UH 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.
University Hospital/University Summerville: 706-774-8209 or 706-774-8210
University Hospital McDuffie: 706-597-5219
| Service | Charge Code | Charge Description | Charge |
|---|---|---|---|
| Nuclear Medicine | 34100056 | HC (MUGA) CARD BLD PL IMAGE-MULTI | $1,218 |
| Nuclear Medicine | 34100057 | HC MYOCARDIAL PERFUSION IMAGE, SINGLE | $1,471 |
| Nuclear Medicine | 34100058 | HC NUC CARD MYOCARDIAL PERFUSION IMAGE, MULTI | $2,942 |
| Nuclear Medicine | 34100059 | HC (MUGA) CARD BLD PL IMAGE-MULTI | $1,218 |
| Nuclear Medicine | 34100060 | HC PARATHYROID SCAN WITH SPECT | $996 |
| Nuclear Medicine | 34100061 | HC LIVER SPECT (3D) WITH VASCCULAR FLOW | $1,396 |
| Nuclear Medicine | 34100063 | HC IV INJ RADIOPHARM DRUG DX STUDY | $445 |
| Nuclear Medicine | 34100062 | HC NM SPLIT LUNG STUDY | $818 |
| Nuclear Medicine | 34200001 | HC RADIATION APPLICATION,PROSTATE | $1,200 |
| Nuclear Medicine | 34200002 | HC RADIOACTIVE IODINE INGESTION | $697 |
| CT Scan | 35000001 | HC CT ABCESS DRAIN W CATH PLACEMENT | $695 |
| CT Scan | 35000002 | HC CT THERAPY GUIDANCE | $1,918 |
| CT Scan | 35100003 | HC CT HEAD | $1,776 |
| CT Scan | 35100004 | HC CT HEAD WITH CONTRAST | $1,664 |
| CT Scan | 35100005 | HC CT HEAD W/WO CONTRAST | $1,776 |
| CT Scan | 35100006 | HC CT ORBIT,SELLA,EARS,P/FOSSA | $1,543 |
| CT Scan | 35100007 | HC CT ORBIT,SELLA,EARS W/C'TRAST | $1,660 |
| CT Scan | 35100008 | HC CT ORBIT,SELLA,EARS,W/WO CONT | $2,075 |
| CT Scan | 35100009 | HC CT MAXOLLOFACIAL AREA W/O CONTRAST | $1,587 |
| CT Scan | 35100010 | HC CT MAXILLOFACIAL AREA W CONTRAST | $1,821 |
| CT Scan | 35100011 | HC CT MAXILLOFACIAL AREA W/WO CONTRAST | $1,821 |
| CT Scan | 35100012 | HC CT NECK SOFT TISSUE | $1,577 |
| CT Scan | 35100013 | HC CT NECK WITH CONTRAST | $1,885 |
| CT Scan | 35100014 | HC CT NECK W/WO CONTRAST | $2,086 |
| CT Scan | 35100015 | HC CTA HEAD WITH,W/O / RECONS | $1,878 |
| CT Scan | 35100016 | HC CT SINUS STEREOTATIC | $2,367 |
| CT Scan | 35200001 | HC CTA NECK WITH,W/O / RECONS | $1,878 |
| CT Scan | 35200002 | HC CT CHEST | $1,918 |
| CT Scan | 35200003 | HC CT CHEST WITH CONTRAST | $2,068 |
| CT Scan | 35200004 | HC CT CHEST W/WO CONTRAST | $2,379 |
| CT Scan | 35200005 | HC CTA CHEST W,W/O / RECONS | $2,379 |
| CT Scan | 35200006 | HC CT CERVICAL SPINE | $2,179 |
| CT Scan | 35200007 | HC CT CERVICAL SPINE W/CONTRAST | $2,294 |
| CT Scan | 35200008 | HC CT CERVICAL SPINE W,WO CONTRAS | $2,320 |
| CT Scan | 35200009 | HC CT THORACIC SPINE | $2,179 |
| CT Scan | 35200010 | HC CT THORACIC SPINE W/CONTRAST | $2,294 |
| CT Scan | 35200011 | HC CT THORACIC SPINE W,WO CONTRAS | $2,410 |
| CT Scan | 35200012 | HC CT LUMBAR SPINE | $2,179 |
| CT Scan | 35200013 | HC CT LUMBAR SPINE WITH CONTRAST | $2,294 |
| CT Scan | 35200014 | HC CT LUMBAR SPINE W,WO CONTRAST | $2,345 |
| CT Scan | 35200015 | HC CTA PELVIS W,W/O / RECONS | $2,379 |
| CT Scan | 35200016 | HC CT PELVIS | $1,918 |
| CT Scan | 35200017 | HC CT PELVIS W/CONTRAST | $2,068 |
| CT Scan | 35200018 | HC CT PELVIS W/WO CONTRAST | $2,379 |
| CT Scan | 35200019 | HC CT UPPER EXTREMITY | $1,810 |
| CT Scan | 35200020 | HC CT UPPER EXTREMITY WITH CONTRA | $2,068 |
| CT Scan | 35200021 | HC CT UPPER EXTREMITY W/WO CONTRA | $2,379 |
| CT Scan | 35200022 | HC CTA UPPER EXTREM.W,W/O / RECON | $2,285 |
| CT Scan | 35200023 | HC CT LOWER EXTREMITY | $1,810 |
| CT Scan | 35200024 | HC CT LOWER EXTREMITY W/CONTRAST | $2,048 |
| CT Scan | 35200025 | HC CT LOWER EXTREMITY W,W/O CONTR | $2,285 |
| CT Scan | 35200026 | HC CTA LOWER EXTREM W/WO / RECONS | $3,104 |
| CT Scan | 35200027 | HC CT ABDOMEN | $1,819 |
| CT Scan | 35200028 | HC CT ABDOMEN WITH CONTRAST | $2,068 |
| CT Scan | 35200029 | HC CT ABDOMEN BIPHASE/HEMANGIOMA WITH CONTRAST | $2,584 |
| CT Scan | 35200030 | HC CT ABDOMEN WITH CONTRAST | $3,104 |
| CT Scan | 35200031 | HC CT ABDOMEN W/WO CONTRAST | $2,379 |
| CT Scan | 35200032 | HC CT CT ABD/HEMANGIOMA WITHOUT/WITH CONTRAST | $2,895 |
| CT Scan | 35200033 | HC CTA ABDOMEN W,W/O / RECONS | $2,379 |
| CT Scan | 35200034 | HC CT ABD/PELVIS W/O CONTRAST | $3,736 |
| CT Scan | 35200035 | HC CT ABDOMEN/PELVIS W/CONTRAS | $4,136 |
| CT Scan | 35200036 | HC CT ABD/PELVIS 1+ SECTION/REG | $4,757 |
| CT Scan | 35200037 | HC CCTA CALCIUM SCORING | $100 |
| CT Scan | 35200038 | HC CCTA CARDIAC MORPHOLOGY ONLY | $2,220 |
| CT Scan | 35200039 | HC CCTA CONGENITAL STUDY,NONCORON | $2,220 |
| CT Scan | 35200040 | HC CCTA ANGIO HEART W 3D IMAGING | $2,220 |
| CT Scan | 35200041 | HC CTA ABD AORTA/RUNOFF W,W/O/REC | $3,104 |
| CT Scan | 35200042 | HC CT 3-D RENDERING AT MODALITY | $588 |
| CT Scan | 35200043 | HC CT 3-D RENDERING, REMOTE WKSTN | $588 |
| CT Scan | 35200044 | HC CT LIMITED STUDY | $1,449 |
| CT Scan | 35200045 | HC CT GUIDED NEEDLE PLACEMENT | $1,674 |
| CT Scan | 35200046 | HC CT GUIDED NEEDLE PLACEMENT >45 | $2,248 |
| CT Scan | 35200047 | HC CT BONE DENSITY STUDY,AXIAL | $678 |
| CT Scan | 35200050 | HC CT LUNG CA SCREENING (LDCT) | $300 |
| CT Scan | 35200051 | HC CTA ABDOMEN/PELVIS,W,WO,RECONS | $4,757 |
| Procedurals | 35200052 | HC CT CHEST LOW DOSE (DIAGNOSTIC) | $1,918 |
| CT Scan | 35200048 | HC CT UNLISTED EXAM,DX/INTERVENTL | $726 |
| CT Scan | 35200049 | HC CT RFA GUIDANCE VISC TISSUE | $469 |
| Diagnostic Radiology Imaging | 32000375 | HC INTRAVASCULAR US IMAGING,NONCORONARY | $4,762 |
| Diagnostic Radiology Imaging | 32000376 | HC INTRAVASC US, NONCORONARY ADD' | $4,762 |
| Procedurals | 36000001 | HC ASPIRATE,ABSCESS/HEMATOMA/CYST | $203 |
| Procedurals | 36000002 | HC UNLISTED PROC SKIN,MUCMEM,SUBQ | $52 |
| Procedurals | 36000003 | HC BREAST CYST ASPIRATION | $380 |
| Procedurals | 36000004 | HC BREAST CYST ASPIRATION ADDITIONAL | $256 |
| Procedurals | 36000005 | HC INJ PROC FOR DUCTOGRAM | $535 |
| Procedurals | 36000006 | HC BIOPSY, BREAST WITHOUT IMAGING | $745 |
| Procedurals | 36000007 | HC BREAST CORE SAMPLE | $3,029 |
| Procedurals | 36000013 | HC BIOPSY, BONE-SUPERFICIAL | $909 |
| Procedurals | 36000014 | HC BIOPSY, BONE-DEEP | $1,633 |
| Procedurals | 36000015 | HC INJ PROC FOR SINOGRAM | $146 |
| Procedurals | 36000016 | HC INJ TRIGGER POINT(S),1-2 MUSCL | $379 |
| Procedurals | 36000017 | HC INJ TRIGGER POINT(S) 3 OR >MUS | $379 |
| Procedurals | 36000018 | HC DRAIN/INJECT, JOINT/BURSA,SMALL | $376 |
| Procedurals | 36000019 | HC DRAIN/INJECT,JOINT/BURSA,MEDIUM | $376 |
| Procedurals | 36000020 | HC ASPIRATE/INJ JOINT/BURSA MAJOR | $376 |
| Procedurals | 36000022 | HC CT RF ABLATION BONE TUMOR PERC | $4,736 |
| Procedurals | 36000023 | HC INJ PROC FOR TMJ ARTHROGRAPHY | $285 |
| Procedurals | 36000024 | HC PERCUT KYPHOPLASTY, THOR | $7,803 |
| Procedurals | 36000025 | HC PERCUT KYPHOPLASTY, ADD-ON | $6,688 |
| Procedurals | 36000026 | HC INJ PROC FOR SHOULDER ARTHRO | $282 |
| Procedurals | 36000027 | HC INJ PROC FOR ELBOW ARTHROGRAPHY | $329 |
| Procedurals | 36000028 | HC INJ PROC FOR WRIST ARTHROGRAPHY | $355 |
| Procedurals | 36000029 | HC INJ PROC FOR HIP ARTHROGRAPHY | $453 |
| Procedurals | 36000030 | HC INJ PROC SI JTS ARTHRO ANES ST | $517 |
| Procedurals | 36000031 | HC INJ PROC FOR KNEE ARTHROGRAPHY | $290 |
| Procedurals | 36000032 | HC INJ PROC FOR ANKLE ARTHROGRPHY | $313 |
| Procedurals | 36000033 | HC RIGID ENDOSCOPY - 12 | $2,081 |
| Procedurals | 36000033 | HC RIGID ENDOSCOPY - 12 | $2,081 |
| Procedurals | 36000034 | HC ABSCESS DRAINAGE, LUNG | $3,098 |
| Procedurals | 36000035 | HC BIOPSY, PLEURA | $1,042 |
| Procedurals | 36000036 | HC BIOPSY, LUNG/MEDIASTINUM | $914 |
| Procedurals | 36000039 | HC PLEURAL CATH PLMNT W/ CUFF | $3,068 |
| Procedurals | 36000040 | HC THORACOSTOMY,TUBE W/,WO SEAL | $435 |
| Procedurals | 36000040 | HC THORACOSTOMY,TUBE W/,WO SEAL | $435 |
| Procedurals | 36000041 | HC ABLATION,RFA LUNG LESION(S) | $9,185 |
| Procedurals | 36000042 | HC PERICARDIOCENTESIS, INITIAL | $835 |
| Procedurals | 36000043 | HC PPM INSERT/REPLAC ATRIAL ELECT | $14,820 |
| Procedurals | 36000044 | HC PPM INSERT/REPLACE VENTR ELECT | $14,820 |
| Procedurals | 36000045 | HC PPM INSERT/REPLACE,ATRIAL/VENT | $15,599 |
| Procedurals | 36000046 | HC TEMPORARY PACING SINGLE CHAMBE | $7,314 |
| Procedurals | 36000047 | HC INSERT/REPLACE GENERATOR,DUAL | $13,334 |
| Procedurals | 36000048 | HC UPGRADE PACER SYS,SNGL TO DUAL | $14,247 |
| Procedurals | 36000049 | HC REPOSITION OF RA/RV ELECTRODE | $3,109 |
| Procedurals | 36000050 | HC INSERT TRANSVEN ELEC,SNGL CHMB | $7,348 |
| Procedurals | 36000051 | HC INSERT TRANSVEN ELEC,DUAL CHBR | $7,348 |
| Procedurals | 36000052 | HC REPAIR OF ELECTRODE | $7,348 |
| Procedurals | 36000053 | HC PACEMAKER POCKET REVISION | $2,731 |
| Procedurals | 36000054 | HC REVISION/RELOC SKIN POCKET/AIC | $2,714 |
| Procedurals | 36000055 | HC BIVENT L HRT LEAD INSR,PRV GEN | $15,691 |
| Procedurals | 36000056 | HC BIVENT L HRT LEAD,INSR NEW GEN | $14,589 |
| Procedurals | 36000057 | HC REPOS OF PREV IMPLANT LV ELECT | $2,739 |
| Procedurals | 36000058 | HC REMOVAL OF PULSE GENERATOR | $2,731 |
| Procedurals | 36000059 | HC REMOVAL P'MAKER LEAD (SINGLE) | $2,731 |
| Procedurals | 36000060 | HC REMOVE P'MAKER LEAD (DUAL) | $2,731 |
| Procedurals | 36000061 | HC INSERT DUAL CHAMBER ICD | $26,586 |
| Procedurals | 36000062 | HC INSERT SINGLE CHAMBER ICD | $26,586 |
| Procedurals | 36000063 | HC REMOVAL ICD GENERATOR | $2,739 |
| Procedurals | 36000064 | HC REMOVAL ICD ELECTS TRANVENOUS | $2,739 |
| Procedurals | 36000065 | HC INSERT/REPOS DUAL ICD/LEAD | $34,330 |
| Procedurals | 36000065 | HC INSERT/REPOS SINGLE ICD/LEAD | $34,330 |
| Procedurals | 36000066 | HC IMPLANTATION CARDIAC EVENT REC | $7,513 |
| Procedurals | 36000067 | HC REM IMPLANT CAR EVENT RECORDER | $1,269 |
| Procedurals | 36000068 | HC REPAIR ENDOVASC TAA INCL/SUBCL | $3,706 |
| Procedurals | 36000069 | HC REPAIR ENDOVASC TAA W/O SUBCLA | $2,695 |
| Procedurals | 36000070 | HC INSERTION ENDOVASC PROSTH TAA | $2,350 |
| Procedurals | 36000071 | HC INSERT ENDOVASC PROSTH,TAA ADD | $883 |
| Procedurals | 36000072 | HC PLACEMENT ENDOVASC PROSTH EXT | $2,027 |
| Procedurals | 36000072 | HC PLACEMENT ENDOVASC PROSTH EXT | $2,027 |
| Procedurals | 36000073 | HC IABP BY CARDIOLOGIST | $1,714 |
| Procedurals | 36000074 | HC EMBOLECTOMY | $4,218 |
| Procedurals | 36000074 | HC EMBOLECTOMY | $4,218 |
| Procedurals | 36000076 | HC PTA RENAL/VISCERAL | $5,804 |
| Procedurals | 36000077 | HC PTA AORTIC | $5,091 |
| Procedurals | 36000078 | HC PTA BRACHIOCEPHALIC ARTERIES | $6,008 |
| Procedurals | 36000079 | HC PTA VENOUS | $5,110 |
| Procedurals | 36000080 | HC INTRO NEEDLE/CATH VEIN | $95 |
| Procedurals | 36000081 | HC INJ PROC PSEUDOANEURYSM | $987 |
| Procedurals | 36000082 | HC INJ PROC FOR VENOGRAPHY | $124 |
| Procedurals | 36000083 | HC INTRO CATH-SVC/IVC | $737 |
| Procedurals | 36000084 | HC INTRO VENOUS CATH 1ST ORDER | $590 |
| Procedurals | 36000085 | HC INTRO VENOUS CATH 2ND ORDER | $825 |
| Procedurals | 36000086 | HC INTRO CATH PULMONARY, MAIN | $517 |
| Procedurals | 36000087 | HC LT OR RT PULMONARY ART,SELECT | $705 |
| Procedurals | 36000088 | HC INTRO CATH SEGMENTAL/SUBSEGMENTL PULM ART | $825 |
| Procedurals | 36000089 | HC INTRO NEEDLE-BRACHIAL ARTERY | $694 |
| Procedurals | 36000090 | HC INTRO NEEDLE EXTREMITY ARTERY | $560 |
| Procedurals | 36000093 | HC NONSELECT CATH TRANSLUMBAR | $626 |
| Procedurals | 36000094 | HC INTRO CATH-AORTA | $916 |
| Procedurals | 36000095 | HC SELECTIVE THORACIC 1ST ORDER | $977 |
| Procedurals | 36000096 | HC SELECTIVE THORACIC 2ND ORDER | $1,138 |
| Procedurals | 36000754 | HC SELECTIVE THORACIC 3RD ORDER | $1,326 |
| Procedurals | 36000098 | HC SELECTIVE THORACIC ADDNL ORDER | $216 |
| Procedurals | 36000099 | HC CATH PLACE/ABD/PELVIS 1ST ORDER | $1,042 |
| Procedurals | 36000100 | HC CATH PLACE/ABD/PELVIS 2ND ORDER | $1,138 |
| Procedurals | 36000101 | HC CATH PLACE/ABD/PELVIS 3RD ORDER | $1,350 |
| Procedurals | 36000102 | HC CATH PLACE/ABD/PELVIS EACH ADDITIONAL | $216 |
| Procedurals | 36000103 | HC UNLISTED PROCEDURE, VASCULAR INJECTION | $306 |
| Procedurals | 36000104 | HC PORTAL VEIN CATHETERIZATION | $1,425 |
| Procedurals | 36000105 | HC VENOUS SAMPLING | $475 |
| Procedurals | 36000106 | HC INSERT NONTUNNELED CENTRAL CATH | $686 |
| Procedurals | 36000107 | HC INSERT TUNNELED CVC, WO PORT | $2,531 |
| Procedurals | 36000108 | HC INSERT TUNNELED CVD,W/SUBQ PT | $3,334 |
| Procedurals | 36000109 | HC INSERT TUNNELED CVAD W/SUBQ PUMP | $3,334 |
| Procedurals | 36000110 | HC INSERT TUNNEL CVAD,TWO CATHS | $3,334 |
| Procedurals | 36000111 | HC INSERT TUNNEL CVAD,2 CATHS/PORTS | $11,131 |
| Procedurals | 36000112 | HC INSERT PICC W/O SUBQ PORT/PUMP | $1,475 |
| Procedurals | 36000113 | HC INSERT PICC VENOUS ACCESS | $2,531 |
| Procedurals | 36000114 | HC REPAIR CVAD VENOUS CATH,WO PRT | $982 |
| Procedurals | 36000115 | HC REPAIR CVAD W/ PUMP OR PORT | $982 |
| Procedurals | 36000116 | HC REPLACE CATH OF CVAD W/SUBQ PORT/PUMP | $2,531 |
| Procedurals | 36000117 | HC REPLACE NONTUN CVC W/O SUBQ PT | $1,475 |
| Procedurals | 36000118 | HC REPLACE TUN CVC W/O SUBQ PORT | $2,531 |
| Procedurals | 36000119 | HC REPLACE TUN CVC W/SUBQ PORT | $3,283 |
| Procedurals | 36000120 | HC REPLACE TUN CVC W/SUBQ PUMP | $3,283 |
| Procedurals | 36000121 | HC REPLACE PICC WO SUBQ PORT | $1,475 |
| Procedurals | 36000122 | HC REPLACE PERIPH CVC W/SUBQ PT | $2,531 |
| Procedurals | 36000123 | HC REMOVE TUN CVC W/O SUBQ PORT | $836 |
| Procedurals | 36000124 | HC REMOVE TUN CVC W/SUBQ PORT/PUMP | $982 |
| Procedurals | 36000125 | HC DECLOTTING PROCEDURE | $263 |
| Procedurals | 36000126 | HC MECH REMOVE PERICATH OBSTRUCTION CVC | $2,531 |
| Procedurals | 36000127 | HC MECH REMOVE INTRALUMINAL OBSTRUCTION | $982 |
| Procedurals | 36000128 | HC REPOSITIONING CVC W/FLUORO GUIDANCE | $260 |
| Procedurals | 36000129 | HC INJECTION W/FLUORO,EVAL CVC | $221 |
| Procedurals | 36000130 | HC CATH ARTERIAL SAMPLE/MONITOR/TRANSFUSE | $258 |
| Procedurals | 36000131 | HC INSERTION H-D/OTHER CANNULA | $4,319 |
| Procedurals | 36000132 | HC REVISION AV FISTULA | $3,297 |
| Procedurals | 36000133 | HC CANNULA DECLOTTING W BALLOON | $4,319 |
| Procedurals | 36000134 | HC PERC THROMB/REV AV FIS/DIAL GR | $4,314 |
| Procedurals | 36000135 | HC TIPS INSERTION | $7,735 |
| Procedurals | 36000136 | HC TIPS REVISION | $12,465 |
| Procedurals | 36000137 | HC THROMBECTOMY,MECH,PRIM.ARTERY | $4,310 |
| Procedurals | 36000138 | HC THROMBECTOMY,MECH,PRI ART ADDL | $3,632 |
| Procedurals | 36000139 | HC THROMBECTOMY,MECH,SEC ART ADDL | $3,913 |
| Procedurals | 36000140 | HC THROMBECTOMY,MECHANICAL,VENOUS | $4,310 |
| Procedurals | 36000141 | HC THROMBECTOMY,MECH,VENOUS ADDON | $4,310 |
| Procedurals | 36000142 | HC TRANSCATH BIOPSY | $2,680 |
| Procedurals | 36000144 | HC ENDOVASC INTRACRANIAL PRLNG ADMN RX AGNT 1ST | $1,562 |
| Procedurals | 36000145 | HC TRANSCATHETER RETRIEVAL | $2,680 |
| Procedurals | 36000146 | HC INJ PROC FOR LYMPHOGRAPHY | $427 |
| Procedurals | 36000147 | HC TRANSCATH OCCLUSION OR EMBOLIZATION ANY TYPE | $10,841 |
| Procedurals | 36000147 | HC TRANSCATH OCCLUSION OR EMBOLIZATION ANY TYPE | $10,841 |
| Procedurals | 36000148 | HC STENT PLACEMENT NONCORONARY ART OR VEIN | $11,816 |
| Procedurals | 36000149 | HC STENT PLACEMENT NONCORONARY EA AD ART OF VEIN | $11,816 |
| Procedurals | 36000151 | HC EMBOLIZATION UTERINE FIBROID | $9,794 |
| Procedurals | 36000152 | HC PERC PLCMNT CCA STENT W EMBOL | $8,017 |
| Procedurals | 36000153 | HC PERC PLCMNT CCA STENT WO EMBOL | $8,017 |
| Procedurals | 36000154 | HC ILIAC REVASC | $10,446 |
| Procedurals | 36000155 | HC ILIAC REVASC W/STENT | $10,563 |
| Procedurals | 36000156 | HC ILIAC REVASC ADD-ON | $7,080 |
| Procedurals | 36000157 | HC ILIAC REVASC W/STENT ADD-ON | $17,643 |
| Procedurals | 36000158 | HC FEM/POPL REVAS W/TLA | $20,080 |
| Procedurals | 36000159 | HC FEM/POPL REVAS W/ATHERECTOMY | $40,244 |
| Procedurals | 36000160 | HC FEM/POPL REVASC W/STENT | $41,544 |
| Procedurals | 36000161 | HC FEM/POPL REVASC STNT/ATHERECTOMY | $61,708 |
| Procedurals | 36000162 | HC TIB/PER REVASC W/TLA | $18,558 |
| Procedurals | 36000163 | HC TIB/PER REVASC W/ATHER | $40,244 |
| Procedurals | 36000164 | HC TIB/PER REVASC W/STENT | $37,232 |
| Procedurals | 36000165 | HC TIB/PER REVASC STENT/ATHERECTOMY | $55,446 |
| Procedurals | 36000166 | HC TIB/PER REVASC ADD-ON | $9,655 |
| Procedurals | 36000167 | HC TIBPER REVASC W/ATHER ADD-ON | $19,737 |
| Procedurals | 36000168 | HC TIB/PER REVASC STENT/ATHERECTOMY | $28,144 |
| Procedurals | 36000169 | HC IVUS (NONCORONARY) | $4,762 |
| Procedurals | 36000170 | HC IVUS (NONCORONARY) EACH ADDITIONAL | $4,762 |
| Procedurals | 36000171 | HC IVC FILTER DEVICE PLACEMENT | $9,278 |
| Procedurals | 36000172 | HC SPLENOPORTOGRAPHY INJECTION | $209 |
| Procedurals | 36000173 | HC BIOPSY, SUPERFICIAL LYMPH NODE | $626 |
| Procedurals | 36000174 | HC BIOPSY, SALIVARY GLAND,NEEDLE | $959 |
| Procedurals | 36000175 | HC INJ PROC FOR SIALOGRAPHY | $664 |
| Procedurals | 36000176 | HC DIL.ESOPH./BALLOON<30MM DIAM | $941 |
| Procedurals | 36000177 | HC ERCP,DIAGNOSTIC | $4,052 |
| Procedurals | 36000178 | HC DILATION ESOPHAGUS | $1,053 |
| Procedurals | 36000179 | HC NASO/ORO-GASTRIC TUBE PLACEMEN | $272 |
| Procedurals | 36000180 | HC GASTROSTOMY CATH CHANGE | $626 |
| Procedurals | 36000181 | HC GASTRIC CATHETER, REPOSTIONING | $825 |
| Procedurals | 36000182 | HC CONVERSION OF G TUBE TO J TUBE | $975 |
| Procedurals | 36000183 | HC INTRO. LONG GI TUBE | $678 |
| Procedurals | 36000184 | HC BIOPSY, LIVER | $1,042 |
| Procedurals | 36000185 | HC ABCESS DRAINAGE, LIVER | $3,158 |
| Procedurals | 36000186 | HC ABLATION,RFA LIVER TUMOR(S) | $9,185 |
| Procedurals | 36000187 | HC PERCUTANEOUS CHOLECYSTOSTOMY | $2,463 |
| Procedurals | 36000188 | HC INJ PROC FOR PTC NEW ACCESS | $475 |
| Procedurals | 36000189 | HC INJ PROC FOR CHOLANGIOGRAPHY | $491 |
| Procedurals | 36000190 | HC INTRO CATH FOR PTC | $2,515 |
| Procedurals | 36000191 | HC INTRO TRANSHEPATIC STENT | $2,740 |
| Procedurals | 36000192 | HC BILIARY CATH CONVERSION | $1,747 |
| Procedurals | 36000193 | HC REVISION TRANSHEPATIC T-TUBE | $1,747 |
| Procedurals | 36000194 | HC PERC DIL BILIARY STRICTURE WO | $2,978 |
| Procedurals | 36000195 | HC BILIARY DUCT DILATION | $2,978 |
| Procedurals | 36000196 | HC BILIARY DUCT STONE EXTRACTION | $2,740 |
| Procedurals | 36000197 | HC BIOPSY, PANCREAS | $800 |
| Procedurals | 36000198 | HC ABCESS DRAINAGE, PERITONEAL | $2,592 |
| Procedurals | 36000199 | HC ABSCESS DRNGE,PERC,SUBPHRENIC | $2,592 |
| Procedurals | 36000200 | HC ABCESS DRAINAGE, RETROPERITONL | $2,654 |
| Procedurals | 36000201 | HC PARACENTESIS | $1,050 |
| Procedurals | 36000202 | HC BIOPSY, ABDOMINAL/RETROPER | $1,387 |
| Procedurals | 36000203 | HC INJ PROC FOR PERITONEOGRAM | $943 |
| Procedurals | 36000204 | HC INSERT IP CATH,DRN/DIALYS,PERM | $3,000 |
| Procedurals | 36000206 | HC INJ PROC FOR ABCESS/CYST | $306 |
| Procedurals | 36000208 | HC INJ PROC FOR SHUNTOGRAM | $317 |
| Procedurals | 36000209 | HC INSERTION GASTROSTOMY TUBE PERCUTANEOUS | $1,638 |
| Procedurals | 36000210 | HC INSERTION GJ TUBE PERCUTANEOUS | $1,638 |
| Procedurals | 36000211 | HC INSERT CECOS/COLONIC TUBE PERC | $1,638 |
| Procedurals | 36000212 | HC CHANGE G-TUBE TO G-J PERC | $1,096 |
| Procedurals | 36000213 | HC REPLACE GASTRO/CECOS TUBE PERC | $756 |
| Procedurals | 36000214 | HC REPLACE J TUBE PERC | $756 |
| Procedurals | 36000215 | HC REPLACE GJ TUBE PERC | $756 |
| Procedurals | 36000216 | HC REMOVE FEED TUBE OBSTRUCTION | $594 |
| Procedurals | 36000217 | HC FLUORO EXAM OF G/COLON TUBE | $222 |
| Procedurals | 36000218 | HC INJECTION CONTRAST FEED TUBE | $222 |
| Procedurals | 36000219 | HC ABCESS DRAINAGE, RENAL | $3,263 |
| Procedurals | 36000220 | HC NEPHROSTOLITHOTOMY <2 CM | $4,258 |
| Procedurals | 36000221 | HC NEPHROSTOLITHOTOMY >2 CM | $5,470 |
| Procedurals | 36000222 | HC BIOPSY, RENAL | $798 |
| Procedurals | 36000223 | HC CHANGE URETER STENT,PERCUTANEOUS | $2,136 |
| Procedurals | 36000224 | HC REMOVAL URETER STENT,PERCUTANEOUS | $2,136 |
| Procedurals | 36000225 | HC CHANGE EXT/INTERN URETER STENT | $1,603 |
| Procedurals | 36000226 | HC REMOVE RENAL TUBE W/FLUORO | $650 |
| Procedurals | 36000227 | HC CYST ASP/INJ RENAL,PELVIS | $759 |
| Procedurals | 36000228 | HC INTRO CATH RENAL PELVIS | $2,515 |
| Procedurals | 36000229 | HC INTRO URETERAL STENT (PRE-EXISTING TRACT) | $2,515 |
| Procedurals | 36000229 | HC INTRO URETERAL STENT (PRE-EXISTING TRACT) | $2,515 |
| Procedurals | 36000230 | HC INJ PROC FOR PYELOGRAPHY NEW ACCESS | $299 |
| Procedurals | 36000231 | HC ASPIRATE BLADDER W/SUPRAPUBIC CATH INSERTION | $2,149 |
| Procedurals | 36000232 | HC NEPHROSTOMY TUBE CHANGE | $1,603 |
| Procedurals | 36000233 | HC INJ PROC FOR RETROURETHROGRPHY | $329 |
| Procedurals | 36000234 | HC PUDENDAL NERVE TERMINAL TEST | $552 |
| Procedurals | 36000235 | HC INJ PROC HYSTEROSALPINGOGRAPHY | $260 |
| Procedurals | 36000235 | HC INJ PROC HYSTEROSALPINGOGRAPHY | $260 |
| Procedurals | 36000236 | HC INSERT FALLOPIAN CATHETER | $2,384 |
| Procedurals | 36000237 | HC FALLOPIAN RECANNULIZATION | $2,384 |
| Procedurals | 36000238 | HC DRAINAGE OF OVARIAN CYST(S),AB | $3,450 |
| Procedurals | 36000239 | HC US AMNIOCENTESIS,DIAGNOSTIC | $577 |
| Procedurals | 36000240 | HC AMNIO-INFUSION | $130 |
| Procedurals | 36000241 | HC CERCLAGE SUTURE REMOVAL | $1,909 |
| Procedurals | 36000242 | HC BIOPSY, THYROID | $460 |
| Procedurals | 36000243 | HC PUNCTURE OF SHUNT FOR INJ/ASP | $918 |
| Procedurals | 36000244 | HC OCCLUSION,TEMP BALLOON ARTERY | $8,132 |
| Procedurals | 36000245 | HC EMBOLIZATION-HEAD/NECK | $4,827 |
| Procedurals | 36000246 | HC ANGIOPLASTY INTRACRANIAL | $2,654 |
| Procedurals | 36000247 | HC ANGIOPLASTY INTRACRANL W/STENT | $2,895 |
| Procedurals | 36000248 | HC DILATE INTRACRAN VASOSPASM,1ST | $2,654 |
| Procedurals | 36000249 | HC DIL INTRACRAN VASOSPASM,ADDON | $2,654 |
| Procedurals | 36000250 | HC DIL INTRACRAN VASOSPASM,ADDON | $2,654 |
| Procedurals | 36000251 | HC LUMBAR PUNCTURE | $1,449 |
| Procedurals | 36000252 | HC INJ EPIDURAL,BLOOD PATCH | $784 |
| Procedurals | 36000254 | HC ASPIRATE/DECOMPRESS LUMBAR DISC | $4,279 |
| Procedurals | 36000254 | HC ASPIRATE/DECOMPRESS LUMBAR DISC | $4,279 |
| Procedurals | 36000255 | HC INJECTION FOR DISCOGRAPHY | $308 |
| Procedurals | 36000256 | HC INJ SPINE C/T W/O IMAG GUIDANCE | $835 |
| Procedurals | 36000256 | HC INJ SPINE C/T W/O IMAG GUIDANCE | $835 |
| Procedurals | 36000257 | HC INJ SPINE L/S W/O IMAG GUIDANCE | $835 |
| Procedurals | 36000258 | HC INJ L/S W/CATH CAUDAL W/O IMAGE GUIDE | $1,370 |
| Procedurals | 36000259 | HC INJ ANESTHETIC NRV/BRANCH | $311 |
| Procedurals | 36000260 | HC INJ FOR NERVE BLOCK GREAT.OCCI | $376 |
| Procedurals | 36000261 | HC INJ FOR NERVE BLOCK LESSER OCC | $376 |
| Procedurals | 36000262 | HC INJ FORAMEN EPIDURAL C/T, INIT | $718 |
| Procedurals | 36000263 | HC INJ FORAMEN EPIDURAL C/T ADDON | $718 |
| Procedurals | 36000264 | HC INJ FORAMEN EPIDURAL L/S INIT | $718 |
| Procedurals | 36000265 | HC INJ FORAMEN EPIDURAL L/S ADDON | $718 |
| Procedurals | 36000266 | HC INJ PARAVERTEBRAL C/T | $924 |
| Procedurals | 36000267 | HC INJ PARAVERTEBRAL L/S | $813 |
| Procedurals | 36000268 | HC INJ FOR NERVE BLOCK CERVICAL SYMPATHETIC | $832 |
| Procedurals | 36000269 | HC INJ PROC PARAVERT SYM/L-T SP | $897 |
| Procedurals | 36000270 | HC INJ FOR NERVE BLOCK CELIAC PLEXUS | $829 |
| Procedurals | 36000271 | HC INJ PARAVERT FACET L/S SINGLE LEVEL | $1,893 |
| Procedurals | 36000272 | HC INJ PARAVERT FACET L/S EA ADDL LEVEL | $1,893 |
| Procedurals | 36000273 | HC INJ PARAVERT FACET C/TH SINGLE LEVEL | $1,893 |
| Procedurals | 36000274 | HC INJ PARAVERT FACET C/TH EA ADDL LEVEL | $1,893 |
| Procedurals | 36000275 | HC DESTR BY NEUROLYTIC AGNT, PERIPH NERVE OR BRANCH | $858 |
| Procedurals | 36000276 | HC SLCTV WND DEBRIDEM 20 CM OR < | $558 |
| Procedurals | 36000277 | HC SLCTV WND DEBRIDEM > 20 CM | $402 |
| Procedurals | 36000278 | HC ABRASION, LESIONS, ADD-ON | $244 |
| Procedurals | 36000279 | HC ABRASION; SGL LERS | $244 |
| Procedurals | 36000284 | HC APHERESIS 1-2 HRS | $2,594 |
| Procedurals | 36000285 | HC APHERESIS 2-4 HRS | $2,766 |
| Procedurals | 36000286 | HC APHERESIS 4-8 HRS | $2,697 |
| Procedurals | 36000299 | HC APPLY MULTLAY COMPRS LWR LEG | $421 |
| Procedurals | 36000300 | HC APPLY RIGID TOTAL CONTACT LEG | $735 |
| Procedurals | 36000305 | HC ARTHROCENTESIS JOINT | $220 |
| Procedurals | 36000306 | HC INJ PROC FOR ANKLE ARTHROGRPHY | $313 |
| Procedurals | 36000307 | HC BIOPSY SOFT TISS PERCUTANEOUS | $614 |
| Procedurals | 36000308 | HC BIOPSY SOFT TISS PERCUTANEOUS | $614 |
| Procedurals | 36000309 | HC BONE BX, TR/NDL; SUPERF | $2,273 |
| Procedurals | 36000310 | HC BRONCHOGRAPHY CATH INSERTION | $724 |
| Procedurals | 36000311 | HC BRONCHOSCOPY | $2,621 |
| Procedurals | 36000312 | HC BX-SKIN,SQ/MM; EA ADDTL | $250 |
| Procedurals | 36000313 | HC BX-SKIN,SQ/MM; SGL | $402 |
| Procedurals | 36000314 | HC CHEM CAUT GRANULATION TISS | $482 |
| Procedurals | 36000315 | HC CIRCUMCISION | $1,779 |
| Procedurals | 36000317 | HC CYST ASPIRATION, THYROID | $371 |
| Procedurals | 36000318 | HC DEB BONE ADD-ON | $2,273 |
| Procedurals | 36000319 | HC DEB MUSC/FASCIA ADD-ON | $733 |
| Procedurals | 36000320 | HC DEB O FX; SKIN - TO MUSCLE | $1,362 |
| Procedurals | 36000321 | HC DEB SUBQ TISSUE ADD-ON | $733 |
| Procedurals | 36000322 | HC DEBR EXZ/INF SKIN; 10% BS | $731 |
| Procedurals | 36000323 | HC DEBR O FX; SKIN - TO BONE | $1,362 |
| Procedurals | 36000324 | HC DEBR W OPEN FX; SKIN SQ | $1,362 |
| Procedurals | 36000326 | HC DEBRIDE NAIL, 1-5 | $244 |
| Procedurals | 36000327 | HC DEBRIDE NAIL, 6 OR MORE | $244 |
| Procedurals | 36000328 | HC DEBRIDE; SKIN TO BONE | $2,273 |
| Procedurals | 36000329 | HC DEBRIDE; SKIN TO MUSCLE | $779 |
| Procedurals | 36000330 | HC DEBRIDE; SKIN TO SQ TISSUE | $779 |
| Procedurals | 36000331 | HC DESTRUCT PREMALG LES, 2-14 | $117 |
