Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
— |
$1,887–$1,944 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$3,536 |
— |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
— |
$15,046.25 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$7,868 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$7,868 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$1,190.25 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$550.75 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$248.25 |
— |
| Apply Short Leg Cast (29405) |
— |
$572.25 |
— |
| Apply short leg cast (29425) |
— |
$572.25 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$358.75 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,022.75 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$390 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$390 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$597.25 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,555.25 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$628.25 |
— |
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines |
— |
$339–$3,380.25 |
— |
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines |
— |
$170–$3,769.75 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$142 |
— |
| Biopsy of lip (40490) |
— |
$175.81 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$3,514.25 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$1,535 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$686.75 |
— |
Bladder Scan (51798)
range across 2 matching MRF lines |
— |
$46–$123.25 |
— |
| Blood Transfusion Service (36430) |
— |
$817 |
— |
| Bone Marrow Biopsy (38221) |
— |
$3,769.75 |
— |
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines |
— |
$331–$3,769.75 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$5,467.75 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$528 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$1,947.50 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$639 |
— |
| Change ureter stent percut (50382) |
— |
$4,301 |
— |
| Chemical Cautery Tissue (17250) |
— |
$274.50 |
— |
| Chest tube placement (32551) |
— |
$2,816.75 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$7,642.25 |
— |
| Circumcision Neonate (54160) |
— |
$221.75 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$132.50 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$35 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$143.20 |
— |
| Conversion ext bil drg cath (47535) |
— |
$7,482.25 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$3,902.25 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$367 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$62.26 |
— |
| Create Eardrum Opening (69433) |
— |
$248.79 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$399.64 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$414.48 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$4,442 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$617.50 |
— |
Debride nail 6 or more (11721)
range across 2 matching MRF lines |
— |
$61–$150 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$1,930 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$571 |
— |
| Declot vascular device (36593) |
— |
$497.50 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$2,909.75 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$2,909.75 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$438.50 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$2,191 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$4,222.50 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,144.75 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$597.25 |
— |
| Drainage of hydrocele (55000) |
— |
$180.49 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$132.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$637.25 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,257 |
— |
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines |
— |
$662–$5,554 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$2,896.50 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,527.50 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$672 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$661.50 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$175.68 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$6,332.75 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$5,960.75 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$11,271.50 |
— |
| Epidural Blood Patch (62273) |
— |
$1,559.50 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$1,534.70 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$205.01 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$156.89 |
— |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines |
— |
$179.18–$1,534.70 |
— |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines |
— |
$190.60–$1,414.60 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$254.53 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$311.83 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$394.04 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$167.06 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$4,480.75 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$3,902.25 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$3,178 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$267.67 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$293.87 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$247.39 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$222.77 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$269.70 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$304.04 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$619 |
— |
| External cephalic version (59412) |
— |
$4,960 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$175.25 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$552.75 |
— |
Fna bx w/us gdn 1st les (10005)
range across 4 matching MRF lines |
— |
$181–$1,450 |
— |
| I&d abscess simple (10060) |
— |
$358.25 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$3,420.75 |
— |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
— |
$143.16–$801.25 |
— |
| Incision of lymph channels (38308) |
— |
$8,115 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$1,685.50 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$565.50 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,112.75 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$406 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,559.50 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$2,112.75 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$1,416.75 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,559.50 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,559.50 |
— |
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines |
— |
$113–$762.75 |
— |
| Injection Into Brain Canal (61055) |
— |
$1,559.50 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$572 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$282 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$282 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$572 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$1,116.50 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,559.50 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$1,416.75 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$2,068 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$2,068 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$13,561.50 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$6,781.25 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$10,091.25 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$343.50 |
— |
| Insert cath pleura w/ image (32557) |
— |
$3,378 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$3,902.25 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$27,937.25 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$2,825.25 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$22,848.50 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$130 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$124.50 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,101 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$2,101 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$6,876 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$34,165.25 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$77,928 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$77,928 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$75,926.50 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$3,033.50 |
— |
| Intro cath dialysis circuit (36901) |
— |
$1,784.75 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$16,917.50 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$272 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$306 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$1,721.75 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$1,703.50 |
— |
| N block inj intercost sng (64420) |
— |
$1,559.50 |
— |
| N Block Inj Pudendal (64430) |
— |
$1,559.50 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$294.61 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$864 |
— |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
— |
$231–$3,380.25 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$7,482.25 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$7,482.25 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$1,685.50 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$890 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$890 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$2,191 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,120.25 |
— |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
— |
$3,912 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$1,398 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$1,398 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$434.25 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$24,047.25 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$24,047.25 |
— |
| Perc Cryo Ablate Renal Tum (50593) |
— |
$21,395.25 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$3,033.50 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$12,154.25 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$1,495.25 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$3,305.25 |
— |
| Perq av fistula creation uxtr sep access sites (36837) |
— |
$39,326 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$252 |
— |
Perq device breast 1st imag (19281)
range across 2 matching MRF lines |
— |
$300–$1,886.75 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$6,803.25 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$215 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$12,385 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$15,046.25 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$6,468.50 |
— |
| Place Cath Subclavian Art (36225) |
— |
$7,863.75 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$7,863.75 |
— |
| Place Cath Vertebral Art (36226) |
— |
$12,860.25 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$3,902.25 |
— |
| Place ndl musc/tis for rt (20555) |
— |
$8,016.25 |
— |
| Placement needle head/neck radioelement applicat (41019) |
— |
$5,725.25 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$12,154.75 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$12,154.75 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$4,421 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$7,385.75 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$7,384.75 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$7,385.75 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$7,482.25 |
— |
Punch biopsy skin single lesion (11104)
range across 2 matching MRF lines |
— |
$141.30–$454.25 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$830.75 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$1,282.50 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$3,792 |
— |
| Removal of nail bed (11750) |
— |
$726.75 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$607 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$5,251.25 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$4,301 |
— |
| Remove intrvas foreign body (37197) |
— |
$7,022 |
— |
| Remove lung catheter (32552) |
— |
$1,298.50 |
— |
| Remove spine eltrd plate (63662) |
— |
$4,595.50 |
— |
| Remove ureter stent percut (50384) |
— |
$4,301 |
— |
| Remove&replace pm gen singl (33227) |
— |
$20,804.75 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$22,800.50 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$22,800.50 |
— |
Renal Biopsy Perq (50200)
range across 3 matching MRF lines |
— |
$374–$3,769.75 |
— |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines |
— |
$335.66–$769 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$368.98 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$444.99 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$321.52 |
— |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines |
— |
$348.48–$870 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$296.49 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$769 |
— |
| Repair lead pace-defib dual (33220) |
— |
$5,251.25 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$5,251.25 |
— |
| Replace G-J Tube Perc (49452) |
— |
$1,944 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$5,251.25 |
— |
| Revise Spine Eltrd Plate (63664) |
— |
$47,134.50 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$13,975.50 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$11,906.25 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$4,188.75 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$4,480.75 |
— |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
— |
$3,711.50 |
— |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
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$372.65–$1,597 |
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| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
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$1,898.25 |
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| Rplc Gtube No Revj Trc (43762) |
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$533 |
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| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
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$2,101 |
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| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
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$6,876 |
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| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
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$5,927 |
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| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
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$2,101 |
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| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
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$7,863.75 |
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| Slctv cath carotid/innom art angio xtrcranl art (36222) |
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$7,863.75 |
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| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
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$12,860.25 |
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| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
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$6,468.50 |
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| Strapping Unna Boot (29580) |
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$238 |
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| Subcutaneous Hormone Pellet Implantation (11980) |
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$865 |
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| Tangential biopsy skin single lesion (11102) |
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$454.25 |
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| Tenotomy Percutaneous Toe Single Tendon (28010) |
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$3,511.90 |
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| Ther Spi Pnxr Csf Fluor/Ct (62329) |
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$1,527.50 |
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| Thrmbc/Nfs Dialysis Circuit (36906) |
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$39,635.75 |
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| Thromblytic art/ven therapy (37213) |
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$5,528.50 |
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| Thrombolytic Venous Therapy (37212) |
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$2,729 |
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| Thyroid biopsy (60100) |
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$1,495.25 |
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| Transcatheter biopsy (37200) |
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$7,059.50 |
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| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
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$8,346 |
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| Trim skin lesions over 4 (11057) |
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$273 |
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| Trluml Balo Angiop 1St Art (37246) |
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$16,917.50 |
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| Tx open tendon flexor toe 1 tendon spx (28232) |
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$3,396.25 |
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| Unlisted procedure nervous system (64999) |
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$627.75 |
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| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
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$3,902.25 |
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| Venous Mech Thrombectomy (37187) |
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$9,721 |
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| Wedge excision skin nail fold (11765) |
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$870 |
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| Windowing of cast (29730) |
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$348 |
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| Wound Prep F/N/Hf/G (15004) |
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$1,372 |
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