| Abd paracentesis w/imaging (49083) |
— |
$457.62 |
— |
| Application finger splint static (29130) |
— |
$66.30 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$137.65 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$192.88 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$114.84 |
— |
| Application short leg splint calf foot (29515) |
— |
$114.48 |
— |
| Arterial puncture (36600) |
— |
$47.05 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$92.45 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$115.62 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$363.94 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$98 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$131 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$122.45 |
— |
| Biopsy of uterus lining (58100) |
— |
$197 |
— |
| Blood transfusion service (36430) |
— |
$454 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$890.14 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$1,426.48 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$74.28 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$128.10 |
— |
| Chest tube placement (32551) |
— |
$416 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$25 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$888.60 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$817.48 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$180 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$897.68 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$496 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$208.51 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,216.85 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$122 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$210 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$653.60 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$160 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$221 |
— |
| Complete replacement picc rs&i (36584) |
— |
$1,023.12 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$69 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$226.45 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$572.33 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$649.70 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$112.70 |
— |
| Delivery placenta separate procedure (59414) |
— |
$198.18 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$168 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$522.08 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$280.63 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$311.85 |
— |
| Drainage of gum lesion (41800) |
— |
$364 |
— |
| Draw blood off venous device (36591) |
— |
$25 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$309.55 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$84 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$421 |
— |
| Exchange nephrostomy cath (50435) |
— |
$831 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$221 |
— |
| Excision of nail fold toe (11765) |
— |
$160.83 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$583 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$994.10 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$1,401.52 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$744 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$170 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$97.52 |
— |
| I&d abscess simple (10060) |
— |
$276.52 |
— |
| I&d perianal abscess superficial (46050) |
— |
$431.53 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$238.96 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$431 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$432.10 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$213.70 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$245 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$207.46 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$399.50 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$159.53 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$110.38 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$140.90 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$733 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$115.58 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$530 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$1,257.50 |
— |
| Intro windpipe wire/tube (31730) |
— |
$357.55 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$263.83 |
— |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, initial (31528) |
— |
$351.20 |
— |
| Liver Biopsy (47000) |
— |
$588 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$225 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$440 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$380 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$119.30 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$910.50 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$115.93 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$884.53 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$144.33 |
— |
| Pr laryngoscopy direct,w/dilat, subsequent (31529) |
— |
$393.12 |
— |
| Puncture Aspiration (10160) |
— |
$226.40 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$186 |
— |
| Removal fb intranasal (30300) |
— |
$234 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$315.02 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$450.78 |
— |
| Removal foreign body pharynx (42809) |
— |
$404.43 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$71.58 |
— |
| Removal of arm foreign body (24200) |
— |
$462.73 |
— |
| Removal of nail bed (11750) |
— |
$407.53 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$181 |
— |
| Remove drug implant device (11982) |
— |
$245 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$541.98 |
— |
| Remove foreign body from eye (65210) |
— |
$124.40 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$287.48 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$101.88 |
— |
| Renal biopsy (50200) |
— |
$300 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$756.15 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,015.63 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$655.75 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,119.18 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$581.50 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$776.33 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$554.75 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$676.68 |
— |
| Repair eyelid wound (67930) |
— |
$839.18 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$644.03 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$430.43 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$514.20 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$814.55 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$511.20 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$537.45 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$902.43 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$720.18 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$404.93 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$471.18 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$500.63 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$727.25 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$555.30 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$401.04 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$460.73 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$635.30 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$480.75 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$736.28 |
— |
| Repair of leg tendon each (27664) |
— |
$870.85 |
— |
| Repair of nail bed (11760) |
— |
$307.53 |
— |
| Repair Tongue Laceration (41250) |
— |
$560.58 |
— |
| Replace g/c tube perc (49450) |
— |
$712.76 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$712.76 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$98.53 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$136.43 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$708.85 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$1,296.98 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$674.88 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$181 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$730 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,135.60 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$974.10 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$1,337.83 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$334.57 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$142.50 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$160.35 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$384.25 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$201.38 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$248.90 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$445.23 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$116 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$569.80 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$186.80 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$151.63 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$249.52 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$488.68 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$187.08 |
— |
| Suture Eyelid Wound,Full Thick (67935) |
— |
$1,370.68 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$598.45 |
— |
| Trach Tube Change (31502) |
— |
$84.73 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$440.50 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$540 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$1,137.23 |
— |
| Vaginal delivery only (59409) |
— |
$1,746.03 |
— |
| Venipuncture (36415) |
— |
$20 |
— |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
— |
$114.30 |
— |
| Venipuncture, cutdown; age 1 or over (36425) |
— |
$95.65 |
— |