| Abd paracentesis w/imaging (49083) |
— |
$1,204.50 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,168 |
— |
| Amniocentesis diagnostic (59000) |
— |
$247 |
— |
| Anoscopy diagnostic (46600) |
— |
$1,205 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$1,205 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$321.50 |
— |
| Application cast elbow finger short arm (29075) |
— |
$582 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$582 |
— |
| Application finger splint static (29130) |
— |
$338 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$326 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$147 |
— |
| Application of long leg cast (29345) |
— |
$185 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$728 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$243.50 |
— |
| Application short leg splint calf foot (29515) |
— |
$147 |
— |
| Apply short leg cast (29405) |
— |
$157 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$304.50 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$541 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$579 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$749 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$411 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$109 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$232 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$513 |
— |
| Bladder Irrigation Simple (51700) |
— |
$94 |
— |
| Bladder Scan (51798) |
— |
$91 |
— |
| Blood patch (62273) |
— |
$510 |
— |
| Blood transfusion service (36430) |
— |
$453 |
— |
| Bone Marrow Biopsy (38221) |
— |
$324 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$947 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$166 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$153.50 |
— |
| Chemical Cautery Tissue (17250) |
— |
$565 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$824 |
— |
| Chemodenerv Musc Neck Dyston (64616) |
— |
$824 |
— |
| Chest tube placement (32551) |
— |
$515 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$77 |
— |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
— |
$2,003 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$680 |
— |
| Closed Rx Med Malleolus Fx (27760) |
— |
$1,760 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$1,760 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$907 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$1,509 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$1,721 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$840 |
— |
| Closed Rx Tibia Shaft Fx (27750) |
— |
$1,617 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$1,382 |
— |
| Closed Rx Trimalleolar Fx (27816) |
— |
$1,598 |
— |
| Closed treatment of broken top of shin bone at knee (27538) |
— |
$1,484 |
— |
| Closed treatment of talus fracture; without manipulation (28430) |
— |
$648 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$1,860 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$1,445 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$1,283 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,192 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,709 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$1,709 |
— |
| Closed tx calcaneal fracture w/o manipulation (28400) |
— |
$876 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$1,451 |
— |
| Closed tx knee dislocation w/anesthesia (27552) |
— |
$1,608 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,760 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$757 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$1,435 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,131 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,394 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,090 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,946 |
— |
| Closed tx scapular fracture w/o manipulation (23570) |
— |
$1,089 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$249 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$1,721 |
— |
| Closed tx ulnar fracture prox end w/o manipulate (24670) |
— |
$1,813 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$1,721 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$1,100 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$1,100 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$847 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,078 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$1,448 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$1,132 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,582 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$1,273 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$730 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$576 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$1,113 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$938 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$1,760 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,760 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$1,451 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$1,386 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$637 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$593 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$593 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,858 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$1,760 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$840 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$1,451 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$460 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,008 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$582 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$1,245 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$1,046 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$1,451 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$1,104 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$903 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$1,451 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$985 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$1,501 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$1,445 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$2,516 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$897 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,107 |
— |
| Cltx sprcndylr/trnscndylr fem fx w/manj (27503) |
— |
$1,760 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$1,451 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,760 |
— |
| Complex Drainage, Wound (10180) |
— |
$5,248 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$567 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$396 |
— |
| Cryotherapy of skin (17340) |
— |
$38.50 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$411 |
— |
| Curette/treat cornea (65435) |
— |
$313 |
— |
| Cystourethroscopy (52000) |
— |
$2,334 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$524 |
— |
| Debride nail 1-5 (11720) |
— |
$109 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$408 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$620 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$482 |
— |
| Delivery placenta separate procedure (59414) |
— |
$308 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$2,720 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$2,060 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$2,060 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$3,824 |
— |
| Drain outer ear canal lesion (69020) |
— |
$282 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$624 |
— |
| Drainage abscess/hematoma nasal int approach (30000) |
— |
$228 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$146 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$431 |
— |
| Drainage of eyelid abscess (67700) |
— |
$293 |
— |
| Drainage of gum lesion (41800) |
— |
$158 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$835.50 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$587 |
— |
| Draw blood off venous device (36591) |
— |
$68 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$621 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$621 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$356 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$54 |
— |
| Dx gastr intub w/asp spec (43754) |
— |
$602 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$117 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$205 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$560 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$2,089 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$496 |
— |
| Fetal non-stress test (59025) |
— |
$273 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$179 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$575 |
— |
| I&d abscess simple (10060) |
— |
$428 |
— |
| I&d perianal abscess superficial (46050) |
— |
$205 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$401 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$1,912 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$434 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$402 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$323.50 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$483 |
— |
| Incision of rectal abscess (46040) |
— |
$822 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$213 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$674 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$408 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$1,050.50 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$153 |
— |
| Inject Anes/Steroid Plantar Common Digital Nerve (64455) |
— |
$902 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$1,236 |
— |
| Inject Nerv Blck,Ilioingu/Iliohyp (64425) |
— |
$1,148 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$1,751 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$1,148 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$2,627 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$222 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$721 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$1,132 |
— |
| Injection aa&/strd sciatic nerve w/img gdn (64445) |
— |
$1,148 |
— |
| Injection aa&/strd suprascapular nerve (64418) |
— |
$1,236 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$1,024 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$721 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$410 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$520.50 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$205 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$625 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$247 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$288.50 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$421 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$103 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$130 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$304 |
— |
| Liver Biopsy (47000) |
— |
$217 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$1,061 |
— |
| Nasal Endoscopy Diagnostic Uni/Bi Spx (31231) |
— |
$1,891 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$308 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$54 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$2,472 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$1,067 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$2,241 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62320) |
— |
$797 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$1,334 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$758 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$531 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$180 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$183.50 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$674 |
— |
| Puncture Aspiration (10160) |
— |
$463 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$3,824 |
— |
| Removal fb intranasal (30300) |
— |
$223 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$1,928 |
— |
| Removal foreign body foot deep (28192) |
— |
$1,678 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$1,252 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$468 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$940 |
— |
| Removal foreign body pharynx (42809) |
— |
$462 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$983 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$306 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$397 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
— |
$293 |
— |
| Removal of arm foreign body (24200) |
— |
$807 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$62 |
— |
| Removal of nail bed (11750) |
— |
$695 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$1,077 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$212 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$506 |
— |
| Remove foreign body from eye (65210) |
— |
$453 |
— |
| Remove shoulder foreign body (23330) |
— |
$616 |
— |
| Remove stent via transureth (50386) |
— |
$2,849 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$282 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$453 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$737 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$911 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$494 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$698 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$455 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$567 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$431 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$730 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$2,554 |
— |
| Repair hand tendon (26410) |
— |
$2,112 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$1,077 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$539 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$588 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$1,509 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$637 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$680 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,705 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,082 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$718 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$764 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$823 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$1,339 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$927 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$618 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$670 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,339 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$773 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,082 |
— |
| Repair of nail bed (11760) |
— |
$480 |
— |
| Repair Tongue Laceration (41250) |
— |
$297 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$407 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$268 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$379 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$313 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$417 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$1,766 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$592 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$1,339 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$297 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$627 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,015 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$541 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$567 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$1,339 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$428 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$721 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$1,339 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$113 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,339 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$411 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$5,930 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,501 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$1,872.50 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$616 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$927 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,139 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$597 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$166 |
— |
| Strapping ankle (29540) |
— |
$102 |
— |
| Strapping elbow/wrist (29260) |
— |
$179 |
— |
| Strapping hand/finger (29280) |
— |
$102 |
— |
| Strapping Hip (29520) |
— |
$107 |
— |
| Strapping knee (29530) |
— |
$114 |
— |
| Strapping shoulder (29240) |
— |
$179 |
— |
| Strapping thorax (29200) |
— |
$273 |
— |
| Strapping toes (29550) |
— |
$102 |
— |
| Strapping unna boot (29580) |
— |
$102 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$674 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$582 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$515 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$637 |
— |
| Treat finger dislocation (26775) |
— |
$588 |
— |
| Treat Fracture Radius & Ulna (25560) |
— |
$889 |
— |
| Treat humerus fracture (24500) |
— |
$1,571 |
— |
| Treat humerus fracture (23600) |
— |
$1,957 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$876 |
— |
| Treat Wrist Bone Fracture (25630) |
— |
$995 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$922 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$809 |
— |
| Trim skin lesion (11055) |
— |
$326.50 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$1,382 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$500 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$515 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$926 |
— |
| Vaginal delivery only (59409) |
— |
$2,670 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$1,298 |
— |
| Venipuncture (36415) |
— |
$19 |
— |
| Venipuncture Cutdown Younger Than 1 Year (36420) |
— |
$154 |
— |
| Venipuncture, cutdown; age 1 or over (36425) |
— |
$124 |
— |