Piedmont McDuffie Procedures and Services

Medical CPT Code and Name      Median Charges estimate after 3/1

10060 INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE   1,507.55

10061 INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE               1,539.54

10080 INCISION & DRAINAGE PILONIDAL CYST SIMPLE    1,577.78

10081 INCISION & DRAINAGE PILONIDAL CYST COMPLICATED      1,445.90

10120 INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE 1,769.47

10121 INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL 5,950.11

10140 I&D HEMATOMA SEROMA/FLUID COLLECTION      11,105.98

10160 PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST            1,398.23

11042 DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/<           9,265.61

11043 DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/<      16,276.53

11044 DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/<         20,020.93

11403 EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM               10,224.05

11404 EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM               9,385.05

11443 EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM        6,904.74

11606 EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM                12,149.66

11642 EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM          22,800.70

11730 AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1         5,135.68

11740 EVACUATION SUBUNGUAL HEMATOMA  1,611.71

11750 EXCISION NAIL MATRIX PERMANENT REMOVAL    1,678.97

11760 REPAIR NAIL BED 2,162.38

11770 EXCISION PILONIDAL CYST/SINUS SIMPLE 10,418.73

11771 EXCISION PILONIDAL CYST/SINUS EXTENSIVE         8,885.94

12001 SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/<  1,800.11

12002 SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM   2,080.34

12004 SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM   2,080.86

12005 SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM    2,311.36

12011 SIMPLE REPAIR F/E/E/N/L/M 2.5CM/<      1,708.06

12013 SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM            4,409.53

12014 SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM            9,319.21

12015 SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM         10,517.42

12020 TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE   15,241.05

12031 REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< 1,984.34

12032 REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM             2,404.20

12034 REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM           2,175.62

12036 REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM        1,914.41

12041 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/<          2,028.67

12042 REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM      2,404.05

12051 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/<             2,028.11

12052 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM          5,875.02

12054 REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM       9,182.73

15120 SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/</1 %       14,480.52

16000 INITIAL TX 1ST DEGREE BURN LOCAL TX    1,146.00

16020 DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL        3,304.87

19083 BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID      5,626.74

19100 BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX  4,314.18

19120 EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION      12,792.47

19125 EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES    23,888.01

19300 MASTECTOMY GYNECOMASTIA   13,979.45

19301 MASTECTOMY PARTIAL   13,440.65

19303 MASTECTOMY SIMPLE COMPLETE               17,153.46

19307 MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN           28,914.85

20205 BIOPSY MUSCLE DEEP       15,740.72

20206 BIOPSY MUSCLE PERCUTANEOUS NEEDLE 1,856.91

20553 INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES       2,325.21

20610 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US  2,487.43

20611 ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US      2,228.67

20680 REMOVAL IMPLANT DEEP               13,613.24

21073 MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA 5,310.90

21501 I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX        16,147.35

21550 BIOPSY SOFT TISSUE NECK/THORAX           19,923.19

21552 EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/>   15,207.79

21931 EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/>      9,232.14

23130 PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE            15,933.82

23410 OPEN REPAIR OF ROTATOR CUFF ACUTE   19,176.31

23412 OPEN REPAIR OF ROTATOR CUFF CHRONIC             16,882.64

23420 RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC   15,325.36

23430 TENODESIS LONG TENDON BICEPS              22,301.82

23455 CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR 39,954.83

23472 ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER              72,541.32

23515 OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION       40,242.20

23615 OPEN TREATMENT PROXIMAL HUMERAL FRACTURE           49,645.30

23650 CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES 5,373.38

23655 CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES  6,513.70

23700 MANJ W/ANES SHOULDER JOINT W/FIXATION APPARATUS             5,392.80

23929 UNLISTED PROCEDURE SHOULDER              14,462.59

24071 EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/>           9,718.46

24076 EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM 12,426.16

24105 EXCISION OLECRANON BURSA      14,506.53

24341 REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA               23,411.92

24505 CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ               10,179.82

24515 OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE       58,539.56

24600 TREATMENT CLOSED ELBOW DISLOCATION W/O ANES      6,082.45

24640 CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ            1,238.80

24666 OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC        42,345.09

24685 OPEN TREATMENT ULNAR FRACTURE PROXIMAL END        44,856.46

25000 INCISION EXTENSOR TENDON SHEATH WRIST         11,756.74

25071 EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/>            13,553.87

25073 EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/>               9,275.23

25085 CAPSULOTOMY WRIST     13,604.50

25111 EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY      9,323.86

25515 OPEN TREATMENT RADIAL SHAFT FRACTURE         32,890.20

25545 OPEN TREATMENT OF ULNAR SHAFT FRACTURE    22,317.67

25565 CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ  6,009.63

25600 CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ    10,393.99

25605 CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF       5,367.51

25606 PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP   11,719.84

25608 OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG               20,596.80

25609 OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG               25,769.57

26010 DRAINAGE FINGER ABSCESS SIMPLE           1,221.98

26025 DRAINAGE OF PALMAR BURSA SINGLE BURSA       9,781.34

26055 TENDON SHEATH INCISION            9,397.84

26115 EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM 8,506.21

26121 FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT             12,952.62

26123 FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR      11,700.36

26160 EXC LESION TDN SHTH/JT CAPSL HAND/FNGR        11,232.43

26236 PARTIAL EXCISION DISTAL PHALANX FINGER          10,455.66

26700 CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES             2,163.05

26727 PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T        20,636.06

26755 CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA   1,678.08

26765 OPEN TX DISTAL PHALANGEAL FRACTURE EACH    16,641.45

26770 CLTX IPHAL JT DISLC W/MANJ W/O ANES 2,342.56

26910 AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER      8,687.95

26952 AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP         9,922.39

27062 EXCISION TROCHANTERIC BURSA/CALCIFICATION 12,618.23

27096 INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA    1,603.99

27130 ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT        48,101.59

27265 CLTX POST HIP ARTHRP DISLC W/O ANES 6,237.63

27299 UNLISTED PROCEDURE PELVIS/HIP JOINT 36,834.11

27301 I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION              22,056.41

27337 EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/>               10,185.56

27339 EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/>   10,905.81

27355 EXCISION/CURETTAGE CYST/TUMOR FEMUR         13,666.10

27385 SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY    13,637.81

27447 ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS     45,845.26

27486 REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT               41,289.43

27487 REVJ TOT KNEE ARTHRP FEM&ENTIRE TIBIAL COMPONE   97,561.53

27524 OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR           20,083.64

27550 CLOSED TX KNEE DISLOCATION W/O ANESTHESIA 3,222.77

27560 CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA       2,075.02

27570 MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA            5,344.53

27650 REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON            16,565.13

27698 REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL              18,717.16

27705 OSTEOTOMY TIBIA             37,750.79

27759 TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLA    41,665.79

27792 OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS        33,210.51

27810 CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ        5,389.20

27814 OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE            39,563.13

27818 CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION             5,495.11

27822 OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP           40,234.71

27827 OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY 21,224.74

27828 OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA         29,445.73

27829 OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION              17,648.19

27840 CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA             2,411.10

28008 FASCIOTOMY FOOT&/TOE              13,049.57

28039 EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/>      11,987.73

28060 FASCIECTOMY PLANTAR FASCIA PARTIAL SPX         23,907.78

28080 EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH             22,227.55

28102 EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT   33,042.76

28110 OSTECTOMY PRTL 5TH METAR HEAD SPX 15,637.31

28112 OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4               25,475.07

28122 PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS  13,101.24

28193 REMOVAL FOREIGN BODY FOOT COMPLICATED    11,286.18

28285 CORRECTION HAMMERTOE           13,580.23

28288 OSTC PRTL EXOSTC/CONDYLC METAR HEAD            11,631.22

28296 CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT           25,784.66

28297 CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF         41,981.85

28298 CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT          19,324.49

28308 OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA    19,894.21

28315 SESAMOIDECTOMY FIRST TOE SPX              12,643.52

28485 OPEN TREATMENT METATARSAL FRACTURE EACH               20,024.39

28505 OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES    12,924.78

28515 CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ 2,190.65

28730 ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS              42,667.24

28750 ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT            32,804.55

28755 ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT          21,118.27

28810 AMPUTATION METATARSAL W/TOE SINGLE           8,595.15

28820 AMPUTATION TOE METATARSOPHALANGEAL JOINT           15,584.12

28825 AMPUTATION TOE INTERPHALANGEAL JOINT        15,534.59

29075 APPLICATION CAST ELBOW FINGER SHORT ARM   5,230.67

29105 APPLICATION LONG ARM SPLINT SHOULDER HAND             2,009.95

29125 APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC             1,706.29

29130 APPLICATION FINGER SPLINT STATIC          1,548.45

29405 APPLICATION SHORT LEG CAST BELOW KNEE-TOE 1,628.26

29505 APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES           1,971.00

29515 APPLICATION SHORT LEG SPLINT CALF FOOT           1,906.47

29700 REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST           1,051.65

29806 SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY 38,114.28

29823 SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+ 16,140.47

29827 SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR         30,919.79

29828 SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS  25,243.97

29870 ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX            14,680.80

29874 ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY     33,516.06

29875 ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX               13,694.62

29877 ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG      15,040.61

29880 ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING               14,740.34

29881 ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG              15,087.24

29882 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL               28,561.40

29883 ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL              14,102.18

29888 ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ              36,617.69

29916 ARTHROSCOPY HIP W/LABRAL REPAIR       40,612.16

30000 DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH  1,789.40

30300 REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE           1,663.04

30901 CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE            1,662.08

30903 CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX       2,344.14

30905 CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST         6,732.10

31500 INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE   13,785.77

31535 LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY     13,145.68

32551 TUBE THORACOSTOMY INCLUDES WATER SEAL     13,207.12

32555 THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING         8,637.87

36430 TRANSFUSION BLOOD/BLOOD COMPONENTS       6,025.66

36556 INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/>                16,603.18

36558 INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/>     5,013.78

36561 INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/>           11,955.21

38500 BX/EXC LYMPH NODE OPEN SUPERFICIAL 14,531.81

38505 BX/EXC LYMPH NODE NEEDLE SUPERFICIAL            6,482.36

38510 BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE              18,623.32

38525 BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE               16,653.51

41008 INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE       1,209.68

41800 DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS  1,300.24

43235 ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC     6,393.99

43239 EGD TRANSORAL BIOPSY SINGLE/MULTIPLE           7,066.05

43247 EGD FLEXIBLE FOREIGN BODY REMOVAL  6,989.65

43249 EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM         7,511.59

43251 EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH             8,297.96

43255 EGD TRANSORAL CONTROL BLEEDING ANY METHOD          7,004.83

43500 GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL            17,741.31

43659 UNLISTED LAPAROSCOPIC PROCEDURE STOMACH               24,602.93

43762 PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC    2,290.95

43830 GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX               10,173.65

43870 CLOSURE GASTROSTOMY SURG   11,805.02

44180 LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE          19,762.65

44388 COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX     5,043.09

44394 COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE       6,424.19

44950 APPENDECTOMY 24,622.74

44960 APPENDEC RPTD APPENDIX ABSC/PRITONITIS        26,310.97

44970 LAPAROSCOPIC APPENDECTOMY 30,261.82

44979 UNLISTED LAPAROSCOPY PROCEDURE APPENDIX 30,567.21

45171 EXC RCT TUM NOT INCL MUSCULARIS PROPRIA    8,740.66

45330 SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD               5,256.72

45331 SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE            7,630.31

45378 COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD         6,201.23

45380 COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE        7,249.27

45381 COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST   8,858.26

45384 COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS         5,143.54

45385 COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ 6,889.44

45388 COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES 4,590.89

45905 DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL 8,789.32

45915 RMVL FECAL IMPACTION/FB SPX UNDER ANES      9,552.61

45990 ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX              19,187.98

45999 UNLISTED PROCEDURE RECTUM  2,286.90

46040 I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX     3,231.18

46050 I&D PERIANAL ABSCESS SUPERFICIAL         3,960.83

46080 SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX             8,617.17

46083 INCISION THROMBOSED HEMORRHOID EXTERNAL              1,473.50

46255 HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP           6,777.99

46260 HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO   12,711.01

46270 SURG TX ANAL FISTULA SUBQ       8,588.84

46280 TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON               8,034.88

46320 EXC THROMBOSED HEMORRHOID XTRNL 8,514.58

46999 UNLISTED PROCEDURE ANUS        11,869.26

47379 UNLIS LAPAROSCOPIC PROCEDURE LIVER 20,236.18

47531 NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS 680.82

47562 LAPAROSCOPY SURG CHOLECYSTECTOMY               19,418.21

47563 LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY  27,970.86

47600 CHOLECYSTECTOMY          20,109.89

47605 CHOLECYSTECTOMY W/CHOLANGIOGRAPHY         18,888.84

49082 ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE           1,540.35

49083 ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE 14,331.28

49320 LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX                23,864.75

49422 REMOVAL TUNNELED INTRAPERITONEAL CATHETER           10,220.76

49440 INSERT GASTROSTOMY TUBE PERCUTANEOUS      1,661.73

49465 CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE    2,097.08

49505 RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE      14,066.17

49507 RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED             15,264.15

49520 RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE             15,285.85

49553 RPR 1ST FEM HERNIA ANY AGE INCARCERATED     19,740.05

49560 REPAIR FIRST ABDOMINAL WALL HERNIA 12,971.75

49561 RPR 1ST INCAL/VNT HERNIA INCARCERATED          14,950.43

49566 RPR RECRT INCAL/VNT HERNIA INCARCERATED     20,087.99

49585 RPR UMBILICAL HRNA 5 YRS/> REDUCIBLE               10,618.85

49587 RPR UMBILICAL HERNIA AGE 5 YRS/> INCARCERATED         13,007.36

49650 LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA           21,374.91

51701 INSJ NON-NDWELLG BLADDER CATHETER 5,253.45

51702 INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE               1,773.25

51705 CHANGE CYSTOSTOMY TUBE SIMPLE         1,334.79

51798 MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP    1,140.75

54161 CIRCUMCISION AGE >28 DAYS       13,209.79

54220 IRRIGATION CORPORA CAVERNOSA PRIAPISM       1,599.52

55100 DRAINAGE SCROTAL WALL ABSCESS           1,386.61

56405 I&D VULVA/PERINEAL ABSCESS    2,078.28

56420 I&D OF BARTHOLINS GLAND ABSCESS        3,717.70

62270 DIAGNOSTIC LUMBAR SPINAL PUNCTURE 8,705.93

62272 THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF  7,500.30

62321 NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN      2,209.78

62323 NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN      1,719.71

63650 PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL 21,119.58

64418 INJECTION AA&/STRD SUPRASCAPULAR NERVE     2,469.80

64445 INJECTION AA&/STRD SCIATIC NERVE        6,001.40

64447 INJECTION AA&/STRD FEMORAL NERVE   3,135.44

64450 INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH             2,254.72

64454 INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG              5,833.88

64479 NJX AA&/STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL    4,322.21

64483 NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL           4,636.16

64490 NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL           4,260.30

64493 NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL          4,433.63

64520 INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC             3,359.65

64624 DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG           11,546.68

64625 RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN   8,965.86

64633 DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA             17,281.91

64635 DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL             12,675.38

64640 DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE      11,029.59

64718 NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW 12,226.06

64721 NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE             9,543.51

65205 REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL     791.05

65220 RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP      1,251.73

69000 DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE 1,688.63

69005 DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX  1,322.84

69090 EAR PIERCING      1,337.61

69200 RMVL FB XTRNL AUDITORY CANAL W/O ANES        1,152.90

69209 REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT 1,012.55

69210 REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT         1,179.29

92950 CARDIOPULMONARY RESUSCITATION       5,611.06

99281 EMERGENCY DEPARTMENT VISIT LIMITED/MINOR PROB  260.55

99282 EMERGENCY DEPARTMENT VISIT LOW/MODER SEVERITY 411.75

99283 EMERGENCY DEPARTMENT VISIT MODERATE SEVERITY     1,232.63

99284 EMERGENCY DEPARTMENT VISIT HIGH/URGENT SEVERITY               4,281.21

99285 EMERGENCY DEPT VISIT HIGH SEVERITY&THREAT FUNCJ  7,051.04

99291 CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN          10,923.12