tag:blogger.com,1999:blog-51284391504680507682023-11-15T10:14:15.813-08:00CPT codesGirishhttp://www.blogger.com/profile/17280385093134871672noreply@blogger.comBlogger1125tag:blogger.com,1999:blog-5128439150468050768.post-88434869246434605152007-09-29T21:56:00.000-07:002007-09-30T01:59:12.469-07:00CPT codes10021 Fna w/o image $191.45<br />10022 Fna w/image $186.13<br />10040 Acne surgery $96.24<br />10060 Drainage of skin abscess $173.42<br />10061 Drainage of skin abscess $311.04<br />10080 Drainage of pilonidal cyst $248.37<br />10081 Drainage of pilonidal cyst $291.94<br />10120 Remove foreign body $195.74<br />10121 Remove foreign body $440.43<br />10140 Drainage of hematoma/fluid $193.47<br />10160 Puncture drainage of lesion $144.33<br />10180 Complex drainage, wound $402.06<br />11000 Debride infected skin $86.11<br />11001 Debride infected skin add-on $38.92<br />11010 Debride skin, fx $795.45<br />11011 Debride skin/muscle, fx $943.70<br />11012 Debride skin/muscle/bone, fx $1,376.58<br />11040 Debride skin, partial $74.51<br />11041 Debride skin, full $108.39<br />11042 Debride skin/tissue $154.19<br />11043 Debride tissue/muscle $422.45<br />11044 Debride tissue/muscle/bone $552.38<br />11055 Trim skin lesion $43.15<br />11056 Trim skin lesions, 2 to 4 $54.18<br />11057 Trim skin lesions, over 4 $66.58<br />11100 Biopsy, skin lesion $132.92<br />11101 Biopsy, skin add-on $54.71<br />11200 Removal of skin tags $132.19<br />11201 Remove skin tags add-on $33.36<br />11300 Shave skin lesion $108.31<br />11301 Shave skin lesion $142.30<br />11302 Shave skin lesion $170.66<br />11303 Shave skin lesion $204.47<br />11305 Shave skin lesion $109.58<br />11306 Shave skin lesion $150.34<br />11307 Shave skin lesion $176.00<br />11308 Shave skin lesion $207.87<br />11310 Shave skin lesion $133.34<br />11311 Shave skin lesion $165.84<br />11312 Shave skin lesion $191.15<br />11313 Shave skin lesion $250.05<br />11400 Exc tr-ext b9+marg 0.5 <> 4.0 cm $429.82<br />11420 Exc h-f-nk-sp b9+marg 0.5 < $198.47 11421 Exc h-f-nk-sp b9+marg 0.6-1 $253.70 11422 Exc h-f-nk-sp b9+marg 1.1-2 $283.84 11423 Exc h-f-nk-sp b9+marg 2.1-3 $336.99 11424 Exc h-f-nk-sp b9+marg 3.1-4 $384.19 11426 Exc h-f-nk-sp b9+marg > 4 cm $537.93<br />11440 Exc face-mm b9+marg 0.5 <> 4 cm $629.86<br />11450 Removal, sweat gland lesion $566.31<br />11451 Removal, sweat gland lesion $774.38<br />11462 Removal, sweat gland lesion $555.05<br />11463 Removal, sweat gland lesion $789.87<br />11470 Removal, sweat gland lesion $608.92<br />11471 Removal, sweat gland lesion $816.65<br />11600 Exc tr-ext mlg+marg 0.5 <> 4 cm $550.02<br />11620 Exc h-f-nk-sp mlg+marg 0.5 < $273.02 11621 Exc h-f-nk-sp mlg+marg 0.6-1 $324.19 11622 Exc h-f-nk-sp mlg+marg 1.1-2 $368.79 11623 Exc h-f-nk-sp mlg+marg 2.1-3 $434.46 11624 Exc h-f-nk-sp mlg+marg 3.1-4 $499.73 11626 Exc h-f-nk-sp mlg+mar > 4 cm $658.35<br />11640 Exc face-mm malig+marg 0.5 < $290.13 11641 Exc face-mm malig+marg 0.6-1 $378.15 11642 Exc face-mm malig+marg 1.1-2 $437.79 11643 Exc face-mm malig+marg 2.1-3 $506.50 11644 Exc face-mm malig+marg 3.1-4 $640.25 11646 Exc face-mm mlg+marg > 4 cm $862.44<br />11719 Trim nail(s) $30.25<br />11720 Debride nail, 1-5 $33.07<br />11721 Debride nail, 6 or more $44.35<br />11730 Removal of nail plate $147.01<br />11732 Remove nail plate, add-on $74.23<br />11740 Drain blood from under nail $87.52<br />11750 Removal of nail bed $292.06<br />11752 Remove nail bed/finger tip $416.20<br />11755 Biopsy, nail unit $175.96<br />11760 Repair of nail bed $251.87<br />11762 Reconstruction of nail bed $385.47<br />11765 Excision of nail fold, toe $132.07<br />11770 Removal of pilonidal lesion $347.09<br />11771 Removal of pilonidal lesion $843.64<br />11772 Removal of pilonidal lesion $1,042.25<br />11900 Injection into skin lesions $84.27<br />11901 Added skin lesions injection $106.55<br />11920 Correct skin color defects $264.44<br />11921 Correct skin color defects $315.18<br />11922 Correct skin color defects $64.12<br />11950 Therapy for contour defects $144.30<br />11951 Therapy for contour defects $196.25<br />11952 Therapy for contour defects $262.15<br />11954 Therapy for contour defects $314.03<br />11960 Insert tissue expander(s) $1,437.94<br />11970 Replace tissue expander $978.32<br />11971 Remove tissue expander(s) $656.46<br />11975 Insert contraceptive cap $201.15<br />11976 Removal of contraceptive cap $255.46<br />11977 Removal/reinsert contra cap $415.40<br />11980 Implant hormone pellet(s) $130.65<br />11981 Insert drug implant device $236.14<br />11982 Remove drug implant device $275.75<br />11983 Remove/insert drug implant $418.84<br />12001 Repair superficial wound(s) $270.13<br />12002 Repair superficial wound(s) $286.90<br />12004 Repair superficial wound(s) $336.96<br />12005 Repair superficial wound(s) $419.39<br />12006 Repair superficial wound(s) $474.36<br />12007 Repair superficial wound(s) $547.32<br />12011 Repair superficial wound(s) $285.97<br />12013 Repair superficial wound(s) $292.91<br />12014 Repair superficial wound(s) $364.90<br />12015 Repair superficial wound(s) $420.05<br />12016 Repair superficial wound(s) $493.09<br />12017 Repair superficial wound(s) $498.58<br />12018 Repair superficial wound(s) $587.35<br />12020 Closure of split wound $291.94<br />12021 Closure of split wound $265.08<br />12031 Layer closure of wound(s) $277.92<br />12032 Layer closure of wound(s) $359.95<br />12034 Layer closure of wound(s) $444.87<br />12035 Layer closure of wound(s) $528.67<br />12036 Layer closure of wound(s) $620.36<br />12037 Layer closure of wound(s) $711.99<br />12041 Layer closure of wound(s) $310.97<br />12042 Layer closure of wound(s) $389.71<br />12044 Layer closure of wound(s) $464.74<br />12045 Layer closure of wound(s) $537.80<br />12046 Layer closure of wound(s) $674.67<br />12047 Layer closure of wound(s) $766.30<br />12051 Layer closure of wound(s) $389.58<br />12052 Layer closure of wound(s) $432.30<br />12053 Layer closure of wound(s) $462.91<br />12054 Layer closure of wound(s) $511.64<br />12055 Layer closure of wound(s) $657.04<br />12056 Layer closure of wound(s) $873.80<br />12057 Layer closure of wound(s) $884.87<br />13100 Repair of wound or lesion $289.93<br />13101 Repair of wound or lesion $523.23<br />13102 Repair wound/lesion add-on $147.66<br />13120 Repair of wound or lesion $401.40<br />13121 Repair of wound or lesion $606.21<br />13122 Repair wound/lesion add-on $172.23<br />13131 Repair of wound or lesion $542.40<br />13132 Repair of wound or lesion $779.15<br />13133 Repair wound/lesion add-on $252.67<br />13150 Repair of wound or lesion $404.66<br />13151 Repair of wound or lesion $694.68<br />13152 Repair of wound or lesion $906.32<br />13153 Repair wound/lesion add-on $277.53<br />13160 Late closure of wound $974.53<br />14000 Skin tissue rearrangement $1,044.54<br />14001 Skin tissue rearrangement $1,342.85<br />14020 Skin tissue rearrangement $1,143.28<br />14021 Skin tissue rearrangement $1,497.67<br />14040 Skin tissue rearrangement $1,177.58<br />14041 Skin tissue rearrangement $1,618.56<br />14060 Skin tissue rearrangement $1,283.48<br />14061 Skin tissue rearrangement $1,749.90<br />14300 Skin tissue rearrangement $1,683.45<br />14350 Skin tissue rearrangement $1,251.99<br />15000 Skin graft $575.70<br />15001 Skin graft add-on $172.77<br />15050 Skin pinch graft $750.24<br />15100 Skin split graft $1,455.70<br />15101 Skin split graft add-on $399.68<br />15120 Skin split graft $1,512.87<br />15121 Skin split graft add-on $526.03<br />15200 Skin full graft $1,131.20<br />15201 Skin full graft add-on $176.00<br />15220 Skin full graft $1,344.17<br />15221 Skin full graft add-on $156.32<br />15240 Skin full graft $1,406.05<br />15241 Skin full graft add-on $245.93<br />15260 Skin full graft $1,456.02<br />15261 Skin full graft add-on $361.00<br />15342 Cultured skin graft, 25 cm $204.44<br />15343 Culture skn graft addl 25 cm $37.94<br />15350 Skin homograft $839.26<br />15351 Skin homograft add-on $143.85<br />15400 Skin heterograft $602.20<br />15401 Skin heterograft add-on $163.13<br />15570 Form skin pedicle flap $1,358.12<br />15572 Form skin pedicle flap $1,306.84<br />15574 Form skin pedicle flap $1,380.28<br />15576 Form skin pedicle flap $1,324.50<br />15600 Skin graft $635.22<br />15610 Skin graft $447.81<br />15620 Skin graft $744.82<br />15630 Skin graft $726.78<br />15650 Transfer skin pedicle flap $771.75<br />15732 Muscle-skin graft, head/neck $2,634.74<br />15734 Muscle-skin graft, trunk $2,633.35<br />15736 Muscle-skin graft, arm $2,537.48<br />15738 Muscle-skin graft, leg $2,650.96<br />15740 Island pedicle flap graft $1,465.05<br />15750 Neurovascular pedicle graft $1,520.94<br />15756 Free myo/skin flap microvasc $4,180.10<br />15757 Free skin flap, microvasc $4,262.33<br />15758 Free fascial flap, microvasc $4,258.45<br />15760 Composite skin graft $1,350.27<br />15770 Derma-fat-fascia graft $1,053.63<br />15775 Hair transplant punch grafts $302.52<br />15776 Hair transplant punch grafts $485.24<br />15780 Abrasion treatment of skin $1,047.20<br />15781 Abrasion treatment of skin $741.09<br />15782 Abrasion treatment of skin $626.47<br />15783 Abrasion treatment of skin $474.36<br />15786 Abrasion, lesion, single $160.96<br />15787 Abrasion, lesions, add-on $47.36<br />15788 Chemical peel, face, epiderm $390.49<br />15789 Chemical peel, face, dermal $817.92<br />15792 Chemical peel, nonfacial $360.57<br />15793 Chemical peel, nonfacial $570.77<br />15810 Salabrasion $382.29<br />15811 Salabrasion $514.67<br />15819 Plastic surgery, neck $1,227.30<br />15820 Revision of lower eyelid $867.79<br />15821 Revision of lower eyelid $936.86<br />15822 Revision of upper eyelid $740.14<br />15823 Revision of upper eyelid $1,075.42<br />15824 Removal of forehead wrinkles $1,514.77<br />15825 Removal of neck wrinkles $1,295.81<br />15826 Removal of brow wrinkles $1,094.72<br />15828 Removal of face wrinkles $3,704.15<br />15829 Removal of skin wrinkles $3,704.15<br />15831 Excise excessive skin tissue $1,544.24<br />15832 Excise excessive skin tissue $1,490.99<br />15833 Excise excessive skin tissue $1,408.70<br />15834 Excise excessive skin tissue $1,388.23<br />15835 Excise excessive skin tissue $1,701.47<br />15836 Excise excessive skin tissue $1,205.00<br />15837 Excise excessive skin tissue $1,204.90<br />15838 Excise excessive skin tissue $974.98<br />15839 Excise excessive skin tissue $1,275.82<br />15840 Graft for face nerve palsy $1,728.28<br />15841 Graft for face nerve palsy $2,882.64<br />15842 Flap for face nerve palsy $4,579.28<br />15845 Skin and muscle repair, face $1,614.51<br />15850 Removal of sutures $168.74<br />15851 Removal of sutures $184.70<br />15852 Dressing change not for burn $195.71<br />15860 Test for blood flow in graft $239.23<br />15876 Suction assisted lipectomy $893.57<br />15877 Suction assisted lipectomy $1,605.56<br />15878 Suction assisted lipectomy $893.57<br />15879 Suction assisted lipectomy $1,605.56<br />15920 Removal of tail bone ulcer $1,013.44<br />15922 Removal of tail bone ulcer $1,285.70<br />15931 Remove sacrum pressure sore $1,124.55<br />15933 Remove sacrum pressure sore $1,402.36<br />15934 Remove sacrum pressure sore $1,550.35<br />15935 Remove sacrum pressure sore $1,867.00<br />15936 Remove sacrum pressure sore $1,553.07<br />15937 Remove sacrum pressure sore $1,807.76<br />15940 Remove hip pressure sore $1,166.10<br />15941 Remove hip pressure sore $1,562.35<br />15944 Remove hip pressure sore $1,503.32<br />15945 Remove hip pressure sore $1,673.63<br />15946 Remove hip pressure sore $2,696.60<br />15950 Remove thigh pressure sore $583.09<br />15951 Remove thigh pressure sore $1,393.34<br />15952 Remove thigh pressure sore $1,437.51<br />15953 Remove thigh pressure sore $1,623.02<br />15956 Remove thigh pressure sore $1,972.35<br />15958 Remove thigh pressure sore $1,989.33<br />15999 Removal of pressure sore $0.00<br />16000 Initial treatment of burn(s) $92.81<br />16010 Treatment of burn(s) $113.15<br />16015 Treatment of burn(s) $263.92<br />16020 Treatment of burn(s) $131.36<br />16025 Treatment of burn(s) $182.42<br />16030 Treatment of burn(s) $314.33<br />16035 Incision of burn scab, initi $395.23<br />16036 Escharotomy; add’l incision $157.78<br />17000 Destroy benign/premlg lesion $113.03<br />17003 Destroy lesions, 2-14 $19.12<br />17004 Destroy lesions, 15 or more $372.87<br />17106 Destruction of skin lesions $623.85<br />17107 Destruction of skin lesions $1,222.96<br />17108 Destruction of skin lesions $1,254.91<br />17110 Destruct lesion, 1-14 $134.02<br />17111 Destruct lesion, 15 or more $145.01<br />17250 Chemical cautery, tissue $119.04<br />17260 Destruction of skin lesions $157.80<br />17261 Destruction of skin lesions $200.96<br />17262 Destruction of skin lesions $250.86<br />17263 Destruction of skin lesions $279.62<br />17264 Destruction of skin lesions $301.83<br />17266 Destruction of skin lesions $353.39<br />17270 Destruction of skin lesions $218.70<br />17271 Destruction of skin lesions $236.91<br />17272 Destruction of skin lesions $167.62<br />17273 Destruction of skin lesions $309.01<br />17274 Destruction of skin lesions $375.50<br />17276 Destruction of skin lesions $449.61<br />17280 Destruction of skin lesions $200.96<br />17281 Destruction of skin lesions $262.69<br />17282 Destruction of skin lesions $305.51<br />17283 Destruction of skin lesions $377.85<br />17284 Destruction of skin lesions $447.95<br />17286 Destruction of skin lesions $595.50<br />17304 1 stage mohs, up to 5 spec $1,088.42<br />17305 2 stage mohs, up to 5 spec $464.27<br />17306 3 stage mohs, up to 5 spec $481.32<br />17307 Mohs addl stage up to 5 spec $477.88<br />17310 Mohs any stage > 5 spec each $111.96<br />17340 Cryotherapy of skin $83.94<br />17360 Skin peel therapy $125.82<br />17380 Hair removal by electrolysis $128.11<br />17999 Skin tissue procedure $0.00<br />19000 Drainage of breast lesion $165.32<br />19001 Drain breast lesion add-on $55.98<br />19020 Incision of breast lesion $693.34<br />19030 Injection for breast x-ray $209.41<br />19100 Bx breast percut w/o image $235.27<br />19101 Biopsy of breast, open $568.60<br />19102 Bx breast percut w/image $428.86<br />19103 Bx breast percut w/device $667.85<br />19110 Nipple exploration $739.23<br />19112 Excise breast duct fistula $688.41<br />19120 Removal of breast lesion $753.09<br />19125 Excision, breast lesion $809.69<br />19126 Excision, addl breast lesion $300.68<br />19140 Removal of breast tissue $906.59<br />19160 Removal of breast tissue $709.45<br />19162 Remove breast tissue, nodes $1,505.02<br />19180 Removal of breast $1,041.11<br />19182 Removal of breast $940.22<br />19200 Removal of breast $1,771.16<br />19220 Removal of breast $1,808.29<br />19240 Removal of breast $1,830.22<br />19260 Removal of chest wall lesion $1,997.36<br />19271 Revision of chest wall $2,758.17<br />19272 Extensive chest wall surgery $3,032.43<br />19290 Place needle wire, breast $304.48<br />19291 Place needle wire, breast $163.83<br />19295 Place breast clip, percut $191.06<br />19316 Suspension of breast $1,367.00<br />19318 Reduction of large breast $2,005.97<br />19324 Enlarge breast $800.89<br />19325 Enlarge breast with implant $1,121.34<br />19328 Removal of breast implant $797.84<br />19330 Removal of implant material $1,017.55<br />19340 Immediate breast prosthesis $714.86<br />19342 Delayed breast prosthesis $1,502.49<br />19350 Breast reconstruction $1,459.56<br />19355 Correct inverted nipple(s) $1,277.14<br />19357 Breast reconstruction $2,388.32<br />19361 Breast reconstruction $2,333.08<br />19364 Breast reconstruction $4,846.59<br />19366 Breast reconstruction $2,453.94<br />19367 Breast reconstruction $3,174.07<br />19368 Breast reconstruction $3,957.11<br />19369 Breast reconstruction $3,720.38<br />19370 Surgery of breast capsule $1,114.54<br />19371 Removal of breast capsule $1,281.13<br />19380 Revise breast reconstruction $753.90<br />19396 Design custom breast implant $341.76<br />19499 Breast surgery procedure $0.00<br /><br />From 2<br /><br />20000 Incision of abscess $327.17<br />20005 Incision of deep abscess $498.65<br />20100 Explore wound, neck $1,190.66<br />20101 Explore wound, chest $454.19<br />20102 Explore wound, abdomen $549.53<br />20103 Explore wound, extremity $703.72<br />20150 Excise epiphyseal bar $1,556.97<br />20200 Muscle biopsy $201.51<br />20205 Deep muscle biopsy $427.89<br />20206 Needle biopsy, muscle $277.22<br />20220 Bone biopsy, trocar/needle $253.74<br />20225 Bone biopsy, trocar/needle $482.84<br />20240 Bone biopsy, excisional $433.92<br />20245 Bone biopsy, excisional $1,036.28<br />20250 Open bone biopsy $708.01<br />20251 Open bone biopsy $802.96<br />20500 Injection of sinus tract $300.48<br />20501 Inject sinus tract for x-ray $248.99<br />20520 Removal of foreign body $300.26<br />20525 Removal of foreign body $513.22<br />20526 Ther injection, carp tunnel $123.19<br />20550 Inj tendon sheath/ligament $107.29<br />20551 Inj tendon origin/insertion $105.22<br />20552 Inj trigger point, 1/2 muscl $101.95<br />20553 Inject trigger points, =/> 3 $116.24<br />20600 Drain/inject, joint/bursa $95.75<br />20605 Drain/inject, joint/bursa $104.82<br />20610 Drain/inject, joint/bursa $127.14<br />20612 Aspirate/inj ganglion cyst $103.56<br />20615 Treatment of bone cyst $353.02<br />20650 Insert and remove bone pin $344.80<br />20660 Apply, rem fixation device $418.68<br />20661 Application of head brace $743.27<br />20662 Application of pelvis brace $859.98<br />20663 Application of thigh brace $764.34<br />20664 Halo brace application $1,146.85<br />20665 Removal of fixation device $147.70<br />20670 Removal of support implant $495.81<br />20680 Removal of support implant $489.96<br />20690 Apply bone fixation device $451.71<br />20692 Apply bone fixation device $759.41<br />20693 Adjust bone fixation device $853.58<br />20694 Remove bone fixation device $655.17<br />20802 Replantation, arm, complete $4,782.05<br />20805 Replant forearm, complete $6,305.55<br />20808 Replantation hand, complete $7,855.52<br />20816 Replantation digit, complete $5,127.99<br />20822 Replantation digit, complete $4,506.48<br />20824 Replantation thumb, complete $5,075.23<br />20827 Replantation thumb, complete $4,714.69<br />20838 Replantation foot, complete $4,892.69<br />20900 Removal of bone for graft $780.88<br />20902 Removal of bone for graft $1,079.23<br />20910 Remove cartilage for graft $908.11<br />20912 Remove cartilage for graft $915.36<br />20920 Removal of fascia for graft $655.17<br />20922 Removal of fascia for graft $992.55<br />20924 Removal of tendon for graft $655.17<br />20926 Removal of tissue for graft $655.17<br />20930 Spinal bone allograft $92.38<br />20931 Spinal bone allograft $213.25<br />20936 Spinal bone autograft $634.56<br />20937 Spinal bone autograft $326.69<br />20938 Spinal bone autograft $354.52<br />20950 Fluid pressure, muscle $194.24<br />20955 Fibula bone graft, microvasc $4,825.41<br />20956 Iliac bone graft, microvasc $4,878.17<br />20957 Mt bone graft, microvasc $4,581.90<br />20962 Other bone graft, microvasc $4,960.90<br />20969 Bone/skin graft, microvasc $5,345.75<br />20970 Bone/skin graft, iliac crest $5,182.05<br />20972 Bone/skin graft, metatarsal $4,956.93<br />20973 Bone/skin graft, great toe $5,345.40<br />20974 Electrical bone stimulation $92.76<br />20975 Electrical bone stimulation $330.75<br />20979 Us bone stimulation $101.03<br />20982 Ablate, bone tumor(s) perq $4,691.94<br />20999 Musculoskeletal surgery $0.00<br />21010 Incision of jaw joint $1,277.15<br />21015 Resection of facial tumor $796.62<br />21025 Excision of bone, lower jaw $1,484.57<br />21026 Excision of facial bone(s) $855.70<br />21029 Contour of face bone lesion $1,197.61<br />21030 Excise max/zygoma b9 tumor $830.90<br />21031 Remove exostosis, mandible $568.93<br />21032 Remove exostosis, maxilla $572.03<br />21034 Excise max/zygoma mlg tumor $2,196.16<br />21040 Excise mandible lesion $816.17<br />21044 Removal of jaw bone lesion $1,517.76<br />21045 Extensive jaw surgery $2,042.66<br />21046 Remove mandible cyst complex $1,884.80<br />21047 Excise lwr jaw cyst w/repair $2,386.67<br />21048 Remove maxilla cyst complex $1,941.42<br />21049 Excis uppr jaw cyst w/repair $2,280.84<br />21050 Removal of jaw joint $1,543.78<br />21060 Remove jaw joint cartilage $1,485.15<br />21070 Remove coronoid process $1,123.37<br />21076 Prepare face/oral prosthesis $1,931.94<br />21077 Prepare face/oral prosthesis $4,875.42<br />21079 Prepare face/oral prosthesis $3,260.97<br />21080 Prepare face/oral prosthesis $3,713.32<br />21081 Prepare face/oral prosthesis $3,363.89<br />21082 Prepare face/oral prosthesis $2,985.29<br />21083 Prepare face/oral prosthesis $2,852.12<br />21084 Prepare face/oral prosthesis $3,307.06<br />21085 Prepare face/oral prosthesis $1,284.66<br />21086 Prepare face/oral prosthesis $3,607.75<br />21087 Prepare face/oral prosthesis $3,594.60<br />21088 Prepare face/oral prosthesis $2,316.82<br />21089 Prepare face/oral prosthesis $0.00<br />21100 Maxillofacial fixation $708.86<br />21110 Interdental fixation $883.29<br />21116 Injection, jaw joint x-ray $339.92<br />21120 Reconstruction of chin $987.34<br />21121 Reconstruction of chin $1,311.18<br />21122 Reconstruction of chin $1,147.28<br />21123 Reconstruction of chin $1,448.57<br />21125 Augmentation, lower jaw bone $1,635.18<br />21127 Augmentation, lower jaw bone $1,860.13<br />21137 Reduction of forehead $1,266.74<br />21138 Reduction of forehead $1,610.46<br />21139 Reduction of forehead $1,805.02<br />21141 Reconstruct midface, lefort $2,372.54<br />21142 Reconstruct midface, lefort $2,350.94<br />21143 Reconstruct midface, lefort $2,467.35<br />21145 Reconstruct midface, lefort $2,547.38<br />21146 Reconstruct midface, lefort $2,705.74<br />21147 Reconstruct midface, lefort $2,738.87<br />21150 Reconstruct midface, lefort $2,898.87<br />21151 Reconstruct midface, lefort $3,426.02<br />21154 Reconstruct midface, lefort $3,865.59<br />21155 Reconstruct midface, lefort $4,330.73<br />21159 Reconstruct midface, lefort $5,123.66<br />21160 Reconstruct midface, lefort $5,324.62<br />21172 Reconstruct orbit/forehead $3,120.53<br />21175 Reconstruct orbit/forehead $3,947.07<br />21179 Reconstruct entire forehead $2,784.87<br />21180 Reconstruct entire forehead $3,073.27<br />21181 Contour cranial bone lesion $1,316.36<br />21182 Reconstruct cranial bone $3,858.18<br />21183 Reconstruct cranial bone $4,217.47<br />21184 Reconstruct cranial bone $4,574.01<br />21188 Reconstruction of midface $2,796.54<br />21193 Reconst lwr jaw w/o graft $2,234.83<br />21194 Reconst lwr jaw w/graft $2,504.92<br />21195 Reconst lwr jaw w/o fixation $2,247.81<br />21196 Reconst lwr jaw w/fixation $2,432.34<br />21198 Reconstr lwr jaw segment $1,849.90<br />21199 Reconstr lwr jaw w/advance $1,878.14<br />21206 Reconstruct upper jaw bone $1,837.51<br />21208 Augmentation of facial bones $1,798.11<br />21209 Reduction of facial bones $1,344.37<br />21210 Face bone graft $1,741.32<br />21215 Lower jaw bone graft $1,773.70<br />21230 Rib cartilage graft $1,432.56<br />21235 Ear cartilage graft $1,305.49<br />21240 Reconstruction of jaw joint $1,969.73<br />21242 Reconstruction of jaw joint $1,864.13<br />21243 Reconstruction of jaw joint $2,857.04<br />21244 Reconstruction of lower jaw $1,616.20<br />21245 Reconstruction of jaw $2,028.97<br />21246 Reconstruction of jaw $1,981.51<br />21247 Reconstruct lower jaw bone $3,013.65<br />21248 Reconstruction of jaw $1,794.02<br />21249 Reconstruction of jaw $2,505.18<br />21255 Reconstruct lower jaw bone $2,172.84<br />21256 Reconstruction of orbit $2,088.24<br />21260 Revise eye sockets $1,900.79<br />21261 Revise eye sockets $3,761.22<br />21263 Revise eye sockets $3,094.14<br />21267 Revise eye sockets $2,375.18<br />21268 Revise eye sockets $2,912.40<br />21270 Augmentation, cheek bone $1,611.91<br />21275 Revision, orbitofacial bones $1,482.10<br />21280 Revision of eyelid $878.77<br />21282 Revision of eyelid $590.66<br />21295 Revision of jaw muscle/bone $313.89<br />21296 Revision of jaw muscle/bone $633.97<br />21299 Cranio/maxillofacial surgery $0.00<br />21300 Treatment of skull fracture $221.40<br />21310 Treatment of nose fracture $206.48<br />21315 Treatment of nose fracture $326.17<br />21320 Treatment of nose fracture $436.93<br />21325 Treatment of nose fracture $551.65<br />21330 Treatment of nose fracture $784.41<br />21335 Treatment of nose fracture $1,137.47<br />21336 Treat nasal septal fracture $862.82<br />21337 Treat nasal septal fracture $427.89<br />21338 Treat nasoethmoid fracture $916.00<br />21339 Treat nasoethmoid fracture $1,099.64<br />21340 Treatment of nose fracture $1,437.05<br />21343 Treatment of sinus fracture $1,707.56<br />21344 Treatment of sinus fracture $2,485.23<br />21345 Treat nose/jaw fracture $1,427.81<br />21346 Treat nose/jaw fracture $1,733.56<br />21347 Treat nose/jaw fracture $1,665.75<br />21348 Treat nose/jaw fracture $2,084.82<br />21355 Treat cheek bone fracture $616.37<br />21356 Treat cheek bone fracture $1,127.37<br />21360 Treat cheek bone fracture $1,459.57<br />21365 Treat cheek bone fracture $1,979.07<br />21366 Treat cheek bone fracture $2,184.42<br />21385 Treat eye socket fracture $1,196.44<br />21386 Treat eye socket fracture $1,229.81<br />21387 Treat eye socket fracture $1,274.95<br />21390 Treat eye socket fracture $1,335.24<br />21395 Treat eye socket fracture $1,631.97<br />21400 Treat eye socket fracture $365.47<br />21401 Treat eye socket fracture $605.19<br />21406 Treat eye socket fracture $984.26<br />21407 Treat eye socket fracture $1,161.56<br />21408 Treat eye socket fracture $1,608.50<br />21421 Treat mouth roof fracture $1,083.56<br />21422 Treat mouth roof fracture $1,425.63<br />21423 Treat mouth roof fracture $1,399.08<br />21431 Treat craniofacial fracture $1,283.65<br />21432 Treat craniofacial fracture $1,091.01<br />21433 Treat craniofacial fracture $3,150.57<br />21435 Treat craniofacial fracture $2,246.75<br />21436 Treat craniofacial fracture $3,455.09<br />21440 Treat dental ridge fracture $765.12<br />21445 Treat dental ridge fracture $1,143.11<br />21450 Treat lower jaw fracture $578.78<br />21451 Treat lower jaw fracture $982.85<br />21452 Treat lower jaw fracture $416.49<br />21453 Treat lower jaw fracture $1,156.10<br />21454 Treat lower jaw fracture $954.55<br />21461 Treat lower jaw fracture $1,495.54<br />21462 Treat lower jaw fracture $1,731.26<br />21465 Treat lower jaw fracture $1,614.45<br />21470 Treat lower jaw fracture $2,042.96<br />21480 Reset dislocated jaw $181.87<br />21485 Reset dislocated jaw $718.86<br />21490 Repair dislocated jaw $1,619.92<br />21493 Treat hyoid bone fracture $294.48<br />21494 Treat hyoid bone fracture $878.82<br />21495 Treat hyoid bone fracture $853.36<br />21497 Interdental wiring $750.46<br />21499 Head surgery procedure $0.00<br />21501 Drain neck/chest lesion $622.10<br />21502 Drain chest lesion $955.95<br />21510 Drainage of bone lesion $849.47<br />21550 Biopsy of neck/chest $409.93<br />21555 Remove lesion, neck/chest $689.27<br />21556 Remove lesion, neck/chest $719.42<br />21557 Remove tumor, neck/chest $1,072.21<br />21600 Partial removal of rib $946.68<br />21610 Partial removal of rib $1,788.35<br />21615 Removal of rib $1,249.35<br />21616 Removal of rib and nerves $1,505.99<br />21620 Partial removal of sternum $956.09<br />21627 Sternal debridement $986.49<br />21630 Extensive sternum surgery $2,201.67<br />21632 Extensive sternum surgery $2,211.57<br />21685 Hyoid myotomy & suspension $1,716.08<br />21700 Revision of neck muscle $892.78<br />21705 Revision of neck muscle/rib $1,141.80<br />21720 Revision of neck muscle $832.92<br />21725 Revision of neck muscle $938.64<br />21740 Reconstruction of sternum $1,906.73<br />21742 Repair stern/nuss w/o scope $4,800.00<br />21743 Repair sternum/nuss w/scope $4,800.00<br />21750 Repair of sternum separation $1,281.36<br />21800 Treatment of rib fracture $220.04<br />21805 Treatment of rib fracture $448.00<br />21810 Treatment of rib fracture(s) $882.52<br />21820 Treat sternum fracture $282.83<br />21825 Treat sternum fracture $1,047.82<br />21899 Neck/chest surgery procedure $0.00<br />21920 Biopsy soft tissue of back $252.25<br />21925 Biopsy soft tissue of back $809.19<br />21930 Remove lesion, back or flank $770.15<br />21935 Remove tumor, back $2,118.65<br />22100 Remove part of neck vertebra $1,315.26<br />22101 Remove part, thorax vertebra $1,336.05<br />22102 Remove part, lumbar vertebra $1,348.45<br />22103 Remove extra spine segment $273.47<br />22110 Remove part of neck vertebra $1,678.94<br />22112 Remove part, thorax vertebra $1,678.35<br />22114 Remove part, lumbar vertebra $1,678.00<br />22116 Remove extra spine segment $270.25<br />22210 Revision of neck spine $3,018.44<br />22212 Revision of thorax spine $2,476.41<br />22214 Revision of lumbar spine $2,513.76<br />22216 Revise, extra spine segment $706.92<br />22220 Revision of neck spine $2,693.82<br />22222 Revision of thorax spine $2,531.27<br />22224 Revision of lumbar spine $2,717.49<br />22226 Revise, extra spine segment $706.23<br />22305 Treat spine process fracture $384.71<br />22310 Treat spine fracture $546.31<br />22315 Treat spine fracture $1,639.90<br />22318 Treat odontoid fx w/o graft $2,710.30<br />22319 Treat odontoid fx w/graft $3,011.82<br />22325 Treat spine fracture $2,308.81<br />22326 Treat neck spine fracture $2,490.34<br />22327 Treat thorax spine fracture $2,401.81<br />22328 Treat each add spine fx $527.90<br />22505 Manipulation of spine $215.67<br />22520 Percut vertebroplasty thor $4,621.17<br />22521 Percut vertebroplasty lumb $4,092.27<br />22522 Percut vertebroplasty add’l $451.17<br />22532 Lat thorax spine fusion $2,965.87<br />22533 Lat lumbar spine fusion $2,783.96<br />22534 Lat thor/lumb, add’l seg $697.05<br />22548 Neck spine fusion $3,221.01<br />22554 Neck spine fusion $2,381.42<br />22556 Thorax spine fusion $2,915.90<br />22558 Lumbar spine fusion $2,704.71<br />22585 Additional spinal fusion $645.43<br />22590 Spine & skull spinal fusion $2,602.03<br />22595 Neck spinal fusion $2,476.77<br />22600 Neck spine fusion $2,090.37<br />22610 Thorax spine fusion $2,084.21<br />22612 Lumbar spine fusion $2,671.76<br />22614 Spine fusion, extra segment $754.34<br />22630 Lumbar spine fusion $2,643.54<br />22632 Spine fusion, extra segment $610.99<br />22800 Fusion of spine $2,342.92<br />22802 Fusion of spine $3,826.11<br />22804 Fusion of spine $4,475.64<br />22808 Fusion of spine $3,257.83<br />22810 Fusion of spine $3,701.72<br />22812 Fusion of spine $4,004.67<br />22818 Kyphectomy, 1-2 segments $3,878.70<br />22819 Kyphectomy, 3 or more $4,311.39<br />22830 Exploration of spinal fusion $1,423.59<br />22840 Insert spine fixation device $1,467.12<br />22841 Insert spine fixation device Paid Elsewhere<br />22842 Insert spine fixation device $1,471.83<br />22843 Insert spine fixation device $1,546.82<br />22844 Insert spine fixation device $1,930.75<br />22845 Insert spine fixation device $1,404.15<br />22846 Insert spine fixation device $1,457.43<br />22847 Insert spine fixation device $1,612.79<br />22848 Insert pelv fixation device $703.95<br />22849 Reinsert spinal fixation $2,308.26<br />22850 Remove spine fixation device $1,254.49<br />22851 Apply spine prosth device $778.28<br />22852 Remove spine fixation device $1,197.49<br />22855 Remove spine fixation device $1,910.67<br />22899 Spine surgery procedure $0.00<br />22900 Remove abdominal wall lesion $682.19<br />22999 Abdomen surgery procedure $0.00<br />23000 Removal of calcium deposits $702.04<br />23020 Release shoulder joint $1,238.71<br />23030 Drain shoulder lesion $480.11<br />23031 Drain shoulder bursa $403.53<br />23035 Drain shoulder bone lesion $1,277.48<br />23040 Exploratory shoulder surgery $1,279.52<br />23044 Exploratory shoulder surgery $1,018.57<br />23065 Biopsy shoulder tissues $368.81<br />23066 Biopsy shoulder tissues $681.60<br />23075 Removal of shoulder lesion $342.98<br />23076 Removal of shoulder lesion $1,002.97<br />23077 Remove tumor of shoulder $2,015.57<br />23100 Biopsy of shoulder joint $874.89<br />23101 Shoulder joint surgery $818.92<br />23105 Remove shoulder joint lining $1,154.10<br />23106 Incision of collarbone joint $875.51<br />23107 Explore treat shoulder joint $1,201.11<br />23120 Partial removal, collar bone $1,017.13<br />23125 Removal of collar bone $1,278.22<br />23130 Remove shoulder bone, part $1,095.76<br />23140 Removal of bone lesion $920.17<br />23145 Removal of bone lesion $1,251.35<br />23146 Removal of bone lesion $1,120.79<br />23150 Removal of humerus lesion $1,159.34<br />23155 Removal of humerus lesion $1,403.56<br />23156 Removal of humerus lesion $1,204.22<br />23170 Remove collar bone lesion $984.03<br />23172 Remove shoulder blade lesion $995.26<br />23174 Remove humerus lesion $1,339.50<br />23180 Remove collar bone lesion $1,319.01<br />23182 Remove shoulder blade lesion $1,264.49<br />23184 Remove humerus lesion $1,407.95<br />23190 Partial removal of scapula $1,008.94<br />23195 Removal of head of humerus $1,322.99<br />23200 Removal of collar bone $1,579.52<br />23210 Removal of shoulder blade $1,638.00<br />23220 Partial removal of humerus $1,918.15<br />23221 Partial removal of humerus $2,241.53<br />23222 Partial removal of humerus $3,013.67<br />23330 Remove shoulder foreign body $282.01<br />23331 Remove shoulder foreign body $1,060.01<br />23332 Remove shoulder foreign body $1,574.06<br />23350 Injection for shoulder x-ray $205.08<br />23395 Muscle transfer,shoulder/arm $2,227.78<br />23397 Muscle transfers $2,080.45<br />23400 Fixation of shoulder blade $1,787.96<br />23405 Incision of tendon & muscle $1,153.19<br />23406 Incise tendon(s) & muscle(s) $1,444.63<br />23410 Repair rotator cuff, acute $1,646.35<br />23412 Repair rotator cuff, chronic $1,750.82<br />23415 Release of shoulder ligament $1,350.08<br />23420 Repair of shoulder $1,810.66<br />23430 Repair biceps tendon $1,360.81<br />23440 Remove/transplant tendon $1,412.53<br />23450 Repair shoulder capsule $1,755.48<br />23455 Repair shoulder capsule $1,874.01<br />23460 Repair shoulder capsule $2,018.89<br />23462 Repair shoulder capsule $1,972.70<br />23465 Repair shoulder capsule $2,026.60<br />23466 Repair shoulder capsule $1,918.93<br />23470 Reconstruct shoulder joint $2,212.64<br />23472 Reconstruct shoulder joint $2,653.92<br />23480 Revision of collar bone $1,501.63<br />23485 Revision of collar bone $1,759.79<br />23490 Reinforce clavicle $1,536.65<br />23491 Reinforce shoulder bones $1,878.94<br />23500 Treat clavicle fracture $417.94<br />23505 Treat clavicle fracture $662.34<br />23515 Treat clavicle fracture $1,044.00<br />23520 Treat clavicle dislocation $423.23<br />23525 Treat clavicle dislocation $604.39<br />23530 Treat clavicle dislocation $995.60<br />23532 Treat clavicle dislocation $1,120.46<br />23540 Treat clavicle dislocation $427.89<br />23545 Treat clavicle dislocation $568.63<br />23550 Treat clavicle dislocation $1,017.89<br />23552 Treat clavicle dislocation $1,178.78<br />23570 Treat shoulder blade fx $402.93<br />23575 Treat shoulder blade fx $705.12<br />23585 Treat scapula fracture $1,243.36<br />23600 Treat humerus fracture $523.79<br />23605 Treat humerus fracture $844.41<br />23615 Treat humerus fracture $1,349.93<br />23616 Treat humerus fracture $2,682.00<br />23620 Treat humerus fracture $330.36<br />23625 Treat humerus fracture $655.17<br />23630 Treat humerus fracture $1,044.34<br />23650 Treat shoulder dislocation $587.99<br />23655 Treat shoulder dislocation $648.53<br />23660 Treat shoulder dislocation $1,038.27<br />23665 Treat dislocation/fracture $755.90<br />23670 Treat dislocation/fracture $1,104.33<br />23675 Treat dislocation/fracture $1,005.82<br />23680 Treat dislocation/fracture $1,364.32<br />23700 Fixation of shoulder $360.93<br />23800 Fusion of shoulder joint $1,857.65<br />23802 Fusion of shoulder joint $2,039.10<br />23900 Amputation of arm & girdle $2,392.49<br />23920 Amputation at shoulder joint $1,863.72<br />23921 Amputation follow-up surgery $796.70<br />23929 Shoulder surgery procedure $0.00<br />23930 Drainage of arm lesion $419.50<br />23931 Drainage of arm bursa $309.54<br />23935 Drain arm/elbow bone lesion $910.69<br />24000 Exploratory elbow surgery $834.77<br />24006 Release elbow joint $1,276.38<br />24065 Biopsy arm/elbow soft tissue $305.74<br />24066 Biopsy arm/elbow soft tissue $810.25<br />24075 Remove arm/elbow lesion $657.50<br />24076 Remove arm/elbow lesion $848.94<br />24077 Remove tumor of arm/elbow $1,526.73<br />24100 Biopsy elbow joint lining $702.24<br />24101 Explore/treat elbow joint $895.09<br />24102 Remove elbow joint lining $1,114.04<br />24105 Removal of elbow bursa $588.55<br />24110 Remove humerus lesion $1,053.87<br />24115 Remove/graft bone lesion $1,272.06<br />24116 Remove/graft bone lesion $1,576.19<br />24120 Remove elbow lesion $936.67<br />24125 Remove/graft bone lesion $1,050.26<br />24126 Remove/graft bone lesion $1,137.05<br />24130 Removal of head of radius $911.62<br />24134 Removal of arm bone lesion $1,412.04<br />24136 Remove radius bone lesion $1,141.39<br />24138 Remove elbow bone lesion $1,174.74<br />24140 Partial removal of arm bone $1,388.88<br />24145 Partial removal of radius $1,168.23<br />24147 Partial removal of elbow $1,200.01<br />24149 Radical resection of elbow $1,922.96<br />24150 Extensive humerus surgery $1,759.55<br />24151 Extensive humerus surgery $2,055.91<br />24152 Extensive radius surgery $1,339.57<br />24153 Extensive radius surgery $1,288.04<br />24155 Removal of elbow joint $1,512.08<br />24160 Remove elbow joint implant $1,094.29<br />24164 Remove radius head implant $888.79<br />24200 Removal of arm foreign body $273.23<br />24201 Removal of arm foreign body $754.15<br />24220 Injection for elbow x-ray $486.66<br />24300 Manipulate elbow w/anesth $676.81<br />24301 Muscle/tendon transfer $1,377.20<br />24305 Arm tendon lengthening $1,055.94<br />24310 Revision of arm tendon $870.14<br />24320 Repair of arm tendon $1,361.45<br />24330 Revision of arm muscles $1,307.34<br />24331 Revision of arm muscles $1,444.17<br />24332 Tenolysis, triceps $1,040.49<br />24340 Repair of biceps tendon $1,108.75<br />24341 Repair arm tendon/muscle $1,167.33<br />24342 Repair of ruptured tendon $1,435.38<br />24343 Repr elbow lat ligmnt w/tiss $1,237.79<br />24344 Reconstruct elbow lat ligmnt $1,898.40<br />24345 Repr elbw med ligmnt w/tissu $1,230.90<br />24346 Reconstruct elbow med ligmnt $1,888.76<br />24350 Repair of tennis elbow $801.17<br />24351 Repair of tennis elbow $877.98<br />24352 Repair of tennis elbow $938.14<br />24354 Repair of tennis elbow $938.09<br />24356 Revision of tennis elbow $966.44<br />24360 Reconstruct elbow joint $1,633.67<br />24361 Reconstruct elbow joint $1,849.27<br />24362 Reconstruct elbow joint $1,883.84<br />24363 Replace elbow joint $2,414.24<br />24365 Reconstruct head of radius $1,159.85<br />24366 Reconstruct head of radius $1,245.38<br />24400 Revision of humerus $1,501.27<br />24410 Revision of humerus $1,901.44<br />24420 Revision of humerus $1,811.49<br />24430 Repair of humerus $1,700.76<br />24435 Repair humerus with graft $1,803.71<br />24470 Revision of elbow joint $1,227.28<br />24495 Decompression of forearm $1,266.75<br />24498 Reinforce humerus $1,596.45<br />24500 Treat humerus fracture $376.98<br />24505 Treat humerus fracture $917.06<br />24515 Treat humerus fracture $1,579.05<br />24516 Treat humerus fracture $1,563.22<br />24530 Treat humerus fracture $651.25<br />24535 Treat humerus fracture $1,129.68<br />24538 Treat humerus fracture $1,353.50<br />24545 Treat humerus fracture $1,419.99<br />24546 Treat humerus fracture $2,038.99<br />24560 Treat humerus fracture $554.45<br />24565 Treat humerus fracture $946.18<br />24566 Treat humerus fracture $1,184.93<br />24575 Treat humerus fracture $1,425.64<br />24576 Treat humerus fracture $427.89<br />24577 Treat humerus fracture $985.72<br />24579 Treat humerus fracture $1,539.52<br />24582 Treat humerus fracture $1,307.76<br />24586 Treat elbow fracture $1,986.98<br />24587 Treat elbow fracture $1,970.16<br />24600 Treat elbow dislocation $718.85<br />24605 Treat elbow dislocation $795.27<br />24615 Treat elbow dislocation $1,289.06<br />24620 Treat elbow fracture $978.52<br />24635 Treat elbow fracture $2,037.92<br />24640 Treat elbow dislocation $226.95<br />24650 Treat radius fracture $486.22<br />24655 Treat radius fracture $817.24<br />24665 Treat radius fracture $1,168.72<br />24666 Treat radius fracture $1,316.66<br />24670 Treat ulnar fracture $509.08<br />24675 Treat ulnar fracture $841.13<br />24685 Treat ulnar fracture $1,224.87<br />24800 Fusion of elbow joint $1,492.82<br />24802 Fusion/graft of elbow joint $1,809.49<br />24900 Amputation of upper arm $1,270.85<br />24920 Amputation of upper arm $1,279.79<br />24925 Amputation follow-up surgery $998.31<br />24930 Amputation follow-up surgery $1,332.40<br />24931 Amputate upper arm & implant $1,433.48<br />24935 Revision of amputation $1,805.63<br />24940 Revision of upper arm $3,777.84<br />24999 Upper arm/elbow surgery $0.00<br />25000 Incision of tendon sheath $748.67<br />25001 Incise flexor carpi radialis $551.76<br />25020 Decompress forearm 1 space $1,157.23<br />25023 Decompress forearm 1 space $1,964.68<br />25024 Decompress forearm 2 spaces $1,277.83<br />25025 Decompress forearm 2 spaces $2,012.27<br />25028 Drainage of forearm lesion $1,000.51<br />25031 Drainage of forearm bursa $655.17<br />25035 Treat forearm bone lesion $1,555.27<br />25040 Explore/treat wrist joint $1,080.54<br />25065 Biopsy forearm soft tissues $345.49<br />25066 Biopsy forearm soft tissues $826.36<br />25075 Removel forearm lesion subcu $717.04<br />25076 Removel forearm lesion deep $1,078.11<br />25077 Remove tumor, forearm/wrist $1,646.69<br />25085 Incision of wrist capsule $942.05<br />25100 Biopsy of wrist joint $683.53<br />25101 Explore/treat wrist joint $784.50<br />25105 Remove wrist joint lining $982.98<br />25107 Remove wrist joint cartilage $1,092.38<br />25110 Remove wrist tendon lesion $811.71<br />25111 Remove wrist tendon lesion $602.43<br />25112 Reremove wrist tendon lesion $733.67<br />25115 Remove wrist/forearm lesion $1,698.01<br />25116 Remove wrist/forearm lesion $1,499.09<br />25118 Excise wrist tendon sheath $753.04<br />25119 Partial removal of ulna $1,018.16<br />25120 Removal of forearm lesion $1,344.86<br />25125 Remove/graft forearm lesion $1,509.49<br />25126 Remove/graft forearm lesion $1,520.92<br />25130 Removal of wrist lesion $867.68<br />25135 Remove & graft wrist lesion $1,068.88<br />25136 Remove & graft wrist lesion $928.97<br />25145 Remove forearm bone lesion $1,367.43<br />25150 Partial removal of ulna $1,147.49<br />25151 Partial removal of radius $1,490.05<br />25170 Extensive forearm surgery $1,953.80<br />25210 Removal of wrist bone $948.80<br />25215 Removal of wrist bones $1,242.67<br />25230 Partial removal of radius $845.47<br />25240 Partial removal of ulna $901.92<br />25246 Injection for wrist x-ray $481.78<br />25248 Remove forearm foreign body $1,007.80<br />25250 Removal of wrist prosthesis $939.83<br />25251 Removal of wrist prosthesis $1,299.94<br />25259 Manipulate wrist w/anesthes $677.15<br />25260 Repair forearm tendon/muscle $1,578.84<br />25263 Repair forearm tendon/muscle $1,572.76<br />25265 Repair forearm tendon/muscle $1,798.49<br />25270 Repair forearm tendon/muscle $1,346.35<br />25272 Repair forearm tendon/muscle $1,477.35<br />25274 Repair forearm tendon/muscle $1,664.89<br />25275 Repair forearm tendon sheath $1,194.91<br />25280 Revise wrist/forearm tendon $1,473.23<br />25290 Incise wrist/forearm tendon $1,410.23<br />25295 Release wrist/forearm tendon $1,390.84<br />25300 Fusion of tendons at wrist $1,287.21<br />25301 Fusion of tendons at wrist $1,232.90<br />25310 Transplant forearm tendon $1,574.27<br />25312 Transplant forearm tendon $1,750.21<br />25315 Revise palsy hand tendon(s) $1,837.47<br />25316 Revise palsy hand tendon(s) $2,138.27<br />25320 Repair/revise wrist joint $1,629.06<br />25332 Revise wrist joint $1,534.65<br />25335 Realignment of hand $1,835.79<br />25337 Reconstruct ulna/radioulnar $1,574.28<br />25350 Revision of radius $1,686.41<br />25355 Revision of radius $1,843.46<br />25360 Revision of ulna $1,652.70<br />25365 Revise radius & ulna $2,090.15<br />25370 Revise radius or ulna $2,196.23<br />25375 Revise radius & ulna $2,199.53<br />25390 Shorten radius or ulna $1,858.58<br />25391 Lengthen radius or ulna $2,250.96<br />25392 Shorten radius & ulna $2,229.98<br />25393 Lengthen radius & ulna $2,492.10<br />25394 Repair carpal bone, shorten $1,399.69<br />25400 Repair radius or ulna $1,942.48<br />25405 Repair/graft radius or ulna $2,363.26<br />25415 Repair radius & ulna $2,230.25<br />25420 Repair/graft radius & ulna $2,586.64<br />25425 Repair/graft radius or ulna $2,571.67<br />25426 Repair/graft radius & ulna $2,462.48<br />25430 Vasc graft into carpal bone $1,235.44<br />25431 Repair nonunion carpal bone $1,368.06<br />25440 Repair/graft wrist bone $1,484.26<br />25441 Reconstruct wrist joint $1,717.80<br />25442 Reconstruct wrist joint $1,463.96<br />25443 Reconstruct wrist joint $1,423.74<br />25444 Reconstruct wrist joint $1,514.56<br />25445 Reconstruct wrist joint $1,316.80<br />25446 Wrist replacement $2,138.33<br />25447 Repair wrist joint(s) $1,416.39<br />25449 Remove wrist joint implant $1,881.30<br />25450 Revision of wrist joint $1,340.01<br />25455 Revision of wrist joint $1,532.21<br />25490 Reinforce radius $1,510.97<br />25491 Reinforce ulna $1,510.97<br />25492 Reinforce radius and ulna $1,510.97<br />25500 Treat fracture of radius $469.32<br />25505 Treat fracture of radius $913.86<br />25515 Treat fracture of radius $1,249.46<br />25520 Treat fracture of radius $1,014.27<br />25525 Treat fracture of radius $1,666.48<br />25526 Treat fracture of radius $1,977.84<br />25530 Treat fracture of ulna $452.42<br />25535 Treat fracture of ulna $882.81<br />25545 Treat fracture of ulna $1,241.29<br />25560 Treat fracture radius & ulna $471.67<br />25565 Treat fracture radius & ulna $957.25<br />25574 Treat fracture radius & ulna $1,053.39<br />25575 Treat fracture radius/ulna $1,485.69<br />25600 Treat fracture radius/ulna $518.21<br />25605 Treat fracture radius/ulna $1,019.57<br />25611 Treat fracture radius/ulna $1,232.67<br />25620 Treat fracture radius/ulna $1,187.28<br />25622 Treat wrist bone fracture $528.08<br />25624 Treat wrist bone fracture $843.47<br />25628 Treat wrist bone fracture $1,213.44<br />25630 Treat wrist bone fracture $545.13<br />25635 Treat wrist bone fracture $807.92<br />25645 Treat wrist bone fracture $1,046.53<br />25650 Treat wrist bone fracture $575.73<br />25651 Pin ulnar styloid fracture $800.43<br />25652 Treat fracture ulnar styloid $1,080.56<br />25660 Treat wrist dislocation $699.88<br />25670 Treat wrist dislocation $1,122.35<br />25671 Pin radioulnar dislocation $892.62<br />25675 Treat wrist dislocation $818.47<br />25676 Treat wrist dislocation $1,149.21<br />25680 Treat wrist fracture $798.96<br />25685 Treat wrist fracture $1,323.18<br />25690 Treat wrist dislocation $813.29<br />25695 Treat wrist dislocation $1,161.29<br />25800 Fusion of wrist joint $1,408.43<br />25805 Fusion/graft of wrist joint $1,608.25<br />25810 Fusion/graft of wrist joint $1,524.61<br />25820 Fusion of hand bones $1,137.88<br />25825 Fuse hand bones with graft $1,375.99<br />25830 Fusion, radioulnar jnt/ulna $1,813.59<br />25900 Amputation of forearm $1,604.11<br />25905 Amputation of forearm $1,606.82<br />25907 Amputation follow-up surgery $1,007.32<br />25909 Amputation follow-up surgery $1,591.08<br />25915 Amputation of forearm $2,716.21<br />25920 Amputate hand at wrist $1,242.10<br />25922 Amputate hand at wrist $1,058.10<br />25924 Amputation follow-up surgery $1,241.17<br />25927 Amputation of hand $1,535.08<br />25929 Amputation follow-up surgery $1,007.32<br />25931 Amputation follow-up surgery $1,449.13<br />25999 Forearm or wrist surgery $0.00<br />26010 Drainage of finger abscess $306.72<br />26011 Drainage of finger abscess $798.98<br />26020 Drain hand tendon sheath $755.82<br />26025 Drainage of palm bursa $752.90<br />26030 Drainage of palm bursa(s) $885.00<br />26034 Treat hand bone lesion $928.73<br />26035 Decompress fingers/hand $1,313.37<br />26037 Decompress fingers/hand $1,031.05<br />26040 Release palm contracture $541.89<br />26045 Release palm contracture $827.76<br />26055 Incise finger tendon sheath $1,045.39<br />26060 Incision of finger tendon $461.77<br />26070 Explore/treat hand joint $520.54<br />26075 Explore/treat finger joint $557.60<br />26080 Explore/treat finger joint $666.57<br />26100 Biopsy hand joint lining $574.10<br />26105 Biopsy finger joint lining $581.91<br />26110 Biopsy finger joint lining $555.05<br />26115 Removel hand lesion subcut $969.20<br />26116 Removel hand lesion, deep $848.25<br />26117 Remove tumor, hand/finger $1,163.56<br />26121 Release palm contracture $1,076.10<br />26123 Release palm contracture $1,343.06<br />26125 Release palm contracture $536.53<br />26130 Remove wrist joint lining $795.63<br />26135 Revise finger joint, each $994.93<br />26140 Revise finger joint, each $902.57<br />26145 Tendon excision, palm/finger $914.80<br />26160 Remove tendon sheath lesion $1,125.04<br />26170 Removal of palm tendon, each $716.12<br />26180 Removal of finger tendon $780.81<br />26185 Remove finger bone $825.96<br />26200 Remove hand bone lesion $804.41<br />26205 Remove/graft bone lesion $1,084.60<br />26210 Removal of finger lesion $779.26<br />26215 Remove/graft finger lesion $992.32<br />26230 Partial removal of hand bone $909.34<br />26235 Partial removal, finger bone $889.60<br />26236 Partial removal, finger bone $787.47<br />26250 Extensive hand surgery $1,040.36<br />26255 Extensive hand surgery $1,613.99<br />26260 Extensive finger surgery $981.23<br />26261 Extensive finger surgery $1,141.60<br />26262 Partial removal of finger $815.67<br />26320 Removal of implant from hand $609.29<br />26340 Manipulate finger w/anesth $525.38<br />26350 Repair finger/hand tendon $1,543.21<br />26352 Repair/graft hand tendon $1,718.26<br />26356 Repair finger/hand tendon $1,944.62<br />26357 Repair finger/hand tendon $1,820.22<br />26358 Repair/graft hand tendon $1,926.06<br />26370 Repair finger/hand tendon $1,665.71<br />26372 Repair/graft hand tendon $1,889.76<br />26373 Repair finger/hand tendon $1,810.55<br />26390 Revise hand/finger tendon $1,688.81<br />26392 Repair/graft hand tendon $2,032.66<br />26410 Repair hand tendon $1,235.47<br />26412 Repair/graft hand tendon $1,461.75<br />26415 Excision, hand/finger tendon $1,499.40<br />26416 Graft hand or finger tendon $1,795.87<br />26418 Repair finger tendon $1,228.80<br />26420 Repair/graft finger tendon $1,520.88<br />26426 Repair finger/hand tendon $1,439.13<br />26428 Repair/graft finger tendon $1,576.11<br />26432 Repair finger tendon $1,055.33<br />26433 Repair finger tendon $1,145.90<br />26434 Repair/graft finger tendon $1,313.83<br />26437 Realignment of tendons $1,289.19<br />26440 Release palm/finger tendon $1,376.12<br />26442 Release palm & finger tendon $1,790.93<br />26445 Release hand/finger tendon $1,302.46<br />26449 Release forearm/hand tendon $1,685.05<br />26450 Incision of palm tendon $814.05<br />26455 Incision of finger tendon $806.98<br />26460 Incise hand/finger tendon $779.78<br />26471 Fusion of finger tendons $1,259.41<br />26474 Fusion of finger tendons $1,240.16<br />26476 Tendon lengthening $1,194.60<br />26477 Tendon shortening $1,203.04<br />26478 Lengthening of hand tendon $1,306.97<br />26479 Shortening of hand tendon $1,291.13<br />26480 Transplant hand tendon $1,613.02<br />26483 Transplant/graft hand tendon $1,770.67<br />26485 Transplant palm tendon $1,715.27<br />26489 Transplant/graft palm tendon $1,616.22<br />26490 Revise thumb tendon $1,576.87<br />26492 Tendon transfer with graft $1,728.82<br />26494 Hand tendon/muscle transfer $1,615.41<br />26496 Revise thumb tendon $1,700.76<br />26497 Finger tendon transfer $1,723.37<br />26498 Finger tendon transfer $2,255.40<br />26499 Revision of finger $1,638.04<br />26500 Hand tendon reconstruction $1,306.20<br />26502 Hand tendon reconstruction $1,434.56<br />26504 Hand tendon reconstruction $1,487.43<br />26508 Release thumb contracture $1,313.36<br />26510 Thumb tendon transfer $1,245.96<br />26516 Fusion of knuckle joint $1,441.49<br />26517 Fusion of knuckle joints $1,659.54<br />26518 Fusion of knuckle joints $1,667.50<br />26520 Release knuckle contracture $1,429.04<br />26525 Release finger contracture $1,439.54<br />26530 Revise knuckle joint $948.95<br />26531 Revise knuckle with implant $1,113.01<br />26535 Revise finger joint $672.03<br />26536 Revise/implant finger joint $1,178.44<br />26540 Repair hand joint $1,363.30<br />26541 Repair hand joint with graft $1,641.42<br />26542 Repair hand joint with graft $1,394.59<br />26545 Reconstruct finger joint $1,429.16<br />26546 Repair nonunion hand $1,758.83<br />26548 Reconstruct finger joint $1,561.24<br />26550 Construct thumb replacement $2,908.55<br />26551 Great toe-hand transfer $6,065.53<br />26553 Single transfer, toe-hand $5,130.94<br />26554 Double transfer, toe-hand $7,035.91<br />26555 Positional change of finger $2,613.87<br />26556 Toe joint transfer $6,174.81<br />26560 Repair of web finger $1,133.46<br />26561 Repair of web finger $1,732.64<br />26562 Repair of web finger $2,370.15<br />26565 Correct metacarpal flaw $1,395.05<br />26567 Correct finger deformity $1,396.21<br />26568 Lengthen metacarpal/finger $1,830.69<br />26580 Repair hand deformity $2,378.20<br />26587 Reconstruct extra finger $1,637.51<br />26590 Repair finger deformity $2,014.62<br />26591 Repair muscles of hand $976.91<br />26593 Release muscles of hand $1,214.63<br />26596 Excision constricting tissue $1,323.92<br />26600 Treat metacarpal fracture $437.55<br />26605 Treat metacarpal fracture $590.05<br />26607 Treat metacarpal fracture $865.50<br />26608 Treat metacarpal fracture $866.87<br />26615 Treat metacarpal fracture $806.80<br />26641 Treat thumb dislocation $655.17<br />26645 Treat thumb fracture $770.83<br />26650 Treat thumb fracture $923.70<br />26665 Treat thumb fracture $1,075.07<br />26670 Treat hand dislocation $503.65<br />26675 Treat hand dislocation $797.99<br />26676 Pin hand dislocation $830.82<br />26685 Treat hand dislocation $990.90<br />26686 Treat hand dislocation $1,119.72<br />26700 Treat knuckle dislocation $609.35<br />26705 Treat knuckle dislocation $730.09<br />26706 Pin knuckle dislocation $758.43<br />26715 Treat knuckle dislocation $851.87<br />26720 Treat finger fracture, each $333.59<br />26725 Treat finger fracture, each $666.89<br />26727 Treat finger fracture, each $858.89<br />26735 Treat finger fracture, each $881.15<br />26740 Treat finger fracture, each $399.92<br />26742 Treat finger fracture, each $706.99<br />26746 Treat finger fracture, each $870.52<br />26750 Treat finger fracture, each $330.90<br />26755 Treat finger fracture, each $346.85<br />26756 Pin finger fracture, each $528.63<br />26765 Treat finger fracture, each $661.00<br />26770 Treat finger dislocation $339.83<br />26775 Treat finger dislocation $503.65<br />26776 Pin finger dislocation $528.63<br />26785 Treat finger dislocation $667.08<br />26820 Thumb fusion with graft $1,600.42<br />26841 Fusion of thumb $1,503.33<br />26842 Thumb fusion with graft $1,604.10<br />26843 Fusion of hand joint $1,481.34<br />26844 Fusion/graft of hand joint $1,639.31<br />26850 Fusion of knuckle $1,421.17<br />26852 Fusion of knuckle with graft $1,586.80<br />26860 Fusion of finger joint $1,169.38<br />26861 Fusion of finger jnt, add-on $203.22<br />26862 Fusion/graft of finger joint $1,465.49<br />26863 Fuse/graft added joint $457.70<br />26910 Amputate metacarpal bone $1,409.69<br />26951 Amputation of finger/thumb $1,096.51<br />26952 Amputation of finger/thumb $1,342.99<br />26989 Hand/finger surgery $0.00<br />26990 Drainage of pelvis lesion $1,121.19<br />26991 Drainage of pelvis bursa $628.02<br />26992 Drainage of bone lesion $1,637.51<br />27000 Incision of hip tendon $655.17<br />27001 Incision of hip tendon $980.34<br />27003 Incision of hip tendon $1,036.72<br />27005 Incision of hip tendon $1,317.30<br />27006 Incision of hip tendons $1,327.06<br />27025 Incision of hip/thigh fascia $1,480.89<br />27030 Drainage of hip joint $1,709.84<br />27033 Exploration of hip joint $1,759.55<br />27035 Denervation of hip joint $2,163.27<br />27036 Excision of hip joint/muscle $1,725.26<br />27040 Biopsy of soft tissues $402.93<br />27041 Biopsy of soft tissues $780.88<br />27047 Remove hip/pelvis lesion $982.34<br />27048 Remove hip/pelvis lesion $843.14<br />27049 Remove tumor, hip/pelvis $1,691.29<br />27050 Biopsy of sacroiliac joint $655.22<br />27052 Biopsy of hip joint $905.31<br />27054 Removal of hip joint lining $1,192.04<br />27060 Removal of ischial bursa $762.65<br />27062 Remove femur lesion/bursa $790.16<br />27065 Removal of hip bone lesion $852.80<br />27066 Removal of hip bone lesion $1,414.42<br />27067 Remove/graft hip bone lesion $1,846.44<br />27070 Partial removal of hip bone $1,528.59<br />27071 Partial removal of hip bone $1,656.80<br />27075 Extensive hip surgery $4,056.71<br />27076 Extensive hip surgery $2,786.11<br />27077 Extensive hip surgery $4,704.57<br />27078 Extensive hip surgery $1,789.14<br />27079 Extensive hip surgery $1,796.76<br />27080 Removal of tail bone $859.09<br />27086 Remove hip foreign body $285.23<br />27087 Remove hip foreign body $755.90<br />27090 Removal of hip prosthesis $1,490.78<br />27091 Removal of hip prosthesis $2,733.86<br />27093 Injection for hip x-ray $564.90<br />27095 Injection for hip x-ray $856.95<br />27096 Inject sacroiliac joint $692.97<br />27097 Revision of hip tendon $1,152.24<br />27098 Transfer tendon to pelvis $1,198.88<br />27100 Transfer of abdominal muscle $1,491.75<br />27105 Transfer of spinal muscle $1,579.40<br />27110 Transfer of iliopsoas muscle $1,687.96<br />27111 Transfer of iliopsoas muscle $1,599.20<br />27120 Reconstruction of hip socket $2,252.07<br />27122 Reconstruction of hip socket $1,954.32<br />27125 Partial hip replacement $1,902.38<br />27130 Total hip arthroplasty $2,526.26<br />27132 Total hip arthroplasty $2,938.19<br />27134 Revise hip joint replacement $3,508.88<br />27137 Revise hip joint replacement $2,652.84<br />27138 Revise hip joint replacement $2,765.01<br />27140 Transplant femur ridge $1,629.30<br />27146 Incision of hip bone $2,238.05<br />27147 Revision of hip bone $2,561.00<br />27151 Incision of hip bones $2,372.83<br />27156 Revision of hip bones $3,088.70<br />27158 Revision of pelvis $2,353.34<br />27161 Incision of neck of femur $2,173.95<br />27165 Incision/fixation of femur $2,323.77<br />27170 Repair/graft femur head/neck $2,067.37<br />27175 Treat slipped epiphysis $1,133.39<br />27176 Treat slipped epiphysis $1,586.19<br />27177 Treat slipped epiphysis $1,957.31<br />27178 Treat slipped epiphysis $1,541.78<br />27179 Revise head/neck of femur $1,726.87<br />27181 Treat slipped epiphysis $1,865.54<br />27185 Revision of femur epiphysis $1,260.12<br />27187 Reinforce hip bones $1,798.97<br />27193 Treat pelvic ring fracture $935.16<br />27194 Treat pelvic ring fracture $1,376.80<br />27200 Treat tail bone fracture $355.96<br />27202 Treat tail bone fracture $1,061.17<br />27215 Treat pelvic fracture(s) $1,299.20<br />27216 Treat pelvic ring fracture $1,890.81<br />27217 Treat pelvic ring fracture $1,831.55<br />27218 Treat pelvic ring fracture $2,412.14<br />27220 Treat hip socket fracture $755.90<br />27222 Treat hip socket fracture $1,700.12<br />27226 Treat hip wall fracture $1,742.89<br />27227 Treat hip fracture(s) $2,939.01<br />27228 Treat hip fracture(s) $3,390.83<br />27230 Treat thigh fracture $533.01<br />27232 Treat thigh fracture $1,350.36<br />27235 Treat thigh fracture $1,623.66<br />27236 Treat thigh fracture $2,006.11<br />27238 Treat thigh fracture $503.65<br />27240 Treat thigh fracture $1,646.99<br />27244 Treat thigh fracture $2,056.28<br />27245 Treat thigh fracture $2,575.56<br />27246 Treat thigh fracture $655.17<br />27248 Treat thigh fracture $1,402.72<br />27250 Treat hip dislocation $874.76<br />27252 Treat hip dislocation $1,208.78<br />27253 Treat hip dislocation $1,707.25<br />27254 Treat hip dislocation $2,293.79<br />27256 Treat hip dislocation $563.29<br />27257 Treat hip dislocation $610.65<br />27258 Treat hip dislocation $1,986.90<br />27259 Treat hip dislocation $2,705.66<br />27265 Treat hip dislocation $730.82<br />27266 Treat hip dislocation $1,033.10<br />27275 Manipulation of hip joint $328.84<br />27280 Fusion of sacroiliac joint $1,789.48<br />27282 Fusion of pubic bones $1,458.91<br />27284 Fusion of hip joint $2,866.87<br />27286 Fusion of hip joint $2,934.69<br />27290 Amputation of leg at hip $2,832.79<br />27295 Amputation of leg at hip $2,281.98<br />27299 Pelvis/hip joint surgery $0.00<br />27301 Drain thigh/knee lesion $982.34<br />27303 Drainage of bone lesion $1,162.99<br />27305 Incise thigh tendon & fascia $842.24<br />27306 Incision of thigh tendon $700.44<br />27307 Incision of thigh tendons $844.64<br />27310 Exploration of knee joint $1,264.09<br />27315 Partial removal, thigh nerve $884.84<br />27320 Partial removal, thigh nerve $854.44<br />27323 Biopsy, thigh soft tissues $328.24<br />27324 Biopsy, thigh soft tissues $688.99<br />27327 Removal of thigh lesion $721.27<br />27328 Removal of thigh lesion $757.26<br />27329 Remove tumor, thigh/knee $1,778.75<br />27330 Biopsy, knee joint lining $715.21<br />27331 Explore/treat knee joint $851.30<br />27332 Removal of knee cartilage $1,151.92<br />27333 Removal of knee cartilage $1,041.29<br />27334 Remove knee joint lining $1,207.08<br />27335 Remove knee joint lining $1,367.46<br />27340 Removal of kneecap bursa $647.28<br />27345 Removal of knee cyst $861.17<br />27347 Remove knee cyst $835.58<br />27350 Removal of kneecap $1,152.02<br />27355 Remove femur lesion $1,083.60<br />27356 Remove femur lesion/graft $1,303.18<br />27357 Remove femur lesion/graft $1,445.18<br />27358 Remove femur lesion/fixation $555.85<br />27360 Partial removal, leg bone(s) $1,526.26<br />27365 Extensive leg surgery $2,110.52<br />27370 Injection for knee x-ray $540.59<br />27372 Removal of foreign body $816.66<br />27380 Repair of kneecap tendon $1,074.56<br />27381 Repair/graft kneecap tendon $1,453.38<br />27385 Repair of thigh muscle $1,146.20<br />27386 Repair/graft of thigh muscle $1,500.09<br />27390 Incision of thigh tendon $787.87<br />27391 Incision of thigh tendons $1,034.18<br />27392 Incision of thigh tendons $1,268.51<br />27393 Lengthening of thigh tendon $916.56<br />27394 Lengthening of thigh tendons $1,183.55<br />27395 Lengthening of thigh tendons $1,587.78<br />27396 Transplant of thigh tendon $1,118.90<br />27397 Transplants of thigh tendons $1,528.02<br />27400 Revise thigh muscles/tendons $1,226.85<br />27403 Repair of knee cartilage $1,160.87<br />27405 Repair of knee ligament $1,208.86<br />27407 Repair of knee ligament $1,394.52<br />27409 Repair of knee ligaments $1,716.44<br />27418 Repair degenerated kneecap $1,480.43<br />27420 Revision of unstable kneecap $1,344.45<br />27422 Revision of unstable kneecap $1,341.75<br />27424 Revision/removal of kneecap $1,342.27<br />27425 Lat retinacular release open $797.21<br />27427 Reconstruction, knee $1,284.58<br />27428 Reconstruction, knee $1,888.74<br />27429 Reconstruction, knee $2,097.22<br />27430 Revision of thigh muscles $1,325.28<br />27435 Incision of knee joint $1,338.35<br />27437 Revise kneecap $1,169.20<br />27438 Revise kneecap with implant $1,481.95<br />27440 Revision of knee joint $1,247.01<br />27441 Revision of knee joint $1,326.04<br />27442 Revision of knee joint $1,561.85<br />27443 Revision of knee joint $1,468.85<br />27445 Revision of knee joint $2,262.87<br />27446 Revision of knee joint $2,040.89<br />27447 Total knee arthroplasty $2,721.43<br />27448 Incision of thigh $1,482.35<br />27450 Incision of thigh $1,852.47<br />27454 Realignment of thigh bone $2,271.48<br />27455 Realignment of knee $1,709.08<br />27457 Realignment of knee $1,762.99<br />27465 Shortening of thigh bone $1,822.93<br />27466 Lengthening of thigh bone $2,114.72<br />27468 Shorten/lengthen thighs $2,382.24<br />27470 Repair of thigh $2,105.57<br />27472 Repair/graft of thigh $2,299.60<br />27475 Surgery to stop leg growth $1,188.16<br />27477 Surgery to stop leg growth $1,321.17<br />27479 Surgery to stop leg growth $1,707.93<br />27485 Surgery to stop leg growth $1,218.91<br />27486 Revise/replace knee joint $1,480.17<br />27487 Revise/replace knee joint $3,160.23<br />27488 Removal of knee prosthesis $2,059.93<br />27495 Reinforce thigh $2,039.56<br />27496 Decompression of thigh/knee $881.22<br />27497 Decompression of thigh/knee $958.98<br />27498 Decompression of thigh/knee $1,056.68<br />27499 Decompression of thigh/knee $1,201.26<br />27500 Treatment of thigh fracture $956.87<br />27501 Treatment of thigh fracture $996.80<br />27502 Treatment of thigh fracture $1,407.95<br />27503 Treatment of thigh fracture $1,418.96<br />27506 Treatment of thigh fracture $2,271.55<br />27507 Treatment of thigh fracture $1,803.99<br />27508 Treatment of thigh fracture $947.40<br />27509 Treatment of thigh fracture $1,163.47<br />27510 Treatment of thigh fracture $1,226.79<br />27511 Treatment of thigh fracture $1,866.34<br />27513 Treatment of thigh fracture $2,391.99<br />27514 Treatment of thigh fracture $2,304.39<br />27516 Treat thigh fx growth plate $931.30<br />27517 Treat thigh fx growth plate $1,317.36<br />27519 Treat thigh fx growth plate $2,005.85<br />27520 Treat kneecap fracture $588.73<br />27524 Treat kneecap fracture $1,364.37<br />27530 Treat knee fracture $707.61<br />27532 Treat knee fracture $1,124.95<br />27535 Treat knee fracture $1,618.46<br />27536 Treat knee fracture $2,048.05<br />27538 Treat knee fracture(s) $877.45<br />27540 Treat knee fracture $1,702.45<br />27550 Treat knee dislocation $755.90<br />27552 Treat knee dislocation $1,083.08<br />27556 Treat knee dislocation $1,960.31<br />27557 Treat knee dislocation $2,251.40<br />27558 Treat knee dislocation $2,325.41<br />27560 Treat kneecap dislocation $685.15<br />27562 Treat kneecap dislocation $789.86<br />27566 Treat kneecap dislocation $1,620.97<br />27570 Fixation of knee joint $264.49<br />27580 Fusion of knee $2,571.49<br />27590 Amputate leg at thigh $1,441.55<br />27591 Amputate leg at thigh $1,623.61<br />27592 Amputate leg at thigh $1,248.80<br />27594 Amputation follow-up surgery $925.17<br />27596 Amputation follow-up surgery $1,338.57<br />27598 Amputate lower leg at knee $1,340.23<br />27599 Leg surgery procedure $0.00<br />27600 Decompression of lower leg $776.31<br />27601 Decompression of lower leg $795.87<br />27602 Decompression of lower leg $950.39<br />27603 Drain lower leg lesion $1,124.02<br />27604 Drain lower leg bursa $567.64<br />27605 Incision of achilles tendon $830.82<br />27606 Incision of achilles tendon $680.15<br />27607 Treat lower leg bone lesion $1,092.00<br />27610 Explore/treat ankle joint $1,155.77<br />27612 Exploration of ankle joint $1,009.80<br />27613 Biopsy lower leg soft tissue $428.12<br />27614 Biopsy lower leg soft tissue $1,052.12<br />27615 Remove tumor, lower leg $1,721.06<br />27618 Remove lower leg lesion $982.34<br />27619 Remove lower leg lesion $1,399.53<br />27620 Explore/treat ankle joint $858.76<br />27625 Remove ankle joint lining $1,117.32<br />27626 Remove ankle joint lining $1,197.28<br />27630 Removal of tendon lesion $1,001.33<br />27635 Remove lower leg bone lesion $1,095.03<br />27637 Remove/graft leg bone lesion $1,366.60<br />27638 Remove/graft leg bone lesion $1,426.14<br />27640 Partial removal of tibia $1,655.58<br />27641 Partial removal of fibula $1,347.58<br />27645 Extensive lower leg surgery $1,988.18<br />27646 Extensive lower leg surgery $1,788.75<br />27647 Extensive ankle/heel surgery $1,520.87<br />27648 Injection for ankle x-ray $434.63<br />27650 Repair achilles tendon $1,295.79<br />27652 Repair/graft achilles tendon $1,381.37<br />27654 Repair of achilles tendon $1,302.80<br />27656 Repair leg fascia defect $1,044.08<br />27658 Repair of leg tendon, each $1,031.28<br />27659 Repair of leg tendon, each $1,325.56<br />27664 Repair of leg tendon, each $1,083.08<br />27665 Repair of leg tendon, each $1,194.14<br />27675 Repair lower leg tendons $975.88<br />27676 Repair lower leg tendons $1,141.77<br />27680 Release of lower leg tendon $818.12<br />27681 Release of lower leg tendons $956.93<br />27685 Revision of lower leg tendon $1,080.72<br />27686 Revise lower leg tendons $1,465.30<br />27687 Revision of calf tendon $874.72<br />27690 Revise lower leg tendon $1,144.14<br />27691 Revise lower leg tendon $1,338.66<br />27692 Revise additional leg tendon $214.30<br />27695 Repair of ankle ligament $930.34<br />27696 Repair of ankle ligaments $1,112.33<br />27698 Repair of ankle ligament $1,232.94<br />27700 Revision of ankle joint $1,131.33<br />27702 Reconstruct ankle joint $1,809.36<br />27703 Reconstruction, ankle joint $2,039.69<br />27704 Removal of ankle implant $973.69<br />27705 Incision of tibia $1,399.91<br />27707 Incision of fibula $695.20<br />27709 Incision of tibia & fibula $1,361.67<br />27712 Realignment of lower leg $1,883.30<br />27715 Revision of lower leg $1,902.02<br />27720 Repair of tibia $1,598.11<br />27722 Repair/graft of tibia $1,583.48<br />27724 Repair/graft of tibia $2,300.74<br />27725 Repair of lower leg $2,071.46<br />27727 Repair of lower leg $1,837.52<br />27730 Repair of tibia epiphysis $1,804.84<br />27732 Repair of fibula epiphysis $1,221.23<br />27734 Repair lower leg epiphyses $1,109.82<br />27740 Repair of leg epiphyses $2,166.89<br />27742 Repair of leg epiphyses $1,692.38<br />27745 Reinforce tibia $1,372.64<br />27750 Treatment of tibia fracture $625.76<br />27752 Treatment of tibia fracture $977.40<br />27756 Treatment of tibia fracture $993.18<br />27758 Treatment of tibia fracture $1,565.42<br />27759 Treatment of tibia fracture $1,816.43<br />27760 Treatment of ankle fracture $602.34<br />27762 Treatment of ankle fracture $881.60<br />27766 Treatment of ankle fracture $1,164.83<br />27780 Treatment of fibula fracture $503.65<br />27781 Treatment of fibula fracture $755.90<br />27784 Treatment of fibula fracture $1,014.72<br />27786 Treatment of ankle fracture $577.95<br />27788 Treatment of ankle fracture $801.69<br />27792 Treatment of ankle fracture $1,090.54<br />27808 Treatment of ankle fracture $618.17<br />27810 Treatment of ankle fracture $890.32<br />27814 Treatment of ankle fracture $1,446.74<br />27816 Treatment of ankle fracture $574.80<br />27818 Treatment of ankle fracture $926.55<br />27822 Treatment of ankle fracture $1,605.28<br />27823 Treatment of ankle fracture $1,828.58<br />27824 Treat lower leg fracture $614.73<br />27825 Treat lower leg fracture $1,060.68<br />27826 Treat lower leg fracture $1,297.03<br />27827 Treat lower leg fracture $2,004.41<br />27828 Treat lower leg fracture $2,257.97<br />27829 Treat lower leg joint $907.21<br />27830 Treat lower leg dislocation $629.37<br />27831 Treat lower leg dislocation $670.14<br />27832 Treat lower leg dislocation $945.71<br />27840 Treat ankle dislocation $579.41<br />27842 Treat ankle dislocation $844.28<br />27846 Treat ankle dislocation $1,331.14<br />27848 Treat ankle dislocation $1,567.49<br />27860 Fixation of ankle joint $325.81<br />27870 Fusion of ankle joint, open $1,840.71<br />27871 Fusion of tibiofibular joint $1,133.02<br />27880 Amputation of lower leg $1,453.92<br />27881 Amputation of lower leg $1,606.14<br />27882 Amputation of lower leg $1,186.48<br />27884 Amputation follow-up surgery $1,071.74<br />27886 Amputation follow-up surgery $1,211.40<br />27888 Amputation of foot at ankle $1,296.72<br />27889 Amputation of foot at ankle $1,257.91<br />27892 Decompression of leg $989.52<br />27893 Decompression of leg $980.67<br />27894 Decompression of leg $1,379.58<br />27899 Leg/ankle surgery procedure $0.00<br />28001 Drainage of bursa of foot $370.35<br />28002 Treatment of foot infection $579.41<br />28003 Treatment of foot infection $719.12<br />28005 Treat foot bone lesion $1,132.28<br />28008 Incision of foot fascia $745.93<br />28010 Incision of toe tendon $365.36<br />28011 Incision of toe tendons $505.96<br />28020 Exploration of foot joint $886.54<br />28022 Exploration of foot joint $792.99<br />28024 Exploration of toe joint $773.77<br />28030 Removal of foot nerve $740.29<br />28035 Decompression of tibia nerve $790.26<br />28043 Excision of foot lesion $680.75<br />28045 Excision of foot lesion $798.79<br />28046 Resection of tumor, foot $1,453.88<br />28050 Biopsy of foot joint lining $737.20<br />28052 Biopsy of foot joint lining $725.76<br />28054 Biopsy of toe joint lining $676.10<br />28060 Partial removal, foot fascia $858.20<br />28062 Removal of foot fascia $1,012.34<br />28070 Removal of foot joint lining $818.55<br />28072 Removal of foot joint lining $810.36<br />28080 Removal of foot lesion $695.44<br />28086 Excise foot tendon sheath $1,037.70<br />28088 Excise foot tendon sheath $793.80<br />28090 Removal of foot lesion $766.70<br />28092 Removal of toe lesions $725.74<br />28100 Removal of ankle/heel lesion $1,087.56<br />28102 Remove/graft foot lesion $1,033.14<br />28103 Remove/graft foot lesion $1,100.34<br />28104 Removal of foot lesion $847.24<br />28106 Remove/graft foot lesion $891.76<br />28107 Remove/graft foot lesion $943.43<br />28108 Removal of toe lesions $706.04<br />28110 Part removal of metatarsal $739.32<br />28111 Part removal of metatarsal $893.77<br />28112 Part removal of metatarsal $819.83<br />28113 Part removal of metatarsal $851.86<br />28114 Removal of metatarsal heads $1,607.91<br />28116 Revision of foot $1,116.21<br />28118 Removal of heel bone $967.78<br />28119 Removal of heel spur $859.82<br />28120 Part removal of ankle/heel $1,027.88<br />28122 Partial removal of foot bone $1,126.62<br />28124 Partial removal of toe $803.78<br />28126 Partial removal of toe $649.99<br />28130 Removal of ankle bone $1,112.09<br />28140 Removal of metatarsal $1,118.58<br />28150 Removal of toe $737.99<br />28153 Partial removal of toe $664.58<br />28160 Partial removal of toe $690.86<br />28171 Extensive foot surgery $1,154.50<br />28173 Extensive foot surgery $1,267.94<br />28175 Extensive foot surgery $941.80<br />28190 Removal of foot foreign body $427.77<br />28192 Removal of foot foreign body $810.04<br />28193 Removal of foot foreign body $890.39<br />28200 Repair of foot tendon $776.06<br />28202 Repair/graft of foot tendon $1,107.49<br />28208 Repair of foot tendon $743.74<br />28210 Repair/graft of foot tendon $995.53<br />28220 Release of foot tendon $746.39<br />28222 Release of foot tendons $860.46<br />28225 Release of foot tendon $655.28<br />28226 Release of foot tendons $749.49<br />28230 Incision of foot tendon(s) $727.15<br />28232 Incision of toe tendon $453.71<br />28234 Incision of foot tendon $401.87<br />28238 Revision of foot tendon $1,169.78<br />28240 Release of big toe $735.07<br />28250 Revision of foot fascia $924.51<br />28260 Release of midfoot joint $1,126.37<br />28261 Revision of foot tendon $1,556.45<br />28262 Revision of foot and ankle $2,258.40<br />28264 Release of midfoot joint $1,417.63<br />28270 Release of foot contracture $785.05<br />28272 Release of toe joint, each $554.19<br />28280 Fusion of toes $915.80<br />28285 Repair of hammertoe $778.75<br />28286 Repair of hammertoe $761.36<br />28288 Partial removal of foot bone $840.55<br />28289 Repair hallux rigidus $1,182.31<br />28290 Correction of bunion $937.80<br />28292 Correction of bunion $1,102.44<br />28293 Correction of bunion $1,481.65<br />28294 Correction of bunion $1,212.47<br />28296 Correction of bunion $1,297.99<br />28297 Correction of bunion $1,366.15<br />28298 Correction of bunion $1,141.74<br />28299 Correction of bunion $1,439.66<br />28300 Incision of heel bone $1,667.74<br />28302 Incision of ankle bone $1,662.67<br />28304 Incision of midfoot bones $1,286.57<br />28305 Incise/graft midfoot bones $1,555.68<br />28306 Incision of metatarsal $965.47<br />28307 Incision of metatarsal $1,299.40<br />28308 Incision of metatarsal $842.71<br />28309 Incision of metatarsals $1,574.96<br />28310 Revision of big toe $780.88<br />28312 Revision of toe $503.65<br />28313 Repair deformity of toe $844.19<br />28315 Removal of sesamoid bone $790.30<br />28320 Repair of foot bones $1,202.64<br />28322 Repair of metatarsals $1,233.75<br />28340 Resect enlarged toe tissue $1,047.01<br />28341 Resect enlarged toe $1,173.73<br />28344 Repair extra toe(s) $808.85<br />28345 Repair webbed toe(s) $957.21<br />28360 Reconstruct cleft foot $1,795.40<br />28400 Treatment of heel fracture $467.97<br />28405 Treatment of heel fracture $745.93<br />28406 Treatment of heel fracture $974.62<br />28415 Treat heel fracture $2,195.18<br />28420 Treat/graft heel fracture $2,228.68<br />28430 Treatment of ankle fracture $447.60<br />28435 Treatment of ankle fracture $581.82<br />28436 Treatment of ankle fracture $784.61<br />28445 Treat ankle fracture $1,977.13<br />28450 Treat midfoot fracture, each $432.39<br />28455 Treat midfoot fracture, each $521.90<br />28456 Treat midfoot fracture $504.73<br />28465 Treat midfoot fracture, each $997.29<br />28470 Treat metatarsal fracture $425.68<br />28475 Treat metatarsal fracture $517.42<br />28476 Treat metatarsal fracture $614.07<br />28485 Treat metatarsal fracture $840.67<br />28490 Treat big toe fracture $239.04<br />28495 Treat big toe fracture $298.00<br />28496 Treat big toe fracture $579.41<br />28505 Treat big toe fracture $972.86<br />28510 Treatment of toe fracture $206.38<br />28515 Treatment of toe fracture $276.64<br />28525 Treat toe fracture $906.39<br />28530 Treat sesamoid bone fracture $227.85<br />28531 Treat sesamoid bone fracture $807.47<br />28540 Treat foot dislocation $359.88<br />28545 Treat foot dislocation $393.58<br />28546 Treat foot dislocation $801.04<br />28555 Repair foot dislocation $1,297.13<br />28570 Treat foot dislocation $332.19<br />28575 Treat foot dislocation $566.56<br />28576 Treat foot dislocation $1,032.78<br />28585 Repair foot dislocation $1,202.96<br />28600 Treat foot dislocation $377.59<br />28605 Treat foot dislocation $474.26<br />28606 Treat foot dislocation $1,183.80<br />28615 Repair foot dislocation $1,173.80<br />28630 Treat toe dislocation $218.14<br />28635 Treat toe dislocation $266.86<br />28636 Treat toe dislocation $645.70<br />28645 Repair toe dislocation $728.07<br />28660 Treat toe dislocation $207.15<br />28665 Treat toe dislocation $266.92<br />28666 Treat toe dislocation $622.68<br />28675 Repair of toe dislocation $841.42<br />28705 Fusion of foot bones $2,345.54<br />28715 Fusion of foot bones $1,723.44<br />28725 Fusion of foot bones $1,504.46<br />28730 Fusion of foot bones $1,447.55<br />28735 Fusion of foot bones $1,412.27<br />28737 Revision of foot bones $1,248.33<br />28740 Fusion of foot bones $1,442.73<br />28750 Fusion of big toe joint $1,479.87<br />28755 Fusion of big toe joint $850.88<br />28760 Fusion of big toe joint $1,175.75<br />28800 Amputation of midfoot $1,068.63<br />28805 Amputation thru metatarsal $1,072.09<br />28810 Amputation toe & metatarsal $819.50<br />28820 Amputation of toe $935.05<br />28825 Partial amputation of toe $780.88<br />28899 Foot/toes surgery procedure $0.00<br />29000 Application of body cast $393.10<br />29010 Application of body cast $392.35<br />29015 Application of body cast $395.77<br />29020 Application of body cast $391.28<br />29025 Application of body cast $411.54<br />29035 Application of body cast $379.65<br />29040 Application of body cast $357.12<br />29044 Application of body cast $431.94<br />29046 Application of body cast $419.16<br />29049 Application of figure eight $156.63<br />29055 Application of shoulder cast $336.33<br />29058 Application of shoulder cast $206.93<br />29065 Application of long arm cast $156.52<br />29075 Application of forearm cast $144.58<br />29085 Apply hand/wrist cast $154.11<br />29086 Apply finger cast $112.73<br />29105 Apply long arm splint $141.25<br />29125 Apply forearm splint $114.62<br />29126 Apply forearm splint $141.83<br />29130 Application of finger splint $70.38<br />29131 Application of finger splint $92.70<br />29200 Strapping of chest $100.74<br />29220 Strapping of low back $100.11<br />29240 Strapping of shoulder $114.29<br />29260 Strapping of elbow or wrist $75.76<br />29280 Strapping of hand or finger $75.76<br />29305 Application of hip cast $383.22<br />29325 Application of hip casts $417.95<br />29345 Application of long leg cast $228.78<br />29355 Application of long leg cast $236.08<br />29358 Apply long leg cast brace $249.61<br />29365 Application of long leg cast $204.10<br />29405 Apply short leg cast $149.57<br />29425 Apply short leg cast $162.49<br />29435 Apply short leg cast $197.90<br />29440 Addition of walker to cast $75.76<br />29445 Apply rigid leg cast $263.35<br />29450 Application of leg cast $156.38<br />29505 Application, long leg splint $133.10<br />29515 Application lower leg splint $115.78<br />29520 Strapping of hip $100.91<br />29530 Strapping of knee $97.86<br />29540 Strapping of ankle and/or ft $59.33<br />29550 Strapping of toes $65.38<br />29580 Application of paste boot $89.37<br />29590 Application of foot splint $93.58<br />29700 Removal/revision of cast $100.74<br />29705 Removal/revision of cast $98.17<br />29710 Removal/revision of cast $151.52<br />29715 Removal/revision of cast $152.11<br />29720 Repair of body cast $78.38<br />29730 Windowing of cast $75.76<br />29740 Wedging of cast $100.15<br />29750 Wedging of clubfoot cast $103.32<br />29799 Casting/strapping procedure $0.00<br />29800 Jaw arthroscopy/surgery $1,004.24<br />29804 Jaw arthroscopy/surgery $1,213.56<br />29805 Shoulder arthroscopy, dx $862.71<br />29806 Shoulder arthroscopy/surgery $1,907.41<br />29807 Shoulder arthroscopy/surgery $1,858.90<br />29819 Shoulder arthroscopy/surgery $1,071.03<br />29820 Shoulder arthroscopy/surgery $989.36<br />29821 Shoulder arthroscopy/surgery $1,080.22<br />29822 Shoulder arthroscopy/surgery $1,048.59<br />29823 Shoulder arthroscopy/surgery $1,145.14<br />29824 Shoulder arthroscopy/surgery $1,167.64<br />29825 Shoulder arthroscopy/surgery $1,069.31<br />29826 Shoulder arthroscopy/surgery $1,232.86<br />29827 Arthroscop rotator cuff repr $2,001.67<br />29830 Elbow arthroscopy $823.41<br />29834 Elbow arthroscopy/surgery $897.68<br />29835 Elbow arthroscopy/surgery $916.74<br />29836 Elbow arthroscopy/surgery $1,065.46<br />29837 Elbow arthroscopy/surgery $966.51<br />29838 Elbow arthroscopy/surgery $1,084.64<br />29840 Wrist arthroscopy $802.18<br />29843 Wrist arthroscopy/surgery $863.41<br />29844 Wrist arthroscopy/surgery $903.71<br />29845 Wrist arthroscopy/surgery $1,034.69<br />29846 Wrist arthroscopy/surgery $949.64<br />29847 Wrist arthroscopy/surgery $985.64<br />29848 Wrist endoscopy/surgery $813.29<br />29850 Knee arthroscopy/surgery $988.35<br />29851 Knee arthroscopy/surgery $1,716.56<br />29855 Tibial arthroscopy/surgery $1,445.70<br />29856 Tibial arthroscopy/surgery $1,860.63<br />29860 Hip arthroscopy, dx $1,116.90<br />29861 Hip arthroscopy/surgery $1,233.10<br />29862 Hip arthroscopy/surgery $1,373.77<br />29863 Hip arthroscopy/surgery $1,370.67<br />29870 Knee arthroscopy, dx $736.10<br />29871 Knee arthroscopy/drainage $921.28<br />29873 Knee arthroscopy/surgery $916.04<br />29874 Knee arthroscopy/surgery $972.74<br />29875 Knee arthroscopy/surgery $901.98<br />29876 Knee arthroscopy/surgery $1,110.30<br />29877 Knee arthroscopy/surgery $1,044.34<br />29879 Knee arthroscopy/surgery $1,126.14<br />29880 Knee arthroscopy/surgery $1,179.76<br />29881 Knee arthroscopy/surgery $1,093.19<br />29882 Knee arthroscopy/surgery $1,178.93<br />29883 Knee arthroscopy/surgery $1,491.27<br />29884 Knee arthroscopy/surgery $1,040.09<br />29885 Knee arthroscopy/surgery $1,268.21<br />29886 Knee arthroscopy/surgery $1,067.47<br />29887 Knee arthroscopy/surgery $1,262.41<br />29888 Knee arthroscopy/surgery $1,811.73<br />29889 Knee arthroscopy/surgery $2,122.40<br />29891 Ankle arthroscopy/surgery $1,180.90<br />29892 Ankle arthroscopy/surgery $1,246.00<br />29893 Scope, plantar fasciotomy $842.30<br />29894 Ankle arthroscopy/surgery $950.58<br />29895 Ankle arthroscopy/surgery $932.44<br />29897 Ankle arthroscopy/surgery $975.19<br />29898 Ankle arthroscopy/surgery $1,088.18<br />29899 Ankle arthroscopy/surgery $1,795.27<br />29900 Mcp joint arthroscopy, dx $826.60<br />29901 Mcp joint arthroscopy, surg $911.61<br />29902 Mcp joint arthroscopy, surg $976.54<br />29999 Arthroscopy of joint $0.00<br /><br /><br />with 3<br /><br />30000 Drainage of nose lesion $399.38<br />30020 Drainage of nose lesion $340.86<br />30100 Intranasal biopsy $184.19<br />30110 Removal of nose polyp(s) $357.86<br />30115 Removal of nose polyp(s) $613.55<br />30117 Removal of intranasal lesion $546.79<br />30118 Removal of intranasal lesion $1,250.81<br />30120 Revision of nose $790.33<br />30124 Removal of nose lesion $448.33<br />30125 Removal of nose lesion $963.80<br />30130 Removal of turbinate bones $502.57<br />30140 Removal of turbinate bones $538.66<br />30150 Partial removal of nose $1,240.71<br />30160 Removal of nose $1,273.56<br />30200 Injection treatment of nose $152.00<br />30210 Nasal sinus therapy $233.48<br />30220 Insert nasal septal button $257.57<br />30300 Remove nasal foreign body $332.19<br />30310 Remove nasal foreign body $372.51<br />30320 Remove nasal foreign body $660.66<br />30400 Reconstruction of nose $1,396.88<br />30410 Reconstruction of nose $1,765.56<br />30420 Reconstruction of nose $2,090.87<br />30430 Revision of nose $1,121.05<br />30435 Revision of nose $1,649.72<br />30450 Revision of nose $2,424.64<br />30460 Revision of nose $1,311.91<br />30462 Revision of nose $2,479.85<br />30465 Repair nasal stenosis $1,435.90<br />30520 Repair of nasal septum $796.27<br />30540 Repair nasal defect $986.86<br />30545 Repair nasal defect $1,476.08<br />30560 Release of nasal adhesions $313.50<br />30580 Repair upper jaw fistula $1,013.05<br />30600 Repair mouth/nose fistula $912.72<br />30620 Intranasal reconstruction $861.52<br />30630 Repair nasal septum defect $977.68<br />30801 Cauterization, inner nose $234.23<br />30802 Cauterization, inner nose $344.34<br />30901 Control of nosebleed $187.76<br />30903 Control of nosebleed $312.58<br />30905 Control of nosebleed $399.07<br />30906 Repeat control of nosebleed $462.80<br />30915 Ligation, nasal sinus artery $958.19<br />30920 Ligation, upper jaw artery $1,277.44<br />30930 Therapy, fracture of nose $211.46<br />30999 Nasal surgery procedure $0.00<br />31000 Irrigation, maxillary sinus $289.66<br />31002 Irrigation, sphenoid sinus $339.75<br />31020 Exploration, maxillary sinus $511.43<br />31030 Exploration, maxillary sinus $847.12<br />31032 Explore sinus, remove polyps $894.96<br />31040 Exploration behind upper jaw $1,163.86<br />31050 Exploration, sphenoid sinus $719.47<br />31051 Sphenoid sinus surgery $956.28<br />31070 Exploration of frontal sinus $620.37<br />31075 Exploration of frontal sinus $1,206.08<br />31080 Removal of frontal sinus $1,464.61<br />31081 Removal of frontal sinus $1,678.02<br />31084 Removal of frontal sinus $1,738.38<br />31085 Removal of frontal sinus $1,824.29<br />31086 Removal of frontal sinus $1,675.05<br />31087 Removal of frontal sinus $1,698.43<br />31090 Exploration of sinuses $1,329.75<br />31200 Removal of ethmoid sinus $726.30<br />31201 Removal of ethmoid sinus $1,117.83<br />31205 Removal of ethmoid sinus $1,312.50<br />31225 Removal of upper jaw $2,436.66<br />31230 Removal of upper jaw $2,741.92<br />31231 Nasal endoscopy, dx $315.21<br />31233 Nasal/sinus endoscopy, dx $478.44<br />31235 Nasal/sinus endoscopy, dx $555.82<br />31237 Nasal/sinus endoscopy, surg $602.89<br />31238 Nasal/sinus endoscopy, surg $628.27<br />31239 Nasal/sinus endoscopy, surg $1,237.86<br />31240 Nasal/sinus endoscopy, surg $323.62<br />31254 Revision of ethmoid sinus $558.84<br />31255 Removal of ethmoid sinus $824.94<br />31256 Exploration maxillary sinus $402.62<br />31267 Endoscopy, maxillary sinus $652.70<br />31276 Sinus endoscopy, surgical $1,041.79<br />31287 Nasal/sinus endoscopy, surg $474.73<br />31288 Nasal/sinus endoscopy, surg $550.85<br />31290 Nasal/sinus endoscopy, surg $2,171.38<br />31291 Nasal/sinus endoscopy, surg $2,291.80<br />31292 Nasal/sinus endoscopy, surg $1,878.88<br />31293 Nasal/sinus endoscopy, surg $2,042.24<br />31294 Nasal/sinus endoscopy, surg $2,358.96<br />31299 Sinus surgery procedure $0.00<br />31300 Removal of larynx lesion $1,934.67<br />31320 Diagnostic incision, larynx $906.97<br />31360 Removal of larynx $2,283.36<br />31365 Removal of larynx $3,085.94<br />31367 Partial removal of larynx $2,893.61<br />31368 Partial removal of larynx $3,544.30<br />31370 Partial removal of larynx $2,830.58<br />31375 Partial removal of larynx $2,622.74<br />31380 Partial removal of larynx $2,618.96<br />31382 Partial removal of larynx $2,729.89<br />31390 Removal of larynx & pharynx $3,595.74<br />31395 Reconstruct larynx & pharynx $4,142.03<br />31400 Revision of larynx $1,486.73<br />31420 Removal of epiglottis $1,465.89<br />31500 Insert emergency airway $218.03<br />31502 Change of windpipe airway $152.84<br />31505 Diagnostic laryngoscopy $155.36<br />31510 Laryngoscopy with biopsy $287.24<br />31511 Remove foreign body, larynx $287.24<br />31512 Removal of larynx lesion $287.24<br />31513 Injection into vocal cord $183.00<br />31515 Laryngoscopy for aspiration $236.79<br />31520 Diagnostic laryngoscopy $308.53<br />31525 Diagnostic laryngoscopy $469.70<br />31526 Diagnostic laryngoscopy $319.94<br />31527 Laryngoscopy for treatment $383.57<br />31528 Laryngoscopy and dilation $283.32<br />31529 Laryngoscopy and dilation $326.09<br />31530 Operative laryngoscopy $398.66<br />31531 Operative laryngoscopy $436.66<br />31535 Operative laryngoscopy $384.30<br />31536 Operative laryngoscopy $433.05<br />31540 Operative laryngoscopy $497.98<br />31541 Operative laryngoscopy $544.37<br />31560 Operative laryngoscopy $641.00<br />31561 Operative laryngoscopy $697.50<br />31570 Laryngoscopy with injection $693.38<br />31571 Laryngoscopy with injection $511.53<br />31575 Diagnostic laryngoscopy $215.01<br />31576 Laryngoscopy with biopsy $401.83<br />31577 Remove foreign body, larynx $449.14<br />31578 Removal of larynx lesion $512.92<br />31579 Diagnostic laryngoscopy $436.91<br />31580 Revision of larynx $1,724.58<br />31582 Revision of larynx $2,874.32<br />31584 Treat larynx fracture $2,526.82<br />31585 Treat larynx fracture $679.57<br />31586 Treat larynx fracture $1,197.79<br />31587 Revision of larynx $1,622.13<br />31588 Revision of larynx $1,150.49<br />31590 Reinnervate larynx $1,146.87<br />31595 Larynx nerve surgery $1,174.45<br />31599 Larynx surgery procedure $0.00<br />31600 Incision of windpipe $769.79<br />31601 Incision of windpipe $513.59<br />31603 Incision of windpipe $441.97<br />31605 Incision of windpipe $362.23<br />31610 Incision of windpipe $1,194.79<br />31611 Surgery/speech prosthesis $846.53<br />31612 Puncture/clear windpipe $88.48<br />31613 Repair windpipe opening $730.60<br />31614 Repair windpipe opening $1,089.91<br />31615 Visualization of windpipe $342.97<br />31622 Dx bronchoscope/wash $500.53<br />31623 Dx bronchoscope/brush $568.58<br />31624 Dx bronchoscope/lavage $515.23<br />31625 Bronchoscopy w/biopsy(s) $627.15<br />31628 Bronchoscopy/lung bx, each $670.33<br />31629 Bronchoscopy/needle bx, each $340.39<br />31630 Bronchoscopy dilate/fx repr $434.55<br />31631 Bronchoscopy, dilate w/stent $477.34<br />31632 Bronchoscopy/lung bx, add’l $130.49<br />31633 Bronchoscopy/needle bx add’l $167.05<br />31635 Bronchoscopy w/fb removal $397.61<br />31640 Bronchoscopy w/tumor excise $545.37<br />31641 Bronchoscopy, treat blockage $533.17<br />31643 Diag bronchoscope/catheter $356.98<br />31645 Bronchoscopy, clear airways $324.08<br />31646 Bronchoscopy, reclear airway $282.27<br />31656 Bronchoscopy, inj for x-ray $230.19<br />31700 Insertion of airway catheter $243.95<br />31708 Instill airway contrast dye $147.62<br />31710 Insertion of airway catheter $148.36<br />31715 Injection for bronchus x-ray $125.91<br />31717 Bronchial brush biopsy $313.50<br />31720 Clearance of airways $108.83<br />31725 Clearance of airways $279.23<br />31730 Intro, windpipe wire/tube $371.84<br />31750 Repair of windpipe $1,809.53<br />31755 Repair of windpipe $2,213.39<br />31760 Repair of windpipe $2,473.05<br />31766 Reconstruction of windpipe $3,346.59<br />31770 Repair/graft of bronchus $2,484.52<br />31775 Reconstruct bronchus $2,693.79<br />31780 Reconstruct windpipe $2,152.08<br />31781 Reconstruct windpipe $2,679.78<br />31785 Remove windpipe lesion $2,047.02<br />31786 Remove windpipe lesion $2,787.37<br />31800 Repair of windpipe injury $917.84<br />31805 Repair of windpipe injury $1,540.89<br />31820 Closure of windpipe lesion $728.99<br />31825 Repair of windpipe defect $1,052.30<br />31830 Revise windpipe scar $741.10<br />31899 Airways surgical procedure $0.00<br />32000 Drainage of chest $333.24<br />32002 Treatment of collapsed lung $396.58<br />32005 Treat lung lining chemically $574.48<br />32020 Insertion of chest tube $411.03<br />32035 Exploration of chest $1,095.75<br />32036 Exploration of chest $1,218.64<br />32095 Biopsy through chest wall $1,037.49<br />32100 Exploration/biopsy of chest $1,739.07<br />32110 Explore/repair chest $2,527.07<br />32120 Re-exploration of chest $1,409.77<br />32124 Explore chest free adhesions $1,511.29<br />32140 Removal of lung lesion(s) $1,641.89<br />32141 Remove/treat lung lesions $1,639.54<br />32150 Removal of lung lesion(s) $1,650.08<br />32151 Remove lung foreign body $1,676.95<br />32160 Open chest heart massage $1,101.83<br />32200 Drain, open, lung lesion $1,796.85<br />32201 Drain, percut, lung lesion $395.00<br />32215 Treat chest lining $1,379.30<br />32220 Release of lung $2,784.35<br />32225 Partial release of lung $1,642.76<br />32310 Removal of chest lining $1,583.97<br />32320 Free/remove chest lining $2,734.07<br />32400 Needle biopsy chest lining $251.21<br />32402 Open biopsy chest lining $957.45<br />32405 Biopsy, lung or mediastinum $295.23<br />32420 Puncture/clear lung $224.39<br />32440 Removal of lung $2,862.09<br />32442 Sleeve pneumonectomy $3,105.72<br />32445 Removal of lung $2,971.99<br />32480 Partial removal of lung $2,697.55<br />32482 Bilobectomy $2,853.87<br />32484 Segmentectomy $2,435.31<br />32486 Sleeve lobectomy $2,823.02<br />32488 Completion pneumonectomy $3,001.41<br />32491 Lung volume reduction $2,567.64<br />32500 Partial removal of lung $2,567.35<br />32501 Repair bronchus add-on $478.81<br />32520 Remove lung & revise chest $2,510.93<br />32522 Remove lung & revise chest $2,759.62<br />32525 Remove lung & revise chest $2,995.67<br />32540 Removal of lung lesion $1,834.31<br />32601 Thoracoscopy, diagnostic $599.64<br />32602 Thoracoscopy, diagnostic $650.74<br />32603 Thoracoscopy, diagnostic $826.74<br />32604 Thoracoscopy, diagnostic $938.04<br />32605 Thoracoscopy, diagnostic $756.88<br />32606 Thoracoscopy, diagnostic $900.71<br />32650 Thoracoscopy, surgical $1,321.20<br />32651 Thoracoscopy, surgical $1,524.45<br />32652 Thoracoscopy, surgical $2,187.72<br />32653 Thoracoscopy, surgical $1,506.31<br />32654 Thoracoscopy, surgical $1,511.04<br />32655 Thoracoscopy, surgical $1,540.70<br />32656 Thoracoscopy, surgical $1,577.79<br />32657 Thoracoscopy, surgical $1,617.21<br />32658 Thoracoscopy, surgical $1,435.76<br />32659 Thoracoscopy, surgical $1,437.26<br />32660 Thoracoscopy, surgical $2,041.17<br />32661 Thoracoscopy, surgical $1,595.60<br />32662 Thoracoscopy, surgical $1,918.43<br />32663 Thoracoscopy, surgical $2,215.53<br />32664 Thoracoscopy, surgical $1,657.23<br />32665 Thoracoscopy, surgical $1,795.49<br />32800 Repair lung hernia $1,598.87<br />32810 Close chest after drainage $1,559.68<br />32815 Close bronchial fistula $2,604.15<br />32820 Reconstruct injured chest $2,543.57<br />32850 Donor pneumonectomy $4,441.53<br />32851 Lung transplant, single $5,008.52<br />32852 Lung transplant with bypass $5,626.96<br />32853 Lung transplant, double $6,018.72<br />32854 Lung transplant with bypass $6,473.59<br />32900 Removal of rib(s) $2,296.56<br />32905 Revise & repair chest wall $2,353.73<br />32906 Revise & repair chest wall $2,968.32<br />32940 Revision of lung $2,206.97<br />32960 Therapeutic pneumothorax $263.38<br />32997 Total lung lavage $601.43<br />32999 Chest surgery procedure $0.00<br />33010 Drainage of heart sac $153.52<br />33011 Repeat drainage of heart sac $153.52<br />33015 Incision of heart sac $525.78<br />33020 Incision of heart sac $1,116.59<br />33025 Incision of heart sac $1,186.37<br />33030 Partial removal of heart sac $1,395.73<br />33031 Partial removal of heart sac $2,023.81<br />33050 Removal of heart sac lesion $1,325.95<br />33120 Removal of heart lesion $2,761.67<br />33130 Removal of heart lesion $2,093.60<br />33140 Heart revascularize (tmr) $1,674.88<br />33141 Heart tmr w/other procedure $492.77<br />33200 Insertion of heart pacemaker $1,360.84<br />33201 Insertion of heart pacemaker $1,046.80<br />33206 Insertion of heart pacemaker $732.76<br />33207 Insertion of heart pacemaker $951.02<br />33208 Insertion of heart pacemaker $963.25<br />33210 Insertion of heart electrode $339.69<br />33211 Insertion of heart electrode $293.09<br />33212 Insertion of pulse generator $665.09<br />33213 Insertion of pulse generator $754.04<br />33214 Upgrade of pacemaker system $943.14<br />33215 Reposition pacing-defib lead $353.03<br />33216 Insert lead pace-defib, one $741.67<br />33217 Insert lead pace-defib, dual $741.49<br />33218 Repair lead pace-defib, one $635.05<br />33220 Repair lead pace-defib, dual $726.38<br />33222 Revise pocket, pacemaker $685.94<br />33223 Revise pocket, pacing-defib $819.28<br />33224 Insert pacing lead & connect $579.95<br />33225 L ventric pacing lead add-on $515.50<br />33226 Reposition l ventric lead $558.03<br />33233 Removal of pacemaker system $293.09<br />33234 Removal of pacemaker system $947.33<br />33235 Removal pacemaker electrode $1,201.61<br />33236 Remove electrode/thoracotomy $1,430.63<br />33237 Remove electrode/thoracotomy $1,535.31<br />33238 Remove electrode/thoracotomy $1,674.88<br />33240 Insert pulse generator $909.56<br />33241 Remove pulse generator $456.38<br />33243 Remove eltrd/thoracotomy $2,584.72<br />33244 Remove eltrd, transven $1,686.46<br />33245 Insert epic eltrd pace-defib $1,672.01<br />33246 Insert epic eltrd/generator $1,919.13<br />33249 Eltrd/insert pace-defib $1,678.57<br />33250 Ablate heart dysrhythm focus $1,744.67<br />33251 Ablate heart dysrhythm focus $2,233.17<br />33253 Reconstruct atria $3,000.82<br />33261 Ablate heart dysrhythm focus $1,988.92<br />33282 Implant pat-active ht record $365.84<br />33284 Remove pat-active ht record $265.66<br />33300 Repair of heart wound $1,674.88<br />33305 Repair of heart wound $2,302.96<br />33310 Exploratory heart surgery $1,674.88<br />33315 Exploratory heart surgery $2,542.11<br />33320 Repair major blood vessel(s) $1,891.56<br />33321 Repair major vessel $2,296.79<br />33322 Repair major blood vessel(s) $2,360.21<br />33330 Insert major vessel graft $2,413.47<br />33332 Insert major vessel graft $2,616.46<br />33335 Insert major vessel graft $3,317.87<br />33400 Repair of aortic valve $2,791.46<br />33401 Valvuloplasty, open $2,651.89<br />33403 Valvuloplasty, w/cp bypass $2,861.25<br />33404 Prepare heart-aorta conduit $3,268.83<br />33405 Replacement of aortic valve $3,084.87<br />33406 Replacement of aortic valve $3,279.97<br />33410 Replacement of aortic valve $3,070.61<br />33411 Replacement of aortic valve $3,210.18<br />33412 Replacement of aortic valve $3,210.18<br />33413 Replacement of aortic valve $3,559.12<br />33414 Repair of aortic valve $3,070.61<br />33415 Revision, subvalvular tissue $2,931.04<br />33416 Revise ventricle muscle $2,931.04<br />33417 Repair of aortic valve $3,000.82<br />33420 Revision of mitral valve $2,233.17<br />33422 Revision of mitral valve $3,000.82<br />33425 Repair of mitral valve $3,039.25<br />33426 Repair of mitral valve $3,140.40<br />33427 Repair of mitral valve $3,205.17<br />33430 Replacement of mitral valve $3,140.40<br />33460 Revision of tricuspid valve $2,667.62<br />33463 Valvuloplasty, tricuspid $2,935.48<br />33464 Valvuloplasty, tricuspid $3,117.85<br />33465 Replace tricuspid valve $2,861.25<br />33468 Revision of tricuspid valve $2,791.46<br />33470 Revision of pulmonary valve $2,093.60<br />33471 Valvotomy, pulmonary valve $2,268.06<br />33472 Revision of pulmonary valve $2,372.74<br />33474 Revision of pulmonary valve $2,582.10<br />33475 Replacement, pulmonary valve $3,000.82<br />33476 Revision of heart chamber $2,848.71<br />33478 Revision of heart chamber $2,931.04<br />33496 Repair, prosth valve clot $2,965.93<br />33500 Repair heart vessel fistula $2,442.53<br />33501 Repair heart vessel fistula $1,626.04<br />33502 Coronary artery correction $1,954.02<br />33503 Coronary artery graft $2,163.38<br />33504 Coronary artery graft $2,784.29<br />33505 Repair artery w/tunnel $2,960.44<br />33506 Repair artery, translocation $3,000.82<br />33508 Endoscopic vein harvest $18.84<br />33510 CABG, vein, single $2,931.04<br />33511 CABG, vein, two $3,345.08<br />33512 CABG, vein, three $3,349.76<br />33513 CABG, vein, four $3,559.12<br />33514 CABG, vein, five $3,768.48<br />33516 Cabg, vein, six or more $3,908.05<br />33517 CABG, artery-vein, single $263.12<br />33518 CABG, artery-vein, two $496.26<br />33519 CABG, artery-vein, three $728.03<br />33521 CABG, artery-vein, four $961.93<br />33522 CABG, artery-vein, five $956.07<br />33523 Cabg, art-vein, six or more $1,151.48<br />33530 Coronary artery, bypass/reop $583.28<br />33533 CABG, arterial, single $3,510.06<br />33534 CABG, arterial, two $3,360.30<br />33535 CABG, arterial, three $3,489.33<br />33536 Cabg, arterial, four or more $3,698.69<br />33542 Removal of heart lesion $3,201.04<br />33545 Repair of heart damage $3,698.69<br />33572 Open coronary endarterectomy $454.70<br />33600 Closure of valve $3,070.61<br />33602 Closure of valve $3,000.82<br />33606 Anastomosis/artery-aorta $3,140.40<br />33608 Repair anomaly w/conduit $3,210.18<br />33610 Repair by enlargement $3,140.40<br />33611 Repair double ventricle $3,349.76<br />33612 Repair double ventricle $3,419.54<br />33615 Repair, modified fontan $3,279.97<br />33617 Repair single ventricle $3,454.44<br />33619 Repair single ventricle $3,768.48<br />33641 Repair heart septum defect $2,369.14<br />33645 Revision of heart veins $2,582.10<br />33647 Repair heart septum defects $2,582.10<br />33660 Repair of heart defects $3,035.72<br />33665 Repair of heart defects $3,248.09<br />33670 Repair of heart chambers $3,349.76<br />33681 Repair heart septum defect $2,617.00<br />33684 Repair heart septum defect $3,070.61<br />33688 Repair heart septum defect $3,070.61<br />33690 Reinforce pulmonary artery $1,674.88<br />33692 Repair of heart defects $3,070.61<br />33694 Repair of heart defects $3,140.40<br />33697 Repair of heart defects $3,454.44<br />33702 Repair of heart defects $2,826.36<br />33710 Repair of heart defects $3,070.61<br />33720 Repair of heart defect $2,861.25<br />33722 Repair of heart defect $3,000.82<br />33730 Repair heart-vein defect(s) $2,861.25<br />33732 Repair heart-vein defect $2,791.46<br />33735 Revision of heart chamber $1,814.45<br />33736 Revision of heart chamber $2,163.38<br />33737 Revision of heart chamber $1,954.02<br />33750 Major vessel shunt $2,093.60<br />33755 Major vessel shunt $2,093.60<br />33762 Major vessel shunt $2,093.60<br />33764 Major vessel shunt & graft $1,814.45<br />33766 Major vessel shunt $2,093.60<br />33767 Major vessel shunt $2,275.04<br />33770 Repair great vessels defect $3,279.97<br />33771 Repair great vessels defect $3,419.54<br />33774 Repair great vessels defect $3,070.61<br />33775 Repair great vessels defect $3,175.29<br />33776 Repair great vessels defect $3,314.86<br />33777 Repair great vessels defect $3,266.02<br />33778 Repair great vessels defect $3,524.22<br />33779 Repair great vessels defect $3,545.17<br />33780 Repair great vessels defect $3,614.96<br />33781 Repair great vessels defect $3,573.06<br />33786 Repair arterial trunk $3,489.33<br />33788 Revision of pulmonary artery $2,093.60<br />33800 Aortic suspension $1,535.31<br />33802 Repair vessel defect $1,674.88<br />33803 Repair vessel defect $1,954.02<br />33813 Repair septal defect $1,954.02<br />33814 Repair septal defect $2,721.68<br />33820 Revise major vessel $1,395.73<br />33822 Revise major vessel $1,395.73<br />33824 Revise major vessel $1,744.67<br />33840 Remove aorta constriction $2,093.60<br />33845 Remove aorta constriction $2,302.96<br />33851 Remove aorta constriction $2,302.96<br />33852 Repair septal defect $2,442.53<br />33853 Repair septal defect $3,140.40<br />33860 Ascending aortic graft $3,559.12<br />33861 Ascending aortic graft $3,594.01<br />33863 Ascending aortic graft $3,768.48<br />33870 Transverse aortic arch graft $3,908.05<br />33875 Thoracic aortic graft $3,524.22<br />33877 Thoracoabdominal graft $3,698.69<br />33910 Remove lung artery emboli $2,651.89<br />33915 Remove lung artery emboli $1,884.24<br />33916 Surgery of great vessel $2,721.68<br />33917 Repair pulmonary artery $2,651.89<br />33918 Repair pulmonary atresia $2,826.36<br />33919 Repair pulmonary atresia $3,279.97<br />33920 Repair pulmonary atresia $3,245.08<br />33922 Transect pulmonary artery $2,582.10<br />33924 Remove pulmonary shunt $558.29<br />33930 Removal of donor heart/lung $1,674.88<br />33935 Transplantation, heart/lung $6,883.86<br />33940 Removal of donor heart $1,465.52<br />33945 Transplantation of heart $4,854.79<br />33960 External circulation assist $1,871.33<br />33961 External circulation assist $1,125.30<br />33967 Insert ia percut device $397.97<br />33968 Remove aortic assist device $66.37<br />33970 Aortic circulation assist $488.51<br />33971 Aortic circulation assist $708.53<br />33973 Insert balloon device $635.05<br />33974 Remove intra-aortic balloon $1,542.28<br />33975 Implant ventricular device $1,242.80<br />33976 Implant ventricular device $1,660.93<br />33977 Remove ventricular device $1,905.18<br />33978 Remove ventricular device $2,177.33<br />33979 Insert intracorporeal device $2,775.01<br />33980 Remove intracorporeal device $3,685.06<br />33999 Cardiac surgery procedure $0.00<br />34001 Removal of artery clot $907.23<br />34051 Removal of artery clot $1,751.21<br />34101 Removal of artery clot $725.79<br />34111 Removal of arm artery clot $725.79<br />34151 Removal of artery clot $1,595.68<br />34201 Removal of artery clot $1,088.67<br />34203 Removal of leg artery clot $1,106.52<br />34401 Removal of vein clot $1,509.99<br />34421 Removal of vein clot $821.91<br />34451 Removal of vein clot $1,722.08<br />34471 Removal of vein clot $698.64<br />34490 Removal of vein clot $684.98<br />34501 Repair valve, femoral vein $1,103.12<br />34502 Reconstruct vena cava $2,582.10<br />34510 Transposition of vein valve $1,279.02<br />34520 Cross-over vein graft $1,744.67<br />34530 Leg vein fusion $1,186.37<br />34800 Endovasc abdo repair w/tube $1,535.31<br />34802 Endovasc abdo repr w/device $1,674.88<br />34804 Endovasc abdo repr w/device $1,674.88<br />34805 Endovasc abdo repair w/pros $1,410.71<br />34808 Endovasc abdo occlud device $414.67<br />34812 Xpose for endoprosth, femorl $537.35<br />34813 Femoral endovas graft add-on $418.72<br />34820 Xpose for endoprosth, iliac $781.60<br />34825 Endovasc extend prosth, init $977.01<br />34826 Endovasc exten prosth, add’l $414.67<br />34830 Open aortic tube prosth repr $2,372.74<br />34831 Open aortoiliac prosth repr $2,582.10<br />34832 Open aortofemor prosth repr $2,651.89<br />34833 Xpose for endoprosth, iliac $740.35<br />34834 Xpose, endoprosth, brachial $343.51/td><br />34900 Endovasc iliac repr w/graft $1,093.07<br />35001 Repair defect of artery $1,395.73<br />35002 Repair artery rupture, neck $1,744.67<br />35005 Repair defect of artery $2,018.81<br />35011 Repair defect of artery $1,256.16<br />35013 Repair artery rupture, arm $1,605.09<br />35021 Repair defect of artery $1,319.44<br />35022 Repair artery rupture, chest $1,605.09<br />35045 Repair defect of arm artery $1,256.16<br />35081 Repair defect of artery $1,808.05<br />35082 Repair artery rupture, aorta $2,457.39<br />35091 Repair defect of artery $2,248.30<br />35092 Repair artery rupture, aorta $2,851.21<br />35102 Repair defect of artery $2,093.60<br />35103 Repair artery rupture, groin $2,563.55<br />35111 Repair defect of artery $1,597.33<br />35112 Repair artery rupture,spleen $2,093.60<br />35121 Repair defect of artery $1,928.02<br />35122 Repair artery rupture, belly $2,226.30<br />35131 Repair defect of artery $1,616.72<br />35132 Repair artery rupture, groin $1,954.02<br />35141 Repair defect of artery $1,305.40<br />35142 Repair artery rupture, thigh $1,535.31<br />35151 Repair defect of artery $1,475.71<br />35152 Repair artery rupture, knee $1,744.67<br />35161 Repair defect of artery $1,273.74<br />35162 Repair artery rupture $1,336.80<br />35180 Repair blood vessel lesion $1,395.73<br />35182 Repair blood vessel lesion $1,919.87<br />35184 Repair blood vessel lesion $1,395.73<br />35188 Repair blood vessel lesion $1,535.31<br />35189 Repair blood vessel lesion $2,233.17<br />35190 Repair blood vessel lesion $1,452.98<br />35201 Repair blood vessel lesion $1,804.26<br />35206 Repair blood vessel lesion $1,485.89<br />35207 Repair blood vessel lesion $1,321.16<br />35211 Repair blood vessel lesion $2,302.96<br />35216 Repair blood vessel lesion $1,674.88<br />35221 Repair blood vessel lesion $1,884.24<br />35226 Repair blood vessel lesion $1,130.53<br />35231 Repair blood vessel lesion $1,814.45<br />35236 Repair blood vessel lesion $1,814.45<br />35241 Repair blood vessel lesion $2,582.10<br />35246 Repair blood vessel lesion $1,744.67<br />35251 Repair blood vessel lesion $2,268.06<br />35256 Repair blood vessel lesion $1,549.25<br />35261 Repair blood vessel lesion $1,162.05<br />35266 Repair blood vessel lesion $1,116.59<br />35271 Repair blood vessel lesion $2,233.17<br />35276 Repair blood vessel lesion $1,609.52<br />35281 Repair blood vessel lesion $1,783.38<br />35286 Repair blood vessel lesion $1,325.95<br />35301 Rechanneling of artery $2,071.61<br />35311 Rechanneling of artery $1,763.26<br />35321 Rechanneling of artery $1,633.01<br />35331 Rechanneling of artery $1,705.32<br />35341 Rechanneling of artery $1,645.11<br />35351 Rechanneling of artery $1,535.31<br />35355 Rechanneling of artery $1,605.09<br />35361 Rechanneling of artery $1,813.11<br />35363 Rechanneling of artery $1,941.30<br />35371 Rechanneling of artery $1,256.16<br />35372 Rechanneling of artery $1,325.95<br />35381 Rechanneling of artery $1,395.73<br />35390 Reoperation, carotid add-on $327.65<br />35400 Angioscopy $315.19<br />35450 Repair arterial blockage $683.92<br />35452 Repair arterial blockage $488.51<br />35454 Repair arterial blockage $586.21<br />35456 Repair arterial blockage $586.21<br />35458 Repair arterial blockage $617.34<br />35459 Repair arterial blockage $586.21<br />35460 Repair venous blockage $586.21<br />35470 Repair arterial blockage $668.33<br />35471 Repair arterial blockage $837.79<br />35472 Repair arterial blockage $488.51<br />35473 Repair arterial blockage $635.05<br />35474 Repair arterial blockage $763.60<br />35475 Repair arterial blockage $662.97<br />35476 Repair venous blockage $570.45<br />35480 Atherectomy, open $781.60<br />35481 Atherectomy, open $537.35<br />35482 Atherectomy, open $467.56<br />35483 Atherectomy, open $572.24<br />35484 Atherectomy, open $739.73<br />35485 Atherectomy, open $669.95<br />35490 Atherectomy, percutaneous $774.63<br />35491 Atherectomy, percutaneous $537.35<br />35492 Atherectomy, percutaneous $446.64<br />35493 Atherectomy, percutaneous $572.24<br />35494 Atherectomy, percutaneous $739.73<br />35495 Atherectomy, percutaneous $669.95<br />35500 Harvest vein for bypass $388.03<br />35501 Artery bypass graft $1,267.80<br />35506 Artery bypass graft $1,395.73<br />35507 Artery bypass graft $1,395.73<br />35508 Artery bypass graft $1,395.73<br />35509 Artery bypass graft $1,395.73<br />35510 Artery bypass graft $1,492.48<br />35511 Artery bypass graft $1,535.31<br />35512 Artery bypass graft $1,463.05<br />35515 Artery bypass graft $1,535.31<br />35516 Artery bypass graft $1,535.31<br />35518 Artery bypass graft $1,535.31<br />35521 Artery bypass graft $1,744.67<br />35522 Artery bypass graft $1,419.16<br />35525 Artery bypass graft $1,352.42/td><br />35526 Artery bypass graft $2,233.17<br />35531 Artery bypass graft $2,292.53<br />35533 Artery bypass graft $1,814.45<br />35536 Artery bypass graft $2,020.09<br />35541 Artery bypass graft $1,686.78<br />35546 Artery bypass graft $1,814.45<br />35548 Artery bypass graft $1,814.45<br />35549 Artery bypass graft $1,954.02<br />35551 Artery bypass graft $2,023.81<br />35556 Artery bypass graft $1,814.45<br />35558 Artery bypass graft $1,535.31<br />35560 Artery bypass graft $2,051.49<br />35563 Artery bypass graft $1,674.88<br />35565 Artery bypass graft $1,814.45<br />35566 Artery bypass graft $1,814.45<br />35571 Artery bypass graft $1,744.67<br />35572 Harvest femoropopliteal vein $417.42<br />35582 Vein bypass graft $1,770.91<br />35583 Vein bypass graft $1,605.09<br />35585 Vein bypass graft $1,858.75<br />35587 Vein bypass graft $1,674.88<br />35600 Harvest artery for cabg $355.01<br />35601 Artery bypass graft $1,674.88<br />35606 Artery bypass graft $1,674.88<br />35612 Artery bypass graft $1,674.88<br />35616 Artery bypass graft $1,674.88<br />35621 Artery bypass graft $1,674.88<br />35623 Bypass graft, not vein $1,605.09<br />35626 Artery bypass graft $1,954.02<br />35631 Artery bypass graft $2,164.64<br />35636 Artery bypass graft $1,954.02<br />35641 Artery bypass graft $2,233.17<br />35642 Artery bypass graft $2,016.88<br />35645 Artery bypass graft $1,953.31<br />35646 Artery bypass graft $2,233.17<br />35647 Artery bypass graft $1,954.02<br />35650 Artery bypass graft $1,535.31<br />35651 Artery bypass graft $2,093.60<br />35654 Artery bypass graft $1,954.02<br />35656 Artery bypass graft $1,925.95<br />35661 Artery bypass graft $1,395.73<br />35663 Artery bypass graft $1,674.88<br />35665 Artery bypass graft $1,674.88<br />35666 Artery bypass graft $1,814.45<br />35671 Artery bypass graft $1,674.88<br />35681 Composite bypass graft $163.51<br />35682 Composite bypass graft $488.51<br />35683 Composite bypass graft $558.29<br />35685 Bypass graft patency/patch $272.17<br />35686 Bypass graft/av fist patency $223.31<br />35691 Arterial transposition $1,674.88<br />35693 Arterial transposition $1,674.88<br />35694 Arterial transposition $1,849.34<br />35695 Arterial transposition $1,849.34<br />35697 Reimplant artery each $185.40<br />35700 Reoperation, bypass graft $315.65<br />35701 Exploration, carotid artery $635.05<br />35721 Exploration, femoral artery $520.92<br />35741 Exploration popliteal artery $567.37<br />35761 Exploration of artery/vein $565.27<br />35800 Explore neck vessels $697.87<br />35820 Explore chest vessels $1,482.01<br />35840 Explore abdominal vessels $1,046.80<br />35860 Explore limb vessels $628.08<br />35870 Repair vessel graft defect $2,430.86<br />35875 Removal of clot in graft $942.12<br />35876 Removal of clot in graft $1,325.95<br />35879 Revise graft w/vein $1,221.27<br />35881 Revise graft w/vein $1,535.31<br />35901 Excision, graft, neck $977.01<br />35903 Excision, graft, extremity $1,116.59<br />35905 Excision, graft, thorax $2,268.06<br />35907 Excision, graft, abdomen $2,337.85<br />36000 Place needle in vein $55.09<br />36002 Pseudoaneurysm injection trt $210.50<br />36005 Injection ext venography $393.49<br />36010 Place catheter in vein $170.18<br />36011 Place catheter in vein $209.36<br />36012 Place catheter in vein $314.04<br />36013 Place catheter in artery $209.36<br />36014 Place catheter in artery $299.51<br />36015 Place catheter in artery $314.04<br />36100 Establish access to artery $279.15<br />36120 Establish access to artery $199.30<br />36140 Establish access to artery $198.96<br />36145 Artery to vein shunt $199.65<br />36160 Establish access to aorta $209.36<br />36200 Place catheter in aorta $301.91<br />36215 Place catheter in artery $466.77<br />36216 Place catheter in artery $524.65<br />36217 Place catheter in artery $630.41<br />36218 Place catheter in artery $101.58<br />36245 Place catheter in artery $471.93<br />36246 Place catheter in artery $527.40<br />36247 Place catheter in artery $627.66<br />36248 Place catheter in artery $101.92<br />36260 Insertion of infusion pump $661.91<br />36261 Revision of infusion pump $593.19<br />36262 Removal of infusion pump $411.75<br />36299 Vessel injection procedure $0.00<br />36400 Bl draw <> 3 yrs $23.92<br />36415 Routine venipuncture $13.69<br />36416 Capillary blood draw $14.52<br />36420 Vein access cutdown <> 1 yr $56.33<br />36430 Blood transfusion service $42.96<br />36440 Bl push transfuse, 2 yr or < $83.73 36450 Bl exchange/transfuse, nb $221.92 36455 Bl exchange/transfuse non-nb $255.80 36460 Transfusion service, fetal $669.58 36468 Injection(s), spider veins $269.28 36469 Injection(s), spider veins $76.76 36470 Injection therapy of vein $163.67 36471 Injection therapy of veins $251.70 36481 Insertion of catheter, vein $662.97 36488 Insertion of catheter, vein $104.68 36489 Insertion of catheter, vein $469.65 36490 Insertion of catheter, vein $160.52 36491 Insertion of catheter, vein $163.91 36493 Repositioning of cvc $143.21 36500 Insertion of catheter, vein $244.25 36510 Insertion of catheter, vein $204.78 36511 Apheresis wbc $108.73 36512 Apheresis rbc $108.73 36513 Apheresis platelets $108.73 36514 Apheresis plasma $114.29 36515 Apheresis, adsorp/reinfuse $109.56 36516 Apheresis, selective $128.62 36522 Photopheresis $1,329.40 36530 Insertion of infusion pump $558.29 36531 Revision of infusion pump $558.29 36532 Removal of infusion pump $363.76 36533 Insertion of access device $1,337.27 36534 Revision of access device $316.12 36535 Removal of access device $368.80 36536 Remove cva device obstruct $2,556.62 36537 Remove cva lumen obstruct $348.18 36540 Collect blood venous device $69.43 36550 Declot vascular device $27.92 36555 Insert non-tunnel cv cath $372.26 36556 Insert non-tunnel cv cath $355.73 36557 Insert tunneled cv cath $800.36 36558 Insert tunneled cv cath $782.37 36560 Insert tunneled cv cath $1,497.56 36561 Insert tunneled cv cath $1,483.05 36563 Insert tunneled cv cath $1,864.83 36565 Insert tunneled cv cath $1,195.53 36566 Insert tunneled cv cath $1,250.98 36568 Insert tunneled cv cath $428.67 36569 Insert tunneled cv cath $390.12 36570 Insert tunneled cv cath $1,913.61 36571 Insert tunneled cv cath $1,721.44 36575 Repair tunneled cv cath $180.54 36576 Repair tunneled cv cath $473.56 36578 Replace tunneled cv cath $603.91 36580 Replace tunneled cv cath $341.24 36581 Replace tunneled cv cath $714.00 36582 Replace tunneled cv cath $1,344.76 36583 Replace tunneled cv cath $789.31 36584 Replace tunneled cv cath $355.73/td><br />36585 Replace tunneled cv cath $1,691.61<br />36589 Removal tunneled cv cath $197.73<br />36590 Removal tunneled cv cath $421.09<br />36595 Mech remov tunneled cv cath $980.83<br />36596 Mech remov tunneled cv cath $215.98<br />36597 Reposition venous catheter $187.02<br />36600 Withdrawal of arterial blood $57.63<br />36620 Insertion catheter, artery $104.80<br />36625 Insertion catheter, artery $119.93<br />36640 Insertion catheter, artery $141.99<br />36660 Insertion catheter, artery $97.71<br />36680 Insert needle, bone cavity $76.76<br />36800 Insertion of cannula $187.97<br />36810 Insertion of cannula $428.52<br />36815 Insertion of cannula $286.83<br />36819 Av fusion/uppr arm vein $1,270.11<br />36820 Av fusion/forearm vein $1,004.93<br />36821 Av fusion direct any site $1,030.49<br />36822 Insertion of cannula(s) $739.18<br />36823 Insertion of cannula(s) $1,385.27<br />36825 Artery-vein autograft $1,132.84<br />36830 Artery-vein nonautograft $1,208.67<br />36831 Open thrombect av fistula $541.53<br />36832 Av fistula revision, open $695.40<br />36833 Av fistula revision $783.48<br />36834 Repair A-V aneurysm $1,115.82<br />36835 Artery to vein shunt $868.34<br />36838 Dist revas ligation, hemo $1,371.13<br />36860 External cannula declotting $195.39<br />36861 Cannula declotting $177.54<br />36870 Percut thrombect av fistula $2,177.25<br />37140 Revision of circulation $2,163.38<br />37145 Revision of circulation $2,093.60<br />37160 Revision of circulation $2,163.38<br />37180 Revision of circulation $2,163.38<br />37181 Splice spleen/kidney veins $2,791.46<br />37182 Insert hepatic shunt (tips) $1,056.37<br />37183 Remove hepatic shunt (tips) $495.92<br />37195 Thrombolytic therapy, stroke $488.51<br />37200 Transcatheter biopsy $450.93<br />37201 Transcatheter therapy infuse $556.07<br />37202 Transcatheter therapy infuse $647.79<br />37203 Transcatheter retrieval $544.35<br />37204 Transcatheter occlusion $1,798.35<br />37205 Transcatheter stent $892.88<br />37206 Transcatheter stent add-on $416.06<br />37207 Transcatheter stent $872.49<br />37208 Transcatheter stent add-on $421.53<br />37209 Exchange arterial catheter $225.61<br />37250 Iv us first vessel add-on $160.52<br />37251 Iv us each add vessel add-on $104.68<br />37500 Endoscopy ligate perf veins $795.96<br />37501 Vascular endoscopy procedure $0.00<br />37565 Ligation of neck vein $907.23<br />37600 Ligation of neck artery $788.57<br />37605 Ligation of neck artery $892.31<br />37606 Ligation of neck artery $816.80<br />37607 Ligation of a-v fistula $725.79<br />37609 Temporal artery procedure $333.71<br />37615 Ligation of neck artery $725.79<br />37616 Ligation of chest artery $1,814.45<br />37617 Ligation of abdomen artery $1,409.88<br />37618 Ligation of extremity artery $630.13<br />37620 Revision of major vein $1,172.51<br />37650 Revision of major vein $635.05<br />37660 Revision of major vein $1,344.48<br />37700 Revise leg vein $436.67<br />37720 Removal of leg vein $704.09<br />37730 Removal of leg veins $873.17<br />37735 Removal of leg veins/lesion $1,214.59<br />37760 Ligation, leg veins, open $1,196.70<br />37765 Phleb veins - extrem - to 20 $526.70<br />37766 Phleb veins - extrem 20+ $643.40<br />37780 Revision of leg vein $300.65<br />37785 Ligate/divide/excise vein $394.01<br />37788 Revascularization, penis $1,402.10<br />37790 Penile venous occlusion $959.98<br />37799 Vascular surgery procedure $0.00<br />38100 Removal of spleen, total $1,564.04<br />38101 Removal of spleen, partial $1,651.71<br />38102 Removal of spleen, total $491.52<br />38115 Repair of ruptured spleen $1,699.08<br />38120 Laparoscopy, splenectomy $1,850.42<br />38129 Laparoscope proc, spleen $0.00<br />38200 Injection for spleen x-ray $263.22<br />38204 Bl donor search management $223.00<br />38205 Harvest allogenic stem cells $160.20<br />38206 Harvest auto stem cells $160.20<br />38207 Cryopreserve stem cells $361.00<br />38208 Thaw preserved stem cells $0.00<br />38209 Wash harvest stem cells $0.00<br />38210 T-cell depletion of harvest $0.00<br />38211 Tumor cell deplete of harvst $0.00<br />38212 Rbc depletion of harvest $0.00<br />38213 Platelet deplete of harvest $0.00<br />38214 Volume deplete of harvest $361.00<br />38215 Harvest stem cell concentrte $0.00<br />38220 Bone marrow aspiration $258.59<br />38221 Bone marrow biopsy $235.50<br />38230 Bone marrow collection $560.62<br />38240 Bone marrow/stem transplant $241.61<br />38241 Bone marrow/stem transplant $242.30<br />38242 Lymphocyte infuse transplant $182.77<br />38300 Drainage, lymph node lesion $338.20<br />38305 Drainage, lymph node lesion $675.56<br />38308 Incision of lymph channels $895.29<br />38380 Thoracic duct procedure $977.57<br />38381 Thoracic duct procedure $1,503.60<br />38382 Thoracic duct procedure $1,197.18<br />38500 Biopsy/removal, lymph nodes $527.02<br />38505 Needle biopsy, lymph nodes $235.55<br />38510 Biopsy/removal, lymph nodes $884.18<br />38520 Biopsy/removal, lymph nodes $801.90<br />38525 Biopsy/removal, lymph nodes $703.75<br />38530 Biopsy/removal, lymph nodes $928.28<br />38542 Explore deep node(s), neck $771.66<br />38550 Removal, neck/armpit lesion $819.16<br />38555 Removal, neck/armpit lesion $1,708.22<br />38562 Removal, pelvic lymph nodes $1,223.34<br />38564 Removal, abdomen lymph nodes $1,216.01<br />38570 Laparoscopy, lymph node biop $997.94<br />38571 Laparoscopy, lymphadenectomy $1,513.20<br />38572 Laparoscopy, lymphadenectomy $1,776.57<br />38589 Laparoscope proc, lymphatic $0.00<br />38700 Removal of lymph nodes, neck $1,196.25<br />38720 Removal of lymph nodes, neck $1,819.50<br />38724 Removal of lymph nodes, neck $1,926.46<br />38740 Remove armpit lymph nodes $1,120.88<br />38745 Remove armpit lymph nodes $1,440.29<br />38746 Remove thoracic lymph nodes $498.57<br />38747 Remove abdominal lymph nodes $500.65<br />38760 Remove groin lymph nodes $1,428.75<br />38765 Remove groin lymph nodes $2,165.94<br />38770 Remove pelvis lymph nodes $1,427.26<br />38780 Remove abdomen lymph nodes $1,872.90<br />38790 Inject for lymphatic x-ray $779.99<br />38792 Identify sentinel node $70.84<br />38794 Access thoracic lymph duct $572.84<br />38999 Blood/lymph system procedure $0.00<br />39000 Exploration of chest $808.53<br />39010 Exploration of chest $1,398.48<br />39200 Removal chest lesion $1,553.34<br />39220 Removal chest lesion $1,973.98<br />39400 Visualization of chest $781.93<br />39499 Chest procedure $0.00<br />39501 Repair diaphragm laceration $1,489.27<br />39502 Repair paraesophageal hernia $1,783.25<br />39503 Repair of diaphragm hernia $5,723.96<br />39520 Repair of diaphragm hernia $1,834.89<br />39530 Repair of diaphragm hernia $1,713.52<br />39531 Repair of diaphragm hernia $1,813.35<br />39540 Repair of diaphragm hernia $1,483.14<br />39541 Repair of diaphragm hernia $1,595.15<br />39545 Revision of diaphragm $1,585.64<br />39560 Resect diaphragm, simple $1,387.67<br />39561 Resect diaphragm, complex $2,033.34<br />39599 Diaphragm surgery procedure $0.00<br /><br />with 4<br /><br />40490 Biopsy of lip $132.53<br />40500 Partial excision of lip $750.15<br />40510 Partial excision of lip $835.55<br />40520 Partial excision of lip $870.14<br />40525 Reconstruct lip with flap $1,066.22<br />40527 Reconstruct lip with flap $1,255.44<br />40530 Partial removal of lip $874.38<br />40650 Repair lip $665.87<br />40652 Repair lip $781.00<br />40654 Repair lip $908.62<br />40700 Repair cleft lip/nasal $1,646.75<br />40701 Repair cleft lip/nasal $2,050.06<br />40702 Repair cleft lip/nasal $1,597.24<br />40720 Repair cleft lip/nasal $1,787.43<br />40761 Repair cleft lip/nasal $1,900.95<br />40799 Lip surgery procedure $0.00<br />40800 Drainage of mouth lesion $190.94<br />40801 Drainage of mouth lesion $381.87<br />40804 Removal, foreign body, mouth $190.94<br />40805 Removal, foreign body, mouth $381.87<br />40806 Incision of lip fold $118.16<br />40808 Biopsy of mouth lesion $188.86<br />40810 Excision of mouth lesion $170.80<br />40812 Excise/repair mouth lesion $261.99<br />40814 Excise/repair mouth lesion $496.92<br />40816 Excision of mouth lesion $622.68<br />40818 Excise oral mucosa for graft $496.92<br />40819 Excise lip or cheek fold $383.35<br />40820 Treatment of mouth lesion $170.53<br />40830 Repair mouth laceration $209.17<br />40831 Repair mouth laceration $305.99<br />40840 Reconstruction of mouth $1,274.46<br />40842 Reconstruction of mouth $1,275.52<br />40843 Reconstruction of mouth $1,685.09<br />40844 Reconstruction of mouth $2,213.08<br />40845 Reconstruction of mouth $2,535.10<br />40899 Mouth surgery procedure $0.00<br />41000 Drainage of mouth lesion $190.94<br />41005 Drainage of mouth lesion $190.94<br />41006 Drainage of mouth lesion $332.28<br />41007 Drainage of mouth lesion $316.30<br />41008 Drainage of mouth lesion $343.64<br />41009 Drainage of mouth lesion $367.34<br />41010 Incision of tongue fold $319.78<br />41015 Drainage of mouth lesion $405.60<br />41016 Drainage of mouth lesion $414.04<br />41017 Drainage of mouth lesion $411.35<br />41018 Drainage of mouth lesion $476.29<br />41100 Biopsy of tongue $181.71<br />41105 Biopsy of tongue $248.01<br />41108 Biopsy of floor of mouth $172.20<br />41110 Excision of tongue lesion $174.43<br />41112 Excision of tongue lesion $343.56<br />41113 Excision of tongue lesion $343.56<br />41114 Excision of tongue lesion $1,241.92<br />41115 Excision of tongue fold $222.94<br />41116 Excision of mouth lesion $479.95<br />41120 Partial removal of tongue $1,279.50<br />41130 Partial removal of tongue $1,440.31<br />41135 Tongue and neck surgery $2,811.60<br />41140 Removal of tongue $3,083.39<br />41145 Tongue removal, neck surgery $3,648.60<br />41150 Tongue, mouth, jaw surgery $2,853.65<br />41153 Tongue, mouth, neck surgery $2,941.49<br />41155 Tongue, jaw, & neck surgery $3,389.25<br />41250 Repair tongue laceration $267.65<br />41251 Repair tongue laceration $381.87<br />41252 Repair tongue laceration $517.80<br />41500 Fixation of tongue $536.85<br />41510 Tongue to lip surgery $478.02<br />41520 Reconstruction, tongue fold $491.97<br />41599 Tongue and mouth surgery $0.00<br />41800 Drainage of gum lesion $229.27<br />41805 Removal foreign body, gum $190.94<br />41806 Removal foreign body,jawbone $275.62<br />41820 Excision, gum, each quadrant $763.74<br />41821 Excision of gum flap $152.60<br />41822 Excision of gum lesion $278.42<br />41823 Excision of gum lesion $496.92<br />41825 Excision of gum lesion $196.25<br />41826 Excision of gum lesion $266.86<br />41827 Excision of gum lesion $496.92<br />41828 Excision of gum lesion $381.87<br />41830 Removal of gum tissue $381.87<br />41850 Treatment of gum lesion $114.22<br />41870 Gum graft $515.66<br />41872 Repair gum $519.72<br />41874 Repair tooth socket $554.06<br />41899 Dental surgery procedure $0.00<br />42000 Drainage mouth roof lesion $190.94<br />42100 Biopsy roof of mouth $166.71<br />42104 Excision lesion, mouth roof $190.94<br />42106 Excision lesion, mouth roof $343.56<br />42107 Excision lesion, mouth roof $762.10<br />42120 Remove palate/lesion $860.97<br />42140 Excision of uvula $248.01<br />42145 Repair palate, pharynx/uvula $1,078.79<br />42160 Treatment mouth roof lesion $232.24<br />42180 Repair palate $305.99<br />42182 Repair palate $572.80<br />42200 Reconstruct cleft palate $1,555.05<br />42205 Reconstruct cleft palate $1,668.62<br />42210 Reconstruct cleft palate $1,857.01<br />42215 Reconstruct cleft palate $1,217.46<br />42220 Reconstruct cleft palate $928.58<br />42225 Reconstruct cleft palate $1,269.89<br />42226 Lengthening of palate $1,318.70<br />42227 Lengthening of palate $1,244.31<br />42235 Repair palate $975.51<br />42260 Repair nose to lip fistula $1,146.45<br />42280 Preparation, palate mold $154.50<br />42281 Insertion, palate prosthesis $210.60<br />42299 Palate/uvula surgery $0.00<br />42300 Drainage of salivary gland $353.40<br />42305 Drainage of salivary gland $745.00<br />42310 Drainage of salivary gland $282.06<br />42320 Drainage of salivary gland $425.04<br />42325 Create salivary cyst drain $273.77<br />42326 Create salivary cyst drain $364.89<br />42330 Removal of salivary stone $239.25<br />42335 Removal of salivary stone $525.29<br />42340 Removal of salivary stone $710.70<br />42400 Biopsy of salivary gland $181.13<br />42405 Biopsy of salivary gland $515.66<br />42408 Excision of salivary cyst $700.02<br />42409 Drainage of salivary cyst $462.48<br />42410 Excise parotid gland/lesion $1,185.76<br />42415 Excise parotid gland/lesion $2,086.37<br />42420 Excise parotid gland/lesion $2,399.84<br />42425 Excise parotid gland/lesion $1,635.69<br />42426 Excise parotid gland/lesion $2,574.78<br />42440 Excise submaxillary gland $889.37<br />42450 Excise sublingual gland $748.00<br />42500 Repair salivary duct $708.62<br />42505 Repair salivary duct $953.98<br />42507 Parotid duct diversion $840.96<br />42508 Parotid duct diversion $1,188.51<br />42509 Parotid duct diversion $1,491.39<br />42510 Parotid duct diversion $1,052.18<br />42550 Injection for salivary x-ray $596.54<br />42600 Closure of salivary fistula $774.64<br />42650 Dilation of salivary duct $95.48<br />42660 Dilation of salivary duct $114.22<br />42665 Ligation of salivary duct $305.99<br />42699 Salivary surgery procedure $0.00<br />42700 Drainage of tonsil abscess $314.42<br />42720 Drainage of throat abscess $496.92<br />42725 Drainage of throat abscess $1,241.92<br />42800 Biopsy of throat $172.20<br />42802 Biopsy of throat $286.41<br />42804 Biopsy of upper nose/throat $221.82<br />42806 Biopsy of upper nose/throat $243.46<br />42808 Excise pharynx lesion $397.20<br />42809 Remove pharynx foreign body $248.01<br />42810 Excision of neck cyst $586.21<br />42815 Excision of neck cyst $922.31<br />42820 Remove tonsils and adenoids $541.80<br />42821 Remove tonsils and adenoids $585.32<br />42825 Removal of tonsils $493.16<br />42826 Removal of tonsils $482.26<br />42830 Removal of adenoids $379.84<br />42831 Removal of adenoids $407.16<br />42835 Removal of adenoids $359.34<br />42836 Removal of adenoids $462.91<br />42842 Extensive surgery of throat $1,142.82<br />42844 Extensive surgery of throat $1,800.51<br />42845 Extensive surgery of throat $2,992.70<br />42860 Excision of tonsil tags $349.92<br />42870 Excision of lingual tonsil $748.06<br />42890 Partial removal of pharynx $1,645.56<br />42892 Revision of pharyngeal walls $1,977.34<br />42894 Revision of pharyngeal walls $2,811.76<br />42900 Repair throat wound $662.15<br />42950 Reconstruction of throat $1,082.52<br />42953 Repair throat, esophagus $1,216.94<br />42955 Surgical opening of throat $961.33<br />42960 Control throat bleeding $318.89<br />42961 Control throat bleeding $460.24<br />42962 Control throat bleeding $687.86<br />42970 Control nose/throat bleeding $630.71<br />42971 Control nose/throat bleeding $745.00<br />42972 Control nose/throat bleeding $917.13<br />42999 Throat surgery procedure $0.00<br />43020 Incision of esophagus $1,024.61<br />43030 Throat muscle surgery $998.89<br />43045 Incision of esophagus $2,329.82<br />43100 Excision of esophagus lesion $1,149.77<br />43101 Excision of esophagus lesion $1,832.62<br />43107 Removal of esophagus $4,298.68<br />43108 Removal of esophagus $3,690.25<br />43112 Removal of esophagus $4,650.80<br />43113 Removal of esophagus $3,855.49<br />43116 Partial removal of esophagus $3,593.30<br />43117 Partial removal of esophagus $4,255.26<br />43118 Partial removal of esophagus $3,577.46<br />43121 Partial removal of esophagus $3,196.85<br />43122 Partial removal of esophagus $4,252.90<br />43123 Partial removal of esophagus $3,615.60<br />43124 Removal of esophagus $3,065.22<br />43130 Removal of esophagus pouch $1,444.45<br />43135 Removal of esophagus pouch $1,839.02<br />43200 Esophagus endoscopy $399.28<br />43201 Esoph scope w/submucous inj $484.46<br />43202 Esophagus endoscopy, biopsy $516.35<br />43204 Esoph scope w/sclerosis inj $394.35<br />43205 Esophagus endoscopy/ligation $396.19<br />43215 Esophagus endoscopy $285.35<br />43216 Esophagus endoscopy/lesion $266.63<br />43217 Esophagus endoscopy $691.25<br />43219 Esophagus endoscopy $309.93<br />43220 Esoph endoscopy, dilation $229.78<br />43226 Esoph endoscopy, dilation $252.52<br />43227 Esoph endoscopy, repair $376.83<br />43228 Esoph endoscopy, ablation $399.84<br />43231 Esoph endoscopy w/us exam $338.01<br />43232 Esoph endoscopy w/us fn bx $471.11<br />43234 Upper GI endoscopy, exam $514.29<br />43235 Uppr gi endoscopy, diagnosis $530.96<br />43236 Uppr gi scope w/submuc inj $659.01<br />43237 Endoscopic us exam, esoph $401.44<br />43238 Uppr gi endoscopy w/us fn bx $477.35<br />43239 Upper GI endoscopy, biopsy $604.33<br />43240 Esoph endoscope w/drain cyst $708.71<br />43241 Upper GI endoscopy with tube $277.72<br />43242 Uppr gi endoscopy w/us fn bx $748.53<br />43243 Upper gi endoscopy & inject $475.77<br />43244 Upper GI endoscopy/ligation $523.32<br />43245 Uppr gi scope dilate strictr $337.27<br />43246 Place gastrostomy tube $452.33<br />43247 Operative upper GI endoscopy $357.37<br />43248 Uppr gi endoscopy/guide wire $334.34<br />43249 Esoph endoscopy, dilation $308.79<br />43250 Upper GI endoscopy/tumor $339.10<br />43251 Operative upper GI endoscopy $388.77<br />43255 Operative upper GI endoscopy $499.60<br />43256 Uppr gi endoscopy w stent $455.55<br />43258 Operative upper GI endoscopy $474.96<br />43259 Endoscopic ultrasound exam $537.27<br />43260 Endo cholangiopancreatograph $614.67<br />43261 Endo cholangiopancreatograph $646.08<br />43262 Endo cholangiopancreatograph $758.62<br />43263 Endo cholangiopancreatograph $746.69<br />43264 Endo cholangiopancreatograph $911.30<br />43265 Endo cholangiopancreatograph $1,021.04<br />43267 Endo cholangiopancreatograph $757.93<br />43268 Endo cholangiopancreatograph $764.82<br />43269 Endo cholangiopancreatograph $837.42<br />43271 Endo cholangiopancreatograph $757.93<br />43272 Endo cholangiopancreatograph $758.62<br />43280 Laparoscopy, fundoplasty $1,863.24<br />43289 Laparoscope proc, esoph $0.00<br />43300 Repair of esophagus $1,165.30<br />43305 Repair esophagus and fistula $2,094.77<br />43310 Repair of esophagus $2,792.30<br />43312 Repair esophagus and fistula $3,085.32<br />43313 Esophagoplasty congenital $4,987.88<br />43314 Tracheo-esophagoplasty cong $5,494.69<br />43320 Fuse esophagus & stomach $2,190.08<br />43324 Revise esophagus & stomach $2,212.03<br />43325 Revise esophagus & stomach $2,172.58<br />43326 Revise esophagus & stomach $2,190.99<br />43330 Repair of esophagus $2,128.23<br />43331 Repair of esophagus $2,257.62<br />43340 Fuse esophagus & intestine $2,147.26<br />43341 Fuse esophagus & intestine $2,335.79<br />43350 Surgical opening, esophagus $1,809.74<br />43351 Surgical opening, esophagus $2,108.60<br />43352 Surgical opening, esophagus $1,772.61<br />43360 Gastrointestinal repair $3,829.31<br />43361 Gastrointestinal repair $4,334.60<br />43400 Ligate esophagus veins $2,270.91<br />43401 Esophagus surgery for veins $2,377.17<br />43405 Ligate/staple esophagus $2,221.86<br />43410 Repair esophagus wound $1,581.48<br />43415 Repair esophagus wound $2,755.83<br />43420 Repair esophagus opening $1,620.74<br />43425 Repair esophagus opening $2,342.71<br />43450 Dilate esophagus $279.30<br />43453 Dilate esophagus $525.85<br />43456 Dilate esophagus $763.74<br />43458 Dilate esophagus $686.67<br />43460 Pressure treatment esophagus $394.17<br />43496 Free jejunum flap, microvasc $9,551.73<br />43499 Esophagus surgery procedure $0.00<br />43500 Surgical opening of stomach $1,202.53<br />43501 Surgical repair of stomach $2,133.93<br />43502 Surgical repair of stomach $2,455.50<br />43510 Surgical opening of stomach $1,466.34<br />43520 Incision of pyloric muscle $1,144.78<br />43600 Biopsy of stomach $218.00<br />43605 Biopsy of stomach $1,297.78<br />43610 Excision of stomach lesion $1,562.59<br />43611 Excision of stomach lesion $1,910.81<br />43620 Removal of stomach $3,151.35<br />43621 Removal of stomach $3,219.04<br />43622 Removal of stomach $3,399.57<br />43631 Removal of stomach, partial $2,401.04<br />43632 Removal of stomach, partial $2,401.38<br />43633 Removal of stomach, partial $2,452.53<br />43634 Removal of stomach, partial $2,661.13<br />43635 Removal of stomach, partial $210.59<br />43638 Removal of stomach, partial $3,077.20<br />43639 Removal of stomach, partial $3,115.05<br />43640 Vagotomy & pylorus repair $1,833.71<br />43641 Vagotomy & pylorus repair $1,860.98<br />43651 Laparoscopy, vagus nerve $1,129.44<br />43652 Laparoscopy, vagus nerve $1,329.35<br />43653 Laparoscopy, gastrostomy $899.26<br />43659 Laparoscope proc, stom $0.00<br />43750 Place gastrostomy tube $535.53<br />43752 Nasal/orogastric w/stent $69.37<br />43760 Change gastrostomy tube $198.49<br />43761 Reposition gastrostomy tube $208.60<br />43800 Reconstruction of pylorus $1,473.99<br />43810 Fusion of stomach and bowel $1,567.02<br />43820 Fusion of stomach and bowel $1,639.01<br />43825 Fusion of stomach and bowel $2,049.98<br />43830 Place gastrostomy tube $1,075.34<br />43831 Place gastrostomy tube $930.87<br />43832 Place gastrostomy tube $1,685.11<br />43840 Repair of stomach lesion $1,679.02<br />43842 Gastroplasty for obesity $2,000.51<br />43843 Gastroplasty for obesity $2,012.92<br />43846 Gastric bypass for obesity $2,587.81<br />43847 Gastric bypass for obesity $2,875.07<br />43848 Revision gastroplasty $3,133.83<br />43850 Revise stomach-bowel fusion $2,604.10<br />43855 Revise stomach-bowel fusion $2,748.12<br />43860 Revise stomach-bowel fusion $2,638.43<br />43865 Revise stomach-bowel fusion $2,793.22<br />43870 Repair stomach opening $1,065.60<br />43880 Repair stomach-bowel fistula $2,604.39<br />43999 Stomach surgery procedure $0.00<br />44005 Freeing of bowel adhesion $1,734.18<br />44010 Incision of small bowel $1,355.64<br />44015 Insert needle cath bowel $267.21<br />44020 Explore small intestine $1,504.63<br />44021 Decompress small bowel $1,513.08<br />44025 Incision of large bowel $1,532.83<br />44050 Reduce bowel obstruction $1,506.94<br />44055 Correct malrotation of bowel $2,299.61<br />44100 Biopsy of bowel $230.63<br />44110 Excise intestine lesion(s) $1,284.73<br />44111 Excision of bowel lesion(s) $1,540.80<br />44120 Removal of small intestine $1,817.77<br />44121 Removal of small intestine $455.75<br />44125 Removal of small intestine $1,872.55<br />44126 Enterectomy w/o taper, cong $3,636.88<br />44127 Enterectomy w/taper, cong $4,161.13<br />44128 Enterectomy cong, add-on $456.09<br />44130 Bowel to bowel fusion $1,562.27<br />44132 Enterectomy, cadaver donor $0.00<br />44133 Enterectomy, live donor $0.00<br />44135 Intestine transplnt, cadaver No Data<br />44136 Intestine transplant, live $0.00<br />44139 Mobilization of colon $227.42<br />44140 Partial removal of colon $2,252.67<br />44141 Partial removal of colon $2,234.04<br />44143 Partial removal of colon $2,541.75<br />44144 Partial removal of colon $2,350.81<br />44145 Partial removal of colon $2,810.18<br />44146 Partial removal of colon $3,038.06<br />44147 Partial removal of colon $2,218.00<br />44150 Removal of colon $2,707.35<br />44151 Removal of colon/ileostomy $3,018.08<br />44152 Removal of colon/ileostomy $2,977.07<br />44153 Removal of colon/ileostomy $3,379.34<br />44155 Removal of colon/ileostomy $3,096.37<br />44156 Removal of colon/ileostomy $3,432.51<br />44160 Removal of colon $2,002.01<br />44200 Laparoscopy, enterolysis $1,566.07<br />44201 Laparoscopy, jejunostomy $1,093.27<br />44202 Lap resect s/intestine singl $2,351.33<br />44203 Lap resect s/intestine, addl $453.68<br />44204 Laparo partial colectomy $2,663.93<br />44205 Lap colectomy part w/ileum $2,361.37<br />44206 Lap part colectomy w/stoma $2,879.69<br />44207 L colectomy/coloproctostomy $3,127.09<br />44208 L colectomy/coloproctostomy $3,390.33<br />44210 Laparo total proctocolectomy $3,000.84<br />44211 Laparo total proctocolectomy $3,721.05<br />44212 Laparo total proctocolectomy $3,472.41<br />44238 Laparoscope proc, intestine $0.00<br />44239 Laparoscope proc, rectum $0.00<br />44300 Open bowel to skin $1,319.89<br />44310 Ileostomy/jejunostomy $1,699.55<br />44312 Revision of ileostomy $687.86<br />44314 Revision of ileostomy $1,617.56<br />44316 Devise bowel pouch $2,223.03<br />44320 Colostomy $1,898.64<br />44322 Colostomy with biopsies $1,540.78<br />44340 Revision of colostomy $630.71<br />44345 Revision of colostomy $1,673.80<br />44346 Revision of colostomy $1,827.74<br />44360 Small bowel endoscopy $276.35<br />44361 Small bowel endoscopy/biopsy $303.80<br />44363 Small bowel endoscopy $364.89<br />44364 Small bowel endoscopy $391.76<br />44365 Small bowel endoscopy $349.73<br />44366 Small bowel endoscopy $459.00<br />44369 Small bowel endoscopy $467.56<br />44370 Small bowel endoscopy/stent $503.27<br />44372 Small bowel endoscopy $460.37<br />44373 Small bowel endoscopy $368.33<br />44376 Small bowel endoscopy $544.49<br />44377 Small bowel endoscopy/biopsy $571.89<br />44378 Small bowel endoscopy $733.69<br />44379 S bowel endoscope w/stent $774.57<br />44380 Small bowel endoscopy $120.39<br />44382 Small bowel endoscopy $143.36<br />44383 Ileoscopy w/stent $313.16<br />44385 Endoscopy of bowel pouch $483.58<br />44386 Endoscopy, bowel pouch/biop $612.69<br />44388 Colonoscopy $572.01<br />44389 Colonoscopy with biopsy $688.11<br />44390 Colonoscopy for foreign body $759.94<br />44391 Colonoscopy for bleeding $924.25<br />44392 Colonoscopy & polypectomy $743.70<br />44393 Colonoscopy, lesion removal $847.06<br />44394 Colonoscopy w/snare $874.28<br />44397 Colonoscopy w/stent $504.46<br />44500 Intro, gastrointestinal tube $62.06<br />44602 Suture, small intestine $1,681.78<br />44603 Suture, small intestine $1,952.07<br />44604 Suture, large intestine $1,700.99<br />44605 Repair of bowel lesion $2,102.38<br />44615 Intestinal stricturoplasty $1,708.33<br />44620 Repair bowel opening $1,322.11<br />44625 Repair bowel opening $1,613.37<br />44626 Repair bowel opening $2,674.86<br />44640 Repair bowel-skin fistula $2,268.28<br />44650 Repair bowel fistula $2,359.70<br />44660 Repair bowel-bladder fistula $2,218.11<br />44661 Repair bowel-bladder fistula $2,574.07<br />44680 Surgical revision, intestine $1,651.20<br />44700 Suspend bowel w/prosthesis $1,712.17<br />44701 Intraop colon lavage add-on $313.04<br />44799 Unlisted procedure intestine $0.00<br />44800 Excision of bowel pouch $1,256.89<br />44820 Excision of mesentery lesion $1,324.57<br />44850 Repair of mesentery $1,188.31<br />44899 Bowel surgery procedure $0.00<br />44900 Drain app abscess, open $1,116.68<br />44901 Drain app abscess, percut $335.96<br />44950 Appendectomy $1,081.83<br />44955 Appendectomy add-on $114.22<br />44960 Appendectomy $1,335.31<br />44970 Laparoscopy, appendectomy $976.49<br />44979 Laparoscope proc, app $0.00<br />45000 Drainage of pelvic abscess $557.38<br />45005 Drainage of rectal abscess $458.59<br />45020 Drainage of rectal abscess $596.41<br />45100 Biopsy of rectum $452.32<br />45108 Removal of anorectal lesion $573.91<br />45110 Removal of rectum $3,042.11<br />45111 Partial removal of rectum $1,791.71<br />45112 Removal of rectum $3,187.64<br />45113 Partial proctectomy $3,241.62<br />45114 Partial removal of rectum $2,889.43<br />45116 Partial removal of rectum $2,609.13<br />45119 Remove rectum w/reservoir $3,250.71<br />45120 Removal of rectum $2,629.85<br />45121 Removal of rectum and colon $2,895.99<br />45123 Partial proctectomy $1,763.49<br />45126 Pelvic exenteration $4,835.08<br />45130 Excision of rectal prolapse $1,740.61<br />45135 Excision of rectal prolapse $2,084.06<br />45136 Excise ileoanal reservior $3,010.06<br />45150 Excision of rectal stricture $646.68<br />45160 Excision of rectal lesion $1,646.66<br />45170 Excision of rectal lesion $753.62<br />45190 Destruction, rectal tumor $1,080.34<br />45300 Proctosigmoidoscopy dx $131.64<br />45303 Proctosigmoidoscopy dilate $807.70<br />45305 Proctosigmoidoscopy w/bx $229.27<br />45307 Proctosigmoidoscopy fb $282.91<br />45308 Proctosigmoidoscopy removal $201.03<br />45309 Proctosigmoidoscopy removal $348.01<br />45315 Proctosigmoidoscopy removal $305.55<br />45317 Proctosigmoidoscopy bleed $284.10<br />45320 Proctosigmoidoscopy ablate $321.75<br />45321 Proctosigmoidoscopy volvul $134.50<br />45327 Proctosigmoidoscopy w/stent $175.52<br />45330 Diagnostic sigmoidoscopy $225.21<br />45331 Sigmoidoscopy and biopsy $288.97<br />45332 Sigmoidoscopy w/fb removal $381.87<br />45333 Sigmoidoscopy & polypectomy $381.87<br />45334 Sigmoidoscopy for bleeding $291.62<br />45335 Sigmoidoscopy w/submuc inj $343.56<br />45337 Sigmoidoscopy & decompress $254.69<br />45338 Sigmoidoscopy w/tumr remove $522.49<br />45339 Sigmoidoscopy w/ablate tumr $471.64<br />45340 Sig w/balloon dilation $381.87<br />45341 Sigmoidoscopy w/ultrasound $279.49<br />45342 Sigmoidoscopy w/us guide bx $422.19<br />45345 Sigmoidoscopy w/stent $306.84<br />45355 Surgical colonoscopy $369.12<br />45378 Diagnostic colonoscopy $699.63<br />45379 Colonoscopy w/fb removal $880.27<br />45380 Colonoscopy and biopsy $826.15<br />45381 Colonoscopy, submucous inj $881.90<br />45382 Colonoscopy/control bleeding $1,104.69<br />45383 Lesion removal colonoscopy $991.44<br />45384 Lesion remove colonoscopy $820.77<br />45385 Lesion removal colonoscopy $936.89<br />45386 Colonoscopy dilate stricture $1,289.64<br />45387 Colonoscopy w/stent $616.09<br />45500 Repair of rectum $814.11<br />45505 Repair of rectum $852.30<br />45520 Treatment of rectal prolapse $101.31<br />45540 Correct rectal prolapse $1,734.11<br />45541 Correct rectal prolapse $1,448.58<br />45550 Repair rectum/remove sigmoid $2,420.36<br />45560 Repair of rectocele $1,171.24<br />45562 Exploration/repair of rectum $1,680.04<br />45563 Exploration/repair of rectum $2,556.22<br />45800 Repair rect/bladder fistula $1,888.06<br />45805 Repair fistula w/colostomy $2,271.13<br />45820 Repair rectourethral fistula $1,956.23<br />45825 Repair fistula w/colostomy $2,307.01<br />45900 Reduction of rectal prolapse $306.75<br />45905 Dilation of anal sphincter $276.03<br />45910 Dilation of rectal narrowing $329.21<br />45915 Remove rectal obstruction $567.34<br />45999 Rectum surgery procedure $0.00<br />46020 Placement of seton $382.79<br />46030 Removal of rectal marker $152.60<br />46040 Incision of rectal abscess $586.55<br />46045 Incision of rectal abscess $539.34<br />46050 Incision of anal abscess $195.70<br />46060 Incision of rectal abscess $672.95<br />46070 Incision of anal septum $343.12<br />46080 Incision of anal sphincter $342.42<br />46083 Incise external hemorrhoid $281.47<br />46200 Removal of anal fissure $517.59<br />46210 Removal of anal crypt $381.87<br />46211 Removal of anal crypts $681.80<br />46220 Removal of anal tag $167.17<br />46221 Ligation of hemorrhoid(s) $268.67<br />46230 Removal of anal tags $246.28<br />46250 Hemorrhoidectomy $642.17<br />46255 Hemorrhoidectomy $735.80<br />46257 Remove hemorrhoids & fissure $627.19<br />46258 Remove hemorrhoids & fistula $681.43<br />46260 Hemorrhoidectomy $727.49<br />46261 Remove hemorrhoids & fissure $808.73<br />46262 Remove hemorrhoids & fistula $851.79<br />46270 Removal of anal fistula $612.62<br />46275 Removal of anal fistula $656.41<br />46280 Removal of anal fistula $694.27<br />46285 Removal of anal fistula $496.92<br />46288 Repair anal fistula $812.49<br />46320 Removal of hemorrhoid clot $272.02<br />46500 Injection into hemorrhoid(s) $190.27<br />46600 Diagnostic anoscopy $88.70<br />46604 Anoscopy and dilation $445.14<br />46606 Anoscopy and biopsy $210.50<br />46608 Anoscopy, remove for body $401.44<br />46610 Anoscopy, remove lesion $343.56<br />46611 Anoscopy $371.98<br />46612 Anoscopy, remove lesions $477.35<br />46614 Anoscopy, control bleeding $312.90<br />46615 Anoscopy $383.23<br />46700 Repair of anal stricture $996.27<br />46705 Repair of anal stricture $802.86<br />46706 Repr of anal fistula w/glue $271.04<br />46715 Repair of anovaginal fistula $819.06<br />46716 Repair of anovaginal fistula $1,727.09<br />46730 Construction of absent anus $2,907.50<br />46735 Construction of absent anus $3,442.54<br />46740 Construction of absent anus $3,229.03<br />46742 Repair of imperforated anus $3,985.91<br />46744 Repair of cloacal anomaly $5,475.63<br />46746 Repair of cloacal anomaly $6,179.73<br />46748 Repair of cloacal anomaly $6,541.20<br />46750 Repair of anal sphincter $1,143.51<br />46751 Repair of anal sphincter $1,065.73<br />46753 Reconstruction of anus $909.44<br />46754 Removal of suture from anus $416.26<br />46760 Repair of anal sphincter $1,601.24<br />46761 Repair of anal sphincter $1,483.86<br />46762 Implant artificial sphincter $1,359.91<br />46900 Destruction, anal lesion(s) $235.11<br />46910 Destruction, anal lesion(s) $197.54<br />46916 Cryosurgery, anal lesion(s) $214.49<br />46917 Laser surgery, anal lesions $466.06<br />46922 Excision of anal lesion(s) $224.81<br />46924 Destruction, anal lesion(s) $812.64<br />46934 Destruction of hemorrhoids $616.93<br />46935 Destruction of hemorrhoids $255.71<br />46936 Destruction of hemorrhoids $356.12<br />46937 Cryotherapy of rectal lesion $267.65<br />46938 Cryotherapy of rectal lesion $654.24<br />46940 Treatment of anal fissure $317.46<br />46942 Treatment of anal fissure $284.85<br />46945 Ligation of hemorrhoids $388.33<br />46946 Ligation of hemorrhoids $489.02<br />46999 Anus surgery procedure $0.00<br />47000 Needle biopsy of liver $370.10<br />47001 Needle biopsy, liver add-on $194.18<br />47010 Open drainage, liver lesion $1,809.45<br />47011 Percut drain, liver lesion $366.06<br />47015 Inject/aspirate liver cyst $1,683.00<br />47100 Wedge biopsy of liver $1,320.80<br />47120 Partial removal of liver $3,793.85<br />47122 Extensive removal of liver $5,748.15<br />47125 Partial removal of liver $5,153.93<br />47130 Partial removal of liver $5,577.03<br />47133 Removal of donor liver $8,787.99<br />47134 Partial removal, donor liver $4,004.78<br />47135 Transplantation of liver $8,622.80<br />47136 Transplantation of liver $7,295.15<br />47140 Partial removal, donor liver $5,539.60<br />47141 Partial removal, donor liver $6,686.07<br />47142 Partial removal, donor liver $7,355.13<br />47300 Surgery for liver lesion $1,666.62<br />47350 Repair liver wound $2,124.99<br />47360 Repair liver wound $2,881.35<br />47361 Repair liver wound $4,925.35<br />47362 Repair liver wound $2,036.26<br />47370 Laparo ablate liver tumor rf $2,066.60<br />47371 Laparo ablate liver cryosurg $2,067.29<br />47379 Laparoscope procedure, liver $0.00<br />47380 Open ablate liver tumor rf $2,397.09<br />47381 Open ablate liver tumor cryo $2,435.15<br />47382 Percut ablate liver rf $1,599.76<br />47399 Liver surgery procedure $0.00<br />47400 Incision of liver duct $3,430.78<br />47420 Incision of bile duct $2,159.82<br />47425 Incision of bile duct $2,155.41<br />47460 Incise bile duct sphincter $1,976.03<br />47480 Incision of gallbladder $1,252.83<br />47490 Incision of gallbladder $954.26<br />47500 Injection for liver x-rays $194.20<br />47505 Injection for liver x-rays $237.13<br />47510 Insert catheter, bile duct $943.63<br />47511 Insert bile duct drain $1,152.58<br />47525 Change bile duct catheter $630.71<br />47530 Revise/reinsert bile tube $745.53<br />47550 Bile duct endoscopy add-on $308.77<br />47552 Biliary endoscopy thru skin $633.01<br />47553 Biliary endoscopy thru skin $664.79<br />47554 Biliary endoscopy thru skin $939.03<br />47555 Biliary endoscopy thru skin $785.43<br />47556 Biliary endoscopy thru skin $883.51<br />47560 Laparoscopy w/cholangio $510.63<br />47561 Laparo w/cholangio/biopsy $552.94<br />47562 Laparoscopic cholecystectomy $1,217.52<br />47563 Laparo cholecystectomy/graph $1,306.45<br />47564 Laparo cholecystectomy/explr $1,531.80<br />47570 Laparo cholecystoenterostomy $1,361.80<br />47579 Laparoscope proc, biliary $0.00<br />47600 Removal of gallbladder $1,487.45<br />47605 Removal of gallbladder $1,598.20<br />47610 Removal of gallbladder $2,019.75<br />47612 Removal of gallbladder $2,012.97<br />47620 Removal of gallbladder $2,203.48<br />47630 Remove bile duct stone $1,028.87<br />47700 Exploration of bile ducts $1,737.85<br />47701 Bile duct revision $2,995.08<br />47711 Excision of bile duct tumor $2,488.63<br />47712 Excision of bile duct tumor $3,225.43<br />47715 Excision of bile duct cyst $2,051.99<br />47716 Fusion of bile duct cyst $1,826.97<br />47720 Fuse gallbladder & bowel $1,762.27<br />47721 Fuse upper gi structures $2,087.24<br />47740 Fuse gallbladder & bowel $2,025.34<br />47741 Fuse gallbladder & bowel $2,310.48<br />47760 Fuse bile ducts and bowel $2,770.72<br />47765 Fuse liver ducts & bowel $2,694.85<br />47780 Fuse bile ducts and bowel $2,846.44<br />47785 Fuse bile ducts and bowel $3,331.42<br />47800 Reconstruction of bile ducts $2,515.68<br />47801 Placement, bile duct support $1,733.29<br />47802 Fuse liver duct & intestine $2,355.07<br />47900 Suture bile duct injury $2,166.83<br />47999 Bile tract surgery procedure $0.00<br />48000 Drainage of abdomen $2,944.92<br />48001 Placement of drain, pancreas $3,682.44<br />48005 Resect/debride pancreas $4,221.86<br />48020 Removal of pancreatic stone $1,733.16<br />48100 Biopsy of pancreas, open $1,345.34<br />48102 Needle biopsy, pancreas $745.00<br />48120 Removal of pancreas lesion $1,713.04<br />48140 Partial removal of pancreas $2,459.51<br />48145 Partial removal of pancreas $2,565.89<br />48146 Pancreatectomy $2,901.25<br />48148 Removal of pancreatic duct $1,887.88<br />48150 Partial removal of pancreas $5,115.10<br />48152 Pancreatectomy $4,693.49<br />48153 Pancreatectomy $5,112.06<br />48154 Pancreatectomy $4,723.06<br />48155 Removal of pancreas $2,745.75<br />48160 Pancreas removal/transplant $0.00<br />48180 Fuse pancreas and bowel $2,639.17<br />48400 Injection, intraop add-on $193.79<br />48500 Surgery of pancreatic cyst $1,704.90<br />48510 Drain pancreatic pseudocyst $1,630.45<br />48511 Drain pancreatic pseudocyst $395.34<br />48520 Fuse pancreas cyst and bowel $1,685.69<br />48540 Fuse pancreas cyst and bowel $2,107.57<br />48545 Pancreatorrhaphy $1,976.09<br />48547 Duodenal exclusion $2,747.18<br />48550 Donor pancreatectomy $5,731.37<br />48554 Transpl allograft pancreas $3,876.81<br />48556 Removal, allograft pancreas $1,805.14<br />48999 Pancreas surgery procedure $0.00<br />49000 Exploration of abdomen $1,292.20<br />49002 Reopening of abdomen $1,174.79<br />49010 Exploration behind abdomen $1,375.56<br />49020 Drain abdominal abscess $2,319.58<br />49021 Drain abdominal abscess $335.28<br />49040 Drain, open, abdom abscess $1,488.19<br />49041 Drain, percut, abdom abscess $395.69<br />49060 Drain, open, retrop abscess $1,729.72<br />49061 Drain, percut, retroper absc $366.06<br />49062 Drain to peritoneal cavity $1,270.05<br />49080 Puncture, peritoneal cavity $294.05<br />49081 Removal of abdominal fluid $248.01<br />49085 Remove abdomen foreign body $1,324.20<br />49180 Biopsy, abdominal mass $361.20<br />49200 Removal of abdominal lesion $1,151.73<br />49201 Remove abdom lesion, complex $1,656.18<br />49215 Excise sacral spine tumor $3,570.46<br />49220 Multiple surgery, abdomen $1,632.66<br />49250 Excision of umbilicus $955.53<br />49255 Removal of omentum $1,266.35<br />49320 Diag laparo separate proc $582.42<br />49321 Laparoscopy, biopsy $606.89<br />49322 Laparoscopy, aspiration $654.41<br />49323 Laparo drain lymphocele $1,054.71<br />49329 Laparo proc, abdm/per/oment $0.00<br />49400 Air injection into abdomen $199.24<br />49419 Insrt abdom cath for chemotx $763.57<br />49420 Insert abdom drain, temp $248.37<br />49421 Insert abdom drain, perm $655.89<br />49422 Remove perm cannula/catheter $692.37<br />49423 Exchange drainage catheter $157.90<br />49424 Assess cyst, contrast inject $88.42<br />49425 Insert abdomen-venous drain $1,286.60<br />49426 Revise abdomen-venous shunt $1,088.62<br />49427 Injection, abdominal shunt $101.57<br />49428 Ligation of shunt $690.98<br />49429 Removal of shunt $822.28<br />49491 Rpr hern preemie reduc $1,224.29<br />49492 Rpr ing hern premie, blocked $1,529.60<br />49495 Rpr ing hernia baby, reduc $669.63<br />49496 Rpr ing hernia baby, blocked $994.57<br />49500 Rpr ing hernia, init, reduce $644.20<br />49501 Rpr ing hernia, init blocked $985.82<br />49505 Prp i/hern init reduc>5 yr $875.80<br />49507 Prp i/hern init block>5 yr $1,060.75<br />49520 Rerepair ing hernia, reduce $1,062.13<br />49521 Rerepair ing hernia, blocked $1,298.74<br />49525 Repair ing hernia, sliding $954.07<br />49540 Repair lumbar hernia $1,142.91<br />49550 Rpr rem hernia, init, reduce $960.96<br />49553 Rpr fem hernia, init blocked $1,045.53<br />49555 Rerepair fem hernia, reduce $1,003.56<br />49557 Rerepair fem hernia, blocked $1,217.55<br />49560 Rpr ventral hern init, reduc $1,262.68<br />49561 Rpr ventral hern init, block $1,534.03<br />49565 Rerepair ventrl hern, reduce $1,267.50<br />49566 Rerepair ventrl hern, block $1,550.73<br />49568 Hernia repair w/mesh $500.65<br />49570 Rpr epigastric hern, reduce $665.04<br />49572 Rpr epigastric hern, blocked $766.78<br />49580 Rpr umbil hern, reduc <> 5 yr $717.06<br />49587 Rpr umbil hern, block > 5 yr $850.78<br />49590 Repair spigilian hernia $951.83<br />49600 Repair umbilical lesion $1,234.66<br />49605 Repair umbilical lesion $6,456.80<br />49606 Repair umbilical lesion $2,013.54<br />49610 Repair umbilical lesion $1,176.62<br />49611 Repair umbilical lesion $1,191.25<br />49650 Laparo hernia repair initial $716.24<br />49651 Laparo hernia repair recur $930.79<br />49659 Laparo proc, hernia repair $0.00<br />49900 Repair of abdominal wall $1,398.62<br />49904 Omental flap, extra-abdom $2,638.64<br />49905 Omental flap, intra-abdom $672.09<br />49906 Free omental flap, microvasc $6,113.26<br />49999 Abdomen surgery procedure $0.00<br /><br /><br />with 5<br /><br />50010 Exploration of kidney $1,224.17<br />50020 Renal abscess, open drain $1,732.71<br />50021 Renal abscess, percut drain $334.25<br />50040 Drainage of kidney $1,727.80<br />50045 Exploration of kidney $1,665.03<br />50060 Removal of kidney stone $2,038.81<br />50065 Incision of kidney $2,026.49<br />50070 Incision of kidney $2,144.57<br />50075 Removal of kidney stone $2,653.24<br />50080 Removal of kidney stone $1,673.09<br />50081 Removal of kidney stone $2,392.08<br />50100 Revise kidney blood vessels $1,818.00<br />50120 Exploration of kidney $1,709.31<br />50125 Explore and drain kidney $1,766.56<br />50130 Removal of kidney stone $1,839.85<br />50135 Exploration of kidney $2,028.12<br />50200 Biopsy of kidney $263.16<br />50205 Biopsy of kidney $1,242.58<br />50220 Remove kidney, open $1,838.66<br />50225 Removal kidney open, complex $2,136.12<br />50230 Removal kidney open, radical $2,309.65<br />50234 Removal of kidney & ureter $2,349.44<br />50236 Removal of kidney & ureter $2,701.05<br />50240 Partial removal of kidney $2,419.74<br />50280 Removal of kidney lesion $1,683.83<br />50290 Removal of kidney lesion $1,602.25<br />50300 Removal of donor kidney $13,324.12<br />50320 Removal of donor kidney $2,415.73<br />50340 Removal of kidney $1,430.58<br />50360 Transplantation of kidney $3,558.55<br />50365 Transplantation of kidney $4,166.46<br />50370 Remove transplanted kidney $1,592.90<br />50380 Reimplantation of kidney $2,535.34<br />50390 Drainage of kidney lesion $194.20<br />50392 Insert kidney drain $334.25<br />50393 Insert ureteral tube $410.39<br />50394 Injection for kidney x-ray $140.01<br />50395 Create passage to kidney $333.90<br />50396 Measure kidney pressure $177.41<br />50398 Change kidney tube $193.70<br />50400 Revision of kidney/ureter $2,035.48<br />50405 Revision of kidney/ureter $2,560.69<br />50500 Repair of kidney wound $2,122.94<br />50520 Close kidney-skin fistula $1,938.94<br />50525 Repair renal-abdomen fistula $2,422.67<br />50526 Repair renal-abdomen fistula $2,606.63<br />50540 Revision of horseshoe kidney $2,127.48<br />50541 Laparo ablate renal cyst $1,675.42<br />50542 Laparo ablate renal mass $2,107.22<br />50543 Laparo partial nephrectomy $2,664.52<br />50544 Laparoscopy, pyeloplasty $2,311.90<br />50545 Laparo radical nephrectomy $2,480.53<br />50546 Laparoscopic nephrectomy $2,155.11<br />50547 Laparo removal donor kidney $2,704.33<br />50548 Laparo remove w/ ureter $2,508.00<br />50549 Laparoscope proc, renal $0.00<br />50551 Kidney endoscopy $769.89<br />50553 Kidney endoscopy $1,740.88<br />50555 Kidney endoscopy & biopsy $1,822.50<br />50557 Kidney endoscopy & treatment $1,889.47<br />50559 Renal endoscopy/radiotracer $667.64<br />50561 Kidney endoscopy & treatment $1,802.16<br />50562 Renal scope w/tumor resect $1,112.96<br />50570 Kidney endoscopy $945.64<br />50572 Kidney endoscopy $1,027.05<br />50574 Kidney endoscopy & biopsy $1,093.95<br />50575 Kidney endoscopy $1,385.53<br />50576 Kidney endoscopy & treatment $1,088.27<br />50578 Renal endoscopy/radiotracer $1,124.44<br />50580 Kidney endoscopy & treatment $1,174.57<br />50590 Fragmenting of kidney stone $1,441.84<br />50600 Exploration of ureter $1,703.41<br />50605 Insert ureteral support $1,681.55<br />50610 Removal of ureter stone $1,730.36<br />50620 Removal of ureter stone $1,624.07<br />50630 Removal of ureter stone $1,603.17<br />50650 Removal of ureter $1,858.44<br />50660 Removal of ureter $2,074.33<br />50684 Injection for ureter x-ray $670.43<br />50686 Measure ureter pressure $258.29<br />50688 Change of ureter tube $210.26<br />50690 Injection for ureter x-ray $707.77<br />50700 Revision of ureter $1,672.56<br />50715 Release of ureter $2,100.41<br />50722 Release of ureter $1,830.58<br />50725 Release/revise ureter $2,010.28<br />50727 Revise ureter $989.36<br />50728 Revise ureter $1,395.10<br />50740 Fusion of ureter & kidney $1,983.01<br />50750 Fusion of ureter & kidney $2,075.47<br />50760 Fusion of ureters $1,972.38<br />50770 Splicing of ureters $2,074.44<br />50780 Reimplant ureter in bladder $1,959.65<br />50782 Reimplant ureter in bladder $2,180.32<br />50783 Reimplant ureter in bladder $2,231.95<br />50785 Reimplant ureter in bladder $2,174.63<br />50800 Implant ureter in bowel $1,602.09<br />50810 Fusion of ureter & bowel $2,227.58<br />50815 Urine shunt to intestine $2,155.02<br />50820 Construct bowel bladder $2,318.58<br />50825 Construct bowel bladder $2,978.17<br />50830 Revise urine flow $3,294.57<br />50840 Replace ureter by bowel $2,158.19<br />50845 Appendico-vesicostomy $2,220.52<br />50860 Transplant ureter to skin $1,661.71<br />50900 Repair of ureter $1,493.91<br />50920 Closure ureter/skin fistula $1,570.71<br />50930 Closure ureter/bowel fistula $2,024.34<br />50940 Release of ureter $1,581.36<br />50945 Laparoscopy ureterolithotomy $1,794.07<br />50947 Laparo new ureter/bladder $2,573.90<br />50948 Laparo new ureter/bladder $2,347.18<br />50949 Laparoscope proc, ureter $0.00<br />50951 Endoscopy of ureter $817.41<br />50953 Endoscopy of ureter $1,110.08<br />50955 Ureter endoscopy & biopsy $1,158.72<br />50957 Ureter endoscopy & treatment $1,154.97<br />50959 Ureter endoscopy & tracer $429.69<br />50961 Ureter endoscopy & treatment $1,331.43<br />50970 Ureter endoscopy $708.61<br />50972 Ureter endoscopy & catheter $686.16<br />50974 Ureter endoscopy & biopsy $907.69<br />50976 Ureter endoscopy & treatment $896.60<br />50978 Ureter endoscopy & tracer $507.41<br />50980 Ureter endoscopy & treatment $679.04<br />51000 Drainage of bladder $196.63<br />51005 Drainage of bladder $246.05<br />51010 Drainage of bladder $667.65<br />51020 Incise & treat bladder $791.83<br />51030 Incise & treat bladder $803.88<br />51040 Incise & drain bladder $536.73<br />51045 Incise bladder/drain ureter $803.87<br />51050 Removal of bladder stone $791.67<br />51060 Removal of ureter stone $1,000.49<br />51065 Remove ureter calculus $989.82<br />51080 Drainage of bladder abscess $710.70<br />51500 Removal of bladder cyst $1,141.80<br />51520 Removal of bladder lesion $1,046.77<br />51525 Removal of bladder lesion $1,507.33<br />51530 Removal of bladder lesion $1,361.06<br />51535 Repair of ureter lesion $1,403.47<br />51550 Partial removal of bladder $1,683.76<br />51555 Partial removal of bladder $2,246.23<br />51565 Revise bladder & ureter(s) $2,298.07<br />51570 Removal of bladder $2,557.31<br />51575 Removal of bladder & nodes $3,192.02<br />51580 Remove bladder/revise tract $3,273.83<br />51585 Removal of bladder & nodes $3,676.29<br />51590 Remove bladder/revise tract $3,402.13<br />51595 Remove bladder/revise tract $3,849.83<br />51596 Remove bladder/create pouch $4,110.49<br />51597 Removal of pelvic structures $3,999.70<br />51600 Injection for bladder x-ray $390.23<br />51605 Preparation for bladder xray $475.85<br />51610 Injection for bladder x-ray $133.26<br />51700 Irrigation of bladder $152.38<br />51701 Insert bladder catheter $149.54<br />51702 Insert temp bladder cath $151.24<br />51703 Insert bladder cath, complex $268.50<br />51705 Change of bladder tube $239.68<br />51710 Change of bladder tube $351.19<br />51715 Endoscopic injection/implant $564.57<br />51720 Treatment of bladder lesion $274.40<br />51725 Simple cystometrogram $515.51<br />51725.26 Simple cystometrogram $150.61<br />51726 Complex cystometrogram $447.39<br />51726.26 Complex cystometrogram $113.37<br />51736 Urine flow measurement $87.54<br />51736.26 Urine flow measurement $61.04<br />51741 Electro-uroflowmetry, first $143.64<br />51741.26 Electro-uroflowmetry, first $113.35<br />51772 Urethra pressure profile $355.04<br />51772.26 Urethra pressure profile $110.22<br />51784 Anal/urinary muscle study $355.02<br />51784.26 Anal/urinary muscle study $134.69<br />51785 Anal/urinary muscle study $437.48<br />51785.26 Anal/urinary muscle study $152.45<br />51792 Urinary reflex study $502.09<br />51792.26 Urinary reflex study $114.14<br />51795 Urine voiding pressure study $454.38<br />51795.26 Urine voiding pressure study $107.40<br />51797 Intraabdominal pressure test $335.98<br />51797.26 Intraabdominal pressure test $100.11<br />51798 Us urine capacity measure $27.53<br />51800 Revision of bladder/urethra $1,876.38<br />51820 Revision of urinary tract $1,976.15<br />51840 Attach bladder/urethra $1,217.76<br />51841 Attach bladder/urethra $1,452.94<br />51845 Repair bladder neck $1,086.85<br />51860 Repair of bladder wound $1,338.99<br />51865 Repair of bladder wound $1,633.68<br />51880 Repair of bladder opening $873.76<br />51900 Repair bladder/vagina lesion $1,431.28<br />51920 Close bladder-uterus fistula $1,311.95<br />51925 Hysterectomy/bladder repair $1,816.78<br />51940 Correction of bladder defect $3,052.58<br />51960 Revision of bladder & bowel $2,453.85<br />51980 Construct bladder opening $1,255.31<br />51990 Laparo urethral suspension $1,399.59<br />51992 Laparo sling operation $1,512.71<br />52000 Cystoscopy $387.61<br />52001 Cystoscopy, removal of clots $776.24<br />52005 Cystoscopy & ureter catheter $594.87<br />52007 Cystoscopy and biopsy $312.24<br />52010 Cystoscopy & duct catheter $310.86<br />52204 Cystoscopy $433.08<br />52214 Cystoscopy and treatment $377.12<br />52224 Cystoscopy and treatment $321.20<br />52234 Cystoscopy and treatment $468.53<br />52235 Cystoscopy and treatment $550.41<br />52240 Cystoscopy and treatment $976.29<br />52250 Cystoscopy and radiotracer $460.89<br />52260 Cystoscopy and treatment $400.03<br />52265 Cystoscopy and treatment $485.27<br />52270 Cystoscopy & revise urethra $345.20<br />52275 Cystoscopy & revise urethra $476.86<br />52276 Cystoscopy and treatment $508.21<br />52277 Cystoscopy and treatment $631.36<br />52281 Cystoscopy and treatment $727.84<br />52282 Cystoscopy, implant stent $647.16<br />52283 Cystoscopy and treatment $565.26<br />52285 Cystoscopy and treatment $560.37<br />52290 Cystoscopy and treatment $467.61<br />52300 Cystoscopy and treatment $540.65<br />52301 Cystoscopy and treatment $564.52<br />52305 Cystoscopy and treatment $536.52<br />52310 Cystoscopy and treatment $460.08<br />52315 Cystoscopy and treatment $527.68<br />52317 Remove bladder stone $674.50<br />52318 Remove bladder stone $921.23<br />52320 Cystoscopy and treatment $474.79<br />52325 Cystoscopy, stone removal $619.95<br />52327 Cystoscopy, inject material $526.18<br />52330 Cystoscopy and treatment $509.13<br />52332 Cystoscopy and treatment $291.51<br />52334 Create passage to kidney $492.76<br />52341 Cysto w/ureter stricture tx $615.57<br />52342 Cysto w/up stricture tx $662.89<br />52343 Cysto w/renal stricture tx $733.40<br />52344 Cysto/uretero, stone remove $786.57<br />52345 Cysto/uretero w/up stricture $835.95<br />52346 Cystouretero w/renal strict $938.67<br />52347 Cystoscopy, resect ducts $524.98<br />52351 Cystouretero & or pyeloscope $598.93<br />52352 Cystouretero w/stone remove $703.31<br />52353 Cystouretero w/lithotripsy $811.55<br />52354 Cystouretero w/biopsy $749.71<br />52355 Cystouretero w/excise tumor $897.38<br />52400 Cystouretero w/congen repr $1,007.04<br />52450 Incision of prostate $844.05<br />52500 Revision of bladder neck $924.96<br />52510 Dilation prostatic urethra $733.71<br />52601 Prostatectomy (TURP) $1,307.32<br />52606 Control postop bleeding $873.07<br />52612 Prostatectomy, first stage $874.60<br />52614 Prostatectomy, second stage $759.54<br />52620 Remove residual prostate $716.20<br />52630 Remove prostate regrowth $780.91<br />52640 Relieve bladder contracture $714.88<br />52647 Laser surgery of prostate $3,647.40<br />52648 Laser surgery of prostate $1,196.27<br />52700 Drainage of prostate abscess $744.85<br />53000 Incision of urethra $283.84<br />53010 Incision of urethra $487.22<br />53020 Incision of urethra $350.07<br />53025 Incision of urethra $222.30<br />53040 Drainage of urethra abscess $1,270.60<br />53060 Drainage of urethra abscess $305.82<br />53080 Drainage of urinary leakage $911.24<br />53085 Drainage of urinary leakage $1,318.51<br />53200 Biopsy of urethra $495.97<br />53210 Removal of urethra $1,382.48<br />53215 Removal of urethra $1,666.44<br />53220 Treatment of urethra lesion $804.53<br />53230 Removal of urethra lesion $1,072.55<br />53235 Removal of urethra lesion $1,126.02<br />53240 Surgery for urethra pouch $749.00<br />53250 Removal of urethra gland $686.20<br />53260 Treatment of urethra lesion $443.86<br />53265 Treatment of urethra lesion $367.90<br />53270 Removal of urethra gland $368.06<br />53275 Repair of urethra defect $506.16<br />53400 Revise urethra, stage 1 $1,407.39<br />53405 Revise urethra, stage 2 $1,561.58<br />53410 Reconstruction of urethra $1,762.67<br />53415 Reconstruction of urethra $2,009.49<br />53420 Reconstruct urethra, stage 1 $1,531.37<br />53425 Reconstruct urethra, stage 2 $1,717.31<br />53430 Reconstruction of urethra $1,751.41<br />53431 Reconstruct urethra/bladder $2,099.36<br />53440 Male sling procedure $1,461.59<br />53442 Remove/revise male sling $1,264.48<br />53444 Insert tandem cuff $1,442.39<br />53445 Insert uro/ves nck sphincter $1,582.90<br />53446 Remove uro sphincter $1,153.03<br />53447 Remove/replace ur sphincter $1,484.58<br />53448 Remov/replc ur sphinctr comp $2,263.32<br />53449 Repair uro sphincter $1,081.17<br />53450 Revision of urethra $707.27<br />53460 Revision of urethra $811.77<br />53500 Urethrlys, transvag w/ scope $1,366.97<br />53502 Repair of urethra injury $872.56<br />53505 Repair of urethra injury $862.59<br />53510 Repair of urethra injury $1,142.36<br />53515 Repair of urethra injury $1,443.25<br />53520 Repair of urethra defect $986.08<br />53600 Dilate urethra stricture $173.65<br />53601 Dilate urethra stricture $165.09<br />53605 Dilate urethra stricture $127.24<br />53620 Dilate urethra stricture $265.54<br />53621 Dilate urethra stricture $250.89<br />53660 Dilation of urethra $146.99<br />53661 Dilation of urethra $147.74<br />53665 Dilation of urethra $76.71<br />53850 Prostatic microwave thermotx $6,184.19<br />53852 Prostatic rf thermotx $5,107.35<br />53853 Prostatic water thermother $2,632.14<br />53899 Urology surgery procedure $0.00<br />54000 Slitting of prepuce $210.68<br />54001 Slitting of prepuce $465.42<br />54015 Drain penis lesion $451.32<br />54050 Destruction, penis lesion(s) $133.07<br />54055 Destruction, penis lesion(s) $204.01<br />54056 Cryosurgery, penis lesion(s) $265.74<br />54057 Laser surg, penis lesion(s) $155.92<br />54060 Excision of penis lesion(s) $416.06<br />54065 Destruction, penis lesion(s) $304.62<br />54100 Biopsy of penis $206.16<br />54105 Biopsy of penis $371.98<br />54110 Treatment of penis lesion $1,167.96<br />54111 Treat penis lesion, graft $1,505.01<br />54112 Treat penis lesion, graft $1,751.04<br />54115 Treatment of penis lesion $1,061.90<br />54120 Partial removal of penis $1,154.00<br />54125 Removal of penis $1,507.19<br />54130 Remove penis & nodes $2,177.60<br />54135 Remove penis & nodes $2,795.14<br />54150 Circumcision $209.14<br />54152 Circumcision $261.63<br />54160 Circumcision $268.13<br />54161 Circumcision $360.51<br />54162 Lysis penil circumic lesion $369.95<br />54163 Repair of circumcision $370.64<br />54164 Frenulotomy of penis $320.57<br />54200 Treatment of penis lesion $186.00<br />54205 Treatment of penis lesion $943.51<br />54220 Treatment of penis lesion $458.15<br />54230 Prepare penis study $180.60<br />54231 Dynamic cavernosometry $254.55<br />54235 Penile injection $159.08<br />54240 Penis study $172.85<br />54240.26 Penis study $130.17<br />54250 Penis study $236.32<br />54250.26 Penis study $220.49<br />54300 Revision of penis $1,198.15<br />54304 Revision of penis $1,411.98<br />54308 Reconstruction of urethra $1,335.51<br />54312 Reconstruction of urethra $1,541.15<br />54316 Reconstruction of urethra $1,856.39<br />54318 Reconstruction of urethra $1,299.34<br />54322 Reconstruction of urethra $1,458.38<br />54324 Reconstruction of urethra $1,824.90<br />54326 Reconstruction of urethra $1,761.58<br />54328 Revise penis/urethra $1,718.15<br />54332 Revise penis/urethra $1,861.00<br />54336 Revise penis/urethra $2,310.12<br />54340 Secondary urethral surgery $1,055.89<br />54344 Secondary urethral surgery $1,783.15<br />54348 Secondary urethral surgery $1,912.70<br />54352 Reconstruct urethra/penis $2,703.08<br />54360 Penis plastic surgery $1,345.38<br />54380 Repair penis $1,500.95<br />54385 Repair penis $1,761.77<br />54390 Repair penis and bladder $2,325.92<br />54400 Insert semi-rigid prosthesis $1,000.28<br />54401 Insert self-contd prosthesis $1,192.92<br />54405 Insert multi-comp penis pros $1,451.53<br />54406 Remove muti-comp penis pros $1,308.84<br />54408 Repair multi-comp penis pros $1,380.44<br />54410 Remove/replace penis prosth $1,654.27<br />54411 Remov/replc penis pros, comp $1,714.36<br />54415 Remove self-contd penis pros $924.41<br />54416 Remv/repl penis contain pros $1,205.32<br />54417 Remv/replc penis pros, compl $1,508.32<br />54420 Revision of penis $1,274.25<br />54430 Revision of penis $1,142.60<br />54435 Revision of penis $727.81<br />54440 Repair of penis $2,875.00<br />54450 Preputial stretching $162.80<br />54500 Biopsy of testis $106.64<br />54505 Biopsy of testis $399.08<br />54512 Excise lesion testis $949.00<br />54520 Removal of testis $599.74<br />54522 Orchiectomy, partial $1,072.42<br />54530 Removal of testis $958.64<br />54535 Extensive testis surgery $1,330.52<br />54550 Exploration for testis $868.96<br />54560 Exploration for testis $1,225.73<br />54600 Reduce testis torsion $789.78<br />54620 Suspension of testis $547.90<br />54640 Suspension of testis $796.36<br />54650 Orchiopexy (Fowler-Stephens) $1,267.18<br />54660 Revision of testis $605.23<br />54670 Repair testis injury $743.26<br />54680 Relocation of testis(es) $1,414.94<br />54690 Laparoscopy, orchiectomy $1,206.11<br />54692 Laparoscopy, orchiopexy $1,371.54<br />54699 Laparoscope proc, testis $0.00<br />54700 Drainage of scrotum $371.98<br />54800 Biopsy of epididymis $147.14<br />54820 Exploration of epididymis $603.34<br />54830 Remove epididymis lesion $627.12<br />54840 Remove epididymis lesion $595.78<br />54860 Removal of epididymis $718.99<br />54861 Removal of epididymis $987.02<br />54900 Fusion of spermatic ducts $1,443.20<br />54901 Fusion of spermatic ducts $1,933.68<br />55000 Drainage of hydrocele $153.70<br />55040 Removal of hydrocele $617.70<br />55041 Removal of hydroceles $875.96<br />55060 Repair of hydrocele $642.38<br />55100 Drainage of scrotum abscess $254.88<br />55110 Explore scrotum $658.58<br />55120 Removal of scrotum lesion $789.64<br />55150 Removal of scrotum $830.59<br />55175 Revision of scrotum $614.94<br />55180 Revision of scrotum $1,204.76<br />55200 Incision of sperm duct $706.90<br />55250 Removal of sperm duct(s) $677.57<br />55300 Prepare, sperm duct x-ray $359.78<br />55400 Repair of sperm duct $940.91<br />55450 Ligation of sperm duct $487.96<br />55500 Removal of hydrocele $651.39<br />55520 Removal of sperm cord lesion $700.74<br />55530 Revise spermatic cord veins $648.02<br />55535 Revise spermatic cord veins $744.13<br />55540 Revise hernia & sperm veins $868.28<br />55550 Laparo ligate spermatic vein $737.99<br />55559 Laparo proc, spermatic cord $0.00<br />55600 Incise sperm duct pouch $724.85<br />55605 Incise sperm duct pouch $916.13<br />55650 Remove sperm duct pouch $1,277.84<br />55680 Remove sperm pouch lesion $608.11<br />55700 Biopsy of prostate $419.47<br />55705 Biopsy of prostate $510.87<br />55720 Drainage of prostate abscess $859.89<br />55725 Drainage of prostate abscess $986.77<br />55801 Removal of prostate $1,879.64<br />55810 Extensive prostate surgery $2,339.47<br />55812 Extensive prostate surgery $2,888.23<br />55815 Extensive prostate surgery $3,177.97<br />55821 Removal of prostate $1,533.06<br />55831 Removal of prostate $1,669.77<br />55840 Extensive prostate surgery $2,398.63<br />55842 Extensive prostate surgery $2,568.13<br />55845 Extensive prostate surgery $2,964.51<br />55859 Percut/needle insert, pros $1,370.84<br />55860 Surgical exposure, prostate $1,554.89<br />55862 Extensive prostate surgery $1,966.03<br />55865 Extensive prostate surgery $2,407.94<br />55866 Laparo radical prostatectomy $3,161.45<br />55870 Electroejaculation $304.52<br />55873 Cryoablate prostate $2,114.87<br />55899 Genital surgery procedure $0.00<br />55970 Sex transformation, M to F $0.00<br />55980 Sex transformation, F to M $0.00<br />56405 I & D of vulva/perineum $204.93<br />56420 Drainage of gland abscess $266.95<br />56440 Surgery for vulva lesion $341.46<br />56441 Lysis of labial lesion(s) $280.30<br />56501 Destroy, vulva lesions, sim $243.66<br />56515 Destroy vulva lesion/s compl $389.21<br />56605 Biopsy of vulva/perineum $161.64<br />56606 Biopsy of vulva/perineum $77.21<br />56620 Partial removal of vulva $921.84<br />56625 Complete removal of vulva $1,032.24<br />56630 Extensive vulva surgery $1,451.41<br />56631 Extensive vulva surgery $1,892.66<br />56632 Extensive vulva surgery $2,259.23<br />56633 Extensive vulva surgery $1,895.95<br />56634 Extensive vulva surgery $2,066.91<br />56637 Extensive vulva surgery $2,501.70<br />56640 Extensive vulva surgery $2,490.45<br />56700 Partial removal of hymen $317.23<br />56720 Incision of hymen $80.37<br />56740 Remove vagina gland lesion $526.00<br />56800 Repair of vagina $455.94<br />56805 Repair clitoris $2,130.79<br />56810 Repair of perineum $482.81<br />56820 Exam of vulva w/scope $208.38<br />56821 Exam/biopsy of vulva w/scope $281.12<br />57000 Exploration of vagina $352.55<br />57010 Drainage of pelvic abscess $738.27<br />57020 Drainage of pelvic fluid $183.59<br />57022 I & d vaginal hematoma, pp $304.38<br />57023 I & d vag hematoma, non-ob $542.22<br />57061 Destroy vag lesions, simple $213.12<br />57065 Destroy vag lesions, complex $363.88<br />57100 Biopsy of vagina $169.46<br />57105 Biopsy of vagina $266.28<br />57106 Remove vagina wall, partial $787.35<br />57107 Remove vagina tissue, part $2,528.01<br />57109 Vaginectomy partial w/nodes $2,875.57<br />57110 Remove vagina wall, complete $1,627.86<br />57111 Remove vagina tissue, compl $2,995.58<br />57112 Vaginectomy w/nodes, compl $3,092.35<br />57120 Closure of vagina $902.91<br />57130 Remove vagina lesion $340.46<br />57135 Remove vagina lesion $366.30<br />57150 Treat vagina infection $71.94<br />57155 Insert uteri tandems/ovoids $778.91<br />57160 Insert pessary/other device $145.28<br />57170 Fitting of diaphragm/cap $132.54<br />57180 Treat vaginal bleeding $274.59<br />57200 Repair of vagina $509.59<br />57210 Repair vagina/perineum $642.73<br />57220 Revision of urethra $553.39<br />57230 Repair of urethral lesion $676.45<br />57240 Repair bladder & vagina $738.85<br />57250 Repair rectum & vagina $681.66<br />57260 Repair of vagina $985.70<br />57265 Extensive repair of vagina $1,309.51<br />57268 Repair of bowel bulge $821.33<br />57270 Repair of bowel pouch $1,383.53<br />57280 Suspension of vagina $1,690.06<br />57282 Repair of vaginal prolapse $1,062.80<br />57284 Repair paravaginal defect $1,488.86<br />57287 Revise/remove sling repair $1,208.83<br />57288 Repair bladder defect $1,416.08<br />57289 Repair bladder & vagina $1,320.58<br />57291 Construction of vagina $966.63<br />57292 Construct vagina with graft $1,510.04<br />57300 Repair rectum-vagina fistula $892.38<br />57305 Repair rectum-vagina fistula $1,515.38<br />57307 Fistula repair & colostomy $1,740.66<br />57308 Fistula repair, transperine $1,133.80<br />57310 Repair urethrovaginal lesion $792.57<br />57311 Repair urethrovaginal lesion $904.20<br />57320 Repair bladder-vagina lesion $927.08<br />57330 Repair bladder-vagina lesion $1,354.34<br />57335 Repair vagina $2,091.51<br />57400 Dilation of vagina $256.57<br />57410 Pelvic examination $275.59<br />57415 Remove vaginal foreign body $268.38<br />57420 Exam of vagina w/scope $218.61<br />57421 Exam/biopsy of vag w/scope $298.52<br />57425 Laparoscopy, surg, colpopexy $1,694.88<br />57452 Exam of cervix w/scope $212.52<br />57454 Bx/curett of cervix w/scope $300.65<br />57455 Biopsy of cervix w/scope $274.57<br />57456 Endocerv curettage w/scope $259.30<br />57460 Bx of cervix w/scope, leep $638.15<br />57461 Conz of cervix w/scope, leep $701.54<br />57500 Biopsy of cervix $259.69<br />57505 Endocervical curettage $191.14<br />57510 Cauterization of cervix $184.76<br />57511 Cryocautery of cervix $276.11<br />57513 Laser surgery of cervix $278.52<br />57520 Conization of cervix $653.72<br />57522 Conization of cervix $563.71<br />57530 Removal of cervix $612.98<br />57531 Removal of cervix, radical $3,100.59<br />57540 Removal of residual cervix $1,392.77<br />57545 Remove cervix/repair pelvis $1,486.63<br />57550 Removal of residual cervix $700.59<br />57555 Remove cervix/repair vagina $1,058.16<br />57556 Remove cervix, repair bowel $993.17<br />57700 Revision of cervix $491.49<br />57720 Revision of cervix $541.33<br />57800 Dilation of cervical canal $113.25<br />57820 D & c of residual cervix $234.49<br />58100 Biopsy of uterus lining $208.57<br />58120 Dilation and curettage $416.94<br />58140 Myomectomy abdom method $1,639.99<br />58145 Myomectomy vag method $965.78<br />58146 Myomectomy abdom complex $2,082.10<br />58150 Total hysterectomy $1,719.08<br />58152 Total hysterectomy $2,279.71<br />58180 Partial hysterectomy $1,719.72<br />58200 Extensive hysterectomy $2,390.71<br />58210 Extensive hysterectomy $3,185.33<br />58240 Removal of pelvis contents $4,237.58<br />58260 Vaginal hysterectomy $1,481.19<br />58262 Vag hyst including t/o $1,669.56<br />58263 Vag hyst w/t/o & vag repair $1,805.80<br />58267 Vag hyst w/urinary repair $1,912.32<br />58270 Vag hyst w/enterocele repair $1,608.76<br />58275 Hysterectomy/revise vagina $1,774.79<br />58280 Hysterectomy/revise vagina $1,901.81<br />58285 Extensive hysterectomy $2,427.71<br />58290 Vag hyst complex $2,081.45<br />58291 Vag hyst incl t/o, complex $2,289.79<br />58292 Vag hyst t/o & repair, compl $2,426.72<br />58293 Vag hyst w/uro repair, compl $2,533.30<br />58294 Vag hyst w/enterocele, compl $2,235.19<br />58300 Insert intrauterine device $177.30<br />58301 Remove intrauterine device $117.72<br />58321 Artificial insemination $151.99<br />58322 Artificial insemination $169.91<br />58323 Sperm washing $34.38<br />58340 Catheter for hysterography $378.44<br />58345 Reopen fallopian tube $529.97<br />58346 Insert heyman uteri capsule $800.28<br />58350 Reopen fallopian tube $182.81<br />58353 Endometr ablate, thermal $1,666.22<br />58400 Suspension of uterus $773.23<br />58410 Suspension of uterus $1,440.17<br />58520 Repair of ruptured uterus $1,354.88<br />58540 Revision of uterus $1,625.10<br />58545 Laparoscopic myomectomy $1,643.77<br />58546 Laparo-myomectomy, complex $2,094.84<br />58550 Laparo-asst vag hysterectomy $1,621.08<br />58552 Laparo-vag hyst incl t/o $1,805.12<br />58553 Laparo-vag hyst, complex $2,084.90<br />58554 Laparo-vag hyst w/t/o, compl $2,411.51<br />58555 Hysteroscopy, dx, sep proc $407.31<br />58558 Hysteroscopy, biopsy $516.01<br />58559 Hysteroscopy, lysis $666.09<br />58560 Hysteroscopy, resect septum $755.94<br />58561 Hysteroscopy, remove myoma $1,075.95<br />58562 Hysteroscopy, remove fb $562.06<br />58563 Hysteroscopy, ablation $666.78<br />58578 Laparo proc, uterus $0.00<br />58579 Hysteroscope procedure $0.00<br />58600 Division of fallopian tube $664.88<br />58605 Division of fallopian tube $603.22<br />58611 Ligate oviduct(s) add-on $150.27<br />58615 Occlude fallopian tube(s) $494.21<br />58660 Laparoscopy, lysis $1,252.07<br />58661 Laparoscopy, remove adnexa $1,223.83<br />58662 Laparoscopy, excise lesions $1,326.92<br />58670 Laparoscopy, tubal cautery $665.88<br />58671 Laparoscopy, tubal block $667.95<br />58672 Laparoscopy, fimbrioplasty $1,439.64<br />58673 Laparoscopy, salpingostomy $1,538.94<br />58679 Laparo proc, oviduct-ovary $0.00<br />58700 Removal of fallopian tube $1,338.52<br />58720 Removal of ovary/tube(s) $1,293.79<br />58740 Revise fallopian tube(s) $1,561.26<br />58750 Repair oviduct $1,679.58<br />58752 Revise ovarian tube(s) $1,650.33<br />58760 Remove tubal obstruction $1,499.25<br />58770 Create new tubal opening $1,578.83<br />58800 Drainage of ovarian cyst(s) $632.28<br />58805 Drainage of ovarian cyst(s) $706.07<br />58820 Drain ovary abscess, open $556.34<br />58822 Drain ovary abscess, percut $1,153.78<br />58823 Drain pelvic abscess, percut $336.31<br />58825 Transposition, ovary(s) $1,244.85<br />58900 Biopsy of ovary(s) $718.41<br />58920 Partial removal of ovary(s) $1,261.86<br />58925 Removal of ovarian cyst(s) $1,286.90<br />58940 Removal of ovary(s) $858.15<br />58943 Removal of ovary(s) $2,053.23<br />58950 Resect ovarian malignancy $1,911.33<br />58951 Resect ovarian malignancy $2,486.18<br />58952 Resect ovarian malignancy $2,786.76<br />58953 Tah, rad dissect for debulk $3,528.18<br />58954 Tah rad debulk/lymph remove $3,842.69<br />58960 Exploration of abdomen $1,666.09<br />58970 Retrieval of oocyte $437.33<br />58974 Transfer of embryo $2,076.69<br />58976 Transfer of embryo $483.13<br />58999 Genital surgery procedure $0.00<br />59000 Amniocentesis, diagnostic $172.06<br />59001 Amniocentesis, therapeutic $330.70<br />59012 Fetal cord puncture,prenatal $389.99<br />59015 Chorion biopsy $288.83<br />59020 Fetal contract stress test $111.90<br />59020.26 Fetal contract stress test $72.67<br />59025 Fetal non-stress test $75.36<br />59025.26 Fetal non-stress test $58.15<br />59030 Fetal scalp blood sample $143.93<br />59050 Fetal monitor w/report $97.76<br />59051 Fetal monitor/interpret only $81.74<br />59070 Transabdom amnioinfus w/ us $452.04<br />59072 Umbilical cord occlud w/ us $647.72<br />59074 Fetal fluid drainage w/ us $430.98<br />59076 Fetal shunt placement, w/ us $647.72<br />59100 Remove uterus lesion $1,458.41<br />59120 Treat ectopic pregnancy $1,373.21<br />59121 Treat ectopic pregnancy $1,393.53<br />59130 Treat ectopic pregnancy $1,508.83<br />59135 Treat ectopic pregnancy $1,636.98<br />59136 Treat ectopic pregnancy $1,537.57<br />59140 Treat ectopic pregnancy $805.44<br />59150 Treat ectopic pregnancy $1,337.23<br />59151 Treat ectopic pregnancy $1,334.09<br />59160 D & c after delivery $447.73<br />59200 Insert cervical dilator $147.78<br />59300 Episiotomy or vaginal repair $302.09<br />59320 Revision of cervix $290.45<br />59325 Revision of cervix $465.53<br />59350 Repair of uterus $539.48<br />59400 Obstetrical care $2,710.04<br />59409 Obstetrical care $1,472.98<br />59410 Obstetrical care $1,647.70<br />59412 Antepartum manipulation $196.14<br />59414 Deliver placenta $175.60<br />59425 Antepartum care only $687.39<br />59426 Antepartum care only $1,062.17<br />59430 Care after delivery $223.66<br />59510 Cesarean delivery $3,349.39<br />59514 Cesarean delivery only $1,738.25<br />59515 Cesarean delivery $1,965.59<br />59525 Remove uterus after cesarean $928.97<br />59610 Vbac delivery $3,121.52<br />59612 Vbac delivery only $1,652.77<br />59614 Vbac care after delivery $1,818.88<br />59618 Attempted vbac delivery $3,546.38<br />59620 Attempted vbac delivery only $1,903.86<br />59622 Attempted vbac after care $2,148.47<br />59812 Treatment of miscarriage $498.95<br />59820 Care of miscarriage $570.87<br />59821 Treatment of miscarriage $603.49<br />59830 Treat uterus infection $777.19<br />59840 Abortion $393.70<br />59841 Abortion $604.25<br />59850 Abortion $709.59<br />59851 Abortion $743.45<br />59852 Abortion $1,024.31<br />59855 Abortion $746.96<br />59856 Abortion $893.57<br />59857 Abortion $1,077.56<br />59866 Abortion (mpr) $453.77<br />59870 Evacuate mole of uterus $784.93<br />59871 Remove cerclage suture $296.00<br />59897 Fetal invas px w/ us $0.00<br />59898 Laparo proc, ob care/deliver $0.00<br />59899 Maternity care procedure $0.00<br /><br /><br />with 6<br /><br />60000 Drain thyroid/tongue cyst $213.96<br />60001 Aspirate/inject thyroid cyst $177.42<br />60100 Biopsy of thyroid $216.32<br />60200 Remove thyroid lesion $1,169.76<br />60210 Partial thyroid excision $1,250.74<br />60212 Partial thyroid excision $1,796.33<br />60220 Partial removal of thyroid $1,361.00<br />60225 Partial removal of thyroid $1,632.12<br />60240 Removal of thyroid $1,793.41<br />60252 Removal of thyroid $2,309.81<br />60254 Extensive thyroid surgery $3,083.44<br />60260 Repeat thyroid surgery $1,969.24<br />60270 Removal of thyroid $2,319.05<br />60271 Removal of thyroid $1,914.91<br />60280 Remove thyroid duct lesion $788.65<br />60281 Remove thyroid duct lesion $1,076.41<br />60500 Explore parathyroid glands $1,795.42<br />60502 Re-explore parathyroids $2,253.38<br />60505 Explore parathyroid glands $2,456.57<br />60512 Autotransplant parathyroid $461.95<br />60520 Removal of thymus gland $1,906.10<br />60521 Removal of thymus gland $2,166.56<br />60522 Removal of thymus gland $2,620.33<br />60540 Explore adrenal gland $1,854.79<br />60545 Explore adrenal gland $2,147.42<br />60600 Remove carotid body lesion $2,164.61<br />60605 Remove carotid body lesion $2,484.03<br />60650 Laparoscopy adrenalectomy $2,123.29<br />60659 Laparo proc, endocrine $0.00<br />60699 Endocrine surgery procedure $0.00<br />61000 Remove cranial cavity fluid $189.57<br />61001 Remove cranial cavity fluid $190.42<br />61020 Remove brain cavity fluid $216.33<br />61026 Injection into brain canal $231.85<br />61050 Remove brain canal fluid $204.99<br />61055 Injection into brain canal $260.07<br />61070 Brain canal shunt procedure $141.15<br />61105 Twist drill hole $698.57<br />61107 Drill skull for implantation $643.37<br />61108 Drill skull for drainage $1,335.35<br />61120 Burr hole for puncture $1,141.23<br />61140 Pierce skull for biopsy $1,998.39<br />61150 Pierce skull for drainage $2,172.20<br />61151 Pierce skull for drainage $1,567.55<br />61154 Pierce skull & remove clot $1,898.09<br />61156 Pierce skull for drainage $2,037.28<br />61210 Pierce skull, implant device $738.77<br />61215 Insert brain-fluid device $681.98<br />61250 Pierce skull & explore $1,333.25<br />61253 Pierce skull & explore $1,547.96<br />61304 Open skull for exploration $2,703.33<br />61305 Open skull for exploration $3,259.30<br />61312 Open skull for drainage $3,076.37<br />61313 Open skull for drainage $3,090.51<br />61314 Open skull for drainage $2,872.15<br />61315 Open skull for drainage $3,402.82<br />61316 Implt cran bone flap to abdo $160.87<br />61320 Open skull for drainage $3,144.07<br />61321 Open skull for drainage $3,460.32<br />61322 Decompressive craniotomy $3,401.14<br />61323 Decompressive lobectomy $3,525.49<br />61330 Decompress eye socket $2,795.91<br />61332 Explore/biopsy eye socket $3,284.06<br />61333 Explore orbit/remove lesion $3,254.91<br />61334 Explore orbit/remove object $2,223.53<br />61340 Subtemporal decompression $2,310.72<br />61343 Incise skull (press relief) $3,631.80<br />61345 Relieve cranial pressure $3,309.56<br />61440 Incise skull for surgery $3,199.12<br />61450 Incise skull for surgery $3,133.96<br />61458 Incise skull for brain wound $3,325.91<br />61460 Incise skull for surgery $3,464.54<br />61470 Incise skull for surgery $3,093.03<br />61480 Incise skull for surgery $3,260.27<br />61490 Incise skull for surgery $3,126.03<br />61500 Removal of skull lesion $2,217.66<br />61501 Remove infected skull bone $1,852.20<br />61510 Removal of brain lesion $3,514.00<br />61512 Remove brain lining lesion $4,272.20<br />61514 Removal of brain abscess $3,093.45<br />61516 Removal of brain lesion $3,025.67<br />61517 Implt brain chemotx add-on $145.72<br />61518 Removal of brain lesion $4,553.23<br />61519 Remove brain lining lesion $4,989.58<br />61520 Removal of brain lesion $6,603.85<br />61521 Removal of brain lesion $5,357.15<br />61522 Removal of brain abscess $3,550.55<br />61524 Removal of brain lesion $3,368.18<br />61526 Removal of brain lesion $6,206.79<br />61530 Removal of brain lesion $5,259.36<br />61531 Implant brain electrodes $1,839.92<br />61533 Implant brain electrodes $2,424.56<br />61534 Removal of brain lesion $2,571.94<br />61535 Remove brain electrodes $1,475.20<br />61536 Removal of brain lesion $4,293.03<br />61537 Removal of brain tissue $3,081.22<br />61538 Removal of brain tissue $3,280.41<br />61539 Removal of brain tissue $3,894.33<br />61540 Removal of brain tissue $3,714.28<br />61541 Incision of brain tissue $3,499.51<br />61542 Removal of brain tissue $3,814.16<br />61543 Removal of brain tissue $3,564.90<br />61544 Remove & treat brain lesion $3,061.15<br />61545 Excision of brain tumor $5,307.75<br />61546 Removal of pituitary gland $3,794.53<br />61548 Removal of pituitary gland $2,640.36<br />61550 Release of skull seams $1,622.09<br />61552 Release of skull seams $2,128.15<br />61556 Incise skull/sutures $2,594.02<br />61557 Incise skull/sutures $2,804.17<br />61558 Excision of skull/sutures $2,996.28<br />61559 Excision of skull/sutures $4,063.32<br />61563 Excision of skull tumor $3,240.41<br />61564 Excision of skull tumor $4,080.01<br />61566 Removal of brain tissue $3,733.00<br />61567 Incision of brain tissue $4,296.94<br />61570 Remove foreign body, brain $2,986.08<br />61571 Incise skull for brain wound $3,231.17<br />61575 Skull base/brainstem surgery $4,128.56<br />61576 Skull base/brainstem surgery $6,146.01<br />61580 Craniofacial approach, skull $4,131.43<br />61581 Craniofacial approach, skull $4,306.17<br />61582 Craniofacial approach, skull $4,479.23<br />61583 Craniofacial approach, skull $4,709.07<br />61584 Orbitocranial approach/skull $4,534.47<br />61585 Orbitocranial approach/skull $4,956.53<br />61586 Resect nasopharynx, skull $3,555.82<br />61590 Infratemporal approach/skull $5,275.87<br />61591 Infratemporal approach/skull $5,519.41<br />61592 Orbitocranial approach/skull $5,099.29<br />61595 Transtemporal approach/skull $3,881.10<br />61596 Transcochlear approach/skull $4,525.79<br />61597 Transcondylar approach/skull $4,692.06<br />61598 Transpetrosal approach/skull $4,289.03<br />61600 Resect/excise cranial lesion $3,424.97<br />61601 Resect/excise cranial lesion $3,713.93<br />61605 Resect/excise cranial lesion $3,816.80<br />61606 Resect/excise cranial lesion $4,913.64<br />61607 Resect/excise cranial lesion $4,583.99<br />61608 Resect/excise cranial lesion $5,319.01<br />61609 Transect artery, sinus $1,158.78<br />61610 Transect artery, sinus $3,266.42<br />61611 Transect artery, sinus $881.82<br />61612 Transect artery, sinus $3,145.48<br />61613 Remove aneurysm, sinus $5,204.03<br />61615 Resect/excise lesion, skull $4,154.19<br />61616 Resect/excise lesion, skull $5,502.31<br />61618 Repair dura $2,110.75<br />61619 Repair dura $2,533.04<br />61623 Endovasc tempory vessel occl $1,054.82<br />61624 Transcath occlusion, cns $2,027.23<br />61626 Transcath occlusion, non-cns $1,655.65<br />61680 Intracranial vessel surgery $3,745.31<br />61682 Intracranial vessel surgery $7,344.45<br />61684 Intracranial vessel surgery $4,815.19<br />61686 Intracranial vessel surgery $7,755.47<br />61690 Intracranial vessel surgery $3,570.35<br />61692 Intracranial vessel surgery $6,188.92<br />61697 Brain aneurysm repr, complx $6,129.40<br />61698 Brain aneurysm repr, complx $5,867.99<br />61700 Brain aneurysm repr, simple $6,110.49<br />61702 Inner skull vessel surgery $5,813.29<br />61703 Clamp neck artery $2,176.42<br />61705 Revise circulation to head $4,306.63<br />61708 Revise circulation to head $3,768.95<br />61710 Revise circulation to head $3,253.19<br />61711 Fusion of skull arteries $4,384.72<br />61720 Incise skull/brain surgery $2,085.61<br />61735 Incise skull/brain surgery $2,536.78<br />61750 Incise skull/brain biopsy $2,244.68<br />61751 Brain biopsy w/ct/mr guide $2,208.97<br />61760 Implant brain electrodes $2,454.47<br />61770 Incise skull for treatment $2,615.31<br />61790 Treat trigeminal nerve $1,294.54<br />61791 Treat trigeminal tract $1,831.51<br />61793 Focus radiation beam $2,129.66<br />61795 Brain surgery using computer $474.98<br />61850 Implant neuroelectrodes $1,546.76<br />61860 Implant neuroelectrodes $2,558.30<br />61862 Implant neurostimul, subcort $2,426.85<br />61863 Implant neuroelectrode $2,214.87<br />61864 Implant neuroelectrde, add’l $531.69<br />61867 Implant neuroelectrode $3,451.58<br />61868 Implant neuroelectrde, add’l $909.62<br />61870 Implant neuroelectrodes $1,860.52<br />61875 Implant neuroelectrodes $1,815.99<br />61880 Revise/remove neuroelectrode $839.82<br />61885 Implant neurostim one array $852.77<br />61886 Implant neurostim arrays $1,102.40<br />61888 Revise/remove neuroreceiver $687.84<br />62000 Treat skull fracture $1,352.29<br />62005 Treat skull fracture $1,910.26<br />62010 Treatment of head injury $2,453.32<br />62100 Repair brain fluid leakage $2,695.86<br />62115 Reduction of skull defect $2,607.22<br />62116 Reduction of skull defect $2,883.07<br />62117 Reduction of skull defect $3,276.40<br />62120 Repair skull cavity lesion $2,854.11<br />62121 Incise skull repair $2,589.22<br />62140 Repair of skull defect $1,690.58<br />62141 Repair of skull defect $1,856.35<br />62142 Remove skull plate/flap $1,374.98<br />62143 Replace skull plate/flap $1,634.89<br />62145 Repair of skull & brain $2,314.72<br />62146 Repair of skull with graft $1,990.41<br />62147 Repair of skull with graft $2,375.96<br />62148 Retr bone flap to fix skull $223.63<br />62160 Neuroendoscopy add-on $324.11<br />62161 Dissect brain w/scope $2,302.33<br />62162 Remove colloid cyst w/scope $2,925.97<br />62163 Neuroendoscopy w/fb removal $1,849.31<br />62164 Remove brain tumor w/scope $3,177.30<br />62165 Remove pituit tumor w/scope $2,514.35<br />62180 Establish brain cavity shunt $2,598.60<br />62190 Establish brain cavity shunt $1,404.83<br />62192 Establish brain cavity shunt $1,542.46<br />62194 Replace/irrigate catheter $587.52<br />62200 Establish brain cavity shunt $2,268.45<br />62201 Brain cavity shunt w/scope $1,865.76<br />62220 Establish brain cavity shunt $1,626.00<br />62223 Establish brain cavity shunt $1,636.25<br />62225 Replace/irrigate catheter $731.12<br />62230 Replace/revise brain shunt $1,320.51<br />62252 Csf shunt reprogram $164.36<br />62252.26 Csf shunt reprogram $87.25<br />62256 Remove brain cavity shunt $872.61<br />62258 Replace brain cavity shunt $1,806.34<br />62263 Epidural lysis mult sessions $1,292.49<br />62264 Epidural lysis on single day $869.79<br />62268 Drain spinal cord cyst $1,093.64<br />62269 Needle biopsy, spinal cord $1,267.40<br />62270 Spinal fluid tap, diagnostic $298.84<br />62272 Drain cerebro spinal fluid $359.66<br />62273 Treat epidural spine lesion $354.34<br />62280 Treat spinal cord lesion $657.32<br />62281 Treat spinal cord lesion $601.72<br />62282 Treat spinal canal lesion $744.39<br />62284 Injection for myelogram $455.10<br />62287 Percutaneous diskectomy $1,010.10<br />62290 Inject for spine disk x-ray $701.12<br />62291 Inject for spine disk x-ray $616.26<br />62292 Injection into disk lesion $922.76<br />62294 Injection into spinal artery $1,304.15<br />62310 Inject spine c/t $479.63<br />62311 Inject spine l/s (cd) $456.82<br />62318 Inject spine w/cath, c/t $486.95<br />62319 Inject spine w/cath l/s (cd) $472.12<br />62350 Implant spinal canal cath $813.37<br />62351 Implant spinal canal cath $1,308.87<br />62355 Remove spinal canal catheter $646.09<br />62360 Insert spine infusion device $390.80<br />62361 Implant spine infusion pump $693.76<br />62362 Implant spine infusion pump $862.17<br />62365 Remove spine infusion device $675.84<br />62367 Analyze spine infusion pump $352.13<br />62367.26 Analyze spine infusion pump $46.17<br />62368 Analyze spine infusion pump $212.98<br />62368.26 Analyze spine infusion pump $71.14<br />63001 Removal of spinal lamina $1,960.42<br />63003 Removal of spinal lamina $1,991.48<br />63005 Removal of spinal lamina $1,904.65<br />63011 Removal of spinal lamina $1,710.44<br />63012 Removal of spinal lamina $1,955.28<br />63015 Removal of spinal lamina $2,420.04<br />63016 Removal of spinal lamina $2,393.04<br />63017 Removal of spinal lamina $2,022.42<br />63020 Neck spine disk surgery $1,889.84<br />63030 Low back disk surgery $1,563.77<br />63035 Spinal disk surgery add-on $368.35<br />63040 Laminotomy, single cervical $2,332.99<br />63042 Laminotomy, single lumbar $2,208.87<br />63043 Laminotomy, add’l cervical $3,245.70<br />63044 Laminotomy, add’l lumbar $3,073.39<br />63045 Removal of spinal lamina $2,075.20<br />63046 Removal of spinal lamina $1,997.51<br />63047 Removal of spinal lamina $1,875.65<br />63048 Remove spinal lamina add-on $382.41<br />63055 Decompress spinal cord $2,713.53<br />63056 Decompress spinal cord $2,519.65<br />63057 Decompress spine cord add-on $607.40<br />63064 Decompress spinal cord $3,024.67<br />63066 Decompress spine cord add-on $384.47<br />63075 Neck spine disk surgery $2,433.15<br />63076 Neck spine disk surgery $475.74<br />63077 Spine disk surgery, thorax $2,619.56<br />63078 Spine disk surgery, thorax $378.41<br />63081 Removal of vertebral body $2,940.07<br />63082 Remove vertebral body add-on $513.05<br />63085 Removal of vertebral body $3,266.71<br />63086 Remove vertebral body add-on $370.99<br />63087 Removal of vertebral body $4,234.26<br />63088 Remove vertebral body add-on $504.56<br />63090 Removal of vertebral body $3,378.67<br />63091 Remove vertebral body add-on $345.29<br />63101 Removal of vertebral body $3,912.45<br />63102 Removal of vertebral body $3,912.45<br />63103 Remove vertebral body add-on $454.92<br />63170 Incise spinal cord tract(s) $2,469.65<br />63172 Drainage of spinal cyst $2,206.47<br />63173 Drainage of spinal cyst $2,708.01<br />63180 Revise spinal cord ligaments $2,292.23<br />63182 Revise spinal cord ligaments $2,442.30<br />63185 Incise spinal column/nerves $1,775.66<br />63190 Incise spinal column/nerves $2,129.62<br />63191 Incise spinal column/nerves $2,187.52<br />63194 Incise spinal column & cord $2,415.29<br />63195 Incise spinal column & cord $2,320.75<br />63196 Incise spinal column & cord $2,790.62<br />63197 Incise spinal column & cord $2,609.89<br />63198 Incise spinal column & cord $2,705.80<br />63199 Incise spinal column & cord $3,286.68<br />63200 Release of spinal cord $2,369.52<br />63250 Revise spinal cord vessels $4,734.70<br />63251 Revise spinal cord vessels $4,964.06<br />63252 Revise spinal cord vessels $4,929.28<br />63265 Excise intraspinal lesion $2,666.92<br />63266 Excise intraspinal lesion $2,757.95<br />63267 Excise intraspinal lesion $2,246.36<br />63268 Excise intraspinal lesion $2,229.77<br />63270 Excise intraspinal lesion $3,290.67<br />63271 Excise intraspinal lesion $3,313.38<br />63272 Excise intraspinal lesion $3,111.37<br />63273 Excise intraspinal lesion $3,011.73<br />63275 Biopsy/excise spinal tumor $2,910.83<br />63276 Biopsy/excise spinal tumor $2,884.02<br />63277 Biopsy/excise spinal tumor $2,583.20<br />63278 Biopsy/excise spinal tumor $2,552.36<br />63280 Biopsy/excise spinal tumor $3,481.05<br />63281 Biopsy/excise spinal tumor $3,442.84<br />63282 Biopsy/excise spinal tumor $3,246.99<br />63283 Biopsy/excise spinal tumor $3,088.49<br />63285 Biopsy/excise spinal tumor $4,364.56<br />63286 Biopsy/excise spinal tumor $4,324.24<br />63287 Biopsy/excise spinal tumor $4,458.75<br />63290 Biopsy/excise spinal tumor $4,525.67<br />63300 Removal of vertebral body $3,006.40<br />63301 Removal of vertebral body $3,338.78<br />63302 Removal of vertebral body $3,384.03<br />63303 Removal of vertebral body $3,654.04<br />63304 Removal of vertebral body $3,650.04<br />63305 Removal of vertebral body $3,854.33<br />63306 Removal of vertebral body $3,729.29<br />63307 Removal of vertebral body $3,691.10<br />63308 Remove vertebral body add-on $613.50<br />63600 Remove spinal cord lesion $1,470.38<br />63610 Stimulation of spinal cord $4,501.19<br />63615 Remove lesion of spinal cord $1,980.00<br />63650 Implant neuroelectrodes $744.14<br />63655 Implant neuroelectrodes $1,318.41<br />63660 Revise/remove neuroelectrode $735.91<br />63685 Implant neuroreceiver $851.14<br />63688 Revise/remove neuroreceiver $676.34<br />63700 Repair of spinal herniation $2,051.03<br />63702 Repair of spinal herniation $2,180.30<br />63704 Repair of spinal herniation $2,625.55<br />63706 Repair of spinal herniation $2,929.84<br />63707 Repair spinal fluid leakage $1,449.00<br />63709 Repair spinal fluid leakage $1,815.11<br />63710 Graft repair of spine defect $1,780.24<br />63740 Install spinal shunt $1,443.70<br />63741 Install spinal shunt $987.95<br />63744 Revision of spinal shunt $1,030.03<br />63746 Removal of spinal shunt $788.69<br />64400 N block inj, trigeminal $223.68<br />64402 N block inj, facial $215.88<br />64405 N block inj, occipital $206.65<br />64408 N block inj, vagus $217.85<br />64410 N block inj, phrenic $286.47<br />64412 N block inj, spinal accessor $278.13<br />64413 N block inj, cervical plexus $237.75<br />64415 N block inj, brachial plexus $309.48<br />64416 N block cont infuse, b plex $313.61<br />64417 N block inj, axillary $324.05<br />64418 N block inj, suprascapular $283.77<br />64420 N block inj, intercost, sng $333.90<br />64421 N block inj, intercost, mlt $500.67<br />64425 N block inj ilio-ing/hypogi $252.18<br />64430 N block inj, pudendal $291.80<br />64435 N block inj, paracervical $292.08<br />64445 N block inj, sciatic, sng $299.15<br />64446 N blk inj, sciatic, cont inf $327.36<br />64447 N block inj fem, single $150.55<br />64448 N block inj fem, cont inf $298.37<br />64449 N block inj, lumbar plexus $294.24<br />64450 N block, other peripheral $185.02<br />64470 Inj paravertebral c/t $477.56<br />64472 Inj paravertebral c/t add-on $230.97<br />64475 Inj paravertebral l/s $352.10<br />64476 Inj paravertebral l/s add-on $195.08<br />64479 Inj foramen epidural c/t $655.51<br />64480 Inj foramen epidural add-on $284.70<br />64483 Inj foramen epidural l/s $569.74<br />64484 Inj foramen epidural add-on $295.53<br />64505 N block, spenopalatine gangl $188.98<br />64508 N block, carotid sinus s/p $289.83<br />64510 N block, stellate ganglion $314.17<br />64517 N block inj, hypogas plxs $354.64<br />64520 N block, lumbar/thoracic $418.20<br />64530 N block inj, celiac pelus $393.03<br />64550 Apply neurostimulator $34.44<br />64553 Implant neuroelectrodes $365.59<br />64555 Implant neuroelectrodes $386.71<br />64560 Implant neuroelectrodes $365.19<br />64561 Implant neuroelectrodes $724.58<br />64565 Implant neuroelectrodes $365.50<br />64573 Implant neuroelectrodes $980.75<br />64575 Implant neuroelectrodes $525.41<br />64577 Implant neuroelectrodes $593.40<br />64580 Implant neuroelectrodes $559.90<br />64581 Implant neuroelectrodes $1,394.52<br />64585 Revise/remove neuroelectrode $962.42<br />64590 Implant neuroreceiver $695.52<br />64595 Revise/remove neuroreceiver $874.45<br />64600 Injection treatment of nerve $850.32<br />64605 Injection treatment of nerve $1,031.54<br />64610 Injection treatment of nerve $1,123.42<br />64612 Destroy nerve, face muscle $330.52<br />64613 Destroy nerve, spine muscle $354.96<br />64614 Destroy nerve, extrem musc $391.13<br />64620 Injection treatment of nerve $535.99<br />64622 Destr paravertebrl nerve l/s $713.29<br />64623 Destr paravertebral n add-on $242.94<br />64626 Destr paravertebrl nerve c/t $713.42<br />64627 Destr paravertebral n add-on $269.75<br />64630 Injection treatment of nerve $370.64<br />64640 Injection treatment of nerve $468.62<br />64680 Injection treatment of nerve $370.64<br />64681 Injection treatment of nerve $870.20<br />64702 Revise finger/toe nerve $599.39<br />64704 Revise hand/foot nerve $590.68<br />64708 Revise arm/leg nerve $822.74<br />64712 Revision of sciatic nerve $943.82<br />64713 Revision of arm nerve(s) $1,267.96<br />64714 Revise low back nerve(s) $1,088.21<br />64716 Revision of cranial nerve $856.94<br />64718 Revise ulnar nerve at elbow $886.70<br />64719 Revise ulnar nerve at wrist $694.55<br />64721 Carpal tunnel surgery $684.75<br />64722 Relieve pressure on nerve(s) $574.27<br />64726 Release foot/toe nerve $525.07<br />64727 Internal nerve revision $351.91<br />64732 Incision of brow nerve $603.49<br />64734 Incision of cheek nerve $680.46<br />64736 Incision of chin nerve $649.70<br />64738 Incision of jaw nerve $779.85<br />64740 Incision of tongue nerve $736.76<br />64742 Incision of facial nerve $818.53<br />64744 Incise nerve, back of head $691.94<br />64746 Incise diaphragm nerve $784.81<br />64752 Incision of vagus nerve $857.48<br />64755 Incision of stomach nerves $1,447.16<br />64760 Incision of vagus nerve $782.59<br />64761 Incision of pelvis nerve $733.65<br />64763 Incise hip/thigh nerve $909.40<br />64766 Incise hip/thigh nerve $1,049.62<br />64771 Sever cranial nerve $986.80<br />64772 Incision of spinal nerve $926.79<br />64774 Remove skin nerve lesion $672.32<br />64776 Remove digit nerve lesion $660.32<br />64778 Digit nerve surgery add-on $351.28<br />64782 Remove limb nerve lesion $755.23<br />64783 Limb nerve surgery add-on $424.30<br />64784 Remove nerve lesion $1,233.23<br />64786 Remove sciatic nerve lesion $1,922.32<br />64787 Implant nerve end $490.31<br />64788 Remove skin nerve lesion $604.69<br />64790 Removal of nerve lesion $1,407.69<br />64792 Removal of nerve lesion $1,799.10<br />64795 Biopsy of nerve $350.70<br />64802 Remove sympathetic nerves $1,074.47<br />64804 Remove sympathetic nerves $1,661.50<br />64809 Remove sympathetic nerves $1,458.40<br />64818 Remove sympathetic nerves $1,179.19<br />64820 Remove sympathetic nerves $1,310.74<br />64821 Remove sympathetic nerves $1,199.49<br />64822 Remove sympathetic nerves $1,193.99<br />64823 Remove sympathetic nerves $1,384.41<br />64831 Repair of digit nerve $1,236.53<br />64832 Repair nerve add-on $653.13<br />64834 Repair of hand or foot nerve $1,297.63<br />64835 Repair of hand or foot nerve $1,399.74<br />64836 Repair of hand or foot nerve $1,396.65<br />64837 Repair nerve add-on $723.39<br />64840 Repair of leg nerve $1,576.50<br />64856 Repair/transpose nerve $1,730.98<br />64857 Repair arm/leg nerve $1,815.55<br />64858 Repair sciatic nerve $2,084.17<br />64859 Nerve surgery $489.40<br />64861 Repair of arm nerves $2,350.11<br />64862 Repair of low back nerves $2,375.03<br />64864 Repair of facial nerve $1,539.98<br />64865 Repair of facial nerve $1,872.66<br />64866 Fusion of facial/other nerve $1,886.30<br />64868 Fusion of facial/other nerve $1,715.57<br />64870 Fusion of facial/other nerve $1,839.55<br />64872 Subsequent repair of nerve $233.59<br />64874 Repair & revise nerve add-on $342.61<br />64876 Repair nerve/shorten bone $355.89<br />64885 Nerve graft, head or neck $2,120.35<br />64886 Nerve graft, head or neck $2,496.74<br />64890 Nerve graft, hand or foot $1,889.62<br />64891 Nerve graft, hand or foot $1,785.98<br />64892 Nerve graft, arm or leg $1,770.71<br />64893 Nerve graft, arm or leg $1,917.37<br />64895 Nerve graft, hand or foot $2,185.35<br />64896 Nerve graft, hand or foot $2,362.32<br />64897 Nerve graft, arm or leg $2,206.90<br />64898 Nerve graft, arm or leg $2,379.12<br />64901 Nerve graft add-on $926.98<br />64902 Nerve graft add-on $1,339.91<br />64905 Nerve pedicle transfer $1,697.53<br />64907 Nerve pedicle transfer $2,338.55<br />64999 Nervous system surgery $0.00<br />65091 Revise eye $1,162.19<br />65093 Revise eye with implant $1,218.62<br />65101 Removal of eye $1,271.19<br />65103 Remove eye/insert implant $1,325.28<br />65105 Remove eye/attach implant $1,440.45<br />65110 Removal of eye $2,074.23<br />65112 Remove eye/revise socket $2,423.63<br />65114 Remove eye/revise socket $2,522.88<br />65125 Revise ocular implant $874.64<br />65130 Insert ocular implant $1,249.86<br />65135 Insert ocular implant $1,276.03<br />65140 Attach ocular implant $1,359.23<br />65150 Revise ocular implant $1,116.62<br />65155 Reinsert ocular implant $1,460.36<br />65175 Removal of ocular implant $1,143.24<br />65205 Remove foreign body from eye $95.70<br />65210 Remove foreign body from eye $115.05<br />65220 Remove foreign body from eye $96.39<br />65222 Remove foreign body from eye $123.49<br />65235 Remove foreign body from eye $1,076.73<br />65260 Remove foreign body from eye $1,621.72<br />65265 Remove foreign body from eye $1,831.56<br />65270 Repair of eye wound $409.01<br />65272 Repair of eye wound $631.03<br />65273 Repair of eye wound $719.66<br />65275 Repair of eye wound $799.02<br />65280 Repair of eye wound $1,146.11<br />65285 Repair of eye wound $1,835.43<br />65286 Repair of eye wound $999.00<br />65290 Repair of eye socket wound $859.33<br />65400 Removal of eye lesion $1,055.90<br />65410 Biopsy of cornea $230.59<br />65420 Removal of eye lesion $836.29<br />65426 Removal of eye lesion $915.21<br />65430 Corneal smear $271.79<br />65435 Curette/treat cornea $160.67<br />65436 Curette/treat cornea $433.27<br />65450 Treatment of corneal lesion $448.06<br />65600 Revision of cornea $646.60<br />65710 Corneal transplant $1,789.89<br />65730 Corneal transplant $1,902.49<br />65750 Corneal transplant $2,062.11<br />65755 Corneal transplant $2,047.36<br />65760 Revision of cornea $3,552.15<br />65765 Revision of cornea $3,964.11<br />65767 Corneal tissue transplant $3,171.76<br />65770 Revise cornea with implant $2,322.74<br />65771 Radial keratotomy $1,585.46<br />65772 Correction of astigmatism $819.08<br />65775 Correction of astigmatism $946.92<br />65780 Ocular reconst, transplant $1,165.01<br />65781 Ocular reconst, transplant $1,779.65<br />65782 Ocular reconst, transplant $1,536.97<br />65800 Drainage of eye $302.35<br />65805 Drainage of eye $302.35<br />65810 Drainage of eye $925.05<br />65815 Drainage of eye $960.86<br />65820 Relieve inner eye pressure $1,352.98<br />65850 Incision of eye $1,446.70<br />65855 Laser surgery of eye $651.97<br />65860 Incise inner eye adhesions $538.69<br />65865 Incise inner eye adhesions $872.84<br />65870 Incise inner eye adhesions $968.99<br />65875 Incise inner eye adhesions $1,010.15<br />65880 Incise inner eye adhesions $1,069.81<br />65900 Remove eye lesion $1,626.02<br />65920 Remove implant of eye $1,239.23<br />65930 Remove blood clot from eye $1,099.73<br />66020 Injection treatment of eye $284.65<br />66030 Injection treatment of eye $247.56<br />66130 Remove eye lesion $841.75<br />66150 Glaucoma surgery $1,311.63<br />66155 Glaucoma surgery $1,306.41<br />66160 Glaucoma surgery $1,508.00<br />66165 Glaucoma surgery $1,277.24<br />66170 Glaucoma surgery $1,783.62<br />66172 Incision of eye $2,186.97<br />66180 Implant eye shunt $1,904.58<br />66185 Revise eye shunt $1,184.36<br />66220 Repair eye lesion $1,193.91<br />66225 Repair/graft eye lesion $1,483.51<br />66250 Follow-up surgery of eye $983.49<br />66500 Incision of iris $633.60<br />66505 Incision of iris $681.54<br />66600 Remove iris and lesion $1,274.94<br />66605 Removal of iris $1,754.21<br />66625 Removal of iris $873.89<br />66630 Removal of iris $980.06<br />66635 Removal of iris $933.08<br />66680 Repair iris & ciliary body $829.91<br />66682 Repair iris & ciliary body $984.48<br />66700 Destruction, ciliary body $731.74<br />66710 Destruction, ciliary body $723.14<br />66720 Destruction, ciliary body $755.15<br />66740 Destruction, ciliary body $734.15<br />66761 Revision of iris $691.81<br />66762 Revision of iris $735.74<br />66770 Removal of inner eye lesion $810.84<br />66820 Incision, secondary cataract $785.09<br />66821 After cataract laser surgery $453.62<br />66825 Reposition intraocular lens $1,321.20<br />66830 Removal of lens lesion $1,112.41<br />66840 Removal of lens material $1,083.88<br />66850 Removal of lens material $1,227.87<br />66852 Removal of lens material $1,324.44<br />66920 Extraction of lens $1,186.82<br />66930 Extraction of lens $1,365.54<br />66940 Extraction of lens $1,231.98<br />66982 Cataract surgery, complex $1,712.92<br />66983 Cataract surg w/iol, 1 stage $1,112.87<br />66984 Cataract surg w/iol, 1 stage $1,304.55<br />66985 Insert lens prosthesis $1,153.80<br />66986 Exchange lens prosthesis $1,570.53<br />66990 Ophthalmic endoscope add-on $162.66<br />66999 Eye surgery procedure $0.00<br />67005 Partial removal of eye fluid $735.72<br />67010 Partial removal of eye fluid $863.01<br />67015 Release of eye fluid $1,059.53<br />67025 Replace eye fluid $1,501.08<br />67027 Implant eye drug system $1,051.49<br />67028 Injection eye drug $640.16<br />67030 Incise inner eye strands $837.43<br />67031 Laser surgery, eye strands $605.83<br />67036 Removal of inner eye fluid $1,549.68<br />67038 Strip retinal membrane $2,708.37<br />67039 Laser treatment of retina $1,969.82<br />67040 Laser treatment of retina $2,277.79<br />67101 Repair detached retina $1,251.73<br />67105 Repair detached retina $1,114.70<br />67107 Repair detached retina $2,013.33<br />67108 Repair detached retina $2,758.25<br />67110 Repair detached retina $1,729.76<br />67112 Rerepair detached retina $2,288.72<br />67115 Release encircling material $867.91<br />67120 Remove eye implant material $1,302.26<br />67121 Remove eye implant material $1,581.82<br />67141 Treatment of retina $894.26<br />67145 Treatment of retina $805.40<br />67208 Treatment of retinal lesion $919.86<br />67210 Treatment of retinal lesion $1,102.59<br />67218 Treatment of retinal lesion $2,376.27<br />67220 Treatment of choroid lesion $1,677.72<br />67221 Ocular photodynamic ther $606.27<br />67225 Eye photodynamic ther add-on $53.34<br />67227 Treatment of retinal lesion $940.50<br />67228 Treatment of retinal lesion $1,601.10<br />67250 Reinforce eye wall $1,374.65<br />67255 Reinforce/graft eye wall $1,432.16<br />67299 Eye surgery procedure $0.00<br />67311 Revise eye muscle $949.17<br />67312 Revise two eye muscles $1,171.19<br />67314 Revise eye muscle $1,073.00<br />67316 Revise two eye muscles $1,303.01<br />67318 Revise eye muscle(s) $1,124.15<br />67320 Revise eye muscle(s) add-on $464.74<br />67331 Eye surgery follow-up add-on $441.13<br />67332 Rerevise eye muscles add-on $481.85<br />67334 Revise eye muscle w/suture $427.59<br />67335 Eye suture during surgery $267.17<br />67340 Revise eye muscle add-on $528.82<br />67343 Release eye tissue $1,065.81<br />67345 Destroy nerve of eye muscle $526.71<br />67350 Biopsy eye muscle $348.55<br />67399 Eye muscle surgery procedure $0.00<br />67400 Explore/biopsy eye socket $1,607.22<br />67405 Explore/drain eye socket $1,369.71<br />67412 Explore/treat eye socket $1,619.82<br />67413 Explore/treat eye socket $1,599.67<br />67414 Explr/decompress eye socket $1,814.11<br />67415 Aspiration, orbital contents $188.21<br />67420 Explore/treat eye socket $2,822.67<br />67430 Explore/treat eye socket $2,128.40<br />67440 Explore/drain eye socket $2,065.10<br />67445 Explr/decompress eye socket $2,182.31<br />67450 Explore/biopsy eye socket $2,119.88<br />67500 Inject/treat eye socket $117.16<br />67505 Inject/treat eye socket $126.29<br />67515 Inject/treat eye socket $102.69<br />67550 Insert eye socket implant $1,625.49<br />67560 Revise eye socket implant $1,658.52<br />67570 Decompress optic nerve $1,893.16<br />67599 Orbit surgery procedure $0.00<br />67700 Drainage of eyelid abscess $323.40<br />67710 Incision of eyelid $252.87<br />67715 Incision of eyelid fold $323.40<br />67800 Remove eyelid lesion $224.34<br />67801 Remove eyelid lesions $307.77<br />67805 Remove eyelid lesions $356.27<br />67808 Remove eyelid lesion(s) $650.30<br />67810 Biopsy of eyelid $218.53<br />67820 Revise eyelashes $119.44<br />67825 Revise eyelashes $210.64<br />67830 Revise eyelashes $386.81<br />67835 Revise eyelashes $767.95<br />67840 Remove eyelid lesion $403.09<br />67850 Treat eyelid lesion $327.70<br />67875 Closure of eyelid by suture $353.16<br />67880 Revision of eyelid $954.43<br />67882 Revision of eyelid $1,144.46<br />67900 Repair brow defect $1,195.09<br />67901 Repair eyelid defect $974.43<br />67902 Repair eyelid defect $983.73<br />67903 Repair eyelid defect $1,267.67<br />67904 Repair eyelid defect $1,337.28<br />67906 Repair eyelid defect $1,151.00<br />67908 Repair eyelid defect $998.51<br />67909 Revise eyelid defect $1,057.22<br />67911 Revise eyelid defect $818.24<br />67912 Correction eyelid w/ implant $1,101.70<br />67914 Repair eyelid defect $841.75<br />67915 Repair eyelid defect $472.12<br />67916 Repair eyelid defect $1,216.09<br />67917 Repair eyelid defect $1,127.61<br />67921 Repair eyelid defect $841.75<br />67922 Repair eyelid defect $465.09<br />67923 Repair eyelid defect $1,229.73<br />67924 Repair eyelid defect $1,067.75<br />67930 Repair eyelid wound $841.75<br />67935 Repair eyelid wound $1,257.86<br />67938 Remove eyelid foreign body $301.04<br />67950 Revision of eyelid $1,014.21<br />67961 Revision of eyelid $1,137.05<br />67966 Revision of eyelid $1,077.10<br />67971 Reconstruction of eyelid $1,248.34<br />67973 Reconstruction of eyelid $1,620.08<br />67974 Reconstruction of eyelid $1,610.28<br />67975 Reconstruction of eyelid $1,175.31<br />67999 Revision of eyelid $0.00<br />68020 Incise/drain eyelid lining $297.88<br />68040 Treatment of eyelid lesions $238.02<br />68100 Biopsy of eyelid lining $268.89<br />68110 Remove eyelid lining lesion $331.29<br />68115 Remove eyelid lining lesion $563.15<br />68130 Remove eyelid lining lesion $935.72<br />68135 Remove eyelid lining lesion $420.39<br />68200 Treat eyelid by injection $86.85<br />68320 Revise/graft eyelid lining $860.48<br />68325 Revise/graft eyelid lining $1,001.15<br />68326 Revise/graft eyelid lining $977.90<br />68328 Revise/graft eyelid lining $1,110.56<br />68330 Revise eyelid lining $866.29<br />68335 Revise/graft eyelid lining $1,015.65<br />68340 Separate eyelid adhesions $954.43<br />68360 Revise eyelid lining $787.19<br />68362 Revise eyelid lining $1,090.89<br />68371 Harvest eye tissue, alograft $550.45<br />68399 Eyelid lining surgery $0.00<br />68400 Incise/drain tear gland $391.74<br />68420 Incise/drain tear sac $432.70<br />68440 Incise tear duct opening $246.80<br />68500 Removal of tear gland $1,545.62<br />68505 Partial removal, tear gland $1,608.16<br />68510 Biopsy of tear gland $558.66<br />68520 Removal of tear sac $1,109.43<br />68525 Biopsy of tear sac $286.01<br />68530 Clearance of tear duct $929.71<br />68540 Remove tear gland lesion $1,482.27<br />68550 Remove tear gland lesion $1,825.10<br />68700 Repair tear ducts $1,005.34<br />68705 Revise tear duct opening $319.49<br />68720 Create tear sac drain $1,252.81<br />68745 Create tear duct drain $1,225.41<br />68750 Create tear duct drain $1,259.67<br />68760 Close tear duct opening $243.98<br />68761 Close tear duct opening $257.38<br />68770 Close tear system fistula $1,412.96<br />68801 Dilate tear duct opening $136.63<br />68810 Probe nasolacrimal duct $305.04<br />68811 Probe nasolacrimal duct $342.09<br />68815 Probe nasolacrimal duct $806.60<br />68840 Explore/irrigate tear ducts $186.64<br />68850 Injection for tear sac x-ray $710.85<br />68899 Tear duct system surgery $0.00<br />69000 Drain external ear lesion $189.30<br />69005 Drain external ear lesion $367.87<br />69020 Drain outer ear canal lesion $276.93<br />69090 Pierce earlobes $110.78<br />69100 Biopsy of external ear $110.78<br />69105 Biopsy of external ear canal $166.15<br />69110 Remove external ear, partial $546.29<br />69120 Removal of external ear $587.01<br />69140 Remove ear canal lesion(s) $1,078.33<br />69145 Remove ear canal lesion(s) $276.93<br />69150 Extensive ear canal surgery $1,727.22<br />69155 Extensive ear/neck surgery $2,609.64<br />69200 Clear outer ear canal $172.57<br />69205 Clear outer ear canal $186.33<br />69210 Remove impacted ear wax $82.28<br />69220 Clean out mastoid cavity $134.05<br />69222 Clean out mastoid cavity $221.35<br />69300 Revise external ear $783.24<br />69310 Rebuild outer ear canal $1,412.40<br />69320 Rebuild outer ear canal $2,144.97<br />69399 Outer ear surgery procedure $0.00<br />69400 Inflate middle ear canal $134.88<br />69401 Inflate middle ear canal $82.96<br />69405 Catheterize middle ear canal $266.12<br />69410 Inset middle ear (baffle) $99.88<br />69420 Incision of eardrum $315.49<br />69421 Incision of eardrum $278.57<br />69424 Remove ventilating tube $127.93<br />69433 Create eardrum opening $330.71<br />69436 Create eardrum opening $305.04<br />69440 Exploration of middle ear $1,018.86<br />69450 Eardrum revision $776.93<br />69501 Mastoidectomy $1,189.37<br />69502 Mastoidectomy $1,596.18<br />69505 Remove mastoid structures $1,661.34<br />69511 Extensive mastoid surgery $1,726.04<br />69530 Extensive mastoid surgery $2,381.01<br />69535 Remove part of temporal bone $4,278.76<br />69540 Remove ear lesion $208.05<br />69550 Remove ear lesion $1,424.23<br />69552 Remove ear lesion $2,396.69<br />69554 Remove ear lesion $4,006.05<br />69601 Mastoid surgery revision $1,714.44<br />69602 Mastoid surgery revision $1,736.38<br />69603 Mastoid surgery revision $1,786.44<br />69604 Mastoid surgery revision $1,784.03<br />69605 Mastoid surgery revision $2,313.25<br />69610 Repair of eardrum $428.31<br />69620 Repair of eardrum $877.59<br />69631 Repair eardrum structures $1,304.47<br />69632 Rebuild eardrum structures $1,656.51<br />69633 Rebuild eardrum structures $1,582.50<br />69635 Repair eardrum structures $1,675.73<br />69636 Rebuild eardrum structures $1,946.95<br />69637 Rebuild eardrum structures $1,934.26<br />69641 Revise middle ear & mastoid $1,636.31<br />69642 Revise middle ear & mastoid $2,137.73<br />69643 Revise middle ear & mastoid $1,954.76<br />69644 Revise middle ear & mastoid $2,144.68<br />69645 Revise middle ear & mastoid $2,075.21<br />69646 Revise middle ear & mastoid $2,262.84<br />69650 Release middle ear bone $1,258.21<br />69660 Revise middle ear bone $1,513.87<br />69661 Revise middle ear bone $1,981.65<br />69662 Revise middle ear bone $1,938.94<br />69666 Repair middle ear structures $1,270.44<br />69667 Repair middle ear structures $1,271.52<br />69670 Remove mastoid air cells $1,484.41<br />69676 Remove middle ear nerve $1,261.87<br />69700 Close mastoid fistula $969.19<br />69710 Implant/replace hearing aid $969.19<br />69711 Remove/repair hearing aid $1,038.01<br />69714 Implant temple bone w/stimul $1,766.70<br />69715 Temple bne implnt w/stimulat $2,266.75<br />69717 Temple bone implant revision $1,819.21<br />69718 Revise temple bone implant $2,279.56<br />69720 Release facial nerve $1,854.28<br />69725 Release facial nerve $3,124.70<br />69740 Repair facial nerve $1,949.53<br />69745 Repair facial nerve $2,066.32<br />69799 Middle ear surgery procedure $0.00<br />69801 Incise inner ear $1,132.02<br />69802 Incise inner ear $1,674.72<br />69805 Explore inner ear $1,761.87<br />69806 Explore inner ear $1,587.74<br />69820 Establish inner ear window $1,337.16<br />69840 Revise inner ear window $1,266.82<br />69905 Remove inner ear $1,430.73<br />69910 Remove inner ear & mastoid $1,722.90<br />69915 Incise inner ear nerve $2,621.09<br />69930 Implant cochlear device $2,115.52<br />69949 Inner ear surgery procedure $0.00<br />69950 Incise inner ear nerve $3,136.00<br />69955 Release facial nerve $3,304.07<br />69960 Release inner ear canal $3,289.85<br />69970 Remove inner ear lesion $3,597.49<br />69979 Temporal bone surgery $0.00<br />69990 Microsurgery add-on $405.61<br /><br />with 7<br /><br />70010 Contrast x-ray of brain $424.46<br />70010.26 Contrast x-ray of brain $118.11<br />70015 Contrast x-ray of brain $214.15<br />70015.26 Contrast x-ray of brain $117.77<br />70030 X-ray eye for foreign body $46.08<br />70030.26 X-ray eye for foreign body $17.17<br />70100 X-ray exam of jaw $54.40<br />70100.26 X-ray exam of jaw $17.92<br />70110 X-ray exam of jaw $68.58<br />70110.26 X-ray exam of jaw $24.52<br />70120 X-ray exam of mastoids $61.97<br />70120.26 X-ray exam of mastoids $17.92<br />70130 X-ray exam of mastoids $89.41<br />70130.26 X-ray exam of mastoids $33.31<br />70134 X-ray exam of middle ear $85.97<br />70134.26 X-ray exam of middle ear $33.31<br />70140 X-ray exam of facial bones $62.72<br />70140.26 X-ray exam of facial bones $18.66<br />70150 X-ray exam of facial bones $82.06<br />70150.26 X-ray exam of facial bones $25.95<br />70160 X-ray exam of nasal bones $53.66<br />70160.26 X-ray exam of nasal bones $17.17<br />70170 X-ray exam of tear duct $97.09<br />70170.26 X-ray exam of tear duct $29.63<br />70190 X-ray exam of eye sockets $64.90<br />70190.26 X-ray exam of eye sockets $20.84<br />70200 X-ray exam of eye sockets $83.55<br />70200.26 X-ray exam of eye sockets $27.45<br />70210 X-ray exam of sinuses $61.23<br />70210.26 X-ray exam of sinuses $17.17<br />70220 X-ray exam of sinuses $80.62<br />70220.26 X-ray exam of sinuses $24.52<br />70240 X-ray exam, pituitary saddle $47.58<br />70240.26 X-ray exam, pituitary saddle $18.66<br />70250 X-ray exam of skull $67.83<br />70250.26 X-ray exam of skull $23.77<br />70260 X-ray exam of skull $96.64<br />70260.26 X-ray exam of skull $33.31<br />70300 X-ray exam of teeth $30.53<br />70300.26 X-ray exam of teeth $11.25<br />70310 X-ray exam of teeth $46.71<br />70310.26 X-ray exam of teeth $17.80<br />70320 Full mouth x-ray of teeth $78.38<br />70320.26 Full mouth x-ray of teeth $22.28<br />70328 X-ray exam of jaw joint $52.34<br />70328.26 X-ray exam of jaw joint $17.92<br />70330 X-ray exam of jaw joints $84.01<br />70330.26 X-ray exam of jaw joints $23.77<br />70332 X-ray exam of jaw joint $203.48<br />70332.26 X-ray exam of jaw joint $54.78<br />70336 Magnetic image, jaw joint $940.41<br />70336.26 Magnetic image, jaw joint $146.31<br />70350 X-ray head for orthodontia $44.02<br />70350.26 X-ray head for orthodontia $17.86<br />70355 Panoramic x-ray of jaws $61.40<br />70355.26 Panoramic x-ray of jaws $20.79<br />70360 X-ray exam of neck $46.08<br />70360.26 X-ray exam of neck $17.17<br />70370 Throat x-ray & fluoroscopy $124.41<br />70370.26 Throat x-ray & fluoroscopy $31.81<br />70371 Speech evaluation, complex $232.42<br />70371.26 Speech evaluation, complex $83.72<br />70373 Contrast x-ray of larynx $170.88<br />70373.26 Contrast x-ray of larynx $43.87<br />70380 X-ray exam of salivary gland $64.67<br />70380.26 X-ray exam of salivary gland $17.17<br />70390 X-ray exam of salivary duct $165.02<br />70390.26 X-ray exam of salivary duct $38.01<br />70450 Ct head/brain w/o dye $419.38<br />70450.26 Ct head/brain w/o dye $84.47<br />70460 Ct head/brain w/dye $512.58<br />70460.26 Ct head/brain w/dye $111.91<br />70470 Ct head/brain w/o & w/ dye $626.98<br />70470.26 Ct head/brain w/o & w/ dye $125.46<br />70480 Ct orbit/ear/fossa w/o dye $461.82<br />70480.26 Ct orbit/ear/fossa w/o dye $126.90<br />70481 Ct orbit/ear/fossa w/dye $537.10<br />70481.26 Ct orbit/ear/fossa w/dye $136.43<br />70482 Ct orbit/ear/fossa w/o&w dye $644.56<br />70482.26 Ct orbit/ear/fossa w/o&w dye $143.04<br />70486 Ct maxillofacial w/o dye $447.58<br />70486.26 Ct maxillofacial w/o dye $112.66<br />70487 Ct maxillofacial w/dye $529.06<br />70487.26 Ct maxillofacial w/dye $128.39<br />70488 Ct maxillofacial w/o & w dye $641.63<br />70488.26 Ct maxillofacial w/o & w dye $140.11<br />70490 Ct soft tissue neck w/o dye $461.82<br />70490.26 Ct soft tissue neck w/o dye $126.90<br />70491 Ct soft tissue neck w/dye $537.10<br />70491.26 Ct soft tissue neck w/dye $136.43<br />70492 Ct sft tsue nck w/o & w/dye $644.56<br />70492.26 Ct sft tsue nck w/o & w/dye $143.04<br />70496 Ct angiography, head $926.49<br />70496.26 Ct angiography, head $173.35<br />70498 Ct angiography, neck $926.49<br />70498.26 Ct angiography, neck $173.35<br />70540 Mri orbit/face/neck w/o dye $920.06<br />70540.26 Mri orbit/face/neck w/o dye $132.82<br />70542 Mri orbit/face/neck w/dye $1,104.42<br />70542.26 Mri orbit/face/neck w/dye $159.52<br />70543 Mri orbt/fac/nck w/o & w dye $1,960.85<br />70543.26 Mri orbt/fac/nck w/o & w dye $212.18<br />70544 Mr angiography head w/o dye $912.62<br />70544.26 Mr angiography head w/o dye $118.52<br />70545 Mr angiography head w/dye $912.62<br />70545.26 Mr angiography head w/dye $118.52<br />70546 Mr angiograph head w/o&w dye $1,747.13<br />70546.26 Mr angiograph head w/o&w dye $178.46<br />70547 Mr angiography neck w/o dye $912.62<br />70547.26 Mr angiography neck w/o dye $118.52<br />70548 Mr angiography neck w/dye $912.62<br />70548.26 Mr angiography neck w/dye $118.52<br />70549 Mr angiograph neck w/o&w dye $1,747.13<br />70549.26 Mr angiograph neck w/o&w dye $178.46<br />70551 Mri brain w/o dye $941.10<br />70551.26 Mri brain w/o dye $147.00<br />70552 Mri brain w/ dye $1,129.75<br />70552.26 Mri brain w/ dye $176.97<br />70553 Mri brain w/o & w/ dye $1,998.83<br />70553.26 Mri brain w/o & w/ dye $234.05<br />70557 Mri brain w/o dye $2,270.75<br />70557.26 Mri brain w/o dye $286.77<br />70558 Mri brain w/ dye $2,559.81<br />70558.26 Mri brain w/ dye $316.75<br />70559 Mri brain w/o & w/ dye $2,889.34<br />70559.26 Mri brain w/o & w/ dye $317.43<br />71010 Chest x-ray $50.96<br />71010.26 Chest x-ray $17.92<br />71015 Chest x-ray $57.33<br />71015.26 Chest x-ray $20.84<br />71020 Chest x-ray $65.65<br />71020.26 Chest x-ray $21.59<br />71021 Chest x-ray $79.36<br />71021.26 Chest x-ray $26.70<br />71022 Chest x-ray $83.38<br />71022.26 Chest x-ray $30.72<br />71023 Chest x-ray and fluoroscopy $94.12<br />71023.26 Chest x-ray and fluoroscopy $38.01<br />71030 Chest x-ray $86.48<br />71030.26 Chest x-ray $30.38<br />71034 Chest x-ray and fluoroscopy $147.94<br />71034.26 Chest x-ray and fluoroscopy $46.05<br />71035 Chest x-ray $54.40<br />71035.26 Chest x-ray $17.92<br />71040 Contrast x-ray of bronchi $161.03<br />71040.26 Contrast x-ray of bronchi $57.76<br />71060 Contrast x-ray of bronchi $230.46<br />71060.26 Contrast x-ray of bronchi $73.84<br />71090 X-ray & pacemaker insertion $175.60<br />71090.26 X-ray & pacemaker insertion $55.47<br />71100 X-ray exam of ribs $62.21<br />71100.26 X-ray exam of ribs $21.59<br />71101 X-ray exam of ribs/chest $74.20<br />71101.26 X-ray exam of ribs/chest $26.70<br />71110 X-ray exam of ribs $82.81<br />71110.26 X-ray exam of ribs $26.70<br />71111 X-ray exam of ribs/ chest $95.15<br />71111.26 X-ray exam of ribs/ chest $31.81<br />71120 X-ray exam of breastbone $66.22<br />71120.26 X-ray exam of breastbone $20.10<br />71130 X-ray exam of breastbone $71.85<br />71130.26 X-ray exam of breastbone $21.59<br />71250 Ct thorax w/o dye $533.75<br />71250.26 Ct thorax w/o dye $114.84<br />71260 Ct thorax w/dye $623.71<br />71260.26 Ct thorax w/dye $122.19<br />71270 Ct thorax w/o & w/ dye $763.59<br />71270.26 Ct thorax w/o & w/ dye $136.43<br />71275 Ct angiography, chest $1,057.64<br />71275.26 Ct angiography, chest $189.15<br />71550 Mri chest w/o dye $933.09<br />71550.26 Mri chest w/o dye $143.79<br />71551 Mri chest w/dye $1,117.44<br />71551.26 Mri chest w/dye $170.83<br />71552 Mri chest w/o & w/dye $1,966.33<br />71552.26 Mri chest w/o & w/dye $223.14<br />71555 Mri angio chest w or w/o dye $974.00<br />71555.26 Mri angio chest w or w/o dye $179.90<br />72010 X-ray exam of spine $118.27<br />72010.26 X-ray exam of spine $45.30<br />72020 X-ray exam of spine $43.90<br />72020.26 X-ray exam of spine $14.99<br />72040 X-ray exam of neck spine $64.27<br />72040.26 X-ray exam of neck spine $21.59<br />72050 X-ray exam of neck spine $94.05<br />72050.26 X-ray exam of neck spine $30.72<br />72052 X-ray exam of neck spine $115.69<br />72052.26 X-ray exam of neck spine $35.83<br />72069 X-ray exam of trunk spine $57.04<br />72069.26 X-ray exam of trunk spine $22.62<br />72070 X-ray exam of thoracic spine $67.71<br />72070.26 X-ray exam of thoracic spine $21.59<br />72072 X-ray exam of thoracic spine $74.25<br />72072.26 X-ray exam of thoracic spine $21.59<br />72074 X-ray exam of thoracic spine $86.30<br />72074.26 X-ray exam of thoracic spine $21.59<br />72080 X-ray exam of trunk spine $69.43<br />72080.26 X-ray exam of trunk spine $21.93<br />72090 X-ray exam of trunk spine $75.29<br />72090.26 X-ray exam of trunk spine $27.79<br />72100 X-ray exam of lower spine $69.43<br />72100.26 X-ray exam of lower spine $21.93<br />72110 X-ray exam of lower spine $95.43<br />72110.26 X-ray exam of lower spine $30.72<br />72114 X-ray exam of lower spine $120.50<br />72114.26 X-ray exam of lower spine $36.52<br />72120 X-ray exam of lower spine $85.27<br />72120.26 X-ray exam of lower spine $21.93<br />72125 Ct neck spine w/o dye $533.75<br />72125.26 Ct neck spine w/o dye $114.84<br />72126 Ct neck spine w/dye $621.53<br />72126.26 Ct neck spine w/dye $120.01<br />72127 Ct neck spine w/o & w/dye $752.62<br />72127.26 Ct neck spine w/o & w/dye $125.46<br />72128 Ct chest spine w/o dye $533.75<br />72128.26 Ct chest spine w/o dye $114.84<br />72129 Ct chest spine w/dye $621.53<br />72129.26 Ct chest spine w/dye $120.01<br />72130 Ct chest spine w/o & w/dye $752.62<br />72130.26 Ct chest spine w/o & w/dye $125.46<br />72131 Ct lumbar spine w/o dye $533.75<br />72131.26 Ct lumbar spine w/o dye $114.84<br />72132 Ct lumbar spine w/dye $622.56<br />72132.26 Ct lumbar spine w/dye $121.04<br />72133 Ct lumbar spine w/o & w/dye $753.31<br />72133.26 Ct lumbar spine w/o & w/dye $126.15<br />72141 Mri neck spine w/o dye $952.81<br />72141.26 Mri neck spine w/o dye $158.71<br />72142 Mri neck spine w/dye $1,144.68<br />72142.26 Mri neck spine w/dye $191.90<br />72146 Mri chest spine w/o dye $1,039.21<br />72146.26 Mri chest spine w/o dye $158.02<br />72147 Mri chest spine w/dye $1,143.99<br />72147.26 Mri chest spine w/dye $191.21<br />72148 Mri lumbar spine w/o dye $1,028.18<br />72148.26 Mri lumbar spine w/o dye $147.00<br />72149 Mri lumbar spine w/dye $1,130.78<br />72149.26 Mri lumbar spine w/dye $178.00<br />72156 Mri neck spine w/o & w/dye $2,019.67<br />72156.26 Mri neck spine w/o & w/dye $254.89<br />72157 Mri chest spine w/o & w/dye $2,019.67<br />72157.26 Mri chest spine w/o & w/dye $254.89<br />72158 Mri lumbar spine w/o & w/dye $1,999.17<br />72158.26 Mri lumbar spine w/o & w/dye $234.39<br />72159 Mr angio spine w/o&w/dye $1,049.32<br />72159.26 Mr angio spine w/o&w/dye $185.35<br />72170 X-ray exam of pelvis $53.66<br />72170.26 X-ray exam of pelvis $17.17<br />72190 X-ray exam of pelvis $68.34<br />72190.26 X-ray exam of pelvis $20.84<br />72191 Ct angiograph pelv w/o&w/dye $1,023.26<br />72191.26 Ct angiograph pelv w/o&w/dye $178.87<br />72192 Ct pelvis w/o dye $527.15<br />72192.26 Ct pelvis w/o dye $108.24<br />72193 Ct pelvis w/dye $600.18<br />72193.26 Ct pelvis w/dye $114.84<br />72194 Ct pelvis w/o & w/dye $722.04<br />72194.26 Ct pelvis w/o & w/dye $120.70<br />72195 Mri pelvis w/o dye $933.43<br />72195.26 Mri pelvis w/o dye $144.13<br />72196 Mri pelvis w/dye $1,117.10<br />72196.26 Mri pelvis w/dye $170.49<br />72197 Mri pelvis w/o & w/dye $1,974.55<br />72197.26 Mri pelvis w/o & w/dye $223.14<br />72198 Mr angio pelvis w/o & w/dye $978.76<br />72198.26 Mr angio pelvis w/o & w/dye $184.66<br />72200 X-ray exam sacroiliac joints $53.66<br />72200.26 X-ray exam sacroiliac joints $17.17<br />72202 X-ray exam sacroiliac joints $62.72<br />72202.26 X-ray exam sacroiliac joints $18.66<br />72220 X-ray exam of tailbone $57.78<br />72220.26 X-ray exam of tailbone $17.17<br />72240 Contrast x-ray of neck spine $426.62<br />72240.26 Contrast x-ray of neck spine $89.63<br />72255 Contrast x-ray, thorax spine $395.30<br />72255.26 Contrast x-ray, thorax spine $88.95<br />72265 Contrast x-ray, lower spine $370.73<br />72265.26 Contrast x-ray, lower spine $81.59<br />72270 Contrast x-ray, spine $562.96<br />72270.26 Contrast x-ray, spine $130.29<br />72275 Epidurography $224.02<br />72275.26 Epidurography $71.89<br />72285 X-ray c/t spine disk $707.58<br />72285.26 X-ray c/t spine disk $113.81<br />72295 X-ray of lower spine disk $638.53<br />72295.26 X-ray of lower spine disk $82.28<br />73000 X-ray exam of collar bone $52.22<br />73000.26 X-ray exam of collar bone $15.73<br />73010 X-ray exam of shoulder blade $53.66<br />73010.26 X-ray exam of shoulder blade $17.17<br />73020 X-ray exam of shoulder $48.03<br />73020.26 X-ray exam of shoulder $14.99<br />73030 X-ray exam of shoulder $58.53<br />73030.26 X-ray exam of shoulder $17.92<br />73040 Contrast x-ray of shoulder $202.79<br />73040.26 Contrast x-ray of shoulder $54.09<br />73050 X-ray exam of shoulders $67.94<br />73050.26 X-ray exam of shoulders $20.44<br />73060 X-ray exam of humerus $57.78<br />73060.26 X-ray exam of humerus $17.17<br />73070 X-ray exam of elbow $51.47<br />73070.26 X-ray exam of elbow $14.99<br />73080 X-ray exam of elbow $57.78<br />73080.26 X-ray exam of elbow $17.17<br />73085 Contrast x-ray of elbow $203.48<br />73085.26 Contrast x-ray of elbow $54.78<br />73090 X-ray exam of forearm $52.22<br />73090.26 X-ray exam of forearm $15.73<br />73092 X-ray exam of arm, infant $50.16<br />73092.26 X-ray exam of arm, infant $15.73<br />73100 X-ray exam of wrist $51.19<br />73100.26 X-ray exam of wrist $16.76<br />73110 X-ray exam of wrist $54.34<br />73110.26 X-ray exam of wrist $17.17<br />73115 Contrast x-ray of wrist $166.99<br />73115.26 Contrast x-ray of wrist $54.78<br />73120 X-ray exam of hand $50.16<br />73120.26 X-ray exam of hand $15.73<br />73130 X-ray exam of hand $54.34<br />73130.26 X-ray exam of hand $17.17<br />73140 X-ray exam of finger(s) $41.72<br />73140.26 X-ray exam of finger(s) $12.80<br />73200 Ct upper extremity w/o dye $458.99<br />73200.26 Ct upper extremity w/o dye $108.24<br />73201 Ct upper extremity w/dye $533.75<br />73201.26 Ct upper extremity w/dye $114.84<br />73202 Ct uppr extremity w/o&w/dye $647.34<br />73202.26 Ct uppr extremity w/o&w/dye $121.04<br />73206 Ct angio upr extrm w/o&w/dye $948.90<br />73206.26 Ct angio upr extrm w/o&w/dye $178.18<br />73218 Mri upper extremity w/o dye $920.06<br />73218.26 Mri upper extremity w/o dye $132.82<br />73219 Mri upper extremity w/dye $1,104.42<br />73219.26 Mri upper extremity w/dye $159.52<br />73220 Mri uppr extremity w/o&w/dye $1,961.53<br />73220.26 Mri uppr extremity w/o&w/dye $212.86<br />73221 Mri joint upr extrem w/o dye $920.06<br />73221.26 Mri joint upr extrem w/o dye $132.82<br />73222 Mri joint upr extrem w/dye $1,104.42<br />73222.26 Mri joint upr extrem w/dye $159.52<br />73223 Mri joint upr extr w/o&w/dye $1,960.85<br />73223.26 Mri joint upr extr w/o&w/dye $212.18<br />73225 Mr angio upr extr w/o&w/dye $957.01<br />73225.26 Mr angio upr extr w/o&w/dye $178.74<br />73500 X-ray exam of hip $50.21<br />73500.26 X-ray exam of hip $17.17<br />73510 X-ray exam of hip $61.80<br />73510.26 X-ray exam of hip $21.19<br />73520 X-ray exam of hips $73.80<br />73520.26 X-ray exam of hips $26.30<br />73525 Contrast x-ray of hip $202.79<br />73525.26 Contrast x-ray of hip $54.09<br />73530 X-ray exam of hip $65.37<br />73530.26 X-ray exam of hip $28.88<br />73540 X-ray exam of pelvis & hips $61.06<br />73540.26 X-ray exam of pelvis & hips $20.44<br />73542 X-ray exam, sacroiliac joint $205.14<br />73542.26 X-ray exam, sacroiliac joint $56.45<br />73550 X-ray exam of thigh $57.78<br />73550.26 X-ray exam of thigh $17.17<br />73560 X-ray exam of knee, 1 or 2 $54.00<br />73560.26 X-ray exam of knee, 1 or 2 $17.51<br />73562 X-ray exam of knee, 3 $58.87<br />73562.26 X-ray exam of knee, 3 $18.26<br />73564 X-ray exam, knee, 4 or more $66.68<br />73564.26 X-ray exam, knee, 4 or more $22.62<br />73565 X-ray exam of knees $51.93<br />73565.26 X-ray exam of knees $17.51<br />73580 Contrast x-ray of knee joint $239.27<br />73580.26 Contrast x-ray of knee joint $54.09<br />73590 X-ray exam of lower leg $53.66<br />73590.26 X-ray exam of lower leg $17.17<br />73592 X-ray exam of leg, infant $50.84<br />73592.26 X-ray exam of leg, infant $16.42<br />73600 X-ray exam of ankle $50.16<br />73600.26 X-ray exam of ankle $15.73<br />73610 X-ray exam of ankle $54.34<br />73610.26 X-ray exam of ankle $17.17<br />73615 Contrast x-ray of ankle $203.48<br />73615.26 Contrast x-ray of ankle $54.78<br />73620 X-ray exam of foot $50.16<br />73620.26 X-ray exam of foot $15.73<br />73630 X-ray exam of foot $54.34<br />73630.26 X-ray exam of foot $17.17<br />73650 X-ray exam of heel $48.78<br />73650.26 X-ray exam of heel $15.73<br />73660 X-ray exam of toe(s) $41.72<br />73660.26 X-ray exam of toe(s) $12.80<br />73700 Ct lower extremity w/o dye $458.99<br />73700.26 Ct lower extremity w/o dye $108.24<br />73701 Ct lower extremity w/dye $533.75<br />73701.26 Ct lower extremity w/dye $114.84<br />73702 Ct lwr extremity w/o&w/dye $647.00<br />73702.26 Ct lwr extremity w/o&w/dye $120.70<br />73706 Ct angio lwr extr w/o&w/dye $957.69<br />73706.26 Ct angio lwr extr w/o&w/dye $186.97<br />73718 Mri lower extremity w/o dye $920.06<br />73718.26 Mri lower extremity w/o dye $132.82<br />73719 Mri lower extremity w/dye $1,104.42<br />73719.26 Mri lower extremity w/dye $159.52<br />73720 Mri lwr extremity w/o&w/dye $1,961.53<br />73720.26 Mri lwr extremity w/o&w/dye $212.86<br />73721 Mri jnt of lwr extre w/o dye $920.06<br />73721.26 Mri jnt of lwr extre w/o dye $132.82<br />73722 Mri joint of lwr extr w/dye $1,104.76<br />73722.26 Mri joint of lwr extr w/dye $159.86<br />73723 Mri joint lwr extr w/o&w/dye $1,960.85<br />73723.26 Mri joint lwr extr w/o&w/dye $212.18<br />73725 Mr ang lwr ext w or w/o dye $974.74<br />73725.26 Mr ang lwr ext w or w/o dye $180.65<br />74000 X-ray exam of abdomen $54.40<br />74000.26 X-ray exam of abdomen $17.92<br />74010 X-ray exam of abdomen $63.64<br />74010.26 X-ray exam of abdomen $23.03<br />74020 X-ray exam of abdomen $70.76<br />74020.26 X-ray exam of abdomen $26.70<br />74022 X-ray exam series, abdomen $84.48<br />74022.26 X-ray exam series, abdomen $31.81<br />74150 Ct abdomen w/o dye $518.43<br />74150.26 Ct abdomen w/o dye $117.77<br />74160 Ct abdomen w/dye $610.80<br />74160.26 Ct abdomen w/dye $125.46<br />74170 Ct abdomen w/o &w /dye $739.27<br />74170.26 Ct abdomen w/o &w /dye $137.93<br />74175 Ct angio abdom w/o & w/dye $1,031.36<br />74175.26 Ct angio abdom w/o & w/dye $186.97<br />74181 Mri abdomen w/o dye $933.77<br />74181.26 Mri abdomen w/o dye $144.47<br />74182 Mri abdomen w/dye $1,116.75<br />74182.26 Mri abdomen w/dye $170.14<br />74183 Mri abdomen w/o & w/dye $1,974.55<br />74183.26 Mri abdomen w/o & w/dye $223.14<br />74185 Mri angio, abdom w orw/o dye $972.56<br />74185.26 Mri angio, abdom w orw/o dye $178.46<br />74190 X-ray exam of peritoneum $140.14<br />74190.26 X-ray exam of peritoneum $47.55<br />74210 Contrst x-ray exam of throat $119.82<br />74210.26 Contrst x-ray exam of throat $35.83<br />74220 Contrast x-ray, esophagus $129.35<br />74220.26 Contrast x-ray, esophagus $45.36<br />74230 Cine/vid x-ray, throat/esoph $145.25<br />74230.26 Cine/vid x-ray, throat/esoph $52.66<br />74235 Remove esophagus obstruction $302.96<br />74235.26 Remove esophagus obstruction $117.77<br />74240 X-ray exam, upper gi tract $172.00<br />74240.26 X-ray exam, upper gi tract $68.73<br />74241 X-ray exam, upper gi tract $174.06<br />74241.26 X-ray exam, upper gi tract $68.73<br />74245 X-ray exam, upper gi tract $259.33<br />74245.26 X-ray exam, upper gi tract $90.32<br />74246 Contrst x-ray uppr gi tract $185.76<br />74246.26 Contrst x-ray uppr gi tract $68.73<br />74247 Contrst x-ray uppr gi tract $188.86<br />74247.26 Contrst x-ray uppr gi tract $68.73<br />74249 Contrst x-ray uppr gi tract $273.44<br />74249.26 Contrst x-ray uppr gi tract $90.32<br />74250 X-ray exam of small bowel $139.39<br />74250.26 X-ray exam of small bowel $46.80<br />74251 X-ray exam of small bowel $161.33<br />74251.26 X-ray exam of small bowel $68.73<br />74260 X-ray exam of small bowel $155.06<br />74260.26 X-ray exam of small bowel $49.73<br />74270 Contrast x-ray exam of colon $190.24<br />74270.26 Contrast x-ray exam of colon $68.73<br />74280 Contrast x-ray exam of colon $257.04<br />74280.26 Contrast x-ray exam of colon $98.36<br />74283 Contrast x-ray exam of colon $381.78<br />74283.26 Contrast x-ray exam of colon $200.05<br />74290 Contrast x-ray, gallbladder $84.48<br />74290.26 Contrast x-ray, gallbladder $31.81<br />74291 Contrast x-rays, gallbladder $49.01<br />74291.26 Contrast x-rays, gallbladder $20.10<br />74300 X-ray bile ducts/pancreas $190.91<br />74300.26 X-ray bile ducts/pancreas $35.83<br />74301 X-rays at surgery add-on $88.16<br />74301.26 X-rays at surgery add-on $20.84<br />74305 X-ray bile ducts/pancreas $97.79<br />74305.26 X-ray bile ducts/pancreas $41.69<br />74320 Contrast x-ray of bile ducts $277.48<br />74320.26 Contrast x-ray of bile ducts $53.40<br />74327 X-ray bile stone removal $195.11<br />74327.26 X-ray bile stone removal $69.48<br />74328 X-ray bile duct endoscopy $293.56<br />74328.26 X-ray bile duct endoscopy $69.48<br />74329 X-ray for pancreas endoscopy $293.56<br />74329.26 X-ray for pancreas endoscopy $69.48<br />74330 X-ray bile/panc endoscopy $313.66<br />74330.26 X-ray bile/panc endoscopy $89.58<br />74340 X-ray guide for GI tube $238.59<br />74340.26 X-ray guide for GI tube $53.40<br />74350 X-ray guide, stomach tube $299.42<br />74350.26 X-ray guide, stomach tube $75.34<br />74355 X-ray guide, intestinal tube $260.52<br />74355.26 X-ray guide, intestinal tube $75.34<br />74360 X-ray guide, GI dilation $278.17<br />74360.26 X-ray guide, GI dilation $54.09<br />74363 X-ray, bile duct dilation $520.07<br />74363.26 X-ray, bile duct dilation $87.39<br />74400 Contrst x-ray, urinary tract $168.42<br />74400.26 Contrst x-ray, urinary tract $48.29<br />74410 Contrst x-ray, urinary tract $187.01<br />74410.26 Contrst x-ray, urinary tract $48.29<br />74415 Contrst x-ray, urinary tract $198.37<br />74415.26 Contrst x-ray, urinary tract $48.29<br />74420 Contrst x-ray, urinary tract $221.02<br />74420.26 Contrst x-ray, urinary tract $35.83<br />74425 Contrst x-ray, urinary tract $128.42<br />74425.26 Contrst x-ray, urinary tract $35.83<br />74430 Contrast x-ray, bladder $107.19<br />74430.26 Contrast x-ray, bladder $32.15<br />74440 X-ray, male genital tract $117.18<br />74440.26 X-ray, male genital tract $37.32<br />74445 X-ray exam of penis $192.52<br />74445.26 X-ray exam of penis $112.66<br />74450 X-ray, urethra/bladder $136.17<br />74450.26 X-ray, urethra/bladder $32.90<br />74455 X-ray, urethra/bladder $145.11<br />74455.26 X-ray, urethra/bladder $32.90<br />74470 X-ray exam of kidney lesion $141.86<br />74470.26 X-ray exam of kidney lesion $53.40<br />74475 X-ray control, cath insert $342.54<br />74475.26 X-ray control, cath insert $53.40<br />74480 X-ray control, cath insert $342.54<br />74480.26 X-ray control, cath insert $53.40<br />74485 X-ray guide, GU dilation $278.17<br />74485.26 X-ray guide, GU dilation $54.09<br />74710 X-ray measurement of pelvis $108.69<br />74710.26 X-ray measurement of pelvis $33.65<br />74740 X-ray, female genital tract $130.61<br />74740.26 X-ray, female genital tract $38.01<br />74742 X-ray, fallopian tube $284.09<br />74742.26 X-ray, fallopian tube $60.01<br />74775 X-ray exam of perineum $165.39<br />74775.26 X-ray exam of perineum $62.13<br />75552 Heart mri for morph w/o dye $952.81<br />75552.26 Heart mri for morph w/o dye $158.71<br />75553 Heart mri for morph w/dye $991.97<br />75553.26 Heart mri for morph w/dye $197.87<br />75554 Cardiac MRI/function $977.56<br />75554.26 Cardiac MRI/function $183.46<br />75555 Cardiac MRI/limited study $970.84<br />75555.26 Cardiac MRI/limited study $176.74<br />75556 Cardiac MRI/flow mapping $1,942.44<br />75600 Contrast x-ray exam of aorta $565.74<br />75600.26 Contrast x-ray exam of aorta $50.36<br />75605 Contrast x-ray exam of aorta $603.95<br />75605.26 Contrast x-ray exam of aorta $114.04<br />75625 Contrast x-ray exam of aorta $706.79<br />75625.26 Contrast x-ray exam of aorta $113.35<br />75630 X-ray aorta, leg arteries $883.11<br />75630.26 X-ray aorta, leg arteries $179.09<br />75635 Ct angio abdominal arteries $1,201.22<br />75635.26 Ct angio abdominal arteries $238.07<br />75650 Artery x-rays, head & neck $706.79<br />75650.26 Artery x-rays, head & neck $147.74<br />75658 Artery x-rays, arm $706.79<br />75658.26 Artery x-rays, arm $132.58<br />75660 Artery x-rays, head & neck $706.79<br />75660.26 Artery x-rays, head & neck $130.52<br />75662 Artery x-rays, head & neck $1,060.55<br />75662.26 Artery x-rays, head & neck $168.01<br />75665 Artery x-rays, head & neck $706.79<br />75665.26 Artery x-rays, head & neck $130.17<br />75671 Artery x-rays, head & neck $883.11<br />75671.26 Artery x-rays, head & neck $165.26<br />75676 Artery x-rays, neck $706.79<br />75676.26 Artery x-rays, neck $130.86<br />75680 Artery x-rays, neck $1,057.80<br />75680.26 Artery x-rays, neck $165.26<br />75685 Artery x-rays, spine $706.79<br />75685.26 Artery x-rays, spine $129.83<br />75705 Artery x-rays, spine $1,076.98<br />75705.26 Artery x-rays, spine $217.51<br />75710 Artery x-rays, arm/leg $603.74<br />75710.26 Artery x-rays, arm/leg $113.69<br />75716 Artery x-rays, arms/legs $613.42<br />75716.26 Artery x-rays, arms/legs $129.83<br />75722 Artery x-rays, kidney $706.79<br />75722.26 Artery x-rays, kidney $114.73<br />75724 Artery x-rays, kidneys $883.11<br />75724.26 Artery x-rays, kidneys $151.88<br />75726 Artery x-rays, abdomen $777.37<br />75726.26 Artery x-rays, abdomen $112.66<br />75731 Artery x-rays, adrenal gland $706.79<br />75731.26 Artery x-rays, adrenal gland $112.66<br />75733 Artery x-rays, adrenals $953.64<br />75733.26 Artery x-rays, adrenals $129.83<br />75736 Artery x-rays, pelvis $706.79<br />75736.26 Artery x-rays, pelvis $112.66<br />75741 Artery x-rays, lung $650.11<br />75741.26 Artery x-rays, lung $129.83<br />75743 Artery x-rays, lungs $784.20<br />75743.26 Artery x-rays, lungs $163.88<br />75746 Artery x-rays, lung $603.12<br />75746.26 Artery x-rays, lung $112.66<br />75756 Artery x-rays, chest $605.81<br />75756.26 Artery x-rays, chest $117.14<br />75774 Artery x-ray, each vessel $557.44<br />75774.26 Artery x-ray, each vessel $36.52<br />75790 Visualize A-V shunt $278.86<br />75790.26 Visualize A-V shunt $182.48<br />75801 Lymph vessel x-ray, arm/leg $465.62<br />75801.26 Lymph vessel x-ray, arm/leg $81.13<br />75803 Lymph vessel x-ray,arms/legs $500.07<br />75803.26 Lymph vessel x-ray,arms/legs $115.59<br />75805 Lymph vessel x-ray, trunk $513.46<br />75805.26 Lymph vessel x-ray, trunk $80.79<br />75807 Lymph vessel x-ray, trunk $548.26<br />75807.26 Lymph vessel x-ray, trunk $115.59<br />75809 Nonvascular shunt, x-ray $102.90<br />75809.26 Nonvascular shunt, x-ray $46.80<br />75810 Vein x-ray, spleen/liver $603.33<br />75810.26 Vein x-ray, spleen/liver $113.00<br />75820 Vein x-ray, arm/leg $136.94<br />75820.26 Vein x-ray, arm/leg $69.48<br />75822 Vein x-ray, arms/legs $209.95<br />75822.26 Vein x-ray, arms/legs $105.31<br />75825 Vein x-ray, trunk $603.33<br />75825.26 Vein x-ray, trunk $113.00<br />75827 Vein x-ray, chest $603.12<br />75827.26 Vein x-ray, chest $112.66<br />75831 Vein x-ray, kidney $603.12<br />75831.26 Vein x-ray, kidney $112.66<br />75833 Vein x-ray, kidneys $624.17<br />75833.26 Vein x-ray, kidneys $147.74<br />75840 Vein x-ray, adrenal gland $603.53<br />75840.26 Vein x-ray, adrenal gland $113.35<br />75842 Vein x-ray, adrenal glands $623.76<br />75842.26 Vein x-ray, adrenal glands $147.06<br />75860 Vein x-ray, neck $604.16<br />75860.26 Vein x-ray, neck $114.38<br />75870 Vein x-ray, skull $604.16<br />75870.26 Vein x-ray, skull $114.38<br />75872 Vein x-ray, skull $603.12<br />75872.26 Vein x-ray, skull $112.66<br />75880 Vein x-ray, eye socket $136.94<br />75880.26 Vein x-ray, eye socket $69.48<br />75885 Vein x-ray, liver $620.90<br />75885.26 Vein x-ray, liver $142.29<br />75887 Vein x-ray, liver $620.90<br />75887.26 Vein x-ray, liver $142.29<br />75889 Vein x-ray, liver $603.12<br />75889.26 Vein x-ray, liver $112.66<br />75891 Vein x-ray, liver $603.12<br />75891.26 Vein x-ray, liver $112.66<br />75893 Venous sampling by catheter $883.11<br />75893.26 Venous sampling by catheter $53.40<br />75894 X-rays, transcath therapy $1,104.75<br />75894.26 X-rays, transcath therapy $130.17<br />75896 X-rays, transcath therapy $971.34<br />75896.26 X-rays, transcath therapy $131.21<br />75898 Follow-up angiography $238.86<br />75898.26 Follow-up angiography $163.82<br />75900 Arterial catheter exchange $920.97<br />75900.26 Arterial catheter exchange $48.29<br />75901 Remove cva device obstruct $166.93<br />75901.26 Remove cva device obstruct $48.29<br />75902 Remove cva lumen obstruct $157.40<br />75902.26 Remove cva lumen obstruct $38.76<br />75940 X-ray placement, vein filter $567.98<br />75940.26 X-ray placement, vein filter $54.09<br />75945 Intravascular us $364.44<br />75945.26 Intravascular us $40.88<br />75946 Intravascular us add-on $203.69<br />75946.26 Intravascular us add-on $40.88<br />75952 Endovasc repair abdom aorta $847.80<br />75952.26 Endovasc repair abdom aorta $466.67<br />75953 Abdom aneurysm endovas rpr $459.19<br />75953.26 Abdom aneurysm endovas rpr $158.36<br />75954 Iliac aneurysm endovas rpr $459.19<br />75954.26 Iliac aneurysm endovas rpr $158.36<br />75960 Transcatheter intro, stent $784.20<br />75960.26 Transcatheter intro, stent $82.91<br />75961 Retrieval, broken catheter $1,165.08<br />75961.26 Retrieval, broken catheter $420.55<br />75962 Repair arterial blockage $883.11<br />75962.26 Repair arterial blockage $54.78<br />75964 Repair artery blockage, each $630.29<br />75964.26 Repair artery blockage, each $35.83<br />75966 Repair arterial blockage $883.11<br />75966.26 Repair arterial blockage $131.89<br />75968 Repair artery blockage, each $630.63<br />75968.26 Repair artery blockage, each $36.18<br />75970 Vascular biopsy $600.21<br />75970.26 Vascular biopsy $83.66<br />75978 Repair venous blockage $701.81<br />75978.26 Repair venous blockage $53.40<br />75980 Contrast xray exam bile duct $526.78<br />75980.26 Contrast xray exam bile duct $142.29<br />75982 Contrast xray exam bile duct $574.28<br />75982.26 Contrast xray exam bile duct $141.60<br />75984 Xray control catheter change $210.38<br />75984.26 Xray control catheter change $71.66<br />75989 Abscess drainage under x-ray $341.16<br />75989.26 Abscess drainage under x-ray $117.08<br />75992 Atherectomy, x-ray exam $1,170.37<br />75992.26 Atherectomy, x-ray exam $54.09<br />75993 Atherectomy, x-ray exam $631.32<br />75993.26 Atherectomy, x-ray exam $36.86<br />75994 Atherectomy, x-ray exam $1,248.18<br />75994.26 Atherectomy, x-ray exam $131.89<br />75995 Atherectomy, x-ray exam $1,248.86<br />75995.26 Atherectomy, x-ray exam $132.58<br />75996 Atherectomy, x-ray exam $629.94<br />75996.26 Atherectomy, x-ray exam $35.49<br />75998 Fluoroguide for vein device $120.42<br />75998.26 Fluoroguide for vein device $39.04<br />76000 Fluoroscope examination $109.07<br />76000.26 Fluoroscope examination $16.48<br />76001 Fluoroscope exam, extensive $251.74<br />76001.26 Fluoroscope exam, extensive $66.55<br />76003 Needle localization by x-ray $145.99<br />76003.26 Needle localization by x-ray $53.40<br />76005 Fluoroguide for spine inject $149.78<br />76005.26 Fluoroguide for spine inject $57.19<br />76006 X-ray stress view $45.41<br />76010 X-ray, nose to rectum $54.40<br />76010.26 X-ray, nose to rectum $17.92<br />76012 Percut vertebroplasty fluor $275.18<br />76012.26 Percut vertebroplasty fluor $139.09<br />76013 Percut vertebroplasty, ct $353.43<br />76013.26 Percut vertebroplasty, ct $155.29<br />76020 X-rays for bone age $55.15<br />76020.26 X-rays for bone age $18.66<br />76040 X-rays, bone evaluation $83.84<br />76040.26 X-rays, bone evaluation $27.73<br />76061 X-rays, bone survey $115.52<br />76061.26 X-rays, bone survey $44.62<br />76062 X-rays, bone survey $155.29<br />76062.26 X-rays, bone survey $53.40<br />76065 X-rays, bone evaluation $121.80<br />76065.26 X-rays, bone evaluation $69.14<br />76066 Joint survey, single view $110.58<br />76066.26 Joint survey, single view $31.41<br />76070 Ct bone density, axial $233.80<br />76070.26 Ct bone density, axial $24.52<br />76071 Ct bone density, peripheral $227.10<br />76071.26 Ct bone density, peripheral $21.59<br />76075 Dexa, axial skeleton study $249.58<br />76075.26 Dexa, axial skeleton study $29.63<br />76076 Dexa, peripheral study $76.32<br />76076.26 Dexa, peripheral study $22.28<br />76078 Radiographic absorptiometry $74.14<br />76078.26 Radiographic absorptiometry $20.10<br />76080 X-ray exam of fistula $128.44<br />76080.26 X-ray exam of fistula $53.40<br />76082 Computer mammogram add-on $31.42<br />76082.26 Computer mammogram add-on $6.20<br />76083 Computer mammogram add-on $31.42<br />76083.26 Computer mammogram add-on $6.20<br />76085 Computer mammogram add-on $34.77<br />76085.26 Computer mammogram add-on $6.20<br />76086 X-ray of mammary duct $221.02<br />76086.26 X-ray of mammary duct $35.83<br />76088 X-ray of mammary ducts $304.50<br />76088.26 X-ray of mammary ducts $44.62<br />76090 Mammogram, one breast $144.52<br />76090.26 Mammogram, one breast $66.40<br />76091 Mammogram, both breasts $178.90<br />76091.26 Mammogram, both breasts $86.30<br />76092 Mammogram, screening $133.13<br />76092.26 Mammogram, screening $69.48<br />76093 Magnetic image, breast $1,409.76<br />76093.26 Magnetic image, breast $160.95<br />76094 Magnetic image, both breasts $1,855.17<br />76094.26 Magnetic image, both breasts $160.95<br />76095 Stereotactic breast biopsy $666.02<br />76095.26 Stereotactic breast biopsy $158.31<br />76096 X-ray of needle wire, breast $148.86<br />76096.26 X-ray of needle wire, breast $56.27<br />76098 X-ray exam, breast specimen $44.65<br />76098.26 X-ray exam, breast specimen $15.73<br />76100 X-ray exam of body section $146.23<br />76100.26 X-ray exam of body section $57.76<br />76101 Complex body section x-ray $158.96<br />76101.26 Complex body section x-ray $57.76<br />76102 Complex body section x-rays $182.02<br />76102.26 Complex body section x-rays $58.45<br />76120 Cine/video x-rays $113.05<br />76120.26 Cine/video x-rays $38.01<br />76125 Cine/video x-rays add-on $82.81<br />76125.26 Cine/video x-rays add-on $26.70<br />76140 X-ray consultation $88.16<br />76150 X-ray exam, dry process $28.91<br />76350 Special x-ray contrast study $63.67<br />76355 Ct scan for localization $705.46<br />76355.26 Ct scan for localization $120.30<br />76360 Ct scan for needle biopsy $699.32<br />76360.26 Ct scan for needle biopsy $114.15<br />76362 Ct guide for tissue ablation $1,015.81<br />76362.26 Ct guide for tissue ablation $368.97<br />76370 Ct scan for therapy guide $293.75<br />76370.26 Ct scan for therapy guide $84.47<br />76375 3d/holograph reconstr add-on $266.32<br />76375.26 3d/holograph reconstr add-on $15.73<br />76380 CAT scan follow-up study $345.45<br />76380.26 CAT scan follow-up study $97.62<br />76390 Mr spectroscopy $917.57<br />76390.26 Mr spectroscopy $139.30<br />76393 Mr guidance for needle place $941.91<br />76393.26 Mr guidance for needle place $149.18<br />76394 Mri for tissue ablation $1,247.55<br />76394.26 Mri for tissue ablation $420.21<br />76400 Magnetic image, bone marrow $952.12<br />76400.26 Magnetic image, bone marrow $158.02<br />76490 Us for tissue ablation $501.10<br />76490.26 Us for tissue ablation $393.29<br />76496 Fluoroscopic procedure $0.00<br />76496.26 Fluoroscopic procedure $0.00<br />76497 Ct procedure $0.00<br />76497.26 Ct procedure $0.00<br />76498 Mri procedure $0.00<br />76498.26 Mri procedure $0.00<br />76499 Radiographic procedure $0.00<br />76499.26 Radiographic procedure $0.00<br />76506 Echo exam of head $166.83<br />76506.26 Echo exam of head $65.63<br />76511 Echo exam of eye $199.27<br />76511.26 Echo exam of eye $98.42<br />76512 Echo exam of eye $173.54<br />76512.26 Echo exam of eye $70.28<br />76513 Echo exam of eye, water bath $179.74<br />76513.26 Echo exam of eye, water bath $70.28<br />76514 Echo exam of eye, thickness $22.91<br />76514.26 Echo exam of eye, thickness $17.83<br />76516 Echo exam of eye $142.90<br />76516.26 Echo exam of eye $57.88<br />76519 Echo exam of eye $149.10<br />76519.26 Echo exam of eye $57.88<br />76529 Echo exam of eye $142.04<br />76529.26 Echo exam of eye $60.12<br />76536 Us exam of head and neck $156.78<br />76536.26 Us exam of head and neck $55.58<br />76604 Us exam, chest, b-scan $146.74<br />76604.26 Us exam, chest, b-scan $54.15<br />76645 Us exam, breast(s) $129.13<br />76645.26 Us exam, breast(s) $54.09<br />76700 Us exam, abdom, complete $220.88<br />76700.26 Us exam, abdom, complete $80.79<br />76705 Echo exam of abdomen $160.40<br />76705.26 Echo exam of abdomen $59.20<br />76770 Us exam abdo back wall, comp $213.94<br />76770.26 Us exam abdo back wall, comp $73.84<br />76775 Us exam abdo back wall, lim $158.96<br />76775.26 Us exam abdo back wall, lim $57.76<br />76778 Us exam kidney transplant $213.94<br />76778.26 Us exam kidney transplant $73.84<br />76800 Us exam, spinal canal $211.39<br />76800.26 Us exam, spinal canal $110.19<br />76801 Ob us <>/= 14 wks, sngl fetus $248.44<br />76805.26 Ob us >/= 14 wks, sngl fetus $99.74<br />76810 Ob us >/= 14 wks, addl fetus $180.54<br />76810.26 Ob us >/= 14 wks, addl fetus $100.02<br />76811 Ob us, detailed, sngl fetus $348.58<br />76811.26 Ob us, detailed, sngl fetus $193.49<br />76812 Ob us, detailed, addl fetus $268.13<br />76812.26 Ob us, detailed, addl fetus $123.92<br />76815 Ob us, limited, fetus(s) $166.26<br />76815.26 Ob us, limited, fetus(s) $65.06<br />76816 Ob us, follow-up, per fetus $165.36<br />76816.26 Ob us, follow-up, per fetus $86.19<br />76817 Transvaginal us, obstetric $182.68<br />76817.26 Transvaginal us, obstetric $75.97<br />76818 Fetal biophys profile w/nst $221.25<br />76818.26 Fetal biophys profile w/nst $106.29<br />76819 Fetal biophys profil w/o nst $192.43<br />76819.26 Fetal biophys profil w/o nst $77.46<br />76825 Echo exam of fetal heart $308.51<br />76825.26 Echo exam of fetal heart $152.61<br />76826 Echo exam of fetal heart $133.92<br />76826.26 Echo exam of fetal heart $83.32<br />76827 Echo exam of fetal heart $182.37<br />76827.26 Echo exam of fetal heart $59.14<br />76828 Echo exam of fetal heart $137.50<br />76828.26 Echo exam of fetal heart $57.65<br />76830 Transvaginal us, non-ob $176.81<br />76830.26 Transvaginal us, non-ob $68.73<br />76831 Echo exam, uterus $180.43<br />76831.26 Echo exam, uterus $72.35<br />76856 Us exam, pelvic, complete $176.81<br />76856.26 Us exam, pelvic, complete $68.73<br />76857 Us exam, pelvic, limited $148.16<br />76857.26 Us exam, pelvic, limited $38.01<br />76870 Us exam, scrotum $171.70<br />76870.26 Us exam, scrotum $63.62<br />76872 Us, transrectal $200.56<br />76872.26 Us, transrectal $69.07<br />76873 Echograp trans r, pros study $302.98<br />76873.26 Echograp trans r, pros study $152.91<br />76880 Us exam, extremity $160.40<br />76880.26 Us exam, extremity $59.20<br />76885 Us exam infant hips, dynamic $181.92<br />76885.26 Us exam infant hips, dynamic $73.84<br />76886 Us exam infant hips, static $163.33<br />76886.26 Us exam infant hips, static $62.13<br />76930 Echo guide, cardiocentesis $176.70<br />76930.26 Echo guide, cardiocentesis $68.62<br />76932 Echo guide for heart biopsy $176.70<br />76932.26 Echo guide for heart biopsy $68.62<br />76936 Echo guide for artery repair $460.90<br />76936.26 Echo guide for artery repair $198.50<br />76937 Us guide, vascular access $59.90<br />76937.26 Us guide, vascular access $28.69<br />76940 Us guide, tissue ablation $307.53<br />76940.26 Us guide, tissue ablation $173.46<br />76941 Echo guide for transfusion $242.91<br />76941.26 Echo guide for transfusion $134.82<br />76942 Echo guide for biopsy $245.20<br />76942.26 Echo guide for biopsy $66.89<br />76945 Echo guide, villus sampling $175.32<br />76945.26 Echo guide, villus sampling $67.24<br />76946 Echo guide for amniocentesis $146.44<br />76946.26 Echo guide for amniocentesis $38.36<br />76948 Echo guide, ova aspiration $146.09<br />76948.26 Echo guide, ova aspiration $38.01<br />76950 Echo guidance radiotherapy $150.36<br />76950.26 Echo guidance radiotherapy $57.76<br />76965 Echo guidance radiotherapy $526.54<br />76965.26 Echo guidance radiotherapy $131.72<br />76970 Ultrasound exam follow-up $114.54<br />76970.26 Ultrasound exam follow-up $39.51<br />76975 GI endoscopic ultrasound $189.22<br />76975.26 GI endoscopic ultrasound $81.14<br />76977 Us bone density measure $64.31<br />76977.26 Us bone density measure $5.45<br />76986 Ultrasound guide intraoper $305.08<br />76986.26 Ultrasound guide intraoper $119.89<br />76999 Echo examination procedure $0.00<br />76999.26 Echo examination procedure $0.00<br />77261 Radiation therapy planning $141.31<br />77262 Radiation therapy planning $212.97<br />77263 Radiation therapy planning $317.08<br />77280 Set radiation therapy field $314.56<br />77280.26 Set radiation therapy field $68.79<br />77285 Set radiation therapy field $498.69<br />77285.26 Set radiation therapy field $103.53<br />77290 Set radiation therapy field $614.22<br />77290.26 Set radiation therapy field $152.63<br />77295 Set radiation therapy field $2,428.49<br />77295.26 Set radiation therapy field $447.89<br />77299 Radiation therapy planning $0.00<br />77299.26 Radiation therapy planning $0.00<br />77300 Radiation therapy dose plan $156.79<br />77300.26 Radiation therapy dose plan $61.44<br />77301 Radiotherapy dose plan, imrt $2,759.67<br />77301.26 Radiotherapy dose plan, imrt $779.07<br />77305 Teletx isodose plan simple $202.00<br />77305.26 Teletx isodose plan simple $69.48<br />77310 Teletx isodose plan intermed $269.10<br />77310.26 Teletx isodose plan intermed $103.53<br />77315 Teletx isodose plan complex $340.57<br />77315.26 Teletx isodose plan complex $152.63<br />77321 Special teletx port plan $380.73<br />77321.26 Special teletx port plan $94.00<br />77326 Brachytx isodose calc simp $259.45<br />77326.26 Brachytx isodose calc simp $91.82<br />77327 Brachytx isodose calc interm $382.26<br />77327.26 Brachytx isodose calc interm $136.49<br />77328 Brachytx isodose plan compl $556.04<br />77328.26 Brachytx isodose plan compl $205.28<br />77331 Special radiation dosimetry $121.07<br />77331.26 Special radiation dosimetry $85.96<br />77332 Radiation treatment aid(s) $148.06<br />77332.26 Radiation treatment aid(s) $52.71<br />77333 Radiation treatment aid(s) $217.62<br />77333.26 Radiation treatment aid(s) $83.03<br />77334 Radiation treatment aid(s) $351.78<br />77334.26 Radiation treatment aid(s) $121.50<br />77336 Radiation physics consult $211.35<br />77370 Radiation physics consult $247.15<br />77399 External radiation dosimetry $0.00<br />77399.26 External radiation dosimetry $0.00<br />77401 Radiation treatment delivery $126.32<br />77402 Radiation treatment delivery $126.32<br />77403 Radiation treatment delivery $126.32<br />77404 Radiation treatment delivery $126.32<br />77406 Radiation treatment delivery $126.32<br />77407 Radiation treatment delivery $148.01<br />77408 Radiation treatment delivery $148.01<br />77409 Radiation treatment delivery $148.01<br />77411 Radiation treatment delivery $148.01<br />77412 Radiation treatment delivery $165.57<br />77413 Radiation treatment delivery $165.57<br />77414 Radiation treatment delivery $165.57<br />77416 Radiation treatment delivery $165.57<br />77417 Radiology port film(s) $41.99<br />77418 Radiation tx delivery, imrt $1,247.20<br />77427 Radiation tx management, x5 $325.29<br />77431 Radiation therapy management $184.72<br />77432 Stereotactic radiation trmt $805.49<br />77470 Special radiation treatment $995.94<br />77470.26 Special radiation treatment $205.28<br />77499 Radiation therapy management $0.00<br />77499.26 Radiation therapy management $0.00<br />77520 Proton trmt, simple w/o comp $0.00<br />77522 Proton trmt, simple w/comp $0.00<br />77523 Proton trmt, intermediate $0.00<br />77525 Proton treatment, complex $0.00<br />77600 Hyperthermia treatment $369.82<br />77600.26 Hyperthermia treatment $153.66<br />77605 Hyperthermia treatment $495.44<br />77605.26 Hyperthermia treatment $207.00<br />77610 Hyperthermia treatment $369.83<br />77610.26 Hyperthermia treatment $153.66<br />77615 Hyperthermia treatment $493.73<br />77615.26 Hyperthermia treatment $205.28<br />77620 Hyperthermia treatment $370.17<br />77620.26 Hyperthermia treatment $154.01<br />77750 Infuse radioactive materials $575.86<br />77750.26 Infuse radioactive materials $481.20<br />77761 Apply intrcav radiat simple $544.31<br />77761.26 Apply intrcav radiat simple $366.01<br />77762 Apply intrcav radiat interm $817.39<br />77762.26 Apply intrcav radiat interm $561.64<br />77763 Apply intrcav radiat compl $1,158.25<br />77763.26 Apply intrcav radiat compl $840.54<br />77776 Apply interstit radiat simpl $577.82<br />77776.26 Apply interstit radiat simpl $423.27<br />77777 Apply interstit radiat inter $1,033.83<br />77777.26 Apply interstit radiat inter $733.67<br />77778 Apply interstit radiat compl $1,461.22<br />77778.26 Apply interstit radiat compl $1,097.38<br />77781 High intensity brachytherapy $1,602.69<br />77781.26 High intensity brachytherapy $163.19<br />77782 High intensity brachytherapy $1,684.63<br />77782.26 High intensity brachytherapy $245.13<br />77783 High intensity brachytherapy $1,804.70<br />77783.26 High intensity brachytherapy $365.20<br />77784 High intensity brachytherapy $1,989.49<br />77784.26 High intensity brachytherapy $549.99<br />77789 Apply surface radiation $142.15<br />77789.26 Apply surface radiation $110.48<br />77790 Radiation handling $138.64<br />77790.26 Radiation handling $103.53<br />77799 Radium/radioisotope therapy $0.00<br />77799.26 Radium/radioisotope therapy $0.00<br />78000 Thyroid, single uptake $88.19<br />78000.26 Thyroid, single uptake $19.35<br />78001 Thyroid, multiple uptakes $118.55<br />78001.26 Thyroid, multiple uptakes $25.95<br />78003 Thyroid suppress/stimul $101.40<br />78003.26 Thyroid suppress/stimul $32.56<br />78006 Thyroid imaging with uptake $217.99<br />78006.26 Thyroid imaging with uptake $48.98<br />78007 Thyroid image, mult uptakes $232.85<br />78007.26 Thyroid image, mult uptakes $49.73<br />78010 Thyroid imaging $168.53<br />78010.26 Thyroid imaging $38.76<br />78011 Thyroid imaging with flow $215.69<br />78011.26 Thyroid imaging with flow $44.62<br />78015 Thyroid met imaging $250.36<br />78015.26 Thyroid met imaging $67.24<br />78016 Thyroid met imaging/studies $329.03<br />78016.26 Thyroid met imaging/studies $82.57<br />78018 Thyroid met imaging, body $471.42<br />78018.26 Thyroid met imaging, body $86.25<br />78020 Thyroid met uptake $108.97<br />78020.26 Thyroid met uptake $59.95<br />78070 Parathyroid nuclear imaging $211.65<br />78070.26 Parathyroid nuclear imaging $81.88<br />78075 Adrenal nuclear imaging $460.39<br />78075.26 Adrenal nuclear imaging $75.22<br />78099 Endocrine nuclear procedure $0.00<br />78099.26 Endocrine nuclear procedure $0.00<br />78102 Bone marrow imaging, ltd $200.09<br />78102.26 Bone marrow imaging, ltd $55.53<br />78103 Bone marrow imaging, mult $300.05<br />78103.26 Bone marrow imaging, mult $75.28<br />78104 Bone marrow imaging, body $368.84<br />78104.26 Bone marrow imaging, body $79.70<br />78110 Plasma volume, single $86.81<br />78110.26 Plasma volume, single $19.35<br />78111 Plasma volume, multiple $205.40<br />78111.26 Plasma volume, multiple $22.28<br />78120 Red cell mass, single $146.60<br />78120.26 Red cell mass, single $23.03<br />78121 Red cell mass, multiple $237.65<br />78121.26 Red cell mass, multiple $31.81<br />78122 Blood volume $371.62<br />78122.26 Blood volume $45.31<br />78130 Red cell survival study $263.09<br />78130.26 Red cell survival study $61.38<br />78135 Red cell survival kinetics $409.56<br />78135.26 Red cell survival kinetics $64.31<br />78140 Red cell sequestration $339.85<br />78140.26 Red cell sequestration $60.69<br />78160 Plasma iron turnover $294.16<br />78160.26 Plasma iron turnover $34.28<br />78162 Radioiron absorption exam $273.86<br />78162.26 Radioiron absorption exam $47.03<br />78170 Red cell iron utilization $418.54<br />78170.26 Red cell iron utilization $41.97<br />78172 Total body iron estimation $276.33<br />78172.26 Total body iron estimation $52.66<br />78185 Spleen imaging $207.83<br />78185.26 Spleen imaging $40.19<br />78190 Platelet survival, kinetics $515.44<br />78190.26 Platelet survival, kinetics $110.65<br />78191 Platelet survival $580.11<br />78191.26 Platelet survival $60.69<br />78195 Lymph system imaging $409.03<br />78195.26 Lymph system imaging $119.89<br />78199 Blood/lymph nuclear exam $0.00<br />78199.26 Blood/lymph nuclear exam $0.00<br />78201 Liver imaging $211.50<br />78201.26 Liver imaging $43.87<br />78202 Liver imaging with flow $254.94<br />78202.26 Liver imaging with flow $51.16<br />78205 Liver imaging (3D) $490.51<br />78205.26 Liver imaging (3D) $71.60<br />78206 Liver image (3d) with flow $508.86<br />78206.26 Liver image (3d) with flow $96.81<br />78215 Liver and spleen imaging $256.89<br />78215.26 Liver and spleen imaging $48.98<br />78216 Liver & spleen image/flow $303.48<br />78216.26 Liver & spleen image/flow $57.02<br />78220 Liver function study $312.99<br />78220.26 Liver function study $48.98<br />78223 Hepatobiliary imaging $343.60<br />78223.26 Hepatobiliary imaging $83.72<br />78230 Salivary gland imaging $199.17<br />78230.26 Salivary gland imaging $44.62<br />78231 Serial salivary imaging $277.37<br />78231.26 Serial salivary imaging $52.60<br />78232 Salivary gland function exam $297.73<br />78232.26 Salivary gland function exam $47.14<br />78258 Esophageal motility study $277.62<br />78258.26 Esophageal motility study $73.84<br />78261 Gastric mucosa imaging $360.62<br />78261.26 Gastric mucosa imaging $70.11<br />78262 Gastroesophageal reflux exam $370.20<br />78262.26 Gastroesophageal reflux exam $68.67<br />78264 Gastric emptying study $370.79<br />78264.26 Gastric emptying study $78.21<br />78267 Breath tst attain/anal c-14 $21.96<br />78268 Breath test analysis, c-14 $188.22<br />78270 Vit B-12 absorption exam $130.24<br />78270.26 Vit B-12 absorption exam $20.10<br />78271 Vit b-12 absrp exam, int fac $137.13<br />78271.26 Vit b-12 absrp exam, int fac $20.10<br />78272 Vit B-12 absorp, combined $192.27<br />78272.26 Vit B-12 absorp, combined $27.39<br />78278 Acute GI blood loss imaging $444.30<br />78278.26 Acute GI blood loss imaging $99.05<br />78282 GI protein loss exam $273.25<br />78282.26 GI protein loss exam $38.01<br />78290 Meckel’s divert exam $284.15<br />78290.26 Meckel’s divert exam $67.99<br />78291 Leveen/shunt patency exam $305.63<br />78291.26 Leveen/shunt patency exam $88.08<br />78299 GI nuclear procedure $0.00<br />78299.26 GI nuclear procedure $0.00<br />78300 Bone imaging, limited area $239.05<br />78300.26 Bone imaging, limited area $62.13<br />78305 Bone imaging, multiple areas $342.51<br />78305.26 Bone imaging, multiple areas $82.63<br />78306 Bone imaging, whole body $388.81<br />78306.26 Bone imaging, whole body $85.90<br />78315 Bone imaging, 3 phase $441.03<br />78315.26 Bone imaging, 3 phase $101.98<br />78320 Bone imaging (3D) $523.76<br />78320.26 Bone imaging (3D) $104.85<br />78350 Bone mineral, single photon $75.63<br />78350.26 Bone mineral, single photon $21.59<br />78351 Bone mineral, dual photon $141.17<br />78399 Musculoskeletal nuclear exam $0.00<br />78399.26 Musculoskeletal nuclear exam $0.00<br />78414 Non-imaging heart function $910.04<br />78414.26 Non-imaging heart function $45.31<br />78428 Cardiac shunt imaging $240.33<br />78428.26 Cardiac shunt imaging $80.27<br />78445 Vascular flow imaging $181.50<br />78445.26 Vascular flow imaging $48.98<br />78455 Venous thrombosis study $355.69<br />78455.26 Venous thrombosis study $73.10<br />78456 Acute venous thrombus image $385.83<br />78456.26 Acute venous thrombus image $100.49<br />78457 Venous thrombosis imaging $264.71<br />78457.26 Venous thrombosis imaging $76.77<br />78458 Ven thrombosis images, bilat $376.65<br />78458.26 Ven thrombosis images, bilat $91.30<br />78459 Heart muscle imaging (PET) $7,645.03<br />78459.26 Heart muscle imaging (PET) $152.97<br />78460 Heart muscle blood, single $253.88<br />78460.26 Heart muscle blood, single $86.25<br />78461 Heart muscle blood, multiple $458.43<br />78461.26 Heart muscle blood, multiple $123.51<br />78464 Heart image (3d), single $610.79<br />78464.26 Heart image (3d), single $109.27<br />78465 Heart image (3d), multiple $982.63<br />78465.26 Heart image (3d), multiple $146.88<br />78466 Heart infarct image $255.30<br />78466.26 Heart infarct image $70.11<br />78468 Heart infarct image (ef) $340.27<br />78468.26 Heart infarct image (ef) $80.39<br />78469 Heart infarct image (3D) $462.48<br />78469.26 Heart infarct image (3D) $92.10<br />78472 Gated heart, planar, single $490.02<br />78472.26 Gated heart, planar, single $98.99<br />78473 Gated heart, multiple $732.11<br />78473.26 Gated heart, multiple $146.94<br />78478 Heart wall motion add-on $173.65<br />78478.26 Heart wall motion add-on $62.82<br />78480 Heart function add-on $173.65<br />78480.26 Heart function add-on $62.82<br />78481 Heart first pass, single $470.40<br />78481.26 Heart first pass, single $100.03<br />78483 Heart first pass, multiple $706.29<br />78483.26 Heart first pass, multiple $149.01<br />78491 Heart image (pet), single $7,645.03<br />78491.26 Heart image (pet), single $154.69<br />78492 Heart image (pet), multiple $7,645.03<br />78492.26 Heart image (pet), multiple $192.99<br />78494 Heart image, spect $617.92<br />78494.26 Heart image, spect $118.81<br />78496 Heart first pass add-on $329.72<br />78496.26 Heart first pass add-on $50.42<br />78499 Cardiovascular nuclear exam $0.00<br />78499.26 Cardiovascular nuclear exam $0.00<br />78580 Lung perfusion imaging $316.86<br />78580.26 Lung perfusion imaging $73.84<br />78584 Lung V/Q image single breath $325.20<br />78584.26 Lung V/Q image single breath $98.36<br />78585 Lung V/Q imaging $508.21<br />78585.26 Lung V/Q imaging $108.93<br />78586 Aerosol lung image, single $223.31<br />78586.26 Aerosol lung image, single $39.51<br />78587 Aerosol lung image, multiple $247.25<br />78587.26 Aerosol lung image, multiple $48.98<br />78588 Perfusion lung image $336.11<br />78588.26 Perfusion lung image $108.93<br />78591 Vent image, 1 breath, 1 proj $241.90<br />78591.26 Vent image, 1 breath, 1 proj $40.19<br />78593 Vent image, 1 proj, gas $293.37<br />78593.26 Vent image, 1 proj, gas $48.98<br />78594 Vent image, mult proj, gas $404.79<br />78594.26 Vent image, mult proj, gas $52.66<br />78596 Lung differential function $627.33<br />78596.26 Lung differential function $125.81<br />78599 Respiratory nuclear exam $0.00<br />78599.26 Respiratory nuclear exam $0.00<br />78600 Brain imaging, ltd static $247.65<br />78600.26 Brain imaging, ltd static $43.87<br />78601 Brain imaging, ltd w/flow $291.42<br />78601.26 Brain imaging, ltd w/flow $50.47<br />78605 Brain imaging, complete $294.29<br />78605.26 Brain imaging, complete $53.34<br />78606 Brain imaging, compl w/flow $338.65<br />78606.26 Brain imaging, compl w/flow $64.31<br />78607 Brain imaging (3D) $588.54<br />78607.26 Brain imaging (3D) $123.51<br />78608 Brain imaging (PET) $7,645.03<br />78609 Brain imaging (PET) $7,645.03<br />78610 Brain flow imaging only $142.53<br />78610.26 Brain flow imaging only $30.32<br />78615 Cerebral vascular flow image $316.02<br />78615.26 Cerebral vascular flow image $43.06<br />78630 Cerebrospinal fluid scan $424.93<br />78630.26 Cerebrospinal fluid scan $67.99<br />78635 CSF ventriculography $243.82<br />78635.26 CSF ventriculography $62.76<br />78645 CSF shunt evaluation $300.03<br />78645.26 CSF shunt evaluation $57.02<br />78647 Cerebrospinal fluid scan $509.52<br />78647.26 Cerebrospinal fluid scan $90.61<br />78650 CSF leakage imaging $389.76<br />78650.26 CSF leakage imaging $60.70<br />78660 Nuclear exam of tear flow $202.73<br />78660.26 Nuclear exam of tear flow $52.66<br />78699 Nervous system nuclear exam $0.00<br />78699.26 Nervous system nuclear exam $0.00<br />78700 Kidney imaging, static $260.78<br />78700.26 Kidney imaging, static $44.62<br />78701 Kidney imaging with flow $300.95<br />78701.26 Kidney imaging with flow $48.98<br />78704 Imaging renogram $354.38<br />78704.26 Imaging renogram $73.84<br />78707 Kidney flow/function image $412.45<br />78707.26 Kidney flow/function image $96.12<br />78708 Kidney flow/function image $436.97<br />78708.26 Kidney flow/function image $120.64<br />78709 Kidney flow/function image $456.38<br />78709.26 Kidney flow/function image $140.05<br />78710 Kidney imaging (3D) $484.71<br />78710.26 Kidney imaging (3D) $65.80<br />78715 Renal vascular flow exam $142.53<br />78715.26 Renal vascular flow exam $30.32<br />78725 Kidney function study $164.68<br />78725.26 Kidney function study $37.67<br />78730 Urinary bladder retention $139.78<br />78730.26 Urinary bladder retention $36.52<br />78740 Ureteral reflux study $206.41<br />78740.26 Ureteral reflux study $56.33<br />78760 Testicular imaging $255.12<br />78760.26 Testicular imaging $65.80<br />78761 Testicular imaging/flow $297.75<br />78761.26 Testicular imaging/flow $70.91<br />78799 Genitourinary nuclear exam $0.00<br />78799.26 Genitourinary nuclear exam $0.00<br />78800 Tumor imaging, limited area $306.75<br />78800.26 Tumor imaging, limited area $65.80<br />78801 Tumor imaging, mult areas $378.42<br />78801.26 Tumor imaging, mult areas $78.95<br />78802 Tumor imaging, whole body $478.65<br />78802.26 Tumor imaging, whole body $86.25<br />78803 Tumor imaging (3D) $574.30<br />78803.26 Tumor imaging (3D) $109.27<br />78804 Tumor imaging, whole body $386.19<br />78804.26 Tumor imaging, whole body $105.53<br />78805 Abscess imaging, ltd area $314.04<br />78805.26 Abscess imaging, ltd area $73.10<br />78806 Abscess imaging, whole body $542.33<br />78806.26 Abscess imaging, whole body $86.25<br />78807 Nuclear localization/abscess $574.99<br />78807.26 Nuclear localization/abscess $109.96<br />78810 Tumor imaging (PET) $3,531.78<br />78810.26 Tumor imaging (PET) $198.84<br />78890 Nuclear medicine data proc $97.70<br />78890.26 Nuclear medicine data proc $5.45<br />78891 Nuclear med data proc $195.41<br />78891.26 Nuclear med data proc $10.56<br />78990 Provide diag radionuclide(s) $388.80<br />78999 Nuclear diagnostic exam $0.00<br />78999.26 Nuclear diagnostic exam $0.00<br />79000 Init hyperthyroid therapy $363.65<br />79000.26 Init hyperthyroid therapy $178.47<br />79001 Repeat hyperthyroid therapy $197.50<br />79001.26 Repeat hyperthyroid therapy $104.91<br />79020 Thyroid ablation $364.40<br />79020.26 Thyroid ablation $179.21<br />79030 Thyroid ablation, carcinoma $394.31<br />79030.26 Thyroid ablation, carcinoma $209.13<br />79035 Thyroid metastatic therapy $437.73<br />79035.26 Thyroid metastatic therapy $252.54<br />79100 Hematopoetic nuclear therapy $317.48<br />79100.26 Hematopoetic nuclear therapy $132.30<br />79200 Intracavitary nuclear trmt $384.04<br />79200.26 Intracavitary nuclear trmt $198.85<br />79300 Interstitial nuclear therapy $160.78<br />79300.26 Interstitial nuclear therapy $160.78<br />79400 Nonhemato nuclear therapy $381.11<br />79400.26 Nonhemato nuclear therapy $195.92<br />79403 Hematopoetic nuclear therapy $488.10<br />79403.26 Hematopoetic nuclear therapy $230.95<br />79420 Intravascular nuclear ther $691.35<br />79420.26 Intravascular nuclear ther $148.89<br />79440 Nuclear joint therapy $386.79<br />79440.26 Nuclear joint therapy $201.60<br />79900 Provide ther radiopharm(s) $0.00<br />79999 Nuclear medicine therapy $0.00<br />79999.26 Nuclear medicine therapy $0.00<br /><br /><br />with 8<br /><br />80048 Basic metabolic panel $17.86<br />80050 General health panel $158.13<br />80051 Electrolyte panel $17.86<br />80053 Comprehen metabolic panel $29.10<br />80055 Obstetric panel $114.19<br />80061 Lipid panel $37.44<br />80069 Renal function panel $24.26<br />80074 Acute hepatitis panel $122.16<br />80076 Hepatic function panel $17.86<br />80100 Drug screen, qualitate/multi $40.64<br />80101 Drug screen, single $38.48<br />80102 Drug confirmation $37.02<br />80103 Drug analysis, tissue prep $40.09<br />80150 Assay of amikacin $42.12<br />80152 Assay of amitriptyline $50.02<br />80154 Assay of benzodiazepines $51.68<br />80156 Assay, carbamazepine, total $40.68<br />80157 Assay, carbamazepine, free $37.04<br />80158 Assay of cyclosporine $48.62<br />80160 Assay of desipramine $48.10<br />80162 Assay of digoxin $37.10<br />80164 Assay, dipropylacetic acid $37.86<br />80166 Assay of doxepin $43.32<br />80168 Assay of ethosuximide $45.66<br />80170 Assay of gentamicin $45.80<br />80172 Assay of gold $40.56<br />80173 Assay of haloperidol $40.68<br />80174 Assay of imipramine $48.10<br />80176 Assay of lidocaine $41.04<br />80178 Assay of lithium $18.48<br />80182 Assay of nortriptyline $37.86<br />80184 Assay of phenobarbital $32.02<br />80185 Assay of phenytoin, total $37.04<br />80186 Assay of phenytoin, free $38.46<br />80188 Assay of primidone $46.36<br />80190 Assay of procainamide $46.82<br />80192 Assay of procainamide $46.82<br />80194 Assay of quinidine $40.78<br />80196 Assay of salicylate $19.84<br />80197 Assay of tacrolimus $38.34<br />80198 Assay of theophylline $39.54<br />80200 Assay of tobramycin $45.04<br />80201 Assay of topiramate $33.32<br />80202 Assay of vancomycin $37.86<br />80299 Quantitative assay, drug $38.26<br />80400 Acth stimulation panel $79.84<br />80402 Acth stimulation panel $231.64<br />80406 Acth stimulation panel $207.40<br />80408 Aldosterone suppression eval $350.68<br />80410 Calcitonin stimul panel $224.46<br />80412 CRH stimulation panel $887.16<br />80414 Testosterone response $144.32<br />80415 Estradiol response panel $156.16<br />80416 Renin stimulation panel $368.76<br />80417 Renin stimulation panel $122.92<br />80418 Pituitary evaluation panel $1,596.96<br />80420 Dexamethasone panel $190.00<br />80422 Glucagon tolerance panel $128.76<br />80424 Glucagon tolerance panel $141.12<br />80426 Gonadotropin hormone panel $414.80<br />80428 Growth hormone panel $186.32<br />80430 Growth hormone panel $219.20<br />80432 Insulin suppression panel $377.46<br />80434 Insulin tolerance panel $254.40<br />80435 Insulin tolerance panel $287.70<br />80436 Metyrapone panel $242.08<br />80438 TRH stimulation panel $140.82<br />80439 TRH stimulation panel $187.76<br />80440 TRH stimulation panel $162.48<br />80500 Lab pathology consultation $47.09<br />80502 Lab pathology consultation $235.89<br />81000 Urinalysis, nonauto w/scope $8.86<br />81001 Urinalysis, auto w/scope $8.86<br />81002 Urinalysis nonauto w/o scope $7.14<br />81003 Urinalysis, auto, w/o scope $6.28<br />81005 Urinalysis $6.06<br />81007 Urine screen for bacteria $7.18<br />81015 Microscopic exam of urine $8.48<br />81020 Urinalysis, glass test $10.30<br />81025 Urine pregnancy test $17.68<br />81050 Urinalysis, volume measure $8.38<br />81099 Urinalysis test procedure $0.00<br />82000 Assay of blood acetaldehyde $34.62<br />82003 Assay of acetaminophen $56.56<br />82009 Test for acetone/ketones $12.62<br />82010 Acetone assay $22.84<br />82013 Acetylcholinesterase assay $31.22<br />82016 Acylcarnitines, qual $38.74<br />82017 Acylcarnitines, quant $40.74<br />82024 Assay of acth $107.94<br />82030 Assay of adp & amp $72.10<br />82040 Assay of serum albumin $11.46<br />82042 Assay of urine albumin $14.46<br />82043 Microalbumin, quantitative $16.18<br />82044 Microalbumin, semiquant $8.10<br />82055 Assay of ethanol $30.20<br />82075 Assay of breath ethanol $33.68<br />82085 Assay of aldolase $27.12<br />82088 Assay of aldosterone $113.88<br />82101 Assay of urine alkaloids $33.02<br />82103 Alpha-1-antitrypsin, total $37.54<br />82104 Alpha-1-antitrypsin, pheno $40.40<br />82105 Alpha-fetoprotein, serum $46.88<br />82106 Alpha-fetoprotein, amniotic $46.88<br />82108 Assay of aluminum $71.20<br />82120 Amines, vaginal fluid qual $10.50<br />82127 Amino acid, single qual $38.74<br />82128 Amino acids, mult qual $38.74<br />82131 Amino acids, single quant $47.14<br />82135 Assay, aminolevulinic acid $46.00<br />82136 Amino acids, quant, 2-5 $40.74<br />82139 Amino acids, quan, 6 or more $40.74<br />82140 Assay of ammonia $32.52<br />82143 Amniotic fluid scan $17.66<br />82145 Assay of amphetamines $33.02<br />82150 Assay of amylase $18.12<br />82154 Androstanediol glucuronide $80.58<br />82157 Assay of androstenedione $81.12<br />82160 Assay of androsterone $59.66<br />82163 Assay of angiotensin II $57.36<br />82164 Angiotensin I enzyme test $40.78<br />82172 Assay of apolipoprotein $13.16<br />82175 Assay of arsenic $53.02<br />82180 Assay of ascorbic acid $27.62<br />82190 Atomic absorption $40.54<br />82205 Assay of barbiturates $32.02<br />82232 Assay of beta-2 protein $45.22<br />82239 Bile acids, total $39.50<br />82240 Bile acids, cholylglycine $9.66<br />82247 Bilirubin, total $14.04<br />82248 Bilirubin, direct $14.04<br />82252 Fecal bilirubin test $12.70<br />82261 Assay of biotinidase $40.74<br />82270 Test for blood, feces $9.08<br />82273 Test for blood, other source $9.08<br />82274 Assay test for blood, fecal $36.18<br />82286 Assay of bradykinin $19.24<br />82300 Assay of cadmium $64.66<br />82306 Assay of vitamin D $82.72<br />82307 Assay of vitamin D $34.06<br />82308 Assay of calcitonin $74.82<br />82310 Assay of calcium $14.40<br />82330 Assay of calcium $19.76<br />82331 Calcium infusion test $14.46<br />82340 Assay of calcium in urine $11.46<br />82355 Calculus analysis, qual $24.44<br />82360 Calculus assay, quant $20.78<br />82365 Calculus spectroscopy $36.02<br />82370 X-ray assay, calculus $35.02<br />82373 Assay, c-d transfer measure $48.68<br />82374 Assay, blood carbon dioxide $9.66<br />82375 Assay, blood carbon monoxide $34.44<br />82376 Test for carbon monoxide $16.74<br />82378 Carcinoembryonic antigen $53.02<br />82379 Assay of carnitine $40.74<br />82380 Assay of carotene $25.78<br />82382 Assay, urine catecholamines $48.04<br />82383 Assay, blood catecholamines $66.32<br />82384 Assay, three catecholamines $70.56<br />82387 Assay of cathepsin-d $47.84<br />82390 Assay of ceruloplasmin $30.02<br />82397 Chemiluminescent assay $24.96<br />82415 Assay of chloramphenicol $35.40<br />82435 Assay of blood chloride $9.66<br />82436 Assay of urine chloride $9.66<br />82438 Assay, other fluid chlorides $13.66<br />82441 Test for chlorohydrocarbons $16.76<br />82465 Assay, bld/serum cholesterol $12.16<br />82480 Assay, serum cholinesterase $22.02<br />82482 Assay, rbc cholinesterase $21.48<br />82485 Assay, chondroitin sulfate $57.70<br />82486 Gas/liquid chromatography $48.68<br />82487 Paper chromatography $44.60<br />82488 Paper chromatography $59.70<br />82489 Thin layer chromatography $51.68<br />82491 Chromotography, quant, sing $48.68<br />82492 Chromotography, quant, mult $48.68<br />82495 Assay of chromium $56.68<br />82507 Assay of citrate $77.70<br />82520 Assay of cocaine $33.02<br />82523 Collagen crosslinks $52.22<br />82525 Assay of copper $34.68<br />82528 Assay of corticosterone $62.90<br />82530 Cortisol, free $46.70<br />82533 Total cortisol $39.92<br />82540 Assay of creatine $12.96<br />82541 Column chromotography, qual $48.68<br />82542 Column chromotography, quant $48.68<br />82543 Column chromotograph/isotope $48.68<br />82544 Column chromotograph/isotope $48.68<br />82550 Assay of ck (cpk) $18.20<br />82552 Assay of cpk in blood $37.42<br />82553 Creatine, MB fraction $17.18<br />82554 Creatine, isoforms $33.16<br />82565 Assay of creatinine $14.32<br />82570 Assay of urine creatinine $14.46<br />82575 Creatinine clearance test $26.40<br />82585 Assay of cryofibrinogen $23.96<br />82595 Assay of cryoglobulin $18.08<br />82600 Assay of cyanide $54.22<br />82607 Vitamin B-12 $42.12<br />82608 B-12 binding capacity $40.02<br />82615 Test for urine cystines $22.82<br />82626 Dehydroepiandrosterone $70.62<br />82627 Dehydroepiandrosterone $62.14<br />82633 Desoxycorticosterone $81.12<br />82634 Deoxycortisol $81.12<br />82638 Assay of dibucaine number $34.22<br />82646 Assay of dihydrocodeinone $57.70<br />82649 Assay of dihydromorphinone $71.82<br />82651 Assay of dihydrotestosterone $72.14<br />82652 Assay of dihydroxyvitamin d $107.56<br />82654 Assay of dimethadione $38.68<br />82657 Enzyme cell activity $48.68<br />82658 Enzyme cell activity, ra $48.68<br />82664 Electrophoretic test $81.12<br />82666 Assay of epiandrosterone $60.02<br />82668 Assay of erythropoietin $52.52<br />82670 Assay of estradiol $78.08<br />82671 Assay of estrogens $86.84<br />82672 Assay of estrogen $45.52<br />82677 Assay of estriol $67.58<br />82679 Assay of estrone $69.76<br />82690 Assay of ethchlorvynol $48.30<br />82693 Assay of ethylene glycol $41.64<br />82696 Assay of etiocholanolone $65.90<br />82705 Fats/lipids, feces, qual $4.92<br />82710 Fats/lipids, feces, quant $32.52<br />82715 Assay of fecal fat $33.02<br />82725 Assay of blood fatty acids $21.06<br />82726 Long chain fatty acids $48.68<br />82728 Assay of ferritin $38.06<br />82731 Assay of fetal fibronectin $107.99<br />82735 Assay of fluoride $51.82<br />82742 Assay of flurazepam $55.32<br />82746 Blood folic acid serum $41.08<br />82747 Assay of folic acid, rbc $47.20<br />82757 Assay of semen fructose $48.48<br />82759 Assay of rbc galactokinase $60.02<br />82760 Assay of galactose $31.28<br />82775 Assay galactose transferase $58.86<br />82776 Galactose transferase test $23.42<br />82784 Assay of gammaglobulin igm $23.42<br />82785 Assay of gammaglobulin ige $46.02<br />82787 Igg 1, 2, 3 or 4, each $12.48<br />82800 Blood pH $23.66<br />82803 Blood gases: pH, pO2 & pCO2 $48.34<br />82805 Blood gases W/02 saturation $79.30<br />82810 Blood gases, O2 sat only $24.40<br />82820 Hemoglobin-oxygen affinity $27.78<br />82926 Assay of gastric acid $15.22<br />82928 Assay of gastric acid $18.30<br />82938 Gastrin test $49.44<br />82941 Assay of gastrin $49.28<br />82943 Assay of glucagon $39.94<br />82945 Glucose other fluid $10.96<br />82946 Glucagon tolerance test $42.12<br />82947 Assay, glucose, blood quant $10.96<br />82948 Reagent strip/blood glucose $8.86<br />82950 Glucose test $13.28<br />82951 Glucose tolerance test (GTT) $35.98<br />82952 GTT-added samples $10.96<br />82953 Glucose-tolbutamide test $42.32<br />82955 Assay of g6pd enzyme $27.10<br />82960 Test for G6PD enzyme $16.94<br />82962 Glucose blood test $6.54<br />82963 Assay of glucosidase $60.02<br />82965 Assay of gdh enzyme $21.60<br />82975 Assay of glutamine $44.26<br />82977 Assay of GGT $20.12<br />82978 Assay of glutathione $39.82<br />82979 Assay, rbc glutathione $19.24<br />82980 Assay of glutethimide $51.20<br />82985 Glycated protein $42.12<br />83001 Gonadotropin (FSH) $51.94<br />83002 Gonadotropin (LH) $51.76<br />83003 Assay, growth hormone (hgh) $46.58<br />83008 Assay of guanosine $46.90<br />83010 Assay of haptoglobin, quant $28.38<br />83012 Assay of haptoglobins $48.04<br />83013 H pylori analysis $188.22<br />83014 H pylori drug admin/collect $21.96<br />83015 Heavy metal screen $52.62<br />83018 Quantitative screen, metals $25.60<br />83020 Hemoglobin electrophoresis $38.99<br />83020.26 Hemoglobin electrophoresis $38.99<br />83021 Hemoglobin chromotography $48.68<br />83026 Hemoglobin, copper sulfate $6.60<br />83030 Fetal hemoglobin, chemical $23.12<br />83033 Fetal hemoglobin assay, qual $16.66<br />83036 Glycated hemoglobin test $27.12<br />83045 Blood methemoglobin test $13.86<br />83050 Blood methemoglobin assay $20.46<br />83051 Assay of plasma hemoglobin $14.56<br />83055 Blood sulfhemoglobin test $13.74<br />83060 Blood sulfhemoglobin assay $19.76<br />83065 Assay of hemoglobin heat $19.24<br />83068 Hemoglobin stability screen $19.76<br />83069 Assay of urine hemoglobin $8.04<br />83070 Assay of hemosiderin, qual $13.28<br />83071 Assay of hemosiderin, quant $19.22<br />83080 Assay of b hexosaminidase $40.74<br />83088 Assay of histamine $81.12<br />83090 Assay of homocystine $47.14<br />83150 Assay of for hva $54.08<br />83491 Assay of corticosteroids $48.94<br />83497 Assay of 5-hiaa $36.02<br />83498 Assay of progesterone $75.90<br />83499 Assay of progesterone $70.44<br />83500 Assay, free hydroxyproline $63.30<br />83505 Assay, total hydroxyproline $60.76<br />83516 Immunoassay, nonantibody $32.24<br />83518 Immunoassay, dipstick $23.70<br />83519 Immunoassay, nonantibody $37.76<br />83520 Immunoassay, RIA $36.18<br />83525 Assay of insulin $31.96<br />83527 Assay of insulin $36.18<br />83528 Assay of intrinsic factor $40.56<br />83540 Assay of iron $18.10<br />83550 Iron binding test $24.42<br />83570 Assay of idh enzyme $24.72<br />83582 Assay of ketogenic steroids $39.60<br />83586 Assay 17- ketosteroids $32.98<br />83593 Fractionation, ketosteroids $23.42<br />83605 Assay of lactic acid $29.84<br />83615 Lactate (LD) (LDH) enzyme $16.88<br />83625 Assay of ldh enzymes $35.76<br />83632 Placental lactogen $56.48<br />83633 Test urine for lactose $6.56<br />83634 Assay of urine for lactose $16.66<br />83655 Assay of lead $33.82<br />83661 L/s ratio, fetal lung $52.90<br />83662 Foam stability, fetal lung $37.66<br />83663 Fluoro polarize, fetal lung $37.66<br />83664 Lamellar bdy, fetal lung $32.75<br />83670 Assay of lap enzyme $25.60<br />83690 Assay of lipase $10.66<br />83715 Assay of blood lipoproteins $31.46<br />83716 Assay of blood lipoproteins $45.26<br />83718 Assay of lipoprotein $22.88<br />83719 Assay of blood lipoprotein $32.52<br />83721 Assay of blood lipoprotein $26.66<br />83727 Assay of lrh hormone $48.04<br />83735 Assay of magnesium $18.72<br />83775 Assay of md enzyme $20.60<br />83785 Assay of manganese $68.72<br />83788 Mass spectrometry qual $48.68<br />83789 Mass spectrometry quant $48.68<br />83805 Assay of meprobamate $49.26<br />83825 Assay of mercury $45.44<br />83835 Assay of metanephrines $47.34<br />83840 Assay of methadone $45.62<br />83857 Assay of methemalbumin $30.02<br />83858 Assay of methsuximide $41.42<br />83864 Mucopolysaccharides $55.64<br />83866 Mucopolysaccharides screen $27.52<br />83872 Assay synovial fluid mucin $16.38<br />83873 Assay of csf protein $48.08<br />83874 Assay of myoglobin $36.08<br />83880 Natriuretic peptide $81.12<br />83883 Assay, nephelometry not spec $33.59<br />83885 Assay of nickel $68.46<br />83887 Assay of nicotine $66.18<br />83890 Molecule isolate $11.20<br />83891 Molecule isolate nucleic $11.20<br />83892 Molecular diagnostics $11.20<br />83893 Molecule dot/slot/blot $11.20<br />83894 Molecule gel electrophor $11.20<br />83896 Molecular diagnostics $11.20<br />83897 Molecule nucleic transfer $11.20<br />83898 Molecule nucleic ampli $46.84<br />83901 Molecule nucleic ampli $46.84<br />83902 Molecular diagnostics $39.66<br />83903 Molecule mutation scan $46.84<br />83904 Molecule mutation identify $46.84<br />83905 Molecule mutation identify $46.84<br />83906 Molecule mutation identify $46.84<br />83912 Genetic examination $38.30<br />83912.26 Genetic examination $38.30<br />83915 Assay of nucleotidase $31.16<br />83916 Oligoclonal bands $56.18<br />83918 Organic acids, total, quant $46.00<br />83919 Organic acids, qual, each $46.00<br />83921 Organic acid, single, quant $46.00<br />83925 Assay of opiates $54.38<br />83930 Assay of blood osmolality $18.48<br />83935 Assay of urine osmolality $15.34<br />83937 Assay of osteocalcin $83.42<br />83945 Assay of oxalate $35.98<br />83950 Oncoprotein, her-2/neu $179.98<br />83970 Assay of parathormone $115.34<br />83986 Assay of body fluid acidity $8.04<br />83992 Assay for phencyclidine $41.08<br />84022 Assay of phenothiazine $43.52<br />84030 Assay of blood pku $15.38<br />84035 Assay of phenylketones $10.22<br />84060 Assay acid phosphatase $20.64<br />84061 Phosphatase, forensic exam $22.12<br />84066 Assay prostate phosphatase $27.00<br />84075 Assay alkaline phosphatase $14.46<br />84078 Assay alkaline phosphatase $20.40<br />84080 Assay alkaline phosphatases $41.32<br />84081 Amniotic fluid enzyme test $46.18<br />84085 Assay of rbc pg6d enzyme $18.84<br />84087 Assay phosphohexose enzymes $28.84<br />84100 Assay of phosphorus $13.26<br />84105 Assay of urine phosphorus $14.46<br />84106 Test for porphobilinogen $11.98<br />84110 Assay of porphobilinogen $23.60<br />84119 Test urine for porphyrins $24.06<br />84120 Assay of urine porphyrins $41.10<br />84126 Assay of feces porphyrins $41.34<br />84127 Assay of feces porphyrins $17.60<br />84132 Assay of serum potassium $12.84<br />84133 Assay of urine potassium $9.66<br />84134 Assay of prealbumin $16.06<br />84135 Assay of pregnanediol $53.46<br />84138 Assay of pregnanetriol $47.86<br />84140 Assay of pregnenolone $57.78<br />84143 Assay of 17-hydroxypregneno $63.78<br />84144 Assay of progesterone $58.30<br />84146 Assay of prolactin $54.16<br />84150 Assay of prostaglandin $69.76<br />84152 Assay of psa, complexed $51.40<br />84153 Assay of psa, total $51.40<br />84154 Assay of psa, free $51.40<br />84155 Assay of protein, serum $10.24<br />84156 Assay of protein, urine $10.24<br />84157 Assay of protein, other $10.24<br />84160 Assay of protein, any source $14.46<br />84165 Electrophoreisis of proteins $38.99<br />84165.26 Electrophoreisis of proteins $38.99<br />84181 Western blot test $47.60<br />84181.26 Western blot test $47.60<br />84182 Protein, western blot test $50.30<br />84182.26 Protein, western blot test $50.30<br />84202 Assay RBC protoporphyrin $40.10<br />84203 Test RBC protoporphyrin $24.06<br />84206 Assay of proinsulin $49.78<br />84207 Assay of vitamin b-6 $78.50<br />84210 Assay of pyruvate $24.94<br />84220 Assay of pyruvate kinase $26.36<br />84228 Assay of quinine $32.52<br />84233 Assay of estrogen $179.98<br />84234 Assay of progesterone $181.28<br />84235 Assay of endocrine hormone $33.78<br />84238 Assay, nonendocrine receptor $102.18<br />84244 Assay of renin $61.46<br />84252 Assay of vitamin b-2 $56.56<br />84255 Assay of selenium $71.34<br />84260 Assay of serotonin $79.54<br />84270 Assay of sex hormone globul $60.72<br />84275 Assay of sialic acid $37.54<br />84285 Assay of silica $65.80<br />84295 Assay of serum sodium $12.22<br />84300 Assay of urine sodium $9.66<br />84302 Assay of sweat sodium $9.66<br />84305 Assay of somatomedin $46.20<br />84307 Assay of somatostatin $46.20<br />84311 Spectrophotometry $19.54<br />84315 Body fluid specific gravity $3.12<br />84375 Chromatogram assay, sugars $54.78<br />84376 Sugars, single, qual $6.56<br />84377 Sugars, multiple, qual $6.56<br />84378 Sugars, single, quant $16.66<br />84379 Sugars multiple quant $16.66<br />84392 Assay of urine sulfate $13.28<br />84402 Assay of testosterone $71.14<br />84403 Assay of total testosterone $72.16<br />84425 Assay of vitamin b-1 $59.34<br />84430 Assay of thiocyanate $26.00<br />84432 Assay of thyroglobulin $44.88<br />84436 Assay of total thyroxine $19.22<br />84437 Assay of neonatal thyroxine $18.08<br />84439 Assay of free thyroxine $25.20<br />84442 Assay of thyroid activity $40.56<br />84443 Assay thyroid stim hormone $46.94<br />84445 Assay of tsi $142.10<br />84446 Assay of vitamin e $39.62<br />84449 Assay of transcortin $50.30<br />84450 Transferase (AST) (SGOT) $14.44<br />84460 Alanine amino (ALT) (SGPT) $14.80<br />84466 Assay of transferrin $35.68<br />84478 Assay of triglycerides $16.08<br />84479 Assay of thyroid (t3 or t4) $18.08<br />84480 Assay, triiodothyronine (t3) $27.56<br />84481 Free assay (FT-3) $40.56<br />84482 T3 reverse $39.98<br />84484 Assay of troponin, quant $27.50<br />84485 Assay duodenal fluid trypsin $20.98<br />84488 Test feces for trypsin $20.40<br />84490 Assay of feces for trypsin $10.12<br />84510 Assay of tyrosine $29.06<br />84512 Assay of troponin, qual $21.52<br />84520 Assay of urea nitrogen $11.02<br />84525 Urea nitrogen semi-quant $10.50<br />84540 Assay of urine/urea-n $8.04<br />84545 Urea-N clearance test $16.12<br />84550 Assay of blood/uric acid $12.62<br />84560 Assay of urine/uric acid $13.28<br />84577 Assay of feces/urobilinogen $33.02<br />84578 Test urine urobilinogen $9.08<br />84580 Assay of urine urobilinogen $19.84<br />84583 Assay of urine urobilinogen $14.04<br />84585 Assay of urine vma $29.12<br />84586 Assay of vip $98.74<br />84588 Assay of vasopressin $81.12<br />84590 Assay of vitamin a $32.40<br />84591 Assay of nos vitamin $32.40<br />84597 Assay of vitamin k $38.30<br />84600 Assay of volatiles $44.90<br />84620 Xylose tolerance test $33.10<br />84630 Assay of zinc $13.26<br />84681 Assay of c-peptide $58.14<br />84702 Chorionic gonadotropin test $19.52<br />84703 Chorionic gonadotropin assay $19.52<br />84830 Ovulation tests $28.04<br />84999 Clinical chemistry test $0.00<br />85002 Bleeding time test $12.58<br />85004 Automated diff wbc count $18.08<br />85007 Bl smear w/diff wbc count $9.62<br />85008 Bl smear w/o diff wbc count $9.62<br />85009 Manual diff wbc count b-coat $10.38<br />85013 Spun microhematocrit $6.62<br />85014 Hematocrit $6.62<br />85018 Hemoglobin $6.62<br />85025 Complete cbc w/auto diff wbc $21.72<br />85027 Complete cbc, automated $18.08<br />85032 Manual cell count, each $12.02<br />85041 Automated rbc count $8.40<br />85044 Manual reticulocyte count $12.02<br />85045 Automated reticulocyte count $11.18<br />85046 Reticyte/hgb concentrate $15.60<br />85048 Automated leukocyte count $7.10<br />85049 Automated platelet count $12.50<br />85055 Reticulated platelet assay $74.82<br />85060 Blood smear interpretation $78.11<br />85097 Bone marrow interpretation $184.78<br />85130 Chromogenic substrate assay $24.06<br />85170 Blood clot retraction $6.56<br />85175 Blood clot lysis time $6.56<br />85210 Blood clot factor II test $36.28<br />85220 Blood clot factor V test $49.32<br />85230 Blood clot factor VII test $50.04<br />85240 Blood clot factor VIII test $50.04<br />85244 Blood clot factor VIII test $57.06<br />85245 Blood clot factor VIII test $64.12<br />85246 Blood clot factor VIII test $64.12<br />85247 Blood clot factor VIII test $64.12<br />85250 Blood clot factor IX test $53.20<br />85260 Blood clot factor X test $50.04<br />85270 Blood clot factor XI test $50.04<br />85280 Blood clot factor XII test $54.08<br />85290 Blood clot factor XIII test $45.66<br />85291 Blood clot factor XIII test $24.84<br />85292 Blood clot factor assay $52.92<br />85293 Blood clot factor assay $52.92<br />85300 Antithrombin III test $33.10<br />85301 Antithrombin III test $30.22<br />85302 Blood clot inhibitor antigen $33.60<br />85303 Blood clot inhibitor test $38.64<br />85305 Blood clot inhibitor assay $32.40<br />85306 Blood clot inhibitor test $42.82<br />85307 Assay activated protein c $42.82<br />85335 Factor inhibitor test $33.02<br />85337 Thrombomodulin $29.12<br />85345 Coagulation time $12.02<br />85347 Coagulation time $6.56<br />85348 Coagulation time $10.40<br />85360 Euglobulin lysis $23.48<br />85362 Fibrin degradation products $14.80<br />85366 Fibrinogen test $24.06<br />85370 Fibrinogen test $28.34<br />85378 Fibrin degrade, semiquant $19.94<br />85379 Fibrin degradation, quant $28.44<br />85380 Fibrin degradation, vte $28.44<br />85384 Fibrinogen $22.96<br />85385 Fibrinogen $22.96<br />85390 Fibrinolysins screen $29.27<br />85390.26 Fibrinolysins screen $29.27<br />85396 Clotting assay, whole blood $66.15<br />85400 Fibrinolytic plasmin $6.56<br />85410 Fibrinolytic antiplasmin $6.56<br />85415 Fibrinolytic plasminogen $48.04<br />85420 Fibrinolytic plasminogen $15.08<br />85421 Fibrinolytic plasminogen $28.46<br />85441 Heinz bodies, direct $11.76<br />85445 Heinz bodies, induced $19.04<br />85460 Hemoglobin, fetal $8.30<br />85461 Hemoglobin, fetal $18.52<br />85475 Hemolysin $24.80<br />85520 Heparin assay $33.02<br />85525 Heparin neutralization $27.42<br />85530 Heparin-protamine tolerance $39.62<br />85536 Iron stain peripheral blood $18.08<br />85540 Wbc alkaline phosphatase $24.04<br />85547 RBC mechanical fragility $16.66<br />85549 Muramidase $46.30<br />85555 RBC osmotic fragility $16.66<br />85557 RBC osmotic fragility $16.66<br />85576 Blood platelet aggregation $60.02<br />85576.26 Blood platelet aggregation $60.02<br />85597 Platelet neutralization $16.48<br />85610 Prothrombin time $10.98<br />85611 Prothrombin test $11.02<br />85612 Viper venom prothrombin time $16.66<br />85613 Russell viper venom, diluted $16.66<br />85635 Reptilase test $27.52<br />85651 Rbc sed rate, nonautomated $9.92<br />85652 Rbc sed rate, automated $7.54<br />85660 RBC sickle cell test $14.46<br />85670 Thrombin time, plasma $16.14<br />85675 Thrombin time, titer $19.16<br />85705 Thromboplastin inhibition $26.90<br />85730 Thromboplastin time, partial $16.76<br />85732 Thromboplastin time, partial $18.08<br />85810 Blood viscosity examination $32.64<br />85999 Hematology procedure $0.00<br />86000 Agglutinins, febrile $19.50<br />86001 Allergen specific igg $14.60<br />86003 Allergen specific IgE $14.60<br />86005 Allergen specific IgE $22.28<br />86021 WBC antibody identification $25.74<br />86022 Platelet antibodies $14.84<br />86023 Immunoglobulin assay $34.80<br />86038 Antinuclear antibodies $33.78<br />86039 Antinuclear antibodies (ANA) $31.20<br />86060 Antistreptolysin o, titer $20.40<br />86063 Antistreptolysin o, screen $10.66<br />86077 Physician blood bank service $282.78<br />86078 Physician blood bank service $282.78<br />86079 Physician blood bank service $245.27<br />86140 C-reactive protein $14.46<br />86141 C-reactive protein, hs $36.18<br />86146 Glycoprotein antibody $18.22<br />86147 Cardiolipin antibody $18.22<br />86148 Phospholipid antibody $44.88<br />86155 Chemotaxis assay $44.66<br />86156 Cold agglutinin, screen $15.88<br />86157 Cold agglutinin, titer $18.22<br />86160 Complement, antigen $33.56<br />86161 Complement/function activity $33.56<br />86162 Complement, total (CH50) $56.78<br />86171 Complement fixation, each $24.44<br />86185 Counterimmunoelectrophoresis $25.00<br />86215 Deoxyribonuclease, antibody $37.02<br />86225 DNA antibody $38.40<br />86226 DNA antibody, single strand $33.84<br />86235 Nuclear antigen antibody $50.12<br />86243 Fc receptor $57.36<br />86255 Fluorescent antibody, screen $39.68<br />86255.26 Fluorescent antibody, screen $39.68<br />86256 Fluorescent antibody, titer $38.99<br />86256.26 Fluorescent antibody, titer $38.99<br />86277 Growth hormone antibody $43.98<br />86280 Hemagglutination inhibition $22.88<br />86294 Immunoassay, tumor, qual $51.76<br />86300 Immunoassay, tumor, ca 15-3 $58.14<br />86301 Immunoassay, tumor, ca 19-9 $58.14<br />86304 Immunoassay, tumor, ca 125 $58.14<br />86308 Heterophile antibodies $14.46<br />86309 Heterophile antibodies $18.08<br />86310 Heterophile antibodies $20.60<br />86316 Immunoassay, tumor other $58.14<br />86317 Immunoassay,infectious agent $41.90<br />86318 Immunoassay,infectious agent $36.18<br />86320 Serum immunoelectrophoresis $62.64<br />86320.26 Serum immunoelectrophoresis $62.64<br />86325 Other immunoelectrophoresis $62.48<br />86325.26 Other immunoelectrophoresis $62.48<br />86327 Immunoelectrophoresis assay $63.40<br />86327.26 Immunoelectrophoresis assay $63.40<br />86329 Immunodiffusion $39.24<br />86331 Immunodiffusion ouchterlony $33.50<br />86332 Immune complex assay $68.10<br />86334 Immunofixation procedure $62.42<br />86334.26 Immunofixation procedure $62.42<br />86336 Inhibin A $41.90<br />86337 Insulin antibodies $59.84<br />86340 Intrinsic factor antibody $42.12<br />86341 Islet cell antibody $55.30<br />86343 Leukocyte histamine release $34.82<br />86344 Leukocyte phagocytosis $22.32<br />86353 Lymphocyte transformation $81.12<br />86359 T cells, total count $105.40<br />86360 T cell, absolute count/ratio $131.30<br />86361 T cell, absolute count $74.82<br />86376 Microsomal antibody $40.66<br />86378 Migration inhibitory factor $55.02<br />86382 Neutralization test, viral $47.24<br />86384 Nitroblue tetrazolium dye $31.82<br />86403 Particle agglutination test $28.48<br />86406 Particle agglutination test $29.74<br />86430 Rheumatoid factor test $15.86<br />86431 Rheumatoid factor, quant $15.86<br />86485 Skin test, candida $41.28<br />86490 Coccidioidomycosis skin test $54.81<br />86510 Histoplasmosis skin test $41.28<br />86580 TB intradermal test $22.07<br />86585 TB tine test $20.25<br />86586 Skin test, unlisted $0.00<br />86590 Streptokinase, antibody $30.82<br />86592 Blood serology, qualitative $11.92<br />86593 Blood serology, quantitative $11.46<br />86602 Antinomyces antibody $28.44<br />86603 Adenovirus antibody $28.58<br />86606 Aspergillus antibody $28.58<br />86609 Bacterium antibody $28.58<br />86611 Bartonella antibody $28.44<br />86612 Blastomyces antibody $28.58<br />86615 Bordetella antibody $28.58<br />86617 Lyme disease antibody $43.28<br />86618 Lyme disease antibody $28.58<br />86619 Borrelia antibody $28.58<br />86622 Brucella antibody $24.96<br />86625 Campylobacter antibody $28.58<br />86628 Candida antibody $28.58<br />86631 Chlamydia antibody $28.58<br />86632 Chlamydia igm antibody $28.58<br />86635 Coccidioides antibody $28.58<br />86638 Q fever antibody $28.58<br />86641 Cryptococcus antibody $28.58<br />86644 CMV antibody $40.22<br />86645 CMV antibody, IgM $28.58<br />86648 Diphtheria antibody $28.58<br />86651 Encephalitis antibody $28.58<br />86652 Encephalitis antibody $28.58<br />86653 Encephalitis antibody $28.58<br />86654 Encephalitis antibody $28.58<br />86658 Enterovirus antibody $28.58<br />86663 Epstein-barr antibody $36.66<br />86664 Epstein-barr antibody $42.76<br />86665 Epstein-barr antibody $50.22<br />86666 Ehrlichia antibody $28.44<br />86668 Francisella tularensis $28.58<br />86671 Fungus antibody $28.58<br />86674 Giardia lamblia antibody $41.12<br />86677 Helicobacter pylori $28.58<br />86682 Helminth antibody $36.34<br />86684 Hemophilus influenza $28.58<br />86687 Htlv-i antibody $23.44<br />86688 Htlv-ii antibody $39.14<br />86689 HTLV/HIV confirmatory test $54.10<br />86692 Hepatitis, delta agent $47.96<br />86694 Herpes simplex test $40.22<br />86695 Herpes simplex test $28.58<br />86696 Herpes simplex type 2 $54.10<br />86698 Histoplasma $28.58<br />86701 HIV-1 $24.82<br />86702 HIV-2 $37.76<br />86703 HIV-1/HIV-2, single assay $38.34<br />86704 Hep b core antibody, total $33.68<br />86705 Hep b core antibody, igm $32.88<br />86706 Hep b surface antibody $30.02<br />86707 Hep be antibody $13.00<br />86708 Hep a antibody, total $34.62<br />86709 Hep a antibody, igm $31.46<br />86710 Influenza virus antibody $37.88<br />86713 Legionella antibody $28.58<br />86717 Leishmania antibody $28.58<br />86720 Leptospira antibody $28.58<br />86723 Listeria monocytogenes ab $28.58<br />86727 Lymph choriomeningitis ab $28.58<br />86729 Lympho venereum antibody $28.58<br />86732 Mucormycosis antibody $28.58<br />86735 Mumps antibody $28.58<br />86738 Mycoplasma antibody $37.02<br />86741 Neisseria meningitidis $16.24<br />86744 Nocardia antibody $16.24<br />86747 Parvovirus antibody $38.38<br />86750 Malaria antibody $36.86<br />86753 Protozoa antibody nos $16.24<br />86756 Respiratory virus antibody $16.24<br />86757 Rickettsia antibody $54.10<br />86759 Rotavirus antibody $24.24<br />86762 Rubella antibody $40.22<br />86765 Rubeola antibody $36.00<br />86768 Salmonella antibody $28.58<br />86771 Shigella antibody $28.58<br />86774 Tetanus antibody $28.58<br />86777 Toxoplasma antibody $40.22<br />86778 Toxoplasma antibody, igm $28.58<br />86781 Treponema pallidum, confirm $37.00<br />86784 Trichinella antibody $28.58<br />86787 Varicella-zoster antibody $28.58<br />86790 Virus antibody nos $28.58<br />86793 Yersinia antibody $28.58<br />86800 Thyroglobulin antibody $44.44<br />86803 Hepatitis c ab test $39.88<br />86804 Hep c ab test, confirm $43.28<br />86805 Lymphocytotoxicity assay $146.10<br />86806 Lymphocytotoxicity assay $132.98<br />86807 Cytotoxic antibody screening $110.58<br />86808 Cytotoxic antibody screening $82.94<br />86812 HLA typing, A, B, or C $72.12<br />86813 HLA typing, A, B, or C $162.04<br />86816 HLA typing, DR/DQ $77.84<br />86817 HLA typing, DR/DQ $179.90<br />86821 Lymphocyte culture, mixed $157.76<br />86822 Lymphocyte culture, primed $102.14<br />86849 Immunology procedure $0.00<br />86850 RBC antibody screen $38.12<br />86860 RBC antibody elution $139.48<br />86870 RBC antibody identification $56.40<br />86880 Coombs test, direct $13.26<br />86885 Coombs test, indirect, qual $13.00<br />86886 Coombs test, indirect, titer $14.46<br />86890 Autologous blood process $204.82<br />86891 Autologous blood, op salvage $282.78<br />86900 Blood typing, ABO $8.34<br />86901 Blood typing, Rh (D) $19.16<br />86903 Blood typing, antigen screen $26.38<br />86904 Blood typing, patient serum $26.56<br />86905 Blood typing, RBC antigens $10.68<br />86906 Blood typing, Rh phenotype $21.66<br />86910 Blood typing, paternity test $258.72<br />86911 Blood typing, antigen system $61.50<br />86920 Compatibility test $61.16<br />86921 Compatibility test $75.03<br />86922 Compatibility test $70.57<br />86927 Plasma, fresh frozen $68.27<br />86930 Frozen blood prep $477.00<br />86931 Frozen blood thaw $477.00<br />86932 Frozen blood freeze/thaw $494.30<br />86940 Hemolysins/agglutinins, auto $22.92<br />86941 Hemolysins/agglutinins $33.84<br />86945 Blood product/irradiation $108.71<br />86950 Leukacyte transfusion $306.77<br />86965 Pooling blood platelets $81.72<br />86970 RBC pretreatment $129.79<br />86971 RBC pretreatment $64.50<br />86972 RBC pretreatment $64.50<br />86975 RBC pretreatment, serum $167.31<br />86976 RBC pretreatment, serum $167.31<br />86977 RBC pretreatment, serum $167.31<br />86978 RBC pretreatment, serum $200.99<br />86985 Split blood or products $101.94<br />86999 Transfusion procedure $0.00<br />87001 Small animal inoculation $24.44<br />87003 Small animal inoculation $47.04<br />87015 Specimen concentration $18.66<br />87040 Blood culture for bacteria $28.84<br />87045 Feces culture, bacteria $26.00<br />87046 Stool cultr, bacteria, each $23.00<br />87070 Culture, bacteria, other $24.06<br />87071 Culture bacteri aerobic othr $26.00<br />87073 Culture bacteria anaerobic $26.00<br />87075 Cultr bacteria, except blood $17.40<br />87076 Culture anaerobe ident, each $22.58<br />87077 Culture aerobic identify $22.58<br />87081 Culture screen only $18.52<br />87084 Culture of specimen by kit $24.06<br />87086 Urine culture/colony count $22.56<br />87088 Urine bacteria culture $22.62<br />87101 Skin fungi culture $21.54<br />87102 Fungus isolation culture $21.06<br />87103 Blood fungus culture $25.20<br />87106 Fungi identification, yeast $28.84<br />87107 Fungi identification, mold $28.84<br />87109 Mycoplasma $38.98<br />87110 Chlamydia culture $32.52<br />87116 Mycobacteria culture $30.20<br />87118 Mycobacteric identification $30.58<br />87140 Culture type immunofluoresc $15.58<br />87143 Culture typing, glc/hplc $16.66<br />87147 Culture type, immunologic $10.66<br />87149 Culture type, nucleic acid $56.04<br />87152 Culture type pulse field gel $14.62<br />87158 Culture typing, added method $14.62<br />87164 Dark field examination $36.23<br />87164.26 Dark field examination $36.23<br />87166 Dark field examination $31.56<br />87168 Macroscopic exam arthropod $11.92<br />87169 Macroscopic exam parasite $11.92<br />87172 Pinworm exam $11.92<br />87176 Tissue homogenization, cultr $16.44<br />87177 Ova and parasites smears $24.86<br />87181 Microbe susceptible, diffuse $13.28<br />87184 Microbe susceptible, disk $19.26<br />87185 Microbe susceptible, enzyme $13.28<br />87186 Microbe susceptible, mic $24.16<br />87187 Microbe susceptible, mlc $24.42<br />87188 Microbe suscept, macrobroth $18.54<br />87190 Microbe suscept, mycobacteri $15.80<br />87197 Bactericidal level, serum $23.02<br />87205 Smear, gram stain $11.92<br />87206 Smear, fluorescent/acid stai $15.00<br />87207 Smear, special stain $29.70<br />87207.26 Smear, special stain $29.70<br />87210 Smear, wet mount, saline/ink $11.92<br />87220 Tissue exam for fungi $11.92<br />87230 Assay, toxin or antitoxin $28.12<br />87250 Virus inoculate, eggs/animal $54.64<br />87252 Virus inoculation, tissue $49.90<br />87253 Virus inoculate tissue, addl $56.44<br />87254 Virus inoculation, shell via $54.64<br />87255 Genet virus isolate, hsv $82.34<br />87260 Adenovirus ag, if $33.52<br />87265 Pertussis ag, if $33.52<br />87267 Enterovirus antibody, dfa $33.52<br />87269 Giardia ag, if $33.52<br />87270 Chlamydia trachomatis ag, if $33.52<br />87271 Cryptosporidum/gardia ag, if $33.52<br />87272 Cryptosporidium ag, if $33.52<br />87273 Herpes simplex 2, ag, if $33.52<br />87274 Herpes simplex 1, ag, if $33.52<br />87275 Influenza b, ag, if $33.52<br />87276 Influenza a, ag, if $33.52<br />87277 Legionella micdadei, ag, if $33.52<br />87278 Legion pneumophilia ag, if $33.52<br />87279 Parainfluenza, ag, if $33.52<br />87280 Respiratory syncytial ag, if $33.52<br />87281 Pneumocystis carinii, ag, if $33.52<br />87283 Rubeola, ag, if $33.52<br />87285 Treponema pallidum, ag, if $33.52<br />87290 Varicella zoster, ag, if $33.52<br />87299 Antibody detection, nos, if $33.52<br />87300 Ag detection, polyval, if $33.52<br />87301 Adenovirus ag, eia $33.52<br />87320 Chylmd trach ag, eia $33.52<br />87324 Clostridium ag, eia $33.52<br />87327 Cryptococcus neoform ag, eia $33.52<br />87328 Cryptosporidium ag, eia $33.52<br />87329 Giardia ag, eia $33.52<br />87332 Cytomegalovirus ag, eia $33.52<br />87335 E coli 0157 ag, eia $33.52<br />87336 Entamoeb hist dispr, ag, eia $33.52<br />87337 Entamoeb hist group, ag, eia $33.52<br />87338 Hpylori, stool, eia $40.20<br />87339 H pylori ag, eia $33.52<br />87340 Hepatitis b surface ag, eia $17.94<br />87341 Hepatitis b surface, ag, eia $17.94<br />87350 Hepatitis be ag, eia $32.20<br />87380 Hepatitis delta ag, eia $45.88<br />87385 Histoplasma capsul ag, eia $33.52<br />87390 Hiv-1 ag, eia $49.30<br />87391 Hiv-2 ag, eia $49.30<br />87400 Influenza a/b, ag, eia $33.52<br />87420 Resp syncytial ag, eia $33.52<br />87425 Rotavirus ag, eia $33.52<br />87427 Shiga-like toxin ag, eia $33.52<br />87430 Strep a ag, eia $33.52<br />87449 Ag detect nos, eia, mult $33.52<br />87450 Ag detect nos, eia, single $26.78<br />87451 Ag detect polyval, eia, mult $26.78<br />87470 Bartonella, dna, dir probe $56.04<br />87471 Bartonella, dna, amp probe $98.08<br />87472 Bartonella, dna, quant $119.70<br />87475 Lyme dis, dna, dir probe $56.04<br />87476 Lyme dis, dna, amp probe $98.08<br />87477 Lyme dis, dna, quant $119.70<br />87480 Candida, dna, dir probe $56.04<br />87481 Candida, dna, amp probe $98.08<br />87482 Candida, dna, quant $116.66<br />87485 Chylmd pneum, dna, dir probe $56.04<br />87486 Chylmd pneum, dna, amp probe $98.08<br />87487 Chylmd pneum, dna, quant $119.70<br />87490 Chylmd trach, dna, dir probe $56.04<br />87491 Chylmd trach, dna, amp probe $98.08<br />87492 Chylmd trach, dna, quant $97.68<br />87495 Cytomeg, dna, dir probe $56.04<br />87496 Cytomeg, dna, amp probe $98.08<br />87497 Cytomeg, dna, quant $119.70<br />87510 Gardner vag, dna, dir probe $56.04<br />87511 Gardner vag, dna, amp probe $98.08<br />87512 Gardner vag, dna, quant $116.66<br />87515 Hepatitis b, dna, dir probe $56.04<br />87516 Hepatitis b, dna, amp probe $98.08<br />87517 Hepatitis b, dna, quant $119.70<br />87520 Hepatitis c, rna, dir probe $56.04<br />87521 Hepatitis c, rna, amp probe $98.08<br />87522 Hepatitis c, rna, quant $119.70<br />87525 Hepatitis g, dna, dir probe $56.04<br />87526 Hepatitis g, dna, amp probe $98.08<br />87527 Hepatitis g, dna, quant $116.66<br />87528 Hsv, dna, dir probe $56.04<br />87529 Hsv, dna, amp probe $98.08<br />87530 Hsv, dna, quant $119.70<br />87531 Hhv-6, dna, dir probe $56.04<br />87532 Hhv-6, dna, amp probe $98.08<br />87533 Hhv-6, dna, quant $116.66<br />87534 Hiv-1, dna, dir probe $56.04<br />87535 Hiv-1, dna, amp probe $98.08<br />87536 Hiv-1, dna, quant $237.78<br />87537 Hiv-2, dna, dir probe $56.04<br />87538 Hiv-2, dna, amp probe $98.08<br />87539 Hiv-2, dna, quant $119.70<br />87540 Legion pneumo, dna, dir prob $56.04<br />87541 Legion pneumo, dna, amp prob $98.08<br />87542 Legion pneumo, dna, quant $116.66<br />87550 Mycobacteria, dna, dir probe $56.04<br />87551 Mycobacteria, dna, amp probe $98.08<br />87552 Mycobacteria, dna, quant $119.70<br />87555 M.tuberculo, dna, dir probe $56.04<br />87556 M.tuberculo, dna, amp probe $98.08<br />87557 M.tuberculo, dna, quant $119.70<br />87560 M.avium-intra, dna, dir prob $56.04<br />87561 M.avium-intra, dna, amp prob $98.08<br />87562 M.avium-intra, dna, quant $119.70<br />87580 M.pneumon, dna, dir probe $56.04<br />87581 M.pneumon, dna, amp probe $98.08<br />87582 M.pneumon, dna, quant $116.66<br />87590 N.gonorrhoeae, dna, dir prob $55.76<br />87591 N.gonorrhoeae, dna, amp prob $98.08<br />87592 N.gonorrhoeae, dna, quant $119.70<br />87620 Hpv, dna, dir probe $56.04<br />87621 Hpv, dna, amp probe $98.08<br />87622 Hpv, dna, quant $116.66<br />87650 Strep a, dna, dir probe $56.04<br />87651 Strep a, dna, amp probe $98.08<br />87652 Strep a, dna, quant $116.66<br />87660 Trichomonas vagin, dir probe $56.04<br />87797 Detect agent nos, dna, dir $56.04<br />87798 Detect agent nos, dna, amp $98.08<br />87799 Detect agent nos, dna, quant $119.70<br />87800 Detect agnt mult, dna, direc $96.17<br />87801 Detect agnt mult, dna, ampli $196.14<br />87802 Strep b assay w/optic $33.52<br />87803 Clostridium toxin a w/optic $33.52<br />87804 Influenza assay w/optic $33.52<br />87810 Chylmd trach assay w/optic $33.52<br />87850 N. gonorrhoeae assay w/optic $33.52<br />87880 Strep a assay w/optic $33.52<br />87899 Agent nos assay w/optic $33.52<br />87901 Genotype, dna, hiv reverse t $719.38<br />87902 Genotype, dna, hepatitis C $719.38<br />87903 Phenotype, dna hiv w/culture $1,365.44<br />87904 Phenotype, dna hiv w/clt add $49.90<br />87999 Microbiology procedure $0.00<br />88000 Autopsy (necropsy), gross $650.24<br />88005 Autopsy (necropsy), gross $731.46<br />88007 Autopsy (necropsy), gross $812.53<br />88012 Autopsy (necropsy), gross $682.27<br />88014 Autopsy (necropsy), gross $682.27<br />88016 Autopsy (necropsy), gross $650.24<br />88020 Autopsy (necropsy), complete $812.53<br />88025 Autopsy (necropsy), complete $893.74<br />88027 Autopsy (necropsy), complete $974.95<br />88028 Autopsy (necropsy), complete $845.39<br />88029 Autopsy (necropsy), complete $845.39<br />88036 Limited autopsy $698.59<br />88037 Limited autopsy $569.11<br />88040 Forensic autopsy (necropsy) $2,113.09<br />88045 Coroner’s autopsy (necropsy) $0.00<br />88099 Necropsy (autopsy) procedure $0.00<br />88104 Cytopathology, fluids $94.83<br />88104.26 Cytopathology, fluids $59.72<br />88106 Cytopathology, fluids $81.11<br />88106.26 Cytopathology, fluids $56.40<br />88107 Cytopathology, fluids $108.86<br />88107.26 Cytopathology, fluids $70.29<br />88108 Cytopath, concentrate tech $98.96<br />88108.26 Cytopath, concentrate tech $59.72<br />88112 Cytopath, cell enhance tech $186.94<br />88112.26 Cytopath, cell enhance tech $103.09<br />88125 Forensic cytopathology $38.00<br />88125.26 Forensic cytopathology $28.02<br />88130 Sex chromatin identification $39.05<br />88140 Sex chromatin identification $22.34<br />88141 Cytopath, c/v, interpret $46.09<br />88142 Cytopath, c/v, thin layer $56.62<br />88143 Cytopath c/v thin layer redo $56.62<br />88147 Cytopath, c/v, automated $29.52<br />88148 Cytopath, c/v, auto rescreen $29.52<br />88150 Cytopath, c/v, manual $29.52<br />88152 Cytopath, c/v, auto redo $29.52<br />88153 Cytopath, c/v, redo $29.52<br />88154 Cytopath, c/v, select $29.52<br />88155 Cytopath, c/v, index add-on $16.74<br />88160 Cytopath smear, other source $61.23<br />88160.26 Cytopath smear, other source $31.90<br />88161 Cytopath smear, other source $94.49<br />88161.26 Cytopath smear, other source $50.59<br />88162 Cytopath smear, other source $105.63<br />88162.26 Cytopath smear, other source $81.53<br />88164 Cytopath tbs, c/v, manual $29.52<br />88165 Cytopath tbs, c/v, redo $29.52<br />88166 Cytopath tbs, c/v, auto redo $29.52<br />88167 Cytopath tbs, c/v, select $29.52<br />88172 Cytopathology eval of fna $91.62<br />88172.26 Cytopathology eval of fna $64.08<br />88173 Cytopath eval, fna, report $204.15<br />88173.26 Cytopath eval, fna, report $132.34<br />88174 Cytopath, c/v auto, in fluid $59.70<br />88175 Cytopath c/v auto fluid redo $71.76<br />88180 Cell marker study $126.37<br />88180.26 Cell marker study $38.24<br />88182 Cell marker study $130.40<br />88182.26 Cell marker study $63.22<br />88199 Cytopathology procedure $0.00<br />88199.26 Cytopathology procedure $0.00<br />88230 Tissue culture, lymphocyte $155.42<br />88233 Tissue culture, skin/biopsy $357.50<br />88235 Tissue culture, placenta $204.74<br />88237 Tissue culture, bone marrow $177.62<br />88239 Tissue culture, tumor $373.96<br />88240 Cell cryopreserve/storage $28.22<br />88241 Frozen cell preparation $28.22<br />88245 Chromosome analysis, 20-25 $382.15<br />88248 Chromosome analysis, 50-100 $483.92<br />88249 Chromosome analysis, 100 $483.92<br />88261 Chromosome analysis, 5 $480.87<br />88262 Chromosome analysis, 15-20 $348.28<br />88263 Chromosome analysis, 45 $390.36<br />88264 Chromosome analysis, 20-25 $300.96<br />88267 Chromosome analys, placenta $502.34<br />88269 Chromosome analys, amniotic $390.36<br />88271 Cytogenetics, dna probe $40.44<br />88272 Cytogenetics, 3-5 $74.82<br />88273 Cytogenetics, 10-30 $88.51<br />88274 Cytogenetics, 25-99 $87.40<br />88275 Cytogenetics, 100-300 $87.40<br />88280 Chromosome karyotype study $70.14<br />88283 Chromosome banding study $178.75<br />88285 Chromosome count, additional $48.35<br />88289 Chromosome study, additional $90.59<br />88291 Cyto/molecular report $18.78<br />88299 Cytogenetic study $0.00<br />88300 Surgical path, gross $25.94<br />88300.26 Surgical path, gross $9.07<br />88302 Tissue exam by pathologist $58.24<br />88302.26 Tissue exam by pathologist $14.18<br />88304 Tissue exam by pathologist $77.36<br />88304.26 Tissue exam by pathologist $23.66<br />88305 Tissue exam by pathologist $177.86<br />88305.26 Tissue exam by pathologist $80.10<br />88307 Tissue exam by pathologist $305.64<br />88307.26 Tissue exam by pathologist $168.64<br />88309 Tissue exam by pathologist $399.51<br />88309.26 Tissue exam by pathologist $242.54<br />88311 Decalcify tissue $32.38<br />88311.26 Decalcify tissue $25.84<br />88312 Special stains $80.58<br />88312.26 Special stains $34.52<br />88313 Special stains $93.65<br />88313.26 Special stains $25.84<br />88314 Histochemical stain $57.75<br />88314.26 Histochemical stain $28.84<br />88318 Chemical histochemistry $52.28<br />88318.26 Chemical histochemistry $26.87<br />88319 Enzyme histochemistry $102.65<br />88319.26 Enzyme histochemistry $33.66<br />88321 Microslide consultation $64.75<br />88323 Microslide consultation $121.62<br />88323.26 Microslide consultation $86.09<br />88325 Comprehensive review of data $86.28<br />88329 Path consult introp $84.43<br />88331 Path consult intraop, 1 bloc $159.42<br />88331.26 Path consult intraop, 1 bloc $126.38<br />88332 Path consult intraop, add’l $79.85<br />88332.26 Path consult intraop, add’l $62.64<br />88342 Immunohistochemistry $158.48<br />88342.26 Immunohistochemistry $90.32<br />88346 Immunofluorescent study $162.35<br />88346.26 Immunofluorescent study $89.37<br />88347 Immunofluorescent study $187.45<br />88347.26 Immunofluorescent study $90.38<br />88348 Electron microscopy $420.23<br />88348.26 Electron microscopy $95.74<br />88349 Scanning electron microscopy $448.80<br />88349.26 Scanning electron microscopy $48.92<br />88355 Analysis, skeletal muscle $193.17<br />88355.26 Analysis, skeletal muscle $117.58<br />88356 Analysis, nerve $257.78<br />88356.26 Analysis, nerve $190.24<br />88358 Analysis, tumor $159.24<br />88358.26 Analysis, tumor $147.49<br />88361 Immunohistochemistry, tumor $212.72<br />88361.26 Immunohistochemistry, tumor $85.53<br />88362 Nerve teasing preparations $422.31<br />88362.26 Nerve teasing preparations $205.69<br />88365 Tissue hybridization $134.20<br />88365.26 Tissue hybridization $59.43<br />88371 Protein, western blot tissue $50.22<br />88371.26 Protein, western blot tissue $50.22<br />88372 Protein analysis w/probe $50.22<br />88372.26 Protein analysis w/probe $50.22<br />88380 Microdissection $0.00<br />88380.26 Microdissection $0.00<br />88399 Surgical pathology procedure $0.00<br />88399.26 Surgical pathology procedure $0.00<br />88400 Bilirubin total transcut $8.42<br />89050 Body fluid cell count $13.22<br />89051 Body fluid cell count $15.40<br />89055 Leukocyte assessment, fecal $11.92<br />89060 Exam,synovial fluid crystals $23.81<br />89060.26 Exam,synovial fluid crystals $23.81<br />89100 Sample intestinal contents $76.07<br />89105 Sample intestinal contents $95.59<br />89125 Specimen fat stain $11.68<br />89130 Sample stomach contents $66.70<br />89132 Sample stomach contents $30.84<br />89135 Sample stomach contents $55.38<br />89136 Sample stomach contents $64.75<br />89140 Sample stomach contents $74.95<br />89141 Sample stomach contents $84.32<br />89160 Exam feces for meat fibers $9.30<br />89190 Nasal smear for eosinophils $12.60<br />89220 Sputum specimen collection $14.11<br />89225 Starch granules, feces $9.34<br />89230 Collect sweat for test $15.49<br />89235 Water load test $15.38<br />89240 Pathology lab procedure $0.00<br />89250 Cultr oocyte/embryo <4 days $1,218.51<br />89251 Cultr oocyte/embryo <4 days $400.00<br />89252 Assist oocyte fertilization $1,100.00<br />89253 Embryo hatching $575.00<br />89254 Oocyte identification $435.00<br />89255 Prepare embryo for transfer $350.00<br />89257 Sperm identification $0.00<br />89258 Cryopreservation; embryo(s) $600.00<br />89259 Cryopreservation, sperm $80.00<br />89260 Sperm isolation, simple $40.00<br />89261 Sperm isolation, complex $150.00<br />89264 Identify sperm tissue $0.00<br />89268 Insemination of oocytes $0.00<br />89272 Extended culture of oocytes $0.00<br />89280 Assist oocyte fertilization $0.00<br />89281 Assist oocyte fertilization $0.00<br />89290 Biopsy, oocyte polar body $0.00<br />89291 Biopsy, oocyte polar body $0.00<br />89300 Semen analysis w/huhner $24.90<br />89310 Semen analysis w/count $3.12<br />89320 Semen analysis, complete $24.44<br />89321 Semen analysis & motility $24.44<br />89325 Sperm antibody test $28.84<br />89329 Sperm evaluation test $58.60<br />89330 Evaluation, cervical mucus $27.66<br />89335 Cryopreserve testicular tiss $0.00<br />89342 Storage/year; embryo(s) $0.00<br />89343 Storage/year; sperm/semen $0.00<br />89344 Storage/year; reprod tissue $0.00<br />89346 Storage/year; oocyte $0.00<br />89350 Sputum specimen collection $27.73<br />89352 Thawing cryopresrved; embryo $0.00<br />89353 Thawing cryopresrved; sperm $0.00<br />89354 Thaw cryoprsvrd; reprod tiss $0.00<br />89355 Exam feces for starch $9.34<br />89356 Thawing cryopresrved; oocyte $0.00<br />89360 Collect sweat for test $22.65<br />89365 Water load test $15.38<br /><br />with 9<br /><br />90281 Human ig, im $17.00<br />90283 Human ig, iv By Report<br />90287 Botulinum antitoxin $0.00<br />90288 Botulism ig, iv $0.00<br />90291 Cmv ig, iv $0.00<br />90296 Diphtheria antitoxin $0.00<br />90371 Hep b ig, im $968.00<br />90375 Rabies ig, im/sc By Report<br />90376 Rabies ig, heat treated $0.00<br />90378 Rsv ig, im, 50mg $833.24<br />90379 Rsv ig, iv $0.00<br />90384 Rh ig, full-dose, im $149.45<br />90385 Rh ig, minidose, im $30.00<br />90386 Rh ig, iv $875.00<br />90389 Tetanus ig, im By Report<br />90393 Vaccina ig, im By Report<br />90396 Varicella-zoster ig, im By Report<br />90399 Immune globulin $0.00<br />90471 Immunization admin $12.76<br />90472 Immunization admin, each add $9.98<br />90473 Immune admin oral/nasal $18.97<br />90474 Immune admin oral/nasal addl $20.00<br />90476 Adenovirus vaccine, type 4 By Report<br />90477 Adenovirus vaccine, type 7 By Report<br />90581 Anthrax vaccine, sc $0.00<br />90585 Bcg vaccine, percut $200.00<br />90586 Bcg vaccine, intravesical $0.00<br />90632 Hep a vaccine, adult im $107.02<br />90633 Hep a vacc, ped/adol, 2 dose $75.68<br />90634 Hep a vacc, ped/adol, 3 dose $47.00<br />90636 Hep a/hep b vacc, adult im $152.84<br />90645 Hib vaccine, hboc, im $42.49<br />90646 Hib vaccine, prp-d, im $28.41<br />90647 Hib vaccine, prp-omp, im $54.12<br />90648 Hib vaccine, prp-t, im $40.15<br />90655 Flu vaccine, 6-35 mo, im $24.22<br />90657 Flu vaccine, 6-35 mo, im $15.25<br />90658 Flu vaccine, 3 yrs, im $18.32<br />90659 Flu vaccine, whole, im $19.98<br />90660 Flu vaccine, nasal $95.12<br />90665 Lyme disease vaccine, im By Report<br />90669 Pneumococcal vacc, ped <5 $119.17<br />90675 Rabies vaccine, im $149.00<br />90676 Rabies vaccine, id By Report<br />90680 Rotovirus vaccine, oral By Report<br />90690 Typhoid vaccine, oral $53.00<br />90691 Typhoid vaccine, im $78.00<br />90692 Typhoid vaccine, h-p, sc/id $54.91<br />90693 Typhoid vaccine, akd, sc $0.00<br />90698 Dtap-hib-ip vaccine, im $0.00<br />90700 Dtap vaccine, im $44.58<br />90701 Dtp vaccine, im $46.69<br />90702 Dt vaccine < 7, im $24.59<br />90703 Tetanus vaccine, im $23.39<br />90704 Mumps vaccine, sc $27.96<br />90705 Measles vaccine, sc $27.96<br />90706 Rubella vaccine, sc $27.96<br />90707 Mmr vaccine, sc $65.20<br />90708 Measles-rubella vaccine, sc $38.11<br />90710 Mmrv vaccine, sc $66.07<br />90712 Oral poliovirus vaccine $32.59<br />90713 Poliovirus, ipv, sc $45.11<br />90715 Tdap vaccine >7 im $80.00<br />90716 Chicken pox vaccine, sc $102.51<br />90717 Yellow fever vaccine, sc $97.65<br />90718 Td vaccine > 7, im $25.33<br />90719 Diphtheria vaccine, im $10.99<br />90720 Dtp/hib vaccine, im $56.29<br />90721 Dtap/hib vaccine, im $69.35<br />90723 Dtap-hep b-ipv vaccine, im $134.03<br />90725 Cholera vaccine, injectable $33.02<br />90727 Plague vaccine, im $16.07<br />90732 Pneumococcal vaccine $33.91<br />90733 Meningococcal vaccine, sc $114.67<br />90734 Meningococcal vaccine, im $0.00<br />90735 Encephalitis vaccine, sc $33.02<br />90740 Hepb vacc, ill pat 3 dose im $0.00<br />90743 Hep b vacc, adol, 2 dose, im $79.91<br />90744 Hepb vacc ped/adol 3 dose im $49.87<br />90746 Hep b vaccine, adult, im $93.44<br />90747 Hepb vacc, ill pat 4 dose im $121.36<br />90748 Hep b/hib vaccine, im $84.94<br />90749 Vaccine toxoid $0.00<br />90780 IV infusion therapy, 1 hour $152.51<br />90781 IV infusion, additional hour $45.74<br />90782 Injection, sc/im $21.04<br />90783 Injection, ia $33.02<br />90784 Injection, iv $60.34<br />90788 Injection of antibiotic $22.02<br />90799 Ther/prophylactic/dx inject $0.00<br />90801 Psy dx interview $175.23<br />90802 Intac psy dx interview $186.08<br />90804 Psytx, office, 20-30 min $75.28<br />90805 Psytx, off, 20-30 min w/e&m $101.77<br />90806 Psytx, off, 45-50 min $113.28<br />90807 Psytx, off, 45-50 min w/e&m $151.14<br />90808 Psytx, office, 75-80 min $169.20<br />90809 Psytx, off, 75-80, w/e&m $247.18<br />90810 Intac psytx, off, 20-30 min $83.63<br />90811 Intac psytx, 20-30, w/e&m $102.08<br />90812 Intac psytx, off, 45-50 min $122.13<br />90813 Intac psytx, 45-50 min w/e&m $148.88<br />90814 Intac psytx, off, 75-80 min $191.86<br />90815 Intac psytx, 75-80 w/e&m $222.49<br />90816 Psytx, hosp, 20-30 min $75.83<br />90817 Psytx, hosp, 20-30 min w/e&m $82.59<br />90818 Psytx, hosp, 45-50 min $114.21<br />90819 Psytx, hosp, 45-50 min w/e&m $140.39<br />90821 Psytx, hosp, 75-80 min $182.00<br />90822 Psytx, hosp, 75-80 min w/e&m $220.73<br />90823 Intac psytx, hosp, 20-30 min $86.71<br />90824 Intac psytx, hsp 20-30 w/e&m $105.08<br />90826 Intac psytx, hosp, 45-50 min $135.83<br />90827 Intac psytx, hsp 45-50 w/e&m $154.21<br />90828 Intac psytx, hosp, 75-80 min $210.25<br />90829 Intac psytx, hsp 75-80 w/e&m $228.70<br />90845 Psychoanalysis $133.69<br />90846 Family psytx w/o patient $114.70<br />90847 Family psytx w/patient $134.13<br />90849 Multiple family group psytx $62.99<br />90853 Group psychotherapy $45.83<br />90857 Intac group psytx $41.03<br />90862 Medication management $80.18<br />90865 Narcosynthesis $194.57<br />90870 Electroconvulsive therapy $117.90<br />90871 Electroconvulsive therapy $212.39<br />90875 Psychophysiological therapy $91.77<br />90876 Psychophysiological therapy $134.08<br />90880 Hypnotherapy $142.32<br />90882 Environmental manipulation $131.00<br />90885 Psy evaluation of records $59.16<br />90887 Consultation with family $101.01<br />90889 Preparation of report $100.00<br />90899 Psychiatric service/therapy $0.00<br />90901 Biofeedback train, any meth $46.05<br />90911 Biofeedback peri/uro/rectal $146.00<br />90918 ESRD related services, month $1,351.07<br />90919 ESRD related services, month $927.14<br />90920 ESRD related services, month $812.34<br />90921 ESRD related services, month $508.60<br />90922 ESRD related services, day $43.12<br />90923 Esrd related services, day $30.20<br />90924 Esrd related services, day $26.53<br />90925 Esrd related services, day $17.05<br />90935 Hemodialysis, one evaluation $138.60<br />90937 Hemodialysis, repeated eval $227.44<br />90939 Hemodialysis study, transcut $0.00<br />90940 Hemodialysis access study $0.00<br />90945 Dialysis, one evaluation $145.49<br />90947 Dialysis, repeated eval $233.24<br />90989 Dialysis training, complete $498.03<br />90993 Dialysis training, incompl $119.75<br />90997 Hemoperfusion $236.54<br />90999 Dialysis procedure $0.00<br />91000 Esophageal intubation $78.95<br />91000.26 Esophageal intubation $73.10<br />91010 Esophagus motility study $268.88<br />91010.26 Esophagus motility study $118.33<br />91011 Esophagus motility study $289.75<br />91011.26 Esophagus motility study $129.67<br />91012 Esophagus motility study $310.63<br />91012.26 Esophagus motility study $132.40<br />91020 Gastric motility $188.23<br />91020.26 Gastric motility $85.79<br />91030 Acid perfusion of esophagus $141.15<br />91030.26 Acid perfusion of esophagus $55.23<br />91032 Esophagus, acid reflux test $226.05<br />91032.26 Esophagus, acid reflux test $72.38<br />91033 Prolonged acid reflux test $233.59<br />91033.26 Prolonged acid reflux test $78.07<br />91052 Gastric analysis test $160.56<br />91052.26 Gastric analysis test $60.37<br />91055 Gastric intubation for smear $154.89<br />91055.26 Gastric intubation for smear $59.45<br />91060 Gastric saline load test $55.63<br />91060.26 Gastric saline load test $43.93<br />91065 Breath hydrogen test $150.91<br />91065.26 Breath hydrogen test $20.10<br />91100 Pass intestine bleeding tube $103.01<br />91105 Gastric intubation treatment $34.51<br />91110 Gi tract capsule endoscopy $1,303.44<br />91110.26 Gi tract capsule endoscopy $272.79<br />91122 Anal pressure record $333.76<br />91122.26 Anal pressure record $106.56<br />91123 Irrigate fecal impaction Paid Elsewhere<br />91132 Electrogastrography $36.10<br />91132.26 Electrogastrography $36.10/td><br />91133 Electrogastrography w/test $48.77<br />91133.26 Electrogastrography w/test $48.77<br />91299 Gastroenterology procedure $0.00<br />91299.26 Gastroenterology procedure $0.00<br />92002 Eye exam, new patient $87.68<br />92004 Eye exam, new patient $147.83<br />92012 Eye exam established pat $72.36<br />92014 Eye exam & treatment $106.70<br />92015 Refraction $78.78<br />92018 New eye exam & treatment $217.84<br />92019 Eye exam & treatment $137.75<br />92020 Special eye evaluation $50.69<br />92060 Special eye evaluation $75.49<br />92060.26 Special eye evaluation $53.28<br />92065 Orthoptic/pleoptic training $65.49<br />92065.26 Orthoptic/pleoptic training $38.30<br />92070 Fitting of contact lens $107.28<br />92081 Visual field examination(s) $79.44<br />92081.26 Visual field examination(s) $34.65<br />92082 Visual field examination(s) $105.19<br />92082.26 Visual field examination(s) $43.19<br />92083 Visual field examination(s) $93.52<br />92083.26 Visual field examination(s) $38.12<br />92100 Serial tonometry exam(s) $93.68<br />92120 Tonography & eye evaluation $79.67<br />92130 Water provocation tonography $87.51<br />92135 Opthalmic dx imaging $80.52<br />92135.26 Opthalmic dx imaging $37.49<br />92136 Ophthalmic biometry $147.57<br />92136.26 Ophthalmic biometry $52.22<br />92140 Glaucoma provocative tests $61.44<br />92225 Special eye exam, initial $43.87<br />92226 Special eye exam, subsequent $39.44<br />92230 Eye exam with photos $160.47<br />92235 Eye exam with photos $264.79<br />92235.26 Eye exam with photos $86.59<br />92240 Icg angiography $341.34<br />92240.26 Icg angiography $69.94<br />92250 Eye exam with photos $91.59<br />92250.26 Eye exam with photos $28.18<br />92260 Ophthalmoscopy/dynamometry $35.24<br />92265 Eye muscle evaluation $191.30<br />92265.26 Eye muscle evaluation $80.45<br />92270 Electro-oculography $169.95<br />92270.26 Electro-oculography $85.27<br />92275 Electroretinography $200.28<br />92275.26 Electroretinography $100.32<br />92283 Color vision examination $70.53<br />92283.26 Color vision examination $17.86<br />92284 Dark adaptation eye exam $106.59<br />92284.26 Dark adaptation eye exam $14.68<br />92285 Eye photography $53.57<br />92285.26 Eye photography $12.88<br />92286 Internal eye photography $172.52<br />92286.26 Internal eye photography $42.95<br />92287 Internal eye photography $147.83<br />92310 Contact lens fitting $99.51<br />92311 Contact lens fitting $163.26<br />92312 Contact lens fitting $175.33<br />92313 Contact lens fitting $149.25<br />92314 Prescription of contact lens $116.59<br />92315 Prescription of contact lens $99.35<br />92316 Prescription of contact lens $119.97<br />92317 Prescription of contact lens $106.24<br />92325 Modification of contact lens $27.19<br />92326 Replacement of contact lens $68.98<br />92330 Fitting of artificial eye $156.72<br />92335 Fitting of artificial eye $103.49<br />92340 Fitting of spectacles $76.17<br />92341 Fitting of spectacles $68.59<br />92342 Fitting of spectacles $92.25<br />92352 Special spectacles fitting $68.28<br />92353 Special spectacles fitting $71.31<br />92354 Special spectacles fitting $369.30<br />92355 Special spectacles fitting $179.49<br />92358 Eye prosthesis service $68.50<br />92370 Repair & adjust spectacles $57.58<br />92371 Repair & adjust spectacles $43.37<br />92390 Supply of spectacles $116.06<br />92391 Supply of contact lenses $144.76<br />92392 Supply of low vision aids $156.98<br />92393 Supply of artificial eye $829.22<br />92395 Supply of spectacles $91.56<br />92396 Supply of contact lenses $111.54<br />92499 Eye service or procedure $0.00<br />92499.26 Eye service or procedure $0.00<br />92502 Ear and throat examination $115.78<br />92504 Ear microscopy examination $47.52<br />92506 Speech/hearing evaluation $237.29<br />92507 Speech/hearing therapy $117.32<br />92508 Speech/hearing therapy $51.74<br />92510 Rehab for ear implant $257.62<br />92511 Nasopharyngoscopy $197.76<br />92512 Nasal function studies $77.15<br />92516 Facial nerve function test $85.90<br />92520 Laryngeal function studies $92.55<br />92526 Oral function therapy $93.63<br />92531 Spontaneous nystagmus study $28.32<br />92532 Positional nystagmus test $39.07<br />92533 Caloric vestibular test $22.51<br />92534 Optokinetic nystagmus test $11.73<br />92541 Spontaneous nystagmus test $98.03<br />92541.26 Spontaneous nystagmus test $43.64<br />92542 Positional nystagmus test $98.65<br />92542.26 Positional nystagmus test $36.00<br />92543 Caloric vestibular test $44.64<br />92543.26 Caloric vestibular test $11.25<br />92544 Optokinetic nystagmus test $78.28<br />92544.26 Optokinetic nystagmus test $28.02<br />92545 Oscillating tracking test $72.60<br />92545.26 Oscillating tracking test $25.09<br />92546 Sinusoidal rotational test $146.61<br />92546.26 Sinusoidal rotational test $30.95<br />92547 Supplemental electrical test $74.60<br />92548 Posturography $175.36<br />92548.26 Posturography $37.41<br />92551 Pure tone hearing test, air $21.23<br />92552 Pure tone audiometry, air $31.67<br />92553 Audiometry, air & bone $47.50<br />92555 Speech threshold audiometry $26.85<br />92556 Speech audiometry, complete $41.30<br />92557 Comprehensive hearing test $86.04<br />92559 Group audiometric testing $40.07<br />92560 Bekesy audiometry, screen $22.51<br />92561 Bekesy audiometry, diagnosis $45.91<br />92562 Loudness balance test $17.51<br />92563 Tone decay hearing test $17.51<br />92564 Sisi hearing test $20.44<br />92565 Stenger test, pure tone $17.51<br />92567 Tympanometry $37.86<br />92568 Acoustic reflex testing $26.85<br />92569 Acoustic reflex decay test $28.91<br />92571 Filtered speech hearing test $17.51<br />92572 Staggered spondaic word test $6.54<br />92573 Lombard test $18.51<br />92575 Sensorineural acuity test $18.51<br />92576 Synthetic sentence test $19.20<br />92577 Stenger test, speech $31.18<br />92579 Visual audiometry (vra) $52.32<br />92582 Conditioning play audiometry $52.32<br />92583 Select picture audiometry $38.41<br />92584 Electrocochleography $154.39<br />92585 Auditor evoke potent, compre $186.03<br />92585.26 Auditor evoke potent, compre $53.17<br />92586 Auditor evoke potent, limit $132.86<br />92587 Evoked auditory test $85.56<br />92587.26 Evoked auditory test $11.69<br />92588 Evoked auditory test $144.60<br />92588.26 Evoked auditory test $38.93<br />92589 Auditory function test(s) $38.55<br />92590 Hearing aid exam, one ear $125.97<br />92591 Hearing aid exam, both ears $98.09<br />92592 Hearing aid check, one ear $45.79<br />92593 Hearing aid check, both ears $68.47<br />92594 Electro hearng aid test, one $45.91<br />92595 Electro hearng aid tst, both $68.47<br />92596 Ear protector evaluation $42.68<br />92597 Oral speech device eval $182.29<br />92601 Cochlear implt f/up exam < 7 $203.12<br />92602 Reprogram cochlear implt < 7 $140.70<br />92603 Cochlear implt f/up exam 7 > $133.88<br />92604 Reprogram cochlear implt 7 > $88.97<br />92605 Eval for nonspeech device rx Paid Elsewhere<br />92606 Non-speech device service Paid Elsewhere<br />92607 Ex for speech device rx, 1hr $190.46<br />92608 Ex for speech device rx addl $41.07<br />92609 Use of speech device service $94.81<br />92610 Evaluate swallowing function $200.28<br />92611 Motion fluoroscopy/swallow $200.28<br />92612 Endoscopy swallow tst (fees) $170.50<br />92613 Endoscopy swallow tst (fees) $68.47<br />92614 Laryngoscopic sensory test $158.10<br />92615 Eval laryngoscopy sense tst $68.47<br />92616 Fees w/laryngeal sense test $221.79<br />92617 Interprt fees/laryngeal test $91.00<br />92700 Ent procedure/service $0.00<br />92950 Heart/lung resuscitation cpr $359.06<br />92953 Temporary external pacing $33.35<br />92960 Cardioversion electric, ext $629.99<br />92961 Cardioversion, electric, int $493.85<br />92970 Cardioassist, internal $342.98<br />92971 Cardioassist, external $182.47<br />92973 Percut coronary thrombectomy $338.55<br />92974 Cath place, cardio brachytx $311.09<br />92975 Dissolve clot, heart vessel $743.37<br />92977 Dissolve clot, heart vessel $572.08<br />92978 Intravasc us, heart add-on $509.26<br />92978.26 Intravasc us, heart add-on $185.70<br />92979 Intravasc us, heart add-on $310.61<br />92979.26 Intravasc us, heart add-on $147.80<br />92980 Insert intracoronary stent $1,554.08<br />92981 Insert intracoronary stent $431.79<br />92982 Coronary artery dilation $1,153.30<br />92984 Coronary artery dilation $307.48<br />92986 Revision of aortic valve $2,472.67<br />92987 Revision of mitral valve $2,568.44<br />92990 Revision of pulmonary valve $1,993.01<br />92992 Revision of heart chamber $8,235.99<br />92993 Revision of heart chamber $8,744.63<br />92995 Coronary atherectomy $1,268.19<br />92996 Coronary atherectomy add-on $338.08<br />92997 Pul art balloon repr, percut $1,254.58<br />92998 Pul art balloon repr, percut $612.14<br />93000 Electrocardiogram, complete $48.84<br />93005 Electrocardiogram, tracing $31.67<br />93010 Electrocardiogram report $17.17<br />93012 Transmission of ecg $253.21<br />93014 Report on transmitted ecg $52.60<br />93015 Cardiovascular stress test $196.79<br />93016 Cardiovascular stress test $45.65<br />93017 Cardiovascular stress test $120.13<br />93018 Cardiovascular stress test $31.01<br />93024 Cardiac drug stress test $199.92<br />93024.26 Cardiac drug stress test $120.07<br />93025 Microvolt t-wave assess $623.66<br />93025.26 Microvolt t-wave assess $76.66<br />93040 Rhythm ECG with report $26.40<br />93041 Rhythm ECG, tracing $10.67<br />93042 Rhythm ECG, report $15.73<br />93224 ECG monitor/report, 24 hrs $296.98<br />93225 ECG monitor/record, 24 hrs $88.12<br />93226 ECG monitor/report, 24 hrs $155.58<br />93227 ECG monitor/review, 24 hrs $53.29<br />93230 ECG monitor/report, 24 hrs $316.26<br />93231 Ecg monitor/record, 24 hrs $108.42<br />93232 ECG monitor/report, 24 hrs $154.55<br />93233 ECG monitor/review, 24 hrs $53.29<br />93235 ECG monitor/report, 24 hrs $230.84<br />93236 ECG monitor/report, 24 hrs $185.19<br />93237 ECG monitor/review, 24 hrs $45.65<br />93268 ECG record/review $343.99<br />93270 ECG recording $88.12<br />93271 Ecg/monitoring and analysis $253.21<br />93272 Ecg/review, interpret only $52.60<br />93278 ECG/signal-averaged $108.84<br />93278.26 ECG/signal-averaged $25.90<br />93303 Echo transthoracic $406.17<br />93303.26 Echo transthoracic $131.84<br />93304 Echo transthoracic $214.68<br />93304.26 Echo transthoracic $75.97<br />93307 Echo exam of heart $369.19<br />93307.26 Echo exam of heart $94.86<br />93308 Echo exam of heart $193.44<br />93308.26 Echo exam of heart $54.72<br />93312 Echo transesophageal $492.99<br />93312.26 Echo transesophageal $222.10<br />93313 Echo transesophageal $87.46<br />93314 Echo transesophageal $398.30<br />93314.26 Echo transesophageal $127.42<br />93315 Echo transesophageal $980.06<br />93315.26 Echo transesophageal $281.94<br />93316 Echo transesophageal $89.52<br />93317 Echo transesophageal $784.09<br />93317.26 Echo transesophageal $185.18<br />93318 Echo transesophageal intraop $618.12<br />93318.26 Echo transesophageal intraop $199.04<br />93320 Doppler echo exam, heart $161.58<br />93320.26 Doppler echo exam, heart $39.05<br />93321 Doppler echo exam, heart $95.53<br />93321.26 Doppler echo exam, heart $15.67<br />93325 Doppler color flow add-on $215.19<br />93325.26 Doppler color flow add-on $7.64<br />93350 Echo transthoracic $276.77<br />93350.26 Echo transthoracic $150.45<br />93501 Right heart catheterization $1,514.90<br />93501.26 Right heart catheterization $311.21<br />93503 Insert/place heart catheter $270.63<br />93505 Biopsy of heart lining $594.78<br />93505.26 Biopsy of heart lining $452.28<br />93508 Cath placement, angiography $1,350.43<br />93508.26 Cath placement, angiography $457.89<br />93510 Left heart catheterization $3,113.74<br />93510.26 Left heart catheterization $481.94<br />93511 Left heart catheterization $3,116.10<br />93511.26 Left heart catheterization $554.18<br />93514 Left heart catheterization $3,319.25<br />93514.26 Left heart catheterization $757.32<br />93524 Left heart catheterization $4,100.70<br />93524.26 Left heart catheterization $752.61<br />93526 Rt & Lt heart catheters $4,093.39<br />93526.26 Rt & Lt heart catheters $653.39<br />93527 Rt & Lt heart catheters $4,136.01<br />93527.26 Rt & Lt heart catheters $787.92<br />93528 Rt & Lt heart catheters $4,317.80<br />93528.26 Rt & Lt heart catheters $969.71<br />93529 Rt, lt heart catheterization $3,873.73<br />93529.26 Rt, lt heart catheterization $525.64<br />93530 Rt heart cath, congenital $1,662.33<br />93530.26 Rt heart cath, congenital $458.64<br />93531 R & l heart cath, congenital $4,328.80<br />93531.26 R & l heart cath, congenital $888.81<br />93532 R & l heart cath, congenital $4,409.68<br />93532.26 R & l heart cath, congenital $1,061.59<br />93533 R & l heart cath, congenital $4,058.96<br />93533.26 R & l heart cath, congenital $710.87<br />93539 Injection, cardiac cath $41.23<br />93540 Injection, cardiac cath $44.16<br />93541 Injection for lung angiogram $29.57<br />93542 Injection for heart x-rays $29.57<br />93543 Injection for heart x-rays $30.26<br />93544 Injection for aortography $25.90<br />93545 Inject for coronary x-rays $41.23<br />93555 Imaging, cardiac cath $529.30<br />93555.26 Imaging, cardiac cath $83.89<br />93556 Imaging, cardiac cath $787.23<br />93556.26 Imaging, cardiac cath $86.07<br />93561 Cardiac output measurement $86.90<br />93561.26 Cardiac output measurement $49.04<br />93562 Cardiac output measurement $39.14<br />93562.26 Cardiac output measurement $15.73<br />93571 Heart flow reserve measure $509.25<br />93571.26 Heart flow reserve measure $185.69<br />93572 Heart flow reserve measure $311.97<br />93572.26 Heart flow reserve measure $149.15<br />93580 Transcath closure of asd $1,880.72<br />93581 Transcath closure of vsd $2,507.66<br />93600 Bundle of His recording $359.31<br />93600.26 Bundle of His recording $219.91<br />93602 Intra-atrial recording $299.77<br />93602.26 Intra-atrial recording $220.25<br />93603 Right ventricular recording $339.35<br />93603.26 Right ventricular recording $219.22<br />93609 Map tachycardia, add-on $721.58<br />93609.26 Map tachycardia, add-on $528.48<br />93610 Intra-atrial pacing $409.65<br />93610.26 Intra-atrial pacing $312.58<br />93612 Intraventricular pacing $427.89<br />93612.26 Intraventricular pacing $312.58<br />93613 Electrophys map 3d, add-on $733.60<br />93615 Esophageal recording $116.61<br />93615.26 Esophageal recording $93.89<br />93616 Esophageal recording $165.30<br />93616.26 Esophageal recording $142.58<br />93618 Heart rhythm pacing $724.54<br />93618.26 Heart rhythm pacing $442.29<br />93619 Electrophysiology evaluation $1,330.97<br />93619.26 Electrophysiology evaluation $781.96<br />93620 Electrophysiology evaluation $3,918.60<br />93620.26 Electrophysiology evaluation $1,223.28<br />93621 Electrophysiology evaluation $4,310.65<br />93621.26 Electrophysiology evaluation $219.44<br />93622 Electrophysiology evaluation $4,310.65<br />93622.26 Electrophysiology evaluation $342.56<br />93623 Stimulation, pacing heart $1,110.22<br />93623.26 Stimulation, pacing heart $296.10<br />93624 Electrophysiologic study $661.66<br />93624.26 Electrophysiologic study $520.19<br />93631 Heart pacing, mapping $1,231.66<br />93631.26 Heart pacing, mapping $785.61<br />93640 Evaluation heart device $873.40<br />93640.26 Evaluation heart device $363.29<br />93641 Electrophysiology evaluation $1,124.61<br />93641.26 Electrophysiology evaluation $614.49<br />93642 Electrophysiology evaluation $1,033.89<br />93642.26 Electrophysiology evaluation $523.77<br />93650 Ablate heart dysrhythm focus $1,112.34<br />93651 Ablate heart dysrhythm focus $1,684.47<br />93652 Ablate heart dysrhythm focus $1,831.81<br />93660 Tilt table evaluation $311.53<br />93660.26 Tilt table evaluation $194.48<br />93662 Intracardiac ecg (ice) $691.95<br />93662.26 Intracardiac ecg (ice) $302.31<br />93668 Peripheral vascular rehab $0.00<br />93701 Bioimpedance, thoracic $83.61<br />93701.26 Bioimpedance, thoracic $17.86<br />93720 Total body plethysmography $67.42<br />93721 Plethysmography tracing $50.94<br />93722 Plethysmography report $16.48<br />93724 Analyze pacemaker system $786.40<br />93724.26 Analyze pacemaker system $504.15<br />93727 Analyze ilr system $54.66<br />93731 Analyze pacemaker system $81.79<br />93731.26 Analyze pacemaker system $46.68<br />93732 Analyze pacemaker system $131.34<br />93732.26 Analyze pacemaker system $94.86<br />93733 Telephone analy, pacemaker $70.17<br />93733.26 Telephone analy, pacemaker $17.86<br />93734 Analyze pacemaker system $63.83<br />93734.26 Analyze pacemaker system $39.05<br />93735 Analyze pacemaker system $108.26<br />93735.26 Analyze pacemaker system $76.60<br />93736 Telephonic analy, pacemaker $61.11<br />93736.26 Telephonic analy, pacemaker $15.67<br />93740 Temperature gradient studies $26.40<br />93740.26 Temperature gradient studies $15.04<br />93741 Analyze ht pace device sngl $114.85<br />93741.26 Analyze ht pace device sngl $72.87/td><br />93742 Analyze ht pace device sngl $140.93<br />93742.26 Analyze ht pace device sngl $93.43<br />93743 Analyze ht pace device dual $158.15<br />93743.26 Analyze ht pace device dual $105.83<br />93744 Analyze ht pace device dual $168.66<br />93744.26 Analyze ht pace device dual $121.16<br />93760 Cephalic thermogram $313.47<br />93762 Peripheral thermogram $392.04<br />93770 Measure venous pressure $18.14<br />93770.26 Measure venous pressure $15.73<br />93784 Ambulatory BP monitoring $136.12<br />93786 Ambulatory BP recording $63.00<br />93788 Ambulatory BP analysis $35.46<br />93790 Review/report BP recording $37.67<br />93797 Cardiac rehab $39.26<br />93798 Cardiac rehab/monitor $54.99<br />93799 Cardiovascular procedure $0.00<br />93799.26 Cardiovascular procedure $0.00<br />93875 Extracranial study $134.83<br />93875.26 Extracranial study $22.28<br />93880 Extracranial study $346.31<br />93880.26 Extracranial study $60.98<br />93882 Extracranial study $246.36<br />93882.26 Extracranial study $41.22<br />93886 Intracranial study $393.38<br />93886.26 Intracranial study $97.73<br />93888 Intracranial study $265.19<br />93888.26 Intracranial study $63.85<br />93922 Extremity study $156.69<br />93922.26 Extremity study $25.55<br />93923 Extremity study $249.41<br />93923.26 Extremity study $45.64<br />93924 Extremity study $306.84<br />93924.26 Extremity study $51.10<br />93925 Lower extremity study $392.32<br />93925.26 Lower extremity study $58.80<br />93926 Lower extremity study $278.66<br />93926.26 Lower extremity study $39.44<br />93930 Upper extremity study $313.48<br />93930.26 Upper extremity study $46.74<br />93931 Upper extremity study $226.22<br />93931.26 Upper extremity study $31.41<br />93965 Extremity study $159.00<br />93965.26 Extremity study $35.08<br />93970 Extremity study $339.88<br />93970.26 Extremity study $68.67<br />93971 Extremity study $241.14<br />93971.26 Extremity study $45.30<br />93975 Vascular study $554.32<br />93975.26 Vascular study $180.18<br />93976 Vascular study $341.26<br />93976.26 Vascular study $120.30<br />93978 Vascular study $309.76<br />93978.26 Vascular study $65.74<br />93979 Vascular study $225.25<br />93979.26 Vascular study $44.90<br />93980 Penile vascular study $436.84<br />93980.26 Penile vascular study $124.31<br />93981 Penile vascular study $361.57<br />93981.26 Penile vascular study $43.87<br />93990 Doppler flow testing $262.71<br />93990.26 Doppler flow testing $25.55<br />94010 Breathing capacity test $59.85<br />94010.26 Breathing capacity test $16.48<br />94014 Patient recorded spirometry $92.87<br />94015 Patient recorded spirometry $41.65<br />94016 Review patient spirometry $51.22<br />94060 Evaluation of wheezing $102.66<br />94060.26 Evaluation of wheezing $30.38<br />94070 Evaluation of wheezing $254.78<br />94070.26 Evaluation of wheezing $58.57<br />94150 Vital capacity test $29.29<br />94150.26 Vital capacity test $5.74<br />94200 Lung function test (MBC/MVV) $39.54<br />94200.26 Lung function test (MBC/MVV) $10.62<br />94240 Residual lung capacity $69.67<br />94240.26 Residual lung capacity $25.27<br />94250 Expired gas collection $45.66<br />94250.26 Expired gas collection $9.04<br />94260 Thoracic gas volume $50.67<br />94260.26 Thoracic gas volume $12.80<br />94350 Lung nitrogen washout curve $72.77<br />94350.26 Lung nitrogen washout curve $25.27<br />94360 Measure airflow resistance $69.32<br />94360.26 Measure airflow resistance $25.27<br />94370 Breath airway closing volume $64.15<br />94370.26 Breath airway closing volume $23.15<br />94375 Respiratory flow volume loop $66.18<br />94375.26 Respiratory flow volume loop $30.38<br />94400 CO2 breathing response curve $90.10<br />94400.26 CO2 breathing response curve $38.47<br />94450 Hypoxia response curve $78.06<br />94450.26 Hypoxia response curve $38.82<br />94620 Pulmonary stress test/simple $218.52<br />94620.26 Pulmonary stress test/simple $62.25<br />94621 Pulm stress test/complex $253.35<br />94621.26 Pulm stress test/complex $137.70<br />94640 Airway inhalation treatment $22.72<br />94642 Aerosol inhalation treatment $130.97<br />94656 Initial ventilator mgmt $174.75<br />94657 Continued ventilator mgmt $132.20<br />94660 Pos airway pressure, CPAP $103.56<br />94662 Neg press ventilation, cnp $73.96<br />94664 Evaluate pt use of inhaler $23.40<br />94667 Chest wall manipulation $38.89<br />94668 Chest wall manipulation $32.36<br />94680 Exhaled air analysis, o2 $151.94<br />94680.26 Exhaled air analysis, o2 $25.27<br />94681 Exhaled air analysis, o2/co2 $199.78<br />94681.26 Exhaled air analysis, o2/co2 $20.10<br />94690 Exhaled air analysis $142.58<br />94690.26 Exhaled air analysis $6.95<br />94720 Monoxide diffusing capacity $90.66<br />94720.26 Monoxide diffusing capacity $25.27<br />94725 Membrane diffusion capacity $208.70<br />94725.26 Membrane diffusion capacity $23.45<br />94750 Pulmonary compliance study $111.84<br />94750.26 Pulmonary compliance study $22.34<br />94760 Measure blood oxygen level $3.44<br />94761 Measure blood oxygen level $6.88<br />94762 Measure blood oxygen level $30.97<br />94770 Exhaled carbon dioxide test $114.41<br />94770.26 Exhaled carbon dioxide test $12.69<br />94772 Breath recording, infant $313.72<br />94772.26 Breath recording, infant $313.72<br />94799 Pulmonary service/procedure $0.00<br />94799.26 Pulmonary service/procedure $0.00<br />95004 Percut allergy skin tests $7.23<br />95010 Percut allergy titrate test $20.56<br />95015 Id allergy titrate-drug/bug $19.55<br />95024 Id allergy test, drug/bug $10.67<br />95027 Id allergy titrate-airborne $10.67<br />95028 Id allergy test-delayed type $12.84<br />95044 Allergy patch tests $14.01<br />95052 Photo patch test $10.95<br />95056 Photosensitivity tests $8.56<br />95060 Eye allergy tests $18.18<br />95065 Nose allergy test $14.80<br />95070 Bronchial allergy tests $158.35<br />95071 Bronchial allergy tests $202.42<br />95075 Ingestion challenge test $129.46<br />95078 Provocative testing $18.59<br />95115 Immunotherapy, one injection $23.00<br />95117 Immunotherapy injections $28.35<br />95120 Immunotherapy, one injection $18.78<br />95125 Immunotherapy, many antigens $34.82<br />95130 Immunotherapy, insect venom $59.89<br />95131 Immunotherapy, insect venoms $52.28<br />95132 Immunotherapy, insect venoms $98.24<br />95133 Immunotherapy, insect venoms $110.66<br />95134 Immunotherapy, insect venoms $122.99<br />95144 Antigen therapy services $15.15<br />95145 Antigen therapy services $20.40<br />95146 Antigen therapy services $35.12<br />95147 Antigen therapy services $33.74<br />95148 Antigen therapy services $44.76<br />95149 Antigen therapy services $60.59<br />95165 Antigen therapy services $17.07<br />95170 Antigen therapy services $14.46<br />95180 Rapid desensitization $256.46<br />95199 Allergy immunology services $0.00<br />95250 Glucose monitoring, cont $196.36<br />95805 Multiple sleep latency test $764.37<br />95805.26 Multiple sleep latency test $112.94<br />95806 Sleep study, unattended $399.30<br />95806.26 Sleep study, unattended $162.85<br />95807 Sleep study, attended $590.66<br />95807.26 Sleep study, attended $101.69<br />95808 Polysomnography, 1-3 $1,045.44<br />95808.26 Polysomnography, 1-3 $251.39<br />95810 Polysomnography, 4 or more $1,453.88<br />95810.26 Polysomnography, 4 or more $348.90<br />95811 Polysomnography w/cpap $1,573.53<br />95811.26 Polysomnography w/cpap $375.94<br />95812 Eeg, 41-60 minutes $355.34<br />95812.26 Eeg, 41-60 minutes $113.35<br />95813 Eeg, over 1 hour $474.79<br />95813.26 Eeg, over 1 hour $179.78<br />95816 Eeg, awake and drowsy $297.31<br />95816.26 Eeg, awake and drowsy $112.27<br />95819 Eeg, awake and asleep $339.85<br />95819.26 Eeg, awake and asleep $114.03<br />95822 Eeg, coma or sleep only $319.02<br />95822.26 Eeg, coma or sleep only $93.60<br />95824 Eeg, cerebral death only $421.24<br />95824.26 Eeg, cerebral death only $79.35<br />95827 Eeg, all night recording $272.71<br />95827.26 Eeg, all night recording $109.56<br />95829 Surgery electrocorticogram $1,578.82<br />95829.26 Surgery electrocorticogram $381.65<br />95830 Insert electrodes for EEG $337.01<br />95831 Limb muscle testing, manual $44.66<br />95832 Hand muscle testing, manual $39.21<br />95833 Body muscle testing, manual $66.42<br />95834 Body muscle testing, manual $79.92<br />95851 Range of motion measurements $37.77<br />95852 Range of motion measurements $26.46<br />95857 Tensilon test $82.26<br />95858 Tensilon test & myogram $192.56<br />95858.26 Tensilon test & myogram $164.34<br />95860 Muscle test, one limb $173.58<br />95860.26 Muscle test, one limb $101.98<br />95861 Muscle test, 2 limbs $216.88<br />95861.26 Muscle test, 2 limbs $163.87<br />95863 Muscle test, 3 limbs $264.59<br />95863.26 Muscle test, 3 limbs $197.81<br />95864 Muscle test, 4 limbs $338.26<br />95864.26 Muscle test, 4 limbs $210.90<br />95867 Muscle test cran nerv unilat $125.77<br />95867.26 Muscle test cran nerv unilat $84.46<br />95868 Muscle test cran nerve bilat $174.85<br />95868.26 Muscle test cran nerve bilat $124.94<br />95869 Muscle test, thor paraspinal $54.82<br />95869.26 Muscle test, thor paraspinal $38.99<br />95870 Muscle test, nonparaspinal $54.82<br />95870.26 Muscle test, nonparaspinal $38.99<br />95872 Muscle test, one fiber $200.13<br />95872.26 Muscle test, one fiber $157.10<br />95875 Limb exercise test $186.43<br />95875.26 Limb exercise test $115.53<br />95900 Motor nerve conduction test $121.21<br />95900.26 Motor nerve conduction test $44.79<br />95903 Motor nerve conduction test $129.48<br />95903.26 Motor nerve conduction test $63.39<br />95904 Sense nerve conduction test $102.84<br />95904.26 Sense nerve conduction test $36.06<br />95920 Intraop nerve test add-on $320.70<br />95920.26 Intraop nerve test add-on $228.11<br />95921 Autonomic nerv function test $117.46<br />95921.26 Autonomic nerv function test $91.30<br />95922 Autonomic nerv function test $126.76<br />95922.26 Autonomic nerv function test $100.60<br />95923 Autonomic nerv function test $185.76<br />95923.26 Autonomic nerv function test $82.23<br />95925 Somatosensory testing $121.56<br />95925.26 Somatosensory testing $56.85<br />95926 Somatosensory testing $122.24<br />95926.26 Somatosensory testing $57.53<br />95927 Somatosensory testing $123.62<br />95927.26 Somatosensory testing $58.91<br />95930 Visual evoked potential test $125.28<br />95930.26 Visual evoked potential test $36.81<br />95933 Blink reflex test $117.72<br />95933.26 Blink reflex test $61.27<br />95934 H-reflex test $69.75<br />95934.26 H-reflex test $53.92<br />95936 H-reflex test $74.11<br />95936.26 H-reflex test $58.28<br />95937 Neuromuscular junction test $91.91<br />95937.26 Neuromuscular junction test $67.81<br />95950 Ambulatory eeg monitoring $438.69<br />95950.26 Ambulatory eeg monitoring $160.25<br />95951 EEG monitoring/videorecord $2,277.49<br />95951.26 EEG monitoring/videorecord $632.47<br />95953 EEG monitoring/computer $774.87<br />95953.26 EEG monitoring/computer $322.93<br />95954 EEG monitoring/giving drugs $484.49<br />95954.26 EEG monitoring/giving drugs $259.36<br />95955 EEG during surgery $243.73<br />95955.26 EEG during surgery $102.26<br />95956 Eeg monitoring, cable/radio $1,180.47<br />95956.26 Eeg monitoring, cable/radio $312.76<br />95957 EEG digital analysis $330.97<br />95957.26 EEG digital analysis $209.12<br />95958 EEG monitoring/function test $569.59<br />95958.26 EEG monitoring/function test $444.65<br />95961 Electrode stimulation, brain $412.80<br />95961.26 Electrode stimulation, brain $320.21<br />95962 Electrode stim, brain add-on $435.20<br />95962.26 Electrode stim, brain add-on $342.61<br />95965 Meg, spontaneous $2,007.55<br />95965.26 Meg, spontaneous $844.80<br />95966 Meg, evoked, single $1,180.47<br />95966.26 Meg, evoked, single $423.23<br />95967 Meg, evoked, each add’l $927.73<br />95967.26 Meg, evoked, each add’l $357.67<br />95970 Analyze neurostim, no prog $46.68<br />95971 Analyze neurostim, simple $79.92<br />95972 Analyze neurostim, complex $159.83<br />95973 Analyze neurostim, complex $98.29<br />95974 Cranial neurostim, complex $319.01<br />95975 Cranial neurostim, complex $179.95<br />95990 Spin/brain pump refil & main $105.33<br />95991 Spin/brain pump refil & main $94.81<br />95999 Neurological procedure $0.00<br />96000 Motion analysis, video/3d $172.97<br />96001 Motion test w/ft press meas $206.68<br />96002 Dynamic surface emg $41.63<br />96003 Dynamic fine wire emg $38.64<br />96004 Phys review of motion tests $228.64<br />96100 Psychological testing $128.03<br />96105 Assessment of aphasia $128.03<br />96110 Developmental test, lim $19.25<br />96111 Developmental test, extend $273.99<br />96115 Neurobehavior status exam $128.03<br />96117 Neuropsych test battery $128.03<br />96150 Assess lth/behave, init $51.10<br />96151 Assess hlth/behave, subseq $44.81<br />96152 Intervene hlth/behave, indiv $46.74<br />96153 Intervene hlth/behave, group $10.56<br />96154 Interv hlth/behav, fam w/pt $45.99<br />96155 Interv hlth/behav fam no pt $45.94<br />96400 Chemotherapy, sc/im $90.15<br />96405 Intralesional chemo admin $120.79<br />96406 Intralesional chemo admin $164.32<br />96408 Chemotherapy, push technique $137.01<br />96410 Chemotherapy,infusion method $217.59<br />96412 Chemo, infuse method add-on $66.04<br />96414 Chemo, infuse method add-on $224.90<br />96420 Chemotherapy, push technique $125.34<br />96422 Chemotherapy,infusion method $223.66<br />96423 Chemo, infuse method add-on $97.51<br />96425 Chemotherapy,infusion method $204.66<br />96440 Chemotherapy, intracavitary $456.90<br />96445 Chemotherapy, intracavitary $453.00<br />96450 Chemotherapy, into CNS $388.51<br />96520 Port pump refill & main $171.61<br />96530 Syst pump refill & main $127.00<br />96542 Chemotherapy injection $253.43<br />96545 Provide chemotherapy agent $90.20<br />96549 Chemotherapy, unspecified $0.00<br />96567 Photodynamic tx, skin $68.84<br />96570 Photodynamic tx, 30 min $109.33<br />96571 Photodynamic tx, addl 15 min $55.53<br />96900 Ultraviolet light therapy $33.73<br />96902 Trichogram $48.17<br />96910 Photochemotherapy with UV-B $55.79<br />96912 Photochemotherapy with UV-A $63.38<br />96913 Photochemotherapy, UV-A or B $125.98<br />96920 Laser tx, skin < 250 sq cm $370.64<br />96921 Laser tx, skin 250-500 sq cm $374.42<br />96922 Laser tx, skin > 500 sq cm $448.31<br />96999 Dermatological procedure $0.00<br />97001 Pt evaluation $129.24<br />97002 Pt re-evaluation $69.97<br />97003 Ot evaluation $132.48<br />97004 Ot re-evaluation $86.80<br />97005 Athletic train eval $123.87<br />97006 Athletic train reeval $67.41<br />97010 Hot or cold packs therapy $8.27<br />97012 Mechanical traction therapy $28.65<br />97014 Electric stimulation therapy $26.87<br />97016 Vasopneumatic device therapy $26.87<br />97018 Paraffin bath therapy $12.40<br />97020 Microwave therapy $8.95<br />97022 Whirlpool therapy $28.18<br />97024 Diathermy treatment $11.02<br />97026 Infrared therapy $8.95<br />97028 Ultraviolet therapy $11.14<br />97032 Electrical stimulation $30.03<br />97033 Electric current therapy $39.38<br />97034 Contrast bath therapy $27.04<br />97035 Ultrasound therapy $23.60<br />97036 Hydrotherapy $43.97<br />97039 Physical therapy treatment $22.16<br />97110 Therapeutic exercises $53.97<br />97112 Neuromuscular reeducation $53.31<br />97113 Aquatic therapy/exercises $59.98<br />97116 Gait training therapy $47.08<br />97124 Massage therapy $41.59<br />97139 Physical medicine procedure $29.79<br />97140 Manual therapy $50.62<br />97150 Group therapeutic procedures $33.24<br />97504 Orthotic training $50.50<br />97520 Prosthetic training $49.88<br />97530 Therapeutic activities $44.23<br />97532 Cognitive skills development $47.66<br />97533 Sensory integration $49.72<br />97535 Self care mngment training $45.64<br />97537 Community/work reintegration $52.54<br />97542 Wheelchair mngment training $53.22<br />97545 Work hardening $202.20<br />97546 Work hardening add-on $55.94<br />97601 Wound(s) care, selective $72.79<br />97602 Wound(s) care non-selective $37.54<br />97703 Prosthetic checkout $47.58<br />97750 Physical performance test $54.94<br />97755 Assistive technology assess $51.94<br />97780 Acupuncture w/o stimul $51.75<br />97781 Acupuncture w/stimul $96.41<br />97799 Physical medicine procedure $0.00<br />97802 Medical nutrition, indiv, in $29.40<br />97803 Med nutrition, indiv, subseq $26.04<br />97804 Medical nutrition, group $13.42<br />98925 Osteopathic manipulation $48.41<br />98926 Osteopathic manipulation $78.14<br />98927 Osteopathic manipulation $60.87<br />98928 Osteopathic manipulation $71.76<br />98929 Osteopathic manipulation $82.44<br />98940 Chiropractic manipulation $35.75<br />98941 Chiropractic manipulation $41.93<br />98942 Chiropractic manipulation $56.48<br />98943 Chiropractic manipulation $30.83<br />99000 Specimen handling $17.02<br />99001 Specimen handling $13.51<br />99002 Device handling $9.77<br />99024 Postop follow-up visit $35.00<br />99025 Initial surgical evaluation $27.11<br />99026 In-hospital on call service $46.86<br />99027 Out-of-hosp on call service $23.39<br />99050 Medical services after hrs $45.97<br />99052 Medical services at night $39.86<br />99054 Medical servcs, unusual hrs $38.91<br />99056 Non-office medical services $22.55<br />99058 Office emergency care $67.01<br />99070 Special supplies $43.18<br />99071 Patient education materials $15.61<br />99075 Medical testimony $164.91<br />99078 Group health education $45.12<br />99080 Special reports or forms $23.29<br />99082 Unusual physician travel $0.00<br />99090 Computer data analysis $105.71<br />99091 Collect/review data from pt $52.73<br />99100 Special anesthesia service $5.00<br />99116 Anesthesia with hypothermia $23.39<br />99135 Special anesthesia procedure $27.71<br />99140 Emergency anesthesia $59.04<br />99141 Sedation, iv/im or inhalant $193.65<br />99142 Sedation, oral/rectal/nasal $68.60<br />99170 Anogenital exam, child $151.11<br />99172 Ocular function screen $0.00<br />99173 Visual acuity screen $20.60<br />99175 Induction of vomiting $59.89<br />99183 Hyperbaric oxygen therapy $303.95<br />99185 Regional hypothermia $27.26<br />99186 Total body hypothermia $83.20<br />99190 Special pump services $405.22<br />99191 Special pump services $301.40<br />99192 Special pump services $200.53<br />99195 Phlebotomy $28.06<br />99199 Special service/proc/report $0.00<br />99201 Office/outpatient visit, new $66.14<br />99202 Office/outpatient visit, new $89.06<br />99203 Office/outpatient visit, new $122.56<br />99204 Office/outpatient visit, new $174.13<br />99205 Office/outpatient visit, new $239.68<br />99211 Office/outpatient visit, est $39.28<br />99212 Office/outpatient visit, est $53.51<br />99213 Office/outpatient visit, est $72.09<br />99214 Office/outpatient visit, est $110.89<br />99215 Office/outpatient visit, est $164.24<br />99217 Observation care discharge $125.87<br />99218 Observation care $127.25<br />99219 Observation care $212.80<br />99220 Observation care $290.28<br />99221 Initial hospital care $128.62<br />99222 Initial hospital care $214.18<br />99223 Initial hospital care $298.99<br />99231 Subsequent hospital care $64.31<br />99232 Subsequent hospital care $106.00<br />99233 Subsequent hospital care $150.62<br />99234 Observ/hosp same date $215.15<br />99235 Observ/hosp same date $275.58<br />99236 Observ/hosp same date $317.48<br />99238 Hospital discharge day $121.03<br />99239 Hospital discharge day $167.29<br />99241 Office consultation $94.26<br />99242 Office consultation $153.13<br />99243 Office consultation $203.09<br />99244 Office consultation $324.14<br />99245 Office consultation $335.53<br />99251 Initial inpatient consult $68.21<br />99252 Initial inpatient consult $136.42<br />99253 Initial inpatient consult $186.50<br />99254 Initial inpatient consult $269.76<br />99255 Initial inpatient consult $370.93<br />99261 Follow-up inpatient consult $43.06<br />99262 Follow-up inpatient consult $86.19<br />99263 Follow-up inpatient consult $127.53<br />99271 Confirmatory consultation $69.94<br />99272 Confirmatory consultation $103.35<br />99273 Confirmatory consultation $142.24<br />99274 Confirmatory consultation $193.07<br />99275 Confirmatory consultation $246.44<br />99281 Emergency dept visit $31.52<br />99282 Emergency dept visit $52.77<br />99283 Emergency dept visit $117.37<br />99284 Emergency dept visit $182.77<br />99285 Emergency dept visit $285.96<br />99288 Direct advanced life support $329.09<br />99289 Ped crit care transport $336.89<br />99290 Ped crit care transport addl $168.88<br />99291 Critical care, first hour $415.90<br />99292 Critical care, add’l 30 min $207.86<br />99293 Ped critical care, initial $1,087.15<br />99294 Ped critical care, subseq $591.16<br />99295 Neonate crit care, initial $1,649.92<br />99296 Neonate critical care subseq $781.82<br />99298 Ic for lbw infant < 1500 gm $273.50<br />99299 Ic, lbw infant 1500-2500 gm $213.49<br />99301 Nursing facility care $101.63<br />99302 Nursing facility care $139.75<br />99303 Nursing facility care $197.20<br />99311 Nursing fac care, subseq $67.84<br />99312 Nursing fac care, subseq $91.21<br />99313 Nursing fac care, subseq $110.26<br />99315 Nursing fac discharge day $112.47<br />99316 Nursing fac discharge day $133.03<br />99321 Rest home visit, new patient $69.85<br />99322 Rest home visit, new patient $105.23<br />99323 Rest home visit, new patient $135.17<br />99331 Rest home visit, est pat $41.57<br />99332 Rest home visit, est pat $87.27<br />99333 Rest home visit, est pat $107.03<br />99341 Home visit, new patient $84.04<br />99342 Home visit, new patient $105.23<br />99343 Home visit, new patient $142.60<br />99344 Home visit, new patient $186.97<br />99345 Home visit, new patient $244.79<br />99347 Home visit, est patient $75.62<br />99348 Home visit, est patient $92.00<br />99349 Home visit, est patient $134.91<br />99350 Home visit, est patient $205.88<br />99354 Prolonged service, office $172.80<br />99355 Prolonged service, office $169.65<br />99356 Prolonged service, inpatient $172.78<br />99357 Prolonged service, inpatient $104.08<br />99358 Prolonged serv, w/o contact $136.18<br />99359 Prolonged serv, w/o contact $67.45<br />99360 Physician standby services $126.42<br />99361 Physician/team conference $84.04<br />99362 Physician/team conference $151.76<br />99371 Physician phone consultation $11.77<br />99372 Physician phone consultation $34.39<br />99373 Physician phone consultation $50.52<br />99374 Home health care supervision $81.41<br />99375 Home health care supervision $143.62<br />99377 Hospice care supervision $79.23<br />99378 Hospice care supervision $159.09<br />99379 Nursing fac care supervision $79.03<br />99380 Nursing fac care supervision $143.62<br />99381 Prev visit, new, infant $116.31<br />99382 Prev visit, new, age 1-4 $135.62<br />99383 Prev visit, new, age 5-11 $141.76<br />99384 Prev visit, new, age 12-17 $133.82<br />99385 Prev visit, new, age 18-39 $153.38<br />99386 Prev visit, new, age 40-64 $159.72<br />99387 Prev visit, new, 65 & over $230.14<br />99391 Prev visit, est, infant $93.04<br />99392 Prev visit, est, age 1-4 $106.73<br />99393 Prev visit, est, age 5-11 $113.39<br />99394 Prev visit, est, age 12-17 $111.16<br />99395 Prev visit, est, age 18-39 $122.81<br />99396 Prev visit, est, age 40-64 $129.30<br />99397 Prev visit, est, 65 & over $143.45<br />99401 Preventive counseling, indiv $47.32<br />99402 Preventive counseling, indiv $80.26<br />99403 Preventive counseling, indiv $111.27<br />99404 Preventive counseling, indiv $142.93<br />99411 Preventive counseling, group $23.94<br />99412 Preventive counseling, group $36.22<br />99420 Health risk assessment test $134.56<br />99429 Unlisted preventive service $0.00<br />99431 Initial care, normal newborn $115.25<br />99432 Newborn care, not in hosp $151.76<br />99433 Normal newborn care/hospital $60.75<br />99435 Newborn discharge day hosp $148.49<br />99436 Attendance, birth $145.74<br />99440 Newborn resuscitation $287.97<br />99450 Life/disability evaluation $159.88<br />99455 Disability examination $74.04<br />99456 Disability examination $252.85<br />99499 Unlisted e&m service $0.00<br />99500 Home visit, prenatal $95.00<br />99501 Home visit, postnatal $50.00<br />99502 Home visit, nb care $50.00<br />99503 Home visit, resp therapy By Report<br />99504 Home visit mech ventilator $0.00<br />99505 Home visit, stoma care By Report<br />99506 Home visit, im injection $0.00<br />99507 Home visit, cath maintain $80.00<br />99509 Home visit day life activity $42.00<br />99510 Home visit, sing/m/fam couns $0.00<br />99511 Home visit, fecal/enema mgmt $0.00<br />99512 Home visit for hemodialysis $0.00<br />99551 Home infus, pain mgmt, iv/sc $65.00<br />99554 Home infus, hormone/platelet $80.00<br />99555 Home infuse, chemotheraphy $80.00<br />99556 Home infus, antibio/fung/vir $80.00<br />99558 Home infuse, immunotherapy $80.00<br />99561 Home infuse, hydration tx $80.00<br />99562 Home infus, parent nutrition $170.00<br />99567 Home infuse, sympath agent $80.00<br />99568 Home infus, misc drug, daily $466.00<br />99569 Home infuse, each addl tx $80.00<br />99600 Home visit nos By Report<br />99601 Home infusion/visit, 2 hrs $75.00<br />99602 Home infusion, each addtl hr $75.00Girishhttp://www.blogger.com/profile/17280385093134871672noreply@blogger.com1