| Abd paracentesis w/imaging (49083) |
— |
$386 |
— |
| Anoscopy diagnostic (46600) |
— |
$1,368 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$1,959 |
— |
| Application finger splint static (29130) |
— |
$226 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$226 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$226 |
— |
| Apply long leg splint (29505) |
— |
$224 |
— |
| Apply short leg splint (29515) |
— |
$226 |
— |
| Arterial puncture (36600) |
— |
$105 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,524 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,050 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$542 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$7,560 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$298 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$9,317 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$3.37 |
— |
| Aspiration bladder needle (51100) |
— |
$427 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$315 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$2,569 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,138 |
— |
| Biopsy muscle deep (20205) |
— |
$3,000 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,138 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$3,000 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$3,000 |
— |
| Bladder Irrigation Simple (51700) |
— |
$427 |
— |
| Blood transfusion service (36430) |
— |
$520 |
— |
| Bone marrow aspiration only (38220) |
— |
$656 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,569 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$2,138 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$2,138 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$7,875 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$519 |
— |
| Change of cystostomy tube simple (51705) |
— |
$315 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$971 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$499 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$368 |
— |
| Closed tx femoral fracture prox head w manip (27268) |
— |
$3,150 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$368 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$2,625 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$489 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$243 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$522 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$525 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$351 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$351 |
— |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
— |
$859 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$243 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$243 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$2,569 |
— |
| Correction hammertoe (28285) |
— |
$998 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$243 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$1,404 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$485.66 |
— |
| Debride nail 1-5 (11720) |
— |
$630 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$683 |
— |
| Declot vascular device (36593) |
— |
$492 |
— |
| Delivery placenta separate procedure (59414) |
— |
$2,100 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$840 |
— |
| Draw blood off venous device (36591) |
— |
$453 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$2,100 |
— |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
— |
$58 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$210 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$2,138 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$995 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$3,500 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$363 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$423.50 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$9,702 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$4,180 |
— |
| Hysteroscopy biopsy (58558) |
— |
$3,891 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$725 |
— |
| I&d abscess simple (10060) |
— |
$556 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$420 |
— |
| Implant neuroelectrodes (63650) |
— |
$6,277 |
— |
| Incise external hemorrhoid (46083) |
— |
$1,500 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$2,625 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$704 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$324 |
— |
| Incision and drainage perianal abscess superficial (46050) |
— |
$2,989 |
— |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
— |
$2,100 |
— |
| Incision of rectal abscess (46040) |
— |
$2,100 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$1,525 |
— |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
— |
$542 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$542 |
— |
| Injection for identification of sentinel node (38792) |
— |
$158 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$4,725 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$232 |
— |
| Insert gastrostomy tube percutaneous (49440) |
— |
$2,000.50 |
— |
| Insert heart pm atrial (33206) |
— |
$749 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$2,541 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$2,363 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$2,365 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$173 |
— |
| Insert testicular prosthesis (54660) |
— |
$9,625 |
— |
| Insert tun ip cath perc (49418) |
— |
$10,763.20 |
— |
| Insert tunneled cv cath (36561) |
— |
$4,147 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$158 |
— |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
— |
$11,000 |
— |
| Insj picc rs&i 5 yr+ (36573) |
— |
$2,541 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$1,044.50 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$22,220 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$522.50 |
— |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) |
— |
$20,450 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
— |
$86,940 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$170 |
— |
| Liver Biopsy (47000) |
— |
$3,000 |
— |
| Njx aa&/strd sciatic nerve (64445) |
— |
$542 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$4,843 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
— |
$4,411 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$5,109 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$6,300 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$1,386 |
— |
| Perc Radiofreq Ablate Renal Tumor (50592) |
— |
$7,528 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$7,717 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$1,176 |
— |
| Perq device breast 1st imag (19281) |
— |
$483 |
— |
| Picc line placement (36569) |
— |
$945 |
— |
| Place duod/jej tube perc (49441) |
— |
$2,426 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$320 |
— |
| Placement, enterostomy or cecostomy, tube open (eg, for feeding or decompression) (separate procedure) Facility (44300) |
— |
$850 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$2,302 |
— |
| Prim art mech thrombectomy (37184) |
— |
$15,417 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$4,843 |
— |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
— |
$735 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$4,317 |
— |
| Removal foreign body intranasal (30300) |
— |
$307 |
— |
| Removal foreign body pharynx (42809) |
— |
$327 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$142 |
— |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
— |
$203 |
— |
| Removal of nail bed (11750) |
— |
$600 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$224 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$3,612 |
— |
| Remove spine eltrd perq aray (63661) |
— |
$1,709 |
— |
| Remove spine eltrd plate (63662) |
— |
$3,087 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$2,100 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$173 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$203 |
— |
| Renal Biopsy Percutaneous (50200) |
— |
$2,569 |
— |
| Repair achilles tendon (27650) |
— |
$1,244 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$940 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$940 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$804 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$940 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$940 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$940 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$940 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$940 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$439 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$493 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$940 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$578 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$940 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$668 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$409 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$485 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$603 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$877 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$628.50 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$513 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$593 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$773 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$630 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$773 |
— |
| Repair tongue laceration (41252) |
— |
$1,613 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$1,224 |
— |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
— |
$1,224 |
— |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
— |
$4,725 |
— |
| Revise spine eltrd perq aray (63663) |
— |
$6,277 |
— |
| Revise Spine Eltrd Plate (63664) |
— |
$11,361 |
— |
| Revise/Remove Neuroreceiver (63688) |
— |
$3,087 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$203 |
— |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
— |
$420 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$982 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,351 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,541 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$4,317 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$799 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$725 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,614 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$3,150 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$525 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$525 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$458.50 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$525 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$525 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$577.50 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$525 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$392 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$483 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$392 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$6,615 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$392 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$392 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$392 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$789 |
— |
| Strapping ankle (29540) |
— |
$224 |
— |
| Strapping elbow or wrist (29260) |
— |
$224 |
— |
| Strapping knee (29530) |
— |
$224 |
— |
| Strapping shoulder (29240) |
— |
$224 |
— |
| Strapping thorax (29200) |
— |
$226 |
— |
| Strapping toes (29550) |
— |
$226 |
— |
| Strapping unna boot (29580) |
— |
$224 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$2,389 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$851 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,177 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$1,613 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$1,613 |
— |
| Tracheostomy planned (31600) |
— |
$735 |
— |
| Tracheotomy tube change (31502) |
— |
$299 |
— |
| Treat clavicle fracture (23505) |
— |
$2,100 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$352 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$2,125 |
— |
| Tube thoracostomy includes water seal (32551) |
— |
$1,177 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$525 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$630 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$158 |
— |
| Vaginal delivery only (59409) |
— |
$2,100 |
— |
| Venipuncture (36415) |
— |
$158 |
— |
| Wedge excision skin nail fold (11765) |
— |
$189 |
— |
| Windowing of cast (29730) |
— |
$61 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,050 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$428 |
— |