| Abd paracentesis w/imaging (49083) |
— |
$580 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$574 |
— |
| Ablation 1/> Liver Tumor Perq Cryoablation (47383) |
— |
$7,472 |
— |
| Abltj 1/> lvr tum prq rf (47382) |
— |
$11,957 |
— |
| Amputate metacarpal bone (26910) |
— |
$1,475 |
— |
| Amputation Finger/Thumb (26951) |
— |
$2,021 |
— |
| Amputation of finger/thumb (26952) |
— |
$2,021 |
— |
| Anoscopy diagnostic (46600) |
— |
$83 |
— |
| Appl Mlt-Layer Venous Wound Compress Below Knee (29581) |
— |
$408 |
— |
| Application finger splint static (29130) |
— |
$95 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$104 |
— |
| Application long leg splint thigh ankle/toes (29505) |
— |
$104 |
— |
| Application Of Rigid Total Contact Leg Cast (29445) |
— |
$822 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$83 |
— |
| Application short leg splint calf foot (29515) |
— |
$104 |
— |
| Arterial puncture (36600) |
— |
$460 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$575 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$210 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$575 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$193 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$575 |
— |
| Aspir/inj thyroid cyst (60300) |
— |
$811 |
— |
| Aspiration Bladder Insert Suprapubic Catheter (51102) |
— |
$2,836 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$223 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$1,256 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,966.50 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,242 |
— |
| Biopsy of urethra (53200) |
— |
$2,108 |
— |
| Biopsy Pancrea Percutaneous Needle (48102) |
— |
$1,121 |
— |
| Biopsy pleura percutaneous needle (32400) |
— |
$1,121 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$1,117 |
— |
| Biopsy soft tissue of back (21920) |
— |
$1,016 |
— |
| Bladder Irrigation Simple (51700) |
— |
$105 |
— |
| Bladder Scan (51798) |
— |
$93 |
— |
| Blood patch (62273) |
— |
$421 |
— |
| Blood transfusion service (36430) |
— |
$495 |
— |
| Bone marrow aspiration only (38220) |
— |
$1,122 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,293 |
— |
| Brain Shunt Tube/Reserv Injectn (61070) |
— |
$1,686 |
— |
| Bx abdl/retroperitoneal mass prq needle (49180) |
— |
$2,242 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$4,837 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$637 |
— |
| Bx/exc lymph node needle superficial (38505) |
— |
$2,242 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$445 |
— |
| Chemical Cautery Tissue (17250) |
— |
$416.50 |
— |
| Chest tube placement (32551) |
— |
$284 |
— |
| Chg Collect Blood From Catheter Venous Nos (36592) |
— |
$131 |
— |
| Cisternal/Lateral C1-C2 Puncture W/Injection (61055) |
— |
$1,118 |
— |
| Close Rx Fingr Articular Fx,Manip (26742) |
— |
$1,010 |
— |
| Closed Rx Humer Epicondylr Fx,Manip (24565) |
— |
$1,159 |
— |
| Closed Rx Mandible Fx+Manipulatn (21451) |
— |
$862 |
— |
| Closed Rx Med Malleolus Fx,Manip (27762) |
— |
$1,010 |
— |
| Closed Rx Mid Humerus Fx,Manipulatn (24505) |
— |
$1,010 |
— |
| Closed rx prox/neck femur fx,manip (27232) |
— |
$1,735 |
— |
| Closed Rx Rad/Ulna Shaft Fx,Manip (25565) |
— |
$1,010 |
— |
| Closed Rx Shldr Disloc,Gr Tub Fx (23665) |
— |
$1,010 |
— |
| Closed Rx Trauma Hip Disloc,Anesth (27252) |
— |
$1,304 |
— |
| Closed treatment nasal fracture w/stabilization (21320) |
— |
$4,745 |
— |
| Closed treatment of humeral epicondylar fracture, medial or lateral; without manipulation (24560) |
— |
$259 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$166 |
— |
| Closed treatment pst malleolus fracture w/manj (27768) |
— |
$2,325 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$166 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,010 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$166 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$1,010 |
— |
| Closed tx nasal fracture w/o stabilization (21315) |
— |
$947 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$166 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,010 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,010 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$702 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$1,010 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$166 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$2,017 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$166 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$1,010 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$166 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$1,010 |
— |
| Cltx Carpo/Metacarpal Dislocation Thumb W/Manj (26641) |
— |
$166 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$166 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$166 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$166 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$166 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$166 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$259 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,010 |
— |
| Cltx fem fx dstl end medial/lat condyle w/manj (27510) |
— |
$1,010 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$179 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$1,010 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$348 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$166 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,010 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$166 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$166 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$166 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$166 |
— |
| Cltx metacarpophalangeal dislc w/manj w/o anes (26700) |
— |
$166 |
— |
| Cltx metatarsophlngl jt dislc w/o anes (28630) |
— |
$179 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$166 |
— |
| Cltx Post Hip Arthrp Dislc Req Anes (27266) |
— |
$1,010 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$166 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$1,159 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$166 |
— |
| Cltx shoulder dislc w/surg/antmcl neck fx w/manj (23675) |
— |
$505 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,699 |
— |
| Cltx tibial shaft fx w/manj w/wo skel tracj (27752) |
— |
$1,010 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,010 |
— |
| Colonoscopy flex w/rem forcep (45384) |
— |
$1,719 |
— |
| Colporrhaphy suture injury vagina (57200) |
— |
$1,729 |
— |
| Colsc Flexible W/Control Bleeding Any Method - Colonoscopy (45382) |
— |
$1,728 |
— |
| Complete replacement picc rs&i (36584) |
— |
$1,120 |
— |
| Complex Drainage, Wound (10180) |
— |
$1,781 |
— |
| Contrast Inj Cent Ven Cath, Inc Flouro (36598) |
— |
$348 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$97 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$97 |
— |
| Control Oropharyngeal Hemorrhage Simple (42960) |
— |
$147 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$4,485 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$97 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$97 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$1,364 |
— |
| Cystoscopy,Dil Urethral Stricture (52281) |
— |
$1,364 |
— |
| Cystourethroscopy W/Irrig & Evac Clots (52001) |
— |
$2,108 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$376 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$1,781 |
— |
| Debride Assoc Open Fx/Disloc Skin/Subq (11010) |
— |
$1,254 |
— |
| Debride nail 1-5 (11720) |
— |
$113 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$2,204.50 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,=<20 Sq Cm (11043) |
— |
$725 |
— |
| Debridement, Skin, Sub-Q Tissue,Muscle,Bone,=<20 Sq Cm (11044) |
— |
$3,340 |
— |
| Destruction Benign Lesions Up To 14 (17110) |
— |
$127 |
— |
| Diagnostic lumbar spinal puncture w/fluor or CT (62328) |
— |
$1,722 |
— |
| Dilate urethra stricture (53620) |
— |
$456 |
— |
| Drain Mouth Absc/Cyst/Hematoma,Simpl (40800) |
— |
$447 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$193 |
— |
| Drainage abscess/hematoma nasal int approach (30000) |
— |
$147 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$367 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$447 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$1,026 |
— |
| Drainage Finger Abscess Simple (26010) |
— |
$127 |
— |
| Drainage mouth roof lesion (42000) |
— |
$147 |
— |
| Drainage of eye (65800) |
— |
$3,206 |
— |
| Drainage of eyelid abscess (67700) |
— |
$250 |
— |
| Drainage of gum lesion (41800) |
— |
$83 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$4,366 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$1,026 |
— |
| Draw blood off venous device (36591) |
— |
$140 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$452 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$597 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$514.50 |
— |
| Dx bone marrow bx & aspir (38222) |
— |
$3,462 |
— |
| Egd Ablate Tumor Polyp/Lesion W/Dilation& Wire - Egd (43270) |
— |
$3,251 |
— |
| Egd flexible foreign body removal (43247) |
— |
$1,475 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$133 |
— |
| Exc Skin Benig 0.6-1 Cm Remaindr Body (11421) |
— |
$447 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$2,967 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$727 |
— |
| Excision malignant lesion f/e/e/n/l 1.1-2.0 cm (11642) |
— |
$447 |
— |
| Excision of lesion other than skin tag </= 0.5 cm (11420) |
— |
$1,026 |
— |
| Excision of nail fold toe (11765) |
— |
$419 |
— |
| Fine needle aspiration bx w/us gdn 1st lesion (10005) |
— |
$355 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$243 |
— |
| Fluid pressure muscle (20950) |
— |
$447 |
— |
| Gastric Intubation/Aspiration, Therapeutic (43753) |
— |
$268 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$447 |
— |
| I&D Abscess Peritonsillar (42700) |
— |
$147 |
— |
| I&d abscess simple (10060) |
— |
$586 |
— |
| I&d perianal abscess superficial (46050) |
— |
$554 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$509 |
— |
| I&D Upper Arm/Elbow Bursa (23931) |
— |
$4,266 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$622 |
— |
| Incision & drainage pilonidal cyst complicated (10081) |
— |
$447 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$1,026 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$243 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,433 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$229 |
— |
| Incision of rectal abscess (46040) |
— |
$727 |
— |
| Incision thrombosed hemorrhoid external (46083) |
— |
$179 |
— |
| Initial tx 1st degree burn local tx (16000) |
— |
$213 |
— |
| Injection aa&/strd trigeminal nerve each branch (64400) |
— |
$333 |
— |
| Injection anes other peripheral nerve/branch (64450) |
— |
$333 |
— |
| Injection for identification of sentinel node (38792) |
— |
$1,280 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$558 |
— |
| Injection, anesthetic agent; greater occipital nerve (64405) |
— |
$333 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$241 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$721 |
— |
| Insert picc cath (36569) |
— |
$1,134 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$306 |
— |
| Insert tunneled cv cath (36561) |
— |
$1,957 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$306 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$603 |
— |
| Irrigate corpora cavernosa for priapism (54220) |
— |
$404 |
— |
| Laryngoscopy Flexible Diagnostic (31575) |
— |
$122 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$475 |
— |
| Laryngoscopy Indirect Diagnostic Spx (31505) |
— |
$122 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$1,053 |
— |
| Laryngoscopy,Direct,Diagnostic (31525) |
— |
$123 |
— |
| Late closure of wound (13160) |
— |
$1,184 |
— |
| Liver Biopsy (47000) |
— |
$2,242 |
— |
| Nasal/Sinus Endoscopy,W/Control Nasal Hem (31238) |
— |
$1,053 |
— |
| Naso/oro-gastric tube plmt req phys&fluor gdnce (43752) |
— |
$189 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$417 |
— |
| Njx c/p/a cavernosa w/pharmacologic agt (54235) |
— |
$179 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$240 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$580 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$2,021 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$1,945 |
— |
| Perc Radiofreq Ablate Renal Tumor (50592) |
— |
$12,825 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$3,262 |
— |
| Peritoneal Lavage (49084) |
— |
$580 |
— |
| Perq Drainage Pleura Insert Cath W/Imaging (32557) |
— |
$567 |
— |
| Perq Drainage Pleura Insert Cath W/O Imaging (32556) |
— |
$1,107 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$11,302 |
— |
| Perq replacement gtube not req revj gstrst trc (43762) |
— |
$315 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$219 |
— |
| Preputial Stretching (54450) |
— |
$179 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$590 |
— |
| Puncture Aspiration (10160) |
— |
$362 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$811 |
— |
| Removal fb intranasal (30300) |
— |
$195 |
— |
| Removal foreign body foot deep (28192) |
— |
$5,048 |
— |
| Removal foreign body foot subcutaneous (28190) |
— |
$274 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$824 |
— |
| Removal foreign body pharynx (42809) |
— |
$103 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$120 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$120 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$1,729 |
— |
| Removal Implant From Finger/Hand (26320) |
— |
$1,026 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$1,026 |
— |
| Removal of arm foreign body (24200) |
— |
$1,026 |
— |
| Removal of intrauterine device (iud) (58301) |
— |
$329 |
— |
| Removal of nail bed (11750) |
— |
$1,386 |
— |
| Removal of skin tags, multiple fibrocutaneous tags, any area; up to and including 15 lesions (11200) |
— |
$194 |
— |
| Remove Eyelid Foreign Body (67938) |
— |
$468 |
— |
| Remove shoulder foreign body (23330) |
— |
$447 |
— |
| Remv Ext Canal Foreign Body (69200) |
— |
$83 |
— |
| Remv F.B.,Eye,Superf Conjunc (65205) |
— |
$83 |
— |
| Renal biopsy (50200) |
— |
$2,242 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$376 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$376 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$243 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$376 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$376 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$376 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$376 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$2,021 |
— |
| Repair forearm tendon/muscle (25260) |
— |
$2,314 |
— |
| Repair intermediate f/e/e/n/l&/muc 12.6-20.0cm (12055) |
— |
$243 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$223 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$223 |
— |
| Repair intermediate f/e/e/n/l&/muc 20.1-30.0cm (12056) |
— |
$596 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$223 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$223 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$376 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$223 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$223 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$223 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,039 |
— |
| Repair of nail bed (11760) |
— |
$376 |
— |
| Repair Tongue Laceration (41250) |
— |
$218 |
— |
| Replace duod/jej tube perc (49451) |
— |
$775 |
— |
| Replace g/c tube perc (49450) |
— |
$696 |
— |
| Revision of penis (54435) |
— |
$1,364 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$862 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$218 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$83 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$891 |
— |
| Rmvl foreign body muscle/tendon sheath deep/comp (20525) |
— |
$2,572 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$432 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$315 |
— |
| Rpr lac tongue floor mouth > 2.6 cm/cplx (41252) |
— |
$367 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$367 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$127 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$127 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$127 |
— |
| Simple repair f/e/e/n/l/m 20.1cm-30.0 cm (12017) |
— |
$243 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$127 |
— |
| Simple repair f/e/e/n/l/m 7.6cm-12.5 cm (12015) |
— |
$127 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$127 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$127 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$127 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$3,531 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$1,681 |
— |
| Skin Sub Grft T/Arm/Lg Child (15273) |
— |
$2,906 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$1,681 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$127 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$243 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$243 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$427.50 |
— |
| Spinal Puncture Therapeutic (62272) |
— |
$653 |
— |
| Strapping ankle (29540) |
— |
$213 |
— |
| Strapping hand/finger (29280) |
— |
$87 |
— |
| Strapping knee (29530) |
— |
$87 |
— |
| Strapping unna boot (29580) |
— |
$156 |
— |
| Subconjunctival injection (68200) |
— |
$110 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$602 |
— |
| Ther Apheresis,Plasma Pheresis (36514) |
— |
$1,756 |
— |
| Therapeutic spinal pnxr drainage csf w/fluor/CT (62329) |
— |
$790 |
— |
| Thoracentesis Needle/Cath Pleura W/Imaging (32555) |
— |
$567 |
— |
| Thoracentesis needle/cath pleura w/o imaging (32554) |
— |
$567 |
— |
| Throat Surgery Procedure (42999) |
— |
$629 |
— |
| Thrombolytic Therapy, Stroke (37195) |
— |
$508 |
— |
| Thyroid biopsy (60100) |
— |
$811 |
— |
| Trach Tube Change (31502) |
— |
$233 |
— |
| Tracheostomy emergency cricothyroid membrane (31605) |
— |
$1,357 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$862 |
— |
| Treat knee fracture (27532) |
— |
$4,692 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$166 |
— |
| Treatment closed elbow dislocation req anes (24605) |
— |
$1,010 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$166 |
— |
| Trimming Of Nondystrophic Nails, Any Number (11719) |
— |
$45 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$376 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$243 |
— |
| Unlisted craniofacial & maxillofacial procedure (21299) |
— |
$147 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$1,344 |
— |
| Unlisted Procedure Dentoalveolar Structures (41899) |
— |
$1,189 |
— |
| Unlisted Procedure Nervous System (64999) |
— |
$218 |
— |
| Unlisted Procedure Small Intestine (44799) |
— |
$1,219 |
— |
| Urology Surgery Procedure (53899) |
— |
$385 |
— |
| Vaginal delivery only (59409) |
— |
$1,729 |
— |
| Venipuncture (36415) |
— |
$15 |
— |