| Abd paracentesis w/imaging (49083) |
— |
$11,521.61 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$32,794.85 |
— |
| Acne Surgery (10040) |
— |
$36,458.84 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
— |
$22,193.10 |
— |
| Amp leg thru tibia&fibula sec closure/scar rev (27884) |
— |
$121,949.69 |
— |
| Amputate metacarpal bone (26910) |
— |
$88,182.14 |
— |
| Amputation Finger/Thumb (26951) |
— |
$88,182.14 |
— |
| Amputation follow-up surgery (25929) |
— |
$88,182.14 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$70,552.18 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$28,140.21 |
— |
| Amputation of finger/thumb (26952) |
— |
$88,182.14 |
— |
| Amputation Toe Metatarsophalangeal Joint (28820) |
— |
$17,306.62 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$70,552.18 |
— |
| Amputation, foot; transmetatarsal (28805) |
— |
$70,552.18 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$121,949.69 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$121,949.69 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Other… (27881) |
— |
$121,949.69 |
— |
| Analyze infusn pump+reprogram (62368) |
— |
$72,625.94 |
— |
| Analyze spine infus pump (62367) |
— |
$72,625.94 |
— |
| Anoscopy diagnostic (46600) |
— |
$59,702.70 |
— |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
— |
$59,702.70 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$11,387.30 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) |
— |
$29,248.27 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$1,818.88 |
— |
| Arterial puncture (36600) |
— |
$778.87 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$35,602.52 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition (36818) |
— |
$23,885.35 |
— |
| Artery to vein shunt (36835) |
— |
$73,165.39 |
— |
| Artery-vein autograft (36825) |
— |
$33,073.12 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$6,988.08 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$5,324.67 |
— |
| Arthrodeses, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments (22800) |
— |
$107,200.81 |
— |
| Arthrodesis ant interbody inc discectomy, cervical below c2 (22551) |
— |
$63,338.80 |
— |
| Arthrodesis Pantalar (28705) |
— |
$106,736.39 |
— |
| Arthrodesis, anterior interbody tech, incl min diskectomy; cervical below c2 (22554) |
— |
$43,177.27 |
— |
| Arthrodesis, combined posterior or posterolateral technique with posterior interbody technique including laminectomy… (22633) |
— |
$120,079.41 |
— |
| Arthrodesis, great toe; metatarsophalangeal joint (28750) |
— |
$67,574.92 |
— |
| Arthrodesis, lateral extracavitary technique, including minimal diskectomy to prepare interspace (other than for… (22533) |
— |
$107,200.81 |
— |
| Arthrodesis, posterior interbody technique, including laminectomy and/or diskectomy to prepare interspace (other than… (22630) |
— |
$111,226.06 |
— |
| Arthrodesis, posterior or posterolateral technique, single level ; lumbar (with lateral transverse technique, when… (22612) |
— |
$102,264.63 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Spinal Fusion… (22804) |
— |
$107,200.81 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments (22802) |
— |
$107,200.81 |
— |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (28737) |
— |
$106,736.39 |
— |
| Arthrodesis; subtalar (28725) |
— |
$106,736.39 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$63,734.93 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) |
— |
$125,847.90 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$33,027.98 |
— |
| Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) |
— |
$19,191.57 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$40,604.44 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$41,084.32 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$38,003.10 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$40,396.70 |
— |
| Arthrotomy Elbow W/Synovial Biopsy Only (24100) |
— |
$29,048.69 |
— |
| Arthrotomy, elbow; with synovectomy (24102) |
— |
$29,048.69 |
— |
| Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) |
— |
$74,985.19 |
— |
| Arthrotomy, with synovectomy, knee; anterior or posterior (27334) |
— |
$125,847.90 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$22,605.60 |
— |
| Av fistula revision (36833) |
— |
$73,165.39 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$41,441.14 |
— |
| Av fusion/forearm vein (36820) |
— |
$73,165.39 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$59,936.07 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$6,124.85 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$47,333.01 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$49,470.19 |
— |
| Bl push transfuse 2 yr/< (36440) |
— |
$51,072.52 |
— |
| Blepharoplasty lower eyelid (15820) |
— |
$32,082.73 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$24,436.56 |
— |
| Blood transfusion service (36430) |
— |
$1,553.71 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$82,923.69 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services (20962) |
— |
$75,686.39 |
— |
| Bone graft, any donor area; major or large (20902) |
— |
$75,686.39 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) (20900) |
— |
$75,686.39 |
— |
| Bone Marrow Biopsy (38221) |
— |
$18,646.45 |
— |
| Breast augmentation with implant (19325) |
— |
$44,651.36 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$45,990.61 |
— |
| Bronch ebus samplng 1/2 node (31652) |
— |
$48,283.74 |
— |
| Bronch ebus samplng 3/> node (31653) |
— |
$32,977.29 |
— |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
— |
$53,842.08 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$47,386.22 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$65,880.04 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$46,369.35 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$87,671.38 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$9,828.32 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$10,258.78 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$9,102.43 |
— |
| Cataract surgery complex (66982) |
— |
$11,645.57 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$12,093.17 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$100,375.34 |
— |
| Change g-tube to g-j perc (49446) |
— |
$116,760.26 |
— |
| Chemical Cautery Tissue (17250) |
— |
$2,245.34 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$225.61 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$46,381.35 |
— |
| Chromotubation of oviduct, including materials (58350) |
— |
$25,881.26 |
— |
| Circum 28 days or older (54161) |
— |
$14,354.45 |
— |
| Circumcision (54150) |
— |
$6,247.48 |
— |
| Circumcision Neonate (54160) |
— |
$359.74 |
— |
| Closed treatment of broken top of shin bone at knee (27538) |
— |
$56,989.62 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$71,043.43 |
— |
| Closure of vagina (57120) |
— |
$31,848.64 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$13,639.71 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$56,989.62 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$56,989.62 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$56,989.62 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$56,989.62 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$13,612.68 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$70,939.31 |
— |
| Colonoscopy stoma w/biopsy (44389) |
— |
$59,994.76 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$70,939.31 |
— |
| Colonoscopy stoma w/snare (44394) |
— |
$70,939.31 |
— |
| Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) |
— |
$59,702.70 |
— |
| Colonoscopy thru stoma (44388) |
— |
$59,702.70 |
— |
| Colonoscopy w/ablation (45388) |
— |
$18,173.32 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$59,702.70 |
— |
| Colonoscopy w/resection (45390) |
— |
$70,939.31 |
— |
| Colpopexy, vaginal; extra-peritoneal approach (sacrospinous, iliococcygeus) (57282) |
— |
$27,284.07 |
— |
| Colporrhaphy suture injury vagina (57200) |
— |
$23,545.77 |
— |
| Colposcopy cervix vag loop eltrd bx cervix (57460) |
— |
$21,418.39 |
— |
| Colsc flx with directed submucosal njx any sbst (45381) |
— |
$14,245.10 |
— |
| Complex Drainage, Wound (10180) |
— |
$38,677.58 |
— |
| Conization of cervix (57520) |
— |
$16,054.63 |
— |
| Conization of cervix (57522) |
— |
$17,943.81 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$1,724.67 |
— |
| Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) |
— |
$86,243.14 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$11,648.83 |
— |
| Correction of bunion (28292) |
— |
$22,929.79 |
— |
| Correction of bunion (28299) |
— |
$22,550.87 |
— |
| Correction of bunion (28297) |
— |
$20,669.05 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$29,273.69 |
— |
| Create eardrum opening (69436) |
— |
$10,160.05 |
— |
| Crtj arven fstl xcp dir arven anast nonautog grf (36830) |
— |
$45,234.71 |
— |
| Curettage postpartum (59160) |
— |
$21,096.56 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$16,526.78 |
— |
| Cysto inc fulg/rescj urtl valves/folds (52400) |
— |
$37,774.14 |
— |
| Cysto insj urtrl gd wire prq nfros rtrgr (52334) |
— |
$51,260.10 |
— |
| Cysto w fulg of minor lesions <0.5cm (52224) |
— |
$28,501.45 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$28,436.77 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$24,091.82 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$18,190.31 |
— |
| Cysto w/tx ureteropelvic junction stricture (52342) |
— |
$51,260.10 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$51,260.10 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$24,520.86 |
— |
| Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) |
— |
$94,716.58 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$52,945.85 |
— |
| Cysto w/urtroscopy w/tx urtropel junct strix (52345) |
— |
$51,260.10 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$32,089.59 |
— |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$40,840.05 |
— |
| Cystoscopy & duct catheter (52010) |
— |
$37,774.14 |
— |
| Cystoscopy and treatment (52330) |
— |
$52,945.85 |
— |
| Cystoscopy stone removal (52325) |
— |
$36,708.32 |
— |
| Cystoscopy w/biopsy (52204) |
— |
$38,419.86 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$16,121.94 |
— |
| Cystoscopy,insert ureteral stent (52332) |
— |
$23,990.29 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$14,056.43 |
— |
| Cystourethroscopy (52000) |
— |
$14,722.17 |
— |
| Cystourethroscopy Inj Chemodenervation Bladder (52287) |
— |
$21,211.88 |
— |
| Cystourethroscopy Insj Radioact Sbst W/Wobx/Fulg (52250) |
— |
$50,264.31 |
— |
| Cystourethroscopy Tx Female Urethral Syndrome (52285) |
— |
$37,774.14 |
— |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
— |
$20,370.38 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$28,934.37 |
— |
| Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic (52351) |
— |
$37,774.14 |
— |
| Cystourethroscopy,Fulgur 2-5 Cm Lesn (52235) |
— |
$28,706.67 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$33,123.18 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$59,971.14 |
— |
| Debride nail 1-5 (11720) |
— |
$54,784.54 |
— |
| Debride nail 6 or more (11721) |
— |
$54,784.54 |
— |
| Debride skin musc at fx site (11011) |
— |
$212,645.55 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$4,030.15 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$13,676.02 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$18,437.45 |
— |
| Declot vascular device (36593) |
— |
$100,375.34 |
— |
| Decompress thigh/knee,>1+debride (27499) |
— |
$209,740.08 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$215,551.02 |
— |
| Decompression of thigh/knee (27497) |
— |
$209,740.08 |
— |
| Decompression of thigh/knee (27498) |
— |
$209,740.08 |
— |
| Decompression of thigh/knee (27496) |
— |
$209,740.08 |
— |
| Decompression; unspecified nerve(s) (specify) (64722) |
— |
$35,265.18 |
— |
| Delivery placenta separate procedure (59414) |
— |
$25,011.97 |
— |
| Derma-fat-fascia graft (15770) |
— |
$34,224.89 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$9,598.49 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$12,933.92 |
— |
| Destruction anal lesion(s) (46924) |
— |
$17,911.98 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$13,524.67 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$13,295.88 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$3,417.03 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$5,664.44 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$37,440.29 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$9,978.11 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$50,900.55 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$17,575.83 |
— |
| Drainage of perirenal or renal abscess, open (50020) |
— |
$48,328.13 |
— |
| Draw blood off venous device (36591) |
— |
$225.61 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$33,123.18 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$33,123.18 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$9,525.15 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$13,562.95 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$29,363.10 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$45,127.85 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$53,772.04 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$13,973.52 |
— |
| Egd Dilation Gastric/Duodenal Stricture - Egd (43245) |
— |
$40,249.70 |
— |
| Egd Endo Mucosal Resection (43254) |
— |
$40,637.78 |
— |
| Egd endoscopic stent place (43266) |
— |
$31,727.15 |
— |
| Egd flexible foreign body removal (43247) |
— |
$12,940.58 |
— |
| Egd guide wire insertion (43248) |
— |
$8,624.76 |
— |
| Egd injection varices (43243) |
— |
$40,637.78 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$54,448.68 |
— |
| Egd place gastrostomy tube (43246) |
— |
$31,246.43 |
— |
| Egd rem tumr/polyp forcep (43250) |
— |
$40,637.78 |
— |
| Egd remove lesion snare (43251) |
— |
$15,744.59 |
— |
| Egd Transoral Control Bleeding Any Method - Egd (43255) |
— |
$12,359.54 |
— |
| Egd tube/cath insertion (43241) |
— |
$54,448.68 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$54,448.68 |
— |
| Egd us fine needle bx/aspir (43242) |
— |
$54,448.68 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$40,637.78 |
— |
| Egd Varices Ligation (43244) |
— |
$10,470.26 |
— |
| Egd w/transmural drain cyst (43240) |
— |
$40,637.78 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$72,625.94 |
— |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
— |
$72,625.94 |
— |
| Emblc/thrmbc femoral popliteal aorto-iliac art (34201) |
— |
$119,060.73 |
— |
| Emblc/thrmbc popliteal-tibio-proneal art leg inc (34203) |
— |
$162,310.36 |
— |
| Endoscopic us exam esoph (43237) |
— |
$40,637.78 |
— |
| Endoscopy of bowel pouch (44385) |
— |
$58,394.66 |
— |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
— |
$58,394.66 |
— |
| Endovenous rf 1st vein (36475) |
— |
$23,124.24 |
— |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur (27185) |
— |
$67,385.39 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$23,545.77 |
— |
| Ercp Duct Stent Placement (43274) |
— |
$51,609.47 |
— |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
— |
$24,883.98 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$66,842.44 |
— |
| Ercp lithotripsy calculi (43265) |
— |
$51,886.61 |
— |
| Ercp Remove Calculi/Debris Biliary/Pancreas Duct - Ercp (43264) |
— |
$46,497.76 |
— |
| Ercp remove forgn body duct (43275) |
— |
$51,886.61 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$66,842.44 |
— |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
— |
$66,842.44 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$50,588.40 |
— |
| Esoph endoscopy dilation (43226) |
— |
$50,900.55 |
— |
| Esoph optical endomicroscopy (43206) |
— |
$58,394.66 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$13,103.63 |
— |
| Esophagosc dilate balloon 30 (43214) |
— |
$45,652.37 |
— |
| Esophagoscop mucosal resect (43211) |
— |
$58,394.66 |
— |
| Esophagoscopy flex biopsy (43202) |
— |
$34,474.06 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$48,371.45 |
— |
| Esophagoscopy flexible transnasal diagnostic (43197) |
— |
$58,394.66 |
— |
| Esophagoscopy flexible transnasal with biopsy (43198) |
— |
$34,474.06 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$58,394.66 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$58,394.66 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$45,652.37 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$58,394.66 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$58,394.66 |
— |
| Esophagoscopy Transoral Stent Placement (43212) |
— |
$58,394.66 |
— |
| Esophagoscopy w/us needle bx (43232) |
— |
$34,474.06 |
— |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
— |
$48,371.45 |
— |
| Esophagoscp rig trnso biopsy (43193) |
— |
$34,474.06 |
— |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
— |
$50,900.55 |
— |
| Evacuate mole of uterus (59870) |
— |
$28,927.37 |
— |
| Exc abd les sc 3 cm/> (22903) |
— |
$121,451 |
— |
| Exc arm/elbow les sc 3 cm/> (24071) |
— |
$18,304.56 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$41,216.98 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$19,363.10 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$121,451 |
— |
| Exc face les sbq 2 cm/> (21012) |
— |
$23,179.46 |
— |
| Exc foot/toe tum sc < 1.5 cm (28043) |
— |
$31,174.48 |
— |
| Exc forearm les sc 3 cm/> (25071) |
— |
$43,938.46 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$43,938.46 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$15,855.05 |
— |
| Exc lesion/tumor dentoalveolar strux w/o rpr (41825) |
— |
$21,543.24 |
— |
| Exc rect tum transanal part (45171) |
— |
$94,481.12 |
— |
| Exc shoulder les sc 3 cm/> (23071) |
— |
$43,938.46 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$19,455.80 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$44,567.91 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$14,687.72 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$20,275.76 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$16,075.64 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$41,216.98 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$20,275.76 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$33,123.18 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$33,062.29 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$44,926.92 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$44,926.92 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$68,436.95 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$13,438.22 |
— |
| Exc tumor soft tissue leg/ankle subfascial <5cm (27619) |
— |
$209,740.08 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$18,239.13 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$26,902.34 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$215,551.02 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$44,926.92 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$75,686.39 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$24,007.43 |
— |
| Exc/curtg cst/b9 tum tarsal/metar w/iliac/agrft (28106) |
— |
$75,686.39 |
— |
| Excis Tendon Sheath Lesion, Hand/Finger (26160) |
— |
$17,837.36 |
— |
| Excise Inferior Turbinate (30130) |
— |
$27,641.27 |
— |
| Excise lesion testis (54512) |
— |
$76,826.95 |
— |
| Excision Breast Lesion (19125) |
— |
$23,740.29 |
— |
| Excision h/p/p/u simple/intermediate repair (11470) |
— |
$14,248.48 |
— |
| Excision Lactiferous Duct Fistula (19112) |
— |
$84,277.80 |
— |
| Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) |
— |
$25,127.44 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$70,468.41 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$70,468.41 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$70,468.41 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$70,468.41 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$25,127.44 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$25,127.44 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$33,123.18 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$17,777.91 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$33,123.18 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$21,037.27 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$22,282.87 |
— |
| Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) |
— |
$4,428.16 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$41,216.98 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$16,965.21 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$17,406.05 |
— |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach (45160) |
— |
$94,481.12 |
— |
| Excision of spermatocele, with or without epididymectomy (54840) |
— |
$76,826.95 |
— |
| Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) |
— |
$121,451 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$14,722.17 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$24,626.66 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$41,970.63 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$22,464.34 |
— |
| Excision tumor soft tissue thigh/knee subq <3cm (27327) |
— |
$44,926.92 |
— |
| Excision, lesion of palate, uvula; with simple primary closure (42106) |
— |
$18,179.89 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$18,399.72 |
— |
| Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) |
— |
$31,174.48 |
— |
| Excision, tumor, soft tissue of forearm and/or wrist area, subfa scial (eg, intramuscular); 3 cm or greater (25073) |
— |
$44,567.91 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$13,828.44 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) |
— |
$209,740.08 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$15,976.65 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) |
— |
$212,645.55 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$43,938.46 |
— |
| Excision/curettage cyst/tumor talus/calcaneus (28100) |
— |
$75,686.39 |
— |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
— |
$82,455.53 |
— |
| Exploration of knee joint (27310) |
— |
$74,985.19 |
— |
| Explore parathyroid glands (60500) |
— |
$41,317.09 |
— |
| Explore/treat elbow joint (24101) |
— |
$29,048.69 |
— |
| Fascia lata graft; by stripper (20920) |
— |
$209,740.08 |
— |
| Fasciectomy, plantar fascia; radical (separate procedure) (28062) |
— |
$31,174.48 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$22,481.02 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$16,105.64 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$4,509.15 |
— |
| Fixation of shoulder (23700) |
— |
$13,401.33 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Other… (20969) |
— |
$75,686.39 |
— |
| Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) |
— |
$41,970.63 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$44,567.91 |
— |
| Fusion Finger Joint (26860) |
— |
$26,893.07 |
— |
| Fusion of foot bones (28715) |
— |
$106,736.39 |
— |
| Fusion of foot bones (28730) |
— |
$67,574.92 |
— |
| Fusion of foot bones (28735) |
— |
$106,736.39 |
— |
| Fusion of foot bones (28740) |
— |
$106,736.39 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$29,363.10 |
— |
| Grafting of autologous soft tissue, other, harvested by direct excision (eg, fat, dermis, fascia) (15769) |
— |
$20,953.68 |
— |
| Harvest cultured skin graft (15040) |
— |
$33,123.18 |
— |
| Hemiarthroplasty Hip Partial (27125) |
— |
$79,727.97 |
— |
| Hemorrhoidectomy (46255) |
— |
$18,244.24 |
— |
| Hysteroscopy ablation (58563) |
— |
$27,936.22 |
— |
| Hysteroscopy biopsy (58558) |
— |
$21,202.96 |
— |
| Hysteroscopy dx sep proc (58555) |
— |
$24,325.04 |
— |
| I&d abscess simple (10060) |
— |
$8,259.95 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$17,776.24 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
— |
$58,394.66 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$172,685.66 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$15,576.82 |
— |
| Implant neuroelectrodes (63650) |
— |
$46,678.86 |
— |
| Impltj/rplcmt ithcl/edrl drug nfs subq rsvr (62360) |
— |
$166,044.43 |
— |
| Incise finger tendon sheath (26055) |
— |
$11,189.02 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$16,681.91 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$76,302.96 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$15,877.24 |
— |
| Incision for implantation of neurostimulator electrode array; sacral nerve (64581) |
— |
$48,642.66 |
— |
| Incision of metatarsal (28308) |
— |
$34,948.25 |
— |
| Incision of metatarsals (28309) |
— |
$23,866.95 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$21,354.08 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$8,595.90 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$38,866.03 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$70,528.73 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$64,481.81 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$10,354.25 |
— |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$70,528.73 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$70,528.73 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$10,245.95 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$10,174.57 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$70,528.73 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$70,528.73 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$9,065.58 |
— |
| Inject Nerv Blck,Pudendal (64430) |
— |
$14,382.97 |
— |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
— |
$70,528.73 |
— |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
— |
$70,528.73 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$70,528.73 |
— |
| Injection aa&/strd sciatic nrv cont nfs cath img (64446) |
— |
$70,528.73 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$4,671.26 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$10,174.57 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$70,528.73 |
— |
| Injection peyronie disease (54200) |
— |
$55,779.23 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$9,215.34 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$9,030.03 |
— |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
— |
$70,528.73 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$70,528.73 |
— |
| Injx Anterior Chamber Eye Medication Spx (66030) |
— |
$10,321.98 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$132,287.79 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$126,024.16 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$50,392.05 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$104,821.78 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$76,760.03 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$96,202.37 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$142,509.40 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$30,523.72 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$65,915.85 |
— |
| Insert cannula,art-ven revisn (36815) |
— |
$73,165.39 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$35,493.65 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$94,749.79 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$50,392.05 |
— |
| Insert picc cath (36569) |
— |
$3,757.19 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$55,093.74 |
— |
| Insert picvad cath (36570) |
— |
$110,569.09 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$65,915.85 |
— |
| Insert tunneled cv cath (36561) |
— |
$21,597.13 |
— |
| Insert Tunneled Cv Cath With Pump (36563) |
— |
$92,343.28 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$134,294.51 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$18,895.31 |
— |
| Insertion of interlaminar/interspinous process stabilization/distraction device, without fusion, including image… (22867) |
— |
$120,187.49 |
— |
| Insertion or replacement of peripheral or gastric neurostimulator pulse generator (64590) |
— |
$47,627.11 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$55,093.74 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$55,093.74 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$34,369.99 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$30,523.72 |
— |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
— |
$180,197.02 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$18,956.11 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$92,343.28 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$139,419.22 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$139,419.22 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$21,198.49 |
— |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
— |
$51,596.09 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$281,350.22 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$30,523.72 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$30,523.72 |
— |
| Insrt pulse gen w/dual leads (33230) |
— |
$180,197.02 |
— |
| Insrt pulse gen w/mult leads (33231) |
— |
$180,197.02 |
— |
| Insrt/redo spine n generator (63685) |
— |
$35,587.56 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$15,746.02 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$42,566.36 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$33,476 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$20,166.55 |
— |
| Kidney endoscopy (50572) |
— |
$52,945.85 |
— |
| Kidney endoscopy (50553) |
— |
$52,945.85 |
— |
| Kidney endoscopy (50551) |
— |
$52,945.85 |
— |
| Kidney endoscopy & treatment (50580) |
— |
$42,712.07 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
— |
$40,839.86 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
— |
$43,177.27 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63020) |
— |
$64,259.78 |
— |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
— |
$38,763.51 |
— |
| Lap ing hernia repair init (49650) |
— |
$32,145.67 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$29,442.11 |
— |
| Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) |
— |
$46,112.90 |
— |
| Laparoscopy appendectomy (44970) |
— |
$39,893.97 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$40,637.78 |
— |
| Laparoscopy Remove Adnexa (58661) |
— |
$28,812.92 |
— |
| Laparoscopy surgical orchiectomy (54690) |
— |
$127,537.49 |
— |
| Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) |
— |
$40,087.77 |
— |
| Laparoscopy Tubal Cautery (58670) |
— |
$27,597.53 |
— |
| Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) |
— |
$27,445.18 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$37,826.14 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) |
— |
$40,637.78 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) |
— |
$40,637.78 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$40,637.78 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) |
— |
$92,950.39 |
— |
| Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) |
— |
$39,626.61 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$43,042.09 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$30,080.29 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$62,973.48 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$45,341.15 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$40,784.72 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$40,637.78 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$75,684.37 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$42,878.83 |
— |
| Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) |
— |
$40,333.30 |
— |
| Laps vaginal hysterectomy uterus 250 gm/< (58550) |
— |
$40,372.90 |
— |
| Laryngoscopy Direct Aspiration (31515) |
— |
$99,007.81 |
— |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$99,007.81 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$99,007.81 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$39,362.89 |
— |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
— |
$39,362.89 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$65,880.04 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$99,007.81 |
— |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
— |
$99,007.81 |
— |
| Laryngoscopy indirect w/removal foreign body (31511) |
— |
$65,880.04 |
— |
| Laryngoscopy with biopsy (31576) |
— |
$99,007.81 |
— |
| Laser vaporization surgery prostate, complete (52648) |
— |
$22,773.26 |
— |
| Late closure of wound (13160) |
— |
$189,826.99 |
— |
| Lateral canthopexy (21282) |
— |
$29,940.56 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$28,524.67 |
— |
| Lithotripsy (50590) |
— |
$18,311.21 |
— |
| Liver Biopsy (47000) |
— |
$11,701.28 |
— |
| Marsup Bartholin Gland Cyst (56440) |
— |
$15,198.99 |
— |
| Mastectomy gynecomastia (19300) |
— |
$84,277.80 |
— |
| Mastectomy partial (19301) |
— |
$41,555.92 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$84,277.80 |
— |
| Mastectomy simple complete (19303) |
— |
$62,909.78 |
— |
| Mastopexy (19316) |
— |
$44,040.24 |
— |
| Mediastinoscpy w/lmph nod bx (39402) |
— |
$82,923.69 |
— |
| Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) |
— |
$33,123.18 |
— |
| Muscle-skin graft arm (15736) |
— |
$25,013.75 |
— |
| Muscle-skin graft trunk (15734) |
— |
$68,599.92 |
— |
| Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) |
— |
$28,021.46 |
— |
| Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) |
— |
$27,245.04 |
— |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) |
— |
$27,962.36 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) |
— |
$27,522.11 |
— |
| Nasal/Sinus Endoscopy,Surg Tear Duct (31239) |
— |
$20,601.05 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
— |
$29,541.42 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$27,537.35 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$29,363.10 |
— |
| Ndsc ureterotomy urtrl cathj w/wo dilat ureter (50972) |
— |
$52,945.85 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$17,349.98 |
— |
| Neuroplasty; nerve of hand or foot (64704) |
— |
$15,855.05 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,119.96 |
— |
| Nipple exploration (19110) |
— |
$84,277.80 |
— |
| Nipple/areola reconstruction (19350) |
— |
$25,958.06 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$70,528.73 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$117,871.65 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$117,871.65 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$10,237.08 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$9,106.49 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$9,726.60 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$19,374.63 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$55,988.54 |
— |
| Open rx distal radius fx, intra-articular, 2 frag (25608) |
— |
$48,401.87 |
— |
| Open thrombect av fistula (36831) |
— |
$78,461.89 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$47,870.96 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$43,112.66 |
— |
| Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) |
— |
$82,143.20 |
— |
| Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) |
— |
$82,143.20 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$82,143.20 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$110,171.01 |
— |
| Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) |
— |
$84,789.92 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) |
— |
$88,532.74 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) |
— |
$81,483.62 |
— |
| Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) |
— |
$110,171.01 |
— |
| Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) |
— |
$110,171.01 |
— |
| Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) |
— |
$84,789.92 |
— |
| Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) |
— |
$63,575.20 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$63,575.20 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$37,763.12 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$22,850.08 |
— |
| Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) |
— |
$38,539.89 |
— |
| Open Tx Femoral Fracture Proximal End He (27269) |
— |
$88,532.74 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$30,226.14 |
— |
| Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) |
— |
$110,171.01 |
— |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
— |
$31,057.52 |
— |
| Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) |
— |
$55,988.54 |
— |
| Open Tx Radial Head/Neck Fracture Prosthetic (24666) |
— |
$43,020.45 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$103,149.90 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$129,155.98 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$127,537.49 |
— |
| Orchiectomy radical tumor w/abdominal expl (54535) |
— |
$127,537.49 |
— |
| Orchiectomy, partial (54522) |
— |
$127,537.49 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) (28112) |
— |
$14,517.95 |
— |
| Osteoplasty, femur; shortening (excluding 64876) (27465) |
— |
$82,143.20 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$46,669.33 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$20,959.75 |
— |
| Osteotomy, femoral neck (separate procedure) Other Surgical Services (27161) |
— |
$88,532.74 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
— |
$67,385.39 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure) (27712) |
— |
$70,965.52 |
— |
| Ovarian cystectomy (58925) |
— |
$27,707.02 |
— |
| Paravaginal defect repair vaginal approach (57285) |
— |
$23,545.77 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$75,686.39 |
— |
| Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) |
— |
$17,525.17 |
— |
| Partial Removal Foot Fascia (28060) |
— |
$31,174.48 |
— |
| Partial removal of thyroid (60220) |
— |
$27,612.93 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$27,612.93 |
— |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
— |
$72,255.89 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$83,810.24 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$100,375.34 |
— |
| Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) |
— |
$69,247.39 |
— |
| Peri-implant capsulectomy breast complete (19371) |
— |
$32,157.18 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$30,713.28 |
— |
| Perq device breast 1st imag (19281) |
— |
$47,131.33 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$52,945.85 |
— |
| Perq dilation xst trc new access renal coltj sys (50437) |
— |
$52,945.85 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$61,593.45 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$61,593.45 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$70,877.28 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$111,736.69 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$111,736.69 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$39,228.73 |
— |
| PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) |
— |
$121,949.69 |
— |
| Pr cysto w/urtroscopy w/tx intra-renal stricture (52346) |
— |
$51,260.10 |
— |
| PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$40,637.78 |
— |
| Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) |
— |
$90,663.17 |
— |
| Prim art mech thrombectomy (37184) |
— |
$104,906.56 |
— |
| Proctosigmoidoscopy w/bx (45305) |
— |
$59,702.70 |
— |
| Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) |
— |
$59,702.70 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) |
— |
$67,385.39 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) |
— |
$67,385.39 |
— |
| Prostatectomy (turp) (52601) |
— |
$24,388.38 |
— |
| Prostatic microwave thermotx (53850) |
— |
$83,472.77 |
— |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
— |
$33,919.27 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$72,366.32 |
— |
| Prtl Thyr Lobec Uni W/Clat Stot Lobec (60212) |
— |
$27,612.93 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$2,417.18 |
— |
| Puncture Aspiration (10160) |
— |
$9,621.91 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$6,492.74 |
— |
| Pvb thoracic cont infusion (64463) |
— |
$70,528.73 |
— |
| Pvb thoracic single inj site (64461) |
— |
$70,528.73 |
— |
| Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) |
— |
$209,740.08 |
— |
| Rad resection tumor soft tissue back/flank <5cm (21935) |
— |
$121,451 |
— |
| Rad resection tumor soft tissue foot/toe <3cm (28046) |
— |
$31,174.48 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) |
— |
$121,451 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) |
— |
$31,174.48 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) |
— |
$43,938.46 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater (23078) |
— |
$25,013.75 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Other Surgical Services (28171) |
— |
$75,686.39 |
— |
| Rcnstj pst tibl tdn w/exc accessory tarsl navclr (28238) |
— |
$75,686.39 |
— |
| Realignment of knee (27455) |
— |
$84,789.92 |
— |
| Rechanneling of artery (35321) |
— |
$209,488.41 |
— |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
— |
$32,700.83 |
— |
| Reduce testis torsion (54600) |
— |
$21,601.45 |
— |
| Reduction of Large Breast (19318) |
— |
$56,548.22 |
— |
| Release elbow joint (24006) |
— |
$29,048.69 |
— |
| Rem endovas vena cava filter (37193) |
— |
$32,439.64 |
— |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
— |
$59,353.28 |
— |
| Removal Implant Deep (20680) |
— |
$18,529.17 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$104,821.78 |
— |
| Removal of adenoids (42831) |
— |
$22,266.91 |
— |
| Removal of anorectal lesion (45108) |
— |
$94,481.12 |
— |
| Removal of fascia for graft (20922) |
— |
$209,740.08 |
— |
| Removal of heel bone (28118) |
— |
$75,686.39 |
— |
| Removal of heel spur (28119) |
— |
$75,686.39 |
— |
| Removal of hip prosthesis (27090) |
— |
$72,750.29 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$170,368.72 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$14,987.09 |
— |
| Removal of kidney stone (50081) |
— |
$72,255.89 |
— |
| Removal of knee cartilage (27333) |
— |
$125,847.90 |
— |
| Removal of knee cartilage (27332) |
— |
$125,847.90 |
— |
| Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) |
— |
$79,702.33 |
— |
| Removal of nail bed (11750) |
— |
$54,784.54 |
— |
| Removal of pressure sore (15999) |
— |
$53,986.54 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$16,835.61 |
— |
| Removal of sperm cord lesion (55520) |
— |
$27,305.58 |
— |
| Removal of testis (54520) |
— |
$127,537.49 |
— |
| Removal ppm generator only (33233) |
— |
$104,821.78 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$5,546.77 |
— |
| Remove cervix/repair vagina (57555) |
— |
$23,545.77 |
— |
| Remove cranial cavity fluid (61000) |
— |
$189,516.40 |
— |
| Remove drug implant device (11982) |
— |
$42,580.03 |
— |
| Remove in/ex hem groups 2+ (46260) |
— |
$18,477.52 |
— |
| Remove knee cyst (27347) |
— |
$125,847.90 |
— |
| Remove knee joint lining (27335) |
— |
$125,847.90 |
— |
| Remove stent via transureth (50386) |
— |
$46,911.27 |
— |
| Remove tissue expander (11971) |
— |
$28,366.36 |
— |
| Remove&replace pm gen singl (33227) |
— |
$104,821.78 |
— |
| Remove/graft foot lesion (28102) |
— |
$75,686.39 |
— |
| Remove/graft foot lesion (28107) |
— |
$75,686.39 |
— |
| Remove/graft foot lesion (28103) |
— |
$75,686.39 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$9,559.56 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$189,654.19 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$243,277.02 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$142,509.40 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$66,283.69 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$88,548.99 |
— |
| Remv/revisn shldr/hip spica cast (29710) |
— |
$228,012.12 |
— |
| Renal biopsy (50200) |
— |
$7,566.37 |
— |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
— |
$48,328.13 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$209,488.41 |
— |
| Repair blood vessel lesion (35184) |
— |
$106,490.58 |
— |
| Repair blood vessel lesion (35190) |
— |
$106,490.58 |
— |
| Repair blood vessel lesion (35236) |
— |
$209,488.41 |
— |
| Repair brow defect (67900) |
— |
$28,319.17 |
— |
| Repair collat ankle ligmnt,secondary (27698) |
— |
$26,900.36 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$189,826.99 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$32,842.68 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$31,662.36 |
— |
| Repair defect of artery (35011) |
— |
$209,488.41 |
— |
| Repair elbow deb/attch open (24359) |
— |
$29,048.69 |
— |
| Repair hallux rigidus (28289) |
— |
$18,369.80 |
— |
| Repair incomplete circumcision (54163) |
— |
$6,247.48 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$50,074.46 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$49,131.09 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$49,131.09 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$50,074.46 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$22,418.96 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$189,826.99 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$14,687.72 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$19,248.67 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$189,826.99 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$189,826.99 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$189,826.99 |
— |
| Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) |
— |
$53,498.84 |
— |
| Repair of biceps tendon (24340) |
— |
$24,686.17 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$59,408.83 |
— |
| Repair of humerus (24430) |
— |
$61,523.76 |
— |
| Repair of nail bed (11760) |
— |
$17,037.60 |
— |
| Repair of nasal septum (30520) |
— |
$22,266.91 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) |
— |
$55,988.54 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$110,171.01 |
— |
| Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) |
— |
$110,171.01 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft (27722) |
— |
$110,171.01 |
— |
| Repair of thigh musc (27385) |
— |
$30,404.59 |
— |
| Repair of tibia (27720) |
— |
$110,171.01 |
— |
| Repair of vagina (56800) |
— |
$23,545.77 |
— |
| Repair radius & ulna (25415) |
— |
$55,988.54 |
— |
| Repair rectum & vagina (57250) |
— |
$27,337.14 |
— |
| Repair vagina/perineum (57210) |
— |
$23,545.77 |
— |
| Repair webbed toe(s) (28345) |
— |
$31,174.48 |
— |
| Repair, dislocating peroneal tendons; without fibular osteotomy (27675) |
— |
$29,087.79 |
— |
| Repair, fascial defect of leg (27656) |
— |
$189,826.99 |
— |
| Repair/graft achilles tendon (27652) |
— |
$55,070.73 |
— |
| Repair/graft radius & ulna (25420) |
— |
$55,988.54 |
— |
| Replace elbow joint (24363) |
— |
$65,402.23 |
— |
| Replace g/c tube perc (49450) |
— |
$1,760.52 |
— |
| Replace Tissue Expander (11970) |
— |
$37,040.30 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$65,402.23 |
— |
| Rerepair fem hernia blocked (49557) |
— |
$49,131.09 |
— |
| Rerepair ing hernia blocked (49521) |
— |
$50,074.46 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$50,074.46 |
— |
| Resect forearm/wrist tum<3cm (25077) |
— |
$43,938.46 |
— |
| Resect Inferior Turbinate (30140) |
— |
$22,266.91 |
— |
| Resection of elbow joint (arthrectomy) (24155) |
— |
$29,048.69 |
— |
| Revis reconst shoulder joint (23473) |
— |
$32,371.48 |
— |
| Revise finger joint (26535) |
— |
$25,815.24 |
— |
| Revise head/neck of femur (27179) |
— |
$88,532.74 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$14,859.57 |
— |
| Revise ulnar nerve at elbow (64718) |
— |
$17,837.36 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$18,274.54 |
— |
| Revision of eyelid (67950) |
— |
$34,224.89 |
— |
| Revision of eyelid (67999) |
— |
$27,764.59 |
— |
| Revision of reconstructed breast (19380) |
— |
$37,040.30 |
— |
| Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) |
— |
$76,139.02 |
— |
| Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) |
— |
$82,103.59 |
— |
| Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) |
— |
$84,419.47 |
— |
| Revision of total knee arthroplasty, with or without allograft; one component (27486) |
— |
$84,419.47 |
— |
| Revision of upper eyelid (15823) |
— |
$27,927.07 |
— |
| Revision peri-implant capsule breast (19370) |
— |
$51,596.09 |
— |
| Revj opn arven fstl w/o thrmbc dial grf (36832) |
— |
$34,440.35 |
— |
| Rmvl non-nfltbl/nfltbl penile prosth w/o rplcmt (54415) |
— |
$28,830.45 |
— |
| Rmvl of subq defibrillator (33272) |
— |
$104,821.78 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$68,592.06 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$68,592.06 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$15,763.45 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$16,529.14 |
— |
| Rnl ndsc nfrot fulguration &/incision w/wo bx (50576) |
— |
$48,328.13 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$166,044.43 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$22,511.82 |
— |
| Rpr 1st ingun hrna age 6 mo-5 yrs reducible (49500) |
— |
$50,074.46 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$45,607.61 |
— |
| Rpr aa hernia 1st 3-10 cm reducible (49593) |
— |
$34,343.81 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$36,954.74 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$39,793.66 |
— |
| Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) |
— |
$32,837.44 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$80,741.12 |
— |
| Rpr hern preemie reduc (49491) |
— |
$50,074.46 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$50,074.46 |
— |
| Rpr ing hernia baby blocked (49496) |
— |
$50,074.46 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$50,074.46 |
— |
| Rpr ing hernia init blocked (49501) |
— |
$50,074.46 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$33,123.18 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$33,123.18 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$33,123.18 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$33,123.18 |
— |
| Sigmoidoscopy Flx Ndsc Us Xm (45341) |
— |
$59,702.70 |
— |
| Sigmoidoscopy flx w/biopsy single/multiple (45331) |
— |
$87,671.38 |
— |
| Sigmoidoscopy w/us guide bx (45342) |
— |
$59,702.70 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$31,810.53 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$31,810.53 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$31,810.53 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$31,810.53 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$31,810.53 |
— |
| Skin pinch graft (15050) |
— |
$33,123.18 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$28,125.56 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$118,503.69 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$118,503.69 |
— |
| Skin Tissue Procedure (17999) |
— |
$36,838.62 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$29,319.43 |
— |
| Small bowel endoscopy (44376) |
— |
$58,625.49 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$27,090.90 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$4,078.33 |
— |
| Strapping unna boot (29580) |
— |
$2,235.96 |
— |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps (61001) |
— |
$189,516.40 |
— |
| Suction assisted lipectomy lower extremity (15879) |
— |
$36,838.62 |
— |
| Synovectomy; metatarsophalangeal joint, each (28072) |
— |
$202,486.86 |
— |
| Talectomy (astragalectomy) (28130) |
— |
$75,686.39 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$39,778.64 |
— |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
— |
$71,519.06 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$49,811.98 |
— |
| Tenotomy elbow lateral/medial debride open (24358) |
— |
$29,048.69 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$543,688.33 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$543,688.33 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$7,503.05 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$63,087.92 |
— |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
— |
$82,455.53 |
— |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
— |
$82,455.53 |
— |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
— |
$108,094.54 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$100,375.34 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$100,375.34 |
— |
| Tis trnfr trunk 10 sq cm/< (14000) |
— |
$35,815.02 |
— |
| Tissue expander placement breast reconstruction (19357) |
— |
$36,484.39 |
— |
| Total hip arthroplasty (27130) |
— |
$62,902.71 |
— |
| Total knee arthroplasty (27447) |
— |
$66,394.09 |
— |
| Transpedicular Dcmprn Spi Cord 1 Sgm Lmb (63056) |
— |
$109,748.32 |
— |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
— |
$83,472.77 |
— |
| Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy (53854) |
— |
$83,472.77 |
— |
| Treat clavicle dislocation (23532) |
— |
$59,971.14 |
— |
| Treat clavicle dislocation (23552) |
— |
$59,971.14 |
— |
| Treat ectopic pregnancy (59151) |
— |
$31,463.46 |
— |
| Treat elbow fracture (24635) |
— |
$55,988.54 |
— |
| Treat elbow fracture (24587) |
— |
$55,988.54 |
— |
| Treat fracture of radius (25526) |
— |
$55,988.54 |
— |
| Treat fracture radius/ulna (25575) |
— |
$38,532.77 |
— |
| Treat fx rad extra-articul (25607) |
— |
$48,401.87 |
— |
| Treat knee fracture (27532) |
— |
$56,989.62 |
— |
| Treat kneecap dislocation (27566) |
— |
$33,027.98 |
— |
| Treat lower jaw fracture (21465) |
— |
$34,441.25 |
— |
| Treat lower leg fracture (27826) |
— |
$59,408.83 |
— |
| Treat lower leg fracture (27828) |
— |
$84,789.92 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$110,171.01 |
— |
| Treat radius fracture (24665) |
— |
$28,668.37 |
— |
| Treat slipped epiphysis (27181) |
— |
$81,483.62 |
— |
| Treat ulnar fracture (24685) |
— |
$65,402.23 |
— |
| Treatment of ankle fracture (27822) |
— |
$61,078.50 |
— |
| Treatment of ankle fracture (27792) |
— |
$27,688.98 |
— |
| Treatment of fibula fracture (27784) |
— |
$59,408.83 |
— |
| Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) |
— |
$82,143.20 |
— |
| Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$82,143.20 |
— |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
— |
$28,927.37 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$67,385.39 |
— |
| Treatment of tibia fracture (27756) |
— |
$71,043.43 |
— |
| Trim skin lesion (11055) |
— |
$2,277.48 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$33,123.18 |
— |
| Trim skin lesions over 4 (11057) |
— |
$33,123.18 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$54,784.54 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$83,810.24 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$24,093.44 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$16,968.82 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$31,810.53 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$149,658.18 |
— |
| Unlisted fetal invasive procedure, including ultrasound guidance (59897) |
— |
$24,966.47 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$28,143.35 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$37,774.14 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$75,127.88 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$38,420.65 |
— |
| Unlisted laparoscopy procedure, stomach (43659) |
— |
$44,401.11 |
— |
| Unlisted laparoscopy procedure, uterus (58578) |
— |
$45,343.98 |
— |
| Unlisted laparoscopy px abd pertoneum & omentum (49329) |
— |
$38,226.56 |
— |
| Unlisted procedure anus (46999) |
— |
$11,387.30 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$14,235.94 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$123,811.89 |
— |
| Unlisted procedure leg/ankle (27899) |
— |
$111,444.47 |
— |
| Unlisted procedure liver (47399) |
— |
$24,966.47 |
— |
| Unlisted procedure maternity care & delivery (59899) |
— |
$35,488.31 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$70,528.73 |
— |
| Unlisted procedure pancreas (48999) |
— |
$68,033.71 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$400,125.77 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$179,465.64 |
— |
| Unlisted procedure spine (22899) |
— |
$107,200.81 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$81,914.32 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$126,024.16 |
— |
| Unlisted procedure, abdomen, musculoskeletal system (22999) |
— |
$89,749.04 |
— |
| Unlisted procedure, male genital system (55899) |
— |
$83,472.77 |
— |
| Unlisted procedure, stomach (43999) |
— |
$1,573.26 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$29,204.64 |
— |
| Unlisted Vascular Endoscopy Proc (37501) |
— |
$87,108.70 |
— |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
— |
$96,202.37 |
— |
| Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) |
— |
$40,637.78 |
— |
| Uppr gi opticl endomicrscopy (43252) |
— |
$54,448.68 |
— |
| Ureteral endoscopy via ureterost w/rmvl fb/stone (50961) |
— |
$46,911.27 |
— |
| Ureteral endoscopy via ureterost w/wo dil ureter (50953) |
— |
$52,945.85 |
— |
| Urology Surgery Procedure (53899) |
— |
$46,100.92 |
— |
| Vag hyst complex (58290) |
— |
$23,545.77 |
— |
| Vaginal delivery only (59409) |
— |
$24,928.53 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$139,947.59 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$139,947.59 |
— |
| Vasc embolize/occlude organ (37243) |
— |
$139,947.59 |
— |
| Vbac delivery only (59612) |
— |
$24,966.47 |
— |
| Venipuncture (36415) |
— |
$49.68 |
— |
| Vulvectomy simple partial (56620) |
— |
$17,735.67 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$69,775.97 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$20,154.28 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$100,375.34 |
— |