| Abd paracentesis w/imaging (49083) |
— |
$2,294 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,943 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$23,005 |
— |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
— |
$24,781.50 |
— |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
— |
$22,036.50 |
— |
| Abltj 1/> lvr tum prq rf (47382) |
— |
$11,694 |
— |
| Acne Surgery (10040) |
— |
$425 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$11,548 |
— |
| Allogeneic lymphocyte infusions (38242) |
— |
$5,107 |
— |
| Analyze infusn pump+reprogram (62368) |
— |
$805 |
— |
| Anoscopy diagnostic (46600) |
— |
$345 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$2,438 |
— |
| Anrct xm surg req anes general spi/edrl dx (45990) |
— |
$5,654 |
— |
| Application cast elbow finger short arm (29075) |
— |
$1,512 |
— |
| Application Cast Finger (29086) |
— |
$428 |
— |
| Application Cast Hand & Lower Forearm Gauntlet (29085) |
— |
$970 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$1,588 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$1,120 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$469 |
— |
| Application finger splint static (29130) |
— |
$1,274 |
— |
| Application halo type body cast (29000) |
— |
$3,347 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$767.50 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$1,964 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$886 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$650 |
— |
| Application of long leg cast (29345) |
— |
$946 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$668 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$599 |
— |
| Application short leg splint calf foot (29515) |
— |
$737.50 |
— |
| Apply long leg cast brace (29358) |
— |
$1,500 |
— |
| Apply of clubfoot cast (29450) |
— |
$1,094 |
— |
| Apply short leg cast (29405) |
— |
$1,170 |
— |
| Apply short leg cast (29425) |
— |
$1,067.50 |
— |
| Arterial puncture (36600) |
— |
$276 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,575 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$2,866.50 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$2,666.50 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$3,067.50 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$1,055 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) (25810) |
— |
$22,000 |
— |
| Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) |
— |
$15,397 |
— |
| Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) |
— |
$13,307 |
— |
| Arthrotomy W/Biopsy Hip Joint (27052) |
— |
$3,404 |
— |
| Artl Cathj Prolng Nfs Ther Chemotx Cutdown (36640) |
— |
$1,605 |
— |
| Asc Only Unlisted Procedure - Endoscopic Orbitotomy Tumor Removal (67599) |
— |
$7,300 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$1,361 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$1,885 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$4,082 |
— |
| Aspiration bladder needle (51100) |
— |
$653 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$919 |
— |
| Biliary Endoscopy Percut,Dil Strict (47555) |
— |
$6,693 |
— |
| Biopsy Bone Open Deep (20245) |
— |
$5,969 |
— |
| Biopsy bone open superficial (20240) |
— |
$5,969 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$4,596 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,468 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$5,643 |
— |
| Biopsy external ear (69100) |
— |
$872 |
— |
| Biopsy muscle deep (20205) |
— |
$3,454 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,327 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$2,763 |
— |
| Biopsy of lip (40490) |
— |
$1,800 |
— |
| Biopsy of nail unit (11755) |
— |
$1,361 |
— |
| Biopsy of penis (54100) |
— |
$3,327 |
— |
| Biopsy of uterus lining (58100) |
— |
$684 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$3,327 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$3,327 |
— |
| Biopsy Salivary Gland,Needle (42400) |
— |
$2,125 |
— |
| Biopsy Soft Tissue Back/Flank Deep (21925) |
— |
$7,050 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,327 |
— |
| Biopsy soft tissue shoulder superficial (23065) |
— |
$3,675 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$3,327 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$3,327 |
— |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
— |
$3,327 |
— |
| Biopsy Testis Needle Separate Procedure (54500) |
— |
$5,969 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$4,200 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$12,810 |
— |
| Bl exchange/transfuse nb (36450) |
— |
$1,800 |
— |
| Bladder Scan (51798) |
— |
$274 |
— |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
— |
$4,800 |
— |
| Blood patch (62273) |
— |
$3,333.50 |
— |
| Blood transfusion service (36430) |
— |
$2,250 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$3,700 |
— |
| Bone marrow aspiration only (38220) |
— |
$3,656.50 |
— |
| Bone Marrow Biopsy (38221) |
— |
$3,327 |
— |
| Bone marrow harvest allogen (38230) |
— |
$5,000 |
— |
| Bone Marrow Harvest Autolog (38232) |
— |
$9,987 |
— |
| Brain Shunt Tube/Reserv Injectn (61070) |
— |
$1,474 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$3,652 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$4,583 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$3,689 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$3,327 |
— |
| Bx anorectal wall anal approach (45100) |
— |
$3,656 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$3,327 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$3,327 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,327 |
— |
| Bx vulva/perineum 1 lesion (56605) |
— |
$2,573 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$2,794 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$6,484 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$13,000 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$434 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$5,578 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$2,100 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$665 |
— |
| Change g-tube to g-j perc (49446) |
— |
$3,616 |
— |
| Change Ureter Stent, Percut (50382) |
— |
$4,082 |
— |
| Chemical Cautery Tissue (17250) |
— |
$788 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$2,033 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,781 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$630 |
— |
| Chemodenerv Musc Neck Dyston (64616) |
— |
$3,018 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,821 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$2,064 |
— |
| Chemodenervation eccrine glands oth area per day (64653) |
— |
$1,050 |
— |
| Chemodenervation internal anal sphincter (46505) |
— |
$1,463 |
— |
| Chemodenervation of eccrine glands; both axillae (64650) |
— |
$840 |
— |
| Chemodenervation of parotid and submandibular salivary glands, bilateral (64611) |
— |
$826 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$3,180.50 |
— |
| Chest tube placement (32551) |
— |
$2,730 |
— |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
— |
$5,102.50 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$6,693 |
— |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
— |
$6,300 |
— |
| Circum 28 days or older (54161) |
— |
$1,971 |
— |
| Circumcision (54150) |
— |
$2,461 |
— |
| Circumcision Neonate (54160) |
— |
$1,421 |
— |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
— |
$1,425 |
— |
| Cisternal/lateral c1-c2 puncture w/o inj spx (61050) |
— |
$1,069 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$3,404 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$3,404 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$2,730 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$2,400 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$3,404 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$3,048 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$3,974 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$1,476 |
— |
| Closed Rx Radial Shaft Fx W/Dislocation (25520) |
— |
$3,404 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$9,000 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$2,400 |
— |
| Closed Rx Tibial Plateau Fx (27530) |
— |
$2,100 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$1,875 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$1,724 |
— |
| Closed treat wrist dislocation (25660) |
— |
$3,059 |
— |
| Closed Treatment Coccygeal Fracture (27200) |
— |
$1,400 |
— |
| Closed treatment of broken top of shin bone at knee (27538) |
— |
$1,800 |
— |
| Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) |
— |
$1,260 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$1,800 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$1,800 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$1,654 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$3,572 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$1,875 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$2,500 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$1,408 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,156 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$3,404 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$1,800 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$2,500 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$1,680 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$3,404 |
— |
| Closed tx femoral fracture prox head w/o manj (27267) |
— |
$8,105 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$1,816 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$4,725 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$2,730 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$3,404 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$985 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$1,255 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$3,404 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,617 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$4,255 |
— |
| Closed tx scapular fracture w/o manipulation (23570) |
— |
$1,800 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$3,574 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$3,404 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$1,557.50 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,404 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$1,313 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$1,294 |
— |
| Closure of gastrostomy surgical (43870) |
— |
$6,722 |
— |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
— |
$1,662 |
— |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
— |
$10,984 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$2,500 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$3,515 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$2,344 |
— |
| Clsd tx pelvic ring fx w/o manipulation (27197) |
— |
$975 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,435 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$3,404 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$3,854 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$980 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$1,260 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$2,966.50 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,588 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$1,191 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$1,097 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$1,102.50 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$2,244 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$5,100 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,875 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$1,161 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$7,313 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$2,870 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$2,400 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$2,829 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$2,400 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,404 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$3,125 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$4,725 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$3,750 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$945 |
— |
| Cltx Mandibular/Maxillary Alveolar Ridge Fx Spx (21440) |
— |
$7,050 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,960 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$1,313 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$2,042 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$1,575 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$3,404 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$3,000 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$3,974 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$1,680 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$1,875 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$4,095 |
— |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
— |
$2,932 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$1,967 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$1,185 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$3,404 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$11,000 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$1,125 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$827 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$900 |
— |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
— |
$919 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat - Colonoscopy (45386) |
— |
$3,803 |
— |
| Comp ext fixate strut change (20697) |
— |
$5,386 |
— |
| Complete replacement picc rs&i (36584) |
— |
$2,779 |
— |
| Complex Cystometrogram (51726) |
— |
$1,448 |
— |
| Complex cystometrogram (ie, calibrated electronic equipment); with urethral pressure profile studies (ie, urethral… (51727) |
— |
$1,740 |
— |
| Complex Drainage, Wound (10180) |
— |
$5,969 |
— |
| Complex Uroflowmetry (51741) |
— |
$341 |
— |
| Composite skin graft (15760) |
— |
$3,891 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$1,666.50 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$4,198 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$3,071 |
— |
| Control Oropharyngeal Hemorrhage Simple (42960) |
— |
$2,100 |
— |
| Conversion ext bil drg cath (47535) |
— |
$6,693 |
— |
| Convert nephrostomy catheter (50434) |
— |
$5,102.50 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$4,876 |
— |
| Create eardrum opening (69436) |
— |
$9,750 |
— |
| Cryotherapy of skin (17340) |
— |
$1,400 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$5,601 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$10,500 |
— |
| Cystometrogram w/vp (51728) |
— |
$2,701 |
— |
| Cystoscopy w/complex removal stone & stent (52315) |
— |
$10,000 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$5,334 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$9,300 |
— |
| Cystourethroscopy (52000) |
— |
$3,308 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$731 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$2,438 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$1,400 |
— |
| Debride nail 1-5 (11720) |
— |
$623 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$931 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$1,755 |
— |
| Declot vascular device (36593) |
— |
$736 |
— |
| Delivery placenta separate procedure (59414) |
— |
$1,400 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$4,119 |
— |
| Destruc Benign/Premal,15+ Lesions (17004) |
— |
$1,800 |
— |
| Destruction benign lesions 15 or more (17111) |
— |
$1,313 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$640 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$1,918 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$3,047.50 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$3,891 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$900 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$12,331 |
— |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); 10.0 to 50.0 sq cm (17107) |
— |
$2,284 |
— |
| Destruction of cutaneous vascular proliferative lesions (eg, laser technique); over 50.0 sq cm (17108) |
— |
$3,891 |
— |
| Destruction of skin lesions (17106) |
— |
$1,772 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$1,313 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$2,796 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$2,413 |
— |
| Dilat rct strix spx under anes oth/thn local (45910) |
— |
$3,899 |
— |
| Dilat urethral strix/vesical nck dilat male anes (53605) |
— |
$6,779 |
— |
| Dilate urethra stricture (53620) |
— |
$5,100 |
— |
| Dilate urethra stricture (53621) |
— |
$3,200 |
— |
| Dilate Urethra Stricture (53600) |
— |
$1,950 |
— |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
— |
$3,825 |
— |
| Dilation of anal sphincter (45905) |
— |
$3,446 |
— |
| Dilation of urethral stricture by passage of sound or urethral dilator, male; subsequent (53601) |
— |
$1,634 |
— |
| Dilation of vagina (57400) |
— |
$6,594 |
— |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
— |
$7,011 |
— |
| Drain bladder by trocar/cath (51101) |
— |
$1,625 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$1,138 |
— |
| Drain spinal cord cyst (62268) |
— |
$2,175 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$2,037 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$1,875 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,361 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$1,019 |
— |
| Drainage of eyelid abscess (67700) |
— |
$2,860 |
— |
| Drainage of gum lesion (41800) |
— |
$1,319 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,235 |
— |
| Drainage of hydrocele (55000) |
— |
$1,361 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$1,559 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$4,063 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$5,969 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$4,829 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$3,236 |
— |
| Egd flexible foreign body removal (43247) |
— |
$3,720 |
— |
| Egd place gastrostomy tube (43246) |
— |
$4,225 |
— |
| Egd remove lesion snare (43251) |
— |
$4,125 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$824 |
— |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
— |
$821 |
— |
| EMG stds anal/urtl sphnctr oth/thn ndl (51784) |
— |
$538 |
— |
| Endoscopic Injection/Implant (51715) |
— |
$5,688 |
— |
| Endoscopy of bowel pouch (44385) |
— |
$3,730 |
— |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
— |
$15,307 |
— |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
— |
$7,481 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$7,875 |
— |
| Endovenous rf 1st vein (36475) |
— |
$7,875 |
— |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
— |
$6,831 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$4,621 |
— |
| Ercp Duct Stent Placement (43274) |
— |
$7,555 |
— |
| Ercp remove forgn body duct (43275) |
— |
$6,152 |
— |
| Esophagogastroduodenoscopy submucosal injection (43236) |
— |
$2,916 |
— |
| Esophagoscopy flex biopsy (43202) |
— |
$4,725 |
— |
| Esophagoscopy flexible removal foreign body (43215) |
— |
$3,825 |
— |
| Esophagoscopy flexible transnasal diagnostic (43197) |
— |
$5,291 |
— |
| Esophagoscopy flexible transnasal with biopsy (43198) |
— |
$5,475 |
— |
| Esophagoscopy flexible transoral diagnostic (43200) |
— |
$6,015 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$3,616 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$3,616 |
— |
| Esophagoscopy, rigid, transoral; with removal of foreign body(s) (43194) |
— |
$3,825 |
— |
| Esophagus Surg Procedure Unlisted (43499) |
— |
$3,400 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$521 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$10,010 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$3,851 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$4,044 |
— |
| Exc face les sbq 2 cm/> (21012) |
— |
$3,327 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,361 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$3,327 |
— |
| Exc forearm les sc < 3 cm (25075) |
— |
$8,769 |
— |
| Exc les mucosa & sbmcsl vestibule mouth w/o rpr (40810) |
— |
$9,281 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$3,493 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$1,654 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$1,785 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$2,324 |
— |
| Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) |
— |
$4,206 |
— |
| Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) |
— |
$2,558 |
— |
| Exc Skin Benig >4 Cm Face,Facial (11446) |
— |
$5,891 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$5,969 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$3,840 |
— |
| Exc Skin Malig >4 Cm Face,Facial (11646) |
— |
$5,969 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$5,969 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$1,361 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$3,924 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$21,000 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$6,693 |
— |
| Exchange nephrostomy cath (50435) |
— |
$3,785 |
— |
| Exchange transfusion, blood; other than newborn (36455) |
— |
$1,800 |
— |
| Exchng absc/cst drg cath rad gid spx (49423) |
— |
$3,616 |
— |
| Excise excess skin & tissue (15839) |
— |
$5,969 |
— |
| Excise Inferior Turbinate (30130) |
— |
$16,500 |
— |
| Excise/repair mouth lesion (40812) |
— |
$3,644 |
— |
| Excision constricting tissue (26596) |
— |
$6,665 |
— |
| Excision external ear partial simple repair (69110) |
— |
$7,461.50 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$4,725 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$2,312 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$2,511 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$3,009 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$3,327 |
— |
| Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) |
— |
$4,042 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$4,561 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$5,900 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$1,427 |
— |
| Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) |
— |
$1,575 |
— |
| Excision of Epiphyseal Bar (20150) |
— |
$19,000 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$3,668 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$3,327 |
— |
| Excision of nail fold toe (11765) |
— |
$1,194 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$3,048 |
— |
| Excision of rib partial (21600) |
— |
$10,400 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$4,278 |
— |
| Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) |
— |
$8,906.50 |
— |
| Excision of vaginal septum (57130) |
— |
$16,500 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) |
— |
$13,307 |
— |
| Excision pilonidal cyst/sinus complicated (11772) |
— |
$6,745 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$8,775 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$2,573 |
— |
| Expl W/Removal Deep Foreign Body Forearm/Wrist (25248) |
— |
$3,600 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,686 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,986 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$1,430 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$989 |
— |
| Fitting of diaphragm/cap (57170) |
— |
$244 |
— |
| Fluid pressure muscle (20950) |
— |
$1,138 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$731 |
— |
| Fna bx w/fluor gdn 1st les (10007) |
— |
$1,361 |
— |
| Fna bx w/mr gdn 1st les (10011) |
— |
$1,361 |
— |
| Frenulotomy of penis (54164) |
— |
$7,508 |
— |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$3,891 |
— |
| Fusion of knuckle (26850) |
— |
$13,000 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$665 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,461 |
— |
| Hymenotomy Simple Incision (56442) |
— |
$4,266 |
— |
| Hysteroscopy dx sep proc (58555) |
— |
$6,594 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$1,190 |
— |
| I&d abscess simple (10060) |
— |
$696 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$5,969 |
— |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
— |
$6,484 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,641 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,595 |
— |
| I&D Rectal Abscess + Fistulectomy (46060) |
— |
$4,713 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) |
— |
$4,725 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$3,333 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$3,327 |
— |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
— |
$3,537 |
— |
| Implant neuroelectrodes (64580) |
— |
$8,040 |
— |
| Impltj revj/rpsg ithcl/edrl cath w/lam (62351) |
— |
$11,411 |
— |
| Impltj/rplcmt ithcl/edrl drug nfs prgrbl pump (62362) |
— |
$11,000 |
— |
| Incise finger tendon sheath (26055) |
— |
$4,725 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,176 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$8,700 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$1,910 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,414 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,858 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$151 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$5,119 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$9,169 |
— |
| Incision labial frenum frenotomy (40806) |
— |
$2,036 |
— |
| Incision of achilles tendon (27605) |
— |
$3,404 |
— |
| Incision of lingual frenum (41010) |
— |
$3,107 |
— |
| Incision of rectal abscess (46045) |
— |
$7,508 |
— |
| Incision of rectal abscess (46040) |
— |
$6,445 |
— |
| Incision of urethra (53025) |
— |
$4,082 |
— |
| Incision of urethra (53020) |
— |
$4,400 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$2,400 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,139 |
— |
| Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA, 21 targets,… (0225U) |
— |
$2,200 |
— |
| Infectious disease (fungi), fungal pathogen identification, DNA (15 fungal targets), blood culture, amplified probe… (0140U) |
— |
$393 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$808 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$9,281 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$1,272 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$2,250 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$1,764 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,141 |
— |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$888 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$1,892 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$8,531.50 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$2,139 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$1,918 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$1,600 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$5,506.50 |
— |
| Inject Rx Celiac Plexus Nerve (64680) |
— |
$2,340 |
— |
| Inject Sinus Tract Theraputic (20500) |
— |
$2,763 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$900 |
— |
| Injection aa&/strd brach plex cont nfs cath img (64416) |
— |
$1,918 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$2,375 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$1,474 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$993 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$2,380 |
— |
| Injection for identification of sentinel node (38792) |
— |
$1,141 |
— |
| Injection Rx Extremity Pseudoaneurysm (36002) |
— |
$1,594 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$805 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$1,297 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$6,300 |
— |
| Injection(s) spider veins (36468) |
— |
$623 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$1,595 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$666 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$911 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$616 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$1,918 |
— |
| Inner ear surgery proc unlisted (69949) |
— |
$8,594 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$6,750 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$5,578 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$10,313 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$8,735 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$9,650 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$26,554 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$25,242 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$35,258 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$15,929 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$20,894 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$8,238 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$495 |
— |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
— |
$3,688 |
— |
| Insert Drug Implant Device (11981) |
— |
$681 |
— |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
— |
$4,308 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$3,616 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$4,256 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$4,084 |
— |
| Insert pacing lead & connect (33224) |
— |
$9,734 |
— |
| Insert picc cath (36569) |
— |
$2,902 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$2,730 |
— |
| Insert picvad cath (36570) |
— |
$5,578 |
— |
| Insert pulse gen mult leads (33221) |
— |
$18,113 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$306 |
— |
| Insert tun ip cath perc (49418) |
— |
$5,485 |
— |
| Insert tunneled cv cath (36561) |
— |
$8,169 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$8,904 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$360 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$6,693 |
— |
| Insertion of wire and dilation of esophagus using an endoscope (43196) |
— |
$4,284 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,210 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$4,106 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$21,668 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$9,316 |
— |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
— |
$40,425 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$5,188 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$7,500 |
— |
| Insj tun vad req 2 cath 2 sits w/subq port (36566) |
— |
$9,650 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$9,589 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$6,972.50 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$42,711 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$12,356 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$14,042 |
— |
| Insrt pulse gen w/dual leads (33230) |
— |
$61,425 |
— |
| Insrt pulse gen w/mult leads (33231) |
— |
$64,025 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$3,544 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$16,328 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$8,578 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,943 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,095 |
— |
| Irrigate vagina w meds (57150) |
— |
$533 |
— |
| Kidney endoscopy (50553) |
— |
$4,613 |
— |
| Lap ing hernia repair init (49650) |
— |
$17,250 |
— |
| Laparoscopy appendectomy (44970) |
— |
$11,694 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$11,694 |
— |
| Laparoscopy orchiopexy (54692) |
— |
$20,625 |
— |
| Laparoscopy surgical orchiectomy (54690) |
— |
$19,664 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$16,500 |
— |
| Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) |
— |
$11,694 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$10,984 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$722 |
— |
| Laryngoscopy flexible w/injection agmntj uni (31574) |
— |
$3,881 |
— |
| Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) |
— |
$7,100 |
— |
| Laryngoscopy,Direct,Diagnostic (31525) |
— |
$3,652 |
— |
| Late closure of wound (13160) |
— |
$5,325 |
— |
| Ligamentous reconstruction (augmentation), knee; extra-articular (27427) |
— |
$30,000 |
— |
| Liver Biopsy (47000) |
— |
$3,456 |
— |
| Lyse Chest Fibrin Init Day (32561) |
— |
$1,515 |
— |
| Lysis of labial adhesions (56441) |
— |
$2,641 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$2,461 |
— |
| Manipulation of spine (22505) |
— |
$4,900 |
— |
| Measure Kidney Pressure Thru Tube (50396) |
— |
$1,776.50 |
— |
| Measure Ureter Press,Indwell Cath (50686) |
— |
$334 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$2,730 |
— |
| Mech remov pericath obstr cv dev via ven access (36595) |
— |
$5,578 |
— |
| Musculoskeletal surgery (20999) |
— |
$12,963 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,356 |
— |
| Myelography Lumbar Injection (62304) |
— |
$1,685 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$1,860 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$2,297 |
— |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
— |
$3,098 |
— |
| Nasal surgery procedure (30999) |
— |
$9,281 |
— |
| Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) |
— |
$14,000 |
— |
| Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) |
— |
$21,750 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$3,652 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$849 |
— |
| Nasopharyngoscopy, surgical, with dilation of eustachian tube (ie, balloon dilation); unilateral (69705) |
— |
$12,750 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$714 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$1,032 |
— |
| Neuroeltrd stim post tibial (64566) |
— |
$2,400 |
— |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) |
— |
$1,064 |
— |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) |
— |
$1,064 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$2,200 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$3,250 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$6,693 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$1,987 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
— |
$1,625 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$2,324 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) |
— |
$7,313 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$1,890 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
— |
$1,985 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$623 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$852 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,943 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$8,034 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$27,500 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$23,000 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$27,500 |
— |
| Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) |
— |
$19,000 |
— |
| Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) |
— |
$17,250 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$4,675 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$22,000 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$19,392.50 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$15,865 |
— |
| Optx fem shft fx w/insj imed implt w/wo screw (27506) |
— |
$17,285 |
— |
| Osteoplasty Femur Lengthening (27466) |
— |
$18,034 |
— |
| Osteoplasty, radius OR ulna; shortening (25390) |
— |
$40,000 |
— |
| Osteotomy of spine, including diskectomy, anterior aproach, single vertebral segment; cervical (22220) |
— |
$8,328 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation (27450) |
— |
$22,500 |
— |
| Osteotomy, iliac, acetabular or innominate bone; (27146) |
— |
$24,045 |
— |
| Other procedure on head muscle or head bone (21499) |
— |
$2,400 |
— |
| Ovarian cystectomy (58925) |
— |
$13,307 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$13,000 |
— |
| Pelvic exam under anesthesia (57410) |
— |
$7,508 |
— |
| Perc nephros/pylos w/wo dila, endo,litho,stent/bask extr up to 2 cm (50080) |
— |
$9,691 |
— |
| Perc Radiofreq Ablate Renal Tumor (50592) |
— |
$14,617.50 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$16,508 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$1,701.50 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$19,122.50 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$9,141.50 |
— |
| Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) |
— |
$9,700 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$5,775 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$17,657 |
— |
| Perq device breast 1st imag (19281) |
— |
$3,327 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$6,779 |
— |
| Perq dilation xst trc new access renal coltj sys (50437) |
— |
$7,457 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$4,119 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$3,656.50 |
— |
| Perq p-art revsc 1 nm nt uni (33900) |
— |
$29,599 |
— |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
— |
$40,361 |
— |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
— |
$21,442 |
— |
| Perq p-art revsc st 1st nml native connj bi (33901) |
— |
$41,382 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$1,496 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,564 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$18,148 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$15,298 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$9,287 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$19,688 |
— |
| Photopheresis, extracorporeal (36522) |
— |
$9,987 |
— |
| Place Cath Subclavian Art (36225) |
— |
$12,286.50 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$6,225 |
— |
| Place Cath Vertebral Art (36226) |
— |
$12,923 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$849 |
— |
| Placement of seton (46020) |
— |
$9,300 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$11,694 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$5,102.50 |
— |
| Plmt nephroureteral cath prq new access rs&i (50433) |
— |
$8,329 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$6,779 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$6,247.50 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$6,500 |
— |
| Pr unlisted procedure laparoscopy, oviduct, ovary (laparoscopic resection (initial) of ovarian, tubal or primary… (58679) |
— |
$11,000 |
— |
| Prep face/oral prost temp obturator (21079) |
— |
$20,559 |
— |
| Prepare face/oral prosthesis (21082) |
— |
$19,674 |
— |
| Preputial Stretching (54450) |
— |
$1,728 |
— |
| Prim art mech thrombectomy (37184) |
— |
$18,136 |
— |
| Proctopexy Perineal Approach (45541) |
— |
$6,763 |
— |
| Proctosigmoidoscopy w/bx (45305) |
— |
$4,278 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$3,825 |
— |
| Prq impltj neurostim eltrd sacral nrve w/imaging (64561) |
— |
$25,127 |
— |
| Prq impltj neurostimulator eltrd peripheral nrv (64555) |
— |
$7,042 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$6,693 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$9,375 |
— |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
— |
$14,264 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$720 |
— |
| Puncture Aspiration (10160) |
— |
$852 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,361 |
— |
| Radical resection of tumor, femur or knee (27365) |
— |
$9,900 |
— |
| Radical resection of tumor; tibia Other Surgical Services (27645) |
— |
$9,182 |
— |
| Reconstruct extra finger (26587) |
— |
$7,314 |
— |
| Reconstruction collateral ligament metacarpophalangeal joint single w/ graft 26541 (26541) |
— |
$28,000 |
— |
| Reduction of rectal prolapse (45900) |
— |
$2,017 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$4,903 |
— |
| Rem endovas vena cava filter (37193) |
— |
$9,020 |
— |
| Removal Anal Seton Other Marker (46030) |
— |
$3,825 |
— |
| Removal biliary drg cath (47537) |
— |
$2,048 |
— |
| Removal fb intranasal (30300) |
— |
$658 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$17,250 |
— |
| Removal foreign body foot deep (28192) |
— |
$3,327 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$2,125 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$1,890 |
— |
| Removal foreign body pharynx (42809) |
— |
$4,493 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$1,082.50 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$1,496 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$6,900 |
— |
| Removal Implant From Finger/Hand (26320) |
— |
$7,532 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$3,327 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
— |
$998 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$6,112 |
— |
| Removal of adenoids (42830) |
— |
$17,250 |
— |
| Removal of anal fissure (46200) |
— |
$9,300 |
— |
| Removal of arm foreign body (24200) |
— |
$1,423 |
— |
| Removal of fixation device (20665) |
— |
$889 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$1,856 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$699 |
— |
| Removal of kidney stone (50081) |
— |
$10,660 |
— |
| Removal of nail bed (11750) |
— |
$854 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$425 |
— |
| Removal of skin wrinkles (15829) |
— |
$14,601 |
— |
| Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Other… (61892) |
— |
$14,601 |
— |
| Removal of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed (63661) |
— |
$10,000 |
— |
| Removal of vein clot (34421) |
— |
$6,600 |
— |
| Removal ppm generator only (33233) |
— |
$8,506 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$3,250 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$4,094 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$5,578 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$761 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$567 |
— |
| Remove & replace indwell ureteral stent trurthrl (50385) |
— |
$5,785 |
— |
| Remove Brain Cavity Fluid (61020) |
— |
$6,300 |
— |
| Remove cranial cavity fluid (61000) |
— |
$5,250 |
— |
| Remove drug implant device (11982) |
— |
$849 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$690 |
— |
| Remove femur lesion (27355) |
— |
$5,688 |
— |
| Remove foreign body from eye (65210) |
— |
$829 |
— |
| Remove intrvas foreign body (37197) |
— |
$5,850 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$6,693 |
— |
| Remove Pilonidal Cyst Exten (11771) |
— |
$5,969 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,776.50 |
— |
| Remove spinal canal catheter (62355) |
— |
$4,119 |
— |
| Remove stent via transureth (50386) |
— |
$5,767 |
— |
| Remove Ureter Stent, Percut (50384) |
— |
$3,689 |
— |
| Remove wrist joint cartilage (25107) |
— |
$13,000 |
— |
| Remove&replace pm gen singl (33227) |
— |
$20,764 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$350 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$569 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$57,506 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$59,915 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$55,298 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$22,606 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$23,702 |
— |
| Renal biopsy (50200) |
— |
$4,159 |
— |
| Repair cleft lip/nasal (40700) |
— |
$11,375 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,305 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,365 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$852 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,305 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,305 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,370 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,305 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,370 |
— |
| Repair finger tendon (26432) |
— |
$5,700 |
— |
| Repair incomplete circumcision (54163) |
— |
$4,082 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$8,879 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$1,036 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$852 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$895 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$1,088 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$940 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$987 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,142 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,305 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$852 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$895 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,218 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$2,024 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$987 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$852 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$895 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,036 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$940 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,088 |
— |
| Repair lead pace-defib dual (33220) |
— |
$7,098 |
— |
| Repair lead pace-defib one (33218) |
— |
$6,112 |
— |
| Repair of nail bed (11760) |
— |
$2,376 |
— |
| Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) (30468) |
— |
$20,000 |
— |
| Repair of web finger (26562) |
— |
$12,000 |
— |
| Repair of web finger (26561) |
— |
$13,307 |
— |
| Repair Tongue Laceration (41250) |
— |
$1,181 |
— |
| Repair tympanic membrane (69610) |
— |
$7,883 |
— |
| Repair umbilical lesion (49600) |
— |
$10,479 |
— |
| Repair vagina/perineum (57210) |
— |
$10,984 |
— |
| Replace duod/jej tube perc (49451) |
— |
$2,074 |
— |
| Replace g/c tube perc (49450) |
— |
$3,281 |
— |
| Replace/revise brain shunt (62230) |
— |
$17,000 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$3,250 |
— |
| Reposition gastrostomy tube (43761) |
— |
$1,170 |
— |
| Reposition pacing-defib lead (33215) |
— |
$5,578 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$16,634 |
— |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
— |
$741 |
— |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
— |
$7,694 |
— |
| Resect Inferior Turbinate (30140) |
— |
$11,582 |
— |
| Revise arm/leg nerve (64708) |
— |
$10,984 |
— |
| Revise thumb tendon (26490) |
— |
$28,000 |
— |
| Revision of lower leg tendon (27685) |
— |
$17,500 |
— |
| Revision of tips (37183) |
— |
$18,559 |
— |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
— |
$24,745 |
— |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
— |
$5,102.50 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$849 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$974 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$2,498 |
— |
| Rmvl of subq defibrillator (33272) |
— |
$6,112 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$6,112 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$8,030 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$4,550 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,638 |
— |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
— |
$902 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,646 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$4,084 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,730 |
— |
| Rplcmt compl prph ctr vad w/subq port (36585) |
— |
$5,363 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$15,419 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$5,857 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$5,578 |
— |
| Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) |
— |
$1,648 |
— |
| Rpr aa hernia 1st < 3 cm reducible (49591) |
— |
$1,480 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$3,295 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$12,000 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$1,456 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$5,400 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$8,100 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$9,517 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$2,322 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
— |
$12,600 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$2,730 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$3,327 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$425 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$895 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$425 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$446 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$500 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$852 |
— |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
— |
$507 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$446 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$852 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$529 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$852 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$570 |
— |
| Simple drainage of abscess of saliva gland (42300) |
— |
$3,107 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$906 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$639 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$783 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$951 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$822 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$863 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$999 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$652 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,508 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,042 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,891 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$7,730 |
— |
| Skin Tissue Procedure (17999) |
— |
$1,700 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$17,542.50 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$9,201 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$27,097.50 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$992 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,094 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,149 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,474 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$1,474 |
— |
| Strapping hand/finger (29280) |
— |
$840 |
— |
| Strapping Hip (29520) |
— |
$900 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$849 |
— |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
— |
$19,125 |
— |
| Suspension of testis (54620) |
— |
$12,512.50 |
— |
| Suture/repair testicular injury (54670) |
— |
$6,779 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$425 |
— |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
— |
$44,517 |
— |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
— |
$23,601 |
— |
| Tcat removal perm leadless pm right ventr w/img (33275) |
— |
$10,144 |
— |
| Tenolysis ext tendon,hand/finger,ea (26445) |
— |
$7,900 |
— |
| Tenotomy adductor hip percutaneous spx (27000) |
— |
$9,400 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$9,987 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$4,178 |
— |
| Ther Apheresis,Platelets (36513) |
— |
$3,900 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$10,969 |
— |
| Ther Apheresis,White Blood Cells (36511) |
— |
$6,130 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$6,188 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$3,810 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$2,550 |
— |
| Throat Surgery Procedure (42999) |
— |
$8,594 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$5,578 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$10,969 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$6,136 |
— |
| Thyroid biopsy (60100) |
— |
$2,438 |
— |
| Tongue and mouth surg unlisted (41599) |
— |
$1,600 |
— |
| Trach Tube Change (31502) |
— |
$605 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$2,015 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$5,352 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$3,899 |
— |
| Transcatheter biopsy (37200) |
— |
$7,123 |
— |
| Transplant forearm tendon (25312) |
— |
$19,000 |
— |
| Transplant hand tendon (26480) |
— |
$8,500 |
— |
| Transplj Hematopoietic Boost (38243) |
— |
$3,494 |
— |
| Treat finger dislocation (26775) |
— |
$3,518 |
— |
| Treat Finger Fracture Each (26727) |
— |
$22,000 |
— |
| Treat fracture of radius (25526) |
— |
$30,000 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$2,500 |
— |
| Treat fracture radius/ulna (25575) |
— |
$6,298 |
— |
| Treat fx rad extra-articul (25607) |
— |
$11,411 |
— |
| Treat humerus fracture (24500) |
— |
$1,575 |
— |
| Treat humerus fracture (24577) |
— |
$3,404 |
— |
| Treat humerus fracture (23600) |
— |
$1,758 |
— |
| Treat knee fracture (27532) |
— |
$4,675 |
— |
| Treat lower leg fracture (27828) |
— |
$23,000 |
— |
| Treat Lower Leg Fracture (27827) |
— |
$24,045 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$3,031 |
— |
| Treat pleurodesis w/agent (32560) |
— |
$2,325 |
— |
| Treat Thumb Fx/Disloc,Manip (26645) |
— |
$3,404 |
— |
| Treat toe fracture (28525) |
— |
$4,675 |
— |
| Treat wrist bone fracture (25635) |
— |
$3,404 |
— |
| Treat wrist bone fracture (25622) |
— |
$1,680 |
— |
| Treat Wrist Bone Fracture (25630) |
— |
$1,260 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$6,090 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,221 |
— |
| Treatment of ankle fracture (28436) |
— |
$17,250 |
— |
| Treatment of bone cyst (20615) |
— |
$2,100 |
— |
| Treatment of fibula fracture (27784) |
— |
$27,500 |
— |
| Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) |
— |
$1,800 |
— |
| Treatment of tibia fracture (27759) |
— |
$14,924 |
— |
| Trim skin lesion (11055) |
— |
$425 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$513 |
— |
| Trim skin lesions over 4 (11057) |
— |
$624 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$15,221 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$13,030 |
— |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
— |
$32,500 |
— |
| Trnsplj autologous hematopoietic cells per donor (38241) |
— |
$3,935 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$9,700 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,305 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$3,059 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$3,404 |
— |
| Tympanostomy (69433) |
— |
$2,935 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$8,000 |
— |
| Unlisted procedure colon (45399) |
— |
$4,300 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$2,400 |
— |
| Unlisted Procedure External Ear (69399) |
— |
$2,917 |
— |
| Unlisted Procedure Lungs & Pleura (32999) |
— |
$2,100 |
— |
| Unlisted procedure neck or thorax (21899) |
— |
$628 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$8,594 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$8,594 |
— |
| Unlisted procedure spine (22899) |
— |
$8,593 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$6,000 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$1,200 |
— |
| Unlisted procedure, forearm or wrist (25999) |
— |
$5,286 |
— |
| Unlisted procedure, male genital system (55899) |
— |
$7,972 |
— |
| Unlisted procedure, salivary glands or ducts (42699) |
— |
$5,100 |
— |
| Unlisted procedure, stomach (43999) |
— |
$7,300 |
— |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
— |
$19,950 |
— |
| Urology Surgery Procedure (53899) |
— |
$5,546.50 |
— |
| Vaginal delivery only (59409) |
— |
$3,000 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$22,269 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$30,845 |
— |
| Vasc embolize/occlude organ (37243) |
— |
$26,163 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$20,842 |
— |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
— |
$276 |
— |
| Venipuncture, cutdown; age 1 or over (36425) |
— |
$626 |
— |
| Wedging of cast (29740) |
— |
$567 |
— |
| Wedging of clubfoot cast (29750) |
— |
$567 |
— |
| Windowing of cast (29730) |
— |
$353 |
— |