| Abd paracentesis w/imaging (49083) |
— |
$5,269.53 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$866 |
— |
| Abrasion single lesion (15786) |
— |
$20,804.80 |
— |
| Acne surgery (10040) |
— |
$450 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$18,406 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$26,612.30 |
— |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
— |
$25,096.50 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$18,073.30 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$14,677 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$3,325 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$14,420.30 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$45,937.73 |
— |
| Amputation foot transmetarsal (28805) |
— |
$25,846.70 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$29,046.50 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$12,301.20 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$16,510.60 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$45,937.73 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$28,356.25 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$28,356.25 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$28,356.25 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$28,356.25 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$28,356.25 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$145 |
— |
| Anorectal myomectomy (45108) |
— |
$40,997.42 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$8,723 |
— |
| Anoscopy Control Bleeding (46614) |
— |
$7,884 |
— |
| Anoscopy diagnostic (46600) |
— |
$200 |
— |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
— |
$7,100 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$3,373 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$63,255 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$69,925.50 |
— |
| Appendectomy (44950) |
— |
$42,495 |
— |
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 3 matching MRF lines |
— |
$148–$298 |
— |
| Application cast elbow finger short arm (29075) |
— |
$347 |
— |
| Application Cast Finger (29086) |
— |
$240 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$14,908 |
— |
| Application finger splint static (29130) |
— |
$139 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$200 |
— |
| Application Long Leg Splint (29505) |
— |
$258 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$369 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$14,136 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$197 |
— |
| Application short leg splint calf foot (29515) |
— |
$243 |
— |
| Application, cast; figure-of-eight Facility (29049) |
— |
$14,908 |
— |
| Apply long arm cast (29065) |
— |
$333 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
— |
$268–$537 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
— |
$78,644 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
— |
$78,644 |
— |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
— |
$78,644 |
— |
| Arterial puncture (36600) |
— |
$70 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$31,741.10 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$69,448.60 |
— |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
— |
$62,355.10 |
— |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
— |
$49,166.80 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$8,152.50 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$35,317.67 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$218 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$329 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$34,796.60 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$31,613.70 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$47,535.70 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$93,966.90 |
— |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
— |
$93,929.30 |
— |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
— |
$25,875 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$31,287 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$32,284 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$56,695.30 |
— |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
— |
$23,257 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$69,925.50 |
— |
| Arthroscopy Knee Osteochondral Allograft (29867) |
— |
$41,631.90 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$19,662 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$26,833.30 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$27,617 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$33,440 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$53,902.70 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
— |
$51,462.20 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$34,276.40 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$31,167.40 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$57,136.80 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$35,393.70 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$22,564.75 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$31,287 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$68,281.60 |
— |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
— |
$46,261 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$66,012.50 |
— |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
— |
$22,496 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$19,886.30 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$59,891.50 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$30,465.80 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$22,253.40 |
— |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
— |
$22,564.75 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$8,495 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$31,287 |
— |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
— |
$31,287 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$6,250 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,912 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$14,176 |
— |
| Av Fistula Revision Open (36832) |
— |
$33,899.60 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$10,048 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$604 |
— |
| Biopsy bone open deep (20245) |
— |
$15,476 |
— |
| Biopsy bone open superficial (20240) |
— |
$16,756.50 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$9,853.31 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$13,663 |
— |
| Biopsy External Auditory Canal (69105) |
— |
$597 |
— |
| Biopsy external ear (69100) |
— |
$354 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$4,996 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$1,113 |
— |
| Biopsy of floor of mouth (41108) |
— |
$690 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$20,719.32 |
— |
| Biopsy of lip (40490) |
— |
$427 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$1,250 |
— |
| Biopsy of palate, uvula (42100) |
— |
$527 |
— |
| Biopsy of penis (54100) |
— |
$730 |
— |
| Biopsy of penis; deep structures (54105) |
— |
$8,956 |
— |
| Biopsy of rectum (45100) |
— |
$71,945 |
— |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
— |
$17,634 |
— |
| Biopsy Oropharynx (42800) |
— |
$579 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$1,993 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$1,022 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$44,769.50 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$968 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$824 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$1,027 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$984 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$730 |
— |
| Biopsy Tongue Posterior One-Third (41105) |
— |
$725 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$12,175 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$700 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$21,647.50 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$593 |
— |
| Bladder Irrigation (51700) |
— |
$292 |
— |
| Bladder Scan (51798) |
— |
$130 |
— |
| Blepharoplasty Lower Eyelid (15820) |
— |
$2,539 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$2,318 |
— |
| Blood Transfusion Service (36430) |
— |
$796 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$16,181 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$45,568.40 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$44,338.40 |
— |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
— |
$78,644 |
— |
| Bone Marrow Biopsy (38221) |
— |
$749 |
— |
| Breast augmentation with implant (19325) |
— |
$6,667 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$21,038.10 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$19,760.30 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$21,762 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$17,984 |
— |
| Bronchoscopy W/Excision Tumor (31640) |
— |
$17,689 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$5,897 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$20,641.20 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$20,649.80 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$5,477.50 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$4,458 |
— |
| Bx Cervix (57500) |
— |
$8,588 |
— |
| Bx prostate strtctc saturation sampling img gid (55706) |
— |
$8,199 |
— |
| Bx prostate transperineal ultrasound-guided (55709) |
— |
$6,616 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$34,018.20 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$29,451 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$518 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$38,215.20 |
— |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
— |
$18,017 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$21,232.60 |
— |
| Cataract surgery complex (66982) |
— |
$7,059.18 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$355 |
— |
| Change ureter stent percut (50382) |
— |
$15,652.50 |
— |
| Chemical Cautery Tissue (17250) |
— |
$357 |
— |
| Chemical Pleurodesis (32560) |
— |
$358 |
— |
| Chemodenervation of internal anal sphincter (46505) |
— |
$5,071.50 |
— |
| Chest tube placement (32551) |
— |
$8,246.67 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$3,498 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$29,603 |
— |
| Circumcision 28 days or older (54161) |
— |
$15,653.50 |
— |
| Circumcision Neonate (54160) |
— |
$2,404 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$7,682 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$9,246 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$2,432 |
— |
| Claviculectomy partial (23120) |
— |
$36,549.80 |
— |
| Clear outer ear canal (69200) |
— |
$230 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$22,486.50 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$1,168 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$2,082 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$55,901 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,934 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$4,713 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$2,342 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$290 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$27,377.30 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,714 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$9,246 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$9,246 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$2,950 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$6,562.75 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$9,246 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$172 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$9,246 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$9,246 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$14,136 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$1,690 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$1,168 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$8,456 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$2,108 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$9,246 |
— |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
— |
$12,279 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$2,437 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$1,688 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$25,263 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$1,397 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$6,436 |
— |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
— |
$13,128.50 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$10,976 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$717 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$9,126 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$9,246 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$9,246 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$18,638 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$18,638 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$9,246 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$13,971 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$9,246 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$614 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$462 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,338 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$14,524 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$1,995 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$10,726 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$968 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$10,090 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$2,082 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$44,423.40 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$7,009 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$42,246.88 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$42,246.88 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$382 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$2,010 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$8,807 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$4,781 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$9,246 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$2,198 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$10 |
— |
| Colonoscopy Stoma Ablation Lesion (44401) |
— |
$33,660 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$33,660 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$33,660 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$29,013.05 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$37,975.75 |
— |
| Colonoscopy thru stoma (44388) |
— |
$3,574 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$4,512 |
— |
| Colonoscopy w/ablation (45388) |
— |
$6,196.12 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$29,013.05 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$6,891.10 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$9,008 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$9,569.50 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$6,478.43 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$32,240 |
— |
| Complex Cystometrogram (51726) |
— |
$1,019 |
— |
| Complex drainage wound (10180) |
— |
$44,500.39 |
— |
| Composite Skin Graft (15760) |
— |
$38,086 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$8,127.10 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$994 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$625 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$64,226.35 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$3,531 |
— |
| Correction hammertoe (28285) |
— |
$37,655.10 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$63,490.20 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$55,802.40 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$48,815.10 |
— |
| Create Eardrum Opening (69433) |
— |
$240 |
— |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) |
— |
$1,199 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$510 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$634 |
— |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
— |
$8,021 |
— |
| Curettage postpartum (59160) |
— |
$8,408.25 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$38,139.80 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$1,125 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$23,748 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$3,099 |
— |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
— |
$24,153.80 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$19,688.40 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$23,748 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$10,005.50 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$11,299.40 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$1,090 |
— |
| Cysto w/up stricture tx (52342) |
— |
$30,380.12 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$30,380.12 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$28,806.52 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$6,826 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$30,380.12 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$25,675.80 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$27,529.60 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$30,380.12 |
— |
| Cystometrogram W/Up (51727) |
— |
$1,239 |
— |
| Cystometrogram W/Vp (51728) |
— |
$1,243 |
— |
| Cystoscopy and radiotracer (52250) |
— |
$26,167 |
— |
| Cystotomy for excision, incision, or repair of ureterocele Facility (51535) |
— |
$85,629 |
— |
| Cystouretero W/Congen Repr (52400) |
— |
$26,167 |
— |
| Cystouretero w/renal strict (52346) |
— |
$30,380.12 |
— |
| Cystourethroscopy (52000) |
— |
$16,750.50 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
— |
$28,806.52 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$30,380.12 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$1,360 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$13,895 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$26,167 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$21,613.10 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$1,404 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$18,763.90 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$30,380.12 |
— |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
— |
$9,923.50 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$20,766.10 |
— |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
— |
$26,167 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$128 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$19,129.70 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$29,746.95 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$21,903 |
— |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
— |
$22,554.95 |
— |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
— |
$25,698 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$22,554.95 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$14,293.70 |
— |
| Debride nail 1-5 (11720) |
— |
$25,862 |
— |
| Debride nail 6 or more (11721) |
— |
$76 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$12,532.70 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$271 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$16,833.70 |
— |
| Declot vascular device (36593) |
— |
$2,351.18 |
— |
| Decompression of tibia nerve (28035) |
— |
$20,215.30 |
— |
| Decompressive fasciotomy hand (26037) |
— |
$26,377 |
— |
| Delivery of placenta (59414) |
— |
$1,648 |
— |
| Dermabrasion regional other than face (15782) |
— |
$20,804.80 |
— |
| Dermabrasion superficial any site (15783) |
— |
$20,804.80 |
— |
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines |
— |
$1,675–$2,512 |
— |
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines |
— |
$1,694–$2,541 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$473 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$5,645 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$716 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$810 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$651 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$693 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$607 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$672 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$1,568 |
— |
| Destruction of skin lesions (17106) |
— |
$1,342 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$242 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$252 |
— |
| Diagnostic anoscopy (46601) |
— |
$29,013.05 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$6,739 |
— |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
— |
$4,848 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$30,380.12 |
— |
| Dilate Urethra Stricture (53600) |
— |
$256 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$13,951 |
— |
| Dilation And Curettage Of Cervical Stump (57558) |
— |
$37,519 |
— |
| Drain chest lesion (21502) |
— |
$55,457.08 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$26,377 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$35,317.67 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$1,127 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$696 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$608 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$909 |
— |
| Drainage of finger abscess simple (26010) |
— |
$690 |
— |
| Drainage of gum lesion (41800) |
— |
$770 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$19,458.30 |
— |
| Drainage of hydrocele (55000) |
— |
$406 |
— |
| Drainage of nose lesion (30000) |
— |
$1,125 |
— |
| Drainage of perineal urinary extravasation; complicated Facility (53085) |
— |
$36,159.75 |
— |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) |
— |
$36,159.75 |
— |
| Drainage of perirenal or renal abscess, open Facility (50020) |
— |
$54,540 |
— |
| Drainage of rectal abscess (45020) |
— |
$27,001.78 |
— |
| Drainage of rectal abscess (45005) |
— |
$27,001.78 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$818 |
— |
| Drainage of scrotum (54700) |
— |
$31,348 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$129 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$584 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$713 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$534 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$327 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$7,998 |
— |
| Dstrj lesion penis simple laser (54057) |
— |
$6,064 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$13,541.50 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$20,676.20 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$21,251 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$16,289 |
— |
| Dx laryngoscopy w/oper scope (31526) |
— |
$12,341 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,586 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$22,936.59 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$6,433.90 |
— |
| Egd cautery tumor polyp (43250) |
— |
$22,530.80 |
— |
| Egd control bleeding any (43255) |
— |
$6,426.61 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$3,665.40 |
— |
| Egd endo mucosal resection (43254) |
— |
$22,530.80 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$22,530.80 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$5,286.05 |
— |
| Egd guide wire insertion (43248) |
— |
$7,616.83 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$22,530.80 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$22,936.59 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$22,936.59 |
— |
| Egd lesion ablation (43270) |
— |
$8,190.36 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$22,936.59 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$22,530.80 |
— |
| Egd place gastrostomy tube (43246) |
— |
$13,523.20 |
— |
| Egd remove lesion snare (43251) |
— |
$7,037 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$22,936.59 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$22,936.59 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$22,530.80 |
— |
| Egd Varices Ligation (43244) |
— |
$22,530.80 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$22,530.80 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$22,530.80 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$32 |
— |
| Embedded ip cath exit-site (49436) |
— |
$44,852.43 |
— |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
— |
$43,916 |
— |
| Endocervical curettage (57505) |
— |
$37,519 |
— |
| Endometrial Biopsy (58100) |
— |
$13,180.50 |
— |
| Endoscopic plantar fasciotomy (29893) |
— |
$13,841 |
— |
| Endoscopic us exam esoph (43237) |
— |
$22,530.80 |
— |
| Endoscopy of ureter (50953) |
— |
$30,380.12 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$23,147 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$4,463.83 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$20,043.30 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$21,615 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$24,213.55 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$172,547 |
— |
| Epidural Blood Patch (62273) |
— |
$1,754.88 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$41,476.90 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$23,147 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$5,810.26 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$23,147 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$23,147 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$23,147 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$19,806.61 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$23,147 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$23,147 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$19,806.61 |
— |
| Esophagoscopy rig transoral removal foreign body (43194) |
— |
$18,107.50 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$23,147 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$23,147 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$19,806.61 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$18,107.50 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$19,806.61 |
— |
| Evacuate mole of uterus (59870) |
— |
$17,969.81 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$158 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$19,014 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$13,107 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$12,679 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$8,334.50 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$39,484.40 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$24,717 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$26,348.60 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$12,162 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$15,630.20 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$11,236 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$19,991 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$10,916 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$795 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$942 |
— |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
— |
$21,459 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$1,594 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$10,177 |
— |
| Exc Frenum Labial/Buccal (40819) |
— |
$10,848 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$21,459 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$23,369.60 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$5,357 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$10,096 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$8,728 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$5,714 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$1,066 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$16,911.60 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$49,031 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$8,030 |
— |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
— |
$900 |
— |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
— |
$9,319 |
— |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
— |
$56,893 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$22,467 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$2,718 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$723 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$7,811 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$13,252.70 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$67,477 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$1,012 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$16,165.30 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$25,849.30 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$16,532.60 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$14,270 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$33,417.48 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$550 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$14,603.60 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$6,905 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$10,122 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$13,518.90 |
— |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
— |
$14,413 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$15,231.40 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$21,903 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$21,903 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$8,885 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$33,417.48 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$2,490 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$16,302 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$9,091 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$10,532.20 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$33,417.48 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$9,849.43 |
— |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
— |
$26,489 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$1,993 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$10,471 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$6,725 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$973 |
— |
| Excision Aural Polyp (69540) |
— |
$9,233 |
— |
| Excision inferior turbinate partial/complete (30130) |
— |
$43,933.10 |
— |
| Excision lesion meniscus/capsule knee (27347) |
— |
$16,254 |
— |
| Excision lesion mouth roof (42104) |
— |
$842 |
— |
| Excision lesion tendon sheath forearm&/wrist (25110) |
— |
$6,468 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$17,862 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$749 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$11,929 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$13,107 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$10,005 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$774 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$32,456 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$12,162 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$751 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$842 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$7,413.50 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$18,066 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
— |
$41,476.90 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$78,644 |
— |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
— |
$21,459 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$8,409.25 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$15,580.30 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$14,916 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$10,395.30 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$6,814 |
— |
| Excision olecranon bursa (24105) |
— |
$12,359 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
— |
$17,301 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$14,331.60 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$13,136.70 |
— |
| Excision prepatellar bursa (27340) |
— |
$15,576.30 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$44,852.43 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$5,668 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$8,973 |
— |
| Excision synovial cyst popliteal space (27345) |
— |
$49,629 |
— |
| Excision tendon finger flexor/extensor each (26180) |
— |
$21,459 |
— |
| Excision tendon palm flexor/extensor single each (26170) |
— |
$21,459 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$10,429.80 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$14,922.40 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$20,339.80 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$12,102 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$28,648.80 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$41,476.90 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$41,476.90 |
— |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
— |
$41,476.90 |
— |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
— |
$41,476.90 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
— |
$41,476.90 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
— |
$41,476.90 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$10,675.50 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$11,947 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$17,605 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$41,476.90 |
— |
| Excision/curettage cyst/tumor phalanx finger (26210) |
— |
$19,966.90 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$52,944.90 |
— |
| Excision/destruction lesion pharynx any method (42808) |
— |
$12,890 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$22,386 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$44,852.43 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$1,528 |
— |
| Exploratory elbow surgery (24000) |
— |
$33,743 |
— |
| External cephalic version (59412) |
— |
$4,272 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$22,316.90 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$22,437 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$26,377 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$30,993.97 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$19,764.40 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$7,266.40 |
— |
| Fetal non-stress test (59025) |
— |
$494 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$985 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$348 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$593 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$1,015 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$29,176.20 |
— |
| Foreskin manipulation (54450) |
— |
$274 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$35,677.80 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
— |
$78,644 |
— |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
— |
$26,172 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$19,705.50 |
— |
| Fusion Finger Joint (26860) |
— |
$28,821.80 |
— |
| Gastrocnemius recession (27687) |
— |
$32,870.40 |
— |
| Goniotomy (65820) |
— |
$7,101.56 |
— |
| Graft Bone Nasal/Maxillary/Malar Areas (21210) |
— |
$21,056 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$34,817.70 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$62,574.46 |
— |
| Hemiepiphyseal Arrest (24470) |
— |
$76,637.97 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$10,695.50 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$8,630.57 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$14,038.80 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
— |
$34,481 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
— |
$34,481 |
— |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
— |
$34,481 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$6,668.78 |
— |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
— |
$34,481 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$12,703.10 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$12,736 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$13,405.80 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$12,520.50 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$18,180.50 |
— |
| I&d abscess peritonsillar (42700) |
— |
$11,165 |
— |
| I&d abscess simple (10060) |
— |
$11,441.80 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$6,588 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$55,457.08 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$27,001.78 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$34,791 |
— |
| I&d perianal abscess superficial (46050) |
— |
$496 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$510 |
— |
| Icd Pocket Revision (33223) |
— |
$4,414 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$23,147 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$13,230 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$8,482 |
— |
| Implant temple bone w/stimul (69714) |
— |
$41,443.40 |
— |
| Incise external hemorrhoid (46083) |
— |
$538 |
— |
| Incise finger tendon sheath (26055) |
— |
$6,698.12 |
— |
| Incise Wrist/Forearm Tendon (25290) |
— |
$50,561 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$11,907 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$12,875.40 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$6,338.51 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$12,206 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$616 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$8,787.44 |
— |
| Incision of eardrum (69421) |
— |
$4,479 |
— |
| Incision of eardrum (69420) |
— |
$758 |
— |
| Incision of Foot Tendon (28234) |
— |
$31,613.70 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$3,872.50 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$3,980 |
— |
| Incision of rectal abscess (46040) |
— |
$12,487.80 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$10,110 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$551 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$219 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$1,034 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$480 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$18,792 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$8,523 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$1,318 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$16,347 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,685 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$514 |
— |
| Injection for identification of sentinel node (38792) |
— |
$317 |
— |
| Injection Into Brain Canal (61055) |
— |
$36,576.50 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$44,803 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$174 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$186 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$40 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$2,022 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,731 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$257 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$228 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$210 |
— |
| Inner ear surgery proc unlisted (69949) |
— |
$2,976 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$6,046 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$6,046 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$6,046 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$6,046 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$8,962 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$140,407 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$6,685 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$518 |
— |
| Insert cath pleura w/ image (32557) |
— |
$22,147.22 |
— |
| Insert cath pleura w/o image (32556) |
— |
$22,147.22 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$31,116.39 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$24,193 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$42,217.40 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$398 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$29,937 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$1,797 |
— |
| Insert pulse gen dual leads (33213) |
— |
$11,976 |
— |
| Insert pulse gen mult leads (33221) |
— |
$22,346 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$11,976 |
— |
| Insert spine infusion device (62360) |
— |
$24,500.50 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$236 |
— |
| Insert tun ip cath perc (49418) |
— |
$9,269.38 |
— |
| Insert tunneled cv cath (36561) |
— |
$11,553.50 |
— |
| Insert tunneled cv cath (36563) |
— |
$20,173 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$20,173 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$144 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$15,667.80 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$28,113.90 |
— |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
— |
$10,071.50 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$7,197 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$398 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$14,020 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$19,220.42 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,275 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$10,071.50 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$21,322.39 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$21,322.39 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$11,420.80 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$98,806 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$3,245 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$54,052 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$43,397.80 |
— |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
— |
$64,540 |
— |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
— |
$6,825 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,454 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,862 |
— |
| Intranasal Biopsy (30100) |
— |
$564 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
— |
$543 |
— |
| Intro cath dialysis circuit (36901) |
— |
$9,497.69 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$36,422.40 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$19,330.80 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,188 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$677 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$645 |
— |
| Kidney endoscopy (50575) |
— |
$54,540 |
— |
| Kidney endoscopy (50553) |
— |
$30,380.12 |
— |
| Kidney endoscopy (50570) |
— |
$54,540 |
— |
| Kidney endoscopy (50551) |
— |
$30,380.12 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$16,957.80 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$32,284 |
— |
| Labyrinthotomy Transcanal (69801) |
— |
$826 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$15,675 |
— |
| Lap paraesophag hern repair (43281) |
— |
$28,931.30 |
— |
| Lap replace gastr adj device (43773) |
— |
$22,530.80 |
— |
| Lap revision perm ip cath (49325) |
— |
$44,852.43 |
— |
| Laparo ablate renal mass (50542) |
— |
$61,159 |
— |
| Laparoscopy aspiration (49322) |
— |
$27,927.30 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$36,680.30 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$17,697 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$28,548.60 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$35,253.20 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$31,771.70 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$27,779.80 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$19,988.30 |
— |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
— |
$41,916 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$25,002.70 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$22,530.80 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$22,530.80 |
— |
| Laparoscopy, surgical, splenectomy (38120) |
— |
$48,583 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$29,462.70 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$26,781.20 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$39,094.10 |
— |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
— |
$172,547 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$32,502.60 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$23,267.50 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$15,810.50 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$26,285 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$17,854 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$26,804 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$13,456.30 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$240 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$506 |
— |
| Laryngoscopy W/Biopsy (31535) |
— |
$16,712 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$13,416.20 |
— |
| Late closure of wound (13160) |
— |
$40,617.57 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$31,805.60 |
— |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
— |
$1,276 |
— |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
— |
$64,714.60 |
— |
| Ligate leg veins open (37761) |
— |
$31,805.60 |
— |
| Ligation of a-v fistula (37607) |
— |
$16,758 |
— |
| Ligation of hemorrhoids (46946) |
— |
$6,120.50 |
— |
| Ligation Of Inf Vena Cava (37619) |
— |
$8,962 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$367 |
— |
| Lip Surgery Procedure (40799) |
— |
$283 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$24,206.20 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$28,494.60 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$18,059 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$26,804 |
— |
| Lysis Intranasal Synechia (30560) |
— |
$16,720 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$6,357 |
— |
| Maniplatn palar fascial crd post inj single cord (26341) |
— |
$321 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$27,844.80 |
— |
| Mast mod rad (19307) |
— |
$26,423 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$26,763 |
— |
| Mastectomy partial (19301) |
— |
$27,713.70 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$34,435.80 |
— |
| Mastectomy simple complete (19303) |
— |
$67,558.80 |
— |
| Mastopexy (19316) |
— |
$3,137 |
— |
| Maternity Care Procedure (59899) |
— |
$339 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$29,482 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$19,958.76 |
— |
| Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) |
— |
$54,219.21 |
— |
| Myelography Lumbar Injection (62304) |
— |
$1,644 |
— |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 4 matching MRF lines |
— |
$399–$599 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$10,033.40 |
— |
| Nasal surgery procedure (30999) |
— |
$2,406 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$504 |
— |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
— |
$3,478 |
— |
| Nasal/Sinus Ndsc Dstrj Rf Ablation Pst Nsl Nrv (31242) |
— |
$36,919.10 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$26,069.50 |
— |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
— |
$33,755 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$9,539.90 |
— |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
— |
$37,728.50 |
— |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
— |
$56,489 |
— |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
— |
$61,789.50 |
— |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
— |
$49,474.60 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$55,134.60 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$7,087.83 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$5,807 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$1,993 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$40 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$80 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$17,561.80 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$70,614.50 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$618 |
— |
| Nfct ds bct/viral trail ip-10 c-react prtn srm (0351U) |
— |
$390.75 |
— |
Njx anes stellate ganglion crv sympathetic (64510)
range across 4 matching MRF lines |
— |
$890–$1,335 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$251 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$7,053 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines |
— |
$665–$998 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$1,017 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,020 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$898 |
— |
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 3 matching MRF lines |
— |
$774–$1,550 |
— |
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 3 matching MRF lines |
— |
$774–$1,550 |
— |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
— |
$48,782.10 |
— |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
— |
$47,859 |
— |
| Occipital Nerve Block (64405) |
— |
$254 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$14,707.50 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$57,459.82 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$42,626.20 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$51,230.90 |
— |
| Open treatment calcaneal fracture (28415) |
— |
$51,497 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$49,055.10 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$55,386.90 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$52,345.47 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$51,698.60 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$76,637.97 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$28,676.30 |
— |
| Open treatment metacarpophalangeal dislocation (26715) |
— |
$10,706 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$28,379.10 |
— |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
— |
$46,677.90 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$31,221.22 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$53,624.50 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$90,169.83 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$90,169.83 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$63,062.59 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$52,345.47 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$76,637.97 |
— |
| Open treatment of nasoethmoid fracture; with external fixation Facility (21339) |
— |
$21,056 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$57,459.82 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$57,459.82 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$33,515.52 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$31,221.22 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$13,078.30 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$31,697.40 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$63,062.59 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$63,627.20 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$48,318.80 |
— |
| Open Treatment Tarsal Bone Dislocation (28555) |
— |
$31,326.50 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$25,117.50 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$42,609.90 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$19,298.80 |
— |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
— |
$1,990 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$64,073.20 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$90,169.83 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$90,169.83 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$16,995.70 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$25,620.50 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$76,637.97 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$53,505.44 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$31,155 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$20,908 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$56,364.63 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$56,364.63 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$51,497 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$35,761.50 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$65,389.40 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$57,418 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$37,711.60 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$27,109 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$39,833.30 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$50,027.20 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$52,345.47 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$74,725.50 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$53,505.44 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$60,547.55 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$13,401 |
— |
| Ostectomy calcaneus (28118) |
— |
$43,768.50 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$18,646 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$20,987.30 |
— |
| Osteochondral allograft knee open (27415) |
— |
$56,735.70 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$68,088.52 |
— |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
— |
$51,497 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$43,267.30 |
— |
| Osteotomy calcaneus w/wo internal fixation (28300) |
— |
$51,497 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$7,924 |
— |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
— |
$51,497 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$90,169.83 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$50,006.64 |
— |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
— |
$39,260 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$31,714.90 |
— |
| Part remv talus or calcaneus (28120) |
— |
$40,274.60 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$28,585.10 |
— |
| Partial Excision Bone Ulna (25150) |
— |
$8,759 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$11,593.70 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$7,721.50 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$7,855.75 |
— |
| Partial removal of fibula (27641) |
— |
$78,644 |
— |
| Partial removal of thyroid (60220) |
— |
$127,925 |
— |
| Partial removal of tibia (27640) |
— |
$22,100 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$27,098 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$17,754.10 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$72,540.50 |
— |
| Penile Injection (54235) |
— |
$277 |
— |
| Penile Plethysmography (54240) |
— |
$211 |
— |
| Penis plastic surgery (54360) |
— |
$27,197 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$1,993 |
— |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
— |
$14,812 |
— |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
— |
$24,054 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$1,102 |
— |
Perq dev breast 1st strtctc (19283)
range across 5 matching MRF lines |
— |
$282–$3,518 |
— |
Perq dev breast 1st us imag (19285)
range across 5 matching MRF lines |
— |
$282–$3,518 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$30,380.12 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,542 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$27,216.30 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$28,326 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$25,194.50 |
— |
| Pin Finger Dislocation (26776) |
— |
$11,215 |
— |
| Pin knuckle dislocation (26706) |
— |
$39,922 |
— |
| Place Cath Subclavian Art (36225) |
— |
$7,448 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$4,810 |
— |
| Place Rt Device/Marker Pros (55876) |
— |
$19,465.30 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$285 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$1,858 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$2,319 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$31,704 |
— |
| Prim art mech thrombectomy (37184) |
— |
$31,526.12 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$29,013.05 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$40,997.42 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$3,721 |
— |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
— |
$36,557 |
— |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
— |
$41,577 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$12,863.50 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$44,794.86 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$76,637.97 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$16,507 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$46,321.39 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$33,877.10 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$1,358 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$501 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$1,466.24 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$369 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
— |
$62,900.13 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$11,235 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$33,417.48 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$21,907 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$30,775.15 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$30,775.15 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
— |
$33,417.48 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$32,348.10 |
— |
| Re-explore parathyroids (60502) |
— |
$52,205 |
— |
| Realignment of knee (27455) |
— |
$60,547.55 |
— |
| Reconstruct elbow lat ligmnt (24344) |
— |
$21,234 |
— |
| Reconstruct elbow med ligmnt (24346) |
— |
$21,234 |
— |
| Reconstruct finger joint (26545) |
— |
$21,459 |
— |
| Reconstruction Nail Bed W/Graft (11762) |
— |
$15,766 |
— |
| Reconstruction Tongue Fold (41520) |
— |
$3,573 |
— |
| Reinforce hip bones (27187) |
— |
$34,275.89 |
— |
| Reinforce tibia (27745) |
— |
$71,490 |
— |
| Release of shoulder ligament (23415) |
— |
$84,504 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$4,528 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$6,154 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$1,909 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$549 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$34,791 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$18,143 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$9,087 |
— |
| Removal Foreign Body Scrotum (55120) |
— |
$1,728 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$3,266 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$4,291 |
— |
| Removal Implant Deep (20680) |
— |
$24,158.80 |
— |
| Removal of a lesion from the floor of the mouth (41116) |
— |
$1,306 |
— |
| Removal of adenoids (42835) |
— |
$11,640.40 |
— |
| Removal of adenoids (42831) |
— |
$9,118.21 |
— |
| Removal of adenoids (42830) |
— |
$10,785.30 |
— |
| Removal of adenoids (42836) |
— |
$13,648.70 |
— |
| Removal of anal fissure (46200) |
— |
$10,826 |
— |
| Removal of bladder cyst (51500) |
— |
$41,574.51 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$611 |
— |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
— |
$72,532 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$72,532 |
— |
| Removal of humerus lesion (23156) |
— |
$30,514 |
— |
| Removal of knee prosthesis (27488) |
— |
$100,091.60 |
— |
| Removal of nail bed (11750) |
— |
$5,731.67 |
— |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
— |
$39,825 |
— |
| Removal of sesamoid bone (28315) |
— |
$36,738 |
— |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
— |
$21,459 |
— |
| Removal of tendon for graft (20924) |
— |
$30,995.33 |
— |
| Removal of tonsils (42825) |
— |
$7,588.16 |
— |
| Removal of tonsils (42826) |
— |
$10,144.90 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$16,231 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$4,829 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$44,852.43 |
— |
| Removal ppm generator only (33233) |
— |
$4,930 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$6,165 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$43,966.50 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$25,467 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$129 |
— |
| Remove Ankle Joint Lining (27626) |
— |
$16,532.60 |
— |
| Remove cerclage suture (59871) |
— |
$14,290 |
— |
| Remove drug implant device (11982) |
— |
$17,007.50 |
— |
| Remove Elbow Joint Lining (24102) |
— |
$21,234 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$4,257 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$2,064 |
— |
| Remove foreign body from eye (65235) |
— |
$3,456 |
— |
| Remove foreign body from eye (65205) |
— |
$138 |
— |
| Remove hip pressure sore (15941) |
— |
$41,476.90 |
— |
| Remove hip pressure sore (15940) |
— |
$41,476.90 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$23,577 |
— |
| Remove Intrauterine Device (58301) |
— |
$11,406.10 |
— |
| Remove intrvas foreign body (37197) |
— |
$52,571.50 |
— |
| Remove knee joint lining (27334) |
— |
$52,811.80 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$66,667.50 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$586 |
— |
| Remove Pulse Generator (33241) |
— |
$108,747 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$8,773.50 |
— |
| Remove thigh pressure sore (15951) |
— |
$41,476.90 |
— |
| Remove thigh pressure sore (15956) |
— |
$41,476.90 |
— |
| Remove ureter stent percut (50384) |
— |
$32,044.70 |
— |
| Remove&replace pm gen singl (33227) |
— |
$29,200.50 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$78,644 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$71,977 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$104,606 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$86,893.30 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$31,694.10 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$52,131.50 |
— |
| Renal Biopsy Perq (50200) |
— |
$1,993 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
— |
$39,099.91 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$30,380.12 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) |
— |
$54,540 |
— |
| Reopen fallopian tube (58350) |
— |
$24,448.50 |
— |
| Repair Achilles Tendon (27650) |
— |
$33,245.20 |
— |
| Repair blood vessel lesion (35190) |
— |
$59,363 |
— |
| Repair cleft lip/nasal (40761) |
— |
$21,056 |
— |
| Repair cleft lip/nasal (40700) |
— |
$21,056 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,449 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$18,282 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$14,876 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$15,330.60 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$27,913 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$10,005 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$19,380 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$20,390.20 |
— |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
— |
$21,459 |
— |
| Repair Foot Dislocation (28615) |
— |
$39,052.50 |
— |
| Repair Hallux Rigidus (28289) |
— |
$17,348.60 |
— |
| Repair Hand Tendon (26410) |
— |
$2,907 |
— |
| Repair incomplete circumcision (54163) |
— |
$3,803.11 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$49,844.94 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$51,471 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$14,707.50 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$35,523.30 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$49,844.94 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$11,512 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$22,354 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,341 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$12,162 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$2,032 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,317 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$5,756.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$14,178.40 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$39,922 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,709 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,432 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$13,107 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$9,744 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,366 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$28,918 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$67,477 |
— |
| Repair Leg Fascia Defect (27656) |
— |
$27,913 |
— |
| Repair lower leg epiphyses (27734) |
— |
$78,644 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$53,505.44 |
— |
| Repair of biceps tendon (24340) |
— |
$37,820.10 |
— |
| Repair of fibula epiphysis (27732) |
— |
$78,644 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$63,062.59 |
— |
| Repair of knee ligaments (27409) |
— |
$46,840.60 |
— |
| Repair of nail bed (11760) |
— |
$16,843.20 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$57,459.82 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$57,459.82 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$53,505.44 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$53,505.44 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$43,680 |
— |
| Repair radius & ulna (25415) |
— |
$57,459.82 |
— |
| Repair recurrent femoral hernia; reducible Facility (49555) |
— |
$51,471 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$16,478.80 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$38,037.90 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$46,742.90 |
— |
| Repair Spica/Body/Jacket Cast (29720) |
— |
$14,908 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$17,205 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$35,584 |
— |
| Repair Toe Dislocation (28645) |
— |
$35,240.40 |
— |
| Repair tongue laceration (41252) |
— |
$1,013 |
— |
| Repair tongue laceration (41250) |
— |
$749 |
— |
| Repair umbilical lesion (49600) |
— |
$44,852.43 |
— |
| Repair webbed toe(s) (28345) |
— |
$30,993.97 |
— |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
— |
$59,363 |
— |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
— |
$38,158.80 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$49,844.94 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$49,844.94 |
— |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
— |
$42,990.30 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$20,876.80 |
— |
| Replace g/c tube perc (49450) |
— |
$1,190 |
— |
| Reposition L Ventric Lead (33226) |
— |
$4,930 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$3,206 |
— |
| Reposition Venous Catheter (36597) |
— |
$14,274 |
— |
| Repr torn cruciate knee ligam (27407) |
— |
$46,662 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$17,995 |
— |
| Resect back tum < 5 cm (21935) |
— |
$21,907 |
— |
| Resect enlarged toe (28341) |
— |
$49,031 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$33,417.48 |
— |
| Resect Shoulder Tumor 5 Cm/> (23078) |
— |
$84,504 |
— |
| Resect shoulder tumor < 5 cm (23077) |
— |
$84,504 |
— |
| Resection of elbow joint (arthrectomy) Facility (24155) |
— |
$21,234 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$22,451.75 |
— |
| Revis reconst shoulder joint (23473) |
— |
$51,688.02 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$51,688.02 |
— |
| Revise lower leg tendon (27690) |
— |
$25,551.30 |
— |
| Revision of big toe (28310) |
— |
$48,891.60 |
— |
| Revision of foot (28116) |
— |
$47,564.40 |
— |
| Revision of humerus (24400) |
— |
$76,637.97 |
— |
| Revision of lower leg tendon (27685) |
— |
$14,294.10 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$68,512.97 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$68,764.48 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$68,556.54 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$100,091.60 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$19,890 |
— |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
— |
$20,585 |
— |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
— |
$16,585 |
— |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
— |
$54,808.40 |
— |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
— |
$44,439 |
— |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
— |
$40,439 |
— |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
— |
$31,476 |
— |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
— |
$27,476 |
— |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
— |
$21,353 |
— |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
— |
$20,302 |
— |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
— |
$16,302 |
— |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
— |
$29,239 |
— |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
— |
$25,239 |
— |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
— |
$25,353 |
— |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
— |
$21,353 |
— |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
— |
$39,801 |
— |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
— |
$35,801 |
— |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
— |
$43,258 |
— |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
— |
$39,258 |
— |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
— |
$39,801 |
— |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
— |
$35,801 |
— |
| Rhytidectomy Cheek Chin & Neck (15828) |
— |
$2,539 |
— |
| Rhytidectomy Forehead (15824) |
— |
$2,539 |
— |
| Rib cartilage graft (21230) |
— |
$21,056 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$6,430.47 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$195 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$237 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$171 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$4,390 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$40,893 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$41,476.90 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$8,520 |
— |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
— |
$3,624 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$40,340.75 |
— |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
— |
$21,459 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$3,332 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$618 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$23,799.30 |
— |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
— |
$6,768 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,042 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$19,220.42 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$4,425.57 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$20,438.20 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$17,105 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$27,562 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$22,971.80 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$9,759 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$12,656 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$21,895.30 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$16,157.70 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$52,571.50 |
— |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
— |
$8,962 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$37,877 |
— |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
— |
$47,134.50 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$23,623 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$450 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$24,819 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$49,844.94 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$49,844.94 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$12,565 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,542 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$29,306 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$21,979.70 |
— |
| Rpr nsl vlv collapse lw nrg subq/sbmcsl rmdlg (30469) |
— |
$41,827.10 |
— |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
— |
$21,056 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$66,667.50 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$38,507.30 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$28,585.10 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$16,203.30 |
— |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
— |
$37,177 |
— |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$35,245 |
— |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
— |
$35,245 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
— |
$35,245 |
— |
| Scrotal exploration (55110) |
— |
$27,087.30 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$29,991.20 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$4,512.25 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$162 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$457 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$649 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$178 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$464 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$504 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$23,133.17 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$520 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$583 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$471 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$7,693 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$529 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$30,293.43 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$21,667.82 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$29,013.05 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$3,429 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$5,097.50 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$610 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$267 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$1,591 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$736 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$355 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$834 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$1,839 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$693 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$350 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$17,110.40 |
— |
| Skin Pinch Graft (15050) |
— |
$23,133.17 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$15,924.80 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$15,237.50 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$17,735.80 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$4,814 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$8,718 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$23,397.60 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$18,303 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$451 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$558 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$7,680 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$553 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$550 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$17,110.40 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$21,615 |
— |
| Strapping ankle (29540) |
— |
$83 |
— |
| Strapping hand/finger (29280) |
— |
$94 |
— |
| Strapping knee (29530) |
— |
$86 |
— |
| Strapping shoulder (29240) |
— |
$85 |
— |
| Strapping toes (29550) |
— |
$53 |
— |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
— |
$235–$352 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$44,328.70 |
— |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
— |
$24,128 |
— |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
— |
$21,888.90 |
— |
| Surg tx anal fistula subq (46270) |
— |
$8,531.33 |
— |
| Surgery to stop leg growth (27479) |
— |
$78,644 |
— |
| Surgery to stop leg growth (27477) |
— |
$78,644 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$59,737.40 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$41,047 |
— |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
— |
$62,900.13 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$49,031 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$24,819 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$8,029 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$403 |
— |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
— |
$97,223.70 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$140,407 |
— |
| Tendon transfer with graft (26492) |
— |
$21,459 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$43,266.90 |
— |
| Tenolysis extensor foot single tendon (28225) |
— |
$63,167.10 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$37,177 |
— |
| Tenotomy extensor hand/finger open each tendon (26460) |
— |
$26,377 |
— |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
— |
$26,377 |
— |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
— |
$26,377 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$35,584 |
— |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
— |
$43,916 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$2,666 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$2,666 |
— |
| Thyroid biopsy (60100) |
— |
$362 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$74,279.50 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$28,563.20 |
— |
| Tissue Expander Placement Breast Reconstruction (19357) |
— |
$101,077 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$22,134 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$25,992.10 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$9,988.98 |
— |
| Tooth extraction (41899) |
— |
$25,119.90 |
— |
| Total Knee Arthroplasty (27447) |
— |
$73,603.90 |
— |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
— |
$16,179.90 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$20,550.50 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$1,579 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$1,522 |
— |
| Transcatheter biopsy (37200) |
— |
$9,484 |
— |
| Transfer skin pedicle flap (15650) |
— |
$10,096 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$27,001.78 |
— |
| Transur electr resection of prostate (52601) |
— |
$26,715.70 |
— |
| Transurethral resection bladder neck (52500) |
— |
$10,903 |
— |
| Treat ankle fracture (28445) |
— |
$51,497 |
— |
| Treat Big Toe Fracture (28505) |
— |
$15,766 |
— |
| Treat ectopic pregnancy (59151) |
— |
$28,325.50 |
— |
| Treat Elbow Fracture (24635) |
— |
$57,459.82 |
— |
| Treat elbow fracture (24587) |
— |
$57,459.82 |
— |
| Treat Finger Fracture Each (26727) |
— |
$17,457.70 |
— |
| Treat fracture radius/ulna (25575) |
— |
$46,032.10 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$38,962.10 |
— |
| Treat humerus fracture (24500) |
— |
$9,246 |
— |
| Treat humerus fracture (23600) |
— |
$9,246 |
— |
| Treat kneecap dislocation (27566) |
— |
$45,642.60 |
— |
| Treat Kneecap Fracture (27524) |
— |
$23,469.10 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$1,587 |
— |
| Treat lower leg dislocation (27832) |
— |
$61,452.37 |
— |
| Treat midfoot fracture (28456) |
— |
$12,565 |
— |
| Treat/graft heel fracture (28420) |
— |
$51,497 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,725 |
— |
| Treatment of ankle fracture (27823) |
— |
$68,614.50 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$52,345.47 |
— |
| Treatment of tibia fracture (27756) |
— |
$85,924.06 |
— |
| Trim skin lesion (11055) |
— |
$306 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$23,133.17 |
— |
| Trim skin lesions over 4 (11057) |
— |
$218 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$25,862 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$22,166.40 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$11,873 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
— |
$26,167 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$12,180 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$102 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$76,637.97 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$10,134.90 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$61,883 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$7,857.08 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$17,969.81 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$40,298.10 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$18,638 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$915 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$44,423.40 |
— |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$11,739.30 |
— |
| Tympanolysis transcanal (69450) |
— |
$54,037.30 |
— |
| Tympanoplasty (69631) |
— |
$50,730.30 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$22,066.20 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$9,112.47 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$11,168.70 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$22,423 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$31,697.50 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$25,790.70 |
— |
| Unlisted laparoscopy procedure, biliary tract (47579) |
— |
$20,320.50 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$29,219 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$28,741.50 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$20,494.50 |
— |
| Unlisted procedure anus (46999) |
— |
$8,590.17 |
— |
| Unlisted procedure arthroscopy (29999) |
— |
$23,730.10 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$121,573.60 |
— |
| Unlisted Procedure Endocrine System (60699) |
— |
$75,943 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$29,603.61 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$74,445.40 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$41,483.10 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$38,704 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$51,925.50 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$1,142 |
— |
| Unlisted procedure liver (47399) |
— |
$9,112.79 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$20,550.50 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$12,201 |
— |
| Unlisted procedure nervous system (64999) |
— |
$290 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$26,973.90 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$23,485 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$5,528 |
— |
| Unlisted procedure shoulder (23929) |
— |
$16,499 |
— |
| Unlisted Procedure Tongue Floor Mouth (41599) |
— |
$283 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$29,774.11 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$21,420.10 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$12,455 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$309 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$50,563.50 |
— |
| Upgrade of pacemaker system (33214) |
— |
$30,279 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
— |
$23,577 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$30,380.12 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$9,112.47 |
— |
| Vaginal delivery only (59409) |
— |
$3,838 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$63,255 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$17,409 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$26,395 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$16,567 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$10,530.20 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$418 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$16,873 |
— |
| Vulvectomy simple partial (56620) |
— |
$12,676 |
— |
| Wedge excision skin nail fold (11765) |
— |
$451 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$14,546.30 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$13,993.40 |
— |
| Xfer Single Deep Low Leg Tendon (27691) |
— |
$49,248.80 |
— |