| Abd paracentesis w/imaging (49083) |
— |
$1,705.20 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,746.30 |
— |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
— |
$14,775.23 |
— |
| Abrasion single lesion (15786) |
— |
$254.27 |
— |
| Amniocentesis diagnostic (59000) |
— |
$891.10 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$528.64 |
— |
| Application finger splint static (29130) |
— |
$277 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$485 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$612 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$904.46 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$554 |
— |
| Application short leg splint calf foot (29515) |
— |
$837 |
— |
| Arterial puncture (36600) |
— |
$353.83 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$654.52 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,627.57 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$884.89 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$831.18 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$667.47 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$899 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$575.70 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$255.47 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$1,972.40 |
— |
| Biliary Endoscopy Percut,Dil Strict (47555) |
— |
$1,972.40 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$2,011.37 |
— |
| Biopsy bone open superficial (20240) |
— |
$7,201.12 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$2,637.59 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,419.35 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,639.98 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$3,410.13 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$254.27 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$4,827.53 |
— |
| Bl push transfuse 2 yr/< (36440) |
— |
$1,013 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$801.19 |
— |
| Bladder Irrigation Simple (51700) |
— |
$512 |
— |
| Bladder Scan (51798) |
— |
$305 |
— |
| Blood patch (62273) |
— |
$861.29 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,213.43 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$2,650 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$2,214.06 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$2,966.08 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$3,027.72 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$3,087.63 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$6,269 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$3,389.47 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$6,311.17 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,737.32 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$743.63 |
— |
| Change Ureter Stent, Percut (50382) |
— |
$5,420.02 |
— |
| Chemical Cautery Tissue (17250) |
— |
$465.21 |
— |
| Chest tube placement (32551) |
— |
$1,760.70 |
— |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
— |
$307.04 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$3,297 |
— |
| Circumcision (54150) |
— |
$399.68 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$3,842 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$3,778 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$3,842 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$3,778 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$493 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$3,762 |
— |
| Closed treat wrist dislocation (25660) |
— |
$1,388 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$6,767 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$5,350 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$3,842 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,183 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$3,810 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$493 |
— |
| Closed tx knee dislocation w/anesthesia (27552) |
— |
$3,412 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,517 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$3,412 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$3,842 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$871 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$3,794 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$3,842 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$666 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,842 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$3,746 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$754 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$726 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$973 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,198 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$887 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$857 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$982 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$3,778 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$3,412 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$3,842 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$570 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$570 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$1,826 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,794 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$584 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$570 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$808 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$915 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$734 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$570 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$942 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$493 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,268 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$3,810 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$496 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$3,794 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$3,810 |
— |
| Complex Drainage, Wound (10180) |
— |
$5,833.82 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$615.28 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$503 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$450 |
— |
| Conversion ext bil drg cath (47535) |
— |
$7,833.20 |
— |
| Convert nephrostomy catheter (50434) |
— |
$1,886.63 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$1,499.55 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$693 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$495 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$507.34 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,624 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$3,177 |
— |
| Debride nail 1-5 (11720) |
— |
$254.27 |
— |
| Debride nail 6 or more (11721) |
— |
$254.27 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$846.24 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$859.37 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$2,197.87 |
— |
| Declot vascular device (36593) |
— |
$678.86 |
— |
| Delivery placenta separate procedure (59414) |
— |
$940.76 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$2,211 |
— |
| Dilate urethra stricture (53620) |
— |
$1,488 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$3,717 |
— |
| Drain outer ear canal lesion (69020) |
— |
$1,544 |
— |
| Drainage abscess/hematoma nasal int approach (30000) |
— |
$5,425 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$1,087 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,229 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$3,567 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$842 |
— |
| Drainage mouth roof lesion (42000) |
— |
$495 |
— |
| Drainage of deep periurethral abscess (53040) |
— |
$1,391.29 |
— |
| Drainage of eyelid abscess (67700) |
— |
$4,634 |
— |
| Drainage of gum lesion (41800) |
— |
$448 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$3,682.11 |
— |
| Drainage of pelvic abscess (45000) |
— |
$1,671.94 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$3,567 |
— |
| Draw blood off venous device (36591) |
— |
$652 |
— |
| Drg absc cst hmtma vestibule mouth comp (40801) |
— |
$1,087 |
— |
| Drg privesical/prevesical space absc (51080) |
— |
$618.88 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$462.97 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$462.97 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$462.97 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$821.58 |
— |
| Egd flexible foreign body removal (43247) |
— |
$4,293 |
— |
| Egd place gastrostomy tube (43246) |
— |
$632.86 |
— |
| Endovenous rf 1st vein (36475) |
— |
$6,921.06 |
— |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
— |
$4,682.40 |
— |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
— |
$7,100.37 |
— |
| Esphgsc rgd/flx w/balo dilat < 30 mm diam (43220) |
— |
$821.58 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$1,206 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$6,144 |
— |
| Exc Skin Benig 1.1-2 Cm Trunk,Arm,Leg (11402) |
— |
$6,632 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$5,398 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$3,863 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$7,833.20 |
— |
| Exchange nephrostomy cath (50435) |
— |
$2,358.50 |
— |
| Exchng absc/cst drg cath rad gid spx (49423) |
— |
$4,915 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$6,089 |
— |
| Excision of nail fold toe (11765) |
— |
$888 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$4,105 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$3,887 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$6,105 |
— |
| External Cephalic Version (59412) |
— |
$936.09 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$556.87 |
— |
| Fetal non-stress test (59025) |
— |
$564.46 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,706.23 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$1,626.36 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$968.51 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$527.06 |
— |
| Fna bx w/fluor gdn 1st les (10007) |
— |
$1,751.11 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$667 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$3,118.40 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$1,398 |
— |
| I&d abscess simple (10060) |
— |
$370.11 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$1,581.99 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$1,221.90 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$4,412 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,977 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$2,486 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$3,567 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,337.30 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$4,495 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$449.77 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$7,608 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$3,567 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,963 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,083 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,709 |
— |
| Incision of rectal abscess (46040) |
— |
$5,096 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$1,569 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$999.09 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$430 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$1,025 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$1,681 |
— |
| Injection Rx Extremity Pseudoaneurysm (36002) |
— |
$682.85 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,212 |
— |
| Injection(s) spider veins (36468) |
— |
$215.89 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$1,772 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$8,572.35 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$7,987.92 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$11,262.24 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$10,508 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$10,855.50 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$34,665.85 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$34,665.85 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$32,000 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$32,496.16 |
— |
| Ins Pm Pls Gen W/Exist Single Lead (33212) |
— |
$27,220.05 |
— |
| Ins vag brachytx device (57156) |
— |
$875.32 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$15,863.07 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$1,132 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$516.85 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$2,306.41 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,038 |
— |
| Insert pacing lead & connect (33224) |
— |
$42,836.05 |
— |
| Insert picc cath (36569) |
— |
$2,176.92 |
— |
| Insert pulse gen mult leads (33221) |
— |
$32,496.16 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$220.68 |
— |
| Insert tun ip cath perc (49418) |
— |
$3,297 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$8,998.22 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,373.70 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$17,500 |
— |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$14,263.10 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$15,863.07 |
— |
| Insj Implntbl Defib Pulse Gen W/1 Existing Ld (33240) |
— |
$79,021.52 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$1,561.59 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$3,038 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$96,350 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$15,475.67 |
— |
| Insrt pulse gen w/dual leads (33230) |
— |
$79,021.52 |
— |
| Insrt pulse gen w/mult leads (33231) |
— |
$79,021.52 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$2,461.14 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$35,076.03 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$14,750 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$701.72 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$1,569 |
— |
| Kidney endoscopy (50553) |
— |
$3,475.82 |
— |
| Kidney endoscopy (50551) |
— |
$12,341.58 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$1,026.72 |
— |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
— |
$6,181 |
— |
| Liver Biopsy (47000) |
— |
$2,006.99 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$658.46 |
— |
| Mech remov pericath obstr cv dev via ven access (36595) |
— |
$789.20 |
— |
| Myelography Lumbar Injection (62305) |
— |
$3,822 |
— |
| Myelography Lumbar Injection (62304) |
— |
$2,201.32 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$2,170 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$2,210.46 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$462.79 |
— |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
— |
$581 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$3,297 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$7,833.20 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62327) |
— |
$1,743.70 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$2,358.32 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
— |
$1,886.63 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$215.89 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$215.89 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,509.44 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$7,080 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$32,813.99 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$32,813.99 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$3,378.57 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$301.04 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$2,659.50 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$6,578.64 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$5,532.77 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$5,445.91 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$1,761.16 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,581.82 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,499.55 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$1,483.64 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$553 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$53,166.37 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$29,650 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$17,355.10 |
— |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
— |
$2,629.05 |
— |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
— |
$2,744.19 |
— |
| Place Cath Subclavian Art (36225) |
— |
$9,984.90 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$9,260.69 |
— |
| Place Cath Vertebral Art (36226) |
— |
$16,326.64 |
— |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
— |
$2,251.99 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$1,122 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$7,833.20 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$14,818.42 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$14,818.42 |
— |
| Plmt bile duct stent prq new access w/sep cath (47540) |
— |
$14,818.42 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$5,420.02 |
— |
| Plmt nephroureteral cath prq new access rs&i (50433) |
— |
$5,420.02 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$12,107.84 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$8,071.87 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$9,080.94 |
— |
| Prim art mech thrombectomy (37184) |
— |
$16,708 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$1,753.49 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$7,833.20 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$7,833.20 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$557.51 |
— |
| Puncture Aspiration (10160) |
— |
$513.44 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$688.05 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$4,682.40 |
— |
| Rem endovas vena cava filter (37193) |
— |
$7,641.29 |
— |
| Removal biliary drg cath (47537) |
— |
$1,736.70 |
— |
| Removal fb intranasal (30300) |
— |
$577 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$2,659 |
— |
| Removal foreign body pharynx (42809) |
— |
$1,958 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$310 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$577 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
— |
$3,002 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$7,091.97 |
— |
| Removal of arm foreign body (24200) |
— |
$3,567 |
— |
| Removal of foreign body in scrotum (55120) |
— |
$4,412 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$1,737.91 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$2,525 |
— |
| Removal of nail bed (11750) |
— |
$1,406.87 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$2,648 |
— |
| Removal of vein clot (34490) |
— |
$10,742.90 |
— |
| Removal ppm generator only (33233) |
— |
$8,162.77 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$2,459.94 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$5,944.15 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$571 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$6,280 |
— |
| Remove intrvas foreign body (37197) |
— |
$11,324.59 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,763.88 |
— |
| Remove Ureter Stent, Percut (50384) |
— |
$2,518.71 |
— |
| Remove&replace pm gen singl (33227) |
— |
$27,220.05 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$363 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$725 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$65,950 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$67,800 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$79,021.52 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$25,500 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$32,496.16 |
— |
| Renal biopsy (50200) |
— |
$4,869 |
— |
| Repair blood vessel lesion (35190) |
— |
$7,757.63 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,382 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,673 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,388 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$2,367 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,382 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$2,589 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$2,869 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$3,060 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$2,878 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,432 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,532 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$888 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,648 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,530 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$888 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,382 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,141 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,628 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,826 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$4,105 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$2,841 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,366 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,533 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$2,759 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,683 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$8,372 |
— |
| Repair of nail bed (11760) |
— |
$2,399 |
— |
| Repair Tongue Laceration (41250) |
— |
$898 |
— |
| Replace duod/jej tube perc (49451) |
— |
$1,102.24 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$1,157.35 |
— |
| Reposition pacing-defib lead (33215) |
— |
$7,091.97 |
— |
| Revise abdomen-venous shunt (49426) |
— |
$1,845.27 |
— |
| Revision of tips (37183) |
— |
$1,248.56 |
— |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
— |
$4,345.36 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$898 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$847 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$4,856 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$7,091.97 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$7,091.97 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$1,300.14 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$766.79 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$1,592.79 |
— |
| Rplcmt compl prph ctr vad w/subq port (36585) |
— |
$1,561.59 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$2,948.09 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$3,038 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$1,382 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$621 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$5,274 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,883 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$626.09 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
— |
$7,091.97 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$765.21 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$3,389.47 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$595 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$3,005 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$1,015 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$532.52 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$888 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,365 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$1,715 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$430 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$702 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$3,383 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,323 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$1,002.69 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$1,002.69 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$3,463.83 |
— |
| Skin tissue rearrangement (14040) |
— |
$4,842 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$1,526.81 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$10,338.70 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$7,793 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$8,980.40 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$1,080 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,678 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,744 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,132.42 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$1,913.02 |
— |
| Strapping toes (29550) |
— |
$137 |
— |
| Strapping unna boot (29580) |
— |
$289.99 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$561.32 |
— |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
— |
$38,500 |
— |
| Tcat removal perm leadless pm right ventr w/img (33275) |
— |
$7,768.02 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$5,157.36 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$2,247.05 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$1,447.74 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,746.30 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$6,311.17 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$2,828.15 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$675 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$2,828.15 |
— |
| Thyroid biopsy (60100) |
— |
$661.51 |
— |
| Trach Tube Change (31502) |
— |
$2,261 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$3,302 |
— |
| Transcatheter biopsy (37200) |
— |
$942.71 |
— |
| Treat finger dislocation (26775) |
— |
$2,356 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$793 |
— |
| Treat humerus fracture (24577) |
— |
$3,794 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$3,842 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,056 |
— |
| Trim skin lesion (11055) |
— |
$242.27 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$176.31 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$17,355.10 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$17,355.10 |
— |
| Trurl drainage prostatic abscess (52700) |
— |
$2,860.55 |
— |
| Unlisted procedure maternity care & delivery (59899) |
— |
$564.41 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$1,492.96 |
— |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
— |
$34,231.43 |
— |
| Urology Surgery Procedure (53899) |
— |
$275.85 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$26,514.81 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$31,690 |
— |
| Vasc embolize/occlude organ (37243) |
— |
$26,514.81 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$26,514.81 |
— |
| Venipuncture (36415) |
— |
$17.83 |
— |