| Abd paracentesis w/imaging (49083) |
$906 |
$5,437.47 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$906 |
$3,807.75 |
1.0× |
| Adj tissue trans/rearrange scalp/arm/leg =<10sqcm (14020) |
$2,062 |
$15,400 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,542 |
$8,400 |
1.0× |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
$2,062 |
$16,467.70 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,062 |
$21,000 |
1.0× |
| Adjt/rearrgmt scalp/arm/leg 10.1-30.0 sq cm (14021) |
$2,062 |
$17,100 |
1.0× |
| Amputation Finger/Thumb (26951) |
$3,270 |
$11,200 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,270 |
$14,250 |
1.0× |
| Amputation of penis; partial (54120) |
$3,523 |
$29,070 |
1.0× |
| Amputation Toe Metatarsophalangeal Joint (28820) |
$3,270 |
$14,250 |
1.0× |
| Amputation, foot; transmetatarsal (28805) |
$3,270 |
$14,250 |
1.0× |
| Anosc rmvl mult tumors cautery/snare (46612) |
$2,774 |
$11,200 |
1.0× |
| Anoscopy diagnostic (46600) |
$133 |
$532.40 |
1.0× |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
$5,000 |
$14,250 |
1.0× |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
$162 |
$961.19 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$279 |
$1,177.90 |
1.0× |
| Application finger splint static (29130) |
$133 |
$563.20 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$162 |
$961.19 |
1.0× |
| Application long leg splint thigh ankle/toes (29505) |
$162 |
$961.19 |
1.0× |
| Application Of Rigid Total Contact Leg Cast (29445) |
$279 |
$1,649.06 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$133 |
$760.27 |
1.0× |
| Application short leg splint calf foot (29515) |
$162 |
$961.19 |
1.0× |
| Apply long leg cast brace (29358) |
$279 |
$1,177.90 |
1.0× |
| Apply short leg cast (29405) |
$279 |
$1,177.90 |
1.0× |
| Apply short leg cast (29425) |
$279 |
$1,177.90 |
1.0× |
| Arterial puncture (36600) |
$133 |
$532.40 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,156 |
$21,400.90 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
$5,562 |
$17,100 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$306 |
$1,237.40 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$306 |
$3,821.34 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$306 |
$1,305.85 |
1.0× |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
$7,253 |
$16,800 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,527 |
$81,200 |
1.0× |
| Arthroplasty radial head w/implant (24366) |
$12,833 |
$17,100 |
1.0× |
| Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) |
$7,253 |
$25,650 |
1.0× |
| Arthroscopy of joint (29999) |
$246 |
$4,350 |
1.0× |
| Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) |
$3,270 |
$17,100 |
1.0× |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
$3,270 |
$15,200 |
1.0× |
| Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) |
$3,270 |
$19,950 |
1.0× |
| Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) |
$3,270 |
$13,300 |
1.0× |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
$3,270 |
$17,319.20 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,270 |
$25,650 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,253 |
$9,722.98 |
1.0× |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
$7,253 |
$16,273.83 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,270 |
$8,775.98 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,270 |
$7,355.69 |
1.0× |
| Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) |
$3,270 |
$9,264.75 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,253 |
$11,114.59 |
1.0× |
| Arthrotomy, with synovectomy, ankle; (27625) |
$3,270 |
$8,568 |
1.0× |
| Aspir/inj thyroid cyst (60300) |
$707 |
$1,738.02 |
1.0× |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
$2,089 |
$11,411.88 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,562 |
$24,370.30 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$200 |
$1,071.05 |
1.0× |
| Axillary lymphadenectomy; complete (38745) |
$6,043 |
$5,600 |
1.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$6,471 |
$14,736.60 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,650 |
$4,126.50 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy Breast Open Incisional (19101) |
$3,914 |
$9,875 |
1.0× |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
$920 |
$16,205.50 |
1.0× |
| Biopsy muscle deep (20205) |
$2,903 |
$14,250 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
$3,914 |
$9,088.33 |
1.0× |
| Biopsy Pancrea Percutaneous Needle (48102) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy pleura percutaneous needle (32400) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy Salivary Gland Incisional (42405) |
$1,551 |
$19,992 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,650 |
$4,757.89 |
1.0× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$2,903 |
$11,400 |
1.0× |
| Biopsy soft tissue shoulder superficial (23065) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy/removal lymph nodes (38525) |
$3,914 |
$18,763.90 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,914 |
$25,200 |
1.0× |
| Bladder Irrigation Simple (51700) |
$249 |
$1,180.24 |
1.0× |
| Bladder Scan (51798) |
$58 |
$279.50 |
1.0× |
| Blood patch (62273) |
$705 |
$5,697.02 |
1.0× |
| Blood transfusion service (36430) |
$441 |
$1,940.20 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$441 |
$14,000 |
1.0× |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
$7,253 |
$9,975 |
1.0× |
| Bone marrow aspiration only (38220) |
$1,650 |
$6,877.50 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,650 |
$6,877.50 |
1.0× |
| Breast augmentation with implant (19325) |
$8,170 |
$14,250 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,726 |
$14,250 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,650 |
$6,877.50 |
1.0× |
| Bx anorectal wall anal approach (45100) |
$2,774 |
$14,000 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,650 |
$9,628.50 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$1,650 |
$9,628.50 |
1.0× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,270 |
$8,721 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,235 |
$16,013.70 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,156 |
$14,308.30 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$249 |
$7,669.82 |
1.0× |
| Change Ureter Stent, Percut (50382) |
$2,089 |
$19,950 |
1.0× |
| Chemical Cautery Tissue (17250) |
$200 |
$1,259.85 |
1.0× |
| Chest tube placement (32551) |
$1,573 |
$5,468.15 |
1.0× |
| Chg Collect Blood From Catheter Venous Nos (36592) |
$133 |
$532.40 |
1.0× |
| Circum 28 days or older (54161) |
$2,089 |
$18,248.70 |
1.0× |
| Circumcision (54150) |
$2,089 |
$7,895.64 |
1.0× |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$306 |
$1,543.68 |
1.0× |
| Claviculectomy; partial (23120) |
$3,270 |
$14,535 |
1.0× |
| Close Rx Fingr Articular Fx,Manip (26742) |
$1,607 |
$9,193.38 |
1.0× |
| Closed Rx Med Malleolus Fx (27760) |
$246 |
$1,125.45 |
1.0× |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
$1,607 |
$7,112.55 |
1.0× |
| Closed rx prox/neck femur fx,manip (27232) |
$1,607 |
$6,961.75 |
1.0× |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
$1,607 |
$9,193.38 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$246 |
$11,628 |
1.0× |
| Closed treatment pst malleolus fracture w/manj (27768) |
$1,607 |
$6,566.70 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$246 |
$1,125.45 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$246 |
$1,125.45 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$246 |
$1,504.45 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,607 |
$3,940.02 |
1.0× |
| Closed tx femoral fracture prox head w manip (27268) |
$1,607 |
$1,324.24 |
1.0× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$3,270 |
$13,116.70 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$246 |
$1,125.45 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,551 |
$6,395.50 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$246 |
$1,125.45 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,607 |
$6,776.95 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$246 |
$1,125.45 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,607 |
$6,566.70 |
1.0× |
| Closed tx septal&nose fx (21337) |
$3,314 |
$13,096.50 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$246 |
$675.27 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$246 |
$1,035.05 |
1.0× |
| Clsd tx clavicular fracture w/manipulation (23505) |
$1,607 |
$6,566.70 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$246 |
$1,125.45 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,607 |
$5,650 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$246 |
$1,607.14 |
1.0× |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
$246 |
$1,125.45 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$246 |
$1,125.45 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$246 |
$1,125.45 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$246 |
$675.27 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$246 |
$1,575.63 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,607 |
$8,888.62 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$246 |
$783.15 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,607 |
$7,172.60 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$246 |
$1,147.96 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$246 |
$675.27 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$246 |
$1,607.14 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$246 |
$675.27 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$246 |
$785.58 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$246 |
$1,607.14 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$246 |
$6,387.82 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$246 |
$1,125.45 |
1.0× |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
$1,607 |
$5,700 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$246 |
$783.15 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$246 |
$1,125.45 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,607 |
$6,566.70 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$246 |
$1,607.14 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,607 |
$6,776.95 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$246 |
$1,125.45 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,607 |
$3,940.02 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,196 |
$5,814 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,196 |
$9,175.64 |
1.0× |
| Colporrhaphy suture injury vagina (57200) |
$3,235 |
$11,200 |
1.0× |
| Colposcopy vulva (56820) |
$202 |
$829.65 |
1.0× |
| Colsc flx with directed submucosal njx any sbst (45381) |
$1,196 |
$4,602.18 |
1.0× |
| Complete replacement picc rs&i (36584) |
$1,573 |
$5,468.15 |
1.0× |
| Complex Drainage, Wound (10180) |
$2,903 |
$8,697.25 |
1.0× |
| Conization of cervix (57520) |
$3,235 |
$14,250 |
1.0× |
| Conization of cervix (57522) |
$3,235 |
$11,581.30 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$133 |
$532.40 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$133 |
$760.27 |
1.0× |
| Convert nephrostomy catheter (50434) |
$2,089 |
$7,250 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,650 |
$7,184.95 |
1.0× |
| Correction hammertoe (28285) |
$3,270 |
$11,400 |
1.0× |
| Correction of bunion (28299) |
$7,253 |
$11,341.17 |
1.0× |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
$5,562 |
$28,500 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$133 |
$426.34 |
1.0× |
| Cult skin graft f/n/hf/g (15155) |
$3,542 |
$14,886.50 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,089 |
$21,802.50 |
1.0× |
| Cysto w fulgertn lg bladder tumor(s) (52240) |
$5,359 |
$22,800 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,523 |
$15,675 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,089 |
$12,532.80 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$3,523 |
$6,063.33 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,523 |
$14,500 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,523 |
$7,825.56 |
1.0× |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
$3,523 |
$7,133.75 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,359 |
$6,310.55 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,359 |
$17,389.50 |
1.0× |
| Cystoscopy w/biopsy (52204) |
$2,089 |
$12,112.50 |
1.0× |
| Cystoscopy w/complex removal stone & stent (52315) |
$2,089 |
$11,628 |
1.0× |
| Cystoscopy,Dil Urethral Stricture (52281) |
$2,089 |
$14,250 |
1.0× |
| Cystoscopy,insert ureteral stent (52332) |
$3,523 |
$8,663.68 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,089 |
$11,200 |
1.0× |
| Cystourethroscopy (52000) |
$697 |
$12,825 |
1.0× |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
$2,089 |
$14,250 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,089 |
$11,400 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,089 |
$8,550 |
1.0× |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
$3,523 |
$13,683.62 |
1.0× |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
$3,523 |
$14,250 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,903 |
$9,315.60 |
1.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$707 |
$2,896.70 |
1.0× |
| Debride nail 1-5 (11720) |
$58 |
$269.65 |
1.0× |
| Debride nail 6 or more (11721) |
$58 |
$285.09 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$406 |
$2,220.54 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
$738 |
$8,973.92 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,650 |
$9,810.54 |
1.0× |
| Declot vascular device (36593) |
$330 |
$1,599.95 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$1,952 |
$14,281.90 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,952 |
$12,040 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$200 |
$25,200 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$884 |
$8,400 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$884 |
$8,400 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,952 |
$15,120 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$705 |
$3,242.60 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$929 |
$10,379 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,235 |
$12,738.45 |
1.0× |
| Drain Ext Ear Absc/Blood,Complic (69005) |
$1,650 |
$6,877.50 |
1.0× |
| Drain hand tendon sheath (26020) |
$3,270 |
$11,200 |
1.0× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$707 |
$2,896.70 |
1.0× |
| Drain shoulder lesion (23030) |
$2,903 |
$5,712 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$707 |
$2,896.70 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$200 |
$3,429.92 |
1.0× |
| Drainage of eyelid abscess (67700) |
$317 |
$1,387.80 |
1.0× |
| Drainage of gum lesion (41800) |
$133 |
$760.27 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,650 |
$7,148.15 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,650 |
$6,877.50 |
1.0× |
| Draw blood off venous device (36591) |
$133 |
$532.40 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$406 |
$1,884.48 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$200 |
$882.25 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$200 |
$1,071.25 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,774 |
$14,000 |
1.0× |
| Dx bone marrow bx & aspir (38222) |
$2,903 |
$12,916.30 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$1,918 |
$5,675 |
1.0× |
| Egd flexible foreign body removal (43247) |
$906 |
$14,250 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,918 |
$9,800 |
1.0× |
| Egd remove lesion snare (43251) |
$1,918 |
$8,400 |
1.0× |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
$1,918 |
$5,700 |
1.0× |
| Egd Varices Ligation (43244) |
$1,918 |
$5,700 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$11,539 |
$48,345.20 |
1.0× |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
$2,062 |
$7,929.25 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,062 |
$7,744.80 |
1.0× |
| Ercp Duct Stent Placement (43274) |
$6,068 |
$17,400 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$3,854 |
$14,123.50 |
1.0× |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
$3,854 |
$8,700 |
1.0× |
| Ercp remove forgn body duct (43275) |
$1,918 |
$14,500 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,068 |
$11,600 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,854 |
$11,832 |
1.0× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$3,854 |
$10,039.01 |
1.0× |
| Escharotomy initial incision (16035) |
$406 |
$1,579.55 |
1.0× |
| Esophagoscopy flex biopsy (43202) |
$1,918 |
$5,600 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$133 |
$563.20 |
1.0× |
| Ex tum/vasc mal sft tis hand/fngr subfsc 1.5+cm (26113) |
$1,650 |
$8,550 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,650 |
$11,628 |
1.0× |
| Exc abd les sc 3 cm/> (22903) |
$2,903 |
$22,034.30 |
1.0× |
| Exc arm/elbow les sc 3 cm/> (24071) |
$2,903 |
$14,732.50 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,650 |
$8,400 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,650 |
$11,760 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,650 |
$5,674.67 |
1.0× |
| Exc back les sc < 3 cm (21930) |
$1,650 |
$4,609.76 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$2,903 |
$13,180.90 |
1.0× |
| Exc face les sbq 2 cm/> (21012) |
$1,650 |
$11,200 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,650 |
$22,869.30 |
1.0× |
| Exc foot/toe tum sc < 1.5 cm (28043) |
$1,650 |
$11,400 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$1,650 |
$18,435.80 |
1.0× |
| Exc forearm les sc < 3 cm (25075) |
$1,650 |
$8,400 |
1.0× |
| Exc hand les sc < 1.5 cm (26115) |
$1,650 |
$22,397.46 |
1.0× |
| Exc neck tum deep < 5 cm (21556) |
$2,903 |
$12,821.40 |
1.0× |
| Exc parotid tumor or gland lateral lobe w/dissec. preserve facial nerve 42415 (42415) |
$5,917 |
$15,641.70 |
1.0× |
| Exc Sacr Press Ulc Bone & Suture (15933) |
$2,903 |
$17,100 |
1.0× |
| Exc shoulder les sc 3 cm/> (23071) |
$1,650 |
$8,400 |
1.0× |
| Exc shoulder tum deep 5 cm/> (23073) |
$2,903 |
$11,200 |
1.0× |
| Exc skin abd (15830) |
$6,637 |
$28,235.50 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$707 |
$5,600 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$406 |
$8,400 |
1.0× |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
$707 |
$10,316.70 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$707 |
$6,661.42 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
$1,650 |
$8,891.67 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,903 |
$14,000 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,650 |
$10,941.70 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Face,Facial (11643) |
$1,650 |
$12,600 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,903 |
$7,093.33 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,650 |
$12,400 |
1.0× |
| Exc Sweat Gland Lesn Perineal,Complx (11471) |
$2,903 |
$11,400 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,903 |
$19,481.60 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,903 |
$16,800 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,196 |
$13,676.35 |
1.0× |
| Exc tum/vas mal sft tis hand/fngr subfasc<1.5cm (26116) |
$1,650 |
$11,200 |
1.0× |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
$2,903 |
$14,164.70 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,650 |
$5,712 |
1.0× |
| Exc Tumor Soft Tiss Forearm&/Wrist Subfasc <3Cm (25076) |
$1,650 |
$8,400 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,903 |
$14,000 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,903 |
$12,600 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,903 |
$11,200 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,650 |
$9,800 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,650 |
$8,400 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,903 |
$15,103 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) |
$2,903 |
$8,400 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,650 |
$8,400 |
1.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,903 |
$12,725 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,903 |
$3,360 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,579 |
$14,736.60 |
1.0× |
| Exchange nephrostomy cath (50435) |
$2,089 |
$8,698.75 |
1.0× |
| Exchng absc/cst drg cath rad gid spx (49423) |
$1,918 |
$7,416.75 |
1.0× |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
$1,607 |
$8,400 |
1.0× |
| Excision Breast Lesion (19125) |
$3,914 |
$9,800 |
1.0× |
| Excision hidradenitis axillary complex repair (11451) |
$2,903 |
$23,441.20 |
1.0× |
| Excision hidradenitis inguinal smpl/intrm rpr (11462) |
$2,903 |
$19,314.60 |
1.0× |
| Excision hydrocele bilateral (55041) |
$3,579 |
$22,800 |
1.0× |
| Excision Lactiferous Duct Fistula (19112) |
$3,914 |
$11,200 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$406 |
$4,095 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
$707 |
$5,600 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$707 |
$9,800 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$707 |
$6,426 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) |
$707 |
$7,770 |
1.0× |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
$707 |
$16,800 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 3.1-4.0 Cm (11644) |
$1,650 |
$19,600 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$707 |
$14,000 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,650 |
$14,375 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,650 |
$8,568 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$707 |
$6,013 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$707 |
$9,445.33 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,579 |
$14,820 |
1.0× |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
$3,270 |
$14,000 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,650 |
$7,916.80 |
1.0× |
| Excision of nail fold toe (11765) |
$406 |
$942.24 |
1.0× |
| Excision of skin and subcutaneous tissue for hidradenitis, inguinal; with complex repair (11463) |
$2,903 |
$12,725 |
1.0× |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
$2,903 |
$18,767.92 |
1.0× |
| Excision of spermatocele, with or without epididymectomy (54840) |
$2,089 |
$14,000 |
1.0× |
| Excision of submandibular (submaxillary) gland (42440) |
$5,917 |
$11,415 |
1.0× |
| Excision of urethral diverticulum (separate procedure); male Other Surgical Services (53235) |
$5,359 |
$7,837.50 |
1.0× |
| Excision olecranon bursa (24105) |
$3,270 |
$11,400 |
1.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$2,903 |
$22,271.30 |
1.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,903 |
$11,200 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,650 |
$13,066.70 |
1.0× |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
$1,650 |
$3,696 |
1.0× |
| Excision, lesion of tendon sheath, forearm and/or wrist (25110) |
$1,607 |
$11,200 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) |
$2,903 |
$14,000 |
1.0× |
| Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intramuscular); 2 cm or greater (21014) |
$2,903 |
$10,800 |
1.0× |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
$2,903 |
$9,800 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,903 |
$14,150 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
$2,903 |
$16,800 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
$2,903 |
$14,000 |
1.0× |
| Excision, tumor, soft tissue of upper arm or elbow area, subfasc ial (eg, intramuscular); 5 cm or greater (24073) |
$2,903 |
$25,525 |
1.0× |
| Excision/curettage cyst/tumor radius/ulna (25120) |
$3,270 |
$17,100 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,062 |
$8,400 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,650 |
$8,400 |
1.0× |
| Exploration of knee joint (27310) |
$3,270 |
$14,250 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,650 |
$11,200 |
1.0× |
| Explore & Treat Metacarpo-Phal Jt (26075) |
$3,270 |
$14,000 |
1.0× |
| Explore parathyroid glands (60500) |
$5,917 |
$34,246.70 |
1.0× |
| Explore treat shoulder joint (23107) |
$7,253 |
$8,874 |
1.0× |
| Explore/treat hand joint (26070) |
$1,607 |
$11,400 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,270 |
$14,000 |
1.0× |
| Fetal Contraction Stress Test (59020) |
— |
$2,166.31 |
— |
| Fetal non-stress test (59025) |
— |
$1,184.74 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$707 |
$3,102 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$406 |
$1,570.40 |
1.0× |
| Fixation of knee joint (27570) |
$1,607 |
$5,600 |
1.0× |
| Fixation of shoulder (23700) |
$1,607 |
$6,533.33 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$238 |
$1,646.20 |
1.0× |
| Fna bx w/fluor gdn 1st les (10007) |
$707 |
$2,896.70 |
1.0× |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
$2,062 |
$8,400 |
1.0× |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
$2,062 |
$9,860.67 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,062 |
$8,330 |
1.0× |
| Fusion Finger Joint (26860) |
$3,270 |
$16,975 |
1.0× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,542 |
$12,813.10 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$707 |
$2,896.70 |
1.0× |
| Harvest cultured skin graft (15040) |
$2,062 |
$8,113.70 |
1.0× |
| Hemorrhoidectomy (46255) |
$2,774 |
$11,514 |
1.0× |
| Hysteroscopy ablation (58563) |
$5,000 |
$13,126 |
1.0× |
| Hysteroscopy biopsy (58558) |
$3,235 |
$12,596.70 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,235 |
$20,299.68 |
1.0× |
| I&D Abscess Peritonsillar (42700) |
$236 |
$1,030.70 |
1.0× |
| I&d abscess simple (10060) |
$200 |
$1,071.25 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,903 |
$8,400 |
1.0× |
| I&d perianal abscess superficial (46050) |
$929 |
$6,086.62 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$707 |
$10,232.70 |
1.0× |
| I&D Rectal Abscess + Fistulectomy (46060) |
$2,774 |
$4,760 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,650 |
$6,877.50 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,650 |
$6,877.50 |
1.0× |
| Immediate breast prosthesis (19340) |
$8,170 |
$6,540.75 |
1.0× |
| Implant neuroelectrodes (63650) |
$6,370 |
$12,880 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,607 |
$9,022.22 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$406 |
$2,242.53 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,903 |
$7,134.87 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$707 |
$4,055.38 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,650 |
$11,200 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$406 |
$1,906.46 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$202 |
$1,161.51 |
1.0× |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
$2,903 |
$11,200 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$304 |
$1,949.22 |
1.0× |
| Incision drainage of lacrimal sac (68420) |
$2,376 |
$9,676 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,607 |
$11,260 |
1.0× |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
$6,370 |
$25,650 |
1.0× |
| Incision of metatarsal (28308) |
$3,270 |
$11,312 |
1.0× |
| Incision of rectal abscess (46040) |
$1,196 |
$7,386.98 |
1.0× |
| Incision of urethra (53010) |
$5,359 |
$28,000 |
1.0× |
| Incision thrombosed hemorrhoid external (46083) |
$249 |
$694.26 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$738 |
$2,769 |
1.0× |
| Inguinofem Lmphadec Supfc W/Cloquets Nod (38760) |
$6,637 |
$25,650 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$200 |
$1,259.85 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$884 |
$10,477.80 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$306 |
$1,237.40 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$884 |
$9,733.68 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
$705 |
$10,863.89 |
1.0× |
| Inject 5th nerv-2,3 div,f.ovale (64605) |
$1,952 |
$14,000 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$884 |
$8,953.50 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$306 |
$5,600 |
1.0× |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
$705 |
$9,975 |
1.0× |
| Injection aa&/strd suprascapular nerve (64418) |
$705 |
$7,733.33 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$306 |
$1,271.62 |
1.0× |
| Injection anes other peripheral nerve/branch (64450) |
$705 |
$4,937.75 |
1.0× |
| Injection for identification of sentinel node (38792) |
$399 |
$7,797.77 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$306 |
$1,767.01 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$306 |
$1,305.85 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$306 |
$5,600 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,156 |
$11,100.41 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,156 |
$13,207.60 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,156 |
$13,207.60 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,562 |
$21,882.60 |
1.0× |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
$10,448 |
$47,079.90 |
1.0× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$10,448 |
$47,079.90 |
1.0× |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
$8,272 |
$37,020.60 |
1.0× |
| Insert cervical dilator (59200) |
— |
$1,414.40 |
— |
| Insert non-tunnel cv cath (36556) |
$3,156 |
$6,811.90 |
1.0× |
| Insert pacing lead & connect (33224) |
$10,448 |
$52,000.80 |
1.0× |
| Insert picc cath (36569) |
$1,573 |
$7,061.05 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,573 |
$3,100.05 |
1.0× |
| Insert picvad cath (36570) |
$3,156 |
$13,207.60 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$133 |
$760.27 |
1.0× |
| Insert tunneled cv cath (36561) |
$3,156 |
$12,867.60 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$5,562 |
$21,882.60 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$133 |
$845.05 |
1.0× |
| Insertion of cannula (36800) |
$5,562 |
$21,882.60 |
1.0× |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
$19,393 |
$10,744.50 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,573 |
$5,468.15 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,272 |
$37,456.90 |
1.0× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$22,235 |
$90,000 |
1.0× |
| Insj inflatable urethral/bladder neck sphincter (53445) |
$20,718 |
$30,800 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,156 |
$13,207.60 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,156 |
$7,924.56 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
$5,562 |
$21,882.60 |
1.0× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$3,156 |
$13,207.60 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,156 |
$25,176.15 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,170 |
$8,400 |
1.0× |
| Insj/rplcmt defib w/lead(s) (33249) |
$31,377 |
$90,000 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,272 |
$37,456.90 |
1.0× |
| Insrt pulse gen w/dual leads (33230) |
$22,235 |
$90,000 |
1.0× |
| Insrt/redo spine n generator (63685) |
$30,846 |
$15,400 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$539 |
$1,819.26 |
1.0× |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
$1,573 |
$5,225.78 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$5,689 |
$23,392.70 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$906 |
$3,807.75 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$236 |
$1,471.84 |
1.0× |
| Irrigate corpora cavernosa for priapism (54220) |
$249 |
$1,619.94 |
1.0× |
| Knee arthroscopy/surgery (29883) |
$3,270 |
$19,950 |
1.0× |
| Knee arthroscopy/surgery (29876) |
$3,270 |
$10,687.50 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$7,253 |
$22,036.50 |
1.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$7,253 |
$64,900 |
1.0× |
| Lap ing hernia repair init (49650) |
$6,043 |
$27,906.10 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,043 |
$5,600 |
1.0× |
| Lap jejunostomy (44186) |
$6,043 |
$5,700 |
1.0× |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
$10,625 |
$39,900 |
1.0× |
| Laparoscopy appendectomy (44970) |
$6,043 |
$12,970.40 |
1.0× |
| Laparoscopy biopsy (49321) |
$6,043 |
$12,088.20 |
1.0× |
| Laparoscopy Remove Adnexa (58661) |
$6,043 |
$23,494.80 |
1.0× |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
$10,625 |
$33,942.20 |
1.0× |
| Laparoscopy tubal block (58671) |
$6,043 |
$20,694 |
1.0× |
| Laparoscopy Tubal Cautery (58670) |
$6,043 |
$24,958.80 |
1.0× |
| Laparoscopy w/lysis of adhesions (58660) |
$6,043 |
$47,604.90 |
1.0× |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
$6,043 |
$16,975 |
1.0× |
| Laparoscopy, surgical prostatectomy, simple subtotal (including control of postoperative bleeding, vasectomy,… (55867) |
$10,625 |
$45,675 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,043 |
$17,100 |
1.0× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
$10,625 |
$36,216.70 |
1.0× |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
$10,625 |
$14,518 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$10,625 |
$33,300 |
1.0× |
| Laparoscopy, surgical; ablation of renal cysts (50541) |
$10,625 |
$24,072 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,043 |
$18,867.60 |
1.0× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$10,625 |
$57,950 |
1.0× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$10,625 |
$38,550 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,043 |
$38,780 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,043 |
$28,115.50 |
1.0× |
| Laps surg bilateral total pelvic lmphadectomy (38571) |
$10,625 |
$34,046 |
1.0× |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
$10,625 |
$37,200 |
1.0× |
| Laps urtroneocstost w/o cstsc&urtrl stent plmt (50948) |
$10,625 |
$13,533.34 |
1.0× |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
$6,043 |
$32,673.10 |
1.0× |
| Late closure of wound (13160) |
$3,542 |
$29,755.20 |
1.0× |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
$7,253 |
$19,950 |
1.0× |
| Ligation of a-v fistula (37607) |
$3,156 |
$8,550 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,523 |
$14,250 |
1.0× |
| Lithotripsy (50590) |
$3,523 |
$13,254.10 |
1.0× |
| Liver Biopsy (47000) |
$1,650 |
$9,821.07 |
1.0× |
| Manipulation, elbow, under anesthesia (24300) |
$1,607 |
$6,387.50 |
1.0× |
| Manipulation, wrist, under anesthesia (25259) |
$1,607 |
$2,800 |
1.0× |
| Marsup Bartholin Gland Cyst (56440) |
$3,235 |
$20,951.10 |
1.0× |
| Mast mod rad (19307) |
$6,637 |
$20,300 |
1.0× |
| Mastectomy gynecomastia (19300) |
$3,914 |
$24,115.20 |
1.0× |
| Mastectomy partial (19301) |
$3,914 |
$14,570.10 |
1.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$6,637 |
$18,133.30 |
1.0× |
| Mastectomy simple complete (19303) |
$6,637 |
$8,690.34 |
1.0× |
| Mastopexy (19316) |
$6,637 |
$12,491.55 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,573 |
$5,468.15 |
1.0× |
| Mech remov pericath obstr cv dev via ven access (36595) |
$3,156 |
$13,207.60 |
1.0× |
| Muscle-skin graft trunk (15734) |
$3,542 |
$5,814 |
1.0× |
| Myelography Lumbar Injection (62304) |
$783 |
$3,458.75 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$783 |
$2,075.25 |
1.0× |
| Myomectomy 1-4 myomas 250 gm/< vaginal appr (58145) |
$3,235 |
$11,400 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416 |
$2,125.58 |
1.0× |
| Nipple exploration (19110) |
$3,914 |
$11,400 |
1.0× |
| Nipple/areola reconstruction (19350) |
$3,914 |
$7,545.38 |
1.0× |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
$249 |
$1,330.70 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,579 |
$8,841.96 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,579 |
$11,789.28 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$884 |
$6,533.33 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$705 |
$8,960 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$697 |
$2,811.25 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,914 |
$11,400 |
1.0× |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
$7,253 |
$20,900 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,253 |
$25,650 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,253 |
$28,500 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; (23550) |
$7,253 |
$17,442 |
1.0× |
| Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) |
$12,833 |
$18,411 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,253 |
$34,800 |
1.0× |
| Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) |
$12,833 |
$39,900 |
1.0× |
| Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) |
$7,253 |
$22,287 |
1.0× |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
$7,253 |
$24,225 |
1.0× |
| Open treatment of ulnar styloid fracture (25652) |
$7,253 |
$12,825 |
1.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,253 |
$31,307.80 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,270 |
$10,055 |
1.0× |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
$7,253 |
$20,520 |
1.0× |
| Open tx fracture great toe/phalanx/phalanges (28505) |
$3,270 |
$19,598 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,270 |
$17,100 |
1.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,270 |
$10,472 |
1.0× |
| Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) |
$12,833 |
$27,075 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,539 |
$48,345.20 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$11,539 |
$48,345.20 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,579 |
$21,375 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,270 |
$5,600 |
1.0× |
| Osteotomy Phalanx Finger Each (26567) |
$3,270 |
$10,472 |
1.0× |
| Ovarian cystectomy (58925) |
$5,000 |
$14,500 |
1.0× |
| Partial Excision Bone Fibula (27641) |
$3,270 |
$8,550 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,607 |
$14,250 |
1.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,235 |
$11,200 |
1.0× |
| Partial Removal Foot Fascia (28060) |
$3,270 |
$16,800 |
1.0× |
| Partial removal of thyroid (60220) |
$6,043 |
$21,266.70 |
1.0× |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
$9,462 |
$15,950 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,539 |
$48,345.20 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$707 |
$3,715.93 |
1.0× |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
$3,270 |
$11,200 |
1.0× |
| Peri-implant capsulectomy breast complete (19371) |
$3,914 |
$21,375 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$707 |
$8,114.26 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,650 |
$1,738.02 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,523 |
$20,349 |
1.0× |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
$1,918 |
$8,125.10 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$249 |
$1,652.34 |
1.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$18,324 |
$47,819.90 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,539 |
$48,345.20 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,689 |
$24,784.20 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
$7,253 |
$16,800 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,253 |
$21,000 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,270 |
$13,116.70 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,270 |
$13,116.70 |
1.0× |
| Pin radioulnar dislocation (25671) |
$3,270 |
$8,550 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$446 |
$1,740.80 |
1.0× |
| Placement of seton (46020) |
$2,774 |
$23,517.35 |
1.0× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,089 |
$8,698.75 |
1.0× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,523 |
$37,050 |
1.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,523 |
$8,698.75 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,523 |
$15,002.30 |
1.0× |
| Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) |
$5,359 |
$8,721 |
1.0× |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
$6,043 |
$12,600 |
1.0× |
| Preputial Stretching (54450) |
$249 |
$1,357.31 |
1.0× |
| Prim art mech thrombectomy (37184) |
$18,324 |
$77,311.40 |
1.0× |
| Prostatectomy (turp) (52601) |
$5,359 |
$21,800 |
1.0× |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
$6,370 |
$13,842.90 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,579 |
$11,789.28 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$406 |
$1,758 |
1.0× |
| Puncture Aspiration (10160) |
$406 |
$1,570.40 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,607 |
$6,426 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,270 |
$8,400 |
1.0× |
| Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) |
$2,903 |
$16,800 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,952 |
$10,400 |
1.0× |
| Reduce testis torsion (54600) |
$3,523 |
$15,092.70 |
1.0× |
| Reduction of Large Breast (19318) |
$6,637 |
$46,064.30 |
1.0× |
| Release palm contracture (26121) |
$3,270 |
$2,800 |
1.0× |
| Relocation of skin pocket for pacemaker (33222) |
$2,062 |
$8,040.20 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,196 |
$8,721 |
1.0× |
| Removal fb intranasal (30300) |
$133 |
$760.27 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$1,650 |
$8,400 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$707 |
$2,896.70 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,903 |
$11,891.50 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58 |
$285.09 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58 |
$391.30 |
1.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,235 |
$8,568 |
1.0× |
| Removal Implant Deep (20680) |
$2,903 |
$13,211.40 |
1.0× |
| Removal Implantable Contraceptive Capsules (11976) |
$707 |
$25,286.31 |
1.0× |
| Removal of ankle implant (27704) |
$3,270 |
$28,500 |
1.0× |
| Removal of bone lesion (23140) |
$3,270 |
$11,200 |
1.0× |
| Removal of growth of chest wall and rib (21601) |
$2,903 |
$11,200 |
1.0× |
| Removal of Head of Radius (24130) |
$3,270 |
$9,975 |
1.0× |
| Removal of heel bone (28118) |
$3,270 |
$17,400 |
1.0× |
| Removal of intrauterine device (iud) (58301) |
$304 |
$7,438.50 |
1.0× |
| Removal of kidney stone (50081) |
$9,462 |
$23,883.30 |
1.0× |
| Removal of nail bed (11750) |
$406 |
$1,884.48 |
1.0× |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
$200 |
$1,235.15 |
1.0× |
| Removal of sperm cord lesion (55520) |
$3,523 |
$8,400 |
1.0× |
| Removal ppm generator only (33233) |
$8,272 |
$37,020.60 |
1.0× |
| Removal subq cardiac rhythm monitor (33286) |
$707 |
$3,249.85 |
1.0× |
| Removal Tunneled Intraperitoneal Catheter (49422) |
$3,156 |
$20,415.35 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$279 |
$1,163.50 |
1.0× |
| Remove anal fist subq (46270) |
$2,774 |
$14,250 |
1.0× |
| Remove bladder stone (52318) |
$3,523 |
$19,950 |
1.0× |
| Remove Eyelid Foreign Body (67938) |
$317 |
$1,306.40 |
1.0× |
| Remove femur lesion/bursa (27062) |
$3,270 |
$22,800 |
1.0× |
| Remove in/ex hem groups 2+ (46260) |
$2,774 |
$15,675 |
1.0× |
| Remove muti-comp penis pros (54406) |
$3,523 |
$19,600 |
1.0× |
| Remove Pilonidal Cyst Exten (11771) |
$2,903 |
$20,914.10 |
1.0× |
| Remove prostate regrowth (52630) |
$5,359 |
$18,781.50 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$697 |
$7,182 |
1.0× |
| Remove shoulder foreign body (23330) |
$1,650 |
$2,896.70 |
1.0× |
| Remove uro sphincter (53446) |
$5,359 |
$22,800 |
1.0× |
| Remove wrist tendon lesion (25111) |
$1,607 |
$12,800 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,272 |
$22,212.30 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$133 |
$760.27 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$133 |
$563.20 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,448 |
$49,396.70 |
1.0× |
| Renal biopsy (50200) |
$1,650 |
$4,126.50 |
1.0× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$5,359 |
$5,800 |
1.0× |
| Repair achilles tendon (27650) |
$7,253 |
$21,375 |
1.0× |
| Repair collat ankle ligmnt,secondary (27698) |
$7,253 |
$14,790 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$406 |
$5,600 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$406 |
$4,750 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$738 |
$8,700 |
1.0× |
| Repair elbow deb/attch open (24359) |
$3,270 |
$14,500 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,607 |
$7,267.50 |
1.0× |
| Repair forearm tendon/muscle (25270) |
$3,270 |
$7,000 |
1.0× |
| Repair hallux rigidus (28289) |
$3,270 |
$19,600 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,579 |
$17,100 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,579 |
$14,790 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,579 |
$21,707.70 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$406 |
$1,570.40 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$406 |
$2,198.56 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$406 |
$8,099.28 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$406 |
$1,570.40 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$406 |
$942.24 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$406 |
$942.24 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$738 |
$2,414.45 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$406 |
$2,198.56 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$406 |
$942.24 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$738 |
$2,769 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$406 |
$7,910.20 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$406 |
$2,198.56 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$406 |
$6,721.26 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$738 |
$2,414.45 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$406 |
$1,758 |
1.0× |
| Repair lumbar hernia (49540) |
$6,043 |
$17,136 |
1.0× |
| Repair nasal vestibular stenosis (30465) |
$5,917 |
$11,628 |
1.0× |
| Repair nonunion hand (26546) |
$7,253 |
$17,442 |
1.0× |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
$6,471 |
$103,404 |
1.0× |
| Repair of biceps tendon (24340) |
$7,253 |
$19,261.50 |
1.0× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$5,000 |
$17,100 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$7,253 |
$34,884 |
1.0× |
| Repair of humerus (24430) |
$12,833 |
$37,050 |
1.0× |
| Repair of nail bed (11760) |
$738 |
$2,769 |
1.0× |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
$7,253 |
$8,550 |
1.0× |
| Repair of rectocele (45560) |
$2,774 |
$7,267.50 |
1.0× |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) |
$7,253 |
$14,714.34 |
1.0× |
| Repair of vagina (57260) |
$5,000 |
$23,328.60 |
1.0× |
| Repair rectum & vagina (57250) |
$5,000 |
$14,350 |
1.0× |
| Repair rotator cuff acute (23410) |
$7,253 |
$8,010.96 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,253 |
$25,650 |
1.0× |
| Repair Tongue Laceration (41250) |
$446 |
$1,359.20 |
1.0× |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
$3,270 |
$5,814 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$7,253 |
$17,442 |
1.0× |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
$3,270 |
$14,790 |
1.0× |
| Repair/graft achilles tendon (27652) |
$7,253 |
$11,400 |
1.0× |
| Replace elbow joint (24363) |
$17,527 |
$60,900 |
1.0× |
| Replace Tissue Expander (11970) |
$7,253 |
$12,174.25 |
1.0× |
| Reposition gastrostomy tube (43761) |
$249 |
$1,966.26 |
1.0× |
| Reposition pacing-defib lead (33215) |
$3,156 |
$13,207.60 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,270 |
$17,100 |
1.0× |
| Rerepair ing hernia blocked (49521) |
$6,471 |
$20,066.70 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,579 |
$14,250 |
1.0× |
| Revise median n/carpal tunnel surg (64721) |
$1,952 |
$11,052.60 |
1.0× |
| Revise ulnar nerve at elbow (64718) |
$1,952 |
$15,400 |
1.0× |
| Revision of cervix (57700) |
$3,235 |
$11,628 |
1.0× |
| Revision of foot (28116) |
$3,270 |
$22,848 |
1.0× |
| Revision of reconstructed breast (19380) |
$6,637 |
$19,950 |
1.0× |
| Revision of tips (37183) |
$5,689 |
$23,392.70 |
1.0× |
| Revision peri-implant capsule breast (19370) |
$3,914 |
$25,650 |
1.0× |
| Revision spinal neurostim electrode perc array, incl fluoro (63663) |
$6,370 |
$36,400 |
1.0× |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
$5,562 |
$25,650 |
1.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,494 |
$16,800 |
1.0× |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
$2,089 |
$8,400 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$446 |
$1,756.65 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$133 |
$745.36 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,735 |
$15,652.70 |
1.0× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$3,735 |
$15,652.70 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,573 |
$6,193.91 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$627 |
$6,629.25 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,156 |
$13,207.60 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,573 |
$3,280.89 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,156 |
$14,053.50 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,043 |
$25,168.20 |
1.0× |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
$6,471 |
$22,402.90 |
1.0× |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
$6,043 |
$22,168.30 |
1.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,579 |
$12,033.30 |
1.0× |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
$6,471 |
$16,530 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,043 |
$31,350 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,579 |
$22,800 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$707 |
$2,896.70 |
1.0× |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
$3,270 |
$8,568 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$738 |
$1,570.40 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$539 |
$2,435.65 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$539 |
$2,208.60 |
1.0× |
| Rpr non/malunion metarsal w/wo bone graft (28322) |
$7,253 |
$20,349 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$627 |
$1,860.03 |
1.0× |
| Rpsg previously placed cvc under fluor gdnce (36597) |
$1,573 |
$5,468.15 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$1,650 |
$14,250 |
1.0× |
| Secondary urethral surgery (54344) |
$9,462 |
$19,950 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$200 |
$882.25 |
1.0× |
| Shoulder arthroscopy (29805) |
$3,270 |
$8,700 |
1.0× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,196 |
$7,584.24 |
1.0× |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
$929 |
$8,377.75 |
1.0× |
| Simple drainage of abscess of saliva gland (42300) |
$1,551 |
$6,395.50 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$406 |
$942.24 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$200 |
$1,259.85 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$200 |
$1,259.85 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$200 |
$1,259.85 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$200 |
$1,235.15 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$200 |
$1,259.85 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$200 |
$1,259.85 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$200 |
$1,259.85 |
1.0× |
| Skin splt grft trnk/arm/leg (15100) |
$2,062 |
$9,672.40 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$738 |
$11,059.60 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$738 |
$11,059.60 |
1.0× |
| Skin Sub Grft T/Arm/Lg Child (15273) |
$2,062 |
$13,830.70 |
1.0× |
| Skin Tissue Procedure (17999) |
$200 |
$7,125 |
1.0× |
| Skin tissue rearrangement (14040) |
$2,062 |
$14,000 |
1.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,542 |
$16,715.35 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,062 |
$7,744.80 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,562 |
$21,882.60 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$3,156 |
$13,207.60 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,562 |
$21,882.60 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,000 |
$22,400 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$200 |
$1,259.85 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$406 |
$2,198.56 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$406 |
$1,570.40 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$705 |
$3,021.50 |
1.0× |
| Strapping ankle (29540) |
$162 |
$673.10 |
1.0× |
| Strapping elbow/wrist (29260) |
$58 |
$310.99 |
1.0× |
| Strapping knee (29530) |
$133 |
$532.40 |
1.0× |
| Strapping shoulder (29240) |
$133 |
$563.20 |
1.0× |
| Strapping unna boot (29580) |
$162 |
$636.80 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,774 |
$14,200 |
1.0× |
| Suture Digital Nerve Hand/Foot 1 Nerve (64831) |
$1,952 |
$20,706 |
1.0× |
| Suture/repair testicular injury (54670) |
$3,523 |
$11,400 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$406 |
$1,235.15 |
1.0× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,156 |
$7,034.62 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,253 |
$13,718.75 |
1.0× |
| Tenotomy shoulder area single tendon (23405) |
$7,253 |
$22,848 |
1.0× |
| Tenotomy, flexor, finger, open, each tendon (26455) |
$1,607 |
$23,573.50 |
1.0× |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
$627 |
$3,857.54 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$627 |
$4,340.07 |
1.0× |
| Throat Surgery Procedure (42999) |
$236 |
$1,018.20 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,562 |
$23,851.80 |
1.0× |
| Thrombolytic Therapy, Stroke (37195) |
$330 |
$1,493.15 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,156 |
$14,308.30 |
1.0× |
| Thyroid biopsy (60100) |
$707 |
$1,738.02 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$6,043 |
$69,600 |
1.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$5,917 |
$29,000 |
1.0× |
| Tis trnfr trunk 10 sq cm/< (14000) |
$2,062 |
$10,222.53 |
1.0× |
| Tis trnfr trunk 10.1-30sqcm (14001) |
$2,062 |
$16,800 |
1.0× |
| Tissue expander placement breast reconstruction (19357) |
$13,775 |
$11,400 |
1.0× |
| Total hip arthroplasty (27130) |
$12,833 |
$39,875 |
1.0× |
| Total knee arthroplasty (27447) |
$12,833 |
$44,604.80 |
1.0× |
| Total thyroid lobectomy unilateral (60225) |
$6,043 |
$24,650 |
1.0× |
| Trach Tube Change (31502) |
$236 |
$4,790.35 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,551 |
$6,395.50 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
— |
$1,296.86 |
— |
| Transcatheter biopsy (37200) |
$5,562 |
$21,882.60 |
1.0× |
| Transurethral resection of bladder neck (52500) |
$3,523 |
$22,800 |
1.0× |
| Treat clavicle dislocation (23552) |
$7,253 |
$37,050 |
1.0× |
| Treat ectopic pregnancy (59151) |
$6,043 |
$19,833.30 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,270 |
$11,200 |
1.0× |
| Treat Fracture Radius & Ulna (25560) |
$246 |
$1,125.45 |
1.0× |
| Treat fx rad extra-articul (25607) |
$7,253 |
$24,225 |
1.0× |
| Treat heel fracture (28415) |
$7,253 |
$18,411 |
1.0× |
| Treat pleurodesis w/agent (32560) |
$627 |
$3,100.05 |
1.0× |
| Treat thumb fracture (26650) |
$3,270 |
$8,550 |
1.0× |
| Treat toe fracture (28525) |
$3,270 |
$19,950 |
1.0× |
| Treat ulnar fracture (24685) |
$7,253 |
$22,800 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$246 |
$1,607.14 |
1.0× |
| Treatment of ankle fracture (27822) |
$7,253 |
$10,830 |
1.0× |
| Treatment of ankle fracture (27792) |
$7,253 |
$21,375 |
1.0× |
| Treatment of fibula fracture (27784) |
$7,253 |
$22,800 |
1.0× |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
$3,235 |
$9,800 |
1.0× |
| Treatment of tibia fracture (27759) |
$12,833 |
$22,800 |
1.0× |
| Trim skin lesion (11055) |
$200 |
$882.65 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$200 |
$882.65 |
1.0× |
| Trim skin lesions over 4 (11057) |
$200 |
$882.25 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$58 |
$279.50 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,235 |
$11,791.90 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,235 |
$13,484 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$738 |
$7,290.12 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$6,043 |
$13,084.70 |
1.0× |
| Unlisted laparoscopic procedure, ureter (50949) |
$6,043 |
$13,533.33 |
1.0× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$6,043 |
$9,996 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$6,043 |
$15,988.50 |
1.0× |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
$6,043 |
$15,180.56 |
1.0× |
| Unlisted procedure anus (46999) |
$929 |
$13,989.53 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$162 |
$673.10 |
1.0× |
| Unlisted Procedure Dentoalveolar Structures (41899) |
$236 |
$1,058 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$246 |
$1,125.45 |
1.0× |
| Unlisted procedure maternity care & delivery (59899) |
$202 |
$8,400 |
1.0× |
| Unlisted Procedure Nervous System (64999) |
$306 |
$6,426.20 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$246 |
$31,900 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$929 |
$7,609.70 |
1.0× |
| Unlisted procedure spine (22899) |
$246 |
$2,559.34 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$627 |
$3,062.85 |
1.0× |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
$246 |
$17,442 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$906 |
$9,512 |
1.0× |
| Unlisted procedure, hands or fingers (26989) |
$246 |
$10,472 |
1.0× |
| Unlisted procedure, stomach (43999) |
$906 |
$3,807.75 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$202 |
$14,331 |
1.0× |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
$10,448 |
$49,396.70 |
1.0× |
| Urology Surgery Procedure (53899) |
$249 |
$8,649.75 |
1.0× |
| Vaginal delivery only (59409) |
— |
$18,899.50 |
— |
| Vaginal hysterectomy (58260) |
$5,000 |
$21,750 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$11,539 |
$48,345.20 |
1.0× |
| Vasectomy (55250) |
$2,089 |
$14,000 |
1.0× |
| Venipuncture (36415) |
$9 |
$44.15 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$406 |
$2,769 |
1.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$738 |
$11,059.60 |
1.0× |
| Xfer single deep low leg tendon (27691) |
$7,253 |
$23,200 |
1.0× |