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Procedure Procedure Name CPT Amount11000000 SEH HC ROOM & BOARD PRIVATE 783.83$
11000001 SEH HC ROOM & BOARD TELEMETRY 2,097.08$
11200000 SEH HC ROOM & BOARD PRIVATE OB 783.83$
11300000 SEH HC ROOM & BOARD PRIVATE PEDS 783.83$
11400000 SEH HC ROOM & BOARD PRIVIATE PSYCHIATRY 978.50$
11500000 SEH HC R&B GENERAL HOSPICE PRIV. 890.51$
11500001 SEH HC R&B RESPITE HOSPICE PRIV. 401.37$
12000000 SEH HC ROOM & BOARD SEMI PRIVATE L&D 753.96$
12000001 SEH HC R & B (OVERFLOW) 392.43$
12200000 SEH HC ROOM & BOARD SEMI PRIVATE OB 783.83$
17100000 SEH HC NURSERY 598.43$
17200000 SEH HC NURSERY - INTERMEDIATE 1,932.28$
17300000 SEH HC NURSERY - ICU 2,353.55$
20000000 SEH HC R&B INTENSIVE CARE UNIT 2,531.74$
20000001 SEH HC ICU (OVERFLOW) 1,265.87$
20600000 SEH HC INTERMEDIATE CARE UNIT 2,097.08$
21000000 SEH HC R&B ICU CV PRIVATE 3,426.81$
21400000 SEH HC R&B PCCU 2,447.00$
23100000 SEH HC ICN NURSE INCREMENT CARE 580.92$
25800002 SEH HC NORMAL SALINE SOLUTION INFUS J7040 66.44$
25800008 SEH HC SOD CHL .9% 250ML #2151 J7050 27.81$
27000009 SEH HC GENERALSUPPLIES 6.18$
27000011 SEH HC MASK SMALL ADULT 25.75$
27000012 SEH HC STYLETTE 19.57$
27000013 SEH HC BIS MONITOR 127.72$
27000014 SEH HC ESOPH STETHOSCOPE 44.29$
27000015 SEH HC SUCTION LINER 21.89$
27000016 SEH HC SALEM SUMP NG #16 11.85$
27000017 SEH HC SALEM SUMP NG #18 11.85$
27000018 SEH HC BAIR HUGGER-UPPER 91.67$
27000019 SEH HC BAIR HUGGER-LOWER 95.79$
27000020 SEH HC ETT 6.0 9.27$
27000021 SEH HC ETT 6.5 10.30$
27000022 SEH HC ETT 7.0 9.27$
27000023 SEH HC ETT 7.5 10.30$
27000024 SEH HC ETT 8.0 11.33$
27000025 SEH HC ETT 8.5 30.90$
27000026 SEH HC SPIRAL 7.0 158.62$
27000027 SEH HC NEONATE/ADULT OXI-MAX 126.69$
27000028 SEH HC NASAL AIRWAY #28 153.21$
27000029 SEH HC NASAL AIRWAY #30 164.80$
27000030 SEH HC NASAL AIRWAY #32 81.63$
27000031 SEH HC SUCTION CATH 5/6 FR 12.36$
27000032 SEH HC SUCTION CATH 10 FR 1.03$
27000033 SEH HC NEBULIZER TX/SETUP 15.45$
27000034 SEH HC MASK-NON REBREATHER 10.30$
27000035 SEH HC BLOOD GAS SYRINGE 5.15$
27000036 SEH HC TEGADERM 4X4 5.15$
27000037 SEH HC TEGADERM 6X8 11.85$
27000038 SEH HC 25G WHITACRE NEEDLE 24.72$
27000039 SEH HC STIMPLEX NEEDLE 106.09$
27000040 SEH HC PRESS MON KIT-SINGLE 173.04$
27000041 SEH HC ARTERIAL CATH - LONG 103.26$
27000042 SEH HC A-LINE EXTENSION TUBING 26.78$
27000043 SEH HC BANDAGE, ACE 4IN #187 3.61$
27000044 SEH HC CATH, FOLEY 1WAY 16FR#71 21.12$
27000045 SEH HC CATH, FOL 1WAY 30F #244 6.95$
27000046 SEH HC CATH, FOL 2WAY 18F #238 21.12$
27000047 SEH HC CATH, FOL 1WAY 20FR #239 21.12$
27000048 SEH HC CATH, FOL 3WAY 24FR #72 29.36$
27000049 SEH HC KIT SUCTION 14FR #89 10.30$
27000050 SEH HC TRAY, CATH W/O #138 10.30$
27000051 SEH HC TRAY, CATH 16FR #139 41.97$
27000052 SEH HC DRESS, NON-ADHER 4X6 #203 1.80$
27000053 SEH HC ENEMA, PHOSPHATE 375 3.09$
27000054 SEH HC GAUZE XEROFOAM5X9 #249 3.86$
27000055 SEH HC GAUZE VASE 3X9 #217 2.32$
27000056 SEH HC IRRIG SOL 1000ML-NOR#531 4.12$
27000057 SEH HC CATH COUDE 16FR 5C #233 63.09$
27000058 SEH HC KIT CATH FEMALE #80 63.09$
27000059 SEH HC BRIEF ADULT MED. #2016 24.46$
27000060 SEH HC SET DRAIN CYSTO #122 17.00$
27000061 SEH HC DRESS, BIOCLUSIVE #271 10.30$
27000062 SEH HC DRESS, TEGA 4X5 #270 4.12$
27000063 SEH HC TRAY IRRAGATION BULB #143 8.76$
27000064 SEH HC IRRIGA W/ PISTON #144 5.67$
27000065 SEH HC POUCH COLOSH 2 3/4 #1447 8.76$
27000066 SEH HC DRESS, DUODERM 8X8 #272 96.05$
27000067 SEH HC SET TRACH CARE #132 7.21$
27000068 SEH HC BAG DRAIN LEG #288 6.70$
27000069 SEH HC KIT THER RECTAL ASE#248 4.38$
27000070 SEH HC THERMOMETER KIT, ORAL#247 5.67$
27000071 SEH HC IRRIG WATER 1000ML #533 4.12$
27000072 SEH HC STOCKING KNEE XL XL#1616 21.12$
27000073 SEH HC CANNULA INNER #4087 21.12$
27000074 SEH HC WHEELCHAIR CUSHION #434 202.14$
27000075 SEH HC CATH, FOL 16FR 30CC #2650 14.42$
27000076 SEH HC CATH, COUDE 18FR 5CC5#234 63.09$
27000077 SEH HC BAG CADAVER #286 133.64$
27000078 SEH HC PAD, CAIR #1218 11.33$
27000079 SEH HC DRESS, KALTOSTAT #1163 30.13$
27000080 SEH HC CATH JL 4 #1172 69.27$
27000081 SEH HC COLLECTOR SEC DUBIN #588 7.47$
27000082 SEH HC KIT SUTURE REMOVE #1398 7.47$
27000083 SEH HC SET CPR ADULT #118 85.75$
27000084 SEH HC DRESS, ALLEVYN 4X4 #1890 15.19$
27000085 SEH HC DRESS ALLEVYN 8X8 #1987 62.57$
27000086 SEH HC BRIEFS, ADULT LG #2017 31.93$
27000087 SEH HC PACKING NUGA 1/4 #2138 10.30$
27000088 SEH HC BRIEF, ADULT X-LG #2256 35.79$
27000089 SEH HC CANNULA INNER SZ8 #2299 21.12$
27000090 SEH HC CREAM BAZA 2 OZ #1659 13.13$
27000091 SEH HC SOLU.BETADINE 40Z #3261 1.80$
27000092 SEH HC DRESS WOUND S-GEL#3462 20.09$
27000093 SEH HC N NEBULIZER-HND HLD #644 3.09$
27000094 SEH HC N CANNULA, NASAL02 #636 3.09$
27000095 SEH HC BANDAGE KERLIX STER#191 5.67$
27000096 SEH HC STETHOSCOPE DISPOS #4691 39.66$
27000097 SEH HC LINER SUCTION15OOML #414 18.54$
27000098 SEH HC SENSOR OXYTIP SP02 #4353 89.35$
27000099 SEH HC N MIDIFIER DISP500CC#640 8.76$
27000100 SEH HC BOOT HEELLIFT #10990 210.64$
27000101 SEH HC WEDGE FOAM24X11X9 #11400 101.71$
27000102 SEH HC EXTRACTOR STAPLE #377 6.95$
27000103 SEH HC SPIROMETER #12425 24.21$
27000104 SEH HC PADS COREFILL FOOT 130.55$
27000105 SEH HC STOCKING THIGH MED #1430 22.40$
27000106 SEH HC CATH FOLEY SECURE #16840 12.10$
27000107 SEH HC DRESSING AQUACEL #7258 16.22$
27000108 SEH HC ADHESIVE VERSIVA #16928 21.63$
27000109 SEH HC DRESSING AQUACEL #8168 11.33$
27000110 SEH HC DRESSING DUODERM #13032 11.59$
27000111 SEH HC PROTECTANT SKIN #11234 16.74$
27000112 SEH HC OINTMENT PROTECTVE #11243 17.25$
27000113 SEH HC DRESSING FOAM VERS #9899 14.16$
27000114 SEH HC FEED PUMP FLEXI #127 21.12$
27000115 SEH HC DRESSING WOUND #25767 A6207 47.12$
27000116 SEH HC BRIEF #26391 8.50$
27000117 SEH HC CANNULA SZ4 #26542 20.34$
27000118 SEH HC OXYGEN CHARGE/HOUR 148.32$
27000119 SEH HC OXYGEN CHARGE PER DAY 148.32$
27000120 SEH HC CPSU-CPAP SET 140.08$
27000121 SEH HC OXYS-OXYGEN SET-UP 15.45$
27000122 SEH HC MASK-TREATMENT MASK 12.36$
27000123 SEH HC SPEAKING VALVE 248.23$
27000124 SEH HC MDI DEVICE 44.29$
27000125 SEH HC INCENTIVE SPIROMETER 30.90$
27000126 SEH HC NASAL CPAP MASK 108.15$
27000127 SEH HC VH20-VENITLATOR SOLUTION 19.57$
27000128 SEH HC ET TUBE HOLDER 45.32$
27000129 SEH HC INLINE SUCTION CATHETER 48.41$
27000130 SEH HC NEBU-OXYGEN NEBULIZER 61.80$
27000131 SEH HC AIRC-COMPRESSED AIR/HR. 3.09$
27000132 SEH HC HME 26.78$
27000133 SEH HC PRESSURE EASY CUFF CARE 26.78$
27000134 SEH HC INFANT/CPSU-CPAP SET 235.87$
27000135 SEH HC SPECIALTY GAS/HOUR 210.12$
27000136 SEH HC FOREHEAD PULSE OX PROBE 165.83$
27000137 SEH HC ADULT PULSE OX PROBE 136.99$
27000138 SEH HC ULTT-ULTRASONIC TUBING 26.78$
27000139 SEH HC MKVT-MASK VENTURI 24.72$
27000140 SEH HC OXYM-OXYGEN MASK 30.90$
27000141 SEH HC MUCUS TRAP 12.36$
27000142 SEH HC ORAL SUCTION KIT 10.30$
27000143 SEH HC HI-VNI CIRCUIT 746.75$
27000144 SEH HC INFANT NASAL CPAP MASK 98.88$
27000145 SEH HC HE/02/HOUR 38.11$
27000146 SEH HC INFANT HIFLOW N/C S/U 77.25$
27000147 SEH HC PEAK FLOW SUPPLIES 30.90$
27000148 SEH HC MKTY-MASK TRACHEOSTOMY 12.36$
27000149 SEH HC PEDIATRIC PULSE OX PROBE 182.31$
27000150 SEH HC HEAT-VENT CHAMBER 44.29$
27000151 SEH HC OXYHOOD SETUP 73.13$
27000152 SEH HC HI-VNI CANNULA 20.60$
27000153 SEH HC CIRCULATING EXCHANGER 56.65$
27000154 SEH HC INFACT CPAP GENERATOR 82.40$
27000155 SEH HC HIGH FLOW NC 7.21$
27000156 SEH HC NEONATAL PULSE OX PROBE 126.69$
27000157 SEH HC EASYPAP PAP DEVICE 28.84$
27000158 SEH HC RESPIRO TECH RESUSITATOR 185.40$
27000159 SEH HC ASTHMA KIT 114.33$
27000160 SEH HC SURFACTANT ADMIN. CATH 30.90$
27000161 SEH HC BIOPSY VALVE 16.48$
27000162 SEH HC MKSO-MASK SIMPLE OXYGEN 8.24$
27000163 SEH HC ETCO2 FILTER LINE 20.60$
27000164 SEH HC EP-4 FIRST STEP CLEANER 7.21$
27000166 SEH HC TRACT OVERBED FRAME-ONE 414.83$
27000167 SEH HC ISOLATION PER DAY 101.97$
27000168 SEH HC SEABROOK 106.86$
27000169 SEH HC TRACT BUCKS 279.65$
27000170 SEH HC HYPOTHERMIA UNIT-PER DAY 113.56$
27000171 SEH HC SCD - PER DAY 0.01$
27000172 SEH HC SUCTION WALL CHEST/DAY 32.45$
27000173 SEH HC AV FOOTPUMP 0.01$
27000174 SEH HC TAXOL PUMP SUPPLY 82.40$
27000175 SEH HC BONE MARROW TRAY W/NEEDLE 204.97$
27000177 SEH HC RO MIADERM (SKIN CREAM) 34.00$
27000178 SEH HC SUPER SPONGE 5.15$
27000186 SEH HC RO IRRIGATION TRAY WITH PISTON SYRINGE 6.70$
27000187 SEH HC RO TRACH KIT 8.76$
27000188 SEH HC RO STERILE TERRY TREADS LARGE 5.15$
27000189 SEH HC RO AMBU BAG 105.06$
27000190 SEH HC RO NON REBREATHER MASK 10.30$
27000191 SEH HC RO NEBULIZER 3.61$
27000192 SEH HC RO CANNULA NASAL 7FT 3.61$
27000193 SEH HC RO SUCTION CANNISTER 21.89$
27000194 SEH HC RO HUBBER NEEDLE 20GX1 25.24$
27000195 SEH HC RO CANNULA NASAL 14FT 4.38$
27000196 SEH HC RO URINE DRAINAGE BAG 20.09$
27000197 SEH HC INCONTINENT PAD 13.91$
27000198 SEH HC RO LEG STRAP 20.09$
27000199 SEH HC RO KERLIX LITE 4" 3.61$
27000200 SEH HC NURSERY HUG BANDS 19.57$
27000201 SEH HC SLING ARM 37.08$
27000202 SEH HC SPLINT THUMB SPICA 76.22$
27000203 SEH HC FINGER COT 7.21$
27000204 SEH HC SPINT DYNAMIC FINGER 39.14$
27000205 SEH HC SPLINT CARPAL TUNNEL 48.41$
27000206 SEH HC SPLINT TENNIS ELBOW 45.32$
27000207 SEH HC FINGER SPLINTS OVAL 8 36.05$
27000208 SEH HC MO IMPLANTABLE CATH SUPPLY 49.44$
27000209 SEH HC CATHETER TRANSLUMINAL ATHERECTOMY ROTATIONAL C1724 15,223.40$
27000210 SEH HC IMPLANTABLE TISSUE CORMARK MARKER A4648 797.22$
27000211 SEH HC NEBULIZER SM VOL #41850 6.95$
27000212 SEH HC MASK N-REBREATH #3756 10.30$
27000213 SEH HC OPTICHAMBER #12080 27.81$
27000214 SEH HC SPIROMETER #12425 11.33$
27000215 SEH HC CONTROLLER CUFF #28448 351.23$
27000216 SEH HC TUBE 6MMX3.1MM #33223 3.61$
27000217 SEH HC INFANT HEADGEAR XS #41964 177.16$
27000218 SEH HC GEN WO PRONGS #41963 469.68$
27000219 SEH HC SENSOR OXIMAX DISPOSABLE 92.70$
27000220 SEH HC SENSOR OXIMAX ADULT 18 INCH CABLE 53.56$
27000221 SEH HC MO SCD - PER DAY 0.01$
27000222 SEH HC MO TAXOL PUMP SUPPLY 82.40$
27000223 SEH HC MO BONE MARROW TRAY W/NEEDLE 204.97$
27000224 SEH HC MO IMPLANTABLE CATH SUPPLY 49.44$
27000225 SEH HC RO SUPER SPONGE 5.15$
27000226 SEH HC SPLINT STIRRUP AIR CAT 10279 574.74$
27000228 SEH HC STUMP SHRINKER BELOW KNEEE PK/2 10324 647.87$
27000229 SEH HC SUCTION KIT 12.36$
27000230 SEH HC BRACE HIP SPIKA CUSTOM 10956 7,845.51$
27000231 SEH HC JACKET BODY CUSTOM TLSO FLEX RIGID PANEL PREFAB 11278 6,194.42$
27000232 SEH HC LIFT HEEL CUSTOM 11297 734.39$
27000233 SEH HC BRACE CHAIR BACK CUSTOM 11531 3,032.32$
27000234 SEH HC BRACE HINGED ELBOW CUSTOM 11830 1,914.77$
27000235 SEH HC BRACE TLSO CORSET CUSTOM FITTED 11844 2,984.94$
27000236 SEH HC WALKER CAM X-LG EQUALIZER 11859 1,353.42$
27000237 SEH HC SLEEVE MASTECTOMY CUSTOM FIT 12289 574.74$
27000238 SEH HC BRACE KNEE MCL/ACL CUSTOM FITTED 12926 5,105.71$
27000239 SEH HC BOOT MULTI PODUS RIGHT/LEFT 13153 1,046.48$
27000240 SEH HC SOCK SHEATH 1348 116.39$
27000241 SEH HC SOCK MULTI-PLY 1359 155.53$
27000242 SEH HC STUMP SHRINKER ABOVE THE KNEE 2/PK 14808 901.25$
27000243 SEH HC COLLAR C SPINE THERMOPLASTIC FLEX 14817 1,246.30$
27000244 SEH HC SHOULDER IMMOBULIZER RIGHT OR LEFT 17202 803.40$
27000245 SEH HC ORTHOSIS HUMERAL FRACTURE 27245 1,453.33$
27000246 SEH HC BOOT MULTI PODUS RIGHT/LEFT 27664 1,045.45$
27000247 SEH HC TLSO PANEL RIGID FLEX OTS 30543 6,194.42$
27000248 SEH HC AFO CUSTOM FIT PRE FAB PLASTIC 30544 1,355.48$
27000249 SEH HC BOOT WALKING NON PNEUMATIC PRE-FAB CUSTOM FIT 30546 977.47$
27000250 SEH HC COLLAR CERVICAL SEMI-RIGID THERMOPLASTIC TWO-PL 30727 876.53$
27000251 SEH HC COLLAR CERVICAL ASPEN THORACIC EXT SEMI-RIGID 30728 1,573.84$
27000252 SEH HC SHOE CAST CUSTOM 32118 369.77$
27000253 SEH HC BRACE LO SAGITAL CONTROL RIGID ANTERIOR AND POSTERIOR 3537 2,532.77$
27000254 SEH HC BRACE DROP FOOT ANKLE 3538 1,207.16$
27000255 SEH HC BRACE JEWITT CAMP HYPEREXTENSN 3539 2,464.79$
27000256 SEH HC BRACE DROP FOOT PREFAB LEFT 3540 1,208.19$
27000257 SEH HC BRACE DROP FOOT PREFAB/PRAFO RIGHT/LEFT 3541 1,207.16$
27000258 SEH HC FOOT ORTHOSIS INSERT 3709 725.38$
27000259 SEH HC BRACE LEG PREFAB AFO (NIGHT) 3779 1,207.16$
27000260 SEH HC BRACE SUPPORT LSO SPINAL LUMBAR STRAIN BACK SAGITAL ANT AND POST 3880 2,560.58$
27000261 SEH HC CAST ORTHOSIS KAFO FEMUR FRACTURE MOLDED 3986 6,899.97$
27000262 SEH HC BRACE MINERVA L0200 40533 3,989.19$
27000263 SEH HC SPLINT WRIST RIGHT VELCRO CUSTOM L30807 40534 1,176.26$
27000264 SEH HC SPLINT CARPEL TUNNEL 40877 615.94$
27000265 SEH HC STABILIZER KNEE HINGED 4091 6,166.61$
27000266 SEH HC BRACE ANKLE AFO MULTILIGAMENTUS OTS 41839 787.95$
27000267 SEH HC BRACE KNEE HINGED POST-OPT ORTHOSIS W/ADJUSTABLE JOINTS 4401 4,695.77$
27000268 SEH HC BRACE WRIST COCK UP NON MOLDED OTS WHO EXTENSION CONTROL 44381 431.57$
27000269 SEH HC BRACE KNEE ELASTIC WITH JOINTS AND PADS ORTHOSIS 44434 743.66$
27000270 SEH HC SANDAL PLASTAZOTE CUSTOM EACH 45373 754.99$
27000271 SEH HC SPLINT THUMB SPICA JOINT OTS 45488 1,402.86$
27000272 SEH HC BOOT PNEUMATIC WALKING OTS 45639 1,686.11$
27000273 SEH HC BRACE TSO 4 SHELL LINER PREFAB 45824 6,432.35$
27000274 SEH HC BRACE FOOT W/MOVING ANK JOINTS 4860 3,510.24$
27000275 SEH HC ORTHOSIS ABDUCTION HIP XXLGE (L1685) 5041 4,931.64$
27000276 SEH HC HARNESS PAVLIK 5607 820.91$
27000277 SEH HC HARNESS PAVLICK NEWBORN SMALL 5780 615.94$
27000278 SEH HC BRACE LEG PREFAB AFO (DAY) 6132 1,207.16$
27000279 SEH HC BRACE ADJUSTMENT 6213 615.94$
27000280 SEH HC ORTHOSIS MAO HIP ABDUCTION 6241 4,748.30$
27000281 SEH HC BOOT CAM WALKING OTS EQUALIZER NON PNEUMATIC PREFAB CUSTOM FIT (L4387) 6381 970.26$
27000282 SEH HC STRAP CLAVICLE FIGURE 8 7704 615.94$
27000283 SEH HC SHOE OFF LOADING L3648 7853 766.32$
27000285 SEH HC PROBE BX STEREO # 27560 1,828.25$
27000286 SEH HC KIT DRAPE NEEDLE #27372 82.92$
27000287 SEH HC MAMMOTOME VACUUM 42.23$
27000288 SEH HC EVAC CONTAINER 100 ML 47.90$
27000290 SEH HC CATH BRONCHO 41F 3942 72.67$
27000291 SEH HC MASK FACE UI TRANSEAL SMALL 418 7.18$
27000292 SEH HC NC REPROCESSED SRVC SENSOR 14759 43.84$
27000293 SEH HC SENSOR OXIMAX ADULT O2 18 INCH CABLE 1115 107.77$
27000294 SEH HC SENSOR XP FOR ANESTHESIA LOC QUATRO 8154 122.07$
27000295 SEH HC VALVE ANTI REFLUX 526 23.73$
27100001 SEH HC RO BARRIER CREAM CLOTH 37.08$
27100002 SEH HC BRACE HUMERAL FRACTURE LEFT/RIGHT 13995 1,914.77$
27100003 SEH HC WRIST HAND FINGER ORTHOSIS (WHFO) W/O JOINTS 14982 1,908.59$
27100004 SEH HC WRIST HAND FINGER ORTHOSIS (WHFO) W/INTERFACE W/O JOINT 14983 1,085.62$
27200024 SEH HC ANESTHESIA MODULE W/ MASK 121.54$
27200025 SEH HC NASOPHARYN STETH 12 FR 8.24$
27200026 SEH HC HOT LINE 108.15$
27200027 SEH HC ETT 9.0 10.30$
27200028 SEH HC ORAL RAE 7.5 26.78$
27200029 SEH HC DLT#35FR 454.23$
27200030 SEH HC DLT#37FR 454.23$
27200031 SEH HC DLT#39FR 101.97$
27200032 SEH HC DLT#41FR 101.97$
27200033 SEH HC ENDOBRONCHIAL BLOCKER 9.0 875.50$
27200034 SEH HC LMA #3 DISPOSABLE 148.32$
27200035 SEH HC LMA #4 DISPOSABLE 148.32$
27200036 SEH HC LMA #5 DISPOSABLE 148.32$
27200037 SEH HC ETCO2 CANNULA 19.57$
27200038 SEH HC IV START KIT 12.36$
27200039 SEH HC NASAL AIRWAY #34 81.63$
27200040 SEH HC SUCTION CATH 14 FR 3.61$
27200041 SEH HC EPIDURAL TRAY 145.23$
27200042 SEH HC EPIDURAL NEEDLE 6' 113.30$
27200043 SEH HC EPIDURAL PUMP SET 39.14$
27200044 SEH HC STERI-STRIPS 13.91$
27200045 SEH HC SPINAL TRAY 95.79$
27200046 SEH HC 22G WHITACRE NEEDLE 25.75$
27200047 SEH HC 22G WHIT-LONG (SPROTTE) 184.37$
27200048 SEH HC 25G WHIT-LONG 31.93$
27200049 SEH HC SWAN GANZ CATH 338.61$
27200050 SEH HC CCO/SVO2 SG CATH 1,147.42$
27200051 SEH HC PRESS MON KIT-TRIPLE 366.68$
27200052 SEH HC ARMBOARD-ARTERIAL 39.14$
27200053 SEH HC ARTERIAL CATH - SHORT 54.33$
27200054 SEH HC SPRING WIRE GUIDE (ARROW) 24.72$
27200055 SEH HC 8.5 FR INTRODUCER KIT 166.86$
27200056 SEH HC 9 FR INTRODUCER KIT 512.94$
27200057 SEH HC 9 FR AVA INTRO KIT 642.72$
27200058 SEH HC BIOPATCH 37.08$
27200059 SEH HC NITRO TUBING 30.64$
27200060 SEH HC BLOOD SET W/ HAND PUMP 22.66$
27200061 SEH HC IV TUBING 60GTTS/MIN 17.51$
27200062 SEH HC IV TUBING W/DISK CASSETTE 17.00$
27200063 SEH HC SYRINGE PUMP TUBING 8.76$
27200064 SEH HC ANES IV SET W/ STOPCOCK 25.24$
27200065 SEH HC IV TUBING PIGGYBACK 6.70$
27200066 SEH HC T-PIECE LG BORE 14.94$
27200067 SEH HC T-PIECE SM BORE 13.91$
27200068 SEH HC PEDIATRIC Y T-PIECE (DOUBLE) 20.60$
27200069 SEH HC 4-WAY STOPCOCK 5.15$
27200070 SEH HC 4-WAY STOPCOCK W/ EXT 10.30$
27200071 SEH HC BURETROL SET 23.95$
27200072 SEH HC D-300 LEVEL II FLUID WARMER 622.12$
27200073 SEH HC BLOCK TRAY 234.84$
27200074 SEH HC BANDAGE ACE #185 4.12$
27200075 SEH HC CANNULA SZ 8 #2545 261.36$
27200076 SEH HC IV PRIM CONTINUAL FL#2160 14.42$
27200077 SEH HC IV START COMPLETE #2274 11.85$
27200078 SEH HC IV SEC MED INTERLINK #529 5.67$
27200079 SEH HC IV INJECT INTERLINK #568 5.67$
27200080 SEH HC KIT IV #12967 10.30$
27200081 SEH HC SET CATH EXT #4653 12.36$
27200082 SEH HC SET CATH EXT #4656 11.33$
27200083 SEH HC KIT PLEURX DRAINAGE#13352 432.09$
27200084 SEH HC DRESSING 3X4 #14578 29.61$
27200085 SEH HC CANNULA INNER SZ8 #27172 20.86$
27200086 SEH HC VENTILATOR S/U COMPLETE 157.59$
27200087 SEH HC ACAPELLA PEP DEVICE 175.10$
27200088 SEH HC KIT TRACH CARE SUCTION 222.48$
27200089 SEH HC MRI VENTILATOR CIRCUIT 60.77$
27200090 SEH HC VENTILATOR S/U NON HEATED 50.47$
27200103 SEH HC CODE BLUE SUPPLIES 325.48$
27200104 SEH HC IV PUSH SUPPLIES 24.72$
27200105 SEH HC IV HYDRATION SUPPLIES 64.89$
27200106 SEH HC STERILE DRESSING - SIMPLE 8.24$
27200107 SEH HC STERILE DRESSING COMPLEX 19.57$
27200108 SEH HC CHEMO PUSH KIT 39.14$
27200109 SEH HC BLOOD TRANS SUPPLIES 56.65$
27200110 SEH HC RO TEGADERM 15X20 11.85$
27200111 SEH HC RO 4 X 4 TEGADERM 5.15$
27200112 SEH HC RO IV SECONDARY TUBING 6.70$
27200113 SEH HC RO IV T-EXTENSION 21.63$
27200114 SEH HC IV TUBING CONTINOUS 17.00$
27200115 SEH HC RO IV START KIT 8.24$
27200116 SEH HC RO SITZ BATH 13.91$
27200117 SEH HC RO SUTURE REMOVAL KIT 11.85$
27200118 SEH HC RO BANDAGE KERLIX 6.70$
27200119 SEH HC RO 2" HONEYCOMB ELASTIC BANDAGE 5.15$
27200120 SEH HC RO STERI STRIP 5.15$
27200121 SEH HC RO STAPLE REMOVER 13.91$
27200122 SEH HC RO FOLEY CATH 14FR 5ML 25.24$
27200123 SEH HC RO URINARY CATH INSERTION TRAY 11.85$
27200124 SEH HC RO FOLEY CATH TRAY WITH CATH & DRAIN BAG 49.44$
27200125 SEH HC RO URINARY LEG BAG 15.45$
27200126 SEH HC RO COUDE TIP CATH 18FR 5ML 74.68$
27200127 SEH HC RO IV CARE 105.06$
27200128 SEH HC IV START COMPLETE 12.36$
27200129 SEH HC CATH IV 20G X 1.25 #18 3.61$
27200130 SEH HC ED CODE BLUE SUPPLIES 325.48$
27200131 SEH HC SET EXT #4673 3.61$
27200132 SEH HC SOD CHL .9% 50ML #2151 A4216 27.81$
27200133 SEH HC PESSARY GELLHORN A4561 38.78$
27200134 SEH HC PESSARY GELLHORN FLEXIBLE 3 A4561 59.67$
27200135 SEH HC CATHETER ATHERECTOMY DIAMONDBACK 2.0MM C1714 3,496.85$
27200136 SEH HC CATHETER CROSSER 145RX C1714 2,260.85$
27200137 SEH HC CATHETER CROSSER CTO C1714 2,466.85$
27200138 SEH HC CATHETER URETHRAL 14FR 16IN STRAIGHT TIP MALE SELFCATH A4346 2.51$
27200139 SEH HC TRAP SPECIMEN 40CC #36975 5.67$
27200140 SEH HC SUCTION CATH 14FR #14999 111.24$
27200141 SEH HC ORAL CATHETER KIT #15000 11.33$
27200143 SEH HC MO IV PUSH SUPPLIES 24.72$
27200144 SEH HC MO IV HYDRATION SUPPLIES 64.89$
27200145 SEH HC MO STERILE DRESSING - SIMPLE 8.24$
27200146 SEH HC MO STERILE DRESSING - COMPLEX 19.57$
27200147 SEH HC MO CHEMO PUSH KIT 39.14$
27200148 SEH HC MO BLOOD TRANS SUPPLIES 56.65$
27200149 SEH HC RO IV TUBING CONTINUOUS 17.00$
27200150 SEH HC RO URINARY LEG BAG 15.45$
27200151 SEH HC RO IV START COMPLETE 12.36$
27200152 SEH HC BIO PATCH 32.96$
27200153 SEH HC DRESSING KIT 15.45$
27200154 SEH HC BLOOD SET 18.54$
27200155 SEH HC CUSHION DISTAL MOLDED 10738 779.71$
27200156 SEH HC LINERS ZIP WIZ PULL 10741 820.91$
27200157 SEH HC MAXCORE NEEDLE # 27362 558.26$
27200158 SEH HC GUIDE PROBE 11 GA #27556 49.44$
27200159 SEH HC TEMNO NEEDLE #28884 204.97$
27200160 SEH HC MAMMOTOME VACUUM #27561 151.41$
27200161 SEH HC MARKING SYSTEM PERC#27356 23.05$
27200166 SEH HC BRONCHCATH 37 W/CPAP SYSTEM 5785 482.93$
27200167 SEH HC BRONCHCATH 39 C/CATH SYSTEM 5786 482.93$
27200168 SEH HC BRONCHCATH 41 W/CPAP SYSTEM 5787 482.93$
27200169 SEH HC CATH SUCTION 16F 77 72.63$
27200170 SEH HC CATHETER BRONCHO 37 LEFT 3122 381.67$
27200171 SEH HC CATHETER BRONCHO 39 LEFT 3123 381.67$
27200172 SEH HC CATHETER BRONCHO 41 RIGHT 3819 493.82$
27200173 SEH HC CATHETER BRONCHO LEFT ES 35 FR 4470 381.67$
27200174 SEH HC CIRCUIT ADULT ANESTHESIA SPECIAL 14864 34.30$
27200175 SEH HC CIRCUIT PEDIATRIC BREATHING 14865 26.06$
27200176 SEH HC FLEXI-SET CUFFED 6.5 MM 46130 13.73$
27200177 SEH HC KIT MAC TWO-LUMEN CENTRAL VENOUS ACCESS KIT 81 951.65$
27200178 SEH HC PROBE 12F GENERAL PURPOSE FOR ORAL NASAL RECTAL 9086 8.34$
27200179 SEH HC VALVE SUCTION 6168 55.68$
27200180 SEH HC ADAPTER FIBEROPTIC BRONCH 5566 30.70$
27200181 SEH HC ADAPTER PORTED DOUBLE SWIVEL BRONCH 7385 34.10$
27200182 SEH HC BAG PRESSURE INFUSION 500ML 3WAY STOPCOCK OVAL BULB 3572 36.04$
27200183 SEH HC BLOCK BITE 1371 10.46$
27200184 SEH HC BRONCHCATH 35 W/CPAP SYSTEM 5784 472.35$
27200190 SEH HB SENSOR PERFUSION MONITOR HEMODYNAMIC 84INL FLOTRAC 1,660.58$
27200191 SEH HC SENSOR OXIMETER LARGE ADULT CEREBRAL FORESIGHT ELITE 1,273.64$
27200193 SEH HC VIVASIGHT TUBE DOUBLE LUMEN 35 FR 1,772.11$
27200194 SEH HC VIVASIGHT TUBE DOUBLE LUMEN 37 FR 1,765.92$
27200195 SEH HC VIVASIGHT TUBE DOUBLE LUMEN 39 FR 1,765.92$
27200196 SEH HC VIVASIGHT TUBE DOUBLE LUMEN 41 FR 1,772.11$
27800044 SEH HC PUMP ENTERNAL #25934 11.85$
27800047 SEH HC SUPPLY THERASKIN Q4121 5,715.47$
27800070 SEH HC IMPLANTABLE SITE IDENTIFIER 27559 A4648 797.22$
27800071 SEH HC CYTAL PER SQ/CM Q4166 139.05$
27800073 SEH HC TISSUE MATRIX GRAFT JACKET PER SQ/CM #46116 Q4107 737.48$
27800074 SEH HC CONTROL BI PLANAR HIP JOINT 27920 1,978.63$
27800075 SEH HC KNEE ORTHO POS LOCKING JOINT 27922 2,509.08$
27800076 SEH HC BRACE KNEE ELASTIC JOINTS HINGE KO 40769 738.51$
27800077 SEH HC BOOT CAM WALKER ORTH LOWER EXTREMITY 9545 1,755.12$
27800081 SEH HC KIT CVC TRIPLE LUMEN 20 CM 44888 726.28$
27900001 SEH HC SUCTION WALL MUCOUS/DAY 32.45$
29900001 SEH HC BED ECLIPSE LOW AIR/DAY 129.01$
29900002 SEH HC BED CLIN RITE HITE /DAY 96.31$
30000001 SEH HC PSA SCREENING ONLY G0103 177.16$
30000002 SEH HC POC DRUG SCREEN 80305 154.50$
30000003 SEH HC IMMUNOASSAY SING DRUG CLA 80307 489.25$
30000004 SEH HC PAIN MANAGEMENT OPIA CHG G0480 154.50$
30000005 SEH HC CATHETERIZE FOR URINE SPEC P9612 55.62$
30000006 SEH HC ROUTINE VENIPUNCTURE 36415 38.11$
30000007 SEH HC CHEM 7 (8) (BMP) 80048 105.06$
30000008 SEH HC COMPREHENSIVE HEALTH PANL 80050 316.21$
30000009 SEH HC ELECTROLYTES 80051 60.77$
30000010 SEH HC COMP METABOLIC PANEL 80053 260.59$
30000011 SEH HC PRENATAL PANEL 80055 328.57$
30000012 SEH HC LIPID PANEL-TRIG CHOL HDL 80061 266.77$
30000013 SEH HC RENAL PANEL 80069 117.42$
30000014 SEH HC HEPATITIS PANEL 80074 543.84$
30000015 SEH HC LIVER PANEL 80076 158.62$
30000016 SEH HC AMIKACIN (TROUGH) 80150 191.58$
30000017 SEH HC CARBAMAZEPINE TOTAL 80156 132.87$
30000018 SEH HC CARBAMAZEPINE FREE&TOTAL 80157 61.80$
30000019 SEH HC CYCLOSPORIN A 80158 230.72$
30000020 SEH HC CLOZAPINE 80159 111.24$
30000021 SEH HC DIGOXIN 80162 136.99$
30000022 SEH HC VALPROIC ACID (DEPAKENE) 80164 156.56$
30000023 SEH HC ETHOSUXIMIDE (ZARONTIN) 80168 129.78$
30000024 SEH HC GENTAMICIN RANDOM 80170 141.11$
30000025 SEH HC GABAPENTIN 80171 172.01$
30000026 SEH HC HALOPERIDOL 80173 67.98$
30000027 SEH HC LAMOTRIGINE 80175 260.59$
30000028 SEH HC LEVETIRACETAM (KEPPRA) 80177 172.01$
30000029 SEH HC LITHIUM 80178 61.80$
30000030 SEH HC ASSAY OF PHENOBARBITAL 80184 89.61$
30000031 SEH HC DILANTIN (PHENYTOIN) 80185 136.99$
30000032 SEH HC PHENYTOIN DILANTIN FREE 80186 253.38$
30000033 SEH HC PRIMIDONE (MYSOLINE) 80188 170.98$
30000034 SEH HC PROCAINAMIDE 80192 134.93$
30000035 SEH HC TACROLIMUS 80197 220.42$
30000036 SEH HC THEOPHYLLIN 80198 148.32$
30000037 SEH HC TOBRAMYCIN PEAK 80200 113.30$
30000038 SEH HC TOPIRAMATE TOPAMAX 80201 119.48$
30000039 SEH HC VANCOMYCIN (VANCOCIN) 80202 185.40$
30000040 SEH HC ZONISAMIDE 80203 172.01$
30000042 SEH HC DIHYDROTESTOSTERONE LC/MS 80327 67.98$
30000043 SEH HC URINALYSIS, VOIDED 81000 50.47$
30000044 SEH HC URINALYSIS W/O MICROSCOPY 81002 35.02$
30000045 SEH HC URINALYSIS 81003 50.47$
30000046 SEH HC PREGNANCY TEST - URINE 81025 144.20$
30000047 SEH HC PNL/TIMED COLLECTION 81050 22.66$
30000048 SEH HC CYSTIC FIBROSIS 23 81220 433.63$
30000049 SEH HC FACTOR V LEIDEN GENOTYPR 81241 119.48$
30000050 SEH HC HEMOCHROMATOSIS GENOTYPR 81256 267.80$
30000051 SEH HC METHYLENETETRA RED DNA MU 81291 160.68$
30000052 SEH HC HLA-B 5701 TYPING 81381 214.24$
30000053 SEH HC DNA SEQUENCING 81408 3,708.00$
30000054 SEH HC BETA-HYDROXYBUTYRATE 82010 177.16$
30000055 SEH HC ACYLCAARNITINE 82017 443.93$
30000056 SEH HC ACTH, PLASMA 82024 317.24$
30000057 SEH HC CYC ADENO MONOPHOS RAN UR 82030 75.19$
30000058 SEH HC ALBUMIN 82040 47.38$
30000059 SEH HC ALBUMIN CSF 82042 60.77$
30000060 SEH HC MICROALBUMIN RANDOM 82043 135.96$
30000061 SEH HC ALDOLASE, SERUM 82085 139.05$
30000062 SEH HC ALDOSTERONE, PLASMA 82088 222.48$
30000063 SEH HC ALPHA 1 ANTITRYSPIN 82103 192.61$
30000064 SEH HC TRIPLE SCREEN ALPHA FETOP 82105 181.28$
30000065 SEH HC AMINO ACID SCREEN, QUAL 82128 198.79$
30000066 SEH HC AMINOLEVULINIC ACID 82135 264.71$
30000067 SEH HC AMMONIA, PLASMA 82140 134.93$
30000068 SEH HC AMYLASE, SERUM 82150 125.66$
30000069 SEH HC ANGIOTENSION CONVERTING 82164 210.12$
30000070 SEH HC LIPOPROTEIN EACH 82172 95.79$
30000071 SEH HC ARSENIC BLOOD QUANT 82175 230.72$
30000072 SEH HC VITAMIN C 82180 140.08$
30000073 SEH HC BETA 2 MICROGLOBULIN 82232 114.33$
30000074 SEH HC BILE ACIDS TOTAL 82239 39.14$
30000075 SEH HC BILIRUBIN, TOTAL 82247 165.83$
30000076 SEH HC BILIRUBIN, DIRECT 82248 55.62$
30000077 SEH HC GASTROCULT 82271 37.08$
30000078 SEH HC OCCULT BLOOD 82272 30.90$
30000079 SEH HC VITAMIN D 82306 328.57$
30000080 SEH HC AMITRIPTYLINE-ELAVIL G0480 165.83$
30000081 SEH HC CLONAZEPAM (CLONOPIN) 80346 154.50$
30000082 SEH HC CALCIUM IONIZED 82330 96.82$
30000083 SEH HC CALCIUM URINE QUANT. 82340 75.19$
30000084 SEH HC STONE ANALYSIS (HERRING) 82360 72.10$
30000085 SEH HC CO2 82374 65.92$
30000086 SEH HC CARBOXYHEMOGLOBIN 82375 215.27$
30000087 SEH HC CEA 82378 210.12$
30000088 SEH HC CARNITINE 82379 157.59$
30000089 SEH HC CATECHOLAMINE FRACTIONATED 82384 360.50$
30000090 SEH HC CERULOPLASMIN 82390 154.50$
30000091 SEH HC CHEMILUMINESCENT ASSAY 82397 157.59$
30000092 SEH HC CHLORIDE SERUM 82435 43.26$
30000093 SEH HC CHLORIDE, TIMED URINE 82436 31.93$
30000094 SEH HC CHOLESTEROL TOTAL 82465 104.03$
30000095 SEH HC CHOLINESTERASE 82480 90.64$
30000096 SEH HC CHROMIUM 82495 130.81$
30000097 SEH HC COLLAGEN CROSS LINK 82523 210.12$
30000098 SEH HC COPPER RANDOM URINE 82525 178.19$
30000099 SEH HC HYDROXYCORTICOSTERONE 18 82528 169.95$
30000100 SEH HC CORTISOL, FREE RIA 82530 118.45$
30000101 SEH HC CORTISOL, PLASMA 82533 181.28$
30000102 SEH HC CHROMATOGRAPHY SING ANALY 82542 260.59$
30000103 SEH HC CPK, TOTAL 82550 119.48$
30000104 SEH HC CKMB 82553 154.50$
30000105 SEH HC CREATININE, SERUM 82565 47.38$
30000106 SEH HC CREATININE SK 82570 73.13$
30000107 SEH HC URINE CREATINE CLEARANCE 82575 135.96$
30000108 SEH HC CRYOGLOBULIN 82595 92.70$
30000109 SEH HC VITAMIN B12 82607 112.27$
30000110 SEH HC DEHYDROEPIAMDROSTERONE 82626 191.58$
30000111 SEH HC DHEA-S 82627 247.20$
30000112 SEH HC VITAMIN D 1,25-DIHYDROXY 82652 305.91$
30000113 SEH HC PANCREATIC ELASTASE 1 82656 277.07$
30000114 SEH HC ERYTHROPOIETIN 82668 226.60$
30000115 SEH HC ESTRADIOL 82670 341.96$
30000116 SEH HC ESTROGEN 82672 48.41$
30000117 SEH HC ESTRIOL SCREEN 82677 346.08$
30000118 SEH HC ESTRONE 82679 357.41$
30000119 SEH HC ETHYLENE GYCOL 82693 86.52$
30000120 SEH HC FAT, FECAL, QUAL 82705 73.13$
30000121 SEH HC FERRITIN 82728 125.66$
30000122 SEH HC FETAL FIBRONECTIN 82731 471.74$
30000123 SEH HC FOLIC ACID 82746 118.45$
30000124 SEH HC FOLIC ACID RBC 82747 172.01$
30000125 SEH HC IGG SYNTHESIS RATE/INDEX 82784 149.35$
30000126 SEH HC ALLERGY CHILDHOOD PROFILE 82785 146.26$
30000127 SEH HC IGG SUBCLASSES 82787 106.09$
30000128 SEH HC PH, MISC FLUIDS 82800 113.30$
30000129 SEH HC ARTERIAL BLOOD GAS 82803 285.31$
30000130 SEH HC GASTRIN 82941 252.35$
30000131 SEH HC GLUCOSE, BODY FLUID NOT BLOOD 82945 95.79$
30000132 SEH HC GLUCOSE 82947 75.19$
30000133 SEH HC POC GLUCOSE/ONE 82962 6.18$
30000134 SEH HC GLUCOSE GEST DIAB EVALUAT 82950 148.32$
30000135 SEH HC GLUCOSE TOLERNACE 1 HR. 82951 184.37$
30000136 SEH HC GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS 82952 89.61$
30000137 SEH HC G6PD 82955 129.78$
30000138 SEH HC BLOOD GLUCOSE 82962 33.99$
30000139 SEH HC HCG GGT 82977 139.05$
30000140 SEH HC FRUCTOSAMINE 82985 216.30$
30000141 SEH HC FSH, SERUM 83001 266.77$
30000142 SEH HC LUTEINIZING HORMONE S 83002 266.77$
30000143 SEH HC HAPTOGLOBIN 83010 126.69$
30000144 SEH HC H PYLORI BREATH TEST 83013 169.95$
30000145 SEH HC HEAVY METAL QUANT 83018 81.37$
30000146 SEH HC ELECTROPHORESIS, HEMO 83020 180.25$
30000147 SEH HC FETAL HGB 83021 110.21$
30000148 SEH HC GLYCOSLATED HEMOGLOBIN 83036 87.55$
30000149 SEH HC HOMOCYSTEINE TOTAL PLASM 83090 231.75$
30000150 SEH HC SEROTONIN (5HIAA) 83497 129.78$
30000151 SEH HC HYDROXYPROGESTERONE-17 83498 390.37$
30000152 SEH HC IMMUNOASSAY NONANTIBODY 83516 75.19$
30000153 SEH HC IMMUNOASSAY ANALYTE (RIA) 83519 479.98$
30000154 SEH HC IMMUNO ANALYTE QUANT 83520 217.33$
30000155 SEH HC INSULIN LEVEL 83525 191.58$
30000156 SEH HC IRON 83540 61.80$
30000157 SEH HC TIBC 83550 92.70$
30000158 SEH HC LACTIC ACID LEVEL 83605 129.78$
30000159 SEH HC LDH TOTAL 83615 87.55$
30000160 SEH HC LDH ISOENZYME 83625 159.65$
30000161 SEH HC LEAD, SERUM 83655 173.04$
30000162 SEH HC LIPASE 83690 114.33$
30000163 SEH HC LIPID PARTICLE NUMBERS 83704 268.83$
30000164 SEH HC CHOLESTEROL HDL 83718 116.39$
30000165 SEH HC DIRECT LDL 83721 33.99$
30000166 SEH HC LUTENIZING REL FACT GONAD 83727 448.05$
30000167 SEH HC MAGNESIUM 83735 60.77$
30000168 SEH HC MANGANESE 83785 352.26$
30000169 SEH HC PAIN MGT TRAMADOL (GCMS) 83789 58.71$
30000170 SEH HC MERCURY 83825 232.78$
30000171 SEH HC METANEPHRINE 83835 437.75$
30000172 SEH HC MYELIN BASIC PROTEIN 83873 165.83$
30000173 SEH HC MYOGLOBIN 83874 185.40$
30000174 SEH HC NATRIURETIC PEPTIDE (BNP) 83880 180.25$
30000175 SEH HC NEPHELOMETRY EA ANALYTE 83883 139.05$
30000176 SEH HC NUCLEOTIDASE 5 83915 141.11$
30000177 SEH HC OLIGOCLONAL IMMUNE GLOBUL 83916 179.22$
30000178 SEH HC ORGANIC ACID QUAN RAN URI 83918 201.88$
30000179 SEH HC METHYLMALONIC ACID (S) 83921 305.91$
30000180 SEH HC OSMOLALITY 83930 104.03$
30000181 SEH HC OSMOLALITY, URINE 83935 87.55$
30000182 SEH HC PTH 83970 199.82$
30000183 SEH HC NB/NICU SCREEN 84030 59.74$
30000184 SEH HC ACID PHOSPHATASE, TOTAL 84060 110.21$
30000185 SEH HC ACID PHOSPHATESE PROSTATI 84066 136.99$
30000186 SEH HC ALK PHOSPHATASE, TOTAL 84075 72.10$
30000187 SEH HC ISOENZYMES 84080 106.09$
30000188 SEH HC PHOSPHORUS, SERUM 84100 65.92$
30000189 SEH HC PHOSPHORUS, URINE 84105 53.56$
30000190 SEH HC PORPHOBILINOGEN, UR QUANT 84110 119.48$
30000191 SEH HC AMNISURE 84112 153.47$
30000192 SEH HC PORPHYRIN 84120 157.59$
30000193 SEH HC POTASSIUM, SERUM 84132 52.53$
30000194 SEH HC POTASSIUM, TIMED URINE 84133 58.71$
30000195 SEH HC PREALBUMIN 84134 95.79$
30000196 SEH HC 17-HYDROXYPREGNENOLONE 84143 83.43$
30000197 SEH HC PROGESTRONE SERUM 84144 298.70$
30000198 SEH HC PROCALCITONIN 84145 399.64$
30000199 SEH HC PROLACTIN 84146 172.01$
30000200 SEH HC PROST SPEC ANT TOTAL 84153 153.47$
30000201 SEH HC PROST SPEC ANTI FREE&TOTA 84154 124.63$
30000202 SEH HC PROTEIN TOTAL SERUM 84155 89.61$
30000203 SEH HC PROTEIN URINE, QUANT. 84156 125.66$
30000204 SEH HC PROTEIN, TOTAL MISC FLUID 84157 199.82$
30000205 SEH HC SERUM PROTEIN ELECTROPHOR 84165 86.52$
30000206 SEH HC ELECTROPHORESIS PROT. UR. 84166 187.46$
30000207 SEH HC PROTOPORPHYRIN ERYTHRO 84202 225.57$
30000208 SEH HC PROINSULIN 84206 126.69$
30000209 SEH HC VITAMIN B6 PYRID 5 PHOS 84207 208.06$
30000210 SEH HC PYRUVATE 84210 42.23$
30000211 SEH HC ASSAY NONENDOCRINE RECEPTOR 84238 250.29$
30000212 SEH HC RENIN, PLASMA 84244 316.21$
30000213 SEH HC SELENIUM (P) 84255 83.43$
30000214 SEH HC SEROTONIN, SERUM 84260 93.04$
30000215 SEH HC SEX HORMONE BIND GLOBULIN 84270 224.54$
30000216 SEH HC SODIUM, SERUM 84295 53.56$
30000217 SEH HC SODIUM, TIMED URINE 84300 53.56$
30000218 SEH HC INSULIN-LIKE GROWTH FAC I 84305 198.79$
30000219 SEH HC SPECTROPHOTOMETRY 84311 82.40$
30000220 SEH HC SPECIFIC GRAVITY, MISC FL 84315 14.42$
30000221 SEH HC TESTOSTERONE, FREE 84402 61.80$
30000222 SEH HC TESTOSTERONE 84403 207.03$
30000223 SEH HC VITAMIN B1 (THIAMINE) 84425 303.85$
30000224 SEH HC THIOCYANATE (U) 84430 67.98$
30000225 SEH HC THYROGLOBULIN QUAN 84432 199.82$
30000226 SEH HC ASSAY OF THYROXINE, TOTAL 84436 99.91$
30000227 SEH HC FREE T4 84439 177.16$
30000228 SEH HC TBG 84442 221.45$
30000229 SEH HC TSH 84443 173.04$
30000230 SEH HC THYROID STIMULATING 84445 204.97$
30000231 SEH HC VITAMIN E 84446 70.04$
30000232 SEH HC SGOT 84450 87.55$
30000233 SEH HC SGPT 84460 87.55$
30000234 SEH HC TRANSFERRIN 84466 130.81$
30000235 SEH HC TRIGLYCERIDES 84478 95.79$
30000236 SEH HC RESTIN T3, UPTAKE RATIO 84479 126.69$
30000237 SEH HC T3, TOTAL SERUM 84480 146.26$
30000238 SEH HC T3, FREE (INCLUDES TOT) 84481 203.94$
30000239 SEH HC T3 REVERSE 84482 55.62$
30000240 SEH HC TROPONIN 84484 186.43$
30000241 SEH HC BUN 84520 55.62$
30000242 SEH HC UREA NITROGEN URINE 84540 29.87$
30000243 SEH HC URIC ACID, SERUM 84550 69.01$
30000244 SEH HC URIC ACID, 24 HR URINE 84560 79.31$
30000245 SEH HC VMA 84585 221.45$
30000246 SEH HC VASOACTIVE INT POLYP VIP 84586 88.58$
30000247 SEH HC VASOPRESSIN 84588 67.98$
30000248 SEH HC VITAMIN A (RETINOL) 84590 42.23$
30000249 SEH HC VITAMIN 84591 111.24$
30000250 SEH HC ZINC 84630 162.74$
30000251 SEH HC C-PEPTIDE 84681 226.60$
30000252 SEH HC HCG QUANTI SCREEN 84702 185.40$
30000253 SEH HC WBC 85004 62.83$
30000254 SEH HC BLOOD SMEAR 85008 22.66$
30000255 SEH HC SMEAR FOR POLYS 85009 53.56$
30000256 SEH HC HCT 85014 44.29$
30000257 SEH HC HEMOGLOBIN 85018 87.55$
30000258 SEH HC COMPLETE BLD CT CBC/WDIFF 85025 82.40$
30000259 SEH HC COMPLETE BLD COUNT CBC 85027 58.71$
30000260 SEH HC EOSINOPHIL COUNT 85032 61.80$
30000261 SEH HC RETICULOCYTE COUNT 85046 55.62$
30000262 SEH HC PLATELET COUNT 85049 55.62$
30000263 SEH HC FACTOR II ACTIVITY 85210 185.40$
30000264 SEH HC FACTOR V 85220 150.38$
30000265 SEH HC COAGULATION FACTOR VII 85230 256.47$
30000266 SEH HC COAG FACTOR 8 ACTI 85240 256.47$
30000267 SEH HC RISTOCET COF VWF ACT 85245 193.64$
30000268 SEH HC VON WILEBRAND FACTOR AG 85246 329.60$
30000269 SEH HC VON WILLEBRAND MULTIMERIC 85247 329.60$
30000270 SEH HC COAGULATION FACTOR IX 85250 272.95$
30000271 SEH HC FACTOR XIII 85290 116.39$
30000272 SEH HC ANTITHROMBIN III ACTIVITY 85300 340.93$
30000273 SEH HC ANTITHROMBIN III ANTIGEN 85301 311.06$
30000274 SEH HC PROTEIN C ANTIGEN 85302 413.03$
30000275 SEH HC PROTEIN C ACTIVITY 85303 405.82$
30000276 SEH HC PROGEIN S ANTIGEN 85305 360.50$
30000277 SEH HC PROTEIN S ACTIVITY 85306 204.97$
30000278 SEH HC ACTIVE PROT C APC RESIST 85335 157.59$
30000279 SEH HC ACT CATH 85347 96.82$
30000280 SEH HC FIBRINOGEN DEFRADAT(FDP) 85362 42.23$
30000281 SEH HC D-DIMER 85379 118.45$
30000282 SEH HC FIBRINOGEN 85384 109.18$
30000283 SEH HC THROMBELASTOGRAPH (TEG) 85390 74.16$
30000284 SEH HC PLASMINOGEN ACTIVITY 85420 119.48$
30000285 SEH HC FETAL CELL QUANTITATION 85460 319.30$
30000286 SEH HC HEPARIN ASSAY 85520 69.01$
30000287 SEH HC LYSOZYME 85549 77.25$
30000288 SEH HC PLATELET AGGREGATION 85576 96.82$
30000289 SEH HC DRVVT CONFIRMATION 85597 250.29$
30000290 SEH HC PT (PROTHROMBIN TIME) 85610 77.25$
30000291 SEH HC DRVVT 85613 125.66$
30000292 SEH HC SEDIMENTATION NON AUTOMATED 85651 67.98$
30000293 SEH HC SEDIMENTATION RATE AUTOMATED 85652 67.98$
30000294 SEH HC SICKLE CELL SOLUBILITY 85660 52.53$
30000295 SEH HC THROMBIN TIME 85670 53.56$
30000296 SEH HC APTT 85730 88.58$
30000297 SEH HC VISCOSITY SERUM 85810 104.03$
30000298 SEH HC BLOOD TRANSPORTATION 85999 212.18$
30000299 SEH HC ALLERGEN SPECIFIC IGE QUAN OR SEMIQUAN 86003 24.72$
30000300 SEH HC LEUKOCYTE ANTIBODY ID 86021 92.70$
30000301 SEH HC PLT ANTIBODY SCREENING 86022 355.35$
30000302 SEH HC ANA SCREEN W ENA REFLEX 86038 156.56$
30000303 SEH HC ASO TITER 86060 105.06$
30000304 SEH HC C-REACTIVE PROTEIN 86140 119.48$
30000305 SEH HC CARDIO CRP 86141 158.62$
30000306 SEH HC BETA-2 GLYCOPROTEIN ABS 86146 77.25$
30000307 SEH HC CARDIOLIPIN ANTIBODIES 86147 161.71$
30000308 SEH HC COLD AGGLUTININ TITER 86157 148.32$
30000309 SEH HC COMPLIMENT 86160 172.01$
30000310 SEH HC ESTERASE INHIBITOR, C1 86161 404.79$
30000311 SEH HC COMPLEMENT TOTAL CH5O 86162 177.16$
30000312 SEH HC CYCLIC CITRUL PEPT (CCP3) 86200 80.34$
30000313 SEH HC ANTI-DNASE B TITER 86215 59.74$
30000314 SEH HC ANTI DNA DOUBLE STRAND 86225 196.73$
30000315 SEH HC ANTI-DNA SINGLE STRAND 86226 173.04$
30000316 SEH HC EXTRACT NUC AG AB ANY WAY 86235 256.47$
30000317 SEH HC FLUORESCENT AB SCRN EA AB 86255 144.20$
30000318 SEH HC ANTI-SMOOTH MUSCLE 86256 207.03$
30000319 SEH HC CANCER ANTIGEN 15-3 86300 146.26$
30000320 SEH HC CARBOHYDRATE ANTIGEN 19-9 86301 142.14$
30000321 SEH HC CANCER ANTIGEN 125 86304 216.30$
30000322 SEH HC MONO 86308 132.87$
30000323 SEH HC IA INFECTIOUS AGENT AB QUAN 86317 129.78$
30000324 SEH HC IMMUNOFIXATION ELECTROPHO 86334 236.90$
30000325 SEH HC INHIBIN A 86336 75.19$
30000326 SEH HC INSULIN ANTIBODIES 86337 305.91$
30000327 SEH HC INTRINSIC FACTOR AB 86340 216.30$
30000328 SEH HC ISLET CELL AUTOANTI IGG 86341 181.28$
30000329 SEH HC B CELLS TOTAL COUNT 86355 72.10$
30000330 SEH HC NK CELLS TOTAL COUNT 86357 72.10$
30000331 SEH HC T CELLS TOTAL COUNT 86359 72.10$
30000332 SEH HC LYMPH IMMUNO TYPE ENUMERA 86360 106.09$
30000333 SEH HC MICROSOMAL AB EACH 86376 130.81$
30000334 SEH HC NEUTRALIZING TEST 86382 960.99$
30000335 SEH HC PARTICLE AGG SCREEN EA ANTIBODY 86403 81.37$
30000336 SEH HC CRYPTOCOCCAL ANTIGEN TITE 86406 107.12$
30000337 SEH HC RA FACTORS 86430 136.99$
30000338 SEH HC QUANTIFERON 86480 160.68$
30000339 SEH HC RPR 86592 72.10$
30000340 SEH HC RPR TITER 86593 33.99$
30000341 SEH HC ASPERGILLUS ANTIBODY 86606 77.25$
30000342 SEH HC BACTERIA ANTIBODY 86609 181.28$
30000343 SEH HC BARTONELLA ANTIBODY PANEL 86611 178.19$
30000344 SEH HC BLASTOMYCES (PT FUNG PNL) 86612 103.00$
30000345 SEH HC BORDETELLA PERTUSSIS 86615 67.98$
30000346 SEH HC LYME DISEASE ANTIBODIES 86617 82.40$
30000347 SEH HC BORRELIA BURGDORFERI 86618 224.54$
30000348 SEH HC BRUCELLA ABORTUS 86622 43.26$
30000349 SEH HC CANDIDA ANTIBODY 86628 136.99$
30000350 SEH HC CHLAMYDIA IGM ANTIBODY 86632 104.03$
30000351 SEH HC COCCIDIOIDES 86635 103.00$
30000352 SEH HC CYTOMEGAL IGG&IGM AB EIA 86644 156.56$
30000353 SEH HC CYTOMEGALOVIR IGM AB EIA 86645 47.38$
30000354 SEH HC COXSACKIE VIRUS ANTIBOD 86658 425.39$
30000355 SEH HC EPSTEIN-BARR VIRUS EARLY 86663 80.34$
30000356 SEH HC EBNA 86664 194.67$
30000357 SEH HC EPSTEIN-BARR VIR VCAIGMAB 86665 142.14$
30000358 SEH HC EHRLICHIA IGG AB 86666 207.03$
30000359 SEH HC SACCHARO CERE IGG&IGA AB 86671 141.11$
30000360 SEH HC HPYLORI IGM 86677 244.11$
30000361 SEH HC TOXOCARA AB 86682 136.99$
30000362 SEH HC H INFLUENZAE TYPE B 86684 47.38$
30000363 SEH HC HIV CONFIRMATORY TEST 86689 98.88$
30000364 SEH HC DELTA VIRUS AB HEPATITIS 86692 70.04$
30000365 SEH HC HERPES SIMPLEX VIRUSIGMAB 86694 207.03$
30000366 SEH HC HERPES SIMPLEX IOF2 86695 166.86$
30000367 SEH HC HERPES SIMPLEX 2 86696 277.07$
30000368 SEH HC HISTOPLASMA 86698 103.00$
30000369 SEH HC HIV SEROLOGY, SCREEN 86701 168.92$
30000370 SEH HC HEPATITIS B CORE IGG&IGM 86704 166.86$
30000371 SEH HC HEPATITIS B CORE ANTI 86705 203.94$
30000372 SEH HC HEPATITIS B SURF ANTIBY 86706 156.56$
30000373 SEH HC HEPATITIS BE ANTIBODY 86707 132.87$
30000374 SEH HC HEPATITIS A ANTIBOD TOTAL 86708 178.19$
30000375 SEH HC HEPATITIS A ANTIBODY 86709 178.19$
30000376 SEH HC INFLU TYPE A&B VIRUS AB 86710 119.48$
30000377 SEH HC LEGIONELLA GRP 1-6 86713 153.47$
30000378 SEH HC LEPTOSPIRA AB 86720 75.19$
30000379 SEH HC MUMPS IGG & IGM ABS 86735 139.05$
30000380 SEH HC MYCOPLASMA PNEUMONIA IGG 86738 76.22$
30000381 SEH HC PARVOVIRUS B19 IGB ABS 86747 209.09$
30000382 SEH HC AMOEBIC AB 86753 45.32$
30000383 SEH HC RICKETTSIA ANTIBODY IGM 86757 277.07$
30000384 SEH HC RUBELLA VIRUS AB IGM 86762 97.85$
30000385 SEH HC RUBEOLA AB IGG 86765 141.11$
30000386 SEH HC TYPHOID O 86768 49.44$
30000387 SEH HC TOXOPLASMA IGG ABS 86777 211.15$
30000388 SEH HC TOXOPLAS IGM ABS MAC EIA 86778 109.18$
30000389 SEH HC SYPHILIS AB 86780 109.18$
30000390 SEH HC VARICELLA ZOSTER AB IGG 86787 141.11$
30000391 SEH HC VIRUS ANTIBODY 86790 315.18$
30000392 SEH HC THYROGLOBULIN AP 86800 126.69$
30000393 SEH HC HEPATITIS C ANTIBODY 86803 252.35$
30000394 SEH HC HLAB27 86812 370.80$
30000395 SEH HC ANTIBODY SCREEN, RBC 86850 110.21$
30000396 SEH HC ANTIBODY ELUTION 86860 154.50$
30000397 SEH HC ANTIBODY IDENTIFICATION 86870 177.16$
30000398 SEH HC ANTIHUMAN GLOBULIN TEST 86880 107.12$
30000399 SEH HC ANTIBODY TITER 86886 104.03$
30000400 SEH HC BLOOD TYPE ABO 86900 55.62$
30000401 SEH HC RH(D) 86901 53.56$
30000402 SEH HC UNIT ANTIGEN TYPING I 86902 92.70$
30000403 SEH HC PRESELECTED UNIT 86904 49.44$
30000404 SEH HC CROSSMATCH IS 86920 86.52$
30000405 SEH HC ANTIGLOBULIN TECHNIQUE 86922 97.85$
30000406 SEH HC CROSSMATCH, ELECTRONIC 86923 125.66$
30000407 SEH HC HEMO RADIATION 86945 1,948.92$
30000408 SEH HC PRETREATMENT W/ ENZYMES 86971 116.39$
30000409 SEH HC RETICULOCYTE SEPARATION 86972 98.88$
30000410 SEH HC INCUBATE OF SERUM W/DRUGS 86975 351.23$
30000411 SEH HC ANTIBODY ABSORPTION 86978 161.71$
30000412 SEH HC ARC TRANSPORT FEE 86999 133.90$
30000413 SEH HC CONCENTRATION INFECT AGEN 87015 57.68$
30000414 SEH HC CULTURE, BLOOD 87040 236.90$
30000415 SEH HC CULTURE, STOOL 87045 244.11$
30000416 SEH HC STOOL ADDITIONAL PATHOGEN 87046 33.99$
30000417 SEH HC CULTURE, ROUTINE OTHER 87070 170.98$
30000418 SEH HC CULTURE, ANAEROBIC 87075 325.48$
30000419 SEH HC PANEL/BORD CULT/ADD. ID 87076 61.80$
30000420 SEH HC ORGANISM IDENTIFICATION 87077 58.71$
30000421 SEH HC BORDETELLA CULTURE 87081 114.33$
30000422 SEH HC CULTURE, URINE 87086 125.66$
30000423 SEH HC PRESUMPTIVE ID URINE 87088 52.53$
30000424 SEH HC CULTURE, FUNGUS 87102 144.20$
30000425 SEH HC FUNGUS IDENTIFICATION 87106 83.43$
30000426 SEH HC MYCOPLASMA PNEUMO CUL 87109 101.97$
30000427 SEH HC CHLAMYDIA CULTURE 87110 143.17$
30000428 SEH HC CULTURE, ACID FAST 87116 153.47$
30000429 SEH HC CULTURE TYPE FLUO METH. 87140 58.71$
30000430 SEH HC CULTURE IMMUNOLOGIC 87147 52.53$
30000431 SEH HC PINWORM EXAMINATION 87172 14.42$
30000432 SEH HC OVA & PARASITES 87177 166.86$
30000433 SEH HC SENSITIVITY K-B 87184 110.21$
30000434 SEH HC ENZYME DETECTION 87185 20.60$
30000435 SEH HC SENSITIVITY MIC 87186 112.27$
30000436 SEH HC AFB PROPORTION METHOD 87190 69.01$
30000437 SEH HC GRAM STAIN 87205 67.98$
30000438 SEH HC PANEL/BORD SMR, FLUOR/AF 87206 72.10$
30000439 SEH HC MALARIA SMEAR 87207 96.82$
30000440 SEH HC TRICHROME STAIN 87209 114.33$
30000441 SEH HC WET PREP 87210 65.92$
30000442 SEH HC KOH PREP FOR FUNGUS 87220 44.29$
30000443 SEH HC TOXIN ASSAY OF CULTURE 87230 148.32$
30000444 SEH HC CMV CULTURE 87252 218.36$
30000445 SEH HC HERPES SIMPLEX CULTURE 87255 97.85$
30000446 SEH HC BORDETELLA SMEAR 87265 25.75$
30000447 SEH HC CHLAMYDIA (DFA) 87270 168.92$
30000448 SEH HC INFLUENZA VIRUS AG 87275 117.42$
30000449 SEH HC VARICELLA-ZOS VIR AG DFA 87290 33.99$
30000450 SEH HC C. DIFFICILE TOXIN 87324 221.45$
30000451 SEH HC GIARDIA/CRYPTOSPORIDIUM 87328 13.39$
30000452 SEH HC GIARDIA 87329 117.42$
30000453 SEH HC HELICOBACTER PYL AG STOOL 87338 142.14$
30000454 SEH HC HEPATITIS B SURF ANTIGE 87340 105.06$
30000455 SEH HC HEPATITIS BE ANTIGEN 87350 159.65$
30000456 SEH HC HIV AG/AB 4TH GEN W/REFLX 87389 123.60$
30000457 SEH HC HIV-1 P24 ANTIGEN 87390 179.22$
30000458 SEH HC INFLUENZA A/B AG IA 87400 39.14$
30000459 SEH HC RSV ANTIGEN 87420 135.96$
30000460 SEH HC ROTAVIRUS ANTIGEN 87425 82.40$
30000461 SEH HC LEGIONELLA URI ANTIGENEIA 87449 109.18$
30000462 SEH HC CHLAMYDIA/GC AMP 87491 156.56$
30000463 SEH HC CLOSTRIDIUM DIFFICILE 87493 215.27$
30000464 SEH HC CYTOMEGAL DNA DETECTR 87496 143.17$
30000465 SEH HC CMV DNA QT REALTIME PCR 87497 342.99$
30000466 SEH HC ENTEROVIRUS RNA, QUAL 87498 220.42$
30000467 SEH HC HBV DNA QUAL PCR 87516 212.18$
30000468 SEH HC HBV DNA, QUAN PCR 87517 278.10$
30000469 SEH HC HEPATITIS C VIR RNA DETEC 87521 639.63$
30000470 SEH HC HEP C RNA BY PCR QUAN 87522 557.23$
30000471 SEH HC HERPES SIMP VIR PCR TECH 87529 246.17$
30000472 SEH HC HIV-1 RNA QUAL PCR 87535 342.99$
30000473 SEH HC HIV RNA BY PCR VIRAL LOAD 87536 498.52$
30000474 SEH HC MYCOBACTERIA PCR 87556 306.94$
30000475 SEH HC GC AMPLIFIED 87591 156.56$
30000476 SEH HC LOW RISK HPV 87623 134.93$
30000477 SEH HC HIGH RISK HPV 87625 187.46$
30000478 SEH HC MRSA AMPLIFIED PROBE 87641 172.01$
30000479 SEH HC GRP B STREP AMPLIFY PROBE 87653 201.88$
30000480 SEH HC AMPLIFY PROBE TECH EA ORG 87798 387.28$
30000481 SEH HC BK VIRUS DNA, QUAN PCR 87799 243.08$
30000482 SEH HC GROUP A STREP ANTIGEN 87880 110.21$
30000483 SEH HC AGENT NOS ASSAY W/OPTIC 87899 57.68$
30000484 SEH HC HIV1 GENO DRUG RES TO RTI 87901 547.96$
30000485 SEH HC HCV-RNA GENOTYPE 87902 749.84$
30000486 SEH HC CELL COUNT, MISC FLUIDS 89051 124.63$
30000487 SEH HC CRYSTALS, SYNOVIAL FLUID 89060 86.52$
30000488 SEH HC SMEAR FOR EOS 89190 30.90$
30000489 SEH HC NEB. INDUCED SPUTUM COLL 89220 182.13$
30000490 SEH HC CHLORIDE, SWEAT COLLECTIO 89230 290.46$
30000491 SEH HC SEMEN ANALYSIS 89320 173.04$
30000500 SEH HC VENLAFAXINE+METABOLITE 80299 172.01$
30000501 SEH HC RAPAMYCIN (SIROLMUS) 80195 172.01$
30000502 SEH HC TRAZODONE 80299 172.01$
30000503 SEH HC LACOSAMIDE, LC/MS/MS 80299 185.40$
30000504 SEH HC FLUOXETINE BLOOD 80299 172.01$
30000505 SEH HC DEXAMETHASONE 80299 217.33$
30000506 SEH HC QUANTITATION OF DRUG TDM 80299 172.01$
30000507 SEH HC OXCARBAZEPINE (TRILEPTAL) 80299 172.01$
30000508 SEH HC OLANZAPINE 80299 172.01$
30000509 SEH HC SERTRALINE 80299 172.01$
30000510 SEH HC DIGITOXIN 80299 172.01$
30000511 SEH HC TOCAINIDE 80299 172.01$
30000512 SEH HC VORICONAZOLE 80299 172.01$
30000513 SEH HC DISOPYRAMIDE (NORPASE) 80299 172.01$
30000514 SEH HC IMMUNOGLOBULIN IGE 82785 146.26$
30000515 SEH HC PH, CORD 82800 112.27$
30000525 SEH HC IMMUNOGLOBULIN M (SK) 82784 149.35$
30000526 SEH HC VITAMIN K 84597 129.78$
30000527 SEH HC RIBOFLAVIN 84252 54.59$
30000528 SEH HC LACTOFERRIN 83631 66.95$
30000529 SEH HC CHROMOSOME ANALYSIS, HIGH RESOLUTION 88230 206.00$
30000530 SEH HC CHROMOSOME ANALYSIS, HIGH RESOLUTION 88262 257.50$
30000531 SEH HC CHROMOSOME ANALYSIS, HIGH RESOLUTION 88289 154.50$
30000532 SEH HC CYP2C19 GENE ANALYSIS 81225 669.50$
30000533 SEH HC ADAMS 13 ACTIVITY 85397 175.10$
30000600 SEH HC HOMOCYSTEINE TOTAL URINE 83090 231.75$
30000601 SEH HC PAIN MNGT OXY & META CHG G0480 154.50$
30000603 SEH HC DRUG OF ABUSE SCREENSERUM 80307 437.75$
30000604 SEH HC 7 PANEL DOA (C) 80307 338.87$
30000605 SEH HC 10 PANEL DOA (C) 80307 484.10$
30000606 SEH HC 9 PANEL DOA (C) 80307 435.69$
30000607 SEH HC PAIN MGT DRUG SCREEN (C) 80307 489.25$
30000608 SEH HC MECONIUM DRUG SCREEN 80307 154.50$
30000610 SEH HC OXYCODONE&METABOLITESERUM 80361 154.50$
30000611 SEH HC OPIATES CONFIRMATION 80361 154.50$
30000612 SEH HC CALCIUM TOTAL 82310 64.89$
30000614 SEH HC CALCITONIN 82308 60.77$
30000700 SEH HC ALCOHOL, BLOOD G0480 154.50$
30000701 SEH HC SALICYLATE G0480 154.50$
30000702 SEH HC ACETOMINOPHEN G0480 194.67$
30000703 SEH HC LORAZEPAM (ATIVAN) G0480 154.50$
30000704 SEH HC NORTRIPTYLINE CHARGE ONLY G0480 154.50$
30000705 SEH HC PAIN MNGT BARBITURA CHG G0480 154.50$
30000706 SEH HC PAIN MNGT FEN & NON CHG G0480 154.50$
30000707 SEH HC PAIN MNGMT BENZO CHG G0480 154.50$
30000708 SEH HC PAIN MNGT METHADONE CHG G0480 154.50$
30000800 SEH HC NICOTINE G0480 340.93$
30000801 SEH HC PAIN MGT METHAQUALONE G0480 50.47$
30000802 SEH HC HYDROMORPHONE SERUM G0480 154.50$
30000803 SEH HC HYDROCODONE & METABOLITES G0480 111.24$
30000804 SEH HC AMIODARONE & METABOLITYES G0480 172.01$
30000805 SEH HC PM SG/PH 81003 10.30$
30000806 SEH HC ALPHA-FETOPROTEIN SERUM 82105 16.48$
30000807 SEH HC PANCREATIVE ISOENZYME 82150 39.14$
30000808 SEH HC N TELOPEPTIDE 82523 210.12$
30000809 SEH HC SULFONYLUREA 82542 172.01$
30000810 SEH HC GLIADIN IGA&IGB ABS EIA 83516 217.33$
30000811 SEH HC CELIAC DISEASE EVALUATR 83516 92.70$
30000812 SEH HC GLUTAMIC ACID DECARB 83519 479.98$
30000813 SEH HC IGF BIND PRO 3 IGFBP 3 83519 479.98$
30000814 SEH HC HEPARIN PF4 AB 83520 217.33$
30000815 SEH HC GLOMER BVASE MEM IGG AUTO 83520 217.33$
30000816 SEH HC MITOCHONDRIAL IGG AUTOABS 83520 217.33$
30000817 SEH HC ALPHA1 ACID GLYCOPROTEIN 83883 139.05$
30000818 SEH HC MYELOMA EVALUATR 83883 194.67$
30000819 SEH HC ACETYCHOL REC BIND AUTO 84238 245.14$
30000820 SEH HC TRANSFERASE ALANINE AMINO 84460 7.73$
30000821 SEH HC LUPUS ANTICOAG ASSESS W/INTERP 85730 258.53$
30000822 SEH HC ANA SCREEN W ENA REFLEX MISC FLUID 86038 150.38$
30000823 SEH HC RPR TITER STATE 86593 20.60$
30000824 SEH HC VIRAL RESP RAPID CULT 87140 58.71$
30000825 SEH HC EPSTEIN-BARR DNA PCR 87798 387.28$
30000826 SEH HC TRICHOMONAS AMPLIFY PROBE 87798 156.56$
30000827 SEH HC EPSTEIN-BARR VIR DNA ULTRA CSF 87799 263.68$
30000842 SEH HC RISPERIDONE 80299 172.01$
30000843 SEH HC ALLERGY PROFILE, FOOD 82785 216.30$
30000844 SEH HC UPPER RESPIR PROFIL REGII 82785 319.30$
30000846 SEH HC NEOSEM PARA SENSOR PROFIL 84182 173.04$
30000847 SEH HC IMMUNOGLOB.'S IGA IGG IGM 82784 149.35$
30000848 SEH HC IGG SUBCLASSES PANEL 82784 149.35$
30000849 SEH HC IMMUNOGLOBULIN G 82787 145.00$
30000850 SEH HC IMMUNOGLOBULIN IGA 82787 145.00$
30000851 SEH HC IMMUNOGLOBULIN IGM 82787 145.00$
30000852 SEH HC GLUCAGON 82943 61.80$
30000853 SEH HC GROWTH HORMONE HUMAN 83003 239.99$
30000854 SEH HC PTH INTACT 83661 19.57$
30000855 SEH HC FENTANYL&NORFENTANYLSERUM G0480 154.50$
30000856 SEH HC SERUM PROTEIN ELECT ORDER 84163 156.56$
30000857 SEH HC TESTOST FREE WEAK BOUND T 84376 96.82$
30000859 SEH HC OXYCODONE 80307 49.44$
30000860 SEH HC HCV FIBROSURE 84460 87.55$
30000861 SEH HC OSMOLALITY, FECES 84999 49.44$
30000862 SEH HC DIFFERENTIAL 85007 20.60$
30000863 SEH HC FACTOR X ACTIVITY CLOTTIN 85260 256.47$
30000864 SEH HC CLOTTING TIME 85345 86.52$
30000869 SEH HC RH TYPE D ONLY 86905 53.56$
30000870 SEH HC EBV EPSTEIN BARR VIRUS 86787 141.11$
30000872 SEH HC FUNGAL ABS 86698 103.00$
30000873 SEH HC INFLUENZA VIRUS A&B AG 87276 117.42$
30000876 SEH HC CD4 T-HELPER INDUCER 99080 132.61$
30000877 SEH HC PAN-ANCA EVALUATION 88104 151.41$
30000878 SEH HC URINALYSIS MICROSCOPE 81015 24.72$
30000882 SEH HC NB TRANSCU BILICHECK 88720 92.70$
30000884 SEH HC CITRATE 82507 285.31$
30000885 SEH HC ALUMINUM ASSAY 82108 290.46$
30000886 SEH HC LIDOCAINE 80176 177.16$
30000887 SEH HC LIPOPRO BLD ELECTROPHORETIC 83700 50.47$
30000888 SEH HC PROTEIN WESTERN BLOT 84181 326.51$
30000889 SEH HC IMMUNE COMPLEX ASSAY 86332 342.99$
30000890 SEH HC AB DIPHTHERIA 86648 124.63$
30000900 SEH HC AB TETANUS 86774 106.09$
30000901 SEH HC HISTOPLASMA CAPSUL AG IA 87385 278.10$
30000902 SEH HC SOMATOSTATIN 84307 148.32$
30000903 SEH HC CLOTTING FACTOR XI 85270 150.38$
30000904 SEH HC HEXAGONAL PHASE CONFIRM 85598 82.40$
30000905 SEH HC ALPRAZOLAM G0480 154.50$
30000906 SEH HC DESIPRAMINE G0480 80.34$
30000907 SEH HC DOXEPIN G0480 154.50$
30000908 SEH HC IMIPRAMINE G0480 247.20$
30000909 SEH HC GABITRIL 80299 172.01$
30000910 SEH HC DIAZEPAM G0480 154.50$
30000911 SEH HC CAFFEINE 80155 172.01$
30000912 SEH HC METHOTREXATE 80299 172.01$
30000913 SEH HC PROPOXYPHENE G0480 154.50$
30000914 SEH HC MORPHINE SERUM G0480 154.50$
30000915 SEH HC ASPERGILLUS AG EIA BAL 87305 103.00$
30000916 SEH HC CROMOGRANIN A 86316 98.01$
30000917 SEH HC FELBAMATE 80299 172.01$
30000918 SEH HC MEXILETINE 80299 172.01$
30000919 SEH HC PAIN MGT PROPOXYPHENE G0480 154.50$
30000920 SEH HC THORAZINE SCREEN G0480 161.71$
30000921 SEH HC PLASMINOGEN ACTI INHIBITOR 85415 256.47$
30000922 SEH HC GLUCOSE TOLERANCE FASTING 82951 89.61$
30000923 SEH HC BROMIDE 82542 260.59$
30000924 SEH HC CORTISOL, SALIVARY 82530 114.33$
30000925 SEH HC NOROVIRUS 87798 387.28$
30000926 SEH HC SEROTONIN RELEASE ASSAY 86022 355.35$
30000927 SEH HC MRSA/SA BC 87150 94.76$
30000928 SEH PROTHROMBIN TIME-INR 85610 20.60$
30000929 SEH HC VENIPUNTURE RO 36415 36.05$
30000930 SEH HC VENIPUNCTURE RO 36415 36.05$
30000931 SEH HC VENIPUNTURE MO 36415 36.05$
30000932 SEH HC MO PT/INR MED ONC 85610 77.25$
30000933 SEH HC MO PNEUMOCOCCAL ADMIN FEE G0009 102.77$
30000934 SEH HC UA AUTOMATED WITH MICROSCOPY 81001 51.50$
30000935 SEH HC CHG ANA 2ND TITER&PATTERN 86039 106.09$
30000936 SEH HC BUPRENORPHINE 80348 193.72$
30000937 SEH HC HUMAN PLATELET ANTIGEN 81105 100.73$
30000938 SEH HC DRUG OR SUBSTANCE,NOT OTHERWISE SPECIFIED 80375 206.00$
30000939 SEH HC CALPROTECTIN, FECAL 83993 127.47$
30000940 SEH HC LACTOFERRIN, FECAL QUANTITATIVE 83631 106.07$
30000941 SEH HC HELICOBACTER PYLORI; DRUG ADMIN 83014 30.90$
30000942 SEH HC IMMATURE PLATELET FRACTION 85055 55.62$
30000943 SEH HC OPIOIDS AND OPIATE ANALOGS 80362 154.50$
30000944 SEH HC FECAL LIPIDS, TOTAL 82710 57.68$
30000945 SEH HC HE4, OVARIAN CANCER MONITORING 86305 341.96$
30000946 SEH HC FRAGILE X WITH REFLEX 81243 216.30$
30000947 SEH HC VERY LONG CHAIN FATTY ACIDS 87626 273.98$
30000948 SEH HC LP-PLA2 ACTIVITY 83698 85.49$
30000949 SEH HC PHOSPHATIDYLSERINE (IGG,IGA,IGM) 86148 83.43$
30000950 SEH HC FACTOR XII (HAGEMAN) 85280 56.65$
30000951 SEH HC AMYLASE ISOENZYMES 82664 298.70$
30000952 SEH HC HEP B SURFACE AG BY NEUTRALIZATION 87341 42.23$
30000953 SEH JAK2 V617G MUTATION 81270 394.49$
30000954 SEH HC CV ARTERIAL BLOOD GAS 82803 285.31$
30000955 SEH HC BILE ACIDS,FRACCTIONATED & TOTAL , PREGNANCY 82542 231.75$
30000956 SEH HC TPMT ACTIVITY 82657 309.00$
30000957 SEH HC TOXIPLASMA ANTIBODIES 86777 83.43$
30000958 SEH HC TOXIPLASMA ANTIBODIES, IGM 86778 83.43$
30000959 SEH HC TISSUE TRANSGLUTAMINASE ABS (IGG,IGA) 83516 87.55$
30000960 SEH HC DPYD (DIHYDROPYRIMIDINE DEHYDROGENASE) 81232 329.60$
30000961 SEH HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 81401 257.50$
30000962 SEH HC ENZYME ACTIVITIY IN BLOOD CELLS NOT ELSEWHERE SPECIFIED 82657 113.30$
30000963 SEH HC MORPHOMETRIC ANALYSIS TUMOR IMMUNOHISTOCHEMISTRY 88360 375.95$
30000964 SEH HC ENTAMOEB HIST GROUP AG EIA 87337 133.90$
30000965 SEH HC ALIQUOT FEE 86985 61.80$
30000966 SEH HC CV GLUCOSE 82947 75.19$
30000967 SEH HC CV POTASSIUM, SERUM 84132 52.53$
30000968 SEH HC CV CALCIUM IONIZED 82330 96.82$
30000969 SEH HC CV HEMOGLOBIN 85018 87.55$
30000970 SEH HC CV LACTIC ACID LEVEL 83605 129.78$
30000971 SEH HC CV HEPARIN ASSAY 85520 69.01$
30000972 SEH HC CV PERFUSION ACT 85347 96.82$
30000975 SEH HC COXSACKIE B (1-6) AB 86658 56.65$
30000976 SEH HC SMA DIAGNOSTIC TEST 81401 700.40$
30000977 SEH HC SOLUBLE LIVER ANTIGEN (SLA) AUTOANTIBODY 83520 72.10$
30000978 SEH HC PTH-RELATED PROTEIN (PTH-RP) 83519 103.00$
30000979 SEH HC ALKALINE PHOSPHATASE, BONE SPECIFIC 84075 46.35$
30000980 SEH HC ANTI-MULLERIAN HORMONE 82397 51.50$
30000981 SEH HC LYMPHOCYTE SUBSET PANEL 5 86361 84.46$
30000982 SEH HC AMINO ACIDS, 6 OR MORE, QUANT EA SPECIMEN 82139 77.25$
30000983 SEH HC ADENOVIRUS 86603 77.25$
30000984 SEH HC PHV POC GLUCOSE/ONE 82962 4.12$
30000985 SEH HC FACTOR II PROTHROMBIN GENOTYPE 81240 103.00$
30000986 SEH HC PERPHENAZINE 80342 128.75$
30000987 SEH HC REFLEX MPL W515 & MPL S505 MUTATION ANALYSIS, QL 81402 206.00$
30000988 SEH HC MINOR BREAKPOINT,QUAL OR QUAN 81207 257.50$
30000989 SEH HC ZIKA VIRUS 86794 272.95$
30000990 SEH HC BACLOFEN 80369 180.25$
30000991 SEH HC GAL-1-P URIDYLTRANS 82775 283.25$
30000992 SEH HC NASH FIBROSURE 82172 82172 396.55$
30000993 SEH HC SMA CARRIER SCREEN 81401 700.40$
30000994 SEH HC QNATAL ADVANCED 81420 1,751.00$
30000995 SEH HC RBC L/R DEGLY P9057 920.82$
30000996 SEH HC VOLATILES SCREEN SENDOUT 80320 51.97$
30000997 SEH HC CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9 81219 188.00$
30000998 SEH HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 81403 232.00$
30000999 SEH HC MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 81479 232.00$
30001000 SEH HC SODIUM OTHER 84302 53.56$
30001001 SEH HC FETAL QUAL, APT 83033 71.00$
30001002 SEH HC HPV HIGH RISK TYPES 87624 187.46$
30001003 SEH HC ANDROSTENEDIONE 82157 407.00$
30001004 SEH HC CANDIDA SPECIES AMP PROBE TECH 87481 152.00$
30001005 SEH HC GARDNERELLA VAGINALIS, AMP PROBE TECH 87511 152.00$
30001006 SEH TRAB (TSH RECEPTOR BINDING AB) 83519 250.00$
30001007 SEH DRUG TOXICOLOGY MONITORING ALCOHOL METABOLITES, QUAN URINE 80321 300.00$
30001008 SEH HC DRUGS OR SUBSTANCES, DEFINITIVE, QUAL OR QUANT, NOS 7 OR MORE 80377 350.00$
30001009 SEH HC CRYOFIBRINOGEN 82585 27.00$
30001010 SEH HC MODY-MONOGENIC CHARGE 81479 4,215.00$
30001011 SEH HC REFLEX CHROMOSOME MICROARRAY, POSTNASAL, CLARISURE OLIGO-SNP 81229 1,450.00$
30001012 SEH HC ALPHA SUBUNIT 82397 170.00$
30001013 SEH HC 21-HYDROXYLASE AB 83519 190.00$
30001014 SEH HC PROCOLLAGEN TYPE I INTACT N TERMINAL PROPEPTIDE 83519 240.00$
30001015 SEH HC COLLAGEN TYPE I C-TELOPEPTIDE (CTX) 82523 160.00$
30001016 SEH HC CHLAMYDIA TRACHOMATIS RNA TMA, UROGENITAL 87491 140.00$
30001017 SEH HC NEISSERIA GONORRHOEAE RNA TMA, UROGENITAL 87591 140.00$
30001018 SEH HC TRICHOMONAS VAGINALIS RNA, QUAL TMA MALES 87661 190.00$
30001019 SEH HC SURESWAB TRICHOMONAS VAGINALIS RNA, QUAL, TMA 87661 190.00$
30001020 SEH HC VASCULAR ENDOTHELIAL GROWTH FACTOR (VEGF) 83520 136.81$
30001021 SEH HC CYTOMEGALOVIUS DNA, QUAL RT PCR 87496 160.00$
30001022 SEH HC PARVOVIRUS B19 DNA, QUAN RT PCR 87799 263.00$
30001023 SEH HC TISSUE CULT AMNIOTIC/CHORIONIC 88235 394.00$
30001024 SEH HC CHROMOSOME ANALY:AMNIOTIC 88269 394.00$
30001025 SEH HC CHROMOSOME KARYOTYPE STUDY 88280 394.00$
30001026 SEH HC CHROMOSAM MICROARRAY, PRENATAL, CLARISURE 81229 1,500.00$
30001027 SEH HC TOXOPLASMA GONDII DNA, QUAN RT PCR 87799 263.00$
30001028 SEH HC MICRODISSECTION MANUAL 88381 284.00$
30001029 SEH HC TARGETED GENOMIC SEQUENCE ANALYSIS PANEL 81455 2,919.60$
30001030 SEH HC CALPROTECTIN, STOOL 83993 98.76$
30001031 SEH HC BCID PANEL 87150 500.00$
30001032 SEH HC GI PANEL 87507 500.00$
30001035 SEH HC BIOFIRE MENINGITIS/ENCEPHALITIS (ME) PANEL 87483 600.00$
30001036 SEH HC HPV MRNA, RECTAL 87624 95.00$
30001037 SEH HC SARS-COV-2, QUAL RT PCR 87635 119.00$
30001038 SEH HC COVID-19 NON-AMP PROBE TECHNIQUE U0002 119.00$
30001039 SEH HC T-CELL BETA GENE REARRANGEMENT 81340 343.34$
30001040 SEH HC COVID19 AMPLIFIED PROBE U0003 119.00$
30001041 SEH HC ANTIBODY; SEVERE ACUTE RESPIRATORY SYNDROME CORONAVIRUS 2 (SARS-COV-2) 86769 53.79$
30001042 SEH HC MYCOPHENOLIC ACID, LC/MS/MS 80180 192.55$
30001043 SEH HC ADALIMUMAB ACTIVITY AND NEUTRALIZING ANTIBODY 80145 341.48$
30001044 SEH HC MO HEMO RADIATION 86945 1,948.92$
30001045 SEH HB HIV GENOSURE PRIME 87901 915.00$
30001046 SEH HC INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE, (EG, ENZYME IMMUNOASSAY EIA, ENZYME-LINKED IMMUNOSORBENT ASSAY ELISA87426 75.00$
30001047 SEH HC INFECTIOUS DISEASE (VIRAL RESPIRATORY TRACT INFECTION), PATHOGEN-SPECIFIC RNA 0240U 240.00$
30001048 SEH HC RESP 2.1 PANEL WITH SARS-COV-2 0202U 600.00$
30001049 SEH HC QUAN OF THERAPEUTIC DRUG, NOT ELSEWHERE SPECIFIED 80299 15.90$
30001050 SEH HC ANTIPSYCHOTICS, NOT OTHERWISE SPECIFIED; 1-3 80342 81.25$
30001051 SEH HC INFECTIOUS AGENT ANTIGEN DETECTION BY IMMUNOASSAY TECHNIQUE (COVID / FLU A / FLU B ANTIGEN) 87428 79.50$
30001052 SE HC GI PANEL (INFECTIOUS AGENT DETECTION BY NUCLEIC ACID (DNA OR RNA) 87507 700.00$
30500000 SEH HC TRANSFUSION REACTION EVAL 86078 194.67$
30900000 SEH HC ARC CALLBACK 86999 133.90$
30900001 SEH HC AR CALL BACK AFTER 2300 86922 381.10$
31000000 SEH HC CROMOSOME ANALYSIS 88262 1,786.02$
31000001 SEH HC PATHOLOGY LEVEL 1 88300 80.34$
31000002 SEH HC PATHOLOGY LEVEL II 88302 115.36$
31000003 SEH HC PATHOLOGY LEVEL III 88304 170.98$
31000004 SEH HC PATHOLOGY LEVEL IV 88305 362.56$
31000005 SEH HC PATHOLOGY LEVEL V 88307 379.04$
31000006 SEH HC PATHOLOGY LEVEL VI 88309 393.46$
31000007 SEH HC DECALCIFICATION 88311 46.35$
31000008 SEH HC SPECIAL STAIN GRP I 88312 94.76$
31000009 SEH HC SPECIAL STAIN GRP II 88313 82.40$
31000010 SEH HC SURGICAL CONSULTATION 88329 21.63$
31000011 SEH HC SURGICAL, FROZEN SECTION 88331 172.01$
31000012 SEH HC IMMUNCYTOCHEM STAIN 88342 72.10$
31000013 SEH HC IN SITU HYBRIDIZATN QUAL 88365 272.95$
31000014 SEH HC IN SITU HYBRIDIZATN QUAN 88368 332.69$
31000015 SEH HC ADDITIONAL IMMUNCYTOCHEM STAIN 88341 72.10$
31100000 SEH HC CYTOLOGY CELLBLOCK 88104 55.62$
31100001 SEH HC CYTOLOGY CELL ENHANCEMENT TECH 88112 206.00$
31100002 SEH HC LIQUID BASE PAP (OUTPAT) 88142 58.71$
31100003 SEH HC CYTOLOGY BRST NIPPLE SECR 88160 58.71$
31100004 SEH HC CYTOLOGY SLIDE PREP 88161 94.76$
31100005 SEH HC CYTOLOGY, GYN 88164 58.71$
31100006 SEH HC EVAL OF FNA PEP & INIT 88172 111.24$
31100007 SEH HC DX EVAL FNA 1ST EA SITE 88173 108.15$
31100008 SEH HC DX EVAL FNA EA ADD EPISO 88177 111.24$
31100009 SEH HC FLOW CYTOMETRY 1ST MARKER 88184 131.84$
31100010 SEH HC FLOW CYTOMETRY EA MARKER 88185 57.68$
31100011 SEH HC TISSUE/CULTURE BONE MARRW 88237 166.86$
31100012 SEH HC CHROMOSOME ANAL 20-25CELL 88264 206.00$
31100013 SEH HC CHROMOSOME ANAL ADD KARYO 88280 42.23$
31100014 SEH HC INTRAPRO CYTO TOUCH PEP 88333 111.24$
31100015 SEH HC DNA PROBE (FISH) 88271 410.97$
32000000 SEH HC FNA W/IMAGE 10022 483.07$
32000001 SEH HC MAJOR DRAIN/INJ JOINT/BURSA W/O US-RAD 20610 481.01$
32000002 SEH HC PERQ VERTEBRAL AUGMENTATION THORACIC 22513 6,070.82$
32000003 SEH HC PERQ VERTEBRAL AUGMENTATION LUMBAR 22514 6,070.82$
32000004 SEH HC PERQ VERTEBRAL AUGMENTATION EA ADDL LUMB OR THOR 22515 6,070.82$
32000005 SEH HC INJECTION FOR HIP X-RAY 27093 435.69$
32000006 SEH HC INJECTION FOR KNEE X-RAY 27370 472.77$
32000007 SEH HC PLACE CATH THORACIC AORTA 36221 4,573.20$
32000008 SEH HC PLACE CATH CAROTID/INOM ART 36223 4,573.20$
32000012 SEH HC INJ W/FLUOR EVAL CV DEVICE 36598 542.81$
32000013 SEH HC THROMBOLYTIC VENOUS THERAPY-SPEC 37212 1,619.16$
32000016 SEH HC INSERT TUN IP CATH PERC 49418 2,268.87$
32000017 SEH HC NJX PX NFROSGRM &/URTRGRM 50430 1,637.70$
32000018 SEH HC PLMT NEPHROSTOMY CATHETER 50432 2,822.20$
32000019 SEH HC EXCHANGE NEPHROSTOMY CATH 50435 1,637.70$
32000020 SEH HC INJECTION FOR MYELOGRAM 62284 346.08$
32000021 SEH HC MYELOGRAPHY LUMBAR INJECTION CERVICAL 62302 1,608.86$
32000022 SEH HC MYELOGRAPHY LUMBAR INJECTION THORACIC 62303 1,514.10$
32000023 SEH HC MYELOGRAPHY LUMBAR INJECTION LUMBOSACRAL 62304 1,463.63$
32000024 SEH HC MYELOGRAPHY LUMBAR INJECTION 2 OR MORE REGIONS 62305 2,271.15$
32000025 SEH HC X-RAY EYE FOR FOREIGN BODY 70030 432.60$
32000026 SEH HC X-RAY EXAM OF JAW <4VIEWS 70100 287.37$
32000027 SEH HC X-RAY EXAM OF JAW 4/> VIEWS 70110 363.59$
32000028 SEH HC X-RAY EXAM OF FACIAL BONES <3 VIEWS 70140 388.31$
32000029 SEH HC X-RAY EXAM OF FACIAL BONES >3 VIEWS 70150 518.09$
32000030 SEH HC X-RAY EXAM OF NASAL BONES 70160 354.32$
32000031 SEH HC X-RAY EXAM OF EYE SOCKETS 70200 280.16$
32000032 SEH HC X-RAY EXAM OF SINUSES <3 VIEWS 70210 384.19$
32000033 SEH HC X-RAY EXAM OF SINUSES >3 VIEWS 70220 497.49$
32000034 SEH HC X-RAY EXAM OF SKULL <4 VIEWS 70250 287.37$
32000035 SEH HC X-RAY EXAM OF SKULL >4 VIEWS 70260 399.64$
32000036 SEH HC X-RAY EXAM OF JAW JOINT 70328 342.99$
32000038 SEH HC X-RAY EXAM OF NECK 70360 380.07$
32000039 SEH HC CHEST X-RAY 1 VIEW FRONTAL 71045 103.00$
32000040 SEH HC CHEST X-RAY 2VW FRONTAL&LATL 71046 198.79$
32000041 SEH HC CHEST X-RAY FRNT LAT LORDOTC 71047 162.74$
32000042 SEH HC CHEST X-RAY FRNT LAT OBLIQUE 71047 199.82$
32000043 SEH HC CHEST X-RAY&FLUORO 4/> VIEWS 71048 558.26$
32000044 SEH HC CHEST X-RAY SPECIAL VIEWS 71046 130.81$
32000045 SEH HC X-RAY EXAM RIBS UNI 2 VIEWS 71100 243.08$
32000046 SEH HC X-RAY EXAM UNILAT RIBS/CHEST 71101 211.15$
32000047 SEH HC X-RAY EXAM RIBS BIL 3 VIEWS 71110 241.02$
32000048 SEH HC X-RAY EXAM RIBS/CHEST4/> VWS 71111 276.04$
32000049 SEH HC X-RAY EXAM BREASTBONE 2/>VWS 71120 401.70$
32000050 SEH HC X-RAY STRENOCLAVIC JT 3/>VWS 71130 423.33$
32000051 SEH HC X-RAY EXAM OF SPINE 1 VIEW 72020 332.69$
32000052 SEH HC X-RAY EXAM NECK SPINE 2-3 VW 72040 642.72$
32000053 SEH HC X-RAY EXAM NECK SPINE 4/5VWS 72050 923.91$
32000054 SEH HC X-RAY EXAM NECK SPINE 6/>VWS 72052 1,141.24$
32000055 SEH HC X-RAY EXAM THORAC SPINE 2VWS 72070 379.04$
32000056 SEH HC X-RAY EXAM THORAC SPINE 3VWS 72072 420.24$
32000057 SEH HC X-RAY EXAM THORAC SPINE4/>VW 72074 495.43$
32000058 SEH HC X-RAY EXAM THORACOLMB 2/> VW 72080 392.43$
32000059 SEH HC X-RAY EXAM ENTIRE SPI 1 VW 72081 189.52$
32000060 SEH HC X-RAY EXAM ENTIRE SPI 2/3 VW 72082 314.15$
32000062 SEH HC X-RAY EXAM L-S SPINE 2/3 VWS 72100 805.46$
32000063 SEH HC X-RAY EXAM L-2 SPINE 4/>VWS 72110 1,110.34$
32000064 SEH HC X-RAY EXAM L-S SPINE BENDING 72114 1,419.34$
32000065 SEH HC X-RAY BEND ONLY L-S SPINE 72120 1,002.19$
32000066 SEH HC X-RAY EXAM OF PELVIS 1-2 VIEWS 72170 179.22$
32000067 SEH HC X-RAY EXAM OF PELVIS 3+ VIEWS 72190 260.59$
32000068 SEH HC X-RAY EXAM SI JOINTS 3/> VWS 72202 228.66$
32000069 SEH HC X-RAY EXAM SACRUM TAILBONE 72220 202.91$
32000070 SEH HC MYELOGRAPHY L-S SPINE 72265 1,117.55$
32000071 SEH HC X-RAY EXAM OF COLLAR BONE 73000 401.70$
32000072 SEH HC X-RAY EXAM OF SCAPULA 73010 333.72$
32000073 SEH HC X-RAY EXAM OF SHOULDER 1 VIEW 73020 475.86$
32000074 SEH HC X-RAY EXAM OF SHOULDER 2 VIEWS 73030 590.19$
32000075 SEH HC CONTRAST X-RAY OF SHOULDER 73040 2,227.89$
32000076 SEH HC X-RAY EXAM OF AC JOINT; BILATERAL 73050 401.70$
32000077 SEH HC X-RAY EXAM OF HUMERUS 73060 184.37$
32000078 SEH HC X-RAY EXAM OF ELBOW 2 VIEWS 73070 220.42$
32000079 SEH HC X-RAY EXAM OF ELBOW 3+ VIEWS 73080 399.64$
32000080 SEH HC X-RAY EXAM OF FOREARM 73090 244.11$
32000081 SEH HC X-RAY EXAM OF ARM INFANT 73092 401.70$
32000082 SEH HC X-RAY EXAM OF WRIST 2 VIEWS 73100 252.35$
32000083 SEH HC X-RAY EXAM OF WRIST 3+ VIEWS 73110 284.28$
32000084 SEH HC X-RAY EXAM OF HAND 2 VIEWS 73120 202.91$
32000085 SEH HC X-RAY EXAM OF HAND 3+ VIEWS 73130 223.51$
32000086 SEH HC X-RAY EXAM OF FINGER(S) 73140 211.15$
32000087 SEH HC X-RAY EXAM HIP UNI 1 VIEW 73501 189.52$
32000088 SEH HC X-RAY EXAM HIP UNI 2-3 VIEWS 73502 189.52$
32000089 SEH HC X-RAY EXAM HIP UNI 4/> VIEWS 73503 314.15$
32000090 SEH HC X-RAY EXAM HIPS BI 2 VIEWS 73521 314.15$
32000091 SEH HC X-RAY EXAM HIPS BI 3-4 VIEWS 73522 314.15$
32000092 SEH HC X-RAY EXAM HIPS BI 5/> VIEWS 73523 598.43$
32000093 SEH HC CONTRAST X-RAY OF HIP 73525 1,075.32$
32000094 SEH HC X-RAY EXAM OF FEMUR 1 73551 189.52$
32000095 SEH HC X-RAY EXAM OF FEMUR 2/> 73552 224.54$
32000096 SEH HC X-RAY EXAM OF KNEE 1 OR 2 73560 386.25$
32000097 SEH HC X-RAY EXAM OF KNEE 3 73562 433.63$
32000098 SEH HC X-RAY EXAM KNEE 4 OR MORE 73564 495.43$
32000099 SEH HC X-RAY EXAM OF KNEES 73565 380.07$
32000100 SEH HC CONTRAST X-RAY OF KNEE JOINT 73580 897.13$
32000101 SEH HC X-RAY EXAM OF LOWER LEG 73590 703.49$
32000102 SEH HC X-RAY EXAM OF LEG INFANT 73592 401.70$
32000103 SEH HC X-RAY EXAM OF ANKLE 2 VIEWS 73600 202.91$
32000104 SEH HC X-RAY EXAM OF ANKLE 3+ VIEWS 73610 226.60$
32000105 SEH HC X-RAY EXAM OF FOOT 2 VIEWS 73620 202.91$
32000106 SEH HC X-RAY EXAM OF FOOT 3+ VIEWS 73630 226.60$
32000107 SEH HC X-RAY EXAM OF HEEL 73650 210.12$
32000108 SEH HC X-RAY EXAM OF TOE(S) 73660 363.59$
32000109 SEH HC X-RAY EXAM OF ABDOMEN SINGLE AP VIEW 74018 159.65$
32000110 SEH HC X-RAY EXAM OF ABDOMEN AP AND ADDL OBLIQUE AND CONE 74019 202.91$
32000111 SEH HC X-RAY EXAM OF ABDOMEN COMPLETE 74021 250.29$
32000112 SEH HC X-RAY EXAM SERIES ABDOMEN 74022 427.45$
32000113 SEH HC CONTRAST X-RAY ESOPHAGUS W/WO SCOUT CHEST SINGLE CONTRAST STUDY 74220 600.00$
32000114 SEH HC CINE/VID X-RAY THROAT/ESOPH 74230 515.00$
32000115 SEH HC UGI W/WO SCOUT ABD DELAY IMG SINGLE CONTRAST STUDY 74240 745.00$
32000116 SEH HC X-RAY UPPER GI&SMALL INTEST 74245 612.85$
32000117 SEH HC UGI W/WO SCOUT ABD DOUBLE CONTRAST STUDY 74246 805.00$
32000118 SEH HC CONTRST X-RAY UPPR GI TRACT WITH KUB 74247 499.55$
32000119 SEH HC CONTRST X-RAY UPPR GI TRACT W SMALL INT FOLLOW THR 74249 756.02$
32000120 SEH HC X-RAY EXAM OF SM BOWEL W/WO SCOUT ABD MULT IMG SGL CONTRAST 74250 756.02$
32000121 SEH HC EXAM COLON W/WO SCOUT ABD SGL CONTRAST STUDY 74270 829.00$
32000122 SEH HC EXAM LR COLON W/WO SCOUT ABD DOUBLE CONTRAST STUDY 74280 1,057.00$
32000123 SEH HC X-RAY BILE DUCTS/PANCREAS 74300 1,056.78$
32000124 SEH HC X-RAY BILE/PANC ENDOSCOPY 74330 1,661.39$
32000125 SEH HC IVP W/WO TOMO/KUB 74400 1,188.62$
32000126 SEH HC UROGRAPHY INFUSION DRIP AND/OR BOLUS 74410 1,356.51$
32000127 SEH HC IVP W TOMOGRAPHY 74415 1,356.51$
32000128 SEH HC RETROGRADE PYELOGRAM 74420 1,356.51$
32000129 SEH HC UROGRAPHY ANTEGRADE 74425 1,356.51$
32000130 SEH HC CONTRAST X-RAY BLADDER 74430 844.60$
32000131 SEH HC URETHROGRAM RETROGRADE 74450 844.60$
32000132 SEH HC VOIDING URETHROCYSTOGRAM 74455 844.60$
32000133 SEH HC X-RAY GUIDE GU DILATION 74485 481.01$
32000134 SEH HC X-RAY FEMALE GENITAL TRACT 74740 516.03$
32000135 SEH HC CONTRAST EXAM ABDOMINL AORTA 75625 4,908.00$
32000136 SEH HC X-RAY AORTA LEG ARTERIES 75630 5,385.00$
32000137 SEH HC ARTERY X-RAYS ARM/LEG 75710 2,538.75$
32000138 SEH HC ARTERY X-RAYS ARMS/LEGS 75716 2,538.75$
32000139 SEH HC ARTERY X-RAY EACH VESSEL 75774 3,148.71$
32000140 SEH HC VEIN X-RAY ARM/LEG 75820 1,585.17$
32000141 SEH HC VEIN X-RAY ARMS/LEGS 75822 2,618.26$
32000142 SEH HC VEIN X-RAY CHEST 75827 1,272.05$
32000143 SEH HC VEIN X-RAY SKULL 75870 1,272.05$
32000144 SEH HC ABSCESS DRAINAGE UNDER X-RAY-SP 75989 618.00$
32000145 SEH HC FLUOROSCOPE EXAMINATION 76000 1,057.81$
32000146 SEH HC FLUOROSCOPE EXAM EXTENSIVE 76001 1,677.87$
32000147 SEH HC X-RAY NOSE TO RECTUM 76010 432.60$
32000148 SEH HC X-RAY EXAM OF FISTULA 76080 443.93$
32000149 SEH HC X-RAY EXAM BREAST SPECIMEN 76098 606.00$
32000150 SEH HC FLUOROGUIDE FOR VEIN DEVICE 77001 536.63$
32000151 SEH HC NEEDLE LOCALIZATION BY XRAY 77002 973.35$
32000152 SEH HC FLUOROGUIDE FOR SPINE INJECT 77003 235.87$
32000153 SEH HC X-RAYS FOR BONE AGE 77072 181.28$
32000155 SEH HC X-RAYS BONE SURVEY LIMITED 77074 992.92$
32000156 SEH HC X-RAYS BONE SURVEY COMPLETE 77075 1,387.41$
32000157 SEH HC X-RAYS BONE SURVEY INFANT 77076 767.35$
32000158 SEH HC DXA BONE DENSITY AXIAL 77080 239.99$
32000159 SEH HC SP ABLATION TUMOR W GUIDE 20982 18,906.00$
32000160 SEH HC SP ABLATION LIVER 47382 11,581.32$
32000161 SEH HC FL FEEDING TUBE INSERT 44500 1,309.00$
32000162 SEH HC SP PLACE CATH IN ART 1ST 36245 486.16$
32000163 SEH HC SP AV DIALYSIS SHUNT 36901 2,020.86$
32000164 SEH HC SP PLACE CATH IN ART 2ND 36246 494.40$
32000165 SEH HC HYSTEROSALPINGORAM P 58340 435.69$
32000166 SEH HC ANGIOGRAPHY SUPERVISION AND INTERPRETATION 75705 5,279.54$
32000167 SEH HC X-RAY OF MAMMARY DUCT, SINGLE 77053 872.41$
32000168 SEH HC X-RAY OF MAMMARY DUCT, MULTIPLE 77054 1,088.71$
32000169 SEH HC FEED TB INSERT S&I 74340 687.01$
32000359 SEH HC INSERT PICC CATH-RADIOLOGY 36569 1,298.83$
32000360 SEH HC PLACE CATH XTRNL CAROTID-RADIOLOGY 36227 11,216.70$
32000361 SEH HC PLACE CATH SUBCLAVIAN ART-RADIOLOGY 36225 4,573.20$
32000362 SEH HC NEEDLE BIOPSY LYMPH NODES-U/S 38505 1,684.05$
32001362 SEH HC ABD PARACENTESIS W/IMAGING 49083 1,288.53$
32001363 SEH HC VENOGRAPHY RENAL UNI SEL 75831 2,538.75$
32001364 SEH HC VENOGRAPHY RENAL BI SEL 75833 2,538.75$
32001365 SEH HC VENOGRAPHY CANAL INFERIOR 75825 2,538.75$
32001366 SEH HC FL GI TUBE CHECK 49465 533.54$
32001367 SEH HC IR T-TUBE CHOLANGIOGRAM 47531 1,217.46$
32001368 SEH HC IR NEPHROSTOGRAM EXISTING ACCESS 50431 1,596.50$
32001369 SEH HC IMG GUIDED FLUID DRAIN RETRO/PERITONEAL PERQ 49406 3,541.14$
32001370 SEH HC CT CHOLECYSTOMY TUBE 47533 6,180.00$
32001371 SEH HC DXA BONE DENSITY W/VERTEBRAL ASSESSMENT 77085 713.79$
32001372 SEH HC FNA BX W/FLUOR 1ST LESION 10007 1,665.00$
32001373 SEH HC FNA BX W/FLUOR EA ADD LESION 10008 832.00$
32001374 SEH HC DILATION OF EXIST TRACT PERQ 50436 4,999.00$
32001375 SEH HC DILATION OF EXIST TRACT W NEW ACCESS IN RCS 50437 8,418.00$
32001376 SEH HC REPLACE GASTROSTOMY PERQ W IMG 49450 2,232.00$
32001377 SEH HC INSERT PICC W/O PORT <5YRS W IMG 36572 1,782.00$
32001378 SEH HC INSERT PICC W/O PORT >5YRS W IMG 36573 3,143.00$
32001379 SEH HC KNEE ARTHOGRAM INJECTION 27369 473.00$
32001380 SEH HC FL UGI W/O AIR W KUB 74241 1,194.00$
32001381 SEH HC IR VISCERAL ANGIOGRAM 75726 5,904.00$
32001382 SEH HC CONTRAST EXAM THORACIC AORTA 75605 4,677.00$
32001383 SEH HC SIALOGRAPHY S&I 70390 724.00$
32001384 SEH HC FL ARTHROGRAM WRIST 73115 765.00$
32001385 SEH HC INJECTION PX WRIST ARTHOGRAM 25246 1,288.00$
32001386 SEH HC LUMBAR PUNCTURE DIAG LUMBAR W FL/CT 62328 1,857.00$
32001387 SEH HC LUMBAR PUNCTURE THERA/DRAIN CSF W FL/CT 62329 1,857.00$
32001388 SEH HC LUMBAR PUNCTURE THERA/DRAIN CSF 62272 1,314.00$
32001389 SEH HC X-RAY ESOPHAGUS W/WO SCOUT CHEST DOUBLE CONTRAST STUDY 74221 542.00$
32001390 SEH HC X-RAY SM BOWEL FOLLOW-THROUGH STUDY MULT IMG 74248 613.00$
32001391 SEH HC X-RAY SM BOWEL W/WO SCOUT ABD MULT IMG DOUBLE CONTRAST STUDY 74251 1,159.00$
32001392 SEH HC PL BILIARY DRAIN CATH EXTERNAL 47533 8,550.00$
32001393 SEH HC CINE/VIDEOGRAPHY X-RAY ONLY 76120 704.00$
32001394 SEH HC PLACE GASTROSTOMY TUBE PERQ 49440 4,259.00$
33100000 SEH HC MO CHEMO ANTI-NEOPL SQ/IM 96401 247.28$
33100001 SEH HC MO CHEMO HORMON ANTINEOPL SQ/IM 96402 244.23$
33100002 SEH HC MO CHEMO IV PUSH SNGL DRUG 96409 531.23$
33100003 SEH HC MO CHEMO IV PUSH ADDL DRUG 96411 295.61$
33100004 SEH HC CHEMO IM/SUBQ INJECTION 96401 247.00$
33100005 SEH HC RO CHEMO HORMON ANTINEOPL SQ/IM 96402 244.23$
33300000 SEH HC RO SET RADIATION THERAPY FIELD SIMULATION SIMPLE 77280 942.77$
33300001 SEH HC RO SET RADIATION THERAPY FIELD SIMULATION COMPLEX 77290 1,715.26$
33300002 SEH HC RO 3-D RADIOTHERAPY PLAN 77295 4,794.66$
33300003 SEH HC RO RADIATION THERAPY DOSE PLAN 77300 497.49$
33300004 SEH HC RO RADIOTHERAPY DOSE PLAN IMRT 77301 6,082.65$
33300005 SEH HC RO TELETHX ISODOSE PLAN CPLX 77307 1,227.64$
33300006 SEH HC RO SPECIAL TELETX PORT PLAN 77321 1,286.04$
33300007 SEH HC RO SPECIAL RADIATION DOSIMETRY 77331 530.82$
33300008 SEH HC RO RADIATION TREATMENT SVC SIMPLE 77332 675.99$
33300009 SEH HC RO RADIATION TREATMENT SVC INTERMED 77333 1,029.20$
33300010 SEH HC RO RADIATION TREATMENT SVC COMPLEX 77334 1,261.64$
33300011 SEH HC RO RADIATION PHYSICS CONSULT 77336 630.36$
33300012 SEH HC RO DESIGN MLC DEVICE FOR IMRT 77338 1,615.37$
33300013 SEH HC RO SPECIAL PHYSICS CONSULT 77370 888.41$
33300014 SEH HC RO NTSTY MODUL RAD TX DLVR SMPL 77385 1,948.92$
33300015 SEH HC RO NTSTY MODUL RAD TX DLVR CPLX 77386 1,948.92$
33300016 SEH HC RO RADIATION TREATMENT DELIVERY 77412 822.46$
33300017 SEH HC RO RADIOLOGY PORT IMAGES(S) 77417 277.07$
33300018 SEH HC RO SPECIAL RADIATION TREATMENT 77470 2,360.91$
33300019 SEH HC RO STEREO BODY RAD THERAPY 77373 8,147.87$
33300020 SEH HC RO SRS LINEAR ACCEL BASED 77372 29,378.11$
33300021 SEH HC RO RESP MOTION MANAGE 77293 1,084.59$
33500000 SEH HC CHEMO IV INFUSION 1 HR 96413 578.86$
33500001 SEH HC CHEMO IV INFUSION ADDL HR 96415 491.31$
33500002 SEH HC MO CHEMO PROLONG INFUSE W/PUMP 96416 593.28$
33500003 SEH HC MO CHEMO IV INFUS EACH ADDL SEQ 96417 593.28$
33500004 SEH HC MO IRRIG DRUG DELIVERY DEVICE-GCC 96523 296.64$
33500005 SEH HC CHEMO INFUS EXTEND W PUMP G0498 825.80$
33500006 SEH HC MO CHEMO IV INFUSION 1 HR 96413 825.80$
33500007 SEH HC MO CHEMO IV INFUSION ADDL HR 96415 229.30$
33500008 SEH HC MO CHEMO PROLONG INFUSE W/PUMP 96416 988.15$
33500009 SEH HC MO CHEMO IV INFUS EACH ADDL SEQ 96417 385.74$
33500010 SEH HC MO IRRIG DRUG DELIVERY DEVICE 96523 161.21$
34100000 SEH HC RA TRACER ID OF SENTINL NODE 38792 842.54$
34100001 SEH HC THYROID UPTAKE MEASUREMENT 78012 410.97$
34100002 SEH HC THYROID IMAGING W/BLOOD FLOW 78014 840.48$
34100003 SEH HC THYROID MET IMAGING BODY 78018 2,148.58$
34100004 SEH HC PARATHYROID PLANAR IMAGING 78070 700.40$
34100005 SEH HC LIVER IMAGING 78201 1,279.26$
34100006 SEH HC LIVER IMAGING (3D) 78205 1,143.30$
34100007 SEH HC HEPATOBILIARY SYSTEM IMAGING 78226 1,908.59$
34100008 SEH HC HEPATOBIL SYST IMAGE W/DRUG 78227 1,908.59$
34100009 SEH HC GASTRIC EMPTYING IMAG STUDY 78264 1,400.80$
34100010 SEH HC ACUTE GI BLOOD LOSS IMAGING 78278 679.80$
34100011 SEH HC BONE IMAGING LIMITED AREA 78300 1,076.35$
34100012 SEH HC BONE IMAGING WHOLE BODY 78306 1,694.35$
34100013 SEH HC BONE IMAGING 3 PHASE 78315 1,582.08$
34100014 SEH HC BONE IMAGING (3D) 78320 2,086.78$
34100015 SEH HC HT MUSCLE IMAGE SPECT SING 78451 1,929.19$
34100016 SEH HC HT MUSCLE IMAGE SPECT MULT 78452 3,904.73$
34100017 SEH HC GATED HEART PLANAR SINGLE 78472 1,916.83$
34100018 SEH HC LUNG PERFUSION IMAGING 78580 1,456.42$
34100019 SEH HC LUNG VENTILAT&PERFUS IMAGING 78582 2,230.98$
34100020 SEH HC LUNG PERFUSION DIFFERENTIAL 78597 642.72$
34100021 SEH HC LUNG PERF&VENTILAT DIFERENTL 78598 1,005.28$
34100022 SEH HC BRAIN IMAGE W/FLOW < 4 VIEWS 78601 1,226.73$
34100023 SEH HC K FLOW/FUNCT IMAGE W/O DRUG 78707 1,482.17$
34100024 SEH HC K FLOW/FUNCT IMAGE W/DRUG 78708 1,650.06$
34100025 SEH HC TUMOR/ INFLAM PLNR IMG SGL AREA/ DAY 78800 906.40$
34100026 SEH HC ABSCESS IMAGING LTD AREA 78805 1,067.08$
34100027 SEH HC ABSCESS IMAGING WHOLE BODY 78806 1,343.12$
34100028 SEH HC NM CISTERNOGRAM 78630 949.66$
34100029 SEH HC CEREBROSPINAL FLUID FLOW, SHUNT EVAL 78645 1,798.38$
34100030 SEH HC TUMOR/ INFLAM PLNR IMG WHOLE BODY 1/DAY 78802 2,410.20$
34100031 SEH HC LOCL TUMOR/ INFLAMM SPECT 1 AREA/1 DAY IMG 78803 2,395.00$
34100032 SEH HC TUMOR/ INFLAM PLNR 2+AREA/1D OR 1AREA >2+DAYS 78801 1,890.00$
34100033 SEH HC TUMOR/ INFLAM PLNR WHOLE BODY 2+DAYS IMG 78804 3,475.00$
34100034 SEH HC NM MECKELS DIVERTICULUM 78290 1,436.00$
34200000 SEH HC NUCLEAR RX ORAL ADMIN 79005 883.74$
34200001 SEH HC RADIOPHARM THERAPY VIA IV 79101 1,594.00$
34300000 SEH HC NM TC 99M SESTABMI/STUDY A9500 584.01$
34300001 SEH HC NM TECH 99M MDP <31MCI A9503 84.46$
34300002 SEH HC DX I123 CAP UP TO 999MCI A9516 412.00$
34300003 SEH HC NM EXAMETAZINE DOSE <26MC A9521 557.23$
34300004 SEH HC DX MEBROFENIN <16 MCI A9537 226.60$
34300005 SEH HC DX TC99 PYPROPHOS <26 MCI A9538 202.91$
34300006 SEH HC DX TC99 PENTETATE <26 MCI A9539 22.66$
34300007 SEH HC MACROAGGREGATE ALBU<11MCI A9540 75.19$
34300008 SEH HC DX SULFUR COLLOID <21 MCI A9541 148.32$
34300009 SEH HC NM GALLIUM 67 PER MCI A9556 44.29$
34300010 SEH HC NM XENON 133 PER 10 MCI A9558 120.51$
34300011 SEH HC DX LABEL RBC <31 MCI A9560 263.68$
34300013 SEH HC PET ADM OF FDG A9552 1,252.48$
34300015 SEH HC NM EXAMETAZINE TC-99M AUTO WBC PER STUDY A9569 3,871.00$
34400000 SEH HC NM I131 CAPSULE PER MCI A9517 41.92$
35000000 SEH HC FNA W/IMAGE CT 10022 483.21$
35000001 SEH HC NEEDLE BIOPSY LYMPH NODES-CT SCAN 38505 1,684.05$
35000002 SEH HC INCISION OF GALLBLADDER 47490 806.49$
35000003 SEH HC BIOPSY ABDOMINAL MASS-CT SCAN 49180 1,043.73$
35000004 SEH HC IMAGE CATH FLUID COLXN VISC 49405 1,631.52$
35000005 SEH HC CT ORBIT/EAR/FOSSA W/O DYE 70480 2,015.71$
35000006 SEH HC CT MAXILLOFACIAL W/O DYE 70486 1,966.27$
35000007 SEH HC CT ORBIT/EAR/FOSSA W/O&W/DYE 70482 2,936.53$
35000009 SEH HC CT MAXILLOFACIAL W/DYE 70487 2,362.82$
35000010 SEH HC CT MAXILLOFACIAL W/O & W/DYE 70488 2,868.55$
35000011 SEH HC CT SOFT TISSUE NECK W/O DYE 70490 2,279.39$
35000012 SEH HC CT SOFT TISSUE NECK W/DYE 70491 2,688.30$
35000013 SEH HC CT SFT TSUE NCK W/O & W/DYE 70492 3,248.62$
35000014 SEH HC CT ANGIOGRAPHY NECK 70498 3,492.73$
35000015 SEH HC CT THORAX W/O DYE 71250 1,127.85$
35000016 SEH HC CT NECK SPINE W/O DYE 72125 2,389.60$
35000017 SEH HC CT NECK SPINE W/DYE 72126 3,015.84$
35000018 SEH HC CT NECK SPINE W/O & W/DYE 72127 4,250.81$
35000019 SEH HC CT CHEST SPINE W/O DYE 72128 2,389.60$
35000020 SEH HC CT CHEST SPINE W/DYE 72129 3,015.84$
35000021 SEH HC CT LUMBAR SPINE W/O DYE 72131 2,389.60$
35000022 SEH HC CT LUMBAR SPINE W/DYE 72132 3,015.84$
35000023 SEH HC CT LUMBAR SPINE W/O & W/DYE 72133 5,128.37$
35000024 SEH HC CT PELVIS W/O DYE 72192 2,008.50$
35000025 SEH HC CT PELVIS W/DYE 72193 2,538.95$
35000026 SEH HC CT PELVIS W/O & W/DYE 72194 2,955.07$
35000027 SEH HC CT UPPER EXTREMITY W/O DYE 73200 1,165.96$
35000028 SEH HC CT UPPER EXTREMITY W/DYE 73201 1,395.65$
35000029 SEH HC CT ANGIO UPR EXTRM W/O&W/DYE 73206 2,497.75$
35000030 SEH HC CT LOWER EXTREMITY W/O DYE 73700 1,756.15$
35000031 SEH HC CT LOWER EXTREMITY W/DYE 73701 2,108.41$
35000032 SEH HC CT LWR EXTREMITY W/O&W/DYE 73702 2,116.65$
35000033 SEH HC CT ANGIO LWR EXTR W/O&W/DYE 73706 2,527.62$
35000034 SEH HC CT ABDOMEN W/O DYE 74150 2,429.77$
35000035 SEH HC CT ABDOMEN W/DYE 74160 3,071.46$
35000036 SEH HC CT ABDOMEN W/O & W/DYE 74170 3,593.67$
35000037 SEH HC CT ANGIO ABD&PELV W/O&W/DYE 74174 7,057.56$
35000038 SEH HC CT ANGIO ABDOM W/O & W/DYE 74175 3,848.08$
35000039 SEH HC CT ABD & PELVIS W/O CONTRAST 74176 4,439.30$
35000040 SEH HC CT ABD & PELV W/CONTRAST 74177 5,611.44$
35000041 SEH HC CT ABD & PELV 1/> REGNS 74178 6,547.71$
35000042 SEH HC CT ANGIO ABDOMINAL ARTERIES 75635 2,527.62$
35000044 SEH HC 3D RENDER W/INTRP POSTPROCES-CT SCAN 76376 164.80$
35000045 SEH HC CAT SCAN FOLLOW-UP STUDY 76380 1,008.37$
35000046 SEH HC CT SCAN FOR NEEDLE BIOPSY 77012 1,596.50$
35000047 SEH HC CT ABLATION LIVER 47382 11,581.32$
35000049 SEH HC FNA BX W/CT 1ST LESION 10009 1,665.00$
35000050 SEH HC FNA BX W/CT EA ADDL 10010 832.00$
35000051 SEH HC CT CARDIAC SCORING 75571 570.00$
35000052 SEH HC CTLD FOR LUNG CA SCR WO CON 71271 258.00$
35000200 SEH HC CT ORBIT/EAR/FOSSA W/DYE 70481 2,494.66$
35001990 SEH HC ABSCESS DRAINAGE UNDER X-RAY-CT SCAN 75989 618.00$
35100000 SEH HC CT HEAD/BRAIN W/O DYE 70450 1,317.37$
35100001 SEH HC CT HEAD/BRAIN W/DYE 70460 1,644.91$
35100002 SEH HC CT HEAD/BRAIN W/O & W/DYE 70470 2,003.35$
35100003 SEH HC CT MAXILLOFACIAL W/O DYE-CT SCAN 70486 1,966.27$
35100004 SEH HC CT ANGIOGRAPHY HEAD 70496 2,325.74$
35200000 SEH HC CT THORAX W/DYE 71260 1,428.61$
35200001 SEH HC CT THORAX W/O & W/DYE 71270 1,711.86$
35200002 SEH HC CT ANGIOGRAPHY CHEST 71275 1,804.56$
35200003 SEH HC CT CHEST SPINE W/O & W/DYE 72130 2,509.08$
35200004 SEH HC CT ANGIO HRT W/3D IMAGE 75574 2,586.33$
35200005 SEH HC CT UPPER EXTREMITY W WO CONTRAST 73202 3,306.30$
36000002 SEH HC BX BREAST 1ST LESION STRTCTC 19081 3,849.00$
36000006 SEH HC BONE BIOPSY TROCAR/NEEDLE SUPERFICIAL 20220 932.15$
36000007 SEH HC PERCUT BX LUNG/MEDIASTINUM 32405 1,043.73$
36000008 SEH HC THROMBOLYTIC ART THERAPY 37211 1,684.05$
36000010 SEH HC THROMBLYTIC ART/VEN THERAPY 37213 3,757.44$
36000011 SEH HC CESSJ THERAPY CATH REMOVAL 37214 3,757.44$
36000012 SEH HC RENAL BIOPSY PERQ 50200 1,043.73$
36000013 SEH HC RETRO INJECTION URETHRA 51610 363.59$
36000014 SEH HC TRANSABDOM AMNIOINFUS W/US 59070 177.16$
36000015 SEH HC THROMBOLYTIC VENOUS THERAPY-CATH LAB 37212 1,684.05$
36000016 SEH HC SPINAL FLUID TAP DIAGNOSTIC-MED IMAGE 62270 668.47$
36000024 SEH HC OR OP LEVEL 1 30 MIN 263.68$
36000025 SEH HC OR LEVEL 3 30 MIN 5,613.50$
36000033 SEH HC OR LEVEL 1 30 MIN 1,650.06$
36000040 SEH HC CVOR THORACIC PER MIN 80.34$
36000047 SEH HC CV PERF AUTO PLAT GEL/MIN 22.66$
36000048 SEH HC CVAUTO TRAN PERF LEVIIMIN 22.66$
36000049 SEH HC CVAUTO TRAN PERF LEVI/MIN 10.30$
36000050 SEH HC CV IABP PERFUSE LEVII/MIN 22.66$
36000051 SEH HC CV CPB LEVEL II /MIN. 22.66$
36000052 SEH HC MINOR OP SURG 30 MIN 192.61$
36000053 SEH HC OR LEVEL 2 30 MIN 3,991.25$
36000055 SEH HC OR LEVEL 4 IP 30 MIN 7,033.87$
36000057 SEH HC CVOR CARDIAC PER MIN 95.79$
36000058 SEH HC CVOR GEN SUR BASE PER MIN 67.98$
36000059 SEH HC CVOR ENDOVAS PER MIN 67.98$
36000060 SEH HC CVOR CARDVASCU PER MIN 80.34$
36000062 SEH HC CV IABP PERFUSE LEV.I/MIN 10.30$
36000063 SEH HC CV VAD PERFUSE LEV.II/MIN 22.66$
36000064 SEH HC CV CPB LEVEL I /MIN 10.30$
36000065 SEH HC CV VAD PERFUSE LEV I/MIN 10.30$
36000066 SEH HC MAMMO US GUIDED BREAST BX EACH ADD 19084 1,884.90$
36000067 SEH HC CVOR VASCULAR PER MIN 94.00$
36000068 SEH HC MAMMO CORE NEEDLE BIOPSY EA ADD 19282 1,110.00$
36000069 SEH HC MAMMO STEREOTACTIC NEEDLE LOCALIZATION 19283 2,033.00$
36000070 SEH HC MAMMO STEREOTACTIC NEEDLE LOCALIZATION EA ADD 19284 1,289.00$
36000071 SEH HC MAMMO US GUIDED NEEDLE LOCALIZATION EA ADD 19286 1,149.00$
36000072 SEH HC BREAST BX EA ADD STRTCTC 19082 2,540.00$
37000000 SEH HC ANES PER MINUTE 25.75$
37000001 SEH HC MOD SEDAT PHYS/QHP <5 YRS 99143 76.22$
37000004 SEH HC MOD SED DIFF PHYS/QHP<5 YRS 99148 69.01$
37000005 SEH HC MOD SED DIFF PHYS/QHP 5/>YRS 99149 372.86$
37000006 SEH HC MOD SED DIFF PHYS/QHP ADD ON 99150 32.96$
37000007 SEH HC ED CS SAME MD <5Y 1ST 15 M 99151 76.22$
37000008 SEH HC ED CS SAME MD >5Y 1ST 15 M 99152 80.34$
37000009 SEH HC ED CS SAME MD EA + 15 MIN 99153 45.32$
37000010 SEH HC ED CS DIFF MD <5Y 1ST 15M 99155 69.01$
37000011 SEH HC MOD SED OTH PHYS/QHP 5>YRS 99156 372.86$
37000012 SEH HC MOD SED OTH PHYS/QHP EA 99157 32.96$
37000013 SEH HC MOD SED SAME MD >5Y 1ST 15MIN 99152 80.34$
37000014 SEH HC MOD SED SAME MD >5Y EA + 15MIN 99153 45.32$
39000000 SEH HC CRYOPRECIPITATED AHF 1 UN P9012 95.79$
39000001 SEH HC LEUKO REDUCED RED CELL P9016 920.82$
39000002 SEH HC PLASMA 1 DONOR FRZ W/IN 8 HR P9017 208.06$
39000003 SEH HC PLATELET PHERES LEUKOREDUCED P9035 1,411.10$
39000004 SEH HC PLATELET PHERESIS IRRADIATED P9036 1,150.51$
39000005 SEH HC RBC LEUKOREDUCED IRRADIATED P9040 418.18$
39000006 SEH HC BLOOD, L/R, FROZ/DEGLY/WASH P9054 920.82$
39000007 SEH HC PLATELET PHERESIS P9034 850.78$
39100000 SEH HC BLOOD TRANSFUSION SERVICE 36430 637.57$
39100001 SEH HC MO BLOOD TRANSFUSION SERVICE 36430 1,047.73$
40100001 SEH HC DIAGNOSTICMAMMOGRAPHYDIGITAL 2D UNIL ALL VWS 77065 269.86$
40100003 SEH HC 3D DIAGNOSTIC MAMMO G0279 136.99$
40200000 SEH HC US AAA SCREENING 76706 570.62$
40200003 SEH HC ECHO EXAM OF HEAD 76506 393.46$
40200004 SEH HC US EXAM OF HEAD AND NECK 76536 587.10$
40200005 SEH HC US EXAM CHEST 76604 403.76$
40200006 SEH HC ULTRASOUND BREAST COMPLETE 76641 199.82$
40200007 SEH HC ULTRASOUND BREAST LIMITED 76642 199.82$
40200008 SEH HC US EXAM ABDOM COMPLETE 76700 809.58$
40200009 SEH HC ULTRASOUND ABDOMEN LIMITED 76705 587.10$
40200010 SEH HC US EXAM ABDO BACK WALL COMP 76770 484.10$
40200011 SEH HC US EXAM ABDO BACK WALL LIM 76775 371.83$
40200012 SEH HC US EXAM SPINAL CANAL 76800 327.54$
40200013 SEH HC OB US < 14 WKS SINGLE FETUS 76801 565.47$
40200014 SEH HC OB US < 14 WKS ADDL FETUS 76802 448.05$
40200015 SEH HC OB US >/= 14 WKS SNGL FETUS 76805 587.10$
40200016 SEH HC OB US >/= 14 WKS ADDL FETUS 76810 461.44$
40200017 SEH HC OB US LIMITED FETUS(S) 76815 355.35$
40200018 SEH HC OB US FOLLOW-UP PER FETUS 76816 209.09$
40200019 SEH HC TRANSVAGINAL US OBSTETRIC 76817 467.62$
40200020 SEH HC FETAL BIOPHYS PROFILE W/NST 76818 388.31$
40200021 SEH HC FETAL BIOPHYS PROFIL W/O NST 76819 291.49$
40200022 SEH HC TRANSVAGINAL US NON-OB 76830 545.90$
40200024 SEH HC US EXAM PELVIC COMPLETE 76856 677.74$
40200025 SEH HC US EXAM PELVIC LIMITED 76857 539.72$
40200026 SEH HC US EXAM SCROTUM 76870 629.33$
40200027 SEH HC US XTR NON-VASC COMPLETE 76881 484.10$
40200028 SEH HC US XTR NON-VASC LMTD 76882 322.39$
40200029 SEH HC US EXAM INFANT HIPS DYNAMIC 76885 355.35$
40200030 SEH HC US EXAM INFANT HIPS STATIC 76886 424.36$
40200031 SEH HC ECHO GUIDE FOR ARTERY REPAIR 76936 1,937.43$
40200032 SEH HC US GUIDE VASCULAR ACCESS 76937 521.18$
40200033 SEH HC ECHO GUIDE FOR BIOPSY 76942 597.40$
40200034 SEH HC OB BS US LIMTED FETUS(S) 76815 369.77$
40200035 SEH HC ED ECHO EXAM OF ABDOMEN 76705 610.79$
40200037 SEH HC ULTRASOUND GUIDANCE FOR VAC ACCESS 76937 521.18$
40200038 SEH HC FNA BX W U/S 1ST LESION 10005 1,665.00$
40200039 SEH HC FNA BX W U/S EA ADD 10006 832.00$
40200040 SEH HC U/S STUDY FOLLOWUP 76970 632.00$
40200041 SEH HC US LIVER W ELASTOGRAPHY 76981 391.00$
40200042 SEH HC US LIVER W ELASTOGRAPHY FIRST LESION 76982 325.00$
40200043 SEH HC US LIVER W ELASTOGRAPHY EACH ADDITIONAL LESION 76983 263.00$
40205000 SEH HC 3D RENDER W/INTRP POSTPROCES-U/S 76376 164.80$
40205001 SEH HC BIOPSY ABDOMINAL MASS-U/S 49180 1,043.73$
40300000 SEH HC SCREENINGMAMMOGRAPHYDIGITAL 77067 306.94$
40300002 SEH HC LR MM 3D MAMMO SCREENING 77063 126.69$
40400000 SEH HC PET IMAGE W/CT SKULL-THIGH 78815 3,283.64$
40400001 SEH HC PET IMAGE W/CT FULL BODY 78816 5,249.91$
41000000 SEH HC GROUP THER EXERCISE/VISIT G0239 89.61$
41000001 SEH HC SUCTION MUCOUS/DAY 32.45$
41000002 SEH HC CHANGE OF WINDPIPE AIRWAY 31502 236.90$
41000003 SEH HC CLEARANCE OF AIRWAYS 31720 163.24$
41000004 SEH HC WITHDRAWAL OF ARTERIAL BLOOD 36600 194.67$
41000005 SEH HC VENTILATOR 1ST DAY 94002 726.15$
41000006 SEH HC VENT SUBSEQUENT DAY 94003 455.26$
41000007 SEH HC AIRWAY INHALATION 94640 175.10$
41000008 SEH HC CONTINUOUS HH NEB 1ST HR. 94644 235.87$
41000009 SEH HC CONTINUOUS HH NEB/ADD HR. 94645 111.24$
41000010 SEH HC DEMO/EVAL NEB/MDI DEVICE 94664 141.11$
41000011 SEH HC PEP THERAPY INITIAL 94667 163.24$
41000012 SEH HC PEP THERAPY SUBSEQUENT 94668 51.92$
41000013 SEH HC PULSE OX CONTINUOUS 94762 172.01$
41000014 SEH HC CODE BLUE ATTENDANCE 94799 269.86$
41000015 SEH HC CR GROUP THER EXERCISE/VISIT G0239 89.61$
41060000 SEH HC INSERT EMERGENCY AIRWAY-PULMONARY 31500 519.12$
42000000 SEH HC ELE STIMUL UNATTENDED G0283 139.05$
42000002 SEH HC MOBILITY CURR STATUS-PT G8978 0.01$
42000003 SEH HC MOBILITY GOAL STATUS-PT G8979 0.01$
42000004 SEH HC MOBILITY D/C STATUS-PT G8980 0.01$
42000005 SEH HC BODY POS CURR STATUS-PT G8981 0.01$
42000006 SEH HC BODY POS GOAL STATUS G8982 0.01$
42000007 SEH HC BODY POS D/C STATUS G8983 0.01$
42000008 SEH HC CARRY CURR STATUS-PT G8984 0.01$
42000009 SEH HC CARRY GOAL STATUS-PT G8985 0.01$
42000010 SEH HC CARRY D/C STATUS-PT G8986 0.01$
42000015 SEH HC SUB PT/OT CURR STATUS G8993 0.01$
42000017 SEH HC STRAPPING OF CHEST 29200 126.78$
42000019 SEH HC STRAPPING OF KNEE-PT 29530 96.82$
42000020 SEH HC STRAPPING OF ANKLE AND/OR FT-PT 29540 126.78$
42000021 SEH HC CASTING/STRAPPING PROCEDURE 29799 135.96$
42000022 SEH HC APPLY NEUROSTIMULATOR 64550 146.26$
42000023 SEH HC BIOFEEDBACK TRAINING 90901 142.14$
42000024 SEH HC LIMB MUSCLE TESTING MANUAL 95831 105.06$
42000025 SEH HC MMT BODY W/O HANDS 95833 104.03$
42000028 SEH HC TRACTION MECH 97012 95.79$
42000031 SEH HC WHIRLPOOL OPEN WOUND-PT 97022 180.25$
42000032 SEH HC ELEC STIM ATTEND EA 15MIN-PT 97032 113.30$
42000033 SEH HC IONTOPHORESES-EA 15 MIN 97033 113.30$
42000034 SEH HC ULTRASOUND EA 15 MIN-PT 97035 90.64$
42000035 SEH HC THERAPEUTIC EX EA 15 MIN-PT 97110 129.78$
42000036 SEH HC NEUROMUS RE-ED EA 15 MIN 97112 99.91$
42000037 SEH HC AQUATIC W/EX EA 15 MIN 97113 142.14$
42000038 SEH HC GAIT TRAINING EA 15 MIN-PT 97116 69.01$
42000039 SEH HC MANUAL THERAPY EA 15 MIN-PT 97140 153.47$
42000040 SEH HC THERAPEUTIC PROC. GROUP 97150 126.69$
42000041 SEH HC FUNCT ACT TRAIN EA 15 MIN 97530 123.60$
42000042 SEH HC SENSORY INT EA 15 MIN-PT 97533 78.28$
42000043 SEH HC S CARE/HOME MGT EA 15 MIN-PT 97535 104.03$
42000045 SEH HC WC MGT/PROPUL T EA 15 MIN 97542 62.83$
42000046 SEH HC WORK CONDITIONING 2 HOURS 97545 159.65$
42000047 SEH HC WORK COND EA ADD HOUR 97546 141.11$
42000048 SEH HC DEBRIDEMENT PULSAVAC 97597 201.88$
42000049 SEH HC TILT TABLE TEST EA 15 MIN 97750 107.12$
42000050 SEH HC PROSTHET TRAIN EA 15 MIN 97761 76.22$
42000051 SEH HC SELF CARE D/C STATUS-PT G8989 0.01$
42000053 SEH HC SELF CARE CURR STATUS-PT G8987 0.01$
42000054 SEH HC SELF CARE GOAL STATUS-PT G8988 0.01$
42000056 SEH HC ROM EA EXTREM TRUNK; NOT HAND-PT 95851 95.79$
42000057 SEH HC HOT OR COLD PACK-PT 97010 12.36$
42000058 SEH HC VASOPNEUMATIC DEVICES-PT 97016 58.71$
42000059 SEH HC STRAPPING OF SHOULDER-PT 29240 96.82$
42000061 SEH HC FLUIDOTHERAPY - PT 97039 121.54$
42000062 SEH HC ORTHOTIC FIT TRAIN 15 MIN PT 97760 107.12$
42000063 SEH HC NON-PHYS ONLINE DIGITAL ASSESSMENT EST PT 7DAY 5-10 MIN PT G2061 36.00$
42000064 SEH HC NON-PHYS ONLINE DIGITAL ASSESSMENT EST PT 7DAY 11-20 MIN PT G2062 63.00$
42000065 SEH HC NON-PHYS ONLINE DIGITAL ASSESSMENT EST PT 7DAY 21 MIN OR MORE PT G2063 98.00$
42010000 SEH PT PROMPT PAY EVAL
42010001 SEH PT PROMPT PAY F/U
42100000 SEH HC THER ACT PER EA 15 MIN 97530 123.60$
42400000 SEH HC PT EVAL - LOW COMP 97161 340.93$
42400001 SEH HC PHYSICAL THERAPY RE-EVAL 97164 166.86$
42400002 SEH HC PT EVAL - HIGH COMP 97163 340.93$
42400003 SEH HC PT EVAL - MODERATE COMP 97162 340.93$
43000000 SEH HC ELEC STIMULI UNATTENDED G0283 139.05$
43000008 SEH HC SELF CARE CURR STATUS-OT G8987 0.01$
43000009 SEH HC SELF CARE GOAL STATUS-OT G8988 0.01$
43000010 SEH HC SELF CARE D/C STATUS-OT G8989 0.01$
43000011 SEH HC OTHER PT/OT CURR STATUS-OT G8990 0.01$
43000013 SEH HC STRAPPING OF ELBOW OR WRIST-OT 29260 96.82$
43000014 SEH HC MMT HAND 95832 75.19$
43000015 SEH HC ROM EA EXTREM TRUNK; NOT HAND-OT 95851 95.79$
43000016 SEH HC ROM MEASUREMENT AND REP (HAND) 95852 69.01$
43000017 SEH HC HOT OR COLD PACK-OT 97010 12.36$
43000018 SEH HC VASOPNEUMATIC DEVICES-OT 97016 58.71$
43000021 SEH HC IONTOPHORESES EA 15 MIN 97033 113.30$
43000025 SEH HC NEUROMUSCULAR REEDUCATION 97112 99.91$
43000027 SEH HC THERAPEUTIC PROC GROUP 97150 126.69$
43000028 SEH HC THER ACT PER EX 15 MIN - OT 97530 123.60$
43000029 SEH HC COG SKILLS DEV EA 15 MIN 97127 77.25$
43000032 SEH HC WC MGT/PROP TRN EA 15 MIN 97542 62.83$
43000033 SEH HC WORK CONDITIONING 2HR 97545 159.65$
43000034 SEH HC WORK COND EA ADD HR 97546 141.11$
43000035 SEH HC FCE W/RPT EA 15 MIN 97750 57.68$
43000036 SEH HC ORTHOTIC FIT TRAIN 15 MIN 97760 107.12$
43000037 SEH HC PROST FIT TRAIN EA 15 MIN 97761 76.22$
43000038 SEH HC SPLINT F/U RECHK EA 15MIN 97763 125.66$
43000039 SEH HC CONSULT/INST OTHER 97799 72.10$
43000040 SEH HC MOBILITY CURR STATUS-OT G8978 0.01$
43000041 SEH HC MOBILITY GOAL STATUS-OT G8979 0.01$
43000042 SEH HC MOBILITY D/C STATUS-OT G8980 0.01$
43000044 SEH HC CARRY CURR STATUS-OT G8984 0.01$
43000045 SEH HC CARRY GOAL STATUS-OT G8985 0.01$
43000046 SEH HC CARRY D/C STATUS-OT G8986 0.01$
43000047 SEH HC WHIRLPOOL OPEN WOUND-OT 97022 180.25$
43000048 SEH HC ELEC STIM ATTEND EA 15MIN-OT 97032 113.30$
43000049 SEH HC ULTRASOUND EA 15 MIN-OT 97035 90.64$
43000050 SEH HC THERAPEUTIC EX EA 15 MIN-OT 97110 129.78$
43000051 SEH HC MANUAL THERAPY EA 15 MIN-OT 97140 153.47$
43000052 SEH HC SENSORY INT EA 15 MIN-OT 97533 78.28$
43000053 SEH HC S CARE/HOME MGT EA 15 MIN-OT 97535 104.03$
43000054 SEH HC FLUIDOTHERAPY - OT 97039 121.54$
43000055 SEH HC COG SKILLS DEV INITIAL 15 MIN 97129 77.00$
43000056 SEH HC COG SKILLS DEV EA ADD 15 MIN 97130 77.00$
43000057 SEH HC NON-PHYS ONLINE DIGITAL ASSESSMENT EST PT 7DAY 5-10 MIN OT G2061 36.00$
43000058 SEH HC NON-PHYS ONLINE DIGITAL ASSESSMENT EST PT 7DAY 11-20 MIN OT G2062 63.00$
43000059 SEH HC NON-PHYS ONLINE DIGITAL ASSESSMENT EST PT 7DAY 21 MIN OR MORE OT G2063 98.00$
43400000 SEH HC OT EVAL - LOW COMP 97165 340.93$
43400001 SEH HC OCCUPATIONAL THRPY REEVAL 97168 167.89$
43400003 SEH HC OT EVAL - MODERATE COMP 97166 340.93$
43400004 SEH HC OT EVAL - HIGH COMP 97167 340.93$
44000000 SEH HC SWALLOWING CURRENT STATUS G8996 0.01$
44000001 SEH HC SWALLOWING GOAL STATUS G8997 0.01$
44000002 SEH HC SWALLOWING D/C STATUS-ST G8998 0.01$
44000003 SEH HC MOTOR SPEECH CURR STATUS-ST G8999 0.01$
44000004 SEH HC MOTOR SPEECH D/C STATUS G9158 0.01$
44000005 SEH HC SPOKEN LANG COMP CURR STA G9159 0.01$
44000006 SEH HC SPOKEN LANG COMP GOAL STA G9160 0.01$
44000007 SEH HC SPOKEN LANG COMP D/C STAT G9161 0.01$
44000008 SEH HC SPOKEN LANG EXP CURR STA G9162 0.01$
44000009 SEH HC SPOKEN LANG EXP GOAL STAT G9163 0.01$
44000010 SEH HC SPOKEN LANG EXP D/C STAT G9164 0.01$
44000011 SEH HC ATTENTION CURRENT STATUS G9165 0.01$
44000012 SEH HC ATTENTION GOAL STATUS G9166 0.01$
44000013 SEH HC ATTENTION D/C STATUS G9167 0.01$
44000014 SEH HC MEMORY CURRENT STATUS G9168 0.01$
44000015 SEH HC MEMORY GOAL STATUS G9169 0.01$
44000016 SEH HC MEMORY D/C STATUS G9170 0.01$
44000017 SEH HC VOICE CURRENT STATUS G9171 0.01$
44000018 SEH HC VOICE GOAL STATUS G9172 0.01$
44000019 SEH HC VOICE D/C STATUS G9173 0.01$
44000020 SEH HC OTHER SPEECH CURRENT STAT G9174 0.01$
44000021 SEH HC OTHER SPEECH GOAL STATUS G9175 0.01$
44000022 SEH HC OTHER SPEECH D/C STATUS G9176 0.01$
44000023 SEH HC MOTOR SPEECH GOAL STATUS G9186 0.01$
44000024 SEH HC SPEECH/HEARING THERAPY 92507 90.64$
44000025 SEH HC ORAL FUNCTION THERAPY 92526 105.06$
44000027 SEH HC COG TRAINING EA 15 MIN 97127 77.25$
44000028 SEH HC COG TRAINING INITIAL 15 MIN 97129 77.00$
44000029 SEH HC COG TRAINING EA ADD 15 MIN 97130 77.00$
44400003 SEH HC SPEECH SOUND LANG COMPREHEN 92523 284.28$
44400004 SEH HC EVALUATE SWALLOWING FUNCTION 92610 167.89$
44400005 SEH HC MOTION FLUOROSCOPY/SWALLOW 92611 278.10$
44400006 SEH HC ENDOSCOPY SWALLOW/VIDEO 92612 667.00$
45000001 SEH HC DRAINAGE OF SKIN ABSCESS COMPLIC OR MULTIP 10061 375.95$
45000002 SEH HC DRAINAGE OF PILONIDAL CYST SIMPLE 10080 322.39$
45000003 SEH HC DRAINAGE OF PILONIDAL CYST COMPLICATED 10081 2,901.51$
45000004 SEH HC REMOVE FOREIGN BODY SUBQ, SIMPLE 10120 428.48$
45000005 SEH HC REMOVE FOREIGN BODY SUBQ, COMPLEX 10121 3,493.76$
45000006 SEH HC DRAINAGE OF HEMATOMA/FLUID 10140 1,224.67$
45000007 SEH HC PUNCTURE DRAINAGE OF LESION 10160 528.39$
45000008 SEH HC CL TX RAD HD/NK FX W MANIPULATION 24655 1,931.25$
45000009 SEH HC TRIM NAIL(S) ANY NUMBER 11719 196.73$
45000011 SEH HC REMOVAL OF NAIL PLATE 11730 272.95$
45000012 SEH HC DRAIN BLOOD FROM UNDER NAIL 11740 103.00$
45000013 SEH HC REMOVAL OF NAIL BED 11750 2,803.00$
45000014 SEH HC REPAIR OF NAIL BED 11760 236.90$
45000015 SEH HC EXCISION OF NAIL FOLD TOE 11765 333.72$
45000016 SEH HC RPR S/N/AX/GEN/TRNK 2.5CM/< 12001 402.73$
45000017 SEH HC RPR S/N/AX/GEN/TRNK2.6-7.5CM 12002 383.16$
45000018 SEH HC RPR S/N/AX/GEN/TRK7.6-12.5CM 12004 396.55$
45000019 SEH HC RPR S/N/A/GEN/TRK12.6-20.0CM 12005 422.30$
45000020 SEH HC RPR S/N/A/GEN/TRK20.1-30.0CM 12006 290.46$
45000021 SEH HC RPR S/N/AX/GEN/TRNK >30.0 CM 12007 310.03$
45000022 SEH HC RPR F/E/E/N/L/M 2.5 CM/< 12011 399.64$
45000023 SEH HC RPR F/E/E/N/L/M 2.6-5.0 CM 12013 394.49$
45000024 SEH HC RPR F/E/E/N/L/M 5.1-7.5 CM 12014 402.73$
45000025 SEH HC RPR F/E/E/N/L/M 7.6-12.5 CM 12015 286.34$
45000026 SEH HC CLOSURE OF SPLIT WOUND 12020 426.48$
45000027 SEH HC INTMD RPR S/A/T/EXT 2.5 CM/< 12031 351.23$
45000028 SEH HC INTMD RPR S/A/T/EXT 2.6-7.5 12032 395.52$
45000029 SEH HC INTMD RPR S/TR/EXT 7.6-12.5 12034 353.29$
45000030 SEH HC INTMD RPR S/TR/EXT >30.0 CM 12037 691.13$
45000031 SEH HC INTMD RPR N-HF/GENIT 2.5CM/< 12041 302.82$
45000032 SEH HC INTMD RPR N-HF/GENIT7.6-12.5 12044 518.09$
45000033 SEH HC INTMD RPR FACE/MM 2.5 CM/< 12051 326.51$
45000034 SEH HC INTMD RPR FACE/MM 2.6-5.0 CM 12052 393.46$
45000035 SEH HC INTMD RPR FACE/MM 5.1-7.5 CM 12053 387.28$
45000036 SEH HC INTMD RPR FACE/MM 7.6-12.5CM 12054 420.24$
45000037 SEH HC CMPLX RPR TRUNK 2.6-7.5 CM 13101 593.28$
45000038 SEH HC CMPLX RPR TRUNK ADDL 5CM/< 13102 268.83$
45000039 SEH HC CMPLX RPR S/A/L 2.6-7.5 CM 13121 631.39$
45000040 SEH HC CMPLX RPR S/A/L ADDL 5 CM/> 13122 563.41$
45000041 SEH HC CMPLX RPR F/C/C/M/N/AX/G/H/F 1.1 TO 2.5 CM 13131 563.41$
45000042 SEH HC CMPLX RPR F/C/C/M/N/AX/G/H/F 2.6 TO 7.5 CM 13132 754.99$
45000043 SEH HC CMPLX RPR F/C/C/M/N/AX/G/H/F 5CM OR LESS 13133 584.01$
45000044 SEH HC CMPLX RPR E/N/E/L 1.1-2.5 CM 13151 1,328.70$
45000045 SEH HC LATE CLOSURE OF WOUND 13160 4,625.73$
45000046 SEH HC INITIAL TREATMENT OF BURN(S) 16000 182.31$
45000047 SEH HC DRESS/DEBRID P-THICK BURN S 16020 258.53$
45000048 SEH HC DRESS/DEBRID P-THICK BURN M 16025 263.68$
45000049 SEH HC DRESS/DEBRID P-THICK BURN L 16030 545.90$
45000050 SEH HC INCISION OF BURN SCAB INITI 16035 332.69$
45000051 SEH HC SKIN TISSUE PROCEDURE 17999 97.66$
45000052 SEH HC INJ TRIGGER POINT 1/2 MUSCL 20552 741.60$
45000054 SEH HC INTERMED DRAIN/INJ JOINT/BURSA W/O US 20605 2,026.01$
45000056 SEH HC CLOSED TX NOSE FX W/O MANJ 21310 834.30$
45000057 SEH HC RESET DISLOCATED JAW 21480 287.37$
45000058 SEH HC TREAT CLAVICLE FRACTURE 23500 969.23$
45000059 SEH HC CL TX PROX HUM FX; WO MANIP 23600 467.62$
45000060 SEH HC CL TX PROX HUM FX; WITH MANIP 23605 373.89$
45000061 SEH HC CL TX GTR TUBEROSITY FX; WO MANIP 23620 351.23$
45000062 SEH HC CL TREAT SHOULDER DISLOCATION W MANIP WO ANESTH 23650 422.30$
45000063 SEH HC CL TREAT SHOULDER DISLOCATION W MANIP WITH ANESTH 23655 3,246.56$
45000064 SEH HC CL TX HUMERUS FX WO MANIP 24500 351.23$
45000065 SEH HC CL TX SC/TC HUMERUS FX WO MANIP 24530 333.72$
45000066 SEH HC CL TX EC HUMERUS FX WO MANIP 24560 351.23$
45000067 SEH HC CL TX C HUMERUS FX WO MANIP 24576 375.95$
45000068 SEH HC CL TX C HUMERUS FX WITH MANIP 24577 432.60$
45000069 SEH HC TX CL ELBOW DISLOC WO ANESTH 24600 341.96$
45000070 SEH HC TX CL ELBOW DISLOC WITH ANESTH 24605 1,140.94$
45000071 SEH HC TREAT NURSEMAID ELBOW W MANIP 24640 398.61$
45000072 SEH HC TREAT RADIUS FRACTURE 24650 409.94$
45000073 SEH HC TREAT ULNAR FRACTURE 24670 767.35$
45000074 SEH HC CL TREAT FRACTURE OF RADIAL SHAFT WO MANIP 25500 351.23$
45000075 SEH HC CL TREAT FRACTURE OF RADIAL SHAFT WITH MANIP 25505 707.22$
45000076 SEH HC CL TREAT FRACTURE OF ULNA SHAFT WO MANIP 25530 525.30$
45000077 SEH HC CL TREAT FRACTURE OF ULNA SHAFT WITH MANIP 25535 479.98$
45000078 SEH HC CL TREAT FRACTURE RADIUS & ULNA SHAFT WO MANIP 25560 408.91$
45000079 SEH HC CL TREAT FRACTURE RADIUS & ULNA SHAFT WITH MANIP 25565 563.41$
45000080 SEH HC CL TX DISTAL RADIAL FX/EPIPHYSL SEP WO MANIP 25600 375.95$
45000081 SEH HC CL TX DISTAL RADIAL FX/EPIPHYSL SEP WITH MANIP 25605 707.22$
45000082 SEH HC CL TX CARPAL SCAPHOID FX; WO MANIP 25622 393.46$
45000083 SEH HC CL TX CARPAL BONE FX WO MANIP EA BONE 25630 351.23$
45000084 SEH HC CL TX CARPAL BONE FX WITH MANIP EA BONE 25635 722.03$
45000085 SEH HC CL TX OF ULNAR STYLOID FX 25650 325.48$
45000086 SEH HC PIN ULNAR STYLOID FRACTURE 25651 5,306.56$
45000087 SEH HC CL TX RDCRPL/INTERCARPAL DISLOC 1+BONES W MANIP 25660 333.72$
45000088 SEH HC CL TX DISTAL RADIOULNAR DISLOC W MANIP 25675 220.42$
45000089 SEH HC TREAT WRIST FRACTURE 25680 333.72$
45000090 SEH HC DRAINAGE OF FINGER ABSCESS 26010 186.43$
45000091 SEH HC CL TX META FX, SINGLE, WO MANIP; EA BONE 26600 625.21$
45000092 SEH HC CL TX META FX, SINGLE, WITH MANIP; EA BONE 26605 837.39$
45000093 SEH HC TREAT THUMB FRACTURE 26650 5,306.56$
45000094 SEH HC TREAT HAND DISLOCATION 26675 1,282.35$
45000095 SEH HC CL TX PHAL SHAFT FX WO MANIP 26720 300.76$
45000096 SEH HC CL TX PHAL SHAFT FX WITH MANIP 26725 546.93$
45000097 SEH HC PERC SKEL FIX UNST PHAL SHFT FX PRO/MID PH W MANIP EA 26727 5,306.56$
45000098 SEH HC CL TX ART FX MCP/IP JOINT WO MANIP 26740 413.03$
45000099 SEH HC CL TX D PHAL FX FGR/THUMB WO MANIP 26750 167.65$
45000100 SEH HC CL TX D PHAL FX FGR/THUMB WITH MANIP 26755 800.31$
45000101 SEH HC PIN FINGER FRACTURE EACH 26756 5,592.90$
45000102 SEH HC CL TX IP JNT D W MANIP WO ANES 26770 730.27$
45000103 SEH HC CL TX IP JNT D W MANIP WITH ANES 26775 1,105.19$
45000104 SEH HC TREAT THIGH FRACTURE 27238 1,350.33$
45000105 SEH HC CL TX TRAUMA HIP DISLOC WO ANES 27250 1,323.55$
45000106 SEH HC CL TX TRAUMA HIP DISLOC WITH ANES 27252 3,270.25$
45000107 SEH HC TX SP HIP DISL ABD SPLNT/TRAC WO ANES WO MANIP 27256 351.23$
45000108 SEH HC TX SPONT HIP DISLOC W ANESTH 27257 3,246.56$
45000109 SEH HC CL TX POST HIP DISLOC WO ANES 27265 341.96$
45000110 SEH HC CL TX POST HIP DISLOC WITH ANES 27266 1,686.11$
45000111 SEH HC CL TX FEMORAL SHAFT FX WO MANIP 27500 1,350.33$
45000112 SEH HC CL TX SC/TC FEMUR FX WO MANIP 27501 368.74$
45000113 SEH HC CL TX FEMORAL SHAFT FX WITH MANIP 27502 1,301.08$
45000114 SEH HC CL TX D FEM FX WO MANIP 27508 345.05$
45000115 SEH HC CL TX FEMUR FX OR EPIPHYS SEP WITH MANIP 27510 1,417.28$
45000116 SEH HC TREAT THIGH FX GROWTH PLATE 27516 351.23$
45000117 SEH HC TREAT KNEECAP FRACTURE 27520 375.95$
45000118 SEH HC TREAT KNEE FRACTURE 27530 351.23$
45000119 SEH HC TREAT KNEE FRACTURE(S) 27538 351.23$
45000120 SEH HC CL TX KNEE DISLOC WO ANESTH 27550 856.96$
45000121 SEH HC CL TX KNEE DISLOC WITH ANESTH 27552 1,140.94$
45000122 SEH HC TREAT KNEECAP DISLOCATION 27562 1,376.08$
45000123 SEH HC CL TX TIB SHAFT FX WO MANIP 27750 395.52$
45000124 SEH HC CL TX TIB SHAFT FX WITH MANIP 27752 1,301.08$
45000125 SEH HC CLTX MEDIAL ANKLE FX 27760 351.23$
45000126 SEH HC CLTX MED ANKLE FX W/MNPJ 27762 512.94$
45000127 SEH HC TREATMENT OF FIBULA FRACTURE 27780 351.23$
45000128 SEH HC CL TX DISTL FIB FX WO MANIP 27786 1,855.03$
45000129 SEH HC CL TX DISTL FIB FX WITH MANIP 27788 589.16$
45000130 SEH HC CL TX BIMALLEOLAR ANKLE FX WO MANIP 27808 212.03$
45000131 SEH HC CL TX TRIMALL ANKLE FX WO MANIP 27816 351.23$
45000132 SEH HC CL TX TRIMALL ANKLE FX WITH MANIP 27818 707.22$
45000133 SEH HC CL TX WB DIST TIB WO MANIP 27824 368.74$
45000134 SEH HC CL TX WB DIST TIB WITH MANIP 27825 585.04$
45000135 SEH HC CL TX ANKLE DISLOCATION WO ANESTH 27840 402.73$
45000136 SEH HC CL TX ANKLE DISLOCATION WITH ANESTH 27842 3,246.56$
45000137 SEH HC REMOVAL OF FOOT FOREIGN BODY 28190 819.58$
45000138 SEH HC CL TX TALUS FX WO MANIP 28430 2,216.56$
45000139 SEH HC TREAT MIDFOOT FRACTURE EACH 28450 526.33$
45000140 SEH HC CL TX METATARSAL FX; WO MANIP 28470 325.48$
45000141 SEH HC CL TX METATARSAL FX; WITH MANIP 28475 212.03$
45000142 SEH HC TREAT BIG TOE FRACTURE 28490 351.23$
45000143 SEH HC TREATMENT OF TOE FRACTURE 28510 351.23$
45000144 SEH HC CL TX MTP JNT DISLOC; WO ANESTH 28630 378.01$
45000145 SEH HC CL TX IP JOINT DISLOC; WO ANESTH 28660 450.11$
45000146 SEH HC CL TX IP JOINT DISLOC; WITH ANESTH 28665 3,246.56$
45000147 SEH HC APPLICATION OF LONG ARM CAST 29065 269.86$
45000148 SEH HC APPLICATION OF FOREARM CAST 29075 243.08$
45000149 SEH HC APPLY LONG ARM SPLINT 29105 231.75$
45000150 SEH HC APPLY FOREARM SPLINT 29125 242.05$
45000151 SEH HC APPLICATION OF FINGER SPLINT 29130 217.33$
45000152 SEH HC STRAPPING OF SHOULDER-EMERGENCY 29240 241.02$
45000154 SEH HC STRAPPING OF HAND OR FINGER 29280 160.68$
45000155 SEH HC APPLICATION OF LONG LEG CAST 29345 221.40$
45000156 SEH HC APPLY SHORT LEG CAST 29405 302.82$
45000157 SEH HC APPLICATION LONG LEG SPLINT 29505 190.55$
45000158 SEH HC APPLICATION LOWER LEG SPLINT 29515 229.69$
45000159 SEH HC ED TREAT HUMERUS FX W/MAN 24505 273.98$
45000160 SEH HC ED TIB JNT DIS WO ANES RT 27830 351.23$
45000161 SEH HC REMOVAL/REVISION OF CAST 29705 237.93$
45000162 SEH HC DRAINAGE OF NOSE LESION 30000 727.18$
45000163 SEH HC REMOVE NASAL FOREIGN BODY 30300 317.24$
45000164 SEH HC CONTROL OF NOSEBLEED ANT SIMPLE 30901 382.13$
45000165 SEH HC CONTROL OF NOSEBLEED ANT COMPLEX 30903 507.79$
45000166 SEH HC CONTROL OF POST EPISTAXIS INIT 30905 534.57$
45000167 SEH HC REPEAT CONTROL OF NOSEBLEED 30906 244.11$
45000168 SEH HC INSERT EMERGENCY AIRWAY-EMERGENT 31500 503.67$
45000169 SEH HC INCISION OF WINDPIPE 31603 1,037.21$
45000171 SEH HC ASPIRATE PLEURA W/O IMAGING 32554 1,323.55$
45000172 SEH HC NON-ROUTINE BL DRAW 3/> YRS 36410 28.84$
45000173 SEH HC INSERT NON-TUNNEL CV CATH <5 YRS 36555 2,558.52$
45000176 SEH HC INSERT NEEDLE BONE CAVITY 36680 621.09$
45000177 SEH HC REPAIR LIP 40650 1,479.08$
45000178 SEH HC DRAINAGE OF MOUTH LESION 40800 160.60$
45000179 SEH HC REPAIR TONGUE LACERATION 41252 641.19$
45000180 SEH HC DRAINAGE OF GUM LESION 41800 222.48$
45000181 SEH HC DRAINAGE OF TONSIL ABSCESS 42700 360.21$
45000182 SEH HC REMOVE PHARYNX FOREIGN BODY 42809 292.52$
45000183 SEH HC TX GASTRO INTUB W/ASP 43753 331.66$
45000185 SEH HC REPOSITION GASTROSTOMY TUBE 43761 739.29$
45000186 SEH HC DRAINAGE OF RECTAL ABSCESS 45005 1,442.85$
45000187 SEH HC SIGMOIDOSCOPY W/FB REMOVAL 45332 1,171.11$
45000188 SEH HC RECTUM SURGERY PROCEDURE 45999 1,348.27$
45000189 SEH HC INCISION OF RECTAL ABSCESS 46040 1,442.85$
45000190 SEH HC INCISION OF ANAL ABSCESS 46050 1,277.20$
45000191 SEH HC INCISE EXTERNAL HEMORRHOID 46083 413.03$
45000192 SEH HC ABD PARACENTESIS 49082 579.89$
45000193 SEH HC ABD PARACENTESIS W/IMAGING-EMERGENCY 49083 579.89$
45000194 SEH HC IRRIGATION OF BLADDER 51700 241.02$
45000197 SEH HC CHANGE OF BLADDER TUBE 51705 409.94$
45000198 SEH HC US URINE CAPACITY MEASURE 51798 151.41$
45000199 SEH HC DRAINAGE OF SCROTUM ABSCESS 55100 1,224.67$
45000200 SEH HC I & D OF VULVA/PERINEUM 56405 269.86$
45000201 SEH HC DRAINAGE OF GLAND ABSCESS 56420 331.66$
45000204 SEH HC N BLOCK INJ TRIGEMINAL 64400 394.49$
45000205 SEH HC N BLOCK OTHER PERIPHERAL 64450 369.61$
45000206 SEH HC REMOVE FOREIGN BODY FROM EYE CONJUNCT SUPERFICIAL 65205 451.14$
45000207 SEH HC REMOVE FOREIGN BODY FROM EXT EYE; CORNEAL WO SLIT LAMP 65220 449.08$
45000208 SEH HC REMOVE FOREIGN BODY FROM EYE CORNEA W SLIT LAMP 65222 596.37$
45000209 SEH HC DRAINAGE OF EYELID ABSCESS 67700 295.83$
45000210 SEH HC DRAIN EXTERNAL EAR LESION 69000 270.89$
45000211 SEH HC DRAIN OUTER EAR CANAL LESION 69020 306.94$
45000212 SEH HC CLEAR OUTER EAR CANAL 69200 172.01$
45000213 SEH HC REMOVE IMPACTED EAR WAX UNI 69210 154.50$
45000214 SEH HC ED CPR-CODE BLUE 92950 1,133.00$
45000215 SEH HC TEMPORARY EXTERNAL PACING 92953 789.00$
45000226 SEH HC ED EMERG-LEVEL I 99281 204.97$
45000227 SEH HC ED EMERG LEVEL II 99282 363.59$
45000228 SEH HC ED EMERG LEVELIII 99283 520.15$
45000229 SEH HC ED EMERG LEVEL IV 99284 907.43$
45000230 SEH HC ED EMERG LEVEL V 99285 1,669.63$
45000231 SEH HC CRITICAL CARE FIRST HOUR 99291 2,666.67$
45000232 SEH HC CRITICAL CARE ADDL 30 MIN 99292 861.08$
45000233 SEH HC CHANGE GASTROSTOMY TUBE-EMERGENCY 43760 305.91$
45000234 SEH HC MAJOR DRAIN/INJ JOINT/BURSA W/O US-ED 20610 500.58$
45000235 SEH HC DEB SUBQ TISSUE 20 SQ CM/<-EMERGENCY 11042 684.95$
45000236 SEH HC STRAPPING OF ELBOW OR WRIST-EMERGENCY 29260 194.67$
45000237 SEH HC DEBRIDE NAIL 1-5-EMERGENCY 11720 182.31$
45000238 SEH HC STRAPPING OF KNEE-EMERGENCY 29530 112.27$
45000239 SEH HC STRAPPING OF ANKLE AND/OR FT-EMERGENCY 29540 133.90$
45000240 SEH HC SMALL DRAIN/INJ JOINT/BURSA W/O US-EMERGENCY 20600 546.93$
45000241 SEH HC INSERTION OF CHEST TUBE-EMERGENCY 32551 886.83$
45000242 SEH HC INSERT NON-TUNNEL CV CATH 5 YRS OR >-EMERGENCY 36556 1,152.57$
45000243 SEH HC INSERT PICC CATH-EMERGENCY 36569 1,349.30$
45000244 SEH HC INSERT BLADDER CATHETER-EMERGENCY 51701 158.62$
45000245 SEH HC INSERT TEMP BLADDER CATH-EMERGENCY 51702 250.00$
45000246 SEH HC SPINAL FLUID TAP DIAGNOSTIC-EMERGENCY 62270 695.25$
45000247 SEH HC INJECT EPIDURAL PATCH-EMERGENCY 62273 666.37$
45000248 SEH HC HYDRATION IV INFUSION INIT-EMERGENCY 96360 276.04$
45000249 SEH HC HYDRATE IV INFUSION ADD-ON-EMERGENCY 96361 50.47$
45000250 SEH HC THER/PROPH/DIAG IV INF INIT-EMERGENCY 96365 276.04$
45000251 SEH HC THER/PROPH/DIAG IV INF ADDON-EMERGENCY 96366 50.47$
45000252 SEH HC TX/PROPH/DG ADDL SEQ IV INF-EMERGENCY 96367 276.04$
45000253 SEH HC THER/DIAG CONCURRENT INF-EMERGENCY 96368 12.36$
45000254 SEH HC THER/PROPH/DIAG INJ SC/IM-EMERGENCY 96372 97.85$
45000255 SEH HC THER/PROPH/DIAG INJ IV PUSH-EMERGENCY 96374 244.11$
45000256 SEH HC TX/PRO/DX INJ NEW DRUG ADDON-EMERGENCY 96375 244.11$
45000257 SEH HC TX/PRO/DX INJ SAME DRUG ADD ON-EMERGENCY 96376 244.11$
45000259 SEH HC DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE-EMERGENCY 10060 375.95$
45000263 SEH HC CL TX FRAC TOE W MANIPULATION 28515 474.83$
45000264 SEH HC REMOVAL FECAL /FB IMPACTION W ANES 45915 3,365.01$
45000265 SEH HC TX TRIMALLEOLAR ANK FX W MANIPULATION 27818 2,215.53$
45000266 SEH HC REPLACE GASTROSTOMY PERQ W/O REVIS GAST TRACT ED 43762 665.00$
45000267 SEH HC REPLACE GASTROSTOMY PERQ W REVISION GASTR TRACT ED 43763 765.00$
45000268 SEH HC OSTEOPATHIC MANIULATIVE TX 1-2 BODY REGIONS 98925 101.00$
45000269 SEH HC OSTEOPATHIC MANIULATIVE TX 3-4 BODY REGIONS 98926 124.00$
45000270 SEH HC OSTEOPATHIC MANIULATIVE TX 5-6 BODY REGIONS 98927 136.00$
45000271 SEH HC OSTEOPATHIC MANIULATIVE TX 7-8 BODY REGIONS 98928 161.00$
45000272 SEH HC OSTEOPATHIC MANIULATIVE TX 9-10 BODY REGIONS 98929 185.00$
45000273 SEH HC ER REPLACE GASTROSTOMY PERQ W IMG 49450 2,232.00$
45000274 SEH HC ED PICC PLACEMENT <5Y W/O PORT W S&I 36572 1,782.00$
45000275 SEH HC ED PICC PLACEMENT >5Y W/O PORT W S&I 36573 3,143.00$
45000276 SEH HC REMOVAL DRUG DELIVERY IMPLANT ED 11982 1,768.00$
45000277 SEH HC REMOVAL IMPACTED CERUMEN LAVAGE ED 69209 198.00$
45000278 SEH HC ED TELEHEALTH FACILITY FEE Q3014 160.00$
45000279 SEH HC INTMD RPR N-HF/GENIT 2.6-7.5CM 12042 491.00$
45000280 SEH HC BREAST BX CORE NDL W/O IMG 19100 1,873.00$
45000281 SEH HC TRACHEOTOMY TUBE CHANGE ED 31502 681.00$
45000282 SEH HC REDUCTION RECTAL PROLAPSE W ANES 45900 1,442.00$
45000283 SEH HC FNA BX W/O IMG 1ST LESION 10021 596.00$
45000284 SEH HC FNA BX W/O IMG EA ADD LESION 10004 994.00$
45000285 SEH HC AMPUTATION FING/THUMB SGL W DIRECT CLOSURE 26951 5,282.00$
45000286 SEH HC ARTERIAL CATH- SAMPLE, MONITOR, TRANSFUSE ED 36620 739.00$
45000287 SEH HC CL REDUCTION FIBULA SHAFT W MANI 27781 5,322.00$
45000288 SEH HC CL TX PATELLA DISLOC 27560 1,181.00$
46000001 SEH HC BASIC SPIROMETRY 94010 296.64$
46000002 SEH HC SIB-SIMP W/BRONCHODIATO 94060 426.42$
46000003 SEH HC CHEMICAL CHALLENGE 94070 504.70$
46000004 SEH HC SURFACTANT ADMIN THRU TUBE 94610 163.24$
46000005 SEH HC 6 MINUTE WALK TEST 94618 130.63$
46000006 SEH HC CPAP PER DAY 94660 256.47$
46000007 SEH HC LUNG VOLUMES DLCO 94727 382.13$
46000008 SEH HC PULSE OXIMETRY - INITIAL 94760 104.03$
46000009 SEH HC PULSE OXIMETRY - SPOT CHK 94761 28.84$
46000010 SEH HC END-TIDAL CO2-CONTIN/DAY 94770 234.86$
46000011 SEH HC RESP ASSIST 94799 284.28$
46000012 SEH HC NB CARSEAT TEST 60 MIN 94780 83.43$
46000013 SEH HC NB CARSEAT TEST ADD 30 MIN 94781 43.26$
46000260 SEH HC INSERT EMERGENCY AIRWAY-CARDIAC REHAB 31500 474.83$
46900000 SEH HC PHASE III EXERCISE/MONTH 94799 41.20$
47100000 SEH HC RO NASOPHARYNGOSCOPY 92511 576.06$
47100001 SEH HC PURE TONE HEARING TEST AIR 92551 23.69$
47100002 SEH HC EVOKED AUDITORY TST COMPLETE 92588 146.26$
48000000 SEH HC EECP THER-OUT PATIENT G0166 442.90$
48000002 SEH HC CARDIOVERSION ELECTRIC EXT 92960 595.34$
48000003 SEH HC ECHO TRANSTHORACIC 93303 1,918.89$
48000004 SEH HC TTE F-UP OR LMTD 93308 578.86$
48000005 SEH HC ECHO TRANSESOPHAGEAL 93312 2,202.14$
48000006 SEH HC DOPPLER ECHO EXAM HEART COMPLETE 93320 528.39$
48000007 SEH HC DOPPLER ECHO EXAM HEART LIMIT F/UP 93321 402.73$
48000008 SEH HC DOPPLER COLOR FLOW ADD-ON 93325 463.50$
48000009 SEH HC STRESS TTE ONLY 93350 1,381.23$
48000010 SEH HC HEART FLOW RESERVE MEASURE 93571 3,592.64$
48000011 SEH HC MO HEART/LUNG RESUSCITATION CPR-GCC 92950 1,133.00$
48000012 SEH HC RO HEART/LUNG RESUSCITATION CPR-GCC 92950 1,133.00$
48000013 SEH HC INTRA-OPERATIVE EPICARDIAL AND ENDOCARDIAL PACING AND MAPPING 93631 7,195.58$
48000014 SEH HC EP EVAL OF SINGLE/DUAL PACING CARDIO LEADS 93640 4,273.47$
48000015 SEH HC EP EVAL OF SINGLE/DUAL PACING CARDIO LEADS PULSE GENERATOR 93641 4,449.60$
48000016 SEH HC EP EVAL SINGLE/DUAL CHAMBER TRANS PACING CARDIO LEADS 93642 4,807.01$
48000017 SEH HC EP EVAL OF SUBCUTANEOUS IMPLANT DEFIB 93644 5,668.09$
48000018 SEH HC INTRACARDIAC CATH ABLATION AV NODE FUNC, AV CONDUCTION CREATION OF BLOCK 93650 16,389.36$
48000019 SEH HC COMP EP EVAL W/INSERTION, REPOSITIONING OF MULTI ELECTRODE CATH 93654 44,175.67$
48000020 SEH HC INTRACARDIAC CATH ABLATION - DISCRETE MECH ARRHYTHMIA 93655 16,570.64$
48000021 SEH HC COMP EP EVAL W/TRANSSEPTAL CATH, INSERT, REPOSITION MULTI ELECTRODE CATH 93656 42,959.24$
48000022 SEH HC ADDL LINEAR/FOCAL INTRACARDIAC CATH ABLATION RIGHT/LEFT ATRIUM TREAT 93657 16,261.64$
48000023 SEH HC EVAL OF CARDIO FUNCTION WITH TILT TABLE EVAL, W/CONTINOUS ECG MONITOR 93660 2,559.55$
48000024 SEH HC INTRACARDIAC ECHO THERA/DIAG INTERVENTION, W/ IMAGING SUPERVISION/ INTERPRET 93662 6,699.12$
48000025 SEH HC BUNDLE OF HIS RECORDING 93600 4,824.52$
48000026 SEH HC INTA-ATRIAL RECORDING 93602 4,268.32$
48000027 SEH HC RT VENTRICULAR RECORDING 93603 3,248.62$
48000028 SEH HC MAP TACHYCARDIA SITES 93609 5,501.23$
48000029 SEH HC INTRA-ATRIAL PACING 93610 4,904.86$
48000030 SEH HC INTRA-VENTRICULAR PACING 93612 4,743.15$
48000031 SEH HC EP 3D INTRACARDIAC MAPPING 93613 7,989.71$
48000032 SEH HC ESOPH ATRIAL ELECTROGRAM 93615 1,577.96$
48000033 SEH HC ESOPH ATRIAL ELECTRO W PACING 93616 4,178.71$
48000034 SEH HC INDUCTION ARRHYTHMIA BY PACING 93618 4,122.06$
48000035 SEH HC COMPREHENSIVE EP W RT ATRIAL/VENT PACING 93619 9,238.07$
48000036 SEH HC COMPREHENSIVE EP W INDUCTION ARRYTHMIA 93620 12,309.53$
48000037 SEH HC LT ATRIAL PACING & CORO RECORDING 93621 7,657.02$
48000038 SEH HC LT VENTRICULAR PACING & RECORDING 93623 7,097.73$
48000039 SEH HC EP FOLLOW UP W PACING 93624 7,634.36$
48000040 SEH HC EP& ABLATE SUPRAVENT ARRHYT 93653 35,439.00$
48100000 SEH HC PTCA W/DES 1ST VES C9600 20,789.52$
48100001 SEH HC PTCA W/DES ADD VESS C9601 20,789.52$
48100002 SEH HC DES W/ARTHRECTOMY 1ST VES C9602 20,789.52$
48100003 SEH HC PTCA GRAFTS W/DES 1ST VES C9604 20,789.52$
48100004 SEH HC PTCA GRAFTS W/DES ADD VES C9605 20,789.52$
48100005 SEH HC CODE STEMI W/DES C9606 20,789.52$
48100006 SEH HC INSERT ELECTRD/PM CATH SNGL 33210 10,398.88$
48100007 SEH HC INSERT I-AORT PERCUT DEVICE 33967 3,228.02$
48100008 SEH HC REMOVE AORTIC ASSIST DEVICE 33968 2,881.94$
48100009 SEH HC PLACE CATH SUBCLAVIAN ART-CATH LAB 36225 4,756.54$
48100010 SEH HC PLACE CATH XTRNL CAROTID-CATH LAB 36227 7,776.50$
48100011 SEH HC INS CATH REN ART 1ST UNILAT 36251 5,035.67$
48100012 SEH HC INS CATH REN ART 1ST BILAT 36252 7,650.84$
48100013 SEH HC THROMBECTOMY NON CORONARY 1 VESSEL 37184 7,907.31$
48100014 SEH HC THROMBECTOMY NON CORONRY ADD VESSEL 37185 5,134.55$
48100015 SEH HC 2ND PERCUTANEOUS THOMBECTOMY 37186 6,645.56$
48100016 SEH HC PLACE IVC FILTER 37191 8,084.47$
48100017 SEH HC ILIAC REVASC 37220 12,863.67$
48100018 SEH HC ILIAC REVASC W/STENT 37221 22,520.95$
48100019 SEH HC ADD IPSILATERAL ILIAC OP/PTA 37222 8,958.94$
48100020 SEH HC ILIAC REVASC W/STENT ADD-ON 37223 5,582.60$
48100021 SEH HC FEM/POPL REVAS W/TLA 37224 12,863.67$
48100022 SEH HC FEM/POPL REVAS W/ATHER 37225 18,210.40$
48100023 SEH HC FEM/POPL REVASC W/STENT 37226 22,520.95$
48100024 SEH HC FEM/POPL REVASC STNT & ATHER 37227 32,664.39$
48100025 SEH HC TIB/PER REVASC W/TLA 37228 12,863.67$
48100026 SEH HC TIB/PER REVASC W/STENT 37230 22,520.95$
48100027 SEH HC TIB/PER REVASC STENT & ATHER 37231 30,395.30$
48100028 SEH HC TIB/PER REVASC ADD-ON 37232 12,863.67$
48100029 SEH HC REVSC OPN/PRQ TIB/PERO STENT 37234 12,863.67$
48100030 SEH HC OPEN/PERQ PLACE STENT 1ST 37236 24,421.30$
48100031 SEH HC INTRVASC US NONCORONARY 1ST 37252 3,067.34$
48100032 SEH HC PRQ CARDIAC ANGIOPLAST 1 ART 92920 1,335.91$
48100033 SEH HC PRQ CARDIAC ANGIO ADDL ART 92921 1,335.91$
48100034 SEH HC PRQ CARD STENT W/ANGIO 1 VSL 92928 16,362.58$
48100035 SEH HC PRQ CARD STENT W/ANGIO ADDL 92929 16,362.58$
48100036 SEH HC PRQ REVASC BYP GRAFT 1 VSL 92937 16,362.58$
48100037 SEH HC PRQ REVASC BYP GRAFT ADDL 92938 16,362.58$
48100038 SEH HC PRQ CARD REVASC MI 1 VSL 92941 16,362.58$
48100039 SEH HC PRQ CARD REVASC CHRONIC ADDL 92944 16,362.58$
48100041 SEH HC PRQ CORONARY MECH THROMBECT 92973 5,411.62$
48100042 SEH HC INTRAVASC US CORONARY V INITIAL 92978 4,492.86$
48100043 SEH HC INTRAVASC US CORONARY V EA ADDL 92979 2,567.79$
48100044 SEH HC RIGHT HEART CATH 93451 3,220.81$
48100045 SEH HC R&L HRT CATH W/VENTRICLGRPHY 93453 17,033.11$
48100046 SEH HC CORONARY ARTERY ANGIO S&I 93454 12,750.37$
48100047 SEH HC CORONARY ART/GRFT ANGIO S&I 93455 15,839.34$
48100048 SEH HC R HRT CORONARY ARTERY ANGIO 93456 15,970.15$
48100049 SEH HC R HRT ART/GRFT ANGIO 93457 19,060.15$
48100050 SEH HC L HRT ARTERY/VENTRICLE ANGIO 93458 18,262.93$
48100051 SEH HC L HRT ART/GRFT ANGIO 93459 21,350.87$
48100052 SEH HC R&L HRT ART/VENTRICLE ANGIO 93460 21,663.99$
48100053 SEH HC R&L HRT ART/GRAFT/VENTRICLE ANGIO 93461 24,752.96$
48100054 SEH HC INSERT/PLACE HEART CATHETER 93503 1,562.72$
48100055 SEH HC HEART/LUNG RESUSCITATION CPR-CATH LAB 92950 1,133.00$
48100056 SEH HC TRANSC STENT VEIN 1ST 37238 9,595.00$
48100057 SEH HC TRANSC STENT ADD VEIN 37239 4,824.00$
48100060 SEH HC CATH PLACE COM CAROTID W EXTRACRANIAL 36222 7,406.73$
48100061 SEH HC PRQ CARD STENT W/ATHRECTOMY ANGIOPLASTY 92933 18,179.50$
48100062 SEH HC PRQ REVASC OF CTO ANY COMBO SING VESS 92943 15,927.92$
48100063 SEH HC THROMBOLYSIS ARTERY 1ST 37211 4,502.13$
48100064 SEH HC THROMBOLYSIS VEIN 1ST 37212 3,061.16$
48100065 SEH HC CESSATION OF THROMBOLYSIS 37214 4,844.09$
48100066 SEH HC THROMBOLYSIS ART/VEIN SUBSEQ VESSEL 37213 3,971.68$
48100067 SEH HC REPOSITIONING OF IVC FILTER 37192 5,917.35$
48100068 SEH HC RETRIEVAL /REMOVAL IVC FILTER 37193 6,761.95$
48100069 SEH HC INTRAVASC DOPPLER ADD 93572 2,694.48$
48100070 SEH HC STENT W/ARTHRECTOMY ADD 92934 16,362.58$
48100071 SEH HC STENT ARTHRECTOMY 1ST VESSEL 92924 20,541.29$
48100072 SEH HC ARTHRECTOMY ADD VESSEL 92925 20,541.29$
48100073 SEH HC PTCA CTO W/DES 1ST VES C9607 20,789.52$
48100074 SEH HC ATHER-PTA TIBIAL VES 37229 18,861.36$
48100075 SEH HC PTA RENAL/VISCERAL VEIN 37248 4,500.80$
48100076 SEH HC PTCA CTO W DES EA ADD VESSEL C9608 20,789.52$
48100077 SEH HC DES W ARTHRECTOMY ASS VESSEL C9603 20,789.52$
48100078 SEH HC ARTHECTOMY TIBIAL-PERONEAL 37233 18,153.75$
48100079 SEH HC LHC W/O CORS 93452 13,632.05$
48100080 SEH HC ICD GEN REPLACEMENT SGL LEAD 33262 30,354.00$
48100081 SEH HC PM REPLACEMENT SGL LEAD 33227 13,485.79$
48100082 SEH HC ICD GEN REPLACEMENT DUAL LEAD 33263 33,311.23$
48100083 SEH HC PM REPLACEMENT DUAL LEAD 33228 14,598.19$
48100084 SEH HC ICD GEN REPLACEMENT MULTI LEAD 33264 35,746.15$
48100085 SEH HC PM REPLACEMENT MULTI LEAD 33229 18,018.82$
48100086 SEH HC ICD GEN INS/REPLACE SGL/DUAL 33249 35,575.17$
48100087 SEH HC INS ICD/PM ADD LEAD BIVENTRICULAR 33225 14,274.77$
48100088 SEH HC INS/REPLACE PM SGL ATRIAL 33206 15,970.15$
48100089 SEH HC INS/REPLACE PM SGL VENTRICULAR 33207 14,273.74$
48100090 SEH HC INS/REPLACE PM DUAL LEAD 33208 16,211.17$
48100091 SEH HC PM UPGRADE SGL TO DUAL 33214 18,124.91$
48100092 SEH HC REMOVAL ICD GEN ONLY 33241 5,629.98$
48100093 SEH HC REMOVAL PM GEN ONLY 33233 6,703.24$
48100094 SEH HC IMPLANTATION OF CARDIAC EVENT RECORDER 33282 9,642.86$
48100095 SEH HC CATH COM CAROTID INTRACRANIAL 36223 9,325.62$
48100096 SEH HC INSERT SUBQ CARD RHYTHM MONITOR 33285 9,362.00$
48100097 SEH HC REMOVAL SUBQ CARD RHYTHM MONITOR 33286 1,658.00$
48100098 SEH HC INSERT ONE PM/DEFIB ELECTRODE 33216 12,788.00$
48100099 SEH HC INSERT 2 PM/DEFIB ELECTRODES 33217 13,546.00$
48100100 SEH HC REMOVAL PM ELECTRODE SINGLE SYSTEM 33234 8,499.00$
48100101 SEH HC REMOVAL PM ELECTRODE DUAL SYSTEM 33235 8,939.00$
48100102 SEH HC REPOSITION PM-DEFIB ELECTRODE EA 33215 5,189.00$
48100103 SEH HC REMOVAL DEFIB ELECTRODE- TRANSVENOUS 33244 6,075.00$
48100104 SEH HC PERICARDIOCENTESIS; INITIAL 33010 2,552.00$
48100105 SEH HC PERICARDIOCENTESIS; SUBSEQUENT 33011 1,627.00$
48100106 SEH HC INS/REPL PM GEN EXISTING LEAD SNGL 33212 10,267.00$
48100107 SEH HC INS/REPL PM GEN EXISTING LEAD DUAL 33213 14,403.00$
48100108 SEH HC INS/REPL PM GEN EXISTING LEAD MULTI 33221 16,585.00$
48100109 SEH HC PERICARDIOCENTESIS W/WO IMG 33016 4,527.00$
48100110 SEH HC REPOSITIONING OF BIVENTRICULAR LEAD 33226 6,096.00$
48100111 SEH HC SEL CATH PLMT AORTA 36200 2,588.00$
48100112 SEH HC SEL CATH PLMT THOR/BRAC 1ST ORDER 36215 3,016.00$
48100113 SEH HC SEL CATH PLMT THOR/BRAC 2ND ORDER 36216 3,286.00$
48100114 SEH HC SEL CATH PLMT THOR/BRAC 3RD ORDER 32617 3,211.00$
48100115 SEH HC SEL CATH PLMT ADD 2ND/3RD ORDER 36218 1,990.00$
48200000 SEH HC CARDIOVASCULAR STRESS TEST 93017 1,204.07$
48300000 SEH HC TTE W/DOPPLER COMPLETE 93306 2,013.65$
48609001 SEH ANESTHESIA VAG DELIVERY EPI 01967 1,029.99$
48900000 SEH HC CARDIOVASCULAR PROCEDURE 93799 41.20$
51000001 SEH HC VISIT EST PT LEVEL 1 99211 123.60$
51000002 SEH HC VISIT NEW PT LEVEL 2/ 15-29 MIN 99202 130.81$
51000003 SEH HC VISIT NEW PT LEVEL 3/ 30-44 MIN 99203 151.41$
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51000010 SEH HC MO APPLY ON BODY INJECTOR SUBQ 96377 276.04$
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51000034 SEH HC SM-BPM W PT EDU/TRAINING MO 99473 64.00$
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51000036 SEH HC INIT PREVENTIVE MED 40-64YRS 99386 264.00$
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54000001 SEH HC ALS1 AMBULANCE A0426 574.74$
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61000023 SEH HC MRI LOWER EXTREMITY W/DYE 73719 2,891.21$
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61000032 SEH HC FNA BX W/MR 1ST LESION 10011 1,665.00$
61000033 SEH HC FNA BX W/MR EA ADDL LESION 10012 832.00$
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61000035 SEH HC MRI ANGIOGRAM ABDOMEN W WO CONTRAST C8902 3,338.00$
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61000041 SEH HC MRI BREAST W CONTRAST BIL C8906 4,910.00$
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61000042 SEH HC MRI CAD BREAST C8937 868.00$
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61200000 SEH HC MRI NECK SPINE W/DYE 72142 3,379.43$
61200001 SEH HC MRI CHEST SPINE W/DYE 72147 3,276.43$
61500000 SEH HC MR ANGIOGRAPHY HEAD W/O DYE 70544 3,384.58$
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63600005 SEH HC SUPPLY OASIS TRI-LAYER WOUND MATRIX Q4124 35.02$
63600008 SEH HC SUPPLY GRAFIX PRIME Q4133 1,627.40$
63600025 SEH HC GRAFIX CORE 5 X 5CM Q4132 2,729.50$
63600026 SEH HC ALGRAFT PER SQ CM 15MM #43637 Q4137 921.85$
63600028 SEH HC ALGRFT PER SQ CM 2X3CM#43644 Q4137 927.00$
63600029 SEH DERMAGRAFT 5CM X 7.5 CM PER SQ CM Q4106 36.05$
63600030 SEH HC PRIM AG 4X4 PER SQ CM# 34106 Q4110 284.28$
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63600040 SEH HC EPIFIX 18MM PER SQ CM #36095 Q4186 2,566.00$
63600041 SEH HC PURAPLY PER SQ CM (5X5) 25 SQ CM Q4196 794.00$
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63600043 SEH HC PURAPLY PER SQ CM (2X2) 4 SQ CM Q4196 1,165.00$
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63600050 SEH HC OA BURN MATRIX PER SQ CM (3X3.5) 10.5 SQ CM Q4103 113.00$
63600051 SEH HC OA BURN MATRIX PER SQ CM (3X7) 21 SQ CM Q4103 98.00$
63600052 SEH HC OA BURN MATRIX PER SQ CM (5X7) 35 SQ CM Q4103 51.00$
63600056 SEH HC GRAFIX PL 16MM DISK Q4133 2,915.00$
63600057 SEH HC GRAFIX PL 1.5 X 2 CM Q4133 1,729.00$
63600058 SEH GRAFIX PL 2 X 3 CM Q4133 1,079.00$
63600059 SEH GRAFIX PL 3 X 3 CM Q4133 818.00$
63600060 SEH GRAFIX PL 3 X 4 CM Q4133 663.00$
63600061 SEH GRAFIX PL 5 X 5 CM Q4133 707.00$
63600062 SEH HC ALLOPATCH 1.5 X 1.5 Q4128 552.00$
63600063 SEH HC ALLOPATCH 2 X 2 Q4128 623.00$
63600064 SEH HC ALLOPATCH 4 X 4 Q4128 435.00$
63600065 SEH HC ALLOPATCH 4 X 8 Q4128 341.00$
63600067 SEH HC AMNIOBAND MEMBRANE 10 MM DISK Q4151 955.00$
63600068 SEH HC AMNIOBAND MEMBRANE 14 MM DISK Q4151 1,195.00$
63600069 SEH HC AMNIOBAND MEMBRANE 18 MM DISK Q4151 1,859.00$
63600070 SEH HC AMNIOBAND MEMBRANE 2 X 2 CM Q4151 1,289.00$
63600071 SEH HC AMNIOBAND MEMBRANE 2 X4 CM Q4151 718.00$
63600072 SEH HC AMNIOBAND MEMBRANE 3 X 4 Q4151 692.00$
63600073 SEH HC PFIZER COVID-19 VACCINE, 30MCG/0.3ML IM 91300 0.01$
63600074 SEH HC MODERNA COVID-19 VACCINE, 100MCG/0.5ML IM 91301 0.01$
63600075 SEH HC MFN MODEL DRUG ADD ON M1145 149.00$
63600076 SEH HC EPIFIX 2X3 Q4186 1,184.00$
63600077 SEH HC EPIFIX MESH 3.5 X 3.5 Q4186 633.00$
63600078 SEH HC EPIFIX MESH 4X4.5 Q4186 613.00$
63600079 SEH HC AMNIOBAND MEMBRANE 4 X 6 CM Q4151 682.00$
71000000 SEH HC OB EXTENDED RECOVERY 276.04$
71000001 SEH HC CD EXTENDED RECOVERY 276.04$
71000002 SEH HC RR STAGE 2 30 MIN 488.22$
71000003 SEH HC RR STAGE 1 LEV 1 30 MIN 626.24$
71000004 SEH HC RR IP LEVEL 2 30 MIN 850.78$
71000005 SEH HC RR IP LEVEL 1 30 MIN 850.78$
71000009 SEH HC PA THERAPEUTIC INJ SQORIM 46.35$
71000011 SEH HC PA BLOOD/PROD TRANSFUSION 625.21$
71000012 SEH HC PA INJ 218.36$
71000014 SEH HC 4BT EXTENDED RECOVERY 276.04$
71000015 SEH HC 6BT EXTENDED RECOVERY 276.04$
71000016 SEH HC CV PACU STAGE 2 30 MIN 572.68$
71000017 SEH HC CV PACU 1 LEV 2 30 MIN 850.78$
71000018 SEH HC CV PACU 1 LEV 1 30 MIN 626.24$
71000019 SEH HC CV ICU EXTENDED RECOVERY 276.04$
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71000021 SEH HC ICU EXTENDED RECOVERY 276.04$
71000022 SEH HC 3BT EXTENDED RECOVERY 276.04$
71000023 SEH HC PEDS EXTENDED RECOVERY 276.04$
71000024 SEH HC 5BT EXTENDED RECOVERY 265.74$
71000025 SEH HC 7BT EXTENDED RECOVERY 276.04$
71000027 SEH HC 2E EXTENDED RECOVERY 276.04$
72000001 SEH HC FETAL NON-STRESS TEST 59025 312.09$
72000002 SEH HC INSERT CERVICAL DILATOR 59200 290.46$
72000003 SEH HC PHOTOTHERAPY - DAILY 96900 111.24$
72000004 SEH HC LD C-SECT LEV II 30 MIN 3,544.23$
72000005 SEH HC LD LABOR FEE 30 MIN 154.50$
72000006 SEH HC LD RECOVER FEE 30 MIN 507.79$
72000007 SEH HC LD RECOVER C-SECT 30 MIN 590.19$
72000008 SEH HC LD OUT/IN PATIENT 30 MIN 84.46$
72000009 SEH HC LD EPIDURAL PROCEDURE 96.82$
72000010 SEH HC LD RECOVERY HIGH RISK 30 MIN 550.54$
72000011 SEH HC LD RECOVERY C-SECT 30 MIN 589.16$
72000013 SEH HC LD EPIDURAL MONITOR RN 1,051.63$
72000014 SEH HC LD DELIVERY FEE 2,287.63$
72000015 SEH HC LD DELIVERY FEE - OUTSIDE 724.09$
72000016 SEH HC LD LOCAL IF NO ANESTHETIS 270.89$
72300000 SEH HC CIRCUMCISION W/REGIONL BLOCK 54150 259.56$
73000000 SEH HC ELECTROCARDIOGRAM TRACING 93005 161.71$
73000001 SEH HC 14 DAY CONTINUOUS MONITORING 0296T 685.98$
73000002 SEH HC 14 DAY SCANNING ANALYSIS AND REPORT 0297T 722.03$
73100000 SEH HC ECG MONIT/REPRT UP TO 48 HRS RECORDING 93225 735.42$
73100001 SEH HC ECG MONIT/REPRT UP TO 48 HRS SCAN AND ANALYSIS REPORT 93226 1,160.81$
73100002 SEH HC REMOTE 30 DAY ECG REV/REPORT 93270 2,867.52$
73100003 SEH HC ECG/MONITORING AND ANALYSIS 93271 194.67$
73100004 SEH HC EXTR CONTINUOUS MON >48HR TO 7 DAYS 93242 343.00$
73100005 SEH HC EXTR CONTINUOUS MON >7 DAYS TO 15 DAYS 93246 686.00$
74000000 SEH HC POLYSOMNOGRAM, MSLT/MWT 95805 1,436.85$
74000001 SEH HC POLYSOM ANY AGE 1-3> PARAM 95808 1,197.89$
74000002 SEH HC POLYSOM 6/> YRS 4/> PARAM 95810 2,632.68$
74000003 SEH HC POLYSOM 6/>YRS CPAP 4/> PARM 95811 2,871.64$
74000004 SEH HC EEG/>60 MINS 95813 2,078.00$
74000005 SEH HC EEG AWAKE AND DROWSY 95816 500.58$
74000006 SEH HC EEG AWAKE/ASLEEP 95819 500.58$
74000007 SEH HC CEREBRAL DEATH EVAL 95824 1,755.12$
74000008 SEH HC EEG MONITOR W VIDEO RECORD 95951 5,333.34$
74000009 SEH HC EEG CONT RECORDING W VIDEO EEG TECH 95700 5,333.34$
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75000000 SEH HC LOCAL RM PER 15 MINUTES 316.21$
75000001 SEH HC CHANGE GASTROSTOMY TUBE-ENDOSCOPY 43760 305.91$
75000002 SEH HC GI TRACT CAPSULE ENDOSCOPY 91110 2,319.56$
75000003 SEH HC EN AGILE PATENCY 91299 331.66$
75000004 SEH HC REPLACE GASTROSTOMY PERQ W/O REVIS GAST TRACT 43762 665.00$
75000005 SEH HC REPLACE GASTROSTOMY PERQ W REVISION GASTR TRACT 43763 765.00$
76100000 SEH HC CVOR OFFUNIT L1 EACH MINUTE 36.05$
76100001 SEH HC SP SACRO ILIAC ARTHRO P G0260 666.37$
76100002 SEH HC MO BONE MARROW BIOPSY & ASPIRATIONS 38222 3,972.71$
76100004 SEH HC LC SKN SUB TAL <100SCM1ST 15272 278.10$
76100005 SEH HC LC SKN FESMNHG 25SCM1ST C5275 2,177.00$
76100006 SEH HC GUIDE CATHET FLUID DRAINAGE 10030 858.63$
76100007 SEH HC DRAINAGE OF SKIN ABSCESS SIMPLE OR SINGLE-WOUND CTR 10060 375.95$
76100014 SEH HC BIOPSY SKIN LESION 11100 358.44$
76100021 SEH HC NEEDLE BIOPSY MUSCLE 20206 1,043.73$
76100022 SEH HC BONE BIOPSY DEEP TROCAR/NEEDLE 20225 1,672.72$
76100023 SEH HC INJECT SINUS TRACT FOR X-RAY 20501 201.88$
76100024 SEH HC SMALL DRAIN/INJ JOINT/BURSA W/O US-CT SCAN 20600 526.33$
76100025 SEH HC INJECTION FOR SHOULDER X-RAY 23350 435.69$
76100026 SEH HC BIOPSY OF SOFT TISSUES 27040 819.58$
76100031 SEH HC INSERTION OF CHEST TUBE-CT SCAN 32551 852.84$
76100032 SEH HC ASPIRATE PLEURA W/ IMAGING 32555 1,545.00$
76100033 SEH HC INSERT CATH PLEURA W/O IMAGE 32556 1,486.29$
76100034 SEH HC INSERT CATH PLEURA W/ IMAGE 32557 1,545.00$
76100036 SEH HC INSERT NON-TUNNEL CV CATH 5 YRS OR >-CATH LAB 36556 836.36$
76100037 SEH HC INSERT PICC CATH-NURSING 36569 1,298.83$
76100038 SEH HC REMOVAL TUNNELED CV CATH 36589 483.94$
76100039 SEH HC MO DRAW BLOOD OFF VENOUS DEVICE 36591 295.59$
76100040 SEH HC COLLECT BLOOD FROM PICC 36592 295.59$
76100041 SEH HC DECLOT VASCULAR DEVICE 36593 825.80$
76100042 SEH HC MO BONE MARROW BIOPSY 38221 3,972.94$
76100043 SEH HC DENTAL SURGERY PROCEDURE 41899 256.47$
76100044 SEH HC NASAL/OROGASTRIC W/TUBE PLMT 43752 687.01$
76100045 SEH HC NEEDLE BIOPSY OF LIVER 47000 2,571.91$
76100046 SEH HC DRAINAGE OF KIDNEY LESION 50390 1,043.73$
76100047 SEH HC CREATE PASSAGE TO KIDNEY 50395 2,067.21$
76100048 SEH HC INJECTION FOR CYSTOGRAM 51600 363.59$
76100049 SEH HC INSERT BLADDER CATHETER-NURSING 51701 153.47$
76100050 SEH HC INSERT TEMP BLADDER CATH 51702 250.00$
76100051 SEH HC CATHETER FOR HYSTEROGRAPHY 58340 435.69$
76100052 SEH HC FETAL SCALP MONITORING 59051 145.23$
76100053 SEH HC TX MISSED ABORTION 2ND TRIMESTER 59821 6,484.88$
76100055 SEH HC SPINAL FLUID TAP DIAGNOSTIC 62270 668.47$
76100056 SEH HC INJECT EPIDURAL PATCH-RADIOLOGY 62273 666.37$
76100057 SEH HC INJ FORAMEN EPIDURAL L/S 64483 1,451.27$
76100058 SEH HC INJ FORAMEN EPIDURAL ADD-ON 64484 1,451.27$
76100059 SEH HC HYDRATION IV INFUSION INIT 96360 276.04$
76100060 SEH HC HYDRATE IV INFUSION ADD-ON 96361 50.47$
76100061 SEH HC IV INFUSION INITIAL TO 1HR 96365 276.04$
76100062 SEH HC IV INFUSION EACH ADDL HR 96366 50.47$
76100063 SEH HC TX/PROPH/DG ADDL SEQ IV INF 96367 276.04$
76100064 SEH HC THER/DIAG CONCURRENT INF 96368 12.36$
76100065 SEH HC IM/SQ INJECTION 96372 97.85$
76100066 SEH HC IV PUSH INIT/SING INJ 96374 244.11$
76100067 SEH HC IV PUSH EACH NEW DRUG 96375 244.11$
76100068 SEH HC TX/PRO/DX INJ SAME DRUG ADD ON 96376 235.87$
76100069 SEH HC IRRIG DRUG DELIVERY DEVICE-NURSING 96523 296.64$
76100070 SEH HC ACTIVE WND CARE 20CM OR < 97597 237.93$
76100071 SEH HC ACTIVE WND CARE >20CM 97598 283.25$
76100072 SEH HC WOUND(S) CARE NON-SELECT 97602 158.62$
76100073 SEH HC NEG PRESS WND TX < 50 CM 97605 201.88$
76100074 SEH HC NEG PRESS WND TX > 50 CM 97606 258.53$
76100075 SEH HC DELIVERY ATTENDANCE 99464 269.86$
76100076 SEH HC SIMPLE DRESSING CHANGE 99211 123.60$
76100079 SEH HC WOCN VISIT 30-44 MIN 99203 127.72$
76100080 SEH HC WOCN VISIT 45-60 MINUTES G0463 172.01$
76100081 SEH HC NEW PT WOC VST 15-29 MIN 99202 262.65$
76100082 SEH HC NEW PT WOC VST 30-44 MIN 99203 347.11$
76100083 SEH HC NEW PT WOC VST 45-59 MIN 99204 448.05$
76100084 SEH HC NEW PT EVAL VST 60-74 MIN 99205 588.13$
76100085 SEH HC EST PT WOC VST 20-29 MIN 99213 262.65$
76100086 SEH HC EST PT WOC VST 30-39 MIN 99214 347.11$
76100087 SEH HC EST PT WOC VST 40-54 MIN 99215 448.05$
76100088 SEH HC ASSESSMENT/EVALUATION 20-29 MIN 99213 151.41$
76100089 SEH HC RE-ASSESS/RE-EVAL 10-19 MIN 99212 123.60$
76100090 SEH HC CVOR OFFUNIT L2 EACH MINUTE 62.83$
76100091 SEH HC BLOOD TRANSFUSION SERVICE-DELIVERY 36430 637.57$
76100092 SEH HC BIOPSY OF THYROID-U/S 60100 612.85$
76100093 SEH HC SP ABLATION CHEST 32998 2,947.86$
76100095 SEH HC SP EPI TRANSLAM CERV 62320 1,451.27$
76100096 SEH HC SP EPI TRANSLAM LUMBAR 62322 1,451.27$
76100097 SEH HC PR DRAIN PILONIDAL CYST COMPLIC 10081 2,901.51$
76100098 SEH HC PR DRAIN PILONIDAL CYST SIMPL 10080 322.39$
76100099 SEH HC PR DRAIN/INJECT INTERMEDIATE JOINT/BURSA 20605 2,026.01$
76100100 SEH HC PR DRAIN/INJECT LARGE JOINT/BURSA 20610 481.01$
76100101 SEH HC PR ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE 49082 579.89$
76100102 SEH HC PR ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE 49083 1,288.53$
76100103 SEH HC ASPIRATE PLEURA W/O IMAGING 32554 1,323.55$
76100104 SEH HC PR INSERT NON-TUNNEL CV CATH 36556 836.36$
76100105 SEH HC PR DRAIN SKIN ABSCESS COMPLIC 10061 1,809.00$
76100106 SEH HC PR DRAIN SKIN AVSCESS SIMPLE 10060 375.95$
76100107 SEH HC PR DRAINAGE OF HEMATOMA/FLUID 10140 1,224.67$
76100108 SEH HC PR DRAINAGE OF GUM LSEION 41800 222.48$
76100109 SEH HC PR I&D BARTHOLIN GLAND ABSCESS 56420 331.66$
76100110 SEH HC PR MARSUP BARTHOIN GLAND CYST 56440 5,097.47$
76100111 SEH HC PR DRAIN EXT EAR ASC/BLOOD, COMPLIC 69005 1,432.73$
76100112 SEH HC PR DRAIN EXT EAR ABSC/BLOOD, SIMPLE 69000 270.89$
76100113 SEH HC PR DRAIN FINGER ABSCESS, COMPLICATED 26011 3,280.55$
76100114 SEH HC PR I&D MOUTH/TONG INTRA, SUBLING DEEP 41006 2,966.40$
76100115 SEH HC PR I&D MOUTH/TONG INTRA, SUBLING, SUPERF 41005 505.73$
76100116 SEH HC PR DRAIN MOUTH AVSC/CYST/HEMAT, COMPLEX 40801 1,987.90$
76100117 SEH HC PR DRAIN MOUTH ABSC/CYST/HEMATOMA, SIMPLE 40800 759.11$
76100118 SEH HC PR INCISE/DRAIN CONJUNCTIVA 68020 953.78$
76100119 SEH HC PR DRAINAGE OF EYELID ABSCESS 67700 573.71$
76100120 SEH HC PR I&D MOUTH/TONG INTRA, LINGUAL 41000 1,001.16$
76100121 SEH HC PR I&D MOUTH/TONG INTRA, MASTICATOR 41009 1,308.10$
76100122 SEH HC PR I&D MOUTH/TONG INTRA, SUBMANDIBULAR 41008 3,178.58$
76100123 SEH HC PR I&D MOUTH/TONG INTRA, SUBMENTAL 41007 3,514.36$
76100124 SEH HC PR DRAIN ABSCESS/HEMATOMA, NASAL 30000 727.18$
76100125 SEH HC PR INC/DRAIN PERITONSIL ABSCESS 42700 660.23$
76100126 SEH HC PR DRAINAGE SCROTAL WALL ABSCESS 55100 1,694.35$
76100127 SEH HC PR DRAIN ABSCESS/HEMATOMA, NASAL SEPTUM 30020 984.68$
76100128 SEH HC PR DRAIN BLOOD FROM UNDER NAIL 11740 103.00$
76100129 SEH HC PR DRAINAGE ABSCESS PALATE/UVULA 42000 487.19$
76100130 SEH HC PR I&D OF VULVA/PERINEUM ABSCESS 56405 575.77$
76100131 SEH HC US URINE CAPACITY MEASURE 51798 141.11$
76100132 SEH HC AP SKNSUB FSEMNEOGHHF>100 15277 1,590.32$
76100133 SEH HC INTUBATION, ENDOTRACHEAL, EMERGENT 31500 698.34$
76100134 SEH HC BRONCHOSCOPY, INCLUDING FUORO, DX W/ WASHING 31622 5,003.74$
76100135 SEH HC BRONCHOSCOPY, W/THERAPEUTIC ASPIRATION 31645 5,003.74$
76100136 SEH HC THORACENTESIS W/IMAGING GUIDANCE 32555 2,696.54$
76100137 SEH HC INSERTION OF NON-TUNNELED CENTRAL VENOUS CATH >5 YO 36556 2,696.54$
76100138 SEH HC ATERIAL CATHERIZATION OR CANNULATION; PERCUTAN 36620 559.29$
76100139 SEH HC SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC 62270 1,999.23$
76100140 SEH HC CARDIOPUMONARY RESUSCITATION 92950 915.67$
76100141 SEH HC CRITICAL CARE; 30-74 MINUTES 99291 2,707.87$
76100142 SEH HC CRITICAL CARE; EACH ADDL 30 MINS 99292 1,030.00$
76100143 SEH HC INJECTION, ANESTHETIC AGENT, OTHER PERIPHERAL NERVE 64450 1,999.23$
76100144 SEH HC INJECTION, ANESTHETIC AGENT, AXILLARY NERVE 64417 3,318.00$
76100145 SEH HC INJECTION, ANESTHETIC AGENT, FEMORAL NERVE SINGLE 64447 1,999.23$
76100146 SEH HC INJECTION, ANESTHETIC AGENT, SCIATIC NERVE, SINGLE 64445 1,999.23$
76100147 SEH HC INJECTION, ANESTHETIC AGENT, BRACHIAL PLEXEUS, SINGLE 64415 3,593.00$
76100148 SEH HC INJECTION, ANESTHETIC AGENT, INTERCOSTAL NERVES, MULTIPLE 64421 2,518.35$
76100149 SEH HC INJECTION, ANESTHETIC AGENT, LUMBAR, OR THORACIC 64520 2,518.35$
76100150 SEH ARTERIAL CATHETERIZATION OR CANNULIZATION FOR SAMPLING 36620 739.00$
76100151 SEH HC 1E BLADDER SCAN 51798 141.11$
76100152 SEH HC AP SKNSUBFSEMNOGHHF>100 15277 1,590.32$
76100153 SEH HC INSERT HEMODIALYSIS CATH 36800 10,598.70$
76100154 SEH HC MEDICATION MANAGE E&S-NEW G0463 123.60$
76100155 SEH HC MEDICATION MANAGE E&S-EST G0463 123.60$
76100156 SEH HC MED MGMT EVAL & MGMT LVL2 G0463 123.60$
76100157 SEH HC MO BLOOD COLLECTION FROM PICC 36592 126.69$
76100158 SEH HC MO DECLOT VASCULAR DEVICE 36593 530.45$
76100159 SEH HC MO BONE MARROW ASPIRATE PROC 38220 2,886.06$
76100160 SEH HC MO BONE MARROW BIOPSY 38221 3,972.94$
76100161 SEH HC MO HYDRATION IV INFUSION INIT 96360 531.23$
76100162 SEH HC MO HYDRATE IV INFUSION ADD ON 96361 193.43$
76100163 SEH HC MO IV INFUSION INITIAL TO 1HR 96365 531.23$
76100164 SEH HC MO IV INFUSION EACH ADDL HR 96366 193.71$
76100165 SEH HC MO TX /PROPH/DG ADDL SEQ IV INF 96367 222.43$
76100166 SEH HC MO THER/DIAG CONCURRRENT INF 96368 195.84$
76100167 SEH HC MO IM/SQ INJECTION 96372 157.13$
76100168 SEH HC MO IV PUSH INIT/SING INJ 96374 531.23$
76100169 SEH HC MO IV PUSH EACH NEW DRUG 96375 218.35$
76100170 SEH HC MO BLOOD COLLECTION FROM PICC 36592 244.11$
76100171 SEH HC MO DECLOT VASCULAR DEVICE 36593 530.45$
76100172 SEH HC RO TX INJECTION SUBQ/IM 96372 209.50$
76100173 SEH HC DEBRIDEMENT BONE EACH ADDL 20 SQ CM 11047 2,053.82$
76100174 SEH HC MO VISIT EST PATIENT LEVEL 5/ 40-54 MIN 99215 447.02$
76100175 SEH HC I&D HEMATOMA/SEROMA/FLUID 10140 1,224.67$
76100176 SEH HC BURN INITIAL <5%BSA 16020 464.53$
76100177 SEH HC DEBRIDE BURN MED 5-10%BSA 16025 263.68$
76100178 SEH HC DEBRIDE BURN LG >10% 16030 545.90$
76100179 SEH HC RENAL VEIN RENIN SAMPLING 36500 1,609.89$
76100180 SEH HC PERQ REMOVAL URETERAL STENT 50384 6,215.02$
76100181 SEH HC SURG TX INCOMPLETE ABORTION ANY TRIMESTER 59812 6,139.83$
76100182 SEH HC SURG TX MISSED ABORTION 1ST TRIMESTER 59820 6,163.52$
76100183 SEH HC CPR -CODE BLUE 92950 1,133.00$
76100184 SEH HC SANE EXAM W/KIT 99283 650.00$
76100185 SEH HC IR NEPHROSTOMY TUBE REMOVAL 50389 1,712.89$
76100186 SEH HC CT BONE MARROW BIOPSY W/ASPIRATION 38222 3,972.71$
76100187 SEH HC BRONCHOSCOPY W ALVEOLAR LAVAGE 31624 4,105.58$
76100188 SEH HC TRIM NONDYSTROPHIC NAILS 11719 208.06$
76100189 SEH HC INSERT SUPRAPUBIC CATH 51102 4,571.14$
76100190 SEH HC US ARTHROCENTESIS 20611 820.91$
76100191 SEH HC ASP/PUNCTURE ABSCESS/CYST 10160 528.39$
76100192 SEH HC DEBRIDEMENT OF NAILS 6 OR MORE 11721 262.00$
76100193 SEH HC TANGENTIAL BX SKIN SINGLE LESION 11102 507.00$
76100194 SEH HC TANGENTIAL BX SKIN EA ADD LESION 11103 254.00$
76100195 SEH HC PUNCH BX SKIN SINGLE LESION 11104 507.00$
76100196 SEH HC PUNCH BX SKIN EA ADD LESION 11105 254.00$
76100197 SEH HC INCISIONAL BX SKIN SINGLE LESION 11106 903.00$
76100198 SEH HC INCISIONAL BX SKIN EA ADD LESION 11107 452.00$
76100199 SEH HC US BLADDER CAPACITY 51798 151.41$
76100200 SEH HC IV PICC PLACEMENT <5Y W/O PORT W S&I 36572 1,782.00$
76100201 SEH HC IV PICC PLACEMENT >5Y W/O PORT W S&I 36573 3,143.00$
76100202 SEH HC REMOVAL DRUG DELIVERY IMPLANT 11982 1,768.00$
76100203 SEH HC AVULSION OF NAIL PLATE PART/COMP 11730 389.00$
76100204 SEH HC AVULSION OF NAIL PLATE PART/COMP EA ADD 11732 212.00$
76100205 SEH HC INJ ANESTH CERVICAL PLEXUS 64413 2,618.00$
76100206 SEH HC NEG PRSS WND UPTO 50SQ CM 97607 894.00$
76100207 SEH HC NEG PRSS WND 51 SQ CM/MORE 97608 1,061.00$
76100208 SEH HC TEMPORARY EXTERNAL PACING 92953 789.00$
76100209 SEH HC REPLACE GASTROSTOMY PERQ W/O TRACT REVISION 43762 665.00$
76100210 SEH HC US BREAST ASPIRATION(MAMMO RELATED) 19000 908.00$
76100211 SEH HC US BREAST ASPIRATION EACH ADD(MAMMO RELATED) 19001 446.00$
76100212 SEH HC ARTERIAL CATHETERIZATION OR CANN BY CUTDOWN 36625 1,695.00$
76100213 SEH HC INTRO NEEDLE/ INTRACATHETER IN VEIN 36000 146.00$
76100214 SEH HC TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1 OR MORE INJ 55874 6,010.00$
76100216 SEH HC INJ ANESTH/STERIOD CERVICAL PLEXUS 64999 2,618.00$
76100217 SEH HC MRI BREAST BIOPSY 19085 4,144.00$
76100218 SEH HC MRI BREAST BIOPSY EACH ADD LESION 19086 2,856.00$
76100219 SEH HC BRONCHO W REMOVAL FB 31635 3,241.00$
76100220 SEH HC SM-BPM W PT EDU/TRAINING 99473 64.00$
76100221 SEH HC BIOPSY ABDOMINAL MASS 49180 1,043.73$
76100222 SEH HC BRONCHO W BRUSHING 31623 4,253.00$
76100223 SEH HC BONE BIOPSY NEEDLE SUPERFICIAL 20220 3,384.00$
76100224 SEH HC EXCHANGE BILIARY CATH 47536 7,593.00$
76100225 SEH HC REMOVAL BILIARY CATH 47537 3,039.00$
76100226 SEH HC CHEST TUBE REMOVAL 32552 3,336.00$
76100227 SEH HC REMOVAL OF NAIL BED 11750 2,803.00$
76100228 SEH HC LC SKIN SUB FESMNHG EA ADD 25SQCM C5276 1,664.00$
76100229 SEH HC LC SKIN SUB TAL 1ST 25 SQCM C5271 1,875.00$
76100230 SEH HC LC SKIN SUB TAL EA ADD 25SQCM C5272 1,263.00$
76100231 SEH HC EPIDURAL INJ L/S W IMG 62323 3,219.00$
76100232 SEH HC REPAIR SUPERFICIAL WOUND(S) 12001 403.00$
76100233 SEH HC PSEUDOANEURYSM INJ TX EXTREMITY 36002 1,771.00$
76100234 SEH HC PERCUT BX LUNG/MEDIASTINUM W IMG 32408 3,794.00$
76100235 SEH HC PROLONG PT E&M EA ADD 15MIN 99417 32.00$
76200000 SEH HC OBSERVATION CHARGE PER HR L&D G0378 32.96$
76200001 SEH HC OBSERVATION CARVE OUT PER HR G0378 32.96$
76200002 SEH HC OBSERVATION CHARGE PER HR 2ND EAST G0378 32.96$
76200003 SEH HC OBSERVATION CHARGE PER HR OB G0378 32.96$
76200004 SEH HC OBSERVATION CHARGE PER HR 3RD EAST G0378 32.96$
76200005 SEH HC OBSERVATION CHARGE PER HR ICU/IMU G0378 101.97$
76200006 SEH HC OBSERVATION CHARGE PER HR 3RD BT G0378 32.96$
76200007 SEH HC OBSERVATION CHARGE PER HR 4TH BT G0378 32.96$
76200008 SEH HC OBSERVATION CHARGE PER HR 5TH BT S G0378 32.96$
76200009 SEH HC OBSERVATION CHARGE PER HR 5TH BT N G0378 32.96$
76200010 SEH HC OBSERVATION CHARGE PER HR 6TH BT G0378 32.96$
76200011 SEH HC OBSERVATION CHARGE PER HR 7TH BT G0378 32.96$
76200012 SEH HC OBSERVATION CHARGE PER HR ED G0378 32.96$
76200013 SEH HC OBSERVATION CHARGE PER HR CDU G0378 32.96$
76200014 SEH HC OBSERVATION CHARGE PER HR CV ICU G0378 101.97$
76200015 SEH HC OBSERVATION CHARGE PER HOUR TELEMETRY G0378 32.96$
76200016 SEH HC OBSERVATION CARVE OUT PER HR ICU G0378 101.97$
76200017 SEH HC OBSERVATION PER HOUR- DISASTER G0378 32.96$
76200018 SEH HC OBSERVATION CHARGE PER HR PCCU G0378 101.97$
77000000 SEH HC CTLD FOR LUNG CA SCR G0297 257.50$
77100000 SEH HC ADMIN INFLUENZA VACC G0008 121.54$
77100001 SEH HC IM ADMIN 1ST/ONLY COMPONENT 90460 65.92$
77100002 SEH HC IMMUNIZATION ADMIN 90471 82.40$
77100003 SEH HC IMMUNIZATION ADMIN EACH ADD 90472 58.71$
77100004 SEH HC NB HEP B ADMINISTRATION G0010 41.20$
77100005 SEH HC PNEUMOCOCCAL ADMIN FEE G0009 121.54$
77100006 SEH HC IMMUNIZATION ADMIN THROUGH 18 YEARS OF AGE 90461 65.92$
77100007 SEH HC IMMUNIZATION ADMIN, INTRANASAL/ORAL, 1 VAC/TOX 90473 82.40$
77100008 SEH HC IMMUNIZATION ADMIN,INTRANASAL/ORAL,EACH ADDL 90474 82.40$
77100009 SEH HC MO PNEUMOCOCCAL ADMIN FEE G0009 121.54$
77100012 SEH HC RO PNEUMOCOCCAL ADMIN FEE G0009 121.54$
77100013 SEH HC MO ADMINISTRATION INFLUENZA VAC G0008 122.00$
77100014 SEH HC RO ADMINISTRATION INFLUENZA VAC G0008 122.00$
77100015 SEH HC ADMIN SARSCOV2 30MCG/0.3ML 1ST PFIZER 0001A 75.00$
77100016 SEH HC ADMIN SARSCOV2 30MCG/0.3ML 2ND PFIZER 0002A 75.00$
77100017 SEH HC ADMIN SARSCOV2 100MCG/0.5ML 1ST MODERNA 0011A 75.00$
77100018 SEH HC ADMIN SARSCOV2 100MCG/0.5ML 2ND MODERNA 0012A 75.00$
77100019 SEH HC EH ADMIN SARSCOV2 30MCG/0.3ML 1ST PFIZER 0001A 0.01$
77100020 SEH HC EH ADMIN SARSCOV2 30MCG/0.3ML 2ND PFIZER 0002A 0.01$
77100021 SEH HC EH ADMIN SARSCOV2 100MCG/0.5ML 1ST MODERNA 0011A 0.01$
77100022 SEH HC EH ADMIN SARSCOV2 100MCG/0.5ML 2ND MODERNA 0012A 0.01$
78000000 SEH HC TELEHEALTH FACILITY FEE Q3014 159.65$
79000000 SEH HC FRAGMENTING OF KIDNEY STONE 50590 11,986.11$
80100000 SEH HC IP HE PROC REPEAT EVAL 634.48$
80100001 SEH HC IP HEMODIALYSIS ONE EVALUATION 90935 634.48$
80200000 SEH HC PERITONEAL DIALYSIS SINGL 90945 948.63$
82000000 SEH HC OP EMER HEMODIALYSIS TO 2 HR G0257 787.95$
82900000 SEH HC EMERGENT HEMODIALYSIS ESRD PATIENT G0257 787.95$
83000000 SEH HC PERITONEAL DIALYSIS 90945 948.63$
83900000 SEH HC PERITONEAL DIALYSIS REPEA 90947 351.23$
85980001 SEH MD AN SUPERVISION >4/MIN 1.00$
85980002 SEH MD ANESTH/MIN MED DIRE2-4 1.00$
90000000 SEH HC MULTIPLE FAMILY GROUP PSYTX 90849 108.15$
90000001 SEH HC MEDI - SA ASSESSMENT 90836 114.54$
91400000 SEH HC PSYTX PT&/FAMILY 45 MINUTES 90834 156.56$
91400001 SEH HC HEAL & BEHAV ASSESS,EA 15 MIN,INIT 96150 107.12$
91400002 SEH HC HEAL & BEHAV ASSESS 30-39 MIN 99214 123.60$
91400003 SEH HC IND MD EXPANDED G0463 123.60$
91400004 SEH HC FAMILY PSYCHOTHERAPY W/O PATIENT CLINIC 90846 118.45$
91400005 SEH HC HEAL & BEHAV ASSESS/ REASSESSMENT 96156 218.00$
91400006 SEH HC PYSCHOTHERAPY W PT W E&M 30 MIN 90833 194.00$
91400007 SEH HC PYSCHOTHERAPY W PT 60 MIN 90837 402.00$
91400008 SEH HC PYSCHOTHERAPY W PT W E&M 60 MIN 90838 341.00$
91400009 SEH HC PSYCHOTHERAPY CRISIS 1ST 60 MIN 90839 463.00$
91400010 SEH HC PSYCHOTHERAPY CRISIS EA ADD 30 MIN 90840 236.00$
91400011 SEH HC FAMILY PSYCHOTHERAPY W PT 50 MIN 90847 388.00$
91400012 SEH HC NEUROBEHAVIORAL EXAM W PT 1ST HR 96116 613.00$
91500000 SEH HC GROUP PSYCHOTHERAPY NOT MULTIFAMILY 90853 65.50$
91900000 SEH HC ALCOHOL/DRUG INTENSIVE OP TX H0015 353.29$
91900001 SEH HC ALCOHOL/DRUG TX PROGRAM PER HOUR H2035 105.06$
92000000 SEH HC EXTRACRANIAL BILAT STUDY 93880 683.92$
92000001 SEH HC UNATTENDED SLEEP STUDY 95800 910.52$
92000002 SEH HC INTRAOP NEUOPHYSIOLOGY MONITO /15MIN 95940 232.78$
92000003 SEH HC SLEEP STUDY UNATTENDED W RESP EFFORT 95806 913.00$
92100000 SEH HC UPR/LXTR ART STDY 3+ LVLS 93923 1,900.35$
92100001 SEH HC LWR XTR VASC STDY BILAT 93924 924.94$
92100002 SEH HC US FEM ART/GROIN BILAT 93925 852.84$
92100003 SEH HC US FEM ART/GROIN UNILATER 93926 426.42$
92100004 SEH HC US VEN DOPPLER UPPER OR LOWER EXT BIL 93970 1,891.08$
92100005 SEH HC US VEN DOP UPPER OR LOWER EXTREM UNILAT 93971 1,205.10$
92100006 SEH HC US DUPLEX VIS COMP 93975 1,179.35$
92100007 SEH HC US DUPLEX VIS LIMITED 93976 1,027.94$
92100008 SEH HC US DUPLEX HEMODIAL ACCESS 93990 631.39$
92100009 SEH HC DUPLEX UPPER /BYPASS GRAFT UNI/LIMIT 93931 1,064.00$
92100010 SEH HC LIMITED BILATERAL STUDY U/L 1-2 LEVEL 93922 734.00$
92100011 SEH HC DUPLEX EXTRACRANIAL ARTERIES UNI/LIM 93882 966.00$
92100012 SEH HC DUPLEX SCAN UP EXT COMPLETE BILATERAL 93930 1,593.00$
94000000 SEH HC PHLEBOTOMY THERAPUTIC 99195 56.65$
94000001 SEH HC PHOTOTHERAPY - DAILY 96900 111.24$
94000002 SEH HC UNATTENDED SLEEP STUDY 95800 910.52$
94200000 SEH HC MNT INIT ASSESS /15MIN. 97802 76.22$
94200001 SEH HC MNT INTERVENTION/15MIN 97803 69.01$
94200002 SEH HC MNT GROUP ALL VISIT/30MIN 97804 20.60$
94200003 SEH HC CARDIAC REHAB 93797 216.30$
94200004 SEH HC CARDIAC REHAB/MONITOR 93798 206.00$
94400000 SEH HC AL/DRUG SERVICE METHADONE ADMIN H0020 199.00$
94800000 SEH HC PULMONARY REHAB W/EXER1HR G0424 90.64$
96000000 SEH HC CRITICAL CARE 1ST 30-74MI 99291 386.25$
96000001 SEH HC CRITICAL CARE ADD 30MIN 99292 157.59$
96000002 SEH HC MEDS VERIFIED DOCUMENTED G8427 0.01$
96000006 SEH HC INTUBATION, ENDOTRACHEAL, EMERGENT 31500 580.92$
96000007 SEH HC BRONCHOSCOPY, INCLUDING FUORO, DX W/ WASHING 31622 542.81$
96000008 SEH HC BRONCHOSCOPY, W/THERAPEUTIC ASPIRATION 31645 615.94$
96000009 SEH HC THORACENTESIS W/IMAGING GUIDANCE 32555 465.56$
96000010 SEH HC INSERTION OF NON-TUNNELED CENTRAL VENOUS CATH >5 YO 36556 496.46$
96000011 SEH HC ATERIAL CATHERIZATION OR CANNULATION; PERCUTAN 36620 211.15$
96000012 SEH HC SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC 62270 318.27$
96000013 SEH HC CARDIOPUMONARY RESUSCITATION 92950 767.35$
96000014 SEH HC TELEHEALTH CONSULT; ED OR IP; UP TO 30 MINS G0425 402.73$
96000015 SEH HC TELEHEALTH CONSULT INTEN; ED OR IP; 50 MIN MODERATE G0426 547.96$
96000016 SEH HC IN INSERT HEMODIALYSIS CATH 36800 334.75$
96000017 SEH HC EXT CARDIOVERSION 92960 489.25$
96000018 SEH HC INSERT CHEST TUBE 32551 545.90$
96000019 SEH HC ABD PARACENTESIS 49082 388.31$
96000020 SEH HC ABD PARACENTESIS W IMG 49083 414.06$
96000021 SEH HC PERCARDIOCENTESIS 33010 395.52$
96000022 SEH HC TEMP PACEMAKER 33210 533.54$
96000023 SEH HC CONTROL, NOSE BLEED 30901 256.47$
96000024 SEH HC INSERT SWAN-GANZ 93503 986.74$
96000025 SEH HC THORACENTESIS 32554 471.74$
96000026 SEH HC PLEURAL DRAINAGE W IMG 32557 612.85$
96000027 SEH HC EMERENCY TRACHEOSTOMY 31603 913.61$
96000028 SEH HC TRACHEOTOMY TUBE CHANGE 31502 145.23$
96000030 SEH HC IN PLACE NEEDLE INTRAOSSEOUS 36680 465.56$
96000031 SEH HC IN BRONCHOSCOPY W ALVEOLAR LAVGE 31624 633.45$
96000032 SEH HC LR INSERT SUPRAPUBIC CATH 51102 632.42$
96000033 SEH HC HOSP ENDOTRACH INTUBATION 31500 492.34$
96000034 SEH HC LR ASP/PUNCTURE ABCESS CYST 10160 267.80$
96000035 SEH HC RESULTS EXPLAINED TO FAMILY 90887 87.55$
96000036 SEH HC OSTEOPATHIC MANIPULATION 3-4 BODY REGIONS 98926 77.25$
96000037 SEH HC PREVENTIVE COUNSELING INDIV; 15 MIN 99401 77.25$
96000038 SEH HC SMOKING CESSATION 3-10MIN 99406 29.87$
96000039 SEH HC RX ACE OR ARB THERAPY G8935 5.15$
96000040 SEH HC DEMO-SMOKING CESSATION COUN 6-10 MIN G9016 45.32$
96000041 SEH HC DOCUMENTATION OF TOBACCO USER G9276 20.60$
96000042 SEH HC END OF LIFE COUNSELING ADD-ON S0257 25.75$
96000043 SEH HC FAMILY PSYCHOTHERAPY W/O PAT 90846 118.45$
96000044 SEH HC ADVANCED CARE PLAN 30 MIN 99497 139.05$
96000045 SEH HC ADVANCED CARE PLAN EA ADD 30MIN 99498 154.50$
96000046 SEH HC TELEHEALTH CONSULT HOSP; ED OR IP; 50 MIN MODERATE G0426 547.96$
96000047 SEH HC TELEHEALTH CONSULT SERA; 50 MIN MODERATE G0426 547.96$
96000048 SEH HC TELEHEALTH INI INTEN ED & IP HIGH COMPLEX 70 MIN G0427 652.00$
96000049 SEH HC TELEHEALTH INI HOSP ED & IP HIGH COMPLEX 70 MIN G0427 652.00$
96000050 SEH HC TELEHEALTH SERA HIGH COMPLEX 70 MIN G0427 652.00$
96000051 SEH HC TELEHEALTH F-U INTEN LIMITED 15 MIN G0406 101.00$
96000052 SEH HC TELEHEALTH F-U HOSP LIMITED 15 MIN G0406 101.00$
96000053 SEH HC TELEHEALTH SERA F-U LIMITED 15 MIN G0406 101.00$
96000054 SEH HC TELEHEALTH F-U INTEN MODERATE 25 MIN G0407 189.00$
96000055 SEH HC TELEHEALTH F-U HOSP MODERATE 25 MIN G0407 189.00$
96000056 SEH HC TELEHEALTH F-U SERA MODERATE 25 MIN G0407 189.00$
96000057 SEH HC TELEHEALTH F-U INTEN HIGH COMPLEX 25 MIN G0408 271.00$
96000058 SEH HC TELEHEALTH F-U HOSP HIGH COMPLEX 25 MIN G0408 271.00$
96000059 SEH HC TELEHEALTH F-U SERA HIGH COMPLEX 25 MIN G0408 271.00$
96000060 SEH HC PR OSTEOPATHIC MANIULATIVE TX 1-2 BODY REGIONS 98925 55.00$
96000061 SEH HC PR OSTEOPATHIC MANIULATIVE TX 3-4 BODY REGIONS 98926 75.00$
96000062 SEH HC PR OSTEOPATHIC MANIULATIVE TX 5-6 BODY REGIONS 98927 101.00$
96000063 SEH HC PR OSTEOPATHIC MANIULATIVE TX 7-8 BODY REGIONS 98928 123.00$
96000064 SEH HC PR OSTEOPATHIC MANIULATIVE TX 9-10 BODY REGIONS 98929 150.00$
96000065 SEH HC PR INTENS INSERT TEMP BLADDER CATH 51702 191.00$
96000066 SEH HC PR HOSP INSERT TEMP BLADDER CATH 51702 191.00$
96000067 SEH HC U/S GUIDE VASCULAR ACCESS 76937 64.89$
96000068 SEH HC TELEPHONE E&M 21-30 MIN DIETARY 99443 150.00$
96000069 SEH HC TELEPHONE E&M 5-10 MIN DIETARY 99441 70.00$
96000070 SEH HC TELEPHONE E&M 11-20 MIN DIETARY 99442 85.00$
96100000 SEH HC NEW PT OFFICE/OP LVL I 10MIN 99201 51.50$
96100001 SEH HC NEW PT OFFICE/OP LVL II 20MIN 99202 87.55$
96100002 SEH HC NEW PT OFFICE/OP LVL III 30MIN 99203 127.72$
96100003 SEH HC NEW PT OFFICE/OP LVL IV 45MIN 99204 194.67$
96100004 SEH HC NEW PT OFFICE/OP LVL V 60MIN 99205 241.02$
96100005 SEH HC EST PATIENT 5 MIN EVAL 99211 23.69$
96100006 SEH HC EST PATIENT 10MIN EVAL 99212 51.50$
96100007 SEH HC E&M DETAILED EST 15-24MIN 99213 74.16$
96100008 SEH HC E&M MOD EST PT 25-39 MIN 99214 113.30$
96100009 SEH HC E&M HIGH PT 40+ MIN 99215 160.68$
96100010 SEH HC OBS D/C 99217 144.20$
96100011 SEH HC OBS INITIAL LOW 99218 159.65$
96100012 SEH HC OBS INITIAL MODERATE 99219 247.20$
96100013 SEH HC OBS INITIAL HIGH 99220 315.18$
96100014 SEH HC INITIAL HOSP CARE LOW SEV 99221 148.32$
96100015 SEH HC INITIAL HOSP CARE MOD SEV 99222 201.88$
96100016 SEH HC INITIAL HOSPCARE HIGH SEV 99223 295.61$
96100017 SEH HC SUBSEQ HOSP CARE 15 MIN 99224 49.44$
96100018 SEH HC SUBSEQ HOSP CARE 25 MIN 99225 89.61$
96100019 SEH HC SUBSEQ HOSP CARE 35 MIN 99226 130.81$
96100020 SEH HC SUB HOSP CARE/DAY 15 MIN 99231 61.80$
96100021 SEH HC SUB HOSP CARE/DAY 25 MIN 99232 109.18$
96100022 SEH HC SUB HOSP CARE/DAY 35 MIN 99233 157.59$
96100023 SEH HC OBS W/ADM &DC S/DAY 40MIN 99234 156.56$
96100024 SEH HC OBS W/ADM &DC S/DAY 55MIN 99236 252.35$
96100025 SEH HC HOSP DISC DAY 30 MIN OR < 99238 109.18$
96100026 SEH HC HOSP DISC DAY >30 MIN 99239 157.59$
96100027 SEH HC INIT IP CONSULT 20-39 MIN 99251 72.10$
96100028 SEH HC INIT IP CONSTULT 40 MIN 99252 113.30$
96100029 SEH HC INIT IP CONSULT 50 MIN 99253 190.55$
96100030 SEH HC INIT IP CONSULT 80 MIN 99254 246.17$
96100031 SEH HC INIT IP CONSULT 110 MIN 99255 300.76$
96100032 SEH HC ER VISIT MINOR 99281 141.11$
96100033 SEH HC ER VISIT LOW 99282 59.74$
96100034 SEH HC ER VISIT MODE SEVERITY 99283 91.67$
96100035 SEH HC ER VISIT HIGH SEVERITY 99284 169.95$
96100036 SEH HC ER VISIT COMP HIGH 99285 251.32$
96100037 SEH HC PSYCHOTHERAPY PATIENT &/ FAMILY 30 MINUTES 90832 207.03$
96100038 SEH HC PSYCHOTHERAPY PATIENT &/ FAMILY 45 MINUTES 90834 114.54$
96100039 SEH HC PSYCHOTHERAPY PT&/FAMILY W/E&M SRVCS 45 MIN 90836 223.51$
96100040 SEH HC PSYCH DIAG EVAL 90791 180.25$
96100041 SEH HC DIAGNOSTIC ASSESSMENT T1023 298.70$
96100042 SEH HC E&M DETAILED EST 15-24MIN 99213 119.48$
96100043 SEH HC OBSD AD/DC MODERATE 99235 195.70$
96100044 SEH HC FAMILY PSYCHOTHERAPY W/O PATIENT 90846 118.45$
96100045 SEH HC PYSCHOTHERAPY W PT W E&M 30 MIN PR 90833 136.00$
96100046 SEH HC PYSCHOTHERAPY W PT 60 MIN PR 90837 200.00$
96100047 SEH HC PYSCHOTHERAPY W PT W E&M 60 MIN PR 90838 240.00$
96100048 SEH HC PSYCHOTHERAPY CRISIS 1ST 60 MIN PR 90839 320.00$
96100049 SEH HC PSYCHOTHERAPY CRISIS EA ADD 30 MIN PR 90840 125.00$
96100050 SEH HC FAMILY PSYCHOTHERAPY W PT 50 MIN PR 90847 195.00$
96100051 SEH HC NEUROBEHAVIORAL EXAM W PT 1ST HR PR 96116 260.00$
96100052 SEH HC AL/DRUG SERVICE METHADONE ADMIN PR H0020 243.00$
96100053 SEH HC OFFICE CONSULT PT &/OR FAMILY 15 MIN PR 99241 129.00$
96100054 SEH HC OFFICE CONSULT PT &/OR FAMILY 30 MIN PR 99242 244.00$
96100055 SEH HC OFFICE CONSULT PT &/OR FAMILY 40 MIN PR 99243 336.00$
96100056 SEH HC OFFICE CONSULT PT &/OR FAMILY 60 MIN PR 99244 513.00$
96100057 SEH HC OFFICE CONSULT PT &/OR FAMILY 80 MIN PR 99245 609.00$
96100058 SEH HC HOME VISIT E&M NEW PT &/OR FAM 20MIN PR 99341 100.00$
96100059 SEH HC HOME VISIT E&M NEW PT &/OR FAM 30MIN PR 99342 150.00$
96100060 SEH HC HOME VISIT E&M NEW PT &/OR FAM 45MIN PR 99343 266.00$
96100061 SEH HC HOME VISIT E&M NEW PT &/OR FAM 60MIN PR 99344 360.00$
96100062 SEH HC HOME VISIT E&M NEW PT &/OR FAM 75MIN PR 99345 390.00$
96100063 SEH HC HOME VISIT E&M EST PT &/OR FAM 15MIN PR 99347 100.00$
96100064 SEH HC HOME VISIT E&M EST PT &/OR FAM 25MIN PR 99348 169.00$
96100065 SEH HC HOME VISIT E&M EST PT &/OR FAM 60MIN PR 99350 359.00$
96100066 SEH HC PR REMOTE EVALUATION VIDEO/IMG G2010 27.00$
96100067 SEH HC PR VIRTUAL CHECK IN 5-10 MIN PHONE, TEXT, EMAIL G2012 39.00$
96100068 SEH HC PR ONLINE DIGITAL E&M EST PT 7DAY 5-10 MIN 99421 39.00$
96100069 SEH HC PR ONLINE DIGITAL E&M EAT PT 11-20 MIN 99422 79.00$
96100070 SEH HC PR ONLINE DIGITAL E&M EST PT 7DAY 21 MIN 99423 126.00$
96100071 SEH HC NON-PHYS ONLINE DIGITAL ASSESSMENT EST PT 7DAY 5-10 MIN G2061 36.00$
96100072 SEH HC NON-PHYS ONLINE DIGITAL ASSESSMENT EST PT 7DAY 11-20 MIN G2062 63.00$
96100073 SEH HC NON-PHYS ONLINE DIGITAL ASSESSMENT EST PT 7DAY 21 MIN OR MORE G2063 98.00$
96100074 SEH HC TELEPHONE E&M 5-10 MIN 99441 70.00$
96100075 SEH HC TELEPHONE E&M 11-20 MIN 99442 85.00$
96100076 SEH HC TELEPHONE E&M 21-30 MIN 99443 150.00$
96100077 SEH HC NON-PHYSICIAN PHONE ASSESSMENT & MANAGEMENT 5-10 MIN 98966 30.00$
96100078 SEH HC NON-PHYSICIAN PHONE ASSESSMENT & MANAGEMENT 11-20 MIN 98967 50.00$
96100079 SEH HC NON-PHYSICIAN PHONE ASSESSMENT & MANAGEMENT 21-30 MIN 98968 78.00$
96100080 SEH HC PR SM-BPM W PT EDU/TRAINING 99473 31.00$
96100081 SEH HC PR SM-BPM 2 READ IN 1MIN 30DAY PD 99474 26.00$
96100082 SEH HC BH PROLONG PT E&M EA ADD 15MIN 99417 32.00$
96300000 SEH HC MD AN SUPERVISION >4/MIN 19.57$
96300001 SEH HC MD ANESTH/MIN MED DIRE2-4 19.57$
96300002 SEH HC MD ANE/MIN MED DIRE 1CRNA 21.63$
96300003 SEH HC MD ANESTH PERSONAL 23.69$
96300004 SEH HC VAG DELIVERY EPI 01967 360.50$
96300005 SEH HC AN ENDOTRACH INTUBATION 31500 128.75$
96300006 SEH HC AN CVL PLACE >5YR 36556 276.04$
96300007 SEH HC AN INSERT ARTERIAL LINE 36620 61.80$
96300008 SEH HC AN BLOOD PATCH 62273 201.88$
96300009 SEH HC CRNA INJ EPID L/S 62311 115.36$
96300010 SEH HC AN INFUSION EPIDURAL C/T 62318 291.49$
96300011 SEH HC AN INJ BRACHIAL PLEXUS 64415 525.00$
96300012 SEH HC AN INJ AXILLARY NERVE 64417 400.00$
96300013 SEH HC AN INJ INTERCOSTAL MULTI 64421 206.00$
96300014 SEH HC AN INJ SCIATIC NERVE SING 64445 157.59$
96300015 SEH HC AN INJ FEMORAL NERV SING 64447 144.20$
96300016 SEH HC AN INJ PERIPHERAL NERVE 64450 123.60$
96300017 SEH HC AN INJ TRANSFORA L/S SING 64483 280.16$
96300018 SEH HC AN INJ SYMPATHETIC T/L 64520 229.69$
96300019 SEH HC AN US NEEDLE PLACE 76942 238.96$
96300020 SEH HC AN TEE 93312 366.68$
96300021 SEH HC AN INSERT SWAN G 93503 157.59$
96300022 SEH HC AN COMP BY EMERG COND 99140 221.45$
96300023 SEH HC AN NEW PT LVL 3 99203 122.57$
96300024 SEH HC AN OFFICE OUT/PT EST 2 99212 90.64$
96300025 SEH HC AN OFFICE OUT/PT EST 3 99213 116.39$
96300026 SEH HC AN SUBSEQUENT HC 1 99231 98.88$
96300027 SEH HC AN SUBSEQUENT HC 2 99232 140.08$
96300028 SEH HC AN SUBSEQUENT HC 3 99233 198.79$
96300029 SEH HC AN INPT CONSULT LVL 3 99253 192.61$
96300031 SEH HC AN EPIDURAL INJ C/T W/O IMG 62320 276.04$
96300032 SEH HC AN EPIDURAL INJ C/T W IMG 62321 291.49$
96300033 SEH HC AN EPIDURAL INJ L/S W/O IMG 62322 237.93$
96300034 SEH HC AN EPIDURAL INJ L/S W IMG 62323 268.83$
96300035 SEH HC AN EPI INFUSION C/T W/O IMG 62324 247.20$
96300036 SEH HC AN EPI INFUSION C/T W IMG 62325 285.31$
96300037 SEH HC AN EPI INFUSION L/S W/O IMG 62326 245.14$
96300038 SEH HC AN EPI INFUSION L/S W IMG 62327 259.56$
96300039 SEH HC AN INJ ANESTH CERVICAL PLEXUS 64413 213.00$
96300040 SEH HC CHEST TUBE INFUSION-MED 32999 795.00$
96400000 SEH HC OB CRNA W/PHY DIRECT/MIN 11.33$
96400001 SEH HC CRNA W/O MEDICAL DIRECTIO 11.33$
96400002 SEH HC CV CRNA W/PHY DIRECT/MIN. 11.33$
96400003 SEH HC CV CRNA W/O MD DIRECTION 12.36$
96400004 SEH HC AN CRNA W/PHY DIRECT/MIN 11.33$
96400005 SEH HC CRNA L&D EPIDURAL 01967 999.10$
96400006 SEH HC CRNA EPIDURAL W/O MED DIR 01967 999.10$
96400007 SEH HC AN EMERG INTUBATE 31500 132.87$
96400009 SEH HC AN CRNA INSERT ART LINE 36620 59.74$
96400010 SEH HC OB CRNA BLOOD PATCH 62273 208.06$
96400011 SEH HC CRNA EPIDURAL INJ C/T W/O IMG 62320 276.04$
96400012 SEH HC CRNA EPIDURAL INJ C/T W IMG 62321 291.49$
96400013 SEH HC CRNA EPIDURAL INJ L/S W/O IMG 62322 237.93$
96400014 SEH HC CRNA EPIDURAL INJ L/S W IMG 62323 268.83$
96400015 SEH HC CRNA EPI INFUSION C/T W/O IMG 62324 247.20$
96400016 SEH HC CRNA EPI INFUSION C/T W IMG 62325 285.31$
96400017 SEH HC CRNA EPI INFUSION L/S W/O IMG 62326 245.14$
96400018 SEH HC CRNA EPI INFUSION L/S W IMG 62327 259.56$
97200000 SEH HC LR ABLATION TUMOR 20982 1,137.12$
97200001 SEH HC LR CT ABLATION CHEST 32998 775.59$
97200002 SEH HC LR ENTERIC FEED TB INSERT 44500 77.00$
97200003 SEH HC LR CT BIOPSY LIVER PERCUT 47000 558.26$
97200004 SEH HC LR CT ABLATION LIVER 47382 2,066.18$
97200005 SEH HC LR CT ABLATION RENAL 50592 949.66$
97200006 SEH HC LR CT HEAD WO CONTRAST 70450 212.18$
97200007 SEH HC LR MRI HEAD W/O CONTRAST 70551 386.25$
97200008 SEH HC LR XR CHEST SINGLE VIEW 71045 54.59$
97200009 SEH HC LR XR CHEST PA & LATERAL 71046 55.62$
97200010 SEH HC LR XR SPINE CERV AP LAT 72040 56.65$
97200011 SEH HC LR XR SPINE CERV 4 VIEWS 72050 75.19$
97200012 SEH HC LR XR SPINE THORAC AP/LAT 72070 56.65$
97200013 SEH HC LR XR SPINE THOR/LUM AP/L 72080 56.65$
97200014 SEH HC LR SPINE SCOLIOSIS 2-3 VW 72082 26.78$
97200015 SEH HC LR XR SPINE LUMB AP&LAT 72100 56.65$
97200016 SEH HC LR XR SPINE LUMB WITH OBL 72110 160.68$
97200017 SEH HC LR XR SPINE LUM/SAC BND/4 72120 67.98$
97200018 SEH HC LR CT SPINE CERV W CONT 72126 298.70$
97200019 SEH HC LR CT SPINE THORACIC W/WO 72130 172.01$
97200020 SEH HC LR XR PELVIS AP ONLY 72170 41.20$
97200021 SEH HC LR XR PELVIS W OBLIQUES 72190 52.53$
97200022 SEH HC LR XR SACRUM & COCCYX 72220 42.23$
97200023 SEH HC LR XR CLAVICLE COMPLETE 73000 38.11$
97200024 SEH HC LR XR SCAPULA COMP 73010 42.23$
97200025 SEH HC LR SHOULDER MIN 2 VIEWS 73030 138.02$
97200026 SEH HC LR XR HUMERUS 73060 197.76$
97200027 SEH HC LR XR ELBOW AP&LAT 73070 57.68$
97200028 SEH HC LR XR ELBOW COMP MIN 3VWS 73080 42.23$
97200029 SEH HC SEH HC LR XR FOREARM AP/LAT 73090 76.22$
97200030 SEH HC LR XR WRIST AP&LAT VW 73100 38.11$
97200031 SEH HC LR XR WRIST COMP MIN3VW 73110 42.23$
97200032 SEH HC LR XR HAND 2 VWS 73120 38.11$
97200033 SEH HC LR XR HAND 3+VIEWS 73130 42.23$
97200034 SEH HC LR HIP UNI W/PELVIS 1 VW 73501 25.75$
97200035 SEH HC LR HIP UNI W/PELVIS 2-3VW 73502 30.90$
97200036 SEH HC LR HIP BIL W/PELVIS 2 VW 73521 30.90$
97200037 SEH HC LR HIP BIL W/PELVIS 3-4VW 73522 41.20$
97200038 SEH HC LR HIP BIL W/PELVIS 5 VW 73523 43.26$
97200039 SEH HC LR FEMUR 2 VW 73552 25.75$
97200040 SEH HC LR XR KNEE 1 OR 2 VWS 73560 41.20$
97200041 SEH HC LR XR KNEE 3 VIEWS 73562 44.29$
97200042 SEH HC LR XR TIBIA & FIBULA 73590 41.20$
97200043 SEH HC LR XR ANKLE AP & LAT 73600 39.14$
97200044 SEH HC LR XR ANKLE COMPLETE 73610 42.23$
97200045 SEH HC LR XR FOOT AP & LATERAL 73620 38.11$
97200046 SEH HC LR XR FOOT COMPLETE 73630 42.23$
97200047 SEH HC LR XR ABDOMEN SINGLE 74018 43.26$
97200048 SEH HC LR CT ABD/PEL WO CON 74176 339.90$
97200049 SEH HC LR CT ABD/PEL W CON 74177 355.35$
97200050 SEH HC LR GI W AIR WITHOUT KUB 74246 170.98$
97200051 SEH HC LR GI WITH AIR AND KUB 74247 170.98$
97200052 SEH HC LR FEED TB INSERT S&I 74340 160.68$
97200053 SEH HC LR BODYGRM FB 1FILM CHLD 76010 43.26$
97200054 SEH HC LR US BREAST COMP 76641 67.98$
97200055 SEH HC LR US BREAST LIMITED 76642 67.98$
97200056 SEH HC LR US ABDOMEN COMPLETE 76700 199.82$
97200057 SEH HC LR US OB COMP <14 WKS 76801 170.98$
97200058 SEH HC LR US OB LTD 76815 162.74$
97200059 SEH HC LR FETAL BIOPHYSICL PROFL 76818 192.61$
97200060 SEH HC LR PELVIC TRANSVAGINAL 76830 186.43$
97200061 SEH HC LR PELVIC NONOBSTETRIC 76856 172.01$
97200062 SEH HC LR SCROTAL/TESTICULAR 76870 159.65$
97200063 SEH HC LR US GUI NEEDL PL SI 76942 183.34$
97200064 SEH HC LR COMPU-AID DX MAMMO 77051 19.57$
97200065 SEH HC LR COMPU-AID SCREEN MAMMO 77067 7.21$
97200066 SEH HC LR US DUPLEX VIS COMP 93975 387.28$
97200067 SEH HC LR FNA DEEP 10022 250.29$
97200068 SEH HC LR PERC DRAIN SOFT TISSUE 10030 253.38$
97200069 SEH HC LR PUNC CYST BREAST 19000 43.26$
97200070 SEH HC LR PERQ BR BX 1ST W STERO 19081 218.36$
97200071 SEH HC LR PERQ BR BX 1ST W US 19083 204.97$
97200072 SEH HC LR PERQ NLWR BR 1ST W MMG 19281 124.63$
97200073 SEH HC LR PERQ NLWR BR 1ST W US 19285 107.12$
97200074 SEH HC LR CT BIOPSY NDL MUSCLE 20206 319.30$
97200075 SEH HC LR CT BONE BIOPSY 20220 434.66$
97200076 SEH HC LR SP BONE DEE PERC 20225 757.05$
97200077 SEH HC LR SP FISTULASINUS STUDY 20501 178.19$
97200078 SEH HC LR SM JNT ASPIRATION 20600 53.56$
97200079 SEH HC LR SP JOINT INJECTION 20610 212.18$
97200080 SEH HC LR KYPHOPLASTY THORACIC 22513 2,266.00$
97200081 SEH HC LR KYPHOPLASTY LUMBAR 22514 2,163.00$
97200082 SEH HC LR KYPHOPLAS ADD LEVEL 22515 1,014.55$
97200083 SEH HC LR SHLDER ARTHROGRAM 23350 257.50$
97200084 SEH HC LR CT BIOPSY PELVIS 27040 762.20$
97200085 SEH HC LR HIP ARTHROGRAM 27093 362.56$
97200086 SEH HC LR KNEE ARTHROGRAM 27370 261.62$
97200087 SEH HC LR CT BIOPSY NDL LUNGMED 32405 688.04$
97200088 SEH HC LR TUBE THORACOSTOMY 32551 664.35$
97200089 SEH HC US THORACENTESIS WO GUID 32554 147.29$
97200090 SEH HC US THORACENTESIS WGUIDE 32555 183.34$
97200091 SEH HC CT PLEURAL DRAIN WO GUID 32556 200.85$
97200092 SEH HC CT PLEURAL DRAIN WGUIDE 32557 265.74$
97200093 SEH HC SP ANGIO INEXCRANIALAR 36221 349.17$
97200094 SEH HC SP ANGIO INTRACRAN CAROTI 36223 511.91$
97200095 SEH HC SP ANGIO SUBCLAVIAN 36225 509.85$
97200096 SEH HC SP ANGIO EXTERNAL CAROTID 36227 177.16$
97200097 SEH HC LR RENAL SELECTIVE UNILAT 36251 275.01$
97200098 SEH HC LR RENAL SELECTIVE BILAT 36252 358.44$
97200099 SEH HC LR SP CVP LINEPICC 36556 401.70$
97200100 SEH HC LR PICC PLACEMENT >5 YRS 36569 303.85$
97200101 SEH HC REMOVAL TUNNELED CV CATH 36589 74.16$
97200102 SEH HC LR THROMBO DECLOT 36593 123.60$
97200103 SEH HC LR PORTPICC CHECK 36598 473.80$
97200104 SEH HC LR PERC IVC FILTER 37191 236.90$
97200105 SEH HC SP TRANSCATH THERAART 37211 656.11$
97200106 SEH HC SP TRANSCATH THERAVEN 37212 578.86$
97200107 SEH HC SP TRANSCATH EXCHANGE 37213 404.79$
97200108 SEH HC SP TRANSCATH REMOVE 37214 236.90$
97200109 SEH HC LR TRANSLM BALN PERC ILAC 37220 417.15$
97200110 SEH HC LR PTA ILIAC ARTERY 37221 507.79$
97200111 SEH HC LR PTA FEM POP ARTERY 37224 458.35$
97200112 SEH HC LR PTA TIBIO ART & BR 37228 561.35$
97200113 SEH HC TRANSC STENT ARTERY 1ST 37236 564.44$
97200114 SEH HC LR CT BIOPSY NECKAXILLA 38505 659.20$
97200115 SEH HC LR NM SENTINEL NODE INJ 38792 117.42$
97200116 SEH HC LR FL FEEDING TUBE INSERT 43752 160.68$
97200117 SEH HC LR REPOS GI FEED TUBE 43761 529.42$
97200118 SEH HC LR CT BIOPSY LIVER PERCUT 47000 558.26$
97200119 SEH HC LR PERC CHOLECYSTOSTOM 47490 1,972.45$
97200120 SEH HC LR US PARACEN WO GUIDE 49082 276.04$
97200121 SEH HC LR US PARACEN WGUIDE 49083 425.39$
97200122 SEH HC LR BX ABDORETRO PERC 49180 569.59$
97200123 SEH HC LR PERC DRAIN PAN PSEU 49405 1,141.24$
97200124 SEH HC LR PLEURX CATH PLACEMENT 49418 225.57$
97200125 SEH HC LR BX RENAL PERC 50200 801.34$
97200126 SEH HC LR CT ASP-NDL-KIDNEYPELV 50390 827.09$
97200127 SEH HC LR DILATE OF NEPHROSTO 50395 1,427.58$
97200128 SEH HC NJX PX NFROSGRM &/URTRGRM 50430 175.10$
97200129 SEH HC LR CT CYSTOVCUG INJECTIO 51600 191.58$
97200130 SEH HC LR URETHROCYS RETRO 51610 293.55$
97200131 SEH HC LR HYSTEROSALPINGOGRAM 58340 238.96$
97200132 SEH HC LR US BX THYROID PERC NDL 60100 273.98$
97200133 SEH HC LR FL LUMBAR PUNCTURE 62270 296.64$
97200134 SEH HC LR BLOOD PATCH 62273 427.45$
97200135 SEH HC LR LUMB PUNCTURE MYELO 62284 670.53$
97200136 SEH HC MYELOGRAPHY LUMBAR INJECTION 62302 211.15$
97200137 SEH HC MYELOGRAPHY LUMBAR INJECTION 62303 215.27$
97200138 SEH HC MYELOGRAPHY LUMBAR INJECTION 62304 207.03$
97200139 SEH HC LR MEDIAL BRANCH BLOCK 64450 501.61$
97200140 SEH HC LR EPI TRANSFORA LUMBAR 64483 427.45$
97200141 SEH HC LR EPI TRANSFOR LUM EA AD 64484 257.50$
97200142 SEH HC LR XR EYE FOR DETECT FB 70030 44.29$
97200143 SEH HC LR XR MANDIBLE <4 VIEWS 70100 287.37$
97200144 SEH HC LR XR MANDIBLE COMP >4 VW 70110 62.83$
97200145 SEH HC LR FACIAL BONE UNDER3VWS 70140 46.35$
97200146 SEH HC LR XR FACE BNS COMP MIN3V 70150 64.89$
97200147 SEH HC LR XR NASL BNS COMP MIN3V 70160 42.23$
97200148 SEH HC LR XR ORBIT COMP MIN 4 VW 70200 69.01$
97200149 SEH HC LR XR SINUS UNDER 3 VWS 70210 42.23$
97200150 SEH HC LR XR SINUS COMP MIN 3 VW 70220 62.83$
97200151 SEH HC LR XR SKULL UNDER 4 VWS 70250 60.77$
97200152 SEH HC LR XR SKULL COMP MIN 4 VW 70260 84.46$
97200153 SEH HC LR XR TMJS (TEMPO UNI) 70328 44.29$
97200154 SEH HC LR XR TMJS (TEMPO BIL) 70330 60.77$
97200155 SEH HC LR XR NECK SOFT TISSUES 70360 42.23$
97200156 SEH HC LR CT HEAD WITH CONTRAST 70460 280.16$
97200157 SEH HC LR CT HEAD WWO CONTRAST 70470 315.18$
97200158 SEH HC LR CT ORBIT WO CONTRAST 70480 318.27$
97200159 SEH HC LR CT ORBIT W CONTRAST 70481 341.96$
97200160 SEH HC LR CT ORBITW & WO CONTRA 70482 359.47$
97200161 SEH HC LR CT FACIAL BONES WO CON 70486 284.28$
97200162 SEH HC LR CT FACIAL BONES WCON 70487 320.33$
97200163 SEH HC LR CT FACIAL BNE WWO CON 70488 351.23$
97200164 SEH HC LR CT NECK SOFT TISSUE WO 70490 318.27$
97200165 SEH HC LR CT NECK SOFT TISSUE W 70491 341.96$
97200166 SEH HC LR CT NECK SOFT TISS WWO 70492 359.47$
97200167 SEH HC LR CT CTA HEAD 70496 314.15$
97200168 SEH HC LR CT CTA NECK 70498 324.45$
97200169 SEH HC LR MRI ORBIT FACENK WOCO 70540 277.07$
97200170 SEH HC LR MRI ORBHDNCK W&WO CO 70543 373.89$
97200171 SEH HC LR MRA HEAD WO CON 70544 206.00$
97200172 SEH HC LR MRA NECK 70547 260.59$
97200173 SEH HC LR MRA CAROTID ARTE WCON 70548 260.59$
97200174 SEH HC LR MRI HEAD WCONTRAST 70552 440.84$
97200175 SEH HC LR MRI HEAD W WO CONTRAS 70553 598.43$
97200176 SEH HC LR XR CHEST APICAL LORDOT 71047 67.98$
97200177 SEH HC LR XR CHEST OBLIQUE(S) 71047 75.19$
97200178 SEH HC LR XR CHEST MIN 4 VWFLUO 71048 115.36$
97200179 SEH HC LR XR CHEST DECUBBUCK ST 71046 43.26$
97200180 SEH HC LR XR RIBS UNILAT 2 VIEW 71100 57.68$
97200181 SEH HC LR XR RIBS UNILAT&PA CHES 71101 77.25$
97200182 SEH HC LR XR RIBS BILAT 3 VIEWS 71110 67.98$
97200183 SEH HC LR XR RIB BIL CHEST MN4VW 71111 207.03$
97200184 SEH HC LR XR STER MIN TWO VIEWS 71120 47.38$
97200185 SEH HC LR XR SCM JNT MN 3 VIEWS 71130 57.68$
97200186 SEH HC LR CHEST WO CONTRAST 71250 287.37$
97200187 SEH HC LR CT CHEST WCONTRAST 71260 293.55$
97200188 SEH HC LR CT CHEST WWO CONTRAST 71270 341.96$
97200189 SEH HC LR CTA CHEST WCONTRAST 71275 403.76$
97200190 SEH HC LR MRI CHEST WO CONTRAST 71550 277.07$
97200191 SEH HC LR XR SPINE SINGLE VIEW 72020 44.29$
97200192 SEH HC LR XR SPINE CERV OBLFLE 72052 89.61$
97200193 SEH HC LR XR SPINE THORA APLAS 72072 56.65$
97200194 SEH HC LR XR SPINE THOR APLAOB 72074 59.74$
97200195 SEH HC LR SPINE SCOLIOSIS 1 VW 72081 22.66$
97200196 SEH HC LR SPINE SCOLIOSIS 4-5 VW 72083 29.87$
97200197 SEH HC LR XR SPINE LUMSAC COMB 72114 89.61$
97200198 SEH HC LR CT SPINE CERV WO CONT 72125 287.37$
97200199 SEH HC CT NECK SPINE W/O&W/DYE 72127 106.09$
97200200 SEH HC LR CT SPINE THORAC WO CON 72128 287.37$
97200201 SEH HC LR CT SPINE THORAC W CON 72129 298.70$
97200202 SEH HC LR CT SPINE LUMBAR WO CON 72131 287.37$
97200203 SEH HC LR CT SPINE LUMBAR W CON 72132 298.70$
97200204 SEH HC CT LUMBAR SPINE W/O&W/DYE 72133 107.12$
97200205 SEH HC LR MRI SPINE CERV WO CON 72141 395.52$
97200206 SEH HC LR MRI CERVICAL W CONTRAS 72142 473.80$
97200207 SEH HC LR MRI SPINE THOR WO CON 72146 395.52$
97200208 SEH HC LR MRI THORACIC W CONTRAS 72147 473.80$
97200209 SEH HC LR MRI SPINE LUMB WO CONT 72148 403.76$
97200210 SEH HC LR MRI SPINE CERV W WO 72156 476.89$
97200211 SEH HC LR MRI SPINE THOR W WO CO 72157 476.89$
97200212 SEH HC LR MRI LUMB SPINE W WO CO 72158 476.89$
97200213 SEH HC LR CT PELVIS WO CONTRAST 72192 218.36$
97200214 SEH HC LR CT PELVIS W CONTRAST 72193 231.75$
97200215 SEH HC LR CT PELVIS WWO CONT 72194 242.05$
97200216 SEH HC LR MRI PELVIS WO CON 72195 260.59$
97200217 SEH HC LR MRI PELVIS W CON 72196 321.36$
97200218 SEH HC LR MRI PELVIS W WO CON 72197 497.49$
97200219 SEH HC LR XR SI JNTS 3 OR MOREVW 72202 46.35$
97200220 SEH HC LR MYELOGRAPHY LUMBAR SI 72265 204.97$
97200221 SEH HC LR SHLDER ONE VIEW 73020 92.70$
97200222 SEH HC LR SHLDER ARTHRO SI 73040 84.46$
97200223 SEH HC LR XR AC JOINTS BILATERAL 73050 48.41$
97200224 SEH HC LR XR UP EXT INFANT 73092 38.11$
97200225 SEH HC LR XR FINGER(S) 2+ VIEWS 73140 33.99$
97200226 SEH HC LR CT UP EXT WO CONT 73200 269.86$
97200227 SEH HC LR CT UP EXT W CONT 73201 287.37$
97200228 SEH HC LR CT CTA UPPER EXT 73206 355.35$
97200229 SEH HC LR MRI UP EXT W CON 73218 233.81$
97200230 SEH HC LR MRI UP EXT WWO CONT 73220 379.04$
97200231 SEH HC LR MRI UP JNT WO CON 73221 242.05$
97200232 SEH HC LR MRI UP JNT W CON 73222 277.07$
97200233 SEH HC LR MRI UP JNT WWO CONT 73223 373.89$
97200234 SEH HC LR HIP W/PELVIS 4 VW 73503 39.14$
97200235 SEH HC LR ARTHROGRAM HIP SI 73525 128.75$
97200236 SEH HC LR FEMURE 1 VIEW 73551 22.66$
97200237 SEH HC LR XR KNEE 4 OR MORE VWS 73564 57.68$
97200238 SEH HC LR XR KNEES AP EREC 73565 43.26$
97200239 SEH HC LR ARTHROGRAM KNEE 73580 130.81$
97200240 SEH HC LR XR LOW EXT INFANT 73592 78.28$
97200241 SEH HC LR XR HEEL 73650 38.11$
97200242 SEH HC LR XR TOE OR TOES 73660 33.99$
97200243 SEH HC LR CT LOW EXT WO CONT 73700 269.86$
97200244 SEH HC LR CT LOW EXT W CON 73701 287.37$
97200245 SEH HC LR CT LOW EXT WWO CON 73702 298.70$
97200246 SEH HC LR CT CTA LOW EXT 73706 314.15$
97200247 SEH HC LR MRI LOW EXT WO CON 73718 233.81$
97200248 SEH HC LR MRI LOW EXT W CON 73719 277.07$
97200249 SEH HC LR MRI LOW EXT WWO CON 73720 378.01$
97200250 SEH HC LR MRI LOW JNT WO CON 73721 238.96$
97200251 SEH HC LR MRI LOW JNT W CON 73722 277.07$
97200252 SEH HC LR MRI LOW JNT WWO CON 73723 373.89$
97200253 SEH HC LR XR ABDOMEN 2 VIEWS 74019 59.74$
97200254 SEH HC LR XR ABD FLATERECTDECU 74021 67.98$
97200255 SEH HC LR XR ABD ACUTEPA CHEST 74022 78.28$
97200256 SEH HC LR CT ABD WO CONTRAST 74150 236.90$
97200257 SEH HC LR CT ABD W CONTRAST 74160 252.35$
97200258 SEH HC LR CT ABD WWO CONTRAST 74170 211.15$
97200259 SEH HC LR CT CTA ABDPEL 74174 420.24$
97200260 SEH HC LR CT CTA ABDOMEN 74175 350.20$
97200261 SEH HC LR CT ABDPEL WWO CON 74178 396.55$
97200262 SEH HC LR MRI ABD WO CONT 74181 277.07$
97200263 SEH HC LR MRI ABD WWO CONT 74183 404.79$
97200264 SEH HC CONTRAST X-RAY, ESOPHAGUS 74220 100.94$
97200265 SEH HC LR FL SWAL FUNC W CINEVI 74230 148.32$
97200266 SEH HC LR FL GI ESO WO KUB 74240 170.98$
97200267 SEH HC LR FL GI & SMALL BOWEL 74245 224.54$
97200268 SEH HC LR GI WAIR& SMALL BOWEL 74249 224.54$
97200269 SEH HC LR SBFT SMALL BOWEL 74250 116.39$
97200270 SEH HC LR BARIUM ENEMA 74270 172.01$
97200271 SEH HC LR BARIUM ENEMA AIR CONTR 74280 247.20$
97200272 SEH HC LR XR CHOLANGIOGRAM OR 74300 90.64$
97200273 SEH HC LR XR ENDO BILI&PAN ERCP 74330 181.28$
97200274 SEH HC LR UR IVP 74400 122.57$
97200275 SEH HC LR IVP DRIP WO TOMO 74410 122.57$
97200276 SEH HC LR IVP DRIP WITH TOMO 74415 118.45$
97200277 SEH HC LR RETRO PYELOGRAM 74420 89.61$
97200278 SEH HC LR NEPHROSTOLOOPPYEL 74425 89.61$
97200279 SEH HC LR CT CYSTOGRAM GUIDANCE 74430 79.31$
97200280 SEH HC LR UR URETHROCYSTO RETRO 74450 82.40$
97200281 SEH HC LR CT VCUG GUIDANCE 74455 82.40$
97200282 SEH HC LR DIL OF NEPHURETEURE 74485 136.99$
97200283 SEH HC LR HYSTEROSALPINGOGRAM SI 74740 89.61$
97200284 SEH HC LR CT CARDIAC 75574 468.65$
97200285 SEH HC LR SP ABD AORTOGRAM 75625 283.25$
97200286 SEH HC LR ABD AORTA RUNOFF 75630 323.42$
97200287 SEH HC LR CTA ABD AORTA WRUNOFF 75635 437.75$
97200288 SEH HC LR ANGIOGRAM ENT UNI 75710 284.28$
97200289 SEH HC LR ANGIOGRAM EXT 75716 255.44$
97200290 SEH HC LR EA ADD SEL VES AFT BAS 75774 87.55$
97200291 SEH HC SP VENOGRAPHY EXT UNI 75820 173.04$
97200292 SEH HC LR VENOGRAPHY EXT 75822 261.62$
97200293 SEH HC LR SVC 75827 283.25$
97200294 SEH HC LR MRV BRAIN 70544 283.25$
97200295 SEH HC LR PERCUT ABCESS DRAIN 75989 293.55$
97200296 SEH HC LR FLUOROSCOPY <1 HOUR 76000 74.16$
97200297 SEH HC LR FLUOROSCOPY >1 HOUR 76001 166.86$
97200298 SEH HC LR FISTULASINUS STUDY SI 76080 136.99$
97200299 SEH HC LR BREAST SPECIMEN SURGI 76098 38.11$
97200300 SEH HC LR 3D WO POSTPROCESS 76376 211.15$
97200301 SEH HC LR CT LIMITED SCAN 76380 249.26$
97200302 SEH HC LR US HEAD 76506 158.62$
97200303 SEH HC LR US NECK OR THYROID 76536 141.11$
97200304 SEH HC LR US CHEST 76604 140.08$
97200305 SEH HC LR US ABDOMEN LIMIT 76705 149.35$
97200306 SEH HC LR US RETROPERI COMP 76770 185.40$
97200307 SEH HC LR US RETROPERI LIMITED 76775 146.26$
97200308 SEH HC LR US SPINAL CANAL 76800 280.16$
97200309 SEH HC LR US OB <14 WKS EA ADD 76802 143.17$
97200310 SEH HC LR US OB COMP >14 WKS 76805 247.20$
97200311 SEH HC LR US OB >14 WKS EA ADD 76810 204.97$
97200312 SEH HC LR US OB LIMIT FOLLOWUP 76816 142.14$
97200313 SEH HC LR US OB TRANSVAGINAL 76817 129.78$
97200314 SEH HC LR FETAL BPP WO NST 76819 133.90$
97200315 SEH HC LR HYSTEROSONOGRAPHY SI 76831 123.60$
97200316 SEH HC LR PELVIC LIMIT FOLLOWUP 76857 94.76$
97200317 SEH HC LR EXT NON-VASCULAR COMP 76881 85.49$
97200318 SEH HC LR EXT NON-VACULAR LIMITD 76882 58.71$
97200319 SEH HC LR INFANT HIP WMANIPULAT 76885 162.74$
97200320 SEH HC LR INFANT HIP WO MANIPUL 76886 117.42$
97200321 SEH HC LR COMPRESS REPAIR ART 76936 311.06$
97200322 SEH HC LR PICC LINE VASCULAR GUIDE 76937 64.89$
97200323 SEH HC LR PICC LINE FLOURO GUIDE 77001 74.16$
97200324 SEH HC LR FL GUI PLA NEEDLE BX 77002 136.99$
97200325 SEH HC LR LUMBAR PUNC DX FLU SI 77003 118.45$
97200326 SEH HC LR CT GUI NDLE PL BX SI 77012 286.34$
97200327 SEH HC LR XR BONE AGE STUDYOSTE 77072 46.35$
97200328 SEH HC LR XR BONE LENGTH STUDIES 77073 67.98$
97200329 SEH HC LR XR BONE SURVEY LIMITED 77074 111.24$
97200330 SEH HC LR BONE SURVEY COMPLETE 77075 123.60$
97200331 SEH HC LR BONE SURVEY INFANT 77076 69.01$
97200332 SEH HC LR PRO DEXA STUDY 77080 120.51$
97200333 SEH HC NM THYROID UPTAKESINGMU 78012 15.45$
97200334 SEH HC NM THYROID SCAN WSINGMU 78014 39.14$
97200335 SEH HC LR NM TOTAL BODY SCAN 131 78018 169.95$
97200336 SEH HC LR NM PARATHYROID IMAGING 78070 127.72$
97200337 SEH HC LR NM LIVER SCAN 78201 108.15$
97200338 SEH HC LR NM LIVER SPECT 78205 168.92$
97200339 SEH HC LR NM BILIARY SCAN 78226 140.08$
97200340 SEH HC LR NM BILIARY WCCK 78227 168.92$
97200341 SEH HC LR NM GASTRIC EMPTYING 78264 186.43$
97200342 SEH HC LR NM GI BLEED SCAN 78278 138.02$
97200343 SEH HC LR NM BONE SCAN LIMITED 78300 157.59$
97200344 SEH HC LR NM BONE SCAN BODY 78306 166.86$
97200345 SEH HC LR NM 3 PHASE BONE SCAN 78315 237.93$
97200346 SEH HC LR NM BONE SCAN SPECT 78320 246.17$
97200347 SEH HC LR MYOCAR PERFUS IMG SI 78451 267.80$
97200348 SEH HC LR MYOCAR PERFUS IMG MUL 78452 314.15$
97200349 SEH HC LR NM MUGA SCAN SINGLE 78472 279.13$
97200350 SEH HC LR NM LUNG SCAN PERFUSION 78580 185.40$
97200351 SEH HC LR NM LUNG SCAN VENTPERF 78582 200.85$
97200352 SEH HC LR NM LUNG SCAN WDIFF PE 78597 138.02$
97200353 SEH HC LR NM LUNG SCAN WDIF VP 78598 160.68$
97200354 SEH HC LR NM HEAD SCAN LTD&FLOW 78601 129.78$
97200355 SEH HC LR RENAL SCAN VFFUNC 78707 31.93$
97200356 SEH HC LR KID SCAN VFFUNCPHAR 78708 275.01$
97200357 SEH HC LR NM GALLIUM SCAN LIMITE 78800 162.74$
97200358 SEH HC LR NM WBC SCAN, LIMITED 78805 168.92$
97200359 SEH HC LR NM WBC SCAN, WHOLE BDY 78806 211.15$
97200360 SEH HC LR PETCT SKUL-MID THIGH 78815 350.20$
97200361 SEH HC LR PETCT WHOLE BODY 78816 356.38$
97200362 SEH HC LR NM HYPRTHYRD RADIO TX 79005 334.75$
97200363 SEH HC LR PRO CAROTID DOPPLER 93880 44.29$
97200364 SEH HC LR US FEM ARTGROIN BILAT 93925 139.05$
97200365 SEH HC LR US FEM ARTGROIN UNILA 93926 65.92$
97200366 SEH HC SERA US VEIN MAPPING UPPER BIL 93970 215.27$
97200367 SEH HC SERA US VEIN MAPPING UPPER UNI 93971 110.21$
97200368 SEH HC LR US DUPLEX VIS LIMITED 93976 200.85$
97200369 SEH HC LR DUPLEX HEMODIAL ACCESS 93990 51.50$
97200370 SEH HC MR ANGIOGRAPHY W/CONTRAST ABDOMEN C8900 272.95$
97200371 SEH HC SCR MAMMO PRODUC DIR DIGTL IMAG 77067 99.91$
97200372 SEH HC DX MAMMO PRODUC DIR DIGTL IMAG 77066 131.84$
97200373 SEH HC DX MAMMO PRODUC DIR DIGTL IMAG UNI 77065 106.09$
97200374 SEH HC INJ SI JNT; ANES &/TX AGT &ARTHROG G0260 283.25$
97200375 SEH HC CTLD FOR LUNG CANCER SCREEN G0297 44.29$
97200376 SEH HC LR SP ABLATION LIVER 47382 2,066.18$
97200379 SEH HC ULTRASOUND GUIDANCE FOR VAC ACCESS 76937 64.89$
97200380 SEH HC LR MM 3D MAMMO SCREENING PROFESSIONAL 77063 82.40$
97200381 SEH HC LR SP ABLATION LIVER 47382 2,066.18$
97200382 SEH HC LR EPI TRANSLAM LUMBAR 62322 237.93$
97200383 SEH HC LR SP ABLATION CHEST 32998 775.59$
97200384 SEH HC LR EPI TRANSLAM CERV 62320 276.04$
97200385 SEH HC LR MRI FEMUR W/WO 73720 220.42$
97200386 SEH HC LR PLMT NEPHROSTOMY CATHETER 50432 548.99$
97200387 SEH HC LR ANGIOGRAPHY SUPERVISION AND INTERPRETATION 75705 106.73$
97200388 SEH HC LR X-RAY OF MAMMARY DUCT, SINGLE 77053 113.30$
97200389 SEH HC LR X-RAY OF MAMMARY DUCTS, MULTIPLE 77054 60.77$
97200390 SEH HC CHANGE PERQ DRAINAGE TUBE S&I 75984 133.90$
97200391 SEH HC LR PERQ REMOVAL URETERAL STENT 50384 1,761.30$
97200392 SEH HC LR KYPHOPLASTY CONSULT 99201 103.00$
97200437 SEH HC ULTRASOUND EXAM AAA SCREEN 76706 77.25$
97200438 SEH HC LR AV DIALYSIS SHUNT 36901 393.46$
97200439 SEH HC LR FL GI TUBE CHECK 49465 132.87$
97200440 SEH HC LR IR KYPHOPLASTY IP 99221 206.00$
97200441 SEH HC LR FL MYELOGRAM 2 OR MORE LEVELS 62305 527.36$
97200442 SEH HC LR IR T-TUBE CHOLANGIOGRAM 47531 352.26$
97200443 SEH HC LR IR NEPHROSTOMY TUBE CHANGE 50435 374.92$
97200444 SEH HC LR IR NEPHROSTOGRAM EXISTING ACCESS 50431 241.02$
97200445 SEH HC LR CT GUIDE ABSCESS DRAIN RETROPERITONEAL 49406 825.03$
97200446 SEH HC IR NEPHROSTOMY TUBE REMOVAL 50389 266.77$
97200447 SEH HC LR BONE MARROW BX & ASPIRATION 38222 212.18$
97200448 SEH HC LR CT CHOLECYSTOMY 47533 1,072.23$
97200449 SEH HC LR 3D DIAGNOSTIC MAMMO G0279 103.00$
97200450 SEH HC LR CT UPPER EXTREMITY W WO CONTRAST 73202 306.94$
97200451 SEH HC LR MAMMO US GUIDED BREAST BX EACH ADD 19084 637.57$
97200452 SEH HC LR FNA BX W U/S 1ST LESION 10005 193.00$
97200453 SEH HC LR FNA BX W U/S EA ADD 10006 132.00$
97200454 SEH HC LR FNA BX W/FLUOR 1ST LESION 10007 248.00$
97200455 SEH HC LR FNA BX W/FLUOR EA ADD LESION 10008 162.00$
97200456 SEH HC LR FNA BX W/CT 1ST LESION 10009 301.00$
97200457 SEH HC LR FNA BX W/CT EA ADDL 10010 220.00$
97200458 SEH HC LR FNA BX W/MR 1ST LESION 10011 301.00$
97200459 SEH HC LR FNA BX W/MR EA ADDL LESION 10012 220.00$
97200460 SEH HC LR DILATION OF EXIST TRACT PERQ 50436 401.00$
97200461 SEH HC LR DILATION OF EXIST TRACT W NEW ACCESS IN RCS 50437 670.00$
97200462 SEH HC LR REPLACE GASTROSTOMY PERQ W IMG 49450 280.00$
97200463 SEH HC LR INSERT PICC W/O PORT <5YRS W IMG 36572 244.00$
97200464 SEH HC LR INSERT PICC W/O PORT >5YRS W IMG 36573 225.00$
97200465 SEH HC LR U/S STUDY FOLLOWUP 76970 200.00$
97200466 SEH HC LR KYPHO CONSULT EST. PT 99211 67.98$
97400000 SEH HC LR NM CISTERNOGRAM 78630 168.92$
97400001 SEH HC LR NM GALLIUM SCAN WHOLE BODY 78802 392.43$
98100000 SEH HC ER PROBLEM FOCUS I 99281 73.13$
98100001 SEH HC ER EXPANDED VISIT II 99282 88.58$
98100002 SEH HC ER DETAILED VISIT III 99283 112.27$
98100003 SEH HC ER COMP MOD IV 99284 160.68$
98100004 SEH HC ER COMP HIGH V 99285 235.87$
98100005 SEH HC IN ER PF LEVEL 1 99281 87.55$
98100006 SEH HC IN ER EXPANDED LEVEL 2 99282 106.09$
98100007 SEH HC IN ER MODERATE LEVEL 3 99283 133.90$
98100008 SEH HC IN ER DETAILED LEVEL 4 99284 203.94$
98100009 SEH HC IN ER HIGH LEVEL 5 99285 301.79$
98200000 SEH HC OFFICE OUT/PT EST I 99211 67.98$
98200001 SEH HC OFFICE OUT/PT EST II 99212 90.64$
98200002 SEH HC OFFICE OUT/PT EST III 99213 116.39$
98200003 SEH HC OFFICE OUT/PT EST IV 99214 170.98$
98200004 SEH HC OFFICE OUT/PT EST V 99215 255.44$
98200005 SEH HC OBS D/C 99217 144.20$
98200006 SEH HC PROLONG VISIT 1ST EXT HR 99354 297.67$
98200007 SEH HC PROLON VISIT EA ADD 30MIN 99355 218.36$
98200008 SEH HC IN OBS D/C 99217 278.10$
98200009 SEH HC IN EVAL OUTPT LEVEL V 99215 309.00$
98200010 SEH HC IN PROLONG VISIT 1ST EXT HR 99354 320.00$
98200011 SEH HC IN PROLONG VISIT EA ADD 30MIN 99355 300.00$
98500000 SEH HC EKG INTERP HOSPITALIST 93010 43.26$
98500001 SEH HC STRESS INTERP & REPORT 93018 143.17$
98500002 SEH HC STRESS TEST MD SUPERVISION 93016 143.17$
98500003 SEH HC EKG INTERPRETATION 93000 39.14$
98700000 SEH HC OBS INIT LOW & D/C 99218 159.65$
98700001 SEH HC OBS INIT MOD & D/C 99219 247.20$
98700002 SEH HC OBS INIT HIGH &D/C 99220 315.18$
98700003 SEH HC INITIAL HOSPITAL CARE LOW 99221 206.00$
98700004 SEH HC IN PAT CONSULT I 99251 181.28$
98700005 SEH HC INITIAL HOSPITAL CARE MOD 99222 262.65$
98700006 SEH HC IN PAT CONSULT II 99252 208.06$
98700007 SEH HC INITIAL HOSPITA CARE HIGH 99223 311.06$
98700008 SEH HC IN PAT CONSULT III 99253 231.75$
98700009 SEH HC IN PAT CONSULT IV 99254 247.20$
98700010 SEH HC IN PAT CONSULT V 99255 272.95$
98700011 SEH HC OBS SUBSEQUENT LOW 99224 49.44$
98700012 SEH HC OBS SUBSEQUENT MOD 99225 89.61$
98700013 SEH HC OBS SUBSEQUENT HIGH 99226 130.81$
98700014 SEH HC HOSP. CARE SUBSEQ. LOW 99231 101.97$
98700015 SEH HC HOSP. CARE SUBSEQ. MOD 99232 144.20$
98700016 SEH HC HOSP. CARE SUBSEQ HIGH 99233 206.00$
98700017 SEH HC OBS AD/DC LOW 99234 206.00$
98700018 SEH HC OBS AD/DC MOD 99235 262.65$
98700019 SEH HC OBS AD/DC HIGH 99236 315.18$
98700020 SEH HC HOSP CARE DC DAY L3 <31MI 99238 159.65$
98700021 SEH HC IP DISCHARGE MA >30MIN. 99239 181.28$
98700022 SEH HC INPT PROLONGED 30-74 99356 279.13$
98700023 SEH HC INPT PROLONGED 75-104 99357 279.13$
98700024 SEH HC INCISION AND DRAINAGE OF CYST 10081 450.11$
98700025 SEH HC PR DRAIN PILONIDAL CYST SIMPL 10080 272.95$
98700026 SEH HC PR DRAIN/INJECT INTERMEDIATE JOINT/BURSA 20605 100.94$
98700027 SEH HC PR DRAIN/INJECT LARGE JOINT/BURSA 20610 124.63$
98700028 SEH HC PR ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE 49082 201.88$
98700029 SEH HC PR ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE 49083 297.67$
98700030 SEH HC ASPIRATE PLEURA W/O IMAGING 32554 245.14$
98700031 SEH HC PR INSERT NON-TUNNEL CV CATH 36556 328.57$
98700032 SEH HC ECG 12-LEAD INTERPRETATION/REPORT 93010 43.26$
98700033 SEH HC PR DRAIN SKIN ABSCESS COMPLIC 10061 478.95$
98700034 SEH HC PR DRAIN SKIN ABSCESS SIMPLE 10060 259.56$
98700035 SEH HC PR DRAINAGE OF HEMATOMA/FLUID 10140 315.18$
98700036 SEH HC PR DRAINAGE OF GUM LESION 41800 398.61$
98700037 SEH HC PR I&D BARTHOLIN GLAND ABSCESS 56420 243.08$
98700038 SEH HC PR MARSUP BARTHOLIN GLAND CYST 56440 486.16$
98700039 SEH HC PR DRAIN EXT EAR ABSC/BLOOD,COMPLIC 69005 417.15$
98700040 SEH HC PR DRAIN EXT EAR ABSC/BLOOD,SIMPLE 69000 316.21$
98700041 SEH HC PR DRAIN FINGER ABSCESS,COMPLICATED 26011 490.28$
98700042 SEH HC PR I&D MOUTH/TONG INTRA,SUBLING,DEEP 41006 731.30$
98700043 SEH HC PR I&D MOUTH/TONG INTRA,SUBLING,SUPERF 41005 335.78$
98700044 SEH HC PR DRAIN MOUTH ABSC/CYST/HEMAT,COMPLX 40801 602.55$
98700045 SEH HC PR DRAIN MOUTH ABSC/CYST/HEMATOMA,SIMPL 40800 355.35$
98700046 SEH HC PR INCISE/DRAIN CONJUNCTIVA 68020 293.55$
98700047 SEH HC PR DRAINAGE OF EYELID ABSCESS 67700 307.97$
98700048 SEH HC PR I&D MOUTH/TONG INTRA,LINGUAL 41000 302.82$
98700049 SEH HC PR I&D MOUTH/TONG INTRA,MASTICATOR 41009 797.22$
98700050 SEH HC PR I&D MOUTH/TONG INTRA,SUBMANDIBULAR 41008 734.39$
98700051 SEH HC PR I&D MOUTH/TONG INTRA,SUBMENTAL 41007 708.64$
98700052 SEH HC PR DRAIN ABSCESS/HEMATOMA,NASAL 30000 311.06$
98700053 SEH HC PR INC/DRAIN PERITONSIL ABSCESS 42700 363.59$
98700054 SEH HC PR DRAINAGE SCROTAL WALL ABSCESS 55100 445.99$
98700055 SEH HC PR DRAIN ABSCESS/HEMATOMA,NASAL SEPTUM 30020 314.15$
98700056 SEH HC PR DRAIN BLOOD FROM UNDER NAIL 11740 86.52$
98700057 SEH HC PR DRAINAGE ABSCESS PALATE/UVULA 42000 281.19$
98700058 SEH HC PR I&D OF VULVA/PERINEUM ABSCESS 56405 288.40$
98700059 SEH HC INPATIENT CONSULTATION NEW OR EST PT; UP TO 20 MIN 99251 198.79$
98700060 SEH HC INPATIENT CONSULTATION NEW OR EST PT; UP TO 40 MIN 99252 303.85$
98700061 SEH HC INPATIENT CONSULTATION NEW OR EST PT; UP TO 55 MIN 99253 465.56$
98700062 SEH HC INPATIENT CONSULTATION NEW OR EST PT; UP TO 80 MIN 99254 676.71$
98700063 SEH HC INPATIENT CONSULTATION NEW OR EST PT; UP TO 110 MIN 99255 815.76$
98700064 SEH HC CRITICAL CARE; 30-74 MINUTES 99291 905.37$
98700065 SEH HC CRITICAL CARE; EACH ADDL 30 MINS 99292 454.23$
98700066 SEH HC INITIAL HOSPITAL CARE PER DAY UP TO 30 MIN 99221 409.94$
98700067 SEH HC INITIAL HOSPITAL CARE PER DAY UP TO 50 MIN 99222 554.14$
98700068 SEH HC INITIAL HOSPITAL CARE PER DAY UP TO 70 MIN 99223 819.88$
98700069 SEH HC SUBSEQUENT HOSPITAL CARE PER DAY UP TO 15 MIN 99231 159.65$
98700070 SEH HC SUBSEQUENT HOSPITAL CARE PER DAY UP TO 25 MIN 99232 292.52$
98700071 SEH HC SUBSEQUENT HOSPITAL CARE PER DAY UP TO 35 MIN 99233 423.33$
98700072 SEH HC HOSP CARE DC DAY L3 >31MI 99239 181.28$
98700073 SEH HC IN OBS INIT LOW & D/C 99218 387.28$
98700074 SEH HC IN OBS INIT MOD & D/C 99219 450.11$
98700075 SEH HC IN OBS HIGH & D/C 99220 740.57$
98700076 SEH HC IN OBS SUBSEQUENT LOW 99224 131.84$
98700077 SEH HC IN OBS SUBSEQUENT MOD 99225 234.84$
98700078 SEH HC IN OBS SUBSEQUENT HIGH 99226 360.50$
98700079 SEH HC SURG TX MISSED ABORTION 1ST TRIMESTER 59820 882.71$
98700080 SEH HC SURG TX INCOMPL ABOR ANY TRIMESTER 59812 884.77$
98700081 SEH HC CERCLAGE CERVIX PREGNANT; VAGINAL 59320 397.58$
98700082 SEH HC CLOSE RECTOVAGINAL FISTULA; VAGINAL 57300 1,454.36$
98700083 SEH HC IN HOSP D/C DAY UPTO 30MIN 99238 159.65$
98700084 SEH HC IN AD/DC SAME DAY HIGH 99236 397.58$
98700085 SEH HC IN PROLONG INPT SERVICES 30-74 99356 309.00$
98700086 SEH HC IN PROLONG INPT SERVICES 75-104 99357 291.49$
98700087 SEH HC NEW PT- OP LVL II 20 MIN 99202 88.00$
99000000 SEH HC CDSM NDSC G1004 0.01$
0001A PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION - FIRST DOSE 0001A 75.00$
0002A PFIZER-BIONTECH COVID-19 VACCINE ADMINISTRATION - SECOND DOSE 0002A 75.00$
0011A MODERNA COVID-19 VACCINE ADMINISTRATION - FIRST DOSE 0011A 75.00$
0012A MODERNA COVID-19 VACCINE ADMINISTRATION - SECOND DOSE 0012A 75.00$
0054T PR COMPUTER-ASSIST MUSCSKEL NAVIG, ORTHO PROC, FLUORO 0054T 237.47$
0055T PR COMPUTER-ASSIST MUSCSKEL NAVIG, ORTHO PROC, CT/MRI 0055T 237.47$
0075T PR ARTERIAL STENT, XCRANIAL VERTEBRAL/ THORACIC CAROTID, 1ST VESSEL 0075T 1,962.16$
0075T PR ARTERIAL STENT, XCRANIAL VERTEBRAL/ THORACIC CAROTID, 1ST VESSEL 0075T 1,477.61$
0100T PR PLACE SUBCONJ RETINA PROSTHESIS, IMPLANT RETINA ELECTRODE 0100T 2,925.30$
0159T PR BREAST MRI, COMPUTER AIDED DETECTION 0159T 35.26$
0159T PR BREAST MRI, COMPUTER AIDED DETECTION 0159T 5.26$
0159T PR BREAST MRI, COMPUTER AIDED DETECTION 0159T 30.03$
0164T PR REMOVE TOTAL DISC ARTHROPLASTY, LUMBAR, EA ADD 0164T 1,926.26$
0165T PR REVISION TOTAL DISC ARTHROPLASTY, LUMBAR, EA ADD 0165T 1,875.54$
0200T PR PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL 0200T 3,357.01$
0201T PR PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS 0201T 3,357.01$
0202T PR POST VERT ARTHROPLASTY W/WO BONE CEMENT, 1 LUMBAR LEVEL 0202T 3,742.50$
0213T PR INJ DX/THER AGNT PARAVERT FACET JOINT,U/S GUIDE,CERV/THORAC, 1ST LEVEL 0213T 319.69$
0214T PR INJ DX/THER AGNT PARAVERT FACET JOINT,U/S GUIDE,CERV/THORAC, 2ND LEVEL 0214T 158.61$
0215T PR INJ DX/THER AGNT PARAVERT FACET JOINT,U/S GUIDE,CERV/THORAC, ADD LEVEL 0215T 160.25$
0216T PR INJ DX/THER AGNT PARAVERT FACET JOINT,U/S GUIDE,LUMBAR/SAC, 1ST LEVEL 0216T 285.29$
0217T PR INJ DX/THER AGNT PARAVERT FACET JOINT,U/S GUIDE,LUMBAR/SAC, 2ND LEVEL 0217T 143.30$
0218T PR INJ DX/THER AGNT PARAVERT FACET JOINT,U/S GUIDE,LUMBAR/SAC, ADD LEVEL 0218T 145.50$
0232T PR INJECT PLATELET RICH PLASMA W/IMG HARVEST/PREPARATOIN 0232T 850.00$
0234T PR TRANSLUMINAL PERIPHERAL ATHERECTOMY, RENAL ARTERY 0234T 2,177.11$
0235T PR TRANSLUMINAL PERIPHERAL ATHERECTOMY, VISCERAL ARTERY, EACH 0235T 2,176.88$
0236T PR TRANSLUMINAL PERIPHERAL ATHERECTOMY, ABDOMINAL AORTA 0236T 1,853.66$
0237T PR TRANSLUMINAL PERIPHERAL ATHERECTOMY, BRACHIOCEPHAL AND BRANCHES, EACH 0237T 2,049.10$
0238T PR TRANSLUMINAL PERIPHERAL ATHERECTOMY, ILIAC ARTERY, EACH 0238T 1,701.27$
0249T PR LIGATION HEMORRHOID BUNDLE W/US 0249T 1,008.94$
0263T PR AUTO BONE MARRW CELL RX COMPLT BONE MARRW HARVST 0263T 534.34$
0264T PR AUTO BONE MARRW CELL RX COMP W/O BONE MAR HARVST 0264T 239.79$
0265T PR BONE MAR HARVST ONLY FOR INTMUSC AUTOLO CELL RX 0265T 38.48$
0275T PR PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR 0275T 1,500.00$
0295T PR EXT ECG > 48HR TO 21 DAY RCRD SCAN ANLYS REP R&I 0295T 375.44$
0296T PR EXT ECG > 48HR TO 21 DAY RCRD W/CONECT INTL RCRD 0296T 45.54$
0297T PR EXT ECG > 48HR TO 21 DAY SCAN ANALYSIS W/REPORT 0297T 315.33$
0298T PR EXT ECG > 48HR TO 21 DAY REVIEW AND INTERPRETATN 0298T 41.00$
0308T PR INSJ OC TLSCP PROSTH RMVL CRYSTALLINE/IO LENS 0308T 2,430.32$
0355T PR GI TRACT IMAGING INTRALUMINAL COLON WITH I&R 0355T 1,420.83$
0379T PR VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT 0379T 123.70$
0500F PR INITIAL PRENATAL CARE VISIT 0500F -$
0501F PR INTITIAL PRENATAL CARE VISIT W/FLOW SHEET 0501F -$
0502F PR SUBSEQUENT PRENATAL CARE 0502F -$
0503F PR POSTPARTUM CARE VISIT 0503F -$
10005 FINE NEEDLE ASP BX, W/ US GUIDANCE; 1ST LESION 10005 120.14$
1000F PR TOBACCO USE ASSESSED 1000F -$
10021 PR FINE NEEDLE ASP;W/O IMAGING GUIDANCE 10021 192.84$
10022 PR FINE NEEDLE ASP;W/IMAGING GUIDANCE 10022 222.70$
10030 PR IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE 10030 890.70$
10035 PR PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE 10035 815.53$
10036 PR PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE 10036 714.62$
10040 PR ACNE SURGERY OF SKIN ABSCESS 10040 173.65$
10060 PR DRAIN SKIN ABSCESS SIMPLE 10060 188.28$
10061 PR DRAIN SKIN ABSCESS COMPLIC 10061 326.95$
10080 PR DRAIN PILONIDAL CYST SIMPL 10080 283.80$
10081 PR DRAIN PILONIDAL CYST COMPLIC 10081 426.48$
10120 PR REMOVE FOREIGN BODY SIMPLE 10120 243.44$
10121 PR REMOVE FOREIGN BODY COMPLIC 10121 434.69$
10140 PR DRAINAGE OF HEMATOMA/FLUID 10140 260.68$
10160 PR PUNCTURE DRAINAGE OF LESION 10160 206.18$
10180 PR COMPLEX DRAINAGE, WOUND 10180 389.43$
1034F PR CURRENT TOBACCO SMOKER 1034F -$
1035F PR CURRENT SMOKELESS TOBACCO USER 1035F -$
11000 PR DEBRIDEMENT, INFECTED SKIN, UP TO 10% BSA 11000 87.14$
11001 PR DEBRIDEMENT, INFECTED SKIN, EA ADD 10% BSA 11001 34.09$
11004 PR DEBRIDE NECROTIC SKIN/ TISSUE, GENIT & PERINM 11004 923.72$
11005 PR DEBRIDE NECROTIC SKIN/ TISSUE, ABD WALL 11005 1,244.51$
11006 PR DEBRIDE NECROT SKIN/ TISS, GENIT,PERI, ADB WALL 11006 1,128.29$
11008 PR REMOVE MESH FROM ABD WALL FOR INFECTION 11008 437.42$
11010 PR DEBRIDE ASSOC OPEN FX/DISLOC SKIN/SUBQ 11010 797.59$
11011 PR DEBRIDE ASSOC OPEN FX/DISLOC SKIN/MUSCLE 11011 855.51$
11012 PR DEBRIDE ASSOC OPEN FX/DISLO SKIN/MUS/BONE 11012 1,119.01$
11042 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM 11042 186.22$
11043 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,=<20 SQ CM 11043 362.85$
11044 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,=<20 SQ CM 11044 496.14$
11045 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,EACH ADD 20 SQ CM 11045 65.44$
11046 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,EACH ADD 20 SQ CM 11046 115.75$
11047 PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,MUSCLE,BONE,EACH ADD 20 SQ CM 11047 195.84$
11055 PR TRIM HYPERKERATOTIC SKIN LESION, ONE 11055 76.40$
11056 PR TRIM BENIGN HYPERKERATOTIC SKIN LESION,2-4 11056 93.24$
11057 PR TRIM BENIGN HYPERKERATOTIC SKIN LESION,>4 11057 105.52$
11100 PR BIOPSY OF SKIN LESION 11100 166.49$
11101 PR BIOPSY, EACH ADDED LESION 11101 51.66$
11102 TANGENTIAL BX OF SKIN; SINGLE LESION 11102 156.45$
11103 TANGENTIAL BX OF SKIN; EA ADDTL LESION 11103 84.45$
11104 PUNCH BX OF SKIN; SINGLE LESION 11104 193.73$
11105 PUNCH BX OF SKIN; EA ADDTL LESION 11105 96.77$
11106 INCISIONAL BX OF SKIN; SINGLE LESION 11106 238.00$
11107 INCISIONAL BX OF SKIN; EA ADDTL LESION 11107 114.16$
1111F PR DISCHARGE MEDS RECONCILED W/ CURRENT OUTPATIENT MED LIST 1111F -$
11200 PR REMOVAL OF SKIN TAGS, UP TO 15 11200 141.62$
11201 PR REMOVAL OF SKIN TAGS, EACH ADD 10 11201 30.61$
11300 PR SHAV SKIN LES < 0.5 CM TRUNK,ARM,LEG 11300 154.74$
11301 PR SHAV SKIN LES 0.6-1.0 CM TRUNK,ARM,LEG 11301 189.80$
11302 PR SHAV SKIN LES 1.1-2.0 CM TRUNK,ARM,LEG 11302 223.51$
11303 PR SHAV SKIN LES >2.1 CM TRUNK,ARM,LEG 11303 246.84$
11305 PR SHAV SKIN LES <0.5 CM REMAINDER BODY 11305 157.06$
11306 PR SHAV SKIN LES 0.6-1.0 CM REMAINDER BODY 11306 193.41$
11307 PR SHAV SKIN LES 1.1-2.0 CM REMAINDER BODY 11307 229.43$
11308 PR SHAV SKIN LES >2.1 CM REMAINDER BODY 11308 240.21$
11310 PR SHAV SKIN LES <0.5 CM FACE,FACIAL 11310 180.28$
11311 PR SHAV SKIN LES 0.6-1.0 CM FACE,FACIAL 11311 176.63$
11312 PR SHAV SKIN LES 1.1-2.0 CM FACE,FACIAL 11312 254.02$
11313 PR SHAV SKIN LES >2.1 CM FACE,FACIAL 11313 294.54$
11400 PR EXC SKIN BENIG <0.5 CM TRUNK,ARM,LEG 11400 198.51$
11401 PR EXC SKIN BENIG 0.6-1 CM TRUNK,ARM,LEG 11401 236.82$
11402 PR EXC SKIN BENIG 1.1-2 CM TRUNK,ARM,LEG 11402 263.80$
11403 PR EXC SKIN BENIG 2.1-3 CM TRUNK,ARM,LEG 11403 304.62$
11404 PR EXC SKIN BENIG 3.1-4 CM TRUNK,ARM,LEG 11404 344.72$
11406 PR EXC SKIN BENIG >4 CM TRUNK,ARM,LEG 11406 496.53$
11420 PR EXC SKIN BENIG <0.5 CM REMAINDER BODY 11420 194.57$
11421 PR EXC SKIN BENIG 0.6-1 CM REMAINDR BODY 11421 248.79$
11422 PR EXC SKIN BENIG 1.1-2 CM REMAINDR BODY 11422 279.46$
11423 PR EXC SKIN BENIG 2.1-3 CM REMAINDR BODY 11423 318.32$
11424 PR EXC SKIN BENIG 3.1-4 CM REMAINDR BODY 11424 369.58$
11426 PR EXC SKIN BENIG >4 CM REMAINDR BODY 11426 528.99$
11440 PR EXC SKIN BENIG <0.5 CM FACE,FACIAL 11440 214.93$
11441 PR EXC SKIN BENIG 0.6-1 CM FACE,FACIAL 11441 266.36$
11442 PR EXC SKIN BENIG 1.1-2 CM FACE,FACIAL 11442 297.81$
11443 PR EXC SKIN BENIG 2.1-3 CM FACE,FACIAL 11443 353.89$
11444 PR EXC SKIN BENIG 3.1- 4 CM FACE,FACIAL 11444 444.84$
11446 PR EXC SKIN BENIG >4 CM FACE,FACIAL 11446 617.81$
11450 PR EXC SWEAT GLAND LESN AXILL,SIMPL 11450 605.67$
11451 PR EXC SWEAT GLAND LESN AXILL,COMPLX 11451 767.37$
11462 PR EXC SWEAT GLAND LESN INGUIN,SIMPL 11462 591.84$
11463 PR EXC SWEAT GLAND LESN INGUIN,COMPLX 11463 776.36$
11470 PR EXC SWEAT GLAND LESN PERINEAL,SIMPL 11470 653.05$
11471 PR EXC SWEAT GLAND LESN PERINEAL,COMPLX 11471 808.52$
11600 PR EXC SKIN MALIG <0.5 CM TRUNK,ARM,LEG 11600 306.16$
11601 PR EXC SKIN MALIG 0.6-1 CM TRUNK,ARM,LEG 11601 362.32$
11602 PR EXC SKIN MALIG 1.1-2 CM TRUNK,ARM,LEG 11602 392.83$
11603 PR EXC SKIN MALIG 2.1-3 CM TRUNK,ARM,LEG 11603 449.69$
11604 PR EXC SKIN MALIG 3.1-4 CM TRUNK,ARM,LEG 11604 498.28$
11606 PR EXC SKIN MALIG >4 CM TRUNK,ARM,LEG 11606 711.81$
11620 PR EXC SKIN MALIG <0.5 CM REMAINDER BODY 11620 308.25$
11621 PR EXC SKIN MALIG 0.6-1 CM REMAINDR BODY 11621 363.86$
11622 PR EXC SKIN MALIG 1.1-2 CM REMAINDR BODY 11622 406.05$
11623 PR EXC SKIN MALIG 2.1-3 CM REMAINDR BODY 11623 476.29$
11624 PR EXC SKIN MALIG 3.1-4 CM REMAINDR BODY 11624 536.50$
11626 PR EXC SKIN MALIG >4 CM REMAINDR BODY 11626 643.98$
11640 PR EXC SKIN MALIG <0.5 CM FACE,FACIAL 11640 317.74$
11641 PR EXC SKIN MALIG 0.6-1CM FACE,FACIAL 11641 376.12$
11642 PR EXC SKIN MALIG 1.1-2 CM FACE,FACIAL 11642 429.26$
11643 PR EXC SKIN MALIG 2.1-3 CM FACE,FACIAL 11643 505.86$
11644 PR EXC SKIN MALIG 3.1-4 CM FACE,FACIAL 11644 624.21$
11646 PR EXC SKIN MALIG >4 CM FACE,FACIAL 11646 812.63$
11719 PR TRIM NAIL(S) 11719 30.00$
11720 PR DEBRIDEMENT OF NAIL(S), 1-5 11720 52.54$
11721 PR DEBRIDEMENT OF NAILS, 6 OR MORE 11721 72.19$
11730 PR REMOVAL OF NAIL PLATE 11730 168.09$
11732 PR REMOVE ADDITIONAL NAIL PLATE 11732 50.34$
11740 PR DRAIN BLOOD FROM UNDER NAIL 11740 79.63$
11750 PR REMOVAL OF NAIL BED 11750 307.39$
11755 PR BIOPSY, NAIL UNIT (SEP PROC) 11755 209.40$
11760 PR RECONSTRUC OF NAIL BED 11760 297.59$
11762 PR RECONSTRUC OF NAIL BED W GRAFT 11762 444.79$
11765 PR EXCISION OF NAIL FOLD, TOE 11765 265.72$
11770 PR REMV PILONIDAL LESION SIMPLE 11770 435.42$
11771 PR REMV PILONIDAL LESION EXTENS 11771 908.47$
11772 PR REMV PILONIDAL LESION COMPLIC 11772 1,094.78$
11900 PR INJECTION INTO SKIN LESIONS, UP TO 7 11900 88.85$
11901 PR INJECTION INTO SKIN LESIONS, 8 OR MORE 11901 111.71$
11920 PR CORRECT SKIN COLR DEFCT <6 SQCM 11920 272.09$
11921 PR CORRECT SKIN COLR DEFCT 6.1-20 SQCM 11921 312.18$
11922 PR CORRECT SKIN COLR DEFCT ADDN 20 SQCM 11922 96.94$
11950 PR FILL CONTOUR DEFCT <1CC 11950 111.26$
11951 PR FILL CONTOUR DEFCT 1.1-5CC 11951 159.85$
11952 PR FILL CONTOUR DEFCT 5.1-10CC 11952 206.63$
11954 PR FILL CONTOUR DEFCT >10CC 11954 246.58$
11960 PR INSERT TISSUE EXPANDER(S) 11960 1,514.62$
11970 PR REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT 11970 969.64$
11971 PR REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT 11971 743.19$
11976 PR REMOVAL OF CONTRACEPTIVE CAPSUL 11976 228.44$
11980 PR IMPLANT,HORMONE,SUBCUTANEOUS 11980 151.06$
11981 PR INSERTION DRUG IMPLANT DEVICE 11981 224.19$
11982 PR REMOVAL DRUG IMPLANT DEVICE 11982 251.10$
11983 PR REMOVAL W/ REINSERT DRUG IMPLANT DEVICE 11983 363.71$
12001 PR RESUPERF WND BODY <2.5CM 12001 245.11$
12002 PR RESUP NPTERF WND BODY 2.6-7.5 CM 12002 235.91$
12004 PR RESUPERF WND BODY 7.6-12.5 CM 12004 276.84$
12005 PR RESUPERF WND BODY 12.6-20 CM 12005 257.40$
12006 PR RESUPERF WND BODY 20.1-30 CM 12006 305.63$
12007 PR RESUPERF WND BODY >30 CM 12007 352.29$
12011 PR RESUPERF WND FACE <2.5 CM 12011 235.65$
12013 PR RESUPERF WND FACE 2.6-5 CM 12013 183.84$
12014 PR RESUPERF WND FACE 5.1-7.5 CM 12014 214.48$
12015 PR RESUPERF WND FACE 7.6-12.5 CM 12015 258.54$
12016 PR RESUPERF WND FACE 12.6-20 CM 12016 325.88$
12017 PR RESUPERF WND FACE 20.1-30 CM 12017 244.07$
12018 PR RESUPERF WND FACE >30 CM 12018 276.29$
12020 PR CLOSURE SUPERF WND DEHIS SIMPLE 12020 443.78$
12021 PR CLOSURE SUPERF WND DEHIS W PACKING 12021 258.98$
12031 PR LAYR CLOS WND TRUNK,ARM,LEG <2.5 CM 12031 375.97$
12032 PR LAYR CLOS WND TRUNK,ARM,LEG 2.6-7.5 CM 12032 477.54$
12034 PR LAYR CLOS WND TRUNK,ARM,LEG 7.6-12.5 CM 12034 494.32$
12035 PR LAYR CLOS WND TRUNK,ARM,LEG 12.6-20 CM 12035 600.90$
12036 PR LAYR CLOS WND TRUNK,ARM,LEG 20.1-30 CM 12036 667.05$
12037 PR LAYR CLOS WND TRUNK,ARM,LEG >30 CM 12037 758.34$
12041 PR LAYR CLOS WND REST BODY <2.5 CM 12041 375.67$
12042 PR LAYR CLOS WND REST BODY 2.6-7.5 CM 12042 457.22$
12044 PR LAYR CLOS WND REST BODY 7.6-12.5 CM 12044 568.85$
12045 PR LAYR CLOS WND REST BODY 12.6-20 CM 12045 631.97$
12046 PR LAYR CLOS WND REST BODY 20.1-30 CM 12046 754.41$
12047 PR LAYR CLOS WND REST BODY >30 CM 12047 830.74$
12051 PR LAYR CLOS WND FACE,FACIAL <2.5 CM 12051 408.19$
12052 PR LAYR CLOS WND FACE,FACIAL 2.5-5 CM 12052 465.45$
12053 PR LAYR CLOS WND FACE,FACIAL 5.1-7.5 CM 12053 546.27$
12054 PR LAYR CLOS WND FACE,FACIAL 7.6-12.5 CM 12054 569.79$
12055 PR LAYR CLOS WND FACE,FACIAL 12.6-20 CM 12055 735.78$
12056 PR LAYR CLOS WND FACE,FACIAL 20.1-30 CM 12056 878.44$
12057 PR LAYR CLOS WND FACE,FACIAL >30 CM 12057 932.23$
13100 PR RECMPL WND TRUNK 1.1-2.5 CM 13100 528.96$
13101 PR RECMPL WND TRUNK 2.6-7.5 CM 13101 625.10$
13102 PR REP,SKIN,TRUNK,CMPLX,+5 CM/< 13102 192.19$
13120 PR RECMPL WND SCALP,EXTR 1.1-2.5 CM 13120 553.48$
13121 PR RECMPL WND SCALP,EXTR 2.6-7.5 CM 13121 674.64$
13122 PR REP,SKIN,SCALP/EXTREM+5 CM/< 13122 210.00$
13131 PR RECMPL WND HEAD,FAC,HAND 1.1-2.5 CM 13131 609.10$
13132 PR RECMPL WND HEAD,FAC,HAND 2.6-7.5 CM 13132 752.42$
13133 PR REPR,FACE,GENITAL,HAND,FT+5 CMCM/< 13133 282.02$
13151 PR RECMPL WND LID,NOS,EAR 1.1-2.5 CM 13151 666.39$
13152 PR RECMPL WND LID,NOS,EAR 2.5-7.5 CM 13152 800.18$
13153 PR REPR,EYELID,NOSE,EAR,LIP+5 CM 13153 305.75$
13160 PR SECD CLOS SURG WND EXTEN/COMPLIC 13160 1,272.56$
14000 PR ADJ TISS XFER TRUNK <10 SQCM 14000 981.57$
14001 PR ADJ TISS XFER TRUNK 10.1-30 SQCM 14001 1,267.61$
14020 PR ADJ TISS XFER SCALP,EXTREM <10 SQCM 14020 1,099.36$
14021 PR ADJ TISS XFER SCALP,EXTREM 10.1-30 SQCM 14021 1,376.12$
14040 PR ADJ TISS XFER HEAD,FAC,HAND <10 SQCM 14040 1,204.42$
14041 PR ADJ TISS XFER HEAD,FAC,HAND 10.1-30 SQCM 14041 1,491.95$
14060 PR ADJ TISS XFER LID,NOS,EAR <10 SQCM 14060 1,229.42$
14061 PR ADJ TISS XFER LID,NOS,EAR 10.1-30 SQCM 14061 1,605.05$
14301 PR ADJ TISS XFER ANY AREA,30.1-60 SQCM 14301 1,701.08$
14302 PR ADJ TISS XFER ANY AREA,EA ADD 30.0 SQCM 14302 353.46$
14350 PR FILLET FINGR/TOE FLAP W PREP 14350 1,100.81$
15002 PR WOUND PREP, PED, TRK/ARM/LG 1ST 100 CM 15002 549.70$
15003 PR WOUND PREP, PED, TRK/ARM/LG ADDL 100 CM 15003 119.30$
15004 PR WND PREP PED, FACE/NCK/HND/FT/GEN 1ST 100 CM 15004 632.61$
15005 PR WND PREP,PED, FACE/NCK/HND/FT/GEN ADD 100 CM 15005 196.99$
15040 PR SKIN GRAFT, HARVEST CULTURED TISSUE 15040 395.72$
15050 PR SKIN PINCH GRAFT PROCEDURE <2 CM 15050 885.09$
15100 PR SPLIT GRFT TRUNK,ARM,LEG <100 SQCM 15100 1,351.91$
15101 PR SPLIT GRFT,TRUNK,ARM,LEG EA 100 SQCM 15101 291.57$
15110 PR EPIDRM AUTOGRFT TRNK/ARM/LEG <100 SQCM 15110 1,258.49$
15111 PR EPIDRM AUTOGRFT TRNK/ARM/LEG, EACH 100 SQCM 15111 185.44$
15115 PR EPI AUTOGRFT FACE/NCK/HND/FT/GEN <100 SQCM 15115 1,250.52$
15116 PR EPI AUTOGRFT FACE/NCK/HND/FT/GEN , EA 100 SQCM 15116 268.72$
15120 PR SPLIT GRFT,HEAD,FAC,HAND,FEET <100 SQCM 15120 1,341.53$
15121 PR SPLIT GRFT,HEAD,FAC,HAND,FEET EA 100 SQCM 15121 326.73$
15130 PR DERM AUTOGRFT, TRNK/ARM/LEG <100 SQCM 15130 1,039.01$
15131 PR DERM AUTOGRFT TRNK/ARM/LEG, EA 100 SQCM 15131 158.99$
15135 PR DERM AUTOGRAFT FACE/NCK/HND/FT/GEN <100 SQCM 15135 1,344.68$
15136 PR DERM AUTOGRAFT FACE/NCK/HND/FT/GEN, EA 100 SQCM 15136 157.33$
15150 PR CULT EPIDRM AUTOGRFT TRUNK,ARM,LEG <26 SQCM 15150 1,094.45$
15151 PR CULT EPIDRM AUTOGRFT TRUNK,ARM,LEG ADD 26-75 SQCM 15151 190.25$
15152 PR CULT EPIDRM AUTOGRFT TRUNK,ARM,LEG EA 100 SQCM 15152 247.53$
15155 PR CULT EPIDRM AUTOGRFT,FACE/NCK/HND/FT/GEN <26 SQCM 15155 1,266.71$
15156 PR CULT EPID AUTOGRFT FACE/NCK/HND/FT/GEN 26-75 SQCM 15156 255.09$
15157 PR CULT EPID AUTOGFT FACE/NCK/HND/FT/GEN EA 100 SQCM 15157 284.63$
15200 PR FULL THICK GRFT TRUNK <20 SQCM 15200 1,314.60$
15201 PR FULL THICK GRFT TRUNK ADD 20 SQCM 15201 232.90$
15220 PR FULL THICK GRFT SCALP,ARM,LEG <20SQC 15220 1,218.29$
15221 PR FULL THICK GRFT SCALP,ARM ADD 20 SQCM 15221 214.73$
15240 PR FULL THICK GRFT HEAD,FAC,HAND <20SQC 15240 1,475.22$
15241 PR FULL THICK GRFT HEAD,FAC,HA ADD 20SQ 15241 290.43$
15260 PR FULL THICK GRFT NOS,EAR,LID <20 SQCM 15260 1,603.82$
15261 PR FULL THICK GRFT NOS,EAR,LID ADD 20SQ 15261 338.94$
15271 PR APP SKN SUB GRFT T/A/L AREA/<100SCM /<1ST 25 SCM 15271 223.84$
15272 PR APP SKN SUB GRFT T/A/L AREA/<100SCM EA ADL 25SCM 15272 43.30$
15273 PR APP SKN SUB GRFT T/A/L AREA/>100SCM 1ST 100SCM 15273 475.07$
15274 PR APP SKN SUB GRFT T/A/L AREA/>100SCM ADL 100SCM 15274 111.97$
15275 PR SUB GRFT F/S/N/H/F/G/M/D /<100SCM /<1ST 25 SCM 15275 237.85$
15276 PR SUB GRFT F/S/N/H/F/G/M/D /<100SCM EA ADL 25SCM 15276 55.21$
15277 PR SUB GRFT F/S/N/H/F/G/M/D />100SCM 1ST 100SCM 15277 520.48$
15278 PR SUB GRFT F/S/N/H/F/G/M/D />100SCM ADL 100SCM 15278 134.19$
15570 PR FORM SKIN PEDICLE FLAP TRUNK 15570 1,443.42$
15572 PR FORM SKIN PEDICLE FLAP SCALP,ARM,LEG 15572 1,405.59$
15574 PR FORM SKIN PEDICLE FLAP FACE,GEN,HAND 15574 1,437.81$
15576 PR FORM SKIN PEDICLE FLAP LID,EAR,NOSE 15576 1,274.72$
15600 PR DELAY/SECTN FLAP TRUNK 15600 510.36$
15610 PR DELAY/SECTN FLAP SCALP,ARM,LEG 15610 561.59$
15620 PR DELAY/SECTN FLAP FACE,GENIT,HAND,FT 15620 688.36$
15630 PR DELAY/SECTN FLAP LID,NOS,EAR,LIP 15630 722.95$
15650 PR TRANSFER SKIN PEDICLE FLAP 15650 794.69$
15730 PR MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES 15730 2,456.27$
15731 PR FOREHEAD FLAP W/VASC PEDICLE 15731 1,774.01$
15732 PR MUSCLE-SKIN FLAP,HEAD/NECK 15732 2,058.11$
15733 PR MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL 15733 1,679.40$
15734 PR MUSCLE-SKIN FLAP,TRUNK 15734 2,405.24$
15736 PR MUSCLE-SKIN FLAP,ARM 15736 1,959.69$
15738 PR MUSCLE-SKIN FLAP,LEG 15738 2,107.40$
15740 PR FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY 15740 1,606.42$
15750 PR NEUROVASCULAR PEDICLE GRAFT 15750 1,456.19$
15756 PR FREE MUSC-SKIN FLAP W/MICROVASC ANAST 15756 3,676.27$
15757 PR FREE SKIN FLAP W MICROVASC ANAST 15757 3,617.67$
15758 PR FREE FASCIAL FLAP W MICROVASC ANAST 15758 3,652.56$
15760 PR COMPOSITE SKIN GRAFT 15760 1,346.35$
15770 PR DERMA-FAT-FASCIA GRAFT 15770 1,056.71$
15775 PR HAIR XPLANT PUNCH GRFT 1-15 15775 480.69$
15776 PR HAIR XPLANT PUNCH GRFT >15 15776 766.11$
15777 PR IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT 15777 346.20$
15780 PR DERMABRAS RX SKIN TOTAL FACE 15780 1,483.75$
15781 PR DERMABRAS RX SKIN SGMENT FACE 15781 877.72$
15782 PR DERMABRAS RX SKIN REGIONAL 15782 956.16$
15783 PR DERMABRAS RX SKIN SUPERFICIAL 15783 768.74$
15786 PR ABRASION SINGLE LESION 15786 394.98$
15787 PR ABRASION, EACH ADDN 4 OR LESS 15787 78.97$
15788 PR CHEM PEEL, FACE, EPIDERM 15788 730.54$
15789 PR CHEM PEEL, FACE, DERMAL 15789 879.07$
15792 PR CHEM PEEL, NONFACIAL EPIDERM 15792 691.22$
15793 PR CHEM PEEL, NONFACIAL DERMAL 15793 780.71$
15819 PR PLASTIC SURGERY, NECK 15819 1,259.59$
15820 PR REVISION OF LOWER EYELID 15820 890.88$
15821 PR REV LOWER EYELID EXTEN FAT PAD 15821 969.47$
15822 PR REVISION OF UPPER EYELID 15822 709.60$
15823 PR REV UPPER EYELID W EXCESS SKIN 15823 970.53$
15830 PR EXCISE EXCESS SKIN TISSUE,ABDOMEN 15830 1,869.45$
15832 PR EXCISE EXCESS SKIN TISSUE,THIGH 15832 1,450.37$
15833 PR EXCISE EXCESS SKIN TISSUE,LEG 15833 1,386.54$
15834 PR EXCISE EXCESS SKIN TISSUE,HIP 15834 1,412.83$
15835 PR EXCISE EXCESS SKIN TISSUE,BUTTOCK 15835 1,491.95$
15836 PR EXCISE EXCESS SKIN TISSUE,ARM 15836 1,255.75$
15837 PR EXCISE EXCESS SKIN TISSUE,FOREARM 15837 1,368.87$
15838 PR EXCISE EXCESS SKIN TISSUE,SUBMENTAL 15838 1,013.94$
15839 PR EXCISE EXCESS SKIN TISSUE,OTHER 15839 1,393.57$
15840 PR GRAFT FACE N PALSY,FREE FASCIA 15840 1,592.42$
15841 PR GRAFT FACE N PALSY,FREE MUSCLE 15841 2,839.45$
15842 PR GRAFT FACE FREE MUSCLE GRAFT 15842 4,329.45$
15845 PR GRAFT FACE N PALSY,REGN MUSC XFER 15845 1,605.20$
15847 PR EXCISE EXCESS SKIN TISSUE,ABDOMEN, ADD-ON 15847 1,030.38$
15851 PR REM SUTURES W ANESTH OTHR SURGEON 15851 157.49$
15852 PR DRESSING CHANGE,NOT FOR BURN 15852 74.53$
15860 PR IV INJ TO TEST BLOOD FLOW IN FLAP/GRAFT 15860 172.87$
15920 PR EXC COCCYX/ULCER W SUTURE 15920 959.38$
15922 PR EXC COCCYX/ULCER W FLAP CLOS 15922 1,242.43$
15931 PR EXC SACR PRESS ULC W PRI SUTURE 15931 1,089.46$
15933 PR EXC SACR PRESS ULC BONE & SUTURE 15933 1,339.54$
15934 PR EXC SACR PRESS ULC W FLAP CLOS 15934 1,483.27$
15935 PR EXC SACR PRESS ULC BONE & FLAP CLO 15935 1,730.50$
15936 PR EXC SACR PRESS ULC W MUSC FLAP CLO 15936 1,410.88$
15937 PR EXC SACR PRESS ULC BONE/W MUSC FLAP 15937 1,639.42$
15940 PR EXC ISCH PRES ULC W PRIM CLOS 15940 1,104.35$
15941 PR EXC ISCH PRES ULC & BONE PRIM CLO 15941 1,429.86$
15944 PR EXC ISCH PRES ULC W FLAP CLOS 15944 1,408.36$
15945 PR EXC ISCH PRES ULC & BONE FLAP CLOS 15945 1,563.28$
15946 PR EXC ISCH PRES ULC BONE MYOCUT FLAP 15946 2,595.38$
15950 PR EXC TROC PRES ULC W PRIM CLOS 15950 940.32$
15951 PR EXC TROC PRES ULC & BONE PRIM CLO 15951 1,396.64$
15952 PR EXC TROC PRES ULC W FLAP CLOS 15952 1,437.51$
15953 PR EXC TROC PRES ULC & BONE FLAP CLOS 15953 1,581.66$
15956 PR EXC TROC PRES ULC W MYOCUT FLAP 15956 1,827.95$
15958 PR EXC TROC PRES ULC BONE MYOCUT FLAP 15958 1,870.18$
16000 PR INITIAL RX BURN(S) 1ST DEGREE 16000 109.18$
16020 PR DRESS/DEBRID SMALL BURN NO ANES 16020 130.42$
16025 PR DRESS/DEBRID MED BURN NO ANESTH 16025 234.27$
16030 PR DRESS/DEBRID LARGE BURN NO ANESTH 16030 295.83$
16035 PR ESCHAROTOMY 16035 313.01$
16036 PR INCISION OF BURN SCAB, EACH ADDNTL 16036 130.65$
17000 DESTRUCTION, PREMALIGNANT LESIONS; FIRST LESION 17000 104.45$
17003 PR DESTRUC BENIGN/PREMAL,2-14 LESIONS 17003 8.27$
17004 PR DESTRUC BENIGN/PREMAL,15+ LESIONS 17004 228.21$
17106 PR DESTRUC CUT/VASC <10 SQCM 17106 545.00$
17107 PR DESTRUC CUT/VASC 10-50 SQCM 17107 695.08$
17108 PR DESTRUC CUT/VASC >50 SQCM 17108 1,022.52$
17110 PR DESTRUCTION BENIGN LESIONS UP TO 14 17110 176.42$
17111 PR DESTRUCTION BENIGN LESIONS 15 OR MORE 17111 208.64$
17250 PR CHEMICAL CAUTERIZATION OF GRANULATION TISSUE 17250 126.97$
17260 PR DESTR MALIG TRUNK,EXTREM <0.6 CM 17260 150.96$
17261 PR DESTR MALIG TRUNK,EXTREM 0.6-1 CM 17261 227.95$
17262 PR DESTR MALIG TRUNK,EXTREM 1.1-2 CM 17262 277.55$
17263 PR DESTR MALIG TRUNK,EXTREM 2.1-3 CM 17263 302.56$
17264 PR DESTR MALIG TRUNK,EXTREM 3.1-4 CM 17264 324.64$
17266 PR DESTR MALIG TRUNK,EXTREM >4.0 CM 17266 367.16$
17270 PR DESTR MALIG SCAL,NCK,HAND <0.6 CM 17270 239.12$
17271 PR DESTR MALIG SCAL,NCK,HAND 0.6-1 CM 17271 258.64$
17272 PR DESTR MALIG SCAL,NCK,HAND 1.1-2 CM 17272 295.32$
17273 PR DESTR MALIG SCAL,NCK,HAND 2.1-3 CM 17273 328.25$
17274 PR DESTR MALIG SCAL,NCK,HAND 3.1-4 CM 17274 388.26$
17276 PR DESTR MALIG SCAL,NCK,HAND >4 CM 17276 449.43$
17280 PR DESTR MALIG FACE,NOSE,LIP <0.6 CM 17280 223.53$
17281 PR DESTR MALIG FACE,NOSE,LIP 0.6-1 CM 17281 281.90$
17282 PR DESTR MALIG FACE,NOSE,LIP 1.1-2 CM 17282 323.25$
17283 PR DESTR MALIG FACE,NOSE,LIP 2.1-3 CM 17283 387.16$
17284 PR DESTR MALIG FACE,NOSE,LIP 3.1-4 CM 17284 443.22$
17286 PR DESTR MALIG FACE,NOSE,LIP >4 CM 17286 565.55$
17311 PR MOHS, 1 STAGE, HEAD/NECK/HAND/FEET/GENTIAL 17311 1,044.07$
17312 PR MOHS, ADDL STAGE, HEAD/NECK/HAND/FEET/GENTIAL 17312 613.80$
17313 PR MOHS, 1 STAGE, TRUNK/ARM/LEG 17313 976.19$
17314 PR MOHS, ADDL STAGE, TRUNK/ARM/LEG 17314 585.93$
17315 PR MOHS SURG, ADDL BLOCK 17315 126.54$
17340 PR CRYOTHERAPY ACNE 17340 83.70$
17360 PR SKIN PEEL THERAPY ACNE 17360 202.72$
19000 PR PUNC/ASPIR BREAST CYST 19000 177.62$
19001 PR PUCT/ASPIR BREAST CYST,EACH ADDN 19001 42.98$
19020 PR EXPLO/DRAIN BREAST ABSCESS 19020 747.98$
19030 PR INJECT DUCTOGRAM/GALACTOGRAM 19030 260.85$
19081 PR BX BREAST W DEVICE 1ST LESION STEREOTACTIC GUIDE 19081 1,089.10$
19082 PR BX BREAST W DEVICE ADDL LESION STEREOTACT GUIDE 19082 898.08$
19083 PR BX BREAST W DEVICE 1ST LESION ULTRASOUND GUIDE 19083 1,059.17$
19084 PR BX BREAST W DEVICE ADDL LESION ULTRASOUND GUIDE 19084 862.29$
19085 PR BX BREAST W DEVICE 1ST LESION MAGNETIC RES GUIDE 19085 1,582.35$
19086 PR BX BREAST W DEVICE ADDL LESION MAGNET RES GUIDE 19086 1,280.52$
19100 PR BIOPSY OF BREAST, NEEDLE CORE 19100 236.49$
19101 PR BIOPSY OF BREAST, INCISIONAL 19101 536.84$
19105 PR CRYOSURGICAL ABLATION FIBROADENOMA, EACH 19105 4,653.63$
19110 PR NIPPLE EXPLORATION 19110 767.22$
19112 PR EXCISE BREAST DUCT FISTULA 19112 724.96$
19120 PR EXCISE BREAST CYST 19120 779.05$
19125 PR EXCISE BREAST LES W XRAY MARKER 19125 862.31$
19126 PR EXCISE BREAST LES XRAY MARK ADDNL 19126 256.10$
19260 PR EXCIS CHEST WALL TUMOR/RIBS 19260 1,906.00$
19271 PR EXCIS CHEST WALL TUM W RECON 19271 2,573.62$
19272 PR EXTENSIVE CHEST WALL SURGERY 19272 2,805.76$
19281 PR PERQ DEVICE PLACEMT BREAST LOC 1ST LES W GUIDNCE 19281 380.41$
19282 PR PERQ DEVICE PLACEMT BREAST LOC EA LES W GUIDNCE 19282 263.47$
19283 PR PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GUID 19283 429.20$
19284 PR PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC 19284 322.10$
19285 PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG 19285 816.63$
19286 PR PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE 19286 713.79$
19287 PR PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID 19287 1,354.44$
19288 PR PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID 19288 1,093.44$
19294 PR PREP TUMOR CAVITY IORT W/PARTIAL MASTECTOMY 19294 261.01$
19296 PR PLACE POSTOP BREAST CATH FOR RAD 19296 6,255.69$
19297 PR PLACE INTRAOP BREAST CATH FOR RAD 19297 150.41$
19298 PR PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST 19298 1,577.94$
19300 PR MASTECTOMY FOR GYNECOMASTIA 19300 829.47$
19301 PR MASTECTOMY, PARTIAL 19301 1,031.38$
19302 PR MASTECTOMY,PARTIAL, WITH AXILLARY LYMPHADENECTOMY 19302 1,421.49$
19303 PR MASTECTOMY, SIMPLE, COMPLETE 19303 1,517.82$
19304 PR MASTECTOMY, SUBCUTANEOUS 19304 913.39$
19305 PR MASTECTOMY, RADICAL 19305 1,787.66$
19306 PR MASTECTOMY, RADICAL, URBAN TYPE 19306 1,898.01$
19307 PR MASTECTOMY, MODIFIED RADICAL 19307 1,892.90$
19316 PR SUSPENSION OF BREAST 19316 1,224.35$
19318 PR BREAST REDUCTION 19318 1,754.87$
19324 PR ENLARGE BREAST 19324 843.88$
19325 PR BREAST AUGMENTATION WITH IMPLANT 19325 1,022.27$
19328 PR REMOVAL INTACT BREAST IMPLANT 19328 788.58$
19330 PR RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS 19330 1,008.88$
19340 PR INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY 19340 1,596.41$
19342 PR INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY 19342 1,469.46$
19350 PR NIPPLE/AREOLA RECONSTRUCTION 19350 1,305.51$
19355 PR CORRECT INVERTED NIPPLE(S) 19355 1,193.68$
19357 PR TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION 19357 2,397.33$
19361 PR BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP 19361 2,512.06$
19364 PR BREAST RECONSTRUCTION W/FREE FLAP 19364 4,400.83$
19366 PR BREAST RECONSTRUC W OTHR TECHNIQ 19366 2,249.68$
19367 PR BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP 19367 2,860.62$
19368 PR BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST 19368 3,512.97$
19369 PR BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP 19369 3,260.05$
19370 PR REVISION PERI-IMPLANT CAPSULE BREAST 19370 1,092.35$
19371 PR PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE 19371 1,247.61$
19380 PR REVISION OF RECONSTRUCTED BREAST 19380 1,231.73$
19396 PR DESIGN CUSTOM BREAST IMPLANT 19396 461.27$
20005 PR I&D SOFT TISSUE ABSCESS SUBFASCIAL 20005 498.38$
2001F PR WEIGHT RECORDED 2001F -$
20100 PR EXPLORE WOUND,NECK 20100 962.68$
20101 PR EXPLORE WOUND,CHEST 20101 711.45$
20102 PR EXPLORE WOUND,ABDOMEN/FLANK/BACK 20102 772.13$
20103 PR EXPLORE WOUND,EXTREMITY 20103 925.55$
20150 PR EXCISION OF EPIPHYSEAL BAR 20150 1,606.85$
20200 PR MUSCLE BIOPSY 20200 324.49$
20205 PR DEEP MUSCLE BIOPSY 20205 454.51$
20206 PR NEEDLE BIOPSY,MUSCLE 20206 371.70$
20220 PR BONE BIOPSY,TROCAR/NEEDLE SUPERF 20220 265.57$
20225 PR BONE BIOPSY,TROCAR/NEEDLE DEEP 20225 819.16$
2022F PR DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY 2022F -$
20240 PR BIOPSY BONE OPEN SUPERFICIAL 20240 243.99$
20245 PR BIOPSY BONE OPEN DEEP 20245 564.22$
2024F PR 7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY 2024F -$
20250 PR OPEN BONE BIOP VERT DORSAL 20250 613.59$
20251 PR OPEN BONE BIOP VERT LUMB/CERV 20251 671.48$
2026F PR EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY 2026F -$
2028F PR FOOT EXAM PERFORMED 2028F -$
20500 PR INJECT SINUS TRACT THERAPUTIC 20500 167.43$
20501 PR INJECT SINUS TRACT FOR DX W XRAY 20501 186.27$
20520 PR REMOVAL OF FOREIGN BODY 20520 324.84$
20525 PR REMOVAL OF FOREIGN BODY DEEP/COMPLIC 20525 757.63$
20526 PR INJECT CARPAL TUNNEL 20526 122.43$
20527 PR INJECTION ENZYME PALMAR FASCIAL CORD 20527 133.37$
20550 PR INJECT TENDON SHEATH/LIGAMENT 20550 84.20$
20551 PR INJECT TENDON ORIGIN/INSERT 20551 96.51$
20552 PR INJECT TRIGGER POINT, 1 OR 2 20552 87.57$
20553 PR INJECT TRIGGER POINTS, > 3 20553 100.93$
20555 PR PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT 20555 525.71$
20600 PR DRAIN/INJECT SMALL JOINT/BURSA 20600 76.51$
20604 ASPIRATION AND/OR INJECTION; SMALL JOINT/CAPSULE W/REC & REPORT W/ US GUID 20604 114.30$
20605 PR DRAIN/INJECT INTERMEDIATE JOINT/BURSA 20605 80.29$
20606 ASPIRATION AND/OR INJ; INTERMEDIATE JOINT/CAPSULE W/REC & REPORT W/US GUID 20606 127.02$
20610 PR DRAIN/INJECT LARGE JOINT/BURSA 20610 181.46$
20611 ASPIRATION AND/OR INJECTION; MAJOR JOINT/CAPSULE W/REC & REPORT W/US GUID 20611 143.45$
20612 PR ASPIRAT/INJECTION GANGLION CYST(S) 20612 95.68$
20615 PR ASPIR/INJEC BONE CYST 20615 381.79$
20650 PR INSERT AND REMOVE BONE PIN 20650 336.04$
20660 PR APPLY/REMOVE CRANIAL FIX DEV 20660 386.40$
20661 PR APPLY/REMOVE HALO CRANIAL 20661 789.54$
20662 PR APPLY/REMOVE PELVIS BRACE 20662 812.34$
20663 PR APPLY/REMOVE THIGH BRACE 20663 745.16$
20664 PR APPLY HALO 6/> PINS THIN SKULL OSTEOLOGY 20664 1,365.29$
20665 PR REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL 20665 171.93$
20670 PR REMOVAL SUPERFICIAL IMPLANT 20670 598.70$
20680 PR REMOVAL DEEP IMPLANT 20680 979.42$
20690 PR APPLY BONE UNIPLANE,EXT FIX DEV 20690 947.66$
20692 PR APPLY BONE MULTIPLAN,EXT FIX DEV 20692 1,782.99$
20693 PR ADJUST EXTERN BONE FIX DEV W ANESTH 20693 707.19$
20694 PR REMOVE EXTERN BONE FIX DEV W ANESTH 20694 674.37$
20696 PR COMP ASSIST MULTIPLANE EXT FIXATION, INITIAL 20696 1,917.61$
20697 PR COMP ASSIST MULTIPLANE EXT FIXATION, CHANGE 20697 3,342.50$
20802 PR REPLANTATION, ARM, COMPLETE 20802 4,395.95$
20805 PR REPLANT FOREARM, COMPLETE 20805 5,235.22$
20808 PR REPLANTATION, HAND, COMPLETE 20808 6,328.89$
20816 PR REPLANTATION DIGIT MCP, COMPLETE 20816 3,294.54$
20822 PR REPLANTATION DIGIT DISTAL, COMPLT 20822 2,829.65$
20824 PR REPLANTATION THUMB MCP, COMPLETE 20824 3,300.07$
20827 PR REPLANTATION THUMB DISTAL,COMPLETE 20827 2,905.73$
20838 PR REPLANTATION, FOOT, COMPLETE 20838 4,033.01$
20900 PR REMV BONE FOR GRAFT MINOR 20900 657.94$
20902 PR REMV BONE FOR GRAFT MAJOR 20902 455.45$
20910 PR REMV CARTILAGE FOR GRAFT COSTOCH 20910 741.86$
20912 PR REMV CARTILAGE FOR GRAFT NASAL 20912 751.16$
20920 PR REMV FASCIA FOR GRAFT STRIPPER 20920 631.13$
20922 PR REMV FASCIA FOR GRAFT INCIS 20922 933.34$
20924 PR REMV TENDON FOR GRAFT 20924 806.64$
20926 PR REMV TISSUE FOR GRAFT OTHR 20926 672.33$
20930 PR ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED 20930 189.00$
20931 PR ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL 20931 177.16$
20936 PR AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION 20936 201.55$
20937 PR AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION 20937 267.89$
20938 PR AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INCISION 20938 293.49$
20939 PR BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY 20939 107.65$
20950 PR RECORD FLUID PRESSURE,MUSCLE 20950 393.81$
20955 PR MICROVASCULAR FIBULA GRAFT 20955 3,963.84$
20956 PR MICROVASCULAR ILIAC CREST GRAFT 20956 4,227.45$
20957 PR MICROVASCULAR METATARSAL GRAFT 20957 4,395.37$
20962 PR MICROVASCULAR BONE GRAFT,OTHER 20962 4,254.44$
20969 PR BONE-SKIN GRAFT, MICROVASCULAR 20969 4,385.91$
20970 PR BONE-SKIN GRAFT, MICROVAS ILIA CREST 20970 4,572.43$
20972 PR BONE-SKIN GRAFT, MICROVASC METATARS 20972 4,564.08$
20973 PR BONE-SKIN GRAFT, MICROVASC GREAT TOE 20973 4,818.25$
20974 PR ELECT BONE STIM NONINVASIVE 20974 121.32$
20975 PR ELECT BONE STIM INVASIVE 20975 283.45$
20979 PR US,BONE,STIMULATION 20979 81.79$
20982 PR ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE 20982 6,165.01$
20983 PR ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD 20983 9,445.11$
20985 PR CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS 20985 235.11$
21010 PR INCISION OF JAW JOINT 21010 1,216.78$
21011 PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ < 2CM 21011 548.28$
21012 PR EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2+CM 21012 539.02$
21013 PR EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL < 2CM 21013 821.52$
21014 PR EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2+CM 21014 831.44$
21015 PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM 21015 1,126.69$
21016 PR RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/> 21016 1,614.46$
21025 PR EXCISION OF BONE, LOWER JAW 21025 1,409.25$
21026 PR EXCISION OF FACIAL BONE(S) 21026 975.56$
21029 PR CONTOUR OF FACE BONE LESION 21029 1,224.88$
21030 PR EXCISION,BENIGN TUMOR,MAXILLA/ZYGOMA 21030 823.10$
21031 PR EXCISION,TORUS MANDIBULARIS 21031 631.34$
21032 PR EXCISION,MAXILLARY TORUS PALATINUS 21032 636.42$
21034 PR EXCISION,MALIG TUMOR, MAXILLA/ZYGOMA 21034 2,072.65$
21040 PR EXCISION,BENIGN TUMOR,MANDIBLE 21040 828.63$
21044 PR REMV MALIG JAW BONE LESION 21044 1,386.56$
21045 PR REMV MALIG JAW BONE RADICAL 21045 1,947.46$
21046 PR EXCISION,BEN TUMOR,MANDIBLE,INTRA-ORAL 21046 1,777.41$
21047 PR EXCISION,BEN TUMOR,MANDIBLE,EXTRA-ORAL 21047 2,090.91$
21048 PR EXCISION,BEN TUMOR,MAXILLA,INTRA-ORAL 21048 1,812.03$
21049 PR EXCISION,BEN TUMOR,MAXILLA,EXTRA-ORAL 21049 1,910.42$
21050 PR REMV JAW JOINT 21050 1,437.48$
21060 PR REMV JAW JOINT CARTILAGE 21060 1,307.00$
21070 PR REMV CORONOID PROCESS 21070 1,025.41$
21073 PR MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA 21073 610.85$
21076 PR PREP FACE/ORAL PROST OBTURATOR 21076 1,566.84$
21077 PR PREP FACE/ORAL PROST ORBITAL 21077 3,942.15$
21079 PR PREP FACE/ORAL PROST TEMP OBTURATOR 21079 2,660.03$
21080 PR PREP FACE/ORAL PROST FINL OBTURATOR 21080 2,995.49$
21081 PR PREP FACE/ORAL PROST MANDIBULAR 21081 2,754.76$
21082 PR PREP FACE/ORAL PROST PALATE AUGMT 21082 2,594.59$
21083 PR PREP FACE/ORAL PROST PALATAL LIFT 21083 2,472.33$
21084 PR PREP FACE/ORAL PROST SPEECH AID 21084 2,836.47$
21085 PR PREP FACE/ORAL PROST ORAL SPLINT 21085 1,191.58$
21086 PR PREP FACE/ORAL PROST AURICULAR 21086 2,924.23$
21087 PR PREP FACE/ORAL PROST NASAL 21087 2,928.65$
21100 PR MAXILLOFACIAL FIXATION 21100 1,143.80$
21110 PR INTERDENTAL FIXATION 21110 1,264.71$
21116 PR INJECTION, JAW JOINT X-RAY 21116 258.97$
21120 PR RECONST CHIN AUGMENT 21120 1,089.45$
21121 PR RECONST CHIN SLIDE SINGL OSTEOTOMY 21121 1,219.63$
21122 PR RECONST CHIN SLIDE MULTIP OSTEOTMY 21122 1,265.63$
21123 PR RECONST CHIN SLIDE INTERPOS GRFT 21123 1,465.71$
21125 PR AUGMENT LOWER JAW BONE,PROSTHETIC 21125 4,671.20$
21127 PR AUGMENT LOWER JAW BONE,BONE GRAFT 21127 5,975.01$
21137 PR REDUC FOREHEAD,CONTOURING 21137 1,200.33$
21138 PR REDUC FOREHEAD,CONTOUR+GRAFT 21138 1,467.03$
21139 PR REDUC FOREHEAD,CONTOUR+SETBACK 21139 1,797.74$
21141 PR RECONST FACE,LEFORT I,1 PIECE 21141 2,173.23$
21142 PR RECONST FACE,LEFORT I,2 PIECES 21142 2,234.23$
21143 PR RECONST FACE,LEFORT I,3+ PIECES 21143 2,344.62$
21145 PR RECONST FACE,LEFORT I,1 PIECE+GRFT 21145 2,550.88$
21146 PR RECONST FACE,LEFORT I,2 PIECES+GRFT 21146 2,659.32$
21147 PR RECONST FACE,LEFORT I,3+PIECES+GRFT 21147 2,803.78$
21150 PR RECONST FACE,LEFORT II 21150 2,646.09$
21151 PR RECONST FACE,LEFORT II+GRAFT 21151 2,835.39$
21154 PR RECONST FACE,LEFORT III 21154 3,131.04$
21155 PR RECONST FACE,LEFORT III+LEFORT I 21155 3,473.00$
21159 PR RECONST FACE,LEFORT III COMPLEX 21159 4,162.08$
21160 PR RECONST FACE,LEFORT III+I COMPLX 21160 4,513.76$
21172 PR RECONST ORBIT/FOREHEAD 21172 3,237.32$
21175 PR RECONST ORBIT/FOREHEAD BIFRONTAL 21175 3,532.83$
21179 PR RECONST ENTIRE FOREHEAD+GRAFT 21179 2,425.62$
21180 PR RECONST ENTIRE FOREHEAD+AUTOGRFT 21180 2,717.55$
21181 RECONSTRUCTION OF MIDFACE WITH BONE GRAFT 21181 1,180.94$
21182 RECON BONY DEFECT SKULL,FOREHEAD,UPPER EYE BONES W/GRAFT, LESS THAN 40SQ CM 21182 3,397.58$
21183 RECON BONY DEFCT SKULL,FOREHEAD,UPR EYE W/GRAFT, G8ER 40SQ CM,LESS THAN 80SQCM 21183 3,702.45$
21184 PR RECONST ORB/FORHD/NASOETH,GRAFT>80 SQCM 21184 3,987.46$
21188 PR RECONST MIDFACE 21188 2,692.90$
21193 PR RECONST MANDIBLE,C/L OSTEOTOMY 21193 2,040.85$
21194 PR RECONST MANDIBLE,C/L OSTEO+GRFT 21194 2,337.47$
21195 PR RECONST MANDIBLE,SAG SPLIT 21195 2,290.38$
21196 PR RECONST MANDIBLE,SAG SPLIT+FIXATN 21196 2,363.86$
21198 PR OSTEOTOMY, MANDIBLE 21198 1,864.95$
21199 PR RECONST MANDIBLE,GLOSSAL ADVANCEMT 21199 1,722.95$
21206 PR RECONST MAXILLA,SEGMENTAL 21206 1,912.99$
21208 PR AUGMENT FACIAL BONES 21208 2,803.80$
21209 PR REDUCTION OF FACIAL BONES 21209 1,405.47$
21210 PR NASAL,MAXILLA,MALAR BONE GRAFT 21210 3,531.69$
21215 PR MANDIBLE GRAFT 21215 6,154.05$
21230 PR RIB CARTILAGE GRAFT TO FACE 21230 1,181.60$
21235 PR EAR CARTILAGE GRAFT TO FACE 21235 1,144.90$
21240 PR ARTHROPLASTY TMJ 21240 1,787.33$
21242 PR ARTHROPLASTY TMJ+ALLOGRAFT 21242 1,657.69$
21243 PR ARTHROPLASTY TMJ+PROSTHESIS 21243 2,730.75$
21244 PR RECONSTR MANDIBLE,BONE PLATE 21244 1,683.56$
21245 PR RECONSTR JAW,PART-SUB IMPLNT 21245 1,914.92$
21246 PR RECONSTR JAW,FULL-SUB IMPLNT 21246 1,407.30$
21247 PR RECONSTR MANDIB CONDYLE 21247 2,617.94$
21248 PR RECONSTR JAW,PART-ENDO IMPLNT 21248 1,752.88$
21249 PR RECONSTR JAW,FULL,ENDO IMPLNT 21249 2,472.00$
21255 PR RECONSTR ZYGOMA/GLENOID FOSSA 21255 2,271.84$
21256 PR RECONSTR OF ORBIT 21256 1,988.02$
21260 PR REVISE ORBITS,EXTRACRANIAL 21260 2,249.10$
21261 PR REVISE ORBITS,INTRA/EXTRA 21261 3,977.52$
21263 PR REVISE ORBITS,FOREHD ADVANC 21263 3,679.15$
21267 PR REPOSITN ORBITS,EXTRACRAN 21267 2,633.19$
21268 PR REPOSITN ORBITS,INTRA/EXTRA 21268 3,293.50$
21270 PR AUGMENTATION CHEEK BONE 21270 1,617.89$
21275 PR REVISION ORBITOFACIAL BONES 21275 1,336.29$
21280 PR REVISION OF EYELID,MEDIAL 21280 912.30$
21282 PR REVISION OF EYELID,LATERAL 21282 608.45$
21295 PR REVISN JAW MUSCLE/BONE,EXTRAORAL 21295 294.82$
21296 PR REVISN JAW MUSCLE/BONE,INTRAORAL 21296 655.51$
21310 PR CLOSED RX NOSE FRACTURE, W/O MANIPULATION 21310 214.40$
21315 PR CLOSED RX NOSE FRACTURE, W/O STABILIZATION 21315 431.38$
21320 PR CLOSED RX NOSE FX W STABILIZATN 21320 399.30$
21325 PR OPEN RX NOSE FRACTURE 21325 741.74$
21330 PR OPEN RX NOSE FX COMPLICATED 21330 895.21$
21335 PR OPEN RX NOSE FX+OPEN FIX SEPTUM 21335 1,140.40$
21336 PR OPEN RX NASAL SEPTAL FRACTURE 21336 1,016.24$
21337 PR CLOSED RX NASAL SEPTAL FRACTURE 21337 635.88$
21338 PR REPAIR NASOETHMOID FRACTURE 21338 1,042.21$
21339 PR REPAIR NASOETHMOID FX+EXTERN FIXATN 21339 1,184.27$
21340 PR REPAIR NASOETHMOID COMPLEX FRACTURE 21340 1,175.00$
21343 PR OPEN RX DEPRES FRONTAL SINUS FRAC 21343 1,701.73$
21344 PR OPEN RX COMPLIC FRONT SINUS FRACT 21344 2,186.10$
21345 PR CLOSED RX NOSE/JAW FRAC+WIRES 21345 1,219.17$
21346 PR OPEN RX NOSE/JAW FRACT+WIRES 21346 1,416.69$
21347 PR OPEN RX NOSE/JAW FRACT/COMPLX 21347 1,593.92$
21348 PR OPEN RX NOSE/JAW FRACT+GRAFT 21348 1,706.55$
21355 PR CLOSED REPAIR CHEEK BONE FRAC 21355 667.92$
21356 PR OPEN RX DEPRESS ZYGOMA FRAC 21356 792.78$
21360 PR OPEN RX DEPRESS MALAR FRAC 21360 856.12$
21365 PR OPEN RX COMPLX CHEEK BONE FRAC 21365 1,772.99$
21366 PR OPEN RX COMPLX CHEEK FX+GRAFT 21366 2,036.20$
21385 PR REPAIR EYE BLOWOUT,TRANSANTRAL 21385 1,217.82$
21386 PR REPAIR EYE BLOWOUT,PERIORBITAL 21386 1,111.64$
21387 PR REPAIR EYE BLOWOUT,COMBINED 21387 1,269.94$
21390 PR REPAIR EYE BLOWOUT,PERIORB+IMPLNT 21390 1,271.67$
21395 PR REPAIR EYE BLOWOUT,PERIORB+GRFT 21395 1,610.70$
21400 PR CLOSED RX FX ORBIT 21400 305.27$
21401 PR CLOSED RX FX ORBIT W MANIPULATN 21401 822.15$
21406 PR OPEN RX FX ORBIT 21406 914.61$
21407 PR OPEN RX FX ORBIT W IMPLANT 21407 1,026.50$
21408 PR OPEN RX FX ORBIT W GRAFT 21408 1,437.07$
21421 PR CLOSED RX LEFORTE I+WIRES 21421 1,171.19$
21422 PR OPEN RX LEFORTE I 21422 1,070.49$
21423 PR OPEN RX LEFORTE I,COMPLICATED 21423 1,254.30$
21431 PR CLOSED RX LEFORTE III+WIRES 21431 1,143.83$
21432 PR OPEN RX LEFORTE III+FIXATN 21432 1,146.34$
21433 PR OPEN RX LEFORTE III,COMPLICATED 21433 2,781.60$
21435 PR OPEN RX LEFORTE III,COMPL+FIXATN 21435 2,243.72$
21436 PR OPEN RX LEFORTE III,COMPL+++ 21436 3,264.77$
21440 PR CLOSED RX DENTAL RIDGE FX 21440 919.00$
21445 PR OPEN RX DENTAL RIDGE FX 21445 1,229.73$
21450 PR CLOSED RX MANDIBLE FX 21450 895.08$
21451 PR CLOSED RX MANDIBLE FX+MANIPULATN 21451 1,189.30$
21452 PR PERCUT RX MANDIBLE FX EXT FIXATN 21452 1,012.67$
21453 PR CLOSED RX MANDIBLE FX+DENTAL FIX 21453 1,447.23$
21454 PR OPEN RX MANDIBLE FX+EXTERN FIX 21454 899.10$
21461 PR OPEN RX MANDIBLE FX 21461 3,382.47$
21462 PR OPEN RX MANDIBLE FX+DENTAL FIX 21462 3,606.95$
21465 PR OPEN RX MANDIBLE CONDYLE FX 21465 1,483.56$
21470 PR OPEN RX MANDIBLE CONDYLE FX,COMPL 21470 1,920.40$
21480 PR REDUCE TEMPOROMANDIBL DISLOC 21480 156.29$
21485 PR REDUCE TEMPOROMANDIBL DISLOC,COMP 21485 1,231.69$
21490 PR OPEN REDUCTN TEM-MANDIBLE DISLOC 21490 1,464.19$
21497 PR INTERDENTAL WIRING 21497 1,064.63$
21501 PR I&D DEEP ABSC/HEMATOMA NECK/CHEST 21501 715.06$
21502 PR I&D DEEP ABSC NECK/CHST+RIB CUT 21502 796.64$
21510 PR INCIS BONE CORTEX THORAX 21510 698.48$
21550 PR BIOPSY SOFT TISSUE NECK/CHEST 21550 414.27$
21552 PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ 3+CM 21552 708.36$
21554 PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBFASCIAL 5+CM 21554 1,160.51$
21555 PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM 21555 656.11$
21556 PR EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBFASCIAL <5CM 21556 836.40$
21557 PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM 21557 1,513.97$
21558 PR RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/> 21558 2,133.62$
21600 PR PARTIAL REMOVAL OF RIB 21600 876.53$
21610 PR COSTOTRANSVERSECTOMY 21610 1,888.34$
21615 PR REMOVAL 1ST/CERVICAL RIB 21615 976.37$
21616 PR REMOVAL 1ST RIB/NERVES 21616 1,135.17$
21620 PR PARTIAL REMOVAL OF STERNUM 21620 799.84$
21627 PR STERNAL DEBRIDEMENT 21627 854.50$
21630 PR RADICAL RESECTN STERNUM 21630 1,952.71$
21632 PR RAD RESEC STERNUM+MEDIAST NODES 21632 1,911.56$
21685 PR HYOID MYOTOMY & SUSPENSION 21685 1,563.28$
21700 PR DIVIDE SCALENUS ANTICUS 21700 570.60$
21705 PR DIVIDE SCALENUS+RESECT CERV RIB 21705 852.79$
21720 PR DIVIDE STERNOMASTOID OPEN 21720 820.71$
21725 PR DIVIDE STERNOMASTOID OPEN+CAST 21725 859.77$
21740 PR RECONST PECTUS EXCAV/CARIN,OPEN 21740 1,638.20$
21750 PR CLOSE MED STERNOTOMY SEP, W/WO DEBRIDE 21750 1,083.60$
21811 PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS 21811 950.45$
21812 PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS 21812 1,157.00$
21813 PR OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS 21813 1,571.36$
21820 PR CLOSED RX STERNUM FRACTURE 21820 225.26$
21825 PR OPEN RX STERNUM FRACTURE 21825 853.46$
21920 PR BIOPSY SOFT TISSUE BACK,SUPERF 21920 407.07$
21925 PR BIOPSY SOFT TISSUE BACK,DEEP 21925 710.23$
21930 PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM 21930 749.60$
21931 PR EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ 3+CM 21931 746.00$
21932 PR EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM 21932 1,049.96$
21933 PR EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5+CM 21933 1,171.12$
21935 PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM 21935 1,631.03$
21936 PR RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/> 21936 2,251.06$
22010 PR I&D, POST SPINE, CERV/THOR/CERV-THOR 22010 1,506.12$
22015 PR I&D, POST SPINE, LUMB/SACR/LUMBOSAC 22015 1,495.07$
22100 PR REMV PART POST CERV VERT,1 LVL 22100 1,417.17$
22101 PR REMV PART POST THOR VERT,1 LVL 22101 1,406.46$
22102 PR REMV PART POST LUMB VERT,1 LVL 22102 1,263.92$
22103 PR REMV PART POST VERT,EA ADDN SGMT 22103 224.15$
22110 PR REMV PART CERV VERT BODY,1 LVL 22110 1,645.56$
22112 PR REMV PART THOR VERT BODY,1 LVL 22112 1,760.91$
22114 PR REMV PART LUMB VERT BODY,1 LVL 22114 1,760.91$
22116 PR REMV PART VERT BODY,EA ADDN SGMT 22116 224.50$
22206 PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC 22206 3,870.24$
22207 PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR 22207 3,814.57$
22208 PR OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM 22208 941.13$
22210 PR OSTEOTOMY CERV SP,POST,1 LVL 22210 2,833.74$
22212 PR OSTEOTOMY THOR SP,POST,1 LVL 22212 2,360.24$
22214 PR OSTEOTOMY LUMB SP,POST,1 LVL 22214 2,365.56$
22216 PR OSTEOTOMY,POST,EA ADDN SGMT 22216 579.65$
22220 PR OSTEOTOMY CERV SP,ANT,REMV DISK 22220 2,541.17$
22222 PR OSTEOTOMY THOR SP,ANT,REMV DISK 22222 2,742.68$
22224 PR OSTEOTOMY LUMB SP,ANT,REMV DISK 22224 2,521.40$
22226 PR OSTEOTOMY,DISKECT,ANT,EA ADDNL SGMT 22226 578.13$
22310 PR CLOSED TREAT VERT BODY FRACT 22310 489.89$
22315 PR CLOSED TREAT VERT BODY FX,MANIPULATN 22315 1,397.96$
22318 PR ODONTOID FX,W/O GRAFT,OPEN 22318 2,572.81$
22319 PR ODONTOID,FX,GRAFTING,OPEN 22319 2,875.97$
22325 PR OPEN POST RX LUMB VERT FX,1 LVL 22325 2,278.16$
22326 PR OPEN POST RX CERV VERT FX,1 LVL 22326 2,357.22$
22327 PR OPEN POST RX THOR VERT FX,1 LVL 22327 2,374.83$
22328 PR OPEN POST REPAIR EA ADDN VERT FX 22328 447.79$
22505 PR MANIPULATION SPINE W ANESTHESIA 22505 210.39$
22510 PR PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC 22510 2,661.22$
22511 PR PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL 22511 2,626.97$
22512 PR VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL 22512 1,505.54$
22513 PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION 22513 11,257.06$
22514 PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR 22514 11,203.93$
22515 PR PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH 22515 6,782.03$
22532 PR ARTHRODESIS LATERAL EXTRACAVITARY THORACIC 22532 2,836.12$
22533 PR ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR 22533 2,643.56$
22534 PR ARTHRODESIS LATERAL EXTRACAVITARY EA ADDL THRC/LMBR 22534 574.98$
22548 PR ARTHRODESIS TRANS/EXTRA ORAL C1-C2 W/WO ODONTOID EXCISION 22548 3,089.39$
22551 PR ARTHRODESIS ANT INTERBODY INC DISCECTOMY, CERVICAL BELOW C2 22551 2,845.33$
22552 PR ARTHRODESIS ANT INTERBODY INC DISCECTOMY, CERVICAL BELOW C2 EACH ADDL 22552 664.53$
22554 PR ARTHRODESIS ANT INTERBODY MIN DISCECTOMY, CERVICAL BELOW C2 22554 1,983.91$
22556 PR ARTHRODESIS ANT INTERBODY MIN DISCECTOMY,THORACIC 22556 2,644.75$
22558 PR ARTHRODESIS ANT INTERBODY MIN DISCECTOMY,LUMBAR 22558 2,440.48$
22585 PR ARTHRODESIS ANT INTERBODY MIN DISCECTOMY,EA ADDL 22585 522.90$
22586 PR ARTHRODESIS PRESACRAL INTRBDY W/INSTRUMENT L5/S1 22586 3,135.76$
22590 PR ARTHRODESIS POSTERIOR CRANIOCERVICAL 22590 2,488.76$
22595 PR ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2 22595 2,376.43$
22600 PR ARTHRODESIS POSTERIOR/POSTERIORLATERAL CERVICAL BELOW C2 22600 2,036.17$
22610 PR ARTHRODESIS POSTERIOR/POSTEROLATERAL THORACIC 22610 2,000.96$
22612 PR ARTHRODESIS POSTERIOR/POSTEROLATERAL LUMBAR 22612 2,521.43$
22614 PR ARTHRODESIS POSTERIOR/POSTEROLATERAL EA ADDL 22614 622.26$
22630 PR ARTHRODESIS POSTERIOR INTERBODY LUMBAR 22630 2,484.29$
22632 PR ARTHRODESIS POSTERIOR INTERBODY EA ADDL 22632 510.33$
22633 PR ARTHDSIS POST/POSTEROLATRL/POSTINTERBODY LUMBAR 22633 2,938.32$
22634 PR ARTHDSIS POST/POSTERLATRL/POSTINTRBDYADL SPC/SEG 22634 789.13$
22800 PR ARTHRODESIS POSTERIOR SPINAL DEFORMITY UP 6 SEGMENTS 22800 2,148.12$
22802 PR ARTHRODESIS POSTERIOR SPINAL DEFORMITY UP 7-12 SEGMENTS 22802 3,351.46$
22804 PR ARTHRODESIS POSTERIOR SPINAL DEFORMITY UP 13+ SEGMENTS 22804 3,864.12$
22808 PR ARTHRODESIS ANTERIOR SPINAL DEFORMITY 2-3 SEGMENTS 22808 2,940.56$
22810 PR ARTHRODESIS ANTERIOR SPINAL DEFORMITY 4-7 SEGMENTS 22810 3,158.45$
22812 PR ARTHRODESIS ANTERIOR SPINAL DEFORMITY 8+ SEGMENTS 22812 3,535.77$
22818 PR KYPHECTOMY, 1-2 SEGMENTS 22818 3,473.61$
22819 PR KYPHECTOMY, 3 & MORE SEGMENT 22819 3,992.75$
22830 PR EXPLORATION OF SPINAL FUSION 22830 1,290.83$
22840 PR POSTERIOR NON-SEGMENTAL INSTRUMENTATION 22840 1,210.19$
22842 PR POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG 22842 1,214.71$
22843 PR POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG 22843 1,300.07$
22844 PR POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SEG 22844 1,576.11$
22845 PR ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS 22845 1,159.74$
22846 PR ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS 22846 1,204.04$
22847 PR ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS 22847 1,299.09$
22848 PR PELVIC FIXATION OTHER THAN SACRUM 22848 574.71$
22849 PR REINSERT SPINAL FIXATION 22849 2,061.61$
22850 PR REMOVE SPINE FIX DEV,HARRINGTON 22850 1,146.07$
22851 PR APPLICATION INTERVERTEBRAL BIOMECHANICAL DEVICE 22851 637.49$
22852 PR REMOVE SPINE FIX DEV,POST SGMTAL 22852 1,100.70$
22853 PR INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD 22853 825.00$
22854 PR INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD 22854 517.49$
22855 PR REMOVE SPINE FIX DEV,ANTERIOR 22855 1,753.06$
22856 PR TOTAL DISC ARTHROPLASTY, CERVICAL, SINGLE 22856 2,590.34$
22857 PR TOTAL DISC ARTHROPLASTY, LUMBAR, SINGLE 22857 2,693.79$
22858 INSERTION OF ARTIFICIAL UPPER SPINE DISC ANTERIOR APPROACH 22858 813.38$
22859 PR INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD 22859 517.49$
22861 PR REVISION TOTAL DISC ARTHROPLASTY, CERVICAL, SINGLE 22861 3,665.43$
22862 PR REVISION TOTAL DISC ARTHROPLASTY, LUMBAR, SINGLE 22862 3,650.03$
22864 PR REMOVE TOTAL DISC ARTHROPLASTY, CERVICAL, SINGLE 22864 3,270.07$
22865 PR REMOVE TOTAL DISC ARTHROPLASTY, LUMBAR, SINGLE 22865 3,243.19$
22867 PR INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL 22867 1,486.20$
22868 PR INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL 22868 377.04$
22869 PR INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL 22869 841.60$
22870 PR INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL 22870 217.68$
22900 PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM 22900 896.12$
22901 PR EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5+CM 22901 1,057.06$
22902 PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM 22902 692.67$
22903 PR EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3+CM 22903 696.61$
22904 PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM 22904 1,670.30$
22905 PR RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/> 22905 2,118.47$
23000 PR REMOVAL SUBDELTOID CALCAREOUS DEP,OPEN 23000 918.60$
23020 PR RELEASE SHLDR JOINT CONTRACTURE 23020 1,096.26$
23030 PR INCIS/DRAIN SHLDR ABSC/HEMA,DEEP 23030 706.96$
23031 PR DRAIN INFECT SHOULDER BURSA 23031 661.25$
23035 PR DRAIN SHOULDER BONE LESION 23035 1,079.84$
23040 PR DEEP INCIS SHLDR BONE CORTEX 23040 1,139.70$
23044 PR EXPLOR/REMV INFECT GLENO-HUM JT 23044 898.54$
23065 PR BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL 23065 345.63$
23066 PR BIOPSY SOFT TISSUE SHOULDER DEEP 23066 884.27$
23071 PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3+CM 23071 666.50$
23073 PR EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5+CM 23073 1,103.04$
23075 PR EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM 23075 746.05$
23076 PR EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM 23076 856.86$
23077 PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM 23077 1,811.30$
23078 PR RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/> 23078 2,287.05$
23100 PR OPEN BIOPSY SHOULDER JOINT 23100 795.70$
23101 PR OPEN BX/EXCIS CART A-C/S-C JOINT 23101 724.65$
23105 PR REMOVE SHOULDER JOINT SYNOVIUM 23105 1,014.77$
23106 PR REMOVE STERNOCLAV JT SYNOVIUM 23106 788.60$
23107 PR EXPLORE SHOULDER JOINT 23107 1,051.45$
23120 PR PARTIAL REMOVAL, CLAVICLE 23120 928.04$
23125 PR TOTAL REMOVAL OF CLAVICLE 23125 1,127.51$
23130 PR PARTIAL REMOVAL/REPAIR,ACROMION 23130 968.27$
23140 PR EXCIS/CURET BENIGN TUMR CLAV/SCAPULA 23140 848.12$
23145 PR EXCIS BENIGN TUMR CLAV/SCAP,AUTOGRFT 23145 1,104.49$
23146 PR EXCIS BENIGN TUMR CLAV/SCAP,ALLOGRFT 23146 986.77$
23150 PR EXCIS/CURET BENIGN TUMR PROX HUMERUS 23150 1,053.61$
23155 PR EXCIS BENIG TUMR PROX HUMER,AUTOGRFT 23155 1,261.03$
23156 PR EXCIS BENIG TUMR PROX HUMER,ALLOGRFT 23156 1,076.94$
23170 PR SEQUESTRECTOMY, CLAVICLE 23170 890.65$
23172 PR SEQUESTRECTOMY, SCAPULA 23172 899.61$
23174 PR SEQUESTRECTOMY,HUMER HEAD-SURG NECK 23174 1,205.03$
23180 PR PART EXCIS CLAVICLE 23180 1,039.15$
23182 PR PART EXCIS SCAPULA 23182 1,040.80$
23184 PR PART EXCIS PROX HUMERUS 23184 1,160.69$
23190 PR PART REMV SCAPULA 23190 908.47$
23195 PR REMOVAL OF HEAD OF HUMERUS 23195 1,201.40$
23200 PR RAD RESECT CLAVICLE FOR TUMOR 23200 2,417.88$
23210 PR RAD RESECT SCAPULA FOR TUMOR 23210 2,841.73$
23220 PR RAD RESECT PROX HUMERUS FOR TUMOR 23220 3,121.39$
23330 PR REMOVE SUBCUT SHOULDER FOREIGN BODY 23330 432.65$
23333 PR REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM 23333 741.02$
23334 PR PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT 23334 1,712.62$
23335 PR PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT 23335 2,039.20$
23350 PR INJ PROC SHOULDER ARTHROGRAPHY/CT/MRI 23350 205.97$
23395 PR MUSCLE TRANSFER,SHOULDER/ARM,SINGLE 23395 2,041.92$
23397 PR MUSCLE TRANSFER,SHLDR/ARM,MULTIPLE 23397 1,807.66$
23400 PR FIXATION OF SHOULDER BLADE 23400 1,545.14$
23405 PR INCISE TENDON/MUSCLE,SHLDR,SINGLE 23405 984.93$
23406 PR INCISE TENDON/MUSCLE,SHLDR,MULTIPLE 23406 1,225.92$
23410 PR REPAIR ROTATOR CUFF,ACUTE 23410 1,305.96$
23412 PR REPAIR ROTATOR CUFF,CHRONIC 23412 1,355.33$
23415 PR CORACO-ACROMIAL LIG RELEASE 23415 1,107.12$
23420 PR REPAIR COMPL ROTATOR CUFF AVULSN,CHR 23420 1,542.24$
23430 PR REPAIR BICEPS LONG TENDON 23430 1,183.10$
23440 PR REMV/TRANSPLANT LONG BICEPS TENDON 23440 1,198.69$
23450 PR REPAIR SHOULDER CAPSULE,ANTERIOR 23450 1,509.87$
23455 PR REPAIR SHOULDER CAPSULE,BANKART 23455 1,587.18$
23460 PR REPAIR SHLDR CAPSUL,ANT,BONE BLOCK 23460 1,735.42$
23462 PR REPAIR SHLDR CAPSU,ANT,CORACOID XFER 23462 1,693.96$
23465 PR REPAIR SHLDR CAPSU,POST,RECUR DISLOC 23465 1,780.61$
23466 PR REPAIR SHLDR CAPSU FOR INSTABILITY 23466 1,790.12$
23470 PR RECONSTRUCT PROX HUMERAL IMPLANT 23470 1,911.11$
23472 PR RECONSTR TOTAL SHOULDER IMPLANT 23472 2,321.86$
23473 PR REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT 23473 2,591.39$
23474 PR REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT 23474 2,798.93$
23480 PR OSTEOTOMY CLAVICLE 23480 1,306.32$
23485 PR OSTEOTOMY CLAVICLE W BONE GRAFT 23485 1,514.17$
23490 PR REINFORCE CLAVICLE 23490 1,371.93$
23491 PR REINFORCE PROX HUMERUS/HEAD 23491 1,614.76$
23500 PR CLOSED RX CLAVICLE FRACTURE 23500 347.33$
23505 PR CLOSED RX CLAVICLE FX,MANIPULATN 23505 558.46$
23515 PR OPEN TREATMENT CLAVICULAR FRACTURE INTERNAL FX 23515 1,143.83$
23520 PR CLOSED RX STERNO-CLAV DISLOC 23520 367.70$
23525 PR CLOSED RX STERN-CLAV DISLOC,MANIP 23525 610.60$
23530 PR OPEN RX STERN-CLAV DISLOC 23530 909.05$
23532 PR OPEN RX STERN-CLAV DISLOC,FASC GRFT 23532 991.78$
23540 PR CLOSED RX A-C JT DISLOC 23540 357.39$
23545 PR CLOSED RX A-C JT DISLOC,MANIPULATN 23545 543.20$
23550 PR OPEN RX A-C JT DISLOC 23550 894.02$
23552 PR OPEN RX A-C JT DISLOC,FASCIAL GRFT 23552 1,039.57$
23570 PR CLOSED RX SCAPULA FX 23570 368.86$
23575 PR CLOSED RX SCAPULA FX,MANIPULATN 23575 636.47$
23585 PR OPEN RX SCAPULA FRACTURE 23585 1,559.65$
23600 PR CLOSED RX PROX HUMERUS FRACTURE 23600 517.75$
23605 PR CLOSED RX PROX HUMERUS FX,MANIP 23605 733.89$
23615 PR OPEN TREATMENT PROX HUMERAL FRACTURE 23615 1,407.15$
23616 PR OPEN PROX HUMERAL FRACTURE PROSHETIC REPLACEMENT 23616 1,975.25$
23620 PR CLOSED RX GR TUBEROSITY HUM FX 23620 427.00$
23625 PR CLOSED RX GR TUBER HUM FX,MANIP 23625 598.97$
23630 PR OPEN RX GR TUBEROSITY FX 23630 1,239.71$
23650 PR CLOSED RX SHLDR DISLOCATION 23650 500.61$
23655 PR CLOSED RX SHLDR DISLOC,ANESTHESIA 23655 636.75$
23660 PR OPEN RX ACUTE SHLDR DISLOC 23660 925.98$
23665 PR CLOSED RX SHLDR DISLOC,GR TUB FX 23665 673.55$
23670 PR OPEN RX SHLDR DISLOC,GR TUB FX 23670 1,390.93$
23675 PR CLOSED RX SHLDR DISLOC,PROX HUM FX 23675 868.76$
23680 PR OPEN RX SHLDR DISLOC,PROX HUM FX 23680 1,478.33$
23700 PR MANIPULATN SHLDR JT W ANESTHESIA 23700 312.02$
23800 PR FUSION SHOULDER JOINT 23800 1,632.38$
23802 PR FUSION SHOULDER JOINT W GRAFT 23802 2,045.44$
23900 PR AMPUTATION OF ARM & GIRDLE 23900 2,212.42$
23920 PR AMPUTATION AT SHOULDER JOINT 23920 1,796.06$
23921 PR AMPUTATION SHLDR JT,2ND CLOSURE 23921 742.90$
23930 PR INCIS/DRAIN ARM,DEEP ABSC/HEMATOMA 23930 567.06$
23931 PR INCIS/DRAIN ARM/ELBOW INFECT BURSA 23931 458.22$
23935 PR INCIS DEEP ARM/ELBOW BONE LESION 23935 802.26$
24000 PR EXPLORE/DRAIN ELBOW FOR INFECT 24000 757.25$
24006 PR ARTHROTOMY/CAPULE RELEASE ELBOW JT 24006 1,129.74$
24065 PR BX ARM/ELBOW SOFT TISSUE,SUPERFICIAL 24065 407.55$
24066 PR BX ARM/ELBOW SOFT TISSUE,DEEP 24066 981.39$
24071 PR EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3+CM 24071 645.22$
24073 PR EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5+CM 24073 1,101.66$
24075 PR EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM 24075 777.38$
24076 PR EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM 24076 864.48$
24077 PR RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW <5CM 24077 1,646.78$
24079 PR RAD RESECT TUMOR SOFT TISS UPPER ARM/ELBOW 5CM/> 24079 2,113.39$
24100 PR BIOPSY SYNOVIUM ELBOW JOINT 24100 662.97$
24101 PR EXPLORE ELBOW JOINT 24101 792.66$
24102 PR EXPLOR ELBOW JT/REMOV SYNOVIUM 24102 978.96$
24105 PR REMOVAL OF ELBOW BURSA 24105 556.25$
24110 PR EXCIS/CURET BENIGN HUMERUS LESN 24110 931.14$
24115 PR EXCIS BENIGN HUMERUS LESN,AUTOGRFT 24115 1,172.31$
24116 PR EXCIS BENIGN HUMERUS LESN,ALLOGRFT 24116 1,371.43$
24120 PR EXCIS/CURET BENIGN ELBOW LESN 24120 842.52$
24125 PR EXCIS BENIGN ELBOW LESN,AUTOGRFT 24125 985.68$
24126 PR EXCIS BENIGN ELBOW LESN,ALLOGRFT 24126 1,031.43$
24130 PR REMOVAL OF HEAD OF RADIUS 24130 807.35$
24134 PR SEQUESTRECTOMY,MID/DIST HUMERUS 24134 1,188.18$
24136 PR SEQUESTRECTOMY,RAD HEAD/NECK 24136 1,002.24$
24138 PR SEQUESTRECTOMY,OLECRANNON PROCESS 24138 1,071.91$
24140 PR PARTIAL REMOVAL HUMERUS 24140 1,117.08$
24145 PR PARTIAL REMOVAL RADIAL HEAD/NECK 24145 940.45$
24147 PR PARTIAL REMOVAL OLECRANNON PROCESS 24147 989.19$
24149 PR RADICAL RESECT ELBOW, CONTRAC RELEAS 24149 1,871.71$
24150 PR RADICAL RESEC MID/DIST HUMERUS 24150 2,482.29$
24152 PR RADICAL RESEC RADIAL HEAD/NECK 24152 2,155.25$
24155 PR RESECTION OF ELBOW JOINT 24155 1,358.07$
24160 PR PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS 24160 2,012.84$
24164 PR PROSTHESIS REMOVAL RADIAL HEAD 24164 1,161.24$
24200 PR REMOVAL ARM/ELBOW F.B.,SUPERFICIAL 24200 329.44$
24201 PR REMOVAL ARM/ELBOW F.B.,DEEP 24201 872.31$
24220 PR INJECTION FOR ELBOW ARTHROGRAM 24220 248.80$
24300 PR MANIPULATE ELBOW W/ANESTH 24300 659.51$
24301 PR MUSC/TENDON XFER,ARM/ELBOW,SINGLE 24301 1,193.73$
24305 PR ARM/ELBOW TENDON LENGTHEN,SINGLE,EA 24305 918.16$
24310 PR TENOTOMY,ELBOW-SHLDR,SINGL,EACH 24310 745.90$
24320 PR TENOPLASTY,ELB-SHLDR,MUSC XFER,SINGL 24320 1,241.67$
24330 PR FLEXORPLASTY,ELBOW 24330 1,141.31$
24331 PR FLEXORPLASTY,ELBOW,EXTENSOR ADVANCMT 24331 1,250.47$
24332 PR TENOLYSIS, TRICEPS 24332 973.05$
24340 PR REPAIR OF BICEPS TENDON AT ELBOW 24340 974.08$
24341 PR MUSC/TENDON REPAIR EACH; ARM/ELBOW 24341 1,183.97$
24342 PR REINSERT BI/TRICEPS TENDON,DISTAL 24342 1,233.54$
24343 PR REELBOW LAT LIGMNT W/TISS 24343 1,123.12$
24344 PR RECONSTRUCT ELBOW LAT LIGMNT W/GRAFT 24344 1,750.44$
24345 PR REELBW MED LIGMNT W/TISS 24345 1,116.77$
24346 PR RECONSTRUCT ELBOW MED LIGMNT W/GRAFT 24346 1,747.66$
24357 PR TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS 24357 669.09$
24358 PR TENOTOMY ELBOW LATERAL/MEDIAL DEBRIDE OPEN 24358 831.19$
24359 PR TENOTOMY ELBOW LATERAL/MEDIAL DEBRIDE REPAIR 24359 1,049.53$
24360 PR ARTHROPLASTY,ELBOW,W MEMBRANE 24360 1,430.90$
24361 PR ARTHROPLASTY,ELBOW,DIST HUMER PROSTH 24361 1,601.42$
24362 PR ARTHROPLASTY,ELBOW,IMPLNT/RECONSTRUC 24362 1,687.26$
24363 PR ARTHROPLASTY,ELBOW,TOTAL PROSTH REPL 24363 2,323.48$
24365 PR RECONSTRUCT RADIAL HEAD 24365 1,015.94$
24366 PR RECONSTRUCT RADIAL HEAD W IMPLANT 24366 1,081.48$
24370 PR REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT 24370 2,464.08$
24371 PR REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT 24371 2,867.07$
24400 PR OSTEOTOMY HUMERUS 24400 1,303.32$
24410 PR OSTEOTOMY,HUMERUS,MULTI,REALIGN ROD 24410 1,682.03$
24420 PR OSTEOPLASTY HUMERUS 24420 1,582.25$
24430 PR REPAIR NON/MALUNION HUMERUS 24430 1,680.62$
24435 PR REPAIR NON/MALUNION HUMERUS,GRAFT 24435 1,711.89$
24470 PR HEMIEPIPHYSEAL ARREST DIST HUMERUS 24470 1,066.38$
24495 PR DECOMPRESS FOREARM,BRACH ART EXPLOR 24495 1,171.48$
24498 PR REINFORCE HUMERUS 24498 1,376.40$
24500 PR CLOSED RX MID HUMERUS FRACTURE 24500 568.71$
24505 PR CLOSED RX MID HUMERUS FX,MANIPULATN 24505 786.31$
24515 PR OPEN FIXATN MID HUMERUS FRACTURE 24515 1,393.43$
24516 PR OPEN ROD FIXATN HUMERAL SHAFT FX 24516 1,367.19$
24530 PR CLOSED RX HUMERAL SUPRACONDYLAR FX 24530 603.31$
24535 PR CLOSED RX HUM SUPRACONDYLR FX,MANIPU 24535 978.05$
24538 PR PERCUT FIX HUM SUPRACONDYLAR FX 24538 1,181.07$
24545 PR OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN 24545 1,479.57$
24546 PR OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W XTN 24546 1,654.59$
24560 PR CLOSED RX HUMER EPICONDYLR FX 24560 510.10$
24565 PR CLOSED RX HUMER EPICONDYLR FX,MANIP 24565 845.77$
24566 PR PERCUT FIXATN HUMERAL EPICONDYLAR FX 24566 1,138.88$
24575 PR OPEN TX HUMERAL EPICONDYLAR FRACTURE 24575 1,166.98$
24576 PR CLOSED RX HUMER CONDYLR FX 24576 540.16$
24577 PR CLOSED RX HUMER CONDYLR FX,MANIP 24577 871.66$
24579 PR OPEN TX HUMERAL CONDYLAR FRACTURE 24579 1,329.04$
24582 PR PERCUT FIXATN HUMERAL CONDYLAR FX 24582 1,284.61$
24586 PR OPEN RX PERIARTIC FX/DISLOC ELBOW 24586 1,726.64$
24587 PR OPEN RX PERIARTIC FX ELBOW,IMPLNT 24587 1,739.35$
24600 PR CLOSED RX ELBOW DISLOCATION 24600 580.34$
24605 PR CLOSED RX ELBOW DISLOCATN,ANESTHESIA 24605 745.88$
24615 PR OPEN RX ELBOW DISLOCATION 24615 1,133.70$
24620 PR CLOSED RX MONTEGGIA FX/DISLOC ELBOW 24620 875.79$
24635 PR OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW 24635 1,070.90$
24640 PR CLOSED RX RADIAL HEAD DISLOC,CHILD 24640 159.19$
24650 PR CLOSED RX RADIAL HEAD/NECK FX 24650 415.73$
24655 PR CLOSED RX RADIAL HEAD/NECK FX,MANIP 24655 694.75$
24665 PR OPEN TX RADIAL HEAD/NECK FRACTURE 24665 1,038.66$
24666 PR OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC 24666 1,165.44$
24670 PR CLOSED TX ULNAR FRACTURE PROX END W/O MANIPULATE 24670 461.51$
24675 PR CLOSED TX ULNAR FRACTURE PROX END W MANIPULATION 24675 720.09$
24685 PR OPEN TX ULNAR FRACTURE PROX END 24685 1,039.37$
24800 PR FUSION OF ELBOW JOINT 24800 1,319.41$
24802 PR FUSION/GRAFT OF ELBOW JOINT 24802 1,593.72$
24900 PR AMPUTATN ARM,THRU HUMERUS,PRIM CLOS 24900 1,176.19$
24920 PR AMPUTATN ARM,THRU HUMERUS,CIRCULAR 24920 1,164.59$
24925 PR AMPUTATN ARM,THRU HUMER,SECOND CLOS 24925 889.65$
24930 PR RE-AMPUTATN ARM,THRU HUMERUS 24930 1,231.08$
24931 PR AMPUTATE UPPER ARM & IMPLANT 24931 1,485.00$
24935 PR STUMP ELONGATN,UPPER EXTREM 24935 1,833.68$
25000 PR INCIS TENDON SHEATH,RADIAL STYLOID 25000 534.65$
25001 PR INCIS FLEXOR TENDON SHEATH,WRIST 25001 545.92$
25020 PR DECOMP FOREARM,1 COMPART,W/O DEBRIDE 25020 910.80$
25023 PR DECOMPRESS FOREARM,EXCIS MUSC/NERV 25023 1,762.70$
25024 PR DECOMP FOREARM,2 COMPART,W/O DEBRIDE 25024 1,232.25$
25025 PR DECOMP FOREARM,2 COMPART,W/ DEBRIDE 25025 1,930.14$
25028 PR INCIS/DRAIN FOREARM DEEP ABSCESS 25028 834.27$
25031 PR INCIS/DRAIN FOREARM INFECTED BURSA 25031 558.57$
25035 PR INCIS FOREARM BONE LESION 25035 929.13$
25040 PR ARTHROTOMY RADIOCARPAL/ MIDCARPAL W EXPLORE, DRAIN, REMOVE FB 25040 894.61$
25065 PR BIOPSY FOREARM SOFT TISSUES,SUPERFIC 25065 402.75$
25066 PR BIOPSY FOREARM SOFT TISSUES,DEEP 25066 569.27$
25071 PR EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3+CM 25071 675.21$
25073 PR EXC TUMOR SFT TISS FOREARM&//WRIST SUBFASC 3+CM 25073 847.59$
25075 PR EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM 25075 757.32$
25076 PR EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM 25076 824.34$
25077 PR RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM 25077 1,406.82$
25078 PR RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/> 25078 1,854.83$
25085 PR INCISION OF WRIST CAPSULE 25085 714.24$
25100 PR BIOPSY OF WRIST JOINT 25100 548.30$
25101 PR ARTHROTOMY WRIST W/WO EXPLORE, DRAIN, FB REMOVAL 25101 640.68$
25105 PR EXPLOR WRIST JT/REMV SYNOVIUM 25105 765.96$
25107 PR REPAIR TRIANGULAR CART,WRIST JT 25107 981.12$
25109 PR EXCISE TENDON FOREARM/ WRIST 25109 856.25$
25110 PR EXCIS TENDON SHEATH LESN,WRIST/FORE 25110 540.61$
25111 PR EXCIS PRIMARY GANGLION WRIST 25111 508.60$
25112 PR EXCIS RECURRENT GANGLION WRIST 25112 614.26$
25115 PR RAD EXCIS WRIST SYNOV/TENDON,FLEXOR 25115 1,208.63$
25116 PR RAD EXCIS WRIST SYNOV/TENDON,EXTEN 25116 955.47$
25118 PR EXCIS SYNOV WRIST,EXTENS TENDON 25118 605.83$
25119 PR EXCIS SYNOV WRIST,PART REMV ULNA 25119 791.85$
25120 PR EXCIS/CURET BENIG BONE LES RAD/ULNA 25120 789.82$
25125 PR EXCIS BENIGN LESN RAD/ULNA,AUTOGRFT 25125 941.06$
25126 PR EXCIS BENIGN LESN RAD/ULNA,ALOGRFT 25126 947.73$
25130 PR EXCIS BENIGN LESN CARPALS 25130 710.39$
25135 PR EXCIS BENIGN LESN CARPALS,AUTOGRFT 25135 886.73$
25136 PR EXCIS BENIGN LESN CARPALS,ALLOGRFT 25136 782.55$
25145 PR SEQUESTRECTOMY,FOREARM/WRIST 25145 820.63$
25150 PR PART REMOVAL BONE,ULNA 25150 900.77$
25151 PR PART REMOVAL BONE,RADIUS 25151 926.87$
25170 PR RAD RESEC TUMOR, FOREARM 25170 2,357.83$
25210 PR REMOVAL OF CARPAL BONE 25210 775.48$
25215 PR REMOVAL OF PROX ROW CARPAL BONES 25215 982.95$
25230 PR REMOVAL OF RADIAL STYLOID 25230 688.23$
25240 PR EXCIS DISTAL ULNA,PART/COMPLETE 25240 681.73$
25246 PR INJECTION FOR WRIST ARTHROGRAM 25246 255.65$
25248 PR REMOVE FOREARM/WRIST FOREIGN BODY 25248 653.93$
25250 PR REMOVAL WRIST PROSTHESIS 25250 841.68$
25251 PR REMOVAL WRIST PROSTHESIS,COMPLIC 25251 1,143.47$
25259 PR MANIPULATE WRIST W/ANESTHES 25259 660.33$
25260 PR REFOREARM TEND/MUSC,FLEX,PRIM,EA 25260 1,001.20$
25263 PR REFOREARM TEND/MUSC,FLEX,SECON,EA 25263 995.64$
25265 PR REFOREARM TEND/FLEX,SECOND,GRFT 25265 1,201.70$
25270 PR REFOREARM TEND/MUSC,EXTEN,PRIM,EA 25270 779.34$
25272 PR REFOREARM TEND/MUSC,EXTEN,SECOND 25272 884.02$
25274 PR REFOREARM TEND/EXT,SECOND,GRAFT,EA 25274 1,068.62$
25275 PR REFOREARM EXT TEND SHEATH,GRAFT 25275 1,068.44$
25280 PR REVISE WRIST/FOREARM TENDON 25280 896.96$
25290 PR INCISE WRIST/FOREARM TENDON 25290 693.92$
25295 PR RELEASE WRIST/FOREARM TENDON 25295 834.26$
25300 PR FUSION TENDONS WRIST,FINGR FLEXORS 25300 1,095.24$
25301 PR FUSION TENDONS WRIST,FINGR EXTENSORS 25301 1,023.36$
25310 PR TRANSPLANT FOREARM/WRIST TENDON 25310 986.25$
25312 PR XPLANT FOREARM TENDON,W TENDON GRFT 25312 1,142.26$
25315 PR REVISE PALSY HAND TENDON(S) 25315 1,224.61$
25316 PR REVISE PALSY HAND TENDON(S),W XFER 25316 1,452.64$
25320 PR REVISE WRIST JOINT,CARPAL INSTABIL 25320 1,571.21$
25332 PR ARTHROPLASTY WRIST JT 25332 1,340.63$
25335 PR REALIGNMENT OF WRIST ON ULNA 25335 1,499.39$
25337 PR RECONSTRUCT ULNA/RADIOULNAR 25337 1,421.19$
25350 PR OSTEOTOMY RADIUS,DISTAL THIRD 25350 1,073.61$
25355 PR OSTEOTOMY RADIUS,PROX/MID THIRD 25355 1,217.45$
25360 PR OSTEOTOMY ULNA 25360 1,039.65$
25365 PR OSTEOTOMY RADIUS/ULNA 25365 1,454.19$
25370 PR OSTEOTOMY+ROD,RADIUS OR ULNA 25370 1,599.51$
25375 PR OSTEOTOMY+ROD,RADIUS AND ULNA 25375 1,514.87$
25390 PR OSTEOPLASTY,RADIUS OR ULNA,SHORTEN 25390 1,225.69$
25391 PR OSTEOPLASTY,RADIUS OR ULNA,LENTH W/GRAFT 25391 1,583.39$
25392 PR OSTEOPLASTY,RADIUS AND ULNA,SHORTEN 25392 1,611.95$
25393 PR OSTEOPLASTY,RADIUS AND ULNA,LENTH W/GRFT 25393 1,798.85$
25394 PR OSTEOPLASTY,CARPAL BONE,SHORTEN 25394 1,246.06$
25400 PR REPAIR NONUNION RADIUS OR ULNA 25400 1,279.29$
25405 PR REPAIR NONUNION RADIUS OR ULNAW/GRAFT 25405 1,650.71$
25415 PR REPAIR NONUNION RADIUS AND ULNA 25415 1,538.05$
25420 PR REPAIR NONUNION RADIUS AND ULNA W/GRAFT 25420 1,858.56$
25425 PR REPAIR DEFECT RAD OR ULNA W/ AUTOGRFT 25425 1,530.38$
25426 PR REPAIR DEFECT RAD AND ULNA W/ AUTOGRFT 25426 1,788.34$
25430 PR INSERT VASC PEDICLE,CARPAL BONE (HARII) 25430 1,161.85$
25431 PR REPAIR NONUNION CARPAL BONE,EACH 25431 1,254.33$
25440 PR REPAIR NONUNION SCAPHOID CARPAL BONE 25440 1,225.50$
25441 PR RECONSTRUCT DIST RADIUS W PROSTH 25441 1,488.89$
25442 PR RECONSTRUCT DIST ULNA W PROSTHESIS 25442 1,283.88$
25443 PR RECONSTRUCT SCAPHOID CARPAL W PROSTHESIS 25443 1,241.16$
25444 PR RECONSTRUCT LUNATE W PROSTHESIS 25444 1,313.35$
25445 PR RECONSTRUCT TRAPEZIUM W PROSTHESIS 25445 1,148.76$
25446 PR TOTAL WRIST REPLACEMENT 25446 1,869.96$
25447 PR REPAIR INTERCARP/CARP-METACARP JT 25447 1,318.89$
25449 PR REMOVE WRIST JOINT IMPLANT 25449 1,644.60$
25450 PR EPIPHYSEAL ARREST DIST RAD OR ULNA 25450 978.00$
25455 PR EPIPHYSEAL ARREST DIST RAD & ULNA 25455 1,151.88$
25490 PR REINFORCE RADIUS 25490 1,142.39$
25491 PR REINFORCE ULNA 25491 1,175.15$
25492 PR REINFORCE RADIUS AND ULNA 25492 1,437.51$
25500 PR CLOSED RX RADIAL SHAFT FX 25500 434.18$
25505 PR CLOSED RX RADIAL SHAFT FX,MANIPULATN 25505 788.83$
25515 PR OPEN TREATMENT RADIAL SHAFT FRACTURE 25515 1,063.29$
25520 PR CLOSED RX RADIAL SHAFT FX W/DISLOCATION 25520 900.85$
25525 PR OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE 25525 1,247.40$
25526 PR OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE 25526 1,518.26$
25530 PR CLOSED RX ULNA SHAFT FX 25530 417.22$
25535 PR CLOSED RX ULNA SHAFT FX,MANIPULATN 25535 770.06$
25545 PR OPEN TREATMENT OF ULNAR SHAFT FRACTURE 25545 988.09$
25560 PR CLOSED RX RAD/ULNA SHAFT FX 25560 442.04$
25565 PR CLOSED RX RAD/ULNA SHAFT FX,MANIP 25565 819.44$
25574 PR OPEN TX RADIAL & ULNAR SHAFT FX FIX RADIUS OR ULNA 25574 1,069.65$
25575 PR OPEN TX RADIAL & ULNAR SHAFT FX FIX RADIUS AND ULNA 25575 1,431.46$
25600 PR CLOSED RX DIST RAD/ULNA FX 25600 664.00$
25605 PR CLOSED RX DIST RAD/ULNA FX,MANIPUL 25605 860.29$
25606 PR PERCUT SKELETAL FIX, DISTAL RADIUS FX 25606 1,052.49$
25607 PR OPEN RX DISTAL RADIUS FX, EXTRA-ARTICULAR 25607 1,167.57$
25608 PR OPEN RX DISTAL RADIUS FX, INTRA-ARTICULAR, 2 FRAG 25608 1,310.68$
25609 PR OPEN RX DISTAL RADIUS FX, INTRA-ARTICULAR, 3+ FRAG 25609 1,666.78$
25622 PR CLOSED RX NAVICULAR FX 25622 485.00$
25624 PR CLOSED RX NAVICULAR FX,MANIPULATN 25624 758.70$
25628 PR OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE 25628 1,145.05$
25630 PR CLOSED RX CARPAL FX 25630 485.61$
25635 PR CLOSED RX CARPAL FX,MAIPULATN 25635 722.77$
25645 PR OPEN RX CARPAL BONE FX,EACH BONE 25645 903.51$
25650 PR CLOSED RX ULNA STYLOID FX 25650 507.57$
25651 PR PERCUT SKELETAL FIX,ULNAR STYLOID FX 25651 770.42$
25652 PR OPEN RX ULNAR STYLOID FX 25652 989.92$
25660 PR CLOSED TREAT WRIST DISLOCATION 25660 655.28$
25670 PR OPEN REPAIR WRIST DISLOCATION 25670 960.00$
25671 PR PERCUT SKELETAL FIX,DIST RADIOULN DISLOC 25671 842.82$
25675 PR CLOSED RX RADIO-ULNA DISLOCATION 25675 688.41$
25676 PR OPEN RX RADIO-ULNA DISLOCATION 25676 1,000.89$
25680 PR CLOSED RX NAVIC/LUNATE FX/DISLOC 25680 825.64$
25685 PR OPEN RX NAVIC-PERILUNATE FX/DISLOC 25685 1,169.04$
25690 PR CLOSED RX LUNATE DISLOCATION 25690 762.25$
25695 PR OPEN REPAIR LUNATE DISLOCATION 25695 1,005.58$
25800 PR FUSION OF WRIST JOINT 25800 1,166.14$
25805 PR FUSION/SLIDING GRAFT WRIST JOINT 25805 1,342.77$
25810 PR FUSION/GRAFT WRIST JOINT 25810 1,382.52$
25820 PR FUSION INTERCARPAL 25820 980.13$
25825 PR FUSION/GRAFT INTERCARPAL 25825 1,207.47$
25830 PR FUSION RADIOULNAR JNT/ULNA RESEC 25830 1,511.45$
25900 PR AMPUTATION FOREARM 25900 1,122.76$
25905 PR AMPUTATION FOREARM,CIRCULAR 25905 1,113.83$
25907 PR AMPUTATION FOREARM,SECOND CLOSURE 25907 972.97$
25909 PR RE-AMPUTATION FOREARM 25909 1,087.40$
25915 PR KRUKENBERG PROCEDURE 25915 1,865.19$
25920 PR AMPUTATE THRU WRIST 25920 1,105.76$
25922 PR AMPUTATE THRU WRIST,SECOND CLOSE 25922 970.32$
25924 PR RE-AMPUTATION THRU WRIST 25924 1,080.02$
25927 PR AMPUTATION TRANSMETACARPAL 25927 1,286.62$
25929 PR AMPUTATION TRANSMETACARP,SECOND CLOS 25929 947.12$
25931 PR RE-AMPUTATION TRANSMETACARPAL 25931 1,182.01$
26010 PR DRAIN FINGER ABSCESS,SIMPLE 26010 420.11$
26011 PR DRAIN FINGER ABSCESS,COMPLICATED 26011 618.78$
26020 PR DRAIN HAND TENDON SHEATH 26020 688.03$
26025 PR DRAINAGE PALM BURSA,SINGLE 26025 669.78$
26030 PR DRAINAGE PALM BURSA,MULTIP/COMPLX 26030 783.68$
26034 PR INCIS DEEP FINGR/HAND BONE LESN 26034 860.99$
26035 PR DECOMPRESS FINGERS/HAND,INJECT INJ 26035 1,363.13$
26037 PR DECOMPRESS FASCIOTOMY FINGR/HAND 26037 900.88$
26040 PR RELEASE PALM CONTRACT,PERCUTANEOUS 26040 495.43$
26045 PR RELEASE PALM CONTRACT,OPEN,PARTIAL 26045 741.69$
26055 PR INCISE FINGER TENDON SHEATH 26055 883.15$
26060 PR INCIS PERCUT FINGER TENDON,SINGLE,EA 26060 413.69$
26070 PR EXPLORE & TREAT CARPOMETACARP JT 26070 507.26$
26075 PR EXPLORE & TREAT METACARPO-PHAL JT 26075 528.53$
26080 PR EXPLORE/TREAT INTERPHALANGEAL JT,EA 26080 620.25$
26100 PR BIOPSY SYNOVIUM CARPOMETACARP JT 26100 531.51$
26105 PR BIOPSY SYNOVIUM MC-P JT 26105 534.95$
26110 PR BIOPSY SYNOVIUM I-P JT 26110 510.71$
26111 PR EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5+CM 26111 665.41$
26113 PR EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5+CM 26113 873.61$
26115 PR EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM 26115 798.11$
26116 PR EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM 26116 839.29$
26117 PR RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM 26117 1,186.60$
26118 PR RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/> 26118 1,676.58$
26121 PR PALMAR FASCIECTOMY 26121 950.63$
26123 PR PART PALMAR FASCIEC,OPEN 1 DIGIT 26123 1,327.34$
26125 PR PART PALMAR FASCIEC,OPEN ADDNL DIGIT 26125 438.37$
26130 PR EXCIS JT LINING,CARPOMETACARPAL JT 26130 729.71$
26135 PR EXCIS JT LINING,MC-P JT,EACH DIGIT 26135 876.51$
26140 PR EXCIS JT LINING,PROX I-P JT,EACH 26140 800.79$
26145 PR RAD EXCIS JT LINING,FLEXOR,EACH 26145 814.16$
26160 PR EXCIS TENDON SHEATH LESION, HAND/FINGER 26160 909.22$
26170 PR EXCIS PALM TENDON FLEXOR, EACH 26170 646.83$
26180 PR EXCIS FINGER TENDON FLEXOR 26180 705.75$
26185 PR SESAMOIDECTOMY, THUMB/FINGER 26185 874.37$
26200 PR EXCIS BENIGN BONE LESN,METACARPAL 26200 714.68$
26205 PR EXCIS/GRFT BENIGN LESN,METACARPAL 26205 955.42$
26210 PR EXCIS BENIGN BONE LESN,PHALANX 26210 702.77$
26215 PR EXCIS/GRFT BENIGN LESN,PHALANX 26215 893.99$
26230 PR PART REMV BONE,METACARPAL 26230 795.75$
26235 PR PART REMV BONE,PROX/MID PHALANX 26235 784.05$
26236 PR PART REMV BONE,DISTAL PHALANX 26236 701.05$
26250 PR RAD RESEC METACARPAL 26250 1,704.53$
26260 PR RAD RESEC PROX/MID PHALANX 26260 1,278.11$
26262 PR RAD RESEC DISTAL PHALANX 26262 1,007.77$
26320 PR REMOVAL OF IMPLANT FROM HAND/FINGR 26320 550.59$
26340 PR MANIPULATE FINGER JT W/ ANESTH,EACH 26340 528.43$
26341 PR MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD 26341 157.05$
26350 PR REPAIR FLEXOR TENDON,HAND,W/O GRAFT,EA 26350 1,115.81$
26352 PR REPAIR FLEXOR TENDON,HAND,W/ GRAFT,EA 26352 1,281.13$
26356 PR REPAIR FLEX TENDON,ZONE 2,HAND 26356 1,261.33$
26357 PR REPAIR FLEX TENDON,ZONE 2,SECON,HAND,EA 26357 1,408.62$
26358 PR REPAIR FLEX TEND,ZONE 2,SEC,HAND,W/GRFT 26358 1,559.84$
26370 PR REPAIR PROFUNDUS TENDON,PRIMARY 26370 1,187.70$
26372 PR REPAIR PROFUNDUS TENDON,SECONDARY/GRFT 26372 1,388.29$
26373 PR REPAIR PROFUNDUS TENDON,SECONDARY 26373 1,331.86$
26390 PR EXCIS FLEX TEND HAND,IMPL ROD,DELAY GRFT 26390 1,312.38$
26392 PR REMOV ROD & INSERT FLEX TEND HAND GRFT 26392 1,529.27$
26410 PR REPAIR EXTEN TENDON,DORSUM HAND,EA 26410 885.64$
26412 PR REPAIR EXTEN TENDON,DORSUM HAND,GRFT 26412 1,072.37$
26415 PR EXCIS EXT TEND HAND,IMPL ROD,DELAY GRFT 26415 1,276.54$
26416 PR REMOV ROD & INSERT EX TEND HAND GRFT 26416 1,389.30$
26418 PR REPAIR EXTEN TENDON,DORSUM FINGR,EA 26418 903.94$
26420 PR REPAIR EXTEN TENDON,DORSUM FINGR,GRFT 26420 1,120.15$
26426 PR REPAIR EXT TEND,CENT SLIP,SEC 26426 795.63$
26428 PR REPAIR EXT TEND,CENT SLIP,SEC,W/ GRFT 26428 1,186.17$
26432 PR REPAIR EXTEN TENDON,DISTAL INSERT,CLOSE 26432 781.06$
26433 PR REPAIR EXTEN TENDON,DISTAL INSERT,OPEN 26433 830.71$
26434 PR REPAIR EXTEN TENDON,DIST,OPEN,GRFT 26434 1,014.70$
26437 PR REALIGNMENT OF TENDONS,HAND 26437 976.44$
26440 PR TENOLYSIS, FLEX TENDON,PALM/FINGER,EA 26440 971.26$
26442 PR TENOLYSIS FLEX TENDON,PALM & FINGER,EA 26442 1,514.54$
26445 PR TENOLYSIS EXT TENDON,HAND/FINGER,EA 26445 903.47$
26449 PR RELEASE FOREARM/HAND EXTEN TENDON 26449 1,094.86$
26450 PR TENOTOMY PALM FLEX,SINGLE,OPEN,EACH 26450 638.68$
26455 PR TENOTOMY FINGR FLEX,SINGLE,OPEN,EACH 26455 633.22$
26460 PR TENOTOMY HAND EXTEN,SINGLE,OPEN,EACH 26460 618.65$
26471 PR FUSION FINGER TENDONS,PIP JT STABIL 26471 967.08$
26474 PR FUSION FINGER TENDONS,DIP JT STABIL 26474 941.52$
26476 PR LENGTHEN,TENDON,HAND/FINGER 26476 928.31$
26477 PR TENDON SHORTENING,EXTEN,HAND/FINGR 26477 910.42$
26478 PR TENDON LENGTHENING,FLEX,HAND/FINGR 26478 969.34$
26479 PR TENDON SHORTENING,FLEX,HAND/FINGR 26479 981.17$
26480 PR TRANSPLANT HAND TENDON 26480 1,180.79$
26483 PR TRANSPLANT/GRAFT HAND TENDON 26483 1,322.28$
26485 PR TRANSPLANT PALM TENDON 26485 1,264.21$
26489 PR TRANSPLANT/GRAFT PALM TENDON 26489 1,468.73$
26490 PR REVISE THUMB TENDON 26490 1,248.85$
26492 PR THUMB TENDON TRANSFER,GRAFT 26492 1,385.18$
26494 PR HYPOTHENAR MUSC TRANSFER 26494 1,254.81$
26496 PR REVISE THUMB TENDON,OTHR 26496 1,361.94$
26497 PR FINGER TENDON TRANSFER,4-5 FINGRS 26497 1,358.71$
26498 PR FINGER TENDON TRANSFER,2-5 FINGRS 26498 1,796.80$
26499 PR CORRECT CLAW FINGER 26499 1,302.03$
26500 PR HAND TENDON PULLEY RECONSTRUCTION 26500 977.36$
26502 PR HAND TENDON PULLEY RECONST,GRAFT 26502 1,113.09$
26508 PR RELEASE THUMB CONTRACTURE 26508 989.39$
26510 PR CROSS INTRINSIC TRANSFER,EA 26510 933.83$
26516 PR FUSION MC-P JOINT,SINGLE 26516 1,099.20$
26517 PR FUSION MC-P JOINT,2 DIGITS 26517 1,293.78$
26518 PR FUSION MC-P JOINT,3-4 DIGITS 26518 1,311.96$
26520 PR RELEASE MC-P JT CONTRACTURE 26520 1,017.54$
26525 PR RELEASE I-P JT CONTRACTURE 26525 1,020.79$
26530 PR ARTHROPLASTY MC-P JT,SINGLE 26530 855.54$
26531 PR ARTHROPLASTY MC-P JT,IMPLANT 26531 993.15$
26535 PR ARTHROPLASTY I-P JT 26535 677.99$
26536 PR ARTHROPLASTY I-P JT,IMPLANT 26536 1,115.35$
26540 PR FIX COLLAT LIG,MC-P JT,I-P JT 26540 1,030.56$
26541 PR FIX COLLAT LIG,MC-P JT,GRAFT 26541 1,257.04$
26542 PR FIX COLLAT LIG,MC-P JT,LOCAL TISS 26542 1,062.70$
26545 PR FIX COLAT LIG,I-P JT,GRAFT,EACH 26545 1,095.83$
26546 PR FIX NONUNION METACARPAL/PHALANX 26546 1,560.74$
26548 PR FIX FINGER,VOLAR PLATE,I-P JT 26548 1,194.68$
26550 PR POLLICIZATION OF DIGIT 26550 2,593.42$
26551 PR GREAT TOE-HAND XFER,MICROVASC ANAST 26551 5,227.55$
26553 PR SINGLE TOE-HAND XFER,MICROVASC ANAST 26553 5,192.19$
26554 PR DOUBLE TOE-HAND XFER,MICROVASC ANAST 26554 6,058.16$
26555 PR POSITIONAL CHANGE OF FINGER 26555 2,159.36$
26556 PR FREE TOE JT XFER W MICROVASC ANAST 26556 5,394.38$
26560 PR REPAIR OF WEB FINGER,EACH 26560 925.57$
26561 PR REPAIR OF WEB FINGER,GRAFT 26561 1,484.92$
26562 PR REPAIR OF WEB FINGER,COMPLEX 26562 2,113.53$
26565 PR CORRECT METACARPAL DEFORM 26565 1,069.33$
26567 PR CORRECT FINGER DEFORMITY 26567 1,067.35$
26568 PR LENGTHEN METACARPAL/FINGER 26568 1,412.61$
26580 PR REPAIR CLEFT HAND DEFORMITY 26580 2,384.27$
26587 PR RECONST POLYDACT DIGIT,SOFT TIS & BONE 26587 1,651.14$
26590 PR REPAIR MACRODACTYLIA,EACH DIGIT 26590 2,218.62$
26591 PR REPAIR MUSCLES OF HAND 26591 684.77$
26593 PR RELEASE MUSCLES OF HAND 26593 941.03$
26596 PR EXCISION CONSTRICT FINGR TISSUE 26596 1,199.09$
26600 PR CLOSED RX METACARPAL FX 26600 466.82$
26605 PR CLOSED RX METACARPAL FX,MANIP 26605 509.67$
26607 PR CLOSED RX METACARP FX,W/MANIP,W/EXT FIX 26607 726.38$
26608 PR CLOSED RX METACARPAL FX,PERCUT 26608 754.64$
26615 PR OPEN TX METACARPAL FRACTURE SINGLE EA BONE 26615 915.21$
26641 PR TREAT THUMB DISLOC,MANIPULATN 26641 605.53$
26645 PR TREAT THUMB FX/DISLOC,MANIP 26645 678.03$
26650 PR PRQ SKEL FIXATION CARP/MTCRPL FX DISLOCATE THUMB 26650 755.52$
26665 PR OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB 26665 995.41$
26670 PR CLOSED RX, CARPOMETACAR DISLOC,NON-THUMB 26670 543.13$
26675 PR CLOSED RX C-MC DISLOC,ANESTH 26675 720.56$
26676 PR PERCUT FIX CARPOMETACAR DISLOC,NON-THUMB 26676 794.82$
26685 PR OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB 26685 915.90$
26686 PR OPEN RX C-MC DISLOC,COMPLEX 26686 989.62$
26700 PR CLOSED RX MC-P DISLOC 26700 514.11$
26705 PR CLOSED RX MC-P DISLOC,ANESTH 26705 655.28$
26706 PR PERCUT RX MC-P DISLOC 26706 697.36$
26715 PR OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION 1 26715 910.54$
26720 PR CLOSE RX PROX/MID FING SHFT FX 26720 314.92$
26725 PR CLOSE RX PROX/MID FING SHFT FX,MANIP 26725 533.38$
26727 PR PERCUT RX PROX/MID FING SHFT FX 26727 744.50$
26735 PR OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA 26735 947.35$
26740 PR CLOSE RX FINGR ARTICULAR FX 26740 365.90$
26742 PR CLOSE RX FINGR ARTICULAR FX,MANIP 26742 586.81$
26746 PR OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA 26746 1,180.77$
26750 PR CLOSE RX DIST FINGR FX 26750 293.04$
26755 PR CLOSE RX DIST FINGR FX,MANIPULATN 26755 498.99$
26756 PR PERCUT RX DIST FINGR FX 26756 660.35$
26765 PR OPEN TX DISTAL PHALANGEAL FRACTURE EACH 26765 795.14$
26770 PR CLOSED RX IP JT DISLOCATION 26770 438.93$
26775 PR CLOSED RX IP JT DISLOCATION,ANESTH 26775 604.82$
26776 PR PERCUT RX IP JT DISLOCATION 26776 703.02$
26785 PR OPEN TX INTERPHALANGEAL JOINT DISLOCATION 1 26785 869.06$
26820 PR THUMB FUSION WITH GRAFT,IN OPPOSITN 26820 1,235.06$
26841 PR FUSION 1ST CARPOMETACARPAL JT 26841 1,137.28$
26842 PR FUSION 1ST CARPOMETACARPAL JT,GRAFT 26842 1,227.19$
26843 PR FUSION 2-5 CARPOMETACARPAL JT 26843 1,157.29$
26844 PR FUSION 2-5 CARPOMETACARPAL JT,GRAFT 26844 1,284.81$
26850 PR FUSION MC-P JT 26850 1,084.63$
26852 PR FUSION MC-P JT,GRAFT 26852 1,249.05$
26860 PR FUSION FINGER JOINT 26860 885.23$
26861 PR FUSION FINGER JOINT,EACH ADDNL 26861 165.00$
26862 PR FUSION/GRAFT FINGER JT 26862 1,139.75$
26863 PR FUSION/GRAFT FINGER JT,EACH ADDNL 26863 366.84$
26910 PR AMPUTATE METACARPAL+FINGER 26910 1,134.39$
26951 PR AMPUTATION FINGER/THUMB 26951 1,021.76$
26952 PR AMPUTATION FINGER/THUMB+FLAPS 26952 1,010.33$
26989 PR HAND/FINGER SURGERY UNLISTED 26989 -$
26990 PR INCIS/DRAIN PELVIS/HIP,DEEP ABSCESS 26990 995.41$
26991 PR INCIS/DRAIN PELVIS/HIP,INFECT BURSA 26991 1,123.11$
26992 PR INCIS/DRAIN PELVIS/HIP,OPEN BONE 26992 1,524.96$
27000 PR INCIS HIP ADDUCTOR,SUBCUT,CLOSED 27000 656.06$
27001 PR INCIS HIP ADDUCTOR,SUBCUT,OPEN 27001 855.64$
27003 PR INCIS HIP ADDUC,OPEN,OBTUR NEUREC 27003 946.54$
27005 PR INCIS ILIOPSOAS,OPEN 27005 1,150.50$
27006 PR INCIS HIP ADDUCTORS,OPEN 27006 1,162.51$
27025 PR INCIS OF HIP/THIGH FASCIA 27025 1,463.57$
27027 PR DECOMPRESSION FASCIOTOMY PELVIC COMPART, UNILAT 27027 1,402.60$
27030 PR DRAINAGE OF HIP JOINT 27030 1,489.85$
27033 PR EXPLORATION OF HIP JOINT 27033 1,544.12$
27035 PR DENERVATION OF HIP JOINT 27035 1,853.43$
27036 PR RELEASE HIP FLEXION CONTRACTURE 27036 1,609.25$
27040 PR BX SOFT TISSUES,PELV/HIP,SUPERFICL 27040 546.86$
27041 PR BX SOFT TISSUES,PELV/HIP,DEEP 27041 1,105.58$
27043 PR EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3+CM 27043 744.89$
27045 PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5+CM 27045 1,185.39$
27047 PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM 27047 735.62$
27048 PR EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM 27048 968.96$
27049 PR RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5 CM 27049 2,136.29$
27050 PR OPEN BIOPSY SACROILIAC JOINT 27050 638.20$
27052 PR OPEN BIOPSY OF HIP JOINT 27052 920.65$
27054 PR REMOVAL OF HIP JOINT LINING 27054 1,087.85$
27057 PR DECOMPRESSION FASCIOTOMY PELVIC COMPART, UNILAT, W DEBRIDE 27057 1,615.15$
27059 PR RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/> 27059 2,904.05$
27060 PR REMOVAL OF ISCHIAL BURSA 27060 739.00$
27062 PR REMOVE TROCH BURSA/CALCIFICATN 27062 723.21$
27065 PR EXCISISON BONE CYST BENIGN TUMOR,PELVIS/HIP,SUPERFICIAL 27065 824.67$
27066 PR EXCISISON BONE CYST BENIGN TUMOR,PELVIS/HIP,DEEP 27066 1,282.81$
27067 PR EXCISISON BONE CYST BENIGN TUMOR,PELVIS/HIP, AUTOGRAFT SEP INCISION 27067 1,645.63$
27070 PR PARTIAL EXCISION SUPERFICIAL PELVIS 27070 1,344.29$
27071 PR PARTIAL EXCISION DEEP PELVIS 27071 1,457.71$
27075 PR RAD RESEC UNILAT ILEUM 27075 3,354.14$
27076 PR RAD RESEC ILIUM+ACETABULUM 27076 4,061.67$
27077 PR RAD RESEC ENTIRE INNOMINATE 27077 4,531.20$
27078 PR RAD RESEC ISCHIAL TUBER+GR TROCH 27078 3,307.10$
27080 PR REMOVAL OF COCCYX 27080 812.53$
27086 PR REMOVE PELV/HIP F.B.,SUBCUTANEOUS 27086 470.17$
27087 PR REMOVE PELV/HIP F.B.,DEEP 27087 972.28$
27090 PR REMOVAL OF HIP PROSTHESIS 27090 1,319.59$
27091 PR REMOVAL OF HIP PROSTHESIS,COMPLEX 27091 2,546.00$
27093 PR INJECTION HIP ARTHROGRAM 27093 296.19$
27095 PR INJECTION HIP ARTHROGRAM,ANESTH 27095 388.23$
27096 PR INJECTION,SACROILIAC JOINT 27096 252.70$
27097 PR HAMSTRING RECESSION,PROX 27097 1,083.01$
27098 PR ADDUCTOR TRANSFER TO ISCHIUM 27098 1,102.37$
27100 PR XFER ABD MUSC TO GR TROCHANTER 27100 1,313.43$
27105 PR XFER PARASPINAL MUSC TO HIP 27105 1,378.54$
27110 PR XFER ILIOPSOAS MUSC TO GREAT TROCHANTER 27110 1,541.84$
27111 PR XFER ILIOPSOAS MUSC TO FEM NECK 27111 1,431.00$
27120 PR RECONSTRUC HIP SOCKET 27120 2,072.04$
27122 PR RECONSTRUC HIP SOCKET,RESEC FEM HEAD 27122 1,751.19$
27125 PR PARTIAL HIP REPLACEMENT 27125 1,806.26$
27130 PR TOTAL HIP ARTHROPLASTY 27130 2,163.66$
27132 PR CONV PREV HIP SURG TO TOT HIP ARTHROPLAS 27132 2,671.81$
27134 PR REVISE TOTAL HIP REPLACEMENT 27134 3,058.72$
27137 PR REVISE ACETABULAR PART OF TOTAL HIP 27137 2,349.58$
27138 PR REVISE FEM PART OFTOTAL HIP 27138 2,442.03$
27140 PR OSTEOTOMY & TRANSFER,GREATER TROCHANTER 27140 1,423.19$
27146 PR OSTEOTOMY OF HIP BONE 27146 2,041.05$
27147 PR OSTEOTOMY HIP BONE,OPEN REDN HIP 27147 2,345.16$
27151 PR OSTEOTOMY HIP/FEMUR 27151 2,539.56$
27156 PR OSTEOTOMY HIP/FEMUR,OPEN REDN HIP 27156 2,738.14$
27158 PR OSTEOTOMY PELVIS BILAT 27158 2,235.63$
27161 PR OSTEOTOMY OF NECK OF FEMUR 27161 1,933.93$
27165 PR OSTEOTOMY/FIX INTER/SUBTROCH FEMUR 27165 2,184.53$
27170 PR BONE GRAFT FEMUR HEAD/NECK/RIDGE 27170 1,873.46$
27175 PR CLOSED RX SLIP FEM EPIPHYSIS 27175 1,060.36$
27176 PR CLOSED RX SLIP FEM EPIPHYSIS,PINS 27176 1,460.84$
27177 PR OPEN RX SLIP EPIPHYSIS 27177 1,775.10$
27178 PR OPEN RX SLIP EPIPHYSIS,CLOSED MANIP 27178 1,460.84$
27179 PR OPEN RX SLIP EPIPHY,REVIS FEM NECK 27179 1,553.97$
27181 PR OPEN RX SLIP EPIPHYSIS,OSTEOTOMY/FIX 27181 1,790.12$
27185 PR EPIPHYSEAL ARREST,GREATER TROCHANTER 27185 1,141.31$
27187 PR REINFORCE HIP BONES 27187 1,578.03$
27193 PR CLOSED RX PELVIC RING FX/SUBLUX 27193 690.69$
27197 PR CLSD TX PELVIC RING FX W/O MANIPULATION 27197 190.72$
27198 PR CLSD TX PELVIC RING FX W/MANIPULATION W/ANES 27198 478.71$
27200 PR CLOSED RX COCCYGEAL FX 27200 289.48$
27202 PR OPEN REPAIR COCCYGEAL FRACTURE 27202 847.08$
27220 PR CLOSED RX ACETABULAR FX 27220 844.06$
27222 PR CLOSED RX ACETABULAR FX,MANIPULATN 27222 1,548.28$
27226 PR OPEN INTERN FIX ACETABULAR WALL FX 27226 1,676.73$
27227 PR OPEN INTERN FIX ACETABULAR FX 27227 2,647.57$
27228 PR OPEN INTERN FIX COMPLEX ACETABUL FX 27228 3,006.63$
27230 PR CLOSED RX PROX/NECK FEMUR FX 27230 755.45$
27232 PR CLOSED RX PROX/NECK FEMUR FX,MANIP 27232 1,186.42$
27235 PR PERCUT FIX PROX/NECK FEMUR FX 27235 1,446.82$
27236 PR FEMORAL FX, OPEN TX 27236 1,905.54$
27238 PR CLOSED RX INTER/SUBTROCH FEMUR FX 27238 730.54$
27240 PR CLOSED RX INTER/SUBTROCH FX,MANIP 27240 1,526.07$
27244 PR TREAT INTER/SUBTROCH FX,W/PLATE/SCREW 27244 1,961.62$
27245 PR OPEN FIX INTER/SUBTROCH FX,IMPLNT 27245 1,961.62$
27246 PR CLOSED RX GR TROCHANTERIC FX 27246 611.77$
27248 PR OPEN TREATMENT GREATER TROCHANTERIC FRACTURE 27248 1,182.72$
27250 PR CLOSED RX TRAUMATIC HIP DISLOCATN 27250 288.30$
27252 PR CLOSED RX TRAUMA HIP DISLOC,ANESTH 27252 1,203.84$
27253 PR OPEN RX TRAUMATIC HIP DISLOCATN 27253 1,494.09$
27254 PR OPEN RX HIP DISLOC/ACETABULAR FX 27254 2,021.61$
27256 PR CLOSED RX SPONTANEOUS HIP DISLOC 27256 482.77$
27257 PR CLOSED RX SPONT HIP DISLOC,ANESTH 27257 579.30$
27258 PR OPEN RX SPONTANEOUS HIP DISLOC 27258 1,768.55$
27259 PR OPEN RX SPONT HIP DISLOC,FEM SHORT 27259 2,476.93$
27265 PR CLOSED RX POST HIP ARTHRPLAS DISLOC 27265 635.25$
27266 PR CLOSED RX POST HIP FIX DISLOC,ANESTH 27266 922.68$
27267 PR CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANIP 27267 686.78$
27268 PR CLOSED TX FEMORAL FRACTURE PROX HEAD W MANIP 27268 855.86$
27269 PR OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD 27269 1,982.11$
27275 PR MANIPULATION HIP JOINT W ANESTHESIA 27275 290.78$
27279 FUSION SI JOINT THROUGH THE SKIN OR MINIMALLY INVASIVE W/ IMAGE GUIDANCE 27279 1,094.58$
27280 PR FUSION OF SACROILIAC JOINT 27280 2,147.15$
27282 PR FUSION OF PUBIC BONES 27282 1,360.90$
27284 PR FUSION HIP JOINT 27284 2,584.30$
27286 PR FUSION HIP JOINT+SUBTROCH OSTEOTOMY 27286 2,637.94$
27290 PR HINDQUARTER AMPUTATION 27290 2,591.69$
27295 PR DISARTICULATION OF HIP 27295 2,017.11$
27299 PR PELVIS/HIP JOINT SURGERY UNLISTED 27299 2,163.66$
27301 PR INCIS/DRAIN THIGH/KNEE ABSCESS,DEEP 27301 1,067.34$
27303 PR INCIS DEEP BONE LESN,FEMUR/KNEE 27303 1,014.45$
27305 PR FASCIOTOMY,ILIOTIBIAL,OPEN 27305 760.42$
27306 PR INCIS THIGH TENDON,ADDUC/HAMST,SINGL 27306 555.74$
27307 PR INCIS THIGH TENDON,ADDUC/HAMST,MULTI 27307 676.45$
27310 PR EXPLOR/DRAIN KNEE,INFECTN 27310 1,161.63$
27323 PR BX THIGH/KNEE SOFT TISSUES,SUPERF 27323 431.82$
27324 PR BX THIGH/KNEE SOFT TISSUES,DEEP 27324 634.95$
27325 PR NEURECTOMY, HAMSTRING MUSCLE 27325 885.24$
27326 PR NEURECTOMY, POPLITEAL (GASTROCNEMIUS) 27326 816.30$
27327 PR EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM 27327 725.64$
27328 PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM 27328 988.32$
27329 PR RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM 27329 1,648.99$
27330 PR BIOPSY SYNOVIUM KNEE JOINT 27330 659.34$
27331 PR ARTHROTOMY/EXPLORE/TREAT KNEE JOINT 27331 752.53$
27332 PR EXCIS KNEE CARTILAGE,MEDIAL OR LAT 27332 1,022.18$
27333 PR EXCIS KNEE CARTILAGE,MEDIAL & LAT 27333 929.96$
27334 PR RMV KNEE SYNOVIUM,ANT/POST 27334 1,086.56$
27335 PR REMV SYNOVIUM KNEE,ANTER & POST 27335 1,212.55$
27337 PR EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3+CM 27337 664.42$
27339 PR EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5+CM 27339 1,196.30$
27340 PR REMOVAL PREPATELLA BURSA 27340 589.15$
27345 PR REMOVAL SYNOVIAL CYST,KNEE 27345 762.38$
27347 PR REMOVE KNEE CYST/GANGLION 27347 839.52$
27350 PR PART/FULL REMOVAL OF KNEECAP 27350 1,035.42$
27355 PR REMV BENIGN FEMUR LESION 27355 958.65$
27356 PR REMV BENIGN FEMUR LESN/ALLOGRAFT 27356 1,175.13$
27357 PR REMV BENIGN FEMUR LESN/AUTOGRAFT 27357 1,294.99$
27358 PR REMV BENIGN FEMUR LESN/INTERN FIX 27358 445.73$
27360 PR PART REMV FEMUR/PROX TIB/FIB 27360 1,353.56$
27364 PR RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/> 27364 2,492.79$
27365 PR RAD RESEC TUMOR,FEMUR OR KNEE 27365 3,296.34$
27370 PR INJECTION FOR KNEE ARTHROGRAM 27370 244.98$
27372 PR REMV FOREIGN BODY,KNEE/THIGH,DEEP 27372 941.79$
27380 PR FIX INFRAPATELLA TENDON,PRIMARY 27380 941.33$
27381 PR FIX PATELLA TENDN,SECONDARY 27381 1,267.98$
27385 PR FIX QUAD/HAMSTR MUSC RUPT,PRIMARY 27385 911.66$
27386 PR FIX QUAD/HAMSTR MUSC RUPT,SECOND 27386 1,317.87$
27390 PR TENOTOMY,HAMSTR,KNEE-THIGH,SINGL 27390 712.55$
27391 PR TENOTOMY,UNI HAMSTR,KNEE-THIGH,MULTI 27391 909.63$
27392 PR TENOTOMY,BI HAMSTR,KNEE-THIGH,MULTI 27392 1,132.46$
27393 PR LENGTHEN HAMSTR TENDON,SINGLE 27393 808.47$
27394 PR LENGTHEN HAMSTR TENDON,MULTI,ONE LEG 27394 1,024.19$
27395 PR LENGTHEN HAMSTR TENDON,MULTI,2 LEGS 27395 1,396.89$
27396 PR XPLANT HAMSTR TENDON-PATELLA,SINGL 27396 977.96$
27397 PR XPLANT HAMSTR TENDONS-PATELLA,MULTI 27397 1,458.52$
27400 PR TENDON/MUSC XFER,HAMSTR-FEMUR 27400 1,103.49$
27403 PR ARTHROTOMY,OPEN REPAIR MENISCUS 27403 1,014.72$
27405 PR REPAIR COLLAT LIGAMT/CAPSULE,KNEE 27405 1,071.89$
27407 PR REPAIR CRUCIATE LIGAMENT,KNEE 27407 1,259.89$
27409 PR REPAIR COLLAT & CRUCIATE LIG,KNEE 27409 1,535.89$
27412 PR AUTOCHONDROCYTE IMPLANT KNEE 27412 2,638.63$
27415 PR OSTEOCHONDRAL KNEE ALLOGRAFT 27415 2,170.76$
27416 PR OSTEOCHONDRAL KNEE AUTOGRAFT 27416 1,561.23$
27418 PR REPAIR ANTER TIBIAL TUBERCLE 27418 1,311.62$
27420 PR REVISION OF UNSTABLE PATELLA 27420 1,180.84$
27422 PR FIX UNSTABLE PATELLA,EXTEN REALIGN 27422 1,180.01$
27424 PR REVISION/REMOVAL OF KNEECAP 27424 1,189.34$
27425 PR LATERAL RETINACULAR RELEASE OPEN 27425 711.08$
27427 PR LIGMT REVISION,KNEE,EXTRA-ARTIC 27427 1,128.48$
27428 PR LIGMT REVISION,KNEE,INTRA-ARTIC 27428 1,777.38$
27429 PR LIGMT REVISN,KNEE,INTRA/EXTRA-ART 27429 1,976.82$
27430 PR REVISION QUADRICEPS 27430 1,175.61$
27435 PR POST CAPSULAR RELEASE,KNEE 27435 1,283.50$
27437 PR ARTHROPLASTY PATELLA 27437 1,050.34$
27438 PR ARTHROPLASTY PATELLA WITH IMPLANT 27438 1,334.64$
27440 PR ARTHROPLASTY TIBIAL PLATEAU 27440 1,269.77$
27441 PR PLASTY TIBIAL PLATEAU+DEBRIDE 27441 1,311.87$
27442 PR PLASTY TIB PLAT OR FEM CONDYLES 27442 1,382.58$
27443 PR PLASTY TIB PLAT/FEM CONDY+DEBRIDE 27443 1,292.30$
27445 PR PLASTY KNEE,CONSTRAINED PROSTHESIS 27445 1,995.63$
27446 PR PLASTY KNEE,MED OR LAT COMPARTMT 27446 1,848.25$
27447 PR TOTAL KNEE ARTHROPLASTY 27447 2,161.58$
27448 PR OSTEOTOMY FEMUR SHAFT/SUPRACONDY 27448 1,240.07$
27450 PR OSTEOTOMY FEMUR SHAFT,W FIXATN 27450 1,599.06$
27454 PR OSTEOTOMIES FEMUR SHAFT+INTRA ROD 27454 2,072.12$
27455 PR OSTEOTOMY PROX TIB,<EPIPHY CLOSUR 27455 1,498.89$
27457 PR OSTEOTOMY PROX TIB,AFTR EPIPHY CLOS 27457 1,512.65$
27465 PR SHORTENING OF FEMUR 27465 1,922.17$
27466 PR LENGTHENING OF FEMUR 27466 1,886.28$
27468 PR COMBINE SHORTEN/LENGTHEN FEMUR 27468 2,140.40$
27470 PR FIX NON/MALUNION FEMUR BELOW NECK 27470 1,873.36$
27472 PR FIX NON/MALUNION FEMUR,W GRAFT 27472 2,011.12$
27475 PR ARREST,EPIPHYSEAL,DISTAL FEMUR 27475 1,051.45$
27477 PR SURGERY TO STOP TIB/FIB GROWTH 27477 1,165.73$
27479 PR SURGERY STOP FEMUR/TIB/FIB GROWTH 27479 1,464.66$
27485 PR HEMIEPIPHYSEAL LEG ARREST SURGERY 27485 1,065.37$
27486 PR REVISE KNEE JOINT REPLACE,1 PART 27486 2,243.36$
27487 PR REVISE KNEE JOINT REPLACE,ALL PARTS 27487 2,805.58$
27488 PR REMOVAL OF KNEE PROSTHESIS 27488 1,914.08$
27495 PR REINFORCE FEMUR 27495 1,792.03$
27496 PR DECOMPRESS THIGH/KNEE,1 COMPARTMT 27496 864.24$
27497 PR DECOMPRESS THIGH/KNEE,1+DEBRIDE 27497 926.01$
27498 PR DECOMPRESS THIGH/KNEE,>1 COMPARTMT 27498 1,041.35$
27499 PR DECOMPRESS THIGH/KNEE,>1+DEBRIDE 27499 1,113.29$
27500 PR CLOSED RX FEMUR SHAFT FX 27500 824.32$
27501 PR CLOSED RX CONDYLAR FX 27501 800.63$
27502 PR CLOSED RX FEMUR SHAFT FX+MANIP 27502 1,207.75$
27503 PR CLOSED RX CONDYLAR FX+MANIP 27503 1,274.82$
27506 PR OPEN RX FEMUR FX+INTRAMED ROD 27506 2,131.72$
27507 PR OPEN RX FEMUR FX+PLATE/SCREW 27507 1,548.81$
27508 PR CLOSED RX FEMUR,DISTAL 27508 833.46$
27509 PR PERCUT FIX DISTAL FEMUR 27509 1,021.09$
27510 PR CLOSED RX FEMUR,DISTAL+MANIP 27510 1,086.34$
27511 PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O EXTENSION 27511 1,587.89$
27513 PR OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W EXTENSION 27513 1,976.95$
27514 PR OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE 27514 1,539.99$
27516 PR CLOSED RX DIST FEM EPIPHYSIS 27516 805.46$
27517 PR CLOSED RX DIST FEM EPIPHYSIS+MANIP 27517 1,089.13$
27519 PR OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION 27519 1,420.37$
27520 PR CLOSED RX PATELLA FX 27520 512.87$
27524 PR OPEN RX PATELLA FX 27524 1,195.49$
27530 PR CLOSED RX TIBIAL PLATEAU FX 27530 479.94$
27532 PR CLOSED RX TIB PLAT FX+MANIP 27532 976.57$
27535 PR OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR 27535 1,428.26$
27536 PR OPEN RX BILAT TIB PLAT FX 27536 1,894.88$
27538 PR CLOSED RX TIB TUBER FX 27538 752.35$
27540 PR OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE 27540 1,284.86$
27550 PR CLOSED RX KNEE DISLOCATN 27550 813.27$
27552 PR CLOSED RX KNEE DISLOC+ANESTH 27552 990.08$
27556 PR OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR 27556 1,396.63$
27557 PR OPEN TX KNEE DISLOCATION W LIGAMENTOUS REPAIR 27557 1,670.64$
27558 PR OPEN TX KNEE DISLOCATION W REPAIR/RECONSTRUCTION 27558 1,905.59$
27560 PR CLOSED RX KNEECAP DISLOCATN 27560 577.83$
27562 PR CLOSED RX KNEECAP DISLOC+ANESTH 27562 767.76$
27566 PR OPEN RX KNEECAP DISLOCATN 27566 1,423.67$
27570 PR MANIPULATN KNEE JT+ANESTHESIA 27570 239.09$
27580 PR FUSION OF KNEE 27580 2,289.19$
27590 PR AMPUTATE THIGH,THRU FEMUR 27590 1,268.11$
27591 PR AMPUTATE THIGH+STAT FITTING 27591 1,539.10$
27592 PR AMPUTATE THIGH,OPEN CIRCULAR 27592 1,081.43$
27594 PR AMPUTATE THIGH,SECONDRY CLOSUR 27594 800.56$
27596 PR AMPUTATE THIGH,RE-AMPUTATN 27596 1,144.31$
27598 PR AMPUTATE LOWER LEG AT KNEE 27598 1,137.36$
27599 PR FEMUR/KNEE SURG UNLISTED 27599 -$
27600 PR DECOMPRESS ANT/LAT LEG CMPART 27600 642.91$
27601 PR DECOMPRESS POST LEG COMPARTMT 27601 711.55$
27602 PR DECOMPRESS ANT/LAT+POST LEG CMPART 27602 772.05$
27603 PR DRAIN LOWER LEG DEEP ABSC/HEMATOMA 27603 838.02$
27604 PR DRAIN LOWER LEG BURSA 27604 761.05$
27605 PR INCIS ACHILLES TENDON+LOCAL ANESTH 27605 552.01$
27606 PR INCIS ACHILLES TENDON+GEN ANESTH 27606 447.40$
27607 PR DRAIN LEG/ANKLE BONE FOR INFECT 27607 966.49$
27610 PR EXPLORE/TREAT ANKLE JOINT 27610 1,034.86$
27612 PR EXPLORE/RELEASE POST CAP ANKLE JT 27612 898.43$
27613 PR BX LOW LEG SOFT TISSUE,SUPERFICIAL 27613 403.77$
27614 PR BX LOW LEG SOFT TISSUE,DEEP 27614 924.40$
27615 PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM 27615 1,632.87$
27616 PR RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/> 27616 2,025.61$
27618 PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM 27618 714.73$
27619 PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <3CM 27619 742.71$
27620 PR EXPLOR ANKLE JOINT 27620 715.87$
27625 PR EXPLOR ANKLE JT+SYNOVECTOMY 27625 927.22$
27626 PR EXPLOR ANKLE JT+TENOSYNOVECTOMY 27626 966.55$
27630 PR EXCIS LESN TENDON SHEALTH LEG/ANKLE 27630 890.67$
27632 PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3+CM 27632 658.78$
27634 PR EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5+CM 27634 1,084.97$
27635 PR EXCIS BENIGN LESN,TIB/FIB 27635 932.48$
27637 PR EXCIS BENIGN LESN,TIB/FIB+AUTOGRFT 27637 1,215.79$
27638 PR EXCIS BENIGN LESN,TIB/FIB+ALLOGRFT 27638 1,229.43$
27640 PR PARTIAL REMOVAL OF TIBIA 27640 1,327.00$
27641 PR PARTIAL REMOVAL OF FIBULA 27641 1,063.41$
27645 PR RAD RESEC TUMOR,TIBIA 27645 2,841.73$
27646 PR RAD RESEC TUMOR,FIBULA 27646 2,464.79$
27647 PR RAD RESEC TUMOR,TALUS/CALCANEUS 27647 1,658.89$
27648 PR INJECTION FOR ANKLE ARTHROGRAM 27648 265.02$
27650 PR REPAIR ACHILLES TENDON,PRIMARY 27650 1,050.74$
27652 PR REPAIR/GRAFT ACHILLES TENDON 27652 1,086.92$
27654 PR REPAIR ACHILLES TENDON,SECONDARY 27654 1,134.08$
27656 PR REPAIR LEG FASCIA DEFECT 27656 1,009.21$
27658 PR REPAIR FLEX LEG TENDON,PRIM,EA 27658 593.49$
27659 PR REPAIR FLEX LEG TENDON,SECOND,EA 27659 760.24$
27664 PR REPAIR EXTEN LEG TENDN,PRIM,EACH 27664 577.53$
27665 PR REPAIR EXTEN LEG TENDN,SECOND,EA 27665 659.62$
27675 PR REPAIR PERONEAL TENDONS 27675 784.53$
27676 PR REPAIR PERONEAL TENDONS,FIB OSTEOTMY 27676 967.36$
27680 PR RELEASE TIB/FIB/ANKLE FLEX TENDON,EA 27680 680.31$
27681 PR RELEASE TIB/FIB/ANKL FLEX TENDON,MUL 27681 869.09$
27685 PR LENGTH/SHORT LEG/ANKL TENDON,SINGLE 27685 1,061.53$
27686 PR LENGTH/SHORT LEG/ANKL TENDON,MULTI 27686 879.24$
27687 PR GASTROCNEMIUS RECESSION 27687 724.02$
27690 PR XFER SINGLE SUPERFICI LOW LEG TENDON 27690 1,016.65$
27691 PR XFER SINGLE DEEP LOW LEG TENDON 27691 1,190.61$
27692 PR XFER ADDNL LOWER LEG TENDON 27692 167.56$
27695 PR REPAIR 1 COLLAT ANKLE LIGMNT,PRIMARY 27695 761.67$
27696 PR REPAIR BOTH COLLAT ANKL LIGMT,PRIMRY 27696 896.10$
27698 PR REPAIR COLLAT ANKLE LIGMNT,SECONDARY 27698 1,025.10$
27700 PR ARTHROPLASTY ANKLE JOINT 27700 1,003.13$
27702 PR TOTAL ANKLE REPLACEMENT 27702 1,532.82$
27703 PR SECONDARY RECONSTRUCTION,ANKLE JOINT 27703 1,767.58$
27704 PR REMOVAL OF ANKLE IMPLANT 27704 908.56$
27705 PR OSTEOTOMY TIBIA 27705 1,216.13$
27707 PR OSTEOTOMY FIBULA 27707 633.48$
27709 PR OSTEOTOMY TIBIA & FIBULA 27709 1,862.22$
27712 PR OSTEOTOMIES TIB/FIB+INTRAMED ROD 27712 1,761.39$
27715 PR LENGTHENING TIBIA/FIBULA 27715 1,705.56$
27720 PR RNON/MALUNION TIBIA 27720 1,389.07$
27722 PR RNON/MALUNION TIBIA+SLIDING GRAFT 27722 1,417.20$
27724 PR RNON/MALUNION TIBIA+AUTOGRAFT 27724 2,016.23$
27725 PR RNON/MALUNION TIBIA,FUSE W FIBULA 27725 1,944.26$
27726 PR RFIBULA NONUNION/MALUNION W INT FIXATION 27726 1,531.18$
27727 PR RCONGEN PSEUDOARTHROSIS TIBIA 27727 1,651.06$
27730 PR ARREST,EPIPHYSEAL,OPEN,DISTAL TIBIA 27730 931.59$
27732 PR STOP GROWTH DISTAL FIBULA EPIPHYSIS 27732 710.99$
27734 PR STOP GROWTH DISTAL TIB/FIB EPIPHYSES 27734 1,043.03$
27740 PR STOP GROWTH PROX/DIST TIBIA/FIBULA 27740 1,125.50$
27742 PR STOP GROWTH PROX/DIST TIB/FIB+FEMUR 27742 1,237.90$
27745 PR REINFORCE TIBIA 27745 1,202.44$
27750 PR CLOSED RX TIBIA SHAFT FX 27750 549.81$
27752 PR CLOSED RX TIBIA SHAFT FX,MANIPULATN 27752 848.99$
27756 PR PERCUT RX TIBIA SHAFT FX 27756 920.87$
27758 PR OPEN RX TIBIA SHAFT FX,SCREWS 27758 1,417.86$
27759 PR TREAT TIBIAL SHAFT FX, INTRAMED IMPLANT 27759 1,590.07$
27760 PR CLOSED RX MED MALLEOLUS FX 27760 529.78$
27762 PR CLOSED RX MED MALLEOLUS FX,MANIP 27762 746.72$
27766 PR OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE 27766 965.70$
27767 PR CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANIP 27767 445.48$
27768 PR CLOSED TREATMENT PST MALLEOLUS FRACTURE W MANIP 27768 698.82$
27769 PR OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE 27769 1,162.95$
27780 PR CLOSED RX PROX/SHAFT FIBULA FX 27780 486.49$
27781 PR CLOSED RX PROX/SHAFT FIB FX,MANIP 27781 678.35$
27784 PR OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE 27784 1,131.90$
27786 PR CLOSED RX DIST FIBULA FX 27786 500.81$
27788 PR CLOSED RX DIST FIBULA FX,MANIP 27788 667.84$
27792 PR OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS 27792 1,034.01$
27808 PR CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANIP 27808 530.28$
27810 PR CLOSED TX BIMALLEOLAR ANKLE FRACTURE W MANIP 27810 739.41$
27814 PR OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE 27814 1,226.02$
27816 PR CLOSED RX TRIMALLEOLAR FX 27816 511.30$
27818 PR CLOSED RX TRIMALLEOLAR FX,MANIP 27818 768.57$
27822 PR OPEN TX TRIMALLEOLAR ANKLE FX W/O FIX PST LIP 27822 1,364.96$
27823 PR OPEN TX TRIMALLEOLAR ANKLE FX W FIX PST LIP 27823 1,546.40$
27824 PR CLOSED RX WEIGHT BEAR DIST TIBIA 27824 498.65$
27825 PR CLOSED RX WEIGHT BEAR DIST TIB,MANIP 27825 868.33$
27826 PR OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA 27826 1,344.37$
27827 PR OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY 27827 1,748.14$
27828 PR OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA 27828 2,089.46$
27829 PR OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION 27829 1,106.03$
27830 PR CLOSED RX PROX TIB/FIB DISLOC 27830 606.34$
27831 PR CLOSED RX PROX TIB/FIB DISLOC+ANESTH 27831 635.42$
27832 PR OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB 27832 1,203.26$
27840 PR CLOSED RX ANKLE DISLOCATN 27840 589.53$
27842 PR CLOSED RX ANKLE DISLOCATN,ANESTH 27842 784.23$
27846 PR OPEN RX ANKLE DISLOCATN 27846 1,145.81$
27848 PR OPEN RX ANKLE DISLOCATN+FIXATN 27848 1,274.67$
27860 PR MANIPULATION ANKLE JT W ANESTHESIA 27860 278.39$
27870 PR ARTHRODESIS,ANKLE,OPEN 27870 1,641.96$
27871 PR FUSION OF TIBIOFIBULAR JOINT 27871 1,089.56$
27880 PR AMPUTATION LOW LEG THRU TIB/FIB 27880 1,455.50$
27881 PR AMPUTATION LOW LEG+STAT FITTING 27881 1,376.81$
27882 PR AMPUTATION LOW LEG,CIRCULAR 27882 952.84$
27884 PR AMPUTATION LOW LEG,SECOND CLOSURE 27884 909.13$
27886 PR RE-AMPUTATION LOWER LEG 27886 1,044.96$
27888 PR AMPUTATION ANKLE-TIB/FIB MALLEOLI 27888 1,077.02$
27889 PR ANKLE DISARTICULATION 27889 1,032.32$
27892 PR DECOMPRESS FASCIOTOMY LEG,ANT/LAT 27892 890.34$
27893 PR DECOMPRESS FASCIOT LEG,POST ONLY 27893 969.16$
27894 PR DECOMPRESS LEG,ANT/LAT & POST 27894 1,335.64$
27899 PR LEG/ANKLE SURGERY PROC UNLISTED 27899 -$
28001 PR INCIS/DRAINAGE BURSA OF FOOT 28001 443.97$
28002 PR DEEP DISSEC FOOT INFEC,1 BURSA 28002 708.99$
28003 PR DEEP DISSEC FOOT INFEC,MULTIPLE 28003 1,125.38$
28005 PR DEEP INCIS FOOT BONE INFECTN 28005 927.15$
28008 PR INCISION OF FOOT/TOE FASCIA 28008 697.37$
28010 PR INCISION SUBCUT TOE TENDON 28010 372.70$
28011 PR INCISION SUBCUT TOE TENDON,>1 28011 513.93$
28020 PR EXPLOR TARSAL/TARSOMETATAR JT 28020 869.52$
28022 PR EXPLOR METATARSO-PHALANG JT 28022 779.91$
28024 PR EXPLOR INTERPHALANGEAL JT 28024 739.63$
28035 PR TARSAL TUNNEL RELEASE 28035 850.39$
28039 PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ 1.5+CM 28039 812.59$
28041 PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5+CM 28041 733.66$
28043 PR EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM 28043 646.39$
28045 PR EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM 28045 801.64$
28046 PR RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM 28046 1,175.99$
28047 PR RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/> 28047 1,685.89$
28050 PR BX SYNOVIUM TARS/TARSOMETA JT 28050 684.85$
28052 PR BX SYNOVIUM METATARSO-PHAL JT 28052 725.27$
28054 PR BX SYNOVIUM INTERPHALANG JT 28054 605.85$
28055 PR NEURECTOMY, INTRINSIC MUSCULATURE FOOT 28055 613.59$
28060 PR PART EXCIS PLANTAR FASCIA 28060 836.20$
28062 PR RAD EXCIS PLANTAR FASCIA 28062 945.88$
28070 PR SYNOVECTOMY TARS/TARSOMETA JT,EA 28070 869.07$
28072 PR SYNOVECTOMY METATAR-PHAL JT,EA 28072 811.19$
28080 PR EXCIS INTERDIGITAL NEUROMA,EA 28080 845.16$
28086 PR SYNOVECTOMY FLEX TENDN SHEATH,FOOT 28086 875.97$
28088 PR SYNOVECTOMY EXTEN TENDN SHEATH,FOOT 28088 721.61$
28090 PR EXCIS TENDN/CAPSULE LESN,FOOT 28090 758.22$
28092 PR EXCIS TENDN/CAPSULE LESN,TOES 28092 683.51$
28100 PR REMV TALUS/HEEL BENIGN BONE LESN 28100 984.37$
28102 PR REMV TALUS/HEEL BENIGN LESN,AUTOGRFT 28102 964.23$
28103 PR REMV TALUS/HEEL BENIGN LESN,ALLOGRFT 28103 633.12$
28104 PR REMV TARSAL/METATARSAL BENIGN BONE LESN 28104 851.71$
28106 PR REMV OTHR FOOT BENIGN LESN,AUTOGRFT 28106 692.95$
28107 PR REMV OTHR FOOT BENIGN LESN,ALLOGRFT 28107 833.50$
28108 PR REMV TOE BENIGN BONE LESN 28108 710.59$
28110 PR PART EXCIS 5TH METATARSAL HEAD 28110 748.67$
28111 PR FULL EXCIS 1ST METATARSAL HEAD 28111 791.72$
28112 PR FULL EXCIS 2,3 OR 4TH METATAR HEAD 28112 787.18$
28113 PR FULL EXCIS 5TH METATARSAL HEAD 28113 951.56$
28114 PR FULL EXCIS 2 - 5 METATARSAL HEADS 28114 1,724.51$
28116 PR EXCIS TARSAL COALITION 28116 1,244.88$
28118 PR REMOVAL OF HEEL BONE 28118 959.59$
28119 PR REMOVAL OF HEEL SPUR 28119 845.89$
28120 PR PART REMV TALUS OR CALCANEUS 28120 1,088.03$
28122 PR PART REMV OTHR TARSAL/METATARSAL 28122 966.09$
28124 PR PART REMV PHALANX OF TOE 28124 771.31$
28126 PR RESEC ONE TOE PHALANGEAL BASE,EA 28126 638.78$
28130 PR REMOVAL OF TALUS 28130 1,159.79$
28140 PR REMOVAL OF METATARSAL 28140 960.40$
28150 PR REMOVAL OF SINGLE TOE,EACH 28150 684.27$
28153 PR RESEC HEAD OF PHALANX,TOE 28153 666.15$
28160 PR RESEC TOE AT I-P JT,SINGLE,EA 28160 673.41$
28171 PR RAD RESEC OTHR TARSAL BONE TUMOR 28171 1,779.53$
28173 PR RAD RESEC METATARSAL 28173 1,223.03$
28175 PR RAD RESEC PHALANX,TOE 28175 772.55$
28190 PR REMV FOOT FOREIGN BODY,SUBCUTANEOUS 28190 415.83$
28192 PR REMV FOOT FOREIGN BODY,DEEP 28192 755.09$
28193 PR REMV FOOT FOREIGN BODY,COMPLEX 28193 857.27$
28200 PR REPAIR FLEX FOOT TENDON,EA 28200 795.07$
28202 PR REPAIR/GRAFT FLEX FOOT TENDON 28202 968.85$
28208 PR REPAIR EXTEN LEG TENDON,PRIM,EA 28208 773.04$
28210 PR REPAIR/GRAFT EXTEN FOOT TENDON 28210 951.49$
28220 PR RELEASE FLEX FOOT TENDON,SINGLE 28220 727.45$
28222 PR RELEASE FLEX FOOT TENDON,MULTIPLE 28222 824.70$
28225 PR RELEASE EXTEN FOOT TENDON,SINGLE 28225 666.78$
28226 PR RELEASE EXTEN FOOT TENDONS,MULTIPL 28226 977.71$
28230 PR INCISION FLEX FOOT TENDON(S) 28230 701.89$
28232 PR INCISION FLEX TOE TENDON 28232 623.93$
28234 PR INCISION EXTEN FOOT/TOE TENDON 28234 655.79$
28238 PR RECONST POST TIB TEND,EXCIS ACC TAR NAV 28238 1,081.46$
28240 PR RELEASE OF BIG TOE TENDN 28240 742.42$
28250 PR DIVISN PLANTAR FASCIA/MUSCLE 28250 936.18$
28260 PR CAPSULOTOMY MIDFOOT JT,MED RELEASE 28260 1,106.51$
28261 PR CAPSULOTOMY MIDFOOT,TENDN LENGTH 28261 1,638.80$
28262 PR CAPSULOTOMY MIDFOOT,EXTENSIVE 28262 2,355.19$
28264 PR CAPSULOTOMY MIDTARSAL 28264 1,612.74$
28270 PR CAPSULOTOMY MT-P JT,FOOT,EACH 28270 795.84$
28272 PR CAPSULOTOMY I-P JT,FOOT,EA 28272 635.23$
28280 PR FUSION OF TOES 28280 833.79$
28285 PR REPAIR OF HAMMERTOE,ONE 28285 864.01$
28286 PR REPAIR 5TH TOE,COCK-UP 28286 729.61$
28288 PR PART REMV BONE METATARSAL HEAD,EA 28288 974.80$
28289 PR HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT 28289 1,198.00$
28291 PR HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT 28291 1,174.54$
28292 PR CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL 28292 1,212.42$
28295 PR CORRJ HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT 28295 1,515.79$
28296 PR CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT 28296 1,468.93$
28297 PR CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF 28297 1,681.58$
28298 PR CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT 28298 1,374.00$
28299 PR CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT 28299 1,622.02$
28300 PR OSTEOTOMY HEEL BONE 28300 1,040.47$
28302 PR OSTEOTOMY TALUS 28302 1,138.55$
28304 PR OSTEOTOMY MIDTARSAL BONES 28304 1,329.72$
28305 PR OSTEOTOMY MIDTARSAL,AUTOGRAFT 28305 1,073.92$
28306 PR OSTEOTOMY 1ST METATARSAL,BASE/SHAFT 28306 989.52$
28307 PR OSTEOTOMY 1ST METATARSAL,AUTOGRAFT 28307 1,063.99$
28308 PR OSTEOTOMY METATARSAL (NOT 1ST) 28308 914.23$
28309 PR OSTEOTOMY METATARSALS,MULTIPLE 28309 1,432.41$
28310 PR OSTEOTOMY PROX PHALANX,1ST TOE 28310 881.84$
28312 PR OSTEOTOMY,ANY PHALANX,ANY TOE 28312 815.83$
28313 PR RECONSTRUC TOE DEFORM,SOFT TISSUE 28313 840.51$
28315 PR REMOV SESAMOID BONE,1ST TOE 28315 779.59$
28320 PR REPAIR NON/MALUNION TARSAL BONE(S) 28320 977.08$
28322 PR REPAIR NON/MALUNION METATARSAL 28322 1,266.33$
28340 PR RESECT ENLARGED TOE TISSUE 28340 936.44$
28341 PR RESECT ENLARGED TOE TISSUE/BONE 28341 1,086.24$
28344 PR REPAIR EXTRA TOE(S) 28344 729.10$
28345 PR REPAIR WEBBED TOE(S) 28345 844.65$
28360 PR RECONSTRUCT CLEFT FOOT 28360 1,727.43$
28400 PR CLOSED RX HEEL FX 28400 397.09$
28405 PR CLOSED RX HEEL FX,MANIPULATN 28405 623.75$
28406 PR PERCUT RX HEEL FX 28406 828.18$
28415 PR OPEN TREATMENT CALCANEAL FRACTURE 28415 1,786.67$
28420 PR OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT 28420 2,015.06$
28430 PR CLOSED RX TALUS FX 28430 375.71$
28435 PR CLOSED RX TALUS FX,MANIPULATN 28435 574.84$
28436 PR PERCUT RX TALUS FX 28436 714.93$
28445 PR OPEN TREATMENT TALUS FRACTURE 28445 1,685.33$
28446 PR OPEN OSTEOCHONDRAL AUTOGRAFT TALUS 28446 1,951.39$
28450 PR CLOSED RX TARSAL FX,EACH 28450 343.28$
28455 PR CLOSED RX TARSAL FX,MANIP,EACH 28455 460.76$
28456 PR PERCUT RX TARSAL FX,EACH 28456 508.12$
28465 PR OPEN TX TARSAL FRACTURE XCP TALUS &CALCANEUS EA 28465 1,011.38$
28470 PR CLOSED RX METATARSAL FX 28470 349.64$
28475 PR CLOSED RX METATARSAL FX,MANIP 28475 407.76$
28476 PR PERCUT RX METATARSAL FX 28476 558.29$
28485 PR OPEN TREATMENT METATARSAL FRACTURE EACH 28485 869.39$
28490 PR CLOSED RX BIG TOE FRACTURE 28490 233.77$
28495 PR CLOSED RX BIG TOE FX,MANIP 28495 285.00$
28496 PR PERCUT BIG TOE FX 28496 733.61$
28505 PR OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES 28505 1,073.16$
28510 PR CLOSED RX TOE FX 28510 198.66$
28515 PR CLOSED RX TOE FX,MANIPULATN 28515 259.53$
28525 PR OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE 28525 914.86$
28530 PR CLOSED RX SESAMOID BONE FX 28530 186.62$
28531 PR OPEN RX SESAMOID BONE FX 28531 552.22$
28540 PR CLOSED RX TARSAL DISLOCATION 28540 308.88$
28545 PR CLOSED RX TARSAL DISLOC,ANESTH 28545 473.29$
28546 PR PERCUT RX TARSAL DISLOCATION 28546 924.25$
28555 PR OPEN TREATMENT TARSAL BONE DISLOCATION 28555 1,393.62$
28570 PR CLOSED RX TALOTARSAL DISLOC 28570 359.70$
28575 PR CLOSED RX TALOTARSAL DISLOC,ANESTH 28575 582.60$
28576 PR PERCUT RX TALOTARSAL DISLOCATION 28576 629.97$
28585 PR OPEN TREATMENT TALOTARSAL JOINT DISLOCATION 28585 1,392.17$
28600 PR CLOSED RX TAR-METATAR DISLOCATION 28600 347.82$
28605 PR CLOSED RX TAR-METATAR DISLOC,ANESTH 28605 522.98$
28606 PR PERCUT RX TAR-METATAR FOOT DISLOC 28606 639.84$
28615 PR OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION 28615 1,284.76$
28630 PR CLOSED RX MT-PHAL TOE DISLOCATION 28630 251.59$
28635 PR CLOSED RX MT-PHAL TOE DISLOC,ANESTH 28635 284.63$
28636 PR PERCUT RX MT-PHAL TOE DISLOCATION 28636 519.77$
28645 PR OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION 28645 1,052.04$
28660 PR CLOSED RX I-P JT,TOE DISLOCATION 28660 185.67$
28665 PR CLOSED RX I-P JT,TOE DISLOC,ANESTH 28665 249.96$
28666 PR PERCUT RX I-P JT,TOE DISLOC 28666 289.77$
28675 PR OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION 28675 926.48$
28705 PR FUSION FOOT BONES,PANTALAR 28705 2,000.38$
28715 PR FUSION FOOT BONES,TRIPLE 28715 1,499.55$
28725 PR FUSION FOOT BONES,SUBTALAR 28725 1,244.63$
28730 PR FUSION FOOT BONES,MIDTARSAL,MULTI 28730 1,177.23$
28735 PR FUSION FOOT BONES,MIDTARSAL,OSTEOTMY 28735 1,254.48$
28737 PR FUSION W/TEND ADV,MIDTAR NAV-CUNEIFORM 28737 1,117.71$
28740 PR FUSION FOOT BONE,MIDTARSAL,1 JT 28740 1,359.14$
28750 PR FUSION BIG TOE,MT-P JT 28750 1,297.28$
28755 PR FUSION BIG TOE,I-P JOINT 28755 821.85$
28760 PR FUSION BIG TOE,I-P JT+TENDN XFER 28760 1,282.07$
28800 PR AMPUTATION FOOT,MIDTARSAL-CHOPART 28800 861.94$
28805 PR AMPUTATION FOOT,TRANSMETATARSAL 28805 1,170.15$
28810 PR AMPUTATION METATARSAL+TOE,SINGLE 28810 687.39$
28820 PR AMPUTATION TOE,MT-P JT 28820 904.99$
28825 PR AMPUTATION TOE,I-P JT 28825 865.67$
28890 PR ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA 28890 526.99$
29000 PR APPLY BODY CAST,HALO 29000 548.76$
29010 PR APPLY BODY CAST,RISSER JACKET 29010 435.12$
29015 PR APPLY BODY CAST,RISSER+HEAD 29015 467.69$
29035 PR APPLY BODY CAST,SHLDR-HIP 29035 407.15$
29040 PR APPLY BODY CAST,SHLDR-HIP+HEAD 29040 466.65$
29044 PR APPLY BODY CAST,SHLDR-HIP+1 THIGH 29044 457.26$
29046 PR APPLY BODY CAST,SHLDR-HIP+2 THIGHS 29046 501.42$
29049 PR APPLY CAST,FIGURE-OF-EIGHT 29049 157.41$
29055 PR APPLY SHOULDER CAST,SPICA 29055 354.09$
29058 PR APPLY SHOULDER CAST,PLASTR VELPEAU 29058 197.21$
29065 PR APPLY LONG ARM CAST 29065 152.81$
29075 PR APPLY FOREARM CAST 29075 137.89$
29085 PR APPLY HAND/WRIST CAST 29085 151.83$
29086 PR APPLY CAST,FINGER (CONTRACTURE) 29086 127.13$
29105 PR APPLY LONG ARM SPLINT 29105 139.80$
29125 PR APPLY FOREARM SPLINT,STATIC 29125 103.19$
29126 PR APPLY FOREARM SPLINT,DYNAMIC 29126 122.88$
29130 PR APPLY FINGER SPLINT,STATIC 29130 66.13$
29131 PR APPLY FINGER SPLINT,DYNAMIC 29131 83.26$
29200 PR STRAPPING OF CHEST 29200 49.96$
29240 PR STRAPPING OF SHOULDER 29240 73.02$
29260 PR STRAPPING OF ELBOW OR WRIST 29260 47.60$
29280 PR STRAPPING OF HAND OR FINGER 29280 48.16$
29305 PR APPLY OF HIP CAST,ONE LEG 29305 393.29$
29325 PR APPLY OF HIP CASTS,TWO LEGS 29325 435.67$
29345 PR APPLY LONG LEG CAST 29345 215.82$
29355 PR APPLY LONG LEG CAST,WALKER 29355 222.67$
29358 PR APPLY LONG LEG CAST BRACE 29358 255.16$
29365 PR APPLY LONG LEG CAST,CYLINDER 29365 195.21$
29405 PR APPLY SHORT LEG CAST 29405 129.26$
29425 PR APPLY SHORT LEG CAST,WALKER 29425 124.56$
29435 PR APPLY PATELLA TENDON BEARING CAST 29435 187.61$
29440 PR ADDITION OF WALKER TO CAST 29440 70.06$
29445 PR APPLY RIGID LEG CAST 29445 208.68$
29450 PR APPLY OF CLUBFOOT CAST 29450 233.79$
29505 PR APPLY LONG LEG SPLINT 29505 135.48$
29515 PR APPLY LOWER LEG SPLINT 29515 114.56$
29520 PR STRAPPING OF HIP 29520 52.72$
29530 PR STRAPPING OF KNEE 29530 79.73$
29540 PR STRAPPING; ANKLE &/OR FOOT 29540 42.08$
29550 PR STRAPPING OF TOES 29550 30.23$
29580 PR STRAPPING UNNA BOOT 29580 97.23$
29581 PR APPL MLT-LAYER VENOUS WOUND COMPRESS BELOW KNEE 29581 135.12$
29582 PR APPL MLTLAYR COMPRES THGH LEG ANKLE FT WHEN DONE 29582 111.57$
29583 PR APPL MLTLAYR COMPRES SYSTEM UPPER & LOWER ARM 29583 69.81$
29584 PR APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FINGER 29584 125.20$
29700 PR REMV/REVISN BOOT/BODY CAST 29700 103.22$
29705 PR REMV/REVISN FULL ARM/LEG CAST 29705 105.24$
29710 PR REMV/REVISN SHLDR/HIP SPICA CAST 29710 196.58$
29720 PR REPAIR SPICA/BODY/JACKET CAST 29720 135.30$
29730 PR WINDOWING OF CAST 29730 100.52$
29740 PR WEDGING OF CAST 29740 157.86$
29750 PR WEDGING OF CLUBFOOT CAST 29750 171.09$
29800 PR TMJ ARTHROSCOPY/DIAGNOSTIC 29800 839.93$
29804 PR TMJ ARTHROSCOPY/SURGERY 29804 1,023.69$
29805 PR SHLDR ARTHROSCOP,DIAGNOSTIC 29805 750.34$
29806 PR SHLDR ARTHROSCOP,SURG,CAPSULORRHAPHY 29806 1,688.89$
29807 PR SHLDR ARTHROSCOP,SURG,REPAIR,SLAP LESION 29807 1,649.52$
29819 PR SHLDR ARTHROSCOP,SURG,W/REMOVAL,LOOSE/FB 29819 929.35$
29820 PR SHLDR ARTHROSCOP,PART SYNOVECT 29820 851.43$
29821 PR SHLDR ARTHROSCOP,FULL SYNOVECT 29821 933.11$
29822 PR SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2 29822 905.54$
29823 PR SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+ 29823 986.72$
29824 PR SHLDR ARTHROSCOP,SURG,DIS CLAVICULECTOMY 29824 1,063.95$
29825 PR SHLDR ARTHROSCOP,LYSE ADHESNS 29825 919.58$
29826 PR SHLDR ARTHROSCOP,PART ACROMIOPLAS 29826 1,019.00$
29827 PR SHLDR ARTHROSCOP,SURG,W/ROTAT CUFF REPR 29827 1,684.90$
29828 PR ARTHROSCOPY SHOULDER SURGICAL BICEPS TENODESIS 29828 1,452.15$
29830 PR ELBOW ARTHROSCOP,DIAGNOSTIC 29830 725.75$
29834 PR ELBOW ARTHROSCOP,REMV LOOSE BODY 29834 775.85$
29835 PR ELBOW ARTHROSCOP,PART SYNOVECT 29835 808.53$
29836 PR ELBOW ARTHROSCOP,FULL SYNOVECT 29836 926.11$
29837 PR ELBOW ARTHROSCOP,PART DEBRIDE 29837 835.43$
29838 PR ELBOW ARTHROSCOP,EXTEN DEBRIDE 29838 937.07$
29840 PR WRIST ARTHROSCOP,DIAGNOSTIC 29840 718.61$
29843 PR WRIST ARTHROSCOP,CLEAN/DRAIN 29843 770.83$
29844 PR WRIST ARTHROSCOP,PART SYNOVECT 29844 792.96$
29845 PR WRIST ARTHROSCOP,FULL SYNOVECT 29845 919.88$
29846 PR WRIST ARTHROSCOP,EXCIS TRIANG CART 29846 830.84$
29847 PR WRIST ARTHROSCOP,INTERN FIXATN 29847 865.24$
29848 PR WRIST ARTHROSCOP,RELEASE XVERS LIG 29848 815.02$
29850 PR KNEE SCOPE/SURG/INTERCOND FX AID 29850 993.48$
29851 PR KNEE SCOPE/SURG/INCOND FX AID+FIXAT 29851 1,485.64$
29855 PR TIBIAL SCOPE/SURG/FX AID,UNICONDYLR 29855 1,246.41$
29856 PR TIBIAL SCOPE/SURG/FX AID,BICONDYLAR 29856 1,588.37$
29860 PR HIP ARTHROSCOPY, DX 29860 1,062.55$
29861 PR HIP SCOPE/REMOV LOOSE/FOREIGN BODY 29861 1,151.98$
29862 PR HIP SCOPE/REMV BODY,PLASTY/RESECTN 29862 1,286.79$
29863 PR HIP SCOPE/REMV BODY,SYNOVECTOMY 29863 1,284.57$
29866 PR KNEE SCOPE, AUTOGRAFT IMPANT 29866 1,672.74$
29867 PR KNEE SCOPE, ALLOGRAFT IMPANT 29867 2,039.96$
29868 PR KNEE SCOPE, MENISC TRANSPLANT 29868 2,672.32$
29870 PR KNEE SCOPE,DIAGNOSTIC 29870 916.15$
29871 PR KNEE SCOPE,CLEAN/DRAIN 29871 819.23$
29873 PR KNEE SCOPE, W/LATERAL RELEASE 29873 835.21$
29874 PR KNEE SCOPE,REMV LOOSE BODY 29874 853.71$
29875 PR KNEE SCOPE,PART SYNOVECT 29875 788.62$
29876 PR KNEE SCOPE,FULL SYNOVECT 29876 1,046.03$
29877 PR KNEE SCOPE,SHAVE ARTICULAR CART 29877 989.01$
29879 PR KNEE SCOPE,ABRASN ARTHROPLASTY 29879 1,054.66$
29880 PR KNEE SCOPE,SINGLE MENISECTOMY 29880 914.31$
29881 PR KNEE SCOPE,MED/LAT MENISECTOMY 29881 861.86$
29882 PR KNEE SCOPE,MED OR LAT MENIS REPAIR 29882 1,113.04$
29883 PR KNEE SCOPE,MED+LAT MENIS REPAIR 29883 1,342.74$
29884 PR KNEE SCOPE,LYSIS OF ADHESNS 29884 979.03$
29885 PR KNEE SCOPE,DRILL OSTE DISSEC+GRFT 29885 1,200.33$
29886 PR KNEE SCOPE,DRILL OSTEIT DISSEC 29886 1,014.92$
29887 PR KNEE SCOPE,DRILL OSTE DISS+INT FIX 29887 1,194.95$
29888 PR KNEE SCOPE,AID ANT CRUCIATE REPAIR 29888 1,568.26$
29889 PR KNEE SCOPE,AID POST CRUC REPAIR 29889 1,950.89$
29891 PR ANKLE SCOPE,EXCIS OSTEOCHON DEFCT 29891 1,073.36$
29892 PR ANKLE SCOPE,AID REPAIR FX,BONE DEFCT 29892 1,084.76$
29893 PR ANKLE SCOPE,PLANTAR FASCIOTOMY 29893 986.12$
29894 PR ANKLE SCOPE,REMVL LOOSE BODY 29894 786.18$
29895 PR ANKLE SCOPE,PART SYNOVECTOMY 29895 753.13$
29897 PR ANKLE SCOPE,PART DEBRIDEMENT 29897 802.94$
29898 PR ANKLE SCOPE,EXTENS DEBRIDEMNT 29898 901.10$
29899 PR ANKLE SCOPE,W/ANKLE ARTHRODESIS 29899 1,648.45$
29900 PR ARTHROS MCP JNT,DIAG,W/SYNOVIAL BX 29900 788.24$
29901 PR ARTHROS MCP JNT,SURG,W/DEBRIDEMENT 29901 849.37$
29902 PR ARTHROS MCP JNT,SURG,W/REDUCTION 29902 902.42$
29904 PR ARTHROSCOPY SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY 29904 1,016.58$
29905 PR ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY 29905 890.72$
29906 PR ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT 29906 1,105.98$
29907 PR ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS 29907 1,396.73$
29914 PR ARTHROSCOPY HIP W/FEMOROPLASTY 29914 1,569.15$
29915 PR ARTHROSCOPY HIP W/ACETABULOPLASTY 29915 1,609.15$
29916 PR ARTHROSCOPY HIP W/LABRAL REPAIR 29916 1,618.82$
29999 PR UNLISTED PROC, ARTHROSCOPY 29999 -$
30000 PR DRAIN ABSCESS/HEMATOMA,NASAL 30000 357.47$
30020 PR DRAIN ABSCESS/HEMATOMA,NASAL SEPTUM 30020 360.94$
30100 PR INTRANASAL BIOPSY 30100 217.97$
30110 PR EXCISION NOSE POLYP(S),SIMPLE 30110 357.03$
30115 PR EXCISION NOSE POLYP(S),EXTENSIVE 30115 671.22$
30117 PR EXCIS/DEST INTRANAS LESION; INT APP 30117 1,357.21$
30118 PR EXCIS/DEST INTRANAS LESION; EXT APP 30118 1,205.36$
30120 PR EXCISION SKIN OF NOSE 30120 819.52$
30124 PR EXCIS NASAL DERMOID,SIMPLE,SUBCUT 30124 443.22$
30125 PR EXCIS NASAL DERMOID,COMPLX 30125 944.06$
30130 PR EXCISION TURBINATE 30130 592.81$
30140 PR EXCISION TURBINATE,SUBMUCOUS 30140 433.57$
30150 PR PARTIAL EXCISION OF NOSE 30150 1,199.55$
30160 PR EXCISION OF NOSE 30160 1,203.18$
30200 PR INJECTION INTO TURBINATE 30200 174.70$
3020F PR LEFT VENTRICULAR FUNCTION (LVF) ASSESSMENT 3020F -$
30210 PR NASAL SINUS THERAPY 30210 233.52$
3021F PR LEFT VENTRICULAR EJECTION FRACTION < 40% 3021F -$
30220 PR INSERT NASAL SEPTAL PROSTHESIS 30220 468.22$
30300 PR REMOVE NASAL FOREIGN BODY 30300 278.50$
30310 PR REMV NASAL FOR BODY,GEN ANESTH 30310 315.30$
30320 PR REMV NASAL FOR BODY,LAT RHINOTOMY 30320 701.32$
30400 PR RECONSTR NOSE 30400 1,656.81$
30410 PR RECONSTR NOSE,COMPLETE+EXTERNAL 30410 1,953.32$
30420 PR RECONSTR NOSE+MAJ SEPTAL REPAIR 30420 2,133.65$
30430 PR REVIS NOSE,SECONDARY,MINOR 30430 1,452.89$
30435 PR REVIS NOSE,SECONDARY,INTERMEDIATE 30435 1,826.17$
3044F PR MOST RECENT HEMOGLOBIN A1C LEVEL <7.0% 3044F -$
30450 PR REVIS NOSE,SECONDARY,MAJOR 30450 2,426.13$
3045F PR MOST RECENT HEMOGLOBIN A1C LEVEL 7.0-9.0% 3045F -$
30460 PR REVIS NOSE/CLEFT LIP/TIP 30460 1,291.64$
30462 PR REVIS NOSE/CLEFT LIP/TIP,SEPTUM 30462 2,478.12$
30465 PR REPAIR NASAL CAVITY STENOSIS 30465 1,526.60$
3046F PR MOST RECENT HEMOGLOBIN A1C LEVEL > 9.0% 3046F -$
3050F PR MOST RECENT LDL-C >= 130 MG/DL 3050F -$
3051F PR MOST RECENT HG A1C>EQUAL TO 7.0%&<8.0% 3051F -$
30520 PR REPAIR OF NASAL SEPTUM 30520 968.20$
3052F PR MOST RECENT HG A1C>EQUAL TO 8.0%&<EQUAL TO 9.0% 3052F -$
30540 PR REPAIR CHOANAL ATRESIA,INTRANASAL 30540 1,068.29$
30545 PR REPAIR CHOANAL ATRESIA,TRANSPALATIN 30545 1,463.17$
30560 PR RELEASE OF NASAL ADHESIONS 30560 414.41$
30580 PR REPAIR ORO-MAXILLARY FISTULA 30580 1,023.00$
30600 PR REPAIR ORO-NASAL FISTULA 30600 920.62$
3060F PR POS MICROALBUMINURIA RESULT DOCUMENTED/REVIEW 3060F -$
3061F PR NEG MICROALBUMINURIA RESULT DOCUMENTED/REVIEW 3061F -$
30620 PR INTRANASAL RECONSTRUCTION 30620 967.79$
3062F PR POS MACROALBUMINURIA RESULT DOCUMENTED/REVIEW 3062F -$
30630 PR REPAIR NASAL SEPTUM PERFORATN 30630 967.81$
3066F PR DOCUMENTATION OF TREATMENT FOR NEPHROPATHY 3066F -$
3072F PR LOW RISK FOR RETINOPATHY 3072F -$
3074F PR MOST RECENT SYSTOLIC BLOOD PRESSURE < 130 MM HG 3074F -$
3075F PR MOST RECENT SYSTOLIC BLOOD PRESS GE 130-139MM HG 3075F -$
3077F PR MOST RECENT SYSTOLIC BLOOD PRESSURE >= 140 MM HG 3077F -$
3078F PR MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG 3078F -$
3079F PR MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG 3079F -$
30801 PR CAUTER TURBINATE MUCOSA,SUPERFICIAL 30801 355.36$
30802 PR CAUTER TURBINATE MUCOSA,INTRAMURAL 30802 449.31$
3080F PR MOST RECENT DIASTOLIC BLOOD PRESSURE >= 90 MM HG 3080F -$
30901 PR CTRL NOSEBLEED,ANTER,SIMPLE 30901 214.65$
30903 PR CTRL NOSEBLEED,ANTER,COMPLEX 30903 329.98$
30905 PR CTRL NOSEBLEED,POST,W/PACKS &/OR CAUT 30905 510.13$
30906 PR REPEAT CONTROL OF NOSEBLEED 30906 529.77$
30915 PR LIGATE ETHMOID ARTERY 30915 895.49$
30920 PR LIGATE INTERN MAXILL ARTERY 30920 1,299.62$
30930 PR THERAPUTIC FRACTURE INFER TURBINATE 30930 192.24$
31000 PR IRRIGATION MAXILLARY SINUS 31000 285.55$
31002 PR IRRIGATION SPHENOID SINUS 31002 294.72$
31020 PR EXPLOR MAXILL SINUS,INTRANASAL 31020 755.60$
31030 PR EXPLOR MAXILL SINUS,RADICAL 31030 1,074.13$
31032 PR EXPLOR MAXILL SINUS,RMV POLYPS 31032 895.75$
31040 PR EXPLOR PTERYGOMAXILL FOSSA 31040 1,192.11$
31050 PR EXPLOR SPHENOID SINUS 31050 752.57$
31051 PR EXPLOR SPHENOID SINUS+RMV POLYPS 31051 1,001.02$
31070 PR EXPLOR FRONT SINUS,EXTERN,SIMPLE 31070 680.66$
31075 PR EXPLOR FRONT SINUS,TRANSORBIT,UNI 31075 1,214.12$
31080 PR OBLITER FRONT SINUS,BROW INCIS 31080 1,600.04$
31081 PR OBLITER FRONT SINUS,CORON INCIS 31081 1,913.32$
31084 PR OBLITER FRONT SINUS+FLAP,BROW INCIS 31084 1,792.11$
31085 PR OBLITER FRONT SINUS+FLAP,CORON INCI 31085 2,042.47$
31086 PR NONOBLIT FRONT SINUS+FLAP,BROW INCI 31086 1,740.40$
31087 PR NONOBLIT FRONT SINUS+FLAP,CORON INC 31087 1,681.76$
31090 PR EXPLORE 3+ SINUSES 31090 1,598.60$
31200 PR REMOV ETHMOID SINUS,INTRANASAL,ANT 31200 908.24$
31201 PR REMOV ETHMOID SINUS,INTRANASAL,TOTL 31201 1,162.39$
31205 PR REMOV ETHMOID SINUS,EXTRANASAL,TOTL 31205 1,433.77$
31225 PR REMV UPPER JAW-MAXILLECTOMY 31225 2,939.28$
31230 PR REMV UPPER JAW+ORBIT EXENTERATN 31230 3,240.14$
31231 PR NASAL ENDOSCOPY,DX 31231 330.23$
31233 PR NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY 31233 406.30$
31235 PR NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY 31235 465.42$
31237 PR NASAL/SINUS ENDOSCOPY,BX/RMV POLYP/DEBRID 31237 412.50$
31238 PR NASAL/SINUS ENDOSCOPY,W/CONTROL NASAL HEM 31238 411.61$
31239 PR NASAL/SINUS ENDOSCOPY,SURG TEAR DUCT 31239 981.67$
31240 PR NASAL/SINUS ENDOSCOPY,RMV CONCHA BULL 31240 252.70$
31241 PR NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY 31241 713.31$
31253 PR NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL 31253 800.53$
31254 PR NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY 31254 640.78$
31255 PR NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY 31255 517.28$
31256 PR NASAL/SINUS ENDOSCOPY,OPEN MAXILL SINUS 31256 287.73$
31257 PR NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY 31257 712.78$
31259 PR NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL 31259 755.49$
31267 PR NASAL/SINUS ENDOSCOPY,RMV TISS MAXILL SINUS 31267 424.23$
31276 PR NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS 31276 604.20$
31287 PR NASAL/SINUS ENDOSCOPY,SPHENOIDOTOMY 31287 321.78$
31288 PR NASAL/SINUS ENDOSCOPY,REMV TISS SPHENOID 31288 374.07$
31290 PR NASAL/SINUS ENDOSCOPY,REPAIR CSF LEAK,ETHMOID 31290 1,816.47$
31291 PR NASAL/SINUS ENDOSCOPY,RECSF LEAK,SPHENOID 31291 1,937.99$
31292 PR NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN 31292 1,565.90$
31293 PR NASAL/SINUS NDSC SURG MEDIAL&INF ORB WALL DCMPRN 31293 1,699.22$
31294 PR NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN 31294 1,946.57$
31295 PR NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS 31295 3,157.75$
31296 PR NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS 31296 3,198.18$
31297 PR NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS 31297 3,135.51$
31298 PR NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS 31298 6,077.03$
31300 PR REMOVAL OF LARYNX LESION 31300 2,042.06$
31320 PR DIAGNOSTIC INCISION LARYNX 31320 899.70$
31360 PR REMOVAL OF LARYNX 31360 3,319.07$
31365 PR REMOVAL OF LARYNX+RAD TOTL NECK 31365 4,092.40$
31367 PR PART SUPRAGLOT REMV LARYNX 31367 3,511.58$
31368 PR PART SUPRAGLOT REMV LARYNX+RAD NECK 31368 3,903.47$
31370 PR PART REMV LARYNX,HORIZONTAL 31370 3,301.96$
31375 PR PART REMV LARYNX,LATEROVERT 31375 3,130.53$
31380 PR PART REMV LARYNX,ANTEROVERT 31380 3,086.66$
31382 PR PART REMV LARYNX,ANTER-LAT-VERT 31382 3,389.30$
31390 PR REMV LARYNX & PHARYNX 31390 4,555.42$
31395 PR REMV LARYNX+PHARYNX W RECONSTRUC 31395 4,821.02$
31400 PR REVISION ARYTENOIDS 31400 1,550.64$
31420 PR REMOVAL OF EPIGLOTTIS 31420 1,302.16$
31500 PR INSERT EMERGENCY ENDOTRACH AIRWAY 31500 227.45$
31502 PR TRACH TUBE CHANGE 31502 55.89$
31505 PR LARYNGOSCOPY,INDIRECT,DX 31505 129.33$
31510 PR LARYNGOSCOPY,INDIRECT WITH BIOPSY 31510 329.72$
31511 PR LARYNGOSCOPY,INDIRECT+REMV FOR.BODY 31511 331.04$
31512 PR LARYNGOSCOPY,INDIRECT+REMV LESN 31512 321.54$
31513 PR LARYNGOSCOPY,INDIRECT+INJECT CORD 31513 208.11$
31515 PR LARYNGOSCOPY,DIRECT FOR ASPIRATION 31515 320.97$
31520 PR LARYNGOSCOPY,DIRECT,DIAGNOS,NEWBRN 31520 247.73$
31525 PR LARYNGOSCOPY,DIRECT,DIAGNOSTIC 31525 394.88$
31526 PR LARYNGOSCOPY,DIRECT,DX,OP MICROSCOP 31526 248.87$
31527 PR LARYNGOSCOPY,DIRECT,INSRT OBTURATOR 31527 309.99$
31528 PR LARYNGOSCOPY DIRECT,W/DILAT, INITIAL 31528 228.71$
31529 PR LARYNGOSCOPY DIRECT,W/DILAT, SUBSEQUENT 31529 256.06$
31530 PR LARYNGOSCOPY,DIRCT,OP,F.B. REMVL 31530 317.03$
31531 PR LARYNGOSCOPY,DIRCT,OP SCOPE,FB REMV 31531 337.33$
31535 PR LARYNGOSCOPY,DIRCT,OP,BIOPSY 31535 301.41$
31536 PR LARYNGOSCOPY,DIRCT,OP SCOPE,BIOPSY 31536 334.49$
31540 PR LARYNGOSCOPY,DIRCT,OP,EXC TUMOR 31540 383.53$
31541 PR LARYNGOSCOPY,DIRCT,OP SCOP,EXC TUMR 31541 418.56$
31545 PR LARYNGOSCOPY,DIR,OP,EXC TUMR,LCL FLAP 31545 575.24$
31546 PR LARYNGOSCOPY,DIR,OP,EXC TUMR,AUTGRFT 31546 874.17$
31551 PR LARYNGOPLASTY LARYNGEAL STEN W/O STENT < 12 YRS 31551 2,280.80$
31552 PR LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS > 31552 2,283.70$
31553 PR LARYNGOPLASTY LARYNGEAL STEN W/STENT < 12 YRS 31553 2,515.46$
31554 PR LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS > 31554 2,620.76$
31560 PR LARYNGOSCOPY,DIRCT,OP,REMV ARYTENOD 31560 497.15$
31561 PR LARYNGOSCOPY,DIRCT,OP SCOP,REMV ARY 31561 543.48$
31570 PR LARYNGOSCOPY,DIRCT,INJ VOCAL CORD 31570 528.28$
31571 PR LARYNGOSCOPY,DIRECT,SCOPE,INJ CORDS 31571 395.77$
31572 PR LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI 31572 776.04$
31573 PR LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI 31573 414.68$
31574 PR LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI 31574 1,594.25$
31575 PR LARYNGOSCOPY FLEXIBLE DIAGNOSTIC 31575 177.59$
31576 PR LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES) 31576 415.50$
31577 PR LARYNGOSCOPY FLX RMVL FOREIGN BODY(S) 31577 431.62$
31578 PR LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER 31578 472.20$
31579 PR LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY 31579 282.74$
31580 PR LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION 31580 1,962.77$
31584 PR LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS 31584 2,174.96$
31587 PR LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT 31587 1,816.58$
31590 PR REINNERVATE LARYNX W PEDICLE 31590 1,377.39$
31591 PR LARYNGOPLASTY MEDIALIZATION UNLIATERAL 31591 1,642.94$
31592 PR CRICOTRACHEAL RESECTION 31592 2,676.91$
31595 PR RESEC RECURRENT LARYNX NERVE 31595 1,188.74$
31600 PR TRACHEOSTOMY, PLANNED 31600 513.15$
31601 PR TRACHEOSTOMY, <2 Y/O 31601 718.86$
31603 PR TRACHEOSTOMY,EMERG,XTRACH 31603 514.02$
31605 PR TRACHEOSTOMY,EMERG,CRICOTHYROID 31605 532.87$
31610 PR TRACHEOSTOMY,FENESTRATN+FLAPS 31610 1,496.20$
31611 PR CREATE T-E FISTULA+SPEECH PROSTHESIS 31611 841.29$
31612 PR PERCUT TRACH PUNCT/ASPIRATN 31612 130.93$
31613 PR TRACH REVISION,SIMPLE 31613 711.43$
31614 PR TRACH REVISION,COMPLEX 31614 1,178.78$
31615 PR TRACHEOBRNCHSC THRU EST TRACHS INC 31615 264.53$
31622 PR BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX 31622 382.19$
31623 PR BRNCHSC BRUSHING/PROTECTED BRUSHINGS 31623 432.37$
31624 PR BRNCHSC W/BRNCL ALVEOLAR LAVAGE 31624 516.83$
31625 PR BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES 31625 526.93$
31626 PR BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT 31626 1,337.77$
31627 PR BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION 31627 2,209.33$
31628 PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE 31628 560.98$
31629 PR BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON 31629 690.49$
31630 PR BRONCHOSCOPY,TRACH/BRONCH DILATN 31630 321.35$
31631 PR BRONCHOSCOPY,TRACH DIL+STENT 31631 367.83$
31632 PR BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE 31632 102.22$
31633 PR BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE 31633 128.55$
31634 PR BRONCHOSCOPY BALLOON OCCLUSION 31634 2,809.21$
31635 PR BRONCHOSCOPY W/REMOVAL FOREIGN BODY 31635 446.57$
31636 PR BRONCHOSCOPY, BRONCH STENTS 31636 357.04$
31637 PR BRONCHOSCOPY, STENT ADD-ON 31637 120.80$
31638 PR BRONCHOSCOPY, REVISE STENT 31638 403.62$
31640 PR BRONCHOSCOPY,EXCIS LESN 31640 406.25$
31641 PR BRONCHOSCOPY,RX STENOSIS 31641 415.88$
31643 PR BRONCHOSCOPY,RX W PLACE CATHETER 31643 287.50$
31645 PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST 31645 412.01$
31646 PR BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ 31646 229.80$
31647 PR BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE 31647 343.12$
31648 PR BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL 31648 317.05$
31649 PR BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL 31649 110.06$
31651 PR BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE 31651 120.80$
31652 PR BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX 31652 1,414.93$
31653 PR BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX 31653 1,388.06$
31654 PR BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES 31654 199.95$
31660 PR BRONCHOSCOPIC THERMOPLASTY ONE LOBE 31660 317.59$
31661 PR BRONCHOSCOPIC THERMOPLASTY 2/> LOBES 31661 336.22$
31717 PR CATH W BRONCHIAL BRUSH BIOPSY 31717 426.21$
31720 PR CATHETER ASPIRATN,NASOTRACH 31720 80.73$
31725 PR CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX 31725 128.17$
31730 PR INTRO WINDPIPE WIRE/TUBE 31730 1,949.38$
31750 PR REVISN TRACHEA,CERVICAL 31750 2,202.83$
31755 PR REVISN TRACHEA,TRACHPHARYN FIST 31755 2,785.93$
31760 PR REVISN TRACHEA,INTRATHROACIC 31760 2,174.58$
31766 PR CARINAL RECONSTRUCTION 31766 2,821.63$
31770 PR REPAIR/GRAFT OF BRONCHUS 31770 2,113.63$
31775 PR EXCIS BRONCH STENOSIS/RECONST 31775 2,219.61$
31780 PR EXCIS TRACH STEN/RECONST,CERV 31780 1,890.34$
31781 PR EXCIS TRACH STEN/RECONST,CERVTHOR 31781 2,197.32$
31785 PR EXCIS TRACH LESN,CERVICAL 31785 1,692.52$
31786 PR EXCIS TRACH LESN,THORACIC 31786 2,288.65$
31800 PR REPAIR TRACH WOUND/INJ,CERVICAL 31800 1,149.70$
31805 PR REPAIR TRACH WOUND/INJ,INTRATHORACI 31805 1,292.41$
31820 PR SURG CLOSURE TRACH/FISTULA 31820 679.19$
31825 PR SURG CLOSURE TRACH/FIST,PLAST REPR 31825 939.31$
31830 PR REVISE TRACHEOSTOMY SCAR 31830 693.10$
32035 PR THORACOSTOMY,RIB RESECT,EMPYEMA 32035 1,152.01$
32036 PR THORACOSTOMY,OPEN DRAIN/EMPYEMA 32036 1,227.22$
32096 PR THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL 32096 1,276.14$
32097 PR THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL 32097 1,275.19$
32098 PR THORACOTOMY W/BIOPSY OF PLEURA 32098 1,210.67$
32100 PR THORACOTOMY,MAJOR,EXPLOR/BIOPSY 32100 1,284.03$
32110 PR THORACOTOMY,CTRL TRAUMA BLEED 32110 2,325.79$
32120 PR THORACOTOMY,POSTOP COMPLICATNS 32120 1,382.58$
32124 PR THORACOTOMY,LYSE ADHESIONS 32124 1,469.64$
32140 PR THORACOTOMY,CYST REMOVAL 32140 1,574.07$
32141 PR THORACOTOMY,EXCIS BULLAE 32141 2,418.06$
32150 PR THORACOTOMY,REMV PLEURAL FOR.BODY 32150 1,591.11$
32151 PR THORACOTOMY,REMV PULM FOREIGN BODY 32151 1,597.18$
32160 PR THORACOTOMY,OPEN HEART MASSAGE 32160 1,255.83$
32200 PR PNEUMONOSTOMY,OPEN DRAIN ABSC/CYST 32200 1,807.10$
32215 PR PLEURAL SCARIFICATN FOR MULT PTX 32215 1,275.71$
32220 PR DECORTICATION,PULMONARY,TOTAL 32220 2,511.68$
32225 PR DECORTICATION,PULMONARY,PARTIAL 32225 1,577.24$
32310 PR REMOVAL PARIETAL PLEURA 32310 1,448.06$
32320 PR DECORTICATE/REMV PARIETAL PLEURA 32320 2,531.03$
32400 PR NEEDLE BIOPSY PLEURA 32400 239.60$
32405 PR BIOPSY LUNG/MEDIASTINUM PERCUTANEOUS NEEDLE 32405 617.79$
32440 PR REMOVAL OF LUNG 32440 2,481.50$
32442 PR REMV LUNG,RESEC PART TRACHEA 32442 4,865.80$
32445 PR REMOVAL OF LUNG,EXTRAPLEURAL 32445 5,607.79$
32480 PR REMOVAL OF LUNG,LOBECTOMY 32480 2,344.19$
32482 PR REMOVAL OF LUNG,BILOBECTOMY 32482 2,508.73$
32484 PR REMOVAL OF LUNG,SEGMENTECTOMY 32484 2,275.71$
32486 PR REMV LUNG,PART,RESEC PART BRONCHUS 32486 3,734.86$
32488 PR COMPLETION PNEUMONECTOMY 32488 3,807.97$
32491 PR REMV EMPHYSEMATOUS LUNG W VOLUM REDN 32491 2,306.65$
32501 PR REPAIR BRONCHUS (ADD-ON) 32501 388.76$
32503 PR RESECT APICAL LUNG TUMOR 32503 2,854.15$
32504 PR RESECT APICAL LUNG TUM/ CHEST WALL RECONST 32504 3,252.07$
32505 PR THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL 32505 1,476.50$
32506 PR THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL 32506 248.69$
32507 PR THORACOTOMY W/DX WEDGE RESEXN &ANTOM LUNG RESEXN 32507 248.69$
32540 PR EXTRAPLEURAL REMV EMPYEMA 32540 2,740.58$
32550 PR INSERTION INDWELLING TUNNELED PLEURAL CATHETER 32550 1,120.02$
32551 PR TUBE THORACOSTOMY INCLUDES WATER SEAL 32551 252.00$
32552 PR REMOVAL OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF 32552 291.90$
32553 PR PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT 32553 827.26$
32554 PR THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING 32554 321.73$
32555 PR THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING 32555 460.05$
32556 PR PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING 32556 882.02$
32557 PR PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING 32557 808.58$
32560 PR CHEMICAL PLEURODESIS FOR PERSISTENT PNEUMOTHORAX 32560 387.21$
32561 PR INSTILL VIA CHEST TUBE AGENT FOR FIBRINOLYSIS, 1ST DAY 32561 148.63$
32562 PR INSTILL VIA CHEST TUBE AGENT FOR FIBRINOLYSIS, SUBSEQUENT 32562 133.30$
32601 PR THORACOSCOPY,DX NO BX 32601 490.41$
32604 PR THORACOSCOPY,DX PERICARD W BX 32604 765.07$
32606 PR THORACOSCOPY,DX MEDIAST W BX 32606 734.66$
32607 PR THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL 32607 489.87$
32608 PR THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL 32608 600.45$
32609 PR THORACOSCOPY WITH BIOPSYIES OF PLEURA 32609 411.48$
32650 PR THORACOSCOPY SURG W/PLEURODESIS 32650 1,056.56$
32651 PR THORACOSCOPY SURG PART PULM DECORT 32651 1,736.72$
32652 PR THORACOSCOPY SURG TOT PULM DECORT 32652 2,634.72$
32653 PR THORACOSCOPY SURG REMOV FB INTRAPLEU 32653 1,680.43$
32654 PR THORACOSCOPY SURG CTRL TRAUMA BLEED 32654 1,837.82$
32655 PR THORACOSCOPY SURG EXCIS BULAE 32655 1,516.14$
32656 PR THORACOSCOPY SURG PART PLEURECTOMY 32656 1,269.36$
32658 PR THORACOSCOPY SURG EXC FB/CLOT PERICA 32658 1,131.80$
32659 PR THORACOSCOPY SURG PERICARD WINDOW 32659 1,158.27$
32661 PR THORACOSCOPY SURG EXC PERICARD MASS 32661 1,267.02$
32662 PR THORACOSCOPY SURG EXC MEDIAST MASS 32662 1,412.75$
32663 PR THORACOSCOPY SURG LOBECTOMY 32663 2,220.60$
32664 PR THORACOSCOPY SURG THOR SYMPATHECT 32664 1,345.64$
32665 PR THORACOSCOPY SURG ESOPHAGOMYOTOMY 32665 1,957.92$
32666 PR THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT 32666 1,380.37$
32667 PR THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL 32667 249.23$
32668 PR THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN 32668 249.23$
32669 PR THORACOSCOPY W/SEGMENTECTOMY 32669 2,132.71$
32670 PR THORACOSCOPY W/BILOBECTOMY 32670 2,547.45$
32671 PR THORACOSCOPY W/PNEUMONECTOMY 32671 2,824.77$
32672 PR THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL 32672 2,424.18$
32673 PR THORACOSCOPY RESEXN THYMUS UNI/BILATERAL 32673 1,933.68$
32674 PR THORCOSCPY W/MEDIASTINL ®IONL LYMPHADENECTOMY 32674 342.11$
32701 PR THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE 32701 342.57$
32800 PR REPAIR LUNG HERNIA 32800 1,496.14$
32810 PR CLOSE CHEST AFTER DRAINAGE 32810 1,429.91$
32815 PR CLOSE BRONCHIAL FISTULA 32815 4,426.98$
32820 PR RECONSTRUCT INJURED CHEST 32820 2,111.41$
32851 PR LUNG TRANSPLANT,SINGLE 32851 5,221.26$
32852 PR LUNG TRANSPLANT,SINGL W CP BYPASS 32852 5,678.85$
32853 PR LUNG TRANSPLANT,DOUBLE 32853 7,273.88$
32854 PR LUNG TRANSPLANT,DBL W CP BYPASS 32854 7,717.36$
32855 PR TRANSPLANT,PREP DONOR LUNG, SINGLE 32855 292.69$
32856 PR TRANSPLANT,PREP DONOR LUNG, DOUBLE 32856 292.69$
3288F PR FALLS RISK ASSESSMENT DOCUMENTED 3288F -$
32900 PR REMOVAL OF RIB(S) 32900 2,250.96$
32905 PR THORACOPLASTY 32905 2,123.09$
32906 PR THORACOPLASTY,CLOSE BP FISTULA 32906 2,621.31$
32940 PR REVISION OF LUNG 32940 1,960.74$
32960 PR THERAPEUTIC PNEUMOTHORAX 32960 203.03$
32994 PR ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION 32994 9,693.54$
32997 PR LAVAGE LUNG,TOTAL,UNILATERAL 32997 556.81$
32998 PR ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY 32998 5,702.96$
33010 PR PERICARDIOCENTESIS INITIAL 33010 171.57$
33011 PR PERICARDIOCENTESIS SUBSEQUENT 33011 172.26$
33015 PR INCIS HEART SAC TUBE 33015 815.91$
33020 PR INCIS HEART SAC REMV CLOT/FB 33020 1,398.13$
33025 PR INCIS HEART SAC WINDW FOR DRAIN 33025 1,267.45$
33030 PR REMOV HEART SAC NO CP BYPASS 33030 3,180.36$
33031 PR REMOV HEART SAC W CP BYPASS 33031 3,929.49$
33050 PR REMOVAL HEART SAC LESION 33050 1,604.86$
33120 PR REMOVAL HEART LESION INTERN 33120 3,331.86$
33130 PR REMOVAL HEART LESION EXTERN 33130 2,185.77$
33140 PR TMR,REVASCULARIZE HEART 33140 2,497.74$
33141 PR TMR W/OTHER OPEN CARDIAC SURGERY 33141 209.35$
33202 PR INSERT EPICARDIAL ELECTRODE, OPEN 33202 1,233.24$
33203 PR INSERT EPICARDIAL ELECTRODE, ENDOSCOPIC 33203 1,285.81$
33206 PR INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL 33206 721.50$
33207 PR INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR 33207 767.71$
33208 PR INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT 33208 831.77$
33210 PR INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH 33210 263.06$
33211 PR INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX 33211 271.31$
33212 PR INS PM PLS GEN W/EXIST SINGLE LEAD 33212 511.42$
33213 PR INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS 33213 534.91$
33214 PR UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS 33214 763.85$
33215 PR REPOSITION TRANSVENOUS ELECTRODE 33215 495.83$
33216 PR INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB 33216 590.95$
33217 PR INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB 33217 580.64$
33218 PR RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB 33218 619.11$
33220 PR RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB 33220 624.15$
33221 PR INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS 33221 574.45$
33222 PR RELOCATION OF SKIN POCKET FOR PACEMAKER 33222 538.51$
33223 PR RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR 33223 652.01$
33224 PR INSRT PACING ELECT,W/ATTACH PREV DEVICE 33224 823.85$
33225 PR INSJ ELTRD CAR VEN SYS TM INSJ CVDFB/PM PLS GEN 33225 751.10$
33226 PR REPOSIT PREV IMPLANTED CARDIAC ELECTRODE 33226 791.67$
33227 PR REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD 33227 539.25$
33228 PR REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS 33228 564.42$
33229 PR REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD 33229 597.47$
33230 PR INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS 33230 609.66$
33231 PR INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS 33231 640.37$
33233 PR REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY 33233 366.98$
33234 PR RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR 33234 773.98$
33235 PR RMVL TRANSVNS PM ELTRD DUAL LEAD SYS 33235 1,018.08$
33236 PR REMV EPICARD SYST ONE LD/THORACOTMY 33236 1,243.65$
33237 PR REMV EPICARD SYST TWO LD/THORACOTMY 33237 1,335.26$
33238 PR REMV PERM XVEN ELECTRD/THORACOTMY 33238 1,497.01$
33240 PR INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD 33240 583.26$
33241 PR REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY 33241 343.63$
33243 PR RMV PACER/ELECTRD,THORACOTOMY 33243 2,179.27$
33244 PR RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ 33244 1,373.30$
33249 PR INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR 33249 1,463.72$
33250 PR ABLATION SUPRAVENT ARRHYTHMOGENIC FOCUS 33250 2,329.44$
33251 PR ABLAT HRT DYSRHYTHM FOCUS W BYPASS 33251 2,578.17$
33254 PR ABLATE/ RECONSTUCT ATRIA, LIMITED 33254 2,163.99$
33255 PR ABLATE/ RECONSTUCT ATRIA, EXTENS, W/O BYPASS 33255 2,604.61$
33256 PR ABLATE/ RECONSTUCT ATRIA, EXTENS, W/ BYPASS 33256 3,090.40$
33257 PR ABLATE/ RECONSTUCT ATRIA, W OTHER PROCED LIMITED 33257 926.16$
33258 PR ABLATE/ RECONSTUCT ATRIA, W OTHER PROCED EXTENS W/O BYPASS 33258 1,045.09$
33259 PR ABLATE/ RECONSTUCT ATRIA, W OTHER PROCED EXTENS W/ BYPASS 33259 1,343.51$
33261 PR ABLAT VENTR DYSRHYTHM FOCUS 33261 2,578.72$
33262 PR RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD 33262 594.20$
33263 PR RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD 33263 619.77$
33264 PR RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD 33264 645.78$
33265 PR ENDO ABLATE/ RECONSTUCT ATRIA, LIMITED 33265 2,161.96$
33266 PR ENDO ABLATE/ RECONSTUCT ATRIA, EXTENS, W/O BYPASS 33266 2,934.71$
33270 INSERTION OR REPLACEMENT OF DEFIBRILLATOR WITH ELECTRODE 33270 907.65$
33271 INSERTION OF DEFIBRILLATOR ELECTRODE 33271 728.77$
33272 REMOVAL OF DEFIBRILLATOR ELECTRODE 33272 558.23$
33273 REPOSITIONING OF PREVIOUSLY IMPLANTED DEFIBRILLATOR ELECTRODE 33273 642.15$
33284 PR RMVL IMPLANTABLE PT-ACTIVATED CAR EVENT RECORDER 33284 315.78$
33285 INSERTION, SUBCUTANEOUS CARDIAC RHYTHM MONITOR INCLUDING PROGRAMMING 33285 144.61$
33300 PR REPAIR HEART WOUND 33300 3,895.67$
33305 PR REPAIR HEART WND W CP BYPASS 33305 6,521.96$
33310 PR EXPLOR HEART SURG WOUND 33310 1,869.98$
33315 PR EXPLOR HEART SURG WND W CP BYPASS 33315 3,038.48$
33320 PR REAO/GRT VESSEL 33320 1,680.13$
33321 PR REAO/GRT VESSEL W SHNT BYPASS 33321 1,900.07$
33322 PR REAO/GRT VESSEL W CP BYPASS 33322 2,208.31$
33330 PR INSERT AO/GRT VESS GRFT 33330 2,279.34$
33335 PR INSERT AO/GRT VESS GRFT CP BYPASS 33335 3,005.46$
33340 PR PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT 33340 1,270.02$
33361 PR REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH 33361 2,166.83$
33362 PR REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH 33362 2,365.28$
33363 PR REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH 33363 2,452.25$
33364 PR REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH 33364 2,582.88$
33365 PR REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH 33365 2,841.83$
33366 PR TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE 33366 3,073.31$
33367 PR REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH 33367 1,002.01$
33368 PR REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH 33368 1,190.54$
33369 PR REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH 33369 1,571.92$
33390 PR VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE 33390 3,031.99$
33391 PR VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX 33391 3,596.19$
33404 PR PREPARE HEART-AORTA CONDUIT 33404 2,799.16$
33405 PR RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT 33405 3,607.58$
33406 PR RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND 33406 4,566.41$
33410 PR RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE 33410 4,046.49$
33411 PR REPLACE AORT VALV W ANNULUS ENLRGEMENT 33411 5,331.17$
33412 PR REPLAC AO VALV XVENT AO ANNUL ENLG 33412 5,047.20$
33413 PR REPL AORT VALVE,TRANSLOC AUTOL PULM VALV 33413 5,162.80$
33414 PR REPAIR LV OUTFLOW OBSTR PATCH ENLG 33414 3,425.93$
33415 PR REVIS SUBVALV TIS SVAS 33415 3,233.79$
33416 PR REVIS VENT MUSC FOR IHSS 33416 3,223.85$
33417 PR AORTOPLAS FOR SUPRAVALV STEN 33417 2,655.11$
33418 TRANSCATH MITRAL VALVE REPAIR; PERQ; INITIAL PROSTHESIS 33418 2,878.24$
33419 TRANSCATH MITRAL VALVE REPAIR; PERQ; EACH ADDL PROSTHESIS DURING SAME SESSION 33419 680.00$
33420 PR VALVOTOMY MITRAL CLOSED 33420 2,320.58$
33422 PR VALVOTOMY MITRAL OPEN W CP BYPASS 33422 2,663.74$
33425 PR MITRALPLASTY W CP BYPASS 33425 4,348.71$
33426 PR MITRALPLASTY W PROSTHETIC RING 33426 3,789.18$
33427 PR MITRALPLASTY W RADICAL RECONSTR 33427 3,889.38$
33430 PR REPLACEMENT OF MITRAL VALVE 33430 4,447.84$
33460 PR VALVECTOMY TRICUSPID W CP BYPASS 33460 3,850.39$
33463 PR VALVULOPLAS TRICUS NO RING INSERT 33463 4,911.75$
33464 PR VALVULOPLAS TRICUS W RING INSERT 33464 3,885.54$
33465 PR REPLACE TRICUSPID W CP BYPASS 33465 4,383.26$
33468 PR REVISION OF TRICUSPID VALVE 33468 3,906.09$
33470 PR PULM VALVOTOMY TRANSVENTRIC 33470 1,970.53$
33471 PR PULM VALVOTOMY VIA PULM ART 33471 2,109.10$
33474 PR PULM VALVOTOMY W CP BYPASS 33474 3,469.55$
33475 PR REPLACEMENT, PULMONARY VALVE 33475 3,719.22$
33476 PR RV RESEC INFUND STEN 33476 2,424.46$
33477 PR TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH 33477 2,176.15$
33478 PR RV OUTFLOW TRACT AUGMENTATN 33478 2,505.06$
33496 PR REPAIR,PROSTH VALV DYSFUNC W BYPASS 33496 2,664.30$
33500 PR REPAIR CORONARY FISTULA W BYPASS 33500 2,497.80$
33501 PR REPAIR CORONARY FISTULA NO BYPASS 33501 1,784.06$
33502 PR REANOMAL CORON ART PA ORIGIN BY LIGATN 33502 2,032.29$
33503 PR REANOMAL CORON ART PA ORIGIN BY GRAFT 33503 2,112.51$
33504 PR REANOMAL COR ART PA ORIGIN BY GRFT W PASS 33504 2,335.06$
33505 PR REANOMAL COR PA ORIGIN ART W/TUNNEL 33505 3,288.65$
33506 PR REANOMAL COR ART PA ORIGIN TRANSLOCATION 33506 3,275.07$
33507 PR REINTRAMURAL COR ART TRANSLOC/ UNROOF 33507 2,747.51$
33508 PR ENDOSCOPY W/VIDEO-ASST VEIN HARVEST,CABG 33508 25.82$
33510 PR CABG, VEIN, SINGLE 33510 3,073.13$
33511 PR CABG, VEIN, TWO 33511 3,376.92$
33512 PR CABG, VEIN, THREE 33512 3,839.35$
33513 PR CABG, VEIN, FOUR 33513 3,949.65$
33514 PR CABG, VEIN, FIVE 33514 4,181.89$
33516 PR CABG, VEIN, SIX+ 33516 4,330.13$
33517 PR CABG, ARTERY-VEIN, SINGLE 33517 298.37$
33518 PR CABG, ARTERY-VEIN, TWO 33518 655.51$
33519 PR CABG, ARTERY-VEIN, THREE 33519 866.71$
3351F PR STAND SCREEN TOOL NEGATIVE FOR DEPRESSION 3351F -$
33521 PR CABG, ARTERY-VEIN, FOUR 33521 1,038.84$
33522 PR CABG, ARTERY-VEIN, FIVE 33522 1,167.11$
33523 PR CABG, ARTERY-VEIN, SIX+ 33523 1,329.26$
33530 PR CABG, REOPERATE >1 MON ORIG 33530 837.29$
33533 PR CABG, ARTERIAL, SINGLE 33533 2,972.21$
33534 PR CABG, ARTERIAL, TWO 33534 3,496.04$
33535 PR CABG, ARTERIAL, THREE 33535 3,896.10$
33536 PR CABG, ARTERIAL, FOUR+ 33536 4,187.07$
33542 PR MYOCARD RESECTN 33542 4,170.99$
33545 PR REPOST MI SEPTAL DFCT 33545 4,913.78$
33548 PR RESTORE/REMODEL VENTRICLE 33548 4,728.49$
33572 PR OPEN CORONARY ENDARTERECTOMY 33572 366.58$
33600 PR CLOSURE OF AV VALVE 33600 2,737.66$
33602 PR CLOSURE OF SEMILUNAR VALVE 33602 2,656.65$
33606 PR ANAST PULM ARTERY TO AORTA 33606 2,832.04$
33608 PR REPAIR ANOMALY W/CONDUIT 33608 2,867.78$
33610 PR REPAIR BY SURG ENLARGEMENT,VSD 33610 2,827.70$
33611 PR REDOUB VENT W IV TUNNEL 33611 3,111.88$
33612 PR REDOUB VENT W RRV OUTFLOW 33612 3,193.95$
33615 PR RE(SIMPLE FONTAN) 33615 3,181.00$
33617 PR REBY MODIFIED FONTAN 33617 3,445.68$
33619 PR REHYPOPLAS LT HEART 33619 4,341.78$
33620 PR APPLICATION RIGHT & LEFT PULMONARY ARTERY BANDS 33620 2,630.69$
33621 PR TRANSTHORACIC CATHETER INSERT FOR STENT PLACEMENT 33621 1,483.66$
33622 PR RECONSTRUCTION COMPLEX CARDIAC ANOMALY 33622 5,467.32$
33641 PR REASD W BYPASS 33641 2,613.45$
33645 PR REPR/CLOS SINUS VENOSUS 33645 2,759.15$
33647 PR REASD & VSD 33647 2,897.48$
33660 PR REASD OSTIUM PREMUM 33660 2,800.48$
33665 PR REINTERMED AV CANAL DEFECT 33665 3,051.54$
33670 PR RECOMPL AV CANAL DEFECT 33670 3,145.30$
33675 PR CLOSE MULTIPLE VSD 33675 3,144.52$
33676 PR CLOSE MULTIPLE VSD, WITH RESECTION 33676 3,227.83$
33677 PR CLOSE MULTIPLE VSD, REMOVE PA BAND 33677 3,352.24$
33681 PR REVSD 33681 2,929.94$
33684 PR REVSD W PULM VALVOTOMY 33684 3,011.61$
33688 PR REVSD W REMOV PULM ART BAND 33688 3,005.11$
33690 PR BANDING PULM ARTERY 33690 1,911.49$
33692 PR RETET FALLOT WO PULM ARTRES 33692 3,120.00$
33694 PR RETET FALLOT X-ANNULAR PTCH 33694 3,111.88$
33697 PR RETET FALLOT W PULM ATRESIA 33697 3,278.07$
33702 PR REVALSALVA FIST W CP BYPASS 33702 2,463.24$
33710 PR REVALSALVA FISTULA & VSD 33710 3,272.10$
33720 PR REVALSALVA ANEURYSM 33720 2,465.36$
33722 PR CLOS AORT-LT VENT TUNNEL 33722 2,590.52$
33724 PR REPAIR PULMONARY VENOUS ANOMALY 33724 2,454.14$
33726 PR REPAIR PULMONARY VENOUS STENOSIS 33726 3,242.50$
33730 PR REANOMAL VEN RETURN 33730 3,194.63$
33732 PR RECOR TRIAT/SUPRAVALV MITR RING 33732 2,624.44$
33735 PR ATR SEPTEC/SEPTOSTOMY CLOSED 33735 2,064.15$
33736 PR ATR SEPTEC/SEPTOSTOMY OPEN W BYPASS 33736 2,239.23$
33737 PR ATR SEPTEC/SEPTOSTMY OPN INFLW OCCL 33737 2,067.20$
33750 PR SHUNT SUBCL TO PULM ART 33750 2,010.43$
33755 PR SHUNT ASC AORTA TO PUL ART 33755 2,097.94$
33762 PR SHUNT DESC AORTA TO PULM ART 33762 2,042.65$
33764 PR SHUNT CENTRAL W PROSTH GRAFT 33764 2,097.94$
33766 PR SHUNT SVC TO PA, ONE LUNG 33766 2,122.02$
33767 PR SHUNT SVC TO PA, BOTH LUNGS 33767 2,267.05$
33768 PR ANAST SECONDARY SVC TO PA 33768 663.83$
33770 PR REXPOSTN GRT ART W VSD 33770 3,374.84$
33771 PR REXPOSTN GRT VES W ENLARGMT VSD 33771 3,473.28$
33774 PR REXPOSTN GRT VES, ART BAFFLE 33774 2,866.30$
33775 PR REXPOSTN GRT VES,REMVL PULM BAND 33775 2,953.32$
33776 PR REXPOSTN GRT VES,CLOS VSD 33776 3,122.36$
33777 PR REXPOSTN GRT VES,RSUBPUL OBST 33777 3,014.01$
33778 PR REXPOSTN GRT VES,AO-PUL ART RECON 33778 3,743.34$
33779 PR REXPTN GR VES,AP ART REM PUL BND 33779 3,707.24$
33780 PR REXPTN GR VES,AP ART W CLOS VSD 33780 3,776.29$
33781 PR REXPTN GR VES,AP ART W RPUL OB 33781 3,686.31$
33782 PR AORTIC ROOT TRANSLOC VSD/PULM STEN REPAIR W/O CORONARY REIMPLANT 33782 5,144.11$
33783 PR AORTIC ROOT TRANSLOC VSD/PULM STEN REPAIR W/ CORONARY REIMPLANT 33783 5,556.92$
33786 PR REPAIR TRUNCUS ARTERIOSUS 33786 3,627.71$
33788 PR REIMPLNT ANOMAL PULM ART 33788 2,442.54$
33800 PR AORTIC SUSPENSN FOR TRACH DECOMPRE 33800 1,573.18$
33802 PR DIVISN ABERRANT VESSEL 33802 1,727.48$
33803 PR DIVISN ABER VESS W REANAST 33803 1,833.53$
33813 PR OBLIT AO-PUL SEPTAL DEFECT 33813 1,974.62$
33814 PR OBLIT AO-PUL SEPTAL DFCT W CP BYPAS 33814 2,427.23$
33820 PR REPDA BY LIGATN 33820 1,543.72$
33822 PR REPDA BY DIVISION <18 Y/O 33822 1,628.60$
33824 PR REPDA BY DIVISION 18 OR >18 Y/O 33824 1,878.95$
33840 PR EXCISN COARCT AORTA DRCT ANAST 33840 1,973.47$
33845 PR EXCISN COARCT AORTA W GRAFT 33845 2,125.74$
33851 PR EXC COARCT AORTA W L SUBCL OR PROST 33851 2,026.68$
33852 PR REHYPOPLASTIC AORTIC ARCH 33852 2,228.13$
33853 PR REHYPOPLASTIC ARCH W CP BYPASS 33853 2,920.42$
33860 PR ASCEND AORTA GRAFT INCL VAVLE SUSPENSION 33860 5,109.04$
33863 PR ASCEND AORTA GRAFT W ROOT REPLACMENT.VALVE CONDUIT/CORON RECONSTRUCT 33863 5,011.78$
33864 PR ASCEND AORTA GRAFT W VALVE SPARING ANNULUS REMODEL 33864 5,133.30$
33870 PR TRANSV AORTIC ARCH GRAFT W BYPASS 33870 4,012.67$
33875 PR THORACIC AORTA GRAFT 33875 4,370.54$
33877 PR RETHORACOABDOM AA W GRAFT 33877 5,765.96$
33880 PR ENDOVASC TAA REINCL SUBCL 33880 2,867.90$
33881 PR ENDOVASC TAA REW/O SUBCL 33881 2,463.24$
33883 PR INSERT ENDOVASC PROSTH, TAA 33883 1,790.42$
33884 PR ENDOVASC PROSTH, TAA, EA ADD 33884 663.25$
33886 PR ENDOVASC DIST EXTENS TAA PROSTH, DELAYED 33886 1,549.14$
33889 PR SUBCLAV TRANSPOS W/ ENDOVAS TAA REPAIR 33889 1,265.68$
33891 PR CAR-CAR BYPASS GRFT W/ ENDOVAS TAA REPAIR 33891 1,538.71$
33910 PR REMOVE PUL ART EMBOLI W CP BYPASS 33910 4,194.35$
33915 PR REMOVE PUL ART EMBOLI NO BYPASS 33915 2,203.95$
33916 PR PULM ENDARTERECTOMY 33916 6,725.09$
33917 PR REPAIR PULMONARY ART STEN 33917 2,321.80$
33920 PR REPAIR PULM ART ATRESIA,CONDUIT 33920 2,883.82$
33922 PR TRANSECT PULMONARY ARTERY 33922 2,212.72$
33924 PR REMV SYS-PULM SHUNT W CONG HRT 33924 456.64$
33925 PR REPAIR PUL ART UNIFOCAL ARBOR W/O CP BYPASS 33925 2,739.25$
33926 PR REPAIR PUL ART UNIFOCAL ARBOR W/ CP BYPASS 33926 3,852.67$
33927 PR IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY 33927 4,051.39$
33933 PR TRANSPLANT,PREP DONOR HEART/LUNG 33933 292.69$
33935 PR TRANSPLANTATION, HEART/LUNG 33935 7,865.63$
33944 PR TRANSPLANT,PREP DONOR HEART 33944 292.69$
33945 PR TRANSPLANTATION OF HEART 33945 7,707.30$
33946 INITIATION OF EXTERNAL VEIN TO VEIN BLOOD CIRC IN HEART AND LUNGS USING A PUMP 33946 494.36$
33947 INITIATION EXTERNAL VEIN TO ARTERY BLOOD CIRC IN HEART AND LUNGS USING A PUMP 33947 549.88$
33948 DAILY MGMT EXTERNAL VEIN TO VEIN BLOOD CIRC HEART AND LUNGS USING A PUMP 33948 385.49$
33949 DAILY MGMT EXTERNAL VEIN TO ARTERY BLOOD CIRC HEART AND LUNGS USING A PUMP 33949 383.35$
33951 INSERT TUBE EXT BLOOD CIRC HEART & LUNGS USING A PUMP; PT BIRTH THRU 5 YEARS 33951 679.44$
33952 INSERT TUBE EXT BLOOD CIRC HEART & LUNGS USING A PUMP; PT 6 YEARS AND OLDER 33952 683.31$
33953 INSERT TUBE OPEN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT BIRTH THRU 5 YEARS 33953 759.31$
33954 INSERT TUBE OPEN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT 6 YEARS AND OLDER 33954 763.06$
33955 INSERT TUBE CHEST EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT BIRTH THRU 5 YEARS 33955 1,330.30$
33956 INSERT TUBE CHEST EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT 6 YEARS AND OLDER 33956 1,330.20$
33957 REPOS TUBE SKIN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT BIRTH THRU 5 YEARS 33957 295.75$
33958 REPOS TUBE SKIN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT 6 YEARS AND OLDER 33958 296.31$
33959 REPOS TUBE OPEN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT BIRTH THRU 5 YRS 33959 375.36$
33962 REPOS TUBE OPEN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT 6 YEARS & OLDER 33962 376.46$
33963 REPOS TUBE CHEST EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT BIRTH THRU 5 YRS 33963 750.04$
33964 REPOS TUBE CHEST EXT BLOOD CIRC HEART & LUNGSVIA PUMP; PT 6 YEARS AND OLDER 33964 791.70$
33965 REMOVAL TUBE SKIN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT BIRTH THRU 5 YRS 33965 295.75$
33966 REMOVAL TUBE VIA SKIN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT 6 YRS AND OLDER 33966 378.91$
33967 INSERTION OF ASSISTIVE HEART BLOOD FLOW DEVICE INTO AORTA, VIA SKIN 33967 414.89$
33968 REMOVAL OF BLOOD FLOW ASSIST DEVICE IN AORTA, ACCESSED THROUGH THE SKIN 33968 54.04$
33969 REMOVAL TUBE OPEN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT BIRTH THRU 5 YRS 33969 437.84$
33970 PR INSRT AORT BALLOON ASSIST FEM ART 33970 566.59$
33971 PR REMV AORTIC BALLOON ASSIST FEM ART 33971 1,128.95$
33973 PR INSRT AORTIC BALLOON THRU ASC AORT 33973 825.25$
33974 PR REMV AORTIC BALLOON FROM ASC AORT 33974 1,417.53$
33975 PR INSERT VENT ASST DEVICE,SINGLE VENTRICLE 33975 2,084.94$
33976 PR INSERT VENT ASST DEVICE,BIVENTRICULAR 33976 2,544.56$
33977 PR REMOVE VENT ASST DEVICE,SINGLE VENTRICLE 33977 1,791.72$
33978 PR REMOVE VENT ASST DEVICE,BIVENTRICULAR 33978 2,135.36$
33979 PR INSERT VENT ASST DEV,IMPLANT,SINGLE VENT 33979 3,110.53$
33980 PR REMOVE VENT ASST DEV,IMPLANT,SINGLE VENT 33980 2,844.34$
33981 PR REPLACE EXTRACORP VENT ASST DEV,SINGLE/BIVENT, 1/EACH PUMP 33981 1,333.20$
33982 PR REPLACE VENT ASST DEV, IMPLANT INTRACORP, SINGLE VENT, W/O BYPASS 33982 3,132.29$
33983 PR REPLACE VENT ASST DEV, IMPLANT INTRACORP, SINGLE VENT, W/ BYPASS 33983 3,686.08$
33984 REMOVAL TUBE OPEN EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT 6 YRS AND OLDER 33984 455.05$
33985 REMOVAL TUBE CHEST EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT BIRTH THRU 5 YRS 33985 824.08$
33986 REMOVAL TUBE CHEST EXT BLOOD CIRC HEART & LUNGS VIA PUMP; PT 6 YRS AND OLDER 33986 833.23$
33987 INCISION OF ARTERY FOR CREATION OF A CHANNEL FOR BLOOD CIRCULATION USING A PUMP 33987 334.16$
33988 INSERTION LEFT HEART VENT THROUGH CHEST FOR BLOOD OXYGENATION REWARM & RETURN 33988 1,246.16$
33989 REMOVAL LEFT HEART VENT THROUGH CHEST FOR BLOOD OXYGENATION REWARMING & RETURN 33989 791.70$
33990 PR INSJ PERQ VAD W/RS&I L HRT ARTERIAL ACCESS ONLY 33990 680.59$
33991 PR INSJ PERQ VAD W/RS&I L HRT ARTERIAL&VEN ACCESS 33991 1,002.75$
33992 PR REMOVAL PERQ LEFT HRT VAD ARTL/ARTL&VEN SEP INSJ 33992 319.74$
33993 PR REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ 33993 279.77$
34001 PR REMV ART CLOT,NECK INCIS 34001 1,458.60$
34051 PR REMV ART CLOT,CHST INCIS 34051 1,580.45$
34101 PR REMV ART CLOT AXILL-BRACH,ARM INCIS 34101 957.56$
34111 PR REMV ART CLOT ARM,ARM INCIS 34111 957.43$
34151 PR REMV ART CLOT VISC,ABD INCIS 34151 2,230.97$
34201 PR REMV ART CLOT ILIAC-POP,LEG INCIS 34201 1,645.35$
34203 PR REMV ART CLOT LOW LEG,LEG INCIS 34203 1,523.68$
34401 PR REMV VEIN CLOT CAVA-ILIAC,ABD INCIS 34401 2,352.21$
34421 PR REMV VEIN CLOT CAVA-ILIAC,LEG INCIS 34421 1,174.65$
34451 PR REMV VEIN CLOT CAVA-POP,LEG INCIS 34451 2,287.38$
34471 PR REMV VEIN CLOT SUBCLAV,NECK INCIS 34471 1,718.10$
34490 PR REMV VEIN CLOT AXILL-SUBCL,ARM INCIS 34490 986.25$
34501 PR REPAIR VALVE, FEMORAL VEIN 34501 1,421.52$
34502 PR RECONSTRUCT, VENA CAVA 34502 2,469.06$
34510 PR TRANSPOSITION OF VEIN VALVE 34510 1,625.15$
34520 PR CROSS-OVER VEIN GRAFT 34520 1,575.02$
34530 PR SAPHENOPOP VEIN ANAST 34530 1,493.98$
34701 PR EVASC RPR DPLMNT AORTO-AORTIC NDGFT 34701 1,968.48$
34702 PR EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT 34702 2,943.30$
34703 PR EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT 34703 2,211.76$
34704 PR EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT 34704 3,683.74$
34705 PR EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT 34705 2,442.43$
34706 PR EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT 34706 3,676.61$
34707 PR EVASC RPR DPLMNT ILIO-ILIAC NDGFT 34707 1,835.67$
34708 PR EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT 34708 2,956.06$
34709 PR PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR 34709 516.22$
34710 PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL 34710 1,280.52$
34711 PR DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL 34711 476.50$
34712 PR TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I 34712 1,096.82$
34713 PR PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT 34713 206.22$
34714 PR OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH 34714 433.39$
34715 PR OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI 34715 484.97$
34716 PR OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ 34716 601.39$
34800 PR AAA REPAIR,AORTO-AORTIC TUBE PROSTH 34800 1,854.73$
34802 PR AAA REPAIR,MODULR BIFURCATED PROSTH 34802 2,048.15$
34803 PR AAA REPAIR,MODULR BIFUR PROSTH,2-DOCK 34803 2,123.60$
34804 PR AAA REPAIR,UNIBODY BIFURCATED PROSTH 34804 2,050.52$
34805 PR ENDOVASC ABDO REPAIR W/PROS 34805 1,956.93$
34806 PR TRANSCATH PLACE PHYSIOLOGIC SENSOR ANEURYSMAL SAC 34806 163.75$
34808 PR AAA REPAIR,ILIAC ARTERY OCCLSN DEVICE 34808 332.29$
34812 PR OPN FEM ART EXPOS DLVR EVASC PROSTH UNI 34812 330.53$
34813 PR AAA REPAIR, FEMORAL-FEMORAL GRAFT 34813 377.70$
34820 PR OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI 34820 563.81$
34825 PR AAA REPR,1ST VESSEL,EXTENSION PROSTH 34825 1,142.54$
34826 PR AAA REPR,ADD VESSEL,EXTENSION PROSTH 34826 338.00$
34830 PR AAA+TRAUMA REPR,OPEN,TUBE PROSTH 34830 2,808.28$
34831 PR AAA+TRAUMA REPR, AORTO-BI-ILIAC PROS 34831 3,081.47$
34832 PR AAA+TRAUMA REPR, AORTO-BIFEM PROS 34832 3,020.09$
34833 PR OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP 34833 646.98$
34834 PR OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI 34834 208.10$
34841 PR ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT 34841 2,011.91$
34842 PR ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT 34842 2,434.58$
34843 PR ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT 34843 2,381.92$
34844 PR ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT 34844 2,461.24$
34845 PR VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS 34845 2,180.21$
34846 PR VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS 34846 2,602.91$
34847 PR VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS 34847 2,550.24$
34848 PR VISCER AND INFRARENAL ABDOM AORTA 4+ PROSTHESIS 34848 2,629.57$
34900 PR ENDOVASCULAR REPAIR ILIAC ARTERY W ILIO-ILIAC PROSTHESIS 34900 1,466.78$
35001 PR REANEURYSM/GRFT INS,CAROTID/SUBCLAV 35001 1,792.28$
35002 PR REART RUPTURE NECK 35002 1,807.81$
35005 PR REANEURYSM/GRFT INS,VERTEBRAL 35005 1,581.67$
35011 PR REDFCT ART AXILLO-BRACH 35011 1,605.70$
35013 PR REART RUPTURE,AXILLO-BRACH 35013 2,008.35$
35021 PR REANEURYSM/GRFT INS,INNOM/SUBCLAV 35021 2,009.34$
35022 PR REART RUPTURE,SUBCLAV/INNOM 35022 2,301.82$
35045 PR REANEURYSM/GRFT INS,RADIAL/ULNAR 35045 1,576.06$
35081 PR REANEURYSM/GRFT INS,ABDOMINAL AORTA 35081 2,780.56$
35082 PR REART RUPTURE, ABD AORTA 35082 3,502.11$
35091 PR REANEURYSM/GRFT INS,ABD AORT W/VISCER 35091 2,856.98$
35092 PR REART RUPTURE,AORTA/VISC 35092 4,149.54$
35102 PR REANEURYSM/GRFT INS,ABD AORT W/ILIAC 35102 3,006.70$
35103 PR REART RUPTURE,AORTOILIAC 35103 3,580.27$
35111 PR REANEURYSM/GRFT INS,ANEURYSM SPLENIC 35111 2,116.14$
35112 PR REART RUPTURE,SPLENIC 35112 2,604.16$
35121 PR REANEUR/GRFT INS,HEP/CEL/REN/MESENTER 35121 2,638.37$
35122 PR REART RUPTURE,VISCERAL 35122 3,012.54$
35131 PR REANEURYSM/GRFT INS,ILIAC 35131 2,225.54$
35132 PR REART RUPTURE,ILIAC 35132 2,604.16$
35141 PR REANEURYSM/GRFT INS,COMMON FEMORAL 35141 1,767.22$
35142 PR REART RUPTURE,FEMORAL 35142 2,122.26$
35151 PR REANEURYSM/GRFT INS,POPLITEAL 35151 1,985.82$
35152 PR REART RUPTURE,POPLIT 35152 2,226.41$
35180 PR RECONG AV FIST,HEAD/NECK 35180 1,392.81$
35182 PR RECONG AV FIST,CHEST/ABD 35182 2,845.38$
35184 PR RECONG AV FIST,EXTREM 35184 1,535.80$
35188 PR REACQ AV FIST,HEAD/NECK 35188 2,027.73$
35189 PR REACQ AV FIST,CHEST/ABD 35189 2,403.95$
35190 PR REACQ AV FIST,EXTREM 35190 1,218.89$
35201 PR REBL VES DIRECT,NECK 35201 1,499.45$
35206 PR REBL VES DIRECT,UP EXTREM 35206 1,249.15$
35207 PR REBL VES DIRECT,HAND/FINGR 35207 1,208.48$
35211 PR REBL VES DIRECT,CHEST W BYPASS 35211 2,201.53$
35216 PR REBL VES DIRECT,CHEST 35216 3,275.27$
35221 PR REBL VES DIRECT,ABD 35221 2,331.86$
35226 PR REBL VES DIRECT,LOW EXTREM 35226 1,332.94$
35231 PR REBL VES VEIN GRFT,NECK 35231 1,990.77$
35236 PR REBL VES VEIN GRFT,UP EXTREM 35236 1,593.50$
35241 PR REBL VES VEIN GRFT,CHEST/W BYPAS 35241 2,310.23$
35246 PR REBL VES VEIN GRFT,CHEST 35246 2,502.70$
35251 PR REBL VES VEIN GRFT,ABD 35251 2,778.11$
35256 PR REBL VES VEIN GRFT,LOW EXTREM 35256 1,636.12$
35261 PR REBL VES GRAFT,NECK 35261 1,684.09$
35266 PR REBL VES GRAFT,UP EXTREM 35266 1,381.71$
35271 PR REBL VES GRAFT,CHEST W BYPASS 35271 2,200.37$
35276 PR REBL VES GRAFT,CHEST 35276 2,327.74$
35281 PR REBL VES GRAFT,ABDOMEN 35281 2,575.60$
35286 PR REBL VES GRAFT,LOW EXTREM 35286 1,488.63$
35301 PR THROMBOENDARTECTMY NECK,NECK INCIS 35301 1,810.02$
35302 PR THROMBOENDARTECTMY SUPERFICIAL FEM ARTERY 35302 1,795.86$
35303 PR THROMBOENDARTECTMY POPLITEAL ARTERY 35303 1,985.25$
35304 PR THROMBOENDARTECTMY TIBIOPERONEAL TRUNK ARTERY 35304 2,052.67$
35305 PR THROMBOENDARTECTMY TIBIAL/ PERON ARTERY, INITIAL 35305 1,972.81$
35306 PR THROMBOENDARTECTMY TIBIAL/ PERON ARTERY, ADD 35306 711.71$
35311 PR THROMBOENDARTECTMY SUBCLAV,CHST INC 35311 2,491.48$
35321 PR THROMBOENDARTECTMY AXILLARY-BRACH 35321 1,424.18$
35331 PR THROMBOENDARTECTMY ABD AORTA 35331 2,322.94$
35341 PR THROMBOENDARTECTMY VISCERAL 35341 2,198.36$
35351 PR THROMBOENDARTECTMY ILIAC 35351 2,050.34$
35355 PR THROMBOENDARTECTMY ILIOFEMORAL 35355 1,651.17$
35361 PR THROMBOENDARTECTMY AORTOILIAC 35361 2,424.25$
35363 PR THROMBOENDARTECTMY AORTOILIOFEM 35363 2,814.29$
35371 PR THROMBOENDARTECTMY FEMORAL COMMON 35371 1,308.63$
35372 PR THROMBOENDARTECTMY FEMORAL DEEP 35372 1,570.87$
35390 PR REOPER, CAROTID ENDARTEC>1 MON 35390 254.84$
35400 PR ANGIOSCOPY DURING RX INTERVENTN 35400 238.72$
35500 PR HARVEST VEIN FOR BYPASS 35500 511.63$
35501 PR VEIN BYPASS GRAFT,CAROT ART 35501 2,328.25$
35506 PR VEIN BYPASS GRAFT,CAROTI-SUBCL 35506 2,031.58$
35508 PR VEIN BYPASS GRAFT,CAROT-VERT 35508 2,117.45$
35509 PR VEIN BYPASS GRAFT,CAROT-CAROT 35509 2,254.35$
35510 PR VEIN BYPASS GRAFT,CAROTID-BRACHIAL 35510 1,961.42$
35511 PR VEIN BYPASS GRAFT,SUBCL-SUBCL 35511 1,786.16$
35512 PR VEIN BYPASS GRAFT,SUBCL-BRACHIAL 35512 1,922.94$
35515 PR VEIN BYPASS GRAFT,SUBCL-VERT 35515 2,117.45$
35516 PR VEIN BYPASS GRAFT,SUBCL-AXILL 35516 1,945.05$
35518 PR VEIN BYPASS GRAFT,AXILL-AXILL 35518 1,820.78$
35521 PR VEIN BYPASS GRAFT,AXILL-FEMOR 35521 1,954.95$
35522 PR VEIN BYPASS GRAFT, AXILL-BRACHIAL 35522 1,934.72$
35523 PR VEIN BYPASS GRAFT, BRACHIAL ULNAR OR RADIAL 35523 2,037.34$
35525 PR VEIN BYPASS GRAFT,BRACHIAL-BRACHIAL 35525 1,824.26$
35526 PR VEIN BYPASS GRAFT,AORTOSUBCLAVIAN/AORTOINNOMINATE/AORTOCAROTID 35526 2,770.86$
35531 PR VEIN BYPASS GRAFT,AORTO-MESEN 35531 3,253.88$
35533 PR VEIN BYPASS GRAFT,AXILL-FEM-FEM 35533 2,399.51$
35535 PR VEIN BYPASS GRAFT,HEPATORENAL 35535 3,033.76$
35536 PR VEIN BYPASS GRAFT,SPLENORENAL 35536 2,693.54$
35537 PR VEIN BYPASS GRAFT,AORTOILIOFEMORAL 35537 3,322.94$
35538 PR VEIN BYPASS GRAFT,AORTOBI-ILIAC 35538 3,719.41$
35539 PR VEIN BYPASS GRAFT,AORTOFEMORAL 35539 3,494.57$
35540 PR VEIN BYPASS GRAFT,AORTOBIFEMORAL 35540 3,894.96$
35556 PR VEIN BYPASS GRAFT,FEM-POP 35556 2,240.27$
35558 PR VEIN BYPASS GRAFT,FEM-FEM 35558 1,969.94$
35560 PR VEIN BYPASS GRAFT,AORTORENAL 35560 2,716.58$
35563 PR VEIN BYPASS GRAFT,ILIOILIAC 35563 2,107.99$
35565 PR VEIN BYPASS GRAFT,ILIOFEM 35565 2,116.24$
35566 PR VEIN BYPASS GRAFT,FEM-TIBIAL 35566 2,673.15$
35570 PR VEIN BYPASS GRAFT,TIBIAL-TIBIAL 35570 2,428.78$
35571 PR VEIN BYPASS GRAFT,TIB-PERONEAL 35571 2,121.52$
35572 PR HARVEST FEMPOP VEIN,ONE SEGMENT 35572 554.47$
35583 PR VEIN IN SITU BYPASS GRAFT,FEM-POP 35583 2,313.75$
35585 PR VEIN IN SITU BYPASS GRAFT,FEM-TIB 35585 2,679.63$
35587 PR VEIN IN SITU BYPASS GRAFT,POP-TIB 35587 2,189.52$
35600 PR HARVEST UPPER EXTREMITY ART 1 SEGMENT FOR CABG 35600 406.86$
35601 PR BYPASS GRAFT OTHR,CAROTID 35601 2,233.97$
35606 PR BYPASS GRAFT OTHR,CAROT-SUBCL 35606 1,877.25$
35612 PR BYPASS GRAFT OTHR,SUBCL-SUBCL 35612 1,663.48$
35616 PR BYPASS GRAFT OTHR,SUBCL-AXILL 35616 1,757.12$
35621 PR BYPASS GRAFT OTHR,AXILL-FEM 35621 1,757.86$
35623 PR BYPASS GRAFT OTHR,AXILL-POP 35623 2,093.09$
35626 PR BYPASS GRAFT OTHR,AORTOSUBCLAVIAN/AORTOINNOMINATE/AORTOCAROTID 35626 2,527.60$
35631 PR BYPASS GRAFT OTHR,AORTO-MESENTER 35631 2,960.61$
35632 PR BYPASS GRAFT OTHR,ILIO-CELIAC 35632 2,880.12$
35633 PR BYPASS GRAFT OTHR,ILIO-MESENTERIC 35633 3,195.54$
35634 PR BYPASS GRAFT OTHR,ILIO-RENAL 35634 2,818.22$
35636 PR BYPASS GRAFT OTHR,SPLENO-RENAL 35636 2,540.93$
35637 PR BYPASS GRAFT OTHR,AORTOILIAC 35637 2,753.19$
35638 PR BYPASS GRAFT OTHR,AORTOBI-ILIAC 35638 2,812.41$
35642 PR BYPASS GRAFT OTHR,CAROT-VERT 35642 1,571.38$
35645 PR BYPASS GRAFT OTHR,SUBCL-VERT 35645 1,507.42$
35646 PR BYPASS GRAFT OTHR,AORTOBIFEMORAL 35646 2,746.52$
35647 PR BYPASS GRAFT OTHR,AORTOFEMORAL 35647 2,484.90$
35650 PR BYPASS GRAFT OTHR,AXILL-AXILL 35650 1,735.98$
35654 PR BYPASS GRAFT OTHR,AXILL-FEM-FEM 35654 2,190.66$
35656 PR BYPASS GRAFT OTHR,FEM-POP 35656 1,733.06$
35661 PR BYPASS GRAFT OTHR,FEM-FEM 35661 1,735.93$
35663 PR BYPASS GRAFT OTHR,ILIOILIAC 35663 1,939.49$
35665 PR BYPASS GRAFT OTHR,ILIOFEMORAL 35665 1,878.08$
35666 PR BYPASS GRAFT OTHR,FEM-TIBIAL 35666 2,024.67$
35671 PR BYPASS GRAFT OTHR,POP-PERONEAL 35671 1,785.94$
35681 PR BYPASS GRAFT COMPOSITE/PROS+VEIN 35681 128.54$
35682 PR BYPASS GRAFT COMPOS/2 VEINS/2 LOCATN 35682 565.13$
35683 PR BYPASS GRAFT COMPOS/3+ VEINS/2 LOCAT 35683 652.66$
35685 PR BYPASS GRAFT VEIN PATCH/CUFF,SYNTHETIC 35685 317.30$
35686 PR CREATION DISTAL AV FIST,LOW EXT BYPASS 35686 257.30$
35691 PR ART TRANSPOSITN,VERT-CAROT 35691 1,506.27$
35693 PR ART TRANSPOSITN,VERT-SUBCL 35693 1,328.51$
35694 PR ART TRANSPOSITN,SUBCL-CAROT 35694 1,571.82$
35695 PR ART TRANSPOSITN,CAROT-SUBCL 35695 1,632.59$
35697 PR REIMPLANT ARTERY EACH 35697 237.07$
35700 PR REOPERATION, BYPASS GRAFT 35700 244.33$
35701 PR EXPLORATION N/FLWD SURG NECK ARTERY 35701 904.79$
35721 PR EXPLORATION, FEMORAL ARTERY 35721 733.49$
35741 PR EXPLORATION POPLITEAL ARTERY 35741 826.42$
35761 PR EXPLORATION OF ARTERY/VEIN 35761 626.88$
35800 PR EXPLOR POSTOP BLEED,INFEC,CLOT-NECK 35800 1,147.56$
35820 PR EXPLOR POSTOP BLEED,INFEC,CLOT-CHST 35820 3,206.18$
35840 PR EXPLOR POSTOP BLEED,INFEC,CLOT-ABD 35840 1,907.98$
35860 PR EXPLOR POSTOP BLEED,INFEC,CLOT-EXTR 35860 1,341.25$
35870 PR REPAIR VESSEL GRAFT DEFECT 35870 1,982.44$
35875 PR THROMBECTOMY A-V GRAFT, EXC HEMODIALYSIS 35875 953.96$
35876 PR THROMBECTOMY A-V GRAFT, EXC HEMODIALYSIS, W REVISION 35876 1,519.44$
35879 PR REVISE GRAFT/VEIN PATCH ANGIO 35879 1,483.12$
35881 PR REVISE GRAFT/SEG VEIN INTERPOS 35881 1,630.93$
35883 PR REVISE FEMORAL GRAFT, NON-AUTOGENOUS GRAFT 35883 1,928.24$
35884 PR REVISE FEMORAL GRAFT, AUTOGENOUS GRAFT 35884 1,977.86$
35901 PR EXCISION, INFEC GRAFT, NECK 35901 749.43$
35903 PR EXCISION, INFEC GRAFT, EXTREMITY 35903 900.59$
35905 PR EXCISION, INFEC GRAFT, THORAX 35905 2,677.11$
35907 PR EXCISION, INFEC GRAFT, ABDOMEN 35907 3,059.91$
36002 PR INJECTION RX EXTREMITY PSEUDOANEURYSM 36002 254.89$
36005 PR INJECTION PROC,EXTREMITY,VENOGRAPHY 36005 510.25$
36010 PR INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA 36010 756.61$
36011 PR PLACE CATH IN VEIN,SELECT 36011 1,302.30$
36012 PR PLACE CATH IN VEIN,SUBSELECT 36012 1,335.59$
36013 PR PLACE CATH IN RT HRT,MAIN PULM ART 36013 1,206.13$
36014 PR PLACE CATH IN LT/RT PULM ART 36014 1,248.62$
36015 PR PLACE CATH IN SUBSEGMT PULM ART 36015 1,358.99$
36100 PR PLACE CATH CAROT/VERT ART 36100 759.99$
36120 PR PLACE CATH BRACHIAL ART 36120 660.33$
36140 PR INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY 36140 669.93$
36147 PR PLACE NEEDLE/CATH A-V DIALYSIS SHUNT,1ST ACCESS W/ RAD EVAL 36147 1,324.00$
36148 PR PLACE NEEDLE/CATH A-V DIALYSIS SHUNT,ADDL ACCESS FOR THERAPY 36148 414.00$
36160 PR PLACE CATH AORTA VIA TRANSLUMBAR 36160 775.07$
36200 PR INTRODUCTION CATHETER AORTA 36200 878.25$
36215 PR PLACE CATH SELECTIVE ART,NECK 36215 1,586.16$
36216 PR PLACE CATH SUBSELECT ART,NECK 36216 1,717.82$
36217 PR PLACE CATH SUBSUBSELECT ART,NECK 36217 2,917.02$
36218 PR PLACE CATH ADDN SUBSELEC ART,NECK 36218 396.63$
36221 PR NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART 36221 1,608.83$
36222 PR SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART 36222 1,892.96$
36223 PR SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART 36223 2,371.83$
36224 PR SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART 36224 3,011.25$
36225 PR SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY 36225 2,281.69$
36226 PR SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY 36226 2,920.02$
36227 PR SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC 36227 402.57$
36228 PR SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT 36228 2,073.34$
36245 PR SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH 36245 2,055.09$
36246 PR SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH 36246 1,289.28$
36247 PR SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH 36247 2,352.19$
36248 PR SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH 36248 240.55$
36251 PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN 36251 2,170.58$
36252 PR SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL 36252 2,342.87$
36253 PR SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I 36253 3,471.77$
36254 PR SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I 36254 3,384.40$
36260 PR INSERTION OF ARTER INFUSION PUMP 36260 1,028.31$
36261 PR REVISION OF INFUSION PUMP 36261 636.59$
36262 PR REMOVAL OF INFUSION PUMP 36262 483.52$
36400 PR VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN 36400 42.19$
36405 PR VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN 36405 37.03$
36406 PR VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN 36406 26.32$
36410 PR VNPNXR 3 YEARS/> PHYS/QHP SKILL 36410 26.73$
36415 PR COLLECTION VENOUS BLOOD,VENIPUNCTURE 36415 10.00$
36420 PR VENOUS CUTDOWN <1 Y/O 36420 75.06$
36425 PR VENOUS CUTDOWN >1 Y/O 36425 64.73$
36430 PR BLOOD TRANSFUSION SERVICE 36430 55.03$
36440 PR BLOOD TRANSFUSION PUSH,<2 Y/O 36440 82.45$
36450 PR EXCHANGE TRANSFUSION, NEWBORN 36450 279.11$
36455 PR EXCHANGE TRANSFUSION, OTHR 36455 201.86$
36456 PR PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN 36456 174.95$
36460 PR TRANSFUSION FETAL,INTRAUTER 36460 553.33$
36465 PR NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN 36465 2,494.59$
36466 PR NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS 36466 2,606.31$
36470 PR INJECTION SCLEROSANT SINGLE INCMPTNT VEIN 36470 165.91$
36471 PR INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS 36471 298.35$
36473 PR ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN 36473 2,367.32$
36474 PR ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS 36474 434.89$
36475 PR ENDOVENOUS RF, 1ST VEIN 36475 2,378.85$
36476 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS 36476 461.39$
36478 PR ENDOVENOUS LASER, 1ST VEIN 36478 1,898.87$
36479 PR ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS 36479 488.09$
36481 PR PRQ PORTAL VEIN CATHETERIZATION ANY METHOD 36481 3,092.60$
36482 PR ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN 36482 3,320.71$
36483 PR ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN 36483 225.44$
36500 PR VENOUS SELECT SAMPLING W CATH 36500 294.41$
36510 PR CATH, VEIN UMBILICAL NEWBORN 36510 130.17$
36511 PR THER APHERESIS,WHITE BLOOD CELLS 36511 175.81$
36512 PR THER APHERESIS,RED BLOOD CELLS 36512 176.35$
36513 PR THER APHERESIS,PLATELETS 36513 178.96$
36514 PR THER APHERESIS,PLASMA PHERESIS 36514 1,225.04$
36515 PR THER APHER,W/EXTRACORP IMMUNOADSORPTION 36515 3,258.55$
36516 PR THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION 36516 3,428.11$
36522 PR PHOTOPHERESIS 36522 3,905.34$
36555 PR INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y 36555 294.38$
36556 PR INSERT NON-TUNNEL CV CATH 36556 331.91$
36557 PR INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR 36557 1,468.90$
36558 PR INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/> 36558 1,126.19$
36560 PR INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR 36560 2,048.08$
36561 PR INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/> 36561 2,183.76$
36563 PR INSJ TUNNELED CTR VAD W/SUBQ PUMP 36563 1,936.13$
36565 PR INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP 36565 1,389.38$
36566 PR INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT 36566 8,095.77$
36568 PR INSJ PRPH CVC W/O SUBQ PORT/PMP UNDER 5 YR 36568 345.13$
36569 PR INSERT PICC W/O SUB-Q PORT 36569 391.10$
36570 PR INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR 36570 2,191.55$
36571 PR INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/> 36571 1,923.34$
36575 PR REPAIR CV CATH W/O SUBQ PORT OR PUMP 36575 259.84$
36576 PR RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT 36576 495.59$
36578 PR RPLCMT CATH CTR VAD SUBQ PORT/PMP 36578 708.46$
36580 PR REPLACE CV CATH, COMPLETE, NON-TUNNELED, W/O SUBQ PORT OR PUMP 36580 338.10$
36581 PR RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP 36581 1,111.75$
36582 PR RPLCMT COMPL TUN CTR VAD W/SUBQ PORT 36582 1,578.31$
36583 PR RPLCMT COMPL TUN CTR VAD W/SUBQ PMP 36583 1,989.67$
36584 PR REPLACE PICC W/O PORT OR PUMP 36584 323.99$
36585 PR RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT 36585 1,666.02$
36589 PR REMOVAL TUNNELED CV CATH W/O SUBQ PORT OR PUMP 36589 260.42$
36590 PR RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ 36590 474.40$
36591 PR COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE 36591 37.47$
36592 PR COLLECT BLOOD FROM CATHETER VENOUS NOS 36592 41.89$
36593 PR DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH 36593 49.48$
36595 PR MECH REMOV PERICATH OBSTR CV DEV VIA VEN ACCESS 36595 931.46$
36596 PR MECH REMOV INTRALUM OBSTR CV DEV THRU LUMEN 36596 206.83$
36597 PR REPOSITION VENOUS CATHETER 36597 202.22$
36598 PR CONTRAST INJ CENT VEN CATH, INC FLOURO 36598 176.81$
36600 PR WITHDRAWAL OF ARTERIAL BLOOD 36600 51.84$
36620 PR INSERT CATH,ART,PERCUT,SHORTTERM 36620 71.73$
36625 PR INSERT CATH,ART,CUTDOWN,SHORTTERM 36625 169.01$
36640 PR INSERT CATH,ART,CUTDOWN,PROLONG 36640 186.02$
36660 PR CATH, UMBILICAL ARTERY 36660 111.89$
36680 PR INSERT NEEDLE,INTRAOSSEOUS INFUSN 36680 94.07$
36800 PR INSERT CANNULA,VEIN-VEIN 36800 197.49$
36810 PR INSERT CANNULA,ART-VEN,EXTERN 36810 340.92$
36815 PR INSERT CANNULA,ART-VEN REVISN 36815 216.32$
36818 PR AV ANAST,UP ARM CEPHALIC VEIN TRANSPOSIT 36818 1,110.20$
36819 PR AV ANAST,UP ARM BASILIC VEIN TRANSPOSIT 36819 1,169.47$
36820 PR AV ANAST,FOREARM VEIN TRANSPOSITION 36820 1,173.88$
36821 PR ANASTOMOSIS,AV,ANY SITE 36821 1,061.94$
36823 PR INSERT CANNULA,ISOLATED EXTRACORP CIRC 36823 2,215.31$
36825 PR CREAT AV FISTULA,AUTOGENOUS GRAFT 36825 1,275.29$
36830 PR CREAT AV FISTULA,NON-AUTOGENOUS GRAFT 36830 1,065.87$
36831 PR THROMBECTOMY,AV FISTULA DIALYS GRFT 36831 986.49$
36832 PR REVISE AV FISTULA,W/O THROMBECTOMY 36832 1,210.11$
36833 PR AV FIST REVISE GRFT,W THROMBECTOMY 36833 1,298.95$
36835 PR ARTERY TO VEIN SHUNT 36835 757.96$
36838 PR DIST REVAS LIGATION, HEMO 36838 1,832.69$
36860 PR EXT CANNULA DECLOTT WO BALLOON CATH 36860 346.78$
36861 PR EXT CANNULA DECLOTT W BALLOON CATH 36861 220.34$
36901 PR INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I 36901 941.06$
36902 PR INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP 36902 1,957.56$
36903 PR INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT 36903 8,798.43$
36904 PR PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH 36904 2,845.28$
36905 PR PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP 36905 3,605.79$
36906 PR PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT 36906 10,680.93$
36907 PR TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I 36907 1,184.70$
36908 PR STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR 36908 4,246.19$
36909 PR DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I 36909 3,085.78$
37140 PR VENOUS ANASTOMOSIS,OPEN,PORTOCAVAL 37140 3,685.90$
37145 PR RENOPORTAL SHUNT 37145 3,419.53$
37160 PR CAVAL-MESENTERIC SHUNT 37160 3,511.55$
37180 PR SPLENORENAL PROX SHUNT 37180 3,378.99$
37181 PR SPLENORENAL DISTAL SHUNT 37181 3,685.90$
37182 PR INSERT TRANSVEN INTRAHEP PORTOSYS SHUNT 37182 1,345.43$
37183 PR REVJ TRANSVNS INTRAHEPATIC PORTOSYSTEMIC SHUNT 37183 9,126.61$
37184 PR PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST 37184 3,470.33$
37185 PR PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ 37185 1,103.26$
37186 PR SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL 37186 2,089.91$
37187 PR PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN 37187 3,113.48$
37188 PR PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX 37188 2,626.24$
37191 PR INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I 37191 4,024.43$
37192 PR REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I 37192 2,117.05$
37193 PR RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I 37193 2,404.88$
37197 PR PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING 37197 2,277.83$
37200 PR TRANSCATHETER BIOPSY 37200 355.38$
37211 PR THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX 37211 621.67$
37212 PR THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX 37212 545.85$
37213 PR THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX 37213 378.38$
37214 PR CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL 37214 198.20$
37215 PR TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ 37215 1,601.61$
37217 PR TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE 37217 1,734.10$
37218 PR TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE 37218 1,300.60$
37220 PR REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL 37220 4,792.10$
37221 PR REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOPLSTY 37221 7,110.23$
37222 PR REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL 37222 1,346.22$
37223 PR REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSILATL 37223 3,984.57$
37224 PR REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI 37224 5,820.11$
37225 PR REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL 37225 17,093.14$
37226 PR REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL 37226 13,974.58$
37227 PR REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL 37227 23,131.52$
37228 PR REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI 37228 8,329.41$
37229 PR REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL 37229 16,856.35$
37230 PR REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL 37230 12,881.78$
37231 PR REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL 37231 20,895.06$
37232 PR REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL 37232 1,858.16$
37233 PR REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL 37233 2,247.70$
37234 PR REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL 37234 6,094.74$
37235 PR REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL 37235 6,439.65$
37236 PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL 37236 6,025.02$
37237 PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL 37237 3,791.30$
37238 PR OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST 37238 6,532.12$
37239 PR OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL 37239 3,160.34$
37241 PR VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I 37241 7,422.38$
37242 PR VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I 37242 11,487.68$
37243 PR VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT 37243 15,224.65$
37244 PR VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE 37244 10,619.30$
37246 PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART 37246 3,355.08$
37247 PR TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART 37247 1,356.45$
37248 PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN 37248 2,328.88$
37249 PR TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN 37249 996.88$
37252 PR INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL 37252 2,146.70$
37253 PR INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL 37253 323.48$
37500 PR VAS ENDOSCOP, W/LIGAT PERF VEINS,SUBFASC 37500 1,013.93$
37565 PR LIGATN NECK VEIN 37565 1,167.05$
37600 PR LIGATN NECK ARTERY, ECA 37600 1,153.12$
37605 PR LIGATN NECK ARTERY,ICA,CCA 37605 1,176.99$
37606 PR LIGATN NECK ARTERY,ICA,CCA,GRADUAL 37606 1,126.55$
37607 PR LIGATN ANGIOACCESS AV FISTULA 37607 598.93$
37609 PR TEMPORAL ARTERY LIGATN OR BX 37609 487.72$
37615 PR LIGATN OF NECK ARTERY 37615 831.01$
37616 PR LIGATN OF CHEST ARTERY 37616 1,769.81$
37617 PR LIGATN OF ABDOMEN ARTERY 37617 2,135.91$
37618 PR LIGATN OF EXTREMITY ARTERY 37618 610.81$
37619 PR INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I 37619 2,742.38$
37650 PR LIGATN FEMORAL VEIN 37650 731.18$
37660 PR LIGATN COMMON ILIAC VEIN 37660 2,092.12$
37700 PR LIGATN LONG SAPHENOUS VEIN AT SEPH-FEM JUNC 37700 393.74$
37718 PR LIGATE/STRIP SHORT SAPEHNOUS VEIN 37718 688.71$
37722 PR LIGATE/STRIP LONG SAPH VEIN BELW SEP-FEM JUNC 37722 756.05$
37735 PR REMOVAL OF LEG VEINS/ULCER 37735 924.84$
37760 PR LIGATN PERFORATORS,SUBFASC,RADICAL,OPEN 37760 984.69$
37761 PR LIGATN PERFORATORS,SUBFASC,OPEN, INCL U/S, 1 LEG 37761 868.33$
37765 PR PHLEB VEINS - EXTREM - TO 20 37765 1,027.42$
37766 PR PHLEB VEINS - EXTREM 20+ 37766 1,222.68$
37780 PR LIGATN SHORT SAPHEN 37780 373.15$
37785 PR REVISE SECONDARY VARICOSITY 37785 556.48$
37788 PR REVASCULARIZATION, PENIS 37788 2,050.75$
37790 PR PENILE VENOUS OCCLUSION 37790 790.53$
37799 PR VASCULAR SURGERY PROCEDURE UNLIST 37799 -$
38100 PR REMOVAL SPLEEN, TOTAL 38100 1,835.20$
38101 PR REMOVAL SPLEEN, PARTIAL 38101 1,852.72$
38102 PR REMOVAL SPLEEN, TOTAL W OTHR PROC 38102 420.29$
38115 PR REPAIR OF RUPTURED SPLEEN 38115 2,032.68$
38120 PR LAP,SPLENECTOMY 38120 1,672.74$
38200 PR INJECTION FOR SPLEEN X-RAY 38200 216.03$
38205 PR PROG CELL HARVEST,TRANSPLANT,ALLOGENIC 38205 135.80$
38206 PR PROG CELL HARVEST,TRANSPLANT,AUTOLOGOUS 38206 135.23$
38220 PR DIAGNOSTIC BONE MARROW ASPIRATIONS 38220 268.27$
38221 PR DIAGNOSTIC BONE MARROW BIOPSIES 38221 243.19$
38222 PR DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS 38222 270.02$
38230 PR BONE MARROW COLLECTION 38230 330.31$
38232 PR BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS 38232 320.68$
38240 PR TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR 38240 367.37$
38241 PR TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR 38241 274.91$
38242 PR ALLOGENEIC LYMPHOCYTE INFUSIONS 38242 193.92$
38243 PR TRNSPLJ HEMATOPOIETIC CELL BOOST 38243 175.31$
38300 PR DRAINAGE LYMPH NODE,SIMPLE 38300 498.10$
38305 PR DRAINAGE LYMPH NODE,EXTENSIVE 38305 766.34$
38308 PR INCISION OF LYMPH CHANNELS 38308 708.21$
38380 PR LIGATN THOR DUCT,CERV APPROACH 38380 897.15$
38381 PR LIGATN THOR DUCT,THOR APPROACH 38381 1,273.95$
38382 PR LIGATN THOR DUCT,ABD APPROACH 38382 1,067.42$
38500 PR BIOPSY/EXCISION, LYMPH NODE(S) 38500 523.63$
38505 PR NEEDLE BIOPSY, LYMPH NODE(S) 38505 199.42$
38510 PR BX/REMV,LYMPH NODE,DEEP CERV 38510 817.29$
38520 PR BX/REMV,LYMPH NODE,DEEP CERV/SCAL 38520 736.31$
38525 PR BX/REMV,LYMPH NODE,DEEP AXILL 38525 693.25$
38530 PR BX/REMV,LYMPH NODE,INTERN MAMM 38530 888.71$
38531 BX/EXCISION LYMPH NODE(S); OPEN, INGUINOFEMORAL NODE(S) 38531 708.00$
38542 PR EXPLORE DEEP NODE(S), NECK 38542 820.86$
38550 PR REMOVAL CYST HYGROMA 38550 806.42$
38555 PR REMOVAL CYST HYGROMA NEUROVASC DISS 38555 1,598.39$
38562 PR REMOVAL, PELVIC LYMPH NODES,STAGING 38562 1,126.21$
38564 PR REMOVAL, ABDOMEN LYMPH NODE,STAGING 38564 1,119.67$
38570 PR LAP,LYMPH NODE BX 38570 812.86$
38571 PR LAP,PELVIC LYMPHADENECTOMY 38571 1,074.89$
38572 PR LAP,PELVIC LYMPHADENECTOMY/BX 38572 1,481.09$
38573 PR LAPS W/BI TOT PEL LMPHADEC & OMNTC LYMPH BX 38573 1,861.18$
38700 PR REMOVAL NODES, NECK,SUPRAHYOID 38700 1,274.48$
38720 PR REMOVAL NODES, NECK,CERV CMPLT 38720 2,128.65$
38724 PR REMOVAL NODES, NECK,CERV MOD RAD 38724 2,300.05$
38740 PR REMOVE ARMPIT LYMPH NODES SUPERFIC 38740 1,102.53$
38745 PR REMOVE ARMPITS LYMPH NODES COMPLT 38745 1,392.42$
38746 PR REMOVE THOR LYMPH NODES RAD REGNL 38746 342.11$
38747 PR REMOVE ABD LYMPH NODES RAD REGNL 38747 425.63$
38760 PR REMOVE GROIN LYMPH NODES SUPERF 38760 1,340.41$
38765 PR REMOVE GROIN LYMPH NODES 38765 2,063.24$
38770 PR REMOVE PELVIS LYMPH NODES 38770 1,301.49$
38780 PR REMOVE ABD LYMPH NODES EXTENSIVE 38780 1,648.89$
38790 PR INJECTION FOR LYMPHATIC XRAY 38790 133.16$
38792 PR IDENTIFY SENTINEL NODE 38792 63.56$
38794 PR ACCESS THORACIC LYMPH DUCT 38794 483.30$
38900 PR INTRAOPERATIVE SENTINEL LYMPH NODE ID W DYE INJECTION 38900 218.91$
39000 PR MEDIASTINOSCOPY, CERV APPROACH 39000 789.26$
39010 PR MEDIASTINOTOMY, CHST APPROACH 39010 1,249.00$
39200 PR EXC MEDIASTINAL CYST 39200 1,388.92$
39220 PR EXC MEDIASTINAL TUMOR 39220 1,807.99$
39401 PR MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY 39401 493.85$
39402 PR MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES 39402 644.90$
39501 PR REPAIR DIAPHRAGM LACERATION 39501 1,350.71$
39503 PR REPAIR DIAPHR HERNIA,NEONATE 39503 9,215.76$
39540 PR REPAIR DIAPHR HERNIA TRAUMA ACUTE 39540 1,379.45$
39541 PR REPAIR DIAPHR HERNIA TRAUMA CHR 39541 1,490.33$
39545 PR REVISION OF DIAPHRAGM 39545 1,415.80$
39560 PR RESECT DIAPHRAM,SIMPLE REPAIR 39560 1,270.91$
39561 PR RESECT DIAPHRAM,COMPLX REPR 39561 1,973.61$
4001F PR TOBACCO USE TXMNT, PHARMACOL 4001F -$
4004F PR PATIENT SCREENED TOBACCO USE, RECEIVED CESSATION CONSELING IF USER 4004F -$
4006F PR BETA-BLOCKER THERAPY, RX 4006F -$
4008F PR BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN 4008F -$
4010F PR ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN 4010F -$
4014F PR WRITTEN DISCHARGE INSTR PROVIDED 4014F -$
4030F PR LONG TERM OXYGEN THERAPY PRESCRIBED 4030F -$
40490 PR BIOPSY OF LIP 40490 204.32$
40500 PR LIP SHAVE 40500 801.65$
40510 PR PARTIAL EXCIS LIP,WEDGE PRIM CLOS 40510 765.09$
40520 PR PARTIAL EXCIS LIP,V-EXC PRIM CLOS 40520 775.38$
40525 PR FULL THICK EXCIS LIP,RECON W FLAP 40525 878.91$
40527 PR FULL THICK EXCIS LIP,FIX W XFLAP 40527 975.69$
40530 PR PARTIAL REMOVAL OF LIP,>1/4 40530 847.28$
40650 PR REPAIR LIP,FULL THICK,VERMILION 40650 699.37$
40652 PR REPAIR LIP,<1/2 VERT HEIGHT 40652 782.20$
40654 PR REPAIR LIP,>1/2 VERT HEIGHT 40654 908.92$
40700 PR REPAIR CLEFT LIP/NASAL,UNILAT 40700 1,616.11$
40701 PR RECLEFT LIP,BILAT,1 STAGE 40701 1,914.61$
40702 PR RECLEFT LIP,BILAT,1OF2 STAGE 40702 1,606.82$
40720 PR RECLEFT LIP/NASAL,SECONDARY 40720 1,651.12$
40761 PR RECLEFT LIP/NASAL,XLIP PED GRFT 40761 1,741.66$
40800 PR DRAIN MOUTH ABSC/CYST/HEMATOMA,SIMPL 40800 338.84$
40801 PR DRAIN MOUTH ABSC/CYST/HEMAT,COMPLX 40801 498.96$
40804 PR REMOVAL FOREIGN BODY,MOUTH,SIMPLE 40804 292.17$
40805 PR REMOVAL FOREIGN BODY,MOUTH,COMPLEX 40805 508.78$
40806 PR INCISION OF LIP FOLD 40806 164.62$
40808 PR BIOPSY OF MOUTH LESION 40808 296.26$
40810 PR EXCIS MOUTH MUCOSA/SUB,NO REPAIR 40810 328.55$
40812 PR EXCIS MOUTH MUCOSA/SUB,SIMPL REPAIR 40812 459.87$
40814 PR EXCIS MOUTH MUCOSA/SUB,COMPLX REPR 40814 615.60$
40816 PR EXCIS MOUTH COMPLEX,EXC THRU MUSCLE 40816 640.86$
40818 PR EXCISE ORAL MUCOSA FOR GRAFT 40818 578.72$
40819 PR EXCISE LIP OR CHEEK FOLD 40819 506.81$
40820 PR DESTRUC MOUTH LESION/SCAR 40820 420.85$
40830 PR REPAIR MOUTH LACERATION,<2.5 CM 40830 430.25$
40831 PR REPAIR MOUTH LACERATION,>2.5 CM 40831 543.20$
40840 PR RECONSTRUC MOUTH ANTERIOR 40840 1,291.13$
40842 PR RECONSTRUC MOUTH POSTER,UNILAT 40842 1,259.33$
40843 PR RECONSTRUC MOUTH POSTER,BILAT 40843 1,706.41$
40844 PR RECONSTRUC MOUTH ENTIRE ARCH 40844 2,124.23$
40845 PR RECONSTRUC MOUTH COMPLEX 40845 2,316.25$
4086F PR ASPIRIN OR CLOPIDOGREL PRESCRIBED 4086F -$
41000 PR I&D MOUTH/TONG INTRA,LINGUAL 41000 258.29$
41005 PR I&D MOUTH/TONG INTRA,SUBLING,SUPERF 41005 354.12$
41006 PR I&D MOUTH/TONG INTRA,SUBLING,DEEP 41006 574.91$
41007 PR I&D MOUTH/TONG INTRA,SUBMENTAL 41007 563.76$
41008 PR I&D MOUTH/TONG INTRA,SUBMANDIBULAR 41008 607.28$
41009 PR I&D MOUTH/TONG INTRA,MASTICATOR 41009 647.06$
41010 PR INCISION OF TONGUE FOLD 41010 319.74$
41015 PR I&D MOUTH/TONG EXTRA,SUBLING 41015 681.75$
41016 PR I&D MOUTH/TONG EXTRA,SUBMENTAL 41016 705.26$
41017 PR I&D MOUTH/TONG EXTRA,SUBMANDIBUL 41017 715.77$
41018 PR I&D MOUTH/TONG EXTRA,MASTICATOR 41018 812.30$
41019 PR PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT 41019 769.68$
41100 PR BIOPSY TONGUE,ANTER 2/3 41100 267.88$
41105 PR BIOPSY TONGUE,POSTER 1/3 41105 272.70$
41108 PR BIOPSY OF FLOOR OF MOUTH 41108 236.07$
41110 PR EXCIS TONGUE LESN 41110 337.08$
41112 PR EXCIS TONGUE LESN,ANT 2/3+CLOS 41112 533.64$
41113 PR EXCIS TONGUE LESN,POST 1/3 41113 584.18$
41114 PR EXCIS TONGUE LESN,LOCAL FLAP 41114 1,012.54$
41115 PR EXCIS TONGUE FOLD 41115 389.80$
41116 PR EXCIS FLOOR MOUTH LESION 41116 527.18$
41120 PR PART REMOVAL TONGUE,<1/2 41120 1,721.00$
41130 PR PART REMOVAL TONGUE, 1/2 41130 2,120.28$
41135 PR PART EXC TONGUE,UNILAT RAD NECK 41135 3,485.54$
41140 PR REMOVAL OF TONGUE 41140 3,501.96$
41145 PR EXCIS TONGUE,UNILAT RAD NECK 41145 4,437.68$
41150 PR EXCIS TONGUE,MOUTH,JAW 41150 3,524.93$
41153 PR EXCIS TONGUE,MOUTH,NECK 41153 3,822.57$
41155 PR EXCIS TONGUE,MOUTH,JAW,RAD NECK 41155 4,841.63$
41250 PR REPAIR TONGUE LACER,<2.6 CM 41250 428.95$
41251 PR REPAIR TONGUE LACER,POST 1/3 41251 473.70$
41252 PR REPAIR TONGUE LACER,2.6 CM+/COMPLX 41252 502.47$
41500 PR FIXATION OF TONGUE,MECHANICAL 41500 750.02$
41510 PR TONGUE TO LIP SURGERY 41510 725.51$
41512 PR TONGUE BASE SUSPENSION, PERM SUTURE 41512 1,051.59$
41520 PR RECONSTRUCTION, TONGUE FOLD 41520 552.02$
41530 PR RADIOFREQUENCY ABLATION TONGUE BASE 41530 1,535.08$
41800 PR DRAINAGE OF GUM LESION 41800 451.08$
41805 PR REMOVAL FOREIGN BODY, GUM 41805 448.22$
41806 PR REMOVAL FOREIGN BODY,JAWBONE 41806 621.04$
41822 PR EXCIS FIBROUS TUBER,DENTOALV 41822 482.51$
41823 PR EXCIS OSSEOUS TUBER,DENTOALV 41823 711.65$
41825 PR EXCIS DENTOALVEOLAR LESION 41825 338.89$
41826 PR EXCIS DENTOALV LESN,SIMPL REPR 41826 505.18$
41827 PR EXCIS DENTOALV LESN,COMPLX REPR 41827 702.67$
41828 PR EXCISION OF GUM LESION 41828 502.49$
41830 PR REMOVAL OF GUM TISSUE 41830 643.20$
41872 PR REPAIR GUM 41872 554.17$
41874 PR REPAIR TOOTH SOCKET 41874 613.09$
42000 PR DRAINAGE ABSCESS PALATE/UVULA 42000 242.35$
42100 PR BIOPSY PALATE/UVULA 42100 237.85$
42104 PR EXCIS LESN,PALATE/UVULA 42104 341.42$
42106 PR EXCIS LESN,PALATE/UVULA-SIMPL CLOS 42106 436.62$
42107 PR EXCIS LESN,PALETE/UVULA-FLAP CLOS 42107 735.26$
42120 PR REMOVE PALATE/LESION 42120 1,618.35$
42140 PR EXCISION OF UVULA 42140 399.10$
42145 PR PALATOPHAYNGOPLASTY 42145 1,114.72$
42160 PR DESTRUC LESN PALATE/UVULA 42160 366.73$
42180 PR REPAIR PALATE LACER <2 CM 42180 383.74$
42182 PR REPAIR PALATE LACER 2+CM OR COMPLX 42182 504.54$
42200 PR RECONST CLEFT PALATE,SOFT/HARD 42200 1,527.26$
42205 PR RECONST CLEFT PALATE,CLOS ALVE RDG 42205 1,592.12$
42210 PR RECONST CLEFT PALATE,BONE GRFT 42210 1,772.89$
42215 PR RECONST CLEFT PALATE,MAJOR REVIS 42215 1,160.74$
42220 PR RECONST CLEFT PALATE,LENGTHENING 42220 957.91$
42225 PR RECONST CLEFT PALATE,ATTACH PHAR 42225 1,591.76$
42226 PR LENGTHENING PALATE+PHARY FLAP 42226 1,407.63$
42227 PR LENGTHENING PALATE+ISLAND FLAP 42227 1,321.44$
42235 PR REPAIR ANTER PALATE W VOMER FLAP 42235 1,156.32$
42260 PR REPAIR NOSE TO LIP FISTULA 42260 1,279.82$
42280 PR MAXILL IMPRESSN-PALATE PROSTHESIS 42280 278.12$
42281 PR INSERTION, PALATE PROSTHESIS 42281 360.56$
42300 PR DRAIN ABSCESS PAROTID,SIMPLE 42300 330.15$
42305 PR DRAIN ABSCESS PAROTID,COMPLIC 42305 684.62$
42310 PR DRAIN ABSC-SUBMAX,SUBLING-INTRAORAL 42310 281.90$
42320 PR DRAIN ABSC-SUBMAX-EXTERNAL 42320 392.49$
42330 PR REMOVAL SALIVARY STONE,UNCOMPLIC 42330 366.81$
42335 PR REMOVAL SUBMAND STONE,COMPLICATED 42335 591.41$
42340 PR REMOVAL PAROTID STONE 42340 737.75$
42400 PR BIOPSY SALIVARY GLAND,NEEDLE 42400 165.71$
42405 PR BIOPSY SALIVARY GLAND,INCISIONAL 42405 471.92$
42408 PR EXCISION SUBLING SALIVARY CYST 42408 791.49$
42409 PR DRAINAGE SUBLING SALIVARY CYST 42409 525.56$
42410 PR EXC PAROTD LESN,LATER LOBE 42410 985.84$
42415 PR EXC PAROTD,LAT LOBE,DISSECT 5TH NERV 42415 1,672.84$
42420 PR EXC PAROTD,TOTAL,DISSECT 5TH NERV 42420 1,879.28$
42425 PR EXC PAROTD,TOTAL,SACRIFICE 5TH NERV 42425 1,326.52$
42426 PR EXC PAROTD,TOTAL,UNILAT RAD NECK 42426 2,139.82$
42440 PR EXCISION SUBMAXILLARY GLAND 42440 652.66$
42450 PR EXCISION SUBLINGUAL GLAND 42450 717.90$
42500 PR REPAIR SALIVARY DUCT SIMPLE 42500 685.95$
42505 PR REPAIR SALIVARY DUCT COMPLICATED 42505 878.63$
42507 PR PAROTID DUCT DIVERT,BILAT 42507 809.59$
42509 PR PAROTID DUCT DIVERT,EXC BISUBMAND 42509 1,336.07$
42510 PR PAROTID DUCT DIVERT,LIGATE SUBMAN 42510 992.26$
42550 PR INJECTION FOR SALIVARY X-RAY 42550 216.15$
42600 PR CLOSURE OF SALIVARY FISTULA 42600 755.06$
42650 PR DILATION OF SALIVARY DUCT 42650 131.54$
42660 PR DILATION/CATH OF SALIVARY DUCT 42660 203.91$
42665 PR LIGATION OF SALIVARY DUCT,INTRAORAL 42665 494.42$
42700 PR INC/DRAIN PERITONSIL ABSCESS 42700 299.08$
42720 PR INC/DRAIN RETROPHARYNG ABSCESS,ORAL 42720 720.29$
42725 PR INC/DRAIN RETROPHARYNG ABSCESS,EXT 42725 1,303.70$
42800 PR BIOPSY OROPHARYNX 42800 249.12$
42804 PR BIOPSY NASOPHARYNX,SIMPLE 42804 305.98$
42806 PR BIOPSY NASOPHARYNX,SURVEY 42806 344.87$
42808 PR EXCISE PHARYNX LESION 42808 357.09$
42809 PR REMOVE PHARYNX FOREIGN BODY 42809 319.75$
42810 PR EXCISION BRACH CLFT CYST,SUPERFICIAL 42810 611.94$
42815 PR EXCISION BRANC CLFT CYST,DEEP 42815 882.42$
42820 PR REMOVE TONSILS/ADENOIDS,<12 Y/O 42820 458.85$
42821 PR REMOVE TONSILS/ADENOIDS,12+ Y/O 42821 476.07$
42825 PR REMOVAL OF TONSILS,<12 Y/O 42825 414.15$
42826 PR REMOVAL OF TONSILS,12+ Y/O 42826 397.96$
42830 PR REMOVAL ADENOIDS,PRIMARY,<12 Y/O 42830 327.46$
42831 PR REMOVAL ADENOIDS,PRIMARY,12+ Y/O 42831 353.45$
42835 PR REMOVAL ADENOIDS,SECOND,<12 Y/O 42835 303.95$
42836 PR REMOVAL ADENOIDS,SECOND,12+ Y/O 42836 380.74$
42842 PR RAD RESEC TONSIL/PILLARS 42842 1,615.71$
42844 PR RAD RESEC TONSIL/PILLARS,CLOS LOCAL 42844 2,225.24$
42845 PR RAD RESEC TONSIL/PILLARS,CLOS FLAP 42845 3,578.65$
42860 PR EXCISION OF TONSIL TAGS 42860 296.84$
42870 PR EXCISION OF LINGUAL TONSIL 42870 948.59$
42890 PR PARTIAL REMOVAL OF PHARYNX 42890 2,296.34$
42892 PR RESEC LAT PHARYN WALL/PYRIFRM SIN 42892 3,014.83$
42894 PR RESEC PHARYN WALL,CLOS MYOCUT FLAP 42894 3,802.67$
42900 PR SUTURE INJURY/WND PHARYNX 42900 536.27$
42950 PR RECONSTRUCTION OF THROAT 42950 1,303.25$
42953 PR REPAIR THROAT, ESOPHAGUS 42953 1,562.34$
42955 PR SURGICAL OPENING OF PHARYNX 42955 1,230.42$
42960 PR CONTROL THROAT BLEED,SIMPLE 42960 269.12$
42961 PR CONTROL THROAT BLEED,COMPL IN HOSP 42961 666.65$
42962 PR CONTROL THROAT BLEED,SURG INTERVENTN 42962 822.79$
42970 PR CNTRL NASOPHAR BLEED,SIMPLE,W/POST PACKS 42970 655.58$
42971 PR CNTRL NASOPHARYNG BLEED,COMPLICATED 42971 723.54$
42972 PR CNTRL NASOPHARYNG BLEED,SURGERY 42972 809.87$
43020 PR INCIS ESOPHAGUS,FOREIGN BODY,CERV 43020 884.65$
43030 PR CRICOPHAYNGEAL MYOTOMY 43030 821.95$
43045 PR INCIS ESOPHAGUS,FOREIGN BODY,THORAX 43045 2,066.51$
4306F PR PT COUNSEL ABOUT PSYCHOSOCIAL AND PHARM OPTIONS OPIOID ADDICTION 4306F -$
43100 PR EXCIS ESOPHAGUS LESN,CERV APPROACH 43100 991.37$
43101 PR EXCIS ESOPHAGUS LESN,THOR APPROACH 43101 1,597.65$
43107 PR REMOVAL ESOPHAGUS,NO THORACOTOMY 43107 4,742.07$
43108 PR EXCIS ESOPH,W/O THORAC,W/COLON INTERPOS 43108 7,073.25$
43112 PR TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY 43112 5,556.06$
43113 PR EXCIS ESOPH,W/THORACOT,W/COLON INTERPOS 43113 6,910.91$
43116 PR PART REMOV ESOPHAGUS,CERVICAL 43116 7,902.39$
43117 PR PART REMOV ESOPHAGUS,LOWER 2/3 43117 5,164.47$
43118 PR PART RMV ESOPH,DIST 2/3,W/THOR,W/COL INT 43118 5,771.07$
43121 PR PART REMOV ESOPH,LOWER,THORACOTOMY 43121 4,545.65$
43122 PR PARI REMOV ESOPH,THORACOABDOM 43122 4,067.51$
43123 PR PART RMV ESOPH,THORACOABD APP,W/COL INT 43123 7,162.80$
43124 PR REMOVAL OF ESOPHAGUS,NO RECONSTRUC 43124 6,050.85$
43130 PR REMOV ESOPHAG DIVERTIC,CERV APPRCH 43130 1,244.10$
43135 PR REMOV ESOPHAG DIVERTIC,THOR APPRCH 43135 2,369.52$
43180 REMOVAL OF ESOPHAGUS TISSUE USING AN ENDOSCOPE 43180 871.23$
43191 PR ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH 43191 247.55$
43192 PR ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL 43192 270.04$
43193 PR ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY 43193 270.86$
43194 PR ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY 43194 309.21$
43195 PR ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION 43195 296.32$
43196 PR ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION 43196 315.20$
43197 PR ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC 43197 302.00$
43198 PR ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY 43198 333.33$
43200 PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC 43200 339.62$
43201 PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ 43201 347.59$
43202 PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY 43202 484.74$
43204 PR ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES 43204 221.56$
43205 PR ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES 43205 231.53$
43206 PR ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY 43206 422.20$
43210 PR EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY 43210 714.90$
43211 PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN 43211 384.29$
43212 PR ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT 43212 307.94$
43213 PR ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER 43213 1,811.45$
43214 PR ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM 43214 313.78$
43215 PR ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY 43215 568.29$
43216 PR ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS 43216 566.02$
43217 PR ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE 43217 599.64$
43220 PR ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM 43220 1,688.40$
43226 PR ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION 43226 499.90$
43227 PR ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL 43227 994.87$
43229 PR ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION 43229 1,023.79$
43231 PR ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM 43231 530.26$
43232 PR ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX 43232 642.91$
43233 PR EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER 43233 373.43$
43235 PR ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC 43235 484.21$
43236 PR ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION 43236 520.62$
43237 PR ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS 43237 321.85$
43238 PR EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS 43238 381.69$
43239 PR EGD TRANSORAL BIOPSY SINGLE/MULTIPLE 43239 542.73$
43240 PR EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST 43240 643.55$
43241 PR EGD INTRALUMINAL TUBE/CATHETER INSERTION 43241 232.90$
43242 PR EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY 43242 431.57$
43243 PR EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES 43243 388.76$
43244 PR EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES 43244 402.50$
43245 PR EGD DILATION GASTRIC/DUODENAL STRICTURE 43245 874.10$
43246 PR EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE 43246 326.77$
43247 PR EGD FLEXIBLE FOREIGN BODY REMOVAL 43247 553.86$
43248 PR EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS 43248 554.32$
43249 PR EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM 43249 1,607.45$
43250 PR EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS 43250 628.83$
43251 PR EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH 43251 698.16$
43252 PR EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY 43252 480.35$
43253 PR EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER 43253 431.57$
43254 PR EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION 43254 443.69$
43255 PR EGD TRANSORAL CONTROL BLEEDING ANY METHOD 43255 1,052.47$
43257 PR EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD 43257 380.42$
43259 PR EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM 43259 371.30$
43260 PR ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING 43260 529.72$
43261 PR ERCP W/BIOPSY SINGLE/MULTIPLE 43261 556.50$
43262 PR ERCP W/SPHINCTEROTOMY/PAPILLOTOMY 43262 586.29$
43263 PR ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI 43263 586.56$
43264 PR ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT 43264 597.96$
43265 PR ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD 43265 710.82$
43266 PR EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION 43266 357.01$
43270 PR EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE 43270 1,056.26$
43273 PR ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC 43273 195.89$
43274 PR ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT 43274 759.81$
43275 PR ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT 43275 618.47$
43276 PR ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE 43276 791.16$
43277 PR ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA 43277 621.89$
43278 PR ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE 43278 711.07$
43279 PR LAP, ESOPHAGOMYOTOMY W FUNDOPLASTY 43279 2,050.64$
43280 PR LAP,ESOPHAGOGAST FUNDOPLASTY 43280 1,719.61$
43281 PR LAP, REPAIR PARAESOPHAGEAL HERNIA, INCL FUNDOPLASTY W/O MESH 43281 2,456.07$
43282 PR LAP, REPAIR PARAESOPHAGEAL HERNIA, INCL FUNDOPLASTY W/ MESH 43282 2,761.75$
43283 PR LAP ESOPHAGEAL LENGTHENING 43283 252.29$
43284 PR LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL 43284 1,033.73$
43285 PR REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE 43285 1,004.95$
43286 PR ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ 43286 5,028.89$
43287 PR ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ 43287 5,735.80$
43288 PR ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ 43288 5,995.84$
43300 PR ESOPHAGOPLASTY,CERV APPRCH 43300 973.37$
43305 PR REPAIR TRACHEOESOPHAGEAL FISTULA, CERVICAL APPROACH 43305 1,728.23$
43310 PR ESOPHAGOPLASTY,THORACIC APPRCH 43310 2,358.41$
43312 PR REPAIR TRACHEOESOPHAGEAL FISTULA, THORACIC APPROACH 43312 2,539.60$
43313 PR ESOPHAGOPLASTY CON DEF,W/O RETE FIST 43313 4,343.61$
43314 PR ESOPHAGOPLASTY CON DEF,W/REPAIR TE FIST 43314 4,675.08$
43320 PR ESOPHAGOGASTRIC CARDIOPLASTY 43320 2,220.59$
43325 PR ESOPHAGOGASTRIC FUNDOPLASTY, W FUNDIC PATCH (THAL-NISSEN PROCEDURE) 43325 2,159.87$
43327 PR ESOPHAGOGASTRIC FUNDOPLASTY PARTIAL OR COMPLETE; LAPAROTOMY 43327 1,306.75$
43328 PR ESOPHAGOGASTRIC FUNDOPLASTY PARTIAL OR COMPLETE; THORACOTOMY 43328 1,794.21$
43330 PR ESOPHAGOMYOTOMY (HELLER TYPE); ABDOMINAL APPROACH 43330 2,123.70$
43331 PR ESOPHAGOMYOTOMY (HELLER TYPE); THORACIC APPROACH 43331 2,132.31$
43332 PR REPAIR PARAESOPHAGEAL HIATAL HERNIA,LAPAROTOMY, WO MESH 43332 1,845.18$
43333 PR REPAIR PARAESOPHAGEAL HIATAL HERNIA,LAPAROTOMY, W MESH 43333 2,010.69$
43334 PR REPAIR PARAESOPHAGEAL HIATAL HERNIA,THORACOTOMY, WO MESH 43334 1,988.22$
43335 PR REPAIR PARAESOPHAGEAL HIATAL HERNIA,THORACOTOMY, W MESH 43335 2,131.06$
43336 PR REPAIR PARAESOPHAGEAL HIATAL HERNIA,THORACOABDOMINAL, WO MESH 43336 2,392.37$
43337 PR REPAIR PARAESOPHAGEAL HIATAL HERNIA,THORACOABDOMINAL, W MESH 43337 2,463.05$
43338 PR ESOPHAGUS LENGTHENING 43338 185.00$
43340 PR ESOPHAGOJEJUNOSTOMY,ABD APPRCH 43340 2,193.08$
43341 PR ESOPHAGOJEJUNOSTOMY,THOR APPRCH 43341 2,227.67$
43351 PR SURG OPENING,ESOPHAGUS,THOR APPRCH 43351 2,090.73$
43352 PR SURG OPENING,ESOPHAGUS,CERV APPRCH 43352 1,695.36$
43360 PR GI REPAIR PREV ESOPH RMVL 43360 3,585.17$
43361 PR GI RECON,PRIOR ESOPHAGECT,W/COLON INTERP 43361 4,284.47$
43400 PR LIGATE ESOPHAGUS VARICES 43400 2,421.11$
43401 PR ESOPHAG XSECT/REPR,VARICES 43401 2,499.44$
43405 PR LIGATE/STAPLE ESOPHAGUS,GE JUNC 43405 2,313.56$
43410 PR SUTURE ESOPHAGUS WOUND,CERV APPRCH 43410 1,628.88$
43415 PR SUTURE ESOPHAGUS WOUND,THOR APPRCH 43415 4,110.66$
43420 PR REPAIR ESOPHAGUS OPENING,CERV APPRCH 43420 1,611.31$
43425 PR REPAIR ESOPHAGUS OPENING 43425 2,295.56$
43450 PR DILATE ESOPHAGUS 43450 248.70$
43453 PR DILATION ESOPHAGUS GUIDE WIRE 43453 1,438.44$
43460 PR ESOPHAGOGASTRIC TAMPONADE,BALLOON 43460 349.64$
43496 PR FREE JEJUNUM XFER,MICROVASC ANAST 43496 1,615.75$
43500 PR SURGICAL OPENING OF STOMACH 43500 1,248.37$
43501 PR OPEN STOMACH,REULCER,SUTURE 43501 2,138.47$
43502 PR OPEN STOM,REOLD GE LACERATN 43502 2,426.04$
43510 PR GASTROTOMY,ESOPH DIL+PERM TUBE 43510 1,503.23$
43520 PR INCISION OF PYLORIC MUSCLE 43520 1,088.59$
43605 PR BIOPSY OF STOMACH,BY LAPAROTOMY 43605 1,331.65$
43610 PR EXCIS STOMACH ULCER,LESN;LOCAL 43610 1,556.68$
43611 PR EXCIS STOAMCH MALIG 43611 1,947.51$
43620 PR REMOVAL STOMACH,TOTAL 43620 3,140.26$
43621 PR REMOVAL STOMACH,ROUX-EN-Y 43621 3,609.39$
43622 PR REMOVAL STOMACH,FORM INTEST POUCH 43622 3,679.35$
43631 PR REMV STOMACH,PART,DISTAL,GASTRODUOD 43631 2,304.57$
43632 PR REMV STOMACH,PART,DISTAL,GASTROJEJUN 43632 3,232.86$
43633 PR REMV STOMACH,PART,DISTAL,ROUX-EN-Y 43633 3,056.43$
43634 PR REMV STOMACH,PART,DISTAL,FORM POUCH 43634 3,383.90$
43635 PR REMV STOMACH,PART,DISTAL,VAGOTOMY 43635 179.77$
43640 PR VAGOTOMY/PYLOROPLASTY,SELECT 43640 1,875.72$
43641 PR VAGOTOMY/PYLOROPLASTY,HI SELECT 43641 1,912.55$
43644 PR LAP GASTRIC BYPASS/ROUX-EN-Y 43644 2,754.86$
43645 PR LAP GASTR BYPASS INCL SMLL INT RECON 43645 2,935.52$
43647 PR LAP IMPLANT/ REPLACE GASTRIC NEUROSTIM ANTRUM 43647 527.52$
43648 PR LAP REVISE/REMOVE GASTRIC NEUROSTIM ANTRUM 43648 527.52$
43651 PR LAP,VAGUS NERVE,TRUNCAL 43651 1,040.36$
43652 PR LAP,VAGUS NERVES,SELECTIVE 43652 1,215.27$
43653 PR LAP,GASTROSTOMY,W/O TUBE CONSTR 43653 911.15$
43752 PR PLACEMENT NG/OG TUBE BY PHYSICIAN 43752 66.25$
43753 PR GASTRIC INTUBATION/ASPIRATION, THERAPEUTIC 43753 35.18$
43754 PR GASTRIC INTUBATION/ASPIRATION, DIAGNOSTIC, 1 SPECIMEN 43754 211.99$
43755 PR GASTRIC INTUBATION/ASPIRATION, DIAGNOSTIC, MULTIPLE SPECIMEN 43755 217.55$
43756 PR DUODENAL INTUBATION/ASPIRATION, DIAGNOSTIC, 1 SPECIMEN 43756 327.44$
43757 PR DUODENAL INTUBATION/ASPIRATION, DIAGNOSTIC, MULTIPLE SPECIMEN 43757 463.91$
43760 PR CHANGE GASTROSTOMY TUBE PERCUTANEOUS W/O GUIDE 43760 780.27$
43761 PR REPOSITION GASTRIC FEEDING TUBE THRU DUODENUM 43761 188.25$
43762 REPLACE GASTROTUBE, PERCUTANEOUS, W/O IMAGING, NOT REQ REVISION 43762 350.87$
43770 PR LAP, PLACE ADJUST GAST RESTRICT DEVICE 43770 1,782.54$
43771 PR LAP, REVISE ADJUST GAST RESTRICT DEVICE 43771 2,027.06$
43772 PR LAP, REMOVE ADJUST GAST RESTRICT DEVICE 43772 1,515.46$
43773 PR LAP, CHANGE ADJUST GAST RESTRICT DEVICE 43773 2,032.04$
43774 PR LAP, REMOVE ADJUST GAST RESTRICT DEVICE/PORT 43774 1,526.55$
43775 PR LAP, GAST RESTRICT PROC, LONGITUDINAL GASTRECTOMY 43775 1,774.97$
43800 PR RECONSTRUCTION OF PYLORUS 43800 1,477.33$
43810 PR GASTRODUODENOSTOMY 43810 1,619.13$
43820 PR GASTROJEJUNOSTOMY 43820 2,135.51$
43825 PR GASTROJEJUNOSTOMY+VAGOTOMY 43825 2,082.22$
43830 PR GASTROSTOMY,OPEN,W/O TUBE CNSTR 43830 1,112.88$
43831 PR PLACE GASTROSTOMY TUBE,NEONATE 43831 944.91$
43832 PR GASTROSTOMY,OPEN,W/TUBE CNSTR 43832 1,648.70$
43840 PR REPAIR PERF DUOD/GAST ULC-WND/INJ 43840 2,162.28$
43843 PR GASTROPLASTY,OBESITY,OTHER 43843 2,036.71$
43845 PR GASTROPLASTY DUODENAL SWITCH 43845 3,127.03$
43846 PR GASTRIC BYPASS,OBESE<150CM ROUX-EN-Y 43846 2,575.70$
43847 PR GASTRIC BYPASS,OBESITY,W/SM BOWEL RECONS 43847 2,867.80$
43848 PR REVISION GASTROPLASTY,OBESITY, NON-GAST RESTRICT DEVICE 43848 3,062.63$
43850 PR REVISE GASTRODUOD ANASTOMOSIS 43850 2,591.14$
43855 PR REVISE GASTRODUOD ANAST,W VAGOTOMY 43855 2,687.72$
43860 PR REVISE,GASTROJEJUN ANAST,W/O VAGOTOMY 43860 2,604.43$
43865 PR REVISE GASTROJEJUN ANAST,W VAGOTOMY 43865 2,719.89$
43870 PR CLOSURE OF GASTROSTOMY,SURGICAL 43870 1,130.45$
43880 PR CLOSURE GASTROCOLIC FISTULA 43880 2,543.01$
43881 PR OPEN IMPLANT/ REPLACE GASTRIC NEUROSTIM ANTRUM 43881 1,005.49$
43882 PR OPEN REVISE/REMOVE GASTRIC NEUROSTIM ANTRUM 43882 1,005.49$
43886 PR REVISE GASTRIC PORT, OPEN 43886 576.53$
43887 PR REMOVE GASTRIC PORT, OPEN 43887 519.85$
43888 PR CHANGE GASTRIC PORT, OPEN 43888 733.38$
43999 PR STOMACH SURGERY PROCEDURE UNLISTED 43999 -$
44005 PR FREEING BOWEL ADHESION,ENTEROLYSIS 44005 1,743.36$
44010 PR DUODENOTOMY FOR EXPLOR,BX,FB REMOV 44010 1,375.14$
44015 PR INSERT TUBE-BOWEL,ENTERAL ALIMENT 44015 226.55$
44020 PR ENTEROTOMY,NON-DUOD,EXPLOR/BX/FB REMOVAL 44020 1,548.06$
44021 PR ENTEROTOMY DECOMPRESS SMALL BOWEL 44021 1,551.64$
44025 PR INCIS COLON FOR EXPLOR,BX,FB REM 44025 1,566.13$
44050 PR REDUCE VOLVULUS,INTUSS,INTERN HERNIA 44050 1,486.68$
44055 PR CORRECT MALROTATION OF BOWEL 44055 2,373.15$
44100 PR BIOPSY OF BOWEL, PERORAL 44100 175.94$
44110 PR EXCIS BOWEL LESION(S),SINGLE ENTEROTOMY 44110 1,354.90$
44111 PR EXCIS BOWEL LESION(S),MULT ENTEROTOMIES 44111 1,566.74$
44120 PR RESECT SMALL INTEST,SINGL RESEC/ANAS 44120 1,949.21$
44121 PR RESECT SMALL INTEST,EACH ADDNL 44121 386.35$
44125 PR RESECT SMALL INTEST W ENTEROSTOMY 44125 1,880.85$
44126 PR RESECT SM INTEST,CONG ATRESIA,W/O TAPER 44126 3,923.35$
44127 PR RESECT SM INTEST,CONG ATRESIA,W/TAPER 44127 4,536.39$
44128 PR RESECT SM INTEST,CONG ATRESIA,EA ADDL 44128 388.69$
44130 PR BOWEL TO BOWEL ANASTOMOSIS 44130 2,091.49$
44139 PR MOBILIZE SPLENIC FLEX 44139 194.02$
44140 PR PART REMOVAL COLON W ANASTOMOSIS 44140 2,137.23$
44141 PR PART REMOVAL COLON W COLOSTOMY 44141 2,910.77$
44143 PR PART REMOVAL COLON W END COLOSTOMY 44143 2,653.28$
44144 PR PART REMOVAL COLON W OSTOMY/MUCOFIST 44144 2,819.95$
44145 PR PART REMOVAL COLON W COLOPROCTOSTOMY 44145 2,646.68$
44146 PR PART REMOVAL COLON W COLOPROC,COLOST 44146 3,385.93$
44147 PR PART REMOVAL COLON,ABD/TRANSANAL APP 44147 3,096.09$
44150 PR REMOVAL COLON/ILEOSTOMY 44150 2,983.94$
44151 PR REMOVAL COLON/ILEOSTOMY,CONTINENT 44151 3,437.84$
44155 PR REMOVAL COLON/PROCTECTOMY/ILEOSTOMY 44155 3,329.95$
44156 PR REMOVAL COLON/PROCTEC/ILEOSTOMY CONT 44156 3,682.60$
44157 PR REMOVAL COLON/PROCTEC/ ILEOANAL ANAST 44157 3,490.03$
44158 PR REMOVAL COLON/PROCTEC/ILEOANAL ANAST POUCH 44158 3,578.44$
44160 PR REMVL COLON & TERM ILEUM W/ILEOCOLOSTOMY 44160 1,979.27$
44180 PR LAP, SURG ENTEROLYSIS 44180 1,464.21$
44186 PR LAP, SURG JEJUNOSTOMY 44186 1,033.82$
44187 PR LAP, SURG ILEO/JEJUNO-STOMY 44187 1,767.03$
44188 PR LAP, SURG COLOSTOMY 44188 1,957.66$
44202 PR LAP,SURG,ENTERECTOMY,RESECT & ANAST 44202 2,206.63$
44203 PR LAP,SURG,EA ADDL RESECT & ANAST 44203 389.24$
44204 PR LAP,SURG,COLECTOMY, PARTIAL, W/ANAST 44204 2,456.97$
44205 PR LAP,SURG,COLECTOMY,W/REMVL TERM ILEUM 44205 2,137.26$
44206 PR LAP,SURG,COLECTOMY,W/END COLOST & CLOSUR 44206 2,796.19$
44207 PR LAP,SURG,COLECTOMY,W/ANAST 44207 2,912.65$
44208 PR LAP,SURG,COLECTOMY,W/ANAST,W/COLOSTOMY 44208 3,178.87$
44210 PR LAP,SURG,COLECTOMY,TOTAL,W/O PROCTECTOMY 44210 2,855.59$
44211 PR LAP,SURG,COLECTOMY,TOTAL,W/PROCTECTOMY 44211 3,452.36$
44212 PR LAP,SURG,COLECT,TOT,W/PROCTECT,W/ILEOST 44212 3,283.25$
44213 PR LAP, SURG MOBIL SPLENIC FL DUR PTL COLECTOMY 44213 301.69$
44227 PR LAP, SURG CLOSE ENTEROSTOMY RESECT ANAST 44227 2,656.98$
44300 PR PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN 44300 1,340.28$
44310 PR ILEOSTOMY/JEJUNOSTOMY,NONTUBE 44310 1,667.37$
44312 PR REVISION OF ILEOSTOMY,SIMPLE 44312 946.57$
44314 PR REVISION OF ILEOSTOMY,COMPLICATED 44314 1,607.43$
44316 PR DEVISE BOWEL POUCH 44316 2,249.64$
44320 PR COLOSTOMY 44320 1,915.80$
44322 PR COLOSTOMY,W/MULTIPLE BIOPSIES 44322 1,592.98$
44340 PR REVISION OF COLOSTOMY,SIMPLE 44340 994.11$
44345 PR REVISION OF COLOSTOMY,COMPLICATED 44345 1,679.27$
44346 PR REVIS COLOSTOMY,REPARACOLO HERNIA 44346 1,889.66$
44360 PR ENDOSCOPY UPPER SMALL INTESTINE 44360 235.54$
44361 PR ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY 44361 260.04$
44363 PR ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY 44363 314.85$
44364 PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE 44364 335.81$
44365 PR ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY 44365 297.81$
44366 PR ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING 44366 394.09$
44369 PR ENTEROSCOPY > 2ND PRTN ABLTJ LESION 44369 403.10$
44370 PR ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT 44370 436.01$
44372 PR ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE 44372 392.70$
44373 PR ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE 44373 314.44$
44376 PR ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX 44376 466.24$
44377 PR ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE 44377 491.42$
44378 PR ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING 44378 631.60$
44379 PR ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT 44379 671.32$
44380 PR ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD 44380 266.18$
44381 PR ILEOSCOPY STOMA W/BALLOON DILATION 44381 1,456.60$
44382 PR ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE 44382 417.78$
44384 PR ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT 44384 251.13$
44385 PR NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX 44385 303.80$
44386 PR NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE 44386 452.23$
44388 PR COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX 44388 457.17$
44389 PR COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE 44389 600.63$
44390 PR COLONOSCOPY STOMA W/RMVL FOREIGN BODY 44390 597.38$
44391 PR COLONOSCOPY STOMA CONTROL BLEEDING 44391 1,097.88$
44392 PR COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS 44392 557.29$
44394 PR COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE 44394 640.58$
44401 PR COLONOSCOPY STOMA ABLATION LESION 44401 5,036.41$
44402 PR COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT 44402 429.69$
44403 PR COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ 44403 498.81$
44404 PR COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION 44404 575.06$
44405 PR COLONOSCOPY STOMA W/BALLOON DILATION 44405 849.90$
44406 PR COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM 44406 377.12$
44407 PR COLONOSCOPY STOMA W/US GID NDL ASPIR/BX 44407 452.48$
44408 PR COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION 44408 380.54$
44500 PR INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE 44500 31.56$
44602 PR SUTURE SM INTEST,SINGLE PERF 44602 2,248.04$
44603 PR SUTURE SM INTEST,MULTPL PERF 44603 2,583.45$
44604 PR SUTURE LRG INTEST 44604 1,686.63$
44605 PR SUTURE LRG INTEST W COLOSTOMY 44605 2,078.84$
44615 PR INTESTINAL STRICTUROPLASTY 44615 1,713.72$
44620 PR CLOSE ENTEROSTOMY 44620 1,385.51$
44625 PR CLOSE ENTEROSTOMY,RESEC+ANAST 44625 1,626.11$
44626 PR CLOSE ENTEROSTOMY,RESEC+COLOREC ANAS 44626 2,555.59$
44640 PR REPAIR BOWEL-SKIN FISTULA 44640 2,234.73$
44650 PR REPAIR BOWEL-BOWEL FISTULA 44650 2,307.64$
44660 PR REPAIR BOWEL-BLADDER FISTULA 44660 2,145.71$
44661 PR REBOW-BLAD FIST,W/INTEST/BLAD RESECT 44661 2,481.12$
44680 PR INTESTINAL PLICATION 44680 1,690.95$
44700 PR EXCLUSION,SMALL BOWEL FROM PELVIS 44700 1,622.97$
44701 PR INTRAOPERATIVE COLONIC LAVAGE 44701 271.89$
44720 PR TRANSPLANT, RECONS DONOR INTEST VENOUS 44720 437.96$
44721 PR TRANSPLANT, RECONS DONOR INTEST ARTER 44721 612.86$
44799 PR INTESTINE SURG PROCEDURE UNLISTED 44799 2,137.26$
44800 PR EXCISION MECKEL,OMPHALOMES DUCT 44800 1,215.79$
44820 PR EXCISION OF MESENTERY LESION 44820 1,343.79$
44850 PR SUTURE OF MESENTERY 44850 1,192.03$
44900 PR DRAIN APPENDICEAL ABSCESS, OPEN 44900 1,232.02$
44950 PR APPENDECTOMY 44950 1,020.86$
44955 PR APPENDECTOMY,W OTHR PROC 44955 134.31$
44960 PR APPENDECTOMY,RUPT APPENDX+ABSCESS 44960 1,389.89$
44970 PR LAP,APPENDECTOMY 44970 955.94$
45000 PR DRAINAGE OF PELVIC ABSCESS 45000 682.21$
45005 PR I&D RECTAL SUBMUCOSAL ABSCESS 45005 437.79$
45020 PR DRAINAGE OF DEEP RECTAL ABSCESS 45020 916.51$
45100 PR BIOPSY OF RECTUM 45100 478.67$
45108 PR ANORECTAL MYOMECTOMY 45108 587.17$
45110 PR PROCTECTOMY,AP RESECT+OSTOMY 45110 2,955.45$
45111 PR PROCTECTOMY,PARTIAL 45111 1,735.67$
45112 PR PROCTECTOMY,AP RESEC,PULL-THRU 45112 3,003.96$
45113 PR PROCTECTOMY,PART,ILEAL RESERV 45113 3,064.96$
45114 PR PROCTECTOMY,PARTIAL,ANASTOMISIS 45114 2,892.20$
45116 PR PROCTECTOMY,PART,ANAST,TRANSACRL 45116 2,522.62$
45119 PR PROCTECTOMY,A-P PULLTHRU W/RESERVOIR 45119 3,076.69$
45120 PR PROCTECTOMY,COMPLT,PULL-THRU,ANAST 45120 2,531.00$
45121 PR PROCTECTOMY,COMPL,COLECTOMY,BX'S 45121 2,765.73$
45123 PR PROCTECTOMY,PART,NO ANAST,PERINEAL 45123 1,801.40$
45126 PR PELVIC EXENTERATION COLORECTAL MALIGNANCY 45126 4,426.60$
45130 PR EXCIS RECTAL PROLAPSE,PERINEAL 45130 1,748.79$
45135 PR EXCIS RECTAL PROLAPSE,ABD/PERINL 45135 2,106.16$
45136 PR EXCIS,ILEOANAL RESERVOIR W/ILEOSTOMY 45136 2,927.55$
45150 PR EXCIS RECTAL STRICTURE 45150 658.99$
45160 PR EXCIS RECTAL TUMOR, PROCTOTOMY,TRANSACRAL,TRANSCOCCYGEAL 45160 1,625.75$
45171 PR EXCIS RECTAL TUMOR, TRANSANAL, PARTIAL THICKNESS 45171 961.88$
45172 PR EXCIS RECTAL TUMOR, TRANSANAL, FULL THICKNESS 45172 1,302.38$
45190 PR DESTRUCT,RECTAL TUMOR,TRANSANAL APPROACH 45190 1,115.50$
45300 PR PROCTOSIGMOIDOSCOPY,RIGID,DIAGNOS 45300 198.25$
45303 PR PROCTOSGMDSC RIGID W/DILATION 45303 1,421.52$
45305 PR PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE 45305 227.35$
45307 PR PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY 45307 263.08$
45308 PR PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY 45308 253.98$
45309 PR PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ 45309 263.92$
45315 PR PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE 45315 291.79$
45317 PR PROCTOSGMDSC RIGID CONTROL BLEEDING 45317 291.64$
45320 PR PROCTOSGMDSC RIGID ABLATION LESION 45320 283.02$
45321 PR PROCTOSGMDSC RIGID DCMPRN VOLVULUS 45321 164.19$
45327 PR PROCTOSGMDSC RIGID TNDSC STENT PLMT 45327 186.95$
45330 PR SIGMOIDOSCOPY,DIAGNOSTIC 45330 266.51$
45331 PR SIGMOIDOSCOPY,BIOPSY 45331 407.90$
45332 PR SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY 45332 398.57$
45333 PR SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS 45333 465.22$
45334 PR SIGMOIDOSCOPY FLX CONTROL BLEEDING 45334 872.03$
45335 PR SGMDSC FLX DIRED SBMCSL NJX ANY SBST 45335 370.57$
45337 PR SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE 45337 188.20$
45338 PR SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ 45338 426.00$
45340 PR SIGMOIDOSCOPY FLX TNDSC BALO DILAT 45340 683.02$
45341 PR SIGMOIDOSCOPY FLX NDSC US XM 45341 202.09$
45342 PR SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX 45342 278.55$
45346 PR SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES 45346 4,839.17$
45347 PR SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT 45347 252.58$
45349 PR SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION 45349 326.12$
45350 PR SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S) 45350 833.86$
45378 PR COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD 45378 680.88$
45379 PR COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S) 45379 646.21$
45380 PR COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE 45380 734.86$
45381 PR COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST 45381 613.65$
45382 PR COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD 45382 1,141.31$
45384 PR COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS 45384 711.45$
45385 PR COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ 45385 826.65$
45386 PR COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT 45386 925.53$
45388 PR COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES 45388 5,077.48$
45389 PR COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT 45389 475.46$
45390 PR COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION 45390 546.38$
45391 PR COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX 45391 423.04$
45392 PR COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL 45392 499.22$
45393 PR COLONOSCOPY FLEXIBLE WITH DECOMPRESSION 45393 413.87$
45395 PR LAP, SURG PROCTECTOMY W COLOSTOMY 45395 3,171.02$
45397 PR LAP, SURG PROCTECTOMY W J-POUCH 45397 3,460.36$
45398 PR COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S) 45398 1,361.71$
45400 PR LAP, SURG PROCTOPEXY 45400 1,833.05$
45402 PR LAP, SURG PROCTOPEXY W/SIG RESECT 45402 2,438.85$
45500 PR REPAIR OF RECTUM,STENOSIS 45500 879.78$
45505 PR REPAIR OF RECTUM,PROLAPSE MUCOSA 45505 947.02$
45520 PR SCLEROSIS PERIRECTAL,PROLAPSE 45520 247.52$
45540 PR FIX RECTAL PROLAPSE,ABD APPRCH 45540 1,695.95$
45541 PR FIX RECTAL PROLAPSE,PERINEAL APPR 45541 1,504.40$
45550 PR REPAIR RECTUM; REMOVE SIGMOID 45550 2,340.28$
45560 PR REPAIR OF RECTOCELE 45560 1,104.26$
45562 PR EXPLOR/REPAIR RECTUM INJURY 45562 1,782.91$
45563 PR EXPLOR/REPAIR RECTUM,INJ,COLOSTOMY 45563 2,623.30$
45800 PR CLOSE RECTUM-BLADDER FISTULA 45800 1,980.74$
45805 PR CLOSE REC-BLADD FISTULA; COLOSTOMY 45805 2,326.65$
45820 PR CLOSE RECTOURETHRAL FISTULA 45820 2,010.08$
45825 PR CLOSE REC-URETHR FISTULA; COLOSTOMY 45825 2,428.93$
45900 PR REDUCTION RECTAL PROLAPSE W ANESTHE 45900 335.05$
45905 PR DILATION ANAL SPHINCTER W ANESTH 45905 270.53$
45910 PR DILATION RECTAL STRICTURE W ANEST 45910 309.71$
45915 PR REMV RECTAL OBSTR:FECES/F.B. W ANEST 45915 532.21$
45990 PR SURG DIAGNOSTIC EXAM, ANORECTAL 45990 171.65$
45999 PR RECTUM SURGERY PROCEDURE UNLISTED 45999 1,104.26$
46020 PR PLACEMENT,SETON 46020 439.08$
46030 PR REMOVAL OF RECTAL MARKER 46030 222.52$
46040 PR I&D PERIRECTAL ABSCESS 46040 852.74$
46045 PR I&D RECTAL WALL ABSCESS W ANESTH 46045 690.33$
46050 PR I&D PERIANAL ABSCESS,SUPERFICIAL 46050 322.43$
46060 PR I&D RECTAL ABSCESS + FISTULECTOMY 46060 760.62$
46070 PR INCISION OF ANAL SEPTUM, INFANT 46070 408.23$
46080 PR ANAL SPHINCTEROTOMY 46080 395.80$
46083 PR INCISE EXTERNAL HEMORRHOID 46083 283.57$
46200 PR REMOVAL OF ANAL FISSURE 46200 711.30$
46220 PR EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS 46220 328.48$
46221 PR HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS 46221 428.04$
46230 PR EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS 46230 434.78$
46250 PR HEMORRHOIDECTOMY,EXTERNAL, 2+ COLUMNS/GROUPS 46250 737.45$
46255 PR HEMORRHOIDECTOMY,INT/EXT,1 COLUMN/GROUP 46255 805.51$
46257 PR HEMORRHOIDECTOMY,INT/EXT,1 COLUMN/GROUP W FISSURECTOMY 46257 677.47$
46258 PR HEMORRHOIDECTOMY,INT/EXT,1 COLUMN/GROUP W FISTULECT/FISSURECT 46258 738.95$
46260 PR HEMORRHOIDECTOMY,INT/EXT, 2+ COLUMNS/GROUPS 46260 759.05$
46261 PR HEMORRHOIDECTOMY,INT/EXT,2+ COLUMNS/GROUPS W FISSURECTOMY 46261 836.93$
46262 PR HEMORRHOIDECTOMY,INT/EXT,2+ COLUMNS/GROUPS W FISTULECT/FISSURECT 46262 883.49$
46270 PR REMOVAL ANAL FISTULA,SUBCUTANEOUS 46270 807.89$
46275 PR REMOVAL ANAL FISTULA,INTERSPNINCTERIC 46275 859.11$
46280 PR REMOVAL ANAL FISTULA,TRANS/SUPRA/EXTRAPHINCT, +/-SETON 46280 751.15$
46285 PR REMOVAL ANAL FISTULA,SECOND STAGE 46285 855.94$
46288 PR REPAIR ANAL FISTULA,RECT ADV FLAP 46288 877.02$
46320 PR EXCISION THROMBOSED HEMORRHOID, EXTERNAL 46320 293.87$
46500 PR INJECT SCLEROS SOLN IN HEMORRHOIDS 46500 299.52$
46505 PR CHEMODENERVATION ANAL SPHINCTER 46505 455.04$
46600 PR DIAGNOSTIC ANOSCOPY 46600 141.19$
46601 ANOSCOPY, DIAGNOSTIC, WITH HIGH-RES MAGNIFICATION 46601 216.51$
46604 PR ANOSCOPY,W/DILATION 46604 987.57$
46606 PR ANOSCOPY AND BIOPSY 46606 361.45$
46607 ANOSCOPY, DIAGNOSTIC, WITH HIGH-RES MAGNIFICATION W/ BIPSOY 46607 305.15$
46608 PR ANOSCOPY,REMOVE FOREIGN BODY 46608 377.87$
46610 PR ANOSCOPY,REMOVE LESN,FORCEPS/CAUTER 46610 364.14$
46611 PR ANOSCOPY,REMOVE LESN,SNARE 46611 282.89$
46612 PR ANOSCOPY,REMOVE LESIONS 46612 436.85$
46614 PR ANOSCOPY,W/CONTROL,BLEEDING 46614 206.50$
46615 PR ANOSCOPY,ABLATE LESION 46615 229.22$
46700 PR REPAIR ANAL STRICTURE,ADULT 46700 1,049.20$
46705 PR REPAIR ANAL STRICTURE,INFANT 46705 875.82$
46706 PR REPAIR OF ANAL FISTULA W/FIBRIN GLUE 46706 279.59$
46707 PR REPARI ANORECTAL FISTULA W/ PLUG 46707 766.56$
46710 PR TRANSPERIN REILEOANAL POUCH FISTULA 46710 1,757.78$
46712 PR TRANSPERIN/ TRANSABD REILEOANAL POUCH FISTLA 46712 3,546.00$
46715 PR RELO IMPERF ANUS W FISTULA 46715 858.76$
46716 PR RELO IMPERF ANUS W TRANSPOSTN 46716 1,918.75$
46730 PR REHI IMPERF ANUS 46730 3,117.46$
46735 PR REHI IMPERF ANUS,COMBINED APPRCH 46735 3,596.77$
46740 PR REHI IMPERF ANUS,W FISTULA 46740 3,407.43$
46742 PR REHI IMPERF ANUS,FIST,COMBINED 46742 3,945.76$
46744 PR RECLOACAL ANOMALY,SACROPERINEAL 46744 5,592.38$
46746 PR RECLOACAL ANOMALY,COMBINED APPRC 46746 6,162.22$
46748 PR RECLOACAL ANOMALY,VAGINAL LENGTH 46748 6,681.53$
46750 PR REPAIR OF ANAL SPHINCTER,ADULT 46750 1,206.56$
46751 PR REPAIR OF ANAL SPHINCTER,CHILD 46751 1,034.22$
46753 PR RECONSTRUCTION OF ANUS,GRAFT 46753 968.75$
46754 PR REMOVAL OF SUTURE/WIRE FROM ANUS 46754 491.11$
46760 PR REANAL SPHINCTER,MUSC TRANSPLANT 46760 1,762.22$
46761 PR REANAL SPHINC,LEVATR MUSC IMBRIC 46761 1,474.32$
46762 PR IMPLANT ARTIFICIAL SPHINCTER 46762 1,487.76$
46900 PR DESTRUCT,ANAL LESN(S),SIMPLE,CHEM 46900 385.56$
46910 PR ELECTRODESSICATN,ANAL LESN(S) 46910 410.01$
46916 PR CRYOSURGERY, ANAL LESION(S) 46916 367.44$
46917 PR LASER SURGERY, ANAL LESION(S) 46917 716.94$
46922 PR SURG EXCISION OF ANAL LESION(S) 46922 425.21$
46924 PR DESTRUCTION,ANAL LESION(S),EXTENSIVE 46924 830.69$
46930 PR DESTRUCT INTERNAL HEMORRHOID, THERMAL 46930 330.58$
46940 PR CAUTERY ANAL FISSURE,INITIAL 46940 364.01$
46942 PR CAUTERY ANAL FISSURE, FOLOWUP 46942 347.24$
46945 PR INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN 46945 491.39$
46946 PR INT HRHC BY LIGATION 2+ HROID W/O IMG GDN 46946 499.79$
46947 PR HEMORRHOIDOPEXY BY STAPLING 46947 608.95$
46999 PR ANUS SURGERY PROCEDURE UNLISTED 46999 -$
47000 PR BIOPSY LIVER NEEDLE PERCUTANEOUS 47000 483.88$
47001 PR NEEDLE BIOPSY LIVER,W OTHR PROC 47001 166.22$
47010 PR DRAINAGE OF LIVER LESION, OPEN 47010 1,916.41$
47015 PR INJECT/ASPIRATE LIVER CYST/ABSCESS 47015 1,848.50$
47100 PR WEDGE BIOPSY OF LIVER 47100 1,342.41$
47120 PR RESEC LIVER,PART LOBECTOMY 47120 3,703.31$
47122 PR RESEC LIVER,TRISEGMENTECTOMY 47122 5,441.09$
47125 PR RESEC LIVER,TOTAL LT LOBECTOMY 47125 4,892.81$
47130 PR RESEC LIVER,TOTAL RT LOBECTOMY 47130 5,252.25$
47135 PR TRANSPLANT LIVER,ALLOTRANSPLANT 47135 8,517.51$
47140 PR PARTIAL REMOVAL, DONOR LIVER 47140 5,669.19$
47141 PR PARTIAL REMOVAL, DONOR LIVER, LEFT LOBE 47141 6,769.52$
47142 PR PARTIAL REMOVAL, DONOR LIVER, RIGHT LOBE 47142 7,458.38$
47143 PR TRANSPLANT,PREP DONOR LIVER, WHOLE 47143 292.69$
47144 PR TRANSPLANT,PREP DONOR LIVER, 3-SEGMENT 47144 292.69$
47145 PR TRANSPLANT,PREP DONOR LIVER, LOBE SPLIT 47145 821.77$
47146 PR TRANSPLANT,PREP DONOR LIVER/VENOUS 47146 525.54$
47147 PR TRANSPLANT,PREP DONOR LIVER/ARTERIAL 47147 611.21$
47300 PR MARSUPIALIZE LIVER CYST/ABSCESS 47300 1,798.12$
47350 PR REPAIR BLEED LIVER/SUTURE WOUND 47350 2,179.12$
47360 PR REBLEED LIVER/COMPLX SUTURE WND 47360 2,984.92$
47361 PR EXPLOR LIVER WOUND,EXTENSIV DEBRIDE 47361 4,812.95$
47362 PR RE-EXPLORE LIVER WOUND,REMV PACKING 47362 2,305.51$
47370 PR LAP,ABLAT 1+ LIVER TUMOR(S),RADIOFREQ 47370 1,983.98$
47371 PR LAP,ABLAT 1+ LIVER TUMOR(S),CRYO 47371 1,997.77$
47380 PR ABLAT,OPEN,1+ LIVER TUMOR(S),RADIOFREQ 47380 2,292.72$
47381 PR ABLAT,OPEN,1+ LIVER TUMOR(S),CRYO 47381 2,354.70$
47382 PR ABLTJ 1/> LVR TUM PRQ RF 47382 7,617.98$
47383 PR ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION 47383 10,800.49$
47400 PR INCISION OF LIVER DUCT/EXPLOR,DRAIN 47400 3,427.30$
47420 PR INCIS BILE DUCT/EXPL,DRAIN,REMV CALC 47420 2,130.10$
47425 PR INCIS BILE DUCT/SPHINC,EXPL/RMV CALC 47425 2,174.45$
47460 PR INCISE BILE DUCT SPHINCTER 47460 2,016.83$
47480 PR CHOLECYSTOSTOMY,OPEN EXPLOR/DRAIN/ REMV CALCULUS 47480 1,394.30$
47490 PR CHOLECYSTOSTOMY,PERCUTANEOUS, COMPLETE 47490 533.16$
47531 PR NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS 47531 499.42$
47532 PR NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS 47532 1,257.51$
47533 PR PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL 47533 1,943.27$
47534 PR PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT 47534 2,323.28$
47535 PR CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH 47535 1,602.65$
47536 PR EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I 47536 1,086.94$
47537 PR REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I 47537 578.80$
47538 PR PLMT BILE DUCT STENT PRQ EXISTING ACCESS 47538 6,799.27$
47539 PR PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH 47539 7,537.96$
47540 PR PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH 47540 7,702.65$
47541 PR PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW 47541 1,854.07$
47542 PR BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT 47542 730.04$
47543 PR ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT 47543 753.52$
47544 PR REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I 47544 1,693.38$
47550 PR BILE DUCT ENDOSCOPY,INTRAOPERATIVE 47550 263.39$
47552 PR BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH 47552 502.85$
47553 PR BILIARY ENDOSCOPY PERCUT,BIOPSY 47553 496.20$
47554 PR BILIARY ENDOSCOPY,PERCUT,W/REM, STONE(S) 47554 822.05$
47555 PR BILIARY ENDOSCOPY PERCUT,DIL STRICT 47555 532.11$
47556 PR BILIARY ENDOSCOPY PERCUT,DIL+STENT 47556 602.58$
47562 PR LAP,CHOLECYSTECTOMY 47562 1,045.95$
47563 PR LAP,CHOLECYSTECTOMY/GRAPH 47563 1,135.33$
47564 PR LAP,CHOLECYSTECTOMY/EXPLORE 47564 1,768.98$
47570 PR LAP,CHOLECYSTOENTEROSTOMY 47570 1,232.55$
47579 PR LAP,BILIARY TRACT,UNLISTED 47579 1,045.95$
47600 PR REMOVAL GALLBLADDER 47600 1,697.01$
47605 PR REMV GALLBLADDER W CHOLANGIOGRAM 47605 1,786.54$
47610 PR REMV GALLBLADDER,EXPLOR COMMON DUCT 47610 1,994.37$
47612 PR REMV GB,W CHOLEDOCHOENTEROSTOMY 47612 2,021.78$
47620 PR REMV GB,W TRANSDUOD SPHINCTEROTOMY 47620 2,192.45$
47700 PR EXPLOR CONG ATRESIA BILE DUCTS 47700 1,672.62$
47701 PR BILE DUCT REVISION 47701 2,758.47$
47711 PR EXCIS BILE DUCT TUMOR,EXTRAHEPATIC 47711 2,475.03$
47712 PR EXCIS BILE DUCT TUMOR,INTRAHEPATIC 47712 3,180.79$
47715 PR EXCISION CHOLEDOCHAL CYST 47715 2,115.55$
47720 PR CHOLECYSTOENTEROSTOMY 47720 1,834.82$
47721 PR CHOLECYSTOENTEROSTOMY+GASTROENTERO 47721 2,153.88$
47740 PR CHOLECYSTOENTEROSTOMY+ROUX-EN-Y 47740 2,087.63$
47741 PR CHOLECYSTOENTER+ROUX-EN-Y+GASTROENT 47741 2,348.15$
47760 PR ANAST EXTRAHEP DUCT TO GI TRACT 47760 3,590.24$
47765 PR ANAST INTRAHEP DUCT TO GI TRACT 47765 4,833.18$
47780 PR ANAST,ROUX-EN-Y,EXTRAHEP TO GI TRCT 47780 3,936.62$
47785 PR ANAST,ROUX-EN-Y,INTRAHEP TO GI TRCT 47785 5,147.42$
47800 PR RECONSTR EXTRAHEP DUCTS,PLASTIC 47800 2,510.99$
47801 PR PLACEMENT, BILE DUCT STENT 47801 1,699.22$
47802 PR U TUBE HEPATICOENTEROSTOMY 47802 2,427.69$
47900 PR SUTURE EXTRAHEP BILE DUCT,INJURY 47900 2,184.75$
48000 PR PLACE DRAIN ABD FOR PANCREATITIS 48000 3,002.04$
48001 PR PLACE DRAIN+OSTOMY FOR PANCREATITIS 48001 3,673.21$
48020 PR REMOVAL OF PANCREATIC STONE 48020 1,872.42$
48100 PR BIOPSY,PANCREAS,OPEN 48100 1,411.10$
48102 PR NEEDLE BIOPSY OF PANCREAS 48102 844.34$
48105 PR RESECT/DEBRIDE ACUTE NECROT PANCREAS 48105 4,528.54$
48120 PR EXCISION OF PANCREAS LESION 48120 1,755.55$
48140 PR PART REMV PANCREAS,DISTAL SUBTOTAL 48140 2,486.32$
48145 PR PART REMV PANC,DIST+ANAST PANC-JEJU 48145 2,597.84$
48146 PR PANCREATECTOMY,DISTAL+PRESERV DUOD 48146 2,989.17$
48148 PR EXCISION AMPULLA VATER 48148 1,986.77$
48150 PR PART REMV PANC,PROX+REMV DUOD+ANAST 48150 4,945.35$
48152 PR PART REMV PANC,PROX+REMV DUOD 48152 4,590.45$
48153 PR PART REMV PANC,PROX+PART DUOD+ANAST 48153 4,922.97$
48154 PR PART REMV PANC,PROX+PART REMV DUOD 48154 4,609.84$
48155 PR REMOVAL OF PANCREAS, TOTAL 48155 2,889.46$
48400 PR INJECT INTRAOPER OF PANCREAS, ADD-ON 48400 171.45$
48500 PR MARSUPIALIZATION,CYST,PANCREAS 48500 1,830.48$
48510 PR EXTERN DRAIN PANC PSEUDOCYST,OPEN 48510 1,745.60$
48520 PR ANAST PANC CYST-BOWEL,DIRECT 48520 1,737.60$
48540 PR ANAST PANC CYST-BOWEL,ROUX-EN-Y 48540 2,085.30$
48545 PR PANCREATORRHAPHY,INJURY 48545 2,140.79$
48547 PR DUOD EXCLUS W/GASTROJEJUN,PANCREATIC INJ 48547 2,853.26$
48548 PR ANAST PANCREAS-JEJUNUM/SIDE-SIDE 48548 2,642.41$
48551 PR TRANSPLANT,PREP DONOR PANCREAS 48551 336.22$
48552 PR TRANSPLANT,PREP DONOR PANCREAS/VENOUS 48552 376.17$
48554 PR TRANSPLANT ALLOGRAFT PANCREAS 48554 4,053.62$
48556 PR REMOVAL ALLOGRAFT PANCREAS 48556 2,026.43$
49000 PR EXPLORATORY OF ABDOMEN 49000 1,225.21$
49002 PR REOPEN RECENT ABD EXPLORATORY 49002 1,664.52$
49010 PR EXPLORATORY RETROPERITONEAL 49010 1,485.91$
49020 PR DRAIN ABD ABSCESS OPEN 49020 2,531.93$
49040 PR DRAIN SUBDIAPH/SUBPHR ABSCESS,OPEN 49040 1,591.01$
49060 PR DRAIN RETROPERITONEAL ABSCESS,OPEN 49060 1,751.61$
49062 PR DRAIN LYMPH-PERITONEAL CAVITY,OPEN 49062 1,189.65$
49082 PR ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE 49082 308.47$
49083 PR ABDOM PARACENTESIS DX/THER W IMAGING GUIDANCE 49083 467.23$
49084 PR PERITONEAL LAVAGE W/WO IMAGING GUIDANCE 49084 173.25$
49180 PR PERCUT BIOPSY, ABDOMINAL MASS 49180 260.12$
49185 PR SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID 49185 1,491.90$
49203 PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMORS 5 CM 49203 1,909.33$
49204 PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMORS 5.1-10.0 CM 49204 2,443.90$
49205 PR EXCISION/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM 49205 2,803.80$
49215 PR EXCISE PRESACRAL/SACRAL TUMOR 49215 3,546.84$
49220 PR STAGING CELIOTOMY,HODGKIN'S DIS/LYMPHOMA 49220 1,543.61$
49250 PR EXCISION OF UMBILICUS 49250 933.82$
49255 PR REMOVAL OF OMENTUM 49255 1,261.36$
49320 PR LAP,DIAGNOSTIC ABDOMEN 49320 520.20$
49321 PR LAP,DX SURGICAL ABD W/BIOPSY 49321 549.99$
49322 PR LAP,ABDOMEN,ASPIRATE CYST 49322 590.34$
49323 PR LAP,ABDOMEN,DRAIN LYMPHOCELE 49323 1,016.65$
49324 PR LAP INSERTION TUNNELED INTRAPERITONEAL CATHETER 49324 618.60$
49325 PR LAP REVISE INTRAPERITONEAL CATHETER 49325 657.77$
49326 PR LAP OMENTOPEXY ADD-ON 49326 300.70$
49327 PR LAP PLACE INTERSTIIAL DEVICE FOR RADIATION THERAPY W IMGING,1+ 49327 207.82$
49400 PR AIR/CONTRAST INJECT INTO ABDOMEN 49400 214.73$
49402 PR REMOVE PERITONEAL FOREIGN BODY 49402 1,362.74$
49405 PR IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ 49405 1,275.40$
49406 PR IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ 49406 1,274.84$
49407 PR IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL 49407 1,031.33$
49411 PR INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT 49411 764.41$
49412 PR PLACE INTERST RAD THER GUIDE, INTRAABD/INTRAPELV/RETROPER,1+,OPEN 49412 131.59$
49418 PR INSJ INTRAPERITONEAL CATHETER W/IMG GUID 49418 2,145.58$
49419 PR INSERTION TUNNEL INTRAPERITONEAL CATH W SUBQ PORT 49419 708.79$
49421 PR INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN 49421 365.57$
49422 PR REMOVAL TUNNELED INTRAPERITONEAL CATHETER 49422 604.58$
49423 PR DRAINAGE CATHETER EXCHANGE 49423 861.37$
49424 PR CONTRAST INJ,ABSCESS/CYST VIA CATH TUBE 49424 230.51$
49425 PR INSERT ABDOMEN-VENOUS SHUNT 49425 1,145.56$
49426 PR REVISE ABDOMEN-VENOUS SHUNT 49426 978.65$
49427 PR INJECT ABDOMINAL-VENOUS SHUNT 49427 74.05$
49428 PR LIGATION OF ABD-VENOUS SHUNT 49428 686.63$
49429 PR REMOVAL OF ABD-VENOUS SHUNT 49429 729.86$
49435 PR INSERT SUBQ EXTENSION INTRAPERITONEAL CATH 49435 189.80$
49436 PR CREATE EXIT SITE INTRAPERITONEAL CATH, DELAYED 49436 295.66$
49440 PR INSERT GASTROSTOMY TUBE PERCUTANEOUS 49440 1,524.90$
49441 PR INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ 49441 1,724.65$
49442 PR INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS 49442 1,434.84$
49446 PR CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ 49446 1,468.02$
49450 PR REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS 49450 1,049.14$
49451 PR REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERCUTANEOUS 49451 1,145.91$
49452 PR REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS 49452 1,418.98$
49460 PR OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE 49460 1,161.32$
49465 PR CONTRAST INJECTION PERCUTANEOUOS RADIOLOGIC EVAL GI TUBE 49465 258.62$
49491 PR REPAIR ING HERNIA,PRETERM INFANT,REDUC 49491 1,260.25$
49492 PR REPAIR ING HERNIA,PRETERM INFANT,INCARC 49492 1,519.60$
49495 PR REPAIR ING HERNIA,FULL/PRETERM INF,REDUC 49495 651.19$
49496 PR REPAIR ING HERNIA,<6MO,STRANG 49496 975.50$
49500 PR REPAIR ING HERNIA,6MO-5YR,REDUC 49500 653.99$
49501 PR REPAIR ING HERNIA,6MO-5YR,STRANG 49501 961.24$
49505 PR REPAIR ING HERNIA,5+Y/O,REDUCIBL 49505 826.19$
49507 PR REPAIR ING HERNIA,5+Y/O,STRANG 49507 930.70$
49520 PR REPAIR RECURR INGUIN HERN,REDUCIBL 49520 1,003.23$
49521 PR REPAIR RECURR INGUIN HERN,STRANG 49521 1,137.86$
49525 PR REPAIR SLIDING INGUINAL HERNIA 49525 909.13$
49540 PR REPAIR LUMBAR HERNIA 49540 1,067.25$
49550 PR REPAIR FEMORAL HERNIA,REDUCIBLE 49550 914.12$
49553 PR REPAIR FEMORAL HERNIA,STRANG 49553 1,003.05$
49555 PR REPAIR RECURR FEMORAL HERNIA,REDUC 49555 951.11$
49557 PR REPAIR RECURR FEMORAL HERNIA,STRANG 49557 1,149.13$
49560 PR REPAIR INCISIONAL HERNIA,REDUCIBLE 49560 1,172.31$
49561 PR REPAIR INCISIONAL HERNIA,STRANG 49561 1,477.33$
49565 PR REPAIR RECURR INCIS HERNIA,REDUC 49565 1,220.47$
49566 PR REPAIR RECURR INCIS HERNIA,STRANG 49566 1,490.71$
49568 PR IMPLANT MESH HERNIA REPAIR/DEBRIDEMENT CLOSURE 49568 426.05$
49570 PR REPAIR EPIGASTRIC HERNIA,REDUC 49570 663.25$
49572 PR REPAIR EPIGASTRIC HERNIA,STRANG 49572 818.35$
49580 PR REPAIR UMBILICAL HERN,<5Y/O,REDUC 49580 527.98$
49582 PR REPAIR UMBILICAL HERN,<5Y/O,STRANG 49582 765.96$
49585 PR REPAIR UMBILICAL HERN,5+Y/O,REDUC 49585 706.94$
49587 PR REPAIR UMBILICAL HERN,5+Y/O,STRANG 49587 755.07$
49590 PR REPAIR SPIEGELIAN HERNIA 49590 908.77$
49600 PR REPAIR SMALL OMPHALOCELE 49600 1,159.87$
49605 PR REPAIR LARGE OMPHALOCELE 49605 7,829.89$
49606 PR REPAIR LARGE OMPHALOCELE,FINAL 49606 1,800.02$
49610 PR REPAIR OMPHALOCELE,FIRST STAGE 49610 1,091.31$
49611 PR REPAIR OMPHALOCELE,SECOND STAGE 49611 961.74$
49650 PR LAP,INGUINAL HERNIA REPR,INITIAL 49650 680.91$
49651 PR LAP,INGUINAL HERNIA REPR,RECUR 49651 882.83$
49652 PR LAP, VENTRAL HERNIA REPAIR,REDUCIBLE 49652 1,181.98$
49653 PR LAP, VENTRAL HERNIA REPAIR,INCARCERATED 49653 1,473.57$
49654 PR LAP, INCISIONAL HERNIA REPAIR,REDUCIBLE 49654 1,343.76$
49655 PR LAP, INCISIONAL HERNIA REPAIR,INCARCERATED 49655 1,639.94$
49656 PR LAP, RECURRENT INCISIONAL HERNIA REPAIR,REDUCIBLE 49656 1,458.32$
49657 PR LAP, RECURRENT INCISIONAL HERNIA REPAIR,INCARCERATED 49657 2,097.25$
49900 PR SUTURE ABD WALL-DEHIS/EVISCER 49900 1,297.18$
49904 PR OMENTAL FLAP,EXTRA-ABDOMINAL 49904 2,260.98$
49905 PR OMENTAL FLAP,INTRA-ABDOMINAL 49905 564.45$
49999 PR ABDOMEN SURGERY PROC UNLISTED 49999 245.11$
50010 PR EXPLORATION OF KIDNEY 50010 1,177.98$
50020 PR DRAINAGE OF KIDNEY ABSCESS,OPEN 50020 1,641.47$
50040 PR DRAINAGE OF KIDNEY 50040 1,499.04$
50045 PR NEPHROTOMY W EXPLORATION 50045 1,511.98$
50060 PR REMOVAL OF KIDNEY STONE 50060 1,850.21$
50065 PR REMV KID STONE,XTRA SURG OPERATN 50065 1,962.84$
50070 PR REMV KID STONE,CONGEN ANOMALY 50070 1,924.15$
50075 PR REMV KIDNEY STONE,STAGHORN 50075 2,365.62$
50080 PR PERCUT REMV KID STONE,UP TO 2 CM 50080 1,410.47$
50081 PR PERCUT REMV KID STONE,2+ CM 50081 2,071.94$
50100 PR REVISE KIDNEY BLOOD VESSELS 50100 1,714.19$
50120 PR EXPLOR RENAL PELVIS 50120 1,539.95$
50125 PR EXPLOR/DRAIN RENAL PELVIS 50125 1,593.78$
50130 PR EXPLOR/REMV STONE,RENAL PELVIS 50130 1,676.02$
50135 PR EXPLOR RENALPELVIS,COMPLICATED 50135 1,821.07$
50200 PR RENAL BIOPSY PRQ TROCAR/NEEDLE 50200 847.85$
50205 PR BIOPSY OF KIDNEY,OPEN EXPOS 50205 1,201.89$
50220 PR REMV KIDNEY,W/RIB RESECTION 50220 1,691.73$
50225 PR REMV KIDNEY,COMPLICATED 50225 1,942.96$
50230 PR REMV KIDNEY,RADICAL 50230 2,077.40$
50234 PR REMV KIDNEY/URETER,SAME INCIS 50234 2,109.56$
50236 PR REMV KIDNEY/URETER,SEPAR INCIS 50236 2,381.81$
50240 PR PARTIAL REMOVAL OF KIDNEY 50240 2,147.44$
50250 PR OPEN ABLATION RENAL MASS CRYOSURGICAL, ULTRASOUND GUIDE 50250 1,973.78$
50280 PR EXCIS/UNROOF RENAL CYST 50280 1,544.30$
50290 PR EXCIS/UNROOF PERIRENAL CYST 50290 1,457.84$
50320 PR RMV,KIDNEY,DONOR,LIVING 50320 2,388.23$
50323 PR TRANSPLANT,PREP CADAVER RENAL GRAFT 50323 292.69$
50325 PR TRANSPLANT,PREP LIVING RENAL GRAFT 50325 292.69$
50327 PR TRANSPLANT,PREP RENAL GRAFT/VENOUS 50327 345.96$
50328 PR TRANSPLANT,PREP RENAL GRAFT/ARTERIAL 50328 303.47$
50329 PR TRANSPLANT,PREP RENAL GRAFT/URETERAL 50329 287.17$
50340 PR REMOVAL OF RECIPIENT KIDNEY 50340 1,504.70$
50360 PR TRANSPLANTATION OF KIDNEY 50360 3,848.01$
50365 PR TRANSPLANT KIDNEY+RECIP NEPHREC 50365 4,550.95$
50370 PR REMOVE TRANSPLANTED KIDNEY 50370 1,918.65$
50380 PR REIMPLANTATION OF KIDNEY 50380 3,179.25$
50382 PR RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ 50382 1,756.16$
50384 PR REMOVAL INDWELLING URETERAL STENT PRQ 50384 1,379.91$
50385 PR REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL 50385 1,716.76$
50386 PR REMOVE INT DWELL URETERAL STENT TRANSURETHRAL 50386 1,107.69$
50387 PR RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH 50387 773.37$
50389 PR REMOVE RENAL TUBE W/FLUORO 50389 469.87$
50390 PR PERCUT DRAIN/INJECT RENAL CYST 50390 156.47$
50391 PR INSTLL RX AGNT INTO RNAL TUB 50391 196.02$
50395 PR PERCUT DILATN RENAL TRACT 50395 289.67$
50396 PR MEASURE KIDNEY PRESSURE THRU TUBE 50396 190.41$
50400 PR REVISION RENAL PELVIS,SIMPLE 50400 1,879.78$
50405 PR REVISION RENAL PELVIS,COMPLICATED 50405 2,265.38$
50430 PR NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS 50430 725.60$
50431 PR NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS 50431 258.08$
50432 PR PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I 50432 1,220.09$
50433 PR PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I 50433 1,667.57$
50434 PR CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ 50434 1,305.99$
50435 PR EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I 50435 744.65$
50500 PR REPAIR OF KIDNEY WOUND 50500 2,043.36$
50520 PR CLOSE KIDNEY-SKIN FISTULA 50520 1,838.41$
50525 PR REPAIR RENAL-ABD FISTULA,ABDOM 50525 2,333.96$
50526 PR REPAIR RENAL-ABD FISTULA,THORACIC 50526 2,501.75$
50540 PR REVISION OF HORSESHOE KIDNEY 50540 1,863.03$
50541 PR LAP,ABLATION OF RENAL CYSTS 50541 1,490.92$
50542 PR LAP,ABLATION, RENAL MASS LESION(S), ULTRASOUND GUIDE 50542 1,891.64$
50543 PR LAP,PARTIAL NEPHRECTOMY 50543 2,414.56$
50544 PR LAP,PYELOPLASTY 50544 2,022.52$
50545 PR LAP, RADICAL NEPHRECTOMY 50545 2,174.68$
50546 PR NEPHRECTOMY 50546 1,949.46$
50547 PR LAP,DONOR KIDNEY REMOV,LIVING 50547 2,569.18$
50548 PR NEPHRECTOMY, W/PART. URETECTOMY 50548 2,186.38$
50551 PR RENAL ENDOSCOPY 50551 583.41$
50553 PR RENAL ENDOSCOPY,CATH URETER 50553 625.19$
50555 PR RENAL ENDOSCOPY,BIOPSY 50555 668.35$
50557 PR RENAL ENDOSCOPY,TREATMENT 50557 679.50$
50561 PR RENAL ENDOSCOPY,REMV FB/STONE 50561 770.22$
50562 PR RENAL SCOPE,W/RESECTION,TUMOR 50562 945.14$
50570 PR RENAL SCOPE 50570 799.89$
50572 PR RENAL SCOPE,CATH URETER 50572 865.41$
50574 PR RENAL SCOPE,BIOPSY 50574 920.39$
50575 PR RENAL SCOPE,ENDOPYELOTOMY 50575 1,161.98$
50576 PR RENAL SCOPE,FULAUR/INCIS 50576 918.09$
50580 PR RENAL SCOPE,REMV FB/STONE 50580 988.78$
50590 PR FRAGMENT KIDNEY STONE/ ESWL 50590 1,161.20$
50592 PR ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY 50592 5,229.53$
50593 PR ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY 50593 7,125.61$
50600 PR EXPLORATION OF URETER 50600 1,523.40$
50605 PR URETEROTOMY TO INSERT STENT 50605 1,581.18$
50606 PR ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC 50606 1,106.34$
50610 PR URETEROLITHOTOMY,UPPER 1/3 50610 1,533.97$
50620 PR URETEROLITHOTOMY,MIDDLE 1/3 50620 1,467.56$
50630 PR URETEROLITHOTOMY,LOWER 1/3 50630 1,449.15$
50650 PR REMOVAL URETER,BLADDER CUFF 50650 1,680.71$
50660 PR REMOVAL URETER,TOTAL,ECTOPIC 50660 1,856.33$
50684 PR INJECT INDWELL CATH,URETER X-RAY 50684 170.64$
50686 PR MEASURE URETER PRESS,INDWELL CATH 50686 232.17$
50688 PR CHANGE OF URETEROSTOMY TUBE VIA ILEAL CONDUIT 50688 127.68$
50690 PR INJECT RETROGRADE/CONDUIT X-RAY 50690 159.09$
50693 PR PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT 50693 1,558.99$
50694 PR PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH 50694 1,712.19$
50695 PR PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH 50695 2,103.19$
50700 PR URETEROPLASTY 50700 1,501.27$
50705 PR URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I 50705 3,041.91$
50706 PR BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I 50706 1,558.14$
50715 PR RELEASE URETER,RETROPER FIBROSIS 50715 1,951.95$
50722 PR RELEASE URETER,OVARIAN VEIN SYND 50722 1,633.09$
50725 PR RELEASE URETER,RETROCAVAL 50725 1,789.08$
50727 PR REVISE URINARY-CUTAN ANAST 50727 822.76$
50728 PR REVISE URINARY-CUTAN ANAST+REPAIR 50728 1,132.89$
50740 PR ANASTOMOSE URETER/RENAL PELVIS 50740 1,943.91$
50750 PR ANASTOMOSE URETER/RENAL CALYX 50750 1,872.60$
50760 PR ANASTOMSIS OF URETER 50760 1,814.34$
50770 PR ANASTOMSIS OPPOSITE URETERS 50770 1,872.60$
50780 PR REIMPLANT URETER,SINGLE URETER 50780 1,791.69$
50782 PR REIMPLANT URETER,DUPLICATED URETER 50782 1,744.83$
50783 PR REIMPLANT URETER,EXTENSIVE TAILORING 50783 1,830.48$
50785 PR REIMPLANT URETER,VESICOPSOAS HITCH 50785 1,966.17$
50800 PR IMPLANT URETER IN BOWEL 50800 1,498.17$
50810 PR URETEROSIGMOIDOSTOMY,CREAT,SIG BLADDER 50810 2,220.16$
50815 PR URETEROCOLON CONDUIT,W/BOWEL ANASTOMOSIS 50815 1,983.83$
50820 PR URETEROILEAL CONDUIT,W/BOWEL ANASTOMOSIS 50820 2,129.37$
50825 PR CONTINENT DIVERSION,W/BOWEL ANASTOMOSIS 50825 2,677.42$
50830 PR URINARY UN-DIVERSION 50830 2,925.71$
50840 PR REPLACEMENT,URETER,BOWEL SEGMENT 50840 1,994.40$
50845 PR APPENDICO-VESICOSTOMY 50845 2,026.66$
50860 PR TRANSPLANT URETER TO SKIN 50860 1,533.26$
50900 PR REPAIR OF URETER 50900 1,369.38$
50920 PR CLOSURE URETER/SKIN FISTULA 50920 1,429.86$
50930 PR CLOSURE URETER/BOWEL FISTULA 50930 1,788.50$
50940 PR RELEASE OF URETER 50940 1,439.44$
50945 PR LAP,URETEROLITHOTOMY 50945 1,579.94$
50947 PR LAP,REIMPLANT URETER W/CYSTO,STENT 50947 2,248.16$
50948 PR LAP,REIMPLANT URETER W/O CYSTO,STENT 50948 2,070.14$
50951 PR URETER ENDOSCOPY THRU URETEROSTOMY 50951 608.49$
50953 PR URETER ENDOSCOPY THRU URETEROSTOMY W URETERAL CATH 50953 647.82$
50955 PR URETER ENDOSCOPY THRU URETEROSTOMY W BIOPSY 50955 689.11$
50957 PR URETER ENDOSCOPY THRU URETEROSTOMY W FULGURATION/INCISION 50957 695.71$
50961 PR URETER ENDOSCOPY THRU URETEROSTOMY REMV FB OR CALCULUS 50961 627.43$
50970 PR URETER ENDOSCOPY THRU URETEROTOMY 50970 603.29$
50972 PR URETER ENDOSCOPY THRU URETEROTOMY W URETERAL CATH 50972 583.01$
50974 PR URETER ENDOSCOPY THRU URETEROTOMY W BIOPSY 50974 769.61$
50976 PR URETER ENDOSCOPY THRU URETEROTOMY W FULGURATION/INCISION 50976 758.49$
50980 PR URETER ENDOSCOPY THRU URETEROTOMY REMV FB OR CALCULUS 50980 580.14$
51020 PR INCISE/FULGUR LESN BLADDER 51020 760.27$
51030 PR INCISE/CRYOSURG LESN BLADDER 51030 762.66$
51040 PR INCISE/DRAIN BLADDER 51040 468.70$
51045 PR INCISE BLADDER,+URETER CATH 51045 787.63$
51050 PR OPEN BLADDER,REMV CALCULUS 51050 766.11$
51060 PR TRANSVESICAL URETEROLITHOTOMY 51060 941.99$
51065 PR CYSTOTOMY,EXTRACT &/OR FRAG URETER CALC 51065 938.12$
51080 PR DRAIN PERI-BLADDER ABSCESS 51080 662.48$
51100 PR ASPIRATION BLADDER NEEDLE 51100 98.65$
51101 PR ASPIRATION BLADDER TROCAR/INTRACATHETER 51101 197.31$
51102 PR ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER 51102 363.00$
51500 PR REMOVAL URACHAL CYST 51500 1,032.64$
51520 PR CYSTOTOMY,EXCIS VESICAL NECK 51520 963.27$
51525 PR CYSTOTOMY,EXCIS BLADDER TIC 51525 1,391.94$
51530 PR CYSTOTOMY,EXCIS BLADDER TUMOR 51530 1,265.72$
51535 PR CYSTOTOMY,REPAIR URETEROCELE 51535 1,265.24$
51550 PR PART REMV BLADDER,SIMPLE 51550 1,559.28$
51555 PR PART REMV BLADDER,COMPLICATED 51555 2,050.19$
51565 PR PART REMV BLADDER,REIMPLNT URETER 51565 2,093.14$
51570 PR REMV BLADDER,TOTAL 51570 2,393.37$
51575 PR REMV BLADDER/NODES 51575 2,957.05$
51580 PR REMV BLADDER,REVISE TRACT 51580 3,077.79$
51585 PR REMV BLADDER/NODES,REVIS TRACT 51585 3,427.45$
51590 PR CYSTECTOMY,ILEAL CONDUIT/SIGMOID BLADDER 51590 3,139.98$
51595 PR REMV BLADDER/NODES,ILEAL CONDUIT 51595 3,553.18$
51596 PR CYSTECTOMY,W/CONTINENT DIVERSION 51596 3,819.88$
51597 PR PELVIC EXENTERATION COMPLETE, OTHER MALIG 51597 3,724.55$
51600 PR INJECTION FOR BLADDER X-RAY 51600 291.92$
51605 PR INJECT/PLACE CHAIN,BLADDER XRAY 51605 62.63$
51610 PR INJECT FOR RETROGRADE URETHOCYSTO 51610 170.56$
51700 PR IRRIGATION OF BLADDER 51700 149.20$
51701 PR INSERT,NON-INDWELLING BLADDER CATHETER 51701 111.60$
51702 PR INSERT,TEMP INDWELLING BLAD CATH,SIMPLE 51702 142.36$
51703 PR INSERT,TEMP INDWELLING BLAD CATH,COMP 51703 201.80$
51705 PR CHANGE OF BLADDER TUBE,SIMPLE 51705 145.84$
51710 PR CHANGE OF BLADDER TUBE,COMPLICATED 51710 206.04$
51715 PR ENDOSCOPIC INJECTION/IMPLANT 51715 467.15$
51720 PR INSTILL ANTICANCER AGENT IN BLADDER 51720 218.36$
51725 PR SIMPLE CYSTOMETROGRAM 51725 397.44$
51725 PR SIMPLE CYSTOMETROGRAM 51725 125.69$
51725 PR SIMPLE CYSTOMETROGRAM 51725 271.76$
51726 PR COMPLEX CYSTOMETROGRAM 51726 421.95$
51726 PR COMPLEX CYSTOMETROGRAM 51726 138.55$
51726 PR COMPLEX CYSTOMETROGRAM 51726 283.42$
51727 PR COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE 51727 496.55$
51727 PR COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE 51727 172.77$
51727 PR COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE 51727 323.78$
51728 PR COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES 51728 506.09$
51728 PR COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES 51728 170.15$
51728 PR COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES 51728 335.96$
51729 PR COMPLEX CYSTOMETROGRAM W/VOID PRESS&URETHRAL PROFILE 51729 543.63$
51729 PR COMPLEX CYSTOMETROGRAM W/VOID PRESS&URETHRAL PROFILE 51729 204.91$
51729 PR COMPLEX CYSTOMETROGRAM W/VOID PRESS&URETHRAL PROFILE 51729 338.71$
51736 PR SIMPLE UROFLOWMETRY 51736 85.28$
51736 PR SIMPLE UROFLOWMETRY 51736 13.58$
51736 PR SIMPLE UROFLOWMETRY 51736 10.92$
51741 PR COMPLEX UROFLOWMETRY 51741 107.72$
51741 PR COMPLEX UROFLOWMETRY 51741 76.54$
51741 PR COMPLEX UROFLOWMETRY 51741 31.19$
51784 PR ANAL/URINARY MUSCLE STUDY 51784 345.88$
51784 PR ANAL/URINARY MUSCLE STUDY 51784 60.85$
51784 PR ANAL/URINARY MUSCLE STUDY 51784 49.63$
51785 PR ANAL/URINARY MUSCLE STUDY,NEEDLE 51785 432.35$
51785 PR ANAL/URINARY MUSCLE STUDY,NEEDLE 51785 142.31$
51785 PR ANAL/URINARY MUSCLE STUDY,NEEDLE 51785 290.05$
51792 PR URINARY REFLEX STUDY 51792 338.12$
51792 PR URINARY REFLEX STUDY 51792 89.55$
51792 PR URINARY REFLEX STUDY 51792 248.57$
51797 PR VOIDING PRESS STUDY INTRA-ABDOMINAL VOID 51797 306.68$
51797 PR VOIDING PRESS STUDY INTRA-ABDOMINAL VOID 51797 65.26$
51797 PR VOIDING PRESS STUDY INTRA-ABDOMINAL VOID 51797 115.02$
51798 PR MEAS,POST-VOID RES,US,NON-IMAGING 51798 35.75$
51800 PR REVISION OF BLADDER/URETHRA 51800 1,687.82$
51820 PR REVISE BLAADER/URETHRA+URETER 51820 1,757.50$
51840 PR ANTER VESICOURETHROPEXY,SIMPLE 51840 1,059.00$
51841 PR ANTER VESICOURETHROPEXY,COMPLIC 51841 1,239.08$
51845 PR ABD-VAGINAL VESICAL NECK SUSPENSN 51845 945.96$
51860 PR REPAIR BLADDER WOUND/INJ,SIMPLE 51860 1,200.11$
51865 PR REPAIR BLADDER WOUND/INJ,COMPLIC 51865 1,445.83$
51880 PR CLOSE CYSTOSTOMY 51880 754.36$
51900 PR CLOSE BLADDER/VAGINA FISTULA,ABDOM 51900 1,337.36$
51920 PR CLOSE BLADDER/UTERUS FISTULA 51920 1,238.11$
51925 PR CLOSE BLAD/UTERINE FIST+HYSTERECT 51925 1,623.44$
51940 PR CLOSURE,BLADDER EXSTROPHY 51940 2,664.65$
51960 PR ENTEROCYSTOPLASTY,W/BOWEL ANASTOMOSIS 51960 2,248.85$
51980 PR CONSTRUCT BLADDER OPENING-CUTANEOUS 51980 1,156.98$
51990 PR LAP,URETHRAL SUSPENSION 51990 1,213.77$
51992 PR LAP,SLING OPERATION 51992 1,347.90$
52000 PR CYSTOURETHROSCOPY 52000 350.63$
52001 PR CYSTOURETHROSCOPY W/IRRIG & EVAC CLOTS 52001 599.74$
52005 PR CYSTOURETHROSCOPY,URETER CATHETER 52005 426.71$
52007 PR CYSTOURETHROSCOPY,URETERAL BIOPSY 52007 710.56$
52010 PR CYSTOURETHROSCOPY,EJAC DUCT CATH 52010 589.46$
52204 PR CYSTOURETHROSCOPY,BIOPSY 52204 861.08$
52214 PR CYSTOURETHROSCOPY,FULGURATN 52214 1,061.16$
52224 PR CYSTOURETHROSCOPY,FULGUR <0.5 CM LESN 52224 1,902.68$
52234 PR CYSTOURETHROSCOPY,FULGUR 0.5-2 CM LESN 52234 400.32$
52235 PR CYSTOURETHROSCOPY,FULGUR 2-5 CM LESN 52235 469.23$
52240 PR CYSTOURETHROSCOPY,FULGUR >5 CM LESN 52240 637.43$
52250 PR CYSTOURETHROSCOPY,INSERT RADIOACTIV 52250 389.61$
52260 PR CYSTOSCOPY,DIL BLADDER,GEN ANESTH 52260 341.95$
52265 PR CYSTOSCOPY,DIL BLADDER,LOCAL ANESTH 52265 582.75$
52270 PR CYSTOSCOPY,INTERN URETHROTOMY,FEMALE 52270 571.53$
52275 PR CYSTOSCOPY,INTERN URETHROTOMY,MALE 52275 770.47$
52276 PR CYSTOSCOPY,DIR VIS INT URETHROTOMY 52276 430.04$
52277 PR CYSTOSCOPY,RESEC EXTERN SPHINCTER 52277 525.84$
52281 PR CYSTOSCOPY,DIL URETHRAL STRICTURE 52281 553.86$
52282 PR CYSTOSCOPY,INSERT URETHRAL STENT 52282 547.17$
52283 PR CYSTOSCOPY,STEROID INJ,STRICTURE 52283 445.85$
52285 PR CYSTOSCOPY,RX FEMALE URETHRAL SYND 52285 448.97$
52287 PR CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER 52287 499.50$
52290 PR CYSTOSCOPY,URETERAL MEATOTOMY 52290 397.45$
52300 PR CYSTOSCOPY,RESECT ORTHO URETEROCELE 52300 456.27$
52301 PR CYSTOSCOPY,RESECT ECTOPIC URETEROCEL 52301 472.02$
52305 PR CYSTOSCOPY,INCIS OPEN BLAD TIC 52305 452.55$
52310 PR CYSTOSCOPY,REMV CALCULUS,SIMPLE 52310 391.76$
52315 PR CYSTOSCOPY,REMV CALCULUS,COMPLIC 52315 665.20$
52317 PR REMOVE BLADDER STONE,<2.5 CM 52317 1,290.14$
52318 PR REMOVE BLADDER STONE,>2.5 CM 52318 770.22$
52320 PR CYSTOSCOPY,REMV URETERAL STONE 52320 401.48$
52325 PR CYSTOSCOPY,FRAGMT URETERAL STONE 52325 521.94$
52327 PR CYSTOSCOPY,INJECT IMPLNT MATERIAL 52327 426.81$
52330 PR CYSTOSCOPY,MANIPULATN 52330 793.88$
52332 PR CYSTOSCOPY,INSERT URETERAL STENT 52332 783.32$
52334 PR CYSTOSCOPY,GUIDE,PERCUT NEPHROS 52334 416.61$
52341 PR CYSTOSCOPY,TX URETERAL STRICTURE 52341 461.95$
52342 PR CYSTOSCOPY,TX URETEROPELVC STRICTURE 52342 502.36$
52343 PR CYSTOSCOPY,TX INTRARENAL STRICTURE 52343 560.03$
52344 PR CYSTO/URETEROSCOPY,TX URETER STRICT 52344 601.43$
52345 PR CYSTO/URETEROSCOPY,TX URET/PELV STRICT 52345 641.44$
52346 PR CYSTO/URETEROSCOPY,TX INTRARENAL STRICT 52346 726.50$
52351 PR CYSTO/URETERO/PYELOSCOPY, DX 52351 492.71$
52352 PR CYSTO/URETERO/PYELOSCOPY, CALCULUS TX 52352 576.72$
52353 PR CYSTO/URETERO/PYELOSCOPY W/LITHOTRIPSY 52353 637.43$
52354 PR CYSTO/URETERO/PYELOSC,BX &/OR FULG LESN 52354 678.81$
52355 PR CYSTO/URETERO/PYELOSCOPY,W/RESECT TUMOR 52355 760.63$
52356 PR CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT 52356 676.60$
52400 PR CYSTOSCOPY,RESEC CONGEN MUCOSAL FOLDS 52400 775.86$
52402 PR CYSTOSCOPY,RESEC EJACULATORY DUCT 52402 434.23$
52441 CYSTOURETHROSCOPY, W/ INSERT PERM ADJ TRANSPROSTATIC IMPLANT; SINGLE IMPLANT 52441 1,982.85$
52442 CYSTOURETHROSCOPY, W/ INSERT PERM ADJ TRANSPROSTATIC IMPLANT; EA ADDL IMPLANT 52442 1,516.55$
52450 PR TRANSURETHRAL INCISION OF PROSTATE 52450 761.48$
52500 PR TRANSURETHRAL RESEC BLADDER NECK 52500 790.75$
52601 PR TRANSURETHRAL ELEC-SURG PROSTATECTOM 52601 1,183.55$
52630 PR REMV RESID OBSTRUC PROSTATE,>1 YR 52630 648.52$
52640 PR RELIEVE POSTOP BLADDER CONTRACTURE 52640 511.09$
52647 PR LASER COAGULATION SURGERY PROSTATE, COMPLETE 52647 2,852.40$
52648 PR LASER VAPORIZATION SURGERY PROSTATE, COMPLETE 52648 2,935.07$
52649 PR LASER ENUCLEATION PROSTATE W MORCELLATION 52649 1,335.10$
52700 PR DRAINAGE OF PROSTATE ABSCESS 52700 714.83$
53000 PR INCISION OF URETHRA 53000 240.24$
53010 PR INCISION OF URETHRA,PERINEAL 53010 476.88$
53020 PR INCISION OF URETHRAL MEATUS 53020 157.77$
53025 PR INCISION OF URETHRAL MEATUS,INFANT 53025 111.18$
53040 PR DRAINAGE DEEP URETHRAL ABSCESS 53040 636.36$
53060 PR DRAINAGE SKENES GLAND ABSCESS 53060 292.43$
53080 PR DRAIN PERINEAL URIN LEAK,UNCOMPLIC 53080 680.99$
53085 PR DRAIN PERINEAL URIN LEAK,COMPLIC 53085 1,052.19$
53200 PR BIOPSY OF URETHRA 53200 253.49$
53210 PR REMOVAL OF URETHRA,FEMALE 53210 1,249.00$
53215 PR REMOVAL OF URETHRA,MALE 53215 1,505.15$
53220 PR EXCIS CANCER URETHRA 53220 732.19$
53230 PR EXCIS URETHRAL TIC,FEMALE 53230 980.45$
53235 PR EXCIS URETHRAL TIC,MALE 53235 1,026.53$
53240 PR MARSUP URETHRAL TIC 53240 688.88$
53250 PR EXCIS URETHRAL GLAND 53250 641.24$
53260 PR EXCIS URETHRAL POLYP(S) 53260 324.31$
53265 PR EXCIS URETHRAL CARUNCLE 53265 351.78$
53270 PR EXCIS SKENE'S GLANDS 53270 333.04$
53275 PR EXCIS URETHRAL PROLAPSE 53275 425.63$
53400 PR REVISE URETHRA, 1ST STAGE 53400 1,297.08$
53405 PR REVISE URETHRA, 2ND STAGE 53405 1,417.04$
53410 PR RECONSTRUC ANT MALE URETHRA 53410 1,586.94$
53415 PR RECONSTRUC PROSTATIC URETHRA 53415 1,835.72$
53420 PR RECONSTRUC PROS URETHRA,1ST STAGE 53420 1,365.03$
53425 PR RECONSTRUC PROS URETHRA,2ND STAGE 53425 1,519.40$
53430 PR RECONSTRUC FEMALE URETHRA 53430 1,568.99$
53431 PR URETHROPLASTY,W/TUBULARIZATION 53431 1,873.61$
53440 PR SLING OPERATION,CORRECTION,MALE INCONT 53440 1,221.53$
53442 PR REVISION OF SLING FOR MALE INCONT 53442 1,269.69$
53444 PR INSERTION TANDEM CUFF (DUAL) 53444 1,286.59$
53445 PR INSERT,INFLATABLE SPHINCTER 53445 1,221.41$
53446 PR REMOVAL,INFLATABLE SPHINCTER 53446 1,040.85$
53447 PR REMOVAL & REPLACE,INFLATABLE SPHINCTER 53447 1,311.57$
53448 PR REMOV & REPLACE INFLAT SPHINCTER,INFECT 53448 2,077.99$
53449 PR REPAIR,INFLATABLE SPHINCTER DEVICE 53449 991.27$
53450 PR URETHRAL MEATAL REVISION 53450 662.49$
53460 PR URETHROPLASTY,EXCIS DIST URETHRA 53460 743.14$
53500 PR URETHRLYS, TRANSVAG W/ SCOPE 53500 1,208.69$
53502 PR REPAIR URETHRA INJURY,FEMALE 53502 788.16$
53505 PR REPAIR URETHRA INJURY,PENILE 53505 787.61$
53510 PR REPAIR URETHRA INJ,PENILE,PERINEAL 53510 1,024.24$
53515 PR REPAIR URETHRA INJ,PENILE,PROSTATC 53515 1,290.53$
53520 PR CLOSE URETHROSTOMY/FISTULA,MALE 53520 902.20$
53600 PR DIL URETHRA STRIC,MALE,INITIAL 53600 133.50$
53601 PR DIL URETHRA STRIC,MALE,SUBSEQ 53601 130.42$
53605 PR DIL URETHRA STRIC,MALE,GEN ANESTH 53605 105.20$
53620 PR DIL URET STRIC,MALE,INIT,FILIFORM 53620 186.96$
53621 PR DIL URET STRIC,MALE,SUBSEQ,FILIFORM 53621 175.63$
53660 PR DIL URETHRA,FEMALE,INITIAL 53660 112.99$
53661 PR DIL URETHRA,FEMALE,SUBSEQUENT 53661 110.81$
53665 PR DIL URETHRA,GEN/SPINAL ANESTH 53665 62.67$
53850 PR PROSTATIC MICROWAVE THERMOTX 53850 3,314.45$
53852 PR PROSTATIC RADIOFREQ THERMOTX 53852 3,060.77$
53855 PR INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT 53855 1,243.26$
53860 PR TRANSURETHRAL RF REMODEL FEMAL BLADDER NECK, STRESS INCONTINENCE 53860 2,508.78$
54000 PR SLITTING OF PREPUCE,NEWBORN 54000 239.43$
54001 PR SLITTING OF PREPUCE 54001 297.66$
54015 PR INCIS/DRAIN PENIS,DEEP 54015 497.92$
54050 PR DESTR PENIS LESN,SIMPL,CHEMICAL 54050 212.78$
54055 PR DESTR PENIS LESN,SIMPL,ELEC-DESSIC 54055 191.25$
54056 PR DESTR PENIS LESN,SIMPL,CRYOSURG 54056 227.02$
54057 PR DESTR PENIS LESN,SIMPL,LASER SURG 54057 222.47$
54060 PR DESTR PENIS LESN,SIMPL,SURG EXCIS 54060 289.38$
54065 PR DESTR PENIS LESN,EXTENSIVE 54065 350.36$
54100 PR BX,PENIS (SEPARATE PROCEDURE) 54100 317.08$
54105 PR BIOPSY OF PENIS,DEEP STRUCT 54105 426.69$
54110 PR EXCIS PENILE PLAQUE 54110 1,012.65$
54111 PR EXCIS PENILE PLAQUE,GRAFT <5 CM 54111 1,299.08$
54112 PR EXCIS PENILE PLAQUE,GRAFT >5 CM 54112 1,520.97$
54115 PR REMV FOR.BODY DEEP PENILE TISS 54115 731.81$
54120 PR REMOVAL PENIS,PARTIAL 54120 1,025.76$
54125 PR REMOVAL PENIS,TOTAL 54125 1,318.50$
54130 PR REMOVAL PENIS,RADICAL+NODES 54130 1,936.42$
54135 PR REMOVAL PENIS,RAD+EXTENSV NODES 54135 2,454.56$
54150 PR CIRCUMCISION,CLAMP,NEWBORN 54150 343.89$
54160 PR CIRCUMCISION,OTHR,NEWBORN 54160 353.43$
54161 PR CIRCUMCISION,OTHR 54161 318.70$
54162 PR LYSIS/EXCIS,PENILE POSTCIRCUM ADHESIONS 54162 414.93$
54163 PR REPAIR,INCOMPLETE CIRCUMCISION 54163 354.09$
54164 PR FRENULOTOMY,PENIS 54164 313.27$
54200 PR INJECT PROC PENILE PLAQUE 54200 173.76$
54205 PR INJECT PENILE PLAQUE+SURG EXPOSURE 54205 863.00$
54220 PR IRRIGAT CORPUS CAVERN,PRIAPISM 54220 330.20$
54230 PR INJECT CORPORA CAVERN XRAY 54230 157.34$
54231 PR DYNAMIC CAVERNOSOMETRY 54231 227.73$
54235 PR INJECT CORPORA CAVERN,PHARM AGNT 54235 146.73$
54240 PR PENILE PLETHYSMOGRAPHY 54240 168.04$
54240 PR PENILE PLETHYSMOGRAPHY 54240 110.67$
54240 PR PENILE PLETHYSMOGRAPHY 54240 57.37$
54250 PR NOCTURN PENILE RIGIDITY TEST 54250 196.14$
54250 PR NOCTURN PENILE RIGIDITY TEST 54250 178.58$
54250 PR NOCTURN PENILE RIGIDITY TEST 54250 17.56$
54300 PR STRAIGHTEN PENIS 54300 1,041.60$
54304 PR HYPOSPADIUS REPAIR,1ST STAGE 54304 1,217.45$
54308 PR HYPOSPADIUS REPAIR,2ND STAGE,<3CM 54308 1,160.43$
54312 PR HYPOSPADIUS REPAIR,2ND STAGE,>3CM 54312 1,327.38$
54316 PR HYPOSPAD REPR,2ND STAGE,FREE GRAFT 54316 1,619.82$
54318 PR HYPOSPAD REPAIR,3RD STAGE 54318 1,153.58$
54322 PR HYPOSPAD REPAIR,1 STAGE,DISTAL 54322 1,266.54$
54324 PR HYPOSPAD REPAIR,1 STAGE,DIST,PLASTY 54324 1,571.39$
54326 PR HYPOSPAD REPAIR,1 STAGE,DIST,PLASTY URETHRAL MOBILIZE 54326 1,534.35$
54328 PR HYPOSPAD REPR,1 STAGE,DIST,EXTENSV 54328 1,524.19$
54332 PR HYPOSPAD REPR,1 STAGE,PROX,EXTENSV 54332 1,646.09$
54336 PR HYPOSPAD REPR,1 STAGE,PERINEAL,EXTEN 54336 1,930.60$
54340 PR REPAIR HYPOSPAD COMPLIC,SIMPLE 54340 924.50$
54344 PR REPAIR HYPOSPAD COMPLIC,MOBILIZ 54344 1,537.62$
54348 PR REPAIR HYPOSPAD COMPLIC,EXTENSV DISS 54348 1,646.11$
54352 PR REPAIR HYPOSPAD CRIPPLE 54352 2,298.43$
54360 PR PENIS PLASTIC SURG,CORRECT ANGULATN 54360 1,169.01$
54380 PR REPAIR PENIS,EPISPADIUS 54380 1,296.50$
54385 PR REPAIR PENIS,EPISPADIUS+INCONTIN 54385 1,505.49$
54390 PR REPAIR PENIS,EPISPAD+EXSTROPHY 54390 2,013.21$
54400 PR INSERT SEMI-RIGID PENILE PROSTHESIS 54400 858.68$
54401 PR INSERT SELF-CONTD PENILE PROSTHESIS 54401 1,062.44$
54405 PR INSERT,INFLATABLE PENILE PROSTHESIS 54405 1,311.35$
54406 PR REMVL,INFLAT PENILE PROSTH W/O REPLACMT 54406 1,185.33$
54408 PR REPAIR,INFLATABLE PENILE PROSTHESIS 54408 1,281.29$
54410 PR REPLACE,INFLATABLE PENILE PROSTHESIS 54410 1,393.80$
54411 PR REPLACE,INFLAT PENILE PROSTH,INFECTED 54411 1,664.01$
54415 PR REMOVAL,PENILE PROSTHESIS W/O REPLACMT 54415 856.68$
54416 PR REPLACE,PENILE PROSTHESIS 54416 1,151.57$
54417 PR REPLACE,PENILE PROSTHESIS INFECTED 54417 1,458.40$
54420 PR CORPORA-SAPHEN VEIN SHUNT 54420 1,143.53$
54430 PR CORPORA CAVER-SPONGIOSA SHUNT 54430 1,038.74$
54435 PR CORPORA-GLANS FISTULIZATN 54435 675.87$
54437 PR REPAIR OF TRAUMATIC CORPOREAL TEAR(S) 54437 1,092.70$
54438 PR REPLANTATION PENIS COMP AMPUTATION W/URETH REP 54438 2,170.48$
54440 PR REPAIR PENIS POST INJURY 54440 2,179.17$
54450 PR PREPUTIAL STRETCHING 54450 113.92$
54500 PR BIOPSY OF TESTIS,NEEDLE 54500 121.32$
54505 PR BIOPSY OF TESTIS,INCISIONAL 54505 340.05$
54512 PR EXCIS TESTIS EXTRAPARENCHYMAL LESION 54512 875.67$
54520 PR REMOVAL TESTIS,SIMPLE 54520 528.30$
54522 PR REMOVAL TESTIS, PARTIAL 54522 957.69$
54530 PR REMOVAL TESTIS,RADICAL 54530 818.81$
54535 PR REMOVAL TESTIS,RADICAL+ABD EXPLOR 54535 1,207.40$
54550 PR EXPLORE UNDESC TESTIS,INGUIN/SCROTAL 54550 797.68$
54560 PR EXPLORE UNDESC TESTIS,ABDOMINAL 54560 1,114.01$
54600 PR REDUCE TESTIS TORSION 54600 735.82$
54620 PR FIXATN OF TESTIS OPP TORSN 54620 486.19$
54640 PR ORCHIOPEXY INGUINAL OR SCROTAL APPROACH 54640 774.46$
54650 PR ORCHIOPEXY,ABD APPRCH,ABD TESTIS 54650 1,154.59$
54660 PR INSERT TESTICULAR PROSTHESIS 54660 579.08$
54670 PR REPAIR TESTIS INJURY 54670 657.49$
54680 PR RELOCATION OF TESTIS(ES) 54680 1,277.07$
54690 PR LAP,ORCHIECTOMY 54690 1,067.50$
54692 PR LAP,ORCHIOPEXY 54692 1,231.91$
54700 PR INCIS/DRAIN SCROTUM/TESTIS,EPIDIDYM 54700 345.21$
54800 PR BIOPSY OF EPIDIDYMIS,NEEDLE 54800 204.85$
54830 PR EXCIS EPIDIDYMIS LOCAL LESION 54830 603.83$
54840 PR EXCIS SPERMATOCELE 54840 520.91$
54860 PR REMOVAL OF EPIDIDYMIS,UNILAT 54860 679.68$
54861 PR REMOVAL OF EPIDIDYMIS,BILAT 54861 918.39$
54865 PR EXPLORATION OF EPIDIDYMIS W/WO BIOPSY 54865 581.79$
54900 PR ANAST EPIDIDYMIS-VAS DEFERENS,UNILAT 54900 1,298.78$
54901 PR ANAST EPIDIDYMIS-VAS DEFERENS,BILAT 54901 1,713.79$
55000 PR DRAINAGE OF HYDROCELE,TUNICA 55000 189.93$
55040 PR REMOVAL OF HYDROCELE,TUNICA,UNILAT 55040 547.07$
55041 PR REMOVAL OF HYDROCELE,TUNICA,BILAT 55041 825.92$
55060 PR REPAIR OF HYDROCELE,TUNICA 55060 616.51$
55100 PR DRAINAGE SCROTAL WALL ABSCESS 55100 346.71$
55110 PR EXPLORE SCROTUM 55110 627.61$
55120 PR REMOVAL OF SCROTAL FOR.BODY 55120 573.51$
55150 PR REMOVAL OF SCROTUM 55150 795.30$
55175 PR REVISION OF SCROTUM,SIMPLE 55175 588.41$
55180 PR REVISION OF SCROTUM,COMPLICATED 55180 1,110.00$
55200 PR INCISION OF SPERM DUCT 55200 702.22$
55250 PR REMOVAL OF SPERM DUCT(S) 55250 798.00$
55300 PR PREPARATION, SPERM DUCT X-RAY 55300 304.11$
55400 PR REPAIR OF SPERM DUCT 55400 808.42$
55450 PR LIGATION OF SPERM DUCT 55450 589.71$
55500 PR REMV HYDROCELE,SPERM CORD,UNILAT 55500 636.55$
55520 PR REMOVAL OF SPERM CORD LESION 55520 720.41$
55530 PR EXCISE VARICOCELE 55530 569.84$
55535 PR EXCISE VARICOCELE,ABD APPROACH 55535 698.02$
55540 PR EXCIS VARICOCEL,ABD APRCH+FIX HERNIA 55540 876.94$
55550 PR LAP,LIGATION SPERMATIC VEINS 55550 695.13$
55600 PR INCISE SEMINAL VESICLE 55600 683.86$
55605 PR INCISE SEMINAL VESICLE,COMPLICATED 55605 845.03$
55650 PR EXCISE DEMINAL VESICLE 55650 1,163.70$
55680 PR EXCISE MULLERIAN DUCT CYST 55680 561.35$
55700 PR BIOPSY OF PROSTATE,NEEDLE/PUNCH 55700 397.60$
55705 PR BIOPSY OF PROSTATE,INCISIONAL 55705 431.26$
55706 PR BIOPSY OF PROSTATE,NEEDLE,TRANSPERINEAL 55706 603.72$
55720 PR EXTERN DRAIN PROSTATE ABSC,SIMPLE 55720 733.69$
55725 PR EXTERN DRAIN PROSTATE ABSC,COMPLIC 55725 962.02$
55801 PR REMV PROSTATE,PERINEAL,SUBTOTAL 55801 1,774.77$
55810 PR REMV PROSTATE,PERINEAL,RADICAL 55810 2,127.89$
55812 PR REMV PROSTATE,PERINEAL,RAD,LTD NODES 55812 2,612.33$
55815 PR REMV PROSTATE,PERINEAL,RAD,TOT NODES 55815 2,862.49$
55821 PR REMV PROSTATE,SUPRAPUBIC,SUBTOTAL 55821 1,417.02$
55831 PR REMV PROSTATE,RETROPUBIC,SUBTOTAL 55831 1,533.39$
55840 PR REMV PROSTATE,RETROPUB,RADICAL 55840 1,901.86$
55842 PR REMV PROSTATE,RETROPUB,RAD,LTD NODES 55842 1,902.14$
55845 PR REMV PROSTATE,RETROPUB,RAD,TOT NODES 55845 2,213.71$
55860 PR SURG EXPOS,PROSTATE,RADIOACTIV INSRT 55860 1,419.99$
55862 PR SURG EXPOS,PROS,ISOTOPE,LTD NODES 55862 1,780.10$
55865 PR SURG EXPOS,PROS,ISOTOPE,TOT NODES 55865 2,165.54$
55866 PR LAP,PROSTATECTOMY,RADICAL,W/NERVE SPARE,INCL ROBOTIC 55866 2,344.42$
55870 PR ELECTROEJACULATION 55870 283.06$
55873 PR CRYOSURG ABLATION OF PROSTATE 55873 11,274.86$
55874 PR TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX 55874 5,835.57$
55875 PR PERCUT/NEEDLE INSERT,PROSTATE,RADIOISOT 55875 1,240.06$
55876 PR PLACE RADIOTHER DEVICE/MARKER, PROSTATE 55876 219.88$
55899 PR GENITAL SURG PROC,MALE UNLISTED 55899 750.00$
55920 PR PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL 55920 728.74$
56405 PR I&D OF VULVA/PERINEUM ABSCESS 56405 172.66$
56420 PR I&D BARTHOLIN GLAND ABSCESS 56420 193.13$
56440 PR MARSUP BARTHOLIN GLAND CYST 56440 287.99$
56441 PR LYSIS OF LABIAL LESION(S) 56441 229.76$
56442 PR HYMENOTOMY, SIMPLE INCISION 56442 75.87$
56501 PR DESTRUCTION,LESION(S),VULVA,SIMPLE 56501 208.71$
56515 PR DESTRUCTION,LESION(S),VULVA;EXTENSIVE 56515 358.43$
56605 PR BIOPSY VULVA/PERINEUM,ONE LESN 56605 129.76$
56606 PR BX,VULVA/PERINEUM,ADDL LESION 56606 60.04$
56620 PR PART SIMPLE REMV VULVA 56620 827.49$
56625 PR COMPLETE SIMPLE REMV VULVA 56625 1,000.71$
56630 PR VULVA RESECT,RADICAL,PARTIAL 56630 1,477.71$
56631 PR VULVA RESECT,RAD,PART,UNI NODES 56631 1,886.21$
56632 PR VULVA RESECT,RAD,PART,BILAT NODES 56632 2,196.10$
56633 PR VULVA RESECT,RAD,TOTAL 56633 1,926.16$
56634 PR VULVA RESECT,RAD,TOTAL,UNI NODES 56634 2,078.16$
56637 PR VULVA RESECT,RAD,TOTAL,BILAT NODES 56637 2,430.96$
56640 PR VULVA RESECT,RAD,TOTAL+TOTL NODES 56640 2,432.15$
56700 PR PARTIAL REMOVAL OF HYMEN 56700 294.23$
56740 PR EXCIS BARTHOLIN GLAND/CYST 56740 474.80$
56800 PR PLASTIC REPAIR INTROITUS 56800 380.56$
56805 PR REPAIR CLITORIS 56805 1,800.81$
56810 PR REPAIR OF PERINEUM,NON OBSTETRICAL 56810 411.35$
56820 PR COLPOSCOPY,VULVA 56820 177.52$
56821 PR COLPOSCOPY,VULVA,W/BIOPSY(S) 56821 233.56$
57000 PR EXPLORATION OF VAGINA 57000 297.74$
57010 PR EXPLOR VAGINA/DRAIN PELVIC ABSCESS 57010 682.57$
57020 PR DRAINAGE OF PELVIC FLUID 57020 146.29$
57022 PR I&D VAGINAL HEMATOMA,OBSTET/POSTPART 57022 264.36$
57023 PR I&D VAGINAL HEMATOMA, NON-OB 57023 488.45$
57061 PR DESTRUCT,VAGINAL LESION(S),SIMPLE 57061 180.20$
57065 PR DESTRUCT,VAGINAL LESION(S),EXTENSIVE 57065 308.27$
57100 PR BIOPSY OF VAGINA,SIMPLE 57100 140.94$
57105 PR BIOPSY OF VAGINA,EXTENSIVE 57105 215.47$
57106 PR REMOVE VAGINA WALL, PARTIAL 57106 783.21$
57107 PR REMOVE VAGINA TISSUE/PARTIAL 57107 2,295.56$
57109 PR VAGINECTOMY PARTIAL W/NODES 57109 2,781.41$
57110 PR COMPLETE REMOVAL OF VAGINA WALL 57110 1,410.19$
57111 PR REMOVE VAGINA TISSUE/COMPLETE 57111 2,781.41$
57112 PR VAGINECTOMY COMPLETE W/NODES 57112 2,978.18$
57120 PR CLOSURE OF VAGINA 57120 803.27$
57130 PR EXCIS VAGINAL SEPTUM 57130 278.87$
57135 PR EXCIS VAGINAL CYST/TUMOR 57135 304.10$
57150 PR TREAT VAGINA INFECTION 57150 71.38$
57155 PR INSERTION UTERINE TANDEM&/VAGINAL OVOIDS 57155 587.12$
57156 PR INSERT VAGINAL RADIATION DEVICE 57156 320.00$
57160 PR FIT/INSERT INTRAVAG SUPPORT DEVICE 57160 119.82$
57170 PR FITTING OF DIAPHRAGM/CAP 57170 95.40$
57180 PR TREAT VAGINAL BLEEDING 57180 221.55$
57200 PR COLPORRHAPHY, SUTURE VAGINAL INJURY, NON-OB 57200 477.61$
57210 PR REPAIR VAGINA/PERINEUM 57210 580.93$
57220 PR REVISION OF URETHRA SPHINCTER 57220 503.50$
57230 PR REPAIR OF URETHROCELE 57230 621.18$
57240 PR ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO 57240 937.33$
57250 PR POST COLPORRHAPHY,RECTUM/VAGINA 57250 940.93$
57260 PR CMBND ANTERPOST COLPORRAPHY W/CYSTO 57260 1,206.30$
57265 PR CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR 57265 1,354.88$
57267 PR INSERT MESH/PELVIC FLR ADDON 57267 407.91$
57268 PR REPAIR ENTEROCELE,VAG APPRCH 57268 764.64$
57270 PR REPAIR ENTEROCELE,ABD APPRCH 57270 1,271.34$
57280 PR SUSPENSION OF VAGINA,ABD APPRCH 57280 1,511.96$
57282 PR REVAGINAL PROLAPSE,SACROSP LIG 57282 792.51$
57283 PR REVAGINAL PROLAPSE,UTEROSACRAL 57283 1,087.14$
57284 PR PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPROACH 57284 1,293.70$
57285 PR PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH 57285 1,066.68$
57287 PR REMV/REVS SLING FOR STRES INCONTINENCE 57287 1,085.70$
57288 PR SLING OPER STRES INCONTINENCE 57288 1,140.35$
57289 PR PEREYA PROC+ANTER COLPORRHAPHY 57289 1,199.32$
57291 PR CONSTRUCTION ARTIFIC VAGINA 57291 833.10$
57292 PR CONSTRUCT ARTIFIC VAGINA W GRAFT 57292 1,284.72$
57295 PR REVISION VAGINAL GRAFT 57295 757.15$
57296 PR REVISION VAGINAL GRAFT, ABD APPROACH 57296 1,489.16$
57300 PR REPAIR RECTO-VAG FISTULA 57300 891.54$
57305 PR REPAIR RECTO-VAG FISTULA,ABD APPRCH 57305 1,480.56$
57307 PR REREC-VAG FIST,ABD+COLOSTOMY 57307 1,634.72$
57308 PR XPERINEAL CLOS RECTOVAG FISTULA 57308 1,056.68$
57310 PR CLOSE URETHROVAGINAL FISTULA 57310 746.89$
57311 PR CLOSE URETHROVAGINAL FIST+XPLANT 57311 849.57$
57320 PR CLOSE BLAD-VAG FISTULA,VAG APPRCH 57320 852.52$
57330 PR CLOSE BLAD-VAG FIST,XVESC+VAG APPRCH 57330 1,199.15$
57335 PR REVISE VAGINA FOR INTERSEC STATE 57335 1,818.73$
57400 PR DILATION OF VAGINA W ANESTH 57400 211.33$
57410 PR PELVIC EXAMINATION W ANESTH 57410 170.99$
57415 PR REMOVAL VAGINAL FOR.BODY W ANESTH 57415 254.48$
57420 PR COLPOSCOPY,ENTIRE VAGINA 57420 186.35$
57421 PR COLPOSCOPY,ENTIRE VAGINA,W/BIOPSY(S) 57421 248.87$
57423 PR PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH 57423 1,444.77$
57425 PR LAPAROSCOPY, SURG, COLPOPEXY 57425 1,536.96$
57426 PR REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC 57426 1,328.60$
57452 PR COLPOSCOPY,CERVIX W/ADJ VAGINA 57452 172.00$
57454 PR COLPOSC,CERVIX W/ADJ VAG,W/BX & CURRETAG 57454 240.65$
57455 PR COLPOSCOPY,CERVIX W/ADJ VAGINA,W/BX 57455 225.11$
57456 PR COLPOSCOPY,CERVIX W/ADJ VAGINA, CURETTAG 57456 212.31$
57460 PR COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP BX 57460 443.37$
57461 PR COLPOSCOPY,CERVIX W/ADJ VAG,W/LOOP CONIZ 57461 501.75$
57500 PR BIOPSY CERVIX, 1 OR MORE, OR EXCISION OF LESION 57500 200.67$
57505 PR ENDOCERVICAL CURETTAGE 57505 161.80$
57510 PR CAUTERIZATION,CERVIX,ELECTRO/THERMAL 57510 208.02$
57511 PR CRYOCAUTERY OF CERVIX 57511 229.71$
57513 PR LASER SURGERY OF CERVIX 57513 231.08$
57520 PR CONIZATION CERVIX,KNIFE/LASER 57520 486.35$
57522 PR CONIZATION CERVIX,LOOP ELECTRD 57522 416.10$
57530 PR REMOVAL OF CERVIX 57530 546.88$
57531 PR REMOVAL OF CERVIX, RADICAL 57531 2,663.20$
57540 PR REMV CERV STUMP,ABD APPRCH 57540 1,224.78$
57545 PR REMV CERV STUMP,ABD,FIX PELV FLOOR 57545 1,292.56$
57550 PR REMV CERV STUMP,VAG APPRCH 57550 640.50$
57555 PR REMV CERV STUMP,VAG,ANT/POST FIX 57555 944.99$
57556 PR REMV CERV STUMP,VAG,FIX ENTEROCELE 57556 894.14$
57558 PR D&C OF CERVIX STUMP 57558 195.81$
57700 PR REVISION OF CERVIX,NON OBSTETRICAL 57700 488.24$
57720 PR PLASTIC RECERVIX,VAG APPRCH 57720 482.97$
57800 PR DILATION OF CERVICAL CANAL 57800 94.63$
58100 PR BIOPSY OF UTERUS LINING 58100 171.67$
58110 PR ENDOMET BIOPSY DONE W/COLPOSCOPY 58110 76.38$
58120 PR DILATION/CURETTAGE,DIAGNOSTIC 58120 408.42$
58140 PR MYOMECTOMY 1-4,W/TOT 250GMS/<,ABD APPRCH 58140 1,448.14$
58145 PR EXCIS UTERINE FIBROID,VAG APPRCH 58145 867.64$
58146 PR MYOMECTOMY 5/>,TOT>250 GMS,ABD APPRCH 58146 1,813.07$
58150 PR TOTAL ABDOM HYSTERECTOMY 58150 1,608.63$
58152 PR TOTAL ABD HYSTERECTOMY+BLAD REPR 58152 1,975.12$
58180 PR SUPRACERV ABD HYSTERECTOMY 58180 1,522.26$
58200 PR TOTAL ABD HYSTEREC+LTD NODES 58200 2,183.61$
58210 PR RADICAL ABD HYSTEREC+PELV NODES 58210 2,936.39$
58240 PR PELVIC EXENTERATN,GYN MALIGNANCY 58240 4,628.56$
58260 PR VAGINAL HYSTERECTOMY,UTERUS 250 GMS/< 58260 1,302.49$
58262 PR VAG HYST,RMV TUBE/OVARY 58262 1,451.32$
58263 PR VAG HYST,RMV TUBE/OVARY,FIX ENTEROCE 58263 1,559.33$
58267 PR VAG HYST,REV VAG/URETHRA 58267 1,657.24$
58270 PR VAG HYST,REV VAG/URETHR,FIX ENTEROCE 58270 1,390.64$
58275 PR VAG HYST, W/VAGINECTOMY 58275 1,552.16$
58280 PR VAG HYST,RMV VAG,FIX ENTEROCELE 58280 1,652.89$
58285 PR VAG HYST RADICAL 58285 2,272.46$
58290 PR VAG HYST,UTERUS >250 GMS 58290 1,810.81$
58291 PR VAG HYST,UTERUS >250 GMS,REM TUBE/OVARY 58291 1,965.18$
58292 PR VAG HYST,>250 GMS,SOOPH,REENTEROCELE 58292 2,065.44$
58293 PR VAG HYST,>250 GMS,W/COLP-URETHRCYSTOPEXY 58293 2,147.74$
58294 PR VAG HYST,>250 GMS,REENTEROCELE 58294 1,913.95$
58300 PR INSERT INTRAUTERINE DEVICE 58300 127.75$
58301 PR REMOVE INTRAUTERINE DEVICE 58301 150.53$
58321 PR ARTIF INSEMINATION,INTRA-CERVICAL 58321 120.86$
58322 PR ARTIF INSEMINATION,INTRA-UTERINE 58322 135.99$
58323 PR SPERM WASHING FOR ARTIF INSEM 58323 24.52$
58340 PR CATH/INJECT HYSTEROSALPINGOGRAM 58340 188.93$
58345 PR REOPEN FALLOPIAN TUBE,TRANSCERV CATH 58345 438.27$
58346 PR INSERTION,HEYMAN CAPSULES 58346 725.57$
58350 PR REOPEN FALLOPIAN TUBE,CHROMOTUBATION 58350 152.48$
58353 PR ENDOMETRIAL ABLATION, THERMAL 58353 1,574.48$
58356 PR ENDOMETRIAL CRYOABLATION 58356 2,933.30$
58400 PR SUSPENSN UTERUS 58400 697.46$
58410 PR SUSPENSN UTERUS+PRESACRAL SYMPATHEC 58410 1,263.98$
58520 PR REPAIR RUPTURED UTERUS,NON OBSTECTR 58520 1,237.17$
58540 PR REVISION OF UTERINE ANOMALY 58540 1,427.51$
58541 PR LAP, SUPRACERVIAL HYSTERECTOMY, <250G 58541 1,131.22$
58542 PR LAP, SUPRACERVIAL HYSTERECTOMY W/ TUBE&OV, <250G 58542 1,290.22$
58543 PR LAP, SUPRACERVIAL HYSTERECTOMY, >250G 58543 1,306.59$
58544 PR LAP, SUPRACERVIAL HYSTERECTOMY W/ TUBE&OV, >250G 58544 1,419.46$
58545 PR LAP,MYOMECTOMY 1-4,TOT WT 250 GMS 58545 1,424.12$
58546 PR LAP,MYOMECTOMY 5/>,TOTAL WT >250 GMS 58546 1,768.90$
58548 PR LAP, RADICAL HYST W/ TUBE&OV, NODE BX 58548 3,017.88$
58550 PR LAP,VAG HYST,UTERUS 250GMS/< 58550 1,390.39$
58552 PR LAP,VAG HYST,UTERUS 250GMS/<,SALP-OOPH 58552 1,560.09$
58553 PR LAP,VAG HYST,UTERUS >250GMS 58553 1,778.88$
58554 PR LAP,VAG HYST,UTERUS >250GMS,SALP-OOPH 58554 2,095.40$
58555 PR HYSTEROSCOPY,DX,SEP PROC 58555 422.73$
58558 PR HYSTEROSCOPY,W/ENDO BX 58558 2,133.93$
58559 PR HYSTEROSCOPY,LYSIS ADHESIONS 58559 461.13$
58560 PR HYSTEROSCOPY,RESECT SEPTUM 58560 503.35$
58561 PR HYSTEROSCOPY,RMV MYOMA 58561 865.13$
58562 PR HYSTEROSCOPY,RMV FB 58562 535.72$
58563 PR HYSTEROSCOPY,W/ENDOMETRIAL ABLATION 58563 3,618.00$
58565 PR HYSTEROSCOPY, STERILIZE W IMPLANTS 58565 2,920.35$
58570 PR LAPAROSCOPY W TOT HYSTERECT UTERUS 250 GRAM OR LESS 58570 1,238.71$
58571 PR LAPAROSCOPY W TOT HYSTERECTUTERUS <=250 GRAM W TUBE/OVARY 58571 1,417.22$
58572 PR LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS > 250 GRAM 58572 1,620.63$
58573 PR LAPAROSCOPY TOT HYSTERECTOMY UTERUS >250 GRAM W TUBE/OVARY 58573 1,924.63$
58575 PR LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC 58575 2,980.07$
58600 PR LIGATE FALLOPIAN TUBE 58600 572.60$
58605 PR LIGATE FALLOPIAN TUBE,POSTPARTUM 58605 517.89$
58611 PR LIGATION,FALLOPIAN TUBE W/C-SECTION 58611 121.97$
58615 PR OCCLUDE FALLOPIAN TUBE BY DEVICE 58615 383.21$
58660 PR LAP,LYSIS OF ADHESIONS 58660 1,063.69$
58661 PR LAP,RMV ADNEXAL STRUCTURE 58661 1,027.26$
58662 PR LAP,FULGURATE/EXCISE LESIONS 58662 1,122.51$
58670 PR LAP,TUBAL CAUTERY 58670 574.12$
58671 PR LAP,TUBAL BLOCK BY DEVICE 58671 573.16$
58672 PR LAP,FIMBRIOPLASTY 58672 1,155.92$
58673 PR LAP,SALPINGOSTOMY 58673 1,256.46$
58674 PR LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN 58674 1,284.21$
58679 PR LAP,OVIDUCT/OVARY,UNLIST PROC 58679 590.34$
58700 PR REMOVAL OF FALLOPIAN TUBE 58700 1,229.33$
58720 PR REMOVAL OF OVARY/TUBE(S) 58720 1,165.33$
58740 PR LYSIS ADNEXAL ADHESIONS 58740 1,401.66$
58750 PR TUBOTUBAL ANASTOMOSIS 58750 1,416.28$
58752 PR TUBO-UTERINE IMPLANT 58752 1,412.40$
58760 PR FIMBRIOPLASTY 58760 1,272.48$
58770 PR CREATE NEW TUBAL OPENING 58770 1,339.64$
58800 PR DRAIN OVARIAN CYST(S),VAG APPRCH 58800 500.56$
58805 PR DRAIN OVARIAN CYST(S),ABD APPRCH 58805 635.60$
58820 PR DRAIN OVARIAN ABSCESS,VAG APPRCH 58820 490.25$
58822 PR DRAIN OVARIAN ABSCESS,ABD APPRCH 58822 1,099.97$
58825 PR TRANSPOSITION, OVARY(S) 58825 1,092.17$
58900 PR BIOPSY OF OVARY(S) 58900 650.13$
58920 PR PARTIAL REMOVAL OF OVARY(S) 58920 1,100.62$
58925 PR REMOVAL OF OVARIAN CYST(S) 58925 1,179.34$
58940 PR REMOVAL OF OVARY(S) 58940 832.33$
58943 PR OOPHORECTORMY FOR MALIG, W/BX 58943 1,865.79$
58950 PR RESEC OVAR MALIG+BILAT OVAR+OMENTUM 58950 1,797.97$
58951 PR RESEC OVAR MALIG+TAH+PELV NODES 58951 2,312.36$
58952 PR OOPH W/RADIC DISSECT FOR DEBULKING 58952 2,612.00$
58953 PR BIL SALP-OOPH W/OMENTECT,TAH,RAD DISSECT 58953 3,236.94$
58954 PR BIL SAL-OOPH W/OMENTECT,TAH,RAD DIS,LYMP 58954 3,518.23$
58956 PR BSO, OMENTECTOMY W/TAH 58956 2,198.01$
58957 PR RESECT RECURRENT GYN MALIG 58957 2,523.64$
58958 PR RESECT RECURRENT GYN MALIG W/ NODES 58958 2,672.36$
58960 PR LAPAROTOMY FOR STAGING OVAR MALIG 58960 1,546.07$
58970 PR FOLLICLE PUNC,RETRIEVAL OF OOCYTE 58970 350.20$
58976 PR TRANSFER OF EMBRYO,INTRAFALLOPIAN 58976 388.58$
59000 PR AMNIOCENTESIS,DIAGNOSTIC 59000 198.54$
59001 PR AMNIOCENTESIS,THER AMNIOTIC FLUID REDUCT 59001 283.50$
59012 PR FETAL CORD PUNCTURE,PRENATAL 59012 319.75$
59015 PR CHORION VILLUS BIOPSY 59015 246.20$
59020 PR FETAL CONTRACTN STRESS TEST 59020 111.19$
59020 PR FETAL CONTRACTN STRESS TEST 59020 58.79$
59020 PR FETAL CONTRACTN STRESS TEST 59020 52.39$
59025 PR FETAL NON-STRESS TEST 59025 75.88$
59025 PR FETAL NON-STRESS TEST 59025 47.26$
59025 PR FETAL NON-STRESS TEST 59025 28.61$
59030 PR FETAL SCALP BLOOD SAMPLE 59030 178.33$
59050 PR FETAL MONITOR W/REPORT 59050 80.39$
59051 PR FETAL MONITOR/INTERPRET ONLY 59051 66.74$
59070 PR TRANSABDOM AMNIOINFUS W/ US 59070 638.62$
59072 PR UMBILICAL CORD OCCLUD W/ US 59072 827.41$
59074 PR FETAL FLUID DRAINAGE W/ US 59074 615.95$
59076 PR FETAL SHUNT PLACEMENT, W/ US 59076 827.41$
59100 PR OPEN UTERUS,ABD FOR MOLE,ABORTN 59100 1,313.25$
59120 PR TREAT ECTOPIC PREG,RMV TUBE/OVARY 59120 1,250.35$
59121 PR TREAT ECTOPIC PREG,NON REMVAL 59121 1,251.92$
59130 PR TREAT ECTOPIC PREG,ABD PREG 59130 1,461.97$
59135 PR RX ECTOP PREG,UTER WALL W TAH 59135 1,444.43$
59136 PR RX ECTOP PREG,UTER WALL,PART HYSTREC 59136 1,383.81$
59140 PR RX ECTOP PREG,CERVICAL W EVACUATN 59140 630.86$
59150 PR RX ECTOP PREG BY LAPAROSCOPE 59150 1,212.32$
59151 PR RX ECTOP PREG BY SCOPE,RMV TUBE/OVRY 59151 1,176.33$
59160 PR D&C AFTER DELIVERY 59160 321.88$
59200 PR INSERT CERVICAL DILATOR 59200 113.87$
59300 PR EPISIOTOMY/VAG RPR OTH/THN ATTENDING 59300 305.09$
59320 PR REVISION CERVIX W PREG,VAG APPRCH 59320 240.97$
59325 PR REVISION CERVIX W PREG,ABD APPRCH 59325 383.13$
59350 PR REPAIR OF RUPTURED UTERUS 59350 444.15$
59400 PR FULL ROUT OBSTE CARE,VAGINAL DELIV 59400 3,290.86$
59409 PR OBSTETRICAL CARE,VAG DELIV ONLY 59409 1,286.42$
59410 PR OBSTE CARE,VAG DELIV+POSTPARTUM 59410 1,642.49$
59412 PR ANTEPARTUM HEAD MANIPULATION 59412 163.10$
59414 PR DELIVER PLACENTA 59414 145.00$
59425 PR ANTEPARTUM CARE ONLY, 4-6 VISITS 59425 715.75$
59426 PR ANTEPARTUM CARE ONLY, >7 VISITS 59426 1,281.26$
59430 PR CARE AFTER DELIVERY ONLY 59430 290.19$
59510 PR FULL ROUT OBSTE CARE,CESAREAN DELIV 59510 3,642.41$
59514 PR CESAREAN DELIVERY ONLY 59514 1,446.31$
59515 PR CESAREAN DELIVERY+POSTPARTUM CARE 59515 1,991.29$
59525 PR REMOVE UTERUS AFTER CESAREAN 59525 766.49$
59610 PR ROUT OB CARE,VAG DELIV,PREV C-SEC 59610 3,456.21$
59612 PR VAG DELIV ONLY,PREV C-SECTN 59612 1,445.07$
59614 PR VAG DELIV+POSTPARTUM CARE,PREV C-SEC 59614 1,797.13$
59618 PR ROUT OB CARE,C-SEC,PREV C-SEC 59618 3,688.53$
59620 PR C-SEC ONLY,PREV C-SEC 59620 1,496.30$
59622 PR C-SEC+POSTPARTUM CARE,PREV C-SEC 59622 2,041.17$
59812 PR SURG RX INCOMPLETE ABORTN 59812 499.69$
59820 PR SURG RX MISSED ABORTN,1ST TRI 59820 597.63$
59821 PR SURG RX MISSED ABORTN,2ND TRI 59821 602.13$
59830 PR SURG RX SEPTIC ABORTN 59830 686.60$
59840 PR INDUCED ABORTN BY D&C 59840 342.14$
59841 PR INDUCED ABORTN BY DIL/EVAC 59841 602.48$
59850 PR INDUCED ABORTN BY INTRA-AMNIOT INJ 59850 597.73$
59851 PR INDUCED AB BY INJECT+D&C/EVAC 59851 626.95$
59852 PR INDUCED AB BY INJECT+OPEN UTERUS 59852 817.87$
59855 PR INDUCED AB BY VAG SUPPOS 59855 653.55$
59856 PR INDUCED AB BY VAG SUPP+D&C/EVAC 59856 767.78$
59857 PR INDUCED AB BY VAG SUPP+OPEN UTERUS 59857 840.63$
59866 PR MULTIFETAL PREGNANCY REDUCTION(S) 59866 351.99$
59870 PR EVACUATE MOLE OF UTERUS 59870 742.40$
59871 PR REMOVE CERCLAGE SUTURE 59871 210.90$
60000 PR I&D,THYROGLOSSAL CYST,INFECTED 60000 267.09$
60100 PR BIOPSY OF THYROID,PERCUT 60100 179.90$
60200 PR REMOVE BENIGN THYROID LESION 60200 1,043.49$
60210 PR PARTIAL EXCISION THYROID,UNILAT 60210 1,119.05$
60212 PR PARTIAL EXCISION THYROID,BILAT 60212 1,630.56$
60220 PR THYROID LOBECTOMY,UNILAT 60220 1,116.75$
60225 PR THYR LOBECTOMY+PART REMOV CONTRA 60225 1,472.76$
60240 PR THYROIDECTOMY 60240 1,454.59$
60252 PR THYROIDECTOMY,MALIG,LTD NECK SURG 60252 2,091.36$
60254 PR THYROIDECTOMY W RAD NECK SURGERY 60254 2,643.96$
60260 PR THYROIDECTOMY POST PREV THYR SURG 60260 1,730.98$
60270 PR THYROIDECTOMY,SUBSTERNAL,TRANSTHOR APP 60270 2,168.38$
60271 PR THYROIDECTOMY=SUBSTERNAL,TRANSCERV 60271 1,674.30$
60280 PR EXCIS THYROID DUCT CYST/SINUS 60280 696.40$
60281 PR EXCIS THYROID DUCT CYST/SINUS,RECUR 60281 924.91$
60300 PR ASPIRATION AND/OR INJECTION THYROID CYST 60300 186.80$
60500 PR EXPLORE PARATHYROID GLANDS 60500 1,529.55$
60502 PR RE-EXPLORE PARATHYROIDS 60502 2,042.21$
60505 PR EXPLORE PARATHYROID+MEDIASTINUM 60505 2,196.93$
60512 PR AUTOTRANSPLANT, PARATHYROID 60512 386.64$
60520 PR THYMECTOMY,TRANSCERVICAL 60520 1,659.98$
60521 PR THYMECTOMY,TRANSTHORACIC 60521 1,778.27$
60522 PR THYMECTOMY,RADICAL MEDIAST DISSSEC 60522 2,166.33$
60540 PR EXCISE ADRENAL GLAND 60540 1,696.89$
60545 PR EXCISE ADRENAL+ADJ RETROPER TUMOR 60545 1,941.34$
60600 PR EXCISE CAROTID BODY LESION 60600 2,194.47$
60605 PR EXCISE CAROTID BODY+CAROTID ARTERY 60605 2,650.97$
60650 PR LAP,ADRENALECTOMY 60650 1,904.88$
61000 PR SUBDURAL TAP,INFANT,INITIAL 61000 179.72$
61001 PR SUBDURAL TAP,INFANT,SUBSEQUENT 61001 170.64$
61020 PR VENTRICULAR PUCTURE 61020 157.76$
61026 PR VENTRICULAR PUNCTURE,PREV BURR HOLE 61026 168.05$
61050 PR CISTERNAL/C1-2 PUNCTURE 61050 139.26$
61055 PR CISTERNAL/LAT (C1-C2) CERV PUNCTURE 61055 197.72$
61070 PR BRAIN SHUNT TUBE/RESERV INJECTN 61070 91.48$
61105 PR TWIST DRILL HOLE SUBDURAL/VENT PUNC 61105 732.17$
61107 PR TWIST HOLE SKULL,IMPLANT CATH/DEVICE 61107 495.31$
61108 PR TWIST DRILL HOLE SKULL FOR DRAINAGE 61108 1,416.11$
61120 PR BURR HOLE VENTRICULAR PUNCTURE 61120 1,179.29$
61140 PR BURR HOLE FOR BIOPSY 61140 1,989.62$
61150 PR BURR HOLE FOR DRAINAGE ABSC/CYST 61150 2,139.52$
61151 PR BURR HOLE FOR SEC ASPIR ABSC/CYST 61151 1,569.76$
61154 PR BURR HOLE EVAC SUBDUR/EXTRA HEMATOMA 61154 2,000.96$
61156 PR BURR HOLE ASPIR INTRACERE HEMATOMA 61156 1,967.44$
61210 PR BURR HOLE IMPLANT CATH/DEVICE 61210 582.86$
61215 PR INSERT SUBCUT RESERV/PUMP/DEV 61215 799.82$
61250 PR BURR HOLE SUPRATENTOR, EXPLORE 61250 1,369.05$
61253 PR BURR HOLE INFRATENTOR, EXPLORE 61253 1,569.76$
61304 PR OPEN SKULL SUPRATENT EXPLORE 61304 2,578.80$
61305 PR OPEN SKULL INFRATENT EXPLORE 61305 3,171.51$
61312 PR OPEN SKULL EVAC HEMATOMA, SUPRATENTORIAL, SUB/ EXTRADURAL 61312 3,271.57$
61313 PR OPEN SKULL EVAC HEMATOMA, SUPRATENTORIAL, INTRACEREBRAL 61313 3,120.56$
61314 PR OPEN SKULL EVAC HEMATOMA, INFRATENTORIAL, SUB/ EXTRADURAL 61314 2,879.43$
61315 PR OPEN SKULL EVAC HEMATOMA, INFRATENTORIAL, INTRACEREBELLAR 61315 3,252.81$
61316 PR INCIS & SUBQ PLACEMT,CRANIAL BONE GRAFT 61316 139.43$
61320 PR OPEN SKULL DRAIN SUPRATENT ABSC 61320 2,993.07$
61321 PR OPEN SKULL DRAIN INFRATENT ABSC 61321 3,360.32$
61322 PR OPEN SKULL,DECOMPRES,W/DURAPLASTY 61322 3,735.53$
61323 PR OPEN SKULL,DECOMP,W/LOBECTOMY 61323 3,775.53$
61330 PR DECOMPRESS ORBIT,TRANSCRANIAL 61330 2,834.14$
61332 PR EXPLORE/BIOPSY ORBIT 61332 3,132.29$
61333 PR EXPLORE/REMOVE ORBIT LESION 61333 3,200.21$
61340 PR SUBTEMPORAL CRANIAL DECOMPRESSION 61340 2,282.78$
61343 PR SUBOCCIPT DECOMP MEDULLA/SP CRD 61343 3,454.64$
61345 PR CRANIAL DECOMPRESSN POST FOSSA 61345 3,219.88$
61450 PR CRANIECTOMY DECOM SENS GASSERIAN 61450 3,035.41$
61458 PR CRANIECT EXPL/DECOM CRANIAL NER 61458 3,162.27$
61460 PR CRANIECT SECTN 1+ CRAN NERVES 61460 3,320.74$
61480 PR CRANIECT FOR MESENTER TRACTOTOMY 61480 3,063.01$
61500 PR CRANIECT EXCIS SKULL BONE LESN 61500 2,083.49$
61501 PR CRANIECT EXCIS INFECT BONE 61501 1,802.18$
61510 PR EXCIS SUPRATENT BRAIN TUMOR 61510 3,437.07$
61512 PR EXCIS SUPRATENT MENINGIOMA 61512 4,006.53$
61514 PR EXCIS SUPRATENT BRAIN ABSCESS 61514 2,991.20$
61516 PR EXCIS SUPRATENT BRAIN CYST 61516 2,933.57$
61517 PR IMPLANT,BRAIN INTRACAV CHEMOTHER AGENT 61517 138.85$
61518 PR EXCIS INFRATENT BRAIN TUMOR 61518 4,330.80$
61519 PR EXCIS INFRATENT MENINGIOMA 61519 4,617.71$
61520 PR EXCIS INFRATENT CP ANGLE TUMOR 61520 5,889.33$
61521 PR EXCIS INFRATENT MIDLINE TUMOR 61521 5,012.04$
61522 PR EXCIS INFRATENT BRAIN ABSCESS 61522 3,450.66$
61524 PR EXCIS INFRATENT BRAIN CYST 61524 3,285.28$
61526 PR EXCIS TRANSTEMP CP ANGLE TUMOR 61526 5,570.24$
61530 PR EXCIS COMBINED CP ANGLE TUMOR 61530 4,844.45$
61531 PR SUBDUR IMPLNT ELECTR,BURR HOLE 61531 1,929.02$
61533 PR SUBDUR IMPLNT ELECTR, CRAN BONE FLAP 61533 2,399.60$
61534 PR EXCIS EPILEPTOGENIC FOCUS 61534 2,596.90$
61535 PR REMOVE BRAIN ELECTRODES 61535 1,579.12$
61536 PR EXCIS EPILEPT FOCUS W MONITOR 61536 4,066.51$
61537 PR CRANIOT W BONE FLAP TEMPORAL LOBE W/O ECOG 61537 3,877.83$
61538 PR LOBECTOMY TEMPOR CORTICOGRAPHY 61538 4,207.76$
61539 PR LOBECTOMY OTHR CORTICOGRAPHY 61539 3,723.62$
61540 PR CRANIOT W BONE FLAP OTHER LOBE W/O ECOG 61540 3,443.90$
61541 PR TRANSECT CORPUS CALLOSUM 61541 3,390.12$
61543 PR PARTIAL HEMISPHERECTOMY 61543 3,427.13$
61544 PR EXCIS/COAG CHOROID PLEXUS 61544 3,002.64$
61545 PR EXCISION CRANIOPHARYNGIOMA 61545 5,011.74$
61546 PR EXCIS PITUITARY,INTRACRANIAL 61546 3,639.78$
61548 PR EXCIS PITUITARY,TRANSNASAL/SEPTAL 61548 2,481.44$
61550 PR CRANIECTOMY SYNSOTOSIS,SINGLE SUT 61550 1,870.94$
61552 PR CRANIEC SYNOSTOSIS,MULTIP SUTURES 61552 2,336.04$
61556 PR OPEN FLAP SYNOSTOSIS,FRONT/PARIET 61556 2,689.22$
61557 PR OPEN FLAP SYNOSTOSIS,BIFRONTAL 61557 2,652.41$
61558 PR EXTENSIVE CRANIECTOMY SYNOSTOSIS 61558 2,963.83$
61559 PR EXTEN CRANIEC W RECONTOUR SYNOSTOSIS 61559 3,771.34$
61563 PR EXCIS INTRA/EXTRA BENIGN BONE TUMOR 61563 3,124.41$
61564 PR EXCIS BENIGN BONE LESN OPTIC DECOMPR 61564 3,795.84$
61566 PR CRANIOT W BONE FLAP FOR AMYGDALOHIPPOCAMPECTOMY 61566 3,546.44$
61567 PR INCISION OF BRAIN TISSUE 61567 4,039.51$
61570 PR REMOVE BRAIN FOREIGN BODY 61570 2,947.26$
61571 PR EXCIS BRAIN FB+RX PENET WOUND 61571 3,138.33$
61575 PR TRANSORAL APPROACH EXC,BX,DECOMPR 61575 3,950.46$
61576 PR TRANSORAL APPR+SPLIT TONGUE/MANDIBLE 61576 6,603.63$
61580 PR CRANIOFACIAL APPROACH,EXTRADURAL 61580 3,869.12$
61581 PR CRANIOFACIAL APPROACH,EXTRADURAL+ 61581 4,165.80$
61582 PR CRANIOFACIAL APPROACH,EXTRADURAL++ 61582 4,742.51$
61583 PR CRANIOFACIAL APPROACH,INTRADURAL 61583 4,511.12$
61584 PR ORBITOCRANIAL APPROACH/SKULL 61584 4,477.82$
61585 PR ORBITOCRANIAL APPROACH/SKULL+ 61585 5,060.96$
61586 PR BICOR,XZYGOMA APPROACH ANT CRAN FOSS 61586 3,811.45$
61590 PR INFRATEMPORAL APPROACH/PREAURICULAR 61590 4,837.29$
61591 PR INFRATEMPORAL APPROACH/POSTAURICULAR 61591 4,863.64$
61592 PR ORBITOCRANIAL APPROACH/ZYGOMATIC 61592 4,963.04$
61595 PR TRANSTEMPORAL APPROACH/SKULL 61595 3,687.06$
61596 PR TRANSCOCHLEAR APPROACH/SKULL 61596 3,863.39$
61597 PR TRANSCONDYLAR APPROACH/SKULL 61597 4,672.73$
61598 PR TRANSPETROSAL APPROACH/SKULL 61598 4,469.26$
61600 PR RESECT BASE ANT CRAN FOSSA/EXTRADURL 61600 3,367.53$
61601 PR RESECT BASE ANT CRAN FOSSA/INTRADURL 61601 3,761.27$
61605 PR RESECT INFRATEMP FOSSA/EXTRADURL 61605 3,416.82$
61606 PR RESECT INFRATEMP FOSSA/INTRADURL 61606 4,624.29$
61607 PR RESECT PARASELLAR FOSSA/EXTRADURL 61607 4,497.03$
61608 PR RESECT PARASELLAR FOSSA/INTRADURL 61608 5,097.81$
61610 PR LIGATE CAROTID/CAVERN SINUS+REPAIR 61610 2,971.75$
61611 PR LIGATE CAROTID ART IN PETROUS CANL 61611 743.77$
61612 PR LIGATE CAROTID/PETROUS CANAL+REPAIR 61612 2,792.20$
61613 PR OBLIT AVM/ANEUR/FISTULA-CAVER SINUS 61613 5,167.02$
61615 PR EXCIS BASE POST CRAN FOSSA/EXTRADURL 61615 4,408.44$
61616 PR EXCIS BASE POST CRAN FOSSA/INTRADURL 61616 5,226.79$
61618 PR SEC REPR,CSF LEAK/CRANIAL FOSSA 61618 2,036.83$
61619 PR REPAIR DURA POSTOP SK BASE-PEDICLE 61619 2,269.18$
61623 PR ENDOVASC TEMP BALLOON OCCLUS,HEAD/NCK 61623 916.08$
61624 PR PERM OCCLUSION/EMBOLIZATION,PERCUT,CNS 61624 1,832.62$
61626 PR PERCUT CATH OCCLUSN NON CNS LESN 61626 1,397.58$
61630 PR INTRACRANIAL BALLOON ANGIOPLASTY 61630 2,170.20$
61635 PR INTRACRANIAL BALLOON ANGIOPLSTY W/STENT 61635 2,321.14$
61645 PR PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL 61645 1,319.98$
61650 PR EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST 61650 859.34$
61651 PR EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL 61651 364.57$
61680 PR BRAIN AVM SURG,SUPRATENT,SIMPLE 61680 3,530.09$
61682 PR BRAIN AVM SURG,SUPRATENT,COMPLX 61682 6,533.11$
61684 PR BRAIN AVM SURG,INFRATENT,SIMPLE 61684 4,480.58$
61686 PR BRAIN AVM SURG,INFRATENT,COMPLX 61686 6,992.01$
61690 PR BRAIN AVM SURG,DURAL,SIMPLE 61690 3,449.19$
61692 PR BRAIN AVM SURG,DURAL,COMPLX 61692 5,751.26$
61697 PR COMPLEX ANEURYSM SURG/CAROTID CIRC 61697 6,604.03$
61698 PR COMPLX ANEURYSM SURG/VERT-BASILAR CIRC 61698 7,176.72$
61700 PR ANEURYSM, INTRACRAN, SIMPLE SURG 61700 5,351.97$
61702 PR VERTEBROBASILLAR CIRC, SIMPLE SURG 61702 6,312.09$
61703 PR CLAMP NECK ARTERY 61703 2,144.79$
61705 PR INTRACRAN/CERV OCCLN CAROTID SURG 61705 4,104.24$
61708 PR OCCLN CAROTID ELECTROTHROMBOSIS 61708 4,014.45$
61710 PR OCCLN CAROTID EMBOLIZATION 61710 3,376.91$
61711 PR INTRA-EXTRACRANIAL ART ANASTOM 61711 4,100.02$
61720 PR CREATE LESN GLOBUS/THAL STEREO 61720 2,005.21$
61735 PR CREATE LESN SUBCORTICAL STEREO 61735 2,508.41$
61750 PR STEREOTACTIC BRAIN BX,ASPIR,EXC 61750 2,224.41$
61751 PR STEREO BX/ASPIR/EXCIS,INTRACRANIAL LESN 61751 2,175.20$
61760 PR STEREO IMPLANT BRAIN ELECTRODES, SEIZURE MONITOR 61760 2,486.67$
61770 PR STEREO LOC W/BURR 61770 2,563.08$
61781 PR STEREOTACTIC COMP ASSIST PROC,CRANIAL,INTRADURAL 61781 373.40$
61782 PR STEREOTACTIC COMP ASSIST PROC,CRANIAL,EXTRADURAL 61782 278.50$
61783 PR STEREOTACTIC COMP ASSIST PROC,SPINAL 61783 368.18$
61790 PR STEREO TREAT TRIGEMINAL NERVE 61790 1,386.08$
61791 PR STEREO TREAT TRIGEMINAL TRACT 61791 1,774.81$
61796 PR STEREOTACTIC RADIOSURGERY, CRANIAL,SIMPLE,SINGLE 61796 1,599.51$
61797 PR STEREOTACTIC RADIOSURGERY, CRANIAL,SIMPLE,EA ADD 61797 349.47$
61798 PR STEREOTACTIC RADIOSURGERY, CRANIAL,COMPLEX,SINGLE 61798 2,178.76$
61799 PR STEREOTACTIC RADIOSURGERY, CRANIAL,COMPLEX,EA ADD 61799 480.88$
61800 PR APPLY STEREOTACTIC HEADFRAME FOR RADIOSURGERY 61800 243.64$
61850 PR IMP ELECTRDS,CORT,DRILL,BURR 61850 1,550.16$
61860 PR IMP ELECTRD,CRANIECTMY/CRANIOTMY 61860 2,469.47$
61863 PR IMPLANT NEUROELECTRODE W/O RECORDING 61863 2,364.78$
61864 PR IMPLANT NEUROELECTRDE, ADD'L 61864 449.23$
61867 PR IMPLANT NEUROELECTRODE W/ RECORDING 61867 3,590.42$
61868 PR IMPLANT NEUROELECTRDE, ADD/DEL 61868 790.68$
61870 PR CRANIECTOMY,NEUROELEC,CORTICAL 61870 1,867.87$
61880 PR REVISE/REMOVE INTRACRAN NEUROELEC 61880 895.54$
61885 PR IMP STIM,CRANIAL,SUBQ,1 ARRAY 61885 810.61$
61886 PR IMP STIM,CRANIAL,SUBQ,>1 ARRAY 61886 1,330.86$
61888 PR REVIS/REMOV CRANIAL NEURORCVR 61888 625.45$
62000 PR FIX SIMPL DEPRESS SKULL FX 62000 1,625.89$
62005 PR FIX CMPD DEPRESS SKULL FX 62005 2,005.79$
62010 PR FIX DEPRESS SKULL FX,REDURA 62010 2,418.01$
62100 PR CRANIOTOMY,REPAIR,DURAL/CSF LEAK 62100 2,498.03$
62115 PR REDUCTN CRANIOMEGALIC SKULL 62115 2,638.68$
62117 PR REDUCTN CRANIOMEG W RECONSTRUC 62117 3,096.95$
62120 PR REPAIR ENCEPHALOCELE,VAULT 62120 3,364.47$
62121 PR REPAIR ENCEPHALOCELE,BASE 62121 2,662.77$
62140 PR REPAIR SKULL DEFECT,UP TO 5 CM 62140 1,619.36$
62141 PR REPAIR SKULL DEFECT,>5 CM 62141 1,791.87$
62142 PR REMOVE SKULL PLATE/FLAP 62142 1,395.98$
62143 PR REPLACE SKULL PLATE/FLAP 62143 1,635.22$
62145 PR REPAIR SKULL DEFECT/BRAIN SURG 62145 2,220.90$
62146 PR REPAIR SKULL W GRAFT,UP TO 5 CM 62146 1,936.46$
62147 PR REPAIR SKULL W GRAFT,>5 CM 62147 2,302.16$
62148 PR INCIS & RETRIEV SUBQ CRAN BONE GRFT 62148 200.56$
62160 PR NEUROENDOSCOP,PLACE/REPLACE VENTCATH 62160 300.83$
62161 PR NEUROENDOSCOP,DISS ADHESION/FENESTRATION 62161 2,392.05$
62162 PR NEUROENDOSCOP,W/FENESTRAT/EXCIS COLLOID 62162 2,982.84$
62163 PR NEUROENDOSCOP,W/RETRIEVAL, FB 62163 1,931.94$
62164 PR NEUROENDOSCOP,W/EXCISE BRAIN TUMOR 62164 3,297.11$
62165 PR NEUROENDOSCOP,EXC,PIT TUM,TRANSNAS/SPHEN 62165 2,422.38$
62180 PR VENTRICULO-CISTERNOSTOMY 62180 2,526.27$
62190 PR CREATE SHUNT:SUBARACH/DUR-ATRIAL 62190 1,458.15$
62192 PR CREATE SHUNT:SUBARCH/DUR-PLEURAL 62192 1,541.83$
62194 PR REPLACE/IRRIGATE,SUBARACH/DUR CATH 62194 767.71$
62200 PR VENTRICULO-CISTERNOSTOMY,3RD VENT 62200 2,172.98$
62201 PR VENTRICULO-CISTERNOSTOMY,3RD VENT,STEREO 62201 1,896.82$
62220 PR CREATE SHUNT:VENTRIC-ATRIAL 62220 1,594.20$
62223 PR CREATE SHUNT:VENTRIC-PERITONEAL 62223 1,643.86$
62225 PR REPLACE/IRRIGATE VENTRIC CATH 62225 821.57$
62230 PR REPLACEMENT/REVISION,CSF SHUNT 62230 1,324.04$
62252 PR REPROGRAMMING,PROGRAMMABLE CSF SHUNT 62252 132.40$
62252 PR REPROGRAMMING,PROGRAMMABLE CSF SHUNT 62252 72.80$
62252 PR REPROGRAMMING,PROGRAMMABLE CSF SHUNT 62252 59.58$
62256 PR REMOVAL,COMPLETE CSF SHUNT,W/O REPLACE 62256 943.35$
62258 PR REMOVE & REPLACE CSF SHUNT 62258 1,758.21$
62263 PR LYSIS,PERQ,EPIDURAL ADHESIONS,2 DAYS/> 62263 948.12$
62264 PR LYSIS,PERQ,EPIDURAL ADHESIONS,1 DAY 62264 667.34$
62267 PR PERCUT ASPIRATION VERTEBRAL DISC 62267 395.18$
62268 PR PERCUT DRAIN SPINAL CORD CYST 62268 416.79$
62269 PR PERCUT NEEDLE BIOPSY SPINAL CORD 62269 423.90$
62270 PR DIAGNOSTIC LUMBAR SPINAL PUNCTURE 62270 250.32$
62272 PR THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF 62272 319.09$
62273 PR INJ,LUMB EPIDUR,BLOOD/CLOT PATCH 62273 276.69$
62280 PR INJ,NEUROLYTIC,SUBARACHNOID 62280 495.25$
62281 PR INJECT NEUROLYTIC,EPIDUR,CERV/THOR 62281 380.47$
62282 PR INJ,NEUROLYTIC,EPID/LUMB/CAUDAL 62282 459.10$
62284 PR INJECT,MYELOGRAPHY &/OR CT SCAN,SPINAL 62284 300.40$
62287 PR DCMPRN PERQ NUCLEUS PULPOSUS 1/> LEVELS LUMBAR 62287 922.30$
62290 PR INJECT DISKOGRAM,LUMBAR,EA LEVEL 62290 517.39$
62291 PR INJ,CERV/THORAC,FOR DISKOGRAPHY 62291 513.98$
62292 PR INJECT CHEMONUCLEOLYSIS 62292 927.07$
62294 PR INJECT SPINAL ARTERY,OCCLUDE AVM 62294 1,498.50$
62302 MYELOGRAPHY VIA LUMBAR INJ; CERVICAL 62302 385.18$
62303 MYELOGRAPHY VIA LUMBAR INJ; THORACIC 62303 394.15$
62304 MYELOGRAPHY VIA LUMBAR INJ; LUMBOSACRAL 62304 380.23$
62305 MYELOGRAPHY VIA LUMBAR INJ; 2 OR MORE REGIONS 62305 413.52$
62320 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN 62320 264.18$
62321 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN 62321 392.72$
62322 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN 62322 247.63$
62323 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN 62323 387.35$
62324 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN 62324 231.78$
62325 PR NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN 62325 349.97$
62326 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN 62326 243.66$
62327 PR NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN 62327 356.10$
62350 PR IMP SPINAL CANAL CATH 62350 636.49$
62351 PR IMPLANT SPINAL CATH W LAMINECT 62351 1,358.58$
62355 PR REMOVE SPINAL CANAL CATHETER 62355 426.38$
62360 PR INSERT SPINE INFUSN DEVICE,SUBCUT 62360 495.15$
62361 PR INSERT/ PREPLACE INFUSN PUMP,NONPROGRAM 62361 673.51$
62362 PR INSERT/ REPLACE INFUSN PUMP,PROGRAMMABLE 62362 610.14$
62365 PR REMOVE INFUSN DEVICE/PUMP 62365 470.33$
62367 PR ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL 62367 67.47$
62368 PR ANALYZE INFUSN PUMP+REPROGRAM 62368 90.92$
62369 PR ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFILL 62369 189.34$
62370 PR ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP 62370 200.31$
63001 PR LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG, CERVICAL 63001 1,954.23$
63003 PR LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG, THORACIC 63003 1,960.25$
63005 PR LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG, LUMBAR 63005 1,866.79$
63011 PR LAM W/O FACETEC FORAMOT/DSKC 1/2 VRT SEG, SACRAL 63011 1,733.26$
63012 PR LAMINECTOMY,FACETECTOMY,LUMBAR 63012 1,883.26$
63015 PR LAMINECTOMY,>2 SGMT,CERVICAL 63015 2,335.72$
63016 PR LAMINECTOMY,>2 SGMT,THORACIC 63016 2,412.61$
63017 PR LAMINECTOMY,>2 SGMT,LUMBAR 63017 1,981.01$
63020 PR EXCIS CERV DISK,ONE LEVEL 63020 1,832.82$
63030 PR LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR 63030 1,536.46$
63035 PR LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR 63035 303.91$
63040 PR LAMINOTOMY 63040 2,212.58$
63042 PR REDO EXCIS LUMBAR DISK 63042 2,056.66$
63043 PR REDO EXCIS CERV DISK, ADDN CERV INTERSPC 63043 466.70$
63044 PR REDO EXCIS CERV DISK, ADDN LUMB INTERSPC 63044 440.07$
63045 PR LAMINEC/FACETECT/FORAMIN,CERVICAL 1 SEG 63045 2,028.82$
63046 PR LAMINEC/FACETECT/FORAMIN,THORACIC 1 SEG 63046 1,936.57$
63047 PR LAMINEC/FACETECT/FORAMIN,LUMBAR 1 SEG 63047 1,744.46$
63048 PR LAMINEC/FACETECT/FORAMIN,EACH ADDNL 63048 336.25$
63050 PR C- LAMINOPLASTY, 2 OR MORE 63050 2,475.87$
63051 PR C-LAMINOPLASTY W/GRAFT/PLATE, 2 OR MORE 63051 2,707.22$
63055 PR XPEDICUL DECOMPRESS THROACIC CORD 63055 2,564.25$
63056 PR DECOMPRESS SPINAL CORD,1 SEG 63056 2,353.44$
63057 PR XPEDICUL DECOMPRESS CORD,ADDNL SGMT 63057 508.50$
63064 PR COSTOVERT DECOMPRESS THORACIC CORD 63064 2,810.84$
63066 PR COSTOVERT DECOMP THOR CORD,EACH ADDN 63066 327.48$
63075 PR DISK SURG,ANTER,CERVICAL,SINGLE LVL 63075 2,138.37$
63076 PR DISK SURG,ANTER,CERV,EA ADDNL LVL 63076 391.89$
63077 PR DISK SURG,THORAX,SINGLE LEVEL 63077 2,362.24$
63078 PR DISK SURG,THORAX,EA ADDNL LEVEL 63078 329.19$
63081 PR REMV VERT BODY,CERV,ONE SGMT 63081 2,783.32$
63082 PR REMV VERT BODY,CERV,EACH ADDNL SGMT 63082 423.41$
63085 PR REMV VERT BODY,THOR,ONE SGMT 63085 3,027.57$
63086 PR REMV VERT BODY,THOR,EACH ADDNL SGMT 63086 303.32$
63087 PR REMV VERT BODY,LO THOR/LUMB,ONE 63087 3,827.92$
63088 PR REMV VERT BODY,LO THOR/LUMB,EA ADDNL 63088 397.67$
63090 PR REMV VERT BODY,LOWER,RETROPER,ONE 63090 3,126.17$
63091 PR REMV VERT BODY,LOWR,RETROPER,EA ADDN 63091 284.56$
63101 PR REMV VERT BODY, LATERAL, THORACIC 63101 3,667.92$
63102 PR REMV VERT BODY, LATERAL, LUMBAR 63102 3,595.65$
63103 PR REMOVE VERTEBRAL BODY ADD-ON 63103 467.03$
63170 PR INCISE SPINAL CORD TRACT(S) 63170 2,513.31$
63172 PR DRAIN INTRAMEDULLARY->SUBARACH 63172 2,227.40$
63173 PR DRAIN INTRAMEDULLARY->PERITONEAL 63173 2,723.94$
63180 PR REVISE SP CORD LIG,CERV,ONE/TWO 63180 2,346.18$
63182 PR REVISE SP CORD LIG,CERV,>2 SGMT 63182 2,575.27$
63185 PR INCISE SP COLUMN/NERVES,ONE/TWO LVL 63185 1,801.35$
63190 PR INCISE SP COLUMN/NERVES,>2 LVL 63190 1,993.98$
63191 PR INCISE SPINAL ACCESS NERVE 63191 2,175.38$
63194 PR INCIS 1 SPINOTHAL,CERV,1 STAGE 63194 2,521.74$
63195 PR INCIS 1 SPINOTHAL,THOR,1 STAGE 63195 2,427.25$
63196 PR INCIS BOTH SPINOTHAL,CERV,1 STAGE 63196 2,812.08$
63197 PR INCIS BOTH SPINOTHAL,THOR,1 STAGE 63197 2,700.95$
63198 PR INCIS BOTH SPINOTHAL,CERV,2 STAGES 63198 3,300.79$
63199 PR INCIS BOTH SPINOTHAL,THOR,2 STAGES 63199 3,458.10$
63200 PR RELEASE TETHERED SPINAL CORD,LUMBR 63200 2,413.29$
63250 PR EXCIS/OCCLUD CORD AVM,CERVICAL 63250 4,675.19$
63251 PR EXCIS/OCCLUD CORD AVM,THORACIC 63251 4,777.69$
63252 PR EXCIS/OCCLUD CORD AVM,THORCOLUMBAR 63252 4,777.11$
63265 PR EXCIS INTRASP LESN,XDURAL,CERVICAL 63265 2,631.49$
63266 PR EXCIS INTRASP LESN,XDURAL,THORACIC 63266 2,708.90$
63267 PR EXCIS INTRASP LESN,XDURAL,LUMBAR 63267 2,161.25$
63268 PR EXCIS INTRASP LESN,XDURAL,SACRAL 63268 2,273.14$
63270 PR EXCIS INTRASP LESN,INTRADUR,CERV 63270 3,277.16$
63271 PR EXCIS INTRASP LESN,INTRADUR,THOR 63271 3,252.20$
63272 PR EXCIS INTRASP LESN,INTRADUR,LUMB 63272 2,988.45$
63273 PR EXCIS INTRASP LESN,INTRADUR,SACRAL 63273 2,943.15$
63275 PR BX/EXCIS SPINAL TUMOR,XDURAL,CERV 63275 2,835.20$
63276 PR BX/EXCIS SPINAL TUMOR,XDURAL,THOR 63276 2,810.59$
63277 PR BX/EXCIS SPINAL TUMOR,XDURAL,LUMB 63277 2,453.53$
63278 PR BX/EXCIS SPINAL TUMOR,XDURAL,SACR 63278 2,507.82$
63280 PR BX/EXCIS SPIN TUM,INDUR,XMED,CERV 63280 3,324.16$
63281 PR BX/EXCIS SPIN TUM,INDUR,XMED,THOR 63281 3,292.99$
63282 PR BX/EXCIS SPIN TUM,INDUR,XMED,LUMB 63282 3,099.23$
63283 PR BX/EXCIS SPIN TUM,INDUR,XMED,SACR 63283 2,998.35$
63285 PR BX/EXCIS SPIN TUM,INDUR,INMED,CERV 63285 4,123.89$
63286 PR BX/EXCIS SPIN TUM,INDUR,INMED,THOR 63286 4,073.03$
63287 PR BX/EXCIS SPIN TUM,INDUR,INMED,THLUM 63287 4,326.18$
63290 PR BX/EXCIS SPIN TUM,COMBINED,ANY LVL 63290 4,399.00$
63295 PR REPAIR OF LAMINECTOMY DEFECT, ADD-ON 63295 527.04$
63300 PR REMV VERT,EXDUR,CERV TUMOR 63300 2,890.67$
63301 PR REMV VERT,EXUDR,XTHOR,THOR TUMOR 63301 3,479.92$
63302 PR REMV VERT,EXDUR,THORLUM,THOR TUMOR 63302 3,436.69$
63303 PR REMV VERT,EXDUR,LUMB/SACR TUMOR 63303 3,650.56$
63304 PR REMV VERT,INDURAL,CERV TUMOR 63304 3,706.63$
63305 PR REMV VERT,INDURAL,XTHOR,THOR TUMOR 63305 3,944.26$
63306 PR REMV VERT,INDURAL,THORLUM,THOR TUMOR 63306 3,875.88$
63307 PR REMV VERT,INDURAL,LUMB/SACR TUMOR 63307 3,795.86$
63308 PR REMV VERT,EACH ADDNL SEGMENT 63308 508.43$
63600 PR CREATE SP CORD LESN,STEREOTAC 63600 1,634.31$
63610 PR STEREOTACT STIM SPINAL CORD 63610 922.27$
63615 PR STEREOTACT BX/ASPIR/EXCIS SP CORD 63615 1,953.57$
63620 PR STEREOTACTIC RADIOSURGERY, SPINAL, SINGLE LESION 63620 1,767.02$
63621 PR STEREOTACTIC RADIOSURGERY, SPINAL, EA ADD LESION 63621 402.07$
63650 PR PERCUT IMPLNT NEUROELECT,EPIDURAL 63650 2,087.91$
63655 PR SURG IMPLNT NEUROELECT,EPIDURAL 63655 1,308.75$
63661 PR REMOVE SPINAL NEUROSTIM ELECTRODE PERC ARRAY, INCL FLUORO 63661 927.10$
63662 PR REMOVE SPINAL NEUROSTIM ELECTRODE PLATE/PADDLE, INCL FLUORO 63662 1,322.62$
63663 PR REVISION SPINAL NEUROSTIM ELECTRODE PERC ARRAY, INCL FLUORO 63663 1,250.24$
63664 PR REVISION SPINAL NEUROSTIM ELECTRODE PLATE/PADDLE, INCL FLUORO 63664 1,376.20$
63685 PR IMPLANT SPINAL NEUROSTIM/RECEIVER 63685 577.29$
63688 PR REVISE/REMOVE SPINAL NEUROSTIM/RECEIVER 63688 592.48$
63700 PR REMENINGOCELE,<5 CM DIA 63700 2,049.20$
63702 PR REMENINGOCELE,5+ CM DIA 63702 2,243.93$
63704 PR REMYELOMENIGOCELE,<5 CM DIA 63704 2,601.65$
63706 PR REMYELOMENIGOCELE,5+ CM DIA 63706 2,895.24$
63707 PR REPR,DURAL/CSF LEAK,NOT REQ LAMINECTOMY 63707 1,460.02$
63709 PR REPR,DURAL/CSF LEAK,W/LAMINECTOMY 63709 1,742.02$
63710 PR DURAL GRAFT REPAIR,SPINE DEFECT 63710 1,714.85$
63740 PR INSTALL SPINAL SHUNT,LAMINECTOMY 63740 1,534.67$
63741 PR INSTALL SPINAL SHUNT,PERCUT 63741 1,071.59$
63744 PR REVISION OF SPINAL SHUNT 63744 1,038.23$
63746 PR REMOVAL OF SPINAL SHUNT 63746 946.94$
64400 PR INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH 64400 206.37$
64402 PR INJECT NERV BLCK,FACIAL NERV 64402 221.08$
64405 PR INJECTION AA&/STRD GREATER OCCIPITAL NERVE 64405 161.68$
64408 PR INJECTION AA&/STRD VAGUS NERVE 64408 185.20$
64410 PR INJECT NERV BLCK,PHRENIC NERVE 64410 242.43$
64413 PR INJECT NERV BLCK,CERV PLEXUS 64413 201.47$
64415 PR INJECTION AA&/STRD BRACHIAL PLEXUS 64415 188.55$
64416 PR INJECTION AA&/STRD BRACHIAL PLEXUS CONT NFS CATH 64416 128.30$
64417 PR INJECTION AA&/STRD AXILLARY NERVE 64417 206.13$
64418 PR INJECTION AA&/STRD SUPRASCAPULAR NERVE 64418 185.91$
64420 PR INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL 64420 177.39$
64421 PR INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL 64421 240.22$
64425 PR INJECTION AA&/STRD ILIOINGUINAL IH NERVES 64425 213.44$
64430 PR INJECTION AA&/STRD PUDENDAL NERVE 64430 218.08$
64435 PR INJECTION AA&/STRD PARACERVICAL NERVE 64435 216.53$
64445 PR INJECTION AA&/STRD SCIATIC NERVE 64445 218.00$
64446 PR INJECTION AA&/STRD SCIATIC NERVE CONT NFS CATH 64446 128.30$
64447 PR INJECTION AA&/STRD FEMORAL NERVE 64447 193.58$
64448 PR INJECTION AA&/STRD FEMORAL NERVE CONT NFS CATH 64448 115.80$
64449 PR INJECTION AA&/STRD LUMBAR PLEXUS CONT NFS CATH 64449 136.59$
64450 PR INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH 64450 127.07$
64454 PR INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG 64454 337.57$
64455 PR NJX AA&/STRD PLANTAR COMMON DIGITAL NERVES 64455 76.33$
64461 PR PVB THORACIC SINGLE INJECTION SITE W/IMG GID 64461 235.27$
64462 PR PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID 64462 129.77$
64463 PR PVB THORACIC CONT CATHETER INFUSION W/IMG GID 64463 252.27$
64479 PR NJX AA&/STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL 64479 372.59$
64480 PR NJX AA&/STRD TFRML EPI CERVICAL/THORACIC EA ADDL 64480 179.52$
64483 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL 64483 952.90$
64484 PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL EA ADDL 64484 232.09$
64486 TRANSVERSUS ABDOMINIS PLANE; UNILATERAL, BY INJECTION 64486 185.79$
64487 TRANSVERSUS ABDOMINIS PLANE; UNILATERAL, BY CONTINUOUS INFUSION 64487 212.32$
64488 TRANSVERSUS ABDOMINIS PLANE; BILATERAL, BY INJECTION 64488 214.02$
64489 TRANSVERSUS ABDOMINIS PLANE; BILATERAL, BY CONTINUOUS INFUSION 64489 289.76$
64490 PR INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 1ST LEVEL 64490 402.00$
64491 PR INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, 2ND LEVEL 64491 167.28$
64492 PR INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,CERV/THORAC, ADD LEVEL 64492 167.28$
64493 PR INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 1ST LEVEL 64493 272.02$
64494 PR INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, 2ND LEVEL 64494 136.83$
64495 PR INJ DX/THER AGNT PARAVERT FACET JOINT,IMG GUIDE,LUMBAR/SAC, ADD LEVEL 64495 136.83$
64505 PR INJECT NERV BLCK,SPHENOPALAT GANGLN 64505 173.00$
64508 PR INJECT NERV BLCK,CAROTID SINUS 64508 79.65$
64510 PR INJECT NERV BLCK,STELLATE GANGLION 64510 201.98$
64517 PR N BLOCK INJ, HYPOGAS PLXS 64517 302.54$
64520 PR INJECT NERV BLCK,PARAVERT SYMPATH 64520 296.46$
64530 PR INJECT NERV BLCK,CELIAC PLEXUS 64530 298.72$
64550 PR APPLICATION OF SURFACE NEUROSTIMULATOR 64550 28.53$
64553 PR PERCUT IMPLNT NEUROELEC,CRANIAL 64553 1,758.06$
64555 PR PERCUT IMPLANT,NEUROELEC,PERIPH NERVE 64555 1,905.11$
64561 PR PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING 64561 1,315.59$
64565 PR PRQ IMPLTJ NSTIM ELTRD NEUROMUSCULAR 64565 307.79$
64566 PR POST TIBIAL NEUROSTIMULATION,PERC NEEDLE ELECTRODE 64566 204.24$
64568 PR INCISION IMPLANT CRANIAL NERVE STIM ELECTRODE/PULSE GEN 64568 1,009.98$
64569 PR REVISE/REPLACE CRANIAL NERVE STIM ELECTRODE/CONNECT PULSE GEN 64569 1,214.55$
64570 PR REMOVE IMPLANT CRANIAL NERVE STIM ELECTRODE/PULSE GEN 64570 1,159.08$
64575 PR INCISION,IMPLANT,NEUROELEC,PERIPH NERVE 64575 511.71$
64580 PR INCIS IMPLNT NEUROELEC,NEUROMUSC 64580 483.99$
64581 PR INCISION,IMPLANT,NEUROELEC,SACRAL NERVE 64581 1,072.37$
64585 PR REVISE/REMOVE PERIPHERAL NEUROELECTRODE 64585 388.97$
64590 PR IMPLANT PERIPH/GASTRIC NEUROSTIM/RECEIVER 64590 423.46$
64595 PR REVISE/REMOVE PERIPH/GASTRIC NEUROSTIM/RECEIVER 64595 390.19$
64600 PR INJECT TRIGEM NERV,1ST BRANCH 64600 639.14$
64605 PR INJECT 5TH NERV-2,3 DIV,F.OVALE 64605 861.40$
64610 PR INJECT 5TH N.-2,3 DIV,F.OVALE,XRAY 64610 1,157.71$
64611 PR CHEMODENERVATION PAROTID/SUBMANDIBULAR SALIVARY GLANDS,BILATERAL 64611 188.02$
64612 PR CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL 64612 210.31$
64615 PR CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE 64615 228.95$
64616 PR CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA 64616 203.53$
64617 PR CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG 64617 254.18$
64620 PR DEST,INTERCOSTAL,NEUROLYTIC 64620 327.15$
64630 PR DESTRUCT BY NEURO AGENT; PUDENDAL 64630 364.58$
64632 PR DESTRUCT BY NEURO AGENT; PLANTAR DIGITAL NERVE 64632 136.88$
64633 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA 64633 665.02$
64634 PR DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA 64634 298.32$
64635 PR DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL 64635 725.00$
64636 PR DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL 64636 303.00$
64640 PR DESTRUCT BY NEURO AGENT; OTHER PERIPH NERVE 64640 378.53$
64642 PR CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE 64642 226.83$
64643 PR CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE 64643 146.37$
64644 PR CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES 64644 259.61$
64645 PR CHEMODENERVATION 1 EXTREMITY EA ADDL 5/< MUSCLES 64645 180.11$
64646 PR CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES 64646 236.33$
64647 PR CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES 64647 279.26$
64650 PR CHEMODENERV ECCRINE GLANDS BOTH AXILLAE 64650 123.32$
64653 PR CHEMODENERV ECCRINE GLANDS, NON-AXILLARY 64653 150.60$
64680 PR INJECT RX CELIAC PLEXUS NERVE 64680 479.61$
64681 PR INJECTION TREATMENT OF NERVE 64681 823.71$
64702 PR REVISE/REPAIR FINGER/TOE NERVE 64702 797.13$
64704 PR REVISE/REPAIR HAND/FOOT NERVE 64704 512.36$
64708 PR NEUROPLASTY OTHER ARM/LEG NERVE,OPEN 64708 793.37$
64712 PR NEUROPLASTY SCIATIC NERVE,OPEN 64712 919.30$
64713 PR NEUROPLASTY BRACHIAL PLEXUS,OPEN 64713 1,220.93$
64714 PR NEUROPLASTY LUMBAR PLEXUS,OPEN 64714 1,133.65$
64716 PR REVISION OF CRANIAL NERVE 64716 841.47$
64718 PR REVISE ULNAR NERVE AT ELBOW 64718 940.98$
64719 PR REVISE ULNAR NERVE AT WRIST 64719 636.19$
64721 PR REVISE MEDIAN N/CARPAL TUNNEL SURG 64721 681.52$
64722 PR RELIEVE PRESSURE ON NERVE(S) 64722 570.14$
64726 PR RELEASE FOOT/TOE NERVE 64726 436.90$
64727 PR INTERN NERVE REVIS,OPER MICROSCOPE 64727 293.88$
64732 PR TRANSECT SUPRAORBITAL NERV 64732 693.56$
64734 PR TRANSECT INFRAORBITAL NERV 64734 785.52$
64736 PR TRANSECT MENTAL NERV 64736 617.38$
64738 PR TRANSECT OF JAW NERVE 64738 739.33$
64740 PR TRANSECT OF TONGUE NERVE 64740 785.70$
64742 PR TRANSECT OF FACIAL NERVE 64742 792.84$
64744 PR TRANSECT GREAT OCCIPITAL NERV 64744 776.67$
64746 PR TRANSECT DIAPHRAGM NERVE 64746 680.74$
64755 PR TRANSECT VAGUS NERVES,PROXIMAL STOMACH 64755 1,459.72$
64760 PR TRANSECT VAGUS,TRANSABDOMINAL 64760 815.55$
64763 PR TRANSECT OBTURATR,XTRAPELV,HIP/LEG 64763 807.31$
64766 PR TRANSECT OBTURATR,INTRAPELV,HIP/LEG 64766 994.29$
64771 PR TRANSECT OTHER CRAN N,EXTRADURAL 64771 947.05$
64772 PR TRANSECT OTHR SPINAL N,XTRADURAL 64772 897.95$
64774 PR EXCISE CUTANEOUS NEUROMA 64774 656.60$
64776 PR EXCISE DIGITAL NEUROMA 64776 624.86$
64778 PR EXCISE DIGITAL NEUROMA,ADDNL DIGIT 64778 292.94$
64782 PR EXCISE HAND/FOOT NEUROMA 64782 730.16$
64783 PR EXCISE HAND/FOOT NEUROMA,EACH ADDNL 64783 350.20$
64784 PR EXCISE MAJOR PERIPHERAL NEUROMA 64784 1,158.15$
64786 PR EXCISE SCIATIC NERVE NEUROMA 64786 1,587.10$
64787 PR IMPLANT NERVE END TO BONE/MUSC 64787 387.82$
64788 PR EXCISE CUTANEOUS NEUROFIBROMA 64788 628.44$
64790 PR EXCISE MAJOR PERIPH NEUROFIBROMA 64790 1,331.45$
64792 PR EXCISE NEUROFIBROMA EXTENSIVE 64792 1,875.21$
64795 PR BIOPSY OF NERVE 64795 308.40$
64802 PR SYMPATHECTOMY,CERVICAL 64802 1,308.29$
64804 PR SYMPATHECTOMY,CERVICOTHORACIC 64804 1,863.44$
64809 PR SYMPATHECTOMY,THORACOLUMBAR 64809 1,712.90$
64818 PR SYMPATHECTOMY,LUMBAR 64818 1,002.62$
64820 PR SYMPATHECTOMY,DIGITAL ARTERIES, EA 64820 1,139.44$
64821 PR SYMPATHECTOMY,RADIAL ARTERY 64821 1,101.84$
64822 PR SYMPATHECTOMY,ULNAR ARTERY 64822 1,101.84$
64823 PR SYMPATHECTOMY,SUPERFICIAL PALMAR ARCH 64823 1,254.31$
64831 PR REPAIR OF DIGIT NERVE 64831 1,094.25$
64832 PR REPAIR EACH ADDNL DIGIT NERVE 64832 541.60$
64834 PR SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE 64834 1,181.19$
64835 PR SUTURE 1 NERVE MEDIAN MOTOR THENAR 64835 1,297.97$
64836 PR SUTURE 1 NERVE ULNAR MOTOR 64836 1,297.97$
64837 PR REPAIR EACH ADDNL HAND/FOOT NERVE 64837 589.97$
64840 PR REPAIR POST TIBIAL NERVE 64840 1,533.08$
64856 PR REPAIR/TRANSPOS MAJ PERIPH NERVE 64856 1,616.01$
64857 PR REPAIR MAJOR PERIPHERAL NERVE 64857 1,690.41$
64858 PR REPAIR SCIATIC NERVE 64858 1,879.23$
64859 PR REPAIR ADDNL MAJ PERIPH NERVE 64859 400.95$
64861 PR REPAIR BRACHIAL PLEXUS 64861 2,388.44$
64862 PR REPAIR LUMBAR PLEXUS 64862 2,200.79$
64864 PR REFACIAL NERVE,EXTRACRANIAL 64864 1,396.02$
64865 PR REFACIAL NERVE,INFRATEMP 64865 1,745.16$
64866 PR ANAST FACIAL-SPINAL ACCESS 64866 2,055.42$
64868 PR ANAST FACIAL-HYPOGLOSSAL NERVE 64868 1,598.01$
64872 PR RENERVE,SECONDARY/DELAY 64872 187.06$
64874 PR REPR/TRANSPOSE NERVE,SECONDARY 64874 281.28$
64876 PR REPAIR NERVE DELAY,SHORTEN BONE 64876 318.22$
64885 PR NERVE GRAFT,HEAD/NECK,ONE,=<4 CM 64885 1,793.30$
64886 PR NERVE GRAFT,HEAD/NECK,ONE,>4 CM 64886 2,057.39$
64890 PR NERVE GRAFT,HAND/FOOT,ONE,=<4 CM 64890 1,724.20$
64891 PR NERVE GRAFT,HAND/FOOT,ONE,>4 CM 64891 1,834.21$
64892 PR NERVE GRAFT,ARM/LEG,ONE,UP TO 4 CM 64892 1,676.32$
64893 PR NERVE GRAFT,ARM/LEG,ONE,>4 CM 64893 1,789.41$
64895 PR NERV GRFT,HAND/FOOT,MULT,=<4 CM 64895 2,121.44$
64896 PR NERV GRFT,HAND/FOOT,MULT,>4 CM 64896 2,288.20$
64897 PR NERV GRFT,ARM/LEG,MULT,=<4 CM 64897 2,026.07$
64898 PR NERV GRFT,ARM/LEG,MULT,>4 CM 64898 2,196.33$
64901 PR EA ADDNL NERVE GRAFT,SINGLE STRAND 64901 961.95$
64902 PR EA ADDNL NERVE GRAFT,MULTPL STRANDS 64902 1,113.75$
64905 PR NERVE PEDICLE XFER,FIRST STAGE 64905 1,616.77$
64907 PR NERVE PEDICLE XFER,SECOND STAGE 64907 2,080.68$
64910 PR NERVE REPAIR W/ALLOGRAFT OR SYNTH 64910 1,279.16$
64911 PR NEURORRAPHY W/VEIN AUTOGRAFT 64911 1,634.79$
64912 PR NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND 64912 1,244.88$
64913 PR NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND 64913 252.45$
65091 PR REMOVE OCULAR CONTENTS 65091 1,012.08$
65093 PR REMOVE OCULAR CONTENTS W IMPLANT 65093 1,000.44$
65101 PR REMOVAL OF EYE 65101 1,175.71$
65103 PR REMOVE EYE W IMPLANT 65103 1,227.44$
65105 PR REMOVE EYE W MUSC TO IMPLANT 65105 1,352.88$
65110 PR REMOVAL OF ORBITAL CONTENTS 65110 1,948.01$
65112 PR REMOVE ORBIT/REMV BONE 65112 2,259.87$
65114 PR REMOVE ORBIT W MUSC FLAP 65114 2,369.98$
65125 PR MODIFY OCULAR IMPLANT 65125 727.96$
65130 PR LATE OCULAR IMPLANT POST EVISC 65130 1,166.48$
65135 PR LATE OCUL IMPLNT POST ENUCL,NO MUSC 65135 1,183.40$
65140 PR LATE OCUL IMPLNT POST ENUCL,W MUSC 65140 1,286.55$
65150 PR REINSERT OCULAR IMPLANT 65150 920.47$
65155 PR REINSERT OCULAR IMPLANT,REINFORCEMT 65155 1,348.36$
65175 PR REMOVAL OF OCULAR IMPLANT 65175 1,046.31$
65205 PR REMV F.B.,EYE,SUPERF CONJUNC 65205 90.88$
65210 PR REMV F.B.,EYE,EMBED CONJUNC 65210 110.43$
65220 PR REMV F.B.,EYE,CORNEA,NO SLIT 65220 94.20$
65222 PR REMV F.B.,EYE,CORNEA,SLIT LAMP 65222 108.22$
65235 PR REMOVAL,FB,INTRAOCULAR,ANT CHAMBER/LENS 65235 1,133.58$
65260 PR REMV F.B.,EYE,POST SGMT,MAGNETIC 65260 1,533.74$
65265 PR REMV F.B.,EYE,POST SGMT,NONMAGNETIC 65265 1,721.46$
65270 PR REPAIR CONJUNC LACERATN 65270 426.18$
65272 PR REPAIR CONJUNC LAC,REARRANG,NO HOSP 65272 801.01$
65273 PR REPAIR CONJUNC LAC,REARRANG,IN HOSP 65273 608.31$
65275 PR REPAIR CORNEA LAC,NONPERFORATING 65275 923.01$
65280 PR REPAIR CORNEA LAC,PERF,NO UVEAL 65280 1,073.54$
65285 PR REPAIR CORNEA LAC,PERF,RESEC UVEAL 65285 1,772.08$
65286 PR REPAIR CORNEA LAC,APPLY GLUE 65286 1,123.11$
65290 PR REPAIR EXTRAOCULAR MUSC WOUND 65290 784.00$
65400 PR EXCIS CORNEA LESN 65400 1,084.88$
65410 PR BIOPSY OF CORNEA 65410 229.58$
65420 PR EXCIS PTERYGIUM 65420 823.28$
65426 PR EXCIS PTERYGIUM,W GRAFT 65426 1,039.35$
65430 PR CORNEAL SMEAR 65430 184.93$
65435 PR CURETTE/TREAT CORNEA 65435 129.86$
65436 PR CURETTE/TREAT CORNEA,APPLY CHELATE 65436 620.00$
65450 PR DESTR CORNEAL LESN,CRYO,PHOTO,THERM 65450 520.28$
65600 PR MULT PUNC ANTER CORNEA 65600 629.05$
65710 PR CORNEAL TRANSPLANT,LAMELLAR 65710 1,764.74$
65730 PR CORNEAL TRANSPLANT,PENETRATING 65730 1,960.05$
65750 PR CORNEAL TRANSPLANT,PENETRAT,APHAKIA 65750 1,969.92$
65755 PR CORNEAL TRANSPLANT,PEN,PSEUDOAPHAK 65755 1,960.23$
65756 PR CORNEAL TRANSPLANT,ENDOTHELIAL 65756 1,893.46$
65770 PR REVISE CORNEA WITH IMPLANT 65770 2,239.30$
65772 PR CORNEAL RELAX INCIS,CORREC ASTIG 65772 720.54$
65775 PR CORNEAL WEDGE,CORRECT ASTIGMATISM 65775 880.37$
65778 PR PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES 65778 2,225.42$
65779 PR PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED 65779 1,909.53$
65780 PR OCULAR SURF RECONST, AMNIOTIC TRANSPLANT, MULTIPLE LAYERS 65780 1,063.28$
65781 PR OCULAR SURF RECONST, LIMBAL STEM CELL ALLOGRAFT 65781 2,131.02$
65782 PR OCULAR SURF RECONST, LIMBAL CONJ AUTOGRAFT 65782 1,838.63$
65785 PR IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS 65785 3,960.97$
65800 PR PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX 65800 191.58$
65810 PR DRAIN ANT CHMBR,REMV VITREOUS 65810 743.03$
65815 PR DRAIN ANT CHMBR,REMV BLOOD 65815 1,017.65$
65820 PR RELIEVE INNER EYE PRESSURE 65820 1,194.98$
65850 PR INCISION OF EYE 65850 1,341.20$
65855 PR TRABECULOPLASTY BY LASER SURGERY 65855 391.86$
65860 PR INCISE INNER EYE ADHESNS,LASER 65860 494.04$
65865 PR INCISE INNER EYE ADHESNS,INCISN 65865 754.79$
65870 PR INCISE ANT SYNECHIAE,EYE 65870 943.16$
65875 PR INCISE POST SYNECHIAE,EYE 65875 1,006.32$
65880 PR INCISE CORNEO-VITREAL ADHESIONS,EYE 65880 1,059.18$
65900 PR REMVL,EPITH DOWNGROWTH,ANT CHAMBER,EYE 65900 1,538.64$
65920 PR REMVL,IMPLANT MATERIAL,ANT SEGMENT,EYE 65920 1,258.08$
65930 PR REMOVAL,BLOOD CLOT,ANT SEGMENT,EYE 65930 1,017.64$
66020 PR INJECTION,ANT CHAMBER,EYE,AIR/LIQUID 66020 297.91$
66030 PR INJECT ANTER CHMBR EYE,MEDICATN 66030 265.78$
66130 PR REMOVE EYE LESION,SCLERA 66130 1,111.44$
66150 PR GLAUCOMA SURG,TREPHINATN/IRIDECT 66150 1,398.84$
66155 PR GLAUCOMA SURG,THERMOCAUT/IRIDECT 66155 1,397.70$
66160 PR GLAUCOMA SURG,SCLERECT,PUNCH/SCISS 66160 1,576.62$
66170 PR GLAUCOMA SURG,TRABECU AB EXTERNO 66170 1,746.69$
66172 PR GLAUCOMA SURG,TRAB AB EXT,PREV SCAR 66172 1,901.81$
66174 PR TRANSLUMINAL DILATION AQUEOUS CANAL, W/O RETENTION DEVICE/STENT 66174 1,514.37$
66175 PR TRANSLUMINAL DILATION AQUEOUS CANAL, W RETENTION DEVICE/STENT 66175 1,585.72$
66179 CREATION OF SHUNT TO IMPROVE EYE FLUID FLOW 66179 1,721.26$
66180 PR WATER SHUNT-EXTRAOCUL RESERV 66180 1,816.37$
66183 PR INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR 66183 1,644.82$
66184 REVISION OF SHUNT TO IMPROVE EYE FLUID FLOW 66184 1,252.99$
66185 PR REVISE EYE SHUNT 66185 1,348.08$
66220 PR REPAIR SCLERA STAPHYLOMA 66220 1,192.03$
66225 PR REPAIR SCLERA STAPHYLOMA W GRAFT 66225 1,489.04$
66250 PR REVIS/REPAIR OP WOUND ANTER SGMT 66250 1,193.74$
66500 PR INCISION OF IRIS 66500 563.66$
66505 PR INCISION OF IRIS,W TRANSFIXATN 66505 618.45$
66600 PR REMV IRIS/LESION 66600 1,329.06$
66605 PR REMV IRIS,CYCLECTOMY 66605 1,686.86$
66625 PR REMV IRIS,PERIPH FOR GLAUCOMA 66625 685.41$
66630 PR REMV IRIS,SECTOR FOR GLAUCOMA 66630 909.27$
66635 PR REMV IRIS,OPTICAL 66635 918.21$
66680 PR REPAIR IRIS/CILIARY BODY 66680 825.79$
66682 PR SUTURE IRIS/CILIARY BODY 66682 1,017.65$
66700 PR DESTRUC,CILIARY BODY,DIATHERMY 66700 720.52$
66710 PR DESTRUC,CILIARY BODY,CYCLOPHOTOCOAG 66710 705.05$
66711 PR ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS 66711 1,026.40$
66720 PR CILIARY BODY DESTRUCTION CRYOTHERAPY 66720 734.86$
66740 PR DESTRUC,CILIARY BODY,CYCLODIALYSIS 66740 700.06$
66761 PR IRIDOTOMY/IRIDECTOMY BY LASER, PER SESSION 66761 473.72$
66762 PR IRIDOPLASTY BY PHOTOCOAG 66762 759.73$
66770 PR RESEC CYST/LESN IRIS/CILIARY BODY 66770 843.65$
66820 PR DISCISSION,2ND CATARACT,INCIS 66820 629.10$
66821 PR DISCISSION,2ND CATARACT,LASER 66821 525.26$
66825 PR REPOSITION INTRAOCULAR LENS W INCIS 66825 1,211.69$
66830 PR REMV 2ND CATARACT,CORN-SCLER SECTN 66830 1,137.28$
66840 PR REMV LENS MATERIAL,ASPIRATN 66840 1,113.01$
66850 PR REMV LENS MATERIAL,PHACOFRAGMT 66850 1,266.72$
66852 PR REMV LENS MATERIAL,PARS PLANAR APPRC 66852 1,349.42$
66920 PR EXTRACT LENS,INTRACAPSULAR 66920 1,204.65$
66930 PR EXTRACT LENS,INTRACAP,DISLOC LENS 66930 1,368.59$
66940 PR EXTRACT LENS,EXTRACAPSULAR 66940 1,249.79$
66982 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP 66982 1,270.45$
66983 PR REMV CATARACT INTRACAP,INSERT LENS 66983 1,191.33$
66984 PR XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP 66984 1,021.99$
66985 PR INSERT LENS PROSTHESIS ONLY 66985 1,230.54$
66986 PR EXCHANGE LENS PROSTHESIS 66986 1,452.00$
66990 PR OPHTHALMIC ENDOSCOPE USE 66990 144.52$
67005 PR PART REMV VITREOUS,ANT APPRCH 67005 754.26$
67010 PR SUBTOT REMV VITREOUS,MECH VIRECTOMY 67010 866.81$
67015 PR RELEAS VITREOUS,SUBRET/CHOROID FLUID 67015 926.19$
67025 PR REPLACE EYE FLUID 67025 1,159.31$
67027 PR IMPLANT EYE DRUG SYSTEM 67027 1,361.99$
67028 PR INJECT INTRAVITREAL PHARMCOLOGIC 67028 162.59$
67030 PR INCISE INNER VITREOUS STRANDS 67030 849.68$
67031 PR LASER SURGERY,SEVER VITREOUS STRANDS 67031 621.59$
67036 PR VITRECTOMY,MECHANICAL 67036 1,440.19$
67039 PR VITRECTOMY,FOCAL LASER RX RETINA 67039 1,542.50$
67040 PR VITRECTOMY,PANRETINAL LASER RX 67040 1,667.41$
67041 PR VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE 67041 1,842.77$
67042 PR VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA 67042 1,842.77$
67043 PR VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE 67043 1,947.17$
67101 PR RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX 67101 523.12$
67105 PR RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC 67105 473.20$
67107 PR REPAIR RETINAL DETACHMENT SCLERAL BUCKLING 67107 1,810.25$
67108 PR RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH 67108 1,919.78$
67110 PR REPAIR DETACD RETINA,INJECT AIR/GAS 67110 1,398.38$
67113 PR RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL 67113 2,142.39$
67115 PR RELEASE ENCIRCL MATERIAL,POST SGMT 67115 797.69$
67120 PR REMV POST EYE IMPLNT MATER,EXTRAOCUL 67120 1,046.08$
67121 PR REMV POST EYE IMPLNT MATER,INTRAOCUL 67121 1,451.42$
67141 PR PROPHYLAXIS RETINA DETACH,CRYO/DIATH 67141 837.06$
67145 PR PROPHYLAXIS RETINA DETACH,PHOTOCOAG 67145 842.90$
67208 PR DESTRUC RETINAL LESN,CRYOTHERAPY 67208 956.82$
67210 PR DESTRUC RETINAL LESN,PHOTOCOAG 67210 826.83$
67218 PR DESTRUC RETINAL LESN,RADN IMPLNT 67218 2,212.01$
67220 PR DEST,CHOROID LESION,PHOTOCOAG 67220 852.26$
67221 PR DEST,CHOROID LESN,PHOTODYNAMIC THERAPY 67221 457.31$
67225 PR DEST,CHOROID LESN,PHOTODYN THER,2ND EYE 67225 47.82$
67227 PR DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY 67227 465.05$
67228 PR TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION 67228 546.32$
67229 PR TX EXTENSIVE RETINOPATHY, PRETERM INFANT 67229 1,863.71$
67250 PR REINFORCE SCLERA EYE 67250 1,245.88$
67255 PR REINFORCE SCLERA EYE W GRAFT 67255 1,091.16$
67311 PR STABISMUS SURG,ONE HORIZ MUSCLE 67311 954.23$
67312 PR STABISMUS SURG,TWO HORIZ MUSCLE 67312 1,136.39$
67314 PR STABISMUS SURG,ONE VERT MUSCLE 67314 1,073.57$
67316 PR STABISMUS SURG,2+ VERT MUSCLE 67316 1,281.80$
67318 PR STABISMUS SURG,SUPER-OBLIQ MUSC 67318 1,127.64$
67320 PR TRANSPOSITION ANY EXTRAOCUL MUSC 67320 517.97$
67331 PR STABISM SURG,PREV EYE SURG,NOT MUSC 67331 490.99$
67332 PR STABISMUS SURG,SCAR EXTRAOCUL MUSC 67332 532.62$
67334 PR STABISMUS SURG,POST FIXATN SUTURE 67334 484.29$
67335 PR STABISMUS SURG,PLACE ADJUST SUTURE 67335 237.91$
67340 PR STABISMUS SURG,REPAIR DETACH MUSC 67340 575.80$
67343 PR RELEASE EXTEN SCAR TISSUE EYE 67343 1,039.81$
67345 PR DESTROY NERVE OF EYE MUSCLE 67345 387.83$
67346 PR BIOPSY OF EXTRAOCULAR MUSCLE 67346 310.93$
67400 PR EXPLORE EYE SOCKET 67400 1,483.10$
67405 PR EXPLORE EYE SOCKET,DRAINAGE 67405 1,258.21$
67412 PR EXPLORE EYE SOCKET,REMV LESN 67412 1,357.44$
67413 PR EXPLORE EYE SOCKET,REMV F.B. 67413 1,362.41$
67414 PR EXPLORE EYE SOCKET,DECOMPRESS 67414 2,114.05$
67415 PR NEEDLE ASPIR ORBITAL CONTENTS 67415 168.14$
67420 PR LAT EXPLOR EYE SOCK,REMV LESN 67420 2,577.68$
67430 PR LAT EXPLOR EYE SOCK,REMV F.B. 67430 1,988.83$
67440 PR LAT EXPLOR EYE SOCK,DRAINAGE 67440 1,923.92$
67445 PR LAT EXPLOR EYE SOCK,DECOMPRESS 67445 2,236.01$
67450 PR LAT EXPLOR EYE SOCK 67450 2,000.61$
67500 PR RETROBULBAR INJECT,MEDICATN 67500 127.76$
67505 PR RETROBULBAR INJECT,ALCOHOL 67505 139.76$
67515 PR INJ,THER AGENT INTO TENON'S CAPSULE 67515 154.89$
67550 PR INSERT EYE SOCKET IMPLANT 67550 1,537.82$
67560 PR REVISE EYE SOCKET IMPLANT 67560 1,576.89$
67570 PR DECOMPRESS OPTIC NERVE 67570 1,843.53$
67700 PR DRAINAGE OF EYELID ABSCESS 67700 426.82$
67710 PR INCISION OF EYELID 67710 355.61$
67715 PR INCISION OF EYELID FOLD 67715 381.41$
67800 PR EXCIS CHALAZION,SINGLE 67800 203.58$
67801 PR EXCIS CHALAZION,MULT,SAME LID 67801 259.63$
67805 PR EXCIS CHALAZION,MULT,BOTH LIDS 67805 322.64$
67808 PR EXCIS CHALAZION,GEN ANESTHESIA 67808 588.32$
67810 PR INCISIONAL BIOPSY EYELID SKIN & LID MARGIN 67810 271.41$
67820 PR REVISE EYELASHES,FORCEPS 67820 64.15$
67825 PR REVISE EYELASHES 67825 204.73$
67830 PR REVISE EYELASHES,INCIS LID MARGIN 67830 424.00$
67835 PR REVISE EYELASHES,INCIS LID+GRFT 67835 700.97$
67840 PR REMOVE EYELID LESN (NOT CHALAZION) 67840 438.44$
67850 PR DESTRUC EYELID LESN, <1 CM 67850 340.33$
67875 PR TEMP CLOSURE EYELID BY SUTURE 67875 274.63$
67880 PR REVISION OF EYELID 67880 730.59$
67882 PR REVISION EYELID,XPOSITN TARSAL PLATE 67882 900.17$
67900 PR REPAIR BROW PTOSIS 67900 1,018.25$
67901 PR FIX LID PTOSIS,FRONTALIS MUSC,SUT 67901 1,203.71$
67902 PR FIX LID PTOSIS,FRONT MUSC,FAS SLNG 67902 1,154.47$
67903 PR FIX LID PTOSIS,LEVATR RESEC,INTERN 67903 945.70$
67904 PR FIX LID PTOSIS,LEVATR RESEC,EXTERN 67904 1,167.23$
67906 PR FIX LID PTOSIS,SUPER RECTUS TECH 67906 812.41$
67908 PR FIX LID PTOSIS,FASANELLA-SERVAT 67908 787.02$
67909 PR REDN OVERCORRECTN OF LID PTOSIS 67909 854.77$
67911 PR CORRECT LID RETRACTN 67911 898.08$
67912 PR CORRECTION EYELID W/ IMPLANT 67912 1,389.76$
67914 PR FIX ECTROPION,SUTURE 67914 746.21$
67915 PR FIX ECTROPION,THERMOCAUT 67915 466.08$
67916 PR FIX ECTROPION,EXCIS TARSAL WEDGE 67916 941.64$
67917 PR FIX ECTROPION,ENTENSV LID REPAIR 67917 960.09$
67921 PR FIX ENTROPION,SUTURE 67921 732.07$
67922 PR FIX ENTROPION,THERMOCAUT 67922 461.65$
67923 PR FIX ENTROPION,EXCIS TARSAL WEDGE 67923 941.51$
67924 PR FIX ENTROPION,EXTENSV LID REPAIR 67924 1,004.47$
67930 PR SUTURE EYELID WOUND,PARTIAL THICK 67930 580.60$
67935 PR SUTURE EYELID WOUND,FULL THICK 67935 945.71$
67938 PR REMOVE EYELID FOREIGN BODY,EMBEDDED 67938 388.34$
67950 PR CANTHOPLASTY 67950 911.71$
67961 PR REVISION OF EYELID,< 1/4 LID MARGIN 67961 916.36$
67966 PR REVISION OF EYELID,> 1/4 LID MARGIN 67966 1,224.71$
67971 PR RECONSTRUC EYELID,<2/3,ONE STAGE 67971 1,156.22$
67973 PR RECONSTRUC EYELID,TOT LOWER,1 STAGE 67973 1,487.99$
67974 PR RECONSTRUC EYELID,TOT UPPER,1 STAGE 67974 1,484.46$
67975 PR RECONSTRUC EYELID,SECOND STAGE 67975 1,093.67$
68020 PR INCISE/DRAIN CONJUNCTIVA 68020 192.54$
68040 PR EXPRESS CONJUNC FOLLICLES 68040 99.96$
68100 PR BIOPSY OF CONJUNCTIVA 68100 272.00$
68110 PR EXCIS CONJUNC LESN,=<1 CM 68110 359.62$
68115 PR EXCIS CONJUNC LESN,>1 CM 68115 495.96$
68130 PR EXCIS CONJUNC LESN+ADJ SCLERA 68130 858.12$
68135 PR DESTRUC CONJUNC LESN 68135 251.28$
68200 PR SUBCONJUNCTIVAL INJECTN 68200 65.97$
68320 PR REVISE CONJUNC,CONJUNC GRFT 68320 1,153.42$
68325 PR REVISE CONJUNC,BUCCAL MEMBR GRFT 68325 1,051.31$
68326 PR REVISE CONJUNC,FIX CUL-DE-SAC+GRFT 68326 1,031.81$
68328 PR REVISE CONJUNC,FIX CUL-DE-SAC=BUCCAL 68328 1,131.82$
68330 PR REPAIR SYMBLEPHARON 68330 963.02$
68335 PR REPAIR SYMBLEPHARON+FREE GRFT 68335 1,036.20$
68340 PR DIVISION OF SYMBLEPHARON 68340 867.87$
68360 PR CONJUNC FLAP,BRIDGE/PARTIAL 68360 845.58$
68362 PR CONJUNC FLAP,TOTAL 68362 1,049.04$
68371 PR HARVEST EYE TISSUE, ALOGRAFT 68371 659.14$
68400 PR INCISE/DRAIN TEAR GLAND 68400 451.77$
68420 PR INCISE/DRAIN TEAR SAC 68420 511.14$
68440 PR INCISE TEAR DUCT OPENING 68440 162.53$
68500 PR REMOVAL TEAR GLAND,TOTAL 68500 1,557.85$
68505 PR REMOVAL TEAR GLAND,PARTIAL 68505 1,550.03$
68510 PR BIOPSY OF TEAR GLAND 68510 709.30$
68520 PR REMOVAL OF TEAR SAC 68520 1,096.47$
68525 PR BIOPSY OF TEAR SAC 68525 423.34$
68530 PR REMV F.B./STONE IN TEAR DUCT 68530 680.00$
68540 PR REMV TEAR GLAND LESN,FRONT APPRCH 68540 1,483.45$
68550 PR REMV TEAR GLAND LESN,W OSTEOTOMY 68550 1,818.84$
68700 PR REPAIR TEAR DUCTS 68700 965.27$
68705 PR REVISE TEAR DUCT OPENING 68705 377.65$
68720 PR CREATE TEAR SAC-NASAL FISTULA 68720 1,208.08$
68745 PR CREATE CONJUNC-NASAL FISTULA 68745 1,214.15$
68750 PR CREATE CONJUNC-NASAL FISTULA+STENT 68750 1,255.30$
68760 PR CLOSE TEAR DUCT OPENING 68760 321.37$
68761 PR CLOSE TEAR DUCT OPENING BY PLUG,EA 68761 236.35$
68770 PR CLOSE TEAR SYSTEM FISTULA 68770 1,005.35$
68801 PR DILATION NASOLACRIMAL DUCT 68801 140.79$
68810 PR PROBE NASOLACRIMAL DUCT 68810 246.36$
68811 PR PROBE NASOLAC DUCT W GEN ANESTH 68811 217.70$
68815 PR PROBE NASOLAC DUCT,INSERT TUBE/STENT 68815 630.66$
68816 PR PROBE NASOLAC DUCT WITH CATHETER DILATION 68816 1,024.65$
68840 PR EXPLORE LACRIMAL CANALICULI 68840 204.53$
68850 PR INJECTION FOR TEAR SAC X-RAY 68850 99.54$
69000 PR DRAIN EXT EAR ABSC/BLOOD,SIMPLE 69000 294.34$
69005 PR DRAIN EXT EAR ABSC/BLOOD,COMPLIC 69005 334.77$
69020 PR DRAIN EXT AUD CANAL ABSCESS 69020 360.92$
69100 PR BIOPSY OF EXTERNAL EAR 69100 159.29$
69105 PR BIOPSY OF EXT AUDITORY CANAL 69105 217.87$
69110 PR REMOVAL EXTERNAL EAR,PARTIAL 69110 719.88$
69120 PR REMOVAL EXTERNAL EAR,TOTAL 69120 637.54$
69140 PR REMV EXT CANAL EXOSTOSIS 69140 1,372.32$
69145 PR REMV EXT CANAL SOFT TISSUE LESN 69145 616.13$
69150 PR RAD EXCIS EXT CANAL LESN 69150 1,641.11$
69155 PR RAD EXCIS EXT CANAL LESN+NECK DISSEC 69155 2,611.27$
69200 PR REMV EXT CANAL FOREIGN BODY 69200 187.50$
69205 PR REMV EXT CANAL F.B.,GEN ANESTH 69205 158.53$
69209 PR REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT 69209 21.98$
69210 PR REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT 69210 120.00$
69220 PR DEBRIDE MASTOID CAVITY,SIMPLE 69220 128.78$
69222 PR DEBRIDE MASTOID CAVITY,COMPLEX 69222 339.83$
69300 PR OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ 69300 988.42$
69310 PR RECONSTRUCTION,EXT AUDITORY CANAL 69310 1,706.05$
69320 PR REBUILD EXT AUD CANAL,CONG ANOMALY 69320 2,394.02$
69420 PR INCISION EARDRUM,ASPIR 69420 298.88$
69421 PR INCISION EARDRUM,ASPIR,GEN ANESTH 69421 233.28$
69424 PR VENT TUBE REMVL REQ GEN ANESTHESIA 69424 199.62$
69433 PR CREATE EARDRUM OPENING,LOCAL ANESTH 69433 315.55$
69436 PR CREATE EARDRUM OPENING,GEN ANESTH 69436 251.15$
69440 PR EXPLORATION OF MIDDLE EAR 69440 1,077.57$
69450 PR EARDRUM REVISION 69450 855.43$
69501 PR MASTOIDECTOMY,SIMPLE 69501 1,148.09$
69502 PR MASTOIDECTOMY,COMPLETE 69502 1,525.33$
69505 PR MASTOIDECTOMY,MOD RADICAL 69505 1,884.70$
69511 PR MASTOIDECTOMY,RADICAL 69511 1,930.86$
69530 PR MASTOIDECTOMY,RAD,PETR APICECTOMY 69530 2,591.99$
69535 PR RESECT TEMPORAL BONE,EXTERN APPRCH 69535 4,239.66$
69540 PR REMV AURAL POLYP 69540 324.67$
69550 PR REMV AURAL GLOMUS TUMOR,TRANSCANAL 69550 1,629.94$
69552 PR REMV AURAL GLOMUS TUMOR,TRANSMASTOID 69552 2,463.17$
69554 PR REMV AURAL GLOMUS,EXTRATEMPORAL 69554 3,962.43$
69601 PR MASTOIDECT REVISN W COMPLETE REMVAL 69601 1,640.99$
69602 PR MASTOID REVISN ->MOD RAD MASTOIDECT 69602 1,706.22$
69603 PR MASTOID REVISN ->RAD MASTOIDECTOMY 69603 1,974.74$
69604 PR MASTOID REVISN ->TYMPANOPLASTY 69604 1,744.69$
69605 PR MASTOID REVISN W APICECTOMY 69605 2,445.48$
69610 PR REPAIR TYMPANIC MEMBRANE 69610 601.62$
69620 PR MYRINGOPLASTY 69620 1,080.27$
69631 PR TYMPANOPLASTY 69631 1,385.14$
69632 PR TYMPANOPLASTY,REBUILD OSSICUL CHAIN 69632 1,688.81$
69633 PR TYMPANOPLASTY,REBLD OSSIC CHAIN+PROS 69633 1,637.21$
69635 PR TYMPANOPLAS/ANTROTOMY 69635 1,938.22$
69636 PR TYMPANOPLAS/ANTROT,REBLD OSSIC CHAIN 69636 2,162.34$
69637 PR TYMPANOPLAS/ANTROT,REBLD OSSIC+PROST 69637 2,182.11$
69641 PR TYMPANOPLAS/MASTOIDECTOMY 69641 1,632.77$
69642 PR TYMPANOPLAS/MASTOIDEC,REBLD OSSICLES 69642 2,095.91$
69643 PR TYMPANOPLAS/MASTOIDEC,INTACT WALL 69643 1,919.43$
69644 PR TYMPANOPLAS/MASTOID,INTCT WALL,REBLD 69644 2,317.14$
69645 PR TYMPANOPLAS/MASTOIDEC,RADICAL/COMPLE 69645 2,272.25$
69646 PR TYMPANOPLAS/MASTOIDEC,RAD,REBLD OSSI 69646 2,424.48$
69650 PR STAPES MOBILIZATION 69650 1,260.20$
69660 PR STAPEDECTOMY 69660 1,454.56$
69661 PR STAPEDECTOMY,FOOTPLATE DRILL OUT 69661 1,895.82$
69662 PR REVISE STAPEDECTOMY/STAPEDOTOMY 69662 1,819.09$
69666 PR REPAIR OVAL WINDOW FISTULA 69666 1,272.32$
69667 PR REPAIR ROUND WINDOW FISTULA 69667 1,274.01$
69670 PR MASTOID OBLITERATION 69670 1,488.20$
69676 PR REMOVE MIDDLE EAR NERVE 69676 1,302.10$
69700 PR CLOSE MASTOID POSTAURICULAR FISTULA 69700 1,074.58$
69711 PR REMOVE/REPAIR HEAR AID,TEMP BONE 69711 1,351.50$
69714 PR IMPLNT,TEMPORAL BONE,W/EXTRN STIM 69714 1,692.78$
69715 PR IMPLNT,TEMPORAL BONE, REMV MASTOID 69715 2,088.39$
69717 PR REPLCE IMPLNT,TEMPORAL BONE,W/EXTRN STIM 69717 1,774.13$
69718 PR REPLCE IMPLNT,TEMPORAL BONE,REMV MASTOID 69718 2,110.60$
69720 PR RELEASE FACIAL NERVE,LAT TO GANGLION 69720 1,908.34$
69725 PR RELEASE FACIAL NERVE,MED TO GANGLION 69725 2,957.49$
69740 PR REPAIR FACIAL NERVE,LAT TO GANGLION 69740 1,834.37$
69745 PR REPAIR FACIAL NERVE,MED TO GANGLION 69745 1,951.06$
69801 PR LABYRINTHOTOMY W PERFUSION VESTIBULOACTIVE DRUGS,TRANSCRANIAL 69801 306.03$
69805 PR ENDOLYMPH SAC OPERATN,NO SHUNT 69805 1,656.96$
69806 PR ENDOLYMPH SAC OP W SHUNT 69806 1,482.79$
69820 PR CREATE OPENING SEMICIRCULAR CANAL 69820 1,345.33$
69840 PR REVISE FENESTRATION SEMICIRC CANAL 69840 1,450.65$
69905 PR EXCIS LABYRINTH,TRANSCANAL 69905 1,438.60$
69910 PR EXCIS LABYRINTH W MASTOIDECTOMY 69910 1,597.94$
69915 PR INCISE VESTIBULAR NERVE,TRANSLABYR 69915 2,421.19$
69930 PR IMPLANT COCHLEAR DEVICE 69930 1,924.97$
69950 PR VESTIBULAR NERV SECTN,TRANSCRANIAL 69950 2,807.05$
69955 PR DECOMPRESS FACIAL NERVE,TOTAL 69955 3,113.75$
69960 PR DECOMPRESS INTERN AUDITORY CANAL 69960 3,030.80$
69970 PR REMOVE TUMOR,TEMPORAL BONE 69970 3,372.83$
69990 PR MICROSURG TECHNIQUES,REQ OPER MICROSCOPE 69990 345.02$
70010 CHG MYELOGRAPHY POST FOSSA 70010 97.38$
70015 CHG CISTERNOGRAPHY,POS CONTRAST 70015 228.16$
70015 CHG CISTERNOGRAPHY,POS CONTRAST 70015 96.15$
70015 CHG CISTERNOGRAPHY,POS CONTRAST 70015 132.03$
70030 CHG X-RAY EYE FOR FOREIGN BODY 70030 43.86$
70030 CHG X-RAY EYE FOR FOREIGN BODY 70030 13.58$
70030 CHG X-RAY EYE FOR FOREIGN BODY 70030 30.28$
70100 CHG X-RAY JAW <4 VW 70100 51.61$
70100 CHG X-RAY JAW <4 VW 70100 14.70$
70100 CHG X-RAY JAW <4 VW 70100 36.91$
70110 CHG X-RAY JAW 4+ VW 70110 59.55$
70110 CHG X-RAY JAW 4+ VW 70110 20.43$
70110 CHG X-RAY JAW 4+ VW 70110 39.12$
70120 CHG X-RAY MASTOIDS <3 VW 70120 52.17$
70120 CHG X-RAY MASTOIDS <3 VW 70120 14.70$
70120 CHG X-RAY MASTOIDS <3 VW 70120 37.47$
70130 CHG X-RAY MASTOIDS 3+ VW 70130 85.07$
70130 CHG X-RAY MASTOIDS 3+ VW 70130 27.70$
70130 CHG X-RAY MASTOIDS 3+ VW 70130 57.37$
70134 CHG X-RAY MIDDLE EAR 70134 78.59$
70134 CHG X-RAY MIDDLE EAR 70134 27.85$
70134 CHG X-RAY MIDDLE EAR 70134 50.74$
70140 CHG X-RAY FACIAL BONES <3 VW 70140 46.66$
70140 CHG X-RAY FACIAL BONES <3 VW 70140 16.95$
70140 CHG X-RAY FACIAL BONES <3 VW 70140 29.72$
70150 CHG X-RAY FACIAL BONES 3+ VW 70150 65.11$
70150 CHG X-RAY FACIAL BONES 3+ VW 70150 21.55$
70150 CHG X-RAY FACIAL BONES 3+ VW 70150 43.54$
70160 CHG X-RAY NASAL BONES 70160 51.60$
70160 CHG X-RAY NASAL BONES 70160 14.12$
70160 CHG X-RAY NASAL BONES 70160 37.47$
70170 CHG X-RAY TEAR DUCT 70170 85.07$
70170 CHG X-RAY TEAR DUCT 70170 24.29$
70170 CHG X-RAY TEAR DUCT 70170 60.79$
70190 CHG X-RAY OPTIC FORAMEN 70190 56.12$
70190 CHG X-RAY OPTIC FORAMEN 70190 18.10$
70190 CHG X-RAY OPTIC FORAMEN 70190 38.02$
70200 CHG X-RAY ORBITS 70200 66.81$
70200 CHG X-RAY ORBITS 70200 23.27$
70200 CHG X-RAY ORBITS 70200 43.54$
70210 CHG X-RAY SINUSES <3 VW 70210 46.61$
70210 CHG X-RAY SINUSES <3 VW 70210 14.12$
70210 CHG X-RAY SINUSES <3 VW 70210 32.49$
70220 CHG X-RAY SINUSES 3+ VW 70220 58.99$
70220 CHG X-RAY SINUSES 3+ VW 70220 20.43$
70220 CHG X-RAY SINUSES 3+ VW 70220 38.58$
70240 CHG X-RAY EXAM SELLA 70240 48.33$
70240 CHG X-RAY EXAM SELLA 70240 15.84$
70240 CHG X-RAY EXAM SELLA 70240 32.49$
70250 CHG X-RAY SKULL <4 VW 70250 57.30$
70250 CHG X-RAY SKULL <4 VW 70250 20.39$
70250 CHG X-RAY SKULL <4 VW 70250 36.91$
70260 CHG X-RAY SKULL 4+ VW 70260 71.81$
70260 CHG X-RAY SKULL 4+ VW 70260 28.26$
70260 CHG X-RAY SKULL 4+ VW 70260 43.54$
70300 CHG X-RAY TEETH SINGLE 70300 23.22$
70300 CHG X-RAY TEETH SINGLE 70300 9.52$
70300 CHG X-RAY TEETH SINGLE 70300 13.68$
70310 CHG X-RAY TEETH PARTIAL 70310 58.20$
70310 CHG X-RAY TEETH PARTIAL 70310 13.00$
70310 CHG X-RAY TEETH PARTIAL 70310 45.21$
70320 CHG FULL MOUTH X-RAY OF TEETH 70320 82.55$
70320 CHG FULL MOUTH X-RAY OF TEETH 70320 19.65$
70320 CHG FULL MOUTH X-RAY OF TEETH 70320 62.90$
70328 CHG X-RAY TMJ UNILAT 70328 47.75$
70328 CHG X-RAY TMJ UNILAT 70328 14.70$
70328 CHG X-RAY TMJ UNILAT 70328 33.03$
70330 CHG X-RAY TMJ BILAT 70330 73.90$
70330 CHG X-RAY TMJ BILAT 70330 19.85$
70330 CHG X-RAY TMJ BILAT 70330 54.05$
70332 CHG X-RAY TMJ ARTHROGRAM 70332 111.46$
70332 CHG X-RAY TMJ ARTHROGRAM 70332 43.58$
70332 CHG X-RAY TMJ ARTHROGRAM 70332 67.88$
70336 CHG MRI, TMJ 70336 494.64$
70336 CHG MRI, TMJ 70336 118.32$
70336 CHG MRI, TMJ 70336 376.32$
70350 CHG X-RAY HEAD FOR ORTHODONTIA 70350 30.44$
70350 CHG X-RAY HEAD FOR ORTHODONTIA 70350 15.64$
70350 CHG X-RAY HEAD FOR ORTHODONTIA 70350 14.78$
70355 CHG PANORAMIC X-RAY OF JAWS 70355 32.74$
70355 CHG PANORAMIC X-RAY OF JAWS 70355 17.94$
70355 CHG PANORAMIC X-RAY OF JAWS 70355 14.78$
70360 CHG X-RAY NECK SOFT TISSUE 70360 44.40$
70360 CHG X-RAY NECK SOFT TISSUE 70360 13.58$
70360 CHG X-RAY NECK SOFT TISSUE 70360 30.82$
70370 CHG THROAT X-RAY & FLUOROSCOPY 70370 112.81$
70370 CHG THROAT X-RAY & FLUOROSCOPY 70370 25.58$
70370 CHG THROAT X-RAY & FLUOROSCOPY 70370 87.24$
70371 CHG SPEECH EVALUATION, COMPLEX 70371 140.71$
70371 CHG SPEECH EVALUATION, COMPLEX 70371 67.30$
70371 CHG SPEECH EVALUATION, COMPLEX 70371 73.41$
70380 CHG X-RAY SALIVARY GLAND 70380 50.49$
70380 CHG X-RAY SALIVARY GLAND 70380 13.58$
70380 CHG X-RAY SALIVARY GLAND 70380 36.91$
70390 CHG X-RAY SIALOGRAM 70390 147.68$
70390 CHG X-RAY SIALOGRAM 70390 30.57$
70390 CHG X-RAY SIALOGRAM 70390 117.10$
70450 CHG CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL 70450 182.77$
70450 CHG CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL 70450 68.44$
70450 CHG CT SCAN,HEAD/BRAIN,W/O CONTRAST MATL 70450 114.33$
70460 CHG CT SCAN HEAD CONTRAST 70460 257.32$
70460 CHG CT SCAN HEAD CONTRAST 70460 91.56$
70460 CHG CT SCAN HEAD CONTRAST 70460 165.76$
70470 CHG CT SCAN HEAD WITH AND WITHOUT CONTRAST 70470 301.93$
70470 CHG CT SCAN HEAD WITH AND WITHOUT CONTRAST 70470 102.43$
70470 CHG CT SCAN HEAD WITH AND WITHOUT CONTRAST 70470 199.50$
70480 CHG CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O 70480 285.37$
70480 CHG CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O 70480 103.01$
70480 CHG CT SCAN,ORBIT/SELLA/POST FOSSA/EAR,W/O 70480 182.36$
70481 CHG CT SCAN SKULL CONTRAST 70481 433.69$
70481 CHG CT SCAN SKULL CONTRAST 70481 111.42$
70481 CHG CT SCAN SKULL CONTRAST 70481 322.26$
70482 CHG CT SCAN SKULL COMBO 70482 472.44$
70482 CHG CT SCAN SKULL COMBO 70482 116.59$
70482 CHG CT SCAN SKULL COMBO 70482 355.86$
70486 CHG CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST 70486 219.27$
70486 CHG CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST 70486 68.99$
70486 CHG CT SCAN,MAXILLOFACIAL AREA,W/O CONTRAST 70486 150.28$
70487 CHG CT SCAN, FACE/JAW CONTRAST 70487 264.10$
70487 CHG CT SCAN, FACE/JAW CONTRAST 70487 90.60$
70487 CHG CT SCAN, FACE/JAW CONTRAST 70487 173.50$
70488 CHG CT SCANS FACE/JAW COMBO 70488 321.83$
70488 CHG CT SCANS FACE/JAW COMBO 70488 102.43$
70488 CHG CT SCANS FACE/JAW COMBO 70488 219.40$
70490 CHG CT SCAN,SOFT TISSUE NECK,W/O CONTRAST 70490 265.45$
70490 CHG CT SCAN,SOFT TISSUE NECK,W/O CONTRAST 70490 103.57$
70490 CHG CT SCAN,SOFT TISSUE NECK,W/O CONTRAST 70490 161.90$
70491 CHG CT NECK TISSUE CONTRAST 70491 320.33$
70491 CHG CT NECK TISSUE CONTRAST 70491 111.42$
70491 CHG CT NECK TISSUE CONTRAST 70491 208.89$
70492 CHG CT NECK TISSUE WITH AND WITHOUT CONTRAST 70492 386.07$
70492 CHG CT NECK TISSUE WITH AND WITHOUT CONTRAST 70492 130.71$
70492 CHG CT NECK TISSUE WITH AND WITHOUT CONTRAST 70492 255.35$
70496 CHG CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS 70496 461.34$
70496 CHG CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS 70496 140.88$
70496 CHG CT ANGIO,HEAD COMBO,INCL IMAGE PROCESS 70496 320.46$
70498 CHG CT ANGIO,NECK COMBO,INCL IMAGE PROCESS 70498 460.23$
70498 CHG CT ANGIO,NECK COMBO,INCL IMAGE PROCESS 70498 140.88$
70498 CHG CT ANGIO,NECK COMBO,INCL IMAGE PROCESS 70498 319.36$
70540 CHG MRI, FACE, NECK 70540 426.97$
70540 CHG MRI, FACE, NECK 70540 108.59$
70540 CHG MRI, FACE, NECK 70540 318.40$
70542 CHG MRI, FACE, NECK W/CONTRAST 70542 506.48$
70542 CHG MRI, FACE, NECK W/CONTRAST 70542 130.71$
70542 CHG MRI, FACE, NECK W/CONTRAST 70542 375.77$
70543 CHG MRI, FACE, NECK, WITH AND WITHOUT CONTRAST 70543 636.29$
70543 CHG MRI, FACE, NECK, WITH AND WITHOUT CONTRAST 70543 172.05$
70543 CHG MRI, FACE, NECK, WITH AND WITHOUT CONTRAST 70543 464.24$
70544 CHG MR ANGIO, HEAD 70544 473.04$
70544 CHG MR ANGIO, HEAD 70544 96.72$
70544 CHG MR ANGIO, HEAD 70544 376.32$
70545 CHG MR ANGIO, HEAD W/CONTRAST 70545 484.65$
70545 CHG MR ANGIO, HEAD W/CONTRAST 70545 96.72$
70545 CHG MR ANGIO, HEAD W/CONTRAST 70545 387.93$
70546 CHG MR ANGIO, HEAD, WITH AND WITHOUT CONTRAST 70546 759.94$
70546 CHG MR ANGIO, HEAD, WITH AND WITHOUT CONTRAST 70546 118.88$
70546 CHG MR ANGIO, HEAD, WITH AND WITHOUT CONTRAST 70546 641.07$
70547 CHG MR ANGIO, NECK 70547 473.58$
70547 CHG MR ANGIO, NECK 70547 97.27$
70547 CHG MR ANGIO, NECK 70547 376.32$
70548 CHG MR ANGIO, NECK W/CONTRAST 70548 508.93$
70548 CHG MR ANGIO, NECK W/CONTRAST 70548 120.99$
70548 CHG MR ANGIO, NECK W/CONTRAST 70548 387.93$
70549 CHG MR ANGIO, NECK, WITH AND WITHOUT CONTRAST 70549 790.37$
70549 CHG MR ANGIO, NECK, WITH AND WITHOUT CONTRAST 70549 144.87$
70549 CHG MR ANGIO, NECK, WITH AND WITHOUT CONTRAST 70549 645.50$
70551 CHG MRI BRAIN 70551 364.68$
70551 CHG MRI BRAIN 70551 119.84$
70551 CHG MRI BRAIN 70551 244.84$
70552 CHG MRI BRAIN CONTRAST 70552 505.10$
70552 CHG MRI BRAIN CONTRAST 70552 143.72$
70552 CHG MRI BRAIN CONTRAST 70552 361.38$
70553 CHG MRI BRAIN WITH AND WITHOUT CONTRAST 70553 596.16$
70553 CHG MRI BRAIN WITH AND WITHOUT CONTRAST 70553 183.89$
70553 CHG MRI BRAIN WITH AND WITHOUT CONTRAST 70553 412.27$
70554 CHG FUNCTIONAL MRI BRAIN BY TECH 70554 707.95$
70554 CHG FUNCTIONAL MRI BRAIN BY TECH 70554 170.28$
70554 CHG FUNCTIONAL MRI BRAIN BY TECH 70554 537.65$
70555 CHG FUNCTIONAL MRI BRAIN BY PHYS/PSYCH 70555 1,003.00$
70555 CHG FUNCTIONAL MRI BRAIN BY PHYS/PSYCH 70555 201.68$
70555 CHG FUNCTIONAL MRI BRAIN BY PHYS/PSYCH 70555 801.32$
70557 CHG MRI BRAIN W/O DYE 70557 248.47$
70558 CHG MRI BRAIN W/ DYE 70558 273.59$
70559 CHG MRI BRAIN W/O & W/ DYE 70559 261.18$
71020 CHG CHEST X-RAY 2 VW 71020 42.83$
71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW 71045 31.15$
71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW 71045 14.70$
71045 CHG RADIOLOGIC EXAM CHEST SINGLE VIEW 71045 16.45$
71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS 71046 47.85$
71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS 71046 17.57$
71046 CHG RADIOLOGIC EXAM CHEST 2 VIEWS 71046 30.28$
71047 CHG RADIOLOGIC EXAM CHEST 3 VIEWS 71047 61.25$
71047 CHG RADIOLOGIC EXAM CHEST 3 VIEWS 71047 22.69$
71047 CHG RADIOLOGIC EXAM CHEST 3 VIEWS 71047 38.58$
71048 CHG RADIOLOGIC EXAM CHEST 4+ VIEWS 71048 65.79$
71048 CHG RADIOLOGIC EXAM CHEST 4+ VIEWS 71048 26.10$
71048 CHG RADIOLOGIC EXAM CHEST 4+ VIEWS 71048 39.68$
71100 CHG X-RAY RIBS 2 VW UNILAT 71100 52.27$
71100 CHG X-RAY RIBS 2 VW UNILAT 71100 18.13$
71100 CHG X-RAY RIBS 2 VW UNILAT 71100 34.14$
71101 CHG X-RAY RIBS, CHEST 3+ VW 71101 60.01$
71101 CHG X-RAY RIBS, CHEST 3+ VW 71101 21.99$
71101 CHG X-RAY RIBS, CHEST 3+ VW 71101 38.02$
71110 CHG X-RAY RIBS 3 VW BILAT 71110 62.96$
71110 CHG X-RAY RIBS 3 VW BILAT 71110 23.84$
71110 CHG X-RAY RIBS 3 VW BILAT 71110 39.12$
71111 CHG X-RAY RIBS, CHEST 4+ VW 71111 84.98$
71111 CHG X-RAY RIBS, CHEST 4+ VW 71111 26.55$
71111 CHG X-RAY RIBS, CHEST 4+ VW 71111 47.42$
71120 CHG X-RAY STERNUM 2+ VW 71120 46.70$
71120 CHG X-RAY STERNUM 2+ VW 71120 16.42$
71120 CHG X-RAY STERNUM 2+ VW 71120 30.28$
71130 CHG X-RAY STERNO-CLAVICLUAR JT 71130 56.69$
71130 CHG X-RAY STERNO-CLAVICLUAR JT 71130 18.13$
71130 CHG X-RAY STERNO-CLAVICLUAR JT 71130 38.58$
71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST 71250 256.84$
71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST 71250 93.85$
71250 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST 71250 163.00$
71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST 71260 309.59$
71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST 71260 100.14$
71260 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST 71260 209.45$
71270 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ 71270 370.66$
71270 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ 71270 111.42$
71270 CHG DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ 71270 259.22$
71275 CHG CT ANGIO, CHEST, COMBO, INCL IMAGE PROC 71275 472.58$
71275 CHG CT ANGIO, CHEST, COMBO, INCL IMAGE PROC 71275 146.59$
71275 CHG CT ANGIO, CHEST, COMBO, INCL IMAGE PROC 71275 325.99$
71550 CHG MRI, CHEST 71550 494.18$
71550 CHG MRI, CHEST 71550 117.73$
71550 CHG MRI, CHEST 71550 376.46$
71551 CHG MRI, CHEST, W/CONTRAST 71551 718.99$
71551 CHG MRI, CHEST, W/CONTRAST 71551 139.16$
71551 CHG MRI, CHEST, W/CONTRAST 71551 579.83$
71552 CHG MRI, CHEST, WITH AND WITHOUT CONTRAST 71552 882.39$
71552 CHG MRI, CHEST, WITH AND WITHOUT CONTRAST 71552 181.60$
71552 CHG MRI, CHEST, WITH AND WITHOUT CONTRAST 71552 700.79$
71555 CHG MR ANGIO CHEST (MRA) 71555 629.19$
71555 CHG MR ANGIO CHEST (MRA) 71555 144.49$
71555 CHG MR ANGIO CHEST (MRA) 71555 484.70$
72020 CHG X-RAY SPINE ONE VIEW 72020 34.95$
72020 CHG X-RAY SPINE ONE VIEW 72020 12.42$
72020 CHG X-RAY SPINE ONE VIEW 72020 22.54$
72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS 72040 52.27$
72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS 72040 18.13$
72040 CHG RADEX SPINE CERVICAL 2 OR 3 VIEWS 72040 34.14$
72050 CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS 72050 84.31$
72050 CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS 72050 25.41$
72050 CHG RADEX SPINE CERVICAL 4 OR 5 VIEWS 72050 59.74$
72052 CHG RADEX SPINE CERVICAL 6 OR MORE VIEWS 72052 87.90$
72052 CHG RADEX SPINE CERVICAL 6 OR MORE VIEWS 72052 29.42$
72052 CHG RADEX SPINE CERVICAL 6 OR MORE VIEWS 72052 58.48$
72070 CHG X-RAY THORACIC SPINE 2 VW 72070 53.38$
72070 CHG X-RAY THORACIC SPINE 2 VW 72070 18.13$
72070 CHG X-RAY THORACIC SPINE 2 VW 72070 35.26$
72072 CHG X-RAY THORACIC SPINE+SWIM 3 VW 72072 54.48$
72072 CHG X-RAY THORACIC SPINE+SWIM 3 VW 72072 17.57$
72072 CHG X-RAY THORACIC SPINE+SWIM 3 VW 72072 36.91$
72074 CHG X-RAY THORACIC SPINE 4 VW 72074 61.13$
72074 CHG X-RAY THORACIC SPINE 4 VW 72074 17.57$
72074 CHG X-RAY THORACIC SPINE 4 VW 72074 46.00$
72080 CHG RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS 72080 52.83$
72080 CHG RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS 72080 18.13$
72080 CHG RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS 72080 34.70$
72081 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW 72081 60.54$
72081 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW 72081 21.42$
72081 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW 72081 39.12$
72082 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW 72082 97.71$
72082 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW 72082 25.97$
72082 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW 72082 71.76$
72083 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW 72083 117.73$
72083 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW 72083 29.39$
72083 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW 72083 88.34$
72084 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW 72084 137.10$
72084 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW 72084 34.39$
72084 CHG RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW 72084 102.71$
72100 CHG X-RAY LUMBAR SPINE 2/3 VW 72100 55.04$
72100 CHG X-RAY LUMBAR SPINE 2/3 VW 72100 18.13$
72100 CHG X-RAY LUMBAR SPINE 2/3 VW 72100 36.91$
72110 CHG X-RAY LUMBAR SPINE 4 VW 72110 76.71$
72110 CHG X-RAY LUMBAR SPINE 4 VW 72110 25.41$
72110 CHG X-RAY LUMBAR SPINE 4 VW 72110 51.28$
72114 CHG X-RAY LUMBAR SPINE 6+ VW 72114 96.64$
72114 CHG X-RAY LUMBAR SPINE 6+ VW 72114 26.55$
72114 CHG X-RAY LUMBAR SPINE 6+ VW 72114 70.09$
72120 CHG X-RAY LUMBAR SPINE FLEX/EXTEN 72120 77.75$
72120 CHG X-RAY LUMBAR SPINE FLEX/EXTEN 72120 18.13$
72120 CHG X-RAY LUMBAR SPINE FLEX/EXTEN 72120 60.35$
72125 CHG CT SCAN,CERVICAL SPINE,W/O CONTRAST 72125 268.37$
72125 CHG CT SCAN,CERVICAL SPINE,W/O CONTRAST 72125 86.01$
72125 CHG CT SCAN,CERVICAL SPINE,W/O CONTRAST 72125 182.36$
72126 CHG CT SCAN CERV SPINE CONTRAST 72126 358.76$
72126 CHG CT SCAN CERV SPINE CONTRAST 72126 98.42$
72126 CHG CT SCAN CERV SPINE CONTRAST 72126 260.32$
72127 CHG CT SCAN CERV SP COMBO 72127 424.69$
72127 CHG CT SCAN CERV SP COMBO 72127 101.89$
72127 CHG CT SCAN CERV SP COMBO 72127 322.82$
72128 CHG CT SCAN,THORACIC SPINE,W/O CONTRAST 72128 263.21$
72128 CHG CT SCAN,THORACIC SPINE,W/O CONTRAST 72128 80.85$
72128 CHG CT SCAN,THORACIC SPINE,W/O CONTRAST 72128 182.36$
72129 CHG CT SCAN DORSAL SP CONTRAST 72129 360.41$
72129 CHG CT SCAN DORSAL SP CONTRAST 72129 98.42$
72129 CHG CT SCAN DORSAL SP CONTRAST 72129 261.99$
72130 CHG CT SCAN DORSAL SP COMBO 72130 427.47$
72130 CHG CT SCAN DORSAL SP COMBO 72130 102.43$
72130 CHG CT SCAN DORSAL SP COMBO 72130 325.03$
72131 CHG CT SCAN,LUMBAR SPINE,W/O CONTRAST 72131 263.21$
72131 CHG CT SCAN,LUMBAR SPINE,W/O CONTRAST 72131 80.85$
72131 CHG CT SCAN,LUMBAR SPINE,W/O CONTRAST 72131 182.36$
72132 CHG CT SCAN LUMBAR SP CONTRAST 72132 358.76$
72132 CHG CT SCAN LUMBAR SP CONTRAST 72132 98.42$
72132 CHG CT SCAN LUMBAR SP CONTRAST 72132 260.32$
72133 CHG CT SCAN LUMBAR SP COMBO 72133 423.46$
72133 CHG CT SCAN LUMBAR SP COMBO 72133 102.30$
72133 CHG CT SCAN LUMBAR SP COMBO 72133 321.16$
72141 CHG MRI, CERV SPINE 72141 354.73$
72141 CHG MRI, CERV SPINE 72141 119.84$
72141 CHG MRI, CERV SPINE 72141 234.89$
72142 CHG MRI, CERV SPINE CONTRAST 72142 514.50$
72142 CHG MRI, CERV SPINE CONTRAST 72142 144.26$
72142 CHG MRI, CERV SPINE CONTRAST 72142 370.23$
72146 CHG MRI, DORSAL SPINE 72146 355.28$
72146 CHG MRI, DORSAL SPINE 72146 119.84$
72146 CHG MRI, DORSAL SPINE 72146 235.44$
72147 CHG MRI, DORSAL SPINE CONTRAST 72147 510.63$
72147 CHG MRI, DORSAL SPINE CONTRAST 72147 143.72$
72147 CHG MRI, DORSAL SPINE CONTRAST 72147 366.91$
72148 CHG MRI, LUMBAR SPINE 72148 354.73$
72148 CHG MRI, LUMBAR SPINE 72148 119.84$
72148 CHG MRI, LUMBAR SPINE 72148 234.89$
72149 CHG MRI, LUMBAR SPINE CONTRAST 72149 507.72$
72149 CHG MRI, LUMBAR SPINE CONTRAST 72149 144.13$
72149 CHG MRI, LUMBAR SPINE CONTRAST 72149 363.59$
72156 CHG MRI, CERV SPINE WITH AND WITHOUT CONTRAST 72156 599.48$
72156 CHG MRI, CERV SPINE WITH AND WITHOUT CONTRAST 72156 183.89$
72156 CHG MRI, CERV SPINE WITH AND WITHOUT CONTRAST 72156 415.59$
72157 CHG MRI, DORSAL SPINE WITH AND WITHOUT CONTRAST 72157 600.58$
72157 CHG MRI, DORSAL SPINE WITH AND WITHOUT CONTRAST 72157 183.89$
72157 CHG MRI, DORSAL SPINE WITH AND WITHOUT CONTRAST 72157 416.69$
72158 CHG MRI, LUMBAR SPINE WITH AND WITHOUT CONTRAST 72158 598.37$
72158 CHG MRI, LUMBAR SPINE WITH AND WITHOUT CONTRAST 72158 184.44$
72158 CHG MRI, LUMBAR SPINE WITH AND WITHOUT CONTRAST 72158 413.92$
72159 CHG MR ANGIO SPINE (MRA) 72159 532.26$
72159 CHG MR ANGIO SPINE (MRA) 72159 144.33$
72159 CHG MR ANGIO SPINE (MRA) 72159 387.93$
72170 CHG X-RAY PELVIS 1/2 VW 72170 49.93$
72170 CHG X-RAY PELVIS 1/2 VW 72170 14.12$
72170 CHG X-RAY PELVIS 1/2 VW 72170 35.81$
72190 CHG X-RAY PELVIS 3+ VW 72190 59.43$
72190 CHG X-RAY PELVIS 3+ VW 72190 17.56$
72190 CHG X-RAY PELVIS 3+ VW 72190 41.89$
72191 CHG CT ANGIO, PELVIS, COMBO, INCL IMAGE PROC 72191 481.26$
72191 CHG CT ANGIO, PELVIS, COMBO, INCL IMAGE PROC 72191 144.75$
72191 CHG CT ANGIO, PELVIS, COMBO, INCL IMAGE PROC 72191 336.50$
72192 CHG CT SCAN,PELVIS,W/O CONTRAST 72192 230.26$
72192 CHG CT SCAN,PELVIS,W/O CONTRAST 72192 87.73$
72192 CHG CT SCAN,PELVIS,W/O CONTRAST 72192 142.54$
72193 CHG CT SCAN OF PELVIS CONTRAST 72193 355.28$
72193 CHG CT SCAN OF PELVIS CONTRAST 72193 93.85$
72193 CHG CT SCAN OF PELVIS CONTRAST 72193 261.43$
72194 CHG CT SCAN OF PELVIS WITH AND WITHOUT CONTRAST 72194 409.08$
72194 CHG CT SCAN OF PELVIS WITH AND WITHOUT CONTRAST 72194 98.42$
72194 CHG CT SCAN OF PELVIS WITH AND WITHOUT CONTRAST 72194 310.65$
72195 CHG MRI, PELVIS, W/O CONTRAST 72195 494.18$
72195 CHG MRI, PELVIS, W/O CONTRAST 72195 117.73$
72195 CHG MRI, PELVIS, W/O CONTRAST 72195 376.46$
72196 CHG MRI, PELVIS W/CONTRAST 72196 547.55$
72196 CHG MRI, PELVIS W/CONTRAST 72196 139.71$
72196 CHG MRI, PELVIS W/CONTRAST 72196 407.85$
72197 CHG MRI, PELVIS, WITH AND WITHOUT CONTRAST 72197 671.12$
72197 CHG MRI, PELVIS, WITH AND WITHOUT CONTRAST 72197 177.01$
72197 CHG MRI, PELVIS, WITH AND WITHOUT CONTRAST 72197 494.11$
72198 CHG MR ANGIO PELVIS(MRA) 72198 630.68$
72198 CHG MR ANGIO PELVIS(MRA) 72198 143.22$
72198 CHG MR ANGIO PELVIS(MRA) 72198 487.48$
72200 CHG X-RAY SACROILIAC JTS <3 VW 72200 44.40$
72200 CHG X-RAY SACROILIAC JTS <3 VW 72200 14.12$
72200 CHG X-RAY SACROILIAC JTS <3 VW 72200 30.28$
72202 CHG X-RAY SACROILIAC JTS 3+ VW 72202 51.65$
72202 CHG X-RAY SACROILIAC JTS 3+ VW 72202 15.30$
72202 CHG X-RAY SACROILIAC JTS 3+ VW 72202 36.37$
72220 CHG X-RAY SACRUM/COCCYX 2+ VW 72220 44.40$
72220 CHG X-RAY SACRUM/COCCYX 2+ VW 72220 14.12$
72220 CHG X-RAY SACRUM/COCCYX 2+ VW 72220 30.28$
72240 CHG MYELOGRAPHY CERV SPINE 72240 154.72$
72240 CHG MYELOGRAPHY CERV SPINE 72240 73.01$
72240 CHG MYELOGRAPHY CERV SPINE 72240 81.71$
72255 CHG MYELOGRAPHY THORAX SPINE 72255 155.13$
72255 CHG MYELOGRAPHY THORAX SPINE 72255 74.53$
72255 CHG MYELOGRAPHY THORAX SPINE 72255 80.60$
72265 CHG MYELOGRAPHY LUMBAR SPINE 72265 145.12$
72265 CHG MYELOGRAPHY LUMBAR SPINE 72265 66.17$
72265 CHG MYELOGRAPHY LUMBAR SPINE 72265 78.94$
72270 CHG MYELOGRAPHY OF ENTIRE SPINE 72270 202.41$
72270 CHG MYELOGRAPHY OF ENTIRE SPINE 72270 108.54$
72270 CHG MYELOGRAPHY OF ENTIRE SPINE 72270 93.87$
72275 CHG EPIDUROGRAPHY,SUPERV/INTERPRET 72275 182.13$
72275 CHG EPIDUROGRAPHY,SUPERV/INTERPRET 72275 62.82$
72275 CHG EPIDUROGRAPHY,SUPERV/INTERPRET 72275 119.31$
72285 CHG X-RAY,C/T,DISK,SUPERV/INTERPRET 72285 177.21$
72285 CHG X-RAY,C/T,DISK,SUPERV/INTERPRET 72285 96.06$
72285 CHG X-RAY,C/T,DISK,SUPERV/INTERPRET 72285 81.15$
72295 CHG DISCOGRAPHY LUMBAR SPINE 72295 153.27$
72295 CHG DISCOGRAPHY LUMBAR SPINE 72295 69.35$
72295 CHG DISCOGRAPHY LUMBAR SPINE 72295 83.92$
73000 CHG X-RAY CLAVICLE 73000 43.82$
73000 CHG X-RAY CLAVICLE 73000 13.55$
73000 CHG X-RAY CLAVICLE 73000 30.28$
73010 CHG X-RAY SCAPULA 73010 47.72$
73010 CHG X-RAY SCAPULA 73010 14.69$
73010 CHG X-RAY SCAPULA 73010 33.03$
73020 CHG X-RAY SHOULDER 1 VW 73020 36.05$
73020 CHG X-RAY SHOULDER 1 VW 73020 12.97$
73020 CHG X-RAY SHOULDER 1 VW 73020 23.08$
73030 CHG X-RAY SHOULDER 2+ VW 73030 61.22$
73030 CHG X-RAY SHOULDER 2+ VW 73030 15.26$
73030 CHG X-RAY SHOULDER 2+ VW 73030 30.82$
73040 CHG ARTHROGRAM OF SHOULDER 73040 159.01$
73040 CHG ARTHROGRAM OF SHOULDER 73040 44.12$
73040 CHG ARTHROGRAM OF SHOULDER 73040 114.89$
73050 CHG X-RAY AC JTS 73050 56.10$
73050 CHG X-RAY AC JTS 73050 16.98$
73050 CHG X-RAY AC JTS 73050 39.12$
73060 CHG X-RAY HUMERUS 73060 45.49$
73060 CHG X-RAY HUMERUS 73060 13.55$
73060 CHG X-RAY HUMERUS 73060 31.93$
73070 CHG X-RAY ELBOW 2 VW 73070 42.69$
73070 CHG X-RAY ELBOW 2 VW 73070 12.97$
73070 CHG X-RAY ELBOW 2 VW 73070 29.72$
73080 CHG X-RAY ELBOW 3+ VW 73080 49.38$
73080 CHG X-RAY ELBOW 3+ VW 73080 14.12$
73080 CHG X-RAY ELBOW 3+ VW 73080 35.26$
73085 CHG ARTHROGRAM OF ELBOW 73085 150.58$
73085 CHG ARTHROGRAM OF ELBOW 73085 46.20$
73085 CHG ARTHROGRAM OF ELBOW 73085 104.38$
73090 CHG X-RAY FOREARM 2 VW 73090 40.51$
73090 CHG X-RAY FOREARM 2 VW 73090 13.55$
73090 CHG X-RAY FOREARM 2 VW 73090 26.96$
73092 CHG X-RAY ARM, INFANT 73092 42.72$
73092 CHG X-RAY ARM, INFANT 73092 13.00$
73092 CHG X-RAY ARM, INFANT 73092 29.72$
73100 CHG X-RAY WRIST 2 VW 73100 49.35$
73100 CHG X-RAY WRIST 2 VW 73100 14.11$
73100 CHG X-RAY WRIST 2 VW 73100 35.26$
73110 CHG X-RAY WRIST 3+ VW 73110 54.91$
73110 CHG X-RAY WRIST 3+ VW 73110 14.12$
73110 CHG X-RAY WRIST 3+ VW 73110 40.79$
73115 CHG ARTHROGRAM OF WRIST 73115 167.72$
73115 CHG ARTHROGRAM OF WRIST 73115 45.64$
73115 CHG ARTHROGRAM OF WRIST 73115 122.07$
73120 CHG X-RAY HAND 2 VW 73120 44.39$
73120 CHG X-RAY HAND 2 VW 73120 13.55$
73120 CHG X-RAY HAND 2 VW 73120 30.82$
73130 CHG X-RAY HAND 3+ VW 73130 57.46$
73130 CHG X-RAY HAND 3+ VW 73130 14.12$
73130 CHG X-RAY HAND 3+ VW 73130 35.81$
73140 CHG X-RAY EXAM OF FINGER(S) 73140 50.39$
73140 CHG X-RAY EXAM OF FINGER(S) 73140 11.25$
73140 CHG X-RAY EXAM OF FINGER(S) 73140 39.12$
73200 CHG CT SCAN,UPPER EXTREMITY,W/O CONTRAST 73200 263.21$
73200 CHG CT SCAN,UPPER EXTREMITY,W/O CONTRAST 73200 80.85$
73200 CHG CT SCAN,UPPER EXTREMITY,W/O CONTRAST 73200 182.36$
73201 CHG CT SCAN OF ARM CONTRAST 73201 350.31$
73201 CHG CT SCAN OF ARM CONTRAST 73201 93.85$
73201 CHG CT SCAN OF ARM CONTRAST 73201 256.46$
73202 CHG CT SCAN OF ARM COMBO 73202 436.74$
73202 CHG CT SCAN OF ARM COMBO 73202 98.42$
73202 CHG CT SCAN OF ARM COMBO 73202 338.30$
73206 CHG CT ANGIO,UPPER EXTREM,COMBO 73206 516.24$
73206 CHG CT ANGIO,UPPER EXTREM,COMBO 73206 144.34$
73206 CHG CT ANGIO,UPPER EXTREM,COMBO 73206 371.89$
73218 CHG MRI, UPPER EXTREMITY W/O CONTRAST 73218 486.01$
73218 CHG MRI, UPPER EXTREMITY W/O CONTRAST 73218 109.13$
73218 CHG MRI, UPPER EXTREMITY W/O CONTRAST 73218 376.88$
73219 CHG MRI, UPPER EXTREMITY W/CONTRAST 73219 634.23$
73219 CHG MRI, UPPER EXTREMITY W/CONTRAST 73219 130.71$
73219 CHG MRI, UPPER EXTREMITY W/CONTRAST 73219 503.51$
73220 CHG MRI UPPER EXTREMITY COMBO 73220 786.72$
73220 CHG MRI UPPER EXTREMITY COMBO 73220 173.15$
73220 CHG MRI UPPER EXTREMITY COMBO 73220 613.55$
73221 CHG MRI UPPER EXTREMITY 73221 374.30$
73221 CHG MRI UPPER EXTREMITY 73221 109.69$
73221 CHG MRI UPPER EXTREMITY 73221 264.61$
73222 CHG MRI, JOINT UPPER EXTREM W/CONTRAST 73222 597.17$
73222 CHG MRI, JOINT UPPER EXTREM W/CONTRAST 73222 131.27$
73222 CHG MRI, JOINT UPPER EXTREM W/CONTRAST 73222 465.91$
73223 CHG MRI, JOINT UPPER EXTREM WITH AND WITHOUT CONTRAST 73223 740.82$
73223 CHG MRI, JOINT UPPER EXTREM WITH AND WITHOUT CONTRAST 73223 173.15$
73223 CHG MRI, JOINT UPPER EXTREM WITH AND WITHOUT CONTRAST 73223 567.67$
73225 CHG MR ANGIO UPPER EXTREM 73225 525.99$
73225 CHG MR ANGIO UPPER EXTREM 73225 138.06$
73225 CHG MR ANGIO UPPER EXTREM 73225 387.93$
73501 CHG RADEX HIP UNILATERAL WITH PELVIS 1 VIEW 73501 47.19$
73501 CHG RADEX HIP UNILATERAL WITH PELVIS 1 VIEW 73501 15.26$
73501 CHG RADEX HIP UNILATERAL WITH PELVIS 1 VIEW 73501 31.93$
73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS 73502 64.99$
73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS 73502 18.13$
73502 CHG RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS 73502 46.86$
73503 CHG RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS 73503 81.03$
73503 CHG RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS 73503 23.10$
73503 CHG RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS 73503 57.93$
73521 CHG RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS 73521 58.92$
73521 CHG RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS 73521 18.13$
73521 CHG RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS 73521 40.79$
73522 CHG RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS 73522 76.66$
73522 CHG RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS 73522 24.26$
73522 CHG RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS 73522 52.39$
73523 CHG RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS 73523 88.87$
73523 CHG RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS 73523 25.97$
73523 CHG RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS 73523 62.90$
73525 CHG ARTHROGRAM OF HIP 73525 162.05$
73525 CHG ARTHROGRAM OF HIP 73525 46.61$
73525 CHG ARTHROGRAM OF HIP 73525 115.43$
73551 CHG RADIOLOGIC EXAMINATION FEMUR 1 VIEW 73551 43.82$
73551 CHG RADIOLOGIC EXAMINATION FEMUR 1 VIEW 73551 13.55$
73551 CHG RADIOLOGIC EXAMINATION FEMUR 1 VIEW 73551 30.28$
73552 CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS 73552 51.61$
73552 CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS 73552 15.26$
73552 CHG RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS 73552 36.37$
73560 CHG X-RAY KNEE 1 OR 2 VIEW 73560 48.81$
73560 CHG X-RAY KNEE 1 OR 2 VIEW 73560 13.55$
73560 CHG X-RAY KNEE 1 OR 2 VIEW 73560 35.26$
73562 CHG X-RAY KNEE 3 VIEW 73562 63.72$
73562 CHG X-RAY KNEE 3 VIEW 73562 15.26$
73562 CHG X-RAY KNEE 3 VIEW 73562 40.79$
73564 CHG X-RAY KNEE 4+ VIEW 73564 83.59$
73564 CHG X-RAY KNEE 4+ VIEW 73564 18.13$
73564 CHG X-RAY KNEE 4+ VIEW 73564 44.10$
73565 CHG X-RAY KNEE BILAT STANDING 73565 55.98$
73565 CHG X-RAY KNEE BILAT STANDING 73565 14.11$
73565 CHG X-RAY KNEE BILAT STANDING 73565 41.89$
73580 CHG ARTHROGRAM OF KNEE JOINT 73580 183.61$
73580 CHG ARTHROGRAM OF KNEE JOINT 73580 46.05$
73580 CHG ARTHROGRAM OF KNEE JOINT 73580 137.56$
73590 CHG X-RAY TIB + FIB, 2VW 73590 44.93$
73590 CHG X-RAY TIB + FIB, 2VW 73590 13.55$
73590 CHG X-RAY TIB + FIB, 2VW 73590 31.38$
73592 CHG X-RAY LEG, INFANT 73592 42.72$
73592 CHG X-RAY LEG, INFANT 73592 13.00$
73592 CHG X-RAY LEG, INFANT 73592 29.72$
73600 CHG X-RAY ANKLE 2 VW 73600 46.60$
73600 CHG X-RAY ANKLE 2 VW 73600 13.55$
73600 CHG X-RAY ANKLE 2 VW 73600 33.03$
73610 CHG X-RAY ANKLE 3+ VW 73610 49.38$
73610 CHG X-RAY ANKLE 3+ VW 73610 14.12$
73610 CHG X-RAY ANKLE 3+ VW 73610 35.26$
73615 CHG ARTHROGRAM OF ANKLE 73615 167.72$
73615 CHG ARTHROGRAM OF ANKLE 73615 46.20$
73615 CHG ARTHROGRAM OF ANKLE 73615 121.52$
73620 CHG X-RAY FOOT 2 VW 73620 41.07$
73620 CHG X-RAY FOOT 2 VW 73620 12.44$
73620 CHG X-RAY FOOT 2 VW 73620 28.61$
73630 CHG X-RAY FOOT 3+ VW 73630 46.07$
73630 CHG X-RAY FOOT 3+ VW 73630 13.58$
73630 CHG X-RAY FOOT 3+ VW 73630 32.49$
73650 CHG X-RAY HEEL 73650 42.72$
73650 CHG X-RAY HEEL 73650 13.00$
73650 CHG X-RAY HEEL 73650 29.72$
73660 CHG X-RAY TOE(S) 73660 44.30$
73660 CHG X-RAY TOE(S) 73660 10.71$
73660 CHG X-RAY TOE(S) 73660 33.59$
73700 CHG CT SCAN,LOWER EXTREMITY,W/O CONTRAST 73700 263.21$
73700 CHG CT SCAN,LOWER EXTREMITY,W/O CONTRAST 73700 80.85$
73700 CHG CT SCAN,LOWER EXTREMITY,W/O CONTRAST 73700 182.36$
73701 CHG CT SCAN OF LEG CONTRAST 73701 355.28$
73701 CHG CT SCAN OF LEG CONTRAST 73701 93.85$
73701 CHG CT SCAN OF LEG CONTRAST 73701 261.43$
73702 CHG CT SCAN OF LEG WITH AND WITHOUT CONTRAST 73702 431.19$
73702 CHG CT SCAN OF LEG WITH AND WITHOUT CONTRAST 73702 97.88$
73702 CHG CT SCAN OF LEG WITH AND WITHOUT CONTRAST 73702 333.32$
73706 CHG CT ANGIO,LOWER EXTREM,COMBO,IMAGE PRC 73706 539.98$
73706 CHG CT ANGIO,LOWER EXTREM,COMBO,IMAGE PRC 73706 152.18$
73706 CHG CT ANGIO,LOWER EXTREM,COMBO,IMAGE PRC 73706 387.78$
73718 CHG MRI, LOWER EXTREM 73718 483.38$
73718 CHG MRI, LOWER EXTREM 73718 109.13$
73718 CHG MRI, LOWER EXTREM 73718 374.25$
73719 CHG MRI, LOWER EXTREM W/CONTRAST 73719 518.64$
73719 CHG MRI, LOWER EXTREM W/CONTRAST 73719 130.71$
73719 CHG MRI, LOWER EXTREM W/CONTRAST 73719 387.93$
73720 CHG MRI, LOWER EXTR, W/O CONTRAST F/U BY CONTRAST 73720 670.03$
73720 CHG MRI, LOWER EXTR, W/O CONTRAST F/U BY CONTRAST 73720 172.61$
73720 CHG MRI, LOWER EXTR, W/O CONTRAST F/U BY CONTRAST 73720 497.43$
73721 CHG MRI LOWER EXTREM JT, W/O CONTRAST 73721 374.30$
73721 CHG MRI LOWER EXTREM JT, W/O CONTRAST 73721 109.69$
73721 CHG MRI LOWER EXTREM JT, W/O CONTRAST 73721 264.61$
73722 CHG MRI, JOINT OF LEG W/CONTRAST 73722 601.05$
73722 CHG MRI, JOINT OF LEG W/CONTRAST 73722 131.27$
73722 CHG MRI, JOINT OF LEG W/CONTRAST 73722 469.77$
73723 CHG MRI, JOINT OF LEG WITH AND WITHOUT CONTRAST 73723 739.71$
73723 CHG MRI, JOINT OF LEG WITH AND WITHOUT CONTRAST 73723 172.61$
73723 CHG MRI, JOINT OF LEG WITH AND WITHOUT CONTRAST 73723 567.11$
73725 CHG MR ANGIO LOWER EXTREM (MRA) 73725 631.29$
73725 CHG MR ANGIO LOWER EXTREM (MRA) 73725 144.92$
73725 CHG MR ANGIO LOWER EXTREM (MRA) 73725 486.37$
74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW 74018 42.77$
74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW 74018 14.70$
74018 CHG RADIOLOGIC EXAM ABDOMEN 1 VIEW 74018 28.07$
74019 CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS 74019 52.31$
74019 CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS 74019 18.71$
74019 CHG RADIOLOGIC EXAM ABDOMEN 2 VIEWS 74019 33.59$
74021 CHG RADIOLOGIC EXAM ABDOMEN 3+ VIEWS 74021 61.12$
74021 CHG RADIOLOGIC EXAM ABDOMEN 3+ VIEWS 74021 21.99$
74021 CHG RADIOLOGIC EXAM ABDOMEN 3+ VIEWS 74021 39.12$
74022 CHG RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES 74022 70.09$
74022 CHG RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES 74022 25.99$
74022 CHG RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES 74022 44.10$
74150 CHG CT SCAN,ABDOMEN,W/O CONTRAST 74150 236.46$
74150 CHG CT SCAN,ABDOMEN,W/O CONTRAST 74150 96.15$
74150 CHG CT SCAN,ABDOMEN,W/O CONTRAST 74150 140.32$
74160 CHG CT SCAN OF ABDOMEN CONTRAST 74160 363.31$
74160 CHG CT SCAN OF ABDOMEN CONTRAST 74160 102.43$
74160 CHG CT SCAN OF ABDOMEN CONTRAST 74160 260.88$
74170 CHG CT SCAN OF ABDOMEN WITH AND WITHOUT CONTRAST 74170 413.28$
74170 CHG CT SCAN OF ABDOMEN WITH AND WITHOUT CONTRAST 74170 113.14$
74170 CHG CT SCAN OF ABDOMEN WITH AND WITHOUT CONTRAST 74170 300.14$
74174 PR CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES 74174 563.29$
74174 PR CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES 74174 175.36$
74174 PR CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMGES 74174 387.93$
74175 CHG CT ANGIO, ABD, COMBO,INCL IMAGE PROC 74175 483.63$
74175 CHG CT ANGIO, ABD, COMBO,INCL IMAGE PROC 74175 145.48$
74175 CHG CT ANGIO, ABD, COMBO,INCL IMAGE PROC 74175 338.17$
74176 CHG CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST 74176 317.11$
74176 CHG CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST 74176 140.30$
74176 CHG CT SCAN,ABDOMENT AND PELVIS,W/O CONTRAST 74176 176.83$
74177 CHG CT SCAN,ABDOMENT AND PELVIS,W CONTRAST 74177 490.97$
74177 CHG CT SCAN,ABDOMENT AND PELVIS,W CONTRAST 74177 147.13$
74177 CHG CT SCAN,ABDOMENT AND PELVIS,W CONTRAST 74177 343.83$
74178 CHG CT SCAN,ABDOMENT AND PELVIS, WITH AND WITHOUT CONTRAST 74178 549.25$
74178 CHG CT SCAN,ABDOMENT AND PELVIS, WITH AND WITHOUT CONTRAST 74178 161.32$
74178 CHG CT SCAN,ABDOMENT AND PELVIS, WITH AND WITHOUT CONTRAST 74178 387.93$
74181 CHG MRI, ABDOMEN (MRI) 74181 444.96$
74181 CHG MRI, ABDOMEN (MRI) 74181 117.73$
74181 CHG MRI, ABDOMEN (MRI) 74181 327.24$
74182 CHG MRI, ABDOMEN W/CONTRAST 74182 602.86$
74182 CHG MRI, ABDOMEN W/CONTRAST 74182 139.71$
74182 CHG MRI, ABDOMEN W/CONTRAST 74182 463.14$
74183 CHG MRI, ABDOMEN, COMBO 74183 672.79$
74183 CHG MRI, ABDOMEN, COMBO 74183 177.01$
74183 CHG MRI, ABDOMEN, COMBO 74183 495.78$
74185 CHG MR ANGIO ABDOMEN (MRA) 74185 634.56$
74185 CHG MR ANGIO ABDOMEN (MRA) 74185 143.76$
74185 CHG MR ANGIO ABDOMEN (MRA) 74185 490.79$
74190 CHG X-RAY PERITONEUM 74190 121.24$
74190 CHG X-RAY PERITONEUM 74190 37.88$
74190 CHG X-RAY PERITONEUM 74190 83.36$
74210 CHG RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY 74210 122.18$
74210 CHG RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY 74210 28.86$
74210 CHG RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY 74210 93.32$
74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY 74220 138.90$
74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY 74220 37.27$
74220 CHG RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY 74220 101.61$
74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY 74230 202.67$
74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY 74230 43.00$
74230 CHG RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY 74230 159.69$
74235 CHG REMOVE ESOPHAGUS OBSTRUCTION 74235 99.18$
74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY 74240 177.51$
74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY 74240 55.98$
74240 CHG RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY 74240 121.52$
74241 CHG RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB 74241 184.14$
74241 CHG RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB 74241 55.44$
74241 CHG RADEX GI TRACT UPPER W/WO DELAYED IMAGES W/KUB 74241 128.72$
74245 CHG RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES 74245 255.92$
74245 CHG RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES 74245 73.57$
74245 CHG RADEX GI TRACT UPR W/SM INT W/MULT SERIAL IMAGES 74245 182.36$
74246 CHG RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY 74246 198.53$
74246 CHG RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY 74246 55.44$
74246 CHG RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY 74246 143.09$
74247 CHG RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB 74247 221.76$
74247 CHG RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB 74247 55.44$
74247 CHG RADEX UPPER GI W/WO GLUCAGON/DELAY IMAGES W/KUB 74247 166.32$
74249 CHG X-RAY,UPPER GI TRACT W/CONT,SMALL INTEST 74249 287.99$
74249 CHG X-RAY,UPPER GI TRACT W/CONT,SMALL INTEST 74249 73.57$
74249 CHG X-RAY,UPPER GI TRACT W/CONT,SMALL INTEST 74249 214.43$
74250 CHG RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY 74250 162.15$
74250 CHG RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY 74250 37.87$
74250 CHG RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY 74250 124.29$
74251 CHG RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY 74251 238.34$
74251 CHG RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY 74251 55.44$
74251 CHG RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY 74251 182.90$
74260 CHG X-RAY HYPOTONIC DUODENOGRAPHY 74260 223.05$
74260 CHG X-RAY HYPOTONIC DUODENOGRAPHY 74260 40.71$
74260 CHG X-RAY HYPOTONIC DUODENOGRAPHY 74260 182.36$
74261 CHG CT COLONOGRAPHY INC IMAGE PROCESS, DIAGNOSTIC, W/O CONTRAST 74261 375.79$
74261 CHG CT COLONOGRAPHY INC IMAGE PROCESS, DIAGNOSTIC, W/O CONTRAST 74261 193.45$
74261 CHG CT COLONOGRAPHY INC IMAGE PROCESS, DIAGNOSTIC, W/O CONTRAST 74261 182.36$
74262 CHG CT COLONOGRAPHY INC IMAGE PROCESS, DIAGNOSTIC, W/ CONTRAST 74262 589.51$
74262 CHG CT COLONOGRAPHY INC IMAGE PROCESS, DIAGNOSTIC, W/ CONTRAST 74262 201.45$
74262 CHG CT COLONOGRAPHY INC IMAGE PROCESS, DIAGNOSTIC, W/ CONTRAST 74262 388.06$
74270 CHG RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY 74270 235.57$
74270 CHG RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY 74270 55.44$
74270 CHG RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY 74270 180.15$
74280 CHG RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY 74280 334.52$
74280 CHG RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY 74280 79.73$
74280 CHG RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY 74280 254.79$
74283 CHG X-RAY B.E. REDUCTN INTUSS 74283 331.95$
74283 CHG X-RAY B.E. REDUCTN INTUSS 74283 165.63$
74283 CHG X-RAY B.E. REDUCTN INTUSS 74283 166.32$
74290 CHG X-RAY GALLBLADDER SINGLE DOSE 74290 109.36$
74290 CHG X-RAY GALLBLADDER SINGLE DOSE 74290 25.99$
74290 CHG X-RAY GALLBLADDER SINGLE DOSE 74290 83.36$
74300 CHG X-RAY OPER CHOLANGIOGRAM 74300 29.27$
74301 CHG X-RAY OPER CHOLANGIO ADDNL SET 74301 16.86$
74328 CHG X-RAY FOR BILE DUCT ENDOSCOPY 74328 258.21$
74328 CHG X-RAY FOR BILE DUCT ENDOSCOPY 74328 57.12$
74328 CHG X-RAY FOR BILE DUCT ENDOSCOPY 74328 201.09$
74329 CHG X-RAY FOR PANCREAS ENDOSCOPY 74329 57.67$
74330 CHG X-RAY BILE/PANCREAS ENDOSCOPY 74330 274.63$
74330 CHG X-RAY BILE/PANCREAS ENDOSCOPY 74330 73.54$
74330 CHG X-RAY BILE/PANCREAS ENDOSCOPY 74330 201.09$
74340 CHG INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I 74340 210.87$
74340 CHG INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I 74340 43.58$
74340 CHG INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I 74340 167.29$
74355 CHG X-RAY GUIDE ENTEROCLYSIS TUBE 74355 230.88$
74355 CHG X-RAY GUIDE ENTEROCLYSIS TUBE 74355 62.95$
74355 CHG X-RAY GUIDE ENTEROCLYSIS TUBE 74355 167.94$
74360 CHG X-RAY GUIDE, GI DILATION 74360 245.40$
74360 CHG X-RAY GUIDE, GI DILATION 74360 44.95$
74360 CHG X-RAY GUIDE, GI DILATION 74360 200.46$
74363 CHG PERCUT TRANSHEPAT DILAT,BILE DUCT STRICT 74363 68.51$
74400 CHG X-RAY IV PYELOGRAM (IVP) 74400 172.14$
74400 CHG X-RAY IV PYELOGRAM (IVP) 74400 39.57$
74400 CHG X-RAY IV PYELOGRAM (IVP) 74400 132.58$
74410 CHG X-RAY IV PYELOGRAM+DRIP INFUSN 74410 174.37$
74410 CHG X-RAY IV PYELOGRAM+DRIP INFUSN 74410 39.57$
74410 CHG X-RAY IV PYELOGRAM+DRIP INFUSN 74410 134.79$
74415 CHG X-RAY IV PYELOGRAM+TOMOGRAPHY 74415 213.63$
74415 CHG X-RAY IV PYELOGRAM+TOMOGRAPHY 74415 39.57$
74415 CHG X-RAY IV PYELOGRAM+TOMOGRAPHY 74415 174.06$
74420 CHG X-RAY RETROGRADE PYELOGRAM 74420 195.74$
74420 CHG X-RAY RETROGRADE PYELOGRAM 74420 28.45$
74420 CHG X-RAY RETROGRADE PYELOGRAM 74420 167.29$
74425 CHG ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ & INTERPJ 74425 111.66$
74425 CHG ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ & INTERPJ 74425 28.31$
74425 CHG ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ & INTERPJ 74425 83.34$
74430 CHG X-RAY CYSTOGRAM, MIN 3 VIEW 74430 60.14$
74430 CHG X-RAY CYSTOGRAM, MIN 3 VIEW 74430 25.99$
74430 CHG X-RAY CYSTOGRAM, MIN 3 VIEW 74430 34.14$
74440 CHG X-RAY VESICULOGM MALE GENL TRCT 74440 126.24$
74440 CHG X-RAY VESICULOGM MALE GENL TRCT 74440 29.62$
74440 CHG X-RAY VESICULOGM MALE GENL TRCT 74440 96.64$
74445 CHG X-RAY PENIS 74445 160.99$
74445 CHG X-RAY PENIS 74445 90.35$
74445 CHG X-RAY PENIS 74445 70.64$
74450 CHG X-RAY URETHROCYSTOGRAM 74450 119.53$
74450 CHG X-RAY URETHROCYSTOGRAM 74450 26.58$
74450 CHG X-RAY URETHROCYSTOGRAM 74450 92.94$
74455 CHG X-RAY URETHROCYSTOGRAM+VOIDING 74455 129.29$
74455 CHG X-RAY URETHROCYSTOGRAM+VOIDING 74455 26.58$
74455 CHG X-RAY URETHROCYSTOGRAM+VOIDING 74455 102.71$
74470 CHG X-RAY RENAL CYST XLUMBAR+CONTRST 74470 122.74$
74470 CHG X-RAY RENAL CYST XLUMBAR+CONTRST 74470 42.47$
74470 CHG X-RAY RENAL CYST XLUMBAR+CONTRST 74470 80.27$
74485 CHG X-RAY GUIDE, GU DILATION 74485 145.88$
74485 CHG X-RAY GUIDE, GU DILATION 74485 42.06$
74485 CHG X-RAY GUIDE, GU DILATION 74485 103.82$
74710 CHG X-RAY PELVIMETRY 74710 57.42$
74710 CHG X-RAY PELVIMETRY 74710 27.70$
74710 CHG X-RAY PELVIMETRY 74710 29.72$
74712 CHG FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES 74712 424.50$
74712 CHG FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES 74712 242.14$
74712 CHG FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES 74712 182.36$
74713 CHG FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES 74713 376.43$
74713 CHG FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES 74713 149.84$
74713 CHG FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES 74713 226.59$
74740 CHG X-RAY HYSTEROSALPINGOGRAM 74740 117.27$
74740 CHG X-RAY HYSTEROSALPINGOGRAM 74740 30.57$
74740 CHG X-RAY HYSTEROSALPINGOGRAM 74740 86.67$
74742 CHG X-RAY XCERV CATH FALLOPIAN TUBE 74742 49.70$
74775 CHG X-RAY PERINEOGRAM 74775 143.86$
74775 CHG X-RAY PERINEOGRAM 74775 50.28$
74775 CHG X-RAY PERINEOGRAM 74775 93.59$
75557 CHG CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST 75557 520.41$
75557 CHG CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST 75557 186.53$
75557 CHG CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST 75557 333.88$
75559 CHG CARDIAC MRI W/O CONTRAST W STRESS IMAGING 75559 607.56$
75559 CHG CARDIAC MRI W/O CONTRAST W STRESS IMAGING 75559 230.69$
75559 CHG CARDIAC MRI W/O CONTRAST W STRESS IMAGING 75559 376.88$
75561 CHG CARDIAC MRI W/W/O CONTRAST & FURTHER SEQ 75561 684.49$
75561 CHG CARDIAC MRI W/W/O CONTRAST & FURTHER SEQ 75561 205.85$
75561 CHG CARDIAC MRI W/W/O CONTRAST & FURTHER SEQ 75561 478.63$
75563 CHG CARDIAC MRI W/W/O CONTRAST W STRESS 75563 814.37$
75563 CHG CARDIAC MRI W/W/O CONTRAST W STRESS 75563 236.76$
75563 CHG CARDIAC MRI W/W/O CONTRAST W STRESS 75563 577.62$
75565 CHG CARDIAC MRI FOR VELOCITY FLOW MAPPING 75565 86.23$
75565 CHG CARDIAC MRI FOR VELOCITY FLOW MAPPING 75565 19.87$
75565 CHG CARDIAC MRI FOR VELOCITY FLOW MAPPING 75565 66.36$
75571 CHG CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM 75571 141.97$
75571 CHG CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM 75571 46.45$
75571 CHG CT HEART W/O CONTRAST QUANT EVAL CORONARY CALCIUM 75571 95.54$
75572 CHG CT HEART CONTRAST EVAL CARDIAC STRUCT/MORPH 75572 449.86$
75572 CHG CT HEART CONTRAST EVAL CARDIAC STRUCT/MORPH 75572 139.90$
75572 CHG CT HEART CONTRAST EVAL CARDIAC STRUCT/MORPH 75572 309.95$
75573 CHG CT HEART CONTRAST EVAL CARDIAC STRUCT/MORPH, CONGEN HEART DISEASE 75573 590.90$
75573 CHG CT HEART CONTRAST EVAL CARDIAC STRUCT/MORPH, CONGEN HEART DISEASE 75573 202.97$
75573 CHG CT HEART CONTRAST EVAL CARDIAC STRUCT/MORPH, CONGEN HEART DISEASE 75573 387.93$
75574 CHG CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST 75574 578.33$
75574 CHG CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST 75574 190.39$
75574 CHG CT ANGIO HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST 75574 387.93$
75600 CHG ANGIO AORTOGRAM THORACIC 75600 314.00$
75600 CHG ANGIO AORTOGRAM THORACIC 75600 38.74$
75600 CHG ANGIO AORTOGRAM THORACIC 75600 275.25$
75605 CHG ANGIO AORTOGRAM THOR SERIAL 75605 217.11$
75605 CHG ANGIO AORTOGRAM THOR SERIAL 75605 88.95$
75605 CHG ANGIO AORTOGRAM THOR SERIAL 75605 128.16$
75625 CHG ANGIO AORTOGRAM ABD SERIAL 75625 215.44$
75625 CHG ANGIO AORTOGRAM ABD SERIAL 75625 88.95$
75625 CHG ANGIO AORTOGRAM ABD SERIAL 75625 126.51$
75630 CHG ANGIO AORTOBIFEMORAL W CATH 75630 268.57$
75630 CHG ANGIO AORTOBIFEMORAL W CATH 75630 140.42$
75630 CHG ANGIO AORTOBIFEMORAL W CATH 75630 128.16$
75635 CHG CT ANGIO AORTOBIFEMORAL, COMBO 75635 578.61$
75635 CHG CT ANGIO AORTOBIFEMORAL, COMBO 75635 190.67$
75635 CHG CT ANGIO AORTOBIFEMORAL, COMBO 75635 387.93$
75705 CHG ANGIO SPINAL SELECTV 75705 397.30$
75705 CHG ANGIO SPINAL SELECTV 75705 182.46$
75705 CHG ANGIO SPINAL SELECTV 75705 214.85$
75710 CHG ANGIO EXTREMITY UNILAT 75710 618.68$
75710 CHG ANGIO EXTREMITY UNILAT 75710 137.12$
75710 CHG ANGIO EXTREMITY UNILAT 75710 133.68$
75716 CHG ANGIO EXTERMITY BILAT 75716 659.44$
75716 CHG ANGIO EXTERMITY BILAT 75716 153.86$
75716 CHG ANGIO EXTERMITY BILAT 75716 154.14$
75726 CHG ANGIO VISCERAL SELECTV/SUBSELEC 75726 235.09$
75726 CHG ANGIO VISCERAL SELECTV/SUBSELEC 75726 88.69$
75726 CHG ANGIO VISCERAL SELECTV/SUBSELEC 75726 146.40$
75731 CHG ANGIO ADRENAL UNILAT SELECT 75731 271.03$
75731 CHG ANGIO ADRENAL UNILAT SELECT 75731 92.14$
75731 CHG ANGIO ADRENAL UNILAT SELECT 75731 178.89$
75733 CHG ANGIO ADRENAL BILAT SELECT 75733 291.52$
75733 CHG ANGIO ADRENAL BILAT SELECT 75733 102.81$
75733 CHG ANGIO ADRENAL BILAT SELECT 75733 188.71$
75736 CHG ANGIO PELVIS 75736 251.26$
75736 CHG ANGIO PELVIS 75736 87.85$
75736 CHG ANGIO PELVIS 75736 163.42$
75741 CHG ANGIO PULMON UNILAT SELECT 75741 236.64$
75741 CHG ANGIO PULMON UNILAT SELECT 75741 101.29$
75741 CHG ANGIO PULMON UNILAT SELECT 75741 135.35$
75743 CHG ANGIO PULMON BILAT SELECT 75743 266.29$
75743 CHG ANGIO PULMON BILAT SELECT 75743 129.29$
75743 CHG ANGIO PULMON BILAT SELECT 75743 137.00$
75746 CHG ANGIO PULMON BILAT NONSELEC 75746 238.95$
75746 CHG ANGIO PULMON BILAT NONSELEC 75746 89.38$
75746 CHG ANGIO PULMON BILAT NONSELEC 75746 149.59$
75756 CHG ANGIO INTERN MAMMARY 75756 270.47$
75756 CHG ANGIO INTERN MAMMARY 75756 90.47$
75756 CHG ANGIO INTERN MAMMARY 75756 180.00$
75774 CHG ANGIO EA ADDNL SELECTV VESSEL 75774 135.86$
75774 CHG ANGIO EA ADDNL SELECTV VESSEL 75774 27.62$
75774 CHG ANGIO EA ADDNL SELECTV VESSEL 75774 108.26$
75801 CHG LYMPHANGIO EXTREM UNILAT 75801 416.46$
75801 CHG LYMPHANGIO EXTREM UNILAT 75801 70.39$
75801 CHG LYMPHANGIO EXTREM UNILAT 75801 346.07$
75803 CHG LYMPHANGIO EXTREM BILAT 75803 442.89$
75803 CHG LYMPHANGIO EXTREM BILAT 75803 96.23$
75803 CHG LYMPHANGIO EXTREM BILAT 75803 346.67$
75805 CHG LYMPHANGIO ABD/PELV UNILAT 75805 453.44$
75805 CHG LYMPHANGIO ABD/PELV UNILAT 75805 63.36$
75805 CHG LYMPHANGIO ABD/PELV UNILAT 75805 390.08$
75807 CHG LYMPHANGIO ABD/PELV BILAT 75807 91.11$
75809 CHG NONVASCULAR SHUNTOGRAM 75809 155.51$
75809 CHG NONVASCULAR SHUNTOGRAM 75809 38.41$
75809 CHG NONVASCULAR SHUNTOGRAM 75809 117.10$
75810 CHG VENOGRAM SPLENOPORTOGRAM 75810 891.45$
75810 CHG VENOGRAM SPLENOPORTOGRAM 75810 87.71$
75810 CHG VENOGRAM SPLENOPORTOGRAM 75810 803.73$
75820 CHG VENOGRAM EXTREM UNILAT 75820 181.68$
75820 CHG VENOGRAM EXTREM UNILAT 75820 55.74$
75820 CHG VENOGRAM EXTREM UNILAT 75820 125.94$
75822 CHG VENOGRAM EXTREM BILAT 75822 213.72$
75822 CHG VENOGRAM EXTREM BILAT 75822 83.36$
75822 CHG VENOGRAM EXTREM BILAT 75822 130.37$
75825 CHG VENOGRAM INFER VENA CAVA 75825 211.71$
75825 CHG VENOGRAM INFER VENA CAVA 75825 89.08$
75825 CHG VENOGRAM INFER VENA CAVA 75825 122.63$
75827 CHG VENOGRAM SUPER VENA CAVA 75827 218.21$
75827 CHG VENOGRAM SUPER VENA CAVA 75827 89.50$
75827 CHG VENOGRAM SUPER VENA CAVA 75827 128.72$
75831 CHG VENOGRAM RENAL UNILAT 75831 220.98$
75831 CHG VENOGRAM RENAL UNILAT 75831 88.41$
75831 CHG VENOGRAM RENAL UNILAT 75831 132.58$
75833 CHG VENOGRAM RENAL BILAT 75833 260.87$
75833 CHG VENOGRAM RENAL BILAT 75833 115.70$
75833 CHG VENOGRAM RENAL BILAT 75833 145.17$
75840 CHG VENOGRAM ADRENAL UNILAT 75840 234.12$
75840 CHG VENOGRAM ADRENAL UNILAT 75840 92.14$
75840 CHG VENOGRAM ADRENAL UNILAT 75840 141.98$
75842 CHG VENOGRAM ADRENAL BILAT 75842 280.52$
75842 CHG VENOGRAM ADRENAL BILAT 75842 120.42$
75842 CHG VENOGRAM ADRENAL BILAT 75842 160.10$
75860 CHG VENOGRAM SINUS/JUGULAR 75860 227.06$
75860 CHG VENOGRAM SINUS/JUGULAR 75860 89.51$
75860 CHG VENOGRAM SINUS/JUGULAR 75860 137.56$
75870 CHG VENOGRAM SUPER SAG SINUS 75870 234.12$
75870 CHG VENOGRAM SUPER SAG SINUS 75870 92.14$
75870 CHG VENOGRAM SUPER SAG SINUS 75870 141.98$
75872 CHG VENOGRAM EPIDURAL 75872 234.12$
75872 CHG VENOGRAM EPIDURAL 75872 92.14$
75872 CHG VENOGRAM EPIDURAL 75872 141.98$
75880 CHG VENOGRAM ORBITAL 75880 198.00$
75880 CHG VENOGRAM ORBITAL 75880 56.56$
75880 CHG VENOGRAM ORBITAL 75880 141.44$
75885 CHG PERCUT XHEPATIC PORTO+DYNAMIC 75885 247.35$
75885 CHG PERCUT XHEPATIC PORTO+DYNAMIC 75885 109.79$
75885 CHG PERCUT XHEPATIC PORTO+DYNAMIC 75885 137.56$
75887 CHG PERCUT XHEPATIC PORTOGRAM 75887 248.04$
75887 CHG PERCUT XHEPATIC PORTOGRAM 75887 109.92$
75887 CHG PERCUT XHEPATIC PORTOGRAM 75887 138.11$
75889 CHG VENOGRAM HEPATIC W HEMODYNAMICS 75889 226.38$
75889 CHG VENOGRAM HEPATIC W HEMODYNAMICS 75889 87.71$
75889 CHG VENOGRAM HEPATIC W HEMODYNAMICS 75889 138.67$
75891 CHG VENOGRAM HEPATIC 75891 228.03$
75891 CHG VENOGRAM HEPATIC 75891 88.82$
75891 CHG VENOGRAM HEPATIC 75891 139.21$
75893 CHG VENOUS SAMPLING BY CATHETER 75893 188.73$
75893 CHG VENOUS SAMPLING BY CATHETER 75893 43.43$
75893 CHG VENOUS SAMPLING BY CATHETER 75893 145.30$
75894 CHG TRANSCATHETER RX EMBOLIZATN 75894 1,652.71$
75894 CHG TRANSCATHETER RX EMBOLIZATN 75894 113.42$
75894 CHG TRANSCATHETER RX EMBOLIZATN 75894 1,539.29$
75898 CHG ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS 75898 208.77$
75898 CHG ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS 75898 141.82$
75898 CHG ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS 75898 66.96$
75901 CHG REMOVE,OBST MATL,CVA DEV VIA SEP VEN ACC 75901 281.09$
75901 CHG REMOVE,OBST MATL,CVA DEV VIA SEP VEN ACC 75901 37.92$
75901 CHG REMOVE,OBST MATL,CVA DEV VIA SEP VEN ACC 75901 243.18$
75902 CHG REMOVE,OBST MATL,CVA DEVICE VIA LUMEN 75902 113.27$
75902 CHG REMOVE,OBST MATL,CVA DEVICE VIA LUMEN 75902 30.46$
75902 CHG REMOVE,OBST MATL,CVA DEVICE VIA LUMEN 75902 82.81$
75952 CHG ENDOVASC REPAIR AAA 75952 359.90$
75953 CHG PLACEMNT,PROX/DIST EXT PROS, INFRARENAL 75953 109.13$
75954 CHG REPAIR,ILIAC ANRYSM/PSEUDO/AV MALF/TRAUMA W/ ENDOPROSTHESIS 75954 182.31$
75956 CHG ENDOVASC REPAIR THOR AORTA INCL SUBCLAVIAN 75956 546.32$
75957 CHG ENDOVASC REPAIR THOR AORTA EXCL SUBCLAVIAN 75957 468.39$
75958 CHG PROXIMAL EXTENS DURNG ENDOVASC RETHOR AORTA 75958 311.85$
75959 CHG DELAYED PROX EXTENS ENDOVASC RETHOR AORTA 75959 273.36$
75970 CHG VASCULAR BIOPSY 75970 63.95$
75984 CHG CHANGE PERCUT TUBE/DRAIN CATH W CONTRAST MONIT 75984 167.08$
75984 CHG CHANGE PERCUT TUBE/DRAIN CATH W CONTRAST MONIT 75984 56.07$
75984 CHG CHANGE PERCUT TUBE/DRAIN CATH W CONTRAST MONIT 75984 111.01$
75989 CHG RAD GUIDED,PERCUT DRAINAGE,W/CATH PLACE 75989 192.08$
75989 CHG RAD GUIDED,PERCUT DRAINAGE,W/CATH PLACE 75989 93.79$
75989 CHG RAD GUIDED,PERCUT DRAINAGE,W/CATH PLACE 75989 98.29$
76000 CHG FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME 76000 74.68$
76000 CHG FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME 76000 13.99$
76000 CHG FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME 76000 60.69$
76001 CHG FLUOROSCOPY SPX >1 HOUR PHYS/QHP TIME 76001 58.41$
76010 CHG X-RAY NOSE-RECTUM CHILD F.B. 76010 41.12$
76010 CHG X-RAY NOSE-RECTUM CHILD F.B. 76010 14.70$
76010 CHG X-RAY NOSE-RECTUM CHILD F.B. 76010 26.40$
76080 CHG X-RAY FISTULA,ABSCESS,SINUS TRACT 76080 86.56$
76080 CHG X-RAY FISTULA,ABSCESS,SINUS TRACT 76080 41.91$
76080 CHG X-RAY FISTULA,ABSCESS,SINUS TRACT 76080 44.65$
76098 CHG X-RAY EXAM, BREAST SPECIMEN 76098 26.68$
76098 CHG X-RAY EXAM, BREAST SPECIMEN 76098 13.00$
76098 CHG X-RAY EXAM, BREAST SPECIMEN 76098 13.68$
76100 CHG X-RAY TOMOGRAM 76100 143.90$
76100 CHG X-RAY TOMOGRAM 76100 50.59$
76100 CHG X-RAY TOMOGRAM 76100 93.32$
76101 CHG COMPLEX TOMOGRAM UNILAT 76101 166.16$
76101 CHG COMPLEX TOMOGRAM UNILAT 76101 44.63$
76101 CHG COMPLEX TOMOGRAM UNILAT 76101 121.52$
76102 CHG COMPLEX TOMOGRAM BILAT 76102 237.35$
76102 CHG COMPLEX TOMOGRAM BILAT 76102 55.14$
76102 CHG COMPLEX TOMOGRAM BILAT 76102 182.21$
76120 CHG CINE/VIDEORADIOLOGY,EXC WHERE SPEC INCL 76120 145.46$
76120 CHG CINE/VIDEORADIOLOGY,EXC WHERE SPEC INCL 76120 28.91$
76120 CHG CINE/VIDEORADIOLOGY,EXC WHERE SPEC INCL 76120 116.54$
76125 CHG CINE/VIDEORADIOGRAPHY W/ROUTINE EXAM 76125 90.32$
76125 CHG CINE/VIDEORADIOGRAPHY W/ROUTINE EXAM 76125 22.54$
76376 CHG 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION 76376 36.75$
76376 CHG 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION 76376 15.87$
76376 CHG 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION 76376 20.87$
76377 CHG 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION 76377 112.38$
76377 CHG 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION 76377 63.86$
76377 CHG 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION 76377 48.53$
76380 CHG CT SCAN,LIMITED/LOCALIZED F/U STUDY 76380 174.12$
76380 CHG CT SCAN,LIMITED/LOCALIZED F/U STUDY 76380 78.59$
76380 CHG CT SCAN,LIMITED/LOCALIZED F/U STUDY 76380 95.54$
76506 CHG US, HEAD, REAL TIME 76506 185.51$
76506 CHG US, HEAD, REAL TIME 76506 51.27$
76506 CHG US, HEAD, REAL TIME 76506 134.24$
76510 CHG US, EYE, B-SCAN & QUANT A-SCAN 76510 216.66$
76510 CHG US, EYE, B-SCAN & QUANT A-SCAN 76510 114.51$
76510 CHG US, EYE, B-SCAN & QUANT A-SCAN 76510 102.17$
76511 CHG US, EYE A-SCAN 76511 130.25$
76511 CHG US, EYE A-SCAN 76511 69.00$
76511 CHG US, EYE A-SCAN 76511 61.25$
76512 CHG US, EYE B-SCAN 76512 118.98$
76512 CHG US, EYE B-SCAN 76512 68.79$
76512 CHG US, EYE B-SCAN 76512 50.18$
76513 CHG DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI 76513 151.87$
76513 CHG DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI 76513 58.00$
76513 CHG DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI 76513 93.87$
76514 CHG US, EYE, FOR CORNEAL THICKNESS 76514 24.50$
76514 CHG US, EYE, FOR CORNEAL THICKNESS 76514 15.79$
76514 CHG US, EYE, FOR CORNEAL THICKNESS 76514 8.71$
76516 CHG US, EYE BIOMETRY 76516 100.30$
76516 CHG US, EYE BIOMETRY 76516 40.16$
76516 CHG US, EYE BIOMETRY 76516 60.14$
76519 CHG US, EYE BIOMETRY W LENS CALC 76519 117.81$
76519 CHG US, EYE BIOMETRY W LENS CALC 76519 50.49$
76519 CHG US, EYE BIOMETRY W LENS CALC 76519 67.32$
76529 CHG US, EYE F.B. LOCALIZATION 76529 127.30$
76529 CHG US, EYE F.B. LOCALIZATION 76529 53.33$
76529 CHG US, EYE F.B. LOCALIZATION 76529 73.97$
76536 CHG US, HEAD/NECK TISSUES,REAL TIME 76536 184.50$
76536 CHG US, HEAD/NECK TISSUES,REAL TIME 76536 45.28$
76536 CHG US, HEAD/NECK TISSUES,REAL TIME 76536 139.21$
76604 CHG US, CHEST,REAL TIME 76604 141.34$
76604 CHG US, CHEST,REAL TIME 76604 43.59$
76604 CHG US, CHEST,REAL TIME 76604 97.75$
76641 ULTRASOUND BREAST, UNILATERAL, COMPLETE 76641 170.43$
76641 ULTRASOUND BREAST, UNILATERAL, COMPLETE 76641 58.86$
76641 ULTRASOUND BREAST, UNILATERAL, COMPLETE 76641 111.57$
76642 ULTRASOUND BREAST, UNILATERAL, LIMITED 76642 139.89$
76642 ULTRASOUND BREAST, UNILATERAL, LIMITED 76642 54.86$
76642 ULTRASOUND BREAST, UNILATERAL, LIMITED 76642 85.02$
76700 CHG US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE 76700 194.42$
76700 CHG US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE 76700 65.16$
76700 CHG US, ABDOM,B-SCAN &/OR REAL TIME,COMPLETE 76700 129.26$
76705 CHG US, ABDOMEN LIMITED 76705 145.32$
76705 CHG US, ABDOMEN LIMITED 76705 47.57$
76705 CHG US, ABDOMEN LIMITED 76705 97.75$
76706 CHG US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA 76706 149.49$
76706 CHG US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA 76706 44.57$
76706 CHG US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA 76706 104.92$
76770 CHG US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE 76770 179.85$
76770 CHG US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE 76770 59.43$
76770 CHG US,RETROPERIT, B-SCAN/REAL TIME,COMPLETE 76770 120.42$
76775 CHG US, RETROPERITNL ABD, LTD 76775 92.20$
76775 CHG US, RETROPERITNL ABD, LTD 76775 46.45$
76775 CHG US, RETROPERITNL ABD, LTD 76775 45.75$
76776 CHG US,TRANSPLANTED KIDNEY, REAL TIME/ DOPPLER 76776 248.47$
76776 CHG US,TRANSPLANTED KIDNEY, REAL TIME/ DOPPLER 76776 61.15$
76776 CHG US,TRANSPLANTED KIDNEY, REAL TIME/ DOPPLER 76776 187.32$
76800 CHG US, SPINAL CANAL & CONTENTS 76800 230.08$
76800 CHG US, SPINAL CANAL & CONTENTS 76800 94.73$
76800 CHG US, SPINAL CANAL & CONTENTS 76800 135.35$
76801 CHG US, OB < 14 WKS, SINGLE FETUS 76801 196.27$
76801 CHG US, OB < 14 WKS, SINGLE FETUS 76801 80.27$
76801 CHG US, OB < 14 WKS, SINGLE FETUS 76801 116.00$
76802 CHG US, OB < 14 WKS, ADD'L FETUS 76802 103.64$
76802 CHG US, OB < 14 WKS, ADD'L FETUS 76802 68.24$
76802 CHG US, OB < 14 WKS, ADD'L FETUS 76802 35.39$
76805 CHG US, OB >/= 14 WKS, SNGL FETUS 76805 225.98$
76805 CHG US, OB >/= 14 WKS, SNGL FETUS 76805 81.25$
76805 CHG US, OB >/= 14 WKS, SNGL FETUS 76805 144.75$
76810 CHG US, OB >/= 14 WKS, ADDL FETUS 76810 148.68$
76810 CHG US, OB >/= 14 WKS, ADDL FETUS 76810 80.65$
76810 CHG US, OB >/= 14 WKS, ADDL FETUS 76810 68.01$
76811 CHG US,PREG UTER,FET & MAT,+ DETL FET EXM 76811 291.11$
76811 CHG US,PREG UTER,FET & MAT,+ DETL FET EXM 76811 157.01$
76811 CHG US,PREG UTER,FET & MAT,+ DETL FET EXM 76811 134.10$
76812 CHG US,PREG UTER,FET & MAT,+ DETL FET,ADDL 76812 324.82$
76812 CHG US,PREG UTER,FET & MAT,+ DETL FET,ADDL 76812 147.44$
76812 CHG US,PREG UTER,FET & MAT,+ DETL FET,ADDL 76812 177.38$
76813 CHG US,PREG UTER,NUCHAL MEAS, 1ST TRIMEST, SINGLETON 76813 193.99$
76813 CHG US,PREG UTER,NUCHAL MEAS, 1ST TRIMEST, SINGLETON 76813 97.35$
76813 CHG US,PREG UTER,NUCHAL MEAS, 1ST TRIMEST, SINGLETON 76813 96.64$
76814 CHG US,PREG UTER,NUCHAL MEAS, 1ST TRI,ADDL GEST 76814 128.93$
76814 CHG US,PREG UTER,NUCHAL MEAS, 1ST TRI,ADDL GEST 76814 82.62$
76814 CHG US,PREG UTER,NUCHAL MEAS, 1ST TRI,ADDL GEST 76814 46.32$
76815 CHG US,PREGNANT UTERUS,LIMITED, 1/> FETUSES 76815 134.28$
76815 CHG US,PREGNANT UTERUS,LIMITED, 1/> FETUSES 76815 52.57$
76815 CHG US,PREGNANT UTERUS,LIMITED, 1/> FETUSES 76815 81.71$
76816 CHG US,PREGNANT UTERUS,F/U,TRANSABD APP 76816 183.60$
76816 CHG US,PREGNANT UTERUS,F/U,TRANSABD APP 76816 70.37$
76816 CHG US,PREGNANT UTERUS,F/U,TRANSABD APP 76816 113.22$
76817 CHG US,PREGNANT UTERUS,TRANSVAGINAL 76817 154.31$
76817 CHG US,PREGNANT UTERUS,TRANSVAGINAL 76817 60.98$
76817 CHG US,PREGNANT UTERUS,TRANSVAGINAL 76817 93.32$
76818 CHG FETAL BIOPHYSICAL PROFILE 76818 195.86$
76818 CHG FETAL BIOPHYSICAL PROFILE 76818 87.20$
76818 CHG FETAL BIOPHYSICAL PROFILE 76818 108.67$
76819 CHG FETAL BIOPHYS PROF,W/O NST 76819 142.59$
76819 CHG FETAL BIOPHYS PROF,W/O NST 76819 63.11$
76819 CHG FETAL BIOPHYS PROF,W/O NST 76819 79.50$
76820 CHG DOPPLER FETAL UMBILICAL ARTERY 76820 90.00$
76820 CHG DOPPLER FETAL UMBILICAL ARTERY 76820 41.12$
76820 CHG DOPPLER FETAL UMBILICAL ARTERY 76820 35.26$
76821 CHG DOPPLER FETAL MID CEREBRAL ARTERY 76821 147.96$
76821 CHG DOPPLER FETAL MID CEREBRAL ARTERY 76821 57.95$
76821 CHG DOPPLER FETAL MID CEREBRAL ARTERY 76821 90.01$
76825 CHG SONO FETAL HEART 76825 441.21$
76825 CHG SONO FETAL HEART 76825 135.14$
76825 CHG SONO FETAL HEART 76825 306.09$
76826 CHG SONO FETAL HEART F/U 76826 260.27$
76826 CHG SONO FETAL HEART F/U 76826 66.86$
76826 CHG SONO FETAL HEART F/U 76826 193.41$
76827 CHG SONO FETAL HEART DOPPLER 76827 119.86$
76827 CHG SONO FETAL HEART DOPPLER 76827 46.45$
76827 CHG SONO FETAL HEART DOPPLER 76827 73.41$
76828 CHG SONO FETAL HRT DOPPL F/U 76828 84.83$
76828 CHG SONO FETAL HRT DOPPL F/U 76828 45.69$
76828 CHG SONO FETAL HRT DOPPL F/U 76828 39.12$
76830 CHG ECHOGRAPHY,TRANSVAGINAL 76830 193.55$
76830 CHG ECHOGRAPHY,TRANSVAGINAL 76830 55.98$
76830 CHG ECHOGRAPHY,TRANSVAGINAL 76830 137.56$
76831 CHG SONO EXAM, HYSTEROSONOGRAPHY 76831 189.62$
76831 CHG SONO EXAM, HYSTEROSONOGRAPHY 76831 59.25$
76831 CHG SONO EXAM, HYSTEROSONOGRAPHY 76831 130.37$
76856 CHG ECHO,PELVIC (NONOBSTETRIC) 76856 174.75$
76856 CHG ECHO,PELVIC (NONOBSTETRIC) 76856 55.44$
76856 CHG ECHO,PELVIC (NONOBSTETRIC) 76856 119.31$
76857 CHG SONO PELVIS LIMITED 76857 128.29$
76857 CHG SONO PELVIS LIMITED 76857 40.14$
76857 CHG SONO PELVIS LIMITED 76857 97.45$
76870 CHG ECHO,SCROTUM & CONTENTS 76870 107.70$
76870 CHG ECHO,SCROTUM & CONTENTS 76870 51.43$
76870 CHG ECHO,SCROTUM & CONTENTS 76870 56.27$
76872 CHG ECHO,TRANSRECTAL 76872 210.39$
76872 CHG ECHO,TRANSRECTAL 76872 54.62$
76872 CHG ECHO,TRANSRECTAL 76872 98.85$
76873 CHG ECHO,TRANSRECTAL,PROSTATE VOL 76873 275.70$
76873 CHG ECHO,TRANSRECTAL,PROSTATE VOL 76873 125.98$
76873 CHG ECHO,TRANSRECTAL,PROSTATE VOL 76873 149.72$
76881 CHG US COMPL JOINT R-T W/IMAGE DOCUMENTATION 76881 160.91$
76881 CHG US COMPL JOINT R-T W/IMAGE DOCUMENTATION 76881 51.00$
76881 CHG US COMPL JOINT R-T W/IMAGE DOCUMENTATION 76881 109.91$
76882 CHG US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG 76882 91.41$
76882 CHG US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG 76882 39.57$
76882 CHG US LMTD JOINT/OTH NONVASC XTR STRUX R-T W/IMG 76882 51.84$
76885 CHG US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ 76885 155.53$
76885 CHG US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ 76885 59.99$
76885 CHG US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ 76885 95.54$
76886 CHG US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ 76886 145.81$
76886 CHG US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ 76886 50.28$
76886 CHG US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ 76886 95.54$
76930 CHG SONO GUIDE PERICARD TAP 76930 53.31$
76932 CHG SONO GUIDE HEART BIOPSY 76932 52.77$
76936 CHG US GUID,COMP REPAIR,PSEUDO-ANEUR/AV FIST 76936 429.58$
76936 CHG US GUID,COMP REPAIR,PSEUDO-ANEUR/AV FIST 76936 155.58$
76936 CHG US GUID,COMP REPAIR,PSEUDO-ANEUR/AV FIST 76936 274.02$
76937 CHG US GUIDE, VASCULAR ACCESS 76937 49.71$
76937 CHG US GUIDE, VASCULAR ACCESS 76937 23.18$
76937 CHG US GUIDE, VASCULAR ACCESS 76937 26.55$
76940 CHG US GUIDE, TISSUE ABLATION 76940 271.13$
76940 CHG US GUIDE, TISSUE ABLATION 76940 164.44$
76940 CHG US GUIDE, TISSUE ABLATION 76940 106.69$
76941 CHG SONO GUIDE INTRAUTER XFUSN 76941 122.09$
76942 CHG SONO GUIDE NEEDLE BIOPSY 76942 285.34$
76942 CHG SONO GUIDE NEEDLE BIOPSY 76942 34.75$
76942 CHG SONO GUIDE NEEDLE BIOPSY 76942 144.03$
76945 CHG SONO GUIDE CHOR VILL SAMPLING 76945 61.00$
76945 CHG SONO GUIDE CHOR VILL SAMPLING 76945 54.70$
76945 CHG SONO GUIDE CHOR VILL SAMPLING 76945 6.30$
76946 CHG SONO GUIDE AMNIOCENTESIS 76946 51.86$
76946 CHG SONO GUIDE AMNIOCENTESIS 76946 31.55$
76946 CHG SONO GUIDE AMNIOCENTESIS 76946 20.33$
76948 CHG SONO GUIDE OVA ASPIRATION 76948 113.03$
76948 CHG SONO GUIDE OVA ASPIRATION 76948 55.65$
76948 CHG SONO GUIDE OVA ASPIRATION 76948 57.37$
76965 CHG SONO GUIDE RADIOELEMT APPLIC 76965 147.00$
76965 CHG SONO GUIDE RADIOELEMT APPLIC 76965 108.98$
76965 CHG SONO GUIDE RADIOELEMT APPLIC 76965 38.02$
76970 CHG ULTRASOUND EXAM FOLLOW-UP 76970 145.51$
76970 CHG ULTRASOUND EXAM FOLLOW-UP 76970 30.62$
76970 CHG ULTRASOUND EXAM FOLLOW-UP 76970 114.89$
76975 CHG GI ENDOSCOPIC ULTRASOUND 76975 68.19$
76977 CHG SONO BONE DENSITY MEASURE,PERIPHERAL 76977 11.47$
76977 CHG SONO BONE DENSITY MEASURE,PERIPHERAL 76977 4.42$
76977 CHG SONO BONE DENSITY MEASURE,PERIPHERAL 76977 7.05$
76998 CHG ULTRASONIC GUIDANCE, INTRAOPERATIVE 76998 268.08$
76998 CHG ULTRASONIC GUIDANCE, INTRAOPERATIVE 76998 100.14$
76998 CHG ULTRASONIC GUIDANCE, INTRAOPERATIVE 76998 167.94$
77001 CHG FLUOROGUIDE CNTRL VEN ACCESS,PLACE,REPLACE,REMOVE 77001 132.05$
77001 CHG FLUOROGUIDE CNTRL VEN ACCESS,PLACE,REPLACE,REMOVE 77001 29.88$
77001 CHG FLUOROGUIDE CNTRL VEN ACCESS,PLACE,REPLACE,REMOVE 77001 102.17$
77002 CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON 77002 148.37$
77002 CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON 77002 45.09$
77002 CHG FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON 77002 103.27$
77003 CHG FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON 77003 148.67$
77003 CHG FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON 77003 48.15$
77003 CHG FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON 77003 100.50$
77011 CHG CT GUIDANCE STEREOTACTIC LOCALIZATION 77011 356.38$
77011 CHG CT GUIDANCE STEREOTACTIC LOCALIZATION 77011 100.47$
77011 CHG CT GUIDANCE STEREOTACTIC LOCALIZATION 77011 255.90$
77012 CHG CT GUIDANCE NEEDLE PLACEMENT 77012 197.13$
77012 CHG CT GUIDANCE NEEDLE PLACEMENT 77012 92.19$
77012 CHG CT GUIDANCE NEEDLE PLACEMENT 77012 104.92$
77013 CHG CT GUIDANCE TISSUE ABLATION 77013 948.42$
77013 CHG CT GUIDANCE TISSUE ABLATION 77013 310.25$
77013 CHG CT GUIDANCE TISSUE ABLATION 77013 638.17$
77014 CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS 77014 189.54$
77014 CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS 77014 71.35$
77014 CHG CT GUIDANCE PLACEMENT RAD THERAPY FIELDS 77014 118.21$
77021 CHG MRI GUIDANCE NEEDLE PLACEMENT 77021 614.28$
77021 CHG MRI GUIDANCE NEEDLE PLACEMENT 77021 118.37$
77021 CHG MRI GUIDANCE NEEDLE PLACEMENT 77021 495.91$
77022 CHG MRI GUIDANCE TISSUE ABLATION 77022 347.82$
77053 CHG MAMMARY DUCTOGRAM, SINGLE 77053 91.77$
77053 CHG MAMMARY DUCTOGRAM, SINGLE 77053 28.86$
77053 CHG MAMMARY DUCTOGRAM, SINGLE 77053 62.90$
77054 CHG MAMMARY DUCTOGRAM, MULTIPLE 77054 120.07$
77054 CHG MAMMARY DUCTOGRAM, MULTIPLE 77054 36.70$
77054 CHG MAMMARY DUCTOGRAM, MULTIPLE 77054 83.36$
77058 CHG MRI BREAST, W/WO CONTRAST, SINGLE 77058 832.10$
77058 CHG MRI BREAST, W/WO CONTRAST, SINGLE 77058 131.29$
77058 CHG MRI BREAST, W/WO CONTRAST, SINGLE 77058 700.79$
77059 CHG MRI BREAST, W/WO CONTRAST, BILATERAL 77059 832.10$
77059 CHG MRI BREAST, W/WO CONTRAST, BILATERAL 77059 131.29$
77059 CHG MRI BREAST, W/WO CONTRAST, BILATERAL 77059 700.79$
77063 SCREENING DIGITAL TOMOGRAPHY OF BOTH BREASTS 77063 87.42$
77063 SCREENING DIGITAL TOMOGRAPHY OF BOTH BREASTS 77063 48.15$
77063 SCREENING DIGITAL TOMOGRAPHY OF BOTH BREASTS 77063 39.27$
77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI 77065 210.87$
77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI 77065 63.36$
77065 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI 77065 147.51$
77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI 77066 267.07$
77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI 77066 78.64$
77066 CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI 77066 188.43$
77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD 77067 215.85$
77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD 77067 60.04$
77067 CHG SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD 77067 155.81$
77071 CHG MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS 77071 75.85$
77072 CHG X-RAYS FOR BONE AGE 77072 36.17$
77072 CHG X-RAYS FOR BONE AGE 77072 15.30$
77072 CHG X-RAYS FOR BONE AGE 77072 20.87$
77073 CHG X-RAYS, BONE LENGTH STUDIES 77073 56.69$
77073 CHG X-RAYS, BONE LENGTH STUDIES 77073 23.10$
77073 CHG X-RAYS, BONE LENGTH STUDIES 77073 33.59$
77074 CHG X-RAYS, BONE SURVEY, LIMITED 77074 101.26$
77074 CHG X-RAYS, BONE SURVEY, LIMITED 77074 36.70$
77074 CHG X-RAYS, BONE SURVEY, LIMITED 77074 64.56$
77075 CHG X-RAYS, BONE SURVEY COMPLETE 77075 137.45$
77075 CHG X-RAYS, BONE SURVEY COMPLETE 77075 43.58$
77075 CHG X-RAYS, BONE SURVEY COMPLETE 77075 93.87$
77076 CHG X-RAYS, BONE SURVEY, INFANT 77076 150.99$
77076 CHG X-RAYS, BONE SURVEY, INFANT 77076 56.56$
77076 CHG X-RAYS, BONE SURVEY, INFANT 77076 94.43$
77077 CHG JOINT SURVEY, SINGLE VIEW 77077 58.46$
77077 CHG JOINT SURVEY, SINGLE VIEW 77077 25.97$
77077 CHG JOINT SURVEY, SINGLE VIEW 77077 32.49$
77078 CHG CT BONE DENS STUDY, 1+ SITE,AXIAL 77078 115.40$
77078 CHG CT BONE DENS STUDY, 1+ SITE,AXIAL 77078 19.87$
77078 CHG CT BONE DENS STUDY, 1+ SITE,AXIAL 77078 95.54$
77080 CHG DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON 77080 66.05$
77080 CHG DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON 77080 16.42$
77080 CHG DEXA,BONE DENSITY, 1 + SITE, AXIAL SKELETON 77080 49.63$
77081 CHG DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN 77081 44.53$
77081 CHG DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN 77081 17.57$
77081 CHG DEXA,BONE DENSITY, 1 + SITE, APPENDICULR SKELTN 77081 26.96$
77084 CHG MRI, BONE MARROW 77084 506.43$
77084 CHG MRI, BONE MARROW 77084 129.56$
77084 CHG MRI, BONE MARROW 77084 376.88$
77085 BONE DENSITY MEASUREMENT USING DEDICATED X-RAY MACHINE 77085 89.40$
77085 BONE DENSITY MEASUREMENT USING DEDICATED X-RAY MACHINE 77085 24.29$
77085 BONE DENSITY MEASUREMENT USING DEDICATED X-RAY MACHINE 77085 65.11$
77086 FRX ASSESS SPINE BONES DEDICATED X-RAY MACHINE BONE DENSITY MEASUREMENT 77086 57.12$
77086 FRX ASSESS SPINE BONES DEDICATED X-RAY MACHINE BONE DENSITY MEASUREMENT 77086 14.12$
77086 FRX ASSESS SPINE BONES DEDICATED X-RAY MACHINE BONE DENSITY MEASUREMENT 77086 43.00$
77261 CHG RADIATION THERAPY PLAN SIMPLE 77261 114.39$
77262 CHG RADIATION THERAPY PLAN INTERM 77262 172.49$
77263 CHG RADIATION THERAPY PLAN COMPLEX 77263 267.10$
77280 CHG SET RADN THERAPY FIELD SIMPLE 77280 442.56$
77280 CHG SET RADN THERAPY FIELD SIMPLE 77280 58.92$
77280 CHG SET RADN THERAPY FIELD SIMPLE 77280 383.64$
77285 CHG SET RADN THERAPY FIELD INTERME 77285 722.47$
77285 CHG SET RADN THERAPY FIELD INTERME 77285 89.97$
77285 CHG SET RADN THERAPY FIELD INTERME 77285 632.49$
77290 CHG SET RADN THERAPY FIELD COMPLEX 77290 830.12$
77290 CHG SET RADN THERAPY FIELD COMPLEX 77290 131.39$
77290 CHG SET RADN THERAPY FIELD COMPLEX 77290 698.73$
77293 CHG RESPIRATORY MOTION MANAGEMENT SIMULATION 77293 748.59$
77293 CHG RESPIRATORY MOTION MANAGEMENT SIMULATION 77293 167.66$
77293 CHG RESPIRATORY MOTION MANAGEMENT SIMULATION 77293 580.93$
77295 CHG 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS 77295 789.94$
77295 CHG 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS 77295 359.85$
77295 CHG 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS 77295 430.09$
77300 CHG RADIATION THERAPY,DOSIMETRY PLAN 77300 106.69$
77300 CHG RADIATION THERAPY,DOSIMETRY PLAN 77300 52.07$
77300 CHG RADIATION THERAPY,DOSIMETRY PLAN 77300 54.62$
77301 CHG INTEN MOD RADIOTHER PLAN W/DOSE VOL HIST 77301 3,136.14$
77301 CHG INTEN MOD RADIOTHER PLAN W/DOSE VOL HIST 77301 669.36$
77301 CHG INTEN MOD RADIOTHER PLAN W/DOSE VOL HIST 77301 2,466.78$
77306 TELETHERAPY ISODOSE PLAN, SIMPLE 77306 240.88$
77306 TELETHERAPY ISODOSE PLAN, SIMPLE 77306 117.84$
77306 TELETHERAPY ISODOSE PLAN, SIMPLE 77306 123.04$
77307 TELETHERAPY ISODOSE PLAN, COMPLEX 77307 465.02$
77307 TELETHERAPY ISODOSE PLAN, COMPLEX 77307 242.58$
77307 TELETHERAPY ISODOSE PLAN, COMPLEX 77307 222.44$
77316 BRACHYTHERAPY ISODOSE PLAN, SIMPLE 77316 302.68$
77316 BRACHYTHERAPY ISODOSE PLAN, SIMPLE 77316 117.84$
77316 BRACHYTHERAPY ISODOSE PLAN, SIMPLE 77316 184.83$
77317 BRACHYTHERAPY ISODOSE PLAN, INTERMEDIATE 77317 394.63$
77317 BRACHYTHERAPY ISODOSE PLAN, INTERMEDIATE 77317 152.97$
77317 BRACHYTHERAPY ISODOSE PLAN, INTERMEDIATE 77317 241.66$
77318 BRACHYTHERAPY ISODOSE PLAN, COMPLEX 77318 570.78$
77318 BRACHYTHERAPY ISODOSE PLAN, COMPLEX 77318 242.58$
77318 BRACHYTHERAPY ISODOSE PLAN, COMPLEX 77318 328.20$
77321 CHG TELETHER ISO-PORT PLAN 77321 149.99$
77321 CHG TELETHER ISO-PORT PLAN 77321 79.89$
77321 CHG TELETHER ISO-PORT PLAN 77321 70.09$
77331 CHG SPECIAL RADIATION DOSIMETRY 77331 103.32$
77331 CHG SPECIAL RADIATION DOSIMETRY 77331 73.05$
77331 CHG SPECIAL RADIATION DOSIMETRY 77331 30.28$
77332 CHG RADN TREATMENT AID(S) SIMPLE 77332 93.65$
77332 CHG RADN TREATMENT AID(S) SIMPLE 77332 38.49$
77332 CHG RADN TREATMENT AID(S) SIMPLE 77332 55.16$
77333 CHG RADN TREATMENT AID(S) INTERM 77333 155.69$
77333 CHG RADN TREATMENT AID(S) INTERM 77333 62.93$
77333 CHG RADN TREATMENT AID(S) INTERM 77333 92.76$
77334 CHG RADN TREATMENT AID(S) COMPLX 77334 206.22$
77334 CHG RADN TREATMENT AID(S) COMPLX 77334 96.87$
77334 CHG RADN TREATMENT AID(S) COMPLX 77334 109.36$
77336 CHG RADN PHYSICS CONSULT CONTINUING 77336 126.21$
77338 CHG MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN 77338 818.00$
77338 CHG MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN 77338 359.85$
77338 CHG MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN 77338 458.16$
77370 CHG RADN PHYSICS CONSULT SPECIAL 77370 194.09$
77372 CHG RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR 77372 1,715.95$
77373 CHG RADN RX DELIV,BODY, EACH FRACTION 77373 2,182.69$
77401 CHG RADN RX DELIVERY SUPERF/ORTHO 77401 39.12$
77417 CHG THERAPEUTIC RADIOLOGY PORT IMAGES(S) 77417 17.56$
77427 CHG RADIATION,MANGEMENT,5 TX'S 77427 299.10$
77431 CHG RADIATION THERAPY MANAGEMENT 77431 164.39$
77432 CHG STEREOTACTIC RADIATION TX MANAGEMENT CRANIAL LESION 77432 673.55$
77435 CHG RADN RX DELIV,BODY, MANAGEMENT, PER COURSE 77435 1,015.62$
77469 PR INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT 77469 513.22$
77470 CHG SPECIAL RADIATION TREATMENT 77470 219.02$
77470 CHG SPECIAL RADIATION TREATMENT 77470 169.95$
77470 CHG SPECIAL RADIATION TREATMENT 77470 49.07$
77520 CHG PROTON BEAM DEL,SIMPLE 77520 1,307.13$
77522 CHG PROTON BEAM DEL,SINGLE, W/COMPENSAT 77522 1,352.95$
77523 CHG PROTON,BEAM DEL,INTERMED 77523 1,405.95$
77525 CHG PROTON BEAM DEL,MULTIPLE,COMPLEX 77525 1,569.79$
77600 CHG HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL 77600 681.53$
77600 CHG HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL 77600 113.60$
77600 CHG HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL 77600 567.93$
77605 CHG HYPERTHERMIA EXTERNAL GENERATED DEEP 77605 1,198.13$
77605 CHG HYPERTHERMIA EXTERNAL GENERATED DEEP 77605 160.69$
77605 CHG HYPERTHERMIA EXTERNAL GENERATED DEEP 77605 1,037.44$
77610 CHG HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS 77610 1,207.31$
77610 CHG HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS 77610 106.82$
77610 CHG HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS 77610 1,100.48$
77615 CHG HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS 77615 1,644.72$
77615 CHG HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS 77615 153.55$
77615 CHG HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS 77615 1,491.17$
77620 CHG HYPERTHERMIA RX INTRACAV PROBE 77620 744.07$
77620 CHG HYPERTHERMIA RX INTRACAV PROBE 77620 135.78$
77620 CHG HYPERTHERMIA RX INTRACAV PROBE 77620 608.31$
77750 CHG INFUSE RADIOACTIVE MATERIALS 77750 600.17$
77750 CHG INFUSE RADIOACTIVE MATERIALS 77750 418.80$
77750 CHG INFUSE RADIOACTIVE MATERIALS 77750 181.38$
77761 CHG INTRACAV RADIOELEM APPL SIMPLE 77761 629.26$
77761 CHG INTRACAV RADIOELEM APPL SIMPLE 77761 323.04$
77761 CHG INTRACAV RADIOELEM APPL SIMPLE 77761 306.22$
77762 CHG INTRACAV RADIOELEM APPL INTERM 77762 835.25$
77762 CHG INTRACAV RADIOELEM APPL INTERM 77762 483.27$
77762 CHG INTRACAV RADIOELEM APPL INTERM 77762 351.98$
77763 CHG INTRACAV RADIOELEM APPL COMPLX 77763 1,194.63$
77763 CHG INTRACAV RADIOELEM APPL COMPLX 77763 729.15$
77763 CHG INTRACAV RADIOELEM APPL COMPLX 77763 465.48$
77767 CHG HDR RDNCL SKN SURF BRACHYTX LES </2CM/1 CHAN 77767 360.66$
77767 CHG HDR RDNCL SKN SURF BRACHYTX LES </2CM/1 CHAN 77767 87.90$
77767 CHG HDR RDNCL SKN SURF BRACHYTX LES </2CM/1 CHAN 77767 272.76$
77768 CHG HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES 77768 565.64$
77768 CHG HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES 77768 117.84$
77768 CHG HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES 77768 447.79$
77770 CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL 77770 517.16$
77770 CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL 77770 163.23$
77770 CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL 77770 353.93$
77771 CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL 77771 961.75$
77771 CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL 77771 319.03$
77771 CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL 77771 642.72$
77772 CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS 77772 1,466.39$
77772 CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS 77772 451.64$
77772 CHG HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS 77772 1,014.75$
77778 CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX 77778 1,322.28$
77778 CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX 77778 733.36$
77778 CHG INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX 77778 588.93$
77789 CHG SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE 77789 194.04$
77789 CHG SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE 77789 96.29$
77789 CHG SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE 77789 97.75$
77790 CHG RADIOELEMENT HANDLING 77790 23.64$
78012 CHG THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT 78012 131.14$
78012 CHG THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT 78012 15.30$
78012 CHG THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT 78012 115.85$
78013 CHG THYROID IMAGING WITH VASCULAR FLOW 78013 311.60$
78013 CHG THYROID IMAGING WITH VASCULAR FLOW 78013 29.44$
78013 CHG THYROID IMAGING WITH VASCULAR FLOW 78013 282.17$
78014 CHG THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS 78014 391.99$
78014 CHG THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS 78014 39.60$
78014 CHG THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS 78014 352.39$
78015 CHG THYROID MET IMAGING LTD 78015 361.88$
78015 CHG THYROID MET IMAGING LTD 78015 53.18$
78015 CHG THYROID MET IMAGING LTD 78015 308.72$
78016 CHG THYROID MET IMAGING ADDN LTD 78016 458.22$
78016 CHG THYROID MET IMAGING ADDN LTD 78016 55.64$
78016 CHG THYROID MET IMAGING ADDN LTD 78016 402.58$
78018 CHG THYROID MET IMAGING BODY 78018 508.23$
78018 CHG THYROID MET IMAGING BODY 78018 66.40$
78018 CHG THYROID MET IMAGING BODY 78018 441.85$
78020 CHG THYROID MET UPTAKE 78020 136.49$
78020 CHG THYROID MET UPTAKE 78020 44.98$
78020 CHG THYROID MET UPTAKE 78020 91.53$
78070 CHG PARATHYROID PLANAR IMAGING 78070 487.76$
78070 CHG PARATHYROID PLANAR IMAGING 78070 62.91$
78070 CHG PARATHYROID PLANAR IMAGING 78070 424.84$
78071 CHG PARATHYROID PLANAR IMAGING W/WO SUBTRACTION 78071 581.28$
78071 CHG PARATHYROID PLANAR IMAGING W/WO SUBTRACTION 78071 94.64$
78071 CHG PARATHYROID PLANAR IMAGING W/WO SUBTRACTION 78071 486.63$
78072 CHG PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT 78072 673.84$
78072 CHG PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT 78072 124.16$
78072 CHG PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT 78072 549.68$
78075 CHG ADRENAL NUCLEAR IMAGING 78075 734.51$
78075 CHG ADRENAL NUCLEAR IMAGING 78075 59.99$
78075 CHG ADRENAL NUCLEAR IMAGING 78075 674.52$
78102 CHG BONE MARROW IMAGING, LTD 78102 274.89$
78102 CHG BONE MARROW IMAGING, LTD 78102 42.49$
78102 CHG BONE MARROW IMAGING, LTD 78102 232.40$
78103 CHG BONE MARROW IMAGING, MULT 78103 351.73$
78103 CHG BONE MARROW IMAGING, MULT 78103 56.84$
78103 CHG BONE MARROW IMAGING, MULT 78103 294.89$
78104 CHG BONE MARROW IMAGING, BODY 78104 401.49$
78104 CHG BONE MARROW IMAGING, BODY 78104 62.35$
78104 CHG BONE MARROW IMAGING, BODY 78104 339.12$
78110 CHG PLASMA VOLUME, SINGLE 78110 130.99$
78110 CHG PLASMA VOLUME, SINGLE 78110 13.07$
78110 CHG PLASMA VOLUME, SINGLE 78110 117.93$
78111 CHG PLASMA VOLUME, MULTIPLE 78111 125.55$
78111 CHG PLASMA VOLUME, MULTIPLE 78111 15.36$
78111 CHG PLASMA VOLUME, MULTIPLE 78111 110.19$
78120 CHG RED CELL MASS, SINGLE 78120 123.35$
78120 CHG RED CELL MASS, SINGLE 78120 15.94$
78120 CHG RED CELL MASS, SINGLE 78120 107.42$
78121 CHG RED CELL MASS, MULTIPLE 78121 137.43$
78121 CHG RED CELL MASS, MULTIPLE 78121 21.71$
78121 CHG RED CELL MASS, MULTIPLE 78121 115.71$
78122 CHG BLOOD VOLUME 78122 154.77$
78122 CHG BLOOD VOLUME 78122 34.07$
78122 CHG BLOOD VOLUME 78122 120.68$
78130 CHG RED CELL SURVIVAL STUDY 78130 220.98$
78130 CHG RED CELL SURVIVAL STUDY 78130 41.27$
78130 CHG RED CELL SURVIVAL STUDY 78130 179.72$
78135 CHG RED CELL SURVIVAL KINETICS 78135 463.83$
78135 CHG RED CELL SURVIVAL KINETICS 78135 43.56$
78135 CHG RED CELL SURVIVAL KINETICS 78135 420.27$
78140 CHG RED CELL SEQUESTRATION 78140 182.97$
78140 CHG RED CELL SEQUESTRATION 78140 41.27$
78140 CHG RED CELL SEQUESTRATION 78140 141.70$
78185 CHG SPLEEN IMAGING 78185 278.09$
78185 CHG SPLEEN IMAGING 78185 27.46$
78185 CHG SPLEEN IMAGING 78185 250.65$
78191 CHG PLATELET SURVIVAL 78191 220.98$
78191 CHG PLATELET SURVIVAL 78191 41.27$
78191 CHG PLATELET SURVIVAL 78191 179.72$
78195 CHG LYMPHATICS & LYMPH GLANDS IMAGING 78195 578.94$
78195 CHG LYMPHATICS & LYMPH GLANDS IMAGING 78195 94.51$
78195 CHG LYMPHATICS & LYMPH GLANDS IMAGING 78195 484.42$
78201 CHG LIVER IMAGING 78201 307.36$
78201 CHG LIVER IMAGING 78201 34.06$
78201 CHG LIVER IMAGING 78201 273.32$
78202 CHG LIVER IMAGING WITH FLOW 78202 324.14$
78202 CHG LIVER IMAGING WITH FLOW 78202 38.10$
78202 CHG LIVER IMAGING WITH FLOW 78202 286.04$
78205 CHG LIVER IMAGING (SPECT) 78205 342.77$
78205 CHG LIVER IMAGING (SPECT) 78205 53.97$
78205 CHG LIVER IMAGING (SPECT) 78205 288.80$
78206 CHG LIVER IMAGE (3-D) W/FLOW 78206 559.23$
78206 CHG LIVER IMAGE (3-D) W/FLOW 78206 75.36$
78206 CHG LIVER IMAGE (3-D) W/FLOW 78206 483.88$
78215 CHG LIVER AND SPLEEN IMAGING 78215 315.66$
78215 CHG LIVER AND SPLEEN IMAGING 78215 39.02$
78215 CHG LIVER AND SPLEEN IMAGING 78215 276.64$
78216 CHG LIVER & SPLEEN IMAGE, FLOW 78216 205.26$
78216 CHG LIVER & SPLEEN IMAGE, FLOW 78216 44.20$
78216 CHG LIVER & SPLEEN IMAGE, FLOW 78216 161.06$
78226 PR HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER 78226 537.78$
78226 PR HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER 78226 58.89$
78226 PR HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER 78226 478.90$
78227 PR HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ 78227 728.71$
78227 PR HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ 78227 71.89$
78227 PR HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ 78227 656.83$
78230 CHG SALIVARY GLAND IMAGING 78230 282.36$
78230 CHG SALIVARY GLAND IMAGING 78230 36.70$
78230 CHG SALIVARY GLAND IMAGING 78230 245.67$
78231 CHG SERIAL SALIVARY IMAGING 78231 170.58$
78231 CHG SERIAL SALIVARY IMAGING 78231 35.51$
78231 CHG SERIAL SALIVARY IMAGING 78231 135.07$
78232 CHG SALIVARY GLAND FUNCTION EXAM 78232 162.71$
78232 CHG SALIVARY GLAND FUNCTION EXAM 78232 32.06$
78232 CHG SALIVARY GLAND FUNCTION EXAM 78232 130.65$
78258 CHG ESOPHAGEAL MOTILITY STUDY, IMAGING 78258 365.39$
78258 CHG ESOPHAGEAL MOTILITY STUDY, IMAGING 78258 58.89$
78258 CHG ESOPHAGEAL MOTILITY STUDY, IMAGING 78258 306.50$
78261 CHG GASTRIC MUCOSA IMAGING 78261 328.07$
78261 CHG GASTRIC MUCOSA IMAGING 78261 47.01$
78261 CHG GASTRIC MUCOSA IMAGING 78261 281.06$
78262 CHG GASTROESOPHAGEAL REFLUX EXAM 78262 391.91$
78262 CHG GASTROESOPHAGEAL REFLUX EXAM 78262 53.34$
78262 CHG GASTROESOPHAGEAL REFLUX EXAM 78262 338.58$
78264 CHG GASTRIC EMPTYING IMAGING STUDY 78264 545.66$
78264 CHG GASTRIC EMPTYING IMAGING STUDY 78264 62.34$
78264 CHG GASTRIC EMPTYING IMAGING STUDY 78264 483.32$
78265 CHG GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT 78265 613.90$
78265 CHG GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT 78265 77.62$
78265 CHG GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT 78265 536.27$
78266 CHG GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY 78266 771.62$
78266 CHG GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY 78266 86.03$
78266 CHG GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY 78266 685.58$
78270 CHG VIT B-12 ABSORP EXAM NO IF 78270 165.86$
78270 CHG VIT B-12 ABSORP EXAM NO IF 78270 16.98$
78270 CHG VIT B-12 ABSORP EXAM NO IF 78270 148.90$
78271 CHG VIT B-12 ABSORP EXAM, IF 78271 117.76$
78271 CHG VIT B-12 ABSORP EXAM, IF 78271 13.66$
78271 CHG VIT B-12 ABSORP EXAM, IF 78271 104.10$
78272 CHG VIT B-12 ABSORP, COMBINED 78272 129.54$
78272 CHG VIT B-12 ABSORP, COMBINED 78272 18.81$
78272 CHG VIT B-12 ABSORP, COMBINED 78272 110.73$
78278 CHG ACUTE GI BLOOD LOSS IMAGING 78278 567.06$
78278 CHG ACUTE GI BLOOD LOSS IMAGING 78278 78.75$
78278 CHG ACUTE GI BLOOD LOSS IMAGING 78278 488.30$
78282 CHG GI PROTEIN LOSS EXAM 78282 30.57$
78290 CHG BOWEL IMAGING 78290 537.62$
78290 CHG BOWEL IMAGING 78290 53.76$
78290 CHG BOWEL IMAGING 78290 483.88$
78291 CHG LEVEEN/SHUNT PATENCY EXAM 78291 416.63$
78291 CHG LEVEEN/SHUNT PATENCY EXAM 78291 68.66$
78291 CHG LEVEEN/SHUNT PATENCY EXAM 78291 347.97$
78300 CHG BONE IMAGING, LIMITED AREA 78300 375.16$
78300 CHG BONE IMAGING, LIMITED AREA 78300 50.28$
78300 CHG BONE IMAGING, LIMITED AREA 78300 324.89$
78305 CHG BONE IMAGING, MULTIPLE AREAS 78305 457.28$
78305 CHG BONE IMAGING, MULTIPLE AREAS 78305 66.17$
78305 CHG BONE IMAGING, MULTIPLE AREAS 78305 391.12$
78306 CHG BONE IMAGING, WHOLE BODY 78306 493.30$
78306 CHG BONE IMAGING, WHOLE BODY 78306 68.46$
78306 CHG BONE IMAGING, WHOLE BODY 78306 424.84$
78315 CHG BONE IMAGING, 3 PHASE 78315 562.70$
78315 CHG BONE IMAGING, 3 PHASE 78315 80.49$
78315 CHG BONE IMAGING, 3 PHASE 78315 482.21$
78320 CHG BONE IMAGING (SPECT) 78320 371.56$
78320 CHG BONE IMAGING (SPECT) 78320 81.10$
78320 CHG BONE IMAGING (SPECT) 78320 290.47$
78414 CHG NON-IMAGING HEART FUNCTION 78414 139.79$
78414 CHG NON-IMAGING HEART FUNCTION 78414 35.74$
78414 CHG NON-IMAGING HEART FUNCTION 78414 104.05$
78428 CHG CARDIAC SHUNT IMAGING 78428 296.51$
78428 CHG CARDIAC SHUNT IMAGING 78428 60.79$
78428 CHG CARDIAC SHUNT IMAGING 78428 235.72$
78445 CHG VASCULAR FLOW IMAGING,NONCARDIAC 78445 302.79$
78445 CHG VASCULAR FLOW IMAGING,NONCARDIAC 78445 39.44$
78445 CHG VASCULAR FLOW IMAGING,NONCARDIAC 78445 263.36$
78451 CHG MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS 78451 554.10$
78451 CHG MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS 78451 108.39$
78451 CHG MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS 78451 445.71$
78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES 78452 771.09$
78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES 78452 127.68$
78452 CHG MYOCARDIAL SPECT MULTIPLE STUDIES 78452 643.42$
78453 CHG MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS 78453 494.08$
78453 CHG MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS 78453 79.33$
78453 CHG MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS 78453 414.74$
78454 CHG MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES 78454 710.23$
78454 CHG MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES 78454 107.04$
78454 CHG MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES 78454 603.19$
78456 CHG IMAG,ACUTE VENOUS THRMBSIS,PEP 78456 503.63$
78456 CHG IMAG,ACUTE VENOUS THRMBSIS,PEP 78456 78.38$
78456 CHG IMAG,ACUTE VENOUS THRMBSIS,PEP 78456 425.25$
78457 CHG IMAG,ACUTE VENOUS THRMBSIS,UNILAT 78457 311.97$
78457 CHG IMAG,ACUTE VENOUS THRMBSIS,UNILAT 78457 60.77$
78457 CHG IMAG,ACUTE VENOUS THRMBSIS,UNILAT 78457 251.20$
78458 CHG VEN THROMBOSIS IMAGES, BILAT 78458 331.93$
78458 CHG VEN THROMBOSIS IMAGES, BILAT 78458 72.44$
78458 CHG VEN THROMBOSIS IMAGES, BILAT 78458 259.50$
78459 CHG MYOCRD IMG PET METAB EVAL SINGLE STUDY 78459 1,879.48$
78459 CHG MYOCRD IMG PET METAB EVAL SINGLE STUDY 78459 114.23$
78459 CHG MYOCRD IMG PET METAB EVAL SINGLE STUDY 78459 1,765.25$
78466 CHG HEART INFARCT IMAGE 78466 320.60$
78466 CHG HEART INFARCT IMAGE 78466 56.68$
78466 CHG HEART INFARCT IMAGE 78466 263.92$
78468 CHG HEART INFARCT IMAGE W EF 78468 313.15$
78468 CHG HEART INFARCT IMAGE W EF 78468 62.50$
78468 CHG HEART INFARCT IMAGE W EF 78468 250.65$
78469 CHG HEART INFARCT IMAGE SPECT 78469 372.64$
78469 CHG HEART INFARCT IMAGE SPECT 78469 72.77$
78469 CHG HEART INFARCT IMAGE SPECT 78469 299.85$
78472 CHG GATED HEART, PLANAR SINGLE 78472 372.50$
78472 CHG GATED HEART, PLANAR SINGLE 78472 77.62$
78472 CHG GATED HEART, PLANAR SINGLE 78472 294.89$
78473 CHG GATED HEART, MULTIPLE 78473 470.28$
78473 CHG GATED HEART, MULTIPLE 78473 114.71$
78473 CHG GATED HEART, MULTIPLE 78473 355.58$
78481 CHG HEART FIRST PASS SINGLE,PLANAR 78481 284.86$
78481 CHG HEART FIRST PASS SINGLE,PLANAR 78481 77.20$
78481 CHG HEART FIRST PASS SINGLE,PLANAR 78481 207.65$
78483 CHG HEART FIRST PASS MULTIPLE,PLANAR 78483 393.00$
78483 CHG HEART FIRST PASS MULTIPLE,PLANAR 78483 114.71$
78483 CHG HEART FIRST PASS MULTIPLE,PLANAR 78483 278.29$
78491 CHG MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS 78491 1,880.04$
78491 CHG MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS 78491 114.79$
78491 CHG MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS 78491 1,765.25$
78492 CHG MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST&STRESS 78492 1,910.17$
78492 CHG MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST&STRESS 78492 144.92$
78492 CHG MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST&STRESS 78492 1,765.25$
78494 CHG HEART IMAGE, SPECT 78494 366.42$
78494 CHG HEART IMAGE, SPECT 78494 93.65$
78494 CHG HEART IMAGE, SPECT 78494 272.76$
78496 CHG HEART FIRST PASS ADD-ON 78496 71.12$
78496 CHG HEART FIRST PASS ADD-ON 78496 39.19$
78496 CHG HEART FIRST PASS ADD-ON 78496 31.93$
78579 PR PULMONARY VENTILATION IMAGING 78579 303.63$
78579 PR PULMONARY VENTILATION IMAGING 78579 38.61$
78579 PR PULMONARY VENTILATION IMAGING 78579 265.02$
78580 CHG LUNG PERFUSION IMAGING 78580 388.06$
78580 CHG LUNG PERFUSION IMAGING 78580 58.89$
78580 CHG LUNG PERFUSION IMAGING 78580 329.18$
78582 PR PULMONARY VENTILATION & PERFUSION IMAGING 78582 543.35$
78582 PR PULMONARY VENTILATION & PERFUSION IMAGING 78582 84.91$
78582 PR PULMONARY VENTILATION & PERFUSION IMAGING 78582 458.44$
78597 PR QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING 78597 330.17$
78597 PR QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING 78597 57.39$
78597 PR QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING 78597 272.76$
78598 PR QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGING 78598 495.50$
78598 PR QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGING 78598 66.36$
78598 PR QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGING 78598 429.13$
78600 CHG BRAIN IMAGING < 4 STATIC VIEWS 78600 299.49$
78600 CHG BRAIN IMAGING < 4 STATIC VIEWS 78600 35.57$
78600 CHG BRAIN IMAGING < 4 STATIC VIEWS 78600 263.92$
78601 CHG BRAIN IMAGING < 4 STATIC VIEWS W VASCULAR FLOW 78601 348.33$
78601 CHG BRAIN IMAGING < 4 STATIC VIEWS W VASCULAR FLOW 78601 40.18$
78601 CHG BRAIN IMAGING < 4 STATIC VIEWS W VASCULAR FLOW 78601 308.15$
78605 CHG BRAIN IMAGING MIN 4 STATIC VIEWS 78605 322.95$
78605 CHG BRAIN IMAGING MIN 4 STATIC VIEWS 78605 43.00$
78605 CHG BRAIN IMAGING MIN 4 STATIC VIEWS 78605 279.96$
78606 CHG BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW 78606 534.90$
78606 CHG BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW 78606 50.47$
78606 CHG BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW 78606 484.42$
78607 CHG BRAIN IMAGING TOMOGRAPHIC SPECT 78607 569.75$
78607 CHG BRAIN IMAGING TOMOGRAPHIC SPECT 78607 95.27$
78607 CHG BRAIN IMAGING TOMOGRAPHIC SPECT 78607 474.47$
78608 CHG BRAIN IMAGING PET METABOLIC 78608 1,881.00$
78608 CHG BRAIN IMAGING PET METABOLIC 78608 115.75$
78608 CHG BRAIN IMAGING PET METABOLIC 78608 1,765.25$
78610 CHG BRAIN FLOW IMAGING ONLY 78610 283.78$
78610 CHG BRAIN FLOW IMAGING ONLY 78610 24.29$
78610 CHG BRAIN FLOW IMAGING ONLY 78610 259.50$
78630 CHG CSF FLUID SCAN CISTERNOGRAPHY 78630 549.80$
78630 CHG CSF FLUID SCAN CISTERNOGRAPHY 78630 54.30$
78630 CHG CSF FLUID SCAN CISTERNOGRAPHY 78630 495.50$
78635 CHG CSF VENTRICULOGRAPHY 78635 550.16$
78635 CHG CSF VENTRICULOGRAPHY 78635 49.70$
78635 CHG CSF VENTRICULOGRAPHY 78635 500.46$
78645 CHG CSF SHUNT EVALUATION 78645 528.08$
78645 CHG CSF SHUNT EVALUATION 78645 44.76$
78645 CHG CSF SHUNT EVALUATION 78645 483.32$
78647 CHG CSF SCAN SPECT 78647 570.69$
78647 CHG CSF SCAN SPECT 78647 73.00$
78647 CHG CSF SCAN SPECT 78647 497.71$
78650 CHG CSF LEAKAGE DETECTION & LOCALIZATION 78650 442.74$
78650 CHG CSF LEAKAGE DETECTION & LOCALIZATION 78650 41.27$
78650 CHG CSF LEAKAGE DETECTION & LOCALIZATION 78650 401.48$
78660 CHG NUCLEAR TEAR FLOW 78660 292.68$
78660 CHG NUCLEAR TEAR FLOW 78660 42.03$
78660 CHG NUCLEAR TEAR FLOW 78660 250.65$
78700 CHG RENAL IMAGING, STATIC 78700 279.74$
78700 CHG RENAL IMAGING, STATIC 78700 35.74$
78700 CHG RENAL IMAGING, STATIC 78700 244.00$
78701 CHG RENAL IMAGING WITH FLOW 78701 348.41$
78701 CHG RENAL IMAGING WITH FLOW 78701 38.61$
78701 CHG RENAL IMAGING WITH FLOW 78701 309.82$
78707 CHG RENAL FLOW/FUNCT IMAGING 78707 377.98$
78707 CHG RENAL FLOW/FUNCT IMAGING 78707 74.81$
78707 CHG RENAL FLOW/FUNCT IMAGING 78707 303.19$
78708 CHG RENAL FLOW/FUNCT IMAGE,PHARM RX 78708 285.45$
78708 CHG RENAL FLOW/FUNCT IMAGE,PHARM RX 78708 95.22$
78708 CHG RENAL FLOW/FUNCT IMAGE,PHARM RX 78708 190.23$
78709 CHG RENAL FLOW/FUNCT IMAGE,COMBO,PHARM 78709 596.08$
78709 CHG RENAL FLOW/FUNCT IMAGE,COMBO,PHARM 78709 109.99$
78709 CHG RENAL FLOW/FUNCT IMAGE,COMBO,PHARM 78709 486.09$
78710 CHG RENAL IMAGING SPECT 78710 327.99$
78710 CHG RENAL IMAGING SPECT 78710 48.59$
78710 CHG RENAL IMAGING SPECT 78710 279.39$
78725 CHG RENAL FUNCTION STUDY 78725 173.38$
78725 CHG RENAL FUNCTION STUDY 78725 29.47$
78725 CHG RENAL FUNCTION STUDY 78725 143.91$
78730 CHG URINARY BLADDER RETENTION 78730 126.75$
78730 CHG URINARY BLADDER RETENTION 78730 12.97$
78730 CHG URINARY BLADDER RETENTION 78730 113.78$
78740 CHG URETERAL REFLUX STUDY 78740 354.16$
78740 CHG URETERAL REFLUX STUDY 78740 44.35$
78740 CHG URETERAL REFLUX STUDY 78740 309.82$
78761 CHG TESTICULAR IMAGING & FLOW 78761 342.08$
78761 CHG TESTICULAR IMAGING & FLOW 78761 57.16$
78761 CHG TESTICULAR IMAGING & FLOW 78761 284.94$
78800 CHG RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING 78800 312.91$
78800 CHG RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING 78800 53.97$
78800 CHG RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING 78800 258.93$
78801 CHG RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D 78801 421.64$
78801 CHG RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D 78801 63.16$
78801 CHG RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D 78801 358.48$
78802 CHG RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING 78802 525.94$
78802 CHG RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING 78802 66.94$
78802 CHG RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING 78802 459.00$
78803 CHG RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING 78803 556.81$
78803 CHG RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING 78803 83.44$
78803 CHG RP LOCLZJ TUM SPECT 1 AREA SINGLE DAY IMAGING 78803 473.37$
78804 CHG RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING 78804 921.87$
78804 CHG RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING 78804 83.94$
78804 CHG RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING 78804 837.94$
78805 CHG ABSCESS IMAGING, LTD AREA 78805 297.35$
78805 CHG ABSCESS IMAGING, LTD AREA 78805 57.75$
78805 CHG ABSCESS IMAGING, LTD AREA 78805 239.58$
78806 CHG ABSCESS IMAGING, WHOLE BODY 78806 542.52$
78806 CHG ABSCESS IMAGING, WHOLE BODY 78806 67.50$
78806 CHG ABSCESS IMAGING, WHOLE BODY 78806 475.02$
78807 CHG NUCLEAR LOCALIZATION/ABSCESS 78807 557.91$
78807 CHG NUCLEAR LOCALIZATION/ABSCESS 78807 83.99$
78807 CHG NUCLEAR LOCALIZATION/ABSCESS 78807 473.91$
78808 CHG INJECT RADIOPHARM NON-IMAGING LOCALIZATION, IV 78808 62.12$
78811 CHG PET IMAGING LIMITED AREA CHEST HEAD/NECK 78811 1,888.16$
78811 CHG PET IMAGING LIMITED AREA CHEST HEAD/NECK 78811 122.91$
78811 CHG PET IMAGING LIMITED AREA CHEST HEAD/NECK 78811 1,765.25$
78812 CHG PET IMAGING SKULL BASE TO MID-THIGH 78812 2,265.45$
78812 CHG PET IMAGING SKULL BASE TO MID-THIGH 78812 150.33$
78812 CHG PET IMAGING SKULL BASE TO MID-THIGH 78812 2,115.12$
78813 CHG PET IMAGING WHOLE BODY 78813 2,270.60$
78813 CHG PET IMAGING WHOLE BODY 78813 155.50$
78813 CHG PET IMAGING WHOLE BODY 78813 2,115.12$
78814 CHG PET IMAGING CT FOR ATTENUATION LIMITED AREA 78814 1,938.12$
78814 CHG PET IMAGING CT FOR ATTENUATION LIMITED AREA 78814 172.87$
78814 CHG PET IMAGING CT FOR ATTENUATION LIMITED AREA 78814 1,765.25$
78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH 78815 2,306.73$
78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH 78815 191.61$
78815 CHG PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH 78815 2,115.12$
78816 CHG PET IMAGING FOR CT ATTENUATION WHOLE BODY 78816 2,309.09$
78816 CHG PET IMAGING FOR CT ATTENUATION WHOLE BODY 78816 193.97$
78816 CHG PET IMAGING FOR CT ATTENUATION WHOLE BODY 78816 2,115.12$
79005 CHG NUCLEAR THERAPY, ORAL 79005 218.97$
79005 CHG NUCLEAR THERAPY, ORAL 79005 141.83$
79005 CHG NUCLEAR THERAPY, ORAL 79005 77.14$
79101 CHG NUCLEAR THERAPY, IV 79101 231.69$
79101 CHG NUCLEAR THERAPY, IV 79101 155.53$
79101 CHG NUCLEAR THERAPY, IV 79101 76.18$
79200 CHG NUCLEAR THERAPY, INTRACAVITARY 79200 215.19$
79200 CHG NUCLEAR THERAPY, INTRACAVITARY 79200 135.28$
79200 CHG NUCLEAR THERAPY, INTRACAVITARY 79200 79.91$
79300 CHG NUCLEAR THERAPY, INTERSTITIAL 79300 129.15$
79403 CHG NUCLEAR THERAPY, MONOCLONAL AB 79403 307.66$
79403 CHG NUCLEAR THERAPY, MONOCLONAL AB 79403 177.01$
79403 CHG NUCLEAR THERAPY, MONOCLONAL AB 79403 130.65$
79440 CHG NUCLEAR THERAPY, INTRA-ARTICULAR 79440 199.85$
79440 CHG NUCLEAR THERAPY, INTRA-ARTICULAR 79440 135.28$
79440 CHG NUCLEAR THERAPY, INTRA-ARTICULAR 79440 64.56$
79445 CHG NUCLEAR THERAPY, INTRA-ARTERIAL 79445 184.87$
80307 CHG DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE 80307 25.00$
80500 CHG LAB PATHOLOGY CONSULT-LTD 80500 37.19$
80502 CHG LAB PATHOLOGY CONSULT-COMPLETE 80502 118.62$
81000 CHG URINALYSIS, NONAUTO, W/SCOPE 81000 5.40$
81001 CHG URINALYSIS, AUTO, W/SCOPE 81001 5.40$
81002 CHG URINALYSIS NONAUTO W/O SCOPE 81002 4.40$
81003 CHG URINALYSIS, AUTO, W/O SCOPE 81003 5.56$
81005 CHG URINALYSIS 81005 1.70$
81025 CHG URINE PREGNANCY TEST 81025 10.80$
82044 CHG URINE ALBUMIN SEMIQUANTITATIVE 82044 7.00$
82270 CHG BLOOD OCCULT,BY PEROXID,FECES,SINGLE, COLORECTAL SCREEN 82270 9.00$
82272 CHG BLOOD OCCULT,BY PEROXID, FECES, 1-3 SIMULT, NON CA SCREEN 82272 5.50$
82731 CHG ASSAY OF FETAL FIBRONECTIN 82731 49.44$
82962 CHG GLUCOSE BLOOD TEST 82962 4.00$
83020 CHG HEMOGLOBIN ELECTROPHORESIS 83020 29.58$
83036 CHG GLYCOSYLATED HEMOGLOBIN TEST 83036 22.14$
84165 CHG PROTEIN E-PHORESIS, SERUM 84165 29.58$
84166 CHG PROTEIN E-PHORESIS/URINE/CSF 84166 29.58$
84181 CHG PROTEIN, WESTERN BLOT TEST 84181 29.58$
84182 CHG PROTEIN, WESTERN BLOT TEST, W BAND ID 84182 29.58$
85014 CHG HEMATOCRIT 85014 6.00$
85018 CHG HEMOGLOBIN 85018 6.00$
85032 CHG MANUAL CELL COUNT,EACH 85032 4.40$
85060 CHG BLOOD SMEAR INTERPRETATION 85060 40.16$
85097 CHG BONE MARROW,SMEAR INTERPRETATION 85097 145.53$
85390 CHG FIBRINOLYSINS SCREEN 85390 29.58$
85396 CHG CLOTTING ASSAY, WHOLE BLOOD 85396 33.31$
85576 CHG BLOOD PLATELET AGGREGATION 85576 29.58$
85610 CHG PROTHROMBIN TIME 85610 7.00$
86077 CHG PHYS BLD BANK SERV,DIFF XMTCH 86077 90.24$
86078 CHG PHYS BLD BANK SERV,XFUSN RX 86078 90.24$
86079 CHG PHYS BLD BANK SERV,DEV STD 86079 89.68$
86153 CHG CELL ENUMERATION IMMUNE SELECTJ & ID PHYS INTERP 86153 55.72$
86255 CHG FLUORESCENT ANTIBODY; SCREEN 86255 29.58$
86256 CHG FLUORESCENT ANTIBODY; TITER 86256 29.58$
86308 CHG HETEROPHILE ANTIBODIES,SCREEN 86308 14.00$
86320 CHG SERUM IMMUNOELECTROPHORESIS 86320 29.58$
86325 CHG IMMUNOELECTROPHOR,OTHER FLUIDS W/CONC 86325 29.58$
86327 CHG IMMUNOELECTROPHORESIS ASSAY 86327 33.58$
86334 CHG IMMUNOFIX E-PHORESIS, SERUM 86334 29.58$
86335 CHG IMMUNFIX E-PHORSIS/URINE/CSF 86335 29.58$
86485 CHG SKIN TEST, CANDIDA 86485 12.18$
86486 CHG SKIN TEST UNLISTED ANTIGEN EACH 86486 7.61$
86490 CHG COCCIDIOIDOMYCOSIS SKIN TEST 86490 140.32$
86510 CHG HISTOPLASMOSIS SKIN TEST 86510 9.82$
86580 CHG TB INTRADERMAL TEST 86580 12.57$
87164 CHG DARK FIELD EXAM W SPEC COLLECTN 87164 29.58$
87207 CHG SMEAR,INCLUSION BODIES/PARASITES,INTERP 87207 29.58$
87210 CHG SMEAR,STAIN,WET MNT,INTERP 87210 8.50$
87426 SARS CORONAVIRUS AMB 87426 38.13$
87804 CHG DETECT AGENT,IMMUN,DIR OBS,INFLUENZA 87804 27.00$
87880 CHG STREP A ASSAY W/OPTIC 87880 30.00$
88104 CHG CYTOPATH FLUIDS,SMEAR,INTERP 88104 115.10$
88104 CHG CYTOPATH FLUIDS,SMEAR,INTERP 88104 47.22$
88104 CHG CYTOPATH FLUIDS,SMEAR,INTERP 88104 67.88$
88106 CHG CYTOPATH FLUIDS,FILTER,INTERP 88106 101.89$
88106 CHG CYTOPATH FLUIDS,FILTER,INTERP 88106 32.36$
88106 CHG CYTOPATH FLUIDS,FILTER,INTERP 88106 69.53$
88108 CHG CYTOPATH FLUIDS,CONCENTRATN,INTERP 88108 96.54$
88108 CHG CYTOPATH FLUIDS,CONCENTRATN,INTERP 88108 37.50$
88108 CHG CYTOPATH FLUIDS,CONCENTRATN,INTERP 88108 59.04$
88112 CHG CYTOPATH, CELL ENHANCE TECH 88112 109.02$
88112 CHG CYTOPATH, CELL ENHANCE TECH 88112 46.66$
88112 CHG CYTOPATH, CELL ENHANCE TECH 88112 62.35$
88120 CHG CYTOPATH, INSITU HYBRID URINE SPEC 3-5 PROBES EACH,MANUAL 88120 1,000.61$
88120 CHG CYTOPATH, INSITU HYBRID URINE SPEC 3-5 PROBES EACH,MANUAL 88120 96.18$
88120 CHG CYTOPATH, INSITU HYBRID URINE SPEC 3-5 PROBES EACH,MANUAL 88120 904.45$
88121 CHG CYTOPATH, INSITU HYBRID URINE SPEC 3-5 PROBES EACH,COMPUTER ASSIST 88121 834.47$
88121 CHG CYTOPATH, INSITU HYBRID URINE SPEC 3-5 PROBES EACH,COMPUTER ASSIST 88121 82.52$
88121 CHG CYTOPATH, INSITU HYBRID URINE SPEC 3-5 PROBES EACH,COMPUTER ASSIST 88121 751.95$
88125 CHG FORENSIC CYTOPATHOLOGY 88125 42.42$
88125 CHG FORENSIC CYTOPATHOLOGY 88125 23.22$
88125 CHG FORENSIC CYTOPATHOLOGY 88125 19.22$
88141 CHG CYTOPATH CERV/VAG INTERPRET 88141 51.69$
88142 CHG CYTOPATH CERV/VAG THIN LAYER 88142 -$
88160 CHG CYTOPATH,OTHR SOURC,SCREEN,INTERP 88160 114.94$
88160 CHG CYTOPATH,OTHR SOURC,SCREEN,INTERP 88160 43.20$
88160 CHG CYTOPATH,OTHR SOURC,SCREEN,INTERP 88160 71.76$
88161 CHG CYTOPATH,OTHR SOURC,PREP,SCRN,INTERP 88161 104.45$
88161 CHG CYTOPATH,OTHR SOURC,PREP,SCRN,INTERP 88161 41.53$
88161 CHG CYTOPATH,OTHR SOURC,PREP,SCRN,INTERP 88161 62.90$
88162 CHG CYTOPATH,OTHR SOURC,EXTENSIVE 88162 153.50$
88162 CHG CYTOPATH,OTHR SOURC,EXTENSIVE 88162 64.20$
88162 CHG CYTOPATH,OTHR SOURC,EXTENSIVE 88162 89.31$
88172 CHG EVALUATION OF FNA SMEAR TO DETERMINE ADEQUACY, FIRST EVAL 88172 92.07$
88172 CHG EVALUATION OF FNA SMEAR TO DETERMINE ADEQUACY, FIRST EVAL 88172 60.14$
88172 CHG EVALUATION OF FNA SMEAR TO DETERMINE ADEQUACY, FIRST EVAL 88172 31.93$
88173 CHG INTERPRETATION OF FNA SMEAR 88173 245.70$
88173 CHG INTERPRETATION OF FNA SMEAR 88173 118.24$
88173 CHG INTERPRETATION OF FNA SMEAR 88173 127.46$
88177 CHG EVALUATION OF FNA SMEAR TO DETERMINE ADEQUACY, EA ADD EVAL 88177 49.07$
88177 CHG EVALUATION OF FNA SMEAR TO DETERMINE ADEQUACY, EA ADD EVAL 88177 36.91$
88177 CHG EVALUATION OF FNA SMEAR TO DETERMINE ADEQUACY, EA ADD EVAL 88177 12.16$
88182 CHG CELL MARKER STUDY,DNA 88182 207.03$
88182 CHG CELL MARKER STUDY,DNA 88182 64.22$
88182 CHG CELL MARKER STUDY,DNA 88182 142.81$
88184 CHG FLOWCYTOMETRY/ TECH COMPONENT, 1 MARKER 88184 104.23$
88185 CHG FLOWCYTOMETRY/TECH COMPONENT, ADD-ON 88185 47.01$
88187 CHG FLOWCYTOMETRY/READ, 2-8 MARKERS 88187 75.47$
88188 CHG FLOWCYTOMETRY/READ, 9-15 MARKERS 88188 104.59$
88189 CHG FLOWCYTOMETRY/READ, 16 & > MARKERS 88189 139.92$
88291 CHG CYTO/MOLECULAR REPORT 88291 53.06$
88300 CHG SURG PATH,GROSS,LEVEL I 88300 25.92$
88300 CHG SURG PATH,GROSS,LEVEL I 88300 7.26$
88300 CHG SURG PATH,GROSS,LEVEL I 88300 18.66$
88302 CHG SURG PATH,LEVEL II 88302 48.72$
88302 CHG SURG PATH,LEVEL II 88302 11.81$
88302 CHG SURG PATH,LEVEL II 88302 36.91$
88304 CHG SURG PATH,LEVEL III 88304 64.45$
88304 CHG SURG PATH,LEVEL III 88304 19.24$
88304 CHG SURG PATH,LEVEL III 88304 45.21$
88305 CHG SURG PATH,LEVEL IV 88305 109.38$
88305 CHG SURG PATH,LEVEL IV 88305 63.06$
88305 CHG SURG PATH,LEVEL IV 88305 46.32$
88307 CHG SURG PATH,LEVEL V 88307 418.08$
88307 CHG SURG PATH,LEVEL V 88307 138.53$
88307 CHG SURG PATH,LEVEL V 88307 279.54$
88309 CHG SURG PATH,LEVEL VI 88309 635.79$
88309 CHG SURG PATH,LEVEL VI 88309 245.78$
88309 CHG SURG PATH,LEVEL VI 88309 390.01$
88311 CHG DECALCIFY TISSUE 88311 35.19$
88311 CHG DECALCIFY TISSUE 88311 20.96$
88311 CHG DECALCIFY TISSUE 88311 14.24$
88312 CHG SPECIAL STAINS,GROUP I 88312 153.76$
88312 CHG SPECIAL STAINS,GROUP I 88312 44.40$
88312 CHG SPECIAL STAINS,GROUP I 88312 109.36$
88313 CHG SPECIAL STAINS,GROUP II 88313 110.95$
88313 CHG SPECIAL STAINS,GROUP II 88313 19.85$
88313 CHG SPECIAL STAINS,GROUP II 88313 91.11$
88314 CHG HISTOCHEMICAL STAIN 88314 134.72$
88314 CHG HISTOCHEMICAL STAIN 88314 37.54$
88314 CHG HISTOCHEMICAL STAIN 88314 97.19$
88319 CHG ENZYME HISTOCHEMISTRY 88319 139.36$
88319 CHG ENZYME HISTOCHEMISTRY 88319 44.39$
88319 CHG ENZYME HISTOCHEMISTRY 88319 94.97$
88321 CHG MICROSLIDE CONSULT 88321 164.62$
88323 CHG MICROSLIDE CONSULT W SLIDE PREP 88323 196.12$
88323 CHG MICROSLIDE CONSULT W SLIDE PREP 88323 144.82$
88323 CHG MICROSLIDE CONSULT W SLIDE PREP 88323 51.28$
88325 CHG COMPREHENSIVE REVIEW OF DATA 88325 296.92$
88329 CHG PATH CONSULT IN SURGERY 88329 83.03$
88331 CHG PATH CONSULT IN SURG,W FRZ SEC 88331 155.73$
88331 CHG PATH CONSULT IN SURG,W FRZ SEC 88331 104.99$
88331 CHG PATH CONSULT IN SURG,W FRZ SEC 88331 50.74$
88332 CHG PATH CONSULT IN SURG,W ADDN FRZ SEC 88332 84.76$
88332 CHG PATH CONSULT IN SURG,W ADDN FRZ SEC 88332 51.73$
88332 CHG PATH CONSULT IN SURG,W ADDN FRZ SEC 88332 33.03$
88333 CHG INTRAOPERATIVE CYTO PATH CONSULT, INITIAL SITE 88333 143.60$
88333 CHG INTRAOPERATIVE CYTO PATH CONSULT, INITIAL SITE 88333 105.02$
88333 CHG INTRAOPERATIVE CYTO PATH CONSULT, INITIAL SITE 88333 38.58$
88334 CHG INTRAOPERATIVE CYTO PATH CONSULT, ADD SITES 88334 89.00$
88334 CHG INTRAOPERATIVE CYTO PATH CONSULT, ADD SITES 88334 64.12$
88334 CHG INTRAOPERATIVE CYTO PATH CONSULT, ADD SITES 88334 24.88$
88341 IMMUNOHISTO/CYTOCHEMISTRY, PER SPECIMEN, EA ADDL SINGLE ANTIBODY STAIN 88341 146.77$
88341 IMMUNOHISTO/CYTOCHEMISTRY, PER SPECIMEN, EA ADDL SINGLE ANTIBODY STAIN 88341 47.22$
88341 IMMUNOHISTO/CYTOCHEMISTRY, PER SPECIMEN, EA ADDL SINGLE ANTIBODY STAIN 88341 99.54$
88342 CHG IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE 88342 172.84$
88342 CHG IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE 88342 59.07$
88342 CHG IMHISTOCHEM/CYTCHM INIT ANTIBODY STAIN PROCEDURE 88342 113.78$
88344 IMMUNOHISTO/CYTOCHEMISTRY, PER SPECIMEN, EA MULTIPLEX ANTIBODY STAIN 88344 275.88$
88344 IMMUNOHISTO/CYTOCHEMISTRY, PER SPECIMEN, EA MULTIPLEX ANTIBODY STAIN 88344 64.78$
88344 IMMUNOHISTO/CYTOCHEMISTRY, PER SPECIMEN, EA MULTIPLEX ANTIBODY STAIN 88344 211.10$
88346 CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN 88346 148.75$
88346 CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN 88346 59.86$
88346 CHG IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN 88346 88.90$
88348 CHG ELECTRON MICROSCOPY,DIAGNOSTIC 88348 546.99$
88348 CHG ELECTRON MICROSCOPY,DIAGNOSTIC 88348 126.29$
88348 CHG ELECTRON MICROSCOPY,DIAGNOSTIC 88348 420.68$
88350 CHG IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN 88350 114.77$
88350 CHG IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN 88350 47.85$
88350 CHG IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN 88350 66.91$
88355 CHG ANALYSIS, SKELETAL MUSCLE 88355 210.82$
88355 CHG ANALYSIS, SKELETAL MUSCLE 88355 136.31$
88355 CHG ANALYSIS, SKELETAL MUSCLE 88355 74.51$
88356 CHG ANALYSIS, NERVE 88356 352.37$
88356 CHG ANALYSIS, NERVE 88356 205.71$
88356 CHG ANALYSIS, NERVE 88356 146.69$
88358 CHG ANALYSIS, TUMOR 88358 150.83$
88358 CHG ANALYSIS, TUMOR 88358 77.42$
88358 CHG ANALYSIS, TUMOR 88358 73.41$
88360 CHG TUMOR IMMUNOHISTOCHEM/MANUAL 88360 211.40$
88360 CHG TUMOR IMMUNOHISTOCHEM/MANUAL 88360 73.84$
88360 CHG TUMOR IMMUNOHISTOCHEM/MANUAL 88360 137.56$
88361 CHG TUMOR IMMUNOHISTOCHEM/COMPUT 88361 229.89$
88361 CHG TUMOR IMMUNOHISTOCHEM/COMPUT 88361 78.52$
88361 CHG TUMOR IMMUNOHISTOCHEM/COMPUT 88361 151.39$
88362 CHG NERVE TEASING PREPARATIONS 88362 332.34$
88362 CHG NERVE TEASING PREPARATIONS 88362 182.75$
88362 CHG NERVE TEASING PREPARATIONS 88362 149.59$
88363 CHG EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSIS 88363 38.30$
88364 IN SITU HYBRIDIZATION, PER SPECIMEN; EA ADDL SINGLE PROBE STAIN 88364 208.79$
88364 IN SITU HYBRIDIZATION, PER SPECIMEN; EA ADDL SINGLE PROBE STAIN 88364 57.95$
88364 IN SITU HYBRIDIZATION, PER SPECIMEN; EA ADDL SINGLE PROBE STAIN 88364 150.83$
88365 CHG TISSUE HYBRIDIZATION 88365 283.92$
88365 CHG TISSUE HYBRIDIZATION 88365 73.36$
88365 CHG TISSUE HYBRIDIZATION 88365 210.56$
88366 IN SITU HYBRIDIZATION, PER SPECIMEN; EA MULTIPLEX PROBE STAIN 88366 414.68$
88366 IN SITU HYBRIDIZATION, PER SPECIMEN; EA MULTIPLEX PROBE STAIN 88366 103.47$
88366 IN SITU HYBRIDIZATION, PER SPECIMEN; EA MULTIPLEX PROBE STAIN 88366 311.21$
88367 CHG INSITU HYBRIDIZATION, AUTO 88367 169.74$
88367 CHG INSITU HYBRIDIZATION, AUTO 88367 57.62$
88367 CHG INSITU HYBRIDIZATION, AUTO 88367 112.12$
88368 CHG INSITU HYBRIDIZATION, MANUAL 88368 191.57$
88368 CHG INSITU HYBRIDIZATION, MANUAL 88368 68.94$
88368 CHG INSITU HYBRIDIZATION, MANUAL 88368 122.63$
88369 MORPHOMETRIC ANALYSIS, INSITU HYBRID, MANUAL, PER SPEC, EA ADDL PROBE STAIN 88369 172.99$
88369 MORPHOMETRIC ANALYSIS, INSITU HYBRID, MANUAL, PER SPEC, EA ADDL PROBE STAIN 88369 53.67$
88369 MORPHOMETRIC ANALYSIS, INSITU HYBRID, MANUAL, PER SPEC, EA ADDL PROBE STAIN 88369 119.31$
88371 CHG PROTEIN, WESTERN BLOT TISSUE 88371 29.58$
88372 CHG PROTEIN ANALYSIS W/PROBE 88372 29.58$
88373 MORPHOMETRIC ANALYSIS, INSITU HYBRID, COMP-ASSIST, PER SPEC, EA ADD PROBE STAIN 88373 124.69$
88373 MORPHOMETRIC ANALYSIS, INSITU HYBRID, COMP-ASSIST, PER SPEC, EA ADD PROBE STAIN 88373 45.62$
88373 MORPHOMETRIC ANALYSIS, INSITU HYBRID, COMP-ASSIST, PER SPEC, EA ADD PROBE STAIN 88373 79.08$
88374 MICROSCOPIC GENETIC EXAM, COMP-ASSIST, PER SPEC, EA MULTIPLEX PROBE STAIN 88374 541.89$
88374 MICROSCOPIC GENETIC EXAM, COMP-ASSIST, PER SPEC, EA MULTIPLEX PROBE STAIN 88374 73.08$
88374 MICROSCOPIC GENETIC EXAM, COMP-ASSIST, PER SPEC, EA MULTIPLEX PROBE STAIN 88374 468.81$
88375 CHG OPTICAL ENDOMICROSCOPIC IMAGE INTERP & REPORT 88375 81.86$
88377 MICROSCOPIC GENETIC EXAM, MANUAL, PER SPEC, EA MULTIPLEX PROBE STAIN 88377 644.59$
88377 MICROSCOPIC GENETIC EXAM, MANUAL, PER SPEC, EA MULTIPLEX PROBE STAIN 88377 106.24$
88377 MICROSCOPIC GENETIC EXAM, MANUAL, PER SPEC, EA MULTIPLEX PROBE STAIN 88377 538.35$
88380 CHG MICRODISSECTION, LASER 88380 217.54$
88380 CHG MICRODISSECTION, LASER 88380 91.18$
88380 CHG MICRODISSECTION, LASER 88380 126.36$
88381 CHG MICRODISSECTION, MANUAL 88381 192.85$
88381 CHG MICRODISSECTION, MANUAL 88381 41.61$
88381 CHG MICRODISSECTION, MANUAL 88381 151.24$
88387 CHG MACRO EXAM/DISSECT/PREP FOR NON-MICRO STUDY, EA 88387 55.95$
88387 CHG MACRO EXAM/DISSECT/PREP FOR NON-MICRO STUDY, EA 88387 46.68$
88387 CHG MACRO EXAM/DISSECT/PREP FOR NON-MICRO STUDY, EA 88387 9.26$
88388 CHG MACRO EXAM/DISSECT/PREP, FOR NON-MICRO, IMPRINT/INTRAOP/FROZEN, EA 88388 55.09$
88388 CHG MACRO EXAM/DISSECT/PREP, FOR NON-MICRO, IMPRINT/INTRAOP/FROZEN, EA 88388 39.75$
88388 CHG MACRO EXAM/DISSECT/PREP, FOR NON-MICRO, IMPRINT/INTRAOP/FROZEN, EA 88388 15.35$
89049 CHG CAFFEINE HALOTHNE CONTRCTN TEST MAL HYPERTHRM 89049 382.87$
89060 CHG EXAM,SYNOVIAL FLUID CRYSTALS 89060 29.58$
89220 CHG SPUTUM SPECIMEN COLLECTION 89220 25.29$
89230 CHG COLLECT SWEAT FOR TEST 89230 5.40$
89300 CHG SEMEN ANALYSIS,PRESENCE OR MOTIL 89300 15.21$
90460 PR IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, 1ST VACCINE/TOXOID 90460 35.00$
90461 PR IMMUNIZ ADMIN, THRU AGE 18, ANY ROUTE,W COUNSEL, EA ADD VACCINE/TOXOID 90461 20.16$
90471 PR IMMUNIZ ADMIN,1 SINGLE/COMB VAC/TOXOID 90471 33.79$
90472 PR IMMUNIZ,ADMIN,EACH ADDL 90472 20.16$
90473 PR IMMUNIZ ADMIN,INTRANASAL/ORAL,1 VAC/TOX 90473 32.37$
90474 PR IMMUNIZ ADMIN,INTRANASAL/ORAL,EACH ADDL 90474 20.16$
90632 PR HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE 90632 88.51$
90633 PR HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE 90633 41.00$
90636 PR HEPA/HEPB VACCINE ADULT IM 90636 127.19$
90648 PR HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE 90648 36.00$
90649 PR 4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE 90649 194.40$
90651 PR 9VHPV VACC 2/3 DOSE SCHED IM USE 90651 266.00$
90655 PR IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE 90655 -$
90656 PR IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE 90656 23.00$
90662 PR IIV VACCINE PRESERV FREE INCREASED AG COUNT IM 90662 92.00$
90670 PR PCV13 VACCINE FOR INTRAMUSCULAR USE 90670 355.00$
90680 PR RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE 90680 107.50$
90682 PR RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM 90682 92.00$
90686 PR IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE 90686 31.00$
90696 PR DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE 90696 66.00$
90698 PR DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE 90698 114.81$
90700 PR DTAP IMMUNIZATION, IM, <7 YO 90700 32.28$
90707 PR MMR VIRUS IMMUNIZATION, SUBCUT 90707 128.70$
90710 PR COMBINED VACCINE,MMR+VARICELLA,SUB-Q 90710 216.75$
90713 PR POLIOMYELITIS IMMUNIZATN,INACTV,SUB-Q 90713 47.00$
90714 PR TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE 90714 38.33$
90715 PR TDAP VACCINE >7 YO, IM 90715 57.46$
90716 PR VAR VACCINE LIVE FOR SUBCUTANEOUS USE 90716 222.75$
90723 PR DTAP/HEPB/IPV VACCINE,IM 90723 97.00$
90732 PR PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE 90732 188.00$
90733 PR MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE 90733 146.25$
90734 PR MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE 90734 159.16$
90739 PR HEPB VACCINE ADULT 2 DOSE SCHEDULE FOR IM USE 90739 -$
90744 PR HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM 90744 104.25$
90746 PR HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE 90746 104.25$
90750 PR HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX 90750 219.00$
90785 PR PSYCHOTHERAPY COMPLEX INTERACTIVE 90785 23.40$
90791 PR PSYCHIATRIC DIAGNOSTIC EVALUATION 90791 227.82$
90792 PR PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES 90792 240.87$
90832 PR PSYCHOTHERAPY W/PATIENT 30 MINUTES 90832 104.97$
90833 PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN 90833 109.11$
90834 PR PSYCHOTHERAPY W/PATIENT 45 MINUTES 90834 140.28$
90836 PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN 90836 137.68$
90837 PR PSYCHOTHERAPY W/PATIENT 60 MINUTES 90837 210.36$
90838 PR PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN 90838 181.96$
90839 PR PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES 90839 219.55$
90840 PR PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES 90840 104.97$
90845 PR PSYCHOANALYSIS 90845 150.36$
90846 PR FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS 90846 169.26$
90847 PR FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS 90847 176.15$
90849 PR MULTIP FAMILY-GROUP PSYCHOTHERAPY 90849 58.64$
90853 PR GROUP PSYCHOTHERAPY 90853 42.19$
90865 PR NARCOSYNTHESIS 90865 268.01$
90867 PR TRANSCRANIAL MAGNETIC STIMULATION TREATMENT,PLANNING 90867 309.16$
90868 PR TRANSCRANIAL MAGNETIC STIMULATION TREATMENT,DELIVERY/MANAGEMENT 90868 286.24$
90869 PR REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV & MNGT 90869 278.64$
90870 PR ELECTROCONVULSIVE THERAPY,1 SEIZ 90870 279.43$
90880 PR HYPNOTHERAPY 90880 166.63$
90901 PR BIOFEEDBACK TRAINING,ANY MODALITY 90901 62.73$
90911 PR BIOFEEDBACK PERI/URO/RECTAL 90911 137.53$
90935 PR HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION 90935 116.52$
90937 PR HEMODIALYSIS, REPEATED EVAL. 90937 166.42$
90945 PR DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL 90945 136.64$
90947 PR DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS 90947 198.03$
90951 PR ESRD RELATED SVC MONTHLY & <2 YR OLD 4/> VISITS 90951 1,507.82$
90954 PR ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS 90954 1,300.08$
90955 PR ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS 90955 729.76$
90956 PR ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT 90956 506.83$
90957 PR ESRD RELATED SVC MONTHLY 12-19 YR OLD 4/> VISITS 90957 1,028.13$
90958 PR ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS 90958 697.34$
90959 PR ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT 90959 473.30$
90960 PR ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS 90960 452.43$
90961 PR ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS 90961 380.36$
90962 PR ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT 90962 293.83$
90963 PR ESRD SERVICES, HOME DIALYSIS, PER MONTH, < 2 YR OLD 90963 872.06$
90964 PR ESRD SERVICES, HOME DIALYSIS, PER MONTH, 2-11 YR OLD 90964 761.08$
90965 PR ESRD SERVICES, HOME DIALYSIS, PER MONTH, 12-19 YR OLD 90965 723.97$
90966 PR ESRD SERVICES, HOME DIALYSIS, PER MONTH, 20+ YR OLD 90966 379.38$
90967 PR ESRD SERVICES, PER DAY, < 2 YR OLD 90967 28.84$
90968 PR ESRD SERVICES, PER DAY, 2-11 YR OLD 90968 24.83$
90969 PR ESRD SERVICES, PER DAY, 12-19 YR OLD 90969 24.26$
90970 PR ESRD SERVICES, PER DAY,20+ YR OLD 90970 12.39$
90997 PR HEMOPERFUSION 90997 142.76$
91010 PR ESOPHAGEAL MOTILITY STUDY, MANOMETRY 91010 280.25$
91010 PR ESOPHAGEAL MOTILITY STUDY, MANOMETRY 91010 107.84$
91010 PR ESOPHAGEAL MOTILITY STUDY, MANOMETRY 91010 172.39$
91013 PR ESOPHAGEAL MOTILITY STUDY, MANOMETRY W STIMULATION/PERFUSION 91013 40.14$
91013 PR ESOPHAGEAL MOTILITY STUDY, MANOMETRY W STIMULATION/PERFUSION 91013 15.26$
91013 PR ESOPHAGEAL MOTILITY STUDY, MANOMETRY W STIMULATION/PERFUSION 91013 24.88$
91020 PR GASTRIC MOTILITY STUDY 91020 373.16$
91020 PR GASTRIC MOTILITY STUDY 91020 121.26$
91020 PR GASTRIC MOTILITY STUDY 91020 251.89$
91022 PR DUODENAL MOTILITY STUDY 91022 269.20$
91022 PR DUODENAL MOTILITY STUDY 91022 121.26$
91022 PR DUODENAL MOTILITY STUDY 91022 147.92$
91030 PR ACID PERFUSION OF ESOPHAGUS 91030 217.35$
91030 PR ACID PERFUSION OF ESOPHAGUS 91030 77.02$
91030 PR ACID PERFUSION OF ESOPHAGUS 91030 140.32$
91034 PR GERD TST W/ NASAL PH ELECTROD 91034 297.28$
91034 PR GERD TST W/ NASAL PH ELECTROD 91034 81.74$
91034 PR GERD TST W/ NASAL PH ELECTROD 91034 215.54$
91035 PR GERD TST W/ MUCOS PH ELECTROD 91035 760.50$
91035 PR GERD TST W/ MUCOS PH ELECTROD 91035 134.64$
91035 PR GERD TST W/ MUCOS PH ELECTROD 91035 625.86$
91037 PR GERD TST W/ NASAL IMPEDENCE ELECTROD 91037 255.52$
91037 PR GERD TST W/ NASAL IMPEDENCE ELECTROD 91037 81.46$
91037 PR GERD TST W/ NASAL IMPEDENCE ELECTROD 91037 174.06$
91038 PR GERD TST W/ MUCOS IMPEDE ELECTROD,>1HR 91038 707.54$
91038 PR GERD TST W/ MUCOS IMPEDE ELECTROD,>1HR 91038 92.73$
91038 PR GERD TST W/ MUCOS IMPEDE ELECTROD,>1HR 91038 614.81$
91040 PR ESOPHGL BALO DISTENSION DX STD W/PROVOCATION 91040 706.37$
91040 PR ESOPHGL BALO DISTENSION DX STD W/PROVOCATION 91040 78.84$
91040 PR ESOPHGL BALO DISTENSION DX STD W/PROVOCATION 91040 627.53$
91065 PR BREATH HYDROGEN/METHANE TEST 91065 113.60$
91065 PR BREATH HYDROGEN/METHANE TEST 91065 16.42$
91065 PR BREATH HYDROGEN/METHANE TEST 91065 97.19$
91110 PR GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R 91110 1,350.84$
91110 PR GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R 91110 209.02$
91110 PR GI IMAG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R 91110 1,141.82$
91111 PR GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I&R 91111 1,174.16$
91111 PR GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I&R 91111 84.32$
91111 PR GASTROINTESTINAL TRACT IMAGING ESOPHAGUS W/I&R 91111 1,089.84$
91112 PR GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP 91112 1,691.86$
91112 PR GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP 91112 176.22$
91112 PR GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP 91112 1,515.66$
91117 PR COLON MOTILITY STUDY MIN 6 HOURS CONT RECORDING W INTERP & REPORT 91117 224.12$
91120 PR RECTAL SENSATION TEST, BALLOON 91120 670.69$
91120 PR RECTAL SENSATION TEST, BALLOON 91120 80.22$
91120 PR RECTAL SENSATION TEST, BALLOON 91120 590.47$
91122 PR ANAL PRESSURE RECORD 91122 364.88$
91122 PR ANAL PRESSURE RECORD 91122 145.61$
91122 PR ANAL PRESSURE RECORD 91122 219.27$
91132 PR ELECTROGASTROGRAPHY, DX, TRANSCUT 91132 237.63$
91132 PR ELECTROGASTROGRAPHY, DX, TRANSCUT 91132 43.66$
91132 PR ELECTROGASTROGRAPHY, DX, TRANSCUT 91132 193.96$
91133 PR ELECTROGASTROGRAPHY, PROVOKED 91133 273.24$
91133 PR ELECTROGASTROGRAPHY, PROVOKED 91133 55.51$
91133 PR ELECTROGASTROGRAPHY, PROVOKED 91133 217.75$
91200 LIVER ELASTOGRAPHY, MECHANICALLY INDUCED SHEAR WAVE, W/O IMAGING W/ I&R 91200 63.48$
91200 LIVER ELASTOGRAPHY, MECHANICALLY INDUCED SHEAR WAVE, W/O IMAGING W/ I&R 91200 22.69$
91200 LIVER ELASTOGRAPHY, MECHANICALLY INDUCED SHEAR WAVE, W/O IMAGING W/ I&R 91200 40.79$
91300 PFIZER-BIONTECH COVID-19 VACCINE 91300 -$
91301 MODERNA COVID-19 VACCINE 91301 -$
92002 PR EYE EXAM, NEW PATIENT,INTERMED 92002 132.40$
92004 PR EYE EXAM, NEW PATIENT,COMPREHESV 92004 239.91$
92012 PR EYE EXAM, EST PATIENT,INTERMED 92012 139.00$
92014 PR EYE EXAM, EST PATIENT,COMPREHESV 92014 200.29$
92018 PR EYE EXAM UNDER GEN ANESTH, COMPLETE 92018 233.38$
92019 PR EYE EXAM UNDER GEN ANESTH, LIMITED 92019 116.64$
92020 PR SPECIAL EYE EVAL,GONISCOPY 92020 42.85$
92025 PR CORNEAL TOPOGRAPHY 92025 60.36$
92025 PR CORNEAL TOPOGRAPHY 92025 32.29$
92025 PR CORNEAL TOPOGRAPHY 92025 28.07$
92060 PR SPECIAL EYE EVAL,SENSORIMOTOR 92060 103.27$
92060 PR SPECIAL EYE EVAL,SENSORIMOTOR 92060 61.94$
92060 PR SPECIAL EYE EVAL,SENSORIMOTOR 92060 41.33$
92065 PR ORTHOPTIC/PLEOPTIC TRAINING 92065 85.31$
92065 PR ORTHOPTIC/PLEOPTIC TRAINING 92065 29.02$
92065 PR ORTHOPTIC/PLEOPTIC TRAINING 92065 56.27$
92071 PR FIT CONTACT LENS TX OCULAR SURFACE DISEASE 92071 60.49$
92072 PR FITTING CONTACT LENS FOR MNGT OF KERATOCONUS 92072 212.65$
92081 PR VISUAL FIELD EXAM,LIMITED 92081 54.70$
92081 PR VISUAL FIELD EXAM,LIMITED 92081 26.63$
92081 PR VISUAL FIELD EXAM,LIMITED 92081 28.07$
92082 PR VISUAL FIELD EXAM,INTERMED 92082 76.53$
92082 PR VISUAL FIELD EXAM,INTERMED 92082 35.19$
92082 PR VISUAL FIELD EXAM,INTERMED 92082 41.33$
92083 PR VISUAL FIELD EXAM,EXTENDED 92083 101.67$
92083 PR VISUAL FIELD EXAM,EXTENDED 92083 44.85$
92083 PR VISUAL FIELD EXAM,EXTENDED 92083 56.83$
92100 PR SERIAL TONOMETRY EXAM(S) 92100 128.50$
92132 PR COMPUTERIZED OPHTHALMIC IMAGING ANTERIOR SEGMENT 92132 49.71$
92132 PR COMPUTERIZED OPHTHALMIC IMAGING ANTERIOR SEGMENT 92132 26.63$
92132 PR COMPUTERIZED OPHTHALMIC IMAGING ANTERIOR SEGMENT 92132 23.08$
92133 PR COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE 92133 59.94$
92133 PR COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE 92133 36.30$
92133 PR COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE 92133 23.64$
92134 PR COMPUTERIZED OPHTHALMIC IMAGING RETINA 92134 66.15$
92134 PR COMPUTERIZED OPHTHALMIC IMAGING RETINA 92134 41.96$
92134 PR COMPUTERIZED OPHTHALMIC IMAGING RETINA 92134 24.19$
92136 PR OPHTHAL BIOMETRY,INTRAOC LENS POW CALC 92136 124.46$
92136 PR OPHTHAL BIOMETRY,INTRAOC LENS POW CALC 92136 50.49$
92136 PR OPHTHAL BIOMETRY,INTRAOC LENS POW CALC 92136 73.97$
92145 CORNEAL HYSTERESIS DETERMINATION, AIR IMPULSE STIMULATION, UNI/BILAT W/ I&R 92145 27.82$
92145 CORNEAL HYSTERESIS DETERMINATION, AIR IMPULSE STIMULATION, UNI/BILAT W/ I&R 92145 15.23$
92145 CORNEAL HYSTERESIS DETERMINATION, AIR IMPULSE STIMULATION, UNI/BILAT W/ I&R 92145 12.57$
92225 PR SPECIAL EYE EXAM, INITIAL 92225 43.43$
92226 PR SPECIAL EYE EXAM, SUBSEQUENT 92226 39.98$
92227 PR IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI 92227 23.08$
92228 PR IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI 92228 53.77$
92228 PR IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI 92228 32.90$
92228 PR IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI 92228 20.87$
92230 PR FLUORESCEIN ANGIOSCOPY 92230 91.84$
92235 PR FLUORESCEIN ANGRPH W/MULTIFRAME I&R UNI/BI 92235 136.62$
92235 PR FLUORESCEIN ANGRPH W/MULTIFRAME I&R UNI/BI 92235 70.39$
92235 PR FLUORESCEIN ANGRPH W/MULTIFRAME I&R UNI/BI 92235 66.21$
92240 PR INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI 92240 330.71$
92240 PR INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI 92240 75.36$
92240 PR INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI 92240 255.35$
92242 PR FLUORESCEIN ICG ANGRPH W/MULTIFRAME I&R UNI/BI 92242 360.56$
92242 PR FLUORESCEIN ICG ANGRPH W/MULTIFRAME I&R UNI/BI 92242 88.61$
92242 PR FLUORESCEIN ICG ANGRPH W/MULTIFRAME I&R UNI/BI 92242 271.94$
92250 PR FUNDAL PHOTOGRAPHY 92250 90.35$
92250 PR FUNDAL PHOTOGRAPHY 92250 35.19$
92250 PR FUNDAL PHOTOGRAPHY 92250 55.16$
92260 PR OPHTHALMOSCOPY/DYNAMOMETRY 92260 29.14$
92265 PR EYE MUSCLE EVALUATION 92265 140.09$
92265 PR EYE MUSCLE EVALUATION 92265 76.08$
92265 PR EYE MUSCLE EVALUATION 92265 64.00$
92270 PR ELECTRO-OCULOGRAPHY 92270 147.69$
92270 PR ELECTRO-OCULOGRAPHY 92270 66.54$
92270 PR ELECTRO-OCULOGRAPHY 92270 81.15$
92275 PR ELECTRORETINOGRAPHY 92275 237.25$
92275 PR ELECTRORETINOGRAPHY 92275 88.21$
92275 PR ELECTRORETINOGRAPHY 92275 149.03$
92283 PR COLOR VISION EXAMINATION 92283 86.43$
92283 PR COLOR VISION EXAMINATION 92283 14.69$
92283 PR COLOR VISION EXAMINATION 92283 71.76$
92284 PR DARK ADAPTATION EYE EXAM 92284 98.79$
92284 PR DARK ADAPTATION EYE EXAM 92284 20.39$
92284 PR DARK ADAPTATION EYE EXAM 92284 78.39$
92285 PR EYE PHOTOGRAPHY 92285 32.47$
92285 PR EYE PHOTOGRAPHY 92285 4.97$
92285 PR EYE PHOTOGRAPHY 92285 27.51$
92286 PR ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY 92286 61.05$
92286 PR ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY 92286 35.74$
92286 PR ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY 92286 25.29$
92287 PR ANT SGM IMAGING W/FLUOROSCEIN ANGIO & I&R 92287 219.02$
92287 PR ANT SGM IMAGING W/FLUOROSCEIN ANGIO & I&R 92287 75.52$
92287 PR ANT SGM IMAGING W/FLUOROSCEIN ANGIO & I&R 92287 143.50$
92311 PR CONTACT LENS FIT,APHAKIA UNILAT 92311 162.08$
92312 PR CONTACT LENS FIT,APHAKIA BILAT 92312 187.98$
92313 PR CONTACT LENS FIT,CORNEOSCLERAL LENS 92313 153.52$
92315 PR SCRIPT CONTACT LENS,APHAKIA UNILAT 92315 118.68$
92316 PR SCRIPT CONTACT LENS,APHAKIA BILAT 92316 148.60$
92317 PR SCRIPT CONTACT LENS,CORNEOSCLERAL 92317 124.21$
92325 PR MODIFICATION OF CONTACT LENS 92325 67.88$
92326 PR REPLACEMENT OF CONTACT LENS 92326 57.37$
92502 PR EAR AND THROAT EXAMINATION 92502 153.93$
92504 PR EAR MICROSCOPY EXAMINATION 92504 46.23$
92507 PR SPEECH/HEARING THERAPY, INDIVIDUAL 92507 125.47$
92508 PR SPEECH/HEARING THERAPY, GROUP 92508 36.66$
92511 PR NASOPHARYNGOSCOPY 92511 171.91$
92512 PR NASAL FUNCTION STUDIES 92512 93.79$
92516 PR FACIAL NERVE FUNCTION TEST 92516 107.99$
92520 PR LARYNGEAL FUNCTION STUDIES 92520 121.82$
92521 PR EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER) 92521 182.21$
92522 PR EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE 92522 146.59$
92523 PR EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION 92523 315.98$
92524 PR BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE 92524 140.65$
92526 PR ORAL FUNCTION THERAPY 92526 137.18$
92537 PR CALORIC VESTIBULAR TEST W/REC BI BITHERMAL 92537 64.75$
92537 PR CALORIC VESTIBULAR TEST W/REC BI BITHERMAL 92537 51.05$
92537 PR CALORIC VESTIBULAR TEST W/REC BI BITHERMAL 92537 13.68$
92538 PR CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL 92538 33.13$
92538 PR CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL 92538 25.53$
92538 PR CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL 92538 7.61$
92540 PR VESTIBULAR EVAL NYSTAG FOVL&PERPH STIM OSCIL TRACKING 92540 162.21$
92540 PR VESTIBULAR EVAL NYSTAG FOVL&PERPH STIM OSCIL TRACKING 92540 128.06$
92540 PR VESTIBULAR EVAL NYSTAG FOVL&PERPH STIM OSCIL TRACKING 92540 34.14$
92541 PR SPONTANEOUS NYSTAGMUS TEST 92541 39.47$
92541 PR SPONTANEOUS NYSTAGMUS TEST 92541 34.09$
92541 PR SPONTANEOUS NYSTAGMUS TEST 92541 5.40$
92542 PR POSITIONAL NYSTAGMUS TEST 92542 45.08$
92542 PR POSITIONAL NYSTAGMUS TEST 92542 40.24$
92542 PR POSITIONAL NYSTAGMUS TEST 92542 4.83$
92544 PR OPTOKINETIC NYSTAGMUS TEST, BIDIREC, FOVEAL, PERIPH, W RECORD 92544 26.98$
92544 PR OPTOKINETIC NYSTAGMUS TEST, BIDIREC, FOVEAL, PERIPH, W RECORD 92544 23.23$
92544 PR OPTOKINETIC NYSTAGMUS TEST, BIDIREC, FOVEAL, PERIPH, W RECORD 92544 3.73$
92545 PR OSCILLATING TRACKING TEST 92545 25.26$
92545 PR OSCILLATING TRACKING TEST 92545 21.53$
92545 PR OSCILLATING TRACKING TEST 92545 3.73$
92546 PR SINUSOIDAL ROTATIONAL TEST 92546 164.03$
92546 PR SINUSOIDAL ROTATIONAL TEST 92546 24.40$
92546 PR SINUSOIDAL ROTATIONAL TEST 92546 139.62$
92547 PR SUPPLEMENTAL ELECTRICAL TEST 92547 9.41$
92548 PR CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT 92548 155.73$
92548 PR CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT 92548 41.94$
92548 PR CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT 92548 113.78$
92550 PR TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS 92550 34.37$
92551 PR PURE TONE HEARING TEST, AIR 92551 14.10$
92552 PR PURE TONE AUDIOMETRY, AIR 92552 49.63$
92553 PR AUDIOMETRY, AIR & BONE 92553 59.58$
92555 PR SPEECH THRESHOLD AUDIOMETRY 92555 37.47$
92556 PR SPEECH AUDIOMETRY, COMPLETE 92556 59.58$
92557 PR COMPREHENSIVE HEARING TEST 92557 60.32$
92561 PR BEKESY AUDIOMETRY, DIAGNOSIS 92561 61.10$
92562 PR LOUDNESS BALANCE TEST 92562 72.86$
92563 PR TONE DECAY HEARING TEST 92563 48.53$
92564 PR SISI HEARING TEST 92564 40.79$
92565 PR STENGER TEST, PURE TONE 92565 24.19$
92567 PR TYMPANOMETRY 92567 23.05$
92568 PR ACOUSTIC REFLEX TESTING 92568 25.36$
92570 PR ACOUSTIC IMMIT TEST TYMPANOMETRY/ACOUST REFLEX/DECAY 92570 51.35$
92571 PR FILTERED SPEECH HEARING TEST 92571 43.00$
92572 PR STAGGERED SPONDAIC WORD TEST 92572 82.81$
92575 PR SENSORINEURAL ACUITY TEST 92575 73.82$
92576 PR SYNTHETIC SENTENCE TEST 92576 59.04$
92577 PR STENGER TEST, SPEECH 92577 22.54$
92579 PR VISUAL AUDIOMETRY (VRA) 92579 73.29$
92582 PR CONDITIONING PLAY AUDIOMETRY 92582 106.46$
92583 PR SELECT PICTURE AUDIOMETRY 92583 77.29$
92584 PR ELECTROCOCHLEOGRAPHY 92584 115.85$
92585 PR AUDITORY EVOKED POTENTIAL 92585 213.10$
92585 PR AUDITORY EVOKED POTENTIAL 92585 43.05$
92585 PR AUDITORY EVOKED POTENTIAL 92585 170.05$
92586 PR AUDITORY EVOKED POTENTIAL, LIMITED 92586 139.62$
92587 PR EVOKED AUDITORY TEST,LIMITED 92587 34.37$
92587 PR EVOKED AUDITORY TEST,LIMITED 92587 29.54$
92587 PR EVOKED AUDITORY TEST,LIMITED 92587 4.83$
92588 PR EVOKED AUDITORY TEST,COMPREHSV 92588 52.59$
92588 PR EVOKED AUDITORY TEST,COMPREHSV 92588 46.65$
92588 PR EVOKED AUDITORY TEST,COMPREHSV 92588 5.94$
92596 PR EAR PROTECTOR EVALUATION 92596 107.15$
92597 PR EVAL VOICE PROSTH DEVICE 92597 115.12$
92601 PR DX ANAL COCHLEAR IMP,PT <7 YRS,W/PROG 92601 263.70$
92602 PR DX ANAL COCHLEAR IMP,PT <7 YRS,REPROG 92602 163.20$
92603 PR DX ANAL COCHLEAR IMP,PT >7 YRS,W/PROG 92603 244.63$
92604 PR DX ANAL COCHLEAR IMP,PT >7 YRS,REPROG 92604 144.69$
92607 PR EVAL,SPEECH-GEN AUG/ALT COMM DEV,1ST HR 92607 209.02$
92608 PR EVAL,SPEECH-GEN AUG/ALT COMM DEV,ADDL 30 92608 83.95$
92609 PR THER SRVC,NON-SPEECH GEN DEV USE, W/PROG 92609 175.20$
92610 PR EVAL,ORAL & PHARYNGEAL SWALLOW FUNCTION 92610 136.93$
92611 PR EVAL,SWALLOW FUNCTION,CINE/VIDEO RECORD 92611 139.52$
92612 PR FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC 92612 301.52$
92613 PR FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I&R 92613 60.89$
92614 PR FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC 92614 228.38$
92615 PR FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I&R 92615 53.06$
92616 PR FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V REC 92616 327.29$
92617 PR FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V I&R 92617 66.61$
92620 PR AUDITORY FUNCTION, 60 MIN 92620 151.29$
92621 PR AUDITORY FUNCTION, + 15 MIN 92621 36.17$
92625 PR TINNITUS ASSESSMENT 92625 112.35$
92626 PR EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR 92626 143.98$
92627 PR EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15 92627 36.12$
92640 PR AUDITORY BRAINSTEM IMPLANT DX/ ANALYSIS, PER HR 92640 184.04$
92920 PR PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH 92920 849.98$
92924 PR PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH 92924 1,012.87$
92928 PR PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH 92928 945.47$
92929 PR PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH 92929 4,015.75$
92933 PR PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH 92933 1,059.76$
92937 PR PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL 92937 944.33$
92938 PR PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL 92938 1,896.64$
92941 PR PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL 92941 1,061.89$
92943 PR PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL 92943 1,062.02$
92950 PR HEART/LUNG RESUSCITATION (CPR) 92950 483.35$
92953 PR TEMPORARY TRANSCUTANEOUS PACING 92953 1.55$
92960 PR CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL 92960 253.77$
92961 PR CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX 92961 399.23$
92970 PR CARDIOASSIST, INTERNAL 92970 315.10$
92971 PR CARDIOASSIST, EXTERNAL 92971 160.08$
92973 PR PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY 92973 282.86$
92974 PR TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX 92974 259.05$
92975 PR THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH 92975 602.50$
92977 PR THROMBOLYSIS,CORONARY,IV INFUSN 92977 89.02$
92978 PR ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL 92978 439.25$
92978 PR ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL 92978 152.99$
92978 PR ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL 92978 286.26$
92979 PR ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL 92979 265.98$
92979 PR ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL 92979 123.02$
92979 PR ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL 92979 142.96$
92986 PR PRQ BALLOON VALVULOPLASTY AORTIC VALVE 92986 2,106.56$
92987 PR PRQ BALLOON VALVULOPLASTY MITRAL VALVE 92987 2,173.55$
92990 PR PERCUT PULMONARY VALVULOPLASTY 92990 1,734.71$
92992 PR ATRIAL SEPTOSTOMY,XVENOUS,BALLOON 92992 1,792.10$
92993 PR ATRIAL SEPTOSTOMY,XVENOUS,BLADE 92993 1,792.10$
92997 PR PUL ART BALLOON REPAIR,PERC,1ST VESL 92997 1,045.54$
92998 PR PUL ART BALLOON REPAIR,PERC,ADDN VES 92998 518.35$
93000 PR ELECTROCARDIOGRAM, COMPLETE 93000 37.10$
93005 PR ELECTROCARDIOGRAM, TRACING 93005 13.13$
93010 PR ELECTROCARDIOGRAM REPORT 93010 13.58$
93015 PR CV STRS TST XERS&/OR RX CONT ECG W/SI&R 93015 169.24$
93016 PR CV STRS TST XERS&/OR RX CONT ECG W/O I&R 93016 35.74$
93017 PR CARDIAC STRESS TST,TRACING ONLY 93017 82.95$
93018 PR CARDIAC STRESS TST,INTERP/REPT ONLY 93018 23.88$
93024 PR CARDIAC DRUG STRESS TEST 93024 176.96$
93024 PR CARDIAC DRUG STRESS TEST 93024 92.09$
93024 PR CARDIAC DRUG STRESS TEST 93024 84.88$
93025 PR MICROVOLT T-WAVE ALTERNANS 93025 257.45$
93025 PR MICROVOLT T-WAVE ALTERNANS 93025 59.60$
93025 PR MICROVOLT T-WAVE ALTERNANS 93025 197.84$
93040 PR RHYTHM ECG WITH REPORT 93040 20.01$
93041 PR RHYTHM ECG, TRACING 93041 8.71$
93042 PR RHYTHM ECG, REPORT 93042 11.32$
93050 PR ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE 93050 26.15$
93050 PR ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE 93050 13.58$
93050 PR ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE 93050 12.57$
93224 PR XTRNL ECG & 48 HR RECORD SCAN STOR W/R&I 93224 143.47$
93225 PR EXT ECG RECORD CONTIN 48 HR, RECORD 93225 67.98$
93226 PR EXT ECG RECORD CONTIN 48 HR, SCAN ANALYSIS W REPORT 93226 87.89$
93227 PR XTRNL ECG CONTINUOUS RHYTHM W/I&R UP TO 48 HRS 93227 43.11$
93228 PR XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS 93228 41.86$
93229 PR XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT 93229 1,141.12$
93244 PR EXTERNAL ECG REC>48HR<7D REVIEW & INTERPRETATION 93244 36.93$
93246 PR EXTERNAL ECG REC>7D<15D RECORDING 93246 22.28$
93248 PR EXTERNAL ECG REC>7D<15D REVIEW & INTERPRETATION 93248 40.52$
93260 PROGRAM DEVICE EVAL W/ ADJ PROG VALUES W/ ANALYSIS, IMPLANT SUBQ LEAD DEFIB SYS 93260 103.97$
93260 PROGRAM DEVICE EVAL W/ ADJ PROG VALUES W/ ANALYSIS, IMPLANT SUBQ LEAD DEFIB SYS 93260 69.83$
93260 PROGRAM DEVICE EVAL W/ ADJ PROG VALUES W/ ANALYSIS, IMPLANT SUBQ LEAD DEFIB SYS 93260 34.14$
93261 INTERROGATION EVAL, IMPLANT SUBQ LEAD DEFIB SYS W/ ANALYSIS, REVIEW & REPORT 93261 94.28$
93261 INTERROGATION EVAL, IMPLANT SUBQ LEAD DEFIB SYS W/ ANALYSIS, REVIEW & REPORT 93261 60.69$
93261 INTERROGATION EVAL, IMPLANT SUBQ LEAD DEFIB SYS W/ ANALYSIS, REVIEW & REPORT 93261 33.59$
93268 PR XTRNL PT ACTIV ECG TRANSMIS W/R&I </30 DAYS 93268 323.20$
93270 PR EXT ECG,PT DEMAND EVENT, SYMPT MEMORY LOOP, RECORD 93270 14.24$
93271 PR EXT ECG,PT DEMAND EVENT, SYMPT MEMORY LOOP, TRANSMIT 93271 268.08$
93272 PR XTRNL PT ACTIVTD ECG DWNLD W/R&I </30 DAYS 93272 40.90$
93278 PR ECG/SIGNAL-AVERAGED 93278 49.04$
93278 PR ECG/SIGNAL-AVERAGED 93278 20.43$
93278 PR ECG/SIGNAL-AVERAGED 93278 28.61$
93279 PR PROGRAM EVAL IMPLANTABLE IN PRSN 1 LD PACEMAKER 93279 78.71$
93279 PR PROGRAM EVAL IMPLANTABLE IN PRSN 1 LD PACEMAKER 93279 52.29$
93279 PR PROGRAM EVAL IMPLANTABLE IN PRSN 1 LD PACEMAKER 93279 26.40$
93280 PR PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER 93280 92.70$
93280 PR PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER 93280 61.88$
93280 PR PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER 93280 30.82$
93281 PR PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER 93281 100.65$
93281 PR PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER 93281 69.27$
93281 PR PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER 93281 31.38$
93282 PR PROGRAM EVAL IMPLANTABLE IN PERSN 1 LD CARD/DFB 93282 124.81$
93282 PR PROGRAM EVAL IMPLANTABLE IN PERSN 1 LD CARD/DFB 93282 68.72$
93282 PR PROGRAM EVAL IMPLANTABLE IN PERSN 1 LD CARD/DFB 93282 28.61$
93283 PR PROGRM EVAL IMPLANTABLE IN PRSN DUAL L CARD/DFB 93283 124.53$
93283 PR PROGRM EVAL IMPLANTABLE IN PRSN DUAL L CARD/DFB 93283 93.14$
93283 PR PROGRM EVAL IMPLANTABLE IN PRSN DUAL L CARD/DFB 93283 31.38$
93284 PR PROGRM EVAL IMPLANTABLE IN PRSN MLT LD CARD/DFB 93284 135.70$
93284 PR PROGRM EVAL IMPLANTABLE IN PRSN MLT LD CARD/DFB 93284 101.56$
93284 PR PROGRM EVAL IMPLANTABLE IN PRSN MLT LD CARD/DFB 93284 34.14$
93285 PR PROGRAM EVAL IMPLANTABLE DEV IN PRSN ILR SYSTEM 93285 67.85$
93285 PR PROGRAM EVAL IMPLANTABLE DEV IN PRSN ILR SYSTEM 93285 42.55$
93285 PR PROGRAM EVAL IMPLANTABLE DEV IN PRSN ILR SYSTEM 93285 25.29$
93286 PR PERI-PX EVAL&PROGRAM IN PRSN PACEMAKER SYSTEM 93286 47.50$
93286 PR PERI-PX EVAL&PROGRAM IN PRSN PACEMAKER SYSTEM 93286 24.42$
93286 PR PERI-PX EVAL&PROGRAM IN PRSN PACEMAKER SYSTEM 93286 23.08$
93287 PR PERI-PX EVAL&PROGRAM CARDIOVERTER/DEFIBRILLATOR 93287 60.47$
93287 PR PERI-PX EVAL&PROGRAM CARDIOVERTER/DEFIBRILLATOR 93287 37.39$
93287 PR PERI-PX EVAL&PROGRAM CARDIOVERTER/DEFIBRILLATOR 93287 23.08$
93288 PR INTERROGATION EVAL IN PERSON 1/DUAL/MLT LEAD PM 93288 60.98$
93288 PR INTERROGATION EVAL IN PERSON 1/DUAL/MLT LEAD PM 93288 34.58$
93288 PR INTERROGATION EVAL IN PERSON 1/DUAL/MLT LEAD PM 93288 26.40$
93289 PR INTERROGATION EVAL F2F 1/DUAL/MLT LEADS CVDFB 93289 116.24$
93289 PR INTERROGATION EVAL F2F 1/DUAL/MLT LEADS CVDFB 93289 60.16$
93289 PR INTERROGATION EVAL F2F 1/DUAL/MLT LEADS CVDFB 93289 26.40$
93290 PR INTERROGATION EVAL F2F IMPLANTABLE CV MNTR SYS 93290 58.21$
93290 PR INTERROGATION EVAL F2F IMPLANTABLE CV MNTR SYS 93290 35.13$
93290 PR INTERROGATION EVAL F2F IMPLANTABLE CV MNTR SYS 93290 23.08$
93291 PR INTERROGATION EVALUATION IN PERSON ILR SYSTEM 93291 52.12$
93291 PR INTERROGATION EVALUATION IN PERSON ILR SYSTEM 93291 29.58$
93291 PR INTERROGATION EVALUATION IN PERSON ILR SYSTEM 93291 22.54$
93292 PR INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR 93292 58.21$
93292 PR INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR 93292 34.58$
93292 PR INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR 93292 23.64$
93293 PR TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL 93293 84.03$
93293 PR TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL 93293 24.45$
93293 PR TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL 93293 59.58$
93294 PR INTERROGATION EVAL REMOTE </90 D 1/2/MLT LEAD PM 93294 52.40$
93295 PR INTERROGATION EVAL REMOTE </90 D 1/2/MLT LD ICD 93295 118.43$
93296 PR INTERROG EVAL, REMOTE, UP TO 90 DAYS, PACER/DEFIB,TECH REVIEW 93296 41.33$
93297 PR INTERROGATION EVAL REMOTE </30 D CV MNTR SYS 93297 42.42$
93298 PR INTERROGATION EVALUATION REMOTE </30 D ILR SYS 93298 42.97$
93299 PR INTERROG EVAL, REMOTE, UP TO 30 DAYS, CV MON/LOOP REC,TECH REVIEW 93299 47.11$
93303 PR ECHO XTHORACIC,CONG ANOM,COMPLETE 93303 381.23$
93303 PR ECHO XTHORACIC,CONG ANOM,COMPLETE 93303 102.80$
93303 PR ECHO XTHORACIC,CONG ANOM,COMPLETE 93303 278.44$
93304 PR ECHO XTHORACIC,CONG ANOM,LIMITED 93304 253.57$
93304 PR ECHO XTHORACIC,CONG ANOM,LIMITED 93304 59.05$
93304 PR ECHO XTHORACIC,CONG ANOM,LIMITED 93304 194.52$
93306 PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER 93306 455.98$
93306 PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER 93306 118.24$
93306 PR ECHO HEART XTHORACIC,COMPLETE W DOPPLER 93306 213.18$
93307 PR ECHO HEART XTHORACIC,COMPLETE, W/O DOPPLER 93307 225.26$
93307 PR ECHO HEART XTHORACIC,COMPLETE, W/O DOPPLER 93307 72.77$
93307 PR ECHO HEART XTHORACIC,COMPLETE, W/O DOPPLER 93307 152.49$
93308 PR ECHO HEART XTHORACIC,LIMITED 93308 166.86$
93308 PR ECHO HEART XTHORACIC,LIMITED 93308 41.48$
93308 PR ECHO HEART XTHORACIC,LIMITED 93308 125.40$
93312 PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R 93312 393.23$
93312 PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R 93312 176.73$
93312 PR ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R 93312 216.50$
93313 PR ECHO R-T 2D W/PROBE PLACEMENT ONLY 93313 18.65$
93314 PR ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I&R ONLY 93314 377.67$
93314 PR ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I&R ONLY 93314 146.78$
93314 PR ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I&R ONLY 93314 230.88$
93315 PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R 93315 440.45$
93315 PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R 93315 208.44$
93315 PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R 93315 232.01$
93316 PR ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY 93316 44.01$
93317 PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT 93317 380.99$
93317 PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT 93317 148.98$
93317 PR ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT 93317 232.01$
93318 PR ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ 93318 168.73$
93320 PR DOPPLER ECHO HEART,COMPLETE 93320 86.01$
93320 PR DOPPLER ECHO HEART,COMPLETE 93320 29.62$
93320 PR DOPPLER ECHO HEART,COMPLETE 93320 56.41$
93321 PR DOPPLER ECHO HEART,LIMITED,F/U 93321 67.21$
93321 PR DOPPLER ECHO HEART,LIMITED,F/U 93321 11.86$
93321 PR DOPPLER ECHO HEART,LIMITED,F/U 93321 31.52$
93325 PR DOPPLER COLOR FLOW VELOCITY MAP 93325 99.20$
93325 PR DOPPLER COLOR FLOW VELOCITY MAP 93325 5.16$
93325 PR DOPPLER COLOR FLOW VELOCITY MAP 93325 35.39$
93350 PR ECHO HEART XTHORACIC, STRESS/REST 93350 328.55$
93350 PR ECHO HEART XTHORACIC, STRESS/REST 93350 114.82$
93350 PR ECHO HEART XTHORACIC, STRESS/REST 93350 213.74$
93351 PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG 93351 370.51$
93351 PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG 93351 137.56$
93351 PR ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG 93351 232.95$
93352 PR ECHO CONTRAST AGENT DURING STRESS ECHO 93352 53.31$
93355 ECHOCARDIOGRAPHY, TEE TRANSCATH INTRACARDIAC/GREAT VESSEL STRUC INTERVENTION 93355 366.73$
93451 PR RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT 93451 1,143.62$
93451 PR RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT 93451 209.32$
93451 PR RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT 93451 934.30$
93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I 93452 1,300.65$
93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I 93452 382.52$
93452 PR L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I 93452 918.13$
93453 PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I 93453 1,689.52$
93453 PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I 93453 511.05$
93453 PR R & L HRT CATH W/NJX L VENTRICULOG IMG S&I 93453 1,178.45$
93454 PR CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I 93454 1,318.99$
93454 PR CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I 93454 385.94$
93454 PR CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I 93454 933.06$
93455 PR CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I 93455 1,543.79$
93455 PR CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I 93455 450.37$
93455 PR CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I 93455 1,093.42$
93456 PR CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I 93456 1,669.93$
93456 PR CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I 93456 502.39$
93456 PR CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I 93456 1,167.54$
93457 PR CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I 93457 1,890.69$
93457 PR CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I 93457 565.13$
93457 PR CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I 93457 1,325.54$
93458 PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I 93458 1,590.07$
93458 PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I 93458 476.87$
93458 PR CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I 93458 1,113.19$
93459 PR CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I 93459 1,762.18$
93459 PR CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I 93459 540.61$
93459 PR CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I 93459 1,221.59$
93460 PR R & L HRT CATH WINJX HRT ART& L VENTR IMG 93460 1,898.64$
93460 PR R & L HRT CATH WINJX HRT ART& L VENTR IMG 93460 605.15$
93460 PR R & L HRT CATH WINJX HRT ART& L VENTR IMG 93460 1,293.48$
93461 PR R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I 93461 2,173.63$
93461 PR R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I 93461 668.33$
93461 PR R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I 93461 1,505.28$
93462 PR LEFT HEART CATH BY TRANSEPTAL PUNCTURE 93462 335.58$
93463 PR MEDICATION ADMIN & HEMODYNAMIC MEASURMENT 93463 158.80$
93464 PR PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU 93464 405.06$
93464 PR PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU 93464 141.42$
93464 PR PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU 93464 263.64$
93503 PR INSERT/PLACE FLOW DIRECT CATH 93503 168.20$
93505 PR ENDOMYOCARDIAL BIOPSY 93505 1,104.18$
93505 PR ENDOMYOCARDIAL BIOPSY 93505 350.16$
93505 PR ENDOMYOCARDIAL BIOPSY 93505 754.02$
93530 PR R HRT CATHETERIZATION CONGENITAL CARDIAC ANOMALY 93530 1,416.92$
93530 PR R HRT CATHETERIZATION CONGENITAL CARDIAC ANOMALY 93530 331.29$
93530 PR R HRT CATHETERIZATION CONGENITAL CARDIAC ANOMALY 93530 1,085.63$
93531 PR R/L RETRO HEART CATH, CONG HT ABNL 93531 3,787.67$
93531 PR R/L RETRO HEART CATH, CONG HT ABNL 93531 690.01$
93531 PR R/L RETRO HEART CATH, CONG HT ABNL 93531 3,097.66$
93532 PR R/L INTACT XSEPTAL HT CATH,CONGEN AB 93532 829.90$
93533 PR R/L OPEN XSEPTAL HRT CATH,CONGEN ABL 93533 557.98$
93561 PR INDIC DIL STD ARTL&/OR VEN CATHJ W/OUTP MEAS 93561 54.29$
93561 PR INDIC DIL STD ARTL&/OR VEN CATHJ W/OUTP MEAS 93561 19.87$
93561 PR INDIC DIL STD ARTL&/OR VEN CATHJ W/OUTP MEAS 93561 34.42$
93562 PR INDIC DIL STD ARTL&/OR VEN CATHJ SBSQ OUTP MEA 93562 22.84$
93562 PR INDIC DIL STD ARTL&/OR VEN CATHJ SBSQ OUTP MEA 93562 1.55$
93562 PR INDIC DIL STD ARTL&/OR VEN CATHJ SBSQ OUTP MEA 93562 21.29$
93563 PR NJX SEL HRT ART CONGENITAL HRT CATH W/S&I 93563 93.56$
93564 PR NJX SEL HRT ART/GRFT CONGENITAL HRT CATH W/S&I 93564 97.75$
93565 PR NJX SEL L VENT/ATRIAL ANGIO HRT CATH W/S&I 93565 72.58$
93566 PR NJX SEL R VENT/ATRIAL ANGIO HRT CATH W/S&I 93566 255.07$
93567 PR NJX SUPRAVALV AORTOG HRT CATH W/S&I 93567 214.57$
93568 PR NJX PULMONARY ANGIO HRT CATH W/S&I 93568 228.03$
93571 PR IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL 93571 438.65$
93571 PR IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL 93571 152.99$
93571 PR IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL 93571 285.66$
93572 PR IV DOP VEL&/OR PRESS C/FLO RSRV MEAS ADDL VSL 93572 123.02$
93580 PR PERC CLOS,CONG INTERATRIAL COMMUN W/IMPL 93580 1,563.66$
93581 PR PERC CLOSURE,CONG VSD W/IMPLANT 93581 2,125.23$
93582 PR PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS 93582 1,062.70$
93583 PR PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER 93583 1,187.67$
93590 PR PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE 93590 1,754.16$
93591 PR PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE 93591 1,456.34$
93592 PR PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV 93592 640.73$
93600 PR BUNDLE OF HIS RECORDING 93600 312.16$
93600 PR BUNDLE OF HIS RECORDING 93600 190.71$
93600 PR BUNDLE OF HIS RECORDING 93600 121.46$
93602 PR INTRA-ATRIAL RECORDING 93602 252.38$
93602 PR INTRA-ATRIAL RECORDING 93602 185.61$
93602 PR INTRA-ATRIAL RECORDING 93602 66.78$
93603 PR RIGHT VENTRICULAR RECORDING 93603 289.05$
93603 PR RIGHT VENTRICULAR RECORDING 93603 185.61$
93603 PR RIGHT VENTRICULAR RECORDING 93603 103.44$
93609 PR INTRA-VENTRIC&/ATRIAL MAPG TACHYCARD W/CATH MA 93609 609.28$
93609 PR INTRA-VENTRIC&/ATRIAL MAPG TACHYCARD W/CATH MA 93609 446.26$
93609 PR INTRA-VENTRIC&/ATRIAL MAPG TACHYCARD W/CATH MA 93609 163.02$
93610 PR INTRA-ATRIAL PACING 93610 344.37$
93610 PR INTRA-ATRIAL PACING 93610 262.86$
93610 PR INTRA-ATRIAL PACING 93610 81.51$
93612 PR INTRAVENTRICULAR PACING 93612 359.42$
93612 PR INTRAVENTRICULAR PACING 93612 260.91$
93612 PR INTRAVENTRICULAR PACING 93612 98.51$
93613 PR INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING 93613 515.43$
93615 PR ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS 93615 79.13$
93615 PR ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS 93615 62.34$
93615 PR ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS 93615 16.80$
93616 PR ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG 93616 100.42$
93618 PR INDUCTION ARRHYTHMIA ELECTRICAL PACING 93618 598.69$
93618 PR INDUCTION ARRHYTHMIA ELECTRICAL PACING 93618 355.38$
93618 PR INDUCTION ARRHYTHMIA ELECTRICAL PACING 93618 243.31$
93619 PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION 93619 1,109.69$
93619 PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION 93619 627.18$
93619 PR COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION 93619 482.51$
93620 PR COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION 93620 1,552.42$
93620 PR COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION 93620 1,007.56$
93620 PR COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION 93620 544.86$
93621 PR COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC 93621 188.03$
93622 PR COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC 93622 276.47$
93623 PR STIM/PACING HEART POST IV DRUG INFU 93623 254.94$
93624 PR ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT 93624 520.89$
93624 PR ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT 93624 400.06$
93624 PR ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT 93624 120.83$
93631 PR HEART PACING, MAPPING 93631 1,033.91$
93631 PR HEART PACING, MAPPING 93631 634.62$
93631 PR HEART PACING, MAPPING 93631 399.28$
93640 PR EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE 93640 737.29$
93640 PR EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE 93640 286.97$
93640 PR EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE 93640 450.32$
93641 PR EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN 93641 946.94$
93641 PR EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN 93641 501.52$
93641 PR EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN 93641 445.42$
93642 PR EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS 93642 541.84$
93642 PR EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS 93642 411.61$
93642 PR EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS 93642 130.23$
93644 PR EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR 93644 327.56$
93644 PR EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR 93644 242.53$
93644 PR EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR 93644 85.02$
93650 PR ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION 93650 945.14$
93651 PR ABLATE HEART DYSRHYTHM FOCUS 93651 1,795.40$
93653 PR EPHYS EVAL W/ABLATION SUPRAVENT ARRHYTHMIA 93653 1,336.63$
93654 PR EPHYS EVAL W/ABLATION VENTRICULAR TACHYCARDIA 93654 1,790.51$
93655 PR ICAR CATHETER ABLATION ARRHYTHMIA ADD ON 93655 681.09$
93656 PR EPHYS EVL TRNSPTL TX ATRIAL FIB ISOLAT PULM VEIN 93656 1,795.40$
93657 PR ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN 93657 680.39$
93660 PR TILT TABLE EVALUATION 93660 254.74$
93660 PR TILT TABLE EVALUATION 93660 151.62$
93660 PR TILT TABLE EVALUATION 93660 103.13$
93662 PR INTRACARD ECHO, THER/DX INTERVENT 93662 587.60$
93662 PR INTRACARD ECHO, THER/DX INTERVENT 93662 231.54$
93668 PR PERIPHERAL ART DISEASE REHAB, EA 93668 30.28$
93701 PR BIOIMPEDANCE DERIVED PHYSIOLOIC CV ANALYSIS 93701 38.02$
93702 BIOIMPEDANCE SPECTROSCOPY, LYMPHEDEMA ASSESS EXTRACELLULAR FLUID ANALYSIS 93702 193.26$
93724 PR ANALYZE PACER SYS 93724 437.56$
93724 PR ANALYZE PACER SYS 93724 392.35$
93724 PR ANALYZE PACER SYS 93724 45.21$
93750 PR INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS 93750 88.52$
93784 PR AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R 93784 84.63$
93786 PR AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY 93786 46.32$
93788 PR AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R 93788 8.15$
93790 PR AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R 93790 30.16$
93792 PR PT/CAREGIVER TRAINJ FOR INITIATION HOME INR MNTR 93792 84.33$
93793 PR ANTICOAGULANT MGMT FOR PT TAKING WARFARIN 93793 19.14$
93797 PR OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR 93797 25.77$
93798 PR OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING 93798 39.72$
93880 PR DUPLEX SCAN EXTRACRANIAL,BILAT 93880 245.95$
93880 PR DUPLEX SCAN EXTRACRANIAL,BILAT 93880 64.15$
93880 PR DUPLEX SCAN EXTRACRANIAL,BILAT 93880 181.80$
93882 PR DUPLEX SCAN EXTRACRANIAL,LIMITED 93882 205.90$
93882 PR DUPLEX SCAN EXTRACRANIAL,LIMITED 93882 40.14$
93882 PR DUPLEX SCAN EXTRACRANIAL,LIMITED 93882 165.76$
93886 PR TRANSCRAN DOPPLER INTRACRAN ART 93886 257.99$
93886 PR TRANSCRAN DOPPLER INTRACRAN ART 93886 75.64$
93886 PR TRANSCRAN DOPPLER INTRACRAN ART 93886 182.36$
93888 PR TRANSCRAN DOPPLER INTRACRAN,LIMITED 93888 223.89$
93888 PR TRANSCRAN DOPPLER INTRACRAN,LIMITED 93888 41.53$
93888 PR TRANSCRAN DOPPLER INTRACRAN,LIMITED 93888 182.36$
93890 PR TRANSCRAN DOPPL INTRACRAN, VASOREACT 93890 441.69$
93890 PR TRANSCRAN DOPPL INTRACRAN, VASOREACT 93890 82.52$
93890 PR TRANSCRAN DOPPL INTRACRAN, VASOREACT 93890 359.17$
93892 PR TRANSCRAN DOPP INTRACRAN, EMBOLI W/O INJ 93892 278.67$
93892 PR TRANSCRAN DOPP INTRACRAN, EMBOLI W/O INJ 93892 96.31$
93892 PR TRANSCRAN DOPP INTRACRAN, EMBOLI W/O INJ 93892 182.36$
93893 PR TRANSCRAN DOPP INTRACRAN, EMBOLI W/INJ 93893 278.39$
93893 PR TRANSCRAN DOPP INTRACRAN, EMBOLI W/INJ 93893 96.03$
93893 PR TRANSCRAN DOPP INTRACRAN, EMBOLI W/INJ 93893 182.36$
93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL 93922 138.90$
93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL 93922 20.15$
93922 PR NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 1-2 LEVEL 93922 118.75$
93923 PR NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVELS 93923 215.31$
93923 PR NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVELS 93923 35.31$
93923 PR NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVELS 93923 180.00$
93924 PR NON-INVASIVE LOWER EXTREM ART STRESS/REST, COMPLETE,BILATERAL 93924 267.98$
93924 PR NON-INVASIVE LOWER EXTREM ART STRESS/REST, COMPLETE,BILATERAL 93924 39.32$
93924 PR NON-INVASIVE LOWER EXTREM ART STRESS/REST, COMPLETE,BILATERAL 93924 228.66$
93925 PR DUPLEX LO EXTREM ART BILAT 93925 412.68$
93925 PR DUPLEX LO EXTREM ART BILAT 93925 63.61$
93925 PR DUPLEX LO EXTREM ART BILAT 93925 349.07$
93926 PR DUPLEX LO EXTREM ART UNILAT/LTD 93926 220.97$
93926 PR DUPLEX LO EXTREM ART UNILAT/LTD 93926 38.76$
93926 PR DUPLEX LO EXTREM ART UNILAT/LTD 93926 182.21$
93930 PR DUPLEX UP EXTREM ART BILAT 93930 245.82$
93930 PR DUPLEX UP EXTREM ART BILAT 93930 64.02$
93930 PR DUPLEX UP EXTREM ART BILAT 93930 181.80$
93931 PR DUPLEX UP EXTREM ART UNILAT/LTD 93931 205.64$
93931 PR DUPLEX UP EXTREM ART UNILAT/LTD 93931 39.32$
93931 PR DUPLEX UP EXTREM ART UNILAT/LTD 93931 166.32$
93970 PR DUPLEX EXTREM VENOUS,BILAT 93970 329.50$
93970 PR DUPLEX EXTREM VENOUS,BILAT 93970 55.18$
93970 PR DUPLEX EXTREM VENOUS,BILAT 93970 255.77$
93971 PR DUPLEX EXTREM VENOUS,UNI OR LTD 93971 190.71$
93971 PR DUPLEX EXTREM VENOUS,UNI OR LTD 93971 36.00$
93971 PR DUPLEX EXTREM VENOUS,UNI OR LTD 93971 154.70$
93975 PR DUPLEX ABD/PEL VASC STUDY,COMPLETE 93975 448.04$
93975 PR DUPLEX ABD/PEL VASC STUDY,COMPLETE 93975 92.88$
93975 PR DUPLEX ABD/PEL VASC STUDY,COMPLETE 93975 355.16$
93976 PR DUPLEX ABD/PEL VASC STUDY,LIMITD 93976 246.23$
93976 PR DUPLEX ABD/PEL VASC STUDY,LIMITD 93976 63.89$
93976 PR DUPLEX ABD/PEL VASC STUDY,LIMITD 93976 182.36$
93978 PR DUPLEX LARGE VESSEL(S),COMPLETE 93978 245.54$
93978 PR DUPLEX LARGE VESSEL(S),COMPLETE 93978 63.33$
93978 PR DUPLEX LARGE VESSEL(S),COMPLETE 93978 182.21$
93979 PR DUPLEX LARGE VESSEL(S),LIMITED 93979 191.66$
93979 PR DUPLEX LARGE VESSEL(S),LIMITED 93979 39.73$
93979 PR DUPLEX LARGE VESSEL(S),LIMITED 93979 151.93$
93980 PR PENILE VASCULAR STUDY,COMPLETE 93980 200.95$
93980 PR PENILE VASCULAR STUDY,COMPLETE 93980 99.89$
93980 PR PENILE VASCULAR STUDY,COMPLETE 93980 101.06$
93981 PR PENILE VASCULAR STUDY,LTD OR F/U 93981 121.70$
93981 PR PENILE VASCULAR STUDY,LTD OR F/U 93981 35.01$
93981 PR PENILE VASCULAR STUDY,LTD OR F/U 93981 86.67$
93982 PR IMPLANT WIRELESS PRESS SENSOR STUDY ANEURYSM SAC 93982 69.66$
93990 PR DUPLEX HEMODIALYSIS ACCESS 93990 221.10$
93990 PR DUPLEX HEMODIALYSIS ACCESS 93990 38.89$
93990 PR DUPLEX HEMODIALYSIS ACCESS 93990 182.21$
94002 PR VENT MANAGEMENT, INPATIENT, INITIAL DAY 94002 148.40$
94003 PR VENT MANAGEMENT, INPATIENT, SUBSEQ DAY 94003 107.12$
94004 PR VENT MANAGEMENT, NURSING HOME,PER DAY 94004 78.92$
94010 PR BREATHING CAPACITY TEST 94010 56.58$
94010 PR BREATHING CAPACITY TEST 94010 13.58$
94010 PR BREATHING CAPACITY TEST 94010 43.00$
94011 PR MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT&/2 Y 94011 139.62$
94012 PR MEAS SPIRO FRCD EXP FLO PRE&POST BRONCH INF/2YRS 94012 227.24$
94013 PR MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS 94013 31.07$
94014 PR PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R&I 94014 89.41$
94015 PR PT RECORDED SPIROMETRY 94015 48.53$
94016 PR PATIENT-INITIATED SPIROMETRIC PHYS/QHP R&I ONLY 94016 40.90$
94060 PR EVAL OF BRONCHOSPASM 94060 95.54$
94060 PR EVAL OF BRONCHOSPASM 94060 21.02$
94060 PR EVAL OF BRONCHOSPASM 94060 74.51$
94070 PR EVAL OF BRONCHOSPASM,PROLONGED 94070 96.13$
94070 PR EVAL OF BRONCHOSPASM,PROLONGED 94070 46.50$
94070 PR EVAL OF BRONCHOSPASM,PROLONGED 94070 49.63$
94200 PR LUNG FUNCTION TEST (MBC/MVV) 94200 43.15$
94200 PR LUNG FUNCTION TEST (MBC/MVV) 94200 8.99$
94200 PR LUNG FUNCTION TEST (MBC/MVV) 94200 34.14$
94250 PR EXPIRED GAS COLLECTION 94250 44.25$
94250 PR EXPIRED GAS COLLECTION 94250 8.99$
94250 PR EXPIRED GAS COLLECTION 94250 35.26$
94375 PR RESPIRATORY FLOW VOLUME LOOP 94375 63.01$
94375 PR RESPIRATORY FLOW VOLUME LOOP 94375 23.89$
94375 PR RESPIRATORY FLOW VOLUME LOOP 94375 39.12$
94400 PR CO2 BREATHING RESPONSE CURVE 94400 91.31$
94400 PR CO2 BREATHING RESPONSE CURVE 94400 31.73$
94400 PR CO2 BREATHING RESPONSE CURVE 94400 59.58$
94450 PR HYPOXIA RESPONSE CURVE 94450 112.74$
94450 PR HYPOXIA RESPONSE CURVE 94450 32.29$
94450 PR HYPOXIA RESPONSE CURVE 94450 80.45$
94452 PR HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP&REPORT 94452 91.23$
94452 PR HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP&REPORT 94452 23.35$
94452 PR HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP&REPORT 94452 67.88$
94453 PR HIGH ALTITUDE SIMULATJ W/PHYS I&R W/O2 TITRATION 94453 126.16$
94453 PR HIGH ALTITUDE SIMULATJ W/PHYS I&R W/O2 TITRATION 94453 30.62$
94453 PR HIGH ALTITUDE SIMULATJ W/PHYS I&R W/O2 TITRATION 94453 95.54$
94610 PR INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP 94610 89.69$
94617 PR XERS TST BRNCSPSM PRE&POST SPMTRY&PLS OX W/ECG 94617 150.45$
94617 PR XERS TST BRNCSPSM PRE&POST SPMTRY&PLS OX W/ECG 94617 53.94$
94617 PR XERS TST BRNCSPSM PRE&POST SPMTRY&PLS OX W/ECG 94617 96.49$
94618 PR PULMONARY STRESS TESTING 94618 54.48$
94618 PR PULMONARY STRESS TESTING 94618 36.93$
94618 PR PULMONARY STRESS TESTING 94618 17.56$
94621 PR CARDIOPULMONARY EXERCISE TESTING 94621 261.39$
94621 PR CARDIOPULMONARY EXERCISE TESTING 94621 111.26$
94621 PR CARDIOPULMONARY EXERCISE TESTING 94621 150.13$
94640 PR PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT 94640 29.17$
94642 PENTAMIDINE INHALATION FOR PNEUMOCYSTIS 94642 19.22$
94644 PR CONTINUOUS INHALATION TX, 1ST HR 94644 70.65$
94645 PR CONTINUOUS INHALATION TX, EACH ADD HR 94645 25.29$
94660 PR POS AIRWAY PRESSURE, CPAP 94660 102.89$
94662 PR NEG PRESSURE VENTILATION, CNP 94662 58.11$
94664 PR DEMO &/OR EVAL,PT USE,AEROSOL DEVICE 94664 26.96$
94667 PR CHEST WALL MANIPULATION,INITIAL 94667 41.75$
94668 PR CHEST WALL MANIPULATION,SUBSEQUENT 94668 50.04$
94669 PR MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION 94669 51.00$
94680 PR EXHALED AIR ANALYSIS: O2 94680 92.20$
94680 PR EXHALED AIR ANALYSIS: O2 94680 20.44$
94680 PR EXHALED AIR ANALYSIS: O2 94680 71.76$
94681 PR EXHALED AIR ANALYSIS: O2, CO2 94681 89.83$
94681 PR EXHALED AIR ANALYSIS: O2, CO2 94681 16.42$
94681 PR EXHALED AIR ANALYSIS: O2, CO2 94681 73.41$
94690 PR EXHALED AIR ANALYSIS 94690 87.29$
94690 PR EXHALED AIR ANALYSIS 94690 6.12$
94690 PR EXHALED AIR ANALYSIS 94690 81.15$
94726 PR PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST 94726 86.67$
94726 PR PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST 94726 19.90$
94726 PR PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST 94726 66.78$
94727 PR GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL 94727 69.53$
94727 PR GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL 94727 19.90$
94727 PR GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&VOL 94727 49.63$
94728 PR AIRWAY RESISTANCE BY OSCILLOMETRY 94728 65.11$
94728 PR AIRWAY RESISTANCE BY OSCILLOMETRY 94728 20.44$
94728 PR AIRWAY RESISTANCE BY OSCILLOMETRY 94728 44.65$
94729 PR DIFFUSING CAPACITY 94729 85.93$
94729 PR DIFFUSING CAPACITY 94729 14.73$
94729 PR DIFFUSING CAPACITY 94729 71.20$
94750 PR PULMONARY COMPLIANCE STUDY 94750 129.72$
94750 PR PULMONARY COMPLIANCE STUDY 94750 17.61$
94750 PR PULMONARY COMPLIANCE STUDY 94750 112.12$
94760 PR NONINVASV OXYGEN SATUR;SINGLE 94760 4.29$
94761 PR NONINVASV OXYGEN SATUR,MULTIPLE 94761 7.05$
94762 PR NONINVASV OXYGEN SATUT,CONTINUOUS 94762 38.58$
94770 PR EXHALED CARBON DIOXIDE TEST 94770 11.86$
94780 PR CAR SEAT/BED TESTING W/INTERP & REPORT 60 MIN 94780 82.68$
94781 PR CAR SEAT/BED TESTNG W/INTERP & REPORT +30MIN 94781 32.93$
95004 PR PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS 95004 8.18$
95012 PR NITRIC OXIDE EXPIRED GAS DETERMINATION 95012 31.38$
95017 PR ALLG TSTG PERQ & IC VENOMS IMMED REACT W/ I&R 95017 12.21$
95018 PR ALLG TEST PERQ & IC DRUG/BIOL IMMED REACT W/ I&R 95018 33.41$
95024 PR INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS 95024 12.61$
95027 PR INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE 95027 7.08$
95028 PR ALLERGY SKIN TESTS 95028 20.33$
95044 PR ALLERGY PATCH TESTS 95044 8.71$
95052 PR PHOTO PATCH TEST 95052 10.36$
95056 PR PHOTOSENSITIVITY TESTS 95056 71.61$
95060 PR EYE ALLERGY TESTS 95060 55.16$
95065 PR NOSE ALLERGY TEST 95065 39.12$
95070 PR INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL 95070 48.38$
95071 PR BRONCHIAL ALLERGY TESTS,ALLERGENS 95071 55.16$
95076 PR INGESTION CHALLENGE TEST INITIAL 120 MINUTES 95076 190.54$
95079 PR INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES 95079 134.52$
95115 PR IMMUNOTHERAPY, ONE INJECTION 95115 16.00$
95117 PR IMMUNOTHERAPY, 2+ INJECTIONS 95117 24.84$
95144 PR PROFES SVC,IMMUNOTHERAPY,1 DOSE VIALS 95144 21.04$
95145 PR PROFES SVC,IMMUNOTHERAPY,1 INSECT VENOM 95145 40.39$
95146 PR ANTIGEN RX SERV,INSECT,2 VENOMS 95146 74.12$
95147 PR ANTIGEN RX SERV,INSECT,3 VENOMS 95147 79.10$
95148 PR ANTIGEN RX SERV,INSECT,4 VENOMS 95148 112.83$
95149 PR ANTIGEN RX SERV,INSECT,5 VENOMS 95149 148.22$
95165 PR PROFES SVC,IMMUNOTHER,SINGLE/MULT AGS 95165 20.48$
95170 PR ANTIGEN RX SERV,WHOLE EXTRACT INSECT 95170 15.49$
95180 PR RAPID DESENSITIZATION PROC,EACH HOUR 95180 217.59$
95249 PR CONT GLUC MONITORING PATIENT PROVIDED EQUIPTMENT 95249 85.85$
95250 PR CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPTMENT 95250 239.99$
95251 PR CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R 95251 57.67$
95782 PR POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND 95782 1,440.42$
95782 PR POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND 95782 204.06$
95782 PR POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND 95782 1,236.36$
95783 PR POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM 95783 1,536.41$
95783 PR POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM 95783 222.22$
95783 PR POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM 95783 1,314.19$
95800 PR SLEEP STUDY, UNATTENDED, RECORD HEART RATE/O2 SAT/RESP ANAL/SLEEP TIME 95800 279.51$
95800 PR SLEEP STUDY, UNATTENDED, RECORD HEART RATE/O2 SAT/RESP ANAL/SLEEP TIME 95800 83.89$
95800 PR SLEEP STUDY, UNATTENDED, RECORD HEART RATE/O2 SAT/RESP ANAL/SLEEP TIME 95800 195.62$
95801 PR SLEEP STUDY, UNATTENDED, RECORD HEART RATE/O2 SAT/RESP ANALYSIS 95801 144.03$
95801 PR SLEEP STUDY, UNATTENDED, RECORD HEART RATE/O2 SAT/RESP ANALYSIS 95801 79.48$
95801 PR SLEEP STUDY, UNATTENDED, RECORD HEART RATE/O2 SAT/RESP ANALYSIS 95801 64.56$
95803 PR ACTIGRAPHY TESTING, 3-14 DAY 95803 226.17$
95803 PR ACTIGRAPHY TESTING, 3-14 DAY 95803 70.92$
95803 PR ACTIGRAPHY TESTING, 3-14 DAY 95803 155.25$
95805 PR MULTIPLE SLEEP LATENCY TEST 95805 678.33$
95805 PR MULTIPLE SLEEP LATENCY TEST 95805 95.34$
95805 PR MULTIPLE SLEEP LATENCY TEST 95805 582.99$
95806 PR SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF 95806 268.98$
95806 PR SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF 95806 106.00$
95806 PR SLEEP STUDY, UNATTENDED, SIMUL RECORD HR/O2 SAT/RESP FLOW/RESP EFF 95806 170.18$
95807 PR SLEEP STUDY, ATTENDED, RECORD HR,O2 SAT,RESP FLOW, OR RESP EFF 95807 723.20$
95807 PR SLEEP STUDY, ATTENDED, RECORD HR,O2 SAT,RESP FLOW, OR RESP EFF 95807 100.39$
95807 PR SLEEP STUDY, ATTENDED, RECORD HR,O2 SAT,RESP FLOW, OR RESP EFF 95807 622.81$
95808 PR POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND 95808 1,100.58$
95808 PR POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND 95808 142.79$
95808 PR POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND 95808 957.79$
95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND 95810 985.18$
95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND 95810 223.00$
95810 PR POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND 95810 788.85$
95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND 95811 1,034.52$
95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND 95811 240.00$
95811 PR POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND 95811 830.33$
95812 PR EEG,EXTENDED MONITORING,41-60 MINUTES 95812 508.25$
95812 PR EEG,EXTENDED MONITORING,41-60 MINUTES 95812 93.23$
95812 PR EEG,EXTENDED MONITORING,41-60 MINUTES 95812 415.02$
95813 PR EEG EXTENDED MONITORING 61-119 MINUTES 95813 639.09$
95813 PR EEG EXTENDED MONITORING 61-119 MINUTES 95813 139.59$
95813 PR EEG EXTENDED MONITORING 61-119 MINUTES 95813 499.50$
95816 PR EEG,W/AWAKE & DROWSY RECORD 95816 572.81$
95816 PR EEG,W/AWAKE & DROWSY RECORD 95816 93.23$
95816 PR EEG,W/AWAKE & DROWSY RECORD 95816 479.59$
95819 PR EEG,W/AWAKE & ASLEEP RECORD 95819 665.58$
95819 PR EEG,W/AWAKE & ASLEEP RECORD 95819 93.23$
95819 PR EEG,W/AWAKE & ASLEEP RECORD 95819 572.35$
95822 PR EEG,COMA/SLEEP RECORD ONLY 95822 599.92$
95822 PR EEG,COMA/SLEEP RECORD ONLY 95822 93.23$
95822 PR EEG,COMA/SLEEP RECORD ONLY 95822 506.68$
95824 PR EEG EVAL CEREBRAL DEATH 95824 90.73$
95824 PR EEG EVAL CEREBRAL DEATH 95824 63.86$
95824 PR EEG EVAL CEREBRAL DEATH 95824 26.88$
95827 PR EEG,ALL NIGHT RECORD 95827 984.24$
95827 PR EEG,ALL NIGHT RECORD 95827 91.01$
95827 PR EEG,ALL NIGHT RECORD 95827 893.23$
95829 PR SURGERY ELECTROCORTICOGRAM 95829 3,008.97$
95829 PR SURGERY ELECTROCORTICOGRAM 95829 541.18$
95829 PR SURGERY ELECTROCORTICOGRAM 95829 2,467.79$
95830 PR INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP 95830 370.23$
95831 PR LIMB MUSCLE TEST, MANUAL 95831 51.74$
95832 PR HAND MUSCLE TEST,MANUAL 95832 50.94$
95833 PR BODY MUSCLE TEST,MANUAL,NO HANDS 95833 65.09$
95834 PR BODY MUSCLE TEST,MANUAL,W HANDS 95834 86.16$
95851 PR RANGE MOTION MEASURE,EACH EXTREM 95851 31.80$
95852 PR RANGE MOTION MEASURE,EACH HAND 95852 28.91$
95857 PR CHOLINESTERASE INHIBITOR CHALLENGE TEST FOR MYASTHENIA GRAVIS 95857 85.44$
95860 PR EMG, NEEDLE, ONE LIMB 95860 195.36$
95860 PR EMG, NEEDLE, ONE LIMB 95860 83.79$
95860 PR EMG, NEEDLE, ONE LIMB 95860 111.57$
95861 PR EMG, NEEDLE, TWO LIMBS 95861 276.92$
95861 PR EMG, NEEDLE, TWO LIMBS 95861 133.27$
95861 PR EMG, NEEDLE, TWO LIMBS 95861 143.65$
95863 PR EMG, NEEDLE, 3 LIMBS 95863 353.55$
95863 PR EMG, NEEDLE, 3 LIMBS 95863 161.24$
95863 PR EMG, NEEDLE, 3 LIMBS 95863 192.31$
95864 PR EMG, NEEDLE, 4 LIMBS 95864 395.04$
95864 PR EMG, NEEDLE, 4 LIMBS 95864 171.78$
95864 PR EMG, NEEDLE, 4 LIMBS 95864 223.28$
95865 PR EMG, NEEDLE, LARYNX 95865 233.85$
95865 PR EMG, NEEDLE, LARYNX 95865 135.00$
95865 PR EMG, NEEDLE, LARYNX 95865 98.85$
95866 PR EMG, NEEDLE, HEMIDIAPHRAGM 95866 214.24$
95866 PR EMG, NEEDLE, HEMIDIAPHRAGM 95866 108.75$
95866 PR EMG, NEEDLE, HEMIDIAPHRAGM 95866 105.48$
95867 PR EMG,NEEDLE,CRANIAL NERVE SUPP MUS,UNILAT 95867 161.04$
95867 PR EMG,NEEDLE,CRANIAL NERVE SUPP MUS,UNILAT 95867 68.28$
95867 PR EMG,NEEDLE,CRANIAL NERVE SUPP MUS,UNILAT 95867 92.76$
95868 PR EMG, NEEDLE, HEAD OR NECK 95868 215.01$
95868 PR EMG, NEEDLE, HEAD OR NECK 95868 101.79$
95868 PR EMG, NEEDLE, HEAD OR NECK 95868 113.22$
95869 PR EMG,NEEDLE,THOR PARASPIN MUS,EXC T1/T12 95869 147.64$
95869 PR EMG,NEEDLE,THOR PARASPIN MUS,EXC T1/T12 95869 32.21$
95869 PR EMG,NEEDLE,THOR PARASPIN MUS,EXC T1/T12 95869 115.43$
95870 PR EMG,1 EXTREM,NONPARASPINAL 95870 149.85$
95870 PR EMG,1 EXTREM,NONPARASPINAL 95870 32.21$
95870 PR EMG,1 EXTREM,NONPARASPINAL 95870 117.65$
95872 PR EMG, NEEDLE, ONE FIBER 95872 314.97$
95872 PR EMG, NEEDLE, ONE FIBER 95872 248.74$
95872 PR EMG, NEEDLE, ONE FIBER 95872 66.21$
95873 PR ELECTRIC STIM GUIDANCE FOR CHEMODENERVATION 95873 116.41$
95873 PR ELECTRIC STIM GUIDANCE FOR CHEMODENERVATION 95873 32.36$
95873 PR ELECTRIC STIM GUIDANCE FOR CHEMODENERVATION 95873 84.05$
95874 PR NEEDLE EMG GUIDANCE FOR CHEMODENERVATION 95874 118.47$
95874 PR NEEDLE EMG GUIDANCE FOR CHEMODENERVATION 95874 32.21$
95874 PR NEEDLE EMG GUIDANCE FOR CHEMODENERVATION 95874 86.26$
95875 PR ISCHEM LIMB EXERCIS,MUSCLE METABOLITE(S) 95875 207.06$
95875 PR ISCHEM LIMB EXERCIS,MUSCLE METABOLITE(S) 95875 95.49$
95875 PR ISCHEM LIMB EXERCIS,MUSCLE METABOLITE(S) 95875 111.57$
95885 PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED 95885 93.54$
95885 PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED 95885 30.49$
95885 PR NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED 95885 63.05$
95886 PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE 95886 145.46$
95886 PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE 95886 74.68$
95886 PR NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE 95886 70.79$
95887 PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION 95887 128.49$
95887 PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION 95887 61.58$
95887 PR NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION 95887 66.91$
95905 PR MOTOR/SENS NERVE CONDUCTION PRECONFIG ELECTRODE ARRAY, EA LIMB 95905 113.77$
95905 PR MOTOR/SENS NERVE CONDUCTION PRECONFIG ELECTRODE ARRAY, EA LIMB 95905 4.42$
95905 PR MOTOR/SENS NERVE CONDUCTION PRECONFIG ELECTRODE ARRAY, EA LIMB 95905 109.36$
95907 PR MOTOR &/SENS 1-2 NRV CNDJ PRECONF ELTRODE LIMB 95907 155.51$
95907 PR MOTOR &/SENS 1-2 NRV CNDJ PRECONF ELTRODE LIMB 95907 86.53$
95907 PR MOTOR &/SENS 1-2 NRV CNDJ PRECONF ELTRODE LIMB 95907 68.99$
95908 PR MOTOR &/SENS 3-4 NRV CNDJ PRECONF ELTRODE LIMB 95908 201.37$
95908 PR MOTOR &/SENS 3-4 NRV CNDJ PRECONF ELTRODE LIMB 95908 109.16$
95908 PR MOTOR &/SENS 3-4 NRV CNDJ PRECONF ELTRODE LIMB 95908 92.22$
95909 PR MOTOR &/SENS 5-6 NRV CNDJ PRECONF ELTRODE LIMB 95909 240.04$
95909 PR MOTOR &/SENS 5-6 NRV CNDJ PRECONF ELTRODE LIMB 95909 130.14$
95909 PR MOTOR &/SENS 5-6 NRV CNDJ PRECONF ELTRODE LIMB 95909 109.91$
95910 PR MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB 95910 316.14$
95910 PR MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB 95910 173.60$
95910 PR MOTOR &/SENS 7-8 NRV CNDJ PRECONF ELTRODE LIMB 95910 142.54$
95911 PR MOTOR &/SENS 9-10 NRV CNDJ PRECONF ELTRODE LIMB 95911 377.44$
95911 PR MOTOR &/SENS 9-10 NRV CNDJ PRECONF ELTRODE LIMB 95911 216.66$
95911 PR MOTOR &/SENS 9-10 NRV CNDJ PRECONF ELTRODE LIMB 95911 160.79$
95912 PR MOTOR &/SENS 11-12 NRV CNDJ PRECONF ELTRODE LIMB 95912 419.25$
95912 PR MOTOR &/SENS 11-12 NRV CNDJ PRECONF ELTRODE LIMB 95912 257.35$
95912 PR MOTOR &/SENS 11-12 NRV CNDJ PRECONF ELTRODE LIMB 95912 161.90$
95913 PR MOTOR &/SENS 13/> NRV CNDJ PRECONF ELTRODE LIMB 95913 483.88$
95913 PR MOTOR &/SENS 13/> NRV CNDJ PRECONF ELTRODE LIMB 95913 304.85$
95913 PR MOTOR &/SENS 13/> NRV CNDJ PRECONF ELTRODE LIMB 95913 179.04$
95921 PR TEST AUTO NERV SYS,CARDIOVAGAL INNER 95921 132.71$
95921 PR TEST AUTO NERV SYS,CARDIOVAGAL INNER 95921 73.13$
95921 PR TEST AUTO NERV SYS,CARDIOVAGAL INNER 95921 59.58$
95922 PR TEST AUTO NERV SYS,VASOMOTOR INNERV 95922 154.98$
95922 PR TEST AUTO NERV SYS,VASOMOTOR INNERV 95922 78.26$
95922 PR TEST AUTO NERV SYS,VASOMOTOR INNERV 95922 76.73$
95923 PR TEST AUTO NERV SYS,SUDOMOTOR 95923 205.57$
95923 PR TEST AUTO NERV SYS,SUDOMOTOR 95923 74.10$
95923 PR TEST AUTO NERV SYS,SUDOMOTOR 95923 131.47$
95924 PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT 95924 240.08$
95924 PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT 95924 143.45$
95924 PR TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT 95924 96.64$
95925 PR SOMATOSENSORY TEST,UPPER LIMBS 95925 208.64$
95925 PR SOMATOSENSORY TEST,UPPER LIMBS 95925 44.68$
95925 PR SOMATOSENSORY TEST,UPPER LIMBS 95925 163.96$
95926 PR SOMATOSENSORY TEST,LOWER LIMBS 95926 204.77$
95926 PR SOMATOSENSORY TEST,LOWER LIMBS 95926 44.12$
95926 PR SOMATOSENSORY TEST,LOWER LIMBS 95926 160.64$
95927 PR SOMATOSENSORY TEST,TRUNK/HEAD 95927 214.58$
95927 PR SOMATOSENSORY TEST,TRUNK/HEAD 95927 44.12$
95927 PR SOMATOSENSORY TEST,TRUNK/HEAD 95927 170.46$
95928 PR C MOTOR EVOKED, UPLIMBS 95928 337.23$
95928 PR C MOTOR EVOKED, UPLIMBS 95928 128.88$
95928 PR C MOTOR EVOKED, UPLIMBS 95928 208.35$
95929 PR C MOTOR EVOKED, LWR LIMBS 95929 346.63$
95929 PR C MOTOR EVOKED, LWR LIMBS 95929 129.99$
95929 PR C MOTOR EVOKED, LWR LIMBS 95929 216.65$
95930 PR VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R 95930 110.14$
95930 PR VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R 95930 30.64$
95930 PR VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R 95930 79.50$
95933 PR BLINK REFLEX TEST 95933 123.75$
95933 PR BLINK REFLEX TEST 95933 50.89$
95933 PR BLINK REFLEX TEST 95933 72.86$
95937 PR NEUROMUSCULAR JUNCTION TEST 95937 129.99$
95937 PR NEUROMUSCULAR JUNCTION TEST 95937 55.47$
95937 PR NEUROMUSCULAR JUNCTION TEST 95937 74.51$
95938 PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMBS 95938 543.08$
95938 PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMBS 95938 74.55$
95938 PR SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMBS 95938 468.53$
95939 PR CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LIMB 95939 799.97$
95939 PR CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LIMB 95939 193.33$
95939 PR CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LIMB 95939 606.64$
95940 PR IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES 95940 52.31$
95943 PR PARASYMP & SYMP NRV FUNCJ HRT RATE VARIABILITY 95943 198.84$
95950 PR AMBULATORY EEG MONITORING 95950 540.47$
95950 PR AMBULATORY EEG MONITORING 95950 129.46$
95950 PR AMBULATORY EEG MONITORING 95950 411.02$
95951 PR EEG MONITORING/VIDEORECORD 95951 2,824.34$
95951 PR EEG MONITORING/VIDEORECORD 95951 516.07$
95951 PR EEG MONITORING/VIDEORECORD 95951 2,308.27$
95953 PR EEG MONITORING/COMPUTER, EA 24 HOURS, UNATTENDED 95953 685.44$
95953 PR EEG MONITORING/COMPUTER, EA 24 HOURS, UNATTENDED 95953 264.48$
95953 PR EEG MONITORING/COMPUTER, EA 24 HOURS, UNATTENDED 95953 420.96$
95954 PR RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE 95954 674.12$
95954 PR RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE 95954 194.82$
95954 PR RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE 95954 479.31$
95955 PR EEG DURING SURGERY 95955 338.58$
95955 PR EEG DURING SURGERY 95955 87.10$
95955 PR EEG DURING SURGERY 95955 251.48$
95956 PR EEG MONITORING/COMPUTER, EA 24 HOURS, ATTENDED BY TECH/NURSE 95956 2,505.49$
95956 PR EEG MONITORING/COMPUTER, EA 24 HOURS, ATTENDED BY TECH/NURSE 95956 308.29$
95956 PR EEG MONITORING/COMPUTER, EA 24 HOURS, ATTENDED BY TECH/NURSE 95956 2,197.21$
95957 PR EEG DIGITAL ANALYSIS 95957 455.02$
95957 PR EEG DIGITAL ANALYSIS 95957 167.87$
95957 PR EEG DIGITAL ANALYSIS 95957 287.15$
95958 PR EEG MONITORING/FUNCTION TEST 95958 919.46$
95958 PR EEG MONITORING/FUNCTION TEST 95958 365.64$
95958 PR EEG MONITORING/FUNCTION TEST 95958 553.82$
95961 PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR 95961 482.33$
95961 PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR 95961 259.05$
95961 PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR 95961 223.28$
95962 PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR 95962 418.13$
95962 PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR 95962 278.90$
95962 PR FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR 95962 139.21$
95965 PR MEG,SPONTANEOUS BRAIN MAGNETIC ACTIVITY 95965 682.19$
95966 PR MEG,EVOKED MAGNET FIELDS, SINGLE MODAL 95966 344.50$
95967 PR MEG,EVOKED MAGNET FIELDS, EA ADDL MODAL 95967 302.13$
95970 PR ANALYZE NEUROSTIM,NO REPROG 95970 109.56$
95971 PR ANALYZE NEUROSTIM,SIMPLE/PROG 95971 81.25$
95972 PR ELEC ALYS NSTIM PLS GEN CPLX SC/PERPH W/PRGRMG 95972 93.32$
95974 PR COMPLEX CRANIAL NEUROSTIM,1ST HOUR 95974 330.61$
95975 PR COMPLEX CRANIAL NEUROSTIM,EA 30 ADDN 95975 178.20$
95977 ELEC ANALY IMPL NEUROSTIM BY MD/QHP; COMPLEX CRANIAL NERVE STIM PROG 95977 88.40$
95978 PR ANALYZE NEUROSTIM BRAIN, FIRST 1H 95978 400.60$
95979 PR ANALYZ NEUROSTIM BRAIN, EACH ADD 30 MIN 95979 172.51$
95980 PR ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/ PROG 95980 72.70$
95981 PR ELEC ALYS NSTIM GEN GASTRIC SUBSEQUENT W/O REPROG 95981 52.77$
95982 PR ELEC ALYS NSTIM PLS GEN GASTRIC SUBSEQUENT W/REPROG 95982 85.04$
95990 PR REFIL/MAINT,IMPLANT PUMP,DRUG DELIV,CNS 95990 146.12$
95991 PR RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP 95991 188.64$
95992 PR CANALITH REPOSITIONING PROCEDURE, PER DAY 95992 69.42$
96000 PR COMP-BASE MOTION ANAL,VID/3-D KINEMATICS 96000 155.10$
96001 PR COMP-BASE MOT ANAL; W/DYN PLAN PRES MEAS 96001 203.38$
96002 PR DYN SURF EMG,WALKING/FUNC ACT,1-12 MUS 96002 35.49$
96003 PR DYN FINE WIRE EMG,WALK/FUNC ACT,1 MUSCLE 96003 27.92$
96004 PR PHYS/QHP R&I CPTR MTN ALYS WALK/FUNCJL ACTV REPR 96004 184.45$
96020 PR TEST SELECT & ADMN FUNCTL BRAIN MAP PHYS/QHP 96020 261.39$
96101 PR PSYCHOLOGIC TESTING BY PSYCH/PHYS 96101 132.73$
96102 PR PSYCHOLOGIC TESTING BY TECHNICIAN 96102 97.10$
96103 PR PSYCHOLOGIC TESTING ADMIN BY COMPUTER 96103 43.91$
96105 PR ASSESSMENT OF APHASIA 96105 173.37$
96110 PR DEVELOPMENTAL TEST, LIM 96110 10.35$
96111 PR DEVELOPMENTAL TEST, EXTEND 96111 216.63$
96116 PR NEUROBEHAVIORAL STATUS EXAM BY PSYCH/PHYS 96116 150.15$
96118 PR NEUROPSYCH TESTING BY PSYCH/PHYS 96118 155.40$
96119 PR NEUROPSYCH TESTING BY TECHNICIAN 96119 125.58$
96120 PR NEUROPSYCH TESTING BY COMPUTER 96120 75.57$
96125 PR STANDARDIZED COGNITIVE PERFORMANCE TESTING 96125 189.27$
96127 BRIEF EMOTIONAL OR BEHAVIORAL ASSESSMENT 96127 9.82$
96150 PR HEAL & BEHAV ASSESS,EA 15 MIN,INIT 96150 35.87$
96151 PR HEAL & BEHAV ASSESS,EA 15 MIN,RE-ASSESS 96151 34.70$
96152 PR HEAL & BEHAV INTERVENT,EA 15 MIN,INDIV 96152 33.00$
96153 PR HEAL & BEHAV INTERVENT,EA 15 MIN,GROUP 96153 7.31$
96154 PR HEAL & BEHAV INTERV,EA 15 MIN,FAM W/PT 96154 31.86$
96160 PR PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM 96160 6.09$
96161 PR CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM 96161 6.09$
96360 PR IV INFUSION, HYDRATION, 31-60 MIN 96360 73.16$
96361 PR IV INFUSION, HYDRATION, EA ADD HOUR 96361 21.66$
96365 PR IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR 96365 113.90$
96366 PR IV INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,EA ADD HOUR 96366 34.62$
96367 PR IV INFUSION, THERAP/PROPH/DIAGNOST,ADD INFUSION,1ST HOUR 96367 49.43$
96368 PR IV INFUSION, THERAP/PROPH/DIAGNOST,CONCURRENT INFUSION 96368 32.93$
96369 PR SUBCUT INFUSION, THERAP/PROPH/DIAGNOST,INITIAL,1ST HOUR 96369 271.66$
96370 PR SUBCUT INFUSION, THERAP/PROPH/DIAGNOST,EA ADD HOUR 96370 24.67$
96371 PR SUBCUT INFUSION, THERAP/PROPH/DIAGNOST,ADD PUMP SET 96371 99.54$
96372 PR INJECTION,THERAP/PROPH/DIAGNOST, IM OR SUBCUT 96372 35.00$
96373 PR INJECTION,THERAP/PROPH/DIAGNOST, INTRA-ARTERIAL 96373 30.16$
96374 PR INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, INITIAL DRUG 96374 72.63$
96375 PR INJECTION,THERAP/PROPH/DIAGNOST, IV PUSH, EA ADD, NEW DRUG 96375 30.62$
96377 PR APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION 96377 32.37$
96401 PR CHEMOTHER,NON-HORMONE ANTI-NEOPL, SUB-Q/IM 96401 125.38$
96402 PR CHEMOTHER HORMON ANTINEOPL SUB-Q/IM 96402 66.50$
96405 PR INTRALESIONAL CHEMO ADMIN,<8 LESN 96405 127.58$
96406 PR INTRALESIONAL CHEMO ADMIN,8+ LESN 96406 187.06$
96409 PR CHEMOTHER, IV PUSH, SNGL DRUG 96409 171.07$
96411 PR CHEMOTHER, IV PUSH,EA ADD DRUG 96411 91.91$
96413 PR CHEMOTHER, IV INFUSION, 1 HR 96413 221.93$
96415 PR CHEMOTHER, IV INFUSION, EA ADD HR 96415 48.87$
96416 PR CHEMOTHER PROLONG INFUSE W/PUMP 96416 225.60$
96417 PR CHEMOTHER, IV INFUSE, EACH SEQU INFUS 96417 106.72$
96420 PR CHEMOTHER,IA PUSH TECHNIQUE 96420 165.23$
96422 PR CHEMOTHER,IA INFUSN TECH,<1 HR 96422 288.54$
96423 PR CHEMOTHER,IA INFUSN TECH,EA HR,1-8HR 96423 131.22$
96425 PR CHEMOTHER,IA INFUSN TECH,>8 HR 96425 301.54$
96440 PR CHEMOTHER,INTRACAVITARY,PLEURAL 96440 1,233.39$
96446 PR CHEMOTHERAPY, PERITONEAL CAVITY VIA INDWELLING PORT/CATHETER 96446 323.04$
96450 PR CHEMOTHER,CNS,W/LUMBAR PUNCTURE 96450 289.33$
96521 PR REFILL/MAINT, PORTABLE PUMP 96521 230.03$
96522 PR REFILL/MAINT SYSTEMIC PUMP/RESVR 96522 186.20$
96523 PR IRRIG IMPLANTED DRUG DELIVERY DEVICE 96523 43.51$
96542 PR CHEMOTHER INJECT,SUBARACH/INTRAVENT 96542 210.57$
96567 PR PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY 96567 179.04$
96570 PR PHOTODYNAMIC TX, 1ST 30 MIN 96570 83.61$
96571 PR PHOTODYNAMIC TX, ADDL 15 MIN 96571 47.32$
96573 PR PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP 96573 297.79$
96574 PR DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT 96574 384.62$
96900 PR ULTRAVIOLET LIGHT THERAPY 96900 32.49$
96904 PR WHOLE BODY PHOTOGRAPHY 96904 97.60$
96910 PR PHOTOCHEMOTHERAPY WITH UV-B 96910 177.24$
96912 PR PHOTOCHEMOTHERAPY WITH UV-A 96912 149.59$
96913 PR PHOTOCHEMOTHERAPY, UV-A OR B 96913 208.61$
96920 PR LASER TX,PSORIASIS,AREA <250 SQCM 96920 260.42$
96921 PR LASER TX,PSORIASIS,AREA 250-500 SQCM 96921 285.55$
96922 PR LASER TX,PSORIASIS,AREA >500 SQCM 96922 389.40$
96931 PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R 1ST 96931 265.73$
96932 PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQUISITION 96932 26.96$
96933 PR RCM CELULR & SUBCELULR SKN IMGNG I&R 1ST LES 96933 65.54$
96934 PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R ADD 96934 117.41$
96935 PR RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ EA ADDL 96935 54.62$
96936 PR RCM CELULR & SUBCELULR SKN IMGNG I&R EA ADDL 96936 62.67$
97010 PR HOT OR COLD PACKS THERAPY 97010 5.00$
97012 PR MECHANICAL TRACTION THERAPY 97012 23.74$
97016 PR VASOPNEUMATIC DEVICE THERAPY 97016 25.21$
97018 PR PARAFFIN BATH THERAPY 97018 13.84$
97022 PR WHIRLPOOL THERAPY 97022 30.16$
97024 PR DIATHERMY TREATMENT 97024 11.07$
97026 PR INFRARED THERAPY 97026 9.97$
97028 PR ULTRAVIOLET THERAPY 97028 12.79$
97032 PR ELECTRICAL STIMULATION 97032 24.85$
97033 PR ELECTRIC CURRENT THERAPY 97033 33.17$
97034 PR CONTRAST BATH THERAPY 97034 24.19$
97035 PR ULTRASOUND THERAPY 97035 21.42$
97036 PR HYDROTHERAPY 97036 56.45$
97110 PR THERAPEUTIC EXERCISES 97110 49.01$
97112 PR NEUROMUSC REEDUCAT,1+ AREAS, EA 15 MIN 97112 55.77$
97113 PR AQUATIC THERAPY/EXERCISES 97113 62.35$
97116 PR GAIT TRAINING THERAPY 97116 48.46$
97124 PR MASSAGE THERAPY 97124 48.89$
97140 PR MANUAL THER TECH,1+REGIONS,EA 15 MIN 97140 44.67$
97150 PR GROUP THERAPEUTIC PROCEDURES 97150 29.37$
97161 PR PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS 97161 134.05$
97162 PR PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS 97162 134.05$
97163 PR PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS 97163 134.05$
97164 PR PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS 97164 90.57$
97165 PR OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS 97165 144.56$
97166 PR OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS 97166 144.56$
97167 PR OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS 97167 144.56$
97168 PR OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS 97168 98.32$
97530 PR THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN 97530 64.47$
97532 PR DEVELOPMENT OF COGNITIVE SKILLS EACH 15 MINUTES 97532 43.03$
97533 PR SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES 97533 54.62$
97535 PR SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES 97535 55.09$
97537 PR COMMUNITY/WORK REINTEGRATION TRAINJ EA 15 MIN 97537 52.97$
97542 PR WHEELCHAIR MNGEMENT TRAINING, EA 15 MIN 97542 53.51$
97597 PR DEBRIDEMENT OPEN WOUND 20 SQ CM< 97597 132.12$
97598 PR DEBRIDEMENT OPEN WOUND EA ADDL 20 SQ CM 97598 44.17$
97602 PR RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS 97602 66.00$
97605 PR NEG PRESS WOUND TX, < 50 CM 97605 70.29$
97606 PR NEG PRESS WOUND TX, > 50 CM 97606 83.13$
97607 NEG PRESSURE WOUND THERAPY SA LESS THAN EQUAL TO 50 SQ CM PER SESSION 97607 65.13$
97608 NEG PRESSURE WOUND THERAPY SURFACE AREA GREATER THAN 50 SQ CM 97608 65.77$
97610 PR LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY 97610 210.23$
97750 PR PHYSICAL PERFORMANCE TEST 97750 60.06$
97755 PR ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN 97755 62.72$
97760 PR ORTHOTICS MGMT & TRAINJ INITIAL ENCTR EA 15 MINS 97760 74.58$
97761 PR PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS 97761 64.63$
97762 PR EVAL OF ORTHOTIC/PROSTH USE, EA 15 MIN 97762 75.88$
97763 PR ORTHOTICS/PROSTH MGMT &/TRAINJ SBSQ ENCTR 15 MIN 97763 76.74$
97802 PR MED NUTR THER, 1ST, INDIV, EA 15 MIN 97802 55.29$
97803 PR MED NUTR THER, SUBSQ, INDIV, EA 15 MIN 97803 47.90$
97804 PR MED NUTR THER, GROUP, EA 30 MIN 97804 25.39$
98925 PR OSTEOPATHIC MANIP,1-2 BODY REGN 98925 50.56$
98926 PR OSTEOPATHIC MANIP,3-4 BODY REGN 98926 73.19$
98927 PR OSTEOPATHIC MANIP,5-6 BODY REGN 98927 95.82$
98928 PR OSTEOPATHIC MANIP,7-8 BODY REGN 98928 116.24$
98929 PR OSTEOPATHIC MANIP,9-10 BODY REGN 98929 138.88$
98940 PR CHIROPRAC MANIP,SPINAL,1-2 REGIONS 98940 45.72$
98941 PR CHIROPRAC MANIP,SPINAL,3-4 REGIONS 98941 65.72$
98942 PR CHIROPRAC MANIP,SPINAL,5 REGIONS 98942 85.59$
98966 PR NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN 98966
99000 PR HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB 99000 -$
99024 PR POST-OP FOLLOW-UP VISIT 99024 -$
99051 PR MEDICAL SERVICES, EVE/WKEND/HOLIDAY 99051 43.71$
99070 PR SUPPLIES&MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP 99070 -$
99091 PR COLLJ&INTERPJ PHYS/QHP PHYSIO COMPUTR DATA 30 MI 99091 92.04$
99151 PR MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS 99151 122.27$
99152 PR MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS 99152 80.97$
99153 PR MOD SED SAME PHYS/QHP EACH ADDL 15 MINS 99153 17.00$
99155 PR MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS 99155 154.52$
99156 PR MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS 99156 121.11$
99157 PR MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS 99157 92.42$
99170 PR ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG 99170 251.33$
99172 PR VISUAL FUNCT SCREENING, BILAT 99172 29.91$
99172 PR VISUAL FUNCT SCREENING, BILAT 99172 6.35$
99172 PR VISUAL FUNCT SCREENING, BILAT 99172 23.56$
99173 PR VISUAL SCREENING TEST, BILAT 99173 4.11$
99175 PR INDUCTION OF VOMITING 99175 40.23$
99183 PR PHYS/QHP ATTN&SUPVJ HYPRBARIC OXYGEN TX /SESSION 99183 175.51$
99184 INITIATION OF SELECTIVE HEAD OR TOTAL BODY HYPOTHERMIA IN NEONATE 99184 357.19$
99195 PR PHLEBOTOMY 99195 158.98$
99201 PR OFFICE OUTPATIENT NEW 10 MINUTES 99201 70.24$
99202 PR OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES 99202 118.55$
99203 PR OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES 99203 170.28$
99204 PR OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES 99204 260.42$
99205 PR OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES 99205 327.72$
99211 PR OFFICE/OUTPATIENT ESTABLISHED MINIMAL PROBLEM(S) 99211 34.06$
99212 PR OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIN 99212 69.27$
99213 PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN 99213 115.47$
99214 PR OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN 99214 170.63$
99215 PR OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN 99215 230.14$
99217 PR OBSERVATION CARE DISCHARGE MANAGEMENT 99217 116.56$
99218 PR INITIAL OBSERVATION CARE/DAY 30 MINUTES 99218 159.27$
99219 PR INITIAL OBSERVATION CARE/DAY 50 MINUTES 99219 217.04$
99220 PR INITIAL OBSERVATION CARE/DAY 70 MINUTES 99220 297.23$
99221 PR INITIAL HOSPITAL CARE/DAY 30 MINUTES 99221 161.07$
99222 PR INITIAL HOSPITAL CARE/DAY 50 MINUTES 99222 217.90$
99223 PR INITIAL HOSPITAL CARE/DAY 70 MINUTES 99223 323.45$
99224 PR SBSQ OBSERVATION CARE/DAY 15 MINUTES 99224 63.64$
99225 PR SBSQ OBSERVATION CARE/DAY 25 MINUTES 99225 116.84$
99226 PR SBSQ OBSERVATION CARE/DAY 35 MINUTES 99226 167.64$
99231 PR SBSQ HOSPITAL CARE/DAY 15 MINUTES 99231 62.54$
99232 PR SBSQ HOSPITAL CARE/DAY 25 MINUTES 99232 116.14$
99233 PR SBSQ HOSPITAL CARE/DAY 35 MINUTES 99233 166.40$
99234 PR OBSERVATION/INPATIENT HOSPITAL CARE 40 MINUTES 99234 212.37$
99235 PR OBSERVATION/INPATIENT HOSPITAL CARE 50 MINUTES 99235 272.53$
99236 PR OBSERVATION/INPATIENT HOSPITAL CARE 55 MINUTES 99236 348.68$
99238 PR HOSPITAL DISCHARGE DAY,<30 MIN 99238 116.56$
99239 PR HOSPITAL DISCHARGE DAY,>30 MIN 99239 171.95$
99241 PR OFFICE CONSULTATION NEW/ESTAB PATIENT 15 MIN 99241 79.41$
99242 PR OFFICE CONSULTATION NEW/ESTAB PATIENT 30 MIN 99242 148.06$
99243 PR OFFICE CONSULTATION NEW/ESTAB PATIENT 40 MIN 99243 203.47$
99244 PR OFFICE CONSULTATION NEW/ESTAB PATIENT 60 MIN 99244 299.69$
99245 PR OFFICE CONSULTATION NEW/ESTAB PATIENT 80 MIN 99245 369.77$
99251 PR INITL INPATIENT CONSULT NEW/ESTAB PT 20 MIN 99251 77.00$
99252 PR INITL INPATIENT CONSULT NEW/ESTAB PT 40 MIN 99252 182.00$
99253 PR INITL INPATIENT CONSULT NEW/ESTAB PT 55 MIN 99253 203.00$
99254 PR INITL INPATIENT CONSULT NEW/ESTAB PT 80 MIN 99254 263.00$
99255 PR INITIAL INPATIENT CONSULT NEW/ESTAB PT 110 MIN 99255 326.00$
99281 PR EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB 99281 33.79$
99282 PR EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY 99282 65.88$
99283 PR EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY 99283 98.60$
99284 PR EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY 99284 187.06$
99285 PR EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNC 99285 275.58$
99291 PR CRITICAL CARE, E/M 30-74 MINUTES 99291 435.57$
99292 PR CRITICAL CARE, ADDL 30 MIN 99292 194.96$
99304 PR INITIAL NURSING FACILITY CARE/DAY 25 MINUTES 99304 145.41$
99305 PR INITIAL NURSING FACILITY CARE/DAY 35 MINUTES 99305 208.10$
99306 PR INITIAL NURSING FACILITY CARE/DAY 45 MINUTES 99306 266.36$
99307 PR SBSQ NURSING FACILITY CARE/DAY E/M STABLE 10 MIN 99307 70.97$
99308 PR SBSQ NURSING FACIL CARE/DAY MINOR COMPLJ 15 MIN 99308 110.30$
99309 PR SBSQ NURSING FACIL CARE/DAY NEW PROBLEM 25 MIN 99309 145.74$
99310 PR SBSQ NURS FACIL CARE/DAY UNSTABL/NEW PROB 35 MIN 99310 216.81$
99315 PR NURSING FAC DISCHRGE DAY,1-30 MIN 99315 116.14$
99316 PR NURSING FAC DISCHRGE DAY,MORE 30 MIN 99316 169.04$
99318 PR E/M ANNUAL NURSING FACILITY ASSESS STABLE 30 MIN 99318 153.35$
99324 PR DOMICIL/REST HOME NEW PT VISIT LOW SEVER 20 MIN 99324 87.93$
99325 PR DOMICIL/REST HOME NEW PT VISIT MOD SEVER 30 MIN 99325 128.11$
99326 PR DOMICIL/REST HOME NEW PT HI-MOD SEVER 45 MINUTES 99326 222.37$
99327 PR DOMICIL/REST HOME NEW PT VISIT HI SEVER 60 MIN 99327 297.25$
99328 PR DOM/R-HOME E/M NEW PT SIGNIF NEW PROB 75 MINUTES 99328 348.25$
99334 PR DOM/R-HOME E/M EST PT SELF-LMTD/MINOR 15 MINUTES 99334 95.83$
99335 PR DOM/R-HOME E/M EST PT LW MOD SEVERITY 25 MINUTES 99335 151.16$
99336 PR DOM/R-HOME E/M EST PT MOD HI SEVERITY 40 MINUTES 99336 215.85$
99337 PR DOM/R-HOME E/M EST PT SIGNIF NEW PROB 60 MINUTES 99337 308.48$
99341 PR HOME VISIT NEW PATIENT LOW SEVERITY 20 MINUTES 99341 87.37$
99342 PR HOME VISIT NEW PATIENT MOD SEVERITY 30 MINUTES 99342 126.85$
99343 PR HOME VST NEW PATIENT MOD-HI SEVERITY 45 MINUTES 99343 208.15$
99344 PR HOME VISIT NEW PATIENT HI SEVERITY 60 MINUTES 99344 291.52$
99345 PR HOME VISIT NEW PT UNSTABL/SIGNIF NEW PROB 75 MIN 99345 353.91$
99347 PR HOME VISIT EST PT SELF LIMITED/MINOR 15 MINUTES 99347 87.90$
99348 PR HOME VISIT EST PT LOW-MOD SEVERITY 25 MINUTES 99348 134.15$
99349 PR HOME VISIT EST PT MOD-HI SEVERITY 40 MINUTES 99349 205.14$
99350 PR HOME VST EST PT UNSTABLE/SIGNIF NEW PROB 60 MINS 99350 285.17$
99354 PR PROLONGED SVC OUTPATIENT SETTING 1ST HOUR 99354 207.90$
99355 PR PROLONGED SVC OUTPATIENT SETTING EA ADDL 30 MIN 99355 157.23$
99356 PR PROLONGED SVC I/P OR OBS SETTING 1ST HOUR 99356 147.26$
99357 PR PROLONGED SERV,INPATIENT,EA ADD 30 MIN 99357 147.82$
99358 PR PROLONGED SERV,NO CONTACT,1ST HR 99358 178.13$
99359 PR PROLONGED SERV,NO CONTCT,EA ADD 30 MIN 99359 85.68$
99381 PR PREVENTIVE VISIT,NEW,INFANT < 1 YR 99381 149.00$
99382 PR PREVENTIVE VISIT,NEW,AGE 1-4 99382 161.00$
99383 PR PREVENTIVE VISIT,NEW,AGE5-11 99383 159.00$
99384 PR PREVENTIVE VISIT,NEW,12-17 99384 173.00$
99385 PR PREVENTIVE VISIT,NEW,18-39 99385 173.00$
99386 PR PREVENTIVE VISIT,NEW,40-64 99386 203.00$
99387 PR PREVENTIVE VISIT,NEW,65 & OVER 99387 221.00$
99391 PR PREVENTIVE VISIT,EST, INFANT < 1 YR 99391 141.00$
99392 PR PREVENTIVE VISIT,EST,AGE 1-4 99392 163.00$
99393 PR PREVENTIVE VISIT,EST,AGE5-11 99393 173.00$
99394 PR PREVENTIVE VISIT,EST,12-17 99394 184.00$
99395 PR PREVENTIVE VISIT,EST,18-39 99395 194.00$
99396 PR PREVENTIVE VISIT,EST,40-64 99396 161.00$
99397 PR PREVENTIVE VISIT,EST,65 & OVER 99397 180.00$
99401 PR PREVENT COUNSEL,INDIV,15 MIN 99401 58.55$
99406 PR TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES 99406 24.02$
99407 PR TOBACCO USE CESSATION INTENSIVE >10 MINUTES 99407 44.43$
99408 PR ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN 99408 57.00$
99409 PR ALCOHOL/SUBSTANCE SCREEN & INTERVEN >30 MIN 99409 79.86$
99415 PR PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR 99415 15.35$
99416 PR PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL 99416 7.19$
99421 PR ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES 99421 24.65$
99422 PR ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES 99422 49.20$
99423 PR ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MINUTES 99423 79.48$
99441 PR PHYS/QHP TELEPHONE EVALUATION 5-10 MIN 99441 89.68$
99442 PR PHYS/QHP TELEPHONE EVALUATION 11-20 MIN 99442 146.82$
99443 PR PHYS/QHP TELEPHONE EVALUATION 21-30 MIN 99443 208.45$
99460 PR INITIAL NORMAL NEWBORN CARE, HOSPITAL OR BIRTH CENTER 99460 153.20$
99461 PR INITIAL NORMAL NEWBORN CARE, EXCEPT HOSPITAL OR BIRTH CENTER 99461 144.29$
99462 PR SUBSEQUENT HOSPITAL CARE, NORMAL NEWBORN 99462 66.74$
99463 PR INITIAL NORMAL NEWBORN CARE, SAME DAY DISCHARGE 99463 177.24$
99464 PR ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN 99464 119.76$
99465 PR DELIVERY/BIRTHING ROOM RESUSCITATION 99465 233.39$
99466 PR CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN 99466 382.14$
99467 PR CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN 99467 191.09$
99468 PR INITIAL HOSP NEONATE 28 DAY OR LESS, CRITICALLY ILL 99468 1,471.88$
99469 PR SUBSEQUENT HOSP NEONATE 28 DAY OR LESS, CRITICALLY ILL 99469 636.97$
99471 PR INITIAL PED CRITICAL CARE 29 DAY THRU 24 MO 99471 1,274.08$
99472 PR SUBSEQUENT PED CRITICAL CARE 29 DAY THRU 24 MO 99472 656.16$
99475 PR INITIAL PED CRITICAL CARE 2 YR THRU 5 YR 99475 896.94$
99476 PR SUBSEQUENT PED CRITICAL CARE 2 YR THRU 5 YR 99476 551.05$
99477 PR INITIAL HOSP NEONATE 28 DAY OR LESS, NOT CRITICALLY ILL 99477 558.36$
99478 PR SUBSEQUENT INTENSIVE CARE INFANT < 1500 GRAMS 99478 219.24$
99479 PR SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS 99479 198.96$
99480 PR SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS 99480 191.65$
99483 PR ASSMT & CARE PLANNING PT W/COGNITIVE IMPAIRMENT 99483 377.80$
99484 PR CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS 99484 75.69$
99487 PR COMPLEX CHRONIC CARE MANAGEMENT SVC 1ST 60 MIN 99487 147.21$
99489 PR COMPLEX CHRONIC CARE MGMT SERVICE EA ADDL 30 MIN 99489 73.33$
99490 PR CHRONIC CARE MANAGEMENT SERVICES 1ST 20 MIN 99490 66.84$
99492 PR 1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS 99492 250.65$
99493 PR SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS 99493 200.57$
99494 PR 1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS 99494 103.75$
99495 PR TRANSITIONAL CARE MANAGE SERVICE 14 DAY DISCHRGE 99495 260.29$
99496 PR TRANSITIONAL CARE MANAGE SERVICE 7 DAY DISCHARGE 99496 368.49$
99497 ADVANCE CARE PLANNING BY THE MD OR OTHER QHCP; 1ST 30 MINUTES 99497 134.69$
99498 ADVANCE CARE PLANNING BY THE MD OR OTHER QHCP; EA ADDL 30 MINUTES 99498 119.08$
99998 SEH CARDIAC CATH PROCEDURE 99998 -$
99999 PR OFFICE/OUTPT VISIT,PROCEDURE ONLY 99999 -$
A4561 PR PESSARY RUBBER, ANY TYPE A4561 28.16$
A4562 PR PESSARY, NON RUBBER,ANY TYPE A4562 70.00$
A4565 PR SLINGS A4565 7.00$
A4570 PR SPLINT A4570 14.56$
A4590 PR SPECIAL CASTING MATERIAL A4590 32.45$
A4648 IMPLANTABLE TISSUE MARKER A4648 66.00$
A6530 PR COMPRESSION STOCKING BK18-30 A6530 40.00$
A6533 PR GC STOCKING THIGHLNGTH 18-30 A6533 60.00$
A6545 PR GRAD COMP NON-ELASTIC BK A6545 80.00$
A7006 PR FILTERED NEBULIZER ADMIN SET A7006 -$
A7015 PR AEROSOL MASK USED W NEBULIZE A7015 2.60$
A7016 PR NEBULIZER DOME & MOUTHPIECE A7016 9.16$
A9270 PR NON-COVERED ITEM OR SERVICE A9270 -$
A9500 PR TC99M SESTAMIBI A9500 123.30$
A9502 PR TC99M TETROFOSMIN A9502 190.95$
A9503 PR TC99M MEDRONATE A9503 47.03$
A9505 PR TL201 THALLIUM A9505 47.87$
A9507 PR IN111 CAPROMAB A9507 4,134.44$
A9510 PR TC99M DISOFENIN A9510 29.25$
A9512 PR TC99M PERTECHNETATE A9512 8.37$
A9517 PR I131 IODIDE CAP, RX A9517 67.16$
A9521 PR TC99M EXAMETAZIME A9521 2,738.69$
A9524 PR I131 SERUM ALBUMIN, DX A9524 101.89$
A9528 PR IODINE I-131 IODIDE CAP, DX A9528 67.16$
A9530 PR I131 IODIDE SOL, RX A9530 18.94$
A9531 PR I131 MAX 100UCI A9531 7.19$
A9537 PR TC99M MEBROFENIN A9537 104.05$
A9538 PR TC99M PYROPHOSPHATE A9538 16.71$
A9539 PR TC99M PENTETATE A9539 37.98$
A9540 PR TC99M MAA A9540 82.50$
A9541 PR TC99M SULFUR COLLOID A9541 91.25$
A9547 PR IN111 OXYQUINOLINE A9547 3,363.46$
A9548 PR IN111 PENTETATE A9548 1,165.82$
A9551 PR TC99M SUCCIMER A9551 363.00$
A9552 PR F18 FDG A9552 412.50$
A9555 PR RB82 RUBIDIUM A9555 481.60$
A9556 PR GA67 GALLIUM A9556 196.63$
A9558 PR XE133 XENON 10MCI A9558 343.61$
A9560 PR TC99M LABELED RBC A9560 175.69$
A9562 PR TC99M MERTIATIDE A9562 473.57$
A9568 PR TECHNETIUM TC99M ARCITUMOMAB A9568 2,037.75$
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A9580 PR SODIUM FLUORIDE F-18 A9580 433.95$
A9586 PR FLORBETAPIR F18 A9586 4,890.60$
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C9399 PR UNCLASSIFIED DRUGS OR BIOLOG C9399 -$
D7410 EXCISION BENIGN LESION TO 1.25 CM D7410 -$
E0114 PR CRUTCH UNDERARM PAIR NO WOOD E0114 -$
G0008 PR ADMIN INFLUENZA VIRUS VAC G0008 34.00$
G0009 PR ADMIN PNEUMOCOCCAL VACCINE G0009 39.00$
G0010 PR ADMIN HEPATITIS B VACCINE G0010 14.16$
G0071 VIRTUAL SVS BY RHC/FQHC, 5 MIN G0071 22.60$
G0101 PR CA SCREEN;PELVIC/BREAST EXAM G0101 62.00$
G0102 PR PROSTATE CA SCREENING; DRE G0102 33.48$
G0104 PR CA SCREEN;FLEXI SIGMOIDSCOPE G0104 266.51$
G0105 PR COLORECTAL SCRN; HI RISK IND G0105 500.33$
G0106 PR COLON CA SCREEN;BARIUM ENEMA G0106 334.11$
G0106 PR COLON CA SCREEN;BARIUM ENEMA G0106 79.32$
G0106 PR COLON CA SCREEN;BARIUM ENEMA G0106 254.79$
G0108 PR DIAB MANAGE TRN PER INDIV G0108 85.29$
G0109 PR DIAB MANAGE TRN IND/GROUP G0109 23.18$
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G0120 PR COLON CA SCRN; BARIUM ENEMA G0120 254.79$
G0121 PR COLON CA SCRN NOT HI RSK IND G0121 500.74$
G0124 PR SCREEN C/V THIN LAYER BY MD G0124 51.69$
G0127 PR TRIM NAIL(S) G0127 38.46$
G0128 PR CORF SKILLED NURSING SERVICE G0128 12.03$
G0130 PR SINGLE ENERGY X-RAY STUDY G0130 55.04$
G0130 PR SINGLE ENERGY X-RAY STUDY G0130 18.13$
G0130 PR SINGLE ENERGY X-RAY STUDY G0130 36.91$
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G0151 PR HHCP-SERV OF PT,EA 15 MIN G0151 -$
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G0179 PR MD RECERTIFICATION HHA PT G0179 66.02$
G0180 PR MD CERTIFICATION HHA PATIENT G0180 85.11$
G0181 PR HOME HEALTH CARE SUPERVISION G0181 172.06$
G0182 PR HOSPICE CARE SUPERVISION G0182 172.76$
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G0239 PR OTH RESP PROC, GROUP G0239 20.33$
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G0246 PR FOLLOWUP EVAL OF FOOT PT LOP G0246 61.03$
G0247 PR ROUTINE FOOTCARE PT W LOPS G0247 114.25$
G0248 PR DEMONSTRATE USE HOME INR MON G0248 137.97$
G0249 PR PROVIDE TEST MATERIAL,EQUIPM G0249 138.67$
G0250 PR MD REVIEW INTERPRET OF TEST G0250 14.70$
G0268 PR REMOVAL OF IMPACTED WAX MD G0268 82.17$
G0270 PR MNT SUBS TX FOR CHANGE DX G0270 47.90$
G0271 PR GROUP MNT 2 OR MORE 30 MINS G0271 25.39$
G0278 PR ILIAC ART ANGIO,CARDIAC CATH G0278 21.93$
G0279 DELETED 2412 G0279 87.42$
G0279 DELETED 2412 G0279 48.15$
G0279 DELETED 2412 G0279 39.27$
G0281 PR ELEC STIM UNATTEND FOR PRESS G0281 23.56$
G0283 PR ELEC STIM OTHER THAN WOUND G0283 23.56$
G0288 PR RECON, CTA FOR SURG PLAN G0288 55.56$
G0289 PR ARTHRO, LOOSE BODY + CHONDRO G0289 138.60$
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G0297 PR LDCT FOR LUNG CA SCREEN G0297 82.57$
G0297 PR LDCT FOR LUNG CA SCREEN G0297 291.29$
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G0365 PR VESSEL MAPPING HEMO ACCESS G0365 201.94$
G0365 PR VESSEL MAPPING HEMO ACCESS G0365 19.59$
G0365 PR VESSEL MAPPING HEMO ACCESS G0365 182.36$
G0372 PR MD SERVICE REQUIRED FOR PMD G0372 14.69$
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G0397 ALCOHOL/SUBS INTERV >30 MIN G0397 109.56$
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G0398 PR HOME SLEEP TEST/TYPE 2 PORTA G0398 93.95$
G0398 PR HOME SLEEP TEST/TYPE 2 PORTA G0398 187.90$
G0399 PR HOME SLEEP TEST/TYPE 3 PORTA G0399 272.68$
G0399 PR HOME SLEEP TEST/TYPE 3 PORTA G0399 90.88$
G0399 PR HOME SLEEP TEST/TYPE 3 PORTA G0399 181.78$
G0400 PR HOME SLEEP TEST/TYPE 4 PORTA G0400 263.49$
G0400 PR HOME SLEEP TEST/TYPE 4 PORTA G0400 87.81$
G0400 PR HOME SLEEP TEST/TYPE 4 PORTA G0400 181.78$
G0402 PR INITIAL PREVENTIVE EXAM G0402 265.27$
G0403 PR EKG FOR INITIAL PREVENT EXAM G0403 26.71$
G0404 PR EKG TRACING FOR INITIAL PREV G0404 13.13$
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G0407 PR TELHEATH INPT CONSULT 25MIN G0407 115.32$
G0408 PR TELHEALTH INPT CONSULT 35MIN G0408 165.58$
G0409 PR CORF RELATED SERV 15 MINS EA G0409 31.38$
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G0421 PR ED SVC CKD GRP PER SESSION G0421 40.14$
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G0425 PR INPT TELEHEALTH CONSULT 30M G0425 159.01$
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G0427 PR INPT TELEHEALTH CON 70/>M G0427 321.80$
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G0452 PR MOLECULAR PATHOLOGY INTERPR G0452 29.58$
G0453 PR CONT INTRAOP NEURO MONITOR G0453 52.31$
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G6001 ULTRASONIC GUIDANCE FOR PLACEMENT OF RADIATION THERAPY FIELDS G6001 85.16$
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G6001 ULTRASONIC GUIDANCE FOR PLACEMENT OF RADIATION THERAPY FIELDS G6001 36.37$
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G8417 PR CALC BMI ABV UP PARAM F/U G8417 -$
G8418 PR CALC BMI BLW LOW PARAM F/U G8418 -$
G8420 PR CALC BMI NORM PARAMETERS G8420 -$
G8427 PR DOCREV CUR MEDS BY ELIG CLIN G8427 -$
G8474 ACE/ARB NOT RX D; DOC REAS G8474 -$
G8739 PR LVEF >= 40% G8739 -$
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G8936 PR PT NOT ELIGIBLE ACE/ARB G8936 -$
G8961 PR CSIT LOWRISK SURG PTS PREOP G8961 -$
G9016 PR DEMO-SMOKING CESSATION COUN G9016 -$
G9157 PR TRANSESOPH DOPPL CARDIAC MON G9157 155.45$
G9187 PR BPCI HOME VISIT G9187 70.29$
G9481 PR REMOTE E/M NEW PT 10MINS G9481 29.87$
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G9483 PR REMOTE E/M NEW PT 30MINS G9483 88.42$
G9484 PR REMOTE E/M NEW PT 45MINS G9484 149.82$
G9485 PR REMOTE E/M NEW PT 60MINS G9485 195.56$
G9486 PR REMOTE E/M EST. PT 10MINS G9486 29.45$
G9487 PR REMOTE E/M EST. PT 15MINS G9487 59.07$
G9488 PR REMOTE E/M EST. PT 25MINS G9488 91.00$
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G9490 PR JOINT REPLAC MOD HOME VISIT G9490 70.29$
G9502 PR MED REAS NO PERF FOOT EXAM G9502 -$
G9578 PR DOC OPIOID TX 1X DURING THER G9578 -$
G9642 PR CURRENT SMOKER G9642 -$
G9678 PR ONCOLOGY CARE MODEL SERVICE G9678 264.00$
G9685 PR ACUTE NURSING FACILITY CARE G9685 323.45$
G9686 PR NURSING FACILITY CONFERENCE G9686 125.28$
H0049 PR ALCOHOL/DRUG SCREENING H0049 -$
J0129 PR ABATACEPT INJECTION J0129 68.00$
J0130 PR ABCIXIMAB INJECTION J0130 1,786.00$
J0135 PR ADALIMUMAB INJECTION J0135 1,315.00$
J0171 PR ADRENALIN EPINEPHRINE INJECT J0171 0.99$
J0401 PR INJ ARIPIPRAZOLE EXT REL 1MG J0401 7.57$
J0561 PR PENICILLIN G BENZATHINE INJ J0561 14.00$
J0585 PR INJECTION,ONABOTULINUMTOXINA J0585 9.00$
J0586 PR ABOBOTULINUMTOXINA J0586 13.00$
J0696 PR CEFTRIAXONE SODIUM INJECTION J0696 12.00$
J0702 PR BETAMETHASONE ACET&SOD PHOSP J0702 12.60$
J0735 PR CLONIDINE HYDROCHLORIDE J0735 38.75$
J0834 PR COSYNTROPIN CORTROSYN INJ J0834 88.00$
J0897 PR DENOSUMAB INJECTION J0897 29.29$
J1030 PR METHYLPREDNISOLONE 40 MG INJ J1030 11.04$
J1040 PR METHYLPREDNISOLONE 80 MG INJ J1040 12.00$
J1050 PR MEDROXYPROGESTERONE ACETATE J1050 0.73$
J1071 INJECTION, TESTOSTERONE CYPIONATE, 1MG J1071 10.00$
J1100 PR DEXAMETHASONE SODIUM PHOS J1100 1.00$
J1200 PR DIPHENHYDRAMINE HCL INJECTIO J1200 1.00$
J1335 PR ERTAPENEM INJECTION J1335 80.00$
J1631 PR HALOPERIDOL DECANOATE INJ J1631 29.81$
J1642 PR INJ HEPARIN SODIUM PER 10 U J1642 0.29$
J1644 PR INJ HEPARIN SODIUM PER 1000U J1644 0.26$
J1725 PR HYDROXYPROGESTERONE CAPROATE J1725 3.63$
J1726 INJECTION, HYDROXYPROGESTERONE CAPROATE, (MAKENA), 10 MG J1726 3.63$
J1815 PR INSULIN INJECTION J1815 1.42$
J1885 PR KETOROLAC TROMETHAMINE INJ J1885 2.00$
J1940 PR FUROSEMIDE INJECTION J1940 3.30$
J1950 PR LEUPROLIDE ACETATE /3.75 MG J1950 1,794.38$
J1956 PR LEVOFLOXACIN INJECTION J1956 2.28$
J2001 PR LIDOCAINE INJECTION J2001 1.00$
J2010 PR LINCOMYCIN INJECTION J2010 18.00$
J2060 PR LORAZEPAM INJECTION J2060 8.00$
J2300 PR INJ NALBUPHINE HYDROCHLORIDE J2300 3.15$
J2357 PR OMALIZUMAB INJECTION J2357 57.65$
J2360 PR ORPHENADRINE INJECTION J2360 25.00$
J2405 PR ONDANSETRON HCL INJECTION J2405 0.76$
J2426 PR PALIPERIDONE PALMITATE INJ J2426 15.61$
J2510 PR PENICILLIN G PROCAINE INJ J2510 26.99$
J2550 PR PROMETHAZINE HCL INJECTION J2550 3.00$
J2680 PR FLUPHENAZINE DECANOATE 25 MG J2680 30.00$
J2765 PR METOCLOPRAMIDE HCL INJECTION J2765 1.53$
J2785 PR REGADENOSON INJECTION J2785 89.00$
J2790 PR RHO D IMMUNE GLOBULIN INJ J2790 99.20$
J2791 RHOPHYLAC INJECTION J2791 8.05$
J2794 PR RISPERIDONE, LONG ACTING J2794 14.78$
J2920 PR METHYLPREDNISOLONE INJECTION J2920 6.63$
J2930 PR METHYLPREDNISOLONE INJECTION J2930 9.07$
J3301 PR TRIAMCINOLONE ACETONIDE INJ J3301 3.00$
J3304 INJ, TRIAMCINOLONE ACETONIDE, PRESERV-FREE, EXT-REL, MICRO FORM, 1 MG J3304 31.15$
J3410 PR HYDROXYZINE HCL INJECTION J3410 11.58$
J3420 PR VITAMIN B12 INJECTION J3420 15.00$
J3430 PR VITAMIN K PHYTONADIONE INJ J3430 5.80$
J3490 PR DRUGS UNCLASSIFIED INJECTION J3490 -$
J7030 PR NORMAL SALINE SOLUTION INFUS J7030 3.65$
J7040 PR NORMAL SALINE SOLUTION INFUS J7040 1.06$
J7070 PR D5W INFUSION J7070 7.36$
J7120 PR RINGERS LACTATE INFUSION J7120 4.47$
J7296 LEVONORGESTREL-RELEASING INTRAUTERINE CONTRACEPTIVE, (KYLEENA), 19.5MG J7296 1,100.00$
J7297 PR LILETTA, 52 MG J7297 725.44$
J7298 PR MIRENA, 52 MG J7298 1,100.00$
J7300 PR INTRAUT COPPER CONTRACEPTIVE J7300 969.94$
J7301 PR SKYLA, 13.5 MG J7301 853.55$
J7307 ETONOGESTREL IMPLANT SYSTEM J7307 1,180.00$
J7321 HYALGAN/SUPARTZ INJ PER DOSE J7321 140.60$
J7323 EUFLEXXA INJ PER DOSE J7323 400.00$
J7325 PR SYNVISC OR SYNVISC-ONE J7325 21.76$
J7326 PR GEL-ONE J7326 860.59$
J7327 HYALURONAN OR DERIVATIVE, MONOVISC, FOR INTRA-ARTICULAR INJECTION, PER DOSE J7327 1,542.00$
J7510 PR PREDNISOLONE ORAL PER 5 MG J7510 0.17$
J7512 PR PREDNISONE IR OR DR ORAL 1MG J7512 0.01$
J7611 PR ALBUTEROL NON-COMP CON J7611 1.65$
J7613 PR ALBUTEROL NON-COMP UNIT J7613 1.65$
J7614 PR LEVALBUTEROL NON-COMP UNIT J7614 1.15$
J7615 PR LEVALBUTEROL COMP UNIT J7615 2.01$
J7620 PR ALBUTEROL IPRATROP NON-COMP J7620 3.00$
J7627 PR BUDESONIDE COMP UNIT J7627 -$
J7644 PR IPRATROPIUM BROMIDE NON-COMP J7644 0.40$
J8499 PR ORAL PRESCRIP DRUG NON CHEMO J8499 -$
J9030 BCG LIVE INTRAVESICAL INSTILLATION, 1MG J9030 4.65$
J9031 PR BCG LIVE INTRAVESICAL VAC J9031 219.10$
J9217 PR LEUPROLIDE ACETATE SUSPNSION J9217 363.00$
J9260 PR METHOTREXATE SODIUM INJ J9260 3.89$
L1830 PR KO IMMOB CANVAS LONG PRE OTS L1830 120.00$
L1832 PR KO ADJ JNT POS R SUP PRE CST L1832 893.46$
L1902 PR AFO ANKLE GAUNTLET PRE OTS L1902 -$
L3260 PR AMBULATORY SURGICAL BOOT EAC L3260 -$
L3807 PR WHFO W/O JOINTS PRE CST L3807 270.00$
L3809 PR WHFO W/O JOINTS PRE OTS L3809 -$
L3908 PR WHO COCK-UP NONMOLDE PRE OTS L3908 -$
L8505 PR ARTIFICIAL LARYNX, ACCESSORY L8505 850.50$
M0239 PR BAMLANIVIMAB-XXXX INFUSION M0239 361.60$
M0243 PR CASIRIVI AND IMDEVI INFUSION M0243 500.00$
M0245 INTRAVENOUS INFUSION, BAMLANIVIMAB AND ETESEVIMAB M0245 500.00$
P3001 PR SCREENING PAP SMEAR BY PHYS P3001 51.69$
P9612 PR CATHETERIZE FOR URINE SPEC P9612 3.38$
PBSUR OPERATIVE NOTE CHARGE PBSUR -$
Q0035 PR CARDIOKYMOGRAPHY Q0035 30.57$
Q0035 PR CARDIOKYMOGRAPHY Q0035 14.12$
Q0035 PR CARDIOKYMOGRAPHY Q0035 16.45$
Q0091 PR OBTAINING SCREEN PAP SMEAR Q0091 70.09$
Q0092 PR SET UP PORT XRAY EQUIPMENT Q0092 39.68$
Q0111 PR WET MOUNTS/ W PREPARATIONS Q0111 18.32$
Q0114 PR FERN TEST Q0114 12.20$
Q0144 PR AZITHROMYCIN DIHYDRATE, ORAL Q0144 -$
Q0163 PR DIPHENHYDRAMINE HCL 50MG Q0163 -$
Q0169 PR PROMETHAZINE HCL 12.5MG ORAL Q0169 -$
Q0179 PR ONDANSETRON HCL 8MG ORAL Q0179 -$
Q0239 PR BAMLANIVIMAB-XXXX Q0239 -$
Q0243 PR CASIRIVIMAB AND IMDEVIMAB Q0243 361.60$
Q0245 INJECTION, BAMLANIVIMAB AND ETESEVIMAB, 2100 MG Q0245 -$
Q2038 PR FLUZONE VACC, 3 YRS & >, IM Q2038 15.05$
Q4006 PR CAST SUP LONG ARM ADULT FBRG Q4006 72.80$
Q4008 PR CAST SUP LONG ARM PED FBRGLS Q4008 36.16$
Q4010 PR CAST SUP SHT ARM ADULT FBRGL Q4010 56.58$
Q4012 PR CAST SUP SHT ARM PED FBRGLAS Q4012 28.29$
Q4014 PR CAST SUP GAUNTLET FIBERGLASS Q4014 53.25$
Q4017 PR CAST SUP LNG ARM SPLINT PLST Q4017 13.70$
Q4018 PR CAST SUP LNG ARM SPLINT FBRG Q4018 46.59$
Q4020 PR CAST SUP LNG ARM SPLNT PED F Q4020 23.30$
Q4021 PR CAST SUP SHT ARM SPLINT PLST Q4021 10.13$
Q4022 PR CAST SUP SHT ARM SPLINT FBRG Q4022 46.60$
Q4024 PR CAST SUP SHT ARM SPLNT PED F Q4024 23.30$
Q4030 PR CAST SUP LONG LEG FIBERGLASS Q4030 101.09$
Q4032 PR CAST SUP LNG LEG PED FBRGLS Q4032 35.25$
Q4034 PR CAST SUP LNG LEG CYLINDER FB Q4034 64.68$
Q4038 PR CAST SUP SHRT LEG FIBERGLASS Q4038 116.06$
Q4040 PR CAST SUP SHRT LEG PED FBRGLS Q4040 58.25$
Q4045 PR CAST SUP SHT LEG SPLNT PLSTR Q4045 20.39$
Q4046 PR CAST SUP SHT LEG SPLNT FBRGL Q4046 43.26$
Q4049 PR FINGER SPLINT, STATIC Q4049 5.25$
Q9957 PR INJ PERFLUTREN LIP MICROS,ML Q9957 63.10$
Q9967 LOCM 300-399MG/ML IODINE,1ML Q9967 0.30$
Q9984 PR KYLEENA IUD Q9984 1,107.00$
Q9993 INJ TRIAMCINOLONE ACETONIDE 1MG(PRESERVATIVE FREE, EXTENDED RELEASE) Q9993 31.15$
R0070 PR TRANSPORT PORTABLE X-RAY R0070 229.68$
S0189 TESTOSTERONE PELLET,75 MG S0189 116.23$
S0260 PR H&P FOR SURGERY S0260 -$
S0280 MEDICAL HOME PROGRAM, COMPREHENSIVE CARE COORDINATION & PLANNING; INITIAL PLAN S0280 52.50$
S0281 MEDICAL HOME PROGRAM, COMPREHENSIVE CARE COORDINATION & PLANNING; MAINTENANCE S0281 157.50$
S0630 PR REMOVAL OF SUTURES S0630 -$
S2900 SURG TECHNIQUES REQ USE OF ROBOTIC SURG SYS S2900 -$
S8452 PR SPLINT ELBOW S8452 -$
S9083 PR URGENT CARE CENTER GLOBAL S9083 -$
T1013 PR SIGN LANG/ORAL INTERPRETER T1013 -$
V5008 PR HEARING SCREENING V5008 -$
