| Abd paracentesis w/imaging (49083) |
$906 |
$4,230.16 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$906 |
$4,230.16 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$17,527 |
$28,498 |
1.0× |
| Abltj 1/> lvr tum prq rf (47382) |
$6,043 |
$22,979.30 |
1.0× |
| Amniocentesis diagnostic (59000) |
$920 |
$2,790.20 |
1.0× |
| Amputation Finger/Thumb (26951) |
$3,270 |
$13,116.70 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,270 |
$28,231.81 |
1.0× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,270 |
$3,144.25 |
1.0× |
| Ankle Scope,Excis Osteochon Defct (29891) |
$3,270 |
$9,432.75 |
1.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$5,000 |
$22,921.99 |
1.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$162 |
$737.67 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$58 |
$150 |
1.0× |
| Application finger splint static (29130) |
$133 |
$563.20 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$162 |
$737.67 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$162 |
$737.67 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$279 |
$1,205.85 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$133 |
$150 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$133 |
$563.20 |
1.0× |
| Application short leg splint calf foot (29515) |
$162 |
$737.67 |
1.0× |
| Apply short leg cast (29405) |
$279 |
$126 |
1.0× |
| Apply short leg cast (29425) |
$279 |
$191 |
1.0× |
| Arterial puncture (36600) |
$133 |
$563.20 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,156 |
$29,362.90 |
1.0× |
| Artery-vein autograft (36825) |
$5,562 |
$28,298.30 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$306 |
$1,305.85 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$306 |
$5,854.56 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$306 |
$1,364.61 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$306 |
$1,237.40 |
1.0× |
| Arthrodesis ankle open (27870) |
$12,833 |
$55,024.40 |
1.0× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$7,253 |
$40,875.30 |
1.0× |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
$17,527 |
$5,520 |
1.0× |
| Arthrodesis; subtalar (28725) |
$12,833 |
$53,452.30 |
1.0× |
| Arthroplasty Ankle W/Implant (27702) |
$27,124 |
$69,000 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,527 |
$51,895.70 |
1.0× |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
$12,833 |
$41,428.90 |
1.0× |
| Arthroplasty, patella; with prosthesis (27438) |
$12,833 |
$12,359.63 |
1.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$7,253 |
$30,045.10 |
1.0× |
| Arthroscopy ankle; ext debridem (29898) |
$3,270 |
$41,923.30 |
1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,270 |
$25,154 |
1.0× |
| Arthroscopy of joint (29999) |
$246 |
$13,209.34 |
1.0× |
| Arthroscopy subtalar joint (29906) |
$3,270 |
$28,298.30 |
1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; debridement, limited (29897) |
$3,270 |
$13,625.08 |
1.0× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$3,270 |
$18,865.50 |
1.0× |
| Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) |
$3,270 |
$18,865.50 |
1.0× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$3,270 |
$15,721.30 |
1.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$3,270 |
$12,577 |
1.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,270 |
$22,009.80 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,270 |
$18,865.50 |
1.0× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$7,253 |
$26,726.10 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,270 |
$18,865.50 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,253 |
$28,298.30 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,253 |
$25,990.50 |
1.0× |
| Arthrotomy hip w/drainage (27030) |
$7,253 |
$18,865.50 |
1.0× |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
$3,270 |
$31,050 |
1.0× |
| Aspir/inj thyroid cyst (60300) |
$707 |
$2,896.70 |
1.0× |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
$306 |
$1,237.40 |
1.0× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,089 |
$8,980.20 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,562 |
$56,563.20 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$200 |
$938.15 |
1.0× |
| Banding of hemorrhoids using a flexible endoscope (sigmoidoscope) (45350) |
$1,196 |
$5,184.80 |
1.0× |
| Biliary Endoscopy Percut,Dil Strict (47555) |
$6,471 |
$14,736.60 |
1.0× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,625 |
$22,979.30 |
1.0× |
| Biopsy bone open superficial (20240) |
$2,903 |
$18,522.75 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$920 |
$10,991 |
1.0× |
| Biopsy muscle deep (20205) |
$2,903 |
$15,721.30 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy of fluid collection of lung using an endoscope (32607) |
$10,625 |
$22,979.30 |
1.0× |
| Biopsy of nail unit (11755) |
$707 |
$2,896.70 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,914 |
$14,411.14 |
1.0× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy pleura percutaneous needle (32400) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy Salivary Gland,Needle (42400) |
$707 |
$3,102 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy/removal lymph nodes (38525) |
$3,914 |
$11,460.80 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,914 |
$14,046.90 |
1.0× |
| Bladder Irrigation Simple (51700) |
$249 |
$1,209.17 |
1.0× |
| Bladder Scan (51798) |
$58 |
$292.08 |
1.0× |
| Blood patch (62273) |
$705 |
$3,315.73 |
1.0× |
| Blood transfusion service (36430) |
$441 |
$2,074.64 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$441 |
$1,914.50 |
1.0× |
| Bone marrow aspiration only (38220) |
$1,650 |
$7,148.15 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,650 |
$7,035 |
1.0× |
| Bone Marrow Harvest Autolog (38232) |
$4,353 |
$9,432.75 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,779 |
$6,846.45 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,726 |
$13,703.30 |
1.0× |
| Bronch ebus samplng 1/2 node (31652) |
$3,726 |
$13,406.30 |
1.0× |
| Bronch ebus samplng 3/> node (31653) |
$3,726 |
$16,653.75 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,779 |
$10,030.08 |
1.0× |
| Bronchoscopy bronch stents (31636) |
$7,054 |
$25,737.80 |
1.0× |
| Bronchoscopy dilate/fx repr (31630) |
$3,726 |
$16,510.80 |
1.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$3,726 |
$13,703.30 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,779 |
$10,030.08 |
1.0× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$7,054 |
$25,737.80 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,779 |
$6,846.45 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,779 |
$6,846.45 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$390 |
$1,948 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,726 |
$15,490.10 |
1.0× |
| Bronchoscopy w/tumor excise (31640) |
$3,726 |
$13,703.30 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,779 |
$9,864.48 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,650 |
$7,148.15 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$1,650 |
$6,877.50 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,650 |
$7,148.15 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,650 |
$7,148.15 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,650 |
$12,577 |
1.0× |
| Bx vulva/perineum 1 lesion (56605) |
$920 |
$11,637.60 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$1,650 |
$7,148.15 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,270 |
$12,577 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$218 |
$1,001.11 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,235 |
$10,797.90 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,156 |
$6,741.99 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$249 |
$1,330.70 |
1.0× |
| Change g-tube to g-j perc (49446) |
$1,918 |
$7,416.75 |
1.0× |
| Chemical Cautery Tissue (17250) |
$200 |
$938.15 |
1.0× |
| Chest tube placement (32551) |
$1,573 |
$7,061.05 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,579 |
$15,253.50 |
1.0× |
| Circum 28 days or older (54161) |
$2,089 |
$14,870.20 |
1.0× |
| Circumcision (54150) |
— |
$8,964.95 |
— |
| Circumcision Neonate (54160) |
— |
$3,011.75 |
— |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$306 |
$1,237.40 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$246 |
$290 |
1.0× |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
$1,607 |
$7,086.05 |
1.0× |
| Closed treat wrist dislocation (25660) |
$246 |
$2,761 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$246 |
$352 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$246 |
$1,157 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,551 |
$1,724 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,607 |
$7,086.05 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,607 |
$12,577 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$246 |
$6,808.35 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$246 |
$2,375 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$246 |
$199 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$246 |
$1,206.98 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$246 |
$498 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,607 |
$12,577 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$246 |
$447 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$246 |
$1,039.70 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$246 |
$3,078 |
1.0× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,607 |
$436 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$246 |
$1,039.70 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,607 |
$904 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,607 |
$7,086.05 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,196 |
$5,202.85 |
1.0× |
| Colonoscopy for bleeding (44391) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy stoma w/snare (44394) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy through stoma with decompression (44408) |
$929 |
$5,214.23 |
1.0× |
| Colonoscopy thru stoma (44388) |
$929 |
$3,968.25 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy w/band ligation (45398) |
$1,196 |
$6,858.53 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,196 |
$6,858.53 |
1.0× |
| Colonoscopy w/stent plcmt (45389) |
$6,068 |
$22,480.30 |
1.0× |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
$7,412 |
$12,409.96 |
1.0× |
| Colpopexy, vaginal; intra-peritoneal approach (uterosacral, levator myorrhaphy) (57283) |
$7,412 |
$25,154 |
1.0× |
| Colporrhaphy suture injury vagina (57200) |
$3,235 |
$12,577 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
$1,196 |
$5,202.85 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
$1,196 |
$6,858.53 |
1.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,196 |
$5,202.85 |
1.0× |
| Complete replacement picc rs&i (36584) |
$1,573 |
$5,468.15 |
1.0× |
| Complex Drainage, Wound (10180) |
$2,903 |
$11,891.50 |
1.0× |
| Conization of cervix (57520) |
$3,235 |
$11,945.10 |
1.0× |
| Conization of cervix (57522) |
$3,235 |
$12,930.60 |
1.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$212 |
$1,063.29 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$133 |
$563.20 |
1.0× |
| Conversion ext bil drg cath (47535) |
$3,579 |
$14,736.60 |
1.0× |
| Convert nephrostomy catheter (50434) |
$2,089 |
$8,698.75 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,650 |
$7,148.15 |
1.0× |
| Correction hammertoe (28285) |
$3,270 |
$29,870.40 |
1.0× |
| Correction of bunion (28292) |
$3,270 |
$31,442.50 |
1.0× |
| Correction of bunion (28299) |
$7,253 |
$44,019.50 |
1.0× |
| Correction of bunion (28297) |
$12,833 |
$40,875.30 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,270 |
$21,223.68 |
1.0× |
| Create eardrum opening (69436) |
$1,551 |
$10,344.50 |
1.0× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$5,562 |
$44,161.50 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$133 |
$563.20 |
1.0× |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
$3,523 |
$12,577 |
1.0× |
| Cysto w fulg of minor lesions <0.5cm (52224) |
$3,523 |
$12,577 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$3,523 |
$28,298.30 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,523 |
$22,009.80 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,089 |
$12,577 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,523 |
$4,380.99 |
1.0× |
| Cysto/pyeloscopy rescj pelvic tumor (52355) |
$5,359 |
$25,154 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,359 |
$31,442.50 |
1.0× |
| Cystoscopy w/biopsy (52204) |
$2,089 |
$17,293.40 |
1.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,089 |
$14,149.10 |
1.0× |
| Cystoscopy,insert ureteral stent (52332) |
$3,523 |
$15,402.30 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,089 |
$8,964.95 |
1.0× |
| Cystourethroscopy (52000) |
$697 |
$18,865.50 |
1.0× |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
$3,523 |
$12,577 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,089 |
$15,721.30 |
1.0× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,523 |
$28,298.30 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$406 |
$2,414.45 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,903 |
$7,536.96 |
1.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$707 |
$2,896.70 |
1.0× |
| Debride nail 1-5 (11720) |
$58 |
$399 |
1.0× |
| Debride nail 6 or more (11721) |
$58 |
$399 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$406 |
$7,344.30 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$738 |
$2,769 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,650 |
$11,378.15 |
1.0× |
| Declot vascular device (36593) |
$330 |
$1,837.11 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$200 |
$130 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$200 |
$882.25 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$929 |
$3,998.90 |
1.0× |
| Dilate urethra stricture (53620) |
$697 |
$2,782.65 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,235 |
$9,817.94 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,650 |
$13,512.51 |
1.0× |
| Drain shoulder lesion (23030) |
$2,903 |
$31,442.50 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$707 |
$3,249.79 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,650 |
$10,344.50 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$200 |
$938.15 |
1.0× |
| Drainage of gum lesion (41800) |
$133 |
$559.75 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,650 |
$9,640.90 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$406 |
$1,729.20 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$200 |
$882.25 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$200 |
$938.15 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,774 |
$10,344.50 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,918 |
$7,416.75 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,918 |
$8,389.40 |
1.0× |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
$1,918 |
$7,416.75 |
1.0× |
| Egd endoscopic stent place (43266) |
$6,068 |
$22,480.30 |
1.0× |
| Egd flexible foreign body removal (43247) |
$906 |
$4,230.16 |
1.0× |
| Egd guide wire insertion (43248) |
$906 |
$4,048 |
1.0× |
| Egd injection varices (43243) |
$1,918 |
$8,389.40 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,918 |
$7,416.75 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,918 |
$8,389.40 |
1.0× |
| Egd rem tumr/polyp forcep (43250) |
$1,918 |
$7,416.75 |
1.0× |
| Egd remove lesion snare (43251) |
$1,918 |
$8,389.40 |
1.0× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,918 |
$8,389.40 |
1.0× |
| Egd tube/cath insertion (43241) |
$1,918 |
$8,294.05 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$1,918 |
$7,416.75 |
1.0× |
| Egd us fine needle bx/aspir (43242) |
$1,918 |
$8,125.10 |
1.0× |
| Egd Varices Ligation (43244) |
$1,918 |
$8,389.40 |
1.0× |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
$5,562 |
$24,351.30 |
1.0× |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
$5,000 |
$13,910.30 |
1.0× |
| Endometrial Cryoablation With Ultrasonic Guidance, Including Endometrial Curettage, When Performed (58356) |
$5,000 |
$12,577 |
1.0× |
| Endoscopic us exam esoph (43237) |
$1,918 |
$8,125.10 |
1.0× |
| Endovenous rf 1st vein (36475) |
$3,156 |
$13,207.60 |
1.0× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,918 |
$7,416.75 |
1.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,062 |
$7,744.80 |
1.0× |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$3,735 |
$15,652.70 |
1.0× |
| Episiotomy or vaginal repair (59300) |
— |
$13,784 |
— |
| Ercp Duct Stent Placement (43274) |
$6,068 |
$26,274 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,854 |
$16,885.20 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$3,854 |
$16,885.20 |
1.0× |
| Ercp lithotripsy calculi (43265) |
$6,068 |
$22,480.30 |
1.0× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$3,854 |
$16,885.20 |
1.0× |
| Ercp remove forgn body duct (43275) |
$1,918 |
$14,759 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,068 |
$25,142.60 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,854 |
$16,885.20 |
1.0× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,854 |
$16,885.20 |
1.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$906 |
$3,996.60 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,918 |
$7,416.75 |
1.0× |
| Esophagoscopy lesion ablate (43229) |
$3,854 |
$14,123.50 |
1.0× |
| Esophagoscopy w/us needle bx (43232) |
$1,918 |
$7,416.75 |
1.0× |
| Evacuate mole of uterus (59870) |
$3,235 |
$11,460.80 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$133 |
$563.20 |
1.0× |
| Exc abd les sc 3 cm/> (22903) |
$2,903 |
$12,930.60 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,903 |
$12,998.80 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,650 |
$4,927.82 |
1.0× |
| Exc face les sbq 2 cm/> (21012) |
$1,650 |
$12,930.60 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$1,650 |
$5,172.25 |
1.0× |
| Exc forearm les sc < 3 cm (25075) |
$1,650 |
$10,344.50 |
1.0× |
| Exc hand les sc < 1.5 cm (26115) |
$1,650 |
$12,577 |
1.0× |
| Exc neck tum deep < 5 cm (21556) |
$2,903 |
$9,273.99 |
1.0× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,650 |
$14,223.70 |
1.0× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,903 |
$20,689 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$707 |
$9,214.77 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$406 |
$15,721.30 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$707 |
$10,344.50 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$707 |
$10,344.50 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,650 |
$14,223.70 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,903 |
$11,891.50 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,650 |
$11,950.70 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,650 |
$8,620.42 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,903 |
$12,577 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,196 |
$10,310.12 |
1.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,903 |
$29,205.50 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,903 |
$10,344.50 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,903 |
$12,930.60 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,903 |
$12,577 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,650 |
$23,436 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,903 |
$10,810.02 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,903 |
$23,150.18 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,650 |
$8,107.52 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,579 |
$16,633.30 |
1.0× |
| Exchange nephrostomy cath (50435) |
$2,089 |
$9,127.30 |
1.0× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,918 |
$7,416.75 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$707 |
$5,172.25 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$707 |
$3,244.85 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$3,235 |
$10,344.50 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$707 |
$12,930.60 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,579 |
$23,275.20 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,650 |
$11,950.70 |
1.0× |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
$1,650 |
$10,344.50 |
1.0× |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
$1,607 |
$10,344.50 |
1.0× |
| Excision of nail fold toe (11765) |
$406 |
$1,758 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,903 |
$35,488.12 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$3,235 |
$10,081.30 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
$3,270 |
$4,310.21 |
1.0× |
| Excision Prepatellar Bursa (27340) |
$3,270 |
$6,288.50 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,650 |
$10,860.80 |
1.0× |
| Excision, graft, extremity (35903) |
$3,156 |
$20,689 |
1.0× |
| Excision, interdigital (Morton) neuroma, single, each (28080) |
$1,607 |
$19,409.80 |
1.0× |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
$2,903 |
$22,009.80 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,903 |
$25,154 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$2,903 |
$15,721.30 |
1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,650 |
$15,516.80 |
1.0× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,903 |
$53,452.30 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,062 |
$7,744.80 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,650 |
$6,877.50 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,650 |
$2,896.70 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$539 |
$2,435.65 |
1.0× |
| External Cephalic Version (59412) |
— |
$1,500 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$557 |
— |
| Fetal non-stress test (59025) |
— |
$878.55 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$707 |
$3,249.79 |
1.0× |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$707 |
$3,249.79 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$406 |
$1,758 |
1.0× |
| Fixation of knee joint (27570) |
$1,607 |
$8,065 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$238 |
$1,204.68 |
1.0× |
| Fna bx w/fluor gdn 1st les (10007) |
$707 |
$2,896.70 |
1.0× |
| Fna bx w/mr gdn 1st les (10011) |
$707 |
$2,896.70 |
1.0× |
| Fusion of foot bones (28715) |
$12,833 |
$26,338.33 |
1.0× |
| Fusion of foot bones (28730) |
$12,833 |
$112,500 |
1.0× |
| Fusion of foot bones (28740) |
$7,253 |
$62,885 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$215 |
$1,261.55 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$707 |
$2,896.70 |
1.0× |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
$2,774 |
$19,714.45 |
1.0× |
| Hysteroscopy ablation (58563) |
$5,000 |
$12,793.20 |
1.0× |
| Hysteroscopy biopsy (58558) |
$3,235 |
$13,377 |
1.0× |
| Hysteroscopy dx sep proc (58555) |
$3,235 |
$16,428.71 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,235 |
$16,586.80 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,000 |
$11,460.80 |
1.0× |
| I&D Abscess Peritonsillar (42700) |
$236 |
$1,089 |
1.0× |
| I&d abscess simple (10060) |
$200 |
$5,817.62 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,903 |
$12,577 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,903 |
$12,411.05 |
1.0× |
| I&d perianal abscess superficial (46050) |
$929 |
$4,029.55 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$707 |
$3,249.79 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,650 |
$7,148.15 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,650 |
$7,148.15 |
1.0× |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
$1,650 |
$6,877.50 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,607 |
$11,088.70 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$406 |
$1,729.20 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,903 |
$28,298.30 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$707 |
$4,055.38 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,650 |
$12,577 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$406 |
$14,787.45 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$202 |
$878.55 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$304 |
$1,414.40 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,607 |
$10,344.50 |
1.0× |
| Incision of heel bone (28300) |
$7,253 |
$21,459.51 |
1.0× |
| Incision of metatarsal (28308) |
$3,270 |
$31,442.50 |
1.0× |
| Incision of rectal abscess (46040) |
$1,196 |
$5,202.85 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$249 |
$1,443 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$738 |
$1,570.40 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$200 |
$938.15 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$884 |
$3,824.20 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$306 |
$6,896.34 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$705 |
$8,947.01 |
1.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$884 |
$3,824.20 |
1.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$705 |
$3,315.73 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$306 |
$1,364.61 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$705 |
$3,315.73 |
1.0× |
| Injection for identification of sentinel node (38792) |
$399 |
$1,885.60 |
1.0× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$627 |
$3,100.05 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$306 |
$1,364.61 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,156 |
$18,490.60 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,156 |
$13,207.60 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,156 |
$13,207.60 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,562 |
$21,882.60 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,562 |
$24,228.70 |
1.0× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$10,448 |
$29,638 |
1.0× |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
$10,448 |
$49,396.70 |
1.0× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$10,448 |
$29,638 |
1.0× |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
$10,448 |
$49,396.70 |
1.0× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$8,272 |
$37,020.60 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$31,377 |
$90,000 |
1.0× |
| Insert 1 electrode pm-defib (33216) |
$8,272 |
$37,020.60 |
1.0× |
| Insert Drug Implant Device (11981) |
$133 |
$4,716.37 |
1.0× |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
$1,918 |
$7,416.75 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,918 |
$7,416.75 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$18,324 |
$4,039 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,156 |
$14,952.20 |
1.0× |
| Insert pacing lead & connect (33224) |
$10,448 |
$29,638 |
1.0× |
| Insert picc cath (36569) |
$1,573 |
$7,061.05 |
1.0× |
| Insert pulse gen mult leads (33221) |
$19,254 |
$53,037 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$133 |
$778.90 |
1.0× |
| Insert tunneled cv cath (36561) |
$3,156 |
$15,965.60 |
1.0× |
| Insert/ preplace infusn pump,nonprogram (62361) |
$18,017 |
$80,336.90 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,579 |
$15,917 |
1.0× |
| Insertion of cannula (36800) |
$5,562 |
$21,882.60 |
1.0× |
| Insertion of tunneled intraperitoneal catheter for dialysis, open (49421) |
$3,579 |
$22,009.80 |
1.0× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$8,272 |
$37,020.60 |
1.0× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$22,235 |
$65,989.40 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,156 |
$14,308.30 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,156 |
$14,308.30 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,156 |
$14,952.20 |
1.0× |
| Insj/rplcmt defib w/lead(s) (33249) |
$31,377 |
$71,999.80 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,272 |
$37,020.60 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$8,272 |
$37,020.60 |
1.0× |
| Insrt pulse gen w/dual leads (33230) |
$22,235 |
$65,989.40 |
1.0× |
| Insrt pulse gen w/mult leads (33231) |
$31,377 |
$90,000 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$539 |
$2,435.65 |
1.0× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,573 |
$7,061.05 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$5,689 |
$25,200 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$906 |
$3,807.75 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$236 |
$1,076.90 |
1.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$249 |
$1,390.58 |
1.0× |
| Knee arthroscopy/surgery (29883) |
$3,270 |
$18,865.50 |
1.0× |
| Knee arthroscopy/surgery (29876) |
$3,270 |
$12,577 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$7,253 |
$5,520 |
1.0× |
| Lap ing hernia repair init (49650) |
$6,043 |
$29,419.40 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,043 |
$31,442.50 |
1.0× |
| Laparoscopy appendectomy (44970) |
$6,043 |
$16,951.60 |
1.0× |
| Laparoscopy Remove Adnexa (58661) |
$6,043 |
$31,278.10 |
1.0× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$10,625 |
$30,498.02 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$10,625 |
$40,875.30 |
1.0× |
| Laparoscopy tubal block (58671) |
$6,043 |
$23,137.80 |
1.0× |
| Laparoscopy Tubal Cautery (58670) |
$6,043 |
$25,831.20 |
1.0× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,043 |
$18,236.30 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,043 |
$8,384.67 |
1.0× |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
$6,043 |
$25,616.46 |
1.0× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$10,625 |
$21,357.33 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,043 |
$22,250.60 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,043 |
$25,154 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,043 |
$23,647.60 |
1.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,043 |
$22,009.80 |
1.0× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$10,625 |
$44,446.70 |
1.0× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$6,043 |
$12,047.71 |
1.0× |
| Laps W/Revision Intraperitoneal Catheter (49325) |
$6,043 |
$22,009.80 |
1.0× |
| Laryngoscopy Flexible Diagnostic (31575) |
$199 |
$821.95 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,779 |
$6,846.45 |
1.0× |
| Laryngoscopy,Direct,Diagnostic (31525) |
$1,779 |
$6,846.45 |
1.0× |
| Laser vaporization surgery prostate, complete (52648) |
$5,359 |
$22,009.80 |
1.0× |
| Late closure of wound (13160) |
$3,542 |
$25,154 |
1.0× |
| Lateral retinacular release open (27425) |
$3,270 |
$21,850 |
1.0× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$7,253 |
$34,586.80 |
1.0× |
| Ligation of a-v fistula (37607) |
$3,156 |
$12,611.70 |
1.0× |
| Ligation of hemorrhoid(s) (46221) |
$929 |
$5,455 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,650 |
$15,721.30 |
1.0× |
| Liver Biopsy (47000) |
$1,650 |
$7,148.15 |
1.0× |
| Lyse Chest Fibrin Init Day (32561) |
$627 |
$3,100.05 |
1.0× |
| Marsup Bartholin Gland Cyst (56440) |
$3,235 |
$19,189.30 |
1.0× |
| Mast mod rad (19307) |
$6,637 |
$14,149.13 |
1.0× |
| Mastectomy partial (19301) |
$3,914 |
$22,989.70 |
1.0× |
| Mastectomy simple complete (19303) |
$6,637 |
$12,577 |
1.0× |
| Musculoskeletal surgery (20999) |
$246 |
$10,480.83 |
1.0× |
| Myelography Lumbar Injection (62305) |
$783 |
$3,530.15 |
1.0× |
| Myelography Lumbar Injection (62304) |
$783 |
$3,575.90 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$783 |
$3,458.75 |
1.0× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$783 |
$3,458.75 |
1.0× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$3,235 |
$10,344.50 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$446 |
$1,740.80 |
1.0× |
| Neuroplasty, major peripheral nerve, arm or leg, open; sciatic nerve (64712) |
$1,952 |
$22,009.80 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416 |
$2,177.68 |
1.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$249 |
$1,209.17 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,579 |
$15,253.50 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,579 |
$16,633.30 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$884 |
$3,824.20 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$697 |
$4,112.86 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$697 |
$3,011.75 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,914 |
$18,865.50 |
1.0× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$7,253 |
$24,525.20 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,253 |
$42,971.40 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,253 |
$28,298.30 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,253 |
$33,538.70 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,253 |
$26,726.10 |
1.0× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$7,253 |
$26,052.40 |
1.0× |
| Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) |
$7,253 |
$27,250.17 |
1.0× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$7,253 |
$18,865.50 |
1.0× |
| Open treatment talus fracture (28445) |
$7,253 |
$23,057.83 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$3,270 |
$22,009.80 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,270 |
$4,710.81 |
1.0× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$7,253 |
$22,009.80 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,270 |
$3,930.31 |
1.0× |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
$7,253 |
$26,071.30 |
1.0× |
| Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) |
$7,253 |
$50,308 |
1.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,270 |
$4,024.63 |
1.0× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$12,833 |
$39,428.89 |
1.0× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$7,253 |
$27,250.17 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,539 |
$48,503.50 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,539 |
$29,007.10 |
1.0× |
| Optx hum fx w/ntrcndylr xtn (24546) |
$12,833 |
$53,452.30 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,579 |
$20,689 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,270 |
$31,442.50 |
1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$7,253 |
$14,542.15 |
1.0× |
| Osteotomy, tarsal bones, other than calcaneus or talus; (28304) |
$7,253 |
$17,817.41 |
1.0× |
| Ovarian cystectomy (58925) |
$5,000 |
$30,394.40 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,607 |
$12,577 |
1.0× |
| Partial Removal Foot Fascia (28060) |
$3,270 |
$19,651.60 |
1.0× |
| Pelvic exam under anesthesia (57410) |
$3,235 |
$8,065 |
1.0× |
| Perc Radiofreq Ablate Renal Tumor (50592) |
$6,043 |
$22,979.30 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,539 |
$48,345.20 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$707 |
$3,249.79 |
1.0× |
| Percut Mech Thrombectomy, Venous (37187) |
$11,539 |
$48,503.50 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,235 |
$11,528.92 |
1.0× |
| Peritoneal Lavage (49084) |
$906 |
$3,807.75 |
1.0× |
| Perq dev breast 1st mr guide (19287) |
$707 |
$2,896.70 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,650 |
$7,148.15 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,523 |
$8,698.75 |
1.0× |
| Perq dilation xst trc new access renal coltj sys (50437) |
$3,523 |
$14,634.30 |
1.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,918 |
$7,416.75 |
1.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$6,043 |
$22,979.30 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$249 |
$1,390.58 |
1.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$18,324 |
$80,320 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,539 |
$52,474.40 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,689 |
$25,200 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$7,253 |
$31,324.80 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,253 |
$28,498 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,270 |
$13,116.70 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,270 |
$13,116.70 |
1.0× |
| Pin finger fracture each (26756) |
$3,270 |
$13,142.97 |
1.0× |
| Place Cath Subclavian Art (36225) |
$3,156 |
$13,207.60 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$3,156 |
$13,207.60 |
1.0× |
| Place Cath Vertebral Art (36226) |
$5,562 |
$21,882.60 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$446 |
$1,756.65 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,043 |
$22,979.30 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,043 |
$22,979.30 |
1.0× |
| Plmt bile duct stent prq new access w/sep cath (47540) |
$6,043 |
$22,979.30 |
1.0× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,089 |
$8,980.20 |
1.0× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,523 |
$15,370.30 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,523 |
$15,370.30 |
1.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,523 |
$8,698.75 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,523 |
$16,073.90 |
1.0× |
| Pr tenotomy prq achilles tendon spx general anes (27606) |
$3,270 |
$20,437.60 |
1.0× |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
$6,043 |
$12,577 |
1.0× |
| Prim art mech thrombectomy (37184) |
$18,324 |
$23,392.70 |
1.0× |
| Proctosigmoidoscopy w/bx (45305) |
$1,196 |
$9,432.75 |
1.0× |
| Prostatectomy (turp) (52601) |
$5,359 |
$27,250.20 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,579 |
$14,736.60 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,579 |
$15,253.50 |
1.0× |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
$7,253 |
$17,974.70 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$406 |
$882.25 |
1.0× |
| Puncture Aspiration (10160) |
$406 |
$1,758 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$707 |
$3,249.79 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,607 |
$3,206.32 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,270 |
$3,448.16 |
1.0× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$2,903 |
$11,460.80 |
1.0× |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
$7,253 |
$53,452.30 |
1.0× |
| Reconstr disloc patella w mscl adv (27422) |
$7,253 |
$28,298.30 |
1.0× |
| Reconstruct Shoulder Joint (23470) |
$12,833 |
$55,633.20 |
1.0× |
| Reduce testis torsion (54600) |
$3,523 |
$25,154 |
1.0× |
| Relocation of skin pocket for pacemaker (33222) |
$2,062 |
$7,744.80 |
1.0× |
| Rem endovas vena cava filter (37193) |
$3,156 |
$13,207.60 |
1.0× |
| Removal biliary drg cath (47537) |
$906 |
$3,996.60 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,650 |
$16,428.71 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,650 |
$25,223.40 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58 |
$290.82 |
1.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,235 |
$11,976.49 |
1.0× |
| Removal Implant Deep (20680) |
$2,903 |
$20,662.20 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,650 |
$6,877.50 |
1.0× |
| Removal Implantable Defib Pulse Generator Only (33241) |
$3,735 |
$15,652.70 |
1.0× |
| Removal neck/armpit lesion (38550) |
$3,914 |
$12,577 |
1.0× |
| Removal of external bone stabilizing device under anesthesia (20694) |
$1,607 |
$12,577 |
1.0× |
| Removal of heel bone (28118) |
$3,270 |
$12,210.17 |
1.0× |
| Removal of intrauterine device (iud) (58301) |
$304 |
$5,587.08 |
1.0× |
| Removal of nail bed (11750) |
$406 |
$2,198.56 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$200 |
$897.75 |
1.0× |
| Removal ppm generator only (33233) |
$8,272 |
$37,020.60 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,062 |
$8,629.30 |
1.0× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$3,156 |
$18,102.90 |
1.0× |
| Remove bladder stone (52318) |
$3,523 |
$44,019.50 |
1.0× |
| Remove cerclage suture (59871) |
$3,235 |
$21,099.82 |
1.0× |
| Remove drug implant device (11982) |
$446 |
$13,142.97 |
1.0× |
| Remove intrvas foreign body (37197) |
$3,156 |
$13,207.60 |
1.0× |
| Remove Pilonidal Cyst Exten (11771) |
$2,903 |
$22,009.80 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$697 |
$4,112.86 |
1.0× |
| Remove Ureter Stent, Percut (50384) |
$2,089 |
$8,698.75 |
1.0× |
| Remove wrist tendon lesion (25111) |
$1,607 |
$10,344.50 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,272 |
$37,020.60 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$133 |
$886.16 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$22,235 |
$65,989.40 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$31,377 |
$90,000 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$22,235 |
$65,989.40 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,448 |
$29,638 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$19,254 |
$93,056.30 |
1.0× |
| Renal biopsy (50200) |
$1,650 |
$7,148.15 |
1.0× |
| Repair achilles tendon (27650) |
$7,253 |
$35,215.60 |
1.0× |
| Repair arm tendon/muscle (24341) |
$7,253 |
$34,586.80 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,156 |
$13,207.60 |
1.0× |
| Repair collat ankle ligmnt,secondary (27698) |
$7,253 |
$29,346.34 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$738 |
$2,414.45 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$406 |
$2,414.45 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$406 |
$2,414.45 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,607 |
$7,286.80 |
1.0× |
| Repair forearm tendon/muscle (25260) |
$3,270 |
$12,930.60 |
1.0× |
| Repair incomplete circumcision (54163) |
$2,089 |
$15,516.80 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,579 |
$52,571.85 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$406 |
$1,570.40 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$406 |
$1,729.20 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$406 |
$1,758 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$406 |
$1,729.20 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$406 |
$1,758 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$406 |
$3,668.29 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$738 |
$2,620.85 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$406 |
$1,729.20 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$406 |
$1,758 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$406 |
$1,758 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$738 |
$2,414.45 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$406 |
$4,310.21 |
1.0× |
| Repair lead pace-defib dual (33220) |
$3,735 |
$15,652.70 |
1.0× |
| Repair lower leg tendons (27676) |
$7,253 |
$29,346.34 |
1.0× |
| Repair of ankle ligament (27695) |
$7,253 |
$40,118.50 |
1.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$6,471 |
$44,019.50 |
1.0× |
| Repair Of Foot Tendon (28208) |
$3,270 |
$28,298.30 |
1.0× |
| Repair of leg tendon each (27658) |
$3,270 |
$47,163.80 |
1.0× |
| Repair of nail bed (11760) |
$738 |
$2,620.85 |
1.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$7,253 |
$33,538.70 |
1.0× |
| Repair of thigh musc (27385) |
$7,253 |
$25,154 |
1.0× |
| Repair of vagina (57260) |
$5,000 |
$23,267.50 |
1.0× |
| Repair rectum & vagina (57250) |
$5,000 |
$9,857.23 |
1.0× |
| Repair rotator cuff acute (23410) |
$7,253 |
$25,154 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,253 |
$28,298.30 |
1.0× |
| Repair Tongue Laceration (41250) |
$446 |
$1,355 |
1.0× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,270 |
$34,586.80 |
1.0× |
| Repair/graft achilles tendon (27652) |
$7,253 |
$39,303.10 |
1.0× |
| Repair/graft flex foot tendon (28202) |
$7,253 |
$13,625.08 |
1.0× |
| Replace duod/jej tube perc (49451) |
$906 |
$3,807.75 |
1.0× |
| Replace g/c tube perc (49450) |
$906 |
$3,807.75 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$906 |
$3,807.75 |
1.0× |
| Reposition pacing-defib lead (33215) |
$3,156 |
$13,207.60 |
1.0× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,156 |
$13,207.60 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,579 |
$31,442.50 |
1.0× |
| Resect forearm/wrist tum<3cm (25077) |
$2,903 |
$5,618.62 |
1.0× |
| Revis reconst shoulder joint (23473) |
$12,833 |
$62,966.40 |
1.0× |
| Revise arm/leg nerve (64708) |
$1,952 |
$26,726.10 |
1.0× |
| Revise knuckle joint (26530) |
$7,253 |
$13,142.97 |
1.0× |
| Revise median n/carpal tunnel surg (64721) |
$1,952 |
$12,063.10 |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$1,952 |
$12,577 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,270 |
$34,586.80 |
1.0× |
| Revision of testis (54660) |
$5,359 |
$25,154 |
1.0× |
| Revision of tips (37183) |
$5,689 |
$23,392.70 |
1.0× |
| Revision of toe (28312) |
$3,270 |
$6,288.50 |
1.0× |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
$12,833 |
$34,500 |
1.0× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$5,562 |
$43,364.60 |
1.0× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,089 |
$12,178.30 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$906 |
$3,807.75 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$446 |
$1,756.65 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$133 |
$745.36 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,196 |
$4,898.95 |
1.0× |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
$2,903 |
$10,810 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,735 |
$15,652.70 |
1.0× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$3,735 |
$15,652.70 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,573 |
$8,702.78 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$627 |
$3,239.55 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$249 |
$1,157.10 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,573 |
$7,061.05 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,156 |
$14,308.30 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,156 |
$14,952.20 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,043 |
$34,483.10 |
1.0× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$6,471 |
$32,558.10 |
1.0× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$6,043 |
$22,295.60 |
1.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,579 |
$20,612.30 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$707 |
$3,109.85 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,573 |
$5,468.15 |
1.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$7,253 |
$37,731 |
1.0× |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
$236 |
$1,629 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$539 |
$3,563.36 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$627 |
$3,100.05 |
1.0× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,156 |
$13,207.60 |
1.0× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,573 |
$7,030.70 |
1.0× |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
$1,918 |
$7,416.75 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$929 |
$4,029.55 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,196 |
$4,898.95 |
1.0× |
| Shldr arthroscop,lyse adhesns (29825) |
$3,270 |
$27,605.20 |
1.0× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,196 |
$4,898.95 |
1.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$929 |
$4,029.55 |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$929 |
$3,724.45 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,196 |
$4,898.95 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$406 |
$1,729.20 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$200 |
$938.15 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$406 |
$1,570.40 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$200 |
$938.15 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$200 |
$938.15 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$200 |
$882.25 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$200 |
$938.15 |
1.0× |
| Skin pinch graft (15050) |
$738 |
$2,414.45 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$738 |
$8,384.66 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$738 |
$8,576.80 |
1.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,062 |
$13,830.70 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,562 |
$21,882.60 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$3,156 |
$13,207.60 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,562 |
$21,882.60 |
1.0× |
| Slitting of prepuce (54001) |
$2,089 |
$10,814.68 |
1.0× |
| Small bowel endoscopy (44376) |
$1,918 |
$7,416.75 |
1.0× |
| Small bowel endoscopy/biopsy (44377) |
$1,918 |
$7,416.75 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$200 |
$938.15 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$406 |
$1,758 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$406 |
$1,765 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$705 |
$3,315.73 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$705 |
$3,172.95 |
1.0× |
| Strapping ankle (29540) |
$162 |
$88 |
1.0× |
| Strapping elbow/wrist (29260) |
$58 |
$90 |
1.0× |
| Strapping hand/finger (29280) |
$58 |
$90 |
1.0× |
| Strapping knee (29530) |
$133 |
$563.20 |
1.0× |
| Strapping shoulder (29240) |
$133 |
$559.75 |
1.0× |
| Strapping toes (29550) |
$58 |
$88 |
1.0× |
| Strapping unna boot (29580) |
$162 |
$705.90 |
1.0× |
| Surgery to stop leg growth (27477) |
$7,253 |
$11,500 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,774 |
$21,620.04 |
1.0× |
| Synovectomy, extensor tendon sheath, wrist, single compartment; (25118) |
$1,607 |
$12,577 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$406 |
$882.25 |
1.0× |
| Tendon excision palm/finger (26145) |
$1,607 |
$18,358.20 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,253 |
$8,384.66 |
1.0× |
| Tenotomy shoulder area single tendon (23405) |
$7,253 |
$15,516.77 |
1.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,607 |
$8,253.66 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,607 |
$12,311.95 |
1.0× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$705 |
$3,265.89 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$627 |
$3,239.55 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$627 |
$3,239.55 |
1.0× |
| Thoracoscopy w/bx nodule (32608) |
$10,625 |
$22,979.30 |
1.0× |
| Thoracoscopy w/bx pleura (32609) |
$6,043 |
$17,778.15 |
1.0× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$6,043 |
$22,979.30 |
1.0× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$3,156 |
$6,741.99 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,562 |
$21,882.60 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$330 |
$1,623.67 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,156 |
$13,207.60 |
1.0× |
| Thyroid biopsy (60100) |
$707 |
$3,249.79 |
1.0× |
| Tibial arthroscopy/surgery (29855) |
$7,253 |
$5,502.43 |
1.0× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,062 |
$10,810 |
1.0× |
| Total hip arthroplasty (27130) |
$12,833 |
$55,580.90 |
1.0× |
| Total knee arthroplasty (27447) |
$12,833 |
$50,290.60 |
1.0× |
| Trach Tube Change (31502) |
$236 |
$1,076.90 |
1.0× |
| Transurethral resection of bladder neck (52500) |
$3,523 |
$12,577 |
1.0× |
| Treat ectopic pregnancy (59151) |
$6,043 |
$18,865.50 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,270 |
$12,577 |
1.0× |
| Treat fracture radius/ulna (25575) |
$7,253 |
$39,303.10 |
1.0× |
| Treat fx distal radial (25606) |
$3,270 |
$13,834.70 |
1.0× |
| Treat fx rad extra-articul (25607) |
$7,253 |
$25,154 |
1.0× |
| Treat heel fracture (28415) |
$7,253 |
$50,308 |
1.0× |
| Treat humerus fracture (23600) |
$246 |
$1,214 |
1.0× |
| Treat knee fracture (27532) |
$3,270 |
$12,577 |
1.0× |
| Treat Lower Leg Fracture (27827) |
$12,833 |
$31,442.50 |
1.0× |
| Treat pleurodesis w/agent (32560) |
$627 |
$7,838.52 |
1.0× |
| Treat radius fracture (24665) |
$7,253 |
$13,142.97 |
1.0× |
| Treat ulnar fracture (24685) |
$7,253 |
$47,163.80 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,607 |
$773 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$246 |
$1,039.70 |
1.0× |
| Treatment of ankle fracture (27822) |
$7,253 |
$23,605.46 |
1.0× |
| Treatment of ankle fracture (27792) |
$7,253 |
$27,529.80 |
1.0× |
| Treatment of bone cyst (20615) |
$707 |
$4,716.37 |
1.0× |
| Treatment of foot infection (28003) |
$3,270 |
$12,577 |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,235 |
$10,497.80 |
1.0× |
| Treatment of tibia fracture (27759) |
$12,833 |
$40,875.30 |
1.0× |
| Trim skin lesion (11055) |
$200 |
$897.75 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$200 |
$882.25 |
1.0× |
| Trim skin lesions over 4 (11057) |
$200 |
$882.25 |
1.0× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$5,689 |
$24,784.20 |
1.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$5,689 |
$25,200 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,235 |
$11,762.20 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,235 |
$13,313.70 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$738 |
$9,067.88 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$6,043 |
$12,577 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$6,043 |
$17,523.96 |
1.0× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$6,043 |
$15,721.30 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$162 |
$88 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$246 |
$18,865.50 |
1.0× |
| Unlisted procedure liver (47399) |
$707 |
$2,896.70 |
1.0× |
| Unlisted Procedure Nervous System (64999) |
$306 |
$1,237.40 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$627 |
$6,792.02 |
1.0× |
| Unlisted procedure, forearm or wrist (25999) |
$246 |
$1,030.95 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$202 |
$11,882.16 |
1.0× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$10,448 |
$29,638 |
1.0× |
| Urology Surgery Procedure (53899) |
$249 |
$2,375 |
1.0× |
| Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) |
$5,000 |
$22,009.80 |
1.0× |
| Vag hyst complex (58290) |
$7,412 |
$50,308 |
1.0× |
| Vaginal hysterectomy (58260) |
$5,000 |
$25,953.20 |
1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,000 |
$23,644.80 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$18,324 |
$77,311.40 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,539 |
$29,007.10 |
1.0× |
| Vasc embolize/occlude organ (37243) |
$11,539 |
$48,503.50 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$11,539 |
$48,503.50 |
1.0× |
| Venipuncture (36415) |
$9 |
$44.15 |
1.0× |
| Vulvectomy simple partial (56620) |
$3,235 |
$13,239.20 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$406 |
$2,414.45 |
1.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$738 |
$8,576.80 |
1.0× |
| Xfer single deep low leg tendon (27691) |
$7,253 |
$18,865.50 |
1.0× |