| Ablate inf turbinate submuc (30802) |
— |
$7,647.98 |
— |
| Ablation, soft tissue of inferior turbinates, unilateral or bilateral, any method; superficial (30801) |
— |
$3,261.93 |
— |
| Amputation Finger/Thumb (26951) |
— |
$5,735.36 |
— |
| Amputation of finger/thumb (26952) |
— |
$4,203.44 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$4,203.44 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$16,288.88 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$383.84 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$215.74 |
— |
| Application finger splint static (29130) |
— |
$299.42 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$599.34 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$332.96 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$470.70 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$435.50 |
— |
| Apply multlay comprs arm/hand (29584) |
— |
$527.51 |
— |
| Arterial puncture (36600) |
— |
$322.16 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,017.70 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,947.02 |
— |
| Arthroscopically aided treat. intercondylar spine and/or tuberosity fx knee w/o int/ext. fix 29850 (29850) |
— |
$8,933.32 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, partial (29820) |
— |
$8,304 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$37,300.66 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$588.01 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$4,284.25 |
— |
| Biopsy Salivary Gland,Needle (42400) |
— |
$4,284.25 |
— |
| Bladder Instillation Anticarcinogenic Agent (51720) |
— |
$734.36 |
— |
| Bladder Irrigation Simple (51700) |
— |
$919.45 |
— |
| Bladder Scan (51798) |
— |
$427.52 |
— |
| Blood patch (62273) |
— |
$2,269.82 |
— |
| Blood transfusion service (36430) |
— |
$1,847.70 |
— |
| Bone marrow aspiration only (38220) |
— |
$5,341.94 |
— |
| Bone Marrow Biopsy (38221) |
— |
$198.52 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,542.76 |
— |
| Chemical Cautery Tissue (17250) |
— |
$98.96 |
— |
| Chest tube placement (32551) |
— |
$1,623.12 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$423.81 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$10,473.08 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$3,062.66 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$5,178.16 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$5,395.26 |
— |
| Closure of laceration, vestibule of mouth; over 2.5 cm or complex (40831) |
— |
$3,020.76 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,521.21 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$997.80 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$3,332.51 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$589.79 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$609.50 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$299.48 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$609.50 |
— |
| Debride nail 1-5 (11720) |
— |
$42.80 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$814.64 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$434.88 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$651.20 |
— |
| Declot vascular device (36593) |
— |
$941.14 |
— |
| Delivery placenta separate procedure (59414) |
— |
$6,070.98 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$2,499.22 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$6,482.85 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$310.63 |
— |
| Draw blood off venous device (36591) |
— |
$585.90 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$372.48 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$308 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$148.88 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$56.24 |
— |
| Egd place gastrostomy tube (43246) |
— |
$4,438.28 |
— |
| Endoscopic Plantar Fasciotomy (29893) |
— |
$7,362.58 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$5,871.28 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$234.93 |
— |
| External Cephalic Version (59412) |
— |
$3,721.70 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$707.49 |
— |
| Fetal non-stress test (59025) |
— |
$778.52 |
— |
| Fixation of knee joint (27570) |
— |
$3,620.12 |
— |
| Fluid pressure muscle (20950) |
— |
$2,354.54 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$855.40 |
— |
| Hysteroscopy biopsy (58558) |
— |
$617.40 |
— |
| I&d abscess simple (10060) |
— |
$1,726.92 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,328.40 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$3,898.84 |
— |
| Incise finger tendon sheath (26055) |
— |
$3,830.85 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$499.36 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,284.92 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$283.61 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$159.26 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$172.72 |
— |
| Inj,Anes Agent,Femoral Nerve,Single (64447) |
— |
$327.43 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$1,741.96 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$988.70 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$119.29 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$1,058.42 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$533.09 |
— |
| Insert cervical dilator (59200) |
— |
$1,009.80 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$4,079.68 |
— |
| Insert picc cath (36569) |
— |
$1,029.15 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$363.12 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$471.81 |
— |
| Insert tun ip cath perc (49418) |
— |
$9,209.02 |
— |
| Insert tunneled cv cath (36561) |
— |
$5,867.44 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$309.25 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$216.55 |
— |
| Insj tunneled ctr vad w/subq port under 5 yr (36560) |
— |
$910.10 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$685.08 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$216.31 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$457.03 |
— |
| Lip Surgery Procedure (40799) |
— |
$550.79 |
— |
| Manipulation finger joint under anes each joint (26340) |
— |
$3,620.12 |
— |
| Manipulation, elbow, under anesthesia (24300) |
— |
$3,620.12 |
— |
| Myelography Lumbar Injection (62305) |
— |
$5,882.45 |
— |
| Myelography Lumbar Injection (62304) |
— |
$3,947.21 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$3,947.21 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$4,144.58 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$1,022.95 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$45 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$12,432.54 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62324) |
— |
$246.15 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$2,499.22 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$2,256.71 |
— |
| Occlude fallopian tube(s) (58615) |
— |
$8,628.81 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$16,288.88 |
— |
| Partial excision bone talus/calcaneus (28120) |
— |
$3,085.24 |
— |
| Peritoneal Lavage (49084) |
— |
$3,018.31 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,224.39 |
— |
| Perq device breast 1st imag (19281) |
— |
$2,354.54 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$6,151.68 |
— |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
— |
$4,979.45 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$3,858.15 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$6,666.65 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$6,666.65 |
— |
| Prq skel fixj sprcndylr/transcndylr humeral fx (24538) |
— |
$16,288.88 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$130.97 |
— |
| Puncture Aspiration (10160) |
— |
$506.05 |
— |
| Reconstruction of nose (30400) |
— |
$13,223.74 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$310.44 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$94.80 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$177.40 |
— |
| Removal of nail bed (11750) |
— |
$533.68 |
— |
| Removal of sesamoid bone (28315) |
— |
$51,871.81 |
— |
| Remove wrist tendon lesion (25111) |
— |
$2,523.85 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$59,870.83 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$8,276.87 |
— |
| Repair, tendon, flexor, foot; primary or secondary, without free graft, each tendon (28200) |
— |
$5,381.26 |
— |
| Replace g/c tube perc (49450) |
— |
$3,008.06 |
— |
| Reposition pacing-defib lead (33215) |
— |
$9,893.86 |
— |
| Revise external ear (69300) |
— |
$10,671.93 |
— |
| Revise median n/carpal tunnel surg (64721) |
— |
$2,907.68 |
— |
| Revision of penis (54300) |
— |
$3,898.17 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,868.42 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$2,384.14 |
— |
| Rpr Coltrl Ligm Mtcarphlngl/Iphal Jt (26540) |
— |
$5,735.58 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,681.68 |
— |
| Shaving skin lesion 1 trunk/arm/leg diam 0.5cm/< (11300) |
— |
$515.76 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$118.70 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$682.52 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$450.88 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$277.84 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$240.40 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$511.37 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$580.37 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$11,848.19 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$603.98 |
— |
| Strapping ankle (29540) |
— |
$527.51 |
— |
| Strapping Hip (29520) |
— |
$334.91 |
— |
| Strapping knee (29530) |
— |
$353.86 |
— |
| Strapping toes (29550) |
— |
$334.91 |
— |
| Strapping unna boot (29580) |
— |
$527.51 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$104.36 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$13,316.32 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$2,821.16 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$16,056.78 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$5,684.99 |
— |
| Ther Apheresis,Platelets (36513) |
— |
$5,684.99 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$5,684.99 |
— |
| Ther Apheresis,White Blood Cells (36511) |
— |
$5,684.99 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$1,176.39 |
— |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
— |
$1,000.52 |
— |
| Treat fx distal radial (25606) |
— |
$3,873.69 |
— |
| Treatment of ankle fracture (27822) |
— |
$16,288.88 |
— |
| Trim skin lesion (11055) |
— |
$44.88 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$63.60 |
— |
| Trim skin lesions over 4 (11057) |
— |
$83.36 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$22 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$486.66 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$536.42 |
— |
| Unlisted procedure neck or thorax (21899) |
— |
$788.89 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$976.06 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$3,054.34 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$3,210.64 |
— |
| Unlisted procedure, hands or fingers (26989) |
— |
$538.23 |
— |
| Venipuncture (36415) |
— |
$46.54 |
— |