Top 40 services provided by CGH MEDICAL CENTER
Services CPT Price Est. Cash Price
Anesthesia for procedure on salivary gland with biopsy 100 $22.00 $5.50
Anesthesia for procedure on eyelid 103 $22.00 $5.50
Anesthesia for biopsy of external middle and inner ear 120 $22.00 $5.50
Anesthesia for examination and biopsy of external middle and inner ear using an endoscope 124 $22.00 $5.50
Anesthesia for incision of ear drum 126 $22.00 $5.50
Anesthesia for procedure on eye 140 $22.00 $5.50
Anesthesia for lens surgery 142 $22.00 $5.50
Anesthesia for retinal surgery 145 $22.00 $5.50
Anesthesia for eye examination using an endoscope 148 $22.00 $5.50
Anesthesia for procedure on nose and sinus 160 $22.00 $5.50
Anesthesia for procedure on nose and sinus 160 $22.00 $5.50
Anesthesia for surgery of nose and sinus 162 $22.00 $5.50
Anesthesia for soft tissue biopsy on nose and sinus 164 $22.00 $5.50
Anesthesia for procedure on mouth including biopsy 170 $22.00 $5.50
Anesthesia for procedure on throat for removal of tumor 174 $22.00 $5.50
Anesthesia for surgery on mouth 176 $22.00 $5.50
Anesthesia for procedure on facial bones or skull 190 $22.00 $5.50
Anesthesia for surgery of facial bones or skull 192 $22.00 $5.50
Anesthesia for procedure on esophagus and neck 300 $22.00 $5.50
Anesthesia for procedure on esophagus and neck, age 1 year or older 320 $22.00 $5.50
Anesthesia for needle biopsy of thyroid 322 $22.00 $5.50
Anesthesia for procedure on voice box and windpipe, children younger than 1 year of age 326 $22.00 $5.50
Anesthesia for procedure on major blood vessels of neck 350 $22.00 $5.50
Anesthesia for tying procedure on major blood vessels of neck 352 $22.00 $5.50
Anesthesia for procedure on skin of arms, legs, or trunk 400 $22.00 $5.50
Anesthesia for breast reconstruction 402 $22.00 $5.50
Anesthesia for removal of breast 404 $22.00 $5.50
Anesthesia for removal of breast and lymph nodes 406 $22.00 $5.50
Anesthesia for procedure to correct abnormal heart rhythm 410 $22.00 $5.50
Anesthesia for procedure on collar bone and shoulder blade 450 $22.00 $5.50
Anesthesia for biopsy of collar bone 454 $22.00 $5.50
Anesthesia for partial removal of rib 470 $22.00 $5.50
Anesthesia for partial removal of rib and chest wall repair 472 $22.00 $5.50
Anesthesia for partial removal of rib and chest wall reconstruction 474 $22.00 $5.50
Anesthesia for procedure on esophagus 500 $22.00 $5.50
Anesthesia for closed procedure in chest 520 $22.00 $5.50
Anesthesia for closed needle biopsy of lung 522 $22.00 $5.50
Anesthesia for closed drainage of lung fluid 524 $22.00 $5.50
Anesthesia for closed diagnostic examination of chest using an endoscope 528 $22.00 $5.50
Anesthesia for closed diagnostic examination of chest using an endoscope 528 $22.00 $5.50
Anesthesia for insertion of permanent heart pacemaker 530 $22.00 $5.50
Anesthesia for central vein access 532 $22.00 $5.50
Anesthesia for procedure in chest 540 $22.00 $5.50
Anesthesia for procedure in chest with 1 lung ventilation 541 $22.00 $5.50
Anesthesia for removal of lung lining 542 $22.00 $5.50
Anesthesia for lung removal and chest wall repair 546 $22.00 $5.50
Anesthesia for procedure on heart and great blood vessels 560 $22.00 $5.50
Anesthesia for procedure on upper spine and spinal cord 600 $22.00 $5.50
Anesthesia for procedure on middle spine and spinal cord 620 $22.00 $5.50
Anesthesia for procedure on lower spine 630 $22.00 $5.50
Anesthesia for procedure on upper front abdominal wall 700 $22.00 $5.50
Anesthesia for liver biopsy (accessed through the skin) 702 $22.00 $5.50
Anesthesia for procedure on upper rear abdominal wall 730 $22.00 $5.50
Anesthesia for procedure on esophagus, stomach, and/or upper small bowel using an endoscope 731 $22.00 $5.50
Anesthesia for diagnostic examination of gallbladder and pancreatic, liver, and bile ducts using an endoscope 732 $22.00 $5.50
Anesthesia for diagnostic examination of gallbladder and pancreatic, liver, and bile ducts using an endoscope 732 $22.00 $5.50
Anesthesia for procedure to repair upper abdominal hernia 750 $22.00 $5.50
Anesthesia for procedure to repair upper abdominal incisional hernia and/or wound opening 752 $22.00 $5.50
Anesthesia for procedure to repair upper abdominal hernia present at birth 754 $22.00 $5.50
Anesthesia for procedure to repair abdominal hernia 756 $22.00 $5.50
Anesthesia for procedure on major abdominal blood vessels 770 $22.00 $5.50
Anesthesia for procedure in upper abdomen including use of an endoscope 790 $22.00 $5.50
Anesthesia for partial removal of liver or management of bleeding including use of an endoscope 792 $22.00 $5.50
Anesthesia for removal of pancreas including use of an endoscope 794 $22.00 $5.50
Anesthesia for procedure on lower front abdominal wall 800 $22.00 $5.50
Anesthesia for removal of excess tissue on lower abdominal wall 802 $22.00 $5.50
Anesthesia for procedure on large bowel using an endoscope 811 $22.00 $5.50
Anesthesia for diagnostic examination of large bowel using an endoscope 812 $22.00 $5.50
Anesthesia for procedure on esophagus, stomach, small bowel, and/or large bowel using an endoscope 813 $22.00 $5.50
Anesthesia for procedure on lower rear abdominal wall 820 $22.00 $5.50
Anesthesia for lower abdominal hernia repair 830 $22.00 $5.50
Anesthesia for middle or incisional abdominal hernia repair 832 $22.00 $5.50
Anesthesia for lower abdominal hernia repair, child younger than 1 year of age 834 $22.00 $5.50
Anesthesia for procedure in lower abdominal cavity including use of an endoscope 840 $22.00 $5.50
Anesthesia for procedure in lower abdominal cavity and rectum including use of an endoscope 844 $22.00 $5.50
Anesthesia for removal of uterus including use of an endoscope 846 $22.00 $5.50
Anesthesia for removal of pelvic organs including use of an endoscope 848 $22.00 $5.50
Anesthesia for tying or incision of fallopian tubes using an endoscope 851 $22.00 $5.50
Anesthesia for procedure in lower abdomen including urinary tract 860 $22.00 $5.50
Anesthesia for procedure on upper urinary duct (ureter) or removal of kidney for transplant 862 $22.00 $5.50
Anesthesia for removal of urinary bladder 864 $22.00 $5.50
Anesthesia for removal of prostate 865 $22.00 $5.50
Anesthesia for removal of adrenal gland 866 $22.00 $5.50
Anesthesia for removal of urinary bladder stone 870 $22.00 $5.50
Anesthesia for shock wave therapy for urinary system stones 873 $22.00 $5.50
Anesthesia for procedure on major lower abdominal wall blood vessels 880 $22.00 $5.50
Anesthesia for tying of major vein in lower abdomen 882 $22.00 $5.50
Anesthesia for procedure on anus and rectum 902 $22.00 $5.50
Anesthesia for procedure on perineum 904 $22.00 $5.50
Anesthesia for removal of external female genitalia 906 $22.00 $5.50
Anesthesia for removal of prostate 908 $22.00 $5.50
Anesthesia for procedure on urinary system including use of an endoscope 910 $22.00 $5.50
Anesthesia for removal of urinary bladder tumors including use of an endoscope 912 $22.00 $5.50
Anesthesia for removal of prostate including use of an endoscope 914 $22.00 $5.50
Anesthesia for procedure to control urinary system bleeding including use of an endoscope 916 $22.00 $5.50
Anesthesia for fragmenting, manipulation and/or removal of kidney stone including use of an endoscope 918 $22.00 $5.50
Anesthesia for procedure on male genitalia 920 $22.00 $5.50
Anesthesia for vasectomy 921 $22.00 $5.50
Anesthesia for procedure on male genitalia glands 922 $22.00 $5.50
Anesthesia for repair of undescended testicle 924 $22.00 $5.50
Anesthesia for removal of testicle through groin 926 $22.00 $5.50
Anesthesia for removal of testicle through abdomen 928 $22.00 $5.50
Anesthesia for relocation of undescended testicle into scrotum 930 $22.00 $5.50
Anesthesia for removal of penis 932 $22.00 $5.50
Anesthesia for removal of penis and lymph nodes on both sides of groin 934 $22.00 $5.50
Anesthesia for removal of penis and lymph nodes on both sides of groin 936 $22.00 $5.50
Anesthesia for insertion of penile prosthesis 938 $22.00 $5.50
Anesthesia for vaginal biopsy of cervix, uterine lining, or external genitalia 940 $22.00 $5.50
Anesthesia for repair or removal of vagina and urinary procedure 942 $22.00 $5.50
Anesthesia for vaginal removal of uterus 944 $22.00 $5.50
Anesthesia for suture closure of cervix 948 $22.00 $5.50
Anesthesia for examination of uterus using an endoscope 952 $22.00 $5.50
Anesthesia for bone marrow aspiration and/or biopsy at pelvic bone 1112 $22.00 $5.50
Anesthesia for procedure on pelvic bone 1120 $22.00 $5.50
Anesthesia for application or revision of body cast 1130 $22.00 $5.50
Anesthesia for procedure on pubic bone or sacroiliac joint 1160 $22.00 $5.50
Anesthesia for open repair of pelvic fracture 1173 $22.00 $5.50
Anesthesia for closed procedure on hip joint 1200 $22.00 $5.50
Anesthesia for open surgical procedure on hip joint 1210 $22.00 $5.50
Anesthesia for open hip joint dislocation 1212 $22.00 $5.50
Anesthesia for open hip joint dislocation 1212 $20.00 $5.00
Anesthesia for open total hip joint replacement 1214 $22.00 $5.50
Anesthesia for open revision of total hip joint replacement 1215 $22.00 $5.50
Anesthesia for closed procedure on upper two-thirds of thigh bone 1220 $22.00 $5.50
Anesthesia for open procedure on upper two-thirds of thigh bone 1230 $22.00 $5.50
Anesthesia for open amputation at upper two-thirds of thigh bone 1232 $22.00 $5.50
Anesthesia for open removal of muscle or tissue at upper two-thirds of thigh bone 1234 $22.00 $5.50
Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of upper leg 1250 $22.00 $5.50
Anesthesia for procedure on veins of upper leg 1260 $22.00 $5.50
Anesthesia for procedure on arteries of upper leg 1270 $22.00 $5.50
Anesthesia for groin artery bypass graft and tying of upper leg artery 1272 $22.00 $5.50
Anesthesia for removal of groin artery blood clot 1274 $22.00 $5.50
Anesthesia for procedure on nerves, muscles, tendons, fascia, and/or bursae of knee 1320 $22.00 $5.50
Anesthesia for closed procedure on lower one-third of thigh bone 1340 $22.00 $5.50
Anesthesia for open procedure on lower one-third of thigh bone 1360 $22.00 $5.50
Anesthesia for closed procedure on knee joint 1380 $22.00 $5.50
Anesthesia for diagnostic examination of knee joint using an endoscope 1382 $22.00 $5.50
Anesthesia for closed procedure at kneecap and/or upper foreleg bones 1390 $22.00 $5.50
Anesthesia for open procedure at kneecap and upper foreleg bones 1392 $22.00 $5.50
Anesthesia for open or endoscopic procedure on knee including 1400 $22.00 $5.50
Anesthesia for open or endoscopic total knee joint replacement 1402 $22.00 $5.50
Anesthesia for open or endoscopic procedure of dislocated knee 1404 $22.00 $5.50
Anesthesia for knee joint cast application, removal, or repair 1420 $22.00 $5.50
Anesthesia for procedure on knee veins 1430 $22.00 $5.50
Anesthesia for repair of abnormal artery-vein formation of knee 1432 $22.00 $5.50
Anesthesia for procedure on knee arteries 1440 $22.00 $5.50
Anesthesia for removal of blood clot in artery behind knee 1442 $22.00 $5.50
Anesthesia for repair of bulging (aneurysm) defect in knee artery 1444 $22.00 $5.50
Anesthesia for closed procedure on lower leg, ankle, and foot 1462 $22.00 $5.50
Anesthesia for procedure on ankle and/or foot using an endoscope 1464 $22.00 $5.50
Anesthesia for procedure on nerves, muscles, tendons, and fascia of lower leg, ankle, and foot 1470 $22.00 $5.50
Anesthesia for procedure to repair calf muscle tendon 1472 $22.00 $5.50
Anesthesia for open procedure on bones of lower leg, ankle and foot 1480 $22.00 $5.50
Anesthesia for open amputation below the knee 1482 $22.00 $5.50
Anesthesia for open reconstruction of lower leg, ankle, and/or foot bone 1484 $22.00 $5.50
Anesthesia for open total ankle joint replacement 1486 $22.00 $5.50
Anesthesia for lower leg cast application, removal, or repair 1490 $22.00 $5.50
Anesthesia for procedure on arteries of lower leg including bypass graft 1500 $22.00 $5.50
Anesthesia for lower leg artery bypass graft or blood clot removal 1502 $22.00 $5.50
Anesthesia for procedure on veins of lower leg 1520 $22.00 $5.50
Anesthesia for removal of lower leg vein obstruction 1522 $22.00 $5.50
Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of shoulder and underarm 1610 $22.00 $5.50
Anesthesia for closed procedure on upper arm bone and shoulder joint 1620 $22.00 $5.50
Anesthesia for diagnostic examination of shoulder joint using an endoscope 1622 $22.00 $5.50
Anesthesia for open or endoscopic procedure at upper arm and shoulder joint including 1630 $22.00 $5.50
Anesthesia for open or endoscopic procedure of dislocated shoulder joint 1634 $22.00 $5.50
Anesthesia for open or endoscopic total shoulder joint replacement 1638 $22.00 $5.50
Anesthesia for procedure on arteries of shoulder and underarm 1650 $22.00 $5.50
Anesthesia for repair of bulging (aneurysm) defect in upper arm artery 1652 $22.00 $5.50
Anesthesia for bypass graft in shoulder or underarm artery 1654 $22.00 $5.50
Anesthesia for bypass graft in shoulder or underarm artery 1654 $22.00 $5.50
Anesthesia for bypass graft from groin artery to shoulder or underarm artery 1656 $22.00 $5.50
Anesthesia for procedure on veins of shoulder and underarm 1670 $22.00 $5.50
Anesthesia for cast application, removal or repair 1680 $22.00 $5.50
Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of upper arm and elbow 1710 $22.00 $5.50
Anesthesia for open incision of elbow to shoulder tendon 1712 $22.00 $5.50
Anesthesia for repair of elbow to shoulder tendon 1714 $22.00 $5.50
Anesthesia for suture of upper arm and elbow tendon to bone 1716 $22.00 $5.50
Anesthesia for closed procedure on upper arm and elbow 1730 $22.00 $5.50
Anesthesia for diagnostic examination of elbow joint using an endoscope 1732 $22.00 $5.50
Anesthesia for open or endoscopic procedure on elbow 1740 $22.00 $5.50
Anesthesia for open or endoscopic procedure at upper arm bone 1742 $22.00 $5.50
Anesthesia for open or endoscopic repair of non-healed fracture of upper arm bone 1744 $22.00 $5.50
Anesthesia for open or endoscopic surgical procedure on elbow 1756 $22.00 $5.50
Anesthesia for open or endoscopic removal cyst or tumor of upper arm 1758 $22.00 $5.50
Anesthesia for procedure on arteries of upper arm and elbow 1770 $22.00 $5.50
Anesthesia for removal of blood clot from upper arm or elbow artery 1772 $22.00 $5.50
Anesthesia for procedure on veins of upper arm and elbow 1780 $22.00 $5.50
Anesthesia for suture of upper arm or elbow vein 1782 $22.00 $5.50
Anesthesia for procedure on nerves, muscles, tendons, fascia, and bursae of forearm, wrist, and hand 1810 $22.00 $5.50
Anesthesia for closed procedure on bones of forearm, wrist, or hand 1820 $22.00 $5.50
Anesthesia for diagnostic examination of the wrist using an endoscope 1829 $22.00 $5.50
Anesthesia for open or endoscopic procedure on bones of forearm, wrist, or hand 1830 $22.00 $5.50
Anesthesia for procedure on arteries of forearm, wrist, and hand 1840 $22.00 $5.50
Anesthesia for removal of blood clot from forearm, wrist, or hand artery 1842 $22.00 $5.50
Anesthesia for placement or revision of blood flow shunt 1844 $22.00 $5.50
Anesthesia for procedure on veins of forearm, wrist, and hand 1850 $22.00 $5.50
Anesthesia for procedure on veins of forearm, wrist, and hand 1850 $22.00 $5.50
Anesthesia for suture of forearm, wrist, or hand vein 1852 $22.00 $5.50
Anesthesia for forearm, wrist, or hand cast application, removal or repair 1860 $22.00 $5.50
Anesthesia for diagnostic X-ray procedure on arteries or veins 1916 $22.00 $5.50
Anesthesia for procedure on heart vessels and chambers 1920 $22.00 $5.50
Anesthesia for X-ray or radiation therapy 1922 $22.00 $5.50
Anesthesia for X-ray procedure on arteries 1924 $22.00 $5.50
Anesthesia for X-ray procedure on vein or lymph system 1930 $22.00 $5.50
Anesthesia for X-ray procedure on chest or neck vein 1932 $22.00 $5.50
Anesthesia for X-ray procedure (accessed through the skin) on spine and spinal cord 1936 $22.00 $5.50
Anesthesia for vaginal delivery 1960 $22.00 $5.50
Anesthesia for cesarean delivery 1961 $22.00 $5.50
Anesthesia for procedure to remove uterus following delivery 1962 $22.00 $5.50
Anesthesia for cesarean removal of uterus 1963 $22.00 $5.50
Anesthesia for incomplete or missed abortion 1965 $22.00 $5.50
Anesthesia for labor during planned vaginal delivery 1967 $1,774.00 $443.50
Anesthesia for cesarean delivery following labor 1968 $1,774.00 $443.50
Anesthesia for cesarean removal of uterus following labor 1969 $22.00 $5.50
Daily hospital management of continuous spinal drug administration 1996 $811.00 $202.75
Daily hospital management of continuous spinal drug administration 1996 $705.00 $176.25
Anesthesia procedure 1999 $22.00 $5.50
Fine needle aspiration of first lesion 10021 $163.00 $40.75
Fine needle aspiration of first lesion 10021 $298.00 $74.50
Fine needle aspiration of first lesion 10021 $176.00 $44.00
Fine needle aspiration of first lesion 10021 $385.00 $96.25
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 10030 $1,326.00 $331.50
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 10030 $934.00 $233.50
Acne surgery 10040 $298.00 $74.50
Drainage of abscess 10060 $416.00 $104.00
Drainage of abscess 10060 $214.00 $53.50
Drainage of abscess 10060 $189.00 $47.25
Drainage of abscess 10060 $701.00 $175.25
Drainage of abscess 10060 $565.00 $141.25
Drainage of abscess 10060 $470.00 $117.50
Drainage of multiple abscess 10061 $701.00 $175.25
Drainage of multiple abscess 10061 $1,035.00 $258.75
Drainage of multiple abscess 10061 $646.00 $161.50
Drainage of multiple abscess 10061 $430.00 $107.50
Drainage of tailbone cyst 10080 $466.00 $116.50
Drainage of tailbone cyst 10080 $509.00 $127.25
Drainage of tailbone cyst 10080 $563.00 $140.75
Drainage of tailbone cyst 10081 $476.00 $119.00
Drainage of tailbone cyst 10081 $1,258.00 $314.50
Drainage of tailbone cyst 10081 $1,885.00 $471.25
Removal of foreign body from tissue, accessed beneath the skin 10120 $551.00 $137.75
Removal of foreign body from tissue, accessed beneath the skin 10120 $495.00 $123.75
Removal of foreign body from tissue, accessed beneath the skin 10121 $4,348.00 $1,087.00
Drainage of blood or fluid accumulation 10140 $594.00 $148.50
Drainage of blood or fluid accumulation 10140 $1,310.00 $327.50
Drainage of blood or fluid accumulation 10140 $1,609.00 $402.25
Drainage of blood or fluid accumulation 10140 $160.00 $40.00
Drainage of blood or fluid accumulation 10140 $3,089.00 $772.25
Aspiration of abscess, blood accumulation, blister, or cyst 10160 $8,944.00 $2,236.00
Aspiration of abscess, blood accumulation, blister, or cyst 10160 $181.00 $45.25
Aspiration of abscess, blood accumulation, blister, or cyst 10160 $575.00 $143.75
Aspiration of abscess, blood accumulation, blister, or cyst 10160 $162.00 $40.50
Drainage of wound infection after surgery 10180 $929.00 $232.25
Drainage of wound infection after surgery 10180 $6,198.00 $1,549.50
Drainage of wound infection after surgery 10180 $1,150.00 $287.50
Drainage of wound infection after surgery 10180 $4,377.00 $1,094.25
Removal of inflamed or infected skin, up to 10% of body surface 11000 $282.00 $70.50
Removal of inflamed or infected skin, up to 10% of body surface 11000 $301.00 $75.25
Removal of foreign material from skin, tissue, muscle, and bone at open fracture and/or dislocation 11012 $3,492.00 $873.00
Removal of foreign material from skin, tissue, muscle, and bone at open fracture and/or dislocation 11012 $2,373.00 $593.25
Removal of skin and tissue first 20 sq cm or less 11042 $1,071.00 $267.75
Removal of skin and tissue first 20 sq cm or less 11042 $1,614.00 $403.50
Removal of skin and tissue first 20 sq cm or less 11042 $682.00 $170.50
Removal of skin and tissue first 20 sq cm or less 11042 $1,695.00 $423.75
Removal of skin and tissue first 20 sq cm or less 11042 $851.00 $212.75
Removal of skin and tissue first 20 sq cm or less 11042 $770.00 $192.50
Removal of skin and/or muscle first 20 sq cm or less 11043 $1,057.00 $264.25
Removal of skin and/or muscle first 20 sq cm or less 11043 $1,093.00 $273.25
Removal of skin and bone first 20 sq cm or less 11044 $1,577.00 $394.25
Removal of skin and bone first 20 sq cm or less 11044 $1,013.00 $253.25
Removal of skin and bone first 20 sq cm or less 11044 $2,585.00 $646.25
Removal of skin and bone first 20 sq cm or less 11044 $1,623.00 $405.75
Removal of skin and tissue 11045 $907.00 $226.75
Removal of skin and tissue 11045 $1,071.00 $267.75
Removal of skin and tissue 11045 $398.00 $99.50
Removal of skin and tissue 11045 $372.00 $93.00
Removal of skin and/or muscle 11046 $1,097.00 $274.25
Removal of skin and/or muscle 11046 $1,071.00 $267.75
Removal of skin and/or muscle 11046 $690.00 $172.50
Removal of skin and/or muscle 11046 $745.00 $186.25
Removal of skin and bone 11047 $2,585.00 $646.25
Removal of skin and bone 11047 $2,821.00 $705.25
Removal of skin and bone 11047 $1,415.00 $353.75
Removal of skin and bone 11047 $1,310.00 $327.50
Removal of single thickened skin growth 11055 $135.00 $33.75
Removal of single thickened skin growth 11055 $368.00 $92.00
Removal of single thickened skin growth 11055 $104.00 $26.00
Removal of single thickened skin growth 11055 $183.00 $45.75
Removal of single thickened skin growth 11055 $35.00 $8.75
Removal of 2 to 4 thickened skin growths 11056 $56.00 $14.00
Removal of 2 to 4 thickened skin growths 11056 $162.00 $40.50
Removal of 2 to 4 thickened skin growths 11056 $368.00 $92.00
Removal of 2 to 4 thickened skin growths 11056 $59.00 $14.75
Removal of more than 4 thickened skin growths 11057 $646.00 $161.50
Removal of more than 4 thickened skin growths 11057 $580.00 $145.00
Removal of more than 4 thickened skin growths 11057 $93.00 $23.25
Removal of up to and including 15 skin tags 11200 $462.00 $115.50
Removal of up to and including 15 skin tags 11200 $770.00 $192.50
Removal of up to and including 15 skin tags 11200 $374.00 $93.50
Shaving of 0.6 centimeters to 1.0 centimeters skin growth of the trunk, arms, or legs 11301 $138.00 $34.50
Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals 11305 $342.00 $85.50
Shaving of 0.5 centimeters or less skin growth of scalp, neck, hands, feet, or genitals 11305 $184.00 $46.00
Shaving of 1.1 to 2.0 centimeters skin growth of scalp, neck, hands, feet, or genitals 11307 $68.00 $17.00
Removal of growth (0.5 centimeters or less) of the trunk, arms or legs 11400 $567.00 $141.75
Removal of growth (0.5 centimeters or less) of the trunk, arms or legs 11400 $430.00 $107.50
Removal of growth (0.5 centimeters or less) of the trunk, arms or legs 11400 $443.00 $110.75
Removal of growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 11402 $431.00 $107.75
Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals 11420 $1,438.00 $359.50
Removal of growth (0.5 centimeters or less) of the scalp, neck, hands, feet, or genitals 11420 $488.00 $122.00
Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 11422 $1,219.00 $304.75
Removal of growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 11422 $784.00 $196.00
Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals 11423 $776.00 $194.00
Removal of growth (2.1 to 3.0 centimeters) of the scalp, neck, hands, feet, or genitals 11423 $1,962.00 $490.50
Removal of growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, lips, or mouth 11442 $1,398.00 $349.50
Removal of malignant growth (1.1 to 2.0 centimeters) of the trunk, arms, or legs 11602 $895.00 $223.75
Removal of malignant growth (1.1 to 2.0 centimeters) of the scalp, neck, hands, feet, or genitals 11622 $1,336.00 $334.00
Removal of malignant growth (0.6 to 1.0 centimeters) of the face, ears, eyelids, nose, or lips 11641 $793.00 $198.25
Removal of malignant growth (1.1 to 2.0 centimeters) of the face, ears, eyelids, nose, or lips 11642 $1,180.00 $295.00
Trimming of fingernails or toenails 11719 $267.00 $66.75
Trimming of fingernails or toenails 11719 $240.00 $60.00
Trimming of fingernails or toenails 11719 $54.00 $13.50
Trimming of fingernails or toenails 11719 $19.00 $4.75
Trimming of fingernails or toenails 11719 $126.00 $31.50
Removal of tissue from 1 to 5 finger or toe nails 11720 $131.00 $32.75
Removal of tissue from 1 to 5 finger or toe nails 11720 $311.00 $77.75
Removal of tissue from 1 to 5 finger or toe nails 11720 $64.00 $16.00
Removal of tissue from 1 to 5 finger or toe nails 11720 $88.00 $22.00
Removal of tissue from 1 to 5 finger or toe nails 11720 $28.00 $7.00
Removal of tissue from 6 or more finger or toe nails 11721 $301.00 $75.25
Removal of tissue from 6 or more finger or toe nails 11721 $42.00 $10.50
Removal of tissue from 6 or more finger or toe nails 11721 $88.00 $22.00
Removal of tissue from 6 or more finger or toe nails 11721 $317.00 $79.25
Separation of nail plate from nail bed 11730 $495.00 $123.75
Separation of nail plate from nail bed 11730 $317.00 $79.25
Separation of nail plate from nail bed 11730 $204.00 $51.00
Separation of nail plate from nail bed 11730 $167.00 $41.75
Separation of nail plate from nail bed 11732 $317.00 $79.25
Separation of nail plate from nail bed 11732 $54.00 $13.50
Removal of blood accumulation between nail and nail bed 11740 $318.00 $79.50
Removal of blood accumulation between nail and nail bed 11740 $209.00 $52.25
Removal of nail 11750 $414.00 $103.50
Removal of nail 11750 $239.00 $59.75
Removal of nail 11750 $730.00 $182.50
Removal of nail 11750 $778.00 $194.50
Removal of nail 11750 $1,478.00 $369.50
Repair of finger or toe nail bed 11760 $889.00 $222.25
Repair of finger or toe nail bed 11760 $1,101.00 $275.25
Repair of finger or toe nail bed with graft 11762 $1,829.00 $457.25
Repair of finger or toe nail bed with graft 11762 $1,291.00 $322.75
Removal of skin of finger or toe nail 11765 $1,007.00 $251.75
Removal of skin of finger or toe nail 11765 $725.00 $181.25
Removal of skin of finger or toe nail 11765 $488.00 $122.00
Removal of skin of finger or toe nail 11765 $694.00 $173.50
Injection of up to 7 skin growths 11900 $157.00 $39.25
Injection of more than 7 skin growths 11901 $190.00 $47.50
Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs 12001 $699.00 $174.75
Repair of wound (2.5 centimeters or less) of the scalp, neck, underarms, trunk, arms and/or legs 12001 $570.00 $142.50
Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12002 $555.00 $138.75
Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12002 $688.00 $172.00
Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12002 $501.00 $125.25
Repair of wound (2.6 to 7.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12002 $762.00 $190.50
Repair of wound (7.6 to 12.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12004 $740.00 $185.00
Repair of wound (7.6 to 12.5 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12004 $922.00 $230.50
Repair of wound (12.6 to 20.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12005 $782.00 $195.50
Repair of wound (12.6 to 20.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12005 $1,347.00 $336.75
Repair of wound (20.1 to 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12006 $1,759.00 $439.75
Repair of wound (20.1 to 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12006 $1,085.00 $271.25
Repair of wound (over 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12007 $679.00 $169.75
Repair of wound (over 30.0 centimeters) of the scalp, neck, underarms, genitals, trunk, arms and/or legs 12007 $1,458.00 $364.50
Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12011 $688.00 $172.00
Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12011 $578.00 $144.50
Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12011 $714.00 $178.50
Repair of wound (2.5 centimeters or less) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12011 $354.00 $88.50
Repair of wound (2.6 to 5.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12013 $803.00 $200.75
Repair of wound (2.6 to 5.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12013 $799.00 $199.75
Repair of wound (5.1 to 7.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12014 $922.00 $230.50
Repair of wound (5.1 to 7.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12014 $207.00 $51.75
Repair of wound (7.6 to 12.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12015 $923.00 $230.75
Repair of wound (7.6 to 12.5 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12015 $1,206.00 $301.50
Repair of wound (12.6 to 20.0 centimeters) of the face, ears, eyelids, nose, lips, and/or mucous membranes 12016 $1,623.00 $405.75
Repair of separation of wound closure 12020 $563.00 $140.75
Repair of separation of wound closure 12020 $661.00 $165.25
Repair of separation of wound closure 12020 $766.00 $191.50
Repair of separation of wound closure 12020 $836.00 $209.00
Repair of separation of wound closure 12020 $255.00 $63.75
Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs 12031 $677.00 $169.25
Repair of wound (2.5 centimeters or less) of the scalp, underarms, trunk, arms, and/or legs 12031 $772.00 $193.00
Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12032 $1,001.00 $250.25
Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12032 $1,030.00 $257.50
Repair of wound (2.6 to 7.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12032 $582.00 $145.50
Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12034 $976.00 $244.00
Repair of wound (7.6 to 12.5 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12034 $1,107.00 $276.75
Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12035 $1,487.00 $371.75
Repair of wound (12.6 to 20.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12035 $1,526.00 $381.50
Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12036 $1,444.00 $361.00
Repair of wound (20.1 to 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12036 $1,717.00 $429.25
Repair of wound (over 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12037 $2,680.00 $670.00
Repair of wound (over 30.0 centimeters) of the scalp, underarms, trunk, arms, and/or legs 12037 $1,587.00 $396.75
Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals 12041 $970.00 $242.50
Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals 12041 $928.00 $232.00
Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals 12041 $466.00 $116.50
Repair of wound (2.5 centimeters or less) of neck, hands, feet, and/or genitals 12041 $253.00 $63.25
Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals 12042 $1,079.00 $269.75
Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals 12042 $871.00 $217.75
Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals 12042 $1,090.00 $272.50
Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals 12042 $273.00 $68.25
Repair of wound (2.6 to 7.5 centimeters) of neck, hands, feet, and/or genitals 12042 $582.00 $145.50
Repair of wound (7.6 to 12.5 centimeters) of neck, hands, feet, and/or genitals 12044 $1,131.00 $282.75
Repair of wound (7.6 to 12.5 centimeters) of neck, hands, feet, and/or genitals 12044 $1,464.00 $366.00
Repair of wound (12.6 to 20.0 centimeters) of neck, hands, feet, and/or genitals 12045 $1,395.00 $348.75
Repair of wound (12.6 to 20.0 centimeters) of neck, hands, feet, and/or genitals 12045 $1,479.00 $369.75
Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth 12051 $976.00 $244.00
Repair of wound (2.5 centimeters or less) of face, ears, eyelids, nose, lips, and/or mouth 12051 $1,031.00 $257.75
Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12052 $1,087.00 $271.75
Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12052 $1,152.00 $288.00
Repair of wound (2.6 to 5.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12052 $608.00 $152.00
Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12053 $1,835.00 $458.75
Repair of wound (5.1 to 7.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12053 $1,650.00 $412.50
Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12054 $1,761.00 $440.25
Repair of wound (7.6 to 12.5 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12054 $1,870.00 $467.50
Repair of wound (12.6 to 20.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12055 $2,388.00 $597.00
Repair of wound (12.6 to 20.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12055 $2,253.00 $563.25
Repair of wound (20.1 to 30.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12056 $2,388.00 $597.00
Repair of wound (20.1 to 30.0 centimeters) of face, ears, eyelids, nose, lips, and/or mouth 12056 $2,253.00 $563.25
Repair of wound (1.1 to 2.5 centimeters) of trunk 13100 $672.00 $168.00
Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs 13120 $882.00 $220.50
Repair of wound (1.1 to 2.5 centimeters) of scalp, arms, and/or legs 13120 $1,199.00 $299.75
Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs 13121 $1,835.00 $458.75
Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs 13121 $1,907.00 $476.75
Repair of wound (1.1 to 2.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13131 $1,399.00 $349.75
Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13132 $2,709.00 $677.25
Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13132 $1,985.00 $496.25
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet 13133 $813.00 $203.25
Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips 13151 $2,007.00 $501.75
Repair of wound (1.1 to 2.5 centimeters) of eyelids, nose, ears, and/or lips 13151 $1,755.00 $438.75
Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips 13152 $3,428.00 $857.00
Repair of wound (2.6 to 7.5 centimeters) of eyelids, nose, ears, and/or lips 13152 $2,905.00 $726.25
Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children) 15002 $708.00 $177.00
Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children) 15002 $1,859.00 $464.75
Preparation of graft site at trunk, arms, or legs 15003 $1,420.00 $355.00
Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15004 $1,420.00 $355.00
Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15004 $708.00 $177.00
Preparation of graft site of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15005 $1,617.00 $404.25
Skin graft (2 centimeters) to tip of finger or toe 15050 $1,420.00 $355.00
Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body are of infants and children) 15100 $8,916.00 $2,229.00
Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body are of infants and children) 15100 $1,770.00 $442.50
Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children) 15110 $2,003.00 $500.75
Skin graft at trunk, arms, or legs (first 100 sq cm or less, or 1% body area of infants and children) 15110 $1,670.00 $417.50
Skin graft at trunk, arms, or legs 15111 $557.00 $139.25
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children) 15115 $3,132.00 $783.00
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children) 15115 $2,003.00 $500.75
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15116 $557.00 $139.25
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children) 15120 $8,916.00 $2,229.00
Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children) 15120 $1,770.00 $442.50
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) 15271 $1,662.00 $415.50
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs (first 25 sq cm or less) 15271 $1,463.00 $365.75
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs 15272 $378.00 $94.50
Application of skin substitute (wound surface up to 100 sq cm) to trunk, arms, or legs 15272 $166.00 $41.50
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs (first 100 sq cm or 1% body area of infants and children) 15273 $2,873.00 $718.25
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs (first 100 sq cm or 1% body area of infants and children) 15273 $1,327.00 $331.75
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs 15274 $332.00 $83.00
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs 15274 $1,105.00 $276.25
Application of skin substitute (wound surface greater or equal to 100 sq cm) to trunk, arms, or legs 15274 $166.00 $41.50
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) 15275 $1,662.00 $415.50
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) 15275 $1,755.00 $438.75
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 25 sq cm or less) 15275 $1,991.00 $497.75
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15276 $378.00 $94.50
Application of skin substitute (wound surface up to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15276 $465.00 $116.25
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15277 $200.00 $50.00
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15277 $1,460.00 $365.00
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or 1% body area of infants and children) 15277 $1,727.00 $431.75
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15278 $1,105.00 $276.25
Application of skin substitute (wound surface great than or equal to 100 sq cm) to face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes 15278 $418.00 $104.50
Scraping of skin growth 15786 $988.00 $247.00
Scraping of multiple skin growths 15787 $233.00 $58.25
First degree burn treatment 16000 $69.00 $17.25
First degree burn treatment 16000 $285.00 $71.25
Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 $483.00 $120.75
Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 $326.00 $81.50
Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 $288.00 $72.00
Dressing change and/or removal of burn tissue (less than 5% total body surface) 16020 $646.00 $161.50
Dressing change and/or removal of burn tissue (5% to 10% total body surface) 16025 $365.00 $91.25
Dressing change and/or removal of burn tissue (5% to 10% total body surface) 16025 $497.00 $124.25
Dressing change and/or removal of burn tissue (5% to 10% total body surface) 16025 $646.00 $161.50
Dressing change and/or removal of burn tissue (5% to 10% total body surface) 16025 $448.00 $112.00
Dressing change and/or removal of burn tissue (greater than 10% total body surface) 16030 $455.00 $113.75
Dressing change and/or removal of burn tissue (greater than 10% total body surface) 16030 $589.00 $147.25
Dressing change and/or removal of burn tissue (greater than 10% total body surface) 16030 $646.00 $161.50
Dressing change and/or removal of burn tissue (greater than 10% total body surface) 16030 $663.00 $165.75
Incision of burn tissue 16035 $526.00 $131.50
Destruction of skin growth 17000 $149.00 $37.25
Destruction of skin growth 17000 $196.00 $49.00
Destruction of skin growth 17000 $334.00 $83.50
Destruction of 2-14 skin growths 17003 $75.00 $18.75
Destruction of 2-14 skin growths 17003 $67.00 $16.75
Destruction of up to 14 skin growths 17110 $475.00 $118.75
Destruction of up to 14 skin growths 17110 $183.00 $45.75
Destruction of up to 14 skin growths 17110 $254.00 $63.50
Application of chemical agent to excessive wound tissue 17250 $227.00 $56.75
Application of chemical agent to excessive wound tissue 17250 $646.00 $161.50
Application of chemical agent to excessive wound tissue 17250 $229.00 $57.25
Application of chemical agent to excessive wound tissue 17250 $263.00 $65.75
Destruction of malignant growth (0.6 to 1.0 centimeters) of trunk, arms, or legs 17261 $5,583.00 $1,395.75
Destruction of malignant growth (1.1 to 2.0 centimeters) of trunk, arms, or legs 17262 $266.00 $66.50
Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals 17271 $300.00 $75.00
Destruction of malignant growth (0.6 to 1.0 centimeters) of scalp, neck, hands, feet, or genitals 17271 $285.00 $71.25
Destruction of malignant growth (1.1 to 2.0 centimeters) of scalp, neck, hands, feet, or genitals 17272 $318.00 $79.50
Destruction of malignant growth (2.1 to 3.0 centimeters) of scalp, neck, hands, feet, or genitals 17273 $893.00 $223.25
Destruction of malignant growth (0.6 to 1.0 centimeters) of face, ears, eyelids, nose, lips, or mouth 17281 $300.00 $75.00
Destruction of malignant growth (1.1 to 2.0 centimeters) of face, ears, eyelids, nose, lips, or mouth 17282 $457.00 $114.25
Aspiration of breast cyst 19000 $330.00 $82.50
Aspiration of breast cyst 19000 $1,001.00 $250.25
Aspiration of breast cyst 19000 $552.00 $138.00
Aspiration of breast cyst 19000 $991.00 $247.75
Puncture aspiration of breast cyst 19001 $354.00 $88.50
Puncture aspiration of breast cyst 19001 $22.00 $5.50
Puncture aspiration of breast cyst 19001 $1,007.00 $251.75
Puncture aspiration of breast cyst 19001 $492.00 $123.00
Puncture aspiration of breast cyst 19001 $208.00 $52.00
Injection for X-ray imaging of breast duct 19030 $53.00 $13.25
Biopsy of breast accessed through the skin with stereotactic guidance 19081 $1,194.00 $298.50
Biopsy of breast accessed through the skin with stereotactic guidance 19081 $5,835.00 $1,458.75
Biopsy of breast accessed through the skin with stereotactic guidance 19081 $3,370.00 $842.50
Biopsy of breast accessed through the skin with stereotactic guidance 19081 $2,620.00 $655.00
Biopsy of breast accessed through the skin with stereotactic guidance 19082 $2,360.00 $590.00
Biopsy of breast accessed through the skin with stereotactic guidance 19082 $1,180.00 $295.00
Biopsy of breast accessed through the skin with ultrasound guidance 19083 $1,339.00 $334.75
Biopsy of breast accessed through the skin with ultrasound guidance 19083 $851.00 $212.75
Biopsy of breast accessed through the skin with ultrasound guidance 19083 $1,431.00 $357.75
Biopsy of breast accessed through the skin with ultrasound guidance 19083 $5,899.00 $1,474.75
Biopsy of breast accessed through the skin with ultrasound guidance 19084 $1,001.00 $250.25
Biopsy of breast accessed through the skin with ultrasound guidance 19084 $642.00 $160.50
Biopsy of breast accessed through the skin with MRI guidance 19085 $2,011.00 $502.75
Biopsy of breast accessed through the skin with MRI guidance 19085 $551.00 $137.75
Biopsy of breast accessed through the skin with MRI guidance 19086 $1,001.00 $250.25
Biopsy of breast accessed through the skin with MRI guidance 19086 $959.00 $239.75
Placement of breast localization devices accessed through the skin with mammographic guidance 19281 $2,841.00 $710.25
Placement of breast localization devices accessed through the skin with mammographic guidance 19281 $1,894.00 $473.50
Placement of breast localization devices accessed through the skin with mammographic guidance 19281 $567.00 $141.75
Placement of breast localization devices accessed through the skin with mammographic guidance 19282 $473.00 $118.25
Placement of breast localization devices accessed through the skin with mammographic guidance 19282 $279.00 $69.75
Placement of breast localization devices accessed through the skin with mammographic guidance 19282 $944.00 $236.00
Placement of breast localization devices accessed through the skin with mammographic guidance 19282 $424.00 $106.00
Placement of breast localization devices accessed through the skin with ultrasound guidance 19285 $558.00 $139.50
Placement of breast localization devices accessed through the skin with ultrasound guidance 19285 $626.00 $156.50
Placement of breast localization devices accessed through the skin with ultrasound guidance 19285 $899.00 $224.75
Placement of breast localization devices accessed through the skin with ultrasound guidance 19285 $1,502.00 $375.50
Placement of breast localization devices accessed through the skin with ultrasound guidance 19286 $501.00 $125.25
Placement of breast localization devices accessed through the skin with ultrasound guidance 19286 $1,001.00 $250.25
Placement of breast localization devices accessed through the skin with ultrasound guidance 19286 $465.00 $116.25
Placement of breast localization devices accessed through the skin with ultrasound guidance 19286 $843.00 $210.75
Exploration of penetrating wound of chest 20101 $5,133.00 $1,283.25
Exploration of penetrating wound of chest 20101 $3,557.00 $889.25
Exploration of penetrating wound of abdomen, flank, or back 20102 $4,301.00 $1,075.25
Exploration of penetrating wound of abdomen, flank, or back 20102 $5,573.00 $1,393.25
Exploration of penetrating wound of arm or leg 20103 $4,978.00 $1,244.50
Exploration of penetrating wound of arm or leg 20103 $2,209.00 $552.25
Needle biopsy of muscle, accessed through the skin 20206 $1,540.00 $385.00
Biopsy of bone using needle or trocar 20220 $530.00 $132.50
Biopsy of bone using needle or trocar 20220 $312.00 $78.00
Biopsy of bone using needle or trocar 20220 $2,245.00 $561.25
Biopsy of bone, open procedure 20240 $438.00 $109.50
Injection of abnormal muscle drainage tract for X-ray study 20501 $564.00 $141.00
Injection of abnormal muscle drainage tract for X-ray study 20501 $311.00 $77.75
Removal of foreign body in muscle or tendon 20520 $834.00 $208.50
Removal of foreign body in muscle or tendon 20520 $1,170.00 $292.50
Removal of deep foreign body in muscle or tendon 20525 $838.00 $209.50
Removal of deep foreign body in muscle or tendon 20525 $2,099.00 $524.75
Removal of deep foreign body in muscle or tendon 20525 $3,805.00 $951.25
Injections of tendon sheath, ligament, or muscle membrane 20550 $271.00 $67.75
Injections of tendon sheath, ligament, or muscle membrane 20550 $330.00 $82.50
Injections of tendon sheath, ligament, or muscle membrane 20550 $512.00 $128.00
Injections of tendon attachment to bone 20551 $232.00 $58.00
Injections of trigger points in 1 or 2 muscles 20552 $153.00 $38.25
Injections of trigger points in 1 or 2 muscles 20552 $313.00 $78.25
Injections of trigger points in 1 or 2 muscles 20552 $144.00 $36.00
Injections of trigger points in 1 or 2 muscles 20552 $497.00 $124.25
Injections of trigger points in 1 or 2 muscles 20552 $774.00 $193.50
Injections of trigger points in 1 or 2 muscles 20552 $635.00 $158.75
Injections of trigger points in 3 or more muscles 20553 $337.00 $84.25
Injections of trigger points in 3 or more muscles 20553 $726.00 $181.50
Aspiration and/or injection of small joint or joint capsule 20600 $208.00 $52.00
Aspiration and/or injection of small joint or joint capsule 20600 $456.00 $114.00
Aspiration and/or injection of small joint or joint capsule 20600 $514.00 $128.50
Aspiration and/or injection of small joint or joint capsule 20600 $379.00 $94.75
Aspiration and/or injection of small joint or joint capsule 20600 $384.00 $96.00
Aspiration and/or injection of small joint or joint capsule 20600 $300.00 $75.00
Aspiration and/or injection of medium joint or joint capsule 20605 $407.00 $101.75
Aspiration and/or injection of medium joint or joint capsule 20605 $322.00 $80.50
Aspiration and/or injection of medium joint or joint capsule 20605 $239.00 $59.75
Aspiration and/or injection of medium joint or joint capsule 20605 $270.00 $67.50
Aspiration and/or injection of medium joint or joint capsule 20605 $688.00 $172.00
Aspiration and/or injection of medium joint or joint capsule 20605 $620.00 $155.00
Aspiration and/or injection of medium joint or joint capsule 20605 $296.00 $74.00
Aspiration and/or injection of medium joint or joint capsule 20605 $435.00 $108.75
Aspiration and/or injection of large joint or joint capsule 20610 $2,996.00 $749.00
Aspiration and/or injection of large joint or joint capsule 20610 $337.00 $84.25
Aspiration and/or injection of large joint or joint capsule 20610 $1,395.00 $348.75
Aspiration and/or injection of large joint or joint capsule 20610 $694.00 $173.50
Aspiration and/or injection of large joint or joint capsule 20610 $749.00 $187.25
Aspiration and/or injection of large joint or joint capsule 20610 $530.00 $132.50
Aspiration and/or injection of large joint or joint capsule 20610 $453.00 $113.25
Aspiration and/or injection of large joint or joint capsule 20610 $520.00 $130.00
Aspiration and/or injection of large joint or joint capsule 20610 $1,464.00 $366.00
Aspiration and/or injection of large joint or joint capsule 20610 $922.00 $230.50
Aspiration and/or injection of large joint or joint capsule 20610 $354.00 $88.50
Aspiration and/or injection of large joint or joint capsule 20610 $930.00 $232.50
Aspiration and/or injection of large joint or joint capsule 20610 $554.00 $138.50
Aspiration and/or injection of large joint or joint capsule 20610 $1,465.00 $366.25
Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance 20611 $435.00 $108.75
Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance 20611 $255.00 $63.75
Aspiration and/or injection of major joint or joint capsule with recording and reporting using ultrasound guidance 20611 $1,280.00 $320.00
Aspiration and/or injection of cysts 20612 $319.00 $79.75
Aspiration and/or injection of cysts 20612 $756.00 $189.00
Removal of deep bone implant 20680 $1,914.00 $478.50
Removal of deep bone implant 20680 $2,385.00 $596.25
Removal of deep bone implant 20680 $3,805.00 $951.25
Closed treatment of broken nasal bone 21310 $955.00 $238.75
Closed treatment of broken nasal bone 21310 $2,141.00 $535.25
Closed treatment of broken nasal bone 21315 $1,644.00 $411.00
Closed treatment of broken nasal bone 21315 $2,141.00 $535.25
Closed treatment of broken nasal bone with stabilization 21320 $1,759.00 $439.75
Closed treatment of broken nasal bone with stabilization 21320 $2,478.00 $619.50
Open treatment of broken nasal bone 21325 $5,764.00 $1,441.00
Open treatment of broken nasal bone 21325 $3,908.00 $977.00
Closed treatment of fracture at roof of mouth or cheek bone with insertion of hardware or oral splint 21421 $5,717.00 $1,429.25
Closed treatment of fracture at roof of mouth or cheek bone with insertion of hardware or oral splint 21421 $4,009.00 $1,002.25
Closed treatment of broken jaw or cheek bone 21440 $3,143.00 $785.75
Closed treatment of broken jaw or cheek bone 21440 $3,356.00 $839.00
Closed treatment of broken jaw bone with insertion of hardware or oral splint 21453 $6,506.00 $1,626.50
Closed treatment of broken jaw bone with insertion of hardware or oral splint 21453 $5,042.00 $1,260.50
Closed treatment of jaw temporomandibular joint (TMJ) dislocation 21480 $656.00 $164.00
Closed treatment of jaw temporomandibular joint (TMJ) dislocation 21480 $589.00 $147.25
Closed treatment of jaw temporomandibular joint (TMJ) dislocation 21480 $955.00 $238.75
Biopsy of soft tissue of neck or chest 21550 $561.00 $140.25
Biopsy of soft tissue of neck or chest 21550 $562.00 $140.50
Removal of foreign body of shoulder joint, accessed beneath the skin 23330 $1,577.00 $394.25
Removal of foreign body of shoulder joint, accessed beneath the skin 23330 $976.00 $244.00
Removal of foreign body of shoulder joint, accessed beneath the tissue or muscle 23333 $3,805.00 $951.25
Removal of foreign body of shoulder joint, accessed beneath the tissue or muscle 23333 $4,881.00 $1,220.25
Injection of dye for X-ray imaging of shoulder joint 23350 $695.00 $173.75
Closed treatment of collar bone fracture 23500 $1,330.00 $332.50
Closed treatment of collar bone fracture 23500 $1,399.00 $349.75
Closed treatment of dislocation of joint between collar and chest bones with manipulation 23525 $1,106.00 $276.50
Closed treatment of dislocation of joint between collar and chest bones with manipulation 23525 $2,263.00 $565.75
Closed treatment of collar bone and shoulder joint dislocation 23540 $589.00 $147.25
Closed treatment of collar bone and shoulder joint dislocation 23540 $1,331.00 $332.75
Closed treatment of collar bone and shoulder joint dislocation with manipulation 23545 $1,015.00 $253.75
Closed treatment of collar bone and shoulder joint dislocation with manipulation 23545 $1,995.00 $498.75
Closed treatment of shoulder blade fracture 23570 $1,663.00 $415.75
Closed treatment of shoulder blade fracture 23570 $1,330.00 $332.50
Closed treatment of upper arm fracture 23600 $2,127.00 $531.75
Closed treatment of upper arm fracture 23600 $1,645.00 $411.25
Closed treatment of broken upper arm bone with manipulation 23605 $2,109.00 $527.25
Closed treatment of broken upper arm bone with manipulation 23605 $3,457.00 $864.25
Closed treatment of fracture of upper arm bone at shoulder joint 23620 $882.00 $220.50
Closed treatment of fracture of upper arm bone at shoulder joint 23620 $1,995.00 $498.75
Closed treatment of broken upper arm bone at shoulder joint with manipulation 23625 $2,109.00 $527.25
Closed treatment of broken upper arm bone at shoulder joint with manipulation 23625 $2,117.00 $529.25
Closed treatment of shoulder dislocation with manipulation 23650 $1,249.00 $312.25
Closed treatment of shoulder dislocation with manipulation 23650 $2,140.00 $535.00
Closed treatment of shoulder dislocation with manipulation under anesthesia 23655 $445.00 $111.25
Closed treatment of shoulder dislocation with manipulation under anesthesia 23655 $1,756.00 $439.00
Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation 23665 $2,658.00 $664.50
Closed treatment of shoulder dislocation and broken of upper arm bone with manipulation 23665 $2,861.00 $715.25
Closed treatment of shoulder dislocation and broken upper arm bone with manipulation 23675 $1,825.00 $456.25
Closed treatment of shoulder dislocation and broken upper arm bone with manipulation 23675 $3,988.00 $997.00
Removal of foreign body of upper arm or elbow area, accessed beneath the skin 24200 $522.00 $130.50
Removal of foreign body of upper arm or elbow area, accessed beneath the skin 24200 $800.00 $200.00
Removal of foreign body, upper arm or elbow area 24201 $3,040.00 $760.00
Removal of foreign body, upper arm or elbow area 24201 $2,660.00 $665.00
Injection of dye for X-ray imaging of elbow joint 24220 $552.00 $138.00
Closed treatment of upper arm fracture 24500 $1,165.00 $291.25
Closed treatment of upper arm fracture 24500 $2,127.00 $531.75
Closed treatment of broken upper arm bone with manipulation 24505 $3,264.00 $816.00
Closed treatment of broken upper arm bone with manipulation 24505 $3,653.00 $913.25
Closed treatment of growth plate or broken upper arm bone at elbow 24530 $2,395.00 $598.75
Closed treatment of growth plate or broken upper arm bone at elbow 24530 $1,219.00 $304.75
Closed treatment of growth plate or broken upper arm bone at elbow with manipulation 24535 $1,870.00 $467.50
Closed treatment of growth plate or broken upper arm bone at elbow with manipulation 24535 $4,252.00 $1,063.00
Closed treatment of broken upper arm bone at shoulder 24560 $1,015.00 $253.75
Closed treatment of broken upper arm bone at shoulder 24560 $2,329.00 $582.25
Closed treatment of broken upper arm bone at shoulder with manipulation 24565 $3,390.00 $847.50
Closed treatment of broken upper arm bone at shoulder with manipulation 24565 $656.00 $164.00
Closed treatment of broken upper arm bone at shoulder joint 24576 $1,929.00 $482.25
Closed treatment of broken upper arm bone at shoulder joint 24576 $1,219.00 $304.75
Treatment of elbow dislocation 24600 $1,336.00 $334.00
Treatment of elbow dislocation 24600 $1,860.00 $465.00
Treatment of dislocated elbow under anesthesia 24605 $1,832.00 $458.00
Treatment of dislocated elbow under anesthesia 24605 $808.00 $202.00
Closed treatment of dislocated forearm bone of elbow, child 24640 $887.00 $221.75
Closed treatment of dislocated forearm bone of elbow, child 24640 $504.00 $126.00
Closed treatment of broken forearm bone at elbow 24650 $1,600.00 $400.00
Closed treatment of broken forearm bone at elbow 24650 $1,832.00 $458.00
Closed treatment of broken forearm bone at elbow with manipulation 24655 $1,848.00 $462.00
Closed treatment of broken forearm bone at elbow with manipulation 24655 $2,727.00 $681.75
Closed treatment of broke forearm bone at elbow 24670 $1,375.00 $343.75
Closed treatment of broke forearm bone at elbow 24670 $1,729.00 $432.25
Closed treatment of broken forearm bone at elbow with manipulation 24675 $3,370.00 $842.50
Closed treatment of broken forearm bone at elbow with manipulation 24675 $3,905.00 $976.25
Incision of tissue of forearm and/or wrist muscle compartment 25020 $3,582.00 $895.50
Incision of tissue of forearm and/or wrist muscle compartment 25020 $4,648.00 $1,162.00
Injection of dye for X-ray imaging of wrist joint 25246 $830.00 $207.50
Injection of dye for X-ray imaging of wrist joint 25246 $693.00 $173.25
Repair of tendon or muscle of forearm and/or wrist 25260 $3,615.00 $903.75
Repair of tendon or muscle of forearm and/or wrist 25260 $4,206.00 $1,051.50
Closed treatment of broken forearm bone 25500 $1,508.00 $377.00
Closed treatment of broken forearm bone 25500 $1,748.00 $437.00
Closed treatment of broken forearm bone with manipulation 25505 $563.00 $140.75
Closed treatment of broken forearm bone with manipulation 25505 $2,618.00 $654.50
Closed treatment of broken forearm bone 25530 $1,866.00 $466.50
Closed treatment of broken forearm bone 25530 $928.00 $232.00
Closed treatment of broken forearm bone with manipulation 25535 $424.00 $106.00
Closed treatment of broken forearm bones 25560 $1,038.00 $259.50
Closed treatment of broken forearm bones 25560 $2,333.00 $583.25
Closed treatment of broken forearm bones with manipulation 25565 $4,247.00 $1,061.75
Closed treatment of broken forearm bones with manipulation 25565 $4,424.00 $1,106.00
Closed treatment of broken forearm bones 25600 $1,338.00 $334.50
Closed treatment of broken forearm bones 25600 $2,209.00 $552.25
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation 25605 $1,357.00 $339.25
Closed treatment of broken or growth plate separate of forearm bone at wrist with manipulation 25605 $3,090.00 $772.50
Closed treatment of broken wrist bone 25622 $2,157.00 $539.25
Closed treatment of broken wrist bone 25622 $1,084.00 $271.00
Closed treatment of broken wrist bone 25630 $1,778.00 $444.50
Closed treatment of broken wrist bone 25630 $904.00 $226.00
Closed treatment of broken forearm at wrist bone 25650 $2,565.00 $641.25
Closed treatment of broken forearm at wrist bone 25650 $1,375.00 $343.75
Closed treatment of dislocated wrist with manipulation 25680 $245.00 $61.25
Closed treatment of dislocated wrist with manipulation 25680 $754.00 $188.50
Closed treatment of dislocated wrist bone with manipulation 25690 $2,118.00 $529.50
Closed treatment of dislocated wrist bone with manipulation 25690 $1,127.00 $281.75
Drainage of finger abscess 26010 $837.00 $209.25
Drainage of finger abscess 26010 $564.00 $141.00
Partial removal of finger bone 26236 $4,446.00 $1,111.50
Partial removal of finger bone 26236 $3,085.00 $771.25
Partial removal of finger bone 26236 $2,986.00 $746.50
Repair of hand tendon 26410 $2,377.00 $594.25
Repair of hand tendon 26410 $3,988.00 $997.00
Repair of finger tendon 26418 $2,564.00 $641.00
Repair of finger tendon 26418 $5,041.00 $1,260.25
Closed treatment of fracture hand bone 26600 $1,421.00 $355.25
Closed treatment of fracture hand bone 26600 $1,543.00 $385.75
Closed treatment of fracture of bone of hand with manipulation 26605 $983.00 $245.75
Closed treatment of fracture of bone of hand with manipulation 26605 $2,312.00 $578.00
Closed treatment of thumb dislocation with manipulation 26641 $1,894.00 $473.50
Closed treatment of thumb dislocation with manipulation 26641 $928.00 $232.00
Closed treatment of broken thumb with manipulation 26645 $882.00 $220.50
Closed treatment of broken thumb with manipulation 26645 $931.00 $232.75
Closed treatment of dislocated hand bone with manipulation 26670 $427.00 $106.75
Closed treatment of dislocated hand bone with manipulation 26670 $1,840.00 $460.00
Closed treatment of dislocated hand joint with manipulation 26700 $1,613.00 $403.25
Closed treatment of dislocated hand joint with manipulation 26700 $1,040.00 $260.00
Closed treatment of broken finger or thumb 26720 $904.00 $226.00
Closed treatment of broken finger or thumb 26720 $1,054.00 $263.50
Closed treatment of broken finger or thumb with manipulation 26725 $2,097.00 $524.25
Closed treatment of broken finger or thumb with manipulation 26725 $1,330.00 $332.50
Open treatment of broken finger 26735 $5,042.00 $1,260.50
Open treatment of broken finger 26735 $4,896.00 $1,224.00
Closed treatment of broken hand or finger 26740 $1,614.00 $403.50
Closed treatment of broken hand or finger 26740 $791.00 $197.75
Closed treatment of broken hand or finger with manipulation 26742 $1,152.00 $288.00
Closed treatment of broken hand or finger with manipulation 26742 $2,741.00 $685.25
Closed treatment of broken finger or thumb 26750 $912.00 $228.00
Closed treatment of broken finger or thumb 26750 $702.00 $175.50
Closed treatment of broken finger or thumb with manipulation 26755 $1,402.00 $350.50
Closed treatment of broken finger or thumb with manipulation 26755 $679.00 $169.75
Open treatment of broken finger or thumb 26765 $3,922.00 $980.50
Open treatment of broken finger or thumb 26765 $5,042.00 $1,260.50
Closed treatment of dislocated finger joint with manipulation 26770 $878.00 $219.50
Closed treatment of dislocated finger joint with manipulation 26770 $1,134.00 $283.50
Open treatment of dislocated finger joint 26785 $4,509.00 $1,127.25
Open treatment of dislocated finger joint 26785 $5,799.00 $1,449.75
Amputation of hand bone, finger, or thumb 26910 $3,971.00 $992.75
Amputation of hand bone, finger, or thumb 26910 $4,748.00 $1,187.00
Amputation of finger or thumb 26951 $4,199.00 $1,049.75
Amputation of finger or thumb 26951 $2,922.00 $730.50
Amputation of finger or thumb 26952 $5,258.00 $1,314.50
Amputation of finger or thumb 26952 $7,010.00 $1,752.50
Removal of foreign body in tissue of pelvis or hip, accessed beneath the skin 27086 $840.00 $210.00
Removal of foreign body in tissue of pelvis or hip, accessed beneath the skin 27086 $1,577.00 $394.25
Removal of foreign body in tissue or muscle of pelvis or hip 27087 $4,074.00 $1,018.50
Removal of foreign body in tissue or muscle of pelvis or hip 27087 $2,748.00 $687.00
Injection of dye for X-ray imaging of hip joint 27093 $851.00 $212.75
Injection of dye for X-ray imaging of hip joint 27093 $748.00 $187.00
Injection procedure into sacroiliac joint for anesthetic or steroid 27096 $1,873.00 $468.25
Injection procedure into sacroiliac joint for anesthetic or steroid 27096 $919.00 $229.75
Injection procedure into sacroiliac joint for anesthetic or steroid 27096 $974.00 $243.50
Closed treatment of fracture and/or dislocation of pelvis and/or sacrum 27197 $2,374.00 $593.50
Closed treatment of fracture and/or dislocation of pelvis and/or sacrum 27197 $1,508.00 $377.00
Closed treatment of broken tailbone 27200 $679.00 $169.75
Closed treatment of broken tailbone 27200 $1,077.00 $269.25
Treatment of hip dislocation 27250 $2,632.00 $658.00
Treatment of hip dislocation 27250 $407.00 $101.75
Closed treatment of hip dislocation under anesthesia 27252 $1,832.00 $458.00
Closed treatment of hip dislocation under anesthesia 27252 $1,759.00 $439.75
Closed treatment of dislocated hip prosthesis 27265 $2,410.00 $602.50
Closed treatment of dislocated hip prosthesis 27265 $457.00 $114.25
Closed treatment of dislocated hip prosthesis under anesthesia 27266 $1,962.00 $490.50
Closed treatment of dislocated hip prosthesis under anesthesia 27266 $1,044.00 $261.00
Drainage of abscess or blood collection at thigh or knee region 27301 $1,924.00 $481.00
Drainage of abscess or blood collection at thigh or knee region 27301 $4,055.00 $1,013.75
Biopsy of thigh or knee region tissue 27324 $1,123.00 $280.75
Closed treatment of thigh bone fracture 27500 $3,200.00 $800.00
Closed treatment of thigh bone fracture 27500 $2,051.00 $512.75
Closed treatment of broken thigh bone with manipulation 27502 $1,399.00 $349.75
Closed treatment of broken thigh bone with manipulation 27502 $3,016.00 $754.00
Closed treatment of broken thigh bone 27508 $3,492.00 $873.00
Closed treatment of broken thigh bone 27508 $2,748.00 $687.00
Closed treatment of broken thigh bone with manipulation 27510 $3,930.00 $982.50
Closed treatment of broken thigh bone with manipulation 27510 $563.00 $140.75
Closed treatment of knee cap fracture 27520 $1,197.00 $299.25
Closed treatment of knee cap fracture 27520 $1,625.00 $406.25
Closed treatment of knee dislocation 27550 $1,084.00 $271.00
Closed treatment of knee dislocation 27550 $1,467.00 $366.75
Closed treatment of dislocation of knee cap 27560 $1,318.00 $329.50
Closed treatment of dislocation of knee cap 27560 $875.00 $218.75
Injection for X-ray imaging of ankle 27648 $421.00 $105.25
Injection for X-ray imaging of ankle 27648 $536.00 $134.00
Closed treatment of broken shin bone 27750 $2,726.00 $681.50
Closed treatment of broken shin bone 27750 $1,623.00 $405.75
Closed treatment of broken shin bone with manipulation 27752 $2,109.00 $527.25
Closed treatment of broken shin bone with manipulation 27752 $4,477.00 $1,119.25
Closed treatment of broken ankle 27760 $1,508.00 $377.00
Closed treatment of broken ankle 27760 $2,031.00 $507.75
Closed treatment of broken ankle with manipulation 27762 $3,025.00 $756.25
Closed treatment of broken ankle with manipulation 27762 $2,109.00 $527.25
Closed treatment of broken ankle with manipulation 27768 $2,708.00 $677.00
Closed treatment of broken ankle with manipulation 27768 $2,809.00 $702.25
Closed treatment of broken ankle 27780 $1,330.00 $332.50
Closed treatment of broken ankle 27780 $1,665.00 $416.25
Closed treatment of broken ankle with manipulation 27781 $2,679.00 $669.75
Closed treatment of broken ankle with manipulation 27781 $3,578.00 $894.50
Closed treatment of broken ankle 27786 $1,937.00 $484.25
Closed treatment of broken ankle 27786 $2,007.00 $501.75
Closed treatment of broken ankle with manipulation 27788 $5,563.00 $1,390.75
Closed treatment of broken ankle with manipulation 27788 $545.00 $136.25
Closed treatment of broken ankle 27808 $1,735.00 $433.75
Closed treatment of broken ankle 27808 $2,240.00 $560.00
Closed treatment of broken ankle with manipulation 27810 $4,235.00 $1,058.75
Closed treatment of broken ankle with manipulation 27810 $1,514.00 $378.50
Closed treatment of broken ankle 27816 $2,660.00 $665.00
Closed treatment of broken ankle 27816 $2,484.00 $621.00
Closed treatment of broken ankle with manipulation 27818 $4,838.00 $1,209.50
Closed treatment of broken ankle with manipulation 27818 $2,050.00 $512.50
Closed treatment of ankle dislocation 27840 $1,026.00 $256.50
Closed treatment of ankle dislocation 27840 $1,883.00 $470.75
Closed treatment of ankle dislocation under anesthesia 27842 $3,392.00 $848.00
Closed treatment of ankle dislocation under anesthesia 27842 $2,580.00 $645.00
Amputation of foot at ankle 27889 $102.00 $25.50
Leg or ankle procedure 27899 $102.00 $25.50
Repair of toe tendon, accessed through the skin 28010 $2,147.00 $536.75
Repair of toe tendon, accessed through the skin 28010 $664.00 $166.00
Removal of foreign body of foot tissue, accessed beneath the skin 28190 $1,406.00 $351.50
Removal of foreign body of foot tissue, accessed beneath the skin 28190 $844.00 $211.00
Removal of foreign body of foot tissue, accessed beneath the skin 28190 $1,713.00 $428.25
Removal of foreign body of foot tissue 28192 $2,340.00 $585.00
Removal of foreign body of foot tissue 28192 $2,322.00 $580.50
Repair of foot tendon 28208 $1,412.00 $353.00
Repair of foot tendon 28208 $4,494.00 $1,123.50
Correction of rigid deformity of first joint of big toe using implant 28291 $11,624.00 $2,906.00
Correction of bunion 28295 $5,428.00 $1,357.00
Closed treatment of broken heel bone 28400 $2,118.00 $529.50
Closed treatment of broken heel bone 28400 $928.00 $232.00
Closed treatment of broken heel bone with manipulation 28405 $2,844.00 $711.00
Closed treatment of broken heel bone with manipulation 28405 $921.00 $230.25
Closed treatment of broken ankle joint bone 28430 $1,152.00 $288.00
Closed treatment of broken ankle joint bone 28430 $2,150.00 $537.50
Closed treatment of broken ankle joint bone with manipulation 28435 $506.00 $126.50
Closed treatment of broken ankle joint bone with manipulation 28435 $2,465.00 $616.25
Treatment of broken foot bone 28450 $993.00 $248.25
Treatment of broken foot bone 28450 $1,953.00 $488.25
Closed treatment of broken foot bone 28470 $1,589.00 $397.25
Closed treatment of broken foot bone 28470 $1,395.00 $348.75
Closed treatment of broken great toe 28490 $813.00 $203.25
Closed treatment of broken great toe 28490 $897.00 $224.25
Closed treatment of broken great toe with manipulation 28495 $1,460.00 $365.00
Closed treatment of broken great toe with manipulation 28495 $993.00 $248.25
Open treatment of broken great toe 28505 $3,404.00 $851.00
Open treatment of broken great toe 28505 $5,042.00 $1,260.50
Closed treatment of broken toe 28510 $834.00 $208.50
Closed treatment of broken toe 28510 $730.00 $182.50
Closed treatment of broken toe with manipulation 28515 $1,094.00 $273.50
Closed treatment of broken toe with manipulation 28515 $490.00 $122.50
Open treatment of broken toe 28525 $2,777.00 $694.25
Open treatment of broken toe 28525 $5,042.00 $1,260.50
Closed treatment of broken foot bone 28530 $1,327.00 $331.75
Closed treatment of broken foot bone 28530 $679.00 $169.75
Closed treatment of dislocated foot joint 28600 $393.00 $98.25
Closed treatment of dislocated foot joint 28600 $310.00 $77.50
Closed treatment of dislocated foot bone 28630 $475.00 $118.75
Closed treatment of dislocated foot bone 28630 $1,226.00 $306.50
Open treatment of dislocated foot bone 28645 $3,303.00 $825.75
Open treatment of dislocated foot bone 28645 $5,042.00 $1,260.50
Closed treatment of dislocation of toe joint 28660 $834.00 $208.50
Closed treatment of dislocation of toe joint 28660 $613.00 $153.25
Open treatment of toe joint dislocation 28675 $5,042.00 $1,260.50
Open treatment of toe joint dislocation 28675 $2,513.00 $628.25
Application of cast, shoulder to hand (long arm) 29065 $320.00 $80.00
Application of cast, elbow to finger (short arm) 29075 $452.00 $113.00
Application of cast, elbow to finger (short arm) 29075 $391.00 $97.75
Application of cast to hand and lower forearm 29085 $509.00 $127.25
Application of long arm splint (shoulder to hand) 29105 $534.00 $133.50
Application of long arm splint (shoulder to hand) 29105 $432.00 $108.00
Application of long arm splint (shoulder to hand) 29105 $557.00 $139.25
Application of long arm splint (shoulder to hand) 29105 $947.00 $236.75
Application of non-moveable, short arm splint (forearm to hand) 29125 $505.00 $126.25
Application of non-moveable, short arm splint (forearm to hand) 29125 $372.00 $93.00
Application of non-moveable, short arm splint (forearm to hand) 29125 $553.00 $138.25
Application of non-moveable, short arm splint (forearm to hand) 29125 $353.00 $88.25
Application of non-moveable, short arm splint (forearm to hand) 29125 $675.00 $168.75
Application of non-moveable, hinged finger splint 29130 $374.00 $93.50
Application of non-moveable, hinged finger splint 29130 $248.00 $62.00
Strapping of chest 29200 $183.00 $45.75
Strapping of chest 29200 $248.00 $62.00
Strapping of shoulder 29240 $248.00 $62.00
Strapping of shoulder 29240 $240.00 $60.00
Strapping of elbow or wrist 29260 $264.00 $66.00
Strapping of elbow or wrist 29260 $218.00 $54.50
Application of long leg cast (thigh to toes) 29345 $895.00 $223.75
Application of short leg cast (below knee to toes) 29405 $677.00 $169.25
Application of short leg cast (below knee to toes) 29405 $446.00 $111.50
Application of short leg cast (below knee to toes) 29405 $622.00 $155.50
Application of short leg cast (below knee to toes) 29405 $2,078.00 $519.50
Application of short leg cast (below knee to toes), walking or ambulatory type 29425 $200.00 $50.00
Application of short leg cast (below knee to toes), walking or ambulatory type 29425 $575.00 $143.75
Application of rigid total contact leg cast 29445 $832.00 $208.00
Application of rigid total contact leg cast 29445 $831.00 $207.75
Application of rigid total contact leg cast 29445 $614.00 $153.50
Application of rigid total contact leg cast 29445 $1,249.00 $312.25
Application of rigid total contact leg cast 29445 $1,398.00 $349.50
Application of long leg splint (thigh to ankle or toes) 29505 $653.00 $163.25
Application of long leg splint (thigh to ankle or toes) 29505 $836.00 $209.00
Application of short leg splint (calf to foot) 29515 $600.00 $150.00
Application of short leg splint (calf to foot) 29515 $464.00 $116.00
Application of short leg splint (calf to foot) 29515 $339.00 $84.75
Application of short leg splint (calf to foot) 29515 $505.00 $126.25
Strapping of knee 29530 $285.00 $71.25
Strapping of ankle and/or foot 29540 $271.00 $67.75
Strapping of ankle and/or foot 29540 $248.00 $62.00
Strapping, Unna boot 29580 $1,214.00 $303.50
Strapping, Unna boot 29580 $349.00 $87.25
Strapping, Unna boot 29580 $608.00 $152.00
Strapping, Unna boot 29580 $85.00 $21.25
Strapping, Unna boot 29580 $223.00 $55.75
Application of vein wound compression system lower leg below knee including ankle and foot 29581 $375.00 $93.75
Application of vein wound compression system lower leg below knee including ankle and foot 29581 $761.00 $190.25
Application of vein wound compression system lower leg below knee including ankle and foot 29581 $119.00 $29.75
Application of vein wound compression system lower leg below knee including ankle and foot 29581 $507.00 $126.75
Application of vein wound compression system lower leg below knee including ankle and foot 29581 $1,012.00 $253.00
Application of vein wound compression system lower leg below knee including ankle and foot 29581 $223.00 $55.75
Removal or bivalving of full arm or leg cast 29705 $285.00 $71.25
Drainage of abscess or blood accumulation in nose 30000 $354.00 $88.50
Drainage of abscess or blood accumulation in nasal cartilage 30020 $711.00 $177.75
Drainage of abscess or blood accumulation in nasal cartilage 30020 $134.00 $33.50
Removal of foreign body in nose 30300 $782.00 $195.50
Removal of foreign body in nose 30300 $436.00 $109.00
Removal of foreign body in nose under anesthesia 30310 $339.00 $84.75
Removal of foreign body in nose under anesthesia 30310 $2,700.00 $675.00
Simple control of nose bleed 30901 $704.00 $176.00
Simple control of nose bleed 30901 $519.00 $129.75
Simple control of nose bleed 30901 $279.00 $69.75
Simple control of nose bleed 30901 $705.00 $176.25
Simple control of nose bleed 30901 $597.00 $149.25
Complex control of nose bleed 30903 $1,991.00 $497.75
Complex control of nose bleed 30903 $841.00 $210.25
Complex control of nose bleed 30903 $671.00 $167.75
Complex control of nose bleed 30903 $1,127.00 $281.75
Complex control of nose bleed 30903 $351.00 $87.75
Control of nose bleed and insertion of packing 30905 $1,209.00 $302.25
Control of nose bleed and insertion of packing 30905 $1,090.00 $272.50
Control of nosebleed and insertion of packing 30906 $635.00 $158.75
Control of nosebleed and insertion of packing 30906 $1,133.00 $283.25
Diagnostic examination of nasal passages using an endoscope 31231 $408.00 $102.00
Diagnostic examination of nasal passages using an endoscope 31231 $515.00 $128.75
Diagnostic examination of nasal passages using an endoscope 31231 $259.00 $64.75
Control of nasal bleeding using an endoscope 31238 $2,226.00 $556.50
Emergent insertion of breathing tube into windpipe cartilage using an endoscope 31500 $1,149.00 $287.25
Emergent insertion of breathing tube into windpipe cartilage using an endoscope 31500 $387.00 $96.75
Emergent insertion of breathing tube into windpipe cartilage using an endoscope 31500 $1,040.00 $260.00
Change of breathing tube of windpipe in neck 31502 $368.00 $92.00
Change of breathing tube of windpipe in neck 31502 $772.00 $193.00
Diagnostic examination of voice box using an endoscope 31505 $650.00 $162.50
Diagnostic examination of voice box using an endoscope 31505 $545.00 $136.25
Aspiration of voice box using an endoscope 31515 $1,212.00 $303.00
Aspiration of voice box using an endoscope 31515 $3,939.00 $984.75
Diagnostic examination of voice box using an endoscope 31525 $3,111.00 $777.75
Diagnostic examination of voice box using an endoscope 31525 $1,772.00 $443.00
Removal of foreign body from voice box using an endoscope 31530 $4,301.00 $1,075.25
Removal of foreign body from voice box using an endoscope 31530 $2,579.00 $644.75
Injection of substance to augment voice box using a flexible endoscope 31574 $2,826.00 $706.50
Diagnostic examination of voice box using flexible endoscope 31575 $849.00 $212.25
Diagnostic examination of voice box using flexible endoscope 31575 $831.00 $207.75
Diagnostic examination of voice box using flexible endoscope 31575 $33,470.00 $8,367.50
Emergent surgical opening of windpipe through neck for insertion of breathing tube 31603 $5,424.00 $1,356.00
Emergent surgical opening of windpipe through neck for insertion of breathing tube 31603 $4,087.00 $1,021.75
Emergent surgical opening of windpipe for insertion of breathing tube 31605 $3,575.00 $893.75
Emergent surgical opening of windpipe for insertion of breathing tube 31605 $2,366.00 $591.50
Diagnostic examination of lung airways using an endoscope 31622 $2,145.00 $536.25
Removal of foreign body in lung airways using an endoscope 31635 $1,959.00 $489.75
Insertion of catheter for suction of secretions 31720 $177.00 $44.25
Massage of heart muscle through chest cavity 32160 $5,829.00 $1,457.25
Massage of heart muscle through chest cavity 32160 $6,416.00 $1,604.00
Needle biopsy of lining of lung, accessed through the skin 32400 $529.00 $132.25
Needle biopsy of lining of lung, accessed through the skin 32400 $1,084.00 $271.00
Needle biopsy of lining of lung, accessed through the skin 32400 $3,439.00 $859.75
Needle biopsy of lung or chest tissue, accessed through the skin 32405 $1,013.00 $253.25
Needle biopsy of lung or chest tissue, accessed through the skin 32405 $779.00 $194.75
Needle biopsy of lung or chest tissue, accessed through the skin 32405 $4,025.00 $1,006.25
Insertion of permanent catheter for drainage of lung fluid 32550 $5,520.00 $1,380.00
Removal of fluid from between lung and chest cavity, open procedure 32551 $348.00 $87.00
Removal of fluid from between lung and chest cavity, open procedure 32551 $1,097.00 $274.25
Removal of tunneled catheter in lung lining 32552 $5,520.00 $1,380.00
Removal of fluid from chest cavity 32554 $502.00 $125.50
Removal of fluid from chest cavity 32554 $1,627.00 $406.75
Removal of fluid from chest cavity 32554 $1,164.00 $291.00
Removal of fluid from chest cavity 32554 $831.00 $207.75
Removal of fluid from chest cavity 32554 $664.00 $166.00
Removal of fluid from chest cavity 32554 $1,093.00 $273.25
Removal of fluid from chest cavity 32554 $1,327.00 $331.75
Removal of fluid from chest cavity with imaging guidance 32555 $1,627.00 $406.75
Removal of fluid from chest cavity with imaging guidance 32555 $1,303.00 $325.75
Removal of fluid from chest cavity with imaging guidance 32555 $293.00 $73.25
Removal of fluid from chest cavity with imaging guidance 32555 $930.00 $232.50
Removal of fluid from chest cavity with imaging guidance 32555 $1,991.00 $497.75
Removal of fluid from chest cavity with imaging guidance 32555 $1,221.00 $305.25
Removal of fluid from chest cavity with imaging guidance 32555 $530.00 $132.50
Removal of fluid from chest cavity with imaging guidance 32555 $508.00 $127.00
Removal of fluid from chest cavity with imaging guidance 32555 $1,407.00 $351.75
Removal of fluid from chest cavity with imaging guidance 32555 $1,355.00 $338.75
Removal of fluid from chest cavity with imaging guidance 32555 $115.00 $28.75
Removal of fluid from chest cavity with imaging guidance 32555 $1,318.00 $329.50
Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin 32556 $1,324.00 $331.00
Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin 32556 $5,304.00 $1,326.00
Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin 32556 $764.00 $191.00
Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin 32556 $3,050.00 $762.50
Removal of fluid from chest cavity with insertion of indwelling catheter, accessed through the skin 32556 $1,991.00 $497.75
Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin 32557 $1,494.00 $373.50
Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin 32557 $2,653.00 $663.25
Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin 32557 $3,315.00 $828.75
Removal of fluid from chest cavity with insertion of indwelling catheter and imaging guidance, accessed through the skin 32557 $1,592.00 $398.00
Aspiration of fluid from sac that covers the heart 33010 $975.00 $243.75
Aspiration of fluid from sac that covers the heart 33010 $791.00 $197.75
Aspiration of fluid from sac that covers the heart 33010 $1,131.00 $282.75
Insertion or replacement of permanent pacemaker and upper chamber electrodes 33206 $31,778.00 $7,944.50
Insertion or replacement of permanent pacemaker and lower chamber electrodes 33207 $33,506.00 $8,376.50
Insertion of new or replacement of permanent pacemaker including upper and lower chamber electrodes 33208 $25,182.00 $6,295.50
Placement of temporary pacemaker leads 33210 $2,832.00 $708.00
Placement of temporary pacemaker leads 33210 $13,941.00 $3,485.25
Placement of temporary pacemaker leads 33210 $11,880.00 $2,970.00
Insertion of pacemaker pulse generator with existing single lead 33212 $20,425.00 $5,106.25
Insertion of pacemaker pulse generator with existing dual leads 33213 $23,583.00 $5,895.75
Conversion to two chamber pacemaker system 33214 $36,776.00 $9,194.00
Repositioning of implanted pacemaker or defibrillator device 33215 $4,039.00 $1,009.75
Insertion of electrode for permanent pacemaker or pacing defibrillator device 33216 $12,408.00 $3,102.00
Insertion of electrodes for permanent pacemaker or pacing defibrillator device 33217 $16,115.00 $4,028.75
Relocation of pacemaker generator skin pocket 33222 $4,349.00 $1,087.25
Insertion of left heart electrode with attachment to pacemaker or pacing defibrillator device 33224 $14,968.00 $3,742.00
Insertion of left heart electrode for pacing defibrillator device 33225 $2,717.00 $679.25
Removal and replacement of single lead permanent pacemaker pulse generator 33227 $34,779.00 $8,694.75
Removal and replacement of dual lead permanent pacemaker pulse generator 33228 $43,075.00 $10,768.75
Removal of permanent pacemaker pulse generator 33233 $4,949.00 $1,237.25
Removal of electrode from right heart 33234 $5,246.00 $1,311.50
Removal of electrodes from right heart 33235 $5,246.00 $1,311.50
Insertion or replacement of single or dual chamber pacing defibrillator leads 33249 $51,451.00 $12,862.75
Removal and replacement of defibrillator pulse generator 33262 $42,283.00 $10,570.75
Removal and replacement of defibrillator pulse generator 33263 $44,274.00 $11,068.50
Removal and replacement of defibrillator pulse generator 33264 $44,274.00 $11,068.50
Insertion or replacement of defibrillator with electrode 33270 $73,928.00 $18,482.00
Insertion of assistive heart blood flow device into aorta, accessed through the skin 33967 $4,479.00 $1,119.75
Insertion of lower heart chamber blood flow assist device through the skin including radiological supervision and interpretation 33990 $192,262.00 $48,065.50
Insertion of lower heart chamber blood flow assist device through the skin including radiological supervision and interpretation 33990 $106,994.00 $26,748.50
Placement of graft for repair of aorta including radiological supervision and interpretation 34701 $15,398.00 $3,849.50
Placement of graft for repair of aorta and groin artery including radiological supervision and interpretation 34703 $21,714.00 $5,428.50
Placement of graft for repair of aorta and groin arteries including radiological supervision and interpretation 34705 $26,082.00 $6,520.50
Exposure of one groin artery for delivery of graft, accessed through the skin 34713 $18,917.00 $4,729.25
Exposure of one underarm or upper chest artery for delivery of prosthesis, open procedure 34715 $12,914.00 $3,228.50
Exposure of one underarm or upper chest artery with creation of conduit 34716 $12,914.00 $3,228.50
Repair of blood vessel of arm 35206 $4,184.00 $1,046.00
Repair of blood vessel of arm 35206 $4,318.00 $1,079.50
Insertion of needle or catheter into a vein 36000 $167.00 $41.75
Insertion of needle or catheter into a vein 36000 $113.00 $28.25
Insertion of needle or catheter into a vein 36000 $250.00 $62.50
Insertion of needle or catheter into a vein 36000 $383.00 $95.75
Injection for X-ray imaging procedure on veins of arm or leg 36005 $363.00 $90.75
Injection for X-ray imaging procedure on veins of arm or leg 36005 $1,254.00 $313.50
Introduction of catheter into the upper or lower major vein (vena cava) 36010 $2,491.00 $622.75
Introduction of catheter into the upper or lower major vein (vena cava) 36010 $926.00 $231.50
Insertion of catheter into vein 36011 $314.00 $78.50
Insertion of catheter into vein 36011 $1,064.00 $266.00
Insertion of needle or catheter into an artery of arm or leg 36140 $952.00 $238.00
Insertion of catheter into aorta 36200 $531.00 $132.75
Insertion of catheter into aorta 36200 $1,155.00 $288.75
Insertion of catheter into chest or arm artery 36215 $1,234.00 $308.50
Insertion of catheter into chest or arm artery 36215 $1,031.00 $257.75
Insertion of catheter into chest or arm artery 36215 $793.00 $198.25
Insertion of catheter into chest or arm artery 36215 $285.00 $71.25
Insertion of catheter into chest or arm artery 36216 $1,234.00 $308.50
Insertion of catheter into chest or arm artery 36217 $1,851.00 $462.75
Insertion of catheter into chest or arm artery 36217 $531.00 $132.75
Insertion of catheter into chest or arm artery 36217 $1,408.00 $352.00
Insertion of catheter into chest or arm artery 36217 $2,110.00 $527.50
Insertion of catheter into chest or arm artery 36218 $1,657.00 $414.25
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36222 $6,961.00 $1,740.25
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36222 $9,944.00 $2,486.00
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36223 $4,641.00 $1,160.25
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36223 $9,944.00 $2,486.00
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36224 $7,309.00 $1,827.25
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36224 $9,960.00 $2,490.00
Insertion of catheter into artery on one side of chest for diagnosis or treatment including radiological supervision and interpretation 36225 $13,103.00 $3,275.75
Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation 36226 $9,960.00 $2,490.00
Insertion of catheter into chest artery for diagnosis or treatment including radiological supervision and interpretation 36226 $7,309.00 $1,827.25
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36227 $2,653.00 $663.25
Insertion of catheter into artery on one side of neck for diagnosis or treatment including radiological supervision and interpretation 36227 $4,509.00 $1,127.25
Insertion of catheter into abdominal pelvic or leg artery 36245 $285.00 $71.25
Insertion of catheter into abdominal pelvic or leg artery 36245 $1,031.00 $257.75
Insertion of catheter into abdominal pelvic or leg artery 36245 $2,051.00 $512.75
Insertion of catheter into abdominal pelvic or leg artery 36245 $3,001.00 $750.25
Insertion of catheter into abdominal pelvic or leg artery 36245 $1,699.00 $424.75
Insertion of catheter into abdominal pelvic or leg artery 36246 $457.00 $114.25
Insertion of catheter into abdominal pelvic or leg artery 36246 $1,851.00 $462.75
Insertion of catheter into abdominal pelvic or leg artery 36247 $2,110.00 $527.50
Insertion of catheters into main and accessory arteries of one kidney for imaging including radiological supervision and interpretation 36251 $6,959.00 $1,739.75
Insertion of catheters into main and accessory arteries of both kidneys for imaging including radiological supervision and interpretation 36252 $7,668.00 $1,917.00
Removal of implanted arterial infusion pump 36262 $5,599.00 $1,399.75
Removal of implanted arterial infusion pump 36262 $1,918.00 $479.50
Insertion of needle into upper leg or neck vein, patient younger than 3 years 36400 $188.00 $47.00
Insertion of needle into upper leg or neck vein, patient younger than 3 years 36400 $215.00 $53.75
Insertion of needle into upper leg or neck vein, patient younger than 3 years 36400 $160.00 $40.00
Insertion of needle into scalp vein, patient younger than 3 years 36405 $171.00 $42.75
Insertion of needle into scalp vein, patient younger than 3 years 36405 $160.00 $40.00
Insertion of needle into scalp vein, patient younger than 3 years 36405 $227.00 $56.75
Insertion of needle into vein, patient younger than 3 years 36406 $196.00 $49.00
Insertion of needle into vein, patient younger than 3 years 36406 $171.00 $42.75
Insertion of needle into vein, patient younger than 3 years 36406 $138.00 $34.50
Insertion of needle into vein, patient 3 years or older 36410 $117.00 $29.25
Insertion of needle into vein, patient 3 years or older 36410 $160.00 $40.00
Insertion of needle into vein, patient 3 years or older 36410 $149.00 $37.25
Insertion of needle into vein for collection of blood sample 36415 $41.00 $10.25
Puncture of skin for collection of blood sample 36416 $45.00 $11.25
Puncture of skin for collection of blood sample 36416 $42.00 $10.50
Incision of vein for insertion of needle or catheter, patient younger than 1 year 36420 $407.00 $101.75
Incision of vein for insertion of needle or catheter, patient younger than 1 year 36420 $298.00 $74.50
Incision of vein for insertion of needle or catheter, patient age 1 or over 36425 $348.00 $87.00
Incision of vein for insertion of needle or catheter, patient age 1 or over 36425 $271.00 $67.75
Transfusion of blood or blood products 36430 $872.00 $218.00
Transfusion of blood or blood products 36430 $1,217.00 $304.25
Transfusion of blood or blood products 36430 $978.00 $244.50
Partial exchange transfusion, newborn 36456 $7,892.00 $1,973.00
Injection of chemical agent into single incompetent vein 36470 $606.00 $151.50
Injection of chemical agent into single incompetent vein 36470 $223.00 $55.75
Chemical destruction of incompetent vein of arm or leg, accessed through the skin using imaging guidance 36482 $8,530.00 $2,132.50
Insertion of central venous catheter for infusion, patient younger than 5 years 36555 $1,636.00 $409.00
Insertion of central venous catheter for infusion, patient 5 years or older 36556 $1,786.00 $446.50
Insertion of central venous catheter for infusion, patient 5 years or older 36556 $2,101.00 $525.25
Insertion of central venous catheter for infusion, patient 5 years or older 36556 $2,473.00 $618.25
Insertion of central venous catheter for infusion, patient 5 years or older 36558 $3,533.00 $883.25
Insertion of central venous catheter for infusion, patient younger than 5 years 36568 $1,408.00 $352.00
Insertion of central venous catheter for infusion, patient younger than 5 years 36568 $557.00 $139.25
Insertion of central venous catheter for infusion, patient 5 years or older 36569 $1,543.00 $385.75
Insertion of central venous catheter for infusion, patient 5 years or older 36569 $1,689.00 $422.25
Insertion of central venous catheter for infusion, patient 5 years or older 36569 $2,388.00 $597.00
Repair of central venous catheter for infusion 36575 $681.00 $170.25
Repair of central venous catheter for infusion 36575 $1,174.00 $293.50
Repair of central venous catheter for infusion 36576 $1,244.00 $311.00
Removal of central venous catheter for infusion 36589 $1,241.00 $310.25
Removal of central venous catheter for infusion 36589 $1,341.00 $335.25
Removal of central venous catheter for infusion 36589 $298.00 $74.50
Removal of central venous catheter for infusion 36589 $974.00 $243.50
Collection of blood specimen from a completely implantable venous access device 36591 $288.00 $72.00
Collection of blood specimen from a completely implantable venous access device 36591 $196.00 $49.00
Declotting infusion of implanted central venous access device or catheter 36593 $1,340.00 $335.00
Contrast injections for X-ray imaging procedure to evaluate central venous access device 36598 $541.00 $135.25
Contrast injections for X-ray imaging procedure to evaluate central venous access device 36598 $56.00 $14.00
Contrast injections for X-ray imaging procedure to evaluate central venous access device 36598 $390.00 $97.50
Contrast injections for X-ray imaging procedure to evaluate central venous access device 36598 $136.00 $34.00
Arterial puncture withdrawal of blood for diagnosis 36600 $292.00 $73.00
Arterial puncture withdrawal of blood for diagnosis 36600 $108.00 $27.00
Arterial puncture withdrawal of blood for diagnosis 36600 $93.00 $23.25
Insertion of arterial catheter for blood sampling or infusion, accessed through the skin 36620 $320.00 $80.00
Insertion of arterial catheter for blood sampling or infusion, accessed through the skin 36620 $637.00 $159.25
Insertion of needle for infusion into bone 36680 $320.00 $80.00
Insertion of needle for infusion into bone 36680 $403.00 $100.75
Insertion of needle and/or catheter into dialysis circuit, with imaging including radiological supervision and interpretation 36901 $1,770.00 $442.50
Insertion of vena cava filter by endovascular approach, including radiological supervision and interpretation 37191 $7,432.00 $1,858.00
Balloon dilation of artery in one side of groin, endovascular, accessed through the skin or open procedure 37220 $12,332.00 $3,083.00
Insertion of stents in artery in one side of groin, endovascular, accessed through the skin or open procedure 37221 $23,385.00 $5,846.25
Balloon dilation of groin artery, endovascular, open, or percutaneous approach 37222 $10,724.00 $2,681.00
Insertion of stents into groin artery, endovascular, accessed through the skin or open procedure 37223 $23,385.00 $5,846.25
Balloon dilation of arteries in one leg, endovascular, accessed through the skin or open procedure 37224 $10,724.00 $2,681.00
Removal of plaque in arteries in one leg, endovascular, accessed through the skin or open procedure 37225 $11,915.00 $2,978.75
Insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 37226 $23,385.00 $5,846.25
Removal of plaque and insertion of stents into arteries in one leg, endovascular, accessed through the skin or open procedure 37227 $31,265.00 $7,816.25
Balloon dilation of artery of one leg, endovascular, accessed through the skin or open procedure 37228 $10,724.00 $2,681.00
Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure 37229 $23,385.00 $5,846.25
Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37230 $26,893.00 $6,723.25
Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37231 $30,533.00 $7,633.25
Balloon dilation of artery in one leg, endovascular, accessed through the skin or open procedure 37232 $10,724.00 $2,681.00
Removal of plaque in artery in one leg, endovascular, accessed through the skin or open procedure 37233 $23,385.00 $5,846.25
Insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37234 $10,724.00 $2,681.00
Removal of plaque and insertion of stents into artery in one leg, endovascular, accessed through the skin or open procedure 37235 $37,237.00 $9,309.25
Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation 37236 $20,621.00 $5,155.25
Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation 37237 $16,881.00 $4,220.25
Insertion of intravascular stents in artery (except lower extremity, cervical carotid, extracranial vertebral or intrathoracic carotid, intracranial, or coronary), open or accessed through the skin, with radiological supervision and interpretation 37237 $19,171.00 $4,792.75
Insertion of intravascular stents in vein, open or accessed through the skin, with radiological supervision and interpretation 37238 $16,406.00 $4,101.50
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37246 $5,621.00 $1,405.25
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37246 $5,911.00 $1,477.75
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37246 $10,972.00 $2,743.00
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37246 $6,798.00 $1,699.50
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37247 $4,928.00 $1,232.00
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37247 $6,798.00 $1,699.50
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37247 $3,539.00 $884.75
Balloon dilation of artery, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37247 $23,385.00 $5,846.25
Balloon dilation of first vein, accessed through the skin or by open procedure, with imaging including radiological supervision and interpretation 37248 $9,445.00 $2,361.25
Blood vessel procedure 37799 $5,333.00 $1,333.25
Blood vessel procedure 37799 $4,199.00 $1,049.75
Diagnostic bone marrow aspiration 38220 $687.00 $171.75
Bone marrow biopsy 38221 $2,360.00 $590.00
Bone marrow biopsy 38221 $1,544.00 $386.00
Bone marrow biopsy 38221 $856.00 $214.00
Bone marrow biopsy and aspiration 38222 $1,223.00 $305.75
Needle biopsy or removal of lymph nodes 38505 $2,003.00 $500.75
Needle biopsy or removal of lymph nodes 38505 $557.00 $139.25
Injection of radioactive dye for X-ray identification of lymph node 38792 $749.00 $187.25
Injection of radioactive dye for X-ray identification of lymph node 38792 $972.00 $243.00
Injection of radioactive dye for X-ray identification of lymph node 38792 $243.00 $60.75
Repair of lip and border 40650 $1,954.00 $488.50
Repair of lip and border 40650 $1,694.00 $423.50
Repair of vertical lip wound extending to half of lip 40652 $1,262.00 $315.50
Repair of vertical lip wound extending to half of lip 40652 $2,579.00 $644.75
Repair of vertical lip wound extending to over half of lip 40654 $3,665.00 $916.25
Repair of vertical lip wound extending to over half of lip 40654 $1,623.00 $405.75
Incision of abscess, cyst, or blood accumulation in mouth 40800 $586.00 $146.50
Incision of abscess, cyst, or blood accumulation in mouth 40800 $263.00 $65.75
Incision of abscess, cyst, or blood accumulation in mouth 40801 $1,118.00 $279.50
Removal of embedded foreign body of mouth 40804 $531.00 $132.75
Removal of embedded foreign body of mouth 40804 $272.00 $68.00
Suture of (2.5 centimeter or less) mouth laceration 40830 $545.00 $136.25
Suture of (2.5 centimeter or less) mouth laceration 40830 $629.00 $157.25
Suture of (over 2.5 centimeter) mouth laceration 40831 $1,129.00 $282.25
Suture of (over 2.5 centimeter) mouth laceration 40831 $1,562.00 $390.50
Suture of (over 2.5 centimeter) mouth laceration 40831 $1,284.00 $321.00
Drainage of abscess, cyst, or blood accumulation under lower teeth 41009 $1,813.00 $453.25
Drainage of abscess, cyst, or blood accumulation under lower teeth 41009 $613.00 $153.25
Biopsy of tongue 41105 $448.00 $112.00
Removal of tissue connecting tongue and floor of mouth 41115 $1,097.00 $274.25
Removal of tissue connecting tongue and floor of mouth 41115 $429.00 $107.25
Repair of (2.5 centimeter or less) laceration to floor of mouth and/or tongue 41250 $806.00 $201.50
Repair of (2.5 centimeter or less) laceration to floor of mouth and/or tongue 41250 $695.00 $173.75
Repair of (2.5 centimeter or less) laceration to floor of mouth or tongue 41251 $1,262.00 $315.50
Repair of (2.5 centimeter or less) laceration to floor of mouth or tongue 41251 $725.00 $181.25
Repair of (over 2.6 laceration) to floor of mouth or tongue 41252 $2,908.00 $727.00
Drainage of abscess, cyst, or blood accumulation of dental bone 41800 $834.00 $208.50
Drainage of abscess, cyst, or blood accumulation of dental bone 41800 $1,246.00 $311.50
Relocation of mouth tissue to gum surface 41899 $484.00 $121.00
Relocation of mouth tissue to gum surface 41899 $3,085.00 $771.25
Incision and drainage of roof of mouth or its soft tissue projection 42000 $655.00 $163.75
Incision and drainage of roof of mouth or its soft tissue projection 42000 $148.00 $37.00
Repair of (up to 2 centimeters) laceration at roof of mouth 42180 $863.00 $215.75
Repair of (up to 2 centimeters) laceration at roof of mouth 42180 $635.00 $158.75
Needle biopsy of salivary gland 42400 $482.00 $120.50
Needle biopsy of salivary gland 42400 $928.00 $232.00
Needle biopsy of salivary gland 42400 $431.00 $107.75
Needle biopsy of salivary gland 42400 $1,688.00 $422.00
Needle biopsy of salivary gland 42400 $1,685.00 $421.25
Needle biopsy of salivary gland 42400 $457.00 $114.25
Injection of dye for X-ray of salivary glands 42550 $706.00 $176.50
Injection of dye for X-ray of salivary glands 42550 $225.00 $56.25
Salivary gland or duct procedure 42699 $375.00 $93.75
Drainage of tonsil abscess 42700 $613.00 $153.25
Drainage of throat abscess 42720 $2,483.00 $620.75
Drainage of throat abscess 42720 $708.00 $177.00
Removal of foreign body from throat 42809 $783.00 $195.75
Removal of foreign body from throat 42809 $589.00 $147.25
Control of bleeding of throat 42960 $863.00 $215.75
Control of bleeding of throat 42960 $635.00 $158.75
Control of bleeding of throat 42962 $585.00 $146.25
Control of bleeding of throat 42962 $1,336.00 $334.00
Control of bleeding of throat 42962 $5,022.00 $1,255.50
Control of bleeding of throat with insertion of packing requiring hospitalization 42971 $1,152.00 $288.00
Control of bleeding of throat with insertion of packing requiring hospitalization 42971 $1,525.00 $381.25
Throat, adenoids, or tonsils procedure 42999 $4,308.00 $1,077.00
Diagnostic examination of esophagus using an endoscope 43200 $1,266.00 $316.50
Control of esophageal bleeding using an endoscope 43227 $3,257.00 $814.25
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $3,084.00 $2,313.00
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $3,084.00 $771.00
Insertion of stomach tube using an endoscope 43246 $4,092.00 $1,023.00
Examination of common bile and/or pancreatic ducts using an endoscope 43273 $3,816.00 $954.00
Insertion of nasal or oral stomach tube using fluoroscopic guidance 43752 $385.00 $96.25
Insertion of nasal or oral stomach tube using fluoroscopic guidance 43752 $561.00 $140.25
Insertion of stomach tube and aspirations of gastric contents 43753 $497.00 $124.25
Insertion of stomach tube and aspirations of gastric contents 43753 $489.00 $122.25
Repositioning of stomach feeding tube 43761 $929.00 $232.25
Repositioning of stomach feeding tube 43761 $1,853.00 $463.25
Diagnostic examination of rectum and large bowel using an endoscope 45300 $401.00 $100.25
Diagnostic examination of rectum and large bowel using an endoscope 45300 $745.00 $186.25
Diagnostic examination of large bowel using an endoscope 45330 $745.00 $186.25
Diagnostic examination of large bowel using an endoscope 45330 $707.00 $176.75
Balloon dilation of large bowel using an endoscope 45386 $2,728.00 $682.00
Removal of impacted stool or foreign body under anesthesia 45915 $814.00 $203.50
Removal of impacted stool or foreign body under anesthesia 45915 $2,271.00 $567.75
Rectal procedure 45999 $1,042.00 $260.50
Rectal procedure 45999 $732.00 $183.00
Drainage of rectal abscess 46040 $2,410.00 $602.50
Drainage of rectal abscess 46040 $5,502.00 $1,375.50
Drainage of rectal abscess 46050 $1,686.00 $421.50
Drainage of rectal abscess 46050 $1,021.00 $255.25
Incision of engorged external hemorrhoid 46083 $705.00 $176.25
Incision of engorged external hemorrhoid 46083 $638.00 $159.50
Removal of multiple external anal growths 46230 $3,492.00 $873.00
Removal of multiple external anal growths 46230 $1,621.00 $405.25
Diagnostic examination of the anus using an endoscope 46600 $160.00 $40.00
Diagnostic examination of the anus using an endoscope 46600 $258.00 $64.50
Removal of foreign body in anus using an endoscope 46608 $1,262.00 $315.50
Removal of foreign body in anus using an endoscope 46608 $504.00 $126.00
Destruction of internal anal hemorrhoids 46930 $5,630.00 $1,407.50
Needle biopsy of liver, accessed through the skin 47000 $2,301.00 $575.25
Needle biopsy of liver, accessed through the skin 47000 $1,534.00 $383.50
Needle biopsy of liver, accessed through the skin 47000 $888.00 $222.00
Injection of bile duct for X-ray imaging procedure accessed through the skin using imaging guidance including radiological supervision and interpretation 47531 $480.00 $120.00
Injection of bile duct for X-ray imaging procedure accessed through the skin using imaging guidance including radiological supervision and interpretation 47531 $1,059.00 $264.75
Injection of bile duct for X-ray imaging procedure accessed through the skin using imaging guidance including radiological supervision and interpretation 47531 $73.00 $18.25
Needle biopsy of pancreas, accessed through the skin 48102 $1,686.00 $421.50
Needle biopsy of pancreas, accessed through the skin 48102 $5,140.00 $1,285.00
Needle biopsy of pancreas, accessed through the skin 48102 $1,164.00 $291.00
Drainage of fluid from abdominal cavity 49082 $732.00 $183.00
Drainage of fluid from abdominal cavity 49082 $834.00 $208.50
Drainage of fluid from abdominal cavity using imaging guidance 49083 $695.00 $173.75
Drainage of fluid from abdominal cavity using imaging guidance 49083 $868.00 $217.00
Drainage of fluid from abdominal cavity using imaging guidance 49083 $844.00 $211.00
Drainage of fluid from abdominal cavity using imaging guidance 49083 $1,355.00 $338.75
Drainage of fluid from abdominal cavity using imaging guidance 49083 $1,548.00 $387.00
Drainage of fluid from abdominal cavity using imaging guidance 49083 $579.00 $144.75
Drainage of fluid from abdominal cavity using imaging guidance 49083 $604.00 $151.00
Drainage of fluid from abdominal cavity using imaging guidance 49083 $293.00 $73.25
Drainage of fluid from abdominal cavity using imaging guidance 49083 $605.00 $151.25
Needle biopsy of abdominal cavity growth, accessed through the skin 49180 $208.00 $52.00
Needle biopsy of abdominal cavity growth, accessed through the skin 49180 $2,790.00 $697.50
Needle biopsy of abdominal cavity growth, accessed through the skin 49180 $4,025.00 $1,006.25
Needle biopsy of abdominal cavity growth, accessed through the skin 49180 $2,010.00 $502.50
Needle biopsy of abdominal cavity growth, accessed through the skin 49180 $861.00 $215.25
Needle biopsy of abdominal cavity growth, accessed through the skin 49180 $990.00 $247.50
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 49405 $935.00 $233.75
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 49405 $2,501.00 $625.25
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 49405 $1,311.00 $327.75
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 49405 $6,456.00 $1,614.00
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 49406 $2,434.00 $608.50
Fluid collection drainage by catheter using imaging guidance, accessed through the skin 49406 $1,311.00 $327.75
Insertion of abdominal catheter through the skin using imaging guidance including radiological supervision and interpretation 49418 $8,246.00 $2,061.50
Removal of abdominal cavity catheter 49422 $4,487.00 $1,121.75
Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49450 $897.00 $224.25
Replacement of stomach or large bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49450 $167.00 $41.75
Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49451 $5,231.00 $1,307.75
Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49451 $125.00 $31.25
Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49451 $4,982.00 $1,245.50
Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49451 $2,406.00 $601.50
Replacement of small bowel tube using fluoroscopic guidance with contrast, accessed through the skin 49451 $826.00 $206.50
Needle biopsy of kidney, accessed through the skin 50200 $4,850.00 $1,212.50
Needle biopsy of kidney, accessed through the skin 50200 $1,194.00 $298.50
Needle biopsy of kidney, accessed through the skin 50200 $1,534.00 $383.50
Needle biopsy of kidney, accessed through the skin 50200 $2,277.00 $569.25
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $5,827.00 $1,456.75
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $3,704.00 $926.00
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $403.00 $100.75
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $5,313.00 $1,328.25
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $2,878.00 $719.50
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $1,989.00 $497.25
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $859.00 $214.75
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $7,502.00 $1,875.50
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $1,411.00 $352.75
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $3,682.00 $920.50
Aspiration and/or injection kidney cyst, accessed through the skin 50390 $4,025.00 $1,006.25
Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation 50431 $67.00 $16.75
Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation 50431 $1,627.00 $406.75
Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation 50431 $643.00 $160.75
Injection procedure for x-ray imaging of kidney and urinary duct (ureter) using imaging guidance including radiological supervision and interpretation 50431 $231.00 $57.75
Injection of bladder and urinary duct (ureter) for X-ray imaging 50690 $614.00 $153.50
Injection of bladder and urinary duct (ureter) for X-ray imaging 50690 $400.00 $100.00
Needle aspiration of bladder 51100 $2,660.00 $665.00
Needle aspiration of bladder 51100 $475.00 $118.75
Needle aspiration of bladder 51100 $473.00 $118.25
Needle aspiration of bladder 51100 $707.00 $176.75
Aspiration of bladder with insertion of bladder tube to skin surface 51102 $2,660.00 $665.00
Aspiration of bladder with insertion of bladder tube to skin surface 51102 $1,657.00 $414.25
Injection procedure for X-ray imaging of the bladder or during voiding 51600 $430.00 $107.50
Injection procedure for X-ray imaging of the bladder or during voiding 51600 $501.00 $125.25
Injection procedure through the bladder and bladder canal (urethra) for X-ray imaging 51610 $748.00 $187.00
Bladder irrigation and/or instillation 51700 $441.00 $110.25
Bladder irrigation and/or instillation 51700 $419.00 $104.75
Bladder irrigation and/or instillation 51700 $339.00 $84.75
Insertion of temporary bladder catheter 51701 $230.00 $57.50
Insertion of temporary bladder catheter 51701 $337.00 $84.25
Insertion of temporary bladder catheter 51701 $319.00 $79.75
Insertion of indwelling bladder catheter 51702 $311.00 $77.75
Insertion of indwelling bladder catheter 51702 $319.00 $79.75
Insertion of indwelling bladder catheter 51702 $332.00 $83.00
Insertion of indwelling bladder catheter 51702 $211.00 $52.75
Insertion of indwelling bladder catheter 51703 $583.00 $145.75
Insertion of indwelling bladder catheter 51703 $407.00 $101.75
Removal of skin suture with change of bladder tube 51705 $707.00 $176.75
Removal of skin suture with change of bladder tube 51705 $498.00 $124.50
Removal of suture around skin surface tube with change of bladder tube 51710 $1,853.00 $463.25
Removal of suture around skin surface tube with change of bladder tube 51710 $1,704.00 $426.00
Bladder instillation of cancer preventive, inhibiting, or suppressive agent 51720 $1,826.00 $456.50
Insertion of electronic device into bladder with measurement of urine flow pressure 51726 $1,420.00 $355.00
Ultrasound measurement of bladder capacity after voiding 51798 $152.00 $38.00
Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 52000 $732.00 $183.00
Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 52000 $193.00 $48.25
Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope 52000 $769.00 $192.25
Insertion of catheter into urinary duct (ureter) using an endoscope 52005 $4,494.00 $1,123.50
Insertion of catheter into urinary duct (ureter) using an endoscope 52005 $1,597.00 $399.25
Biopsy of the bladder using an endoscope 52204 $2,846.00 $711.50
Destruction and/or removal of large growths of the bladder using an endoscope 52240 $5,253.00 $1,313.25
Removal of foreign body, stone, or stent from bladder canal (urethra) or bladder using an endoscope 52310 $2,455.00 $613.75
Incision and drainage of penis 54015 $2,840.00 $710.00
Removal of foreskin of using clamp or device 54150 $1,169.00 $292.25
Repositioning of foreskin including scar tissue removal 54450 $534.00 $133.50
Incision and drainage of sperm reservoir, testis, and/or scrotal area 54700 $1,006.00 $251.50
Incision and drainage of sperm reservoir, testis, and/or scrotal area 54700 $5,813.00 $1,453.25
Aspiration of fluid collection in testicle and sperm reservoir 55000 $561.00 $140.25
Aspiration of fluid collection in testicle and sperm reservoir 55000 $545.00 $136.25
Incision and drainage of abscess in scrotal sac of testicle 55100 $2,622.00 $655.50
Incision and drainage of abscess in scrotal sac of testicle 55100 $707.00 $176.75
Biopsy of prostate gland 55700 $1,417.00 $354.25
Incision and drainage of female genitals abscess 56405 $684.00 $171.00
Incision and drainage of female genitals abscess 56405 $594.00 $148.50
Incision and drainage of female genital gland abscess 56420 $659.00 $164.75
Incision and drainage of female genital gland abscess 56420 $661.00 $165.25
Incision and drainage of female genital gland abscess 56420 $816.00 $204.00
Biopsy of external female genitals 56605 $740.00 $185.00
Biopsy of external female genitals 56606 $30.00 $7.50
Incision and drainage of pelvic abscess 57010 $1,990.00 $497.50
Incision and drainage of pelvic abscess 57010 $5,422.00 $1,355.50
Incision and drainage of pelvic abscess 57010 $5,402.00 $1,350.50
Aspiration of abdominal cavity fluid through the vaginal wall 57020 $1,645.00 $411.25
Aspiration of abdominal cavity fluid through the vaginal wall 57020 $1,038.00 $259.50
Incision and drainage of vaginal blood accumulation following delivery 57022 $1,390.00 $347.50
Biopsy and scraping of the cervix using an endoscope 57454 $1,042.00 $260.50
Biopsy of cervix or excision of local growths 57500 $654.00 $163.50
Biopsy of cervix or excision of local growths 57500 $809.00 $202.25
Freezing destruction of cervix 57511 $597.00 $149.25
Freezing destruction of cervix 57511 $699.00 $174.75
Plastic repair of cervix 57720 $2,727.00 $681.75
Plastic repair of cervix 57720 $3,828.00 $957.00
Biopsy of uterine lining 58100 $236.00 $59.00
Removal of intra-uterine device (IUD) for pregnancy prevention 58301 $341.00 $85.25
Removal of intra-uterine device (IUD) for pregnancy prevention 58301 $306.00 $76.50
Introduction of saline or X-ray contrast material for X-ray imaging of the uterus and tubes 58340 $607.00 $151.75
Introduction of saline or X-ray contrast material for X-ray imaging of the uterus and tubes 58340 $684.00 $171.00
Destruction of fibroid tumor of uterus using a laparoscope and ultrasound guidance and monitoring 58674 $15,549.00 $3,887.25
Abdominal aspiration of fluid surrounding fetus for diagnosis 59000 $463.00 $115.75
Abdominal aspiration of fluid surrounding fetus for diagnosis 59000 $437.00 $109.25
Fetal contraction stress test 59020 $730.00 $182.50
Fetal non-stress test 59025 $1,215.00 $303.75
Scraping of lining of uterus post-delivery 59160 $3,152.00 $788.00
Scraping of lining of uterus post-delivery 59160 $1,665.00 $416.25
Episiotomy or vaginal repair 59300 $2,501.00 $625.25
Vaginal delivery 59409 $4,142.00 $1,035.50
Vaginal delivery 59409 $3,019.00 $754.75
Vaginal delivery of placenta 59414 $1,237.00 $309.25
Vaginal delivery of placenta 59414 $3,668.00 $917.00
Needle biopsy of thyroid, accessed through the skin 60100 $401.00 $100.25
Needle biopsy of thyroid, accessed through the skin 60100 $725.00 $181.25
Needle biopsy of thyroid, accessed through the skin 60100 $741.00 $185.25
Needle biopsy of thyroid, accessed through the skin 60100 $834.00 $208.50
Aspiration and/or injection of thyroid cyst 60300 $292.00 $73.00
Aspiration and/or injection of thyroid cyst 60300 $519.00 $129.75
Aspiration and/or injection of thyroid cyst 60300 $3,543.00 $885.75
Spinal tap for diagnosis 62270 $897.00 $224.25
Spinal tap for diagnosis 62270 $950.00 $237.50
Spinal tap for diagnosis 62270 $1,398.00 $349.50
Spinal tap for diagnosis 62270 $1,158.00 $289.50
Spinal tap for diagnosis 62270 $947.00 $236.75
Spinal tap for diagnosis 62270 $1,023.00 $255.75
Injection of blood or blood clot into spinal canal 62273 $732.00 $183.00
Injection of blood or blood clot into spinal canal 62273 $1,360.00 $340.00
Injection of blood or blood clot into spinal canal 62273 $2,443.00 $610.75
Injection of blood or blood clot into spinal canal 62273 $932.00 $233.00
Injection of dye for X-ray imaging and/or CT of lower spinal canal 62284 $1,353.00 $338.25
Injection of dye for X-ray imaging of spine disc 62290 $703.00 $175.75
Injection of dye for X-ray imaging of spine disc 62290 $1,023.00 $255.75
Injection of dye for X-ray imaging of spine disc 62290 $663.00 $165.75
Injection of dye for X-ray imaging of spine disc 62291 $851.00 $212.75
Injection of dye for X-ray imaging of spine disc 62291 $401.00 $100.25
Injection of dye for X-ray imaging of spine disc 62291 $377.00 $94.25
X-ray of upper spinal canal with radiological supervision and interpretation 62302 $328.00 $82.00
X-ray of upper spinal canal with radiological supervision and interpretation 62302 $5,602.00 $1,400.50
X-ray of middle spinal canal with radiological supervision and interpretation 62303 $307.00 $76.75
X-ray of middle spinal canal with radiological supervision and interpretation 62303 $5,602.00 $1,400.50
X-ray of lower spinal canal with radiological supervision and interpretation 62304 $5,151.00 $1,287.75
X-ray of lower spinal canal with radiological supervision and interpretation 62304 $323.00 $80.75
X-ray of lower spinal canal with radiological supervision and interpretation 62305 $4,298.00 $1,074.50
X-ray of lower spinal canal with radiological supervision and interpretation 62305 $435.00 $108.75
Injection of substance into spinal canal of upper or middle back using imaging guidance 62321 $459.00 $114.75
Injection of substance into spinal canal of upper or middle back using imaging guidance 62321 $2,768.00 $692.00
Injection of substance into spinal canal of upper or middle back using imaging guidance 62321 $756.00 $189.00
Injection of substance into spinal canal of upper or middle back using imaging guidance 62321 $929.00 $232.25
Injection of substance into spinal canal of upper or middle back using imaging guidance 62321 $1,164.00 $291.00
Injection of substance into the lower back or lumbar spine 62322 $232.00 $58.00
Injection of substance into the lower back or lumbar spine 62322 $232.00 $174.00
Injection of substance into the lower back or lumbar spine 62322 $266.00 $66.50
Injection of substance into the lower back or lumbar spine 62322 $266.00 $199.50
Injection into the lower back with help of imaging of some type 62323 $220.00 $55.00
Injection into the lower back with help of imaging of some type 62323 $756.00 $567.00
Injection into the lower back with help of imaging of some type 62323 $819.00 $204.75
Injection into the lower back with help of imaging of some type 62323 $1,619.00 $404.75
Injection into the lower back with help of imaging of some type 62323 $1,164.00 $291.00
Injection into the lower back with help of imaging of some type 62323 $266.00 $66.50
Injection into the lower back with help of imaging of some type 62323 $266.00 $199.50
Injection into the lower back with help of imaging of some type 62323 $220.00 $165.00
Injection into the lower back with help of imaging of some type 62323 $756.00 $189.00
Injection into the lower back with help of imaging of some type 62323 $1,619.00 $1,214.25
Injection into the lower back with help of imaging of some type 62323 $819.00 $614.25
Injection into the lower back with help of imaging of some type 62323 $1,164.00 $873.00
Insertion of indwelling catheter and administration of substance into spinal canal of upper or middle back 62324 $1,651.00 $412.75
Insertion of indwelling catheter and administration of substance into spinal canal of upper or middle back 62324 $1,995.00 $498.75
Insertion of indwelling catheter and administration of substance into spinal canal of upper or middle back 62324 $1,734.00 $433.50
Insertion of indwelling catheter and administration of substance into spinal canal of lower back 62326 $1,495.00 $373.75
Insertion of indwelling catheter and administration of substance into spinal canal of lower back 62326 $1,423.00 $355.75
Implantation of spinal neurostimulator electrodes, accessed through the skin 63650 $9,083.00 $2,270.75
Implantation of spinal neurostimulator electrodes, accessed through the skin 63650 $2,243.00 $560.75
Injection of anesthetic agent, trigeminal nerve 64400 $497.00 $124.25
Injection of anesthetic agent, trigeminal nerve 64400 $1,592.00 $398.00
Injection of anesthetic agent, facial nerve 64402 $2,319.00 $579.75
Injection of anesthetic agent, facial nerve 64402 $817.00 $204.25
Injection of anesthetic agent, greater occipital nerve 64405 $1,123.00 $280.75
Injection of anesthetic agent, greater occipital nerve 64405 $479.00 $119.75
Injection of anesthetic agent, greater occipital nerve 64405 $306.00 $76.50
Injection of anesthetic agent, greater occipital nerve 64405 $1,409.00 $352.25
Injection of anesthetic agent, greater occipital nerve 64405 $288.00 $72.00
Injection of anesthetic agent, greater occipital nerve 64405 $423.00 $105.75
Injection of anesthetic agent, brachial (arm) nerve bundle 64415 $210.00 $52.50
Injection of anesthetic agent, brachial (arm) nerve bundle 64415 $22.00 $5.50
Injection of anesthetic agent, brachial (arm) nerve bundle 64415 $803.00 $200.75
Injection of anesthetic agent, brachial (arm) nerve bundle 64415 $1,857.00 $464.25
Injection of anesthetic agent, brachial (arm) nerve bundle 64415 $757.00 $189.25
Injection of anesthetic agent underarm (axillary) nerve 64417 $1,477.00 $369.25
Injection of anesthetic agent, of rib nerve 64420 $366.00 $91.50
Injection of anesthetic agent of multiple rib nerves 64421 $451.00 $112.75
Injection of anesthetic agent of multiple rib nerves 64421 $598.00 $149.50
Injection of anesthetic agent, groin nerves 64425 $851.00 $212.75
Injection of anesthetic agent, groin nerves 64425 $494.00 $123.50
Injection of anesthetic agent, sciatic nerve 64445 $568.00 $142.00
Injection of anesthetic agent, sciatic nerve 64445 $650.00 $162.50
Injection of anesthetic agent, sciatic nerve 64445 $613.00 $153.25
Injection of anesthetic agent, thigh nerve 64447 $607.00 $151.75
Injection of anesthetic agent, thigh nerve 64447 $456.00 $114.00
Injection of anesthetic agent, thigh nerve 64447 $1,820.00 $455.00
Injection of anesthetic agent, thigh nerve 64447 $1,485.00 $371.25
Injection of anesthetic agent, thigh nerve 64447 $884.00 $221.00
Injection of anesthetic agent, thigh nerve 64447 $929.00 $232.25
Injection of anesthetic agent, thigh nerve 64447 $703.00 $175.75
Injection of anesthetic agent, other peripheral nerve or branch 64450 $803.00 $200.75
Injection of anesthetic agent, other peripheral nerve or branch 64450 $830.00 $207.50
Injection of anesthetic agent, other peripheral nerve or branch 64450 $243.00 $60.75
Injection of anesthetic agent, other peripheral nerve or branch 64450 $959.00 $239.75
Injection of anesthetic agent, other peripheral nerve or branch 64450 $1,857.00 $464.25
Injection of anesthetic agent, other peripheral nerve or branch 64450 $1,646.00 $411.50
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64479 $2,731.00 $682.75
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64479 $1,057.00 $264.25
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64479 $1,542.00 $385.50
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64479 $1,670.00 $417.50
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64480 $1,534.00 $383.50
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64480 $193.00 $48.25
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64480 $776.00 $194.00
Injections of anesthetic and/or steroid drug into upper or middle spine nerve root using imaging guidance 64480 $279.00 $69.75
Epidural steroid injections for lower back pain 64483 $2,752.00 $2,064.00
Epidural steroid injections for lower back pain 64483 $1,542.00 $385.50
Epidural steroid injections for lower back pain 64483 $409.00 $102.25
Epidural steroid injections for lower back pain 64483 $590.00 $147.50
Epidural steroid injections for lower back pain 64483 $590.00 $442.50
Epidural steroid injections for lower back pain 64483 $2,752.00 $688.00
Epidural steroid injections for lower back pain 64483 $557.00 $417.75
Epidural steroid injections for lower back pain 64483 $557.00 $139.25
Epidural steroid injections for lower back pain 64483 $409.00 $306.75
Epidural steroid injections for lower back pain 64483 $444.00 $333.00
Epidural steroid injections for lower back pain 64483 $444.00 $111.00
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64484 $776.00 $194.00
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64484 $385.00 $96.25
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64484 $1,376.00 $344.00
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64484 $529.00 $132.25
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64484 $354.00 $88.50
Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance 64484 $562.00 $140.50
Injections of local anesthetic for pain control and abdominal wall analgesia on one side 64486 $2,018.00 $504.50
Injections of local anesthetic for pain control and abdominal wall analgesia on both sides 64488 $4,242.00 $1,060.50
Injections of upper or middle spine facet joint using imaging guidance 64490 $826.00 $206.50
Injections of upper or middle spine facet joint using imaging guidance 64490 $1,336.00 $334.00
Injections of upper or middle spine facet joint using imaging guidance 64490 $1,542.00 $385.50
Injections of upper or middle spine facet joint using imaging guidance 64490 $779.00 $194.75
Injections of upper or middle spine facet joint using imaging guidance 64490 $1,225.00 $306.25
Injections of upper or middle spine facet joint using imaging guidance 64490 $1,416.00 $354.00
Injections of upper or middle spine facet joint using imaging guidance 64490 $2,752.00 $688.00
Injections of upper or middle spine facet joint using imaging guidance 64491 $1,058.00 $264.50
Injections of upper or middle spine facet joint using imaging guidance 64491 $485.00 $121.25
Injections of upper or middle spine facet joint using imaging guidance 64491 $885.00 $221.25
Injections of upper or middle spine facet joint using imaging guidance 64491 $1,376.00 $344.00
Injections of upper or middle spine facet joint using imaging guidance 64491 $1,225.00 $306.25
Injections of upper or middle spine facet joint using imaging guidance 64491 $613.00 $153.25
Injections of upper or middle spine facet joint using imaging guidance 64492 $485.00 $121.25
Injections of upper or middle spine facet joint using imaging guidance 64492 $724.00 $181.00
Injections of upper or middle spine facet joint using imaging guidance 64492 $1,225.00 $306.25
Injections of upper or middle spine facet joint using imaging guidance 64492 $1,376.00 $344.00
Injections of upper or middle spine facet joint using imaging guidance 64492 $1,226.00 $306.50
Injections of upper or middle spine facet joint using imaging guidance 64492 $527.00 $131.75
Injections of upper or middle spine facet joint using imaging guidance 64492 $458.00 $114.50
Injections of upper or middle spine facet joint using imaging guidance 64492 $445.00 $111.25
Injections of upper or middle spine facet joint using imaging guidance 64492 $885.00 $221.25
Injections of upper or middle spine facet joint using imaging guidance 64492 $767.00 $191.75
Injections of lower or sacral spine facet joint using imaging guidance 64493 $1,297.00 $324.25
Injections of lower or sacral spine facet joint using imaging guidance 64493 $744.00 $186.00
Injections of lower or sacral spine facet joint using imaging guidance 64493 $702.00 $175.50
Injections of lower or sacral spine facet joint using imaging guidance 64493 $1,629.00 $407.25
Injections of lower or sacral spine facet joint using imaging guidance 64493 $1,542.00 $385.50
Injections of lower or sacral spine facet joint using imaging guidance 64493 $2,251.00 $562.75
Injections of lower or sacral spine facet joint using imaging guidance 64493 $1,299.00 $324.75
Injections of lower or sacral spine facet joint using imaging guidance 64493 $1,286.00 $321.50
Injections of lower or sacral spine facet joint using imaging guidance 64493 $1,630.00 $407.50
Injections of lower or sacral spine facet joint using imaging guidance 64493 $2,752.00 $688.00
Injections of lower or sacral spine facet joint using imaging guidance 64493 $743.00 $185.75
Injections of lower or sacral spine facet joint using imaging guidance 64494 $1,376.00 $344.00
Injections of lower or sacral spine facet joint using imaging guidance 64494 $422.00 $105.50
Injections of lower or sacral spine facet joint using imaging guidance 64494 $688.00 $172.00
Injections of lower or sacral spine facet joint using imaging guidance 64494 $708.00 $177.00
Injections of lower or sacral spine facet joint using imaging guidance 64494 $1,225.00 $306.25
Injections of lower or sacral spine facet joint using imaging guidance 64494 $1,297.00 $324.25
Injections of lower or sacral spine facet joint using imaging guidance 64494 $1,126.00 $281.50
Injections of lower or sacral spine facet joint using imaging guidance 64494 $767.00 $191.75
Injections of lower or sacral spine facet joint using imaging guidance 64495 $458.00 $114.50
Injections of lower or sacral spine facet joint using imaging guidance 64495 $688.00 $172.00
Injections of lower or sacral spine facet joint using imaging guidance 64495 $422.00 $105.50
Injections of lower or sacral spine facet joint using imaging guidance 64495 $1,376.00 $344.00
Injections of lower or sacral spine facet joint using imaging guidance 64495 $767.00 $191.75
Injections of lower or sacral spine facet joint using imaging guidance 64495 $1,225.00 $306.25
Injections of lower or sacral spine facet joint using imaging guidance 64495 $398.00 $99.50
Injections of lower or sacral spine facet joint using imaging guidance 64495 $1,126.00 $281.50
Injections of lower or sacral spine facet joint using imaging guidance 64495 $708.00 $177.00
Injections of lower or sacral spine facet joint using imaging guidance 64495 $1,989.00 $497.25
Injection of anesthetic agent, middle or lower spine sympathetic nerves 64520 $729.00 $182.25
Insertion of sacral nerve neurostimulator electrodes, accessed through the skin 64561 $12,179.00 $3,044.75
Implantation of lower leg neurostimulator electrode, accessed through the skin 64566 $791.00 $197.75
Incision to insert sacral nerve neurostimulator electrodes 64581 $12,179.00 $3,044.75
Revision or removal of peripheral neurostimulator electrode array 64585 $3,625.00 $906.25
Insertion or replacement of peripheral or gastric neurostimulator generator 64590 $37,742.00 $9,435.50
Revision or removal of peripheral nerve or gastric neurostimulator generator 64595 $3,625.00 $906.25
Injection of chemical for destruction of nerve muscles on one side of face 64612 $600.00 $150.00
Destruction of upper or middle spinal facet joint nerves using imaging guidance 64633 $2,360.00 $590.00
Destruction of upper or middle spinal facet joint nerves using imaging guidance 64633 $1,333.00 $333.25
Destruction of upper or middle spinal facet joint nerves using imaging guidance 64633 $5,252.00 $1,313.00
Destruction of upper or middle spinal facet joint nerves using imaging guidance 64633 $2,851.00 $712.75
Destruction of upper or middle spinal facet joint nerves using imaging guidance 64633 $1,362.00 $340.50
Destruction of upper or middle spinal facet joint nerves with imaging guidance 64634 $1,501.00 $375.25
Destruction of upper or middle spinal facet joint nerves with imaging guidance 64634 $769.00 $192.25
Destruction of upper or middle spinal facet joint nerves with imaging guidance 64634 $1,239.00 $309.75
Destruction of upper or middle spinal facet joint nerves with imaging guidance 64634 $2,502.00 $625.50
Destruction of upper or middle spinal facet joint nerves with imaging guidance 64634 $708.00 $177.00
Destruction of lower or sacral spinal facet joint nerves using imaging guidance 64635 $2,851.00 $712.75
Destruction of lower or sacral spinal facet joint nerves using imaging guidance 64635 $5,252.00 $1,313.00
Destruction of lower or sacral spinal facet joint nerves using imaging guidance 64635 $1,283.00 $320.75
Destruction of lower or sacral spinal facet joint nerves using imaging guidance 64635 $2,115.00 $528.75
Destruction of lower or sacral spinal facet joint nerves with imaging guidance 64636 $2,502.00 $625.50
Destruction of lower or sacral spinal facet joint nerves with imaging guidance 64636 $1,062.00 $265.50
Destruction of lower or sacral spinal facet joint nerves with imaging guidance 64636 $632.00 $158.00
Destruction of lower or sacral spinal facet joint nerves with imaging guidance 64636 $1,501.00 $375.25
Injection of chemical for destruction of nerve muscles on arm or leg, 1-4 muscles 64642 $1,096.00 $274.00
Injection of chemical for destruction of nerve muscles on arm or leg, 5 or more muscles 64644 $1,438.00 $359.50
Removal of foreign body in external eye, conjunctiva 65205 $1,000.00 $250.00
Removal of foreign body in external eye, conjunctiva 65205 $496.00 $124.00
Removal of foreign body in external eye, conjunctiva or sclera 65210 $723.00 $180.75
Removal of foreign body in external eye, conjunctiva or sclera 65210 $534.00 $133.50
Removal of foreign body, external eye, cornea 65220 $1,278.00 $319.50
Removal of foreign body, external eye, cornea 65220 $664.00 $166.00
Removal of foreign body, external eye, cornea with slit lamp examination 65222 $1,135.00 $283.75
Removal of foreign body, external eye, cornea with slit lamp examination 65222 $734.00 $183.50
Removal of outer layer of cornea 65435 $530.00 $132.50
Removal of outer layer of cornea 65435 $1,577.00 $394.25
Laser removal of cataracts in eyes 66821 $1,268.00 $951.00
Laser removal of cataracts in eyes 66821 $1,268.00 $317.00
Injection of drug into eye 67028 $1,202.00 $300.50
Laser destruction of retinal growth, 1 or more sessions 67210 $1,961.00 $490.25
Incision and drainage of eyelid abscess 67700 $603.00 $150.75
Incision and drainage of eyelid abscess 67700 $656.00 $164.00
Incision of corner of eye at eyelids 67715 $405.00 $101.25
Incision of corner of eye at eyelids 67715 $2,820.00 $705.00
Removal of eyelashes by forceps 67820 $180.00 $45.00
Repair of wound of eyelid margin 67935 $2,655.00 $663.75
Removal of embedded foreign body in eyelid 67938 $522.00 $130.50
Removal of embedded foreign body in eyelid 67938 $577.00 $144.25
Incision and drainage of external ear abscess or blood accumulation 69000 $541.00 $135.25
Incision and drainage of external ear abscess or blood accumulation 69000 $304.00 $76.00
Incision and drainage of ear canal abscess 69020 $640.00 $160.00
Incision and drainage of ear canal abscess 69020 $497.00 $124.25
Removal of foreign body from ear canal 69200 $399.00 $99.75
Removal of foreign body from ear canal 69200 $496.00 $124.00
Removal of foreign body from ear canal 69200 $562.00 $140.50
Removal of impacted ear wax by washing 69209 $29.00 $7.25
Removal of impacted ear wax by washing 69209 $63.00 $15.75
Removal of impact ear wax, one ear 69210 $71.00 $17.75
Removal of impact ear wax, one ear 69210 $1,415.00 $353.75
Removal of impact ear wax, one ear 69210 $210.00 $52.50
Removal of impact ear wax, one ear 69210 $343.00 $85.75
Removal of impact ear wax, one ear 69210 $123.00 $30.75
Removal of impact ear wax, one ear 69210 $236.00 $59.00
Removal of impact ear wax, one ear 69210 $98.00 $24.50
Removal of impact ear wax, one ear 69210 $229.00 $57.25
Removal of skin debris and drainage of mastoid cavity 69220 $110.00 $27.50
Incision of eardrum with insertion of eardrum tube under local or topical anesthesia 69433 $1,183.00 $295.75
X-ray of eye 70030 $167.00 $41.75
X-ray of eye 70030 $827.00 $206.75
X-ray of mandible, less than 4 views 70100 $523.00 $130.75
X-ray of mandible, less than 4 views 70100 $99.00 $24.75
X-ray of mandible, less than 4 views 70100 $451.00 $112.75
X-ray of mandible, less than 4 views 70100 $53.00 $13.25
X-ray of mandible, minimum of 4 views 70110 $134.00 $33.50
X-ray of mandible, minimum of 4 views 70110 $930.00 $232.50
X-ray of mandible, minimum of 4 views 70110 $149.00 $37.25
X-ray of mastoid, less than 3 views per side 70120 $53.00 $13.25
X-ray of mastoid, less than 3 views per side 70120 $471.00 $117.75
X-ray of mastoid, less than 3 views per side 70120 $57.00 $14.25
X-ray of mastoid, minimum of 3 views per side 70130 $96.00 $24.00
X-ray of mastoid, minimum of 3 views per side 70130 $104.00 $26.00
X-ray of mastoid, minimum of 3 views per side 70130 $734.00 $183.50
X-ray of bones of face, less than 3 views 70140 $706.00 $176.50
X-ray of bones of face, less than 3 views 70140 $83.00 $20.75
X-ray of bones of face, less than 3 views 70140 $76.00 $19.00
X-ray of bones of face, minimum of 3 views 70150 $110.00 $27.50
X-ray of bones of face, minimum of 3 views 70150 $1,011.00 $252.75
X-ray of bones of nose, minimum of 3 views 70160 $75.00 $18.75
X-ray of bones of nose, minimum of 3 views 70160 $730.00 $182.50
X-ray of bones of nose, minimum of 3 views 70160 $72.00 $18.00
X-ray of eye bones, minimum of 4 views 70200 $102.00 $25.50
X-ray of eye bones, minimum of 4 views 70200 $96.00 $24.00
X-ray of eye bones, minimum of 4 views 70200 $617.00 $154.25
X-ray of paranasal sinus, less than 3 views 70210 $76.00 $19.00
X-ray of paranasal sinus, less than 3 views 70210 $65.00 $16.25
X-ray of paranasal sinus, less than 3 views 70210 $407.00 $101.75
X-ray of paranasal sinus, complete, minimum of 3 views 70220 $926.00 $231.50
X-ray of paranasal sinus, complete, minimum of 3 views 70220 $180.00 $45.00
X-ray of paranasal sinus, complete, minimum of 3 views 70220 $701.00 $175.25
X-ray of skull, less than 4 views 70250 $617.00 $154.25
X-ray of skull, less than 4 views 70250 $179.00 $44.75
X-ray of skull, complete, minimum of 4 views 70260 $537.00 $134.25
X-ray of skull, complete, minimum of 4 views 70260 $105.00 $26.25
X-ray of skull, complete, minimum of 4 views 70260 $104.00 $26.00
X-ray of jaw joint on one side of the face 70328 $476.00 $119.00
X-ray of jaw joint on one side of the face 70328 $102.00 $25.50
X-ray of jaw joint on one side of the face 70328 $94.00 $23.50
X-ray of jaw joints on both sides of the face 70330 $137.00 $34.25
X-ray of jaw joints on both sides of the face 70330 $146.00 $36.50
X-ray of jaw joints on both sides of the face 70330 $1,020.00 $255.00
X-ray of soft tissue of neck 70360 $604.00 $151.00
X-ray of soft tissue of neck 70360 $87.00 $21.75
CT scan of the head or brain without contrast or dye 70450 $278.00 $208.50
CT scan of the head or brain without contrast or dye 70450 $2,810.00 $2,107.50
CT scan of the head or brain without contrast or dye 70450 $278.00 $69.50
CT scan of the head or brain without contrast or dye 70450 $2,811.00 $702.75
CT scan of the head or brain without contrast or dye 70450 $2,811.00 $2,108.25
CT scan of the head or brain without contrast or dye 70450 $2,810.00 $702.50
CT scan head or brain with contrast 70460 $237.00 $59.25
CT scan head or brain with contrast 70460 $3,419.00 $854.75
CT scan head or brain before and after contrast 70470 $281.00 $70.25
CT scan head or brain before and after contrast 70470 $3,645.00 $911.25
CT scan of cranial cavity 70480 $3,439.00 $859.75
CT scan of cranial cavity 70480 $222.00 $55.50
CT scan of cranial cavity with contrast 70481 $255.00 $63.75
CT scan of cranial cavity with contrast 70481 $3,628.00 $907.00
CT scan of cranial cavity with contrast 70481 $4,088.00 $1,022.00
CT scan of cranial cavity with contrast 70481 $4,128.00 $1,032.00
CT scan of cranial cavity before and after contrast 70482 $4,088.00 $1,022.00
CT scan of cranial cavity before and after contrast 70482 $255.00 $63.75
CT scan of face 70486 $3,643.00 $910.75
CT scan of face 70486 $383.00 $95.75
CT scan of face 70486 $464.00 $116.00
CT scan of face with contrast 70487 $3,628.00 $907.00
CT scan of face with contrast 70487 $3,960.00 $990.00
CT scan of face with contrast 70487 $5,502.00 $1,375.50
CT scan of face with contrast 70487 $247.00 $61.75
CT scan of face with contrast 70487 $210.00 $52.50
CT scan of face with contrast 70487 $4,088.00 $1,022.00
CT scan of face before and after contrast 70488 $3,982.00 $995.50
CT scan of face before and after contrast 70488 $296.00 $74.00
CT scan of neck 70490 $3,366.00 $841.50
CT scan of neck 70490 $266.00 $66.50
CT scan of neck with contrast 70491 $255.00 $63.75
CT scan of neck with contrast 70491 $3,423.00 $855.75
CT scan of neck before and after contrast 70492 $5,460.00 $1,365.00
CT scan of neck before and after contrast 70492 $306.00 $76.50
CT scan of blood vessel of head with contrast 70496 $4,702.00 $1,175.50
CT scan of blood vessel of head with contrast 70496 $362.00 $90.50
CT scan of neck blood vessels with contrast 70498 $5,460.00 $1,365.00
CT scan of neck blood vessels with contrast 70498 $385.00 $96.25
MRI scan bones of the eye, face, and/or neck 70540 $5,465.00 $1,366.25
MRI scan bones of the eye, face, and/or neck 70540 $473.00 $118.25
MRI scan bones of the eye, face, and/or neck with contrast 70542 $4,750.00 $1,187.50
MRI scan bones of the eye, face, and/or neck with contrast 70542 $543.00 $135.75
MRI scan bones of the eye, face, and/or neck before and after contrast 70543 $5,761.00 $1,440.25
MRI scan bones of the eye, face, and/or neck before and after contrast 70543 $1,201.00 $300.25
MRI scan bones of the eye, face, and/or neck before and after contrast 70543 $5,684.00 $1,421.00
MRI scan bones of the eye, face, and/or neck before and after contrast 70543 $1,044.00 $261.00
MRA scan of head blood vessels 70544 $6,180.00 $1,545.00
MRA scan of head blood vessels 70544 $439.00 $109.75
MRA scan of head blood vessels 70544 $3,744.00 $936.00
MRA scan of neck blood vessels 70547 $403.00 $100.75
MRA scan of neck blood vessels 70547 $7,231.00 $1,807.75
MRA scan of neck blood vessels with contrast 70548 $7,110.00 $1,777.50
MRA scan of neck blood vessels with contrast 70548 $450.00 $112.50
MRA scan of neck blood vessels before and after contrast 70549 $539.00 $134.75
MRA scan of neck blood vessels before and after contrast 70549 $4,102.00 $1,025.50
MRI scan brain 70551 $5,056.00 $1,264.00
MRI scan brain 70551 $1,361.00 $340.25
MRI scan brain 70551 $167.00 $41.75
MRI scan brain 70551 $5,310.00 $1,327.50
MRI scan brain 70551 $2,503.00 $625.75
MRI scan brain 70551 $4,913.00 $1,228.25
MRI scan of brain with contrast 70552 $5,255.00 $1,313.75
MRI scan of brain with contrast 70552 $1,018.00 $254.50
MRI scan of brain with contrast 70552 $969.00 $242.25
MRI scan of brain with contrast 70552 $5,687.00 $1,421.75
MRI scan of brain with contrast 70552 $203.00 $50.75
MRI scan of the brain with and without contrast 70553 $6,179.00 $1,544.75
MRI scan of the brain with and without contrast 70553 $1,501.00 $1,125.75
MRI scan of the brain with and without contrast 70553 $6,488.00 $4,866.00
MRI scan of the brain with and without contrast 70553 $6,540.00 $1,635.00
MRI scan of the brain with and without contrast 70553 $1,501.00 $375.25
MRI scan of the brain with and without contrast 70553 $6,540.00 $4,905.00
MRI scan of the brain with and without contrast 70553 $6,488.00 $1,622.00
X-ray of chest, 1 view 71045 $624.00 $156.00
X-ray of chest, 1 view 71045 $88.00 $22.00
X-ray of chest, 1 view 71045 $536.00 $134.00
X-ray of the chest, 2 views 71046 $700.00 $175.00
X-ray of the chest, 2 views 71046 $106.00 $26.50
X-ray of the chest, 2 views 71046 $87.00 $21.75
X-ray of the chest, 2 views 71046 $599.00 $149.75
X-ray of the chest, 2 views 71046 $629.00 $157.25
X-ray of the chest, 2 views 71046 $87.00 $65.25
X-ray of the chest, 2 views 71046 $629.00 $471.75
X-ray of the chest, 2 views 71046 $599.00 $449.25
X-ray of the chest, 2 views 71046 $106.00 $79.50
X-ray of the chest, 2 views 71046 $700.00 $525.00
X-ray of chest, 3 views 71047 $175.00 $43.75
X-ray of chest, 3 views 71047 $98.00 $24.50
X-ray of chest, 3 views 71047 $604.00 $151.00
X-ray of chest, minimum of 4 views 71048 $114.00 $28.50
X-ray of chest, minimum of 4 views 71048 $108.00 $27.00
X-ray of chest, minimum of 4 views 71048 $721.00 $180.25
X-ray of ribs of one side of body, 2 views 71100 $112.00 $28.00
X-ray of ribs of one side of body, 2 views 71100 $661.00 $165.25
X-ray of ribs on one side of body including the chest, minimum of 3 views 71101 $111.00 $27.75
X-ray of ribs on one side of body including the chest, minimum of 3 views 71101 $860.00 $215.00
X-ray of ribs on one side of body including the chest, minimum of 3 views 71101 $138.00 $34.50
X-ray of ribs on one side of body including the chest, minimum of 3 views 71101 $818.00 $204.50
X-ray of both sides of the ribs, 3 views 71110 $140.00 $35.00
X-ray of both sides of the ribs, 3 views 71110 $704.00 $176.00
X-ray of both sides of the ribs including the chest, minimum of 4 views 71111 $992.00 $248.00
X-ray of both sides of the ribs including the chest, minimum of 4 views 71111 $140.00 $35.00
X-ray of breast bone, minimum of 2 views 71120 $661.00 $165.25
X-ray of breast bone, minimum of 2 views 71120 $95.00 $23.75
X-ray of breast bone, minimum of 2 views 71120 $82.00 $20.50
X-ray of junction of breast and collar bones, minimum of 2 views 71130 $90.00 $22.50
X-ray of junction of breast and collar bones, minimum of 2 views 71130 $82.00 $20.50
X-ray of junction of breast and collar bones, minimum of 2 views 71130 $263.00 $65.75
CT scan chest 71250 $227.00 $56.75
CT scan chest 71250 $3,925.00 $981.25
CT scan chest with contrast 71260 $4,195.00 $1,048.75
CT scan chest with contrast 71260 $335.00 $83.75
CT scan chest before and after contrast 71270 $4,221.00 $1,055.25
CT scan chest before and after contrast 71270 $307.00 $76.75
CT scan chest before and after contrast 71270 $322.00 $80.50
CT scan of blood vessels in chest with contrast 71275 $456.00 $114.00
CT scan of blood vessels in chest with contrast 71275 $5,500.00 $1,375.00
MRI scan of chest 71550 $549.00 $137.25
MRI scan of chest 71550 $5,380.00 $1,345.00
MRI scan of chest with contrast 71551 $5,576.00 $1,394.00
MRI scan of chest with contrast 71551 $578.00 $144.50
MRI scan of chest before and after contrast 71552 $6,213.00 $1,553.25
MRI scan of chest before and after contrast 71552 $661.00 $165.25
MRI scan of blood vessels of chest 71555 $509.00 $127.25
MRI scan of blood vessels of chest 71555 $6,841.00 $1,710.25
MRI scan of blood vessels of chest 71555 $7,610.00 $1,902.50
MRI scan of blood vessels of chest 71555 $485.00 $121.25
MRI scan of blood vessels of chest 71555 $7,810.00 $1,952.50
X-ray of spine, 1 view 72020 $68.00 $17.00
X-ray of spine, 1 view 72020 $705.00 $176.25
X-ray of spine, 1 view 72020 $70.00 $17.50
X-ray of spine, 1 view 72020 $67.00 $16.75
X-ray of spine, 1 view 72020 $37.00 $9.25
X-ray of spine of neck, 2 or 3 views 72040 $748.00 $187.00
X-ray of spine of neck, 2 or 3 views 72040 $117.00 $29.25
X-ray of spine of neck, 2 or 3 views 72040 $111.00 $27.75
X-ray of spine of neck, 2 or 3 views 72040 $854.00 $213.50
X-ray of spine of neck, 2 or 3 views 72040 $667.00 $166.75
X-ray of spine of neck, 2 or 3 views 72040 $787.00 $196.75
X-ray of upper spine, 4 or 5 views 72050 $941.00 $235.25
X-ray of upper spine, 4 or 5 views 72050 $896.00 $224.00
X-ray of upper spine, 4 or 5 views 72050 $151.00 $37.75
X-ray of upper spine, 6 or more views 72052 $140.00 $35.00
X-ray of upper spine, 6 or more views 72052 $1,064.00 $266.00
X-ray of upper spine, 6 or more views 72052 $172.00 $43.00
X-ray of middle spine, 3 views 72070 $527.00 $131.75
X-ray of middle spine, 3 views 72070 $105.00 $26.25
X-ray of middle spine, 3 views 72070 $86.00 $21.50
X-ray of middle spine, 3 views 72070 $501.00 $125.25
X-ray of middle spine, 3 views 72072 $736.00 $184.00
X-ray of middle spine, 3 views 72072 $91.00 $22.75
X-ray of middle spine, 3 views 72072 $112.00 $28.00
X-ray of middle spine, 3 views 72072 $867.00 $216.75
X-ray of middle and lower spine, 2 views 72080 $105.00 $26.25
X-ray of middle and lower spine, 2 views 72080 $117.00 $29.25
X-ray of middle and lower spine, 2 views 72080 $448.00 $112.00
X-ray of middle and lower spine, 2 views 72080 $426.00 $106.50
X-ray of spine, 2 or 3 views 72082 $127.00 $31.75
X-ray of spine, 2 or 3 views 72082 $431.00 $107.75
X-ray of spine, 2 or 3 views 72082 $124.00 $31.00
X-ray of spine, 2 or 3 views 72082 $390.00 $97.50
X-ray of lower and sacral spine, 2 or 3 views 72100 $734.00 $183.50
X-ray of lower and sacral spine, 2 or 3 views 72100 $105.00 $26.25
X-ray of lower and sacral spine, 2 or 3 views 72100 $880.00 $220.00
X-ray of lower and sacral spine, 2 or 3 views 72100 $86.00 $21.50
X-ray of the lower spine with 4 or more views 72110 $907.00 $226.75
X-ray of the lower spine with 4 or more views 72110 $953.00 $714.75
X-ray of the lower spine with 4 or more views 72110 $154.00 $38.50
X-ray of the lower spine with 4 or more views 72110 $953.00 $238.25
X-ray of the lower spine with 4 or more views 72110 $154.00 $115.50
X-ray of the lower spine with 4 or more views 72110 $907.00 $680.25
X-ray lower and sacral spine including bending views minimum 6 views 72114 $564.00 $141.00
X-ray lower and sacral spine including bending views minimum 6 views 72114 $169.00 $42.25
X-ray lower and sacral spine including bending views 2 or 3 views 72120 $88.00 $22.00
X-ray lower and sacral spine including bending views 2 or 3 views 72120 $797.00 $199.25
X-ray lower and sacral spine including bending views 2 or 3 views 72120 $194.00 $48.50
CT scan of upper spine 72125 $380.00 $95.00
CT scan of upper spine 72125 $3,690.00 $922.50
CT scan of upper spine with contrast 72126 $312.00 $78.00
CT scan of upper spine with contrast 72126 $5,676.00 $1,419.00
CT scan of middle spine 72128 $273.00 $68.25
CT scan of middle spine 72128 $4,088.00 $1,022.00
CT scan of middle spine with contrast 72129 $292.00 $73.00
CT scan of middle spine with contrast 72129 $4,701.00 $1,175.25
CT scan of middle spine before and after contrast 72130 $5,841.00 $1,460.25
CT scan of middle spine before and after contrast 72130 $318.00 $79.50
CT scan of lower spine 72131 $273.00 $68.25
CT scan of lower spine 72131 $4,128.00 $1,032.00
CT scan of lower spine with contrast 72132 $3,899.00 $974.75
CT scan of lower spine with contrast 72132 $3,898.00 $974.50
CT scan of lower spine with contrast 72132 $312.00 $78.00
CT scan of lower spine before and after contrast 72133 $377.00 $94.25
CT scan of lower spine before and after contrast 72133 $5,876.00 $1,469.00
MRI scan of upper spinal canal 72141 $924.00 $231.00
MRI scan of upper spinal canal 72141 $5,052.00 $1,263.00
MRI scan of upper spinal canal 72141 $815.00 $203.75
MRI scan of upper spinal canal with contrast 72142 $794.00 $198.50
MRI scan of upper spinal canal with contrast 72142 $834.00 $208.50
MRI scan of middle spinal canal 72146 $984.00 $246.00
MRI scan of middle spinal canal 72146 $4,997.00 $1,249.25
MRI scan of middle spinal canal with contrast 72147 $583.00 $145.75
MRI scan of middle spinal canal with contrast 72147 $6,480.00 $1,620.00
MRI scan of lower spinal canal 72148 $1,026.00 $256.50
MRI scan of lower spinal canal 72148 $4,755.00 $1,188.75
MRI scan of lower spinal canal with contrast 72149 $4,919.00 $1,229.75
MRI scan of lower spinal canal with contrast 72149 $768.00 $192.00
MRI scan of lower spinal canal with contrast 72149 $807.00 $201.75
MRI scan of upper spinal canal before and after contrast 72156 $6,093.00 $1,523.25
MRI scan of upper spinal canal before and after contrast 72156 $1,435.00 $358.75
MRI scan of middle spinal canal before and after contrast 72157 $6,028.00 $1,507.00
MRI scan of middle spinal canal before and after contrast 72157 $1,035.00 $258.75
MRI scan of middle spinal canal before and after contrast 72157 $976.00 $244.00
MRI scan of lower spinal canal before and after contrast 72158 $6,220.00 $1,555.00
MRI scan of lower spinal canal before and after contrast 72158 $2,128.00 $532.00
MRI scan of lower spinal canal before and after contrast 72158 $1,361.00 $340.25
X-ray of pelvis, 1 or 2 views 72170 $641.00 $160.25
X-ray of pelvis, 1 or 2 views 72170 $86.00 $21.50
X-ray of pelvis, 1 or 2 views 72170 $611.00 $152.75
X-ray of pelvis, 1 or 2 views 72170 $82.00 $20.50
X-ray of pelvis, minimum of 3 views 72190 $534.00 $133.50
X-ray of pelvis, minimum of 3 views 72190 $91.00 $22.75
X-ray of pelvis, minimum of 3 views 72190 $86.00 $21.50
CT scan pelvis 72192 $3,470.00 $867.50
CT scan pelvis 72192 $378.00 $94.50
CT scan of the pelvis with contrast or dye 72193 $3,924.00 $2,943.00
CT scan of the pelvis with contrast or dye 72193 $3,924.00 $981.00
CT scan of the pelvis with contrast or dye 72193 $343.00 $257.25
CT scan of the pelvis with contrast or dye 72193 $343.00 $85.75
MRI scan of pelvis 72195 $574.00 $143.50
MRI scan of pelvis 72195 $3,768.00 $942.00
MRI scan of pelvis 72195 $607.00 $151.75
MRI scan of pelvis with contrast 72196 $545.00 $136.25
MRI scan of pelvis with contrast 72196 $6,052.00 $1,513.00
MRI scan of pelvis before and after contrast 72197 $968.00 $242.00
MRI scan of pelvis before and after contrast 72197 $913.00 $228.25
MRI scan of pelvis before and after contrast 72197 $6,280.00 $1,570.00
MRA scan of pelvic blood vessels 72198 $7,810.00 $1,952.50
MRA scan of pelvic blood vessels 72198 $8,014.00 $2,003.50
MRA scan of pelvic blood vessels 72198 $484.00 $121.00
MRA scan of pelvic blood vessels 72198 $483.00 $120.75
MRA scan of pelvic blood vessels 72198 $7,610.00 $1,902.50
X-ray of sacroiliac joints, 3 or more views 72202 $564.00 $141.00
X-ray of sacroiliac joints, 3 or more views 72202 $104.00 $26.00
X-ray of pelvis, minimum of 2 views 72220 $583.00 $145.75
X-ray of pelvis, minimum of 2 views 72220 $110.00 $27.50
X-ray of pelvis, minimum of 2 views 72220 $691.00 $172.75
Radiological supervision and interpretation X-ray of disc of vertebra, upper or middle spine 72285 $514.00 $128.50
Radiological supervision and interpretation X-ray of disc of vertebra, upper or middle spine 72285 $3,668.00 $917.00
Radiological supervision and interpretation X-ray of disc of vertebra, lower spine 72295 $3,668.00 $917.00
Radiological supervision and interpretation X-ray of disc of vertebra, lower spine 72295 $487.00 $121.75
X-ray of collar bone 73000 $149.00 $37.25
X-ray of collar bone 73000 $585.00 $146.25
X-ray of collar bone 73000 $1,028.00 $257.00
X-ray of collar bone 73000 $665.00 $166.25
X-ray of collar bone 73000 $100.00 $25.00
X-ray of shoulder blade 73010 $121.00 $30.25
X-ray of shoulder blade 73010 $587.00 $146.75
X-ray of shoulder blade 73010 $1,061.00 $265.25
X-ray of shoulder blade 73010 $181.00 $45.25
X-ray of shoulder, 1 view 73020 $133.00 $33.25
X-ray of shoulder, 1 view 73020 $623.00 $155.75
X-ray of shoulder, 1 view 73020 $88.00 $22.00
X-ray of shoulder, 1 view 73020 $1,067.00 $266.75
X-ray of shoulder, minimum of 2 views 73030 $628.00 $157.00
X-ray of shoulder, minimum of 2 views 73030 $123.00 $30.75
X-ray of shoulder, minimum of 2 views 73030 $597.00 $149.25
X-ray of shoulder, minimum of 2 views 73030 $1,125.00 $281.25
X-ray of shoulder, minimum of 2 views 73030 $184.00 $46.00
Radiological supervision and interpretation X-ray of shoulder joint 73040 $207.00 $51.75
Radiological supervision and interpretation X-ray of shoulder joint 73040 $1,776.00 $444.00
X-ray of both collar bones 73050 $76.00 $19.00
X-ray of both collar bones 73050 $677.00 $169.25
X-ray of both collar bones 73050 $72.00 $18.00
X-ray of upper arm, minimum of 2 views 73060 $999.00 $249.75
X-ray of upper arm, minimum of 2 views 73060 $665.00 $166.25
X-ray of upper arm, minimum of 2 views 73060 $100.00 $25.00
X-ray of upper arm, minimum of 2 views 73060 $145.00 $36.25
X-ray of upper arm, minimum of 2 views 73060 $566.00 $141.50
X-ray of upper arm, minimum of 2 views 73060 $538.00 $134.50
X-ray of elbow, 2 views 73070 $69.00 $17.25
X-ray of elbow, 2 views 73070 $578.00 $144.50
X-ray of elbow, 2 views 73070 $792.00 $198.00
X-ray of elbow, 2 views 73070 $78.00 $19.50
X-ray of elbow, 2 views 73070 $111.00 $27.75
X-ray of elbow, minimum of 3 views 73080 $77,465.00 $19,366.25
X-ray of elbow, minimum of 3 views 73080 $140.00 $35.00
X-ray of elbow, minimum of 3 views 73080 $93.00 $23.25
X-ray of elbow, minimum of 3 views 73080 $966.00 $241.50
X-ray of elbow, minimum of 3 views 73080 $550.00 $137.50
Radiological supervision and interpretation X-ray of elbow 73085 $170.00 $42.50
Radiological supervision and interpretation X-ray of elbow 73085 $2,140.00 $535.00
X-ray of forearm, 2 views 73090 $577.00 $144.25
X-ray of forearm, 2 views 73090 $549.00 $137.25
X-ray of forearm, 2 views 73090 $96.00 $24.00
X-ray of forearm, 2 views 73090 $145.00 $36.25
X-ray of forearm, 2 views 73090 $1,009.00 $252.25
X-ray of arm in infant minimum of 2 views 73092 $64.00 $16.00
X-ray of arm in infant minimum of 2 views 73092 $68.00 $17.00
X-ray of arm in infant minimum of 2 views 73092 $102.00 $25.50
X-ray of arm in infant minimum of 2 views 73092 $659.00 $164.75
X-ray of arm in infant minimum of 2 views 73092 $190.00 $47.50
X-ray of wrist, 2 views 73100 $54.00 $13.50
X-ray of wrist, 2 views 73100 $205.00 $51.25
X-ray of wrist, 2 views 73100 $423.00 $105.75
X-ray of wrist, 2 views 73100 $266.00 $66.50
X-ray of wrist, 2 views 73100 $101.00 $25.25
X-ray of wrist, 2 views 73100 $253.00 $63.25
X-ray of wrist, minimum of 3 views 73110 $130.00 $32.50
X-ray of wrist, minimum of 3 views 73110 $476.00 $119.00
X-ray of wrist, minimum of 3 views 73110 $500.00 $125.00
X-ray of wrist, minimum of 3 views 73110 $881.00 $220.25
X-ray of wrist, minimum of 3 views 73110 $87.00 $21.75
Radiological supervision and interpretation X-ray of wrist joint 73115 $170.00 $42.50
Radiological supervision and interpretation X-ray of wrist joint 73115 $2,140.00 $535.00
X-ray of hand, 2 views 73120 $341.00 $85.25
X-ray of hand, 2 views 73120 $342.00 $85.50
X-ray of hand, 2 views 73120 $325.00 $81.25
X-ray of hand, 2 views 73120 $54.00 $13.50
X-ray of hand, 2 views 73120 $605.00 $151.25
X-ray of hand, 2 views 73120 $61.00 $15.25
X-ray of hand, minimum of 3 views 73130 $1,096.00 $274.00
X-ray of hand, minimum of 3 views 73130 $105.00 $26.25
X-ray of hand, minimum of 3 views 73130 $158.00 $39.50
X-ray of hand, minimum of 3 views 73130 $626.00 $156.50
X-ray of hand, minimum of 3 views 73130 $596.00 $149.00
X-ray of fingers, minimum of 2 views 73140 $911.00 $227.75
X-ray of fingers, minimum of 2 views 73140 $152.00 $38.00
X-ray of fingers, minimum of 2 views 73140 $567.00 $141.75
X-ray of fingers, minimum of 2 views 73140 $101.00 $25.25
X-ray of fingers, minimum of 2 views 73140 $481.00 $120.25
CT scan of arm 73200 $3,550.00 $887.50
CT scan of arm 73200 $299.00 $74.75
CT scan of arm 73200 $225.00 $56.25
CT scan of arm 73200 $6,128.00 $1,532.00
CT scan of arm 73200 $3,703.00 $925.75
CT scan of arm with contrast 73201 $3,703.00 $925.75
CT scan of arm with contrast 73201 $299.00 $74.75
CT scan of arm with contrast 73201 $7,403.00 $1,850.75
CT scan of arm before and after contrast 73202 $9,438.00 $2,359.50
CT scan of arm before and after contrast 73202 $311.00 $77.75
CT scan of arm before and after contrast 73202 $4,956.00 $1,239.00
CT scan of arm before and after contrast 73202 $622.00 $155.50
CT scan of arm blood vessels with contrast 73206 $7,961.00 $1,990.25
CT scan of arm blood vessels with contrast 73206 $394.00 $98.50
MRI scan of arm 73218 $5,215.00 $1,303.75
MRI scan of arm 73218 $847.00 $211.75
MRI scan of arm 73218 $5,353.00 $1,338.25
MRI scan of arm 73218 $5,416.00 $1,354.00
MRI scan of arm 73218 $402.00 $100.50
MRI scan of arm with contrast 73219 $5,325.00 $1,331.25
MRI scan of arm with contrast 73219 $6,053.00 $1,513.25
MRI scan of arm with contrast 73219 $760.00 $190.00
MRI scan of arm with contrast 73219 $472.00 $118.00
MRI scan of arm before and after contrast 73220 $6,224.00 $1,556.00
MRI scan of arm before and after contrast 73220 $767.00 $191.75
MRI scan of arm before and after contrast 73220 $599.00 $149.75
MRI scan of arm before and after contrast 73220 $571.00 $142.75
MRI scan of arm joint 73221 $5,041.00 $1,260.25
MRI scan of arm joint 73221 $5,293.00 $1,323.25
MRI scan of arm joint 73221 $847.00 $211.75
MRI scan of arm joint 73221 $4,913.00 $1,228.25
MRI scan of arm joint with contrast 73222 $760.00 $190.00
MRI scan of arm joint with contrast 73222 $5,577.00 $1,394.25
MRI scan of arm joint with contrast 73222 $5,312.00 $1,328.00
MRI scan of arm joint before and after contrast 73223 $767.00 $191.75
MRI scan of arm joint before and after contrast 73223 $6,201.00 $1,550.25
MRI scan of arm joint before and after contrast 73223 $813.00 $203.25
MRA scan of arm blood vessels 73225 $6,480.00 $1,620.00
MRA scan of arm blood vessels 73225 $479.00 $119.75
MRA scan of arm blood vessels 73225 $5,727.00 $1,431.75
X-ray of hip with pelvis, 1 view 73501 $80.00 $20.00
X-ray of hip with pelvis, 1 view 73501 $356.00 $89.00
X-ray of hip with pelvis, 1 view 73501 $317.00 $79.25
X-ray of hip with pelvis, 1 view 73501 $409.00 $102.25
X-ray of hip with pelvis, 1 view 73501 $93.00 $23.25
X-ray of hip with pelvis, 2-3 views 73502 $123.00 $30.75
X-ray of hip with pelvis, 2-3 views 73502 $452.00 $113.00
X-ray of hip with pelvis, 2-3 views 73502 $429.00 $107.25
X-ray of hip with pelvis, 2-3 views 73502 $121.00 $30.25
X-ray of hip with pelvis, 2-3 views 73502 $1,364.00 $341.00
X-ray of hip with pelvis, 2-3 views 73502 $683.00 $170.75
X-ray of hip with pelvis, 2-3 views 73502 $184.00 $46.00
X-ray of hip with pelvis, 2-3 views 73502 $519.00 $129.75
X-ray of hip with pelvis, 2-3 views 73502 $643.00 $160.75
X-ray of hip with pelvis, 2-3 views 73502 $114.00 $28.50
X-ray of both hips with pelvis, 2 views 73521 $808.00 $202.00
X-ray of both hips with pelvis, 2 views 73521 $164.00 $41.00
X-ray of both hips with pelvis, 2 views 73521 $430.00 $107.50
X-ray of both hips with pelvis, 2 views 73521 $114.00 $28.50
X-ray of both hips with pelvis, 2 views 73521 $1,116.00 $279.00
Radiological supervision and interpretation X-ray of hip joint 73525 $2,716.00 $679.00
Radiological supervision and interpretation X-ray of hip joint 73525 $234.00 $58.50
X-ray of femur, 1 view 73551 $181.00 $45.25
X-ray of femur, 1 view 73551 $125.00 $31.25
X-ray of femur, 1 view 73551 $686.00 $171.50
X-ray of femur, 1 view 73551 $454.00 $113.50
X-ray of femur, minimum 2 views 73552 $1,065.00 $266.25
X-ray of femur, minimum 2 views 73552 $104.00 $26.00
X-ray of femur, minimum 2 views 73552 $607.00 $151.75
X-ray of femur, minimum 2 views 73552 $711.00 $177.75
X-ray of femur, minimum 2 views 73552 $156.00 $39.00
X-ray of knee, 1 or 2 views 73560 $78.00 $19.50
X-ray of knee, 1 or 2 views 73560 $484.00 $121.00
X-ray of knee, 1 or 2 views 73560 $392.00 $98.00
X-ray of knee, 1 or 2 views 73560 $64.00 $16.00
X-ray of knee, 1 or 2 views 73560 $735.00 $183.75
X-ray of knee, 1 or 2 views 73560 $118.00 $29.50
X-ray of knee, 3 views 73562 $811.00 $202.75
X-ray of knee, 3 views 73562 $772.00 $193.00
X-ray of knee, 3 views 73562 $1,383.00 $345.75
X-ray of knee, 3 views 73562 $111.00 $27.75
X-ray of knee, 3 views 73562 $630.00 $157.50
X-ray of knee, 3 views 73562 $167.00 $41.75
X-ray of knee, 4 or more views 73564 $583.00 $145.75
X-ray of knee, 4 or more views 73564 $181.00 $45.25
X-ray of knee, 4 or more views 73564 $554.00 $138.50
X-ray of knee, 4 or more views 73564 $1,062.00 $265.50
X-ray of knee, 4 or more views 73564 $121.00 $30.25
X-ray of knee, 4 or more views 73564 $112.00 $28.00
X-ray of both knees, standing, front to back view 73565 $65.00 $16.25
X-ray of both knees, standing, front to back view 73565 $71.00 $17.75
X-ray of both knees, standing, front to back view 73565 $277.00 $69.25
X-ray of both knees, standing, front to back view 73565 $263.00 $65.75
Radiological supervision and interpretation X-ray of knee joint 73580 $243.00 $60.75
Radiological supervision and interpretation X-ray of knee joint 73580 $1,837.00 $459.25
X-ray of lower leg, 2 views 73590 $156.00 $39.00
X-ray of lower leg, 2 views 73590 $974.00 $243.50
X-ray of lower leg, 2 views 73590 $650.00 $162.50
X-ray of lower leg, 2 views 73590 $104.00 $26.00
X-ray of lower leg, 2 views 73590 $570.00 $142.50
X-ray of lower leg, 2 views 73590 $618.00 $154.50
X-ray of leg in infant minimum of 2 views 73592 $439.00 $109.75
X-ray of leg in infant minimum of 2 views 73592 $69.00 $17.25
X-ray of leg in infant minimum of 2 views 73592 $71.00 $17.75
X-ray of leg in infant minimum of 2 views 73592 $107.00 $26.75
X-ray of leg in infant minimum of 2 views 73592 $879.00 $219.75
X-ray of ankle, 2 views 73600 $124.00 $31.00
X-ray of ankle, 2 views 73600 $427.00 $106.75
X-ray of ankle, 2 views 73600 $773.00 $193.25
X-ray of ankle, 2 views 73600 $67.00 $16.75
X-ray of ankle, 2 views 73600 $87.00 $21.75
X-ray of ankle, 2 views 73600 $406.00 $101.50
X-ray of ankle, minimum of 3 views 73610 $1,082.00 $270.50
X-ray of ankle, minimum of 3 views 73610 $725.00 $181.25
X-ray of ankle, minimum of 3 views 73610 $458.00 $114.50
X-ray of ankle, minimum of 3 views 73610 $104.00 $26.00
X-ray of ankle, minimum of 3 views 73610 $588.00 $147.00
X-ray of ankle, minimum of 3 views 73610 $156.00 $39.00
Radiological supervision and interpretation X-ray of ankle joint 73615 $1,435.00 $358.75
Radiological supervision and interpretation X-ray of ankle joint 73615 $200.00 $50.00
Radiological supervision and interpretation X-ray of ankle joint 73615 $188.00 $47.00
X-ray of foot, 2 views 73620 $1,232.00 $308.00
X-ray of foot, 2 views 73620 $86.00 $21.50
X-ray of foot, 2 views 73620 $123.00 $30.75
X-ray of foot, 2 views 73620 $75.00 $18.75
X-ray of foot, 2 views 73620 $700.00 $175.00
X-ray of foot, 2 views 73620 $735.00 $183.75
X-ray of foot, minimum of 3 views 73630 $142.00 $35.50
X-ray of foot, minimum of 3 views 73630 $116.00 $29.00
X-ray of foot, minimum of 3 views 73630 $985.00 $246.25
X-ray of foot, minimum of 3 views 73630 $562.00 $140.50
X-ray of foot, minimum of 3 views 73630 $534.00 $133.50
X-ray of foot, minimum of 3 views 73630 $99.00 $24.75
X-ray of heel, minimum of 2 views 73650 $105.00 $26.25
X-ray of heel, minimum of 2 views 73650 $719.00 $179.75
X-ray of heel, minimum of 2 views 73650 $409.00 $102.25
X-ray of heel, minimum of 2 views 73650 $57.00 $14.25
X-ray of heel, minimum of 2 views 73650 $70.00 $17.50
X-ray of heel, minimum of 2 views 73650 $389.00 $97.25
X-ray of toes, minimum of 2 views 73660 $392.00 $98.00
X-ray of toes, minimum of 2 views 73660 $63.00 $15.75
X-ray of toes, minimum of 2 views 73660 $453.00 $113.25
X-ray of toes, minimum of 2 views 73660 $94.00 $23.50
X-ray of toes, minimum of 2 views 73660 $711.00 $177.75
CT scan leg 73700 $5,002.00 $1,250.50
CT scan leg 73700 $3,544.00 $886.00
CT scan leg 73700 $223.00 $55.75
CT scan leg with contrast injection 73701 $5,876.00 $1,469.00
CT scan leg with contrast injection 73701 $3,879.00 $969.75
CT scan leg with contrast injection 73701 $371.00 $92.75
CT scan leg with contrast injection 73701 $200.00 $50.00
CT scan of lower leg blood vessels with contrast 73706 $305.00 $76.25
CT scan of lower leg blood vessels with contrast 73706 $9,630.00 $2,407.50
MRI scan of leg 73718 $993.00 $248.25
MRI scan of leg 73718 $926.00 $231.50
MRI scan of leg 73718 $5,460.00 $1,365.00
MRI scan of leg 73718 $5,306.00 $1,326.50
MRI scan of leg 73718 $937.00 $234.25
MRI scan of leg with contrast 73719 $5,325.00 $1,331.25
MRI scan of leg with contrast 73719 $406.00 $101.50
MRI scan of leg with contrast 73719 $6,219.00 $1,554.75
MRI scan of leg with contrast 73719 $763.00 $190.75
MRI scan of leg with contrast 73719 $727.00 $181.75
MRI scan of leg before and after contrast 73720 $802.00 $200.50
MRI scan of leg before and after contrast 73720 $850.00 $212.50
MRI scan of leg before and after contrast 73720 $908.00 $227.00
MRI scan of leg before and after contrast 73720 $6,175.00 $1,543.75
MRI scan of leg joint 73721 $6,514.00 $1,628.50
MRI scan of leg joint 73721 $926.00 $231.50
MRI scan of leg joint 73721 $806.00 $201.50
MRI scan of leg joint 73721 $6,329.00 $1,582.25
MRI scan of leg joint 73721 $5,007.00 $1,251.75
MRI scan of leg joint 73721 $5,258.00 $1,314.50
MRI scan of leg joint with contrast 73722 $5,325.00 $1,331.25
MRI scan of leg joint with contrast 73722 $5,741.00 $1,435.25
MRI scan of leg joint with contrast 73722 $406.00 $101.50
MRI scan of leg joint before and after contrast 73723 $6,066.00 $1,516.50
MRI scan of leg joint before and after contrast 73723 $6,329.00 $1,582.25
MRI scan of leg joint before and after contrast 73723 $962.00 $240.50
MRI scan of leg joint before and after contrast 73723 $4,782.00 $1,195.50
MRI scan of leg joint before and after contrast 73723 $908.00 $227.00
MRI scan of leg joint before and after contrast 73723 $926.00 $231.50
MRA scan of leg blood vessels 73725 $6,856.00 $1,714.00
MRA scan of leg blood vessels 73725 $370.00 $92.50
MRA scan of leg blood vessels 73725 $6,253.00 $1,563.25
MRA scan of leg blood vessels 73725 $6,858.00 $1,714.50
MRA scan of leg blood vessels 73725 $7,610.00 $1,902.50
X-ray of abdomen, 1 view 74018 $112.00 $28.00
X-ray of abdomen, 1 view 74018 $559.00 $139.75
X-ray of abdomen, 1 view 74018 $454.00 $113.50
X-ray of abdomen, 1 view 74018 $587.00 $146.75
X-ray of abdomen, 2 views 74019 $723.00 $180.75
X-ray of abdomen, 2 views 74019 $175.00 $43.75
X-ray of abdomen, 2 views 74019 $688.00 $172.00
X-ray of abdomen, minimum of 3 views 74021 $222.00 $55.50
X-ray of abdomen, minimum of 3 views 74021 $898.00 $224.50
Imaging of abdomen and chest 74022 $872.00 $218.00
Imaging of abdomen and chest 74022 $173.00 $43.25
Imaging of abdomen and chest 74022 $830.00 $207.50
CT scan abdomen 74150 $3,419.00 $854.75
CT scan abdomen 74150 $330.00 $82.50
CT scan of the abdomen with contrast or dye 74160 $4,202.00 $3,151.50
CT scan of the abdomen with contrast or dye 74160 $4,202.00 $1,050.50
CT scan of the abdomen with contrast or dye 74160 $352.00 $88.00
CT scan of the abdomen with contrast or dye 74160 $352.00 $264.00
CT scan abdomen before and after contrast 74170 $5,904.00 $1,476.00
CT scan abdomen before and after contrast 74170 $313.00 $78.25
CT scan of abdominal and pelvic blood vessels with contrast 74174 $4,184.00 $1,046.00
CT scan of abdominal and pelvic blood vessels with contrast 74174 $926.00 $231.50
CT scan of abdominal and pelvic blood vessels with contrast 74174 $9,724.00 $2,431.00
CT scan of abdominal and pelvic blood vessels with contrast 74174 $434.00 $108.50
CT scan of abdominal blood vessels with contrast 74175 $255.00 $63.75
CT scan of abdominal blood vessels with contrast 74175 $6,129.00 $1,532.25
CT scan of abdomen and pelvis 74176 $6,222.00 $1,555.50
CT scan of abdomen and pelvis 74176 $758.00 $189.50
CT scan of abdomen and pelvis 74176 $6,596.00 $1,649.00
CT scan of abdomen and pelvis 74176 $273.00 $68.25
CT scan of abdomen and pelvis with contrast 74177 $704.00 $176.00
CT scan of abdomen and pelvis with contrast 74177 $8,124.00 $2,031.00
CT scan of abdomen and pelvis with contrast 74177 $7,568.00 $1,892.00
CT scan of abdomen and pelvis with contrast 74177 $7,140.00 $1,785.00
CT scan of abdomen and pelvis before and after contrast 74178 $586.00 $146.50
CT scan of abdomen and pelvis before and after contrast 74178 $621.00 $155.25
CT scan of abdomen and pelvis before and after contrast 74178 $8,375.00 $2,093.75
MRI scan of abdomen 74181 $3,406.00 $851.50
MRI scan of abdomen 74181 $4,879.00 $1,219.75
MRI scan of abdomen 74181 $500.00 $125.00
MRI scan of abdomen 74181 $607.00 $151.75
MRI scan of abdomen with contrast 74182 $500.00 $125.00
MRI scan of abdomen with contrast 74182 $6,053.00 $1,513.25
MRI scan of abdomen before and after contrast 74183 $1,128.00 $282.00
MRI scan of abdomen before and after contrast 74183 $6,096.00 $1,524.00
MRI scan of blood vessels of abdomen 74185 $538.00 $134.50
MRI scan of blood vessels of abdomen 74185 $7,086.00 $1,771.50
MRI scan of blood vessels of abdomen 74185 $6,965.00 $1,741.25
MRI scan of blood vessels of abdomen 74185 $6,532.00 $1,633.00
X-ray of esophagus 74220 $179.00 $44.75
X-ray of esophagus 74220 $1,419.00 $354.75
Imaging for evaluation of swallowing function 74230 $1,011.00 $252.75
Imaging for evaluation of swallowing function 74230 $276.00 $69.00
Imaging for evaluation of swallowing function 74230 $1,010.00 $252.50
X-ray of upper digestive tract 74240 $1,544.00 $386.00
X-ray of upper digestive tract 74240 $239.00 $59.75
X-ray of upper digestive tract, kidneys, urinary ducts (ureters), and bladder 74241 $1,506.00 $376.50
X-ray of upper digestive tract, kidneys, urinary ducts (ureters), and bladder 74241 $28.00 $7.00
X-ray upper GI series, with small bowel films 74245 $340.00 $85.00
X-ray upper GI series, with small bowel films 74245 $2,170.00 $542.50
X-ray of upper digestive tract with contrast 74246 $1,910.00 $477.50
X-ray of upper digestive tract with contrast 74246 $258.00 $64.50
X-ray of upper digestive tract, kidneys, urinary ducts (ureters), and bladder with contrast 74247 $1,603.00 $400.75
X-ray of upper digestive tract, kidneys, urinary ducts (ureters), and bladder with contrast 74247 $231.00 $57.75
X-ray of upper digestive tract with contrast followed by x-ray of small bowel at later point 74249 $2,952.00 $738.00
X-ray of upper digestive tract with contrast followed by x-ray of small bowel at later point 74249 $399.00 $99.75
X-ray of small intestine 74250 $199.00 $49.75
X-ray of small intestine 74250 $1,651.00 $412.75
X-ray of large bowel with contrast 74270 $245.00 $61.25
X-ray of large bowel with contrast 74270 $1,933.00 $483.25
X-ray of large bowel with contrast 74280 $369.00 $92.25
X-ray of large bowel with contrast 74280 $2,375.00 $593.75
Radiological supervision and interpretation X-ray of bile and/or pancreatic ducts during surgery 74300 $154.00 $38.50
Radiological supervision and interpretation X-ray of bile and/or pancreatic ducts during surgery 74300 $1,783.00 $445.75
Imaging of bile duct and/or pancreas 74301 $75.00 $18.75
Imaging of bile duct and/or pancreas 74301 $782.00 $195.50
Placement of catheter of gallbladder and pancreas under imaging using an endoscope 74330 $443.00 $110.75
Placement of catheter of gallbladder and pancreas under imaging using an endoscope 74330 $1,980.00 $495.00
Imaging of urinary tract with injection of contrast into a vein 74400 $276.00 $69.00
Imaging of urinary tract with injection of contrast into a vein 74400 $2,150.00 $537.50
Imaging of urinary tract 74420 $1,399.00 $349.75
Imaging of urinary tract 74420 $186.00 $46.50
Radiological supervision and interpretation X-ray of urinary tract 74425 $217.00 $54.25
Radiological supervision and interpretation X-ray of urinary tract 74425 $978.00 $244.50
Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views 74430 $253.00 $63.25
Radiological supervision and interpretation X-ray of urinary bladder, minimum of 3 views 74430 $944.00 $236.00
Radiological supervision and interpretation X-ray of urinary bladder and urethra 74450 $1,303.00 $325.75
Radiological supervision and interpretation X-ray of urinary bladder and urethra 74450 $264.00 $66.00
Radiological supervision and interpretation X-ray of urinary bladder and urethra 74455 $1,446.00 $361.50
Radiological supervision and interpretation X-ray of urinary bladder and urethra 74455 $273.00 $68.25
Imaging of pelvis 74710 $143.00 $35.75
Radiological supervision and interpretation X-ray of uterine tubes and ovaries 74740 $195.00 $48.75
Radiological supervision and interpretation X-ray of uterine tubes and ovaries 74740 $1,412.00 $353.00
CT scan of heart with evaluation of blood vessel calcium 75571 $42.00 $10.50
CT scan of heart with evaluation of blood vessel calcium 75571 $57.00 $14.25
Radiological supervision and interpretation X-ray of chest aorta 75605 $4,928.00 $1,232.00
Radiological supervision and interpretation X-ray of abdominal aorta 75625 $7,092.00 $1,773.00
CT scan of abdominal aorta and both leg arteries with contrast 75635 $8,199.00 $2,049.75
CT scan of abdominal aorta and both leg arteries with contrast 75635 $904.00 $226.00
Radiological supervision and interpretation of imaging of artery of one arm or leg 75710 $428.00 $107.00
Radiological supervision and interpretation of imaging of artery of one arm or leg 75710 $5,706.00 $1,426.50
Radiological supervision and interpretation of imaging of arteries of both arms or legs 75716 $295.00 $73.75
Radiological supervision and interpretation of imaging of arteries of both arms or legs 75716 $6,112.00 $1,528.00
Radiological supervision and interpretation of imaging of abdominal artery 75726 $6,122.00 $1,530.50
Radiological supervision and interpretation of imaging of artery of one adrenal gland 75731 $4,928.00 $1,232.00
Radiological supervision and interpretation of imaging of arteries of both adrenal glands 75733 $5,673.00 $1,418.25
Radiological supervision and interpretation of imaging of artery of pelvis 75736 $5,518.00 $1,379.50
Radiological supervision and interpretation of imaging of artery of one lung 75741 $3,514.00 $878.50
Radiological supervision and interpretation of imaging of arteries of both lungs 75743 $3,466.00 $866.50
Radiological supervision and interpretation of imaging of artery 75774 $2,651.00 $662.75
Radiological supervision and interpretation of imaging of vein of one arm or leg 75820 $393.00 $98.25
Radiological supervision and interpretation of imaging of vein of one arm or leg 75820 $3,866.00 $966.50
Radiological supervision and interpretation of imaging of vein of one arm or leg 75820 $3,473.00 $868.25
Radiological supervision and interpretation of imaging of veins of both arms or legs 75822 $4,332.00 $1,083.00
Radiological supervision and interpretation of imaging of veins of both arms or legs 75822 $590.00 $147.50
Radiological supervision and interpretation of imaging of veins of both arms or legs 75822 $3,868.00 $967.00
Radiological supervision and interpretation of imaging of major abdominal vein 75825 $390.00 $97.50
Radiological supervision and interpretation of imaging of major abdominal vein 75825 $2,189.00 $547.25
Radiological supervision and interpretation of repair of chest aorta with graft 75956 $6,135.00 $1,533.75
Radiological supervision and interpretation of change of tube (accessed through the skin) or drainage catheter with contrast monitoring 75984 $1,435.00 $358.75
Radiological supervision and interpretation of change of tube (accessed through the skin) or drainage catheter with contrast monitoring 75984 $234.00 $58.50
Radiological supervision and interpretation of placement of catheter with drainage (accessed through the skin) procedure 75989 $360.00 $90.00
Radiological supervision and interpretation of placement of catheter with drainage (accessed through the skin) procedure 75989 $3,532.00 $883.00
Radiological supervision and interpretation of placement of catheter with drainage (accessed through the skin) procedure 75989 $3,704.00 $926.00
Radiological supervision and interpretation of placement of catheter with drainage (accessed through the skin) procedure 75989 $367.00 $91.75
Imaging guidance for procedure, up to 1 hour 76000 $111.00 $27.75
Imaging from nose to rectum, single view, child 76010 $80.00 $20.00
Imaging from nose to rectum, single view, child 76010 $369.00 $92.25
Imaging for abscess or abnormal drainage tract procedure 76080 $1,325.00 $331.25
Imaging for abscess or abnormal drainage tract procedure 76080 $72.00 $18.00
Imaging of surgical specimen 76098 $35.00 $8.75
Imaging of surgical specimen 76098 $376.00 $94.00
Single plane imaging procedure 76100 $106.00 $26.50
3D radiographic procedure 76376 $1,460.00 $365.00
3D radiographic procedure 76376 $168.00 $42.00
3D radiographic procedure with computerized image postprocessing 76377 $179.00 $44.75
3D radiographic procedure with computerized image postprocessing 76377 $1,346.00 $336.50
3D radiographic procedure with computerized image postprocessing 76377 $189.00 $47.25
CT scan limited or follow-up study 76380 $143.00 $35.75
CT scan limited or follow-up study 76380 $2,733.00 $683.25
Ultrasound of eye for determination of lens power 76519 $872.00 $218.00
Ultrasound of head and neck 76536 $256.00 $64.00
Ultrasound of head and neck 76536 $285.00 $71.25
Ultrasound of head and neck 76536 $1,258.00 $314.50
Ultrasound of head and neck 76536 $269.00 $67.25
Ultrasound of head and neck 76536 $1,198.00 $299.50
Ultrasound of chest 76604 $272.00 $68.00
Ultrasound of chest 76604 $600.00 $150.00
Ultrasound of chest 76604 $259.00 $64.75
Ultrasound of one breast 76641 $1,710.00 $427.50
Ultrasound of one breast 76641 $292.00 $73.00
Ultrasound of one breast 76641 $1,796.00 $449.00
Ultrasound of one breast 76642 $114.00 $28.50
Ultrasound of one breast 76642 $529.00 $132.25
Ultrasound of the abdomen 76700 $843.00 $632.25
Ultrasound of the abdomen 76700 $2,489.00 $1,866.75
Ultrasound of the abdomen 76700 $2,489.00 $622.25
Ultrasound of the abdomen 76700 $843.00 $210.75
Ultrasound of the abdomen 76700 $894.00 $670.50
Ultrasound of abdomen 76705 $440.00 $110.00
Ultrasound of abdomen 76705 $1,443.00 $360.75
Ultrasound of abdomen 76705 $1,374.00 $343.50
Ultrasound of abdomen 76705 $466.00 $116.50
Ultrasound behind abdominal cavity 76770 $1,216.00 $304.00
Ultrasound behind abdominal cavity 76770 $530.00 $132.50
Ultrasound behind abdominal cavity 76770 $1,158.00 $289.50
Ultrasound behind abdominal cavity 76770 $500.00 $125.00
Ultrasound behind abdominal cavity, limited 76775 $894.00 $223.50
Ultrasound behind abdominal cavity, limited 76775 $292.00 $73.00
Ultrasound behind abdominal cavity, limited 76775 $1,151.00 $287.75
Ultrasound behind abdominal cavity, limited 76775 $289.00 $72.25
Ultrasound of transplanted kidney 76776 $321.00 $80.25
Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) single or first fetus 76801 $610.00 $152.50
Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) single or first fetus 76801 $1,116.00 $279.00
Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) single or first fetus 76801 $647.00 $161.75
Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) 76802 $387.00 $96.75
Abdominal ultrasound of pregnant uterus (less than 14 weeks 0 days) 76802 $251.00 $62.75
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $323.00 $80.75
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $323.00 $242.25
Abdominal ultrasound of pregnant uterus single or first fetus 76811 $253.00 $63.25
Abdominal ultrasound of pregnant uterus single or first fetus 76811 $1,759.00 $439.75
Ultrasound of pregnant uterus, 1 or more fetus(es) 76815 $290.00 $72.50
Ultrasound of pregnant uterus, 1 or more fetus(es) 76815 $1,353.00 $338.25
Ultrasound re-evaluation of pregnant uterus, per fetus 76816 $1,619.00 $404.75
Ultrasound re-evaluation of pregnant uterus, per fetus 76816 $1,290.00 $322.50
Ultrasound re-evaluation of pregnant uterus, per fetus 76816 $1,541.00 $385.25
Vaginal ultrasound of pregnant uterus 76817 $276.00 $69.00
Vaginal ultrasound of pregnant uterus 76817 $336.00 $84.00
Vaginal ultrasound of pregnant uterus 76817 $614.00 $153.50
Ultrasound and monitoring of heart of fetus 76818 $1,485.00 $371.25
Ultrasound pelvis through vagina 76830 $340.00 $85.00
Ultrasound pelvis through vagina 76830 $373.00 $93.25
Ultrasound pelvis through vagina 76830 $1,326.00 $331.50
Ultrasound pelvis through vagina 76830 $416.00 $104.00
Ultrasound of pelvis 76856 $425.00 $106.25
Ultrasound of pelvis 76856 $401.00 $100.25
Ultrasound of pelvis 76856 $1,778.00 $444.50
Ultrasound of pelvis 76857 $237.00 $59.25
Ultrasound of pelvis 76857 $251.00 $62.75
Ultrasound of pelvis 76857 $1,767.00 $441.75
Ultrasound of scrotum 76870 $1,330.00 $332.50
Ultrasound of scrotum 76870 $481.00 $120.25
Ultrasound of scrotum 76870 $510.00 $127.50
Ultrasound of rectum 76872 $734.00 $183.50
Ultrasound of prostate 76873 $2,755.00 $688.75
Complete ultrasound of joint of arm or leg 76881 $202.00 $50.50
Partial ultrasound of joint or other non-blood vessel structure of arm or leg 76882 $527.00 $131.75
Partial ultrasound of joint or other non-blood vessel structure of arm or leg 76882 $1,519.00 $379.75
Partial ultrasound of joint or other non-blood vessel structure of arm or leg 76882 $497.00 $124.25
Ultrasound guidance for accessing into blood vessel 76937 $459.00 $114.75
Ultrasound guidance for accessing into blood vessel 76937 $200.00 $50.00
Ultrasound guidance for accessing into blood vessel 76937 $223.00 $55.75
Ultrasound guidance for accessing into blood vessel 76937 $175.00 $43.75
Ultrasound guidance for accessing into blood vessel 76937 $1,002.00 $250.50
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 76942 $284.00 $71.00
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 76942 $1,290.00 $322.50
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 76942 $1,355.00 $338.75
Ultrasonic guidance imaging supervision and interpretation for insertion of needle 76942 $293.00 $73.25
Ultrasonic guidance during surgery 76998 $298.00 $74.50
Ultrasonic guidance during surgery 76998 $113.00 $28.25
Ultrasound procedure 76999 $439.00 $109.75
Ultrasound procedure 76999 $130.00 $32.50
Fluoroscopic guidance for insertion, replacement or removal of central venous access device 77001 $2,086.00 $521.50
Fluoroscopic guidance for insertion, replacement or removal of central venous access device 77001 $56.00 $14.00
Fluoroscopic guidance for insertion of needle 77002 $412.00 $103.00
Fluoroscopic guidance for insertion of needle 77002 $1,411.00 $352.75
Fluoroscopic guidance for injection into spine or muscle next to spine 77003 $1,042.00 $260.50
Fluoroscopic guidance for injection into spine or muscle next to spine 77003 $360.00 $90.00
Radiological supervision and interpretation of CT guidance for needle insertion 77012 $4,114.00 $1,028.50
Radiological supervision and interpretation of CT guidance for needle insertion 77012 $178.00 $44.50
CT scan guidance for insertion of radiation therapy fields 77014 $890.00 $222.50
CT scan guidance for insertion of radiation therapy fields 77014 $250.00 $62.50
Radiological supervision and interpretation of imaging of breast duct 77053 $557.00 $139.25
Radiological supervision and interpretation of imaging of breast duct 77053 $100.00 $25.00
Radiological supervision and interpretation of imaging of breast ducts 77054 $100.00 $25.00
Radiological supervision and interpretation of imaging of breast ducts 77054 $724.00 $181.00
Mammography of one breast 77065 $379.00 $94.75
Mammography of one breast 77065 $174.00 $43.50
Mammography of one breast 77065 $399.00 $99.75
Mammography of both breasts 77066 $218.00 $54.50
Mammography of both breasts 77066 $504.00 $126.00
Mammography of both breasts 77066 $206.00 $51.50
Mammography of both breasts 77066 $479.00 $119.75
Mammogram of both breasts 77067 $86.00 $64.50
Mammogram of both breasts 77067 $265.00 $198.75
Mammogram of both breasts 77067 $77.00 $19.25
Mammogram of both breasts 77067 $14.00 $3.50
Mammogram of both breasts 77067 $45.00 $11.25
Mammogram of both breasts 77067 $406.00 $101.50
Mammogram of both breasts 77067 $81.00 $20.25
Mammogram of both breasts 77067 $76.00 $57.00
Mammogram of both breasts 77067 $77.00 $57.75
Mammogram of both breasts 77067 $406.00 $304.50
Mammogram of both breasts 77067 $81.00 $60.75
Mammogram of both breasts 77067 $76.00 $19.00
Mammogram of both breasts 77067 $45.00 $33.75
Mammogram of both breasts 77067 $265.00 $66.25
Mammogram of both breasts 77067 $86.00 $21.50
Imaging for bone age assessment 77072 $452.00 $113.00
Imaging for bone age assessment 77072 $85.00 $21.25
Imaging for bone age assessment 77072 $104.00 $26.00
Imaging for bone length assessment 77073 $970.00 $242.50
Imaging for bone length assessment 77073 $63.00 $15.75
Imaging for bone length assessment 77073 $65.00 $16.25
X-ray of bones 77074 $103.00 $25.75
X-ray of bones 77074 $109.00 $27.25
X-ray of bones 77074 $554.00 $138.50
X-ray survey of forearm or wrist bone density 77075 $151.00 $37.75
X-ray survey of forearm or wrist bone density 77075 $1,877.00 $469.25
X-ray survey of forearm or wrist bone density 77075 $135.00 $33.75
X-ray survey of bones, infant 77076 $68.00 $17.00
X-ray survey of bones, infant 77076 $64.00 $16.00
X-ray survey of bones, infant 77076 $531.00 $132.75
Bone density measurement using dedicated X-ray machine 77080 $622.00 $155.50
Bone density measurement using dedicated X-ray machine 77080 $774.00 $193.50
Bone density measurement using dedicated X-ray machine 77080 $110.00 $27.50
Bone density measurement using dedicated X-ray machine 77081 $78.00 $19.50
Bone density measurement using dedicated X-ray machine 77081 $418.00 $104.50
Application of radiation source, complex 77778 $9,111.00 $2,277.75
Nuclear medicine imaging for thyroid uptake measurements 78012 $99.00 $24.75
Nuclear medicine imaging for thyroid uptake measurements 78012 $1,627.00 $406.75
Nuclear medicine imaging of thyroid 78013 $112.00 $28.00
Nuclear medicine imaging of thyroid 78013 $1,349.00 $337.25
Nuclear medicine imaging for thyroid uptake measurements 78014 $2,312.00 $578.00
Nuclear medicine imaging for thyroid uptake measurements 78014 $242.00 $60.50
Imaging of parathyroid 78070 $1,685.00 $421.25
Imaging of parathyroid 78070 $114.00 $28.50
Imaging of parathyroid with nuclear medicine study 78071 $2,392.00 $598.00
Imaging of parathyroid with nuclear medicine study 78071 $506.00 $126.50
Imaging of lymphatic tissue and lymph node 78195 $1,158.00 $289.50
Imaging of lymphatic tissue and lymph node 78195 $4,073.00 $1,018.25
Nuclear medicine study of liver 78205 $450.00 $112.50
Nuclear medicine study of liver 78205 $2,414.00 $603.50
Imaging of liver and spleen 78215 $2,112.00 $528.00
Imaging of liver and spleen 78215 $271.00 $67.75
Imaging of liver and bile duct system 78226 $2,692.00 $673.00
Imaging of liver and bile duct system 78226 $404.00 $101.00
Imaging of liver and bile duct system with use of drugs 78227 $404.00 $101.00
Imaging of liver and bile duct system with use of drugs 78227 $4,865.00 $1,216.25
Stomach emptying study 78264 $301.00 $75.25
Stomach emptying study 78264 $3,181.00 $795.25
Acute digestive tract blood loss imaging 78278 $343.00 $85.75
Acute digestive tract blood loss imaging 78278 $1,533.00 $383.25
Intestine imaging 78290 $227.00 $56.75
Intestine imaging 78290 $2,422.00 $605.50
Bone and/or joint imaging 78300 $200.00 $50.00
Bone and/or joint imaging 78300 $2,086.00 $521.50
Bone and/or joint imaging, multiple areas 78305 $3,145.00 $786.25
Bone and/or joint imaging, multiple areas 78305 $247.00 $61.75
Bone and/or joint imaging, whole body 78306 $357.00 $89.25
Bone and/or joint imaging, 3 phase study 78315 $284.00 $71.00
Bone and/or joint imaging, 3 phase study 78315 $3,568.00 $892.00
Nuclear medicine study of bone and/or joint 78320 $236.00 $59.00
Nuclear medicine study of bone and/or joint 78320 $2,611.00 $652.75
Nuclear medicine study of vessels of heart using drugs or exercise single study 78451 $4,627.00 $1,156.75
Nuclear medicine study of vessels of heart using drugs or exercise single study 78451 $506.00 $126.50
Nuclear medicine study of vessels of heart using drugs or exercise multiple studies 78452 $6,400.00 $1,600.00
Nuclear medicine study of vessels of heart using drugs or exercise multiple studies 78452 $6,095.00 $1,523.75
Nuclear medicine multiple studies of vessels of heart at rest, using drugs, or exercise 78454 $2,844.00 $711.00
Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study 78472 $3,731.00 $932.75
Nuclear medicine study of heart wall motion at rest or stress with evaluation of blood ejection from heart, single study 78472 $3,553.00 $888.25
Nuclear medicine study of blood circulation in the lungs 78580 $215.00 $53.75
Nuclear medicine study of blood circulation in the lungs 78580 $2,086.00 $521.50
Nuclear medicine study of lung ventilation and blood circulation in the lungs 78582 $3,813.00 $953.25
Nuclear medicine study of lung ventilation and blood circulation in the lungs 78582 $422.00 $105.50
Imaging of kidney 78700 $202.00 $50.50
Imaging of kidney 78700 $3,145.00 $786.25
Nuclear medicine study of kidney with assessment of blood flow and function 78707 $222.00 $55.50
Nuclear medicine study of kidney with assessment of blood flow and function 78707 $3,783.00 $945.75
Nuclear medicine study of kidney with assessment of blood flow and function 78708 $222.00 $55.50
Nuclear medicine study of kidney with assessment of blood flow and function 78708 $3,783.00 $945.75
Nuclear medicine backwash of urine into kidney 78740 $181.00 $45.25
Nuclear medicine backwash of urine into kidney 78740 $3,514.00 $878.50
Nuclear medicine study of radioactive material distribution 78803 $350.00 $87.50
Nuclear medicine study of radioactive material distribution 78803 $313.00 $78.25
Nuclear medicine study of radioactive material distribution 78803 $3,114.00 $778.50
Nuclear medicine study of radioactive material distribution 78803 $136.00 $34.00
Nuclear medicine study of radioactive material distribution 78803 $3,784.00 $946.00
Nuclear medicine study of radioactive material distribution 78803 $3,217.00 $804.25
Nuclear medicine study of radioactive material distribution of whole body, requiring 2 or more days imaging 78804 $4,519.00 $1,129.75
Nuclear medicine study of radioactive material distribution of whole body, requiring 2 or more days imaging 78804 $5,444.00 $1,361.00
Nuclear medicine study of radioactive material distribution of whole body, requiring 2 or more days imaging 78804 $3,356.00 $839.00
Nuclear medicine study of radioactive material distribution of whole body, requiring 2 or more days imaging 78804 $308.00 $77.00
Nuclear medicine study of radioactive material distribution of whole body, requiring 2 or more days imaging 78804 $250.00 $62.50
Nuclear medicine study of radioactive material distribution of whole body, requiring 2 or more days imaging 78804 $119.00 $29.75
Nuclear medicine study of radioactive material distribution at sites of inflammation in whole body 78806 $3,849.00 $962.25
Nuclear medicine study of radioactive material distribution at sites of inflammation in whole body 78806 $284.00 $71.00
Nuclear medicine study of radioactive material distribution at site of inflammation 78807 $310.00 $77.50
Nuclear medicine study of radioactive material distribution at site of inflammation 78807 $4,341.00 $1,085.25
Nuclear medicine study limited area 78811 $315.00 $78.75
Nuclear medicine imaging from skull base to mid-thigh 78812 $391.00 $97.75
Nuclear medicine study with CT imaging 78814 $470.00 $117.50
Nuclear medicine study with CT imaging 78814 $6,678.00 $1,669.50
Nuclear medicine study with CT imaging skull base to mid-thigh 78815 $515.00 $128.75
Nuclear medicine study with CT imaging skull base to mid-thigh 78815 $7,665.00 $1,916.25
Nuclear medicine study with CT imaging whole body 78816 $8,134.00 $2,033.50
Nuclear medicine study with CT imaging whole body 78816 $531.00 $132.75
Nuclear medicine study with CT imaging whole body 78816 $532.00 $133.00
Oral administration of radioactive material therapy agent 79005 $2,335.00 $583.75
Radioactive material therapy into vein 79101 $2,935.00 $733.75
Radioactive material therapy into body space or cavity 79200 $2,935.00 $733.75
Basic Metabolic Panel 80048 $284.00 $213.00
Basic Metabolic Panel 80048 $286.00 $71.50
Basic Metabolic Panel 80048 $284.00 $71.00
Basic Metabolic Panel 80048 $286.00 $214.50
General health panel 80050 $436.00 $109.00
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) 80051 $226.00 $56.50
Blood test panel for electrolytes (sodium potassium, chloride, carbon dioxide) 80051 $240.00 $60.00
Comprehensive Metabolic Panel 80053 $329.00 $246.75
Comprehensive Metabolic Panel 80053 $329.00 $82.25
Comprehensive Metabolic Panel 80053 $310.00 $232.50
Comprehensive Metabolic Panel 80053 $313.00 $234.75
Comprehensive Metabolic Panel 80053 $313.00 $78.25
Comprehensive Metabolic Panel 80053 $310.00 $77.50
Lipid Panel 80061 $228.00 $57.00
Lipid Panel 80061 $215.00 $53.75
Lipid Panel 80061 $229.00 $57.25
Lipid Panel 80061 $228.00 $171.00
Lipid Panel 80061 $215.00 $161.25
Lipid Panel 80061 $229.00 $171.75
Kidney function blood test panel 80069 $377.00 $94.25
Acute hepatitis panel 80074 $1,154.00 $288.50
Acute hepatitis panel 80074 $1,223.00 $305.75
Liver function blood test panel 80076 $278.00 $69.50
Liver function blood test panel 80076 $277.00 $69.25
Carbamazepine level 80156 $378.00 $94.50
Carbamazepine level 80156 $319.00 $79.75
Carbamazepine level 80157 $167.00 $41.75
Carbamazepine level 80157 $176.00 $44.00
Cyclosporine level 80158 $916.00 $229.00
Digoxin level 80162 $207.00 $51.75
Valproic acid level 80164 $304.00 $76.00
Valproic acid level 80165 $303.00 $75.75
Ethosuximide level 80168 $494.00 $123.50
Everolimus level 80169 $250.00 $62.50
Gentamicin (antibiotic) level 80170 $398.00 $99.50
Gabapentin level 80171 $242.00 $60.50
Lamotrigine level 80175 $242.00 $60.50
Levetiracetam level 80177 $140.00 $35.00
Lithium level 80178 $195.00 $48.75
Oxcarbazepine level 80183 $5.00 $1.25
Oxcarbazepine level 80183 $286.00 $71.50
Phenobarbital level 80184 $261.00 $65.25
Phenytoin level 80185 $293.00 $73.25
Phenytoin level 80186 $141.00 $35.25
Sirolimus level 80195 $358.00 $89.50
Tacrolimus level 80197 $784.00 $196.00
Tacrolimus level 80197 $631.00 $157.75
Theophylline level 80198 $217.00 $54.25
Tobramycin (antibiotic) level 80200 $416.00 $104.00
Topiramate level 80201 $299.00 $74.75
Vancomycin (antibiotic) level 80202 $490.00 $122.50
Vancomycin (antibiotic) level 80202 $462.00 $115.50
Zonisamide level 80203 $485.00 $121.25
Quantitation of therapeutic drug 80299 $275.00 $68.75
Quantitation of therapeutic drug 80299 $1,102.00 $275.50
Quantitation of therapeutic drug 80299 $341.00 $85.25
Quantitation of therapeutic drug 80299 $882.00 $220.50
Quantitation of therapeutic drug 80299 $324.00 $81.00
Testing for presence of drug 80307 $494.00 $123.50
Testing for presence of drug 80307 $144.00 $36.00
Testing for presence of drug 80307 $55.00 $13.75
Testing for presence of drug 80307 $439.00 $109.75
Testing for presence of drug 80307 $137.00 $34.25
Testing for presence of drug 80307 $549.00 $137.25
Testing for presence of drug 80307 $180.00 $45.00
Alcohols levels 80320 $338.00 $84.50
Alkaloids levels 80323 $247.00 $61.75
Antidepressants levels 80335 $165.00 $41.25
Antidepressants levels 80335 $434.00 $108.50
Antiepileptics levels 80339 $295.00 $73.75
Antiepileptics levels 80339 $153.00 $38.25
Benzodiazepines levels 80346 $219.00 $54.75
Benzodiazepines levels 80346 $216.00 $54.00
Benzodiazepines levels 80346 $194.00 $48.50
Opiates levels 80361 $409.00 $102.25
Drugs or substances measurement 80375 $170.00 $42.50
Drugs or substances measurement 80375 $338.00 $84.50
Hormonal panel for adrenal gland assessment (adrenal gland insufficiency) 80400 $881.00 $220.25
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $47.00 $11.75
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $47.00 $35.25
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $96.00 $24.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $96.00 $72.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $102.00 $25.50
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $102.00 $76.50
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $72.00 $18.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $11.00 $2.75
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $72.00 $54.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $11.00 $8.25
Automated urinalysis test 81003 $107.00 $26.75
Automated urinalysis test 81003 $102.00 $25.50
Automated urinalysis test 81003 $96.00 $24.00
Urinalysis using microscope 81015 $41.00 $10.25
Urinalysis using microscope 81015 $47.00 $11.75
Urine pregnancy test 81025 $63.00 $15.75
Urine pregnancy test 81025 $172.00 $43.00
Urine volume measurement 81050 $263.00 $65.75
Urine volume measurement 81050 $50.00 $12.50
Gene analysis (breast cancer 1 and 2) of full sequence and analysis for duplication or deletion variants 81162 $16,608.00 $4,152.00
Gene analysis (adenomatous polyposis coli), full gene sequence 81201 $795.00 $198.75
Gene analysis (branched-chain keto acid dehydrogenase E1, beta polypeptide) 81205 $586.00 $146.50
Translocation analysis (BCR/ABL1) minor breakpoint 81206 $239.00 $59.75
Translocation analysis (BCR/ABL1) minor breakpoint 81206 $557.00 $139.25
Translocation analysis (BCR/ABL1) major breakpoint 81207 $629.00 $157.25
Gene analysis (Bloom syndrome, RecQ helicase-like) 81209 $398.00 $99.50
Gene analysis (v-raf murine sarcoma viral oncogene homolog B1) 81210 $186.00 $46.50
Gene analysis (v-raf murine sarcoma viral oncogene homolog B1) 81210 $970.00 $242.50
Gene analysis (calreticulin), common variants 81219 $1,328.00 $332.00
Genome-wide microarray analysis for copy number and single nucleotide polymorphism variants 81229 $3,503.00 $875.75
Gene analysis (epidermal growth factor receptor), common variants 81235 $2,465.00 $616.25
Gene analysis (epidermal growth factor receptor), common variants 81235 $352.00 $88.00
Gene analysis (prothrombin, coagulation factor II) A variant 81240 $317.00 $79.25
Gene analysis (coagulation factor V) Leiden variant 81241 $432.00 $108.00
Gene analysis (Fanconi anemia, complementation group C) common variant 81242 $597.00 $149.25
Gene analysis (Fanconi anemia, complementation group C) common variant 81242 $100.00 $25.00
Gene analysis (fragile X mental retardation) abnormal alleles 81243 $292.00 $73.00
Gene analysis (fms-related tyrosine kinase 3) internal tandem duplication variants 81245 $177.00 $44.25
Gene analysis (fms-related tyrosine kinase 3) internal tandem duplication variants 81245 $724.00 $181.00
Test for detecting genes associated with blood cancer 81246 $390.00 $97.50
Gene analysis (glucose-6-phosphatase, catalytic subunit) common variants 81250 $741.00 $185.25
Gene analysis (glucosidase, beta, acid) common variants 81251 $473.00 $118.25
Gene analysis (hexosaminidase A) common variants 81255 $1,508.00 $377.00
Gene analysis (hemochromatosis) common variants 81256 $740.00 $185.00
Gene analysis (alpha globin 1 and alpha globin 2) for common deletions or variant 81257 $577.00 $144.25
Gene analysis (inhibitor of kappa light polypeptide gene enhancer in B-cells, kinase complex-associated protein) common variants 81260 $427.00 $106.75
Gene rearrangement analysis (immunoglobulin heavy chain locus) to detect abnormal clonal population amplified methodology 81261 $792.00 $198.00
Gene rearrangement analysis (immunoglobulin heavy chain locus), variable region somatic mutation analysis 81263 $3,467.00 $866.75
Gene rearrangement analysis (immunoglobulin kappa light chain locus) to detect abnormal clonal population 81264 $413.00 $103.25
Gene analysis (Janus kinase 2) variant 81270 $183.00 $45.75
Gene analysis (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) variants in codons 12 and 13 81275 $205.00 $51.25
Gene analysis (v-Ki-ras2 Kirsten rat sarcoma viral oncogene) variants in codons 12 and 13 81275 $1,464.00 $366.00
Gene analysis (Kirsten rat sarcoma viral oncogene homolog), additional variants 81276 $1,002.00 $250.50
Gene analysis (Kirsten rat sarcoma viral oncogene homolog), additional variants 81276 $205.00 $51.25
Test for detecting genes associated with colon cancer 81288 $898.00 $224.50
Gene analysis (mucolipin 1) common variants 81290 $456.00 $114.00
Gene analysis (5, 10-methylenetetrahydrofolate reductase) common variants 81291 $296.00 $74.00
Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) full sequence analysis 81292 $689.00 $172.25
Gene analysis (mutL homolog 1, colon cancer, nonpolyposis type 2) duplication or deletion variants 81294 $204.00 $51.00
Gene analysis (mutS homolog 2, colon cancer, nonpolyposis type 1) full sequence analysis 81295 $162.00 $40.50