| Abd paracentesis w/imaging (49083) |
— |
$1,819 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$2,550 |
— |
| Ablate Pulm Tumor Perq Crybl (32994) |
— |
$26,474 |
— |
| Ablation 1/> liver tumor perq cryoablation (47383) |
— |
$26,802 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$19,725 |
— |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) |
— |
$20,989 |
— |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
— |
$26,402 |
— |
| Acne surgery (10040) |
— |
$728 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$8,965 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$10,449 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$10,209 |
— |
| Allogeneic lymphocyte infusions (38242) |
— |
$3,820 |
— |
| Amniocentesis diagnostic (59000) |
— |
$1,301 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$7,937 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$7,070 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$5,677 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$7,975 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$7,477 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$919 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$1,480 |
— |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
— |
$4,909 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$4,763 |
— |
| Anoscopy Control Bleeding (46614) |
— |
$3,095 |
— |
| Anoscopy diagnostic (46600) |
— |
$600 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$3,075 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$4,556 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$3,473 |
— |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
— |
$2,173 |
— |
| Apheresis Platelets (36513) |
— |
$8,957 |
— |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
— |
$1,321 |
— |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
— |
$1,729 |
— |
| Application cast elbow finger short arm (29075) |
— |
$1,436 |
— |
| Application Cast Finger (29086) |
— |
$657 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$216 |
— |
| Application finger splint static (29130) |
— |
$1,342 |
— |
| Application Hip Spica Cast 1 Leg (29305) |
— |
$1,278 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$1,301 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$1,278 |
— |
| Application Long Leg Splint (29505) |
— |
$779 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$1,301 |
— |
| Application of long leg cast (29345) |
— |
$1,342 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$2,119 |
— |
| Application Patellar Tendon Bearing Cast (29435) |
— |
$2,119 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$1,136 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$1,342 |
— |
| Application short leg splint calf foot (29515) |
— |
$835 |
— |
| Apply hand/wrist cast (29085) |
— |
$1,371 |
— |
| Apply long arm cast (29065) |
— |
$1,525 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$576 |
— |
| Apply Short Leg Cast (29405) |
— |
$1,342 |
— |
| Apply short leg cast (29425) |
— |
$2,119 |
— |
| Arterial puncture (36600) |
— |
$785 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,624 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$4,166 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,480 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$4,025 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$1,480 |
— |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
— |
$1,122 |
— |
| Artificial insemination intra-cervical (58321) |
— |
$1,436 |
— |
| Artificial insemination intra-uterine (58322) |
— |
$1,436 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$4,990 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$2,918 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$706 |
— |
| Aspiration & Injection Treatment Bone Cyst (20615) |
— |
$1,362 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$1,245 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$5,828 |
— |
| Aspiration Bladder Needle (51100) |
— |
$6,379 |
— |
| Aspiration bladder trocar/intracatheter (51101) |
— |
$1,431 |
— |
| Aspiration/Release Vitreous Subretinal/Choroidal (67015) |
— |
$5,592 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$801 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$8,941 |
— |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
— |
$9,790 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$9,790 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$5,299 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,190 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,570 |
— |
| Biopsy External Auditory Canal (69105) |
— |
$5,453 |
— |
| Biopsy external ear (69100) |
— |
$2,509 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,570 |
— |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
— |
$5,453 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$8,579 |
— |
| Biopsy of conjunctiva (68100) |
— |
$2,604 |
— |
| Biopsy of cornea (65410) |
— |
$3,891 |
— |
| Biopsy of floor of mouth (41108) |
— |
$4,093 |
— |
| Biopsy of lip (40490) |
— |
$1,416 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$5,804 |
— |
| Biopsy of palate, uvula (42100) |
— |
$3,758 |
— |
| Biopsy of penis (54100) |
— |
$7,244 |
— |
| Biopsy of rectum (45100) |
— |
$3,295 |
— |
| Biopsy Oropharynx (42800) |
— |
$2,884 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$2,443 |
— |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
— |
$4,682 |
— |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
— |
$4,682 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$7,591 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$1,392 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$7,244 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$3,795 |
— |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
— |
$3,328 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$3,758 |
— |
| Biopsy Tongue Posterior One-Third (41105) |
— |
$6,035 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$1,201 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$2,622 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$1,592 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$2,803 |
— |
| Bladder Irrigation (51700) |
— |
$692 |
— |
| Bladder Scan (51798) |
— |
$801 |
— |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
— |
$7,788 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$2,957 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$1,634 |
— |
| Blood Transfusion Service (36430) |
— |
$2,555 |
— |
| Bone Marrow Biopsy (38221) |
— |
$4,770 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$3,178 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$4,964 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$16,842 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$13,626 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$10,243 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$2,140 |
— |
| Bx Cervix (57500) |
— |
$1,157 |
— |
| Bx prostate strtctc saturation sampling img gid (55706) |
— |
$5,346 |
— |
| Bx prostate transperineal ultrasound-guided (55709) |
— |
$4,682 |
— |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
— |
$4,682 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$10,304 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$2,228 |
— |
| Car-t admn autologous (38228) |
— |
$7,788 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$2,894 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$278 |
— |
| Cautery Cervix Electro/Thermal (57510) |
— |
$1,170 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$7,522 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,477 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$1,306 |
— |
| Change of Windpipe Airway (31502) |
— |
$1,702 |
— |
| Change ureter stent percut (50382) |
— |
$9,741 |
— |
| Chemical Cautery Tissue (17250) |
— |
$879 |
— |
| Chemical peel face dermal (15789) |
— |
$1,371 |
— |
| Chemical peel, facial; epidermal (15788) |
— |
$1,592 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,449 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$1,810 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$1,645 |
— |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
— |
$757 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,592 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$1,751 |
— |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
— |
$1,645 |
— |
| Chemodenervation of internal anal sphincter (46505) |
— |
$2,173 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$1,729 |
— |
| Chest tube placement (32551) |
— |
$3,612 |
— |
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)
range across 2 matching MRF lines |
— |
$3,483–$4,087 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$8,215 |
— |
| Chorionic Villus Sampling (59015) |
— |
$1,245 |
— |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
— |
$6,973 |
— |
| Circumcision 28 days or older (54161) |
— |
$5,045 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$2,930 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$2,342 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$1,653 |
— |
| Clear outer ear canal (69200) |
— |
$879 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$1,092 |
— |
| Closed rx talotarsal disloc,anesth (28575) |
— |
$3,755 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$2,555 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$1,580 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$570 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$1,507 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$570 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$1,580 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$1,123 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$1,507 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,378 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,653 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$1,507 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$3,522 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$1,507 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$1,580 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$1,580 |
— |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
— |
$7,477 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$1,580 |
— |
| Closed tx fx orbit except blowout w/manipulation (21401) |
— |
$2,507 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$4,670 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,580 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$1,558 |
— |
| Closed tx mandibular fracture w/manipulation (21451) |
— |
$3,509 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$968 |
— |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
— |
$16,489 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$1,580 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$1,480 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$1,631 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$513 |
— |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
— |
$7,597 |
— |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
— |
$14,717 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$2,889 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,653 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$1,580 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,507 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,653 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,653 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$1,580 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$1,653 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$1,653 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$2,342 |
— |
| Closed tx septal&nose fx (21337) |
— |
$7,246 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$1,547 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$1,580 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$1,507 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$1,580 |
— |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
— |
$570 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$1,846 |
— |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
— |
$8,080 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$1,447 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$1,653 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$1,580 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$1,580 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$2,077 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$3,942 |
— |
| Closure lacrimal punctum (68760) |
— |
$1,480 |
— |
| Closure of cystostomy (separate procedure) Facility (51880) |
— |
$5,057 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$2,342 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$1,547 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$1,574 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$2,221 |
— |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
— |
$2,104 |
— |
| Clsd Tx Pelvic Ring Fx (27198) |
— |
$615 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$615 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$6,931 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$2,451 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$2,951 |
— |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$1,147 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$1,580 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$6,630 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$1,629 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$2,186 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
— |
$1,580 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$1,580 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$1,507 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$1,447 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$5,941 |
— |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
— |
$570 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,653 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$1,653 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$2,451 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$2,342 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$1,507 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,653 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$1,580 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,580 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$1,580 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$1,668 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$1,234 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$1,620 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$1,234 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$1,620 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,508 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$1,378 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$1,580 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$1,580 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$1,580 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$6,630 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$1,507 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$1,580 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$1,507 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$1,580 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$1,580 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$1,580 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$1,642 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$2,201 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$6,331 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$2,451 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$1,653 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$1,580 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,653 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$1,653 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$1,447 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$1,693 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$2,451 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$2,451 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$14,312 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,508 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$1,507 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$1,580 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$1,653 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$570 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$2,162 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$1,653 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$1,580 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$1,503 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$1,558 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,546 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$1,580 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$1,447 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$1,447 |
— |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
— |
$8,568 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$1,580 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$1,580 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$1,580 |
— |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$570 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,653 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$1,507 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$3,542 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$238 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$144 |
— |
| Colporrhaphy (57200) |
— |
$11,358 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$1,378 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$1,262 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$1,278 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$1,420 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$6,845 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$6,845 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$1,170 |
— |
| Colposcopy of vulva (56820) |
— |
$1,183 |
— |
| Colposcopy Vulva W/Biopsy (56821) |
— |
$1,371 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$1,419 |
— |
| Complex Cystometrogram (51726) |
— |
$2,636 |
— |
| Complex drainage wound (10180) |
— |
$4,973 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$6,845 |
— |
| Conization of cervix (57520) |
— |
$2,589 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$1,147 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$1,788 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$1,255 |
— |
| Conversion ext bil drg cath (47535) |
— |
$27,187 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$2,977 |
— |
| Convert Nephrostomy Catheter (50434) |
— |
$19,660 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$5,742 |
— |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
— |
$576 |
— |
| Correction of inverted nipples (19355) |
— |
$5,181 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$549 |
— |
| Create Eardrum Opening (69433) |
— |
$3,584 |
— |
| Csf shunt reprogram (62252) |
— |
$626 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$3,185 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$1,293 |
— |
| Curette/treat cornea (65435) |
— |
$2,599 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$3,780 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$8,201 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$3,130 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$5,057 |
— |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
— |
$7,764 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$8,190 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$7,797 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$9,373 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$9,820 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$3,130 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$2,973 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$2,973 |
— |
| Cystometrogram W/Vp (51728) |
— |
$2,175 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$1,480 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$14,557 |
— |
| Cystourethroscopy (52000) |
— |
$3,671 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$4,923 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$9,820 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$7,733 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$7,968 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$849 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$6,560 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,202 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,800 |
— |
| Debride nail 1-5 (11720) |
— |
$466 |
— |
| Debride nail 6 or more (11721) |
— |
$880 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$5,502 |
— |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
— |
$2,225 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$468 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,620 |
— |
| Declot vascular device (36593) |
— |
$1,800 |
— |
| Delivery of placenta (59414) |
— |
$6,336 |
— |
| Dermabrasion regional other than face (15782) |
— |
$9,159 |
— |
| Dermabrasion segmental face (15781) |
— |
$9,159 |
— |
| Dermabrasion superficial any site (15783) |
— |
$2,006 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$7,080 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$2,576 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$4,230 |
— |
| Destruc retinal lesn,photocoag (67210) |
— |
$7,730 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$849 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$919 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$6,768 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$3,270 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$8,322 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$904 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$1,246 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$1,751 |
— |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
— |
$2,241 |
— |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
— |
$2,739 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$904 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$1,246 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$1,751 |
— |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
— |
$2,241 |
— |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
— |
$2,739 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$376 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$904 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$1,246 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$1,751 |
— |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
— |
$2,241 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$3,961 |
— |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
— |
$1,110 |
— |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
— |
$3,485 |
— |
| Destruction of skin lesions (17106) |
— |
$726 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$1,005 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$728 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$11,358 |
— |
| Diagnostic anoscopy (46601) |
— |
$493 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$2,405 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$383 |
— |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
— |
$914 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$6,442 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$3,352 |
— |
| Dilate Urethra Stricture (53600) |
— |
$1,706 |
— |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
— |
$3,671 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$3,274 |
— |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
— |
$2,387 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$2,378 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$5,506 |
— |
| Drain Spinal Cord Cyst (62268) |
— |
$2,104 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$4,166 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$1,068 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$1,055 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$3,896 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,392 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$7,339 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$1,110 |
— |
| Drainage of eye (65800) |
— |
$4,353 |
— |
| Drainage of finger abscess simple (26010) |
— |
$1,516 |
— |
| Drainage of gum lesion (41800) |
— |
$1,447 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$5,657 |
— |
| Drainage of hydrocele (55000) |
— |
$1,406 |
— |
| Drainage of mouth lesion (41006) |
— |
$6,217 |
— |
| Drainage of mouth lesion (41017) |
— |
$6,035 |
— |
| Drainage of nose lesion (30000) |
— |
$1,123 |
— |
| Drainage of rectal abscess (45005) |
— |
$1,735 |
— |
| Drainage of salivary cyst (42409) |
— |
$5,453 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$5,089 |
— |
| Drainage of scrotum (54700) |
— |
$12,834 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$111 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$820 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
— |
$3,936 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$1,447 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$2,786 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$2,331 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$1,311 |
— |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
— |
$1,099 |
— |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
— |
$3,592 |
— |
| Dstrj les/scar vestibule mouth physical meths (40820) |
— |
$7,501 |
— |
| Dstrj Lesion Anus Extensive (46924) |
— |
$11,861 |
— |
| Dstrj Lesion Anus Simple Chemical (46900) |
— |
$2,006 |
— |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$746 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$11,861 |
— |
| Dstrj lesion choroid pc 1/> sess (67220) |
— |
$3,509 |
— |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) |
— |
$3,263 |
— |
| Dstrj Lesion Penis Simple Chemical (54050) |
— |
$904 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$660 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$8,322 |
— |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
— |
$2,739 |
— |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
— |
$2,900 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$3,557 |
— |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
— |
$6,331 |
— |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
— |
$6,768 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$3,755 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$3,915 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$4,964 |
— |
| Dx laryngoscopy w/oper scope (31526) |
— |
$4,964 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,439 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$3,671 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$4,100 |
— |
| Egd place gastrostomy tube (43246) |
— |
$3,842 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$919 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$919 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$1,707 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$1,884 |
— |
| Endocervical curettage (57505) |
— |
$1,493 |
— |
| Endometrial Biopsy (58100) |
— |
$849 |
— |
| Endoscopic injection/implant (51715) |
— |
$10,350 |
— |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
— |
$3,961 |
— |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
— |
$7,235 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$15,710 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$11,884 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$10,184 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$8,845 |
— |
| Epidural Blood Patch (62273) |
— |
$2,478 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$7,022 |
— |
| Escharotomy; initial incision (16035) |
— |
$6,123 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$1,931 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$4,183 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$2,550 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$389 |
— |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
— |
$6,338 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$3,794 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$6,587 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$4,014 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$1,859 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$5,299 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$3,794 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$6,587 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$6,587 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$9,452 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$3,634 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$3,997 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$7,244 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$3,794 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$3,317 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$3,473 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$3,819 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$5,554 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$5,968 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$4,666 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$6,587 |
— |
| Exc Frenum Labial/Buccal (40819) |
— |
$802 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$3,574 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$3,473 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$3,819 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$3,794 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$5,792 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$3,378 |
— |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
— |
$4,698 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$6,035 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$7,027 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$5,299 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$7,244 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$9,023 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$7,951 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$9,023 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$5,299 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$9,023 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$7,951 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$6,750 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$10,925 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$3,256 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$3,473 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$3,819 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$6,619 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$6,587 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$6,587 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$3,794 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$5,255 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$6,587 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$6,587 |
— |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
— |
$6,587 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$6,587 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$6,587 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$3,794 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$6,587 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$6,587 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$3,794 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$6,587 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$6,587 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$3,794 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$6,587 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$3,794 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$6,587 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$6,587 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$6,764 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$6,587 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$37,264 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$15,115 |
— |
| Exchange Transfusion (36455) |
— |
$1,059 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$14,285 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$5,653 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$2,108 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$5,299 |
— |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
— |
$4,459 |
— |
| Excision Bone Mandible (21025) |
— |
$10,648 |
— |
| Excision Chalazion Multiple Same Lid (67801) |
— |
$3,542 |
— |
| Excision Chalazion Single (67800) |
— |
$1,480 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$4,675 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$6,587 |
— |
| Excision Lesion Conjunctiva </1 Cm (68110) |
— |
$5,697 |
— |
| Excision lesion conjunctiva > 1 cm (68115) |
— |
$4,594 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$5,319 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$2,400 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$1,947 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$3,634 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$3,819 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$5,968 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$3,317 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$5,554 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$9,023 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$3,741 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$3,634 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$3,819 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$7,244 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$4,447 |
— |
| Excision nasal polyp(s) simple (30110) |
— |
$7,501 |
— |
| Excision of chalazion; multiple, different lids (67805) |
— |
$2,509 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$4,962 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$3,944 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$6,587 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$3,794 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$3,794 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$6,158 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$6,587 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$3,794 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$6,587 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$6,587 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
— |
$6,587 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$3,794 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$7,944 |
— |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
— |
$9,280 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,970 |
— |
| External cephalic version (59412) |
— |
$6,853 |
— |
Eye Surg Ant Sgmt Proc Unlisted (66999)
range across 2 matching MRF lines |
— |
$2,999–$5,592 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$761 |
— |
| Fetal non-stress test (59025) |
— |
$835 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$8,395 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$12,063 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$879 |
— |
| Fluid Pressure Muscle (20950) |
— |
$1,343 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$2,618 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$2,908 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$3,847 |
— |
| Foreskin manipulation (54450) |
— |
$1,395 |
— |
| Frenulotomy of penis (54164) |
— |
$8,153 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$9,159 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$8,965 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$3,246 |
— |
| Head Surgery Procedure (21499) |
— |
$7,944 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$1,890 |
— |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
— |
$5,320 |
— |
| I&d abscess peritonsillar (42700) |
— |
$1,690 |
— |
| I&d abscess simple (10060) |
— |
$1,301 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$7,339 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$7,587 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$10,915 |
— |
| I&D Mouth/Tong Intra,Masticator (41009) |
— |
$1,035 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,859 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$2,918 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,436 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
— |
$8,386 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$8,386 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$1,811 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$11,202 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$8,128 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$5,767 |
— |
| Implant neuroelectrodes (63650) |
— |
$12,484 |
— |
| Implant Neuroelectrodes (64561) |
— |
$29,872 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$18,799 |
— |
| Impression & Preparation Oral Surgical Splint (21085) |
— |
$400 |
— |
| Impression & Prepj Palatal Augmentation Prosthes (21082) |
— |
$3,113 |
— |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
— |
$5,188 |
— |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
— |
$3,113 |
— |
| Impression and custom preparation; mandibular resection prosthesis Facility (21081) |
— |
$9,240 |
— |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
— |
$3,113 |
— |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
— |
$3,113 |
— |
| Impression&Preparation Surg Obturator Prosthes (21076) |
— |
$2,340 |
— |
| Incise external hemorrhoid (46083) |
— |
$1,735 |
— |
| Incise/Drain Conjunctiva (68020) |
— |
$977 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,343 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$8,386 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,927 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,447 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,463 |
— |
| Incision and drainage of the tear gland (68400) |
— |
$2,354 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,592 |
— |
| Incision Drainage Lacrimal Sac (68420) |
— |
$2,604 |
— |
| Incision of eardrum (69420) |
— |
$1,290 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$1,480 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$3,189 |
— |
| Incision of rectal abscess (46040) |
— |
$5,158 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$1,027 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$2,006 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$799 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$888 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$3,117 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$529 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$2,739 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$3,117 |
— |
| Inject Intravitreal Pharmcologic (67028) |
— |
$1,547 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$1,493 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$2,372 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$2,589 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$2,045 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$3,270 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$2,772 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$2,372 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$2,772 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$1,863 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$2,209 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$2,372 |
— |
| Injection for identification of sentinel node (38792) |
— |
$1,625 |
— |
| Injection Into Brain Canal (61055) |
— |
$2,104 |
— |
| Injection into spinal artery (62294) |
— |
$2,303 |
— |
| Injection medication/other subst tenon capsule (67515) |
— |
$1,110 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$960 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$1,516 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,592 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$1,592 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$2,340 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$1,516 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$2,372 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$2,107 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$2,460 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$1,473 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$1,005 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$476 |
— |
| Injx anterior chamber eye air/liquid spx (66020) |
— |
$5,888 |
— |
| Injx Anterior Chamber Eye Medication Spx (66030) |
— |
$4,623 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$3,270 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$3,270 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$3,270 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$10,280 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$9,812 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$10,280 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$9,812 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$14,596 |
— |
| Ins Vag Brachytx Device (57156) |
— |
$549 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$1,065 |
— |
| Insert cath pleura w/ image (32557) |
— |
$4,767 |
— |
| Insert cath pleura w/o image (32556) |
— |
$2,448 |
— |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
— |
$11,239 |
— |
| Insert cervical dilator (59200) |
— |
$879 |
— |
| Insert Drug Implant Device (11981) |
— |
$745 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$6,670 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$49,264 |
— |
| Insert Nasal Septal Button (30220) |
— |
$4,747 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$5,565 |
— |
| Insert pessary/other device (57160) |
— |
$1,088 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$5,346 |
— |
| Insert prost urethral stent (53855) |
— |
$3,053 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$644 |
— |
| Insert tun ip cath perc (49418) |
— |
$11,074 |
— |
| Insert tunneled cv cath (36561) |
— |
$5,565 |
— |
| Insert tunneled cv cath (36563) |
— |
$8,965 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$8,261 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$644 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$10,067 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$10,463 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$13,166 |
— |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
— |
$3,542 |
— |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$8,573 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$3,218 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$10,320 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$3,725 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$3,725 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$5,489 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$7,702 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$19,774 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$5,411 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$5,016 |
— |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
— |
$3,219 |
— |
| Interdental Wiring Other Than Fracture (21497) |
— |
$6,702 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$2,456 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,536 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,068 |
— |
| Intranasal Biopsy (30100) |
— |
$3,758 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
— |
$7,021 |
— |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
— |
$1,320 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
— |
$6,940 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$7,021 |
— |
| Intro cath dialysis circuit (36901) |
— |
$2,576 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$35,578 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$33,263 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,477 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$3,299 |
— |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$5,243 |
— |
| Irrigation maxillary sinus (31000) |
— |
$1,824 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$1,461 |
— |
| Labyrinthotomy Transcanal (69801) |
— |
$9,281 |
— |
| Laryngoscopy and dilation (31528) |
— |
$6,718 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$2,107 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$2,107 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$2,466 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$4,964 |
— |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$2,466 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$4,932 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$594 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$3,559 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$1,301 |
— |
| Laser Surgery,Sever Vitreous Strands (67031) |
— |
$1,260 |
— |
| Late closure of wound (13160) |
— |
$4,370 |
— |
| Lateral Canthopexy (21282) |
— |
$4,924 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$6,909 |
— |
| Lip Surgery Procedure (40799) |
— |
$440 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$4,932 |
— |
| Lysis of labial adhesions (56441) |
— |
$7,339 |
— |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
— |
$4,330 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$6,530 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$3,365 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$2,570 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$2,830 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$2,830 |
— |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
— |
$3,659 |
— |
| Myelography Lumbar Injection (62305) |
— |
$11,196 |
— |
| Myelography Lumbar Injection (62304) |
— |
$9,852 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$9,803 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$9,338 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$3,114 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$2,372 |
— |
| N block inj intercost sng (64420) |
— |
$2,938 |
— |
| N Block Inj Paracervical (64435) |
— |
$2,372 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$864 |
— |
| N Block Inj Pudendal (64430) |
— |
$2,372 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$3,270 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$2,397 |
— |
| Nasal surgery procedure (30999) |
— |
$440 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$864 |
— |
| Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) |
— |
$1,558 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$11,528 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$6,984 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$1,055 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$2,596 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$5,299 |
— |
| Neuroeltrd Stim Post Tibial (64566) |
— |
$822 |
— |
| Nfct ds bct/viral trail ip-10 c-react prtn srm (0351U) |
— |
$417 |
— |
| Nipple/areola reconstruction (19350) |
— |
$8,357 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$3,270 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$2,478 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$4,054 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$12,346 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,856 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$1,960 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$1,558 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$1,558 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$1,960 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$1,960 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,558 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$1,960 |
— |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
— |
$4,370 |
— |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
— |
$4,370 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$2,696 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$10,679 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$821 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$1,005 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$1,005 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,406 |
— |
| Occipital Nerve Block (64405) |
— |
$2,372 |
— |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21812) |
— |
$2,257 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$18,457 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$34,258 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$34,258 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$21,813 |
— |
| Paracen ant cham rmvl blood w/wo irrig&/air in (65815) |
— |
$5,888 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$2,410 |
— |
| Partial excision of lip (40520) |
— |
$7,522 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$2,410 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$6,278 |
— |
| Penile Injection (54235) |
— |
$616 |
— |
| Perc Cryo Ablate Renal Tum (50593) |
— |
$16,949 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$4,583 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$16,949 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$8,723 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$26,915 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$5,804 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$18,461 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$3,036 |
— |
| Peritoneal Lavage (49084) |
— |
$1,909 |
— |
| Periurethral tprnl adjtbl balo cntnc dev adjmt (53454) |
— |
$373 |
— |
Perm Occlusion/Embolization,Percut,Cns (61624)
range across 2 matching MRF lines |
— |
$8,702–$26,915 |
— |
| Perq av fistula creation uxtr sep access sites (36837) |
— |
$28,999 |
— |
| Perq av fistula creation uxtr single access (36836) |
— |
$28,999 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$17,619 |
— |
| Perq dev breast 1st mr guide (19287) |
— |
$9,768 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$5,249 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$3,412 |
— |
| Perq device breast 1st imag (19281) |
— |
$2,589 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$3,434 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$17,619 |
— |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
— |
$23,441 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$16,881 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,624 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$46,296 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$14,353 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$13,674 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$13,674 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$10,274 |
— |
| Photopheresis extracorporeal (36522) |
— |
$23,838 |
— |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
— |
$2,864 |
— |
| Place Amniotic Membrane Ocular Surface Sutured (65779) |
— |
$7,538 |
— |
| Place Cath Subclavian Art (36225) |
— |
$29,135 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$40,084 |
— |
| Place Cath Vertebral Art (36226) |
— |
$31,907 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$9,760 |
— |
| Place Rt Device/Marker Pros (55876) |
— |
$2,236 |
— |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
— |
$8,774 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$585 |
— |
| Placement of seton (46020) |
— |
$3,295 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$33,889 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$64,283 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$38,748 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$59,764 |
— |
| Plmt expandable cath brst following prtl mast (19296) |
— |
$2,443 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$26,509 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$27,646 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$43,473 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$19,660 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$43,473 |
— |
| Prim art mech thrombectomy (37184) |
— |
$45,934 |
— |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
— |
$881 |
— |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
— |
$5,698 |
— |
| Probing nasolacrimal duct (68810) |
— |
$1,097 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$2,209 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$5,353 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$1,735 |
— |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
— |
$4,986 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$1,757 |
— |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
— |
$3,047 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$43,364 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$34,947 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$17,570 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$1,371 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$992 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$1,183 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,702 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$2,618 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$3,000 |
— |
| Pvb thoracic cont infusion (64463) |
— |
$1,973 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$1,973 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$10,495 |
— |
| Reduction of rectal prolapse (45900) |
— |
$1,818 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$10,014 |
— |
| Removal Anal Seton Other Marker (46030) |
— |
$2,483 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$1,629 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$825 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$8,426 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$6,724 |
— |
| Removal foreign body foot deep (28192) |
— |
$8,120 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$2,781 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$2,911 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$11,163 |
— |
| Removal Foreign Body Scrotum (55120) |
— |
$5,869 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$4,732 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$190 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$657 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$9,000 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$3,232 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$1,598 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$857 |
— |
| Removal of kidney stone (50081) |
— |
$23,441 |
— |
| Removal of nail bed (11750) |
— |
$2,781 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$8,506 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$779 |
— |
| Removal or destruction of bladder canal (urethra) malignancy (53220) |
— |
$5,226 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$2,380 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$785 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$1,123 |
— |
| Removal sweat gland lesion (11450) |
— |
$6,587 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$799 |
— |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
— |
$9,741 |
— |
| Remove brain canal fluid (61050) |
— |
$2,303 |
— |
| Remove drug implant device (11982) |
— |
$777 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$6,559 |
— |
| Remove foreign body from eye (65205) |
— |
$1,305 |
— |
| Remove Intrauterine Device (58301) |
— |
$1,173 |
— |
| Remove intrvas foreign body (37197) |
— |
$18,260 |
— |
| Remove lung catheter (32552) |
— |
$1,858 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$1,223 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$6,816 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,328 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$3,741 |
— |
| Remove ureter stent percut (50384) |
— |
$9,741 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$879 |
— |
| Renal Biopsy Perq (50200) |
— |
$6,059 |
— |
| Renal endoscopy through established nephrostomy or pyelostomy, with or without irrigation, instillation, or… (50555) |
— |
$2,827 |
— |
| Repair Blood Vessel Direct Hand Finger (35207) |
— |
$19,521 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$12,641 |
— |
| Repair brow ptosis (67900) |
— |
$9,943 |
— |
| Repair Choanal Atresia Intranasal (30540) |
— |
$12,126 |
— |
| Repair clitoris (56805) |
— |
$5,754 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,933 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$2,712 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,933 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,846 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,934 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$2,020 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,934 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$2,846 |
— |
| Repair Entropion Suture (67921) |
— |
$4,193 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$6,762 |
— |
| Repair Eyelid Wound (67935) |
— |
$5,049 |
— |
| Repair Hand Tendon (26410) |
— |
$6,762 |
— |
| Repair incomplete circumcision (54163) |
— |
$5,083 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,461 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,461 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,461 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,684 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,068 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,395 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,461 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,330 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,461 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,395 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,461 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,461 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,461 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,330 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,461 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,217 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$1,381 |
— |
| Repair Laceration Palate >2 Cm/Complex (42182) |
— |
$20,831 |
— |
| Repair of nail bed (11760) |
— |
$1,357 |
— |
| Repair of windpipe defect (31825) |
— |
$5,653 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$5,506 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$12,177 |
— |
| Repair tongue laceration (41252) |
— |
$3,348 |
— |
| Repair tongue laceration (41250) |
— |
$1,447 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$1,406 |
— |
| Replace G-J Tube Perc (49452) |
— |
$1,540 |
— |
| Replace g/c tube perc (49450) |
— |
$1,406 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$1,406 |
— |
| Reposition Venous Catheter (36597) |
— |
$1,631 |
— |
| Retrobulbar injection (67500) |
— |
$1,110 |
— |
| Revise Abdomen-Venous Shunt (49426) |
— |
$11,794 |
— |
| Revise external ear (69300) |
— |
$8,795 |
— |
| Revise eyelashes (67825) |
— |
$1,110 |
— |
| Revision of eyelid (67880) |
— |
$6,973 |
— |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
— |
$6,139 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$40,619 |
— |
| Revj/rpr oprative wound anterior segment (66250) |
— |
$4,723 |
— |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
— |
$7,560 |
— |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
— |
$7,560 |
— |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
— |
$24,348 |
— |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
— |
$24,348 |
— |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
— |
$24,348 |
— |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
— |
$24,348 |
— |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
— |
$15,333 |
— |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
— |
$15,333 |
— |
| Revsc evasc imvt angiop uni cplx les 1st vsl (37298) |
— |
$15,333 |
— |
| Revsc evasc imvt angiop uni sf les 1st vsl (37296) |
— |
$15,333 |
— |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
— |
$7,560 |
— |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
— |
$7,560 |
— |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
— |
$15,333 |
— |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
— |
$15,333 |
— |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
— |
$15,333 |
— |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
— |
$15,333 |
— |
| Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) |
— |
$24,348 |
— |
| Revsc evasc tpvt athrc uni sf les 1st vsl (37288) |
— |
$24,348 |
— |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
— |
$24,348 |
— |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
— |
$24,348 |
— |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
— |
$24,348 |
— |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
— |
$24,348 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$3,465 |
— |
| Rmvl Corneal Epithelium W/Appl Chelating Agent (65436) |
— |
$5,698 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$12,077 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$6,217 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$383 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$2,947 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,305 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$1,305 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$1,246 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$5,603 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$8,593 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$3,741 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$2,911 |
— |
| Rmvl implnt matl posterior segment extraocular (67120) |
— |
$4,657 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$1,931 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,711 |
— |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
— |
$1,048 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,872 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$294 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$5,565 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,741 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$5,565 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$6,591 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$9,299 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$5,495 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$5,016 |
— |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) |
— |
$7,478 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$3,310 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$3,367 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$1,357 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,395 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$3,386 |
— |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
— |
$5,625 |
— |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
— |
$4,723 |
— |
| Rpr Lac Cornea&/Sclera Perfor X Invg Uveal Tis (65280) |
— |
$10,483 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$3,936 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$4,115 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$4,288 |
— |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
— |
$7,080 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$11,710 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,265 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$3,178 |
— |
| Severing Adhesions Anterior Segment Laser Spx (65860) |
— |
$3,931 |
— |
| Severing tarsorrhaphy (67710) |
— |
$2,604 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$400 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$761 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$2,006 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$1,150 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$822 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$822 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$822 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$1,395 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$1,592 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$444 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$1,371 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$822 |
— |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
— |
$9,016 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$3,352 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$3,010 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,301 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$1,357 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$1,357 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$1,301 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,357 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$1,068 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$1,357 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,357 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,357 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$10,865 |
— |
| Skin Pinch Graft (15050) |
— |
$4,964 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$3,592 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,592 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$7,376 |
— |
| Skin Tissue Procedure (17999) |
— |
$2,749 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$21,558 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$21,558 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$31,907 |
— |
| Slitting of prepuce (54001) |
— |
$7,660 |
— |
| Small bowel endoscopy (44384) |
— |
$5,314 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$1,357 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,357 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,243 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,599 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$9,954 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$8,965 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$9,810 |
— |
| Sternal debridement (21627) |
— |
$1,679 |
— |
| Strapping ankle (29540) |
— |
$761 |
— |
| Strapping elbow or wrist (29260) |
— |
$1,223 |
— |
| Strapping hand/finger (29280) |
— |
$1,223 |
— |
| Strapping Hip (29520) |
— |
$708 |
— |
| Strapping knee (29530) |
— |
$761 |
— |
| Strapping shoulder (29240) |
— |
$1,223 |
— |
| Strapping thorax (29200) |
— |
$1,136 |
— |
| Strapping toes (29550) |
— |
$761 |
— |
| Strapping Unna Boot (29580) |
— |
$879 |
— |
| Subconjunctival injection (68200) |
— |
$682 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$758 |
— |
| Suprachoroidal space njx pharmacologic agent (67516) |
— |
$1,547 |
— |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
— |
$7,849 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$449 |
— |
| Temporary Closure Eyelids Suture (67875) |
— |
$2,604 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$6,476 |
— |
| Thaw preserved stem cells (38208) |
— |
$919 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$8,920 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$1,439 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$9,812 |
— |
| Therapeutic plasma exchange (36514) |
— |
$9,386 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$47,552 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$21,225 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$27,431 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$7,068 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$26,013 |
— |
| Thyroid biopsy (60100) |
— |
$1,561 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$11,384 |
— |
| Tooth extraction (41899) |
— |
$1,980 |
— |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
— |
$10,340 |
— |
| Trabeculoplasty by laser surgery (65855) |
— |
$3,931 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$4,288 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$7,624 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$2,286 |
— |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
— |
$4,464 |
— |
| Transcatheter biopsy (37200) |
— |
$6,901 |
— |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
— |
$3,143 |
— |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
— |
$22,785 |
— |
| Treat Dental Ridge Fracture (21440) |
— |
$9,599 |
— |
| Treat Hip Socket Fracture (27222) |
— |
$435 |
— |
| Treat humerus fracture (24500) |
— |
$1,580 |
— |
| Treat Humerus Fracture (24505) |
— |
$1,580 |
— |
| Treat humerus fracture (23600) |
— |
$1,580 |
— |
| Treat knee fracture (27532) |
— |
$1,560 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$1,580 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$2,451 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$1,580 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$1,290 |
— |
| Treat Thumb Dislocation (26641) |
— |
$1,580 |
— |
| Treat Thumb Fracture (26645) |
— |
$1,507 |
— |
| Treat toe dislocation (28630) |
— |
$1,507 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$617 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$1,480 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,653 |
— |
| Treatment extensive retinopathy photocoagulation (67228) |
— |
$10,732 |
— |
| Treatment mouth roof lesion (42160) |
— |
$5,453 |
— |
| Trim skin lesion (11055) |
— |
$422 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$493 |
— |
| Trim skin lesions over 4 (11057) |
— |
$542 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$433 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$35,532 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$31,943 |
— |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
— |
$9,497 |
— |
| Trnsplj Hematopoietic Cell Boost (38243) |
— |
$4,003 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$12,262 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$977 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$6,469 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$6,630 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$2,673 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$1,243 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$543 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$1,580 |
— |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$1,422 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$1,707 |
— |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
— |
$545 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$2,372 |
— |
| Unlisted procedure anus (46999) |
— |
$1,662 |
— |
| Unlisted procedure breast (19499) |
— |
$13,626 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$1,342 |
— |
| Unlisted Procedure Conjunctiva (68399) |
— |
$4,594 |
— |
| Unlisted Procedure Endocrine System (60699) |
— |
$825 |
— |
| Unlisted Procedure External Ear (69399) |
— |
$484 |
— |
| Unlisted procedure eyelids (67999) |
— |
$721 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$1,580 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$3,704 |
— |
| Unlisted procedure larynx (31599) |
— |
$3,275 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$2,650 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$404 |
— |
| Unlisted procedure nervous system (64999) |
— |
$757 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$3,540 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$1,658 |
— |
| Unlisted procedure spine (22899) |
— |
$10,511 |
— |
Unlisted procedure stomach (43999)
range across 2 matching MRF lines |
— |
$2,767–$4,510 |
— |
| Unlisted Procedure Tongue Floor Mouth (41599) |
— |
$1,320 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$1,072 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$787 |
— |
| Unlisted procedure, vestibule of mouth (40899) |
— |
$332 |
— |
| Unlisted Px Salivary Glands/Ducts (42699) |
— |
$967 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
— |
$7,968 |
— |
| Vaginal delivery only (59409) |
— |
$2,765 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$30,369 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$30,369 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$30,369 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$30,369 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$10,538 |
— |
| Vein Access Cutdown < 1 Yr (36420) |
— |
$215 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$101 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$17,628 |
— |
| Ventricular puncture previous burr hole w/inj (61026) |
— |
$2,201 |
— |
| Vulvectomy simple partial (56620) |
— |
$5,754 |
— |
| Wedge excision skin nail fold (11765) |
— |
$1,234 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$2,785 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$4,379 |
— |