| Abd paracentesis w/imaging (49083) |
— |
$8,695.33 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$10,173.05 |
— |
| Acetabuloplasty (27120) |
— |
$19,390.78 |
— |
| Acromiopl/Acromionect Partial (23130) |
— |
$29,953.06 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$17,685.87 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$31,583.41 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$17,685.87 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$17,685.87 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$17,685.87 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$17,685.87 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$29,953.06 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$29,953.06 |
— |
| Amputation foot transmetarsal (28805) |
— |
$29,953.06 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$29,953.06 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$29,953.06 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$13,699.53 |
— |
| Ankle Arthroscopy/Surgery (29892) |
— |
$65,077.38 |
— |
| Anoscopy diagnostic (46600) |
— |
$6,148.11 |
— |
| Anoscopy remove lesion (46610) |
— |
$18,726.68 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$11,187.16 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$26,656.03 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$65,077.38 |
— |
| Appendectomy (44950) |
— |
$33,652.22 |
— |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
— |
$14,088.94 |
— |
| Application multiplane external fixation system (20692) |
— |
$122,330.06 |
— |
| Application short leg splint calf foot (29515) |
— |
$1,537.09 |
— |
| Application uniplane external fixation system (20690) |
— |
$65,077.38 |
— |
| Apply Short Leg Cast (29405) |
— |
$2,689.83 |
— |
| Arterial puncture (36600) |
— |
$1,422.38 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$30,160.62 |
— |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
— |
$124,683.25 |
— |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
— |
$124,683.25 |
— |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
— |
$65,077.38 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$3,305.92 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
— |
$1,475.95–$6,148.11 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$1,475.95–$6,148.11 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$2,825.70 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$65,077.38 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$65,077.38 |
— |
| Arthrodesis Posterior Interbody Lumbar (22630) |
— |
$161,888 |
— |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
— |
$124,683.25 |
— |
| Arthrodesis Posterior/Posterolateral Thoracic (22610) |
— |
$27,045.86 |
— |
| Arthrodesis sacroiliac joint percutaneous (27279) |
— |
$175,863.82 |
— |
| Arthrodesis subtalar (28725) |
— |
$122,330.06 |
— |
| Arthrodesis triple (28715) |
— |
$122,330.06 |
— |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
— |
$161,888 |
— |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22556) |
— |
$24,759.08 |
— |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
— |
$63,228.22 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
— |
$20,417.85 |
— |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
— |
$33,675.66 |
— |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
— |
$124,293.96 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
— |
$124,683.25 |
— |
| Arthroplasty Ankle (27700) |
— |
$65,077.38 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$124,293.96 |
— |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
— |
$29,953.06 |
— |
| Arthroplasty Patella W/Prosthesis (27438) |
— |
$135,874.81 |
— |
| Arthroplasty Radial Head W/Implant (24366) |
— |
$122,330.06 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$94,100.05 |
— |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
— |
$122,330.06 |
— |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
— |
$29,953.06 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$29,953.06 |
— |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
— |
$29,953.06 |
— |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
— |
$29,953.06 |
— |
| Arthroscopy hip w/femoroplasty (29914) |
— |
$65,077.38 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$29,953.06 |
— |
| Arthroscopy Knee Osteochondral Allograft (29867) |
— |
$124,683.25 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$29,953.06 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$29,953.06 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$29,953.06 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$29,953.06 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$65,077.38 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
— |
$29,953.06 |
— |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
— |
$63,228.22 |
— |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
— |
$29,953.06 |
— |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
— |
$65,077.38 |
— |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
— |
$29,953.06 |
— |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
— |
$31,254.47 |
— |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
— |
$63,228.22 |
— |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
— |
$38,561.54 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$29,953.06 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
— |
$29,953.06 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$29,953.06 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$65,077.38 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$29,953.06 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$29,953.06 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$65,077.38 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
— |
$29,953.06 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$29,953.06 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$65,077.38 |
— |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
— |
$29,953.06 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$29,953.06 |
— |
| Arthrotomy W/Meniscus Repair Knee (27403) |
— |
$68,293.67 |
— |
| Arthrotomy W/Synovectomy Ankle (27625) |
— |
$29,953.06 |
— |
| Arthrotomy wrist joint with synovectomy (25105) |
— |
$29,953.06 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$87,778.74 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$122,330.06 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$65,077.38 |
— |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
— |
$122,330.06 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$29,953.06 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$29,953.06 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$29,953.06 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$29,953.06 |
— |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
— |
$29,953.06 |
— |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
— |
$31,254.47 |
— |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
— |
$29,953.06 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$29,953.06 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$21,588.21 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$26,152.09 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$7,079.23 |
— |
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines |
— |
$6,447.39–$8,282.29 |
— |
| Autologous Chondrocyte Implantation Knee (27412) |
— |
$65,077.38 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$6,148.11 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$18,374.37 |
— |
| Biopsy bone open superficial (20240) |
— |
$27,155.09 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$15,705.33 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$15,705.33 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$15,705.33 |
— |
| Biopsy nail unit (11755) |
— |
$6,614.85 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$32,152.94 |
— |
| Biopsy of foot joint lining (28052) |
— |
$29,953.06 |
— |
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines |
— |
$15,705.33–$18,374.37 |
— |
| Biopsy of penis (54100) |
— |
$15,705.33 |
— |
| Biopsy of rectum (45100) |
— |
$26,656.03 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$8,260.89 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$15,705.33 |
— |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
— |
$7,723.75 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$15,705.33 |
— |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
— |
$15,705.33 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$15,705.33 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$6,371.66 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$32,152.94 |
— |
| Bladder Scan (51798) |
— |
$746.73 |
— |
| Blepharoplasty Lower Eyelid (15820) |
— |
$17,685.87 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$17,685.87 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$13,264.96 |
— |
| Blood Transfusion Service (36430) |
— |
$5,114.91 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$65,077.38 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$65,077.38 |
— |
| Bone Marrow Biopsy (38221) |
— |
$15,705.33 |
— |
| Bone Marrow Harvest Autolog (38232) |
— |
$44,786.73 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$15,705.33 |
— |
| Breast augmentation with implant (19325) |
— |
$85,050.05 |
— |
| Breast Reduction (19318) |
— |
$56,121.40 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$15,634.43 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$15,634.43 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$15,705.33 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$15,705.33 |
— |
| Bx prostate strtctc saturation sampling img gid (55706) |
— |
$19,864.30 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$32,152.94 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$32,152.94 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$29,953.06 |
— |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
— |
$14,967.78 |
— |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
— |
$14,995.59 |
— |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
— |
$63,228.22 |
— |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
— |
$14,995.59 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$18,628.08 |
— |
| Cerv artific diskectomy (22856) |
— |
$175,863.82 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$33,652.22 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$14,995.59 |
— |
| Claviculectomy partial (23120) |
— |
$29,953.06 |
— |
| Clear outer ear canal (69200) |
— |
$1,215.79 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$29,953.06 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$14,995.59 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$25,476.43 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$14,995.59 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$14,995.59 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$14,995.59 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$14,995.59 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$6,148.11 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$20,197.46 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$14,995.59 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$14,995.59 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$6,148.11 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$7,071.93 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$7,388.34 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$2,129.27 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$14,995.59 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$1,268.90 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$14,995.59 |
— |
| Coccygectomy, primary (27080) |
— |
$16,223.05 |
— |
| Colonoscopy Flexible With Decompression (45393) |
— |
$11,187.16 |
— |
| Colonoscopy thru stoma (44388) |
— |
$8,505.09 |
— |
| Colonoscopy w/ablation (45388) |
— |
$11,187.16 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$11,187.16 |
— |
| Colonoscopy W/Resection (45390) |
— |
$11,187.16 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$11,187.16 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$26,960.76 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$22,256.71 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$6,183.98 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$7,870.52 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$11,187.16 |
— |
| Complex drainage wound (10180) |
— |
$27,155.09 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$26,960.76 |
— |
| Correction hammertoe (28285) |
— |
$29,953.06 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$29,953.06 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$29,953.06 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$65,077.38 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$65,077.38 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$29,953.06 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$29,953.06 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$39,504.20 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$19,864.30 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$19,864.30 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$19,864.30 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$33,418.60 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$33,418.60 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$19,864.30 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$45,906.15 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$33,418.60 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$45,906.15 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$45,906.15 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$19,864.30 |
— |
| Cystourethroscopy (52000) |
— |
$7,052.28 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$19,864.30 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$33,418.60 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$19,864.30 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$5,513.60 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$27,155.09 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$6,614.85 |
— |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
— |
$29,953.06 |
— |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
— |
$29,953.06 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$5,513.60 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$15,705.33 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$4,427.30 |
— |
| Decompress Spinal Cord Lmbr (63056) |
— |
$65,077.38 |
— |
| Decompression of tibia nerve (28035) |
— |
$18,628.08 |
— |
| Deep Muscle Biopsy (20205) |
— |
$27,155.09 |
— |
| Derma-fat-fascia graft (15770) |
— |
$17,859.19 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$18,628.08 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$18,628.08 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$6,148.11 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$6,148.11 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$2,412.68 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$11,187.16 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$17,685.87 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$9,146.15 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$19,629.21 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$26,960.76 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$8,505.09 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$8,695.33 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$26,960.76 |
— |
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines |
— |
$6,837.16–$7,999.09 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$6,614.85 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$10,813.25 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$15,705.33 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$3,060.65 |
— |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
— |
$2,546.25 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$6,148.11 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$26,656.03 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$17,685.87 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$8,732.88 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$15,705.33 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$8,776.09 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$16,936.76 |
— |
| Egd cautery tumor polyp (43250) |
— |
$16,936.76 |
— |
| Egd control bleeding any (43255) |
— |
$16,936.76 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$16,936.76 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$8,695.33 |
— |
| Egd guide wire insertion (43248) |
— |
$8,695.33 |
— |
| Egd lesion ablation (43270) |
— |
$16,936.76 |
— |
| Egd place gastrostomy tube (43246) |
— |
$16,936.76 |
— |
| Egd remove lesion snare (43251) |
— |
$16,936.76 |
— |
| Egd Varices Ligation (43244) |
— |
$16,936.76 |
— |
| Elbow arthroscopy (29830) |
— |
$29,953.06 |
— |
| Endoscopic plantar fasciotomy (29893) |
— |
$29,953.06 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$16,337.16 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$16,936.76 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$16,936.76 |
— |
| Epidural Blood Patch (62273) |
— |
$6,837.16 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$8,695.33 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$8,695.33 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$15,705.33 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$15,705.33 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$6,614.85 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$15,705.33 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$15,705.33 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$27,155.09 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$27,155.09 |
— |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
— |
$50,515.44 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$32,152.94 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$7,208.02 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$15,705.33 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$15,705.33 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$6,614.85 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$6,614.85 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$7,208.02 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$15,705.33 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$15,705.33 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$15,976.04 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$27,155.09 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$15,705.33 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$7,208.02 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$15,705.33 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$15,705.33 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$19,864.30 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$14,995.59 |
— |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
— |
$16,215.35 |
— |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
— |
$22,701.49 |
— |
| Exc neuroma hand/foot xcp digital nerve (64782) |
— |
$18,628.08 |
— |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
— |
$30,911.05 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$7,208.02 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$15,705.33 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$27,155.09 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$15,705.33 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$27,155.09 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$15,705.33 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$27,155.09 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$15,705.33 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$29,953.06 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$27,155.09 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$27,155.09 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$11,187.16 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$4,864.23 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$6,614.85 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$15,705.33 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$27,155.09 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$20,034.35 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$10,813.25 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$27,155.09 |
— |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
— |
$15,571.88 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$27,155.09 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$27,155.09 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$15,705.33 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$27,155.09 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$27,155.09 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$15,705.33 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$27,155.09 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$15,705.33 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$27,155.09 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$15,705.33 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$20,034.35 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$27,155.09 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$27,155.09 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$27,155.09 |
— |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
— |
$63,228.22 |
— |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
— |
$65,077.38 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$29,953.06 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$14,995.59 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$35,500.49 |
— |
| Excis Mouth Complex,Exc Thru Muscle (40816) |
— |
$21,473.34 |
— |
| Excise excessive skin arm (15836) |
— |
$27,155.09 |
— |
| Excise intraspinal lesion (63267) |
— |
$63,228.22 |
— |
| Excise Wrist Tendon Sheath (25118) |
— |
$14,995.59 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$12,239.63 |
— |
| Excision Aural Polyp (69540) |
— |
$7,406.40 |
— |
| Excision Excessive Skin & Subq Tissue Buttock (15835) |
— |
$23,620.46 |
— |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
— |
$27,155.09 |
— |
| Excision lesion meniscus/capsule knee (27347) |
— |
$29,953.06 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$7,208.02 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$6,614.85 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$6,148.11 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$12,236.29 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$7,208.02 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$15,705.33 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$27,155.09 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$7,208.02 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$15,705.33 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$26,656.03 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$26,960.76 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$14,995.59 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$33,652.22 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$19,864.30 |
— |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
— |
$50,515.44 |
— |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
— |
$41,409.62 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$27,155.09 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$41,409.62 |
— |
| Excision olecranon bursa (24105) |
— |
$29,953.06 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
— |
$29,953.06 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$29,953.06 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$27,155.09 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$27,155.09 |
— |
| Excision prepatellar bursa (27340) |
— |
$29,953.06 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$56,121.40 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$18,951.45 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$15,705.33 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$27,155.09 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$15,705.33 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$15,975.98 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$15,705.33 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
— |
$27,155.09 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
— |
$27,155.09 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
— |
$27,155.09 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$14,995.59 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$27,155.09 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$15,705.33 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$27,155.09 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$27,155.09 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$15,705.33 |
— |
| Excision/curettage cyst/tumor carpal bones (25130) |
— |
$28,613.73 |
— |
| Excision/curettage cyst/tumor phalanx finger (26210) |
— |
$14,995.59 |
— |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
— |
$29,953.06 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$25,476.43 |
— |
| Excision/destruction lesion pharynx any method (42808) |
— |
$16,215.35 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$29,953.06 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$15,705.33 |
— |
| Exploration maxillary sinus (31020) |
— |
$25,476.43 |
— |
| Exploration of knee joint (27310) |
— |
$29,953.06 |
— |
| Exploration of spinal fusion (22830) |
— |
$124,683.25 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$8,023.93 |
— |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
— |
$31,910 |
— |
| Explore inner ear (69806) |
— |
$41,409.62 |
— |
| Explore/Treat Elbow Joint (24101) |
— |
$29,953.06 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$29,953.06 |
— |
| Explore/Treat Wrist Joint (25040) |
— |
$31,254.47 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$29,953.06 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$28,613.73 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$29,953.06 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$29,953.06 |
— |
| Fasciotomy, hip or thigh, any type (27025) |
— |
$13,172.60 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$29,953.06 |
— |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
— |
$9,145 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$6,614.85 |
— |
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines |
— |
$4,692.52–$7,739.01 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$21,473.34 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$22,206.67 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$17,685.87 |
— |
| Fusion Finger Joint (26860) |
— |
$29,953.06 |
— |
| Fusion of foot bones (28740) |
— |
$65,077.38 |
— |
| Fusion of knuckle with graft (26852) |
— |
$63,228.22 |
— |
| Gastrocnemius recession (27687) |
— |
$29,953.06 |
— |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
— |
$51,135.92 |
— |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
— |
$33,992.82 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$65,077.38 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$16,842.25 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$26,656.03 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$26,656.03 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
— |
$26,656.03 |
— |
| Hip arthro acetabuloplasty (29915) |
— |
$65,077.38 |
— |
| Hip arthro w/labral repair (29916) |
— |
$65,077.38 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$26,960.76 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$26,960.76 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$47,108.34 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$47,108.34 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$26,960.76 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$47,108.34 |
— |
| I&d abscess simple (10060) |
— |
$6,148.11 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$27,155.09 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$27,155.09 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$29,953.06 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$22,712.27 |
— |
| I&d perianal abscess superficial (46050) |
— |
$8,505.09 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$8,671.41 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$6,614.85 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
— |
$20,034.25 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$18,374.37 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$15,705.33 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$12,993.31 |
— |
| Implant neuroelectrodes (63650) |
— |
$68,273.71 |
— |
| Implant Spine Infusion Pump (62362) |
— |
$183,455.93 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$44,828.49 |
— |
| Incise external hemorrhoid (46083) |
— |
$6,148.11 |
— |
| Incise finger tendon sheath (26055) |
— |
$14,995.59 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$5,073.50 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$27,155.09 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$15,705.33 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$6,148.11 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$5,599.37 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) |
— |
$33,675.66 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
— |
$14,780.94 |
— |
| Incision bone cortex foot (28005) |
— |
$29,953.06 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$14,995.59 |
— |
| Incision of fibula (27707) |
— |
$29,953.06 |
— |
| Incision of Foot Tendon (28234) |
— |
$14,995.59 |
— |
| Incision of rectal abscess (46040) |
— |
$17,626.46 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$6,148.11 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$8,732.88 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$6,148.11 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$8,732.88 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$6,148.11 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$7,136.42 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$8,732.88 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$7,136.78 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$6,837.16 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$6,148.11 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$6,399.18 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$6,148.11 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$6,148.11 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$10,216.98 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$6,837.16 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$6,837.16 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$991.38 |
— |
| Inner ear surgery proc unlisted (69949) |
— |
$1,225.20 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$30,160.62 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$22,896.36 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$30,160.62 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$49,970.68 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$368,582.89 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$84,539.42 |
— |
| Insert and remove bone pin (20650) |
— |
$29,953.06 |
— |
| Insert Drug Implant Device (11981) |
— |
$42,903.77 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$52,326.65 |
— |
| Insert pulse gen dual leads (33213) |
— |
$112,801.36 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$84,539.42 |
— |
| Insert tunneled cv cath (36561) |
— |
$30,160.62 |
— |
| Insert tunneled cv cath (36563) |
— |
$49,970.68 |
— |
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines |
— |
$12,486.96–$14,609.08 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$87,240.14 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$30,160.62 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
— |
$7,767.20–$12,486.96 |
— |
| Insj Stablj Dev W/Dcmprn (22867) |
— |
$175,863.82 |
— |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
— |
$175,863.82 |
— |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
— |
$85,050.05 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$350,031.61 |
— |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
— |
$152,367.95 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$112,801.36 |
— |
| Install spinal shunt (63741) |
— |
$33,920.79 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$6,148.11 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$29,953.06 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$29,953.06 |
— |
| Lam facetec & foramot lumbar (63047) |
— |
$65,077.38 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63001) |
— |
$65,077.38 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63015) |
— |
$50,840.05 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
— |
$65,077.38 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
— |
$65,077.38 |
— |
| Laminotomy Single Lumbar (63042) |
— |
$65,077.38 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$88,393.19 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$52,474.98 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$52,474.98 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$52,474.98 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$52,474.98 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$52,474.98 |
— |
| Laparoscopy, Tubal Block (58671) |
— |
$52,474.98 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$52,474.98 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$52,474.98 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$3,686.95 |
— |
| Laryngoscopy W/Biopsy (31535) |
— |
$31,292.59 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$31,292.59 |
— |
| Larynscop w/tumr exc + scope (31541) |
— |
$25,808.65 |
— |
| Late closure of wound (13160) |
— |
$17,685.87 |
— |
| Lateral retinacular release open (27425) |
— |
$29,953.06 |
— |
| Ligamentous reconstruction (augmentation), knee; intra-articular (open) and extra-articular Facility (27429) |
— |
$75,912.60 |
— |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
— |
$65,077.38 |
— |
| Ligamentous reconstruction knee intra-articular (27428) |
— |
$122,330.06 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$15,705.33 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$33,418.60 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$33,418.60 |
— |
| Low Back Disk Surgery (63030) |
— |
$65,077.38 |
— |
| Lumbar spine fusion combined (22633) |
— |
$124,683.25 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$19,864.30 |
— |
| Manipulation Ankle Under General Anesthesia (27860) |
— |
$29,953.06 |
— |
| Manipulation Elbow Under Anesthesia (24300) |
— |
$14,995.59 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$14,995.59 |
— |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
— |
$14,994.89 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$14,995.59 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$15,522.65 |
— |
| Mast mod rad (19307) |
— |
$56,121.40 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$32,152.94 |
— |
| Mastectomy partial (19301) |
— |
$32,152.94 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$56,121.40 |
— |
| Mastectomy simple complete (19303) |
— |
$56,121.40 |
— |
| Mastoidectomy; complete (69502) |
— |
$29,578.30 |
— |
| Mastopexy (19316) |
— |
$56,121.40 |
— |
| Middle ear expl thru postaur/ear canal inc (69440) |
— |
$15,619.21 |
— |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
— |
$31,583.41 |
— |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
— |
$53,986.17 |
— |
| Myelography Lumbar Injection (62304) |
— |
$7,898.34 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$7,898.34 |
— |
| Myringoplasty (69620) |
— |
$22,701.49 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$8,302.52 |
— |
| N block inj intercost sng (64420) |
— |
$4,612.30 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$6,148.11 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$8,732.88 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$1,321.11 |
— |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
— |
$34,612.35 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$12,071.29 |
— |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
— |
$24,731.41 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
— |
$36,343.10 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
— |
$36,343.10 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
— |
$34,612.35 |
— |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
— |
$34,612.35 |
— |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
— |
$58,774.47 |
— |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
— |
$48,457.29 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$45,648.33 |
— |
| Neck spine disk surgery (63020) |
— |
$65,077.38 |
— |
| Neck spine fusion (22600) |
— |
$161,888 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$15,705.33 |
— |
| Neurectomy, Intrinsic Musculature Of Foot (28055) |
— |
$18,628.08 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$18,628.08 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$18,628.08 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$8,732.88 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$2,655.78 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$8,732.88 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$6,837.16 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$6,837.16 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$6,837.16 |
— |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
— |
$33,967.07 |
— |
| Occipital Nerve Block (64405) |
— |
$4,404.07 |
— |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
— |
$28,521.74 |
— |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$24,405.25 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$32,152.94 |
— |
| Open bone biopsy (20251) |
— |
$47,714.31 |
— |
| Open bone biopsy (20250) |
— |
$29,953.06 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$65,077.38 |
— |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
— |
$20,988.78 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$65,077.38 |
— |
| Open treatment calcaneal fracture (28415) |
— |
$65,077.38 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$135,866.08 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$122,330.06 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$65,077.38 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$122,330.06 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$65,077.38 |
— |
| Open treatment metacarpophalangeal dislocation (26715) |
— |
$29,953.06 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$65,077.38 |
— |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
— |
$65,077.38 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$65,077.38 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$65,077.38 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
— |
$14,873.82 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$12,862.39 |
— |
| Open treatment of nasal fracture; with concomitant open treatment of fractured septum Facility (21335) |
— |
$25,476.43 |
— |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
— |
$15,420.15 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$57,584.90 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$34,081.65 |
— |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
— |
$65,077.38 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$65,077.38 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$47,714.31 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$122,330.06 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$65,077.38 |
— |
| Open Treatment Tarsal Bone Dislocation (28555) |
— |
$65,077.38 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$29,953.06 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$65,077.36 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$65,077.38 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$29,953.06 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$65,077.38 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$15,474 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$29,953.06 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$122,330.06 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$12,616.01 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$29,953.06 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$29,953.06 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$65,077.38 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$113,554.87 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$65,077.38 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$65,077.38 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$65,077.38 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$110,400.18 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$110,400.18 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$65,077.38 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$65,077.38 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$17,818.74 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$122,330.06 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$122,330.06 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$33,652.22 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$29,953.06 |
— |
| Ostectomy calcaneus (28118) |
— |
$29,953.06 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$29,953.06 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$28,613.73 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$16,223.05 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$29,953.06 |
— |
| Osteochondral allograft knee open (27415) |
— |
$135,874.81 |
— |
| Osteoplasty Humerus (24420) |
— |
$50,840.05 |
— |
| Osteoplasty Radius/Ulna Shortening (25390) |
— |
$47,714.31 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$65,077.38 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$65,077.38 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$29,953.06 |
— |
| Osteotomy calcaneus w/wo internal fixation (28300) |
— |
$65,077.38 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$6,250.52 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) |
— |
$23,623.17 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; lumbar Facility (22214) |
— |
$11,909.75 |
— |
| Osteotomy of spine, posterior or posterolateral approach, 1 vertebral segment; thoracic Facility (22212) |
— |
$33,016.86 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$29,953.06 |
— |
| Osteotomy Tibia (27705) |
— |
$65,077.38 |
— |
| Osteotomy Ulna (25360) |
— |
$65,077.38 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$47,108.34 |
— |
| Palatopharyngoplasty (42145) |
— |
$50,515.44 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$29,953.06 |
— |
| Part remv talus or calcaneus (28120) |
— |
$29,953.06 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$29,953.06 |
— |
| Partial excision bone olecranon process (24147) |
— |
$29,953.06 |
— |
| Partial Excision Bone Ulna (25150) |
— |
$29,953.06 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$26,960.76 |
— |
| Partial removal of thyroid (60220) |
— |
$52,474.98 |
— |
| Partial removal of tibia (27640) |
— |
$29,953.06 |
— |
| Partial removal of toe (28160) |
— |
$29,953.06 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$52,474.98 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$29,953.06 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$29,953.06 |
— |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
— |
$68,298.13 |
— |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
— |
$50,006.11 |
— |
| Peri-Implant Capsulectomy Breast Complete (19371) |
— |
$32,152.94 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$28,613.73 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$6,614.85 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$29,953.06 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$29,953.06 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$65,077.38 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$65,077.38 |
— |
| Phalangectomy toe each toe (28150) |
— |
$29,953.06 |
— |
| Pin hand dislocation (26676) |
— |
$29,953.06 |
— |
| Place Cath Subclavian Art (36225) |
— |
$26,435.56 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$31,638.66 |
— |
| Place Cath Vertebral Art (36226) |
— |
$52,470.59 |
— |
| Prescrl Fuse W/ Instr L5/S1 (22586) |
— |
$106,277.65 |
— |
| Prim art mech thrombectomy (37184) |
— |
$83,536.55 |
— |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
— |
$26,475.62 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$6,614.85 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$29,953.06 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$65,077.38 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$65,077.38 |
— |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
— |
$29,953.06 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$29,953.06 |
— |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
— |
$65,077.38 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$29,953.06 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$3,490.44 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
— |
$1,997.65–$6,148.11 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$6,614.85 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
— |
$65,077.38 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$13,043.23 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$28,613.73 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$23,620.46 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$27,155.09 |
— |
| Radical resection of tumor, femur or knee Facility (27365) |
— |
$21,895.73 |
— |
| Radical resection of tumor, shaft or distal humerus Facility (24150) |
— |
$65,077.38 |
— |
| Radical resection of tumor; talus or calcaneus Facility (27647) |
— |
$29,953.06 |
— |
| Radical resection of tumor; tibia Facility (27645) |
— |
$24,392.97 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$10,835.48 |
— |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
— |
$29,953.06 |
— |
| Rcnstj Dislocating Patella (27420) |
— |
$65,077.38 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$65,077.38 |
— |
| Realignment extensor tendon hand each tendon (26437) |
— |
$29,953.06 |
— |
| Realignment of knee (27455) |
— |
$37,551.74 |
— |
| Reconstruct elbow med ligmnt (24346) |
— |
$122,330.06 |
— |
| Reconstruct ulna/radioulnar (25337) |
— |
$57,842.32 |
— |
| Reconstruction Nail Bed W/Graft (11762) |
— |
$10,544.58 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$65,077.38 |
— |
| Reinsert spinal fixation (22849) |
— |
$161,888 |
— |
| Release foot/toe nerve (64726) |
— |
$18,628.08 |
— |
| Relieve Pressure on Nerve(S) (64722) |
— |
$18,628.08 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$31,638.66 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$15,705.33 |
— |
| Removal foreign body foot deep (28192) |
— |
$15,705.33 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$6,614.85 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$15,705.33 |
— |
| Removal Foreign Body Scrotum (55120) |
— |
$19,864.30 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$6,148.11 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$15,895 |
— |
| Removal Implant Deep (20680) |
— |
$27,155.09 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$15,705.33 |
— |
| Removal of adenoids (42831) |
— |
$21,473.34 |
— |
| Removal of adenoids (42830) |
— |
$21,473.34 |
— |
| Removal of anal fissure (46200) |
— |
$26,656.03 |
— |
| Removal of ankle implant (27704) |
— |
$29,953.06 |
— |
| Removal of anterior instrumentation (22855) |
— |
$124,683.25 |
— |
| Removal of bone lesion (23140) |
— |
$29,953.06 |
— |
| Removal of heel spur (28119) |
— |
$29,953.06 |
— |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
— |
$50,765.77 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$36,252.51 |
— |
| Removal of implant from finger or hand (26320) |
— |
$15,704.01 |
— |
| Removal of knee prosthesis (27488) |
— |
$24,192.85 |
— |
| Removal of nail bed (11750) |
— |
$4,922.64 |
— |
| Removal of posterior segmental instrumentation Facility (22852) |
— |
$124,683.25 |
— |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
— |
$23,202.58 |
— |
| Removal of sesamoid bone (28315) |
— |
$29,953.06 |
— |
| Removal of sperm cord lesion (55520) |
— |
$19,864.30 |
— |
| Removal of testis (54520) |
— |
$19,864.30 |
— |
| Removal of tonsils (42826) |
— |
$25,476.43 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$21,259.07 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$6,148.11 |
— |
| Removal ppm generator only (33233) |
— |
$84,539.42 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$27,163.52 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$6,148.11 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$17,685.87 |
— |
| Removal sweat gland lesion (11450) |
— |
$27,155.09 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$14,995.59 |
— |
| Remove Ankle Joint Lining (27626) |
— |
$29,953.06 |
— |
| Remove elbow lesion (24120) |
— |
$29,953.06 |
— |
| Remove foreign body from eye (65205) |
— |
$6,148.11 |
— |
| Remove Intrauterine Device (58301) |
— |
$6,148.11 |
— |
| Remove knee joint lining (27334) |
— |
$29,953.06 |
— |
| Remove lamina/facets lumbar (63012) |
— |
$65,077.38 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$29,953.06 |
— |
| Remove part of neck vertebra (22110) |
— |
$33,675.66 |
— |
| Remove Skin Nerve Lesion (64774) |
— |
$18,628.08 |
— |
| Remove spine eltrd plate (63662) |
— |
$32,881.29 |
— |
| Remove spine fixation device (22850) |
— |
$124,683.25 |
— |
| Remove spine lamina 1/2 thrc (63003) |
— |
$65,077.38 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$14,995.59 |
— |
| Remove wrist joint cartilage (25107) |
— |
$28,613.73 |
— |
| Remove&replace pm gen singl (33227) |
— |
$84,539.42 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$251,153.48 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$350,031.61 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$112,801.36 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$188,766.97 |
— |
| Renal Biopsy Perq (50200) |
— |
$18,374.37 |
— |
| Repair Achilles Tendon (27650) |
— |
$29,953.06 |
— |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
— |
$65,077.38 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$3,586.14 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$5,513.60 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$5,513.60 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$5,513.60 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$5,513.60 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$11,263.69 |
— |
| Repair Elbow Perc (24357) |
— |
$29,953.06 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$14,995.59 |
— |
| Repair Finger Tendon (26433) |
— |
$29,953.06 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$29,953.06 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$29,953.06 |
— |
| Repair Foot Dislocation (28615) |
— |
$65,077.38 |
— |
| Repair forearm tendon/muscle (25265) |
— |
$28,613.73 |
— |
| Repair Hallux Rigidus (28289) |
— |
$29,953.06 |
— |
| Repair Hand Joint (26540) |
— |
$29,953.06 |
— |
| Repair Hand Tendon (26410) |
— |
$14,995.59 |
— |
| Repair humerus with graft (24435) |
— |
$100,287.54 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$18,492.45 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$33,652.22 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$33,652.22 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$6,148.11 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$6,877.80 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$6,148.11 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$6,147 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$6,148.11 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$4,682.43 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$5,136.47 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$6,886.61 |
— |
| Repair Leg Fascia Defect (27656) |
— |
$16,223.05 |
— |
| Repair lower leg tendons (27676) |
— |
$63,228.22 |
— |
| Repair Nasal Vestibular Stenosis (30465) |
— |
$50,515.44 |
— |
| Repair Non/Malunion Humerus W/O Graft (24430) |
— |
$87,778.74 |
— |
| Repair Nonunion Hand (26546) |
— |
$65,077.38 |
— |
| Repair of biceps tendon (24340) |
— |
$65,077.38 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$65,077.38 |
— |
| Repair of metatarsals (28322) |
— |
$65,077.38 |
— |
| Repair of nail bed (11760) |
— |
$5,513.60 |
— |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
— |
$65,077.38 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$65,077.38 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$65,077.38 |
— |
| Repair of shoulder (23420) |
— |
$65,077.38 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$65,077.38 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$65,077.38 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$29,953.06 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$65,077.38 |
— |
| Repair Toe Dislocation (28645) |
— |
$29,953.06 |
— |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
— |
$65,077.38 |
— |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
— |
$10,962.55 |
— |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
— |
$65,077.38 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$65,077.38 |
— |
| Repair/graft achilles tendon (27652) |
— |
$65,077.38 |
— |
| Repair/graft femur head/neck (27170) |
— |
$43,994.94 |
— |
| Repair/Revise Wrist Joint (25320) |
— |
$65,077.38 |
— |
| Replace g/c tube perc (49450) |
— |
$8,695.33 |
— |
| Replace/Revise Brain Shunt (62230) |
— |
$33,920.79 |
— |
| Replacement Tissue Expander W/Permanent Implant (11970) |
— |
$65,077.38 |
— |
| Replantation Hand Complete Amputation (20808) |
— |
$60,112.27 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$29,953.06 |
— |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
— |
$57,584.90 |
— |
| Repr torn cruciate knee ligam (27407) |
— |
$65,077.38 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$33,652.22 |
— |
| Resect back tum < 5 cm (21935) |
— |
$23,620.46 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$27,155.09 |
— |
| Resect shoulder tumor < 5 cm (23077) |
— |
$27,155.09 |
— |
| Resect thigh/knee tum < 5 cm (27329) |
— |
$27,155.09 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$29,953.06 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$29,953.06 |
— |
| Revis reconst shoulder joint (23473) |
— |
$135,859.75 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$98,805.05 |
— |
| Revise finger joint each (26140) |
— |
$14,995.59 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$18,628.08 |
— |
| Revise radius & ulna (25365) |
— |
$113,868.91 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$18,628.08 |
— |
| Revise/Repair Finger/Toe Nerve (64702) |
— |
$18,628.08 |
— |
| Revision of foot (28116) |
— |
$29,953.06 |
— |
| Revision of foot fascia (28250) |
— |
$29,953.06 |
— |
| Revision of lower leg tendon (27685) |
— |
$29,953.06 |
— |
| Revision of reconstructed breast (19380) |
— |
$56,121.40 |
— |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
— |
$124,683.25 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$79,047.03 |
— |
| Revision Peri-Implant Capsule Breast (19370) |
— |
$32,152.94 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$68,273.71 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$29,658.31 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$26,924.38 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$21,289.20 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$32,881.29 |
— |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
— |
$56,702.85 |
— |
| Rhinp Prim Complete Xtrnl Parts (30410) |
— |
$55,382.89 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$15,705.33 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$11,187.16 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$27,155.09 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$15,705.33 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$18,628.08 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$52,134.84 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$7,079.23 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$2,457.36 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$14,609.08 |
— |
| Rplcmt Irrigation/Revj Lumbosarach Shunt (63744) |
— |
$44,828.49 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$40,840.52 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$27,223.27 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$24,703.42 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$27,223.27 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$28,614.70 |
— |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
— |
$29,953.06 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$65,077.38 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$65,077.38 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$65,077.38 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$29,953.06 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$29,953.06 |
— |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
— |
$65,077.38 |
— |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$63,228.22 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$29,953.06 |
— |
| Scrotal exploration (55110) |
— |
$33,418.60 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$25,476.43 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$8,505.09 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$7,870.52 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$6,148.11 |
— |
| Shoulder arthroscopy (29820) |
— |
$65,077.38 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$4,317.67 |
— |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
— |
$25,476.43 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$8,505.09 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$6,148.11 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$6,148.11 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$6,148.11 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$6,148.11 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$17,685.87 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$17,685.87 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$17,685.87 |
— |
| Skin Tissue Procedure (17999) |
— |
$2,915.21 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$49,970.68 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$30,160.62 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$49,970.68 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$47,108.34 |
— |
| Small bowel endoscopy (44366) |
— |
$17,781.42 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$26,656.03 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$6,837.16 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$23,927.82 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$25,476.43 |
— |
| Subtalar arthro w/deb (29906) |
— |
$24,408.61 |
— |
| Suction assisted lipectomy; head and neck (15876) |
— |
$31,583.41 |
— |
| Suction assisted lipectomy; trunk (15877) |
— |
$31,583.41 |
— |
| Suction assisted lipectomy; upper extremity (15878) |
— |
$20,069.99 |
— |
| Suction Lipectomy Lwr Extrem (15879) |
— |
$31,583.41 |
— |
| Surg Clsr Tracheostomy/Fistula W/O Plastic Rpr (31820) |
— |
$27,566.79 |
— |
| Surg Implnt Neuroelect,Epidural (63655) |
— |
$213,596.58 |
— |
| Surg tx anal fistula subq (46270) |
— |
$26,656.03 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$65,077.38 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$65,077.38 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$14,995.59 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
— |
$29,953.06 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
— |
$29,953.06 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$65,077.38 |
— |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
— |
$29,953.06 |
— |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
— |
$29,953.06 |
— |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
— |
$14,995.59 |
— |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
— |
$29,953.06 |
— |
| Tenotomy, hip flexor(s), open (27005) |
— |
$63,228.22 |
— |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
— |
$29,953.06 |
— |
| Thyroid biopsy (60100) |
— |
$7,739.01 |
— |
| Thyroidectomy Post Prev Thyr Surg (60260) |
— |
$50,515.44 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$52,474.98 |
— |
| Tibial Arthroscopy/Surgery (29855) |
— |
$65,077.38 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$17,685.87 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$29,953.06 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$29,953.06 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$25,476.43 |
— |
| Total Knee Arthroplasty (27447) |
— |
$87,778.74 |
— |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
— |
$18,628.08 |
— |
| Transplant hand tendon (26480) |
— |
$28,613.73 |
— |
| Treat Big Toe Fracture (28505) |
— |
$29,953.06 |
— |
| Treat ectopic pregnancy (59151) |
— |
$55,188.25 |
— |
| Treat forearm bone lesion (25035) |
— |
$68,298.13 |
— |
| Treat fracture radius/ulna (25575) |
— |
$65,077.38 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$65,077.38 |
— |
| Treat kneecap dislocation (27566) |
— |
$68,298.13 |
— |
| Treat Kneecap Fracture (27524) |
— |
$65,077.38 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$6,148.11 |
— |
| Treat midfoot fracture (28456) |
— |
$35,718.65 |
— |
| Treat scapula fracture (23585) |
— |
$65,077.38 |
— |
| Treat thumb fracture (26665) |
— |
$29,953.06 |
— |
| Treatment of ankle fracture (27823) |
— |
$65,077.38 |
— |
| Treatment of foot infection (28003) |
— |
$28,613.73 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$26,735.18 |
— |
| Treatment of tibia fracture (27756) |
— |
$65,077.38 |
— |
| Trim skin lesion (11055) |
— |
$1,810.70 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$56,560.63 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$50,125.94 |
— |
| Tubal ligation (58600) |
— |
$26,960.76 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$18,726.68 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$122,330.06 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$19,324.88 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$14,995.59 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$12,004.88 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$5,513.60 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$122,330.06 |
— |
| Tympanoplasty (69631) |
— |
$29,314.79 |
— |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69637) |
— |
$27,898.55 |
— |
| Tympanoplasty with antrotomy or mastoidotomy (including canalplasty, atticotomy, middle ear surgery, and/or tympanic… (69636) |
— |
$39,057.97 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
— |
$29,578.30 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
— |
$27,898.55 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
— |
$29,578.30 |
— |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69633) |
— |
$30,911.05 |
— |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
— |
$29,314.79 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$14,604.65 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$52,474.98 |
— |
| Unlisted procedure anus (46999) |
— |
$8,505.09 |
— |
| Unlisted procedure arthroscopy (29999) |
— |
$20,336.78 |
— |
| Unlisted Procedure Esophagus (43499) |
— |
$8,695.33 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$12,572.23 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$6,084.12 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$18,260.20 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$10,098.73 |
— |
| Unlisted procedure nervous system (64999) |
— |
$22,907.11 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$14,394.69 |
— |
| Unlisted procedure spine (22899) |
— |
$2,570.07 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$7,587.39 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$16,019.96 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$47,108.34 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$110,400.18 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$110,400.18 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$110,400.18 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$19,864.30 |
— |
| Vasovasostomy vasovasorrhaphy (55400) |
— |
$33,418.60 |
— |
| Vulvectomy simple partial (56620) |
— |
$26,960.76 |
— |
| Wedge excision skin nail fold (11765) |
— |
$6,148.11 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$5,513.60 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$17,685.87 |
— |
| Wrist arthroscopy (29840) |
— |
$29,953.06 |
— |
| Wrist arthroscopy with partial removal of joint lining (29844) |
— |
$29,953.06 |
— |