SCI-McDuffie Part 3

Effective March 1, 2023

Procedurals 36000388 HC TRLUML PERIP ATHRC ABD AORTA $31,293
Procedurals 36000389 HC ATHERECTOMY, AORTIC $12,516
Procedurals 36000390 HC TRLUML PERIP ATHRC BRCHIOCPH $31,405
Procedurals 36000391 HC ATHERECTOMY, BRACHIOCEPH $12,516
Procedurals 36000392 HC TRLUML PERIP ATHRC ILIAC ART $31,593
Procedurals 36000393 HC ATHERECTOMY, ILIAC $12,516
Procedurals 36000394 HC RIG ENDO VID STRB/PHOTO - 12 $1,929
Procedurals 36000395 HC PLACEMENT, ANGIOSEAL $1,235
Procedurals 36000396 HC BRONCHOGRAPHY CATH INSERTION $977
Procedurals 36000397 HC DILATION ESOPHAGUS $1,422
Procedurals 36000398 HC INJ PROC FOR SINOGRAM $197
Procedurals 36000400 HC MINOR SURGICAL PROCEDURE $1,273
Procedurals 36000401 HC BREAST CYST ASPIRATION $3,393
Procedurals 36000402 HC GI TUBE PLACEMENT $684
Procedurals 36000403 HC INJ PROC FOR DUCTOGRAM $367
Procedurals 36000404 HC CRYOABLATION RENAL TUMOR $722
Procedurals 36000409 HC OR ACUITY 1 FIRST 30 MINUTES $11,980
Procedurals 36000410 HC OR ACUITY 1 PER MINUTE $14
Procedurals 36000411 HC OR ACUITY 2 FIRST 30 MINUTES $2,152
Procedurals 36000412 HC OR ACUITY 2 PER MINUTE $28
Procedurals 36000413 HC OR ACUITY 3 FIRST 30 MINUTES $3,395
Procedurals 36000414 HC OR ACUITY 3 PER MINUTE $41
Procedurals 36000415 HC OR ACUITY 4 FIRST 30 MINUTES $3,768
Procedurals 36000416 HC OR ACUITY 5 FIRST 30 MINUTES $4,050
Procedurals 36000417 HC OR ACUITY 5 PER MINUTE $46
Procedurals 36000418 HC OR ACUITY 6 FIRST 30 MINUTES $4,637
Procedurals 36000419 HC OR ACUITY 6 PER MINUTE $51
Procedurals 36000420 HC OR ACUITY 7 FIRST 30 MINUTES $4,820
Procedurals 36000421 HC OR ACUITY 7 PER MINUTE $61
Procedurals 36000422 HC OR ACUITY 8 FIRST 30 MINUTES $5,279
Procedurals 36000423 HC OR ACUITY 8 PER MINUTE $72
Procedurals 36000424 HC INS CATH REN ART 1ST UNILAT $3,956
Procedurals 36000425 HC INS CATH REN ART 1ST BILAT $5,171
Procedurals 36000426 HC INS CATH REN ART 2ND+ UNILAT $4,311
Procedurals 36000427 HC INS CATH REN ART 2ND+ BILAT $5,881
Procedurals 36000428 HC INJ SENTINEL NODE $921
Procedurals 36000429 HC RF VENOUS CLOSURE $6,356
Procedurals 36000430 HC PERITONEAL LAVAGE $1,791
Procedurals 36000431 HC ABD PARACENTESIS W/IMAGING $1,791
Procedurals 36000432 HC REM ENDOVAS VENA CAVA FILTER $7,306
Procedurals 36000433 HC REDO ENDOVAS VENA CAVA FILTR $7,306
Procedurals 36000434 HC SKIN SUB GRAFT TRNK/ARM/LEG $3,692
Procedurals 36000435 HC SKIN SUB GRAFT T/A/L ADD-ON $1,845
Procedurals 36000436 HC SKIN SUB GRFT T/ARM/LG CHILD $11,942
Procedurals 36000437 HC SKN SUB GRFT T/A/L CHILD ADD $5,971
Procedurals 36000438 HC SKIN SUB GRAFT FACE/NK/HF/G $3,692
Procedurals 36000439 HC SKIN SUB GRAFT F/N/HF/G ADDL $1,858
Procedurals 36000440 HC SKN SUB GRFT F/N/HF/G CHILD $3,692
Procedurals 36000441 HC SKN SUB GRFT F/N/HF/G CH ADD $1,845
Procedurals 36000442 HC UNLISTED PROCEDURE, OTHER VASCULAR $216
Procedurals 36000446 OT BANDAGE ARM/HAND 15-GO $138
Procedurals 36000447 OT BANDAGE ARM/HAND 30-GO $274
Procedurals 36000448 OT BANDAGE ARM/HAND 45-GO $412
Procedurals 36000449 OT BANDAGE ARM/HAND 60-GO $548
Procedurals 36000450 HC INSERT VENT ASSIST DEVICE $2,809
Procedurals 36000451 HC REMOVE VENT ASSIST DEVICE $2,480
Procedurals 36000452 HC INSERT PULSE GEN MULT LEADS $15,100
Procedurals 36000453 HC REMOVE REPLACE PM GEN SINGL $13,778
Procedurals 36000454 HC REMV REPLC PM GEN DUAL LEAD $15,100
Procedurals 36000455 HC REMV REPLC PM GEN MULT LEADS $15,100
Procedurals 36000456 HC INSRT PULSE GEN W/DUAL LEADS $50,690
Procedurals 36000457 HC INSRT PULSE GEN W/MULT LEADS $50,690
Procedurals 36000458 HC REMV REPLC CVD GEN SING LEAD $50,690
Procedurals 36000459 HC REMV REPLC CVD GEN DUAL LEAD $50,690
Procedurals 36000460 HC REMV REPLC CVD GEN MULT LEAD $50,690
Procedurals 36000461 HC TRANSCATH INFUSION,NONTHROMBOLYTIC 1ST AGENT $2,109
Procedurals 36000463 HC INJ PROC FOR CYSTOGRAPHY $290
Procedurals 36000465 HC MOR PACU THORACENTESIS $890
Procedurals 36000466 HC MOR INTRAOPERATIVE NERVE TESTING $382
Procedurals 36000467 HC NO INTRAOPERATIVE NERVE TESTING $382
Procedurals 36000468 HC MOR PACU INJ EPIDURAL,BLOOD PATCH $1,058
Procedurals 36000469 HC WC PACU INJ EPIDURAL,BLOOD PATCH $1,058
Procedurals 36000470 HC WC PACU THORACENTESIS $537
Procedurals 36000471 HC MOR PACU LUMBAR PUNCTURE $701
Procedurals 36000472 HC WC PACU LUMBAR PUNCTURE $701
Procedurals 36000473 HC MOR PACU INJ FOR NERVE BLOCK INITIAL $906
Procedurals 36000474 HC MOR PACU INJ FOR NERVE BLOCK EA ADD $906
Procedurals 36000475 HC WC PACU INJ FOR NERVE BLOCK INITIAL $906
Procedurals 36000476 HC WC PACU INJ FOR NERVE BLOCK EA ADD $906
Procedurals 36000477 HC ASPIRATE/INJ JOINT/BURSA MAJOR $508
Procedurals 36000478 HC RF VENOUS CLOSURE ADTL VEIN $3,521
Procedurals 36000479 HC ASPIRATE/INJ JOINT/BURSA ANY JOINT $508
Procedurals 36000480 HC PTA BRACHIOCEPHALIC ARTERIES $8,111
Procedurals 36000481 HC PTA VENOUS $6,899
Procedurals 36000482 HC INJ PROC FOR VENOGRAPHY $189
Procedurals 36000483 HC LT OR RT PULMONARY ART,SELECT $1,204
Procedurals 36000484 HC INTRO CATH SEGMENTAL/SUBSEGMENTL PULM ART $1,204
Procedurals 36000486 HC INSERT NONTUNNELED CENTRAL CATH $1,663
Procedurals 36000487 HC CATH ARTERIAL SAMPLE/MONITOR/TRANSFUSE $1,991
Procedurals 36000488 HC TRANSCATHETER RETRIEVAL $347
Procedurals 36000489 HC INJ PROC FOR VENOGRAPHY $5,797
Procedurals 36000490 HC INTRO CATH RENAL PELVIS $159
Procedurals 36000491 HC BRONCH THERMOPLASTY 1 LOBE $3,395
Procedurals 36000492 HC BRONCH THERMOPLASTY 2 LOBES $5,507
Procedurals 36000493 HC REVSC OPN/PRQ TIB/PERO STENT $27,294
Procedurals 36000494 HC INSERT PICC VENOUS ACCESS $2,997
Procedurals 36000495 HC ENDOVASC GRAFT,ILIAC ART REPAIR $3,908
Procedurals 36000497 HC PTA VENOUS $6,899
Procedurals 36000498 HC TRANSCATH BIOPSY $3,618
Procedurals 36000499 HC TRANSCATH INFUSION,THROMBOLYTIC $2,182
Procedurals 36000500 HC TRANSCATH OCCLUSION OR EMBOLIZATION ANY TYPE $14,635
Procedurals 36000501 HC IVUS (NONCORONARY) $6,429
Procedurals 36000502 HC IVUS (NONCORONARY) EACH ADDITIONAL $6,429
Procedurals 36000503 HC IVC FILTER DEVICE PLACEMENT $12,525
Procedurals 36000504 HC INSERTION GASTROSTOMY TUBE PERCUTANEOUS $2,211
Procedurals 36000505 HC INTRO URETERAL STENT (PRE-EXISTING TRACT) $3,395
Procedurals 36000506 HC VENOUS CLOSURE $6,356
Procedurals 36000507 HC PTA VENOUS $6,899
Procedurals 36000508 HC IABP BY CARDIOLOGIST $2,314
Procedurals 36000509 HC INSERT VENT ASSIST DEVICE $2,809
Procedurals 36000510 HC PTA BRACHIOCEPHALIC ARTERIES $8,111
Procedurals 36000511 HC INJ PROC PSEUDOANEURYSM $1,332
Procedurals 36000512 HC TRANSCATHETER RETRIEVAL $5,797
Procedurals 36000513 HC INSERTION ENDOVASC PROSTH TAA $3,908
Procedurals 36000514 HC ENDOVASC GRAFT,ILIAC ART REPAIR $189
Procedurals 36000515 HC INJ PROC FOR VENOGRAPHY $370
Procedurals 36000516 HC ARTERIOVENOUS SHUNT ANGIOGRAM $2,070
Procedurals 36000517 HC INSERT NONTUNNELED CENTRAL CATH $3,417
Procedurals 36000518 HC INSERT TUNNELED CVC, WO PORT $2,835
Procedurals 36000519 HC INSERT PICC W/O SUBQ PORT/PUMP $2,182
Procedurals 36000520 HC TRANSCATH INFUSION,THROMBOLYTIC $10,823
Procedurals 36000521 HC PERC PLCMNT CCA STENT W EMBOL $1,407
Procedurals 36000522 HC BIOPSY, LIVER $413
Procedurals 36000523 HC INJ PROC FOR ABCESS/CYST $2,211
Procedurals 36000524 HC INSERTION GASTROSTOMY TUBE PERCUTANEOUS $16,914
Procedurals 36000525 HC OCCLUSION,TEMP BALLOON ARTERY $6,429
Procedurals 36000527 HC REPAIR ENDOVASC TAA INCL/SUBCL $5,003
Procedurals 36000528 HC REPAIR ENDOVASC TAA W/O SUBCLA $3,638
Procedurals 36000529 HC INSERTION ENDOVASC PROSTH TAA $3,173
Procedurals 36000530 HC PLACEMENT ENDOVASC PROSTH EXT $2,736
Procedurals 36000531 HC PTA AORTIC $6,665
Procedurals 36000535 HC INTRO CATH-SVC/IVC $977
Procedurals 36000536 HC INTRO VENOUS CATH 1ST ORDER $797
Procedurals 36000537 HC INTRO VENOUS CATH 2ND ORDER $1,114
Procedurals 36000538 HC INTRO CATH PULMONARY, MAIN $698
Procedurals 36000539 HC INTRO CATH PULMONARY, MAIN $698
Procedurals 36000541 HC INTRO NEEDLE EXTREMITY ARTERY $744
Procedurals 36000542 HC INTRO CATH-AORTA $1,215
Procedurals 36000543 HC SELECTIVE THORACIC 1ST ORDER $1,295
Procedurals 36000544 HC SELECTIVE THORACIC 2ND ORDER $1,505
Procedurals 36000545 HC SELECTIVE THORACIC 3RD ORDER $1,790
Procedurals 36000546 HC SELECTIVE THORACIC ADDNL ORDER $292
Procedurals 36000547 HC CATH PLACE/ABD/PELVIS 1ST ORDER $1,385
Procedurals 36000548 HC CATH PLACE/ABD/PELVIS 2ND ORDER $1,505
Procedurals 36000549 HC CATH PLACE/ABD/PELVIS 3RD ORDER $1,790
Procedurals 36000550 HC CATH PLACE/ABD/PELVIS EACH ADDITIONAL $292
Procedurals 36000551 HC UNLISTED PROCEDURE, VASCULAR INJECTION $413
Procedurals 36000552 HC PORTAL VEIN CATHETERIZATION $1,924
Procedurals 36000553 HC VENOUS SAMPLING $641
Procedurals 36000554 HC VENOUS SAMPLING $641
Procedurals 36000555 HC INSERT NONTUNNELED CENTRAL CATH $1,814
Procedurals 36000556 HC INSERT TUNNELED CVC, WO PORT $3,417
Procedurals 36000557 HC REPLACE CATH OF CVAD W/SUBQ PORT/PUMP $3,417
Procedurals 36000558 HC REMOVE TUN CVC W/O SUBQ PORT $1,162
Procedurals 36000559 HC REMOVE TUN CVC W/SUBQ PORT/PUMP $1,326
Procedurals 36000560 HC DECLOTTING PROCEDURE $355
Procedurals 36000562 HC PERC THROMB/REV AV FIS/DIAL GR $5,824
Procedurals 36000563 HC TIPS INSERTION $10,442
Procedurals 36000564 HC TIPS REVISION $16,828
Procedurals 36000565 HC THROMBECTOMY,MECH,PRIM.ARTERY $17,623
Procedurals 36000566 HC THROMBECTOMY,MECH,PRI ART ADDL $8,811
Procedurals 36000567 HC THROMBECTOMY,MECH,SEC ART ADDL $4,903
Procedurals 36000568 HC THROMBECTOMY,MECHANICAL,VENOUS $17,623
Procedurals 36000569 HC THROMBECTOMY,MECH,VENOUS ADDON $5,819
Procedurals 36000570 HC STENT PLACEMENT NONCORONARY ART OR VEIN $15,952
Procedurals 36000571 HC STENT PLACEMENT NONCORONARY EA AD ART OF VEIN $15,952
Procedurals 36000572 HC CATH EXCHANGE-ARTERIAL $3,618
Procedurals 36000573 HC EMBOLIZATION UTERINE FIBROID $13,222
Procedurals 36000574 HC PERC PLCMNT CCA STENT WO EMBOL $10,823
Procedurals 36000575 HC PERC PLCMNT CCA STENT WO EMBOL $10,823
Procedurals 36000576 HC BIOPSY, LIVER $1,407
Procedurals 36000577 HC PERCUTANEOUS CHOLECYSTOSTOMY $3,325
Procedurals 36000578 HC INJ PROC FOR PTC $641
Procedurals 36000579 HC INJ PROC FOR CHOLANGIOGRAPHY $5,582
Procedurals 36000580 HC INTRO CATH FOR PTC $3,395
Procedurals 36000581 HC INTRO TRANSHEPATIC STENT $3,699
Procedurals 36000582 HC BILIARY CATH CHANGE $2,358
Procedurals 36000583 HC REVISION AND/OR REINSERTION TRANSHEPATIC T-TUBE $2,358
Procedurals 36000584 HC BILIARY DUCT STONE EXTRACTION $3,699
Procedurals 36000585 HC ABCESS DRAINAGE, PERITONEAL $3,499
Procedurals 36000586 HC INJ PROC FOR ABCESS/CYST $413
Procedurals 36000587 HC INJ PROC FOR SHUNTOGRAM $428
Procedurals 36000588 HC INJ PROC FOR SHUNTOGRAM $428
Procedurals 36000589 HC INJ PROC FOR PYELOGRAPHY NEW ACCESS $404
Procedurals 36000590 HC INJ PROC FOR PYELOGRAPHY NEW ACCESS $404
Procedurals 36000591 HC NEPHROSTOMY TUBE CHANGE $3,169
Procedurals 36000592 HC OCCLUSION,TEMP BALLOON ARTERY $10,978
Procedurals 36000593 HC EMBOLIZATION-HEAD/NECK $6,516
Procedurals 36000594 HC ANGIOPLASTY INTRACRANIAL $3,583
Procedurals 36000595 HC ANGIOPLASTY INTRACRANL W/STENT $3,908
Procedurals 36000596 HC LUMBAR PUNCTURE $1,956
Procedurals 36000597 HC ABD PARACENTESIS W/IMAGING $1,791
Procedurals 36000598 HC DILATION OF URETERS $3,031
Procedurals 36000599 HC INJ EPIDURAL,BLOOD PATCH $1,058
Procedurals 36000600 HC PTA BRACHIOCEPHALIC ARTERIES $8,111
Procedurals 36000601 HC LT OR RT PULMONARY ART,SELECT $1,204
Procedurals 36000602 HC INTRO CATH SEGMENTAL/SUBSEGMENTL PULM ART $1,204
Procedurals 36000604 HC CATH ARTERIAL SAMPLE/MONITOR/TRANSFUSE $347
Procedurals 36000605 HC INTRO CATH RENAL PELVIS $3,395
Procedurals 36000606 HC INSERT PICC VENOUS ACCESS $2,997
Procedurals 36000607 HC PTA BRACHIOCEPHALIC ARTERIES $8,111
Procedurals 36000608 HC TRANSCATHETER RETRIEVAL $3,618
Procedurals 36000609 HC IVC FILTER DEVICE PLACEMENT $10,627
Procedurals 36000610 HC BRONCHOGRAPHY CATH INSERTION $977
Procedurals 36000612 HC ASPIRATE BLADDER W/SUPRAPUBIC CATH INSERTION $2,657
Procedurals 36000614 HC ASPIRATE PLEURA W/O IMAGING $996
Procedurals 36000615 HC ASPIRATE PLEURA W/ IMAGING $996
Procedurals 36000616 HC PLACE CATH THORACIC AORTA $5,442
Procedurals 36000617 HC PLACE CATH CAROTID/INOM ART XC $5,442
Procedurals 36000618 HC PLACE CATH CAROTID/INOM ART IC $5,442
Procedurals 36000619 HC PLACE CATH CAROTD ART $5,442
Procedurals 36000620 HC PLACE CATH SUBCLAVIAN ART $5,442
Procedurals 36000621 HC PLACE CATH VERTEBRAL ART $5,442
Procedurals 36000622 HC PLACE CATH THORACIC AORTA $5,442
Procedurals 36000623 HC PLACE CATH CAROTID/INOM ART XC $5,442
Procedurals 36000624 HC PLACE CATH CAROTID/INOM ART IC $5,442
Procedurals 36000625 HC PLACE CATH CAROTD ART $5,442
Procedurals 36000626 HC PLACE CATH SUBCLAVIAN ART $5,442
Procedurals 36000627 HC PLACE CATH VERTEBRAL ART $5,442
Procedurals 36000628 HC PLACE CATH XTRNL CAROTID $5,442
Procedurals 36000629 HC PLACE CATH XTRNL CAROTID $5,442
Procedurals 36000630 HC THROMBOLYTIC ART THERAPY $1,913
Procedurals 36000631 HC THROMBOLYTIC VENOUS THERAPY $1,913
Procedurals 36000632 HC THROMBLYTIC ART/VEN THERAPY $3,152
Procedurals 36000633 HC CESSJ THERAPY CATH REMOVAL $3,152
Procedurals 36000634 HC I&D HEMATOMA/FLUID $2,547
Procedurals 36000635 HC THROMBOLYTIC ART THERAPY $1,913
Procedurals 36000636 HC THROMBOLYTIC VENOUS THERAPY $1,913
Procedurals 36000637 HC THROMBLYTIC ART/VEN THERAPY $3,152
Procedurals 36000638 HC CESSJ THERAPY CATH REMOVAL $3,152
Procedurals 36000639 HC REMOVE LUNG CATHETER $741
Procedurals 36000640 HC LIGATION OF INF VENA CAVA $5,327
Procedurals 36000641 HC INJ SACROILIAC JOINT $911
Procedurals 36000642 HC INJ SIJ ANESTH/STEROID W/WO ARTHROGRAPHY $1,196
Procedurals 36000643 HC INTRO NEEDLE AV SHUNT ADDL ACCESS $857
Procedurals 36000644 HC INJECTION W/FLUORO,EVAL CVC $298
Procedurals 36000645 HC FEM/POPL REVASC W/STENT $56,084
Procedurals 36000646 HC FEM/POPL REVAS W/ATHERECTOMY $54,329
Procedurals 36000647 HC TIB/PER REVASC W/ATHER $54,329
Procedurals 36000648 HC EMBOLIZATION-HEAD/NECK $13,883
Procedurals 36000649 HC EMBOLIZATION-HEAD/NECK $13,883
Procedurals 36000650 HC INJ SPIDER VEIN; LIMB/TRUNK $878
Procedurals 36000651 HC ASPIRATE, ABCESS/HEMATOMA/CYST $587
Procedurals 36000652 HC INS CATH REN ART 1ST UNILAT $7,547
Procedurals 36000653 HC INS CATH REN ART 1ST BILAT $8,762
Procedurals 36000654 HC INS CATH REN ART 2ND+ UNILAT $7,902
Procedurals 36000655 HC INS CATH REN ART 2ND+ BILAT $9,472
Procedurals 36000656 HC INSERT SPINAL STIMULATOR $7,907
Procedurals 36000657 HC SCLEROSE SNGL VEIN $193
Procedurals 36000658 HC SCLEROSE MLTPL VEIN $193
Procedurals 36000659 HC LASER VENOUS CLOSURE $3,521
Procedurals 36000660 HC LASER VENOUS CLOSURE ADTL VEIN $3,521
Procedurals 36000661 HC STAB PHLEBECTOMY 10-20 $3,521
Procedurals 36000662 HC STAB PHLEBECTOMY 20+ $3,521
Procedurals 36000663 HC INJ SPIDER VEIN $1,462
Procedurals 36000664 HC SCLEROSE SNGL VEIN $1,462
Procedurals 36000665 HC SCLEROSE MLTPL VEIN $1,462
Procedurals 36000666 HC RF VENOUS CLOSURE ADTL VEIN $3,521
Procedurals 36000667 HC LASER VENOUS CLOSURE $6,356
Procedurals 36000668 HC LASER VENOUS CLOSURE ADTL VEIN $3,521
Procedurals 36000669 HC STAB PLEBECTOMY 10-20 $3,521
Procedurals 36000670 HC STAB PLEBECTOMY 20+ $3,521
Procedurals 36000671 HC REPLACE TUN CVC W/O SUBQ PORT $3,417
Procedurals 36000672 HC PLACE CATH INTRACRANIAL ART $5,442
Procedurals 36000673 HC REPLACE NONTUN CVC W/O SUBQ PT $1,991
Procedurals 36000674 HC PLACE RT DEVICE/MARKER PROS $1,770
Procedurals 36000675 HC INJ SPIDER VEIN TOUCH UP $675
Procedurals 36000676 HC SCLEROSE SNGL VEIN TOUCH UP $675
Procedurals 36000677 HC SCLEROSE MLTPL VEIN TOUCH UP $675
Procedurals 36000678 HC STAB PHLEBECTOMY < 10 $2,846
Procedurals 36000679 HC REMOVE STENT VIA TRANSURETH $917
Procedurals 36000680 HC UNLISTED PROCEDURE URINARY SYSTEM $147
Procedurals 36000681 HC BX BREAST 1ST LESION STEREOTACTIC $5,150
Procedurals 36000682 HC BX BREAST ADD LESION STEREOTACTIC $5,150
Procedurals 36000683 HC BX BREAST 1ST LESION US IMAGING $4,297
Procedurals 36000684 HC BX BREAST ADD LESION US IMAGING $4,297
Procedurals 36000685 HC BX BREAST 1ST LESION MRI IMAGING $7,038
Procedurals 36000686 HC BX BREAST ADD LESION MRI IMAGING $5,150
Procedurals 36000687 HC BX BREAST 1ST LESION STEREOTACTIC $5,150
Procedurals 36000688 HC BX BREAST ADD LESION STEREOTACTIC $4,297
Procedurals 36000689 HC BX BREAST 1ST LESION US IMAGING $4,297
Procedurals 36000690 HC BX BREAST ADD LESION US IMAGING $4,297
Procedurals 36000691 HC BX BREAST 1ST LESION MRI IMAGING $7,038
Procedurals 36000692 HC BX BREAST ADD LESION MRI IMAGING $1,790
Procedurals 36000693 HC PERQ DEVICE BREAST 1ST MAMMOGRAM GUIDE $1,790
Procedurals 36000694 HC PERQ DEVICE BREAST EA MAMMOGRAM GUIDE $2,913
Procedurals 36000695 HC PERQ DEV BREAST 1ST STEREOTACTIC $2,913
Procedurals 36000696 HC PERQ DEV BREAST ADD STEREOTACTIC $2,060
Procedurals 36000697 HC PERQ DEV BREAST 1ST US IMAGING $2,060
Procedurals 36000698 HC PERQ DEV BREAST ADD US IMAGING $4,801
Procedurals 36000699 HC PERQ DEV BREAST 1ST MRI IMAGING $4,801
Procedurals 36000700 HC PERQ DEV BREAST ADD MRI IMAGING $359
Procedurals 36000701 HC CHEMODENERV MUSC NECK DYSTON $628
Procedurals 36000702 HC CHEMODENERV 1 EXTREMITY 1-4 $628
Procedurals 36000703 HC CHEMODENERV 1 EXTREM 1-4 EA $628
Procedurals 36000704 HC CHEMODENERV 1 EXTREM 5/> MUSCLE $628
Procedurals 36000705 HC CHEMODENERV 1 EXTREM 5/> EA $628
Procedurals 36000706 HC CHEMODENERV TRUNK MUSC 1-5 $628
Procedurals 36000707 HC CHEMODENERV TRUNK MUSC 6/> $628
Procedurals 36000708 HC IMAGE CATH FLUID TRNS/VGNL $3,499
Procedurals 36000709 HC REM ENDOVAS VENA CAVA FILTER $7,306
Procedurals 36000710 HC INSERT TUNNELED CVD,W/SUBQ PT $4,501
Procedurals 36000711 HC INSERT SUBQ DEFIB W/ELTRD $35,891
Procedurals 36000712 HC INSERT SUBQ DEFIB ELECTRODE $8,262
Procedurals 36000713 HC INSERT SUBQ DEFIB PLS GEN $35,891
Procedurals 36000714 HC RMVL SUBQ DEFIB PLS GEN $3,687
Procedurals 36000715 HC RMVL & REPLC SUBQ PLS GEN $35,891
Procedurals 36000716 HC RMVL SUBQ DEFIB ELECTRODE $3,687
Procedurals 36000717 HC REPOS SUBQ DEFIB ELTRD &/GEN $3,687
Procedurals 36000718 HC EPHYS EVAL SUBQ IMPLT DEFIB $266
Procedurals 36000721 HC OPTICAL TOMOGRAPHY INIT VESSEL $6,429
Procedurals 36000722 HC OPTICAL TOMOGRAPHY ADDL VESSEL $6,429
Procedurals 36000723 HC EPIDRM AUTOGRFT TRNK/ARM/LEG 100 SQ CM/1% BA $6,988
Procedurals 36000724 HC EPIDRM AUTOGRFT T/A/L ADDL 100 SQ CM/1% BA $7,410
Procedurals 36000725 HC EPIDRM A-GRFT FACE/NCK/HF/G 100 SQ CM/1% BA $6,988
Procedurals 36000726 HC EPIDRM A-GRFT F/N/HF/G ADDL 100 SQ CM/1% BA $7,410
Procedurals 36000727 HC INSERTABLE CARDIAC EVENT REC $10,143
Procedurals 36000728 HC REMOVE INSERTABLE CAR EVENT RECORDER $1,713
Procedurals 36000734 HC MYELOGRAPHY VIA LUMBAR INJ, LUMBOSACRAL $2,805
Procedurals 36000735 HC MYELOGRAPHY VIA LUMBAR INJ, 2 OR MORE REGIONS $2,805
Procedurals 36000738 HC PERQ VERTEBROPLASTY, ADD-ON $4,626
Procedurals 36000739 HC PERQ SACROPLASTY UNILAT INJ (1 OR MORE NEEDLES) $4,626
Procedurals 36000741 HC TCAT INSERT/REPLAC PERM LDLS PM VENTR $26,390
Procedurals 36000745 HC FEM/POPL REVAS W/TLA $27,108
Procedurals 36000750 HC ILIAC REVASC ADD-ON $9,558
Procedurals 36000751 HC ILIAC REVASC W/STENT ADD-ON $23,818
Procedurals 36000752 HC SELECTIVE THORACIC 1ST ORDER $1,319
Procedurals 36000753 HC SELECTIVE THORACIC 2ND ORDER $1,536
Procedurals 36000754 HC SELECTIVE THORACIC 3RD ORDER $1,790
Procedurals 36000755 HC SELECTIVE THORACIC ADDNL ORDER $292
Procedurals 36000756 HC I&D COMPLEX POST OP WND INFECTION $2,909
Procedurals 36000757 HC DEBRIDEMENT, SUBQ TISSUE FIRST 20 SQ CM OR LESS $504
Procedurals 36000758 HC DEBRIDEMENT, ADD ON 20 SQ CM OR PART THEREOF $504
Procedurals 36000759 HC SECONDARY CLOSURE OF SURG WND OR DEHIS, EXT OR COMPLICATED $2,503
Procedurals 36000766 HC REVSC OPN/PRQ TIB/PERO STENT $27,294
Procedurals 36000777 HC REMOVAL OF BILIARY DRAINAGE CATHETER $868
Procedurals 36000778 HC PLCMNT URETERAL STENT NEW ACCESS WO SEP CATH
Procedurals 36000793 HC VASC EMBOLIZE/OCLLUDE VENOUS $17,134
Procedurals 36000794 HC VASC EMBOLIZE/OCCLUDE ARTERY $17,134
Procedurals 36000795 HC VASC EMBOLIZE/OCCLUDE ORGAN/TUMOR $17,134
Procedurals 36000796 HC VASC EMBOLIZE/OCCLUDE BLEED $17,134
Procedurals 36000806 HC INJECT/IMPLNT BULKING OR SPACER MTRL (W OR W/O IMAG GUIDANCE) $4,028
Procedurals 36000809 HC DRAIN/INJECT JOINT/BURSA MAJOR WO US $818
Procedurals 36000810 HC C1-C2 PUNCTURE; W/INJECTION $1,052
Procedurals 36000826 HC INJ SPINE C/T W/IMAGE GUIDANCE $1,127
Procedurals 36000833 HC MOCA, ABLATION THRPY 1ST VEIN $6,356
Procedurals 36000834 HC MOCA, ABLATION THRPY ADDL VEINS $3,521
Procedurals 36000837 HC INJ PARAVERTEBRAL C/T 2 LEVELS $1,247
Procedurals 36000838 HC INJ PARAVERTEBRAL C/T 3 LEVELS $1,247
Procedurals 36000839 HC INJ PARAVERTEBRAL L/S 2 LEVELS $1,098
Procedurals 36000840 HC INJ PARAVERTEBRAL L/S 3 LEVELS $1,098
Procedurals 36000844 HC PVB THORACIC SINGLE INJ SITE $880
Procedurals 36000846 HC ENDOVAS RPR A-AO NDGFT FOR RUPTURE $5,003
Procedurals 36000862 HC PROSTATE NEEDLE PUNCH BX $2,992
Procedurals 36000863 HC INJ ANESTH; PUDENDAL NERVE $1,270
Procedurals 36000864 HC VISC & INFRAREN ABD 3 PROSTH $37,677
Procedurals 36000865 HC PVB THORACIC 2ND+ INJ SITE $203
Procedurals 36000866 HC BEDSIDE BRONCH $3,538
Procedurals 36000867 HC BEDSIDE BRONCH W/OTHER PROCEDURES $3,538
Procedurals 36000868 HC STENT PLACEMT ANTE CAROTID $10,823
Procedurals 36000869 HC INSERT VAD ART&VEIN ACCESS $8,262
Procedurals 36000870 HC REMOVE VAD DIFFERENT SESSION $4,131
Procedurals 36000871 HC REPOSITION VAD DIFF SESSION $2,781
Procedurals 36000872 HC NB INJ HYPOGAS PLXS $2,268
Procedurals 36000873 HC NAVIGATIONAL BRONCHOSCOPY $3,457
Procedurals 36000874 HC ENDOVEN THER CHEM ADHES 1ST $6,356
Procedurals 36000875 HC ENDOVEN THER CHEM ADHES SBSQ $3,521
Procedurals 36000876 HC EV FEMPOP ARTL REVSC $18,275
Procedurals 36000877 HC AORTIC HEMIARCH GRAFT $2,012
Procedurals 36000878 HC INSJ PICC RS&I <5 YR $1,172
Procedurals 36000879 HC INSJ PICC RS&I 5 YR+ $2,067
Procedurals 36000880 HC OPEN BX/EXC INGUINOFEM NODES $833
Procedurals 36000881 HC DILAT XST TRC NDURGC PX $3,289
Procedurals 36000882 HC DILAT XST TRC NEW ACCESS RCS $5,098
Procedurals 36000883 HC SCLEROTX FLUID COLLECTION
Procedurals 36000884 HC PUNCH BX SKIN SINGLE LESION $308
Procedurals 36000885 HC INCAL BX SKIN SINGLE LESION $547
Procedurals 36000886 HC NON-ROUTINE BL DRAW 3/>YRS $128
Procedurals 36000887 HC FNA BX W/US GDN 1ST LESION $1,008
Procedurals 36000888 HC FNA BX W/US GDN EA ADDL $371
Procedurals 36000889 HC UNLISTED PROCEDURE PELVIS OR HIP JOINT $392
Procedurals 36000990 HC DRILL SKULL FOR IMPLANTATION $1,046
Procedurals 36000991 HC INS MARK THOR FOR RT PERQ $2,076
Procedurals 36000992 HC BRONCHIAL VALVE INIT INSERT $9,729
Procedurals 36000993 HC BRONCHIAL VALVE REMOV INIT $5,180
Procedurals 36000994 HC BRONCHIAL VALVE REMOV ADDL $2,588
Procedurals 36000995 HC BRONCHIAL VALVE ADDL INSERT $4,864
Procedurals 36000998 HC TTVR PERQ APPR 1ST PROSTH
Procedurals 36000999 HC TTVR PERQ EA ADDL PROSTH
Procedurals 36001000 HC PERICARDIOCENTESIS W/IMAGING $3,330
Procedurals 36001001 HC PERICARD DRG 6YR+ W/O OGEN CAR $4,185
Procedurals 36001002 HC PERICARD DRG 0-5YR W/ANOMLY $4,185
Procedurals 36001003 HC PERQ PERICARD DRG INSJ CATH CT $4,590
Procedurals 36001004 HC DSTRJ NULYT AGT GNCLR NERVE $3,001
Procedurals 36001005 HC AV ANASTOMOSIS OPEN; DIRECT ANY SITE $4,837
Procedurals 36001006 HC LAP INSERTION PERM IP CATH $8,436
Procedurals 36001007 HC RF ABLTJ NRV NRVTG SI JT $3,249
Procedurals 36001008 HC NJX AA&/STRD GNCLR NRV BRANCH W/IMG $1,181
Procedurals 36001009 HC FNA BX W/CT GDN 1ST LESION $1,065
Procedurals 36001010 HC FNA BX W/CT GDN EA ADDL $162
Procedurals 36001011 HC DILATE BILIARY DUCT/AMPULLA $338
Procedurals 36001012 HC UNLISTED PROCEDURE LIVER $1,153
Procedurals 36001013 HC DX LMBR SPI PNXR W/FLUOR/CT $1,956
Procedurals 36001014 HC CYSTOSCOPY PROSTATIC IMP 1-3 $7,385
Procedurals 36001015 HC CYSTOSCOPY PROSTATIC IMP 4 OR MORE $14,081
Procedurals 36001016 HC DRAIN/INJ MAJOR JOINT/BURSA W/US $508
Procedurals 36001017 HC REVASC INTRA LITHOTRIP-STENT $28,177
Procedurals 36001018 HC INSERT CATH PLEURA W/IMAGING $2,423
Procedurals 36001019 HC DRAIN/INJ JOINT/BURSA W/US $508
Procedurals 36001020 HC DRAIN/INJ INTERM JOINT/BURSA W/US $1,199
Procedurals 36001021 HC NJX AA&/STRD AXILLARY NERVE $1,416
Procedurals 36001022 HC NJX AA&/STRD SPRSCAP NERVE $1,094
Procedurals 36001023 HC IMPLANT NEUROELECTRODES $11,642
Procedurals 36001024 HC SPINE SURGERY PROCEDURE $390
Procedurals 36001025 HC REMOVE FOREIGN BODY $595
Procedurals 36001026 HC REMOVE CONTRACEPTIVE CAPSULE $1,072
Procedurals 36001027 HC VISC & INFRAREN ABD 1 PROSTH $34,591
Procedurals 36001028 HC VISC & INFRAREN ABD 2 PROSTH $36,256
Procedurals 36001028 HC VISC & INFRAREN ABD 2 PROSTH $36,256
Procedurals 36001029 HC REVASC INTRAVASC LITHOTRIPSY $17,623
Procedurals 36001030 HC REVASC INTRA LITHOTRIP-ATHER $28,177
Procedurals 36001031 HC REVASC LITHOTRIP-STENT-ATHER $28,177
Procedurals 36001032 HC REVASC LITHOTRIP TIBI/PERONE $17,623
Procedurals 36001033 HC REVASC LITHOTR-STENT TIB/PER $28,177
Procedurals 36001034 HC REVASC LITHOTR-ATHER TIB/PER $28,177
Procedurals 36001035 HC REVASC LITH-STEN-ATH TIB/PER $28,177
Procedurals 36001036 HC INSERT CATH PLEURA W/O IMAGING $2,850
Procedurals 36001037 HC ENDOVASC VISC AORTA 1 GRAFT $34,591
Procedurals 36001038 HC ENDOVASC VISC AORTA 2 GRAFT $36,256
Procedurals 36001039 HC ENDOVASC VISC AORTA 3 GRAFT $37,677
Procedurals 36001040 HC ENDOVASC VISC AORTA 4 GRAFT $39,294
Procedurals 36001041 HC RMVL SPINE ELTRD PERQ ARAY $3,081
Procedurals 36001042 HC PERQ ART M-THROMBECT &/NFS $20,750
Procedurals 36000803 HC HOLDING/TREATMENT ROOM PROCEDURE $844
Anesthesia 37000001 HC ANESTHESIA FIRST 30 MINUTES $204
Anesthesia 37000001 HC ANESTHESIA FIRST 30 MINUTES $204
Anesthesia 37000002 HC OH ANESTHESIA FIRST 30 MINUTES $216
Anesthesia 37000003 HC ANESTHESIA PER MINUTE $9
Anesthesia 37000004 HC OH ANESTHESIA PER MINUTE $11
Anesthesia 37000005 HC MOD SED SAME PHYS/QHP 5/>YRS INITIAL 15 MIN $204
Anesthesia 37000006 HC MOD SED SAME PHYS/QHP 5/>YRS EA ADDL 15 MIN $9
Anesthesia 37000007 HC MOD SED OTH PHYS/QHP 5/>YRS INITIAL 15 MIN $204
Anesthesia 37000008 HC MOD SED OTH PHYS/QHP 5/>YRS EA ADDL 15 MIN $9
Blood Transfusion 39100014 HC TRANSFUS BLD OR COMP $794
Mammogram 40100002 HC MAMMOGRAM DIAG UNILAT/CALLBACK $348
Mammogram 40100003 HC MAMMOGRAM DIAG UNILAT GG $338
Mammogram 40100003 HC MAMMOGRAM DIAG UNILAT GG $338
Mammogram 40100004 HC MAMMOGRAM DIAGNOSTIC BILAT DIG (INCLUDES CAD) $369
Mammogram 40100005 HC MAMMOGRAM DIAGNOSTI UNILAT DIG (INCLUDES CAD) $309
Mammogram 40100006 HC DIAG DIGITAL TOMOSYNTHESIS, UNILAT OR BILAT $66
Mammogram 40100007 HC MAMMOGRAM DIAG BILAT/CALLBACK $348
Mammogram 40100008 HC MAMMOGRAM DIAG BILAT GG $338
Ultrasound 40200057 HC US BREAST LIMITED (LEFT) $360
Ultrasound 40200058 HC US BREAST LIMITED (RIGHT) $360
Ultrasound 40200060 HC US BONE DENSITY - PERIPHERAL $93
Ultrasound 40200061 HC OB US DETAILED SINGLE FETUS $338
Ultrasound 40200001 HC US ABCESS DRAINAGE $670
Ultrasound 40200002 HC US ECHOENCEPHALOGRAPHY/NEURO $238
Ultrasound 40200003 HC US SOFT ISSUE NECK, THYROID $775
Ultrasound 40200004 HC US CHEST $900
Ultrasound 40200005 HC US BREAST COMPLETE (LEFT) $470
Ultrasound 40200006 HC US BREAST COMPLETE (RIGHT) $470
Ultrasound 40200007 HC US INSERTION MAMMOSITE $876
Ultrasound 40200008 HC US ABDOMEN COMPLETE $900
Ultrasound 40200009 HC US ABDOMEN LIMITED $900
Ultrasound 40200010 HC US RETROPERITONEAL LIMITED $900
Ultrasound 40200011 HC US TRANSPLANTED KIDNEY W/DUPLX $301
Ultrasound 40200012 HC US SPINE INFANT $903
Ultrasound 40200013 HC US OB 1ST TRIMESTER TA $801
Ultrasound 40200014 HC US OB 1ST TRIMESTER TA EA ADD $531
Ultrasound 40200015 HC US OBSTETRIC COMPLETE $801
Ultrasound 40200016 HC US OBSTETRIC MULTI GESTATIONS $531
Ultrasound 40200017 HC US OB 1ST TRIMESTER TV OR TA $801
Ultrasound 40200020 HC US OBSTETRIC LIMITED $404
Ultrasound 40200020 HC OB US LIMITED 1+FETUS(S) $404
Ultrasound 40200021 HC US OB 1ST TRIMESTER TV $801
Ultrasound 40200022 HC US TRANSVAGINAL $900
Ultrasound 40200023 HC US PELVIC COMPLETE $821
Ultrasound 40200024 HC ULTRASOUND PELVIS, LTD OR F/U $176
Ultrasound 40200025 HC US SCROTUM $701
Ultrasound 40200026 HC US TRANSRECTAL $900
Ultrasound 40200027 HC PROSTATE VOLUME STUDY/SEED TX $520
Ultrasound 40200028 HC US XTR NON-VASC COMPLETE $775
Ultrasound 40200029 HC US XTR NON-VASC LMTD $497
Ultrasound 40200030 HC US HIPS INFANT $903
Ultrasound 40200031 HC ULTRASONIC PERICARDIOCENTESIS $248
Ultrasound 40200032 HC PSEUDOANEURYSM ULTRASOUND/COMP $1,450
Ultrasound 40200033 HC ULTRASOUND GUIDE VASC ACCESS $701
Ultrasound 40200034 HC US GUIDANCE / MONITOR VISC ABL $242
Ultrasound 40200035 HC US NEEDLE GUIDANCE $787
Ultrasound 40200036 HC US AMNIOCENTESIS GUIDANCE $701
Ultrasound 40200037 HC US AMNIOCENTESIS, TWINS $1,026
Ultrasound 40200038 HC INTRAOPERATIVE ULTRASOUND $1,103
Ultrasound 40200039 HC AAA ULTRASOUND SCREENING $289
Ultrasound 40200040 HC 3D RENDERING W/ POST-PROCESS $794
Ultrasound 40200041 HC 3D RENDERING W/ POST-PROCESS $794
Ultrasound 40200042 HC INTRAOPERATIVE ULTRASOUND $273
Ultrasound 40200043 HC ULTRASOUND GUIDE VASC ACCESS $720
Ultrasound 40200044 HC ULTRASOUND GUIDE VASC ACCESS $720
Ultrasound 40200045 HC ULTRASOUND GUIDE VASC ACCESS $720
Ultrasound 40200046 HC US ABDOMEN LIMITED $900
Ultrasound 40200047 HC US NEEDLE GUIDANCE $787
Ultrasound 40200048 HC INTRAOPERATIVE ULTRASOUND $273
Ultrasound 40200049 HC ULTRASOUND GUIDE VASC ACCESS $720
Ultrasound 40200050 HC ULTRASOUND GUIDE VASC ACCESS $720
Ultrasound 40200051 HC AAA ULTRASOUND SCREENING $289
Ultrasound 40200052 HC ULTRASOUND GUIDE VASC ACCESS $720
Ultrasound 40200053 HC US NEEDLE GUIDANCE $787
Ultrasound 40200054 HC US NEEDLE GUIDANCE $787
Ultrasound 40200055 HC US GUIDE - ENDOMYOCARDIAL BX $787
Ultrasound 40200056 HC US EXAM ABDO BACK WALL COMP $900
Ultrasound 40200065 HC USE ELASTOGRAPHY PARENCHYMA $270
Ultrasound 40200066 HC US TRGT DYN MBUBB 1ST LESION $382
Ultrasound 40200067 HC US TRGT DYN MBUBB EA ADDL LESION $81
Ultrasound 40200068 HC USE ELASTOGRAPHY 1ST TARGET LESION $213
Ultrasound 40200069 HC USE ELASTOGRAPHY EA ADDL TARGET LESION $49
Ultrasound 48000098 HC 3D CARDIAC RENDERING W/INTRP $749
Ultrasound 40300004 HC SCREENING DIGITAL TOMOSYNTHESIS, BILAT $66
Ultrasound 40300005 HC SCREENING DIGITAL TOMOSYNTHESIS, UNILAT (RIGHT) $66
Ultrasound 40300007 HC SCREENING DIGITAL TOMOSYNTHESIS, UNILAT (LEFT) $66
Ultrasound 40300002 HC SCRN MAMMO DIR DIGITAL $288
Ultrasound 40300003 HC HEALTH DEPT SCRN MAMM $288
Pet Scan 40400001 HC PET MYOCARDIAL METABOLIC EVAL $6,847
Pet Scan 40400002 HC PET BRAIN $6,847
Pet Scan 40400003 HC PET BRAIN PERFUSION EVALUATION $6,847
Pet Scan 40400012 HC PET IMAGE SKULL - THIGH $6,615
Pet Scan 40400013 HC PET FULL BODY $6,615
Pet Scan 40400015 HC AQMBF PET REST & RX STRESS $338
Respiratory Therapy 41000073 HC CARDIOPULMONARY RESUSCITATION - ER $899
Respiratory Therapy 41000074 HC PULM REHAB COPD PHASE II EDUC $709
Respiratory Therapy 41000075 HC PR PHASE II COPD DISCHARGE PLANNING $709
Respiratory Therapy 41000076 HC PR PHASE II COPD EVALUATION $709
Respiratory Therapy 41000001 HC INTUBATION $1,061
Respiratory Therapy 41000004 HC VENTILATOR INITIAL DAY $1,384
Respiratory Therapy 41000007 HC VENTILATOR SUBSEQUENT DAY $1,278
Respiratory Therapy 41000009 HC INHALATION TREATMENT $352
Respiratory Therapy 41000024 HC JET NEB PENTAMIDINE OUTPATIENT $321
Respiratory Therapy 41000025 HC CONTINUOUS JET NEB INITIAL $404
Respiratory Therapy 41000026 HC CONT JET NEB SUBSEQUENT HOUR $190
Respiratory Therapy 41000027 HC NON-INVASIVE VENT SUBSEQUENT DAY $795
Respiratory Therapy 41000028 HC NON-INVASIVE VENT INITIAL DAY $1,006
Respiratory Therapy 41000031 HC ACAPELLA/PEP, INITIAL THERAPY $86
Respiratory Therapy 41000032 HC PD WITH P INITIAL DAY $211
Respiratory Therapy 41000033 HC CHEST PT $270
Respiratory Therapy 41000036 HC ACAPELLA/PEP, SUBSEQUENT THERAPY $86
Respiratory Therapy 41000037 HC PD WITH P SUBSEQUENT $211
Respiratory Therapy 41000039 HC CHEST PT SUBSEQUENT $270
Respiratory Therapy 41000041 HC N/N TRANSCUTANEOUS MONITORING INITIAL $277
Respiratory Therapy 41000043 HC CARDIOPUL REHAB ED/REFERRAL $74
Respiratory Therapy 41000044 HC APNEA LINK $498
Respiratory Therapy 41000045 HC N/N BUBBLE CPAP SUBSEQUENT DAY $907
Respiratory Therapy 41000046 HC N/N BUBBLE CPAP INITIAL DAY $1,148
Respiratory Therapy 41000047 HC PUL REHAB THERAPY $203
Respiratory Therapy 41000048 HC PUL REHAB THERAPY GROUP $135
Respiratory Therapy 41000049 HC PUL REHAB COPD W EXER $709
Respiratory Therapy 41000050 HC APNEA TEST $90
Respiratory Therapy 41000051 HC INHALATION TREATMENT SUBSEQUENT $230
Respiratory Therapy 41000052 HC CARDIOPULMONARY RESUSCITATION $900
Respiratory Therapy 41000053 HC OSCILLATOR INITIAL DAY $1,384
Respiratory Therapy 41000054 HC OSCILLATOR SUBSEQUENT DAY $1,278
Respiratory Therapy 41000055 HC MDI INHALATION INITIAL $149
Respiratory Therapy 41000056 HC MDI INHALATION SUBSEQUENT $134
Respiratory Therapy 41000057 HC IPPB INITIAL $211
Respiratory Therapy 41000058 HC IPPB SUBSEQUENT $200
Respiratory Therapy 41000067 HC CPAP AUTOSET SLEEP STUDY $1,006
Respiratory Therapy 41000068 HC VEST THERAPY INITIAL $277
Respiratory Therapy 41000069 HC VEST THERAPY SUBSEQUENT $277
Respiratory Therapy 41000070 HC N/N TRANSCUTANEOUS MONITORING SUBSEQUENT $277
Respiratory Therapy 41000072 HC INHALATION TREATMENT $284
Hyperbaric 41300001 HC HYPERBARIC OXYGEN 0-30MN $552
Hyperbaric 41300002 HC HYPERBARIC OXYGEN 31-60MN $1,103
Hyperbaric 41300003 HC HYPERBARIC OXYGEN 61-90MN $1,654
Hyperbaric 41300004 HC HYPERBARIC OXYGEN 91-120MN $2,205
Hyperbaric 41300005 HC HYPERBARIC OXYGEN PER 30 MIN $552
Pulmonary Rehab 41900003 HC CAR SEAT/BED TEST EA ADDL 30 MIN $27
Pulmonary Rehab 41900001 HC PULMONARY REHAB TRAINING 15 MI $169
Pulmonary Rehab 41900002 HC CAR SEAT/BED TEST 60 MIN $55
Physical Therapy 42000055 HC PT HEEL WEDGE MEDIUM OR LARGE $19
Physical Therapy 42000058 HC PT WRIST BRACE MEDIUM $34
Physical Therapy 42000059 HC PT KINESIO BBEG/GLD 2X2.73 $8
Physical Therapy 42000060 HC PT SENSORY INTEGRATION THERAPY $81
Physical Therapy 42000001 HC MUSCLE TESTING MANUAL PT $149
Physical Therapy 42000002 HC ROM MEASUREMENTS EXT/TRUNK $149
Physical Therapy 42000003 HC DEVELOPMENTAL TEST LIM PT $100
Physical Therapy 42000004 HC HOT OR COLD PACKS THERAPY 1+ AREA $49
Physical Therapy 42000005 HC TRACTION MECHANICAL,PT $120
Physical Therapy 42000006 HC VASOPNEUMATIC DEVICE $149
Physical Therapy 42000007 HC FLUIDOTHERAPY $136
Physical Therapy 42000008 HC WHIRLPOOL $151
Physical Therapy 42000009 HC IONTOPHORESIS PT(15 MIN UNITS) $85
Physical Therapy 42000010 HC ULTRASOUND PT (15MIN UNITS) $93
Physical Therapy 42000011 HC US W/MEDS PT (15 MIN UNITS) $107
Physical Therapy 42000012 HC HUBBARD TANK, EACH 15MIN. $127
Physical Therapy 42000013 HC THERAPEUTIC EXERCISE PT $135
Physical Therapy 42000014 HC NEUROMUSCULAR RE-ED(15MIN UTS) $135
Physical Therapy 42000015 HC GAIT TRAINING PT(15 MIN UNITS) $132
Physical Therapy 42000016 HC MASSAGE PT (15 MIN UNITS) $115
Physical Therapy 42000017 HC MANUAL TX TECH-PT(15MIN UNITS) $132
Physical Therapy 42000018 HC THERAPEUTIC PROCEDURE, GROUP $132
Physical Therapy 42000019 HC THERAPEUTIC ACT DIR(15MIN UTS $132
Physical Therapy 42000020 HC SELECTIVE WND DEBRIDEMENT 20 CM OR < $327
Physical Therapy 42000021 HC PULSAVAC DEBRIDEMENT 20 CM OR < $423
Physical Therapy 42000023 HC PHYSICAL PERF TEST/MEASURE $146
Physical Therapy 42000024 HC PROSTHETIC TRAINING EA 15 MIN $139
Physical Therapy 42000026 HC PREPLACEMENT SCREENING(EA 15M) $113
Physical Therapy 42000027 HC WOUND ULTRASOUND $475
Physical Therapy 42000028 HC ELECTRICAL STIMULATION UNATTENDED $105

See Part 4