| Abd paracentesis w/imaging (49083) |
— |
$1,866 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,504 |
— |
| Abeta42 & ptau181 eclia cerebral spinal fluid (0445U) |
— |
$1,048 |
— |
| Abeta42 & ttau eclia cerebral spinal fluid ratio (0459U) |
— |
$1,048 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$1,246 |
— |
| Ablation 1/> liver tumor perq cryoablation (47383) |
— |
$3,405 |
— |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
— |
$2,381 |
— |
| Abrasion single lesion (15786) |
— |
$287 |
— |
| Acne surgery (10040) |
— |
$269 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$2,074 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$2,074 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$2,399 |
— |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
— |
$2,124 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$2,124 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$2,074 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$3,911 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$2,124 |
— |
| Allogeneic lymphocyte infusions (38242) |
— |
$1,072 |
— |
| Amniocentesis diagnostic (59000) |
— |
$694 |
— |
| Amniocentesis therapeutic (59001) |
— |
$661 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$5,022 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$5,022 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$2,463 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$2,463 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$301 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$316 |
— |
| Anoscopy diagnostic (46600) |
— |
$301 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$1,146 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$1,390 |
— |
| Apheresis Platelets (36513) |
— |
$5,853 |
— |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
— |
$301 |
— |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
— |
$2,024 |
— |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
— |
$297 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$316 |
— |
| Application Body Cast Shoulder Hips (29035) |
— |
$320 |
— |
| Application cast elbow finger short arm (29075) |
— |
$422 |
— |
| Application Cast Finger (29086) |
— |
$301 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$320 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$253 |
— |
| Application finger splint static (29130) |
— |
$253 |
— |
| Application Hip Spica Cast 1 Leg (29305) |
— |
$422 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$223 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$422 |
— |
| Application Long Leg Splint (29505) |
— |
$211 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$585 |
— |
| Application of long leg cast (29345) |
— |
$422 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$301 |
— |
| Application Patellar Tendon Bearing Cast (29435) |
— |
$278 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$301 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$301 |
— |
| Application short leg splint calf foot (29515) |
— |
$211 |
— |
| Application, cast; figure-of-eight Facility (29049) |
— |
$297 |
— |
| Apply hand/wrist cast (29085) |
— |
$301 |
— |
| Apply long arm cast (29065) |
— |
$422 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$661 |
— |
| Apply Short Leg Cast (29405) |
— |
$301 |
— |
| Apply short leg cast (29425) |
— |
$422 |
— |
| Arterial puncture (36600) |
— |
$466 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$408 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$518 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$306 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,023 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$196 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$1,742 |
— |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
— |
$1,996 |
— |
| Arthrotomy biopsy interphalangeal joint each (26110) |
— |
$1,200 |
— |
| Artificial insemination intra-cervical (58321) |
— |
$316 |
— |
| Artificial insemination intra-uterine (58322) |
— |
$316 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$3,309 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$3,191 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$342 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$676 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$3,475 |
— |
| Aspiration Bladder Needle (51100) |
— |
$727 |
— |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
— |
$2,844 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$261 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$1,593 |
— |
| Biopsy bone open deep (20245) |
— |
$3,086 |
— |
| Biopsy bone open superficial (20240) |
— |
$2,399 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$2,399 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$1,851 |
— |
| Biopsy External Auditory Canal (69105) |
— |
$443 |
— |
| Biopsy external ear (69100) |
— |
$443 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$1,508 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$1,851 |
— |
| Biopsy nail unit (11755) |
— |
$472 |
— |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
— |
$1,200 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$3,769 |
— |
| Biopsy of conjunctiva (68100) |
— |
$1,200 |
— |
| Biopsy of cornea (65410) |
— |
$2,211 |
— |
| Biopsy of floor of mouth (41108) |
— |
$694 |
— |
| Biopsy of lacrimal gland (68510) |
— |
$1,591 |
— |
| Biopsy of lip (40490) |
— |
$246 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$1,959 |
— |
| Biopsy of palate, uvula (42100) |
— |
$694 |
— |
| Biopsy of penis (54100) |
— |
$822 |
— |
| Biopsy of tear sac (68525) |
— |
$1,211 |
— |
| Biopsy of toe joint lining (28054) |
— |
$2,211 |
— |
| Biopsy of upper nose/throat (42806) |
— |
$1,579 |
— |
| Biopsy of urethra (53200) |
— |
$948 |
— |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
— |
$3,407 |
— |
| Biopsy Oropharynx (42800) |
— |
$443 |
— |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
— |
$5,401 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$1,200 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$794 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$1,390 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$694 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$694 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$1,200 |
— |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
— |
$1,959 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$459 |
— |
| Biopsy Tongue Posterior One-Third (41105) |
— |
$694 |
— |
| Biopsy Vaginal Mucosa Extensive (57105) |
— |
$1,200 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$316 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$357 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$443 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$3,475 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$758 |
— |
| Bladder Irrigation (51700) |
— |
$1,003 |
— |
| Bladder Scan (51798) |
— |
$374 |
— |
| Blepharoplasty Lower Eyelid (15820) |
— |
$2,124 |
— |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
— |
$2,124 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$2,124 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$2,124 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$357 |
— |
| Blood Transfusion Service (36430) |
— |
$1,990 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,708 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$2,708 |
— |
| Breast Reduction (19318) |
— |
$4,164 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$2,586 |
— |
Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630)
range across 2 matching MRF lines |
— |
$2,504–$2,586 |
— |
| Bronchoscopy Bronch Stents (31636) |
— |
$2,736 |
— |
| Bronchoscopy Clear Airways (31645) |
— |
$2,064 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$2,064 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$1,998 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$3,469 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$3,920 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$1,851 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$1,201 |
— |
| Bx Cervix (57500) |
— |
$787 |
— |
| Bx prostate strtctc saturation sampling img gid (55706) |
— |
$2,075 |
— |
| Bx prostate transperineal ultrasound-guided (55709) |
— |
$5,401 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$2,844 |
— |
| Canthoplasty (67950) |
— |
$2,844 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$3,791 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$1,390 |
— |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
— |
$4,566 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$2,844 |
— |
| Car-t admn autologous (38228) |
— |
$2,650 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$3,543 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$443 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$316 |
— |
| Cautery Cervix Electro/Thermal (57510) |
— |
$316 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$4,649 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,844 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$341 |
— |
| Change of Windpipe Airway (31502) |
— |
$378 |
— |
| Change ureter stent percut (50382) |
— |
$3,933 |
— |
| Chemical Cautery Tissue (17250) |
— |
$261 |
— |
| Chemical exfoliation for acne (17360) |
— |
$110 |
— |
| Chemical peel face dermal (15789) |
— |
$570 |
— |
| Chemical peel nonfacial dermal (15793) |
— |
$570 |
— |
| Chemical peel nonfacial epidermal (15792) |
— |
$461 |
— |
| Chemical peel, facial; epidermal (15788) |
— |
$271 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$721 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$721 |
— |
| Chemodenerv Eccrine Glands (64650) |
— |
$443 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$499 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$1,126 |
— |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
— |
$422 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$687 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$661 |
— |
| Chemodenervation eccrine glands oth area per day (64653) |
— |
$265 |
— |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
— |
$455 |
— |
| Chemodenervation of extraocular muscle (67345) |
— |
$242 |
— |
| Chemodenervation of internal anal sphincter (46505) |
— |
$2,463 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$438 |
— |
| Chest tube placement (32551) |
— |
$2,041 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$4,849 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$5,127 |
— |
| Chorionic Villus Sampling (59015) |
— |
$1,054 |
— |
| Ciliary body destruction; cyclophotocoagulation, endoscopic, without concomitant removal of crystalline lens Facility (66711) |
— |
$1,857 |
— |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
— |
$1,479 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$2,003 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$1,959 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$1,579 |
— |
| Clear outer ear canal (69200) |
— |
$316 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$1,390 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$443 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$595 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$443 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$1,959 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$316 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$324 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$316 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$419 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$316 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$322 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,200 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$324 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$568 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$443 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$2,211 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$316 |
— |
| Closed tx femoral fracture prox head w/o manj (27267) |
— |
$2,211 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$948 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$443 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$1,959 |
— |
| Closed tx mandibular fracture w/manipulation (21451) |
— |
$1,756 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$694 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$316 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$2,337 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$694 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$1,200 |
— |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
— |
$3,144 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$394 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$443 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$349 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,959 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$316 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,895 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$316 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$1,895 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$316 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$443 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$313 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$443 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$1,959 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$316 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$443 |
— |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
— |
$2,016 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$264 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$1,706 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$316 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$316 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$686 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$988 |
— |
| Closure lacrimal punctum (68760) |
— |
$455 |
— |
| Closure of salivary fistula (42600) |
— |
$1,200 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$940 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$490 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$694 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$329 |
— |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
— |
$716 |
— |
| Clsd Tx Pelvic Ring Fx (27198) |
— |
$500 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$480 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$2,928 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$443 |
— |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$254 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$443 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$2,763 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$1,959 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$316 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
— |
$1,959 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$316 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$316 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$1,959 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$443 |
— |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
— |
$2,090 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$443 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$324 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$443 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$316 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$316 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,327 |
— |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
— |
$1,143 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$1,959 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$443 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$443 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$1,959 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$316 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$316 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$316 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$316 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$2,211 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$443 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$329 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$443 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$1,200 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$2,090 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$443 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$443 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$1,959 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$1,706 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$443 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$1,959 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$443 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$7,094 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$443 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$443 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$1,959 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$443 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$443 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$316 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$1,959 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$2,090 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$316 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$316 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$3,697 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$443 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$1,200 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$324 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$812 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$322 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$443 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$316 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$2,211 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$1,200 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$1,200 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,959 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$443 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$1,959 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$443 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$443 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$443 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$322 |
— |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$443 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,327 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$443 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$1,959 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$98 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$17 |
— |
| Colonoscopy Flexible With Decompression (45393) |
— |
$2,672 |
— |
| Colonoscopy Stoma Ablation Lesion (44401) |
— |
$2,148 |
— |
| Colonoscopy Stoma Control Bleeding (44391) |
— |
$3,309 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$3,309 |
— |
| Colonoscopy stoma w/balloon dilation (44405) |
— |
$2,148 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$2,148 |
— |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
— |
$7,154 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$2,148 |
— |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
— |
$2,016 |
— |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
— |
$2,148 |
— |
| Colonoscopy Through Stoma With Decompression (44408) |
— |
$2,016 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$2,016 |
— |
| Colonoscopy thru stoma (44388) |
— |
$2,016 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$3,309 |
— |
| Colonoscopy w/ablation (45388) |
— |
$2,446 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$2,148 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$1,756 |
— |
| Colonoscopy w/ndl aspir/bx (44407) |
— |
$2,148 |
— |
| Colonoscopy W/Resection (45390) |
— |
$2,446 |
— |
| Colonoscopy w/stent plcmt (45389) |
— |
$2,939 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$2,354 |
— |
| Colpocentesis (57020) |
— |
$1,200 |
— |
| Colporrhaphy (57200) |
— |
$2,459 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$787 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$787 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$316 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$787 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$1,359 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$787 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$694 |
— |
| Colposcopy of vulva (56820) |
— |
$357 |
— |
| Colposcopy Vulva W/Biopsy (56821) |
— |
$443 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$694 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$2,354 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$2,204 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$2,354 |
— |
| Complex Cystometrogram (51726) |
— |
$1,550 |
— |
| Complex drainage wound (10180) |
— |
$853 |
— |
| Composite Skin Graft (15760) |
— |
$2,399 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$1,200 |
— |
| Conjunctival Flap Total (68362) |
— |
$2,844 |
— |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
— |
$2,844 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$236 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$209 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$316 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$1,568 |
— |
| Convert Nephrostomy Catheter (50434) |
— |
$900 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$2,479 |
— |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
— |
$443 |
— |
| Correction hammertoe (28285) |
— |
$6,148 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$316 |
— |
| Correction Trichiasis Inccision Lid Margin (67830) |
— |
$694 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$7,950 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$8,904 |
— |
| Create Eardrum Opening (69433) |
— |
$443 |
— |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
— |
$110 |
— |
| Csf shunt reprogram (62252) |
— |
$694 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$228 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$316 |
— |
| Curette/treat cornea (65435) |
— |
$694 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$3,481 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$2,360 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$2,084 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$948 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$3,004 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$3,933 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$3,475 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$3,475 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$2,473 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$3,475 |
— |
| Cystometrogram W/Up (51727) |
— |
$1,550 |
— |
| Cystometrogram W/Vp (51728) |
— |
$1,550 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$2,121 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$948 |
— |
| Cystourethroscopy (52000) |
— |
$2,218 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$3,578 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$2,360 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$6,707 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$3,933 |
— |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
— |
$1,178 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$572 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$4,272 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$443 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$1,236 |
— |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
— |
$5,894 |
— |
| Dcmprn perq prtl rmvl liga flavm bi 1ntrspc lmbr (62330) |
— |
$3,933 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$754 |
— |
| Debride nail 1-5 (11720) |
— |
$114 |
— |
| Debride nail 6 or more (11721) |
— |
$116 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$2,124 |
— |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
— |
$443 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$316 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$543 |
— |
| Declot vascular device (36593) |
— |
$354 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$4,288 |
— |
| Decompressive fasciotomy hand (26037) |
— |
$4,702 |
— |
| Deep Muscle Biopsy (20205) |
— |
$2,399 |
— |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
— |
$2,399 |
— |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
— |
$4,247 |
— |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
— |
$2,399 |
— |
| Delay Flap/Sectioning Flap Trunk (15600) |
— |
$2,399 |
— |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
— |
$2,399 |
— |
| Derma-fat-fascia graft (15770) |
— |
$2,399 |
— |
| Dermabrasion regional other than face (15782) |
— |
$741 |
— |
| Dermabrasion segmental face (15781) |
— |
$673 |
— |
| Dermabrasion superficial any site (15783) |
— |
$287 |
— |
| Dermabrasion total face (15780) |
— |
$1,508 |
— |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
— |
$2,399 |
— |
| Destr penis lesion(s) (54065) |
— |
$2,084 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$1,409 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$6,135 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$6,135 |
— |
| Destruc retinal lesn,photocoag (67210) |
— |
$2,211 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$261 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$286 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$1,504 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$265 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$1,409 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$1,579 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$2,211 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$387 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$354 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$401 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$448 |
— |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
— |
$472 |
— |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
— |
$588 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$384 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$401 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$448 |
— |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
— |
$495 |
— |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
— |
$543 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$306 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$306 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$354 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$401 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$448 |
— |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
— |
$472 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$333 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$2,794 |
— |
| Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) (66770) |
— |
$788 |
— |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
— |
$694 |
— |
| Destruction of skin lesions (17106) |
— |
$480 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$301 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$261 |
— |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$443 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$316 |
— |
| Diagnostic anoscopy (46601) |
— |
$316 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$1,579 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$265 |
— |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
— |
$316 |
— |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
— |
$316 |
— |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
— |
$316 |
— |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
— |
$316 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$3,475 |
— |
| Dilate Urethra Stricture (53620) |
— |
$316 |
— |
| Dilate Urethra Stricture (53600) |
— |
$316 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$1,200 |
— |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
— |
$443 |
— |
| Dilation Cervical Canal (57800) |
— |
$265 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$3,475 |
— |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
— |
$443 |
— |
| Dilation Salivary Duct (42650) |
— |
$443 |
— |
| Discission of vitreous strands (without removal), pars plana approach Facility (67030) |
— |
$1,572 |
— |
| Division of symblepharon (68340) |
— |
$2,844 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,143 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$4,702 |
— |
| Drain penis lesion (54015) |
— |
$2,211 |
— |
| Drain Spinal Cord Cyst (62268) |
— |
$694 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$937 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$443 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$443 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$1,390 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$443 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$1,200 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$538 |
— |
| Drainage of eye (65800) |
— |
$2,844 |
— |
| Drainage of finger abscess simple (26010) |
— |
$199 |
— |
| Drainage of gum lesion (41800) |
— |
$269 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$369 |
— |
| Drainage of hydrocele (55000) |
— |
$316 |
— |
| Drainage of nose lesion (30000) |
— |
$316 |
— |
| Drainage of salivary cyst (42409) |
— |
$1,200 |
— |
| Drainage of salivary gland (42320) |
— |
$1,143 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$1,706 |
— |
| Drainage of scrotum (54700) |
— |
$2,927 |
— |
| Drainage of skene's gland abscess or cyst (53060) |
— |
$2,274 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$144 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$480 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
— |
$1,390 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$694 |
— |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
— |
$1,217 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$480 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$411 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$287 |
— |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
— |
$1,240 |
— |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
— |
$2,069 |
— |
| Dstrj les/scar vestibule mouth physical meths (40820) |
— |
$1,200 |
— |
| Dstrj Lesion Anus Extensive (46924) |
— |
$3,475 |
— |
| Dstrj Lesion Anus Simple Chemical (46900) |
— |
$678 |
— |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$316 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$3,475 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$694 |
— |
| Dstrj lesion choroid pc 1/> sess (67220) |
— |
$2,211 |
— |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) |
— |
$2,211 |
— |
| Dstrj Lesion Penis Simple Chemical (54050) |
— |
$357 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$316 |
— |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
— |
$316 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$2,084 |
— |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
— |
$543 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$1,514 |
— |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
— |
$1,409 |
— |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
— |
$1,625 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$3,339 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$2,347 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$2,337 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$1,977 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,065 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$2,407 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$2,148 |
— |
| Egd cautery tumor polyp (43250) |
— |
$2,016 |
— |
| Egd control bleeding any (43255) |
— |
$2,148 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$2,148 |
— |
| Egd endo mucosal resection (43254) |
— |
$3,475 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$4,879 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$2,148 |
— |
| Egd guide wire insertion (43248) |
— |
$2,148 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$3,475 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$2,927 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$2,148 |
— |
| Egd lesion ablation (43270) |
— |
$2,148 |
— |
| Egd place gastrostomy tube (43246) |
— |
$2,198 |
— |
| Egd remove lesion snare (43251) |
— |
$2,148 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$2,148 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$3,475 |
— |
| Egd Varices Ligation (43244) |
— |
$2,148 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$5,054 |
— |
| Elbow arthroscopy (29830) |
— |
$1,614 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$378 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$339 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$661 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$378 |
— |
| Endocervical curettage (57505) |
— |
$357 |
— |
| Endometrial Biopsy (58100) |
— |
$316 |
— |
| Endoscopic injection/implant (51715) |
— |
$2,218 |
— |
| Endoscopic us exam esoph (43237) |
— |
$2,148 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$3,309 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$2,148 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$1,200 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$1,327 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$2,844 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$3,475 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$3,475 |
— |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
— |
$3,309 |
— |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
— |
$4,440 |
— |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
— |
$3,475 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$3,309 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
— |
$3,475 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
— |
$3,475 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$1,765 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$1,376 |
— |
| Epidural Blood Patch (62273) |
— |
$1,143 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$385 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$5,630 |
— |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
— |
$3,271 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$2,148 |
— |
| Esophagosc Dilate Balloon 30 (43214) |
— |
$3,475 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$3,475 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$4,511 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$3,475 |
— |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
— |
$3,475 |
— |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
— |
$3,838 |
— |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
— |
$3,475 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$3,475 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$1,200 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$3,309 |
— |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
— |
$3,475 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$3,475 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$3,475 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$3,475 |
— |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
— |
$3,475 |
— |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
— |
$5,054 |
— |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
— |
$3,475 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$172 |
— |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
— |
$1,390 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$1,390 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$1,504 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$846 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$425 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$765 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$923 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$1,579 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$1,390 |
— |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
— |
$1,579 |
— |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
— |
$1,200 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$480 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$480 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$1,414 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$1,302 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$457 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$457 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$504 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$538 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$1,135 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$1,348 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$1,390 |
— |
| Exc Frenum Labial/Buccal (40819) |
— |
$1,200 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$342 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$382 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$740 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$3,840 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$1,200 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$694 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$2,211 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$1,959 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$1,200 |
— |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
— |
$1,200 |
— |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
— |
$1,200 |
— |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
— |
$1,200 |
— |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
— |
$3,791 |
— |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
— |
$3,791 |
— |
| Exc neuroma hand/foot xcp digital nerve (64782) |
— |
$3,791 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$2,211 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$518 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$1,100 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$1,612 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$1,536 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$1,201 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$793 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$1,714 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$1,110 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$2,211 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$2,211 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$1,534 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$446 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$482 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$672 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$1,579 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$1,586 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$1,094 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$1,390 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$2,384 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$1,706 |
— |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
— |
$1,390 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$1,200 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$1,390 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$1,390 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$1,390 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$1,959 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$1,124 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$1,390 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$1,390 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$1,579 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$1,579 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$822 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$2,211 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$2,211 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$2,211 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$846 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$1,959 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$3,641 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$1,265 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$1,745 |
— |
| Excis conjunc lesn+adj sclera (68130) |
— |
$14,783 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$443 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$1,200 |
— |
| Excise Wrist Tendon Sheath (25118) |
— |
$2,463 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$578 |
— |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
— |
$1,200 |
— |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
— |
$1,650 |
— |
| Excision Aural Polyp (69540) |
— |
$694 |
— |
| Excision Bone Mandible (21025) |
— |
$8,427 |
— |
| Excision Chalazion Multiple Same Lid (67801) |
— |
$694 |
— |
| Excision Chalazion Single (67800) |
— |
$316 |
— |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
— |
$2,749 |
— |
| Excision H/P/P/U Complex Repair (11471) |
— |
$1,777 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$1,444 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$982 |
— |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
— |
$1,750 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$1,508 |
— |
| Excision Lesion Conjunctiva </1 Cm (68110) |
— |
$1,200 |
— |
| Excision Lesion Cornea Xcp Pterygium (65400) |
— |
$1,706 |
— |
| Excision lesion mouth roof (42104) |
— |
$694 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$1,200 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$409 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$462 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$501 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$538 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$754 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$457 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$793 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$1,671 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$457 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$480 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$754 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$1,649 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$3,475 |
— |
| Excision nasal polyp(s) simple (30110) |
— |
$694 |
— |
| Excision of chalazion; multiple, different lids (67805) |
— |
$325 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$2,463 |
— |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
— |
$3,791 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$1,023 |
— |
| Excision of sublingual salivary cyst (ranula) (42408) |
— |
$1,072 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$1,200 |
— |
| Excision of vaginal septum (57130) |
— |
$1,200 |
— |
| Excision olecranon bursa (24105) |
— |
$1,200 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$2,534 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$1,200 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$1,200 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$694 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$694 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$1,706 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$2,211 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$3,102 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$1,579 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$818 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$1,390 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$2,211 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
— |
$2,211 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$1,390 |
— |
| Excision/curettage cyst/tumor phalanx finger (26210) |
— |
$3,372 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$2,211 |
— |
| Excision/destruction lesion pharynx any method (42808) |
— |
$3,616 |
— |
| Excision/surgical planing skin nose rhinophyma (30120) |
— |
$2,211 |
— |
| Excision/Transposition Pterygium W/Grafg (65426) |
— |
$1,671 |
— |
| Excision/Transposition Pterygium W/O Graft (65420) |
— |
$2,844 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$2,591 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$1,058 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$480 |
— |
| Exploratory elbow surgery (24000) |
— |
$2,211 |
— |
| External cephalic version (59412) |
— |
$3,147 |
— |
| Fasciectomy Palm Only (26121) |
— |
$1,390 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$3,791 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$787 |
— |
| Fasciotomy palmar percutaneous (26040) |
— |
$1,200 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$3,791 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$1,390 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$520 |
— |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
— |
$324–$352 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$480 |
— |
| Flap; neurovascular pedicle (15750) |
— |
$2,399 |
— |
| Fluid Pressure Muscle (20950) |
— |
$494 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$563 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$1,295 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$932 |
— |
| Forehead flap w/vasc pedicle (15731) |
— |
$2,399 |
— |
| Foreskin manipulation (54450) |
— |
$316 |
— |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
— |
$2,399 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$2,105 |
— |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
— |
$2,399 |
— |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
— |
$2,399 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$2,124 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$2,399 |
— |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
— |
$2,399 |
— |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
— |
$4,173 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$363 |
— |
| Hair xplant punch grft 1-15 (15775) |
— |
$247 |
— |
| Hair xplant punch grft >15 (15776) |
— |
$315 |
— |
| Hand tendon reconstruction (26500) |
— |
$6,710 |
— |
| Hem heprn nduc trmbctpna srm (0275U) |
— |
$374 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$1,504 |
— |
| Hymenotomy Simple Incision (56442) |
— |
$2,243 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$2,385 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$1,200 |
— |
| I&d abscess peritonsillar (42700) |
— |
$349 |
— |
| I&d abscess simple (10060) |
— |
$227 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$2,463 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$1,579 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$2,211 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,535 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$740 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$342 |
— |
| Icd Pocket Revision (33223) |
— |
$4,776 |
— |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
— |
$3,309 |
— |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
— |
$3,475 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$2,148 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$2,049 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$2,620 |
— |
| Implant neuroelectrodes (63650) |
— |
$4,031 |
— |
| Implant Neuroelectrodes (64561) |
— |
$3,791 |
— |
| Implantation intrastromal corneal ring segments (65785) |
— |
$5,054 |
— |
| Incise external hemorrhoid (46083) |
— |
$443 |
— |
| Incise finger tendon sheath (26055) |
— |
$1,200 |
— |
| Incise/Drain Conjunctiva (68020) |
— |
$694 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$471 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$1,390 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$933 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$471 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$357 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$357 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$1,200 |
— |
| Incision of eardrum (69420) |
— |
$316 |
— |
| Incision of eye (65850) |
— |
$1,857 |
— |
| Incision of Foot Tendon (28234) |
— |
$2,326 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$443 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$694 |
— |
| Incision of rectal abscess (46040) |
— |
$2,401 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$1,390 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$443 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$378 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$287 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$3,303 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$266 |
— |
Inj,Anes Agent,Femoral Nerve,Cont Inf (64448)
range across 2 matching MRF lines |
— |
$1,428–$3,641 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,116 |
— |
| Inject Intravitreal Pharmcologic (67028) |
— |
$1,302 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$781 |
— |
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 3 matching MRF lines |
— |
$723–$1,999 |
— |
Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416)
range across 2 matching MRF lines |
— |
$1,428–$2,581 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$1,504 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,004 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$925 |
— |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines |
— |
$661–$1,442 |
— |
Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446)
range across 3 matching MRF lines |
— |
$1,859–$2,581 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$439 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$1,100 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$886 |
— |
| Injection enzyme palmar fascial cord (20527) |
— |
$326 |
— |
| Injection medication/other subst tenon capsule (67515) |
— |
$316 |
— |
| Injection of sclerosing solution, hemorrhoids (46500) |
— |
$1,668 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$316 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$781 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$817 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$817 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$754 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$206 |
— |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
— |
$1,196–$2,278 |
— |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
— |
$808–$1,617 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$749 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$325 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$287 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$287 |
— |
| Injx Anterior Chamber Eye Medication Spx (66030) |
— |
$2,475 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$3,888 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$6,483 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$7,648 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$6,896 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$8,195 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$64,235 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$9,561 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$477 |
— |
| Insert cath pleura w/ image (32557) |
— |
$1,390 |
— |
| Insert cath pleura w/o image (32556) |
— |
$2,472 |
— |
| Insert cervical dilator (59200) |
— |
$316 |
— |
| Insert Drug Implant Device (11981) |
— |
$457 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$2,138 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$9,834 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$13,491 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$14,618 |
— |
| Insert Nasal Septal Button (30220) |
— |
$694 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,252 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$21,539 |
— |
| Insert pessary/other device (57160) |
— |
$357 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$2,407 |
— |
| Insert pulse gen dual leads (33213) |
— |
$13,491 |
— |
| Insert pulse gen mult leads (33221) |
— |
$11,472 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$13,491 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$341 |
— |
| Insert tissue expander(s) (11960) |
— |
$2,284 |
— |
| Insert tun ip cath perc (49418) |
— |
$3,663 |
— |
| Insert tunneled cv cath (36561) |
— |
$5,054 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$345 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$1,789 |
— |
| Insertion phrenic nerve stimulator system (33276) |
— |
$11,584 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,537 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$10,146 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$9,561 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$3,588 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$2,463 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$1,978 |
— |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
— |
$3,933 |
— |
| Insj Subq Impltbl Dfb Elctrd (33271) |
— |
$19,900 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$5,211 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$5,054 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$44,257 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$9,538 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$13,491 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$19,586 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$36,252 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$40,994 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$44,810 |
— |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
— |
$316 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$542 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$587 |
— |
| Intranasal Biopsy (30100) |
— |
$694 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
— |
$691 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
— |
$1,931 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$3,392 |
— |
| Intro cath dialysis circuit (36901) |
— |
$2,263 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$7,528 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$660 |
— |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) |
— |
$1,572 |
— |
| Iridoplasty photocoagulation 1/> sessions (66762) |
— |
$2,211 |
— |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$2,211 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$443 |
— |
| Island pedicle flap graft (15740) |
— |
$2,124 |
— |
| IV injection test vascular flow flap/graft (15860) |
— |
$754 |
— |
| Labyrinthotomy Transcanal (69801) |
— |
$694 |
— |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
— |
$3,475 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$316 |
— |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$3,475 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$306 |
— |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
— |
$2,211 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$3,475 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$1,200 |
— |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$3,475 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$1,200 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$1,246 |
— |
| Laser Surgery,Sever Vitreous Strands (67031) |
— |
$2,211 |
— |
| Late closure of wound (13160) |
— |
$2,074 |
— |
| Lateral Canthopexy (21282) |
— |
$3,147 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$1,579 |
— |
| Lyse chest fibrin init day (32561) |
— |
$1,706 |
— |
| Lyse Chest Fibrin Subq Day (32562) |
— |
$1,706 |
— |
| Lysis Intranasal Synechia (30560) |
— |
$443 |
— |
| Lysis of labial adhesions (56441) |
— |
$4,956 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$1,959 |
— |
| Maniplatn palar fascial crd post inj single cord (26341) |
— |
$316 |
— |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
— |
$1,200 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$4,956 |
— |
| Mastopexy (19316) |
— |
$5,483 |
— |
| Medial Canthopexy Separate Procedure (21280) |
— |
$3,475 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$1,714 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$1,714 |
— |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
— |
$1,200 |
— |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
— |
$2,399 |
— |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
— |
$2,399 |
— |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
— |
$2,399 |
— |
| Muscle-skin graft trunk (15734) |
— |
$2,399 |
— |
| Myelography Lumbar Injection (62304) |
— |
$1,798 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$1,770 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$652 |
— |
| N block inj intercost sng (64420) |
— |
$886 |
— |
| N Block Inj Paracervical (64435) |
— |
$694 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$265 |
— |
| N Block Inj Pudendal (64430) |
— |
$718 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$1,770 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$235 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$455 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$3,309 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$4,694 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$825 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$3,160 |
— |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
— |
$3,160 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$1,048 |
— |
| Neuroeltrd Stim Post Tibial (64566) |
— |
$316 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$3,963 |
— |
| Nipple/areola reconstruction (19350) |
— |
$3,528 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$1,770 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$1,084 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$3,779 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$4,116 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$4,483 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$941 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$1,504 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$1,143 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$930 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$941 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,561 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$930 |
— |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
— |
$3,309 |
— |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
— |
$3,309 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$1,233 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$930 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$443 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$443 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$443 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$913 |
— |
| Occipital Nerve Block (64405) |
— |
$1,443 |
— |
| Open treatment metacarpophalangeal dislocation (26715) |
— |
$2,844 |
— |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
— |
$3,392 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$1,959 |
— |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
— |
$2,844 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$2,211 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$2,211 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$9,018 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$5,510 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$17,261 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$15,619 |
— |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
— |
$2,844 |
— |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
— |
$3,017 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$5,300 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$5,724 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$6,540 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$3,571 |
— |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
— |
$1,929 |
— |
| Part remv talus or calcaneus (28120) |
— |
$3,033 |
— |
| Partial excision bone olecranon process (24147) |
— |
$3,248 |
— |
| Partial excision of lip (40520) |
— |
$3,407 |
— |
| Partial removal of lip (40530) |
— |
$3,407 |
— |
| Partial removal of tibia (27640) |
— |
$3,248 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$1,959 |
— |
| Penile Injection (54235) |
— |
$316 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$2,537 |
— |
| Peritoneal Lavage (49084) |
— |
$1,889 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$718 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$16,667 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$2,384 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$2,384 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$1,200 |
— |
| Photopheresis extracorporeal (36522) |
— |
$12,097 |
— |
| Pin Finger Dislocation (26776) |
— |
$2,211 |
— |
| Pin hand dislocation (26676) |
— |
$2,844 |
— |
| Pin knuckle dislocation (26706) |
— |
$2,844 |
— |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
— |
$787 |
— |
| Place Cath Subclavian Art (36225) |
— |
$5,157 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$6,204 |
— |
| Place Cath Vertebral Art (36226) |
— |
$8,858 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$1,885 |
— |
| Place Rt Device/Marker Pros (55876) |
— |
$4,687 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$500 |
— |
| Placement of seton (46020) |
— |
$3,475 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$6,795 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$8,629 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$2,585 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$2,657 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$4,173 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$3,691 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$3,851 |
— |
| Prim art mech thrombectomy (37184) |
— |
$10,125 |
— |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
— |
$509 |
— |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
— |
$2,352 |
— |
| Probing nasolacrimal duct (68810) |
— |
$316 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$422 |
— |
| Proctosgmdsc Rigid Control Bleeding (45317) |
— |
$3,475 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$3,475 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$3,615 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$3,475 |
— |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
— |
$2,211 |
— |
| Prostatic Rf Thermotx (53852) |
— |
$3,475 |
— |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
— |
$2,504 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$3,750 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$3,641 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$2,211 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$1,390 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$3,033 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$1,504 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$316 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$342 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$457 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$2,016 |
— |
| Pvb thoracic cont infusion (64463) |
— |
$990 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$3,929 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$2,463 |
— |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
— |
$2,399 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
— |
$1,623 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$2,577 |
— |
| Rcnstj Eyelid Full Thickness Second Stage (67975) |
— |
$1,650 |
— |
| Reconstruct extra finger (26587) |
— |
$2,844 |
— |
| Reconstruct lip with flap (40525) |
— |
$3,407 |
— |
| Reconstruct lip with flap (40527) |
— |
$5,054 |
— |
| Reconstruction Nail Bed W/Graft (11762) |
— |
$1,747 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$5,673 |
— |
| Reduction of rectal prolapse (45900) |
— |
$2,840 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$4,776 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$5,673 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$817 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$2,844 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$1,390 |
— |
| Removal foreign body foot deep (28192) |
— |
$1,390 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$474 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$480 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$158 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$131 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$3,255 |
— |
| Removal Implant Deep (20680) |
— |
$3,086 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$891 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$393 |
— |
| Removal intact breast implant (19328) |
— |
$10,605 |
— |
| Removal of a lesion from the floor of the mouth (41116) |
— |
$1,200 |
— |
| Removal of calcium deposits (23000) |
— |
$1,830 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$694 |
— |
| Removal of heel spur (28119) |
— |
$2,407 |
— |
| Removal of intranasal lesion (30118) |
— |
$2,211 |
— |
| Removal of nail bed (11750) |
— |
$472 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$1,551 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$422 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$5,737 |
— |
| Removal phrenic nerve stimulator system (33278) |
— |
$5,213 |
— |
| Removal ppm generator only (33233) |
— |
$8,780 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$261 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$2,472 |
— |
| Removal Submand Stone,Complicated (42335) |
— |
$822 |
— |
| Removal sweat gland lesion (11450) |
— |
$891 |
— |
| Removal tong/halo applied by another individual (20665) |
— |
$1,144 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$280 |
— |
| Remove blood clot from eye (65930) |
— |
$4,422 |
— |
| Remove Brain Cavity Fluid (61020) |
— |
$682 |
— |
| Remove drug implant device (11982) |
— |
$480 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$7,121 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$3,805 |
— |
| Remove foreign body from eye (65205) |
— |
$316 |
— |
| Remove Hand Bone Lesion (26200) |
— |
$4,702 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$1,959 |
— |
| Remove Intrauterine Device (58301) |
— |
$316 |
— |
| Remove intrvas foreign body (37197) |
— |
$7,126 |
— |
| Remove lung catheter (32552) |
— |
$1,324 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$232 |
— |
| Remove Pulse Generator (33241) |
— |
$5,171 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,082 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$1,200 |
— |
| Remove Skin Nerve Lesion (64774) |
— |
$3,791 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$3,641 |
— |
| Remove tissue expander (11971) |
— |
$1,436 |
— |
| Remove ureter stent percut (50384) |
— |
$2,009 |
— |
| Remove&replace pm gen singl (33227) |
— |
$16,779 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$506 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$12,878 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$45,376 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$54,150 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$11,222 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$20,585 |
— |
| Renal Biopsy Perq (50200) |
— |
$1,222 |
— |
| Repair Blood Vessel Direct Hand Finger (35207) |
— |
$3,892 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$3,836 |
— |
| Repair brow ptosis (67900) |
— |
$2,844 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,271 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,714 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,005 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,379 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,027 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,379 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$636 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,379 |
— |
| Repair detached retina (67105) |
— |
$2,211 |
— |
| Repair Ectropion Excision Tarsal Wedge (67916) |
— |
$1,535 |
— |
| Repair Ectropion Extensive (67917) |
— |
$1,650 |
— |
| Repair Ectropion Suture (67914) |
— |
$1,479 |
— |
| Repair Ectropion Thermocauterization (67915) |
— |
$788 |
— |
| Repair Elbow Perc (24357) |
— |
$3,791 |
— |
| Repair Entropion Excision Tarsal Wedge (67923) |
— |
$1,708 |
— |
| Repair Entropion Extensive (67924) |
— |
$1,650 |
— |
| Repair Entropion Suture (67921) |
— |
$2,844 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$1,390 |
— |
| Repair Eyelid Wound (67935) |
— |
$1,708 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$6,135 |
— |
| Repair Fistula Oromaxillary (30580) |
— |
$4,649 |
— |
| Repair Forearm Tendon Sheath (25275) |
— |
$5,900 |
— |
| Repair Hand Joint (26540) |
— |
$2,844 |
— |
| Repair Hand Tendon (26410) |
— |
$4,794 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$461 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$480 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$500 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$522 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$692 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$518 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$461 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$480 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$500 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,144 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$518 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$461 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$480 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$570 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$500 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,144 |
— |
| Repair iris ciliary body (66680) |
— |
$1,857 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$603 |
— |
| Repair Laceration Palate >2 Cm/Complex (42182) |
— |
$6,447 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$6,010 |
— |
| Repair of entropion; thermocauterization (67922) |
— |
$788 |
— |
| Repair of nail bed (11760) |
— |
$754 |
— |
| Repair of web finger (26560) |
— |
$2,844 |
— |
| Repair tongue laceration (41252) |
— |
$1,072 |
— |
| Repair tongue laceration (41250) |
— |
$349 |
— |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
— |
$6,110 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$999 |
— |
| Replace G-J Tube Perc (49452) |
— |
$878 |
— |
| Replace g/c tube perc (49450) |
— |
$974 |
— |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
— |
$6,552 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$1,959 |
— |
| Reposition L Ventric Lead (33226) |
— |
$5,435 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$4,459 |
— |
| Reposition Venous Catheter (36597) |
— |
$1,383 |
— |
| Repositioning phrenic nrv stimulator transvns ld (33281) |
— |
$5,213 |
— |
| Retrobulbar inject,alcohol (67505) |
— |
$316 |
— |
| Retrobulbar injection (67500) |
— |
$694 |
— |
| Revise eyelashes (67825) |
— |
$316 |
— |
| Revise finger joint each (26140) |
— |
$1,390 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$3,791 |
— |
| Revise/Repair Finger/Toe Nerve (64702) |
— |
$3,548 |
— |
| Revision of big toe (28310) |
— |
$3,604 |
— |
| Revision of eyelid (67880) |
— |
$2,844 |
— |
| Revision of reconstructed breast (19380) |
— |
$9,409 |
— |
| Revision of toe (28312) |
— |
$3,604 |
— |
| Revj/rpr oprative wound anterior segment (66250) |
— |
$2,844 |
— |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
— |
$8,700 |
— |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
— |
$8,700 |
— |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
— |
$26,390 |
— |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
— |
$26,390 |
— |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
— |
$26,390 |
— |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
— |
$26,390 |
— |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
— |
$21,548 |
— |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
— |
$21,548 |
— |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
— |
$16,500 |
— |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
— |
$16,500 |
— |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
— |
$8,700 |
— |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
— |
$8,700 |
— |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
— |
$16,500 |
— |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
— |
$16,500 |
— |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
— |
$16,500 |
— |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
— |
$16,500 |
— |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
— |
$27,000 |
— |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
— |
$27,000 |
— |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
— |
$27,000 |
— |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
— |
$27,000 |
— |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
— |
$27,000 |
— |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
— |
$27,000 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$2,360 |
— |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
— |
$1,200 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$694 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$694 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$443 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$316 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$694 |
— |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
— |
$455 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$3,363 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$5,135 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$1,390 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$694 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$6,552 |
— |
| Rmvl Phrenic Nrv Stimulator Pulse Generator Only (33280) |
— |
$5,213 |
— |
| Rmvl phrnc nrv stimulator transvns stimj/snsg ld (33279) |
— |
$5,213 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$8,428 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$1,706 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$3,475 |
— |
| Rmvl&rplcmt phrenic nrv stimulator pls generator (33287) |
— |
$11,236 |
— |
| Rmvl&rplcmt phrnc nrv stim trnsvns stimj/snsg ld (33288) |
— |
$5,618 |
— |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
— |
$278 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$602 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,565 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,207 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$1,469 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$5,575 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$2,355 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$787 |
— |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
— |
$2,844 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$2,404 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$365 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$537 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$289 |
— |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
— |
$2,844 |
— |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
— |
$2,463 |
— |
| Rpr Lac Corn&/Sclra Perf W/Repos/Rescj Uveal T (65285) |
— |
$2,781 |
— |
| Rpr Lac Cornea Nonperfor W/WO Rmvl Foreign Body (65275) |
— |
$2,361 |
— |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
— |
$2,335 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,390 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,390 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$1,579 |
— |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
— |
$2,844 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$2,793 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$6,135 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
— |
$1,390 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$1,593 |
— |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
— |
$694 |
— |
| Severing Ads Ant Seg Incal Spx Ant Synechiae (65870) |
— |
$1,857 |
— |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
— |
$1,857 |
— |
| Severing tarsorrhaphy (67710) |
— |
$694 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$3,363 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$3,363 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$261 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$261 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$403 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$261 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$338 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$376 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$371 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$1,614 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$338 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$376 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$300 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$383 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$338 |
— |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
— |
$568 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$3,363 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$1,579 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
— |
$3,363 |
— |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
— |
$2,148 |
— |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
— |
$3,363 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$3,363 |
— |
| Sigmoidoscopy w/plcmt stent (45347) |
— |
$3,475 |
— |
| Sigmoidoscopy W/Resection (45349) |
— |
$3,363 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$2,148 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$1,579 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$3,363 |
— |
| Simple Cystometrogram (51725) |
— |
$357 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$404 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$249 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$261 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$537 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$326 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$471 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$241 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$606 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$283 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$2,399 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$2,353 |
— |
| Skin Pedicle Flap Trunk (15570) |
— |
$2,399 |
— |
| Skin Pinch Graft (15050) |
— |
$1,341 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$2,124 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$2,124 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$2,399 |
— |
| Skin Tissue Procedure (17999) |
— |
$147 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$2,399 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$11,868 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$6,204 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$8,858 |
— |
| Slitting of prepuce (54001) |
— |
$4,153 |
— |
| Small bowel endoscopy (44384) |
— |
$5,054 |
— |
| Small bowel endoscopy (44366) |
— |
$3,475 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$3,309 |
— |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
— |
$3,073 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$254 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$336 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$470 |
— |
| Snip Incision Lacrimal Punctum (68440) |
— |
$218 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,186 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$2,399 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$1,765 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$1,200 |
— |
| Strapping ankle (29540) |
— |
$253 |
— |
| Strapping elbow or wrist (29260) |
— |
$181 |
— |
| Strapping hand/finger (29280) |
— |
$253 |
— |
| Strapping Hip (29520) |
— |
$301 |
— |
| Strapping knee (29530) |
— |
$211 |
— |
| Strapping shoulder (29240) |
— |
$253 |
— |
| Strapping thorax (29200) |
— |
$253 |
— |
| Strapping toes (29550) |
— |
$253 |
— |
| Strapping Unna Boot (29580) |
— |
$455 |
— |
| Subconjunctival injection (68200) |
— |
$443 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$470 |
— |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
— |
$278 |
— |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
— |
$301 |
— |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
— |
$368 |
— |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
— |
$316 |
— |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
— |
$788 |
— |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
— |
$1,706 |
— |
| Suture digital nerve hand/foot 1 nerve (64831) |
— |
$3,791 |
— |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
— |
$1,857 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$3,572 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$222 |
— |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
— |
$658 |
— |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
— |
$704 |
— |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
— |
$7,726 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$14,047 |
— |
| Tcat Rmvl Perm Ldls Pm (33275) |
— |
$8,227 |
— |
| Temporary Closure Eyelids Suture (67875) |
— |
$694 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$3,587 |
— |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
— |
$4,716 |
— |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
— |
$2,211 |
— |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
— |
$3,619 |
— |
| Tenotomy Percutaneous Single Each Digit (26060) |
— |
$1,280 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$862 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$3,791 |
— |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
— |
$3,791 |
— |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
— |
$2,790 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$3,791 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$1,723 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$5,853 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$1,105 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$5,853 |
— |
| Therapeutic plasma exchange (36514) |
— |
$5,853 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$4,649 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$5,996 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$703 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$5,826 |
— |
| Thyroid biopsy (60100) |
— |
$568 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$2,124 |
— |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
— |
$2,399 |
— |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
— |
$2,399 |
— |
| Tooth extraction (41899) |
— |
$709 |
— |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
— |
$2,647 |
— |
| Trabeculoplasty by laser surgery (65855) |
— |
$2,105 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$1,200 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$1,390 |
— |
| Transcatheter biopsy (37200) |
— |
$6,814 |
— |
| Transfer skin pedicle flap (15650) |
— |
$2,399 |
— |
| Transfer, finger to another position without microvascular anastomosis Facility (26555) |
— |
$2,844 |
— |
| Transplant hand tendon (26480) |
— |
$5,510 |
— |
| Treat Dental Ridge Fracture (21440) |
— |
$3,231 |
— |
| Treat Finger Fracture Each (26727) |
— |
$2,844 |
— |
| Treat Hip Socket Fracture (27222) |
— |
$6,262 |
— |
| Treat humerus fracture (24500) |
— |
$443 |
— |
| Treat Humerus Fracture (24505) |
— |
$1,706 |
— |
| Treat humerus fracture (23600) |
— |
$329 |
— |
| Treat knee fracture (27532) |
— |
$2,211 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$661 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$316 |
— |
| Treat metacarpal fracture (26607) |
— |
$1,390 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$443 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$443 |
— |
| Treat Thumb Dislocation (26641) |
— |
$422 |
— |
| Treat Thumb Fracture (26645) |
— |
$1,200 |
— |
| Treat thumb fracture (26665) |
— |
$2,844 |
— |
| Treat toe dislocation (28630) |
— |
$229 |
— |
| Treat vagina infection (57150) |
— |
$316 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$443 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$2,760 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$443 |
— |
| Treatment extensive retinopathy photocoagulation (67228) |
— |
$2,211 |
— |
| Treatment mouth roof lesion (42160) |
— |
$1,306 |
— |
| Trim skin lesion (11055) |
— |
$187 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$230 |
— |
| Trim skin lesions over 4 (11057) |
— |
$242 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$120 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$15,907 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$15,907 |
— |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
— |
$16,258 |
— |
| Trnsplj autologous hematopoietic cells per donor (38241) |
— |
$32,518 |
— |
| Trnsplj Hematopoietic Cell Boost (38243) |
— |
$3,405 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$443 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$2,944 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$1,200 |
— |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
— |
$1,614 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$2,401 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$896 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$941 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$694 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$316 |
— |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$586 |
— |
Unlisted Cardiac Surgery (33999)
range across 26 matching MRF lines |
— |
$1,921–$35,137 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$316 |
— |
Unlisted procedure arthroscopy (29999)
range across 5 matching MRF lines |
— |
$1,538–$1,900 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$336 |
— |
Unlisted Procedure Esophagus (43499)
range across 2 matching MRF lines |
— |
$1,921–$3,475 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$1,866 |
— |
Unlisted procedure nervous system (64999)
range across 17 matching MRF lines |
— |
$271–$4,270 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$1,959 |
— |
| Unlisted procedure spine (22899) |
— |
$661 |
— |
Unlisted procedure stomach (43999)
range across 3 matching MRF lines |
— |
$1,959–$5,820 |
— |
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines |
— |
$443–$6,819 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$7,396 |
— |
| Upgrade of pacemaker system (33214) |
— |
$13,491 |
— |
| Urine Flow Measurement (51736) |
— |
$316 |
— |
| Vaginal delivery only (59409) |
— |
$1,200 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$29,150 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$29,150 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$22,423 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$22,423 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$2,655 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$10,340 |
— |
| Ventricular puncture previous burr hole w/inj (61026) |
— |
$434 |
— |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
— |
$2,844 |
— |
| Wedge excision skin nail fold (11765) |
— |
$599 |
— |
| Wedging of cast (29740) |
— |
$422 |
— |
| Windowing of cast (29730) |
— |
$301 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$891 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$1,765 |
— |
| Wrist arthroscopy (29840) |
— |
$1,614 |
— |
| Xtroral i&d absc cst/hmtma floor mouth sublngl (41015) |
— |
$686 |
— |