| Abd paracentesis w/imaging (49083) |
— |
$6,362.16 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$2,269.41 |
— |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
— |
$16,344.08 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
— |
$10,000 |
— |
| Amniocentesis diagnostic (59000) |
— |
$2,012.61 |
— |
| Amniocentesis therapeutic (59001) |
— |
$640.20 |
— |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
— |
$19,760.49 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$17,597.01 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$17,597.01 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$17,597.01 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$17,597.01 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$12,355.65 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$25,458.98 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$8,342.39 |
— |
| Application finger splint static (29130) |
— |
$319.80 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$394.47 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$394.47 |
— |
| Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) |
— |
$17,192.88 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$8,481.34 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$319.80 |
— |
| Application short leg splint calf foot (29515) |
— |
$394.47 |
— |
| Apply multlay comprs arm/hand (29584) |
— |
$394.47 |
— |
| Arterial puncture (36600) |
— |
$319.80 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$25,838.57 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
— |
$29,980.84 |
— |
| Artery-vein autograft (36825) |
— |
$33,490.13 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$7,611.29 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$3,876.79 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$122.73 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$3,517.18 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$7,611.29 |
— |
| Arthrodesis, carpometacarpal joint, thumb, with or without internal fixation; with autograft (includes obtaining graft)… (26842) |
— |
$36,913.70 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$34,911.71 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$97,897.04 |
— |
| Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) |
— |
$70,060.50 |
— |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
— |
$40,634.38 |
— |
| Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction (29889) |
— |
$70,060.50 |
— |
| Arthroscopy, hip, surgical; with femoroplasty (ie, treatment of cam lesion) (29914) |
— |
$13,881.24 |
— |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
— |
$11,015.16 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$19,760.49 |
— |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
— |
$17,597.01 |
— |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
— |
$11,980.50 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$16,530.83 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$19,760.49 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$36,830.18 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$24,907.93 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$15,644.04 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$16,984.74 |
— |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
— |
$28,851.63 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$28,917.80 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
— |
$12,820.82 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$19,626.44 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$32,729.39 |
— |
| Arthrotomy Wrist Joint With Synovectomy (25105) |
— |
$17,597.01 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$14,794.38 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$38,470.64 |
— |
| Av fusion/forearm vein (36820) |
— |
$34,833.80 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$7,066.75 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$4,106.13 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,147.73 |
— |
| Biopsy Breast Open Incisional (19101) |
— |
$21,176.78 |
— |
| Biopsy finger joint lining (26110) |
— |
$12,011.86 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$154.77 |
— |
| Biopsy of palate, uvula (42100) |
— |
$8,327.79 |
— |
| Biopsy of tongue (41100) |
— |
$15,586.25 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$32,591 |
— |
| Biopsy Oropharynx (42800) |
— |
$9,037.37 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$3,782.04 |
— |
| Biopsy Salivary Gland,Needle (42400) |
— |
$3,050.36 |
— |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
— |
$7,137.54 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,977.56 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$6,138.52 |
— |
| Bladder Irrigation Simple (51700) |
— |
$16,503.12 |
— |
| Bladder Scan (51798) |
— |
$153.15 |
— |
| Blood patch (62273) |
— |
$3,613.07 |
— |
| Blood transfusion service (36430) |
— |
$1,086.78 |
— |
| Breast augmentation with implant (19325) |
— |
$35,000 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$17,115.52 |
— |
| Bronch ebus samplng 1/2 node (31652) |
— |
$21,167.52 |
— |
| Bronch ebus samplng 3/> node (31653) |
— |
$26,624.14 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$14,203.03 |
— |
| Bronchoscopy bronch stents (31636) |
— |
$25,399.35 |
— |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
— |
$15,311.53 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$14,680.50 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$23,635.97 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
— |
$18,829.81 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$225.21 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$443.07 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$416.61 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$19,771.59 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$232.35 |
— |
| Cataract surgery complex (66982) |
— |
$10,441.76 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$533.97 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$25,838.57 |
— |
| Chemical Cautery Tissue (17250) |
— |
$8,843.57 |
— |
| Chest tube placement (32551) |
— |
$7,606.57 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$319.80 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$4,770.88 |
— |
| Chromotubation of oviduct, including materials (58350) |
— |
$27,382.41 |
— |
| Circum 28 days or older (54161) |
— |
$16,673.04 |
— |
| Circumcision Neonate (54160) |
— |
$1,710.18 |
— |
| Claviculectomy; partial (23120) |
— |
$13,378.71 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$14,794.38 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$12,011.86 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$6,238.91 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$43,908.35 |
— |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
— |
$67,920.91 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$12,011.86 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$590.40 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$4,023.69 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$590.40 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$16,405.79 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$590.40 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$13,262.22 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$31,668.01 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$590.40 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$11,793.46 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$11,793.46 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$11,793.46 |
— |
| Colonoscopy thru stoma (44388) |
— |
$10,500.59 |
— |
| Colonoscopy w/ablation (45388) |
— |
$11,793.46 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$11,793.46 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$7,979.19 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$8,664.62 |
— |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
— |
$7,979.19 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$11,793.46 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
— |
$11,793.46 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$11,793.46 |
— |
| Complex Drainage, Wound (10180) |
— |
$12,355.65 |
— |
| Complex Uroflowmetry (51741) |
— |
$785.79 |
— |
| Conization of cervix (57520) |
— |
$17,920.27 |
— |
| Conization of cervix (57522) |
— |
$12,887.97 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$14.70 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$412.80 |
— |
| Correction hammertoe (28285) |
— |
$17,597.01 |
— |
| Correction of bunion (28299) |
— |
$19,974.80 |
— |
| Correction of inverted nipples (19355) |
— |
$29,464.59 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$23,456.80 |
— |
| Create eardrum opening (69436) |
— |
$13,169.66 |
— |
| Curettage postpartum (59160) |
— |
$17,920.27 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$28,391.42 |
— |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
— |
$26,071.12 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$23,760.35 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$14,023.63 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$27,010.96 |
— |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$25,131.27 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$1,710.18 |
— |
| Cystoscopy implant stent (52282) |
— |
$19,529.89 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$24,646.37 |
— |
| Cystoscopy,insert ureteral stent (52332) |
— |
$19,628.04 |
— |
| Cystourethroscopy (52000) |
— |
$7,814.58 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$16,605.31 |
— |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
— |
$19,529.89 |
— |
| Debride nail 1-5 (11720) |
— |
$5,000 |
— |
| Debride nail 6 or more (11721) |
— |
$5,000 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$8,391.53 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$12,942.05 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$12,011.86 |
— |
| Declot vascular device (36593) |
— |
$847.86 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$11,049.19 |
— |
| Delivery placenta separate procedure (59414) |
— |
$7,826.97 |
— |
| Destruction benign lesions 15 or more (17111) |
— |
$7,555.93 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$8,843.57 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$11,976.12 |
— |
| Destruction ciliary body (66740) |
— |
$10,113.33 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$5,555.51 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$5,811.99 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$4,023.64 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$9,877.31 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$7,611.29 |
— |
| Drainage of eyelid abscess (67700) |
— |
$9,646.17 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$7,974.28 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$9,907.89 |
— |
| Draw blood off venous device (36591) |
— |
$319.80 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$8,464.22 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$8,843.57 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$8,843.57 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$74.55 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$12,355.65 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$17,353.52 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$17,353.52 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$17,353.52 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$17,353.52 |
— |
| Egd flexible foreign body removal (43247) |
— |
$13,173.49 |
— |
| Egd guide wire insertion (43248) |
— |
$13,173.49 |
— |
| Egd place gastrostomy tube (43246) |
— |
$13,480.91 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$17,353.52 |
— |
| Egd remove lesion snare (43251) |
— |
$14,077.51 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$17,353.52 |
— |
| Egd Varices Ligation (43244) |
— |
$17,353.52 |
— |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
— |
$391.05 |
— |
| Endometrial abltj thermal w/o hysteroscopic guid (58353) |
— |
$25,458.98 |
— |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
— |
$9,831.42 |
— |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
— |
$11,805.43 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$11,805.43 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$319.80 |
— |
| Exc arm/elbow les sc 3 cm/> (24071) |
— |
$12,355.65 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$6,645.80 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$6,782.74 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$6,706.86 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$7,728.66 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$7,580.30 |
— |
| Exc neck tum deep < 5 cm (21556) |
— |
$12,355.65 |
— |
| Exc rect tum transanal part (45171) |
— |
$12,355.65 |
— |
| Exc skin abd (15830) |
— |
$50,579.64 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$6,766.20 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$6,149.53 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$6,584.05 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$6,838.57 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$7,541.68 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$6,886.63 |
— |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
— |
$12,762.47 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$12,355.65 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$7,171.59 |
— |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
— |
$7,168.76 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$12,355.65 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$7,197.78 |
— |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
— |
$12,355.65 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$12,355.65 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$11,793.46 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$6,872.52 |
— |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
— |
$6,333.66 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$6,595.56 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$6,475.32 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$12,355.65 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$7,071.60 |
— |
| Excise excess skin & tissue (15839) |
— |
$12,215.57 |
— |
| Excise excess skin fat pad (15838) |
— |
$12,215.57 |
— |
| Excise excess skin tissue,thigh (15832) |
— |
$12,215.57 |
— |
| Excise excessive skin arm (15836) |
— |
$12,215.57 |
— |
| Excise/repair mouth lesion (40812) |
— |
$6,668.29 |
— |
| Excision Chalazion Single (67800) |
— |
$9,646.17 |
— |
| Excision hidradenitis axillary complex repair (11451) |
— |
$12,355.65 |
— |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
— |
$12,355.65 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$7,319.87 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$8,498.08 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$5,694.97 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$7,477.37 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$7,500 |
— |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
— |
$8,016.08 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$8,016.08 |
— |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
— |
$7,504.21 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$7,085.25 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$7,292.70 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$7,842.48 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$12,355.65 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$6,390.27 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$6,411.63 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$26,465.34 |
— |
| Excision of lesion or tumor (except listed above), dentoalveolar structures; with simple repair (41826) |
— |
$17,597.01 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$6,476.15 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$6,135.51 |
— |
| Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) |
— |
$14,794.38 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$12,355.65 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$11,793.46 |
— |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
— |
$13,524.08 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$12,355.65 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
— |
$15,723.50 |
— |
| Excision olecranon bursa (24105) |
— |
$17,597.01 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$11,772.06 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$12,355.65 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$12,355.65 |
— |
| Excision torus mandibularis (21031) |
— |
$17,597.01 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$7,415.23 |
— |
| Excision, graft, extremity (35903) |
— |
$27,855.27 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$7,060.10 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$12,355.65 |
— |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
— |
$12,355.65 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$14,794.38 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$7,860.81 |
— |
| Explore/Treat Interphalangeal Jt,Ea (26080) |
— |
$14,794.38 |
— |
| External Cephalic Version (59412) |
— |
$7,826.97 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$17,597.01 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$17,597.01 |
— |
| Fetal non-stress test (59025) |
— |
$498.87 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$4,055.32 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$4,006.83 |
— |
| Fixation of knee joint (27570) |
— |
$12,011.86 |
— |
| Fixation of shoulder (23700) |
— |
$4,870.55 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$347.78 |
— |
| Fna bx w/fluor gdn 1st les (10007) |
— |
$4,029.30 |
— |
| Frmj direct/tubed pedicle w/wotr e/n/e/l/ntroral (15576) |
— |
$16,344.08 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$24,641.71 |
— |
| Fusion of thumb (26841) |
— |
$36,913.70 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$36,495.15 |
— |
| Harvest cultured skin graft (15040) |
— |
$16,344.08 |
— |
| Hemorrhoidectomy (46255) |
— |
$12,355.65 |
— |
| Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by stapling (46947) |
— |
$10,218.53 |
— |
| Hip arthro w/labral repair (29916) |
— |
$19,228.32 |
— |
| Hysteroscopy ablation (58563) |
— |
$25,458.98 |
— |
| Hysteroscopy biopsy (58558) |
— |
$18,585.54 |
— |
| Hysteroscopy dx sep proc (58555) |
— |
$17,920.27 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$17,252.97 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$21,087.01 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$12,954.55 |
— |
| I&d abscess simple (10060) |
— |
$6,581.37 |
— |
| I&d perianal abscess superficial (46050) |
— |
$10,033.50 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$7,814.58 |
— |
| I&d submucosal abscess rectum (45005) |
— |
$12,846.31 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$2,293.02 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$2,292.60 |
— |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
— |
$2,308.92 |
— |
| Incise finger tendon sheath (26055) |
— |
$6,992.77 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$4,935.82 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$7,814.58 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$7,974.28 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$6,693.24 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$12,011.86 |
— |
| Incision of eardrum (69420) |
— |
$13,253.51 |
— |
| Incision of lingual frenum (41010) |
— |
$10,293.64 |
— |
| Incision of metatarsal (28308) |
— |
$17,597.01 |
— |
| Incision of rectal abscess (46040) |
— |
$10,702.44 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$12,321.51 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$501.21 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$11,976.12 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$11,976.12 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$11,976.12 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$7,814.58 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$11,976.12 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$11,976.12 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$11,976.12 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$7,814.58 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$11,976.12 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$11,976.12 |
— |
| Inject Nerv Blck,Pudendal (64430) |
— |
$12,009.47 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$3,858.24 |
— |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
— |
$11,976.12 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$7,814.58 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$7,814.58 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$7,979.19 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$7,814.58 |
— |
| Injection for identification of sentinel node (38792) |
— |
$4,239.43 |
— |
| Injection Rx Extremity Pseudoaneurysm (36002) |
— |
$5,198.50 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$7,979.19 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$7,980 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$7,980 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$7,980 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$13,757.79 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$13,757.79 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$26,733.42 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$26,733.42 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$26,733.42 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$21,269.22 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$299.24 |
— |
| Insert nasal septal button (30220) |
— |
$6,727.50 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$16,686.16 |
— |
| Insert picc cath (36569) |
— |
$4,009.50 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$193.88 |
— |
| Insert tunneled cv cath (36561) |
— |
$18,459.02 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$194.25 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$10,765.10 |
— |
| Insertion of tube into middle small bowel using an endoscope (44372) |
— |
$16,344.08 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,117.96 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$21,269.22 |
— |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
— |
$59,011.89 |
— |
| Insj io lens prosthesis not w/concurrent rmvl (66985) |
— |
$10,262.16 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$30,730.55 |
— |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
— |
$35,000 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$82,364.07 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$21,269.22 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$17,597.01 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$12,011.86 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$611.52 |
— |
| Kidney endoscopy & treatment (50580) |
— |
$26,071.12 |
— |
| Knee arthroscopy/surgery (29883) |
— |
$19,760.49 |
— |
| Lap ing hernia repair init (49650) |
— |
$47,811.78 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$30,465.95 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
— |
$60,851.92 |
— |
| Laparoscopy appendectomy (44970) |
— |
$36,168.87 |
— |
| Laparoscopy biopsy (49321) |
— |
$48,773.36 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$24,074.27 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$56,906.55 |
— |
| Laparoscopy tubal block (58671) |
— |
$17,364.94 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$16,369.89 |
— |
| Laparoscopy w/lysis of adhesions (58660) |
— |
$28,965.29 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$27,034.18 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$29,507.81 |
— |
| Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) |
— |
$54,212.25 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
— |
$45,705.74 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$44,468.44 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$49,719.19 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$35,599.19 |
— |
| Laps pelvic lymphadec (38573) |
— |
$50,893.96 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$51,358.51 |
— |
| Laryngoscopy w/bx op scope (31536) |
— |
$20,066.31 |
— |
| Late closure of wound (13160) |
— |
$16,344.08 |
— |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
— |
$28,680.54 |
— |
| Ligation of a-v fistula (37607) |
— |
$31,087.85 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$12,011.86 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$13,289.30 |
— |
| Lithotripsy (50590) |
— |
$17,322.86 |
— |
| Liver Biopsy (47000) |
— |
$236.52 |
— |
| Mast mod rad (19307) |
— |
$48,140.10 |
— |
| Mastectomy gynecomastia (19300) |
— |
$16,765.61 |
— |
| Mastectomy partial (19301) |
— |
$28,561.56 |
— |
| Mastectomy simple complete (19303) |
— |
$46,512.42 |
— |
| Mastopexy (19316) |
— |
$35,261.37 |
— |
| Mediastinoscpy w/lmph nod bx (39402) |
— |
$39,498.69 |
— |
| Musc myoq/fscq flp h&n pedcl (15733) |
— |
$26,465.34 |
— |
| Muscle-skin graft arm (15736) |
— |
$20,564.05 |
— |
| Muscle-skin graft trunk (15734) |
— |
$26,465.34 |
— |
| Myelography Lumbar Injection (62304) |
— |
$1,161.44 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$1,163.79 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$323.04 |
— |
| Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) |
— |
$25,399.35 |
— |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
— |
$17,162.06 |
— |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) |
— |
$17,692.97 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
— |
$25,399.35 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
— |
$25,399.35 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
— |
$17,692.97 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$553.35 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$11,448.51 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$74.55 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,250.34 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$4,425.48 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$4,615.94 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$11,976.12 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$7,814.58 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$52,920.50 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$37,227.37 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$45,408.62 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$59,143.24 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$49,100.22 |
— |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
— |
$60,193.18 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$70,060.50 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$51,185.31 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$46,316.63 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$17,597.01 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$18,904.07 |
— |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
— |
$68,951.84 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$27,541.80 |
— |
| Optx mndblr fx wo ntrdntl (21461) |
— |
$49,657.61 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$17,597.01 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$19,252.04 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$36,495.15 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$22,681.36 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$17,920.27 |
— |
| Perc sk fix metatarsal fx w manip (28476) |
— |
$18,864.57 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$27,541.80 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$19,760.49 |
— |
| Peri-implant capsulectomy breast complete (19371) |
— |
$18,672.13 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$4,009.50 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$269.34 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$228.15 |
— |
| Perq device breast 1st imag (19281) |
— |
$267.12 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$2,207.04 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$17,536.77 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$618.75 |
— |
| Place Cath Subclavian Art (36225) |
— |
$57,460.86 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$25,838.57 |
— |
| Place Cath Vertebral Art (36226) |
— |
$56,560.15 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$9,272.02 |
— |
| Pr rmvl lens material phacofragmentation aspir (66850) |
— |
$10,262.16 |
— |
| Prim art mech thrombectomy (37184) |
— |
$43,899.81 |
— |
| Probe nasolacrimal duct (68811) |
— |
$10,232.40 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$7,541.68 |
— |
| Puncture Aspiration (10160) |
— |
$8,464.22 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$116.10 |
— |
| Pvb thoracic single inj site (64461) |
— |
$7,814.58 |
— |
| Reduction of Large Breast (19318) |
— |
$35,261.37 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) |
— |
$36,495.15 |
— |
| Release wrist/forearm tendon (25295) |
— |
$17,597.01 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$4,565.49 |
— |
| Rem endovas vena cava filter (37193) |
— |
$7,980 |
— |
| Removal Anal Seton Other Marker (46030) |
— |
$11,793.46 |
— |
| Removal fb intranasal (30300) |
— |
$319.80 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$17,597.01 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$5,000 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$5,000 |
— |
| Removal Implant Deep (20680) |
— |
$13,477.87 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$9,831.42 |
— |
| Removal Intact Mammary Implant (19328) |
— |
$11,227.74 |
— |
| Removal of adenoids (42831) |
— |
$17,597.01 |
— |
| Removal of adenoids (42830) |
— |
$17,597.01 |
— |
| Removal of adenoids (42836) |
— |
$17,597.01 |
— |
| Removal of anal fissure (46200) |
— |
$12,355.65 |
— |
| Removal of arm foreign body (24200) |
— |
$6,138.52 |
— |
| Removal of external bone stabilizing device under anesthesia (20694) |
— |
$12,011.86 |
— |
| Removal of heel bone (28118) |
— |
$17,597.01 |
— |
| Removal of heel spur (28119) |
— |
$19,760.49 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$7,979.19 |
— |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
— |
$51,458.63 |
— |
| Removal of nail bed (11750) |
— |
$6,990.55 |
— |
| Removal of sesamoid bone (28315) |
— |
$11,360.49 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$6,835.38 |
— |
| Removal of tonsils (42825) |
— |
$39,498.69 |
— |
| Removal of tonsils (42826) |
— |
$17,597.01 |
— |
| Removal or relocation of corneal conjunctiva with graft (65426) |
— |
$10,232.40 |
— |
| Removal ppm generator only (33233) |
— |
$21,269.22 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$3,093.30 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$11,319.93 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$23,220.19 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$672.36 |
— |
| Remove anal fist subq (46270) |
— |
$12,355.65 |
— |
| Remove bladder stone (52318) |
— |
$23,648.88 |
— |
| Remove drug implant device (11982) |
— |
$6,638.73 |
— |
| Remove eyelid lesion(s) (67808) |
— |
$10,232.40 |
— |
| Remove femur lesion/bursa (27062) |
— |
$17,597.01 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$12,355.65 |
— |
| Remove palate/lesion (42120) |
— |
$39,498.69 |
— |
| Remove wrist tendon lesion (25111) |
— |
$9,247.14 |
— |
| Remove&replace pm gen singl (33227) |
— |
$21,269.22 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$7,335.96 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$319.80 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$59,011.89 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$82,364.07 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$59,011.89 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$26,733.42 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$48,781.95 |
— |
| Renal biopsy (50200) |
— |
$3,838.74 |
— |
| Repair achilles tendon (27650) |
— |
$23,580.63 |
— |
| Repair arm tendon/muscle (24341) |
— |
$67,676.91 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$12,321.51 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$12,321.51 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$13,524.08 |
— |
| Repair elbow deb/attch open (24359) |
— |
$20,442.39 |
— |
| Repair elbow perc (24357) |
— |
$19,760.49 |
— |
| Repair finger tendon (26433) |
— |
$17,597.01 |
— |
| Repair hallux rigidus (28289) |
— |
$19,760.49 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$41,644.95 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$7,944.51 |
— |
| Repair kneecap tendon (27380) |
— |
$36,495.15 |
— |
| Repair lead pace-defib dual (33220) |
— |
$9,831.42 |
— |
| Repair lead pace-defib one (33218) |
— |
$9,831.42 |
— |
| Repair nonunion radius/ulna w autogrft (25405) |
— |
$36,495.15 |
— |
| Repair of anal fistula with fibrin glue (46706) |
— |
$12,355.65 |
— |
| Repair of eardrum structures (69631) |
— |
$14,138.09 |
— |
| Repair of nail bed (11760) |
— |
$12,321.51 |
— |
| Repair of nasal septum (30520) |
— |
$17,597.01 |
— |
| Repair of shoulder (23420) |
— |
$21,477.81 |
— |
| Repair of thigh musc (27385) |
— |
$40,980.40 |
— |
| Repair rotator cuff acute (23410) |
— |
$21,477.81 |
— |
| Repair wrist joints (25447) |
— |
$17,597.01 |
— |
| Reposition pacing-defib lead (33215) |
— |
$7,980 |
— |
| Resect Inferior Turbinate (30140) |
— |
$17,597.01 |
— |
| Revise arm/leg nerve (64708) |
— |
$10,970.85 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$10,063.34 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$16,673.04 |
— |
| Revision of arm tendon (24310) |
— |
$17,597.01 |
— |
| Revision of eyelid (67961) |
— |
$10,232.40 |
— |
| Revision of lower eyelid (15821) |
— |
$16,344.08 |
— |
| Revision of reconstructed breast (19380) |
— |
$35,261.37 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$51,458.63 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$60,387.50 |
— |
| Revision of upper eyelid (15823) |
— |
$16,344.08 |
— |
| Revision peri-implant capsule breast (19370) |
— |
$21,176.78 |
— |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
— |
$37,488.28 |
— |
| Rhytidectomy; Cheek, Chin, & Neck (15828) |
— |
$16,748.49 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$15,000 |
— |
| Rmvl ruptured breast implant w/implant contents (19330) |
— |
$16,507.11 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$9,831.42 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$6,331.79 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$5,585.29 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$18,763.18 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$18,608.60 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$55,212.95 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$46,824.69 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$37,097.83 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$44,085.52 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$51,935.19 |
— |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$16,363.89 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$14,792.66 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
— |
$7,980 |
— |
| Shldr arthroscop,lyse adhesns (29825) |
— |
$12,427.78 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$11,598.38 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$9,802.95 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$4,585.81 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$11,805.43 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$17,246.76 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$14,807.66 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$17,246.76 |
— |
| Skin Tissue Procedure (17999) |
— |
$14,239.29 |
— |
| Skin tissue rearrangement (14040) |
— |
$10,000 |
— |
| Skn splt a-grft fac/nck/hf/g (15120) |
— |
$27,647.18 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$17,246.76 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$39,498.69 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$29,237.49 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$38,470.64 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$25,458.98 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$8,235.80 |
— |
| Sphincterotomy (46080) |
— |
$12,355.65 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$3,747.34 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$7,814.58 |
— |
| Strapping ankle (29540) |
— |
$394.47 |
— |
| Strapping elbow/wrist (29260) |
— |
$153.15 |
— |
| Strapping knee (29530) |
— |
$319.80 |
— |
| Strapping shoulder (29240) |
— |
$319.80 |
— |
| Strapping unna boot (29580) |
— |
$8,342.39 |
— |
| Suction assisted lipectomy head & neck (15876) |
— |
$19,687.83 |
— |
| Suction assisted lipectomy; trunk (15877) |
— |
$10,563 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$12,355.65 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) |
— |
$36,495.15 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$8,235.80 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$14,794.38 |
— |
| Tenotomy elbow lateral/medial debride open (24358) |
— |
$19,760.49 |
— |
| Tenotomy, flexor, finger, open, each tendon (26455) |
— |
$6,820.67 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$15,190.07 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$296.28 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$14,077.05 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$25,838.57 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$38,470.64 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$847.86 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$25,838.57 |
— |
| Thyroid biopsy (60100) |
— |
$3,083.30 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$46,827.14 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
— |
$16,344.08 |
— |
| Tis trnfr trunk 10.1-30sqcm (14001) |
— |
$16,344.08 |
— |
| Tissue expander placement breast reconstruction (19357) |
— |
$38,057.83 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$12,191.50 |
— |
| Total hip arthroplasty (27130) |
— |
$83,054.45 |
— |
| Total knee arthroplasty (27447) |
— |
$83,587.64 |
— |
| Total thyroid lobectomy unilateral (60225) |
— |
$43,982.91 |
— |
| Treat finger dislocation (26775) |
— |
$16,290.31 |
— |
| Treat Finger Fracture Each (26727) |
— |
$14,074.96 |
— |
| Treat fracture radius/ulna (25575) |
— |
$36,495.15 |
— |
| Treat fx distal radial (25606) |
— |
$17,597.01 |
— |
| Treat fx rad extra-articul (25607) |
— |
$62,889.31 |
— |
| Treat knuckle dislocation (26715) |
— |
$19,760.49 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$65,294.11 |
— |
| Treat thumb fracture (26665) |
— |
$19,760.49 |
— |
| Treat ulnar fracture (24685) |
— |
$36,413.37 |
— |
| Treatment of ankle fracture (27822) |
— |
$39,434.52 |
— |
| Treatment of ankle fracture (27792) |
— |
$44,828.59 |
— |
| Treatment of tibia fracture (27759) |
— |
$63,891.74 |
— |
| Trim skin lesion (11055) |
— |
$8,235.80 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$8,235.80 |
— |
| Trim skin lesions over 4 (11057) |
— |
$8,235.80 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$5,000 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$14,309.37 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$12,355.65 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$55,583.23 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$21,374.78 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$13,825.09 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$13,960.86 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$12,441 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$39,498.69 |
— |
| Unlisted laparoscopy procedure, stomach (43659) |
— |
$43,181.99 |
— |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$51,772.20 |
— |
| Unlisted procedure anus (46999) |
— |
$12,009.47 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$12,655.59 |
— |
| Unlisted procedure liver (47399) |
— |
$5,958.65 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$37,833.46 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$13,173.49 |
— |
| Urology Surgery Procedure (53899) |
— |
$14,800.65 |
— |
| Vaginal delivery only (59409) |
— |
$7,826.97 |
— |
| Vaginal hysterectomy (58260) |
— |
$25,458.98 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$25,458.98 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) |
— |
$25,458.98 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$43,899.81 |
— |
| Vasectomy (55250) |
— |
$16,673.04 |
— |
| Venipuncture (36415) |
— |
$26.49 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$17,597.01 |
— |
| Vulvectomy simple partial (56620) |
— |
$23,595.25 |
— |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
— |
$51,563.11 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$12,789.32 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$12,240.77 |
— |