065) |
$3,744.43 |
— |
2.0× |
| Destroy cerv/thor facet jnt (64633) |
$3,543.79 |
— |
2.0× |
| Destroy lumb/sac facet jnt (64635) |
$3,543.79 |
— |
2.0× |
| Destruct B9 Lesion 1-14 (17110) |
$364.11 |
— |
2.0× |
| Destruction Benign Lesions 15/> (17111) |
$364.11 |
— |
2.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,605.14 |
— |
2.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,543.79 |
— |
2.0× |
| Diagnostic sigmoidoscopy (45330) |
$1,687.68 |
— |
2.0× |
| Drainage of hematoma/fluid (10140) |
$2,997.31 |
— |
2.0× |
| Drainage of nose lesion (30000) |
$429.83 |
— |
2.0× |
| Drainage of scrotum (54700) |
$3,793.62 |
— |
2.0× |
| Dstrj lesion penis simple surg excision (54060) |
$3,744.43 |
— |
2.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,605.14 |
— |
2.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,230.15 |
— |
2.0× |
| Egd cautery tumor polyp (43250) |
$3,482.42 |
— |
2.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$3,482.42 |
— |
2.0× |
| Egd guide wire insertion (43248) |
$1,645.99 |
— |
2.0× |
| Endoscopic injection/implant (51715) |
$6,397.11 |
— |
2.0× |
| Epididymectomy unilateral (54860) |
$6,397.11 |
— |
2.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$6,996.89 |
— |
2.0× |
| Esophagoscopy rigid trnso dx (43191) |
$3,482.42 |
— |
2.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$2,997.31 |
— |
2.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$5,271.46 |
— |
2.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$2,997.31 |
— |
2.0× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$10,743.27 |
— |
2.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$2,997.31 |
— |
2.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$2,997.31 |
— |
2.0× |
| Exc hand tum deep < 1.5 cm (26116) |
$2,997.31 |
— |
2.0× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$6,016.88 |
— |
2.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$2,918.17 |
— |
2.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,918.17 |
— |
2.0× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$3,543.79 |
— |
2.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,285.11 |
— |
2.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,997.31 |
— |
2.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,997.31 |
— |
2.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$5,938.01 |
— |
2.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$737.74 |
— |
2.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$5,271.46 |
— |
2.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$5,271.46 |
— |
2.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$5,271.46 |
— |
2.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$5,271.46 |
— |
2.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$5,271.46 |
— |
2.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$2,997.31 |
— |
2.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,997.31 |
— |
2.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$5,271.46 |
— |
2.0× |
| Exc urethral diverticulum spx female (53230) |
$9,730.56 |
— |
2.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$5,938.01 |
— |
2.0× |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
$6,016.88 |
— |
2.0× |
| Excise intraspinal lesion (63267) |
$13,168.54 |
— |
2.0× |
| Excise Wrist Tendon Sheath (25118) |
$2,918.17 |
— |
2.0× |
| Excision Chalazion Single (67800) |
$576.03 |
— |
2.0× |
| Excision inferior turbinate partial/complete (30130) |
$6,016.88 |
— |
2.0× |
| Excision lesion meniscus/capsule knee (27347) |
$5,938.01 |
— |
2.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$2,815.80 |
— |
2.0× |
| Excision of chalazion; multiple, different lids (67805) |
$576.03 |
— |
2.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,918.17 |
— |
2.0× |
| Excision of hydrocele; unilateral (55040) |
$6,497.69 |
— |
2.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$10,743.27 |
— |
2.0× |
| Excision olecranon bursa (24105) |
$5,938.01 |
— |
2.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$3,793.62 |
— |
2.0× |
| Excision synovial cyst popliteal space (27345) |
$5,938.01 |
— |
2.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,997.31 |
— |
2.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$5,271.46 |
— |
2.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,997.31 |
— |
2.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$2,997.31 |
— |
2.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$2,918.17 |
— |
2.0× |
| Excision, lesion of palate, uvula; with local flap closure Facility (42107) |
$10,743.27 |
— |
2.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$5,271.46 |
— |
2.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$6,016.88 |
— |
2.0× |
| Exploration of knee joint (27310) |
$5,938.01 |
— |
2.0× |
| Exploration of spinal fusion (22830) |
$13,168.54 |
— |
2.0× |
| Exploratory elbow surgery (24000) |
$5,938.01 |
— |
2.0× |
| Explore/Treat Hand Joint (26070) |
$2,918.17 |
— |
2.0× |
| Extraction of lens (66940) |
$4,188.23 |
— |
2.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$5,938.01 |
— |
2.0× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$5,938.01 |
— |
2.0× |
| Fasciotomy, foot and/or toe (28008) |
$5,938.01 |
— |
2.0× |
| Foreskin manipulation (54450) |
$453.42 |
— |
2.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$6,016.88 |
— |
2.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$3,744.43 |
— |
2.0× |
| Fuse hand bones with graft (25825) |
$13,168.54 |
— |
2.0× |
| Fusion Finger Joint (26860) |
$5,938.01 |
— |
2.0× |
| Fusion of foot bones (28740) |
$13,168.54 |
— |
2.0× |
| Gastrocnemius recession (27687) |
$5,938.01 |
— |
2.0× |
| Goniotomy (65820) |
$7,501.31 |
— |
2.0× |
| Grafting of autologous soft tiss by direct exc (15769) |
$6,431.13 |
— |
2.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$5,037.25 |
— |
2.0× |
| Hysteroscopy Biopsy (58558) |
$5,874.72 |
— |
2.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$5,938.01 |
— |
2.0× |
| Implant neuroelectrodes (63650) |
$11,565.67 |
— |
2.0× |
| Implant Neuroelectrodes (64561) |
$11,565.67 |
— |
2.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$35,207.21 |
— |
2.0× |
| Implant Spine Infusion Pump (62362) |
$32,709.58 |
— |
2.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$15,926.36 |
— |
2.0× |
| Incise finger tendon sheath (26055) |
$2,918.17 |
— |
2.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$737.74 |
— |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$737.74 |
— |
2.0× |
| Incision extensor tendon sheath wrist (25000) |
$2,918.17 |
— |
2.0× |
| Incision of fibula (27707) |
$5,938.01 |
— |
2.0× |
| Incision of Foot Tendon (28234) |
$2,918.17 |
— |
2.0× |
| Incision of tibia & fibula (27709) |
$23,299.56 |
— |
2.0× |
| Incision of urethra (53020) |
$3,793.62 |
— |
2.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,605.14 |
— |
2.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,605.14 |
— |
2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$557.05 |
— |
2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,281.03 |
— |
2.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,605.14 |
— |
2.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,281.03 |
— |
2.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,605.14 |
— |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$557.05 |
— |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$557.05 |
— |
2.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,281.03 |
— |
2.0× |
| Insert Nasal Septal Button (30220) |
$2,815.80 |
— |
2.0× |
| Insert spine infusion device (62360) |
$32,709.58 |
— |
2.0× |
| Insert testicular prosthesis (54660) |
$9,730.56 |
— |
2.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,856.77 |
$5,484.70 |
2.0× |
| Insj Rx Eluting Implt Punctal Dilat Lac Canal Ea (68841) |
$4,314.65 |
— |
2.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$56,000.37 |
— |
2.0× |
| Knee Arthroscopy/Surgery (29874) |
$5,938.01 |
— |
2.0× |
| Lam facetec & foramot lumbar (63047) |
$13,168.54 |
— |
2.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$13,168.54 |
— |
2.0× |
| Laminotomy Single Lumbar (63042) |
$13,168.54 |
— |
2.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$10,971.39 |
— |
2.0× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$10,971.39 |
— |
2.0× |
| Laryngoscopy W/Biopsy (31535) |
$6,766.18 |
— |
2.0× |
| Laser vaporization of prostate (52648) |
$9,730.56 |
— |
2.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$13,168.54 |
— |
2.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$6,397.11 |
— |
2.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$6,397.11 |
— |
2.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$6,397.11 |
— |
2.0× |
| Low Back Disk Surgery (63030) |
$13,168.54 |
— |
2.0× |
| Lumbar spine fusion combined (22633) |
$49,242.66 |
— |
2.0× |
| Lysis of labial adhesions (56441) |
$5,874.72 |
— |
2.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$3,793.62 |
— |
2.0× |
| Manipulation knee joint under general anesthesia (27570) |
$2,918.17 |
— |
2.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,918.17 |
— |
2.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$10,971.39 |
— |
2.0× |
| Myelography Lumbar Injection (62305) |
$1,422.65 |
— |
2.0× |
| Myelography Lumbar Injection (62304) |
$1,422.65 |
— |
2.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,422.65 |
— |
2.0× |
| Myringoplasty (69620) |
$6,016.88 |
— |
2.0× |
| N Block Inj Celiac Pelus (64530) |
$1,605.14 |
— |
2.0× |
| N block inj intercost sng (64420) |
$1,281.03 |
— |
2.0× |
| N Block Inj Pudendal (64430) |
$1,605.14 |
— |
2.0× |
| N Block Lumbar/Thoracic (64520) |
$1,605.14 |
— |
2.0× |
| Nasal sinus therapy (30210) |
$2,815.80 |
— |
2.0× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$3,230.15 |
— |
2.0× |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$6,766.18 |
— |
2.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$12,807.84 |
— |
2.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$12,807.84 |
— |
2.0× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$12,807.84 |
— |
2.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$12,807.84 |
— |
2.0× |
| Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) |
$13,168.54 |
— |
2.0× |
| Neck spine disk surgery (63020) |
$13,168.54 |
— |
2.0× |
| Neck spine fusion (22600) |
$31,820.27 |
— |
2.0× |
| Nerve graft arm/leg <4 cm (64892) |
$15,926.36 |
— |
2.0× |
| Nerve Pedicle Transfer First Stage (64905) |
$15,926.36 |
— |
2.0× |
| Nerve repair w/conduit each nerve (64910) |
$15,926.36 |
— |
2.0× |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
$3,543.79 |
— |
2.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$3,543.79 |
— |
2.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$3,543.79 |
— |
2.0× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$3,543.79 |
— |
2.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,605.14 |
— |
2.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,605.14 |
— |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,281.03 |
— |
2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,281.03 |
— |
2.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$12,807.84 |
— |
2.0× |
| Occipital Nerve Block (64405) |
$557.05 |
— |
2.0× |
| Open bone biopsy (20250) |
$5,938.01 |
— |
2.0× |
| Open Implantation Nea Peripheral Nerve (64575) |
$20,221.70 |
— |
2.0× |
| Open Implantation Nea Sacral Nerve (64581) |
$11,565.67 |
— |
2.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$13,168.54 |
— |
2.0× |
| Open treatment calcaneal fracture (28415) |
$13,168.54 |
— |
2.0× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$23,299.56 |
— |
2.0× |
| Open treatment metatarsal fracture each (28485) |
$13,168.54 |
— |
2.0× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$13,168.54 |
— |
2.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$13,168.54 |
— |
2.0× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$13,168.54 |
— |
2.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$23,299.56 |
— |
2.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$13,168.54 |
— |
2.0× |
| Open Treatment Tarsal Bone Dislocation (28555) |
$13,168.54 |
— |
2.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$5,938.01 |
— |
2.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$13,168.54 |
— |
2.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$13,168.54 |
— |
2.0× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$5,938.01 |
— |
2.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$5,938.01 |
— |
2.0× |
| Open Tx Radial Head/Neck Fracture (24665) |
$13,168.54 |
— |
2.0× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$13,168.54 |
— |
2.0× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$13,168.54 |
— |
2.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$13,168.54 |
— |
2.0× |
| Open tx ulnar fx proximal end (24685) |
$13,168.54 |
— |
2.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$13,168.54 |
— |
2.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$13,168.54 |
— |
2.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$23,299.56 |
— |
2.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$6,497.69 |
— |
2.0× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$6,497.69 |
— |
2.0× |
| Ostectomy calcaneus (28118) |
$5,938.01 |
— |
2.0× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$5,938.01 |
— |
2.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$5,938.01 |
— |
2.0× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$5,938.01 |
— |
2.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$5,938.01 |
— |
2.0× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$13,168.54 |
— |
2.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$5,938.01 |
— |
2.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$13,168.54 |
— |
2.0× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$13,168.54 |
— |
2.0× |
| Osteotomy Tibia (27705) |
$13,168.54 |
— |
2.0× |
| Part remv talus or calcaneus (28120) |
$5,938.01 |
— |
2.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,918.17 |
— |
2.0× |
| Partial removal of tibia (27640) |
$5,938.01 |
— |
2.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$5,938.01 |
— |
2.0× |
| Penis plastic surgery (54360) |
$6,397.11 |
— |
2.0× |
| Perq Cervicothoracic Inject (22510) |
$5,938.01 |
— |
2.0× |
| Perq Lumbosacral Injection (22511) |
$5,938.01 |
— |
2.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$13,168.54 |
— |
2.0× |
| Perq Vertebral Augmentation (22513) |
$13,168.54 |
— |
2.0× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$11,565.67 |
— |
2.0× |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
$13,168.54 |
— |
2.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$5,938.01 |
— |
2.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$737.74 |
— |
2.0× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,281.03 |
— |
2.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,543.79 |
— |
2.0× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$5,938.01 |
— |
2.0× |
| Rcnstj Dislocating Patella (27420) |
$13,168.54 |
— |
2.0× |
| Realignment extensor tendon hand each tendon (26437) |
$5,938.01 |
— |
2.0× |
| Reconstruct elbow lat ligmnt (24344) |
$13,168.54 |
— |
2.0× |
| Reconstruct elbow med ligmnt (24346) |
$23,299.56 |
— |
2.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$13,168.54 |
— |
2.0× |
| Relieve Pressure on Nerve(S) (64722) |
$3,543.79 |
— |
2.0× |
| Removal Foreign Body Foot Complicated (28193) |
$2,997.31 |
— |
2.0× |
| Removal foreign body foot deep (28192) |
$2,997.31 |
— |
2.0× |
| Removal Implant Deep (20680) |
$5,271.46 |
— |
2.0× |
| Removal of adenoids (42831) |
$6,016.88 |
— |
2.0× |
| Removal of adenoids (42830) |
$6,016.88 |
— |
2.0× |
| Removal of foot joint lining (28072) |
$5,938.01 |
— |
2.0× |
| Removal of nail bed (11750) |
$737.74 |
— |
2.0× |
| Removal of testis (54520) |
$6,397.11 |
— |
2.0× |
| Removal of thyroid (60271) |
$10,743.27 |
— |
2.0× |
| Removal of tonsils (42826) |
$6,016.88 |
— |
2.0× |
| Removal of wrist bone (25210) |
$5,938.01 |
— |
2.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$2,918.17 |
— |
2.0× |
| Remove Ankle Joint Lining (27626) |
$5,938.01 |
— |
2.0× |
| Remove Lower Leg Bone Lesion (27635) |
$5,938.01 |
— |
2.0× |
| Remove muti-comp penis pros (54406) |
$6,397.11 |
— |
2.0× |
| Remove prostate regrowth (52630) |
$9,730.56 |
— |
2.0× |
| Remove renal tube w/fluoro (50389) |
$1,265.45 |
— |
2.0× |
| Remove Skin Nerve Lesion (64774) |
$3,543.79 |
— |
2.0× |
| Remove spine eltrd plate (63662) |
$6,344.71 |
— |
2.0× |
| Remove Tendon Sheath Lesion (26160) |
$2,918.17 |
— |
2.0× |
| Remv cartilage for graft nasal (20912) |
$6,431.13 |
— |
2.0× |
| Remv&replc cvd gen mult lead (33264) |
$56,964.33 |
— |
2.0× |
| Repair Achilles Tendon (27650) |
$13,168.54 |
— |
2.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$13,168.54 |
— |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$737.74 |
— |
2.0× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$5,938.01 |
— |
2.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,918.17 |
— |
2.0× |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
$5,938.01 |
— |
2.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$5,938.01 |
— |
2.0× |
| Repair Foot Dislocation (28615) |
$13,168.54 |
— |
2.0× |
| Repair Hallux Rigidus (28289) |
$5,938.01 |
— |
2.0× |
| Repair Hand Tendon (26410) |
$2,918.17 |
— |
2.0× |
| Repair humerus with graft (24435) |
$23,299.56 |
— |
2.0× |
| Repair incomplete circumcision (54163) |
$3,793.62 |
— |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$737.74 |
— |
2.0× |
| Repair lower leg tendons (27676) |
$13,168.54 |
— |
2.0× |
| Repair nasal septal perforations (30630) |
$6,016.88 |
— |
2.0× |
| Repair Nasal Vestibular Stenosis (30465) |
$10,743.27 |
— |
2.0× |
| Repair Nonunion Hand (26546) |
$13,168.54 |
— |
2.0× |
| Repair of leg nerve (64840) |
$15,926.36 |
— |
2.0× |
| Repair of metatarsals (28322) |
$13,168.54 |
— |
2.0× |
| Repair of Ruptured Tendon (24342) |
$13,168.54 |
— |
2.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$13,168.54 |
— |
2.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$5,938.01 |
— |
2.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$13,168.54 |
— |
2.0× |
| Repair Toe Dislocation (28645) |
$5,938.01 |
— |
2.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$13,168.54 |
— |
2.0× |
| Repair/graft achilles tendon (27652) |
$13,168.54 |
— |
2.0× |
| Rerepair ing hernia reduce (49520) |
$6,497.69 |
— |
2.0× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$5,938.01 |
— |
2.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$6,344.71 |
— |
2.0× |
| Revis reconst shoulder joint (23473) |
$23,299.56 |
— |
2.0× |
| Revise Hand/Foot Nerve (64704) |
$3,543.79 |
— |
2.0× |
| Revise lower leg tendon (27690) |
$13,168.54 |
— |
2.0× |
| Revise ulnar nerve at wrist (64719) |
$3,543.79 |
— |
2.0× |
| Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) |
$6,344.71 |
— |
2.0× |
| Revision of big toe (28310) |
$13,168.54 |
— |
2.0× |
| Revision of foot (28116) |
$5,938.01 |
— |
2.0× |
| Revision of lower leg tendon (27685) |
$5,938.01 |
— |
2.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$11,565.67 |
— |
2.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$6,344.71 |
— |
2.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$6,344.71 |
— |
2.0× |
| Rhinoplasty primary w/major septal repair (30420) |
$10,743.27 |
— |
2.0× |
| Rhinoplasty Secondary Major Revision (30450) |
$10,743.27 |
— |
2.0× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$10,743.27 |
— |
2.0× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$3,543.79 |
— |
2.0× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$3,543.79 |
— |
2.0× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$6,199.61 |
— |
2.0× |
| Rmvl/revj sling stress incontinence (57287) |
$5,874.72 |
— |
2.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$6,497.69 |
— |
2.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$10,971.39 |
— |
2.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$13,168.54 |
— |
2.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$5,938.01 |
— |
2.0× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$5,938.01 |
— |
2.0× |
| Scrotal exploration (55110) |
$6,397.11 |
— |
2.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$6,016.88 |
— |
2.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$737.74 |
— |
2.0× |
| Skin sub graft face/nk/hf/g (15275) |
$1,341.26 |
— |
2.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$9,078.42 |
— |
2.0× |
| Spinal puncture lumbar diagnostic (62270) |
$1,281.03 |
— |
2.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$6,431.13 |
— |
2.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$6,016.88 |
— |
2.0× |
| Surg Implnt Neuroelect,Epidural (63655) |
$35,207.21 |
— |
2.0× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$6,199.61 |
— |
2.0× |
| Suture infrapatellar tendon primary (27380) |
$13,168.54 |
— |
2.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$13,168.54 |
— |
2.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$13,168.54 |
— |
2.0× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$5,938.01 |
— |
2.0× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$5,938.01 |
— |
2.0× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
$13,168.54 |
— |
2.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$5,938.01 |
— |
2.0× |
| Tenolysis extensor foot single tendon (28225) |
$5,938.01 |
— |
2.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$5,938.01 |
— |
2.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,918.17 |
— |
2.0× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,918.17 |
— |
2.0× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$23,299.56 |
— |
2.0× |
| Thyroid biopsy (60100) |
$1,285.11 |
— |
2.0× |
| Thyroidectomy Post Prev Thyr Surg (60260) |
$10,743.27 |
— |
2.0× |
| Thyroidectomy, total or complete (60240) |
$10,971.39 |
— |
2.0× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$3,744.43 |
— |
2.0× |
| Tnot elbow lateral/medial debride open (24358) |
$5,938.01 |
— |
2.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$5,938.01 |
— |
2.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$6,016.88 |
— |
2.0× |
| Total Knee Arthroplasty (27447) |
$23,299.56 |
— |
2.0× |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
$3,543.79 |
— |
2.0× |
| Translum Dil Eye Canal (66174) |
$7,501.31 |
— |
2.0× |
| Transplant/graft hand tendon (26483) |
$5,938.01 |
— |
2.0× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$17,179.68 |
— |
2.0× |
| Transur electr resection of prostate (52601) |
$9,730.56 |
— |
2.0× |
| Transurethral resection bladder neck (52500) |
$6,397.11 |
— |
2.0× |
| Treat Big Toe Fracture (28505) |
$5,938.01 |
— |
2.0× |
| Treat Elbow Fracture (24635) |
$13,168.54 |
— |
2.0× |
| Treat fracture radius/ulna (25575) |
$13,168.54 |
— |
2.0× |
| Treat Fx Rad Extra-Articul (25607) |
$13,168.54 |
— |
2.0× |
| Treat Hand Bone Lesion (26034) |
$2,918.17 |
— |
2.0× |
| Treatment of ankle fracture (27823) |
$13,168.54 |
— |
2.0× |
| Treatment of foot infection (28003) |
$5,938.01 |
— |
2.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,918.17 |
— |
2.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$2,918.17 |
— |
2.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$447.65 |
— |
2.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$23,299.56 |
— |
2.0× |
| Tympanostomy general anesthesia (69436) |
$2,815.80 |
— |
2.0× |
| Unlisted procedure foot or toes (28899) |
$447.65 |
— |
2.0× |
| Unlisted procedure nervous system (64999) |
$557.05 |
— |
2.0× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$9,730.56 |
— |
2.0× |
| Uvulectomy excision of uvula (42140) |
$6,016.88 |
— |
2.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$3,793.62 |
— |
2.0× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$9,657.07 |
— |
2.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$13,168.54 |
— |
2.0× |