| Abd paracentesis w/imaging (49083) |
$906 |
$3,523.34 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$906 |
$3,943.21 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$17,527 |
$62,699.10 |
1.0× |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
$10,625 |
$38,708.20 |
1.0× |
| Abltj 1/> lvr tum prq rf (47382) |
$6,043 |
$12,597.40 |
1.0× |
| Acne Surgery (10040) |
$200 |
$353.49 |
1.0× |
| Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) |
$3,270 |
$27,505.79 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,542 |
$26,557.50 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,062 |
$20,689 |
1.0× |
| Amniocentesis diagnostic (59000) |
$920 |
$801.85 |
1.0× |
| Amniocentesis therapeutic (59001) |
$304 |
$1,391.43 |
1.0× |
| Amputation Finger/Thumb (26951) |
$3,270 |
$3,337.84 |
1.0× |
| Anoplasty, plastic operation for stricture; adult (46700) |
$2,774 |
$19,181.02 |
1.0× |
| Anoscopy diagnostic (46600) |
$133 |
$2,235.82 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$929 |
$2,904.80 |
1.0× |
| Anoscopy,W/Dilation - Endoscopy, Anus (46604) |
$1,196 |
$4,447.44 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,196 |
$4,447.44 |
1.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$5,000 |
$22,861.43 |
1.0× |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
$1,607 |
$5,714.24 |
1.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$162 |
$1,192.40 |
1.0× |
| Application cast elbow finger short arm (29075) |
$279 |
$457.05 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$279 |
$519.12 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$58 |
$293 |
1.0× |
| Application finger splint static (29130) |
$133 |
$559.40 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$162 |
$1,192.40 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$162 |
$1,192.40 |
1.0× |
| Application of long leg cast (29345) |
$279 |
$592.13 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$279 |
$668.17 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$133 |
$139.34 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$133 |
$911.80 |
1.0× |
| Application short leg splint calf foot (29515) |
$162 |
$1,192.40 |
1.0× |
| Apply multlay comprs arm/hand (29584) |
$162 |
$560.50 |
1.0× |
| Apply short leg cast (29405) |
$279 |
$616 |
1.0× |
| Arterial puncture (36600) |
$133 |
$496.49 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,156 |
$33,893.10 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$5,562 |
$33,915.50 |
1.0× |
| Artery-vein autograft (36825) |
$5,562 |
$35,031.30 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$306 |
$2,036.23 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$705 |
$2,535.95 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$306 |
$10,222.86 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$306 |
$1,544 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$306 |
$2,036.23 |
1.0× |
| Arthrodesis; subtalar (28725) |
$12,833 |
$9,022.72 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,527 |
$65,373 |
1.0× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$12,833 |
$58,330.50 |
1.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$7,253 |
$58,330.50 |
1.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,270 |
$27,619 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,270 |
$24,802 |
1.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,270 |
$29,615.90 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,253 |
$13,243 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,270 |
$5,938.08 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,270 |
$13,008.05 |
1.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,270 |
$39,729 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,253 |
$13,243 |
1.0× |
| Artl Cathj Prolng Nfs Ther Chemotx Cutdown (36640) |
$3,156 |
$1,776.75 |
1.0× |
| Aspir/inj thyroid cyst (60300) |
$707 |
$1,003 |
1.0× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$306 |
$1,151.20 |
1.0× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,089 |
$7,916.73 |
1.0× |
| Aspiration bladder needle (51100) |
$249 |
$1,573.44 |
1.0× |
| Av fistula revision (36833) |
$5,562 |
$46,363.60 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,562 |
$38,997 |
1.0× |
| Av fusion/forearm vein (36820) |
$5,562 |
$40,112.80 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$200 |
$848.06 |
1.0× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$1,196 |
$2,904.80 |
1.0× |
| Biopsy Bone Open Deep (20245) |
$2,903 |
$5,157.45 |
1.0× |
| Biopsy bone open superficial (20240) |
$2,903 |
$4,715.17 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,650 |
$7,071.40 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,650 |
$6,301.65 |
1.0× |
| Biopsy Breast Open Incisional (19101) |
$3,914 |
$25,154 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$920 |
$34,138.60 |
1.0× |
| Biopsy muscle deep (20205) |
$2,903 |
$9,452.86 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,650 |
$6,301.65 |
1.0× |
| Biopsy Muscle Superficial (20200) |
$1,650 |
$2,774.56 |
1.0× |
| Biopsy of deep tissue of upper arm or elbow (24066) |
$2,903 |
$4,242.84 |
1.0× |
| Biopsy of fluid collection of lung using an endoscope (32607) |
$10,625 |
$7,890 |
1.0× |
| Biopsy of nail unit (11755) |
$707 |
$995.19 |
1.0× |
| Biopsy of uterus lining (58100) |
$202 |
$16,130 |
1.0× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,650 |
$6,301.65 |
1.0× |
| Biopsy pleura percutaneous needle (32400) |
$1,650 |
$1,565 |
1.0× |
| Biopsy Salivary Gland,Needle (42400) |
$707 |
$1,411.25 |
1.0× |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
$1,650 |
$4,242.84 |
1.0× |
| Biopsy soft tissue leg/ankle area deep (27614) |
$2,903 |
$4,242.84 |
1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,650 |
$2,159.99 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,650 |
$6,301.65 |
1.0× |
| Biopsy soft tissue of back (21920) |
$1,650 |
$2,825.94 |
1.0× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$2,903 |
$4,242.84 |
1.0× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,650 |
$4,242.84 |
1.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$2,903 |
$4,780.25 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,650 |
$4,242.84 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,650 |
$4,242.84 |
1.0× |
| Biopsy, soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) (25066) |
$2,903 |
$4,242.84 |
1.0× |
| Biopsy, soft tissue of forearm and/or wrist; superficial (25065) |
$1,650 |
$3,345 |
1.0× |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
$1,650 |
$6,301.65 |
1.0× |
| Biopsy/removal lymph nodes (38525) |
$3,914 |
$25,154 |
1.0× |
| Bladder Irrigation Simple (51700) |
$249 |
$662 |
1.0× |
| Bladder Scan (51798) |
$58 |
$237.75 |
1.0× |
| Blood patch (62273) |
$705 |
$2,925.85 |
1.0× |
| Blood transfusion service (36430) |
$441 |
$1,745.70 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$441 |
$1,914.50 |
1.0× |
| Bone marrow aspiration only (38220) |
$1,650 |
$2,011 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,650 |
$7,071.40 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,779 |
$6,596.94 |
1.0× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,779 |
$2,646.25 |
1.0× |
| Brnchsc removal bronchial valve initial (31648) |
$3,726 |
$4,875 |
1.0× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$7,054 |
$3,584 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,726 |
$4,394.89 |
1.0× |
| Bronch ebus samplng 1/2 node (31652) |
$3,726 |
$14,555.50 |
1.0× |
| Bronch ebus samplng 3/> node (31653) |
$3,726 |
$17,840.30 |
1.0× |
| Bronch Thermoplsty 1 Lobe (31660) |
$7,054 |
$6,618.67 |
1.0× |
| Bronchial thermoplasty 2 or more lobes (31661) |
$7,054 |
$7,023.02 |
1.0× |
| Bronchial Valve Init Insert (31647) |
$7,054 |
$4,392.97 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,779 |
$6,596.94 |
1.0× |
| Bronchoscopy Balloon Occlusion (31634) |
$7,054 |
$15,332.40 |
1.0× |
| Bronchoscopy bronch stents (31636) |
$7,054 |
$5,555.45 |
1.0× |
| Bronchoscopy dilate/fx repr (31630) |
$3,726 |
$4,875 |
1.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,726 |
$14,555.50 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,779 |
$6,596.94 |
1.0× |
| Bronchoscopy w/markers (31626) |
$7,054 |
$3,746.02 |
1.0× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$7,054 |
$4,290.42 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,779 |
$1,312.15 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,779 |
$6,596.94 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$390 |
$2,564 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,726 |
$9,959.60 |
1.0× |
| Bronchoscopy w/tumor excise (31640) |
$3,726 |
$4,871.05 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,779 |
$6,596.94 |
1.0× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$1,779 |
$2,646.25 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,650 |
$6,301.65 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$1,650 |
$2,669 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,650 |
$928.07 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,650 |
$6,593.86 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,650 |
$1,339.50 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$1,650 |
$4,709.90 |
1.0× |
| Canthotomy Separate Procedure (67715) |
$2,376 |
$9,063.40 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$218 |
$829.01 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,235 |
$16,781.70 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,156 |
$2,618.63 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$697 |
$1,573.44 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$249 |
$960.59 |
1.0× |
| Change g-tube to g-j perc (49446) |
$1,918 |
$2,839.25 |
1.0× |
| Change Ureter Stent, Percut (50382) |
$2,089 |
$4,792.28 |
1.0× |
| Chemical Cautery Tissue (17250) |
$200 |
$848.06 |
1.0× |
| Chest tube placement (32551) |
$1,573 |
$6,224.85 |
1.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$133 |
$166.70 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,579 |
$13,447.10 |
1.0× |
| Chorionic villus sampling (59015) |
$920 |
$2,436.25 |
1.0× |
| Circumcision (54150) |
— |
$9,703.30 |
— |
| Circumcision Neonate (54160) |
— |
$7,532.10 |
— |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$306 |
$1,541 |
1.0× |
| Claviculectomy; partial (23120) |
$3,270 |
$17,351.59 |
1.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$246 |
$2,958.33 |
1.0× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$246 |
$2,375 |
1.0× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$246 |
$2,375 |
1.0× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,551 |
$4,502 |
1.0× |
| Closed Rx Med Malleolus Fx (27760) |
$246 |
$826.61 |
1.0× |
| Closed Rx Med Malleolus Fx,Manip (27762) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,607 |
$6,246.91 |
1.0× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,607 |
$2,235.47 |
1.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$246 |
$1,723.30 |
1.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$246 |
$845.45 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$246 |
$2,375 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$246 |
$807.80 |
1.0× |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Rx Trimalleolar Fx (27816) |
$246 |
$2,375 |
1.0× |
| Closed Treat Vert Body Fract (22310) |
$246 |
$2,375 |
1.0× |
| Closed treat wrist dislocation (25660) |
$246 |
$2,375 |
1.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$246 |
$845.45 |
1.0× |
| Closed treatment nasal fracture w/stabilization (21320) |
$3,314 |
$3,139.76 |
1.0× |
| Closed treatment of broken top of shin bone at knee (27538) |
$246 |
$2,375 |
1.0× |
| Closed treatment of craniofacial separation ( le fort iii type) using interdental wire fixation of denture or splint (21431) |
$5,917 |
$9,731 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$246 |
$2,375 |
1.0× |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
$246 |
$2,375 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
$246 |
$845.45 |
1.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$246 |
$845.45 |
1.0× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$246 |
$2,375 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$246 |
$2,375 |
1.0× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$246 |
$2,375 |
1.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$246 |
$845.45 |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$246 |
$845.45 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$246 |
$2,375 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$246 |
$1,723.30 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,607 |
$6,246.91 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$246 |
$822.28 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$246 |
$2,819 |
1.0× |
| Closed tx calcaneal fracture w/o manipulation (28400) |
$246 |
$2,375 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$246 |
$2,375 |
1.0× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$1,551 |
$3,233.30 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,607 |
$5,753.40 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$246 |
$2,375 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$539 |
$926 |
1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$5,917 |
$7,597.06 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$246 |
$574 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,607 |
$5,714.24 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,551 |
$2,529 |
1.0× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$1,551 |
$9,731 |
1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,314 |
$18,650.20 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$246 |
$2,769.27 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$246 |
$1,723.30 |
1.0× |
| Closed tx patellar fracture w/o manipulation (27520) |
$246 |
$1,069.15 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,607 |
$5,714.24 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$246 |
$574 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,607 |
$5,714.24 |
1.0× |
| Closed tx scapular fracture w/o manipulation (23570) |
$246 |
$845.45 |
1.0× |
| Closed tx septal&nose fx (21337) |
$3,314 |
$4,543.99 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$246 |
$857 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$246 |
$1,069.15 |
1.0× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$3,270 |
$6,560.90 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,607 |
$5,714.24 |
1.0× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$246 |
$845.45 |
1.0× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,551 |
$9,731 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$246 |
$1,292.90 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,607 |
$5,714.24 |
1.0× |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
$246 |
$845.45 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$246 |
$720.86 |
1.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$236 |
$949.37 |
1.0× |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
$539 |
$1,966.17 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$246 |
$1,045 |
1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$246 |
$648.51 |
1.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,607 |
$5,714.24 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$246 |
$668.59 |
1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$539 |
$188.70 |
1.0× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$246 |
$2,375 |
1.0× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$246 |
$2,375 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,607 |
$5,714.24 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$246 |
$1,723.30 |
1.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$246 |
$2,375 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$246 |
$2,375 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$246 |
$2,375 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$246 |
$2,375 |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$246 |
$845.45 |
1.0× |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$246 |
$2,375 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$246 |
$2,375 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$246 |
$2,375 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$246 |
$546.78 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$246 |
$2,375 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,607 |
$6,246.91 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$246 |
$2,375 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$246 |
$1,069.15 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$246 |
$598.84 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$246 |
$451.53 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$246 |
$2,375 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$246 |
$534.79 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$246 |
$2,375 |
1.0× |
| Cltx greater trochanteric fx w/o manj (27246) |
$246 |
$2,375 |
1.0× |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
$1,607 |
$6,560.90 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$246 |
$1,723.30 |
1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$279 |
$1,116.45 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$246 |
$1,723.30 |
1.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,607 |
$1,069.15 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$246 |
$1,723.30 |
1.0× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,314 |
$9,731 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$246 |
$14,466.25 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$246 |
$635 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$246 |
$2,375 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,607 |
$6,560.90 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$246 |
$542 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$246 |
$2,375 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$246 |
$1,723.30 |
1.0× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$246 |
$2,375 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$246 |
$751.33 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,607 |
$2,914.73 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$246 |
$555 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$246 |
$2,375 |
1.0× |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,607 |
$5,714.24 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$246 |
$2,375 |
1.0× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$3,270 |
$10,213.30 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$246 |
$549.87 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,607 |
$6,246.91 |
1.0× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$246 |
$2,375 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,607 |
$6,246.91 |
1.0× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$3,270 |
$6,560.90 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,196 |
$4,586.69 |
1.0× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,196 |
$2,904.80 |
1.0× |
| Colonoscopy for bleeding (44391) |
$1,196 |
$3,365.98 |
1.0× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,196 |
$2,970.50 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,196 |
$2,973.31 |
1.0× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,196 |
$2,904.80 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,196 |
$2,904.80 |
1.0× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,196 |
$2,904.80 |
1.0× |
| Colonoscopy stoma w/snare (44394) |
$1,196 |
$2,904.80 |
1.0× |
| Colonoscopy through stoma with decompression (44408) |
$929 |
$2,904.80 |
1.0× |
| Colonoscopy through stoma; with directed submucosal injection(s), any substance (44404) |
$1,196 |
$2,904.80 |
1.0× |
| Colonoscopy through stoma; with removal of foreign body(s) (44390) |
$929 |
$2,904.80 |
1.0× |
| Colonoscopy thru stoma (44388) |
$929 |
$2,904.80 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,196 |
$2,970.50 |
1.0× |
| Colonoscopy w/band ligation (45398) |
$1,196 |
$3,056.69 |
1.0× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,196 |
$4,447.44 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,196 |
$2,904.80 |
1.0× |
| Colonoscopy w/resection (45390) |
$2,774 |
$2,904.80 |
1.0× |
| Colonoscopy w/stent plcmt (44402) |
$6,068 |
$6,618.67 |
1.0× |
| Colonoscopy w/stent plcmt (45389) |
$6,068 |
$6,618.67 |
1.0× |
| Colporrhaphy suture injury vagina (57200) |
$3,235 |
$3,551.70 |
1.0× |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
$3,235 |
$20,689 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,196 |
$2,904.80 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,196 |
$2,904.80 |
1.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,196 |
$4,586.69 |
1.0× |
| Complete replacement picc rs&i (36584) |
$1,573 |
$2,564 |
1.0× |
| Complex Drainage, Wound (10180) |
$2,903 |
$3,472.16 |
1.0× |
| Conization of cervix (57520) |
$3,235 |
$33,997.60 |
1.0× |
| Conization of cervix (57522) |
$3,235 |
$29,913.70 |
1.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$212 |
$935.90 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$133 |
$549.80 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$133 |
$911.80 |
1.0× |
| Conversion ext bil drg cath (47535) |
$3,579 |
$15,546.70 |
1.0× |
| Convert nephrostomy catheter (50434) |
$2,089 |
$8,698.75 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,650 |
$6,301.65 |
1.0× |
| Correction hammertoe (28285) |
$3,270 |
$25,154 |
1.0× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$5,562 |
$40,656.10 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$133 |
$642.68 |
1.0× |
| Curettage postpartum (59160) |
$3,235 |
$16,130 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,089 |
$20,689 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,359 |
$23,623.20 |
1.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,089 |
$16,130 |
1.0× |
| Cystoscopy,insert ureteral stent (52332) |
$3,523 |
$32,389.04 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,089 |
$4,869.47 |
1.0× |
| Cystourethroscopy (52000) |
$697 |
$31,525.30 |
1.0× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$3,523 |
$15,381.70 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$406 |
$581.02 |
1.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$707 |
$1,407 |
1.0× |
| Debride nail 1-5 (11720) |
$58 |
$280 |
1.0× |
| Debride nail 6 or more (11721) |
$58 |
$360 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$406 |
$1,549.85 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$738 |
$13,651.16 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,650 |
$6,301.65 |
1.0× |
| Declot vascular device (36593) |
$330 |
$1,316.31 |
1.0× |
| Delivery placenta separate procedure (59414) |
$3,235 |
$9,890 |
1.0× |
| Destroy internal hemorrhoids (46930) |
$1,196 |
$1,999.25 |
1.0× |
| Destruc Benign/Premal,15+ Lesions (17004) |
$406 |
$817.32 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$884 |
$1,802.61 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$200 |
$262.59 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$705 |
$3,172.95 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$929 |
$3,552.36 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,235 |
$25,361.30 |
1.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$906 |
$2,890 |
1.0× |
| Dilation Nasolacrimal Duct (68801) |
$446 |
$1,995.20 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,650 |
$7,184.95 |
1.0× |
| Drain lower leg bursa (27604) |
$3,270 |
$7,867.83 |
1.0× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$707 |
$2,695.55 |
1.0× |
| Drain outer ear canal lesion (69020) |
$707 |
$806.34 |
1.0× |
| Drain shoulder lesion (23030) |
$2,903 |
$4,687 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$539 |
$1,051.14 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$707 |
$497 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,650 |
$2,088.45 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$200 |
$2,036.23 |
1.0× |
| Drainage mouth roof lesion (42000) |
$236 |
$623.51 |
1.0× |
| Drainage of bone lesion (26992) |
$3,270 |
$574.81 |
1.0× |
| Drainage of deep rectal abscess (45020) |
$2,774 |
$16,130 |
1.0× |
| Drainage of eyelid abscess (67700) |
$317 |
$804.14 |
1.0× |
| Drainage of gum lesion (41800) |
$133 |
$848.06 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,650 |
$15,727.82 |
1.0× |
| Drainage of infected fluid-filled sac near pelvis or hip joint (26991) |
$1,607 |
$7,186.77 |
1.0× |
| Drainage of palmar bursa; single, bursa (26025) |
$3,270 |
$6,749.70 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,650 |
$6,301.65 |
1.0× |
| Draw blood off venous device (36591) |
$133 |
$489 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$406 |
$608.91 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$200 |
$535.87 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$200 |
$848.06 |
1.0× |
| Dstrj neurolytic agent pudendal nerve (64630) |
$884 |
$2,466.30 |
1.0× |
| Dx bone marrow bx & aspir (38222) |
$2,903 |
$11,044.40 |
1.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
$1,918 |
$7,395.89 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,918 |
$7,395.89 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,918 |
$7,395.89 |
1.0× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,918 |
$7,395.89 |
1.0× |
| Egd Endo Mucosal Resection (43254) |
$1,918 |
$3,575.28 |
1.0× |
| Egd endoscopic stent place (43266) |
$6,068 |
$6,618.67 |
1.0× |
| Egd flexible foreign body removal (43247) |
$906 |
$3,523.34 |
1.0× |
| Egd guide wire insertion (43248) |
$906 |
$2,890 |
1.0× |
| Egd injection varices (43243) |
$1,918 |
$2,890 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,918 |
$7,395.89 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,918 |
$7,395.89 |
1.0× |
| Egd rem tumr/polyp forcep (43250) |
$1,918 |
$3,575.28 |
1.0× |
| Egd remove lesion snare (43251) |
$1,918 |
$7,395.89 |
1.0× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,918 |
$7,395.89 |
1.0× |
| Egd tube/cath insertion (43241) |
$1,918 |
$8,294.05 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$1,918 |
$7,395.89 |
1.0× |
| Egd us fine needle bx/aspir (43242) |
$1,918 |
$7,395.89 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$1,918 |
$7,395.89 |
1.0× |
| Egd Varices Ligation (43244) |
$1,918 |
$7,395.89 |
1.0× |
| Egd w/transmural drain cyst (43240) |
$6,068 |
$4,742.61 |
1.0× |
| Endoscopic us exam esoph (43237) |
$1,918 |
$7,395.89 |
1.0× |
| Endoscopy of bowel pouch (44385) |
$929 |
$2,904.80 |
1.0× |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
$1,918 |
$7,395.89 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$11,539 |
$28,883.60 |
1.0× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$3,156 |
$11,798 |
1.0× |
| Endovenous rf 1st vein (36475) |
$3,156 |
$8,011.74 |
1.0× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,918 |
$3,575.28 |
1.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,062 |
$4,189.10 |
1.0× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$3,735 |
$12,448.50 |
1.0× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$2,062 |
$4,284.78 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,062 |
$6,594.80 |
1.0× |
| Epidural lysis mult sessions (62263) |
$884 |
$2,844.40 |
1.0× |
| Episiotomy or vaginal repair (59300) |
— |
$12,151.60 |
— |
| Ercp Duct Stent Placement (43274) |
$6,068 |
$22,151.90 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,854 |
$4,793.55 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$3,854 |
$5,196.89 |
1.0× |
| Ercp lithotripsy calculi (43265) |
$6,068 |
$5,174 |
1.0× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$3,854 |
$14,885.60 |
1.0× |
| Ercp remove forgn body duct (43275) |
$1,918 |
$7,395.89 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,068 |
$6,618.67 |
1.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$3,854 |
$5,318 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,854 |
$4,742.61 |
1.0× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,854 |
$14,885.60 |
1.0× |
| Escharotomy initial incision (16035) |
$406 |
$923.27 |
1.0× |
| Esoph endoscopy dilation (43226) |
$1,918 |
$3,575.28 |
1.0× |
| Esoph scope w/submucous inj (43201) |
$1,918 |
$5,324.30 |
1.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$906 |
$2,890 |
1.0× |
| Esophagosc dilate balloon 30 (43214) |
$1,918 |
$3,575.28 |
1.0× |
| Esophagoscop mucosal resect (43211) |
$1,918 |
$3,575.28 |
1.0× |
| Esophagoscopy flex biopsy (43202) |
$1,918 |
$2,890 |
1.0× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare - Esophagoscopy (43217) |
$1,918 |
$3,575.28 |
1.0× |
| Esophagoscopy flexible removal foreign body (43215) |
$1,918 |
$3,575.28 |
1.0× |
| Esophagoscopy flexible transnasal diagnostic (43197) |
$906 |
$2,890 |
1.0× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$906 |
$2,890 |
1.0× |
| Esophagoscopy flexible transoral diagnostic (43200) |
$906 |
$3,523.34 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,918 |
$3,575.28 |
1.0× |
| Esophagoscopy lesion ablate (43229) |
$3,854 |
$9,575.75 |
1.0× |
| Esophagoscopy Retro Balloon (43213) |
$1,918 |
$3,575.28 |
1.0× |
| Esophagoscopy Transoral Stent Placement (43212) |
$6,068 |
$6,618.67 |
1.0× |
| Esophagoscopy w/us needle bx (43232) |
$1,918 |
$3,575.28 |
1.0× |
| Esophagoscopy, flexible, transoral; with control of bleeding, any method (43227) |
$1,918 |
$3,575.28 |
1.0× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices (43204) |
$1,918 |
$2,890 |
1.0× |
| Esophagus endoscopy/ligation (43205) |
$1,918 |
$3,575.28 |
1.0× |
| Esophagus Surg Procedure Unlisted (43499) |
$906 |
$4,048 |
1.0× |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
$1,918 |
$3,575.28 |
1.0× |
| Evacuate mole of uterus (59870) |
$3,235 |
$34,150.30 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$133 |
$739.72 |
1.0× |
| Exc abd les sc 3 cm/> (22903) |
$2,903 |
$31,086.63 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,903 |
$37,501.90 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,650 |
$5,376.66 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,650 |
$16,784.73 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,650 |
$2,884 |
1.0× |
| Exc face les sbq 2 cm/> (21012) |
$1,650 |
$20,689 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$707 |
$1,141.58 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,650 |
$11,376.28 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$1,650 |
$31,513.90 |
1.0× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,650 |
$29,036.90 |
1.0× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,903 |
$23,623.20 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$707 |
$1,542 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$707 |
$1,605.95 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$707 |
$15,748.83 |
1.0× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,650 |
$3,767.92 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,650 |
$29,585.80 |
1.0× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$2,903 |
$9,121.55 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,903 |
$12,191.50 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,650 |
$21,422.60 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,903 |
$9,121.55 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,903 |
$20,689 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,196 |
$2,743.68 |
1.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,903 |
$20,689 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,650 |
$31,360.50 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,650 |
$72,176.67 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,903 |
$22,156.10 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,579 |
$7,650.23 |
1.0× |
| Exchange nephrostomy cath (50435) |
$2,089 |
$7,916.73 |
1.0× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,607 |
$18,409.50 |
1.0× |
| Excision Breast Lesion (19125) |
$3,914 |
$30,580.30 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,650 |
$985.86 |
1.0× |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
$707 |
$2,916.70 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$707 |
$3,882.13 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,650 |
$4,847.55 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,650 |
$9,121.55 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,774 |
$3,323.77 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$707 |
$1,572 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$707 |
$11,147.48 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,579 |
$26,557.50 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,650 |
$1,913 |
1.0× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,650 |
$1,664 |
1.0× |
| Excision of nail fold toe (11765) |
$406 |
$603 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,903 |
$4,731.97 |
1.0× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,903 |
$44,171.47 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$3,235 |
$39,874.80 |
1.0× |
| Excision olecranon bursa (24105) |
$3,270 |
$19,661.15 |
1.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,903 |
$19,293.40 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,650 |
$34,078.10 |
1.0× |
| Excision, graft, extremity (35903) |
$3,156 |
$28,771.50 |
1.0× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,903 |
$20,016.30 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,062 |
$1,963.25 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,650 |
$6,301.65 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,650 |
$1,963.25 |
1.0× |
| Explore parathyroid glands (60500) |
$5,917 |
$36,006.60 |
1.0× |
| External Cephalic Version (59412) |
— |
$12,151.60 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$883 |
— |
| Fetal non-stress test (59025) |
— |
$1,405.90 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$707 |
$2,896.70 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$707 |
$2,896.70 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$406 |
$494.47 |
1.0× |
| Fixation of knee joint (27570) |
$1,607 |
$16,130 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$238 |
$731.15 |
1.0× |
| Fna bx w/fluor gdn 1st les (10007) |
$707 |
$2,896.70 |
1.0× |
| Fna bx w/mr gdn 1st les (10011) |
$707 |
$2,896.70 |
1.0× |
| Fusion of foot bones (28740) |
$7,253 |
$9,022.72 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$215 |
$269 |
1.0× |
| Gastrocnemius Recession (27687) |
$3,270 |
$9,022.72 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$707 |
$2,734.66 |
1.0× |
| Hemorrhoidectomy external complete (46250) |
$2,774 |
$4,432.30 |
1.0× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$2,774 |
$8,391.69 |
1.0× |
| Hysteroscopy ablation (58563) |
$5,000 |
$29,986.70 |
1.0× |
| Hysteroscopy biopsy (58558) |
$3,235 |
$27,244.80 |
1.0× |
| Hysteroscopy dx sep proc (58555) |
$3,235 |
$20,689 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,235 |
$22,533.20 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,000 |
$32,618.60 |
1.0× |
| I&D Abscess Peritonsillar (42700) |
$236 |
$967 |
1.0× |
| I&d abscess simple (10060) |
$200 |
$778.13 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,903 |
$4,433 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,903 |
$3,193.73 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,270 |
$4,955 |
1.0× |
| I&d forearm/wrist bursa (25031) |
$1,607 |
$7,073.04 |
1.0× |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
$3,270 |
$4,361.02 |
1.0× |
| I&d perianal abscess superficial (46050) |
$929 |
$3,552.36 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$707 |
$2,734.66 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,650 |
$2,866.39 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,903 |
$4,615 |
1.0× |
| Ileoscopy stoma w/balloon dilation (44381) |
$1,918 |
$2,890 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
$906 |
$2,890 |
1.0× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$906 |
$2,890 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,650 |
$6,301.65 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,650 |
$3,195.06 |
1.0× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,650 |
$7,723.75 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,607 |
$25,154 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$406 |
$11,250.08 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,903 |
$4,242.84 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$707 |
$10,702.73 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,650 |
$6,031 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$406 |
$1,549.85 |
1.0× |
| Incision and drainage of abscess of pelvis (57010) |
$3,235 |
$6,500 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$202 |
$980.72 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$304 |
$2,036.23 |
1.0× |
| Incision of rectal abscess (46040) |
$1,196 |
$5,651.15 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$249 |
$638.41 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$738 |
$1,570.40 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$200 |
$778.13 |
1.0× |
| Inj neurolytic subarachnoid (62280) |
$884 |
$11,990.60 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$306 |
$567.75 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$884 |
$3,542.76 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$884 |
$1,441.45 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$705 |
$2,687.91 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$884 |
$2,000 |
1.0× |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
$306 |
$611 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$884 |
$3,542.76 |
1.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$884 |
$3,542.76 |
1.0× |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
$705 |
$2,687.91 |
1.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$884 |
$1,568 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$705 |
$1,175.97 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$884 |
$2,002.58 |
1.0× |
| Inject Nerv Blck,Pudendal (64430) |
$884 |
$3,360.30 |
1.0× |
| Inject Rx Celiac Plexus Nerve (64680) |
$884 |
$2,466.30 |
1.0× |
| Inject scleros soln in hemorrhoids (46500) |
$929 |
$1,573.88 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$306 |
$487.88 |
1.0× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$884 |
$3,360.30 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$705 |
$3,294.50 |
1.0× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$884 |
$3,360.30 |
1.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$705 |
$2,687.91 |
1.0× |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
$884 |
$3,360.30 |
1.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$705 |
$908 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$306 |
$2,237.60 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$705 |
$2,687.91 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$884 |
$2,466.30 |
1.0× |
| Injection for identification of sentinel node (38792) |
$399 |
$888.75 |
1.0× |
| Injection of agent to destroy presacral nerve bundle (64681) |
$884 |
$3,956.60 |
1.0× |
| Injection peyronie disease (54200) |
$249 |
$1,330.70 |
1.0× |
| Injection procedure for chemonucleolysis, including diskography, intervertebral disk, single or multiple levels, lumbar (62292) |
$1,952 |
$4,620.20 |
1.0× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$627 |
$2,760.20 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$306 |
$620.10 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$306 |
$740.25 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$306 |
$507.64 |
1.0× |
| Injection(s) spider veins (36468) |
$406 |
$525.15 |
1.0× |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
$884 |
$3,831.96 |
1.0× |
| Injection, anesthetic agent; greater occipital nerve (64405) |
$306 |
$1,095.67 |
1.0× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$705 |
$1,755.51 |
1.0× |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
$306 |
$671.28 |
1.0× |
| Injection, anesthetic agent; vagus nerve (64408) |
$306 |
$1,056.05 |
1.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$200 |
$902.90 |
1.0× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$884 |
$1,789.50 |
1.0× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$884 |
$20,102.30 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,156 |
$4,853.66 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,156 |
$4,615.61 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,156 |
$11,017 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,562 |
$7,141 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,562 |
$21,359.40 |
1.0× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$10,448 |
$46,367 |
1.0× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$10,448 |
$46,367 |
1.0× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$10,448 |
$46,367 |
1.0× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$10,448 |
$46,367 |
1.0× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$8,272 |
$33,484.30 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$31,377 |
$75,054.50 |
1.0× |
| Insert 1 electrode pm-defib (33216) |
$8,272 |
$33,484.30 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$128 |
$411.25 |
1.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,196 |
$4,984.50 |
1.0× |
| Insert cervical dilator (59200) |
— |
$1,246.91 |
— |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$1,918 |
$7,395.89 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,918 |
$7,395.89 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$18,324 |
$14,292 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,156 |
$29,508.85 |
1.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,156 |
$3,045.68 |
1.0× |
| Insert pacing lead & connect (33224) |
$10,448 |
$17,570.90 |
1.0× |
| Insert pessary/other device (57160) |
$202 |
$421.77 |
1.0× |
| Insert picc cath (36569) |
$1,573 |
$4,220 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,573 |
$4,426.54 |
1.0× |
| Insert picvad cath (36570) |
$3,156 |
$11,236.70 |
1.0× |
| Insert pulse gen mult leads (33221) |
$19,254 |
$596.67 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$133 |
$692.46 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,579 |
$7,089 |
1.0× |
| Insert tunneled cv cath (36561) |
$3,156 |
$17,772.30 |
1.0× |
| Insert Tunneled Cv Cath With Pump (36563) |
$5,562 |
$11,385.80 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$5,562 |
$11,385.80 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$133 |
$496.49 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,579 |
$13,447.10 |
1.0× |
| Insertion of cannula (36800) |
$5,562 |
$11,236.70 |
1.0× |
| Insertion of stent into small bowel using an endo inserted through (44384) |
$1,918 |
$6,618.67 |
1.0× |
| Insertion of tube into middle small bowel using an endoscope (44372) |
$1,918 |
$3,575.28 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,573 |
$6,224.85 |
1.0× |
| Insertion picc w/rs&i < 5 yr (36572) |
$627 |
$3,100.05 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,272 |
$37,020.60 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$5,562 |
$11,385.80 |
1.0× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$8,272 |
$33,484.30 |
1.0× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$22,235 |
$27,320.60 |
1.0× |
| Insj multi-component inflatable penile prosth (54405) |
$20,718 |
$54,094.16 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,156 |
$6,036 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,156 |
$12,389.20 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$5,562 |
$21,359.40 |
1.0× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$3,156 |
$11,236.70 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,156 |
$12,389.20 |
1.0× |
| Insj/rplcmt defib w/lead(s) (33249) |
$31,377 |
$152,449 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,272 |
$33,484.30 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$8,272 |
$7,242 |
1.0× |
| Insrt pulse gen w/dual leads (33230) |
$22,235 |
$65,989.40 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$539 |
$3,233.30 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,314 |
$13,969.90 |
1.0× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,573 |
$6,224.85 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$5,689 |
$22,215.80 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$906 |
$2,627.47 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$236 |
$949.37 |
1.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$249 |
$649.50 |
1.0× |
| Irrigation maxillary sinus (31000) |
$236 |
$1,420.75 |
1.0× |
| Knee arthroscopy/surgery (29876) |
$3,270 |
$24,802 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,043 |
$28,771.50 |
1.0× |
| Laparoscopy appendectomy (44970) |
$6,043 |
$21,993.10 |
1.0× |
| Laparoscopy Remove Adnexa (58661) |
$6,043 |
$31,097.50 |
1.0× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$10,625 |
$49,037.20 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$10,625 |
$39,624.08 |
1.0× |
| Laparoscopy tubal block (58671) |
$6,043 |
$26,778.40 |
1.0× |
| Laparoscopy Tubal Cautery (58670) |
$6,043 |
$36,644.20 |
1.0× |
| Laparoscopy w/lysis of adhesions (58660) |
$6,043 |
$25,154 |
1.0× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,043 |
$34,197.80 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,043 |
$25,154 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,043 |
$36,006.60 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,043 |
$44,131.20 |
1.0× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$3,854 |
$30,892 |
1.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,043 |
$26,962.80 |
1.0× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$10,625 |
$57,711.70 |
1.0× |
| Laryngoscopy Direct Aspiration (31515) |
$390 |
$6,297.75 |
1.0× |
| Laryngoscopy Flexible Diagnostic (31575) |
$199 |
$639.92 |
1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$390 |
$1,932 |
1.0× |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
$199 |
$448.90 |
1.0× |
| Laryngoscopy with biopsy (31576) |
$1,779 |
$4,759.50 |
1.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,779 |
$3,402 |
1.0× |
| Late closure of wound (13160) |
$3,542 |
$1,651.40 |
1.0× |
| Ligation of a-v fistula (37607) |
$3,156 |
$13,856.40 |
1.0× |
| Ligation of hemorrhoid(s) (46221) |
$929 |
$25,907.70 |
1.0× |
| Ligation Of Inf Vena Cava (37619) |
$5,562 |
$6,135.08 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,650 |
$28,771.50 |
1.0× |
| Lithotripsy (50590) |
$3,523 |
$14,575 |
1.0× |
| Liver Biopsy (47000) |
$1,650 |
$9,910 |
1.0× |
| Lyse Chest Fibrin Init Day (32561) |
$627 |
$2,892.50 |
1.0× |
| Manipulation, wrist, under anesthesia (25259) |
$1,607 |
$5,376.66 |
1.0× |
| Mast mod rad (19307) |
$6,637 |
$45,050.40 |
1.0× |
| Mastectomy partial (19301) |
$3,914 |
$32,389 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,573 |
$2,035.23 |
1.0× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$3,156 |
$3,995.96 |
1.0× |
| Muscle-skin graft trunk (15734) |
$3,542 |
$76,465 |
1.0× |
| Musculoskeletal surgery (20999) |
$246 |
$36,090.88 |
1.0× |
| Myelography Lumbar Injection (62305) |
$783 |
$10,055 |
1.0× |
| Myelography Lumbar Injection (62304) |
$783 |
$5,829 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$783 |
$5,822 |
1.0× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$783 |
$5,595 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$446 |
$1,548.66 |
1.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$929 |
$2,904.80 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$28 |
$141.85 |
1.0× |
| Nerve repair w/allograft (64910) |
$8,772 |
$23,669 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416 |
$2,083.90 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$884 |
$1,746.08 |
1.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$249 |
$1,147.65 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,579 |
$15,546.70 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,579 |
$6,531.33 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$884 |
$1,224 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$705 |
$3,041.88 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$705 |
$1,510.39 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$884 |
$2,466.30 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$884 |
$3,831.96 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$705 |
$3,041.88 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$884 |
$2,466.30 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$697 |
$1,717.45 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$406 |
$868.25 |
1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$406 |
$868.25 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$906 |
$1,016.86 |
1.0× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$7,253 |
$39,624.10 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,253 |
$25,154 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,253 |
$28,771.50 |
1.0× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$12,833 |
$47,338 |
1.0× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$7,253 |
$26,557.50 |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$7,253 |
$36,006.60 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,270 |
$7,136.17 |
1.0× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$7,253 |
$30,580.30 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,270 |
$15,420.20 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,270 |
$16,777.05 |
1.0× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$7,253 |
$109,819.22 |
1.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,270 |
$16,699.04 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,539 |
$17,714 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,539 |
$47,711.80 |
1.0× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,270 |
$7,186.77 |
1.0× |
| Partial Excision Bone Tibia (27640) |
$3,270 |
$7,186.77 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,607 |
$6,566.70 |
1.0× |
| Partial removal of thyroid (60220) |
$6,043 |
$28,323.25 |
1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$6,043 |
$30,436 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,270 |
$12,191.70 |
1.0× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$6,043 |
$22,426.90 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,539 |
$11,517.40 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$707 |
$4,709.90 |
1.0× |
| Percut Mech Thrombectomy, Venous (37187) |
$11,539 |
$42,759.60 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,156 |
$8,052.81 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,573 |
$8,155.65 |
1.0× |
| Peritoneal Lavage (49084) |
$906 |
$1,060.17 |
1.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$18,324 |
$1,557 |
1.0× |
| Perq dev breast 1st mr guide (19287) |
$707 |
$3,545 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$707 |
$928.07 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$707 |
$3,364.48 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,650 |
$6,301.65 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,523 |
$8,698.75 |
1.0× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$3,523 |
$14,634.30 |
1.0× |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
$1,573 |
$6,224.85 |
1.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,918 |
$7,395.89 |
1.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$6,043 |
$12,462.50 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$249 |
$1,157.10 |
1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$707 |
$3,351.80 |
1.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$18,324 |
$76,772.50 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,539 |
$48,345.20 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,689 |
$23,392.70 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$7,253 |
$28,032.10 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,253 |
$28,032.10 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,270 |
$10,440 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,270 |
$12,581 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$3,156 |
$52,285.40 |
1.0× |
| Place Cath Subclavian Art (36225) |
$3,156 |
$6,559.10 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$3,156 |
$7,240.97 |
1.0× |
| Place Cath Vertebral Art (36226) |
$5,562 |
$18,976.40 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$446 |
$404.85 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,043 |
$27,488 |
1.0× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,089 |
$8,223.30 |
1.0× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,523 |
$17,499.70 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,523 |
$15,092.70 |
1.0× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$6,043 |
$12,002.18 |
1.0× |
| Preputial Stretching (54450) |
$249 |
$688 |
1.0× |
| Prim art mech thrombectomy (37184) |
$18,324 |
$68,155.90 |
1.0× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,196 |
$4,683.45 |
1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,774 |
$4,447.44 |
1.0× |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
$929 |
$2,637.09 |
1.0× |
| Proctosigmoidoscopy,Transendo Stent (45327) |
$6,068 |
$10,840.70 |
1.0× |
| Prostatectomy (turp) (52601) |
$5,359 |
$36,006.56 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,579 |
$17,709.70 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,579 |
$14,736.60 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$406 |
$882.25 |
1.0× |
| Puncture Aspiration (10160) |
$406 |
$1,549.85 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$707 |
$706.34 |
1.0× |
| Reduce testis torsion (54600) |
$3,523 |
$4,427.82 |
1.0× |
| Relocation of skin pocket for pacemaker (33222) |
$2,062 |
$7,056.05 |
1.0× |
| Rem endovas vena cava filter (37193) |
$3,156 |
$7,118 |
1.0× |
| Removal fb intranasal (30300) |
$133 |
$496.49 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,650 |
$3,388.68 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$707 |
$1,397.82 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,650 |
$1,046.88 |
1.0× |
| Removal foreign body pharynx (42809) |
$446 |
$861 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58 |
$279.70 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58 |
$248 |
1.0× |
| Removal Implant Deep (20680) |
$2,903 |
$28,006.10 |
1.0× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$3,735 |
$11,731.60 |
1.0× |
| Removal of arm foreign body (24200) |
$1,650 |
$1,305 |
1.0× |
| Removal of foreign body in scrotum (55120) |
$2,089 |
$9,703.30 |
1.0× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$627 |
$2,441.71 |
1.0× |
| Removal of intrauterine device (iud) (58301) |
$304 |
$491 |
1.0× |
| Removal of nail bed (11750) |
$406 |
$1,852 |
1.0× |
| Removal of polyps or growths of esophagus using a flexible endo (43216) |
$1,918 |
$9,575.75 |
1.0× |
| Removal of sesamoid bone (28315) |
$3,270 |
$25,154 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$200 |
$351.53 |
1.0× |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
$1,918 |
$3,575.28 |
1.0× |
| Removal ppm generator only (33233) |
$8,272 |
$4,811.28 |
1.0× |
| Removal subq cardiac rhythm monitor (33286) |
$707 |
$2,896.70 |
1.0× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$3,156 |
$13,885.40 |
1.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$279 |
$298.78 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$279 |
$290 |
1.0× |
| Remove & replace indwell ureteral stent trurthrl (50385) |
$2,089 |
$5,589 |
1.0× |
| Remove anal fist subq (46270) |
$2,774 |
$32,389 |
1.0× |
| Remove bladder stone (52318) |
$3,523 |
$21,211.56 |
1.0× |
| Remove by ligat int hem grp (46945) |
$2,774 |
$2,180.15 |
1.0× |
| Remove by ligat int hem grps (46946) |
$2,774 |
$2,406.50 |
1.0× |
| Remove cerclage suture (59871) |
— |
$5,245.30 |
— |
| Remove Eyelid Foreign Body (67938) |
$317 |
$663.33 |
1.0× |
| Remove femur lesion (27355) |
$3,270 |
$33,915.50 |
1.0× |
| Remove foreign body from eye (65210) |
$446 |
$491.81 |
1.0× |
| Remove in/ex hem groups 2+ (46260) |
$2,774 |
$25,154 |
1.0× |
| Remove intrvas foreign body (37197) |
$3,156 |
$5,536.40 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$697 |
$1,387.02 |
1.0× |
| Remove shoulder foreign body (23330) |
$1,650 |
$39,624.10 |
1.0× |
| Remove stent via transureth (50386) |
$2,089 |
$5,589 |
1.0× |
| Remove wrist tendon lesion (25111) |
$1,607 |
$18,327.48 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,272 |
$33,484.30 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$133 |
$848.06 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$133 |
$496.49 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$22,235 |
$109,650 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$31,377 |
$152,449 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$22,235 |
$44,587 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,448 |
$46,367 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$19,254 |
$93,056.30 |
1.0× |
| Renal biopsy (50200) |
$1,650 |
$7,071.40 |
1.0× |
| Repair achilles tendon (27650) |
$7,253 |
$28,771.50 |
1.0× |
| Repair arm tendon/muscle (24341) |
$7,253 |
$9,830.57 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,156 |
$12,463.70 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$738 |
$1,722 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$738 |
$1,623 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$406 |
$1,034 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$406 |
$1,419.30 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$406 |
$904 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$406 |
$1,151 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$738 |
$1,479.47 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$738 |
$1,747.38 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,607 |
$3,907.67 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,579 |
$36,216 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$406 |
$1,012.44 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$406 |
$1,549.85 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$406 |
$1,549.85 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$406 |
$985.79 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$406 |
$1,549.85 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$406 |
$969 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$406 |
$1,367.83 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$738 |
$894.30 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$406 |
$1,549.85 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$406 |
$1,549.85 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$738 |
$803.51 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,062 |
$1,651.40 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$406 |
$1,549.85 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$406 |
$1,549.85 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$406 |
$1,549.85 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$738 |
$1,284 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$406 |
$1,549.85 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,062 |
$1,899.22 |
1.0× |
| Repair kneecap tendon (27380) |
$7,253 |
$11,714.78 |
1.0× |
| Repair lead pace-defib dual (33220) |
$3,735 |
$11,731.60 |
1.0× |
| Repair lead pace-defib one (33218) |
$3,735 |
$5,640.26 |
1.0× |
| Repair lumbar hernia (49540) |
$6,043 |
$43,241.60 |
1.0× |
| Repair of nail bed (11760) |
$738 |
$2,441.12 |
1.0× |
| Repair of nasal septum (30520) |
$3,314 |
$10,995.30 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
$7,253 |
$37,815.30 |
1.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$7,253 |
$17,917.26 |
1.0× |
| Repair of tibia (27720) |
$7,253 |
$10,796.34 |
1.0× |
| Repair of vagina (57260) |
$5,000 |
$30,312.57 |
1.0× |
| Repair rectum & vagina (57250) |
$5,000 |
$23,749.26 |
1.0× |
| Repair Tongue Laceration (41250) |
$446 |
$1,548.66 |
1.0× |
| Repair wrist joints (25447) |
$3,270 |
$28,827.74 |
1.0× |
| Replace duod/jej tube perc (49451) |
$906 |
$3,523.34 |
1.0× |
| Replace g/c tube perc (49450) |
$906 |
$3,523.34 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$906 |
$3,523.34 |
1.0× |
| Reposition gastrostomy tube (43761) |
$249 |
$7,924.46 |
1.0× |
| Reposition pacing-defib lead (33215) |
$3,156 |
$5,027.50 |
1.0× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,156 |
$7,118 |
1.0× |
| Rerepair fem hernia blocked (49557) |
$3,579 |
$50,476.64 |
1.0× |
| Rerepair ing hernia blocked (49521) |
$6,471 |
$42,764.30 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,579 |
$31,183.20 |
1.0× |
| Revise abdomen-venous shunt (49426) |
$3,579 |
$7,837.71 |
1.0× |
| Revise median n/carpal tunnel surg (64721) |
$1,952 |
$20,689 |
1.0× |
| Revision of penis (54420) |
$3,523 |
$8,857.75 |
1.0× |
| Revision of tips (37183) |
$5,689 |
$23,392.70 |
1.0× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$5,562 |
$40,854.50 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,551 |
$5,185.74 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$906 |
$336.29 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$446 |
$1,548.66 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$133 |
$442.81 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,196 |
$9,218.90 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,735 |
$4,657.90 |
1.0× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$3,735 |
$4,924.39 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,573 |
$6,224.85 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$627 |
$6,279.72 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$249 |
$1,157.10 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,156 |
$3,886 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,573 |
$2,736.24 |
1.0× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$3,156 |
$6,741.99 |
1.0× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$5,562 |
$11,385.80 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,156 |
$2,382.34 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,156 |
$12,389.20 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,043 |
$91,037.70 |
1.0× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$6,471 |
$32,389 |
1.0× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$6,043 |
$27,221.20 |
1.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,579 |
$114,698 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$707 |
$3,600.85 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,573 |
$17,138.32 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$738 |
$871 |
1.0× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$236 |
$1,727 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$539 |
$1,850.62 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$539 |
$2,138.52 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,551 |
$1,931.27 |
1.0× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$4,131 |
$10,142.30 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$627 |
$2,440.30 |
1.0× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,156 |
$11,236.70 |
1.0× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,573 |
$6,224.85 |
1.0× |
| S bowel endoscope w/stent (44379) |
$6,068 |
$6,618.67 |
1.0× |
| Sb Scope,Place Transendoscopic Stent - Enteroscopy (44370) |
$6,068 |
$6,618.67 |
1.0× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$1,918 |
$3,575.28 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$1,650 |
$4,709.90 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$929 |
$2,637.09 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,196 |
$4,586.69 |
1.0× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$2,774 |
$10,913.40 |
1.0× |
| Shldr arthroscop,lyse adhesns (29825) |
$3,270 |
$7,206.93 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$929 |
$2,904.80 |
1.0× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les - Endoscopy Sigmoid (45346) |
$1,196 |
$2,904.80 |
1.0× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,196 |
$2,904.80 |
1.0× |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
$929 |
$3,968.25 |
1.0× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,196 |
$2,904.80 |
1.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$929 |
$3,552.36 |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$929 |
$2,637.09 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,196 |
$2,904.80 |
1.0× |
| Sigmoidoscopy, flexible; with placement of endoscopic stent (45347) |
$6,068 |
$6,618.67 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$406 |
$1,549.85 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$200 |
$1,033.11 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$406 |
$973 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$200 |
$1,218.16 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$200 |
$1,403.21 |
1.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$200 |
$1,132.85 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$200 |
$1,033.11 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$200 |
$1,059 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$200 |
$1,403.21 |
1.0× |
| Skin pinch graft (15050) |
$738 |
$1,611 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$738 |
$7,088.07 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$738 |
$7,088.07 |
1.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,062 |
$2,504.13 |
1.0× |
| Skin Tissue Procedure (17999) |
$200 |
$18,670.80 |
1.0× |
| Skin tissue rearrangement (14040) |
$2,062 |
$2,713.26 |
1.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,542 |
$4,839.02 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,062 |
$4,302 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,562 |
$18,976.40 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$3,156 |
$13,594.20 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,562 |
$21,324.80 |
1.0× |
| Slitting of prepuce (54001) |
$2,089 |
$3,174.52 |
1.0× |
| Small Bowel Endoscopy (44373) |
$1,918 |
$3,575.28 |
1.0× |
| Small bowel endoscopy (44366) |
$1,918 |
$3,575.28 |
1.0× |
| Small bowel endoscopy (44364) |
$1,918 |
$3,575.28 |
1.0× |
| Small bowel endoscopy (44376) |
$1,918 |
$3,575.28 |
1.0× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$1,918 |
$3,575.28 |
1.0× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$1,918 |
$3,575.28 |
1.0× |
| Small bowel endoscopy/biopsy (44377) |
$1,918 |
$3,575.28 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$200 |
$1,218.16 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$406 |
$1,588.26 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$406 |
$1,765 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$705 |
$2,925.85 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$705 |
$893.75 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,156 |
$32,971.90 |
1.0× |
| Strapping ankle (29540) |
$162 |
$612.43 |
1.0× |
| Strapping elbow/wrist (29260) |
$58 |
$255 |
1.0× |
| Strapping hand/finger (29280) |
$58 |
$205 |
1.0× |
| Strapping Hip (29520) |
$133 |
$258.64 |
1.0× |
| Strapping knee (29530) |
$133 |
$496.49 |
1.0× |
| Strapping shoulder (29240) |
$133 |
$254.67 |
1.0× |
| Strapping thorax (29200) |
$162 |
$357.72 |
1.0× |
| Strapping toes (29550) |
$58 |
$271 |
1.0× |
| Strapping unna boot (29580) |
$162 |
$714 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$406 |
$882.25 |
1.0× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$28,672 |
$146,704 |
1.0× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$19,254 |
$76,772.50 |
1.0× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,156 |
$13,207.60 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,253 |
$8,049.38 |
1.0× |
| Tenotomy Adductor Hip Open (27001) |
$3,270 |
$13,010.70 |
1.0× |
| Tenotomy adductor hip percutaneous spx (27000) |
$1,607 |
$16,130 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,607 |
$4,709.90 |
1.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,607 |
$4,365.78 |
1.0× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,556 |
$4,646 |
1.0× |
| Ther Apheresis,Platelets (36513) |
$441 |
$3,674.97 |
1.0× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,556 |
$4,433.89 |
1.0× |
| Ther Apheresis,White Blood Cells (36511) |
$1,556 |
$3,936.48 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$627 |
$3,379.81 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$627 |
$1,522 |
1.0× |
| Thoracoscopy dx mediastinal space w/biopsy spx (32606) |
$6,043 |
$7,875 |
1.0× |
| Thoracoscopy dx pericardial sac w/biopsy spx (32604) |
$10,625 |
$7,875 |
1.0× |
| Thoracoscopy w/bx nodule (32608) |
$10,625 |
$7,890 |
1.0× |
| Thoracoscopy w/bx pleura (32609) |
$6,043 |
$7,672 |
1.0× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$6,043 |
$5,481.50 |
1.0× |
| Throat Surgery Procedure (42999) |
$236 |
$1,058 |
1.0× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$3,156 |
$12,389.20 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,562 |
$21,359.40 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$330 |
$2,060.67 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,156 |
$12,389.20 |
1.0× |
| Thyroid biopsy (60100) |
$707 |
$2,734.66 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$6,043 |
$35,348.80 |
1.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$5,917 |
$43,241.60 |
1.0× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,062 |
$24,004.38 |
1.0× |
| Total hip arthroplasty (27130) |
$12,833 |
$57,114.80 |
1.0× |
| Total knee arthroplasty (27447) |
$12,833 |
$60,443.30 |
1.0× |
| Trach Tube Change (31502) |
$236 |
$612.14 |
1.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$236 |
$2,251.87 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,551 |
$2,196 |
1.0× |
| Tracheostomy planned (31600) |
$3,314 |
$18,834 |
1.0× |
| Transcatheter biopsy (37200) |
$5,562 |
$7,118 |
1.0× |
| Transurethral resection of bladder neck (52500) |
$3,523 |
$28,771.52 |
1.0× |
| Treat ectopic pregnancy (59151) |
$6,043 |
$29,977.40 |
1.0× |
| Treat elbow fracture (24635) |
$7,253 |
$21,192.20 |
1.0× |
| Treat finger dislocation (26775) |
$279 |
$3,410.78 |
1.0× |
| Treat Fracture Radius & Ulna (25560) |
$246 |
$795.53 |
1.0× |
| Treat fx rad extra-articul (25607) |
$7,253 |
$37,681.40 |
1.0× |
| Treat humerus fracture (24500) |
$246 |
$2,375 |
1.0× |
| Treat humerus fracture (24577) |
$1,607 |
$5,714.24 |
1.0× |
| Treat humerus fracture (23600) |
$246 |
$710 |
1.0× |
| Treat knee fracture (27532) |
$3,270 |
$6,560.90 |
1.0× |
| Treat knuckle dislocation (26715) |
$3,270 |
$14,461.40 |
1.0× |
| Treat lower leg fracture (27828) |
$12,833 |
$62,556 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$246 |
$637.50 |
1.0× |
| Treat pleurodesis w/agent (32560) |
$627 |
$2,992.75 |
1.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,607 |
$5,714.24 |
1.0× |
| Treat wrist bone fracture (25635) |
$1,607 |
$5,714.24 |
1.0× |
| Treat wrist bone fracture (25622) |
$246 |
$744.72 |
1.0× |
| Treat Wrist Bone Fracture (25630) |
$246 |
$731.88 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,607 |
$5,714.24 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$246 |
$1,723.30 |
1.0× |
| Treatment of ankle fracture (27792) |
$7,253 |
$45,654 |
1.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$246 |
$2,375 |
1.0× |
| Trim skin lesion (11055) |
$200 |
$775.40 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$200 |
$895.40 |
1.0× |
| Trim skin lesions over 4 (11057) |
$200 |
$354.60 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$58 |
$191 |
1.0× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$5,689 |
$24,115.80 |
1.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$5,689 |
$24,115.80 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,774 |
$28,771.52 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,235 |
$12,600.59 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,235 |
$16,082.05 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,607 |
$5,714.24 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$738 |
$2,441.12 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,607 |
$5,714.24 |
1.0× |
| Unlisted Cardiac Surgery (33999) |
$627 |
$3,100 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$6,043 |
$22,797.57 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$6,043 |
$18,470.36 |
1.0× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$6,043 |
$25,154 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$162 |
$357.72 |
1.0× |
| Unlisted Procedure Endocrine System (60699) |
$6,043 |
$21,198 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$246 |
$1,125.45 |
1.0× |
| Unlisted Procedure Nervous System (64999) |
$306 |
$1,223.50 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$929 |
$3,819.40 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$627 |
$4,476.05 |
1.0× |
| Unlisted procedure, stomach (43999) |
$906 |
$4,318.45 |
1.0× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$10,448 |
$19,895.60 |
1.0× |
| Vaginal delivery only (59409) |
$3,235 |
$4,199 |
1.0× |
| Vaginal hysterectomy (58260) |
$5,000 |
$35,554.40 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$18,324 |
$14,621 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,539 |
$14,755.10 |
1.0× |
| Vasc embolize/occlude organ (37243) |
$11,539 |
$47,711.80 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$11,539 |
$21,602.90 |
1.0× |
| Venipuncture (36415) |
$9 |
$98.02 |
1.0× |
| Vulvectomy simple partial (56620) |
$3,235 |
$25,154 |
1.0× |
| Wedging of cast (29740) |
$279 |
$237.08 |
1.0× |
| Windowing of cast (29730) |
$162 |
$294.80 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$406 |
$1,619.01 |
1.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$738 |
$1,563.65 |
1.0× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$5,562 |
$21,882.60 |
1.0× |