| Abd paracentesis w/imaging (49083) |
— |
$22,890.63 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$22,890.63 |
— |
| Abrasion single lesion (15786) |
— |
$58,354.13 |
— |
| Acne surgery (10040) |
— |
$21,711.13 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$18,296.93 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$18,296.93 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$18,296.93 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$33,867.20 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$55,806.77 |
— |
| Amputation foot transmetarsal (28805) |
— |
$55,806.77 |
— |
| Amputation thigh through femur any level (27590) |
— |
$33,867.20 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$32,910.96 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$22,638.01 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$55,806.77 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$27,508.54 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$27,508.54 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$27,508.54 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$27,508.54 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$27,508.54 |
— |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
— |
$33,867.20 |
— |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
— |
$33,867.20 |
— |
| Anoscopy diagnostic (46600) |
— |
$22,127.42 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$22,127.42 |
— |
| Appendectomy (44950) |
— |
$46,324.30 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$150 |
— |
| Application finger splint static (29130) |
— |
$247 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$310 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$350 |
— |
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines |
— |
$95.50–$382 |
— |
| Application short leg splint calf foot (29515) |
— |
$233 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
— |
$486–$1,944 |
— |
| Apply Short Leg Cast (29405) |
— |
$165 |
— |
| Apply short leg cast (29425) |
— |
$475 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
— |
$38,095.71 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
— |
$38,095.71 |
— |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
— |
$38,095.71 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$42,779.21 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$435.02 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$435.02 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$109,206.48 |
— |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
— |
$17,957.46 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$41,189.83 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$109,206.48 |
— |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
— |
$109,206.48 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$34,706.73 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$34,706.73 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$19,381.75 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$289 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$16,940.12 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$16,940.12 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$22,802.58 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$22,646.08 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$18,421.27 |
— |
| Biopsy of rectum (45100) |
— |
$11,994.66 |
— |
| Bladder Irrigation (51700) |
— |
$25,836.99 |
— |
| Blood Transfusion Service (36430) |
— |
$505.98 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$41,708.22 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$41,708.22 |
— |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
— |
$38,095.71 |
— |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
— |
$42,779.21 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
— |
$46,791.27 |
— |
| Bone Marrow Biopsy (38221) |
— |
$49,530.22 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$23,586.03 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$92,034.10 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$47,436.66 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$23,586.03 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$25,604.18 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$35,996.14 |
— |
| Chemical Cautery Tissue (17250) |
— |
$486 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$20,867.07 |
— |
| Circumcision 28 days or older (54161) |
— |
$6,342.53 |
— |
| Circumcision Neonate (54160) |
— |
$6,342.53 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$6,342.53 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$13,655.35 |
— |
| Clear outer ear canal (69200) |
— |
$136.50 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$441 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$3,054 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$81.90 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$13,655.35 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$545 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$13,655.35 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$13,655.35 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$15 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$34,438.49 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$34,438.49 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$22,127.42 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$13,787.92 |
— |
| Colonoscopy thru stoma (44388) |
— |
$22,127.42 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$34,438.49 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$22,127.42 |
— |
| Colonoscopy W/Resection (45390) |
— |
$34,438.49 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$34,438.49 |
— |
| Complex drainage wound (10180) |
— |
$4,133 |
— |
| Composite Skin Graft (15760) |
— |
$21,627.21 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$40,187.74 |
— |
| Conization of cervix (57520) |
— |
$40,187.74 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$21,502.71 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$115.50 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$41,189.83 |
— |
| Correction hammertoe (28285) |
— |
$46,791.27 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$42,779.21 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$44,116.56 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$42,779.21 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$44,116.56 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$44,116.56 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$44,116.56 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$21,502.71 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$21,502.71 |
— |
| Curettage postpartum (59160) |
— |
$24,159.76 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$28,339.30 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$23,043.25 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$28,339.30 |
— |
| Cysto w/up stricture tx (52342) |
— |
$23,231.45 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$23,231.45 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$26,040.39 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$23,231.45 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$23,832.37 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$23,231.45 |
— |
| Cystoscopy implant stent (52282) |
— |
$20,220.36 |
— |
| Cystouretero W/Congen Repr (52400) |
— |
$19,975.54 |
— |
| Cystouretero w/renal strict (52346) |
— |
$23,231.45 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$23,231.45 |
— |
| Cystourethroscopy tx female urethral syndrome (52285) |
— |
$18,225.84 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$23,043.25 |
— |
| Cystourethroscopy; with treatment of intra-renal stricture (eg, balloon dilation, laser, electrocautery, and incision)… (52343) |
— |
$19,118.67 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$44,072.39 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$35,234.13 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$32,088.46 |
— |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
— |
$24,256.26 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$746 |
— |
| Debride nail 1-5 (11720) |
— |
$92 |
— |
| Debride nail 6 or more (11721) |
— |
$92 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$2,003 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$746 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$24,256.26 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$27,229.12 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
— |
$24,256.26 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
— |
$24,256.26 |
— |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
— |
$24,256.26 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
— |
$37,111.58 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
— |
$37,111.58 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
— |
$37,111.58 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
— |
$37,111.58 |
— |
| Delivery of placenta (59414) |
— |
$8,374.74 |
— |
| Dermabrasion regional other than face (15782) |
— |
$58,354.13 |
— |
| Dermabrasion superficial any site (15783) |
— |
$58,354.13 |
— |
| Diagnostic anoscopy (46601) |
— |
$22,127.42 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$22,127.42 |
— |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
— |
$25,836.99 |
— |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
— |
$25,836.99 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$22,747.59 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$40,187.74 |
— |
| Dilation And Curettage Of Cervical Stump (57558) |
— |
$40,187.74 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$23,725.30 |
— |
| Disarticulation At Knee (27598) |
— |
$12,867.24 |
— |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
— |
$66,977.58 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,003 |
— |
| Drainage of rectal abscess (45020) |
— |
$41,149.29 |
— |
| Drainage of rectal abscess (45005) |
— |
$41,149.29 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$27,279.78 |
— |
| Drainage of scrotum (54700) |
— |
$27,279.78 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$259 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$400 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$340 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$260 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$34,390.23 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$27,543.61 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$34,574.86 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$23,140 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$23,014.75 |
— |
| Egd cautery tumor polyp (43250) |
— |
$23,430.86 |
— |
| Egd control bleeding any (43255) |
— |
$22,954.42 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$22,954.42 |
— |
| Egd endo mucosal resection (43254) |
— |
$22,954.42 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$22,896.11 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$22,954.42 |
— |
| Egd guide wire insertion (43248) |
— |
$23,079.67 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$23,430.86 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$23,181.52 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$23,181.52 |
— |
| Egd lesion ablation (43270) |
— |
$23,095.41 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$23,181.52 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$22,954.42 |
— |
| Egd place gastrostomy tube (43246) |
— |
$3,708 |
— |
| Egd remove lesion snare (43251) |
— |
$24,037.34 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$23,181.52 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$23,181.52 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$22,954.42 |
— |
| Egd Varices Ligation (43244) |
— |
$22,954.42 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$22,954.42 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$22,954.42 |
— |
| Embedded ip cath exit-site (49436) |
— |
$51,800.16 |
— |
| Endocervical curettage (57505) |
— |
$40,187.74 |
— |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
— |
$40,187.74 |
— |
| Endoscopic us exam esoph (43237) |
— |
$22,954.42 |
— |
| Endoscopy of ureter (50953) |
— |
$23,231.45 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$23,468.10 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$34,905.53 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$23,364.97 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$19,572.97 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$2,761 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$2,761 |
— |
| Ercp duct stent placement (43274) |
— |
$19,701.70 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$44,817.22 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$22,463.27 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$22,463.27 |
— |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
— |
$22,463.27 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$34,180.70 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$23,468.10 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$23,171.81 |
— |
| Esophagosc Dilate Balloon 30 (43214) |
— |
$22,013.15 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$23,468.10 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$23,468.10 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$22,013.15 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$23,725.30 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$23,468.10 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$20,953.63 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$23,468.10 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$23,468.10 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$20,953.63 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$22,013.15 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$23,468.10 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$23,468.10 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$20,953.63 |
— |
| Esophagoscp Guide Wire Dilat (43196) |
— |
$29,717.85 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$20,953.63 |
— |
| Evacuate mole of uterus (59870) |
— |
$8,860.66 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$186 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$21,080.32 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$26,640.85 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$35,734.66 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$36,919.41 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$36,066.32 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$35,734.66 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$35,566.26 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$21,080.32 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$34,836.87 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$35,734.66 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$35,746.31 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$26,640.85 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$32,940.44 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$32,940.44 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$35,507.92 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$32,325.31 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$32,325.31 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$26,640.85 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$34,836.87 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$26,640.85 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$53,644.26 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$53,644.26 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$36,253.60 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$36,253.60 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$32,325.31 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$32,325.31 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$32,325.31 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$53,644.26 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$53,644.26 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$27,229.12 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$32,325.31 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$42,779.21 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$46,791.27 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$35,507.92 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$34,936.61 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$34,836.87 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$35,507.92 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$35,507.92 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$32,940.44 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$32,940.44 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$32,940.44 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$32,940.44 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
— |
$31,286.53 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$41,708.22 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$42,779.21 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$35,834.51 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$35,834.51 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$51,800.16 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$36,919.41 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$36,376.72 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$36,376.72 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$32,325.31 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$34,180.70 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$34,180.70 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$36,377.81 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$36,377.81 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$36,377.81 |
— |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
— |
$26,640.85 |
— |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
— |
$26,640.85 |
— |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
— |
$31,286.53 |
— |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
— |
$31,286.53 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
— |
$31,286.53 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
— |
$31,286.53 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$32,740.82 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$31,286.53 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
— |
$27,229.12 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$51,800.16 |
— |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
— |
$19,051.28 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$20,336.03 |
— |
| Exploration of knee joint (27310) |
— |
$31,478.17 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$58,519.58 |
— |
| Fasciectomy Palm Only (26121) |
— |
$21,080.32 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$36,376.72 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$36,376.72 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$21,080.32 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$24,537.90 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$24,537.90 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$24,537.90 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$24,537.90 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$24,537.90 |
— |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
— |
$46,791.27 |
— |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
— |
$42,779.21 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
— |
$38,095.71 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$21,627.21 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$98,709.33 |
— |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
— |
$27,488.57 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$42,779.21 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$40,495.43 |
— |
| I&d abscess simple (10060) |
— |
$486 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$39,273.91 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$21,663.36 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$18,415.72 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,038 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$23,468.10 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$18,295.24 |
— |
| Incise external hemorrhoid (46083) |
— |
$175 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$597 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$22,465.97 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$3,192 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$597 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
— |
$24,721.83 |
— |
| Incision of urethra (53025) |
— |
$17,546.60 |
— |
| Incision of urethra (53020) |
— |
$17,546.60 |
— |
| Incision&drainage bursa foot (28001) |
— |
$2,399.28 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$400 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$289 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$400 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$40,142.87 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$119,021.50 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$50,089.98 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$25,604.18 |
— |
| Insert cath pleura w/ image (32557) |
— |
$23,339.31 |
— |
| Insert cath pleura w/o image (32556) |
— |
$23,339.31 |
— |
| Insert cervical dilator (59200) |
— |
$9,832.34 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$19,678.08 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$40,456.51 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$6,466 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$50,089.98 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$28,460.68 |
— |
| Insert pulse gen dual leads (33213) |
— |
$45,088.61 |
— |
| Insert pulse gen mult leads (33221) |
— |
$40,456.51 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$40,456.51 |
— |
| Insert spine infusion device (62360) |
— |
$36,567.11 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$110 |
— |
| Insert tun ip cath perc (49418) |
— |
$52,737.96 |
— |
| Insert tunneled cv cath (36561) |
— |
$43,056.19 |
— |
| Insert tunneled cv cath (36563) |
— |
$31,376.02 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$23,339.31 |
— |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
— |
$42,660.94 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$25,845.17 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$50,089.98 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$6,466 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$25,845.17 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$30,325.59 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$30,325.59 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$29,576.08 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$31,376.02 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$43,056.19 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$43,056.19 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$31,376.02 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$50,089.98 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$45,088.61 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$119,021.50 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$119,021.50 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$119,021.50 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,016 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$178.50 |
— |
| Kidney endoscopy (50553) |
— |
$23,231.45 |
— |
| Kidney endoscopy (50551) |
— |
$23,231.45 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$109,206.48 |
— |
| Lap replace gastr adj device (43773) |
— |
$22,954.42 |
— |
| Lap revision perm ip cath (49325) |
— |
$51,800.16 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$22,954.42 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$31,839.07 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$31,839.07 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$31,839.07 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$25,900.93 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$22,954.42 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$22,954.42 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$29,726.97 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$22,954.42 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$31,839.07 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$92,034.10 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$92,034.10 |
— |
| Laser vaporization of prostate (52648) |
— |
$18,926.32 |
— |
| Late closure of wound (13160) |
— |
$51,800.16 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$32,740.82 |
— |
| Ligate leg veins open (37761) |
— |
$32,740.82 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$28,339.30 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$26,040.39 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$31,839.07 |
— |
| Mast mod rad (19307) |
— |
$17,721.17 |
— |
| Mastectomy simple complete (19303) |
— |
$17,721.17 |
— |
| Maternity Care Procedure (59899) |
— |
$12,902.92 |
— |
| Metatarsectomy (28140) |
— |
$42,779.21 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$32,940.44 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$26,640.85 |
— |
| Nasal surgery procedure (30999) |
— |
$24,509.80 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$27,373.53 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$99,380.28 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$23,468.10 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,041.95 |
— |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$62,751.76 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$35,613.79 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$40,463.54 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$35,855.90 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$35,767.90 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$46,724.02 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$46,724.02 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$32,149.68 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$35,855.90 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$28,990.10 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$35,767.90 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$32,149.68 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$14,511 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$40,463.54 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$46,724.02 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$46,724.02 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$40,463.54 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$40,463.54 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$35,855.90 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$40,463.54 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$35,613.79 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$44,116.56 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$42,779.21 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$42,779.21 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$42,779.21 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$42,779.21 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$42,779.21 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$39,710.27 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$42,779.21 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$42,779.21 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$42,779.21 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$46,724.02 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
— |
$42,779.21 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$45,160.49 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$38,095.71 |
— |
| Partial removal of fibula (27641) |
— |
$38,095.71 |
— |
| Partial removal of toe (28160) |
— |
$46,791.27 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$46,791.27 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$23,231.45 |
— |
| Phalangectomy toe each toe (28150) |
— |
$46,791.27 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$141.75 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$22,127.42 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$22,127.42 |
— |
| Prostate laser enucleation (52649) |
— |
$20,892.58 |
— |
| Prostatic microwave thermotx (53850) |
— |
$20,611.69 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$31,303.93 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$31,287.66 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$42,779.21 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$400 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$597 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$9,725 |
— |
| Rad resect hand tumor 3 cm/> (26118) |
— |
$21,080.32 |
— |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
— |
$53,644.26 |
— |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
— |
$21,080.32 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$32,325.31 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$36,919.41 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$35,821.18 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$35,821.18 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
— |
$32,325.31 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
— |
$53,644.26 |
— |
| Radical resection of tumor; phalanx of toe Facility (28175) |
— |
$46,791.27 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$42,779.21 |
— |
| Realignment of knee (27455) |
— |
$35,613.79 |
— |
| Reinforce hip bones (27187) |
— |
$28,990.10 |
— |
| Release or recession, hamstring, proximal Facility (27097) |
— |
$37,111.58 |
— |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
— |
$95,471.95 |
— |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same… (54416) |
— |
$95,471.95 |
— |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) |
— |
$95,471.95 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$1,038 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
— |
$110–$440 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$94.50 |
— |
| Removal of bladder cyst (51500) |
— |
$51,800.16 |
— |
| Removal of knee prosthesis (27488) |
— |
$69,342.69 |
— |
| Removal of nail bed (11750) |
— |
$597 |
— |
| Removal of urethra (53210) |
— |
$18,905.08 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$51,800.16 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$35,649.54 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$384 |
— |
| Remove foreign body from eye (65205) |
— |
$126 |
— |
| Remove hip pressure sore (15941) |
— |
$34,180.70 |
— |
| Remove hip pressure sore (15940) |
— |
$34,180.70 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$16,004.90 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$38,095.71 |
— |
| Remove muti-comp penis pros (54406) |
— |
$95,471.95 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$168 |
— |
| Remove prostate regrowth (52630) |
— |
$20,892.58 |
— |
| Remove sacrum pressure sore (15937) |
— |
$36,377.81 |
— |
| Remove self-contd penis pros (54415) |
— |
$95,471.95 |
— |
| Remove thigh pressure sore (15951) |
— |
$31,286.53 |
— |
| Remove thigh pressure sore (15956) |
— |
$31,286.53 |
— |
| Remove&replace pm gen singl (33227) |
— |
$40,456.51 |
— |
| Remove/graft foot lesion (28107) |
— |
$42,779.21 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$38,095.71 |
— |
| Remove/replace penis prosth (54410) |
— |
$95,471.95 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$119,021.50 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$119,021.50 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$119,021.50 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$45,088.61 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$45,088.61 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$23,231.45 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,237 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,237 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,237 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,237 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,237 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,237 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,237 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$34,298.46 |
— |
| Repair forearm tendon/muscle (25265) |
— |
$35,876.53 |
— |
| Repair incomplete circumcision (54163) |
— |
$6,342.53 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$22,420 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$22,420 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$22,420 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,016 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,016 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,016 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,016 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,016 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,016 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,016 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,016 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,016 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,016 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,016 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,016 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,016 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,016 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,016 |
— |
| Repair lower leg epiphyses (27734) |
— |
$38,095.71 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$40,463.54 |
— |
| Repair of fibula epiphysis (27732) |
— |
$38,095.71 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$32,149.68 |
— |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring extensive dissection, and… (54348) |
— |
$17,546.60 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$40,463.54 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$40,463.54 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$22,420 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$34,298.46 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$35,876.53 |
— |
| Repair umbilical lesion (49600) |
— |
$51,800.16 |
— |
| Repair webbed toe(s) (28345) |
— |
$35,809.43 |
— |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
— |
$34,298.46 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$22,420 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$22,420 |
— |
| Repair/graft achilles tendon (27652) |
— |
$34,298.46 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$15,719.15 |
— |
| Replace G-J Tube Perc (49452) |
— |
$15,719.15 |
— |
| Replace g/c tube perc (49450) |
— |
$15,719.15 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$22,420 |
— |
| Resect back tum < 5 cm (21935) |
— |
$36,919.41 |
— |
| Resect enlarged toe (28341) |
— |
$46,791.27 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$32,325.31 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$30,757.77 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$46,791.27 |
— |
| Revision of big toe (28310) |
— |
$46,791.27 |
— |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
— |
$36,212.44 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
— |
$36,212.44 |
— |
| Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures… (54352) |
— |
$17,546.60 |
— |
| Revision of toe (28312) |
— |
$46,791.27 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$35,341.97 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$34,417.47 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$54,024.03 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$70,888.85 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$126 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$31,286.53 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$38,311.57 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$40,486.26 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$75.60 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$42,660.94 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$42,660.94 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$42,660.94 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$42,660.94 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$38,741.79 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$42,660.94 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$42,660.94 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$34,298.46 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$475 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$34,298.46 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$22,420 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$22,420 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$22,420 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,016 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$40,463.54 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$34,438.49 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$26,640.85 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$32,940.44 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$32,940.44 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$32,940.44 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$32,940.44 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$26,640.85 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$26,640.85 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$26,640.85 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$19,012.56 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$22,127.42 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$11,807.07 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$475 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$475 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$475 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$15,390.90 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$475 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$475 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$475 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$29,790.65 |
— |
| Skin Pinch Graft (15050) |
— |
$29,790.65 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$2,881 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$2,881 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$5,205 |
— |
| Skin Tissue Procedure (17999) |
— |
$406 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$2,881 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$475 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$475 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$475 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$34,574.86 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$5,205 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$2,761 |
— |
| Strapping elbow or wrist (29260) |
— |
$122 |
— |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
— |
$486–$1,944 |
— |
| Surgery to stop leg growth (27479) |
— |
$38,095.71 |
— |
| Surgery to stop leg growth (27477) |
— |
$38,095.71 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$400 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$2,295.23 |
— |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
— |
$19,051.28 |
— |
| Total Knee Arthroplasty (27447) |
— |
$37,159.22 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$321,648.26 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$321,648.26 |
— |
| Tracheostomy Fenestration W/Skin Flaps (31610) |
— |
$321,648.26 |
— |
| Tracheostomy planned (31600) |
— |
$321,648.26 |
— |
| Tracheostomy Planned Under 2 Years Spx (31601) |
— |
$321,648.26 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$18,296.93 |
— |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
— |
$18,926.32 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$41,149.29 |
— |
| Transur electr resection of prostate (52601) |
— |
$20,611.69 |
— |
| Treat ectopic pregnancy (59151) |
— |
$31,839.07 |
— |
| Treat knee fracture (27532) |
— |
$13,655.35 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$13,655.35 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$275 |
— |
| Treat lower leg dislocation (27832) |
— |
$35,968.35 |
— |
| Treat toe dislocation (28630) |
— |
$462.50 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$35,855.90 |
— |
| Treatment of penis lesion (54115) |
— |
$95,471.95 |
— |
| Trim skin lesion (11055) |
— |
$250 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$300 |
— |
| Trim skin lesions over 4 (11057) |
— |
$350 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$92 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$18,926.32 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
— |
$20,510.77 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$231 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$8,860.66 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$35,855.90 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$8,860.66 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$8,860.66 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$930 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$129,093.73 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$7,396.20 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$22,954.42 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$61,886.90 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$36,514.04 |
— |
| Unlisted procedure anus (46999) |
— |
$68,289.20 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$66,807.43 |
— |
| Unlisted procedure colon (45399) |
— |
$44,530.92 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$35,649.54 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$20,633.31 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$20,633.31 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$21,080.32 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$43,707.83 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$31,327.26 |
— |
| Unlisted procedure liver (47399) |
— |
$7,396.20 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$18,926.32 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$17,839.10 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$19,809.97 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$39,977.83 |
— |
| Unlisted procedure shoulder (23929) |
— |
$478 |
— |
| Unlisted procedure stomach (43999) |
— |
$52,515.65 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$38,028.23 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$68,595.03 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$20,199.98 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$31,943.47 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$40,187.74 |
— |
| Unlisted vascular endoscopy procedure (37501) |
— |
$25,827.93 |
— |
| Upgrade of pacemaker system (33214) |
— |
$45,088.61 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
— |
$16,004.90 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$23,231.45 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$7,539.02 |
— |
| Vaginal delivery only (59409) |
— |
$7,542.47 |
— |
| Vaginoplasty for intersex state Facility (57335) |
— |
$9,832.34 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,616 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$2,761 |
— |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
— |
$19,051.28 |
— |