Augusta Procedures and Services
Our Commitment to Quality
Helping ensure our patients receive the highest level of care, delivered with dignity and compassion, is our goal with every patient and family member, every time. Our Board challenges us to remain in the Top 10 percent of hospitals in the country in quality scores, and they meet monthly with physicians and clinical staff to analyze the data and develop a plan to better serve our patients. It is this goal-driven mindset that has earned us recognition in key areas for our quality strides. Learn more about our quality awards and recognition.
NOTE: Charges are displayed for the procedure only. These do not include any medications, supplies or pre-procedure laboratory tests that may be needed prior to the study (for example - CT Scan of the Abdomen with Contrast does not include the contrast medication given. If the contrast is IV, you may have additional charges for the IV supplies). Please contact Scheduling and Benefits for a more accurate estimate of what the procedure will cost.
Piedmont Augusta/Piedmont Augusta Summerville Campus: 706.774.8209 or 706.774.8210
Piedmont McDuffie: 706.597.5219
Effective March 1, 2023
-
49082 ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE 9,887.37
-
49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE 3,431.24
-
49180 BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE 7,081.11
-
49205 EXC/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM 33,969.75
-
49320 LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX 15,453.71
-
49321 LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE 17,169.45
-
49322 LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE 14,647.93
- 49324 LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER 16,776.09
- 49325 LAPS W/REVISION INTRAPERITONEAL CATHETER 14,907.29
- 49329 UNLISTED LAPAROSCOPIC PX ABD PERTONEUM & OMENTUM 19,857.10
- 49405 IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ 4,927.74
- 49406 IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ 7,304.17
- 49411 INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT 6,830.14
- 49418 INSJ INTRAPERITONEAL CATHETER W/IMG GUID 9,766.06
- 49422 REMOVAL TUNNELED INTRAPERITONEAL CATHETER 9,625.55
- 49423 EXCHNG ABSC/CST DRG CATH RAD GID SPX 6,547.69
- 49424 CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX 1,862.88
- 49440 INSERT GASTROSTOMY TUBE PERCUTANEOUS 5,080.00
- 49441 INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ 6,749.16
- 49446 CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ 3,966.13
- 49450 REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS 2,308.03
- 49451 REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ 4,312.55
- 49452 REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS 3,090.11
- 49465 CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE 1,138.63
- 49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE 13,076.09
- 49507 RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED 14,190.27
- 49520 RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE 15,246.59
- 49521 RPR RECRT INGUN HERNIA ANY AGE INCARCERATED 16,265.80
- 49525 RPR INGUN HERNIA SLIDING ANY AGE 12,333.47
- 49550 RPR 1ST FEM HRNA ANY AGE REDUCIBLE 8,840.58
- 49560 REPAIR FIRST ABDOMINAL WALL HERNIA 15,749.35
- 49561 RPR 1ST INCAL/VNT HERNIA INCARCERATED 13,677.99
- 49565 RPR RECRT INCAL/VNT HERNIA REDUCIBLE 13,612.91
- 49566 RPR RECRT INCAL/VNT HERNIA INCARCERATED 18,925.70
- 49570 RPR EPIGASTRIC HERNIA REDUCIBLE SPX 12,949.89
- 49572 RPR EPIGASTRIC HERNIA INCARCERATED 11,219.14
- 49585 RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE 11,081.42
- 49587 RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED 11,352.96
- 49590 RPR SPIGELIAN HERNIA 9,931.94
- 49650 LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA 22,007.51
- 49651 LAPS SURG RPR RECURRENT INGUINAL HERNIA 21,560.75
- 49652 LAPS REPAIR HERNIA EXCEPT INCAL/INGUN REDUCIBLE 20,866.55
- 49653 LAP RPR HRNA XCPT INCAL/INGUN NCRC8/STRANGULATED 26,203.70
- 49654 LAPAROSCOPY REPAIR INCISIONAL HERNIA REDUCIBLE 23,238.36
- 49655 LAPS RPR INCISIONAL HERNIA NCRC8/STRANGULATED 32,861.47
- 49656 LAPS RPR RECURRENT INCISIONAL HERNIA REDUCIBLE 20,388.51
- 49657 LAPS RPR RECURRENT INCAL HRNA NCRC8/STRANGULATED 23,588.57
- 49900 SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN 17,654.22
- 49999 UNLISTED PROCEDURE ABDOMEN PERITONEUM & OMENTUM 1,007.51
- 50080 PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY </2 CM 26,623.19
- 50081 PRQ NEPHROSTOLITHOTOMY/PYELOSTOLITHOTOMY > 2 CM 31,220.06
- 50200 RENAL BIOPSY PRQ TROCAR/NEEDLE 13,615.90
- 50384 REMOVAL INDWELLING URETERAL STENT PRQ 2,368.66
- 50385 REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL 8,907.99
- 50387 RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH 5,654.11
- 50389 RMVL NFROS TUBE REQ FLUORO GUIDANCE 3,844.98
- 50390 ASPIR &/NJX RENAL CYST/PELVIS NEEDLE PRQ 5,699.35
- 50431 NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS 2,062.77
- 50432 PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I 12,795.42
- 50433 PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I 8,556.69
- 50435 EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I 5,045.71
- 50541 LAPAROSCOPY SURG ABLATION RENAL CYSTS 33,038.77
- 50544 LAPAROSCOPY SURG PYELOPLASTY 42,381.62
- 50551 RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION 40,476.86
- 50561 RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS 20,042.91
- 50590 LITHOTRIPSY XTRCORP SHOCK WAVE 8,307.60
- 50688 CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL 10,708.15
- 50693 PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT 7,760.89
- 50694 PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH 8,791.15
- 51040 CYSTOSTOMY CYSTOTOMY W/DRAINAGE 9,105.40
- 51102 ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER 10,989.51
- 51600 NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY 929.71
- 51700 BLDR IRRIGATION SMPL LAVAGE &/INSTLJ 7,975.16
- 51701 INSJ NON-NDWELLG BLADDER CATHETER 3,513.62
- 51702 INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE 1,976.67
- 51705 CHANGE CYSTOSTOMY TUBE SIMPLE 1,524.85
- 51715 NDSC NJX IMPLT MATRL URT&/BLDR NCK 9,399.06
- 51840 ANT VESICOURETHROPEXY/URETHROPEXY SMPL 22,832.05
- 51999 UNLISTED LAPAROSCOPY PROCEDURE BLADDER 43,185.96
- 52000 CYSTOURETHROSCOPY 7,279.90
- 52001 CYSTO W/IRRIG & EVAC MULTPLE OBSTRUCTING CLOTS 24,481.80
- 52005 CYSTO BLADDER W/URETERAL CATHETERIZATION 9,325.40
- 52204 CYSTOURETHROSCOPY WITH BIOPSY 12,544.90
- 52214 CYSTO W/DESTRUCTION OF LESIONS 16,135.23
- 52224 CYSTO W/REMOVAL OF LESIONS SMALL 10,552.22
- 52234 CYSTO W/REMOVAL OF TUMORS SMALL 11,006.39
- 52235 CYSTOURETHROSCOPY W/DEST &/RMVL MED BLADDER TUM 11,403.65
- 52240 CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE 13,978.19
- 52276 CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE 9,444.94
- 52281 CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS 8,381.68
- 52287 CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER 9,507.03
- 52310 CYSTO W/SIMPLE REMOVAL STONE & STENT 10,186.79
- 52317 LITHOLAPAXY SMPL/SM <2.5 CM 13,518.23
- 52318 LITHOLAPAXY COMP/LG > 2.5 CM 14,808.21
- 52325 CYSTO FRAGMENTATION URETERAL STONE 15,131.11
- 52332 CYSTO W/INSERT URETERAL STENT 12,533.97
- 52344 CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE 23,656.91
- 52351 CYSTO W/URTROSCOPY&/PYELOSCOPY DX 11,014.18
- 52352 CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES 12,840.44
- 52353 CYSTO W/URETEROSCOPY W/LITHOTRIPSY 13,151.39
- 52354 CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION 13,826.93
- 52356 CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT 15,465.11
- 52441 CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE 20,301.48
- 52450 TRANSURETHRAL INCISION PROSTATE 24,722.73
- 52500 TRANSURETHRAL RESECTION BLADDER NECK 13,804.83
- 52601 TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE 14,839.21
- 52630 TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS 14,643.86
- 52648 LASER VAPORIZATION OF PROSTATE FOR URINE FLOW 16,879.83
- 52700 TRURL DRAINAGE PROSTATIC ABSCESS 13,796.92
- 53230 EXC URETHRAL DIVERTICULUM SPX FEMALE 19,439.97
- 53410 URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA 31,897.60
- 53415 URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT 24,220.08
- 53440 SLING OPRATION CORRJ MALE URINARY INCONTINENCE 27,456.89
- 53445 INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER 43,321.04
- 53446 REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER 13,998.42
- 53447 RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC 42,014.57
- 53605 DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES 9,001.48
- 53620 DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST 6,924.47
- 54001 SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN 11,309.90
- 54161 CIRCUMCISION AGE >28 DAYS 10,555.17
- 54220 IRRIGATION CORPORA CAVERNOSA PRIAPISM 1,347.44
- 54400 INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID 36,974.57
- 54405 INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH 41,862.07
- 54408 RPR COMPONENT INFLATABLE PENILE PROSTHESIS 24,297.83
- 54410 RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS 40,854.71
- 54437 REPAIR OF TRAUMATIC CORPOREAL TEAR(S) 13,169.06
- 54450 FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING 1,370.51
- 54520 ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH 13,184.98
- 54530 ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH 20,716.30
- 54640 ORCHIOPEXY INGUINAL OR SCROTAL APPROACH 15,725.00
- 54700 I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE 5,049.22
- 54840 EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY 10,243.44
- 55000 PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED 2,823.31
- 55040 EXCISION HYDROCELE UNILATERAL 11,684.22
- 55100 DRAINAGE SCROTAL WALL ABSCESS 6,534.68
- 55110 SCROTAL EXPLORATION 16,649.39
- 55500 EXC HYDROCELE SPRMATIC CORD UNI SPX 12,028.30
- 55530 EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX 15,157.49
- 55700 PROSTATE NEEDLE BIOPSY ANY APPROACH 8,739.86
- 55866 LAPS PROSTECT RETROPUBIC RAD W/NRV SPARING ROBOT 43,203.19
- 55874 TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX 13,143.51
- 55875 TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ 13,067.33
- 55876 PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT 3,602.92
- 55899 UNLISTED PROCEDURE MALE GENITAL SYSTEM 31,023.35
- 56405 I&D VULVA/PERINEAL ABSCESS 1,823.22
- 56420 I&D OF BARTHOLINS GLAND ABSCESS 1,364.05
- 56440 MARSUPIALIZATION BARTHOLINS GLAND CYST 13,395.36
- 56501 DESTRUCTION LESIONS VULVA SIMPLE 8,954.62
- 56515 DESTRUCTION LESIONS VULVA EXTENSIVE 10,494.37
- 56620 VULVECTOMY SIMPLE PARTIAL 10,230.41
- 56625 VULVECTOMY SIMPLE COMPLETE 13,858.21
- 56700 PRTL HYMENECTOMY/REVJ HYMENAL RING 8,408.68
- 56740 EXC BARTHOLINS GLAND/CYST 9,858.06
- 57000 COLPOTOMY W/EXPLORATION 6,687.17
- 57061 DESTRUCTION VAGINAL LESIONS SIMPLE 9,575.11
- 57100 BIOPSY VAGINAL MUCOSA SIMPLE 10,047.69
- 57135 EXCISION VAGINAL CYST/TUMOR 7,671.69
- 57200 COLPORRHAPHY SUTURE INJURY VAGINA 28,821.60
- 57250 POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY 15,994.90
- 57260 CMBND ANTERPOST COLPORRAPHY W/CYSTO 15,561.81
- 57282 COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH 23,678.30
- 57288 SLING OPERATION STRESS INCONTINENCE 16,210.75
- 57295 REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP 14,251.56
- 57415 REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL 17,747.07
- 57421 COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX 13,569.93
- 57425 LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX 45,790.37
- 57455 COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX 11,836.98
- 57461 COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX 9,918.48
- 57500 BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX 6,301.54
- 57505 ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D&C 9,162.83
- 57520 CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER 9,722.88
- 57522 CONIZATION CERVIX W/WO D&C RPR ELTRD EXC 9,260.50
- 57700 CERCLAGE UTERINE CERVIX NONOBSTETRICAL 25,699.59
- 57720 TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG 13,334.45
- 58120 DILATION & CURETTAGE DX&/THER NONOBSTETRIC 9,254.03
- 58140 MYOMECTOMY 1-4 MYOMAS W/250 GM/< ABDOMINAL APPR 25,651.40
- 58145 MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR 9,576.55
- 58146 MYOMECTOMY 5/> MYOMAS &/>250 GM ABDOMINA 23,372.55
- 58150 TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY 26,849.42
- 58260 VAGINAL HYSTERECTOMY UTERUS 250 GM/< 20,172.97
- 58262 VAG HYST 250 GM/< W/RMVL TUBE&/OVARY 21,227.90
- 58291 VAG HYST > 250 GM RMVL TUBE&/OVARY 20,738.32
- 58300 INSERTION INTRAUTERINE DEVICE IUD 9,458.50
- 58301 REMOVAL INTRAUTERINE DEVICE IUD 5,377.33
- 58340 CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI 1,388.72
- 58350 CHROMOTUBATION OVIDUCT W/MATERIALS 22,794.09
- 58353 ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID 13,484.48
- 58542 LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR 46,915.52
- 58545 LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/< 24,798.98
- 58548 LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY 36,347.28
- 58550 LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/< 31,539.05
- 58552 LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES 28,316.34
- 58554 LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR 26,842.70
- 58555 HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE 9,867.35
- 58558 HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C 8,636.17
- 58559 HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS 9,985.90
- 58561 HYSTEROSCOPY REMOVAL LEIOMYOMATA 13,435.49
- 58562 HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY 9,300.22
- 58563 HYSTEROSCOPY ENDOMETRIAL ABLATION 11,310.48
- 58570 LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/< 29,229.48
- 58571 LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY 33,680.08
- 58572 LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM 41,583.85
- 58573 LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR 35,982.51
- 58575 LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC 36,982.06
- 58578 UNLISTED LAPAROSCOPY PROCEDURE UTERUS 18,628.08
- 58579 UNLISTED HYSTEROSCOPY PROCEDURE UTERUS 7,186.33
- 58660 LAPAROSCOPY W/LYSIS OF ADHESIONS 19,276.10
- 58661 LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES 18,625.11
- 58662 LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE 17,263.52
- 58670 LAPAROSCOPY FULGURATION OVIDUCTS 13,403.73
- 58679 UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT/OVARY 17,361.74
- 58720 SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX 25,040.60
- 58925 OVARIAN CYSTECTOMY UNI/BI 28,128.05
- 58940 OOPHORECTOMY PARTIAL/TOTAL UNI/BI 31,412.64
- 58999 UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL 12,884.60
- 59001 AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID 17,603.43
- 59025 FETAL NONSTRESS TEST 3,143.34
- 59150 LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY 26,074.13
- 59151 LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY 19,535.63
- 59160 CURETTAGE POSTPARTUM 8,091.62
- 59200 INSERTION CERVICAL DILATOR SEPARATE PROCEDURE 13,296.89
- 59320 CERCLAGE CERVIX PREGNANCY VAGINAL 7,116.57
- 59325 CERCLAGE CERVIX PREGNANCY ABDOMINAL 40,093.74
- 59412 EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS 3,543.49
- 59812 TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL 8,922.24
- 59820 TX MISSED ABORTION FIRST TRIMESTER SURGICAL 8,521.61
- 59821 TX MISSED ABORTION SECOND TRIMESTER SURGICAL 12,150.15
- 59870 UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE 27,071.36
- 59871 REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA 6,170.80
- 60100 BIOPSY THYROID PERCUTANEOUS CORE NEEDLE 3,080.51
- 60210 PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY 17,470.57
- 60220 TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY 18,391.66
- 60225 TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC 18,037.24
- 60240 THYROIDECTOMY TOTAL/COMPLETE 24,099.22
- 60252 THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT 30,676.26
- 60260 THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL 19,567.63
- 60280 EXCISION THYROGLOSSAL DUCT CYST/SINUS 12,465.71
- 60500 PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS 20,001.04
- 60502 PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR 18,121.86
- 61055 CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION 6,589.04
- 61624 TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS 75,923.38
- 61626 TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS 54,961.63
- 62165 NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID 60,134.56
- 62267 PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS 1,989.90
- 62270 DIAGNOSTIC LUMBAR SPINAL PUNCTURE 7,320.78
- 62272 THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF 5,165.10
- 62273 INJECTION EPIDURAL BLOOD/CLOT PATCH 1,944.19
- 62284 INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR 6,600.37
- 62290 INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR 7,231.40
- 62302 MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL 6,585.25
- 62304 MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL 6,600.10
- 62305 MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS 12,779.86
- 62328 DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT 3,117.37
- 62329 THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT 2,345.30
- 63030 LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR 21,888.82
- 63042 LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR 19,843.70
- 63046 LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM THORACIC 26,813.66
- 63047 LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR 25,775.82
- 63081 VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG 42,457.02
- 63267 LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR 26,046.25
- 63272 LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR 49,081.65
- 63650 PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL 20,816.36
- 63662 RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR 23,596.60
- 63664 REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR 31,988.40
- 63685 INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING 60,230.41
- 63688 REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR 12,540.96
- 64400 INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH 1,102.85
- 64445 INJECTION AA&/STRD SCIATIC NERVE 1,870.40
- 64450 INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH 1,122.28
- 64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL 3,773.48
- 64490 NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL 1,399.02
- 64555 PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV 21,734.64
- 64585 REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE 7,759.33
- 64590 INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR 43,214.21
- 64624 DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG 7,061.70
- 64625 RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN 7,992.26
- 64633 DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA 8,988.75
- 64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL 9,573.94
- 64640 DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE 4,470.78
- 64708 NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC 22,701.15
- 64718 NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW 10,909.86
- 64721 NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE 7,226.66
- 64912 NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND 27,466.82
- 65205 REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL 4,036.50
- 65220 RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP 1,116.87
- 65222 RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP 4,001.40
- 65426 EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG 8,616.43
- 65730 KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA 17,244.44
- 66179 AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT 12,033.12
- 66183 INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR 10,866.04
- 66850 RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR 10,001.21
- 66920 RMVL LENS MATERIAL INTRACAPSULAR 9,179.80
- 66982 XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP 11,061.08
- 66984 XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP 9,964.22
- 66986 EXCHANGE INTRAOCULAR LENS 11,646.98
- 66991 XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1+ 15,132.93
- 66999 UNLISTED PROCEDURE ANTERIOR SEGMENT EYE 7,242.08
- 67010 RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT 12,944.70
- 67036 VITRECTOMY MECHANICAL PARS PLANA 11,010.92
- 67039 VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC 12,068.41
- 67040 VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC 9,853.43
- 67041 VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE 7,875.85
- 67042 VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA 7,846.92
- 67043 VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE 15,375.30
- 67113 RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL 12,729.07
- 67900 REPAIR BROW PTOSIS 13,207.83
- 67904 RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL 11,149.99
- 67921 REPAIR ENTROPION SUTURE 6,815.57
- 67950 CANTHOPLASTY 9,721.76
- 69110 EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR 17,729.71
- 69140 EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL 12,270.00
- 69145 EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL 13,827.64
- 69150 RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ 12,124.54
- 69200 RMVL FB XTRNL AUDITORY CANAL W/O ANES 992.25
- 69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT 1,164.58
- 69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT 799.20
- 69421 MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES 4,278.50
- 69424 VENTILATING TUBE RMVL REQUIRING GENERAL ANES 3,816.75
- 69436 TYMPANOSTOMY GENERAL ANESTHESIA 4,562.96
- 69440 MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC 12,023.05
- 69502 MASTOIDECTOMY COMPLETE 17,538.51
- 69610 TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH 3,764.60
- 69620 MYRINGOPLASTY 10,802.09
- 69631 TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ 15,532.05
- 69632 TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ 13,479.82
- 69633 TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP 16,118.85
- 69641 TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ 18,151.87
- 69643 TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR 17,279.81
- 69644 TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR 15,942.69
- 69645 TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR 18,457.56
- 69646 TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR 19,458.54
- 69650 STAPES MOBILIZATION 13,671.88
- 69661 STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT 18,188.91
- 69666 REPAIR OVAL WINDOW FISTULA 14,486.44
- 69706 SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI 12,081.87
- 69799 UNLISTED PROCEDURE MIDDLE EAR 13,948.23
- 69805 ENDOLYMPHATIC SAC W/O SHUNT 16,539.78
- 91110 GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R 3,424.95
- 91111 GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI&R 3,289.95
- 91113 GI TRACT IMAGING INTRALUMINAL COLON I&R 3,289.95
- 92920 PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH 35,566.20
- 92921 PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH 60,961.12
- 92928 PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH 50,203.66
- 92933 PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH 86,681.19
- 92937 PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL 88,258.11
- 92941 PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL 79,059.01
- 92943 PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL 63,606.04
- 92950 CARDIOPULMONARY RESUSCITATION 6,036.78
- 92960 CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL 3,055.36
- 92978 ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL 76,117.66
- 92986 PRQ BALLOON VALVULOPLASTY AORTIC VALVE 27,159.48
- 93451 RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT 10,277.43
- 93454 CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I 12,716.08
- 93455 CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I 29,879.40
- 93456 CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I 13,889.54
- 93457 CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I 15,252.56
- 93458 CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I 12,545.02
- 93459 CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I 13,224.65
- 93460 R & L HRT CATH WINJX HRT ART& L VENTR IMG 15,206.22
- 93461 R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I 15,602.98
- 93505 ENDOMYOCARDIAL BIOPSY 18,922.78
- 93571 IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL 44,838.77
- 93580 PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT 87,364.39
- 93619 COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION 46,748.35
- 93620 COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION 57,125.49
- 93650 ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION 26,199.29
- 93653 COMPRE EP EVAL ABLTJ 3D MAPG TX SVT 73,293.26
- 93654 COMPRE EP EVAL ABLTJ 3D MAPG TX VT 98,224.41
- 93655 ICAR CATHETER ABLATION ARRHYTHMIA ADD ON 137,244.94
- 93656 COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION 106,892.40
- 93660 CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR 2,399.11
- 93799 UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE 74,192.54
- 94060 BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN 216.00
- 96040 MEDICAL GENETICS COUNSELING EACH 30 MINUTES 216.00
- 96523 IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST 512.60
- 97597 DEBRIDEMENT OPEN WOUND 20 SQ CM/< 882.90
- 97602 RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS 702.00
- 97605 NEGATIVE PRESSURE WOUND THERAPY DME <= 50 SQ CM 753.30
- 97606 NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM 1,406.70