| Abd paracentesis w/imaging (49083) |
— |
$1,002 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$805 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$4,696.75 |
— |
| Anoscopy diagnostic (46600) |
— |
$248 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$295.75 |
— |
| Application cast elbow finger short arm (29075) |
— |
$315 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$261 |
— |
| Application of long leg cast (29345) |
— |
$375 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$486.75 |
— |
| Apply short leg cast (29405) |
— |
$258 |
— |
| Arterial puncture (36600) |
— |
$202 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$636 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,373 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$777 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$636 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$544 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$5,435 |
— |
| Bladder Scan (51798) |
— |
$142 |
— |
| Blood patch (62273) |
— |
$1,327 |
— |
| Blood transfusion service (36430) |
— |
$511 |
— |
| Bone marrow aspiration only (38220) |
— |
$2,304 |
— |
| Bone Marrow Biopsy (38221) |
— |
$887 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$1,828.50 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$2,371 |
— |
| Chemical Cautery Tissue (17250) |
— |
$386 |
— |
| Chemodenerv Musc Neck Dyston (64616) |
— |
$636 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,544 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$571 |
— |
| Chest tube placement (32551) |
— |
$1,783 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$116 |
— |
| Circumcision (54150) |
— |
$568 |
— |
| Complex Drainage, Wound (10180) |
— |
$5,014 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$278 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$260 |
— |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
— |
$6,995 |
— |
| Debride nail 1-5 (11720) |
— |
$155.50 |
— |
| Debride nail 6 or more (11721) |
— |
$197 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$708.38 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$1,178.50 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$2,786 |
— |
| Declot vascular device (36593) |
— |
$580 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$4,267 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$4,267 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$2,001 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$2,001 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$2,849 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$386 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$1,433 |
— |
| Dilate Urethra Stricture (53600) |
— |
$440 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$636 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,786 |
— |
| Draw blood off venous device (36591) |
— |
$136 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$756.75 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$502 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$366.50 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$35 |
— |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
— |
$3,565 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$3,565 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$196 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$2,371 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$2,257.50 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,383 |
— |
| Exc frenum labial/buccal (40819) |
— |
$2,364.75 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$1,383 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$795 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$1,383 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$1,383 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$2,371 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$2,371 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$4,532.60 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$2,307 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$1,383 |
— |
| Excise/repair mouth lesion (40812) |
— |
$4,258.14 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$1,383 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$795 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$1,383 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$1,375.50 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$1,383 |
— |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
— |
$1,383 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$2,371 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$1,383 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$1,383 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$2,352.50 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$2,371 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$7,617.47 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$1,383 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$1,383 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$2,371 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$2,352.50 |
— |
| Excision of nail fold toe (11765) |
— |
$795 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$4,084 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$2,163 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$4,084 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$585 |
— |
| Fetal non-stress test (59025) |
— |
$193 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$1,044 |
— |
| Fluid pressure muscle (20950) |
— |
$1,361 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$399 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,190 |
— |
| I&d abscess simple (10060) |
— |
$386 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,881.75 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,449 |
— |
| Implant neuroelectrodes (63650) |
— |
$8,982 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$795 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$1,783 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,786 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$795 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$795.45 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$630 |
— |
| Incision of rectal abscess (46040) |
— |
$2,307 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,178.50 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$2,001 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$636 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$805 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$2,134 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$1,544 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,001 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$1,544 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$2,001 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$556.50 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$1,815 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$571 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$1,388 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$1,544 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$1,544 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$636 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$1,487 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$636 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$636 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$636 |
— |
| Injection treatment of nerve (64600) |
— |
$1,800 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$571 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$636 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$296 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$1,783 |
— |
| Insert picc cath (36569) |
— |
$4,320.07 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$139 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$139 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$3,387 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$380 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
— |
$13,416 |
— |
| Lithotripsy (50590) |
— |
$3,103.50 |
— |
| Liver Biopsy (47000) |
— |
$2,371 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,010 |
— |
| Myelography Lumbar Injection (62304) |
— |
$1,595 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$1,699 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$1,490 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$239 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$35 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$927 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$443 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,001 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$1,544 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
— |
$1,388 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$1,544 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$837 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$478 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$352 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$795 |
— |
| Puncture Aspiration (10160) |
— |
$795 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,383 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$1,383 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$250 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$195 |
— |
| Removal of nail bed (11750) |
— |
$795 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$386 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$4,084 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,238 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$795 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,238 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,238 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,238 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,238 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$795 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$795 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$795 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$122 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,238 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$795 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$882 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,599.45 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,233 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$1,095 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$386 |
— |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
— |
$795 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$1,599.45 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$386 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$1,623.60 |
— |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
— |
$1,771 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$386 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$71 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$206.50 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$71 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$3,600 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$2,646.25 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$4,641.62 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$3,600 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$1,238 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$795 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,433 |
— |
| Strapping unna boot (29580) |
— |
$287.88 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$386 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$955 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$738 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$329 |
— |
| Trim skin lesion (11055) |
— |
$366.50 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$502 |
— |
| Trim skin lesions over 4 (11057) |
— |
$669 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$155.50 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$636 |
— |
| Venipuncture (36415) |
— |
$17 |
— |