| Abd paracentesis w/imaging (49083) |
$986 |
$4,885.53 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$986 |
$1,292.37 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$19,071 |
$62,699.10 |
1.0× |
| Acne surgery (10040) |
$218 |
$353.49 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,244 |
$10,163.10 |
1.0× |
| Amniocentesis diagnostic (59000) |
$1,001 |
$907.47 |
1.0× |
| Amputation Finger/Thumb (26951) |
$3,559 |
$3,381.47 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,559 |
$14,470.10 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,559 |
$15,048.35 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,559 |
$14,470.08 |
1.0× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision Facility (27884) |
$3,559 |
$10,163.10 |
1.0× |
| Anoscopy diagnostic (46600) |
$144 |
$401 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,011 |
$1,441.37 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,301 |
$1,661.03 |
1.0× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,301 |
$1,911.14 |
1.0× |
| Anrct xm surg req anes general spi/edrl dx (45990) |
$3,019 |
$14,470.10 |
1.0× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$1,749 |
$5,714.24 |
1.0× |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
$176 |
$822.23 |
1.0× |
| Appl Multlay Comprs Arm/Hand (29584) |
$176 |
$560.50 |
1.0× |
| Application cast elbow finger short arm (29075) |
$304 |
$457.05 |
1.0× |
| Application cast shoulder hand long arm (29065) |
$304 |
$519.12 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$64 |
$293 |
1.0× |
| Application finger splint static (29130) |
$144 |
$671.69 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$176 |
$205.24 |
1.0× |
| Application of long leg cast (29345) |
$304 |
$592.13 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$304 |
$668.17 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$144 |
$139.34 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$144 |
$671.69 |
1.0× |
| Apply long leg splint (29505) |
$176 |
$822.23 |
1.0× |
| Apply short leg cast (29405) |
$304 |
$534.11 |
1.0× |
| Apply short leg cast (29425) |
$304 |
$1,199.55 |
1.0× |
| Apply short leg splint (29515) |
$176 |
$822.23 |
1.0× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$3,434 |
$3,280.26 |
1.0× |
| Arterial puncture (36600) |
$144 |
$671.69 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,434 |
$26,000 |
1.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$13,964 |
$7,583.33 |
1.0× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$13,964 |
$6,846.55 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$13,964 |
$9,166.66 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$333 |
$1,118.80 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$767 |
$3,608.65 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$333 |
$619.47 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$333 |
$1,544 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$333 |
$625 |
1.0× |
| Arthrodesis, with tendon lengthening and advancement, midtarsal, tarsal navicular-cuneiform (eg, Miller type procedure)… (28737) |
$13,964 |
$3,912.31 |
1.0× |
| Arthrodesis; subtalar (28725) |
$13,964 |
$5,595.77 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,892 |
$28,166.66 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$682 |
$3,221.69 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$333 |
$604.86 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$770 |
$1,003 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,273 |
$7,754.10 |
1.0× |
| Aspiration bladder needle (51100) |
$271 |
$1,573.44 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$218 |
$334 |
1.0× |
| Biopsy bone open deep (20245) |
$3,159 |
$5,157.45 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,159 |
$4,715.17 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,796 |
$8,442.91 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,796 |
$4,709.90 |
1.0× |
| Biopsy Forearm Soft Tissues,Deep (25066) |
$3,159 |
$4,242.84 |
1.0× |
| Biopsy Forearm Soft Tissues,Superfic (25065) |
$1,796 |
$3,345 |
1.0× |
| Biopsy muscle deep (20205) |
$3,159 |
$2,982.77 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,796 |
$4,709.90 |
1.0× |
| Biopsy Muscle Superficial (20200) |
$1,796 |
$2,774.56 |
1.0× |
| Biopsy Nail Unit Separate Procedure (11755) |
$770 |
$995.19 |
1.0× |
| Biopsy pleura percutaneous needle (32400) |
$1,796 |
$1,688.58 |
1.0× |
| Biopsy Salivary Gland,Needle (42400) |
$770 |
$1,411.25 |
1.0× |
| Biopsy soft tissue back,superf (21920) |
$1,796 |
$2,825.94 |
1.0× |
| Biopsy soft tissue back/flank deep (21925) |
$1,796 |
$4,242.84 |
1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,796 |
$2,159.99 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,796 |
$2,923.33 |
1.0× |
| Biopsy soft tissue pelvis&hip area superficial (27040) |
$1,796 |
$1,688.58 |
1.0× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,159 |
$4,242.84 |
1.0× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,796 |
$4,242.84 |
1.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,159 |
$4,780.25 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,796 |
$4,242.84 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$1,796 |
$4,242.84 |
1.0× |
| Bladder Irrigation Simple (51700) |
$271 |
$253.47 |
1.0× |
| Blepharotomy drain absc eyelid (67700) |
$345 |
$804.14 |
1.0× |
| Blood patch (62273) |
$767 |
$2,925.85 |
1.0× |
| Blood transfusion service (36430) |
$479 |
$2,278.10 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$479 |
$1,914.50 |
1.0× |
| Bone marrow aspiration only (38220) |
$1,796 |
$1,688.58 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,796 |
$1,688.58 |
1.0× |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
$1,936 |
$2,757 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,936 |
$2,776 |
1.0× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,936 |
$2,646.25 |
1.0× |
| Brnchsc removal bronchial valve initial (31648) |
$4,055 |
$4,875 |
1.0× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$7,676 |
$7,214.46 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,055 |
$4,394.89 |
1.0× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$4,055 |
$4,875 |
1.0× |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
$4,055 |
$9,959.60 |
1.0× |
| Bronch Thermoplsty 1 Lobe (31660) |
$7,676 |
$7,214.46 |
1.0× |
| Bronchial valve init insert (31647) |
$7,676 |
$7,214.46 |
1.0× |
| Bronchosc dx w/w/o fluor&wash (31622) |
$1,936 |
$5,391.62 |
1.0× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$7,676 |
$7,214.46 |
1.0× |
| Bronchoscopy Balloon Occlusion (31634) |
$7,676 |
$7,214.46 |
1.0× |
| Bronchoscopy Bronch Stents (31636) |
$7,676 |
$7,214.46 |
1.0× |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
$4,055 |
$11,281.80 |
1.0× |
| Bronchoscopy w/markers (31626) |
$7,676 |
$7,214.46 |
1.0× |
| Bronchoscopy W/Placement Tracheal Stent (31631) |
$7,676 |
$7,214.46 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,936 |
$1,797.21 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
$1,936 |
$2,688.22 |
1.0× |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
$425 |
$2,564 |
1.0× |
| Bronchoscopy w/tumor excise (31640) |
$4,055 |
$4,871.05 |
1.0× |
| Bronchoscopy,Diagnostic W Lavage (31624) |
$1,936 |
$8,986.04 |
1.0× |
| Bronchoscopy,Rx W Place Catheter (31643) |
$1,936 |
$2,646.25 |
1.0× |
| Bx abdl/retroperitoneal mass prq needle (49180) |
$1,796 |
$4,709.90 |
1.0× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$3,159 |
$4,242.84 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$1,796 |
$2,669 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,796 |
$1,688.58 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,796 |
$1,688.58 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,796 |
$1,688.58 |
1.0× |
| Bx Low Leg Soft Tissue,Deep (27614) |
$3,159 |
$4,242.84 |
1.0× |
| Bx/exc lymph node needle superficial (38505) |
$1,796 |
$4,709.90 |
1.0× |
| Casting/strapping procedure (29799) |
$176 |
$357.72 |
1.0× |
| Catheter Aspiration Nasotracheal Spx (31720) |
$238 |
$635.91 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,434 |
$3,280.26 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$758 |
$1,573.44 |
1.0× |
| Change of cystostomy tube simple (51705) |
$271 |
$574.81 |
1.0× |
| Change stent via transureth (50385) |
$2,273 |
$5,589 |
1.0× |
| Change Ureter Stent, Percut (50382) |
$2,273 |
$4,792.28 |
1.0× |
| Chemical cautery tissue (17250) |
$218 |
$1,035.41 |
1.0× |
| Cholecystostomy,Percutaneous, Complete (47490) |
$3,894 |
$11,033.80 |
1.0× |
| Chorionic villus sampling (59015) |
$1,001 |
$2,436.25 |
1.0× |
| Circumcision Neonate (54160) |
— |
$7,532.10 |
— |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
$333 |
$1,541 |
1.0× |
| Close Rx Prox/Mid Fing Shft Fx (26720) |
$268 |
$554 |
1.0× |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
$268 |
$2,958.33 |
1.0× |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
$268 |
$1,069.15 |
1.0× |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
$1,749 |
$1,667.92 |
1.0× |
| Closed Rx Humeral Supracondylar Fx (24530) |
$268 |
$817.49 |
1.0× |
| Closed Rx Mandible Fx+Manipulatn (21451) |
$1,687 |
$4,502 |
1.0× |
| Closed Rx Radial Shaft Fx (25500) |
$268 |
$609 |
1.0× |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
$1,749 |
$3,289.35 |
1.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$268 |
$845.45 |
1.0× |
| Closed Rx Tibia Shaft Fx (27750) |
$268 |
$974.70 |
1.0× |
| Closed Rx Tibial Plateau Fx (27530) |
$268 |
$807.80 |
1.0× |
| Closed Treat Vert Body Fract (22310) |
$268 |
$1,069.15 |
1.0× |
| Closed treat wrist dislocation (25660) |
$268 |
$1,069.15 |
1.0× |
| Closed Treatment Coccygeal Fracture (27200) |
$268 |
$845.45 |
1.0× |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
$3,606 |
$3,379.86 |
1.0× |
| Closed treatment of calcaneal fracture; without manipulation (28400) |
$268 |
$758 |
1.0× |
| Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint… (21431) |
$6,439 |
$9,731 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$268 |
$994.34 |
1.0× |
| Closed treatment of fracture of orbit, except blowout; without manipulation (21400) |
$586 |
$530.73 |
1.0× |
| Closed treatment of greater humeral tuberosity fracture; with manipulation (23625) |
$1,749 |
$6,560.90 |
1.0× |
| Closed treatment of hip dislocation, traumatic; requiring anesthesia (27252) |
$1,749 |
$3,437.31 |
1.0× |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation Facility (24560) |
$268 |
$845.45 |
1.0× |
| Closed treatment of patellar fracture, without manipulation (27520) |
$268 |
$1,069.15 |
1.0× |
| Closed treatment of radial and ulnar shaft fractures; without manipulation (25560) |
$268 |
$795.53 |
1.0× |
| Closed treatment of sternoclavicular dislocation; without manipulation (23520) |
$1,749 |
$3,289.35 |
1.0× |
| Closed treatment of talus fracture; without manipulation (28430) |
$268 |
$845.45 |
1.0× |
| Closed treatment of tarsometatarsal joint dislocation; without anesthesia (28600) |
$268 |
$991.65 |
1.0× |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
$1,749 |
$1,667.92 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$268 |
$1,075.89 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$268 |
$845.45 |
1.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$268 |
$845.45 |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$268 |
$845.45 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$268 |
$1,069.15 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$268 |
$1,008.12 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,749 |
$1,667.92 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$268 |
$822.28 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$268 |
$2,819 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,749 |
$1,667.92 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$268 |
$1,069.15 |
1.0× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$1,687 |
$3,233.30 |
1.0× |
| Closed tx knee dislocation w/anesthesia (27552) |
$1,749 |
$5,753.40 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$268 |
$843.25 |
1.0× |
| Closed tx lunate dislocation w/manipulation (25690) |
$1,749 |
$2,947 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$586 |
$926 |
1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$6,439 |
$7,597.06 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$268 |
$574 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,749 |
$3,289.35 |
1.0× |
| Closed tx nasal fracture w/o stabilization (21315) |
$1,687 |
$2,529 |
1.0× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$1,687 |
$9,731 |
1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,606 |
$18,650.20 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$268 |
$2,769.27 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$268 |
$763 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,749 |
$1,667.92 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$268 |
$574 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,749 |
$1,667.92 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
$1,749 |
$1,667.92 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$268 |
$845.45 |
1.0× |
| Closed tx septal&nose fx (21337) |
$3,606 |
$4,543.99 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$268 |
$857 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$268 |
$1,069.15 |
1.0× |
| Closed Tx Talotarsal Joint Dislocation W/Anes (28575) |
$3,559 |
$6,560.90 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,749 |
$3,289.35 |
1.0× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$268 |
$845.45 |
1.0× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,687 |
$9,731 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$268 |
$560.50 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,749 |
$1,667.92 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$268 |
$845.45 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$268 |
$720.86 |
1.0× |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
$257 |
$634.50 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$268 |
$1,045 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$268 |
$668.59 |
1.0× |
| Clsd tx pelvic ring fx w/manipulation w/anes (27198) |
$268 |
$1,374.22 |
1.0× |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
$268 |
$1,069.15 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,749 |
$1,667.92 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$268 |
$1,249.99 |
1.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$268 |
$845.45 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,749 |
$5,003.75 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$268 |
$732 |
1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$268 |
$562.51 |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,749 |
$3,289.35 |
1.0× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$268 |
$845.45 |
1.0× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,749 |
$3,289.35 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$268 |
$1,039.36 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$268 |
$998 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$268 |
$681.50 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$268 |
$546.78 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$268 |
$765 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
$1,749 |
$3,289.35 |
1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/O Manj (27508) |
$268 |
$1,069.15 |
1.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,749 |
$2,235.47 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$268 |
$1,069.15 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,749 |
$2,815.78 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$268 |
$598.84 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$268 |
$451.53 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$268 |
$620.63 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$268 |
$534.79 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,749 |
$2,773.14 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o mnpj (27824) |
$268 |
$1,069.15 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$268 |
$716.30 |
1.0× |
| Cltx humeral condylar fx medial/lat w/o mnpj (24576) |
$268 |
$1,069.15 |
1.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx humeral shft fx w/manj w/wo skeletal tracj (24505) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,749 |
$3,289.35 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$304 |
$1,116.45 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$268 |
$555 |
1.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,749 |
$1,069.15 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$304 |
$3,410.78 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$268 |
$1,249.99 |
1.0× |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
$3,606 |
$9,731 |
1.0× |
| Cltx Medial Malleolus Fx W/O Manipulation (27760) |
$268 |
$826.61 |
1.0× |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
$1,749 |
$3,023 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$268 |
$786.37 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$268 |
$635 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
$268 |
$620 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,749 |
$6,560.90 |
1.0× |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
$268 |
$542 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$268 |
$681.50 |
1.0× |
| Cltx post ankle fx w/mnpj (27768) |
$1,749 |
$3,177.75 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,749 |
$4,386 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$268 |
$934.92 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,749 |
$2,835.01 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$268 |
$751.33 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,749 |
$2,914.73 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$268 |
$555 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$268 |
$565.10 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$268 |
$712.50 |
1.0× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$3,559 |
$10,213.30 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$268 |
$549.87 |
1.0× |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
$1,749 |
$2,407 |
1.0× |
| Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) |
$268 |
$845.45 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$268 |
$931.31 |
1.0× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$3,559 |
$6,560.90 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$144 |
$166.70 |
1.0× |
| Colonoscopy flex w/blln dilat (45386) |
$1,301 |
$2,560 |
1.0× |
| Colonoscopy flex w/inj submuc (45381) |
$1,301 |
$2,800 |
1.0× |
| Colonoscopy flex w/rem forcep (45384) |
$1,301 |
$3,000 |
1.0× |
| Colonoscopy Flexible With Decompression - Colonoscopy (45393) |
$1,301 |
$2,526 |
1.0× |
| Colonoscopy Flx With Endoscopic Stent Placement (45389) |
$6,603 |
$6,203.90 |
1.0× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,301 |
$2,970.50 |
1.0× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,301 |
$3,365.98 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,301 |
$2,973.31 |
1.0× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,301 |
$2,258.28 |
1.0× |
| Colonoscopy stoma w/biopsy (44389) |
$1,301 |
$2,639.86 |
1.0× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,301 |
$2,258.28 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection - Colonoscopy (44404) |
$1,301 |
$2,258.28 |
1.0× |
| Colonoscopy Through Stoma With Decompression (44408) |
$1,011 |
$2,258.28 |
1.0× |
| Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage,… (44402) |
$6,603 |
$6,203.90 |
1.0× |
| Colonoscopy through stoma; with removal of foreign body(s) Facility (44390) |
$1,011 |
$2,593.41 |
1.0× |
| Colonoscopy thru stoma (44388) |
$1,011 |
$2,640.85 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,301 |
$2,667.76 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,301 |
$2,970.50 |
1.0× |
| Colonoscopy w/band ligation (45398) |
$1,301 |
$3,056.69 |
1.0× |
| Colonoscopy w/endoscopic fnb (45392) |
$1,301 |
$2,915.50 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,301 |
$2,861.73 |
1.0× |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
$1,301 |
$3,686.44 |
1.0× |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
$3,019 |
$2,858.06 |
1.0× |
| Colporrhaphy Suture Injury Vagina (57200) |
$3,521 |
$3,551.70 |
1.0× |
| Colpotomy; with drainage of pelvic abscess Facility (57010) |
$3,521 |
$6,500 |
1.0× |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
$231 |
$1,053.45 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$144 |
$549.80 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$144 |
$671.69 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,087 |
$2,839.25 |
1.0× |
| Convert nephrostomy catheter (50434) |
$2,273 |
$2,747 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,796 |
$2,825.94 |
1.0× |
| Correction hammertoe (28285) |
$3,559 |
$13,687.30 |
1.0× |
| Correction of bunion (28298) |
$7,892 |
$17,897.71 |
1.0× |
| Correction of bunion (28292) |
$3,559 |
$11,737 |
1.0× |
| Correction of bunion (28299) |
$7,892 |
$18,000 |
1.0× |
| Correction of bunion (28297) |
$13,964 |
$22,000 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,559 |
$13,986 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$144 |
$671.69 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,273 |
$4,869.47 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$442 |
$637.95 |
1.0× |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
$770 |
$1,407 |
1.0× |
| Debride nail 1-5 (11720) |
$64 |
$224 |
1.0× |
| Debride nail 6 or more (11721) |
$64 |
$283 |
1.0× |
| Debride tissue/muscle (11043) |
$803 |
$2,143.35 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$442 |
$6,122.50 |
1.0× |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
$1,796 |
$2,315 |
1.0× |
| Declot vascular device (36593) |
$359 |
$702.59 |
1.0× |
| Decompression Of Tibia Nerve (28035) |
$2,124 |
$8,831.16 |
1.0× |
| Destroy internal hemorrhoids (46930) |
$1,301 |
$1,999.25 |
1.0× |
| Destruction Benign Lesions 15/> (17111) |
$218 |
$18,000 |
1.0× |
| Destruction Benign Lesions Up To 14 (17110) |
$218 |
$18,000 |
1.0× |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
$962 |
$1,802.61 |
1.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$442 |
$817.32 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$218 |
$262.59 |
1.0× |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
$767 |
$7,387.62 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$1,011 |
$2,278.44 |
1.0× |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
$986 |
$1,802.48 |
1.0× |
| Drain lower leg bursa (27604) |
$3,559 |
$7,867.83 |
1.0× |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
$770 |
$2,695.55 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$586 |
$1,051.14 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$770 |
$806.34 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$770 |
$733.27 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,796 |
$2,088.45 |
1.0× |
| Drainage Finger Abscess Simple (26010) |
$218 |
$497 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$257 |
$623.51 |
1.0× |
| Drainage of gum lesion (41800) |
$144 |
$477.81 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,796 |
$12,550 |
1.0× |
| Drainage of palmar bursa; single, bursa Facility (26025) |
$3,559 |
$6,749.70 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,796 |
$2,439.58 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$442 |
$608.91 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$218 |
$535.87 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$218 |
$1,035.41 |
1.0× |
| Dstrj Neurolytic Agent Pudendal Nerve (64630) |
$962 |
$2,466.30 |
1.0× |
| Dx bone marrow bx & aspir (38222) |
$3,159 |
$6,740.15 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,936 |
$3,402 |
1.0× |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire (43270) |
$2,087 |
$3,442.32 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,087 |
$2,613.90 |
1.0× |
| Egd balloon dilation esophagus <30 mm diam (43249) |
$2,087 |
$2,800 |
1.0× |
| Egd band ligation esophgeal/gastric varices (43244) |
$2,087 |
$5,931.02 |
1.0× |
| Egd control bleeding any (43255) |
$2,087 |
$5,931.02 |
1.0× |
| Egd dilate stricture (43245) |
$2,087 |
$2,633.41 |
1.0× |
| Egd endo mucosal resection (43254) |
$2,087 |
$2,659 |
1.0× |
| Egd endoscopic stent place (43266) |
$6,603 |
$6,203.90 |
1.0× |
| Egd flex removal lesion(s) by hot biopsy forceps (43250) |
$2,087 |
$2,675 |
1.0× |
| Egd flexible foreign body removal (43247) |
$986 |
$4,885.53 |
1.0× |
| Egd guide wire insertion (43248) |
$986 |
$2,684 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,087 |
$2,784.14 |
1.0× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,087 |
$3,690 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,087 |
$2,935.44 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,087 |
$9,885.03 |
1.0× |
| Egd remove lesion snare (43251) |
$2,087 |
$2,727.19 |
1.0× |
| Egd tube/cath insertion (43241) |
$2,087 |
$8,294.05 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$2,087 |
$3,550 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$2,087 |
$3,690 |
1.0× |
| Egd w/transmural drain cyst (43240) |
$6,603 |
$6,203.90 |
1.0× |
| Endoscopic plantar fasciotomy (29893) |
$3,559 |
$14,470.10 |
1.0× |
| Endoscopic us exam esoph (43237) |
$2,087 |
$2,794.36 |
1.0× |
| Endoscopy bowel pouch/biop (44386) |
$1,011 |
$2,661.68 |
1.0× |
| Endoscopy of bowel pouch (44385) |
$1,011 |
$2,167.41 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$2,087 |
$2,754.87 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$12,556 |
$28,883.60 |
1.0× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$3,434 |
$11,798 |
1.0× |
| Endovenous rf 1st vein (36475) |
$3,434 |
$8,011.74 |
1.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,087 |
$5,931.02 |
1.0× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,087 |
$2,666.24 |
1.0× |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
$2,244 |
$9,531.93 |
1.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,244 |
$4,284.78 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,244 |
$6,594.80 |
1.0× |
| Epidural lysis mult sessions (62263) |
$962 |
$2,844.40 |
1.0× |
| Ercp Duct Stent Placement (43274) |
$6,603 |
$6,203.90 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) |
$4,193 |
$4,793.55 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$4,193 |
$5,196.89 |
1.0× |
| Ercp lithotripsy calculi (43265) |
$6,603 |
$6,203.90 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,193 |
$11,895 |
1.0× |
| Ercp remove forgn body duct (43275) |
$2,087 |
$5,081.67 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,603 |
$6,203.90 |
1.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$4,193 |
$5,318 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,193 |
$4,371.09 |
1.0× |
| Ercp w/sphincterotomy/papillotomy (43262) |
$4,193 |
$11,895 |
1.0× |
| Escharotomy initial incision (16035) |
$442 |
$923.27 |
1.0× |
| Esoph Scope W/Submucous Inj (43201) |
$2,087 |
$5,324.30 |
1.0× |
| Esophagogastroduodenoscopy submucosal injection (43236) |
$986 |
$4,885.53 |
1.0× |
| Esophagoscopy control bleed (43227) |
$2,087 |
$2,535.92 |
1.0× |
| Esophagoscopy dilate esophagus balloon 30 mm (43214) |
$2,087 |
$2,675 |
1.0× |
| Esophagoscopy flex balloon dilat <30 mm diam (43220) |
$2,087 |
$2,730.59 |
1.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$4,193 |
$9,575.75 |
1.0× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$2,087 |
$2,444.69 |
1.0× |
| Esophagoscopy flexible guide wire dilation (43226) |
$2,087 |
$2,470.18 |
1.0× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$986 |
$2,054.13 |
1.0× |
| Esophagoscopy flexible transnasal with biopsy (43198) |
$986 |
$2,365 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$986 |
$4,885.53 |
1.0× |
| Esophagoscopy Flexible Transoral Mucosal Resexn (43211) |
$2,087 |
$2,633.41 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,087 |
$2,891.41 |
1.0× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,087 |
$2,921.29 |
1.0× |
| Esophagoscopy Retro Balloon (43213) |
$2,087 |
$3,264 |
1.0× |
| Esophagoscopy transoral stent placement (43212) |
$6,603 |
$15,875.40 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,087 |
$5,931.02 |
1.0× |
| Esophagoscopy, flexible, transoral; with injection sclerosis of esophageal varices Facility (43204) |
$2,087 |
$1,977.01 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,087 |
$2,486.90 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of tumor(s), polyp(s), or other lesion(s) by hot biopsy forceps… (43216) |
$2,087 |
$9,575.75 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,087 |
$2,485.67 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$144 |
$218 |
1.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$3,159 |
$11,736.96 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,796 |
$3,178.75 |
1.0× |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
$1,796 |
$1,688.58 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,796 |
$7,225.13 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
$1,796 |
$2,884 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
$770 |
$6,671.48 |
1.0× |
| Exc back les sc < 3 cm (21930) |
$1,796 |
$5,868.49 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$770 |
$1,141.58 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,796 |
$2,063.57 |
1.0× |
| Exc forearm les sc 3 cm/> (25071) |
$1,796 |
$5,501.70 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
$1,749 |
$11,737 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
$770 |
$1,542 |
1.0× |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
$442 |
$18,000 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$770 |
$11,737 |
1.0× |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
$1,796 |
$3,767.92 |
1.0× |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
$3,159 |
$9,121.55 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,159 |
$3,694 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,796 |
$14,802.70 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,159 |
$9,121.55 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,796 |
$5,868.49 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,159 |
$11,934.24 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,159 |
$14,671.20 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2 Cm/> (21014) |
$3,159 |
$18,000 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,159 |
$2,934.23 |
1.0× |
| Exc tumor soft tissue forearm &/wrist subq <3cm (25075) |
$1,796 |
$5,037.10 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,796 |
$11,737 |
1.0× |
| Exc tumor soft tissue shoulder subfascial 5 cm/> (23073) |
$3,159 |
$14,671.20 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,159 |
$18,625.48 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,894 |
$7,650.23 |
1.0× |
| Exchange nephrostomy cath (50435) |
$2,273 |
$6,404.75 |
1.0× |
| Excision Breast Lesion (19125) |
$4,258 |
$14,666.67 |
1.0× |
| Excision Hidradenitis Axillary Smpl/Intrm Rpr (11450) |
$3,159 |
$11,737 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,796 |
$1,688.58 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$770 |
$2,916.70 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$770 |
$3,882.13 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
$1,796 |
$4,847.55 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,796 |
$9,121.55 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,019 |
$3,323.77 |
1.0× |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
$770 |
$1,572 |
1.0× |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
$770 |
$1,605.95 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,749 |
$8,304.15 |
1.0× |
| Excision of hydrocele unilateral (55040) |
$3,894 |
$13,450.67 |
1.0× |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
$1,796 |
$6,825 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,159 |
$8,234.48 |
1.0× |
| Excision of thrombosed hemorrhoid, external (46320) |
$1,301 |
$2,743.68 |
1.0× |
| Excision pilonidal cyst/sinus complicated (11772) |
$3,159 |
$11,624 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,796 |
$12,715 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,796 |
$18,000 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,159 |
$11,737 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
$1,796 |
$11,737 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,159 |
$11,737 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
$3,159 |
$18,000 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,244 |
$10,216.68 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,796 |
$3,175.45 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,796 |
$1,963.25 |
1.0× |
| Fasciotomy foot and/or toe (28008) |
$3,559 |
$7,824.64 |
1.0× |
| Fetal non-stress test (59025) |
— |
$702.95 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
$770 |
$3,666.34 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$442 |
$494.47 |
1.0× |
| Fit/Insert Intravag Support Device (57160) |
$219 |
$421.77 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$259 |
$731.15 |
1.0× |
| Foreskin manipulation (54450) |
$271 |
$688 |
1.0× |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
$234 |
$324.53 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$770 |
$1,996.50 |
1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/o implt (28289) |
$3,559 |
$11,737 |
1.0× |
| Hemorrhoidectomy (46255) |
$3,019 |
$18,087.60 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,019 |
$15,675.90 |
1.0× |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
$3,019 |
$2,858.06 |
1.0× |
| I&D Abscess Peritonsillar (42700) |
$257 |
$967 |
1.0× |
| I&d abscess simple (10060) |
$218 |
$1,035.41 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,159 |
$4,433 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,159 |
$3,193.73 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,559 |
$4,955 |
1.0× |
| I&d forearm/wrist bursa (25031) |
$1,749 |
$7,073.04 |
1.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,559 |
$4,361.02 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$770 |
$733.27 |
1.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,159 |
$4,687 |
1.0× |
| I&D Upper Arm/Elbow Bursa (23931) |
$1,796 |
$2,866.39 |
1.0× |
| I&d vulva/perineal abscess (56405) |
$331 |
$842.50 |
1.0× |
| Ileoscopy stoma w/balloon dilation (44381) |
$2,087 |
$2,236.08 |
1.0× |
| Ileoscopy thru stoma (44380) |
$986 |
$2,251.24 |
1.0× |
| Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) |
$986 |
$2,509.13 |
1.0× |
| Ileoscopy, through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage,… (44384) |
$2,087 |
$4,089.15 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,796 |
$8,442.91 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,796 |
$3,195.06 |
1.0× |
| Implant neuroelectrodes (63650) |
$6,932 |
$21,127.50 |
1.0× |
| Incise external hemorrhoid (46083) |
$271 |
$638.41 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$442 |
$6,439.18 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,159 |
$4,242.84 |
1.0× |
| Incision & drainage pilonidal cyst complicated (10081) |
$770 |
$2,354.82 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$442 |
$619.14 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$219 |
$661.33 |
1.0× |
| Incision and drainage perianal abscess superficial (46050) |
$1,011 |
$7,293.75 |
1.0× |
| Incision and drainage, complex, postoperative wound infection (10180) |
$3,159 |
$3,472.16 |
1.0× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$1,749 |
$7,186.77 |
1.0× |
| Incision and drainage, upper arm or elbow area; deep abscess or hematoma (23930) |
$3,159 |
$4,615 |
1.0× |
| Incision of rectal abscess (46040) |
$1,301 |
$2,574.22 |
1.0× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$3,559 |
$574.81 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$803 |
$3,189.75 |
1.0× |
| Initial tx 1st degree burn local tx (16000) |
$218 |
$1,035.41 |
1.0× |
| Inj neurolytic subarachnoid (62280) |
$962 |
$11,990.60 |
1.0× |
| Inj paravert f jnt c/t 1 lev (64490) |
$962 |
$11,542.64 |
1.0× |
| Inj tendon sheath/ligament (20550) |
$333 |
$567.75 |
1.0× |
| Inj therapeutic carpal tunnel (20526) |
$333 |
$507.64 |
1.0× |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
$962 |
$1,105 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$962 |
$1,441.45 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$962 |
$6,721.05 |
1.0× |
| Inject Nerv Blck,Axillary Nerv (64417) |
$962 |
$1,863.80 |
1.0× |
| Inject Nerv Blck,Celiac Plexus (64530) |
$962 |
$1,803.43 |
1.0× |
| Inject Nerv Blck,Intercost,Multpl (64421) |
$962 |
$1,568 |
1.0× |
| Inject Nerv Blck,Intercostal,One (64420) |
$767 |
$1,175.97 |
1.0× |
| Inject Nerv Blck,Paravert Sympath (64520) |
$962 |
$2,002.58 |
1.0× |
| Inject Rx Celiac Plexus Nerve (64680) |
$962 |
$2,466.30 |
1.0× |
| Inject Tendon Origin/Insert (20551) |
$333 |
$487.88 |
1.0× |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
$962 |
$3,360.30 |
1.0× |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
$962 |
$3,360.30 |
1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$767 |
$15,404.80 |
1.0× |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
$767 |
$7,672.82 |
1.0× |
| Injection aa&/strd pudendal nerve (64430) |
$962 |
$3,360.30 |
1.0× |
| Injection aa&/strd trigeminal nerve each branch (64400) |
$333 |
$787.27 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$333 |
$671.28 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$962 |
$2,466.30 |
1.0× |
| Injection anesthetic agent femoral nerve single (64447) |
$767 |
$1,017.83 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$767 |
$908 |
1.0× |
| Injection for identification of sentinel node (38792) |
$434 |
$888.75 |
1.0× |
| Injection procedure for chemonucleolysis, including discography, intervertebral disc, single or multiple levels, lumbar… (62292) |
$2,124 |
$4,620.20 |
1.0× |
| Injection Rx Extremity Pseudoaneurysm (36002) |
$682 |
$2,708.10 |
1.0× |
| Injection Sclerosant Single Incmptnt Vein (36470) |
$442 |
$868.25 |
1.0× |
| Injection sclerosing solution hemorrhoids (46500) |
$1,011 |
$1,573.88 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$333 |
$620.10 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$333 |
$740.25 |
1.0× |
| Injection treatment of nerve (64681) |
$962 |
$3,956.60 |
1.0× |
| Injection(s) spider veins (36468) |
$442 |
$525.15 |
1.0× |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
$962 |
$3,360.30 |
1.0× |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
$767 |
$1,755.51 |
1.0× |
| Injection, anesthetic agent; vagus nerve (64408) |
$333 |
$1,056.05 |
1.0× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$962 |
$1,789.50 |
1.0× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$962 |
$20,102.30 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,434 |
$4,853.66 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,434 |
$4,615.61 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,434 |
$8,195.77 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,052 |
$7,141 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$6,052 |
$28,168.60 |
1.0× |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
$11,368 |
$10,906.80 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$34,142 |
$44,534.30 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$139 |
$411.25 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,712 |
$8,094.82 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,087 |
$2,063 |
1.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,301 |
$4,984.50 |
1.0× |
| Insert gastrostomy tube percutaneous (49440) |
$2,087 |
$5,931.02 |
1.0× |
| Insert heart pm atrial (33206) |
$11,368 |
$10,906.80 |
1.0× |
| Insert heart pm ventricular (33207) |
$11,368 |
$17,276.70 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$19,939 |
$14,292 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,434 |
$9,840.78 |
1.0× |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
$3,434 |
$3,280.26 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,712 |
$2,623.02 |
1.0× |
| Insert pulse gen dual leads (33213) |
$11,368 |
$15,055.80 |
1.0× |
| Insert pulse gen mult leads (33221) |
$20,951 |
$19,875.60 |
1.0× |
| Insert pulse gen sngl lead (33212) |
$9,001 |
$13,501 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$144 |
$671.69 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,894 |
$7,089 |
1.0× |
| Insert tunneled cv cath (36561) |
$3,434 |
$16,038.60 |
1.0× |
| Insert Tunneled Cv Cath With Pump (36563) |
$6,052 |
$11,385.80 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,052 |
$16,901.10 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$144 |
$671.69 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,894 |
$3,677.92 |
1.0× |
| Insertion of cannula (36800) |
$6,052 |
$5,633.71 |
1.0× |
| Insertion picc w/rs&i < 5 yr (36572) |
$682 |
$3,100.05 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,001 |
$37,020.60 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$6,052 |
$11,385.80 |
1.0× |
| Insj 1 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33216) |
$9,001 |
$8,625.06 |
1.0× |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
$9,001 |
$9,918.93 |
1.0× |
| Insj Eltrd Car Ven Sys Attch Prev Pm/Dfb Pls Gen (33224) |
$11,368 |
$17,570.90 |
1.0× |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
$24,194 |
$27,320.60 |
1.0× |
| Insj picc rs&i 5 yr+ (36573) |
$1,712 |
$8,094.82 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,434 |
$16,401.30 |
1.0× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$3,434 |
$11,236.70 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,434 |
$4,955.29 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$6,052 |
$11,385.80 |
1.0× |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
$3,434 |
$11,236.70 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,434 |
$16,401.30 |
1.0× |
| Insj/rplcmt defib w/lead(s) (33249) |
$34,142 |
$44,534.30 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,001 |
$8,625.06 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$9,001 |
$8,625.06 |
1.0× |
| Insrt pulse gen w/dual leads (33230) |
$24,194 |
$112,293 |
1.0× |
| Insrt/redo spine n generator (63685) |
$33,564 |
$16,902 |
1.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$3,019 |
$2,858.06 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$586 |
$3,233.30 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,712 |
$4,856.89 |
1.0× |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
$6,190 |
$17,459.70 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$257 |
$1,210.08 |
1.0× |
| Irrigation maxillary sinus (31000) |
$257 |
$1,420.75 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$271 |
$649.50 |
1.0× |
| Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm, extradural; thoracic Facility (63266) |
$7,892 |
$3,617.52 |
1.0× |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Facility (63655) |
$21,101 |
$25,934.67 |
1.0× |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63003) |
$7,892 |
$47,666.67 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63047) |
$7,892 |
$25,322.60 |
1.0× |
| Laminotomy (hemilaminectomy), with decompression of nerve root(s), including partial facetectomy, foraminotomy and/or… (63030) |
$7,892 |
$35,746.30 |
1.0× |
| Lap ing hernia repair init (49650) |
$6,575 |
$33,000 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,575 |
$15,715.20 |
1.0× |
| Lap paraesophag hern repair (43281) |
$11,562 |
$21,978.70 |
1.0× |
| Lap revision perm ip cath (49325) |
$6,575 |
$14,764.90 |
1.0× |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
$6,575 |
$24,168.50 |
1.0× |
| Laparoscopy appendectomy (44970) |
$6,575 |
$18,340.50 |
1.0× |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
$6,575 |
$16,881.76 |
1.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,562 |
$22,536 |
1.0× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous… (43774) |
$4,193 |
$28,663.90 |
1.0× |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
$4,193 |
$18,087.60 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,575 |
$22,711.90 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,575 |
$21,705.10 |
1.0× |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
$6,575 |
$5,634 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$217 |
$448.90 |
1.0× |
| Laryngoscopy Direct Aspiration (31515) |
$425 |
$6,297.75 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$217 |
$639.92 |
1.0× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$1,936 |
$4,759.50 |
1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$425 |
$1,932 |
1.0× |
| Late closure of wound (13160) |
$3,854 |
$1,906.39 |
1.0× |
| Ligation of a-v fistula (37607) |
$3,434 |
$17,605.40 |
1.0× |
| Ligation of hemorrhoid(s) (46221) |
$1,011 |
$1,474.49 |
1.0× |
| Ligation Of Inf Vena Cava (37619) |
$6,052 |
$6,135.08 |
1.0× |
| Lithotripsy (50590) |
$3,834 |
$13,970.10 |
1.0× |
| Liver Biopsy (47000) |
$1,796 |
$5,065.75 |
1.0× |
| Lyse Chest Fibrin Subq Day (32562) |
$682 |
$2,892.50 |
1.0× |
| Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) Facility (27860) |
$3,559 |
$15,165.30 |
1.0× |
| Mastectomy partial (19301) |
$4,258 |
$22,000 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,712 |
$2,035.23 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$3,434 |
$3,995.96 |
1.0× |
| Muscle-skin graft trunk (15734) |
$3,854 |
$4,823.36 |
1.0× |
| Myelography Lumbar Injection (62305) |
$852 |
$2,602.70 |
1.0× |
| Myelography Lumbar Injection (62304) |
$852 |
$1,967.26 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
$852 |
$2,098 |
1.0× |
| Myelography via lumbar injection rs&i thoracic (62303) |
$852 |
$1,964 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$767 |
$1,106.86 |
1.0× |
| N Block Inj, Plantar Digit (64455) |
$333 |
$611 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) |
$1,936 |
$6,348.95 |
1.0× |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
$485 |
$638.64 |
1.0× |
| Needle biopsy of pancreas (48102) |
$1,796 |
$1,688.58 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416 |
$2,083.90 |
1.0× |
| Njx aa&/strd sciatic nerve (64445) |
$767 |
$953.62 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$962 |
$1,746.08 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,894 |
$16,246.80 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,894 |
$6,531.33 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$962 |
$1,224 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$962 |
$3,193.30 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
$767 |
$2,534.90 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
$767 |
$1,510.39 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
$962 |
$2,466.30 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
$962 |
$3,193.30 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
$767 |
$7,308.20 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
$962 |
$2,466.30 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
$758 |
$3,478.12 |
1.0× |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
$758 |
$3,478.12 |
1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$442 |
$868.25 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$986 |
$1,016.86 |
1.0× |
| Occipital Nerve Block (64405) |
$333 |
$1,095.67 |
1.0× |
| Omntc epiploectomy rescj omentum spx (49255) |
$7,041 |
$7,235.04 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,258 |
$2,934.23 |
1.0× |
| Open thrombect av fistula (36831) |
$6,052 |
$18,000 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,892 |
$15,686 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,892 |
$38,595 |
1.0× |
| Open treatment of trimalleolar ankle fracture, includes internal fixation, when performed, medial and/or lateral… (27823) |
$7,892 |
$71,500 |
1.0× |
| Open treatment posterior malleolus fracture (27769) |
$7,892 |
$99,666.67 |
1.0× |
| Open treatment talus fracture (28445) |
$7,892 |
$5,634 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,559 |
$7,136.17 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,892 |
$49,833.33 |
1.0× |
| Open tx fracture phalanx/phalanges not great toe (28525) |
$3,559 |
$14,470.10 |
1.0× |
| Open tx phalangeal shaft fracture prox/middle ea (26735) |
$3,559 |
$7,136.17 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,892 |
$11,268 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$12,556 |
$17,714 |
1.0× |
| Open/Perq Placement Intravascular Stent Initial (37236) |
$12,556 |
$11,818.90 |
1.0× |
| Ostectomy complete 5th metatarsal head (28113) |
$3,559 |
$14,470.10 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,559 |
$14,470.10 |
1.0× |
| Ostectomy, partial, exostectomy or condylectomy, metatarsal head, each metatarsal head (28288) |
$3,559 |
$11,737 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,559 |
$6,355.23 |
1.0× |
| Part Remv Femur/Prox Tib/Fib (27360) |
$3,559 |
$7,186.77 |
1.0× |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
$3,559 |
$12,648 |
1.0× |
| Partial excision bone tibia (27640) |
$3,559 |
$7,186.77 |
1.0× |
| Partial removal of thyroid (60220) |
$6,575 |
$33,000 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,559 |
$12,191.70 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$12,556 |
$11,818.90 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$770 |
$930.04 |
1.0× |
| Percut Mech Thrombectomy, Venous (37187) |
$12,556 |
$35,456.80 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,434 |
$8,052.81 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,712 |
$7,629.65 |
1.0× |
| Peritoneal Lavage (49084) |
$986 |
$1,060.17 |
1.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$19,939 |
$1,557 |
1.0× |
| Perq dev breast 1st mr guide (19287) |
$770 |
$3,545 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$770 |
$928.07 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$770 |
$1,808 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,796 |
$1,688.58 |
1.0× |
| Perq replacement gtube not req revj gstrst trc (43762) |
$271 |
$1,267.34 |
1.0× |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
$19,939 |
$85,888 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,556 |
$59,094.60 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,190 |
$28,507.60 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,892 |
$29,465.20 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,892 |
$14,559.70 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
$3,559 |
$16,907.30 |
1.0× |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
$3,559 |
$4,200.88 |
1.0× |
| Phalangectomy toe each toe (28150) |
$3,559 |
$14,666.67 |
1.0× |
| Picc line placement (36569) |
$1,712 |
$2,062.92 |
1.0× |
| Place Cath Subclavian Art (36225) |
$3,434 |
$16,401.30 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$3,434 |
$7,240.97 |
1.0× |
| Place Cath Vertebral Art (36226) |
$6,052 |
$28,168.60 |
1.0× |
| Place duod/jej tube perc (49441) |
$2,087 |
$3,383.60 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$485 |
$415.87 |
1.0× |
| Plmt nephrostomy cath prq new access rs&i (50432) |
$2,273 |
$10,674.60 |
1.0× |
| Plmt nephroureteral cath prq new access rs&i (50433) |
$3,834 |
$15,381.70 |
1.0× |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
$3,834 |
$16,025.60 |
1.0× |
| Prim art mech thrombectomy (37184) |
$19,939 |
$56,142.40 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,011 |
$1,323.14 |
1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$3,019 |
$18,000 |
1.0× |
| Proctosigmoidoscopy, rigid; with control of bleeding (eg, injection, bipolar cautery, unipolar cautery, laser, heater… (45317) |
$1,301 |
$4,683.45 |
1.0× |
| Proctosigmoidoscopy, rigid; with transendoscopic stent placement (includes predilation) Facility (45327) |
$6,603 |
$10,840.70 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,894 |
$15,546.70 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,894 |
$17,146.80 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$442 |
$888.25 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$770 |
$733.27 |
1.0× |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
$442 |
$2,081.91 |
1.0× |
| Reduce testis torsion (54600) |
$3,834 |
$4,427.82 |
1.0× |
| Relocation of skin pocket for pacemaker (33222) |
$2,244 |
$3,949.41 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,434 |
$16,401.30 |
1.0× |
| Removal biliary drg cath (47537) |
$986 |
$3,807.75 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,796 |
$7,562.84 |
1.0× |
| Removal foreign body foot subcutaneous (28190) |
$770 |
$1,397.82 |
1.0× |
| Removal foreign body intranasal (30300) |
$144 |
$301 |
1.0× |
| Removal foreign body muscle/tendon sheath simple (20520) |
$1,796 |
$1,688.58 |
1.0× |
| Removal foreign body pharynx (42809) |
$485 |
$415.87 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$64 |
$251.73 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$64 |
$248 |
1.0× |
| Removal implant deep (20680) |
$3,159 |
$17,986.90 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,796 |
$8,442.91 |
1.0× |
| Removal of arm foreign body (24200) |
$1,796 |
$1,688.58 |
1.0× |
| Removal of embedded foreign body, eyelid (67938) |
$345 |
$663.33 |
1.0× |
| Removal of fecal impaction or foreign body (separate procedure) under anesthesia (45915) |
$1,301 |
$2,307.80 |
1.0× |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
$485 |
$415.87 |
1.0× |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
$682 |
$903.54 |
1.0× |
| Removal of iud (58301) |
$331 |
$491 |
1.0× |
| Removal of nail bed (11750) |
$442 |
$1,134.66 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,434 |
$11,658.40 |
1.0× |
| Removal of vein clot (34421) |
$3,434 |
$15,185 |
1.0× |
| Removal ppm generator only (33233) |
$9,001 |
$8,625.06 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$218 |
$351.53 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$770 |
$2,896.70 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,749 |
$12,977.52 |
1.0× |
| Removal/bivalving full arm/full leg cast (29705) |
$304 |
$298.78 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$304 |
$290 |
1.0× |
| Remove ext hem groups 2+ (46250) |
$3,019 |
$4,432.30 |
1.0× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$2,273 |
$5,589 |
1.0× |
| Remove intrvas foreign body (37197) |
$3,434 |
$16,401.30 |
1.0× |
| Remove Pilonidal Cyst Exten (11771) |
$3,159 |
$11,737 |
1.0× |
| Remove pulse generator (33241) |
$4,064 |
$4,700.49 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$758 |
$3,478.12 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,749 |
$11,737 |
1.0× |
| Remove ureter stent, percut (50384) |
$2,273 |
$7,342 |
1.0× |
| Remove&replace pm gen singl (33227) |
$9,001 |
$17,550.70 |
1.0× |
| Remv Ext Canal Foreign Body (69200) |
$144 |
$671.69 |
1.0× |
| Remv F.B.,Eye,Superf Conjunc (65205) |
$144 |
$411 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$24,194 |
$44,587 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$34,142 |
$44,862 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$24,194 |
$44,587 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$11,368 |
$18,089 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$20,951 |
$93,056.30 |
1.0× |
| Renal Biopsy Percutaneous (50200) |
$1,796 |
$7,071.40 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,434 |
$12,463.70 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$803 |
$1,547.73 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$803 |
$1,623 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$442 |
$1,034 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$442 |
$1,419.30 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$442 |
$904 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$442 |
$1,151 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$803 |
$1,479.47 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$803 |
$1,747.38 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,749 |
$3,907.67 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,894 |
$25,643.60 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
$442 |
$1,012.44 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$442 |
$661.92 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$442 |
$716.92 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
$442 |
$985.79 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$442 |
$820.97 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$442 |
$969 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$442 |
$1,367.83 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$803 |
$894.30 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$442 |
$580.86 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$442 |
$2,081.91 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$803 |
$803.51 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
$2,244 |
$1,906.39 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$442 |
$952.69 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$442 |
$588.30 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$442 |
$714 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$803 |
$1,060.55 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$442 |
$918.71 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,244 |
$1,899.22 |
1.0× |
| Repair lead pace-defib dual (33220) |
$4,064 |
$4,760.20 |
1.0× |
| Repair lead pace-defib one (33218) |
$4,064 |
$5,640.26 |
1.0× |
| Repair Mouth Laceration (40831) |
$586 |
$1,966.17 |
1.0× |
| Repair of nail bed (11760) |
$803 |
$652.36 |
1.0× |
| Repair of nasal septum (30520) |
$3,606 |
$10,995.30 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$7,041 |
$23,473.90 |
1.0× |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
$3,894 |
$28,237 |
1.0× |
| Repair tongue laceration (41252) |
$257 |
$1,618.60 |
1.0× |
| Repair Tongue Laceration (41250) |
$485 |
$664.33 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$986 |
$1,553.25 |
1.0× |
| Replace gastrostomy/cecostomy tube percutaneous (49450) |
$986 |
$2,931.32 |
1.0× |
| Replace tunneled cv cath (36578) |
$3,434 |
$3,886 |
1.0× |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
$986 |
$3,183.60 |
1.0× |
| Reposition cv cath w/fluoro (36597) |
$1,712 |
$1,618.96 |
1.0× |
| Reposition gastric feeding tube thru duodenum (43761) |
$271 |
$1,726.88 |
1.0× |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
$3,434 |
$6,339 |
1.0× |
| Revise abdomen-venous shunt (49426) |
$3,894 |
$7,837.71 |
1.0× |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
$6,052 |
$18,000 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,687 |
$5,185.74 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$986 |
$977.11 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$144 |
$442.81 |
1.0× |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
$485 |
$491.81 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,064 |
$4,657.90 |
1.0× |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
$4,064 |
$4,924.39 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,712 |
$4,856.89 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$682 |
$6,279.72 |
1.0× |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
$4,064 |
$4,867.47 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,712 |
$8,094.82 |
1.0× |
| Rplcmt compl prph ctr vad w/subq port (36585) |
$3,434 |
$6,741.99 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,712 |
$2,564 |
1.0× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$6,052 |
$11,385.80 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,434 |
$9,840.78 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,434 |
$3,949 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,575 |
$34,970.90 |
1.0× |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
$3,894 |
$27,030 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,575 |
$18,333.34 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$7,041 |
$25,730 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,575 |
$26,532.50 |
1.0× |
| Rpr Blood Vessel Direct Lower Extremity (35226) |
$770 |
$3,600.85 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,712 |
$2,382.34 |
1.0× |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
$803 |
$851 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$586 |
$1,850.62 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$586 |
$1,989.69 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,687 |
$1,931.27 |
1.0× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$4,495 |
$10,142.30 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,559 |
$8,260.86 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$682 |
$2,440.30 |
1.0× |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
$3,434 |
$5,728.44 |
1.0× |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
$3,434 |
$5,027.50 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$1,796 |
$1,688.58 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,011 |
$1,893.33 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,301 |
$2,212.78 |
1.0× |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
$3,019 |
$4,681.95 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$1,011 |
$2,380 |
1.0× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,301 |
$2,684 |
1.0× |
| Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) |
$1,301 |
$1,706.38 |
1.0× |
| Sigmoidoscopy Flx Tndsc Balo Dilat - Endoscopy Sigmoid (45340) |
$1,301 |
$2,552.36 |
1.0× |
| Sigmoidoscopy flx w/rmvl tumor by hot bx forceps (45333) |
$1,011 |
$2,017.95 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,301 |
$2,440.88 |
1.0× |
| Sigmoidoscopy place stent (45347) |
$6,603 |
$6,203.90 |
1.0× |
| Sigmoidoscopy w/biopsy (45331) |
$1,011 |
$1,945 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,301 |
$2,101.50 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$442 |
$819.60 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$218 |
$1,035.41 |
1.0× |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
$442 |
$973 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$218 |
$599.78 |
1.0× |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
$218 |
$647 |
1.0× |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
$218 |
$1,132.85 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$218 |
$1,035.41 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$218 |
$1,059 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$218 |
$1,035.41 |
1.0× |
| Skin pinch graft (15050) |
$803 |
$1,611 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$803 |
$9,531.93 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$803 |
$9,531.93 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,244 |
$3,815.39 |
1.0× |
| Skin tissue rearrangement (14040) |
$2,244 |
$8,591.68 |
1.0× |
| Skn splt a-grft fac/nck/hf/g (15120) |
$3,854 |
$4,839.02 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,244 |
$1,906.39 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,052 |
$28,168.60 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
$3,434 |
$6,337.55 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,052 |
$28,168.60 |
1.0× |
| Slitting of prepuce (54001) |
$2,273 |
$3,174.52 |
1.0× |
| Small Bowel Endoscopy (44373) |
$2,087 |
$2,890.89 |
1.0× |
| Small bowel endoscopy (44366) |
$2,087 |
$3,053.21 |
1.0× |
| Small bowel endoscopy (44364) |
$2,087 |
$2,915.87 |
1.0× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,087 |
$3,021.77 |
1.0× |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
$2,087 |
$2,874.63 |
1.0× |
| Small bowel endoscopy/biopsy (44377) |
$2,087 |
$2,970.77 |
1.0× |
| Small bowel endoscopy/stent (44370) |
$6,603 |
$6,203.90 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with control of bleeding… (44378) |
$2,087 |
$3,422.94 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$6,603 |
$6,203.90 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with placement of… (44372) |
$2,087 |
$3,230.50 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; with removal of… (44365) |
$2,087 |
$2,949.58 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$218 |
$1,035.41 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$442 |
$696.71 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$442 |
$873 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$767 |
$6,544.48 |
1.0× |
| Spinal Puncture Therapeutic (62272) |
$767 |
$893.75 |
1.0× |
| Strapping ankle (29540) |
$176 |
$203.74 |
1.0× |
| Strapping elbow or wrist (29260) |
$64 |
$255 |
1.0× |
| Strapping hand/finger (29280) |
$64 |
$205 |
1.0× |
| Strapping Hip (29520) |
$144 |
$258.64 |
1.0× |
| Strapping knee (29530) |
$144 |
$243 |
1.0× |
| Strapping shoulder (29240) |
$144 |
$254.67 |
1.0× |
| Strapping thorax (29200) |
$176 |
$357.72 |
1.0× |
| Strapping toes (29550) |
$64 |
$271 |
1.0× |
| Strapping unna boot (29580) |
$176 |
$822.23 |
1.0× |
| Surgical arthroscopy shoulder lmtd dbrdmt 1/2 (29822) |
$3,559 |
$24,116.80 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,019 |
$11,737 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$442 |
$882.25 |
1.0× |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
$31,199 |
$146,704 |
1.0× |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
$20,951 |
$76,772.50 |
1.0× |
| Tcat removal perm leadless pm right ventr w/img (33275) |
$3,434 |
$13,207.60 |
1.0× |
| Tenotomy open extensor foot/toe each tendon (28234) |
$1,749 |
$8,250 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,749 |
$4,709.90 |
1.0× |
| Tenotomy, adductor of hip, open Facility (27001) |
$3,559 |
$13,010.70 |
1.0× |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
$1,749 |
$4,365.78 |
1.0× |
| Ther Apheresis,Plasma Pheresis (36514) |
$1,694 |
$3,751 |
1.0× |
| Ther Apheresis,Platelets (36513) |
$479 |
$3,674.97 |
1.0× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,694 |
$4,433.89 |
1.0× |
| Ther Apheresis,White Blood Cells (36511) |
$1,694 |
$3,936.48 |
1.0× |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
$767 |
$18,000 |
1.0× |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
$682 |
$1,056.37 |
1.0× |
| Thoracoscopy w/bx nodule (32608) |
$11,562 |
$10,850.40 |
1.0× |
| Thoracoscopy w/bx pleura (32609) |
$6,575 |
$7,672 |
1.0× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$11,562 |
$10,850.40 |
1.0× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$6,575 |
$7,875 |
1.0× |
| Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) |
$11,562 |
$10,850.40 |
1.0× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$6,575 |
$6,080.45 |
1.0× |
| Throat Surgery Procedure (42999) |
$257 |
$1,058 |
1.0× |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
$3,434 |
$16,401.30 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$6,052 |
$5,633.71 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$359 |
$2,060.67 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,434 |
$4,511.17 |
1.0× |
| Thyroid biopsy (60100) |
$770 |
$2,403.20 |
1.0× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy with end plate preparation (includes… (22856) |
$19,071 |
$59,157 |
1.0× |
| Tracheostomy emergency cricothyroid membrane (31605) |
$257 |
$2,251.87 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,687 |
$2,196 |
1.0× |
| Tracheostomy planned (31600) |
$3,606 |
$10,139.60 |
1.0× |
| Tracheotomy tube change (31502) |
$257 |
$612.14 |
1.0× |
| Transcatheter biopsy (37200) |
$6,052 |
$5,633.71 |
1.0× |
| Treat clavicle dislocation (23540) |
$268 |
$648.51 |
1.0× |
| Treat clavicle fracture (23505) |
$1,749 |
$3,023 |
1.0× |
| Treat Elbow Fracture (24635) |
$7,892 |
$21,192.20 |
1.0× |
| Treat humerus fracture (24500) |
$268 |
$1,002.35 |
1.0× |
| Treat humerus fracture (23600) |
$268 |
$710 |
1.0× |
| Treat knee fracture (27532) |
$3,559 |
$6,560.90 |
1.0× |
| Treat Knee Fracture(S) (27538) |
$268 |
$1,069.15 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$268 |
$637.50 |
1.0× |
| Treat pleurodesis w/agent (32560) |
$682 |
$3,221.69 |
1.0× |
| Treat shoulder blade fx (23575) |
$1,749 |
$3,289.35 |
1.0× |
| Treat Thigh Fracture (27246) |
$268 |
$1,069.15 |
1.0× |
| Treat Thumb Dislocation (26641) |
$268 |
$639.39 |
1.0× |
| Treat Thumb Fx/Disloc,Manip (26645) |
$1,749 |
$1,667.92 |
1.0× |
| Treat wrist bone fracture (25622) |
$268 |
$744.72 |
1.0× |
| Treat Wrist Bone Fracture (25630) |
$268 |
$731.88 |
1.0× |
| Treatment closed elbow dislocation req anes (24605) |
$1,749 |
$2,879.98 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$268 |
$740 |
1.0× |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
$268 |
$579.80 |
1.0× |
| Trim skin lesion (11055) |
$218 |
$589.15 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$218 |
$286 |
1.0× |
| Trim skin lesions over 4 (11057) |
$218 |
$354.60 |
1.0× |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
$64 |
$309.53 |
1.0× |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
$6,190 |
$29,710 |
1.0× |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
$6,190 |
$29,710 |
1.0× |
| Tube thoracostomy includes water seal (32551) |
$1,712 |
$4,856.89 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,019 |
$27,500 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,521 |
$5,584.28 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,749 |
$4,386 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$803 |
$1,164.23 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,749 |
$1,667.92 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,687 |
$11,737 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$6,575 |
$8,043.98 |
1.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$6,575 |
$7,042.50 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,575 |
$12,959.63 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$268 |
$22,000 |
1.0× |
| Unlisted procedure dentoalveolar structures (41899) |
$257 |
$1,018.20 |
1.0× |
| Unlisted Procedure Endocrine System (60699) |
$6,575 |
$21,198 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$268 |
$1,125.45 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$268 |
$1,052.50 |
1.0× |
| Unlisted Procedure Male Genital System (55899) |
$271 |
$22,000 |
1.0× |
| Unlisted procedure nervous system (64999) |
$333 |
$1,223.50 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$682 |
$4,476.05 |
1.0× |
| Unlisted procedure, stomach (43999) |
$986 |
$4,885.53 |
1.0× |
| Upgrade of pacemaker system (33214) |
$11,368 |
$19,895.60 |
1.0× |
| Us urine capacity measure (51798) |
$64 |
$223.55 |
1.0× |
| Vaginal delivery only (59409) |
$3,521 |
$4,199 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$19,939 |
$18,714.10 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$12,556 |
$14,755.10 |
1.0× |
| Vasc embolize/occlude organ (37243) |
$12,556 |
$19,612.50 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$12,556 |
$21,602.90 |
1.0× |
| Venipuncture (36415) |
$9 |
$98.02 |
1.0× |
| Wedge excision skin nail fold (11765) |
$442 |
$426.70 |
1.0× |
| Wedging of cast (29740) |
$304 |
$276.78 |
1.0× |
| Windowing of cast (29730) |
$176 |
$294.80 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$442 |
$3,189.75 |
1.0× |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
$803 |
$5,719.16 |
1.0× |