| Abd paracentesis w/imaging (49083) |
— |
$2,665.96 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$679.84 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$9,657.22 |
— |
| Amniocentesis therapeutic (59001) |
— |
$372.78 |
— |
| Amputation Finger/Thumb (26951) |
— |
$2,320.99 |
— |
| Amputation of finger/thumb (26952) |
— |
$4,343.59 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$6,096.96 |
— |
| Analyze infusn pump+reprogram (62368) |
— |
$585.36 |
— |
| Anoscopy diagnostic (46600) |
— |
$248.43 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$595.90 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$510.39 |
— |
| Application cast elbow finger short arm (29075) |
— |
$472.75 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$485.80 |
— |
| Application finger splint static (29130) |
— |
$374.76 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$472.75 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$368.75 |
— |
| Application of long leg cast (29345) |
— |
$471.96 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$996.89 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$472.75 |
— |
| Application short leg splint calf foot (29515) |
— |
$529.91 |
— |
| Apply short leg cast (29405) |
— |
$472.75 |
— |
| Arterial puncture (36600) |
— |
$113.13 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,046.25 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,016.54 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,437.81 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,687.35 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$917.45 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$361.18 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$5,268.25 |
— |
| Aspiration bladder needle (51100) |
— |
$720.14 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$630.98 |
— |
| Biliary Endoscopy Percut,Dil Strict (47555) |
— |
$3,398.59 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$4,118.15 |
— |
| Biopsy bone open superficial (20240) |
— |
$2,002.55 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,473.14 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$1,936.83 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,846.71 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$1,729.23 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$1,729.23 |
— |
| Biopsy Salivary Gland,Needle (42400) |
— |
$1,943.74 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$1,438.15 |
— |
| Biopsy, Soft Tissue Of Pelvis And Hip Area; Superficial (27040) |
— |
$1,931.84 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$6,752.45 |
— |
| Bladder Irrigation Simple (51700) |
— |
$397.43 |
— |
| Bladder Scan (51798) |
— |
$233.30 |
— |
| Blood patch (62273) |
— |
$2,303.50 |
— |
| Blood transfusion service (36430) |
— |
$2,691.24 |
— |
| Bone marrow aspiration only (38220) |
— |
$1,400.72 |
— |
| Bone Marrow Biopsy (38221) |
— |
$1,459.32 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$2,202.81 |
— |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
— |
$6,803.54 |
— |
| Brnchsc removal bronchial valve initial (31648) |
— |
$6,713.68 |
— |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
— |
$4,509.75 |
— |
| Bronch ebus samplng 1/2 node (31652) |
— |
$6,272.61 |
— |
| Bronch ebus samplng 3/> node (31653) |
— |
$6,125.76 |
— |
| Bronchial Valve Init Insert (31647) |
— |
$24,364.39 |
— |
| Bronchosc dx w/w/o fluor&wash (31622) |
— |
$3,796.64 |
— |
| Bronchoscopy Balloon Occlusion (31634) |
— |
$8,353.21 |
— |
| Bronchoscopy needle bx trachea main stem&/bron (31629) |
— |
$3,288.40 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$2,202.81 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$2,689.58 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree 1st (31645) |
— |
$3,731 |
— |
| Bronchoscopy w/ther aspir trachbrncl tree sbsq (31646) |
— |
$1,688 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$2,202.81 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$2,202.81 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$2,665.96 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$3,392.47 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,752 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$3,007.62 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$519.64 |
— |
| Catheter Aspiration Nasotracheal Spx (31720) |
— |
$219.37 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$11,932.41 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$4,597.30 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$763.02 |
— |
| Change g-tube to g-j perc (49446) |
— |
$6,546.84 |
— |
| Change Ureter Stent, Percut (50382) |
— |
$6,742.06 |
— |
| Chemical Cautery Tissue (17250) |
— |
$816.43 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,084.97 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$1,233.37 |
— |
| Chest tube placement (32551) |
— |
$1,604.10 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$321.44 |
— |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
— |
$6,005.52 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$5,250.28 |
— |
| Chorionic villus sampling (59015) |
— |
$874.43 |
— |
| Circumcision (54150) |
— |
$559.69 |
— |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
— |
$1,873.74 |
— |
| Cisternal/lateral c1-c2 puncture w/o inj spx (61050) |
— |
$1,472.95 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$2,291.03 |
— |
| Closed Rx Acetabular Fx,Manipulatn (27222) |
— |
$1,618.73 |
— |
| Closed Rx Gr Tuberosity Hum Fx (23620) |
— |
$1,623.04 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$3,353.67 |
— |
| Closed Rx Humeral Supracondylar Fx (24530) |
— |
$2,168.39 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$4,983.85 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$1,724.27 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$2,539.65 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$2,721.61 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$5,462.57 |
— |
| Closed treat wrist dislocation (25660) |
— |
$2,782.35 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$1,479.42 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$2,296.98 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$2,432.17 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$731.19 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$2,440.08 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$2,901.85 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$4,888.28 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$1,942.99 |
— |
| Closed tx femoral fracture prox head w manip (27268) |
— |
$3,349.67 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$3,160.52 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$4,186.31 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$3,919.56 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$4,426.36 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$3,171.54 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$2,075.72 |
— |
| Closed tx patellar fracture w/o manipulation (27520) |
— |
$764.14 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,715.30 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$657.97 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$3,179.86 |
— |
| Closed tx septal&nose fx (21337) |
— |
$5,051.34 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$522.90 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$2,092.29 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$709.08 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$777.23 |
— |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
— |
$472.51 |
— |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
— |
$1,567.82 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$1,934.94 |
— |
| Clsd tx clavicular fracture w/manipulation (23505) |
— |
$2,246.82 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$1,374.60 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$2,622.26 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,796.95 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$1,743.21 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$425.97 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$2,188.89 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$1,954.27 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$1,220.70 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$2,710.56 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$1,813.50 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$954.94 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$3,740.68 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$4,138 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$5,755.16 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$923.23 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$475.25 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$982.66 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,835.51 |
— |
| Cltx grter humeral tuberosity fx w/manipulation (23625) |
— |
$2,967.53 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$3,251.79 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$709.08 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$11,822.31 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,595.45 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,940.47 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$1,926.64 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$803.23 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$2,042.59 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$1,120.68 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$3,972.66 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$2,718.36 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$2,696.77 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$3,432.87 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$926.31 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
— |
$1,151.81 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$984.98 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$845.39 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$3,505.53 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$2,994.89 |
— |
| Colonoscopy w/ablation (45388) |
— |
$1,939.14 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$2,160.31 |
— |
| Complete replacement picc rs&i (36584) |
— |
$4,506.21 |
— |
| Complex Drainage, Wound (10180) |
— |
$5,115.39 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$970.46 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$793.83 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$595.63 |
— |
| Control Oropharyngeal Hemorrhage Simple (42960) |
— |
$3,648.46 |
— |
| Conversion ext bil drg cath (47535) |
— |
$5,163.55 |
— |
| Convert nephrostomy catheter (50434) |
— |
$9,818.69 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$5,167.32 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$781.14 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$1,026.83 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$5,991.67 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$2,139.89 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$2,520.71 |
— |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
— |
$5,938.88 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$472.75 |
— |
| Debride nail 1-5 (11720) |
— |
$333.75 |
— |
| Debride nail 6 or more (11721) |
— |
$530.51 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,326.82 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$1,326.82 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$3,988.67 |
— |
| Declot vascular device (36593) |
— |
$883.18 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$6,029.22 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$3,201 |
— |
| Drain Ext Ear Absc/Blood,Complic (69005) |
— |
$1,426.43 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$861.19 |
— |
| Drain outer ear canal lesion (69020) |
— |
$629.35 |
— |
| Drain spinal cord cyst (62268) |
— |
$1,729.23 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$1,289.27 |
— |
| Drainage abscess/hematoma nasal int approach (30000) |
— |
$2,179.16 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$967.29 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$905.77 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$1,507.28 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$921.93 |
— |
| Drainage mouth roof lesion (42000) |
— |
$709.08 |
— |
| Drainage of abscess; submaxillary or sublingual, intraoral (42310) |
— |
$883.32 |
— |
| Drainage of eyelid abscess (67700) |
— |
$745.29 |
— |
| Drainage of gum lesion (41800) |
— |
$778.38 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$4,783.98 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$1,178.62 |
— |
| Draw blood off venous device (36591) |
— |
$151.04 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$820.73 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$727.62 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$872.20 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$4,563.04 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$4,778.40 |
— |
| Egd flexible foreign body removal (43247) |
— |
$3,052.73 |
— |
| Electronic analysis reprogramming refill of spinal canal drug infusion (62369) |
— |
$798.63 |
— |
| Endoscopy Upper Small Intestine - Enteroscopy (44360) |
— |
$2,007.36 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$12,504.14 |
— |
| Endovenous rf 1st vein (36475) |
— |
$15,516.19 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$2,930.11 |
— |
| Ep Relocate Skin Pocket Implantable Defibrillator (33223) |
— |
$6,356.69 |
— |
| Ep Rmvl1/Dual Chmbr Impltbl Dfb Eltrd Transvns Xtrj (33244) |
— |
$8,203.28 |
— |
| Epi Autogrft Face/Nck/Hnd/Ft/Gen <100 Sqcm (15115) |
— |
$5,242.71 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$5,242.71 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$590.89 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$4,125.91 |
— |
| Exc tr-ext b9+marg 0.5 cm or less (11400) |
— |
$906.59 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$7,650.21 |
— |
| Exchange nephrostomy cath (50435) |
— |
$6,759.38 |
— |
| Exchng absc/cst drg cath rad gid spx (49423) |
— |
$3,241.05 |
— |
| Excision of nail fold toe (11765) |
— |
$472.75 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$1,747.24 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$1,449.15 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$2,564.28 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$4,361.21 |
— |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
— |
$3,998.75 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$519.91 |
— |
| Fetal Scalp Blood Sampling (59030) |
— |
$6,386.70 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$2,284.92 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$2,076.87 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$1,557.37 |
— |
| Fna bx w/fluor gdn 1st les (10007) |
— |
$775.51 |
— |
| Fth/Gft Fr W/Dir Clsr F/C/C/M/N/Ax/G/H/F 20 Cm/< (15240) |
— |
$2,708.16 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$475.83 |
— |
| Glycine receptor alpha1 igg serum/csf lcba qual (0431U) |
— |
$1,225 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,673.81 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$946.77 |
— |
| I&d abscess simple (10060) |
— |
$629.35 |
— |
| I&d epididymis tstis&/scrotal space (54700) |
— |
$1,592.67 |
— |
| I&d perianal abscess superficial (46050) |
— |
$615.53 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$665.25 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$1,311.99 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,334.76 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$4,127.31 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,109.92 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$1,159.34 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$8,339.84 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$640.41 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$785.62 |
— |
| Incision and drainage of vaginal blood accumulation following delivery (57022) |
— |
$1,853.66 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$856.48 |
— |
| Incision of rectal abscess (46040) |
— |
$5,319.10 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$690.07 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$3,849.52 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$491.37 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$397.09 |
— |
| Inject Sinus Tract Theraputic (20500) |
— |
$2,566.35 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$501.15 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$584.33 |
— |
| Injection for identification of sentinel node (38792) |
— |
$1,016.68 |
— |
| Injection Rx Extremity Pseudoaneurysm (36002) |
— |
$4,815.57 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$397.09 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$951.75 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$1,181.66 |
— |
| Injection, anesthetic agent; sphenopalatine ganglion (64505) |
— |
$1,091.55 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$14,250.99 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$10,959.89 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$21,900.98 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$15,365.07 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$16,414.82 |
— |
| Ins new/rplc prm pacemaker w/transv eltrd ventr (33207) |
— |
$40,853.88 |
— |
| Ins New/Rplcmt Prm Pacemakr W/Trans Eltrd Atrial (33206) |
— |
$40,853.88 |
— |
| Ins New/Rplcmt Prm Pm W/Transv Eltrd Atrial&Vent (33208) |
— |
$41,156.49 |
— |
| Ins Pacemaker Pulse Gen Only W/Exist Dual Leads (33213) |
— |
$18,019.38 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$49,942.38 |
— |
| Insert 1 electrode pm-defib (33216) |
— |
$12,723.91 |
— |
| Insert and remove bone pin (20650) |
— |
$5,659.75 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$679.84 |
— |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
— |
$2,979.53 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$5,751.25 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$36,077.78 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$4,187.98 |
— |
| Insert Non-Tunnel Cv Cath < 5 Y/O (36555) |
— |
$1,400.37 |
— |
| Insert pacing lead & connect (33224) |
— |
$24,976.09 |
— |
| Insert picc cath (36569) |
— |
$3,528.36 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$3,528.36 |
— |
| Insert pulse gen mult leads (33221) |
— |
$21,761.07 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$250.58 |
— |
| Insert tun ip cath perc (49418) |
— |
$10,112.38 |
— |
| Insert tunneled cv cath (36561) |
— |
$9,558.77 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$3,574.02 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$249.55 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$7,234.86 |
— |
| Insertion of defibrillator electrode (33271) |
— |
$20,703.17 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,293.68 |
— |
| Insertion picc w/rs&i < 5 yr (36572) |
— |
$3,838.74 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$14,669.56 |
— |
| Insj 2 transvns eltrd perm pacemaker/impltbl dfb (33217) |
— |
$15,583.28 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$9,558.77 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$3,971.36 |
— |
| Insj/rplcmt defib w/lead(s) (33249) |
— |
$77,564.02 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$10,644.93 |
— |
| Intraoral i&d tongue/floor masticator space (41009) |
— |
$4,033.60 |
— |
| Intraoral I&D Tongue/Floor Sublngl Supfc (41005) |
— |
$861.19 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$6,481.29 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$55,806.02 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$38,292.75 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$777.40 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,202.56 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$464.72 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$560.31 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$1,134.50 |
— |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
— |
$531.81 |
— |
| Laryngoscopy indirect w/removal foreign body (31511) |
— |
$897.08 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$11,228.29 |
— |
| Ligation of hemorrhoid(s) (46221) |
— |
$1,200.73 |
— |
| Liver Biopsy (47000) |
— |
$2,539.65 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$2,802.55 |
— |
| Mech remov pericath obstr cv dev via ven access (36595) |
— |
$6,043.54 |
— |
| Myelography Lumbar Injection (62305) |
— |
$4,036.34 |
— |
| Myelography Lumbar Injection (62304) |
— |
$3,571.19 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$3,571.19 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$3,571.19 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$2,196.41 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$2,159.68 |
— |
| Neu prksn msfl a-syncln prtn (0393U) |
— |
$3,000 |
— |
| Neuro alz ds bamyl&tau prtn (0503U) |
— |
$1,800 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,145.04 |
— |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
— |
$2,830.53 |
— |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
— |
$772.06 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$1,515.78 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$7,088.01 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$1,232.21 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
— |
$4,740.04 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$1,026.95 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$1,529.13 |
— |
| Ob pe sflt-1/plgf ia srm/pls (0524U) |
— |
$900 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,748.44 |
— |
| Onc nonsm cll lng ca 37 gen (0388U) |
— |
$5,250 |
— |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
— |
$12,683 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$2,777.19 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$42,843.42 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$46,158.12 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$8,519.40 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$4,272.35 |
— |
| Perc Radiofreq Ablate Renal Tumor (50592) |
— |
$28,799.79 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$8,452.83 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$7,472.17 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$4,384.70 |
— |
| Peritoneal Lavage (49084) |
— |
$2,790.22 |
— |
| Perq av fistula creation uxtr single access (36836) |
— |
$25,478.63 |
— |
| Perq dev breast 1st mr guide (19287) |
— |
$3,084.29 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$958.10 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$2,608.45 |
— |
| Perq dilation xst trc new access renal coltj sys (50437) |
— |
$4,388.16 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$4,323.46 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$2,213.74 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$31,009.78 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$1,129.65 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,467.47 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$68,570.69 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$51,057.43 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$25,727.28 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulation (22513) |
— |
$17,509.50 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$17,509.50 |
— |
| Perq Vertebroplasty Uni/Bi Injection Lumbosacral (22511) |
— |
$11,100.21 |
— |
| Perq Vertebroplasty Uni/Bi Injx Cervicothoracic (22510) |
— |
$12,432.26 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$7,587.11 |
— |
| Place Cath Subclavian Art (36225) |
— |
$10,453.96 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$10,674.47 |
— |
| Place Cath Vertebral Art (36226) |
— |
$14,382.07 |
— |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
— |
$2,466.73 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$544.28 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$6,328.39 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$12,176.55 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$12,698.23 |
— |
| Plmt bile duct stent prq new access w/sep cath (47540) |
— |
$16,508.68 |
— |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
— |
$1,564.04 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$8,798.32 |
— |
| Plmt nephroureteral cath prq new access rs&i (50433) |
— |
$14,897.35 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$21,286.72 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$9,015.59 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$13,675.17 |
— |
| Preputial Stretching (54450) |
— |
$1,030.71 |
— |
| Prim art mech thrombectomy (37184) |
— |
$8,452.83 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$3,472.48 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$8,974 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$330.68 |
— |
| Puncture Aspiration (10160) |
— |
$843.94 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$773.08 |
— |
| Reconstruction tongue fold (41520) |
— |
$194.82 |
— |
| Reduction of rectal prolapse (45900) |
— |
$1,208.77 |
— |
| Relocation of skin pocket for pacemaker (33222) |
— |
$6,356.69 |
— |
| Rem endovas vena cava filter (37193) |
— |
$20,137.25 |
— |
| Removal biliary drg cath (47537) |
— |
$4,501.66 |
— |
| Removal fb intranasal (30300) |
— |
$833.60 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$2,865.17 |
— |
| Removal foreign body foot deep (28192) |
— |
$2,442.82 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$1,150.78 |
— |
| Removal foreign body pharynx (42809) |
— |
$910.89 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$82.16 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$445.50 |
— |
| Removal Implant Deep (20680) |
— |
$8,112.91 |
— |
| Removal Implantable Defib Pulse Generator Only (33241) |
— |
$8,169.39 |
— |
| Removal of foreign body in scrotum (55120) |
— |
$2,567.07 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$2,912.33 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$595.63 |
— |
| Removal of nail bed (11750) |
— |
$1,140.64 |
— |
| Removal Of Peritoneal-Venous Shunt (49429) |
— |
$4,308.09 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$765.82 |
— |
| Removal of small bowel polyps or growths with electrical cautery (44365) |
— |
$2,930.11 |
— |
| Removal ppm generator only (33233) |
— |
$8,923.56 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$2,409.22 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$4,611.01 |
— |
| Removal/bivalving full arm/full leg cast (29705) |
— |
$472.75 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$472.75 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$1,063.17 |
— |
| Remove foreign body from eye (65265) |
— |
$2,352.41 |
— |
| Remove foreign body from eye (65210) |
— |
$945.45 |
— |
| Remove intrvas foreign body (37197) |
— |
$8,074.39 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$3,326.51 |
— |
| Remove Ureter Stent, Percut (50384) |
— |
$4,136.96 |
— |
| Remove&replace pm gen singl (33227) |
— |
$40,853.88 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$429.27 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$595.63 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$55,177.15 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$77,872.11 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$55,177.15 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$40,853.88 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$45,150.94 |
— |
| Remv/revisn shldr/hip spica cast (29710) |
— |
$615.53 |
— |
| Renal biopsy (50200) |
— |
$5,465.43 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$2,191.69 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$2,972.81 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,876.96 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$2,938.55 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$2,106.09 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$2,106.09 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,587.17 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,921.14 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$6,290.62 |
— |
| Repair hand tendon (26410) |
— |
$5,467.30 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$1,937.72 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,175.90 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,297.34 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$2,409.74 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,393.96 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,520.91 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$2,776.85 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,736.18 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,068.21 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,258.70 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,413.26 |
— |
| Repair intermediate n/h/f/xtrnl gent >30.0 cm (12047) |
— |
$2,260.64 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,883.44 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,107.52 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,261.43 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,954.27 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,319.42 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$2,268.93 |
— |
| Repair intrinsic muscles of hand (26591) |
— |
$8,580.15 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$1,311.11 |
— |
| Repair lead pace-defib one (33218) |
— |
$9,374 |
— |
| Repair of nail bed (11760) |
— |
$968.87 |
— |
| Repair Tongue Laceration (41250) |
— |
$935.74 |
— |
| Replace duod/jej tube perc (49451) |
— |
$2,816.92 |
— |
| Replace g/c tube perc (49450) |
— |
$1,698.58 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$2,071.36 |
— |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
— |
$11,634.32 |
— |
| Reposition gastrostomy tube (43761) |
— |
$990.87 |
— |
| Reposition pacing-defib lead (33215) |
— |
$4,608.95 |
— |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
— |
$21,144.15 |
— |
| Respir iadna 18 viral&2 bact (0115U) |
— |
$1,284.71 |
— |
| Revise abdomen-venous shunt (49426) |
— |
$5,042.18 |
— |
| Revision of tips (37183) |
— |
$28,856.56 |
— |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
— |
$4,136.96 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$2,623.87 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$883.32 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,058.79 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$945.45 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$3,212.72 |
— |
| Rmvl of subq defibrillator (33272) |
— |
$8,985.81 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$7,370.53 |
— |
| Rmvl Transvns Pm Eltrd Dual Lead Sys (33235) |
— |
$8,851.80 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,291.37 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$2,154.54 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$6,175.41 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$7,072.30 |
— |
| Rplcmt compl prph ctr vad w/subq port (36585) |
— |
$3,183.55 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$7,659.60 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$6,735.57 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$5,341.42 |
— |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$3,311.93 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$3,717.34 |
— |
| Rpr intermediate n/h/f/xtrnl gent 20.1-30.0 cm (12046) |
— |
$2,053.62 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$1,043.02 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$1,507.07 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$2,498.05 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$2,161.73 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$2,516.25 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$894.94 |
— |
| Rpsg prev implted car ven sys l ventr eltrd (33226) |
— |
$680.87 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$1,813.59 |
— |
| S bowel endoscope w/stent (44379) |
— |
$9,731.78 |
— |
| Sb Scope,W/Ileum,W/Control,Bleeding - Enteroscopy (44378) |
— |
$2,930.11 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$3,459.79 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$2,113.79 |
— |
| Sgmdsc Flx With Endoscopic Mucosal Resection (45349) |
— |
$11,562.05 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,595.45 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$841.07 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$936.58 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$1,926.64 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,035.11 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$1,302.85 |
— |
| Simple repair f/e/e/n/l/m >30.0 cm (12018) |
— |
$2,310.36 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$813.34 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,846.46 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,012.57 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$1,396.65 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$1,361.74 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$3,968.13 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$17,494.93 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$14,142.22 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$17,695.45 |
— |
| Small Bowel Endoscopy (44373) |
— |
$2,930.11 |
— |
| Small bowel endoscopy (44366) |
— |
$2,930.11 |
— |
| Small bowel endoscopy (44364) |
— |
$2,930.11 |
— |
| Small bowel endoscopy (44376) |
— |
$2,930.11 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$2,930.11 |
— |
| Small Bowel Endoscopy,Biopsy - Enteroscopy (44361) |
— |
$2,930.11 |
— |
| Small bowel endoscopy/biopsy (44377) |
— |
$2,930.11 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$860.58 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,264.18 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,606.15 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,103.64 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$1,660.13 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$6,641.29 |
— |
| Strapping elbow/wrist (29260) |
— |
$256.70 |
— |
| Strapping Hip (29520) |
— |
$270.73 |
— |
| Strapping knee (29530) |
— |
$496.02 |
— |
| Strapping shoulder (29240) |
— |
$314.65 |
— |
| Strapping thorax (29200) |
— |
$284.32 |
— |
| Strapping unna boot (29580) |
— |
$447.30 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$283.06 |
— |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
— |
$40,998.92 |
— |
| Tcat insj/rpl perm leadless pacemaker rv w/img (33274) |
— |
$37,950.94 |
— |
| Tcat removal perm leadless pm right ventr w/img (33275) |
— |
$7,928.57 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$2,094.98 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$4,795.77 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$2,437.98 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$3,402.29 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,848.51 |
— |
| Throat Surgery Procedure (42999) |
— |
$3,954.54 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$11,932.41 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$7,968.92 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$972.57 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$7,968.92 |
— |
| Thyroid biopsy (60100) |
— |
$1,014.36 |
— |
| Trach Tube Change (31502) |
— |
$265.01 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$1,399.45 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$1,697.59 |
— |
| Transcatheter biopsy (37200) |
— |
$5,278.10 |
— |
| Treat finger dislocation (26775) |
— |
$2,246.82 |
— |
| Treat knee fracture (27532) |
— |
$3,797.66 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$795.93 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$3,063.05 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$3,933.34 |
— |
| Trim skin lesion (11055) |
— |
$368.68 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$368.68 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$108.74 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$26,664.42 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$25,330.15 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$3,795.76 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$4,645.47 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$7,246.17 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$843.51 |
— |
| Unlisted Procedure Endocrine System (60699) |
— |
$10,493.34 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$5,332.23 |
— |
| Unlisted Procedure Lungs & Pleura (32999) |
— |
$1,232.04 |
— |
| Unlisted procedure shoulder (23929) |
— |
$3,178.87 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$3,477.24 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$3,930.14 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$1,928.90 |
— |
| Unlisted procedure, male genital system (55899) |
— |
$6,057.86 |
— |
| Upg pacemaker sys convert 1chmbr sys 2chmbr sys (33214) |
— |
$24,976.09 |
— |
| Vaginal delivery only (59409) |
— |
$5,680.48 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$30,642.57 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$29,183.54 |
— |
| Vasc embolize/occlude organ (37243) |
— |
$29,183.54 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$29,183.54 |
— |
| Venipuncture (36415) |
— |
$24.65 |
— |
| Wedging of cast (29740) |
— |
$494.10 |
— |