| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
— |
$88,913.75 |
— |
| Abd paracentesis w/imaging (49083) |
— |
$2,682.33 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,353.08 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$72,402.84 |
— |
| Adjt tis trnsfr/rearrgmt e/n/e/l dfct 10 sq cm/< (14060) |
— |
$30,250.85 |
— |
| Amputate metacarpal bone (26910) |
— |
$50,022.92 |
— |
| Amputation Finger/Thumb (26951) |
— |
$29,815.68 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$19,345.72 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$31,893.50 |
— |
| Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele, including cystourethroscopy, when… (57240) |
— |
$76,206.41 |
— |
| Appendectomy (44950) |
— |
$57,679.52 |
— |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
— |
$3,585.70 |
— |
| Application finger splint static (29130) |
— |
$4,380.17 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$7,861.07 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$6,212.49 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$5,715.93 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$6,523.90 |
— |
| Apply long leg splint (29505) |
— |
$4,598.94 |
— |
| Apply short leg splint (29515) |
— |
$7,513.57 |
— |
| Aqueous shunt to extraocular equatorial plate reservoir, external approach; with graft Facility (66180) |
— |
$48,793.95 |
— |
| Arterial puncture (36600) |
— |
$180.60 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$67,604.15 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$11,276.06 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$7,803.85 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$7,743.60 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$106,239.95 |
— |
| Arthroplasty, interposition, intercarpal or carpometacarpal joints (25447) |
— |
$57,552.60 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$5,155.85 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$86,224.43 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$76,842.57 |
— |
| Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) |
— |
$67,982.50 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$71,125.56 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$73,524.51 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$112,251.84 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$37,889.60 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$4,748.87 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$48,612.30 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$80,437.40 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$2,483.23 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$24,774.26 |
— |
| Biopsy or excision of lymph node(s); open, superficial (38500) |
— |
$65,891.39 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$8,205.23 |
— |
| Biopsy/removal lymph nodes (38525) |
— |
$84,959.28 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$50,784.84 |
— |
| Bl push transfuse 2 yr/< (36440) |
— |
$1,383.05 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$48,539.19 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$53,526.83 |
— |
| Blepharoplasty, Upper Eyelid (15822) |
— |
$50,801 |
— |
| Blepharotomy drain absc eyelid (67700) |
— |
$28,327.19 |
— |
| Blood patch (62273) |
— |
$845.11 |
— |
| Blood transfusion service (36430) |
— |
$665 |
— |
| Brnchsc Brncl/Endobrncl Bx 1+ Sits (31625) |
— |
$29,397.96 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$46,257.80 |
— |
| Brnchsc W/Transbrncl Lung Bx 1 Lobe (31628) |
— |
$46,865.25 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$48,817.47 |
— |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
— |
$59,996.67 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$48,548.01 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$10,840.10 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$22,478.11 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$5,196.38 |
— |
| Cataract surgery complex (66982) |
— |
$20,882.88 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$350 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$33,535.45 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$141,070.03 |
— |
| Circum 28 days or older (54161) |
— |
$43,767.90 |
— |
| Closed Treatment Nasal Fracture W/Stabilization (21320) |
— |
$22,532.29 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$15,284.04 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$8,885.83 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$10,530.67 |
— |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
— |
$15,969.47 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$15,464.86 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$15,419.62 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$5,322.46 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$20,348.45 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$3,821.61 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$11,396.43 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$4,080.94 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$16,047.68 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$6,598.42 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$2,865.54 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$4,435.09 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$11,538.91 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$7,332.64 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$54,062.26 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$8,914.77 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$37,079.60 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$3,918.82 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$12,132.07 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
— |
$9,204.21 |
— |
| Colonoscopy flex w/blln dilat (45386) |
— |
$12,336.81 |
— |
| Colonoscopy flex w/inj submuc (45381) |
— |
$45,257.02 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$14,047.91 |
— |
| Colonoscopy w/ablation (45388) |
— |
$17,015.23 |
— |
| Colonoscopy w/band ligation (45398) |
— |
$34,516.92 |
— |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
— |
$19,125.73 |
— |
| Colpoperineorrhaphy non ob (57210) |
— |
$92,431.40 |
— |
| Colpopexy vaginal intraperitoneal approach (57283) |
— |
$109,048.14 |
— |
| Conization of cervix (57520) |
— |
$36,341.09 |
— |
| Conization of cervix (57522) |
— |
$37,418.87 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$347.59 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$5,549.82 |
— |
| Control Oropharyngeal Hemorrhage Simple (42960) |
— |
$30,858.76 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$11,546.79 |
— |
| Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous… (36830) |
— |
$76,309.02 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$6,128.16 |
— |
| Curettage postpartum (59160) |
— |
$43,454.67 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$40,323.34 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$31,943.90 |
— |
| Cysto w fulg of minor lesions <0.5cm (52224) |
— |
$45,515.93 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$46,218.07 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$51,399.68 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$39,531.06 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$62,075.55 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$44,618.86 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$49,532.98 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$63,729 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$51,961.74 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$69,785.65 |
— |
| Cysto/Uretero/Pyeloscopy W/Lithotripsy (52353) |
— |
$66,836.33 |
— |
| Cystoscopy,Dir Vis Int Urethrotomy (52276) |
— |
$34,460.13 |
— |
| Cystouretero & or pyeloscope (52351) |
— |
$40,674.95 |
— |
| Cystourethroscopy (52000) |
— |
$44,146.65 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$38,804.63 |
— |
| Cystourethroscopy w/dest &/rmvl med bladder tum (52235) |
— |
$42,429.07 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$35,841.80 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$41,119.39 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$44,707.74 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$5,635.86 |
— |
| Debride nail 1-5 (11720) |
— |
$35,760.30 |
— |
| Debride tissue/muscle (11043) |
— |
$13,493.21 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$11,265.55 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$32,313.18 |
— |
| Declot vascular device (36593) |
— |
$513.29 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$35,339.88 |
— |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
— |
$23,582.83 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$6,666.79 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$27,215.59 |
— |
| Dilation and curettage (58120) |
— |
$44,361.61 |
— |
| Dilation esoph unguided sound/bougie 1/mult pass (43450) |
— |
$26,116.31 |
— |
| Drain Ext Ear Absc/Blood,Complic (69005) |
— |
$12,881.39 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,130.01 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$3,708.54 |
— |
| Drainage of gum lesion (41800) |
— |
$2,178.20 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$44,291.08 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$6,510.76 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$5,383 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$2,872.48 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$23,539.95 |
— |
| Dstrj lesion anus smpl eltrdsiccation (46910) |
— |
$33,339.89 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$26,712.23 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$24,182.70 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$26,109.53 |
— |
| Egd band ligation esophgeal/gastric varices (43244) |
— |
$36,603.93 |
— |
| Egd control bleeding any (43255) |
— |
$87,343 |
— |
| Egd flexible foreign body removal (43247) |
— |
$30,444.68 |
— |
| Egd guide wire insertion (43248) |
— |
$22,188.90 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$13,311.39 |
— |
| Egd place gastrostomy tube (43246) |
— |
$36,598.73 |
— |
| Egd remove lesion snare (43251) |
— |
$40,216.18 |
— |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
— |
$49,854.79 |
— |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
— |
$58,387.29 |
— |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
— |
$39,359.48 |
— |
| Ercp Duct Stent Placement (43274) |
— |
$73,506.65 |
— |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
— |
$52,285.38 |
— |
| Ercp remove forgn body duct (43275) |
— |
$44,629.36 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$48,791.42 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$49,942.13 |
— |
| Ercp w/sphincterotomy/papillotomy (43262) |
— |
$55,650.46 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$53,334.22 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$55,981.66 |
— |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
— |
$33,776.33 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$23,067.61 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$26,791.50 |
— |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
— |
$33,095.97 |
— |
| Exc back les sc < 3 cm (21930) |
— |
$30,508.16 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$74,309.86 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$25,508.56 |
— |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
— |
$38,431.97 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$28,598.03 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$33,127.18 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$55,562.63 |
— |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
— |
$34,308.83 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$42,191.44 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$33,182.33 |
— |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
— |
$35,235.32 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$28,877.15 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$25,435.08 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$42,720.34 |
— |
| Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) |
— |
$42,643.24 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$21,634.02 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$29,399.18 |
— |
| Exchange intraocular lens (66986) |
— |
$34,322.90 |
— |
| Exchange nephrostomy cath (50435) |
— |
$9,808.95 |
— |
| Excision Aural Polyp (69540) |
— |
$27,341.51 |
— |
| Excision branchial cleft cyst or vestige, confined to skin and subcutaneous tissues Facility (42810) |
— |
$25,605.39 |
— |
| Excision Breast Lesion (19125) |
— |
$51,387.65 |
— |
| Excision Chalazion Single (67800) |
— |
$21,266.87 |
— |
| Excision external ear partial simple repair (69110) |
— |
$46,483.93 |
— |
| Excision interdigital morton neuroma single each (28080) |
— |
$33,545.43 |
— |
| Excision lesion mouth roof (42104) |
— |
$32,345.46 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$19,212.38 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$26,974.64 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$46,451.71 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$39,054.81 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$32,278.40 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$56,001.84 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$32,794.31 |
— |
| Excision of chalazion; multiple, different lids (67805) |
— |
$28,306.68 |
— |
| Excision of chalazion; under general anesthesia and/or requiring hospitalization, single or multiple Facility (67808) |
— |
$24,087.03 |
— |
| Excision of hydrocele unilateral (55040) |
— |
$42,998.43 |
— |
| Excision of infected graft; extremity Facility (35903) |
— |
$55,955.21 |
— |
| Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure (67840) |
— |
$29,589.33 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$22,791.62 |
— |
| Excision of lesion, conjunctiva; over 1 cm Facility (68115) |
— |
$34,830.05 |
— |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
— |
$66,029.64 |
— |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
— |
$79,217.25 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$38,864.23 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$28,729.30 |
— |
| Excision of submandibular (submaxillary) gland Facility (42440) |
— |
$67,249.60 |
— |
| Excision of tongue lesion (41112) |
— |
$18,287.81 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$40,011.48 |
— |
| Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) Facility (55530) |
— |
$42,608.69 |
— |
| Excision olecranon bursa (24105) |
— |
$37,692.28 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$32,199.65 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater (21012) |
— |
$30,508.49 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
— |
$21,192.87 |
— |
| Excision/Transposition Pterygium W/Grafg (65426) |
— |
$29,949.36 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$30,109.22 |
— |
| Exploration of knee joint (27310) |
— |
$48,247.19 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$15,028.03 |
— |
| Explore Parathyroid Glands (60500) |
— |
$68,109.45 |
— |
| External cephalic version (59412) |
— |
$3,377.50 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$33,915.86 |
— |
| Fetal contraction stress test (59020) |
— |
$782.60 |
— |
| Fetal non-stress test (59025) |
— |
$630 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$6,579.21 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$4,723.77 |
— |
| Fixation of shoulder (23700) |
— |
$12,399.33 |
— |
| Frenoplasty (surgical revision of frenum, eg, with Z-plasty) Facility (41520) |
— |
$21,306.36 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$37,487.67 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,015.11 |
— |
| Hemorrhoidectomy (46255) |
— |
$45,152.97 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$41,003.54 |
— |
| Hemorrhoidectomy, internal, by ligation other than rubber band; 2 or more hemorrhoid columns/groups, without imaging… (46946) |
— |
$36,724.74 |
— |
| Hemorrhoidopexy by stapling (46947) |
— |
$51,089.97 |
— |
| Hysteroscopy biopsy (58558) |
— |
$31,493.03 |
— |
| Hysteroscopy w endometrial ablation (58563) |
— |
$39,590.66 |
— |
| Hysteroscopy, diagnostic (separate procedure) (58555) |
— |
$21,001.09 |
— |
| Hysteroscopy, surgical; with removal of impacted foreign body (58562) |
— |
$38,305.16 |
— |
| I&d abscess simple (10060) |
— |
$5,815.41 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$38,803.76 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$26,447.27 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$14,335.45 |
— |
| I&d vulva/perineal abscess (56405) |
— |
$3,725.01 |
— |
| Incise external hemorrhoid (46083) |
— |
$1,831.62 |
— |
| Incise finger tendon sheath (26055) |
— |
$12,578.17 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$8,233.94 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$2,990.23 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$50,935.47 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$6,495.35 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$3,325.74 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$15,553.46 |
— |
| Incision of rectal abscess (46040) |
— |
$38,399.81 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$8,917.60 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$3,092.11 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$85,328.76 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$19,767.14 |
— |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
— |
$21,546.11 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$2,263.58 |
— |
| Injection anesthetic agent femoral nerve single (64447) |
— |
$93,197.78 |
— |
| Injection for identification of sentinel node (38792) |
— |
$7,921.16 |
— |
| Injection into skin lesions (11900) |
— |
$41,850.56 |
— |
| Injection Rx Extremity Pseudoaneurysm (36002) |
— |
$3,500 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$7,678.66 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$12,319.03 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$71,503.14 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$9,100 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$70,314.22 |
— |
| Insert cath pleura w/ image (32557) |
— |
$1,322.81 |
— |
| Insert gastrostomy tube percutaneous (49440) |
— |
$43,856.38 |
— |
| Insert heart pm atrial (33206) |
— |
$70,469.93 |
— |
| Insert heart pm ventricular (33207) |
— |
$58,812.12 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$53,434.75 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,778.90 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$21,826.24 |
— |
| Insert tunneled cv cath (36561) |
— |
$41,936.59 |
— |
| Insertion of anterior segment aqueous drainage device, without extraocular reservoir, external approach Facility (66183) |
— |
$31,991.82 |
— |
| Insertion of multi-component, inflatable penile prosthesis, including placement of pump, cylinders, and reservoir… (54405) |
— |
$103,714.13 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$16,703.67 |
— |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
— |
$8,102.84 |
— |
| Insertion/rplcmt peripheral/gastric npgr (64590) |
— |
$58,019.98 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$39,359.48 |
— |
| Insj picc rs&i 5 yr+ (36573) |
— |
$7,704.07 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$60,449.26 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$7,725.33 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$4,468.10 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$111,964.13 |
— |
| Intro cath dialysis circuit (36901) |
— |
$14,549.40 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$53,204.49 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$25,494.50 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$32,221.01 |
— |
| Irrigation maxillary sinus (31000) |
— |
$52,588.87 |
— |
| Lap ing hernia repair init (49650) |
— |
$62,224.12 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$45,802.11 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$109,276.37 |
— |
| Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy (59151) |
— |
$62,564.44 |
— |
| Laparoscopy appendectomy (44970) |
— |
$75,757.06 |
— |
| Laparoscopy biopsy (49321) |
— |
$59,465.53 |
— |
| Laparoscopy tubal block (58671) |
— |
$49,652.52 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$76,732.05 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$50,912.01 |
— |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
— |
$78,023.55 |
— |
| Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) |
— |
$57,491.90 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$79,178.05 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$75,406.09 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; with removal of tube(s) and/or ovary(s)… (58552) |
— |
$66,469.11 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$61,625.12 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$68,880.66 |
— |
| Laparoscopy, surgical; with fulguration of oviducts (with or without transection) (58670) |
— |
$36,952.50 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$55,312.10 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$55,002.75 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$24,593.08 |
— |
| Laryngoscopy w/biopsy (31535) |
— |
$44,818.66 |
— |
| Laryngoscopy w/bx op scope (31536) |
— |
$53,467.62 |
— |
| Larynscop w/tumr exc + scope (31541) |
— |
$48,111.74 |
— |
| Laser enucleation of the prostate with morcellation, including control of postoperative bleeding, complete (vasectomy,… (52649) |
— |
$93,123.78 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$38,351.85 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$41,353.81 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$51,441.23 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$40,338.86 |
— |
| Liver Biopsy (47000) |
— |
$2,034.03 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$43,639.73 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$16,067.01 |
— |
| Marsupialization Bartholins Gland Cyst (56440) |
— |
$47,596.70 |
— |
| Mast mod rad (19307) |
— |
$95,560.44 |
— |
| Mastectomy partial (19301) |
— |
$64,081.38 |
— |
| Mastectomy simple complete (19303) |
— |
$88,615.74 |
— |
| Myelography Lumbar Injection (62305) |
— |
$7,904.33 |
— |
| Myelography Lumbar Injection (62304) |
— |
$5,721.14 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$5,721.14 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$5,721.14 |
— |
| Nasal/Sinus Endoscopy W/Ethmoidectomy Partial (31254) |
— |
$50,571.15 |
— |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
— |
$53,382.13 |
— |
| Nasal/sinus endoscopy, surgical, with frontal sinus exploration, including removal of tissue from frontal sinus, when… (31276) |
— |
$49,438.87 |
— |
| Nasal/sinus endoscopy, surgical, with sphenoidotomy; Facility (31287) |
— |
$52,658.36 |
— |
| Nasal/sinus endoscopy, surgical; with concha bullosa resection Facility (31240) |
— |
$46,921.28 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$25,107.73 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
— |
$37,858.53 |
— |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
— |
$58,314.54 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$51,337.17 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$42,887.16 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$48,225.34 |
— |
| Ndsc njx implt matrl urt&/bldr nck (51715) |
— |
$31,076.75 |
— |
| Neuroplasty &/transposition ulnar nerve wrist (64719) |
— |
$55,689.19 |
— |
| Neuroplasty and/or transposition; median nerve at carpal tunnel (64721) |
— |
$20,325.66 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$25,241.28 |
— |
| Occlude fallopian tube(s) (58615) |
— |
$60,115.64 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$53,429.05 |
— |
| Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) Facility (64581) |
— |
$74,683.92 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$64,873.02 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$66,030.66 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$62,796.57 |
— |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
— |
$41,248.64 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$91,156.84 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$71,462.25 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$109,717.13 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$64,744.63 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$77,185.88 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$79,371.43 |
— |
| Optx dstl radl x-artic fx/epiphysl sep (25607) |
— |
$64,283.78 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$76,925.16 |
— |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
— |
$72,497.52 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$61,467.83 |
— |
| P-mastectomy w/ln removal (19302) |
— |
$65,424.50 |
— |
| Partial removal of thyroid (60220) |
— |
$81,108.81 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$24,099.29 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$48,929.58 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$44,524.87 |
— |
| Perc Radiofreq Ablate Renal Tumor (50592) |
— |
$35,811.08 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$100,856.35 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$2,608.55 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$72,578.50 |
— |
| Perq device breast 1st imag (19281) |
— |
$88,483.08 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$24,523.86 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$74,005.05 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$26,609.62 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$29,787.54 |
— |
| Picc line placement (36569) |
— |
$23,250.43 |
— |
| Place Cath Subclavian Art (36225) |
— |
$6,555.71 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$7,957.88 |
— |
| Place Cath Vertebral Art (36226) |
— |
$5,750.19 |
— |
| Place duod/jej tube perc (49441) |
— |
$2,494.10 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$9,597.76 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$17,920.36 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$8,505.36 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$3,862.84 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$69,081.23 |
— |
| Prim art mech thrombectomy (37184) |
— |
$131,923.48 |
— |
| Probe Nasolac Duct,Insert Tube/Stent (68815) |
— |
$22,953.50 |
— |
| Probe nl duct w/balloon (68816) |
— |
$26,186.60 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$29,293.98 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$18,499.82 |
— |
| Prq Impltj Neurostim Eltrd Sacral Nrve W/Imaging (64561) |
— |
$37,659.73 |
— |
| Prq skel fixj phlngl shft fx prox/middle px/f/t (26727) |
— |
$33,021.64 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,756.15 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$3,415.93 |
— |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
— |
$43,366.87 |
— |
| Reduce testis torsion (54600) |
— |
$60,054.42 |
— |
| Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft Facility (24342) |
— |
$50,950.66 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$6,299.45 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$2,979.92 |
— |
| Removal foreign body intranasal (30300) |
— |
$1,466.81 |
— |
| Removal foreign body pharynx (42809) |
— |
$2,365.88 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$19,640.69 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$8,424.21 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$9,965.17 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$26,374.92 |
— |
| Removal implant deep (20680) |
— |
$54,250.67 |
— |
| Removal of adenoids (42831) |
— |
$20,068.12 |
— |
| Removal of adenoids (42830) |
— |
$28,336.35 |
— |
| Removal of anal fissure (46200) |
— |
$38,351.85 |
— |
| Removal of breast capsule (19371) |
— |
$49,323.56 |
— |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
— |
$2,716.90 |
— |
| Removal of iud (58301) |
— |
$34,410.43 |
— |
| Removal of kidney stone (50081) |
— |
$182,978.24 |
— |
| Removal of kidney stone (50080) |
— |
$170,714.68 |
— |
| Removal of nail bed (11750) |
— |
$10,762.75 |
— |
| Removal of testis (54520) |
— |
$49,319.05 |
— |
| Removal of tonsils (42825) |
— |
$29,216.75 |
— |
| Removal of tonsils (42826) |
— |
$28,118.29 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$3,726.06 |
— |
| Removal or revision of sling for male urinary incontinence (eg, fascia or synthetic) Facility (53442) |
— |
$66,577.08 |
— |
| Removal or revision of sling for stress incontinence (eg, fascia or synthetic) (57287) |
— |
$58,019.24 |
— |
| Removal ppm generator only (33233) |
— |
$85,230.58 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$37,548.83 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$2,033.22 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$77,789.50 |
— |
| Remove anal fist subq (46270) |
— |
$34,691.71 |
— |
| Remove drug implant device (11982) |
— |
$74,829.85 |
— |
| Remove ext hem groups 2+ (46250) |
— |
$52,832.89 |
— |
| Remove intrvas foreign body (37197) |
— |
$6,299.45 |
— |
| Remove muti-comp penis pros (54406) |
— |
$69,848.42 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$54,544.27 |
— |
| Remove vagina gland lesion (56740) |
— |
$43,415.69 |
— |
| Remove&replace pm gen singl (33227) |
— |
$43,029.98 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$21,281.95 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$1,977.13 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$10,008.83 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$83,578.64 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$78,643.16 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$48,826.70 |
— |
| Renal Biopsy Percutaneous (50200) |
— |
$10,905.80 |
— |
| Repair brow defect (67900) |
— |
$53,317.16 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$3,619.09 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$2,693.07 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$8,692.98 |
— |
| Repair Entropion Suture (67921) |
— |
$17,523.50 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$44,783.14 |
— |
| Repair eyelid defect (67916) |
— |
$42,103.63 |
— |
| Repair eyelid defect (67901) |
— |
$33,480.95 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$67,272.15 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$53,096.02 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$10,967.99 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$20,147.92 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$6,484.35 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$13,109.53 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$5,871.19 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$7,222.79 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$16,195.08 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$41,851.19 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$17,977.28 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$17,836.92 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$26,824.16 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$23,794.53 |
— |
| Repair of enterocele, vaginal approach (separate procedure) Facility (57268) |
— |
$71,734.96 |
— |
| Repair of nail bed (11760) |
— |
$3,146.22 |
— |
| Repair of nasal septum (30520) |
— |
$47,970.96 |
— |
| Repair of rectocele (45560) |
— |
$109,571.48 |
— |
| Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic Facility (23412) |
— |
$79,330.68 |
— |
| Repair recurrent inguinal hernia, any age; reducible (49520) |
— |
$64,213.25 |
— |
| Repair rotator cuff acute (23410) |
— |
$61,072.66 |
— |
| Repair tympanic membrane (69610) |
— |
$20,933.23 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$1,277.33 |
— |
| Repositioning of intraocular lens prosthesis, requiring an incision (separate procedure) Facility (66825) |
— |
$17,140.49 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
— |
$77,149.57 |
— |
| Revise eyelashes (67825) |
— |
$20,129.73 |
— |
| Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft Facility (66185) |
— |
$57,438.85 |
— |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
— |
$159,105.49 |
— |
| Revision of iris (66761) |
— |
$3,719.23 |
— |
| Revision of penis (54300) |
— |
$56,460.95 |
— |
| Revision of tips (37183) |
— |
$24,481.78 |
— |
| Revj Opn Arven Fstl W/O Thrmbc Dial Grf (36832) |
— |
$77,736.51 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$79,533.52 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$1,838.20 |
— |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
— |
$34,322.90 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$76,234.59 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$1,823.86 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,122.96 |
— |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
— |
$24,479.38 |
— |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
— |
$13,272.57 |
— |
| Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
— |
$39,359.48 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$4,532.24 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$43,794.96 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$38,952.47 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$30,149.39 |
— |
| Rpsg Prev Implted Pm/Dfb R Atr/R Ventr Electrode (33215) |
— |
$26,974.49 |
— |
| Severing Ads Ant Seg Incal Spx Post Synechiae (65875) |
— |
$10,836.92 |
— |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
— |
$18,349.86 |
— |
| Sigmoidoscopy w/biopsy (45331) |
— |
$29,978.04 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$17,962.81 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$6,046.29 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$11,351.80 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$3,800.57 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$18,062.39 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$11,046.57 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$5,110.40 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$23,247.84 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$5,718.83 |
— |
| Sinusotomy, maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps Facility (31030) |
— |
$48,927.90 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$29,033.71 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$18,628.13 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$26,222.59 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$16,131.84 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$19,797.55 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$70,640.14 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$5,214.24 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$6,311.90 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,352.45 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$51,514.62 |
— |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
— |
$36,063.72 |
— |
| Strabismus Recession/Rescj 1 Ver Musc (67314) |
— |
$37,531.71 |
— |
| Strabismus surgery, recession or resection procedure; 2 horizontal muscles Facility (67312) |
— |
$35,911.81 |
— |
| Strabismus surgery, recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) Facility (67316) |
— |
$36,945.71 |
— |
| Strapping toes (29550) |
— |
$2,543.63 |
— |
| Strapping unna boot (29580) |
— |
$177.47 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$47,387.79 |
— |
| Suspension of testis (54640) |
— |
$59,296.48 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$58,916.26 |
— |
| Suture of quadriceps or hamstring muscle rupture; primary (27385) |
— |
$44,706.91 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
— |
$62,446.05 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$129,434.78 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$145,205.83 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$124,526.82 |
— |
| Thyroid biopsy (60100) |
— |
$1,015.11 |
— |
| Thyroidectomy, removal of all remaining thyroid tissue following previous removal of a portion of thyroid Facility (60260) |
— |
$58,996.69 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$98,133.82 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$25,281.40 |
— |
| Total hip arthroplasty (27130) |
— |
$109,727.91 |
— |
| Total Knee Arthroplasty (27447) |
— |
$92,399.02 |
— |
| Transcatheter biopsy (37200) |
— |
$8,468.89 |
— |
| Transur electr resection of prostate (52601) |
— |
$42,880.78 |
— |
| Transurethral incision of prostate (52450) |
— |
$40,858.76 |
— |
| Transurethral resection bladder neck (52500) |
— |
$43,516.87 |
— |
| Treat Knee Fracture (27535) |
— |
$55,679.30 |
— |
| Treat Kneecap Fracture (27524) |
— |
$46,933.64 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$9,258.38 |
— |
| Treatment of missed abortion, completed surgically; first trimester (59820) |
— |
$30,683.44 |
— |
| Treatment of missed abortion, completed surgically; second trimester (59821) |
— |
$38,785.19 |
— |
| Treatment of nose fracture (21330) |
— |
$46,942.91 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$1,764.25 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$35,293.17 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$68,110.20 |
— |
| Tubal ligation (58600) |
— |
$18,279.93 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$31,708.43 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$35,627 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$36,568.50 |
— |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69635) |
— |
$37,613.73 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
— |
$81,894.07 |
— |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69631) |
— |
$54,610.60 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$27,943.90 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$63,962.11 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$78,928.87 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$67,649.80 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$63,660.34 |
— |
| Unlisted laparoscopy procedure, uterus (58578) |
— |
$50,451.55 |
— |
| Unlisted procedure dentoalveolar structures (41899) |
— |
$20,887.20 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$78,481.83 |
— |
| Urology Surgery Procedure (53899) |
— |
$46,031.50 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$87,760.79 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$97,503.78 |
— |
| Vasc embolize/occlude organ (37243) |
— |
$46,403.54 |
— |
| Venipuncture (36415) |
— |
$71.90 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$21,674.21 |
— |
| Vulvectomy Simple Partial (56620) |
— |
$38,051.46 |
— |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
— |
$32,462.04 |
— |
| Xcpsl ctrc rmvl cplx insj 1+ (66989) |
— |
$29,541.39 |
— |