| Abd paracentesis w/imaging (49083) |
— |
$1,995.53 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,995.53 |
— |
| Amniocentesis diagnostic (59000) |
— |
$1,780.93 |
— |
| Anoscopy diagnostic (46600) |
— |
$275.75 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$1,956.13 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$454.23 |
— |
| Application cast elbow finger short arm (29075) |
— |
$594.27 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$594.27 |
— |
| Application finger splint static (29130) |
— |
$181.50 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$454.23 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$282.86 |
— |
| Application of long leg cast (29345) |
— |
$616.77 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$775.59 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$206.94 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$368.74 |
— |
| Application short leg splint calf foot (29515) |
— |
$454.23 |
— |
| Apply short leg cast (29405) |
— |
$616.77 |
— |
| Arterial puncture (36600) |
— |
$149.38 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$643.78 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,564.46 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$643.78 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$643.78 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$13,980.34 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$6,320.34 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$6,320.34 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$510.08 |
— |
| Biopsy Bone Open Deep (20245) |
— |
$8,207.04 |
— |
| Biopsy bone open superficial (20240) |
— |
$8,207.04 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$4,911.04 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$4,682.38 |
— |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
— |
$4,682.38 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$830.62 |
— |
| Bladder Irrigation Simple (51700) |
— |
$653.61 |
— |
| Bladder Scan (51798) |
— |
$137.31 |
— |
| Blood patch (62273) |
— |
$1,612.70 |
— |
| Blood transfusion service (36430) |
— |
$760.60 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$3,017.46 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$384.97 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$4,224.27 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$903.73 |
— |
| Chemical Cautery Tissue (17250) |
— |
$577.83 |
— |
| Chest tube placement (32551) |
— |
$3,466.57 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$271.48 |
— |
| Circumcision (54150) |
— |
$4,399.45 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$508.74 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$508.74 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$3,432.80 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$3,432.80 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$3,432.80 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$508.74 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$508.74 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$3,432.80 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$508.74 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$3,432.80 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$508.74 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$542.30 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$508.74 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$3,432.80 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$508.74 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$508.74 |
— |
| Closed tx knee dislocation w/anesthesia (27552) |
— |
$3,432.80 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$508.74 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$508.74 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$508.74 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$508.74 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$3,432.80 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$508.74 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$3,432.80 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,432.80 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$508.74 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$508.74 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$3,432.80 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$508.74 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$3,432.80 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$508.74 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$3,432.80 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$508.74 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$508.74 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$508.74 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$508.74 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$508.74 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$3,270.26 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$3,432.80 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$508.74 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$3,432.80 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$508.74 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$508.74 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$525.46 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$508.74 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,432.80 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$508.74 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$508.74 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$594.27 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$742.76 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$542.19 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$508.74 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$508.74 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$3,432.80 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$508.74 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$3,432.80 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$542.19 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$508.74 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$508.74 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$3,432.80 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$508.74 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$3,432.80 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$508.74 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$508.74 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$3,432.80 |
— |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
— |
$3,432.80 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$508.74 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$3,432.80 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$3,432.80 |
— |
| Complex Drainage, Wound (10180) |
— |
$8,207.04 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$830.62 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$275.75 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$275.75 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$275.75 |
— |
| Curette/treat cornea (65435) |
— |
$1,995.53 |
— |
| Cystoscopy w/biopsy (52204) |
— |
$6,733.93 |
— |
| Cystourethroscopy (52000) |
— |
$2,537.95 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,813.83 |
— |
| Debride nail 1-5 (11720) |
— |
$156.72 |
— |
| Debride nail 6 or more (11721) |
— |
$176.13 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$855.45 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$1,292.08 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$3,468.81 |
— |
| Delivery placenta separate procedure (59414) |
— |
$6,466.05 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$643.78 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$442.32 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$4,682.38 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$3,468.81 |
— |
| Draw blood off venous device (36591) |
— |
$267.22 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$852.01 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$510.08 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$510.08 |
— |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
— |
$5,298.32 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$5,267.42 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$275.75 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,388.85 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$1,151.54 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$2,032.19 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$2,032.19 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$4,682.38 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$5,290.99 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$2,556.03 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$4,682.38 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$5,290.99 |
— |
| Excision olecranon bursa (24105) |
— |
$6,320.34 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$406.61 |
— |
| Fetal non-stress test (59025) |
— |
$406.61 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$1,729.06 |
— |
| Fixation of shoulder (23700) |
— |
$3,107.72 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$621.97 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$440.64 |
— |
| I&d abscess simple (10060) |
— |
$510.08 |
— |
| I&d below fascia foot 1 bursal space (28002) |
— |
$4,642.21 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,854.83 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,525.07 |
— |
| Incise finger tendon sheath (26055) |
— |
$3,107.72 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$858.89 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$1,963.82 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$3,468.81 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,001.78 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$419.82 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,014.94 |
— |
| Incision of rectal abscess (46040) |
— |
$2,556.03 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,813.83 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$442.32 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$2,027.04 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$1,709.06 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$1,356.64 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,281.16 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$1,995.11 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$1,356.64 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$643.78 |
— |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
— |
$2,281.16 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$1,356.64 |
— |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
— |
$1,709.06 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$643.78 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$1,460.55 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$643.78 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$643.78 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$643.78 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$344.41 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$7,054.69 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$7,054.69 |
— |
| Insert picc cath (36569) |
— |
$2,150.16 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$256 |
— |
| Insert tunneled cv cath (36561) |
— |
$6,320.34 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$275.75 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$559.07 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$903.42 |
— |
| Laparoscopy appendectomy (44970) |
— |
$11,292.24 |
— |
| Late closure of wound (13160) |
— |
$3,822.36 |
— |
| Lithotripsy (50590) |
— |
$10,693.14 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$666.30 |
— |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
— |
$903.42 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,027.04 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
— |
$2,281.16 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
— |
$2,281.16 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
— |
$2,281.16 |
— |
| Open bone biopsy (20250) |
— |
$9,835.47 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$13,980.34 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$13,980.34 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$6,320.34 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$3,466.57 |
— |
| Peritoneal Lavage (49084) |
— |
$1,995.53 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$656.17 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$666.30 |
— |
| Preputial Stretching (54450) |
— |
$903.42 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,151.54 |
— |
| Puncture Aspiration (10160) |
— |
$1,151.54 |
— |
| Removal fb intranasal (30300) |
— |
$275.75 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$1,992.62 |
— |
| Removal foreign body foot deep (28192) |
— |
$3,468.81 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$1,861.88 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$6,977.03 |
— |
| Removal foreign body pharynx (42809) |
— |
$665.17 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$5,842.51 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$137.31 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$137.31 |
— |
| Removal Implant Deep (20680) |
— |
$5,290.99 |
— |
| Removal of arm foreign body (24200) |
— |
$3,468.81 |
— |
| Removal of nail bed (11750) |
— |
$796.93 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$5,842.51 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$643.78 |
— |
| Remove foreign body from eye (65210) |
— |
$666.30 |
— |
| Remove shoulder foreign body (23330) |
— |
$1,532.95 |
— |
| Remove wrist tendon lesion (25111) |
— |
$3,107.72 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$275.75 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$275.75 |
— |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$13,980.34 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,292.08 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,292.08 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,292.08 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,552.96 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,292.08 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,292.08 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,292.08 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,292.08 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$3,432.80 |
— |
| Repair hand tendon (26410) |
— |
$3,432.80 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$852.01 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,292.08 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$852.01 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,001.78 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,292.08 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$4,228.53 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$811.74 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,001.78 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$852.01 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,292.08 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$811.74 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$4,228.53 |
— |
| Repair of nail bed (11760) |
— |
$1,292.08 |
— |
| Repair Tongue Laceration (41250) |
— |
$666.30 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$3,918.52 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$3,918.52 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$1,115.38 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$1,995.53 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$666.30 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$275.75 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$5,842.51 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,813.83 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$1,292.08 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$521.12 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$521.12 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$852.01 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$510.08 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$510.08 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$852.01 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$442.32 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$442.32 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$442.32 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$510.08 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$442.32 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$421.56 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$2,017.92 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$2,017.92 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$5,735.71 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$3,781.80 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$510.08 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$852.01 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$852.01 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,564.46 |
— |
| Strapping ankle (29540) |
— |
$347.78 |
— |
| Strapping elbow/wrist (29260) |
— |
$137.31 |
— |
| Strapping hand/finger (29280) |
— |
$137.31 |
— |
| Strapping knee (29530) |
— |
$275.75 |
— |
| Strapping shoulder (29240) |
— |
$275.75 |
— |
| Strapping thorax (29200) |
— |
$347.78 |
— |
| Strapping toes (29550) |
— |
$137.31 |
— |
| Strapping unna boot (29580) |
— |
$454.23 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$577.83 |
— |
| Tendon lengthening (26476) |
— |
$9,349.31 |
— |
| Tenotomy Open Extensor Foot/Toe Each Tendon (28234) |
— |
$4,642.21 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$4,642.21 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$1,334.86 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,582.68 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$766.46 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$521.12 |
— |
| Treat finger dislocation (26775) |
— |
$742.76 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$508.74 |
— |
| Treat humerus fracture (24500) |
— |
$508.74 |
— |
| Treat humerus fracture (23600) |
— |
$508.74 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$508.74 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$3,432.80 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$508.74 |
— |
| Trim skin lesion (11055) |
— |
$577.83 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$577.83 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$176.13 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$27,521.42 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$1,970.77 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,813.83 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$1,356.64 |
— |
| Vaginal delivery only (59409) |
— |
$6,466.05 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$24,757.82 |
— |
| Venipuncture (36415) |
— |
$20.29 |
— |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
— |
$275.75 |
— |
| Venipuncture, cutdown; age 1 or over (36425) |
— |
$666.30 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,513.06 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$3,819.23 |
— |