| Abd paracentesis w/imaging (49083) |
— |
$969 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$288 |
— |
| Apply multlay comprs arm/hand (29584) |
— |
$266 |
— |
| Arterial puncture (36600) |
— |
$164 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$348 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,196 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$395 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,243 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$348 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$474 |
— |
| Aspirat/Injection Ganglion Cyst(S) (20612) |
— |
$348 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$1,459 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$1,001 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$660 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$915 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$788 |
— |
| Biopsy Salivary Gland,Needle (42400) |
— |
$672 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$1,459 |
— |
| Bladder Scan (51798) |
— |
$129 |
— |
| Blood patch (62273) |
— |
$1,793 |
— |
| Blood transfusion service (36430) |
— |
$345 |
— |
| Bone marrow aspiration only (38220) |
— |
$1,459 |
— |
| Bone Marrow Biopsy (38221) |
— |
$1,459 |
— |
| Brain Shunt Tube/Reserv Injectn (61070) |
— |
$791 |
— |
| Bronchoscopy,Diagnostic W Lavage (31624) |
— |
$3,428 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$1,046 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$2,207 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$3,421 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,421 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$672 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$3,075 |
— |
| Change g-tube to g-j perc (49446) |
— |
$1,427 |
— |
| Chest tube placement (32551) |
— |
$3,235 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$278 |
— |
| Chng urtrost tube/xtrnlly accessible stent ileal (50688) |
— |
$1,427 |
— |
| Cholecystostomy,Percutaneous, Complete (47490) |
— |
$1,748 |
— |
| Circumcision (54150) |
— |
$4,114 |
— |
| Circumcision Neonate (54160) |
— |
$1,391 |
— |
| Complete replacement picc rs&i (36584) |
— |
$773 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$316 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$280 |
— |
| Conversion ext bil drg cath (47535) |
— |
$2,571 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$2,286 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$868 |
— |
| Declot vascular device (36593) |
— |
$278 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$983 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$1,243 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$3,518 |
— |
| Draw blood off venous device (36591) |
— |
$300 |
— |
| Dry Needling 3+ Muscles (20561) |
— |
$169.50 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$2,918 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$2,571 |
— |
| Exchange nephrostomy cath (50435) |
— |
$1,427 |
— |
| Exchng absc/cst drg cath rad gid spx (49423) |
— |
$1,375 |
— |
| External Cephalic Version (59412) |
— |
$1,559 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$362 |
— |
| Fetal non-stress test (59025) |
— |
$622 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$2,846 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$1,673 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$169 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$1,375 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$2,355 |
— |
| I&d abscess simple (10060) |
— |
$432 |
— |
| I&D Pelvis/Hip Jt Area Deep Abscess/Hematoma (26990) |
— |
$1,890 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$3,196 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$2,355 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$806 |
— |
| Incision of lingual frenum (41010) |
— |
$3,080 |
— |
| Incision of rectal abscess (46040) |
— |
$2,384 |
— |
| Inj dupuytren cord w/enzyme (20527) |
— |
$348 |
— |
| Inj paravert f jnt c/t 1 lev (64490) |
— |
$646 |
— |
| Inj tendon sheath/ligament (20550) |
— |
$348 |
— |
| Inject Nerv Blck,Intercostal,One (64420) |
— |
$348 |
— |
| Inject Tendon Origin/Insert (20551) |
— |
$348 |
— |
| Injection Rx Extremity Pseudoaneurysm (36002) |
— |
$273 |
— |
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or… (62325) |
— |
$983 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$5,318 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$2,887 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$4,140 |
— |
| Ins vag brachytx device (57156) |
— |
$1,169 |
— |
| Insert cervical dilator (59200) |
— |
$661 |
— |
| Insert Duodenostomy/Jejunostomy Tube Percutaneous (49441) |
— |
$524 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$524 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$6,437 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$151 |
— |
| Insert tun ip cath perc (49418) |
— |
$3,685 |
— |
| Insert tunneled cv cath (36561) |
— |
$672 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$151 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$6,987 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$1,562.50 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$4,295 |
— |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
— |
$3,685 |
— |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$9,088 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$1,345 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$672 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$3,498 |
— |
| Intro Cath Dialysis Circuit Dx Angrph Fluor S&I (36901) |
— |
$523 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$9,854 |
— |
| Intro cath dialysis circuit w/trluml balo angiop (36902) |
— |
$7,442 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$494 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$454 |
— |
| Liver Biopsy (47000) |
— |
$1,255 |
— |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
— |
$1,251 |
— |
| Myelography Lumbar Injection (62305) |
— |
$3,739 |
— |
| Myelography Lumbar Injection (62304) |
— |
$2,315 |
— |
| Myelography Via Lumbar Injection Rs&I Cervical (62302) |
— |
$2,569 |
— |
| Myelography via lumbar injection rs&i thoracic (62303) |
— |
$2,291 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$88 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$169.50 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$117 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$1,004 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$2,500 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$646 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/img gdn (62321) |
— |
$983 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62323) |
— |
$983 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm exstng acess (50431) |
— |
$1,269 |
— |
| Njx px antegrde nfrosgrm &/urtrgrm new access (50430) |
— |
$2,000 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$695 |
— |
| Onc prst8 ca alys all PSA structural isoforms (0359U) |
— |
$2,280 |
— |
| Onc Sld Org Neo Trgt Gen Seq Dna Alys 505 Genes (0250U) |
— |
$8,759 |
— |
| Oncology (non-small cell lung cancer), cell-free DNA, targeted sesquence analysis of 23 gene (single nucleotide… (0179U) |
— |
$14,700 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$10,593 |
— |
| Open/Perq Placement Intravascular Stent Initial (37236) |
— |
$9,854 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$1,131 |
— |
| Percut Mech Thrombectomy, Venous (37187) |
— |
$3,612 |
— |
| Percut/Needle Insert,Prostate,Radioisot (55875) |
— |
$9,088 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$1,742 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,265 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,245 |
— |
| Perq dilation xst trc new access renal coltj sys (50437) |
— |
$2,000 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$2,228 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$2,521 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$1,375 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,265 |
— |
| Perq thrmbc/nfs dial circuit tcat plmt IV stent (36906) |
— |
$15,873 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$9,534 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$2,615 |
— |
| Place Cath Subclavian Art (36225) |
— |
$5,106 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$4,112 |
— |
| Place Cath Vertebral Art (36226) |
— |
$9,268 |
— |
| Place Interst Rad Ther Guide, Intraabd/Intrapelv/Retroper,1+,Perc (49411) |
— |
$935 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$4,500 |
— |
| Plmt interstitial dev radiat tx prostate 1/mult (55876) |
— |
$1,169 |
— |
| Plmt nephrostomy cath prq new access rs&i (50432) |
— |
$2,955 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$2,800 |
— |
| Plmt urtrl stent prq pre-existing nfros tract (50693) |
— |
$2,771 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$2,500 |
— |
| Prim art mech thrombectomy (37184) |
— |
$2,780 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$2,571 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$2,571 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$863.50 |
— |
| Puncture Aspiration (10160) |
— |
$269 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$410 |
— |
| Rem endovas vena cava filter (37193) |
— |
$3,005 |
— |
| Removal biliary drg cath (47537) |
— |
$695 |
— |
| Removal of indwelling tunneled pleural catheter with cuff (32552) |
— |
$2,148 |
— |
| Removal subq cardiac rhythm monitor (33286) |
— |
$796 |
— |
| Removal Tunneled Intraperitoneal Catheter (49422) |
— |
$2,571 |
— |
| Remove intrvas foreign body (37197) |
— |
$3,482 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$626 |
— |
| Renal biopsy (50200) |
— |
$1,225 |
— |
| Replace duod/jej tube perc (49451) |
— |
$524 |
— |
| Replace g/c tube perc (49450) |
— |
$824 |
— |
| Replacement gastro-jejunostomy tube percutaneous (49452) |
— |
$524 |
— |
| Reposition gastrostomy tube (43761) |
— |
$1,375 |
— |
| Reposition pacing-defib lead (33215) |
— |
$3,095 |
— |
| Repsng intrvas vc filtr w/wo acs vsl selxn rs&i (37192) |
— |
$3,005 |
— |
| Rmvl & Rplcmt Xtrnl Accessible Nephrourtrl Cath (50387) |
— |
$1,427 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$2,004 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$773 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$773 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$672 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$370 |
— |
| Rpsg previously placed cvc under fluor gdnce (36597) |
— |
$370 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$7,832 |
— |
| Slctv Cath Carotid/Innom Art Angio Xtrcranl Art (36222) |
— |
$10,215 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$9,781.50 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,397 |
— |
| Strapping knee (29530) |
— |
$52 |
— |
| Strapping unna boot (29580) |
— |
$195 |
— |
| Tcat impl wrls p-art prs snr l-t hemodyn mntr (33289) |
— |
$9,928 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$1,265 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$983 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$1,343 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$1,269 |
— |
| Thrombolysis Art/Venous Infsn W/Image Subsq Tx (37213) |
— |
$3,075 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$4,031 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$684 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$3,571 |
— |
| Thyroid biopsy (60100) |
— |
$496 |
— |
| Transperineal plmt biodegradable matrl 1/mlt njx (55874) |
— |
$9,088 |
— |
| Treat pleurodesis w/agent (32560) |
— |
$1,343 |
— |
| Trlml balo angiop open/perq img s&i 1st art (37246) |
— |
$5,478 |
— |
| Trlml balo angiop open/perq w/img s&i 1st vein (37248) |
— |
$6,919 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$28,750 |
— |
| Unlisted procedure maternity care & delivery (59899) |
— |
$403 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$2,222 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$3,465 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$6,859 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$6,859 |
— |
| Vasc embolize/occlude organ (37243) |
— |
$7,527 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$6,859 |
— |
| Venipuncture (36415) |
— |
$10 |
— |