| Abd paracentesis w/imaging (49083) |
— |
$1,215 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$302 |
— |
| Acne surgery (10040) |
— |
$633 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$2,575 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$1,762 |
— |
| Amputation Finger/Thumb (26951) |
— |
$4,245.50 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$954.50 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$968 |
— |
| Anoscopy diagnostic (46600) |
— |
$298 |
— |
| Appl Mltlayr Compres Leg Below Knee W/Ankle Foot (29581) |
— |
$304.50 |
— |
| Application cast elbow finger short arm (29075) |
— |
$475 |
— |
| Application cast shoulder hand long arm (29065) |
— |
$899.50 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$430 |
— |
| Application finger splint static (29130) |
— |
$210 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$431 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$675 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$289 |
— |
| Apply long leg splint (29505) |
— |
$363 |
— |
| Apply short leg cast (29405) |
— |
$586.50 |
— |
| Apply short leg cast (29425) |
— |
$512 |
— |
| Apply short leg splint (29515) |
— |
$361 |
— |
| Arterial puncture (36600) |
— |
$151 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$270 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$272.50 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$335 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$446 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$259 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$2,259 |
— |
| Arthrotomy, posterior capsular release, ankle, with or without Achilles tendon lengthening Facility (27612) |
— |
$2,063 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$739 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$240.50 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$1,927 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$288.50 |
— |
| Biopsy bone open deep (20245) |
— |
$2,234.50 |
— |
| Biopsy bone open superficial (20240) |
— |
$886 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$1,122 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$532 |
— |
| Biopsy Cervix Single/Mult/Excision Of Lesion Spx (57500) |
— |
$566 |
— |
| Biopsy Nail Unit Separate Procedure (11755) |
— |
$162 |
— |
| Biopsy of mouth lesion (40808) |
— |
$143 |
— |
| Biopsy of tongue (41100) |
— |
$200 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$1,614.50 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$245 |
— |
| Bladder Irrigation Simple (51700) |
— |
$469.50 |
— |
| Blepharotomy drain absc eyelid (67700) |
— |
$1,506.50 |
— |
| Blood transfusion service (36430) |
— |
$933 |
— |
| Bone graft, any donor area; minor or small (eg, dowel or button) Facility (20900) |
— |
$485 |
— |
| Bx Low Leg Soft Tissue,Deep (27614) |
— |
$4,017.50 |
— |
| Change of cystostomy tube simple (51705) |
— |
$353 |
— |
| Chemical cautery tissue (17250) |
— |
$244 |
— |
| Chemodenerv Eccrine Glands (64650) |
— |
$100 |
— |
| Chemodenerv musc migraine (64615) |
— |
$2,451.50 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$2,302.50 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$2,689.50 |
— |
| Chemodenervation of eccrine glands; other area(s) (eg, scalp, face, neck), per day Facility (64653) |
— |
$126 |
— |
| Circumcision (54150) |
— |
$329 |
— |
| Circumcision Neonate (54160) |
— |
$490 |
— |
| Closed Rx Radial Shaft Fx (25500) |
— |
$3,258.50 |
— |
| Closed treatment of trimalleolar ankle fracture with manipulation (27818) |
— |
$5,658.50 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$5,013.50 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$5,528 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$3,508 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$4,080 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$5,995.50 |
— |
| Closed tx radial&ulnar shaft fractures w/manj (25565) |
— |
$6,121 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$419 |
— |
| Closure of laceration, vestibule of mouth; 2.5 cm or less (40830) |
— |
$2,209 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$5,236 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$2,065 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$1,894 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
— |
$5,728.50 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,420 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$560.50 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$4,024.50 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$6,686.50 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$4,067.50 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$716 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$1,870 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$2,380.50 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$1,248.50 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$4,494.50 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$3,302 |
— |
| Cltx medial malls fx w/manj w/wo skn/skel tracj (27762) |
— |
$4,827.50 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$769 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$541.50 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$3,946 |
— |
| Cltx post ankle fx w/mnpj (27768) |
— |
$5,751 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$891.50 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$665 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$3,737.50 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$392 |
— |
| Colonoscopy flex w/inj submuc (45381) |
— |
$1,527 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$1,729 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$1,713 |
— |
| Colonoscopy w/ablation (45388) |
— |
$2,004 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$1,810 |
— |
| Colonoscopy, flexible; with control of bleeding, any method (45382) |
— |
$1,963 |
— |
| Colonoscopy, flexible; with endoscopic mucosal resection (45390) |
— |
$2,497 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$299 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$194 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$256 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$439 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$363 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$206 |
— |
| Colposcopy,Cervix W/Adj Vagina, Curettag (57456) |
— |
$236 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$282 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$2,030.50 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$416 |
— |
| Correction Trichiasis Epilation Forceps Only (67820) |
— |
$43 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$1,443.50 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$87 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$3,100 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$856 |
— |
| Debride nail 1-5 (11720) |
— |
$108 |
— |
| Debride nail 6 or more (11721) |
— |
$109 |
— |
| Debride skin musc at fx site (11011) |
— |
$771 |
— |
| Debride tissue/muscle (11043) |
— |
$1,129 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$349.50 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$502 |
— |
| Declot vascular device (36593) |
— |
$344 |
— |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
— |
$1,416 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$4,453 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$4,392 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$346 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$502 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$3,357.50 |
— |
| Destruction by neurolytic agent; other peripheral nerve or branch (64640) |
— |
$1,818.50 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$497 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$460 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$2,881.50 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$402 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$214 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$415 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$941 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$899.50 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$1,972.50 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$332 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$2,415 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$1,791 |
— |
| Drainage of gum lesion (41800) |
— |
$1,100 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$505 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$2,181.50 |
— |
| Draw blood off venous device (36591) |
— |
$75 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$876 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$729 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$394 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$556 |
— |
| Egd balloon dilation esophagus <30 mm diam (43249) |
— |
$1,176 |
— |
| Egd control bleeding any (43255) |
— |
$1,526 |
— |
| Egd dilate stricture (43245) |
— |
$1,344 |
— |
| Egd flexible foreign body removal (43247) |
— |
$1,353 |
— |
| Egd guide wire insertion (43248) |
— |
$1,272 |
— |
| Egd remove lesion snare (43251) |
— |
$1,527 |
— |
| Endometrial Biopsy (58100) |
— |
$320 |
— |
| Endoscopy bowel pouch/biop (44386) |
— |
$699 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$691 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$802 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$236 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$577 |
— |
| Exc B9 Lesion Mrgn Xcp Sk Tg S/N/H/F/G 0.5 Cm/< (11420) |
— |
$343 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$623 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 3.1-4.0cm (11424) |
— |
$784 |
— |
| Exc b9 lesion mrgn xcp sk tg t/a/l 1.1-2.0 cm (11402) |
— |
$460 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$475 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$553 |
— |
| Exc lesion tendon sheath/capsule w/synvct foot (28090) |
— |
$1,111 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$1,053 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$433 |
— |
| Exc Skin Benig 0.6-1 Cm Trunk,Arm,Leg (11401) |
— |
$323 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$600 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$867 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$993 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$849 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$299 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$77 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$1,449 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$1,177 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$2,098 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$3,167 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$1,262 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$1,046 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$660 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 2.1-3.0 Cm (11603) |
— |
$301 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$338 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$744 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$469 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$547 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$608 |
— |
| Excision Malignant Lesion S/N/H/F/G 2.1-3.0 Cm (11623) |
— |
$703 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$762 |
— |
| Excision of benign lesion other than skin tag 0.6-1.0 cm (11441) |
— |
$539 |
— |
| Excision of lesion other than skin tag 1.1-2.0 cm (11422) |
— |
$570 |
— |
| Excision of thrombosed hemorrhoid, external (46320) |
— |
$2,194.50 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$1,557 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with allograft Facility (28103) |
— |
$1,156 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; with iliac or other autograft (includes… (28102) |
— |
$1,669 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$1,264 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with allograft Facility (27638) |
— |
$2,488 |
— |
| Excision or curettage of bone cyst or benign tumor, tibia or fibula; with autograft (includes obtaining graft) Facility (27637) |
— |
$2,692 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$1,063 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$2,452 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$1,355 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular); less than 5 cm Facility (27619) |
— |
$1,557 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$4,002 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,028 |
— |
| Fasciotomy foot and/or toe (28008) |
— |
$2,717.50 |
— |
| Fetal non-stress test (59025) |
— |
$546.50 |
— |
| Filleted finger/toe flap (14350) |
— |
$2,022 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$600 |
— |
| Fit/Insert Intravag Support Device (57160) |
— |
$121 |
— |
| Flap; neurovascular pedicle (15750) |
— |
$3,206 |
— |
| Fluid pressure muscle (20950) |
— |
$303 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$72 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$2,145.50 |
— |
| I&d abscess simple (10060) |
— |
$716 |
— |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
— |
$804.50 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$779 |
— |
| I&d vulva/perineal abscess (56405) |
— |
$489 |
— |
| Incise external hemorrhoid (46083) |
— |
$773 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$721 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$2,214 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,426.50 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$584 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$556 |
— |
| Incision and drainage perianal abscess superficial (46050) |
— |
$708 |
— |
| Incision and drainage, complex, postoperative wound infection (10180) |
— |
$986 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$463 |
— |
| Incision of rectal abscess (46040) |
— |
$753 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$541 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$299 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$2,093 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$176 |
— |
| Inj,Anes Agent,Brachial Plexus,Single (64415) |
— |
$1,273.50 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,595 |
— |
| Inject Nerv Blck,Axillary Nerv (64417) |
— |
$1,389 |
— |
| Inject Nerv Blck,Celiac Plexus (64530) |
— |
$1,804.50 |
— |
| Inject Nerv Blck,Intercost,Multpl (64421) |
— |
$1,798 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$1,335 |
— |
| Inject Nerv Blck,Paravert Sympath (64520) |
— |
$1,587.50 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$176 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$1,608.50 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$1,561 |
— |
| Injection Aa&/Strd Other Peripheral Nerve/Branch (64450) |
— |
$338 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$933.50 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$1,703.50 |
— |
| Injection anesthetic agent femoral nerve single (64447) |
— |
$1,294.50 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,492 |
— |
| Injection into skin lesions (11900) |
— |
$129 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$278 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$314 |
— |
| Injection(s), anesthetic agent(s) and/or steroid; sciatic nerve, continuous infusion by catheter (including catheter… (64446) |
— |
$1,546 |
— |
| Injection, anesthetic agent; paracervical (uterine) nerve (64435) |
— |
$338 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$877.50 |
— |
| Insert cath pleura w/o image (32556) |
— |
$1,422 |
— |
| Insert Drug Implant Device (11981) |
— |
$235 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$921 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$281.50 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$316 |
— |
| Insj picc rs&i 5 yr+ (36573) |
— |
$428 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$4,358 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$2,025 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$2,025 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
— |
$1,449 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,445 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$1,762 |
— |
| Island pedicle flap graft (15740) |
— |
$2,984 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$964 |
— |
| Lyse chest fibrin init day (32561) |
— |
$776 |
— |
| Metatarsectomy (28140) |
— |
$1,224 |
— |
| Monocyte distribution width whole blood (0427U) |
— |
$38 |
— |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity Facility (15738) |
— |
$6,639 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$1,825.50 |
— |
| N Block Inj, Plantar Digit (64455) |
— |
$253 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$776 |
— |
| Njx aa&/strd sciatic nerve (64445) |
— |
$1,417.50 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$1,444 |
— |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
— |
$988.50 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$1,791.50 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$2,139 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$1,969 |
— |
| Occipital Nerve Block (64405) |
— |
$460 |
— |
| Open treatment interphalangeal joint dislocation (28675) |
— |
$1,590 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$2,211 |
— |
| Open tx fracture phalanx/phalanges not great toe (28525) |
— |
$1,522 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$907 |
— |
| Ostectomy calcaneus (28118) |
— |
$4,106 |
— |
| Ostectomy complete 5th metatarsal head (28113) |
— |
$4,344.50 |
— |
| Ostectomy, complete excision; other metatarsal head (second, third or fourth) Facility (28112) |
— |
$3,037.50 |
— |
| Partial excision (craterization, saucerization, or diaphysectomy), bone (eg, osteomyelitis); fibula Facility (27641) |
— |
$2,176 |
— |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28120) |
— |
$4,685 |
— |
| Partial excision (craterization, saucerization, sequestrectomy, or diaphysectomy) bone (eg, osteomyelitis or bossing);… (28122) |
— |
$4,045 |
— |
| Partial excision bone tibia (27640) |
— |
$6,212.50 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$3,255.50 |
— |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
— |
$1,398 |
— |
| Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus), with manipulation, each Facility (28456) |
— |
$2,015 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$508 |
— |
| Picc line placement (36569) |
— |
$2,641 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$772.50 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$1,979 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$346 |
— |
| Puncture aspiration of abscess hematoma bulla or cyst (10160) |
— |
$680 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$3,807.50 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$3,194 |
— |
| Removal foreign body foot deep (28192) |
— |
$1,069 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$543 |
— |
| Removal foreign body intranasal (30300) |
— |
$767 |
— |
| Removal foreign body muscle/tendon sheath simple (20520) |
— |
$1,580.50 |
— |
| Removal foreign body pharynx (42809) |
— |
$1,626.50 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$94 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$242 |
— |
| Removal implant deep (20680) |
— |
$3,956 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$1,601 |
— |
| Removal Implantable Contraceptive Capsules (11976) |
— |
$214 |
— |
| Removal of ankle implant (27704) |
— |
$2,047 |
— |
| Removal of bone for graft (20902) |
— |
$713 |
— |
| Removal of foreign body, external eye; corneal, without slit lamp (65220) |
— |
$305 |
— |
| Removal of iud (58301) |
— |
$488 |
— |
| Removal of nail bed (11750) |
— |
$663.50 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$474 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$1,381 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$217 |
— |
| Remove drug implant device (11982) |
— |
$407 |
— |
| Remove foreign body from eye (65235) |
— |
$2,843 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$2,080 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$702 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$347 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$318 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$3,778.50 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$3,797 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$3,288.50 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$2,288 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$3,098.50 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$3,521 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,245 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$2,677.50 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$2,856.50 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$2,842 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$3,546 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,091 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$627 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$2,645.50 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$3,154.50 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,109 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,415 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$3,664 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,498 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$4,289.50 |
— |
| Repair of nail bed (11760) |
— |
$842 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$1,196 |
— |
| Repair tongue laceration (41252) |
— |
$2,745 |
— |
| Repair Tongue Laceration (41250) |
— |
$1,872.50 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$679 |
— |
| Rmvl Fb Xtrnl Eye Embed Scjncl/Scleral Nonperfor (65210) |
— |
$502.50 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$2,295 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$321 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$4,312 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$143 |
— |
| Shave skin lesion 0.5 cm/< (11305) |
— |
$161 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$194 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$236 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$210 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$319 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$220 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$301 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$256 |
— |
| Sigmoidoscopy w/biopsy (45331) |
— |
$530 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$400 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$421 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$1,982.50 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$979.50 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$1,259.50 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$324 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$529 |
— |
| Skin splt grft trnk/arm/leg (15100) |
— |
$2,186 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$433 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$2,253.50 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$608 |
— |
| Skin tissue rearrangement (14040) |
— |
$1,836 |
— |
| Skn splt a-grft fac/nck/hf/g (15120) |
— |
$2,289 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$2,845.50 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$423 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$734 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,521.50 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$569 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$852 |
— |
| Strapping unna boot (29580) |
— |
$259 |
— |
| Talectomy (astragalectomy) Facility (28130) |
— |
$2,111 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$357 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$1,051 |
— |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
— |
$1,693 |
— |
| Tenotomy open extensor foot/toe each tendon (28234) |
— |
$1,109 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$799 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$1,607.50 |
— |
| Tenotomy, open, tendon flexor; toe, single tendon (separate procedure) (28232) |
— |
$2,418 |
— |
| Tenotomy, percutaneous, Achilles tendon (separate procedure); general anesthesia Facility (27606) |
— |
$2,350 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$985 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$833.50 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$1,478 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$6,792 |
— |
| Treat Big Toe Fracture (28505) |
— |
$1,715 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$2,554 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$1,426.50 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$4,334.50 |
— |
| Treatment of foot infection (28003) |
— |
$476 |
— |
| Trim skin lesion (11055) |
— |
$186 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$196 |
— |
| Trim skin lesions over 4 (11057) |
— |
$217 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$57 |
— |
| Tube thoracostomy includes water seal (32551) |
— |
$1,553 |
— |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
— |
$2,683 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$431 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$2,452 |
— |
| Unlisted procedure dentoalveolar structures (41899) |
— |
$1,098 |
— |
| Unlisted procedure nervous system (64999) |
— |
$351.50 |
— |
| Us urine capacity measure (51798) |
— |
$549 |
— |
| Vaginal delivery only (59409) |
— |
$3,622 |
— |
| Vaginal Delivery Only, After Previous Cesarean Delivery (59612) |
— |
$3,356 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$473 |
— |
| Venipuncture (36415) |
— |
$39 |
— |
| Wedge excision skin nail fold (11765) |
— |
$675 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,139 |
— |
| Wound prep trk/arm/leg 1st 100 sq cm (15002) |
— |
$938 |
— |