| Abd paracentesis w/imaging (49083) |
— |
$422 |
— |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
— |
$312 |
— |
| Abrasion single lesion (15786) |
— |
$324 |
— |
| Acne surgery (10040) |
— |
$163 |
— |
| Acromiopl/Acromionect Partial (23130) |
— |
$864 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$1,504 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$1,048 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$419 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$1,244 |
— |
| Application Cast Finger (29086) |
— |
$105 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$73 |
— |
| Application finger splint static (29130) |
— |
$57 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$112 |
— |
| Application Long Leg Splint (29505) |
— |
$120 |
— |
| Application of long leg cast (29345) |
— |
$186 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$106 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$90 |
— |
| Application short leg splint calf foot (29515) |
— |
$98 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$126 |
— |
| Arterial puncture (36600) |
— |
$40 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$905 |
— |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
— |
$1,737 |
— |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
— |
$1,014 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$76 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$90 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$74 |
— |
| Arthrodesis Posterior Interbody Lumbar (22630) |
— |
$2,180 |
— |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
— |
$2,189 |
— |
| Arthroplasty interphalangeal joint each (26535) |
— |
$610 |
— |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
— |
$779 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$683 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$1,468 |
— |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
— |
$686 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$754 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$1,481 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$900 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$1,774 |
— |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
— |
$879 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$919 |
— |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
— |
$1,046 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$782 |
— |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
— |
$472 |
— |
| Av fistula revision (36833) |
— |
$1,105 |
— |
| Av fusion/forearm vein (36820) |
— |
$982 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$162 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$246 |
— |
| Biopsy external ear (69100) |
— |
$136 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$468 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$122 |
— |
| Bladder Irrigation (51700) |
— |
$108 |
— |
| Bladder Scan (51798) |
— |
$15 |
— |
| Blood Transfusion Service (36430) |
— |
$54 |
— |
| Bone Marrow Biopsy (38221) |
— |
$228 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$1,857 |
— |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
— |
$350 |
— |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
— |
$272 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$532 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$474 |
— |
| Cataract surgery complex (66982) |
— |
$1,013 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$82 |
— |
| Change of Windpipe Airway (31502) |
— |
$49 |
— |
| Chemical Cautery Tissue (17250) |
— |
$126 |
— |
| Chest tube placement (32551) |
— |
$215 |
— |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
— |
$607 |
— |
| Circumcision 28 days or older (54161) |
— |
$271 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$751 |
— |
| Claviculectomy partial (23120) |
— |
$819 |
— |
| Clear outer ear canal (69200) |
— |
$112 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$433 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$347 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$212 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$199 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$598 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$478 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$759 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$448 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$382 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$248 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$171 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$468 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$425 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$483 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$282 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$1,209 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$703 |
— |
| Complex drainage wound (10180) |
— |
$369 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$350 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$224 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$1,163 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$1,403 |
— |
| Create Eardrum Opening (69433) |
— |
$284 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$911 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$433 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$465 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$575 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$1,129 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$532 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$411 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$550 |
— |
| Cystourethroscopy (52000) |
— |
$344 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$391 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$542 |
— |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
— |
$771 |
— |
| Debride nail 1-5 (11720) |
— |
$46 |
— |
| Debride nail 6 or more (11721) |
— |
$62 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$108 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$182 |
— |
| Deep Muscle Biopsy (20205) |
— |
$431 |
— |
| Destr penis lesion(s) (54065) |
— |
$308 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$159 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$308 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$251 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$286 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$337 |
— |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
— |
$384 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$206 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$249 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$269 |
— |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
— |
$288 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$195 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$231 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$263 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$291 |
— |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
— |
$340 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$139 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$235 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$94 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$267 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$269 |
— |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
— |
$1,875 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$241 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$333 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$308 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$263 |
— |
| Drainage of finger abscess simple (26010) |
— |
$496 |
— |
| Drainage of gum lesion (41800) |
— |
$412 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$238 |
— |
| Drainage of scrotum (54700) |
— |
$293 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$38 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$118 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$246 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$361 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$1,604 |
— |
| Egd cautery tumor polyp (43250) |
— |
$656 |
— |
| Egd control bleeding any (43255) |
— |
$915 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$869 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$552 |
— |
| Egd guide wire insertion (43248) |
— |
$597 |
— |
| Egd lesion ablation (43270) |
— |
$1,067 |
— |
| Egd place gastrostomy tube (43246) |
— |
$275 |
— |
| Egd remove lesion snare (43251) |
— |
$719 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$20 |
— |
| Endocervical curettage (57505) |
— |
$221 |
— |
| Endometrial Biopsy (58100) |
— |
$144 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$1,428 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$1,566 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$1,947 |
— |
| Ercp duct stent placement (43274) |
— |
$634 |
— |
| Ercp remove forgn body duct (43275) |
— |
$516 |
— |
| Escharotomy; initial incision (16035) |
— |
$264 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$557 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$570 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$80 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$578 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$180 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$287 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$800 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$331 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$374 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$541 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$201 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$244 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$271 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$319 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$396 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$179 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$224 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$251 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$543 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$277 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$328 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$465 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$413 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$567 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$622 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$584 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$1,049 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$220 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$242 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$314 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$668 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$692 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$613 |
— |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
— |
$487 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$388 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$665 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$644 |
— |
| Excision Infected Graft Extremity (35903) |
— |
$776 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$278 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$320 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$341 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$432 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$285 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$439 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$703 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$279 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$321 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$352 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$470 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$442 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$704 |
— |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
— |
$1,465 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$512 |
— |
| Excision olecranon bursa (24105) |
— |
$503 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$444 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$654 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$613 |
— |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
— |
$1,147 |
— |
| Extraction of lens (66940) |
— |
$1,067 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$723 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$595 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$142 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$207 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$193 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$164 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$1,377 |
— |
| Fusion Finger Joint (26860) |
— |
$871 |
— |
| Gastrocnemius recession (27687) |
— |
$630 |
— |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
— |
$1,019 |
— |
| I&d abscess simple (10060) |
— |
$174 |
— |
| Incise finger tendon sheath (26055) |
— |
$843 |
— |
| Incise flexor carpi radialis (25001) |
— |
$484 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$297 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$370 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$210 |
— |
| Incision of eardrum (69420) |
— |
$269 |
— |
| Incision of rectal abscess (46040) |
— |
$786 |
— |
| Incision of urethra (53020) |
— |
$132 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$221 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$106 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$174 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$177 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$123 |
— |
| Injection for identification of sentinel node (38792) |
— |
$116 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$75 |
— |
| Injection Turbinate Therapeutic (30200) |
— |
$156 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$107 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$99 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$79 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$2,928 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$2,987 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$777 |
— |
| Insert cath pleura w/o image (32556) |
— |
$1,082 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$1,210 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$306 |
— |
| Insert pessary/other device (57160) |
— |
$105 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$87 |
— |
| Insert tunneled cv cath (36561) |
— |
$1,439 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$63 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$577 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$1,871 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$129 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$1,213 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$194 |
— |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$413 |
— |
| Irrigation maxillary sinus (31000) |
— |
$260 |
— |
| Lam facetec & foramot lumbar (63047) |
— |
$1,527 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
— |
$1,777 |
— |
| Laparo ablate renal cyst (50541) |
— |
$1,254 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$604 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$906 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$1,001 |
— |
| Laparoscopy, surgical; partial nephrectomy (50543) |
— |
$2,037 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$788 |
— |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
— |
$909 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$457 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$181 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$1,031 |
— |
| Male sling procedure (53440) |
— |
$1,032 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$273 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$822 |
— |
| Mediastinoscpy w/lmph nod bx (39402) |
— |
$550 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$934 |
— |
| Muscle-skin graft trunk (15734) |
— |
$2,076 |
— |
| Myelography Lumbar Injection (62304) |
— |
$365 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$266 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$56 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$358 |
— |
| Neck spine disk surgery (63020) |
— |
$1,601 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$251 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$835 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$246 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$194 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$162 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$912 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$1,002 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$990 |
— |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
— |
$2,852 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$802 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$1,224 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$5,053 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$1,651 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$639 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$841 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; thoracic Facility (22222) |
— |
$2,422 |
— |
| Palatopharyngoplasty (42145) |
— |
$957 |
— |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
— |
$1,345 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$1,264 |
— |
| Part remv talus or calcaneus (28120) |
— |
$936 |
— |
| Partial excision of lip (40520) |
— |
$706 |
— |
| Partial removal of tibia (27640) |
— |
$1,155 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$660 |
— |
| Place Rt Device/Marker Pros (55876) |
— |
$211 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$82 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$183 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$178 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$181 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
— |
$1,033 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$840 |
— |
| Rad resect elbow caps/sr bone w rels (24149) |
— |
$1,632 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$982 |
— |
| Realignment of knee (27457) |
— |
$1,333 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$2,173 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$305 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$66 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$285 |
— |
| Removal of heel spur (28119) |
— |
$730 |
— |
| Removal of knee prosthesis (27488) |
— |
$1,660 |
— |
| Removal of nail bed (11750) |
— |
$224 |
— |
| Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral… (66830) |
— |
$965 |
— |
| Removal of sperm cord lesion (55520) |
— |
$639 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$126 |
— |
| Remove eye/attach implant (65105) |
— |
$1,330 |
— |
| Remove foreign body from eye (65205) |
— |
$40 |
— |
| Remove Hand Bone Lesion (26200) |
— |
$627 |
— |
| Remove mastoid structures (69505) |
— |
$1,735 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$298 |
— |
| Remv cartilage for graft nasal (20912) |
— |
$668 |
— |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
— |
$884 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$661 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$597 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$512 |
— |
| Repair Foot Dislocation (28615) |
— |
$1,149 |
— |
| Repair Hallux Rigidus (28289) |
— |
$955 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$800 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$883 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$399 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$443 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$512 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$373 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$436 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$371 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$424 |
— |
| Repair Nasal Vestibular Stenosis (30465) |
— |
$1,449 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$1,078 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$1,183 |
— |
| Repair shoulder capsule (23466) |
— |
$1,553 |
— |
| Repair tongue laceration (41250) |
— |
$400 |
— |
| Repair Tooth Socket (41874) |
— |
$543 |
— |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
— |
$667 |
— |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
— |
$885 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$173 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$883 |
— |
| Revise hernia & sperm veins (55540) |
— |
$774 |
— |
| Revise knuckle joint (26530) |
— |
$755 |
— |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
— |
$1,391 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$2,419 |
— |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
— |
$1,744 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$54 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$309 |
— |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
— |
$1,071 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$232 |
— |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
— |
$645 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$330 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$497 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$274 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$1,289 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$1,141 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$676 |
— |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
— |
$1,615 |
— |
| Scrotal exploration (55110) |
— |
$536 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$144 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$164 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$255 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$151 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$173 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$198 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$210 |
— |
| Shoulder Arthroscopy/Surgery (29825) |
— |
$817 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$194 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$219 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$172 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$215 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$195 |
— |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
— |
$989 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$171 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$416 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$157 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$164 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$201 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$132 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$183 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$1,285 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$217 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$1,739 |
— |
| Slitting of prepuce (54001) |
— |
$276 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$158 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$289 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$177 |
— |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
— |
$657 |
— |
| Strapping ankle (29540) |
— |
$39 |
— |
| Strapping knee (29530) |
— |
$42 |
— |
| Strapping shoulder (29240) |
— |
$42 |
— |
| Strapping toes (29550) |
— |
$27 |
— |
| Strapping Unna Boot (29580) |
— |
$90 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$417 |
— |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
— |
$626 |
— |
| Surg tx anal fistula subq (46270) |
— |
$759 |
— |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
— |
$1,199 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$144 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$1,036 |
— |
| Therapeutic plasma exchange (36514) |
— |
$807 |
— |
| Thyroid biopsy (60100) |
— |
$153 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$922 |
— |
| Trabeculoplasty by laser surgery (65855) |
— |
$338 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$242 |
— |
| Tracheostoma revj smpl w/o flap rotation (31613) |
— |
$599 |
— |
| Transcatheter biopsy (37200) |
— |
$292 |
— |
| Transur electr resection of prostate (52601) |
— |
$998 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$1,028 |
— |
| Treat humerus fracture (23600) |
— |
$471 |
— |
| Trim skin lesion (11055) |
— |
$102 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$117 |
— |
| Trim skin lesions over 4 (11057) |
— |
$128 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$20 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$1,697 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$421 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$248 |
— |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
— |
$2,090 |
— |
| Uvulectomy excision of uvula (42140) |
— |
$223 |
— |
| Vaginal delivery only (59409) |
— |
$1,102 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$12,664 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$6,864 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$56 |
— |
| Vitrectomy mechanical pars plana (67036) |
— |
$1,218 |
— |
| Wedge excision skin nail fold (11765) |
— |
$233 |
— |