| Ankle Arthroscopy/Surgery (29892) |
— |
$24,709.18 |
— |
| Arterial puncture (36600) |
— |
$950 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$6,259 |
— |
| Arthrodesis subtalar (28725) |
— |
$57,951.81 |
— |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
— |
$64,266.19 |
— |
| Arthroplasty interphalangeal joint each (26535) |
— |
$29,410.81 |
— |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
— |
$42,892.33 |
— |
| Arthroplasty Patella W/Prosthesis (27438) |
— |
$86,324.46 |
— |
| Arthroplasty Radial Head W/Implant (24366) |
— |
$64,465.32 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$39,496 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$19,449.74 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$39,476.23 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$43,125.30 |
— |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
— |
$36,812.42 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$17,883.65 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$51,183.45 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$20,450 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$16,161.70 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$39,156.67 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$31,052.02 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$88,145.94 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$91,984.76 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$124,137.42 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$74,548.07 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$27,488.50 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$11,669.40 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$16,108.08 |
— |
| Bladder Scan (51798) |
— |
$950 |
— |
| Blood Transfusion Service (36430) |
— |
$1,775 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$10,084.99 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$950 |
— |
| Change of Windpipe Airway (31502) |
— |
$950 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$2,872 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$10,882.50 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$68,187.52 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$19,573.70 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$34,035.88 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$17.40 |
— |
| Correction hammertoe (28285) |
— |
$18,514.51 |
— |
| Csf shunt reprogram (62252) |
— |
$2,841 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$13,122.32 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$16,090.35 |
— |
| Decompression of tibia nerve (28035) |
— |
$14,197.25 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$7,902.25 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$2,362.20 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$9,719.29 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$8,869.71 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$4,224.96 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$16,482.03 |
— |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
— |
$34,977.55 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$28,117.84 |
— |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
— |
$10,292.91 |
— |
| Excision olecranon bursa (24105) |
— |
$15,698.79 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$24,864.05 |
— |
| Fasciectomy Palm Only (26121) |
— |
$9,448.54 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$14,460.61 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$12,503.83 |
— |
| Fusion Finger Joint (26860) |
— |
$19,600.21 |
— |
| Hip arthro w/labral repair (29916) |
— |
$43,915.46 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$15,766.20 |
— |
| Incise finger tendon sheath (26055) |
— |
$10,535.20 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$28,326.04 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$1,466.18 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$950 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$5,101.42 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,841 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$8,094.63 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$5,568.07 |
— |
| Myelography Lumbar Injection (62305) |
— |
$3,600 |
— |
| Myelography Lumbar Injection (62304) |
— |
$2,046.23 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$2,600 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$10,079.43 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$43,300.63 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$13,140.23 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$24,506.17 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$38,186.95 |
— |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
— |
$43,741.30 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$42,363.18 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$38,368.57 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$22,327.43 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$42,311.42 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$26,358.33 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$26,458.80 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$33,631 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$33,915.99 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$30,799.66 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$30,715.71 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$61,256.34 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$12,520.63 |
— |
| Osteotomy radius distal third (25350) |
— |
$37,667.86 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$14,577.53 |
— |
| Partial excision bone olecranon process (24147) |
— |
$15,960 |
— |
| Partial removal of fibula (27641) |
— |
$16,852.80 |
— |
| Partial removal of tibia (27640) |
— |
$12,025.60 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$50,832.80 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$43,267.65 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$31,389.38 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$16,861.95 |
— |
| Reconstruct ulna/radioulnar (25337) |
— |
$20,939.14 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$43,655.22 |
— |
| Remove knee joint lining (27334) |
— |
$20,242.06 |
— |
| Renal Biopsy Perq (50200) |
— |
$2,508.24 |
— |
| Repair Achilles Tendon (27650) |
— |
$17,632.55 |
— |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
— |
$123,319.47 |
— |
| Repair Hallux Rigidus (28289) |
— |
$11,997.80 |
— |
| Repair Hand Joint (26540) |
— |
$12,820.71 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$35,918.03 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$32,323.49 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$27,952.08 |
— |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
— |
$35,756.39 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$69,995.06 |
— |
| Repair/graft achilles tendon (27652) |
— |
$24,768.34 |
— |
| Revision of knee joint (27442) |
— |
$112,340.91 |
— |
| Revision of lower leg tendon (27685) |
— |
$126,529.19 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$24,080.75 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$12,559.50 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,400 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$17,249.87 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$10,005.19 |
— |
| Tenodesis Wrist Flexors Fingers (25300) |
— |
$29,828.38 |
— |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
— |
$7,860.95 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$19,080.69 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$23,482.75 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$18,471.20 |
— |
| Total Knee Arthroplasty (27447) |
— |
$99,419.03 |
— |
| Treat fracture radius/ulna (25575) |
— |
$35,723.25 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$31,186.12 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$12,823.73 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$53,586.35 |
— |
| Unlisted procedure forearm or wrist (25999) |
— |
$43,222.05 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$26,685.71 |
— |
| Xfer Single Deep Low Leg Tendon (27691) |
— |
$16,214.80 |
— |