Procedures & surgery prices at Saline Memorial Hospital

Benton, AR · every code in this section with a posted price and a Medicare benchmark.

1276 codes. Prices are the hospital's own posted facility charges.

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ProcedureCash priceGross charge× Medicare
Abd paracentesis w/imaging (49083) $5,240.34
Acetabuloplasty (27120) $104,097.92
Acne Surgery (10040) $61,462.95
Acromioplasty or acromionectomy, partial, with or without coracoacromial ligament release (23130) $41,956.88
Amp leg thru tibia&fibula sec closure/scar rev (27884) $101,012.67
Amputate lower leg at knee (27598) $135,311.31
Amputate metacarpal bone (26910) $17,990.77
Amputate Thigh,Re-Amputatn (27596) $93,972.80
Amputation Finger/Thumb (26951) $18,320.48
Amputation follow-up surgery (25929) $42,982.34
Amputation Foot Midtarsal (28800) $65,897.86
Amputation metatarsal with toe single (28810) $20,839.55
Amputation of finger/thumb (26952) $33,724.74
Amputation Of Foot At Ankle (27889) $102,122.06
Amputation thigh through femur any level (27590) $93,972.80
Amputation toe interphalangeal joint (28825) $14,041.59
Amputation Toe Metatarsophalangeal Joint (28820) $17,635.62
Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) $71,331.49
Amputation, foot; transmetatarsal (28805) $65,897.86
Amputation, leg, through tibia and fibula; (27880) $101,012.67
Amputation, leg, through tibia and fibula; re-amputation (27886) $19,649.69
Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Other… (27881) $101,012.67
Amputation, thigh, through femur, any level; immediate fitting technique including first cast Other Surgical Services (27591) $93,972.80
Ankle arthroscopy/surgery (29892) $39,611.80
Ankle arthroscopy/surgery (29894) $42,359.64
Ankle scope,part synovectomy (29895) $48,112.74
Anoscopy diagnostic (46600) $55,299.65
Anoscopy dx w/hra &chem agnts enhancement (46601) $55,299.65
Anrct xm surg req anes general spi/edrl dx (45990) $15,141.08
Anterior colporrhaphy, repair of cystocele with or without repair of urethrocele (57240) $33,020.17
Anterior Tibial Tubercleplasty (27418) $35,581.45
Appl Mlt-Layer Venous Wound Compress Below Knee (29581) $743.95
Application cast elbow finger short arm (29075) $1,091.09
Application cast shoulder hand long arm (29065) $1,091.09
Application Cast Shoulder Spica (29055) $61,433.81
Application Finger Splint Dynamic (29131) $52,516.98
Application finger splint static (29130) $514.03
Application long arm splint shoulder hand (29105) $623.47
Application long leg splint thigh ankle/toes (29505) $623.47
Application of a multiplane (pins or wires more than 1 plane), unilateral, external fixation (20692) $126,251.62
Application of a uniplane (pins or wires in 1 plane), unilateral, external fixation system (20690) $45,629.35
Application of long leg cast (29345) $1,091.09
Application Of Rigid Total Contact Leg Cast (29445) $1,283.37
Application Short Arm Splint Dynamic (29126) $490.60
Application short arm splint forearm-hand static (29125) $41,077.21
Application short leg splint calf foot (29515) $60,789.43
Application, cast; figure-of-eight (29049) $61,433.81
Apply multlay comprs arm/hand (29584) $623.47
Apply short leg cast (29405) $1,091.09
Arrest Epiphyseal Open Distal Fibula (27732) $62,394.61
Arrest, epiphyseal, any method (eg, epiphydiodesis); cmbined distal femur prox (27479) $62,394.61
Arrest, hemiepiphyseal, distal femur or proximal tibia or fibula (eg, genu varus or valgus) (27485) $62,394.61
Arterial puncture (36600) $492.48
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) $11,941
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) $2,774.16
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) $9,879.64
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) $1,145.82
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) $20,638.58
Arthrodesis ankle open (27870) $48,656.19
Arthrodesis great toe interphalangeal joint (28755) $22,092.24
Arthrodesis, great toe; metatarsophalangeal joint (28750) $42,517.50
Arthroplasty glenohumeral joint total shoulder (23472) $91,941.25
Arthroplasty knee condyle and plateau medial or lateral compartment (sso) (27446) $76,243.63
Arthroplasty knee fc/tp (27442) $113,104.33
Arthroplasty radial head w/implant (24366) $51,044.90
Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Other Surgical… (27443) $113,104.33
Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Other Surgical Services (27441) $71,150.33
Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction (29888) $50,098.61
Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) $57,719.76
Arthroscopy ankle; ext debridem (29898) $46,843.59
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) $25,000.33
Arthroscopy of joint (29999) $22,219.64
Arthroscopy, elbow, surgical; with removal of loose body or foreign body (29834) $26,208.12
Arthroscopy, knee, diagnostic, with or without synovial biopsy (separate procedure) (29870) $28,124.84
Arthroscopy, knee, surgical; abrasion arthroplasty or multiple drilling or microfracture (29879) $21,253.47
Arthroscopy, knee, surgical; debridement/shaving of articular cartilage (chondroplasty) (29877) $26,598.98
Arthroscopy, knee, surgical; for infection, lavage and drainage (29871) $81,825.63
Arthroscopy, knee, surgical; for removal of loose body or foreign body (29874) $21,684.26
Arthroscopy, Knee, Surgical; Osteochondral Allograft (Eg, Mosaicplasty) (29867) $67,793.34
Arthroscopy, Knee, Surgical; Osteochondral Autograft(S) (Eg, Mosaicplasty) (Includes Harvesting Of The Autograft) (29866) $44,144
Arthroscopy, knee, surgical; synovectomy, limited (eg, plica or shelf resection) (29875) $19,945.31
Arthroscopy, knee, surgical; with lateral release (29873) $24,899.96
Arthroscopy, knee, surgical; with meniscectomy (medial AND lateral) including chondroplasty (29880) $20,724.27
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) $35,971.88
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) $41,825.10
Arthroscopy, shoulder, surgical; capsulorrhaphy (29806) $40,167.71
Arthroscopy, shoulder, surgical; debridement, extensive (29823) $34,779.75
Arthroscopy, shoulder, surgical; debridement, limited (29822) $40,151.60
Arthroscopy, shoulder, surgical; distal claviculectomy including distal articular surface (29824) $39,834.66
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) $30,100.53
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) $40,137.52
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) $44,802.35
Arthrotomy Elbow W/Synovial Biopsy Only (24100) $33,443.01
Arthrotomy Knee W/Synovial Biopsy Only (27330) $65,501.01
Arthrotomy W/Biopsy Hip Joint (27052) $88,278.57
Arthrotomy Wrist Joint With Biopsy (25100) $41,607.44
Arthrotomy Wrist Joint With Synovectomy (25105) $41,607.44
Arthrotomy, elbow, including exploration, drainage, or removal of foreign body (24000) $29,103.01
Arthrotomy, elbow; with synovectomy (24102) $31,735.63
Arthrotomy, knee; including joint exploration, biopsy, or removal of loose or foreign bodies (27331) $81,825.63
Arthrotomy, with synovectomy, knee; anterior or posterior (27334) $71,150.33
Arthrs hip debridement/shaving articular crtlg (29862) $39,197.55
Arthrt rdcrpl/midcarpl jt w/expl drg/rmvl fb (25040) $17,391.55
Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) $13,795.09
Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) $41,607.44
Aspir/inj thyroid cyst (60300) $2,682.96
Aspirat/Injection Ganglion Cyst(S) (20612) $1,145.82
Aspiration Bladder Insert Suprapubic Catheter (51102) $8,058.81
Autochondrocyte implant knee (27412) $48,890.30
Avulsion nail plate partial/complete simple 1 (11730) $22,092.24
Axillary lymphadenectomy; complete (38745) $17,817.91
Biopsy bone open superficial (20240) $14,942.46
Biopsy bone trocar/needle deep (20225) $6,372.42
Biopsy Bone Trocar/Needle Superficial (20220) $6,372.42
Biopsy Breast Open Incisional (19101) $14,869.98
Biopsy muscle percutaneous needle (20206) $6,372.42
Biopsy of bowel (44100) $32,755.27
Biopsy or excision of lymph node(s); open, superficial (38500) $29,607.06
Biopsy Pancrea Percutaneous Needle (48102) $6,372.42
Biopsy Salivary Gland,Needle (42400) $2,682.96
Biopsy Soft Tissue Back/Flank Deep (21925) $24,637.69
Biopsy soft tissue neck/thorax (21550) $6,372.42
Biopsy soft tissue of back (21920) $24,637.69
Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) $6,083.90
Biopsy Soft Tissue Thigh/Knee Area Deep (27324) $11,015.35
Biopsy soft tissue thigh/knee area superficial (27323) $6,372.42
Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) $6,083.90
Biopsy/removal lymph nodes (38510) $17,528.86
Bl push transfuse 2 yr/< (36440) $42,108.23
Bladder Irrigation Simple (51700) $1,072.85
Bladder Scan (51798) $258.69
Blood patch (62273) $3,979.67
Blood transfusion service (36430) $1,774.26
Bone graft with microvascular anastomosis; fibula Other Surgical Services (20955) $62,394.61
Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Other Surgical Services (20962) $45,976.98
Bone graft, any donor area; major or large (20902) $54,185.80
Bone graft, any donor area; minor or small (eg, dowel or button) (20900) $54,185.80
Bone Marrow Biopsy (38221) $6,372.42
Bronchoscopy W/Biopsy(S) (31625) $6,342.57
Bx abdl/retroperitoneal mass prq needle (49180) $6,372.42
Bx anorectal wall anal approach (45100) $21,825.40
Bx breast 1st lesion us imag (19083) $6,707
Bx vulva/perineum 1 lesion (56605) $20,534.01
Bx/exc lymph node needle superficial (38505) $6,372.42
Capsulorrhaphy anterior w/labral repair (23455) $50,239.58
Catheter Aspiration Nasotracheal Spx (31720) $888.79
Cerclage cervix pregnancy vaginal (59320) $12,302.72
Cessj Therapy Cath Removal (37214) $5,065.77
Change Cystostomy Tube Complicated (51710) $32,241.84
Change Cystostomy Tube Simple (51705) $1,072.85
Change g-tube to g-j perc (49446) $6,869.88
Change Ureter Stent, Percut (50382) $6,626.12
Chemical Cautery Tissue (17250) $848.27
Chest tube placement (32551) $5,067.43
Chg Collect Blood From Catheter Venous Nos (36592) $492.48
Chng urtrost tube/xtrnlly accessible stent ileal (50688) $8,058.81
Cholecystostomy,Percutaneous, Complete (47490) $13,651.87
Chromotubation of oviduct, including materials (58350) $24,113.80
Circum 28 days or older (54161) $12,745.82
Circumcision (54150) $7,410.25
Circumcision Neonate (54160) $7,408.38
Claviculectomy; partial (23120) $46,908.18
Close Rx Fingr Articular Fx,Manip (26742) $31,848.52
Closed Rx Gr Tuberosity Hum Fx (23620) $1,043
Closed Rx Humer Epicondylr Fx,Manip (24565) $6,083.90
Closed Rx Humeral Supracondylar Fx (24530) $1,043
Closed Rx Med Malleolus Fx (27760) $1,043
Closed Rx Med Malleolus Fx,Manip (27762) $19,010.59
Closed Rx Mid Humerus Fx,Manipulatn (24505) $6,083.90
Closed Rx Rad/Ulna Shaft Fx,Manip (25565) $9,267.53
Closed Rx Radial Shaft Fx (25500) $1,043
Closed Rx Radial Shaft Fx W/Dislocation (25520) $6,083.90
Closed Rx Spontaneous Hip Disloc (27256) $16,128.93
Closed Rx Tibia Shaft Fx (27750) $1,043
Closed Rx Tibial Plateau Fx (27530) $1,043
Closed Rx Trauma Hip Disloc,Anesth (27252) $16,128.93
Closed Rx Trimalleolar Fx (27816) $1,043
Closed treat wrist dislocation (25660) $1,043
Closed treatment nasal fracture w/stabilization (21320) $10,823.88
Closed treatment of broken top of shin bone at knee (27538) $1,043
Closed treatment of humeral condylar fracture, medial or lateral; without manipulation (24576) $1,043
Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) $1,043
Closed treatment of talus fracture; without manipulation (28430) $1,043
Closed treatment of ulnar shaft fracture; with manipulation (25535) $15,162.63
Closed treatment pst malleolus fracture w/manj (27768) $5,503.80
Closed Treatment Sesamoid Fracture (28530) $1,043
Closed Treatment Ulnar Styloid Fracture (25650) $1,043
Closed tx ankle dislocation w/o anesthesia (27840) $765.03
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) $6,083.90
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) $1,043
Closed tx calcaneal fracture w/o manipulation (28400) $1,043
Closed tx carpal scaphoid fracture w/manj (25624) $6,083.90
Closed tx knee dislocation w/anesthesia (27552) $25,929.62
Closed tx knee dislocation w/o anesthesia (27550) $1,043
Closed Tx Lunate Dislocation W/Manipulation (25690) $6,083.90
Closed tx metatarsal fracture w/o manipulation (28470) $1,043
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) $6,083.90
Closed tx patellar dislocation w/o anesthesia (27560) $1,043
Closed tx patellar fracture w/o manipulation (27520) $13,083.84
Closed tx radial head/neck fx w/manipulation (24655) $6,083.90
Closed tx radial head/neck fx w/o manipulation (24650) $1,043
Closed tx radial shaft fracture w/manipulation (25505) $10,317.65
Closed tx septal&nose fx (21337) $9,554.02
Closed Tx Sternoclavicular Dislc W/Manipulation (23525) $1,043
Closed tx talotarsal joint dislc w/o anes (28570) $1,043
Closed Tx Talus Fracture W/Manipulation (28435) $6,083.90
Closed tx temporomandibular dislocation 1st/sbsq (21480) $1,043
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) $6,083.90
Closed tx ulnar fracture prox end w/o manipulate (24670) $1,043
Closed tx ulnar shaft fracture w/o manipulation (25530) $1,043
Closure of gastrostomy surgical (43870) $24,056.87
Closure of vagina (57120) $47,322.67
Clsd tx clavicular fracture w/manipulation (23505) $6,083.90
Clsd tx clavicular fracture w/o manipulation (23500) $1,043
Clsd tx shoulder dislc w/manipulation req anes (23655) $7,059.67
Clsd tx shoulder dislc w/manipulation w/o anes (23650) $1,043
Clsd tx sternoclavicular dislc w/o manipulation (23520) $6,083.90
Cltx ankle dislc req anes w/wo prq skel fixj (27842) $6,083.90
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) $1,043
Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) $1,043
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) $1,043
Cltx dstl fibular fx lat malls w/manj (27788) $25,261.40
Cltx dstl fibular fx lat malls w/o manj (27786) $1,043
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) $1,043
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) $1,043
Cltx dstl radial fx/epiphysl sep w/o manj (25600) $1,043
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) $6,083.90
Cltx fem fx dstl end medial/lat condyle w/manj (27510) $6,083.90
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) $1,043
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) $6,083.90
Cltx fx grt toe phlx/phlg w/manj (28495) $1,043
Cltx fx grt toe phlx/phlg w/o manj (28490) $1,043
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) $1,043
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) $1,043
Cltx grter humeral tuberosity fx w/manipulation (23625) $6,083.90
Cltx hip dislocation traumatic w/o anesthesia (27250) $1,043
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) $1,043
Cltx iphal jt dislc w/manj w/o anes (26770) $1,043
Cltx metacarpal fx w/manipulation each bone (26605) $1,043
Cltx metacarpal fx w/o manipulation each bone (26600) $1,043
Cltx metacarpophalangeal dislc w/manj w/o anes (26700) $1,043
Cltx metatarsophlngl jt dislc w/o anes (28630) $1,043
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) $1,043
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) $1,043
Cltx Post Hip Arthrp Dislc Req Anes (27266) $19,694.22
Cltx post hip arthrp dislc w/o anes (27265) $1,043
Cltx prox fibula/shft fx w/manj (27781) $6,083.90
Cltx prox fibula/shft fx w/o manj (27780) $1,043
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) $6,083.90
Cltx prox tibfib jt dislc w/o anes (27830) $1,043
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) $1,043
Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) $5,103.97
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) $6,083.90
Cltx sprcndylr/trnscndylr fem fx w/manj (27503) $6,083.90
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) $1,043
Cltx tibial shaft fx w/manj w/wo skel tracj (27752) $6,083.90
Cltx trans-scaphoprilunar typ fx dislc w/manj (25680) $1,043
Cltx trimalleolar ankle fx w/manipulation (27818) $6,083.90
Colonoscopy flex w/rem forcep (45384) $4,768.35
Colonoscopy stoma w/biopsy (44389) $6,035.57
Colonoscopy through stoma; with endoscopic ultrasound examination, limited to the sigmoid, descending, transverse, or… (44406) $55,299.65
Colonoscopy thru stoma (44388) $8,642.49
Colonoscopy w/fb removal (45379) $55,299.65
Colporrhaphy suture injury vagina (57200) $22,039.19
Colposcopy cervix vag eltrd conization cervix (57461) $15,943.70
Colposcopy cervix vag loop eltrd bx cervix (57460) $13,375.24
Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) $7,049.93
Colsc flx with directed submucosal njx any sbst (45381) $7,561.38
Comp multiplane ext fixation (20696) $170,631.05
Complete replacement picc rs&i (36584) $73,954.87
Complex Drainage, Wound (10180) $28,612.12
Conization of cervix (57520) $19,419.20
Conization of cervix (57522) $13,168.24
Contrast Inj Cent Ven Cath, Inc Flouro (36598) $867.24
Control Nasal Hemorrhage Anterior Simple (30901) $492.48
Control Oropharyngeal Hemorrhage Simple (42960) $16,455.80
Conversion of previous hip surgery to total hip arthroplasty, with or without autograft or allograft (27132) $79,364.35
Coracoacromial ligament release, with or without acromioplasty (23415) $47,570.17
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) $6,999.22
Correction hammertoe (28285) $27,178.47
Correction of bunion (28292) $35,469.78
Correction of bunion (28299) $50,222.88
Correction of bunion (28297) $44,398.56
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) $30,166.81
Create eardrum opening (69436) $10,944.75
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) $411.09
Cysto w/urtrl cathj brush bx urtr&/renal pelvis (52007) $95,572.94
Cystoscopy,insert ureteral stent (52332) $13,557.35
Cystourethroscopy (52000) $40,809.30
Cystourethroscopy w/dil bladder general anesth (52260) $19,647.89
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) $2,236.90
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) $22,391.07
Debride Assoc Open Fx/Disloc Skin/Subq (11010) $58,907.86
Debride skin musc at fx site (11011) $17,292.87
Debridement subcutaneous tissue 20 sq cm/< (11042) $1,447.92
Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) $3,966.32
Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) $13,430.06
Declot vascular device (36593) $1,886.48
Decompress fingers/hand (26037) $20,889.74
Decompress thigh/knee,>1+debride (27499) $55,890.04
Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) $75,298.25
Decompression of leg (27894) $28,910.38
Decompression of thigh/knee (27497) $55,890.04
Decompression of thigh/knee (27498) $55,890.04
Decompression of thigh/knee (27496) $55,890.04
Decompression of tibia nerve (28035) $39,818.23
Delivery placenta separate procedure (59414) $26,048.75
Destr penis lesn,simpl,laser surg (54057) $18,149.13
Destruction anal lesion(s) (46924) $12,211.02
Destruction Benign Lesions Up To 14 (17110) $815.83
Destruction Lesions Vulva Extensive (56515) $13,533.32
Destruction Lesions Vulva Simple (56501) $14,464.68
Destruction vaginal lesions simple (57061) $13,332.86
Diagnostic lumbar spinal puncture w/fluor or CT (62328) $3,593.23
Diagnostic sigmoidoscopy (45330) $5,659.33
Dilation & curettage dx&/ther nonobstetric (58120) $18,886.09
Division of fallopian tube (58600) $20,597.39
Drain Ext Ear Absc/Blood,Complic (69005) $14,781.12
Drain lower leg bursa (27604) $10,347.61
Drain/inj small joint/bursa w/us (20604) $1,145.82
Drainage External Ear Abscess/Hematoma Simple (69000) $2,682.96
Drainage Finger Abscess Complicated (26011) $6,372.42
Drainage Finger Abscess Simple (26010) $20,993.16
Drainage of eyelid abscess (67700) $1,313.30
Drainage of gum lesion (41800) $492.48
Drainage of hematoma/fluid (10140) $15,409.87
Drainage of scrotal wall abscess (55100) $6,372.42
Draw blood off venous device (36591) $646.55
Dressing change under anesthesia (15852) $12,485.83
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) $1,503.85
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) $1,135.16
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) $2,130.29
Dstrj lesion anus simple surg excision (46922) $15,967.82
Dstrj lesion anus smpl eltrdsiccation (46910) $12,529.05
Dx bone marrow bx & aspir (38222) $6,372.42
Dx gastr intub w/asp specs (43755) $32,825.23
Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) $7,767.92
Egd Balloon Dil Esoph30 Mm/> (43233) $36,766.01
Egd balloon dilation esophagus <30 mm diam (43249) $8,111.19
Egd Dilation Gastric/Duodenal Stricture - Egd (43245) $8,687.13
Egd Endo Mucosal Resection (43254) $48,503.64
Egd endoscopic stent place (43266) $48,503.64
Egd flexible foreign body removal (43247) $10,890.20
Egd guide wire insertion (43248) $12,419.65
Egd injection varices (43243) $47,410.82
Egd intrmural us needle aspirate/biopsy esophags (43238) $36,766.01
Egd place gastrostomy tube (43246) $6,849.82
Egd rem tumr/polyp forcep (43250) $47,410.82
Egd remove lesion snare (43251) $12,243.42
Egd Transoral Control Bleeding Any Method - Egd (43255) $48,503.64
Egd tube/cath insertion (43241) $36,766.01
Egd us exam duodenum/jejunum (43259) $36,766.01
Egd us fine needle bx/aspir (43242) $36,766.01
Egd us transmural injxn/mark (43253) $48,503.64
Egd Varices Ligation (43244) $48,503.64
Egd w/transmural drain cyst (43240) $48,503.64
Elbow arthroscopy/surgery (29836) $28,127.18
Embedded ip cath exit-site (49436) $76,799.80
Endoscopic us exam esoph (43237) $48,503.64
Endoscopy of bowel pouch (44385) $32,853.47
Endoscopy Upper Small Intestine - Enteroscopy (44360) $32,853.47
Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) $14,500.86
Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) $7,174.99
Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) $7,174.99
Epidural lysis on single day (62264) $19,793.65
Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur (27185) $64,463.96
Episiotomy or vaginal repair (59300) $36,704.98
Ercp Dx Collection Specimen Brushing/Washing - Ercp (43260) $13,084.77
Esoph optical endomicroscopy (43206) $32,853.47
Esophagogastroduodenoscopy submucosal injection (43236) $36,766.01
Esophagoscop mucosal resect (43211) $32,853.47
Esophagoscopy flex biopsy (43202) $39,838.96
Esophagoscopy flexible transnasal diagnostic (43197) $32,853.47
Esophagoscopy flexible transnasal with biopsy (43198) $39,838.96
Esophagoscopy flexible transoral diagnostic (43200) $32,853.47
Esophagoscopy Flexible Transoral Ultrasound Exam (43231) $32,853.47
Esophagoscopy Rigid Balloon (43195) $32,853.47
Esophagoscopy rigid trnso dx (43191) $32,853.47
Esophagoscopy Transoral Stent Placement (43212) $32,853.47
Esophagoscopy w/us needle bx (43232) $39,838.96
Esophagoscp rig trnso biopsy (43193) $39,838.96
Ethmoidectomy; intranasal total (31201) $21,467.70
Evacuate mole of uterus (59870) $26,048.75
Evacuation of subungual hematoma (11740) $492.48
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) $12,928.85
Exc abd les sc 3 cm/> (22903) $14,166.36
Exc arm/elbow les sc 3 cm/> (24071) $15,594.01
Exc arm/elbow les sc < 3 cm (24075) $14,523.09
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) $15,292.31
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) $15,427.71
Exc back les sc < 3 cm (21930) $15,662.82
Exc face les sbq 2 cm/> (21012) $16,216.18
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) $18,266.10
Exc foot/toe tum sc < 1.5 cm (28043) $13,089.45
Exc forearm les sc < 3 cm (25075) $27,713.18
Exc hand les sc < 1.5 cm (26115) $15,177.89
Exc ischial pr ulcer w/ostc musc/myoq flap/skin (15946) $58,104.51
Exc ischial pressure ulcer w/primary suture (15940) $58,104.51
Exc ischial pressure ulcer w/skin flap closure (15944) $58,104.51
Exc neck tum deep < 5 cm (21556) $20,803.02
Exc Rect Tum Transanal Full (45172) $19,011.15
Exc rect tum transanal part (45171) $16,532.24
Exc shoulder les sc 3 cm/> (23071) $16,580.47
Exc shoulder tum deep 5 cm/> (23073) $28,344.36
Exc skin abd (15830) $99,259.50
Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) $13,971.14
Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) $14,842.43
Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) $15,753.34
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) $15,791.54
Exc Skin Benig 3.1- 4 Cm Face,Facial (11444) $14,612.82
Exc Skin Benig 3.1-4 Cm Trunk,Arm,Leg (11404) $15,780.16
Exc Skin Benig >4 Cm Remaindr Body (11426) $21,291.49
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) $16,412.81
Exc Skin Malig 2.1-3 Cm Face,Facial (11643) $14,549.82
Exc Skin Malig >4 Cm Face,Facial (11646) $15,602.30
Exc Skin Malig >4 Cm Remaindr Body (11626) $24,420.26
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) $18,307.37
Exc Sweat Gland Lesn Perineal,Complx (11471) $26,184.90
Exc thigh/knee les sc 3 cm/> (27337) $17,716.34
Exc thigh/knee tum dep 5cm/> (27339) $18,155.73
Exc Thrombosed Hemorrhoid Xtrnl (46320) $18,180.69
Exc tr-ext b9+marg 0.5 cm or less (11400) $23,281.08
Exc troc pres ulc & bone flap clos (15953) $58,104.51
Exc troc pres ulc & bone prim clo (15951) $58,104.51
Exc trochanteric pr ulcer w/skin flap closure (15952) $58,104.51
Exc trochanteric pressure ulcer w/primary sutr (15950) $58,104.51
Exc tumor soft tiss back/flank subfascial 5 cm/> (21933) $14,730.11
Exc tumor soft tissue abdl wall subfascial <5cm (22900) $17,166.35
Exc tumor soft tissue abdominal wall subq <3cm (22902) $14,538.48
Exc tumor soft tissue leg/ankle subfascial <5cm (27619) $58,195.09
Exc tumor soft tissue leg/ankle subq <3cm (27618) $48,112.74
Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) $14,648.20
Exc Tumor Soft Tissue Neck/Ant Thorax Subq 3+Cm (21552) $12,494.03
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) $14,626.06
Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) $75,298.25
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) $19,013.25
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) $18,961.15
Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) $14,391.88
Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) $13,842.66
Exchange nephrostomy cath (50435) $8,058.81
Exchng absc/cst drg cath rad gid spx (49423) $7,300.93
Excis jt lining,mc-p jt,each digit (26135) $26,435.13
Excis Tendon Sheath Lesion, Hand/Finger (26160) $15,974.50
Excise Inferior Turbinate (30130) $17,386.28
Excision bone cyst/bnign tumor superficial (27065) $58,104.51
Excision hand/finger tendon (26415) $30,928.85
Excision mal lesion trunk/arm/leg 0.5 cm/< (11600) $54,756.60
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) $55,520.49
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) $55,520.49
Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) $22,745.48
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) $55,520.49
Excision malignant lesion f/e/e/n/l 0.6-1.0 cm (11641) $12,853.76
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) $47,881.60
Excision malignant lesion s/n/h/f/g 0.6-1.0 cm (11621) $14,570.96
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) $47,881.60
Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) $47,881.60
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) $47,881.60
Excision Multiple External Papillae/Tags Anus (46230) $15,388.32
Excision of bartholin's gland or cyst (56740) $14,498.21
Excision of benign lesion other than skin tag 1.1-2.0 cm (11442) $14,705.09
Excision of Epiphyseal Bar (20150) $62,394.61
Excision of ganglion, wrist (dorsal or volar); recurrent (25112) $22,187.90
Excision of lesion of tendon sheath or capsule (eg, cyst or ganglion), leg and/or ankle (27630) $20,874.14
Excision of lesion other than skin tag 1.1-2.0 cm (11422) $13,980.83
Excision of lesion other than skin tag </= 0.5 cm (11420) $20,271.79
Excision of lesion, tendon, tendon sheath, or capsule (including synovectomy) (eg, cys (28090) $16,363.05
Excision of pilonidal cyst or sinus; simple (11770) $18,204.67
Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach (45160) $85,242.62
Excision of skin/subcutaneous tissue for hidradenitis, axillary; w/ simple or interm repair (11450) $23,616.52
Excision of sublingual salivary cyst (ranula) (42408) $13,188.43
Excision of tendon, finger, flexor or extensor, each tendon (26180) $30,928.85
Excision of Umbilicus (49250) $14,520.34
Excision of urachal cyst or sinus, with or without umbilical hernia repair (51500) $99,259.50
Excision of vaginal cyst or tumor (57135) $33,933.90
Excision of vaginal septum (57130) $15,358.34
Excision olecranon bursa (24105) $22,553.91
Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Other Surgical… (27357) $16,359.95
Excision or curettage of bone cyst or benign tumor of metacarpal; (26200) $11,497.12
Excision or curettage of bone cyst or benign tumor, tibia or fibula; (27635) $17,159.11
Excision pilonidal cyst/sinus complicated (11772) $16,635.22
Excision Prepatellar Bursa (27340) $33,413.11
Excision tumor soft tis back/flank subq 3 cm/> (21931) $18,307.53
Excision tumor soft tissue thigh/knee subq <3cm (27327) $56,254.69
Excision, tumor, soft tissue of abdominal wall, subfascial (eg, intramuscular); 5 cm or greater (22901) $26,184.90
Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater (28039) $14,305.68
Excision, tumor, soft tissue of leg or ankle area, subfascial (e g, intramuscular); 5 cm or greater (27634) $58,195.09
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) $14,807.31
Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater (27045) $75,298.25
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) $23,004.66
Excision/curettage cyst/tumor carpal bones (25130) $13,190.65
Expl penetrating wound spx abdomen/flank/back (20102) $74,949.68
Explo/Drain Breast Abscess (19020) $33,170.60
Exploration of hip joint (27033) $24,123.06
Exploration of knee joint (27310) $21,485.35
Exploration penetrating wound spx chest (20101) $7,174.99
Exploration penetrating wound spx extremity (20103) $2,682.96
Exploration Penetrating Wound Spx Neck (20100) $1,810.18
Explore & Treat Metacarpo-Phal Jt (26075) $47,575.63
Explore/treat ankle joint (27620) $87,818.52
Explore/treat ankle joint (27610) $9,649.51
Explore/treat elbow joint (24101) $33,443.01
Explore/treat hand joint (26070) $47,575.63
Explore/Treat Interphalangeal Jt,Ea (26080) $25,154.18
Fasciectomy, plantar fascia; radical (separate procedure) (28062) $45,371.31
Fasciotomy Hip Or Thigh Any Type (27025) $31,970.54
Fasciotomy Iliotibial Open (27305) $24,123.06
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) $19,625.06
Fetal Contraction Stress Test (59020) $767.76
Fetal non-stress test (59025) $767.76
Fine needle aspiration bx w/CT gdn 1st lesion (10009) $2,682.96
Fine needle aspiration bx w/us gdn 1st lesion (10005) $3,214.47
Fine needle aspiration without imaging guidance (10021) $25,855.98
Fixation of knee joint (27570) $11,394.11
Fixation of shoulder (23700) $6,819.07
Fluoro exam of g/colon tube (49465) $1,067.88
Fna bx w/fluor gdn 1st les (10007) $52,477.69
Fna bx w/mr gdn 1st les (10011) $52,477.69
Fracture nasal inferior turbinate(s), therapeutic (30930) $21,442.82
Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Other… (20969) $54,185.80
Fth/gft free w/direct closure n/e/e/l 20 sq cm/< (15260) $14,549.82
Fusion Finger Joint (26860) $22,438.63
Fusion of foot bones (28740) $49,179.34
Gastric Intubation/Aspiration, Therapeutic (43753) $1,169.01
Gastrorrhaphy, suture of perforated duodenal or gastric ulcer, wound, or injury (43840) $111,786.25
Guide Cathet Fluid Drainage (10030) $3,026.20
Harvest cultured skin graft (15040) $52,922.15
Hemiarthroplasty Hip Partial (27125) $88,796.50
Hemiepiphyseal Arrest (24470) $83,701.95
Hemorrhoidectomy (46255) $17,959.01
Hemorrhoidectomy external complete (46250) $16,919.64
Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy (46261) $18,944.95
Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) $17,471.37
Hip arthro acetabuloplasty (29915) $42,441.41
Hip arthro w/labral repair (29916) $29,611.42
Hysteroscopy ablation (58563) $20,879.23
Hysteroscopy biopsy (58558) $16,333.23
Hysteroscopy dx sep proc (58555) $21,548.06
Hysteroscopy Lysis Intrauterine Adhesions (58559) $20,879.28
Hysteroscopy Removal Impacted Foreign Body (58562) $12,691.76
Hysteroscopy, surgical; with removal of leiomyomata (58561) $24,394.63
I&D Abscess Peritonsillar (42700) $953.47
I&d abscess simple (10060) $15,210.40
I&d deep absc bursa/hematoma thigh/knee region (27301) $25,834.41
I&d epididymis tstis&/scrotal space (54700) $15,605.09
I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) $26,487.52
I&d perianal abscess superficial (46050) $3,450.69
I&d pilonidal cyst simple (10080) $17,646.71
I&D Rectal Abscess + Fistulectomy (46060) $27,863.12
I&D Upper Arm/Elbow Bursa (23931) $21,069.32
I&d upper arm/elbow deep abscess/hematoma (23930) $95,725.61
Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd - Enteroscopy (44380) $32,853.47
Ileoscopy Thru Stoma,Biopsy - Enteroscopy (44382) $18,944.94
Image Cath Fluid Colxn Visc (49405) $6,372.42
Image Cath Fluid Peri/Retro (49406) $6,372.42
Incise finger tendon sheath (26055) $14,266.92
Incision & drainage abscess complicated/multiple (10061) $19,044.63
Incision & drainage leg/ankle abscess/hematoma (27603) $19,834.23
Incision & drainage pilonidal cyst complicated (10081) $13,789.98
Incision & removal foreign body subq tiss compl (10121) $25,621.20
Incision & removal foreign body subq tiss simple (10120) $15,708.67
Incision and drainage of bartholin's gland abscess (56420) $767.76
Incision and drainage of vulva or perineal abscess (56405) $1,263.55
Incision bone cortex foot (28005) $18,064.51
Incision bone cortex hand/finger (26034) $13,413.24
Incision extensor tendon sheath wrist (25000) $13,367.06
Incision of achilles tendon (27605) $66,738.19
Incision of eardrum (69421) $16,966.99
Incision of eardrum (69420) $9,961.80
Incision of heel bone (28300) $61,968.29
Incision of lingual frenum (41010) $8,675.21
Incision of metatarsal (28308) $20,448.99
Incision of rectal abscess (46040) $13,733.16
Incision of tibia (27705) $77,083.04
Incision of tibia & fibula (27709) $77,083.04
Incision thrombosed hemorrhoid external (46083) $1,072.85
Incision&drainage bursa foot (28001) $6,372.42
Incisional biopsy skin single lesion (11106) $16,922.71
Initial tx 1st degree burn local tx (16000) $815.83
Inj tendon sheath/ligament (20550) $16,542.67
Inj,Anes Agent,Brachial Plexus,Single (64415) $63,709.20
Inj,Anes Agent,Femoral Nerve,Single (64447) $70,130.70
Inject Anes/Steroid Plantar Common Digital Nerve (64455) $1,173.42
Inject Nerv Blck,Pudendal (64430) $15,704.98
Inject scleros soln in hemorrhoids (46500) $22,220.30
Inject Tendon Origin/Insert (20551) $16,840.94
Injection for identification of sentinel node (38792) $50,240.60
Injection Rx Extremity Pseudoaneurysm (36002) $2,873.64
Injection single/mlt trigger point 1/2 muscles (20552) $1,043.13
Injection(s) spider veins (36468) $22,220.30
Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) $19,793.65
Injection, intralesional; up to and including 7 lesions (11900) $45,631.06
Ins cath ren art 1st bilat (36252) $12,235.77
Ins cath ren art 1st unilat (36251) $12,235.77
Ins endovas vena cava filtr (37191) $20,273.02
Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) $45,762.67
Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) $45,762.67
Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) $45,762.67
Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) $45,762.67
Ins Pm Pls Gen W/Exist Single Lead (33212) $34,297.96
Insert 1 electrode pm-defib (33216) $34,297.96
Insert and remove bone pin (20650) $12,151.20
Insert Bladder Cath Complex (51703) $840.72
Insert cannula,art-ven revisn (36815) $73,954.87
Insert Gastrostomy Tube Percutaneous (49440) $39,539.83
Insert non-tunnel cv cath (36556) $5,067.43
Insert pacing lead & connect (33224) $45,762.67
Insert pessary/other device (57160) $767.76
Insert picc cath (36569) $7,385.03
Insert Picc W/O Sub-Q Port <5 Y/O (36568) $29,544.43
Insert picvad cath (36570) $29,544.43
Insert pulse gen mult leads (33221) $81,892.95
Insert Temp Bladder Cath (51702) $43,426.59
Insert tun ip cath perc (49418) $13,651.87
Insert tunneled cv cath (36561) $22,292.29
Insert Tunneled Cv Cath With Pump (36563) $83,367.77
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) $83,367.77
Insert,Non-Indwelling Bladder Catheter (51701) $492.48
Insertion indwelling tunneled pleural catheter (32550) $13,651.87
Insertion Picc W/Rs&I 5 Yr/> (36573) $10,004.85
Insertion picc w/rs&i < 5 yr (36572) $29,758.99
Insertion subq cardiac rhythm monitor w/prgrmg (33285) $34,297.96
Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) $34,297.96
Insj prph ctr vad w/subq port age 5 yr/> (36571) $29,544.43
Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) $83,367.77
Insj tun vad req 2 cath 2 sits w/subq port (36566) $84,315.89
Insj tunneled ctr vad w/subq port under 5 yr (36560) $84,315.89
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) $20,317.17
Insj/rplcmt defib w/lead(s) (33249) $142,007.24
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) $34,297.96
Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) $5,065.77
Intro Gastrointestinal Tube (44500) $3,526.97
Intubation endotracheal emergency procedure (31500) $1,331.54
Irrigate corpora cavernosa for priapism (54220) $1,072.85
Knee arthroscopy/surgery (29883) $43,224.26
Knee arthroscopy/surgery (29876) $50,518.31
Knee arthroscopy/surgery (29851) $57,719.76
Lap impl electrode antrum (43647) $52,434.75
Lap ing hernia repair init (49650) $36,390.23
Laparo sling operation (51992) $60,133.36
Laparoscopy , surgical , with vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or… (58554) $39,692.70
Laparoscopy appendectomy (44970) $39,193.53
Laparoscopy biopsy (49321) $26,358.46
Laparoscopy gastrostomy (43653) $57,075.28
Laparoscopy Remove Adnexa (58661) $24,203.70
Laparoscopy salpingostomy (58673) $27,648.87
Laparoscopy surgical, with vaginal hysterectomy, for uterus 250 grams or less; with removal of tube(s) and/or ovary(s) (58552) $38,958.91
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) $37,942.63
Laparoscopy tubal block (58671) $20,874.55
Laparoscopy Tubal Cautery (58670) $22,357.87
Laparoscopy w/lysis of adhesions (58660) $29,687.45
Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without collection of spec (49320) $21,692.23
Laparoscopy, surgical, enterolysis (freeing of intestinal adhesion) (separate procedure) (44180) $43,426.59
Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) $52,636.19
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) $56,761.46
Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric band (gastric band and… (43770) $48,503.64
Laparoscopy, surgical, gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device… (43773) $48,503.64
Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) $43,486.29
Laparoscopy, surgical, myomectomy, excision; 1 to 4 intramural myomas with total weigh (58545) $22,959.04
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; with implantation of mesh (43282) $44,934.15
Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, when performed; without implantation of… (43281) $72,024.55
Laparoscopy, surgical, splenectomy (38120) $89,887.14
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) $37,264.72
Laparoscopy, surgical, with total hysterectomy, for uterus greater than 250 g; (58572) $36,886.33
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) $31,005.20
Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) $59,741.95
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) $33,033.10
Laps fulg/exc ovary viscera/peritoneal surface (58662) $22,573.22
Laps Gastric Restrictive Px Remove Device & Port (43774) $41,714.02
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) $42,449.20
Laps Surg W/Aspir Cavity/Cyst Single/Multiple (49322) $20,483.77
Laps total hysterect 250 gm/< w/rmvl tube/ovary (58571) $39,003.86
Laps vaginal hysterectomy uterus 250 gm/< (58550) $41,370.39
Laps W/Revision Intraperitoneal Catheter (49325) $76,799.80
Laryngoscopy Direct Aspiration (31515) $6,351.93
Laryngoscopy flexible ablatj destj lesion(s) uni (31572) $6,351.93
Laryngoscopy Flexible Diagnostic (31575) $6,351.93
Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) $6,351.93
Laryngoscopy Indirect Diagnostic Spx (31505) $6,351.93
Laryngoscopy w/biopsy (31535) $12,803.17
Laryngoscopy w/bx op scope (31536) $13,016.56
Laryngoscopy w/wo tracheoscopy w/micro/telescope (31526) $12,522.97
Laryngoscopy with biopsy (31576) $6,351.93
Larynscop w/tumr exc + scope (31541) $13,198.98
Late closure of wound (13160) $17,626.09
Lengthening or shortening of tendon, leg or ankle; multiple tendons (through same incision), each Other Surgical… (27686) $66,738.19
Ligamentous reconstruction (augmentation), knee; extra-articular (27427) $45,836.21
Ligamentous reconstruction (augmentation), knee; intra-articular (open) (27428) $50,523.14
Ligate leg veins radical (37760) $58,376.24
Ligate/strip long leg vein (37722) $32,745.05
Ligate/strip short leg vein (37718) $38,967.82
Ligation or biopsy temporal artery (37609) $16,983.07
Ligatn perforators,subfasc,open, incl u/s, 1 leg (37761) $58,376.24
Liver Biopsy (47000) $28,087.47
Lsh uterus 250 g or less (58541) $42,449.20
Lsh uterus above 250 g (58543) $42,449.20
Lsh w/t/o uterus above 250 g (58544) $42,449.20
Marsup Bartholin Gland Cyst (56440) $15,170.93
Mast mod rad (19307) $44,898.94
Mastectomy partial (19301) $16,199.92
Mastectomy simple complete (19303) $66,265.59
Metatarsectomy (28140) $29,156.35
Mohs 1 stage head neck hands feet or genitals up to 5 blocks (17311) $47,881.60
Mohs trunk/arm/leg 1st stage 5 blocks (17313) $57,962.69
Musculoskeletal surgery (20999) $1,043
Myelography Lumbar Injection (62305) $3,203.63
Myelography Lumbar Injection (62304) $6,188.93
Myelography Via Lumbar Injection Rs&I Cervical (62302) $3,203.63
Myelography via lumbar injection rs&i thoracic (62303) $3,203.63
Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) $18,506.60
Nasal/sinus endoscopy, surgical with frontal sinus exploration (31276) $21,314.52
Nasal/sinus endoscopy, surgical, w/ maxillary antrostomy; w/ removal of tissue from sinus (31267) $21,138.30
Nasal/sinus endoscopy, surgical, w/ sphenoidotomy; w/ removal tissue from the sphenoid sinus (31288) $20,256.67
Nasal/sinus endoscopy, surgical, with maxillary antrostomy (31256) $21,134.68
Nasal/sinus endoscopy, surgical, with sphenoidotomy (31287) $19,981.66
Nasal/sinus endoscopy, surgical; with concha bullosa resection (31240) $19,559.04
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial (anterior) (31254) $20,614.81
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total (anterior and posterior) (31255) $20,882.76
Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) $15,713.99
Nasal/Sinus Ndsc Surg W/Bx Polypc/Dbrdmt Spx (31237) $17,559.80
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) $21,270.51
Nasal/sinus ndsc total with sphenoidotomy (31257) $18,125.24
Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) $1,611.77
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) $1,431.01
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) $4,831.72
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) $4,241.65
Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) $2,774.16
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) $19,793.65
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) $19,793.65
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) $2,774.16
Njx dx/ther sbst intrlmnr lmbr/sac w/o img gdn (62326) $19,793.65
Njx noncmpnd sclerosant multiple incmptnt veins (36466) $22,220.30
Njx noncmpnd sclerosant single incmptnt vein (36465) $22,220.30
Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) $2,605.01
Njx Sclrsnt 1 Incmptnt Vein (36470) $22,220.30
Njx Sclrsnt Mlt Incmptnt Vn (36471) $15,880.07
Open biopsy/excision inguinofemoral nodes (38531) $15,448.28
Open Osteochondral Autograft Talus (28446) $42,142.44
Open rdl shaft fx closed rad/uln jt dislocate (25525) $62,429.94
Open rx distal radius fx, intra-articular, 2 frag (25608) $36,550.38
Open Treatment Bimalleolar Ankle Fracture (27814) $42,369.39
Open Treatment Humeral Condylar Fracture (24579) $83,701.95
Open Treatment Medial Malleolus Fracture (27766) $22,159.14
Open treatment metatarsal fracture each (28485) $27,582.75
Open treatment of calcaneal fracture, includes internal fixation, when performed; with primary iliac or other… (28420) $61,968.29
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) $31,835.03
Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed (27519) $88,154.94
Open treatment of femoral fracture, distal end, medial or lateral condyle, includes internal fixation, when performed (27514) $88,154.94
Open treatment of femoral fracture, proximal end, neck, internal fixation or prosthetic replacement (27236) $73,024.91
Open treatment of femoral shaft fracture with plate/screws, with or without cerclage (27507) $74,617.10
Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension, includes internal… (27511) $88,154.94
Open treatment of greater trochanteric fracture, includes internal fixation, when performed (27248) $41,181.26
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) $73,024.91
Open treatment of humeral shaft fracture with plate/screws, with or without cerclage (24515) $39,091.11
Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, includes internal fixation, when… (27540) $23,919.14
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair (27557) $109,125.29
Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) $109,125.29
Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) $109,125.29
Open treatment of patellar fracture, with internal fixation and/or patellectomy (27524) $34,232.97
Open treatment of proximal tibiofibular joint dislocation, includes internal fixation, when performed, or with excision… (27832) $71,032.62
Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Other Surgical Services (27178) $72,287.28
Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) (27177) $70,957.04
Open treatment of tibial fracture, proximal (plateau); bicondylar, with or without internal fixation (27536) $69,701.61
Open treatment of tibial fracture, proximal; unicondylar, includes internal fixation (27535) $69,701.61
Open treatment of tibial shaft fracture, with plate/screws, with or without cerclage (27758) $71,195.61
Open treatment of trimalleolar ankle fracture; with fixation of posterior lip (27823) $102,294.29
Open treatment of ulnar shaft fracture, includes internal fixation, when performed (25545) $28,936.61
Open treatment of ulnar styloid fracture (25652) $44,902.90
Open Treatment Radial Shaft Fracture (25515) $22,073.54
Open treatment talus fracture (28445) $61,968.29
Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) $42,323.27
Open tx carpal scaphoid navicular fracture (25628) $23,813.36
Open Tx Depressed Malar Fracture (21360) $42,362.43
Open Tx Distal Phalangeal Fracture Each (26765) $17,328.99
Open tx distal radial intra-articular fx or epiphyseal separation; w/ int fix 3+ fragments (25609) $42,810.96
Open Tx Femoral Fracture Proximal End He (27269) $72,287.28
Open Tx Humeral Epicondylar Fracture (24575) $49,986.51
Open Tx Metacarpal Fracture Single Ea Bone (26615) $30,592.95
Open tx of distal tibiofibular joint disruption, includes internal fixation, when performed (27829) $43,514.61
Open tx of tarsometatarsal joint dislocation, includes internal fixation, when performed (28615) $29,376.56
Open tx phalangeal shaft fracture prox/middle ea (26735) $21,727.72
Open tx proximal humeral fx, incl int fixation, includes repair of tuberosity (23615) $46,442.09
Open tx radial AND ulnar shaft fx, with internal fixation; of radius OR ulna (25574) $62,429.94
Open Tx Radial Head/Neck Fracture Prosthetic (24666) $59,343.29
Open tx tarsal fracture xcp talus & calcaneus ea (28465) $61,968.29
Open/Perq Place Stent Same (37238) $44,789.33
Open/Perq Placement Intravascular Stent Initial (37236) $43,702.43
Opponensplasty Tdn Tr W/Grf Ea Tdn (26492) $30,928.85
Optx fem shft fx w/insj imed implt w/wo screw (27506) $74,617.10
Optx hum fx w/ntrcndylr xtn (24546) $56,598.08
Optx hum fx wo ntrcndylr xtn (24545) $21,993.70
Optx post ankle fx (27769) $102,294.29
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) $15,805.60
Osteoplasty, femur; shortening (excluding 64876) (27465) $75,029.97
Osteotomy midtarsal,autograft (28305) $61,968.29
Osteotomy, femoral neck (separate procedure) Other Surgical Services (27161) $72,287.28
Osteotomy, femur, shaft or supracondylar; with fixation (27450) $76,106.37
Osteotomy, iliac, acetabular or innominate bone; (27146) $25,720.36
Osteotomy, tarsal bones, other than calcaneus or talus; (28304) $61,968.29
Osteotomy; multiple, with realignment on intramedullary rod (eg, sofield type procedure) (27712) $65,571.09
Ovarian cystectomy (58925) $23,243.29
Paravaginal defect repair vaginal approach (57285) $36,704.98
Part Remv Femur/Prox Tib/Fib (27360) $21,570.97
Partial Excision Bone Fibula (27641) $76,664.71
Partial excision bone metacarpal (26230) $15,962.93
Partial Excision Bone Olecranon Process (24147) $23,088.22
Partial excision bone talus/calcaneus (28120) $31,482.24
Partial Excision Distal Phalanx Finger (26236) $20,552.62
Partial excision of bone; tarsal or metatarsal bone, except talus or calcaneus (28122) $21,127.04
Partial excision of lip (40520) $13,269.94
Partial hymenectomy or revision of hymenal ring (56700) $12,550.34
Partial Removal Foot Fascia (28060) $45,371.31
Partical Excision Bone Phalanx Toe (28124) $13,795.09
Pelvic exam under anesthesia (57410) $13,989.91
Percut Drain/Inject Renal Cyst (50390) $2,682.96
Percut Mech Thrombectomy, Venous (37187) $21,670.87
Percutaneous skeletal fixation of femoral fracture, proximal end, neck (27235) $33,382.82
Percutaneous Skeletal Fixation Of Metacarpal Fracture, Each Bone (26608) $14,990.78
Pericardiocentesis W/Imaging (33016) $7,632.65
Perq dev breast 1st us imag (19285) $2,682.96
Perq device breast 1st imag (19281) $2,683.05
Perq Drainage Pleura Insert Cath W/Imaging (32557) $5,067.43
Perq Drainage Pleura Insert Cath W/O Imaging (32556) $33,300.10
Perq replacement gtube not req revj gstrst trc (43762) $3,574.89
Perq vert agmntj cavity crtj uni/bi cannulation (22513) $27,597.23
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) $27,597.23
Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) $12,151.20
Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) $12,151.20
Phleb Veins - Extrem 20+ (37766) $32,512.74
Place Cath Subclavian Art (36225) $9,740.22
Place gastrostomy tube (43831) $32,244.65
Placement of needle for intraosseous infusion (36680) $1,611.77
Placement of seton (46020) $28,918.15
Plmt Access Thru Biliary Tree Into Small Bwl New (47541) $13,651.87
Plmt nephrostomy cath prq new access rs&i (50432) $8,058.81
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) $10,537.80
Plmt urtrl stent prq pre-existing nfros tract (50693) $10,537.80
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) $14,122.78
PR Amputation Leg Through Tibia and Fibula Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE|BILATERAL PROCEDURE (27882) $101,012.67
PR Amputation Thigh Through Femur Any Level Open Circular (Guillotine)|ASSISTANT AT SURGERY SERVICE (27592) $93,972.80
PR Egd Partial/Compl Esophagogastric Fundoplasty (43210) $48,503.64
Pr tenotomy prq achilles tendon spx general anes (27606) $66,738.19
Pr unlisted px laparoscopic robotic closure of enterovesical fistula:w/intestine and/or bladder resection (44238) $43,890.45
Prim art mech thrombectomy (37184) $21,670.88
Proctosigmoidoscopy w/bx (45305) $55,299.65
Proctosigmoidoscopy,Rigid,Diagnos - Endoscopy Sigmoid (45300) $55,299.65
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femoral neck and… (27187) $69,001.41
Prophylactic treatment (nailing, pinning, plating or wiring) with or without methyl methacrylate, femur (27495) $65,468
Prosthesis removal humeral and glenoid component (23335) $50,986.37
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) $2,682.96
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) $13,651.87
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) $13,651.87
Prq skel fixj sprcndylr/transcndylr humeral fx (24538) $12,737.50
Prq Skeletal Fixj Femoral Fx Distal End (27509) $74,147.22
Punch biopsy skin single lesion (11104) $52,922.15
Puncture Aspiration (10160) $1,455.90
Puncture Aspiration Cyst Breast (19000) $3,952.09
Rad Resection Tumor Soft Tis Thigh/Knee 5 Cm/> (27364) $58,195.09
Rad resection tumor soft tissue foot/toe <3cm (28046) $53,655.28
Rad Resection Tumor Soft Tissue Leg/Ankle 5 Cm/> (27616) $58,195.09
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; 5 cm or greater (22905) $26,184.90
Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm (22904) $14,345.84
Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater (21936) $18,012.29
Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater (28047) $47,735.84
Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; 3 cm or greater (25078) $18,605.30
Radical resection of tumor (eg, sarcoma), soft tissue of shoulder area; 5 cm or greater (23078) $47,938.90
Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater (24079) $47,938.90
Radical Resection Tumor Metacarpal (26250) $15,962.93
Rcnstj Dislc Patella W/Patellectomy (27424) $75,330.15
Realignment of knee (27455) $71,195.61
Reconstr disloc patella w mscl adv (27422) $48,681.06
Reconstruct finger joint (26545) $30,928.85
Reconstruction lateral collateral ligament,elbow with tendon graft [includes harvesting of graft (24344) $32,213.83
Reconstruction medial collateral ligament,elbow with tendon graft [includes harvesting of graft (24346) $25,613.84
Reinforce shoulder bones (23491) $93,340.15
Reinforce tibia (27745) $77,083.04
Reinsertion of ruptured biceps or triceps tendon, distal, with or without tendon graft (24342) $23,903.66
Release elbow joint (24006) $33,443.01
Release hip flexion contracture (27036) $30,951.43
Release/Recession Hamstring Proximal (27097) $55,890.04
Relocation of skin pocket for pacemaker (33222) $7,174.99
Rem endovas vena cava filter (37193) $12,235.77
Removal biliary drg cath (47537) $3,520.55
Removal fb intranasal (30300) $492.48
Removal Foreign Body Deep Thigh/Knee (27372) $12,457.71
Removal Foreign Body Foot Complicated (28193) $6,372.42
Removal foreign body foot deep (28192) $13,044.53
Removal foreign body foot subcutaneous (28190) $28,769.55
Removal impacted cerumen irrigation/lvg unilat (69209) $242.19
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) $10,470.72
Removal Implant Deep (20680) $19,971.39
Removal Implantable Defib Pulse Generator Only (33241) $14,500.86
Removal of anal fissure (46200) $20,093.70
Removal of anorectal lesion (45108) $85,242.62
Removal of arm foreign body (24200) $95,725.61
Removal of bone lesion (23145) $48,467.16
Removal of frontal sinus (31085) $20,694.66
Removal of heel bone (28118) $49,487.22
Removal of heel spur (28119) $17,993.81
Removal of hip prosthesis (27090) $127,942.20
Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) $122,694.83
Removal of indwelling tunneled pleural catheter with cuff (32552) $3,293.17
Removal of intrauterine device (iud) (58301) $20,897.61
Removal of knee cartilage (27333) $71,150.33
Removal of knee cartilage (27332) $22,632.76
Removal of knee prosthesis, including total knee prosthesis, methylmethacrylate with or without insertion of spacer,… (27488) $142,208.39
Removal of kneecap (27350) $23,414.91
Removal of nail bed (11750) $13,172.27
Removal of palm tendon each (26170) $30,928.85
Removal Of Peritoneal-Venous Shunt (49429) $76,799.80
Removal of pressure sore (15999) $50,310.94
Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) $18,595.41
Removal of sperm cord lesion (55520) $22,616.78
Removal of testis (54520) $25,926.46
Removal of tonsils (42826) $13,060.85
Removal ppm generator only (33233) $34,297.96
Remove anal fist 2 stage (46285) $13,481.55
Remove cervix/repair vagina (57555) $36,704.98
Remove drug implant device (11982) $21,991.89
Remove femur lesion (27355) $20,406.36
Remove femur lesion/bursa (27062) $18,657.66
Remove hip pressure sore (15941) $58,104.51
Remove hip pressure sore (15945) $58,104.51
Remove humerus lesion (24110) $24,289.05
Remove in/ex hem groups 2+ (46260) $18,558.91
Remove in/ex hem grp w/fistu (46258) $17,525.78
Remove intrvas foreign body (37197) $12,235.77
Remove knee cyst (27347) $54,286.33
Remove knee joint lining (27335) $71,150.33
Remove Pilonidal Cyst Exten (11771) $17,578.74
Remove radius head implant (24164) $24,547.07
Remove renal tube w/fluoro (50389) $2,605.01
Remove shoulder foreign body (23330) $95,725.61
Remove thigh pressure sore (15956) $58,104.51
Remove thigh pressure sore (15958) $58,104.51
Remove thyroid duct lesion (60280) $22,260.16
Remove Ureter Stent, Percut (50384) $6,626.12
Remove wrist tendon lesion (25111) $15,068.24
Remove&replace pm gen singl (33227) $34,297.96
Remove/graft bone lesion (26205) $32,495.52
Remove/graft leg bone lesion (27637) $62,394.61
Remv Ext Canal F.B.,Gen Anesth (69205) $8,991.14
Remv Ext Canal Foreign Body (69200) $492.48
Remv F.B.,Eye,Superf Conjunc (65205) $837.38
Remv&replc cvd gen dual lead (33263) $101,892.36
Remv&replc cvd gen mult lead (33264) $142,007.24
Remv&replc pm gen dual lead (33228) $45,762.67
Remv&replc pm gen mult leads (33229) $81,892.95
Remv/revisn shldr/hip spica cast (29710) $117,447.46
Renal biopsy (50200) $6,626.12
Repair achilles tendon (27650) $39,582.24
Repair arm tendon/muscle (24341) $32,015.30
Repair collat ankle ligmnt,secondary (27698) $33,845.16
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) $2,236.90
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) $1,455.90
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) $17,802.34
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) $2,236.90
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) $26,923.66
Repair complex trunk 2.6-7.5 cm (13101) $21,024.22
Repair elbow deb/attch open (24359) $24,750.79
Repair elbow perc (24357) $90,574.29
Repair extensor tendon finger w/o graft each (26418) $32,783.36
Repair Extensor Tendon Hand W/Graft Each (26412) $30,928.85
Repair finger/hand tendon (26350) $19,126.81
Repair forearm tendon sheath (25275) $33,892.86
Repair forearm tendon/muscle (25270) $12,151.20
Repair forearm tendon/muscle (25260) $12,151.20
Repair forearm tendon/muscle (25265) $84,410.89
Repair hallux rigidus (28289) $16,226.70
Repair hand tendon (26410) $6,083.90
Repair incomplete circumcision (54163) $12,745.82
Repair initial femoral hernia, any age; incarcerated or strangulated (49553) $153,207.36
Repair initial femoral hernia, any age; reducible (49550) $153,207.36
Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) $1,455.90
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) $1,455.90
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) $1,455.90
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) $1,455.90
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) $1,455.90
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) $2,236.90
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) $13,737.08
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) $14,575.09
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) $2,236.90
Repair intermediate s/a/t/e 12.6-20.0cm (12035) $16,275.07
Repair intermediate s/a/t/e 2.5 cm/< (12031) $15,452.61
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) $15,188.93
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) $1,906.93
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) $16,453.41
Repair lower leg epiphyses (27734) $62,394.61
Repair lower leg tendons (27676) $26,770.52
Repair of ankle ligament (27695) $51,094.06
Repair of anterior abdominal hernia(s) (ie, epigastric, incisional, ventral, umbilical, spigelian), any approach (ie,… (49595) $28,660.47
Repair of arm tendon (24320) $84,410.89
Repair of biceps tendon (24340) $92,276.47
Repair of fibula nonunion and/or malunion with internal fixation (27726) $32,194.34
Repair Of Foot Tendon (28208) $12,151.20
Repair of leg epiphyses (27742) $62,394.61
Repair of leg tendon each (27658) $16,580.68
Repair of nail bed (11760) $2,236.90
Repair of nasal septum (30520) $21,077.67
Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) (25400) $28,773.21
Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) $69,701.61
Repair of nonunion or malunion, tibia; with iliac or other autogenous bone graft (includes obtaining graft) (27724) $69,701.61
Repair of nonunion or malunion, tibia; with sliding graft (27722) $69,701.61
Repair of ruptured musculotendinous cuff (eg, rotator cuff) open; chronic (23412) $48,533.81
Repair of shoulder (23420) $75,017.42
Repair of thigh musc (27385) $33,677.54
Repair of tibia (27720) $69,701.61
Repair of vagina (56800) $36,704.98
Repair radius & ulna (25415) $43,767.89
Repair rectum & vagina (57250) $40,343.65
Repair rotator cuff acute (23410) $48,819.11
Repair secondary achilles tendon w/wo graft (27654) $37,986.74
Repair shldr capsu,ant,coracoid xfer (23462) $42,126.55
Repair Spica/Body/Jacket Cast (29720) $61,433.81
Repair Tongue Laceration (41250) $492.48
Repair tympanic membrane (69610) $10,106.74
Repair umbilical lesion (49600) $99,259.50
Repair vagina/perineum (57210) $36,704.98
Repair webbed toe(s) (28345) $45,371.31
Repair wrist joints (25447) $25,642.09
Repair, dislocating peroneal tendons; without fibular osteotomy (27675) $46,272.91
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) $35,559.66
Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) $25,559.16
Repair/graft achilles tendon (27652) $36,747.95
Repair/graft hand tendon (26358) $30,928.85
Repair/graft hand tendon (26392) $30,928.85
Repair/graft hand tendon (26352) $30,928.85
Repair/graft hand tendon (26372) $30,928.85
Repair/graft radius & ulna (25420) $62,429.94
Replace elbow joint (24363) $104,632.66
Replace g/c tube perc (49450) $3,526.97
Replacement gastro-jejunostomy tube percutaneous (49452) $3,526.97
Reposition pacing-defib lead (33215) $12,235.77
Repr elbow lat ligmnt w/tiss (24343) $36,881.86
Rerepair fem hernia reduce (49555) $153,207.36
Rerepair ing hernia reduce (49520) $26,880.52
Resect arm/elbow tum < 5 cm (24077) $47,938.90
Resect Inferior Turbinate (30140) $19,803.40
Resect leg/ankle tum < 5 cm (27615) $58,195.09
Resect shoulder tumor < 5 cm (23077) $47,938.90
Resection of elbow joint (arthrectomy) (24155) $31,735.63
Resection or transplantation of long tendon of biceps (23440) $33,744.80
Revis reconst shoulder joint (23473) $76,183.96
Revis shoulder arthrplsty humeral&glenoid compnt (23474) $112,747.04
Revise abdomen-venous shunt (49426) $55,973.23
Revise finger joint each (26140) $26,435.13
Revise hand/finger tendon (26390) $30,928.85
Revise head/neck of femur (27179) $72,287.28
Revise leg vein (37700) $28,841.06
Revise median n/carpal tunnel surg (64721) $15,126.30
Revise reconst elbow joint (24370) $104,632.66
Revise reconst elbow joint (24371) $104,632.66
Revise ulnar nerve at elbow (64718) $22,674.87
Revision of colostomy; with repair of paracolostomy hernia (separate procedure) (44346) $86,206.12
Revision of humerus (24400) $83,701.95
Revision of humerus (24410) $94,123.80
Revision of lower leg tendon (27685) $32,960.02
Revision of total hip arthroplasty; both components, with or without autograft or allograft (27134) $85,203.77
Revision of total hip arthroplasty; femoral component only with or without autograft or allograft (27138) $101,848.50
Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component (27487) $159,591.05
Revision of total knee arthroplasty, with or without allograft; one component (27486) $39,846.86
Revision/Rmvl Peripheral/Gastric Npgr (64595) $15,968.69
Revj clst comp rcnstj in-depth spx (44345) $86,206.12
Revj/rmvl peripheral neurostimulator electrode (64585) $15,968.69
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) $1,567.04
Rmvl foreign body pelvis/hip subcutaneous tiss (27086) $58,104.51
Rmvl Synth Rod & Insj Xtnsr Tdn Grf H/F Ea Rod (26416) $30,928.85
Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) $14,500.86
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) $14,080.23
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) $13,633.75
Rplcmt cath ctr vad subq port/pmp (36578) $73,954.87
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) $73,954.87
Rplcmt compl prph ctr vad w/subq port (36585) $73,954.87
Rplcmt compl tun ctr vad w/subq pmp (36583) $73,954.87
Rplcmt compl tun ctr vad w/subq port (36582) $17,759.16
Rplcmt compl tun cvc w/o subq port/pmp (36581) $12,235.77
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) $31,475.96
Rpr aa hernia 1st 3-10 cm reducible (49593) $30,453.58
Rpr aa hernia 1st < 3 cm ncrc8/strangulated (49592) $27,501.66
Rpr aa hernia 1st < 3 cm reducible (49591) $33,035.07
Rpr Aa Hernia Recr 3-10 Cm Reducible (49615) $34,714.59
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) $29,073.69
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) $30,367.98
Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) $1,455.90
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) $803.65
Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) $803.65
Rpr non/malunion metarsal w/wo bone graft (28322) $29,211.78
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) $30,557.38
Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) $25,239.27
Rpsg previously placed cvc under fluor gdnce (36597) $5,067.43
Sclerotx Fluid Collection (49185) $2,853.74
Sgmdsc flx dired sbmcsl njx any sbst (45335) $6,011.95
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) $5,765.61
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) $47,881.60
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) $47,881.60
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) $47,881.60
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) $47,881.60
Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) $57,962.69
Shldr arthroscop,lyse adhesns (29825) $22,267.45
Shoulder prosthesis removal (23334) $50,986.37
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) $57,962.69
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) $57,962.69
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) $57,962.69
Sigmoidoscopy Flx Control Bleeding - Endoscopy Sigmoid (45334) $5,309.98
Sigmoidoscopy Flx Ndsc Us Xm (45341) $55,299.65
Sigmoidoscopy flx w/biopsy single/multiple (45331) $5,160.38
Sigmoidoscopy w/us guide bx (45342) $55,299.65
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) $1,455.90
Simple repair f/e/e/n/l/m 2.5cm/< (12011) $815.83
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) $815.83
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) $815.83
Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) $815.83
Simple repair f/e/e/n/l/m >30.0 cm (12018) $37,013.43
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) $47,048.41
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) $815.83
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) $815.83
Skin pinch graft (15050) $52,922.15
Skin sub graft face/nk/hf/g (15275) $16,679.15
Skin sub graft trnk/arm/leg (15271) $24,785.39
Skin Sub Grft T/Arm/Lg Child (15273) $20,993.16
Skin Tissue Procedure (17999) $24,767.72
Skn sub grft f/n/hf/g child (15277) $27,791.05
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) $28,400.32
Small bowel endoscopy (44376) $44,076.56
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) $815.83
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) $1,455.90
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) $1,455.90
Sphincterotomy (46080) $13,310.36
Spinal puncture lumbar diagnostic (62270) $2,774.16
Spinal Puncture Therapeutic (62272) $2,774.16
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) $28,581.33
Stop growth prox/dist tibia/fibula (27740) $62,394.61
Strapping ankle (29540) $623.47
Strapping elbow/wrist (29260) $514.03
Strapping hand/finger (29280) $514.03
Strapping Hip (29520) $74,762.89
Strapping knee (29530) $492.48
Strapping shoulder (29240) $514.03
Strapping thorax (29200) $635.09
Strapping toes (29550) $321.69
Strapping unna boot (29580) $571.99
Surgery to stop leg growth (27477) $62,394.61
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) $15,902.51
Suture of 1 nerve; median motor thenar (64835) $25,239.27
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft (27381) $57,987.06
Synovectomy carpometacarpal joint (26130) $26,435.13
Tangential biopsy skin single lesion (11102) $52,922.15
Tendon excision palm/finger (26145) $16,226.66
Tendon graft, from a distance (20924) $30,928.85
Tenodesis long tendon biceps (23430) $46,125.42
Tenolysis flexor tendon palm/finger each tendon (26440) $14,852.01
Tenolysis, flexor or extensor tendon, leg and/or ankle; single, each tendon (27680) $24,899.76
Tenotomy elbow lateral/medial debride open (24358) $33,443.01
Tenotomy hip flexor open separate procedure (27005) $25,111.08
Tenotomy Percutaneous Toe Single Tendon (28010) $6,083.90
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) $6,083.90
Thoracentesis Needle/Cath Pleura W/Imaging (32555) $4,301.57
Thoracentesis needle/cath pleura w/o imaging (32554) $2,873.64
Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) $5,065.77
Thrombolytic Art Therapy (37211) $20,273.02
Thrombolytic Therapy, Stroke (37195) $1,384.73
Thrombolytic Venous Therapy (37212) $12,235.77
Thyroid biopsy (60100) $2,682.96
Tonsillectomy and adenoidectomy; age 12 or over (42821) $13,183.92
Total hip arthroplasty (27130) $89,246.01
Total knee arthroplasty (27447) $76,960.31
Treat ankle dislocation (27848) $102,294.29
Treat clavicle dislocation (23532) $50,340.70
Treat clavicle dislocation (23552) $44,369.62
Treat dislocation/fracture (23670) $42,842.94
Treat dislocation/fracture (23680) $77,737.72
Treat ectopic pregnancy (59151) $30,083.14
Treat elbow dislocation (24615) $28,305.65
Treat elbow fracture (24586) $68,801.97
Treat elbow fracture (24635) $62,429.94
Treat elbow fracture (24587) $66,951.66
Treat Finger Fracture Each (26727) $15,312.15
Treat fracture of radius (25526) $62,429.94
Treat Fracture Radius & Ulna (25560) $1,043
Treat fracture radius/ulna (25575) $44,899.84
Treat fx distal radial (25606) $14,817.53
Treat fx rad extra-articul (25607) $47,553.17
Treat heel fracture (28415) $61,708.44
Treat humerus fracture (23630) $77,737.72
Treat humerus fracture (24500) $1,043
Treat humerus fracture (24577) $6,083.90
Treat humerus fracture (23600) $1,043
Treat kneecap dislocation (27566) $74,476.03
Treat knuckle dislocation (26715) $32,495.52
Treat lower leg fracture (27826) $73,144.30
Treat lower leg fracture (27828) $71,195.61
Treat Lower Leg Fracture (27827) $27,004.17
Treat Metatarsal Fracture (28475) $1,043
Treat midfoot fracture (28456) $126,214.98
Treat radius fracture (24665) $20,953.25
Treat scapula fracture (23585) $67,197.62
Treat slipped epiphysis (27181) $71,057.90
Treat thumb fracture (26665) $25,987.65
Treat Thumb Fx/Disloc,Manip (26645) $6,083.90
Treat ulnar fracture (24685) $40,930.75
Treat wrist bone fracture (25622) $1,043
Treat Wrist Bone Fracture (25630) $1,043
Treatment closed elbow dislocation req anes (24605) $6,083.90
Treatment closed elbow dislocation w/o anes (24600) $1,043
Treatment of ankle fracture (27822) $52,197.08
Treatment of ankle fracture (28436) $126,214.98
Treatment of ankle fracture (27792) $26,591.69
Treatment of fibula fracture (27784) $31,512.20
Treatment of foot infection (28003) $29,156.35
Treatment of heel fracture (28406) $126,214.98
Treatment of intertrochanteric or subtrochanteric femoral fracture; w intramedullary implant (27245) $73,024.91
Treatment of intertrochanteric, pertrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) $73,024.91
Treatment of missed abortion, completed surgically; second trimester (59821) $26,048.75
Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) $64,463.96
Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation, each (28450) $1,043
Treatment of thigh fracture (27513) $88,154.94
Treatment of tibia fracture (27759) $48,661.97
Treatment of tibia fracture (27756) $61,152.30
Trim skin lesion (11055) $5,182.01
Trim skin lesions 2 to 4 (11056) $996.99
Trim skin lesions over 4 (11057) $781.31
Trlml balo angiop open/perq w/img s&i 1st vein (37248) $21,672.51
Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) $17,529.75
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) $68,627.74
Tx Incomplete Abortion Any Trimester Surgical (59812) $15,256.77
Tx Missed Abortion First Trimester Surgical (59820) $15,141.02
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) $16,128.93
Tx Superficial Wound Dehiscence Simple Closure (12020) $2,236.90
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) $6,083.90
Unlisted Cardiac Surgery (33999) $76,064.10
Unlisted craniofacial & maxillofacial procedure (21299) $797.38
Unlisted fetal invasive procedure, including ultrasound guidance (59897) $15,778.68
Unlisted hysteroscopy procedure, uterus (58579) $12,504.86
Unlisted laparoscopic procedure liver (47379) $29,882.91
Unlisted laparoscopy procedure, bladder (51999) $24,775.19
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) $56,349.21
Unlisted laparoscopy procedure, stomach (43659) $51,881.54
Unlisted laparoscopy px abd pertoneum & omentum (49329) $44,099.83
Unlisted procedure anus (46999) $15,883.22
Unlisted Procedure Biliary Tract (47999) $114,771.83
Unlisted procedure femur or knee (27599) $7,521.54
Unlisted procedure foot or toes (28899) $58,376.63
Unlisted procedure humerus/elbow (24999) $39,812.05
Unlisted procedure leg/ankle (27899) $9,879.40
Unlisted procedure liver (47399) $15,778.68
Unlisted procedure maternity care & delivery (59899) $27,589.30
Unlisted Procedure Nervous System (64999) $941.40
Unlisted procedure pelvis/hip joint (27299) $25,905.36
Unlisted Procedure Rectum (45999) $21,686.28
Unlisted procedure shoulder (23929) $9,368.10
Unlisted Procedure Small Intestine (44799) $3,526.97
Unlisted Procedure Trachea Bronchi (31899) $81,307.22
Unlisted Procedure Vascular Surgery (37799) $19,460.73
Unlisted procedure, abdomen, musculoskeletal system (22999) $21,410.95
Unlisted procedure, abdomen, peritoneum and omentum (49999) $3,526.97
Unlisted procedure, hands or fingers (26989) $19,151.85
Unlisted px female genital system nonobstetrical (58999) $16,786.75
Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) $45,762.67
Upper Gastrointestinal Endoscopy Including Esophagus, Stomach, And Either The Duodenum And/Or Jejunum As Appropriate;… (43257) $48,503.64
Uppr gi opticl endomicrscopy (43252) $36,766.01
Vag Hyst > 250 Gm Rmvl Tube&/Ovary (58291) $42,284.92
Vag hyst complex (58290) $39,494.95
Vag hyst w/enterocele repair (58270) $42,284.92
Vaginal delivery only (59409) $10,937.42
Vaginal hysterectomy (58260) $47,982.98
Vaginal hysterectomy, for uterus greater than 250 grams; with removal of tube(s) and/or ovary(s), with repair of… (58292) $42,284.92
Vaginal hysterectomy, for uterus greater than 250 grams; with repair of enterocele (58294) $42,284.92
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) $36,994.88
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s), with repair of enterocele (58263) $42,284.92
Vasc Embolize/Occlude Bleed (37244) $44,789.33
Vbac delivery only (59612) $15,778.68
Venipuncture (36415) $23.22
Ventilating tube removal requiring general anesthesia (69424) $9,670.55
Vulvectomy simple partial (56620) $16,383.68
Wound Prep F/N/Hf/G (15004) $13,152.19
Wound prep trk/arm/leg 1st 100 sq cm (15002) $17,705.80
Xfer single deep low leg tendon (27691) $26,999.65