| Abd paracentesis w/imaging (49083) |
— |
$4,879.70 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$4,247.75 |
— |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
— |
$35,503.50 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$44,102.30 |
— |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
— |
$27,846.40 |
— |
| Ablation ther 1+ pulm tumors perq cryoablation (32994) |
— |
$22,379.90 |
— |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
— |
$44,102.30 |
— |
| Abltj 1/> lvr tum prq rf (47382) |
— |
$28,825.40 |
— |
| Amniocentesis diagnostic (59000) |
— |
$4,674.30 |
— |
| Amniocentesis therapeutic (59001) |
— |
$998.30 |
— |
| Anoscopy diagnostic (46600) |
— |
$383.40 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$2,743.05 |
— |
| Appl Cranial Tong/Strtctc Frame W/Removal Spx (20660) |
— |
$4,823.70 |
— |
| Application cast elbow finger short arm (29075) |
— |
$806 |
— |
| Application Cast Finger (29086) |
— |
$472.90 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$472.90 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$806 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$183.60 |
— |
| Application finger splint static (29130) |
— |
$383.40 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$472.90 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$1,108.28 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$472.90 |
— |
| Application of long leg cast (29345) |
— |
$806 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$383.40 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$383.40 |
— |
| Application short leg splint calf foot (29515) |
— |
$472.90 |
— |
| Apply short leg cast (29405) |
— |
$806 |
— |
| Apply short leg cast (29425) |
— |
$806 |
— |
| Arterial puncture (36600) |
— |
$281.15 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,397.32 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$2,678.60 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,459.38 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,545.52 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$1,502.42 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$3,490.75 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$1,922.40 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$4,605.75 |
— |
| Aspiration bladder needle (51100) |
— |
$440.60 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$600.85 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$11,139.15 |
— |
| Biliary Endoscopy Percut,Dil Strict (47555) |
— |
$11,139.15 |
— |
| Biliary Endoscopy,Percut,W/Rem, Stone(S) (47554) |
— |
$32,795.35 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$16,298.70 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$6,743.50 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$6,366.95 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$6,826.60 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$3,478.45 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$4,310.05 |
— |
| Biopsy Salivary Gland,Needle (42400) |
— |
$2,327.15 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$4,706.15 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$10,588.85 |
— |
| Bladder Irrigation Simple (51700) |
— |
$661.30 |
— |
| Bladder Scan (51798) |
— |
$186.40 |
— |
| Blood patch (62273) |
— |
$1,205.75 |
— |
| Blood transfusion service (36430) |
— |
$1,207.15 |
— |
| Bone marrow aspiration only (38220) |
— |
$10,272.80 |
— |
| Bone Marrow Biopsy (38221) |
— |
$11,004.75 |
— |
| Bronch ebus samplng 1/2 node (31652) |
— |
$6,051.40 |
— |
| Bronch ebus samplng 3/> node (31653) |
— |
$7,560.90 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$5,094 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$7,012.90 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$7,073.75 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$5,704 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$5,704 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$7,340.95 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$1,135.20 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$9,576.55 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,205.40 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$658.90 |
— |
| Change g-tube to g-j perc (49446) |
— |
$11,414.70 |
— |
| Change Ureter Stent, Percut (50382) |
— |
$11,652.18 |
— |
| Chemical Cautery Tissue (17250) |
— |
$745.15 |
— |
| Chemodenerv Musc Neck Dyston (64616) |
— |
$861.86 |
— |
| Chest tube placement (32551) |
— |
$2,014.05 |
— |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
— |
$6,231.30 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$11,139.15 |
— |
| Circumcision (54150) |
— |
$562.50 |
— |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
— |
$1,875.75 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$4,823.70 |
— |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
— |
$1,946.38 |
— |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
— |
$707.75 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$6,632.58 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$707.75 |
— |
| Closed Rx Mandible Fx+Manipulatn (21451) |
— |
$4,577.10 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$707.75 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$6,632.58 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$4,823.70 |
— |
| Closed rx prox/neck femur fx,manip (27232) |
— |
$1,946.38 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$4,823.70 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$707.75 |
— |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
— |
$6,632.58 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$6,632.58 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$707.75 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$707.75 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$6,632.58 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$707.75 |
— |
| Closed treat wrist dislocation (25660) |
— |
$973.18 |
— |
| Closed Treatment Coccygeal Fracture (27200) |
— |
$707.75 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$9,663 |
— |
| Closed treatment of broken top of shin bone at knee (27538) |
— |
$707.75 |
— |
| Closed treatment of craniofacial separation ( le fort iii type) using interdental wire fixation of denture or splint (21431) |
— |
$9,663 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$973.18 |
— |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
— |
$707.75 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$707.75 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$973.18 |
— |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
— |
$707.75 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$973.18 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$4,823.70 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$707.75 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$973.18 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$707.75 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$707.75 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$707.75 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$4,823.70 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$707.75 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$973.18 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$707.75 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$6,632.58 |
— |
| Closed tx femoral fracture prox head w manip (27268) |
— |
$13,357.70 |
— |
| Closed tx femoral fracture prox head w/o manj (27267) |
— |
$13,357.70 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$707.75 |
— |
| Closed tx knee dislocation w/anesthesia (27552) |
— |
$6,632.58 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$973.18 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$6,632.58 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$1,651.30 |
— |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
— |
$17,576.10 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$707.75 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$6,632.58 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$4,577.10 |
— |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
— |
$4,577.10 |
— |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
— |
$9,663 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$973.18 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$707.75 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$707.75 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$6,632.58 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$707.75 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$4,823.70 |
— |
| Closed tx scapular fracture w/o manipulation (23570) |
— |
$707.75 |
— |
| Closed tx septal&nose fx (21337) |
— |
$9,663 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$973.18 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$973.18 |
— |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
— |
$13,357.70 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$6,632.58 |
— |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
— |
$707.75 |
— |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
— |
$6,293.52 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$973.18 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$6,632.58 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$707.75 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$707.75 |
— |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
— |
$733.10 |
— |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
— |
$1,651.30 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$973.18 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$707.75 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$6,632.58 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$707.75 |
— |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
— |
$1,651.30 |
— |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
— |
$707.75 |
— |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
— |
$707.75 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$6,632.58 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$973.18 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$6,632.58 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$973.18 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$6,632.58 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$707.75 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$707.75 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$707.75 |
— |
| Cltx dstl fem epiphysl sep w/manj w/wo skin/skel (27517) |
— |
$6,632.58 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$707.75 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$707.75 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$707.75 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$707.75 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$707.75 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$4,823.70 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$6,632.58 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$707.75 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$973.18 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$6,632.58 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$6,632.58 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$707.75 |
— |
| Cltx greater trochanteric fx w/o manj (27246) |
— |
$707.75 |
— |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
— |
$6,632.58 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$973.18 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$6,632.58 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$806 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$707.75 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$13,265.15 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$707.75 |
— |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
— |
$9,663 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$707.75 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$707.75 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$707.75 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$4,823.70 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$707.75 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$707.75 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$6,632.58 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$973.18 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$6,632.58 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$707.75 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$6,632.58 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$13,357.70 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$973.18 |
— |
| Cltx scapular fx w/mnpj w/wo skeletal traction (23575) |
— |
$6,632.58 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$6,632.58 |
— |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
— |
$6,632.58 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$707.75 |
— |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
— |
$13,357.70 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$973.18 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$4,823.70 |
— |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
— |
$973.18 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$8,441.45 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$9,714.70 |
— |
| Comp ext fixate strut change (20697) |
— |
$12,832.35 |
— |
| Complete replacement picc rs&i (36584) |
— |
$3,101.70 |
— |
| Complex Drainage, Wound (10180) |
— |
$18,071.75 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$887.70 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$383.40 |
— |
| Conversion ext bil drg cath (47535) |
— |
$11,139.15 |
— |
| Convert nephrostomy catheter (50434) |
— |
$3,976.55 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$7,373.30 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$383.40 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$733.10 |
— |
| Curettage postpartum (59160) |
— |
$9,383.10 |
— |
| Cystometrogram w/vp (51728) |
— |
$2,002.40 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$9,687.30 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,264.65 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$2,337.85 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$1,884.95 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$4,865.95 |
— |
| Declot vascular device (36593) |
— |
$819.25 |
— |
| Delivery placenta separate procedure (59414) |
— |
$8,626.20 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$3,242.05 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$2,720.60 |
— |
| Drain bladder by trocar/cath (51101) |
— |
$3,137.95 |
— |
| Drain Ext Ear Absc/Blood,Complic (69005) |
— |
$4,865.95 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$2,111.65 |
— |
| Drain outer ear canal lesion (69020) |
— |
$2,111.65 |
— |
| Drain shoulder lesion (23030) |
— |
$8,528.15 |
— |
| Drain spinal cord cyst (62268) |
— |
$2,472.05 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$1,674.95 |
— |
| Drainage abscess/hematoma nasal int approach (30000) |
— |
$733.10 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$1,651.30 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,111.65 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$4,865.95 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$600.85 |
— |
| Drainage mouth roof lesion (42000) |
— |
$733.10 |
— |
| Drainage of eyelid abscess (67700) |
— |
$1,202.18 |
— |
| Drainage of gum lesion (41800) |
— |
$383.40 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$10,588.45 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$4,865.95 |
— |
| Draw blood off venous device (36591) |
— |
$464.75 |
— |
| Drg absc cst hmtma vestibule mouth comp (40801) |
— |
$1,651.30 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$1,196.75 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$600.85 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$600.85 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$7,738.90 |
— |
| Egd place gastrostomy tube (43246) |
— |
$9,170.15 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$7,361.55 |
— |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
— |
$14,913.65 |
— |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
— |
$19,079.40 |
— |
| Endovenous rf 1st vein (36475) |
— |
$15,964.50 |
— |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
— |
$3,944.50 |
— |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
— |
$7,071.35 |
— |
| Escharotomy initial incision (16035) |
— |
$1,196.75 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$383.40 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$1,234.95 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$3,541.75 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$9,478.30 |
— |
| Exchange nephrostomy cath (50435) |
— |
$4,303.75 |
— |
| Exchng absc/cst drg cath rad gid spx (49423) |
— |
$6,644.65 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$4,865.95 |
— |
| Excision of nail fold toe (11765) |
— |
$1,196.75 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$6,632.58 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$4,865.95 |
— |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
— |
$1,728.10 |
— |
| External Cephalic Version (59412) |
— |
$3,968.80 |
— |
| Fetal non-stress test (59025) |
— |
$1,044.50 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$4,722.75 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$3,761.70 |
— |
| Finger tendon transfer (26497) |
— |
$193,816.50 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$2,088.85 |
— |
| Fna bx w/fluor gdn 1st les (10007) |
— |
$4,722.75 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$1,477.90 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$4,722.60 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$733.10 |
— |
| I&d abscess simple (10060) |
— |
$1,476.55 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$8,528.15 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$8,116.10 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$6,113.10 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$13,357.70 |
— |
| I&d forearm/wrist bursa (25031) |
— |
$6,632.58 |
— |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
— |
$20,695.20 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,344 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,211.20 |
— |
| I&d submucosal abscess rectum (45005) |
— |
$3,541.75 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$6,690.70 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$11,726.20 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$10,588.85 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$10,588.85 |
— |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
— |
$10,588.85 |
— |
| Incise/drain eyelid lining (68020) |
— |
$4,178.10 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$2,957.10 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$8,528.15 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$7,358.05 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$9,287.10 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$2,517.20 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$598.05 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,091.40 |
— |
| Incision of rectal abscess (46040) |
— |
$5,298.25 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$359 |
— |
| Incision&drainage bursa foot (28001) |
— |
$4,865.95 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,404.20 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$600.85 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$2,735.60 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$2,735.60 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$1,697.75 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,735.60 |
— |
| Inject Intravitreal Pharmcologic (67028) |
— |
$1,044.85 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$2,735.60 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$2,494.40 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$1,602.25 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$1,997.60 |
— |
| Inject Nerv Blck,Pudendal (64430) |
— |
$2,735.60 |
— |
| Inject Rx Celiac Plexus Nerve (64680) |
— |
$4,043.60 |
— |
| Inject Sinus Tract Theraputic (20500) |
— |
$5,631.35 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$2,075.55 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$2,075.55 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$888.95 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$2,203.10 |
— |
| Injection for identification of sentinel node (38792) |
— |
$2,299.15 |
— |
| Injection Rx Extremity Pseudoaneurysm (36002) |
— |
$3,852.45 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,111.70 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$1,122.15 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$1,222.30 |
— |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
— |
$2,853.88 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$888.95 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$13,484.80 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$9,022.65 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$22,351.90 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$14,934.10 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$17,324.75 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$13,564.80 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$13,564.80 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$37,942.15 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$11,929.75 |
— |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
— |
$10,409.10 |
— |
| Ins vag brachytx device (57156) |
— |
$1,532 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$47,152.20 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$23,384.20 |
— |
| Insert and remove bone pin (20650) |
— |
$9,714.70 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$706.90 |
— |
| Insert cervical dilator (59200) |
— |
$962.85 |
— |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
— |
$9,430.90 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$6,777.50 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$22,858.30 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,890.85 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$11,970.70 |
— |
| Insert pacing lead & connect (33224) |
— |
$13,315 |
— |
| Insert picc cath (36569) |
— |
$3,013.10 |
— |
| Insert picvad cath (36570) |
— |
$10,460.70 |
— |
| Insert pulse gen mult leads (33221) |
— |
$22,596.05 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$512.75 |
— |
| Insert tun ip cath perc (49418) |
— |
$23,051.20 |
— |
| Insert tunneled cv cath (36561) |
— |
$10,988.75 |
— |
| Insert Tunneled Cv Cath With Pump (36563) |
— |
$17,324.75 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$14,934.10 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$383.40 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$10,665.40 |
— |
| Insertion of defibrillator electrode (33271) |
— |
$19,274.25 |
— |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
— |
$6,680.90 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$3,013.10 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$18,069.60 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$19,274.25 |
— |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
— |
$33,542.95 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$10,460.70 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$10,460.70 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$10,460.70 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$7,436.35 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$56,293.50 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$12,938.55 |
— |
| Insrt pulse gen w/dual leads (33230) |
— |
$33,542.95 |
— |
| Insrt pulse gen w/mult leads (33231) |
— |
$47,152.20 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
— |
$1,651.30 |
— |
| Intraoral i&d tongue/floor masticator space (41009) |
— |
$1,651.30 |
— |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
— |
$733.10 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
— |
$4,577.10 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$9,663 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$3,816.75 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$43,841.05 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$15,237.20 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$4,049.45 |
— |
| Intro windpipe wire/tube (31730) |
— |
$3,804.20 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,311.60 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$977.05 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$1,225.50 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$1,106.20 |
— |
| Laryngoscopy indirect w/removal foreign body (31511) |
— |
$594.50 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$5,094 |
— |
| Liver Biopsy (47000) |
— |
$5,147.20 |
— |
| Marsup Bartholin Gland Cyst (56440) |
— |
$9,383.15 |
— |
| Measure Ureter Press,Indwell Cath (50686) |
— |
$373.40 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$3,101.70 |
— |
| Mech remov pericath obstr cv dev via ven access (36595) |
— |
$10,460.70 |
— |
| Musculoskeletal surgery (20999) |
— |
$1,869.40 |
— |
| Myelography Lumbar Injection (62305) |
— |
$3,080.85 |
— |
| Myelography Lumbar Injection (62304) |
— |
$3,080.85 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$3,087.50 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$3,087.50 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$2,334.80 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$742.50 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,522.18 |
— |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
— |
$6,378.60 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$10,582.20 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$11,381.30 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,735.60 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
— |
$2,735.60 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$2,181.45 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$3,471.25 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
— |
$3,531.35 |
— |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
— |
$25,365 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$36,967.15 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$36,967.15 |
— |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
— |
$12,071.80 |
— |
| Perc Radiofreq Ablate Renal Tumor (50592) |
— |
$29,554.85 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$23,849.30 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$3,904.12 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$20,982.85 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$13,051.28 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$2,010.50 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$30,518.20 |
— |
| Perq dev breast 1st mr guide (19287) |
— |
$4,107.95 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$4,107.95 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$3,927.20 |
— |
| Perq device breast 1st imag (19281) |
— |
$3,829.45 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$11,744.30 |
— |
| Perq dilation xst trc new access renal coltj sys (50437) |
— |
$12,005.28 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$4,652.52 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$4,380.62 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$11,335.30 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$1,974.85 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$4,486.45 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$64,986.85 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$42,908.25 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$21,279.50 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
— |
$14,487.70 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$14,487.70 |
— |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
— |
$6,798.40 |
— |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
— |
$6,798.40 |
— |
| Place Cath Subclavian Art (36225) |
— |
$11,253.72 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$13,484.80 |
— |
| Place Cath Vertebral Art (36226) |
— |
$24,091.60 |
— |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
— |
$8,792.95 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$1,197.05 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$11,139.15 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$14,881.45 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$15,590.05 |
— |
| Plmt bile duct stent prq new access w/sep cath (47540) |
— |
$16,298.70 |
— |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
— |
$2,278.85 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$8,707.05 |
— |
| Plmt nephroureteral cath prq new access rs&i (50433) |
— |
$10,052.55 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$11,963.32 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$8,928 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$11,703.25 |
— |
| Prim art mech thrombectomy (37184) |
— |
$43,902.32 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$8,427 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$2,099 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$11,139.15 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$11,139.15 |
— |
| Puncture Aspiration (10160) |
— |
$1,863.40 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$2,110.90 |
— |
| Pvb thoracic single inj site (64461) |
— |
$1,997.60 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$3,944.50 |
— |
| Rem endovas vena cava filter (37193) |
— |
$12,767.05 |
— |
| Removal biliary drg cath (47537) |
— |
$2,788.45 |
— |
| Removal fb intranasal (30300) |
— |
$383.40 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$6,690.70 |
— |
| Removal foreign body foot deep (28192) |
— |
$4,865.95 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$2,111.65 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$4,865.95 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$13,357.70 |
— |
| Removal foreign body pharynx (42809) |
— |
$1,195.85 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$11,726.20 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$179.38 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$282.78 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$9,383.15 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$8,839.20 |
— |
| Removal of arm foreign body (24200) |
— |
$4,865.95 |
— |
| Removal of foreign body in scrotum (55120) |
— |
$6,113.10 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$3,745.85 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$962.85 |
— |
| Removal of nail bed (11750) |
— |
$1,196.75 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$593.50 |
— |
| Removal ppm generator only (33233) |
— |
$9,361 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$11,726.20 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$3,193.50 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$9,962.15 |
— |
| Remove cerclage suture (59871) |
— |
$9,383.10 |
— |
| Remove drug implant device (11982) |
— |
$1,195.85 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$1,202.18 |
— |
| Remove foreign body from eye (65210) |
— |
$1,644.28 |
— |
| Remove intrvas foreign body (37197) |
— |
$10,460.70 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$3,976.55 |
— |
| Remove shoulder foreign body (23330) |
— |
$6,690.70 |
— |
| Remove Ureter Stent, Percut (50384) |
— |
$11,652.18 |
— |
| Remove&replace pm gen singl (33227) |
— |
$12,603.75 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$383.40 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$383.40 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$23,959.25 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$58,940.25 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$23,959.25 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$14,186.65 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$21,566.15 |
— |
| Renal biopsy (50200) |
— |
$4,485.25 |
— |
| Reopen Fallopian Tube,Transcerv Cath (58345) |
— |
$16,508.48 |
— |
| Repair arm tendon/muscle (24341) |
— |
$29,523.22 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$2,085.20 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$2,085.20 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,196.75 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$2,085.20 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$2,085.20 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$2,085.20 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$2,085.20 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$2,085.20 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$4,823.70 |
— |
| Repair eyelid wound (67930) |
— |
$9,643.42 |
— |
| Repair forearm tendon/muscle (25270) |
— |
$9,714.70 |
— |
| Repair forearm tendon/muscle (25260) |
— |
$9,714.70 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$1,196.75 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,196.75 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,196.75 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$1,196.75 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,196.75 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,196.75 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,196.75 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$2,085.20 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,196.75 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,196.75 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$2,085.20 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$5,473.20 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,196.75 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,196.75 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,196.75 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$2,085.20 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,196.75 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$5,473.20 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$1,651.30 |
— |
| Repair Laceration Palate >2 Cm/Complex (42182) |
— |
$17,576.10 |
— |
| Repair lead pace-defib one (33218) |
— |
$11,798.40 |
— |
| Repair of nail bed (11760) |
— |
$1,884.95 |
— |
| Repair Tongue Laceration (41250) |
— |
$1,195.85 |
— |
| Replace duod/jej tube perc (49451) |
— |
$6,074.15 |
— |
| Replace g/c tube perc (49450) |
— |
$2,640.95 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$6,074.15 |
— |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
— |
$7,071.35 |
— |
| Reposition gastrostomy tube (43761) |
— |
$1,946.50 |
— |
| Reposition pacing-defib lead (33215) |
— |
$6,521.65 |
— |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
— |
$10,460.70 |
— |
| Revision of eyelid (21280) |
— |
$707.75 |
— |
| Revision of tips (37183) |
— |
$25,019.40 |
— |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
— |
$17,614.55 |
— |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
— |
$8,707.05 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$4,577.10 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$1,651.30 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$2,720.60 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,195.85 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$383.40 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$1,790.30 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$8,528.15 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$11,726.20 |
— |
| Rmvl of subq defibrillator (33272) |
— |
$7,071.35 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$6,863.40 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$6,982.25 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,270.20 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$2,721.45 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$2,056.35 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$3,101.70 |
— |
| Rplcmt compl prph ctr vad w/subq port (36585) |
— |
$10,460.70 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$10,460.70 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$8,350.60 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$2,731.95 |
— |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
— |
$21,532.75 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$3,101.70 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$2,085.20 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$733.10 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$733.10 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,651.30 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,651.30 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$4,577.10 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$2,971.20 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
— |
$6,521.65 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$3,101.70 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$4,722.75 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$3,541.75 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,196.75 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$600.85 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$600.85 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$1,196.75 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$600.85 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$600.85 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$600.85 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$860.50 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$600.85 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,179.30 |
— |
| Skin Tissue Procedure (17999) |
— |
$777.70 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$24,442.45 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$12,369.28 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$22,960.98 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$904.95 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,196.75 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,196.75 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,480 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$1,480 |
— |
| Strapping ankle (29540) |
— |
$472.90 |
— |
| Strapping elbow/wrist (29260) |
— |
$183.60 |
— |
| Strapping hand/finger (29280) |
— |
$183.60 |
— |
| Strapping Hip (29520) |
— |
$527.18 |
— |
| Strapping knee (29530) |
— |
$383.40 |
— |
| Strapping shoulder (29240) |
— |
$383.40 |
— |
| Strapping toes (29550) |
— |
$183.60 |
— |
| Strapping unna boot (29580) |
— |
$827.60 |
— |
| Suture Eyelid Wound,Full Thick (67935) |
— |
$9,643.42 |
— |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
— |
$21,904.20 |
— |
| Tenodesis Wrist Extensors Fingers (25301) |
— |
$8,441.45 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$9,115.55 |
— |
| Ther Apheresis,Platelets (36513) |
— |
$7,040.40 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$8,455.10 |
— |
| Ther Apheresis,White Blood Cells (36511) |
— |
$7,039.30 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$1,480 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$3,980.90 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$3,422.80 |
— |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
— |
$17,324.75 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$9,576.55 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$15,577.38 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$1,325.25 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$13,051.28 |
— |
| Thyroid biopsy (60100) |
— |
$3,490.75 |
— |
| Trach Tube Change (31502) |
— |
$852.55 |
— |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
— |
$1,001.95 |
— |
| Transcatheter biopsy (37200) |
— |
$12,317.35 |
— |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
— |
$7,686.90 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$707.75 |
— |
| Treat humerus fracture (24500) |
— |
$707.75 |
— |
| Treat humerus fracture (24577) |
— |
$6,632.58 |
— |
| Treat humerus fracture (23600) |
— |
$707.75 |
— |
| Treat knee fracture (27532) |
— |
$13,357.70 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$707.75 |
— |
| Treat pleurodesis w/agent (32560) |
— |
$3,745.85 |
— |
| Treat Thumb Fx/Disloc,Manip (26645) |
— |
$6,632.58 |
— |
| Treat wrist bone fracture (25635) |
— |
$6,632.58 |
— |
| Treat wrist bone fracture (25622) |
— |
$707.75 |
— |
| Treat Wrist Bone Fracture (25630) |
— |
$707.75 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$6,632.58 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$707.75 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$707.75 |
— |
| Trim skin lesion (11055) |
— |
$599.20 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$183.60 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$21,279.50 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$21,279.50 |
— |
| Trurl dstrj prstate tiss rf thermoth (53852) |
— |
$5,581.60 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$2,085.20 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$1,196.75 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$4,823.70 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$2,788.45 |
— |
| Unlisted procedure liver (47399) |
— |
$4,722.75 |
— |
| Unlisted Procedure Lungs & Pleura (32999) |
— |
$3,745.85 |
— |
| Unlisted procedure neck or thorax (21899) |
— |
$745.80 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$1,959.70 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$1,869.40 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$1,452.45 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$582.45 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$7,310.65 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$6,074.15 |
— |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
— |
$14,164.50 |
— |
| Vaginal delivery only (59409) |
— |
$11,008.60 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$114,964.55 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$26,599.35 |
— |
| Vasc embolize/occlude organ (37243) |
— |
$22,824.90 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$139,007.60 |
— |
| Venipuncture (36415) |
— |
$88.50 |
— |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
— |
$17,324.75 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$3,101.70 |
— |