| Abd paracentesis w/imaging (49083) |
— |
$2,441 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,953 |
— |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) |
— |
$43,441 |
— |
| Ablation renal tumor unilateral perq cryotherapy (50593) |
— |
$41,645 |
— |
| Ablation ther 1+ pulm tumors perq cryoablation (32994) |
— |
$11,783 |
— |
| Ablatj bone tumor cryo perq w/img gdn when prfmd (20983) |
— |
$18,844 |
— |
| Abltj 1/+thyroid nodule 1 lobe/isthmus perq rf (60660) |
— |
$6,481 |
— |
| Abltj 1/> lvr tum prq rf (47382) |
— |
$10,502 |
— |
| Allogeneic lymphocyte infusions (38242) |
— |
$3,208 |
— |
| Anoscopy dx w/hra &chem agnts enhancement (46601) |
— |
$276 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$2,459 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$149 |
— |
| Application finger splint static (29130) |
— |
$516 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$632 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$516 |
— |
| Arterial puncture (36600) |
— |
$364 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$643 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,313 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$643 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$708 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$444 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,208 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,916 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,208 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$2,831 |
— |
| Biopsy Testis Needle Separate Procedure (54500) |
— |
$4,883 |
— |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
— |
$6,557 |
— |
| Blood patch (62273) |
— |
$1,247 |
— |
| Blood transfusion service (36430) |
— |
$1,639 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$3,208 |
— |
| Bone marrow aspiration only (38220) |
— |
$3,208 |
— |
| Bone Marrow Biopsy (38221) |
— |
$3,208 |
— |
| Brain Shunt Tube/Reserv Injectn (61070) |
— |
$1,428 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$3,208 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$4,334 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$3,208 |
— |
| Car-t admn autologous (38228) |
— |
$3,208 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$2,581 |
— |
| Change g-tube to g-j perc (49446) |
— |
$5,225 |
— |
| Chemical Cautery Tissue (17250) |
— |
$444 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$2,140 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,428 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$1,181 |
— |
| Chemodenerv Musc Neck Dyston (64616) |
— |
$1,181 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$2,493 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$1,181 |
— |
| Chest tube placement (32551) |
— |
$2,581 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$516 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$6,352 |
— |
| Close tear duct opening (68761) |
— |
$809 |
— |
| Close Tear Duct Opening (68760) |
— |
$809 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$423 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$705 |
— |
| Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix (57455) |
— |
$705 |
— |
| Complete replacement picc rs&i (36584) |
— |
$2,581 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$417 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$516 |
— |
| Conversion ext bil drg cath (47535) |
— |
$13,185 |
— |
| Convert nephrostomy catheter (50434) |
— |
$8,195 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$4,433 |
— |
| Create eardrum opening (69436) |
— |
$2,666 |
— |
| Debride nail 1-5 (11720) |
— |
$148 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$719 |
— |
| Declot vascular device (36593) |
— |
$781 |
— |
| Destruction benign lesions 15 or more (17111) |
— |
$771 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$2,625 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$643 |
— |
| Drainage of eyelid abscess (67700) |
— |
$1,192 |
— |
| Draw blood off venous device (36591) |
— |
$516 |
— |
| Dressing change under anesthesia (15852) |
— |
$1,685 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$1,454 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$755 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$444 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$4,768 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$6,352 |
— |
| Exchange nephrostomy cath (50435) |
— |
$3,687 |
— |
| Exchange transfusion, blood; other than newborn (36455) |
— |
$1,639 |
— |
| Exchng absc/cst drg cath rad gid spx (49423) |
— |
$5,226 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$2,814 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$719 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$561 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,384 |
— |
| Harvest stem cell concentrte (38215) |
— |
$3,825 |
— |
| Hem gen pltlt do 43 genes (0274U) |
— |
$2,555 |
— |
| Hem genetic bld do 60 genes (0272U) |
— |
$2,555 |
— |
| Hem inh thrombocytopenia gen seq alys 42 genes (0276U) |
— |
$9,795 |
— |
| Hem vw factor&clgn iii bndg (0279U) |
— |
$46 |
— |
| Hem Vwd Propeptide Ag Lvl (0281U) |
— |
$69 |
— |
| Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic… (0277U) |
— |
$2,396 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,960 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$2,916 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$2,916 |
— |
| Image Fluid Collxn Drainag Cath Transrec/Vaginal (49407) |
— |
$6,481 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$719 |
— |
| Incision of urethra (53020) |
— |
$7,681 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$755 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$3,561 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$2,707 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$2,707 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$2,707 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$2,707 |
— |
| Inject Nerv Blck,Pudendal (64430) |
— |
$2,707 |
— |
| Injection aa&/strd lumbar plexus cont nfs cath (64449) |
— |
$3,561 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$2,770 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$2,707 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$643 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$2,770 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$2,707 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$514 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$643 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$643 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$511 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$8,498 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$5,666 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$9,730 |
— |
| Insert Drug Implant Device (11981) |
— |
$276 |
— |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
— |
$5,225 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$3,448 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$4,605 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$3,148 |
— |
| Insert picc cath (36569) |
— |
$2,375 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$1,609 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$544 |
— |
| Insert tun ip cath perc (49418) |
— |
$6,988 |
— |
| Insert tunneled cv cath (36561) |
— |
$6,232 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$8,957 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$6,352 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,594 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$2,604 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$6,232 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$8,957 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,856 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$929 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$777 |
— |
| Laryngoscopy,Direct,Diagnostic (31525) |
— |
$3,475 |
— |
| Liver Biopsy (47000) |
— |
$3,255 |
— |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
— |
$1,872 |
— |
| Mech remov pericath obstr cv dev via ven access (36595) |
— |
$6,232 |
— |
| Musculoskeletal surgery (20999) |
— |
$960 |
— |
| Myelography Lumbar Injection (62305) |
— |
$1,430 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$3,161 |
— |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
— |
$777 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$718 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,752 |
— |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
— |
$8,931 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$2,707 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$2,670 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
— |
$2,362 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$35,374 |
— |
| Other procedure on head muscle or head bone (21499) |
— |
$930 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$41,928 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$6,033 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$2,581 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$3,748 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$304 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,384 |
— |
| Photopheresis, extracorporeal (36522) |
— |
$8,433 |
— |
| Place Cath Subclavian Art (36225) |
— |
$5,666 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$3,687 |
— |
| Plmt nephroureteral cath prq new access rs&i (50433) |
— |
$7,307 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$6,208 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$10,961 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$6,352 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,307 |
— |
| Puncture Aspiration (10160) |
— |
$719 |
— |
| Rbc depletion of harvest (38212) |
— |
$3,825 |
— |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
— |
$2,880 |
— |
| Rem endovas vena cava filter (37193) |
— |
$5,666 |
— |
| Removal biliary drg cath (47537) |
— |
$1,688 |
— |
| Removal fb intranasal (30300) |
— |
$516 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$238 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$238 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$1,287 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$423 |
— |
| Removal of nail bed (11750) |
— |
$818 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$3,294 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$9,112 |
— |
| Remove drug implant device (11982) |
— |
$866 |
— |
| Remove intrvas foreign body (37197) |
— |
$5,666 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,201 |
— |
| Remv Ext Canal F.B.,Gen Anesth (69205) |
— |
$5,910 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$276 |
— |
| Renal biopsy (50200) |
— |
$2,916 |
— |
| Replace duod/jej tube perc (49451) |
— |
$3,101 |
— |
| Replace g/c tube perc (49450) |
— |
$3,101 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$3,101 |
— |
| Reposition gastrostomy tube (43761) |
— |
$482 |
— |
| Reprgrmg Programmable Cerebrospinal Shunt (62252) |
— |
$689 |
— |
| Revision of eyelid (67880) |
— |
$4,199 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$276 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$2,828 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,287 |
— |
| Rmvl w/rinsj non-biodegradable drug dlvr implt (11983) |
— |
$996 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,796 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$6,020 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$5,666 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$2,458 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,861 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$2,581 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$4,499 |
— |
| Severing of tarsorrhaphy (67710) |
— |
$2,544 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$355 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$3,294 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,294 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$5,693 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$6,585 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,428 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$1,313 |
— |
| Strapping elbow/wrist (29260) |
— |
$238 |
— |
| Strapping hand/finger (29280) |
— |
$238 |
— |
| Strapping Hip (29520) |
— |
$516 |
— |
| Strapping knee (29530) |
— |
$516 |
— |
| Strapping shoulder (29240) |
— |
$516 |
— |
| Strapping unna boot (29580) |
— |
$632 |
— |
| T-cell depletion of harvest (38210) |
— |
$3,825 |
— |
| Temporary Closure Eyelids Suture (67875) |
— |
$1,743 |
— |
| Thaw preserved stem cells (38208) |
— |
$3,825 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$2,951 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$2,951 |
— |
| Ther Apheresis,White Blood Cells (36511) |
— |
$2,951 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$2,625 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$2,473 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$2,473 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$4,249 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$8,957 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$5,666 |
— |
| Thyroid biopsy (60100) |
— |
$1,266 |
— |
| Trach Tube Change (31502) |
— |
$929 |
— |
| Transcatheter biopsy (37200) |
— |
$9,730 |
— |
| Transplj Hematopoietic Boost (38243) |
— |
$6,557 |
— |
| Treat pleurodesis w/agent (32560) |
— |
$1,736 |
— |
| Trgt gen seq alys sld orgn neo cll-fr DNA 311+ (0239U) |
— |
$14,700 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$12,281 |
— |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
— |
$3,825 |
— |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
— |
$3,825 |
— |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
— |
$3,825 |
— |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
— |
$5,054 |
— |
| Trnsplj autologous hematopoietic cells per donor (38241) |
— |
$6,557 |
— |
| Unlisted procedure larynx (31599) |
— |
$929 |
— |
| Unlisted procedure leg/ankle (27899) |
— |
$960 |
— |
| Unlisted Procedure Lungs & Pleura (32999) |
— |
$2,473 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$1,181 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$960 |
— |
| Unlisted procedure shoulder (23929) |
— |
$1,009 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$22,073 |
— |
| Vasc embolize/occlude organ (37243) |
— |
$22,073 |
— |
| Venipuncture (36415) |
— |
$24 |
— |
| Vw factor type 2b eval plsm (0283U) |
— |
$74 |
— |
| Vw factor type 2n eval plsm (0284U) |
— |
$69 |
— |
| Wash harvest stem cells (38209) |
— |
$3,825 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,281 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$3,294 |
— |