LONG_DESCRIPTION CPT/HCPCS Code  FQHC Price   Professional Price   Technical Price 
Anesthesia, salivary gland 100  $              159.60
Anesthesia, repair of cleft lip 102  $              159.60
Anesthesia, Reconstructive Procedures of Eyelid 103  $              159.60
Anesthesia, electroconvulsive therapy 104  $              159.60
Anesthesia, ear surgery 120  $              159.60
Anesthesia, otoscopy 124  $              159.60
Anesthesia, tympanotomy 126  $              159.60
Anesthesia, procedures on eye, NOS 140  $              159.60
Anesthesia, procedures on eye, lens surgery 142  $              159.60
Anesthesia, procedures on eye, vitreoretinal surgery 144  $              159.60
Anesthesia, procedures on eye, iridectomy 145  $              159.60
Anesthesia, procedures on eye, ophthalmoscopy 147  $              159.60
Anesthesia, procedures on eye, corneal transplant 148  $              159.60
Anesthesia, nose/sinus; NOS 160  $              159.60
Anesthesia, nose/sinus; radical surgery 162  $              159.60
Anesthesia, nose/sinus; biopsy 164  $              159.60
Anesthesia, intraoral; NOS 170  $              159.60
Anesthesia, intraoral; cleft palate repair 172  $              159.60
Anesthesia, intraoral; excision retropharyngeal tumor 174  $              159.60
Anesthesia, intraoral, radical surgery 176  $              159.60
Anesthesia, face/skull bone surgery, NOS 190  $              159.60
Anesthesia, face/skull bone surgery, radical surgery 192  $              159.60
Anesthesia, intracranial surg; NOS 210  $              159.60
Anesthesia, intracranial surg, craniotomy or craniectomy for 211  $              159.60
Anesthesia, intracranial surg, subdural taps 212  $              159.60
Anesthesia, intracranial surg, burr holes 214  $              159.60
Anesthesia, intracranial surg, cranioplasty or elevation of  215  $              159.60
Anesthesia, intracranial surg, vascular 216  $              159.60
Anesthesia, intracranial surg, procedure in a sitting positi 218  $              159.60
Anesthesia, intracranial surg, cerebral spinal fluid shuntin 220  $              159.60
Anesthesia, intracranial surg, Electocoagulation of Intracra 222  $              159.60
Anesthesia, Integumentary, muscles, nerves of head/neck/post 300  $              159.60
Anesthesia, neck organs, NOS, age 1 + over 320  $              159.60
Anesthesia, Needle biopsy of thyroid 322  $              159.60
Anesthesia, larynx/trachea, < 1 YR 326  $              159.60
Anesthesia, neck vessel surgery, NOS 350  $              159.60
Anesthesia, neck vessel surgery, simple ligation 352  $              159.60
Anesthesia, skin, extremities/perineum/anterior trunk, NOS 400  $              159.60
Anesthesia, Reconstructive procedures of breast 402  $              159.60
Anesthesia, surgery of breast, radical or modified radical 404  $              159.60
Anesthesia, surgery of breast, radical or modified radical w 406  $              159.60
Anesthesia, correct heart rhythm 410  $              159.60
Anesthesia, surgery of clavicle, scapula, NOS 450  $              159.60
Anesthesia, Clavicle biopsy 454  $              159.60
Anesthesia, Partial Rib resection, NOS 470  $              159.60
Anesthesia, Partial Rib resection, thoracoplasty, any type 472  $              159.60
Anesthesia, Partial Rib resection, radical 474  $              159.60
Anesthesia, esophogeal surgery 500  $              159.60
Anesthesia, closed chest procedures, NOS 520  $              159.60
Anesthesia, closed chest procedures, needle biopsy pleura 522  $              159.60
Anesthesia, closed chest procedure, pneumocentisis 524  $              159.60
Anesthesia, closed chest procedure, mediastinoscopy + diagno 528  $              159.60
Anesthesia, closed chest procedure, mediastinoscopy + diagno 529  $              159.60
Anesthesia, permanent transvenous pacemaker insertion 530  $              159.60
Anesthesia, vascular access 532  $              159.60
Anesthesia, Transvenous insertion or replace pacing cardiove 534  $              159.60
Anesthesia, cardiac electrophysiologic procedures including  537  $              159.60
Anesthesia, transbronchial reconstruction 539  $              159.60
Anesthesia, thoracotomy proc involving lungs, pleura, diaphr 540  $              159.60
Anesthesia, thoracotomy proc involving lungs, pleura, diaphr 541  $              159.60
Anesthesia, thoracotomy proc involving lungs, pleura, diaphr 542  $              159.60
Anesthesia, thoracotomy involv lungs, pleura, diaphragm, med 546  $              159.60
Anesthesia, thoracotomy involv lungs, pleura, diaphragm, med 548  $              159.60
Anesthesia, sternal debridement 550  $              159.60
Anesthesia, procedures of heart, pericardial sac, great vess 560  $              159.60
Anesthesia, heart, Pericardial sac, great vessels of chest,  561  $              159.60
Anesthesia, heart, pericardial sac, g v chest, w pump;age 1  562  $              159.60
Anesthesia, heart, pericardial sac, > vessels of chest, w pu 563  $              159.60
Anesthesia, CABG W/O PUMP oxygenator 566  $              159.60
Anesthesia, CABG W PUMP oxygenator 567  $              159.60
Anesthesia, heart or heart/lung transplant 580  $              159.60
Anesthesia, Cervical spine, cord surgery, NOS 600  $              159.60
Anesthesia, Cervical spine, cord surgery, Patient in sitting 604  $              159.60
Anesthesia, Thoracic spine, cord surgery, NOS 620  $                           -  
Anesthesia, thoracic spine, cord surgery, via anterior trans 625  $              159.60
Anesthesia, thoracic spine, cord surgery, via anterior trans 626  $              159.60
Anesthesia, lumbar spine, surgery, NOS 630  $              159.60
Anesthesia, lumbar spine, surgery, sympathectomy 632  $              159.60
Anesthesia, lumbar spine, surgery, diagnostic or therapeutic 635  $              159.60
Anesthesia, spine manipulation for proc on cervical, thoraci 640  $              159.60
Anesthesia, extensive spine and spinal cord surgery 670  $              159.60
Anesthesia, upper anterior abdominal wall surg, NOS 700  $              159.60
Anesthesia, upper anterior abdominal wall surg, percutaneous 702  $              159.60
Anesthesia, upper posterior abdominal wall surg 730  $              159.60
Anesthesia for upper gastrointestinal endoscopic procedure p 731  $              159.60
Anesthesia for endoscopic retrograde cholangiopancreatograph 732  $              159.60
Anesthesia, upper GI endoscopic procedures, endoscope introd 740  $              159.60
Anesthesia, repair of hernia, upper abdomen, NOS 750  $              159.60
Anesthesia, repair of hernia lumbar and ventral and wound de 752  $              159.60
Anesthesia, repair of hernia omphalocele 754  $              159.60
Anesthesia, repair of hernia, transabdominal 756  $              159.60
Anesthesia, major abdominal BLOOD VESSEL REPAIR 770  $              159.60
Anesthesia, intraperitoneal surg upper abdomen, NOS 790  $              159.60
Anesthesia, intraperitoneal surg upper abdomen, partial hepa 792  $              159.60
Anesthesia, intraperitoneal surg upper abdomen, partial/tota 794  $              159.60
Anesthesia, intraperitoneal surg upper abdomen, liver transp 796  $              159.60
Anesthesia, intraperitoneal surg upper abdomen, gastric rest 797  $              159.60
Anesthesia, lower anterior abdominal wall; NOS 800  $              159.60
Anesthesia, lower anterior abdominal wall; panniculectomy 802  $              159.60
Anesthesia, lower intestinal endoscopic procedures, endoscop 810  $              159.60
Anesthesia for lower gastrointestinal endoscopic procedure d 811  $              159.60
Anesthesia for screening colonoscopy 812  $              159.60
Anesthesia for combined upper and lower gastrointestinal end 813  $              159.60
Anesthesia, procedures on lower posterior abdominal wall 820  $              159.60
Anesthesia, hernia repairs in lower abdomen, NOS 830  $              159.60
Anesthesia, hernia repairs in lower abdomen, ventral and inc 832  $              159.60
Anesthesia, hernia repairs in the lower abdomen NOS, younger 834  $              159.60
Anesthesia, hernia repairs lower abdomen NOS, infants younge 836  $              159.60
Anesthesia, intraperitoneal procedures in lower abdomen incl 840  $              159.60
Anesthesia, intraperitoneal procedures in lower abdomen incl 842  $              159.60
Anesthesia, intraperitoneal proc. in lower abdomen including 844  $              159.60
Anesthesia, intraperitoneal proc. in lower abdomen including 846  $              159.60
Anesthesia, intraperitoneal proc. in lower abdomen including 848  $              159.60
Anesthesia, intraperitoneal proc. in lower abdomen including 851  $              159.60
Anesthesia, extraperitoneal proc.in lower abdomen including  860  $              159.60
Anesthesia, extraperitoneal lower abdomen includ urinary tra 862  $              159.60
Anesthesia, extraperitoneal proc.in lower abdomen including  864  $              159.60
Anesthesia, extraperitoneal proc.in lower abdomen including  865  $              159.60
Anesthesia, extraperitoneal proc.in lower abdomen including  866  $              159.60
Anesthesia, extraperitoneal lower abdomen including urinary  868  $              159.60
Anesthesia, extraperitoneal proc.in lower abdomen including  870  $              159.60
Anesthesia , lithotripsy, exracorporeal shock wave; without  873  $              159.60
Anesthesia, procedures on major lower abdominal vessels; NOS 880  $              159.60
Anesthesia, procedures on major lower abdominal vessels; inf 882  $              159.60
Anesthesia, anorectal procedure 902  $              159.60
Anesthesia, radical perineal procedure 904  $              159.60
Anesthesia, vulvectomy 906  $              159.60
Anesthesia, perineal prostatectomy 908  $              159.60
Anesthesia, transurethral procedures (including urethrocysto 910  $                 81.93
Anesthesia, transurethral procedures; transurethral resectio 912  $              159.60
Anesthesia, transurethral procedures; transurethral resectio 914  $              159.60
Anesthesia, transurethral procedures; post-transurethral res 916  $              159.60
Anesthesia, transurethral procedures; w/fragmentation,manipu 918  $              159.60
Anesthesia, procedures on male genitalia, NOS 920  $              159.60
Anesthesia, procedures on male genitalia, vasectomy, unilate 921  $              159.60
Anesthesia, procedures on male genitalia, seminal vesicles 922  $              159.60
Anesthesia, procedures on male genitalia, undescended testis 924  $              159.60
Anesthesia, procedures on male genitalia, radical orchiectom 926  $              159.60
Anesthesia, procedures on male genitalia,radical orchiectomy 928  $              159.60
Anesthesia, procedures on male genitalia,orchiopexy, unilate 930  $              159.60
Anesthesia, procedures on male genitalia, complete amputatio 932  $              159.60
Anesthesia, proc. on male genitalia,radical amputation of pe 934  $              159.60
Anesthesia, male genitalia,radical amputation of penis w/bil 936  $              159.60
Anesthesia, proc. on male genitalia, insertion of penile pro 938  $              159.60
Anesthesia, vaginal procedures (including biopsy of labia, v 940  $              159.60
Anesthesia, vaginal procedures, colpotomy, vaginectomy, colp 942  $              159.60
Anesthesia, vaginal procedures, vaginal hysterectomy 944  $              159.60
Anesthesia, vaginal procedures, cervical cerciage 948  $              159.60
Anesthesia, vaginal procedures, culdoscopy 950  $              159.60
Anesthesia, vaginal procedures,hysteroscopy and/or hysterosa 952  $              152.00
Anesthesia, bone marrow aspiration and/or biopsy, anterior o 1112  $              159.60
Anesthesia, procedures on bony pelvis 1120  $              159.60
Anesthesia, body cast application or revision 1130  $              159.60
Anesthesia, interpelviabdominal (hindquarter) amputation 1140  $              159.60
Anesthesia, radical procedures for tumor of pelvis, except h 1150  $              159.60
Anesthesia, closed procedures involving symphysis pubis or s 1160  $              159.60
Anesthesia, open procedures involving symphysis pubis or sac 1170  $              159.60
Anesthesia, open repair of fracture disruption of pelvis or  1173  $              159.60
Anesthesia, closed procedures involving hip joint 1200  $              159.60
Anesthesia, arthroscopic procedures of hip joint 1202  $              159.60
Anesthesia, open procedures involving hip joint; NOS 1210  $              159.60
Anesthesia, open procedures involving hip joint; hip disarti 1212  $              159.60
Anesthesia, open procedures involving hip joint; total hip a 1214  $              159.60
Anesthesia, open procedures involving hip joint; revision of 1215  $              159.60
Anesthesia, all cloed procedures involving upper 2/3 of femu 1220  $              159.60
Anesthesia, open procedures involving upper 2/3 of femur; NO 1230  $              159.60
Anesthesia, open procedures involving upper 2/3 of femur; am 1232  $              159.60
Anesthesia, open procedures involving upper 2/3 of femur; ra 1234  $              159.60
Anesthesia, all procedures on nerves, muscles, tendons, fasc 1250  $              159.60
Anesthesia, all procedures involving veins of upper leg, inc 1260  $              159.60
Anesthesia, procedures involving arteries of upper leg, incl 1270  $              159.60
Anesthesia, procedures involving arteries of upper leg, femo 1272  $              159.60
Anesthesia, procedures involving arteries of upper leg, femo 1274  $              159.60
Anesthesia, all procedures on nerves, muscles, tendons, fasc 1320  $              159.60
Anesthesia, all closed procedures on lower 1/3 of femur 1340  $              159.60
Anesthesia, all open procedures on lower 1/3 of femur 1360  $              159.60
Anesthesia, all closed procedures on knee joint 1380  $              159.60
Anesthesia, diagnostic arthroscopic procedures of knee joint 1382  $              159.60
Anesthesia, all closed procedures on upper ends of tibia, fi 1390  $              159.60
Anesthesia, all open procedures on upper ends of tibia, fibu 1392  $              159.60
Anesthesia, open or surgical arthroscopic procedures on knee 1400  $              159.60
Anesthesia, open or surgical arthroscopic procedures on knee 1402  $              159.60
Anesthesia, open or surgical arthroscopic procedures on knee 1404  $              159.60
Anesthesia, all cast applications, removal, or repair involv 1420  $              159.60
Anesthesia, procedures on veins of knee and popliteal area;  1430  $              159.60
Anesthesia, procedures on veins of knee and popliteal area;  1432  $              159.60
Anesthesia, procedures on arteries of knee and popliteal are 1440  $              159.60
Anesthesia, arteries of knee & popliteal area; popliteal thr 1442  $              159.60
Anesthesia, arteries of knee & popliteal area; popliteal exc 1444  $              159.60
Anesthesia, all closed procedures on lower leg, ankle, and f 1462  $              159.60
Anesthesia, arthroscopic procedures of ankle and/or foot 1464  $              159.60
Anesthesia, procedures on nerves, muscles, tendons, and fasc 1470  $              159.60
Anesthesia, nerves, muscles, tendons,& fascia of lwr leg, an 1472  $              159.60
Anesthesia, nerves, muscles, tendons,& fascia of lwr leg, an 1474  $              159.60
Anesthesia, open procedures on bones of lower leg, ankle and 1480  $              159.60
Anesthesia, open proc,bones of lower leg, ankle and foot; ra 1482  $              159.60
Anesthesia, open proc,bones of lwr leg, ankle & ft; osteotom 1484  $              159.60
Anesthesia, open procedures on bones of lower leg, ankle & f 1486  $              159.60
Anesthesia, lower leg cast application, removal, or repair 1490  $              159.60
Anesthesia, procedures on arteries of lower leg, including b 1500  $              159.60
Anesthesia, procedures on arteries of lower leg, embolectomy 1502  $              159.60
Anesthesia, procedures on veins of lower leg; NOS 1520  $              159.60
Anesthesia, procedures on veins of lower leg; venous thrombe 1522  $              159.60
Anesthesia, all procedures on nerves, muscles, tendons, fasc 1610  $              159.60
Anesthesia all closed proc on humeral head and neck sternocl 1620  $              159.60
Anesthesia, diagnostic arthroscopic procedures of shoulder j 1622  $              159.60
Anesthesia, open/surg arthroscopic proc on humeral head & ne 1630  $              159.60
Anesthesia, open or surgical arthroscopic proc. on humeral h 1634  $              159.60
Anesthesia, open or surg arthroscopic proc. on humeral head  1636  $              159.60
Anesthesia, open or surgical arthroscopic proc. on humeral h 1638  $              159.60
Anesthesia, procedures on arteries of shoulder and axilla; N 1650  $              159.60
Anesthesia, procedures on arteries of shoulder and axilla; a 1652  $              159.60
Anesthesia, procedures on arteries of shoulder and axilla; b 1654  $              159.60
Anesthesia, procedures on arteries of shoulder and axilla; a 1656  $              159.60
Anesthesia, all procedures on veins of shoulder and axilla 1670  $              159.60
Anesthesia, shoulder cast application, removal or repair; NO 1680  $                 86.03
Anesthesia, procedures on nerves, muscles, tendons, fascia,  1710  $              159.60
Anesthesia, procedures on nerves, muscles, tendons, fascia,  1712  $              159.60
Anesthesia, procedures on nerves, muscles, tendons, fascia,  1714  $              159.60
Anesthesia, procedures on nerves, muscles, tendons, fascia,  1716  $              159.60
Anesthesia, all closed procedures on humerus and elbow 1730  $              159.60
Anesthesia, diagnostic arthroscopic procedures of elbow join 1732  $              159.60
Anesthesia, open or surgical arthroscopic procedures of elbo 1740  $              159.60
Anesthesia, open or surgical arthroscopic procedures of elbo 1742  $              159.60
Anesthesia, open or surgical arthroscopic proc of elbow; rep 1744  $              159.60
Anesthesia, open or surgical arthroscopic procedures of elbo 1756  $              159.60
Anesthesia, open or surgical arthroscopic procedures of elbo 1758  $              159.60
Anesthesia, open or surgical arthroscopic procedures of elbo 1760  $              159.60
Anesthesia, procedures on arteries of upper arm and elbow; N 1770  $              159.60
Anesthesia, procedures on arteries of upper arm and elbow; e 1772  $              159.60
Anesthesia, procedures on veins of upper arm and elbow; NOS 1780  $              159.60
Anesthesia, procedures on veins of upper arm and elbow; phle 1782  $              159.60
Anesthesia, all procedures on nerves, muscles, tendons, fasc 1810  $              159.60
Anesthesia, all closed procedfures on radius, ulna, wrist, o 1820  $              159.60
Anesthesia, diagnostic arthroscopic procedures on the wrist 1829  $              159.60
Anesthesia, opn or surgicl arthroscopic/endoscopic on distal 1830  $              159.60
Anesthesia, opn or surgicl arthroscopic/endoscopic proc. on  1832  $              159.60
Anesthesia, procedures on arteries of forearm, wrist, and ha 1840  $              159.60
Anesthesia, procedures on arteries of forearm, wrist, and ha 1842  $              159.60
Anesthesia, vascular shunt, or shunt revision, any type (eg, 1844  $              159.60
Anesthesia, procedures on veins of forearm, wrist, and hand; 1850  $              159.60
Anesthesia, procedures on veins of forearm, wrist, and hand; 1852  $              159.60
Anesthesia, forearm, wrist, or hand cast application, remova 1860  $              159.60
Anesthesia, diagnostic arteriography/venography 1916  $              159.60
Anesthesia, cardiac catheterization including coronary angio 1920  $              159.60
Anesthesia, non-invasive imaging or radiation therapy 1922  $              159.60
Anesthesia, therapeutic interventional radiological procedur 1924  $              159.60
Anesthesia, therapeutic interventional radiological proc. in 1925  $              159.60
Anesthesia therapeutic interventional radiological proc invo 1926  $              159.60
Anesthesia, therapeutic interventional radiological proc. in 1930  $              159.60
Anesthesia, therapeutic interventional radiological proc. in 1931  $              159.60
Anesthesia, therapeutic interventional radiological proc. in 1932  $              159.60
Anesthesia, therapeutic interventional radiological proc. in 1933  $              159.60
Anesthesia, percutaneous image guided procedures on the spin 1935  $              159.60
Anesthesia, percutaneous image guided procedures on the spin 1936  $              159.60
Anesthesia, 2nd and 3rd deg burn excision/debridemnt w or w/ 1951  $              159.60
Anesthesia, 2nd and 3rd deg burn excision/debridemnt w or w/ 1952  $              159.60
Anesthesia, 2nd and 3rd deg burn excision/debridemnt w or w/ 1953  $              159.60
Anesthesia, external cephalic version procedure 1958  $              159.60
Anesthesia, vaginal delivery only 1960  $              159.60
Anesthesia, cesarean delivery only 1961  $              159.60
Anesthesia, urgent hysterectomy following delivery 1962  $              159.60
Anesthesia, cesarean hysterectomy without any labor analgesi 1963  $              159.60
Anesthesia, incomplete or missed abortion procedures 1965  $              159.60
Anesthesia, induced abortion procedures 1966  $              159.60
Anesthesia/ANALG, neuraxial labor analgesia/Anesthesiaesia f 1967  $              159.60
Anesthesia/ANALG, cesarean delivery following neuraxial labo 1968  $              159.60
Anesthesia/ANALG, cesarean hysterectomy following neuraxial  1969  $              159.60
Anesthesia, physiological support for harvesting of organ(s) 1990  $              159.60
Anesthesia, diagnostic or therapeutic nerve blocks and injec 1991  $              159.60
Anesthesia, diagnostic or therapeutic nerve blocks and injec 1992  $              159.60
Anesthesia, daily hospital management of epidural or subarac 1996  $              159.60
Anesthesia, unlisted anesthesia procedure(s) 1999  $              159.60
Fine needle aspiration BX, including US guidance; first lesi 10005  $              256.20  $              637.24
US FNA; 1st Lesion 10005  $              256.20  $              869.01
US FNA; Ea Add Lesion 10006  $                           -  
Fine needle aspiration of orbital contents 10021  $              265.48  $         1,055.08
SRHC US FNA; 1st Lesion 10021  $                           -  
Fine needle aspiration; with imaging guidance 10022  $              253.71  $              590.30
FNA with Imaging Guidance 10022  $              253.71  $              590.30
CT Guide-Perc Drain Soft Tissue w Cath 10030  $                           -    $         2,670.66
CT Guide-Perc Drain Soft Tissue w Cath - Report 10030  $              579.41
US Guide-Perc Drain Soft Tissue w Cath 10030  $                           -    $         2,670.66
US Guide-Perc Drain Soft Tissue w Cath - Report 10030  $              579.41
Acne surgery (eg, marsupialization, opening or removal of mu 10040  $              322.20  $              230.14
Incision and drainage of abscess; simple or single 10060  $              352.09  $              234.61
Incision and drainage of abscess; complicated or multiple 10061  $              655.01  $              519.81
Incision and drainage of pilonidal cyst; simple. 10080  $              367.90  $              792.75
Incision and removal of foreign body, subcutaneous; simple 10120  $              370.63  $              341.60
Incision and removal of foreign body, subcutaneous; complica 10121  $              682.33  $         5,453.66
Incision and drainage of hematoma, seroma or fluid collectio 10140  $              430.15  $         3,208.60
Puncture aspiration of abscess, hematoma, bulla or cyst 10160  $              347.59  $              888.42
Incision and drainage, complex, postoperative wound infectio 10180  $              639.99  $              879.80
Debridement of extensive eczematous or infected skin; up to  11000  $              112.73  $         3,892.20
Debridement of skin, sq tissue, muscle and fascia for necrot 11005  $         2,951.75  $         5,942.83
Remove prosthetic material/mesh, abdominal wall for infectio 11008  $         1,036.91
Debride (inc rmvl of foreign material associated w/ open fra 11010  $         1,043.11  $         3,406.35
Debride (inc rmvl of foreign material associated w/ open fra 11011  $         1,057.91  $         2,401.24
Debride (inc rmvl of foreign material associated with open f 11012  $         1,582.60  $         3,578.60
Debridement; skin, and subcutaneous tissue 11042  $              231.75  $         1,506.87
Debridement; skin, subcutaneous tissue, and muscle 11043  $              588.65  $         1,124.47
Debridement; skin, subcutaneous tissue, muscle, and bone 11044  $              874.09  $         1,922.64
Debridement, subcutaneous tissue; ea addl 20 sq cm or part t 11045  $              101.32  $              948.51
Paring or cutting of benign hyperkeratotic lesion (eg, corn  11055  $                 64.07  $              223.51
Yes - Removal Corn/callus; SGL Lesions 11055  $                           -    $              223.51
Paring or cutting of benign hyperkeratotic lesion (eg, corn  11056  $                 90.70  $              255.31
Yes - Removal Corn/callus; 2-4 Lesions 11056  $                           -    $              255.31
Paring or cutting of benign hyperkeratotic lesion; more than 11057  $              118.42  $              348.30
Yes - Removal Corn/callus; 4+ Lesions 11057  $                           -    $              348.30
Tangential biopsy of skin; single lesion 11102  $              140.89  $              203.71
Tangential biopsy of skin; each separate/additional lesion 11103  $                 81.59  $              134.50
Punch biopsy of skin; 1st lesion 11104  $              176.92  $              203.71
Punch biopsy of skin; each additional lesion 11105  $                 96.42  $              134.50
Incisional biopsy of skin; single lesion 11106  $              215.04  $              203.71
Incisional biopsy of skin; each additional lesion 11107  $              115.13  $              134.50
Removal of skin tags, multiple fibrocutaneous tags, any area 11200  $              262.66  $              526.89
Removal of skin tags, multiple fibrocutaneous tags, any area 11201  $                 63.18  $              364.20
Shaving of single lesion, trunk, arms or legs; lesion diamet 11300  $              133.82  $              301.64
Shaving of single lesion, trunk, arms or legs; lesion diamet 11301  $              202.94  $              319.97
Shaving of single lesion, trunk, arms or legs; lesion diamet 11302  $              237.66  $              359.18
Shaving of single lesion, trunk, arms, legs; lesion diameter 11303  $              281.01  $              489.15
Shaving of single lesion, scalp, neck, hands, feet, genitali 11305  $              154.27  $              322.88
Shaving of single lesion, scalp, neck, hands, feet, genitali 11306  $              200.09  $              303.88
Shaving of single lesion, scalp, neck, hands, feet, genitali 11307  $              255.76  $              455.55
Shaving of single lesion, face, ears, eyelids, nose, lips, m 11310  $              179.40  $              615.23
Shaving of single lesion, face, ears, eyelids, nose, lips, m 11311  $              247.40  $              216.05
Excise benign lesion,trunk,arm,leg; 0.5 cm or less 11400  $              287.23  $         1,082.99
Excision, benign lesion incl margins, except skin tag, trunk 11400  $              287.23  $         1,082.99
Excise benign lesion,trunk,arm,leg; 0.6 to 1.0 cm 11401  $              374.29  $         1,082.99
Excision, benign lesion incl margins, except skin tag, trunk 11401  $              374.29  $         1,082.99
Excision benign lesion,trunk,arm,leg; 1.1 to 2.0 cm 11402  $              411.61  $         1,010.86
Excise benign lesion,trunk,arm,leg; 2.1 to 3.0 cm 11403  $              530.17  $         3,742.62
Excise benign lesion,trunk,arm,leg; 3.1 to 4.0 cm 11404  $              585.78  $         4,634.14
Excise benign lesion,trunk,arm,leg; over 4.0 cm 11406  $              898.99  $         3,697.25
Excise benign lesion,scalp,neck,hand,feet,genitalia; 0.5 cm  11420  $              296.06  $         2,043.09
Excise, b9 lesion + margins, except skin tag, scalp, neck, h 11420  $              296.06  $         2,043.09
Excise benign lesion,scalp,neck,hand,feet,genitalia; 0.6 to  11421  $              401.33  $         2,043.09
Excise benign lesion,scalp,neck,hand,feet,genitalia; 1.1 to  11422  $              488.87  $         3,960.47
Excise benign lesion,scalp,neck,hand,feet,genitalia; 2.1 to  11423  $              568.41  $         4,187.73
Excise benign lesion,scalp,neck,hand,feet,genitalia; 3.1 to  11424  $              655.80  $         4,187.73
Excise benign lesion,scalp,neck,hand,feet,genitalia; over 4. 11426  $         1,009.82  $         6,165.94
Excise benign lesion,face,ear,eyelid,nose,lip,mucous membran 11440  $              363.31  $         2,843.77
Excise, other b9 lesion + margins, except skin tag, face, ea 11440  $              363.31  $         2,843.77
Excise benign lesion,face,ear,eyelid,nose,lip,mucous membran 11441  $              468.65  $         2,817.58
Excise, other b9 lesion + margins, except skin tag, face, ea 11441  $              468.65  $         2,817.58
Excise benign lesion,face,ear,eyelid,nose,lip,mucous membran 11442  $              521.65  $         3,763.01
Excise, other b9 lesion + margins, except skin tag, face, ea 11442  $              521.65  $         3,763.01
Excise benign lesion,face,ear,eyelid,nose,lip,mucous membran 11443  $              645.69  $         4,178.04
Excise, other b9 lesion + margins, except skin tag, face, ea 11443  $              645.69  $         4,178.04
Excise benign lesion,face,ear,eyelid,nose,lip,mucous membran 11446  $         1,198.95  $         5,770.40
Excise, other b9 lesion + margins, except skin tag, face, ea 11446  $         1,198.95  $         5,770.40
Excise skin + subcutaneous tissue for hidradenitis, axillary 11450  $              822.63
Excise malignant lesion,trunk,arm,leg; 0.5 cm or less 11600  $              436.43  $         4,179.56
Excise malignant lesion,trunk,arm,leg; 0.6 to 1.0 cm 11601  $              546.20  $         2,905.83
Excise malignant lesion,trunk,arm,leg; 1.1 to 2.0 cm 11602  $              599.58  $         2,846.08
Excise malignant lesion,trunk,arm,leg; 2.1 to 3.0 cm 11603  $              721.71  $         3,645.63
Destruct malignant lesion,trunk,arm,leg; 3.1 to 4.0 cm 11604  $              795.65  $         2,534.41
Excise malignant lesion,trunk,arm,leg; 3.1 to 4.0 cm 11604  $              795.65  $         2,534.41
Excision, malignant lesion including margins, trunk, arms, o 11606  $         1,188.90  $         5,302.23
Excise malignant lesion,scalp,neck,hand,feet,genitalia; 0.5  11620  $              440.49  $         2,590.79
Excise, mlg lesion + margins, scalp, neck, hands, feet, geni 11620  $              440.49  $         2,590.79
Excise malignant lesion,scalp,neck,hand,feet,genitalia; 0.6  11621  $              549.53  $         3,362.99
Excise malignant lesion,scalp,neck,hand,feet,genitalia; 1.1  11622  $              630.58  $         3,772.23
Excise malignant lesion,scalp,neck,hand,feet,genitalia; 2.1  11623  $              783.38  $         4,165.61
Excise malignant lesion,scalp,neck,hand,feet,genitalia; over 11626  $         1,094.11  $         5,724.54
Excise malignant lesion,face,ear,eyelid,nose,lip; 0.5 cm or  11640  $              455.04  $         4,010.75
Excise malignant lesion,face,ear,eyelid,nose,lip; 0.6 to 1.0 11641  $              572.68  $         3,513.88
Excise malignant lesion,face,ear,eyelid,nose,lip; 1.1 to 2.0 11642  $              677.25  $         3,878.58
Excise malignant lesion,face,ear,eyelid,nose,lip; 2.1 to 3.0 11643  $              852.48  $         4,020.43
Excise malignant lesion,face,ear,eyelid,nose,lip; 3.1 to 4.0 11644  $         1,057.20  $         4,808.43
Excise, mlg lesion + margins, face, ears, eyelids, nose, lip 11646  $         1,474.48
Trimming of nondystrophic nails, any number. 11719  $                 30.72  $                 93.03
Debridement of nail(s) by any method(s) 1 to 5 11720  $                 58.46  $              190.28
Debridement of nail(s) by any method(s); 6 or more 11721  $                 98.53  $              199.28
Avulsion of nail plate, partial or complete, simple; single 11730  $              214.84  $              283.72
Avulsion of nail plate, partial or complete, simple; each ad 11732  $                 70.41  $              954.37
Evacuation of subungual hematoma. 11740  $              116.83  $              369.79
Excision of nail and nail matrix, partial or complete, for p 11750  $              417.75  $              914.47
Biopsy of nail unit (separate procedure) 11755  $              294.38  $         2,793.00
Repair of nail bed. 11760  $              421.35  $              293.75
Wedge excision of skin of nail fold (eg, for ingrown toenail 11765  $              343.65  $              656.91
Excision of pilonidal cyst or sinus; simple 11770  $              675.77
Excision of pilonidal cyst or sinus; extensive 11771  $         1,586.14
Excision of pilonidal cyst or sinus; complicated 11772  $         2,075.18
Injection, intralesional; up to and including 7 lesions 11900  $              117.73  $              336.20
Injection, intralesional; more than 7 lesions 11901  $              182.72  $              274.83
Removal, implantable contraceptive capsules 11976  $              361.72  $         1,114.96
Removal, implantable contraceptive capsules. 11976  $              361.72  $         1,114.96
11981 Subdermal Contraceptive Insertion 11981  $                           -  
11981 TC insetion, non-biodegradable drug delivery implant 11981  $              313.49  $              524.36
Insertion, implantable contraceptive capsules 11981  $              313.49  $              524.36
Insertion, non-biodegradable drug delivery implant 11981  $              313.49  $              524.36
Insertion, non-biodegradable drug delivery implant 11981  $              313.49  $              524.36
Removal, non-biodegradable drug delivery implant 11982  $              380.00  $              593.06
Removal w/ reinsertion, implantable contraceptive capsule 11983  $              674.23  $              314.50
Removal with reinsertion, non-biodegradable drug delivery im 11983  $              674.23  $              314.50
Simple repair of superficial wounds of scalp, neck, axillae, 12001  $              169.80  $              410.69
Simple repair  wnds scalp/neck/axillae/ext genitalia/trunk/e 12002  $              225.56  $              455.26
Simple repair of superficial wounds scalp, neck, axillae, ex 12002  $              225.56  $              455.26
Simple repair of superficial wounds scalp, neck, axillae, ex 12002  $              225.56  $              455.26
Simple repair  wnds scalp/neck/axillae/ext genitalia/trunk/e 12004  $              282.02  $              417.21
Simple repair superficial wounds scalp/neck/axillae/external 12004  $              282.02  $              417.21
Simple repair of superficial wounds of scalp, neck, axillae, 12005  $              369.62  $              783.15
Simple repair of superficial wounds of face, ears, eyelids,  12011  $              211.69  $              378.80
Simple repair of superficial wounds of face, ears, eyelids,  12013  $              225.61  $              351.11
12014- Simple Wound Repair f/e/n/l/mm; 5.1-7.5cm 12014  $              290.72  $              710.31
Wound repair, superficial, face, ears, eyelids, nose, lips a 12014  $              290.72  $              710.31
Simple repair of superficial wounds of face,ears,eyelids,nos 12015  $              366.66  $              742.72
Simple repair  wnds face, ears, eyelids, nose, lips +/or muc 12016  $              470.22
Simple repair of superficial wounds of face, ears, eyelids,  12017  $              594.94  $              567.15
Treatment of superficial wound dehiscence simple closure 12020  $              690.35  $         4,004.05
Repair, intmd, wnds scalp, axillae, trunk +/or extremities ( 12031  $              556.85  $              877.00
Repair intermed wound scalp/axillae/trunk and/or extremities 12032  $              709.12  $         2,329.07
Repair, intmd, wnds scalp, axillae, trunk +/or extremities ( 12034  $              762.71  $         1,696.46
Repair, intmd, wnds scalp, axillae, trunk +/or extremities ( 12035  $              887.70  $         1,117.70
Repair, intermediate, wounds of neck, hands, feet and/or ext 12041  $              552.94  $         1,439.27
Repair, intermediate, wounds of neck, hands, feet and/or ext 12041  $              552.94  $         1,439.27
Repair, intermediate, wounds of neck, hands, feet and/or ext 12042  $              736.96  $         1,428.39
Repair, intermediate, wounds of face, ears, eyelids, nose, l 12051  $              627.14  $         1,253.50
12052 12052  $              750.81  $              760.17
Repair, intmd, wnds face, ears, eyelids, nose, lips +/or muc 12052  $              750.81  $              760.17
Repair, intmd, wnds face, ears, eyelids, nose, lips +/or muc 12053  $              803.93  $              822.62
Repair, complex, scalp, arms, and/or legs; 2.6 cm to 7.5 cm 13121  $              993.01  $         2,234.40
Repair, complex, scalp, arms, +/or legs;each add 5 cm/< 13122  $              324.27
Repair, complex, forehead, cheeks, chin, mouth, neck, axilla 13131  $              928.39  $         1,939.66
Repair, complex, forehead, cheeks, chin, mouth, neck, axilla 13132  $         1,174.66
Repair, complex, forehead,cheek,chin,mouth,neck,axillae,geni 13133  $              496.43  $         1,067.76
Repair, complex, eyelids, nose, ears & or lips; 1.1 cm to 2. 13151  $         1,068.47  $         2,389.70
Repair, complex, eyelids, nose, ears and/or lips; 1.1 cm to  13151  $         1,068.47  $         2,389.70
Repair, complex, eyelids, nose, ears and/or lips; 2.6 cm to  13152  $         1,300.34
Secondary closure of surgical wound or dehiscence, extensive 13160  $         2,953.80
Adjacent tissue transfer or rearrangement, scalp, arms and/o 14020  $         1,843.15
Adjacent tissue transfer or rearrangement, fh/chk/chn/m/nk/a 14040  $         2,288.32
Surg prep/create recip site trunk, arms, legs; 1st 100sq cm  15002  $              796.64
Split-thick autograft, trunk, arms, legs;first 100 sq cm or  15100  $         2,610.51
Full thick graft, free, incl direct closure donor site, nose 15260  $         2,961.16
Dressing change (for other than burns) under anesthesia (oth 15852  $              178.28  $         4,393.39
Initial treatment, first degree burn, when no more than loca 16000  $              177.30  $              216.05
Dressings and/or debridement of partial-thickness burns, ini 16020  $              196.77  $              368.78
Dressings and/or debridement of partial-thickness burns, ini 16025  $              414.29  $              368.78
Destruct of pre-malig. lesion, first 17000  $              189.92  $              147.30
Destruct of pre-malig. lesion, 2-14 17003  $                    8.97  $                 51.69
Destruction, premalignant lesions (eg, acitinic keratoses);  17004  $              364.41  $              616.98
Destruction of cutaneous vascular proliferative lesions; 10. 17107  $         1,266.85  $         1,929.41
Destruction of benign lesions other than skin tags or cutane 17110  $              447.82  $              223.67
Destruction, of benign lesions other than skin tags or cutan 17111  $              306.71  $              306.00
Chemical cauterization of granulation tissue (proud flesh, s 17250  $              134.79  $              228.78
Destruct malignant lesion,trunk,arm,leg; 0.5 cm or less 17260  $              256.84  $              381.03
Cryotherapy (CO2 slush, liquid N2) for acne. 17340  $              182.38  $              223.67
Unlisted procedure, skin, mucous membrane and subcutaneous t 17999  $                           -  
Breast Cyst Aspiration 19000  $              168.67  $         1,113.85
Puncture aspiration of cyst of breast 19000  $              168.67  $         1,113.85
Mastotomy with exploration or drainage of abscess, deep 19020  $         1,041.18  $         4,448.63
US Biopsy Breast w or wo Specimen Left 19083  $                           -    $         2,761.16
US Biopsy Breast w or wo Specimen Left - Report 19083  $              619.59
US Biopsy Breast w or wo Specimen Right 19083  $                           -    $         2,761.16
US Biopsy Breast w or wo Specimen Right - Report 19083  $              619.59
US Biopsy Breast w wo Spec Ea Add Left 19084  $                           -    $         2,111.51
US Biopsy Breast w wo Spec Ea Add Left - Report 19084  $              309.08
US Biopsy Breast w wo Spec Ea Add Right 19084  $                           -    $         2,111.51
US Biopsy Breast w wo Spec Ea Add Right - Report 19084  $              309.08
Biopsy of breast; percutaneous, needle core, not using imagi 19100  $              262.88  $         3,773.90
19120- Excise cyst, fibroadnma,/oth b9/mlg tumr, aberrnt brs 19120  $         1,498.42  $         6,532.16
MA Breast Perc Localization Left 19281  $                           -  
MA Breast Perc Localization Left - Report 19281  $              397.11
MA Breast Perc Localization Right 19281  $                           -    $              904.43
MA Breast Perc Localization Right - Report 19281  $              397.11
MA Breast Perc Localization Ea Add Left 19282  $                           -    $         1,916.49
MA Breast Perc Localization Ea Add Left - Report 19282  $              199.12
MA Breast Perc Localization Ea Add Right 19282  $                           -    $         1,916.49
MA Breast Perc Localization Ea Add Right - Report 19282  $              199.12
US Localization Breast Perc Left 19285  $                           -    $              316.95
US Localization Breast Perc Left - Report 19285  $              339.04
US Localization Breast Perc Right 19285  $                           -    $              316.95
US Localization Breast Perc Right - Report 19285  $              339.04
US Localization Breast Perc Ea Add Left 19286  $                           -    $         1,836.07
US Localization Breast Perc Ea Add Left - Report 19286  $              169.87
US Localization Breast Perc Ea Add Right 19286  $                           -    $         1,836.07
US Localization Breast Perc Ea Add Right - Report 19286  $              169.87
Mastectomy, partial (eg, lumpectomy, tylectomy, quadrantecto 19301  $         2,390.25
Mastectomy, simple, complete 19303  $         3,708.21  $         7,749.16
Nipple/areola reconstruction 19350  $         2,100.24
Incision + drainage soft tissue abscess, subfascial (ie, inv 20005  $         2,354.97
Exploration of Extremity Wound 20103  $         1,288.19  $         3,798.48
Biopsy, muscle; deep 20205  $              570.70
Injection, therapeutic (eg, local anesthetic, corticosteroid 20526  $              215.16  $              793.50
Injection(s); single tendon sheath, or ligament aponeurosis  20550  $              151.49  $              481.94
Injection(s); single tendon origin/insertion. 20551  $              161.94  $              263.34
Injection(s); 1 or multiple trigger point(s), 1 or 2 muscle( 20552  $              144.34  $              317.07
Injection(s); single or multiple trigger point(s), 1 or 2 mu 20552  $              144.34  $              317.07
Injections; single or multiple trigger point(s), 3 or more m 20553  $              164.17  $              950.92
Arthrocentesis, aspiration and/or injection; small joint or  20600  $              136.55  $              452.54
Arthrocentesis, aspiration and/or injection, small joint or  20604  $              179.96  $         1,170.38
Drain/Inj Small Joint/Bursa w/US 20604  $                           -    $         1,170.38
Arthrocentesis, aspiration and/or injection, LEFT intermedia 20605  $              142.50  $              378.84
Arthrocentesis, aspiration and/or injection, RIGHT intermedi 20605  $              142.50  $              378.84
Arthrocentesis, aspiration and/or injection; intermediate jo 20605  $              142.50  $              378.84
Inj or Asp Inter Jnt or Bursa 20605  $              142.50  $              378.84
Arthrocentesis, aspiration and/or injection, intermediate jo 20606  $              193.28
Drain/Inj Intmed Joint/Bursa w/US 20606  $                           -    $         1,170.38
Arthrocentesis, aspiration and/or injection, LEFT major join 20610  $              174.15  $              381.82
Arthrocentesis, aspiration and/or injection, RIGHT major joi 20610  $              174.15  $              381.82
Arthrocentesis, aspiration and/or injection; major joint or  20610  $              174.15  $              381.82
Inj or Asp Major Jnt or Bursa 20610  $              174.15  $              381.82
Arthrocentesis, aspiration and/or injection, major joint or  20611  $              233.64  $              749.95
Drain/Inj Major Joint/Bursa w/US 20611  $                           -    $              749.95
Aspiration and/or injection of ganglion cyst(s) any location 20612  $              157.35  $              313.37
Aspiration and injection for treatment of bone cyst. 20615  $              596.45  $         2,084.69
Pin Removal 20670  $              528.72  $         3,330.63
Removal of implant; superficial (eg, buried wire, pin or rod 20670  $              528.72  $         3,330.63
Removal of implant; deep (eg, buried wire, pin, screw, metal 20680  $         1,546.91  $         5,736.32
Removal, under anesthesia, of external fixation system 20694  $         1,226.65
Tendon graft, from a distance (eg, palmaris, toe extensor, p 20924  $         1,834.28
Tissue grafts, other (eg, paratenon, fat, dermis) 20926  $         1,545.42
Closed treatment of nasal bone fracture; without stabilizati 21315  $              544.06  $         4,262.12
Closed treatment of nasal bone fracture; with stabilization 21320  $              493.18  $         4,632.12
Closed treatment of nasal septal fracture, with or without s 21337  $         1,054.58  $         4,844.18
Closed treatment of temporomandibular dislocation; initial o 21480  $              123.11  $              619.37
Excision, tumor, soft tissue of neck or anterior thorax, sub 21552  $         1,635.75  $         6,009.42
Excision of rib, partial 21600  $         2,001.57
Excision, tumor, soft tissue of back or flank, subcutaneous; 21930  $         1,328.69
Excision, tumor, soft tissue of back or flank, subcutaneous; 21931  $         1,714.66
Excision, tumor, soft tissue of abdominal wall, subcutaneous 22903  $         1,598.92  $         4,403.14
Claviculectomy; partial 23120  $         2,097.13  $         5,629.18
Acromioplasty or acromionectomy, partial, with or without co 23130  $         2,188.03  $         5,070.67
Excision or curettage of bone cyst or benign tumor of proxim 23150  $         2,412.70
Inj Shoulder Arthrogram 23350  $              199.12  $              817.79
Injection procedure for shoulder arthrography or enhanced CT 23350  $              199.12  $              817.79
Tenotomy, shoulder area; single tendon 23405  $         2,259.42  $         5,518.21
Repair of ruptured musculotendinous cuff (eg, rotator cuff)  23410  $         2,821.77
Repair of ruptured musculotendinous cuff (eg, rotator cuff)  23412  $         3,099.15
Tenodesis of long tendon of biceps 23430  $         2,702.98  $         6,388.71
Capsulorrhaphy, anterior, any type; with coracoid process tr 23462  $         3,685.82
Arthroplasty, glenohumeral jnt;total shoulder (glenoid + pro 23472  $         5,396.85
Closed treatment of clavicular fracture:without manipulation 23500  $              773.98  $              553.69
Open treatment of clavicular fracture, includes internal fix 23515  $         2,606.49  $      17,490.96
Open tx acromioclavicular disloc, acute/chronic;w/fascial gr 23552  $         2,382.71
Closed treatment of proximal humeral (surgical or anatomical 23600  $              971.25  $              500.50
Clsd tx prox humeral (surg/anatomical neck) fx;w/manipulatio 23605  $         1,517.42  $         2,404.38
Closed treatment of shoulder dislocation, with manipulation; 23650  $         1,029.54  $              988.94
Closed treatment of shoulder dislocation, with manipulation; 23655  $         1,439.72  $         2,457.84
Unlisted procedure, shoulder 23929  $              661.13
Incision and drainage, upper arm or elbow area; bursa 23931  $              568.76  $         4,692.08
Arthrotomy, elbow, including exploration, drainage, or remov 24000  $         1,621.34
Biopsy, soft tissue of upper arm or elbow area; superficial 24065  $              609.07
Excision, tumor, soft tissue of upper arm or elbow area, sub 24071  $         1,472.80  $         4,330.21
Excision, tumor, soft tissue of upper arm or elbow area, sub 24075  $         1,195.18
Inj Elbow Arthrography 24220  $              248.88  $              587.66
Repair, tendon/muscle, upper arm/elbow, each tendon/muscle,  24341  $         2,681.40  $         6,883.63
Reinsertion of ruptured biceps or triceps tendon, distal, wi 24342  $         2,821.65  $      13,599.67
Tenotomy, elbow, lateral/medial; debridement, soft tissue +/ 24358  $         1,877.67  $         7,542.84
Closed treatment of humeral shaft fracture; without manipula 24500  $         1,142.73  $              696.01
Closed treatment of humeral condylar fracture, medial or lat 24576  $         1,065.48  $              604.40
Treatment of closed elbow dislocation; without anesthesia 24600  $         1,200.35  $              650.46
Closed treatment of radial head subluxation in child, nursem 24640  $              315.25  $              783.15
Closed treatment of radial head or neck fracture; without ma 24650  $              834.60  $              601.05
Open tx ulnar fx, prox end (eg,olecranon/coronoid process[es 24685  $         2,368.28
Excision, tumor, soft tissue of forearm and/or wrist area, s 25075  $         1,073.08
Excision, lesion of tendon sheath, forearm and/or wrist 25110  $         1,148.78
Excision of ganglion, wrist (dorsal or volar); primary 25111  $         1,130.88  $         6,625.00
Excision of ganglion, wrist (dorsal or volar); recurrent 25112  $         1,310.90
Inj Wrist Arthorgraphy 25246  $              292.62  $              553.01
Injection procedure for wrist arthrography 25246  $              292.62  $              553.01
Repair, tendon or muscle, extensor, forearm and/or wrist; pr 25270  $         1,773.70  $         4,463.43
Tendon transplantation or transfer, flexor or extensor, fore 25310  $         2,252.92
Osteoplasty, radius OR ulna; shortening 25390  $         2,651.62
Repair of nonunion or malunion, radius OR ulna; without graf 25400  $         2,946.21
Repair nonunion, scaphoid carpal (navicular) bone, w/or w/o  25440  $         2,819.31
Arthroplasty, interposition, intercarpal or carpometacarpal  25447  $         3,001.36  $         9,547.03
Closed treatment of radial shaft fracture;without manipulati 25500  $              879.24  $              492.68
Closed treatment of radial shaft fracture w/manipulation 25505  $         1,628.30  $         1,039.84
Closed Treatment of ulnar shaft fracture; without manipulati 25530  $              822.99  $              505.53
Closed treatment of radial and ulnar shaft fractures; withou 25560  $              879.96  $              811.51
Closed treatment of radial and ulnar shaft fractures; with m 25565  $         1,671.42  $         1,507.11
Open tx radial + ulnar shaft fxs, w/int fix, if performed;of 25575  $         3,087.37
Closed treatment of distal radial fracture or epiphyseal sep 25600  $         1,071.09  $              718.36
Closed treatment of distal radial fracture or epiphyseal sep 25600  $         1,071.09  $              718.36
Clsd tx dist radial fx (eg,Colles/Smith type)/epiphyseal sep 25605  $         1,832.93  $         1,278.08
Percutaneous skeletal fixation of distal radial fracture or  25606  $         2,373.71
Open tx dist radial extra-articular fx/epiphyseal separation 25607  $         2,647.31  $      14,209.02
Open tx dist radial intra-articular fx/epiphyseal separation 25609  $         3,828.63
Closed treatment of carpal scaphoid fracture; without manipu 25622  $              969.73  $              731.77
Closed treatment carpal bone fracture; without manipulation, 25630  $              987.08  $              626.74
Percutaneous skeletal fixation of ulnar styloid fracture 25651  $         1,639.78
Open treatment of ulnar styloid fracture 25652  $         2,258.53
Unlisted procedure, forearm or wrist 25999  $                           -  
Drainage of finger abscess; simple. 26010  $              489.50  $              748.41
Drainage of tendon sheath, digit and/or palm, each 26020  $         1,554.03  $         4,184.93
Tendon sheath incision (eg, for trigger finger). 26055  $         1,084.74  $         3,698.50
Arthrotomy, w/explore, drain,/remove loose/foreign body;inte 26080  $         1,319.43
Excise, tumor/vascular malformation, soft tissue hand/finger 26111  $         1,423.64
Excise, tumor, soft tissue,/vascular malformation, hand/fing 26113  $         1,979.34  $         6,839.22
Excise, tumor, soft tissue,/vascular malformation, hand/fing 26116  $         1,797.68
Fasciectomy, palm only, w/or w/o Z-plasty, other local tissu 26121  $         2,038.61
Fasciectomy,partial palmar w/rel sgl digt incl prx intrphlng 26123  $         3,009.88  $         9,091.77
Excise lesion tendon sheath/jnt capsule (eg,cyst, mucous cys 26160  $         1,187.39
Partial excise (craterize, saucerize,/diaphysectomy) bone (e 26236  $         1,592.55  $         3,856.46
Removal of implant from finger or hand 26320  $         1,234.65  $         5,387.14
Repair/advance, flex tendon, in zone 2 digital flex tendon s 26356  $         2,690.20
Repair, extensor tendon, finger, primary or secondary; witho 26418  $         1,759.77
Closed treatment of fracture, phalanx or phalanges, other th 26510  $              400.45  $              377.68
Repair of collateral ligament, metacarpophalangeal or interp 26540  $         2,159.09
Closed treatment of metacarpal fracture, single; without man 26600  $              959.09  $              596.59
Closed treatment of metacarpal fracture, single; with manipu 26605  $         1,024.17  $         1,199.31
Percutaneous skeletal fixation of metacarpal fracture, each  26608  $         1,704.12
Open treatment of metacarpal fracture, single, includes inte 26615  $         1,951.82
Closed treatment of carpometacarpal dislocation, thumb, with 26641  $         1,218.57  $         1,056.76
Closed treatment of carpometacarpal fracture dislocation, th 26645  $         1,386.92  $         1,154.07
Closed Tx of Metacarpophalangeal dislocation, single, w/ man 26700  $         1,087.52  $              748.17
Closed treatment of phalangeal shaft fracture, proximal or m 26720  $              640.13  $              649.36
Closed treatment of phalangeal shaft fracture, proximal or m 26725  $         1,073.10  $              979.79
Perc skeletal fix unstable phalangeal shaft fx, prox/middle  26727  $         1,664.83  $         7,731.20
Open tx phalangeal shaft fx, prox/middle phalanx, finger/thu 26735  $         2,136.79  $         9,724.34
Closed treatment of articular fracture, involving metacarpop 26740  $              751.10  $              698.65
Closed treatment of articular fracture, involving metacarpop 26742  $         1,189.24  $              370.07
Closed treatment of distal phalangeal fracture, finger or th 26750  $              642.09  $              585.42
Closed treatment of distal phalangeal fracture, finger or th 26755  $              969.22  $              837.90
Percutaneous skeletal fixation of distal phalangeal fracture 26756  $         1,393.75
Open tx dist phalangeal fx, finger/thumb, incl int fix, if p 26765  $         1,795.99
Closed treatment of interphalangeal joint dislocation, singl 26770  $              910.66  $              729.53
Clsd tx interphalangeal jnt disloc, single, w/manipulation;r 26775  $         1,231.54
Arthrodesis, metacarpophalangeal joint, with or without inte 26850  $         2,424.13
Arthrodesis, interphalangeal joint, with or without internal 26860  $         1,948.71
Amputation, finger/thumb, prim/sec, any jnt/phalanx, single, 26951  $         2,239.51  $         4,372.13
Amputation, finger or thumb, pri or sec,any joint/phalanx, 1 26952  $         2,009.75  $         4,813.71
Inj Hip Arthro wo Anesthesia 27093  $              270.08  $              818.80
Injection procedure for hip arthrography; without anesthesia 27093  $              270.08  $              818.80
Inj Hip Arthro w Anesthesia 27095  $                           -    $         1,371.48
CT Inj SI Jnt wo or w Arthrogram Left 27096  $                           -    $         1,239.21
CT Inj SI Jnt wo or w Arthrogram Left - Report 27096  $              320.25
CT Inj SI Jnt wo or w Arthrogram Right 27096  $                           -    $         1,239.21
CT Inj SI Jnt wo or w Arthrogram Right - Report 27096  $              320.25
Injection procedure for sacroiliac joint, anesthetic/steroid 27096  $              320.25  $         1,239.21
Injection procedure for sacroiliac joint, arthrography and/o 27096  $                           -    $         1,239.21
XR Inj SI Jnt wo or w Arthrogram Left - Report 27096  $              320.25
XR Inj SI Jnt wo or w Arthrogram Right 27096  $                           -    $         1,239.21
XR Inj SI Jnt wo or w Arthrogram Right - Report 27096  $              320.25
XR Inj SI Jnt wo or wo Arthrogram Left 27096  $                           -    $         1,239.21
Arthroplasty, acetabular + prox femoral prosthetic replace,  27130  $         5,002.80  $      16,949.49
Treatment of slipped femoral epiphysis; by single or multipl 27176  $         3,362.66
Open treatment of femoral fracture, proximal end, neck, inte 27236  $         4,387.95
Tx intertrochanteric, peritrochanteric,/subtrochanteric femo 27244  $         4,542.17
Tx intertrochanteric, peritrochanteric,/subtrochanteric femo 27245  $         4,517.44  $      13,357.24
Closed treatment of hip dislocation, traumatic; without anes 27250  $              703.28  $         1,061.34
Closed treatment of hip dislocation, traumatic; requiring an 27252  $         2,770.02  $         1,983.67
Tx spontaneous hip dislocation, by abduction, splint/tractio 27257  $         1,264.34
Closed treatment of post hip arthroplasty dislocation; witho 27265  $         1,438.82  $              665.46
Incision and drainage, deep abscess, bursa, or hematoma, thi 27301  $         2,506.01
Excision, tumor, soft tissue of thigh or knee area, subcutan 27327  $         1,062.02
Excision of synovial cyst of popliteal space (eg, Bakers cys 27345  $         1,735.49
Excision of lesion of meniscus or capsule (eg, cyst, ganglio 27347  $         2,588.49
Excision or curettage of bone cyst or benign tumor of femur; 27355  $         2,176.20  $         8,553.28
Excise/curettage bone cyst/b9 tumor femur;w/int fix (List in 27358  $         1,045.90  $         3,765.22
Inj Knee Arthrography 27369  $              141.00  $              528.21
Suture of infrapatellar tendon; primary 27380  $         2,140.65
Suture of quadriceps or hamstring muscle rupture; primary 27385  $         2,064.48
Lateral retinacular release, open 27425  $                           -    $         9,144.96
Arthroplasty, knee, condyle and plateau; medial OR lateral c 27446  $         4,267.96
Arthroplasty, knee, condyle + plateau;med + lat comparts w/o 27447  $         5,000.98  $      19,413.59
Osteotomy, femur, shaft or supracondylar; with fixation 27450  $         3,697.46
Revision of total knee arthroplasty, with or without allogra 27486  $         5,176.75
Revision of total knee arthroplasty, with or without allogra 27487  $         6,531.65
Remove prosthesis, incl total knee prosthesis, methylmethacr 27488  $         4,159.29
Clsd tx femoral shaft fx, w/manipulation, w/or w/o skin/skel 27502  $         2,513.23
Open tx femoral shaft fx, w/or w/o ext fix, w/insert intrame 27506  $         4,960.70
Open treatment of femoral shaft fracture with plate/screws,  27507  $         3,590.43
Open tx femoral fx, dist end, medial/lateral condyle, incl i 27514  $         3,576.27
Closed treatment of patellar fracture, without manipulation 27520  $         1,031.96  $              649.09
Open tx patellar fx, w/int fix +/or partial/complete patelle 27524  $         2,729.85  $      15,494.07
Closed treatment of knee dislocation; without anesthesia 27550  $         1,610.91  $              679.14
Closed treatment of patellar dislocation; w/o anesthesia 27560  $         1,183.04  $              893.76
Closed treatment of patellar dislocation; requiring anesthes 27562  $         1,703.76  $         1,594.49
Manipulation knee jnt under general anes (incl application t 27570  $              540.45
Repair, primary, open or percutaneous, ruptured Achilles ten 27650  $         2,408.05  $      11,492.54
Repair, primary, open/Perc, ruptured Achilles tendon;w/graft 27652  $         2,548.14
Lengthening or shortening of tendon, leg or ankle; single te 27685  $         1,709.82
Transfer/transplant single tendon (w/muscle redirect/rerouti 27691  $         2,744.54
Repair, primary, disrupted ligament, ankle; collateral 27695  $         1,748.53
Closed treatment of tibial shaft fracture (with or without f 27752  $         1,773.42  $         3,735.39
Open tx tibial shaft fx (w/or w/o fibular fx), w/plate/screw 27758  $         3,264.78
Tx tibial shaft fx (w/or w/o fibular fx) by intramedulla imp 27759  $         3,651.32
Closed treatment of medial malleolus fracture; without manip 27760  $         1,067.65  $              661.32
Open treatment of medial malleolus fracture, includes intern 27766  $         2,071.65
Closed treatment of posterior malleolus fracture; without ma 27767  $              978.78  $              663.62
Closed treatment of proximal fibula or shaft fracture; witho 27780  $              983.52  $              443.52
Closed treatment of proximal fibula or shaft fracture; witho 27780  $              983.52  $              443.52
Closed treatment of distal fibular fracture (lateral malleol 27786  $         1,004.92  $              690.43
Closed treatment of distal fibular fracture (lateral malleol 27788  $         1,369.46  $         1,335.05
Open tx dist fibular fx (lateral malleolus), incl int fix, i 27792  $         2,361.85
Clsd tx bimalleolar ankle fx; with manipulation 27810  $         1,524.17  $         1,172.03
Open tx bimalleolar ankle fx, i 27814  $         2,802.00
Closed treatment of trimalleolar ankle fracture; with manipu 27818  $         1,561.43  $         1,429.82
Open tx trimalleolar ankle fx, incl int fix, if perform, med 27822  $         3,099.56  $      15,162.57
Open tx dist tibiofibular jnt (syndesmosis) disruption, incl 27829  $                           -    $         2,502.64
Arthrodesis, ankle, open 27870  $         3,583.21
Amputation, leg, through tibia and fibula; 27880  $         3,423.52
Tenotomy, percutaneous, toe; single tendon 28010  $              730.48
Excision, interdigital (Morton) neuroma, single, each 28080  $         1,272.79
Excise lesion, tendon, tendon sheath,/capsule (incl synovect 28090  $         1,082.50
Excise lesion, tendon, tendon sheath,/capsule (incl synovect 28092  $              997.47  $         3,679.49
Excision or curettage of bone cyst or benign tumor, phalange 28108  $         1,077.40
Partial excise (crater/saucer/sequestr-/diaphys-ectomy) bone 28122  $         1,655.74
Partial Excise (craterization, saucerization, sequestrectomy 28124  $         1,243.44
Removal of foreign body, foot; subcutaneous. 28190  $              500.06  $         3,186.26
Repair, tendon, flexor, foot; primary or secondary, without  28200  $         1,207.58
Reconstruct (advancement), post tibial tendon w/Excise acces 28238  $         1,846.39
Capsulotomy; metatarsophalangeal joint, with or without teno 28270  $         1,177.45
Correction, hammertoe (eg, interphalangeal fusion, partial o 28285  $         1,416.98
Hallux rigidus correction w/cheilectomy, debridement + capsu 28289  $         1,731.59
Correction, hallux valgus (bunion), w/or w/o sesamoidectomy; 28292  $         1,831.20
Correction, hallux valgus (bunion), with or without sesamoid 28297  $         2,129.38
Osteotomy; calcaneus (eg, Dwyer or Chambers type procedure), 28300  $         2,273.83
Closed treatment of metatarsal fracture; without manipulatio 28470  $              718.22  $              642.39
Open treatment of metatarsal fracture, includes internal fix 28485  $         2,001.13
Closed treatment of fracture great toe, phalanx or phalanges 28490  $              438.50  $              573.12
Closed treatment of fracture, phalanx or phalanges, other th 28515  $              510.11  $              791.82
Open tx fx, phalanx/phalanges, other than great toe, incl in 28525  $         2,597.77
Percutaneous skeletal fixation of tarsometatarsal joint disl 28606  $         1,340.72
Open treatment of tarsometatarsal joint dislocation, include 28615  $         2,781.06
Arthrodesis; triple 28715  $         3,462.68
Arthrodesis; subtalar 28725  $         2,859.51  $         7,396.32
Amputation, foot; transmetatarsal 28805  $         2,368.28
Amputation, metatarsal, with toe, single 28810  $         1,601.65
Amputation, toe; metatarsophalangeal joint 28820  $         1,381.82
Amputation, toe; interphalangeal joint 28825  $         1,372.98
Unlisted procedure, foot or toes 28899  $                           -    $         1,140.94
Application, cast; shoulder to hand (long arm) 29065  $              246.27  $              504.98
Application, cast; elbow to finger (short arm) 29075  $              224.22  $              510.56
Application, cast; hand and lower forearm (gauntlet). 29085  $              245.14  $              429.01
Application, cast; finger 29086  $              180.30  $              363.09
Application of long arm splint (shoulder to hand) 29105  $              219.20  $              465.08
Long Arm Splint 29105  $                           -    $              465.08
Application of short arm splint (forearm to hand); static. 29125  $              142.59  $              435.42
Short Arm Splint 29125  $                           -    $              435.42
Application of short arm splint (forearm to hand); dynamic 29126  $              176.63  $              573.68
Application of finger splint; static. 29130  $              108.03  $              216.55
Finger Splints 29130  $                           -    $              216.55
Yes - Application Splint Static Finger 29130  $                           -    $              216.55
Application of finger splint; dynamic 29131  $              124.46  $              468.73
Strapping; elbow or wrist. 29260  $                 75.97  $              362.53
Strapping; hand or finger 29280  $                 78.93  $              270.36
Application of long leg cast (thigh to toes) 29345  $              368.34  $              709.48
Application of long leg cast brace 29358  $              381.19
Application of short leg cast (below knee to toes) 29405  $              219.11  $              558.60
Application of short leg cast (below knee to toes); walking  29425  $              208.78  $              577.57
Yes - Total Contact Cast Leg 29445  $                           -    $              400.72
Application of long leg splint (thigh to ankle or toes). 29505  $              182.61  $              527.85
Long Leg Splint 29505  $                           -    $              527.85
Application of short leg splint (calf to foot) 29515  $              184.17  $              485.53
Short Leg Splint 29515  $                           -    $              485.53
Yes - Strapping Knee 29530  $                           -    $              441.29
Strapping; ankle and/or foot 29540  $                 71.92  $              345.22
Strapping toes 29550  $                 45.70  $              341.62
Strapping unna boot 29580  $              132.28  $              449.40
Strapping unna boot 29580  $              132.28  $              449.40
Yes - Application Strapping Unna Boot 29580  $                           -    $              449.40
Application of multi-layer venous wound compression system,  29581  $                           -    $              378.23
Full arm or leg cast 29705  $              175.91  $              384.32
Arthroscopy, shoulder, diagnostic, with or without synovial  29805  $         1,708.76
Arthroscopy, shoulder, surgical; capsulorrhaphy 29806  $         3,894.43
Arthroscopy, shoulder, surgical; repair of SLAP lesion 29807  $         3,799.88
Arthroscopy, shoulder, surgical; synovectomy, complete 29821  $         2,121.69
Arthroscopy, shoulder, surgical; debridement, limited 29822  $         2,059.76  $         5,541.81
Arthroscopy, shoulder, surgical; debridement, extensive 29823  $         2,249.86  $         6,127.84
Arthroscopy, shoulder, surg;dist claviculectomy incl dist ar 29824  $         2,423.75  $         5,511.22
Arthroscopy, shoulder, surgical; with lysis and resection of 29825  $         2,098.25  $         5,073.99
Arthroscopy, shoulder, surg; decompress subacromial space w/ 29826  $              661.36  $         5,915.91
Arthroscopy Shoulder Rotator Cuff Repair 29827  $         3,887.61  $         6,696.12
Arthroscopy, shoulder, surgical; with rotator cuff repair 29827  $         3,887.61  $         6,696.12
Arthroscopy, shoulder, surgical; biceps tenodesis 29828  $         3,342.31  $         6,739.58
Arthroscopy, elbow, surgical; synovectomy, partial 29835  $         1,814.27  $      13,647.52
Arthroscopy, hip, surgical; w debridement/chondroplasty, abr 29862  $         2,274.62
Arthroscopy, knee, diagnostic, with or without synovial biop 29870  $         1,479.82
Arthroscopy, knee, surgery;for removal loose body/foreign bo 29874  $         1,954.93
Arthroscopy, knee, surgery; abrasion arthroplasty (incl chon 29879  $         2,402.10
Arthroscopy, knee, surgical; with meniscectomy (medial AND l 29880  $         1,922.86
Arthroscopy, knee, surgical; with meniscectomy (medial OR la 29881  $         1,952.59  $         6,252.41
Arthroscopy, knee, surgical; with meniscus repair (medial OR 29882  $         2,544.84  $         9,030.54
Arthroscopy, knee, surgical; with meniscus repair (medial AN 29883  $         3,073.48
Arthroscopically aided anterior cruciate ligament repair/aug 29888  $         3,607.47
Arthroscopy, ankle, surg, Excise osteochondral defect talus  29891  $         2,469.13  $      10,443.58
Arthroscopy, ankle (tibiotalar + fibulotalar jnts), surgical 29894  $         1,837.82
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surg 29898  $         2,097.09
Arthroscopy, hip, surgical; with femoroplasty (ie, treatment 29914  $         3,643.52
Arthroscopy, hip, surgical; with acetabuloplasty (ie, treatm 29915  $         3,532.07
Arthroscopy, hip, surgical; with labral repair 29916  $         3,754.90
Unlisted procedure, arthroscopy 29999  $                           -    $         6,669.56
Biopsy, intranasal 30100  $              249.78  $         1,838.49
Excision inferior turbinate, partial or complete, any method 30130  $         1,317.91  $         5,077.29
Submucous resection inferior turbinate, partial or complete, 30140  $         1,506.75
Removal foreign body, intranasal; office type procedure 30300  $              372.25  $              438.72
Removal foreign body, intranasal; requiring general anesthes 30310  $              703.43
Septoplasty/submucous Resect, w/or w/o cartilage scoring, co 30520  $         2,199.69  $         5,103.23
Ablation, soft tissue of inferior turbinates, unilateral or  30801  $              469.68  $         1,838.49
Ablation, soft tissue inferior turbinates, unilat/bilat, any 30802  $              669.60  $         3,708.90
Ablation, soft tissue of inferior turbinates, unilateral or  30802  $              669.60  $         3,708.90
Control nasal hemorrhage, anterior, simple (limited cautery  30901  $              218.02
Control nasal hemorrhage, anterior, complex (limited cautery 30903  $              308.51  $              263.88
Control nasal hemorrhage, posterior, with posterior nasal pa 30905  $              405.30  $              678.14
Control nasal hemorrhage, posterior, with posterior nasal pa 30906  $              519.26  $              734.00
Fracture nasal inferior turbinate(s), therapeutic 30930  $              432.69  $         4,189.50
Unlisted procedure, nose 30999  $         1,107.49
Lavage by cannulation; maxillary sinus (antrum puncture or n 31000  $              375.32  $         3,343.78
Sinusotomy, maxillary (antrotomy); intranasal 31020  $         1,197.42
Nasal endoscopy, diagnostic, unilateral or bilateral 31231  $              244.05  $         1,150.72
Nasal endoscopy, diagnostic, unilateral or bilateral (separa 31231  $              244.05  $         1,150.72
Nasal/sinus endoscopy, surgical w/biopsy polypectomy or debr 31237  $              600.04  $         5,776.85
Nasal/sinus endoscopy, surgical; with biopsy, polypectomy or 31237  $              600.04  $         5,776.85
Nasal/sinus endoscopy, surgical; with ethmoidectomy, partial 31254  $              868.80
Nasal/sinus endoscopy, surgical; with ethmoidectomy, total ( 31255  $         1,506.66
Nasal/sinus endoscopy, surgical, with maxillary antrostomy; 31256  $              739.90
Nasal/sinus endoscopy, surgical with ethmoidectomy; total, i 31257  $         1,596.61
Nasal/sinus endoscopy, surgical, w/maxillary antrostomy;w/Re 31267  $              952.04
Nasal/sinus endoscopy, surg w/frontal sinus exploration, w/o 31276  $         1,352.48
Intubated by Respiratoy Therapist - Endotracheal Tube Activi 31500  $                           -    $              826.65
Intubation, endotracheal, emergency procedure 31500  $              555.84  $              826.65
Laryngoscopy diagnostic indirect 31505  $              177.67  $              504.98
Laryngoscopy direct, with or without tracheoscopy; diagnosti 31525  $              536.40  $         3,216.10
Laryngoscopy, direct, operative, with biopsy; 31535  $              637.93  $         5,287.79
Laryngoscopy, flexible fiberoptic; diagnostic 31575  $              247.57  $              942.46
Tracheostomy, emergency procedure; cricothyroid membrane 31605  $              706.05  $         1,473.59
Bronchoscopy, rigid or flexible, ; diagnostic, w cell washin 31622  $              511.79  $         4,056.55
Bronchoscopy, rigid or flexible, including fluoro, when perf 31623  $              524.78  $         2,399.73
Bronchoscopy, rigid or flexible, including fluoro, when perf 31624  $              529.95  $         2,231.19
Bronchoscopy, rigid or flexible, incl fluoro; w bronchial or 31625  $              614.61  $         2,767.19
Bronchoscopy rigid or flexible w place fiducial markers 1 or 31626  $              776.38  $         5,483.22
Bronchoscopy, rigid or flexible, ; w computer-assisted, imag 31627  $              383.65  $         3,211.95
Bronchoscopy, rigid or flexible, w transbronchial lung bx(s) 31628  $              694.16  $         3,233.93
Bronchoscopy, rigid/flex;w transbronchial needle aspiration  31629  $              736.29  $         4,501.69
Bronchoscopy, rigid or flexible, incl fluoro;w tracheal/bron 31630  $              773.49  $         6,650.38
Bronchoscopy, rigid or flexible, ; w placement of tracheal s 31631  $              883.98  $         6,647.59
Bronchoscopy, rigid or flexible, ;w transbronchial lung bx(s 31632  $              195.12  $         2,487.54
Bronchoscopy, rigid or flexible, incl fluoro; w transbronchi 31633  $              250.90  $         2,435.46
Bronchoscopy, rigid or flexible; w balloon occlusion 31634  $              753.44  $         3,425.87
Bronchoscopy, rigid or flexible, with removal of foreign bod 31635  $              684.04  $         4,406.24
Bronchoscopy, rigid or flexible; w placement of bronchial st 31636  $              857.12  $         6,382.56
Bronchoscopy, rigid or flexible, ea additional major bronchu 31637  $              295.14
Bronchoscopy, rigid or flexible, w revise tracheal or bronch 31638  $              974.85  $         6,971.33
Bronchoscopy, rigid or flexible, ; with bronchial thermoplas 31640  $              982.05  $         6,437.50
Bronchoscopy, rigid or flex; w destruct tumor or relieve ste 31641  $         1,003.08  $         6,652.54
Bronchoscopy, rigid or flexible, incl fluoro; w place cathet 31643  $              694.34  $         3,861.18
Bronchoscopy 31645  $                           -    $         3,421.60
Bronchoscopy, rigid or flexible, incl fluoro; w tx aspiratio 31646  $              497.37  $         3,428.96
Bronchoscopy, rigid or flexible, w insertion of bronchial va 31647  $              822.40  $         5,966.96
Bronchoscopy, rigid or flexible, w remove bronchial valve(s) 31648  $              761.19  $         5,586.00
Bronchoscopy, rigid or flexible, w remove bronchial valve(s) 31649  $              274.42  $         1,159.10
Bronchoscopy, rigid or flexible; w  insertion of bronchial v 31651  $              295.87
Bronchoscopy, rigid or flexible w bronchial thermoplasty 2 o 31661  $              817.44  $         8,697.40
Catheterization with bronchial brush biopsy 31717  $              423.79  $              419.10
Catheter aspiration; nasotracheal 31720  $              204.00  $              262.54
Nasotracheal catheter aspiration - RT Misc Treatments 31720  $                           -    $              262.54
Yes - Nasal Suction Billing 31720  $                           -    $              262.54
32550 - Insertion of indwelling tunneled pleural catheter wi 32550  $              717.20
Tube thoracostomy, includes water seal when performed separa 32551  $              605.97  $         1,948.96
Thoracentesis, needle or catheter, aspiration of the pleural 32554  $              351.80  $         1,890.98
Thoracentesis, pleural space; w/o guidance 32554  $              351.80  $         1,890.98
CT Thoracentesis with Imaging Guidance 32555  $                           -    $         2,240.67
CT Thoracentesis with Imaging Guidance - Report 32555  $              442.89
Thoracentesis, needle or catheter, aspiration of the pleural 32555  $              442.89  $         2,240.67
Thoracentesis, pleural space; w/ guidance 32555  $              442.89  $         2,240.67
US Thoracentesis with Imaging Guidance 32555  $                           -    $         2,240.67
US Thoracentesis with Imaging Guidance - Report 32555  $              442.89
Pleural drainage, percutaneous, with insertion of indwelling 32556  $              482.78  $         2,005.08
CT Guide-Perc Pleural Drainage w Cath 32557  $                           -    $         3,025.38
CT Guide-Perc Pleural Drainage w Cath Pl - Report 32557  $              604.23
Thoracoscopy, diagnostic; lungs, pericardial sac, mediastina 32601  $         1,161.22  $         5,718.95
Removal permanent pacemaker pulse generator w/ replacement p 33228  $         1,176.25
Injection of needle or intracatheter, vein 36000  $                 43.41  $              272.82
36415- Blood Coll. by Venipuncture 36415  $                           -    $                 45.75
Blood Draw Ambulatory 36415  $                           -  
Venipuncuture (1x/pt/day - OP only) 36415  $                           -    $                 45.75
Blood Draw Ambulatory 36416  $                           -  
Capillary blood (ie. finger stick) 36416  $                           -    $                 30.26
Capillary stick (CPT 36416) - ACC Charges 36416  $                           -    $                 30.26
Transfusion, blood / blood components 36430  $              109.55  $         1,586.62
Transfusion, blood or blood components 36430  $              109.55  $         1,586.62
Catheterization of umbilical vein for diagnosis or therapy,  36510  $              217.33
Therapeutic apheresis; for plasma pheresis 36514  $              360.66  $         4,609.78
Central line (non tunneled) Insertion age 5 and older 36556  $              473.44  $         1,806.71
Insert tunneled centrally inserted central venous catheter,  36558  $         1,004.01
Insertion of (PICC), without subcutaneous port or pump; 5 ye 36569  $              359.72  $         2,600.05
Remove tunneled central venous access device, w/subcutaneous 36590  $              714.39  $         4,563.49
Blood draw implanted VAD 36591  $                           -    $              318.91
Collection of blood specimen from a completely implantable v 36591  $                 74.27  $              318.91
Blood draw PICC-non-implnt VAD 36592  $                           -    $              194.23
Collection of blood specimen using established central or pe 36592  $                 83.21  $              194.23
Declot VAD/VAC thromb agent 36593  $                           -    $              519.43
Declotting by thrombolytic agent of implanted vascular acces 36593  $                 98.41  $              519.43
Arterial puncture (ABG) 36600  $                           -    $              178.41
Arterial puncture, withdrawal of blood for diagnosis 36600  $                 60.70  $              178.41
Withdrawal of Arterial Blood 36600  $                           -  
Ligation or biopsy, temporal artery 37609  $              762.86
Ligation, major artery (eg, post-traumatic, rupture); extrem 37618  $         1,338.12  $         4,834.36
Ligation, division, and/or excision of varicose vein cluster 37785  $              961.97  $         5,581.22
Diagnostic Bone marrow; aspiration 38220  $              234.37  $         1,660.10
Bone marrow; biopsy, needle or trocar 38221  $              289.30  $         1,564.08
Biopsy or excision of lymph node(s); open, superficial 38500  $              930.49  $         6,064.28
biopsy and or excision of lymph node(s); by Needle, Superfic 38505  $              269.52  $         1,626.87
Biopsy or excision of lymph node(s); by needle, superficial  38505  $              269.52  $         1,626.87
Biopsy or excision of lymph node(s); by needle, superficial  38505  $              269.52  $         1,626.87
Biopsy or excision of lymph node(s); open, deep cervical nod 38510  $         1,465.64
Biopsy or excision of lymph node(s); open, deep axillary nod 38525  $         1,594.69
Biopsy of lip 40490  $              278.02  $              767.54
Drainage of abscess, cyst, hematoma, vestibule of mouth; sim 40800  $              468.92  $              873.65
Biopsy, vestibule of mouth 40808  $              385.08  $         2,363.99
Biopsy, vestibule of mouth 40808  $              385.08  $         2,363.99
Excision of lesion of mucosa and submucosa, vestibule of mou 40810  $              429.56  $         3,518.71
Excision of lesion of mucosa and submucosa, vestibule of mou 40812  $              720.71  $         5,600.52
Excision of frenum, labial or buccal (frenumectomy, frenulec 40819  $              861.47  $         4,306.84
Incision of lingual frenum (frenotomy) 41010  $              383.37  $         2,518.73
Biopsy of tongue; posterior one-third 41105  $              411.27  $         2,180.78
Biopsy of tongue; posterior one-third 41105  $              411.27  $         2,180.78
Biopsy of floor of mouth 41108  $              330.19
Excision of lesion of tongue without closure 41110  $              477.19  $         5,445.79
Exicision of lesion of tongue with closure; anterior two-thi 41112  $              916.78  $         4,156.71
Excision of lingual frenum (frenectomy) 41115  $              528.41  $         1,838.49
Excision of lingual frenum (frenectomy) 41115  $              528.41  $         1,838.49
Excision, lesion of floor of mouth 41116  $              707.63
Repair of laceration 2.5 cm or less; floor of mouth and/or a 41250  $              527.62
Drainage of abscess, cyst, hematoma from dentoalveolar struc 41800  $              497.52
Unlisted procedure, dentoalveolar structures 41899  $              778.02
Biopsy of palate, uvula 42100  $              398.90  $         2,862.27
Excision, lesion of palate, uvula; without closure 42104  $              506.69  $         5,207.54
Uvulectomy, excision of uvula 42140  $              554.29
Palatopharyngoplasty (eg, uvulopalatopharyngoplasty, uvuloph 42145  $         2,588.49
Unlisted procedure, palate, uvula 42299  $                           -    $         4,016.33
Drainage of abscess, parotid, simple 42300  $              556.87  $         5,502.21
Sialolithotomy; submandibular (submaxillary), sublingual or  42330  $              606.28  $         5,970.16
Biopsy of salivary gland; incisional 42405  $              751.73
Excision of sublingual salivary cyst (ranula) 42408  $         1,207.58
Excision of sublingual salivary cyst(ranula 42408  $         1,207.58
Marsupialization of sublingual salivary cyst (ranula) 42409  $              756.58
Incision and drainage abscess; peritonsillar 42700  $              491.10  $         1,186.47
Biopsy; oropharynx 42800  $              407.59  $         4,006.11
Excision or destruction of lesion of pharynx, any method 42808  $              599.35  $         6,806.31
Tonsillectomy and adenoidectomy; younger than age 12 42820  $         1,067.31
Tonsillectomy and adenoidectomy; age 12 or over 42821  $         1,111.71
Tonsillectomy, primary or secondary; younger than age 12 42825  $              951.33
Tonsillectomy, primary or secondary; age 12 or over 42826  $              922.14
Adenoidectomy, primary; younger than age 12 42830  $              753.20
Adenoidectomy, primary; age 12 or over 42831  $              812.12  $         5,453.05
Adenoidectomy, secondary; age 12 or over 42836  $              875.55
Control oropharyngeal hemorrhage, primary or secondary (eg,  42960  $              621.25
Esophagoscopy, rigid, transoral; diagnostic, incl collect sp 43191  $              580.17  $         3,127.23
Esophagoscopy, rigid, transoral; with biopsy, single or mult 43192  $              641.19  $         5,014.83
Esophagoscopy, rigid, transoral; with removal of foreign bod 43194  $              738.44  $         6,076.46
Esophagoscopy, rigid, transoral; with balloon dilation (less 43195  $              698.73  $         5,336.87
Esophagoscopy, rigid, transoral; with insertion of guide wir 43196  $              746.15  $         5,258.66
Esophagoscopy, flexible, transnasal; diagnostic, incl collec 43197  $              318.07  $         3,072.30
Esophagoscopy, flexible, transnasal; with biopsy, single or  43198  $              380.52  $         2,843.12
Esophagoscopy, flexible, transoral; diagnostic, incl collect 43200  $              331.70  $         3,263.73
Esophagoscopy, flexible, transoral; with directed submucosal 43201  $              393.46  $         3,664.42
Esophagoscopy, flexible, transoral; with biopsy, single or m 43202  $              394.15  $         3,294.06
Esophagoscopy, flexible, transoral; with injection sclerosis 43204  $              523.28  $         2,498.15
Esophagoscopy, flexible, transoral; with band ligation of es 43205  $              544.97  $         3,042.13
Esophagoscopy, flexible, transoral; with optical endomicrosc 43206  $              513.91  $         2,942.71
Esophagoscopy, flexible, transoral; with endoscopic mucosal  43211  $              913.63  $         4,505.64
Esophagoscopy, flexible, transoral; w placement of endoscopi 43212  $              730.03  $         7,150.08
Esophagoscopy, flexible, transoral; w dilation of esophagus, 43213  $              999.89  $         5,310.05
Esophagoscopy, flexible, transoral; w dilation of esophagus  43214  $              742.65  $         4,527.36
Esophagoscopy, flexible, transoral; with removal of foreign  43215  $              542.88  $         4,210.73
Esophagoscopy, flexible, transoral; w remove tumor/polyp/les 43216  $              517.65  $         5,129.06
Esophagoscopy, flexible, transoral; w remove tumor/polyp/les 43217  $              618.09  $         4,007.40
Esophagoscopy, flexible, transoral; with transendoscopic bal 43220  $              451.77  $         4,434.64
Esophagoscopy, flexible, transoral; w insert guide wire foll 43226  $              500.31  $         4,909.09
Esophagoscopy, flexible, transoral; with control of bleeding 43227  $              637.29  $         4,407.35
Esophagoscopy, flexible, transoral; w ablation of tumor/poly 43229  $              762.88  $         6,430.60
Esophagoscopy, flexible, transoral; with endoscopic ultrasou 43231  $              618.68  $         4,457.63
Esophagoscopy, flexible, transoral; w transendoscopic US-gui 43232  $              770.31  $         5,317.76
Esophagogastroduodenoscopy, flexible, transoral; w dilation  43233  $              880.61  $         3,586.72
Esophagogastroduodenoscopy, flexible, transoral; diagnostic, 43235  $              472.00  $         2,660.01
Esophagogastroduodenoscopy, flexible, transoral; w directed  43236  $              534.11  $         1,677.14
Esophagogastroduodenoscopy, flexible, transoral; with direct 43236  $              534.11  $         1,677.14
Esophagogastroduodenoscopy, flexible, transoral; w endoscopi 43237  $              758.13  $         4,442.56
Esophagogastroduodenoscopy, flex, transoral; w US-guided int 43238  $              903.57  $         5,753.49
Esophagogastroduodenoscopy, flexible, transoral; with bx, si 43239  $              534.84  $         2,393.48
Esophagogastroduodenoscopy, flexible, transoral; w transmura 43240  $         1,528.02  $         4,797.48
Esophagogastroduodenoscopy, flexible, transoral; with insert 43241  $              549.77  $         3,759.75
Esophagogastroduodenoscopy, flexible, transoral; w US-guided 43242  $         1,021.79  $         5,176.21
Esophagogastroduodenoscopy, flexible, transoral; w injection 43243  $              920.41  $         3,022.03
Esophagogastroduodenoscopy, flexible, transoral; with band l 43244  $              953.34  $         3,906.98
Esophagogastroduodenoscopy, flexible, transoral; w dilation  43245  $              676.41  $         3,548.98
Esophagogastroduodenoscopy, flexible, transoral; w directed  43246  $              771.71  $         4,008.51
Esophagogastroduodenoscopy, flexible, transoral; with remova 43247  $              683.26  $         3,080.28
Esophagogastroduodenoscopy, flex, transoral; w insert g w, p 43248  $              641.81  $         1,750.12
Esophagogastroduodenoscopy, flexible, transoral; w transendo 43249  $              593.16  $         2,118.47
Esophagogastroduodenoscopy, flexible, transoral; w remv t/p/ 43250  $              654.29  $         3,231.50
Esophagogastroduodenoscopy, flexible, transoral; w removal o 43251  $              758.45  $         1,494.11
Esophagogastroduodenoscopy, flexible, transoral; with optica 43252  $              650.36  $         3,510.70
Esophagogastroduodenoscopy, flex, transoral; w US-guided tra 43253  $         1,021.79  $         4,519.63
Esophagogastroduodenoscopy, flexible, transoral; with endosc 43254  $         1,051.26  $         3,750.02
Esophagogastroduodenoscopy, flexible, transoral; with contro 43255  $              778.67  $         3,365.47
Esophagogastroduodenoscopy, flexible, transoral; w thermal t 43257  $              898.94  $         5,416.08
Esophagogastroduodenoscopy, flexible, transoral; w US exam e 43259  $              877.82  $         4,460.98
Endoscopic retrograde cholangiopancreatography; diagnostic,  43260  $         1,254.78  $         6,286.49
Endoscopic retrograde cholangiopancreatography (ERCP); with  43261  $         1,318.33  $         5,165.34
Endoscopic retrograde cholangiopancreatography (ERCP); with  43262  $         1,391.25  $         3,628.20
Endoscopic retrograde cholangiopancreatography (ERCP); w pre 43263  $         1,392.68  $         5,564.40
Endoscopic retrograde cholangiopancreatography;w remv calcul 43264  $         1,418.17  $         2,306.64
Endoscopic retrograde cholangiopancreatography (ERCP); w des 43265  $         1,689.29  $         5,915.75
Esophagogastroduodenoscopy, flexible, transoral; w placement 43266  $              845.50  $         6,288.72
Esophagogastroduodenoscopy, flexible, transoral; w ablation  43270  $              871.78  $         4,054.56
Endoscopic cannulation of papilla with direct visualization  43273  $              467.78  $         4,410.66
Endoscopic retrograde cholangiopancreatography; w place sten 43274  $         1,804.83  $         4,652.50
Endoscopic retrograde cholangiopancreatography;w remv foreig 43275  $         1,466.78  $         2,456.79
Endoscopic retrograde cholangiopancreatography;w remv/exchg  43276  $         1,879.64  $         6,414.74
Endoscopic retrograde cholangiopancreatography;w dilate bili 43277  $         1,475.02  $         5,443.78
Endoscopic retrograde cholangiopancreatography (ERCP); w abl 43278  $         1,687.79  $         4,781.25
Laparoscopy, surgical, esophagogastric fundoplasty (eg, Niss 43280  $         3,796.94
Laparoscopy, surg, repair paraesophageal hernia, incl fundop 43281  $         5,454.31
Dilate Esophagus, over guide wire 43453  $              328.49  $         2,943.02
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 43453  $              328.49  $         2,943.02
Gastrectomy, partial, distal; with gastrojejunostomy 43632  $         7,628.46
Naso-/oro-gastric tube placement, require physician skill +  43752  $              159.82  $              609.55
Gastric Tube Insertion 43754  $                           -    $              985.37
Change of gastrostomy tube, percutaneous, without imaging or 43760  $              181.36  $              732.87
Laparoscopy, surg, gastric restrict procedure; remove adjust 43772  $         3,524.21
Gastrorrhaphy, suture of perforated duodenal or gastric ulce 43840  $         5,061.45
Enterolysis (freeing of intestinal adhesion) (separate proce 44005  $         4,099.74
Reduction of volvulus, intussusception, internal hernia, by  44050  $         3,288.84
Enterectomy, resection of small intestine; single resection  44120  $         4,570.02
Enterectomy, resection of small intestine; with enterostomy 44125  $         4,370.92
Colectomy, partial; with anastomosis 44140  $         5,026.15
Colectomy, partial; with end colostomy and closure of distal 44143  $         6,150.15
Colectomy, partial, with removal of terminal ileum with ileo 44160  $         4,635.86
Laparoscopy, surgical, enterolysis (freeing of intestinal ad 44180  $         3,422.75
Laparoscopy, surgical; colectomy, partial, with anastomosis 44204  $         5,448.03
Laparoscopy, surgical;colectomy, partial, w/anastomosis, w/c 44207  $         6,895.24
Laparoscopy, surg, mobilization (take-down) splenic flexure  44213  $              719.92
Unlisted laparoscopy procedure, intestine (except rectum) 44238  $                           -  
Placement, enterostomy/cecostomy, tube open (eg,for feeding/ 44300  $         3,137.88
Ileostomy or jejunostomy, non-tube 44310  $         3,924.97
Colostomy or skin level cecostomy; 44320  $         4,226.09
Small intestinal endoscopy, enteroscopy beyond 2nd portion o 44360  $              555.45  $         3,632.95
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 44361  $              614.16  $         3,815.64
Small intestinal endoscopy, enteroscopy beyond 2nd portion o 44363  $              741.96  $         3,360.54
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 44364  $              792.54  $         3,730.34
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 44365  $              701.10  $         3,314.19
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 44366  $              932.41  $         4,516.11
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 44369  $              955.93  $         4,091.84
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 44370  $         1,030.48  $         6,728.89
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 44372  $              930.72  $         4,618.51
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 44373  $              741.88  $         4,224.13
Small intestinal endoscopy, enteroscopy beyond 2nd portion o 44377  $         1,164.18  $         3,911.75
Small intestinal endoscopy, enteroscopy beyond 2nd portion o 44378  $         1,499.34  $         5,010.64
Small intestinal endoscopy, enteroscopy beyond 2nd portion d 44379  $         1,592.21  $      12,111.25
Ileoscopy, through stoma; diagnostic, w or w/o collection of 44380  $              213.33  $         2,801.94
Ileoscopy, through stoma; with biopsy, single or multiple 44382  $              279.11  $         3,063.36
Endoscopic evaluation of small intestinal pouch; diagnostic, 44385  $              275.00  $         2,853.02
Endoscopic evaluation of small intestinal (abdominal or pelv 44386  $              340.80  $         3,078.44
Colonoscopy through stoma; diagnostic, w or w/o collection o 44388  $              600.09  $         3,234.29
Colonoscopy through stoma; with biopsy, single or multiple 44389  $              662.61  $         3,471.28
Colonoscopy through stoma; with removal of foreign body 44390  $              817.17  $         3,807.64
Colonoscopy through stoma; w control of bleeding 44391  $              892.68  $         3,010.74
Colonoscopy through stoma; w removal of tumor/polyp/lesion(s 44392  $              764.64  $         3,161.68
Colonoscopy through stoma; with removal of tumor(s), polyp(s 44394  $              872.36  $         3,425.33
Closure enterostomy, large/small intestine;w/Resect + anasto 44625  $         3,602.13
Closure enterostomy, large/small intestine;w/Resect + colore 44626  $         6,020.34
Appendectomy; 44950  $         2,384.83  $      10,500.28
Appendectomy; for ruptured appendix with abscess or generali 44960  $         3,261.16
Laparoscopy, surgical, appendectomy 44970  $         2,215.72  $         9,797.78
Excise rectal tumor, transanal approach;not incl muscularis  45171  $         1,976.43
Excision of rectal tumor, transanal approach; including musc 45172  $         3,021.64
Proctosigmoidoscopy, rigid; diagnostic, w or w/o collection  45300  $              200.88  $              340.19
Proctosigmoidoscopy, rigid; with dilation (eg, balloon, guid 45303  $              324.86  $         5,070.98
Proctosigmoidoscopy, rigid; with biopsy, single or multiple 45305  $              273.69  $         5,356.59
Proctosigmoidoscopy, rigid; with removal of foreign body 45307  $              366.00  $         5,777.14
Proctosigmoidoscopy, rigid; w removal of single tumor/polyp/ 45308  $              310.05  $      10,299.47
Proctosigmoidoscopy, rigid; with removal of single tumor, po 45309  $              330.56  $         5,359.36
Proctosigmoidoscopy, rigid; w removal of multiple tumors, po 45315  $              391.89  $         5,351.39
Proctosigmoidoscopy, rigid; w control of bleeding 45317  $              424.79  $         3,923.23
Proctosigmoidoscopy, rigid; w ablation of tumor/polyp/lesion 45320  $              387.37  $         8,148.86
Proctosigmoidoscopy, rigid; with decompression of volvulus 45321  $              379.68  $         5,568.69
ENDO - PROCTOSIGMOIDOSCOPY W STENT 45327  $              431.24  $      12,111.25
Sigmoidoscopy, flexible; diagnostic, with or w/o collection  45330  $              210.65  $         2,183.77
Sigmoidoscopy, flexible; diagnostic, with or without collect 45330  $              210.65  $         2,183.77
Sigmoidoscopy, flexible; with biopsy, 1 or more 45331  $              273.49  $         2,030.85
Sigmoidoscopy, flexible; with biopsy, single or multiple. 45331  $              273.49  $         2,030.85
Sigmoidoscopy, flexible; with removal of foreign body 45332  $              402.39  $         3,558.28
Sigmoidoscopy, flexible; w removal of tumor/polyp/lesion(s)  45333  $              358.26  $         2,838.80
Sigmoidoscopy, flexible; w control of bleeding 45334  $              452.97  $         3,458.97
Sigmoidoscopy, flexible; with directed submucosal injection( 45335  $              251.76  $         2,371.68
Sigmoidoscopy, flexible; with decompression of volvulus, any 45337  $              447.05  $         2,790.40
Sigmoidoscopy, flexible; with removal of tumor(s), polyp(s), 45338  $              462.63  $         3,164.58
Sigmoidoscopy, flexible; with dilation by balloon, 1 or more 45340  $              295.50  $         3,284.57
Sigmoidoscopy, flexible; with endoscopic ultrasound examinat 45341  $              477.30  $         3,940.37
Sigmoidoscopy, flexible; w transendoscopic US guided intramu 45342  $              656.81  $         4,712.35
Sigmoidoscopy, flexible; with band ligation(s) (eg, hemorrho 45350  $              385.99
Colonoscopy, flexible, proximal to splenic flexure; diagnost 45378  $              714.20  $         2,413.32
Colonoscopy, flexible, proximal to splenic flexure; with rem 45379  $              925.88  $         3,585.10
Colonoscopy w biopsy, single or multiple 45380  $              776.77  $         2,477.86
Colonoscopy, flexible, proximal to splenic flexure; with bio 45380  $              776.77  $         2,477.86
Colonoscopy, flexible, proximal to splenic flexure;w directe 45381  $              777.16  $         1,794.61
Colonoscopy, flexible, proximal to splenic flexure; w contro 45382  $         1,006.40  $         3,546.00
Colonoscopy, flex, proximal to splenic flexure;w remv tumor/ 45384  $              881.22  $         3,036.69
Colonoscopy, flexible, proximal to splenic flexure; w remova 45385  $              986.92  $         2,429.29
Colonoscopy, flexible, proximal to splenic flexure; with dil 45386  $              819.69  $         3,237.64
Colonoscopy, flexible; w ablation of tumor(s), polyp(s), or  45388  $         1,049.25
Colonoscopy, flexible, proximal to splenic flexure; with end 45391  $         1,001.57  $         3,762.99
Colonoscopy, flex, proximal to splenic flexure;w transendo U 45392  $         1,181.78  $         3,603.34
Colonoscopy, flexible; w/ band ligation(s) (eg, hemorrhoids) 45398  $              909.12  $         2,789.65
Repair of rectocele (separate procedure) 45560  $         2,449.31
Anorectal exam, surgical, requiring anesthesia (general, spi 45990  $              404.07  $              509.23
Unlisted procedure, rectum 45999  $                           -  
Placement of seton 46020  $              846.09  $         6,426.14
Incision and drainage of ischiorectal and/or perirectal absc 46040  $         1,494.59  $         5,324.69
Incision and drainage of ischiorectal and/or perirectal absc 46040  $         1,494.59  $         5,324.69
Incision + drainage intramural, intramuscular,/submucosal ab 46045  $         1,577.30  $         4,037.00
Incision and drainage perianal abscess, superficial 46050  $              352.17  $         3,257.11
Sphincterotomy, anal, division of sphincter (separate proced 46080  $              593.40
Incision of thrombosed hemorrhoid, external 46083  $              388.93  $              843.49
Excision of single external papilla or tag, anus 46220  $              431.74  $         5,376.34
Hemorrhoidectomy, internal, by rubber band ligation(s) 46221  $              687.70  $         2,661.79
Hemorrhoidectomy, internal, by rubber band ligation(s) 46221  $              687.70  $         2,661.79
Excision of multiple external papillae or tags, anus 46230  $              637.64  $         4,796.69
Excision of multiple external papillae or tags, anus 46230  $              637.64  $         4,796.69
Hemorrhoidectomy, external, 2 or more columns/groups 46250  $         1,143.11  $         6,135.11
Hemorrhoidectomy, internal and external, single column/group 46255  $         1,289.96  $         1,624.02
Hemorrhoidectomy, internal and external, single column/group 46257  $         1,530.15  $         6,436.89
Hemorrhoidectomy, internal & external, 1 column/group;w fist 46258  $         1,677.92  $         8,517.09
Hemorrhoidectomy, internal and external, 2 or more columns/g 46260  $         1,735.51  $         7,866.20
Hemorrhoidectomy, internal and external, 2 or more columns/g 46261  $         1,923.23  $         7,734.37
Hemorrhoidectomy, internal & external, 2 or > columns/groups 46262  $         2,028.17  $         7,107.33
Surgical treatment of anal fistula (fistulectomy/fistulotomy 46270  $         1,407.96  $         5,865.30
Excision of thrombosed hemorrhoid, external 46320  $              408.37  $         5,849.26
Anoscopy; diagnostic, with or w/o collection of specimen(s)  46600  $              149.29  $              265.74
Anoscopy; diagnostic, with or without collection of specimen 46600  $              149.29  $              265.74
Anoscopy; with dilation (eg, balloon, guide wire, bougie) 46604  $              248.34  $         4,355.97
Anoscopy; with biopsy, single or multiple 46606  $              283.83  $         5,116.78
Anoscopy; with removal of foreign body 46608  $              308.22  $         4,207.37
Anoscopy; w removal of single tumor, polyp, or other lesion  46610  $              302.37  $         7,345.59
Anoscopy; with removal of single tumor, polyp, or other lesi 46611  $              304.75  $         3,102.10
Anoscopy; w removal of multiple tumors/polyps/lesions by hot 46612  $              342.73  $         5,921.16
Anoscopy; w control of bleeding 46614  $              240.87  $         3,731.50
Anoscopy; w ablation of tumor/polyp/lesion(s) 46615  $              345.78  $         6,403.24
Destruction of lesion(s), anus, simple; chemical 46900  $              503.28  $         1,426.11
Destruction of lesion(s), anus, simple; electrodesiccation 46910  $              490.54  $         5,162.58
Destruction of lesion(s), anus, simple; cryosurgery 46916  $              524.17  $              577.30
Destruction of lesion(s), anus, simple; laser surgery 46917  $              489.59  $         5,159.23
Destruction of lesion(s), anus , simple; surgical excision 46922  $              494.08  $         6,130.58
Destruction of lesion(s), anus, extensive 46924  $              680.41  $         6,439.54
Destruct internal hemorrhoid(s) by thermal energy 46930  $              524.14  $         3,776.04
Curettage or cautery of anal fissure, including dilation of  46940  $              546.87  $         5,480.98
Curettage or cautery of anal fissure, including dilation of  46942  $              490.06  $         1,650.50
Hemorrhoidectomy, internal, by ligation other than rubber ba 46945  $              793.94  $         5,239.67
Hemorrhoidectomy, internal, by ligation other than rubber ba 46946  $              805.64  $         6,236.21
Hemorrhoidopexy (eg, for prolapsing internal hemorrhoids) by 46947  $         1,397.42  $         7,932.12
Unlisted procedure, anus 46999  $                           -    $         4,570.46
Biopsy of liver, needle; percutaneous 47000  $              349.05  $         2,612.45
Biopsy of liver, wedge 47100  $         3,103.17
XR Cholangiogram with Existing Access 47531  $                           -    $         1,469.32
XR Cholangiogram with Existing Access - Report 47531  $              275.33
Laparoscopy, surgical; cholecystectomy 47562  $         2,429.24  $         4,497.33
Laparoscopy, surgical; cholecystectomy with cholangiography 47563  $         2,640.83  $      10,288.38
Cholecystectomy; 47600  $         3,959.67
Cholecystectomy; with cholangiography 47605  $         3,935.22
Reopening of recent laparotomy 49002  $         3,900.02
Abdominal paracentesis (diagnostic or therapeutic); without  49082  $              281.42  $         1,218.68
Abdominal paracentesis (diagnostic or therapeutic); with ima 49083  $              421.63  $         1,471.42
Abdominal paracentesis; with imaging guidance 49083  $              421.63  $         1,471.42
CT Paracentesis with Imaging Guidance 49083  $                           -    $         1,471.42
CT Paracentesis with Imaging Guidance - Report 49083  $              421.63
US Paracentesis with Imaging Guidance 49083  $                           -    $         1,471.42
US Paracentesis with Imaging Guidance - Report 49083  $              421.63
Laparoscopy, abdomen, peritoneum, + omentum, diag, w/or w/o  49320  $         1,206.89
Unlisted laparoscopy procedure, abdomen, peritoneum and omen 49329  $         1,206.58
CT Guide-Perc Drain Visceral with Cath 49405  $                           -    $         2,180.78
CT Guide-Perc Drain Visceral with Cath - Report 49405  $              784.61
US Guide-Perc Drain Visceral with Cath 49405  $                           -    $         2,180.78
US Guide-Perc Drain Visceral with Cath - Report 49405  $              784.61
CT Guide-Perc Drain (Retro)Peritoneal 49406  $                           -    $         4,619.62
CT Guide-Perc Drain (Retro)Peritoneal - Report 49406  $              784.61
Image-guided fluid collection drainage by catheter; peritone 49406  $              784.61
US Guide-Perc Drain (Retro) Peritoneal 49406  $                           -    $         4,619.62
US Guide-Perc Drain (Retro) Peritoneal - Report 49406  $              784.61
XR Perc Insert of Gastro Tube w Fluoro 49440  $                           -    $         3,197.43
XR Percutaneous Insertion of Gastrostomy Tube with Fluorosco 49440  $              810.06
XR Perc Replace Colonic Tube w Fluoro 49450  $                           -    $         1,925.52
XR Replacement of Gastrostomy or Cecostomy or Other Colonic  49450  $              263.89
XR Perc Replace J or D Tube w Fluoro 49451  $                           -    $         2,308.58
XR Percutaneous Replacement of Duodenostomy or Jejunostomy T 49451  $              357.45
XR Perc Replace Gastro-J Tube w Fluoro 49452  $                           -    $         2,092.99
XR Percutaneous Replacement of Gastro-Jejunostomy Tube w Flu 49452  $              552.60
XR Perc Inj Eval Existing colonic Tube 49465  $                           -    $              869.46
XR Percutaneous Contrast Injections for Radiologic Evaluatio 49465  $              122.42
Repair initial inguinal hernia, age 5 years or older; reduci 49505  $         1,910.63
Repair initial inguinal hernia, age 5 years or older; incarc 49507  $         2,165.00
Repair recurrent inguinal hernia, any age; reducible 49520  $         2,330.29
Repair initial incisional or ventral hernia; reducible 49560  $         2,741.95
Repair initial incisional or ventral hernia; incarcerated or 49561  $         3,452.99
Repair recurrent incisional or ventral hernia; reducible 49565  $         2,842.97  $         6,091.53
Implant mesh/oth prosthesis 4 opn incis/ventral hernia rpr/m 49568  $         1,009.22
Repair umbilical hernia, age 5 years or older; reducible 49585  $         1,626.57  $         6,049.31
Repair umbilical hernia, age 5 years or older; incarcerated  49587  $         1,747.53
Laparoscopy, surgical; repair initial inguinal hernia 49650  $         1,575.18
Laparoscopy, surgical; repair recurrent inguinal hernia 49651  $         2,038.87
Laparoscopy, surg, repair, ventral, umbilical, spigelian/epi 49652  $         2,749.15  $      13,995.59
Laparoscopy, surg, rpr, ventral/umbilical/spigelian/epigastr 49653  $         3,431.70  $      14,718.00
Laparoscopy, surgical, repair, incisional hernia (incl mesh  49654  $         2,961.87
Laparoscopy, surgical, repair, incisional hernia; incarcerat 49655  $         3,617.95
Laparoscopy, surgical, repair, recurrent incisional hernia ( 49656  $         3,212.74
Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, 49659  $              900.00
Suture, secondary, of abdominal wall for evisceration or deh 49900  $         2,995.61
Unlisted procedure, abdomen, peritoneum and omentum 49999  $                           -  
Ureterorrhaphy, suture of ureter (separate procedure) 50900  $         3,250.08
Aspiration of bladder; with insertion of suprapubic catheter 51102  $              559.25  $         6,028.96
Inj for VCUG/Cystography 51600  $                           -    $              758.00
Injection procedure for retrograde urethrocystography 51610  $              244.10  $              829.52
Bladder irrigation, simple, lavage and/or instillation 51700  $              136.84  $              713.99
Irrigated - Urinary Catheter Activity Type 51700  $                           -    $              713.99
Catheter; urinary (straight/ua) 51701  $                           -    $              164.57
Insertion of non-indwelling bladder catheter (eg, straight c 51701  $                 99.52  $              164.57
Straight Catheter 51701  $                           -    $              164.57
Catheter; urinary (ie Foley) 51702  $                           -    $              285.99
Inserted - Gastric Tube Activity 51702  $                           -    $              285.99
Inserted - Urinary Catheter Activity Type 51702  $                           -    $              285.99
Insertion of temporary indwelling bladder catheter; simple ( 51702  $                 99.52  $              285.99
Insertion of temporary indwelling bladder cather; complicate 51703  $              298.18  $              592.40
Change of cystostomy tube; simple. 51705  $              198.17  $              731.40
Endoscopic injection of implant material into submucosal tis 51715  $              771.29  $         6,831.68
Measurement of post-voiding residual urine and/or bladder ca 51798  $                 47.12  $              232.45
Postvoid measure and/or bladder scan 51798  $                           -    $              232.45
Cystourethroscopy 52000  $              380.35  $         1,199.89
Cystourethroscopy 52000  $              380.35  $         1,199.89
Drainage of deep periurethral abscess 53040  $         1,488.62  $         5,359.01
Unlisted procedure, urinary system 53899  $                           -  
Destruction of lesion(s), penis (eg, condyloma, papilloma, m 54050  $              383.29  $              291.58
Destruction of lesion(s), penis (eg, condyloma, papilloma, m 54055  $              339.77  $         3,840.31
Destruction of lesion(s), penis, simple; cryosurgery. 54056  $              398.49  $              351.46
Circumcision, using clamp or other device with regional dors 54150  $              380.07  $         4,592.80
Done - Newborn Circumcision 54150  $              380.07  $         4,592.80
Circumcision, neonate, surgical excision w/device other than 54160  $              550.81  $         5,048.91
Circumcision, surg Excise other than clamp, device,/dorsal s 54160  $              550.81  $         5,048.91
Circumcision, older than 28d, surgical excision w/device oth 54161  $              746.94  $         7,181.36
Circumcision, surgical excision other than clamp, device, or 54161  $              746.94  $         7,181.36
Exploration for undescended testis (inguinal or scrotal area 54450  $              267.19  $         1,423.32
Drainage of scrotal wall abscess 55100  $              615.57
Vasectomy, unilateral or bilateral, including postoperative  55250  $              848.79  $         5,058.68
Excision of lesion of spermatic cord (separate procedure) 55520  $         1,656.53
Incision and drainage of vulva or perineal abscess. 56405  $              394.71  $         1,075.86
Lance and Debridement Vulva or Perineal Abscess 56405  $              394.71  $         1,075.86
Lance and Debridement Bartholin's gland abscess 56420  $              338.57  $              804.38
Marsupialization of Bartholin's gland cyst. 56440  $              676.39  $         5,087.96
Condyloma Treatment 56501  $              418.98  $         5,372.69
Destruction of lesion(s), vulva; simple 56501  $              418.98  $         5,372.69
Destruction of lesion(s), vulva; extensive 56515  $              742.97  $         6,205.49
Biopsy vulva/perin (sep proc) 1 lesion 56605  $              229.97  $         1,695.26
Biopsy vulva/perin, each add'l lesion 56606  $              114.04  $         1,470.23
Vulvectomy simple; partial 56620  $         1,797.92
Partial hymenectomy or revision of hymenal ring 56700  $              691.15  $         5,570.36
Excision of Bartholins gland or cyst 56740  $         1,132.98
56820 - COLPOSCOPY OF VULVA 56820  $              326.22  $              545.64
Colposcopy of the vulva; with biopsy(s) 56821  $              437.69  $         1,833.99
Incision and drainage of vaginal hematoma; non-obstetrical ( 57023  $         1,157.75  $         5,669.79
57061 - Destroy Vag. Lesions, simple 57061  $              355.80  $         6,499.87
Biopsy vaginal mucosa, simple 57100  $              254.14  $         3,635.79
Fitting and insertion of pessary or other intravaginal suppo 57160  $              179.96  $              274.26
Pessary/Other Device Insert/Fit 57160  $              179.96  $              274.26
Diaphram/Cervical Cap Fit 57170  $              185.90  $              212.32
Colpopexy, abdominal approach 57280  $         3,408.54
Pelvic examination under anesthesia (other than local) 57410  $              401.69  $         5,663.09
Colposcopy of the entire vagina, with cervix if present; wit 57421  $              469.09  $         3,599.20
Colpo (sep proc) 57452  $              344.55  $              930.58
Colposcopy of the cervix including upper/adjacent vagina. 57452  $              344.55  $              930.58
Colpo Cerv Biopsy & Endocervical Curettage 57454  $              511.82  $         1,100.89
Colposcopy of the cervix including upper/adjacent vagina; w/ 57454  $              511.82  $         1,100.89
Colpo with Biopsy 57455  $              420.66  $         1,049.06
Colpo with Endocervical curettage 57456  $              391.50  $              925.04
Colposcopy of the cervix including upper/adjacent vagina; wi 57456  $              391.50  $              925.04
colpoLEEP 57460  $              613.57  $         5,046.42
LEEP/Conization 57461  $              713.54  $         5,087.96
Biopsy Cervix One/Multi or local excision w/wo fulguration 57500  $              282.51  $         3,309.89
Biopsy of cervix, single or multiple, or local excision of l 57500  $              282.51  $         3,309.89
Endocervical curettage 57505  $              332.99  $         3,214.75
Conization cervix, w/or w/o fulguration, dilation + curettag 57522  $              852.76
Dilation of cervical canal, instrumental 57800  $              180.85  $         5,979.26
Endometrial and/ or Endocerv Biopsy 58100  $              330.50  $              843.49
Endometrial Biopsy 58100  $              330.50  $              843.49
Endometrial sampling (biopsy) with or without endocervical s 58100  $              330.50  $              843.49
Endo Biopsy in conjunction w/colpo 58110  $              156.74  $         1,413.26
Total abd hysterectomy (corpus + cervix), w/or w/o Remove tu 58150  $         3,799.59  $      18,903.02
Vaginal hysterectomy, for uterus 250 g or less; with repair  58270  $         3,308.96
58300 Insertion of intrauterine device (IUD) 58300  $              245.57  $              480.95
58300 IUD Insertion 58300  $                           -  
Insertion of intrauterine device (IUD) 58300  $              245.57  $              480.95
IUD Insert 58300  $              245.57  $              480.95
Removal of intrauterine device (IUD) 58301  $              258.47  $         1,862.37
Catheterization and introduction saline or contrast material 58340  $              216.21
HSG or SIS Inj & Cath 58340  $              216.21  $              566.85
Hysteroscopy, surgical;w/sampling (bx) endometrium +/or poly 58558  $              890.27  $         6,274.77
Tubal Sterilization Implant Permanent 58565  $         1,616.31  $         7,469.59
Unlisted hysteroscopy procedure, uterus 58579  $                           -  
Ligation or transection of fallopian tube(s), abdominal or v 58600  $         1,352.54
Ligation/transection fallopian tube(s), abd/vaginal app, pos 58605  $         1,220.32
Ligation/transection fallopian tube(s) when done at the time 58611  $              293.65  $         3,951.54
Laparoscopy, surgical; with lysis of adhesions (salpingolysi 58660  $         2,386.42
Laparoscopy, surg;w/Remove adnexal structures (partial/total 58661  $         2,442.59
Laparoscopy, surg;w/fulguration/excise lesions ovary, pelvic 58662  $         2,501.76
Laparoscopy, surgical; with fulguration of oviducts (with or 58670  $         1,355.31
Salpingectomy, complete or partial, unilateral or bilateral  58700  $         2,901.07
Salpingo-oophorectomy, complete or partial, unilateral or bi 58720  $         2,744.85
Oophorectomy, partial or total, unilateral or bilateral; 58940  $         1,938.10
Fetal Contraction Stress Test 59020  $              245.50  $              704.95
Fetal Nonstress Test 59025  $                           -    $              244.87
Fetal non-stress test 59025  $              169.20
Transabdominal amnioinfusion, including ultrasound guidance 59070  $         1,147.03  $         1,312.32
Laparoscopic treatment of ectopic pregnancy; without salping 59150  $         2,829.76  $         7,719.85
Laparoscopic treatment of ectopic pregnancy; with salpingect 59151  $         2,757.11  $      13,157.27
Curettage, postpartum 59160  $              637.98  $         4,424.11
Insertion of cervical dilator (eg, laminaria, prostaglandin) 59200  $              167.97  $         1,117.20
Episiotomy or vaginal repair, by oth than attending 59300  $              547.43  $         6,237.93
Episiotomy or vaginal repair, by other than attending physic 59300  $              547.43  $         6,237.93
OBSTETRICAL CARE 59400  $         8,988.00
Vaginal delivery only (with or without episiotomy and/or for 59409  $         3,050.18  $         3,963.82
Vaginal delivery only (with or without episiotomy and/or for 59410  $         3,477.28
External Cephalic Version - ECV 59412  $              382.86  $         1,790.46
External cephalic version, with or without tocolysis 59412  $              382.86  $         1,790.46
Delivery of placenta (separate procedure) 59414  $              343.30  $         6,237.93
Antepartum Care 4-6 Visits 59425  $         1,334.98
Antepartum care only; 4-6 visits 59425  $         1,334.98
Antepartum Care 59426  $         2,360.34
Antepartum Care 7 or More Visits 59426  $         2,360.34
Postpartum Care only 59430  $              522.29
Postpartum care only (separate procedure) 59430  $              522.29  $              560.88
59510 OB Antepartum Care Cesarean DLVR & Postpartum 59510  $         9,969.00
Cesarean delivery only; 59514  $         3,430.06  $      12,348.20
Subtotal/total hysterectomy after cesarean delivery 59525  $         1,815.54
Routine obstetric care incl ante care, vag deliv,+ postpartu 59610  $         8,039.48
Vaginal delivery only, after previous cesarean delivery (wit 59612  $         3,053.50
Treatment of incomplete abortion, any trimester, completed s 59812  $         1,079.04  $         6,004.95
Treatment of missed abortion, 1st tri, completed surgically 59820  $         1,284.54  $         6,015.01
Treatment of missed abortion, completed surgically; first tr 59820  $         1,284.54  $         6,015.01
Treatment of missed abortion, completed surgically; second t 59821  $         1,294.87  $         4,597.28
Treatment of septic abortion, completed surgically 59830  $         1,594.86  $         4,223.02
Induced abortion, by dilation and evacuation 59841  $         1,325.00  $         6,810.45
Induced abortion, by 1/> vaginal suppositories w/or w/o cerv 59855  $         1,428.61
Partial thyroid lobectomy, unilateral; with our without isth 60210  $         2,619.03  $      14,822.45
Total thyroid lobectomy, unilateral; with or without isthmus 60220  $         2,617.54
Excision of thyroglossal duct cyst or sinus; 60280  $         1,615.78
Lumbar Puncture-Diagnostic 62270  $                           -    $         1,244.25
Spinal puncture, lumbar, diagnostic 62270  $              296.43  $         1,244.25
Lumbar Puncture-Therapeutic 62272  $                           -    $         1,638.86
Spinal puncture, therapeutic, for drainage of cerebrospinal  62272  $              311.28  $         1,638.86
Injection, epidural, of blood or clot patch 62273  $              439.34  $         1,836.59
INJ Spine Mylogram/CT Non C1-2 62284  $                           -    $         1,374.91
XR Myelography Cervical - Lumbar Inj 62302  $                           -    $         2,238.63
XR Myelography Cervical - Lumbar Inj - Report 62302  $              476.30
XR Myelography Thoracic - Lumbar Inj 62303  $                           -    $         2,238.63
XR Myelography Thoracic - Lumbar Inj - Report 62303  $              479.65
XR Myelography Lumbosacral - Lumbar Inj 62304  $                           -    $         1,100.01
XR Myelography Lumbosacral - Lumbar Inj - Report 62304  $              467.36
XR Myelography Min 2  Areas - Lumbar Inj - Report 62305  $              488.66
Inject dx or therapeutic substance, not incl neurolytic, epi 62320  $              498.28  $         2,744.57
Injection, single, excluding neurolytic substances, w or w/o 62320  $              498.28  $         2,744.57
Injc dx ther subs not incl neurlytic subs inc nedl cat plcm  62321  $              419.51
Injc dx ther subs not incl neUrlytic subs incl ndle cat intr 62322  $                           -  
Injc dx ther subs not incl neurlytic subs incl nedl  cat plc 62322  $              335.02  $         1,206.07
Inject dx or tx substance, not incl neurolytic substance, ep 62322  $              335.02  $         1,206.07
Injc dx ther subs not incl neurlytic subs incl nedl cat plcm 62323  $              384.07  $         1,382.64
XR Myelography Min 2  Areas - Lumbar Inj 62350  $                           -    $         2,238.63
Injection, anesthetic agent; trigeminal nerve, any division  64400  $              262.41  $              645.18
Injection, anesthetic agent; facial nerve 64402  $              295.52  $              852.42
Injection, anesthetic agent; facial nerve. 64402  $              295.53  $              852.42
64405 - Inj Anesth; greater occipital nerve block 64405  $              230.64  $         1,414.94
Injection, anesthetic agent; greater occipital nerve 64405  $              230.64  $         1,414.94
Injection, anesthetic agent; greater occipital nerve 64405  $              230.64  $         1,414.94
Injection, anesthetic agent; vagus nerve 64408  $              324.71  $              645.18
Injection, anesthetic agent; phrenic nerve 64410  $              291.03  $         1,784.54
Injection, anesthetic agent; cervical plexus 64413  $              306.12  $         1,416.59
Injection, anesthetic agent; brachial plexus, single 64415  $              260.06  $         1,784.51
Injection , anesthetic agent; brachial plexus, continuous in 64416  $              316.67  $         1,784.54
Injection, anesthetic agent; axillary nerve 64417  $              275.23  $         1,784.53
Injection, anesthetic agent; suprascapular nerve 64418  $              289.80  $         1,416.59
Injection, anesthetic agent; intercostal nerve, single 64420  $              257.71  $         1,416.59
Injection, anesthetic agent; intercostal nerves, multiple, r 64421  $              352.84  $         1,784.54
Injection, anesthetic agent; ilioinguinal, iliohypogastric n 64425  $              359.94  $         1,724.96
Injection, anesthetic agent; ilioinguinal, iliohypogastric n 64425  $              359.94  $         1,724.96
Injection, anesthetic agent; pudendal nerve 64430  $              310.86  $         1,784.54
Injection, anesthetic agent; paracervical (uterine) nerve 64435  $              314.83  $         1,416.59
Injection, anesthetic agent; sciatic nerve, single 64445  $              282.24  $         1,416.58
Injection, anesthetic agent; femoral nerve, single 64447  $              265.03  $         1,416.58
Injection, anesthetic agent; femoral nerve, continuous 64448  $                 86.03
Injection, anesthetic agent; other peripheral nerve or branc 64450  $              171.24  $         1,416.59
Injection, anesthetic agent; other peripheral nerve or branc 64450  $              171.24  $         1,416.59
Injection(s), anesthetic agent and/or steroid, plantar commo 64455  $              138.23  $              642.00
Paravertebral block (PVB) (paraspinous block), thoracic; sin 64461  $              339.88  $         1,416.59
Paravertebral block (PVB) (paraspinous block), thoracic; con 64463  $              352.70  $         1,416.59
Inj(s), anesthetic agent +/or steroid, transforaminal epidur 64479  $              503.44  $         1,784.53
Inj(s), anes agent +/or steroid, transforaminal epidural, w/ 64483  $              425.65  $         1,784.54
Inject anesthetic agent and/or steroid, transforaminal epidu 64483  $              425.65  $              178.54
Inject anesthetic agent/steroid, transforaminal epidural,w f 64484  $              201.75  $         1,694.79
Transversus abdominis plane (TAP) block (abdominal plane/rec 64486  $              222.89
Transversus abdominis plane (TAP) block (abdominal plane/rec 64488  $              292.49
Injection(s), diagnostic or therapeutic agent, paravertebral 64490  $              404.29  $         1,784.54
Injection, dx/therapeutic, paravertebral facet joint, cervic 64490  $              404.29  $         1,784.54
Injection(s), diagnostic or therapeutic agent, paravertebral 64491  $              233.92  $         1,571.23
Injection(s), diagnostic/therapeutic agent, paravertebral fa 64492  $              236.16  $         1,501.99
Inject, dx or tx agent, paravertebral facet joint (or nerves 64493  $              343.69  $         2,818.66
Injection, dx/therapeutic, paravertebral facet joint, lumbar 64493  $              343.69  $         2,818.66
XR Facet Joint Injection L or S 1 Level with Imaging Guidanc 64493  $              343.69
XR Facet Jt Inj L or S 1 Level Fl or CT 64493  $                           -    $         2,818.66
Injection(s), diagnostic or therapeutic agent, paravertebral 64494  $              201.35  $         1,441.60
XR Facet Joint Injection L or S 2nd Level with Imaging Guida 64494  $              201.35
XR Facet Jt Inj L or S 2nd Lvl Fl or CT 64494  $                           -    $         1,441.60
Injection(s), diagnostic or therapeutic agent, paravertebral 64495  $              203.58  $         1,383.00
XR Facet Joint Injection L or S 3 or more Levels with Imagin 64495  $              203.58
XR Facet Jt Inj L or S min 3 Lvl Fl - CT 64495  $                           -    $         1,383.00
Injection, anesthetic agent; sphenopalatine ganglion 64505  $              326.93  $              645.18
Injection, anesthetic agent; carotid sinus (separate procedu 64508  $              267.12  $              645.18
Injection, anesthetic agent; stellate ganglion (cervical sym 64510  $              277.49  $         1,784.54
Injection, anesthetic agent; stellate ganglion (cervical sym 64510  $              277.49  $         1,784.54
Injection, anesthetic agent; lumbar or thoracic (paravertebr 64520  $              306.25  $         1,784.54
Injection, anesthetic agent; celiac plexus, with or without  64530  $              348.26  $         1,784.54
Application of surface (transcutaneous) neurostimulator 64550  $                           -    $              176.36
Yes - Application of Tens 64550  $                           -    $              176.36
Destruct by neurolytic agent, trigeminal nerve;supraorbital/ 64600  $              816.23  $         1,784.54
Chemodenervation muscle(s);muscle(s) innervated by facial ne 64612  $              416.55  $              645.18
Chemodenervation of muscle(s) innervated by facial nerve 64612  $              416.55  $              645.18
Chemodenervation of muscle(s) facial, trigem, cerv, nerves,  64615  $              449.67  $              645.18
Chemodenerv musc neck musc excl musc of larynx, unilat, for  64616  $              393.00  $              645.18
Chemodenervation of muscle(s); neck muscle(s), excluding mus 64616  $              393.00  $              645.18
Chemodenervation of muscle(s); larynx, unilateral, percutane 64617  $              435.47  $         1,416.59
Destruction by neurolytic agent, intercostal nerve 64620  $              650.02  $         1,784.54
Destruction by neurolytic agent; pudendal nerve 64630  $              713.54  $         1,784.54
Destruct by neurolytic agt,paravertebral facet jnt nrvs w/im 64633  $              858.04  $         4,040.78
Destruct by neurolytic agt, paravertebral facet jt nrvs, w/i 64634  $              265.37  $         2,148.25
Destruct by neurolytic agent, paravertebral facet jnt nerve( 64635  $              846.06  $         4,503.11
Destruction by neurolytic agent; other peripheral nerve or b 64640  $              340.29  $         1,784.53
Chemodenervation of one extremity; 1-4 muscle(s) 64642  $              399.58  $         1,416.59
Chemodenervation of one extremity; 5 or more muscle(s) 64644  $              437.30  $         1,416.59
Chemodenervation of trunk muscle(s); 1-5 muscle(s) 64646  $              427.92  $         1,416.59
Chemodenervation of trunk muscle(s); 6 or more muscle(s) 64647  $              503.44  $         1,416.59
Destruction by neurolytic agent, with or without radiologic  64680  $              620.58  $         1,784.53
Neuroplasty and/or transposition; ulnar nerve at elbow 64718  $         2,005.40
Neuroplasty and/or transposition; median nerve at carpal tun 64721  $         1,516.21  $         5,131.44
Excision of neuroma; hand or foot, except digital nerve 64782  $         1,686.97
Excision of neurofibroma or neurolemmoma; cutaneous nerve 64788  $              400.45
Suture of digital nerve, hand or foot; 1 nerve 64831  $         2,354.97
Eye Irrigation 65205  $                           -    $              260.91
Removal of foreign body, external eye 65210  $              198.98  $              553.01
Corneal, without slit lamp 65220  $              159.25  $              260.91
Removal of foreign body, external eye; corneal, with slit la 65222  $              195.63  $              530.67
Removal of corenal epithelium;w or w/o chemocauterization (a 65435  $              254.05  $         2,369.58
Placement amniotic membrane ocular surface for wound healing 65778  $                           -  
Placement of amniotic membrane on the ocular surface; withou 65778  $                           -  
Cataract Surgery PostOp Care (Ecce w/IOL) 66984  $         2,328.72  $         4,755.98
LASIK POST OP 66999  $                           -    $         4,573.25
Refractive Surgery PostOp Care 66999  $                           -    $         4,573.25
Refractive Surgery PreOp Care 66999  $                           -    $         4,573.25
Blepharotomy, drainage of abscess, eyelid 67700  $              417.84  $         1,077.54
Canthotomy (separate procedure) 67715  $              386.36  $         4,691.68
Excision of chalazion; single 67800  $              378.50  $              764.73
Correction of trichiasis 67820  $              194.31  $              316.44
Correction of trichiasis, epilation, by forceps only 67820  $              194.31  $              316.44
Correction of trichiasis; epilation, by forceps only 67820  $              194.31  $              316.44
Excision of lesion of eyelid, except chalazion, w/o closure  67840  $              575.31  $         1,886.56
Removal of embedded foreign body, eyelid 67938  $              417.87  $         1,407.67
Exc+ repr eyelid,involv lid mrgn, tarsus, conj, canth,/full  67966  $         2,165.33
Incision of conjunctiva, drainage of cyst 68020  $              400.07  $              764.73
Closure of lacrimal punctum by plug, each 68761  $              426.86  $              736.87
Closure of Lower Left Lacrimal Punctum Plug, Each 68761  $              426.86  $              736.87
Closure of Lower Right Lacrimal Punctum by Plug, Each 68761  $              426.86  $              736.87
Closure of Upper Left Lacrimal Punctum by Plug,  Each 68761  $              426.86  $              736.87
Closure of Upper Right Lacrimal Punctum by Plug, Each 68761  $              426.86  $              736.87
E2 CLOSURE LAC PUNCTUM; BY PLUG 68761  $              426.86  $              736.87
E4 CLOSURE LAC PUNCTUM; BY PLUG 68761  $              426.86  $              736.87
Dilation of lacrimal punctum, with or without irrigation 68801  $              279.55  $         1,281.67
Probing of nasolacrimal duct, with or without irrigation 68810  $              458.98  $         1,585.40
Drainage external ear, abscess or hematoma; simple 69000  $              429.65  $              350.12
Drainage external ear, abscess or hematoma; complicated 69005  $              570.86  $         4,799.49
Biopsy external ear 69100  $              184.22  $         1,821.31
Biopsy external auditory canal 69105  $              231.09  $         4,372.13
Excision soft tissue lesion, external auditory canal 69145  $              882.92  $         4,187.73
Removal foreign body from external auditory canal; without g 69200  $              177.50  $              309.39
69205 - REMVL FB EXT AUDITORY CANAL; W ANESTH 69205  $              363.46  $         4,784.13
Removal impacted cerumen using irrigation/lavage unilateral 69209  $                 39.72  $              111.72
Removal impacted cerumen using irrigation/lavage unilateral- 69209  $                 39.72  $              111.72
69210--Cerumen management w/instrumentation (modify with 50  69210  $                           -    $              266.40
Removal impacted cerumen requiring instrumentation, unilater 69210  $              125.68  $              266.40
Debridement, mastoidectomy cavity, simple (eg, routine clean 69220  $              192.41  $              291.58
Myringotomy including aspiration and/or eustachian tube infl 69420  $              426.77  $              695.57
Myringotomy including aspiration and/or eustachian tube infl 69421  $              532.49
Ventilating tube removal requiring general anesthesia 69424  $              226.62  $         5,199.45
Tympanostomy (requiring insertion of ventilating tube); loca 69433  $              473.13  $         2,534.48
Tympanostomy (requiring insertion of ventilating tube), gene 69436  $              576.98  $         5,379.49
Excision aural polyp 69540  $              417.69
Tympanic membrane repair, with or without site preparation o 69610  $         1,077.26  $         6,139.01
Myringoplasty (surgery confined to drumhead and donor area) 69620  $         1,640.24
Tympanoplasty w/o mastoidectomy, initial/revision;w/o ossicu 69631  $         3,148.03
Microsurg techs, requiring use operating microscope 69990  $              796.49
XR Foreign Body Loc Eye Bilateral - Report 70030  $                 92.76
XR Foreign Body Loc Eye Left 70030  $                           -  
XR Mandible Partial Less Than 4 Views 70100  $                           -    $              477.05
XR Mandible Partial Less Than 4 Views - Report 70100  $              109.85
XR Mandible Complete Minimum 4 Views 70110  $                           -    $              249.86
XR Mandible Complete Minimum 4 Views - Report 70110  $              128.17
XR Mastoids Less Than 3 Views Left 70120  $                           -    $              431.24
XR Mastoids Less Than 3 Views Left - Report 70120  $              112.09
XR Mastoids Less Than 3 Views Right 70120  $                           -    $              431.24
XR Mastoids Less Than 3 Views Right - Report 70120  $              112.09
XR Mastoids Complete Left 70130  $                           -    $              557.49
XR Mastoids Complete Left - Report 70130  $              183.67
XR Mastoids Complete Right 70130  $                           -    $              557.49
XR Mastoids Complete Right - Report 70130  $              183.67
70140 Facial bones, less than 3 views 70140  $              100.21  $              231.09
XR Facial Bones Less Than 3 Views 70140  $                           -    $              231.09
XR Facial Bones Less Than 3 Views - In Clinic 70140  $              100.21  $              231.09
XR Facial Bones Less Than 3 Views - Report 70140  $              100.21
70150 Facial Bones, Min 3 Views 70150  $              139.70  $              285.05
XR Facial Bones Minimum 3 Views 70150  $                           -    $              285.05
XR Facial Bones Minimum 3 Views - In Clinic 70150  $              139.70  $              285.05
XR Facial Bones Minimum 3 Views - Report 70150  $              139.70
XR Nasal Bones Minimum 3 Views 70160  $                           -    $              483.82
XR Nasal Bones Minimum 3 Views - Report 70160  $              108.35
XR Optic Foramina Left 70190  $                           -    $              388.23
XR Optic Foramina Left - Report 70190  $              118.82
XR Optic Foramina Right 70190  $                           -    $              388.23
XR Optic Foramina Right - Report 70190  $              118.82
XR Orbits Minimum 4 Views 70200  $                           -    $              288.57
XR Orbits Minimum 4 Views - Report 70200  $              142.73
XR Sinuses Paranasal Less Than 3 Views 70210  $                           -    $              192.38
XR Sinuses Paranasal Less Than 3 Views - Report 70210  $                 99.44
XR Sinuses Paranasal Complete 70220  $                           -    $              716.84
XR Sinuses Paranasal Complete - Report 70220  $              127.08
XR Sella Turcica 70240  $                           -    $              335.16
XR Sella Turcica - Report 70240  $              101.32
XR Skull Less Than 4 Views 70250  $                           -    $              475.98
XR Skull Less Than 4 Views - In Clinic 70250  $              122.22  $              475.98
XR Skull Less Than 4 Views - Report 70250  $              122.22
XR Skull Complete Minimum 4 Views 70260  $                           -    $              327.28
XR Skull Complete Minimum 4 Views - Report 70260  $              155.79
XR TMJ Open and Closed Left 70328  $                           -    $              413.84
XR TMJ Open and Closed Left - Report 70328  $              102.06
XR TMJ Open and Closed Right 70328  $                           -    $              413.84
XR TMJ Open and Closed Right - Report 70328  $              102.06
XR TMJ Open and Closed Bilateral 70330  $                           -    $              346.05
XR TMJ Open and Closed Bilateral - Report 70330  $              160.12
MRI Temporomandibular Joint(s) 70336  $                           -    $         3,604.08
MRI Temporomandibular Joint(s) - Report 70336  $         1,065.62
XR Neck Soft Tissue 70360  $                           -    $              444.50
XR Neck Soft Tissue - Report 70360  $                 93.88
XR Pharynx or Larynx with Fluoroscopy 70370  $                           -    $              737.91
XR Pharynx or Larynx with Fluoroscopy - Report 70370  $              253.10
XR Pharyngeal and Speech Eval w Video 70371  $                           -    $         1,020.00
XR Pharyngeal and Speech Eval w Video - Report 70371  $              313.76
XR Salivary Gland Calculus Left - Report 70380  $              118.40
70450- CT Head or Brain w/o Contrast 70450  $              396.25  $         2,034.73
CT Head or Brain without Contrast 70450  $                           -    $         2,034.73
CT Head or Brain without Contrast - Report 70450  $              396.25
CT Head or Brain with Contrast 70460  $                           -    $         2,269.27
CT Head or Brain with Contrast - Report 70460  $              551.62
CT Head or Brain wo + with Contrast 70470  $                           -    $         2,985.16
CT Head or Brain wo + with Contrast - Report 70470  $              650.30
CT Mastoid or Temporal Bone wo Contrast 70480  $                           -    $         1,802.58
CT Mastoid or Temporal Bone wo Contrast - Report 70480  $              780.00
CT Orbits without Contrast 70480  $                           -    $         1,802.58
CT Orbits without Contrast - Report 70480  $              780.00
CT Mastoid or Temporal Bone w Contrast 70481  $                           -    $         1,972.11
CT Mastoid or Temporal Bone w Contrast - Report 70481  $              917.22
CT Orbits with Contrast 70481  $                           -    $         1,972.11
CT Orbits with Contrast - Report 70481  $              917.22
CT Mastoid or Temporal Bone wo + w Cont 70482  $                           -    $         3,354.68
CT Mastoid or Temporal Bone wo + w Cont - Report 70482  $              998.70
CT Orbits wo + with Contrast 70482  $                           -    $         3,354.68
CT Orbits wo + with Contrast - Report 70482  $              998.70
CT Maxillofacial without Contrast 70486  $                           -    $         1,978.97
CT Maxillofacial without Contrast - Report 70486  $              468.70
CT Sinus without Contrast 70486  $                           -    $         1,978.97
CT Sinus without Contrast - Report 70486  $              468.70
CT Maxillofacial with Contrast 70487  $                           -    $         2,202.45
CT Maxillofacial with Contrast - Report 70487  $              568.35
CT Sinus with Contrast 70487  $                           -    $         2,202.45
CT Sinus with Contrast - Report 70487  $              568.35
CT Maxillofacial wo + with Contrast 70488  $                           -    $         3,351.43
CT Maxillofacial wo + with Contrast - Report 70488  $              689.31
CT Sinus wo + with Contrast 70488  $                           -    $         3,351.43
CT Sinus wo + with Contrast - Report 70488  $              689.31
CT Soft Tissue Neck without Contrast 70490  $                           -    $         1,931.82
CT Soft Tissue Neck without Contrast - Report 70490  $              654.04
CT Soft Tissue Neck with Contrast 70491  $                           -    $         2,217.39
CT Soft Tissue Neck with Contrast - Report 70491  $              791.29
CT Soft Tissue Neck wo + with Contrast 70492  $                           -    $         3,852.79
CT Soft Tissue Neck wo + with Contrast - Report 70492  $              926.64
CTA Head with Contrast 70496  $                           -    $         3,701.18
CTA Head with Contrast - Report 70496  $              986.15
CTA Neck with Contrast 70498  $                           -    $         3,466.32
CTA Neck with Contrast - Report 70498  $              983.91
MRI Face Neck Orbit without Contrast 70540  $                           -    $         3,243.17
MRI Orbit Face Neck without Contrast - Report 70540  $              999.67
MRI Face Neck Orbit with Contrast 70542  $                           -    $         4,776.03
MRI Orbit Face Neck with Contrast - Report 70542  $         1,126.40
MRI Face Neck Orbit wo + with Contrast 70543  $                           -    $         4,090.06
MRI Orbit Face Neck wo + with Contrast - Report 70543  $         1,388.79
70544 - Charge Services Report 70544  $         1,276.96  $         2,592.15
MRA Head without Contrast 70544  $                           -    $         2,592.15
MRA Head without Contrast - Report 70544  $         1,276.96
MRA Head with Contrast 70545  $                           -    $         4,019.13
MRA Head with Contrast - Report 70545  $         1,264.70
MRA Head wo + with Contrast 70546  $                           -    $         3,294.14
MRA Head wo + with Contrast - Report 70546  $         1,947.78
MRA Neck without Contrast 70547  $                           -    $         3,580.63
MRA Neck without Contrast - Report 70547  $         1,282.52
MRA Neck with Contrast 70548  $                           -    $         2,979.81
MRA Neck with Contrast - Report 70548  $         1,342.71
MRA Neck wo + with Contrast 70549  $                           -    $         4,002.39
MRA Neck wo + with Contrast - Report 70549  $         1,958.93
70551 - Charge Services - Report 70551  $              780.68  $         3,262.04
MRI Brain without Contrast 70551  $                           -    $         3,262.04
MRI Brain without Contrast - Report 70551  $              780.68
MRI Brain with Contrast 70552  $                           -    $         4,598.00
MRI Brain with Contrast - Report 70552  $         1,072.04
MRI Brain wo + with Contrast 70553  $                           -    $         3,599.42
MRI Brain wo + with Contrast - Report 70553  $         1,271.24
MRI IAC wo + with Contrast 70553  $                           -    $         3,599.42
MRI IAC wo + with Contrast - Report 70553  $         1,271.24
MRI Pituitary wo + with Contrast 70553  $                           -    $         3,599.42
MRI Pituitary wo + with Contrast - Report 70553  $         1,271.24
71010 Radiologic examination, chest single view, frontal 71010  $                           -  
71010- For C.S. Rad Report Only 71045  $                 77.53  $              257.63
71045 Chest Single View 71045  $                           -  
XR Chest Decubitus Left 71045  $                           -    $              257.63
XR Chest Decubitus Left - Report 71045  $                 77.53
XR Chest Decubitus Right 71045  $                           -    $              257.63
XR Chest Decubitus Right - Report 71045  $                 77.53
XR Chest Frontal - Single View - In Clinic 71045  $                 77.53  $              257.63
XR Chest Frontal - Single View - Report 71045  $                 77.53
XR Chest Frontal- Single View 71045  $                           -    $              257.63
XR Chest Special - 1 View 71045  $                           -    $              257.63
XR Chest Special - 1 View - Report 71045  $                 77.53
71020 - For C.S. -RAD_Report Only 71046  $                 95.80  $              275.95
71046 Chest 2 Views 71046  $                           -  
XR Chest 2 Views 71046  $                           -    $              275.95
XR Chest 2 Views - In Clinic 71046  $                 95.80  $              275.95
XR Chest Decubitus Bilateral 71046  $                           -    $              275.95
XR Chest Decubitus Bilateral - Report 71046  $                 95.80
XR Chest Frontal and Lateral - 2 Views - Report 71046  $                 95.80
XR Chest Special - 2 Views 71046  $                           -    $              275.95
XR Chest Special - 2 Views - Report 71046  $                 95.80
71047 Chest, 3 Views 71047  $                           -  
XR Chest 2 Views with Apical Lordotic 71047  $                           -    $              294.44
XR Chest 2 Views with Apical Lordotic - In Clinic 71047  $              116.69  $              294.44
XR Chest 2 Views with Apical Lordotic - Report 71047  $              116.69
XR Chest Special - 3 Views 71047  $                           -    $              294.44
XR Chest Special - 3 Views - Report 71047  $              133.12
71048 Chest, 4 or More Views 71048  $                           -  
XR Chest 2 Views with Obliques 71048  $                           -    $              659.15
XR Chest 2 Views with Obliques - Report 71048  $              142.39
XR Chest Minimum 4 Views 71048  $                           -    $              659.15
XR Chest Minimum 4 Views - Report 71048  $              142.39
71100 Ribs, Unilateral 2 View 71100  $                           -  
XR Ribs 2 Views Left 71100  $                           -    $              392.00
XR Ribs 2 Views Left - In Clinic 71100  $              111.42  $              392.00
XR Ribs 2 Views Left - Report 71100  $              111.42
XR Ribs 2 Views Right 71100  $                           -    $              392.00
XR Ribs 2 Views Right - In Clinic 71100  $              111.42  $              392.00
XR Ribs 2 Views Right - Report 71100  $              111.42
71101 Ribs, Unilateral 3 View Incl Posteroanterior 71101  $                           -  
XR Ribs with PA Chest Left 71101  $                           -    $              544.58
XR Ribs with PA Chest Left - In Clinic 71101  $              124.10  $              544.58
XR Ribs with PA Chest Left - Report 71101  $              124.10
XR Ribs with PA Chest Right 71101  $                           -    $              544.58
XR Ribs with PA Chest Right - In Clinic 71101  $              124.10  $              544.58
XR Ribs with PA Chest Right - Report 71101  $              124.10
71110 Ribs, 3 View 71110  $                           -  
XR Ribs 3 Views Bilateral 71110  $                           -    $              700.49
XR Ribs 3 Views Bilateral - In Clinic 71110  $              127.84  $              700.49
XR Ribs 3 Views Bilateral - Report 71110  $              127.84
71111 Ribs, 4 Views Incl Posteroanterior 71111  $                           -  
XR Ribs with PA Chest Bilateral 71111  $                           -    $              485.76
XR Ribs with PA Chest Bilateral - In Clinic 71111  $              162.83  $              485.76
XR Ribs with PA Chest Bilateral - Report 71111  $              162.83
71120 Sternum, 2 View Minimum 71120  $                           -  
XR Sternum Minimum 2 Views 71120  $                           -    $              242.82
XR Sternum Minimum 2 Views - Report 71120  $                 99.49
71130 Sternoclavicular jt, 3 View Minimum 71130  $                           -  
XR Sternoclavicular Jnts Minimum 3 Views 71130  $                           -    $              269.81
XR Sternoclavicular Jnts Minimum 3 Views - Report 71130  $              120.32
CT Sternoclavicular Joints wo Contrast 71250  $                           -    $         1,824.94
CT Sternoclavicular Joints wo Contrast - Report 71250  $              605.34
CT Thorax without Contrast 71250  $                           -    $         1,824.94
CT Thorax without Contrast - Report 71250  $              605.34
CT Thorax with Contrast 71260  $                           -    $         2,275.99
CT Thorax with Contrast - Report 71260  $              767.30
CT Thorax wo + with Contrast 71270  $                           -    $         3,664.64
CT Thorax wo + with Contrast - Report 71270  $              915.02
CTA Chest w Contrast wo if performed 71275  $                           -    $         3,341.26
CTA Chest w Contrast wo if performed - Report 71275  $         1,011.16
MRI Chest without Contrast 71550  $                           -    $         3,898.08
MRI Chest without Contrast - Report 71550  $         1,359.11
MRI Chest with Contrast 71551  $                           -    $         3,897.92
MRI Chest with Contrast - Report 71551  $         1,514.81
MRI Chest wo + with Contrast 71552  $                           -    $         5,264.92
MRI Chest wo + with Contrast - Report 71552  $         1,904.99
MRA Chest with or without Contrast 71555  $                           -    $         2,383.05
MRA Chest with or without Contrast - Report 71555  $         1,318.83
72020 Spine, Single View 72020  $                 74.13  $              550.22
XR Spine Cervical 1 View 72020  $                           -    $              550.22
XR Spine Cervical 1 View - In Clinic 72020  $                 74.13  $              550.22
XR Spine Cervical 1 View - Report 72020  $                 74.13
XR Spine Cervical Cross-Table Lateral 72020  $                           -    $              550.22
XR Spine Cervical Cross-Table Lateral - Report 72020  $                 74.13
XR Spine Lumbosacral 1 View 72020  $                           -    $              550.22
XR Spine Lumbosacral 1 View - In Clinic 72020  $                 74.13  $              550.22
XR Spine Lumbosacral 1 View - Report 72020  $                 74.13
XR Spine Thoracic 1 View 72020  $                           -    $              550.22
XR Spine Thoracic 1 View - In Clinic 72020  $                 74.13  $              550.22
XR Spine Thoracic 1 View - Report 72020  $                 74.13
XR Spine Thoracolumbar 1 View - Report 72020  $                 74.13
72040 Spine, Cervical, 2-3 Views 72040  $              111.42  $              525.80
XR Spine Cervical 2 or 3 Views 72040  $                           -    $              525.80
XR Spine Cervical 2 or 3 Views - Report 72040  $              111.42
XR Spine Cervical 3 Views or Less - In Clinic 72040  $              111.42  $              525.80
72050 Spine, Cervical, 4-5 View 72050  $                           -  
XR Spine Cervical 4 or 5 Views 72050  $                           -    $              508.74
XR Spine Cervical 4 or 5 Views - Report 72050  $              153.54
72052 Spine, 6 or More Views 72052  $                           -  
XR Spine Cervical 6 or More Views 72052  $                           -    $              732.45
XR Spine Cervical 6 or More Views - Report 72052  $              188.92
72070 Spine, Thoracic 2 View 72070  $                           -  
XR Spine Thoracic 2 Views 72070  $                           -    $              456.15
XR Spine Thoracic 2 Views - In Clinic 72070  $              114.76  $              456.15
XR Spine Thoracic 2 Views - Report 72070  $              114.76
72072 Spine, Thoracic, 3 Views 72072  $                           -  
XR Spine Thoracic 3 Views 72072  $                           -    $              533.19
XR Spine Thoracic 3 Views - Report 72072  $              115.89
72074 Spine, Thoracic, 4 View 72074  $                           -  
XR Spine Thoracic Minimum 4 Views 72074  $                           -    $              685.96
XR Spine Thoracic Minimum 4 Views - Report 72074  $              130.36
72080 Thoraclumbar jct, Minimum 2 View 72080  $                           -  
XR Spine Thoracolumbar Minimum 2 Views 72080  $                           -    $              596.59
XR Spine Thoracolumbar Minimum 2 Views - Report 72080  $              103.62
XR Spine Scoliosis 1 View 72081  $                           -    $              473.48
XR Spine Scoliosis 1 View - Report 72081  $              131.52
XR Spine Scoliosis 2 or 3 Views 72082  $                           -    $              745.26
XR Spine Scoliosis 2 or 3 Views - Report 72082  $              207.02
72100 Spine, Lumbrosacral, 2-3 View 72100  $                           -  
XR Spine Lumbosacral 2 or 3 Views 72100  $                           -    $              482.95
XR Spine Lumbosacral 2 or 3 Views - In Clinic 72100  $              118.08  $              482.95
XR Spine Lumbosacral 2 or 3 Views - Report 72100  $              118.08
72110 Spine, Lumbrosacral, Minimum 4 View 72110  $                           -  
XR Spine Lumbosacral Minimum 4 Views 72110  $                           -    $              532.07
XR Spine Lumbosacral Minimum 4 Views - Report 72110  $              164.67
72114 Spine, Lumbrosacral Min 4 View, Incl Bending 72114  $                           -  
XR Spine Lumbosacral w Bending Min 6 V 72114  $                           -    $              856.25
XR Spine Lumbosacral w Bending Min 6 Vws - Report 72114  $              206.29
72120 Spine, Lumbrosacral, Bending Only 2-3 View 72120  $                           -  
XR Spine Lumbosacral Bending 2 or 3 Vw 72120  $                           -    $              637.42
XR Spine Lumbosacral Bending 2 or 3 Vws - Report 72120  $              134.82
CT Spine Cervical without Contrast 72125  $                           -    $         2,229.96
CT Spine Cervical without Contrast - Report 72125  $              620.63
CT Spine Cervical with Contrast 72126  $                           -    $         3,548.22
CT Spine Cervical with Contrast - Report 72126  $              763.16
CT Spine Cervical wo + with Contrast 72127  $                           -    $         4,074.09
CT Spine Cervical wo + with Contrast - Report 72127  $              895.52
CT Spine Thoracic without Contrast 72128  $                           -    $         1,880.97
CT Spine Thoracic without Contrast - Report 72128  $              604.55
CT Spine Thoracic with Contrast 72129  $                           -    $         3,503.54
CT Spine Thoracic with Contrast - Report 72129  $              766.51
CT Spine Thoracic wo + with Contrast 72130  $                           -    $         3,909.09
CT Spine Thoracic wo + with Contrast - Report 72130  $              898.87
CT Spine Lumbar with Contrast 72131  $                           -    $         1,569.30
CT Spine Lumbar without Contrast 72131  $                           -    $         1,569.30
CT Spine Lumbar without Contrast - Report 72131  $              602.31
CT Spine Lumbar with Contrast - Report 72132  $              762.04
CT Spine Lumbar wo + with Contrast 72133  $                           -    $         4,027.51
CT Spine Lumbar wo + with Contrast - Report 72133  $              894.41
72141TC MRI Spine Cervical without Contrast 72141  $              760.20  $         2,779.78
MRI Spine Cervical without Contrast 72141  $                           -    $         2,779.78
MRI Spine Cervical without Contrast - Report 72141  $              760.20
MRI Spine Cervical with Contrast 72142  $                           -    $         4,445.29
MRI Spine Cervical with Contrast - Report 72142  $         1,087.63
MRI Spine Thoracic without Contrast 72146  $                           -    $         2,728.13
MRI Spine Thoracic without Contrast - Report 72146  $              761.31
MRI Spine Thoracic with Contrast 72147  $                           -    $         4,386.12
MRI Spine Thoracic with Contrast - Report 72147  $         1,080.94
MRI Spine Lumbar without Contrast 72148  $                           -    $         2,725.79
MRI Spine Lumbar without Contrast - Report 72148  $              758.00
MRI Spine Lumbar with Contrast 72149  $                           -    $         3,993.10
MRI Spine Lumbar with Contrast - Report 72149  $         1,076.08
MRI Spine Cervical wo + with Contrast 72156  $                           -    $         3,765.37
MRI Spine Cervical wo + with Contrast - Report 72156  $         1,279.03
MRI Spine Thoracic wo + with Contrast 72157  $                           -    $         3,533.04
MRI Spine Thoracic wo + with Contrast - Report 72157  $         1,281.26
MRI Spine Lumbar wo + with Contrast 72158  $                           -    $         3,472.81
MRI Spine Lumbar wo + with Contrast - Report 72158  $         1,274.55
MRA Spinal Canal + Contents w or wo Cont 72159  $                           -  
MRA Spinal Canal + Contents w or wo Cont 72159  $                           -    $              766.74
MRA Spinal Canal + Contents w or wo Cont - Report 72159  $         1,374.88
72170 Pelvis, 1 or 2 Views 72170  $                           -  
XR Pelvis 1 or 2 Views 72170  $                           -    $              401.54
XR Pelvis 1 View - In Clinic 72170  $              106.13  $              401.54
XR Pelvis 1 View - Report 72170  $              106.13
XR Pelvis 2 Views 72170  $                           -    $              401.54
XR Pelvis 2 Views - Report 72170  $              106.13
XR Pelvis Complete Minimum 3 Views 72190  $                           -    $              624.97
XR Pelvis Complete Minimum 3 Views - Report 72190  $              126.63
CTA Pelvis with Contrast wo if performed 72191  $                           -    $         3,761.61
CTA Pelvis with Contrast wo if performed - Report 72191  $         1,028.21
CT Pelvis without Contrast 72192  $                           -    $         1,700.93
CT Pelvis without Contrast - Report 72192  $              499.93
CT Pelvis with Contrast 72193  $                           -    $         2,143.40
CT Pelvis with Contrast - Report 72193  $              753.03
CT Pelvis wo + with Contrast 72194  $                           -    $         3,820.82
CT Pelvis wo + with Contrast - Report 72194  $              862.36
MRI Pelvis without Contrast 72195  $                           -    $         2,680.40
MRI Pelvis without Contrast - Report 72195  $         1,233.16
MRI Pelvis with Contrast 72196  $                           -    $         4,373.84
MRI Pelvis with Contrast - Report 72196  $         1,354.32
MRI Pelvis wo + with Contrast 72197  $                           -    $         3,131.36
MRI Pelvis wo + with Contrast - Report 72197  $         1,672.45
MRA Pelvis with or without Contrast 72198  $                           -    $              731.48
MRA Pelvis with or without Contrast - Report 72198  $         1,328.05
XR Sacroiliac Joints 1 or 2 Views 72200  $                           -    $              345.21
XR Sacroiliac Joints 1 or 2 Views - Report 72200  $                 94.99
XR Sacroiliac Joints Minimum 3 Views 72202  $                           -    $              365.95
XR Sacroiliac Joints Minimum 3 Views - Report 72202  $              110.25
XR Sacrum Coccyx Minimum 2 Views 72220  $                           -    $              459.87
XR Sacrum Coccyx Minimum 2 Views - In Clinic 72220  $                 93.88  $              459.87
XR Sacrum Coccyx Minimum 2 Views - Report 72220  $                 93.88
73000 Cervical, Complete 73000  $                           -  
XR Clavicle Left 73000  $                           -    $              356.22
XR Clavicle Left - In Clinic 73000  $                 92.37  $              356.22
XR Clavicle Left - Report 73000  $                 92.37
XR Clavicle Right 73000  $                           -    $              356.22
XR Clavicle Right - In Clinic 73000  $                 92.37  $              356.22
XR Clavicle Right - Report 73000  $                 92.37
73010 Scapula, Complete 73010  $                           -  
XR Scapula Left 73010  $                           -    $              392.64
XR Scapula Left - In Clnic 73010  $              100.55  $              392.64
XR Scapula Left - Report 73010  $              100.55
XR Scapula Right 73010  $                           -    $              392.64
XR Scapula Right - In Clinic 73010  $              100.55  $              392.64
XR Scapula Right - Report 73010  $              100.55
73020 Shoulder, 1 View 73020  $                           -  
XR Shoulder 1 View Left 73020  $                           -    $              341.29
XR Shoulder 1 View Left - In Clinic 73020  $                 77.48  $              341.29
XR Shoulder 1 View Left - Report 73020  $                 77.48
XR Shoulder 1 View Right 73020  $                           -    $              341.29
XR Shoulder 1 View Right - In Clinic 73020  $                 77.48  $              341.29
XR Shoulder 1 View Right - Report 73020  $                 77.48
73030 Shoulder, Complete, Mimimum 2 View 73030  $                           -  
XR Shoulder Minimum 2 Views Left 73030  $                           -    $              428.70
XR Shoulder Minimum 2 Views Left - In Clinic 73030  $                 97.59  $              428.70
XR Shoulder Minimum 2 Views Left - Report 73030  $                 97.59
XR Shoulder Minimum 2 Views Right 73030  $                           -    $              428.70
XR Shoulder Minimum 2 Views Right - In Clinic 73030  $                 97.59  $              428.70
XR Shoulder Minimum 2 Views Right - Report 73030  $                 97.59
XR Arthrogram Shoulder Left 73040  $                           -    $              922.12
XR Arthrogram Shoulder Left - Report 73040  $              333.71
XR Arthrogram Shoulder Right 73040  $                           -    $              922.12
XR Arthrogram Shoulder Right - Report 73040  $              333.71
73050 Acromioclavicular Joint, Bilat w/wo weight 73050  $                           -  
XR AC Joints Bilateral w + wo weights 73050  $                           -    $              288.57
XR AC Joints Bilateral w or wo weights - In Clinic 73050  $              118.42  $              288.57
XR AC Joints Bilateral w or wo weights - Report 73050  $              118.42
73060 Humerous, Minimum 2 View 73060  $                           -  
XR Humerus Minimum 2 Views Left 73060  $                           -    $              391.06
XR Humerus Minimum 2 Views Left - In Clnic 73060  $                 96.81  $              391.06
XR Humerus Minimum 2 Views Left - Report 73060  $                 96.81
XR Humerus Minimum 2 Views Right 73060  $                           -    $              391.06
XR Humerus Minimum 2 Views Right - In Clinic 73060  $                 96.81  $              391.06
XR Humerus Minimum 2 Views Right - Report 73060  $                 96.81
73070 Elbow, 2 Views 73070  $                           -  
XR Elbow 2 Views Left 73070  $                           -    $              431.51
XR Elbow 2 Views Left - In Clinic 73070  $                 90.87  $              431.51
XR Elbow 2 Views Left - Report 73070  $                 90.87
XR Elbow 2 Views Right 73070  $                           -    $              431.51
XR Elbow 2 Views Right - In Clinic 73070  $                 90.87  $              431.51
XR Elbow 2 Views Right - Report 73070  $                 90.87
73080 Elbow, Complete, Min 3 Views 73080  $                           -  
XR Elbow Complete Left 73080  $                           -    $              456.99
XR Elbow Complete Left - In Clinic 73080  $              103.90  $              456.99
XR Elbow Complete Left - Report 73080  $              103.90
XR Elbow Complete Right 73080  $                           -    $              456.99
XR Elbow Complete Right - In Clinic 73080  $              103.90  $              456.99
XR Elbow Complete Right - Report 73080  $              103.90
XR Arthrogram Elbow Left 73085  $                           -    $         1,131.72
XR Arthrogram Elbow Left - Report 73085  $              319.95
XR Arthrogram Elbow Right 73085  $                           -    $         1,131.72
XR Arthrogram Elbow Right - Report 73085  $              319.95
73090 Forearm, 2 View 73090  $                           -  
XR Forearm 2 Views Left 73090  $                           -    $              459.24
XR Forearm 2 Views Left - In Clinic 73090  $                 86.78  $              459.24
XR Forearm 2 Views Left - Report 73090  $                 86.78
XR Forearm 2 Views Right 73090  $                           -    $              459.24
XR Forearm 2 Views Right - In Clinic 73090  $                 86.78  $              459.24
XR Forearm 2 Views Right - Report 73090  $                 86.78
73092 Upper Ext, Infant, Minimum 2 View 73092  $                           -  
XR Upper Ext Infant Min 2 Views Left 73092  $                           -    $              337.47
XR Upper Ext Infant Min 2 Views Left - Report 73092  $                 92.37
XR Upper Ext Infant Min 2 Views Right 73092  $                           -    $              337.47
XR Upper Ext Infant Min 2 Views Right - Report 73092  $                 92.37
73100 Wrist, 2 Views 73100  $                           -  
XR Wrist 2 Views Left 73100  $                           -    $              329.30
XR Wrist 2 Views Left - In Clinic 73100  $                 96.81  $              329.30
XR Wrist 2 Views Left - Report 73100  $                 96.81
XR Wrist 2 Views Right 73100  $                           -    $              329.30
XR Wrist 2 Views Right - In Clinic 73100  $                 96.81  $              329.30
XR Wrist 2 Views Right - Report 73100  $                 96.81
73110 Wrist, Complete, Min 3 Views 73110  $                           -  
XR Wrist Complete Left 73110  $                           -    $              407.78
XR Wrist Complete Left - In Clinic 73110  $              117.28  $              407.78
XR Wrist Complete Left - Report 73110  $              117.28
XR Wrist Complete Right 73110  $                           -    $              407.78
XR Wrist Complete Right - In Clinic 73110  $              117.28  $              407.78
XR Wrist Complete Right - Report 73110  $              117.28
XR Wrist Complete with Navicular Left 73110  $                           -    $              407.78
XR Wrist Complete with Navicular Left - Report 73110  $              117.28
XR Wrist Complete with Navicular Right 73110  $                           -    $              407.78
XR Wrist Complete with Navicular Right - Report 73110  $              117.28
XR Arthrogram Wrist Left 73115  $                           -    $         1,194.29
XR Arthrogram Wrist Left - Report 73115  $              353.37
XR Arthrogram Wrist Right 73115  $                           -    $         1,194.29
XR Arthrogram Wrist Right - Report 73115  $              353.37
73120 Hand, 2 Views 73120  $                           -  
XR Hand 2 Views Left 73120  $                           -    $              396.72
XR Hand 2 Views Left - In Clinic 73120  $                 87.91  $              396.72
XR Hand 2 Views Left - Report 73120  $                 87.91
XR Hand 2 Views Right 73120  $                           -    $              396.72
XR Hand 2 Views Right - In Clinic 73120  $                 87.91  $              396.72
XR Hand 2 Views Right - Report 73120  $                 87.91
73130 Hand, Min 3 Views 73130  $              102.78  $              405.05
XR Hand Complete Left 73130  $                           -    $              405.05
XR Hand Complete Left - In Clinic 73130  $              102.78  $              405.05
XR Hand Complete Left - Report 73130  $              102.78
XR Hand Complete Right 73130  $                           -    $              405.05
XR Hand Complete Right - In Clinic 73130  $              102.78  $              405.05
XR Hand Complete Right - Report 73130  $              102.78
XR Thumb 3 Views Right - In Clinic 73130  $              102.78  $              405.05
73140 Fingers, Minimum 2 Views 73140  $                           -  
XR Finger(s) 2 Views Left - In Clinic 73140  $              103.46  $              296.68
XR Finger(s) 2 Views Left - Report 73140  $              103.46  $              296.68
XR Finger(s) 2 Views Right - In Clinic 73140  $              103.46  $              296.68
XR Finger(s) 2 Views Right - Report 73140  $              103.46  $              296.68
XR Finger(s) Complete Left 73140  $                           -    $              296.68
XR Finger(s) Complete Left - In Clinic 73140  $              103.46  $              296.68
XR Finger(s) Complete Left - Report 73140  $              103.46  $              296.68
XR Finger(s) Complete Right 73140  $                           -    $              296.68
XR Finger(s) Complete Right - In Clinic 73140  $              103.46  $              296.68
XR Finger(s) Complete Right - Report 73140  $              103.46  $              296.68
XR Finger(s) Minimum 2 Views Left 73140  $                           -    $              296.68
XR Finger(s) Minimum 2 Views Right 73140  $                           -    $              296.68
XR Thumb 2 Views Left 73140  $                           -    $              296.68
XR Thumb 2 Views Left - In Clinic 73140  $              103.46  $              296.68
XR Thumb 2 Views Left - Report 73140  $              103.46  $              296.68
XR Thumb 2 Views Right 73140  $                           -    $              296.68
XR Thumb 2 Views Right - Report 73140  $              103.46  $              296.68
XR Thumb 2 Views Right- In Clinic 73140  $              103.46  $              296.68
XR Thumb 3 Views Left 73140  $                           -    $              296.68
XR Thumb 3 Views Left - In Clinic 73140  $              103.46  $              296.68
XR Thumb 3 Views Left - Report 73140  $              102.78
XR Thumb 3 Views Right 73140  $                           -    $              296.68
XR Thumb 3 Views Right - Report 73140  $              102.78
CT Elbow without Contrast Left 73200  $                           -    $         2,194.92
CT Elbow without Contrast Left - Report 73200  $              601.20
CT Elbow without Contrast Right 73200  $                           -    $         2,194.92
CT Elbow without Contrast Right - Report 73200  $              601.20
CT Forearm without Contrast Left 73200  $                           -    $         2,194.92
CT Forearm without Contrast Left - Report 73200  $              601.20
CT Forearm without Contrast Right 73200  $                           -    $         2,194.92
CT Forearm without Contrast Right - Report 73200  $              601.20
CT Hand without Contrast Left 73200  $                           -    $         2,194.92
CT Hand without Contrast Left - Report 73200  $              601.20
CT Hand without Contrast Right 73200  $                           -    $         2,194.92
CT Hand without Contrast Right - Report 73200  $              601.20
CT Humerus without Contrast Left 73200  $                           -    $         2,194.92
CT Humerus without Contrast Left - Report 73200  $              601.20
CT Humerus without Contrast Right 73200  $                           -    $         2,194.92
CT Humerus without Contrast Right - Report 73200  $              601.20
CT Shoulder without Contrast Left 73200  $                           -    $         2,194.92
CT Shoulder without Contrast Left - Report 73200  $              601.20
CT Shoulder without Contrast Right 73200  $                           -    $         2,194.92
CT Shoulder without Contrast Right - Report 73200  $              601.20
CT Wrist without Contrast Left 73200  $                           -    $         2,194.92
CT Wrist without Contrast Left - Report 73200  $              601.20
CT Wrist without Contrast Right 73200  $                           -    $         2,194.92
CT Wrist without Contrast Right - Report 73200  $              601.20
CT Elbow with Contrast Left 73201  $                           -    $         2,794.23
CT Elbow with Contrast Left - Report 73201  $              741.88
CT Elbow with Contrast Right 73201  $                           -    $         2,794.23
CT Elbow with Contrast Right - Report 73201  $              741.88
CT Forearm with Contrast Left 73201  $                           -    $         2,794.23
CT Forearm with Contrast Left - Report 73201  $              741.88
CT Forearm with Contrast Right 73201  $                           -    $         2,794.23
CT Forearm with Contrast Right - Report 73201  $              741.88
CT Hand with Contrast Left 73201  $                           -    $         2,794.23
CT Hand with Contrast Left - Report 73201  $              741.88
CT Hand with Contrast Right 73201  $                           -    $         2,794.23
CT Hand with Contrast Right - Report 73201  $              741.88
CT Humerus with Contrast Left 73201  $                           -    $         2,794.23
CT Humerus with Contrast Left - Report 73201  $              741.88
CT Humerus with Contrast Right 73201  $                           -    $         2,794.23
CT Humerus with Contrast Right - Report 73201  $              741.88
CT Shoulder with Contrast Left 73201  $                           -    $         2,794.23
CT Shoulder with Contrast Left - Report 73201  $              741.88
CT Shoulder with Contrast Right 73201  $                           -    $         2,794.23
CT Shoulder with Contrast Right - Report 73201  $              741.88
CT Wrist with Contrast Left 73201  $                           -    $         2,794.23
CT Wrist with Contrast Left - Report 73201  $              741.88
CT Wrist with Contrast Right 73201  $                           -    $         2,794.23
CT Wrist with Contrast Right - Report 73201  $              741.88
CT Elbow wo + with Contrast Left - Report 73202  $              915.88
CT Elbow wo + with Contrast Right - Report 73202  $              915.88
CT Forearm wo + with Contrast Left 73202  $                           -    $         3,364.34
CT Forearm wo + with Contrast Left - Report 73202  $              915.88
CT Forearm wo + with Contrast Right 73202  $                           -    $         3,364.34
CT Forearm wo + with Contrast Right - Report 73202  $              915.88
CT Hand wo + with Contrast Left 73202  $                           -    $         3,364.34
CT Hand wo + with Contrast Left - Report 73202  $              915.88
CT Hand wo + with Contrast Right 73202  $                           -    $         3,364.34
CT Hand wo + with Contrast Right - Report 73202  $              915.88
CT Humerus wo + with Contrast Left 73202  $                           -    $         3,364.34
CT Humerus wo + with Contrast Left - Report 73202  $              915.88
CT Humerus wo + with Contrast Right 73202  $                           -    $         3,364.34
CT Humerus wo + with Contrast Right - Report 73202  $              915.88
CT Shoulder wo + with Contrast Left 73202  $                           -    $         3,364.34
CT Shoulder wo + with Contrast Left - Report 73202  $              915.88
CT Shoulder wo + with Contrast Right 73202  $                           -    $         3,364.34
CT Shoulder wo + with Contrast Right - Report 73202  $              915.88
CT Wrist wo + with Contrast Left 73202  $                           -    $         3,364.34
CT Wrist wo + with Contrast Left - Report 73202  $              915.88
CT Wrist wo + with Contrast Right 73202  $                           -    $         3,364.34
CT Wrist wo + with Contrast Right - Report 73202  $              915.88
CTA Upper Extremity Left 73206  $                           -    $         3,642.36
CTA Upper Extremity Left - Report 73206  $         1,098.82
CTA Upper Extremity Right 73206  $                           -    $         3,642.36
CTA Upper Extremity Right - Report 73206  $         1,098.82
MRI Forearm without Contrast Left 73218  $                           -    $         2,135.84
MRI Forearm without Contrast Left - Report 73218  $         1,197.67
MRI Forearm without Contrast Right 73218  $                           -    $         2,135.84
MRI Forearm without Contrast Right - Report 73218  $         1,197.67
MRI Hand without Contrast Left 73218  $                           -    $         2,135.84
MRI Hand without Contrast Left - Report 73218  $         1,197.67
MRI Hand without Contrast Right 73218  $                           -    $         2,135.84
MRI Hand without Contrast Right - Report 73218  $         1,197.67
MRI Humerus without Contrast Left 73218  $                           -    $         2,135.84
MRI Humerus without Contrast Left - Report 73218  $         1,197.67
MRI Humerus without Contrast Right 73218  $                           -    $         2,135.84
MRI Humerus without Contrast Right - Report 73218  $         1,197.67
MRI Forearm with Contrast Left 73219  $                           -    $         2,679.26
MRI Forearm with Contrast Left - Report 73219  $         1,322.58
MRI Forearm with Contrast Right 73219  $                           -    $         2,679.26
MRI Forearm with Contrast Right - Report 73219  $         1,322.58
MRI Hand with Contrast Left 73219  $                           -    $         2,679.26
MRI Hand with Contrast Left - Report 73219  $         1,322.58
MRI Hand with Contrast Right 73219  $                           -    $         2,679.26
MRI Hand with Contrast Right - Report 73219  $         1,322.58
MRI Humerus with Contrast Left 73219  $                           -    $         2,679.26
MRI Humerus with Contrast Left - Report 73219  $         1,322.58
MRI Humerus with Contrast Right 73219  $                           -    $         2,679.26
MRI Humerus with Contrast Right - Report 73219  $         1,322.58
MRI Forearm wo + with Contrast Left 73220  $                           -    $         3,496.33
MRI Forearm wo + with Contrast Left - Report 73220  $         1,650.72
MRI Forearm wo + with Contrast Right 73220  $                           -    $         3,496.33
MRI Forearm wo + with Contrast Right - Report 73220  $         1,650.72
MRI Hand wo + with Contrast Left 73220  $                           -    $         3,496.33
MRI Hand wo + with Contrast Left - Report 73220  $         1,650.72
MRI Hand wo + with Contrast Right 73220  $                           -    $         3,496.33
MRI Hand wo + with Contrast Right - Report 73220  $         1,650.72
MRI Humerus wo + with Contrast Left 73220  $                           -    $         3,496.33
MRI Humerus wo + with Contrast Left - Report 73220  $         1,650.72
MRI Humerus wo + with Contrast Right 73220  $                           -    $         3,496.33
MRI Humerus wo + with Contrast Right - Report 73220  $         1,650.72
MRI Elbow without Contrast Left 73221  $                           -    $         2,406.89
MRI Elbow without Contrast Left - Report 73221  $              795.28
MRI Elbow without Contrast Right 73221  $                           -    $         2,406.89
MRI Elbow without Contrast Right - Report 73221  $              795.28
MRI Shoulder without Contrast Left 73221  $                           -    $         2,406.89
MRI Shoulder without Contrast Left - Report 73221  $              795.28
MRI Shoulder without Contrast Right 73221  $                           -    $         2,406.89
MRI Shoulder without Contrast Right - Report 73221  $              795.28
MRI Wrist without Contrast Left 73221  $                           -    $         2,406.89
MRI Wrist without Contrast Left - Report 73221  $              795.28
MRI Wrist without Contrast Right 73221  $                           -    $         2,406.89
MRI Wrist without Contrast Right - Report 73221  $              795.28
MRI Elbow with Contrast Left 73222  $                           -    $         2,869.41
MRI Elbow with Contrast Left - Report 73222  $         1,247.89
MRI Elbow with Contrast Right 73222  $                           -    $         2,869.41
MRI Elbow with Contrast Right - Report 73222  $         1,247.89
MRI Shoulder with Contrast Left 73222  $                           -    $         2,869.41
MRI Shoulder with Contrast Left - Report 73222  $         1,247.89
MRI Shoulder with Contrast Right 73222  $                           -    $         2,869.41
MRI Shoulder with Contrast Right - Report 73222  $         1,247.89
MRI Wrist with Contrast Left 73222  $                           -    $         2,869.41
MRI Wrist with Contrast Left - Report 73222  $         1,247.89
MRI Wrist with Contrast Right 73222  $                           -    $         2,869.41
MRI Wrist with Contrast Right - Report 73222  $         1,247.89
MRI Elbow wo + with Contrast Left 73223  $                           -    $         3,776.31
MRI Elbow wo + with Contrast Left - Report 73223  $         1,557.10
MRI Elbow wo + with Contrast Right 73223  $                           -    $         3,776.31
MRI Elbow wo + with Contrast Right - Report 73223  $         1,557.10
MRI Shoulder wo + with Contrast Left 73223  $                           -    $         3,776.31
MRI Shoulder wo + with Contrast Left - Report 73223  $         1,557.10
MRI Shoulder wo + with Contrast Right 73223  $                           -    $         3,776.31
MRI Shoulder wo + with Contrast Right - Report 73223  $         1,557.10
MRI Wrist with + without Contrast Left 73223  $                           -    $         3,776.31
MRI Wrist with + without Contrast Left - Report 73223  $         1,557.10
MRI Wrist with + without Contrast Right 73223  $                           -    $         3,776.31
MRI Wrist with + without Contrast Right - Report 73223  $         1,557.10
MRA Upper Extremity w or wo Cont Left 73225  $                           -    $              750.79
MRA Upper Extremity w or wo Cont Left - Report 73225  $         1,348.74
MRA Upper Extremity w or wo Cont Right 73225  $                           -    $              750.79
MRA Upper Extremity w or wo Cont Right - Report 73225  $         1,348.74
73501 Hip, Unilateral w/Pelvis 1 View 73501  $                           -  
XR Hip 1 View Left 73501  $                           -    $              386.97
XR Hip 1 View Right 73501  $                           -    $              386.97
XR Hip 1 View with Pelvis Left 73501  $                           -    $              386.97
XR Hip 1 View with Pelvis Left - In Clinic 73501  $                 99.82  $              386.97
XR Hip 1 View with Pelvis Left - Report 73501  $                 99.82
XR Hip 1 View with Pelvis Right 73501  $                           -    $              386.97
XR Hip 1 View with Pelvis Right - In Clinic 73501  $                 99.82  $              386.97
XR Hip 1 View with Pelvis Right - Report 73501  $                 99.82
XR Hip 1 Vw Left 73501  $                           -    $              386.97
XR Hip 1 Vw Left - In Clinic 73501  $                 99.82  $              386.97
XR Hip 1 Vw Left - Report 73501  $                 99.82
XR Hip 1 Vw Right 73501  $                           -    $              386.97
XR Hip 1 Vw Right - In Clinic 73501  $                 99.82  $              386.97
XR Hip 1 Vw Right - Report 73501  $                 99.82
73502 Hip, Unilateral w/Pelvis 2-3 Views 73502  $                           -  
XR Hip 2-3 Views Left 73502  $                           -    $              458.48
XR Hip 2-3 Views Left - In Clinic 73502  $              138.18  $              458.48
XR Hip 2-3 Views Left - Report 73502  $              138.18
XR Hip 2-3 Views Right 73502  $                           -    $              458.48
XR Hip 2-3 Views Right - In Clinic 73502  $              138.18  $              458.48
XR Hip 2-3 Views Right - Report 73502  $              138.18
XR Hip 2-3 Views with Pelvis Left 73502  $                           -    $              458.48
XR Hip 2-3 Views with Pelvis Left - In Clinic 73502  $              138.18  $              458.48
XR Hip 2-3 Views with Pelvis Left - Report 73502  $              138.18
XR Hip 2-3 Views with Pelvis Right 73502  $                           -    $              458.48
XR Hip 2-3 Views with Pelvis Right - In Clinic 73502  $              138.18  $              458.48
XR Hip 2-3 Views with Pelvis Right - Report 73502  $              138.18
73503 - Hip, Unilateral w/Pelvis, Min 4 Views 73503  $                           -  
XR Hip Minimum 4 Views Left 73503  $                           -    $              619.28
XR Hip Minimum 4 Views Left - Report 73503  $              172.02
XR Hip Minimum 4 Views Right 73503  $                           -    $              619.28
XR Hip Minimum 4 Views Right - Report 73503  $              172.02
XR Hip Minimum 4 Views with Pelvis Left 73503  $                           -    $              619.28
XR Hip Minimum 4 Views with Pelvis Left - Report 73503  $              172.02
XR Hip Minimum 4 Views with Pelvis Right 73503  $                           -    $              619.28
XR Hip Minimum 4 Views with Pelvis Right - Report 73503  $              172.02
73521 Hip, Bilateral w/Pelvis 1 View 73521  $              132.59  $              516.98
XR Hips Bilateral 2 Views 73521  $                           -    $              516.98
XR Hips Bilateral 2 Views - Report 73521  $              132.59
XR Hips Bilateral 2 Views with Pelvis 73521  $                           -    $              516.98
XR Hips Bilateral 2 Views with Pelvis - Report 73521  $              132.59
73522 Hip, Bilateral w/Pelvis 3-4 View 73522  $                           -  
XR Hips Bilateral 3-4 Views 73522  $                           -    $              317.65
XR Hips Bilateral 3-4 Views - Report 73522  $              163.89
XR Hips Bilateral 3-4 Views with Pelvis 73522  $                           -    $              317.65
XR Hips Bilateral 3-4 Views with Pelvis - Report 73522  $              163.89
73523 Hip, Bilateral, w/Pelvis Min 5 Views 73523  $              189.20  $              742.27
XR Hips Bilateral Min 5 Views - Report 73523  $              189.20
XR Hips Bilateral Min 5 Views with Pelvi 73523  $                           -    $              742.27
XR Hips Bilateral Min 5 Views with Pelvis - Report 73523  $              189.20
XR Arthrogram Hip Left 73525  $                           -    $              555.40
XR Arthrogram Hip Left - Report 73525  $              338.88
XR Arthrogram Hip Right 73525  $                           -    $              555.40
XR Arthrogram Hip Right - Report 73525  $              338.88
73551 Femur, 1 View 73551  $                           -  
XR Femur 1 View Left 73551  $                           -    $              565.52
XR Femur 1 View Left - Report 73551  $                 93.49
XR Femur 1 View Right 73551  $                           -    $              565.52
XR Femur 1 View Right - Report 73551  $                 93.49
73552 Femur, Min 2 Views 73552  $                           -  
XR Femur 2 Views Left 73552  $                           -    $              534.11
XR Femur 2 Views Right 73552  $                           -    $              534.11
XR Femur minimum 2 Views Left 73552  $                           -    $              534.11
XR Femur Minimum 2 Views Left - In Clinic 73552  $              108.74  $              534.11
XR Femur minimum 2 Views Left - Report 73552  $              108.74
XR Femur minimum 2 Views Right 73552  $                           -    $              534.11
XR Femur Minimum 2 Views Right - In Clinic 73552  $              108.74  $              534.11
XR Femur minimum 2 Views Right - Report 73552  $              108.74
73560 Knee, 1-2 Views 73560  $                           -  
XR Knee 1 or 2 Views Left 73560  $                           -    $              400.56
XR Knee 1 or 2 Views Right 73560  $                           -    $              400.56
XR Knee 1 View Left - In Clinic 73560  $              102.40  $              400.56
XR Knee 1 View Left - Report 73560  $              102.40
XR Knee 1 View Right - In Clinic 73560  $              102.40  $              400.56
XR Knee 1 View Right - Report 73560  $              102.40
XR Knee 2 Views Left 73560  $                           -    $              400.56
XR Knee 2 Views Left - In Clinic 73560  $              102.40  $              400.56
XR Knee 2 Views Left - Report 73560  $              102.40
XR Knee 2 Views Right 73560  $                           -    $              400.56
XR Knee 2 Views Right - In Clinic 73560  $              102.40  $              400.56
XR Knee 2 Views Right - Report 73560  $              102.40
XR Knee Standing AP + Reg Lateral Left 73560  $                           -    $              400.56
XR Knee Standing AP + Reg Lateral Left - Report 73560  $              102.40
XR Knee Standing AP + Reg Lateral Right 73560  $                           -    $              400.56
XR Knee Standing AP + Reg Lateral Right - Report 73560  $              102.40
73562 Knee, 3 Views 73562  $                           -  
XR Knee 3 Views Left 73562  $                           -    $              455.92
XR Knee 3 Views Left - In Clinic 73562  $              118.80  $              455.92
XR Knee 3 Views Left - Report 73562  $              118.80
XR Knee 3 Views Right 73562  $                           -    $              455.92
XR Knee 3 Views Right - In Clinic 73562  $              118.80  $              455.92
XR Knee 3 Views Right - Report 73562  $              118.80
73564 Knee, Complete, 4 or More Views 73564  $                           -  
XR Knee 4 Or More Views Left 73564  $                           -    $              521.12
XR Knee 4 or More Views Left - In Clinic 73564  $              132.59  $              521.12
XR Knee 4 or More Views Left - Report 73564  $              132.59
XR Knee 4 or more Views Right 73564  $                           -    $              521.12
XR Knee 4 or More Views Right - In Clinic 73564  $              132.59  $              521.12
XR Knee 4 or More Views Right - Report 73564  $              132.59
XR Knee 4 Views w Tunnel + Sunrise Left 73564  $                           -    $              521.12
XR Knee 4 Views w Tunnel + Sunrise Left - Report 73564  $              132.59
XR Knee 4 Views w Tunnel + Sunrise Right 73564  $                           -    $              521.12
XR Knee 4 Views w Tunnel + Sunrise Right - Report 73564  $              132.59
XR Knee Standing Bilateral 73565  $                           -    $              290.42
XR Knee Standing Bilateral AP 73565  $                           -    $              290.42
XR Knee Standing Bilateral AP - Report 73565  $              118.01
XR Knee Standing Bilateral PA - Report 73565  $              118.01
XR Arthrogram Knee Left 73580  $                           -    $              895.50
XR Arthrogram Knee Left - Report 73580  $              376.77
XR Arthrogram Knee Right 73580  $                           -    $              895.50
XR Arthrogram Knee Right - Report 73580  $              376.77
XR Tibia-Fibula 2 views Left 73590  $                           -    $              464.58
XR Tibia-Fibula 2 views Left - Report 73590  $                 95.72
XR Tibia-Fibula 2 Views Left- In Clinic 73590  $                 95.72  $              464.58
XR Tibia-Fibula 2 views Right 73590  $                           -    $              464.58
XR Tibia-Fibula 2 Views Right - In Clinic 73590  $                 95.72  $              464.58
XR Tibia-Fibula 2 views Right - Report 73590  $                 95.72
XR Lower Ext Infant Min 2 Views Left 73592  $                           -    $              203.77
XR Lower Ext Infant Min 2 Views Left - Report 73592  $                 92.37
XR Lower Ext Infant Min 2 Views Right 73592  $                           -    $              203.77
XR Lower Ext Infant Min 2 Views Right - Report 73592  $                 92.37
73600 Ankle, 2 Views 73600  $                           -  
XR Ankle 2 Views Left 73600  $                           -    $              405.36
XR Ankle 2 Views Left - In Clinic 73600  $                 99.04  $              405.36
XR Ankle 2 Views Left - Report 73600  $                 99.04
XR Ankle 2 Views Right 73600  $                           -    $              405.36
XR Ankle 2 Views Right - In Clinic 73600  $                 99.04  $              405.36
XR Ankle 2 Views Right - Report 73600  $                 99.04
73610 Ankle, Complete, Miniumum 3 Views 73610  $                           -  
XR Ankle Complete Left 73610  $                           -    $              410.07
XR Ankle Complete Left - In Clinic 73610  $              105.02  $              410.07
XR Ankle Complete Left - Report 73610  $              105.02
XR Ankle Complete Right 73610  $                           -    $              410.07
XR Ankle Complete Right - In Clinic 73610  $              105.02  $              410.07
XR Ankle Complete Right - Report 73610  $              105.02
XR Arthrogram Ankle Left 73615  $                           -    $         1,056.21
XR Arthrogram Ankle Left - Report 73615  $              350.45
XR Arthrogram Ankle Right 73615  $                           -    $         1,056.21
XR Arthrogram Ankle Right - Report 73615  $              350.45
XR Foot 2 Views Left 73620  $                           -    $              397.68
XR Foot 2 Views Left - In Clinic 73620  $                 86.78  $              397.68
XR Foot 2 Views Left - Report 73620  $                 86.78
XR Foot 2 Views Right 73620  $                           -    $              397.68
XR Foot 2 Views Right - In Clinic 73620  $                 86.78  $              397.68
XR Foot 2 Views Right - Report 73620  $                 86.78
73630 Foot, Complete, Min 3 Views 73630  $                 97.20  $              408.15
XR Foot Complete Left 73630  $                           -    $              408.15
XR Foot Complete Left - In Clinic 73630  $                 97.20  $              408.15
XR Foot Complete Left - Report 73630  $                 97.20
XR Foot Complete Right 73630  $                           -    $              408.15
XR Foot Complete Right - In Clinic 73630  $                 97.20  $              408.15
XR Foot Complete Right - Report 73630  $                 97.20
73650 Calcaneus, minimum 2 view 73650  $                           -  
XR Calcaneus Minimum 2 Views Left 73650  $                           -    $              353.91
XR Calcaneus Minimum 2 Views Left - In Clinic 73650  $                 90.13  $              353.91
XR Calcaneus Minimum 2 Views Left - Report 73650  $                 90.13
XR Calcaneus Minimum 2 Views Right 73650  $                           -    $              353.91
XR Calcaneus Minimum 2 Views Right - In Clinic 73650  $                 90.13  $              353.91
XR Calcaneus Minimum 2 Views Right - Report 73650  $                 90.13
73660 Toes, Minimum 2 Views 73660  $                           -  
XR Toe or Toes 2 Views Left - In Clinic 73660  $                 92.32  $              325.25
XR Toe or Toes 2 Views Left - Report 73660  $                 92.32
XR Toe or Toes 2 Views Right - In Clinic 73660  $                 92.32  $              325.25
XR Toe or Toes 2 Views Right - Report 73660  $                 92.32
XR Toe or Toes Complete Left 73660  $                           -    $              325.25
XR Toe or Toes Complete Left - In Clinic 73660  $                 92.32  $              325.25
XR Toe or Toes Complete Left - Report 73660  $                 92.32
XR Toe or Toes Complete Right 73660  $                           -    $              325.25
XR Toe or Toes Complete Right - In Clinic 73660  $                 92.32  $              325.25
XR Toe or Toes Complete Right - Report 73660  $                 92.32
XR Toe or Toes Minimum of 2 Views Left 73660  $                           -    $              325.25
XR Toe or Toes Minimum of 2 Views Right 73660  $                           -    $              325.25
CT Ankle without Contrast Left 73700  $                           -    $         1,988.08
CT Ankle without Contrast Left - Report 73700  $              602.31
CT Ankle without Contrast Right 73700  $                           -    $         1,988.08
CT Ankle without Contrast Right - Report 73700  $              602.31
CT Femur without Contrast Left 73700  $                           -    $         1,988.08
CT Femur without Contrast Left - Report 73700  $              602.31
CT Femur without Contrast Right 73700  $                           -    $         1,988.08
CT Femur without Contrast Right - Report 73700  $              602.31
CT Foot without Contrast Left 73700  $                           -    $         1,988.08
CT Foot without Contrast Left - Report 73700  $              602.31
CT Foot without Contrast Right 73700  $                           -    $         1,988.08
CT Foot without Contrast Right - Report 73700  $              602.31
CT Hip without Contrast Left 73700  $                           -    $         1,988.08
CT Hip without Contrast Left - Report 73700  $              602.31
CT Hip without Contrast Right 73700  $                           -    $         1,988.08
CT Hip without Contrast Right - Report 73700  $              602.31
CT Knee without Contrast Left 73700  $                           -    $         1,988.08
CT Knee without Contrast Left - Report 73700  $              602.31
CT Knee without Contrast Right 73700  $                           -    $         1,988.08
CT Knee without Contrast Right - Report 73700  $              602.31
CT Tibia-Fibula without Contrast Left 73700  $                           -    $         1,988.08
CT Tibia-Fibula without Contrast Left - Report 73700  $              602.31
CT Tibia-Fibula without Contrast Right 73700  $                           -    $         1,988.08
CT Tibia-Fibula without Contrast Right - Report 73700  $              602.31
CT Ankle with Contrast Left 73701  $                           -    $         1,872.78
CT Ankle with Contrast Left - Report 73701  $              753.03
CT Ankle with Contrast Right 73701  $                           -    $         1,872.78
CT Ankle with Contrast Right - Report 73701  $              753.03
CT Femur with Contrast Left 73701  $                           -    $         1,872.78
CT Femur with Contrast Left - Report 73701  $              753.03
CT Femur with Contrast Right 73701  $                           -    $         1,872.78
CT Femur with Contrast Right - Report 73701  $              753.03
CT Foot with Contrast Left 73701  $                           -    $         1,872.78
CT Foot with Contrast Left - Report 73701  $              753.03
CT Foot with Contrast Right 73701  $                           -    $         1,872.78
CT Foot with Contrast Right - Report 73701  $              753.03
CT Hip with Contrast Left 73701  $                           -    $         1,872.78
CT Hip with Contrast Left - Report 73701  $              753.03
CT Hip with Contrast Right 73701  $                           -    $         1,872.78
CT Hip with Contrast Right - Report 73701  $              753.03
CT Knee with Contrast Left 73701  $                           -    $         1,872.78
CT Knee with Contrast Left - Report 73701  $              753.03
CT Knee with Contrast Right 73701  $                           -    $         1,872.78
CT Knee with Contrast Right - Report 73701  $              753.03
CT Tibia-Fibula with Contrast Left 73701  $                           -    $         1,872.78
CT Tibia-Fibula with Contrast Left - Report 73701  $              753.03
CT Tibia-Fibula with Contrast Right 73701  $                           -    $         1,872.78
CT Tibia-Fibula with Contrast Right - Report 73701  $              753.03
CT Ankle wo + with Contrast Left 73702  $                           -    $         3,482.82
CT Ankle wo + with Contrast Left - Report 73702  $              905.82
CT Ankle wo + with Contrast Right 73702  $                           -    $         3,482.82
CT Ankle wo + with Contrast Right - Report 73702  $              905.82
CT Elbow wo + with Contrast Left 73702  $                           -    $         3,482.82
CT Elbow wo + with Contrast Right 73702  $                           -    $         3,482.82
CT Femur wo + with Contrast Left 73702  $                           -    $         3,482.82
CT Femur wo + with Contrast Left - Report 73702  $              905.82
CT Femur wo + with Contrast Right 73702  $                           -    $         3,482.82
CT Femur wo + with Contrast Right - Report 73702  $              905.82
CT Foot wo + with Contrast Left 73702  $                           -    $         3,482.82
CT Foot wo + with Contrast Left - Report 73702  $              905.82
CT Foot wo + with Contrast Right 73702  $                           -    $         3,482.82
CT Foot wo + with Contrast Right - Report 73702  $              905.82
CT Hip wo + with Contrast Left 73702  $                           -    $         3,482.82
CT Hip wo + with Contrast Left - Report 73702  $              905.82
CT Hip wo + with Contrast Right 73702  $                           -    $         3,482.82
CT Hip wo + with Contrast Right - Report 73702  $              905.82
CT Knee wo + with Contrast Left 73702  $                           -    $         3,482.82
CT Knee wo + with Contrast Left - Report 73702  $              905.82
CT Knee wo + with Contrast Right 73702  $                           -    $         3,482.82
CT Knee wo + with Contrast Right - Report 73702  $              905.82
CT Tibia- Fibula wo + w Contrast Left 73702  $                           -    $         3,482.82
CT Tibia-Fibula wo + w Contrast Left - Report 73702  $              905.82
CT Tibia-Fibula wo + w Contrast Right 73702  $                           -    $         3,482.82
CT Tibia-Fibula wo + w Contrast Right - Report 73702  $              905.82
CTA Lower Extremity Left 73706  $                           -    $         5,547.29
CTA Lower Extremity Left - Report 73706  $         1,187.36
CTA Lower Extremity Right 73706  $                           -    $         5,547.29
CTA Lower Extremity Right - Report 73706  $         1,187.36
73718 73718  $         1,195.44  $         2,778.07
MRI Femur without Contrast Left 73718  $                           -    $         2,778.07
MRI Femur without Contrast Left - Report 73718  $         1,195.44
MRI Femur without Contrast Right 73718  $                           -    $         2,778.07
MRI Femur without Contrast Right - Report 73718  $         1,195.44
MRI Foot without Contrast Left 73718  $                           -    $         2,778.07
MRI Foot without Contrast Left - Report 73718  $         1,195.44
MRI Foot without Contrast Right 73718  $                           -    $         2,778.07
MRI Foot without Contrast Right - Report 73718  $         1,195.44
MRI Tibia-Fibula without Contrast Left 73718  $                           -    $         2,778.07
MRI Tibia-Fibula without Contrast Left - Report 73718  $         1,195.44
MRI Tibia-Fibula without Contrast Right 73718  $                           -    $         2,778.07
MRI Tibia-Fibula without Contrast Right - Report 73718  $         1,195.44
MRI Femur with Contrast Left 73719  $                           -    $         4,249.83
MRI Femur with Contrast Left - Report 73719  $         1,332.60
MRI Femur with Contrast Right 73719  $                           -    $         4,249.83
MRI Femur with Contrast Right - Report 73719  $         1,332.60
MRI Foot with Contrast Left 73719  $                           -    $         4,249.83
MRI Foot with Contrast Left - Report 73719  $         1,332.60
MRI Foot with Contrast Right 73719  $                           -    $         4,249.83
MRI Foot with Contrast Right - Report 73719  $         1,332.60
MRI Tibia-Fibula with Contrast Left 73719  $                           -    $         4,249.83
MRI Tibia-Fibula with Contrast Left - Report 73719  $         1,332.60
MRI Tibia-Fibula with Contrast Right 73719  $                           -    $         4,249.83
MRI Tibia-Fibula with Contrast Right - Report 73719  $         1,332.60
MRI Femur wo + with Contrast Left 73720  $                           -    $         3,242.54
MRI Femur wo + with Contrast Left - Report 73720  $         1,658.54
MRI Femur wo + with Contrast Right 73720  $                           -    $         3,242.54
MRI Femur wo + with Contrast Right - Report 73720  $         1,658.54
MRI Foot wo + with Contrast Left 73720  $                           -    $         3,242.54
MRI Foot wo + with Contrast Left - Report 73720  $         1,658.54
MRI Foot wo + with Contrast Right 73720  $                           -    $         3,242.54
MRI Foot wo + with Contrast Right - Report 73720  $         1,658.54
MRI Tibia-Fibula wo + with Contrast Left 73720  $                           -    $         3,242.54
MRI Tibia-Fibula wo + with Contrast Left - Report 73720  $         1,658.54
MRI Tibia-Fibula wo +with Contrast Right 73720  $                           -    $         3,242.54
MRI Tibia-Fibula wo +with Contrast Right - Report 73720  $         1,658.54
MRI Ankle without Contrast Left 73721  $                           -    $         2,550.52
MRI Ankle without Contrast Left - Report 73721  $              794.16
MRI Ankle without Contrast Right 73721  $                           -    $         2,550.52
MRI Ankle without Contrast Right - Report 73721