123-16

Division of Health Care Financing & Policy SB 278 Section 16 - Physician Rates Reporting Facility & Non-Facility Rate Comparison

Nevada 2015 2015 Medicaid Medicaid Medicaid Medicare Medicare vs. vs. Procedure Code & Description Rates (1) Non-Facility Facility Medicare Medicare Rates for Rates for Non-Facility Facility 10021 FNA W/O IMAGE 70.92 156.25048 72.718169 (85.33) (1.80) 10022 FNA W/IMAGE 65.39 148.42288 69.029561 (83.03) (3.64) 10030 Guide cathet fluid drainage 154.73 830.4244 167.43373 (675.69) (12.70) 10040 ACNE SURGERY 87.47 105.60202 92.056241 (18.13) (4.59) 10060 DRAINAGE OF SKIN ABSCESS 95.6 122.24032 101.1691 (26.64) (5.57) 10061 DRAINAGE OF SKIN ABSCESS 178.04 214.99146 187.52363 (36.95) (9.48) 10080 DRAINAGE OF PILONIDAL CYST 103.29 189.06846 108.54632 (85.78) (5.26) 10081 DRAINAGE OF PILONIDAL CYST 172.45 281.03412 176.80687 (108.58) (4.36) 10120 REMOVE FOREIGN BODY 103.22 159.79337 108.62043 (56.57) (5.40) 10121 REMOVE FOREIGN BODY 185.58 286.15943 193.22033 (100.58) (7.64) 10140 DRAINAGE OF HEMATOMA/FLUID 118.06 170.74141 124.08373 (52.68) (6.02) 10160 PUNCTURE DRAINAGE OF LESION 95.62 136.01415 100.64461 (40.39) (5.02) 10180 COMPLEX DRAINAGE WOUND 178.97 258.01567 187.2766 (79.05) (8.31) 11000 DEBRIDE INFECTED SKIN 28.42 56.834206 29.742646 (28.41) (1.32) 11001 DEBRIDE INFECTED SKIN ADD-ON 14.22 21.656564 14.507403 (7.44) (0.29) 11004 DEBRIDE GENITALIA & PERINEUM 579.35 605.04269 605.04269 (25.69) (25.69) 11005 DEBRIDE ABDOM WALL 781.65 816.37812 816.37812 (34.73) (34.73) 11006 DEBRIDE GENIT/PER/ABDOM WALL 702.26 732.5909 732.5909 (30.33) (30.33) 11008 REMOVE MESH FROM ABD WALL 274.06 287.08024 287.08024 (13.02) (13.02) 11010 DEBRIDE SKIN AT FX SITE 278.3 515.0912 292.71465 (236.79) (14.41) 11011 DEBRIDE SKIN MUSC AT FX SITE 301.71 551.43955 309.87314 (249.73) (8.16) 11012 DEB SKIN BONE AT FX SITE 426.17 742.88485 444.50142 (316.71) (18.33) 11042 DEB SUBQ TISSUE 20 SQ CM/< 61.54 122.23459 64.288752 (60.69) (2.75) 11043 DEB MUSC/FASCIA 20 SQ CM/< 157.36 237.33469 161.70409 (79.97) (4.34) 11044 DEB BONE 20 SQ CM/< 234.59 328.07846 241.53598 (93.49) (6.95) 11045 DEB SUBQ TISSUE ADD-ON 27.63 42.651163 27.224025 (15.02) 0.41 11046 DEB MUSC/FASCIA ADD-ON 56.21 76.123588 58.43882 (19.91) (2.23) 11047 DEB BONE ADD-ON 100.66 128.31651 103.10631 (27.66) (2.45) 11055 TRIM SKIN LESION 15.9 49.794596 16.68269 (33.89) (0.78) 11056 TRIM SKIN LESIONS 2 TO 4 22.47 60.811014 23.56012 (38.34) (1.09) 11057 TRIM SKIN LESIONS OVER 4 29.39 68.440987 30.813821 (39.05) (1.42) 11100 BIOPSY SKIN LESION 48.61 107.5625 50.369207 (58.95) (1.76) 11101 BIOPSY SKIN ADD-ON 24.46 33.818266 25.916561 (9.36) (1.46) 11200 REMOVAL OF SKIN TAGS 2.0 CM 74.11 163.08101 77.66734 (88.97) (3.56) 11305 SHAVE SKIN LESION 0.5 CM/< 38.48 103.13782 40.300449 (64.66) (1.82) 11306 SHAVE SKIN LESION 0.6-1.0 CM 51.56 126.8816 53.508623 (75.32) (1.95) 11307 SHAVE SKIN LESION 1.1-2.0 CM 66.25 148.98854 68.466406 (82.74) (2.22) 11308 SHAVE SKIN LESION >2.0 CM 72.94 156.46206 75.939927 (83.52) (3.00) 11310 SHAVE SKIN LESION 0.5 CM/< 47.19 118.49085 48.880589 (71.30) (1.69) 11311 SHAVE SKIN LESION 0.6-1.0 CM 65 116.34348 68.933255 (51.34) (3.93) 11312 SHAVE SKIN LESION 1.1-2.0 CM 78.37 167.13765 81.347714 (88.77) (2.98) 11313 SHAVE SKIN LESION >2.0 CM 100.38 193.10362 104.30351 (92.72) (3.92) 11400 EXC TR-EXT B9+MARG 0.5 CM< 79.32 129.5649 84.036033 (50.24) (4.72) 11401 EXC TR-EXT B9+MARG 0.6-1 CM 103.18 155.85774 108.82378 (52.68) (5.64) 11402 EXC TR-EXT B9+MARG 1.1-2 CM 113.71 173.16373 119.35688 (59.45) (5.65) 11403 EXC TR-EXT B9+MARG 2.1-3CM/< 146.5 199.81636 153.91122 (53.32) (7.41) 11404 EXC TR-EXT B9+MARG 3.1-4 CM 160.82 226.69133 169.12176 (65.87) (8.30) 11406 EXC TR-EXT B9+MARG >4.0 CM 244.91 326.27622 257.79478 (81.37) (12.88) 11420 EXC H-F-NK-SP B9+MARG 0.5/< 81.23 127.87043 84.97546 (46.64) (3.75) 11421 EXC H-F-NK-SP B9+MARG 0.6-1 110.4 163.79811 115.25906 (53.40) (4.86) 11422 EXC H-F-NK-SP B9+MARG 1.1-2 134.86 183.27115 142.25754 (48.41) (7.40) 11423 EXC H-F-NK-SP B9+MARG 2.1-3 156.55 211.06907 164.78766 (54.52) (8.24) 11424 EXC H-F-NK-SP B9+MARG 3.1-4 178.52 244.37108 189.05915 (65.85) (10.54) 11426 EXC H-F-NK-SP B9+MARG >4 CM 273.01 346.68618 287.23526 (73.68) (14.23) 11440 EXC FACE-MM B9+MARG 0.5 CM/< 103.53 140.60603 107.87039 (37.08) (4.34) 11441 EXC FACE-MM B9+MARG 0.6-1 CM 131.15 175.31431 137.68715 (44.16) (6.54) 11442 EXC FACE-MM B9+MARG 1.1-2 CM 145.52 195.89147 152.24395 (50.37) (6.72) 11443 EXC FACE-MM B9+MARG 2.1-3 CM 177.64 233.11014 186.07618 (55.47) (8.44) 11444 EXC FACE-MM B9+MARG 3.1-4 CM 226.95 293.42459 238.11266 (66.47) (11.16) 11446 EXC FACE-MM B9+MARG >4 CM 326.08 406.42352 340.19971 (80.34) (14.12) 11450 REMOVAL SWEAT GLAND LESION 250.45 401.24737 265.03702 (150.80) (14.59) 11451 REMOVAL SWEAT GLAND LESION 323.33 505.62176 338.55714 (182.29) (15.23) 11462 REMOVAL SWEAT GLAND LESION 239.27 388.26152 251.6749 (148.99) (12.40) 11463 REMOVAL SWEAT GLAND LESION 326.52 515.45423 341.24045 (188.93) (14.72) 11470 REMOVAL SWEAT GLAND LESION 281.55 429.64138 293.05476 (148.09) (11.50) 11471 REMOVAL SWEAT GLAND LESION 352.3 529.79695 361.97978 (177.50) (9.68) 11600 EXC TR-EXT MAL+MARG 0.5 CM/< 119.51 201.46394 125.08079 (81.95) (5.57) 11601 EXC TR-EXT MAL+MARG 0.6-1 CM 148.23 238.59454 155.81478 (90.36) (7.58) 11602 EXC TR-EXT MAL+MARG 1.1-2 CM 162.64 258.15816 170.86314 (95.52) (8.22) 11603 EXC TR-EXT MAL+MARG 2.1-3 CM 194.07 294.30566 204.00046 (100.24) (9.93) 11604 EXC TR-EXT MAL+MARG 3.1-4 CM 214.78 328.12393 225.02549 (113.34) (10.25) 11606 EXC TR-EXT MAL+MARG >4 CM 319.34 468.67625 333.97099 (149.34) (14.63) 11620 EXC H-F-NK-SP MAL+MARG 0.5/< 121.29 203.6557 126.89628 (82.37) (5.61) 11621 EXC S/N/H/F/G MAL+MRG 0.6-1 148.93 239.70689 156.55085 (90.78) (7.62) 11622 EXC S/N/H/F/G MAL+MRG 1.1-2 170.68 266.90872 179.23742 (96.23) (8.56) 11623 EXC S/N/H/F/G MAL+MRG 2.1-3 211.61 313.22128 222.16354 (101.61) (10.55) 11624 EXC S/N/H/F/G MAL+MRG 3.1-4 239.93 352.77169 251.17834 (112.84) (11.25) 11626 EXC S/N/H/F/G MAL+MRG >4 CM 294.83 425.12433 307.72757 (130.29) (12.90) 11640 EXC F/E/E/N/L MAL+MRG 0.5CM< 125.18 209.27507 131.01056 (84.10) (5.83) 11641 EXC F/E/E/N/L MAL+MRG 0.6-1 155.98 248.16351 163.50239 (92.18) (7.52) 11642 EXC F/E/E/N/L MAL+MRG 1.1-2 183.25 282.64375 192.33855 (99.39) (9.09) 11643 EXC F/E/E/N/L MAL+MRG 2.1-3 230.87 333.65845 241.47189 (102.79) (10.60) 11644 EXC F/E/E/N/L MAL+MRG 3.1-4 285.84 410.43828 297.93305 (124.60) (12.09) 11646 EXC F/E/E/N/L MAL+MRG >4 CM 397.05 536.6264 414.33811 (139.58) (17.29) 11719 TRIM NAIL(S) ANY NUMBER 7.6 14.369926 7.9733075 (6.77) (0.37) 11720 DEBRIDE NAIL 1-5 14.9 33.66432 15.227009 (18.76) (0.33) 11721 DEBRIDE NAIL 6 OR MORE 24.56 46.798385 25.727172 (22.24) (1.17) 11730 REMOVAL OF NAIL PLATE 50.53 102.99533 52.198653 (52.47) (1.67) 11732 REMOVE NAIL PLATE ADD-ON 20.06 37.204711 21.025029 (17.14) (0.97) 11740 DRAIN BLOOD FROM UNDER NAIL 32.76 51.994586 34.309818 (19.23) (1.55) 11750 REMOVAL OF NAIL BED 173.14 233.59346 181.2917 (60.45) (8.15) 11752 REMOVE NAIL BED/TIP 259.66 339.15431 275.5644 (79.49) (15.90) 11755 BIOPSY NAIL UNIT 78.21 139.09843 80.776325 (60.89) (2.57) 11760 REPAIR OF NAIL BED 133.87 240.24462 137.89873 (106.37) (4.03) 11762 RECONSTRUCTION OF NAIL BED 185.05 295.48388 193.89053 (110.43) (8.84) 11765 EXCISION OF NAIL FOLD TOE 93.04 175.745 98.609311 (82.71) (5.57) 11770 REMOVE PILONIDAL CYST SIMPLE 183.77 288.93081 192.60527 (105.16) (8.84) 11771 REMOVE PILONIDAL CYST EXTEN 431.8 598.55227 454.06395 (166.75) (22.26) 11772 REMOVE PILONIDAL CYST COMPL 573.13 727.62884 604.21174 (154.50) (31.08) 11900 INJECT SKIN LESIONS 7 48.63 72.209432 50.009404 (23.58) (1.38) 11950 TX CONTOUR DEFECTS 1 CC/< 53.2 81.402132 56.19193 (28.20) (2.99) 11951 TX CONTOUR DEFECTS 1.1-5.0CC 76.48 110.05141 78.068315 (33.57) (1.59) 11952 TX CONTOUR DEFECTS 5.1-10CC 100.7 133.21055 99.346101 (32.51) 1.35 11954 TX CONTOUR DEFECTS >10.0 CC 116.38 164.78193 120.0056 (48.40) (3.63) 11960 INSERT TISSUE EXPANDER(S) 934.51 989.48027 989.48027 (54.97) (54.97) 11970 REPLACE TISSUE EXPANDER 616.24 637.53272 637.53272 (21.29) (21.29) 11971 REMOVE TISSUE EXPANDER(S) 322.25 494.2194 335.43276 (171.97) (13.18) 11976 REMOVE CONTRACEPTIVE CAPSULE 97.05 148.91515 98.118475 (51.87) (1.07) 11980 IMPLANT HORMONE PELLET(S) 79.88 97.628713 58.120188 (17.75) 21.76 11981 INSERT DRUG IMPLANT DEVICE 81.34 147.05277 86.473028 (65.71) (5.13) 11982 REMOVE DRUG IMPLANT DEVICE 97.3 166.05073 104.34217 (68.75) (7.04) 11983 REMOVE/INSERT DRUG IMPLANT 168.65 230.93056 181.2627 (62.28) (12.61) 12001 RPR S/N/AX/GEN/TRNK 2.5CM/< 45 93.190068 45.779838 (48.19) (0.78) 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM 59.25 113.99528 60.940973 (54.75) (1.69) 12004 RPR S/N/AX/GEN/TRK7.6-12.5CM 73.87 133.72108 75.775242 (59.85) (1.91) 12005 RPR S/N/A/GEN/TRK12.6-20.0CM 99.98 172.56012 102.19732 (72.58) (2.22) 12006 RPR S/N/A/GEN/TRK20.1-30.0CM 121.24 207.06505 124.66156 (85.83) (3.42) 12007 RPR S/N/AX/GEN/TRNK >30.0 CM 150.62 240.54571 155.50832 (89.93) (4.89) 12011 RPR F/E/E/N/L/M 2.5 CM/< 56.15 114.13526 57.318239 (57.99) (1.17) 12013 RPR F/E/E/N/L/M 2.6-5.0 CM 62.72 125.12698 64.547238 (62.41) (1.83) 12014 RPR F/E/E/N/L/M 5.1-7.5 CM 79.77 147.37963 81.532091 (67.61) (1.76) 12015 RPR F/E/E/N/L/M 7.6-12.5 CM 99.25 178.16302 101.77987 (78.91) (2.53) 12016 RPR FE/E/EN/L/M 12.6-20.0 CM 134.79 220.78698 137.63094 (86.00) (2.84) 12017 RPR FE/E/EN/L/M 20.1-30.0 CM 154.16 159.41424 159.41424 (5.25) (5.25) 12018 RPR F/E/E/N/L/M >30.0 CM 174.32 179.98065 179.98065 (5.66) (5.66) 12020 CLOSURE OF SPLIT WOUND 190.75 293.0476 197.09833 (102.30) (6.35) 12021 CLOSURE OF SPLIT WOUND 141.38 170.38483 144.79836 (29.00) (3.42) 12031 INTMD RPR S/A/T/EXT 2.5 CM/< 152.69 247.74034 160.44532 (95.05) (7.76) 12032 INTMD RPR S/A/T/EXT 2.6-7.5 193.83 316.37072 203.86549 (122.54) (10.04) 12034 INTMD RPR S/TR/EXT 7.6-12.5 206.5 324.76469 216.39845 (118.26) (9.90) 12035 INTMD RPR S/A/T/EXT 12.6-20 242.75 398.82505 251.32656 (156.08) (8.58) 12036 INTMD RPR S/A/T/EXT 20.1-30 281.53 437.06299 290.69331 (155.53) (9.16) 12037 INTMD RPR S/TR/EXT >30.0 CM 329.21 500.89563 343.99035 (171.69) (14.78) 12041 INTMD RPR N-HF/GENIT 2.5CM/< 156.1 252.09092 163.66708 (95.99) (7.57) 12042 INTMD RPR N-HF/GENIT2.6-7.5 199.13 300.42482 209.36708 (101.29) (10.24) 12044 INTMD RPR N-HF/GENIT7.6-12.5 215.46 375.17435 225.41823 (159.71) (9.96) 12045 INTMD RPR N-HF/GENIT12.6-20 270.64 421.71748 285.8834 (151.08) (15.24) 12046 INTMD RPR N-HF/GENIT20.1-30 307.3 504.05903 327.21135 (196.76) (19.91) 12047 INTMD RPR N-HF/GENIT >30.0CM 342.23 585.10888 395.84423 (242.88) (53.61) 12051 INTMD RPR FACE/MM 2.5 CM/< 171.16 268.92182 179.74544 (97.76) (8.59) 12052 INTMD RPR FACE/MM 2.6-5.0 CM 202.59 306.26401 213.32491 (103.67) (10.73) 12053 INTMD RPR FACE/MM 5.1-7.5 CM 217.62 360.18113 227.7335 (142.56) (10.11) 12054 INTMD RPR FACE/MM 7.6-12.5CM 229 383.19456 237.9537 (154.19) (8.95) 12055 INTMD RPR FACE/MM 12.6-20 CM 304.25 496.59375 316.35962 (192.34) (12.11) 12056 INTMD RPR FACE/MM 20.1-30.0 378.07 519.33867 365.81983 (141.27) 12.25 12057 INTMD RPR FACE/MM >30.0 CM 380.17 607.41739 395.95271 (227.25) (15.78) 13100 CMPLX RPR TRUNK 1.1-2.5 CM 205.67 349.22235 216.02218 (143.55) (10.35) 13101 CMPLX RPR TRUNK 2.6-7.5 CM 253.35 412.61786 265.49564 (159.27) (12.15) 13102 CMPLX RPR TRUNK ADDL 5CM/< 74.94 126.52502 77.6097 (51.59) (2.67) 13120 CMPLX RPR S/A/L 1.1-2.5 CM 236.18 364.94914 247.92866 (128.77) (11.75) 13121 CMPLX RPR S/A/L 2.6-7.5 CM 266.9 444.75812 279.57486 (177.86) (12.67) 13122 CMPLX RPR S/A/L ADDL 5 CM/> 86.11 138.93948 89.271616 (52.83) (3.16) 13131 CMPLX RPR F/C/C/M/N/AX/G/H/F 250.46 401.25309 261.65631 (150.79) (11.20) 13132 CMPLX RPR F/C/C/M/N/AX/G/H/F 314.11 495.553 328.86466 (181.44) (14.75) 13133 CMPLX RPR F/C/C/M/N/AX/G/H/F 131.55 185.29321 136.75416 (53.74) (5.20) 13151 CMPLX RPR E/N/E/L 1.1-2.5 CM 287.17 439.53471 300.69046 (152.36) (13.52) 13152 CMPLX RPR E/N/E/L 2.6-7.5 CM 348.07 527.47094 364.54531 (179.40) (16.48) 13153 CMPLX RPR E/N/E/L ADDL 5CM/< 142.39 201.78902 147.98217 (59.40) (5.59) 13160 LATE CLOSURE OF WOUND 812.08 844.4492 844.4492 (32.37) (32.37) 14000 TIS TRNFR TRUNK 10 SQ CM/< 503.62 649.60421 527.31592 (145.98) (23.70) 14001 TIS TRNFR TRUNK 10.1-30SQCM 653.91 833.46142 685.21039 (179.55) (31.30) 14020 TIS TRNFR S/A/L 10 SQ CM/< 570.41 726.37007 596.18007 (155.96) (25.77) 14021 TIS TRNFR S/A/L 10.1-30 SQCM 718.98 906.96436 752.69298 (187.98) (33.71) 14040 TIS TRNFR F/C/C/M/N/A/G/H/F 634.12 793.46063 662.51809 (159.34) (28.40) 14041 TIS TRNFR F/C/C/M/N/A/G/H/F 777.02 981.34657 814.28195 (204.33) (37.26) 14060 TIS TRNFR E/N/E/L 10 SQ CM/< 675.5 808.75674 706.03457 (133.26) (30.53) 14061 TIS TRNFR E/N/E/L10.1-30SQCM 831.27 1056.8132 872.06382 (225.54) (40.79) 14301 TIS TRNFR ANY 30.1-60 SQ CM 885.86 1122.8795 924.20805 (237.02) (38.35) 14302 TIS TRNFR ADDL 30 SQ CM/< 222.91 231.28284 231.28284 (8.37) (8.37) 14350 FILLETED FINGER/TOE FLAP 710.79 725.08337 725.08337 (14.29) (14.29) 15002 WOUND PREP TRK/ARM/LEG 228.12 362.38183 237.08337 (134.26) (8.96) 15003 WOUND PREP ADDL 100 CM 45.82 79.210376 47.979828 (33.39) (2.16) 15004 WOUND PREP F/N/HF/G 273.12 419.9249 283.71456 (146.80) (10.59) 15005 WND PREP F/N/HF/G ADDL CM 92.01 129.17037 94.553381 (37.16) (2.54) 15040 HARVEST CULTURED SKIN GRAFT 127.99 266.73257 133.15613 (138.74) (5.17) 15050 SKIN PINCH GRAFT 447.97 595.72755 470.80535 (147.76) (22.84) 15100 SKIN SPLT GRFT TRNK/ARM/LEG 721.11 897.32772 750.95804 (176.22) (29.85) 15101 SKIN SPLT GRFT T/A/L ADD-ON 111.59 194.64737 116.00659 (83.06) (4.42) 15110 EPIDRM AUTOGRFT TRNK/ARM/LEG 755.76 850.46239 740.96733 (94.70) 14.79 15111 EPIDRM AUTOGRFT T/A/L ADD-ON 102.43 120.46171 108.42101 (18.03) (5.99) 15115 EPIDRM A-GRFT FACE/NCK/HF/G 760.07 862.03623 752.16491 (101.97) 7.91 15116 EPIDRM A-GRFT F/N/HF/G ADDL 135.54 175.10416 159.30075 (39.56) (23.76) 15120 SKN SPLT A-GRFT FAC/NCK/HF/G 704.54 888.02798 731.12269 (183.49) (26.58) 15121 SKN SPLT A-GRFT F/N/HF/G ADD 132.65 217.81726 138.80021 (85.17) (6.15) 15130 DERM AUTOGRAFT TRNK/ARM/LEG 572.46 710.06759 597.18609 (137.61) (24.73) 15131 DERM AUTOGRAFT T/A/L ADD-ON 93.99 94.520444 86.242468 (0.53) 7.75 15135 DERM AUTOGRAFT FACE/NCK/HF/G 751.6 879.04758 770.30507 (127.45) (18.71) 15136 DERM AUTOGRAFT F/N/HF/G ADD 85.38 98.53019 91.7573 (13.15) (6.38) 15150 CULT SKIN GRFT T/ARM/LEG 628.41 724.9706 662.13323 (96.56) (33.72) 15151 CULT SKIN GRFT T/A/L ADDL 109.41 125.35897 115.5759 (15.95) (6.17) 15152 CULT SKIN GRAFT T/A/L +% 141.28 153.6377 143.85464 (12.36) (2.57) 15155 CULT SKIN GRAFT F/N/HF/G 643.99 722.02487 665.96039 (78.03) (21.97) 15156 CULT SKIN GRFT F/N/HFG ADD 150.68 168.12863 158.72184 (17.45) (8.04) 15157 CULT EPIDERM GRFT F/N/HFG +% 151.39 162.70939 151.04497 (11.32) 0.35 15200 SKIN FULL GRAFT TRUNK 676.4 866.24145 704.06837 (189.84) (27.67) 15201 SKIN FULL GRAFT TRUNK ADD-ON 80.59 154.91581 82.295374 (74.33) (1.71) 15220 SKIN FULL GRAFT SCLP/ARM/LEG 617.95 805.06419 645.14873 (187.11) (27.20) 15221 SKIN FULL GRAFT ADD-ON 72.52 143.53958 74.68187 (71.02) (2.16) 15240 SKIN FULL GRFT FACE/GENIT/HF 804.14 973.96363 841.13973 (169.82) (37.00) 15241 SKIN FULL GRAFT ADD-ON 113.11 193.38681 116.62739 (80.28) (3.52) 15260 SKIN FULL GRAFT EEN & LIPS 861.95 1055.094 900.82264 (193.14) (38.87) 15261 SKIN FULL GRAFT ADD-ON 141.57 223.95861 146.44665 (82.39) (4.88) 15271 Skin sub graft trnk/arm/leg 86.34 146.76707 88.444964 (60.43) (2.10) 15272 SKIN SUB GRAFT T/A/L ADD-ON 17.05 28.30594 18.146605 (11.26) (1.10) 15273 Skin sub grft t/arm/lg child 202.49 309.95083 210.99138 (107.46) (8.50) 15274 SKN SUB GRFT T/A/L CHILD ADD 43.94 74.294142 47.955125 (30.35) (4.02) 15275 Skin sub graft face/nk/hf/g 100.21 156.05608 100.36787 (55.85) (0.16) 15276 SKIN SUB GRAFT F/N/HF/G ADDL 25.03 35.551407 25.768344 (10.52) (0.74) 15277 Skn sub grft f/n/hf/g child 220.54 336.89739 235.30404 (116.36) (14.76) 15278 SKN SUB GRFT F/N/HF/G CH ADD 54.74 89.293096 60.320178 (34.55) (5.58) 15570 SKIN PEDICLE FLAP TRUNK 744.45 953.05459 770.56284 (208.60) (26.11) 15572 SKIN PEDICLE FLAP ARMS/LEGS 749.58 925.70455 782.34504 (176.12) (32.77) 15574 PEDCLE FH/CH/CH/M/N/AX/G/H/F 773.29 954.07386 805.44655 (180.78) (32.16) 15576 PEDICLE E/N/E/L/NTRORAL 679.03 841.1877 703.47227 (162.16) (24.44) 15600 DELAY FLAP TRUNK 207.69 340.94043 219.02842 (133.25) (11.34) 15610 DELAY FLAP ARMS/LEGS 241.7 374.84677 255.56865 (133.15) (13.87) 15620 DELAY FLAP F/C/C/N/AX/G/H/F 328.03 460.49816 343.1014 (132.47) (15.07) 15630 DELAY FLAP EYE/NOS/EAR/LIP 347.96 481.72905 364.70856 (133.77) (16.75) 15650 TRANSFER SKIN PEDICLE FLAP 386.06 531.41982 403.48745 (145.36) (17.43) 15731 FOREHEAD FLAP W/VASC PEDICLE 1020.27 1178.5122 1058.4815 (158.24) (38.21) 15732 MUSCLE-SKIN GRAFT HEAD/NECK 1147.42 1340.8027 1171.8567 (193.38) (24.44) 15734 MUSCLE-SKIN GRAFT TRUNK 1331 1565.4623 1380.7129 (234.46) (49.71) 15736 MUSCLE-SKIN GRAFT ARM 1154.86 1374.5154 1192.3999 (219.66) (37.54) 15738 MUSCLE-SKIN GRAFT LEG 1252.48 1460.2613 1289.0577 (207.78) (36.58) 15740 ISLAND PEDICLE FLAP GRAFT 854.11 1063.8915 896.07432 (209.78) (41.96) 15750 NEUROVASCULAR PEDICLE FLAP 919.29 966.57925 966.57925 (47.29) (47.29) 15756 FREE MYO/SKIN FLAP MICROVASC 2356.3 2435.9509 2435.9509 (79.65) (79.65) 15757 FREE SKIN FLAP MICROVASC 2323.21 2414.7504 2414.7504 (91.54) (91.54) 15758 FREE FASCIAL FLAP MICROVASC 2325.11 2408.6667 2408.6667 (83.56) (83.56) 15760 COMPOSITE SKIN GRAFT 714.82 892.15801 744.28325 (177.34) (29.46) 15770 DERMA-FAT-FASCIA GRAFT 683.17 702.29656 702.29656 (19.13) (19.13) 15777 ACELLULAR DERM MATRIX IMPLT 214.33 222.30996 222.30996 (7.98) (7.98) 15786 ABRASION LESION SINGLE 138.92 254.90597 140.51939 (115.99) (1.60) 15787 ABRASION LESIONS ADD-ON 17.77 51.33262 17.844442 (33.56) (0.07) 15792 CHEMICAL PEEL NONFACIAL 260.98 457.25206 270.99758 (196.27) (10.02) 15793 CHEMICAL PEEL NONFACIAL 363.84 516.71658 385.39777 (152.88) (21.56) 15820 REVISION OF LOWER EYELID 534.87 598.12265 534.90901 (63.25) (0.04) 15821 REVISION OF LOWER EYELID 567 631.75726 566.66226 (64.76) 0.34 15822 REVISION OF UPPER EYELID 401.47 466.06061 408.86731 (64.59) (7.40) 15823 REVISION OF UPPER EYELID 567.31 633.50937 567.66183 (66.20) (0.35) 15830 EXC SKIN ABD 1181 1227.2038 1227.2038 (46.20) (46.20) 15840 NERVE PALSY FASCIAL GRAFT 1028.85 1052.6595 1052.6595 (23.81) (23.81) 15841 NERVE PALSY MUSCLE GRAFT 1609.83 1676.7242 1676.7242 (66.89) (66.89) 15842 NERVE PALSY MICROSURG GRAFT 2661.87 2558.0813 2558.0813 103.79 103.79 15845 SKIN AND MUSCLE REPAIR FACE 1026.97 1051.2239 1051.2239 (24.25) (24.25) 15850 REMOVE SUTURES SAME SURGEON 39.22 91.154764 41.110633 (51.93) (1.89) 15851 REMOVE SUTURES DIFF SURGEON 46.36 103.36587 47.301394 (57.01) (0.94) 15852 DRESSING CHANGE NOT FOR BURN 46.76 49.386103 49.386103 (2.63) (2.63) 15860 TEST FOR BLOOD FLOW IN GRAFT 111.94 115.62782 115.62782 (3.69) (3.69) 15920 REMOVAL OF TAIL BONE ULCER 608.79 627.52805 627.52805 (18.74) (18.74) 15922 REMOVAL OF TAIL BONE ULCER 791.1 817.86602 817.86602 (26.77) (26.77) 15931 REMOVE SACRUM PRESSURE SORE 684.75 716.75098 716.75098 (32.00) (32.00) 15933 REMOVE SACRUM PRESSURE SORE 855.61 887.69574 887.69574 (32.09) (32.09) 15934 REMOVE SACRUM PRESSURE SORE 925.62 972.81261 972.81261 (47.19) (47.19) 15935 REMOVE SACRUM PRESSURE SORE 1096.92 1150.0008 1150.0008 (53.08) (53.08) 15936 REMOVE SACRUM PRESSURE SORE 899.09 926.72811 926.72811 (27.64) (27.64) 15937 REMOVE SACRUM PRESSURE SORE 1048 1073.5865 1073.5865 (25.59) (25.59) 15940 REMOVE HIP PRESSURE SORE 702.46 729.70066 729.70066 (27.24) (27.24) 15941 REMOVE HIP PRESSURE SORE 909.85 943.65639 943.65639 (33.81) (33.81) 15944 REMOVE HIP PRESSURE SORE 895.82 938.25935 938.25935 (42.44) (42.44) 15945 REMOVE HIP PRESSURE SORE 986.45 1021.318 1021.318 (34.87) (34.87) 15946 REMOVE HIP PRESSURE SORE 1654.52 1707.7449 1707.7449 (53.22) (53.22) 15950 REMOVE THIGH PRESSURE SORE 593.26 616.7916 616.7916 (23.53) (23.53) 15951 REMOVE THIGH PRESSURE SORE 890.19 920.02396 920.02396 (29.83) (29.83) 15952 REMOVE THIGH PRESSURE SORE 923.94 945.61687 945.61687 (21.68) (21.68) 15953 REMOVE THIGH PRESSURE SORE 1007.84 1040.8784 1040.8784 (33.04) (33.04) 15956 REMOVE THIGH PRESSURE SORE 1170.51 1202.0455 1202.0455 (31.54) (31.54) 15958 REMOVE THIGH PRESSURE SORE 1185.97 1230.0543 1230.0543 (44.08) (44.08) 16000 INITIAL TREATMENT OF BURN(S) 45.95 71.283968 47.578854 (25.33) (1.63) 16020 DRESS/DEBRID P-THICK BURN S 54.52 85.527158 56.930511 (31.01) (2.41) 16025 DRESS/DEBRID P-THICK BURN M 112.54 153.79845 116.54755 (41.26) (4.01) 16030 DRESS/DEBRID P-THICK BURN L 136.1 189.94022 137.63846 (53.84) (1.54) 16035 INCISION OF BURN SCAB INITI 198.83 202.16421 202.16421 (3.33) (3.33) 16036 ESCHAROTOMY ADDL INCISION 82.07 84.207164 84.207164 (2.14) (2.14) 17000 DESTRUCT PREMALG LESION 52.51 69.185296 55.263245 (16.68) (2.75) 17003 DESTRUCT PREMALG LES 2-14 2.45 5.9297693 2.5433244 (3.48) (0.09) 17004 DESTROY PREMAL LESIONS 15/> 99.06 156.83834 104.1603 (57.78) (5.10) 17106 DESTRUCTION OF SKIN LESIONS 271.65 356.61675 289.26412 (84.97) (17.61) 17107 DESTRUCTION OF SKIN LESIONS 348.95 448.90355 360.47971 (99.95) (11.53) 17108 DESTRUCTION OF SKIN LESIONS 521.97 667.65272 550.63223 (145.68) (28.66) 17110 DESTRUCT B9 LESION 1-14 68.86 115.69477 72.799795 (46.83) (3.94) 17111 DESTRUCT LESION 15 OR MORE 84.58 137.35133 89.564828 (52.77) (4.98) 17250 CHEMICAL CAUTERY TISSUE 37.26 83.313205 38.536877 (46.05) (1.28) 17260 DESTRUCTION OF SKIN LESIONS 68.8 97.859273 72.649072 (29.06) (3.85) 17261 DESTRUCTION OF SKIN LESIONS 91.04 149.60934 95.802489 (58.57) (4.76) 17262 DESTRUCTION OF SKIN LESIONS 115.51 182.29879 121.71905 (66.79) (6.21) 17263 DESTRUCTION OF SKIN LESIONS 128.1 198.45949 134.49331 (70.36) (6.39) 17264 DESTRUCTION OF SKIN LESIONS 137.22 213.21393 143.60367 (75.99) (6.38) 17266 DESTRUCTION OF SKIN LESIONS 160.62 241.42929 168.43259 (80.81) (7.81) 17270 DESTRUCTION OF SKIN LESIONS 99.42 156.83834 104.53657 (57.42) (5.12) 17271 DESTRUCTION OF SKIN LESIONS 110.65 170.05474 115.87162 (59.40) (5.22) 17272 DESTRUCTION OF SKIN LESIONS 127.06 193.6009 133.39743 (66.54) (6.34) 17273 DESTRUCTION OF SKIN LESIONS 144.21 216.36981 150.89854 (72.16) (6.69) 17274 DESTRUCTION OF SKIN LESIONS 174.92 254.46454 183.72547 (79.54) (8.81) 17276 DESTRUCTION OF SKIN LESIONS 211.33 294.27595 220.5267 (82.95) (9.20) 17280 DESTRUCTION OF SKIN LESIONS 90.33 146.97543 95.049945 (56.65) (4.72) 17281 DESTRUCTION OF SKIN LESIONS 124.28 185.02899 130.09333 (60.75) (5.81) 17282 DESTRUCTION OF SKIN LESIONS 143.51 212.62356 150.53874 (69.11) (7.03) 17283 DESTRUCTION OF SKIN LESIONS 178.44 253.98122 187.38114 (75.54) (8.94) 17284 DESTRUCTION OF SKIN LESIONS 208.48 290.2193 218.72768 (81.74) (10.25) 17286 DESTRUCTION OF SKIN LESIONS 281.2 372.67936 294.79113 (91.48) (13.59) 17311 MOHS 1 STAGE H/N/HF/G 374.95 688.40637 393.78566 (313.46) (18.84) 17312 MOHS ADDL STAGE 198.98 405.49591 209.83464 (206.52) (10.85) 17313 MOHS 1 STAGE T/A/L 336.5 644.50538 353.27112 (308.01) (16.77) 17314 MOHS ADDL STAGE T/A/L 184.65 389.40931 194.50059 (204.76) (9.85) 17315 MOHS SURG ADDL BLOCK 52.09 82.956624 55.112521 (30.87) (3.02) 17340 CRYOTHERAPY OF SKIN 49.02 53.469958 50.836056 (4.45) (1.82) 19000 DRAINAGE OF BREAST LESION 43.88 118.77654 45.403567 (74.90) (1.52) 19001 DRAIN BREAST LESION ADD-ON 21.57 28.157722 22.889919 (6.59) (1.32) 19020 INCISION OF BREAST LESION 303.77 495.87092 320.15205 (192.10) (16.38) 19030 INJECTION FOR BREAST X-RAY 77.12 173.93274 82.122454 (96.81) (5.00) 19081 Bx breast 1st lesion strtctc 183.02 704.84597 176.93683 (521.83) 6.08 19082 Bx breast add lesion strtctc 86.79 576.87029 85.835765 (490.08) 0.95 19083 Bx breast 1st lesion us imag 171.39 688.15827 173.7949 (516.77) (2.40) 19084 Bx breast add lesion us imag 81.55 555.96376 81.108919 (474.41) 0.44 19085 Bx breast 1st lesion mr imag 200 1105.3107 227.46893 (905.31) (27.47) 19086 Bx breast add lesion mr imag 88.31 871.66714 98.805144 (783.36) (10.50) 19100 BX BREAST PERCUT W/O IMAGE 69.19 158.26108 72.847411 (89.07) (3.66) 19101 BIOPSY OF BREAST OPEN 219.59 357.53398 231.48297 (137.94) (11.89) 19105 CRYOSURG ABLATE FA EACH 189.9 2621.3465 213.58411 (2431.45) (23.68) 19110 NIPPLE EXPLORATION 339.52 507.94276 357.81036 (168.42) (18.29) 19112 EXCISE BREAST DUCT FISTULA 310.66 484.11592 327.96318 (173.46) (17.30) 19120 REMOVAL OF BREAST LESION 410.59 514.87425 431.71821 (104.28) (21.13) 19125 EXCISION BREAST LESION 455.77 570.70638 479.27236 (114.94) (23.50) 19126 EXCISION ADDL BREAST LESION 160.83 168.8375 168.8375 (8.01) (8.01) 19260 REMOVAL OF CHEST WALL LESION 1208.03 1259.851 1259.851 (51.82) (51.82) 19271 REVISION OF CHEST WALL 1626.86 1709.5704 1709.5704 (82.71) (82.71) 19272 EXTENSIVE CHEST WALL SURGERY 1817.52 1874.3348 1874.3348 (56.81) (56.81) 19281 Perq device breast 1st imag 101.85 252.47793 106.86079 (150.63) (5.01) 19282 Perq device breast ea imag 48.48 181.05398 57.636871 (132.57) (9.16) 19283 Perq dev breast 1st strtctc 102.93 287.84746 107.23707 (184.92) (4.31) 19284 Perq dev breast add strtctc 48.83 217.55233 58.013143 (168.72) (9.18) 19285 Perq dev breast 1st us imag 87.27 473.14031 91.224577 (385.87) (3.95) 19286 Perq dev breast add us imag 41.93 406.68773 50.358467 (364.76) (8.43) 19287 Perq dev breast 1st mr guide 142.77 927.99655 147.23285 (785.23) (4.46) 19288 Perq dev breast add mr guide 62.7 746.88171 72.226617 (684.18) (9.53) 19296 PLACE PO BREAST CATH FOR RAD 208.91 4169.0374 219.69002 (3960.13) (10.78) 19297 PLACE BREAST CATH FOR RAD 93.64 98.574583 98.574583 (4.93) (4.93) 19298 PLACE BREAST RAD TUBE/CATHS 322.73 1104.4418 340.61035 (781.71) (17.88) 19300 REMOVAL OF BREAST TISSUE 410.06 548.33128 432.43961 (138.27) (22.38) 19301 PARTIAL MASTECTOMY 647.8 680.56052 680.56052 (32.76) (32.76) 19302 P-MASTECTOMY W/LN REMOVAL 891.99 938.05385 938.05385 (46.06) (46.06) 19303 MAST SIMPLE COMPLETE 1003.06 1053.6323 1053.6323 (50.57) (50.57) 19304 MAST SUBQ 568.06 600.7741 600.7741 (32.71) (32.71) 19305 MAST RADICAL 1123.49 1176.5682 1176.5682 (53.08) (53.08) 19306 MAST RAD URBAN TYPE 1191.07 1250.0769 1250.0769 (59.01) (59.01) 19307 MAST MOD RAD 1188.01 1248.179 1248.179 (60.17) (60.17) 19316 SUSPENSION OF BREAST 777.5 805.2167 805.2167 (27.72) (27.72) 19318 REDUCTION OF LARGE BREAST 1120.12 1154.6915 1154.6915 (34.57) (34.57) 19324 ENLARGE BREAST 487.24 512.85684 512.85684 (25.62) (25.62) 19325 ENLARGE BREAST WITH IMPLANT 652.99 672.46906 672.46906 (19.48) (19.48) 19328 REMOVAL OF BREAST IMPLANT 501.15 519.03543 519.03543 (17.89) (17.89) 19330 REMOVAL OF IMPLANT MATERIAL 640.56 663.10344 663.10344 (22.54) (22.54) 19340 IMMEDIATE BREAST PROSTHESIS 1018.34 1051.2278 1051.2278 (32.89) (32.89) 19342 DELAYED BREAST PROSTHESIS 935.58 966.51266 966.51266 (30.93) (30.93) 19350 BREAST RECONSTRUCTION 682.07 862.54461 705.26306 (180.47) (23.19) 19355 CORRECT INVERTED NIPPLE(S) 566.54 732.94247 595.97959 (166.40) (29.44) 19357 BREAST RECONSTRUCTION 1525.3 1580.8676 1580.8676 (55.57) (55.57) 19361 BREAST RECONSTR W/LAT FLAP 1601.69 1648.4243 1648.4243 (46.73) (46.73) 19364 BREAST RECONSTRUCTION 2804.03 2884.6006 2884.6006 (80.57) (80.57) 19366 BREAST RECONSTRUCTION 1419.71 1471.9515 1471.9515 (52.24) (52.24) 19367 BREAST RECONSTRUCTION 1822.69 1875.5897 1875.5897 (52.90) (52.90) 19368 BREAST RECONSTRUCTION 2241.78 2305.2847 2305.2847 (63.50) (63.50) 19369 BREAST RECONSTRUCTION 2080.14 2139.0324 2139.0324 (58.89) (58.89) 19370 SURGERY OF BREAST CAPSULE 694.56 718.66062 718.66062 (24.10) (24.10) 19371 REMOVAL OF BREAST CAPSULE 795.04 822.16468 822.16468 (27.12) (27.12) 19380 REVISE BREAST RECONSTRUCTION 783.15 809.8655 809.8655 (26.72) (26.72) 19396 DESIGN CUSTOM BREAST IMPLANT 149.72 307.49092 152.84327 (157.77) (3.12) 20005 I&D ABSCESS SUBFASCIAL 234.24 322.38426 243.74348 (88.14) (9.50) 20100 EXPLORE WOUND NECK 605.72 636.66848 636.66848 (30.95) (30.95) 20101 EXPLORE WOUND CHEST 207.42 475.96074 218.59092 (268.54) (11.17) 20102 EXPLORE WOUND ABDOMEN 255.06 515.84375 266.75191 (260.78) (11.69) 20103 EXPLORE WOUND EXTREMITY 350.18 611.36054 364.15006 (261.18) (13.97) 20150 EXCISE EPIPHYSEAL BAR 914.92 954.83249 954.83249 (39.91) (39.91) 20200 MUSCLE BIOPSY 95.54 219.10754 99.829419 (123.57) (4.29) 20205 DEEP MUSCLE BIOPSY 155.33 303.91831 163.19271 (148.59) (7.86) 20206 NEEDLE BIOPSY MUSCLE 59.75 250.97714 62.465034 (191.23) (2.72) 20220 BONE BIOPSY TROCAR/NEEDLE 72.89 177.49461 75.901262 (104.60) (3.01) 20225 BONE BIOPSY TROCAR/NEEDLE 111.12 558.92775 115.30346 (447.81) (4.18) 20240 BONE BIOPSY EXCISIONAL 220.33 226.72569 226.72569 (6.40) (6.40) 20245 BONE BIOPSY EXCISIONAL 623.63 646.4519 646.4519 (22.82) (22.82) 20250 OPEN BONE BIOPSY 389.62 413.25548 413.25548 (23.64) (23.64) 20251 OPEN BONE BIOPSY 423.99 442.21265 442.21265 (18.22) (18.22) 20500 INJECTION OF SINUS TRACT 84.36 108.59573 88.277055 (24.24) (3.92) 20501 INJECT SINUS TRACT FOR X-RAY 38.22 125.00275 39.965349 (86.78) (1.75) 20520 REMOVAL OF FOREIGN BODY 147.09 214.08998 153.88652 (67.00) (6.80) 20525 REMOVAL OF FOREIGN BODY 249.12 507.0019 260.92023 (257.88) (11.80) 20526 THER INJECTION CARP TUNNEL 56.66 81.18804 60.86937 (24.53) (4.21) 20527 INJ DUPUYTREN CORD W/ENZYME 65.19 88.213687 69.776376 (23.02) (4.59) 20550 INJ TENDON SHEATH/LIGAMENT 41.48 61.028328 43.34356 (19.55) (1.86) 20551 INJ TENDON ORIGIN/INSERTION 42.56 62.909686 44.472375 (20.35) (1.91) 20552 INJ TRIGGER POINT 1/2 MUSCL 38.04 57.814803 39.753764 (19.77) (1.71) 20553 INJECT TRIGGER POINTS 3/> 42.9 66.697106 44.873349 (23.80) (1.97) 20555 Place ndl musc/tis for rt 332.58 346.90242 346.90242 (14.32) (14.32) 20600 DRAIN/INJ JOINT/BURSA W/O US 35.53 49.536827 37.119862 (14.01) (1.59) 20604 Drain/inj joint/bursa w/us 44.8 74.36825 46.900419 (29.57) (2.10) 20605 DRAIN/INJ JOINT/BURSA W/O US 37.3 51.76152 38.592011 (14.46) (1.29) 20606 Drain/inj joint/bursa w/us 50.7 81.712529 53.115883 (31.01) (2.42) 20610 DRAIN/INJ JOINT/BURSA W/O US 46.13 62.393432 48.095108 (16.26) (1.97) 20611 Drain/inj joint/bursa w/us 59.92 93.865996 62.635448 (33.95) (2.72) 20612 ASPIRATE/INJ GANGLION CYST 41.58 63.343598 43.777472 (21.76) (2.20) 20615 TREATMENT OF BONE CYST 163.16 259.56444 173.02195 (96.40) (9.86) 20650 INSERT AND REMOVE BONE PIN 154.63 216.37554 163.69751 (61.75) (9.07) 20660 APPLY REM FIXATION DEVICE 243.31 259.26013 259.26013 (15.95) (15.95) 20661 APPLICATION OF HEAD BRACE 507.62 535.42097 535.42097 (27.80) (27.80) 20662 APPLICATION OF PELVIS BRACE 437.73 487.50022 487.50022 (49.77) (49.77) 20663 APPLICATION OF THIGH BRACE 452.02 413.48031 413.48031 38.54 38.54 20664 APPLICATION OF HALO 873.71 929.31189 929.31189 (55.60) (55.60) 20665 REMOVAL OF FIXATION DEVICE 89.96 108.88965 93.838787 (18.93) (3.88) 20670 REMOVAL OF SUPPORT IMPLANT 148.01 402.75854 154.79551 (254.75) (6.79) 20680 REMOVAL OF SUPPORT IMPLANT 427.06 651.85861 445.28547 (224.80) (18.23) 20690 APPLY BONE FIXATION DEVICE 594.09 624.48816 624.48816 (30.40) (30.40) 20692 APPLY BONE FIXATION DEVICE 1122.31 1175.3237 1175.3237 (53.01) (53.01) 20693 ADJUST BONE FIXATION DEVICE 451.32 471.03412 471.03412 (19.71) (19.71) 20694 REMOVE BONE FIXATION DEVICE 339.17 447.09057 355.65656 (107.92) (16.49) 20696 COMP MULTIPLANE EXT FIXATION 1128.81 1271.4291 1271.4291 (142.62) (142.62) 20697 COMP EXT FIXATE STRUT CHANGE 1864.48 2259.1104 2259.1104 (394.63) (394.63) 20802 REPLANTATION ARM COMPLETE 2309.03 2902.9609 2902.9609 (593.93) (593.93) 20805 REPLANT FOREARM COMPLETE 3066.65 3449.8645 3449.8645 (383.21) (383.21) 20808 REPLANTATION HAND COMPLETE 3984.08 4175.5948 4175.5948 (191.51) (191.51) 20816 REPLANTATION DIGIT COMPLETE 1990.23 2206.9407 2206.9407 (216.71) (216.71) 20822 REPLANTATION DIGIT COMPLETE 1834.08 1887.4352 1887.4352 (53.36) (53.36) 20824 REPLANTATION THUMB COMPLETE 2148.5 2134.3203 2134.3203 14.18 14.18 20827 REPLANTATION THUMB COMPLETE 1828.87 1940.2737 1940.2737 (111.40) (111.40) 20838 REPLANTATION FOOT COMPLETE 2604.41 2266.3891 2266.3891 338.02 338.02 20900 REMOVAL OF BONE FOR GRAFT 192.55 444.12264 199.92234 (251.57) (7.37) 20902 REMOVAL OF BONE FOR GRAFT 288.17 301.13333 301.13333 (12.96) (12.96) 20910 REMOVE CARTILAGE FOR GRAFT 412.54 481.23391 481.23391 (68.69) (68.69) 20912 REMOVE CARTILAGE FOR GRAFT 485.48 504.20689 504.20689 (18.73) (18.73) 20920 REMOVAL OF FASCIA FOR GRAFT 397.1 414.18596 414.18596 (17.09) (17.09) 20922 REMOVAL OF FASCIA FOR GRAFT 502.12 633.80223 522.80209 (131.68) (20.68) 20924 REMOVAL OF TENDON FOR GRAFT 506.4 534.94088 534.94088 (28.54) (28.54) 20926 REMOVAL OF TISSUE FOR GRAFT 441.21 451.86324 451.86324 (10.65) (10.65) 20931 SP BONE ALGRFT STRUCT ADD-ON 113.59 118.95412 118.95412 (5.36) (5.36) 20937 SP BONE AGRFT MORSEL ADD-ON 169.07 177.59879 177.59879 (8.53) (8.53) 20938 SP BONE AGRFT STRUCT ADD-ON 185.41 196.64365 196.64365 (11.23) (11.23) 20950 FLUID PRESSURE MUSCLE 91.42 261.87577 95.563694 (170.46) (4.14) 20955 FIBULA BONE GRAFT MICROVASC 2531.68 2648.9908 2648.9908 (117.31) (117.31) 20956 ILIAC BONE GRAFT MICROVASC 2660.26 2790.9097 2790.9097 (130.65) (130.65) 20957 MT BONE GRAFT MICROVASC 2292.26 2203.0484 2203.0484 89.21 89.21 20962 OTHER BONE GRAFT MICROVASC 2199.34 2123.8269 2123.8269 75.51 75.51 20969 BONE/SKIN GRAFT MICROVASC 2803.66 2894.2738 2894.2738 (90.61) (90.61) 20970 BONE/SKIN GRAFT ILIAC CREST 2878.5 3019.1519 3019.1519 (140.65) (140.65) 20972 BONE/SKIN GRAFT METATARSAL 2189.87 2404.6169 2404.6169 (214.75) (214.75) 20973 BONE/SKIN GRAFT GREAT TOE 2818.76 2656.2631 2656.2631 162.50 162.50 20974 ELECTRICAL BONE STIMULATION 49.67 80.333463 52.48936 (30.66) (2.82) 20975 ELECTRICAL BONE STIMULATION 177.52 187.91709 187.91709 (10.40) (10.40) 20979 US BONE STIMULATION 32.75 54.117961 33.42302 (21.37) (0.67) 20982 ABLATE BONE TUMOR(S) PERQ 380.42 3999.7162 399.17268 (3619.30) (18.75) 20983 Ablate bone tumor(s) perq 397.62 7375.4799 415.20665 (6977.86) (17.59) 20985 CPTR-ASST DIR MS PX 148.1 154.93943 154.93943 (6.84) (6.84) 21010 INCISION OF JAW JOINT 750.81 800.32768 800.32768 (49.52) (49.52) 21011 EXC FACE LES SC <2 CM 257 367.4291 273.36118 (110.43) (16.36) 21012 EXC FACE LES SBQ 2 CM/> 335.2 355.17897 355.17897 (19.98) (19.98) 21013 EXC FACE TUM DEEP < 2 CM 397.84 545.00498 421.58787 (147.16) (23.75) 21014 EXC FACE TUM DEEP 2 CM/> 518.07 546.86951 546.86951 (28.80) (28.80) 21015 RESECT FACE/SCALP TUM < 2 CM 715.6 741.43848 741.43848 (25.84) (25.84) 21016 RESECT FACE/SCALP TUM 2 CM/> 1042.13 1071.2243 1071.2243 (29.09) (29.09) 21025 EXCISION OF BONE LOWER JAW 759.16 947.70122 799.07392 (188.54) (39.91) 21026 EXCISION OF FACIAL BONE(S) 505.05 658.55417 531.37435 (153.50) (26.32) 21029 CONTOUR OF FACE BONE LESION 657.33 808.96188 671.99899 (151.63) (14.67) 21030 EXCISE MAX/ZYGOMA B9 TUMOR 424.9 552.51323 444.52326 (127.61) (19.62) 21031 REMOVE EXOSTOSIS MANDIBLE 296.93 422.2058 315.72092 (125.28) (18.79) 21032 REMOVE EXOSTOSIS MAXILLA 294 427.78401 311.51606 (133.78) (17.52) 21034 EXCISE MAX/ZYGOMA MAL TUMOR 1169.56 1395.4409 1227.2474 (225.88) (57.69) 21040 EXCISE MANDIBLE LESION 425.6 557.75633 446.37992 (132.16) (20.78) 21044 REMOVAL OF JAW BONE LESION 888.91 928.42688 928.42688 (39.52) (39.52) 21045 EXTENSIVE JAW SURGERY 1235.02 1293.4258 1293.4258 (58.41) (58.41) 21046 REMOVE MANDIBLE CYST COMPLEX 1122.28 1190.8386 1190.8386 (68.56) (68.56) 21047 EXCISE LWR JAW CYST W/REPAIR 1314.24 1396.197 1396.197 (81.96) (81.96) 21048 REMOVE MAXILLA CYST COMPLEX 1152.72 1222.9541 1222.9541 (70.23) (70.23) 21049 EXCIS UPPR JAW CYST W/REPAIR 1224.19 1276.1567 1276.1567 (51.97) (51.97) 21050 REMOVAL OF JAW JOINT 873.04 887.67032 887.67032 (14.63) (14.63) 21060 REMOVE JAW JOINT CARTILAGE 838.12 858.57568 858.57568 (20.46) (20.46) 21070 REMOVE CORONOID PROCESS 618.63 650.27727 650.27727 (31.65) (31.65) 21073 Mnpj of tmj w/anesth 260.49 420.75585 269.49464 (160.27) (9.00) 21076 PREPARE FACE/ORAL PROSTHESIS 838.86 1064.5613 888.84246 (225.70) (49.98) 21077 PREPARE FACE/ORAL PROSTHESIS 2122.21 2673.7066 2246.6383 (551.50) (124.43) 21079 PREPARE FACE/ORAL PROSTHESIS 1399.98 1798.8739 1486.5684 (398.89) (86.59) 21080 PREPARE FACE/ORAL PROSTHESIS 1562.5 2013.5994 1650.1209 (451.10) (87.62) 21081 PREPARE FACE/ORAL PROSTHESIS 1436.83 1863.9861 1523.4602 (427.16) (86.63) 21082 PREPARE FACE/ORAL PROSTHESIS 1354.95 1768.3501 1434.5971 (413.40) (79.65) 21083 PREPARE FACE/ORAL PROSTHESIS 1218.85 1686.5158 1332.8205 (467.67) (113.97) 21084 PREPARE FACE/ORAL PROSTHESIS 1453.22 1928.2842 1541.4769 (475.06) (88.26) 21085 PREPARE FACE/ORAL PROSTHESIS 650.12 811.26712 603.94144 (161.15) 46.18 21086 PREPARE FACE/ORAL PROSTHESIS 1565.29 1988.1117 1656.9926 (422.82) (91.70) 21087 PREPARE FACE/ORAL PROSTHESIS 1565.29 1988.1117 1656.9926 (422.82) (91.70) 21100 MAXILLOFACIAL FIXATION 383.01 1237.5557 556.504 (854.55) (173.49) 21110 INTERDENTAL FIXATION 682.14 866.33346 724.10277 (184.19) (41.96) 21116 INJECTION JAW JOINT X-RAY 42.76 157.9335 46.557085 (115.17) (3.80) 21120 RECONSTRUCTION OF CHIN 536.99 637.89145 508.454 (100.90) 28.54 21121 RECONSTRUCTION OF CHIN 637.85 851.68321 708.32371 (213.83) (70.47) 21122 RECONSTRUCTION OF CHIN 696.62 676.93921 676.93921 19.68 19.68 21123 RECONSTRUCTION OF CHIN 880.62 815.52282 815.52282 65.10 65.10 21125 AUGMENTATION LOWER JAW BONE 816.02 3364.3359 772.20039 (2548.32) 43.82 21127 AUGMENTATION LOWER JAW BONE 870.59 4660.6351 935.92188 (3790.05) (65.33) 21137 REDUCTION OF FOREHEAD 764.38 724.58179 724.58179 39.80 39.80 21138 REDUCTION OF FOREHEAD 919.73 928.57366 928.57366 (8.84) (8.84) 21139 REDUCTION OF FOREHEAD 1077.85 1184.6435 1184.6435 (106.79) (106.79) 21141 LEFORT I-1 PIECE W/O GRAFT 1383.7 1424.4142 1424.4142 (40.71) (40.71) 21142 LEFORT I-2 PIECE W/O GRAFT 1423.23 1525.2943 1525.2943 (102.06) (102.06) 21143 LEFORT I-3/> PIECE W/O GRAFT 1442.38 1537.2756 1537.2756 (94.90) (94.90) 21145 LEFORT I-1 PIECE W/ GRAFT 1516.36 1726.6154 1726.6154 (210.26) (210.26) 21146 LEFORT I-2 PIECE W/ GRAFT 1760.27 1798.111 1798.111 (37.84) (37.84) 21147 LEFORT I-3/> PIECE W/ GRAFT 1515.26 1899.0857 1899.0857 (383.83) (383.83) 21150 LEFORT II ANTERIOR INTRUSION 1812.33 1770.0889 1770.0889 42.24 42.24 21151 LEFORT II W/BONE GRAFTS 2054.07 2168.527 2168.527 (114.46) (114.46) 21154 LEFORT III W/O LEFORT I 2237.04 2331.3402 2331.3402 (94.30) (94.30) 21155 LEFORT III W/ LEFORT I 2252.76 2488.5723 2488.5723 (235.81) (235.81) 21159 LEFORT III W/FHDW/O LEFORT I 2503.99 2531.6603 2531.6603 (27.67) (27.67) 21160 LEFORT III W/FHD W/ LEFORT I 2619.61 2745.195 2745.195 (125.58) (125.58) 21172 RECONSTRUCT ORBIT/FOREHEAD 1885.18 1863.9148 1863.9148 21.27 21.27 21175 RECONSTRUCT ORBIT/FOREHEAD 2164.94 2406.7782 2406.7782 (241.84) (241.84) 21179 RECONSTRUCT ENTIRE FOREHEAD 1572.25 1376.2109 1376.2109 196.04 196.04 21180 RECONSTRUCT ENTIRE FOREHEAD 1541.18 1605.655 1605.655 (64.48) (64.48) 21181 CONTOUR CRANIAL BONE LESION 727.23 776.69023 776.69023 (49.46) (49.46) 21182 RECONSTRUCT CRANIAL BONE 1927.27 2007.8626 2007.8626 (80.59) (80.59) 21183 RECONSTRUCT CRANIAL BONE 2406.72 2348.4872 2348.4872 58.23 58.23 21184 RECONSTRUCT CRANIAL BONE 2228.97 2524.7836 2524.7836 (295.81) (295.81) 21188 RECONSTRUCTION OF MIDFACE 1582.46 1648.1733 1648.1733 (65.71) (65.71) 21193 RECONST LWR JAW W/O GRAFT 1310.93 1249.504 1249.504 61.43 61.43 21194 RECONST LWR JAW W/GRAFT 1373.85 1580.1111 1580.1111 (206.26) (206.26) 21195 RECONST LWR JAW W/O FIXATION 1344.74 1415.8308 1415.8308 (71.09) (71.09) 21196 RECONST LWR JAW W/FIXATION 1491.76 1562.1031 1562.1031 (70.34) (70.34) 21198 RECONSTR LWR JAW SEGMENT 1173.98 1231.4913 1231.4913 (57.51) (57.51) 21199 RECONSTR LWR JAW W/ADVANCE 1057.18 1055.1721 1055.1721 2.01 2.01 21206 RECONSTRUCT UPPER JAW BONE 1218.12 1310.6376 1310.6376 (92.52) (92.52) 21208 AUGMENTATION OF FACIAL BONES 869.99 2040.8739 893.62157 (1170.88) (23.63) 21209 REDUCTION OF FACIAL BONES 644.54 858.10704 651.5339 (213.57) (6.99) 21210 FACE BONE GRAFT 867.87 2462.5319 922.82827 (1594.66) (54.96) 21215 LOWER JAW BONE GRAFT 932.67 4419.137 957.81402 (3486.47) (25.14) 21230 RIB CARTILAGE GRAFT 743.24 800.06418 800.06418 (56.82) (56.82) 21235 EAR CARTILAGE GRAFT 572.58 766.54629 597.60031 (193.97) (25.02) 21240 RECONSTRUCTION OF JAW JOINT 1111.69 1186.2571 1186.2571 (74.57) (74.57) 21242 RECONSTRUCTION OF JAW JOINT 1019.72 1087.293 1087.293 (67.57) (67.57) 21243 RECONSTRUCTION OF JAW JOINT 1688.65 1801.0521 1801.0521 (112.40) (112.40) 21244 RECONSTRUCTION OF LOWER JAW 1081.55 1130.2442 1130.2442 (48.69) (48.69) 21245 RECONSTRUCTION OF JAW 894.25 1167.7332 930.30573 (273.48) (36.06) 21246 RECONSTRUCTION OF JAW 826.73 948.85582 948.85582 (122.13) (122.13) 21247 RECONSTRUCT LOWER JAW BONE 1599.49 1603.2008 1603.2008 (3.71) (3.71) 21248 RECONSTRUCTION OF JAW 909.24 1182.5642 963.57409 (273.32) (54.33) 21249 RECONSTRUCTION OF JAW 1296.2 1621.3378 1372.2459 (325.14) (76.05) 21255 RECONSTRUCT LOWER JAW BONE 1398.65 1390.7262 1390.7262 7.92 7.92 21256 RECONSTRUCTION OF ORBIT 1239.11 1259.9702 1259.9702 (20.86) (20.86) 21260 REVISE EYE SOCKETS 1348.65 1207.7236 1207.7236 140.93 140.93 21261 REVISE EYE SOCKETS 2191.29 2138.6959 2138.6959 52.59 52.59 21263 REVISE EYE SOCKETS 1881.56 1977.1894 1977.1894 (95.63) (95.63) 21267 REVISE EYE SOCKETS 1679.67 1665.0232 1665.0232 14.65 14.65 21268 REVISE EYE SOCKETS 1806.16 1943.5846 1943.5846 (137.42) (137.42) 21270 AUGMENTATION CHEEK BONE 737.7 1019.5272 762.53368 (281.83) (24.83) 21275 REVISION ORBITOFACIAL BONES 851.5 878.26353 878.26353 (26.76) (26.76) 21280 REVISION OF EYELID 594.95 597.01424 597.01424 (2.06) (2.06) 21282 REVISION OF EYELID 391.64 399.66065 399.66065 (8.02) (8.02) 21295 REVISION OF JAW MUSCLE/BONE 207.16 200.14323 200.14323 7.02 7.02 21296 REVISION OF JAW MUSCLE/BONE 467.6 444.20714 444.20714 23.39 23.39 21310 CLOSED TX NOSE FX W/O MANJ 27.83 140.32534 28.196388 (112.50) (0.37) 21315 CLOSED TX NOSE FX W/O STABLJ 154.03 295.83151 160.74999 (141.80) (6.72) 21320 CLOSED TX NOSE FX W/ STABLJ 136.31 272.04405 142.23033 (135.73) (5.92) 21325 OPEN TX NOSE FX UNCOMPLICATD 476.35 505.92321 505.92321 (29.57) (29.57) 21330 OPEN TX NOSE FX W/SKELE FIXJ 567.56 608.21361 608.21361 (40.65) (40.65) 21335 OPEN TX NOSE & SEPTAL FX 735.87 766.46037 766.46037 (30.59) (30.59) 21336 OPEN TX SEPTAL FX W/WO STABJ 652.23 683.26029 683.26029 (31.03) (31.03) 21337 CLOSED TX SEPTAL&NOSE FX 299.11 430.76124 313.36448 (131.65) (14.25) 21338 OPEN NASOETHMOID FX W/O FIXJ 727.49 798.69084 798.69084 (71.20) (71.20) 21339 OPEN NASOETHMOID FX W/ FIXJ 783.53 902.97788 902.97788 (119.45) (119.45) 21340 PERQ TX NASOETHMOID FX 754.75 843.02109 843.02109 (88.27) (88.27) 21343 OPEN TX DPRSD FRONT SINUS FX 1233.3 1284.6265 1284.6265 (51.33) (51.33) 21344 OPEN TX COMPL FRONT SINUS FX 1577.61 1462.0295 1462.0295 115.58 115.58 21345 CLOSED TX NOSE/JAW FX 627.28 823.98876 661.06313 (196.71) (33.78) 21346 OPN TX NASOMAX FX W/FIXJ 917.47 955.09634 955.09634 (37.63) (37.63) 21347 OPN TX NASOMAX FX MULTPLE 1114.73 1201.9886 1201.9886 (87.26) (87.26) 21348 OPN TX NASOMAX FX W/GRAFT 1188.01 1268.69 1268.69 (80.68) (80.68) 21355 PERQ TX MALAR FRACTURE 324.16 511.62814 378.42798 (187.47) (54.27) 21356 OPN TX DPRSD ZYGOMATIC ARCH 380.8 531.67258 399.60122 (150.87) (18.80) 21360 OPN TX DPRSD MALAR FRACTURE 539.08 566.9791 566.9791 (27.90) (27.90) 21365 OPN TX COMPLX MALAR FX 1128.57 1169.3997 1169.3997 (40.83) (40.83) 21366 OPN TX COMPLX MALAR W/GRFT 1199.92 1215.3184 1215.3184 (15.40) (15.40) 21385 OPN TX ORBIT FX TRANSANTRAL 688.9 718.02085 718.02085 (29.12) (29.12) 21386 OPN TX ORBIT FX PERIORBITAL 708.33 731.09727 731.09727 (22.77) (22.77) 21387 OPN TX ORBIT FX COMBINED 742.66 748.21387 748.21387 (5.55) (5.55) 21390 OPN TX ORBIT PERIORBTL IMPLT 815.88 832.93658 832.93658 (17.06) (17.06) 21395 OPN TX ORBIT PERIORBT W/GRFT 990.8 1058.1142 1058.1142 (67.31) (67.31) 21400 CLOSED TX ORBIT W/O MANIPULJ 157.83 205.79232 166.28379 (47.96) (8.45) 21401 CLOSED TX ORBIT W/MANIPULJ 313.28 522.64886 324.35369 (209.37) (11.07) 21406 OPN TX ORBIT FX W/O IMPLANT 517.19 602.62932 602.62932 (85.44) (85.44) 21407 OPN TX ORBIT FX W/IMPLANT 662.89 677.65452 677.65452 (14.76) (14.76) 21408 OPN TX ORBIT FX W/BONE GRFT 916.78 944.64523 944.64523 (27.87) (27.87) 21421 TREAT MOUTH ROOF FRACTURE 658.38 898.61872 742.0897 (240.24) (83.71) 21422 TREAT MOUTH ROOF FRACTURE 673.41 713.00759 713.00759 (39.60) (39.60) 21423 TREAT MOUTH ROOF FRACTURE 838.9 833.80189 833.80189 5.10 5.10 21431 TREAT CRANIOFACIAL FRACTURE 732.73 837.58824 837.58824 (104.86) (104.86) 21432 TREAT CRANIOFACIAL FRACTURE 665.26 675.83081 675.83081 (10.57) (10.57) 21433 TREAT CRANIOFACIAL FRACTURE 1775.02 1826.0833 1826.0833 (51.06) (51.06) 21435 TREAT CRANIOFACIAL FRACTURE 1271.9 1325.0595 1325.0595 (53.16) (53.16) 21436 TREAT CRANIOFACIAL FRACTURE 2082.77 2144.4775 2144.4775 (61.71) (61.71) 21440 TREAT DENTAL RIDGE FRACTURE 483.45 620.59728 502.44797 (137.15) (19.00) 21445 TREAT DENTAL RIDGE FRACTURE 635.76 827.76186 672.36166 (192.00) (36.60) 21450 TREAT LOWER JAW FRACTURE 499.79 670.44951 534.61544 (170.66) (34.83) 21451 TREAT LOWER JAW FRACTURE 651.1 881.6915 725.16249 (230.59) (74.06) 21452 TREAT LOWER JAW FRACTURE 376.26 618.59097 363.85506 (242.33) 12.40 21453 TREAT LOWER JAW FRACTURE 797.75 981.68489 839.83048 (183.93) (42.08) 21454 TREAT LOWER JAW FRACTURE 593.38 608.04534 608.04534 (14.67) (14.67) 21461 TREAT LOWER JAW FRACTURE 960.03 2294.4534 1001.9602 (1334.42) (41.93) 21462 TREAT LOWER JAW FRACTURE 1057.48 2437.6833 1115.0884 (1380.20) (57.61) 21465 TREAT LOWER JAW FRACTURE 995.26 986.83205 986.83205 8.43 8.43 21470 TREAT LOWER JAW FRACTURE 1230 1275.9544 1275.9544 (45.95) (45.95) 21480 RESET DISLOCATED JAW 32.08 104.8817 33.390082 (72.80) (1.31) 21485 RESET DISLOCATED JAW 597.23 755.95519 631.40927 (158.73) (34.18) 21490 REPAIR DISLOCATED JAW 945.97 973.64034 973.64034 (27.67) (27.67) 21495 TREAT HYOID BONE FRACTURE 719.24 680.02135 680.02135 39.22 39.22 21497 INTERDENTAL WIRING 625.25 791.18725 655.35318 (165.94) (30.10) 21501 DRAIN NECK/CHEST LESION 323.91 477.71107 338.11428 (153.80) (14.20) 21502 DRAIN CHEST LESION 533.86 532.24826 532.24826 1.61 1.61 21510 DRAINAGE OF BONE LESION 447.77 461.56217 461.56217 (13.79) (13.79) 21550 BIOPSY OF NECK/CHEST 158.55 277.58681 166.2104 (119.04) (7.66) 21552 EXC NECK LES SC 3 CM/> 444.05 467.17904 467.17904 (23.13) (23.13) 21554 EXC NECK TUM DEEP 5 CM/> 728.42 766.70847 766.70847 (38.29) (38.29) 21555 EXC NECK LES SC < 3 CM 307.48 438.18607 322.67067 (130.71) (15.19) 21556 EXC NECK TUM DEEP < 5 CM 534.81 555.4833 555.4833 (20.67) (20.67) 21557 RESECT NECK THORAX TUMOR<5CM 964.6 1005.0936 1005.0936 (40.49) (40.49) 21558 RESECT NECK TUMOR 5 CM/> 1349.88 1408.4002 1408.4002 (58.52) (58.52) 21600 PARTIAL REMOVAL OF RIB 565.92 587.17497 587.17497 (21.25) (21.25) 21610 PARTIAL REMOVAL OF RIB 1206.9 1284.7035 1284.7035 (77.80) (77.80) 21615 REMOVAL OF RIB 636.96 654.42235 654.42235 (17.46) (17.46) 21616 REMOVAL OF RIB AND NERVES 858.59 763.66249 763.66249 94.93 94.93 21620 PARTIAL REMOVAL OF STERNUM 512.47 530.15209 530.15209 (17.68) (17.68) 21627 STERNAL DEBRIDEMENT 547.31 571.20688 571.20688 (23.90) (23.90) 21630 EXTENSIVE STERNUM SURGERY 1225.33 1262.279 1262.279 (36.95) (36.95) 21632 EXTENSIVE STERNUM SURGERY 1225.93 1259.9032 1259.9032 (33.97) (33.97) 21685 HYOID MYOTOMY & SUSPENSION 1009.28 1045.3185 1045.3185 (36.04) (36.04) 21700 REVISION OF NECK MUSCLE 374.02 383.06711 383.06711 (9.05) (9.05) 21705 REVISION OF NECK MUSCLE/RIB 558.39 572.23795 572.23795 (13.85) (13.85) 21720 REVISION OF NECK MUSCLE 489.74 508.48515 508.48515 (18.75) (18.75) 21725 REVISION OF NECK MUSCLE 472.09 568.60018 568.60018 (96.51) (96.51) 21740 RECONSTRUCTION OF STERNUM 1023.76 1079.0619 1079.0619 (55.30) (55.30) 21750 REPAIR OF STERNUM SEPARATION 694.87 716.68152 716.68152 (21.81) (21.81) 21811 Optx of rib fx w/fixj scope 547.77 554.21093 574.5296 (6.44) (26.76) 21812 Treatment of rib fracture 651.41 663.45286 683.77153 (12.04) (32.36) 21813 Treatment of rib fracture 878.82 907.58658 923.38999 (28.77) (44.57) 21820 TREAT STERNUM FRACTURE 146.94 149.55742 153.32014 (2.62) (6.38) 21825 TREAT STERNUM FRACTURE 552.5 567.79645 567.79645 (15.30) (15.30) 21920 BIOPSY SOFT TISSUE OF BACK 162.58 270.08608 167.74019 (107.51) (5.16) 21925 BIOPSY SOFT TISSUE OF BACK 353.89 470.55188 373.85006 (116.66) (19.96) 21930 EXC BACK LES SC < 3 CM 364.97 496.23215 382.59811 (131.26) (17.63) 21931 EXC BACK LES SC 3 CM/> 468.71 492.20307 492.20307 (23.49) (23.49) 21932 EXC BACK TUM DEEP < 5 CM 659.38 692.75444 692.75444 (33.37) (33.37) 21933 EXC BACK TUM DEEP 5 CM/> 734.26 773.83866 773.83866 (39.58) (39.58) 21935 RESECT BACK TUM < 5 CM 1028.51 1074.2277 1074.2277 (45.72) (45.72) 21936 RESECT BACK TUM 5 CM/> 1411.81 1478.1881 1478.1881 (66.38) (66.38) 22010 I&D P-SPINE C/T/CERV-THOR 955.12 1004.3511 1004.3511 (49.23) (49.23) 22015 I&D ABSCESS P-SPINE L/S/LS 902.91 953.52073 953.52073 (50.61) (50.61) 22100 REMOVE PART OF NECK VERTEBRA 883.35 988.53368 988.53368 (105.18) (105.18) 22101 REMOVE PART THORAX VERTEBRA 898.3 868.76043 868.76043 29.54 29.54 22102 REMOVE PART LUMBAR VERTEBRA 822.13 840.19422 840.19422 (18.06) (18.06) 22103 REMOVE EXTRA SPINE SEGMENT 143.62 147.80674 147.80674 (4.19) (4.19) 22110 REMOVE PART OF NECK VERTEBRA 1094.73 1106.3203 1106.3203 (11.59) (11.59) 22112 REMOVE PART THORAX VERTEBRA 1080.61 1198.2018 1198.2018 (117.59) (117.59) 22114 REMOVE PART LUMBAR VERTEBRA 998.86 1049.3365 1049.3365 (50.48) (50.48) 22116 REMOVE EXTRA SPINE SEGMENT 141.07 149.87498 149.87498 (8.80) (8.80) 22206 INCIS SPINE 3 COLUMN THORAC 2369.69 2583.5528 2583.5528 (213.86) (213.86) 22207 INCIS SPINE 3 COLUMN LUMBAR 2408.98 2529.7882 2529.7882 (120.81) (120.81) 22208 INCIS SPINE 3 COLUMN ADL SEG 593.4 606.53059 606.53059 (13.13) (13.13) 22210 INCIS 1 VERTEBRAL SEG CERV 1782.58 1893.3084 1893.3084 (110.73) (110.73) 22212 INCIS 1 VERTEBRAL SEG THORAC 1481 1572.0469 1572.0469 (91.05) (91.05) 22214 INCIS 1 VERTEBRAL SEG LUMBAR 1492.34 1569.6106 1569.6106 (77.27) (77.27) 22216 INCIS ADDL SPINE SEGMENT 366.65 384.61337 384.61337 (17.96) (17.96) 22220 INCIS W/DISCECTOMY CERVICAL 1628.52 1687.1617 1687.1617 (58.64) (58.64) 22222 INCIS W/DISCECTOMY THORACIC 1570.14 1648.9774 1648.9774 (78.84) (78.84) 22224 INCIS W/DISCECTOMY LUMBAR 1597.77 1669.9044 1669.9044 (72.13) (72.13) 22226 REVISE EXTRA SPINE SEGMENT 368.21 381.72671 381.72671 (13.52) (13.52) 22305 CLOSED TX SPINE PROCESS FX 173.42 200.62153 181.43168 (27.20) (8.01) 22310 CLOSED TX VERT FX W/O MANJ 283.2 323.13752 297.17478 (39.94) (13.97) 22315 CLOSED TX VERT FX W/MANJ 777.76 936.16748 816.51309 (158.41) (38.75) 22318 TREAT ODONTOID FX W/O GRAFT 1645.77 1740.5407 1740.5407 (94.77) (94.77) 22319 TREAT ODONTOID FX W/GRAFT 1837.99 1956.1089 1956.1089 (118.12) (118.12) 22325 TREAT SPINE FRACTURE 1451.61 1516.358 1516.358 (64.75) (64.75) 22326 TREAT NECK SPINE FRACTURE 1498.24 1586.0452 1586.0452 (87.81) (87.81) 22327 TREAT THORAX SPINE FRACTURE 1496.86 1593.3419 1593.3419 (96.48) (96.48) 22328 TREAT EACH ADD SPINE FX 285.38 299.31605 299.31605 (13.94) (13.94) 22505 MANIPULATION OF SPINE 122.72 139.74214 139.74214 (17.02) (17.02) 22510 Perq cervicothoracic inject 442.43 1827.2973 463.3125 (1384.87) (20.88) 22511 Perq lumbosacral injection 414.68 1811.0263 434.24829 (1396.35) (19.57) 22512 Vertebroplasty addl inject 201.03 1012.7687 210.55747 (811.74) (9.53) 22513 Perq vertebral augmentation 505.3 7755.752 529.45469 (7250.45) (24.15) 22514 Perq vertebral augmentation 472.34 7727.9401 494.86991 (7255.60) (22.53) 22515 Perq vertebral augmentation 210.38 4691.1757 220.31583 (4480.80) (9.94) 22526 IDET SINGLE LEVEL 341.2 2526.4927 353.90015 (2185.29) (12.70) 22527 IDET 1 OR MORE LEVELS 153.53 2106.1278 160.05079 (1952.60) (6.52) 22532 LAT THORAX SPINE FUSION 1804.74 1881.4908 1881.4908 (76.75) (76.75) 22533 LAT LUMBAR SPINE FUSION 1688.24 1743.1231 1743.1231 (54.88) (54.88) 22534 LAT THOR/LUMB ADDL SEG 365.79 380.54025 380.54025 (14.75) (14.75) 22548 NECK SPINE FUSION 1974.8 2102.3662 2102.3662 (127.57) (127.57) 22551 NECK SPINE FUSE&REMOV BEL C2 1729.36 1818.7712 1818.7712 (89.41) (89.41) 22552 ADDL NECK SPINE FUSION ARTHR 397.84 424.04349 424.04349 (26.20) (26.20) 22554 NECK SPINE FUSION 1281.83 1332.7263 1332.7263 (50.90) (50.90) 22556 THORAX SPINE FUSION 1680.57 1771.2962 1771.2962 (90.73) (90.73) 22558 LUMBAR SPINE FUSION 1550.74 1627.4061 1627.4061 (76.67) (76.67) 22585 ADDITIONAL SPINAL FUSION 338.29 348.75156 348.75156 (10.46) (10.46) 22586 PRESCRL FUSE W/ INSTR L5-S1 1889.92 2133.8237 2133.8237 (243.90) (243.90) 22590 SPINE & SKULL SPINAL FUSION 1592.25 1676.5666 1676.5666 (84.32) (84.32) 22595 NECK SPINAL FUSION 1515.95 1603.7439 1603.7439 (87.79) (87.79) 22600 NECK SPINE FUSION 1299.71 1370.1394 1370.1394 (70.43) (70.43) 22610 THORAX SPINE FUSION 1271.14 1339.9159 1339.9159 (68.78) (68.78) 22612 LUMBAR SPINE FUSION 1607.37 1681.3536 1681.3536 (73.98) (73.98) 22614 SPINE FUSION EXTRA SEGMENT 395.08 415.5482 415.5482 (20.47) (20.47) 22630 LUMBAR SPINE FUSION 1563.05 1664.2181 1664.2181 (101.17) (101.17) 22632 SPINE FUSION EXTRA SEGMENT 322.17 340.64651 340.64651 (18.48) (18.48) 22633 LUMBAR SPINE FUSION COMBINED 1859.29 1964.4241 1964.4241 (105.13) (105.13) 22634 SPINE FUSION EXTRA SEGMENT 501.15 526.60311 526.60311 (25.45) (25.45) 22800 POST FUSION VERT SEG 2430.04 2568.9953 2568.9953 (138.96) (138.96) 22808 ANT FUSION 2-3 VERT SEG 1838.77 1953.5255 1953.5255 (114.76) (114.76) 22810 ANT FUSION 4-7 VERT SEG 2058.02 2134.2752 2134.2752 (76.26) (76.26) 22812 ANT FUSION 8/> VERT SEG 2258.51 2334.6887 2334.6887 (76.18) (76.18) 22818 KYPHECTOMY 1-2 SEGMENTS 2185.12 2292.0135 2292.0135 (106.89) (106.89) 22819 KYPHECTOMY 3 OR MORE 2763.16 2941.3986 2941.3986 (178.24) (178.24) 22830 EXPLORATION OF SPINAL FUSION 818.31 860.13232 860.13232 (41.82) (41.82) 22840 INSERT SPINE FIXATION DEVICE 770.6 807.56921 807.56921 (36.97) (36.97) 22842 INSERT SPINE FIXATION DEVICE 771.17 809.78567 809.78567 (38.62) (38.62) 22843 INSERT SPINE FIXATION DEVICE 819.93 867.14508 867.14508 (47.22) (47.22) 22844 INSERT SPINE FIXATION DEVICE 985.67 1045.6718 1045.6718 (60.00) (60.00) 22845 INSERT SPINE FIXATION DEVICE 744.68 777.42308 777.42308 (32.74) (32.74) 22846 INSERT SPINE FIXATION DEVICE 772.75 807.55023 807.55023 (34.80) (34.80) 22847 INSERT SPINE FIXATION DEVICE 890.32 846.3993 846.3993 43.92 43.92 22848 INSERT PELV FIXATION DEVICE 360.79 381.04004 381.04004 (20.25) (20.25) 22849 REINSERT SPINAL FIXATION 1312.67 1378.5505 1378.5505 (65.88) (65.88) 22850 REMOVE SPINE FIXATION DEVICE 729.21 766.80406 766.80406 (37.59) (37.59) 22851 APPLY SPINE PROSTH DEVICE 412.75 432.59069 432.59069 (19.84) (19.84) 22852 REMOVE SPINE FIXATION DEVICE 697.02 734.87789 734.87789 (37.86) (37.86) 22855 REMOVE SPINE FIXATION DEVICE 1128.51 1174.118 1174.118 (45.61) (45.61) 22856 CERV ARTIFIC DISKECTOMY 1673.17 1704.7498 1704.7498 (31.58) (31.58) 22857 LUMBAR ARTIF DISKECTOMY 1839.11 1876.5971 1876.5971 (37.49) (37.49) 22858 Second level cer diskectomy 670.62 675.4574 675.4574 (4.84) (4.84) 22861 REVISE CERV ARTIFIC DISC 2221.42 2025.0214 2025.0214 196.40 196.40 22862 REVISE LUMBAR ARTIF DISC 2143.16 1847.8472 1847.8472 295.31 295.31 22864 REMOVE CERV ARTIF DISC 1998.89 2224.0981 2224.0981 (225.21) (225.21) 22865 REMOVE LUMB ARTIF DISC 2061.56 2163.1933 2163.1933 (101.63) (101.63) 22900 EXC ABDL TUM DEEP < 5 CM 561.7 590.63445 590.63445 (28.93) (28.93) 22901 EXC ABDL TUM DEEP 5 CM/> 659.96 695.44097 695.44097 (35.48) (35.48) 22902 EXC ABD LES SC < 3 CM 323.03 461.79309 347.78278 (138.76) (24.75) 22903 EXC ABD LES SC 3 CM/> 431.56 459.74418 459.74418 (28.18) (28.18) 22904 RADICAL RESECT ABD TUMOR<5CM 1047.04 1101.8921 1101.8921 (54.85) (54.85) 22905 RAD RESECT ABD TUMOR 5 CM/> 1333.53 1389.0489 1389.0489 (55.52) (55.52) 23000 REMOVAL OF CALCIUM DEPOSITS 371.28 621.78266 392.63322 (250.50) (21.35) 23020 RELEASE SHOULDER JOINT 690.98 724.40422 724.40422 (33.42) (33.42) 23030 DRAIN SHOULDER LESION 255.79 466.65849 269.11587 (210.87) (13.33) 23031 DRAIN SHOULDER BURSA 219.81 453.52371 231.8997 (233.71) (12.09) 23035 DRAIN SHOULDER BONE LESION 685.6 715.70307 715.70307 (30.10) (30.10) 23040 EXPLORATORY SHOULDER SURGERY 720.62 755.52271 755.52271 (34.90) (34.90) 23044 EXPLORATORY SHOULDER SURGERY 568.42 601.18259 601.18259 (32.76) (32.76) 23065 BIOPSY SHOULDER TISSUES 167.66 226.75469 174.8292 (59.09) (7.17) 23066 BIOPSY SHOULDER TISSUES 356.13 588.28875 375.31899 (232.16) (19.19) 23071 EXC SHOULDER LES SC 3 CM/> 418.08 440.13617 440.13617 (22.06) (22.06) 23073 EXC SHOULDER TUM DEEP 5 CM/> 691.05 726.88561 726.88561 (35.84) (35.84) 23075 EXC SHOULDER LES SC < 3 CM 326.17 492.86397 342.3553 (166.69) (16.19) 23076 EXC SHOULDER TUM DEEP < 5 CM 538.97 565.65911 565.65911 (26.69) (26.69) 23077 RESECT SHOULDER TUMOR < 5 CM 1145.5 1194.2143 1194.2143 (48.71) (48.71) 23078 RESECT SHOULDER TUMOR 5 CM/> 1446.29 1497.6249 1497.6249 (51.33) (51.33) 23100 BIOPSY OF SHOULDER JOINT 500.86 527.37928 527.37928 (26.52) (26.52) 23101 SHOULDER JOINT SURGERY 456.34 472.37703 472.37703 (16.04) (16.04) 23105 REMOVE SHOULDER JOINT LINING 639.59 669.45638 669.45638 (29.87) (29.87) 23106 INCISION OF COLLARBONE JOINT 496.66 523.38028 523.38028 (26.72) (26.72) 23107 EXPLORE TREAT SHOULDER JOINT 663.02 692.74728 692.74728 (29.73) (29.73) 23120 PARTIAL REMOVAL COLLAR BONE 587.04 614.25006 614.25006 (27.21) (27.21) 23125 REMOVAL OF COLLAR BONE 709.3 745.82199 745.82199 (36.52) (36.52) 23130 REMOVE SHOULDER BONE PART 609.77 642.20193 642.20193 (32.43) (32.43) 23140 REMOVAL OF BONE LESION 530.02 553.6893 553.6893 (23.67) (23.67) 23145 REMOVAL OF BONE LESION 695.66 731.26518 731.26518 (35.61) (35.61) 23146 REMOVAL OF BONE LESION 621.17 653.58388 653.58388 (32.41) (32.41) 23150 REMOVAL OF HUMERUS LESION 660.79 696.54866 696.54866 (35.76) (35.76) 23155 REMOVAL OF HUMERUS LESION 794.01 834.62926 834.62926 (40.62) (40.62) 23156 REMOVAL OF HUMERUS LESION 678.51 713.0774 713.0774 (34.57) (34.57) 23170 REMOVE COLLAR BONE LESION 560.73 589.58905 589.58905 (28.86) (28.86) 23172 REMOVE SHOULDER BLADE LESION 567.44 596.12315 596.12315 (28.68) (28.68) 23174 REMOVE HUMERUS LESION 758.57 798.7066 798.7066 (40.14) (40.14) 23180 REMOVE COLLAR BONE LESION 667.26 701.61061 701.61061 (34.35) (34.35) 23182 REMOVE SHOULDER BLADE LESION 662.38 693.80449 693.80449 (31.42) (31.42) 23184 REMOVE HUMERUS LESION 735.78 772.48537 772.48537 (36.71) (36.71) 23190 PARTIAL REMOVAL OF SCAPULA 571.13 601.80589 601.80589 (30.68) (30.68) 23195 REMOVAL OF HEAD OF HUMERUS 755.95 795.41395 795.41395 (39.46) (39.46) 23200 RESECT CLAVICLE TUMOR 1521.53 1597.4991 1597.4991 (75.97) (75.97) 23210 RESECT SCAPULA TUMOR 1788.71 1877.5448 1877.5448 (88.83) (88.83) 23220 RESECT PROX HUMERUS TUMOR 1961.56 2056.6239 2056.6239 (95.06) (95.06) 23330 REMOVE SHOULDER FOREIGN BODY 151.47 254.43089 160.73924 (102.96) (9.27) 23333 Remove shoulder fb deep 458.05 585.28824 585.28824 (127.24) (127.24) 23334 Shoulder prosthesis removal 1079.24 1170.1727 1170.1727 (90.93) (90.93) 23335 Shoulder prosthesis removal 1286.14 1361.575 1361.575 (75.43) (75.43) 23350 INJECTION FOR SHOULDER X-RAY 51.47 137.7276 53.442749 (86.26) (1.97) 23395 MUSCLE TRANSFER SHOULDER/ARM 1291.08 1349.3872 1349.3872 (58.31) (58.31) 23397 MUSCLE TRANSFERS 1144.18 1201.6066 1201.6066 (57.43) (57.43) 23400 FIXATION OF SHOULDER BLADE 972.95 1021.569 1021.569 (48.62) (48.62) 23405 INCISION OF TENDON & MUSCLE 630.86 656.28688 656.28688 (25.43) (25.43) 23406 INCISE TENDON(S) & MUSCLE(S) 773.66 809.06749 809.06749 (35.41) (35.41) 23410 REPAIR ROTATOR CUFF ACUTE 824.03 863.83346 863.83346 (39.80) (39.80) 23412 REPAIR ROTATOR CUFF CHRONIC 855.51 895.83373 895.83373 (40.32) (40.32) 23415 RELEASE OF SHOULDER LIGAMENT 697.7 733.52532 733.52532 (35.83) (35.83) 23420 REPAIR OF SHOULDER 972.32 1019.1459 1019.1459 (46.83) (46.83) 23430 REPAIR BICEPS TENDON 750.45 784.50708 784.50708 (34.06) (34.06) 23440 REMOVE/TRANSPLANT TENDON 758.38 793.97223 793.97223 (35.59) (35.59) 23450 REPAIR SHOULDER CAPSULE 950.23 998.21793 998.21793 (47.99) (47.99) 23455 REPAIR SHOULDER CAPSULE 1005.8 1052.5614 1052.5614 (46.76) (46.76) 23460 REPAIR SHOULDER CAPSULE 1092.45 1147.1832 1147.1832 (54.73) (54.73) 23462 REPAIR SHOULDER CAPSULE 1075.38 1119.9295 1119.9295 (44.55) (44.55) 23465 REPAIR SHOULDER CAPSULE 1120.43 1179.2576 1179.2576 (58.83) (58.83) 23466 REPAIR SHOULDER CAPSULE 1125.86 1182.2094 1182.2094 (56.35) (56.35) 23470 RECONSTRUCT SHOULDER JOINT 1211.73 1264.4149 1264.4149 (52.68) (52.68) 23472 RECONSTRUCT SHOULDER JOINT 1469.19 1532.1392 1532.1392 (62.95) (62.95) 23473 Revis reconst shoulder joint 1637.93 1710.0015 1710.0015 (72.07) (72.07) 23474 Revis reconst shoulder joint 1770.4 1849.4364 1849.4364 (79.04) (79.04) 23480 REVISION OF COLLAR BONE 821.67 864.3694 864.3694 (42.70) (42.70) 23485 REVISION OF COLLAR BONE 958.12 1002.184 1002.184 (44.06) (44.06) 23490 REINFORCE CLAVICLE 863.87 907.1004 907.1004 (43.23) (43.23) 23491 REINFORCE SHOULDER BONES 1016.45 1065.2723 1065.2723 (48.82) (48.82) 23500 TREAT CLAVICLE FRACTURE 222.46 229.11114 232.87385 (6.65) (10.41) 23505 TREAT CLAVICLE FRACTURE 333.11 370.44321 349.372 (37.33) (16.26) 23515 TREAT CLAVICLE FRACTURE 723.56 756.47288 756.47288 (32.91) (32.91) 23520 TREAT CLAVICLE DISLOCATION 233.85 243.78322 247.54594 (9.93) (13.70) 23525 TREAT CLAVICLE DISLOCATION 354.38 405.37884 374.90083 (51.00) (20.52) 23530 TREAT CLAVICLE DISLOCATION 572.91 602.54197 602.54197 (29.63) (29.63) 23532 TREAT CLAVICLE DISLOCATION 624.22 656.34702 656.34702 (32.13) (32.13) 23540 TREAT CLAVICLE DISLOCATION 227.58 235.61229 239.75128 (8.03) (12.17) 23545 TREAT CLAVICLE DISLOCATION 309.57 357.57515 324.46324 (48.01) (14.89) 23550 TREAT CLAVICLE DISLOCATION 573.77 595.13181 595.13181 (21.36) (21.36) 23552 TREAT CLAVICLE DISLOCATION 656.63 685.45241 685.45241 (28.82) (28.82) 23570 TREAT SHOULDER BLADE FX 238.39 244.11832 251.64376 (5.73) (13.25) 23575 TREAT SHOULDER BLADE FX 374.55 421.76509 395.0498 (47.22) (20.50) 23585 TREAT SCAPULA FRACTURE 984.17 1029.5011 1029.5011 (45.33) (45.33) 23600 TREAT HUMERUS FRACTURE 308.17 342.90557 322.96317 (34.74) (14.79) 23605 TREAT HUMERUS FRACTURE 425.71 487.12752 445.73764 (61.42) (20.03) 23615 TREAT HUMERUS FRACTURE 888.38 930.04474 930.04474 (41.66) (41.66) 23616 TREAT HUMERUS FRACTURE 1247.22 1304.7426 1304.7426 (57.52) (57.52) 23620 TREAT HUMERUS FRACTURE 256.44 283.99238 270.07033 (27.55) (13.63) 23625 TREAT HUMERUS FRACTURE 353.9 399.19953 371.7317 (45.30) (17.83) 23630 TREAT HUMERUS FRACTURE 785.44 822.30789 822.30789 (36.87) (36.87) 23650 TREAT SHOULDER DISLOCATION 287.51 328.48695 301.01912 (40.98) (13.51) 23655 TREAT SHOULDER DISLOCATION 399.16 421.54599 421.54599 (22.39) (22.39) 23660 TREAT SHOULDER DISLOCATION 584.8 609.16664 609.16664 (24.37) (24.37) 23665 TREAT DISLOCATION/FRACTURE 396.47 445.84147 414.98719 (49.37) (18.52) 23670 TREAT DISLOCATION/FRACTURE 880.88 922.50284 922.50284 (41.62) (41.62) 23675 TREAT DISLOCATION/FRACTURE 500.34 580.44182 528.14006 (80.10) (27.80) 23680 TREAT DISLOCATION/FRACTURE 931.98 977.7693 977.7693 (45.79) (45.79) 23700 FIXATION OF SHOULDER 195.73 206.72494 206.72494 (10.99) (10.99) 23800 FUSION OF SHOULDER JOINT 1028.77 1079.1836 1079.1836 (50.41) (50.41) 23802 FUSION OF SHOULDER JOINT 1287.05 1353.0568 1353.0568 (66.01) (66.01) 23900 AMPUTATION OF ARM & GIRDLE 1392.78 1461.7667 1461.7667 (68.99) (68.99) 23920 AMPUTATION AT SHOULDER JOINT 1129.88 1187.6755 1187.6755 (57.80) (57.80) 23921 AMPUTATION FOLLOW-UP SURGERY 476.48 484.56021 484.56021 (8.08) (8.08) 23930 DRAINAGE OF ARM LESION 215.26 369.48911 225.00079 (154.23) (9.74) 23931 DRAINAGE OF ARM BURSA 160.92 303.21696 168.13544 (142.30) (7.22) 23935 DRAIN ARM/ELBOW BONE LESION 509.9 532.07319 532.07319 (22.17) (22.17) 24000 EXPLORATORY ELBOW SURGERY 477.65 501.53433 501.53433 (23.88) (23.88) 24006 RELEASE ELBOW JOINT 712.58 747.20607 747.20607 (34.63) (34.63) 24065 BIOPSY ARM/ELBOW SOFT TISSUE 167.92 269.2759 175.58425 (101.36) (7.66) 24066 BIOPSY ARM/ELBOW SOFT TISSUE 412.06 659.26554 436.51272 (247.21) (24.45) 24071 EXC ARM/ELBOW LES SC 3 CM/> 405.45 425.20309 425.20309 (19.75) (19.75) 24073 EX ARM/ELBOW TUM DEEP 5 CM/> 690.28 728.16264 728.16264 (37.88) (37.88) 24075 EXC ARM/ELBOW LES SC < 3 CM 329.32 516.54438 345.71704 (187.22) (16.40) 24076 EX ARM/ELBOW TUM DEEP < 5 CM 543.24 568.44123 568.44123 (25.20) (25.20) 24077 RESECT ARM/ELBOW TUM < 5 CM 1038.15 1082.4809 1082.4809 (44.33) (44.33) 24079 RESECT ARM/ELBOW TUM 5 CM/> 1329.2 1388.9265 1388.9265 (59.73) (59.73) 24100 BIOPSY ELBOW JOINT LINING 418.21 440.25575 440.25575 (22.05) (22.05) 24101 EXPLORE/TREAT ELBOW JOINT 499.94 525.88243 525.88243 (25.94) (25.94) 24102 REMOVE ELBOW JOINT LINING 616.46 645.2565 645.2565 (28.80) (28.80) 24105 REMOVAL OF ELBOW BURSA 349.71 369.32263 369.32263 (19.61) (19.61) 24110 REMOVE HUMERUS LESION 588.18 618.50755 618.50755 (30.33) (30.33) 24115 REMOVE/GRAFT BONE LESION 738.01 775.99031 775.99031 (37.98) (37.98) 24116 REMOVE/GRAFT BONE LESION 863.02 906.93572 906.93572 (43.92) (43.92) 24120 REMOVE ELBOW LESION 528.91 554.20233 554.20233 (25.29) (25.29) 24125 REMOVE/GRAFT BONE LESION 620.34 652.70782 652.70782 (32.37) (32.37) 24126 REMOVE/GRAFT BONE LESION 649.44 682.87614 682.87614 (33.44) (33.44) 24130 REMOVAL OF HEAD OF RADIUS 507.6 533.11143 533.11143 (25.51) (25.51) 24134 REMOVAL OF ARM BONE LESION 747.54 786.6881 786.6881 (39.15) (39.15) 24136 REMOVE RADIUS BONE LESION 637.56 605.63341 605.63341 31.93 31.93 24138 REMOVE ELBOW BONE LESION 674.74 710.61571 710.61571 (35.88) (35.88) 24140 PARTIAL REMOVAL OF ARM BONE 699.57 739.04337 739.04337 (39.47) (39.47) 24145 PARTIAL REMOVAL OF RADIUS 592.14 622.54523 622.54523 (30.41) (30.41) 24147 PARTIAL REMOVAL OF ELBOW 622.55 655.70654 655.70654 (33.16) (33.16) 24149 RADICAL RESECTION OF ELBOW 1175.48 1232.9814 1232.9814 (57.50) (57.50) 24150 RESECT DISTAL HUMERUS TUMOR 1562.42 1639.8925 1639.8925 (77.47) (77.47) 24152 RESECT RADIUS TUMOR 1381.63 1424.5835 1424.5835 (42.95) (42.95) 24155 REMOVAL OF ELBOW JOINT 854.98 897.83359 897.83359 (42.85) (42.85) 24160 REMOVE ELBOW JOINT IMPLANT 1263.78 1345.5238 1345.5238 (81.74) (81.74) 24164 REMOVE RADIUS HEAD IMPLANT 730.26 764.84465 764.84465 (34.58) (34.58) 24200 REMOVAL OF ARM FOREIGN BODY 139.38 218.30308 146.81146 (78.92) (7.43) 24201 REMOVAL OF ARM FOREIGN BODY 369.2 589.28904 385.72607 (220.09) (16.53) 24220 INJECTION FOR ELBOW X-RAY 68.51 168.74979 71.671697 (100.24) (3.16) 24300 MANIPULATE ELBOW W/ANESTH 412.78 440.81174 440.81174 (28.03) (28.03) 24301 MUSCLE/TENDON TRANSFER 754.12 782.52691 782.52691 (28.41) (28.41) 24305 ARM TENDON LENGTHENING 576.39 603.95898 603.95898 (27.57) (27.57) 24310 REVISION OF ARM TENDON 476.16 496.0467 496.0467 (19.89) (19.89) 24320 REPAIR OF ARM TENDON 781.8 821.45975 821.45975 (39.66) (39.66) 24330 REVISION OF ARM MUSCLES 718.05 755.25921 755.25921 (37.21) (37.21) 24331 REVISION OF ARM MUSCLES 787.41 827.28248 827.28248 (39.87) (39.87) 24332 TENOLYSIS TRICEPS 612.8 644.90743 644.90743 (32.11) (32.11) 24340 REPAIR OF BICEPS TENDON 616.13 642.89433 642.89433 (26.76) (26.76) 24341 REPAIR ARM TENDON/MUSCLE 749.35 785.14614 785.14614 (35.80) (35.80) 24342 REPAIR OF RUPTURED TENDON 778.44 815.05741 815.05741 (36.62) (36.62) 24343 REPR ELBOW LAT LIGMNT W/TISS 706.22 741.93755 741.93755 (35.72) (35.72) 24344 RECONSTRUCT ELBOW LAT LIGMNT 1100.92 1157.1385 1157.1385 (56.22) (56.22) 24345 REPR ELBW MED LIGMNT W/TISSU 702.27 745.32972 745.32972 (43.06) (43.06) 24346 RECONSTRUCT ELBOW MED LIGMNT 1100.92 1157.1385 1157.1385 (56.22) (56.22) 24357 REPAIR ELBOW PERC 440.9 453.56273 453.56273 (12.66) (12.66) 24358 REPAIR ELBOW W/DEB OPEN 523.4 549.29684 549.29684 (25.90) (25.90) 24359 REPAIR ELBOW DEB/ATTCH OPEN 660.59 690.88239 690.88239 (30.29) (30.29) 24360 RECONSTRUCT ELBOW JOINT 900.03 946.60141 946.60141 (46.57) (46.57) 24361 RECONSTRUCT ELBOW JOINT 1008.4 1059.1392 1059.1392 (50.74) (50.74) 24362 RECONSTRUCT ELBOW JOINT 1063.07 1115.8696 1115.8696 (52.80) (52.80) 24363 REPLACE ELBOW JOINT 1463.3 1530.3674 1530.3674 (67.07) (67.07) 24365 RECONSTRUCT HEAD OF RADIUS 639.39 672.71681 672.71681 (33.33) (33.33) 24366 RECONSTRUCT HEAD OF RADIUS 681.95 714.74467 714.74467 (32.79) (32.79) 24370 Revise reconst elbow joint 1548.55 1632.0041 1632.0041 (83.45) (83.45) 24371 Revise reconst elbow joint 1788.11 1887.8555 1887.8555 (99.75) (99.75) 24400 REVISION OF HUMERUS 819.78 859.46641 859.46641 (39.69) (39.69) 24410 REVISION OF HUMERUS 1059.42 1112.9525 1112.9525 (53.53) (53.53) 24420 REVISION OF HUMERUS 995.41 1045.9303 1045.9303 (50.52) (50.52) 24430 REPAIR OF HUMERUS 1061.96 1110.4833 1110.4833 (48.52) (48.52) 24435 REPAIR HUMERUS WITH GRAFT 1082.15 1133.9876 1133.9876 (51.84) (51.84) 24470 REVISION OF ELBOW JOINT 585.8 706.29879 706.29879 (120.50) (120.50) 24495 DECOMPRESSION OF FOREARM 651.08 560.16218 560.16218 90.92 90.92 24498 REINFORCE HUMERUS 869.75 912.84902 912.84902 (43.10) (43.10) 24500 TREAT HUMERUS FRACTURE 325.12 376.67443 342.80998 (51.55) (17.69) 24505 TREAT HUMERUS FRACTURE 451.42 524.41458 473.99418 (72.99) (22.57) 24515 TREAT HUMERUS FRACTURE 878.91 921.36006 921.36006 (42.45) (42.45) 24516 TREAT HUMERUS FRACTURE 863.06 903.86217 903.86217 (40.80) (40.80) 24530 TREAT HUMERUS FRACTURE 343.36 399.36923 361.36579 (56.01) (18.01) 24535 TREAT HUMERUS FRACTURE 568.73 643.80762 593.76349 (75.08) (25.03) 24538 TREAT HUMERUS FRACTURE 743.58 783.13625 783.13625 (39.56) (39.56) 24545 TREAT HUMERUS FRACTURE 933.04 977.14028 977.14028 (44.10) (44.10) 24546 TREAT HUMERUS FRACTURE 1044.19 1092.3285 1092.3285 (48.14) (48.14) 24560 TREAT HUMERUS FRACTURE 288.45 336.6407 300.89489 (48.19) (12.44) 24565 TREAT HUMERUS FRACTURE 488.21 560.67736 514.01967 (72.47) (25.81) 24566 TREAT HUMERUS FRACTURE 718.1 755.32688 755.32688 (37.23) (37.23) 24575 TREAT HUMERUS FRACTURE 736.08 771.81767 771.81767 (35.74) (35.74) 24576 TREAT HUMERUS FRACTURE 305.21 358.23389 321.73554 (53.02) (16.53) 24577 TREAT HUMERUS FRACTURE 501.86 577.83513 528.91981 (75.98) (27.06) 24579 TREAT HUMERUS FRACTURE 837.19 877.74727 877.74727 (40.56) (40.56) 24582 TREAT HUMERUS FRACTURE 809.07 852.31582 852.31582 (43.25) (43.25) 24586 TREAT ELBOW FRACTURE 1088.45 1137.6579 1137.6579 (49.21) (49.21) 24587 TREAT ELBOW FRACTURE 1085.35 1144.9997 1144.9997 (59.65) (59.65) 24600 TREAT ELBOW DISLOCATION 334.34 380.51519 348.15583 (46.18) (13.82) 24605 TREAT ELBOW DISLOCATION 469.35 494.45605 494.45605 (25.11) (25.11) 24615 TREAT ELBOW DISLOCATION 712.09 745.00357 745.00357 (32.91) (32.91) 24620 TREAT ELBOW FRACTURE 553.79 571.90679 571.90679 (18.12) (18.12) 24635 TREAT ELBOW FRACTURE 674.56 706.50715 706.50715 (31.95) (31.95) 24640 TREAT ELBOW DISLOCATION 94.67 146.42624 98.639742 (51.76) (3.97) 24650 TREAT RADIUS FRACTURE 240.24 275.12905 252.55275 (34.89) (12.31) 24655 TREAT RADIUS FRACTURE 399.38 455.48705 414.47344 (56.11) (15.09) 24665 TREAT RADIUS FRACTURE 652.61 684.85309 684.85309 (32.24) (32.24) 24666 TREAT RADIUS FRACTURE 733.97 770.11496 770.11496 (36.14) (36.14) 24670 TREAT ULNAR FRACTURE 262.66 306.31342 276.21168 (43.65) (13.55) 24675 TREAT ULNAR FRACTURE 414.41 478.09128 435.94885 (63.68) (21.54) 24685 TREAT ULNAR FRACTURE 655.88 687.39642 687.39642 (31.52) (31.52) 24800 FUSION OF ELBOW JOINT 830.51 872.93558 872.93558 (42.43) (42.43) 24802 FUSION/GRAFT OF ELBOW JOINT 1003.52 1054.069 1054.069 (50.55) (50.55) 24900 AMPUTATION OF UPPER ARM 736.14 759.73652 759.73652 (23.60) (23.60) 24920 AMPUTATION OF UPPER ARM 732.97 770.70604 770.70604 (37.74) (37.74) 24925 AMPUTATION FOLLOW-UP SURGERY 565.99 535.18361 535.18361 30.81 30.81 24930 AMPUTATION FOLLOW-UP SURGERY 775.03 814.36 814.36 (39.33) (39.33) 24931 AMPUTATE UPPER ARM & IMPLANT 769.65 806.85175 806.85175 (37.20) (37.20) 24935 REVISION OF AMPUTATION 1045.53 939.71897 939.71897 105.81 105.81 25000 INCISION OF TENDON SHEATH 334.91 353.41719 353.41719 (18.51) (18.51) 25001 INCISE FLEXOR CARPI RADIALIS 342.07 361.95365 361.95365 (19.88) (19.88) 25020 DECOMPRESS FOREARM 1 SPACE 572.64 603.61099 603.61099 (30.97) (30.97) 25023 DECOMPRESS FOREARM 1 SPACE 1104.79 1156.933 1156.933 (52.14) (52.14) 25024 DECOMPRESS FOREARM 2 SPACES 777.22 816.95523 816.95523 (39.74) (39.74) 25025 DECOMPRESS FOREARM 2 SPACES 1216 1291.6085 1291.6085 (75.61) (75.61) 25028 DRAINAGE OF FOREARM LESION 522.13 551.05576 551.05576 (28.93) (28.93) 25031 DRAINAGE OF FOREARM BURSA 363.73 384.06382 384.06382 (20.33) (20.33) 25035 TREAT FOREARM BONE LESION 580.5 610.10857 610.10857 (29.61) (29.61) 25040 EXPLORE/TREAT WRIST JOINT 561.17 590.13574 590.13574 (28.97) (28.97) 25065 BIOPSY FOREARM SOFT TISSUES 163.76 267.96843 172.01916 (104.21) (8.26) 25066 BIOPSY FOREARM SOFT TISSUES 356.49 378.15052 378.15052 (21.66) (21.66) 25071 EXC FOREARM LES SC 3 CM/> 424.47 445.95317 445.95317 (21.48) (21.48) 25073 EXC FOREARM TUM DEEP 3 CM/> 530.26 558.33631 558.33631 (28.08) (28.08) 25075 EXC FOREARM LES SC < 3 CM 316.42 502.9048 331.70119 (186.48) (15.28) 25076 EXC FOREARM TUM DEEP < 3 CM 516.83 542.24398 542.24398 (25.41) (25.41) 25077 RESECT FOREARM/WRIST TUM<3CM 885.42 928.01337 928.01337 (42.59) (42.59) 25078 RESECT FORARM/WRIST TUM 3CM> 1171.97 1219.9984 1219.9984 (48.03) (48.03) 25085 INCISION OF WRIST CAPSULE 449.97 473.687 473.687 (23.72) (23.72) 25100 BIOPSY OF WRIST JOINT 345.79 364.64018 364.64018 (18.85) (18.85) 25101 EXPLORE/TREAT WRIST JOINT 403.38 423.71304 423.71304 (20.33) (20.33) 25105 REMOVE WRIST JOINT LINING 482.31 504.91504 504.91504 (22.61) (22.61) 25107 REMOVE WRIST JOINT CARTILAGE 615.02 647.30182 647.30182 (32.28) (32.28) 25109 EXCISE TENDON FOREARM/WRIST 537.59 562.90599 562.90599 (25.32) (25.32) 25110 REMOVE WRIST TENDON LESION 339.59 358.68571 358.68571 (19.10) (19.10) 25111 REMOVE WRIST TENDON LESION 319.57 336.46849 336.46849 (16.90) (16.90) 25112 REREMOVE WRIST TENDON LESION 386.02 404.83609 404.83609 (18.82) (18.82) 25115 REMOVE WRIST/FOREARM LESION 757.5 795.14401 795.14401 (37.64) (37.64) 25116 REMOVE WRIST/FOREARM LESION 598.71 628.49075 628.49075 (29.78) (29.78) 25118 EXCISE WRIST TENDON SHEATH 379.75 400.33157 400.33157 (20.58) (20.58) 25119 PARTIAL REMOVAL OF ULNA 497.25 523.97637 523.97637 (26.73) (26.73) 25120 REMOVAL OF FOREARM LESION 497.05 521.16382 521.16382 (24.11) (24.11) 25125 REMOVE/GRAFT FOREARM LESION 592.7 629.24651 629.24651 (36.55) (36.55) 25126 REMOVE/GRAFT FOREARM LESION 596.9 628.32928 628.32928 (31.43) (31.43) 25130 REMOVAL OF WRIST LESION 446.95 468.10558 468.10558 (21.16) (21.16) 25135 REMOVE & GRAFT WRIST LESION 557.69 586.51551 586.51551 (28.83) (28.83) 25136 REMOVE & GRAFT WRIST LESION 493.05 519.22482 519.22482 (26.17) (26.17) 25145 REMOVE FOREARM BONE LESION 516.48 543.97963 543.97963 (27.50) (27.50) 25150 PARTIAL REMOVAL OF ULNA 563.91 596.35944 596.35944 (32.45) (32.45) 25151 PARTIAL REMOVAL OF RADIUS 584.07 617.16465 617.16465 (33.09) (33.09) 25170 RESECT RADIUS/ULNAR TUMOR 1483.5 1557.9322 1557.9322 (74.43) (74.43) 25210 REMOVAL OF WRIST BONE 486.76 510.39443 510.39443 (23.63) (23.63) 25215 REMOVAL OF WRIST BONES 614.64 646.5031 646.5031 (31.86) (31.86) 25230 PARTIAL REMOVAL OF RADIUS 428.23 454.20823 454.20823 (25.98) (25.98) 25240 PARTIAL REMOVAL OF ULNA 426.57 447.78118 447.78118 (21.21) (21.21) 25246 INJECTION FOR WRIST X-RAY 74.75 171.07902 78.892461 (96.33) (4.14) 25248 REMOVE FOREARM FOREIGN BODY 414.23 434.49389 434.49389 (20.26) (20.26) 25250 REMOVAL OF WRIST PROSTHESIS 533 557.77566 557.77566 (24.78) (24.78) 25251 REMOVAL OF WRIST PROSTHESIS 719.81 742.62744 742.62744 (22.82) (22.82) 25259 MANIPULATE WRIST W/ANESTHES 415.3 439.33136 439.33136 (24.03) (24.03) 25260 REPAIR FOREARM TENDON/MUSCLE 630.76 660.18886 660.18886 (29.43) (29.43) 25263 REPAIR FOREARM TENDON/MUSCLE 625.18 659.31853 659.31853 (34.14) (34.14) 25265 REPAIR FOREARM TENDON/MUSCLE 748.07 787.68767 787.68767 (39.62) (39.62) 25270 REPAIR FOREARM TENDON/MUSCLE 491.47 513.24815 513.24815 (21.78) (21.78) 25272 REPAIR FOREARM TENDON/MUSCLE 552.66 582.43989 582.43989 (29.78) (29.78) 25274 REPAIR FOREARM TENDON/MUSCLE 670.52 705.52977 705.52977 (35.01) (35.01) 25275 REPAIR FOREARM TENDON SHEATH 672.63 702.70326 702.70326 (30.07) (30.07) 25280 REVISE WRIST/FOREARM TENDON 561.23 589.81138 589.81138 (28.58) (28.58) 25290 INCISE WRIST/FOREARM TENDON 435.45 457.89684 457.89684 (22.45) (22.45) 25295 RELEASE WRIST/FOREARM TENDON 521.37 547.76705 547.76705 (26.40) (26.40) 25300 FUSION OF TENDONS AT WRIST 686.18 720.39949 720.39949 (34.22) (34.22) 25301 FUSION OF TENDONS AT WRIST 641.74 673.30968 673.30968 (31.57) (31.57) 25310 TRANSPLANT FOREARM TENDON 616.89 648.50797 648.50797 (31.62) (31.62) 25312 TRANSPLANT FOREARM TENDON 715.59 752.36683 752.36683 (36.78) (36.78) 25315 REVISE PALSY HAND TENDON(S) 770.93 810.54215 810.54215 (39.61) (39.61) 25316 REVISE PALSY HAND TENDON(S) 881.27 961.17469 961.17469 (79.90) (79.90) 25320 REPAIR/REVISE WRIST JOINT 984.25 1035.9862 1035.9862 (51.74) (51.74) 25332 REVISE WRIST JOINT 843.78 880.23296 880.23296 (36.45) (36.45) 25335 REALIGNMENT OF HAND 883.2 991.37595 991.37595 (108.18) (108.18) 25337 RECONSTRUCT ULNA/RADIOULNAR 884.45 932.10081 932.10081 (47.65) (47.65) 25350 REVISION OF RADIUS 672.85 706.55405 706.55405 (33.70) (33.70) 25355 REVISION OF RADIUS 766.48 805.97175 805.97175 (39.49) (39.49) 25360 REVISION OF ULNA 655.25 686.3614 686.3614 (31.11) (31.11) 25365 REVISE RADIUS & ULNA 915.87 961.91076 961.91076 (46.04) (46.04) 25370 REVISE RADIUS OR ULNA 1007.78 1059.0454 1059.0454 (51.27) (51.27) 25375 REVISE RADIUS & ULNA 891.88 1001.5739 1001.5739 (109.69) (109.69) 25390 SHORTEN RADIUS OR ULNA 766.93 806.33406 806.33406 (39.40) (39.40) 25391 LENGTHEN RADIUS OR ULNA 997.85 1047.3867 1047.3867 (49.54) (49.54) 25392 SHORTEN RADIUS & ULNA 1015.71 1057.7018 1057.7018 (41.99) (41.99) 25393 LENGTHEN RADIUS & ULNA 1132.64 1181.2807 1181.2807 (48.64) (48.64) 25394 REPAIR CARPAL BONE SHORTEN 784.69 836.52709 836.52709 (51.84) (51.84) 25400 REPAIR RADIUS OR ULNA 802.09 842.5367 842.5367 (40.45) (40.45) 25405 REPAIR/GRAFT RADIUS OR ULNA 1036.2 1084.6079 1084.6079 (48.41) (48.41) 25415 REPAIR RADIUS & ULNA 968.37 1017.57 1017.57 (49.20) (49.20) 25420 REPAIR/GRAFT RADIUS & ULNA 1170.34 1229.2176 1229.2176 (58.88) (58.88) 25425 REPAIR/GRAFT RADIUS OR ULNA 963.84 1012.4586 1012.4586 (48.62) (48.62) 25426 REPAIR/GRAFT RADIUS & ULNA 1125.6 1182.6992 1182.6992 (57.10) (57.10) 25430 VASC GRAFT INTO CARPAL BONE 706.22 769.36242 769.36242 (63.14) (63.14) 25431 REPAIR NONUNION CARPAL BONE 789.66 821.31333 821.31333 (31.65) (31.65) 25440 REPAIR/GRAFT WRIST BONE 766.98 805.23819 805.23819 (38.26) (38.26) 25441 RECONSTRUCT WRIST JOINT 917.24 976.76329 976.76329 (59.52) (59.52) 25442 RECONSTRUCT WRIST JOINT 784.71 835.15876 835.15876 (50.45) (50.45) 25443 RECONSTRUCT WRIST JOINT 781.38 821.51167 821.51167 (40.13) (40.13) 25444 RECONSTRUCT WRIST JOINT 774.55 869.13169 869.13169 (94.58) (94.58) 25445 RECONSTRUCT WRIST JOINT 719.11 756.23408 756.23408 (37.12) (37.12) 25446 WRIST REPLACEMENT 1169.49 1225.4599 1225.4599 (55.97) (55.97) 25447 REPAIR WRIST JOINTS 825.84 867.14508 867.14508 (41.31) (41.31) 25449 REMOVE WRIST JOINT IMPLANT 1040.99 1079.5732 1079.5732 (38.58) (38.58) 25450 REVISION OF WRIST JOINT 615.45 523.46083 523.46083 91.99 91.99 25455 REVISION OF WRIST JOINT 680.9 618.70339 618.70339 62.20 62.20 25490 REINFORCE RADIUS 695.13 694.82769 694.82769 0.30 0.30 25491 REINFORCE ULNA 739.39 778.17383 778.17383 (38.78) (38.78) 25492 REINFORCE RADIUS AND ULNA 904.36 951.13314 951.13314 (46.77) (46.77) 25500 TREAT FRACTURE OF RADIUS 249.81 286.24178 262.53666 (36.43) (12.73) 25505 TREAT FRACTURE OF RADIUS 459.55 526.74632 482.34626 (67.20) (22.80) 25515 TREAT FRACTURE OF RADIUS 669.9 703.096 703.096 (33.20) (33.20) 25520 TREAT FRACTURE OF RADIUS 537.02 597.09981 566.24553 (60.08) (29.23) 25525 TREAT FRACTURE OF RADIUS 786.45 824.69727 824.69727 (38.25) (38.25) 25526 TREAT FRACTURE OF RADIUS 956.09 1005.7921 1005.7921 (49.70) (49.70) 25530 TREAT FRACTURE OF ULNA 236.76 276.37315 250.03413 (39.61) (13.27) 25535 TREAT FRACTURE OF ULNA 452.16 514.32935 475.57337 (62.17) (23.41) 25545 TREAT FRACTURE OF ULNA 623.44 654.88812 654.88812 (31.45) (31.45) 25560 TREAT FRACTURE RADIUS & ULNA 251.68 291.55075 263.33038 (39.87) (11.65) 25565 TREAT FRACTURE RADIUS & ULNA 470.05 544.65413 492.72864 (74.60) (22.68) 25574 TREAT FRACTURE RADIUS & ULNA 673.9 707.93813 707.93813 (34.04) (34.04) 25575 TREAT FRACTURE RADIUS/ULNA 901.94 946.21619 946.21619 (44.28) (44.28) 25600 TREAT FRACTURE RADIUS/ULNA 310.28 345.27275 326.45917 (34.99) (16.18) 25605 TREAT FRACTURE RADIUS/ULNA 515.81 572.06754 537.45055 (56.26) (21.64) 25606 TREAT FX DISTAL RADIAL 662.43 696.45164 696.45164 (34.02) (34.02) 25607 TREAT FX RAD EXTRA-ARTICUL 735.53 771.50978 771.50978 (35.98) (35.98) 25608 TREAT FX RAD INTRA-ARTICUL 824.37 865.40943 865.40943 (41.04) (41.04) 25609 TREAT FX RADIAL 3+ FRAG 1048.04 1099.3394 1099.3394 (51.30) (51.30) 25622 TREAT WRIST BONE FRACTURE 277.24 318.96667 290.37002 (41.73) (13.13) 25624 TREAT WRIST BONE FRACTURE 432.53 503.73539 458.58279 (71.21) (26.05) 25628 TREAT WRIST BONE FRACTURE 719.75 755.64873 755.64873 (35.90) (35.90) 25630 TREAT WRIST BONE FRACTURE 280.1 320.32927 294.36652 (40.23) (14.27) 25635 TREAT WRIST BONE FRACTURE 394.8 468.32719 416.77797 (73.53) (21.98) 25645 TREAT WRIST BONE FRACTURE 569.05 599.65531 599.65531 (30.61) (30.61) 25650 TREAT WRIST BONE FRACTURE 301.32 335.05076 313.97955 (33.73) (12.66) 25651 PIN ULNAR STYLOID FRACTURE 484.83 508.30399 508.30399 (23.47) (23.47) 25652 TREAT FRACTURE ULNAR STYLOID 622.09 654.59169 654.59169 (32.50) (32.50) 25660 TREAT WRIST DISLOCATION 404.18 428.90673 428.90673 (24.73) (24.73) 25670 TREAT WRIST DISLOCATION 605.56 633.34182 633.34182 (27.78) (27.78) 25671 PIN RADIOULNAR DISLOCATION 529.53 558.05813 558.05813 (28.53) (28.53) 25675 TREAT WRIST DISLOCATION 398.19 457.72571 416.7121 (59.54) (18.52) 25676 TREAT WRIST DISLOCATION 628.24 660.66466 660.66466 (32.42) (32.42) 25680 TREAT WRIST FRACTURE 471.83 490.39439 490.39439 (18.56) (18.56) 25685 TREAT WRIST FRACTURE 735.16 774.15836 774.15836 (39.00) (39.00) 25690 TREAT WRIST DISLOCATION 480.42 505.86521 505.86521 (25.45) (25.45) 25695 TREAT WRIST DISLOCATION 633.07 665.82291 665.82291 (32.75) (32.75) 25800 FUSION OF WRIST JOINT 730.98 766.22873 766.22873 (35.25) (35.25) 25805 FUSION/GRAFT OF WRIST JOINT 845.09 888.44005 888.44005 (43.35) (43.35) 25810 FUSION/GRAFT OF WRIST JOINT 867 909.48906 909.48906 (42.49) (42.49) 25820 FUSION OF HAND BONES 613.71 645.59339 645.59339 (31.88) (31.88) 25825 FUSE HAND BONES WITH GRAFT 756.26 793.08901 793.08901 (36.83) (36.83) 25830 FUSION RADIOULNAR JNT/ULNA 951.24 1003.166 1003.166 (51.93) (51.93) 25900 AMPUTATION OF FOREARM 708.15 739.39494 739.39494 (31.24) (31.24) 25905 AMPUTATION OF FOREARM 634.71 737.27479 737.27479 (102.56) (102.56) 25907 AMPUTATION FOLLOW-UP SURGERY 612.54 644.16062 644.16062 (31.62) (31.62) 25909 AMPUTATION FOLLOW-UP SURGERY 685.4 720.17465 720.17465 (34.77) (34.77) 25915 AMPUTATION OF FOREARM 1040.09 1019.9608 1019.9608 20.13 20.13 25920 AMPUTATE HAND AT WRIST 696.58 733.17625 733.17625 (36.60) (36.60) 25922 AMPUTATE HAND AT WRIST 490.56 643.2015 643.2015 (152.64) (152.64) 25924 AMPUTATION FOLLOW-UP SURGERY 612.86 715.57634 715.57634 (102.72) (102.72) 25927 AMPUTATION OF HAND 811.39 855.34103 855.34103 (43.95) (43.95) 25929 AMPUTATION FOLLOW-UP SURGERY 596.43 571.91646 571.91646 24.51 24.51 25931 AMPUTATION FOLLOW-UP SURGERY 672.42 785.36954 785.36954 (112.95) (112.95) 26010 DRAINAGE OF FINGER ABSCESS 138.27 278.6408 144.31182 (140.37) (6.04) 26011 DRAINAGE OF FINGER ABSCESS 184.67 410.80094 193.69219 (226.13) (9.02) 26020 DRAIN HAND TENDON SHEATH 432.41 455.1856 455.1856 (22.78) (22.78) 26025 DRAINAGE OF PALM BURSA 419.81 443.21902 443.21902 (23.41) (23.41) 26030 DRAINAGE OF PALM BURSAS 492.4 515.7009 515.7009 (23.30) (23.30) 26034 TREAT HAND BONE LESION 534.54 565.12495 565.12495 (30.58) (30.58) 26035 DECOMPRESS FINGERS/HAND 866.81 903.10319 903.10319 (36.29) (36.29) 26037 DECOMPRESS FINGERS/HAND 567.29 591.90182 591.90182 (24.61) (24.61) 26040 RELEASE PALM CONTRACTURE 309.11 326.59736 326.59736 (17.49) (17.49) 26045 RELEASE PALM CONTRACTURE 467.74 491.29766 491.29766 (23.56) (23.56) 26055 INCISE FINGER TENDON SHEATH 309.39 590.23706 326.47062 (280.85) (17.08) 26060 INCISION OF FINGER TENDON 264.48 276.15154 276.15154 (11.67) (11.67) 26070 EXPLORE/TREAT HAND JOINT 313.27 331.21465 331.21465 (17.94) (17.94) 26075 EXPLORE/TREAT FINGER JOINT 328.56 350.44317 350.44317 (21.88) (21.88) 26080 EXPLORE/TREAT FINGER JOINT 389.12 409.45267 409.45267 (20.33) (20.33) 26100 BIOPSY HAND JOINT LINING 334.27 353.07707 353.07707 (18.81) (18.81) 26105 BIOPSY FINGER JOINT LINING 333.52 355.6204 355.6204 (22.10) (22.10) 26110 BIOPSY FINGER JOINT LINING 320.01 336.72125 336.72125 (16.71) (16.71) 26111 EXC HAND LES SC 1.5 CM/> 416.09 439.02561 439.02561 (22.94) (22.94) 26113 EXC HAND TUM DEEP 1.5 CM/> 547.31 574.38675 574.38675 (27.08) (27.08) 26115 EXC HAND LES SC < 1.5 CM 331.77 531.27339 349.53418 (199.50) (17.76) 26116 EXC HAND TUM DEEP < 1.5 CM 525.32 552.57624 552.57624 (27.26) (27.26) 26117 RAD RESECT HAND TUMOR < 3 CM 746.02 781.80981 781.80981 (35.79) (35.79) 26118 RAD RESECT HAND TUMOR 3 CM/> 1055.93 1108.4143 1108.4143 (52.48) (52.48) 26121 RELEASE PALM CONTRACTURE 595.65 625.05239 625.05239 (29.40) (29.40) 26123 RELEASE PALM CONTRACTURE 831.3 873.24204 873.24204 (41.94) (41.94) 26125 RELEASE PALM CONTRACTURE 274.4 287.27715 287.27715 (12.88) (12.88) 26130 REMOVE WRIST JOINT LINING 460.41 486.56258 486.56258 (26.15) (26.15) 26135 REVISE FINGER JOINT EACH 549.13 574.1834 574.1834 (25.05) (25.05) 26140 REVISE FINGER JOINT EACH 502.61 527.89554 527.89554 (25.29) (25.29) 26145 TENDON EXCISION PALM/FINGER 509.95 536.88238 536.88238 (26.93) (26.93) 26160 REMOVE TENDON SHEATH LESION 332.38 605.51097 350.39878 (273.13) (18.02) 26170 REMOVAL OF PALM TENDON EACH 404.95 425.96244 425.96244 (21.01) (21.01) 26180 REMOVAL OF FINGER TENDON 441.2 464.62283 464.62283 (23.42) (23.42) 26185 REMOVE FINGER BONE 550.98 569.6864 569.6864 (18.71) (18.71) 26200 REMOVE HAND BONE LESION 449.13 470.22895 470.22895 (21.10) (21.10) 26205 REMOVE/GRAFT BONE LESION 602.02 632.8338 632.8338 (30.81) (30.81) 26210 REMOVAL OF FINGER LESION 440.26 463.74677 463.74677 (23.49) (23.49) 26215 REMOVE/GRAFT FINGER LESION 563.17 591.72317 591.72317 (28.55) (28.55) 26230 PARTIAL REMOVAL OF HAND BONE 497.69 522.51246 522.51246 (24.82) (24.82) 26235 PARTIAL REMOVAL FINGER BONE 491.43 516.29699 516.29699 (24.87) (24.87) 26236 PARTIAL REMOVAL FINGER BONE 439.7 462.31329 462.31329 (22.61) (22.61) 26250 EXTENSIVE HAND SURGERY 1095.53 1129.6971 1129.6971 (34.17) (34.17) 26260 RESECT PROX FINGER TUMOR 818.3 845.62671 845.62671 (27.33) (27.33) 26262 RESECT DISTAL FINGER TUMOR 639.51 667.06128 667.06128 (27.55) (27.55) 26320 REMOVAL OF IMPLANT FROM HAND 344.8 363.60194 363.60194 (18.80) (18.80) 26340 MANIPULATE FINGER W/ANESTH 333.23 351.61173 351.61173 (18.38) (18.38) 26341 MANIPULAT PALM CORD POST INJ 73.59 104.19002 78.603544 (30.60) (5.01) 26350 REPAIR FINGER/HAND TENDON 700.66 740.37625 740.37625 (39.72) (39.72) 26352 REPAIR/GRAFT HAND TENDON 807.47 843.66945 843.66945 (36.20) (36.20) 26356 REPAIR FINGER/HAND TENDON 1080.94 1139.09 1139.09 (58.15) (58.15) 26357 REPAIR FINGER/HAND TENDON 860.67 909.44682 909.44682 (48.78) (48.78) 26358 REPAIR/GRAFT HAND TENDON 908.28 933.89624 933.89624 (25.62) (25.62) 26370 REPAIR FINGER/HAND TENDON 748.27 789.34241 789.34241 (41.07) (41.07) 26372 REPAIR/GRAFT HAND TENDON 875.41 924.3552 924.3552 (48.95) (48.95) 26373 REPAIR FINGER/HAND TENDON 839.68 863.51304 863.51304 (23.83) (23.83) 26390 REVISE HAND/FINGER TENDON 827.39 871.56511 871.56511 (44.18) (44.18) 26392 REPAIR/GRAFT HAND TENDON 963.65 1016.3817 1016.3817 (52.73) (52.73) 26410 REPAIR HAND TENDON 556.38 586.78689 586.78689 (30.41) (30.41) 26412 REPAIR/GRAFT HAND TENDON 670.06 722.83219 722.83219 (52.77) (52.77) 26415 EXCISION HAND/FINGER TENDON 786.27 709.30108 709.30108 76.97 76.97 26416 GRAFT HAND OR FINGER TENDON 750.35 923.95494 923.95494 (173.60) (173.60) 26418 REPAIR FINGER TENDON 569.41 601.35121 601.35121 (31.94) (31.94) 26420 REPAIR/GRAFT FINGER TENDON 701.52 735.1149 735.1149 (33.59) (33.59) 26426 REPAIR FINGER/HAND TENDON 499.78 524.8689 524.8689 (25.09) (25.09) 26428 REPAIR/GRAFT FINGER TENDON 748.61 768.11725 768.11725 (19.51) (19.51) 26432 REPAIR FINGER TENDON 490.49 519.95803 519.95803 (29.47) (29.47) 26433 REPAIR FINGER TENDON 522.74 552.71085 552.71085 (29.97) (29.97) 26434 REPAIR/GRAFT FINGER TENDON 639.73 675.5068 675.5068 (35.78) (35.78) 26437 REALIGNMENT OF TENDONS 611.51 646.36848 646.36848 (34.86) (34.86) 26440 RELEASE PALM/FINGER TENDON 608.14 643.64007 643.64007 (35.50) (35.50) 26442 RELEASE PALM & FINGER TENDON 951.18 1002.8016 1002.8016 (51.62) (51.62) 26445 RELEASE HAND/FINGER TENDON 566.88 598.79966 598.79966 (31.92) (31.92) 26449 RELEASE FOREARM/HAND TENDON 691.54 729.1461 729.1461 (37.61) (37.61) 26450 INCISION OF PALM TENDON 400.97 421.90436 421.90436 (20.93) (20.93) 26455 INCISION OF FINGER TENDON 397.81 418.96829 418.96829 (21.16) (21.16) 26460 INCISE HAND/FINGER TENDON 388.34 407.24874 407.24874 (18.91) (18.91) 26471 FUSION OF FINGER TENDONS 605.57 636.90656 636.90656 (31.34) (31.34) 26474 FUSION OF FINGER TENDONS 593.47 627.50227 627.50227 (34.03) (34.03) 26476 TENDON LENGTHENING 576.1 609.7459 609.7459 (33.65) (33.65) 26477 TENDON SHORTENING 574.31 598.84727 598.84727 (24.54) (24.54) 26478 LENGTHENING OF HAND TENDON 612.35 640.88086 640.88086 (28.53) (28.53) 26479 SHORTENING OF HAND TENDON 610.45 634.52792 634.52792 (24.08) (24.08) 26480 TRANSPLANT HAND TENDON 741.54 779.85256 779.85256 (38.31) (38.31) 26483 TRANSPLANT/GRAFT HAND TENDON 831.87 873.76617 873.76617 (41.90) (41.90) 26485 TRANSPLANT PALM TENDON 793.18 838.20903 838.20903 (45.03) (45.03) 26489 TRANSPLANT/GRAFT PALM TENDON 919.36 976.74324 976.74324 (57.38) (57.38) 26490 REVISE THUMB TENDON 783.04 830.40757 830.40757 (47.37) (47.37) 26492 TENDON TRANSFER WITH GRAFT 870.2 920.33543 920.33543 (50.14) (50.14) 26494 HAND TENDON/MUSCLE TRANSFER 790.11 808.22079 808.22079 (18.11) (18.11) 26496 REVISE THUMB TENDON 827.83 885.24514 885.24514 (57.42) (57.42) 26497 FINGER TENDON TRANSFER 855.97 902.80711 902.80711 (46.84) (46.84) 26498 FINGER TENDON TRANSFER 1132.2 1199.9167 1199.9167 (67.72) (67.72) 26499 REVISION OF FINGER 820.96 846.96353 846.96353 (26.00) (26.00) 26500 HAND TENDON RECONSTRUCTION 614.3 646.13792 646.13792 (31.84) (31.84) 26502 HAND TENDON RECONSTRUCTION 697.05 740.61147 740.61147 (43.56) (43.56) 26508 RELEASE THUMB CONTRACTURE 630.29 655.34459 655.34459 (25.05) (25.05) 26510 THUMB TENDON TRANSFER 588.8 616.22486 616.22486 (27.42) (27.42) 26516 FUSION OF KNUCKLE JOINT 689.19 725.15641 725.15641 (35.97) (35.97) 26517 FUSION OF KNUCKLE JOINTS 816.08 860.24903 860.24903 (44.17) (44.17) 26518 FUSION OF KNUCKLE JOINTS 824.02 853.17076 853.17076 (29.15) (29.15) 26520 RELEASE KNUCKLE CONTRACTURE 640.4 677.14794 677.14794 (36.75) (36.75) 26525 RELEASE FINGER CONTRACTURE 639.55 677.12323 677.12323 (37.57) (37.57) 26530 REVISE KNUCKLE JOINT 535.15 563.23285 563.23285 (28.08) (28.08) 26531 REVISE KNUCKLE WITH IMPLANT 621.1 652.18834 652.18834 (31.09) (31.09) 26535 REVISE FINGER JOINT 416.91 441.99712 441.99712 (25.09) (25.09) 26536 REVISE/IMPLANT FINGER JOINT 701.82 738.69574 738.69574 (36.88) (36.88) 26540 REPAIR HAND JOINT 647.98 680.56052 680.56052 (32.58) (32.58) 26541 REPAIR HAND JOINT WITH GRAFT 787.38 830.20422 830.20422 (42.82) (42.82) 26542 REPAIR HAND JOINT WITH GRAFT 671.15 704.66983 704.66983 (33.52) (33.52) 26545 RECONSTRUCT FINGER JOINT 682.01 737.32634 737.32634 (55.32) (55.32) 26546 REPAIR NONUNION HAND 977.75 1032.9871 1032.9871 (55.24) (55.24) 26548 RECONSTRUCT FINGER JOINT 752.16 786.41852 786.41852 (34.26) (34.26) 26550 CONSTRUCT THUMB REPLACEMENT 1632.2 1717.4872 1717.4872 (85.29) (85.29) 26551 GREAT TOE-HAND TRANSFER 2941.51 3455.9317 3455.9317 (514.42) (514.42) 26553 SINGLE TRANSFER TOE-HAND 3050.21 2834.1143 2834.1143 216.10 216.10 26554 DOUBLE TRANSFER TOE-HAND 3163.56 3314.8019 3314.8019 (151.24) (151.24) 26555 POSITIONAL CHANGE OF FINGER 1364.14 1431.9621 1431.9621 (67.82) (67.82) 26556 TOE JOINT TRANSFER 2712.51 2697.3125 2697.3125 15.20 15.20 26560 REPAIR OF WEB FINGER 564.35 616.16472 616.16472 (51.81) (51.81) 26561 REPAIR OF WEB FINGER 936.45 964.63488 964.63488 (28.18) (28.18) 26562 REPAIR OF WEB FINGER 1262.79 1381.043 1381.043 (118.25) (118.25) 26565 CORRECT METACARPAL FLAW 672.12 706.52398 706.52398 (34.40) (34.40) 26567 CORRECT FINGER DEFORMITY 670.7 704.22768 704.22768 (33.53) (33.53) 26568 LENGTHEN METACARPAL/FINGER 890.45 940.00788 940.00788 (49.56) (49.56) 26580 REPAIR HAND DEFORMITY 1514.85 1579.7499 1579.7499 (64.90) (64.90) 26587 RECONSTRUCT EXTRA FINGER 939.72 999.95823 999.95823 (60.24) (60.24) 26590 REPAIR FINGER DEFORMITY 1398.03 1469.5668 1469.5668 (71.54) (71.54) 26591 REPAIR MUSCLES OF HAND 429.6 450.97287 450.97287 (21.37) (21.37) 26593 RELEASE MUSCLES OF HAND 587.82 623.39049 623.39049 (35.57) (35.57) 26596 EXCISION CONSTRICTING TISSUE 757.82 781.91793 781.91793 (24.10) (24.10) 26600 TREAT METACARPAL FRACTURE 277.15 308.81808 290.75704 (31.67) (13.61) 26605 TREAT METACARPAL FRACTURE 292.66 338.3409 307.8629 (45.68) (15.20) 26607 TREAT METACARPAL FRACTURE 455.22 480.42122 480.42122 (25.20) (25.20) 26608 TREAT METACARPAL FRACTURE 476.24 499.36656 499.36656 (23.13) (23.13) 26615 TREAT METACARPAL FRACTURE 574.4 605.24103 605.24103 (30.84) (30.84) 26641 TREAT THUMB DISLOCATION 339.38 395.60974 359.86393 (56.23) (20.48) 26645 TREAT THUMB FRACTURE 390.52 450.31555 413.06466 (59.80) (22.54) 26650 TREAT THUMB FRACTURE 476.95 503.05767 503.05767 (26.11) (26.11) 26665 TREAT THUMB FRACTURE 628.42 659.85376 659.85376 (31.43) (31.43) 26670 TREAT HAND DISLOCATION 307.53 351.97547 319.61611 (44.45) (12.09) 26675 TREAT HAND DISLOCATION 416.75 478.0254 439.26942 (61.28) (22.52) 26676 PIN HAND DISLOCATION 499.63 525.26916 525.26916 (25.64) (25.64) 26685 TREAT HAND DISLOCATION 579.97 605.6173 605.6173 (25.65) (25.65) 26686 TREAT HAND DISLOCATION 623.56 655.64389 655.64389 (32.08) (32.08) 26700 TREAT KNUCKLE DISLOCATION 304.98 335.82049 315.12555 (30.84) (10.15) 26705 TREAT KNUCKLE DISLOCATION 378.21 436.11855 399.6202 (57.91) (21.41) 26706 PIN KNUCKLE DISLOCATION 438.84 457.00932 457.00932 (18.17) (18.17) 26715 TREAT KNUCKLE DISLOCATION 573.08 600.18731 600.18731 (27.11) (27.11) 26720 TREAT FINGER FRACTURE EACH 184.74 207.87452 193.19993 (23.13) (8.46) 26725 TREAT FINGER FRACTURE EACH 303.81 352.52717 317.5339 (48.72) (13.72) 26727 TREAT FINGER FRACTURE EACH 467.79 492.07992 492.07992 (24.29) (24.29) 26735 TREAT FINGER FRACTURE EACH 595.8 626.36487 626.36487 (30.56) (30.56) 26740 TREAT FINGER FRACTURE EACH 214.35 240.70395 225.65309 (26.35) (11.30) 26742 TREAT FINGER FRACTURE EACH 333.89 383.7749 347.65282 (49.88) (13.76) 26746 TREAT FINGER FRACTURE EACH 740.04 777.63467 777.63467 (37.59) (37.59) 26750 TREAT FINGER FRACTURE EACH 185.03 192.40621 193.15875 (7.38) (8.13) 26755 TREAT FINGER FRACTURE EACH 273.66 329.03042 285.3829 (55.37) (11.72) 26756 PIN FINGER FRACTURE EACH 416.28 437.81875 437.81875 (21.54) (21.54) 26765 TREAT FINGER FRACTURE EACH 501.25 525.82408 525.82408 (24.57) (24.57) 26770 TREAT FINGER DISLOCATION 255.79 287.21736 265.76988 (31.43) (9.98) 26775 TREAT FINGER DISLOCATION 344.41 401.00356 362.62385 (56.59) (18.21) 26776 PIN FINGER DISLOCATION 441.16 465.06748 465.06748 (23.91) (23.91) 26785 TREAT FINGER DISLOCATION 546.06 573.55115 573.55115 (27.49) (27.49) 26820 THUMB FUSION WITH GRAFT 778.59 820.61878 820.61878 (42.03) (42.03) 26841 FUSION OF THUMB 718.76 753.80819 753.80819 (35.05) (35.05) 26842 THUMB FUSION WITH GRAFT 778.16 814.12586 814.12586 (35.97) (35.97) 26843 FUSION OF HAND JOINT 729.7 769.71685 769.71685 (40.02) (40.02) 26844 FUSION/GRAFT OF HAND JOINT 806.89 837.54277 837.54277 (30.65) (30.65) 26850 FUSION OF KNUCKLE 681.2 717.10076 717.10076 (35.90) (35.90) 26852 FUSION OF KNUCKLE WITH GRAFT 781.74 823.31856 823.31856 (41.58) (41.58) 26860 FUSION OF FINGER JOINT 553.61 586.9573 586.9573 (33.35) (33.35) 26861 FUSION OF FINGER JNT ADD-ON 103.96 108.14606 108.14606 (4.19) (4.19) 26862 FUSION/GRAFT OF FINGER JOINT 712.49 752.6851 752.6851 (40.20) (40.20) 26863 FUSE/GRAFT ADDED JOINT 230.01 239.7477 239.7477 (9.74) (9.74) 26910 AMPUTATE METACARPAL BONE 708.43 742.57839 742.57839 (34.15) (34.15) 26951 AMPUTATION OF FINGER/THUMB 644.98 678.87356 678.87356 (33.89) (33.89) 26952 AMPUTATION OF FINGER/THUMB 637.48 668.34117 668.34117 (30.86) (30.86) 26990 DRAINAGE OF PELVIS LESION 623.55 658.33793 658.33793 (34.79) (34.79) 26991 DRAINAGE OF PELVIS BURSA 523.98 740.26491 547.23755 (216.28) (23.26) 26992 DRAINAGE OF BONE LESION 965.64 1004.8115 1004.8115 (39.17) (39.17) 27000 INCISION OF HIP TENDON 421.03 437.39451 437.39451 (16.36) (16.36) 27001 INCISION OF HIP TENDON 542.52 566.57312 566.57312 (24.05) (24.05) 27003 INCISION OF HIP TENDON 596.09 627.06049 627.06049 (30.97) (30.97) 27005 INCISION OF HIP TENDON 728.38 761.34293 761.34293 (32.96) (32.96) 27006 INCISION OF HIP TENDONS 737.26 772.5652 772.5652 (35.31) (35.31) 27025 INCISION OF HIP/THIGH FASCIA 919.89 957.66974 957.66974 (37.78) (37.78) 27027 BUTTOCK FASCIOTOMY 845.72 931.71272 931.71272 (85.99) (85.99) 27030 DRAINAGE OF HIP JOINT 919.37 984.67466 984.67466 (65.30) (65.30) 27033 EXPLORATION OF HIP JOINT 977.25 1021.2972 1021.2972 (44.05) (44.05) 27035 DENERVATION OF HIP JOINT 1180.23 1128.1541 1128.1541 52.08 52.08 27036 EXCISION OF HIP JOINT/MUSCLE 1014.82 1063.6734 1063.6734 (48.85) (48.85) 27040 BIOPSY OF SOFT TISSUES 201.53 363.52891 209.6338 (162.00) (8.10) 27041 BIOPSY OF SOFT TISSUES 689.13 719.94481 719.94481 (30.81) (30.81) 27043 EXC HIP PELVIS LES SC 3 CM/> 467.27 492.15367 492.15367 (24.88) (24.88) 27045 EXC HIP/PELV TUM DEEP 5 CM/> 748.82 785.77481 785.77481 (36.95) (36.95) 27047 EXC HIP/PELVIS LES SC < 3 CM 363.17 494.25198 382.12303 (131.08) (18.95) 27048 EXC HIP/PELV TUM DEEP < 5 CM 609.72 638.57812 638.57812 (28.86) (28.86) 27049 RESECT HIP/PELV TUM < 5 CM 1367.59 1400.7513 1400.7513 (33.16) (33.16) 27050 BIOPSY OF SACROILIAC JOINT 401.8 424.0152 424.0152 (22.22) (22.22) 27052 BIOPSY OF HIP JOINT 578.75 610.56718 610.56718 (31.82) (31.82) 27054 REMOVAL OF HIP JOINT LINING 687.32 719.10599 719.10599 (31.79) (31.79) 27057 BUTTOCK FASCIOTOMY W/DBRDMT 948.8 1067.124 1067.124 (118.32) (118.32) 27059 RESECT HIP/PELV TUM 5 CM/> 1809.18 1909.0005 1909.0005 (99.82) (99.82) 27060 REMOVAL OF ISCHIAL BURSA 465.47 489.71596 489.71596 (24.25) (24.25) 27062 REMOVE FEMUR LESION/BURSA 456.29 480.6056 480.6056 (24.32) (24.32) 27065 REMOVE HIP BONE LES SUPER 513.95 545.61647 545.61647 (31.67) (31.67) 27066 REMOVE HIP BONE LES DEEP 815.01 854.78897 854.78897 (39.78) (39.78) 27067 REMOVE/GRAFT HIP BONE LESION 1036.65 1088.6069 1088.6069 (51.96) (51.96) 27070 PART REMOVE HIP BONE SUPER 853.61 891.34819 891.34819 (37.74) (37.74) 27071 PART REMOVAL HIP BONE DEEP 920.22 961.68199 961.68199 (41.46) (41.46) 27075 RESECT HIP TUMOR 2110.37 2214.5488 2214.5488 (104.18) (104.18) 27076 RESECT HIP TUM INCL ACETABUL 2536.41 2680.1197 2680.1197 (143.71) (143.71) 27077 RESECT HIP TUM W/INNOM BONE 2851.65 2991.078 2991.078 (139.43) (139.43) 27078 RSECT HIP TUM INCL FEMUR 2080.6 2183.2846 2183.2846 (102.68) (102.68) 27080 REMOVAL OF TAIL BONE 512.49 539.62154 539.62154 (27.13) (27.13) 27086 REMOVE HIP FOREIGN BODY 165.74 312.34379 176.88599 (146.60) (11.15) 27087 REMOVE HIP FOREIGN BODY 628.96 655.58696 655.58696 (26.63) (26.63) 27090 REMOVAL OF HIP PROSTHESIS 830.79 868.88466 868.88466 (38.09) (38.09) 27091 REMOVAL OF HIP PROSTHESIS 1608.82 1679.9402 1679.9402 (71.12) (71.12) 27093 INJECTION FOR HIP X-RAY 70.36 198.79388 73.871686 (128.43) (3.51) 27095 INJECTION FOR HIP X-RAY 82.27 255.55899 86.989283 (173.29) (4.72) 27096 INJECT SACROILIAC JOINT 84.73 168.11825 87.972386 (83.39) (3.24) 27097 REVISION OF HIP TENDON 682.56 717.25506 717.25506 (34.70) (34.70) 27098 TRANSFER TENDON TO PELVIS 694.72 730.31752 730.31752 (35.60) (35.60) 27100 TRANSFER OF ABDOMINAL MUSCLE 820.17 869.29638 869.29638 (49.13) (49.13) 27105 TRANSFER OF SPINAL MUSCLE 867.23 911.86269 911.86269 (44.63) (44.63) 27110 TRANSFER OF ILIOPSOAS MUSCLE 970.58 1019.877 1019.877 (49.30) (49.30) 27111 TRANSFER OF ILIOPSOAS MUSCLE 900.13 947.11766 947.11766 (46.99) (46.99) 27120 RECONSTRUCTION OF HIP SOCKET 1304.14 1370.0835 1370.0835 (65.94) (65.94) 27122 RECONSTRUCTION OF HIP SOCKET 1103.86 1154.8379 1154.8379 (50.98) (50.98) 27125 PARTIAL HIP REPLACEMENT 1139.32 1193.1195 1193.1195 (53.80) (53.80) 27130 TOTAL HIP ARTHROPLASTY 1366.9 1426.6138 1426.6138 (59.71) (59.71) 27132 TOTAL HIP ARTHROPLASTY 1688.66 1761.5242 1761.5242 (72.86) (72.86) 27134 REVISE HIP JOINT REPLACEMENT 1932 2014.8546 2014.8546 (82.85) (82.85) 27137 REVISE HIP JOINT REPLACEMENT 1483.83 1549.2425 1549.2425 (65.41) (65.41) 27138 REVISE HIP JOINT REPLACEMENT 1542.67 1609.6121 1609.6121 (66.94) (66.94) 27140 TRANSPLANT FEMUR RIDGE 896.31 944.11322 944.11322 (47.80) (47.80) 27146 INCISION OF HIP BONE 1289.93 1350.105 1350.105 (60.17) (60.17) 27147 REVISION OF HIP BONE 1475.44 1549.9342 1549.9342 (74.49) (74.49) 27151 INCISION OF HIP BONES 1597.69 1677.2404 1677.2404 (79.55) (79.55) 27156 REVISION OF HIP BONES 1722.3 1808.1611 1808.1611 (85.86) (85.86) 27158 REVISION OF PELVIS 1407 1476.8949 1476.8949 (69.89) (69.89) 27161 INCISION OF NECK OF FEMUR 1222.14 1279.2929 1279.2929 (57.15) (57.15) 27165 INCISION/FIXATION OF FEMUR 1385.14 1443.3724 1443.3724 (58.23) (58.23) 27170 REPAIR/GRAFT FEMUR HEAD/NECK 1182.38 1238.8639 1238.8639 (56.48) (56.48) 27175 TREAT SLIPPED EPIPHYSIS 590.14 701.59736 701.59736 (111.46) (111.46) 27176 TREAT SLIPPED EPIPHYSIS 920.54 967.13739 967.13739 (46.60) (46.60) 27177 TREAT SLIPPED EPIPHYSIS 1116.8 1173.7066 1173.7066 (56.91) (56.91) 27178 TREAT SLIPPED EPIPHYSIS 920.54 967.13739 967.13739 (46.60) (46.60) 27179 REVISE HEAD/NECK OF FEMUR 978.17 1027.7268 1027.7268 (49.56) (49.56) 27181 TREAT SLIPPED EPIPHYSIS 1021.54 1184.0446 1184.0446 (162.50) (162.50) 27185 REVISION OF FEMUR EPIPHYSIS 585.63 614.05638 614.05638 (28.43) (28.43) 27187 REINFORCE HIP BONES 996.45 1043.2255 1043.2255 (46.78) (46.78) 27193 TREAT PELVIC RING FRACTURE 478.41 493.94302 501.09218 (15.53) (22.68) 27194 TREAT PELVIC RING FRACTURE 701.41 748.58263 748.58263 (47.17) (47.17) 27200 TREAT TAIL BONE FRACTURE 187.7 189.42647 197.70444 (1.73) (10.00) 27202 TREAT TAIL BONE FRACTURE 534.05 560.75361 560.75361 (26.70) (26.70) 27215 TREAT PELVIC FRACTURE(S) 599.21 629.35248 629.35248 (30.14) (30.14) 27216 TREAT PELVIC RING FRACTURE 888.89 931.3701 931.3701 (42.48) (42.48) 27217 TREAT PELVIC RING FRACTURE 834.37 874.97482 874.97482 (40.60) (40.60) 27218 TREAT PELVIC RING FRACTURE 1151.03 1204.9475 1204.9475 (53.92) (53.92) 27220 TREAT HIP SOCKET FRACTURE 526.81 557.39939 552.88413 (30.59) (26.07) 27222 TREAT HIP SOCKET FRACTURE 977.93 1028.7486 1028.7486 (50.82) (50.82) 27226 TREAT HIP WALL FRACTURE 1064.12 1113.3238 1113.3238 (49.20) (49.20) 27227 TREAT HIP FRACTURE(S) 1670.78 1746.7615 1746.7615 (75.98) (75.98) 27228 TREAT HIP FRACTURE(S) 1902.92 1990.8079 1990.8079 (87.89) (87.89) 27230 TREAT THIGH FRACTURE 472.35 498.69134 495.3049 (26.34) (22.95) 27232 TREAT THIGH FRACTURE 762.8 790.3674 790.3674 (27.57) (27.57) 27235 TREAT THIGH FRACTURE 912.49 957.24728 957.24728 (44.76) (44.76) 27236 TREAT THIGH FRACTURE 1203.56 1259.5588 1259.5588 (56.00) (56.00) 27238 TREAT THIGH FRACTURE 460.6 484.11556 484.11556 (23.52) (23.52) 27240 TREAT THIGH FRACTURE 959.33 1006.8639 1006.8639 (47.53) (47.53) 27244 TREAT THIGH FRACTURE 1237.14 1296.3024 1296.3024 (59.16) (59.16) 27245 TREAT THIGH FRACTURE 1237.5 1295.9509 1295.9509 (58.45) (58.45) 27246 TREAT THIGH FRACTURE 386.91 405.10281 406.98417 (18.19) (20.07) 27248 TREAT THIGH FRACTURE 746.72 781.57746 781.57746 (34.86) (34.86) 27250 TREAT HIP DISLOCATION 182.96 187.88809 187.88809 (4.93) (4.93) 27252 TREAT HIP DISLOCATION 761.38 797.97446 797.97446 (36.59) (36.59) 27253 TREAT HIP DISLOCATION 946.07 989.3052 989.3052 (43.24) (43.24) 27254 TREAT HIP DISLOCATION 1272.65 1339.1602 1339.1602 (66.51) (66.51) 27256 TREAT HIP DISLOCATION 235.39 316.29625 245.55718 (80.91) (10.17) 27257 TREAT HIP DISLOCATION 361.58 358.61876 358.61876 2.96 2.96 27258 TREAT HIP DISLOCATION 1113.45 1169.7463 1169.7463 (56.30) (56.30) 27259 TREAT HIP DISLOCATION 1558.02 1636.558 1636.558 (78.54) (78.54) 27265 TREAT HIP DISLOCATION 400.52 417.49256 417.49256 (16.97) (16.97) 27266 TREAT HIP DISLOCATION 582.11 611.38059 611.38059 (29.27) (29.27) 27267 Cltx thigh fx 438.37 454.95003 454.95003 (16.58) (16.58) 27268 Cltx thigh fx w/mnpj 538.6 566.10627 566.10627 (27.51) (27.51) 27269 Optx thigh fx 1250.42 1309.0856 1309.0856 (58.67) (58.67) 27275 MANIPULATION OF HIP JOINT 181.65 191.93184 191.93184 (10.28) (10.28) 27279 Arthrodesis sacroiliac joint 560.88 585.57501 585.57501 (24.70) (24.70) 27280 FUSION OF SACROILIAC JOINT 1046.01 1098.0373 1098.0373 (52.03) (52.03) 27282 FUSION OF PUBIC BONES 855.66 780.17835 780.17835 75.48 75.48 27284 FUSION OF HIP JOINT 1626.08 1602.6026 1602.6026 23.48 23.48 27286 FUSION OF HIP JOINT 1660.02 1742.3451 1742.3451 (82.33) (82.33) 27290 AMPUTATION OF LEG AT HIP 1631.16 1712.0558 1712.0558 (80.90) (80.90) 27295 AMPUTATION OF LEG AT HIP 1270.71 1321.4489 1321.4489 (50.74) (50.74) 27301 DRAIN THIGH/KNEE LESION 495.73 697.02911 520.5577 (201.30) (24.83) 27303 DRAINAGE OF BONE LESION 640.09 668.73427 668.73427 (28.64) (28.64) 27305 INCISE THIGH TENDON & FASCIA 485.1 506.28587 506.28587 (21.19) (21.19) 27306 INCISION OF THIGH TENDON 370.56 378.12331 378.12331 (7.56) (7.56) 27307 INCISION OF THIGH TENDONS 480.26 505.48392 505.48392 (25.22) (25.22) 27310 EXPLORATION OF KNEE JOINT 733.15 767.80542 767.80542 (34.66) (34.66) 27323 BIOPSY THIGH SOFT TISSUES 178.43 283.82447 185.99384 (105.39) (7.56) 27324 BIOPSY THIGH SOFT TISSUES 395.7 417.20436 417.20436 (21.50) (21.50) 27325 NEURECTOMY HAMSTRING 557.52 533.79953 533.79953 23.72 23.72 27326 NEURECTOMY POPLITEAL 513.72 541.10944 541.10944 (27.39) (27.39) 27327 EXC THIGH/KNEE LES SC < 3 CM 313.98 484.01711 329.74573 (170.04) (15.77) 27328 EXC THIGH/KNEE TUM DEEP <5CM 619.41 651.37136 651.37136 (31.96) (31.96) 27329 RESECT THIGH/KNEE TUM < 5 CM 1041.02 1085.6146 1085.6146 (44.59) (44.59) 27330 BIOPSY KNEE JOINT LINING 418.03 437.90754 437.90754 (19.88) (19.88) 27331 EXPLORE/TREAT KNEE JOINT 476.7 500.78178 500.78178 (24.08) (24.08) 27332 REMOVAL OF KNEE CARTILAGE 641.4 675.73772 675.73772 (34.34) (34.34) 27333 REMOVAL OF KNEE CARTILAGE 586.08 616.32403 616.32403 (30.24) (30.24) 27334 REMOVE KNEE JOINT LINING 685.93 718.76265 718.76265 (32.83) (32.83) 27335 REMOVE KNEE JOINT LINING 766.45 802.42313 802.42313 (35.97) (35.97) 27337 EXC THIGH/KNEE LES SC 3 CM/> 417.36 438.25481 438.25481 (20.89) (20.89) 27339 EXC THIGH/KNEE TUM DEP 5CM/> 749.9 789.86439 789.86439 (39.96) (39.96) 27340 REMOVAL OF KNEECAP BURSA 371.89 391.49044 391.49044 (19.60) (19.60) 27345 REMOVAL OF KNEE CYST 481.64 506.68685 506.68685 (25.05) (25.05) 27347 REMOVE KNEE CYST 529.84 556.83624 556.83624 (27.00) (27.00) 27350 REMOVAL OF KNEECAP 655.11 684.16141 684.16141 (29.05) (29.05) 27355 REMOVE FEMUR LESION 604.43 634.29772 634.29772 (29.87) (29.87) 27356 REMOVE FEMUR LESION/GRAFT 739.47 776.79226 776.79226 (37.32) (37.32) 27357 REMOVE FEMUR LESION/GRAFT 815.8 854.78074 854.78074 (38.98) (38.98) 27358 REMOVE FEMUR LESION/FIXATION 279.71 293.86638 293.86638 (14.16) (14.16) 27360 PARTIAL REMOVAL LEG BONE(S) 854.85 895.60246 895.60246 (40.75) (40.75) 27364 RESECT THIGH/KNEE TUM 5 CM/> 1568.28 1642.1433 1642.1433 (73.86) (73.86) 27365 RESECT FEMUR/KNEE TUMOR 2080.99 2173.2431 2173.2431 (92.25) (92.25) 27370 INJECTION FOR KNEE X-RAY 51.92 163.73152 52.731377 (111.81) (0.81) 27372 REMOVAL OF FOREIGN BODY 405.78 642.18188 425.4494 (236.40) (19.67) 27380 REPAIR OF KNEECAP TENDON 596.28 623.88491 623.88491 (27.60) (27.60) 27381 REPAIR/GRAFT KNEECAP TENDON 802.05 837.34801 837.34801 (35.30) (35.30) 27385 REPAIR OF THIGH MUSCLE 576.94 605.39748 605.39748 (28.46) (28.46) 27386 REPAIR/GRAFT OF THIGH MUSCLE 833.07 871.58372 871.58372 (38.51) (38.51) 27390 INCISION OF THIGH TENDON 448.36 472.41247 472.41247 (24.05) (24.05) 27391 INCISION OF THIGH TENDONS 577.2 607.04076 607.04076 (29.84) (29.84) 27392 INCISION OF THIGH TENDONS 712.54 749.2249 749.2249 (36.68) (36.68) 27393 LENGTHENING OF THIGH TENDON 509.94 537.09969 537.09969 (27.16) (27.16) 27394 LENGTHENING OF THIGH TENDONS 653.09 683.52164 683.52164 (30.43) (30.43) 27395 LENGTHENING OF THIGH TENDONS 879.52 924.22774 924.22774 (44.71) (44.71) 27396 TRANSPLANT OF THIGH TENDON 616.41 647.42355 647.42355 (31.01) (31.01) 27397 TRANSPLANTS OF THIGH TENDONS 917.64 965.43146 965.43146 (47.79) (47.79) 27400 REVISE THIGH MUSCLES/TENDONS 695.06 731.02889 731.02889 (35.97) (35.97) 27403 REPAIR OF KNEE CARTILAGE 641.86 672.88973 672.88973 (31.03) (31.03) 27405 REPAIR OF KNEE LIGAMENT 678.57 710.69053 710.69053 (32.12) (32.12) 27407 REPAIR OF KNEE LIGAMENT 793.31 833.51692 833.51692 (40.21) (40.21) 27409 REPAIR OF KNEE LIGAMENTS 967.09 1015.8862 1015.8862 (48.80) (48.80) 27412 AUTOCHONDROCYTE IMPLANT KNEE 1661.4 1742.924 1742.924 (81.52) (81.52) 27415 OSTEOCHONDRAL KNEE ALLOGRAFT 1379.46 1449.0247 1449.0247 (69.56) (69.56) 27416 Osteochondral knee autograft 982.92 1032.5829 1032.5829 (49.66) (49.66) 27418 REPAIR DEGENERATED KNEECAP 833.41 869.15639 869.15639 (35.75) (35.75) 27420 REVISION OF UNSTABLE KNEECAP 736.7 776.38305 776.38305 (39.68) (39.68) 27422 REVISION OF UNSTABLE KNEECAP 745.75 779.85184 779.85184 (34.10) (34.10) 27424 REVISION/REMOVAL OF KNEECAP 748.22 787.75927 787.75927 (39.54) (39.54) 27425 LAT RETINACULAR RELEASE OPEN 447.85 472.31617 472.31617 (24.47) (24.47) 27427 RECONSTRUCTION KNEE 716.97 749.86217 749.86217 (32.89) (32.89) 27428 RECONSTRUCTION KNEE 1117.25 1173.6647 1173.6647 (56.41) (56.41) 27429 RECONSTRUCTION KNEE 1256.47 1318.8286 1318.8286 (62.36) (62.36) 27430 REVISION OF THIGH MUSCLES 742.97 773.75989 773.75989 (30.79) (30.79) 27435 INCISION OF KNEE JOINT 812.66 848.06227 848.06227 (35.40) (35.40) 27437 REVISE KNEECAP 661.2 695.76318 695.76318 (34.56) (34.56) 27438 REVISE KNEECAP WITH IMPLANT 845.57 884.25989 884.25989 (38.69) (38.69) 27440 REVISION OF KNEE JOINT 798.66 839.77105 839.77105 (41.11) (41.11) 27441 REVISION OF KNEE JOINT 825.26 868.13212 868.13212 (42.87) (42.87) 27442 REVISION OF KNEE JOINT 873.55 914.05194 914.05194 (40.50) (40.50) 27443 REVISION OF KNEE JOINT 817.94 859.76607 859.76607 (41.83) (41.83) 27445 REVISION OF KNEE JOINT 1259.46 1317.8659 1317.8659 (58.41) (58.41) 27446 REVISION OF KNEE JOINT 1168.58 1219.7589 1219.7589 (51.18) (51.18) 27447 TOTAL KNEE ARTHROPLASTY 1366.16 1426.2375 1426.2375 (60.08) (60.08) 27448 INCISION OF THIGH 810.13 803.44561 803.44561 6.68 6.68 27450 INCISION OF THIGH 1017.09 1061.3145 1061.3145 (44.22) (44.22) 27454 REALIGNMENT OF THIGH BONE 1303.89 1370.24 1370.24 (66.35) (66.35) 27455 REALIGNMENT OF KNEE 944.27 992.1779 992.1779 (47.91) (47.91) 27457 REALIGNMENT OF KNEE 960.12 1010.6711 1010.6711 (50.55) (50.55) 27465 SHORTENING OF THIGH BONE 1258.12 1314.3065 1314.3065 (56.19) (56.19) 27466 LENGTHENING OF THIGH BONE 1183.25 1247.5371 1247.5371 (64.29) (64.29) 27468 SHORTEN/LENGTHEN THIGHS 1206.1 1415.2096 1415.2096 (209.11) (209.11) 27470 REPAIR OF THIGH 1182.74 1237.251 1237.251 (54.51) (54.51) 27472 REPAIR/GRAFT OF THIGH 1270.84 1330.9366 1330.9366 (60.10) (60.10) 27475 SURGERY TO STOP LEG GROWTH 662.64 696.51572 696.51572 (33.88) (33.88) 27477 SURGERY TO STOP LEG GROWTH 733.31 771.79369 771.79369 (38.48) (38.48) 27479 SURGERY TO STOP LEG GROWTH 862.4 968.90096 968.90096 (106.50) (106.50) 27485 SURGERY TO STOP LEG GROWTH 671.67 705.49433 705.49433 (33.82) (33.82) 27486 REVISE/REPLACE KNEE JOINT 1417.63 1479.589 1479.589 (61.96) (61.96) 27487 REVISE/REPLACE KNEE JOINT 1773.06 1848.4723 1848.4723 (75.41) (75.41) 27488 REMOVAL OF KNEE PROSTHESIS 1208.96 1263.4368 1263.4368 (54.48) (54.48) 27495 REINFORCE THIGH 1133.35 1186.536 1186.536 (53.19) (53.19) 27496 DECOMPRESSION OF THIGH/KNEE 543.77 572.81006 572.81006 (29.04) (29.04) 27497 DECOMPRESSION OF THIGH/KNEE 582.84 620.52961 620.52961 (37.69) (37.69) 27498 DECOMPRESSION OF THIGH/KNEE 655.11 689.55846 689.55846 (34.45) (34.45) 27499 DECOMPRESSION OF THIGH/KNEE 701.01 736.85985 736.85985 (35.85) (35.85) 27500 TREATMENT OF THIGH FRACTURE 479.49 546.50326 505.86592 (67.01) (26.38) 27501 TREATMENT OF THIGH FRACTURE 499.39 528.82422 524.68524 (29.43) (25.30) 27502 TREATMENT OF THIGH FRACTURE 773.05 803.59956 803.59956 (30.55) (30.55) 27503 TREATMENT OF THIGH FRACTURE 804.83 842.5836 842.5836 (37.75) (37.75) 27506 TREATMENT OF THIGH FRACTURE 1345.53 1408.3537 1408.3537 (62.82) (62.82) 27507 TREATMENT OF THIGH FRACTURE 978.5 1022.4704 1022.4704 (43.97) (43.97) 27508 TREATMENT OF THIGH FRACTURE 496.16 551.7324 518.6205 (55.57) (22.46) 27509 TREATMENT OF THIGH FRACTURE 645.84 677.3878 677.3878 (31.55) (31.55) 27510 TREATMENT OF THIGH FRACTURE 687.08 717.98612 717.98612 (30.91) (30.91) 27511 TREATMENT OF THIGH FRACTURE 1003.03 1047.8024 1047.8024 (44.77) (44.77) 27513 TREATMENT OF THIGH FRACTURE 1248.13 1304.6065 1304.6065 (56.48) (56.48) 27514 TREATMENT OF THIGH FRACTURE 971.82 1017.2578 1017.2578 (45.44) (45.44) 27516 TREAT THIGH FX GROWTH PLATE 476.99 535.85417 502.74226 (58.86) (25.75) 27517 TREAT THIGH FX GROWTH PLATE 686.04 721.69048 721.69048 (35.65) (35.65) 27519 TREAT THIGH FX GROWTH PLATE 893.81 938.60161 938.60161 (44.79) (44.79) 27520 TREAT KNEECAP FRACTURE 295.55 340.55736 310.45563 (45.01) (14.91) 27524 TREAT KNEECAP FRACTURE 754.86 792.18396 792.18396 (37.32) (37.32) 27530 TREAT KNEE FRACTURE 280.71 318.39528 295.44271 (37.69) (14.73) 27532 TREAT KNEE FRACTURE 578.17 649.10907 608.84801 (70.94) (30.68) 27535 TREAT KNEE FRACTURE 901.81 943.37786 943.37786 (41.57) (41.57) 27536 TREAT KNEE FRACTURE 1197.43 1252.4451 1252.4451 (55.02) (55.02) 27538 TREAT KNEE FRACTURE(S) 443.99 499.44568 467.46259 (55.46) (23.47) 27540 TREAT KNEE FRACTURE 815.94 853.16861 853.16861 (37.23) (37.23) 27550 TREAT KNEE DISLOCATION 470.89 528.58722 489.83124 (57.70) (18.94) 27552 TREAT KNEE DISLOCATION 627.13 658.05797 658.05797 (30.93) (30.93) 27556 TREAT KNEE DISLOCATION 876.25 922.95716 922.95716 (46.71) (46.71) 27557 TREAT KNEE DISLOCATION 1051.39 1103.003 1103.003 (51.61) (51.61) 27558 TREAT KNEE DISLOCATION 1198.42 1257.9342 1257.9342 (59.51) (59.51) 27560 TREAT KNEECAP DISLOCATION 334.32 376.77396 347.42477 (42.45) (13.10) 27562 TREAT KNEECAP DISLOCATION 483.6 509.77936 509.77936 (26.18) (26.18) 27566 TREAT KNEECAP DISLOCATION 894.61 940.49048 940.49048 (45.88) (45.88) 27570 FIXATION OF KNEE JOINT 150.96 158.73688 158.73688 (7.78) (7.78) 27580 FUSION OF KNEE 1443.52 1509.5507 1509.5507 (66.03) (66.03) 27590 AMPUTATE LEG AT THIGH 817.5 847.61869 847.61869 (30.12) (30.12) 27591 AMPUTATE LEG AT THIGH 974.54 1017.9931 1017.9931 (43.45) (43.45) 27592 AMPUTATE LEG AT THIGH 691.8 721.85803 721.85803 (30.06) (30.06) 27594 AMPUTATION FOLLOW-UP SURGERY 515.92 533.84894 533.84894 (17.93) (17.93) 27596 AMPUTATION FOLLOW-UP SURGERY 735.49 759.50489 759.50489 (24.01) (24.01) 27598 AMPUTATE LOWER LEG AT KNEE 737.29 757.86233 757.86233 (20.57) (20.57) 27600 DECOMPRESSION OF LOWER LEG 417.59 436.67562 436.67562 (19.09) (19.09) 27601 DECOMPRESSION OF LOWER LEG 444.84 471.61124 471.61124 (26.77) (26.77) 27602 DECOMPRESSION OF LOWER LEG 504.49 516.90096 516.90096 (12.41) (12.41) 27603 DRAIN LOWER LEG LESION 390.27 558.24036 408.10797 (167.97) (17.84) 27604 DRAIN LOWER LEG BURSA 333.25 517.34382 361.94362 (184.09) (28.69) 27605 INCISION OF ACHILLES TENDON 185.86 359.83457 193.14622 (173.97) (7.29) 27606 INCISION OF ACHILLES TENDON 286.87 300.65753 300.65753 (13.79) (13.79) 27607 TREAT LOWER LEG BONE LESION 613.34 642.30719 642.30719 (28.97) (28.97) 27610 EXPLORE/TREAT ANKLE JOINT 657.01 685.74383 685.74383 (28.73) (28.73) 27612 EXPLORATION OF ANKLE JOINT 566.46 594.40147 594.40147 (27.94) (27.94) 27613 BIOPSY LOWER LEG SOFT TISSUE 163.4 263.93399 169.86607 (100.53) (6.47) 27614 BIOPSY LOWER LEG SOFT TISSUE 408.64 603.8548 421.73931 (195.21) (13.10) 27615 RESECT LEG/ANKLE TUM < 5 CM 1026.95 1069.8302 1069.8302 (42.88) (42.88) 27616 RESECT LEG/ANKLE TUM 5 CM/> 1270.24 1330.6029 1330.6029 (60.36) (60.36) 27618 EXC LEG/ANKLE TUM < 3 CM 306.32 475.48637 323.84889 (169.17) (17.53) 27619 EXC LEG/ANKLE TUM DEEP <5 CM 473.34 496.50353 496.50353 (23.16) (23.16) 27620 EXPLORE/TREAT ANKLE JOINT 456.85 483.32757 483.32757 (26.48) (26.48) 27625 REMOVE ANKLE JOINT LINING 581.45 614.19063 614.19063 (32.74) (32.74) 27626 REMOVE ANKLE JOINT LINING 628.51 648.00639 648.00639 (19.50) (19.50) 27630 REMOVAL OF TENDON LESION 369.59 593.92781 385.09704 (224.34) (15.51) 27632 EXC LEG/ANKLE LES SC 3 CM/> 413.63 435.09069 435.09069 (21.46) (21.46) 27634 EXC LEG/ANKLE TUM DEP 5 CM/> 683.46 718.65131 718.65131 (35.19) (35.19) 27635 REMOVE LOWER LEG BONE LESION 592.38 617.63723 617.63723 (25.26) (25.26) 27637 REMOVE/GRAFT LEG BONE LESION 755.65 804.92779 804.92779 (49.28) (49.28) 27638 REMOVE/GRAFT LEG BONE LESION 773.7 816.28002 816.28002 (42.58) (42.58) 27640 PARTIAL REMOVAL OF TIBIA 836.8 879.34115 879.34115 (42.54) (42.54) 27641 PARTIAL REMOVAL OF FIBULA 671.93 702.58619 702.58619 (30.66) (30.66) 27645 RESECT TIBIA TUMOR 1788.71 1877.5448 1877.5448 (88.83) (88.83) 27646 RESECT FIBULA TUMOR 1550.93 1628.7633 1628.7633 (77.83) (77.83) 27647 RESECT TALUS/CALCANEUS TUM 1041.5 1071.2716 1071.2716 (29.77) (29.77) 27648 INJECTION FOR ANKLE X-RAY 52.28 171.60852 54.211761 (119.33) (1.93) 27650 REPAIR ACHILLES TENDON 666.71 692.92843 692.92843 (26.22) (26.22) 27652 REPAIR/GRAFT ACHILLES TENDON 691.11 720.39519 720.39519 (29.29) (29.29) 27654 REPAIR OF ACHILLES TENDON 710.95 742.98223 742.98223 (32.03) (32.03) 27656 REPAIR LEG FASCIA DEFECT 396.07 675.43878 418.82151 (279.37) (22.75) 27658 REPAIR OF LEG TENDON EACH 375.72 394.2568 394.2568 (18.54) (18.54) 27659 REPAIR OF LEG TENDON EACH 488.76 504.46287 504.46287 (15.70) (15.70) 27664 REPAIR OF LEG TENDON EACH 363.1 383.63563 383.63563 (20.54) (20.54) 27665 REPAIR OF LEG TENDON EACH 416.34 430.96996 430.96996 (14.63) (14.63) 27675 REPAIR LOWER LEG TENDONS 487.28 506.4323 506.4323 (19.15) (19.15) 27676 REPAIR LOWER LEG TENDONS 618.02 622.85061 622.85061 (4.83) (4.83) 27680 RELEASE OF LOWER LEG TENDON 430.67 454.12087 454.12087 (23.45) (23.45) 27681 RELEASE OF LOWER LEG TENDONS 546.97 575.27677 575.27677 (28.31) (28.31) 27685 REVISION OF LOWER LEG TENDON 467.83 702.15049 487.67564 (234.32) (19.85) 27686 REVISE LOWER LEG TENDONS 554.84 592.68479 592.68479 (37.84) (37.84) 27687 REVISION OF CALF TENDON 457 480.03743 480.03743 (23.04) (23.04) 27690 REVISE LOWER LEG TENDON 634.51 661.80744 661.80744 (27.30) (27.30) 27691 REVISE LOWER LEG TENDON 757.16 790.04411 790.04411 (32.88) (32.88) 27692 REVISE ADDITIONAL LEG TENDON 106.65 109.03608 109.03608 (2.39) (2.39) 27695 REPAIR OF ANKLE LIGAMENT 481.74 501.68576 501.68576 (19.95) (19.95) 27696 REPAIR OF ANKLE LIGAMENTS 562.8 578.16164 578.16164 (15.36) (15.36) 27698 REPAIR OF ANKLE LIGAMENT 644.43 670.8222 670.8222 (26.39) (26.39) 27700 REVISION OF ANKLE JOINT 593.92 613.39441 613.39441 (19.47) (19.47) 27702 RECONSTRUCT ANKLE JOINT 976.81 1020.8304 1020.8304 (44.02) (44.02) 27703 RECONSTRUCTION ANKLE JOINT 1127.1 1169.2851 1169.2851 (42.19) (42.19) 27704 REMOVAL OF ANKLE IMPLANT 579.74 606.03295 606.03295 (26.29) (26.29) 27705 INCISION OF TIBIA 762.18 789.4158 789.4158 (27.24) (27.24) 27707 INCISION OF FIBULA 405.98 424.54793 424.54793 (18.57) (18.57) 27709 INCISION OF TIBIA & FIBULA 1174.56 1235.0625 1235.0625 (60.50) (60.50) 27712 REALIGNMENT OF LOWER LEG 1108.89 1165.1372 1165.1372 (56.25) (56.25) 27715 REVISION OF LOWER LEG 1074.3 1104.5872 1104.5872 (30.29) (30.29) 27720 REPAIR OF TIBIA 880.01 920.94011 920.94011 (40.93) (40.93) 27722 REPAIR/GRAFT OF TIBIA 891.75 938.05671 938.05671 (46.31) (46.31) 27724 REPAIR/GRAFT OF TIBIA 1276.02 1332.4012 1332.4012 (56.38) (56.38) 27725 REPAIR OF LOWER LEG 1224.34 1286.3812 1286.3812 (62.04) (62.04) 27726 Repair fibula nonunion 974.67 1016.4032 1016.4032 (41.73) (41.73) 27727 REPAIR OF LOWER LEG 922.31 896.46097 896.46097 25.85 25.85 27730 REPAIR OF TIBIA EPIPHYSIS 586.56 616.75544 616.75544 (30.20) (30.20) 27732 REPAIR OF FIBULA EPIPHYSIS 383.13 471.42364 471.42364 (88.29) (88.29) 27734 REPAIR LOWER LEG EPIPHYSES 616.73 690.3332 690.3332 (73.60) (73.60) 27740 REPAIR OF LEG EPIPHYSES 621.03 745.49512 745.49512 (124.47) (124.47) 27742 REPAIR OF LEG EPIPHYSES 683.38 819.67971 819.67971 (136.30) (136.30) 27745 REINFORCE TIBIA 760.04 798.35825 798.35825 (38.32) (38.32) 27750 TREATMENT OF TIBIA FRACTURE 318.73 364.69961 334.59788 (45.97) (15.87) 27752 TREATMENT OF TIBIA FRACTURE 496.76 564.63841 520.61463 (67.88) (23.85) 27756 TREATMENT OF TIBIA FRACTURE 576.52 606.97739 606.97739 (30.46) (30.46) 27758 TREATMENT OF TIBIA FRACTURE 894.83 938.10612 938.10612 (43.28) (43.28) 27759 TREATMENT OF TIBIA FRACTURE 1003.65 1051.0177 1051.0177 (47.37) (47.37) 27760 CLTX MEDIAL ANKLE FX 306.37 350.88711 319.65656 (44.52) (13.29) 27762 CLTX MED ANKLE FX W/MNPJ 437.94 497.38889 452.98884 (59.45) (15.05) 27766 OPTX MEDIAL ANKLE FX 612.04 644.36075 644.36075 (32.32) (32.32) 27767 Cltx post ankle fx 285.37 297.03837 298.91973 (11.67) (13.55) 27768 Cltx post ankle fx w/mnpj 440.72 464.19715 464.19715 (23.48) (23.48) 27769 Optx post ankle fx 732.59 763.13944 763.13944 (30.55) (30.55) 27780 TREATMENT OF FIBULA FRACTURE 279.69 322.23783 292.88865 (42.55) (13.20) 27781 TREATMENT OF FIBULA FRACTURE 388.68 444.90204 412.54268 (56.22) (23.86) 27784 TREATMENT OF FIBULA FRACTURE 720.71 754.19878 754.19878 (33.49) (33.49) 27786 TREATMENT OF ANKLE FRACTURE 287.26 333.53995 301.18058 (46.28) (13.92) 27788 TREATMENT OF ANKLE FRACTURE 385.31 442.2599 403.88019 (56.95) (18.57) 27792 TREATMENT OF ANKLE FRACTURE 656.69 687.80061 687.80061 (31.11) (31.11) 27808 TREATMENT OF ANKLE FRACTURE 302 352.28766 316.54185 (50.29) (14.54) 27810 TREATMENT OF ANKLE FRACTURE 426.73 490.91244 445.00729 (64.18) (18.28) 27814 TREATMENT OF ANKLE FRACTURE 776.68 813.596 813.596 (36.92) (36.92) 27816 TREATMENT OF ANKLE FRACTURE 286.81 338.32443 302.9549 (51.51) (16.14) 27818 TREATMENT OF ANKLE FRACTURE 436.51 507.86435 454.81005 (71.35) (18.30) 27822 TREATMENT OF ANKLE FRACTURE 846.89 885.775 885.775 (38.88) (38.88) 27823 TREATMENT OF ANKLE FRACTURE 961.01 1006.9481 1006.9481 (45.94) (45.94) 27824 TREAT LOWER LEG FRACTURE 305.86 328.39888 318.99209 (22.54) (13.13) 27825 TREAT LOWER LEG FRACTURE 495.38 573.25471 519.44786 (77.87) (24.07) 27826 TREAT LOWER LEG FRACTURE 843.11 876.99974 876.99974 (33.89) (33.89) 27827 TREAT LOWER LEG FRACTURE 1090 1139.2332 1139.2332 (49.23) (49.23) 27828 TREAT LOWER LEG FRACTURE 1303.85 1363.6937 1363.6937 (59.84) (59.84) 27829 TREAT LOWER LEG JOINT 689.32 720.85488 720.85488 (31.53) (31.53) 27830 TREAT LOWER LEG DISLOCATION 354.12 396.01322 368.54538 (41.89) (14.43) 27831 TREAT LOWER LEG DISLOCATION 399.27 421.79874 421.79874 (22.53) (22.53) 27832 TREAT LOWER LEG DISLOCATION 757.31 796.95448 796.95448 (39.64) (39.64) 27840 TREAT ANKLE DISLOCATION 371.41 385.40171 385.40171 (13.99) (13.99) 27842 TREAT ANKLE DISLOCATION 495.7 522.88622 522.88622 (27.19) (27.19) 27846 TREAT ANKLE DISLOCATION 735.49 770.45328 770.45328 (34.96) (34.96) 27848 TREAT ANKLE DISLOCATION 820.32 855.97865 855.97865 (35.66) (35.66) 27860 FIXATION OF ANKLE JOINT 178.29 181.40447 181.40447 (3.11) (3.11) 27870 FUSION OF ANKLE JOINT OPEN 1041.31 1085.1768 1085.1768 (43.87) (43.87) 27871 FUSION OF TIBIOFIBULAR JOINT 691.82 720.19112 720.19112 (28.37) (28.37) 27880 AMPUTATION OF LOWER LEG 932.39 971.53272 971.53272 (39.14) (39.14) 27881 AMPUTATION OF LOWER LEG 890.13 913.86148 913.86148 (23.73) (23.73) 27882 AMPUTATION OF LOWER LEG 613.6 635.61055 635.61055 (22.01) (22.01) 27884 AMPUTATION FOLLOW-UP SURGERY 584.12 609.67931 609.67931 (25.56) (25.56) 27886 AMPUTATION FOLLOW-UP SURGERY 668.45 697.24249 697.24249 (28.79) (28.79) 27888 AMPUTATION OF FOOT AT ANKLE 680.02 725.02895 725.02895 (45.01) (45.01) 27889 AMPUTATION OF FOOT AT ANKLE 671.66 684.02751 684.02751 (12.37) (12.37) 27892 DECOMPRESSION OF LEG 558.67 576.22264 576.22264 (17.55) (17.55) 27893 DECOMPRESSION OF LEG 614.82 642.29 642.29 (27.47) (27.47) 27894 DECOMPRESSION OF LEG 863.37 909.02365 909.02365 (45.65) (45.65) 28001 DRAINAGE OF BURSA OF FOOT 169.41 298.45539 180.68236 (129.05) (11.27) 28002 TREATMENT OF FOOT INFECTION 322.94 468.58818 334.2592 (145.65) (11.32) 28003 TREATMENT OF FOOT INFECTION 573.95 748.79708 594.90197 (174.85) (20.95) 28005 TREAT FOOT BONE LESION 583.25 609.42584 609.42584 (26.18) (26.18) 28008 INCISION OF FOOT FASCIA 293.84 460.71297 309.07549 (166.87) (15.24) 28010 INCISION OF TOE TENDON 210.78 245.46445 220.63052 (34.68) (9.85) 28011 INCISION OF TOE TENDONS 291.68 340.71775 303.84313 (49.04) (12.16) 28020 EXPLORATION OF FOOT JOINT 363.98 582.44204 384.89942 (218.46) (20.92) 28022 EXPLORATION OF FOOT JOINT 326.25 522.86689 343.76158 (196.62) (17.51) 28024 EXPLORATION OF TOE JOINT 305.12 494.51978 322.9399 (189.40) (17.82) 28035 DECOMPRESSION OF TIBIA NERVE 359.85 562.61492 374.47909 (202.76) (14.63) 28039 EXC FOOT/TOE TUM SC 1.5 CM/> 351.78 540.40415 367.69546 (188.62) (15.92) 28041 EXC FOOT/TOE TUM DEP 1.5CM/> 461.7 482.55928 482.55928 (20.86) (20.86) 28043 EXC FOOT/TOE TUM SC < 1.5 CM 263.01 426.45506 276.32267 (163.45) (13.31) 28045 EXC FOOT/TOE TUM DEEP <1.5CM 350.33 526.77854 365.35799 (176.45) (15.03) 28046 RESECT FOOT/TOE TUMOR < 3 CM 738.7 765.97239 765.97239 (27.27) (27.27) 28047 RESECT FOOT/TOE TUMOR 3 CM/> 1028.61 1129.5106 1129.5106 (100.90) (100.90) 28050 BIOPSY OF FOOT JOINT LINING 282.68 514.26956 326.88628 (231.59) (44.21) 28052 BIOPSY OF FOOT JOINT LINING 283.11 469.73454 294.01567 (186.62) (10.91) 28054 BIOPSY OF TOE JOINT LINING 236.24 400.62908 248.23905 (164.39) (12.00) 28055 NEURECTOMY FOOT 377.81 398.49281 398.49281 (20.68) (20.68) 28060 PARTIAL REMOVAL FOOT FASCIA 357.21 551.5713 375.47616 (194.36) (18.27) 28062 REMOVAL OF FOOT FASCIA 408.06 620.11181 426.3319 (212.05) (18.27) 28070 REMOVAL OF FOOT JOINT LINING 355.74 564.12824 372.2297 (208.39) (16.49) 28072 REMOVAL OF FOOT JOINT LINING 336 550.68629 355.02502 (214.69) (19.03) 28080 REMOVAL OF FOOT LESION 367.79 562.76815 389.30692 (194.98) (21.52) 28086 EXCISE FOOT TENDON SHEATH 363.06 589.5443 383.7237 (226.48) (20.66) 28088 EXCISE FOOT TENDON SHEATH 295.55 469.11374 290.3847 (173.56) 5.17 28090 REMOVAL OF FOOT LESION 309.47 503.85246 325.87596 (194.38) (16.41) 28092 REMOVAL OF TOE LESIONS 270.16 451.9617 283.39199 (181.80) (13.23) 28100 REMOVAL OF ANKLE/HEEL LESION 412.8 652.61617 438.14132 (239.82) (25.34) 28102 REMOVE/GRAFT FOOT LESION 573.13 638.87062 638.87062 (65.74) (65.74) 28103 REMOVE/GRAFT FOOT LESION 392.14 411.5363 411.5363 (19.40) (19.40) 28104 REMOVAL OF FOOT LESION 351.72 568.58586 375.18223 (216.87) (23.46) 28106 REMOVE/GRAFT FOOT LESION 446.65 450.55399 450.55399 (3.90) (3.90) 28107 REMOVE/GRAFT FOOT LESION 366.8 549.81918 366.95115 (183.02) (0.15) 28108 REMOVAL OF TOE LESIONS 289.65 473.23125 305.79036 (183.58) (16.14) 28110 PART REMOVAL OF METATARSAL 289.85 496.24146 305.848 (206.39) (16.00) 28111 PART REMOVAL OF METATARSAL 329.75 528.17908 344.93479 (198.43) (15.18) 28112 PART REMOVAL OF METATARSAL 315.14 525.47036 331.69045 (210.33) (16.55) 28113 PART REMOVAL OF METATARSAL 428.21 634.18709 450.94279 (205.98) (22.73) 28114 REMOVAL OF METATARSAL HEADS 842.42 1149.525 888.39243 (307.10) (45.97) 28116 REVISION OF FOOT 565.37 802.89785 600.08743 (237.53) (34.72) 28118 REMOVAL OF HEEL BONE 411.87 632.63009 435.08747 (220.76) (23.22) 28119 REMOVAL OF HEEL SPUR 362.28 560.36302 380.50517 (198.08) (18.23) 28120 PART REMOVAL OF ANKLE/HEEL 502.06 720.87421 524.4604 (218.81) (22.40) 28122 PARTIAL REMOVAL OF FOOT BONE 442.25 638.1127 463.89892 (195.86) (21.65) 28124 PARTIAL REMOVAL OF TOE 330.8 509.25523 348.21096 (178.46) (17.41) 28126 PARTIAL REMOVAL OF TOE 250.24 422.91718 262.24918 (172.68) (12.01) 28130 REMOVAL OF ANKLE BONE 668.93 643.40808 643.40808 25.52 25.52 28140 REMOVAL OF METATARSAL 444.37 632.55169 461.34808 (188.18) (16.98) 28150 REMOVAL OF TOE 282.31 456.71647 296.80101 (174.41) (14.49) 28153 PARTIAL REMOVAL OF TOE 266.14 441.06629 278.8932 (174.93) (12.75) 28160 PARTIAL REMOVAL OF TOE 270.68 451.42074 285.10866 (180.74) (14.43) 28171 RESECT TARSAL TUMOR 848.72 888.23706 888.23706 (39.52) (39.52) 28173 RESECT METATARSAL TUMOR 773.68 798.38009 798.38009 (24.70) (24.70) 28175 RESECT PHALANX OF TOE TUMOR 489.49 514.70527 514.70527 (25.22) (25.22) 28190 REMOVAL OF FOOT FOREIGN BODY 134.51 275.41403 141.46132 (140.90) (6.95) 28192 REMOVAL OF FOOT FOREIGN BODY 315.89 501.21605 330.76499 (185.33) (14.87) 28193 REMOVAL OF FOOT FOREIGN BODY 371.76 568.08107 389.7283 (196.32) (17.97) 28200 REPAIR OF FOOT TENDON 319.48 522.6553 338.65846 (203.18) (19.18) 28202 REPAIR/GRAFT OF FOOT TENDON 426.82 630.34848 444.84655 (203.53) (18.03) 28208 REPAIR OF FOOT TENDON 312.8 508.00792 329.65515 (195.21) (16.86) 28210 REPAIR/GRAFT OF FOOT TENDON 404.49 621.01508 434.00806 (216.53) (29.52) 28220 RELEASE OF FOOT TENDON 301.23 481.27616 318.35053 (180.05) (17.12) 28222 RELEASE OF FOOT TENDONS 351.09 536.14989 364.94628 (185.06) (13.86) 28225 RELEASE OF FOOT TENDON 259.32 436.18299 272.50482 (176.86) (13.18) 28226 RELEASE OF FOOT TENDONS 373.65 469.75996 307.96314 (96.11) 65.69 28230 INCISION OF FOOT TENDON(S) 284.53 467.11209 300.04747 (182.58) (15.52) 28232 INCISION OF TOE TENDON 245.09 414.52643 256.49233 (169.44) (11.40) 28234 INCISION OF FOOT TENDON 264.79 439.23684 279.69766 (174.45) (14.91) 28238 REVISION OF FOOT TENDON 490.18 720.80333 516.86408 (230.62) (26.68) 28240 RELEASE OF BIG TOE 290.5 471.73189 306.17236 (181.23) (15.67) 28250 REVISION OF FOOT FASCIA 405.55 619.17489 426.90007 (213.62) (21.35) 28260 RELEASE OF MIDFOOT JOINT 511.6 730.76253 537.73517 (219.16) (26.14) 28261 REVISION OF FOOT TENDON 766.14 1058.1139 828.21188 (291.97) (62.07) 28262 REVISION OF FOOT AND ANKLE 1175.87 1559.9826 1247.6771 (384.11) (71.81) 28264 RELEASE OF MIDFOOT JOINT 724.29 897.95854 678.59216 (173.67) 45.70 28270 RELEASE OF FOOT CONTRACTURE 335.38 525.75355 352.66858 (190.37) (17.29) 28272 RELEASE OF TOE JOINT EACH 254.7 421.77762 268.25878 (167.08) (13.56) 28280 FUSION OF TOES 353.83 548.6764 366.56092 (194.85) (12.73) 28285 REPAIR OF HAMMERTOE 377.97 570.77511 398.44269 (192.81) (20.47) 28286 REPAIR OF HAMMERTOE 301.14 479.79578 313.85997 (178.66) (12.72) 28288 PARTIAL REMOVAL OF FOOT BONE 432.04 643.66799 452.52199 (211.63) (20.48) 28289 REPAIR HALLUX RIGIDUS 551.2 781.26277 577.32353 (230.06) (26.12) 28290 CORRECTION OF BUNION 395.8 632.09415 419.12439 (236.29) (23.32) 28292 CORRECTION OF BUNION 604.17 841.34594 634.7728 (237.18) (30.60) 28293 CORRECTION OF BUNION 712.22 1112.2751 745.41027 (400.06) (33.19) 28294 CORRECTION OF BUNION 536.25 814.89093 568.05672 (278.64) (31.81) 28296 CORRECTION OF BUNION 521.98 759.16406 548.8282 (237.18) (26.85) 28297 CORRECTION OF BUNION 587.12 863.07984 611.3541 (275.96) (24.23) 28298 CORRECTION OF BUNION 507.12 766.80477 531.25871 (259.68) (24.14) 28299 CORRECTION OF BUNION 675.75 953.49996 712.30983 (277.75) (36.56) 28300 INCISION OF HEEL BONE 659.46 687.71075 687.71075 (28.25) (28.25) 28302 INCISION OF ANKLE BONE 716.7 753.13333 753.13333 (36.43) (36.43) 28304 INCISION OF MIDFOOT BONES 599.42 882.56112 640.61844 (283.14) (41.20) 28305 INCISE/GRAFT MIDFOOT BONES 638.26 686.64781 686.64781 (48.39) (48.39) 28306 INCISION OF METATARSAL 407.56 655.77205 425.87007 (248.21) (18.31) 28307 INCISION OF METATARSAL 468.8 758.14408 497.01155 (289.34) (28.21) 28308 INCISION OF METATARSAL 376.91 603.26623 396.69308 (226.36) (19.78) 28309 INCISION OF METATARSALS 899.53 959.13186 959.13186 (59.60) (59.60) 28310 REVISION OF BIG TOE 356.18 585.48265 377.78069 (229.30) (21.60) 28312 REVISION OF TOE 321.82 554.29506 342.07784 (232.48) (20.26) 28313 REPAIR DEFORMITY OF TOE 363.3 564.90549 378.27475 (201.61) (14.97) 28315 REMOVAL OF SESAMOID BONE 325.18 515.8552 343.89905 (190.68) (18.72) 28320 REPAIR OF FOOT BONES 622.41 639.17923 639.17923 (16.77) (16.77) 28322 REPAIR OF METATARSALS 584.68 841.14009 609.35674 (256.46) (24.68) 28340 RESECT ENLARGED TOE TISSUE 413.95 616.09133 434.72838 (202.14) (20.78) 28341 RESECT ENLARGED TOE 493.14 712.97072 516.55691 (219.83) (23.42) 28344 REPAIR EXTRA TOE(S) 287.62 591.86208 380.3974 (304.24) (92.78) 28345 REPAIR WEBBED TOE(S) 365.11 557.05391 384.34521 (191.94) (19.24) 28360 RECONSTRUCT CLEFT FOOT 892.77 858.57854 858.57854 34.19 34.19 28400 TREATMENT OF HEEL FRACTURE 229.38 263.61285 240.66028 (34.23) (11.28) 28405 TREATMENT OF HEEL FRACTURE 353.93 419.38967 380.25742 (65.46) (26.33) 28406 TREATMENT OF HEEL FRACTURE 532.06 555.27852 555.27852 (23.22) (23.22) 28415 TREAT HEEL FRACTURE 1116.05 1165.4938 1165.4938 (49.44) (49.44) 28420 TREAT/GRAFT HEEL FRACTURE 1259 1323.3768 1323.3768 (64.38) (64.38) 28430 TREATMENT OF ANKLE FRACTURE 210.48 250.64096 222.42059 (40.16) (11.94) 28435 TREATMENT OF ANKLE FRACTURE 293.37 341.19534 305.44953 (47.83) (12.08) 28436 TREATMENT OF ANKLE FRACTURE 451.14 475.60309 475.60309 (24.46) (24.46) 28445 TREAT ANKLE FRACTURE 1066.84 1123.6091 1123.6091 (56.77) (56.77) 28446 Osteochondral talus autogrft 1229.28 1291.0067 1291.0067 (61.73) (61.73) 28450 TREAT MIDFOOT FRACTURE EACH 193.89 228.87735 203.29088 (34.99) (9.40) 28455 TREAT MIDFOOT FRACTURE EACH 269.45 304.57526 273.34472 (35.13) (3.89) 28456 TREAT MIDFOOT FRACTURE 320.26 338.54676 338.54676 (18.29) (18.29) 28465 TREAT MIDFOOT FRACTURE EACH 628.99 650.25257 650.25257 (21.26) (21.26) 28470 TREAT METATARSAL FRACTURE 207.58 232.23909 216.43569 (24.66) (8.86) 28475 TREAT METATARSAL FRACTURE 227.75 270.71332 239.85904 (42.96) (12.11) 28476 TREAT METATARSAL FRACTURE 351.88 371.92037 371.92037 (20.04) (20.04) 28485 TREAT METATARSAL FRACTURE 527.2 554.44686 554.44686 (27.25) (27.25) 28490 TREAT BIG TOE FRACTURE 125.57 155.33575 133.13573 (29.77) (7.57) 28495 TREAT BIG TOE FRACTURE 149.83 191.29637 160.44209 (41.47) (10.61) 28496 TREAT BIG TOE FRACTURE 234.42 475.55583 252.803 (241.14) (18.38) 28505 TREAT BIG TOE FRACTURE 498.44 719.13033 532.87586 (220.69) (34.44) 28510 TREATMENT OF TOE FRACTURE 120.51 130.97691 127.21419 (10.47) (6.70) 28515 TREATMENT OF TOE FRACTURE 142.48 172.35354 152.03487 (29.87) (9.55) 28525 TREAT TOE FRACTURE 403.4 595.43612 414.82572 (192.04) (11.43) 28530 TREAT SESAMOID BONE FRACTURE 102.27 122.09461 108.17255 (19.82) (5.90) 28531 TREAT SESAMOID BONE FRACTURE 193.95 367.80716 192.84084 (173.86) 1.11 28540 TREAT FOOT DISLOCATION 184.83 203.70009 183.75769 (18.87) 1.07 28545 TREAT FOOT DISLOCATION 262.83 314.23982 278.11774 (51.41) (15.29) 28546 TREAT FOOT DISLOCATION 340.63 619.91634 360.28889 (279.29) (19.66) 28555 REPAIR FOOT DISLOCATION 664.28 937.96434 705.80473 (273.68) (41.52) 28570 TREAT FOOT DISLOCATION 183.29 180.23377 155.39984 3.06 27.89 28575 TREAT FOOT DISLOCATION 330.43 384.19735 347.32273 (53.77) (16.89) 28576 TREAT FOOT DISLOCATION 396.62 418.6758 418.6758 (22.06) (22.06) 28585 REPAIR FOOT DISLOCATION 685.33 904.65553 703.35019 (219.33) (18.02) 28600 TREAT FOOT DISLOCATION 190.3 230.04734 197.3117 (39.75) (7.01) 28605 TREAT FOOT DISLOCATION 295.43 347.1269 311.75736 (51.70) (16.33) 28606 TREAT FOOT DISLOCATION 401.36 415.53137 415.53137 (14.17) (14.17) 28615 REPAIR FOOT DISLOCATION 794.74 831.13756 831.13756 (36.40) (36.40) 28630 TREAT TOE DISLOCATION 109.91 164.79267 114.37227 (54.88) (4.46) 28635 TREAT TOE DISLOCATION 132.84 181.42846 135.89959 (48.59) (3.06) 28636 TREAT TOE DISLOCATION 174 373.33667 236.75006 (199.34) (62.75) 28645 REPAIR TOE DISLOCATION 485.67 696.5483 509.54129 (210.88) (23.87) 28660 TREAT TOE DISLOCATION 89.53 123.14681 93.045073 (33.62) (3.52) 28665 TREAT TOE DISLOCATION 131.78 163.30154 138.46761 (31.52) (6.69) 28666 TREAT TOE DISLOCATION 190.95 201.61108 201.61108 (10.66) (10.66) 28675 REPAIR OF TOE DISLOCATION 404.19 630.45982 439.31381 (226.27) (35.12) 28705 FUSION OF FOOT BONES 1276.81 1322.0937 1322.0937 (45.28) (45.28) 28715 FUSION OF FOOT BONES 942.12 989.4527 989.4527 (47.33) (47.33) 28725 FUSION OF FOOT BONES 777.56 819.2458 819.2458 (41.69) (41.69) 28730 FUSION OF FOOT BONES 739.97 769.44798 769.44798 (29.48) (29.48) 28735 FUSION OF FOOT BONES 786.56 821.66633 821.66633 (35.11) (35.11) 28737 REVISION OF FOOT BONES 692.77 728.83535 728.83535 (36.07) (36.07) 28740 FUSION OF FOOT BONES 631.84 901.24546 656.66888 (269.41) (24.83) 28750 FUSION OF BIG TOE JOINT 598.61 869.14064 624.56406 (270.53) (25.95) 28755 FUSION OF BIG TOE JOINT 332.28 542.69401 348.16156 (210.41) (15.88) 28760 FUSION OF BIG TOE JOINT 575.58 842.30757 609.39541 (266.73) (33.82) 28800 AMPUTATION OF MIDFOOT 549.38 573.85546 573.85546 (24.48) (24.48) 28805 AMPUTATION THRU METATARSAL 750.39 770.03548 770.03548 (19.65) (19.65) 28810 AMPUTATION TOE & METATARSAL 440.38 455.583 455.583 (15.20) (15.20) 28820 AMPUTATION OF TOE 402.54 603.71732 418.59166 (201.18) (16.05) 28825 PARTIAL AMPUTATION OF TOE 377 577.53977 393.16665 (200.54) (16.17) 28890 HI ENRGY ESWT PLANTAR FASCIA 226.53 344.28714 236.67344 (117.76) (10.14) 29000 APPLICATION OF BODY CAST 167.78 321.32884 196.40665 (153.55) (28.63) 29010 APPLICATION OF BODY CAST 151.25 233.97796 147.81175 (82.73) 3.44 29015 APPLICATION OF BODY CAST 175.77 292.45151 185.21409 (116.68) (9.44) 29035 APPLICATION OF BODY CAST 136.63 236.65805 139.95623 (100.03) (3.33) 29040 APPLICATION OF BODY CAST 187.99 233.75242 148.33875 (45.76) 39.65 29044 APPLICATION OF BODY CAST 160.87 274.80147 165.68269 (113.93) (4.81) 29046 APPLICATION OF BODY CAST 175.54 251.09958 160.79438 (75.56) 14.75 29049 APPLICATION OF FIGURE EIGHT 70.47 77.458261 60.149764 (6.99) 10.32 29055 APPLICATION OF SHOULDER CAST 138.77 236.26531 146.33638 (97.50) (7.57) 29058 APPLICATION OF SHOULDER CAST 94.2 131.12835 100.27407 (36.93) (6.07) 29065 APPLICATION OF LONG ARM CAST 68.67 102.02296 72.297503 (33.35) (3.63) 29075 APPLICATION OF FOREARM CAST 62.72 91.374584 65.035568 (28.65) (2.32) 29085 APPLY HAND/WRIST CAST 67.56 100.91885 71.193391 (33.36) (3.63) 29086 APPLY FINGER CAST 51.42 81.986767 53.013849 (30.57) (1.59) 29105 APPLY LONG ARM SPLINT 59.66 92.338713 62.23698 (32.68) (2.58) 29125 APPLY FOREARM SPLINT 39.79 67.886067 41.170779 (28.10) (1.38) 29126 APPLY FOREARM SPLINT 48.83 81.086006 50.984273 (32.26) (2.15) 29130 APPLICATION OF FINGER SPLINT 28.64 42.675866 29.506357 (14.04) (0.87) 29131 APPLICATION OF FINGER SPLINT 33.23 53.85697 34.667115 (20.63) (1.44) 29200 STRAPPING OF CHEST 39.46 30.915139 18.874445 8.54 20.59 29240 STRAPPING OF SHOULDER 43.3 30.162595 19.250717 13.14 24.05 29260 STRAPPING OF ELBOW OR WRIST 36.77 30.137892 19.978557 6.63 16.79 29280 STRAPPING OF HAND OR FINGER 35.75 30.514164 20.354829 5.24 15.40 29305 APPLICATION OF HIP CAST 159.56 262.77223 169.08059 (103.21) (9.52) 29325 APPLICATION OF HIP CASTS 179.24 290.3915 189.17443 (111.15) (9.93) 29345 APPLICATION OF LONG LEG CAST 102 143.82277 106.19561 (41.82) (4.20) 29355 APPLICATION OF LONG LEG CAST 108.26 148.45081 111.95246 (40.19) (3.69) 29358 APPLY LONG LEG CAST BRACE 104.85 170.38984 109.81011 (65.54) (4.96) 29365 APPLICATION OF LONG LEG CAST 88.69 129.23303 91.982132 (40.54) (3.29) 29405 APPLY SHORT LEG CAST 60.11 86.082078 63.129506 (25.97) (3.02) 29425 APPLY SHORT LEG CAST 56.87 82.720336 59.767764 (25.85) (2.90) 29435 APPLY SHORT LEG CAST 83.31 124.3662 87.867847 (41.06) (4.56) 29440 ADDITION OF WALKER TO CAST 30.33 45.996436 30.193026 (15.67) 0.14 29445 APPLY RIGID LEG CAST 105.56 142.54323 109.8076 (36.98) (4.25) 29450 APPLICATION OF LEG CAST 111.79 151.48067 118.36876 (39.69) (6.58) 29505 APPLICATION LONG LEG SPLINT 50.26 87.817725 52.071917 (37.56) (1.81) 29515 APPLICATION LOWER LEG SPLINT 50.17 75.359588 51.654474 (25.19) (1.48) 29520 STRAPPING OF HIP 34.62 32.420225 19.250717 2.20 15.37 29530 STRAPPING OF KNEE 36.73 29.410052 18.874445 7.32 17.86 29540 STRAPPING OF ANKLE AND/OR FT 25.9 27.127719 18.849742 (1.23) 7.05 29550 STRAPPING OF TOES 19.3 19.857549 11.955844 (0.56) 7.34 29580 APPLICATION OF PASTE BOOT 35.73 54.985785 37.301016 (19.26) (1.57) 29581 APPLY MULTLAY COMPRS LWR LEG 12.48 66.114261 13.8125 (53.63) (1.33) 29582 Apply multlay comprs upr leg 15.53 74.980095 17.034259 (59.45) (1.50) 29583 Apply multlay comprs upr arm 11.04 46.924406 12.307413 (35.88) (1.27) 29584 Appl multlay comprs arm/hand 15.53 74.980095 17.034259 (59.45) (1.50) 29700 REMOVAL/REVISION OF CAST 33.95 64.334936 34.609475 (30.38) (0.66) 29705 REMOVAL/REVISION OF CAST 46.9 70.319839 49.248626 (23.42) (2.35) 29710 REMOVAL/REVISION OF CAST 81.65 130.70267 88.183972 (49.05) (6.53) 29720 REPAIR OF BODY CAST 43.82 90.696149 47.048636 (46.88) (3.23) 29730 WINDOWING OF CAST 45.13 66.622997 46.304327 (21.49) (1.17) 29740 WEDGING OF CAST 68.97 104.82477 73.970498 (35.85) (5.00) 29750 WEDGING OF CLUBFOOT CAST 66.34 100.12836 76.423245 (33.79) (10.08) 29800 JAW ARTHROSCOPY/SURGERY 523.2 546.28667 546.28667 (23.09) (23.09) 29804 JAW ARTHROSCOPY/SURGERY 659.1 675.37792 675.37792 (16.28) (16.28) 29805 SHOULDER ARTHROSCOPY DX 473.46 498.0573 498.0573 (24.60) (24.60) 29806 SHOULDER ARTHROSCOPY/SURGERY 1066.17 1117.1656 1117.1656 (51.00) (51.00) 29807 SHOULDER ARTHROSCOPY/SURGERY 1038.83 1091.0457 1091.0457 (52.22) (52.22) 29819 SHOULDER ARTHROSCOPY/SURGERY 588.19 617.76074 617.76074 (29.57) (29.57) 29820 SHOULDER ARTHROSCOPY/SURGERY 542.75 562.68939 562.68939 (19.94) (19.94) 29821 SHOULDER ARTHROSCOPY/SURGERY 593.45 613.74777 613.74777 (20.30) (20.30) 29822 SHOULDER ARTHROSCOPY/SURGERY 577.37 596.28784 596.28784 (18.92) (18.92) 29823 SHOULDER ARTHROSCOPY/SURGERY 630.06 649.74956 649.74956 (19.69) (19.69) 29824 SHOULDER ARTHROSCOPY/SURGERY 680.5 700.1048 700.1048 (19.60) (19.60) 29825 SHOULDER ARTHROSCOPY/SURGERY 588.55 607.94152 607.94152 (19.39) (19.39) 29826 SHOULDER ARTHROSCOPY/SURGERY 177.5 184.79736 184.79736 (7.30) (7.30) 29827 ARTHROSCOP ROTATOR CUFF REPR 1080.24 1107.7474 1107.7474 (27.51) (27.51) 29828 Arthroscopy biceps tenodesis 929.13 955.9366 955.9366 (26.81) (26.81) 29830 ELBOW ARTHROSCOPY 456.84 481.79778 481.79778 (24.96) (24.96) 29834 ELBOW ARTHROSCOPY/SURGERY 492.56 510.65292 510.65292 (18.09) (18.09) 29835 ELBOW ARTHROSCOPY/SURGERY 508.45 530.62897 530.62897 (22.18) (22.18) 29836 ELBOW ARTHROSCOPY/SURGERY 579.7 607.69198 607.69198 (27.99) (27.99) 29837 ELBOW ARTHROSCOPY/SURGERY 530.84 551.52726 551.52726 (20.69) (20.69) 29838 ELBOW ARTHROSCOPY/SURGERY 590.5 616.17582 616.17582 (25.68) (25.68) 29840 WRIST ARTHROSCOPY 453.54 476.98287 476.98287 (23.44) (23.44) 29843 WRIST ARTHROSCOPY/SURGERY 485.14 511.30665 511.30665 (26.17) (26.17) 29844 WRIST ARTHROSCOPY/SURGERY 499.14 519.53522 519.53522 (20.40) (20.40) 29845 WRIST ARTHROSCOPY/SURGERY 579.51 605.07133 605.07133 (25.56) (25.56) 29846 WRIST ARTHROSCOPY/SURGERY 521.49 545.35297 545.35297 (23.86) (23.86) 29847 WRIST ARTHROSCOPY/SURGERY 546.35 572.64036 572.64036 (26.29) (26.29) 29848 WRIST ENDOSCOPY/SURGERY 510.83 537.09647 537.09647 (26.27) (26.27) 29850 KNEE ARTHROSCOPY/SURGERY 625.54 658.0637 658.0637 (32.52) (32.52) 29851 KNEE ARTHROSCOPY/SURGERY 935.44 982.60892 982.60892 (47.17) (47.17) 29855 TIBIAL ARTHROSCOPY/SURGERY 790.92 827.49084 827.49084 (36.57) (36.57) 29856 TIBIAL ARTHROSCOPY/SURGERY 1000.72 1050.3969 1050.3969 (49.68) (49.68) 29860 HIP ARTHROSCOPY DX 669.35 703.5249 703.5249 (34.17) (34.17) 29861 HIP ARTHRO W/FB REMOVAL 729.04 752.17744 752.17744 (23.14) (23.14) 29862 HIP ARTHR0 W/DEBRIDEMENT 820.79 848.30106 848.30106 (27.51) (27.51) 29863 HIP ARTHR0 W/SYNOVECTOMY 823.32 846.395 846.395 (23.08) (23.08) 29866 AUTGRFT IMPLNT KNEE W/SCOPE 1053.62 1106.775 1106.775 (53.15) (53.15) 29867 ALLGRFT IMPLNT KNEE W/SCOPE 1283.87 1349.3682 1349.3682 (65.50) (65.50) 29868 MENISCAL TRNSPL KNEE W/SCPE 1682.01 1765.8386 1765.8386 (83.83) (83.83) 29870 KNEE ARTHROSCOPY DX 414.42 619.16343 435.54286 (204.74) (21.12) 29871 KNEE ARTHROSCOPY/DRAINAGE 516.26 542.55438 542.55438 (26.29) (26.29) 29873 KNEE ARTHROSCOPY/SURGERY 526.99 554.40497 554.40497 (27.41) (27.41) 29874 KNEE ARTHROSCOPY/SURGERY 540.27 565.73823 565.73823 (25.47) (25.47) 29875 KNEE ARTHROSCOPY/SURGERY 497.6 522.45231 522.45231 (24.85) (24.85) 29876 KNEE ARTHROSCOPY/SURGERY 659.82 693.65377 693.65377 (33.83) (33.83) 29877 KNEE ARTHROSCOPY/SURGERY 626.21 655.17704 655.17704 (28.97) (28.97) 29879 KNEE ARTHROSCOPY/SURGERY 666.83 697.76805 697.76805 (30.94) (30.94) 29880 KNEE ARTHROSCOPY/SURGERY 566.56 592.42631 592.42631 (25.87) (25.87) 29881 KNEE ARTHROSCOPY/SURGERY 544.82 570.96737 570.96737 (26.15) (26.15) 29882 KNEE ARTHROSCOPY/SURGERY 703.62 737.30772 737.30772 (33.69) (33.69) 29883 KNEE ARTHROSCOPY/SURGERY 847.17 888.49769 888.49769 (41.33) (41.33) 29884 KNEE ARTHROSCOPY/SURGERY 623.37 645.5941 645.5941 (22.22) (22.22) 29885 KNEE ARTHROSCOPY/SURGERY 755.1 794.60627 794.60627 (39.51) (39.51) 29886 KNEE ARTHROSCOPY/SURGERY 638.49 671.87619 671.87619 (33.39) (33.39) 29887 KNEE ARTHROSCOPY/SURGERY 751.94 786.00394 786.00394 (34.06) (34.06) 29888 KNEE ARTHROSCOPY/SURGERY 994.17 1035.733 1035.733 (41.56) (41.56) 29889 KNEE ARTHROSCOPY/SURGERY 1227.89 1290.8964 1290.8964 (63.01) (63.01) 29891 ANKLE ARTHROSCOPY/SURGERY 690.88 715.53015 715.53015 (24.65) (24.65) 29892 ANKLE ARTHROSCOPY/SURGERY 623.6 658.19616 658.19616 (34.60) (34.60) 29893 SCOPE PLANTAR FASCIOTOMY 427.97 652.52559 451.9728 (224.56) (24.00) 29894 ANKLE ARTHROSCOPY/SURGERY 511.31 528.08887 528.08887 (16.78) (16.78) 29895 ANKLE ARTHROSCOPY/SURGERY 477.09 509.45894 509.45894 (32.37) (32.37) 29897 ANKLE ARTHROSCOPY/SURGERY 514.63 533.70824 533.70824 (19.08) (19.08) 29898 ANKLE ARTHROSCOPY/SURGERY 568.2 596.27781 596.27781 (28.08) (28.08) 29899 ANKLE ARTHROSCOPY/SURGERY 1041.42 1100.2581 1100.2581 (58.84) (58.84) 29900 MCP JOINT ARTHROSCOPY DX 469.91 441.28002 441.28002 28.63 28.63 29901 MCP JOINT ARTHROSCOPY SURG 534.36 554.11927 554.11927 (19.76) (19.76) 29902 MCP JOINT ARTHROSCOPY SURG 613.76 510.3597 510.3597 103.40 103.40 29904 Subtalar arthro w/fb rmvl 639.69 673.39524 673.39524 (33.71) (33.71) 29905 Subtalar arthro w/exc 692.41 686.17631 686.17631 6.23 6.23 29906 Subtalar arthro w/deb 729.02 744.30043 744.30043 (15.28) (15.28) 29907 Subtalar arthro w/fusion 879.63 924.35126 924.35126 (44.72) (44.72) 29914 HIP ARTHRO W/FEMOROPLASTY 1015.92 1042.8353 1042.8353 (26.92) (26.92) 29915 HIP ARTHRO ACETABULOPLASTY 1036.57 1061.8086 1061.8086 (25.24) (25.24) 29916 HIP ARTHRO W/LABRAL REPAIR ARTHR 1036.93 1065.195 1065.195 (28.27) (28.27) 30000 DRAINAGE OF NOSE LESION 120.44 243.8781 124.22371 (123.44) (3.78) 30020 DRAINAGE OF NOSE LESION 120.04 246.88827 125.35252 (126.85) (5.31) 30100 INTRANASAL BIOPSY 69.19 149.04045 71.904763 (79.85) (2.71) 30110 REMOVAL OF NOSE POLYP(S) 131.58 243.85089 136.98974 (112.27) (5.41) 30115 REMOVAL OF NOSE POLYP(S) 432.61 454.34678 454.34678 (21.74) (21.74) 30117 REMOVAL OF INTRANASAL LESION 339.73 934.52563 359.58253 (594.80) (19.85) 30118 REMOVAL OF INTRANASAL LESION 771.34 802.00676 802.00676 (30.67) (30.67) 30120 REVISION OF NOSE 438.14 544.54887 458.00639 (106.41) (19.87) 30124 REMOVAL OF NOSE LESION 287.78 299.87885 299.87885 (12.10) (12.10) 30125 REMOVAL OF NOSE LESION 611.44 637.48761 637.48761 (26.05) (26.05) 30130 EXCISE INFERIOR TURBINATE 382.12 402.10696 402.10696 (19.99) (19.99) 30140 RESECT INFERIOR TURBINATE 444.42 465.83434 465.83434 (21.41) (21.41) 30150 PARTIAL REMOVAL OF NOSE 775.44 805.2253 805.2253 (29.79) (29.79) 30160 REMOVAL OF NOSE 776.9 809.01594 809.01594 (32.12) (32.12) 30200 INJECTION TREATMENT OF NOSE 60.49 120.00417 62.058331 (59.51) (1.57) 30210 NASAL SINUS THERAPY 100.47 158.76337 104.95652 (58.29) (4.49) 30220 INSERT NASAL SEPTAL BUTTON 126.34 321.53577 131.51858 (195.20) (5.18) 30300 REMOVE NASAL FOREIGN BODY 127.83 244.7427 132.99002 (116.91) (5.16) 30310 REMOVE NASAL FOREIGN BODY 209.29 215.74078 215.74078 (6.45) (6.45) 30320 REMOVE NASAL FOREIGN BODY 454.55 475.74235 475.74235 (21.19) (21.19) 30400 RECONSTRUCTION OF NOSE 1014.61 1057.1064 1057.1064 (42.50) (42.50) 30410 RECONSTRUCTION OF NOSE 1189.05 1238.2316 1238.2316 (49.18) (49.18) 30420 RECONSTRUCTION OF NOSE 1379.34 1439.2441 1439.2441 (59.90) (59.90) 30430 REVISION OF NOSE 979.25 912.15913 912.15913 67.09 67.09 30435 REVISION OF NOSE 1118.58 1311.9687 1311.9687 (193.39) (193.39) 30450 REVISION OF NOSE 1502.28 1565.554 1565.554 (63.27) (63.27) 30460 REVISION OF NOSE 755.63 851.47771 851.47771 (95.85) (95.85) 30462 REVISION OF NOSE 1579.41 1476.7553 1476.7553 102.65 102.65 30465 REPAIR NASAL STENOSIS 988.75 1027.6548 1027.6548 (38.90) (38.90) 30520 REPAIR OF NASAL SEPTUM 628.43 655.37251 655.37251 (26.94) (26.94) 30540 REPAIR NASAL DEFECT 691.24 722.05888 722.05888 (30.82) (30.82) 30545 REPAIR NASAL DEFECT 920.69 896.66325 896.66325 24.03 24.03 30560 RELEASE OF NASAL ADHESIONS 139.35 285.97362 145.24802 (146.62) (5.90) 30580 REPAIR UPPER JAW FISTULA 508.7 688.87716 537.61595 (180.18) (28.92) 30600 REPAIR MOUTH/NOSE FISTULA 442.74 600.27646 448.26271 (157.54) (5.52) 30620 INTRANASAL RECONSTRUCTION 630.32 658.2223 658.2223 (27.90) (27.90) 30630 REPAIR NASAL SEPTUM DEFECT 630.59 656.69394 656.69394 (26.10) (26.10) 30801 ABLATE INF TURBINATE SUPERF 138.51 243.43273 144.84955 (104.92) (6.34) 30802 ABLATE INF TURBINATE SUBMUC 191.95 307.41108 199.79739 (115.46) (7.85) 30901 CONTROL OF NOSEBLEED 56.76 99.762829 59.125489 (43.00) (2.37) 30903 CONTROL OF NOSEBLEED 79.77 217.79184 82.33404 (138.02) (2.56) 30905 CONTROL OF NOSEBLEED 101.37 271.87113 103.6777 (170.50) (2.31) 30906 REPEAT CONTROL OF NOSEBLEED 131.77 296.14263 136.60344 (164.37) (4.83) 30915 LIGATION NASAL SINUS ARTERY 580.41 602.99163 602.99163 (22.58) (22.58) 30920 LIGATION UPPER JAW ARTERY 839.73 873.65375 873.65375 (33.92) (33.92) 30930 THER FX NASAL INF TURBINATE 124.99 129.84559 129.84559 (4.86) (4.86) 31000 IRRIGATION MAXILLARY SINUS 105.73 195.14644 111.61413 (89.42) (5.88) 31002 IRRIGATION SPHENOID SINUS 202.92 203.48027 203.48027 (0.56) (0.56) 31020 EXPLORATION MAXILLARY SINUS 360.5 516.47385 381.76859 (155.97) (21.27) 31030 EXPLORATION MAXILLARY SINUS 528.78 731.8176 556.85127 (203.04) (28.07) 31032 EXPLORE SINUS REMOVE POLYPS 575.83 603.29558 603.29558 (27.47) (27.47) 31040 EXPLORATION BEHIND UPPER JAW 767.81 804.9618 804.9618 (37.15) (37.15) 31050 EXPLORATION SPHENOID SINUS 486.38 508.91011 508.91011 (22.53) (22.53) 31051 SPHENOID SINUS SURGERY 647.4 677.47946 677.47946 (30.08) (30.08) 31070 EXPLORATION OF FRONTAL SINUS 442.41 461.58652 461.58652 (19.18) (19.18) 31075 EXPLORATION OF FRONTAL SINUS 784.16 818.96047 818.96047 (34.80) (34.80) 31080 REMOVAL OF FRONTAL SINUS 1033.47 1079.3061 1079.3061 (45.84) (45.84) 31081 REMOVAL OF FRONTAL SINUS 1498.38 1597.8575 1597.8575 (99.48) (99.48) 31084 REMOVAL OF FRONTAL SINUS 1156.28 1206.5958 1206.5958 (50.32) (50.32) 31085 REMOVAL OF FRONTAL SINUS 1591.38 1547.6444 1547.6444 43.74 43.74 31086 REMOVAL OF FRONTAL SINUS 1123.49 1172.7718 1172.7718 (49.28) (49.28) 31087 REMOVAL OF FRONTAL SINUS 1082.91 1130.962 1130.962 (48.05) (48.05) 31090 EXPLORATION OF SINUSES 1033.93 1075.3107 1075.3107 (41.38) (41.38) 31200 REMOVAL OF ETHMOID SINUS 577.73 599.65674 599.65674 (21.93) (21.93) 31201 REMOVAL OF ETHMOID SINUS 745.84 777.15744 777.15744 (31.32) (31.32) 31205 REMOVAL OF ETHMOID SINUS 914.94 938.36532 938.36532 (23.43) (23.43) 31225 REMOVAL OF UPPER JAW 1878.12 1963.3837 1963.3837 (85.26) (85.26) 31230 REMOVAL OF UPPER JAW 2080.57 2169.4127 2169.4127 (88.84) (88.84) 31231 NASAL ENDOSCOPY DX 64.59 222.80366 68.532281 (158.21) (3.94) 31233 NASAL/SINUS ENDOSCOPY DX 138.3 277.11996 143.16725 (138.82) (4.87) 31235 NASAL/SINUS ENDOSCOPY DX 163.02 315.72271 169.35304 (152.70) (6.33) 31237 NASAL/SINUS ENDOSCOPY SURG 162.73 272.14108 169.04264 (109.41) (6.31) 31238 NASAL/SINUS ENDOSCOPY SURG 170.03 271.48484 177.04065 (101.45) (7.01) 31239 NASAL/SINUS ENDOSCOPY SURG 626.29 643.85022 643.85022 (17.56) (17.56) 31240 NASAL/SINUS ENDOSCOPY SURG 162.37 168.27363 168.27363 (5.90) (5.90) 31254 REVISION OF ETHMOID SINUS 274.32 285.3983 285.3983 (11.08) (11.08) 31255 REMOVAL OF ETHMOID SINUS 401.6 419.19742 419.19742 (17.60) (17.60) 31256 EXPLORATION MAXILLARY SINUS 198.57 207.89564 207.89564 (9.33) (9.33) 31267 ENDOSCOPY MAXILLARY SINUS 318.59 332.28225 332.28225 (13.69) (13.69) 31276 SINUS ENDOSCOPY SURGICAL 507 528.67565 528.67565 (21.68) (21.68) 31287 NASAL/SINUS ENDOSCOPY SURG 233.49 243.17532 243.17532 (9.69) (9.69) 31288 NASAL/SINUS ENDOSCOPY SURG 270.5 281.37459 281.37459 (10.87) (10.87) 31290 NASAL/SINUS ENDOSCOPY SURG 1163.32 1213.6924 1213.6924 (50.37) (50.37) 31291 NASAL/SINUS ENDOSCOPY SURG 1236.39 1292.8211 1292.8211 (56.43) (56.43) 31292 NASAL/SINUS ENDOSCOPY SURG 1003.58 1045.9482 1045.9482 (42.37) (42.37) 31293 NASAL/SINUS ENDOSCOPY SURG 1088.61 1134.2285 1134.2285 (45.62) (45.62) 31294 NASAL/SINUS ENDOSCOPY SURG 1246.33 1298.6134 1298.6134 (52.28) (52.28) 31295 SINUS ENDO W/BALLOON DIL NASAL 167.95 2192.8185 174.49733 (2024.87) (6.55) 31296 SINUS ENDO W/BALLOON DIL NASAL 200.74 2223.2067 209.40073 (2022.47) (8.66) 31297 SINUS ENDO W/BALLOON DIL NASAL 165.19 2184.2631 171.58596 (2019.07) (6.40) 31300 REMOVAL OF LARYNX LESION 1264.92 1327.8885 1327.8885 (62.97) (62.97) 31320 DIAGNOSTIC INCISION LARYNX 661.36 693.69566 693.69566 (32.34) (32.34) 31360 REMOVAL OF LARYNX 2090.07 2180.2136 2180.2136 (90.14) (90.14) 31365 REMOVAL OF LARYNX 2583.71 2694.4427 2694.4427 (110.73) (110.73) 31367 PARTIAL REMOVAL OF LARYNX 2212.46 2312.629 2312.629 (100.17) (100.17) 31368 PARTIAL REMOVAL OF LARYNX 2451.71 2563.0548 2563.0548 (111.34) (111.34) 31370 PARTIAL REMOVAL OF LARYNX 2079.37 2175.1241 2175.1241 (95.75) (95.75) 31375 PARTIAL REMOVAL OF LARYNX 1974.1 2065.6079 2065.6079 (91.51) (91.51) 31380 PARTIAL REMOVAL OF LARYNX 1946.19 2036.5025 2036.5025 (90.31) (90.31) 31382 PARTIAL REMOVAL OF LARYNX 2135.59 2232.607 2232.607 (97.02) (97.02) 31390 REMOVAL OF LARYNX & PHARYNX 2877.26 2988.1562 2988.1562 (110.90) (110.90) 31395 RECONSTRUCT LARYNX & PHARYNX 3016.36 3147.0077 3147.0077 (130.65) (130.65) 31400 REVISION OF LARYNX 1000.86 1051.1255 1051.1255 (50.27) (50.27) 31420 REMOVAL OF EPIGLOTTIS 838.86 875.35969 875.35969 (36.50) (36.50) 31500 INSERT EMERGENCY AIRWAY 110.42 113.99671 113.99671 (3.58) (3.58) 31502 CHANGE OF WINDPIPE AIRWAY 35.19 36.383787 36.383787 (1.19) (1.19) 31505 DIAGNOSTIC LARYNGOSCOPY 49.62 87.974176 51.852097 (38.35) (2.23) 31510 LARYNGOSCOPY WITH BIOPSY 122.21 223.81541 128.2424 (101.61) (6.03) 31511 REMOVE FOREIGN BODY LARYNX 131.19 222.19253 135.65005 (91.00) (4.46) 31512 REMOVAL OF LARYNX LESION 131.65 218.25117 136.97649 (86.60) (5.33) 31513 INJECTION INTO VOCAL CORD 133.75 139.51158 139.51158 (5.76) (5.76) 31515 LARYNGOSCOPY FOR ASPIRATION 112.34 218.81934 116.47344 (106.48) (4.13) 31520 DX LARYNGOSCOPY NEWBORN 159.22 165.3458 165.3458 (6.13) (6.13) 31525 DX LARYNGOSCOPY EXCL NB 161.98 267.17544 168.59226 (105.20) (6.61) 31526 DX LARYNGOSCOPY W/OPER SCOPE 159.56 165.7056 165.7056 (6.15) (6.15) 31527 LARYNGOSCOPY FOR TREATMENT 197.53 206.79977 206.79977 (9.27) (9.27) 31528 LARYNGOSCOPY AND DILATION 146.61 152.18703 152.18703 (5.58) (5.58) 31529 LARYNGOSCOPY AND DILATION 164.04 170.39128 170.39128 (6.35) (6.35) 31530 LARYNGOSCOPY W/FB REMOVAL 199.89 207.37115 207.37115 (7.48) (7.48) 31531 LARYNGOSCOPY W/FB & OP SCOPE 214.98 224.25147 224.25147 (9.27) (9.27) 31535 LARYNGOSCOPY W/BIOPSY 191.63 200.609 200.609 (8.98) (8.98) 31536 LARYNGOSCOPY W/BX & OP SCOPE 213.24 222.44422 222.44422 (9.20) (9.20) 31540 LARYNGOSCOPY W/EXC OF TUMOR 245.01 255.14763 255.14763 (10.14) (10.14) 31541 LARYNSCOP W/TUMR EXC + SCOPE 267.34 278.09519 278.09519 (10.76) (10.76) 31545 REMOVE VC LESION W/SCOPE 367.48 382.1599 382.1599 (14.68) (14.68) 31546 REMOVE VC LESION SCOPE/GRAFT 557.97 580.74506 580.74506 (22.78) (22.78) 31560 LARYNGOSCOP W/ARYTENOIDECTOM 316.79 330.77716 330.77716 (13.99) (13.99) 31561 LARYNSCOP REMVE CART + SCOP 347.16 361.29705 361.29705 (14.14) (14.14) 31570 LARYNGOSCOPE W/VC INJ 232.2 357.92171 242.40631 (125.72) (10.21) 31571 LARYNGOSCOP W/VC INJ + SCOPE 252.67 263.54662 263.54662 (10.88) (10.88) 31575 DIAGNOSTIC LARYNGOSCOPY 76.44 120.45777 80.949245 (44.02) (4.51) 31576 LARYNGOSCOPY WITH BIOPSY 124.96 236.17473 130.06612 (111.21) (5.11) 31577 REMOVE FOREIGN BODY LARYNX 151.12 255.09608 157.64172 (103.98) (6.52) 31578 REMOVAL OF LARYNX LESION 173.08 293.82234 181.31712 (120.74) (8.24) 31579 DIAGNOSTIC LARYNGOSCOPY 143.2 221.65158 148.2786 (78.45) (5.08) 31580 REVISION OF LARYNX 1226.4 1286.5655 1286.5655 (60.17) (60.17) 31582 REVISION OF LARYNX 1901.17 1996.06 1996.06 (94.89) (94.89) 31584 TREAT LARYNX FRACTURE 1514.27 1586.1483 1586.1483 (71.88) (71.88) 31587 REVISION OF LARYNX 1006.73 1048.6885 1048.6885 (41.96) (41.96) 31588 REVISION OF LARYNX 1147.61 1198.2273 1198.2273 (50.62) (50.62) 31590 REINNERVATE LARYNX 894.94 943.07033 943.07033 (48.13) (48.13) 31595 LARYNX NERVE SURGERY 767.3 805.98786 805.98786 (38.69) (38.69) 31600 INCISION OF WINDPIPE 398.62 415.41072 415.41072 (16.79) (16.79) 31601 INCISION OF WINDPIPE 260.99 286.64561 286.64561 (25.66) (25.66) 31603 INCISION OF WINDPIPE 226.21 233.77175 233.77175 (7.56) (7.56) 31605 INCISION OF WINDPIPE 185.14 191.66154 191.66154 (6.52) (6.52) 31610 INCISION OF WINDPIPE 719.93 752.04998 752.04998 (32.12) (32.12) 31611 SURGERY/SPEECH PROSTHESIS 544.97 569.35881 569.35881 (24.39) (24.39) 31612 PUNCTURE/CLEAR WINDPIPE 47.71 90.545426 52.541988 (42.84) (4.83) 31613 REPAIR WINDPIPE OPENING 459.66 479.51903 479.51903 (19.86) (19.86) 31614 REPAIR WINDPIPE OPENING 764.52 798.75887 798.75887 (34.24) (34.24) 31615 VISUALIZATION OF WINDPIPE 129.8 190.79981 134.73533 (61.00) (4.94) 31622 DX BRONCHOSCOPE/WASH 147.34 330.31497 152.33847 (182.97) (5.00) 31623 DX BRONCHOSCOPE/BRUSH 147.02 349.11208 153.07454 (202.09) (6.05) 31624 DX BRONCHOSCOPE/LAVAGE 148.09 330.65007 154.9312 (182.56) (6.84) 31625 BRONCHOSCOPY W/BIOPSY(S) 171 350.431 178.47485 (179.43) (7.47) 31626 BRONCHOSCOPY W/MARKERS 206.51 471.7344 222.64256 (265.22) (16.13) 31627 NAVIGATIONAL BRONCHOSCOPY 94.57 1496.7589 101.91986 (1402.19) (7.35) 31628 BRONCHOSCOPY/LUNG BX EACH 189.92 391.12097 198.46988 (201.20) (8.55) 31629 BRONCHOSCOPY/NEEDLE BX EACH 204.53 624.15986 214.40002 (419.63) (9.87) 31630 BRONCHOSCOPY DILATE/FX REPR 202.06 210.07415 210.07415 (8.01) (8.01) 31631 BRONCHOSCOPY DILATE W/STENT 231.39 241.88504 241.88504 (10.50) (10.50) 31632 BRONCHOSCOPY/LUNG BX ADDL 48.85 74.513962 51.185119 (25.66) (2.34) 31633 BRONCHOSCOPY/NEEDLE BX ADDL 63.09 91.647032 66.060559 (28.56) (2.97) BRONCH W/BALLOON OCCLUSION 31634 BRONC 200.73 2007.1616 217.23728 (1806.43) (16.51) 31635 BRONCHOSCOPY W/FB REMOVAL 188.86 367.78389 197.33283 (178.92) (8.47) 31636 BRONCHOSCOPY BRONCH STENTS 223.19 232.42311 232.42311 (9.23) (9.23) 31637 BRONCHOSCOPY STENT ADD-ON 73.76 76.895822 76.895822 (3.14) (3.14) 31638 BRONCHOSCOPY REVISE STENT 256.37 265.11006 265.11006 (8.74) (8.74) 31640 BRONCHOSCOPY W/TUMOR EXCISE 256.62 266.23064 266.23064 (9.61) (9.61) 31641 BRONCHOSCOPY TREAT BLOCKAGE 259.6 269.94395 269.94395 (10.34) (10.34) 31643 DIAG BRONCHOSCOPE/CATHETER 176.47 184.65738 184.65738 (8.19) (8.19) 31645 BRONCHOSCOPY CLEAR AIRWAYS 161.99 341.02672 169.07057 (179.04) (7.08) 31646 BRONCHOSCOPY RECLEAR AIRWAY 140.49 306.48061 146.18888 (165.99) (5.70) 31647 Bronchial valve init insert 221.23 233.13449 233.13449 (11.90) (11.90) 31648 BRONCHIAL VALVE REMOV INIT 211.88 212.43632 212.43632 (0.56) (0.56) 31649 BRONCHIAL VALVE REMOV ADDL 68.26 70.754467 70.754467 (2.49) (2.49) 31651 BRONCHIAL VALVE ADDL INSERT 79.5 77.272094 77.272094 2.23 2.23 31660 Bronch thermoplsty 1 lobe 211.42 217.99805 217.99805 (6.58) (6.58) 31661 Bronch thermoplsty 2/> lobes 222.87 228.07254 228.07254 (5.20) (5.20) 31717 BRONCHIAL BRUSH BIOPSY 108.74 276.4358 113.51017 (167.70) (4.77) 31720 CLEARANCE OF AIRWAYS 50.97 52.992368 52.992368 (2.02) (2.02) 31725 CLEARANCE OF AIRWAYS 91.51 93.405592 93.405592 (1.90) (1.90) 31730 INTRO WINDPIPE WIRE/TUBE 146.67 1307.2841 155.14028 (1160.61) (8.47) 31750 REPAIR OF WINDPIPE 1379.73 1452.4698 1452.4698 (72.74) (72.74) 31755 REPAIR OF WINDPIPE 1736.22 1819.6555 1819.6555 (83.44) (83.44) 31760 REPAIR OF WINDPIPE 1388.61 1446.3306 1446.3306 (57.72) (57.72) 31766 RECONSTRUCTION OF WINDPIPE 1800.84 1782.2238 1782.2238 18.62 18.62 31770 REPAIR/GRAFT OF BRONCHUS 1349.04 1403.6884 1403.6884 (54.65) (54.65) 31775 RECONSTRUCT BRONCHUS 1375.92 1292.6783 1292.6783 83.24 83.24 31780 RECONSTRUCT WINDPIPE 1187.92 1242.5192 1242.5192 (54.60) (54.60) 31781 RECONSTRUCT WINDPIPE 1555.05 1458.3595 1458.3595 96.69 96.69 31785 REMOVE WINDPIPE LESION 1088.73 1125.6852 1125.6852 (36.96) (36.96) 31786 REMOVE WINDPIPE LESION 1461.26 1662.1677 1662.1677 (200.91) (200.91) 31800 REPAIR OF WINDPIPE INJURY 717.37 751.65832 751.65832 (34.29) (34.29) 31805 REPAIR OF WINDPIPE INJURY 826.2 860.5247 860.5247 (34.32) (34.32) 31820 CLOSURE OF WINDPIPE LESION 332.25 457.20623 344.701 (124.96) (12.45) 31825 REPAIR OF WINDPIPE DEFECT 485.23 633.77681 504.71563 (148.55) (19.49) 31830 REVISE WINDPIPE SCAR 344.92 466.84931 360.36443 (121.93) (15.44) 32035 THORACOSTOMY W/RIB RESECTION 725.01 762.92176 762.92176 (37.91) (37.91) 32036 THORACOSTOMY W/FLAP DRAINAGE 787.97 818.18 818.18 (30.21) (30.21) 32096 Open wedge/bx lung infiltr 817.44 845.10329 845.10329 (27.66) (27.66) 32097 Open wedge/bx lung nodule 817.8 845.47956 845.47956 (27.68) (27.68) 32098 Open biopsy of lung pleura 771.96 802.15498 802.15498 (30.19) (30.19) 32100 EXPLORATION OF CHEST 827.15 849.94542 849.94542 (22.80) (22.80) 32110 EXPLORE/REPAIR CHEST 1473.71 1535.1823 1535.1823 (61.47) (61.47) 32120 RE-EXPLORATION OF CHEST 884.07 913.7394 913.7394 (29.67) (29.67) 32124 EXPLORE CHEST FREE ADHESIONS 941.82 974.84255 974.84255 (33.02) (33.02) 32140 REMOVAL OF LUNG LESION(S) 1005.67 1047.8933 1047.8933 (42.22) (42.22) 32141 REMOVE/TREAT LUNG LESIONS 1552.12 1599.4972 1599.4972 (47.38) (47.38) 32150 REMOVAL OF LUNG LESION(S) 1018.37 1057.2589 1057.2589 (38.89) (38.89) 32151 REMOVE LUNG FOREIGN BODY 1014.99 1063.439 1063.439 (48.45) (48.45) 32160 OPEN CHEST HEART MASSAGE 797.43 828.58207 828.58207 (31.15) (31.15) 32200 DRAIN OPEN LUNG LESION 1149.48 1204.4993 1204.4993 (55.02) (55.02) 32215 TREAT CHEST LINING 811.27 841.81494 841.81494 (30.54) (30.54) 32220 RELEASE OF LUNG 1608.92 1663.8307 1663.8307 (54.91) (54.91) 32225 PARTIAL RELEASE OF LUNG 1008.79 1042.8725 1042.8725 (34.08) (34.08) 32310 REMOVAL OF CHEST LINING 930.91 948.74734 948.74734 (17.84) (17.84) 32320 FREE/REMOVE CHEST LINING 1619.36 1678.6764 1678.6764 (59.32) (59.32) 32400 NEEDLE BIOPSY CHEST LINING 87.9 159.5825 92.229877 (71.68) (4.33) 32405 PERCUT BX LUNG/MEDIASTINUM 104.46 478.35621 109.98625 (373.90) (5.53) 32440 REMOVE LUNG PNEUMONECTOMY 1588.12 1642.0298 1642.0298 (53.91) (53.91) 32442 SLEEVE PNEUMONECTOMY 3259.02 3228.7209 3228.7209 30.30 30.30 32445 REMOVAL OF LUNG EXTRAPLEURAL 3583.4 3725.9949 3725.9949 (142.59) (142.59) 32480 PARTIAL REMOVAL OF LUNG 1500.19 1550.8547 1550.8547 (50.66) (50.66) 32482 BILOBECTOMY 1606.96 1663.8676 1663.8676 (56.91) (56.91) 32484 SEGMENTECTOMY 1454.78 1508.7337 1508.7337 (53.95) (53.95) 32486 SLEEVE LOBECTOMY 2381.23 2468.8304 2468.8304 (87.60) (87.60) 32488 COMPLETION PNEUMONECTOMY 2434.83 2536.1122 2536.1122 (101.28) (101.28) 32491 LUNG VOLUME REDUCTION 1491.61 1553.4442 1553.4442 (61.83) (61.83) 32501 REPAIR BRONCHUS ADD-ON 248.51 256.85177 256.85177 (8.34) (8.34) 32503 RESECT APICAL LUNG TUMOR 1841.44 1901.7847 1901.7847 (60.34) (60.34) 32504 RESECT APICAL LUNG TUM/CHEST 2099.32 2180.8917 2180.8917 (81.57) (81.57) 32505 Wedge resect of lung initial 943.68 978.76494 978.76494 (35.08) (35.08) 32506 Wedge resect of lung add-on 159.76 164.58323 164.58323 (4.82) (4.82) 32507 Wedge resect of lung diag 159.76 164.25636 164.25636 (4.50) (4.50) 32540 REMOVAL OF LUNG LESION 1760.38 1819.5685 1819.5685 (59.19) (59.19) 32550 Insert pleural cath 226.15 829.55801 233.16742 (603.41) (7.02) 32551 INSERTION OF CHEST TUBE 179.37 178.37353 178.37353 1.00 1.00 32552 REMOVE LUNG CATHETER 168.33 194.69499 167.9797 (26.36) 0.35 32553 INS MARK THOR FOR RT PERQ 214.23 626.87038 204.69357 (412.64) 9.54 32554 Aspirate pleura w/o imaging 90.28 211.76075 93.611449 (121.48) (3.33) 32555 Aspirate pleura w/ imaging 113.62 305.03817 118.7837 (191.42) (5.16) 32556 Insert cath pleura w/o image 124.72 588.59628 129.16858 (463.88) (4.45) 32557 Insert cath pleura w/ image 167.41 540.1403 161.23473 (372.73) 6.18 32560 TREAT PLEURODESIS W/AGENT 79.48 257.62723 81.532091 (178.15) (2.05) 32561 LYSE CHEST FIBRIN INIT DAY 71.81 97.379178 72.168977 (25.57) (0.36) 32562 LYSE CHEST FIBRIN SUBQ DAY 64.17 88.194712 65.242141 (24.02) (1.07) 32601 THORACOSCOPY DIAGNOSTIC 313.38 323.33479 323.33479 (9.95) (9.95) 32604 THORACOSCOPY WBX SAC 487.82 508.09993 508.09993 (20.28) (20.28) 32606 THORACOSCOPY W/BX MED SPACE 468.6 484.41056 484.41056 (15.81) (15.81) 32607 Thoracoscopy w/bx infiltrate 313.74 324.01322 324.01322 (10.27) (10.27) 32608 Thoracoscopy w/bx nodule 385.07 397.42379 397.42379 (12.35) (12.35) 32609 Thoracoscopy w/bx pleura 265.96 272.64122 272.64122 (6.68) (6.68) 32650 THORACOSCOPY W/PLEURODESIS 674.71 699.90503 699.90503 (25.20) (25.20) 32651 THORACOSCOPY REMOVE CORTEX 1107.68 1151.552 1151.552 (43.87) (43.87) 32652 THORACOSCOPY REM TOTL CORTEX 1681.92 1743.9801 1743.9801 (62.06) (62.06) 32653 THORACOSCOPY REMOV FB/FIBRIN 1070.78 1111.9877 1111.9877 (41.21) (41.21) 32654 THORACOSCOPY CONTRL BLEEDING 1188.72 1201.2485 1201.2485 (12.53) (12.53) 32655 THORACOSCOPY RESECT BULLAE 968.32 1004.1652 1004.1652 (35.85) (35.85) 32656 THORACOSCOPY W/PLEURECTOMY 808.66 843.80084 843.80084 (35.14) (35.14) 32658 THORACOSCOPY W/SAC FB REMOVE 723.82 753.35351 753.35351 (29.53) (29.53) 32659 THORACOSCOPY W/SAC DRAINAGE 741.43 770.38204 770.38204 (28.95) (28.95) 32661 THORACOSCOPY W/PERICARD EXC 809.44 843.41383 843.41383 (33.97) (33.97) 32662 THORACOSCOPY W/MEDIAST EXC 906.48 940.05192 940.05192 (33.57) (33.57) 32663 THORACOSCOPY W/LOBECTOMY 1419.95 1470.9379 1470.9379 (50.99) (50.99) 32664 THORACOSCOPY W/ TH NRV EXC 860.14 895.1374 895.1374 (35.00) (35.00) 32665 THORACOSCOP W/ESOPH MUSC EXC 1234.17 1300.5212 1300.5212 (66.35) (66.35) 32666 Thoracoscopy w/wedge resect 882.77 915.96982 915.96982 (33.20) (33.20) 32667 Thoracoscopy w/w resect addl 160.12 165.33577 165.33577 (5.22) (5.22) 32668 Thoracoscopy w/w resect diag 160.16 164.9595 164.9595 (4.80) (4.80) 32669 Thoracoscopy remove segment 1364.46 1413.0812 1413.0812 (48.62) (48.62) 32670 Thoracoscopy bilobectomy 1619.96 1685.2259 1685.2259 (65.27) (65.27) 32671 Thoracoscopy pneumonectomy 1805.63 1874.6989 1874.6989 (69.07) (69.07) 32672 Thoracoscopy for lvrs 1548.43 1597.2091 1597.2091 (48.78) (48.78) 32673 Thoracoscopy w/thymus resect 1222.54 1279.6963 1279.6963 (57.16) (57.16) 32674 Thoracoscopy lymph node exc 218.81 226.11206 226.11206 (7.30) (7.30) 32701 Thorax stereo rad targetw/tx 223.86 224.40362 224.40362 (0.54) (0.54) 32800 REPAIR LUNG HERNIA 956.46 1004.0961 1004.0961 (47.64) (47.64) 32810 CLOSE CHEST AFTER DRAINAGE 914.47 951.98557 951.98557 (37.52) (37.52) 32815 CLOSE BRONCHIAL FISTULA 2853.6 2943.6072 2943.6072 (90.01) (90.01) 32820 RECONSTRUCT INJURED CHEST 1349.13 1477.796 1477.796 (128.67) (128.67) 32900 REMOVAL OF RIB(S) 1424.27 1501.2778 1501.2778 (77.01) (77.01) 32905 REVISE & REPAIR CHEST WALL 1354.78 1410.2687 1410.2687 (55.49) (55.49) 32906 REVISE & REPAIR CHEST WALL 1674.32 1740.8497 1740.8497 (66.53) (66.53) 32940 REVISION OF LUNG 1252.44 1302.839 1302.839 (50.40) (50.40) 32960 THERAPEUTIC PNEUMOTHORAX 104.31 132.80958 96.311225 (28.50) 8.00 32997 TOTAL LUNG LAVAGE 354.67 357.63136 357.63136 (2.96) (2.96) 32998 PERQ RF ABLATE TX PUL TUMOR 288.92 3158.574 301.16698 (2869.65) (12.25) 33010 DRAINAGE OF HEART SAC 119.79 126.09254 126.09254 (6.30) (6.30) 33011 REPEAT DRAINAGE OF HEART SAC 121.65 127.12254 127.12254 (5.47) (5.47) 33015 INCISION OF HEART SAC 512.44 534.28428 534.28428 (21.84) (21.84) 33020 INCISION OF HEART SAC 890.05 926.31926 926.31926 (36.27) (36.27) 33025 INCISION OF HEART SAC 812.56 838.78902 838.78902 (26.23) (26.23) 33030 PARTIAL REMOVAL OF HEART SAC 2036.45 2102.6726 2102.6726 (66.22) (66.22) 33031 PARTIAL REMOVAL OF HEART SAC 2526.42 2588.188 2588.188 (61.77) (61.77) 33050 RESECT HEART SAC LESION 1014.94 1058.1217 1058.1217 (43.18) (43.18) 33120 REMOVAL OF HEART LESION 2140.76 2201.8276 2201.8276 (61.07) (61.07) 33130 REMOVAL OF HEART LESION 1415.94 1458.3695 1458.3695 (42.43) (42.43) 33140 HEART REVASCULARIZE (TMR) 1608.58 1665.1106 1665.1106 (56.53) (56.53) 33141 HEART TMR W/OTHER PROCEDURE 134.94 137.81782 137.81782 (2.88) (2.88) 33202 INSERT EPICARD ELTRD OPEN 786.75 814.85262 814.85262 (28.10) (28.10) 33203 INSERT EPICARD ELTRD ENDO 817.51 846.2518 846.2518 (28.74) (28.74) 33206 INSERT HEART PM ATRIAL 462.01 485.79894 485.79894 (23.79) (23.79) 33207 INSERT HEART PM VENTRICULAR 492.28 516.29986 516.29986 (24.02) (24.02) 33208 INSRT HEART PM ATRIAL & VENT 532.87 558.76736 558.76736 (25.90) (25.90) 33210 INSERT ELECTRD/PM CATH SNGL 180.04 187.36861 187.36861 (7.33) (7.33) 33211 INSERT CARD ELECTRODES DUAL 184.97 190.909 190.909 (5.94) (5.94) 33212 INSERT PULSE GEN SNGL LEAD 334.08 349.71748 349.71748 (15.64) (15.64) 33213 INSERT PULSE GEN DUAL LEADS 349.14 365.63116 365.63116 (16.49) (16.49) 33214 UPGRADE OF PACEMAKER SYSTEM 491.84 512.35276 512.35276 (20.51) (20.51) 33215 REPOSITION PACING-DEFIB LEAD 309.44 324.48759 324.48759 (15.05) (15.05) 33216 INSERT 1 ELECTRODE PM-DEFIB 382.35 402.55018 402.55018 (20.20) (20.20) 33217 INSERT 2 ELECTRODE PM-DEFIB 376.67 394.69788 394.69788 (18.03) (18.03) 33218 REPAIR LEAD PACE-DEFIB ONE 399.65 422.39126 422.39126 (22.74) (22.74) 33220 REPAIR LEAD PACE-DEFIB DUAL 402.39 421.48226 421.48226 (19.09) (19.09) 33221 Insert pulse gen mult leads 371.37 391.77828 391.77828 (20.41) (20.41) 33222 RELOCATION POCKET PACEMAKER 350.15 366.98731 366.98731 (16.84) (16.84) 33223 RELOCATE POCKET FOR DEFIB 421.28 440.99397 440.99397 (19.71) (19.71) 33224 INSERT PACING LEAD & CONNECT 514.88 539.71247 539.71247 (24.83) (24.83) 33225 L VENTRIC PACING LEAD ADD-ON 466.72 489.72777 489.72777 (23.01) (23.01) 33226 REPOSITION L VENTRIC LEAD 494.24 517.97607 517.97607 (23.74) (23.74) 33227 Remove&replace pm gen singl 352.09 368.33917 368.33917 (16.25) (16.25) 33228 Remv&replc pm gen dual lead 366.76 384.30225 384.30225 (17.54) (17.54) 33229 Remv&replc pm gen mult leads 385.04 403.67648 403.67648 (18.64) (18.64) 33230 Insrt pulse gen w/dual leads 400.07 413.27589 413.27589 (13.21) (13.21) 33231 Insrt pulse gen w/mult leads 412.6 436.33873 436.33873 (23.74) (23.74) 33233 REMOVAL OF PM GENERATOR 242.02 255.57832 255.57832 (13.56) (13.56) 33234 REMOVAL OF PACEMAKER SYSTEM 496.07 522.60017 522.60017 (26.53) (26.53) 33235 REMOVAL PACEMAKER ELECTRODE 647.56 679.1213 679.1213 (31.56) (31.56) 33236 REMOVE ELECTRODE/THORACOTOMY 800.94 824.10225 824.10225 (23.16) (23.16) 33237 REMOVE ELECTRODE/THORACOTOMY 852.14 884.49403 884.49403 (32.35) (32.35) 33238 REMOVE ELECTRODE/THORACOTOMY 954.87 984.70223 984.70223 (29.83) (29.83) 33240 INSRT PULSE GEN W/SINGL LEAD 379.99 396.91183 396.91183 (16.92) (16.92) 33241 REMOVE PULSE GENERATOR 227.81 240.71684 240.71684 (12.91) (12.91) 33243 REMOVE ELTRD/THORACOTOMY 1390.04 1440.0575 1440.0575 (50.02) (50.02) 33244 REMOVE ELCTRD TRANSVENOUSLY 869.93 913.36814 913.36814 (43.44) (43.44) 33249 INSJ/RPLCMT DEFIB W/LEAD(S) 925.58 972.54052 972.54052 (46.96) (46.96) 33250 ABLATE HEART DYSRHYTHM FOCUS 1499.64 1553.8681 1553.8681 (54.23) (54.23) 33251 ABLATE HEART DYSRHYTHM FOCUS 1659.45 1704.521 1704.521 (45.07) (45.07) 33254 ABLATE ATRIA LMTD 1393.24 1430.8516 1430.8516 (37.61) (37.61) 33255 ABLATE ATRIA W/O BYPASS EXT 1694.46 1721.5825 1721.5825 (27.12) (27.12) 33256 ABLATE ATRIA W/BYPASS EXTEN 2001.47 2047.6425 2047.6425 (46.17) (46.17) 33257 ABLATE ATRIA LMTD ADD-ON 594.77 612.97088 612.97088 (18.20) (18.20) 33258 ABLATE ATRIA X10SV ADD-ON 668.2 692.10536 692.10536 (23.91) (23.91) 33259 Ablate atria w/bypass add-on 864.11 887.96031 887.96031 (23.85) (23.85) 33261 ABLATE HEART DYSRHYTHM FOCUS 1681.36 1704.521 1704.521 (23.16) (23.16) 33262 RMVL& REPLC PULSE GEN 1 LEAD 385.72 404.37139 404.37139 (18.65) (18.65) 33263 RMVL & RPLCMT DFB GEN 2 LEAD 401.13 420.00761 420.00761 (18.88) (18.88) 33264 RMVL & RPLCMT DFB GEN MLT LD 417.97 437.45107 437.45107 (19.48) (19.48) 33265 ABLATE ATRIA LMTD ENDO 1390.63 1427.7558 1427.7558 (37.13) (37.13) 33266 ABLATE ATRIA X10SV ENDO 1886.9 1943.3959 1943.3959 (56.50) (56.50) 33270 Ins/rep subq defibrillator 648.01 667.22131 667.22131 (19.21) (19.21) 33271 Insj subq impltbl dfb elctrd 489.34 509.36085 509.36085 (20.02) (20.02) 33272 Rmvl of subq defibrillator 441.79 451.1218 451.1218 (9.33) (9.33) 33273 Repos prev impltbl subq dfb 393.15 409.18058 409.18058 (16.03) (16.03) 33282 IMPLANT PAT-ACTIVE HT RECORD 238.66 250.8325 250.8325 (12.17) (12.17) 33284 REMOVE PAT-ACTIVE HT RECORD 210.64 222.2022 222.2022 (11.56) (11.56) 33300 REPAIR OF HEART WOUND 2491.13 2569.3745 2569.3745 (78.24) (78.24) 33305 REPAIR OF HEART WOUND 4179.92 4304.1712 4304.1712 (124.25) (124.25) 33310 EXPLORATORY HEART SURGERY 1182.31 1260.7034 1260.7034 (78.39) (78.39) 33315 EXPLORATORY HEART SURGERY 1956.9 2012.0227 2012.0227 (55.12) (55.12) 33320 REPAIR MAJOR BLOOD VESSEL(S) 1084.05 1119.014 1119.014 (34.96) (34.96) 33321 REPAIR MAJOR VESSEL 1218 1265.7521 1265.7521 (47.75) (47.75) 33322 REPAIR MAJOR BLOOD VESSEL(S) 1416.26 1456.1448 1456.1448 (39.88) (39.88) 33335 INSERT MAJOR VESSEL GRAFT 1920.1 1986.1523 1986.1523 (66.05) (66.05) 33361 Replace aortic valve perq 1369.99 1425.2064 1425.2064 (55.22) (55.22) 33362 Replace aortic valve open 1498.27 1557.3802 1557.3802 (59.11) (59.11) 33363 Replace aortic valve open 1550.7 1636.9231 1636.9231 (86.22) (86.22) 33364 Replace aortic valve open 1631.46 1695.198 1695.198 (63.74) (63.74) 33365 Replace aortic valve open 1800.13 1866.8753 1866.8753 (66.75) (66.75) 33366 Trcath replace aortic valve 1948.05 2033.4007 2033.4007 (85.35) (85.35) 33367 Replace aortic valve w/byp 628.16 653.76253 653.76253 (25.60) (25.60) 33368 Replace aortic valve w/byp 761.37 784.68394 784.68394 (23.31) (23.31) 33369 Replace aortic valve w/byp 1004.64 1036.0069 1036.0069 (31.37) (31.37) 33400 REPAIR OF AORTIC VALVE 2332.71 2392.3159 2392.3159 (59.61) (59.61) 33401 VALVULOPLASTY OPEN 1447.37 1520.9302 1520.9302 (73.56) (73.56) 33403 VALVULOPLASTY W/CP BYPASS 1518.74 1559.8358 1559.8358 (41.10) (41.10) 33404 PREPARE HEART-AORTA CONDUIT 1784.77 1865.8159 1865.8159 (81.05) (81.05) 33405 REPLACEMENT OF AORTIC VALVE 2320.89 2381.5218 2381.5218 (60.63) (60.63) 33406 REPLACEMENT OF AORTIC VALVE 2941.04 3016.7969 3016.7969 (75.76) (75.76) 33410 REPLACEMENT OF AORTIC VALVE 2595.81 2663.8093 2663.8093 (68.00) (68.00) 33411 REPLACEMENT OF AORTIC VALVE 3431.53 3519.5828 3519.5828 (88.05) (88.05) 33412 REPLACEMENT OF AORTIC VALVE 3253.78 3334.2699 3334.2699 (80.49) (80.49) 33413 REPLACEMENT OF AORTIC VALVE 3293.65 3440.5611 3440.5611 (146.91) (146.91) 33414 REPAIR OF AORTIC VALVE 2197.95 2253.7412 2253.7412 (55.79) (55.79) 33415 REVISION SUBVALVULAR TISSUE 2068.54 2134.2422 2134.2422 (65.70) (65.70) 33416 REVISE VENTRICLE MUSCLE 2077.52 2134.011 2134.011 (56.49) (56.49) 33417 REPAIR OF AORTIC VALVE 1696.09 1744.2304 1744.2304 (48.14) (48.14) 33418 Repair tcat mitral valve 1815.44 1802.7755 1890.0706 12.66 (74.63) 33419 Repair tcat mitral valve 566.53 574.41539 574.41539 (7.89) (7.89) 33420 REVISION OF MITRAL VALVE 1482.7 1523.2705 1523.2705 (40.57) (40.57) 33422 REVISION OF MITRAL VALVE 1723.65 1760.6635 1760.6635 (37.01) (37.01) 33425 REPAIR OF MITRAL VALVE 2793.57 2865.9274 2865.9274 (72.36) (72.36) 33426 REPAIR OF MITRAL VALVE 2436.24 2499.1438 2499.1438 (62.90) (62.90) 33427 REPAIR OF MITRAL VALVE 2500.44 2564.3809 2564.3809 (63.94) (63.94) 33430 REPLACEMENT OF MITRAL VALVE 2861.53 2935.5498 2935.5498 (74.02) (74.02) 33460 REVISION OF TRICUSPID VALVE 2492.71 2564.3404 2564.3404 (71.63) (71.63) 33463 VALVULOPLASTY TRICUSPID 3158.72 3246.0566 3246.0566 (87.34) (87.34) 33464 VALVULOPLASTY TRICUSPID 2502.19 2563.043 2563.043 (60.85) (60.85) 33465 REPLACE TRICUSPID VALVE 2818.88 2893.8026 2893.8026 (74.92) (74.92) 33468 REVISION OF TRICUSPID VALVE 2506.51 2568.7519 2568.7519 (62.24) (62.24) 33470 REVISION OF PULMONARY VALVE 1312.1 1296.8162 1296.8162 15.28 15.28 33471 VALVOTOMY PULMONARY VALVE 1416.25 1328.0374 1328.0374 88.21 88.21 33475 REPLACEMENT PULMONARY VALVE 2398.33 2464.1802 2464.1802 (65.85) (65.85) 33476 REVISION OF HEART CHAMBER 1563.34 1605.0417 1605.0417 (41.70) (41.70) 33478 REVISION OF HEART CHAMBER 1606.5 1649.2374 1649.2374 (42.74) (42.74) 33496 REPAIR PROSTH VALVE CLOT 1699.37 1761.1855 1761.1855 (61.82) (61.82) 33500 REPAIR HEART VESSEL FISTULA 1617.41 1650.6386 1650.6386 (33.23) (33.23) 33501 REPAIR HEART VESSEL FISTULA 1156.16 1179.7599 1179.7599 (23.60) (23.60) 33502 CORONARY ARTERY CORRECTION 1304.69 1341.2606 1341.2606 (36.57) (36.57) 33503 CORONARY ARTERY GRAFT 1337.04 1391.7286 1391.7286 (54.69) (54.69) 33504 CORONARY ARTERY GRAFT 1505.3 1537.2044 1537.2044 (31.90) (31.90) 33505 REPAIR ARTERY W/TUNNEL 2119.98 2161.8142 2161.8142 (41.83) (41.83) 33506 REPAIR ARTERY TRANSLOCATION 2089.6 2276.4776 2276.4776 (186.88) (186.88) 33507 REPAIR ART INTRAMURAL 1744.16 1806.3156 1806.3156 (62.16) (62.16) 33508 ENDOSCOPIC VEIN HARVEST 16.42 16.649753 16.649753 (0.23) (0.23) 33510 CABG VEIN SINGLE 1978.12 2027.8533 2027.8533 (49.73) (49.73) 33511 CABG VEIN TWO 2172.08 2228.3395 2228.3395 (56.26) (56.26) 33512 CABG VEIN THREE 2469.38 2533.7672 2533.7672 (64.39) (64.39) 33513 CABG VEIN FOUR 2540.69 2606.9966 2606.9966 (66.31) (66.31) 33514 CABG VEIN FIVE 2679.94 2754.7242 2754.7242 (74.78) (74.78) 33516 CABG VEIN SIX OR MORE 2789.3 2885.7165 2885.7165 (96.42) (96.42) 33517 CABG ARTERY-VEIN SINGLE 191.56 196.79509 196.79509 (5.24) (5.24) 33518 CABG ARTERY-VEIN TWO 421.66 431.5836 431.5836 (9.92) (9.92) 33519 CABG ARTERY-VEIN THREE 557.28 570.84886 570.84886 (13.57) (13.57) 33521 CABG ARTERY-VEIN FOUR 669.58 684.45283 684.45283 (14.87) (14.87) 33522 CABG ARTERY-VEIN FIVE 751.38 769.43474 769.43474 (18.05) (18.05) 33523 CABG ART-VEIN SIX OR MORE 851.96 879.14424 879.14424 (27.18) (27.18) 33530 CORONARY ARTERY BYPASS/REOP 537.66 551.32069 551.32069 (13.66) (13.66) 33533 CABG ARTERIAL SINGLE 1912.05 1961.2872 1961.2872 (49.24) (49.24) 33534 CABG ARTERIAL TWO 2247.56 2307.5728 2307.5728 (60.01) (60.01) 33535 CABG ARTERIAL THREE 2505.2 2574.0676 2574.0676 (68.87) (68.87) 33536 CABG ARTERIAL FOUR OR MORE 2689.61 2776.9959 2776.9959 (87.39) (87.39) 33542 REMOVAL OF HEART LESION 2685.6 2753.8811 2753.8811 (68.28) (68.28) 33545 REPAIR OF HEART DAMAGE 3159.28 3248.6229 3248.6229 (89.34) (89.34) 33548 RESTORE/REMODEL VENTRICLE 3040.9 3110.471 3110.471 (69.57) (69.57) 33572 OPEN CORONARY ENDARTERECTOMY 236.37 242.36907 242.36907 (6.00) (6.00) 33600 CLOSURE OF VALVE 1737.44 1818.4125 1818.4125 (80.97) (80.97) 33602 CLOSURE OF VALVE 1673.92 1764.5383 1764.5383 (90.62) (90.62) 33606 ANASTOMOSIS/ARTERY-AORTA 1784.15 1787.3706 1787.3706 (3.22) (3.22) 33608 REPAIR ANOMALY W/CONDUIT 1820.29 1887.6321 1887.6321 (67.34) (67.34) 33610 REPAIR BY ENLARGEMENT 1795.5 1878.1093 1878.1093 (82.61) (82.61) 33611 REPAIR DOUBLE VENTRICLE 1995.82 1967.4336 1967.4336 28.39 28.39 33612 REPAIR DOUBLE VENTRICLE 2017.56 2100.7705 2100.7705 (83.21) (83.21) 33615 REPAIR MODIFIED FONTAN 2052.57 2111.9699 2111.9699 (59.40) (59.40) 33617 REPAIR SINGLE VENTRICLE 2188.7 2267.8964 2267.8964 (79.20) (79.20) 33619 REPAIR SINGLE VENTRICLE 2905.39 2742.7634 2742.7634 162.63 162.63 33620 APPLY R&L PULM ART BANDS APPLI 1487.76 1408.6226 1408.6226 79.14 79.14 33621 TRANSTHOR CATH FOR STENT TRANS 892.89 983.53367 983.53367 (90.64) (90.64) 33622 REDO COMPL CARDIAC ANOMALY 3513.16 3196.0454 3196.0454 317.11 317.11 33641 REPAIR HEART SEPTUM DEFECT 1671.72 1715.8453 1715.8453 (44.13) (44.13) 33645 REVISION OF HEART VEINS 1769.19 1814.0551 1814.0551 (44.87) (44.87) 33647 REPAIR HEART SEPTUM DEFECTS 1868.4 1905.865 1905.865 (37.47) (37.47) 33660 REPAIR OF HEART DEFECTS 1796.45 1859.019 1859.019 (62.57) (62.57) 33665 REPAIR OF HEART DEFECTS 1968.52 2006.7606 2006.7606 (38.24) (38.24) 33670 REPAIR OF HEART CHAMBERS 2028.8 2084.8436 2084.8436 (56.04) (56.04) 33675 CLOSE MULT VSD 2016.81 2086.6362 2086.6362 (69.83) (69.83) 33676 CLOSE MULT VSD W/RESECTION 2192.25 2040.9702 2040.9702 151.28 151.28 33677 CL MULT VSD W/REM PUL BAND 2277.75 2120.9832 2120.9832 156.77 156.77 33681 REPAIR HEART SEPTUM DEFECT 1873.88 1935.1666 1935.1666 (61.29) (61.29) 33684 REPAIR HEART SEPTUM DEFECT 1931.45 1998.6688 1998.6688 (67.22) (67.22) 33688 REPAIR HEART SEPTUM DEFECT 1927.7 1974.9916 1974.9916 (47.29) (47.29) 33690 REINFORCE PULMONARY ARTERY 1213.25 1270.0773 1270.0773 (56.83) (56.83) 33692 REPAIR OF HEART DEFECTS 2122.21 1975.0586 1975.0586 147.15 147.15 33694 REPAIR OF HEART DEFECTS 2006.23 2046.1685 2046.1685 (39.94) (39.94) 33697 REPAIR OF HEART DEFECTS 2103.68 2206.9217 2206.9217 (103.24) (103.24) 33702 REPAIR OF HEART DEFECTS 1579.62 1622.0108 1622.0108 (42.39) (42.39) 33710 REPAIR OF HEART DEFECTS 2155.8 2204.3537 2204.3537 (48.55) (48.55) 33720 REPAIR OF HEART DEFECT 1573.83 1637.0288 1637.0288 (63.20) (63.20) 33722 REPAIR OF HEART DEFECT 1670.17 1717.1635 1717.1635 (46.99) (46.99) 33724 REPAIR VENOUS ANOMALY 1566.1 1614.4475 1614.4475 (48.35) (48.35) 33726 REPAIR PUL VENOUS STENOSIS 2122.86 2151.3703 2151.3703 (28.51) (28.51) 33730 REPAIR HEART-VEIN DEFECT(S) 2049.6 2121.193 2121.193 (71.59) (71.59) 33732 REPAIR HEART-VEIN DEFECT 1779.32 1743.8896 1743.8896 35.43 35.43 33735 REVISION OF HEART CHAMBER 1324.34 1372.4203 1372.4203 (48.08) (48.08) 33736 REVISION OF HEART CHAMBER 1435.81 1474.6538 1474.6538 (38.84) (38.84) 33737 REVISION OF HEART CHAMBER 1375.39 1302.2032 1302.2032 73.19 73.19 33750 MAJOR VESSEL SHUNT 1376.49 1401.7365 1401.7365 (25.25) (25.25) 33755 MAJOR VESSEL SHUNT 1379.97 1320.4017 1320.4017 59.57 59.57 33762 MAJOR VESSEL SHUNT 1378.09 1288.0423 1288.0423 90.05 90.05 33764 MAJOR VESSEL SHUNT & GRAFT 1323.07 1320.4017 1320.4017 2.67 2.67 33766 MAJOR VESSEL SHUNT 1403.3 1478.5665 1478.5665 (75.27) (75.27) 33767 MAJOR VESSEL SHUNT 1461.38 1491.2853 1491.2853 (29.91) (29.91) 33768 CAVOPULMONARY SHUNTING 454.32 421.61473 421.61473 32.71 32.71 33770 REPAIR GREAT VESSELS DEFECT 2270.96 2136.8203 2136.8203 134.14 134.14 33771 REPAIR GREAT VESSELS DEFECT 2369.87 2200.228 2200.228 169.64 169.64 33774 REPAIR GREAT VESSELS DEFECT 1848.28 1904.0835 1904.0835 (55.80) (55.80) 33775 REPAIR GREAT VESSELS DEFECT 1993.79 1864.1372 1864.1372 129.65 129.65 33776 REPAIR GREAT VESSELS DEFECT 2003.49 1970.7889 1970.7889 32.70 32.70 33777 REPAIR GREAT VESSELS DEFECT 2041.34 1905.2428 1905.2428 136.10 136.10 33778 REPAIR GREAT VESSELS DEFECT 2542.44 2367.5697 2367.5697 174.87 174.87 33779 REPAIR GREAT VESSELS DEFECT 2247.38 2348.644 2348.644 (101.26) (101.26) 33780 REPAIR GREAT VESSELS DEFECT 2428.43 2391.0893 2391.0893 37.34 37.34 33781 REPAIR GREAT VESSELS DEFECT 2517.77 2336.6363 2336.6363 181.13 181.13 33782 NIKAIDOH PROC 3359.77 3410.5392 3410.5392 (50.77) (50.77) 33783 NIKAIDOH PROC W/OSTIA IMPLT 3749.28 3524.0594 3524.0594 225.22 225.22 33786 REPAIR ARTERIAL TRUNK 2344.01 2295.7942 2295.7942 48.22 48.22 33788 REVISION OF PULMONARY ARTERY 1575.09 1621.5909 1621.5909 (46.50) (46.50) 33800 AORTIC SUSPENSION 933.07 1097.3725 1097.3725 (164.30) (164.30) 33802 REPAIR VESSEL DEFECT 1113.6 1206.7372 1206.7372 (93.14) (93.14) 33803 REPAIR VESSEL DEFECT 1234.71 1156.3501 1156.3501 78.36 78.36 33813 REPAIR SEPTAL DEFECT 1261.74 1243.2975 1243.2975 18.44 18.44 33814 REPAIR SEPTAL DEFECT 1556.16 1612.9492 1612.9492 (56.79) (56.79) 33820 REVISE MAJOR VESSEL 996.06 1016.6381 1016.6381 (20.58) (20.58) 33822 REVISE MAJOR VESSEL 1051.01 1025.9951 1025.9951 25.01 25.01 33824 REVISE MAJOR VESSEL 1193.35 1237.2288 1237.2288 (43.88) (43.88) 33840 REMOVE AORTA CONSTRICTION 1323.74 1242.2016 1242.2016 81.54 81.54 33845 REMOVE AORTA CONSTRICTION 1362.04 1399.4442 1399.4442 (37.40) (37.40) 33851 REMOVE AORTA CONSTRICTION 1359.41 1276.0174 1276.0174 83.39 83.39 33852 REPAIR SEPTAL DEFECT 1436.77 1466.5544 1466.5544 (29.78) (29.78) 33853 REPAIR SEPTAL DEFECT 1883.11 1921.6183 1921.6183 (38.51) (38.51) 33860 ASCENDING AORTIC GRAFT 3283.66 3370.1418 3370.1418 (86.48) (86.48) 33863 ASCENDING AORTIC GRAFT 3219.25 3305.7435 3305.7435 (86.49) (86.49) 33864 ASCENDING AORTIC GRAFT 3282.99 3388.7477 3388.7477 (105.76) (105.76) 33870 TRANSVERSE AORTIC ARCH GRAFT 2574.66 2646.9594 2646.9594 (72.30) (72.30) 33875 THORACIC AORTIC GRAFT 2813.57 2886.1898 2886.1898 (72.62) (72.62) 33877 THORACOABDOMINAL GRAFT 3728.48 3832.0967 3832.0967 (103.62) (103.62) 33880 ENDOVASC TAA REPR INCL SUBCL 1849.87 1907.4267 1907.4267 (57.56) (57.56) 33881 ENDOVASC TAA REPR W/O SUBCL 1591.48 1638.7343 1638.7343 (47.25) (47.25) 33883 INSERT ENDOVASC PROSTH TAA 1153.28 1188.2731 1188.2731 (34.99) (34.99) 33884 ENDOVASC PROSTH TAA ADD-ON 422.47 437.56599 437.56599 (15.10) (15.10) 33886 ENDOVASC PROSTH DELAYED 1003.73 1026.2801 1026.2801 (22.55) (22.55) 33889 ARTERY TRANSPOSE/ENDOVAS TAA 821.93 838.91862 838.91862 (16.99) (16.99) 33891 CAR-CAR BP GRFT/ENDOVAS TAA 1004.93 1027.1178 1027.1178 (22.19) (22.19) 33910 REMOVE LUNG ARTERY EMBOLI 2712.49 2767.0506 2767.0506 (54.56) (54.56) 33915 REMOVE LUNG ARTERY EMBOLI 1295 1343.1298 1343.1298 (48.13) (48.13) 33916 SURGERY OF GREAT VESSEL 4304.32 4425.7921 4425.7921 (121.47) (121.47) 33917 REPAIR PULMONARY ARTERY 1473.97 1542.7851 1542.7851 (68.82) (68.82) 33920 REPAIR PULMONARY ATRESIA 1859.06 1912.8133 1912.8133 (53.75) (53.75) 33922 TRANSECT PULMONARY ARTERY 1427.02 1456.4305 1456.4305 (29.41) (29.41) 33924 REMOVE PULMONARY SHUNT 288.99 299.77538 299.77538 (10.79) (10.79) 33925 RPR PUL ART UNIFOCAL W/O CPB 1738.54 1816.6149 1816.6149 (78.07) (78.07) 33926 REPR PUL ART UNIFOCAL W/CPB 2471.83 2674.989 2674.989 (203.16) (203.16) 33946 Ecmo/ecls initiation venous 319.77 331.22074 331.22074 (11.45) (11.45) 33947 Ecmo/ecls initiation artery 348.05 361.03749 361.03749 (12.99) (12.99) 33948 Ecmo/ecls daily mgmt-venous 243.56 253.42093 253.42093 (9.86) (9.86) 33949 Ecmo/ecls daily mgmt artery 237.69 247.23841 247.23841 (9.55) (9.55) 33951 Ecmo/ecls insj prph cannula 388.49 410.4995 407.86559 (22.01) (19.38) 33952 Ecmo/ecls insj prph cannula 377.35 399.58762 396.20117 (22.24) (18.85) 33953 Ecmo/ecls insj prph cannula 432.68 457.08128 454.44738 (24.40) (21.77) 33954 Ecmo/ecls insj prph cannula 420.11 445.04059 441.27787 (24.93) (21.17) 33955 Ecmo/ecls insj ctr cannula 903.41 938.72691 935.34047 (35.32) (31.93) 33956 Ecmo/ecls insj ctr cannula 852.42 885.67261 881.90989 (33.25) (29.49) 33957 Ecmo/ecls repos perph cnula 306.3 309.47503 306.08858 (3.18) 0.21 33958 Ecmo/ecls repos perph cnula 300.2 302.32587 299.69197 (2.13) 0.51 33959 Ecmo/ecls repos perph cnula 352.29 357.93818 354.55173 (5.65) (2.26) 33962 Ecmo/ecls repos perph cnula 335.78 341.00595 337.24323 (5.23) (1.46) 33963 Ecmo/ecls repos perph cnula 568.72 586.02396 582.63752 (17.30) (13.92) 33964 Ecmo/ecls repos perph cnula 575.7 592.72596 590.09206 (17.03) (14.39) 33965 Ecmo/ecls rmvl perph cannula 309.54 306.08858 309.47503 3.45 0.06 33966 Ecmo/ecls rmvl prph cannula 340.75 338.69891 342.46163 2.05 (1.71) 33967 INSERT I-AORT PERCUT DEVICE 262.2 272.01541 272.01541 (9.82) (9.82) 33968 REMOVE AORTIC ASSIST DEVICE 34.23 35.147926 35.147926 (0.92) (0.92) 33969 Ecmo/ecls rmvl perph cannula 348.7 358.54429 355.53412 (9.84) (6.83) 33970 AORTIC CIRCULATION ASSIST 361.15 372.10081 372.10081 (10.95) (10.95) 33971 AORTIC CIRCULATION ASSIST 723.39 748.12437 748.12437 (24.73) (24.73) 33973 INSERT BALLOON DEVICE 523.73 541.33105 541.33105 (17.60) (17.60) 33974 REMOVE INTRA-AORTIC BALLOON 909.74 940.56567 940.56567 (30.83) (30.83) 33975 IMPLANT VENTRICULAR DEVICE 1355.02 1377.5846 1377.5846 (22.56) (22.56) 33976 IMPLANT VENTRICULAR DEVICE 1650.4 1676.7893 1676.7893 (26.39) (26.39) 33977 REMOVE VENTRICULAR DEVICE 1152.71 1189.1821 1189.1821 (36.47) (36.47) 33978 REMOVE VENTRICULAR DEVICE 1375.66 1409.1725 1409.1725 (33.51) (33.51) 33979 INSERT INTRACORPOREAL DEVICE 1995.65 2052.9328 2052.9328 (57.28) (57.28) 33980 REMOVE INTRACORPOREAL DEVICE 1824.83 1873.7312 1873.7312 (48.90) (48.90) 33981 REPLACE VAD PUMP EXT 857.9 878.34229 878.34229 (20.44) (20.44) 33982 REPLACE VAD INTRA W/O BP 2002.67 2064.4415 2064.4415 (61.77) (61.77) 33983 REPLACE VAD INTRA W/BP 2360.03 2439.448 2439.448 (79.42) (79.42) 33984 Ecmo/ecls rmvl prph cannula 340 350.24734 346.48462 (10.25) (6.48) 33985 Ecmo/ecls rmvl ctr cannula 646.29 663.53557 660.14912 (17.25) (13.86) 33986 Ecmo/ecls rmvl ctr cannula 614.85 630.99505 627.23233 (16.15) (12.38) 33987 Artery expos/graft artery 261.06 265.22426 265.22426 (4.16) (4.16) 33988 Insertion of left heart vent 744.29 778.84654 774.70755 (34.56) (30.42) 33989 Removal of left heart vent 498.23 519.49333 515.73061 (21.26) (17.50) 33990 Insert vad artery access 442.99 460.77383 460.77383 (17.78) (17.78) 33991 Insert vad art&vein access 645.78 667.33301 667.33301 (21.55) (21.55) 33992 Remove vad different session 209.21 223.77459 223.77459 (14.56) (14.56) 33993 Reposition vad diff session 183.72 197.41016 197.41016 (13.69) (13.69) 34001 REMOVAL OF ARTERY CLOT 990.09 1052.0642 1052.0642 (61.97) (61.97) 34051 REMOVAL OF ARTERY CLOT 1018.23 949.79667 949.79667 68.43 68.43 34101 REMOVAL OF ARTERY CLOT 620.99 641.97316 641.97316 (20.98) (20.98) 34111 REMOVAL OF ARM ARTERY CLOT 620.6 638.61142 638.61142 (18.01) (18.01) 34151 REMOVAL OF ARTERY CLOT 1448.84 1493.8218 1493.8218 (44.98) (44.98) 34201 REMOVAL OF ARTERY CLOT 1067.54 1099.4848 1099.4848 (31.94) (31.94) 34203 REMOVAL OF LEG ARTERY CLOT 990.91 1016.1479 1016.1479 (25.24) (25.24) 34401 REMOVAL OF VEIN CLOT 1496.42 1553.5559 1553.5559 (57.14) (57.14) 34421 REMOVAL OF VEIN CLOT 750.94 775.89079 775.89079 (24.95) (24.95) 34451 REMOVAL OF VEIN CLOT 1496.43 1755.3227 1755.3227 (258.89) (258.89) 34471 REMOVAL OF VEIN CLOT 1105.15 1149.946 1149.946 (44.80) (44.80) 34490 REMOVAL OF VEIN CLOT 624.91 651.03662 651.03662 (26.13) (26.13) 34501 REPAIR VALVE FEMORAL VEIN 1019.88 953.51249 953.51249 66.37 66.37 34502 RECONSTRUCT VENA CAVA 1557.15 1624.4446 1624.4446 (67.29) (67.29) 34510 TRANSPOSITION OF VEIN VALVE 1197.39 1259.7031 1259.7031 (62.31) (62.31) 34520 CROSS-OVER VEIN GRAFT 1030.16 1054.8756 1054.8756 (24.72) (24.72) 34530 LEG VEIN FUSION 1113.08 1171.1364 1171.1364 (58.06) (58.06) 34800 ENDOVAS AAA REPR W/SM TUBE 1160.14 1200.7072 1200.7072 (40.57) (40.57) 34802 ENDOVAS AAA REPR W/2-P PART 1281.83 1327.9368 1327.9368 (46.11) (46.11) 34803 ENDOVAS AAA REPR W/3-P PART 1326.32 1370.0724 1370.0724 (43.75) (43.75) 34804 ENDOVAS AAA REPR W/1-P PART 1280.48 1325.6051 1325.6051 (45.13) (45.13) 34805 ENDOVAS AAA REPR W/LONG TUBE 1231.02 1277.6829 1277.6829 (46.66) (46.66) 34806 ANEURYSM PRESS SENSOR ADD-ON 102.17 106.0703 106.0703 (3.90) (3.90) 34808 ENDOVAS ILIAC A DEVICE ADDON 211.52 221.44858 221.44858 (9.93) (9.93) 34812 XPOSE FOR ENDOPROSTH FEMORL 347.83 358.05525 358.05525 (10.23) (10.23) 34813 FEMORAL ENDOVAS GRAFT ADD-ON 244.73 251.70498 251.70498 (6.97) (6.97) 34820 XPOSE FOR ENDOPROSTH ILIAC 505.3 520.75712 520.75712 (15.46) (15.46) 34825 ENDOVASC EXTEND PROSTH INIT 718.22 741.30029 741.30029 (23.08) (23.08) 34826 ENDOVASC EXTEN PROSTH ADDL 210.77 217.90819 217.90819 (7.14) (7.14) 34830 OPEN AORTIC TUBE PROSTH REPR 1836.12 1878.8315 1878.8315 (42.71) (42.71) 34831 OPEN AORTOILIAC PROSTH REPR 1974.73 2019.8932 2019.8932 (45.16) (45.16) 34832 OPEN AORTOFEMOR PROSTH REPR 1974.73 2019.8932 2019.8932 (45.16) (45.16) 34833 XPOSE FOR ENDOPROSTH ILIAC 630.4 650.11258 650.11258 (19.71) (19.71) 34834 XPOSE ENDOPROSTH BRACHIAL 282.75 289.68443 289.68443 (6.93) (6.93) 34900 ENDOVASC ILIAC REPR W/GRAFT 917.91 952.50146 952.50146 (34.59) (34.59) 35001 REPAIR DEFECT OF ARTERY 1161.19 1204.7961 1204.7961 (43.61) (43.61) 35002 REPAIR ARTERY RUPTURE NECK 1163.84 1210.3213 1210.3213 (46.48) (46.48) 35005 REPAIR DEFECT OF ARTERY 1184.38 1229.0622 1229.0622 (44.68) (44.68) 35011 REPAIR DEFECT OF ARTERY 1031.43 1067.5719 1067.5719 (36.14) (36.14) 35013 REPAIR ARTERY RUPTURE ARM 1293.23 1326.7307 1326.7307 (33.50) (33.50) 35021 REPAIR DEFECT OF ARTERY 1281.75 1340.5113 1340.5113 (58.76) (58.76) 35022 REPAIR ARTERY RUPTURE CHEST 1475.93 1535.1064 1535.1064 (59.18) (59.18) 35045 REPAIR DEFECT OF ARM ARTERY 1027.8 1058.9688 1058.9688 (31.17) (31.17) 35081 REPAIR DEFECT OF ARTERY 1812.04 1862.196 1862.196 (50.16) (50.16) 35082 REPAIR ARTERY RUPTURE AORTA 2266.97 2338.1285 2338.1285 (71.16) (71.16) 35091 REPAIR DEFECT OF ARTERY 1858.95 1910.3148 1910.3148 (51.36) (51.36) 35092 REPAIR ARTERY RUPTURE AORTA 2705.21 2781.6307 2781.6307 (76.42) (76.42) 35102 REPAIR DEFECT OF ARTERY 1963.5 2015.4664 2015.4664 (51.97) (51.97) 35103 REPAIR ARTERY RUPTURE AORTA 2329.7 2401.0421 2401.0421 (71.34) (71.34) 35111 REPAIR DEFECT OF ARTERY 1545.6 1415.829 1415.829 129.77 129.77 35112 REPAIR ARTERY RUPTURE SPLEEN 1894.98 1993.9423 1993.9423 (98.96) (98.96) 35121 REPAIR DEFECT OF ARTERY 1692.06 1751.9595 1751.9595 (59.90) (59.90) 35122 REPAIR ARTERY RUPTURE BELLY 2186.21 2300.0921 2300.0921 (113.88) (113.88) 35131 REPAIR DEFECT OF ARTERY 1435.99 1481.6024 1481.6024 (45.61) (45.61) 35132 REPAIR ARTERY RUPTURE GROIN 1692.26 1742.112 1742.112 (49.85) (49.85) 35141 REPAIR DEFECT OF ARTERY 1145.58 1181.8518 1181.8518 (36.27) (36.27) 35142 REPAIR ARTERY RUPTURE THIGH 1372.75 1406.1458 1406.1458 (33.40) (33.40) 35151 REPAIR DEFECT OF ARTERY 1288.34 1325.7755 1325.7755 (37.44) (37.44) 35152 REPAIR RUPTD POPLITEAL ART 1456.01 1490.2778 1490.2778 (34.27) (34.27) 35180 REPAIR BLOOD VESSEL LESION 938.35 962.47535 962.47535 (24.13) (24.13) 35182 REPAIR BLOOD VESSEL LESION 1782.79 1720.6935 1720.6935 62.10 62.10 35184 REPAIR BLOOD VESSEL LESION 1062.57 1188.7181 1188.7181 (126.15) (126.15) 35188 REPAIR BLOOD VESSEL LESION 1222.51 1131.4385 1131.4385 91.07 91.07 35189 REPAIR BLOOD VESSEL LESION 1586.53 1609.6938 1609.6938 (23.16) (23.16) 35190 REPAIR BLOOD VESSEL LESION 780.09 810.27722 810.27722 (30.19) (30.19) 35201 REPAIR BLOOD VESSEL LESION 973.73 1018.1431 1018.1431 (44.41) (44.41) 35206 REPAIR BLOOD VESSEL LESION 796.91 823.93327 823.93327 (27.02) (27.02) 35207 REPAIR BLOOD VESSEL LESION 756.52 793.49715 793.49715 (36.98) (36.98) 35211 REPAIR BLOOD VESSEL LESION 1417.83 1452.2421 1452.2421 (34.41) (34.41) 35216 REPAIR BLOOD VESSEL LESION 2104.05 2162.1547 2162.1547 (58.10) (58.10) 35221 REPAIR BLOOD VESSEL LESION 1479.66 1539.5375 1539.5375 (59.88) (59.88) 35226 REPAIR BLOOD VESSEL LESION 861.78 885.9626 885.9626 (24.18) (24.18) 35231 REPAIR BLOOD VESSEL LESION 1243.08 1303.8232 1303.8232 (60.74) (60.74) 35236 REPAIR BLOOD VESSEL LESION 1010.53 1043.9262 1043.9262 (33.40) (33.40) 35241 REPAIR BLOOD VESSEL LESION 1469.07 1520.7776 1520.7776 (51.71) (51.71) 35246 REPAIR BLOOD VESSEL LESION 1599.17 1668.7276 1668.7276 (69.56) (69.56) 35251 REPAIR BLOOD VESSEL LESION 1726.1 1812.6742 1812.6742 (86.57) (86.57) 35256 REPAIR BLOOD VESSEL LESION 1055.55 1083.8922 1083.8922 (28.34) (28.34) 35261 REPAIR BLOOD VESSEL LESION 1094.99 1142.2061 1142.2061 (47.22) (47.22) 35266 REPAIR BLOOD VESSEL LESION 897.59 922.04422 922.04422 (24.45) (24.45) 35271 REPAIR BLOOD VESSEL LESION 1416.43 1460.5316 1460.5316 (44.10) (44.10) 35276 REPAIR BLOOD VESSEL LESION 1483.98 1550.042 1550.042 (66.06) (66.06) 35281 REPAIR BLOOD VESSEL LESION 1674.22 1726.5825 1726.5825 (52.36) (52.36) 35286 REPAIR BLOOD VESSEL LESION 970.71 995.07028 995.07028 (24.36) (24.36) 35301 RECHANNELING OF ARTERY 1172.57 1207.1063 1207.1063 (34.54) (34.54) 35302 RECHANNELING OF ARTERY 1169.7 1201.9266 1201.9266 (32.23) (32.23) 35303 RECHANNELING OF ARTERY 1291.36 1324.5421 1324.5421 (33.18) (33.18) 35304 RECHANNELING OF ARTERY 1335.49 1369.762 1369.762 (34.27) (34.27) 35305 RECHANNELING OF ARTERY 1282.39 1304.1741 1304.1741 (21.78) (21.78) 35306 RECHANNELING OF ARTERY 478.57 475.12872 475.12872 3.44 3.44 35311 RECHANNELING OF ARTERY 1486.47 1657.5332 1657.5332 (171.06) (171.06) 35321 RECHANNELING OF ARTERY 915.49 947.81579 947.81579 (32.33) (32.33) 35331 RECHANNELING OF ARTERY 1503.44 1551.1046 1551.1046 (47.66) (47.66) 35341 RECHANNELING OF ARTERY 1427.67 1449.2785 1449.2785 (21.61) (21.61) 35351 RECHANNELING OF ARTERY 1329.37 1364.854 1364.854 (35.48) (35.48) 35355 RECHANNELING OF ARTERY 1077.04 1103.9539 1103.9539 (26.91) (26.91) 35361 RECHANNELING OF ARTERY 1586.25 1622.3363 1622.3363 (36.09) (36.09) 35363 RECHANNELING OF ARTERY 1801.66 1871.2333 1871.2333 (69.57) (69.57) 35371 RECHANNELING OF ARTERY 850.99 875.41052 875.41052 (24.42) (24.42) 35372 RECHANNELING OF ARTERY 1017.12 1047.3273 1047.3273 (30.21) (30.21) 35390 REOPERATION CAROTID ADD-ON 164.48 170.19186 170.19186 (5.71) (5.71) 35400 ANGIOSCOPY 153.61 158.91445 158.91445 (5.30) (5.30) 35450 REPAIR ARTERIAL BLOCKAGE 528.19 532.66356 532.66356 (4.47) (4.47) 35452 REPAIR ARTERIAL BLOCKAGE 352.61 362.55977 362.55977 (9.95) (9.95) 35458 REPAIR ARTERIAL BLOCKAGE 506.08 520.2047 520.2047 (14.12) (14.12) 35460 REPAIR VENOUS BLOCKAGE 320.38 333.65702 333.65702 (13.28) (13.28) 35471 REPAIR ARTERIAL BLOCKAGE 534.21 2718.9691 552.39687 (2184.76) (18.19) 35472 REPAIR ARTERIAL BLOCKAGE 364.95 1990.5827 377.50609 (1625.63) (12.56) 35475 REPAIR ARTERIAL BLOCKAGE 345.82 1658.1827 353.64882 (1312.36) (7.83) 35476 REPAIR VENOUS BLOCKAGE 275.09 1517.8122 286.27507 (1242.72) (11.19) 35500 HARVEST VEIN FOR BYPASS 330.7 339.1808 339.1808 (8.48) (8.48) 35501 ART BYP GRFT IPSILAT CAROTID 1549.84 1603.2957 1603.2957 (53.46) (53.46) 35506 ART BYP GRFT SUBCLAV-CAROTID 1329.05 1359.5902 1359.5902 (30.54) (30.54) 35508 ART BYP GRFT CAROTID-VERTBRL 1397.43 1418.1221 1418.1221 (20.69) (20.69) 35509 ART BYP GRFT CONTRAL CAROTID 1474.43 1508.5372 1508.5372 (34.11) (34.11) 35510 ART BYP GRFT CAROTID-BRCHIAL 1282.26 1312.7664 1312.7664 (30.51) (30.51) 35511 ART BYP GRFT SUBCLAV-SUBCLAV 1321.69 1195.3198 1195.3198 126.37 126.37 35512 ART BYP GRFT SUBCLAV-BRCHIAL 1257.86 1475.3068 1475.3068 (217.45) (217.45) 35515 ART BYP GRFT SUBCLAV-VERTBRL 1385.38 1633.3495 1633.3495 (247.97) (247.97) 35516 ART BYP GRFT SUBCLAV-AXILARY 1272.1 1301.8735 1301.8735 (29.77) (29.77) 35518 ART BYP GRFT AXILLARY-AXILRY 1191.07 1218.4131 1218.4131 (27.34) (27.34) 35521 ART BYP GRFT AXILL-FEMORAL 1278.7 1308.8275 1308.8275 (30.13) (30.13) 35522 ART BYP GRFT AXILL-BRACHIAL 1259.25 1296.3103 1296.3103 (37.06) (37.06) 35523 ART BYP GRFT BRCHL-ULNR-RDL 1330.33 1379.9371 1379.9371 (49.61) (49.61) 35525 ART BYP GRFT BRACHIAL-BRCHL 1178.61 1226.4781 1226.4781 (47.87) (47.87) 35526 ART BYP GRFT AOR/CAROT/INNOM 1784.65 1846.132 1846.132 (61.48) (61.48) 35531 ART BYP GRFT AORCEL/AORMESEN 2095.25 2155.858 2155.858 (60.61) (60.61) 35533 ART BYP GRFT AXILL/FEM/FEM 1569.81 1606.4555 1606.4555 (36.65) (36.65) 35535 ART BYP GRFT HEPATORENAL 1754.81 2028.9789 2028.9789 (274.17) (274.17) 35536 ART BYP GRFT SPLENORENAL 1761.47 1801.9958 1801.9958 (40.53) (40.53) 35537 ART BYP GRFT AORTOILIAC 2173.05 2533.9684 2533.9684 (360.92) (360.92) 35538 ART BYP GRFT AORTOBI-ILIAC 2432.76 2488.6772 2488.6772 (55.92) (55.92) 35539 ART BYP GRFT AORTOFEMORAL 2285.47 2337.4833 2337.4833 (52.01) (52.01) 35540 ART BYP GRFT AORTBIFEMORAL 2534.05 2738.2857 2738.2857 (204.24) (204.24) 35556 ART BYP GRFT FEM-POPLITEAL 1457.68 1494.8987 1494.8987 (37.22) (37.22) 35558 ART BYP GRFT FEM-FEMORAL 1284.19 1310.8335 1310.8335 (26.64) (26.64) 35560 ART BYP GRFT AORTORENAL 1776.11 1817.1569 1817.1569 (41.05) (41.05) 35563 ART BYP GRFT ILIOILIAC 1378.5 1623.2947 1623.2947 (244.79) (244.79) 35565 ART BYP GRFT ILIOFEMORAL 1366.99 1418.2853 1418.2853 (51.30) (51.30) 35566 ART BYP FEM-ANT-POST TIB/PRL 1739.43 1783.6057 1783.6057 (44.18) (44.18) 35570 ART BYP TIBIAL-TIB/PERONEAL 1407.97 1619.8327 1619.8327 (211.86) (211.86) 35571 ART BYP POP-TIBL-PRL-OTHER 1383.4 1419.2527 1419.2527 (35.85) (35.85) 35572 HARVEST FEMOROPOPLITEAL VEIN 356.74 367.29735 367.29735 (10.56) (10.56) 35583 VEIN BYP GRFT FEM-POPLITEAL 1503.6 1549.9263 1549.9263 (46.33) (46.33) 35585 VEIN BYP FEM-TIBIAL PERONEAL 1743.58 1794.0672 1794.0672 (50.49) (50.49) 35587 VEIN BYP POP-TIBL PERONEAL 1423.33 1464.8045 1464.8045 (41.47) (41.47) 35600 HARVEST ART FOR CABG ADD-ON 263.66 268.43958 268.43958 (4.78) (4.78) 35601 ART BYP COMMON IPSI CAROTID 1457.75 1496.7256 1496.7256 (38.98) (38.98) 35606 ART BYP CAROTID-SUBCLAVIAN 1220.99 1257.0259 1257.0259 (36.04) (36.04) 35612 ART BYP SUBCLAV-SUBCLAVIAN 1088.82 1114.3667 1114.3667 (25.55) (25.55) 35616 ART BYP SUBCLAV-AXILLARY 1129.96 1176.2009 1176.2009 (46.24) (46.24) 35621 ART BYP AXILLARY-FEMORAL 1142.56 1175.5103 1175.5103 (32.95) (32.95) 35623 ART BYP AXILLARY-POP-TIBIAL 1368.01 1400.4645 1400.4645 (32.45) (32.45) 35626 ART BYP AORSUBCL/CAROT/INNOM 1632.8 1674.6556 1674.6556 (41.86) (41.86) 35631 ART BYP AOR-CELIAC-MSN-RENAL 1923.79 1975.5727 1975.5727 (51.78) (51.78) 35632 ART BYP ILIO-CELIAC 1666.7 1926.5231 1926.5231 (259.82) (259.82) 35633 ART BYP ILIO-MESENTERIC 1863.36 2149.1098 2149.1098 (285.75) (285.75) 35634 ART BYP ILIORENAL 1630.71 1955.0005 1955.0005 (324.29) (324.29) 35636 ART BYP SPENORENAL 1661.61 1700.2596 1700.2596 (38.65) (38.65) 35637 ART BYP AORTOILIAC 1798.72 1858.8228 1858.8228 (60.10) (60.10) 35638 ART BYP AORTOBI-ILIAC 1834.64 1884.1573 1884.1573 (49.52) (49.52) 35642 ART BYP CAROTID-VERTEBRAL 1028.34 1229.0837 1229.0837 (200.74) (200.74) 35645 ART BYP SUBCLAV-VERTEBRL 1080.11 1009.1205 1009.1205 70.99 70.99 35646 ART BYP AORTOBIFEMORAL 1784.39 1833.7222 1833.7222 (49.33) (49.33) 35647 ART BYP AORTOFEMORAL 1619.01 1655.8509 1655.8509 (36.84) (36.84) 35650 ART BYP AXILLARY-AXILLARY 1116.77 1163.7184 1163.7184 (46.95) (46.95) 35654 ART BYP AXILL-FEM-FEMORAL 1425.75 1465.3429 1465.3429 (39.59) (39.59) 35656 ART BYP FEMORAL-POPLITEAL 1127.51 1158.0142 1158.0142 (30.50) (30.50) 35661 ART BYP FEMORAL-FEMORAL 1128.43 1159.7663 1159.7663 (31.34) (31.34) 35663 ART BYP ILIOILIAC 1305.55 1348.4126 1348.4126 (42.86) (42.86) 35665 ART BYP ILIOFEMORAL 1222.78 1252.1369 1252.1369 (29.36) (29.36) 35666 ART BYP FEM-ANT-POST TIB/PRL 1321.79 1351.4855 1351.4855 (29.70) (29.70) 35671 ART BYP POP-TIBL-PRL-OTHER 1167.29 1194.3453 1194.3453 (27.06) (27.06) 35681 COMPOSITE BYP GRFT PROS&VEIN 82.77 85.300535 85.300535 (2.53) (2.53) 35682 COMPOSITE BYP GRFT 2 VEINS 367.3 375.95482 375.95482 (8.65) (8.65) 35683 COMPOSITE BYP GRFT 3/> SEGMT 425.79 435.81137 435.81137 (10.02) (10.02) 35685 BYPASS GRAFT PATENCY/PATCH 207.05 211.24235 211.24235 (4.19) (4.19) 35686 BYPASS GRAFT/AV FIST PATENCY 166.39 171.72738 171.72738 (5.34) (5.34) 35691 ART TRNSPOSJ VERTBRL CAROTID 984.96 1008.4009 1008.4009 (23.44) (23.44) 35693 ART TRNSPOSJ SUBCLAVIAN 870.34 890.90425 890.90425 (20.56) (20.56) 35694 ART TRNSPOSJ SUBCLAV CAROTID 1028.22 1052.7802 1052.7802 (24.56) (24.56) 35695 ART TRNSPOSJ CAROTID SUBCLAV 1067.67 1092.8171 1092.8171 (25.15) (25.15) 35697 REIMPLANT ARTERY EACH 153.27 157.43407 157.43407 (4.16) (4.16) 35700 REOPERATION BYPASS GRAFT 158.54 162.89699 162.89699 (4.36) (4.36) 35701 EXPLORATION CAROTID ARTERY 583.94 602.49471 602.49471 (18.55) (18.55) 35721 EXPLORATION FEMORAL ARTERY 467.7 486.93921 486.93921 (19.24) (19.24) 35741 EXPLORATION POPLITEAL ARTERY 530.16 545.47684 545.47684 (15.32) (15.32) 35761 EXPLORATION OF ARTERY/VEIN 400.93 418.35359 418.35359 (17.42) (17.42) 35800 EXPLORE NECK VESSELS 735.12 758.10756 758.10756 (22.99) (22.99) 35820 EXPLORE CHEST VESSELS 2057.18 2112.7231 2112.7231 (55.54) (55.54) 35840 EXPLORE ABDOMINAL VESSELS 1204.84 1250.1159 1250.1159 (45.28) (45.28) 35860 EXPLORE LIMB VESSELS 870.78 893.94665 893.94665 (23.17) (23.17) 35870 REPAIR VESSEL GRAFT DEFECT 1296.83 1327.2104 1327.2104 (30.38) (30.38) 35875 REMOVAL OF CLOT IN GRAFT 615.24 634.84297 634.84297 (19.60) (19.60) 35876 REMOVAL OF CLOT IN GRAFT 980.52 1008.0594 1008.0594 (27.54) (27.54) 35879 REVISE GRAFT W/VEIN 961.76 984.8014 984.8014 (23.04) (23.04) 35881 REVISE GRAFT W/VEIN 1060.98 1086.0732 1086.0732 (25.09) (25.09) 35883 REVISE GRAFT W/NONAUTO GRAFT 1256.15 1290.537 1290.537 (34.39) (34.39) 35884 REVISE GRAFT W/VEIN 1292.64 1323.1265 1323.1265 (30.49) (30.49) 35901 EXCISION GRAFT NECK 489.04 527.09968 527.09968 (38.06) (38.06) 35903 EXCISION GRAFT EXTREMITY 585 604.03094 604.03094 (19.03) (19.03) 35905 EXCISION GRAFT THORAX 1750.26 1875.4618 1875.4618 (125.20) (125.20) 35907 EXCISION GRAFT ABDOMEN 1979.6 2037.3847 2037.3847 (57.78) (57.78) 36000 PLACE NEEDLE IN VEIN 9.77 26.770422 9.4619256 (17.00) 0.31 36002 PSEUDOANEURYSM INJECTION TRT 108.92 170.67053 112.72469 (61.75) (3.80) 36005 INJECTION EXT VENOGRAPHY 48.74 343.8339 51.470813 (295.09) (2.73) 36010 PLACE CATHETER IN VEIN 122.49 531.24654 128.63586 (408.76) (6.15) 36011 PLACE CATHETER IN VEIN 158.69 887.66459 166.35181 (728.97) (7.66) 36012 PLACE CATHETER IN VEIN 178.97 917.10758 184.13038 (738.14) (5.16) 36013 PLACE CATHETER IN ARTERY 132.2 831.15976 131.67074 (698.96) 0.53 36014 PLACE CATHETER IN ARTERY 150.47 864.40413 159.27103 (713.93) (8.80) 36015 PLACE CATHETER IN ARTERY 174.4 916.65147 179.91156 (742.25) (5.51) 36100 ESTABLISH ACCESS TO ARTERY 161.81 518.74544 161.66363 (356.94) 0.15 36120 ESTABLISH ACCESS TO ARTERY 101.35 445.79671 106.0234 (344.45) (4.67) 36140 ESTABLISH ACCESS TO ARTERY 104.31 463.08051 107.88006 (358.77) (3.57) 36147 ACCESS AV DIAL GRFT FOR EVAL 188.96 887.71471 196.87994 (698.75) (7.92) 36148 ACCESS AV DIAL GRFT FOR PROC 49.33 277.62655 51.487282 (228.30) (2.16) 36160 ESTABLISH ACCESS TO AORTA 129.92 525.3003 130.59133 (395.38) (0.67) 36200 PLACE CATHETER IN AORTA 154.86 662.50592 161.31207 (507.65) (6.45) 36215 PLACE CATHETER IN ARTERY 245.55 1196.8575 249.02919 (951.31) (3.48) 36216 PLACE CATHETER IN ARTERY 280.55 1243.3158 288.71457 (962.77) (8.16) 36217 PLACE CATHETER IN ARTERY 336.33 2014.7565 341.85265 (1678.43) (5.52) 36218 PLACE CATHETER IN ARTERY 53.34 195.78621 55.436881 (142.45) (2.10) 36221 Place cath thoracic aorta 217.41 1162.7922 226.62832 (945.38) (9.22) 36222 Place cath carotid/inom art 295.6 1344.7888 311.17058 (1049.19) (15.57) 36223 Place cath carotid/inom art 318.91 1615.8616 340.67694 (1296.95) (21.77) 36224 Place cath carotd art 348.94 2016.6303 384.7401 (1667.69) (35.80) 36225 Place cath subclavian art 317.46 1558.8964 339.3999 (1241.44) (21.94) 36226 Place cath vertebral art 350.02 1969.2942 382.18031 (1619.27) (32.16) 36227 Place cath xtrnl carotid 110.89 276.39785 122.50274 (165.51) (11.61) 36228 Place cath intracranial art 225.25 1340.618 248.30135 (1115.37) (23.05) 36245 INS CATH ABD/L-EXT ART 1ST 259.65 1455.4335 266.79129 (1195.78) (7.14) 36246 INS CATH ABD/L-EXT ART 2ND 272.74 944.58078 283.47147 (671.84) (10.73) 36247 INS CATH ABD/L-EXT ART 3RD 326.13 1675.6312 335.72776 (1349.50) (9.60) 36248 INS CATH ABD/L-EXT ART ADDL 51.9 161.36684 51.871788 (109.47) 0.03 36251 Ins cath ren art 1st unilat 284.47 1512.1195 297.13826 (1227.65) (12.67) 36252 Ins cath ren art 1st bilat 372.43 1638.9227 394.59226 (1266.49) (22.16) 36253 Ins cath ren art 2nd+ unilat 398.89 2412.5232 399.09356 (2013.63) (0.20) 36254 Ins cath ren art 2nd+ bilat 432.79 2342.3298 457.96128 (1909.54) (25.17) 36260 INSERTION OF INFUSION PUMP 625.17 679.76931 679.76931 (54.60) (54.60) 36261 REVISION OF INFUSION PUMP 364.21 381.09696 381.09696 (16.89) (16.89) 36262 REMOVAL OF INFUSION PUMP 306.27 323.48408 323.48408 (17.21) (17.21) 36400 BL DRAW < 3 YRS FEM/JUGULAR 20.57 29.426521 20.019729 (8.86) 0.55 36405 BL DRAW <3 YRS SCALP VEIN 17.11 27.660442 16.748564 (10.55) 0.36 36406 BL DRAW <3 YRS OTHER VEIN 9.41 21.453213 10.541335 (12.04) (1.13) 36410 NON-ROUTINE BL DRAW 3/> YRS 9.77 17.715199 9.8134943 (7.95) (0.04) 36420 VEIN ACCESS CUTDOWN < 1 YR 48.6 53.124117 53.124117 (4.52) (4.52) 36425 VEIN ACCESS CUTDOWN > 1 YR 40.44 41.42103 41.42103 (0.98) (0.98) 36430 BLOOD TRANSFUSION SERVICE 34.12 36.825217 36.825217 (2.71) (2.71) 36440 BL PUSH TRANSFUSE 2 YR/< 58.11 58.315306 58.315306 (0.21) (0.21) 36450 BL EXCHANGE/TRANSFUSE NB 107.39 123.54348 123.54348 (16.15) (16.15) 36455 BL EXCHANGE/TRANSFUSE NON-NB 112.45 133.83528 133.83528 (21.39) (21.39) 36460 TRANSFUSION SERVICE FETAL 368.34 361.97871 361.97871 6.36 6.36 36470 INJECTION THERAPY OF VEIN 86.31 157.60985 88.752139 (71.30) (2.44) 36471 INJECTION THERAPY OF VEINS 102.73 183.57331 105.30881 (80.84) (2.58) 36475 ENDOVENOUS RF 1ST VEIN 361.65 1635.1932 296.41865 (1273.54) 65.23 36476 ENDOVENOUS RF VEIN ADD-ON 177.39 312.25142 142.92917 (134.86) 34.46 36478 ENDOVENOUS LASER 1ST VEIN 357.89 1274.0959 294.66081 (916.21) 63.23 36479 ENDOVENOUS LASER VEIN ADDON 176.19 324.7672 143.78053 (148.58) 32.41 36481 INSERTION OF CATHETER VEIN 359.18 2194.6884 372.02849 (1835.51) (12.85) 36500 INSERTION OF CATHETER VEIN 182.22 190.37878 190.37878 (8.16) (8.16) 36510 INSERTION OF CATHETER VEIN 62.67 97.170098 60.671747 (34.50) 2.00 36511 APHERESIS WBC 95.63 96.426505 96.426505 (0.80) (0.80) 36512 APHERESIS RBC 94 98.431378 98.431378 (4.43) (4.43) 36513 APHERESIS PLATELETS 100.07 101.09571 101.09571 (1.03) (1.03) 36514 APHERESIS PLASMA 94.91 568.22177 97.505915 (473.31) (2.60) 36515 APHERESIS ADSORP/REINFUSE 87.68 2190.3289 95.248285 (2102.65) (7.57) 36516 APHERESIS SELECTIVE 71.58 2211.6085 72.880348 (2140.03) (1.30) 36522 PHOTOPHERESIS 102.03 1483.2511 106.09679 (1381.22) (4.07) 36555 INSERT NON-TUNNEL CV CATH 117.51 267.11207 121.87121 (149.60) (4.36) 36556 INSERT NON-TUNNEL CV CATH 121.95 245.76339 126.48528 (123.81) (4.54) 36557 INSERT TUNNELED CV CATH 329.88 1084.6749 347.93493 (754.79) (18.05) 36558 INSERT TUNNELED CV CATH 282.42 829.48462 292.54495 (547.06) (10.12) 36560 INSERT TUNNELED CV CATH 365.69 1136.1886 373.48596 (770.50) (7.80) 36561 INSERT TUNNELED CV CATH 360.56 1247.9939 373.91486 (887.43) (13.35) 36563 INSERT TUNNELED CV CATH 382.8 1418.454 401.76792 (1035.65) (18.97) 36565 INSERT TUNNELED CV CATH 355.13 1022.3412 366.87597 (667.21) (11.75) 36566 INSERT TUNNELED CV CATH 389.36 5914.6286 407.8928 (5525.27) (18.53) 36568 INSERT PICC CATH 98.73 321.84366 104.35864 (223.11) (5.63) 36569 INSERT PICC CATH 92.45 264.48819 96.671028 (172.04) (4.22) 36570 INSERT PICVAD CATH 311.95 1265.1166 322.55611 (953.17) (10.61) 36571 INSERT PICVAD CATH 327.25 1390.699 341.27732 (1063.45) (14.03) 36575 REPAIR TUNNELED CV CATH 35.92 176.67548 36.702419 (140.76) (0.78) 36576 REPAIR TUNNELED CV CATH 198.93 410.091 208.40939 (211.16) (9.48) 36578 REPLACE TUNNELED CV CATH 219.15 552.7531 229.53574 (333.60) (10.39) 36580 REPLACE CVAD CATH 67.86 228.47817 70.820342 (160.62) (2.96) 36581 REPLACE TUNNELED CV CATH 199.35 816.08813 207.65685 (616.74) (8.31) 36582 REPLACE TUNNELED CV CATH 310.32 1165.3724 322.90016 (855.05) (12.58) 36583 REPLACE TUNNELED CV CATH 339.03 1452.699 356.61961 (1113.67) (17.59) 36584 REPLACE PICC CATH 67.28 216.76685 69.644627 (149.49) (2.36) 36585 REPLACE PICVAD CATH 284.85 1231.8977 299.87276 (947.05) (15.02) 36589 REMOVAL TUNNELED CV CATH 140.4 173.05489 145.58706 (32.65) (5.19) 36590 REMOVAL TUNNELED CV CATH 208.17 308.3165 216.12994 (100.15) (7.96) 36591 Draw blood off venous device 23.35 24.809227 24.809227 (1.46) (1.46) 36592 Collect blood from picc 26.22 27.443129 27.443129 (1.22) (1.22) 36593 Declot vascular device 30.89 32.710932 32.710932 (1.82) (1.82) 36595 MECH REMOV TUNNELED CV CATH 186.49 620.67139 194.73186 (434.18) (8.24) 36596 MECH REMOV TUNNELED CV CATH 45.83 141.14949 47.081574 (95.32) (1.25) 36597 REPOSITION VENOUS CATHETER 61.52 134.29748 64.687221 (72.78) (3.17) 36598 INJ W/FLUOR EVAL CV DEVICE 37.18 116.38143 38.869471 (79.20) (1.69) 36600 WITHDRAWAL OF ARTERIAL BLOOD 15.62 32.911777 15.979552 (17.29) (0.36) 36620 INSERTION CATHETER ARTERY 50.84 52.819448 52.819448 (1.98) (1.98) 36625 INSERTION CATHETER ARTERY 107.05 107.16045 107.16045 (0.11) (0.11) 36640 INSERTION CATHETER ARTERY 131.48 125.6085 125.6085 5.87 5.87 36660 INSERTION CATHETER ARTERY 68.74 62.918637 62.918637 5.82 5.82 36680 INSERT NEEDLE BONE CAVITY 60.27 61.520596 61.520596 (1.25) (1.25) 36800 INSERTION OF CANNULA 126.57 129.46251 129.46251 (2.89) (2.89) 36810 INSERTION OF CANNULA 220.51 225.51275 225.51275 (5.00) (5.00) 36815 INSERTION OF CANNULA 149.08 145.11269 145.11269 3.97 3.97 36818 AV FUSE UPPR ARM CEPHALIC 687.76 738.84181 738.84181 (51.08) (51.08) 36819 AV FUSE UPPR ARM BASILIC 755.05 782.01818 782.01818 (26.97) (26.97) 36820 AV FUSION/FOREARM VEIN 825.49 776.83522 776.83522 48.65 48.65 36821 AV FUSION DIRECT ANY SITE 711.16 708.71466 708.71466 2.45 2.45 36823 INSERTION OF CANNULA(S) 1357.5 1460.5706 1460.5706 (103.07) (103.07) 36825 ARTERY-VEIN AUTOGRAFT 816.58 854.90354 854.90354 (38.32) (38.32) 36830 ARTERY-VEIN NONAUTOGRAFT 673.61 712.18917 712.18917 (38.58) (38.58) 36831 OPEN THROMBECT AV FISTULA 465.78 659.11697 659.11697 (193.34) (193.34) 36832 AV FISTULA REVISION OPEN 593.89 808.61568 808.61568 (214.73) (214.73) 36833 AV FISTULA REVISION 673.31 864.3959 864.3959 (191.09) (191.09) 36835 ARTERY TO VEIN SHUNT 512.67 533.11608 533.11608 (20.45) (20.45) 36838 DIST REVAS LIGATION HEMO 1183.1 1219.2054 1219.2054 (36.11) (36.11) 36860 EXTERNAL CANNULA DECLOTTING 114.87 219.77523 116.67679 (104.91) (1.81) 36861 CANNULA DECLOTTING 132.61 138.97957 138.97957 (6.37) (6.37) 36870 PERCUT THROMBECT AV FISTULA 305.38 1953.4689 318.56856 (1648.09) (13.19) 37140 REVISION OF CIRCULATION 2308.04 2428.607 2428.607 (120.57) (120.57) 37145 REVISION OF CIRCULATION 2146.9 2252.384 2252.384 (105.48) (105.48) 37160 REVISION OF CIRCULATION 2199.36 2313.0311 2313.0311 (113.67) (113.67) 37180 REVISION OF CIRCULATION 2115.76 2225.6598 2225.6598 (109.90) (109.90) 37181 SPLICE SPLEEN/KIDNEY VEINS 2307.66 2428.607 2428.607 (120.95) (120.95) 37182 INSERT HEPATIC SHUNT (TIPS) 848.67 885.07437 885.07437 (36.40) (36.40) 37183 REMOVE HEPATIC SHUNT (TIPS) 399.08 6313.101 417.67658 (5914.02) (18.60) 37184 PRIM ART M-THRMBC 1ST VSL 460.91 2418.8536 487.82744 (1957.94) (26.92) 37185 PRIM ART M-THRMBC SBSQ VSL 169.48 764.25071 177.26691 (594.77) (7.79) 37186 SEC ART THROMBECTOMY ADD-ON 256.45 1467.4717 263.40234 (1211.02) (6.95) 37187 VENOUS MECH THROMBECTOMY 410.45 2197.1458 431.30292 (1786.70) (20.85) 37188 VENOUS M-THROMBECTOMY ADD-ON 294.41 1878.0836 310.91209 (1583.67) (16.50) 37191 Ins endovas vena cava filtr 242.75 2813.3041 253.15171 (2570.55) (10.40) 37192 Redo endovas vena cava filtr 365.66 1786.6263 397.05503 (1420.97) (31.40) 37193 Rem endovas vena cava filter 373.91 1703.0066 387.18462 (1329.10) (13.27) 37197 Remove intrvas foreign body 306.8 1617.5808 335.24695 (1310.78) (28.45) 37200 TRANSCATHETER BIOPSY 223.92 233.73881 233.73881 (9.82) (9.82) 37211 Thrombolytic art therapy 407.72 422.17358 422.17358 (14.45) (14.45) 37212 Thrombolytic venous therapy 359.99 370.43355 370.43355 (10.44) (10.44) 37213 Thromblytic art/ven therapy 250.78 261.65523 261.65523 (10.88) (10.88) 37214 CESSJ THERAPY CATH REMOVAL 148.36 144.2062 144.2062 4.15 4.15 37215 TRANSCATH STENT CCA W/EPS 1100.81 1150.6799 1150.6799 (49.87) (49.87) 37217 Stent placemt retro carotid 1136.75 1202.9863 1202.9863 (66.24) (66.24) 37218 Stent placemt ante carotid 878.29 843.08481 907.051 35.21 (28.76) 37220 ILIAC REVASC REVAS 424.08 3365.8875 439.62278 (2941.81) (15.54) 37221 ILIAC REVASC W/STENT REVAS 516.55 4969.3593 540.64188 (4452.81) (24.09) 37222 ILIAC REVASC ADD-ON 190.82 941.23909 198.47883 (750.42) (7.66) 37223 ILIAC REVASC W/STENT ADD-ON 218.36 2771.8756 227.1503 (2553.52) (8.79) 37224 FEM/POPL REVAS W/TLA REVAS 469.06 4087.0091 484.5842 (3617.95) (15.52) 37225 FEM/POPL REVAS W/ATHER REVAS 633.14 11788.943 656.19308 (11155.80) (23.05) 37226 FEM/POPL REVASC W/STENT REVAS 517.14 9692.3467 568.88767 (9175.21) (51.75) 37227 FEM/POPL REVASC STNT & ATHER 762.65 15924.787 788.88308 (15162.14) (26.23) 37228 TIB/PER REVASC W/TLA REVAS 572.06 5816.0873 591.55526 (5244.03) (19.50) 37229 TIB/PER REVASC W/ATHER REVAS 740.37 11624.663 765.08667 (10884.29) (24.72) 37230 TIB/PER REVASC W/STENT REVAS 716.87 8880.9997 755.41316 (8164.13) (38.54) 37231 TIB/PER REVASC STENT & ATHER REVAS 785.43 14286.559 820.54825 (13501.13) (35.12) 37232 TIB/PER REVASC ADD-ON 207.29 1294.0394 214.89229 (1086.75) (7.60) 37233 TIBPER REVASC W/ATHER ADD-ON 338.99 1561.4347 349.46365 (1222.44) (10.47) 37234 REVSC OPN/PRQ TIB/PERO STENT 287.21 4144.7004 302.21417 (3857.49) (15.00) 37235 TIB/PER REVASC STNT & ATHER 416.97 4446.259 414.88444 (4029.29) 2.09 37236 Open/perq place stent 1st 469.58 4408.1682 464.08867 (3938.59) 5.49 37237 OPEN/PERQ PLACE STENT EA ADD 219.43 2654.4788 227.52657 (2435.05) (8.10) 37238 Open/perq place stent same 329 4392.3126 337.23285 (4063.31) (8.23) 37239 OPEN/PERQ PLACE STENT EA ADD 153.14 2176.8404 168.30227 (2023.70) (15.16) 37241 VASC EMBOLIZE/OCCLUDE VENOUS 450.26 4902.1882 468.9555 (4451.93) (18.70) 37242 VASC EMBOLIZE/OCCLUDE ARTERY 502.78 8273.7649 523.69748 (7770.98) (20.92) 37243 VASC EMBOLIZE/OCCLUDE ORGAN 599.43 10445.654 623.45852 (9846.22) (24.03) 37244 Vasc embolize/occlude bleed 699.19 7298.3281 727.87229 (6599.14) (28.68) 37500 ENDOSCOPY LIGATE PERF VEINS 777.91 680.87306 680.87306 97.04 97.04 37565 LIGATION OF NECK VEIN 745.15 777.81546 777.81546 (32.67) (32.67) 37600 LIGATION OF NECK ARTERY 726.13 766.11202 766.11202 (39.98) (39.98) 37605 LIGATION OF NECK ARTERY 820.34 839.548 839.548 (19.21) (19.21) 37606 LIGATION OF NECK ARTERY 581.19 513.32656 513.32656 67.86 67.86 37607 LIGATION OF A-V FISTULA 386.84 400.57323 400.57323 (13.73) (13.73) 37609 TEMPORAL ARTERY PROCEDURE 211.25 328.00041 219.2579 (116.75) (8.01) 37615 LIGATION OF NECK ARTERY 539.22 537.18025 537.18025 2.04 2.04 37616 LIGATION OF CHEST ARTERY 1107.27 1167.3504 1167.3504 (60.08) (60.08) 37617 LIGATION OF ABDOMEN ARTERY 1353.51 1416.8604 1416.8604 (63.35) (63.35) 37618 LIGATION OF EXTREMITY ARTERY 395.77 406.37626 406.37626 (10.61) (10.61) 37619 Ligation of inf vena cava 1672.35 1721.1493 1721.1493 (48.80) (48.80) 37650 REVISION OF MAJOR VEIN 521.82 490.74704 490.74704 31.07 31.07 37660 REVISION OF MAJOR VEIN 1152.62 1377.4575 1377.4575 (224.84) (224.84) 37700 REVISE LEG VEIN 257.56 265.93599 265.93599 (8.38) (8.38) 37718 LIGATE/STRIP SHORT LEG VEIN 446.6 465.58159 465.58159 (18.98) (18.98) 37722 LIGATE/STRIP LONG LEG VEIN 493.94 508.42035 508.42035 (14.48) (14.48) 37735 REMOVAL OF LEG VEINS/LESION 698.51 621.53097 621.53097 76.98 76.98 37760 LIGATE LEG VEINS RADICAL 629.6 651.7752 651.7752 (22.18) (22.18) 37761 LIGATE LEG VEINS OPEN 564.57 592.24229 592.24229 (27.67) (27.67) 37765 STAB PHLEB VEINS XTR 10-20 460.97 692.36957 478.271 (231.40) (17.30) 37766 PHLEB VEINS - EXTREM 20+ 566.92 821.06809 582.88813 (254.15) (15.97) 37780 REVISION OF LEG VEIN 262.42 274.28557 274.28557 (11.87) (11.87) 37785 LIGATE/DIVIDE/EXCISE VEIN 268.17 381.22083 281.50884 (113.05) (13.34) 37788 REVASCULARIZATION PENIS 1345.67 1317.1796 1317.1796 28.49 28.49 37790 PENILE VENOUS OCCLUSION 481.71 508.79268 508.79268 (27.08) (27.08) 38100 REMOVAL OF SPLEEN TOTAL 1150.76 1207.082 1207.082 (56.32) (56.32) 38101 REMOVAL OF SPLEEN PARTIAL 1159.87 1220.5841 1220.5841 (60.71) (60.71) 38102 REMOVAL OF SPLEEN TOTAL 261.79 274.02852 274.02852 (12.24) (12.24) 38115 REPAIR OF RUPTURED SPLEEN 1266.03 1336.2835 1336.2835 (70.25) (70.25) 38120 LAPAROSCOPY SPLENECTOMY 1051.11 1104.0351 1104.0351 (52.93) (52.93) 38200 INJECTION FOR SPLEEN X-RAY 133 141.02812 141.02812 (8.03) (8.03) 38204 BL DONOR SEARCH MANAGEMENT 100.67 104.77608 104.77608 (4.11) (4.11) 38205 HARVEST ALLOGENEIC STEM CELL 80.68 86.082794 86.082794 (5.40) (5.40) 38206 HARVEST AUTO STEM CELLS 82.17 86.483768 86.483768 (4.31) (4.31) 38207 CRYOPRESERVE STEM CELLS 44.4 46.573553 46.573553 (2.17) (2.17) 38208 THAW PRESERVED STEM CELLS 28.48 29.105383 29.105383 (0.63) (0.63) 38209 WASH HARVEST STEM CELLS 11.78 12.373287 12.373287 (0.59) (0.59) 38210 T-CELL DEPLETION OF HARVEST 78.79 82.581069 82.581069 (3.79) (3.79) 38211 TUMOR CELL DEPLETE OF HARVST 71.88 74.574824 74.574824 (2.69) (2.69) 38212 RBC DEPLETION OF HARVEST 46.83 49.476681 49.476681 (2.65) (2.65) 38213 PLATELET DEPLETE OF HARVEST 11.78 12.373287 12.373287 (0.59) (0.59) 38214 VOLUME DEPLETE OF HARVEST 40.6 42.566314 42.566314 (1.97) (1.97) 38215 HARVEST STEM CELL CONCENTRTE 46.83 49.476681 49.476681 (2.65) (2.65) 38220 BONE MARROW ASPIRATION 60.68 173.94599 64.827204 (113.27) (4.15) 38221 BONE MARROW BIOPSY 74.81 176.25052 78.419884 (101.44) (3.61) 38230 BONE MARROW HARVEST ALLOGEN 211.41 207.27234 207.27234 4.14 4.14 38232 Bone marrow harvest autolog 209.61 212.29884 212.29884 (2.69) (2.69) 38240 TRANSPLT ALLO HCT/DONOR 224.34 233.98512 233.98512 (9.65) (9.65) 38241 TRANSPLT AUTOL HCT/DONOR 167.5 176.32928 176.32928 (8.83) (8.83) 38242 TRANSPLT ALLO LYMPHOCYTES 116.95 124.83949 124.83949 (7.89) (7.89) 38243 Transplj hematopoietic boost 117.99 124.12812 124.12812 (6.14) (6.14) 38300 DRAINAGE LYMPH NODE LESION 183.76 289.99876 193.67322 (106.24) (9.91) 38305 DRAINAGE LYMPH NODE LESION 477.53 485.63604 485.63604 (8.11) (8.11) 38308 INCISION OF LYMPH CHANNELS 448.44 465.62777 465.62777 (17.19) (17.19) 38380 THORACIC DUCT PROCEDURE 576.9 590.00471 590.00471 (13.10) (13.10) 38381 THORACIC DUCT PROCEDURE 810.8 842.80127 842.80127 (32.00) (32.00) 38382 THORACIC DUCT PROCEDURE 602.14 712.04454 712.04454 (109.90) (109.90) 38500 BIOPSY/REMOVAL LYMPH NODES 253.58 348.03733 266.38637 (94.46) (12.81) 38505 NEEDLE BIOPSY LYMPH NODES 72.06 133.68492 75.362811 (61.62) (3.30) 38510 BIOPSY/REMOVAL LYMPH NODES 422.66 546.0314 441.80415 (123.37) (19.14) 38520 BIOPSY/REMOVAL LYMPH NODES 467.72 486.18273 486.18273 (18.46) (18.46) 38525 BIOPSY/REMOVAL LYMPH NODES 434.96 457.64873 457.64873 (22.69) (22.69) 38530 BIOPSY/REMOVAL LYMPH NODES 553.23 573.08967 573.08967 (19.86) (19.86) 38542 EXPLORE DEEP NODE(S) NECK 524.03 544.96989 544.96989 (20.94) (20.94) 38550 REMOVAL NECK/ARMPIT LESION 506.5 533.62088 533.62088 (27.12) (27.12) 38555 REMOVAL NECK/ARMPIT LESION 1002.77 1054.7636 1054.7636 (51.99) (51.99) 38562 REMOVAL PELVIC LYMPH NODES 699.61 738.52354 738.52354 (38.91) (38.91) 38564 REMOVAL ABDOMEN LYMPH NODES 700.24 737.63173 737.63173 (37.39) (37.39) 38570 LAPAROSCOPY LYMPH NODE BIOP 531.6 562.93105 562.93105 (31.33) (31.33) 38571 LAPAROSCOPY LYMPHADENECTOMY 783.21 834.31421 834.31421 (51.10) (51.10) 38572 LAPAROSCOPY LYMPHADENECTOMY 956.69 1029.3482 1029.3482 (72.66) (72.66) 38700 REMOVAL OF LYMPH NODES NECK 814.56 847.53671 847.53671 (32.98) (32.98) 38720 REMOVAL OF LYMPH NODES NECK 1360.6 1412.783 1412.783 (52.18) (52.18) 38724 REMOVAL OF LYMPH NODES NECK 1469.59 1529.4459 1529.4459 (59.86) (59.86) 38740 REMOVE ARMPIT LYMPH NODES 691.81 726.7356 726.7356 (34.93) (34.93) 38745 REMOVE ARMPIT LYMPH NODES 873.85 916.55123 916.55123 (42.70) (42.70) 38746 REMOVE THORACIC LYMPH NODES 218.81 225.73579 225.73579 (6.93) (6.93) 38747 REMOVE ABDOMINAL LYMPH NODES 266 279.04929 279.04929 (13.05) (13.05) 38760 REMOVE GROIN LYMPH NODES 841.73 881.08217 881.08217 (39.35) (39.35) 38765 REMOVE GROIN LYMPH NODES 1287.07 1352.427 1352.427 (65.36) (65.36) 38770 REMOVE PELVIS LYMPH NODES 797.18 844.37975 844.37975 (47.20) (47.20) 38780 REMOVE ABDOMEN LYMPH NODES 1023.41 1073.88 1073.88 (50.47) (50.47) 38790 INJECT FOR LYMPHATIC X-RAY 84.56 87.637286 87.637286 (3.08) (3.08) 38792 RA TRACER ID OF SENTINL NODE 40.83 41.890385 41.890385 (1.06) (1.06) 38794 ACCESS THORACIC LYMPH DUCT 299.9 318.66093 318.66093 (18.76) (18.76) 38900 IO MAP OF SENT LYMPH NODE INTRA 137.4 143.87934 143.87934 (6.48) (6.48) 39000 EXPLORATION OF CHEST 504.13 523.88221 523.88221 (19.75) (19.75) 39010 EXPLORATION OF CHEST 801.08 828.6372 828.6372 (27.56) (27.56) 39200 RESECT MEDIASTINAL CYST 887.7 923.83679 923.83679 (36.14) (36.14) 39220 RESECT MEDIASTINAL TUMOR 1160.35 1197.2438 1197.2438 (36.89) (36.89) 39501 REPAIR DIAPHRAGM LACERATION 853.18 891.33279 891.33279 (38.15) (38.15) 39503 REPAIR OF DIAPHRAGM HERNIA 6122.98 6440.1416 6440.1416 (317.16) (317.16) 39540 REPAIR OF DIAPHRAGM HERNIA 867.46 910.13635 910.13635 (42.68) (42.68) 39541 REPAIR OF DIAPHRAGM HERNIA 945.12 993.21721 993.21721 (48.10) (48.10) 39545 REVISION OF DIAPHRAGM 905.49 938.19204 938.19204 (32.70) (32.70) 39560 RESECT DIAPHRAGM SIMPLE 801.83 837.17867 837.17867 (35.35) (35.35) 39561 RESECT DIAPHRAGM COMPLEX 1251.35 1300.4557 1300.4557 (49.11) (49.11) 40490 BIOPSY OF LIP 73.81 135.68729 76.988906 (61.88) (3.18) 40500 PARTIAL EXCISION OF LIP 369.54 537.78028 386.51907 (168.24) (16.98) 40510 PARTIAL EXCISION OF LIP 362.86 515.13309 378.54648 (152.27) (15.69) 40520 PARTIAL EXCISION OF LIP 365.14 520.82657 381.22979 (155.69) (16.09) 40525 RECONSTRUCT LIP WITH FLAP 562.76 582.99481 582.99481 (20.23) (20.23) 40527 RECONSTRUCT LIP WITH FLAP 627.21 653.0354 653.0354 (25.83) (25.83) 40530 PARTIAL REMOVAL OF LIP 408.82 573.10184 428.23725 (164.28) (19.42) 40650 REPAIR LIP 304.35 465.36499 316.73768 (161.01) (12.39) 40652 REPAIR LIP 356.13 524.20156 377.83188 (168.07) (21.70) 40654 REPAIR LIP 430.96 604.10433 450.5855 (173.14) (19.63) 40700 REPAIR CLEFT LIP/NASAL 915.55 1063.3237 1063.3237 (147.77) (147.77) 40701 REPAIR CLEFT LIP/NASAL 1017.91 1030.2708 1030.2708 (12.36) (12.36) 40702 REPAIR CLEFT LIP/NASAL 897.15 988.70481 988.70481 (91.55) (91.55) 40720 REPAIR CLEFT LIP/NASAL 1053.17 1086.277 1086.277 (33.11) (33.11) 40761 REPAIR CLEFT LIP/NASAL 1111.08 1028.7138 1028.7138 82.37 82.37 40800 DRAINAGE OF MOUTH LESION 135.55 230.39246 143.09744 (94.84) (7.55) 40801 DRAINAGE OF MOUTH LESION 227 341.92998 240.7129 (114.93) (13.71) 40804 REMOVAL FOREIGN BODY MOUTH 137.18 229.92561 141.87805 (92.75) (4.70) 40805 REMOVAL FOREIGN BODY MOUTH 241.03 349.09311 252.76756 (108.06) (11.74) 40806 INCISION OF LIP FOLD 36.12 116.76272 35.86431 (80.64) 0.26 40808 BIOPSY OF MOUTH LESION 110.71 203.00948 117.59581 (92.30) (6.89) 40810 EXCISION OF MOUTH LESION 131.36 223.75705 138.34338 (92.40) (6.98) 40812 EXCISE/REPAIR MOUTH LESION 202.26 311.65211 212.69266 (109.39) (10.43) 40814 EXCISE/REPAIR MOUTH LESION 314.24 416.90256 330.36008 (102.66) (16.12) 40816 EXCISION OF MOUTH LESION 326.78 433.34896 341.91495 (106.57) (15.13) 40818 EXCISE ORAL MUCOSA FOR GRAFT 280.49 388.45592 295.14055 (107.97) (14.65) 40819 EXCISE LIP OR CHEEK FOLD 242.96 340.27095 258.99627 (97.31) (16.04) 40820 TREATMENT OF MOUTH LESION 177.35 289.28596 188.06888 (111.94) (10.72) 40830 REPAIR MOUTH LACERATION 171.31 287.24314 178.50063 (115.93) (7.19) 40831 REPAIR MOUTH LACERATION 231.87 363.22352 241.68777 (131.35) (9.82) 40840 RECONSTRUCTION OF MOUTH 633.95 869.34471 669.92073 (235.39) (35.97) 40842 RECONSTRUCTION OF MOUTH 611.33 876.80176 696.56764 (265.47) (85.24) 40843 RECONSTRUCTION OF MOUTH 898.81 1162.8416 917.88877 (264.03) (19.08) 40844 RECONSTRUCTION OF MOUTH 1105.69 1375.6155 1114.8593 (269.93) (9.17) 40845 RECONSTRUCTION OF MOUTH 1237.08 1559.0775 1305.8467 (322.00) (68.77) 41000 DRAINAGE OF MOUTH LESION 114.86 175.25918 121.07606 (60.40) (6.22) 41005 DRAINAGE OF MOUTH LESION 128.9 245.71256 134.71242 (116.81) (5.81) 41006 DRAINAGE OF MOUTH LESION 257.38 413.83725 288.91506 (156.46) (31.54) 41007 DRAINAGE OF MOUTH LESION 250.08 407.34433 280.54078 (157.26) (30.46) 41008 DRAINAGE OF MOUTH LESION 275.86 409.87691 290.97507 (134.02) (15.12) 41009 DRAINAGE OF MOUTH LESION 298.45 433.82404 315.29847 (135.37) (16.85) 41010 INCISION OF TONGUE FOLD 111.64 219.37605 117.03015 (107.74) (5.39) 41015 DRAINAGE OF MOUTH LESION 354.93 488.32902 378.45769 (133.40) (23.53) 41016 DRAINAGE OF MOUTH LESION 358.69 474.27522 379.07848 (115.59) (20.39) 41017 DRAINAGE OF MOUTH LESION 360.49 482.07811 383.11866 (121.59) (22.63) 41018 DRAINAGE OF MOUTH LESION 419.14 543.62591 443.91392 (124.49) (24.77) 41019 Place needles h&n for rt 465.36 486.51031 486.51031 (21.15) (21.15) 41100 BIOPSY OF TONGUE 110.82 180.76327 115.66827 (69.94) (4.85) 41105 BIOPSY OF TONGUE 114.32 184.04267 119.70021 (69.72) (5.38) 41108 BIOPSY OF FLOOR OF MOUTH 92.63 159.94159 97.480496 (67.31) (4.85) 41110 EXCISION OF TONGUE LESION 135.73 229.02235 141.35105 (93.29) (5.62) 41112 EXCISION OF TONGUE LESION 260.02 361.86987 273.8223 (101.85) (13.80) 41113 EXCISION OF TONGUE LESION 286.91 395.93266 302.99356 (109.02) (16.08) 41114 EXCISION OF TONGUE LESION 647.83 679.82158 679.82158 (31.99) (31.99) 41115 EXCISION OF TONGUE FOLD 156.51 265.84506 155.59746 (109.34) 0.91 41116 EXCISION OF MOUTH LESION 227.17 357.28552 237.25486 (130.12) (10.08) 41120 PARTIAL REMOVAL OF TONGUE 1067.04 1123.424 1123.424 (56.38) (56.38) 41130 PARTIAL REMOVAL OF TONGUE 1319.53 1385.5841 1385.5841 (66.05) (66.05) 41135 TONGUE AND NECK SURGERY 2185.35 2291.2911 2291.2911 (105.94) (105.94) 41140 REMOVAL OF TONGUE 2205.38 2305.2035 2305.2035 (99.82) (99.82) 41145 TONGUE REMOVAL NECK SURGERY 2787.47 2914.9257 2914.9257 (127.46) (127.46) 41150 TONGUE MOUTH JAW SURGERY 2215.9 2314.2734 2314.2734 (98.37) (98.37) 41153 TONGUE MOUTH NECK SURGERY 2407.27 2525.0095 2525.0095 (117.74) (117.74) 41155 TONGUE JAW & NECK SURGERY 3032.81 3173.1086 3173.1086 (140.30) (140.30) 41250 REPAIR TONGUE LACERATION 158.52 289.97335 164.67488 (131.45) (6.15) 41251 REPAIR TONGUE LACERATION 184.02 313.96738 195.81807 (129.95) (11.80) 41252 REPAIR TONGUE LACERATION 215.71 338.55499 223.79214 (122.84) (8.08) 41500 FIXATION OF TONGUE 381.24 492.09674 492.09674 (110.86) (110.86) 41510 TONGUE TO LIP SURGERY 451.34 430.47805 430.47805 20.86 20.86 41512 TONGUE SUSPENSION 634.12 682.00796 682.00796 (47.89) (47.89) 41520 RECONSTRUCTION TONGUE FOLD 263.94 383.26795 279.79325 (119.33) (15.85) 41530 TONGUE BASE VOL REDUCTION 412.67 3483.1937 444.04746 (3070.52) (31.38) 41800 DRAINAGE OF GUM LESION 151.7 292.08455 158.50811 (140.38) (6.81) 41805 REMOVAL FOREIGN BODY GUM 180.58 270.0467 186.89066 (89.47) (6.31) 41806 REMOVAL FOREIGN BODY JAWBONE 274.4 384.83891 283.24557 (110.44) (8.85) 41822 EXCISION OF GUM LESION 188.18 335.61821 197.15024 (147.44) (8.97) 41823 EXCISION OF GUM LESION 332.81 490.11657 357.66895 (157.31) (24.86) 41825 EXCISION OF GUM LESION 125.92 230.02192 132.56756 (104.10) (6.65) 41826 EXCISION OF GUM LESION 217.98 341.28699 230.28685 (123.31) (12.31) 41827 EXCISION OF GUM LESION 313.69 478.37804 333.13718 (164.69) (19.45) 41828 EXCISION OF GUM LESION 217.84 332.21351 231.3727 (114.37) (13.53) 41830 REMOVAL OF GUM TISSUE 291.68 426.39993 309.00317 (134.72) (17.32) 41872 REPAIR GUM 265.82 404.34489 283.18542 (138.52) (17.37) 41874 REPAIR TOOTH SOCKET 260.83 408.89059 277.1955 (148.06) (16.37) 42000 DRAINAGE MOUTH ROOF LESION 105.62 170.13136 111.43298 (64.51) (5.81) 42100 BIOPSY ROOF OF MOUTH 112.33 161.67223 118.02471 (49.34) (5.69) 42104 EXCISION LESION MOUTH ROOF 143.05 232.1453 149.36553 (89.10) (6.32) 42106 EXCISION LESION MOUTH ROOF 183.24 295.90884 192.43414 (112.67) (9.19) 42107 EXCISION LESION MOUTH ROOF 354.15 494.61358 370.8202 (140.46) (16.67) 42120 REMOVE PALATE/LESION 1011.28 1062.2382 1062.2382 (50.96) (50.96) 42140 EXCISION OF UVULA 159.54 272.03833 165.92972 (112.50) (6.39) 42145 REPAIR PALATE PHARYNX/UVULA 717.29 748.47988 748.47988 (31.19) (31.19) 42160 TREATMENT MOUTH ROOF LESION 150.67 250.2697 157.70687 (99.60) (7.04) 42180 REPAIR PALATE 187.96 260.20743 195.11243 (72.25) (7.15) 42182 REPAIR PALATE 260.48 341.07182 271.83784 (80.59) (11.36) 42200 RECONSTRUCT CLEFT PALATE 865.07 900.997 900.997 (35.93) (35.93) 42205 RECONSTRUCT CLEFT PALATE 902.4 939.02657 939.02657 (36.63) (36.63) 42210 RECONSTRUCT CLEFT PALATE 1041.58 1144.7423 1144.7423 (103.16) (103.16) 42215 RECONSTRUCT CLEFT PALATE 679.42 765.76296 765.76296 (86.34) (86.34) 42220 RECONSTRUCT CLEFT PALATE 526.6 568.965 568.965 (42.36) (42.36) 42225 RECONSTRUCT CLEFT PALATE 893.96 938.88981 938.88981 (44.93) (44.93) 42226 LENGTHENING OF PALATE 908.79 955.0208 955.0208 (46.23) (46.23) 42227 LENGTHENING OF PALATE 852.45 894.60253 894.60253 (42.15) (42.15) 42235 REPAIR PALATE 747.82 785.47587 785.47587 (37.66) (37.66) 42260 REPAIR NOSE TO LIP FISTULA 670.26 919.04443 765.90187 (248.78) (95.64) 42280 PREPARATION PALATE MOLD 116.14 176.97334 119.02751 (60.83) (2.89) 42281 INSERTION PALATE PROSTHESIS 154.77 219.17663 161.2308 (64.41) (6.46) 42300 DRAINAGE OF SALIVARY GLAND 156.23 224.06816 162.73588 (67.84) (6.51) 42305 DRAINAGE OF SALIVARY GLAND 437.92 457.29896 457.29896 (19.38) (19.38) 42310 DRAINAGE OF SALIVARY GLAND 127.38 172.49926 132.61446 (45.12) (5.23) 42320 DRAINAGE OF SALIVARY GLAND 179.58 266.52421 186.75462 (86.94) (7.17) 42330 REMOVAL OF SALIVARY STONE 168.69 248.71843 175.72173 (80.03) (7.03) 42335 REMOVAL OF SALIVARY STONE 263.35 401.78009 275.35281 (138.43) (12.00) 42340 REMOVAL OF SALIVARY STONE 342.76 499.24161 360.39737 (156.48) (17.64) 42400 BIOPSY OF SALIVARY GLAND 56.15 113.28068 58.345021 (57.13) (2.20) 42405 BIOPSY OF SALIVARY GLAND 229.73 318.03619 240.14796 (88.31) (10.42) 42408 EXCISION OF SALIVARY CYST 332.45 482.85858 346.64824 (150.41) (14.20) 42409 DRAINAGE OF SALIVARY CYST 226.84 357.27227 237.24161 (130.43) (10.40) 42410 EXCISE PAROTID GLAND/LESION 632.19 656.04056 656.04056 (23.85) (23.85) 42415 EXCISE PAROTID GLAND/LESION 1070.62 1115.1482 1115.1482 (44.53) (44.53) 42420 EXCISE PAROTID GLAND/LESION 1201.49 1252.2597 1252.2597 (50.77) (50.77) 42425 EXCISE PAROTID GLAND/LESION 848.39 881.52539 881.52539 (33.14) (33.14) 42426 EXCISE PAROTID GLAND/LESION 1368.17 1424.5989 1424.5989 (56.43) (56.43) 42440 EXCISE SUBMAXILLARY GLAND 418.78 436.58182 436.58182 (17.80) (17.80) 42450 EXCISE SUBLINGUAL GLAND 367.2 484.53408 383.69327 (117.33) (16.49) 42500 REPAIR SALIVARY DUCT 351.56 463.36083 365.15393 (111.80) (13.59) 42505 REPAIR SALIVARY DUCT 464.03 592.41342 482.16582 (128.38) (18.14) 42507 PAROTID DUCT DIVERSION 524.83 546.29669 546.29669 (21.47) (21.47) 42509 PAROTID DUCT DIVERSION 890.27 897.29371 897.29371 (7.02) (7.02) 42510 PAROTID DUCT DIVERSION 640.99 667.77193 667.77193 (26.78) (26.78) 42550 INJECTION FOR SALIVARY X-RAY 63.24 143.28683 66.527408 (80.05) (3.29) 42600 CLOSURE OF SALIVARY FISTULA 354.98 511.62313 370.14499 (156.64) (15.16) 42650 DILATION OF SALIVARY DUCT 60.51 89.16636 62.451072 (28.66) (1.94) 42660 DILATION OF SALIVARY DUCT 84.68 135.41555 94.401942 (50.74) (9.72) 42665 LIGATION OF SALIVARY DUCT 211.88 333.42395 219.03737 (121.54) (7.16) 42700 DRAINAGE OF TONSIL ABSCESS 139.49 203.23002 144.90791 (63.74) (5.42) 42720 DRAINAGE OF THROAT ABSCESS 398.02 481.07818 414.47809 (83.06) (16.46) 42725 DRAINAGE OF THROAT ABSCESS 824.33 867.25606 867.25606 (42.93) (42.93) 42800 BIOPSY OF THROAT 115.09 169.81845 119.39805 (54.73) (4.31) 42804 BIOPSY OF UPPER NOSE/THROAT 115.65 209.99969 121.19957 (94.35) (5.55) 42806 BIOPSY OF UPPER NOSE/THROAT 134.88 234.92741 140.48323 (100.05) (5.60) 42808 EXCISE PHARYNX LESION 164.94 242.14889 172.16237 (77.21) (7.22) 42809 REMOVE PHARYNX FOREIGN BODY 135.27 184.02942 141.13445 (48.76) (5.86) 42810 EXCISION OF NECK CYST 296.44 415.80095 309.31607 (119.36) (12.88) 42815 EXCISION OF NECK CYST 569.91 595.98245 595.98245 (26.07) (26.07) 42820 REMOVE TONSILS AND ADENOIDS 295.09 307.66098 307.66098 (12.57) (12.57) 42821 REMOVE TONSILS AND ADENOIDS 306.73 319.4217 319.4217 (12.69) (12.69) 42825 REMOVAL OF TONSILS 266.79 278.57457 278.57457 (11.78) (11.78) 42826 REMOVAL OF TONSILS 256.13 267.03366 267.03366 (10.90) (10.90) 42830 REMOVAL OF ADENOIDS 212.21 220.48481 220.48481 (8.27) (8.27) 42831 REMOVAL OF ADENOIDS 228.07 238.18354 238.18354 (10.11) (10.11) 42835 REMOVAL OF ADENOIDS 181.76 204.84859 204.84859 (23.09) (23.09) 42836 REMOVAL OF ADENOIDS 245.3 256.10782 256.10782 (10.81) (10.81) 42842 EXTENSIVE SURGERY OF THROAT 1012.06 1060.7034 1060.7034 (48.64) (48.64) 42844 EXTENSIVE SURGERY OF THROAT 1387.55 1456.8118 1456.8118 (69.26) (69.26) 42845 EXTENSIVE SURGERY OF THROAT 2246.49 2347.2925 2347.2925 (100.80) (100.80) 42860 EXCISION OF TONSIL TAGS 192.67 200.48979 200.48979 (7.82) (7.82) 42870 EXCISION OF LINGUAL TONSIL 591 620.36636 620.36636 (29.37) (29.37) 42890 PARTIAL REMOVAL OF PHARYNX 1436.48 1497.7914 1497.7914 (61.31) (61.31) 42892 REVISION OF PHARYNGEAL WALLS 1907.14 1990.4442 1990.4442 (83.30) (83.30) 42894 REVISION OF PHARYNGEAL WALLS 2395.91 2492.576 2492.576 (96.67) (96.67) 42900 REPAIR THROAT WOUND 344.35 358.5579 358.5579 (14.21) (14.21) 42950 RECONSTRUCTION OF THROAT 809.63 848.48938 848.48938 (38.86) (38.86) 42953 REPAIR THROAT ESOPHAGUS 968.95 1021.3946 1021.3946 (52.44) (52.44) 42955 SURGICAL OPENING OF THROAT 767.21 803.53691 803.53691 (36.33) (36.33) 42960 CONTROL THROAT BLEEDING 173.51 180.74251 180.74251 (7.23) (7.23) 42961 CONTROL THROAT BLEEDING 429.73 450.15731 450.15731 (20.43) (20.43) 42962 CONTROL THROAT BLEEDING 526.92 551.08261 551.08261 (24.16) (24.16) 42970 CONTROL NOSE/THROAT BLEEDING 418.68 440.29191 440.29191 (21.61) (21.61) 42971 CONTROL NOSE/THROAT BLEEDING 465.36 485.74488 485.74488 (20.38) (20.38) 42972 CONTROL NOSE/THROAT BLEEDING 520.88 542.49173 542.49173 (21.61) (21.61) 43020 INCISION OF ESOPHAGUS 500.08 595.90226 595.90226 (95.82) (95.82) 43030 THROAT MUSCLE SURGERY 526.92 549.33944 549.33944 (22.42) (22.42) 43045 INCISION OF ESOPHAGUS 1320.22 1375.0016 1375.0016 (54.78) (54.78) 43100 EXCISION OF ESOPHAGUS LESION 636.71 663.26383 663.26383 (26.55) (26.55) 43101 EXCISION OF ESOPHAGUS LESION 1021.27 1118.438 1118.438 (97.17) (97.17) 43107 REMOVAL OF ESOPHAGUS 2566.87 2690.3109 2690.3109 (123.44) (123.44) 43108 REMOVAL OF ESOPHAGUS 4681.85 4925.0073 4925.0073 (243.16) (243.16) 43112 REMOVAL OF ESOPHAGUS 2714.92 2833.8591 2833.8591 (118.94) (118.94) 43116 PARTIAL REMOVAL OF ESOPHAGUS 5283.65 5505.1809 5505.1809 (221.53) (221.53) 43117 PARTIAL REMOVAL OF ESOPHAGUS 2491.01 2592.6195 2592.6195 (101.61) (101.61) 43118 PARTIAL REMOVAL OF ESOPHAGUS 3637.06 4015.9786 4015.9786 (378.92) (378.92) 43121 PARTIAL REMOVAL OF ESOPHAGUS 2901.87 3018.6142 3018.6142 (116.74) (116.74) 43122 PARTIAL REMOVAL OF ESOPHAGUS 2579.05 2688.325 2688.325 (109.27) (109.27) 43123 PARTIAL REMOVAL OF ESOPHAGUS 4744.65 4991.4484 4991.4484 (246.80) (246.80) 43124 REMOVAL OF ESOPHAGUS 3867.37 4021.3975 4021.3975 (154.03) (154.03) 43130 REMOVAL OF ESOPHAGUS POUCH 800.36 830.24468 830.24468 (29.88) (29.88) 43135 REMOVAL OF ESOPHAGUS POUCH 1512.32 1567.9251 1567.9251 (55.61) (55.61) 43180 Esophagoscopy rigid trnso 587.38 551.54731 609.11687 35.83 (21.74) 43191 Esophagoscopy rigid trnso dx 127.38 129.88747 129.88747 (2.51) (2.51) 43192 Esophagoscp rig trnso inject 151.77 153.98032 153.98032 (2.21) (2.21) 43193 Esophagoscp rig trnso biopsy 180.67 182.80001 182.80001 (2.13) (2.13) 43194 ESOPHAGOSCP RIG TRNSO REM FB 163.44 163.98642 163.98642 (0.55) (0.55) 43195 Esophagoscopy rigid balloon 181.03 183.17628 183.17628 (2.15) (2.15) 43196 Esophagoscp guide wire dilat 198.61 213.52898 213.52898 (14.92) (14.92) 43197 Esophagoscopy flex dx brush 80.48 195.83884 83.333612 (115.36) (2.85) 43198 ESOPHAGOSC FLEX TRNSN BIOPSY 95.78 219.0499 99.019236 (123.27) (3.24) 43200 ESOPHAGOSCOPY FLEXIBLE BRUSH 94.91 287.44327 98.554893 (192.53) (3.64) 43201 ESOPH SCOPE W/SUBMUCOUS INJ 111.3 293.24702 116.02306 (181.95) (4.72) 43202 ESOPHAGOSCOPY FLEX BIOPSY 111.7 386.18612 116.02306 (274.49) (4.32) 43204 ESOPH SCOPE W/SCLEROSIS INJ 147.02 151.76135 151.76135 (4.74) (4.74) 43205 ESOPHAGUS ENDOSCOPY/LIGATION 151.82 157.19957 157.19957 (5.38) (5.38) 43206 ESOPH OPTICAL ENDOMICROSCOPY 151.46 346.5573 144.87569 (195.10) 6.58 43211 Esophagoscop mucosal resect 246.74 246.00684 246.00684 0.73 0.73 43212 Esophagoscop stent placement 194.74 202.58416 202.58416 (7.84) (7.84) 43213 Esophagoscopy retro balloon 274.33 1321.0272 285.15127 (1046.70) (10.82) 43214 Esophagosc dilate balloon 30 198.56 206.24234 206.24234 (7.68) (7.68) 43215 ESOPHAGOSCOPY FLEX REMOVE FB 150.08 434.31416 156.62568 (284.23) (6.55) 43216 ESOPHAGOSCOPY LESION REMOVAL 145.89 447.51088 151.76135 (301.62) (5.87) 43217 ESOPHAGOSCOPY SNARE LES REMV 173.94 477.19589 179.565 (303.26) (5.63) 43220 ESOPHAGOSCOPY BALLOON <30MM 128.07 1219.4113 133.49123 (1091.34) (5.42) 43226 ESOPH ENDOSCOPY DILATION 141 405.41786 146.54296 (264.42) (5.54) 43227 ESOPHAGOSCOPY CONTROL BLEED 178.37 419.92848 184.75869 (241.56) (6.39) 43229 Esophagoscopy lesion ablate 209.87 776.28317 217.51975 (566.41) (7.65) 43231 ESOPHAGOSCOP ULTRASOUND EXAM 173.85 429.25544 179.03478 (255.41) (5.18) 43232 ESOPHAGOSCOPY W/US NEEDLE BX 206.98 502.15405 211.67232 (295.17) (4.69) 43233 Egd balloon dil esoph30 mm/> 235.55 244.07357 244.07357 (8.52) (8.52) 43235 EGD DIAGNOSTIC BRUSH WASH 133.02 332.42366 137.51494 (199.40) (4.49) 43236 UPPR GI SCOPE W/SUBMUC INJ 149.37 415.01153 155.00781 (265.64) (5.64) 43237 ENDOSCOPIC US EXAM ESOPH 210.13 217.92072 217.92072 (7.79) (7.79) 43238 EGD US FINE NEEDLE BX/ASPIR 239.77 250.27257 250.27257 (10.50) (10.50) 43239 EGD BIOPSY SINGLE/MULTIPLE 148.65 425.89871 154.98311 (277.25) (6.33) 43240 EGD W/TRANSMURAL DRAIN CYST 417.2 432.55131 432.55131 (15.35) (15.35) 43241 EGD TUBE/CATH INSERTION 153.87 160.00389 160.00389 (6.13) (6.13) 43242 EGD US FINE NEEDLE BX/ASPIR 273.33 283.0995 283.0995 (9.77) (9.77) 43243 EGD INJECTION VARICES 253.36 262.96449 262.96449 (9.60) (9.60) 43244 EGD VARICES LIGATION 262.46 272.90973 272.90973 (10.45) (10.45) 43245 EGD DILATE STRICTURE 188.16 659.55339 195.61043 (471.39) (7.45) 43246 EGD PLACE GASTROSTOMY TUBE 215.93 221.71387 221.71387 (5.78) (5.78) 43247 EGD REMOVE FOREIGN BODY 188.5 431.95844 196.41238 (243.46) (7.91) 43248 EGD GUIDE WIRE INSERTION 179.37 439.1101 187.00809 (259.74) (7.64) 43249 ESOPH EGD DILATION <30 MM 165.4 1163.5014 173.15442 (998.10) (7.75) 43250 EGD CAUTERY TUMOR POLYP 182.26 488.15466 189.77123 (305.89) (7.51) 43251 EGD REMOVE LESION SNARE 210.85 535.4446 219.00013 (324.59) (8.15) 43252 EGD OPTICAL ENDOMICROSCOPY 191.92 383.83361 181.02319 (191.91) 10.90 43253 Egd us transmural injxn/mark 273.33 283.0995 283.0995 (9.77) (9.77) 43254 Egd endo mucosal resection 283.82 287.95809 287.95809 (4.14) (4.14) 43255 EGD CONTROL BLEEDING ANY 216.07 458.91324 224.49599 (242.84) (8.43) 43257 EGD W/THRML TXMNT GERD 241.54 249.49532 249.49532 (7.96) (7.96) 43259 EGD US EXAM DUODENUM/JEJUNUM 242.57 251.80236 251.80236 (9.23) (9.23) 43260 ERCP W/SPECIMEN COLLECTION 343.82 356.57021 356.57021 (12.75) (12.75) 43261 ENDO CHOLANGIOPANCREATOGRAPH 360.57 374.38995 374.38995 (13.82) (13.82) 43262 ENDO CHOLANGIOPANCREATOGRAPH 380.5 394.40968 394.40968 (13.91) (13.91) 43263 ERCP SPHINCTER PRESSURE MEAS 380.88 396.19222 396.19222 (15.31) (15.31) 43264 ERCP REMOVE DUCT CALCULI 387.84 402.04788 402.04788 (14.21) (14.21) 43265 ERCP LITHOTRIPSY CALCULI 460.46 477.35055 477.35055 (16.89) (16.89) 43266 Egd endoscopic stent place 234.88 243.95006 243.95006 (9.07) (9.07) 43270 Egd lesion ablation 246.8 807.36621 256.12823 (560.57) (9.33) 43273 ENDOSCOPIC PANCREATOSCOPY 125.34 129.87423 129.87423 (4.53) (4.53) 43274 Ercp duct stent placement 485.95 503.17653 503.17653 (17.23) (17.23) 43275 Ercp remove forgn body duct 400.77 415.49235 415.49235 (14.72) (14.72) 43276 Ercp stent exchange w/dilate 505.47 524.63547 524.63547 (19.17) (19.17) 43277 Ercp ea duct/ampulla dilate 403.21 418.03567 418.03567 (14.83) (14.83) 43278 Ercp lesion ablate w/dilate 458.36 474.80722 474.80722 (16.45) (16.45) 43279 LAP MYOTOMY HELLER 1289.67 1355.5482 1355.5482 (65.88) (65.88) 43280 LAPAROSCOPY FUNDOPLASTY 1080.51 1133.0506 1133.0506 (52.54) (52.54) 43281 LAP PARAESOPHAG HERN REPAIR 1541.51 1617.8103 1617.8103 (76.30) (76.30) 43282 LAP PARAESOPH HER RPR W/MESH 1733.05 1818.9502 1818.9502 (85.90) (85.90) 43283 LAP ESOPH LENGTHENING LAPAR 156.79 166.54693 166.54693 (9.76) (9.76) 43300 REPAIR OF ESOPHAGUS 625.4 651.13758 651.13758 (25.74) (25.74) 43305 REPAIR ESOPHAGUS AND FISTULA 1105.55 1152.1338 1152.1338 (46.58) (46.58) 43310 REPAIR OF ESOPHAGUS 1505.25 1551.9982 1551.9982 (46.75) (46.75) 43312 REPAIR ESOPHAGUS AND FISTULA 1621.26 1684.8922 1684.8922 (63.63) (63.63) 43313 ESOPHAGOPLASTY CONGENITAL 2915.89 2742.5708 2742.5708 173.32 173.32 43314 TRACHEO-ESOPHAGOPLASTY CONG 2930.75 2957.7874 2957.7874 (27.04) (27.04) 43320 FUSE ESOPHAGUS & STOMACH 1391.31 1463.2407 1463.2407 (71.93) (71.93) 43325 REVISE ESOPHAGUS & STOMACH 1342.46 1410.8691 1410.8691 (68.41) (68.41) 43327 ESOPH FUNDOPLASTY LAP ESOPH 820.41 856.67391 856.67391 (36.26) (36.26) 43328 ESOPH FUNDOPLASTY THOR ESOPH 1167.41 1191.2464 1191.2464 (23.84) (23.84) 43330 ESOPHAGOMYOTOMY ABDOMINAL 1331.63 1398.7511 1398.7511 (67.12) (67.12) 43331 ESOPHAGOMYOTOMY THORACIC 1360.88 1416.4151 1416.4151 (55.54) (55.54) 43332 TRANSAB ESOPH HIAT HERN RPR REPAI 1161.22 1217.681 1217.681 (56.46) (56.46) 43333 TRANSAB ESOPH HIAT HERN RPR REPAI 1263.29 1325.4153 1325.4153 (62.13) (62.13) 43334 TRANSTHOR DIAPHRAG HERN RPR 1252.29 1316.8087 1316.8087 (64.52) (64.52) 43335 TRANSTHOR DIAPHRAG HERN RPR 1341.44 1414.7739 1414.7739 (73.33) (73.33) 43336 THORABD DIAPHR HERN REPAIR REPAI 1523.18 1597.2628 1597.2628 (74.08) (74.08) 43337 THORABD DIAPHR HERN REPAIR REPAI 1644.75 1716.9885 1716.9885 (72.24) (72.24) 43338 ESOPH LENGTHENING ESOPH 117.42 121.92885 121.92885 (4.51) (4.51) 43340 FUSE ESOPHAGUS & INTESTINE 1373.82 1445.127 1445.127 (71.31) (71.31) 43341 FUSE ESOPHAGUS & INTESTINE 1415.21 1556.4282 1556.4282 (141.22) (141.22) 43351 SURGICAL OPENING ESOPHAGUS 1335.76 1464.527 1464.527 (128.77) (128.77) 43352 SURGICAL OPENING ESOPHAGUS 1082.65 1128.1369 1128.1369 (45.49) (45.49) 43360 GASTROINTESTINAL REPAIR 2405.88 2499.868 2499.868 (93.99) (93.99) 43361 GASTROINTESTINAL REPAIR 2552.75 2690.0907 2690.0907 (137.34) (137.34) 43400 LIGATE ESOPHAGUS VEINS 1540.16 1595.4746 1595.4746 (55.31) (55.31) 43401 ESOPHAGUS SURGERY FOR VEINS 1560.01 1646.9454 1646.9454 (86.94) (86.94) 43405 LIGATE/STAPLE ESOPHAGUS 1459.58 1618.4973 1618.4973 (158.92) (158.92) 43410 REPAIR ESOPHAGUS WOUND 1063.49 1106.7506 1106.7506 (43.26) (43.26) 43415 REPAIR ESOPHAGUS WOUND 2606.43 2695.7523 2695.7523 (89.32) (89.32) 43420 REPAIR ESOPHAGUS OPENING 1031.6 1074.6312 1074.6312 (43.03) (43.03) 43425 REPAIR ESOPHAGUS OPENING 1447.64 1525.652 1525.652 (78.01) (78.01) 43450 DILATE ESOPHAGUS 1/MULT PASS 89.03 227.51153 92.430006 (138.48) (3.40) 43453 DILATE ESOPHAGUS 95.98 1048.6738 98.964102 (952.69) (2.98) 43460 PRESSURE TREATMENT ESOPHAGUS 222.65 231.75793 231.75793 (9.11) (9.11) 43500 SURGICAL OPENING OF STOMACH 786.75 822.11635 822.11635 (35.37) (35.37) 43501 SURGICAL REPAIR OF STOMACH 1344.52 1411.3195 1411.3195 (66.80) (66.80) 43502 SURGICAL REPAIR OF STOMACH 1518.81 1598.6634 1598.6634 (79.85) (79.85) 43510 SURGICAL OPENING OF STOMACH 905.46 991.78551 991.78551 (86.33) (86.33) 43520 INCISION OF PYLORIC MUSCLE 687.54 719.47188 719.47188 (31.93) (31.93) 43605 BIOPSY OF STOMACH 829.82 875.20502 875.20502 (45.39) (45.39) 43610 EXCISION OF STOMACH LESION 979.32 1028.17 1028.17 (48.85) (48.85) 43611 EXCISION OF STOMACH LESION 1219.25 1278.995 1278.995 (59.74) (59.74) 43620 REMOVAL OF STOMACH 1959.22 2060.7611 2060.7611 (101.54) (101.54) 43621 REMOVAL OF STOMACH 2261.3 2376.7409 2376.7409 (115.44) (115.44) 43622 REMOVAL OF STOMACH 2304.07 2423.666 2423.666 (119.60) (119.60) 43631 REMOVAL OF STOMACH PARTIAL 1446.92 1518.8397 1518.8397 (71.92) (71.92) 43632 REMOVAL OF STOMACH PARTIAL 2024.99 2126.4866 2126.4866 (101.50) (101.50) 43633 REMOVAL OF STOMACH PARTIAL 1913.77 2009.8066 2009.8066 (96.04) (96.04) 43634 REMOVAL OF STOMACH PARTIAL 2118.04 2228.7416 2228.7416 (110.70) (110.70) 43635 REMOVAL OF STOMACH PARTIAL 111.45 118.11099 118.11099 (6.66) (6.66) 43640 VAGOTOMY & PYLORUS REPAIR 1178.45 1234.083 1234.083 (55.63) (55.63) 43641 VAGOTOMY & PYLORUS REPAIR 1197.56 1259.9172 1259.9172 (62.36) (62.36) 43644 LAP GASTRIC BYPASS/ROUX-EN-Y 1728.69 1814.5026 1814.5026 (85.81) (85.81) 43645 LAP GASTR BYPASS INCL SMLL I 1848.09 1938.1177 1938.1177 (90.03) (90.03) 43651 LAPAROSCOPY VAGUS NERVE 652.85 687.20989 687.20989 (34.36) (34.36) 43652 LAPAROSCOPY VAGUS NERVE 762.27 802.05796 802.05796 (39.79) (39.79) 43653 LAPAROSCOPY GASTROSTOMY 572.34 601.0358 601.0358 (28.70) (28.70) 43752 NASAL/OROGASTRIC W/TUBE PLMT 41.01 42.492205 42.492205 (1.48) (1.48) 43753 TX GASTRO INTUB W/ASP 20.76 22.464242 22.464242 (1.70) (1.70) 43754 DX GASTR INTUB W/ASP SPEC 33.35 139.43532 38.594517 (106.09) (5.24) 43755 DX GASTR INTUB W/ASP SPECS GASTR 58.01 146.91207 65.261116 (88.90) (7.25) 43756 DX DUOD INTUB W/ASP SPEC DUODE 51.09 220.1089 54.925638 (169.02) (3.84) 43757 DX DUOD INTUB W/ASP SPECS DUODE 77.17 314.67732 84.022787 (237.51) (6.85) 43760 CHANGE GASTROSTOMY TUBE 47.76 524.24918 49.394338 (476.49) (1.63) 43761 REPOSITION GASTROSTOMY TUBE 104.42 122.22206 108.30001 (17.80) (3.88) 43770 LAP PLACE GASTR ADJ DEVICE 1115.09 1172.7239 1172.7239 (57.63) (57.63) 43771 LAP REVISE GASTR ADJ DEVICE 1274.4 1331.1024 1331.1024 (56.70) (56.70) 43772 LAP RMVL GASTR ADJ DEVICE 952.32 996.50735 996.50735 (44.19) (44.19) 43773 LAP REPLACE GASTR ADJ DEVICE 1267.94 1342.02 1342.02 (74.08) (74.08) 43774 LAP RMVL GASTR ADJ ALL PARTS 959.39 1005.0134 1005.0134 (45.62) (45.62) 43800 RECONSTRUCTION OF PYLORUS 929.41 973.3457 973.3457 (43.94) (43.94) 43810 FUSION OF STOMACH AND BOWEL 1013.73 1067.6768 1067.6768 (53.95) (53.95) 43820 FUSION OF STOMACH AND BOWEL 1338.15 1403.9587 1403.9587 (65.81) (65.81) 43825 FUSION OF STOMACH AND BOWEL 1304.55 1372.59 1372.59 (68.04) (68.04) 43830 PLACE GASTROSTOMY TUBE 697.94 733.31087 733.31087 (35.37) (35.37) 43831 PLACE GASTROSTOMY TUBE 593.86 625.02661 625.02661 (31.17) (31.17) 43832 PLACE GASTROSTOMY TUBE 1040.51 1090.4704 1090.4704 (49.96) (49.96) 43840 REPAIR OF STOMACH LESION 1355.66 1422.2041 1422.2041 (66.54) (66.54) 43842 V-BAND GASTROPLASTY 1149.05 1203.2531 1203.2531 (54.20) (54.20) 43845 GASTROPLASTY DUODENAL SWITCH 1954.15 2057.0331 2057.0331 (102.88) (102.88) 43846 GASTRIC BYPASS FOR OBESITY 1608.13 1689.0284 1689.0284 (80.90) (80.90) 43850 REVISE STOMACH-BOWEL FUSION 1622.3 1707.3701 1707.3701 (85.07) (85.07) 43855 REVISE STOMACH-BOWEL FUSION 1682.76 1771.4999 1771.4999 (88.74) (88.74) 43860 REVISE STOMACH-BOWEL FUSION 1632.5 1714.7802 1714.7802 (82.28) (82.28) 43865 REVISE STOMACH-BOWEL FUSION 1702.71 1792.5084 1792.5084 (89.80) (89.80) 43870 REPAIR STOMACH OPENING 710 748.19776 748.19776 (38.20) (38.20) 43880 REPAIR STOMACH-BOWEL FISTULA 1595.09 1669.7612 1669.7612 (74.67) (74.67) 43886 REVISE GASTRIC PORT OPEN 363.67 382.16671 382.16671 (18.50) (18.50) 43887 REMOVE GASTRIC PORT OPEN 326.42 344.86318 344.86318 (18.44) (18.44) 43888 CHANGE GASTRIC PORT OPEN 460.09 483.61971 483.61971 (23.53) (23.53) 44005 FREEING OF BOWEL ADHESION 1091.32 1145.251 1145.251 (53.93) (53.93) 44010 INCISION OF SMALL BOWEL 871.44 909.15504 909.15504 (37.72) (37.72) 44015 INSERT NEEDLE CATH BOWEL 142.62 148.87541 148.87541 (6.26) (6.26) 44020 EXPLORE SMALL INTESTINE 969.74 1020.9904 1020.9904 (51.25) (51.25) 44021 DECOMPRESS SMALL BOWEL 980.06 1022.4708 1022.4708 (42.41) (42.41) 44025 INCISION OF LARGE BOWEL 988.65 1033.5037 1033.5037 (44.85) (44.85) 44050 REDUCE BOWEL OBSTRUCTION 933.79 979.26723 979.26723 (45.48) (45.48) 44055 CORRECT MALROTATION OF BOWEL 1492.98 1558.7367 1558.7367 (65.76) (65.76) 44100 BIOPSY OF BOWEL 112.8 116.75663 116.75663 (3.96) (3.96) 44110 EXCISE INTESTINE LESION(S) 851.55 893.11534 893.11534 (41.57) (41.57) 44111 EXCISION OF BOWEL LESION(S) 985.06 1029.3976 1029.3976 (44.34) (44.34) 44120 REMOVAL OF SMALL INTESTINE 1221.37 1280.1023 1280.1023 (58.73) (58.73) 44121 REMOVAL OF SMALL INTESTINE 241.45 253.68193 253.68193 (12.23) (12.23) 44125 REMOVAL OF SMALL INTESTINE 1181.09 1236.665 1236.665 (55.57) (55.57) 44126 ENTERECTOMY W/O TAPER CONG 2457.33 2585.1446 2585.1446 (127.81) (127.81) 44127 ENTERECTOMY W/TAPER CONG 2840.74 2988.9682 2988.9682 (148.23) (148.23) 44128 ENTERECTOMY CONG ADD-ON 242.58 255.79134 255.79134 (13.21) (13.21) 44130 BOWEL TO BOWEL FUSION 1312.74 1375.3145 1375.3145 (62.57) (62.57) 44139 MOBILIZATION OF COLON 120.87 126.86155 126.86155 (5.99) (5.99) 44140 PARTIAL REMOVAL OF COLON 1340 1405.4334 1405.4334 (65.43) (65.43) 44141 PARTIAL REMOVAL OF COLON 1827.13 1915.5278 1915.5278 (88.40) (88.40) 44143 PARTIAL REMOVAL OF COLON 1664.77 1745.1891 1745.1891 (80.42) (80.42) 44144 PARTIAL REMOVAL OF COLON 1771.48 1854.9234 1854.9234 (83.44) (83.44) 44145 PARTIAL REMOVAL OF COLON 1661.38 1738.3371 1738.3371 (76.96) (76.96) 44146 PARTIAL REMOVAL OF COLON 2123.57 2228.9166 2228.9166 (105.35) (105.35) 44147 PARTIAL REMOVAL OF COLON 1946.5 2036.2337 2036.2337 (89.73) (89.73) 44150 REMOVAL OF COLON 1876.44 1965.8741 1965.8741 (89.43) (89.43) 44151 REMOVAL OF COLON/ILEOSTOMY 2150.38 2258.1487 2258.1487 (107.77) (107.77) 44155 REMOVAL OF COLON/ILEOSTOMY 2091.83 2186.418 2186.418 (94.59) (94.59) 44156 REMOVAL OF COLON/ILEOSTOMY 2308.63 2429.8228 2429.8228 (121.19) (121.19) 44157 COLECTOMY W/ILEOANAL ANAST 2184.07 2290.284 2290.284 (106.21) (106.21) 44158 COLECTOMY W/NEO-RECTUM POUCH 2251.52 2229.5295 2229.5295 21.99 21.99 44160 REMOVAL OF COLON 1241.58 1300.9537 1300.9537 (59.37) (59.37) 44180 LAP ENTEROLYSIS 917.96 962.31532 962.31532 (44.36) (44.36) 44186 LAP JEJUNOSTOMY 651.4 684.13957 684.13957 (32.74) (32.74) 44187 LAP ILEO/JEJUNO-STOMY 1114.28 1166.3365 1166.3365 (52.06) (52.06) 44188 LAP COLOSTOMY 1231.5 1288.1938 1288.1938 (56.69) (56.69) 44202 LAP ENTERECTOMY 1386.64 1451.8834 1451.8834 (65.24) (65.24) 44203 LAP RESECT S/INTESTINE ADDL 241.86 255.79134 255.79134 (13.93) (13.93) 44204 LAPARO PARTIAL COLECTOMY 1543.27 1612.8901 1612.8901 (69.62) (69.62) 44205 LAP COLECTOMY PART W/ILEUM 1343.04 1403.3487 1403.3487 (60.31) (60.31) 44206 LAP PART COLECTOMY W/STOMA 1761.1 1840.1328 1840.1328 (79.03) (79.03) 44207 L COLECTOMY/COLOPROCTOSTOMY 1834.57 1911.1761 1911.1761 (76.61) (76.61) 44208 L COLECTOMY/COLOPROCTOSTOMY 1997.73 2089.9739 2089.9739 (92.24) (92.24) 44210 LAPARO TOTAL PROCTOCOLECTOMY 1808.95 1872.6232 1872.6232 (63.67) (63.67) 44211 LAP COLECTOMY W/PROCTECTOMY 2254.56 2287.6784 2287.6784 (33.12) (33.12) 44212 LAPARO TOTAL PROCTOCOLECTOMY 2082.04 2158.5155 2158.5155 (76.48) (76.48) 44213 LAP MOBIL SPLENIC FL ADD-ON 189.29 197.97582 197.97582 (8.69) (8.69) 44227 LAP CLOSE ENTEROSTOMY 1671.3 1749.7932 1749.7932 (78.49) (78.49) 44300 OPEN BOWEL TO SKIN 841.69 881.17596 881.17596 (39.49) (39.49) 44310 ILEOSTOMY/JEJUNOSTOMY 1046.32 1094.4883 1094.4883 (48.17) (48.17) 44312 REVISION OF ILEOSTOMY 590.18 619.95715 619.95715 (29.78) (29.78) 44314 REVISION OF ILEOSTOMY 1010.03 1053.6545 1053.6545 (43.62) (43.62) 44316 DEVISE BOWEL POUCH 1409.57 1482.549 1482.549 (72.98) (72.98) 44320 COLOSTOMY 1204.29 1259.5624 1259.5624 (55.27) (55.27) 44322 COLOSTOMY WITH BIOPSIES 1001.78 1055.9991 1055.9991 (54.22) (54.22) 44340 REVISION OF COLOSTOMY 626.28 656.48593 656.48593 (30.21) (30.21) 44345 REVISION OF COLOSTOMY 1055.58 1103.826 1103.826 (48.25) (48.25) 44346 REVISION OF COLOSTOMY 1185.82 1240.9515 1240.9515 (55.13) (55.13) 44360 SMALL BOWEL ENDOSCOPY 156.36 161.93465 161.93465 (5.57) (5.57) 44361 SMALL BOWEL ENDOSCOPY/BIOPSY 171.7 179.01008 179.01008 (7.31) (7.31) 44363 SMALL BOWEL ENDOSCOPY 205.58 213.53721 213.53721 (7.96) (7.96) 44364 SMALL BOWEL ENDOSCOPY 219.17 228.14343 228.14343 (8.97) (8.97) 44365 SMALL BOWEL ENDOSCOPY 194.73 198.75235 198.75235 (4.02) (4.02) 44366 SMALL BOWEL ENDOSCOPY 257.24 267.07877 267.07877 (9.84) (9.84) 44369 SMALL BOWEL ENDOSCOPY 263.52 273.26953 273.26953 (9.75) (9.75) 44370 SMALL BOWEL ENDOSCOPY/STENT 284.25 295.96433 295.96433 (11.71) (11.71) 44372 SMALL BOWEL ENDOSCOPY 256.25 265.49958 265.49958 (9.25) (9.25) 44373 SMALL BOWEL ENDOSCOPY 204.88 213.83937 213.83937 (8.96) (8.96) 44376 SMALL BOWEL ENDOSCOPY 303.01 313.16901 313.16901 (10.16) (10.16) 44377 SMALL BOWEL ENDOSCOPY/BIOPSY 319.03 331.38972 331.38972 (12.36) (12.36) 44378 SMALL BOWEL ENDOSCOPY 409.47 424.9378 424.9378 (15.47) (15.47) 44379 S BOWEL ENDOSCOPE W/STENT 435.12 452.45003 452.45003 (17.33) (17.33) 44380 SMALL BOWEL ENDOSCOPY BR/WA 67.95 59.608806 71.6495 8.34 (3.70) 44382 SMALL BOWEL ENDOSCOPY 82.01 73.09444 85.135133 8.92 (3.13) 44385 ENDOSCOPY OF BOWEL POUCH 108.03 281.59906 112.65309 (173.57) (4.62) 44386 ENDOSCOPY BOWEL POUCH/BIOP 128.43 375.42568 133.10673 (247.00) (4.68) 44388 COLONOSCOPY THRU STOMA SPX 166.83 372.74882 174.45365 (205.92) (7.62) 44389 COLONOSCOPY WITH BIOPSY 185 417.74246 192.732 (232.74) (7.73) 44390 COLONOSCOPY FOR FOREIGN BODY 225.15 489.42991 234.69399 (264.28) (9.54) 44391 COLONOSCOPY FOR BLEEDING 250.96 524.94838 261.18194 (273.99) (10.22) 44392 COLONOSCOPY & POLYPECTOMY 220.61 463.08266 228.28914 (242.47) (7.68) 44394 COLONOSCOPY W/SNARE 256.57 522.76235 266.52135 (266.19) (9.95) 44500 INTRO GASTROINTESTINAL TUBE 24.66 25.809515 25.809515 (1.15) (1.15) 44602 SUTURE SMALL INTESTINE 1409.39 1475.5438 1475.5438 (66.15) (66.15) 44603 SUTURE SMALL INTESTINE 1616.01 1696.9225 1696.9225 (80.91) (80.91) 44604 SUTURE LARGE INTESTINE 1055.77 1108.439 1108.439 (52.67) (52.67) 44605 REPAIR OF BOWEL LESION 1306.33 1368.6898 1368.6898 (62.36) (62.36) 44615 INTESTINAL STRICTUROPLASTY 1076.61 1122.9844 1122.9844 (46.37) (46.37) 44620 REPAIR BOWEL OPENING 870.11 911.20681 911.20681 (41.10) (41.10) 44625 REPAIR BOWEL OPENING 1023.38 1067.6982 1067.6982 (44.32) (44.32) 44626 REPAIR BOWEL OPENING 1605.97 1678.729 1678.729 (72.76) (72.76) 44640 REPAIR BOWEL-SKIN FISTULA 1404.25 1468.2095 1468.2095 (63.96) (63.96) 44650 REPAIR BOWEL FISTULA 1451.67 1521.765 1521.765 (70.10) (70.10) 44660 REPAIR BOWEL-BLADDER FISTULA 1330.85 1400.3936 1400.3936 (69.54) (69.54) 44661 REPAIR BOWEL-BLADDER FISTULA 1553.92 1625.4782 1625.4782 (71.56) (71.56) 44680 SURGICAL REVISION INTESTINE 1069.26 1117.873 1117.873 (48.61) (48.61) 44700 SUSPEND BOWEL W/PROSTHESIS 1023.56 1070.4721 1070.4721 (46.91) (46.91) 44701 INTRAOP COLON LAVAGE ADD-ON 167.27 175.47864 175.47864 (8.21) (8.21) 44800 EXCISION OF BOWEL POUCH 762.51 804.13944 804.13944 (41.63) (41.63) 44820 EXCISION OF MESENTERY LESION 840.88 889.19044 889.19044 (48.31) (48.31) 44850 REPAIR OF MESENTERY 749.62 787.76214 787.76214 (38.14) (38.14) 44900 DRAIN APPENDIX ABSCESS OPEN 773.38 812.34976 812.34976 (38.97) (38.97) 44950 APPENDECTOMY 640.24 672.43971 672.43971 (32.20) (32.20) 44955 APPENDECTOMY ADD-ON 83.88 87.747554 87.747554 (3.87) (3.87) 44960 APPENDECTOMY 872.2 914.44003 914.44003 (42.24) (42.24) 44970 LAPAROSCOPY APPENDECTOMY 598.47 630.17484 630.17484 (31.70) (31.70) 45000 DRAINAGE OF PELVIC ABSCESS 427.2 443.34969 443.34969 (16.15) (16.15) 45005 DRAINAGE OF RECTAL ABSCESS 157.77 287.9742 169.44863 (130.20) (11.68) 45020 DRAINAGE OF RECTAL ABSCESS 570.8 598.53616 598.53616 (27.74) (27.74) 45100 BIOPSY OF RECTUM 301.48 316.64209 316.64209 (15.16) (15.16) 45108 REMOVAL OF ANORECTAL LESION 368.33 388.25364 388.25364 (19.92) (19.92) 45110 REMOVAL OF RECTUM 1861.97 1942.2703 1942.2703 (80.30) (80.30) 45111 PARTIAL REMOVAL OF RECTUM 1093.8 1141.91 1141.91 (48.11) (48.11) 45112 REMOVAL OF RECTUM 1894.91 1975.437 1975.437 (80.53) (80.53) 45113 PARTIAL PROCTECTOMY 2005.32 1986.9288 1986.9288 18.39 18.39 45114 PARTIAL REMOVAL OF RECTUM 1810.73 1905.3237 1905.3237 (94.59) (94.59) 45116 PARTIAL REMOVAL OF RECTUM 1572.13 1629.3458 1629.3458 (57.22) (57.22) 45119 REMOVE RECTUM W/RESERVOIR 1965.09 2049.9198 2049.9198 (84.83) (84.83) 45120 REMOVAL OF RECTUM 1593.17 1668.5905 1668.5905 (75.42) (75.42) 45121 REMOVAL OF RECTUM AND COLON 1731.38 1730.5371 1730.5371 0.84 0.84 45123 PARTIAL PROCTECTOMY 1126.79 1178.7739 1178.7739 (51.98) (51.98) 45126 PELVIC EXENTERATION 2883.76 2853.4721 2853.4721 30.29 30.29 45130 EXCISION OF RECTAL PROLAPSE 1100.45 1143.3625 1143.3625 (42.91) (42.91) 45135 EXCISION OF RECTAL PROLAPSE 1372.21 1445.0053 1445.0053 (72.80) (72.80) 45136 EXCISE ILEOANAL RESERVIOR 1836.83 1898.6833 1898.6833 (61.85) (61.85) 45150 EXCISION OF RECTAL STRICTURE 396.71 377.14665 377.14665 19.56 19.56 45160 EXCISION OF RECTAL LESION 1019.23 1072.6911 1072.6911 (53.46) (53.46) 45171 EXC RECT TUM TRANSANAL PART 604.06 633.85557 633.85557 (29.80) (29.80) 45172 EXC RECT TUM TRANSANAL FULL 818.38 853.15286 853.15286 (34.77) (34.77) 45190 DESTRUCTION RECTAL TUMOR 698.83 730.75788 730.75788 (31.93) (31.93) 45300 PROCTOSIGMOIDOSCOPY DX 54.37 130.48213 56.732888 (76.11) (2.36) 45303 PROCTOSIGMOIDOSCOPY DILATE 92.82 1034.9963 97.327266 (942.18) (4.51) 45305 PROCTOSIGMOIDOSCOPY W/BX 79.95 207.73382 83.564172 (127.78) (3.61) 45307 PROCTOSIGMOIDOSCOPY FB 104.79 236.94625 107.88507 (132.16) (3.10) 45308 PROCTOSIGMOIDOSCOPY REMOVAL 88.34 233.20251 93.981993 (144.86) (5.64) 45309 PROCTOSIGMOIDOSCOPY REMOVAL 93.2 234.83934 94.866285 (141.64) (1.67) 45315 PROCTOSIGMOIDOSCOPY REMOVAL 112.5 262.39847 117.15761 (149.90) (4.66) 45317 PROCTOSIGMOIDOSCOPY BLEED 119.68 256.36989 123.16972 (136.69) (3.49) 45320 PROCTOSIGMOIDOSCOPY ABLATE 107.84 259.7975 116.438 (151.96) (8.60) 45321 PROCTOSIGMOIDOSCOPY VOLVUL 108.65 112.59545 112.59545 (3.95) (3.95) 45327 PROCTOSIGMOIDOSCOPY W/STENT 121.97 128.46222 128.46222 (6.49) (6.49) 45330 DIAGNOSTIC SIGMOIDOSCOPY 63.45 144.79442 66.906185 (81.34) (3.46) 45331 SIGMOIDOSCOPY AND BIOPSY 75.73 172.65249 78.960841 (96.92) (3.23) 45332 SIGMOIDOSCOPY W/FB REMOVAL 111.73 309.06689 115.28699 (197.34) (3.56) 45333 SIGMOIDOSCOPY & POLYPECTOMY 110.66 314.3347 114.91072 (203.67) (4.25) 45334 SIGMOIDOSCOPY FOR BLEEDING 162.94 169.55639 169.55639 (6.62) (6.62) 45335 SIGMOIDOSCOPY W/SUBMUC INJ 92.49 291.67283 96.38784 (199.18) (3.90) 45337 SIGMOIDOSCOPY & DECOMPRESS 142.78 148.39138 148.39138 (5.61) (5.61) 45338 SIGMOIDOSCOPY W/TUMR REMOVE 141.33 336.96112 146.94393 (195.63) (5.61) 45340 SIG W/TNDSC BALLOON DILATION 116.23 517.70828 120.74167 (401.48) (4.51) 45341 SIGMOIDOSCOPY W/ULTRASOUND 156.34 161.91818 161.91818 (5.58) (5.58) 45342 SIGMOIDOSCOPY W/US GUIDE BX 237.7 246.35591 246.35591 (8.66) (8.66) 45378 DIAGNOSTIC COLONOSCOPY 216.45 408.72089 225.10032 (192.27) (8.65) 45379 COLONOSCOPY W/FB REMOVAL 271.59 525.99807 282.17403 (254.41) (10.58) 45380 COLONOSCOPY AND BIOPSY 258.31 485.97007 268.10878 (227.66) (9.80) 45381 COLONOSCOPY SUBMUCOUS NJX 245.04 488.69705 254.27981 (243.66) (9.24) 45382 COLONOSCOPY W/CONTROL BLEED 328.11 632.11885 340.88458 (304.01) (12.77) 45384 COLONOSCOPY W/LESION REMOVAL 270.51 487.52778 282.08345 (217.02) (11.57) 45385 COLONOSCOPY W/LESION REMOVAL 306.85 548.53391 318.63193 (241.68) (11.78) 45386 COLONOSCOPY W/BALLOON DILAT 265.68 704.20513 276.00797 (438.53) (10.33) 45391 COLONOSCOPY W/ENDOSCOPE US 293.83 305.95648 305.95648 (12.13) (12.13) 45392 COLONOSCOPY W/ENDOSCOPIC FNB 378.19 389.64166 389.64166 (11.45) (11.45) 45395 LAP REMOVAL OF RECTUM 1999.22 2083.7481 2083.7481 (84.53) (84.53) 45397 LAP REMOVE RECTUM W/POUCH 2167.33 2268.4384 2268.4384 (101.11) (101.11) 45400 LAPAROSCOPIC PROC 1160.5 1196.6817 1196.6817 (36.18) (36.18) 45402 LAP PROCTOPEXY W/SIG RESECT 1542.06 1596.7559 1596.7559 (54.70) (54.70) 45500 REPAIR OF RECTUM 532.86 553.72224 553.72224 (20.86) (20.86) 45505 REPAIR OF RECTUM 595.38 626.6545 626.6545 (31.27) (31.27) 45520 TREATMENT OF RECTAL PROLAPSE 41.12 170.12491 42.945091 (129.00) (1.83) 45540 CORRECT RECTAL PROLAPSE 1064.51 1113.516 1113.516 (49.01) (49.01) 45541 CORRECT RECTAL PROLAPSE 931.77 986.26925 986.26925 (54.50) (54.50) 45550 REPAIR RECTUM/REMOVE SIGMOID 1475.68 1534.3914 1534.3914 (58.71) (58.71) 45560 REPAIR OF RECTOCELE 701.05 723.92806 723.92806 (22.88) (22.88) 45562 EXPLORATION/REPAIR OF RECTUM 1119.78 1201.4827 1201.4827 (81.70) (81.70) 45563 EXPLORATION/REPAIR OF RECTUM 1641.68 1730.7082 1730.7082 (89.03) (89.03) 45800 REPAIR RECT/BLADDER FISTULA 1201.33 1297.1523 1297.1523 (95.82) (95.82) 45805 REPAIR FISTULA W/COLOSTOMY 1456.27 1452.4981 1452.4981 3.77 3.77 45820 REPAIR RECTOURETHRAL FISTULA 1175.46 1177.9555 1177.9555 (2.50) (2.50) 45825 REPAIR FISTULA W/COLOSTOMY 1382.13 1522.6697 1522.6697 (140.54) (140.54) 45900 REDUCTION OF RECTAL PROLAPSE 204.77 214.13832 214.13832 (9.37) (9.37) 45905 DILATION OF ANAL SPHINCTER 169.42 178.68823 178.68823 (9.27) (9.27) 45910 DILATION OF RECTAL NARROWING 196.27 205.23382 205.23382 (8.96) (8.96) 45915 REMOVE RECTAL OBSTRUCTION 227.31 350.64259 239.26617 (123.33) (11.96) 45990 SURG DX EXAM ANORECTAL 107.8 112.88938 112.88938 (5.09) (5.09) 46020 PLACEMENT OF SETON 235.95 291.73262 247.70884 (55.78) (11.76) 46030 REMOVAL OF RECTAL MARKER 91.42 146.76134 94.835854 (55.34) (3.42) 46040 INCISION OF RECTAL ABSCESS 413.4 564.58507 436.6527 (151.19) (23.25) 46045 INCISION OF RECTAL ABSCESS 433.16 457.4307 457.4307 (24.27) (24.27) 46050 INCISION OF ANAL ABSCESS 98.65 214.49848 103.12206 (115.85) (4.47) 46060 INCISION OF RECTAL ABSCESS 476.78 501.80928 501.80928 (25.03) (25.03) 46070 INCISION OF ANAL SEPTUM 240.78 233.49214 233.49214 7.29 7.29 46080 INCISION OF ANAL SPHINCTER 160.27 261.03981 166.97189 (100.77) (6.70) 46083 INCISE EXTERNAL HEMORRHOID 106.88 185.93226 111.80674 (79.05) (4.93) 46200 REMOVAL OF ANAL FISSURE 325.85 472.30256 344.3702 (146.45) (18.52) 46220 EXCISE ANAL EXT TAG/PAPILLA 119.98 218.28088 124.96551 (98.30) (4.99) 46221 LIGATION OF HEMORRHOID(S) 192.38 285.73053 202.19822 (93.35) (9.82) 46230 REMOVAL OF ANAL TAGS 174.43 288.41706 181.55591 (113.99) (7.13) 46250 REMOVE EXT HEM GROUPS 2+ 314.54 489.15889 331.87733 (174.62) (17.34) 46255 REMOVE INT/EXT HEM 1 GROUP 353.68 535.80655 372.88092 (182.13) (19.20) 46257 REMOVE IN/EX HEM GRP & FISS 421 443.209 443.209 (22.21) (22.21) 46258 REMOVE IN/EX HEM GRP W/FISTU 464.46 489.61536 489.61536 (25.16) (25.16) 46260 REMOVE IN/EX HEM GROUPS 2+ 474.82 500.84587 500.84587 (26.03) (26.03) 46261 REMOVE IN/EX HEM GRPS & FISS 525.92 548.01551 548.01551 (22.10) (22.10) 46262 REMOVE IN/EX HEM GRPS W/FIST 554.1 582.23726 582.23726 (28.14) (28.14) 46270 REMOVE ANAL FIST SUBQ 392.58 536.60027 413.55943 (144.02) (20.98) 46275 REMOVE ANAL FIST INTER 416.08 568.63599 436.56463 (152.56) (20.48) 46280 REMOVE ANAL FIST COMPLEX 471.63 494.8248 494.8248 (23.19) (23.19) 46285 REMOVE ANAL FIST 2 STAGE 415.23 563.11543 434.43052 (147.89) (19.20) 46288 REPAIR ANAL FISTULA 551.57 579.86685 579.86685 (28.30) (28.30) 46320 REMOVAL OF HEMORRHOID CLOT 112.03 193.39755 116.26186 (81.37) (4.23) 46500 INJECTION INTO HEMORRHOID(S) 130.95 253.96905 135.81975 (123.02) (4.87) 46505 CHEMODENERVATION ANAL MUSC 242.16 300.09043 251.55139 (57.93) (9.39) 46600 DIAGNOSTIC ANOSCOPY SPX 41.13 93.741766 42.945091 (52.61) (1.82) 46604 ANOSCOPY AND DILATION 66.94 671.03379 70.504216 (604.09) (3.56) 46606 ANOSCOPY AND BIOPSY 77.88 239.87336 79.957907 (161.99) (2.08) 46608 ANOSCOPY REMOVE FOR BODY 80.95 252.60645 88.552009 (171.66) (7.60) 46610 ANOSCOPY REMOVE LESION 81.35 239.96967 85.322016 (158.62) (3.97) 46611 ANOSCOPY 82.73 184.72361 85.764162 (101.99) (3.03) 46612 ANOSCOPY REMOVE LESIONS 94.71 291.6868 99.788247 (196.98) (5.08) 46614 ANOSCOPY CONTROL BLEEDING 64.45 136.80214 68.696966 (72.35) (4.25) 46615 ANOSCOPY 94.31 151.88666 97.703538 (57.58) (3.39) 46700 REPAIR OF ANAL STRICTURE 657.56 688.13392 688.13392 (30.57) (30.57) 46705 REPAIR OF ANAL STRICTURE 483.41 510.29884 510.29884 (26.89) (26.89) 46706 REPR OF ANAL FISTULA W/GLUE 170.71 184.61549 184.61549 (13.91) (13.91) 46707 REPAIR ANORECTAL FIST W/PLUG 463.34 499.27168 499.27168 (35.93) (35.93) 46710 REPR PER/VAG POUCH SNGL PROC 1102.07 1101.9261 1101.9261 0.14 0.14 46712 REPR PER/VAG POUCH DBL PROC 2042.06 2108.8441 2108.8441 (66.78) (66.78) 46715 REP PERF ANOPER FISTU 497.8 568.58193 568.58193 (70.78) (70.78) 46716 REP PERF ANOPER/VESTIB FISTU 1071.02 1125.6602 1125.6602 (54.64) (54.64) 46730 CONSTRUCTION OF ABSENT ANUS 1757.24 2058.0431 2058.0431 (300.80) (300.80) 46735 CONSTRUCTION OF ABSENT ANUS 2033.97 2133.8617 2133.8617 (99.89) (99.89) 46740 CONSTRUCTION OF ABSENT ANUS 2138.6 2248.757 2248.757 (110.16) (110.16) 46742 REPAIR OF IMPERFORATED ANUS 2441.39 2344.8448 2344.8448 96.55 96.55 46744 REPAIR OF CLOACAL ANOMALY 3353.73 3689.2975 3689.2975 (335.57) (335.57) 46746 REPAIR OF CLOACAL ANOMALY 3514.91 3648.2144 3648.2144 (133.30) (133.30) 46748 REPAIR OF CLOACAL ANOMALY 3816.67 3998.7238 3998.7238 (182.05) (182.05) 46750 REPAIR OF ANAL SPHINCTER 766.56 790.84499 790.84499 (24.28) (24.28) 46751 REPAIR OF ANAL SPHINCTER 608.12 605.53066 605.53066 2.59 2.59 46753 RECONSTRUCTION OF ANUS 591.54 607.90679 607.90679 (16.37) (16.37) 46754 REMOVAL OF SUTURE FROM ANUS 227.83 313.62726 241.3831 (85.80) (13.55) 46760 REPAIR OF ANAL SPHINCTER 1104.51 1151.3362 1151.3362 (46.83) (46.83) 46761 REPAIR OF ANAL SPHINCTER 935.68 970.51453 970.51453 (34.83) (34.83) 46762 IMPLANT ARTIFICIAL SPHINCTER 932.1 971.40634 971.40634 (39.31) (39.31) 46900 DESTRUCTION ANAL LESION(S) 138.82 257.34476 144.83953 (118.52) (6.02) 46910 DESTRUCTION ANAL LESION(S) 136.02 271.14329 140.57703 (135.12) (4.56) 46916 CRYOSURGERY ANAL LESION(S) 142.71 241.96702 150.53301 (99.26) (7.82) 46917 LASER SURGERY ANAL LESIONS 134.92 479.74601 139.22016 (344.83) (4.30) 46922 EXCISION OF ANAL LESION(S) 136.02 283.10988 142.38428 (147.09) (6.36) 46924 DESTRUCTION ANAL LESION(S) 185.16 571.10986 193.70938 (385.95) (8.55) 46930 DESTROY INTERNAL HEMORRHOIDS 148.27 219.18164 157.09682 (70.91) (8.83) 46940 TREATMENT OF ANAL FISSURE 147.45 242.12419 153.70035 (94.67) (6.25) 46942 TREATMENT OF ANAL FISSURE 133.55 229.53932 138.1053 (95.99) (4.56) 46945 REMOVE BY LIGAT INT HEM GRP 224.92 327.29334 239.24577 (102.37) (14.33) 46946 REMOVE BY LIGAT INT HEM GRPS 224.97 333.92947 239.48528 (108.96) (14.52) 46947 HEMORRHOIDOPEXY BY STAPLING 382.95 400.47871 400.47871 (17.53) (17.53) 47000 NEEDLE BIOPSY OF LIVER 104.55 385.84278 109.28311 (281.29) (4.73) 47001 NEEDLE BIOPSY LIVER ADD-ON 102.7 109.04181 109.04181 (6.34) (6.34) 47010 OPEN DRAINAGE LIVER LESION 1201.46 1262.4623 1262.4623 (61.00) (61.00) 47015 INJECT/ASPIRATE LIVER CYST 1146.33 1219.5444 1219.5444 (73.21) (73.21) 47100 WEDGE BIOPSY OF LIVER 841.78 887.46983 887.46983 (45.69) (45.69) 47120 PARTIAL REMOVAL OF LIVER 2320.17 2440.6323 2440.6323 (120.46) (120.46) 47122 EXTENSIVE REMOVAL OF LIVER 3416.26 3591.4042 3591.4042 (175.14) (175.14) 47125 PARTIAL REMOVAL OF LIVER 3060.51 3214.9421 3214.9421 (154.43) (154.43) 47130 PARTIAL REMOVAL OF LIVER 3287.67 3454.2294 3454.2294 (166.56) (166.56) 47135 TRANSPLANTATION OF LIVER 4876.53 5115.9037 5115.9037 (239.37) (239.37) 47140 PARTIAL REMOVAL DONOR LIVER 3554.68 3382.6901 3382.6901 171.99 171.99 47141 PARTIAL REMOVAL DONOR LIVER 3881.51 4469.7053 4469.7053 (588.20) (588.20) 47142 PARTIAL REMOVAL DONOR LIVER 4681.51 4926.9634 4926.9634 (245.45) (245.45) 47146 PREP DONOR LIVER/VENOUS 327.9 344.5689 344.5689 (16.67) (16.67) 47147 PREP DONOR LIVER/ARTERIAL 382.43 400.04695 400.04695 (17.62) (17.62) 47300 SURGERY FOR LIVER LESION 1124.93 1190.4061 1190.4061 (65.48) (65.48) 47350 REPAIR LIVER WOUND 1367.2 1436.5322 1436.5322 (69.33) (69.33) 47360 REPAIR LIVER WOUND 1859.14 1957.6015 1957.6015 (98.46) (98.46) 47361 REPAIR LIVER WOUND 3001.95 3173.0814 3173.0814 (171.13) (171.13) 47362 REPAIR LIVER WOUND 1441.79 1521.0358 1521.0358 (79.25) (79.25) 47370 LAPARO ABLATE LIVER TUMOR RF 1235.23 1306.1037 1306.1037 (70.87) (70.87) 47371 LAPARO ABLATE LIVER CRYOSURG 1223.76 1316.417 1316.417 (92.66) (92.66) 47380 OPEN ABLATE LIVER TUMOR RF 1435.99 1507.587 1507.587 (71.60) (71.60) 47381 OPEN ABLATE LIVER TUMOR CRYO 1448.23 1415.7889 1415.7889 32.44 32.44 47382 PERCUT ABLATE LIVER RF 781.65 5330.9664 814.95394 (4549.32) (33.30) 47383 Perq abltj lvr cryoablation 503.87 8116.3756 524.34226 (7612.51) (20.47) 47400 INCISION OF LIVER DUCT 2145.71 2258.3485 2258.3485 (112.64) (112.64) 47420 INCISION OF BILE DUCT 1338.93 1406.1333 1406.1333 (67.20) (67.20) 47425 INCISION OF BILE DUCT 1362.25 1433.4479 1433.4479 (71.20) (71.20) 47460 INCISE BILE DUCT SPHINCTER 1264 1330.5474 1330.5474 (66.55) (66.55) 47480 INCISION OF GALLBLADDER 873.58 919.44791 919.44791 (45.87) (45.87) 47490 INCISION OF GALLBLADDER 335.59 353.37423 353.37423 (17.78) (17.78) 47550 BILE DUCT ENDOSCOPY ADD-ON 164.61 173.17984 173.17984 (8.57) (8.57) 47552 BILIARY ENDO PERQ DX W/SPECI 317.06 330.96977 330.96977 (13.91) (13.91) 47553 BILIARY ENDOSCOPY THRU SKIN 314.69 327.82534 327.82534 (13.14) (13.14) 47554 BILIARY ENDOSCOPY THRU SKIN 490.35 507.58546 507.58546 (17.24) (17.24) 47555 BILIARY ENDOSCOPY THRU SKIN 373.29 389.50239 389.50239 (16.21) (16.21) 47556 BILIARY ENDOSCOPY THRU SKIN 424.03 442.94514 442.94514 (18.92) (18.92) 47562 LAPAROSCOPIC CHOLECYSTECTOMY 655.52 689.23446 689.23446 (33.71) (33.71) 47563 LAPARO CHOLECYSTECTOMY/GRAPH 712.22 748.35171 748.35171 (36.13) (36.13) 47564 LAPARO CHOLECYSTECTOMY/EXPLR 1110.47 1165.1984 1165.1984 (54.73) (54.73) 47570 LAPARO CHOLECYSTOENTEROSTOMY 772.02 812.7672 812.7672 (40.75) (40.75) 47600 REMOVAL OF GALLBLADDER 1065.6 1117.8616 1117.8616 (52.26) (52.26) 47605 REMOVAL OF GALLBLADDER 1121.24 1176.1769 1176.1769 (54.94) (54.94) 47610 REMOVAL OF GALLBLADDER 1250.12 1313.7831 1313.7831 (63.66) (63.66) 47612 REMOVAL OF GALLBLADDER 1265.46 1330.0401 1330.0401 (64.58) (64.58) 47620 REMOVAL OF GALLBLADDER 1374.08 1444.9458 1444.9458 (70.87) (70.87) 47700 EXPLORATION OF BILE DUCTS 1049.15 1104.647 1104.647 (55.50) (55.50) 47701 BILE DUCT REVISION 1727.57 1819.1958 1819.1958 (91.63) (91.63) 47711 EXCISION OF BILE DUCT TUMOR 1555.78 1626.4581 1626.4581 (70.68) (70.68) 47712 EXCISION OF BILE DUCT TUMOR 1991.69 2095.6087 2095.6087 (103.92) (103.92) 47715 EXCISION OF BILE DUCT CYST 1326.05 1395.6109 1395.6109 (69.56) (69.56) 47720 FUSE GALLBLADDER & BOWEL 1149.05 1210.4752 1210.4752 (61.43) (61.43) 47721 FUSE UPPER GI STRUCTURES 1350.17 1420.2505 1420.2505 (70.08) (70.08) 47740 FUSE GALLBLADDER & BOWEL 1308.18 1376.7694 1376.7694 (68.59) (68.59) 47741 FUSE GALLBLADDER & BOWEL 1470.74 1548.5348 1548.5348 (77.79) (77.79) 47760 FUSE BILE DUCTS AND BOWEL 2248.3 2363.8499 2363.8499 (115.55) (115.55) 47765 FUSE LIVER DUCTS & BOWEL 3027.12 3185.0125 3185.0125 (157.89) (157.89) 47780 FUSE BILE DUCTS AND BOWEL 2466.1 2586.5204 2586.5204 (120.42) (120.42) 47785 FUSE BILE DUCTS AND BOWEL 3239.89 3399.0724 3399.0724 (159.18) (159.18) 47800 RECONSTRUCTION OF BILE DUCTS 1577.38 1656.4972 1656.4972 (79.12) (79.12) 47801 PLACEMENT BILE DUCT SUPPORT 1010.82 1053.3136 1053.3136 (42.49) (42.49) 47802 FUSE LIVER DUCT & INTESTINE 1521.04 1601.4638 1601.4638 (80.42) (80.42) 47900 SUTURE BILE DUCT INJURY 1367.69 1440.5065 1440.5065 (72.82) (72.82) 48000 DRAINAGE OF ABDOMEN 1848.16 1969.7227 1969.7227 (121.56) (121.56) 48001 PLACEMENT OF DRAIN PANCREAS 2300.62 2419.9083 2419.9083 (119.29) (119.29) 48020 REMOVAL OF PANCREATIC STONE 1173.5 1234.4066 1234.4066 (60.91) (60.91) 48100 BIOPSY OF PANCREAS OPEN 885.04 923.83286 923.83286 (38.79) (38.79) 48102 NEEDLE BIOPSY PANCREAS 244.14 564.93771 256.77122 (320.80) (12.63) 48105 RESECT/DEBRIDE PANCREAS 2838.67 2980.6401 2980.6401 (141.97) (141.97) 48120 REMOVAL OF PANCREAS LESION 1105.53 1158.7556 1158.7556 (53.23) (53.23) 48140 PARTIAL REMOVAL OF PANCREAS 1558.06 1637.1097 1637.1097 (79.05) (79.05) 48145 PARTIAL REMOVAL OF PANCREAS 1626.89 1712.6733 1712.6733 (85.78) (85.78) 48146 PANCREATECTOMY 1873.12 1971.6077 1971.6077 (98.49) (98.49) 48148 REMOVAL OF PANCREATIC DUCT 1244.08 1309.7644 1309.7644 (65.68) (65.68) 48150 PARTIAL REMOVAL OF PANCREAS 3098.27 3257.315 3257.315 (159.05) (159.05) 48152 PANCREATECTOMY 2876.19 3026.5313 3026.5313 (150.34) (150.34) 48153 PANCREATECTOMY 3087.2 3240.6628 3240.6628 (153.46) (153.46) 48154 PANCREATECTOMY 2888.41 3039.5748 3039.5748 (151.16) (151.16) 48155 REMOVAL OF PANCREAS 1812.34 1902.8745 1902.8745 (90.53) (90.53) 48400 INJECTION INTRAOP ADD-ON 109.64 112.67278 112.67278 (3.03) (3.03) 48500 SURGERY OF PANCREATIC CYST 1147.57 1207.8603 1207.8603 (60.29) (60.29) 48510 DRAIN PANCREATIC PSEUDOCYST 1087.84 1152.4317 1152.4317 (64.59) (64.59) 48520 FUSE PANCREAS CYST AND BOWEL 1088.65 1147.0139 1147.0139 (58.36) (58.36) 48540 FUSE PANCREAS CYST AND BOWEL 1305.71 1374.0761 1374.0761 (68.37) (68.37) 48545 PANCREATORRHAPHY 1340.84 1410.6765 1410.6765 (69.84) (69.84) 48547 DUODENAL EXCLUSION 1785.82 1879.5307 1879.5307 (93.71) (93.71) 48548 FUSE PANCREAS AND BOWEL 1659.22 1747.3462 1747.3462 (88.13) (88.13) 49000 EXPLORATION OF ABDOMEN 770.1 806.92228 806.92228 (36.82) (36.82) 49002 REOPENING OF ABDOMEN 1045.15 1095.6369 1095.6369 (50.49) (50.49) 49010 EXPLORATION BEHIND ABDOMEN 934.16 975.26321 975.26321 (41.10) (41.10) 49020 DRAINAGE ABDOM ABSCESS OPEN 1586.93 1669.6642 1669.6642 (82.73) (82.73) 49040 DRAIN OPEN ABDOM ABSCESS 998.26 1048.6673 1048.6673 (50.41) (50.41) 49060 DRAIN OPEN RETROPERI ABSCESS 1099.56 1151.1503 1151.1503 (51.59) (51.59) 49062 DRAIN TO PERITONEAL CAVITY 732.8 776.01537 776.01537 (43.22) (43.22) 49082 Abd paracentesis 74.03 205.2399 79.188895 (131.21) (5.16) 49083 Abd paracentesis w/imaging 109.36 310.42376 115.13877 (201.06) (5.78) 49084 Peritoneal lavage 100.74 113.81806 113.81806 (13.08) (13.08) 49180 BIOPSY ABDOMINAL MASS 86.48 172.44985 90.798899 (85.97) (4.32) 49203 Exc abd tum 5 cm or less 1195.4 1255.1105 1255.1105 (59.71) (59.71) 49204 Exc abd tum over 5 cm 1526.32 1603.7633 1603.7633 (77.44) (77.44) 49205 Exc abd tum over 10 cm 1754.31 1838.178 1838.178 (83.87) (83.87) 49215 EXCISE SACRAL SPINE TUMOR 2220.62 2304.8054 2304.8054 (84.19) (84.19) 49220 MULTIPLE SURGERY ABDOMEN 953.64 1017.8123 1017.8123 (64.17) (64.17) 49250 EXCISION OF UMBILICUS 582.55 612.9315 612.9315 (30.38) (30.38) 49255 REMOVAL OF OMENTUM 792.65 827.80661 827.80661 (35.16) (35.16) 49320 DIAG LAPARO SEPARATE PROC 328 341.6314 341.6314 (13.63) (13.63) 49321 LAPAROSCOPY BIOPSY 347.35 361.20898 361.20898 (13.86) (13.86) 49322 LAPAROSCOPY ASPIRATION 371.13 385.1289 385.1289 (14.00) (14.00) 49323 LAPARO DRAIN LYMPHOCELE 645.8 670.15093 670.15093 (24.35) (24.35) 49324 LAP INSERT TUNNEL IP CATH 391.31 409.1616 409.1616 (17.85) (17.85) 49325 LAP REVISION PERM IP CATH 419.36 436.63838 436.63838 (17.28) (17.28) 49326 LAP W/OMENTOPEXY ADD-ON 188.68 198.10506 198.10506 (9.43) (9.43) 49327 LAP INS DEVICE FOR RT 129.28 136.9525 136.9525 (7.67) (7.67) 49400 AIR INJECTION INTO ABDOMEN 95.32 143.08169 99.434173 (47.76) (4.11) 49402 REMOVE FOREIGN BODY ADBOMEN 852.89 896.32063 896.32063 (43.43) (43.43) 49405 Image cath fluid colxn visc 213.65 929.20663 225.20235 (715.56) (11.55) 49406 IMAGE CATH FLUID PERI/RETRO 214 930.33545 225.57862 (716.34) (11.58) 49407 IMAGE CATH FLUID TRNS/VGNL 227.96 776.02862 238.71269 (548.07) (10.75) 49411 INS MARK ABD/PEL FOR RT PERQ 198.57 580.55603 208.42335 (381.99) (9.85) 49412 INS DEVICE FOR RT GUIDE OPEN PLACE 81.41 86.26717 86.26717 (4.86) (4.86) 49418 INSERT TUN IP CATH PERC INSER 227.41 1525.2374 230.86289 (1297.83) (3.45) 49419 INSERT TUN IP CATH W/PORT 443.59 468.13816 468.13816 (24.55) (24.55) 49421 INS TUN IP CATH FOR DIAL OPN 229.18 241.01471 241.01471 (11.83) (11.83) 49422 REMOVE TUNNELED IP CATH 380.52 398.7001 398.7001 (18.18) (18.18) 49423 EXCHANGE DRAINAGE CATHETER 72.54 585.33765 76.618362 (512.80) (4.08) 49424 ASSESS CYST CONTRAST INJECT 38.93 155.10448 40.341621 (116.17) (1.41) 49425 INSERT ABDOMEN-VENOUS DRAIN 751.1 764.76517 764.76517 (13.67) (13.67) 49426 REVISE ABDOMEN-VENOUS SHUNT 617.35 638.80832 638.80832 (21.46) (21.46) 49427 INJECTION ABDOMINAL SHUNT 45.57 47.251988 47.251988 (1.68) (1.68) 49428 LIGATION OF SHUNT 430.76 559.64843 559.64843 (128.89) (128.89) 49429 REMOVAL OF SHUNT 457.55 481.33058 481.33058 (23.78) (23.78) 49435 INSERT SUBQ EXTEN TO IP CATH 119.41 125.27412 125.27412 (5.86) (5.86) 49436 EMBEDDED IP CATH EXIT-SITE 186.63 196.09625 196.09625 (9.47) (9.47) 49440 Place gastrostomy tube perc 226.86 1106.1696 235.47696 (879.31) (8.62) 49441 Place duod/jej tube perc 257.48 1236.8988 270.63313 (979.42) (13.15) 49442 Place cecostomy tube perc 222.69 1028.7507 235.57005 (806.06) (12.88) 49446 Change g-tube to g-j perc 164.63 1064.2513 172.11117 (899.62) (7.48) 49450 Replace g/c tube perc 67.34 710.87491 70.460539 (643.53) (3.12) 49451 Replace duod/jej tube perc 92.45 775.73433 96.563982 (683.28) (4.11) 49452 Replace g-j tube perc 142.04 957.87846 148.14184 (815.84) (6.10) 49460 Fix g/colon tube w/device 48.67 782.72311 50.49845 (734.05) (1.83) 49465 FLUORO EXAM OF G/COLON TUBE 30.9 173.06921 32.719882 (142.17) (1.82) 49491 RPR HERN PREEMIE REDUC 790.03 780.83351 780.83351 9.20 9.20 49492 RPR ING HERN PREMIE BLOCKED 940.5 902.56438 902.56438 37.94 37.94 49495 RPR ING HERNIA BABY REDUC 397.62 392.28809 392.28809 5.33 5.33 49496 RPR ING HERNIA BABY BLOCKED 608.97 575.58287 575.58287 33.39 33.39 49500 RPR ING HERNIA INIT REDUCE 379.13 432.5531 432.5531 (53.42) (53.42) 49501 RPR ING HERNIA INIT BLOCKED 602.26 634.36323 634.36323 (32.10) (32.10) 49505 PRP I/HERN INIT REDUC >5 YR 518.47 545.39629 545.39629 (26.93) (26.93) 49507 PRP I/HERN INIT BLOCK >5 YR 583.62 613.25586 613.25586 (29.64) (29.64) 49520 REREPAIR ING HERNIA REDUCE 628.94 661.70003 661.70003 (32.76) (32.76) 49521 REREPAIR ING HERNIA BLOCKED 712.53 749.46406 749.46406 (36.93) (36.93) 49525 REPAIR ING HERNIA SLIDING 570.52 600.09709 600.09709 (29.58) (29.58) 49540 REPAIR LUMBAR HERNIA 670.19 704.445 704.445 (34.25) (34.25) 49550 RPR REM HERNIA INIT REDUCE 572.62 602.93435 602.93435 (30.31) (30.31) 49553 RPR FEM HERNIA INIT BLOCKED 629.07 661.08747 661.08747 (32.02) (32.02) 49555 REREPAIR FEM HERNIA REDUCE 592.83 624.67898 624.67898 (31.85) (31.85) 49557 REREPAIR FEM HERNIA BLOCKED 720.24 757.51147 757.51147 (37.27) (37.27) 49560 RPR VENTRAL HERN INIT REDUC 734.46 771.5932 771.5932 (37.13) (37.13) 49561 RPR VENTRAL HERN INIT BLOCK 926.86 973.12588 973.12588 (46.27) (46.27) 49565 REREPAIR VENTRL HERN REDUCE 766.88 803.74169 803.74169 (36.86) (36.86) 49566 REREPAIR VENTRL HERN BLOCK 937.09 981.48369 981.48369 (44.39) (44.39) 49568 HERNIA REPAIR W/MESH 266.72 279.40086 279.40086 (12.68) (12.68) 49570 RPR EPIGASTRIC HERN REDUCE 415.77 435.96997 435.96997 (20.20) (20.20) 49572 RPR EPIGASTRIC HERN BLOCKED 513.95 541.05395 541.05395 (27.10) (27.10) 49580 RPR UMBIL HERN REDUC < 5 YR 331.96 350.16142 350.16142 (18.20) (18.20) 49582 RPR UMBIL HERN BLOCK < 5 YR 480.98 506.12011 506.12011 (25.14) (25.14) 49585 RPR UMBIL HERN REDUC > 5 YR 442.94 466.03948 466.03948 (23.10) (23.10) 49587 RPR UMBIL HERN BLOCK > 5 YR 474.19 498.42427 498.42427 (24.23) (24.23) 49590 REPAIR SPIGELIAN HERNIA 571.69 599.77023 599.77023 (28.08) (28.08) 49600 REPAIR UMBILICAL LESION 726.83 726.67366 726.67366 0.16 0.16 49605 REPAIR UMBILICAL LESION 4913.67 5168.1396 5168.1396 (254.47) (254.47) 49606 REPAIR UMBILICAL LESION 1127.32 1185.6889 1185.6889 (58.37) (58.37) 49610 REPAIR UMBILICAL LESION 683.97 720.47395 720.47395 (36.50) (36.50) 49611 REPAIR UMBILICAL LESION 554.43 568.18919 568.18919 (13.76) (13.76) 49650 LAP ING HERNIA REPAIR INIT 427.14 448.48074 448.48074 (21.34) (21.34) 49651 LAP ING HERNIA REPAIR RECUR 555.6 583.23826 583.23826 (27.64) (27.64) 49652 LAP VENT/ABD HERNIA REPAIR 681.04 778.66825 778.66825 (97.63) (97.63) 49653 LAP VENT/ABD HERN PROC COMP 850.75 972.16676 972.16676 (121.42) (121.42) 49654 LAP INC HERNIA REPAIR 773.41 885.57594 885.57594 (112.17) (112.17) 49655 LAP INC HERN REPAIR COMP 944.41 1080.5301 1080.5301 (136.12) (136.12) 49656 LAP INC HERNIA REPAIR RECUR 839.74 961.65335 961.65335 (121.91) (121.91) 49657 LAP INC HERN RECUR COMP 1204.63 1381.2911 1381.2911 (176.66) (176.66) 49900 REPAIR OF ABDOMINAL WALL 814.47 854.94757 854.94757 (40.48) (40.48) 49904 OMENTAL FLAP EXTRA-ABDOM 1449.77 1493.6861 1493.6861 (43.92) (43.92) 49905 OMENTAL FLAP INTRA-ABDOM 352.35 369.76585 369.76585 (17.42) (17.42) 50010 EXPLORATION OF KIDNEY 737.32 778.40404 778.40404 (41.08) (41.08) 50020 RENAL ABSCESS OPEN DRAIN 1023.17 1055.5408 1055.5408 (32.37) (32.37) 50040 DRAINAGE OF KIDNEY 915.75 967.43669 967.43669 (51.69) (51.69) 50045 EXPLORATION OF KIDNEY 920.4 972.49864 972.49864 (52.10) (52.10) 50060 REMOVAL OF KIDNEY STONE 1124.93 1189.2444 1189.2444 (64.31) (64.31) 50065 INCISION OF KIDNEY 1194.13 1260.7678 1260.7678 (66.64) (66.64) 50070 INCISION OF KIDNEY 1170.86 1236.4305 1236.4305 (65.57) (65.57) 50075 REMOVAL OF KIDNEY STONE 1439.99 1520.2857 1520.2857 (80.30) (80.30) 50080 REMOVAL OF KIDNEY STONE 859.78 906.84478 906.84478 (47.06) (47.06) 50081 REMOVAL OF KIDNEY STONE 1261.5 1331.4754 1331.4754 (69.98) (69.98) 50100 REVISE KIDNEY BLOOD VESSELS 1074.32 1130.4078 1130.4078 (56.09) (56.09) 50120 EXPLORATION OF KIDNEY 937.34 990.19486 990.19486 (52.85) (52.85) 50125 EXPLORE AND DRAIN KIDNEY 970.06 1024.7879 1024.7879 (54.73) (54.73) 50130 REMOVAL OF KIDNEY STONE 1019.74 1077.7802 1077.7802 (58.04) (58.04) 50135 EXPLORATION OF KIDNEY 1107.61 1170.0183 1170.0183 (62.41) (62.41) 50200 RENAL BIOPSY PERQ 144.69 652.69994 150.37727 (508.01) (5.69) 50205 RENAL BIOPSY OPEN 751.25 787.31176 787.31176 (36.06) (36.06) 50220 REMOVE KIDNEY OPEN 1034.37 1090.9447 1090.9447 (56.57) (56.57) 50225 REMOVAL KIDNEY OPEN COMPLEX 1185.61 1252.6216 1252.6216 (67.01) (67.01) 50230 REMOVAL KIDNEY OPEN RADICAL 1265.83 1336.5159 1336.5159 (70.69) (70.69) 50234 REMOVAL OF KIDNEY & URETER 1285.12 1355.434 1355.434 (70.31) (70.31) 50236 REMOVAL OF KIDNEY & URETER 1447.81 1530.217 1530.217 (82.41) (82.41) 50240 PARTIAL REMOVAL OF KIDNEY 1308.12 1380.4301 1380.4301 (72.31) (72.31) 50250 CRYOABLATE RENAL MASS OPEN 1201.87 1268.4827 1268.4827 (66.61) (66.61) 50280 REMOVAL OF KIDNEY LESION 944.36 996.74543 996.74543 (52.39) (52.39) 50290 REMOVAL OF KIDNEY LESION 887.43 937.3013 937.3013 (49.87) (49.87) 50320 REMOVE KIDNEY LIVING DONOR 1420.15 1577.6892 1577.6892 (157.54) (157.54) 50327 PREP RENAL GRAFT/VENOUS 214.78 227.21044 227.21044 (12.43) (12.43) 50328 PREP RENAL GRAFT/ARTERIAL 188.21 198.95642 198.95642 (10.75) (10.75) 50329 PREP RENAL GRAFT/URETERAL 173.47 190.89253 190.89253 (17.42) (17.42) 50340 REMOVAL OF KIDNEY 945.45 994.61561 994.61561 (49.17) (49.17) 50360 TRANSPLANTATION OF KIDNEY 2405.17 2533.2123 2533.2123 (128.04) (128.04) 50365 TRANSPLANTATION OF KIDNEY 2825.69 2972.95 2972.95 (147.26) (147.26) 50370 REMOVE TRANSPLANTED KIDNEY 1193.46 1257.1881 1257.1881 (63.73) (63.73) 50380 REIMPLANTATION OF KIDNEY 1994.82 2100.6434 2100.6434 (105.82) (105.82) 50382 CHANGE URETER STENT PERCUT 272.97 1259.9262 286.13509 (986.96) (13.17) 50384 REMOVE URETER STENT PERCUT 249.77 1001.9735 259.21323 (752.20) (9.44) 50385 Change stent via transureth 230.58 1212.9294 244.78244 (982.35) (14.20) 50386 Remove stent via transureth 175.06 788.01024 184.84677 (612.95) (9.79) 50387 CHANGE NEPHROURETERAL CATH 99.34 578.70546 103.09808 (479.37) (3.76) 50389 REMOVE RENAL TUBE W/FLUORO 54.88 315.13844 57.016076 (260.26) (2.14) 50390 DRAINAGE OF KIDNEY LESION 97.22 102.03514 102.03514 (4.82) (4.82) 50391 INSTLL RX AGNT INTO RNAL TUB 97.62 127.59691 103.13925 (29.98) (5.52) 50395 CREATE PASSAGE TO KIDNEY 180.35 187.79106 187.79106 (7.44) (7.44) 50396 MEASURE KIDNEY PRESSURE 118.56 125.12519 125.12519 (6.57) (6.57) 50400 REVISION OF KIDNEY/URETER 1143.17 1206.6796 1206.6796 (63.51) (63.51) 50405 REVISION OF KIDNEY/URETER 1378.12 1457.9138 1457.9138 (79.79) (79.79) 50500 REPAIR OF KIDNEY WOUND 1279.84 1203.4002 1203.4002 76.44 76.44 50520 CLOSE KIDNEY-SKIN FISTULA 1073.52 1080.6916 1080.6916 (7.17) (7.17) 50525 CLOSE NEPHROVISCERAL FISTULA 1469.04 1599.9504 1599.9504 (130.91) (130.91) 50526 CLOSE NEPHROVISCERAL FISTULA 1423.96 1492.4033 1492.4033 (68.44) (68.44) 50540 REVISION OF HORSESHOE KIDNEY 1132.59 1196.8743 1196.8743 (64.28) (64.28) 50541 LAPARO ABLATE RENAL CYST 909.69 957.73346 957.73346 (48.04) (48.04) 50542 LAPARO ABLATE RENAL MASS 1152.34 1216.2897 1216.2897 (63.95) (63.95) 50543 LAPARO PARTIAL NEPHRECTOMY 1471.14 1550.9152 1550.9152 (79.78) (79.78) 50544 LAPAROSCOPY PYELOPLASTY 1230.86 1298.2507 1298.2507 (67.39) (67.39) 50545 LAPARO RADICAL NEPHRECTOMY 1326.18 1396.5421 1396.5421 (70.36) (70.36) 50546 LAPAROSCOPIC NEPHRECTOMY 1188.36 1254.3902 1254.3902 (66.03) (66.03) 50548 LAPARO REMOVE W/URETER 1330.93 1404.2766 1404.2766 (73.35) (73.35) 50551 KIDNEY ENDOSCOPY 291.51 375.39131 307.66241 (83.88) (16.15) 50553 KIDNEY ENDOSCOPY 311.8 401.74178 327.23999 (89.94) (15.44) 50555 KIDNEY ENDOSCOPY & BIOPSY 337.7 430.75659 357.38361 (93.06) (19.68) 50557 KIDNEY ENDOSCOPY & TREATMENT 341.86 438.48537 362.10222 (96.63) (20.24) 50561 KIDNEY ENDOSCOPY & TREATMENT 390.89 495.36397 411.07912 (104.47) (20.19) 50562 RENAL SCOPE W/TUMOR RESECT 574.88 606.42855 606.42855 (31.55) (31.55) 50570 KIDNEY ENDOSCOPY 485.59 513.43289 513.43289 (27.84) (27.84) 50572 KIDNEY ENDOSCOPY 526.31 554.83745 554.83745 (28.53) (28.53) 50574 KIDNEY ENDOSCOPY & BIOPSY 559.65 590.41105 590.41105 (30.76) (30.76) 50575 KIDNEY ENDOSCOPY 706.92 745.43856 745.43856 (38.52) (38.52) 50576 KIDNEY ENDOSCOPY & TREATMENT 557.51 588.95537 588.95537 (31.45) (31.45) 50580 KIDNEY ENDOSCOPY & TREATMENT 602.05 634.71051 634.71051 (32.66) (32.66) 50590 FRAGMENTING OF KIDNEY STONE 561.34 751.92074 593.1341 (190.58) (31.79) 50592 PERC RF ABLATE RENAL TUMOR 364.85 3356.3074 383.38502 (2991.46) (18.54) 50593 Perc cryo ablate renal tum 482.65 4924.3908 507.71399 (4441.74) (25.06) 50600 EXPLORATION OF URETER 927.36 979.37356 979.37356 (52.01) (52.01) 50605 INSERT URETERAL SUPPORT 968.86 1027.4801 1027.4801 (58.62) (58.62) 50610 REMOVAL OF URETER STONE 933.68 986.36627 986.36627 (52.69) (52.69) 50620 REMOVAL OF URETER STONE 893.05 943.51426 943.51426 (50.46) (50.46) 50630 REMOVAL OF URETER STONE 881.93 931.88528 931.88528 (49.96) (49.96) 50650 REMOVAL OF URETER 1023.1 1079.5875 1079.5875 (56.49) (56.49) 50660 REMOVAL OF URETER 1129.15 1192.5155 1192.5155 (63.37) (63.37) 50684 INJECTION FOR URETER X-RAY 50.42 111.83324 52.758586 (61.41) (2.34) 50686 MEASURE URETER PRESSURE 93.81 163.22672 95.874091 (69.42) (2.06) 50688 CHANGE OF URETER TUBE/STENT 80.2 83.94295 83.94295 (3.74) (3.74) 50690 INJECTION FOR URETER X-RAY 70.57 103.55025 74.201058 (32.98) (3.63) 50700 REVISION OF URETER 917.76 965.96454 965.96454 (48.20) (48.20) 50715 RELEASE OF URETER 1197.21 1274.5227 1274.5227 (77.31) (77.31) 50722 RELEASE OF URETER 1056.1 1076.6342 1076.6342 (20.53) (20.53) 50725 RELEASE/REVISE URETER 1088.15 1159.1806 1159.1806 (71.03) (71.03) 50727 REVISE URETER 500.33 531.76996 531.76996 (31.44) (31.44) 50728 REVISE URETER 690.14 729.24849 729.24849 (39.11) (39.11) 50740 FUSION OF URETER & KIDNEY 1217.65 1280.7636 1280.7636 (63.11) (63.11) 50750 FUSION OF URETER & KIDNEY 1138.85 1203.4002 1203.4002 (64.55) (64.55) 50760 FUSION OF URETERS 1119.41 1179.0027 1179.0027 (59.59) (59.59) 50770 SPLICING OF URETERS 1138.85 1203.4002 1203.4002 (64.55) (64.55) 50780 REIMPLANT URETER IN BLADDER 1096.41 1157.4145 1157.4145 (61.00) (61.00) 50782 REIMPLANT URETER IN BLADDER 1040.52 1172.1485 1172.1485 (131.63) (131.63) 50783 REIMPLANT URETER IN BLADDER 1113.17 1175.4566 1175.4566 (62.29) (62.29) 50785 REIMPLANT URETER IN BLADDER 1195.87 1265.4617 1265.4617 (69.59) (69.59) 50800 IMPLANT URETER IN BOWEL 915.6 966.55491 966.55491 (50.95) (50.95) 50810 FUSION OF URETER & BOWEL 1328.44 1464.0115 1464.0115 (135.57) (135.57) 50815 URINE SHUNT TO INTESTINE 1207.88 1275.5412 1275.5412 (67.66) (67.66) 50820 CONSTRUCT BOWEL BLADDER 1303.74 1373.8935 1373.8935 (70.15) (70.15) 50825 CONSTRUCT BOWEL BLADDER 1637.51 1726.4046 1726.4046 (88.89) (88.89) 50830 REVISE URINE FLOW 1780.69 1880.0151 1880.0151 (99.33) (99.33) 50840 REPLACE URETER BY BOWEL 1214.12 1282.0753 1282.0753 (67.96) (67.96) 50845 APPENDICO-VESICOSTOMY 1233.74 1303.3828 1303.3828 (69.64) (69.64) 50860 TRANSPLANT URETER TO SKIN 933.61 985.9431 985.9431 (52.33) (52.33) 50900 REPAIR OF URETER 840.84 886.74772 886.74772 (45.91) (45.91) 50920 CLOSURE URETER/SKIN FISTULA 870.77 919.14647 919.14647 (48.38) (48.38) 50930 CLOSURE URETER/BOWEL FISTULA 1223.55 1148.9521 1148.9521 74.60 74.60 50940 RELEASE OF URETER 876.67 925.32076 925.32076 (48.65) (48.65) 50945 LAPAROSCOPY URETEROLITHOTOMY 961.2 1015.1093 1015.1093 (53.91) (53.91) 50947 LAPARO NEW URETER/BLADDER 1370.01 1448.8421 1448.8421 (78.83) (78.83) 50948 LAPARO NEW URETER/BLADDER 1259.1 1330.1218 1330.1218 (71.02) (71.02) 50951 ENDOSCOPY OF URETER 303.31 391.85418 320.36256 (88.54) (17.05) 50953 ENDOSCOPY OF URETER 322.76 415.88115 341.75563 (93.12) (19.00) 50955 URETER ENDOSCOPY & BIOPSY 348.82 443.89065 368.63632 (95.07) (19.82) 50957 URETER ENDOSCOPY & TREATMENT 350.54 448.34004 370.82808 (97.80) (20.29) 50961 URETER ENDOSCOPY & TREATMENT 313.73 403.8759 331.25547 (90.15) (17.53) 50970 URETER ENDOSCOPY 366.46 387.46136 387.46136 (21.00) (21.00) 50972 URETER ENDOSCOPY & CATHETER 354.34 374.4014 374.4014 (20.06) (20.06) 50974 URETER ENDOSCOPY & BIOPSY 467.55 494.19864 494.19864 (26.65) (26.65) 50976 URETER ENDOSCOPY & TREATMENT 460.95 487.28827 487.28827 (26.34) (26.34) 50980 URETER ENDOSCOPY & TREATMENT 351.86 372.20965 372.20965 (20.35) (20.35) 51020 INCISE & TREAT BLADDER 465.06 489.51404 489.51404 (24.45) (24.45) 51030 INCISE & TREAT BLADDER 465.15 491.54934 491.54934 (26.40) (26.40) 51040 INCISE & DRAIN BLADDER 285.82 302.57182 302.57182 (16.75) (16.75) 51045 INCISE BLADDER/DRAIN URETER 487.56 512.68142 512.68142 (25.12) (25.12) 51050 REMOVAL OF BLADDER STONE 467.06 493.46937 493.46937 (26.41) (26.41) 51060 REMOVAL OF URETER STONE 574.7 606.71031 606.71031 (32.01) (32.01) 51065 REMOVE URETER CALCULUS 571.83 604.07641 604.07641 (32.25) (32.25) 51080 DRAINAGE OF BLADDER ABSCESS 403.8 427.3841 427.3841 (23.58) (23.58) 51100 Drain bladder by needle 38.91 64.741639 40.660252 (25.83) (1.75) 51101 Drain bladder by trocar/cath 52.17 130.87237 54.112949 (78.70) (1.94) 51102 Drain bl w/cath insertion 144.89 237.53232 151.36611 (92.64) (6.48) 51500 REMOVAL OF BLADDER CYST 628.85 664.42952 664.42952 (35.58) (35.58) 51520 REMOVAL OF BLADDER LESION 586.81 620.15477 620.15477 (33.34) (33.34) 51525 REMOVAL OF BLADDER LESION 850.35 896.08363 896.08363 (45.73) (45.73) 51530 REMOVAL OF BLADDER LESION 785.42 817.03973 817.03973 (31.62) (31.62) 51535 REPAIR OF URETER LESION 769.09 813.26627 813.26627 (44.18) (44.18) 51550 PARTIAL REMOVAL OF BLADDER 958.23 1005.6005 1005.6005 (47.37) (47.37) 51555 PARTIAL REMOVAL OF BLADDER 1256.12 1323.4831 1323.4831 (67.36) (67.36) 51565 REVISE BLADDER & URETER(S) 1278.22 1357.1779 1357.1779 (78.96) (78.96) 51570 REMOVAL OF BLADDER 1461.5 1543.6894 1543.6894 (82.19) (82.19) 51575 REMOVAL OF BLADDER & NODES 1797.61 1899.4362 1899.4362 (101.83) (101.83) 51580 REMOVE BLADDER/REVISE TRACT 1872.42 1977.0731 1977.0731 (104.65) (104.65) 51585 REMOVAL OF BLADDER & NODES 2084.27 2200.7127 2200.7127 (116.44) (116.44) 51590 REMOVE BLADDER/REVISE TRACT 1910.54 2015.6107 2015.6107 (105.07) (105.07) 51595 REMOVE BLADDER/REVISE TRACT 2163.49 2281.6874 2281.6874 (118.20) (118.20) 51596 REMOVE BLADDER/CREATE POUCH 2322.91 2450.7193 2450.7193 (127.81) (127.81) 51597 REMOVAL OF PELVIC STRUCTURES 2273.74 2392.9013 2392.9013 (119.16) (119.16) 51600 INJECTION FOR BLADDER X-RAY 44.12 194.0144 46.139641 (149.89) (2.02) 51605 PREPARATION FOR BLADDER XRAY 37.68 39.811404 39.811404 (2.13) (2.13) 51610 INJECTION FOR BLADDER X-RAY 64.3 112.03408 67.634026 (47.73) (3.33) 51700 IRRIGATION OF BLADDER 44.12 86.752278 46.49121 (42.63) (2.37) 51701 INSERT BLADDER CATHETER 27.53 56.998892 28.778517 (29.47) (1.25) 51702 INSERT TEMP BLADDER CATH 30.04 73.554845 31.412419 (43.51) (1.37) 51703 INSERT BLADDER CATH COMPLEX 80.46 135.65184 85.231439 (55.19) (4.77) 51705 CHANGE OF BLADDER TUBE 51.64 94.997317 53.983706 (43.36) (2.34) 51710 CHANGE OF BLADDER TUBE 78.49 134.74535 83.948678 (56.26) (5.46) 51715 ENDOSCOPIC INJECTION/IMPLANT 198.44 303.62008 209.1759 (105.18) (10.74) 51720 TREATMENT OF BLADDER LESION 78.97 113.75398 84.028515 (34.78) (5.06) 51725 SIMPLE CYSTOMETROGRAM 184.85 195.86354 195.86354 (11.01) (11.01) 51726 COMPLEX CYSTOMETROGRAM 261.03 276.73474 276.73474 (15.70) (15.70) 51727 CYSTOMETROGRAM W/UP 311.02 327.5264 327.5264 (16.51) (16.51) 51728 CYSTOMETROGRAM W/VP 311.67 329.83344 329.83344 (18.16) (18.16) 51729 CYSTOMETROGRAM W/VP&UP 337.97 357.24685 357.24685 (19.28) (19.28) 51736 URINE FLOW MEASUREMENT 15.16 16.226581 16.226581 (1.07) (1.07) 51741 ELECTRO-UROFLOWMETRY FIRST 15.52 16.602853 16.602853 (1.08) (1.08) 51784 ANAL/URINARY MUSCLE STUDY 189.84 201.09841 201.09841 (11.26) (11.26) 51785 ANAL/URINARY MUSCLE STUDY 254.82 264.74345 264.74345 (9.92) (9.92) 51792 URINARY REFLEX STUDY 209.28 222.19934 222.19934 (12.92) (12.92) 51797 INTRAABDOMINAL PRESSURE TEST 110.29 117.41144 117.41144 (7.12) (7.12) 51798 US URINE CAPACITY MEASURE 19.04 19.917695 19.917695 (0.88) (0.88) 51800 REVISION OF BLADDER/URETHRA 1031.31 1089.1565 1089.1565 (57.85) (57.85) 51820 REVISION OF URINARY TRACT 1069.43 1270.5377 1270.5377 (201.11) (201.11) 51840 ATTACH BLADDER/URETHRA 660.58 685.09475 685.09475 (24.51) (24.51) 51841 ATTACH BLADDER/URETHRA 784.36 808.05861 808.05861 (23.70) (23.70) 51845 REPAIR BLADDER NECK 587.63 611.97561 611.97561 (24.35) (24.35) 51860 REPAIR OF BLADDER WOUND 745.79 778.49461 778.49461 (32.70) (32.70) 51865 REPAIR OF BLADDER WOUND 889.03 936.40878 936.40878 (47.38) (47.38) 51880 REPAIR OF BLADDER OPENING 467.6 490.27804 490.27804 (22.68) (22.68) 51900 REPAIR BLADDER/VAGINA LESION 821.04 869.46071 869.46071 (48.42) (48.42) 51920 CLOSE BLADDER-UTERUS FISTULA 800.07 795.80884 795.80884 4.26 4.26 51925 HYSTERECTOMY/BLADDER REPAIR 1049.55 1170.4877 1170.4877 (120.94) (120.94) 51940 CORRECTION OF BLADDER DEFECT 1609.23 1712.1392 1712.1392 (102.91) (102.91) 51960 REVISION OF BLADDER & BOWEL 1377.41 1448.7401 1448.7401 (71.33) (71.33) 51980 CONSTRUCT BLADDER OPENING 704.57 744.31082 744.31082 (39.74) (39.74) 51990 LAPARO URETHRAL SUSPENSION 758.26 784.05384 784.05384 (25.79) (25.79) 51992 LAPARO SLING OPERATION 856.43 879.0329 879.0329 (22.60) (22.60) 52000 CYSTOSCOPY 125.18 213.59593 131.5687 (88.42) (6.39) 52001 CYSTOSCOPY REMOVAL OF CLOTS 284.23 386.95119 300.03244 (102.72) (15.80) 52005 CYSTOSCOPY & URETER CATHETER 132.12 278.03469 139.19044 (145.91) (7.07) 52007 CYSTOSCOPY AND BIOPSY 164.42 464.95184 172.96503 (300.53) (8.55) 52010 CYSTOSCOPY & DUCT CATHETER 164.42 384.05343 172.96503 (219.63) (8.55) 52204 CYSTOSCOPY W/BIOPSY(S) 140.37 386.74175 148.18552 (246.37) (7.82) 52214 CYSTOSCOPY AND TREATMENT 174.01 693.56355 183.33917 (519.55) (9.33) 52224 CYSTOSCOPY AND TREATMENT 201.82 725.59676 212.73848 (523.78) (10.92) 52234 CYSTOSCOPY AND TREATMENT 242.85 257.18043 257.18043 (14.33) (14.33) 52235 CYSTOSCOPY AND TREATMENT 285.31 301.16125 301.16125 (15.85) (15.85) 52240 CYSTOSCOPY AND TREATMENT 387.77 409.70578 409.70578 (21.94) (21.94) 52250 CYSTOSCOPY AND RADIOTRACER 237.37 250.27006 250.27006 (12.90) (12.90) 52260 CYSTOSCOPY AND TREATMENT 208.53 220.49448 220.49448 (11.96) (11.96) 52265 CYSTOSCOPY AND TREATMENT 163.2 383.78421 170.0619 (220.58) (6.86) 52270 CYSTOSCOPY & REVISE URETHRA 180.37 371.73027 189.99105 (191.36) (9.62) 52275 CYSTOSCOPY & REVISE URETHRA 245.62 501.61703 260.05062 (256.00) (14.43) 52276 CYSTOSCOPY AND TREATMENT 262.01 276.41468 276.41468 (14.40) (14.40) 52277 CYSTOSCOPY AND TREATMENT 319.64 337.78133 337.78133 (18.14) (18.14) 52281 CYSTOSCOPY AND TREATMENT 151.62 284.45923 159.16077 (132.84) (7.54) 52282 CYSTOSCOPY IMPLANT STENT 333.3 352.3052 352.3052 (19.01) (19.01) 52283 CYSTOSCOPY AND TREATMENT 199.49 288.59392 210.70569 (89.10) (11.22) 52285 CYSTOSCOPY AND TREATMENT 194.34 291.81819 205.2757 (97.48) (10.94) 52287 Cystoscopy chemodenervation 167.74 325.00921 176.38191 (157.27) (8.64) 52290 CYSTOSCOPY AND TREATMENT 241.13 255.01338 255.01338 (13.88) (13.88) 52300 CYSTOSCOPY AND TREATMENT 279.87 293.13854 293.13854 (13.27) (13.27) 52301 CYSTOSCOPY AND TREATMENT 286.99 303.29537 303.29537 (16.31) (16.31) 52305 CYSTOSCOPY AND TREATMENT 275.85 290.88091 290.88091 (15.03) (15.03) 52310 CYSTOSCOPY AND TREATMENT 150.43 253.50614 157.93314 (103.08) (7.50) 52315 CYSTOSCOPY AND TREATMENT 270.98 431.04336 286.93131 (160.06) (15.95) 52317 REMOVE BLADDER STONE 343.49 842.03548 363.04165 (498.55) (19.55) 52318 REMOVE BLADDER STONE 467.87 494.54197 494.54197 (26.67) (26.67) 52320 CYSTOSCOPY AND TREATMENT 243.46 257.79299 257.79299 (14.33) (14.33) 52325 CYSTOSCOPY STONE REMOVAL 316.78 334.78762 334.78762 (18.01) (18.01) 52327 CYSTOSCOPY INJECT MATERIAL 259.2 273.04219 273.04219 (13.84) (13.84) 52330 CYSTOSCOPY AND TREATMENT 260.86 515.65758 275.59626 (254.80) (14.74) 52332 CYSTOSCOPY AND TREATMENT 154.34 513.11712 162.43193 (358.78) (8.09) 52334 CREATE PASSAGE TO KIDNEY 253.69 267.71353 267.71353 (14.02) (14.02) 52341 CYSTO W/URETER STRICTURE TX 280.79 296.44264 296.44264 (15.65) (15.65) 52342 CYSTO W/UP STRICTURE TX 305.43 322.58726 322.58726 (17.16) (17.16) 52343 CYSTO W/RENAL STRICTURE TX 340.53 359.96811 359.96811 (19.44) (19.44) 52344 CYSTO/URETERO STRICTURE TX 365.18 386.08802 386.08802 (20.91) (20.91) 52345 CYSTO/URETERO W/UP STRICTURE 389.82 411.88107 411.88107 (22.06) (22.06) 52346 CYSTOURETERO W/RENAL STRICT 441.6 468.13637 468.13637 (26.54) (26.54) 52351 CYSTOURETERO & OR PYELOSCOPE 299.14 316.00375 316.00375 (16.86) (16.86) 52352 CYSTOURETERO W/STONE REMOVE 350.61 370.12494 370.12494 (19.51) (19.51) 52353 CYSTOURETERO W/LITHOTRIPSY 387.4 409.70578 409.70578 (22.31) (22.31) 52354 CYSTOURETERO W/BIOPSY 412.42 435.8504 435.8504 (23.43) (23.43) 52355 CYSTOURETERO W/EXCISE TUMOR 462.46 488.46649 488.46649 (26.01) (26.01) 52356 Cysto/uretero w/lithotripsy 411.34 432.58747 432.58747 (21.25) (21.25) 52400 CYSTOURETERO W/CONGEN REPR 472.29 499.23517 499.23517 (26.95) (26.95) 52402 CYSTOURETHRO CUT EJACUL DUCT 263.31 278.16178 278.16178 (14.85) (14.85) 52441 Cystourethro w/implant 234.99 1313.0291 244.41762 (1078.04) (9.43) 52442 Cystourethro w/addl implant 82.71 1023.4668 83.916457 (940.76) (1.21) 52450 INCISION OF PROSTATE 464.49 490.84621 490.84621 (26.36) (26.36) 52500 REVISION OF BLADDER NECK 482.55 510.09692 510.09692 (27.55) (27.55) 52601 PROSTATECTOMY (TURP) 835.45 881.79604 881.79604 (46.35) (46.35) 52630 REMOVE PROSTATE REGROWTH 395.82 418.66649 418.66649 (22.85) (22.85) 52640 RELIEVE BLADDER CONTRACTURE 311.49 330.22403 330.22403 (18.73) (18.73) 52647 LASER SURGERY OF PROSTATE 639.56 1869.1418 675.98439 (1229.58) (36.42) 52648 LASER SURGERY OF PROSTATE 682.69 1923.2079 720.64365 (1240.52) (37.95) 52649 PROSTATE LASER ENUCLEATION 812.54 858.68881 858.68881 (46.15) (46.15) 52700 DRAINAGE OF PROSTATE ABSCESS 435.53 460.54363 460.54363 (25.01) (25.01) 53000 INCISION OF URETHRA 146.91 154.70816 154.70816 (7.80) (7.80) 53010 INCISION OF URETHRA 290.88 308.68275 308.68275 (17.80) (17.80) 53020 INCISION OF URETHRA 96.14 101.57079 101.57079 (5.43) (5.43) 53025 INCISION OF URETHRA 66.62 71.240291 71.240291 (4.62) (4.62) 53040 DRAINAGE OF URETHRA ABSCESS 388.28 410.38851 410.38851 (22.11) (22.11) 53060 DRAINAGE OF URETHRA ABSCESS 169.23 192.33855 172.77242 (23.11) (3.54) 53080 DRAINAGE OF URINARY LEAKAGE 415.3 447.99921 447.99921 (32.70) (32.70) 53085 DRAINAGE OF URINARY LEAKAGE 654.76 678.08808 678.08808 (23.33) (23.33) 53200 BIOPSY OF URETHRA 140.75 162.81071 148.51238 (22.06) (7.76) 53210 REMOVAL OF URETHRA 760.06 805.73511 805.73511 (45.68) (45.68) 53215 REMOVAL OF URETHRA 916.77 968.26084 968.26084 (51.49) (51.49) 53220 TREATMENT OF URETHRA LESION 447.85 475.56728 475.56728 (27.72) (27.72) 53230 REMOVAL OF URETHRA LESION 603.2 633.19826 633.19826 (30.00) (30.00) 53235 REMOVAL OF URETHRA LESION 624.62 660.79032 660.79032 (36.17) (36.17) 53240 SURGERY FOR URETHRA POUCH 419.69 443.63288 443.63288 (23.94) (23.94) 53250 REMOVAL OF URETHRA GLAND 419.47 413.82436 413.82436 5.65 5.65 53260 TREATMENT OF URETHRA LESION 179.55 209.77378 187.95002 (30.22) (8.40) 53265 TREATMENT OF URETHRA LESION 184.68 226.85172 193.73981 (42.17) (9.06) 53270 REMOVAL OF URETHRA GLAND 189.36 214.13259 191.55629 (24.77) (2.20) 53275 REPAIR OF URETHRA DEFECT 259.48 274.57127 274.57127 (15.09) (15.09) 53400 REVISE URETHRA STAGE 1 792.52 835.74125 835.74125 (43.22) (43.22) 53405 REVISE URETHRA STAGE 2 862.75 910.78865 910.78865 (48.04) (48.04) 53410 RECONSTRUCTION OF URETHRA 967.8 1021.2804 1021.2804 (53.48) (53.48) 53415 RECONSTRUCTION OF URETHRA 1116.83 1178.4667 1178.4667 (61.64) (61.64) 53420 RECONSTRUCT URETHRA STAGE 1 830.93 876.72586 876.72586 (45.80) (45.80) 53425 RECONSTRUCT URETHRA STAGE 2 925.02 976.92905 976.92905 (51.91) (51.91) 53430 RECONSTRUCTION OF URETHRA 961.87 1005.0374 1005.0374 (43.17) (43.17) 53431 RECONSTRUCT URETHRA/BLADDER 1139.28 1204.2186 1204.2186 (64.94) (64.94) 53440 MALE SLING PROCEDURE 743.83 785.00401 785.00401 (41.17) (41.17) 53442 REMOVE/REVISE MALE SLING 773.04 817.09987 817.09987 (44.06) (44.06) 53444 INSERT TANDEM CUFF 782.99 827.38917 827.38917 (44.40) (44.40) 53445 INSERT URO/VES NCK SPHINCTER 744.44 785.67098 785.67098 (41.23) (41.23) 53446 REMOVE URO SPHINCTER 634.67 670.87555 670.87555 (36.21) (36.21) 53447 REMOVE/REPLACE UR SPHINCTER 799.03 843.42063 843.42063 (44.39) (44.39) 53448 REMOV/REPLC UR SPHINCTR COMP 1264.03 1335.7379 1335.7379 (71.71) (71.71) 53449 REPAIR URO SPHINCTER 604.56 638.29314 638.29314 (33.73) (33.73) 53450 REVISION OF URETHRA 403.69 427.98843 427.98843 (24.30) (24.30) 53460 REVISION OF URETHRA 451.94 478.10237 478.10237 (26.16) (26.16) 53500 URETHRLYS TRANSVAG W/ SCOPE 745.89 781.35908 781.35908 (35.47) (35.47) 53502 REPAIR OF URETHRA INJURY 481.29 507.99324 507.99324 (26.70) (26.70) 53505 REPAIR OF URETHRA INJURY 480.57 507.61697 507.61697 (27.05) (27.05) 53510 REPAIR OF URETHRA INJURY 623.23 659.33464 659.33464 (36.10) (36.10) 53515 REPAIR OF URETHRA INJURY 785.44 829.97366 829.97366 (44.53) (44.53) 53520 REPAIR OF URETHRA DEFECT 549.59 581.6451 581.6451 (32.06) (32.06) 53600 DILATE URETHRA STRICTURE 62.95 86.134706 66.192308 (23.18) (3.24) 53601 DILATE URETHRA STRICTURE 52.55 84.305259 55.708613 (31.76) (3.16) 53605 DILATE URETHRA STRICTURE 63.54 67.508005 67.508005 (3.97) (3.97) 53620 DILATE URETHRA STRICTURE 86.32 121.05708 91.331622 (34.74) (5.01) 53621 DILATE URETHRA STRICTURE 70.59 114.42668 75.29443 (43.84) (4.70) 53660 DILATION OF URETHRA 41.18 73.53587 43.434137 (32.36) (2.25) 53661 DILATION OF URETHRA 40.08 72.014315 41.912582 (31.93) (1.83) 53665 DILATION OF URETHRA 38.59 40.316918 40.316918 (1.73) (1.73) 53850 PROSTATIC MICROWAVE THERMOTX 600.33 2181.1437 634.66719 (1580.81) (34.34) 53852 PROSTATIC RF THERMOTX 614.86 2007.4032 649.81508 (1392.54) (34.96) 53855 INSERT PROST URETHRAL STENT 81.62 819.76062 86.030882 (738.14) (4.41) 53860 TRANSURETHRAL RF TREATMENT 234.04 1654.7679 234.71869 (1420.73) (0.68) 54000 SLITTING OF PREPUCE 106.45 154.97094 113.58106 (48.52) (7.13) 54001 SLITTING OF PREPUCE 137.73 192.85981 145.07331 (55.13) (7.34) 54015 DRAIN PENIS LESION 305.97 319.37874 319.37874 (13.41) (13.41) 54050 DESTRUCTION PENIS LESION(S) 103.8 138.95845 111.11435 (35.16) (7.31) 54055 DESTRUCTION PENIS LESION(S) 90.92 125.10227 98.010713 (34.18) (7.09) 54056 CRYOSURGERY PENIS LESION(S) 110.66 148.74151 116.38215 (38.08) (5.72) 54057 LASER SURG PENIS LESION(S) 93.32 141.61705 99.098356 (48.30) (5.78) 54060 EXCISION OF PENIS LESION(S) 129.21 187.69333 136.52038 (58.48) (7.31) 54065 DESTRUCTION PENIS LESION(S) 172.63 228.4796 181.06937 (55.85) (8.44) 54100 BIOPSY OF PENIS 124.37 207.76747 131.7606 (83.40) (7.39) 54105 BIOPSY OF PENIS 210.57 275.81143 222.75712 (65.24) (12.19) 54110 TREATMENT OF PENIS LESION 616.49 651.17195 651.17195 (34.68) (34.68) 54111 TREAT PENIS LESION GRAFT 790.87 835.23896 835.23896 (44.37) (44.37) 54112 TREAT PENIS LESION GRAFT 925.86 978.23078 978.23078 (52.37) (52.37) 54115 TREATMENT OF PENIS LESION 419.2 472.09205 443.49541 (52.89) (24.30) 54120 PARTIAL REMOVAL OF PENIS 624.63 660.307 660.307 (35.68) (35.68) 54125 REMOVAL OF PENIS 803.32 846.97498 846.97498 (43.65) (43.65) 54130 REMOVE PENIS & NODES 1178.78 1244.7249 1244.7249 (65.94) (65.94) 54135 REMOVE PENIS & NODES 1493.12 1576.2059 1576.2059 (83.09) (83.09) 54150 CIRCUMCISION W/REGIONL BLOCK 97.78 160.75822 101.68357 (62.98) (3.90) 54160 CIRCUMCISION NEONATE 142.24 229.20744 150.19039 (86.97) (7.95) 54161 CIRCUM 28 DAYS OR OLDER 194.82 205.48407 205.48407 (10.66) (10.66) 54162 LYSIS PENIL CIRCUMIC LESION 196.96 267.96987 207.7664 (71.01) (10.81) 54163 REPAIR OF CIRCUMCISION 216.34 228.81291 228.81291 (12.47) (12.47) 54164 FRENULOTOMY OF PENIS 192.06 202.31673 202.31673 (10.26) (10.26) 54200 TREATMENT OF PENIS LESION 83.22 111.91057 87.829181 (28.69) (4.61) 54205 TREATMENT OF PENIS LESION 525.67 556.64577 556.64577 (30.98) (30.98) 54220 TREATMENT OF PENIS LESION 132.78 213.15951 140.16281 (80.38) (7.38) 54230 PREPARE PENIS STUDY 78.51 100.89737 83.588875 (22.39) (5.08) 54231 DYNAMIC CAVERNOSOMETRY 115.06 146.22934 121.77168 (31.17) (6.71) 54235 PENILE INJECTION 73.04 94.069348 76.760851 (21.03) (3.72) 54240 PENIS STUDY 98.28 103.70419 103.70419 (5.42) (5.42) 54250 PENIS STUDY 118.23 126.06461 126.06461 (7.83) (7.83) 54300 REVISION OF PENIS 633.26 670.12873 670.12873 (36.87) (36.87) 54304 REVISION OF PENIS 740.34 782.50185 782.50185 (42.16) (42.16) 54308 RECONSTRUCTION OF URETHRA 706.64 746.4861 746.4861 (39.85) (39.85) 54312 RECONSTRUCTION OF URETHRA 808.3 853.87962 853.87962 (45.58) (45.58) 54316 RECONSTRUCTION OF URETHRA 985.47 1040.9156 1040.9156 (55.45) (55.45) 54318 RECONSTRUCTION OF URETHRA 690.23 753.35136 753.35136 (63.12) (63.12) 54322 RECONSTRUCTION OF URETHRA 771.51 814.99118 814.99118 (43.48) (43.48) 54324 RECONSTRUCTION OF URETHRA 956.88 1010.632 1010.632 (53.75) (53.75) 54326 RECONSTRUCTION OF URETHRA 934.44 987.17073 987.17073 (52.73) (52.73) 54328 REVISE PENIS/URETHRA 928.18 980.63663 980.63663 (52.46) (52.46) 54332 REVISE PENIS/URETHRA 1001.47 1057.623 1057.623 (56.15) (56.15) 54336 REVISE PENIS/URETHRA 1175.2 1241.0223 1241.0223 (65.82) (65.82) 54340 SECONDARY URETHRAL SURGERY 562.85 595.51524 595.51524 (32.67) (32.67) 54344 SECONDARY URETHRAL SURGERY 986.43 988.98621 988.98621 (2.56) (2.56) 54348 SECONDARY URETHRAL SURGERY 983.85 1071.5247 1071.5247 (87.67) (87.67) 54352 RECONSTRUCT URETHRA/PENIS 1399.97 1477.7384 1477.7384 (77.77) (77.77) 54360 PENIS PLASTIC SURGERY 712.48 752.19355 752.19355 (39.71) (39.71) 54380 REPAIR PENIS 789.47 834.17852 834.17852 (44.71) (44.71) 54385 REPAIR PENIS 981.1 1089.3906 1089.3906 (108.29) (108.29) 54390 REPAIR PENIS AND BLADDER 1270.55 1309.1852 1309.1852 (38.64) (38.64) 54400 INSERT SEMI-RIGID PROSTHESIS 522.82 553.25682 553.25682 (30.44) (30.44) 54401 INSERT SELF-CONTD PROSTHESIS 648.93 685.54943 685.54943 (36.62) (36.62) 54405 INSERT MULTI-COMP PENIS PROS 798.98 843.32755 843.32755 (44.35) (44.35) 54406 REMOVE MUTI-COMP PENIS PROS 721.27 761.79546 761.79546 (40.53) (40.53) 54408 REPAIR MULTI-COMP PENIS PROS 780.99 825.26579 825.26579 (44.28) (44.28) 54410 REMOVE/REPLACE PENIS PROSTH 849.58 897.00336 897.00336 (47.42) (47.42) 54411 REMOV/REPLC PENIS PROS COMP 1013.35 1070.4492 1070.4492 (57.10) (57.10) 54415 REMOVE SELF-CONTD PENIS PROS 522.24 553.00657 553.00657 (30.77) (30.77) 54416 REMV/REPL PENIS CONTAIN PROS 702.17 741.87955 741.87955 (39.71) (39.71) 54417 REMV/REPLC PENIS PROS COMPL 888.24 937.75992 937.75992 (49.52) (49.52) 54420 REVISION OF PENIS 696.63 736.00241 736.00241 (39.37) (39.37) 54430 REVISION OF PENIS 632.78 668.92832 668.92832 (36.15) (36.15) 54435 REVISION OF PENIS 411.88 436.22524 436.22524 (24.35) (24.35) 54450 PREPUTIAL STRETCHING 56.64 72.385574 59.592338 (15.75) (2.95) 54500 BIOPSY OF TESTIS 73.54 78.370478 78.370478 (4.83) (4.83) 54505 BIOPSY OF TESTIS 207.41 219.08498 219.08498 (11.67) (11.67) 54512 EXCISE LESION TESTIS 533.75 565.53953 565.53953 (31.79) (31.79) 54520 REMOVAL OF TESTIS 323.75 341.15309 341.15309 (17.40) (17.40) 54522 ORCHIECTOMY PARTIAL 596.11 616.30148 616.30148 (20.19) (20.19) 54530 REMOVAL OF TESTIS 500.77 528.56216 528.56216 (27.79) (27.79) 54535 EXTENSIVE TESTIS SURGERY 735.12 776.27816 776.27816 (41.16) (41.16) 54550 EXPLORATION FOR TESTIS 486.41 513.74185 513.74185 (27.33) (27.33) 54560 EXPLORATION FOR TESTIS 678.8 711.75992 711.75992 (32.96) (32.96) 54600 REDUCE TESTIS TORSION 447.83 473.4167 473.4167 (25.59) (25.59) 54620 SUSPENSION OF TESTIS 296.09 313.25386 313.25386 (17.16) (17.16) 54640 SUSPENSION OF TESTIS 474.11 501.92026 501.92026 (27.81) (27.81) 54650 ORCHIOPEXY (FOWLER-STEPHENS) 703.45 743.15157 743.15157 (39.70) (39.70) 54660 REVISION OF TESTIS 352.99 373.58979 373.58979 (20.60) (20.60) 54670 REPAIR TESTIS INJURY 400.67 424.12117 424.12117 (23.45) (23.45) 54680 RELOCATION OF TESTIS(ES) 777.5 821.66525 821.66525 (44.17) (44.17) 54690 LAPAROSCOPY ORCHIECTOMY 735.22 686.51499 686.51499 48.71 48.71 54692 LAPAROSCOPY ORCHIOPEXY 788.03 791.78012 791.78012 (3.75) (3.75) 54700 DRAINAGE OF SCROTUM 211.49 224.22927 224.22927 (12.74) (12.74) 54800 BIOPSY OF EPIDIDYMIS 128.4 131.37931 131.37931 (2.98) (2.98) 54830 REMOVE EPIDIDYMIS LESION 369.15 390.28071 390.28071 (21.13) (21.13) 54840 REMOVE EPIDIDYMIS LESION 317.92 335.70664 335.70664 (17.79) (17.79) 54860 REMOVAL OF EPIDIDYMIS 414.19 437.85133 437.85133 (23.66) (23.66) 54861 REMOVAL OF EPIDIDYMIS 558.92 591.39272 591.39272 (32.47) (32.47) 54865 EXPLORE EPIDIDYMIS 355.13 375.04547 375.04547 (19.92) (19.92) 54900 FUSION OF SPERMATIC DUCTS 778.07 847.56964 847.56964 (69.50) (69.50) 54901 FUSION OF SPERMATIC DUCTS 1064.76 1116.0218 1116.0218 (51.26) (51.26) 55000 DRAINAGE OF HYDROCELE 83.77 122.52351 89.035327 (38.75) (5.27) 55040 REMOVAL OF HYDROCELE 336.04 353.6993 353.6993 (17.66) (17.66) 55041 REMOVAL OF HYDROCELES 505.35 534.00038 534.00038 (28.65) (28.65) 55060 REPAIR OF HYDROCELE 377.94 398.98186 398.98186 (21.04) (21.04) 55100 DRAINAGE OF SCROTUM ABSCESS 166.19 225.12609 173.95315 (58.94) (7.76) 55110 EXPLORE SCROTUM 384.81 405.78518 405.78518 (20.98) (20.98) 55120 REMOVAL OF SCROTUM LESION 355.65 374.37527 374.37527 (18.73) (18.73) 55150 REMOVAL OF SCROTUM 487.7 515.91965 515.91965 (28.22) (28.22) 55175 REVISION OF SCROTUM 359.3 379.34664 379.34664 (20.05) (20.05) 55180 REVISION OF SCROTUM 688.9 720.45104 720.45104 (31.55) (31.55) 55200 INCISION OF SPERM DUCT 277.09 456.36812 291.18486 (179.28) (14.09) 55250 REMOVAL OF SPERM DUCT(S) 225.23 402.21651 237.78579 (176.99) (12.56) 55300 PREPARE SPERM DUCT X-RAY 185.51 195.37987 195.37987 (9.87) (9.87) 55400 REPAIR OF SPERM DUCT 525.56 520.48753 520.48753 5.07 5.07 55450 LIGATION OF SPERM DUCT 253.94 374.9395 269.20716 (121.00) (15.27) 55500 REMOVAL OF HYDROCELE 395.4 414.27474 414.27474 (18.87) (18.87) 55520 REMOVAL OF SPERM CORD LESION 452.49 474.3257 474.3257 (21.84) (21.84) 55530 REVISE SPERMATIC CORD VEINS 349.88 368.93454 368.93454 (19.05) (19.05) 55535 REVISE SPERMATIC CORD VEINS 425.25 449.82364 449.82364 (24.57) (24.57) 55540 REVISE HERNIA & SPERM VEINS 540.09 579.15691 579.15691 (39.07) (39.07) 55550 LAPARO LIGATE SPERMATIC VEIN 423.44 447.92582 447.92582 (24.49) (24.49) 55600 INCISE SPERM DUCT POUCH 416.95 441.11426 441.11426 (24.16) (24.16) 55605 INCISE SPERM DUCT POUCH 536.07 554.19231 554.19231 (18.12) (18.12) 55650 REMOVE SPERM DUCT POUCH 709.09 748.69433 748.69433 (39.60) (39.60) 55680 REMOVE SPERM POUCH LESION 342.35 369.03013 369.03013 (26.68) (26.68) 55700 BIOPSY OF PROSTATE 138.23 227.21904 145.56809 (88.99) (7.34) 55705 BIOPSY OF PROSTATE 262.64 278.61968 278.61968 (15.98) (15.98) 55706 PROSTATE SATURATION SAMPLING 362.95 390.18763 390.18763 (27.24) (27.24) 55720 DRAINAGE OF PROSTATE ABSCESS 446.23 472.49124 472.49124 (26.26) (26.26) 55725 DRAINAGE OF PROSTATE ABSCESS 586.73 664.84303 664.84303 (78.11) (78.11) 55801 REMOVAL OF PROSTATE 1080.23 1140.6627 1140.6627 (60.43) (60.43) 55810 EXTENSIVE PROSTATE SURGERY 1301.98 1374.3331 1374.3331 (72.35) (72.35) 55812 EXTENSIVE PROSTATE SURGERY 1589.33 1678.6363 1678.6363 (89.31) (89.31) 55815 EXTENSIVE PROSTATE SURGERY 1741.46 1839.0938 1839.0938 (97.63) (97.63) 55821 REMOVAL OF PROSTATE 863.7 910.59926 910.59926 (46.90) (46.90) 55831 REMOVAL OF PROSTATE 933.79 986.08881 986.08881 (52.30) (52.30) 55840 EXTENSIVE PROSTATE SURGERY 1321.34 1223.0132 1223.0132 98.33 98.33 55842 EXTENSIVE PROSTATE SURGERY 1415.19 1221.9338 1221.9338 193.26 193.26 55845 EXTENSIVE PROSTATE SURGERY 1615.42 1422.7082 1422.7082 192.71 192.71 55860 SURGICAL EXPOSURE PROSTATE 863.86 912.70044 912.70044 (48.84) (48.84) 55862 EXTENSIVE PROSTATE SURGERY 1083.04 1157.973 1157.973 (74.93) (74.93) 55865 EXTENSIVE PROSTATE SURGERY 1317.82 1391.9026 1391.9026 (74.08) (74.08) 55866 LAPARO RADICAL PROSTATECTOMY 1715.78 1808.4966 1808.4966 (92.72) (92.72) 55870 ELECTROEJACULATION 141.1 183.19525 148.57826 (42.10) (7.48) 55873 CRYOABLATE PROSTATE 756.77 7296.7976 801.59612 (6540.03) (44.83) 55875 TRANSPERI NEEDLE PLACE PROS 754.03 795.09747 795.09747 (41.07) (41.07) 55876 PLACE RT DEVICE/MARKER PROS 99.41 141.57087 105.07252 (42.16) (5.66) 55920 Place needles pelvic for rt 443.5 464.83728 464.83728 (21.34) (21.34) 56405 I & D OF VULVA/PERINEUM 110.08 114.07261 113.32006 (3.99) (3.24) 56420 DRAINAGE OF GLAND ABSCESS 92.54 127.34916 94.989799 (34.81) (2.45) 56440 SURGERY FOR VULVA LESION 185.09 189.25999 189.25999 (4.17) (4.17) 56441 LYSIS OF LABIAL LESION(S) 139.31 150.32715 145.05935 (11.02) (5.75) 56442 HYMENOTOMY 48.85 49.855458 49.855458 (1.01) (1.01) 56501 DESTROY VULVA LESIONS SIM 116.39 136.47599 119.92003 (20.09) (3.53) 56515 DESTROY VULVA LESION/S COMPL 201.99 235.78342 209.82068 (33.79) (7.83) 56605 BIOPSY OF VULVA/PERINEUM 61.11 85.86548 62.912908 (24.76) (1.80) 56606 BIOPSY OF VULVA/PERINEUM 29.64 38.806103 30.528127 (9.17) (0.89) 56620 PARTIAL REMOVAL OF VULVA 516.08 541.92356 541.92356 (25.84) (25.84) 56625 COMPLETE REMOVAL OF VULVA 619 655.64854 655.64854 (36.65) (36.65) 56630 EXTENSIVE VULVA SURGERY 912.78 964.02805 964.02805 (51.25) (51.25) 56631 EXTENSIVE VULVA SURGERY 1160.73 1225.2157 1225.2157 (64.49) (64.49) 56632 EXTENSIVE VULVA SURGERY 1347.29 1436.9729 1436.9729 (89.68) (89.68) 56633 EXTENSIVE VULVA SURGERY 1189.19 1262.0144 1262.0144 (72.82) (72.82) 56634 EXTENSIVE VULVA SURGERY 1264.07 1359.2157 1359.2157 (95.15) (95.15) 56637 EXTENSIVE VULVA SURGERY 1474.56 1574.9973 1574.9973 (100.44) (100.44) 56640 EXTENSIVE VULVA SURGERY 1477.02 1590.1452 1590.1452 (113.13) (113.13) 56700 PARTIAL REMOVAL OF HYMEN 189.83 193.907 193.907 (4.08) (4.08) 56740 REMOVE VAGINA GLAND LESION 302.27 311.92169 311.92169 (9.65) (9.65) 56800 REPAIR OF VAGINA 242.66 250.41506 250.41506 (7.76) (7.76) 56805 REPAIR CLITORIS 1164.4 1180.8776 1180.8776 (16.48) (16.48) 56810 REPAIR OF PERINEUM 262.55 269.64107 269.64107 (7.09) (7.09) 56820 EXAM OF VULVA W/SCOPE 87.08 116.9675 90.252213 (29.89) (3.17) 56821 EXAM/BIOPSY OF VULVA W/SCOPE 116.73 153.56538 119.70093 (36.84) (2.97) 57000 EXPLORATION OF VAGINA 191.69 191.30353 191.30353 0.39 0.39 57010 DRAINAGE OF PELVIC ABSCESS 441.05 449.14772 449.14772 (8.10) (8.10) 57020 DRAINAGE OF PELVIC FLUID 83.13 96.396074 83.979109 (13.27) (0.85) 57022 I & D VAGINAL HEMATOMA PP 175.26 173.44262 173.44262 1.82 1.82 57023 I & D VAG HEMATOMA NON-OB 315.08 320.68048 320.68048 (5.60) (5.60) 57061 DESTROY VAG LESIONS SIMPLE 99.58 118.95018 102.7705 (19.37) (3.19) 57065 DESTROY VAG LESIONS COMPLEX 174.29 203.43731 181.98982 (29.15) (7.70) 57100 BIOPSY OF VAGINA 67.06 93.127416 69.798572 (26.07) (2.74) 57105 BIOPSY OF VAGINA 126.9 142.10932 131.57372 (15.21) (4.67) 57106 REMOVE VAGINA WALL PARTIAL 490.91 514.04903 514.04903 (23.14) (23.14) 57107 REMOVE VAGINA TISSUE PART 1439.67 1512.3701 1512.3701 (72.70) (72.70) 57109 VAGINECTOMY PARTIAL W/NODES 1689.34 1818.7834 1818.7834 (129.44) (129.44) 57110 REMOVE VAGINA WALL COMPLETE 910.14 924.13681 924.13681 (14.00) (14.00) 57111 REMOVE VAGINA TISSUE COMPL 1630.82 1654.2077 1654.2077 (23.39) (23.39) 57112 VAGINECTOMY W/NODES COMPL 1709.42 1946.5786 1946.5786 (237.16) (237.16) 57120 CLOSURE OF VAGINA 517.01 527.60626 527.60626 (10.60) (10.60) 57130 REMOVE VAGINA LESION 160.96 183.36817 164.55459 (22.41) (3.59) 57135 REMOVE VAGINA LESION 174.22 199.00439 179.43826 (24.78) (5.22) 57150 TREAT VAGINA INFECTION 29.64 46.732511 29.800286 (17.09) (0.16) 57155 INSERT UTERI TANDEM/OVOIDS 285.65 446.31404 300.32064 (160.66) (14.67) 57156 INS VAG BRACHYTX DEVICE INSER 144.8 204.25823 151.20393 (59.46) (6.40) 57160 INSERT PESSARY/OTHER DEVICE 47.78 79.185673 48.331397 (31.41) (0.55) 57170 FITTING OF DIAPHRAGM/CAP 48.82 62.596783 49.803546 (13.78) (0.98) 57180 TREAT VAGINAL BLEEDING 106.97 146.92925 109.67836 (39.96) (2.71) 57200 REPAIR OF VAGINA 302.56 314.00568 314.00568 (11.45) (11.45) 57210 REPAIR VAGINA/PERINEUM 370.54 382.32387 382.32387 (11.78) (11.78) 57220 REVISION OF URETHRA 323.47 331.45739 331.45739 (7.99) (7.99) 57230 REPAIR OF URETHRAL LESION 400.94 408.79535 408.79535 (7.86) (7.86) 57240 REPAIR BLADDER & VAGINA 673.12 694.87531 694.87531 (21.76) (21.76) 57250 REPAIR RECTUM & VAGINA 685.36 698.98959 698.98959 (13.63) (13.63) 57260 REPAIR OF VAGINA 844.49 861.77882 861.77882 (17.29) (17.29) 57265 EXTENSIVE REPAIR OF VAGINA 924.7 942.82187 942.82187 (18.12) (18.12) 57267 INSERT MESH/PELVIC FLR ADDON 258.65 264.8573 264.8573 (6.21) (6.21) 57268 REPAIR OF BOWEL BULGE 488.29 501.78279 501.78279 (13.49) (13.49) 57270 REPAIR OF BOWEL POUCH 810.56 824.43914 824.43914 (13.88) (13.88) 57280 SUSPENSION OF VAGINA 964.25 986.74505 986.74505 (22.50) (22.50) 57282 COLPOPEXY EXTRAPERITONEAL 505.54 519.56135 519.56135 (14.02) (14.02) 57283 COLPOPEXY INTRAPERITONEAL 699.17 712.54934 712.54934 (13.38) (13.38) 57284 REPAIR PARAVAG DEFECT OPEN 823.93 842.94304 842.94304 (19.01) (19.01) 57285 REPAIR PARAVAG DEFECT VAG 680.04 695.46317 695.46317 (15.42) (15.42) 57287 REVISE/REMOVE SLING REPAIR 679.6 706.18494 706.18494 (26.58) (26.58) 57288 REPAIR BLADDER DEFECT 714.26 741.19861 741.19861 (26.94) (26.94) 57289 REPAIR BLADDER & VAGINA 719.98 760.43859 760.43859 (40.46) (40.46) 57291 CONSTRUCTION OF VAGINA 632.16 547.9858 547.9858 84.17 84.17 57292 CONSTRUCT VAGINA WITH GRAFT 829.48 842.7422 842.7422 (13.26) (13.26) 57295 REVISE VAG GRAFT VIA VAGINA 482.41 495.7764 495.7764 (13.37) (13.37) 57296 REVISE VAG GRAFT OPEN ABD 964.5 966.46182 966.46182 (1.96) (1.96) 57300 REPAIR RECTUM-VAGINA FISTULA 564.6 589.87618 589.87618 (25.28) (25.28) 57305 REPAIR RECTUM-VAGINA FISTULA 937.95 976.3906 976.3906 (38.44) (38.44) 57307 FISTULA REPAIR & COLOSTOMY 1066.48 1122.3629 1122.3629 (55.88) (55.88) 57308 FISTULA REPAIR TRANSPERINE 674 661.20204 661.20204 12.80 12.80 57310 REPAIR URETHROVAGINAL LESION 454.64 480.92567 480.92567 (26.29) (26.29) 57311 REPAIR URETHROVAGINAL LESION 517.52 547.3625 547.3625 (29.84) (29.84) 57320 REPAIR BLADDER-VAGINA LESION 529.74 551.07581 551.07581 (21.34) (21.34) 57330 REPAIR BLADDER-VAGINA LESION 729.7 770.60114 770.60114 (40.90) (40.90) 57335 REPAIR VAGINA 1139.39 1162.5212 1162.5212 (23.13) (23.13) 57400 DILATION OF VAGINA 135.77 137.44907 137.44907 (1.68) (1.68) 57410 PELVIC EXAMINATION 108.93 112.04053 112.04053 (3.11) (3.11) 57415 REMOVE VAGINAL FOREIGN BODY 160.84 165.98557 165.98557 (5.15) (5.15) 57420 EXAM OF VAGINA W/SCOPE 91.92 122.42219 95.330628 (30.50) (3.41) 57421 EXAM/BIOPSY OF VAG W/SCOPE 125.11 163.75515 129.13815 (38.65) (4.03) 57423 REPAIR PARAVAG DEFECT LAP 930.79 945.07699 945.07699 (14.29) (14.29) 57425 LAPAROSCOPY SURG COLPOPEXY 981.02 1002.4142 1002.4142 (21.39) (21.39) 57426 REVISE PROSTH VAG GRAFT LAP 859.21 873.02007 873.02007 (13.81) (13.81) 57452 EXAM OF CERVIX W/SCOPE 93.15 113.65516 96.346668 (20.51) (3.20) 57454 BX/CURETT OF CERVIX W/SCOPE 138.17 158.74833 141.06357 (20.58) (2.89) 57455 BIOPSY OF CERVIX W/SCOPE 112.87 148.4705 114.98232 (35.60) (2.11) 57456 ENDOCERV CURETTAGE W/SCOPE 105.2 140.09622 107.36058 (34.90) (2.16) 57460 BX OF CERVIX W/SCOPE LEEP 166.15 295.11584 168.68857 (128.97) (2.54) 57461 CONZ OF CERVIX W/SCOPE LEEP 191.43 334.14177 194.92125 (142.71) (3.49) 57500 BIOPSY OF CERVIX 77.11 133.83886 79.279473 (56.73) (2.17) 57505 ENDOCERVICAL CURETTAGE 92.93 106.73907 96.579735 (13.81) (3.65) 57510 CAUTERIZATION OF CERVIX 117.67 135.52332 119.71991 (17.85) (2.05) 57511 CRYOCAUTERY OF CERVIX 134.49 150.84341 137.29763 (16.35) (2.81) 57513 LASER SURGERY OF CERVIX 135.21 150.7693 139.10488 (15.56) (3.89) 57520 CONIZATION OF CERVIX 276.51 318.77871 285.66681 (42.27) (9.16) 57522 CONIZATION OF CERVIX 246.71 273.84522 253.15028 (27.14) (6.44) 57530 REMOVAL OF CERVIX 349.02 361.95258 361.95258 (12.93) (12.93) 57531 REMOVAL OF CERVIX RADICAL 1783.88 1919.9944 1919.9944 (136.11) (136.11) 57540 REMOVAL OF RESIDUAL CERVIX 790.76 830.95605 830.95605 (40.20) (40.20) 57545 REMOVE CERVIX/REPAIR PELVIS 834.36 848.21335 848.21335 (13.85) (13.85) 57550 REMOVAL OF RESIDUAL CERVIX 413.83 422.25056 422.25056 (8.42) (8.42) 57555 REMOVE CERVIX/REPAIR VAGINA 609.62 621.43181 621.43181 (11.81) (11.81) 57556 REMOVE CERVIX REPAIR BOWEL 573.37 587.61605 587.61605 (14.25) (14.25) 57558 D&C OF CERVICAL STUMP 115.45 129.47254 117.80812 (14.02) (2.36) 57700 REVISION OF CERVIX 314.56 322.67067 322.67067 (8.11) (8.11) 57720 REVISION OF CERVIX 311.28 318.40566 318.40566 (7.13) (7.13) 57800 DILATION OF CERVICAL CANAL 49.04 63.203615 50.78665 (14.16) (1.75) 58100 BIOPSY OF UTERUS LINING 89.54 113.63046 91.054162 (24.09) (1.51) 58110 BX DONE W/COLPOSCOPY ADD-ON 41.5 49.682538 42.157105 (8.18) (0.66) 58120 DILATION AND CURETTAGE 221.33 268.68446 227.29458 (47.35) (5.96) 58140 MYOMECTOMY ABDOM METHOD 933.98 953.3632 953.3632 (19.38) (19.38) 58145 MYOMECTOMY VAG METHOD 552.35 568.19241 568.19241 (15.84) (15.84) 58146 MYOMECTOMY ABDOM COMPLEX 1172.28 1189.0023 1189.0023 (16.72) (16.72) 58150 TOTAL HYSTERECTOMY 1016.87 1050.2129 1050.2129 (33.34) (33.34) 58152 TOTAL HYSTERECTOMY 1265.14 1295.962 1295.962 (30.82) (30.82) 58180 PARTIAL HYSTERECTOMY 973.78 997.28638 997.28638 (23.51) (23.51) 58200 EXTENSIVE HYSTERECTOMY 1348.56 1421.1018 1421.1018 (72.54) (72.54) 58210 EXTENSIVE HYSTERECTOMY 1810.11 1915.1218 1915.1218 (105.01) (105.01) 58240 REMOVAL OF PELVIS CONTENTS 2875.06 3028.4023 3028.4023 (153.34) (153.34) 58260 VAGINAL HYSTERECTOMY 839.71 854.37941 854.37941 (14.67) (14.67) 58262 VAG HYST INCLUDING T/O 936.74 953.56082 953.56082 (16.82) (16.82) 58263 VAG HYST W/T/O & VAG REPAIR 1005.83 1021.5521 1021.5521 (15.72) (15.72) 58267 VAG HYST W/URINARY REPAIR 1071.61 1090.5899 1090.5899 (18.98) (18.98) 58270 VAG HYST W/ENTEROCELE REPAIR 895.36 910.83806 910.83806 (15.48) (15.48) 58275 HYSTERECTOMY/REVISE VAGINA 999.36 1019.4263 1019.4263 (20.07) (20.07) 58280 HYSTERECTOMY/REVISE VAGINA 1068.02 1084.1876 1084.1876 (16.17) (16.17) 58285 EXTENSIVE HYSTERECTOMY 1331.6 1485.6276 1485.6276 (154.03) (154.03) 58290 VAG HYST COMPLEX 1169.16 1185.7559 1185.7559 (16.60) (16.60) 58291 VAG HYST INCL T/O COMPLEX 1265.83 1283.4816 1283.4816 (17.65) (17.65) 58292 VAG HYST T/O & REPAIR COMPL 1335.25 1354.7112 1354.7112 (19.46) (19.46) 58293 VAG HYST W/URO REPAIR COMPL 1389.04 1408.1374 1408.1374 (19.10) (19.10) 58294 VAG HYST W/ENTEROCELE COMPL 1238.28 1255.4968 1255.4968 (17.22) (17.22) 58300 INSERT INTRAUTERINE DEVICE 51.04 72.690243 53.124117 (21.65) (2.08) 58301 REMOVE INTRAUTERINE DEVICE 69.12 98.730319 70.133673 (29.61) (1.01) 58340 CATHETER FOR HYSTEROGRAPHY 58.17 124.73101 60.76483 (66.56) (2.59) 58345 REOPEN FALLOPIAN TUBE 282.78 287.75474 287.75474 (4.97) (4.97) 58346 INSERT HEYMAN UTERI CAPSULE 439.55 459.8924 459.8924 (20.34) (20.34) 58350 REOPEN FALLOPIAN TUBE 79.49 99.927515 81.490203 (20.44) (2.00) 58353 ENDOMETR ABLATE THERMAL 222.39 1059.3136 227.00065 (836.92) (4.61) 58356 ENDOMETRIAL CRYOABLATION 351.59 1979.1474 356.28774 (1627.56) (4.70) 58400 SUSPENSION OF UTERUS 443.23 455.32774 455.32774 (12.10) (12.10) 58410 SUSPENSION OF UTERUS 816.17 829.59166 829.59166 (13.42) (13.42) 58520 REPAIR OF RUPTURED UTERUS 837.86 828.71238 828.71238 9.15 9.15 58540 REVISION OF UTERUS 922.73 936.87813 936.87813 (14.15) (14.15) 58541 LSH UTERUS 250 G OR LESS 876.52 844.01744 844.01744 32.50 32.50 58542 LSH W/T/O UT 250 G OR LESS 979.96 948.62884 948.62884 31.33 31.33 58543 LSH UTERUS ABOVE 250 G 994.93 962.81761 962.81761 32.11 32.11 58544 LSH W/T/O UTERUS ABOVE 250 G 1080.92 1058.2939 1058.2939 22.63 22.63 58545 LAPAROSCOPIC MYOMECTOMY 910.14 935.90076 935.90076 (25.76) (25.76) 58546 LAPARO-MYOMECTOMY COMPLEX 1144.2 1159.6829 1159.6829 (15.48) (15.48) 58548 LAP RADICAL HYST 1862.01 1973.1951 1973.1951 (111.19) (111.19) 58550 LAPARO-ASST VAG HYSTERECTOMY 896.79 911.61781 911.61781 (14.83) (14.83) 58552 LAPARO-VAG HYST INCL T/O 996.66 1022.1894 1022.1894 (25.53) (25.53) 58553 LAPARO-VAG HYST COMPLEX 1153.34 1169.7985 1169.7985 (16.46) (16.46) 58554 LAPARO-VAG HYST W/T/O COMPL 1339.28 1371.0011 1371.0011 (31.72) (31.72) 58555 HYSTEROSCOPY DX SEP PROC 193.38 316.69579 196.28886 (123.32) (2.91) 58558 HYSTEROSCOPY BIOPSY 270.9 412.91322 275.57406 (142.01) (4.67) 58559 HYSTEROSCOPY LYSIS 347.68 352.20889 352.20889 (4.53) (4.53) 58560 HYSTEROSCOPY RESECT SEPTUM 393.06 398.05461 398.05461 (4.99) (4.99) 58561 HYSTEROSCOPY REMOVE MYOMA 556.05 564.48304 564.48304 (8.43) (8.43) 58562 HYSTEROSCOPY REMOVE FB 294.21 427.08302 299.52692 (132.87) (5.32) 58563 HYSTEROSCOPY ABLATION 348.04 1751.1869 353.33771 (1403.15) (5.30) 58565 HYSTEROSCOPY STERILIZATION 440.25 1967.9975 447.48367 (1527.75) (7.23) 58570 TLH UTERUS 250 G OR LESS 943.67 915.90895 915.90895 27.76 27.76 58571 Tlh w/t/o 250 g or less 1056.87 1053.5646 1053.5646 3.31 3.31 58572 TLH UTERUS OVER 250 G 1175.9 1154.6052 1154.6052 21.29 21.29 58573 TLH W/T/O UTERUS OVER 250 G 1354.65 1357.7006 1357.7006 (3.05) (3.05) 58600 DIVISION OF FALLOPIAN TUBE 370.35 377.17708 377.17708 (6.83) (6.83) 58605 DIVISION OF FALLOPIAN TUBE 333.94 340.43349 340.43349 (6.49) (6.49) 58611 LIGATE OVIDUCT(S) ADD-ON 78.88 79.947167 79.947167 (1.07) (1.07) 58615 OCCLUDE FALLOPIAN TUBE(S) 247.37 252.32935 252.32935 (4.96) (4.96) 58660 LAPAROSCOPY LYSIS 682.26 696.81753 696.81753 (14.56) (14.56) 58661 LAPAROSCOPY REMOVE ADNEXA 654.16 671.20062 671.20062 (17.04) (17.04) 58662 LAPAROSCOPY EXCISE LESIONS 716.11 734.10208 734.10208 (17.99) (17.99) 58670 LAPAROSCOPY TUBAL CAUTERY 370.71 377.52865 377.52865 (6.82) (6.82) 58671 LAPAROSCOPY TUBAL BLOCK 371.07 377.17708 377.17708 (6.11) (6.11) 58672 LAPAROSCOPY FIMBRIOPLASTY 746.85 757.93142 757.93142 (11.08) (11.08) 58673 LAPAROSCOPY SALPINGOSTOMY 811.85 823.50293 823.50293 (11.65) (11.65) 58700 REMOVAL OF FALLOPIAN TUBE 786.3 811.16509 811.16509 (24.87) (24.87) 58720 REMOVAL OF OVARY/TUBE(S) 736.7 762.6443 762.6443 (25.94) (25.94) 58740 ADHESIOLYSIS TUBE OVARY 887.94 915.12276 915.12276 (27.18) (27.18) 58750 REPAIR OVIDUCT 928.23 942.28592 942.28592 (14.06) (14.06) 58752 REVISE OVARIAN TUBE(S) 860.28 902.16913 902.16913 (41.89) (41.89) 58760 FIMBRIOPLASTY 822.09 834.99694 834.99694 (12.91) (12.91) 58770 CREATE NEW TUBAL OPENING 877.86 878.87072 878.87072 (1.01) (1.01) 58800 DRAINAGE OF OVARIAN CYST(S) 301.92 329.30107 308.60613 (27.38) (6.69) 58805 DRAINAGE OF OVARIAN CYST(S) 410.47 418.35609 418.35609 (7.89) (7.89) 58820 DRAIN OVARY ABSCESS OPEN 316.53 323.50055 323.50055 (6.97) (6.97) 58822 DRAIN OVARY ABSCESS PERCUT 749.45 722.46164 722.46164 26.99 26.99 58825 TRANSPOSITION OVARY(S) 704.77 786.6523 786.6523 (81.88) (81.88) 58900 BIOPSY OF OVARY(S) 452.69 427.43351 427.43351 25.26 25.26 58920 PARTIAL REMOVAL OF OVARY(S) 726.05 738.00979 738.00979 (11.96) (11.96) 58925 REMOVAL OF OVARIAN CYST(S) 751.41 774.01229 774.01229 (22.60) (22.60) 58940 REMOVAL OF OVARY(S) 527.12 545.93152 545.93152 (18.81) (18.81) 58943 REMOVAL OF OVARY(S) 1163.16 1218.3719 1218.3719 (55.21) (55.21) 58950 RESECT OVARIAN MALIGNANCY 1113.47 1174.5336 1174.5336 (61.06) (61.06) 58951 RESECT OVARIAN MALIGNANCY 1428.43 1505.8252 1505.8252 (77.40) (77.40) 58952 RESECT OVARIAN MALIGNANCY 1613.01 1708.1402 1708.1402 (95.13) (95.13) 58953 TAH RAD DISSECT FOR DEBULK 1994.43 2110.197 2110.197 (115.77) (115.77) 58954 TAH RAD DEBULK/LYMPH REMOVE 2162.79 2288.1968 2288.1968 (125.41) (125.41) 58956 BSO OMENTECTOMY W/TAH 1362.93 1436.5784 1436.5784 (73.65) (73.65) 58957 RESECT RECURRENT GYN MAL 1564.1 1651.1735 1651.1735 (87.07) (87.07) 58958 RESECT RECUR GYN MAL W/LYM 1714.63 1813.5123 1813.5123 (98.88) (98.88) 58960 EXPLORATION OF ABDOMEN 954.38 1014.2852 1014.2852 (59.91) (59.91) 59000 AMNIOCENTESIS DIAGNOSTIC 127.48 132.15012 84.739887 (4.67) 42.74 59001 AMNIOCENTESIS THERAPEUTIC 184.78 188.81856 188.81856 (4.04) (4.04) 59012 FETAL CORD PUNCTURE PRENATAL 208.98 212.68084 212.68084 (3.70) (3.70) 59015 CHORION BIOPSY 159.3 163.56325 138.72932 (4.26) 20.57 59020 FETAL CONTRACT STRESS TEST 71.23 75.252543 75.252543 (4.02) (4.02) 59025 FETAL NON-STRESS TEST 48.06 50.379947 50.379947 (2.32) (2.32) 59030 FETAL SCALP BLOOD SAMPLE 99.58 104.41628 104.41628 (4.84) (4.84) 59050 FETAL MONITOR W/REPORT 52.3 53.278063 53.278063 (0.98) (0.98) 59051 FETAL MONITOR/INTERPRET ONLY 43.53 44.217112 44.217112 (0.69) (0.69) 59070 TRANSABDOM AMNIOINFUS W/US 418.73 431.30829 326.70476 (12.58) 92.03 59072 UMBILICAL CORD OCCLUD W/US 538.26 489.79794 489.79794 48.46 48.46 59074 FETAL FLUID DRAINAGE W/US 397.9 413.24725 326.70476 (15.35) 71.20 59076 FETAL SHUNT PLACEMENT W/US 540.42 489.79794 489.79794 50.62 50.62 59100 REMOVE UTERUS LESION 856.17 875.26839 875.26839 (19.10) (19.10) 59120 TREAT ECTOPIC PREGNANCY 815.86 833.21833 833.21833 (17.36) (17.36) 59121 TREAT ECTOPIC PREGNANCY 816.11 833.80619 833.80619 (17.70) (17.70) 59130 TREAT ECTOPIC PREGNANCY 835.79 879.86134 879.86134 (44.07) (44.07) 59135 TREAT ECTOPIC PREGNANCY 828.86 868.86139 868.86139 (40.00) (40.00) 59136 TREAT ECTOPIC PREGNANCY 906.33 921.79003 921.79003 (15.46) (15.46) 59140 TREAT ECTOPIC PREGNANCY 378.6 421.08129 421.08129 (42.48) (42.48) 59150 TREAT ECTOPIC PREGNANCY 790.16 807.35118 807.35118 (17.19) (17.19) 59151 TREAT ECTOPIC PREGNANCY 768.48 784.84326 784.84326 (16.36) (16.36) 59160 D & C AFTER DELIVERY 207.72 214.19596 182.21286 (6.48) 25.51 59200 INSERT CERVICAL DILATOR 73.61 75.716885 47.120239 (2.11) 26.49 59300 EPISIOTOMY OR VAGINAL REPAIR 196.34 202.97869 156.32101 (6.64) 40.02 59320 REVISION OF CERVIX 156.38 159.94374 159.94374 (3.56) (3.56) 59325 REVISION OF CERVIX 218.14 255.26363 255.26363 (37.12) (37.12) 59350 REPAIR OF UTERUS 288.09 295.38865 295.38865 (7.30) (7.30) 59400 OBSTETRICAL CARE 2144.73 2198.2718 2198.2718 (53.54) (53.54) 59409 OBSTETRICAL CARE 840.57 856.79385 856.79385 (16.22) (16.22) 59410 OBSTETRICAL CARE 1070.75 1093.1279 1093.1279 (22.38) (22.38) 59412 ANTEPARTUM MANIPULATION 106.47 108.97844 108.97844 (2.51) (2.51) 59414 DELIVER PLACENTA 94.4 96.399296 96.399296 (2.00) (2.00) 59425 ANTEPARTUM CARE ONLY 465.62 478.39308 374.5421 (12.77) 91.08 59426 ANTEPARTUM CARE ONLY 832.98 857.10496 661.06742 (24.12) 171.91 59430 CARE AFTER DELIVERY 188.31 194.65131 146.48854 (6.34) 41.82 59510 CESAREAN DELIVERY 2371.93 2428.1516 2428.1516 (56.22) (56.22) 59514 CESAREAN DELIVERY ONLY 945.68 962.20469 962.20469 (16.52) (16.52) 59515 CESAREAN DELIVERY 1297.11 1323.2382 1323.2382 (26.13) (26.13) 59525 REMOVE UTERUS AFTER CESAREAN 499.71 509.27815 509.27815 (9.57) (9.57) 59610 VBAC DELIVERY 2249.19 2302.1174 2302.1174 (52.93) (52.93) 59612 VBAC DELIVERY ONLY 943.69 961.24629 961.24629 (17.56) (17.56) 59614 VBAC CARE AFTER DELIVERY 1173.2 1195.3227 1195.3227 (22.12) (22.12) 59618 ATTEMPTED VBAC DELIVERY 2404.43 2460.9431 2460.9431 (56.51) (56.51) 59620 ATTEMPTED VBAC DELIVERY ONLY 977.03 994.97971 994.97971 (17.95) (17.95) 59622 ATTEMPTED VBAC AFTER CARE 1332.81 1358.7213 1358.7213 (25.91) (25.91) 59812 TREATMENT OF MISCARRIAGE 324.63 333.83352 310.1284 (9.20) 14.50 59820 CARE OF MISCARRIAGE 386.96 399.10215 375.02077 (12.14) 11.94 59821 TREATMENT OF MISCARRIAGE 390.59 401.55239 375.21338 (10.96) 15.38 59830 TREAT UTERUS INFECTION 447.06 457.64372 457.64372 (10.58) (10.58) 59840 ABORTION 219.5 227.93435 218.90383 (8.43) 0.60 59841 ABORTION 390.88 400.33372 377.75742 (9.45) 13.12 59850 ABORTION 343.13 364.11139 364.11139 (20.98) (20.98) 59851 ABORTION 408.1 418.48032 418.48032 (10.38) (10.38) 59852 ABORTION 502.87 528.04769 528.04769 (25.18) (25.18) 59855 ABORTION 425.74 435.40503 435.40503 (9.67) (9.67) 59856 ABORTION 499.99 511.31775 511.31775 (11.33) (11.33) 59857 ABORTION 513.88 540.73782 540.73782 (26.86) (26.86) 59866 ABORTION (MPR) 216.12 226.42675 226.42675 (10.31) (10.31) 59870 EVACUATE MOLE OF UTERUS 482.64 495.30383 495.30383 (12.66) (12.66) 59871 REMOVE CERCLAGE SUTURE 137.49 140.77537 140.77537 (3.29) (3.29) 60000 DRAIN THYROID/TONGUE CYST 156.13 167.20424 151.02456 (11.07) 5.11 60100 BIOPSY OF THYROID 79.25 118.92297 83.553432 (39.67) (4.30) 60200 REMOVE THYROID LESION 663.4 692.86399 692.86399 (29.46) (29.46) 60210 PARTIAL THYROID EXCISION 709.19 741.67942 741.67942 (32.49) (32.49) 60212 PARTIAL THYROID EXCISION 1010.44 1058.1253 1058.1253 (47.69) (47.69) 60220 PARTIAL REMOVAL OF THYROID 712.64 741.23978 741.23978 (28.60) (28.60) 60225 PARTIAL REMOVAL OF THYROID 934.46 977.98554 977.98554 (43.53) (43.53) 60240 REMOVAL OF THYROID 923.41 963.42945 963.42945 (40.02) (40.02) 60252 REMOVAL OF THYROID 1322.9 1383.432 1383.432 (60.53) (60.53) 60254 EXTENSIVE THYROID SURGERY 1671.97 1757.1328 1757.1328 (85.16) (85.16) 60260 REPEAT THYROID SURGERY 1098.38 1145.928 1145.928 (47.55) (47.55) 60270 REMOVAL OF THYROID 1371.83 1434.538 1434.538 (62.71) (62.71) 60271 REMOVAL OF THYROID 1060.23 1108.4483 1108.4483 (48.22) (48.22) 60280 REMOVE THYROID DUCT LESION 446.78 468.00748 468.00748 (21.23) (21.23) 60281 REMOVE THYROID DUCT LESION 594.64 619.76633 619.76633 (25.13) (25.13) 60300 Aspir/inj thyroid cyst 50.11 124.93436 52.313934 (74.82) (2.20) 60500 EXPLORE PARATHYROID GLANDS 968.08 1011.2059 1011.2059 (43.13) (43.13) 60502 RE-EXPLORE PARATHYROIDS 1289.4 1348.7814 1348.7814 (59.38) (59.38) 60505 EXPLORE PARATHYROID GLANDS 1389.95 1456.0317 1456.0317 (66.08) (66.08) 60512 AUTOTRANSPLANT PARATHYROID 243.12 254.6815 254.6815 (11.56) (11.56) 60520 REMOVAL OF THYMUS GLAND 1042.82 1095.856 1095.856 (53.04) (53.04) 60521 REMOVAL OF THYMUS GLAND 1138.91 1179.0149 1179.0149 (40.10) (40.10) 60522 REMOVAL OF THYMUS GLAND 1379.24 1428.4615 1428.4615 (49.22) (49.22) 60540 EXPLORE ADRENAL GLAND 1054.16 1105.8835 1105.8835 (51.72) (51.72) 60545 EXPLORE ADRENAL GLAND 1212.91 1273.6005 1273.6005 (60.69) (60.69) 60600 REMOVE CAROTID BODY LESION 1434.2 1467.1867 1467.1867 (32.99) (32.99) 60605 REMOVE CAROTID BODY LESION 1581.82 2100.168 2100.168 (518.35) (518.35) 60650 LAPAROSCOPY ADRENALECTOMY 1187.51 1245.66 1245.66 (58.15) (58.15) 61000 REMOVE CRANIAL CAVITY FLUID 88.52 93.85275 93.85275 (5.33) (5.33) 61001 REMOVE CRANIAL CAVITY FLUID 109.1 85.371422 85.371422 23.73 23.73 61020 REMOVE BRAIN CAVITY FLUID 106.5 111.39252 111.39252 (4.89) (4.89) 61026 INJECTION INTO BRAIN CANAL 107.75 108.67878 108.67878 (0.93) (0.93) 61050 REMOVE BRAIN CANAL FLUID 85.74 90.00769 90.00769 (4.27) (4.27) 61055 INJECTION INTO BRAIN CANAL 118.34 127.72364 127.72364 (9.38) (9.38) 61070 BRAIN CANAL SHUNT PROCEDURE 60.09 60.951713 60.951713 (0.86) (0.86) 61105 TWIST DRILL HOLE 467.16 497.97317 497.97317 (30.81) (30.81) 61107 DRILL SKULL FOR IMPLANTATION 318.4 335.41737 335.41737 (17.02) (17.02) 61108 DRILL SKULL FOR DRAINAGE 916.23 976.14786 976.14786 (59.92) (59.92) 61120 BURR HOLE FOR PUNCTURE 754.75 802.58173 802.58173 (47.83) (47.83) 61140 PIERCE SKULL FOR BIOPSY 1272.98 1348.8637 1348.8637 (75.88) (75.88) 61150 PIERCE SKULL FOR DRAINAGE 1365.83 1454.7421 1454.7421 (88.91) (88.91) 61151 PIERCE SKULL FOR DRAINAGE 1003.07 1067.3023 1067.3023 (64.23) (64.23) 61154 PIERCE SKULL & REMOVE CLOT 1283.31 1357.905 1357.905 (74.60) (74.60) 61156 PIERCE SKULL FOR DRAINAGE 1253.82 1336.7002 1336.7002 (82.88) (82.88) 61210 PIERCE SKULL IMPLANT DEVICE 371.94 394.72974 394.72974 (22.79) (22.79) 61215 INSERT BRAIN-FLUID DEVICE 509.4 540.26453 540.26453 (30.86) (30.86) 61250 PIERCE SKULL & EXPLORE 874.82 931.14348 931.14348 (56.32) (56.32) 61253 PIERCE SKULL & EXPLORE 824.71 987.53268 987.53268 (162.82) (162.82) 61304 OPEN SKULL FOR EXPLORATION 1653.91 1750.037 1750.037 (96.13) (96.13) 61305 OPEN SKULL FOR EXPLORATION 2026.33 2157.2578 2157.2578 (130.93) (130.93) 61312 OPEN SKULL FOR DRAINAGE 2099.78 2222.3492 2222.3492 (122.57) (122.57) 61313 OPEN SKULL FOR DRAINAGE 2002.14 2118.1019 2118.1019 (115.96) (115.96) 61314 OPEN SKULL FOR DRAINAGE 1847.28 1948.6386 1948.6386 (101.36) (101.36) 61315 OPEN SKULL FOR DRAINAGE 2089.74 2210.1045 2210.1045 (120.36) (120.36) 61316 IMPLT CRAN BONE FLAP TO ABDO 88.75 94.158135 94.158135 (5.41) (5.41) 61320 OPEN SKULL FOR DRAINAGE 1920.59 2024.6698 2024.6698 (104.08) (104.08) 61321 OPEN SKULL FOR DRAINAGE 2147.53 2285.8196 2285.8196 (138.29) (138.29) 61322 DECOMPRESSIVE CRANIOTOMY 2395.96 2539.8992 2539.8992 (143.94) (143.94) 61323 DECOMPRESSIVE LOBECTOMY 2404.18 2560.5519 2560.5519 (156.37) (156.37) 61330 DECOMPRESS EYE SOCKET 1874.63 1623.4794 1623.4794 251.15 251.15 61332 EXPLORE/BIOPSY EYE SOCKET 2092.43 1878.6338 1878.6338 213.80 213.80 61333 EXPLORE ORBIT/REMOVE LESION 2139.74 1920.6535 1920.6535 219.09 219.09 61340 SUBTEMPORAL DECOMPRESSION 1458.44 1552.3551 1552.3551 (93.92) (93.92) 61343 INCISE SKULL (PRESS RELIEF) 2218.97 2345.4366 2345.4366 (126.47) (126.47) 61345 RELIEVE CRANIAL PRESSURE 2056.48 2189.934 2189.934 (133.45) (133.45) 61450 INCISE SKULL FOR SURGERY 1938.83 2064.5643 2064.5643 (125.73) (125.73) 61458 INCISE SKULL FOR BRAIN WOUND 2025.19 2144.5988 2144.5988 (119.41) (119.41) 61460 INCISE SKULL FOR SURGERY 2121.3 2258.3732 2258.3732 (137.07) (137.07) 61480 INCISE SKULL FOR SURGERY 1491.31 2082.4639 2082.4639 (591.15) (591.15) 61500 REMOVAL OF SKULL LESION 1344.97 1402.6631 1402.6631 (57.69) (57.69) 61501 REMOVE INFECTED SKULL BONE 1165.18 1232.8285 1232.8285 (67.65) (67.65) 61510 REMOVAL OF BRAIN LESION 2207.73 2333.9519 2333.9519 (126.22) (126.22) 61512 REMOVE BRAIN LINING LESION 2573.73 2720.8712 2720.8712 (147.14) (147.14) 61514 REMOVAL OF BRAIN ABSCESS 1925.3 2040.1439 2040.1439 (114.84) (114.84) 61516 REMOVAL OF BRAIN LESION 1876.12 1988.217 1988.217 (112.10) (112.10) 61517 IMPLT BRAIN CHEMOTX ADD-ON 88.05 94.149901 94.149901 (6.10) (6.10) 61518 REMOVAL OF BRAIN LESION 2786.91 2941.0661 2941.0661 (154.16) (154.16) 61519 REMOVE BRAIN LINING LESION 2977 3146.6593 3146.6593 (169.66) (169.66) 61520 REMOVAL OF BRAIN LESION 3773.63 4004.3203 4004.3203 (230.69) (230.69) 61521 REMOVAL OF BRAIN LESION 3209.38 3374.908 3374.908 (165.53) (165.53) 61522 REMOVAL OF BRAIN ABSCESS 2204.8 2347.4365 2347.4365 (142.64) (142.64) 61524 REMOVAL OF BRAIN LESION 2099.49 2235.1894 2235.1894 (135.70) (135.70) 61526 REMOVAL OF BRAIN LESION 3679.26 3917.7771 3917.7771 (238.52) (238.52) 61530 REMOVAL OF BRAIN LESION 3102.03 3302.347 3302.347 (200.32) (200.32) 61531 IMPLANT BRAIN ELECTRODES 1232.83 1312.7352 1312.7352 (79.91) (79.91) 61533 IMPLANT BRAIN ELECTRODES 1535.72 1630.3994 1630.3994 (94.68) (94.68) 61534 REMOVAL OF BRAIN LESION 1658.79 1766.2389 1766.2389 (107.45) (107.45) 61535 REMOVE BRAIN ELECTRODES 1008.49 1073.0996 1073.0996 (64.61) (64.61) 61536 REMOVAL OF BRAIN LESION 2600.03 2767.8604 2767.8604 (167.83) (167.83) 61537 REMOVAL OF BRAIN TISSUE 2485.5 2623.4129 2623.4129 (137.91) (137.91) 61538 REMOVAL OF BRAIN TISSUE 2691.64 2865.2024 2865.2024 (173.56) (173.56) 61539 REMOVAL OF BRAIN TISSUE 2379.85 2533.9373 2533.9373 (154.09) (154.09) 61540 REMOVAL OF BRAIN TISSUE 2200.63 2342.8496 2342.8496 (142.22) (142.22) 61541 INCISION OF BRAIN TISSUE 2166.04 2306.5235 2306.5235 (140.48) (140.48) 61543 REMOVAL OF BRAIN TISSUE 2189.63 2331.1547 2331.1547 (141.52) (141.52) 61544 REMOVE & TREAT BRAIN LESION 1918.06 2041.3969 2041.3969 (123.34) (123.34) 61545 EXCISION OF BRAIN TUMOR 3210.07 3417.798 3417.798 (207.73) (207.73) 61546 REMOVAL OF PITUITARY GLAND 2325.95 2476.7096 2476.7096 (150.76) (150.76) 61548 REMOVAL OF PITUITARY GLAND 1567.48 1672.3722 1672.3722 (104.89) (104.89) 61550 RELEASE OF SKULL SEAMS 881.56 1025.4237 1025.4237 (143.86) (143.86) 61552 RELEASE OF SKULL SEAMS 1119.64 1172.3816 1172.3816 (52.74) (52.74) 61556 INCISE SKULL/SUTURES 1718.15 1828.493 1828.493 (110.34) (110.34) 61557 INCISE SKULL/SUTURES 1694.68 1804.5806 1804.5806 (109.90) (109.90) 61558 EXCISION OF SKULL/SUTURES 1706.54 1775.7724 1775.7724 (69.23) (69.23) 61559 EXCISION OF SKULL/SUTURES 1751.08 2566.6203 2566.6203 (815.54) (815.54) 61563 EXCISION OF SKULL TUMOR 1996.06 2125.4254 2125.4254 (129.37) (129.37) 61564 EXCISION OF SKULL TUMOR 2425.59 2583.4823 2583.4823 (157.89) (157.89) 61566 REMOVAL OF BRAIN TISSUE 2265.77 2412.0249 2412.0249 (146.25) (146.25) 61567 INCISION OF BRAIN TISSUE 2584.07 2508.6547 2508.6547 75.42 75.42 61570 REMOVE FOREIGN BODY BRAIN 1882.45 2004.8807 2004.8807 (122.43) (122.43) 61571 INCISE SKULL FOR BRAIN WOUND 2004.68 2134.8652 2134.8652 (130.19) (130.19) 61575 SKULL BASE/BRAINSTEM SURGERY 2433.07 2688.9293 2688.9293 (255.86) (255.86) 61576 SKULL BASE/BRAINSTEM SURGERY 3450.8 3604.5494 3604.5494 (153.75) (153.75) 61580 CRANIOFACIAL APPROACH SKULL 2502.86 2649.202 2649.202 (146.34) (146.34) 61581 CRANIOFACIAL APPROACH SKULL 2705.49 2787.9589 2787.9589 (82.47) (82.47) 61582 CRANIOFACIAL APPROACH SKULL 2974.82 3227.3827 3227.3827 (252.56) (252.56) 61583 CRANIOFACIAL APPROACH SKULL 2930.76 3090.196 3090.196 (159.44) (159.44) 61584 ORBITOCRANIAL APPROACH/SKULL 2880.85 3047.33 3047.33 (166.48) (166.48) 61585 ORBITOCRANIAL APPROACH/SKULL 3266.53 3448.3766 3448.3766 (181.85) (181.85) 61586 RESECT NASOPHARYNX SKULL 2471.18 2591.9375 2591.9375 (120.76) (120.76) 61590 INFRATEMPORAL APPROACH/SKULL 3075.14 3209.9542 3209.9542 (134.81) (134.81) 61591 INFRATEMPORAL APPROACH/SKULL 3127.03 3292.0147 3292.0147 (164.98) (164.98) 61592 ORBITOCRANIAL APPROACH/SKULL 3205.78 3398.2791 3398.2791 (192.50) (192.50) 61595 TRANSTEMPORAL APPROACH/SKULL 2390.09 2503.1388 2503.1388 (113.05) (113.05) 61596 TRANSCOCHLEAR APPROACH/SKULL 2475.55 2579.6641 2579.6641 (104.11) (104.11) 61597 TRANSCONDYLAR APPROACH/SKULL 2875.56 3084.3156 3084.3156 (208.76) (208.76) 61598 TRANSPETROSAL APPROACH/SKULL 2861.44 3044.9564 3044.9564 (183.52) (183.52) 61600 RESECT/EXCISE CRANIAL LESION 2162 2255.7218 2255.7218 (93.72) (93.72) 61601 RESECT/EXCISE CRANIAL LESION 2434.09 2570.9998 2570.9998 (136.91) (136.91) 61605 RESECT/EXCISE CRANIAL LESION 2204.32 2296.4035 2296.4035 (92.08) (92.08) 61606 RESECT/EXCISE CRANIAL LESION 3029.25 3249.2236 3249.2236 (219.97) (219.97) 61607 RESECT/EXCISE CRANIAL LESION 2915.62 2838.4925 2838.4925 77.13 77.13 61608 RESECT/EXCISE CRANIAL LESION 3270.94 3479.577 3479.577 (208.64) (208.64) 61611 TRANSECT ARTERY SINUS 395.13 390.67739 390.67739 4.45 4.45 61612 TRANSECT ARTERY SINUS 1401.92 1467.4613 1467.4613 (65.54) (65.54) 61613 REMOVE ANEURYSM SINUS 3310.9 3524.2338 3524.2338 (213.33) (213.33) 61615 RESECT/EXCISE LESION SKULL 2278.64 2885.5533 2885.5533 (606.91) (606.91) 61616 RESECT/EXCISE LESION SKULL 3355.05 3537.5304 3537.5304 (182.48) (182.48) 61618 REPAIR DURA 1315.31 1379.7764 1379.7764 (64.47) (64.47) 61619 REPAIR DURA 1493.11 1527.7915 1527.7915 (34.68) (34.68) 61623 ENDOVASC TEMPORY VESSEL OCCL 556.42 593.21608 593.21608 (36.80) (36.80) 61624 TRANSCATH OCCLUSION CNS 1110.78 1200.9288 1200.9288 (90.15) (90.15) 61626 TRANSCATH OCCLUSION NON-CNS 859.21 906.31421 906.31421 (47.10) (47.10) 61630 INTRACRANIAL ANGIOPLASTY 1279.5 1392.1436 1392.1436 (112.64) (112.64) 61635 INTRACRAN ANGIOPLSTY W/STENT 1395.88 1471.3464 1471.3464 (75.47) (75.47) 61640 DILATE IC VASOSPASM INIT 620.78 649.32997 649.32997 (28.55) (28.55) 61641 DILATE IC VASOSPASM ADD-ON 218.4 228.45132 228.45132 (10.05) (10.05) 61642 DILATE IC VASOSPASM ADD-ON 436.05 456.52636 456.52636 (20.48) (20.48) 61680 INTRACRANIAL VESSEL SURGERY 2272.12 2403.1089 2403.1089 (130.99) (130.99) 61682 INTRACRANIAL VESSEL SURGERY 4216.04 4460.6171 4460.6171 (244.58) (244.58) 61684 INTRACRANIAL VESSEL SURGERY 2867.71 3053.1524 3053.1524 (185.44) (185.44) 61686 INTRACRANIAL VESSEL SURGERY 4538.1 4831.7746 4831.7746 (293.67) (293.67) 61690 INTRACRANIAL VESSEL SURGERY 2204.35 2346.1315 2346.1315 (141.78) (141.78) 61692 INTRACRANIAL VESSEL SURGERY 3691.56 3930.3652 3930.3652 (238.81) (238.81) 61697 BRAIN ANEURYSM REPR COMPLX 4258.37 4515.3659 4515.3659 (257.00) (257.00) 61698 BRAIN ANEURYSM REPR COMPLX 4674.04 4977.3294 4977.3294 (303.29) (303.29) 61700 BRAIN ANEURYSM REPR SIMPLE 3446.37 3644.2508 3644.2508 (197.88) (197.88) 61702 INNER SKULL VESSEL SURGERY 4060.39 4322.9823 4322.9823 (262.59) (262.59) 61703 CLAMP NECK ARTERY 1370.29 1458.3921 1458.3921 (88.10) (88.10) 61705 REVISE CIRCULATION TO HEAD 2624.34 2793.9309 2793.9309 (169.59) (169.59) 61708 REVISE CIRCULATION TO HEAD 1953.55 2732.3856 2732.3856 (778.84) (778.84) 61710 REVISE CIRCULATION TO HEAD 1999.31 2309.0124 2309.0124 (309.70) (309.70) 61711 FUSION OF SKULL ARTERIES 2629.56 2770.5932 2770.5932 (141.03) (141.03) 61720 INCISE SKULL/BRAIN SURGERY 1280.54 1363.3389 1363.3389 (82.80) (82.80) 61735 INCISE SKULL/BRAIN SURGERY 1602.87 1706.6605 1706.6605 (103.79) (103.79) 61750 INCISE SKULL/BRAIN BIOPSY 1418.1 1502.2609 1502.2609 (84.16) (84.16) 61751 BRAIN BIOPSY W/CT/MR GUIDE 1386.73 1476.3157 1476.3157 (89.59) (89.59) 61760 IMPLANT BRAIN ELECTRODES 1593.12 1696.4106 1696.4106 (103.29) (103.29) 61770 INCISE SKULL FOR TREATMENT 1632.13 1742.817 1742.817 (110.69) (110.69) 61781 SCAN PROC CRANIAL INTRA STERE 236.14 251.75116 251.75116 (15.61) (15.61) 61782 SCAN PROC CRANIAL EXTRA STERE 193.09 185.07482 185.07482 8.02 8.02 61783 SCAN PROC SPINAL STERE 236.86 249.01272 249.01272 (12.15) (12.15) 61790 TREAT TRIGEMINAL NERVE 881.71 940.06696 940.06696 (58.36) (58.36) 61791 TREAT TRIGEMINAL TRACT 1121.84 1206.6524 1206.6524 (84.81) (84.81) 61796 SRS CRANIAL LESION SIMPLE 1011.59 1086.674 1086.674 (75.08) (75.08) 61797 SRS CRAN LES SIMPLE ADDL 219.6 236.11494 236.11494 (16.51) (16.51) 61798 SRS CRANIAL LESION COMPLEX 1381.38 1481.4531 1481.4531 (100.07) (100.07) 61799 SRS CRAN LES COMPLEX ADDL 302.61 325.93074 325.93074 (23.32) (23.32) 61800 APPLY SRS HEADFRAME ADD-ON 153.64 165.97805 165.97805 (12.34) (12.34) 61850 IMPLANT NEUROELECTRODES 990.33 1054.127 1054.127 (63.80) (63.80) 61860 IMPLANT NEUROELECTRODES 1577.49 1679.4644 1679.4644 (101.97) (101.97) 61863 IMPLANT NEUROELECTRODE 1516.52 1610.5709 1610.5709 (94.05) (94.05) 61864 IMPLANT NEUROELECTRDE ADDL 287.08 305.63355 305.63355 (18.55) (18.55) 61867 IMPLANT NEUROELECTRODE 2300.57 2435.8979 2435.8979 (135.33) (135.33) 61868 IMPLANT NEUROELECTRDE ADDL 505.49 535.62361 535.62361 (30.13) (30.13) 61880 REVISE/REMOVE NEUROELECTRODE 577.68 608.00059 608.00059 (30.32) (30.32) 61885 INSRT/REDO NEUROSTIM 1 ARRAY 523.03 550.06406 550.06406 (27.03) (27.03) 61886 IMPLANT NEUROSTIM ARRAYS 854.42 904.50767 904.50767 (50.09) (50.09) 61888 REVISE/REMOVE NEURORECEIVER 394.69 421.39168 421.39168 (26.70) (26.70) 62000 TREAT SKULL FRACTURE 1039.51 1105.9931 1105.9931 (66.48) (66.48) 62005 TREAT SKULL FRACTURE 1281.24 1363.6987 1363.6987 (82.46) (82.46) 62010 TREATMENT OF HEAD INJURY 1544.03 1644.0193 1644.0193 (99.99) (99.99) 62100 REPAIR BRAIN FLUID LEAKAGE 1623.17 1708.9511 1708.9511 (85.78) (85.78) 62115 REDUCTION OF SKULL DEFECT 1261.78 1449.9713 1449.9713 (188.19) (188.19) 62117 REDUCTION OF SKULL DEFECT 1567.95 2106.4579 2106.4579 (538.51) (538.51) 62120 REPAIR SKULL CAVITY LESION 1685.33 1755.5307 1755.5307 (70.20) (70.20) 62121 INCISE SKULL REPAIR 1722.68 1709.2078 1709.2078 13.47 13.47 62140 REPAIR OF SKULL DEFECT 1047.62 1103.0184 1103.0184 (55.40) (55.40) 62141 REPAIR OF SKULL DEFECT 1152.78 1219.5197 1219.5197 (66.74) (66.74) 62142 REMOVE SKULL PLATE/FLAP 896.74 945.47474 945.47474 (48.73) (48.73) 62143 REPLACE SKULL PLATE/FLAP 1051.67 1115.0813 1115.0813 (63.41) (63.41) 62145 REPAIR OF SKULL & BRAIN 1435.84 1507.2372 1507.2372 (71.40) (71.40) 62146 REPAIR OF SKULL WITH GRAFT 1259.07 1314.9531 1314.9531 (55.88) (55.88) 62147 REPAIR OF SKULL WITH GRAFT 1468.48 1565.1383 1565.1383 (96.66) (96.66) 62148 RETR BONE FLAP TO FIX SKULL 127.85 136.15879 136.15879 (8.31) (8.31) 62160 NEUROENDOSCOPY ADD-ON 191.98 204.58975 204.58975 (12.61) (12.61) 62161 DISSECT BRAIN W/SCOPE 1530.65 1630.2727 1630.2727 (99.62) (99.62) 62162 REMOVE COLLOID CYST W/SCOPE 1905.43 2028.589 2028.589 (123.16) (123.16) 62163 ZNEUROENDOSCOPY W/FB REMOVAL 1234.1 1314.6717 1314.6717 (80.57) (80.57) 62164 REMOVE BRAIN TUMOR W/SCOPE 2106.88 2242.4613 2242.4613 (135.58) (135.58) 62165 REMOVE PITUIT TUMOR W/SCOPE 1561.12 1640.61 1640.61 (79.49) (79.49) 62180 ESTABLISH BRAIN CAVITY SHUNT 1614.45 1717.7485 1717.7485 (103.30) (103.30) 62190 ESTABLISH BRAIN CAVITY SHUNT 932.16 615.41611 615.41611 316.74 316.74 62192 ESTABLISH BRAIN CAVITY SHUNT 983.57 1044.8899 1044.8899 (61.32) (61.32) 62194 REPLACE/IRRIGATE CATHETER 432.46 522.67034 522.67034 (90.21) (90.21) 62200 ESTABLISH BRAIN CAVITY SHUNT 1387.64 1477.0335 1477.0335 (89.39) (89.39) 62201 BRAIN CAVITY SHUNT W/SCOPE 1212.78 1290.8613 1290.8613 (78.08) (78.08) 62220 ESTABLISH BRAIN CAVITY SHUNT 1028.84 1095.4682 1095.4682 (66.63) (66.63) 62223 ESTABLISH BRAIN CAVITY SHUNT 1063.44 1120.0519 1120.0519 (56.61) (56.61) 62225 REPLACE/IRRIGATE CATHETER 528.37 562.6876 562.6876 (34.32) (34.32) 62230 REPLACE/REVISE BRAIN SHUNT 850.63 899.72283 899.72283 (49.09) (49.09) 62252 CSF SHUNT REPROGRAM 85.59 90.325606 90.325606 (4.74) (4.74) 62256 REMOVE BRAIN CAVITY SHUNT 605.92 642.79695 642.79695 (36.88) (36.88) 62258 REPLACE BRAIN CAVITY SHUNT 1136.53 1199.9149 1199.9149 (63.38) (63.38) 62263 EPIDURAL LYSIS MULT SESSIONS 353.03 669.17069 352.34995 (316.14) 0.68 62264 EPIDURAL LYSIS ON SINGLE DAY 238.75 440.72367 248.82512 (201.97) (10.08) 62267 INTERDISCAL PERQ ASPIR DX 161.23 262.62473 168.55682 (101.39) (7.33) 62268 DRAIN SPINAL CORD CYST 262.42 276.63951 276.63951 (14.22) (14.22) 62269 NEEDLE BIOPSY SPINAL CORD 268.92 283.30285 283.30285 (14.38) (14.38) 62270 SPINAL FLUID TAP DIAGNOSTIC 79.37 168.07708 82.28714 (88.71) (2.92) 62272 DRAIN CEREBRO SPINAL FLUID 86.04 213.39186 88.093395 (127.35) (2.05) 62273 INJECT EPIDURAL PATCH 113.78 182.21967 119.75857 (68.44) (5.98) 62280 TREAT SPINAL CORD LESION 173.73 315.8627 165.7303 (142.13) 8.00 62281 TREAT SPINAL CORD LESION 160.36 245.42579 160.76466 (85.07) (0.40) 62282 TREAT SPINAL CANAL LESION 145.57 310.81149 153.52994 (165.24) (7.96) 62284 INJECTION FOR MYELOGRAM 86.87 193.05672 91.0871 (106.19) (4.22) 62287 PERCUTANEOUS DISKECTOMY 564.62 602.50724 602.50724 (37.89) (37.89) 62290 INJECT FOR SPINE DISK X-RAY 174.87 352.57836 180.99848 (177.71) (6.13) 62291 INJECT FOR SPINE DISK X-RAY 171.03 356.18713 180.84454 (185.16) (9.81) 62292 INJECTION INTO DISK LESION 586.39 614.28945 614.28945 (27.90) (27.90) 62294 INJECTION INTO SPINAL ARTERY 717.69 833.66585 833.66585 (115.98) (115.98) 62302 Myelography lumbar injection 122.48 254.28267 128.23166 (131.80) (5.75) 62303 Myelography lumbar injection 124.27 264.44201 130.11302 (140.17) (5.84) 62304 Myelography lumbar injection 120.4 250.58583 126.03991 (130.19) (5.64) 62305 Myelography lumbar injection 125.6 273.74999 131.5193 (148.15) (5.92) 62310 INJECT SPINE CERV/THORACIC 72.32 254.18064 114.58385 (181.86) (42.26) 62311 INJECT SPINE LUMBAR/SACRAL 70.89 234.52071 94.547653 (163.63) (23.66) 62318 INJECT SPINE W/CATH CRV/THRC 77.07 242.30212 103.83415 (165.23) (26.76) 62319 INJECT SPINE W/CATH LMB/SCRL 78.95 176.00671 100.3761 (97.06) (21.43) 62350 IMPLANT SPINAL CANAL CATH 404.97 423.39333 423.39333 (18.42) (18.42) 62351 IMPLANT SPINAL CANAL CATH 885.48 914.86033 914.86033 (29.38) (29.38) 62355 REMOVE SPINAL CANAL CATHETER 268.06 286.54537 286.54537 (18.49) (18.49) 62360 INSERT SPINE INFUSION DEVICE 314.84 322.61625 322.61625 (7.78) (7.78) 62361 IMPLANT SPINE INFUSION PUMP 351.85 458.89784 458.89784 (107.05) (107.05) 62362 IMPLANT SPINE INFUSION PUMP 389.41 409.2128 409.2128 (19.80) (19.80) 62365 REMOVE SPINE INFUSION DEVICE 294.9 316.30449 316.30449 (21.40) (21.40) 62367 ANALYZE SPINE INFUS PUMP 25.41 42.758209 26.202255 (17.35) (0.79) 62368 ANALYZE SP INF PUMP W/REPROG 34.38 59.328124 36.751825 (24.95) (2.37) 62369 Anal sp inf pmp w/reprg&fill 35.1 127.4333 37.128096 (92.33) (2.03) 62370 ANL SP INF PMP W/MDREPRG&FIL 46.2 133.778 48.740606 (87.58) (2.54) 63001 REMOVE SPINE LAMINA 1/2 CRVL 1248.96 1322.3568 1322.3568 (73.40) (73.40) 63003 REMOVE SPINE LAMINA 1/2 THRC 1247.54 1316.4625 1316.4625 (68.92) (68.92) 63005 REMOVE SPINE LAMINA 1/2 LMBR 1194.45 1256.2157 1256.2157 (61.77) (61.77) 63011 REMOVE SPINE LAMINA 1/2 SCRL 1101.31 1167.9791 1167.9791 (66.67) (66.67) 63012 REMOVE LAMINA/FACETS LUMBAR 1203.77 1262.7169 1262.7169 (58.95) (58.95) 63015 REMOVE SPINE LAMINA >2 CRVCL 1498.35 1580.3335 1580.3335 (81.98) (81.98) 63016 REMOVE SPINE LAMINA >2 THRC 1530.62 1615.2344 1615.2344 (84.61) (84.61) 63017 REMOVE SPINE LAMINA >2 LMBR 1261.84 1333.897 1333.897 (72.06) (72.06) 63020 NECK SPINE DISK SURGERY 1182.27 1238.9724 1238.9724 (56.70) (56.70) 63030 LOW BACK DISK SURGERY 980.44 1028.7221 1028.7221 (48.28) (48.28) 63035 SPINAL DISK SURGERY ADD-ON 194.24 203.25186 203.25186 (9.01) (9.01) 63040 LAMINOTOMY SINGLE CERVICAL 1420.91 1478.6524 1478.6524 (57.74) (57.74) 63042 LAMINOTOMY SINGLE LUMBAR 1313.15 1373.1009 1373.1009 (59.95) (59.95) 63045 REMOVE SPINE LAMINA 1 CRVL 1285.38 1355.2299 1355.2299 (69.85) (69.85) 63046 REMOVE SPINE LAMINA 1 THRC 1223.21 1281.7478 1281.7478 (58.54) (58.54) 63047 REMOVE SPINE LAMINA 1 LMBR 1113.76 1171.3351 1171.3351 (57.58) (57.58) 63048 REMOVE SPINAL LAMINA ADD-ON 215.42 224.98002 224.98002 (9.56) (9.56) 63050 CERVICAL LAMINOPLSTY 2/> SEG 1575.65 1576.9957 1576.9957 (1.35) (1.35) 63051 C-LAMINOPLASTY W/GRAFT/PLATE 1731.09 1815.4284 1815.4284 (84.34) (84.34) 63055 DECOMPRESS SPINAL CORD THRC 1642.43 1734.955 1734.955 (92.52) (92.52) 63056 DECOMPRESS SPINAL CORD LMBR 1494.76 1573.1399 1573.1399 (78.38) (78.38) 63057 DECOMPRESS SPINE CORD ADD-ON 324.64 338.98747 338.98747 (14.35) (14.35) 63064 DECOMPRESS SPINAL CORD THRC 1789.15 1881.726 1881.726 (92.58) (92.58) 63066 DECOMPRESS SPINE CORD ADD-ON 208.89 222.32715 222.32715 (13.44) (13.44) 63075 NECK SPINE DISK SURGERY 1381.36 1437.4455 1437.4455 (56.09) (56.09) 63076 NECK SPINE DISK SURGERY 251.76 262.25383 262.25383 (10.49) (10.49) 63077 SPINE DISK SURGERY THORAX 1508.49 1591.2733 1591.2733 (82.78) (82.78) 63078 SPINE DISK SURGERY THORAX 196.3 201.04614 201.04614 (4.75) (4.75) 63081 REMOVE VERT BODY DCMPRN CRVL 1788.21 1863.815 1863.815 (75.60) (75.60) 63082 REMOVE VERTEBRAL BODY ADD-ON 271.01 283.35297 283.35297 (12.34) (12.34) 63085 REMOVE VERT BODY DCMPRN THRC 1915.63 2028.5965 2028.5965 (112.97) (112.97) 63086 REMOVE VERTEBRAL BODY ADD-ON 191.99 202.7356 202.7356 (10.75) (10.75) 63087 REMOV VERTBR DCMPRN THRCLMBR 2410.47 2552.4472 2552.4472 (141.98) (141.98) 63088 REMOVE VERTEBRAL BODY ADD-ON 259.17 278.22515 278.22515 (19.06) (19.06) 63090 REMOVE VERT BODY DCMPRN LMBR 1982.09 2061.3941 2061.3941 (79.30) (79.30) 63091 REMOVE VERTEBRAL BODY ADD-ON 179.76 187.4864 187.4864 (7.73) (7.73) 63101 REMOVE VERT BODY DCMPRN THRC 2341.47 2467.3329 2467.3329 (125.86) (125.86) 63102 REMOVE VERT BODY DCMPRN LMBR 2261.18 2413.6227 2413.6227 (152.44) (152.44) 63103 REMOVE VERTEBRAL BODY ADD-ON 294.18 312.75228 312.75228 (18.57) (18.57) 63170 INCISE SPINAL CORD TRACT(S) 1605.93 1709.6979 1709.6979 (103.77) (103.77) 63172 DRAINAGE OF SPINAL CYST 1422.93 1522.0468 1522.0468 (99.12) (99.12) 63173 DRAINAGE OF SPINAL CYST 1741.25 1852.7176 1852.7176 (111.47) (111.47) 63180 REVISE SPINAL CORD LIGAMENTS 1498.47 1595.2673 1595.2673 (96.80) (96.80) 63182 REVISE SPINAL CORD LIGAMENTS 1476.63 1751.3223 1751.3223 (274.69) (274.69) 63185 INCISE SPINE NRV HALF SEGMNT 1210.48 1211.3005 1211.3005 (0.82) (0.82) 63190 INCISE SPINE NRV >2 SEGMNTS 1275.83 1333.8741 1333.8741 (58.04) (58.04) 63191 INCISE SPINE ACCESSORY NERVE 1280.24 1479.8947 1479.8947 (199.65) (199.65) 63194 INCISE SPINE & CORD CERVICAL 1255.64 1715.2457 1715.2457 (459.61) (459.61) 63195 INCISE SPINE & CORD THORACIC 1549.89 1226.231 1226.231 323.66 323.66 63196 INCISE SPINE&CORD 2 TRX CRVL 1360.78 1424.7281 1424.7281 (63.95) (63.95) 63197 INCISE SPINE&CORD 2 TRX THRC 1554.09 1837.1638 1837.1638 (283.07) (283.07) 63198 INCISE SPIN&CORD 2 STGS CRVL 1602.35 1678.1978 1678.1978 (75.85) (75.85) 63199 INCISE SPIN&CORD 2 STGS THRC 1681.14 1760.7788 1760.7788 (79.64) (79.64) 63200 RELEASE SPINAL CORD LUMBAR 1553.89 1634.1969 1634.1969 (80.31) (80.31) 63250 REVISE SPINAL CORD VSLS CRVL 2992.81 3186.4689 3186.4689 (193.66) (193.66) 63251 REVISE SPINAL CORD VSLS THRC 3059.71 3257.3906 3257.3906 (197.68) (197.68) 63252 REVISE SPINE CORD VSL THRLMB 3059.01 3256.6545 3256.6545 (197.64) (197.64) 63265 EXCISE INTRASPINL LESION CRV 1686.8 1776.917 1776.917 (90.12) (90.12) 63266 EXCISE INTRSPINL LESION THRC 1741.04 1831.9529 1831.9529 (90.91) (90.91) 63267 EXCISE INTRSPINL LESION LMBR 1390.88 1456.9736 1456.9736 (66.09) (66.09) 63268 EXCISE INTRSPINL LESION SCRL 1467.88 1543.9479 1543.9479 (76.07) (76.07) 63270 EXCISE INTRSPINL LESION CRVL 2093.5 2228.6635 2228.6635 (135.16) (135.16) 63271 EXCISE INTRSPINL LESION THRC 2091.26 2214.3233 2214.3233 (123.06) (123.06) 63272 EXCISE INTRSPINL LESION LMBR 1923.66 2012.216 2012.216 (88.56) (88.56) 63273 EXCISE INTRSPINL LESION SCRL 1880.37 2001.9858 2001.9858 (121.62) (121.62) 63275 BX/EXC XDRL SPINE LESN CRVL 1820.01 1923.7546 1923.7546 (103.74) (103.74) 63276 BX/EXC XDRL SPINE LESN THRC 1802.55 1905.7644 1905.7644 (103.21) (103.21) 63277 BX/EXC XDRL SPINE LESN LMBR 1567.67 1651.6948 1651.6948 (84.02) (84.02) 63278 BX/EXC XDRL SPINE LESN SCRL 1602.09 1705.7812 1705.7812 (103.69) (103.69) 63280 BX/EXC IDRL SPINE LESN CRVL 2136.97 2266.9584 2266.9584 (129.99) (129.99) 63281 BX/EXC IDRL SPINE LESN THRC 2110.31 2234.1998 2234.1998 (123.89) (123.89) 63282 BX/EXC IDRL SPINE LESN LMBR 1994.73 2102.8667 2102.8667 (108.14) (108.14) 63283 BX/EXC IDRL SPINE LESN SCRL 1915.54 2039.2399 2039.2399 (123.70) (123.70) 63285 BX/EXC IDRL IMED LESN CERVL 2637.68 2808.361 2808.361 (170.68) (170.68) 63286 BX/EXC IDRL IMED LESN THRC 2597.12 2776.7782 2776.7782 (179.66) (179.66) 63287 BX/EXC IDRL IMED LESN THRLMB 2768.41 2946.6786 2946.6786 (178.27) (178.27) 63290 BX/EXC XDRL/IDRL LSN ANY LVL 2810.57 2997.0206 2997.0206 (186.45) (186.45) 63295 REPAIR LAMINECTOMY DEFECT 335.69 357.77456 357.77456 (22.08) (22.08) 63300 REMOVE VERT XDRL BODY CRVCL 1855.39 1958.1195 1958.1195 (102.73) (102.73) 63301 REMOVE VERT XDRL BODY THRC 2223.43 2308.9826 2308.9826 (85.55) (85.55) 63302 REMOVE VERT XDRL BODY THRLMB 2195.92 2338.3394 2338.3394 (142.42) (142.42) 63303 REMOV VERT XDRL BDY LMBR/SAC 2332.62 2484.3066 2484.3066 (151.69) (151.69) 63304 REMOVE VERT IDRL BODY CRVCL 2368.89 2522.2968 2522.2968 (153.41) (153.41) 63305 REMOVE VERT IDRL BODY THRC 2522.14 2685.2375 2685.2375 (163.10) (163.10) 63306 REMOV VERT IDRL BDY THRCLMBR 2184.8 2097.0171 2097.0171 87.78 87.78 63307 REMOV VERT IDRL BDY LMBR/SAC 2426.8 2318.8753 2318.8753 107.92 107.92 63308 REMOVE VERTEBRAL BODY ADD-ON 323.69 344.38201 344.38201 (20.69) (20.69) 63600 REMOVE SPINAL CORD LESION 915.55 955.61618 955.61618 (40.07) (40.07) 63610 STIMULATION OF SPINAL CORD 388.67 406.13639 406.13639 (17.47) (17.47) 63615 REMOVE LESION OF SPINAL CORD 1247.5 1134.2682 1134.2682 113.23 113.23 63620 SRS SPINAL LESION 1115.37 1192.4611 1192.4611 (77.09) (77.09) 63621 SRS SPINAL LESION ADDL 251.58 270.9113 270.9113 (19.33) (19.33) 63650 IMPLANT NEUROELECTRODES 416.26 1406.6932 433.6547 (990.43) (17.39) 63655 IMPLANT NEUROELECTRODES 834.83 879.21012 879.21012 (44.38) (44.38) 63661 REMOVE SPINE ELTRD PERQ ARAY 322.17 611.05516 338.63447 (288.89) (16.46) 63662 REMOVE SPINE ELTRD PLATE 775.86 891.27301 891.27301 (115.41) (115.41) 63663 REVISE SPINE ELTRD PERQ ARAY 462.95 829.39189 474.56771 (366.44) (11.62) 63664 REVISE SPINE ELTRD PLATE 803.02 911.11158 911.11158 (108.09) (108.09) 63685 INSRT/REDO SPINE N GENERATOR 366.16 387.93501 387.93501 (21.78) (21.78) 63688 REVISE/REMOVE NEURORECEIVER 370.03 391.86814 391.86814 (21.84) (21.84) 63700 REPAIR OF SPINAL HERNIATION 1276.76 1233.9559 1233.9559 42.80 42.80 63702 REPAIR OF SPINAL HERNIATION 1403.65 1497.8082 1497.8082 (94.16) (94.16) 63704 REPAIR OF SPINAL HERNIATION 1662.72 1570.2396 1570.2396 92.48 92.48 63706 REPAIR OF SPINAL HERNIATION 1817.51 1781.4831 1781.4831 36.03 36.03 63707 REPAIR SPINAL FLUID LEAKAGE 924.06 974.67822 974.67822 (50.62) (50.62) 63709 REPAIR SPINAL FLUID LEAKAGE 1112.67 1166.9878 1166.9878 (54.32) (54.32) 63710 GRAFT REPAIR OF SPINE DEFECT 1116.27 1146.8964 1146.8964 (30.63) (30.63) 63740 INSTALL SPINAL SHUNT 953.38 1023.678 1023.678 (70.30) (70.30) 63741 INSTALL SPINAL SHUNT 656.53 723.46945 723.46945 (66.94) (66.94) 63744 REVISION OF SPINAL SHUNT 690.3 722.89555 722.89555 (32.60) (32.60) 63746 REMOVAL OF SPINAL SHUNT 605.65 644.21146 644.21146 (38.56) (38.56) 64400 N BLOCK INJ TRIGEMINAL 69.34 133.83886 74.387941 (64.50) (5.05) 64402 N BLOCK INJ FACIAL 74.83 136.14339 81.584002 (61.31) (6.75) 64405 N BLOCK INJ OCCIPITAL 63.21 106.32413 66.815608 (43.11) (3.61) 64408 N BLOCK INJ VAGUS 73.43 121.55114 89.56805 (48.12) (16.14) 64410 N BLOCK INJ PHRENIC 76.2 125.7066 70.770936 (49.51) 5.43 64413 N BLOCK INJ CERVICAL PLEXUS 81.05 135.26734 85.975748 (54.22) (4.93) 64415 N BLOCK INJ BRACHIAL PLEXUS 64.61 122.58938 66.901173 (57.98) (2.29) 64416 N BLOCK CONT INFUSE B PLEX 78.04 82.062308 82.062308 (4.02) (4.02) 64417 N BLOCK INJ AXILLARY 70.07 135.04752 73.338963 (64.98) (3.27) 64418 N BLOCK INJ SUPRASCAPULAR 75.32 154.36089 80.611639 (79.04) (5.29) 64420 N BLOCK INJ INTERCOST SNG 68.75 117.46407 70.806379 (48.71) (2.06) 64421 N BLOCK INJ INTERCOST MLT 94.54 157.15446 95.822179 (62.61) (1.28) 64425 N BLOCK INJ ILIO-ING/HYPOGI 94.77 137.77522 97.514149 (43.01) (2.74) 64430 N BLOCK INJ PUDENDAL 81.91 146.58019 87.129266 (64.67) (5.22) 64435 N BLOCK INJ PARACERVICAL 85.34 142.03199 87.096329 (56.69) (1.76) 64445 N BLOCK INJ SCIATIC SNG 71.86 142.00729 75.407204 (70.15) (3.55) 64446 N BLK INJ SCIATIC CONT INF 78.4 82.438579 82.438579 (4.04) (4.04) 64447 N BLOCK INJ FEM SINGLE 65.29 124.06153 67.997051 (58.77) (2.71) 64448 N BLOCK INJ FEM CONT INF 70.08 73.402331 73.402331 (3.32) (3.32) 64449 N BLOCK INJ LUMBAR PLEXUS 81.99 86.904434 86.904434 (4.91) (4.91) 64450 N BLOCK OTHER PERIPHERAL 45.76 84.381874 47.883523 (38.62) (2.12) 64455 N BLOCK INJ PLANTAR DIGIT 35.38 49.438015 35.892235 (14.06) (0.51) 64479 INJ FORAMEN EPIDURAL C/T 135.91 247.83665 139.09414 (111.93) (3.18) 64480 INJ FORAMEN EPIDURAL ADD-ON 65.95 117.8074 65.88191 (51.86) 0.07 64483 INJ FORAMEN EPIDURAL L/S 113.45 230.89297 118.76401 (117.44) (5.31) 64484 INJ FORAMEN EPIDURAL ADD-ON 52.51 91.847161 54.596266 (39.34) (2.09) 64486 Tap block unil by injection 63.2 128.95557 66.118199 (65.76) (2.92) 64487 Tap block uni by infusion 72.52 157.93421 75.90699 (85.41) (3.39) 64488 Tap block bi injection 78.39 158.51384 82.130688 (80.12) (3.74) 64489 Tap block bi by infusion 87.38 221.3734 91.559677 (133.99) (4.18) 64490 INJ PARAVERT F JNT C/T 1 LEV 109.01 200.14574 112.47444 (91.14) (3.46) 64491 INJ PARAVERT F JNT C/T 2 LEV 61.25 97.955579 62.962314 (36.71) (1.71) 64492 INJ PARAVERT F JNT C/T 3 LEV 61.97 98.708122 63.714858 (36.74) (1.74) 64493 INJ PARAVERT F JNT L/S 1 LEV 92.22 180.82091 95.407242 (88.60) (3.19) 64494 INJ PARAVERT F JNT L/S 2 LEV 52.15 90.718346 54.219995 (38.57) (2.07) 64495 INJ PARAVERT F JNT L/S 3 LEV 52.87 91.094618 54.972538 (38.22) (2.10) 64505 N BLOCK SPENOPALATINE GANGL 86 109.14241 91.081371 (23.14) (5.08) 64508 N BLOCK CAROTID SINUS S/P 78.77 64.514301 76.178722 14.26 2.59 64510 N BLOCK STELLATE GANGLION 74.05 133.60258 76.785554 (59.55) (2.74) 64517 N BLOCK INJ HYPOGAS PLXS 120.12 189.71216 128.75615 (69.59) (8.64) 64520 N BLOCK LUMBAR/THORACIC 80.65 196.55272 84.800033 (115.90) (4.15) 64530 N BLOCK INJ CELIAC PELUS 92.82 200.6645 96.437246 (107.84) (3.62) 64550 APPLY NEUROSTIMULATOR 9.02 16.611087 9.0856539 (7.59) (0.07) 64553 IMPLANT NEUROELECTRODES 156.07 224.7935 168.72902 (68.72) (12.66) 64555 IMPLANT NEUROELECTRODES 150.2 222.52763 161.57162 (72.33) (11.37) 64561 IMPLANT NEUROELECTRODES 396.76 862.50917 315.78644 (465.75) 80.97 64565 IMPLANT NEUROELECTRODES 131.35 199.66242 139.08268 (68.31) (7.73) 64566 NEUROELTRD STIM POST TIBIAL POSTE 29.86 127.92485 31.599301 (98.06) (1.74) 64568 INC FOR VAGUS N ELECT IMPL INCIS 614.97 700.90639 700.90639 (85.94) (85.94) 64569 REVISE/REPL VAGUS N ELTRD REVIS 785.77 833.42025 833.42025 (47.65) (47.65) 64570 REMOVE VAGUS N ELTRD REMOV 698.98 708.74223 708.74223 (9.76) (9.76) 64575 IMPLANT NEUROELECTRODES 308.21 335.58814 335.58814 (27.38) (27.38) 64580 IMPLANT NEUROELECTRODES 298.6 316.22787 316.22787 (17.63) (17.63) 64581 IMPLANT NEUROELECTRODES 666 691.79174 691.79174 (25.79) (25.79) 64585 REVISE/REMOVE NEUROELECTRODE 143.78 258.52047 150.90678 (114.74) (7.13) 64590 INSRT/REDO PN/GASTR STIMUL 159.71 278.55667 168.30907 (118.85) (8.60) 64595 REVISE/RMV PN/GASTR STIMUL 126.35 259.51432 133.08704 (133.16) (6.74) 64600 INJECTION TREATMENT OF NERVE 215.29 408.1989 229.09359 (192.91) (13.80) 64605 INJECTION TREATMENT OF NERVE 365.55 625.30228 371.69518 (259.75) (6.15) 64610 INJECTION TREATMENT OF NERVE 488.03 773.33457 512.57831 (285.30) (24.55) 64611 CHEMODENERV SALIV GLANDS 99.13 122.66349 107.23635 (23.53) (8.11) 64612 DESTROY NERVE FACE MUSCLE 124.2 136.95931 122.66098 (12.76) 1.54 64615 Chemodenerv musc migraine 127.57 152.27761 131.20639 (24.71) (3.64) 64616 Chemodenerv musc neck dyston 108.17 129.87101 112.93878 (21.70) (4.77) 64617 Chemodener muscle larynx emg 113.96 200.79696 121.02737 (86.84) (7.07) 64620 INJECTION TREATMENT OF NERVE 173.62 215.1429 181.27845 (41.52) (7.66) 64630 INJECTION TREATMENT OF NERVE 189.21 244.48708 202.72092 (55.28) (13.51) 64632 N BLOCK INJ COMMON DIGIT 69.36 89.210753 71.902257 (19.85) (2.54) 64633 Destroy cerv/thor facet jnt 229.75 443.33215 237.88782 (213.58) (8.14) 64634 DESTROY C/TH FACET JNT ADDL 69.21 199.637 71.328362 (130.43) (2.12) 64635 Destroy lumb/sac facet jnt 226.25 438.94041 235.00117 (212.69) (8.75) 64636 DESTROY L/S FACET JNT ADDL 60.49 181.88886 62.610745 (121.40) (2.12) 64640 INJECTION TREATMENT OF NERVE 94.15 139.60645 97.840299 (45.46) (3.69) 64642 Chemodenerv 1 extremity 1-4 107.38 148.00615 113.76543 (40.63) (6.39) 64643 Chemodenerv 1 extrem 1-4 ea 71.74 97.387412 76.692471 (25.65) (4.95) 64644 Chemodenerv 1 extrem 5/> mus 117.15 170.15427 125.00167 (53.00) (7.85) 64645 Chemodenerv 1 extrem 5/> ea 82.27 119.20866 87.225571 (36.94) (4.96) 64646 Chemodenerv trunk musc 1-5 116.11 160.42885 123.55422 (44.32) (7.44) 64647 Chemodenerv trunk musc 6/> 133.94 185.33187 143.18945 (51.39) (9.25) 64650 CHEMODENERV ECCRINE GLANDS 41.27 82.083073 43.703363 (40.81) (2.43) 64653 CHEMODENERV ECCRINE GLANDS 54.44 99.927515 56.280002 (45.49) (1.84) 64680 INJECTION TREATMENT OF NERVE 169.01 330.54553 177.02669 (161.54) (8.02) 64681 INJECTION TREATMENT OF NERVE 189.24 425.39463 241.77406 (236.15) (52.53) 64702 REVISE FINGER/TOE NERVE 497.59 525.5416 525.5416 (27.95) (27.95) 64704 REVISE HAND/FOOT NERVE 319.02 332.74516 332.74516 (13.73) (13.73) 64708 REVISE ARM/LEG NERVE 496.87 525.43205 525.43205 (28.56) (28.56) 64712 REVISION OF SCIATIC NERVE 563.66 600.86718 600.86718 (37.21) (37.21) 64713 REVISION OF ARM NERVE(S) 727.65 755.8954 755.8954 (28.25) (28.25) 64714 REVISE LOW BACK NERVE(S) 634.8 677.9037 677.9037 (43.10) (43.10) 64716 REVISION OF CRANIAL NERVE 542.69 562.29343 562.29343 (19.60) (19.60) 64718 REVISE ULNAR NERVE AT ELBOW 594.86 621.98959 621.98959 (27.13) (27.13) 64719 REVISE ULNAR NERVE AT WRIST 399.22 421.05193 421.05193 (21.83) (21.83) 64721 CARPAL TUNNEL SURGERY 426.6 452.53523 449.52506 (25.94) (22.93) 64722 RELIEVE PRESSURE ON NERVE(S) 368.82 391.22193 391.22193 (22.40) (22.40) 64726 RELEASE FOOT/TOE NERVE 271.77 288.90754 288.90754 (17.14) (17.14) 64727 INTERNAL NERVE REVISION 184.16 193.13871 193.13871 (8.98) (8.98) 64732 INCISION OF BROW NERVE 415.86 400.13144 400.13144 15.73 15.73 64734 INCISION OF CHEEK NERVE 389.53 534.93586 534.93586 (145.41) (145.41) 64736 INCISION OF CHIN NERVE 440.57 420.14293 420.14293 20.43 20.43 64738 INCISION OF JAW NERVE 486.54 485.16526 485.16526 1.37 1.37 64740 INCISION OF TONGUE NERVE 461.7 480.52326 480.52326 (18.82) (18.82) 64742 INCISION OF FACIAL NERVE 505.88 481.09536 481.09536 24.78 24.78 64744 INCISE NERVE BACK OF HEAD 496.3 528.48733 528.48733 (32.19) (32.19) 64746 INCISE DIAPHRAGM NERVE 435.74 454.67723 454.67723 (18.94) (18.94) 64755 INCISION OF STOMACH NERVES 914.85 962.63395 962.63395 (47.78) (47.78) 64760 INCISION OF VAGUS NERVE 511.53 539.30685 539.30685 (27.78) (27.78) 64763 INCISE HIP/THIGH NERVE 506.55 534.08845 534.08845 (27.54) (27.54) 64766 INCISE HIP/THIGH NERVE 560.38 595.31189 595.31189 (34.93) (34.93) 64771 SEVER CRANIAL NERVE 586.73 627.4944 627.4944 (40.76) (40.76) 64772 INCISION OF SPINAL NERVE 561.31 597.79113 597.79113 (36.48) (36.48) 64774 REMOVE SKIN NERVE LESION 418 437.77651 437.77651 (19.78) (19.78) 64776 REMOVE DIGIT NERVE LESION 392.52 408.41837 408.41837 (15.90) (15.90) 64778 DIGIT NERVE SURGERY ADD-ON 155.08 148.22991 148.22991 6.85 6.85 64782 REMOVE LIMB NERVE LESION 451.36 472.32011 472.32011 (20.96) (20.96) 64783 LIMB NERVE SURGERY ADD-ON 216.9 231.08773 231.08773 (14.19) (14.19) 64784 REMOVE NERVE LESION 739.63 764.89728 764.89728 (25.27) (25.27) 64786 REMOVE SCIATIC NERVE LESION 1085.7 1139.4798 1139.4798 (53.78) (53.78) 64787 IMPLANT NERVE END 243.51 256.27394 256.27394 (12.76) (12.76) 64788 REMOVE SKIN NERVE LESION 398.97 430.24785 430.24785 (31.28) (31.28) 64790 REMOVAL OF NERVE LESION 829.02 885.0715 885.0715 (56.05) (56.05) 64792 REMOVAL OF NERVE LESION 1198.68 1136.8116 1136.8116 61.87 61.87 64795 BIOPSY OF NERVE 195.47 201.62003 201.62003 (6.15) (6.15) 64802 SYMPATHECTOMY CERVICAL 677.41 700.77823 700.77823 (23.37) (23.37) 64804 REMOVE SYMPATHETIC NERVES 1030.61 980.69069 980.69069 49.92 49.92 64809 REMOVE SYMPATHETIC NERVES 712.04 1164.8741 1164.8741 (452.83) (452.83) 64818 REMOVE SYMPATHETIC NERVES 646.15 577.4721 577.4721 68.68 68.68 64820 SYMPATHECTOMY DIGITAL ARTERY 729.57 763.21355 763.21355 (33.64) (33.64) 64821 REMOVE SYMPATHETIC NERVES 701.88 721.35216 721.35216 (19.47) (19.47) 64822 REMOVE SYMPATHETIC NERVES 701.88 721.35216 721.35216 (19.47) (19.47) 64823 SYMPATHECTOMY SUPFC PALMAR 800.34 829.93285 829.93285 (29.59) (29.59) 64831 REPAIR OF DIGIT NERVE 686.76 720.00925 720.00925 (33.25) (33.25) 64832 REPAIR NERVE ADD-ON 339.95 354.81236 354.81236 (14.86) (14.86) 64834 REPAIR OF HAND OR FOOT NERVE 744.41 774.04057 774.04057 (29.63) (29.63) 64835 REPAIR OF HAND OR FOOT NERVE 816.73 858.33832 858.33832 (41.61) (41.61) 64836 REPAIR OF HAND OR FOOT NERVE 816.73 861.38071 861.38071 (44.65) (44.65) 64837 REPAIR NERVE ADD-ON 365.71 399.95745 399.95745 (34.25) (34.25) 64840 REPAIR OF LEG NERVE 927.85 1019.5963 1019.5963 (91.75) (91.75) 64856 REPAIR/TRANSPOSE NERVE 1014 1064.6712 1064.6712 (50.67) (50.67) 64857 REPAIR ARM/LEG NERVE 1061.56 1103.5736 1103.5736 (42.01) (42.01) 64858 REPAIR SCIATIC NERVE 1073.63 1241.4845 1241.4845 (167.85) (167.85) 64859 NERVE SURGERY 259.63 264.99406 264.99406 (5.36) (5.36) 64861 REPAIR OF ARM NERVES 1376.71 1330.6391 1330.6391 46.07 46.07 64862 REPAIR OF LOW BACK NERVES 1371.41 1206.917 1206.917 164.49 164.49 64864 REPAIR OF FACIAL NERVE 877.98 915.80728 915.80728 (37.83) (37.83) 64865 REPAIR OF FACIAL NERVE 1122.07 1170.434 1170.434 (48.36) (48.36) 64866 FUSION OF FACIAL/OTHER NERVE 1164 1212.6405 1212.6405 (48.64) (48.64) 64868 FUSION OF FACIAL/OTHER NERVE 1027.82 1070.4925 1070.4925 (42.67) (42.67) 64872 SUBSEQUENT REPAIR OF NERVE 119.57 124.01857 124.01857 (4.45) (4.45) 64874 REPAIR & REVISE NERVE ADD-ON 168.91 173.08604 173.08604 (4.18) (4.18) 64876 REPAIR NERVE/SHORTEN BONE 184.83 177.87876 177.87876 6.95 6.95 64885 NERVE GRAFT HEAD/NECK 4 CM 1306.16 1364.2007 1364.2007 (58.04) (58.04) 64890 NERVE GRAFT HAND/FOOT 4 CM 1190.32 1225.3718 1225.3718 (35.05) (35.05) 64892 NERVE GRAFT ARM/LEG <4 CM 1086.48 1107.4796 1107.4796 (21.00) (21.00) 64893 NERVE GRAFT ARM/LEG >4 CM 1160.55 1194.4015 1194.4015 (33.85) (33.85) 64895 NERVE GRAFT HAND/FOOT 4 CM 1600.5 1697.915 1697.915 (97.41) (97.41) 64897 NERVE GRAFT ARM/LEG 4 CM 1381.62 1445.998 1445.998 (64.38) (64.38) 64901 NERVE GRAFT ADD-ON 589.96 588.47707 588.47707 1.48 1.48 64902 NERVE GRAFT ADD-ON 682.68 681.583 681.583 1.10 1.10 64905 NERVE PEDICLE TRANSFER 1046.83 1077.6095 1077.6095 (30.78) (30.78) 64907 NERVE PEDICLE TRANSFER 1218.26 1542.4263 1542.4263 (324.17) (324.17) 64910 NERVE REPAIR W/ALLOGRAFT 827.56 868.4665 868.4665 (40.91) (40.91) 64911 NEURORRAPHY W/VEIN AUTOGRAFT 1036.08 1068.5066 1068.5066 (32.43) (32.43) 65091 REVISE EYE 663.36 661.81531 661.81531 1.54 1.54 65093 REVISE EYE WITH IMPLANT 654.7 654.65219 654.65219 0.05 0.05 65101 REMOVAL OF EYE 768.76 769.04844 769.04844 (0.29) (0.29) 65103 REMOVE EYE/INSERT IMPLANT 802.77 800.41969 800.41969 2.35 2.35 65105 REMOVE EYE/ATTACH IMPLANT 886.57 884.94477 884.94477 1.63 1.63 65110 REMOVAL OF EYE 1242.63 1270.3168 1270.3168 (27.69) (27.69) 65112 REMOVE EYE/REVISE SOCKET 1441.64 1472.897 1472.897 (31.26) (31.26) 65114 REMOVE EYE/REVISE SOCKET 1512.35 1543.0908 1543.0908 (30.74) (30.74) 65125 REVISE OCULAR IMPLANT 305.27 479.43705 305.22327 (174.17) 0.05 65130 INSERT OCULAR IMPLANT 763.91 762.05323 762.05323 1.86 1.86 65135 INSERT OCULAR IMPLANT 775.1 773.39651 773.39651 1.70 1.70 65140 ATTACH OCULAR IMPLANT 820.51 841.06598 841.06598 (20.56) (20.56) 65150 REVISE OCULAR IMPLANT 572.73 602.34971 602.34971 (29.62) (29.62) 65155 REINSERT OCULAR IMPLANT 883.78 880.90208 880.90208 2.88 2.88 65175 REMOVAL OF OCULAR IMPLANT 667.3 684.88889 684.88889 (17.59) (17.59) 65205 REMOVE FOREIGN BODY FROM EYE 45.9 58.182841 45.765876 (12.28) 0.13 65210 REMOVE FOREIGN BODY FROM EYE 55.01 71.489826 55.310144 (16.48) (0.30) 65220 REMOVE FOREIGN BODY FROM EYE 43.05 59.99009 43.434137 (16.94) (0.38) 65222 REMOVE FOREIGN BODY FROM EYE 54.67 69.608468 54.181329 (14.94) 0.49 65235 REMOVE FOREIGN BODY FROM EYE 724.08 740.6641 740.6641 (16.58) (16.58) 65260 REMOVE FOREIGN BODY FROM EYE 949.98 996.14289 996.14289 (46.16) (46.16) 65265 REMOVE FOREIGN BODY FROM EYE 1145.36 1121.8939 1121.8939 23.47 23.47 65270 REPAIR OF EYE WOUND 144.43 280.12691 146.55047 (135.70) (2.12) 65272 REPAIR OF EYE WOUND 348.95 525.15423 365.23878 (176.20) (16.29) 65273 REPAIR OF EYE WOUND 377.81 395.88218 395.88218 (18.07) (18.07) 65275 REPAIR OF EYE WOUND 473.51 603.35752 481.06923 (129.85) (7.56) 65280 REPAIR OF EYE WOUND 707.97 698.37345 698.37345 9.60 9.60 65285 REPAIR OF EYE WOUND 1158.29 1152.7768 1152.7768 5.51 5.51 65286 REPAIR OF EYE WOUND 507.78 736.70089 516.2057 (228.92) (8.43) 65290 REPAIR OF EYE SOCKET WOUND 515.78 510.37474 510.37474 5.41 5.41 65400 REMOVAL OF EYE LESION 616.99 709.15716 628.63503 (92.17) (11.65) 65410 BIOPSY OF CORNEA 111.28 148.96957 108.7085 (37.69) 2.57 65420 REMOVAL OF EYE LESION 380.34 539.93015 393.56047 (159.59) (13.22) 65426 REMOVAL OF EYE LESION 489.69 682.06668 498.82238 (192.38) (9.13) 65430 CORNEAL SMEAR 107.17 118.51627 107.22812 (11.35) (0.06) 65435 CURETTE/TREAT CORNEA 72.53 82.646227 72.11062 (10.12) 0.42 65436 CURETTE/TREAT CORNEA 386.77 402.88814 386.70846 (16.12) 0.06 65450 TREATMENT OF CORNEAL LESION 328.33 339.46148 336.07504 (11.13) (7.75) 65600 REVISION OF CORNEA 352.32 411.53344 359.23168 (59.21) (6.91) 65710 CORNEAL TRANSPLANT 1131.42 1152.166 1152.166 (20.75) (20.75) 65730 CORNEAL TRANSPLANT 1255.83 1276.6729 1276.6729 (20.84) (20.84) 65750 CORNEAL TRANSPLANT 1259.02 1283.1938 1283.1938 (24.17) (24.17) 65755 CORNEAL TRANSPLANT 1256.92 1276.602 1276.602 (19.68) (19.68) 65756 CORNEAL TRNSPL ENDOTHELIAL 1174.92 1231.3671 1231.3671 (56.45) (56.45) 65770 REVISE CORNEA WITH IMPLANT 1599.25 1461.2916 1461.2916 137.96 137.96 65772 CORRECTION OF ASTIGMATISM 413.96 470.12298 423.46529 (56.16) (9.51) 65775 CORRECTION OF ASTIGMATISM 547.5 574.76982 574.76982 (27.27) (27.27) 65778 COVER EYE W/MEMBRANE 73.87 1464.5496 73.096946 (1390.68) 0.77 65779 COVER EYE W/MEMBRANE SUTURE 292.1 1294.7773 295.02348 (1002.68) (2.92) 65780 OCULAR RECONST TRANSPLANT 906.07 927.90382 927.90382 (21.83) (21.83) 65781 OCULAR RECONST TRANSPLANT 1322.74 1387.3895 1387.3895 (64.65) (64.65) 65782 OCULAR RECONST TRANSPLANT 1212.62 1197.4378 1197.4378 15.18 15.18 65800 DRAINAGE OF EYE 94.85 123.66055 94.687636 (28.81) 0.16 65810 DRAINAGE OF EYE 476.85 484.92753 484.92753 (8.08) (8.08) 65815 DRAINAGE OF EYE 496.99 667.09815 498.15218 (170.11) (1.16) 65820 RELIEVE INNER EYE PRESSURE 744.04 779.63417 779.63417 (35.59) (35.59) 65850 INCISION OF EYE 876.06 873.28751 873.28751 2.77 2.77 65855 TRABECULOPLASTY LASER SURG 307.88 352.45306 309.55809 (44.57) (1.68) 65860 INCISE INNER EYE ADHESIONS 289.68 321.57909 263.25698 (31.90) 26.42 65865 INCISE INNER EYE ADHESIONS 468.64 492.93629 492.93629 (24.30) (24.30) 65870 INCISE INNER EYE ADHESIONS 614.39 615.67138 615.67138 (1.28) (1.28) 65875 INCISE INNER EYE ADHESIONS 644.14 656.29547 656.29547 (12.16) (12.16) 65880 INCISE INNER EYE ADHESIONS 658.47 690.68512 690.68512 (32.22) (32.22) 65900 REMOVE EYE LESION 955.78 1002.5889 1002.5889 (46.81) (46.81) 65920 REMOVE IMPLANT OF EYE 803.49 821.63232 821.63232 (18.14) (18.14) 65930 REMOVE BLOOD CLOT FROM EYE 664.23 663.14318 663.14318 1.09 1.09 66020 INJECTION TREATMENT OF EYE 130.38 194.94631 137.00048 (64.57) (6.62) 66030 INJECTION TREATMENT OF EYE 112.8 173.35562 115.40979 (60.56) (2.61) 66130 REMOVE EYE LESION 604.52 725.87279 591.92008 (121.35) 12.60 66150 GLAUCOMA SURGERY 869.77 909.09274 909.09274 (39.32) (39.32) 66155 GLAUCOMA SURGERY 869.07 913.2482 913.2482 (44.18) (44.18) 66160 GLAUCOMA SURGERY 980.4 1028.774 1028.774 (48.37) (48.37) 66170 GLAUCOMA SURGERY 1222.93 1250.8652 1250.8652 (27.94) (27.94) 66172 INCISION OF EYE 1541.97 1578.3798 1578.3798 (36.41) (36.41) 66174 TRANSLUM DIL EYE CANAL TRANS 988.39 985.42362 985.42362 2.97 2.97 66175 TRNSLUM DIL EYE CANAL W/STNT 1125.34 1032.5546 1032.5546 92.79 92.79 66179 Aqueous shunt eye w/o graft 1073.69 932.71408 1124.6126 140.98 (50.92) 66180 AQUEOUS SHUNT EYE W/GRAFT 1190.4 1183.9218 1183.9218 6.48 6.48 66183 Insert ant drainage device 1071.83 1068.6019 1068.6019 3.23 3.23 66184 Revision of aqueous shunt 784 650.62884 821.0799 133.37 (37.08) 66185 REVISE AQUEOUS SHUNT EYE 780.48 880.76532 880.76532 (100.29) (100.29) 66220 REPAIR EYE LESION 761.08 774.55074 774.55074 (13.47) (13.47) 66225 REPAIR/GRAFT EYE LESION 981.61 968.87841 968.87841 12.73 12.73 66250 FOLLOW-UP SURGERY OF EYE 586.03 783.26299 580.45256 (197.23) 5.58 66500 INCISION OF IRIS 351.73 369.67348 369.67348 (17.94) (17.94) 66505 INCISION OF IRIS 385.54 404.72761 404.72761 (19.19) (19.19) 66600 REMOVE IRIS AND LESION 828.21 868.42748 868.42748 (40.22) (40.22) 66605 REMOVAL OF IRIS 1048.39 1099.1636 1099.1636 (50.77) (50.77) 66625 REMOVAL OF IRIS 438.83 446.79987 446.79987 (7.97) (7.97) 66630 REMOVAL OF IRIS 590.79 592.92466 592.92466 (2.13) (2.13) 66635 REMOVAL OF IRIS 570.77 598.77209 598.77209 (28.00) (28.00) 66680 REPAIR IRIS & CILIARY BODY 546.34 539.22665 539.22665 7.11 7.11 66682 REPAIR IRIS & CILIARY BODY 667.22 665.08648 665.08648 2.13 2.13 66700 DESTRUCTION CILIARY BODY 394.94 468.91182 409.08463 (73.97) (14.14) 66710 CILIARY TRANSSLERAL THERAPY 414.15 458.37622 409.08463 (44.23) 5.07 66711 CILIARY ENDOSCOPIC ABLATION 638.02 669.26735 669.26735 (31.25) (31.25) 66720 DESTRUCTION CILIARY BODY 429.62 495.85767 442.80337 (66.24) (13.18) 66740 DESTRUCTION CILIARY BODY 389.66 454.98977 409.08463 (65.33) (19.42) 66761 REVISION OF IRIS 242.62 309.10377 245.89013 (66.48) (3.27) 66762 REVISION OF IRIS 433.59 494.80619 444.00951 (61.22) (10.42) 66770 REMOVAL OF INNER EYE LESION 479.88 550.59141 504.31 (70.71) (24.43) 66820 INCISION SECONDARY CATARACT 404.85 411.1185 411.1185 (6.27) (6.27) 66821 AFTER CATARACT LASER SURGERY 319.9 344.46006 324.89393 (24.56) (4.99) 66825 REPOSITION INTRAOCULAR LENS 773.86 791.48547 791.48547 (17.63) (17.63) 66830 REMOVAL OF LENS LESION 707.18 740.96125 740.96125 (33.78) (33.78) 66840 REMOVAL OF LENS MATERIAL 733.34 724.93229 724.93229 8.41 8.41 66850 REMOVAL OF LENS MATERIAL 812.45 824.77495 824.77495 (12.32) (12.32) 66852 REMOVAL OF LENS MATERIAL 881.07 878.1461 878.1461 2.92 2.92 66920 EXTRACTION OF LENS 748.04 784.8787 784.8787 (36.84) (36.84) 66930 EXTRACTION OF LENS 849.98 890.96153 890.96153 (40.98) (40.98) 66940 EXTRACTION OF LENS 812.53 814.18421 814.18421 (1.65) (1.65) 66982 CATARACT SURGERY COMPLEX 822.32 826.46191 826.46191 (4.14) (4.14) 66983 CATARACT SURG W/IOL 1 STAGE 743.38 762.53046 762.53046 (19.15) (19.15) 66984 CATARACT SURG W/IOL 1 STAGE 661.23 665.21142 665.21142 (3.98) (3.98) 66985 INSERT LENS PROSTHESIS 785.91 801.73109 801.73109 (15.82) (15.82) 66986 EXCHANGE LENS PROSTHESIS 926.53 945.45577 945.45577 (18.93) (18.93) 66990 OPHTHALMIC ENDOSCOPE ADD-ON 89.67 93.591758 93.591758 (3.92) (3.92) 67005 PARTIAL REMOVAL OF EYE FLUID 499.33 492.71396 492.71396 6.62 6.62 67010 PARTIAL REMOVAL OF EYE FLUID 555.96 565.0913 565.0913 (9.13) (9.13) 67015 RELEASE OF EYE FLUID 593.53 604.46808 604.46808 (10.94) (10.94) 67025 REPLACE EYE FLUID 659.29 757.34535 659.13845 (98.06) 0.15 67027 IMPLANT EYE DRUG SYSTEM 888.99 886.05353 886.05353 2.94 2.94 67028 INJECTION EYE DRUG 102.88 105.39616 103.5148 (2.52) (0.63) 67030 INCISE INNER EYE STRANDS 528.38 555.51588 555.51588 (27.14) (27.14) 67031 LASER SURGERY EYE STRANDS 363.65 404.64276 371.53085 (40.99) (7.88) 67036 REMOVAL OF INNER EYE FLUID 982.45 938.16913 938.16913 44.28 44.28 67039 LASER TREATMENT OF RETINA 1287.96 1005.0424 1005.0424 282.92 282.92 67040 LASER TREATMENT OF RETINA 1454.19 1085.1073 1085.1073 369.08 369.08 67041 Vit for macular pucker 1358.9 1198.0651 1198.0651 160.83 160.83 67042 Vit for macular hole 1553.19 1198.0651 1198.0651 355.12 355.12 67043 Vit for membrane dissect 1665.33 1265.3146 1265.3146 400.02 400.02 67101 REPAIR DETACHED RETINA 702.36 817.44249 701.55082 (115.08) 0.81 67105 REPAIR DETACHED RETINA 659.85 749.07883 670.06178 (89.23) (10.21) 67107 REPAIR DETACHED RETINA 1268.95 1263.2374 1263.2374 5.71 5.71 67108 REPAIR DETACHED RETINA 1645.67 1667.0005 1667.0005 (21.33) (21.33) 67110 REPAIR DETACHED RETINA 790.12 906.19212 806.8564 (116.07) (16.74) 67113 REPAIR RETINAL DETACH CPLX 1790.02 1811.1566 1811.1566 (21.14) (21.14) 67115 RELEASE ENCIRCLING MATERIAL 508.54 520.89889 520.89889 (12.36) (12.36) 67120 REMOVE EYE IMPLANT MATERIAL 587.11 685.80863 581.58138 (98.70) 5.53 67121 REMOVE EYE IMPLANT MATERIAL 948.02 945.12067 945.12067 2.90 2.90 67141 TREATMENT OF RETINA 507.9 546.04322 508.41605 (38.14) (0.52) 67145 TREATMENT OF RETINA 509.35 549.12499 519.02326 (39.77) (9.67) 67208 TREATMENT OF RETINAL LESION 573.86 623.09549 600.89546 (49.24) (27.04) 67210 TREATMENT OF RETINAL LESION 514.45 539.65233 521.21502 (25.20) (6.77) 67218 TREATMENT OF RETINAL LESION 1371.75 1434.209 1434.209 (62.46) (62.46) 67220 TREATMENT OF CHOROID LESION 521.23 556.96082 521.21502 (35.73) 0.01 67221 OCULAR PHOTODYNAMIC THER 220.3 298.50551 221.36982 (78.21) (1.07) 67225 EYE PHOTODYNAMIC THER ADD-ON 27.91 30.758687 28.877329 (2.85) (0.97) 67227 DSTRJ EXTENSIVE RETINOPATHY 566.9 636.11105 594.3449 (69.21) (27.44) 67228 TREATMENT X10SV RETINOPATHY 979.86 1039.6683 983.98011 (59.81) (4.12) 67229 Tr retinal les preterm inf 1099.75 1212.0365 1212.0365 (112.29) (112.29) 67250 REINFORCE EYE WALL 809.06 813.67798 813.67798 (4.62) (4.62) 67255 REINFORCE/GRAFT EYE WALL 881.18 711.7234 711.7234 169.46 169.46 67311 REVISE EYE MUSCLE 621.26 622.89787 622.89787 (1.64) (1.64) 67312 REVISE TWO EYE MUSCLES 750.94 740.57424 740.57424 10.37 10.37 67314 REVISE EYE MUSCLE 699.04 700.81474 700.81474 (1.77) (1.77) 67316 REVISE TWO EYE MUSCLES 844.16 834.23437 834.23437 9.93 9.93 67318 REVISE EYE MUSCLE(S) 699.87 733.33378 733.33378 (33.46) (33.46) 67320 REVISE EYE MUSCLE(S) ADD-ON 319.22 334.48152 334.48152 (15.26) (15.26) 67331 EYE SURGERY FOLLOW-UP ADD-ON 321.25 316.91454 316.91454 4.34 4.34 67332 REREVISE EYE MUSCLES ADD-ON 348.95 343.97638 343.97638 4.97 4.97 67334 REVISE EYE MUSCLE W/SUTURE 298.99 312.9073 312.9073 (13.92) (13.92) 67335 EYE SUTURE DURING SURGERY 156.24 154.61758 154.61758 1.62 1.62 67340 REVISE EYE MUSCLE ADD-ON 355.53 372.47744 372.47744 (16.95) (16.95) 67343 RELEASE EYE TISSUE 686.64 680.27053 680.27053 6.37 6.37 67345 DESTROY NERVE OF EYE MUSCLE 231.35 251.85033 226.64013 (20.50) 4.71 67346 BIOPSY EYE MUSCLE 207.22 202.08044 202.08044 5.14 5.14 67400 EXPLORE/BIOPSY EYE SOCKET 968.11 969.12401 969.12401 (1.01) (1.01) 67405 EXPLORE/DRAIN EYE SOCKET 803.69 826.62194 826.62194 (22.93) (22.93) 67412 EXPLORE/TREAT EYE SOCKET 883.96 886.84582 886.84582 (2.89) (2.89) 67413 EXPLORE/TREAT EYE SOCKET 890.76 890.73205 890.73205 0.03 0.03 67414 EXPLR/DECOMPRESS EYE SOCKET 1349.23 1378.2133 1378.2133 (28.98) (28.98) 67415 ASPIRATION ORBITAL CONTENTS 107.75 108.20621 108.20621 (0.46) (0.46) 67420 EXPLORE/TREAT EYE SOCKET 1692.97 1682.7621 1682.7621 10.21 10.21 67430 EXPLORE/TREAT EYE SOCKET 1237.54 1298.5339 1298.5339 (60.99) (60.99) 67440 EXPLORE/DRAIN EYE SOCKET 1227.55 1256.0779 1256.0779 (28.53) (28.53) 67445 EXPLR/DECOMPRESS EYE SOCKET 1472.37 1456.9214 1456.9214 15.45 15.45 67450 EXPLORE/BIOPSY EYE SOCKET 1268.6 1306.1943 1306.1943 (37.59) (37.59) 67500 INJECT/TREAT EYE SOCKET 71.5 80.53753 74.140912 (9.04) (2.64) 67505 INJECT/TREAT EYE SOCKET 87.14 92.155052 84.253347 (5.02) 2.89 67515 INJECT/TREAT EYE SOCKET 94.44 100.19423 92.292529 (5.75) 2.15 67550 INSERT EYE SOCKET IMPLANT 1004.07 1003.4066 1003.4066 0.66 0.66 67560 REVISE EYE SOCKET IMPLANT 1004.23 1029.021 1029.021 (24.79) (24.79) 67570 DECOMPRESS OPTIC NERVE 1278.73 1201.1866 1201.1866 77.54 77.54 67700 DRAINAGE OF EYELID ABSCESS 119.88 280.80463 120.88918 (160.92) (1.01) 67710 INCISION OF EYELID 102.16 234.73982 101.53965 (132.58) 0.62 67715 INCISION OF EYELID FOLD 113.71 250.11504 113.15216 (136.41) 0.56 67800 REMOVE EYELID LESION 108.03 132.16086 107.32693 (24.13) 0.70 67801 REMOVE EYELID LESIONS 140.72 169.19265 139.46719 (28.47) 1.25 67805 REMOVE EYELID LESIONS 173.21 210.31653 171.56055 (37.11) 1.65 67808 REMOVE EYELID LESION(S) 385.85 384.01119 384.01119 1.84 1.84 67810 BIOPSY EYELID & LID MARGIN 72.09 179.49948 73.767147 (107.41) (1.68) 67820 REVISE EYELASHES 55.61 51.786222 55.548939 3.82 0.06 67825 REVISE EYELASHES 126.72 133.63301 126.48384 (6.91) 0.24 67830 REVISE EYELASHES 144.57 278.64904 143.56751 (134.08) 1.00 67835 REVISE EYELASHES 461.77 457.30576 457.30576 4.46 4.46 67840 REMOVE EYELID LESION 163.69 288.14963 165.10879 (124.46) (1.42) 67850 TREAT EYELID LESION 136.51 224.33417 141.5544 (87.82) (5.04) 67875 CLOSURE OF EYELID BY SUTURE 101.68 179.26892 101.00442 (77.59) 0.68 67880 REVISION OF EYELID 382.83 478.12851 383.68432 (95.30) (0.85) 67882 REVISION OF EYELID 495.73 588.02346 492.07419 (92.29) 3.66 67900 REPAIR BROW DEFECT 529.16 666.90697 529.56782 (137.75) (0.41) 67901 REPAIR EYELID DEFECT 605.4 789.43227 600.54389 (184.03) 4.86 67902 REPAIR EYELID DEFECT 760.38 752.85695 752.85695 7.52 7.52 67903 REPAIR EYELID DEFECT 507.9 617.92256 502.78343 (110.02) 5.12 67904 REPAIR EYELID DEFECT 625.92 762.76961 621.29146 (136.85) 4.63 67906 REPAIR EYELID DEFECT 504.38 528.83174 528.83174 (24.45) (24.45) 67908 REPAIR EYELID DEFECT 445.48 514.12779 442.2599 (68.65) 3.22 67909 REVISE EYELID DEFECT 458 559.76693 457.79731 (101.77) 0.20 67911 REVISE EYELID DEFECT 588.53 584.93811 584.93811 3.59 3.59 67912 CORRECTION EYELID W/IMPLANT 500.79 924.18299 511.03671 (423.39) (10.25) 67914 REPAIR EYELID DEFECT 339.64 491.31628 341.93643 (151.68) (2.30) 67915 REPAIR EYELID DEFECT 201.75 306.33418 206.99846 (104.58) (5.25) 67916 REPAIR EYELID DEFECT 447.15 618.66293 449.34068 (171.51) (2.19) 67917 REPAIR EYELID DEFECT 478.9 629.16059 477.52311 (150.26) 1.38 67921 REPAIR EYELID DEFECT 324.36 481.69217 324.03434 (157.33) 0.33 67922 REPAIR EYELID DEFECT 201.37 303.32401 206.62219 (101.95) (5.25) 67923 REPAIR EYELID DEFECT 450.15 617.9598 449.39009 (167.81) 0.76 67924 REPAIR EYELID DEFECT 479.65 658.53448 477.54781 (178.88) 2.10 67930 REPAIR EYELID WOUND 252.28 379.75298 249.18671 (127.47) 3.09 67935 REPAIR EYELID WOUND 464.36 619.2243 460.06138 (154.86) 4.30 67938 REMOVE EYELID FOREIGN BODY 119.18 253.39444 120.19427 (134.21) (1.01) 67950 REVISION OF EYELID 482.36 597.00458 482.61799 (114.64) (0.26) 67961 REVISION OF EYELID 475.42 599.57511 473.90038 (124.16) 1.52 67966 REVISION OF EYELID 689.38 800.40895 684.51728 (111.03) 4.86 67971 RECONSTRUCTION OF EYELID 761.5 752.69226 752.69226 8.81 8.81 67973 RECONSTRUCTION OF EYELID 981.24 968.20893 968.20893 13.03 13.03 67974 RECONSTRUCTION OF EYELID 980.22 966.05011 966.05011 14.17 14.17 67975 RECONSTRUCTION OF EYELID 719.79 712.81498 712.81498 6.98 6.98 68020 INCISE/DRAIN EYELID LINING 113.69 124.24268 114.83589 (10.55) (1.15) 68040 TREATMENT OF EYELID LESIONS 55.43 64.700467 52.659774 (9.27) 2.77 68100 BIOPSY OF EYELID LINING 100.18 177.036 101.02912 (76.86) (0.85) 68110 REMOVE EYELID LINING LESION 155.57 235.63879 154.74038 (80.07) 0.83 68115 REMOVE EYELID LINING LESION 187.82 325.95294 192.00022 (138.13) (4.18) 68130 REMOVE EYELID LINING LESION 408.76 561.9168 429.0929 (153.16) (20.33) 68135 REMOVE EYELID LINING LESION 154.58 162.5268 156.88273 (7.95) (2.30) 68200 TREAT EYELID BY INJECTION 36.22 42.766443 35.993553 (6.55) 0.23 68320 REVISE/GRAFT EYELID LINING 564.78 757.35466 562.06967 (192.57) 2.71 68325 REVISE/GRAFT EYELID LINING 691.79 687.03268 687.03268 4.76 4.76 68326 REVISE/GRAFT EYELID LINING 678.46 672.1243 672.1243 6.34 6.34 68328 REVISE/GRAFT EYELID LINING 744.42 737.08325 737.08325 7.34 7.34 68330 REVISE EYELID LINING 483.9 630.98681 480.85442 (147.09) 3.05 68335 REVISE/GRAFT EYELID LINING 681.27 674.31605 674.31605 6.95 6.95 68340 SEPARATE EYELID ADHESIONS 419.43 568.92848 415.78592 (149.50) 3.64 68360 REVISE EYELID LINING 432.04 553.52354 428.22508 (121.48) 3.81 68362 REVISE EYELID LINING 691.1 683.45111 683.45111 7.65 7.65 68371 HARVEST EYE TISSUE ALOGRAFT 409.5 430.23818 430.23818 (20.74) (20.74) 68400 INCISE/DRAIN TEAR GLAND 138.48 297.88006 137.58833 (159.40) 0.89 68420 INCISE/DRAIN TEAR SAC 171.76 336.18638 175.51838 (164.43) (3.76) 68440 INCISE TEAR DUCT OPENING 102.99 106.9392 103.92903 (3.95) (0.94) 68500 REMOVAL OF TEAR GLAND 1043.25 1015.2808 1015.2808 27.97 27.97 68505 PARTIAL REMOVAL TEAR GLAND 1020.27 1010.1695 1010.1695 10.10 10.10 68510 BIOPSY OF TEAR GLAND 311.89 465.35998 303.93943 (153.47) 7.95 68520 REMOVAL OF TEAR SAC 699.91 715.38229 715.38229 (15.47) (15.47) 68525 BIOPSY OF TEAR SAC 280.91 273.38159 273.38159 7.53 7.53 68530 CLEARANCE OF TEAR DUCT 271.95 446.6717 267.56639 (174.72) 4.38 68540 REMOVE TEAR GLAND LESION 947.5 967.0597 967.0597 (19.56) (19.56) 68550 REMOVE TEAR GLAND LESION 1160.94 1109.5256 1109.5256 51.41 51.41 68700 REPAIR TEAR DUCTS 634.39 628.70412 628.70412 5.69 5.69 68705 REVISE TEAR DUCT OPENING 174.17 247.10308 173.35383 (72.93) 0.82 68720 CREATE TEAR SAC DRAIN 784.43 787.01532 787.01532 (2.59) (2.59) 68745 CREATE TEAR DUCT DRAIN 799.38 791.32723 791.32723 8.05 8.05 68750 CREATE TEAR DUCT DRAIN 824.18 818.74315 818.74315 5.44 5.44 68760 CLOSE TEAR DUCT OPENING 153.13 210.11819 152.17235 (56.99) 0.96 68761 CLOSE TEAR DUCT OPENING 123.08 153.63304 123.90758 (30.55) (0.83) 68770 CLOSE TEAR SYSTEM FISTULA 661.41 654.67832 654.67832 6.73 6.73 68801 DILATE TEAR DUCT OPENING 110.08 130.65255 112.59151 (20.57) (2.51) 68810 PROBE NASOLACRIMAL DUCT 194.53 253.05755 195.86426 (58.53) (1.33) 68811 PROBE NASOLACRIMAL DUCT 215.68 215.63946 215.63946 0.04 0.04 68815 PROBE NASOLACRIMAL DUCT 268.15 469.95615 268.27454 (201.81) (0.12) 68816 Probe nl duct w/balloon 261.78 781.55276 261.54532 (519.77) 0.23 68840 EXPLORE/IRRIGATE TEAR DUCTS 121.88 133.11926 121.45484 (11.24) 0.43 68850 INJECTION FOR TEAR SAC X-RAY 55.02 63.60459 58.336786 (8.58) (3.32) 69000 DRAIN EXTERNAL EAR LESION 121.12 197.61315 125.36899 (76.49) (4.25) 69005 DRAIN EXTERNAL EAR LESION 158.8 226.70779 165.75178 (67.91) (6.95) 69020 DRAIN OUTER EAR CANAL LESION 144.36 246.78123 150.83195 (102.42) (6.47) 69100 BIOPSY OF EXTERNAL EAR 48.97 104.9286 50.745479 (55.96) (1.78) 69105 BIOPSY OF EXTERNAL EAR CANAL 64.31 148.46083 66.80988 (84.15) (2.50) 69110 REMOVE EXTERNAL EAR PARTIAL 326.52 485.04067 342.43371 (158.52) (15.91) 69120 REMOVAL OF EXTERNAL EAR 411.67 426.79338 426.79338 (15.12) (15.12) 69140 REMOVE EAR CANAL LESION(S) 888.34 933.08713 933.08713 (44.75) (44.75) 69145 REMOVE EAR CANAL LESION(S) 253.76 421.68311 264.40155 (167.92) (10.64) 69150 EXTENSIVE EAR CANAL SURGERY 1060.4 1106.6543 1106.6543 (46.25) (46.25) 69155 EXTENSIVE EAR/NECK SURGERY 1685.54 1755.7351 1755.7351 (70.20) (70.20) 69200 CLEAR OUTER EAR CANAL 58.72 129.8284 60.594416 (71.11) (1.87) 69205 CLEAR OUTER EAR CANAL 102.87 107.0824 107.0824 (4.21) (4.21) 69210 REMOVE IMPACTED EAR WAX UNI 33.11 51.124256 34.192032 (18.01) (1.08) 69220 CLEAN OUT MASTOID CAVITY 62.91 145.10732 65.337731 (82.20) (2.43) 69222 CLEAN OUT MASTOID CAVITY 138.73 233.01563 144.96806 (94.29) (6.24) 69300 REVISE EXTERNAL EAR 480.67 774.52389 501.35066 (293.85) (20.68) 69310 REBUILD OUTER EAR CANAL 1104.26 1157.5931 1157.5931 (53.33) (53.33) 69320 REBUILD OUTER EAR CANAL 1543.99 1619.8191 1619.8191 (75.83) (75.83) 69420 INCISION OF EARDRUM 122.34 203.05388 127.79954 (80.71) (5.46) 69421 INCISION OF EARDRUM 150.78 157.49529 157.49529 (6.72) (6.72) 69424 REMOVE VENTILATING TUBE 62.88 135.66759 65.304793 (72.79) (2.42) 69433 CREATE EARDRUM OPENING 134.99 214.35599 139.8542 (79.37) (4.86) 69436 CREATE EARDRUM OPENING 162.62 169.0831 169.0831 (6.46) (6.46) 69440 EXPLORATION OF MIDDLE EAR 701.27 730.38053 730.38053 (29.11) (29.11) 69450 EARDRUM REVISION 553.72 577.86986 577.86986 (24.15) (24.15) 69501 MASTOIDECTOMY 742.63 773.64819 773.64819 (31.02) (31.02) 69502 MASTOIDECTOMY 986.51 1028.7564 1028.7564 (42.25) (42.25) 69505 REMOVE MASTOID STRUCTURES 1217.7 1277.1212 1277.1212 (59.42) (59.42) 69511 EXTENSIVE MASTOID SURGERY 1246.99 1306.9544 1306.9544 (59.96) (59.96) 69530 EXTENSIVE MASTOID SURGERY 1669.51 1749.6231 1749.6231 (80.11) (80.11) 69535 REMOVE PART OF TEMPORAL BONE 2708.95 2824.7935 2824.7935 (115.84) (115.84) 69540 REMOVE EAR LESION 129.01 221.75468 134.83593 (92.74) (5.83) 69550 REMOVE EAR LESION 1053.66 1104.6928 1104.6928 (51.03) (51.03) 69552 REMOVE EAR LESION 1585.36 1660.8058 1660.8058 (75.45) (75.45) 69554 REMOVE EAR LESION 2543.26 2658.4653 2658.4653 (115.21) (115.21) 69601 MASTOID SURGERY REVISION 1061.39 1105.7586 1105.7586 (44.37) (44.37) 69602 MASTOID SURGERY REVISION 1104.35 1150.3019 1150.3019 (45.95) (45.95) 69603 MASTOID SURGERY REVISION 1274.17 1336.7629 1336.7629 (62.59) (62.59) 69604 MASTOID SURGERY REVISION 1128.4 1176.0949 1176.0949 (47.69) (47.69) 69605 MASTOID SURGERY REVISION 1576.04 1651.7821 1651.7821 (75.74) (75.74) 69610 REPAIR OF EARDRUM 294.36 404.25324 306.04634 (109.89) (11.69) 69620 REPAIR OF EARDRUM 493.57 735.99776 517.00765 (242.43) (23.44) 69631 REPAIR EARDRUM STRUCTURES 898.52 937.17636 937.17636 (38.66) (38.66) 69632 REBUILD EARDRUM STRUCTURES 1095.23 1140.5782 1140.5782 (45.35) (45.35) 69633 REBUILD EARDRUM STRUCTURES 1059.68 1105.3232 1105.3232 (45.64) (45.64) 69635 REPAIR EARDRUM STRUCTURES 1246.93 1307.1438 1307.1438 (60.21) (60.21) 69636 REBUILD EARDRUM STRUCTURES 1394.95 1463.4032 1463.4032 (68.45) (68.45) 69637 REBUILD EARDRUM STRUCTURES 1390.53 1487.6525 1487.6525 (97.12) (97.12) 69641 REVISE MIDDLE EAR & MASTOID 1057.32 1101.586 1101.586 (44.27) (44.27) 69642 REVISE MIDDLE EAR & MASTOID 1356.42 1414.9239 1414.9239 (58.50) (58.50) 69643 REVISE MIDDLE EAR & MASTOID 1241.76 1295.5012 1295.5012 (53.74) (53.74) 69644 REVISE MIDDLE EAR & MASTOID 1494.03 1569.5938 1569.5938 (75.56) (75.56) 69645 REVISE MIDDLE EAR & MASTOID 1469.78 1542.7049 1542.7049 (72.92) (72.92) 69646 REVISE MIDDLE EAR & MASTOID 1558.58 1635.0994 1635.0994 (76.52) (76.52) 69650 RELEASE MIDDLE EAR BONE 815.99 849.66402 849.66402 (33.67) (33.67) 69660 REVISE MIDDLE EAR BONE 939.49 981.71353 981.71353 (42.22) (42.22) 69661 REVISE MIDDLE EAR BONE 1223.2 1276.8226 1276.8226 (53.62) (53.62) 69662 REVISE MIDDLE EAR BONE 1170.65 1225.8992 1225.8992 (55.25) (55.25) 69666 REPAIR MIDDLE EAR STRUCTURES 820.89 857.3681 857.3681 (36.48) (36.48) 69667 REPAIR MIDDLE EAR STRUCTURES 822.31 856.97536 856.97536 (34.67) (34.67) 69670 REMOVE MASTOID AIR CELLS 957.92 997.80765 997.80765 (39.89) (39.89) 69676 REMOVE MIDDLE EAR NERVE 844.9 880.32318 880.32318 (35.42) (35.42) 69700 CLOSE MASTOID FISTULA 696.25 725.28386 725.28386 (29.03) (29.03) 69711 REMOVE/REPAIR HEARING AID 875.34 912.71118 912.71118 (37.37) (37.37) 69714 IMPLANT TEMPLE BONE W/STIMUL 1090.31 1139.7398 1139.7398 (49.43) (49.43) 69715 TEMPLE BNE IMPLNT W/STIMULAT 1344.7 1401.419 1401.419 (56.72) (56.72) 69717 TEMPLE BONE IMPLANT REVISION 1143.98 1192.1113 1192.1113 (48.13) (48.13) 69718 REVISE TEMPLE BONE IMPLANT 1358.65 1416.3356 1416.3356 (57.69) (57.69) 69720 RELEASE FACIAL NERVE 1211.6 1269.5263 1269.5263 (57.93) (57.93) 69725 RELEASE FACIAL NERVE 1902.6 1982.7093 1982.7093 (80.11) (80.11) 69740 REPAIR FACIAL NERVE 1182.48 1232.173 1232.173 (49.69) (49.69) 69745 REPAIR FACIAL NERVE 1258.1 1311.2129 1311.2129 (53.11) (53.11) 69801 INCISE INNER EAR 127.36 206.60322 132.10143 (79.24) (4.74) 69805 EXPLORE INNER EAR 1067.99 1112.9973 1112.9973 (45.01) (45.01) 69806 EXPLORE INNER EAR 960.07 999.01451 999.01451 (38.94) (38.94) 69820 ESTABLISH INNER EAR WINDOW 870.49 906.88022 906.88022 (36.39) (36.39) 69840 REVISE INNER EAR WINDOW 898.66 968.69188 968.69188 (70.03) (70.03) 69905 REMOVE INNER EAR 932.5 970.88579 970.88579 (38.39) (38.39) 69910 REMOVE INNER EAR & MASTOID 1031.24 1073.6223 1073.6223 (42.38) (42.38) 69915 INCISE INNER EAR NERVE 1558.36 1621.8311 1621.8311 (63.47) (63.47) 69930 IMPLANT COCHLEAR DEVICE 1239.36 1292.0872 1292.0872 (52.73) (52.73) 69950 INCISE INNER EAR NERVE 1801.37 1877.3697 1877.3697 (76.00) (76.00) 69955 RELEASE FACIAL NERVE 2001.68 2085.6699 2085.6699 (83.99) (83.99) 69960 RELEASE INNER EAR CANAL 1946.03 2027.7241 2027.7241 (81.69) (81.69) 69970 REMOVE INNER EAR LESION 2167.03 2257.6848 2257.6848 (90.65) (90.65) 69990 MICROSURGERY ADD-ON 218.56 233.63749 233.63749 (15.08) (15.08) 70010 CONTRAST X-RAY OF BRAIN 67.62 73.830515 73.830515 (6.21) (6.21) 70015 CONTRAST X-RAY OF BRAIN 161.11 161.14452 161.14452 (0.03) (0.03) 70030 X-RAY EYE FOR FOREIGN BODY 31.45 28.643546 28.643546 2.81 2.81 70100 X-RAY EXAM OF JAW <4VIEWS 37.1 34.271152 34.271152 2.83 2.83 70110 X-RAY EXAM OF JAW 4/> VIEWS 42.63 39.423676 39.423676 3.21 3.21 70120 X-RAY EXAM OF MASTOIDS 38.61 35.399967 35.399967 3.21 3.21 70130 X-RAY EXAM OF MASTOIDS 61.73 56.935523 56.935523 4.79 4.79 70134 X-RAY EXAM OF MIDDLE EAR 59.09 53.19751 53.19751 5.89 5.89 70140 X-RAY EXAM OF FACIAL BONES 32.17 30.868239 30.868239 1.30 1.30 70150 X-RAY EXAM OF FACIAL BONES 45.64 42.793652 42.793652 2.85 2.85 70160 X-RAY EXAM OF NASAL BONES 36.36 33.911349 33.911349 2.45 2.45 70190 X-RAY EXAM OF EYE SOCKETS 38.93 36.479377 36.479377 2.45 2.45 70200 X-RAY EXAM OF EYE SOCKETS 46.73 43.513258 43.513258 3.22 3.22 70210 X-RAY EXAM OF SINUSES 32.96 30.901176 30.901176 2.06 2.06 70220 X-RAY EXAM OF SINUSES 41.5 38.671132 38.671132 2.83 2.83 70240 X-RAY EXAM PITUITARY SADDLE 32.92 31.219808 31.219808 1.70 1.70 70250 X-RAY EXAM OF SKULL 40.01 37.182514 37.182514 2.83 2.83 70260 X-RAY EXAM OF SKULL 50.77 46.800891 46.800891 3.97 3.97 70300 X-RAY EXAM OF TEETH 16.09 15.589318 15.589318 0.50 0.50 70310 X-RAY EXAM OF TEETH 40.92 40.324436 40.324436 0.60 0.60 70320 FULL MOUTH X-RAY OF TEETH 56.67 55.603357 55.603357 1.07 1.07 70328 X-RAY EXAM OF JAW JOINT 34.08 32.013522 32.013522 2.07 2.07 70330 X-RAY EXAM OF JAW JOINTS 52.48 48.822233 48.822233 3.66 3.66 70332 X-RAY EXAM OF JAW JOINT 88.59 85.480258 85.480258 3.11 3.11 70336 MAGNETIC IMAGE JAW JOINT 342.73 334.88071 334.88071 7.85 7.85 70350 X-RAY HEAD FOR ORTHODONTIA 22.76 20.340867 20.340867 2.42 2.42 70355 PANORAMIC X-RAY OF JAWS 21.94 21.044004 21.044004 0.90 0.90 70360 X-RAY EXAM OF NECK 31.07 29.019818 29.019818 2.05 2.05 70370 THROAT X-RAY & FLUOROSCOPY 85.96 84.035317 84.035317 1.92 1.92 70371 SPEECH EVALUATION COMPLEX 97.84 93.714557 93.714557 4.13 4.13 70380 X-RAY EXAM OF SALIVARY GLAND 40.9 37.273091 37.273091 3.63 3.63 70390 X-RAY EXAM OF SALIVARY DUCT 108.18 97.88326 97.88326 10.30 10.30 70450 CT HEAD/BRAIN W/O DYE 130.34 120.76495 120.76495 9.58 9.58 70460 CT HEAD/BRAIN W/DYE 178.19 168.79346 168.79346 9.40 9.40 70470 CT HEAD/BRAIN W/O & W/DYE 214.24 199.79345 199.79345 14.45 14.45 70480 CT ORBIT/EAR/FOSSA W/O DYE 265.24 243.4245 243.4245 21.82 21.82 70481 CT ORBIT/EAR/FOSSA W/DYE 309.29 288.38771 288.38771 20.90 20.90 70482 CT ORBIT/EAR/FOSSA W/O&W/DYE 342.03 315.36399 315.36399 26.67 26.67 70486 CT MAXILLOFACIAL W/O DYE 218.24 145.59887 145.59887 72.64 72.64 70487 CT MAXILLOFACIAL W/DYE 264.45 175.56635 175.56635 88.88 88.88 70488 CT MAXILLOFACIAL W/O & W/DYE 316.77 214.09177 214.09177 102.68 102.68 70490 CT SOFT TISSUE NECK W/O DYE 215.73 201.28207 201.28207 14.45 14.45 70491 CT SOFT TISSUE NECK W/DYE 259 245.86901 245.86901 13.13 13.13 70492 CT SFT TSUE NCK W/O & W/DYE 308.02 290.15378 290.15378 17.87 17.87 70496 CT ANGIOGRAPHY HEAD 472.63 306.51784 306.51784 166.11 166.11 70498 CT ANGIOGRAPHY NECK 490.77 305.01276 305.01276 185.76 185.76 70540 MRI ORBIT/FACE/NECK W/O DYE 382.66 374.97959 374.97959 7.68 7.68 70542 MRI ORBIT/FACE/NECK W/DYE 436.98 421.51949 421.51949 15.46 15.46 70543 MRI ORBT/FAC/NCK W/O &W/DYE 534.61 515.04144 515.04144 19.57 19.57 70544 MR ANGIOGRAPHY HEAD W/O DYE 429.42 411.3487 411.3487 18.07 18.07 70545 MR ANGIOGRAPHY HEAD W/DYE 423.37 405.32836 405.32836 18.04 18.04 70546 MR ANGIOGRAPH HEAD W/O&W/DYE 645.64 629.65286 629.65286 15.99 15.99 70547 MR ANGIOGRAPHY NECK W/O DYE 430.55 413.23006 413.23006 17.32 17.32 70548 MR ANGIOGRAPHY NECK W/DYE 452.1 433.925 433.925 18.17 18.17 70549 MR ANGIOGRAPH NECK W/O&W/DYE 649.78 632.28676 632.28676 17.49 17.49 70551 MRI BRAIN STEM W/O DYE 258.45 240.06025 240.06025 18.39 18.39 70552 MRI BRAIN STEM W/DYE 352.03 333.93627 333.93627 18.09 18.09 70553 MRI BRAIN STEM W/O & W/DYE 414.95 393.6267 393.6267 21.32 21.32 71010 CHEST X-RAY 1 VIEW FRONTAL 25.01 23.359274 23.359274 1.65 1.65 71015 CHEST X-RAY STEREO FRONTAL 32.13 28.577672 28.577672 3.55 3.55 71020 CHEST X-RAY 2VW FRONTAL&LATL 32.49 28.937475 28.937475 3.55 3.55 71021 CHEST X-RAY FRNT LAT LORDOTC 39.95 35.25175 35.25175 4.70 4.70 71022 CHEST X-RAY FRNT LAT OBLIQUE 49.7 43.463852 43.463852 6.24 6.24 71023 CHEST X-RAY AND FLUOROSCOPY 70.35 66.251738 66.251738 4.10 4.10 71030 CHEST X-RAY 4/> VIEWS 49.32 42.711309 42.711309 6.61 6.61 71034 CHEST X-RAY&FLUORO 4/> VIEWS 92.87 87.567474 87.567474 5.30 5.30 71035 CHEST X-RAY SPECIAL VIEWS 38.99 33.894881 33.894881 5.10 5.10 71100 X-RAY EXAM RIBS UNI 2 VIEWS 35.13 31.571376 31.571376 3.56 3.56 71101 X-RAY EXAM UNILAT RIBS/CHEST 42.59 37.50938 37.50938 5.08 5.08 71110 X-RAY EXAM RIBS BIL 3 VIEWS 43.73 38.638195 38.638195 5.09 5.09 71111 X-RAY EXAM RIBS/CHEST4/> VWS 57.24 49.091459 49.091459 8.15 8.15 71120 X-RAY EXAM BREASTBONE 2/>VWS 34.04 30.475499 30.475499 3.56 3.56 71130 X-RAY STRENOCLAVIC JT 3/>VWS 40.05 37.56702 37.56702 2.48 2.48 71250 CT THORAX W/O DYE 201.84 188.18918 188.18918 13.65 13.65 71260 CT THORAX W/DYE 252.85 239.70295 239.70295 13.15 13.15 71270 CT THORAX W/O & W/DYE 305.11 287.63516 287.63516 17.47 17.47 71275 CT ANGIOGRAPHY CHEST 394.47 317.87759 317.87759 76.59 76.59 71550 MRI CHEST W/O DYE 440.65 434.22466 434.22466 6.43 6.43 71551 MRI CHEST W/DYE 498.37 479.58634 479.58634 18.78 18.78 71552 MRI CHEST W/O & W/DYE 626.99 607.37371 607.37371 19.62 19.62 71555 MRI ANGIO CHEST W OR W/O DYE 439.26 416.29036 416.29036 22.97 22.97 72020 X-RAY EXAM OF SPINE 1 VIEW 24.69 22.656137 22.656137 2.03 2.03 72040 X-RAY EXAM NECK SPINE 2-3 VW 38.57 34.556847 34.556847 4.01 4.01 72050 X-RAY EXAM NECK SPINE 4/5VWS 52 46.800891 46.800891 5.20 5.20 72052 X-RAY EXAM NECK SPINE 6/>VWS 66.64 58.38297 58.38297 8.26 8.26 72070 X-RAY EXAM THORAC SPINE 2VWS 35.89 32.675488 32.675488 3.21 3.21 72072 X-RAY EXAM THORAC SPINE 3VWS 40.05 35.710365 35.710365 4.34 4.34 72074 X-RAY EXAM THORAC SPINE4/>VW 47.6 40.601896 40.601896 7.00 7.00 72080 X-RAY EXAM THORACOLMB 2/> VW 38.95 34.908416 34.908416 4.04 4.04 72100 X-RAY EXAM L-S SPINE 2/3 VWS 38.57 36.438205 36.438205 2.13 2.13 72110 X-RAY EXAM L-2 SPINE 4/>VWS 52.76 50.93988 50.93988 1.82 1.82 72114 X-RAY EXAM L-S SPINE BENDING 69.01 64.845463 64.845463 4.16 4.16 72120 X-RAY BEND ONLY L-S SPINE 43.48 42.057577 42.057577 1.42 1.42 72125 CT NECK SPINE W/O DYE 206.28 192.97366 192.97366 13.31 13.31 72126 CT NECK SPINE W/DYE 252.89 239.73589 239.73589 13.15 13.15 72127 CT NECK SPINE W/O & W/DYE 301.17 282.57322 282.57322 18.60 18.60 72128 CT CHEST SPINE W/O DYE 202.25 188.22211 188.22211 14.03 14.03 72129 CT CHEST SPINE W/DYE 252.89 239.73589 239.73589 13.15 13.15 72130 CT CHEST SPINE W/O & W/DYE 304.57 282.94949 282.94949 21.62 21.62 72131 CT LUMBAR SPINE W/O DYE 201.5 187.0933 187.0933 14.41 14.41 72132 CT LUMBAR SPINE W/DYE 252.13 238.98334 238.98334 13.15 13.15 72133 CT LUMBAR SPINE W/O & W/DYE 301.54 282.54851 282.54851 18.99 18.99 72141 MRI NECK SPINE W/O DYE 256.58 232.91109 232.91109 23.67 23.67 72142 MRI NECK SPINE W/DYE 353.15 338.09996 338.09996 15.05 15.05 72146 MRI CHEST SPINE W/O DYE 256.58 232.91109 232.91109 23.67 23.67 72147 MRI CHEST SPINE W/DYE 349.74 335.46606 335.46606 14.27 14.27 72148 MRI LUMBAR SPINE W/O DYE 256.98 231.406 231.406 25.57 25.57 72149 MRI LUMBAR SPINE W/DYE 348.63 333.5847 333.5847 15.05 15.05 72156 MRI NECK SPINE W/O & W/DYE 415.33 396.2359 396.2359 19.09 19.09 72157 MRI CHEST SPINE W/O & W/DYE 415.71 396.61217 396.61217 19.10 19.10 72158 MRI LUMBAR SPINE W/O & W/DYE 414.23 394.35454 394.35454 19.88 19.88 72159 MR ANGIO SPINE W/O&W/DYE 457.74 436.57609 436.57609 21.16 21.16 72170 X-RAY EXAM OF PELVIS 31.11 28.618843 28.618843 2.49 2.49 72190 X-RAY EXAM OF PELVIS 46.15 40.192687 40.192687 5.96 5.96 72191 CT ANGIOGRAPH PELV W/O&W/DYE 410.55 317.33091 317.33091 93.22 93.22 72192 CT PELVIS W/O DYE 159 152.30338 152.30338 6.70 6.70 72193 CT PELVIS W/DYE 248.85 236.09669 236.09669 12.75 12.75 72194 CT PELVIS W/O & W/DYE 291.44 272.11995 272.11995 19.32 19.32 72195 MRI PELVIS W/O DYE 400.25 393.56262 393.56262 6.69 6.69 72196 MRI PELVIS W/DYE 448.86 430.31945 430.31945 18.54 18.54 72197 MRI PELVIS W/O & W/DYE 547.63 529.48547 529.48547 18.14 18.14 72198 MR ANGIO PELVIS W/O & W/DYE 444.57 420.42111 420.42111 24.15 24.15 72200 X-RAY EXAM SI JOINTS 31.83 29.396089 29.396089 2.43 2.43 72202 X-RAY EXAM SI JOINTS 3/> VWS 37.46 33.878412 33.878412 3.58 3.58 72220 X-RAY EXAM SACRUM TAILBONE 31.07 29.019818 29.019818 2.05 2.05 72240 MYELOGRAPHY NECK SPINE 137.42 101.80314 101.80314 35.62 35.62 72255 MYELOGRAPHY THORACIC SPINE 130.6 101.42687 101.42687 29.17 29.17 72265 MYELOGRAPHY L-S SPINE 134.16 95.186706 95.186706 38.97 38.97 72270 MYELOGPHY 2/> SPINE REGIONS 208.46 131.56477 131.56477 76.90 76.90 72275 EPIDUROGRAPHY 123.34 120.16062 120.16062 3.18 3.18 72285 DISCOGRAPHY CERV/THOR SPINE 121.07 118.67522 118.67522 2.39 2.39 72295 X-RAY OF LOWER SPINE DISK 105.06 102.33587 102.33587 2.72 2.72 73000 X-RAY EXAM OF COLLAR BONE 31.09 29.011583 29.011583 2.08 2.08 73010 X-RAY EXAM OF SHOULDER BLADE 34.51 31.252745 31.252745 3.26 3.26 73020 X-RAY EXAM OF SHOULDER 25.44 24.13652 24.13652 1.30 1.30 73030 X-RAY EXAM OF SHOULDER 33.36 30.107461 30.107461 3.25 3.25 73040 CONTRAST X-RAY OF SHOULDER 112.42 104.71952 104.71952 7.70 7.70 73050 X-RAY EXAM OF SHOULDERS 42.77 37.575254 37.575254 5.19 5.19 73060 X-RAY EXAM OF HUMERUS 31.07 27.8663 27.8663 3.20 3.20 73070 X-RAY EXAM OF ELBOW 30.35 28.65178 28.65178 1.70 1.70 73080 X-RAY EXAM OF ELBOW 35.98 32.757831 32.757831 3.22 3.22 73085 CONTRAST X-RAY OF ELBOW 108.62 102.48659 102.48659 6.13 6.13 73090 X-RAY EXAM OF FOREARM 29.96 26.778656 26.778656 3.18 3.18 73092 X-RAY EXAM OF ARM INFANT 30.34 28.283743 28.283743 2.06 2.06 73100 X-RAY EXAM OF WRIST 33.77 30.51667 30.51667 3.25 3.25 73110 X-RAY EXAM OF WRIST 40.52 36.89682 36.89682 3.62 3.62 73115 CONTRAST X-RAY OF WRIST 118.47 111.86868 111.86868 6.60 6.60 73120 X-RAY EXAM OF HAND 29.58 27.154928 27.154928 2.43 2.43 73130 X-RAY EXAM OF HAND 35.23 31.653719 31.653719 3.58 3.58 73140 X-RAY EXAM OF FINGER(S) 35.68 32.472137 32.472137 3.21 3.21 73200 CT UPPER EXTREMITY W/O DYE 201.91 187.0933 187.0933 14.82 14.82 73201 CT UPPER EXTREMITY W/DYE 246.96 232.71024 232.71024 14.25 14.25 73202 CT UPPR EXTREMITY W/O&W/DYE 315.25 290.55726 290.55726 24.69 24.69 73206 CT ANGIO UPR EXTRM W/O&W/DYE 353.81 340.65975 340.65975 13.15 13.15 73218 MRI UPPER EXTREMITY W/O DYE 389.07 381.37621 381.37621 7.69 7.69 73219 MRI UPPER EXTREMITY W/DYE 442.27 422.5989 422.5989 19.67 19.67 73220 MRI UPPR EXTREMITY W/O&W/DYE 542.17 522.91844 522.91844 19.25 19.25 73221 MRI JOINT UPR EXTREM W/O DYE 268.94 245.91841 245.91841 23.02 23.02 73222 MRI JOINT UPR EXTREM W/DYE 412.79 395.93302 395.93302 16.86 16.86 73223 MRI JOINT UPR EXTR W/O&W/DYE 511.18 490.55908 490.55908 20.62 20.62 73225 MR ANGIO UPR EXTR W/O&W/DYE 451.45 422.39305 422.39305 29.06 29.06 73525 CONTRAST X-RAY OF HIP 110.16 105.84833 105.84833 4.31 4.31 73560 X-RAY EXAM OF KNEE 1 OR 2 33 30.500202 30.500202 2.50 2.50 73562 X-RAY EXAM OF KNEE 3 40.16 35.751536 35.751536 4.41 4.41 73564 X-RAY EXAM KNEE 4 OR MORE 46.51 41.305034 41.305034 5.20 5.20 73565 X-RAY EXAM OF KNEES 38.29 34.262918 34.262918 4.03 4.03 73580 CONTRAST X-RAY OF KNEE JOINT 135.5 120.17136 120.17136 15.33 15.33 73590 X-RAY EXAM OF LOWER LEG 29.56 27.8663 27.8663 1.69 1.69 73592 X-RAY EXAM OF LEG INFANT 30.34 28.283743 28.283743 2.06 2.06 73600 X-RAY EXAM OF ANKLE 30.71 28.283743 28.283743 2.43 2.43 73610 X-RAY EXAM OF ANKLE 35.98 32.757831 32.757831 3.22 3.22 73615 CONTRAST X-RAY OF ANKLE 110.16 102.43719 102.43719 7.72 7.72 73620 X-RAY EXAM OF FOOT 29.2 26.778656 26.778656 2.42 2.42 73630 X-RAY EXAM OF FOOT 33.72 30.148633 30.148633 3.57 3.57 73650 X-RAY EXAM OF HEEL 30.34 27.907471 27.907471 2.43 2.43 73660 X-RAY EXAM OF TOE(S) 32.66 29.085692 29.085692 3.57 3.57 73700 CT LOWER EXTREMITY W/O DYE 201.91 187.0933 187.0933 14.82 14.82 73701 CT LOWER EXTREMITY W/DYE 249.98 236.09669 236.09669 13.88 13.88 73702 CT LWR EXTREMITY W/O&W/DYE 312.6 286.042 286.042 26.56 26.56 73706 CT ANGIO LWR EXTR W/O&W/DYE 393.75 366.49898 366.49898 27.25 27.25 73718 MRI LOWER EXTREMITY W/O DYE 389.09 382.10405 382.10405 6.99 6.99 73719 MRI LOWER EXTREMITY W/DYE 443.78 423.02458 423.02458 20.76 20.76 73720 MRI LWR EXTREMITY W/O&W/DYE 545.19 526.30489 526.30489 18.89 18.89 73721 MRI JNT OF LWR EXTRE W/O DYE 269.32 245.91841 245.91841 23.40 23.40 73722 MRI JOINT OF LWR EXTR W/DYE 418.48 399.67103 399.67103 18.81 18.81 73723 MRI JOINT LWR EXTR W/O&W/DYE 512.69 492.81671 492.81671 19.87 19.87 73725 MR ANG LWR EXT W OR W/O DYE 445.66 421.51699 421.51699 24.14 24.14 74000 X-RAY EXAM OF ABDOMEN 26.14 24.488089 24.488089 1.65 1.65 74010 X-RAY EXAM OF ABDOMEN 41.54 36.446439 36.446439 5.09 5.09 74020 X-RAY EXAM OF ABDOMEN 43.35 38.261923 38.261923 5.09 5.09 74022 X-RAY EXAM SERIES ABDOMEN 52.32 45.705014 45.705014 6.61 6.61 74150 CT ABDOMEN W/O DYE 162.62 155.52514 155.52514 7.09 7.09 74160 CT ABDOMEN W/DYE 253.55 241.15863 241.15863 12.39 12.39 74170 CT ABDOMEN W/O & W/DYE 293 274.05645 274.05645 18.94 18.94 74174 Ct angio abd&pelv w/o&w/dye 574.61 406.82091 406.82091 167.79 167.79 74175 CT ANGIO ABDOM W/O & W/DYE 408.49 319.94834 319.94834 88.54 88.54 74176 CT ABD & PELVIS W/O CONTRAST 227.75 207.97584 207.97584 19.77 19.77 74177 CT ABD & PELV W/CONTRAST 342.11 325.21615 325.21615 16.89 16.89 74178 CT ABD & PELV 1/> REGNS 398.45 368.17448 368.17448 30.28 30.28 74181 MRI ABDOMEN W/O DYE 356.37 348.08315 348.08315 8.29 8.29 74182 MRI ABDOMEN W/DYE 491.56 476.2493 476.2493 15.31 15.31 74183 MRI ABDOMEN W/O & W/DYE 549.51 530.61429 530.61429 18.90 18.90 74185 MRI ANGIO ABDOM W ORW/O DYE 445.7 421.57463 421.57463 24.13 24.13 74210 CONTRST X-RAY EXAM OF THROAT 83.99 80.983973 80.983973 3.01 3.01 74220 CONTRAST X-RAY ESOPHAGUS 98.2 92.459005 92.459005 5.74 5.74 74230 CINE/VID X-RAY THROAT/ESOPH 98.06 134.10988 134.10988 (36.05) (36.05) 74240 X-RAY UPPER GI DELAY W/O KUB 122.71 118.36984 118.36984 4.34 4.34 74241 X-RAY UPPER GI DELAY W/KUB 127.61 122.55823 122.55823 5.05 5.05 74245 X-RAY UPPER GI&SMALL INTEST 191.09 178.96354 178.96354 12.13 12.13 74246 CONTRST X-RAY UPPR GI TRACT 138.21 133.77227 133.77227 4.44 4.44 74247 CONTRST X-RAY UPPR GI TRACT 153.7 147.36746 147.36746 6.33 6.33 74249 CONTRST X-RAY UPPR GI TRACT 206.21 192.13305 192.13305 14.08 14.08 74250 X-RAY EXAM OF SMALL BOWEL 116.32 108.24595 108.24595 8.07 8.07 74251 X-RAY EXAM OF SMALL BOWEL 445.85 440.10681 440.10681 5.74 5.74 74260 X-RAY EXAM OF SMALL BOWEL 369.85 367.82399 367.82399 2.03 2.03 74261 CT COLONOGRAPHY DX 507.67 509.2137 509.2137 (1.54) (1.54) 74262 CT COLONOGRAPHY DX W/DYE 557.78 569.98032 569.98032 (12.20) (12.20) 74270 CONTRAST X-RAY EXAM OF COLON 169.2 156.77425 156.77425 12.43 12.43 74280 CONTRAST X-RAY EXAM OF COLON 236.29 222.4546 222.4546 13.84 13.84 74283 CONTRAST X-RAY EXAM OF COLON 215.4 215.16939 215.16939 0.23 0.23 74290 CONTRAST X-RAY GALLBLADDER 75 72.77187 72.77187 2.23 2.23 74400 CONTRST X-RAY URINARY TRACT 121.19 114.25806 114.25806 6.93 6.93 74410 CONTRST X-RAY URINARY TRACT 118.93 110.89632 110.89632 8.03 8.03 74415 CONTRST X-RAY URINARY TRACT 148.03 142.47843 142.47843 5.55 5.55 74430 CONTRAST X-RAY BLADDER 43.63 38.555852 38.555852 5.07 5.07 74440 X-RAY MALE GENITAL TRACT 87.77 83.233368 83.233368 4.54 4.54 74455 X-RAY URETHRA/BLADDER 89.34 84.820798 84.820798 4.52 4.52 74485 X-RAY GUIDE GU DILATION 102.58 95.763107 95.763107 6.82 6.82 74710 X-RAY MEASUREMENT OF PELVIS 39.44 41.132114 41.132114 (1.69) (1.69) 74740 X-RAY FEMALE GENITAL TRACT 82.44 78.668703 78.668703 3.77 3.77 75557 Cardiac mri for morph 345.62 331.44307 331.44307 14.18 14.18 75559 Cardiac mri w/stress img 467.68 451.66383 451.66383 16.02 16.02 75561 Cardiac mri for morph w/dye 456.26 442.40776 442.40776 13.85 13.85 75563 Card mri w/stress img & dye 538.26 525.25662 525.25662 13.00 13.00 75565 CARD MRI VELOC FLOW MAPPING 58.88 57.860987 57.860987 1.02 1.02 75571 CT HRT W/O DYE W/CA TEST 111.16 105.05462 105.05462 6.11 6.11 75572 CT HRT W/3D IMAGE 303.22 297.11105 297.11105 6.11 6.11 75573 CT HRT W/3D IMAGE CONGEN 416.24 405.66489 405.66489 10.58 10.58 75574 CT ANGIO HRT W/3D IMAGE 442.61 437.11776 437.11776 5.49 5.49 75600 CONTRAST EXAM THORACIC AORTA 222.86 210.41068 210.41068 12.45 12.45 75605 CONTRAST EXAM THORACIC AORTA 159.69 144.57209 144.57209 15.12 15.12 75625 CONTRAST EXAM ABDOMINL AORTA 159.37 144.82485 144.82485 14.55 14.55 75630 X-RAY AORTA LEG ARTERIES 190.24 178.62414 178.62414 11.62 11.62 75635 CT ANGIO ABDOMINAL ARTERIES 440.82 395.65377 395.65377 45.17 45.17 75658 ARTERY X-RAYS ARM 185.46 173.39429 173.39429 12.07 12.07 75705 ARTERY X-RAYS SPINE 259.34 246.0072 246.0072 13.33 13.33 75710 ARTERY X-RAYS ARM/LEG 184.22 167.97505 167.97505 16.24 16.24 75716 ARTERY X-RAYS ARMS/LEGS 220.68 194.96529 194.96529 25.71 25.71 75726 ARTERY X-RAYS ABDOMEN 172.18 156.26122 156.26122 15.92 15.92 75731 ARTERY X-RAYS ADRENAL GLAND 191.01 178.58476 178.58476 12.43 12.43 75733 ARTERY X-RAYS ADRENALS 213.77 191.4496 191.4496 22.32 22.32 75736 ARTERY X-RAYS PELVIS 181.2 169.96094 169.96094 11.24 11.24 75741 ARTERY X-RAYS LUNG 170.34 157.91202 157.91202 12.43 12.43 75743 ARTERY X-RAYS LUNGS 196.91 176.47606 176.47606 20.43 20.43 75746 ARTERY X-RAYS LUNG 177.08 159.79588 159.79588 17.28 17.28 75756 ARTERY X-RAYS CHEST 193.59 177.036 177.036 16.55 16.55 75774 ARTERY X-RAY EACH VESSEL 104.06 91.846445 91.846445 12.21 12.21 75791 AV DIALYSIS SHUNT IMAGING 346.48 335.53193 335.53193 10.95 10.95 75809 NONVASCULAR SHUNT X-RAY 109.52 103.75539 103.75539 5.76 5.76 75820 VEIN X-RAY ARM/LEG 131.77 120.93787 120.93787 10.83 10.83 75822 VEIN X-RAY ARMS/LEGS 164.01 142.89659 142.89659 21.11 21.11 75825 VEIN X-RAY TRUNK 153.66 142.9682 142.9682 10.69 10.69 75827 VEIN X-RAY CHEST 155.54 143.79485 143.79485 11.75 11.75 75831 VEIN X-RAY KIDNEY 166.42 146.55226 146.55226 19.87 19.87 75833 VEIN X-RAY KIDNEYS 188.51 174.40532 174.40532 14.10 14.10 75840 VEIN X-RAY ADRENAL GLAND 172.46 155.20651 155.20651 17.25 17.25 75842 VEIN X-RAY ADRENAL GLANDS 205.52 188.06888 188.06888 17.45 17.45 75860 VEIN X-RAY NECK 161.6 149.8646 149.8646 11.74 11.74 75870 VEIN X-RAY SKULL 165.36 154.83024 154.83024 10.53 10.53 75872 VEIN X-RAY SKULL EPIDURAL 158.56 155.58278 155.58278 2.98 2.98 75880 VEIN X-RAY EYE SOCKET 143.48 152.6682 152.6682 (9.19) (9.19) 75885 VEIN X-RAY LIVER W/HEMODYNAM 177.65 164.44611 164.44611 13.20 13.20 75887 VEIN X-RAY LIVER W/O HEMODYN 176.46 166.70374 166.70374 9.76 9.76 75889 VEIN X-RAY LIVER W/HEMODYNAM 163.47 150.31498 150.31498 13.16 13.16 75891 VEIN X-RAY LIVER 164.61 151.82007 151.82007 12.79 12.79 75893 VENOUS SAMPLING BY CATHETER 133.91 124.31035 124.31035 9.60 9.60 75901 REMOVE CVA DEVICE OBSTRUCT 188.09 184.24459 184.24459 3.85 3.85 75902 REMOVE CVA LUMEN OBSTRUCT 79.45 74.513246 74.513246 4.94 4.94 75962 REPAIR ARTERIAL BLOCKAGE 154.35 145.35686 145.35686 8.99 8.99 75964 REPAIR ARTERY BLOCKAGE EACH 99.17 90.341358 90.341358 8.83 8.83 75966 REPAIR ARTERIAL BLOCKAGE 182.8 178.48344 178.48344 4.32 4.32 75968 REPAIR ARTERY BLOCKAGE EACH 92.68 92.999963 92.999963 (0.32) (0.32) 75978 REPAIR VENOUS BLOCKAGE 152.46 143.82707 143.82707 8.63 8.63 75984 XRAY CONTROL CATHETER CHANGE 117.37 110.8197 110.8197 6.55 6.55 75989 ABSCESS DRAINAGE UNDER X-RAY 131.59 125.75028 125.75028 5.84 5.84 76000 FLUOROSCOPE EXAMINATION 53.75 49.313785 49.313785 4.44 4.44 76010 X-RAY NOSE TO RECTUM 29.16 27.121991 27.121991 2.04 2.04 76080 X-RAY EXAM OF FISTULA 64.03 57.333992 57.333992 6.70 6.70 76098 X-RAY EXAM BREAST SPECIMEN 20.13 16.995593 16.995593 3.13 3.13 76100 X-RAY EXAM OF BODY SECTION 107.07 96.727236 96.727236 10.34 10.34 76101 COMPLEX BODY SECTION X-RAY 159.66 138.82026 138.82026 20.84 20.84 76102 COMPLEX BODY SECTION X-RAYS 214.12 183.19561 183.19561 30.92 30.92 76120 CINE/VIDEO X-RAYS 98.73 94.823681 94.823681 3.91 3.91 76376 3D RENDER W/INTRP POSTPROCES 30.26 23.702609 23.702609 6.56 6.56 76377 3D RENDER W/INTRP POSTPROCES 87.37 66.304366 66.304366 21.07 21.07 76380 CAT SCAN FOLLOW-UP STUDY 159.57 152.50924 152.50924 7.06 7.06 76390 MR SPECTROSCOPY 469.81 467.50949 467.50949 2.30 2.30 76506 ECHO EXAM OF HEAD 130.77 124.5137 124.5137 6.26 6.26 76510 OPHTH US B & QUANT A 187.58 178.00836 178.00836 9.57 9.57 76511 OPHTH US QUANT A ONLY 107.44 107.14506 107.14506 0.29 0.29 76512 OPHTH US B W/NON-QUANT A 98.42 96.985722 96.985722 1.43 1.43 76513 ECHO EXAM OF EYE WATER BATH 101.17 100.83329 100.83329 0.34 0.34 76514 ECHO EXAM OF EYE THICKNESS 15.95 15.85031 15.85031 0.10 0.10 76516 ECHO EXAM OF EYE 82.51 82.593599 82.593599 (0.08) (0.08) 76519 ECHO EXAM OF EYE 89.35 88.237674 88.237674 1.11 1.11 76529 ECHO EXAM OF EYE 84.38 83.296737 83.296737 1.08 1.08 76536 US EXAM OF HEAD AND NECK 129.37 122.04448 122.04448 7.33 7.33 76604 US EXAM CHEST 93.49 92.68706 92.68706 0.80 0.80 76641 Ultrasound breast complete 112.77 112.35773 112.35773 0.41 0.41 76642 Ultrasound breast limited 92.46 92.121399 92.121399 0.34 0.34 76700 US EXAM ABDOM COMPLETE 149.32 135.12914 135.12914 14.19 14.19 76705 ECHO EXAM OF ABDOMEN 114.95 111.0585 111.0585 3.89 3.89 76770 US EXAM ABDO BACK WALL COMP 140.76 118.71317 118.71317 22.05 22.05 76775 US EXAM ABDO BACK WALL LIM 68.86 59.926722 59.926722 8.93 8.93 76776 US EXAM K TRANSPL W/DOPPLER 163.77 164.93695 164.93695 (1.17) (1.17) 76800 US EXAM SPINAL CANAL 146.05 144.38521 144.38521 1.66 1.66 76801 OB US < 14 WKS SINGLE FETUS 133.08 130.21864 130.21864 2.86 2.86 76802 OB US < 14 WKS ADDL FETUS 70.27 68.045741 68.045741 2.22 2.22 76805 OB US >/= 14 WKS SNGL FETUS 154.24 149.40849 149.40849 4.83 4.83 76810 OB US >/= 14 WKS ADDL FETUS 101.73 99.004557 99.004557 2.73 2.73 76811 OB US DETAILED SNGL FETUS 194.09 190.90936 190.90936 3.18 3.18 76812 OB US DETAILED ADDL FETUS 220.78 216.74286 216.74286 4.04 4.04 76813 OB US NUCHAL MEAS 1 GEST 127.06 126.84615 126.84615 0.21 0.21 76814 OB US NUCHAL MEAS ADD-ON 83.19 84.689765 84.689765 (1.50) (1.50) 76815 OB US LIMITED FETUS(S) 95.15 88.710251 88.710251 6.44 6.44 76816 OB US FOLLOW-UP PER FETUS 122.76 120.69084 120.69084 2.07 2.07 76817 TRANSVAGINAL US OBSTETRIC 107.08 102.44291 102.44291 4.64 4.64 76818 FETAL BIOPHYS PROFILE W/NST 128.42 127.08495 127.08495 1.34 1.34 76819 FETAL BIOPHYS PROFIL W/O NST 94.2 93.003185 93.003185 1.20 1.20 76820 UMBILICAL ARTERY ECHO 51.22 49.473458 49.473458 1.75 1.75 76821 MIDDLE CEREBRAL ARTERY ECHO 99.24 97.633725 97.633725 1.61 1.61 76825 ECHO EXAM OF FETAL HEART 289 291.90089 291.90089 (2.90) (2.90) 76826 ECHO EXAM OF FETAL HEART 173.45 173.42651 173.42651 0.02 0.02 76827 ECHO EXAM OF FETAL HEART 79.41 80.195986 80.195986 (0.79) (0.79) 76828 ECHO EXAM OF FETAL HEART 55.26 56.147537 56.147537 (0.89) (0.89) 76830 TRANSVAGINAL US NON-OB 133.66 128.52917 128.52917 5.13 5.13 76831 ECHO EXAM UTERUS 130.95 125.06862 125.06862 5.88 5.88 76856 US EXAM PELVIC COMPLETE 131.39 115.0328 115.0328 16.36 16.36 76857 US EXAM PELVIC LIMITED 56.78 48.795024 48.795024 7.98 7.98 76870 US EXAM SCROTUM 77.84 69.610974 69.610974 8.23 8.23 76872 US TRANSRECTAL 97.77 98.125277 98.125277 (0.36) (0.36) 76873 ECHOGRAP TRANS R PROS STUDY 180.46 173.77056 173.77056 6.69 6.69 76881 US XTR NON-VASC COMPLETE ULTRA 125.48 122.28077 122.28077 3.20 3.20 76882 US XTR NON-VASC LMTD 37.31 37.473937 37.473937 (0.16) (0.16) 76885 US EXAM INFANT HIPS DYNAMIC 157.39 152.22605 152.22605 5.16 5.16 76886 US EXAM INFANT HIPS STATIC 112.97 111.73693 111.73693 1.23 1.23 76936 ECHO GUIDE FOR ARTERY REPAIR 286.82 286.81495 286.81495 0.01 0.01 76937 US GUIDE VASCULAR ACCESS 38.04 33.27158 33.27158 4.77 4.77 76942 ECHO GUIDE FOR BIOPSY 77.02 63.090841 63.090841 13.93 13.93 76946 ECHO GUIDE FOR AMNIOCENTESIS 33.69 34.268646 34.268646 (0.58) (0.58) 76948 ECHO GUIDE OVA ASPIRATION 34.48 63.357561 63.357561 (28.88) (28.88) 76965 ECHO GUIDANCE RADIOTHERAPY 94.7 90.666434 90.666434 4.03 4.03 76970 ULTRASOUND EXAM FOLLOW-UP 100.22 97.776214 97.776214 2.44 2.44 76977 US BONE DENSITY MEASURE 7.49 7.3936845 7.3936845 0.10 0.10 77001 FLUOROGUIDE FOR VEIN DEVICE 83.61 73.425602 73.425602 10.18 10.18 77002 NEEDLE LOCALIZATION BY XRAY 107.87 96.466245 96.466245 11.40 11.40 77003 FLUOROGUIDE FOR SPINE INJECT 94.9 88.842 88.842 6.06 6.06 77011 CT SCAN FOR LOCALIZATION 236.22 230.39497 230.39497 5.83 5.83 77012 CT SCAN FOR NEEDLE BIOPSY 134.28 129.23553 129.23553 5.04 5.04 77014 CT SCAN FOR THERAPY GUIDE 129.21 121.51749 121.51749 7.69 7.69 77021 MR GUIDANCE FOR NEEDLE PLACE 418.71 431.90115 431.90115 (13.19) (13.19) 77051 COMPUTER DX MAMMOGRAM ADD-ON 10.88 9.2585742 9.2585742 1.62 1.62 77052 COMP SCREEN MAMMOGRAM ADD-ON 10.88 9.2585742 9.2585742 1.62 1.62 77053 X-RAY OF MAMMARY DUCT 62.83 60.665303 60.665303 2.16 2.16 77054 X-RAY OF MAMMARY DUCTS 84.99 79.682237 79.682237 5.31 5.31 77055 MAMMOGRAM ONE BREAST 93.97 93.544143 93.544143 0.43 0.43 77056 MAMMOGRAM BOTH BREASTS 120.87 120.33103 120.33103 0.54 0.54 77057 MAMMOGRAM SCREENING 86.04 85.642438 85.642438 0.40 0.40 77058 MRI ONE BREAST 581.33 568.22427 568.22427 13.11 13.11 77059 MRI BOTH BREASTS 579.06 562.5802 562.5802 16.48 16.48 77063 Breast tomosynthesis bi 58.64 58.339292 58.339292 0.30 0.30 77071 X-RAY STRESS VIEW 53.75 50.324813 50.324813 3.43 3.43 77072 X-RAYS FOR BONE AGE 24.99 23.719077 23.719077 1.27 1.27 77073 X-RAYS BONE LENGTH STUDIES 40.38 37.836246 37.836246 2.54 2.54 77074 X-RAYS BONE SURVEY LIMITED 75.54 66.16116 66.16116 9.38 9.38 77075 X-RAYS BONE SURVEY COMPLETE 113.16 90.82217 90.82217 22.34 22.34 77076 X-RAYS BONE SURVEY INFANT 113.62 99.188218 99.188218 14.43 14.43 77077 JOINT SURVEY SINGLE VIEW 42.57 39.250755 39.250755 3.32 3.32 77078 CT BONE DENSITY AXIAL 120.11 119.19327 119.19327 0.92 0.92 77080 DXA BONE DENSITY AXIAL 51.8 42.13992 42.13992 9.66 9.66 77081 DXA BONE DENSITY/PERIPHERAL 29.09 29.313746 29.313746 (0.22) (0.22) 77084 MAGNETIC IMAGE BONE MARROW 416.61 409.46233 409.46233 7.15 7.15 77085 Dxa bone density study 59.16 58.907459 58.907459 0.25 0.25 77086 Fracture assessment via dxa 37.5 37.297794 37.297794 0.20 0.20 77261 RADIATION THERAPY PLANNING 76.86 76.906563 76.906563 (0.05) (0.05) 77262 RADIATION THERAPY PLANNING 115.28 115.78427 115.78427 (0.50) (0.50) 77263 RADIATION THERAPY PLANNING 170.12 168.82604 168.82604 1.29 1.29 77280 SET RADIATION THERAPY FIELD 285.19 284.33858 284.33858 0.85 0.85 77285 SET RADIATION THERAPY FIELD 444.41 448.16819 448.16819 (3.76) (3.76) 77290 SET RADIATION THERAPY FIELD 532.28 535.32646 535.32646 (3.05) (3.05) 77293 Respirator motion mgmt simul 452.49 484.83517 484.83517 (32.35) (32.35) 77295 3-D RADIOTHERAPY PLAN 503.88 507.03233 507.03233 (3.15) (3.15) 77300 RADIATION THERAPY DOSE PLAN 69.92 65.48022 65.48022 4.44 4.44 77301 RADIOTHERAPY DOSE PLAN IMRT 2053.31 2028.5145 2028.5145 24.80 24.80 77306 Telethx isodose plan simple 149.65 149.25777 149.25777 0.39 0.39 77307 Telethx isodose plan cplx 291.55 290.82542 290.82542 0.72 0.72 77316 Brachytx isodose plan simple 192.75 192.12803 192.12803 0.62 0.62 77317 Brachytx isodose intermed 252.43 251.57395 251.57395 0.86 0.86 77318 Brachytx isodose complex 363.39 362.26763 362.26763 1.12 1.12 77321 SPECIAL TELETX PORT PLAN 95 95.390058 95.390058 (0.39) (0.39) 77331 SPECIAL RADIATION DOSIMETRY 65.68 65.796345 65.796345 (0.12) (0.12) 77332 RADIATION TREATMENT AID(S) 84.06 85.955341 85.955341 (1.90) (1.90) 77333 RADIATION TREATMENT AID(S) 54.4 54.181329 54.181329 0.22 0.22 77334 RADIATION TREATMENT AID(S) 156.44 157.72513 157.72513 (1.29) (1.29) 77336 RADIATION PHYSICS CONSULT 79 80.849002 80.849002 (1.85) (1.85) 77338 DESIGN MLC DEVICE FOR IMRT 521.66 524.36553 524.36553 (2.71) (2.71) 77370 RADIATION PHYSICS CONSULT 121.01 122.94202 122.94202 (1.93) (1.93) 77372 SRS LINEAR BASED 1102.89 1119.26 1119.26 (16.37) (16.37) 77373 SBRT DELIVERY 1320.61 1421.7577 1421.7577 (101.15) (101.15) 77401 RADIATION TREATMENT DELIVERY 21.18 21.799054 21.799054 (0.62) (0.62) 77417 RADIOLOGY PORT IMAGES(S) 14.75 11.263447 11.263447 3.49 3.49 77422 NEUTRON BEAM TX SIMPLE 44.23 34.968562 34.968562 9.26 9.26 77423 NEUTRON BEAM TX COMPLEX 52.55 68.808309 68.808309 (16.26) (16.26) 77427 RADIATION TX MANAGEMENT X5 190.48 189.49377 189.49377 0.99 0.99 77431 RADIATION THERAPY MANAGEMENT 104.45 104.63861 104.63861 (0.19) (0.19) 77432 STEREOTACTIC RADIATION TRMT 428.39 425.36097 425.36097 3.03 3.03 77435 SBRT MANAGEMENT 647.36 641.99643 641.99643 5.36 5.36 77469 Io radiation tx management 320.4 327.86007 327.86007 (7.46) (7.46) 77470 SPECIAL RADIATION TREATMENT 159.8 159.9645 159.9645 (0.16) (0.16) 77600 HYPERTHERMIA TREATMENT 417.04 422.34615 422.34615 (5.31) (5.31) 77605 HYPERTHERMIA TREATMENT 758.96 801.08201 801.08201 (42.12) (42.12) 77610 HYPERTHERMIA TREATMENT 1049.7 1083.4555 1083.4555 (33.76) (33.76) 77615 HYPERTHERMIA TREATMENT 1049.18 1063.2198 1063.2198 (14.04) (14.04) 77620 HYPERTHERMIA TREATMENT 382.62 486.472 486.472 (103.85) (103.85) 77750 INFUSE RADIOACTIVE MATERIALS 380.11 381.29244 381.29244 (1.18) (1.18) 77761 APPLY INTRCAV RADIAT SIMPLE 401.52 402.47499 402.47499 (0.95) (0.95) 77762 APPLY INTRCAV RADIAT INTERM 530.3 563.22068 563.22068 (32.92) (32.92) 77763 APPLY INTRCAV RADIAT COMPL 751.35 755.13212 755.13212 (3.78) (3.78) 77778 APPLY INTERSTIT RADIAT COMPL 898.81 899.45861 899.45861 (0.65) (0.65) 77789 APPLY SURF LDR RADIONUCLIDE 122.62 123.29753 123.29753 (0.68) (0.68) 77790 RADIATION HANDLING 99.34 99.715929 99.715929 (0.38) (0.38) 78012 Thyroid uptake measurement 82.43 86.15547 86.15547 (3.73) (3.73) 78013 Thyroid imaging w/blood flow 207.97 206.64224 206.64224 1.33 1.33 78014 Thyroid imaging w/blood flow 251.98 262.06695 262.06695 (10.09) (10.09) 78015 THYROID MET IMAGING 233.52 239.58695 239.58695 (6.07) (6.07) 78016 THYROID MET IMAGING/STUDIES 300.86 307.4451 307.4451 (6.59) (6.59) 78018 THYROID MET IMAGING BODY 335.58 338.91193 338.91193 (3.33) (3.33) 78020 THYROID MET UPTAKE 88.1 89.594543 89.594543 (1.49) (1.49) 78070 PARATHYROID PLANAR IMAGING 319.44 326.24221 326.24221 (6.80) (6.80) 78071 Parathyrd planar w/wo subtrj 374.64 387.99516 387.99516 (13.36) (13.36) 78072 Parathyrd planar w/spect&ct 79.36 444.4803 444.4803 (365.12) (365.12) 78075 ADRENAL CORTEX & MEDULLA IMG 456.76 493.33153 493.33153 (36.57) (36.57) 78102 BONE MARROW IMAGING LTD 181.21 184.47264 184.47264 (3.26) (3.26) 78103 BONE MARROW IMAGING MULT 240.55 239.47991 239.47991 1.07 1.07 78104 BONE MARROW IMAGING BODY 260.11 266.11285 266.11285 (6.00) (6.00) 78110 PLASMA VOLUME SINGLE 100.99 111.36567 111.36567 (10.38) (10.38) 78111 PLASMA VOLUME MULTIPLE 105.84 104.1671 104.1671 1.67 1.67 78120 RED CELL MASS SINGLE 102.04 101.51673 101.51673 0.52 0.52 78121 RED CELL MASS MULTIPLE 107.54 113.78548 113.78548 (6.25) (6.25) 78122 BLOOD VOLUME 105.02 103.41206 103.41206 1.61 1.61 78130 RED CELL SURVIVAL STUDY 182.26 170.82805 170.82805 11.43 11.43 78135 RED CELL SURVIVAL KINETICS 376.06 381.79294 381.79294 (5.73) (5.73) 78140 RED CELL SEQUESTRATION 145.2 146.3951 146.3951 (1.20) (1.20) 78185 SPLEEN IMAGING 226.05 230.62481 230.62481 (4.57) (4.57) 78190 PLATELET SURVIVAL KINETICS 425.08 427.33327 427.33327 (2.25) (2.25) 78191 PLATELET SURVIVAL 182.26 180.91328 180.91328 1.35 1.35 78195 LYMPH SYSTEM IMAGING 382.22 386.46537 386.46537 (4.25) (4.25) 78201 LIVER IMAGING 200.71 204.94776 204.94776 (4.24) (4.24) 78202 LIVER IMAGING WITH FLOW 217.53 218.42767 218.42767 (0.90) (0.90) 78205 LIVER IMAGING (3D) 228.53 228.5845 228.5845 (0.05) (0.05) 78206 LIVER IMAGE (3D) WITH FLOW 363.73 372.93856 372.93856 (9.21) (9.21) 78215 LIVER AND SPLEEN IMAGING 208.91 210.91047 210.91047 (2.00) (2.00) 78216 LIVER & SPLEEN IMAGE/FLOW 131.28 135.49969 135.49969 (4.22) (4.22) 78226 Hepatobiliary system imaging 355.84 360.93331 360.93331 (5.09) (5.09) 78227 Hepatobil syst image w/drug 482.15 490.05786 490.05786 (7.91) (7.91) 78230 SALIVARY GLAND IMAGING 146.63 188.42475 188.42475 (41.79) (41.79) 78231 SERIAL SALIVARY IMAGING 138.14 140.14669 140.14669 (2.01) (2.01) 78232 SALIVARY GLAND FUNCTION EXAM 106.15 106.69145 106.69145 (0.54) (0.54) 78258 ESOPHAGEAL MOTILITY STUDY 236.77 238.36756 238.36756 (1.60) (1.60) 78261 GASTRIC MUCOSA IMAGING 271.28 274.87415 274.87415 (3.59) (3.59) 78262 GASTROESOPHAGEAL REFLUX EXAM 261.42 264.40441 264.40441 (2.98) (2.98) 78264 GASTRIC EMPTYING IMAG STUDY 308.86 314.57779 314.57779 (5.72) (5.72) 78270 VIT B-12 ABSORPTION EXAM 96.4 109.84412 109.84412 (13.44) (13.44) 78271 VIT B-12 ABSRP EXAM INT FAC 96.4 97.803423 97.803423 (1.40) (1.40) 78272 VIT B-12 ABSORP COMBINED 109.53 104.8373 104.8373 4.69 4.69 78278 ACUTE GI BLOOD LOSS IMAGING 374.27 379.66205 379.66205 (5.39) (5.39) 78290 MECKELS DIVERT EXAM 358.98 362.16094 362.16094 (3.18) (3.18) 78291 LEVEEN/SHUNT PATENCY EXAM 269.04 270.02128 270.02128 (0.98) (0.98) 78300 BONE IMAGING LIMITED AREA 193.92 195.99708 195.99708 (2.08) (2.08) 78305 BONE IMAGING MULTIPLE AREAS 247.2 250.18593 250.18593 (2.99) (2.99) 78306 BONE IMAGING WHOLE BODY 269.06 273.46537 273.46537 (4.41) (4.41) 78315 BONE IMAGING 3 PHASE 373.46 377.00344 377.00344 (3.54) (3.54) 78320 BONE IMAGING (3D) 243.41 247.18148 247.18148 (3.77) (3.77) 78350 BONE MINERAL SINGLE PHOTON 34.38 34.58155 34.58155 (0.20) (0.20) 78351 BONE MINERAL DUAL PHOTON 15.68 15.636218 15.636218 0.04 0.04 78428 CARDIAC SHUNT IMAGING 195.5 196.10986 196.10986 (0.61) (0.61) 78445 VASCULAR FLOW IMAGING 183.93 195.48333 195.48333 (11.55) (11.55) 78451 HT MUSCLE IMAGE SPECT SING 367.47 370.01395 370.01395 (2.54) (2.54) 78452 HT MUSCLE IMAGE SPECT MULT 510.26 513.30508 513.30508 (3.05) (3.05) 78453 HT MUSCLE IMAGE PLANAR SING 328.52 330.80437 330.80437 (2.28) (2.28) 78454 HT MUSC IMAGE PLANAR MULT 467.72 473.9061 473.9061 (6.19) (6.19) 78456 ACUTE VENOUS THROMBUS IMAGE 343.22 348.46444 348.46444 (5.24) (5.24) 78457 VENOUS THROMBOSIS IMAGING 208.39 190.10598 190.10598 18.28 18.28 78458 VEN THROMBOSIS IMAGES BILAT 173.38 222.62752 222.62752 (49.25) (49.25) 78466 HEART INFARCT IMAGE 195.67 211.33364 211.33364 (15.66) (15.66) 78468 HEART INFARCT IMAGE (EF) 210.58 209.6227 209.6227 0.96 0.96 78469 HEART INFARCT IMAGE (3D) 241.34 247.05224 247.05224 (5.71) (5.71) 78472 GATED HEART PLANAR SINGLE 245.77 249.18636 249.18636 (3.42) (3.42) 78473 GATED HEART MULTIPLE 310.23 312.67244 312.67244 (2.44) (2.44) 78481 HEART FIRST PASS SINGLE 188.27 189.0323 189.0323 (0.76) (0.76) 78483 HEART FIRST PASS MULTIPLE 256.56 257.03364 257.03364 (0.47) (0.47) 78494 HEART IMAGE SPECT 242.34 242.4439 242.4439 (0.10) (0.10) 78496 HEART FIRST PASS ADD-ON 47.06 47.265234 47.265234 (0.21) (0.21) 78579 Lung ventilation imaging 200.2 200.80054 200.80054 (0.60) (0.60) 78580 LUNG PERFUSION IMAGING 256.42 259.76564 259.76564 (3.35) (3.35) 78582 Lung ventilat&perfus imaging 359.75 363.77629 363.77629 (4.03) (4.03) 78597 Lung perfusion differential 216.31 219.83967 219.83967 (3.53) (3.53) 78598 Lung perf&ventilat diferentl 329.53 332.93276 332.93276 (3.40) (3.40) 78600 BRAIN IMAGE < 4 VIEWS 196.5 200.48191 200.48191 (3.98) (3.98) 78601 BRAIN IMAGE W/FLOW < 4 VIEWS 232.3 233.42913 233.42913 (1.13) (1.13) 78605 BRAIN IMAGE 4+ VIEWS 212.61 216.1124 216.1124 (3.50) (3.50) 78606 BRAIN IMAGE W/FLOW 4 + VIEWS 353.71 362.27622 362.27622 (8.57) (8.57) 78607 BRAIN IMAGING (3D) 373.43 382.67795 382.67795 (9.25) (9.25) 78609 BRAIN IMAGING (PET) 79.67 78.582063 78.582063 1.09 1.09 78610 BRAIN FLOW IMAGING ONLY 187.32 189.42432 189.42432 (2.10) (2.10) 78630 CEREBROSPINAL FLUID SCAN 362.74 369.3101 369.3101 (6.57) (6.57) 78635 CSF VENTRICULOGRAPHY 363.97 370.5542 370.5542 (6.58) (6.58) 78645 CSF SHUNT EVALUATION 347.08 352.58373 352.58373 (5.50) (5.50) 78647 CEREBROSPINAL FLUID SCAN 375.96 381.43886 381.43886 (5.48) (5.48) 78650 CSF LEAKAGE IMAGING 361 363.78131 363.78131 (2.78) (2.78) 78660 NUCLEAR EXAM OF TEAR FLOW 199.76 191.70415 191.70415 8.06 8.06 78700 KIDNEY IMAGING MORPHOL 186.69 186.56809 186.56809 0.12 0.12 78701 KIDNEY IMAGING WITH FLOW 229.7 228.97151 228.97151 0.73 0.73 78707 K FLOW/FUNCT IMAGE W/O DRUG 247.7 251.8532 251.8532 (4.15) (4.15) 78708 K FLOW/FUNCT IMAGE W/DRUG 184.12 187.02492 187.02492 (2.90) (2.90) 78709 K FLOW/FUNCT IMAGE MULTIPLE 391.64 391.7883 391.7883 (0.15) (0.15) 78710 KIDNEY IMAGING (3D) 213.08 214.7942 214.7942 (1.71) (1.71) 78725 KIDNEY FUNCTION STUDY 116.49 117.04841 117.04841 (0.56) (0.56) 78730 URINARY BLADDER RETENTION 81.38 83.235874 83.235874 (1.86) (1.86) 78740 URETERAL REFLUX STUDY 235.97 237.49401 237.49401 (1.52) (1.52) 78761 TESTICULAR IMAGING W/FLOW 225.51 228.93607 228.93607 (3.43) (3.43) 78800 TUMOR IMAGING LIMITED AREA 204.06 206.84308 206.84308 (2.78) (2.78) 78801 TUMOR IMAGING MULT AREAS 268.44 282.96273 282.96273 (14.52) (14.52) 78802 TUMOR IMAGING WHOLE BODY 345.4 352.80928 352.80928 (7.41) (7.41) 78803 TUMOR IMAGING (3D) 363.87 369.739 369.739 (5.87) (5.87) 78804 TUMOR IMAGING WHOLE BODY 609.23 621.072 621.072 (11.84) (11.84) 78805 ABSCESS IMAGING LTD AREA 195.62 197.32101 197.32101 (1.70) (1.70) 78806 ABSCESS IMAGING WHOLE BODY 354.47 362.24078 362.24078 (7.77) (7.77) 78807 NUCLEAR LOCALIZATION/ABSCESS 362.34 370.16468 370.16468 (7.82) (7.82) 78808 IV INJ RA DRUG DX STUDY 49.59 47.415958 47.415958 2.17 2.17 79005 NUCLEAR RX ORAL ADMIN 141.79 142.07889 142.07889 (0.29) (0.29) 79101 NUCLEAR RX IV ADMIN 149.79 148.21201 148.21201 1.58 1.58 79200 NUCLEAR RX INTRACAV ADMIN 164.93 141.08755 141.08755 23.84 23.84 79403 HEMATOPOIETIC NUCLEAR TX 202.25 198.03131 198.03131 4.22 4.22 79440 NUCLEAR RX INTRA-ARTICULAR 151.59 133.08704 133.08704 18.50 18.50 80500 LAB PATHOLOGY CONSULTATION 20.55 23.798914 20.412469 (3.25) 0.14 80502 LAB PATHOLOGY CONSULTATION 66.25 74.79715 71.410705 (8.55) (5.16) 85060 BLOOD SMEAR INTERPRETATION 23.99 25.548524 25.548524 (1.56) (1.56) 85097 BONE MARROW INTERPRETATION 84.88 92.044784 50.654901 (7.16) 34.23 85396 CLOTTING ASSAY WHOLE BLOOD 19.83 21.165013 21.165013 (1.34) (1.34) 86077 PHYS BLOOD BANK SERV XMATCH 53.29 57.77936 53.640372 (4.49) (0.35) 86078 PHYS BLOOD BANK SERV REACTJ 53.29 57.403088 53.2641 (4.11) 0.03 86490 COCCIDIOIDOMYCOSIS SKIN TEST 5.04 7.1244587 7.1244587 (2.08) (2.08) 86510 HISTOPLASMOSIS SKIN TEST 6.48 6.3719154 6.3719154 0.11 0.11 86580 TB INTRADERMAL TEST 7.91 8.2532737 8.2532737 (0.34) (0.34) 88104 CYTOPATH FL NONGYN SMEARS 73.32 78.045402 78.045402 (4.73) (4.73) 88106 CYTOPATH FL NONGYN FILTER 84.08 91.527814 91.527814 (7.45) (7.45) 88108 CYTOPATH CONCENTRATE TECH 78.21 88.40236 88.40236 (10.19) (10.19) 88112 CYTOPATH CELL ENHANCE TECH 62.19 67.133524 67.133524 (4.94) (4.94) 88120 CYTP URNE 3-5 PROBES EA SPEC CYTOP 617.95 654.89528 654.89528 (36.95) (36.95) 88121 CYTP URINE 3-5 PROBES CMPTR CYTOP 534.62 582.25265 582.25265 (47.63) (47.63) 88125 FORENSIC CYTOPATHOLOGY 21.81 27.341811 27.341811 (5.53) (5.53) 88141 CYTOPATH C/V INTERPRET 31.23 33.123363 33.123363 (1.89) (1.89) 88160 CYTOPATH SMEAR OTHER SOURCE 63.74 69.866237 69.866237 (6.13) (6.13) 88161 CYTOPATH SMEAR OTHER SOURCE 57.99 63.093347 63.093347 (5.10) (5.10) 88162 CYTOPATH SMEAR OTHER SOURCE 95.25 104.03034 104.03034 (8.78) (8.78) 88172 CYTP DX EVAL FNA 1ST EA SITE 53.34 58.641455 58.641455 (5.30) (5.30) 88173 CYTOPATH EVAL FNA REPORT 144.73 157.17594 157.17594 (12.45) (12.45) 88177 CYTP FNA EVAL EA ADDL 29.06 31.242004 31.242004 (2.18) (2.18) 88182 CELL MARKER STUDY 108.91 112.64342 112.64342 (3.73) (3.73) 88184 FLOWCYTOMETRY/ TC 1 MARKER 87.98 98.558473 98.558473 (10.58) (10.58) 88185 FLOWCYTOMETRY/TC ADD-ON 53.87 59.802492 59.802492 (5.93) (5.93) 88187 FLOWCYTOMETRY/READ 2-8 69.44 73.618929 73.618929 (4.18) (4.18) 88188 FLOWCYTOMETRY/READ 9-15 87.54 93.344729 93.344729 (5.80) (5.80) 88189 FLOWCYTOMETRY/READ 16 & > 107.03 115.00702 115.00702 (7.98) (7.98) 88291 CYTO/MOLECULAR REPORT 30.33 32.582405 32.582405 (2.25) (2.25) 88300 SURGICAL PATH GROSS 14.6 15.998527 15.998527 (1.40) (1.40) 88302 TISSUE EXAM BY PATHOLOGIST 29.95 33.600952 33.600952 (3.65) (3.65) 88304 TISSUE EXAM BY PATHOLOGIST 43.07 47.751058 47.751058 (4.68) (4.68) 88305 TISSUE EXAM BY PATHOLOGIST 69.38 75.474869 75.474869 (6.09) (6.09) 88307 TISSUE EXAM BY PATHOLOGIST 286.18 320.09907 320.09907 (33.92) (33.92) 88309 TISSUE EXAM BY PATHOLOGIST 434.86 483.99276 483.99276 (49.13) (49.13) 88311 DECALCIFY TISSUE 20.05 21.755376 21.755376 (1.71) (1.71) 88312 SPECIAL STAINS GROUP 1 93.82 101.78345 101.78345 (7.96) (7.96) 88313 SPECIAL STAINS GROUP 2 65.65 71.046964 71.046964 (5.40) (5.40) 88314 HISTOCHEMICAL STAINS ADD-ON 77.47 77.850285 77.850285 (0.38) (0.38) 88319 ENZYME HISTOCHEMISTRY 85.26 92.368428 92.368428 (7.11) (7.11) 88321 MICROSLIDE CONSULTATION 92.68 98.736047 88.200441 (6.06) 4.48 88323 MICROSLIDE CONSULTATION 144.64 157.20387 157.20387 (12.56) (12.56) 88325 COMPREHENSIVE REVIEW OF DATA 208.86 222.12666 138.97062 (13.27) 69.89 88329 PATH CONSULT INTROP 56.28 60.90732 37.578477 (4.63) 18.70 88331 PATH CONSULT INTRAOP 1 BLOC 96.94 106.35707 106.35707 (9.42) (9.42) 88332 PATH CONSULT INTRAOP ADDL 42.75 46.765448 46.765448 (4.02) (4.02) 88333 INTRAOP CYTO PATH CONSULT 1 102.72 113.06409 113.06409 (10.34) (10.34) 88334 INTRAOP CYTO PATH CONSULT 2 64.07 69.086485 69.086485 (5.02) (5.02) 88341 IMMUNOHISTO ANTB ADDL SLIDE 70.77 69.997986 69.997986 0.77 0.77 88342 IMMUNOHISTO ANTB 1ST STAIN 69.75 93.994523 93.994523 (24.24) (24.24) 88344 Immunohisto antibody slide 123.07 121.72335 121.72335 1.35 1.35 88346 IMMUNOFLUOR ANTB 1ST STAIN 105.08 114.42597 114.42597 (9.35) (9.35) 88348 ELECTRON MICROSCOPY 701.5 218.71157 218.71157 482.79 482.79 88355 ANALYSIS SKELETAL MUSCLE 173.35 180.87604 180.87604 (7.53) (7.53) 88356 ANALYSIS NERVE 275.15 211.64619 211.64619 63.50 63.50 88358 ANALYSIS TUMOR 81.97 87.18619 87.18619 (5.22) (5.22) 88360 TUMOR IMMUNOHISTOCHEM/MANUAL 128.37 141.12228 141.12228 (12.75) (12.75) 88361 TUMOR IMMUNOHISTOCHEM/COMPUT 156.25 175.9838 175.9838 (19.73) (19.73) 88362 NERVE TEASING PREPARATIONS 305.02 307.584 307.584 (2.56) (2.56) 88363 XM ARCHIVE TISSUE MOLEC ANAL 21.63 23.422643 20.036198 (1.79) 1.59 88364 Insitu hybridization (fish) 102.55 101.42365 101.42365 1.13 1.13 88365 INSITU HYBRIDIZATION (FISH) 175.58 163.68462 163.68462 11.90 11.90 88366 Insitu hybridization (fish) 156.53 154.81377 154.81377 1.72 1.72 88367 INSITU HYBRIDIZATION AUTO 254.06 111.62989 111.62989 142.43 142.43 88368 INSITU HYBRIDIZATION MANUAL 230.52 112.88794 112.88794 117.63 117.63 88369 M/phmtrc alysishquant/semiq 77.44 76.589721 76.589721 0.85 0.85 88373 M/phmtrc alys ishquant/semiq 63.15 62.456084 62.456084 0.69 0.69 88374 M/phmtrc alys ishquant/semiq 216.4 214.02268 214.02268 2.38 2.38 88375 Optical endomicroscpy interp 23.96 47.391971 47.391971 (23.43) (23.43) 88377 M/phmtrc alys ishquant/semiq 225.51 223.03172 223.03172 2.48 2.48 88381 MICRODISSECTION MANUAL 159.1 129.99559 129.99559 29.10 29.10 88387 TISS EXAM MOLECULAR STUDY 34.79 44.082141 44.082141 (9.29) (9.29) 88388 TISS EX MOLECUL STUDY ADD-ON 32.23 35.331587 35.331587 (3.10) (3.10) 89220 SPUTUM SPECIMEN COLLECTION 17.25 16.53125 16.53125 0.72 0.72 89230 COLLECT SWEAT FOR TEST 5.04 2.6091987 2.6091987 2.43 2.43 90460 IM ADMIN 1ST/ONLY COMPONENT 22.22 26.410619 26.410619 (4.19) (4.19) 90471 IMMUNIZATION ADMIN 22.22 26.410619 26.410619 (4.19) (4.19) 90472 IMMUNIZATION ADMIN EACH ADD 11.01 12.897776 12.897776 (1.89) (1.89) 90473 IMMUNE ADMIN ORAL/NASAL 22.22 26.410619 26.410619 (4.19) (4.19) 90474 IMMUNE ADMIN ORAL/NASAL ADDL 11.01 12.897776 12.897776 (1.89) (1.89) 90785 Psytx complex interactive 12.32 16.592112 16.592112 (4.27) (4.27) 90791 Psych diagnostic evaluation 115.38 132.20095 128.06197 (16.82) (12.68) 90792 Psych diag eval w/med srvcs 124.29 146.84011 142.70112 (22.55) (18.41) 90832 Psytx pt&/family 30 minutes 55.77 65.81353 65.060986 (10.04) (9.29) 90833 Psytx pt&/fam w/e&m 30 min 57.05 67.694888 66.942345 (10.64) (9.89) 90834 Psytx pt&/family 45 minutes 73.93 86.437585 85.685041 (12.51) (11.76) 90836 Psytx pt&/fam w/e&m 45 min 72.15 84.720912 84.344641 (12.57) (12.19) 90837 Psytx pt&/family 60 minutes 110.56 128.06197 127.30942 (17.50) (16.75) 90838 Psytx pt&/fam w/e&m 60 min 95.31 110.82436 110.07181 (15.51) (14.76) 90839 Psytx crisis initial 60 min 115.49 134.21979 133.09097 (18.73) (17.60) 90840 Psytx crisis ea addl 30 min 55.45 64.382552 64.00628 (8.93) (8.56) 90845 PSYCHOANALYSIS 79.87 92.317948 91.941677 (12.45) (12.07) 90847 FAMILY PSYTX W/PATIENT 92.4 107.81418 107.06164 (15.41) (14.66) 90853 GROUP PSYCHOTHERAPY 22.84 26.070507 25.694235 (3.23) (2.85) 90870 ELECTROCONVULSIVE THERAPY 156.04 182.69224 112.32944 (26.65) 43.71 90875 PSYCHOPHYSIOLOGICAL THERAPY 54.37 62.945846 62.945846 (8.58) (8.58) 90876 PSYCHOPHYSIOLOGICAL THERAPY 94.7 111.33739 100.04924 (16.64) (5.35) 90901 BIOFEEDBACK TRAIN ANY METH 35.32 39.160178 20.722866 (3.84) 14.60 90911 BIOFEEDBACK PERI/URO/RECTAL 75.42 87.938733 45.796307 (12.52) 29.62 90935 HEMODIALYSIS ONE EVALUATION 63.54 74.124444 74.124444 (10.58) (10.58) 90937 HEMODIALYSIS REPEATED EVAL 91.14 106.50099 106.50099 (15.36) (15.36) 90945 DIALYSIS ONE EVALUATION 75.3 87.914746 87.914746 (12.61) (12.61) 90947 DIALYSIS REPEATED EVAL 108.83 127.17445 127.17445 (18.34) (18.34) 90951 ESRD SERV 4 VISITS P MO <2YR 816.7 964.07567 964.07567 (147.38) (147.38) 90954 ESRD SERV 4 VSTS P MO 2-11 708.8 840.09827 840.09827 (131.30) (131.30) 90955 ESRD SRV 2-3 VSTS P MO 2-11 400.04 470.78351 470.78351 (70.74) (70.74) 90956 ESRD SRV 1 VISIT P MO 2-11 278.89 328.78303 328.78303 (49.89) (49.89) 90957 ESRD SRV 4 VSTS P MO 12-19 564.2 662.01616 662.01616 (97.82) (97.82) 90958 ESRD SRV 2-3 VSTS P MO 12-19 381.82 447.16576 447.16576 (65.35) (65.35) 90959 ESRD SERV 1 VST P MO 12-19 258.7 303.63548 303.63548 (44.94) (44.94) 90960 ESRD SRV 4 VISITS P MO 20+ 249.27 291.77021 291.77021 (42.50) (42.50) 90961 ESRD SRV 2-3 VSTS P MO 20+ 209.9 245.24607 245.24607 (35.35) (35.35) 90962 ESRD SERV 1 VISIT P MO 20+ 162.16 189.65273 189.65273 (27.49) (27.49) 90963 ESRD HOME PT SERV P MO <2YRS 478.25 559.45653 559.45653 (81.21) (81.21) 90964 ESRD HOME PT SERV P MO 2-11 416.86 488.59502 488.59502 (71.74) (71.74) 90965 ESRD HOME PT SERV P MO 12-19 395.39 466.08137 466.08137 (70.69) (70.69) 90966 ESRD HOME PT SERV P MO 20+ 209.58 244.86979 244.86979 (35.29) (35.29) 90967 ESRD HOME PT SERV P DAY <2 15.5 18.564048 18.564048 (3.06) (3.06) 90968 ESRD HOME PT SRV P DAY 2-11 13.33 16.012489 16.012489 (2.68) (2.68) 90969 ESRD HOME PT SRV P DAY 12-19 13.03 15.652686 15.652686 (2.62) (2.62) 90970 ESRD HOME PT SERV P DAY 20+ 6.85 8.0227133 8.0227133 (1.17) (1.17) 90997 HEMOPERFUSION 80.97 96.811011 96.811011 (15.84) (15.84) 91010 ESOPHAGUS MOTILITY STUDY 157.67 186.55807 186.55807 (28.89) (28.89) 91013 ESOPHGL MOTIL W/STIM/PERFUS 21.25 24.864361 24.864361 (3.61) (3.61) 91020 GASTRIC MOTILITY STUDIES 209.77 247.67626 247.67626 (37.91) (37.91) 91022 DUODENAL MOTILITY STUDY 150.63 178.46697 178.46697 (27.84) (27.84) 91030 ACID PERFUSION OF ESOPHAGUS 123.22 144.79693 144.79693 (21.58) (21.58) 91034 GASTROESOPHAGEAL REFLUX TEST 170.02 198.83183 198.83183 (28.81) (28.81) 91035 G-ESOPH REFLX TST W/ELECTROD 433.75 512.65135 512.65135 (78.90) (78.90) 91037 ESOPH IMPED FUNCTION TEST 145.01 170.56205 170.56205 (25.55) (25.55) 91038 ESOPH IMPED FUNCT TEST > 1HR 407.22 483.35657 483.35657 (76.14) (76.14) 91040 ESOPH BALLOON DISTENSION TST 360.18 467.86607 467.86607 (107.69) (107.69) 91065 BREATH HYDROGEN/METHANE TEST 74.23 86.163705 86.163705 (11.93) (11.93) 91110 GI TRACT CAPSULE ENDOSCOPY 801.22 947.05788 947.05788 (145.84) (145.84) 91111 ESOPHAGEAL CAPSULE ENDOSCOPY 658.58 780.49841 780.49841 (121.92) (121.92) 91112 Gi wireless capsule measure 967.49 1155.9638 1155.9638 (188.47) (188.47) 91117 COLON MOTILITY 6 HR STUDY COLON 132.42 146.80645 146.80645 (14.39) (14.39) 91120 RECTAL SENSATION TEST 359.94 457.23165 457.23165 (97.29) (97.29) 91122 ANAL PRESSURE RECORD 198.03 236.87465 236.87465 (38.84) (38.84) 91200 LIVER ELASTOGRAPHY 32.31 37.811543 37.811543 (5.50) (5.50) 92002 EYE EXAM NEW PATIENT 73.19 84.266594 49.273329 (11.08) 23.92 92004 EYE EXAM NEW PATIENT 132.74 153.75978 102.58684 (21.02) 30.15 92012 EYE EXAM ESTABLISH PATIENT 76.65 88.339708 54.098986 (11.69) 22.55 92014 EYE EXAM&TX ESTAB PT 1/>VST 110.9 128.10421 82.199069 (17.20) 28.70 92015 DETERMINE REFRACTIVE STATE 17.73 20.396001 20.019729 (2.67) (2.29) 92018 NEW EYE EXAM & TREATMENT 131.04 149.55563 149.55563 (18.52) (18.52) 92019 EYE EXAM & TREATMENT 63.49 74.102247 74.102247 (10.61) (10.61) 92020 SPECIAL EYE EVALUATION 24.49 27.586334 21.565987 (3.10) 2.92 92025 CORNEAL TOPOGRAPHY 33.82 39.635261 39.635261 (5.82) (5.82) 92060 SPECIAL EYE EVALUATION 58.35 67.671975 67.671975 (9.32) (9.32) 92065 ORTHOPTIC/PLEOPTIC TRAINING 47.6 55.782006 55.782006 (8.18) (8.18) 92071 Contact lens fitting for tx 33.73 39.207078 34.691818 (5.48) (0.96) 92072 Fit contac lens for managmnt 122.21 138.83816 105.72625 (16.63) 16.48 92081 VISUAL FIELD EXAMINATION(S) 30.73 35.202344 35.202344 (4.47) (4.47) 92082 VISUAL FIELD EXAMINATION(S) 44.07 50.088525 50.088525 (6.02) (6.02) 92083 VISUAL FIELD EXAMINATION(S) 57.7 67.232335 67.232335 (9.53) (9.53) 92100 SERIAL TONOMETRY EXAM(S) 71.64 83.607134 35.068089 (11.97) 36.57 92132 CMPTR OPHTH DX IMG ANT SEGMT 31.93 36.248816 36.248816 (4.32) (4.32) 92133 CMPTR OPHTH IMG OPTIC NERVE 39.71 45.784851 45.784851 (6.07) (6.07) 92134 CPTR OPHTH DX IMG POST SEGMT 40.68 46.913666 46.913666 (6.23) (6.23) 92136 OPHTHALMIC BIOMETRY 80.41 94.258021 94.258021 (13.85) (13.85) 92140 GLAUCOMA PROVOCATIVE TESTS 56.4 65.727249 27.347539 (9.33) 29.05 92145 Corneal hysteresis deter 13.88 16.226581 16.226581 (2.35) (2.35) 92225 SPECIAL EYE EXAM INITIAL 24.47 27.946137 21.92579 (3.48) 2.54 92226 SPECIAL EYE EXAM SUBSEQUENT 21.96 25.77085 19.750503 (3.81) 2.21 92227 REMOTE DX RETINAL IMAGING REMOT 12.86 15.402435 15.402435 (2.54) (2.54) 92228 REMOTE RETINAL IMAGING MGMT 31.22 36.968422 36.968422 (5.75) (5.75) 92230 EYE EXAM WITH PHOTOS 52.72 60.270056 34.307312 (7.55) 18.41 92235 EYE EXAM WITH PHOTOS 97.99 114.88458 114.88458 (16.89) (16.89) 92240 ICG ANGIOGRAPHY 227.62 268.3021 268.3021 (40.68) (40.68) 92250 EYE EXAM WITH PHOTOS 70.3 82.758285 82.758285 (12.46) (12.46) 92260 OPHTHALMOSCOPY/DYNAMOMETRY 16.71 19.212052 11.310347 (2.50) 5.40 92265 EYE MUSCLE EVALUATION 68.08 89.298109 89.298109 (21.22) (21.22) 92270 ELECTRO-OCULOGRAPHY 80.32 96.021593 96.021593 (15.70) (15.70) 92275 ELECTRORETINOGRAPHY 142.33 153.66276 153.66276 (11.33) (11.33) 92283 COLOR VISION EXAMINATION 49.54 59.121551 59.121551 (9.58) (9.58) 92284 DARK ADAPTATION EYE EXAM 54.24 65.779161 65.779161 (11.54) (11.54) 92285 EYE PHOTOGRAPHY 18.58 21.692008 21.692008 (3.11) (3.11) 92286 INTERNAL EYE PHOTOGRAPHY 34.06 39.92919 39.92919 (5.87) (5.87) 92287 INTERNAL EYE PHOTOGRAPHY 123.05 144.23377 144.23377 (21.18) (21.18) 92310 CONTACT LENS FITTING 84.93 99.493603 61.490165 (14.56) 23.44 92311 CONTACT LENS FITTING 91.18 104.98373 57.197231 (13.80) 33.98 92312 CONTACT LENS FITTING 102.73 122.37207 66.307588 (19.64) 36.42 92313 CONTACT LENS FITTING 87.55 101.50922 48.831183 (13.96) 38.72 92314 PRESCRIPTION OF CONTACT LENS 70.56 83.049708 36.01575 (12.49) 34.54 92315 RX CNTACT LENS APHAKIA 1 EYE 65.82 75.993629 22.186782 (10.17) 43.63 92316 RX CNTACT LENS APHAKIA 2 EYE 81.82 95.532547 33.823994 (13.71) 48.00 92317 RX CORNEOSCLERAL CNTACT LENS 67.7 79.756346 22.563053 (12.06) 45.14 92325 MODIFICATION OF CONTACT LENS 37.27 44.751625 44.751625 (7.48) (7.48) 92326 REPLACEMENT OF CONTACT LENS 32.13 37.226192 37.226192 (5.10) (5.10) 92340 FIT SPECTACLES MONOFOCAL 31.56 36.968422 19.283654 (5.41) 12.28 92341 FIT SPECTACLES BIFOCAL 35.89 42.046837 24.73834 (6.16) 11.15 92342 FIT SPECTACLES MULTIFOCAL 38.7 45.33447 27.649702 (6.63) 11.05 92352 FIT APHAKIA SPECTCL MONOFOCL 36.06 42.236226 19.283654 (6.18) 16.78 92353 FIT APHAKIA SPECTCL MULTIFOC 41.62 49.146593 26.194021 (7.53) 15.43 92354 FIT SPECTACLES SINGLE SYSTEM 12.22 14.27362 14.27362 (2.05) (2.05) 92355 FIT SPECTACLES COMPOUND LENS 18.64 22.175325 22.175325 (3.54) (3.54) 92358 APHAKIA PROSTH SERVICE TEMP 10.29 12.01599 12.01599 (1.73) (1.73) 92370 REPAIR & ADJUST SPECTACLES 27.46 32.159234 16.732096 (4.70) 10.73 92371 REPAIR & ADJUST SPECTACLES 10.29 12.392262 12.392262 (2.10) (2.10) 92502 EAR AND THROAT EXAMINATION 85.96 100.38935 100.38935 (14.43) (14.43) 92504 EAR MICROSCOPY EXAMINATION 27.02 31.661954 9.8381972 (4.64) 17.18 92507 SPEECH/HEARING THERAPY 70.25 81.29258 81.29258 (11.04) (11.04) 92508 SPEECH/HEARING THERAPY 20.67 24.265763 24.265763 (3.60) (3.60) 92511 NASOPHARYNGOSCOPY 123.04 144.13747 50.822093 (21.10) 72.22 92512 NASAL FUNCTION STUDIES 54.39 64.115116 29.498123 (9.73) 24.89 92516 FACIAL NERVE FUNCTION TEST 62.62 74.120505 23.323831 (11.50) 39.30 92520 LARYNGEAL FUNCTION STUDIES 66.29 78.410933 42.665125 (12.12) 23.62 92521 Evaluation of speech fluency 99.66 111.68323 111.68323 (12.02) (12.02) 92522 Evaluate speech production 80.78 95.915263 95.915263 (15.14) (15.14) 92523 Speech sound lang comprehen 168 191.27561 191.27561 (23.28) (23.28) 92524 Behavral qualit analys voice 84.39 90.721568 90.721568 (6.33) (6.33) 92540 BASIC VESTIBULAR EVALUATION 89.48 105.39616 105.39616 (15.92) (15.92) 92541 SPONTANEOUS NYSTAGMUS TEST 27 22.996965 22.996965 4.00 4.00 92542 POSITIONAL NYSTAGMUS TEST 23.26 27.004205 27.004205 (3.74) (3.74) 92544 OPTOKINETIC NYSTAGMUS TEST 21.12 16.061895 16.061895 5.06 5.06 92545 OSCILLATING TRACKING TEST 18.28 16.061895 16.061895 2.22 2.22 92546 SINUSOIDAL ROTATIONAL TEST 92.39 108.21552 108.21552 (15.83) (15.83) 92547 SUPPLEMENTAL ELECTRICAL TEST 5.47 6.748187 6.748187 (1.28) (1.28) 92548 POSTUROGRAPHY 93.01 108.59752 108.59752 (15.59) (15.59) 92550 TYMPANOMETRY & REFLEX THRESH 18.39 21.598924 21.598924 (3.21) (3.21) 92551 PURE TONE HEARING TEST AIR 10.61 12.768534 12.768534 (2.16) (2.16) 92552 PURE TONE AUDIOMETRY AIR 27.64 32.710932 32.710932 (5.07) (5.07) 92553 AUDIOMETRY AIR & BONE 33.1 39.10755 39.10755 (6.01) (6.01) 92555 SPEECH THRESHOLD AUDIOMETRY 20.57 24.432955 24.432955 (3.86) (3.86) 92556 SPEECH AUDIOMETRY COMPLETE 32.78 39.483822 39.483822 (6.70) (6.70) 92557 COMPREHENSIVE HEARING TEST 33.11 38.471003 33.2032 (5.36) (0.09) 92561 BEKESY AUDIOMETRY DIAGNOSIS 33.74 39.860093 39.860093 (6.12) (6.12) 92562 LOUDNESS BALANCE TEST 41.45 48.514342 48.514342 (7.06) (7.06) 92563 TONE DECAY HEARING TEST 27.32 32.710932 32.710932 (5.39) (5.39) 92564 SISI HEARING TEST 25.39 30.07703 30.07703 (4.69) (4.69) 92565 STENGER TEST PURE TONE 14.79 16.53125 16.53125 (1.74) (1.74) 92567 TYMPANOMETRY 12.85 15.073063 11.310347 (2.22) 1.54 92568 ACOUSTIC REFL THRESHOLD TST 13.67 16.053661 15.677389 (2.38) (2.01) 92570 ACOUSTIC IMMITANCE TESTING 28.37 32.909271 30.651641 (4.54) (2.28) 92571 FILTERED SPEECH HEARING TEST 24.1 28.571943 28.571943 (4.47) (4.47) 92572 STAGGERED SPONDAIC WORD TEST 45.95 32.710932 32.710932 13.24 13.24 92575 SENSORINEURAL ACUITY TEST 67.15 74.853358 74.853358 (7.70) (7.70) 92576 SYNTHETIC SENTENCE TEST 31.17 37.226192 37.226192 (6.06) (6.06) 92577 STENGER TEST SPEECH 17.36 16.53125 16.53125 0.83 0.83 92579 VISUAL AUDIOMETRY (VRA) 37.12 46.584294 39.05886 (9.46) (1.94) 92582 CONDITIONING PLAY AUDIOMETRY 61.37 75.605901 75.605901 (14.24) (14.24) 92583 SELECT PICTURE AUDIOMETRY 46.59 53.405873 53.405873 (6.82) (6.82) 92584 ELECTROCOCHLEOGRAPHY 63.3 78.239803 78.239803 (14.94) (14.94) 92585 AUDITOR EVOKE POTENT COMPRE 117.1 142.46197 142.46197 (25.36) (25.36) 92586 AUDITOR EVOKE POTENT LIMIT 75.5 88.399138 88.399138 (12.90) (12.90) 92587 EVOKED AUDITORY TEST LIMITED 19.4 21.950493 21.950493 (2.55) (2.55) 92588 EVOKED AUDITORY TST COMPLETE 29.33 34.038086 34.038086 (4.71) (4.71) 92596 EAR PROTECTOR EVALUATION 38.24 43.999082 43.999082 (5.76) (5.76) 92597 ORAL SPEECH DEVICE EVAL 63.89 74.159887 74.159887 (10.27) (10.27) 92601 COCHLEAR IMPLT F/UP EXAM <7 122.64 141.43411 121.49171 (18.79) 1.15 92602 REPROGRAM COCHLEAR IMPLT 7/> 72.5 92.58073 70.00443 (20.08) 2.50 92603 COCHLEAR IMPLT F/UP EXAM 7/> 129.78 153.75477 125.53439 (23.97) 4.25 92604 REPROGRAM COCHLEAR IMPLT 7/> 78.33 92.262098 70.06207 (13.93) 8.27 92605 EX FOR NONSPEECH DEVICE RX 81.75 96.181983 92.042994 (14.43) (10.29) 92606 NON-SPEECH DEVICE SERVICE 72.65 86.272183 73.855218 (13.62) (1.21) 92607 EX FOR SPEECH DEVICE RX 1HR 113.72 128.0745 128.0745 (14.35) (14.35) 92608 EX FOR SPEECH DEVICE RX ADDL 47.09 54.86227 54.86227 (7.77) (7.77) 92609 USE OF SPEECH DEVICE SERVICE 98.51 114.45139 114.45139 (15.94) (15.94) 92610 EVALUATE SWALLOWING FUNCTION 75.07 88.016064 75.222827 (12.95) (0.15) 92611 MOTION FLUOROSCOPY/SWALLOW 80.48 89.029599 89.029599 (8.55) (8.55) 92612 ENDOSCOPY SWALLOW TST (FEES) 158.64 181.73241 70.355999 (23.09) 88.28 92613 ENDOSCOPY SWALLOW TST (FEES) 33.26 39.696123 39.696123 (6.44) (6.44) 92614 LARYNGOSCOPIC SENSORY TEST 133.9 150.50186 69.603455 (16.60) 64.30 92615 EVAL LARYNGOSCOPY SENSE TST 29.85 34.609475 34.609475 (4.76) (4.76) 92616 FEES W/LARYNGEAL SENSE TEST 188.52 215.27071 103.8943 (26.75) 84.63 92617 INTERPRT FEES/LARYNGEAL TEST 36.99 43.351794 43.351794 (6.36) (6.36) 92620 AUDITORY FUNCTION 60 MIN 82.77 97.118187 85.077493 (14.35) (2.31) 92621 AUDITORY FUNCTION + 15 MIN 19.67 23.104011 19.717566 (3.43) (0.05) 92625 TINNITUS ASSESSMENT 61.47 72.132817 64.231112 (10.66) (2.76) 92920 Prq cardiac angioplast 1 art 490.08 570.60935 570.60935 (80.53) (80.53) 92924 Prq card angio/athrect 1 art 583.03 678.16255 678.16255 (95.13) (95.13) 92928 Prq card stent w/angio 1 vsl 544.23 633.9619 633.9619 (89.73) (89.73) 92933 Prq card stent/ath/angio 608.98 708.56716 708.56716 (99.59) (99.59) 92937 Prq revasc byp graft 1 vsl 543.92 633.22583 633.22583 (89.31) (89.31) 92941 PRQ CARD REVASC MI 1 VSL 610.25 710.03931 710.03931 (99.79) (99.79) 92943 Prq card revasc chronic 1vsl 610.25 709.68774 709.68774 (99.44) (99.44) 92950 HEART/LUNG RESUSCITATION CPR 267.61 317.221 193.42762 (49.61) 74.18 92953 TEMPORARY EXTERNAL PACING 9.59 11.61251 11.61251 (2.02) (2.02) 92960 CARDIOVERSION ELECTRIC EXT 181.21 215.64197 127.21813 (34.43) 53.99 92961 CARDIOVERSION ELECTRIC INT 215.09 272.69886 272.69886 (57.61) (57.61) 92970 CARDIOASSIST INTERNAL 154.89 194.7401 194.7401 (39.85) (39.85) 92971 CARDIOASSIST EXTERNAL 81.75 105.26513 105.26513 (23.52) (23.52) 92973 PRQ CORONARY MECH THROMBECT 159.19 185.47078 185.47078 (26.28) (26.28) 92974 CATH PLACE CARDIO BRACHYTX 145.42 168.87044 168.87044 (23.45) (23.45) 92975 DISSOLVE CLOT HEART VESSEL 351.23 409.38536 409.38536 (58.16) (58.16) 92977 DISSOLVE CLOT HEART VESSEL 113.76 60.684278 60.684278 53.08 53.08 92986 REVISION OF AORTIC VALVE 1199.03 1397.5349 1397.5349 (198.50) (198.50) 92987 REVISION OF MITRAL VALVE 1238.15 1441.0761 1441.0761 (202.93) (202.93) 92990 REVISION OF PULMONARY VALVE 974.1 1140.1479 1140.1479 (166.05) (166.05) 92997 PUL ART BALLOON REPR PERCUT 586.9 693.83421 693.83421 (106.93) (106.93) 92998 PUL ART BALLOON REPR PERCUT 290.24 339.74324 339.74324 (49.50) (49.50) 93000 ELECTROCARDIOGRAM COMPLETE 14.85 17.731668 17.731668 (2.88) (2.88) 93005 ELECTROCARDIOGRAM TRACING 7.4 9.005817 9.005817 (1.61) (1.61) 93010 ELECTROCARDIOGRAM REPORT 7.44 8.7258508 8.7258508 (1.29) (1.29) 93015 CARDIOVASCULAR STRESS TEST 66.91 79.564451 79.564451 (12.65) (12.65) 93016 CARDIOVASCULAR STRESS TEST 19.19 22.914622 22.914622 (3.72) (3.72) 93017 CARDIOVASCULAR STRESS TEST 35.03 41.741452 41.741452 (6.71) (6.71) 93018 CARDIOVASCULAR STRESS TEST 12.69 14.908377 14.908377 (2.22) (2.22) 93024 CARDIAC DRUG STRESS TEST 98.7 117.20307 117.20307 (18.50) (18.50) 93025 MICROVOLT T-WAVE ASSESS 146.27 172.12728 172.12728 (25.86) (25.86) 93040 RHYTHM ECG WITH REPORT 11.34 13.249345 13.249345 (1.91) (1.91) 93041 RHYTHM ECG TRACING 5.15 5.9956437 5.9956437 (0.85) (0.85) 93042 RHYTHM ECG REPORT 6.19 7.2537014 7.2537014 (1.06) (1.06) 93224 ECG MONIT/REPRT UP TO 48 HRS 81.43 95.746639 95.746639 (14.32) (14.32) 93225 ECG MONIT/REPRT UP TO 48 HRS 24.1 28.195672 28.195672 (4.10) (4.10) 93226 ECG MONIT/REPRT UP TO 48 HRS 34.06 40.236365 40.236365 (6.18) (6.18) 93227 ECG MONIT/REPRT UP TO 48 HRS 23.25 27.314602 27.314602 (4.06) (4.06) 93228 REMOTE 30 DAY ECG REV/REPORT 22.96 26.913627 26.913627 (3.95) (3.95) 93229 REMOTE 30 DAY ECG TECH SUPP 600.09 716.674 716.674 (116.58) (116.58) 93260 Prgrmg dev eval impltbl sys 58.08 68.111615 68.111615 (10.03) (10.03) 93261 Interrogate subq defib 53.13 62.272423 62.272423 (9.14) (9.14) 93268 ECG RECORD/REVIEW 183.26 216.88141 216.88141 (33.62) (33.62) 93270 REMOTE 30 DAY ECG REV/REPORT 8.36 9.7583603 9.7583603 (1.40) (1.40) 93271 ECG/MONITORING AND ANALYSIS 152.92 180.93726 180.93726 (28.02) (28.02) 93272 ECG/REVIEW INTERPRET ONLY 21.96 26.185787 26.185787 (4.23) (4.23) 93278 ECG/SIGNAL-AVERAGED 26.92 31.521971 31.521971 (4.60) (4.60) 93279 PM DEVICE PROGR EVAL SNGL 43.96 51.533465 51.533465 (7.57) (7.57) 93280 PM DEVICE PROGR EVAL DUAL 51.48 60.341659 60.341659 (8.86) (8.86) 93281 PM DEVICE PROGR EVAL MULTI 59.94 70.663174 70.663174 (10.72) (10.72) 93282 PRGRMG EVAL IMPLANTABLE DFB 55.2 65.853985 65.853985 (10.65) (10.65) 93283 PRGRMG EVAL IMPLANTABLE DFB 71.75 84.525079 84.525079 (12.78) (12.78) 93284 PRGRMG EVAL IMPLANTABLE DFB 78.97 93.014642 93.014642 (14.04) (14.04) 93285 ILR DEVICE EVAL PROGR 36.76 43.845852 43.845852 (7.09) (7.09) 93286 PERI-PX PACEMAKER DEVICE EVL 23.95 28.429454 28.429454 (4.48) (4.48) 93287 PERI-PX DEVICE EVAL & PRGR 31.41 37.564514 37.564514 (6.15) (6.15) 93288 PM DEVICE EVAL IN PERSON 32.41 38.349995 38.349995 (5.94) (5.94) 93289 INTERROG DEVICE EVAL HEART 57.33 67.620063 67.620063 (10.29) (10.29) 93290 ICM DEVICE EVAL 26.95 31.978079 31.978079 (5.03) (5.03) 93291 ILR DEVICE INTERROGATE 31.76 37.597451 37.597451 (5.84) (5.84) 93292 WCD DEVICE INTERROGATE 27.91 33.483166 33.483166 (5.57) (5.57) 93293 PM PHONE R-STRIP DEVICE EVAL 47.69 55.864349 55.864349 (8.17) (8.17) 93294 PM DEVICE INTERROGATE REMOTE 29.51 34.952809 34.952809 (5.44) (5.44) 93295 DEV INTERROG REMOTE 1/2/MLT 58.72 69.169544 69.169544 (10.45) (10.45) 93296 PM/ICD REMOTE TECH SERV 23.14 27.443129 27.443129 (4.30) (4.30) 93297 ICM DEVICE INTERROGAT REMOTE 22.96 27.289899 27.289899 (4.33) (4.33) 93298 ILR DEVICE INTERROGAT REMOTE 23.28 27.289899 27.289899 (4.01) (4.01) 93303 ECHO TRANSTHORACIC 212.53 249.43661 249.43661 (36.91) (36.91) 93304 ECHO TRANSTHORACIC 141.13 163.09676 163.09676 (21.97) (21.97) 93306 TTE W/DOPPLER COMPLETE 203.53 238.8763 238.8763 (35.35) (35.35) 93307 TTE W/O DOPPLER COMPLETE 117.4 136.10151 136.10151 (18.70) (18.70) 93308 TTE F-UP OR LMTD 109.98 131.12441 131.12441 (21.14) (21.14) 93312 ECHO TRANSESOPHAGEAL 295.61 319.85025 319.85025 (24.24) (24.24) 93313 ECHO TRANSESOPHAGEAL 36.77 23.142676 23.142676 13.63 13.63 93314 ECHO TRANSESOPHAGEAL 275.28 308.32259 308.32259 (33.04) (33.04) 93316 ECHO TRANSESOPHAGEAL 37.41 39.089291 39.089291 (1.68) (1.68) 93320 DOPPLER ECHO EXAM HEART 48.55 57.646895 57.646895 (9.10) (9.10) 93321 DOPPLER ECHO EXAM HEART 27.73 29.052755 29.052755 (1.32) (1.32) 93325 DOPPLER COLOR FLOW ADD-ON 23.36 27.679417 27.679417 (4.32) (4.32) 93350 STRESS TTE ONLY 214.85 252.91112 252.91112 (38.06) (38.06) 93351 STRESS TTE COMPLETE 249.74 284.01565 284.01565 (34.28) (34.28) 93352 ADMIN ECG CONTRAST AGENT 29.9 35.75977 35.75977 (5.86) (5.86) 93355 Echo transesophageal (tee) 198.21 232.69485 232.69485 (34.48) (34.48) 93451 RIGHT HEART CATH RIGHT 704.47 830.23752 830.23752 (125.77) (125.77) 93452 LEFT HRT CATH W/VENTRCLGRPHY LEFT 788.9 933.92095 933.92095 (145.02) (145.02) 93453 R&L HRT CATH W/VENTRICLGRPHY 1022.09 1202.6716 1202.6716 (180.58) (180.58) 93454 CORONARY ARTERY ANGIO S&I CATHE 803.94 945.09382 945.09382 (141.15) (141.15) 93455 CORONARY ART/GRFT ANGIO S&I 935.95 1100.3687 1100.3687 (164.42) (164.42) 93456 R HRT CORONARY ARTERY ANGIO 1007.08 1182.5753 1182.5753 (175.50) (175.50) 93457 R HRT ART/GRFT ANGIO CATHE 1138.47 1336.01 1336.01 (197.54) (197.54) 93458 L HRT ARTERY/VENTRICLE ANGIO CATHE 964.14 1132.495 1132.495 (168.36) (168.36) 93459 L HRT ART/GRFT ANGIO CATHE 1064.64 1250.92 1250.92 (186.28) (186.28) 93460 R&L HRT ART/VENTRICLE ANGIO CATHE 1141.39 1341.5255 1341.5255 (200.14) (200.14) 93461 R&L HRT ART/VENTRICLE ANGIO CATHE 1306.2 1535.1307 1535.1307 (228.93) (228.93) 93462 L HRT CATH TRNSPTL PUNCTURE LEFT 187.5 217.64398 217.64398 (30.14) (30.14) DRUG ADMIN & HEMODYNMIC MEAS 93463 PHARM 95.27 102.82062 102.82062 (7.55) (7.55) 93464 EXERCISE W/HEMODYNAMIC MEAS 252.64 289.20111 289.20111 (36.56) (36.56) 93503 INSERT/PLACE HEART CATHETER 115.12 133.43431 133.43431 (18.31) (18.31) 93505 BIOPSY OF HEART LINING 679.64 806.01006 806.01006 (126.37) (126.37) 93563 INJECT CONGENITAL CARD CATH INJEC 49.41 61.619407 61.619407 (12.21) (12.21) 93564 INJECT HRT CONGNTL ART/GRFT INJEC 50.67 64.12156 64.12156 (13.45) (13.45) 93565 INJECT L VENTR/ATRIAL ANGIO INJEC 38.54 48.584154 48.584154 (10.04) (10.04) 93566 INJECT R VENTR/ATRIAL ANGIO INJEC 153.55 180.98237 48.534748 (27.43) 105.02 93567 INJECT SUPRVLV AORTOGRAPHY INJEC 126.06 148.74402 55.052375 (22.68) 71.01 93568 INJECT PULM ART HRT CATH INJEC 137.13 162.13585 49.630626 (25.01) 87.50 93580 TRANSCATH CLOSURE OF ASD 883.57 1021.1984 1021.1984 (137.63) (137.63) 93581 TRANSCATH CLOSURE OF VSD 1192.84 1394.214 1394.214 (201.37) (201.37) 93582 Perq transcath closure pda 608.95 743.01266 743.01266 (134.06) (134.06) 93583 Perq transcath septal reduxn 677.73 813.26161 813.26161 (135.53) (135.53) 93613 ELECTROPHYS MAP 3D ADD-ON 352.19 414.41115 414.41115 (62.22) (62.22) 93642 ELECTROPHYSIOLOGY EVALUATION 351.11 444.80645 444.80645 (93.70) (93.70) 93644 Electrophysiology evaluation 276.27 320.24513 320.24513 (43.98) (43.98) 93650 ABLATE HEART DYSRHYTHM FOCUS 538.4 631.75547 631.75547 (93.36) (93.36) 93653 EP & ABLATE SUPRAVENT ARRHYT 756.08 887.50563 887.50563 (131.43) (131.43) 93654 EP & ABLATE VENTRIC TACHY 1006.82 1180.23 1180.23 (173.41) (173.41) 93655 Ablate arrhythmia add on 377.87 442.64871 442.64871 (64.78) (64.78) 93656 TX ATRIAL FIB PULM VEIN ISOL 1008.08 1185.4648 1185.4648 (177.38) (177.38) 93657 Tx l/r atrial fib addl 378.21 442.624 442.624 (64.41) (64.41) 93660 TILT TABLE EVALUATION 138.68 164.48227 164.48227 (25.80) (25.80) 93701 BIOIMPEDANCE CV ANALYSIS 21.53 25.938042 25.938042 (4.41) (4.41) 93702 Bis xtracell fluid analysis 103.13 120.7585 120.7585 (17.63) (17.63) 93724 ANALYZE PACEMAKER SYSTEM 237.68 282.27786 282.27786 (44.60) (44.60) 93740 TEMPERATURE GRADIENT STUDIES 7.81 8.3660478 8.3660478 (0.56) (0.56) 93750 INTERROGATION VAD IN PERSON 47.71 57.337214 47.554151 (9.63) 0.16 93770 MEASURE VENOUS PRESSURE 7.81 8.3660478 8.3660478 (0.56) (0.56) 93784 AMBULATORY BP MONITORING 47.93 56.493377 56.493377 (8.56) (8.56) 93786 AMBULATORY BP RECORDING 26.67 31.582117 31.582117 (4.91) (4.91) 93788 AMBULATORY BP ANALYSIS 4.83 5.619372 5.619372 (0.79) (0.79) 93790 REVIEW/REPORT BP RECORDING 16.41 19.291889 19.291889 (2.88) (2.88) 93880 EXTRACRANIAL BILAT STUDY 171.27 213.73698 213.73698 (42.47) (42.47) 93882 EXTRACRANIAL UNI/LTD STUDY 110.9 135.99124 135.99124 (25.09) (25.09) 93886 INTRACRANIAL COMPLETE STUDY 322.66 303.88573 303.88573 18.77 18.77 93888 INTRACRANIAL LIMITED STUDY 188.59 157.8644 157.8644 30.73 30.73 93890 TCD VASOREACTIVITY STUDY 259.6 307.50023 307.50023 (47.90) (47.90) 93892 TCD EMBOLI DETECT W/O INJ 302.41 356.52009 356.52009 (54.11) (54.11) 93893 TCD EMBOLI DETECT W/INJ 312.37 365.92688 365.92688 (53.56) (53.56) 93922 UPR/L XTREMITY ART 2 LEVELS 79.6 94.710907 94.710907 (15.11) (15.11) 93923 UPR/LXTR ART STDY 3+ LVLS 124.94 146.63389 146.63389 (21.69) (21.69) 93924 LWR XTR VASC STDY BILAT 156.98 183.40147 183.40147 (26.42) (26.42) 93925 LOWER EXTREMITY STUDY 221.12 276.92592 276.92592 (55.81) (55.81) 93926 LOWER EXTREMITY STUDY 126.82 162.65712 162.65712 (35.84) (35.84) 93930 UPPER EXTREMITY STUDY 206.84 221.61399 221.61399 (14.77) (14.77) 93931 UPPER EXTREMITY STUDY 141.54 137.12005 137.12005 4.42 4.42 93965 EXTREMITY STUDY 108.7 127.28186 127.28186 (18.58) (18.58) 93970 EXTREMITY STUDY 168.26 208.98543 208.98543 (40.73) (40.73) 93971 EXTREMITY STUDY 102.13 127.82031 127.82031 (25.69) (25.69) 93975 VASCULAR STUDY 321.74 298.48367 298.48367 23.26 23.26 93976 VASCULAR STUDY 189.61 172.3718 172.3718 17.24 17.24 93978 VASCULAR STUDY 202.4 202.37472 202.37472 0.03 0.03 93979 VASCULAR STUDY 140.05 126.96072 126.96072 13.09 13.09 93980 PENILE VASCULAR STUDY 108.89 125.02244 125.02244 (16.13) (16.13) 93981 PENILE VASCULAR STUDY 66.47 75.208149 75.208149 (8.74) (8.74) 93982 Aneurysm pressure sens study 38.77 45.312273 45.312273 (6.54) (6.54) 93990 DOPPLER FLOW TESTING 175.38 170.15785 170.15785 5.22 5.22 94002 VENT MGMT INPAT INIT DAY 81.77 95.28695 95.28695 (13.52) (13.52) 94003 VENT MGMT INPAT SUBQ DAY 58.94 68.612117 68.612117 (9.67) (9.67) 94010 BREATHING CAPACITY TEST 32.19 38.050338 38.050338 (5.86) (5.86) 94011 SPIROMETRY UP TO 2 YRS OLD 90.07 102.54316 102.54316 (12.47) (12.47) 94012 SPIRMTRY W/BRNCHDIL INF-2 YR 141.09 170.42171 170.42171 (29.33) (29.33) 94013 MEAS LUNG VOL THRU 2 YRS 27.88 32.277736 32.277736 (4.40) (4.40) 94014 PATIENT RECORDED SPIROMETRY 46.07 58.520447 58.520447 (12.45) (12.45) 94015 PATIENT RECORDED SPIROMETRY 24.1 32.33466 32.33466 (8.23) (8.23) 94016 REVIEW PATIENT SPIROMETRY 21.96 26.185787 26.185787 (4.23) (4.23) 94060 EVALUATION OF WHEEZING 54.19 64.224668 64.224668 (10.03) (10.03) 94070 EVALUATION OF WHEEZING 53.04 61.775143 61.775143 (8.74) (8.74) 94150 VITAL CAPACITY TEST 22.72 26.550602 26.550602 (3.83) (3.83) 94200 LUNG FUNCTION TEST (MBC/MVV) 22.01 26.860999 26.860999 (4.85) (4.85) 94250 EXPIRED GAS COLLECTION 23.62 27.613543 27.613543 (3.99) (3.99) 94375 RESPIRATORY FLOW VOLUME LOOP 34.85 41.206222 41.206222 (6.36) (6.36) 94400 CO2 BREATHING RESPONSE CURVE 49.8 59.495316 59.495316 (9.70) (9.70) 94450 HYPOXIA RESPONSE CURVE 60.73 70.030923 70.030923 (9.30) (9.30) 94452 HAST W/REPORT 51.56 60.396077 60.396077 (8.84) (8.84) 94453 HAST W/OXYGEN TITRATE 71.65 83.928272 83.928272 (12.28) (12.28) 94610 SURFACTANT ADMIN THRU TUBE 52.49 57.719214 57.719214 (5.23) (5.23) 94620 PULMONARY STRESS TEST/SIMPLE 49.44 58.322824 58.322824 (8.88) (8.88) 94621 PULM STRESS TEST/COMPLEX 145.53 171.32605 171.32605 (25.80) (25.80) 94640 AIRWAY INHALATION TREATMENT 16.39 19.541424 19.541424 (3.15) (3.15) 94644 CBT 1ST HOUR 39.52 46.256712 46.256712 (6.74) (6.74) 94645 CBT EACH ADDL HOUR 12.86 14.649892 14.649892 (1.79) (1.79) 94660 POS AIRWAY PRESSURE CPAP 55.68 65.224956 38.88594 (9.54) 16.79 94662 NEG PRESS VENTILATION CNP 35.45 35.073818 35.073818 0.38 0.38 94664 EVALUATE PT USE OF INHALER 15.43 18.412609 18.412609 (2.98) (2.98) 94667 CHEST WALL MANIPULATION 22.82 27.794697 27.794697 (4.97) (4.97) 94668 CHEST WALL MANIPULATION 26.35 30.453302 30.453302 (4.10) (4.10) 94669 Mechanical chest wall oscill 31.81 37.226192 37.226192 (5.42) (5.42) 94680 EXHALED AIR ANALYSIS O2 51.64 60.102148 60.102148 (8.46) (8.46) 94681 EXHALED AIR ANALYSIS O2/CO2 45.64 56.061972 56.061972 (10.42) (10.42) 94690 EXHALED AIR ANALYSIS 43.92 52.513347 52.513347 (8.59) (8.59) 94726 Pulm funct tst plethysmograp 47.48 55.586888 55.586888 (8.11) (8.11) 94727 Pulm function test by gas 37.51 44.298739 44.298739 (6.79) (6.79) 94728 Pulm funct test oscillometry 35.9 41.288565 41.288565 (5.39) (5.39) 94729 CO/MEMBANE DIFFUSE CAPACITY 48.54 57.583527 57.583527 (9.04) (9.04) 94750 PULMONARY COMPLIANCE STUDY 72.89 85.361756 85.361756 (12.47) (12.47) 94760 MEASURE BLOOD OXYGEN LEVEL 2.9 3.3617421 3.3617421 (0.46) (0.46) 94761 MEASURE BLOOD OXYGEN LEVEL 4.51 5.2431004 5.2431004 (0.73) (0.73) 94762 MEASURE BLOOD OXYGEN LEVEL 22.18 25.938042 25.938042 (3.76) (3.76) 94770 EXHALED CARBON DIOXIDE TEST 7.18 7.6299731 7.6299731 (0.45) (0.45) 94780 Car seat/bed test 60 min 45.83 65.735483 25.850687 (19.91) 19.98 94781 Car seat/bed test + 30 min 18.04 24.152989 9.1021225 (6.11) 8.94 95004 PERCUT ALLERGY SKIN TESTS 5.78 6.7317184 6.7317184 (0.95) (0.95) 95012 EXHALED NITRIC OXIDE MEAS 17.36 20.670239 20.670239 (3.31) (3.31) 95017 Perq & icut allg test venoms 7.28 8.1379935 3.6227335 (0.86) 3.66 95018 Perq&ic allg test drugs/biol 17.77 19.687135 7.27017 (1.92) 10.50 95024 ICUT ALLERGY TEST DRUG/BUG 7.06 8.2368051 1.0876435 (1.18) 5.97 95027 ICUT ALLERGY TITRATE-AIRBORN 4.17 4.8503601 4.8503601 (0.68) (0.68) 95028 ICUT ALLERGY TEST-DELAYED 12.22 14.27362 14.27362 (2.05) (2.05) 95044 ALLERGY PATCH TESTS 4.83 5.9956437 5.9956437 (1.17) (1.17) 95052 PHOTO PATCH TEST 5.79 7.1244587 7.1244587 (1.33) (1.33) 95056 PHOTOSENSITIVITY TESTS 38.88 47.009255 47.009255 (8.13) (8.13) 95060 EYE ALLERGY TESTS 30.21 36.84992 36.84992 (6.64) (6.64) 95065 NOSE ALLERGY TEST 23.78 26.690585 26.690585 (2.91) (2.91) 95070 BRONCHIAL ALLERGY TESTS 26.35 31.958388 31.958388 (5.61) (5.61) 95071 BRONCHIAL ALLERGY TESTS 31.49 36.473648 36.473648 (4.98) (4.98) 95076 INGEST CHALLENGE INI 120 MIN 102.97 120.44703 74.918158 (17.48) 28.05 95079 Ingest challenge addl 60 min 73.3 85.299819 68.743866 (12.00) 4.56 95115 IMMUNOTHERAPY ONE INJECTION 8.04 9.3820887 9.3820887 (1.34) (1.34) 95117 IMMUNOTHERAPY INJECTIONS 9.33 10.887175 10.887175 (1.56) (1.56) 95144 ANTIGEN THERAPY SERVICES 11.16 13.045994 3.2629305 (1.89) 7.90 95145 ANTIGEN THERAPY SERVICES 19.51 23.205329 3.2629305 (3.70) 16.25 95146 ANTIGEN THERAPY SERVICES 34.93 41.266368 3.2629305 (6.34) 31.67 95147 ANTIGEN THERAPY SERVICES 31.39 37.12738 3.2629305 (5.74) 28.13 95148 ANTIGEN THERAPY SERVICES 47.13 55.18842 3.2629305 (8.06) 43.87 95149 ANTIGEN THERAPY SERVICES 62.88 74.378275 3.2629305 (11.50) 59.62 95165 ANTIGEN THERAPY SERVICES 11.48 13.422265 3.2629305 (1.94) 8.22 95170 ANTIGEN THERAPY SERVICES 8.59 10.03582 3.2629305 (1.45) 5.33 95180 RAPID DESENSITIZATION 118.23 138.37131 104.13059 (20.14) 14.10 95250 GLUCOSE MONITORING CONT 141.04 167.39148 167.39148 (26.35) (26.35) 95251 GLUC MONITOR CONT PHYS I&R 38.17 44.4065 44.4065 (6.24) (6.24) 95782 Polysom <6 yrs 4/> paramtrs 916.52 964.27758 964.27758 (47.76) (47.76) 95783 Polysom <6 yrs cpap/bilvl 976.9 1315.3118 1315.3118 (338.41) (338.41) 95800 SLP STDY UNATTENDED SLEEP 159.29 189.66956 189.66956 (30.38) (30.38) 95801 SLP STDY UNATND W/ANAL SLEEP 83.88 95.683986 95.683986 (11.80) (11.80) 95805 MULTIPLE SLEEP LATENCY TEST 377.53 443.25769 443.25769 (65.73) (65.73) 95806 SLEEP STUDY UNATT&RESP EFFT 153.23 175.79441 175.79441 (22.56) (22.56) 95807 SLEEP STUDY ATTENDED 425.38 495.07613 495.07613 (69.70) (69.70) 95808 POLYSOM ANY AGE 1-3> PARAM 570.18 636.14829 636.14829 (65.97) (65.97) 95810 POLYSOM 6/> YRS 4/> PARAM 553.25 654.31458 654.31458 (101.06) (101.06) 95811 POLYSOM 6/>YRS CPAP 4/> PARM 580.41 687.2371 687.2371 (106.83) (106.83) 95812 EEG 41-60 MINUTES 387.35 442.02433 442.02433 (54.67) (54.67) 95813 EEG OVER 1 HOUR 452.52 527.77381 527.77381 (75.25) (75.25) 95816 EEG AWAKE AND DROWSY 316.37 378.81069 378.81069 (62.44) (62.44) 95819 EEG AWAKE AND ASLEEP 361.33 432.24127 432.24127 (70.91) (70.91) 95822 EEG COMA OR SLEEP ONLY 321.82 390.47511 390.47511 (68.66) (68.66) 95827 EEG ALL NIGHT RECORDING 697.45 830.16377 830.16377 (132.71) (132.71) 95829 SURGERY ELECTROCORTICOGRAM 1656.07 1988.3831 1988.3831 (332.31) (332.31) 95830 INSERT ELECTRODES FOR EEG 224.84 258.3386 94.660427 (33.50) 130.18 95857 CHOLINESTERASE CHALLENGE 48.98 55.870077 30.283604 (6.89) 18.70 95860 MUSCLE TEST ONE LIMB 107.7 128.4855 128.4855 (20.79) (20.79) 95861 MUSCLE TEST 2 LIMBS 148.86 180.13424 180.13424 (31.27) (31.27) 95863 MUSCLE TEST 3 LIMBS 181.12 222.81261 222.81261 (41.69) (41.69) 95864 MUSCLE TEST 4 LIMBS 208.87 253.84554 253.84554 (44.98) (44.98) 95865 MUSCLE TEST LARYNX 120.53 149.58213 149.58213 (29.05) (29.05) 95866 MUSCLE TEST HEMIDIAPHRAGM 116.89 138.89508 138.89508 (22.01) (22.01) 95867 MUSCLE TEST CRAN NERV UNILAT 82.92 97.911185 97.911185 (14.99) (14.99) 95868 MUSCLE TEST CRAN NERVE BILAT 115.39 137.85684 137.85684 (22.47) (22.47) 95869 MUSCLE TEST THOR PARASPINAL 67.2 85.859036 85.859036 (18.66) (18.66) 95870 MUSCLE TEST NONPARASPINAL 78.44 92.656629 92.656629 (14.22) (14.22) 95872 MUSCLE TEST ONE FIBER 179.52 204.51922 204.51922 (25.00) (25.00) 95873 GUIDE NERV DESTR ELEC STIM 66.56 77.982034 77.982034 (11.42) (11.42) 95874 GUIDE NERV DESTR NEEDLE EMG 64.31 75.724404 75.724404 (11.41) (11.41) 95875 LIMB EXERCISE TEST 112.64 125.9726 125.9726 (13.33) (13.33) 95885 Musc tst done w/nerv tst lim 52.13 61.459018 61.459018 (9.33) (9.33) 95886 Musc test done w/n test comp 81.2 94.810435 94.810435 (13.61) (13.61) 95887 Musc tst done w/n tst nonext 76.62 85.2744 85.2744 (8.65) (8.65) 95905 MOTOR &/ SENS NRVE CNDJ TEST 61.3 75.875127 75.875127 (14.58) (14.58) 95907 NVR CNDJ TST 1-2 STUDIES 83.9 101.32806 101.32806 (17.43) (17.43) 95908 NRV CNDJ TST 3-4 STUDIES 103.42 130.24083 130.24083 (26.82) (26.82) 95909 NRV CNDJ TST 5-6 STUDIES 124.56 154.26207 154.26207 (29.70) (29.70) 95910 NRV CNDJ TEST 7-8 STUDIES 163.62 204.18591 204.18591 (40.57) (40.57) 95911 NRV CNDJ TEST 9-10 STUDIES 198.82 243.19787 243.19787 (44.38) (44.38) 95912 NRV CNDJ TEST 11-12 STUDIES 233.71 270.16914 270.16914 (36.46) (36.46) 95913 NRV CNDJ TEST 13/> STUDIES 270.42 307.15153 307.15153 (36.73) (36.73) 95921 AUTONOMIC NRV PARASYM INERVJ 79.23 90.981844 90.981844 (11.75) (11.75) 95922 AUTONOMIC NRV ADRENRG INERVJ 95.19 104.80508 104.80508 (9.62) (9.62) 95923 AUTONOMIC NRV SYST FUNJ TEST 184.59 201.98198 201.98198 (17.39) (17.39) 95924 Ans parasymp & symp w/tilt 128.68 159.1511 159.1511 (30.47) (30.47) 95925 SOMATOSENSORY TESTING 155.58 166.0518 166.0518 (10.47) (10.47) 95926 SOMATOSENSORY TESTING 129.92 151.77818 151.77818 (21.86) (21.86) 95927 SOMATOSENSORY TESTING 144.98 160.8087 160.8087 (15.83) (15.83) 95928 C MOTOR EVOKED UPPR LIMBS 225.45 272.36197 272.36197 (46.91) (46.91) 95929 C MOTOR EVOKED LWR LIMBS 219.66 272.10921 272.10921 (52.45) (52.45) 95930 VISUAL EVOKED POTENTIAL TEST 119.6 135.18356 135.18356 (15.58) (15.58) 95933 BLINK REFLEX TEST 73.94 88.105925 88.105925 (14.17) (14.17) 95937 NEUROMUSCULAR JUNCTION TEST 72.25 86.502027 86.502027 (14.25) (14.25) 95938 Somatosensory testing 302.26 360.40882 360.40882 (58.15) (58.15) 95939 C motor evoked upr&lwr limbs 440.17 529.7547 529.7547 (89.58) (89.58) 95940 Ionm in operatng room 15 min 28.29 33.881634 33.881634 (5.59) (5.59) 95950 AMBULATORY EEG MONITORING 298.35 346.09475 346.09475 (47.74) (47.74) 95953 EEG MONITORING/COMPUTER 384.54 438.45888 438.45888 (53.92) (53.92) 95954 EEG MONITORING/GIVING DRUGS 391.33 482.84175 482.84175 (91.51) (91.51) 95955 EEG DURING SURGERY 204.33 224.704 224.704 (20.37) (20.37) 95956 EEG MONITOR TECHNOL ATTENDED 1491.52 1764.2515 1764.2515 (272.73) (272.73) 95957 EEG DIGITAL ANALYSIS 393.97 332.07711 332.07711 61.89 61.89 95958 EEG MONITORING/FUNCTION TEST 502.59 609.03489 609.03489 (106.44) (106.44) 95961 ELECTRODE STIMULATION BRAIN 252.97 302.85537 302.85537 (49.89) (49.89) 95962 ELECTRODE STIM BRAIN ADD-ON 222.06 266.15939 266.15939 (44.10) (44.10) 95970 ANALYZE NEUROSTIM NO PROG 61.32 70.275446 24.746575 (8.96) 36.57 95971 ANALYZE NEUROSTIM SIMPLE 53.43 59.523241 41.838473 (6.09) 11.59 95972 ANALYZE NEUROSTIM COMPLEX 96.36 57.207971 42.909648 39.15 53.45 95974 CRANIAL NEUROSTIM COMPLEX 183.06 215.23921 169.33406 (32.18) 13.73 95975 CRANIAL NEUROSTIM COMPLEX 97.6 115.73164 96.165514 (18.13) 1.43 95978 ANALYZE NEUROSTIM BRAIN/1H 221.28 258.29134 198.84042 (37.01) 22.44 95979 ANALYZ NEUROSTIM BRAIN ADDON 95.48 112.06774 92.877881 (16.59) 2.60 95980 IO ANAL GAST N-STIM INIT 39.71 47.578854 47.578854 (7.87) (7.87) 95981 Io anal gast n-stim subsq 28.46 33.296283 18.245417 (4.84) 10.21 95982 Io ga n-stim subsq w/reprog 45.59 54.796396 37.864171 (9.21) 7.73 95990 SPIN/BRAIN PUMP REFIL & MAIN 83.24 95.498894 95.498894 (12.26) (12.26) 95991 SPIN/BRAIN PUMP REFIL & MAIN 108.35 126.54077 40.75083 (18.19) 67.60 95992 CANALITH REPOSITIONING PROC 38.35 43.843346 38.199271 (5.49) 0.15 96000 MOTION ANALYSIS VIDEO/3D 83.3 97.980998 97.980998 (14.68) (14.68) 96001 MOTION TEST W/FT PRESS MEAS 86.26 104.05397 104.05397 (17.79) (17.79) 96002 DYNAMIC SURFACE EMG 18.64 22.579522 22.579522 (3.94) (3.94) 96003 DYNAMIC FINE WIRE EMG 17.42 19.684629 19.684629 (2.26) (2.26) 96004 PHYS REVIEW OF MOTION TESTS 103.01 121.35423 121.35423 (18.34) (18.34) 96101 PSYCHO TESTING BY PSYCH/PHYS 69.65 81.073476 80.320933 (11.42) (10.67) 96102 PSYCHO TESTING BY TECHNICIAN 58.65 66.455089 23.56012 (7.81) 35.09 96103 PSYCHO TESTING ADMIN BY COMP 24.26 28.058911 27.306368 (3.80) (3.05) 96110 DEVELOPMENTAL SCREEN W/SCORE 7.4 10.134632 10.134632 (2.73) (2.73) 96111 DEVELOPMENTAL TEST EXTEND 112.57 130.90423 123.75507 (18.33) (11.19) 96116 NEUROBEHAVIORAL STATUS EXAM 82.22 94.921419 88.5248 (12.70) (6.30) 96118 NEUROPSYCH TST BY PSYCH/PHYS 86.03 99.887059 79.944661 (13.86) 6.09 96119 NEUROPSYCH TESTING BY TEC 72.03 84.458489 24.255023 (12.43) 47.77 96120 NEUROPSYCH TST ADMIN W/COMP 42.25 49.506396 26.553824 (7.26) 15.70 96125 COGNITIVE TEST BY HC PRO 75.73 120.79609 120.79609 (45.07) (45.07) 96127 Brief emotional/behav assmt 4.82 5.619372 5.619372 (0.80) (0.80) 96150 ASSESS HLTH/BEHAVE INIT 18.46 22.079736 21.703464 (3.62) (3.24) 96151 ASSESS HLTH/BEHAVE SUBSEQ 17.85 20.983858 20.607586 (3.13) (2.76) 96152 INTERVENE HLTH/BEHAVE INDIV 16.92 19.912683 19.536411 (2.99) (2.62) 96153 INTERVENE HLTH/BEHAVE GROUP 4.02 4.7021427 4.3258711 (0.68) (0.31) 96154 INTERV HLTH/BEHAV FAM W/PT 16.62 19.55288 19.176608 (2.93) (2.56) 96360 HYDRATION IV INFUSION INIT 50.84 60.601935 60.601935 (9.76) (9.76) 96361 HYDRATE IV INFUSION ADD-ON 13.35 16.006761 16.006761 (2.66) (2.66) 96365 THER/PROPH/DIAG IV INF INIT 61.38 72.928322 72.928322 (11.55) (11.55) 96366 THER/PROPH/DIAG IV INF ADDON 16.42 19.62126 19.62126 (3.20) (3.20) 96367 TX/PROPH/DG ADDL SEQ IV INF 26.68 31.645485 31.645485 (4.97) (4.97) 96368 THER/DIAG CONCURRENT INF 18.04 21.519087 21.519087 (3.48) (3.48) 96369 SC THER INFUSION UP TO 1 HR 174.45 205.77692 205.77692 (31.33) (31.33) 96370 SC THER INFUSION ADDL HR 13.53 15.858544 15.858544 (2.33) (2.33) 96371 SC THER INFUSION RESET PUMP 81.61 94.795756 94.795756 (13.19) (13.19) 96372 THER/PROPH/DIAG INJ SC/IM 22.22 26.410619 26.410619 (4.19) (4.19) 96373 THER/PROPH/DIAG INJ IA 17.08 20.390272 20.390272 (3.31) (3.31) 96374 THER/PROPH/DIAG INJ IV PUSH 50.18 59.456651 59.456651 (9.28) (9.28) 96375 TX/PRO/DX INJ NEW DRUG ADDON 19.76 23.515726 23.515726 (3.76) (3.76) 96401 CHEMO ANTI-NEOPL SQ/IM 65.89 78.196125 78.196125 (12.31) (12.31) 96402 CHEMO HORMON ANTINEOPL SQ/IM 28.29 33.526843 33.526843 (5.24) (5.24) 96405 CHEMO INTRALESIONAL UP TO 7 72.11 85.63671 30.701047 (13.53) 41.41 96406 CHEMO INTRALESIONAL OVER 7 100.58 124.25844 47.875288 (23.68) 52.70 96409 CHEMO IV PUSH SNGL DRUG 97.34 116.10075 116.10075 (18.76) (18.76) 96411 CHEMO IV PUSH ADDL DRUG 54.65 65.067789 65.067789 (10.42) (10.42) 96413 CHEMO IV INFUSION 1 HR 119.12 142.34919 142.34919 (23.23) (23.23) 96415 CHEMO IV INFUSION ADDL HR 24.76 29.011583 29.011583 (4.25) (4.25) 96416 CHEMO PROLONG INFUSE W/PUMP 124.4 148.10855 148.10855 (23.71) (23.71) 96417 CHEMO IV INFUS EACH ADDL SEQ 55.27 65.427592 65.427592 (10.16) (10.16) 96420 CHEMO IA PUSH TECNIQUE 93.32 109.79471 109.79471 (16.47) (16.47) 96422 CHEMO IA INFUSION UP TO 1 HR 150.18 179.35556 179.35556 (29.18) (29.18) 96423 CHEMO IA INFUSE EACH ADDL HR 69.17 82.752557 82.752557 (13.58) (13.58) 96425 CHEMOTHERAPY INFUSION METHOD 161.78 190.21804 190.21804 (28.44) (28.44) 96440 CHEMOTHERAPY INTRACAVITARY 763.4 906.09295 144.89538 (142.69) 618.50 96446 CHEMOTX ADMN PRTL CAVITY 172.97 210.9656 29.226391 (38.00) 143.74 96450 CHEMOTHERAPY INTO CNS 160.84 189.85966 82.998512 (29.02) 77.84 96521 REFILL/MAINT PORTABLE PUMP 120.84 145.85092 145.85092 (25.01) (25.01) 96522 REFILL/MAINT PUMP/RESVR SYST 99.31 119.5119 119.5119 (20.20) (20.20) 96523 IRRIG DRUG DELIVERY DEVICE 22.11 26.248439 26.248439 (4.14) (4.14) 96542 CHEMOTHERAPY INJECTION 105.16 125.44489 43.417669 (20.28) 61.74 96567 PHOTODYNAMIC TX SKIN 118.55 143.68637 143.68637 (25.14) (25.14) 96570 PHOTODYNMC TX 30 MIN ADD-ON 50.5 59.402949 59.402949 (8.90) (8.90) 96571 PHOTODYNAMIC TX ADDL 15 MIN 23.25 27.21579 27.21579 (3.97) (3.97) 96900 ULTRAVIOLET LIGHT THERAPY 18.32 21.799054 21.799054 (3.48) (3.48) 96902 TRICHOGRAM 19.29 22.579522 21.826979 (3.29) (2.54) 96904 WHOLE BODY PHOTOGRAPHY 60.08 66.575381 66.575381 (6.50) (6.50) 96910 PHOTOCHEMOTHERAPY WITH UV-B 62.33 75.605901 75.605901 (13.28) (13.28) 96912 PHOTOCHEMOTHERAPY WITH UV-A 80.32 97.053386 97.053386 (16.73) (16.73) 96913 PHOTOCHEMOTHERAPY UV-A OR B 113.09 136.91348 136.91348 (23.82) (23.82) 96920 LASER TX SKIN < 250 SQ CM 135.66 162.43802 69.122644 (26.78) 66.54 96921 LASER TX SKIN 250-500 SQ CM 149.55 179.47478 78.257704 (29.92) 71.29 96922 LASER TX SKIN >500 SQ CM 207.08 247.69344 126.15769 (40.61) 80.92 97001 PT EVALUATION 66.2 77.318278 77.318278 (11.12) (11.12) 97002 PT RE-EVALUATION 37.28 43.362535 43.362535 (6.08) (6.08) 97003 OT EVALUATION 74.56 87.829181 87.829181 (13.27) (13.27) 97004 OT RE-EVALUATION 46.92 54.650684 54.650684 (7.73) (7.73) 97010 HOT OR COLD PACKS THERAPY 5.37 6.2731038 6.2731038 (0.90) (0.90) 97012 MECHANICAL TRACTION THERAPY 14.06 16.495807 16.495807 (2.44) (2.44) 97014 ELECTRIC STIMULATION THERAPY 14.18 16.611087 16.611087 (2.43) (2.43) 97016 VASOPNEUMATIC DEVICE THERAPY 17.07 19.997532 19.997532 (2.93) (2.93) 97018 PARAFFIN BATH THERAPY 9.88 11.540907 11.540907 (1.66) (1.66) 97022 WHIRLPOOL THERAPY 20.93 24.529261 24.529261 (3.60) (3.60) 97024 DIATHERMY EG MICROWAVE 5.7 6.6493754 6.6493754 (0.95) (0.95) 97026 INFRARED THERAPY 5.38 6.2731038 6.2731038 (0.89) (0.89) 97028 ULTRAVIOLET THERAPY 6.63 7.7452532 7.7452532 (1.12) (1.12) 97032 ELECTRICAL STIMULATION 16.95 19.882252 19.882252 (2.93) (2.93) 97035 ULTRASOUND THERAPY 11.23 13.175236 13.175236 (1.95) (1.95) 97110 THERAPEUTIC EXERCISES 28.18 33.450229 33.450229 (5.27) (5.27) 97112 NEUROMUSCULAR REEDUCATION 29.47 34.603747 34.603747 (5.13) (5.13) 97116 GAIT TRAINING THERAPY 25.05 29.418286 29.418286 (4.37) (4.37) 97150 GROUP THERAPEUTIC PROCEDURES 15.27 17.935019 17.935019 (2.67) (2.67) 97535 SELF CARE MNGMENT TRAINING 30.75 36.108833 36.108833 (5.36) (5.36) 97597 RMVL DEVITAL TIS 20 CM/< 68.3 79.583426 24.647763 (11.28) 43.65 97598 RMVL DEVITAL TIS ADDL 20CM/< 22.46 26.245933 11.94761 (3.79) 10.51 97605 NEG PRESS WOUND TX 50 CM 40.29 53.324246 30.747947 (13.03) 9.54 97610 Low frequency non-thermal us 110.28 128.31186 18.440534 (18.03) 91.84 97760 ORTHOTIC MGMT AND TRAINING 34 39.470575 39.470575 (5.47) (5.47) 97761 PROSTHETIC TRAINING 29.5 34.202772 34.202772 (4.70) (4.70) 97762 C/O FOR ORTHOTIC/PROSTH USE 42.65 49.983985 49.983985 (7.33) (7.33) 98925 OSTEOPATH MANJ 1-2 REGIONS 27.56 32.304945 24.40324 (4.74) 3.16 98926 OSTEOPATH MANJ 3-4 REGIONS 39.67 46.919394 36.760059 (7.25) 2.91 98927 OSTEOPATH MANJ 5-6 REGIONS 51.81 61.157571 48.740606 (9.35) 3.07 98928 OSTEOPATH MANJ 7-8 REGIONS 63.95 75.371045 61.825265 (11.42) 2.12 98929 OSTEOPATH MANJ 9-10 REGIONS 76.76 89.633925 73.830515 (12.87) 2.93 98940 CHIROPRACT MANJ 1-2 REGIONS 24.63 28.943203 22.922856 (4.31) 1.71 98941 CHIROPRACT MANJ 3-4 REGIONS 36.14 42.052565 35.655947 (5.91) 0.48 98942 CHIROPRACTIC MANJ 5 REGIONS 46.65 54.785655 48.012765 (8.14) (1.36) 98960 SELF-MGMT EDUC & TRAIN 1 PT 24.75 29.676056 29.676056 (4.93) (4.93) 98961 SELF-MGMT EDUC/TRAIN 2-4 PT 11.9 14.27362 14.27362 (2.37) (2.37) 98962 SELF-MGMT EDUC/TRAIN 5-8 PT 8.68 10.510904 10.510904 (1.83) (1.83) 99170 ANOGENITAL EXAM CHILD W IMAG 153.74 166.92106 83.388746 (13.18) 70.35 99175 INDUCTION OF VOMITING 15.11 18.036337 18.036337 (2.93) (2.93) 99183 HYPERBARIC OXYGEN THERAPY 189.29 211.51122 113.68058 (22.22) 75.61 99195 PHLEBOTOMY 88.74 106.33666 106.33666 (17.60) (17.60) 99201 OFFICE/OUTPATIENT VISIT NEW 40.38 45.015839 27.33107 (4.64) 13.05 99202 OFFICE/OUTPATIENT VISIT NEW 69.24 76.936278 51.349805 (7.70) 17.89 99203 OFFICE/OUTPATIENT VISIT NEW 100.46 112.05377 78.941867 (11.59) 21.52 99204 OFFICE/OUTPATIENT VISIT NEW 153.96 169.69315 133.1948 (15.73) 20.77 99205 OFFICE/OUTPATIENT VISIT NEW 191.51 212.70161 173.19308 (21.19) 18.32 99211 OFFICE/OUTPATIENT VISIT EST 18.75 20.750075 9.4619256 (2.00) 9.29 99212 OFFICE/OUTPATIENT VISIT EST 40.72 45.015839 26.202255 (4.30) 14.52 99213 OFFICE/OUTPATIENT VISIT EST 67.81 75.013748 52.061176 (7.20) 15.75 99214 OFFICE/OUTPATIENT VISIT EST 99.93 110.56515 80.08715 (10.64) 19.84 99215 OFFICE/OUTPATIENT VISIT EST 133.61 149.64872 114.27918 (16.04) 19.33 99217 OBSERVATION CARE DISCHARGE 66.95 74.453816 74.453816 (7.50) (7.50) 99218 INITIAL OBSERVATION CARE 91.39 102.92766 102.92766 (11.54) (11.54) 99219 INITIAL OBSERVATION CARE 124.99 139.36086 139.36086 (14.37) (14.37) 99220 INITIAL OBSERVATION CARE 171.05 190.33439 190.33439 (19.28) (19.28) 99221 INITIAL HOSPITAL CARE 93.88 104.35864 104.35864 (10.48) (10.48) 99222 INITIAL HOSPITAL CARE 127.44 140.80007 140.80007 (13.36) (13.36) 99223 INITIAL HOSPITAL CARE 187.62 207.42629 207.42629 (19.81) (19.81) 99224 SUBSEQUENT OBSERVATION CARE 36.87 40.391027 40.391027 (3.52) (3.52) 99225 SUBSEQUENT OBSERVATION CARE 66.74 74.62423 74.62423 (7.88) (7.88) 99226 SUBSEQUENT OBSERVATION CARE 96.36 107.40999 107.40999 (11.05) (11.05) 99231 SUBSEQUENT HOSPITAL CARE 36.17 40.014755 40.014755 (3.84) (3.84) 99232 SUBSEQUENT HOSPITAL CARE 66.42 74.247958 74.247958 (7.83) (7.83) 99233 SUBSEQUENT HOSPITAL CARE 95.68 107.33588 107.33588 (11.66) (11.66) 99234 OBSERV/HOSP SAME DATE 124.8 137.49597 137.49597 (12.70) (12.70) 99235 OBSERV/HOSP SAME DATE 155.93 173.57759 173.57759 (17.65) (17.65) 99236 OBSERV/HOSP SAME DATE 201.32 223.39761 223.39761 (22.08) (22.08) 99238 HOSPITAL DISCHARGE DAY 66.93 74.453816 74.453816 (7.52) (7.52) 99239 HOSPITAL DISCHARGE DAY 98.91 110.23328 110.23328 (11.32) (11.32) 99241 OFFICE CONSULTATION 45.6 50.322307 34.518897 (4.72) 11.08 99242 OFFICE CONSULTATION 85.3 94.173888 71.973859 (8.87) 13.33 99243 OFFICE CONSULTATION 116.4 128.55531 100.33493 (12.16) 16.07 99244 OFFICE CONSULTATION 171.62 189.79272 158.93844 (18.17) 12.68 99245 OFFICE CONSULTATION 209.89 232.03216 197.41517 (22.14) 12.47 99251 INPATIENT CONSULTATION 45.65 50.481981 50.481981 (4.83) (4.83) 99252 INPATIENT CONSULTATION 70.02 77.403843 77.403843 (7.38) (7.38) 99253 INPATIENT CONSULTATION 106.82 118.20408 118.20408 (11.38) (11.38) 99254 INPATIENT CONSULTATION 154.08 170.63329 170.63329 (16.55) (16.55) 99255 INPATIENT CONSULTATION 186.27 206.19043 206.19043 (19.92) (19.92) 99281 EMERGENCY DEPT VISIT 19.33 21.384833 21.384833 (2.05) (2.05) 99282 EMERGENCY DEPT VISIT 38.04 42.025356 42.025356 (3.99) (3.99) 99283 EMERGENCY DEPT VISIT 56.67 62.992745 62.992745 (6.32) (6.32) 99284 EMERGENCY DEPT VISIT 108.14 120.48963 120.48963 (12.35) (12.35) 99285 EMERGENCY DEPT VISIT 158.83 177.60202 177.60202 (18.77) (18.77) 99291 CRITICAL CARE FIRST HOUR 253.6 282.88469 229.07784 (29.28) 24.52 99292 CRITICAL CARE ADDL 30 MIN 113.37 126.36677 114.70235 (13.00) (1.33) 99304 NURSING FACILITY CARE INIT 86.13 93.753938 93.753938 (7.62) (7.62) 99305 NURSING FACILITY CARE INIT 122.75 134.22731 134.22731 (11.48) (11.48) 99306 NURSING FACILITY CARE INIT 155.24 170.96266 170.96266 (15.72) (15.72) 99307 NURSING FAC CARE SUBSEQ 41.26 45.683533 45.683533 (4.42) (4.42) 99308 NURSING FAC CARE SUBSEQ 63.74 70.561856 70.561856 (6.82) (6.82) 99309 NURSING FAC CARE SUBSEQ 83.83 93.550587 93.550587 (9.72) (9.72) 99310 NURSING FAC CARE SUBSEQ 124.69 139.11884 139.11884 (14.43) (14.43) 99315 NURSING FAC DISCHARGE DAY 67.63 74.85479 74.85479 (7.22) (7.22) 99316 NURSING FAC DISCHARGE DAY 96.86 107.62408 107.62408 (10.76) (10.76) 99318 ANNUAL NURSING FAC ASSESSMNT 88.68 98.178621 98.178621 (9.50) (9.50) 99324 DOMICIL/R-HOME VISIT NEW PAT 51.42 56.510562 56.510562 (5.09) (5.09) 99325 DOMICIL/R-HOME VISIT NEW PAT 74.73 81.935571 81.935571 (7.21) (7.21) 99326 DOMICIL/R-HOME VISIT NEW PAT 128.66 142.39573 142.39573 (13.74) (13.74) 99327 DOMICIL/R-HOME VISIT NEW PAT 171.88 189.84534 189.84534 (17.97) (17.97) 99328 DOMICIL/R-HOME VISIT NEW PAT 199.04 221.82092 221.82092 (22.78) (22.78) 99334 DOMICIL/R-HOME VISIT EST PAT 56.07 61.679554 61.679554 (5.61) (5.61) 99335 DOMICIL/R-HOME VISIT EST PAT 87.64 97.033337 97.033337 (9.39) (9.39) 99336 DOMICIL/R-HOME VISIT EST PAT 123.48 137.80887 137.80887 (14.33) (14.33) 99337 DOMICIL/R-HOME VISIT EST PAT 178.15 197.14845 197.14845 (19.00) (19.00) 99341 HOME VISIT NEW PATIENT 51.08 56.485859 56.485859 (5.41) (5.41) 99342 HOME VISIT NEW PATIENT 73.72 81.158325 81.158325 (7.44) (7.44) 99343 HOME VISIT NEW PATIENT 120.37 132.75265 132.75265 (12.38) (12.38) 99344 HOME VISIT NEW PATIENT 168.27 186.18967 186.18967 (17.92) (17.92) 99345 HOME VISIT NEW PATIENT 202.82 225.18266 225.18266 (22.36) (22.36) 99347 HOME VISIT EST PATIENT 51.43 56.527031 56.527031 (5.10) (5.10) 99348 HOME VISIT EST PATIENT 77.72 85.632413 85.632413 (7.91) (7.91) 99349 HOME VISIT EST PATIENT 117.59 131.25007 131.25007 (13.66) (13.66) 99350 HOME VISIT EST PATIENT 164.03 181.11126 181.11126 (17.08) (17.08) 99354 PROLONG E&M/PSYCTX SERV O/P 92.34 102.16939 94.643959 (9.83) (2.30) 99355 PROLONG E&M/PSYCTX SERV O/P 90.3 98.782947 91.257514 (8.48) (0.96) 99356 PROLONGED SERVICE INPATIENT 84.96 94.01493 94.01493 (9.05) (9.05) 99357 PROLONGED SERVICE INPATIENT 84.28 92.910818 92.910818 (8.63) (8.63) 99360 PHYSICIAN STANDBY SERVICES 57.22 62.945846 62.945846 (5.73) (5.73) 99374 HOME HEALTH CARE SUPERVISION 65.2 72.141052 57.842728 (6.94) 7.36 99375 HOME HEALTH CARE SUPERVISION 97.85 108.25561 90.947116 (10.41) 6.90 99377 HOSPICE CARE SUPERVISION 65.2 72.141052 57.842728 (6.94) 7.36 99378 HOSPICE CARE SUPERVISION 97.85 108.25561 90.947116 (10.41) 6.90 99379 NURSING FAC CARE SUPERVISION 65.2 72.141052 57.842728 (6.94) 7.36 99380 NURSING FAC CARE SUPERVISION 97.85 108.25561 90.947116 (10.41) 6.90 99381 INIT PM E/M NEW PAT INFANT 102.99 113.9516 78.582063 (10.96) 24.41 99382 INIT PM E/M NEW PAT 1-4 YRS 107.22 119.40629 84.03675 (12.19) 23.18 99383 PREV VISIT NEW AGE 5-11 111.83 124.4847 89.491436 (12.65) 22.34 99384 PREV VISIT NEW AGE 12-17 126.31 140.14562 104.77608 (13.84) 21.53 99385 PREV VISIT NEW AGE 18-39 122.7 135.76211 100.76885 (13.06) 21.93 99391 PER PM REEVAL EST PAT INFANT 92.66 102.52597 71.671697 (9.87) 20.99 99392 PREV VISIT EST AGE 1-4 98.91 109.43634 78.582063 (10.53) 20.33 99393 PREV VISIT EST AGE 5-11 98.57 109.06007 78.582063 (10.49) 19.99 99394 PREV VISIT EST AGE 12-17 107.75 119.96944 89.491436 (12.22) 18.26 99395 PREV VISIT EST AGE 18-39 110.04 122.521 92.042994 (12.48) 18.00 99420 HEALTH RISK ASSESSMENT TEST 10.22 11.639719 11.639719 (1.42) (1.42) 99460 INIT NB EM PER DAY HOSP 86.92 101.57079 101.57079 (14.65) (14.65) 99461 INIT NB EM PER DAY NON-FAC 91.47 93.300336 64.703689 (1.83) 26.77 99462 SBSQ NB EM PER DAY HOSP 38.75 42.541611 42.541611 (3.79) (3.79) 99463 SAME DAY NB DISCHARGE 105.66 123.30147 123.30147 (17.64) (17.64) 99464 ATTENDANCE AT DELIVERY 65.19 75.972865 75.972865 (10.78) (10.78) 99465 NB RESUSCITATION 136.06 154.67021 154.67021 (18.61) (18.61) 99466 PED CRIT CARE TRANSPORT 244.32 252.45358 252.45358 (8.13) (8.13) 99467 PED CRIT CARE TRANSPORT ADDL 113.38 126.9464 126.9464 (13.57) (13.57) 99468 NEONATE CRIT CARE INITIAL 860.09 939.61801 939.61801 (79.53) (79.53) 99469 NEONATE CRIT CARE SUBSQ 363.97 407.10482 407.10482 (43.13) (43.13) 99471 PED CRITICAL CARE INITIAL 787.85 894.29857 894.29857 (106.45) (106.45) 99472 PED CRITICAL CARE SUBSQ 370.19 417.79437 417.79437 (47.60) (47.60) 99475 PED CRIT CARE AGE 2-5 INIT 531.45 590.96275 590.96275 (59.51) (59.51) 99476 PED CRIT CARE AGE 2-5 SUBSQ 321.4 355.69164 355.69164 (34.29) (34.29) 99477 Init day hosp neonate care 319.37 369.22668 369.22668 (49.86) (49.86) 99478 IC LBW INF < 1500 GM SUBSQ 126.79 145.13417 145.13417 (18.34) (18.34) 99479 IC LBW INF 1500-2500 G SUBSQ 114.94 127.58366 127.58366 (12.64) (12.64) 99480 IC INF PBW 2501-5000 G SUBSQ 110.69 122.48054 122.48054 (11.79) (11.79) 99490 Chron care mgmt srvc 20 min 39.47 43.672932 43.672932 (4.20) (4.20) 99495 TRANS CARE MGMT 14 DAY DISCH 152.32 169.31366 113.24918 (16.99) 39.07 99496 TRANS CARE MGMT 7 DAY DISCH 215.07 239.43587 164.18154 (24.37) 50.89 G0101 CA SCREEN;PELVIC/BREAST EXAM 35.99 39.772738 28.86086 (3.78) 7.13 G0102 PROSTATE CA SCREENING; DRE 16.42 20.390272 9.1021225 (3.97) 7.32 G0108 DIAB MANAGE TRN PER INDIV 30.89 54.107221 54.107221 (23.22) (23.22) G0109 DIAB MANAGE TRN IND/GROUP 17.82 14.614449 14.614449 3.21 3.21 G0166 EXTRNL COUNTERPULSE, PER TX 135.85 145.77931 145.77931 (9.93) (9.93) G0202 SCREENINGMAMMOGRAPHYDIGITAL 140.54 140.5781 140.5781 (0.04) (0.04) G0204 DIAGNOSTICMAMMOGRAPHYDIGITAL 147.8 171.50398 171.50398 (23.70) (23.70) G0206 DIAGNOSTICMAMMOGRAPHYDIGITAL 119.58 134.93403 134.93403 (15.35) (15.35) G0277 Hbot, full body chamber, 30m 42.64 49.618454 49.618454 (6.98) (6.98) G0279 Tomosynthesis, mammo screen 58.98 58.339292 58.339292 0.64 0.64 G0364 BONE MARROW ASPIRATE &BIOPSY 10.07 12.881308 9.1185911 (2.81) 0.95 G0365 VESSEL MAPPING HEMO ACCESS 177.04 210.92945 210.92945 (33.89) (33.89) G0372 MD SERVICE REQUIRED FOR PMD 8.82 9.1021225 9.1021225 (0.28) (0.28) G0389 Ultrasound exam AAA screen 90.99 121.259 121.259 (30.27) (30.27) G0412 OPEN TX ILIAC SPINE UNI/BIL 705.87 765.51557 765.51557 (59.65) (59.65) G0413 PELVIC RING FRACTURE UNI/BIL 1028 1123.4477 1123.4477 (95.45) (95.45) G0414 PELVIC RING FX TREAT INT FIX 972.03 1016.7763 1016.7763 (44.75) (44.75) G0415 OPEN TX POST PELVIC FXCTURE 1329.79 1441.2504 1441.2504 (111.46) (111.46) G0416 PROSTATE BIOPSY, ANY MTHD 651.73 676.56724 676.56724 (24.84) (24.84) G0438 ANNUAL WELLNESS FIRST 113.85 177.71837 177.71837 (63.87) (63.87) G0439 ANNUAL WELLNESS SUBSEQ 68.62 119.97195 119.97195 (51.35) (51.35) G0442 Annual alcohol screen 15 min 16.33 18.868717 9.8381972 (2.54) 6.49 G0443 Brief alcohol misuse counsel 23.44 26.652636 24.395006 (3.21) (0.96) G0444 Depression screen annual 16.33 18.868717 9.8381972 (2.54) 6.49 G0445 High inten beh couns STD 30m 23.44 27.05361 23.667165 (3.61) (0.23) G0446 Intens behave ther cardio dx 23.44 26.652636 24.395006 (3.21) (0.96) G0447 Behavior counsel obesity 15m 23.44 26.652636 24.395006 (3.21) (0.96) G0453 Cont intraop neuro monitor 28.55 33.881634 33.881634 (5.33) (5.33) G0454 MD document visit by NPP 9.61 9.4619256 9.4619256 0.15 0.15 G6001 Echo guidance radiotherapy 53.74 53.153832 53.153832 0.59 0.59 G6002 Stereoscopic x-ray guidance 78.81 77.949096 77.949096 0.86 0.86 G6003 Radiation treatment delivery 172.32 170.42636 170.42636 1.89 1.89 G6004 Radiation treatment delivery 133.13 131.67038 131.67038 1.46 1.46 G6005 Radiation treatment delivery 149.11 147.47379 147.47379 1.64 1.64 G6006 Radiation treatment delivery 148.35 146.72125 146.72125 1.63 1.63 G6007 Radiation treatment delivery 273.9 270.89089 270.89089 3.01 3.01 G6008 Radiation treatment delivery 184.49 182.46705 182.46705 2.02 2.02 G6009 Radiation treatment delivery 204.27 202.03318 202.03318 2.24 2.24 G6010 Radiation treatment delivery 204.27 202.03318 202.03318 2.24 2.24 G6011 Radiation treatment delivery 292.92 289.70448 289.70448 3.22 3.22 G6012 Radiation treatment delivery 242.32 239.66035 239.66035 2.66 2.66 G6013 Radiation treatment delivery 273.14 270.13835 270.13835 3.00 3.00 G6014 Radiation treatment delivery 272.76 269.76208 269.76208 3.00 3.00 G6015 Radiation tx delivery imrt 425.32 420.64702 420.64702 4.67 4.67 G6016 Delivery comp imrt 425.32 420.64702 420.64702 4.67 4.67 Q0091 OBTAINING SCREEN PAP SMEAR 19.74 47.078351 20.363063 (27.34) (0.62)

Footnotes: (1) Nevada Medicaid calculates rates for services billed by Physicians using the 2014 Medicare Physician Fee Schedule conversion factor and the RVU rate for the year the code was set in MMIS. All Physician Rates for the code groups listed below were rebased effective 7/1/2015. a. Surgical codes 10000 - 58999 and 60000 - 69999 will be reimbursed at 95% of the Medicare Facility b. Radiology codes 70000 - 79999 will be reimbursed at 100% of the Medicare Facility rate. c. Medicine codes 90000 - 99199 will be reimbursed at 85% of the Medicare Non-Facility Rate. d. Evaluation and Management codes 99201 - 99499 will be reimbursed at 90% of the Medicare Non- e. Obstetrical services codes 59000 - 59999 will be reimbursed at 95% of the Medicare Non-Facility rate. Division of Health Care Financing & Policy SB 278 Section 16 - Physician Rates Reporting DME Rate Comparison

2015 Medicaid Procedur Nevada Medicare vs. Procedure e Medicaid DME POS Medicare Code Description Modifier Rates Rates DME POS A4216 STERILE WATER/SALINE, 10 ML 0.45 $0.49 ($0.04) A4217 STERILE WATER/SALINE, 500 ML 2.66 $2.96 ($0.30) A4221 MAINT DRUG INFUS CATH PER WK 22.26 $24.71 ($2.45) A4222 INFUSION SUPPLIES WITH PUMP 44.17 $49.02 ($4.85) A4253 BLOOD GLUCOSE/REAGENT STRIPS NU 33.76 $10.41 $23.35 A4255 GLUCOSE MONITOR PLATFORMS 4.11 $4.57 ($0.46) A4256 CALIBRATOR SOLUTION/CHIPS 9.72 $4.00 $5.72 A4257 REPLACE LENSSHIELD CARTRIDGE 12.75 $14.16 ($1.41) A4258 LANCET DEVICE EACH 17.75 $2.52 $15.23 A4259 LANCETS PER BOX 12.74 $1.65 $11.09 A4265 PARAFFIN 3.39 $3.78 ($0.39) A4280 BRST PRSTHS ADHSV ATTCHMNT 4.84 $5.76 ($0.92) A4310 INSERT TRAY W/O BAG/CATH 7.72 $8.57 ($0.85) A4311 CATHETER W/O BAG 2-WAY LATEX 14.84 $16.46 ($1.62) A4312 CATH W/O BAG 2-WAY SILICONE 18.04 $20.02 ($1.98) A4313 CATHETER W/BAG 3-WAY 18.52 $20.56 ($2.04) A4314 CATH W/DRAINAGE 2-WAY LATEX 21.5 $23.85 ($2.35) A4315 CATH W/DRAINAGE 2-WAY SILCNE 26.39 $29.29 ($2.90) A4316 CATH W/DRAINAGE 3-WAY 28.4 $31.52 ($3.12) A4320 IRRIGATION TRAY 5.33 $5.92 ($0.59) A4322 IRRIGATION SYRINGE 3.04 $3.38 ($0.34) A4326 MALE EXTERNAL CATHETER 10.79 $11.98 ($1.19) A4327 FEM URINARY COLLECT DEV CUP 42.27 $46.91 ($4.64) A4328 FEM URINARY COLLECT POUCH 10.45 $11.59 ($1.14) A4330 STOOL COLLECTION POUCH 7.15 $7.94 ($0.79) A4331 EXTENSION DRAINAGE TUBING 3.18 $3.53 ($0.35) A4332 LUBE STERILE PACKET 0.12 $0.13 ($0.01) A4333 URINARY CATH ANCHOR DEVICE 2.2 $2.45 ($0.25) A4334 URINARY CATH LEG STRAP 4.93 $5.46 ($0.53) A4338 INDWELLING CATHETER LATEX 12.26 $13.61 ($1.35) A4340 INDWELLING CATHETER SPECIAL 26.99 $29.95 ($2.96) A4344 CATH INDW FOLEY 2 WAY SILICN 16.02 $17.77 ($1.75) A4346 CATH INDW FOLEY 3 WAY 19.25 $21.37 ($2.12) A4351 STRAIGHT TIP URINE CATHETER 1.81 $2.02 ($0.21) A4352 COUDE TIP URINARY CATHETER 6.42 $7.13 ($0.71) A4353 INTERMITTENT URINARY CATH 7 $7.77 ($0.77) A4354 CATH INSERTION TRAY W/BAG 11.8 $13.10 ($1.30) A4355 BLADDER IRRIGATION TUBING 7.86 $8.73 ($0.87) A4356 EXT URETH CLMP OR COMPR DVC 39.33 $43.67 ($4.34) A4357 BEDSIDE DRAINAGE BAG 9.7 $10.77 ($1.07) A4358 URINARY LEG OR ABDOMEN BAG 6.63 $7.36 ($0.73) A4361 OSTOMY FACE PLATE 18.37 $20.39 ($2.02) A4362 SOLID SKIN BARRIER 3.46 $3.85 ($0.39) A4363 OSTOMY CLAMP, REPLACEMENT 2.2 $2.45 ($0.25) A4364 ADHESIVE, LIQUID OR EQUAL 2.93 $3.26 ($0.33) A4366 OSTOMY VENT 1.3 $1.44 ($0.14) A4367 OSTOMY BELT 7.35 $8.16 ($0.81) A4368 OSTOMY FILTER 0.26 $0.28 ($0.02) A4369 SKIN BARRIER LIQUID PER OZ 2.06 $2.29 ($0.23) A4371 SKIN BARRIER POWDER PER OZ 3.6 $4.00 ($0.40) A4372 SKIN BARRIER SOLID 4X4 EQUIV 4.18 $4.66 ($0.48) A4373 SKIN BARRIER WITH FLANGE 6.28 $6.96 ($0.68) A4375 DRAINABLE PLASTIC PCH W FCPL 17.18 $19.07 ($1.89) A4376 DRAINABLE RUBBER PCH W FCPLT 47.58 $52.82 ($5.24) A4377 DRAINABLE PLSTIC PCH W/O FP 4.29 $4.77 ($0.48) A4378 DRAINABLE RUBBER PCH W/O FP 30.75 $34.12 ($3.37) A4379 URINARY PLASTIC POUCH W FCPL 15.02 $16.67 ($1.65) A4380 URINARY RUBBER POUCH W FCPLT 37.33 $41.43 ($4.10) A4381 URINARY PLASTIC POUCH W/O FP 4.61 $5.13 ($0.52) A4382 URINARY HVY PLSTC PCH W/O FP 24.62 $27.32 ($2.70) A4383 URINARY RUBBER POUCH W/O FP 28.19 $31.29 ($3.10) A4384 OSTOMY FACEPLT/SILICONE RING 9.62 $10.67 ($1.05) A4385 OST SKN BARRIER SLD EXT WEAR 5.1 $5.66 ($0.56) A4388 DRAINABLE PCH W EX WEAR BARR 4.36 $4.85 ($0.49) A4389 DRAINABLE PCH W ST WEAR BARR 6.22 $6.90 ($0.68) A4390 DRAINABLE PCH EX WEAR CONVEX 9.61 $10.66 ($1.05) A4391 URINARY POUCH W EX WEAR BARR 7.07 $7.85 ($0.78) A4392 URINARY POUCH W ST WEAR BARR 8.18 $9.08 ($0.90) A4393 URINE PCH W EX WEAR BAR CONV 9.04 $10.04 ($1.00) A4394 OSTOMY POUCH LIQ DEODORANT 2.58 $2.87 ($0.29) A4395 OSTOMY POUCH SOLID DEODORANT 0.05 $0.05 $0.00 A4396 PERISTOMAL HERNIA SUPPRT BLT 40.48 $44.93 ($4.45) A4397 IRRIGATION SUPPLY SLEEVE 4.07 $4.51 ($0.44) A4398 OSTOMY IRRIGATION BAG 13.81 $15.34 ($1.53) A4399 OSTOMY IRRIG CONE/CATH W BRS 12.26 $13.61 ($1.35) A4400 OSTOMY IRRIGATION SET 48.87 $54.24 ($5.37) A4402 LUBRICANT PER OUNCE 1.6 $1.78 ($0.18) A4404 OSTOMY RING EACH 1.63 $1.81 ($0.18) A4405 NONPECTIN BASED OSTOMY PASTE 3.4 $3.79 ($0.39) A4406 PECTIN BASED OSTOMY PASTE 5.74 $6.36 ($0.62) A4407 EXT WEAR OST SKN BARR <=4SQ 8.76 $9.72 ($0.96) A4408 EXT WEAR OST SKN BARR >4SQ 9.87 $10.95 ($1.08) A4409 OST SKN BARR CONVEX <=4 SQ I 6.22 $6.90 ($0.68) A4410 OST SKN BARR EXTND >4 SQ 9.04 $10.04 ($1.00) A4411 OST SKN BARR EXTND =4SQ 5.1 $5.66 ($0.56) A4412 OST POUCH DRAIN HIGH OUTPUT 2.7 $3.00 ($0.30) A4413 2 PC DRAINABLE OST POUCH 5.5 $6.11 ($0.61) A4414 OST SKNBAR W/O CONV<=4 SQ IN 4.93 $5.46 ($0.53) A4415 OST SKN BARR W/O CONV >4 SQI 6 $6.65 ($0.65) A4416 OST PCH CLSD W BARRIER/FILTR 2.75 $3.06 ($0.31) A4417 OST PCH W BAR/BLTINCONV/FLTR 3.72 $4.13 ($0.41) A4418 OST PCH CLSD W/O BAR W FILTR 1.81 $2.02 ($0.21) A4419 OST PCH FOR BAR W FLANGE/FLT 1.74 $1.93 ($0.19) A4422 OST POUCH ABSORBENT MATERIAL 0.12 $0.13 ($0.01) A4423 OST PCH FOR BAR W LK FL/FLTR 1.86 $2.07 ($0.21) A4424 OST PCH DRAIN W BAR & FILTER 4.75 $5.28 ($0.53) A4425 OST PCH DRAIN FOR BARRIER FL 3.58 $3.98 ($0.40) A4426 OST PCH DRAIN 2 PIECE SYSTEM 2.73 $3.03 ($0.30) A4427 OST PCH DRAIN/BARR LK FLNG/F 2.78 $3.09 ($0.31) A4428 URINE OST POUCH W FAUCET/TAP 6.51 $7.23 ($0.72) A4429 URINE OST POUCH W BLTINCONV 8.25 $9.16 ($0.91) A4430 OST URINE PCH W B/BLTIN CONV 8.52 $9.45 ($0.93) A4431 OST PCH URINE W BARRIER/TAPV 6.22 $6.90 ($0.68) A4432 OS PCH URINE W BAR/FANGE/TAP 3.59 $3.99 ($0.40) A4433 URINE OST PCH BAR W LOCK FLN 3.34 $3.71 ($0.37) A4434 OST PCH URINE W LOCK FLNG/FT 3.76 $4.17 ($0.41) A4455 ADHESIVE REMOVER PER OUNCE 1.22 $1.35 ($0.13) A4481 TRACHEOSTOMA FILTER 0.38 $0.42 ($0.04) A4556 ELECTRODES, PAIR 12.14 $13.48 ($1.34) A4557 LEAD WIRES, PAIR 17.94 $19.92 ($1.98) A4558 CONDUCTIVE GEL OR PASTE 5.45 $6.05 ($0.60) A4561 PESSARY RUBBER, ANY TYPE 18.63 $22.15 ($3.52) A4562 PESSARY, NON RUBBER,ANY TYPE 46.38 $55.14 ($8.76) A4565 SLINGS 6.32 $8.54 ($2.22) A4595 TENS SUPPL 2 LEAD PER MONTH 28.35 $31.47 ($3.12) A4604 TUBING WITH HEATING ELEMENT NU 66.81 $63.90 $2.91 A4608 TRANSTRACHEAL OXYGEN CATH 58.15 $55.63 $2.52 A4614 HAND-HELD PEFR METER 23.78 $26.40 ($2.62) A4617 MOUTH PIECE 3.25 $3.44 ($0.19) A4620 VARIABLE CONCENTRATION MASK 2.37 $0.66 $1.71 A4623 TRACHEOSTOMY INNER CANNULA 5.57 $6.18 ($0.61) A4624 TRACHEAL SUCTION TUBE NU 2.63 $2.92 ($0.29) A4625 TRACH CARE KIT FOR NEW TRACH 6.58 $7.31 ($0.73) A4626 TRACHEOSTOMY CLEANING BRUSH 2.78 $3.09 ($0.31) A4628 OROPHARYNGEAL SUCTION CATH NU 3.65 $4.05 ($0.40) A4629 TRACHEOSTOMY CARE KIT 4.61 $5.13 ($0.52) A4630 REPL BAT T.E.N.S. OWN BY PT NU 6.19 $6.87 ($0.68) A4633 UVL REPLACEMENT BULB NU 41.04 $45.54 ($4.50) A4640 ALTERNATING PRESSURE PAD NU 53.82 $59.74 ($5.92) A4640 ALTERNATING PRESSURE PAD RR 6.45 $7.16 ($0.71) A4640 ALTERNATING PRESSURE PAD UE 38.13 $42.33 ($4.20) A5051 POUCH CLSD W BARR ATTACHED 2.07 $2.29 ($0.22) A5052 CLSD OSTOMY POUCH W/O BARR 1.49 $1.65 ($0.16) A5053 CLSD OSTOMY POUCH FACEPLATE 1.48 $1.64 ($0.16) A5054 CLSD OSTOMY POUCH W/FLANGE 1.79 $2.00 ($0.21) A5055 STOMA CAP 1.44 $1.60 ($0.16) A5061 POUCH DRAINABLE W BARRIER AT 3.52 $3.92 ($0.40) A5062 DRNBLE OSTOMY POUCH W/O BARR 2.09 $2.31 ($0.22) A5063 DRAIN OSTOMY POUCH W/FLANGE 2.17 $3.00 ($0.83) A5071 URINARY POUCH W/BARRIER 6.01 $6.67 ($0.66) A5072 URINARY POUCH W/O BARRIER 3.43 $3.82 ($0.39) A5073 URINARY POUCH ON BARR W/FLNG 3.18 $3.53 ($0.35) A5081 STOMA PLUG OR SEAL, ANY TYPE 2.81 $3.12 ($0.31) A5082 CONTINENT STOMA CATHETER 10.11 $11.22 ($1.11) A5093 OSTOMY ACCESSORY CONVEX INSE 1.95 $2.17 ($0.22) A5102 BEDSIDE DRAIN BTL W/WO TUBE 20.69 $22.96 ($2.27) A5105 URINARY SUSPENSORY 40.76 $45.25 ($4.49) A5112 URINARY LEG BAG 34.62 $38.42 ($3.80) A5113 LATEX LEG STRAP 4.7 $5.23 ($0.53) A5114 FOAM/FABRIC LEG STRAP 8.94 $9.94 ($1.00) A5120 SKIN BARRIER, WIPE OR SWAB AU 0.2 $0.24 ($0.04) A5120 SKIN BARRIER, WIPE OR SWAB AV 0.2 $0.26 ($0.06) A5121 SOLID SKIN BARRIER 6X6 6.72 $7.46 ($0.74) A5122 SOLID SKIN BARRIER 8X8 12.85 $14.26 ($1.41) A5126 DISK/FOAM PAD +OR- ADHESIVE 1.32 $1.46 ($0.14) A5131 APPLIANCE CLEANER 13.76 $15.29 ($1.53) A5200 PERCUTANEOUS CATHETER ANCHOR 11.29 $12.53 ($1.24) A5500 DIAB SHOE FOR DENSITY INSERT 59.36 $70.57 ($11.21) A5501 DIABETIC CUSTOM MOLDED SHOE 178.04 $211.68 ($33.64) A5503 DIABETIC SHOE W/ROLLER/ROCKR 26.4 $34.57 ($8.17) A5504 DIABETIC SHOE WITH WEDGE 26.4 $34.57 ($8.17) A5505 DIAB SHOE W/METATARSAL BAR 26.4 $34.57 ($8.17) A5506 DIABETIC SHOE W/OFF SET HEEL 26.4 $34.57 ($8.17) A5507 MODIFICATION DIABETIC SHOE 26.4 $34.57 ($8.17) A5512 MULTI DEN INSERT DIRECT FORM 24.22 $28.79 ($4.57) A5513 MULTI DEN INSERT CUSTOM MOLD 36.14 $42.96 ($6.82) A6010 COLLAGEN BASED WOUND FILLER 30.96 $34.38 ($3.42) A6011 COLLAGEN GEL/PASTE WOUND FIL 2.28 $2.53 ($0.25) A6021 COLLAGEN DRESSING <=16 SQ IN 21.02 $23.33 ($2.31) A6022 COLLAGEN DRSG>16<=48 SQ IN 21.02 $23.33 ($2.31) A6023 COLLAGEN DRESSING >48 SQ IN 190.3 $211.23 ($20.93) A6024 COLLAGEN DSG WOUND FILLER 6.19 $6.87 ($0.68) A6154 WOUND POUCH EACH 14.36 $15.94 ($1.58) A6196 ALGINATE DRESSING <=16 SQ IN 7.35 $8.16 ($0.81) A6197 ALGINATE DRSG >16 <=48 SQ IN 16.44 $18.24 ($1.80) A6199 ALGINATE DRSG WOUND FILLER 5.29 $5.87 ($0.58) A6203 COMPOSITE DRSG <= 16 SQ IN 3.35 $3.73 ($0.38) A6204 COMPOSITE DRSG >16<=48 SQ IN 6.23 $6.91 ($0.68) A6207 CONTACT LAYER >16<= 48 SQ IN 7.34 $8.14 ($0.80) A6209 FOAM DRSG <=16 SQ IN W/O BDR 7.48 $8.29 ($0.81) A6210 FOAM DRG >16<=48 SQ IN W/O B 19.92 $22.12 ($2.20) A6211 FOAM DRG > 48 SQ IN W/O BRDR 29.37 $32.60 ($3.23) A6212 FOAM DRG <=16 SQ IN W/BORDER 9.7 $10.77 ($1.07) A6214 FOAM DRG > 48 SQ IN W/BORDER 10.29 $11.42 ($1.13) A6216 NON-STERILE GAUZE<=16 SQ IN 0.05 $0.05 $0.00 A6219 GAUZE <= 16 SQ IN W/BORDER 0.95 $1.06 ($0.11) A6220 GAUZE >16 <=48 SQ IN W/BORDR 2.58 $2.87 ($0.29) A6222 GAUZE <=16 IN NO W/SAL W/O B 2.13 $2.36 ($0.23) A6223 GAUZE >16<=48 NO W/SAL W/O B 2.42 $2.69 ($0.27) A6224 GAUZE > 48 IN NO W/SAL W/O B 3.61 $4.01 ($0.40) A6229 GAUZE >16<=48 SQ IN WATR/SAL 3.61 $4.01 ($0.40) A6231 HYDROGEL DSG<=16 SQ IN 4.68 $5.20 ($0.52) A6232 HYDROGEL DSG>16<=48 SQ IN 6.88 $7.62 ($0.74) A6233 HYDROGEL DRESSING >48 SQ IN 19.19 $21.29 ($2.10) A6234 HYDROCOLLD DRG <=16 W/O BDR 6.54 $7.26 ($0.72) A6235 HYDROCOLLD DRG >16<=48 W/O B 16.82 $18.66 ($1.84) A6236 HYDROCOLLD DRG > 48 IN W/O B 27.25 $30.25 ($3.00) A6237 HYDROCOLLD DRG <=16 IN W/BDR 7.91 $8.79 ($0.88) A6238 HYDROCOLLD DRG >16<=48 W/BDR 22.79 $25.30 ($2.51) A6240 HYDROCOLLD DRG FILLER PASTE 12.24 $13.59 ($1.35) A6241 HYDROCOLLOID DRG FILLER DRY 2.57 $2.85 ($0.28) A6242 HYDROGEL DRG <=16 IN W/O BDR 6.07 $6.73 ($0.66) A6243 HYDROGEL DRG >16<=48 W/O BDR 12.31 $13.67 ($1.36) A6244 HYDROGEL DRG >48 IN W/O BDR 39.28 $43.60 ($4.32) A6245 HYDROGEL DRG <= 16 IN W/BDR 7.27 $8.06 ($0.79) A6246 HYDROGEL DRG >16<=48 IN W/B 9.92 $11.02 ($1.10) A6247 HYDROGEL DRG > 48 SQ IN W/B 23.78 $26.40 ($2.62) A6248 HYDROGEL DRSG GEL FILLER 16.24 $18.03 ($1.79) A6251 ABSORPT DRG <=16 SQ IN W/O B 1.99 $2.21 ($0.22) A6252 ABSORPT DRG >16 <=48 W/O BDR 3.25 $3.61 ($0.36) A6253 ABSORPT DRG > 48 SQ IN W/O B 6.34 $7.03 ($0.69) A6254 ABSORPT DRG <=16 SQ IN W/BDR 1.21 $1.34 ($0.13) A6255 ABSORPT DRG >16<=48 IN W/BDR 3.03 $3.37 ($0.34) A6257 TRANSPARENT FILM <= 16 SQ IN 1.53 $1.71 ($0.18) A6258 TRANSPARENT FILM >16<=48 IN 4.3 $4.79 ($0.49) A6259 TRANSPARENT FILM > 48 SQ IN 10.94 $12.15 ($1.21) A6266 IMPREG GAUZE NO H20/SAL/YARD 1.92 $2.14 ($0.22) A6402 STERILE GAUZE <= 16 SQ IN 0.12 $0.13 ($0.01) A6403 STERILE GAUZE>16 <= 48 SQ IN 0.43 $0.47 ($0.04) A6407 PACKING STRIPS, NON-IMPREG 1.88 $2.09 ($0.21) A6410 STERILE EYE PAD 0.39 $0.43 ($0.04) A6441 PAD BAND W>=3 <5/YD 0.67 $0.75 ($0.08) A6442 CONFORM BAND N/S W<3/YD 0.17 $0.18 ($0.01) A6443 CONFORM BAND N/S W>=3<5/YD 0.29 $0.31 ($0.02) A6444 CONFORM BAND N/S W>=5/YD 0.56 $0.62 ($0.06) A6445 CONFORM BAND S W <3/YD 0.32 $0.36 ($0.04) A6446 CONFORM BAND S W>=3 <5/YD 0.41 $0.45 ($0.04) A6447 CONFORM BAND S W >=5/YD 0.67 $0.75 ($0.08) A6448 LT COMPRES BAND <3/YD 1.16 $1.29 ($0.13) A6449 LT COMPRES BAND >=3 <5/YD 1.75 $1.95 ($0.20) A6452 HIGH COMPRES BAND W>=3<5YD 5.91 $6.56 ($0.65) A6453 SELF-ADHER BAND W <3/YD 0.61 $0.69 ($0.08) A6454 SELF-ADHER BAND W>=3 <5/YD 0.77 $0.86 ($0.09) A6455 SELF-ADHER BAND >=5/YD 1.39 $1.55 ($0.16) A6456 ZINC PASTE BAND W >=3>  1.28 $1.41 ($0.13) A6457 TUBULAR DRESSING 1.14 $1.27 ($0.13) A6550 NEG PRES WOUND THER DRSG SET 27.42 $26.25 $1.17 A7000 DISPOSABLE CANISTER FOR PUMP NU 9.54 $9.12 $0.42 A7001 NONDISPOSABLE PUMP CANISTER NU 33.08 $36.71 ($3.63) A7002 TUBING USED W SUCTION PUMP NU 3.83 $4.25 ($0.42) A7003 NEBULIZER ADMINISTRATION SET NU 2.74 $3.05 ($0.31) A7004 DISPOSABLE NEBULIZER SML VOL NU 1.8 $2.01 ($0.21) A7005 NONDISPOSABLE NEBULIZER SET NU 30.83 $34.22 ($3.39) A7006 FILTERED NEBULIZER ADMIN SET NU 9.54 $10.59 ($1.05) A7007 LG VOL NEBULIZER DISPOSABLE NU 4.61 $5.13 ($0.52) A7008 DISPOSABLE NEBULIZER PREFILL NU 11 $12.21 ($1.21) A7009 NEBULIZER RESERVOIR BOTTLE NU 42.04 $46.67 ($4.63) A7010 DISPOSABLE CORRUGATED TUBING NU 23.59 $26.19 ($2.60) A7012 NEBULIZER WATER COLLEC DEVIC NU 3.78 $4.20 ($0.42) A7013 DISPOSABLE COMPRESSOR FILTER NU 0.83 $0.92 ($0.09) A7014 COMPRESSOR NONDISPOS FILTER NU 4.49 $4.98 ($0.49) A7015 AEROSOL MASK USED W NEBULIZE NU 1.88 $2.09 ($0.21) A7016 NEBULIZER DOME & MOUTHPIECE NU 7.25 $8.04 ($0.79) A7017 NEBULIZER NOT USED W OXYGEN NU 134.04 $148.77 ($14.73) A7017 NEBULIZER NOT USED W OXYGEN RR 13.4 $14.89 ($1.49) A7017 NEBULIZER NOT USED W OXYGEN UE 100.52 $111.57 ($11.05) A7018 WATER DISTILLED W/NEBULIZER 0.38 $0.42 ($0.04) A7026 REPLACE CHST CMPRSS SYS HOSE NU 28.75 $31.91 ($3.16) A7030 CPAP FULL FACE MASK NU 188.64 $180.47 $8.17 A7031 REPLACEMENT FACEMASK INTERFA NU 69.77 $66.75 $3.02 A7032 REPLACEMENT NASAL CUSHION NU 40.53 $38.77 $1.76 A7033 REPLACEMENT NASAL PILLOWS NU 28.41 $27.18 $1.23 A7034 NASAL APPLICATION DEVICE NU 117.64 $112.53 $5.11 A7035 POS AIRWAY PRESS HEADGEAR NU 39.75 $38.01 $1.74 A7036 POS AIRWAY PRESS CHINSTRAP NU 18.2 $17.40 $0.80 A7037 POS AIRWAY PRESSURE TUBING NU 41.02 $39.23 $1.79 A7038 POS AIRWAY PRESSURE FILTER NU 5.39 $5.17 $0.22 A7039 FILTER, NON DISPOSABLE W PAP NU 15.33 $14.66 $0.67 A7044 PAP ORAL INTERFACE NU 120.91 $115.67 $5.24 A7501 TRACHEOSTOMA VALVE W DIAPHRA 105.03 $116.57 ($11.54) A7502 REPLACEMENT DIAPHRAGM/FPLATE 49.91 $55.41 ($5.50) A7503 HMES FILTER HOLDER OR CAP 11.33 $12.59 ($1.26) A7504 TRACHEOSTOMA HMES FILTER 0.67 $0.75 ($0.08) A7505 HMES OR TRACH VALVE HOUSING 4.68 $5.20 ($0.52) A7506 HMES/TRACHVALVE ADHESIVEDISK 0.33 $0.37 ($0.04) A7507 INTEGRATED FILTER & HOLDER 2.49 $2.76 ($0.27) A7508 HOUSING & INTEGRATED ADHESIV 2.87 $3.18 ($0.31) A7509 HEAT & MOISTURE EXCHANGE SYS 1.41 $1.57 ($0.16) A7520 TRACH/LARYN TUBE NON-CUFFED 47.48 $52.70 ($5.22) A7521 TRACH/LARYN TUBE CUFFED 47.05 $52.21 ($5.16) A7522 TRACH/LARYN TUBE STAINLESS 45.16 $50.13 ($4.97) A7524 TRACHEOSTOMA STENT/STUD/BTTN 77.4 $85.92 ($8.52) A7525 TRACHEOSTOMY MASK 2.07 $2.29 ($0.22) A7526 TRACHEOSTOMY TUBE COLLAR 3.37 $3.75 ($0.38) E0110 CRUTCH FOREARM PAIR NU 65.95 $73.20 ($7.25) E0110 CRUTCH FOREARM PAIR RR 15.99 $17.74 ($1.75) E0110 CRUTCH FOREARM PAIR UE 49.45 $54.88 ($5.43) E0111 CRUTCH FOREARM EACH NU 45.27 $50.24 ($4.97) E0111 CRUTCH FOREARM EACH RR 8.43 $9.35 ($0.92) E0111 CRUTCH FOREARM EACH UE 34.94 $38.78 ($3.84) E0112 CRUTCH UNDERARM PAIR WOOD NU 33.11 $36.75 ($3.64) E0112 CRUTCH UNDERARM PAIR WOOD RR 9.93 $11.03 ($1.10) E0112 CRUTCH UNDERARM PAIR WOOD UE 24.85 $27.58 ($2.73) E0113 CRUTCH UNDERARM EACH WOOD NU 17.96 $19.94 ($1.98) E0113 CRUTCH UNDERARM EACH WOOD RR 5.15 $5.71 ($0.56) E0113 CRUTCH UNDERARM EACH WOOD UE 13.48 $14.96 ($1.48) E0114 CRUTCH UNDERARM PAIR NO WOOD NU 40.11 $44.52 ($4.41) E0114 CRUTCH UNDERARM PAIR NO WOOD RR 8.57 $9.51 ($0.94) E0114 CRUTCH UNDERARM PAIR NO WOOD UE 30.32 $33.66 ($3.34) E0116 CRUTCH UNDERARM EACH NO WOOD NU 23.58 $26.18 ($2.60) E0116 CRUTCH UNDERARM EACH NO WOOD RR 5.4 $6.00 ($0.60) E0116 CRUTCH UNDERARM EACH NO WOOD UE 17.75 $19.70 ($1.95) E0117 UNDERARM SPRINGASSIST CRUTCH RR 19.26 $21.38 ($2.12) E0140 WALKER W TRUNK SUPPORT NU 360.71 $345.08 $15.63 E0140 WALKER W TRUNK SUPPORT RR 36.08 $34.52 $1.56 E0140 WALKER W TRUNK SUPPORT UE 270.54 $258.81 $11.73 E0300 ENCLOSED PED CRIB HOSP GRADE RR 283.86 $271.55 $12.31 E0301 HD HOSP BED, 350-600 LBS RR 256.3 $245.19 $11.11 E0302 EX HD HOSP BED > 600 LBS RR 715.44 $684.43 $31.01 E0303 HOSP BED HVY DTY XTRA WIDE RR 289.52 $276.97 $12.55 E0304 HOSP BED XTRA HVY DTY X WIDE RR 770.67 $737.28 $33.39 E0470 RAD W/O BACKUP NON-INV INTFC RR 218.11 $208.66 $9.45 E0471 RAD W/BACKUP NON INV INTRFC RR 642.17 $614.34 $27.83 E0472 RAD W BACKUP INVASIVE INTRFC RR 642.17 $614.34 $27.83 E0561 HUMIDIFIER NONHEATED W PAP NU 107 $102.36 $4.64 E0561 HUMIDIFIER NONHEATED W PAP RR 10.69 $10.22 $0.47 E0561 HUMIDIFIER NONHEATED W PAP UE 80.24 $76.76 $3.48 E0562 HUMIDIFIER HEATED USED W PAP NU 301.22 $288.17 $13.05 E0562 HUMIDIFIER HEATED USED W PAP RR 30.11 $28.80 $1.31 E0562 HUMIDIFIER HEATED USED W PAP UE 225.91 $216.12 $9.79 E0675 PNEUMATIC COMPRESSION DEVICE RR 321.99 $426.83 ($104.84) E0955 CUSHIONED HEADREST NU 202.18 $193.43 $8.75 E0955 CUSHIONED HEADREST RR 20.23 $19.36 $0.87 E0955 CUSHIONED HEADREST UE 151.63 $145.06 $6.57 E0956 W/C LATERAL TRUNK/HIP SUPPOR NU 98.58 $94.30 $4.28 E0956 W/C LATERAL TRUNK/HIP SUPPOR RR 9.87 $9.43 $0.44 E0956 W/C LATERAL TRUNK/HIP SUPPOR UE 73.93 $70.73 $3.20 E0957 W/C MEDIAL THIGH SUPPORT NU 137.93 $131.96 $5.97 E0957 W/C MEDIAL THIGH SUPPORT RR 13.79 $13.20 $0.59 E0957 W/C MEDIAL THIGH SUPPORT UE 103.45 $98.97 $4.48 E0960 W/C SHOULDER HARNESS/STRAPS NU 90.98 $87.04 $3.94 E0960 W/C SHOULDER HARNESS/STRAPS RR 9.1 $8.72 $0.38 E0960 W/C SHOULDER HARNESS/STRAPS UE 68.24 $65.29 $2.95 E0981 SEAT UPHOLSTERY, REPLACEMENT NU 45.51 $43.54 $1.97 E0981 SEAT UPHOLSTERY, REPLACEMENT RR 4.8 $4.59 $0.21 E0981 SEAT UPHOLSTERY, REPLACEMENT UE 34.12 $32.64 $1.48 E0982 BACK UPHOLSTERY, REPLACEMENT NU 43.8 $41.90 $1.90 E0982 BACK UPHOLSTERY, REPLACEMENT RR 5.15 $4.93 $0.22 E0982 BACK UPHOLSTERY, REPLACEMENT UE 32.84 $31.43 $1.41 E0983 ADD PWR JOYSTICK RR 238.05 $264.22 ($26.17) E0984 ADD PWR TILLER RR 177.59 $209.78 ($32.19) E0985 W/C SEAT LIFT MECHANISM NU 202.85 $225.16 ($22.31) E0985 W/C SEAT LIFT MECHANISM RR 20.3 $22.53 ($2.23) E0985 W/C SEAT LIFT MECHANISM UE 152.12 $168.86 ($16.74) E0986 MAN W/C PUSH-RIM POWR SYSTEM RR 486.43 $539.92 ($53.49) E1002 PWR SEAT TILT RR 411.33 $387.74 $23.59 E1003 PWR SEAT RECLINE RR 439.14 $420.11 $19.03 E1004 PWR SEAT RECLINE MECH RR 486.9 $465.79 $21.11 E1005 PWR SEAT RECLINE PWR RR 527.03 $504.19 $22.84 E1006 PWR SEAT COMBO W/O SHEAR RR 645.55 $617.58 $27.97 E1007 PWR SEAT COMBO W/SHEAR RR 874.13 $836.26 $37.87 E1008 PWR SEAT COMBO PWR SHEAR RR 874.2 $836.32 $37.88 E1010 ADD PWR LEG ELEVATION RR 115.13 $109.43 $5.70 E1028 W/C MANUAL SWINGAWAY NU 206.54 $197.59 $8.95 E1028 W/C MANUAL SWINGAWAY RR 20.65 $19.75 $0.90 E1028 W/C MANUAL SWINGAWAY UE 154.89 $148.19 $6.70 E1029 W/C VENT TRAY FIXED RR 36.95 $35.34 $1.61 E1391 OXYGEN CONCENTRATOR, DUAL RR 173.17 $180.92 ($7.75) E2201 MAN W/CH ACC SEAT W>=20<24 NU 373.1 $414.13 ($41.03) E2201 MAN W/CH ACC SEAT W>=20<24 RR 37.31 $41.41 ($4.10) E2201 MAN W/CH ACC SEAT W>=20<24 UE 279.83 $310.59 ($30.76) E2202 SEAT WIDTH 24-27 IN NU 473.98 $526.08 ($52.10) E2202 SEAT WIDTH 24-27 IN RR 47.4 $52.61 ($5.21) E2202 SEAT WIDTH 24-27 IN UE 355.5 $394.59 ($39.09) E2203 FRAME DEPTH LESS THAN 22 IN NU 479.05 $531.73 ($52.68) E2203 FRAME DEPTH LESS THAN 22 IN RR 47.89 $53.16 ($5.27) E2203 FRAME DEPTH LESS THAN 22 IN UE 359.28 $398.77 ($39.49) E2204 FRAME DEPTH 22 TO 25 IN NU 813.4 $902.84 ($89.44) E2204 FRAME DEPTH 22 TO 25 IN RR 81.35 $90.29 ($8.94) E2204 FRAME DEPTH 22 TO 25 IN UE 610.05 $677.13 ($67.08) E2310 ELECTRO CONNECT BTW CONTROL RR 117.02 $111.94 $5.08 E2311 ELECTRO CONNECT BTW 2 SYS RR 236.93 $226.66 $10.27 E2321 HAND INTERFACE JOYSTICK RR 153.28 $152.04 $1.24 E2322 MULT MECH SWITCHES RR 141.03 $134.91 $6.12 E2323 SPECIAL JOYSTICK HANDLE NU 64.64 $66.17 ($1.53) E2323 SPECIAL JOYSTICK HANDLE RR 6.47 $6.61 ($0.14) E2323 SPECIAL JOYSTICK HANDLE UE 48.48 $49.61 ($1.13) E2324 CHIN CUP INTERFACE NU 44.49 $41.92 $2.57 E2324 CHIN CUP INTERFACE RR 4.45 $4.17 $0.28 E2324 CHIN CUP INTERFACE UE 33.37 $31.44 $1.93 E2325 SIP AND PUFF INTERFACE RR 134.7 $128.86 $5.84 E2326 BREATH TUBE KIT RR 31.96 $33.22 ($1.26) E2327 HEAD CONTROL INTERFACE MECH RR 230.62 $249.91 ($19.29) E2328 HEAD/EXTREMITY CONTROL INTER RR 387.74 $474.05 ($86.31) E2329 HEAD CONTROL NONPROPORTIONAL RR 173.04 $168.96 $4.08 E2330 HEAD CONTROL PROXIMITY SWITC RR 333.32 $327.37 $5.95 E2340 W/C WDTH 20-23 IN SEAT FRAME NU 314.22 $397.76 ($83.54) E2340 W/C WDTH 20-23 IN SEAT FRAME RR 31.42 $39.79 ($8.37) E2340 W/C WDTH 20-23 IN SEAT FRAME UE 235.67 $298.35 ($62.68) E2341 W/C WDTH 24-27 IN SEAT FRAME NU 462.97 $596.69 ($133.72) E2341 W/C WDTH 24-27 IN SEAT FRAME RR 46.3 $59.66 ($13.36) E2341 W/C WDTH 24-27 IN SEAT FRAME UE 347.23 $447.52 ($100.29) E2342 W/C DPTH 20-21 IN SEAT FRAME NU 448.03 $497.24 ($49.21) E2342 W/C DPTH 20-21 IN SEAT FRAME RR 44.8 $49.72 ($4.92) E2342 W/C DPTH 20-21 IN SEAT FRAME UE 336.03 $372.94 ($36.91) E2343 W/C DPTH 22-25 IN SEAT FRAME NU 259.27 $795.59 ($536.32) E2343 W/C DPTH 22-25 IN SEAT FRAME RR 25.93 $79.55 ($53.62) E2343 W/C DPTH 22-25 IN SEAT FRAME UE 194.44 $596.69 ($402.25) E2351 ELECTRONIC SGD INTERFACE RR 69.88 $66.86 $3.02 E2360 22NF NONSEALED LEADACID NU 112.34 $124.70 ($12.36) E2360 22NF NONSEALED LEADACID RR 11.29 $12.53 ($1.24) E2360 22NF NONSEALED LEADACID UE 84.26 $93.51 ($9.25) E2361 22NF SEALED LEADACID BATTERY NU 137.15 $131.22 $5.93 E2361 22NF SEALED LEADACID BATTERY RR 13.72 $13.13 $0.59 E2361 22NF SEALED LEADACID BATTERY UE 102.86 $98.40 $4.46 E2362 GR24 NONSEALED LEADACID NU 90.44 $100.39 ($9.95) E2362 GR24 NONSEALED LEADACID RR 9.04 $10.04 ($1.00) E2362 GR24 NONSEALED LEADACID UE 67.82 $75.27 ($7.45) E2363 GR24 SEALED LEADACID BATTERY NU 182.89 $174.97 $7.92 E2363 GR24 SEALED LEADACID BATTERY RR 18.3 $17.51 $0.79 E2363 GR24 SEALED LEADACID BATTERY UE 137.17 $131.24 $5.93 E2364 U1NONSEALED LEADACID BATTERY NU 112.34 $124.70 ($12.36) E2364 U1NONSEALED LEADACID BATTERY RR 11.29 $12.53 ($1.24) E2364 U1NONSEALED LEADACID BATTERY UE 84.26 $93.51 ($9.25) E2365 U1 SEALED LEADACID BATTERY NU 110.31 $105.53 $4.78 E2365 U1 SEALED LEADACID BATTERY RR 11.03 $10.55 $0.48 E2365 U1 SEALED LEADACID BATTERY UE 82.75 $79.17 $3.58 E2366 BATTERY CHARGER, SINGLE MODE NU 224.08 $214.37 $9.71 E2366 BATTERY CHARGER, SINGLE MODE RR 22.47 $21.50 $0.97 E2366 BATTERY CHARGER, SINGLE MODE UE 168.06 $160.79 $7.27 E2367 BATTERY CHARGER, DUAL MODE NU 419.08 $400.91 $18.17 E2367 BATTERY CHARGER, DUAL MODE RR 41.91 $40.09 $1.82 E2367 BATTERY CHARGER, DUAL MODE UE 314.31 $300.69 $13.62 E2402 NEG PRESS WOUND THERAPY PUMP RR 1553.4 $1,642.09 ($88.69) K0601 REPL BATT SILVER OXIDE 1.5 V NU 1.1 $1.23 ($0.13) K0602 REPL BATT SILVER OXIDE 3 V NU 6.36 $7.05 ($0.69) K0603 REPL BATT ALKALINE 1.5 V NU 0.57 $0.63 ($0.06) K0604 REPL BATT LITHIUM 3.6 V NU 6.09 $6.75 ($0.66) K0605 REPL BATT LITHIUM 4.5 V NU 14.6 $16.21 ($1.61) K0730 CTRL DOSE INH DRUG DELIV SYS RR 172.4 $191.36 ($18.96) L0112 CRANIAL CERVICAL ORTHOSIS 1099.77 $1,307.54 ($207.77) L0113 CRANIAL CERVICAL TORTICOLLIS 0 $266.41 ($266.41) L0120 CERV FLEX N/ADJ FOAM PRE OTS 26.63 $31.67 ($5.04) L0130 FLEX THERMOPLASTIC COLLAR MO 133.02 $158.15 ($25.13) L0140 CERVICAL SEMI-RIGID ADJUSTAB 48.19 $57.29 ($9.10) L0150 CERV SEMI-RIG ADJ MOLDED CHN 108.46 $128.95 ($20.49) L0160 CERV SR WIRE OCC/MAN PRE OTS 133.06 $158.20 ($25.14) L0170 CERVICAL COLLAR MOLDED TO PT 641.8 $763.06 ($121.26) L0172 CERV COL SR FOAM 2PC PRE OTS 119.82 $142.46 ($22.64) L0174 CERV SR 2PC THOR EXT PRE OTS 275.72 $327.81 ($52.09) L0180 CER POST COL OCC/MAN SUP ADJ 357.44 $424.98 ($67.54) L0190 CERV COLLAR SUPP ADJ CERV BA 497.18 $591.11 ($93.93) L0200 CERV COL SUPP ADJ BAR & THOR 518.3 $616.23 ($97.93) L0220 THOR RIB BELT CUSTOM FABRICA 92.19 $109.61 ($17.42) L0450 TLSO FLEX TRUNK/THOR PRE OTS 174.44 $207.39 ($32.95) L0454 TLSO TRNK SJ-T9 PRE CST 350.83 $324.01 $26.82 L0456 TLSO FLEX TRNK SJ-SS PRE CST 350.83 $929.15 ($578.32) L0458 TLSO 2MOD SYMPHIS-XIPHO PRE 547.13 $833.16 ($286.03) L0460 TLSO 2 SHL SYMPHYS-STERN CST 547.13 $937.77 ($390.64) L0462 TLSO 3MOD SACRO-SCAP PRE 547.13 $1,166.46 ($619.33) L0464 TLSO 4MOD SACRO-SCAP PRE 547.13 $1,388.64 ($841.51) L0466 TLSO R FRAM SOFT ANT PRE CST 374.99 $445.84 ($70.85) L0468 TLSO RIG FRAM PELVIC PRE CST 454.5 $540.37 ($85.87) L0470 TLSO RIGID FRAME PRE SUBCLAV 639.9 $760.79 ($120.89) L0472 TLSO RIGID FRAME HYPEREX PRE 405.83 $482.51 ($76.68) L0480 TLSO RIGID PLASTIC CUSTOM FA 1217.79 $1,447.86 ($230.07) L0482 TLSO RIGID LINED CUSTOM FAB 1388.76 $1,651.15 ($262.39) L0484 TLSO RIGID PLASTIC CUST FAB 1562.86 $1,858.13 ($295.27) L0486 TLSO RIGIDLINED CUST FAB TWO 1692.61 $2,012.40 ($319.79) L0488 TLSO RIGID LINED PRE ONE PIE 1212.41 $937.77 $274.64 L0490 TLSO RIGID PLASTIC PRE ONE 1124.43 $264.29 $860.14 L0625 LO FLEX L1-BELOW L5 PRE OTS 43.27 $51.45 ($8.18) L0626 LO SAG RIG PNL STAYS PRE CST 61.25 $72.81 ($11.56) L0627 LO SAG RI AN/POS PNL PRE CST 322.98 $384.02 ($61.04) L0628 LSO FLEX NO RI STAYS PRE OTS 65.92 $78.38 ($12.46) L0630 LSO R POST PNL SJ-T9 PRE CST 127.26 $151.31 ($24.05) L0631 LSO SAG R AN/POS PNL PRE CST 806.64 $959.04 ($152.40) L0633 LSO SC R POS/LAT PNL PRE CST 225.31 $267.89 ($42.58) L0635 LSO SAGIT RIGID PANEL PREFAB 960.72 $1,142.22 ($181.50) L0636 LSO SAGITTAL RIGID PANEL CUS 1422.21 $1,690.91 ($268.70) L0637 LSO SC R ANT/POS PNL PRE CST 991.52 $1,130.25 ($138.73) L0638 LSO SAG-CORONAL PANEL CUSTOM 1036.35 $1,232.14 ($195.79) L0639 LSO S/C SHELL/PANEL PREFAB 950.64 $1,130.25 ($179.61) L0640 LSO S/C SHELL/PANEL CUSTOM 822.21 $977.57 ($155.36) L0700 CTLSO A-P-L CONTROL MOLDED 2029.13 $2,412.50 ($383.37) L0710 CTLSO A-P-L CONTROL W/ INTER 2096.18 $2,492.22 ($396.04) L0810 HALO CERVICAL INTO JCKT VEST 2588.89 $3,078.03 ($489.14) L0820 HALO CERVICAL INTO BODY JACK 2040.86 $2,426.43 ($385.57) L0830 HALO CERV INTO MILWAUKEE TYP 3147.31 $3,741.94 ($594.63) L0859 MRI COMPATIBLE SYSTEM 917.03 $1,090.29 ($173.26) L0861 HALO REPL LINER/INTERFACE 169.36 $201.36 ($32.00) L0970 TLSO CORSET FRONT 114.71 $136.38 ($21.67) L0972 LSO CORSET FRONT 103.29 $122.81 ($19.52) L0974 TLSO FULL CORSET 173.7 $206.50 ($32.80) L0976 LSO FULL CORSET 122.61 $145.77 ($23.16) L0978 AXILLARY CRUTCH EXTENSION 193.2 $229.71 ($36.51) L0980 PERONEAL STRAPS PAIR PRE OTS 13.14 $15.63 ($2.49) L0982 STOCKING SUP GRIPS 4 PRE OTS 13.03 $15.50 ($2.47) L0984 PROTECT BODY SOCK EA PRE OTS 51.46 $61.18 ($9.72) L1000 CTLSO MILWAUKE INITIAL MODEL 2037.7 $2,422.68 ($384.98) L1005 TENSION BASED SCOLIOSIS ORTH 2514.93 $2,990.08 ($475.15) L1010 CTLSO AXILLA SLING 57.18 $67.98 ($10.80) L1020 KYPHOSIS PAD 86.75 $103.14 ($16.39) L1025 KYPHOSIS PAD FLOATING 116.87 $138.96 ($22.09) L1030 LUMBAR BOLSTER PAD 50.16 $59.63 ($9.47) L1040 LUMBAR OR LUMBAR RIB PAD 78.3 $93.09 ($14.79) L1050 STERNAL PAD 83.56 $99.36 ($15.80) L1060 THORACIC PAD 95.99 $114.12 ($18.13) L1070 TRAPEZIUS SLING 90.31 $107.37 ($17.06) L1080 OUTRIGGER 48.04 $57.12 ($9.08) L1085 OUTRIGGER BIL W/ VERT EXTENS 154.49 $183.68 ($29.19) L1090 LUMBAR SLING 92 $109.38 ($17.38) L1100 RING FLANGE PLASTIC/LEATHER 159.61 $189.76 ($30.15) L1110 RING FLANGE PLAS/LEATHER MOL 256.33 $304.77 ($48.44) L1120 COVERS FOR UPRIGHT EACH 39.86 $47.39 ($7.53) L1200 FURNSH INITIAL ORTHOSIS ONLY 1572.58 $1,869.70 ($297.12) L1210 LATERAL THORACIC EXTENSION 262.62 $312.24 ($49.62) L1220 ANTERIOR THORACIC EXTENSION 222.35 $264.37 ($42.02) L1230 MILWAUKEE TYPE SUPERSTRUCTUR 446.81 $531.22 ($84.41) L1240 LUMBAR DEROTATION PAD 77.93 $92.66 ($14.73) L1250 ANTERIOR ASIS PAD 61.81 $73.50 ($11.69) L1260 ANTERIOR THORACIC DEROTATION 67.6 $80.36 ($12.76) L1270 ABDOMINAL PAD 77.76 $92.46 ($14.70) L1280 RIB GUSSET (ELASTIC) EACH 86.58 $102.94 ($16.36) L1290 LATERAL TROCHANTERIC PAD 78.89 $93.79 ($14.90) L1300 BODY JACKET MOLD TO PATIENT 1676.57 $1,993.33 ($316.76) L1310 POST-OPERATIVE BODY JACKET 1575.53 $1,873.20 ($297.67) L1600 HO FLEX FREJKA W/COV PRE CST 123.26 $146.54 ($23.28) L1610 HO FREJKA COV ONLY PRE CST 44.06 $52.38 ($8.32) L1620 HO FLEX PAVLIK HARNS PRE CST 125.04 $148.67 ($23.63) L1630 ABDUCT CONTROL HIP SEMI-FLEX 138.76 $164.98 ($26.22) L1640 PELV BAND/SPREAD BAR THIGH C 347.34 $412.97 ($65.63) L1650 HO ABDUCTION HIP ADJUSTABLE 203.36 $241.77 ($38.41) L1652 HO BI THIGHCUFFS W SPRDR BAR 280.1 $333.01 ($52.91) L1660 HO ABDUCTION STATIC PLASTIC 128.82 $153.16 ($24.34) L1680 PELVIC & HIP CONTROL THIGH C 1222.9 $1,453.94 ($231.04) L1685 POST-OP HIP ABDUCT CUSTOM FA 1193.85 $1,419.42 ($225.57) L1686 HO POST-OP HIP ABDUCTION 915.55 $1,088.53 ($172.98) L1690 COMBINATION BILATERAL HO 1519.45 $1,806.53 ($287.08) L1700 LEG PERTHES ORTH TORONTO TYP 1532.72 $1,822.31 ($289.59) L1710 LEGG PERTHES ORTH NEWINGTON 1794.22 $2,133.21 ($338.99) L1720 LEGG PERTHES ORTHOSIS TRILAT 1322.56 $1,572.43 ($249.87) L1730 LEGG PERTHES ORTH SCOTTISH R 1135.95 $1,350.57 ($214.62) L1755 LEGG PERTHES PATTEN BOTTOM T 1580.97 $1,879.66 ($298.69) L1810 KO ELASTIC WITH JOINTS 97.8 $116.28 ($18.48) L1820 KO ELAS W/ CONDYLE PADS & JO 119.08 $141.58 ($22.50) L1830 KO IMMOB CANVAS LONG PRE OTS 87.8 $104.39 ($16.59) L1831 KNEE ORTH POS LOCKING JOINT 231.26 $274.95 ($43.69) L1832 KO ADJ JNT POS R SUP PRE CST 546.47 $649.73 ($103.26) L1834 KO W/0 JOINT RIGID MOLDED TO 736.39 $875.52 ($139.13) L1836 KO RIGID W/O JOINTS PRE OTS 104.84 $124.66 ($19.82) L1840 KO DEROT ANT CRUCIATE CUSTOM 922.86 $1,097.22 ($174.36) L1843 KO SINGLE UPRIGHT PRE CST 705.03 $838.24 ($133.21) L1844 KO W/ADJ JT ROT CNTRL MOLDED 1595.91 $1,897.43 ($301.52) L1845 KO DOUBLE UPRIGHT PRE CST 615.27 $731.51 ($116.24) L1846 KO W ADJ FLEX/EXT ROTAT MOLD 1065.6 $1,333.07 ($267.47) L1847 KO DBL UPRIGHT W/AIR PRE CST 451.94 $537.33 ($85.39) L1850 KO SWEDISH TYPE PRE OTS 288.9 $343.48 ($54.58) L1860 KO SUPRACONDYLAR SOCKET MOLD 1077 $1,280.48 ($203.48) L1900 AFO SPRNG WIR DRSFLX CALF BD 229.71 $273.10 ($43.39) L1902 AFO ANKLE GAUNTLET PRE OTS 68.86 $81.87 ($13.01) L1904 AFO MOLDED ANKLE GAUNTLET 471.98 $561.14 ($89.16) L1906 AFO MULTILIG ANK SUP PRE OTS 120.7 $143.50 ($22.80) L1907 AFO SUPRAMALLEOLAR CUSTOM 442.14 $525.67 ($83.53) L1910 AFO SING BAR CLASP ATTACH SH 268.41 $319.12 ($50.71) L1920 AFO SING UPRIGHT W/ ADJUST S 274.43 $326.28 ($51.85) L1930 AFO PLASTIC 237.44 $282.29 ($44.85) L1940 AFO MOLDED TO PATIENT PLASTI 496.37 $590.14 ($93.77) L1945 AFO MOLDED PLAS RIG ANT TIB 929.1 $1,104.63 ($175.53) L1950 AFO SPIRAL MOLDED TO PT PLAS 747.58 $888.83 ($141.25) L1951 AFO SPIRAL PREFABRICATED 659.91 $784.58 ($124.67) L1960 AFO POS SOLID ANK PLASTIC MO 556.33 $661.43 ($105.10) L1970 AFO PLASTIC MOLDED W/ANKLE J 581.72 $691.63 ($109.91) L1971 AFO W/ANKLE JOINT, PREFAB 368.3 $437.89 ($69.59) L1980 AFO SING SOLID STIRRUP CALF 368.36 $437.95 ($69.59) L1990 AFO DOUB SOLID STIRRUP CALF 447.39 $531.91 ($84.52) L2000 KAFO SING FRE STIRR THI/CALF 1018.01 $1,210.35 ($192.34) L2010 KAFO SNG SOLID STIRRUP W/O J 928.01 $1,103.35 ($175.34) L2020 KAFO DBL SOLID STIRRUP BAND/ 1171.94 $1,393.36 ($221.42) L2030 KAFO DBL SOLID STIRRUP W/O J 1016.77 $1,208.87 ($192.10) L2034 KAFO PLA SIN UP W/WO K/A CUS 1574.25 $1,871.67 ($297.42) L2035 KAFO PLASTIC PEDIATRIC SIZE 136.11 $161.82 ($25.71) L2036 KAFO PLAS DOUB FREE KNEE MOL 1669.84 $1,985.32 ($315.48) L2037 KAFO PLAS SING FREE KNEE MOL 1671.72 $1,987.56 ($315.84) L2038 KAFO W/O JOINT MULTI-AXIS AN 1228.47 $1,460.56 ($232.09) L2040 HKAFO TORSION BIL ROT STRAPS 133.65 $158.90 ($25.25) L2050 HKAFO TORSION CABLE HIP PELV 478.11 $568.45 ($90.34) L2060 HKAFO TORSION BALL BEARING J 582.72 $692.82 ($110.10) L2070 HKAFO TORSION UNILAT ROT STR 111.6 $132.68 ($21.08) L2080 HKAFO UNILAT TORSION CABLE 361 $429.21 ($68.21) L2090 HKAFO UNILAT TORSION BALL BR 440.1 $523.25 ($83.15) L2106 AFO TIB FX CAST PLASTER MOLD 682.41 $811.35 ($128.94) L2108 AFO TIB FX CAST MOLDED TO PT 991.76 $1,179.14 ($187.38) L2112 AFO TIBIAL FRACTURE SOFT 432.04 $513.67 ($81.63) L2114 AFO TIB FX SEMI-RIGID 582.57 $692.63 ($110.06) L2116 AFO TIBIAL FRACTURE RIGID 714.52 $849.51 ($134.99) L2126 KAFO FEM FX CAST THERMOPLAS 1031.23 $1,226.08 ($194.85) L2128 KAFO FEM FX CAST MOLDED TO P 1619.84 $1,925.89 ($306.05) L2132 KAFO FEMORAL FX CAST SOFT 625.79 $744.04 ($118.25) L2134 KAFO FEM FX CAST SEMI-RIGID 970.73 $1,154.13 ($183.40) L2136 KAFO FEMORAL FX CAST RIGID 1186.95 $1,411.20 ($224.25) L2180 PLAS SHOE INSERT W ANK JOINT 117.53 $139.75 ($22.22) L2182 DROP LOCK KNEE 80.46 $95.66 ($15.20) L2184 LIMITED MOTION KNEE JOINT 93.25 $110.87 ($17.62) L2186 ADJ MOTION KNEE JNT LERMAN T 113.33 $134.74 ($21.41) L2188 QUADRILATERAL BRIM 225.44 $268.04 ($42.60) L2190 WAIST BELT 65.74 $78.16 ($12.42) L2192 PELVIC BAND & BELT THIGH FLA 357.87 $425.48 ($67.61) L2200 LIMITED ANKLE MOTION EA JNT 47.72 $56.73 ($9.01) L2210 DORSIFLEXION ASSIST EACH JOI 67.47 $80.21 ($12.74) L2220 DORSI & PLANTAR FLEX ASS/RES 82.19 $97.72 ($15.53) L2230 SPLIT FLAT CALIPER STIRR & P 77.01 $91.56 ($14.55) L2240 ROUND CALIPER AND PLATE ATTA 83.93 $99.80 ($15.87) L2250 FOOT PLATE MOLDED STIRRUP AT 356.64 $424.02 ($67.38) L2260 REINFORCED SOLID STIRRUP 201.2 $239.21 ($38.01) L2265 LONG TONGUE STIRRUP 118.2 $140.53 ($22.33) L2270 VARUS/VALGUS STRAP PADDED/LI 53.9 $64.09 ($10.19) L2275 PLASTIC MOD LOW EXT PAD/LINE 117.73 $139.98 ($22.25) L2280 MOLDED INNER BOOT 454.48 $540.34 ($85.86) L2300 ABDUCTION BAR JOINTED ADJUST 270.23 $321.29 ($51.06) L2310 ABDUCTION BAR-STRAIGHT 123.47 $146.80 ($23.33) L2320 NON-MOLDED LACER 206.5 $245.53 ($39.03) L2330 LACER MOLDED TO PATIENT MODE 394.1 $468.56 ($74.46) L2335 ANTERIOR SWING BAND 228.01 $271.09 ($43.08) L2340 PRE-TIBIAL SHELL MOLDED TO P 448.58 $533.33 ($84.75) L2350 PROSTHETIC TYPE SOCKET MOLDE 894.32 $1,063.30 ($168.98) L2360 EXTENDED STEEL SHANK 51.36 $61.07 ($9.71) L2370 PATTEN BOTTOM 257.65 $306.33 ($48.68) L2375 TORSION ANK & HALF SOLID STI 113.41 $134.83 ($21.42) L2380 TORSION STRAIGHT KNEE JOINT 123.56 $146.91 ($23.35) L2385 STRAIGHT KNEE JOINT HEAVY DU 134.43 $159.83 ($25.40) L2387 ADD LE POLY KNEE CUSTOM KAFO 166.1 $197.49 ($31.39) L2390 OFFSET KNEE JOINT EACH 109.86 $130.63 ($20.77) L2395 OFFSET KNEE JOINT HEAVY DUTY 143.93 $171.12 ($27.19) L2397 SUSPENSION SLEEVE LOWER EXT 99.48 $118.28 ($18.80) L2405 KNEE JOINT DROP LOCK EA JNT 68.5 $81.44 ($12.94) L2415 KNEE JOINT CAM LOCK EACH JOI 95.43 $113.46 ($18.03) L2425 KNEE DISC/DIAL LOCK/ADJ FLEX 112.64 $133.92 ($21.28) L2430 KNEE JNT RATCHET LOCK EA JNT 112.64 $133.92 ($21.28) L2492 KNEE LIFT LOOP DROP LOCK RIN 88.98 $105.80 ($16.82) L2500 THI/GLUT/ISCHIA WGT BEARING 316.63 $376.46 ($59.83) L2510 TH/WGHT BEAR QUAD-LAT BRIM M 729.05 $866.79 ($137.74) L2520 TH/WGHT BEAR QUAD-LAT BRIM C 462.37 $549.73 ($87.36) L2525 TH/WGHT BEAR NAR M-L BRIM MO 1142.09 $1,357.88 ($215.79) L2526 TH/WGHT BEAR NAR M-L BRIM CU 637.51 $757.94 ($120.43) L2530 THIGH/WGHT BEAR LACER NON-MO 235.82 $280.38 ($44.56) L2540 THIGH/WGHT BEAR LACER MOLDED 424.34 $504.51 ($80.17) L2550 THIGH/WGHT BEAR HIGH ROLL CU 288.26 $342.72 ($54.46) L2570 HIP CLEVIS TYPE 2 POSIT JNT 478.06 $568.38 ($90.32) L2580 PELVIC CONTROL PELVIC SLING 465.81 $553.82 ($88.01) L2600 HIP CLEVIS/THRUST BEARING FR 206.13 $245.08 ($38.95) L2610 HIP CLEVIS/THRUST BEARING LO 243.74 $289.80 ($46.06) L2620 PELVIC CONTROL HIP HEAVY DUT 268.36 $319.06 ($50.70) L2622 HIP JOINT ADJUSTABLE FLEXION 307.79 $365.94 ($58.15) L2624 HIP ADJ FLEX EXT ABDUCT CONT 332.36 $395.15 ($62.79) L2627 PLASTIC MOLD RECIPRO HIP & C 1290.44 $1,534.25 ($243.81) L2628 METAL FRAME RECIPRO HIP & CA 1261.16 $1,499.44 ($238.28) L2630 PELVIC CONTROL BAND & BELT U 248.53 $295.49 ($46.96) L2640 PELVIC CONTROL BAND & BELT B 337.29 $401.01 ($63.72) L2650 PELV & THOR CONTROL GLUTEAL 100.65 $119.67 ($19.02) L2660 THORACIC CONTROL THORACIC BA 187.06 $222.41 ($35.35) L2670 THORAC CONT PARASPINAL UPRIG 153.51 $182.51 ($29.00) L2680 THORAC CONT LAT SUPPORT UPRI 142.52 $169.43 ($26.91) L2750 PLATING CHROME/NICKEL PR BAR 62.92 $74.81 ($11.89) L2755 CARBON GRAPHITE LAMINATION 102.68 $122.08 ($19.40) L2760 EXTENSION PER EXTENSION PER 60.98 $72.50 ($11.52) L2768 ORTHO SIDEBAR DISCONNECT 102.38 $121.71 ($19.33) L2780 NON-CORROSIVE FINISH 67.92 $80.76 ($12.84) L2785 DROP LOCK RETAINER EACH 31.81 $37.82 ($6.01) L2795 KNEE CONTROL FULL KNEECAP 85.28 $101.39 ($16.11) L2800 KNEE CAP MEDIAL OR LATERAL P 107.06 $127.28 ($20.22) L2810 KNEE CONTROL CONDYLAR PAD 78.39 $93.20 ($14.81) L2820 SOFT INTERFACE BELOW KNEE SE 87.16 $103.63 ($16.47) L2830 SOFT INTERFACE ABOVE KNEE SE 94.3 $112.11 ($17.81) L2840 TIBIAL LENGTH SOCK FX OR EQU 32.89 $39.10 ($6.21) L2850 FEMORAL LGTH SOCK FX OR EQUA 56.34 $66.99 ($10.65) L3140 ABDUCTION ROTATION BAR SHOE 33 $83.18 ($50.18) L3150 ABDUCT ROTATION BAR W/O SHOE 33 $76.04 ($43.04) L3170 FOOT PLAS HEEL STABI PRE OTS 39.99 $47.55 ($7.56) L3650 SO 8 ABD RESTRAINT PRE OTS 58.25 $69.25 ($11.00) L3660 SO 8 AB RSTR CAN/WEB PRE OTS 89.62 $106.54 ($16.92) L3670 SO ACRO/CLAV CAN WEB PRE OTS 111.06 $132.04 ($20.98) L3671 SO CAP DESIGN W/O JNTS CF 644.37 $766.12 ($121.75) L3674 SO AIRPLANE W/WO JOINT CF SHOUL 949.77 $1,004.99 ($55.22) L3675 SO VEST CANVAS/WEB PRE OTS 125.49 $149.21 ($23.72) L3702 EO W/O JOINTS CF 206.49 $245.50 ($39.01) L3710 EO ELAS W/METAL JNTS PRE OTS 101.95 $121.21 ($19.26) L3720 FOREARM/ARM CUFFS FREE MOTIO 642.4 $763.77 ($121.37) L3730 FOREARM/ARM CUFFS EXT/FLEX A 885.36 $1,052.62 ($167.26) L3740 CUFFS ADJ LOCK W/ ACTIVE CON 1049.67 $1,247.98 ($198.31) L3760 EO WITHJOINT, PREFABRICATED 357.62 $425.18 ($67.56) L3762 EO RIGID W/O JOINTS PRE OTS 76.89 $91.42 ($14.53) L3763 EWHO RIGID W/O JNTS CF 916.94 $717.02 $199.92 L3764 EWHO W/JOINT(S) CF 970.98 $824.53 $146.45 L3765 EWHFO RIGID W/O JNTS CF 916.94 $1,090.18 ($173.24) L3766 EWHFO W/JOINT(S) CF 970.98 $1,154.42 ($183.44) L3806 WHFO W/JOINT(S) CUSTOM FAB 365.35 $386.21 ($20.86) L3807 WHFO W/O JOINTS PRE CST 178.81 $212.60 ($33.79) L3808 WHFO RIGID W/O JOINTS 365.79 $386.68 ($20.89) L3900 HINGE EXTENSION/FLEX WRIST/F 1166.95 $1,387.42 ($220.47) L3901 HINGE EXT/FLEX WRIST FINGER 1436.4 $1,707.78 ($271.38) L3904 WHFO ELECTRIC CUSTOM FITTED 2876.16 $3,419.56 ($543.40) L3905 WHO W/NONTORSION JNT(S) CF 709.19 $843.17 ($133.98) L3906 WHO W/O JOINTS CF 388.08 $461.40 ($73.32) L3908 WHO COCK-UP NONMOLDE PRE OTS 58.85 $69.96 ($11.11) L3912 HFO FLEXION GLOVE PRE OTS 93.14 $110.74 ($17.60) L3913 HFO W/O JOINTS CF 193.69 $230.27 ($36.58) L3915 WHO NONTORSION JNTS PRE CST 427.53 $451.94 ($24.41) L3916 Who nontorsion jnts pre ots 115.14 $451.94 ($336.80) L3917 METACARP FX ORTHOSIS PRE CST 75.54 $89.84 ($14.30) L3918 Metacarp fx orthosis pre ots 76.97 $89.84 ($12.87) L3919 HO W/O JOINTS CF 193.69 $230.27 ($36.58) L3921 HFO W/JOINT(S) CF 229.71 $273.10 ($43.39) L3923 HFO WITHOUT JOINTS PRE CST 27.82 $76.18 ($48.36) L3924 Hfo without joints pre ots 97.42 $76.18 $21.24 L3925 FO PIP DIP JNT/SPRNG PRE OTS 50.31 $55.85 ($5.54) L3927 FO PIP DIP NO JT SPR PRE OTS 0 $29.72 ($29.72) L3929 HFO NONTORSION JNTS PRE CST 82.24 $91.28 ($9.04) L3930 Hfo nontorsion jnts pre ots 53.5 $91.28 ($37.78) L3931 WHFO nontorsion joint prefab 183.67 $203.86 ($20.19) L3933 FO W/O JOINTS CF 152.58 $181.40 ($28.82) L3935 FO NONTORSION JOINT CF 157.98 $187.82 ($29.84) L3960 SEWHO AIRPLAN DESIG ABDU POS 721.81 $858.18 ($136.37) L3961 SEWHO CAP DESIGN W/O JNTS CF 1201.47 $1,428.46 ($226.99) L3962 SEWHO ERBS PALSEY DESIGN ABD 704.68 $837.83 ($133.15) L3967 SEWHO AIRPLANE W/O JNTS CF 1595.45 $1,686.53 ($91.08) L3971 SEWHO CAP DESIGN W/JNT(S) CF 1514.45 $1,600.92 ($86.47) L3973 SEWHO AIRPLANE W/JNT(S) CF 1418.53 $1,686.53 ($268.00) L3975 SEWHFO CAP DESIGN W/O JNT CF 1201.47 $1,428.46 ($226.99) L3976 SEWHFO AIRPLANE W/O JNTS CF 1201.47 $1,428.46 ($226.99) L3977 SEWHFO CAP DESGN W/JNT(S) CF 1346.51 $1,600.92 ($254.41) L3978 SEWHFO AIRPLANE W/JNT(S) CF 1418.53 $1,686.53 ($268.00) L3980 UP EXT FX ORTHOS HUMERAL NOS 303.63 $360.99 ($57.36) L3982 UPPER EXT FX ORTHOSIS RAD/UL 366.65 $435.92 ($69.27) L3984 UPPER EXT FX ORTHOSIS WRIST 338.05 $401.91 ($63.86) L3995 SOCK FRACTURE OR EQUAL EACH 28.06 $33.37 ($5.31) L4000 REPL GIRDLE MILWAUKEE ORTH 8 $1,521.51 ($1,513.51) L4010 REPLACE TRILATERAL SOCKET BR 673.59 $800.85 ($127.26) L4020 REPLACE QUADLAT SOCKET BRIM 864.49 $1,027.82 ($163.33) L4030 REPLACE SOCKET BRIM CUST FIT 506.74 $602.48 ($95.74) L4040 REPLACE MOLDED THIGH LACER 409.7 $487.10 ($77.40) L4045 REPLACE NON-MOLDED THIGH LAC 329.24 $391.44 ($62.20) L4050 REPLACE MOLDED CALF LACER 414.36 $492.65 ($78.29) L4055 REPLACE NON-MOLDED CALF LACE 268.31 $319.00 ($50.69) L4060 REPLACE HIGH ROLL CUFF 318.97 $379.23 ($60.26) L4070 REPLACE PROX & DIST UPRIGHT 282.46 $335.83 ($53.37) L4080 REPL MET BAND KAFO-AFO PROX 86.99 $103.43 ($16.44) L4090 REPL MET BAND KAFO-AFO CALF/ 82.84 $98.49 ($15.65) L4100 REPL LEATH CUFF KAFO PROX TH 104.69 $124.46 ($19.77) L4110 REPL LEATH CUFF KAFO-AFO CAL 85.11 $101.19 ($16.08) L4130 REPLACE PRETIBIAL SHELL 497.96 $592.04 ($94.08) L4350 ANKLE CONTROL ORTHO PRE OTS 89.72 $106.67 ($16.95) L4360 PNEUMAT WALKING BOOT PRE CST 243.17 $289.12 ($45.95) L4370 PNEUM FULL LEG SPLNT PRE OTS 142.11 $168.96 ($26.85) L4386 NON-PNEUM WALK BOOT PRE CST 124.58 $148.12 ($23.54) L4392 REPLACE AFO SOFT INTERFACE 18.19 $21.62 ($3.43) L4394 REPLACE FOOT DROP SPINT 13.25 $15.75 ($2.50) L4396 STATIC OR DYNAMI AFO PRE CST 129.66 $154.15 ($24.49) L4398 FOOT DROP SPLINT PRE OTS 59.69 $70.97 ($11.28) L4631 AFO, WALK BOOT TYPE, CUS FAB ANKLE 1661.65 $1,758.27 ($96.62) L5000 SHO INSERT W ARCH TOE FILLER 481.95 $573.01 ($91.06) L5010 MOLD SOCKET ANK HGT W/ TOE F 1082 $1,286.43 ($204.43) L5020 TIBIAL TUBERCLE HGT W/ TOE F 2119.07 $2,519.43 ($400.36) L5050 ANK SYMES MOLD SCKT SACH FT 2135.36 $2,538.80 ($403.44) L5060 SYMES MET FR LEATH SOCKET AR 2953.39 $3,511.39 ($558.00) L5100 MOLDED SOCKET SHIN SACH FOOT 2156.06 $2,563.42 ($407.36) L5105 PLAST SOCKET JTS/THGH LACER 3714.66 $4,416.49 ($701.83) L5150 MOLD SCKT EXT KNEE SHIN SACH 3755.02 $4,464.46 ($709.44) L5160 MOLD SOCKET BENT KNEE SHIN S 4084.26 $4,855.91 ($771.65) L5200 KNE SING AXIS FRIC SHIN SACH 3218.43 $3,826.49 ($608.06) L5210 NO KNEE/ANKLE JOINTS W/ FT B 2374.61 $2,823.25 ($448.64) L5220 NO KNEE JOINT WITH ARTIC ALI 2949.37 $3,506.61 ($557.24) L5230 FEM FOCAL DEFIC CONSTANT FRI 4067.77 $4,836.30 ($768.53) L5250 HIP CANAD SING AXI CONS FRIC 5548.07 $6,596.29 ($1,048.22) L5270 TILT TABLE LOCKING HIP SING 5499.47 $6,538.50 ($1,039.03) L5280 HEMIPELVECT CANAD SING AXIS 5444.47 $6,473.12 ($1,028.65) L5301 BK MOLD SOCKET SACH FT ENDO 0 $2,906.50 ($2,906.50) L5321 AK OPEN END SACH 3514.44 $4,178.44 ($664.00) L5331 HIP DISART CANADIAN SACH FT 4670.41 $5,552.81 ($882.40) L5341 HEMIPELVECTOMY CANADIAN SACH 5404.15 $6,425.18 ($1,021.03) L5400 POSTOP DRESS & 1 CAST CHG BK 1272.55 $1,512.99 ($240.44) L5410 POSTOP DSG BK EA ADD CAST CH 335.08 $398.38 ($63.30) L5420 POSTOP DSG & 1 CAST CHG AK/D 1625.34 $1,932.43 ($307.09) L5430 POSTOP DSG AK EA ADD CAST CH 452.99 $538.58 ($85.59) L5450 POSTOP APP NON-WGT BEAR DSG 326.73 $388.46 ($61.73) L5460 POSTOP APP NON-WGT BEAR DSG 437.3 $519.92 ($82.62) L5500 INIT BK PTB PLASTER DIRECT 1367.68 $1,626.08 ($258.40) L5505 INIT AK ISCHAL PLSTR DIRECT 1859.84 $2,211.22 ($351.38) L5510 PREP BK PTB PLASTER MOLDED 1410.83 $1,677.38 ($266.55) L5520 PERP BK PTB THERMOPLS DIRECT 1536.75 $1,827.10 ($290.35) L5530 PREP BK PTB THERMOPLS MOLDED 1846.92 $2,195.87 ($348.95) L5535 PREP BK PTB OPEN END SOCKET 1813.31 $2,155.91 ($342.60) L5540 PREP BK PTB LAMINATED SOCKET 1934.1 $2,299.52 ($365.42) L5560 PREP AK ISCHIAL PLAST MOLDED 1885.32 $2,241.52 ($356.20) L5570 PREP AK ISCHIAL DIRECT FORM 2066.95 $2,457.48 ($390.53) L5580 PREP AK ISCHIAL THERMO MOLD 2508.74 $2,982.73 ($473.99) L5585 PREP AK ISCHIAL OPEN END 2221.79 $2,641.57 ($419.78) L5590 PREP AK ISCHIAL LAMINATED 2570.51 $3,056.16 ($485.65) L5595 HIP DISARTIC SACH THERMOPLS 4305.5 $5,118.95 ($813.45) L5600 HIP DISART SACH LAMINAT MOLD 4754.56 $5,652.86 ($898.30) L5610 ABOVE KNEE HYDRACADENCE 1965.23 $2,336.51 ($371.28) L5611 AK 4 BAR LINK W/FRIC SWING 1589.32 $1,889.60 ($300.28) L5613 AK 4 BAR LING W/HYDRAUL SWIG 2620.51 $3,115.61 ($495.10) L5614 4-BAR LINK ABOVE KNEE W/SWNG 1328.51 $1,579.52 ($251.01) L5616 AK UNIV MULTIPLEX SYS FRICT 1131.75 $1,345.59 ($213.84) L5617 AK/BK SELF-ALIGNING UNIT EA 440.5 $523.71 ($83.21) L5618 TEST SOCKET SYMES 231.58 $275.33 ($43.75) L5620 TEST SOCKET BELOW KNEE 234.56 $278.89 ($44.33) L5622 TEST SOCKET KNEE DISARTICULA 304.02 $361.46 ($57.44) L5624 TEST SOCKET ABOVE KNEE 333.46 $396.46 ($63.00) L5626 TEST SOCKET HIP DISARTICULAT 438.06 $520.83 ($82.77) L5628 TEST SOCKET HEMIPELVECTOMY 387.67 $460.91 ($73.24) L5629 BELOW KNEE ACRYLIC SOCKET 254.87 $303.01 ($48.14) L5630 SYME TYP EXPANDABL WALL SCKT 441.86 $525.34 ($83.48) L5631 AK/KNEE DISARTIC ACRYLIC SOC 352.37 $418.94 ($66.57) L5632 SYMES TYPE PTB BRIM DESIGN S 189.51 $225.32 ($35.81) L5634 SYMES TYPE POSTER OPENING SO 325.26 $386.72 ($61.46) L5636 SYMES TYPE MEDIAL OPENING SO 204.34 $242.95 ($38.61) L5637 BELOW KNEE TOTAL CONTACT 307.69 $365.82 ($58.13) L5638 BELOW KNEE LEATHER SOCKET 520.39 $618.70 ($98.31) L5639 BELOW KNEE WOOD SOCKET 1198.87 $1,425.38 ($226.51) L5640 KNEE DISARTICULAT LEATHER SO 622.22 $739.79 ($117.57) L5642 ABOVE KNEE LEATHER SOCKET 496.87 $590.75 ($93.88) L5643 HIP FLEX INNER SOCKET EXT FR 1248.22 $1,484.04 ($235.82) L5644 ABOVE KNEE WOOD SOCKET 473.68 $563.17 ($89.49) L5645 BK FLEX INNER SOCKET EXT FRA 724.32 $861.18 ($136.86) L5646 BELOW KNEE CUSHION SOCKET 439.41 $522.42 ($83.01) L5647 BELOW KNEE SUCTION SOCKET 850.58 $1,011.28 ($160.70) L5648 ABOVE KNEE CUSHION SOCKET 528 $627.75 ($99.75) L5649 ISCH CONTAINMT/NARROW M-L SO 1536.84 $1,827.19 ($290.35) L5650 TOT CONTACT AK/KNEE DISART S 522.01 $620.64 ($98.63) L5651 AK FLEX INNER SOCKET EXT FRA 963.1 $1,145.06 ($181.96) L5652 SUCTION SUSP AK/KNEE DISART 349.64 $415.70 ($66.06) L5653 KNEE DISART EXPAND WALL SOCK 522.47 $621.18 ($98.71) L5654 SOCKET INSERT SYMES 326.77 $388.50 ($61.73) L5655 SOCKET INSERT BELOW KNEE 283.62 $337.21 ($53.59) L5656 SOCKET INSERT KNEE ARTICULAT 396.66 $471.59 ($74.93) L5658 SOCKET INSERT ABOVE KNEE 301.88 $358.91 ($57.03) L5661 MULTI-DUROMETER SYMES 603.22 $717.20 ($113.98) L5665 MULTI-DUROMETER BELOW KNEE 547.51 $650.94 ($103.43) L5666 BELOW KNEE CUFF SUSPENSION 74.85 $88.99 ($14.14) L5668 BK MOLDED DISTAL CUSHION 107.98 $128.38 ($20.40) L5670 BK MOLDED SUPRACONDYLAR SUSP 290.15 $344.97 ($54.82) L5671 BK/AK LOCKING MECHANISM 531.87 $632.36 ($100.49) L5672 BK REMOVABLE MEDIAL BRIM SUS 252.77 $300.54 ($47.77) L5673 SOCKET INSERT W LOCK MECH 628.41 $747.14 ($118.73) L5676 BK KNEE JOINTS SINGLE AXIS P 387.48 $460.69 ($73.21) L5677 BK KNEE JOINTS POLYCENTRIC P 527.22 $626.83 ($99.61) L5678 BK JOINT COVERS PAIR 42.46 $50.48 ($8.02) L5679 SOCKET INSERT W/O LOCK MECH 523.67 $622.61 ($98.94) L5680 BK THIGH LACER NON-MOLDED 255.75 $304.07 ($48.32) L5681 INTL CUSTM CONG/LATYP INSERT 1035.59 $1,231.25 ($195.66) L5682 BK THIGH LACER GLUT/ISCHIA M 668.73 $795.06 ($126.33) L5683 INITIAL CUSTOM SOCKET INSERT 1035.59 $1,231.25 ($195.66) L5684 BK FORK STRAP 51.46 $61.19 ($9.73) L5686 BK BACK CHECK 49.79 $59.19 ($9.40) L5688 BK WAIST BELT WEBBING 65.31 $77.66 ($12.35) L5690 BK WAIST BELT PADDED AND LIN 104.63 $124.40 ($19.77) L5692 AK PELVIC CONTROL BELT LIGHT 142.08 $168.93 ($26.85) L5694 AK PELVIC CONTROL BELT PAD/L 193.98 $230.64 ($36.66) L5695 AK SLEEVE SUSP NEOPRENE/EQUA 174.38 $207.33 ($32.95) L5696 AK/KNEE DISARTIC PELVIC JOIN 197.84 $235.22 ($37.38) L5697 AK/KNEE DISARTIC PELVIC BAND 85.84 $102.06 ($16.22) L5698 AK/KNEE DISARTIC SILESIAN BA 110.02 $130.81 ($20.79) L5699 SHOULDER HARNESS 199.37 $237.04 ($37.67) L5700 REPLACE SOCKET BELOW KNEE 2928.3 $3,481.56 ($553.26) L5701 REPLACE SOCKET ABOVE KNEE 3635.72 $4,322.64 ($686.92) L5702 REPLACE SOCKET HIP 4645.7 $5,523.42 ($877.72) L5703 SYMES ANKLE W/O (SACH) FOOT 1930.5 $2,295.23 ($364.73) L5704 CUSTOM SHAPE COVER BK 489.05 $581.44 ($92.39) L5705 CUSTOM SHAPE COVER AK 802.86 $954.55 ($151.69) L5706 CUSTOM SHAPE CVR KNEE DISART 795.73 $946.08 ($150.35) L5707 CUSTOM SHAPE CVR HIP DISART 1131.18 $1,344.90 ($213.72) L5710 KNE-SHIN EXO SNG AXI MNL LOC 384.58 $457.24 ($72.66) L5711 KNEE-SHIN EXO MNL LOCK ULTRA 558.34 $663.83 ($105.49) L5712 KNEE-SHIN EXO FRICT SWG & ST 460.75 $547.80 ($87.05) L5714 KNEE-SHIN EXO VARIABLE FRICT 400.43 $476.10 ($75.67) L5716 KNEE-SHIN EXO MECH STANCE PH 779.34 $926.58 ($147.24) L5718 KNEE-SHIN EXO FRCT SWG & STA 974.09 $1,158.13 ($184.04) L5722 KNEE-SHIN PNEUM SWG FRCT EXO 870.17 $1,034.57 ($164.40) L5724 KNEE-SHIN EXO FLUID SWING PH 1546.65 $1,838.89 ($292.24) L5726 KNEE-SHIN EXT JNTS FLD SWG E 1581.69 $1,880.51 ($298.82) L5728 KNEE-SHIN FLUID SWG & STANCE 2544.37 $3,025.09 ($480.72) L5780 KNEE-SHIN PNEUM/HYDRA PNEUM 1224.24 $1,455.54 ($231.30) L5781 LOWER LIMB PROS VACUUM PUMP 3150.08 $3,745.23 ($595.15) L5785 EXOSKELETAL BK ULTRALT MATER 440.52 $523.74 ($83.22) L5790 EXOSKELETAL AK ULTRA-LIGHT M 709.25 $843.26 ($134.01) L5795 EXOSKEL HIP ULTRA-LIGHT MATE 894.98 $1,064.05 ($169.07) L5810 ENDOSKEL KNEE-SHIN MNL LOCK 520.6 $618.96 ($98.36) L5811 ENDO KNEE-SHIN MNL LCK ULTRA 779.85 $927.19 ($147.34) L5812 ENDO KNEE-SHIN FRCT SWG & ST 604.46 $718.67 ($114.21) L5814 ENDO KNEE-SHIN HYDRAL SWG PH 2923.91 $3,476.33 ($552.42) L5816 ENDO KNEE-SHIN POLYC MCH STA 909.37 $1,081.19 ($171.82) L5818 ENDO KNEE-SHIN FRCT SWG & ST 1026.87 $1,220.87 ($194.00) L5822 ENDO KNEE-SHIN PNEUM SWG FRC 1365.67 $1,623.69 ($258.02) L5824 ENDO KNEE-SHIN FLUID SWING P 1639.82 $1,949.65 ($309.83) L5826 MINIATURE KNEE JOINT 2458.64 $2,923.15 ($464.51) L5828 ENDO KNEE-SHIN FLUID SWG/STA 2933.64 $3,487.90 ($554.26) L5830 ENDO KNEE-SHIN PNEUM/SWG PHA 2029.01 $2,412.37 ($383.36) L5840 MULTI-AXIAL KNEE/SHIN SYSTEM 3236.89 $3,848.44 ($611.55) L5845 KNEE-SHIN SYS STANCE FLEXION 1411.11 $1,677.72 ($266.61) L5848 KNEE-SHIN SYS HYDRAUL STANCE 846.6 $1,006.55 ($159.95) L5850 ENDO AK/HIP KNEE EXTENS ASSI 102.59 $121.98 ($19.39) L5855 MECH HIP EXTENSION ASSIST 330.23 $392.62 ($62.39) L5858 STANCE PHASE ONLY 14631.97 $17,396.43 ($2,764.46) L5910 ENDO BELOW KNEE ALIGNABLE SY 290.45 $345.33 ($54.88) L5920 ENDO AK/HIP ALIGNABLE SYSTEM 425.51 $505.91 ($80.40) L5925 ABOVE KNEE MANUAL LOCK 349.76 $415.85 ($66.09) L5930 HIGH ACTIVITY KNEE FRAME 2649.95 $3,150.62 ($500.67) L5940 ENDO BK ULTRA-LIGHT MATERIAL 427.54 $508.32 ($80.78) L5950 ENDO AK ULTRA-LIGHT MATERIAL 623.94 $741.82 ($117.88) L5960 ENDO HIP ULTRA-LIGHT MATERIA 773.13 $919.20 ($146.07) L5961 ENDO POLY HIP, PNEU/HYD/ROT ADDIT 0 $4,891.47 ($4,891.47) L5962 BELOW KNEE FLEX COVER SYSTEM 628.52 $747.27 ($118.75) L5964 ABOVE KNEE FLEX COVER SYSTEM 904.8 $1,075.75 ($170.95) L5966 HIP FLEXIBLE COVER SYSTEM 1173.04 $1,394.66 ($221.62) L5968 MULTIAXIAL ANKLE W DORSIFLEX 2860.96 $3,401.49 ($540.53) L5970 FOOT EXTERNAL KEEL SACH FOOT 204.9 $243.62 ($38.72) L5971 SACH FOOT, REPLACEMENT 204.9 $243.62 ($38.72) L5972 FLEXIBLE KEEL FOOT 376.85 $448.05 ($71.20) L5974 FOOT SINGLE AXIS ANKLE/FOOT 249.17 $296.25 ($47.08) L5975 COMBO ANKLE/FOOT PROSTHESIS 364.98 $433.93 ($68.95) L5976 ENERGY STORING FOOT 598.83 $711.97 ($113.14) L5978 FT PROSTH MULTIAXIAL ANKL/FT 312.05 $371.01 ($58.96) L5979 MULTI-AXIAL ANKLE/FT PROSTH 2417.33 $2,874.05 ($456.72) L5980 FLEX FOOT SYSTEM 3384.57 $4,024.02 ($639.45) L5981 FLEX-WALK SYS LOW EXT PROSTH 2626.94 $3,123.27 ($496.33) L5982 EXOSKELETAL AXIAL ROTATION U 618.17 $734.96 ($116.79) L5984 ENDOSKELETAL AXIAL ROTATION 609.15 $724.24 ($115.09) L5985 LWR EXT DYNAMIC PROSTH PYLON 222.32 $264.34 ($42.02) L5986 MULTI-AXIAL ROTATION UNIT 677.59 $805.62 ($128.03) L5987 SHANK FT W VERT LOAD PYLON 5663.57 $6,733.60 ($1,070.03) L5988 VERTICAL SHOCK REDUCING PYLO 1572.78 $1,869.93 ($297.15) L5990 USER ADJUSTABLE HEEL HEIGHT 1428.31 $1,698.18 ($269.87) L6010 PART HAND LITTLE/RING 1581.07 $1,879.78 ($298.71) L6020 PART HAND NO FINGERS 1474.1 $1,752.60 ($278.50) L6050 WRST MLD SCK FLX HNG TRI PAD 2024.81 $2,407.37 ($382.56) L6055 WRST MOLD SOCK W/EXP INTERFA 2596.73 $3,087.35 ($490.62) L6100 ELB MOLD SOCK FLEX HINGE PAD 1685 $2,003.36 ($318.36) L6110 ELBOW MOLD SOCK SUSPENSION T 2182.18 $2,594.47 ($412.29) L6120 ELBOW MOLD DOUB SPLT SOC STE 2477.81 $2,945.97 ($468.16) L6130 ELBOW STUMP ACTIVATED LOCK H 2768.09 $3,291.08 ($522.99) L6200 ELBOW MOLD OUTSID LOCK HINGE 2917.12 $3,468.26 ($551.14) L6205 ELBOW MOLDED W/ EXPAND INTER 3560.93 $4,233.71 ($672.78) L6250 ELBOW INTER LOC ELBOW FORARM 2871.42 $3,413.92 ($542.50) L6300 SHLDER DISART INT LOCK ELBOW 3983.78 $4,736.45 ($752.67) L6310 SHOULDER PASSIVE RESTOR COMP 3244.87 $3,857.94 ($613.07) L6320 SHOULDER PASSIVE RESTOR CAP 1827.35 $2,172.59 ($345.24) L6350 THORACIC INTERN LOCK ELBOW 4156.76 $4,942.11 ($785.35) L6360 THORACIC PASSIVE RESTOR COMP 3405.88 $4,049.37 ($643.49) L6370 THORACIC PASSIVE RESTOR CAP 2171.81 $2,582.14 ($410.33) L6380 POSTOP DSG CAST CHG WRST/ELB 1037.38 $1,233.37 ($195.99) L6382 POSTOP DSG CAST CHG ELB DIS/ 1305.03 $1,551.60 ($246.57) L6384 POSTOP DSG CAST CHG SHLDER/T 1692.25 $2,011.98 ($319.73) L6386 POSTOP EA CAST CHG & REALIGN 429.41 $510.54 ($81.13) L6388 POSTOP APPLICAT RIGID DSG ON 438.41 $521.24 ($82.83) L6400 BELOW ELBOW PROSTH TISS SHAP 2481.18 $2,949.96 ($468.78) L6450 ELB DISART PROSTH TISS SHAP 3024.44 $3,595.86 ($571.42) L6500 ABOVE ELBOW PROSTH TISS SHAP 2749.48 $3,268.96 ($519.48) L6550 SHLDR DISAR PROSTH TISS SHAP 4077.47 $4,847.84 ($770.37) L6570 SCAP THORAC PROSTH TISS SHAP 4680.15 $5,564.39 ($884.24) L6580 WRIST/ELBOW BOWDEN CABLE MOL 1433.23 $1,704.01 ($270.78) L6582 WRIST/ELBOW BOWDEN CBL DIR F 1103.75 $1,312.29 ($208.54) L6584 ELBOW FAIR LEAD CABLE MOLDED 1791.95 $2,130.49 ($338.54) L6586 ELBOW FAIR LEAD CABLE DIR FO 1524.3 $1,812.29 ($287.99) L6588 SHDR FAIR LEAD CABLE MOLDED 2593.27 $3,083.22 ($489.95) L6590 SHDR FAIR LEAD CABLE DIRECT 2278.38 $2,708.84 ($430.46) L6600 POLYCENTRIC HINGE PAIR 200.57 $238.47 ($37.90) L6605 SINGLE PIVOT HINGE PAIR 198.05 $235.46 ($37.41) L6610 FLEXIBLE METAL HINGE PAIR 178.02 $211.66 ($33.64) L6611 ADDITIONAL SWITCH EXT POWER 364.58 $385.40 ($20.82) L6615 DISCONNECT LOCKING WRIST UNI 146.93 $174.68 ($27.75) L6616 DISCONNECT INSERT LOCKING WR 52.02 $61.85 ($9.83) L6620 FLEXION/EXTENSION WRIST UNIT 306.47 $364.36 ($57.89) L6621 FLEX/EXT WRIST W/WO FRICTION 1800.78 $2,141.00 ($340.22) L6623 SPRING-ASS ROT WRST W/ LATCH 514.43 $611.63 ($97.20) L6624 FLEX/EXT/ROTATION WRIST UNIT 3334.81 $3,525.22 ($190.41) L6625 ROTATION WRST W/ CABLE LOCK 568.71 $676.15 ($107.44) L6628 QUICK DISCONN HOOK ADAPTER O 384.18 $456.77 ($72.59) L6629 LAMINATION COLLAR W/ COUPLIN 140.43 $166.96 ($26.53) L6630 STAINLESS STEEL ANY WRIST 172.84 $205.49 ($32.65) L6632 LATEX SUSPENSION SLEEVE EACH 52.1 $61.95 ($9.85) L6635 LIFT ASSIST FOR ELBOW 188.33 $223.92 ($35.59) L6637 NUDGE CONTROL ELBOW LOCK 343.89 $408.86 ($64.97) L6638 ELEC LOCK ON MANUAL PW ELBOW 1968.81 $2,340.78 ($371.97) L6640 SHOULDER ABDUCTION JOINT PAI 224.64 $267.08 ($42.44) L6641 EXCURSION AMPLIFIER PULLEY T 161.11 $191.55 ($30.44) L6642 EXCURSION AMPLIFIER LEVER TY 208.95 $248.41 ($39.46) L6645 SHOULDER FLEXION-ABDUCTION J 341.35 $405.84 ($64.49) L6646 MULTIPO LOCKING SHOULDER JNT 2483.11 $2,952.26 ($469.15) L6647 SHOULDER LOCK ACTUATOR 408.79 $486.01 ($77.22) L6648 EXT PWRD SHLDER LOCK/UNLOCK 2560.98 $3,044.83 ($483.85) L6650 SHOULDER UNIVERSAL JOINT 361.94 $430.32 ($68.38) L6655 STANDARD CONTROL CABLE EXTRA 80.32 $95.50 ($15.18) L6660 HEAVY DUTY CONTROL CABLE 98.15 $116.69 ($18.54) L6665 TEFLON OR EQUAL CABLE LINING 39.77 $47.29 ($7.52) L6670 HOOK TO HAND CABLE ADAPTER 51.28 $60.97 ($9.69) L6672 HARNESS CHEST/SHLDER SADDLE 180.3 $214.36 ($34.06) L6675 HARNESS FIGURE OF 8 SING CON 122.42 $145.55 ($23.13) L6676 HARNESS FIGURE OF 8 DUAL CON 129.68 $154.18 ($24.50) L6677 UE TRIPLE CONTROL HARNESS 233.54 $277.67 ($44.13) L6680 TEST SOCK WRIST DISART/BEL E 248.09 $294.96 ($46.87) L6682 TEST SOCK ELBW DISART/ABOVE 247.03 $293.69 ($46.66) L6684 TEST SOCKET SHLDR DISART/THO 372.73 $443.14 ($70.41) L6686 SUCTION SOCKET 631.27 $750.54 ($119.27) L6687 FRAME TYP SOCKET BEL ELBOW/W 467.87 $556.28 ($88.41) L6688 FRAME TYP SOCK ABOVE ELB/DIS 506.84 $602.61 ($95.77) L6689 FRAME TYP SOCKET SHOULDER DI 577.97 $687.18 ($109.21) L6690 FRAME TYP SOCK INTERSCAP-THO 669.54 $796.03 ($126.49) L6691 REMOVABLE INSERT EACH 368.41 $438.00 ($69.59) L6692 SILICONE GEL INSERT OR EQUAL 597.98 $710.96 ($112.98) L6693 LOCKINGELBOW FOREARM CNTRBAL 2235.13 $2,657.41 ($422.28) L6703 TERM DEV PASSIVE HAND MITT 300.62 $342.68 ($42.06) L6704 TERM DEV SPORT/REC/WORK ATT 653.14 $744.53 ($91.39) L6706 TERM DEV MECH HOOK VOL OPEN 360.99 $411.50 ($50.51) L6707 TERM DEV MECH HOOK VOL CLOSE 1378.4 $1,571.26 ($192.86) L6708 TERM DEV MECH HAND VOL OPEN 932.88 $1,063.41 ($130.53) L6709 TERM DEV MECH HAND VOL CLOSE 1351.18 $1,540.24 ($189.06) L6711 PED TERM DEV, HOOK, VOL OPEN 595.33 $629.31 ($33.98) L6712 PED TERM DEV, HOOK, VOL CLOS 1096.1 $1,158.67 ($62.57) L6713 PED TERM DEV, HAND, VOL OPEN 1383.4 $1,462.39 ($78.99) L6714 PED TERM DEV, HAND, VOL CLOS 1171.74 $1,238.63 ($66.89) L6715 "Term device multi art digit" 342.54 $2,955.19 ($2,612.65) L6721 HOOK/HAND, HVY DTY, VOL OPEN 2082.62 $2,201.52 ($118.90) L6722 HOOK/HAND, HVY DTY, VOL CLOS 1795.38 $1,897.88 ($102.50) L6805 TERM DEV MODIFIER WRIST UNIT 339.57 $403.74 ($64.17) L6810 TERM DEV PRECISION PINCH DEV 174.55 $207.54 ($32.99) L6880 Elec hand ind art digits 494.41 $22,364.27 ######### L6881 TERM DEV AUTO GRASP FEATURE 3218.65 $3,826.75 ($608.10) L6882 MICROPROCESSOR CONTROL UPLMB 2441.49 $2,902.76 ($461.27) L6883 REPLC SOCKT BELOW E/W DISA 1378.59 $1,639.05 ($260.46) L6884 REPLC SOCKT ABOVE ELBOW DISA 2387.21 $2,838.23 ($451.02) L6885 REPLC SOCKT SHLDR DIS/INTERC 3405.88 $4,049.37 ($643.49) L6890 PREFAB GLOVE FOR TERM DEVICE 181.87 $216.23 ($34.36) L6895 CUSTOM GLOVE FOR TERM DEVICE 447.81 $532.42 ($84.61) L6900 HAND RESTORAT THUMB/1 FINGER 1608.83 $1,912.80 ($303.97) L6905 HAND RESTORATION MULTIPLE FI 1569.94 $1,866.56 ($296.62) L6910 HAND RESTORATION NO FINGERS 1529.45 $1,818.41 ($288.96) L6915 HAND RESTORATION REPLACMNT G 647.52 $769.85 ($122.33) L7360 SIX VOLT BAT OTTO BOCK/EQ EA 194.82 $231.62 ($36.80) L7362 BATTERY CHRGR SIX VOLT OTTO 207.03 $246.15 ($39.12) L7364 TWELVE VOLT BATTERY UTAH/EQU 380.92 $452.89 ($71.97) L7366 BATTERY CHRGR 12 VOLT UTAH/E 492.16 $585.15 ($92.99) L7367 REPLACEMNT LITHIUM IONBATTER 306.51 $364.43 ($57.92) L7368 LITHIUM ION BATTERY CHARGER 397.34 $472.41 ($75.07) L7400 ADD UE PROST BE/WD, ULTLITE 241.29 $286.89 ($45.60) L7401 ADD UE PROST A/E ULTLITE MAT 270.12 $321.17 ($51.05) L7402 ADD UE PROST S/D ULTLITE MAT 291.72 $346.84 ($55.12) L7403 ADD UE PROST B/E ACRYLIC 289.93 $344.70 ($54.77) L7404 ADD UE PROST A/E ACRYLIC 437.58 $520.27 ($82.69) L7405 ADD UE PROST S/D ACRYLIC 572.3 $680.44 ($108.14) L8000 MASTECTOMY BRA 39.04 $46.42 ($7.38) L8001 BREAST PROSTHESIS BRA & FORM 98.74 $117.41 ($18.67) L8002 BRST PRSTH BRA & BILAT FORM 129.88 $154.42 ($24.54) L8015 EXT BREASTPROSTHESIS GARMENT 47.19 $56.11 ($8.92) L8020 MASTECTOMY FORM 167.64 $199.31 ($31.67) L8030 BREAST PROSTHES W/O ADHESIVE 306.28 $364.15 ($57.87) L8035 CUSTOM BREAST PROSTHESIS 2884.35 $3,429.31 ($544.96) L8040 NASAL PROSTHESIS 2062.29 $2,451.93 ($389.64) L8040 NASAL PROSTHESIS KN 824.92 $980.76 ($155.84) L8041 MIDFACIAL PROSTHESIS 2485.87 $2,955.52 ($469.65) L8041 MIDFACIAL PROSTHESIS KM 2361.57 $2,807.74 ($446.17) L8041 MIDFACIAL PROSTHESIS KN 994.4 $1,182.27 ($187.87) L8042 ORBITAL PROSTHESIS 2793.11 $3,320.82 ($527.71) L8042 ORBITAL PROSTHESIS KM 2653.46 $3,154.77 ($501.31) L8042 ORBITAL PROSTHESIS KN 1117.25 $1,328.33 ($211.08) L8043 UPPER FACIAL PROSTHESIS 3128.29 $3,719.34 ($591.05) L8043 UPPER FACIAL PROSTHESIS KM 2971.85 $3,533.34 ($561.49) L8043 UPPER FACIAL PROSTHESIS KN 1251.3 $1,487.72 ($236.42) L8044 HEMI-FACIAL PROSTHESIS 3463.45 $4,117.81 ($654.36) L8044 HEMI-FACIAL PROSTHESIS KM 3290.28 $3,911.93 ($621.65) L8044 HEMI-FACIAL PROSTHESIS KN 1385.38 $1,647.12 ($261.74) L8045 AURICULAR PROSTHESIS 2176.85 $2,588.13 ($411.28) L8045 AURICULAR PROSTHESIS KM 2068.01 $2,458.72 ($390.71) L8045 AURICULAR PROSTHESIS KN 870.74 $1,035.25 ($164.51) L8046 PARTIAL FACIAL PROSTHESIS 2234.49 $2,656.68 ($422.19) L8046 PARTIAL FACIAL PROSTHESIS KM 2122.77 $2,523.83 ($401.06) L8046 PARTIAL FACIAL PROSTHESIS KN 893.79 $1,062.65 ($168.86) L8047 NASAL SEPTAL PROSTHESIS 1145.16 $1,361.51 ($216.35) L8047 NASAL SEPTAL PROSTHESIS KM 1087.91 $1,293.47 ($205.56) L8047 NASAL SEPTAL PROSTHESIS KN 458.08 $544.62 ($86.54) L8300 TRUSS SINGLE W/ STANDARD PAD 90.2 $107.24 ($17.04) L8310 TRUSS DOUBLE W/ STANDARD PAD 142.41 $169.32 ($26.91) L8320 TRUSS ADDITION TO STD PAD WA 57.16 $67.96 ($10.80) L8330 TRUSS ADD TO STD PAD SCROTAL 52.79 $62.76 ($9.97) L8400 SHEATH BELOW KNEE 16.83 $20.01 ($3.18) L8410 SHEATH ABOVE KNEE 21.72 $25.82 ($4.10) L8415 SHEATH UPPER LIMB 19.2 $22.84 ($3.64) L8417 PROS SHEATH/SOCK W GEL CUSHN 59.2 $70.39 ($11.19) L8420 PROSTHETIC SOCK MULTI PLY BK 20.8 $24.72 ($3.92) L8430 PROSTHETIC SOCK MULTI PLY AK 22.32 $26.54 ($4.22) L8435 PROS SOCK MULTI PLY UPPER LM 20.72 $24.63 ($3.91) L8440 SHRINKER BELOW KNEE 44.72 $53.17 ($8.45) L8460 SHRINKER ABOVE KNEE 71.27 $84.73 ($13.46) L8465 SHRINKER UPPER LIMB 39.12 $46.51 ($7.39) L8470 PROS SOCK SINGLE PLY BK 7.14 $8.48 ($1.34) L8480 PROS SOCK SINGLE PLY AK 8.51 $10.13 ($1.62) L8485 PROS SOCK SINGLE PLY UPPER L 11.53 $13.71 ($2.18) L8500 ARTIFICIAL LARYNX 529.27 $629.26 ($99.99) L8501 TRACHEOSTOMY SPEAKING VALVE 96.88 $115.18 ($18.30) L8507 TRACH-ESOPH VOICE PROS PT IN 32.98 $39.21 ($6.23) L8509 TRACH-ESOPH VOICE PROS MD IN 85.98 $102.23 ($16.25) L8600 IMPLANT BREAST SILICONE/EQ 545.82 $648.94 ($103.12) L8603 COLLAGEN IMP URINARY 2.5 ML 351.66 $418.09 ($66.43) L8606 SYNTHETIC IMPLNT URINARY 1ML 182.61 $217.10 ($34.49) L8610 OCULAR IMPLANT 469.4 $558.09 ($88.69) L8612 AQUEOUS SHUNT PROSTHESIS 638.02 $758.55 ($120.53) L8613 OSSICULAR IMPLANT 236.84 $281.58 ($44.74) L8614 COCHLEAR DEVICE 15819.35 $18,808.15 ($2,988.80) L8619 COCH IMP EXT PROC/CONTR RPLC 6791.15 $8,074.22 ($1,283.07) L8627 CID EXT SPEECH PROCESS REPL 6487.9 $6,858.31 ($370.41) L8628 CID EXT CONTROLLER REPL 1150.21 $1,215.88 ($65.67) L8629 CID TRANSMIT COIL AND CABLE 167.6 $167.60 $0.00 L8630 METACARPOPHALANGEAL IMPLANT 270.19 $321.23 ($51.04) L8641 METATARSAL JOINT IMPLANT 283.93 $337.58 ($53.65) L8642 HALLUX IMPLANT 277.8 $330.29 ($52.49) L8658 INTERPHALANGEAL JOINT SPACER 244.76 $291.01 ($46.25) L8670 VASCULAR GRAFT, SYNTHETIC 446.41 $530.76 ($84.35) L8690 AUD OSSEO DEV INT/EXT COMP 3748.14 $4,452.90 ($704.76) L8691 OSSEOINTEGRATED SND PROC RPL 2100.96 $2,495.99 ($395.03) L8693 AUD OSSEO DEV, ABUTMENT AUDIT 1341.32 $1,419.34 ($78.02) L8695 EXTERNAL RECHARG SYS EXTERN 13.67 $15.58 ($1.91) Q4001 CAST SUP BODY CAST PLASTER 161.73 $48.57 $113.16 Q4002 CAST SUP BODY CAST FIBERGLAS 343.6 $183.53 $160.07 Q4003 CAST SUP SHOULDER CAST PLSTR 87.7 $34.88 $52.82 Q4004 CAST SUP SHOULDER CAST FBRGL 186.17 $120.74 $65.43 Q4005 CAST SUP LONG ARM ADULT PLST 48.16 $12.86 $35.30 Q4006 CAST SUP LONG ARM ADULT FBRG 102.43 $28.98 $73.45 Q4007 CAST SUP LONG ARM PED PLSTER 24.08 $6.44 $17.64 Q4008 CAST SUP LONG ARM PED FBRGLS 51.04 $14.48 $36.56 Q4009 CAST SUP SHT ARM ADULT PLSTR 37.02 $8.59 $28.43 Q4010 CAST SUP SHT ARM ADULT FBRGL 79.43 $19.33 $60.10 Q4011 CAST SUP SHT ARM PED PLASTER 18.69 $4.28 $14.41 Q4012 CAST SUP SHT ARM PED FBRGLAS 39.54 $9.67 $29.87 Q4013 CAST SUP GAUNTLET PLASTER 34.86 $15.63 $19.23 Q4014 CAST SUP GAUNTLET FIBERGLASS 74.76 $26.36 $48.40 Q4015 CAST SUP GAUNTLET PED PLSTER 17.61 $7.83 $9.78 Q4016 CAST SUP GAUNTLET PED FBRGLS 37.38 $13.17 $24.21 Q4017 CAST SUP LNG ARM SPLINT PLST 30.55 $9.04 $21.51 Q4018 CAST SUP LNG ARM SPLINT FBRG 65.05 $14.40 $50.65 Q4019 CAST SUP LNG ARM SPLNT PED P 15.45 $4.53 $10.92 Q4020 CAST SUP LNG ARM SPLNT PED F 32.71 $7.22 $25.49 Q4021 CAST SUP SHT ARM SPLINT PLST 30.55 $6.69 $23.86 Q4022 CAST SUP SHT ARM SPLINT FBRG 65.05 $12.07 $52.98 Q4023 CAST SUP SHT ARM SPLNT PED P 15.45 $3.36 $12.09 Q4024 CAST SUP SHT ARM SPLNT PED F 32.71 $6.04 $26.67 Q4025 CAST SUP HIP SPICA PLASTER 135.86 $37.49 $98.37 Q4026 CAST SUP HIP SPICA FIBERGLAS 288.97 $117.07 $171.90 Q4027 CAST SUP HIP SPICA PED PLSTR 67.93 $18.76 $49.17 Q4028 CAST SUP HIP SPICA PED FBRGL 144.48 $58.56 $85.92 Q4029 CAST SUP LONG LEG PLASTER 66.85 $28.67 $38.18 Q4030 CAST SUP LONG LEG FIBERGLASS 142.33 $75.48 $66.85 Q4031 CAST SUP LNG LEG PED PLASTER 33.43 $14.33 $19.10 Q4032 CAST SUP LNG LEG PED FBRGLS 71.16 $37.74 $33.42 Q4033 CAST SUP LNG LEG CYLINDER PL 57.15 $26.75 $30.40 Q4034 CAST SUP LNG LEG CYLINDER FB 121.12 $66.52 $54.60 Q4035 CAST SUP LNGLEG CYLNDR PED P 28.39 $13.37 $15.02 Q4036 CAST SUP LNGLEG CYLNDR PED F 60.38 $33.27 $27.11 Q4037 CAST SUP SHRT LEG PLASTER 76.55 $16.31 $60.24 Q4038 CAST SUP SHRT LEG FIBERGLASS 163.17 $40.87 $122.30 Q4039 CAST SUP SHRT LEG PED PLSTER 38.1 $8.17 $29.93 Q4040 CAST SUP SHRT LEG PED FBRGLS 81.59 $20.43 $61.16 Q4041 CAST SUP LNG LEG SPLNT PLSTR 43.85 $19.84 $24.01 Q4042 CAST SUP LNG LEG SPLNT FBRGL 93.09 $33.87 $59.22 Q4043 CAST SUP LNG LEG SPLNT PED P 21.92 $9.93 $11.99 Q4044 CAST SUP LNG LEG SPLNT PED F 46.72 $16.94 $29.78 Q4045 CAST SUP SHT LEG SPLNT PLSTR 28.39 $11.52 $16.87 Q4046 CAST SUP SHT LEG SPLNT FBRGL 60.38 $18.52 $41.86 Q4047 CAST SUP SHT LEG SPLNT PED P 14.02 $5.74 $8.28 Q4048 CAST SUP SHT LEG SPLNT PED F 30.19 $9.27 $20.92 Q4049 FINGER SPLINT, STATIC 37.38 $2.10 $35.28 V2020 VISION SVCS FRAMES PURCHASES 67.05 $79.71 ($12.66) V2100 LENS SPHER SINGLE PLANO 4.00 31.41 $37.35 ($5.94) V2101 SINGLE VISN SPHERE 4.12-7.00 42.1 $50.07 ($7.97) V2102 SINGL VISN SPHERE 7.12-20.00 51.06 $60.72 ($9.66) V2103 SPHEROCYLINDR 4.00D/12-2.00D 29.99 $35.67 ($5.68) V2104 SPHEROCYLINDR 4.00D/2.12-4D 31.73 $37.72 ($5.99) V2105 SPHEROCYLINDER 4.00D/4.25-6D 34.8 $41.37 ($6.57) V2106 SPHEROCYLINDER 4.00D/>6.00D 41.65 $49.50 ($7.85) V2107 SPHEROCYLINDER 4.25D/12-2D 44.81 $53.28 ($8.47) V2108 SPHEROCYLINDER 4.25D/2.12-4D 42.61 $50.65 ($8.04) V2109 SPHEROCYLINDER 4.25D/4.25-6D 47.88 $56.93 ($9.05) V2110 SPHEROCYLINDER 4.25D/OVER 6D 41.01 $48.76 ($7.75) V2111 SPHEROCYLINDR 7.25D/.25-2.25 48.35 $57.49 ($9.14) V2112 SPHEROCYLINDR 7.25D/2.25-4D 50.73 $60.32 ($9.59) V2113 SPHEROCYLINDR 7.25D/4.25-6D 50.32 $59.82 ($9.50) V2114 SPHEROCYLINDER OVER 12.00D 54.51 $64.80 ($10.29) V2115 LENS LENTICULAR BIFOCAL 75.95 $90.30 ($14.35) V2118 LENS ANISEIKONIC SINGLE 75.83 $90.15 ($14.32) V2121 LENTICULAR LENS, SINGLE 80.96 $96.25 ($15.29) V2200 LENS SPHER BIFOC PLANO 4.00D 46.95 $55.81 ($8.86) V2201 LENS SPHERE BIFOCAL 4.12-7.0 57.14 $67.94 ($10.80) V2202 LENS SPHERE BIFOCAL 7.12-20. 52.73 $62.69 ($9.96) V2203 LENS SPHCYL BIFOCAL 4.00D/.1 51.06 $60.72 ($9.66) V2204 LENS SPHCY BIFOCAL 4.00D/2.1 51.82 $61.62 ($9.80) V2205 LENS SPHCY BIFOCAL 4.00D/4.2 51.18 $60.84 ($9.66) V2206 LENS SPHCY BIFOCAL 4.00D/OVE 57.49 $68.36 ($10.87) V2207 LENS SPHCY BIFOCAL 4.25-7D/. 55.83 $66.38 ($10.55) V2208 LENS SPHCY BIFOCAL 4.25-7/2. 61.5 $73.11 ($11.61) V2209 LENS SPHCY BIFOCAL 4.25-7/4. 57.7 $68.60 ($10.90) V2210 LENS SPHCY BIFOCAL 4.25-7/OV 61.54 $73.17 ($11.63) V2211 LENS SPHCY BIFO 7.25-12/.25- 74.75 $88.87 ($14.12) V2212 LENS SPHCYL BIFO 7.25-12/2.2 70.16 $83.42 ($13.26) V2213 LENS SPHCYL BIFO 7.25-12/4.2 65.35 $77.70 ($12.35) V2214 LENS SPHCYL BIFOCAL OVER 12. 73.91 $87.88 ($13.97) V2215 LENS LENTICULAR BIFOCAL 90.89 $108.07 ($17.18) V2218 LENS ANISEIKONIC BIFOCAL 87.26 $103.73 ($16.47) V2219 LENS BIFOCAL SEG WIDTH OVER 35.71 $42.46 ($6.75) V2220 LENS BIFOCAL ADD OVER 3.25D 33.75 $40.12 ($6.37) V2221 LENTICULAR LENS, BIFOCAL 94.45 $112.30 ($17.85) V2300 LENS SPHERE TRIFOCAL 4.00D 58.1 $69.07 ($10.97) V2301 LENS SPHERE TRIFOCAL 4.12-7. 71.51 $85.02 ($13.51) V2302 LENS SPHERE TRIFOCAL 7.12-20 65.76 $78.19 ($12.43) V2303 LENS SPHCY TRIFOCAL 4.0/.12- 62.65 $74.49 ($11.84) V2304 LENS SPHCY TRIFOCAL 4.0/2.25 65.01 $77.29 ($12.28) V2305 LENS SPHCY TRIFOCAL 4.0/4.25 65.19 $77.52 ($12.33) V2306 LENS SPHCYL TRIFOCAL 4.00/>6 65.73 $78.16 ($12.43) V2307 LENS SPHCY TRIFOCAL 4.25-7/. 70.4 $83.71 ($13.31) V2308 LENS SPHC TRIFOCAL 4.25-7/2. 68.68 $81.65 ($12.97) V2309 LENS SPHC TRIFOCAL 4.25-7/4. 83.14 $98.85 ($15.71) V2310 LENS SPHC TRIFOCAL 4.25-7/>6 70.23 $83.49 ($13.26) V2311 LENS SPHC TRIFO 7.25-12/.25- 85.98 $102.23 ($16.25) V2312 LENS SPHC TRIFO 7.25-12/2.25 95.82 $113.92 ($18.10) V2313 LENS SPHC TRIFO 7.25-12/4.25 107.01 $127.23 ($20.22) V2314 LENS SPHCYL TRIFOCAL OVER 12 99.33 $118.10 ($18.77) V2315 LENS LENTICULAR TRIFOCAL 123.23 $146.51 ($23.28) V2318 LENS ANISEIKONIC TRIFOCAL 156.85 $186.49 ($29.64) V2319 LENS TRIFOCAL SEG WIDTH > 28 39.82 $47.35 ($7.53) V2320 LENS TRIFOCAL ADD OVER 3.25D 42.02 $49.95 ($7.93) V2321 LENTICULAR LENS, TRIFOCAL 116.92 $139.01 ($22.09) V2410 LENS VARIAB ASPHERICITY SING 95.88 $114.00 ($18.12) V2430 LENS VARIABLE ASPHERICITY BI 115.55 $137.38 ($21.83) V2500 CONTACT LENS PMMA SPHERICAL 70.52 $83.85 ($13.33) V2501 CNTCT LENS PMMA-TORIC/PRISM 110.91 $131.87 ($20.96) V2502 CONTACT LENS PMMA BIFOCAL 162.28 $192.94 ($30.66) V2503 CNTCT LENS PMMA COLOR VISION 112.65 $133.94 ($21.29) V2510 CNTCT GAS PERMEABLE SPHERICL 94.8 $112.72 ($17.92) V2511 CNTCT TORIC PRISM BALLAST 153.22 $182.17 ($28.95) V2512 CNTCT LENS GAS PERMBL BIFOCL 177.88 $211.50 ($33.62) V2513 CONTACT LENS EXTENDED WEAR 163.2 $194.04 ($30.84) V2520 CONTACT LENS HYDROPHILIC 83.64 $99.44 ($15.80) V2521 CNTCT LENS HYDROPHILIC TORIC 145.61 $173.13 ($27.52) V2522 CNTCT LENS HYDROPHIL BIFOCL 188.95 $224.64 ($35.69) V2523 CNTCT LENS HYDROPHIL EXTEND 120.76 $143.57 ($22.81) V2530 CONTACT LENS GAS IMPERMEABLE 178.86 $212.66 ($33.80) V2531 CONTACT LENS GAS PERMEABLE 426.3 $506.84 ($80.54) V2700 BALANCE LENS 46.85 $55.70 ($8.85) V2710 GLASS/PLASTIC SLAB OFF PRISM 64.93 $77.20 ($12.27) V2715 PRISM LENS/ES 12.43 $14.78 ($2.35) V2718 FRESNELL PRISM PRESS-ON LENS 30.53 $36.30 ($5.77) V2730 SPECIAL BASE CURVE 21.91 $26.04 ($4.13) V2744 TINT PHOTOCHROMATIC LENS/ES 13.16 $15.64 ($2.48) V2745 TINT, ANY COLOR/SOLID/GRAD 8.52 $10.14 ($1.62) V2750 ANTI-REFLECTIVE COATING 19.16 $22.79 ($3.63) V2755 UV LENS/ES 13.32 $15.84 ($2.52) V2760 SCRATCH RESISTANT COATING 17.13 $20.36 ($3.23) V2762 POLARIZATION, ANY LENS 46.92 $55.78 ($8.86) V2770 OCCLUDER LENS/ES 20.87 $24.81 ($3.94) V2780 OVERSIZE LENS/ES 13.4 $15.94 ($2.54) V2782 LENS, 1.54-1.65 P/1.60-1.79G 50.68 $60.26 ($9.58) V2783 LENS, >= 1.66 P/>=1.80 G 57.14 $67.94 ($10.80) V2784 LENS POLYCARB OR EQUAL 37.16 $44.18 ($7.02) Division of Health Care Financing & Policy SB 278 Section 16 - Physician Rates Reporting Laboratory Rate Comparison

Medicaid Nevada 2015 vs. Procedure Medicaid Medicare Medicare

Code Description Rates (1) Lab Rates Lab Rates 80047 METABOLIC PANEL IONIZED CA 10.96 11.51 (0.55) 80048 METABOLIC PANEL TOTAL CA 10.96 11.51 (0.55) 80051 ELECTROLYTE PANEL 9.09 9.55 (0.46) 80053 COMPREHEN METABOLIC PANEL 13.68 14.37 (0.69) 80061 LIPID PANEL 17.35 18.22 (0.87) 80069 RENAL FUNCTION PANEL 11.25 11.82 (0.57) 80074 ACUTE HEPATITIS PANEL 61.74 64.83 (3.09) 80076 HEPATIC FUNCTION PANEL 10.58 11.11 (0.53) 80150 ASSAY OF AMIKACIN 19.53 20.51 (0.98) 80156 ASSAY CARBAMAZEPINE TOTAL 18.87 19.82 (0.95) 80157 ASSAY CARBAMAZEPINE FREE 17.18 18.04 (0.86) 80158 DRUG ASSAY CYCLOSPORINE 23.39 24.57 (1.18) 80162 ASSAY OF DIGOXIN TOTAL 17.21 18.07 (0.86) 80164 ASSAY DIPROPYLACETIC ACD TOT 17.56 18.44 (0.88) 80168 ASSAY OF ETHOSUXIMIDE 21.18 22.24 (1.06) 80170 ASSAY OF GENTAMICIN 21.24 22.30 (1.06) 80173 ASSAY OF HALOPERIDOL 18.87 19.82 (0.95) 80176 ASSAY OF LIDOCAINE 19.03 19.99 (0.96) 80178 ASSAY OF LITHIUM 8.56 9.00 (0.44) 80184 ASSAY OF PHENOBARBITAL 14.83 15.58 (0.75) 80185 ASSAY OF PHENYTOIN TOTAL 17.18 18.04 (0.86) 80186 ASSAY OF PHENYTOIN FREE 17.84 18.73 (0.89) 80188 ASSAY OF PRIMIDONE 21.47 22.54 (1.07) 80190 ASSAY OF PROCAINAMIDE 21.7 22.80 (1.10) 80192 ASSAY OF PROCAINAMIDE 21.7 22.80 (1.10) 80194 ASSAY OF QUINIDINE 18.92 19.87 (0.95) 80195 ASSAY OF SIROLIMUS 17.79 18.69 (0.90) 80197 ASSAY OF TACROLIMUS 17.79 18.69 (0.90) 80198 ASSAY OF THEOPHYLLINE 18.33 19.25 (0.92) 80200 ASSAY OF TOBRAMYCIN 20.89 21.94 (1.05) 80201 ASSAY OF TOPIRAMATE 15.45 16.23 (0.78) 80202 ASSAY OF VANCOMYCIN 17.56 18.44 (0.88) 80299 QUANTITATIVE ASSAY DRUG 17.74 18.64 (0.90) 80400 ACTH STIMULATION PANEL 42.27 44.39 (2.12) 80402 ACTH STIMULATION PANEL 112.69 118.33 (5.64) 80406 ACTH STIMULATION PANEL 101.42 106.49 (5.07) 80408 ALDOSTERONE SUPPRESSION EVAL 162.64 170.78 (8.14) 80410 CALCITONIN STIMUL PANEL 104.12 109.33 (5.21) 80412 CRH STIMULATION PANEL 427.2 448.57 (21.37) 80414 TESTOSTERONE RESPONSE 66.92 70.27 (3.35) 80415 ESTRADIOL RESPONSE PANEL 72.42 76.05 (3.63) 80416 RENIN STIMULATION PANEL 171.02 179.58 (8.56) 80417 RENIN STIMULATION PANEL 57 59.86 (2.86) 80418 PITUITARY EVALUATION PANEL 751.18 788.74 (37.56) 80420 DEXAMETHASONE PANEL 93.37 98.04 (4.67) 80422 GLUCAGON TOLERANCE PANEL 59.71 62.70 (2.99) 80424 GLUCAGON TOLERANCE PANEL 65.44 68.72 (3.28) 80426 GONADOTROPIN HORMONE PANEL 192.34 201.96 (9.62) 80428 GROWTH HORMONE PANEL 86.45 90.77 (4.32) 80430 GROWTH HORMONE PANEL 101.71 106.80 (5.09) 80432 INSULIN SUPPRESSION PANEL 175.09 183.85 (8.76) 80434 INSULIN TOLERANCE PANEL 131.12 137.68 (6.56) 80435 INSULIN TOLERANCE PANEL 133.51 140.19 (6.68) 80436 METYRAPONE PANEL 118.15 124.06 (5.91) 80438 TRH STIMULATION PANEL 65.33 68.60 (3.27) 80439 TRH STIMULATION PANEL 87.11 91.47 (4.36) 81000 URINALYSIS NONAUTO W/SCOPE 4.1 4.31 (0.21) 81001 URINALYSIS AUTO W/SCOPE 4.1 4.31 (0.21) 81002 URINALYSIS NONAUTO W/O SCOPE 3.31 3.48 (0.17) 81003 URINALYSIS AUTO W/O SCOPE 2.9 3.06 (0.16) 81005 URINALYSIS 2.81 2.95 (0.14) 81007 URINE SCREEN FOR BACTERIA 1.25 1.32 (0.07) 81015 MICROSCOPIC EXAM OF URINE 3.94 4.14 (0.20) 81020 URINALYSIS GLASS TEST 4.77 5.02 (0.25) 81025 URINE PREGNANCY TEST 8.19 8.61 (0.42) 81050 URINALYSIS VOLUME MEASURE 3.88 4.08 (0.20) 82009 TEST FOR ACETONE/KETONES 5.85 6.15 (0.30) 82010 ACETONE ASSAY 10.59 11.12 (0.53) 82013 ACETYLCHOLINESTERASE ASSAY 14.47 15.20 (0.73) 82016 ACYLCARNITINES QUAL 17.96 18.87 (0.91) 82017 ACYLCARNITINES QUANT 21.85 22.95 (1.10) 82024 ASSAY OF ACTH 50.06 52.56 (2.50) 82030 ASSAY OF ADP & AMP 33.43 35.11 (1.68) 82040 ASSAY OF SERUM ALBUMIN 6.41 6.73 (0.32) 82042 ASSAY OF URINE ALBUMIN 6.7 7.04 (0.34) 82043 MICROALBUMIN QUANTITATIVE 7.49 7.87 (0.38) 82044 MICROALBUMIN SEMIQUANT 5.92 6.22 (0.30) 82045 ALBUMIN ISCHEMIA MODIFIED 43.99 46.19 (2.20) 82075 ASSAY OF BREATH ETHANOL 15.61 16.40 (0.79) 82085 ASSAY OF ALDOLASE 12.57 13.21 (0.64) 82088 ASSAY OF ALDOSTERONE 52.82 55.46 (2.64) 82103 ALPHA-1-ANTITRYPSIN TOTAL 17.41 18.29 (0.88) 82104 ALPHA-1-ANTITRYPSIN PHENO 18.74 19.68 (0.94) 82105 ALPHA-FETOPROTEIN SERUM 21.69 22.78 (1.09) 82106 ALPHA-FETOPROTEIN AMNIOTIC 21.69 22.78 (1.09) 82107 ALPHA-FETOPROTEIN L3 48.15 50.56 (2.41) 82108 ASSAY OF ALUMINUM 33.02 34.67 (1.65) 82120 AMINES VAGINAL FLUID QUAL 4.88 5.12 (0.24) 82127 AMINO ACID SINGLE QUAL 17.96 18.87 (0.91) 82128 AMINO ACIDS MULT QUAL 17.96 18.87 (0.91) 82131 AMINO ACIDS SINGLE QUANT 21.85 22.95 (1.10) 82135 ASSAY AMINOLEVULINIC ACID 21.32 22.39 (1.07) 82136 AMINO ACIDS QUANT 2-5 21.85 22.95 (1.10) 82139 AMINO ACIDS QUAN 6 OR MORE 21.85 22.95 (1.10) 82140 ASSAY OF AMMONIA 18.88 19.83 (0.95) 82143 AMNIOTIC FLUID SCAN 8.9 9.35 (0.45) 82150 ASSAY OF AMYLASE 8.39 8.82 (0.43) 82154 ANDROSTANEDIOL GLUCURONIDE 37.37 39.24 (1.87) 82157 ASSAY OF ANDROSTENEDIONE 37.94 39.84 (1.90) 82160 ASSAY OF ANDROSTERONE 32.4 34.03 (1.63) 82163 ASSAY OF ANGIOTENSIN II 26.59 27.93 (1.34) 82164 ANGIOTENSIN I ENZYME TEST 18.92 19.87 (0.95) 82172 ASSAY OF APOLIPOPROTEIN 20.08 21.09 (1.01) 82175 ASSAY OF ARSENIC 24.59 25.82 (1.23) 82180 ASSAY OF ASCORBIC ACID 12.8 13.45 (0.65) 82190 ATOMIC ABSORPTION 19.32 20.28 (0.96) 82232 ASSAY OF BETA-2 PROTEIN 20.96 22.02 (1.06) 82239 BILE ACIDS TOTAL 22.2 23.31 (1.11) 82240 BILE ACIDS CHOLYLGLYCINE 34.44 36.17 (1.73) 82247 BILIRUBIN TOTAL 6.49 6.83 (0.34) 82248 BILIRUBIN DIRECT 6.49 6.83 (0.34) 82252 FECAL BILIRUBIN TEST 5.89 6.19 (0.30) 82261 ASSAY OF BIOTINIDASE 21.85 22.95 (1.10) 82270 OCCULT BLOOD FECES 4.21 4.43 (0.22) 82271 OCCULT BLOOD OTHER SOURCES 4.21 4.43 (0.22) 82272 OCCULT BLD FECES 1-3 TESTS 4.21 4.43 (0.22) 82274 ASSAY TEST FOR BLOOD FECAL 20.61 21.65 (1.04) 82286 ASSAY OF BRADYKININ 8.93 9.38 (0.45) 82300 ASSAY OF CADMIUM 30 31.49 (1.49) 82306 VITAMIN D 25 HYDROXY 37.99 39.89 (1.90) 82308 ASSAY OF CALCITONIN 34.71 36.45 (1.74) 82310 ASSAY OF CALCIUM 6.68 7.02 (0.34) 82330 ASSAY OF CALCIUM 17.71 18.60 (0.89) 82331 CALCIUM INFUSION TEST 6.7 7.04 (0.34) 82340 ASSAY OF CALCIUM IN URINE 7.81 8.21 (0.40) 82355 CALCULUS ANALYSIS QUAL 15 15.75 (0.75) 82360 CALCULUS ASSAY QUANT 16.68 17.52 (0.84) 82365 CALCULUS SPECTROSCOPY 16.71 17.55 (0.84) 82370 X-RAY ASSAY CALCULUS 16.23 17.05 (0.82) 82373 ASSAY C-D TRANSFER MEASURE 23.39 24.58 (1.19) 82374 ASSAY BLOOD CARBON DIOXIDE 6.33 6.65 (0.32) 82375 ASSAY CARBOXYHB QUANT 15.96 16.77 (0.81) 82376 ASSAY CARBOXYHB QUAL 7.59 7.97 (0.38) 82378 CARCINOEMBRYONIC ANTIGEN 24.58 25.81 (1.23) 82379 ASSAY OF CARNITINE 21.85 22.95 (1.10) 82380 ASSAY OF CAROTENE 11.95 12.55 (0.60) 82382 ASSAY URINE CATECHOLAMINES 22.28 23.40 (1.12) 82383 ASSAY BLOOD CATECHOLAMINES 32.48 34.10 (1.62) 82384 ASSAY THREE CATECHOLAMINES 32.72 34.36 (1.64) 82387 ASSAY OF CATHEPSIN-D 26.97 28.32 (1.35) 82390 ASSAY OF CERULOPLASMIN 13.91 14.62 (0.71) 82397 CHEMILUMINESCENT ASSAY 18.3 19.22 (0.92) 82415 ASSAY OF CHLORAMPHENICOL 16.42 17.24 (0.82) 82435 ASSAY OF BLOOD CHLORIDE 5.95 6.26 (0.31) 82436 ASSAY OF URINE CHLORIDE 6.51 6.85 (0.34) 82438 ASSAY OTHER FLUID CHLORIDES 6.33 6.65 (0.32) 82441 TEST FOR CHLOROHYDROCARBONS 7.78 8.17 (0.39) 82465 ASSAY BLD/SERUM CHOLESTEROL 5.63 5.92 (0.29) 82480 ASSAY SERUM CHOLINESTERASE 10.21 10.72 (0.51) 82482 ASSAY RBC CHOLINESTERASE 9.95 10.45 (0.50) 82485 ASSAY CHONDROITIN SULFATE 26.76 28.10 (1.34) 82495 ASSAY OF CHROMIUM 26.28 27.60 (1.32) 82507 ASSAY OF CITRATE 36.03 37.84 (1.81) 82523 COLLAGEN CROSSLINKS 24.22 25.43 (1.21) 82525 ASSAY OF COPPER 16.08 16.89 (0.81) 82528 ASSAY OF CORTICOSTERONE 29.18 30.64 (1.46) 82530 CORTISOL FREE 21.66 22.74 (1.08) 82533 TOTAL CORTISOL 21.12 22.19 (1.07) 82540 ASSAY OF CREATINE 6 6.31 (0.31) 82542 COL CHROMOTOGRAPHY QUAL/QUAN 23.39 24.58 (1.19) 82550 ASSAY OF CK (CPK) 8.43 8.86 (0.43) 82552 ASSAY OF CPK IN BLOOD 17.36 18.23 (0.87) 82553 CREATINE MB FRACTION 14.96 15.72 (0.76) 82554 CREATINE ISOFORMS 15.38 16.15 (0.77) 82565 ASSAY OF CREATININE 6.64 6.97 (0.33) 82570 ASSAY OF URINE CREATININE 6.7 7.04 (0.34) 82575 CREATININE CLEARANCE TEST 12.24 12.86 (0.62) 82585 ASSAY OF CRYOFIBRINOGEN 11.12 11.68 (0.56) 82595 ASSAY OF CRYOGLOBULIN 8.38 8.81 (0.43) 82600 ASSAY OF CYANIDE 25.13 26.40 (1.27) 82607 VITAMIN B-12 19.53 20.51 (0.98) 82608 B-12 BINDING CAPACITY 18.56 19.48 (0.92) 82610 Cystatin c 17.61 18.50 (0.89) 82615 TEST FOR URINE CYSTINES 10.58 11.11 (0.53) 82626 DEHYDROEPIANDROSTERONE 32.75 34.39 (1.64) 82627 DEHYDROEPIANDROSTERONE 28.81 30.26 (1.45) 82633 DESOXYCORTICOSTERONE 40.14 42.16 (2.02) 82634 DEOXYCORTISOL 37.94 39.84 (1.90) 82638 ASSAY OF DIBUCAINE NUMBER 15.87 16.66 (0.79) 82652 VIT D 1 25-DIHYDROXY 49.9 52.39 (2.49) 82656 PANCREATIC ELASTASE FECAL 14.95 15.70 (0.75) 82657 ENZYME CELL ACTIVITY 23.39 24.58 (1.19) 82658 ENZYME CELL ACTIVITY RA 23.39 24.58 (1.19) 82664 ELECTROPHORETIC TEST 44.52 46.75 (2.23) 82668 ASSAY OF ERYTHROPOIETIN 24.36 25.58 (1.22) 82670 ASSAY OF ESTRADIOL 36.21 38.02 (1.81) 82671 ASSAY OF ESTROGENS 41.86 43.96 (2.10) 82672 ASSAY OF ESTROGEN 28.12 29.53 (1.41) 82677 ASSAY OF ESTRIOL 31.34 32.91 (1.57) 82679 ASSAY OF ESTRONE 32.34 33.96 (1.62) 82693 ASSAY OF ETHYLENE GLYCOL 19.3 20.27 (0.97) 82696 ASSAY OF ETIOCHOLANOLONE 30.57 32.09 (1.52) 82705 FATS/LIPIDS FECES QUAL 6.59 6.93 (0.34) 82710 FATS/LIPIDS FECES QUANT 21.78 22.87 (1.09) 82715 ASSAY OF FECAL FAT 22.3 23.42 (1.12) 82725 ASSAY OF BLOOD FATTY ACIDS 17.25 18.12 (0.87) 82726 LONG CHAIN FATTY ACIDS 23.39 24.58 (1.19) 82728 ASSAY OF FERRITIN 17.66 18.54 (0.88) 82731 ASSAY OF FETAL FIBRONECTIN 48.15 50.56 (2.41) 82735 ASSAY OF FLUORIDE 24.02 25.23 (1.21) 82746 ASSAY OF FOLIC ACID SERUM 19.05 20.01 (0.96) 82747 ASSAY OF FOLIC ACID RBC 22.44 23.57 (1.13) 82759 ASSAY OF RBC GALACTOKINASE 27.84 29.24 (1.40) 82760 ASSAY OF GALACTOSE 14.5 15.24 (0.74) 82775 ASSAY GALACTOSE TRANSFERASE 27.3 28.67 (1.37) 82776 GALACTOSE TRANSFERASE TEST 10.86 11.41 (0.55) 82784 ASSAY IGA/IGD/IGG/IGM EACH 8.67 9.11 (0.44) 82785 ASSAY OF IGE 21.34 22.41 (1.07) 82787 IGG 1 2 3 OR 4 EACH 10.39 10.91 (0.52) 82800 BLOOD PH 10.96 11.51 (0.55) 82803 BLOOD GASES ANY COMBINATION 25.08 26.33 (1.25) 82805 BLOOD GASES W/O2 SATURATION 36.77 38.62 (1.85) 82810 BLOOD GASES O2 SAT ONLY 11.31 11.88 (0.57) 82820 HEMOGLOBIN-OXYGEN AFFINITY 12.29 12.91 (0.62) 82930 GASTRIC ANALY W/PH EA SPEC GASTR 6.9 7.25 (0.35) 82938 GASTRIN TEST 22.93 24.08 (1.15) 82941 ASSAY OF GASTRIN 22.85 24.00 (1.15) 82943 ASSAY OF GLUCAGON 18.51 19.44 (0.93) 82945 GLUCOSE OTHER FLUID 5.09 5.34 (0.25) 82946 GLUCAGON TOLERANCE TEST 19.53 20.51 (0.98) 82947 ASSAY GLUCOSE BLOOD QUANT 5.09 5.34 (0.25) 82948 REAGENT STRIP/BLOOD GLUCOSE 4.1 4.31 (0.21) 82950 GLUCOSE TEST 6.15 6.46 (0.31) 82951 GLUCOSE TOLERANCE TEST (GTT) 13.5 14.18 (0.68) 82952 GTT-ADDED SAMPLES 5.08 5.34 (0.26) 82955 ASSAY OF G6PD ENZYME 12.55 13.19 (0.64) 82960 TEST FOR G6PD ENZYME 7.84 8.24 (0.40) 82962 GLUCOSE BLOOD TEST 2.33 2.45 (0.12) 82963 ASSAY OF GLUCOSIDASE 27.84 29.24 (1.40) 82965 ASSAY OF GDH ENZYME 10.02 10.52 (0.50) 82977 ASSAY OF GGT 9.32 9.80 (0.48) 82978 ASSAY OF GLUTATHIONE 18.47 19.40 (0.93) 82979 ASSAY RBC GLUTATHIONE 8.93 9.38 (0.45) 82985 ASSAY OF GLYCATED PROTEIN 19.53 20.51 (0.98) 83001 ASSAY OF GONADOTROPIN (FSH) 24.08 25.29 (1.21) 83002 ASSAY OF GONADOTROPIN (LH) 23.99 25.20 (1.21) 83003 ASSAY GROWTH HORMONE (HGH) 21.62 22.70 (1.08) 83009 H PYLORI (C-13) BLOOD 87.29 91.66 (4.37) 83010 ASSAY OF HAPTOGLOBIN QUANT 16.3 17.12 (0.82) 83012 ASSAY OF HAPTOGLOBINS 22.28 23.40 (1.12) 83013 H PYLORI (C-13) BREATH 87.29 91.66 (4.37) 83014 H PYLORI DRUG ADMIN 10.19 10.70 (0.51) 83015 HEAVY METAL SCREEN 24.4 25.63 (1.23) 83018 QUANTITATIVE SCREEN METALS 28.46 29.89 (1.43) 83020 HEMOGLOBIN ELECTROPHORESIS 16.68 17.52 (0.84) 83021 HEMOGLOBIN CHROMOTOGRAPHY 23.39 24.58 (1.19) 83026 HEMOGLOBIN COPPER SULFATE 3.06 3.22 (0.16) 83030 FETAL HEMOGLOBIN CHEMICAL 10.71 11.25 (0.54) 83033 FETAL HEMOGLOBIN ASSAY QUAL 7.72 8.11 (0.39) 83036 GLYCOSYLATED HEMOGLOBIN TEST 12.57 13.21 (0.64) 83037 GLYCOSYLATED HB HOME DEVICE 12.57 13.21 (0.64) 83045 BLOOD METHEMOGLOBIN TEST 6.42 6.74 (0.32) 83050 BLOOD METHEMOGLOBIN ASSAY 9.5 9.98 (0.48) 83051 ASSAY OF PLASMA HEMOGLOBIN 9.48 9.95 (0.47) 83060 BLOOD SULFHEMOGLOBIN ASSAY 10.71 11.25 (0.54) 83065 ASSAY OF HEMOGLOBIN HEAT 8.93 9.38 (0.45) 83068 HEMOGLOBIN STABILITY SCREEN 10.96 11.51 (0.55) 83069 ASSAY OF URINE HEMOGLOBIN 5.12 5.37 (0.25) 83070 ASSAY OF HEMOSIDERIN QUAL 6.15 6.46 (0.31) 83080 ASSAY OF B HEXOSAMINIDASE 21.85 22.95 (1.10) 83088 ASSAY OF HISTAMINE 38.27 40.19 (1.92) 83090 ASSAY OF HOMOCYSTINE 21.85 22.95 (1.10) 83150 ASSAY OF HOMOVANILLIC ACID 25.08 26.33 (1.25) 83491 ASSAY OF CORTICOSTEROIDS 17 22.7 23.84 (1.14) 83497 ASSAY OF 5-HIAA 16.71 17.55 (0.84) 83498 ASSAY OF PROGESTERONE 17-D 35.21 36.97 (1.76) 83499 ASSAY OF PROGESTERONE 20- 32.68 34.31 (1.63) 83500 ASSAY FREE HYDROXYPROLINE 29.35 30.82 (1.47) 83505 ASSAY TOTAL HYDROXYPROLINE 31.51 33.09 (1.58) 83516 IMMUNOASSAY NONANTIBODY 14.95 15.70 (0.75) 83518 IMMUNOASSAY DIPSTICK 10.98 11.53 (0.55) 83519 RIA NONANTIBODY 17.5 18.39 (0.89) 83520 IMMUNOASSAY QUANT NOS NONAB 16.77 17.62 (0.85) 83525 ASSAY OF INSULIN 14.81 15.55 (0.74) 83527 ASSAY OF INSULIN 16.78 17.62 (0.84) 83528 ASSAY OF INTRINSIC FACTOR 20.61 21.65 (1.04) 83540 ASSAY OF IRON 7.38 7.75 (0.37) 83550 IRON BINDING TEST 9.07 9.53 (0.46) 83570 ASSAY OF IDH ENZYME 11.46 12.04 (0.58) 83582 ASSAY OF KETOGENIC STEROIDS 18.37 19.28 (0.91) 83586 ASSAY 17- KETOSTEROIDS 16.59 17.43 (0.84) 83593 FRACTIONATION KETOSTEROIDS 34.08 35.79 (1.71) 83605 ASSAY OF LACTIC ACID 13.84 14.53 (0.69) 83615 LACTATE (LD) (LDH) ENZYME 7.81 8.21 (0.40) 83625 ASSAY OF LDH ENZYMES 16.58 17.42 (0.84) 83630 LACTOFERRIN FECAL (QUAL) 25.44 26.71 (1.27) 83631 LACTOFERRIN FECAL (QUANT) 25.44 26.71 (1.27) 83632 PLACENTAL LACTOGEN 26.2 27.51 (1.31) 83633 TEST URINE FOR LACTOSE 7.12 7.48 (0.36) 83655 ASSAY OF LEAD 15.69 16.47 (0.78) 83661 L/S RATIO FETAL LUNG 28.49 29.92 (1.43) 83662 FOAM STABILITY FETAL LUNG 24.51 25.74 (1.23) 83663 FLUORO POLARIZE FETAL LUNG 24.51 25.74 (1.23) 83664 LAMELLAR BDY FETAL LUNG 24.51 25.74 (1.23) 83670 ASSAY OF LAP ENZYME 11.86 12.47 (0.61) 83690 ASSAY OF LIPASE 8.93 9.38 (0.45) 83695 ASSAY OF LIPOPROTEIN(A) 16.77 17.62 (0.85) 83698 ASSAY LIPOPROTEIN PLA2 43.99 46.19 (2.20) 83700 LIPOPRO BLD ELECTROPHORETIC 14.59 15.32 (0.73) 83701 LIPOPROTEIN BLD HR FRACTION 32.16 33.78 (1.62) 83704 LIPOPROTEIN BLD BY NMR 40.88 42.93 (2.05) 83718 ASSAY OF LIPOPROTEIN 10.61 11.14 (0.53) 83719 ASSAY OF BLOOD LIPOPROTEIN 15.07 15.84 (0.77) 83721 ASSAY OF BLOOD LIPOPROTEIN 12.36 12.99 (0.63) 83727 ASSAY OF LRH HORMONE 22.28 23.40 (1.12) 83735 ASSAY OF MAGNESIUM 8.68 9.11 (0.43) 83775 ASSAY MALATE DEHYDROGENASE 9.55 10.03 (0.48) 83785 ASSAY OF MANGANESE 31.87 33.47 (1.60) 83789 MASS SPECTROMETRY QUAL/QUAN 23.39 24.58 (1.19) 83825 ASSAY OF MERCURY 21.07 22.12 (1.05) 83835 ASSAY OF METANEPHRINES 21.95 23.05 (1.10) 83857 ASSAY OF METHEMALBUMIN 13.91 14.62 (0.71) 83861 MICROFLUID ANALY TEARS MICRO 21.41 22.48 (1.07) 83864 MUCOPOLYSACCHARIDES 25.81 27.10 (1.29) 83872 ASSAY SYNOVIAL FLUID MUCIN 7.59 7.97 (0.38) 83873 ASSAY OF CSF PROTEIN 22.29 23.41 (1.12) 83874 ASSAY OF MYOGLOBIN 16.73 17.58 (0.85) 83876 ASSAY MYELOPEROXIDASE 43.99 46.19 (2.20) 83880 ASSAY OF NATRIURETIC PEPTIDE 43.99 46.19 (2.20) 83883 ASSAY NEPHELOMETRY NOT SPEC 17.61 18.50 (0.89) 83885 ASSAY OF NICKEL 31.75 33.34 (1.59) 83915 ASSAY OF NUCLEOTIDASE 14.44 15.18 (0.74) 83916 OLIGOCLONAL BANDS 26.05 27.37 (1.32) 83918 ORGANIC ACIDS TOTAL QUANT 21.32 22.39 (1.07) 83919 ORGANIC ACIDS QUAL EACH 21.32 22.39 (1.07) 83921 ORGANIC ACID SINGLE QUANT 21.32 22.39 (1.07) 83930 ASSAY OF BLOOD OSMOLALITY 8.56 9.00 (0.44) 83935 ASSAY OF URINE OSMOLALITY 8.83 9.28 (0.45) 83937 ASSAY OF OSTEOCALCIN 38.68 40.62 (1.94) 83945 ASSAY OF OXALATE 16.68 17.52 (0.84) 83950 ONCOPROTEIN HER-2/NEU 48.15 50.56 (2.41) 83951 ONCOPROTEIN DCP 48.15 50.56 (2.41) 83970 ASSAY OF PARATHORMONE 53.49 56.17 (2.68) 83986 ASSAY PH BODY FLUID NOS 4.63 4.87 (0.24) 83992 ASSAY FOR PHENCYCLIDINE 16.53 17.36 (0.83) 83993 Assay for calprotectin fecal 25.44 26.71 (1.27) 84030 ASSAY OF BLOOD PKU 7.12 7.48 (0.36) 84035 ASSAY OF PHENYLKETONES 4.75 4.98 (0.23) 84060 ASSAY ACID PHOSPHATASE 9.57 10.05 (0.48) 84061 PHOSPHATASE FORENSIC EXAM 10.25 10.76 (0.51) 84066 ASSAY PROSTATE PHOSPHATASE 12.52 13.15 (0.63) 84075 ASSAY ALKALINE PHOSPHATASE 6.7 7.04 (0.34) 84078 ASSAY ALKALINE PHOSPHATASE 8.67 9.11 (0.44) 84080 ASSAY ALKALINE PHOSPHATASES 19.16 20.12 (0.96) 84081 ASSAY PHOSPHATIDYLGLYCEROL 21.41 22.48 (1.07) 84085 ASSAY OF RBC PG6D ENZYME 8.74 9.18 (0.44) 84087 ASSAY PHOSPHOHEXOSE ENZYMES 13.38 14.05 (0.67) 84100 ASSAY OF PHOSPHORUS 6.13 6.45 (0.32) 84105 ASSAY OF URINE PHOSPHORUS 6.7 7.04 (0.34) 84106 TEST FOR PORPHOBILINOGEN 5.54 5.82 (0.28) 84110 ASSAY OF PORPHOBILINOGEN 10.93 11.48 (0.55) 84112 EVAL AMNIOTIC FLUID PROTEIN 48.15 50.56 (2.41) 84119 TEST URINE FOR PORPHYRINS 11.16 11.72 (0.56) 84120 ASSAY OF URINE PORPHYRINS 19.06 20.02 (0.96) 84126 ASSAY OF FECES PORPHYRINS 33.01 34.66 (1.65) 84132 ASSAY OF SERUM POTASSIUM 5.95 6.26 (0.31) 84133 ASSAY OF URINE POTASSIUM 5.57 5.85 (0.28) 84134 ASSAY OF PREALBUMIN 18.89 19.84 (0.95) 84135 ASSAY OF PREGNANEDIOL 24.79 26.03 (1.24) 84138 ASSAY OF PREGNANETRIOL 24.53 25.77 (1.24) 84140 ASSAY OF PREGNENOLONE 26.79 28.13 (1.34) 84143 ASSAY OF 17-HYDROXYPREGNENO 29.57 31.05 (1.48) 84144 ASSAY OF PROGESTERONE 27.03 28.39 (1.36) 84146 ASSAY OF PROLACTIN 25.11 26.37 (1.26) 84150 ASSAY OF PROSTAGLANDIN 32.34 33.96 (1.62) 84152 ASSAY OF PSA COMPLEXED 23.83 25.03 (1.20) 84153 ASSAY OF PSA TOTAL 23.83 25.03 (1.20) 84154 ASSAY OF PSA FREE 23.83 25.03 (1.20) 84155 ASSAY OF PROTEIN SERUM 4.75 4.99 (0.24) 84156 ASSAY OF PROTEIN URINE 4.75 4.99 (0.24) 84157 ASSAY OF PROTEIN OTHER 4.75 4.99 (0.24) 84160 ASSAY OF PROTEIN ANY SOURCE 6.7 7.04 (0.34) 84163 PAPPA SERUM 18.2 19.11 (0.91) 84165 PROTEIN E-PHORESIS SERUM 13.91 14.61 (0.70) 84166 PROTEIN E-PHORESIS/URINE/CSF 23.11 24.27 (1.16) 84181 WESTERN BLOT TEST 22.07 23.18 (1.11) 84182 PROTEIN WESTERN BLOT TEST 23.32 24.49 (1.17) 84202 ASSAY RBC PROTOPORPHYRIN 18.59 19.52 (0.93) 84203 TEST RBC PROTOPORPHYRIN 11.15 11.71 (0.56) 84206 ASSAY OF PROINSULIN 23.08 24.24 (1.16) 84207 ASSAY OF VITAMIN B-6 36.41 38.24 (1.83) 84210 ASSAY OF PYRUVATE 14.06 14.77 (0.71) 84220 ASSAY OF PYRUVATE KINASE 12.23 12.85 (0.62) 84228 ASSAY OF QUININE 15.07 15.84 (0.77) 84233 ASSAY OF ESTROGEN 48.15 50.56 (2.41) 84234 ASSAY OF PROGESTERONE 40.6 42.63 (2.03) 84235 ASSAY OF ENDOCRINE HORMONE 67.83 71.23 (3.40) 84238 ASSAY NONENDOCRINE RECEPTOR 47.39 49.77 (2.38) 84244 ASSAY OF RENIN 28.5 29.93 (1.43) 84252 ASSAY OF VITAMIN B-2 26.22 27.54 (1.32) 84255 ASSAY OF SELENIUM 33.08 34.74 (1.66) 84260 ASSAY OF SEROTONIN 40.14 42.16 (2.02) 84270 ASSAY OF SEX HORMONE GLOBUL 28.16 29.58 (1.42) 84275 ASSAY OF SIALIC ACID 17.41 18.29 (0.88) 84285 ASSAY OF SILICA 30.51 32.04 (1.53) 84295 ASSAY OF SERUM SODIUM 6.23 6.55 (0.32) 84300 ASSAY OF URINE SODIUM 6.3 6.62 (0.32) 84302 ASSAY OF SWEAT SODIUM 6.3 6.62 (0.32) 84305 ASSAY OF SOMATOMEDIN 27.55 28.93 (1.38) 84307 ASSAY OF SOMATOSTATIN 23.69 24.88 (1.19) 84311 SPECTROPHOTOMETRY 9.06 9.52 (0.46) 84315 BODY FLUID SPECIFIC GRAVITY 3.25 3.42 (0.17) 84375 CHROMATOGRAM ASSAY SUGARS 25.41 26.68 (1.27) 84376 SUGARS SINGLE QUAL 7.12 7.48 (0.36) 84377 SUGARS MULTIPLE QUAL 7.12 7.48 (0.36) 84378 SUGARS SINGLE QUANT 14.94 15.69 (0.75) 84379 SUGARS MULTIPLE QUANT 14.94 15.69 (0.75) 84392 ASSAY OF URINE SULFATE 6.15 6.46 (0.31) 84402 ASSAY OF FREE TESTOSTERONE 33 34.65 (1.65) 84403 ASSAY OF TOTAL TESTOSTERONE 33.45 35.13 (1.68) 84425 ASSAY OF VITAMIN B-1 27.51 28.89 (1.38) 84430 ASSAY OF THIOCYANATE 15.07 15.84 (0.77) 84432 ASSAY OF THYROGLOBULIN 20.81 21.86 (1.05) 84436 ASSAY OF TOTAL THYROXINE 8.9 9.35 (0.45) 84437 ASSAY OF NEONATAL THYROXINE 8.38 8.81 (0.43) 84439 ASSAY OF FREE THYROXINE 11.68 12.27 (0.59) 84442 ASSAY OF THYROID ACTIVITY 19.16 20.12 (0.96) 84443 ASSAY THYROID STIM HORMONE 21.78 22.87 (1.09) 84445 ASSAY OF TSI GLOBULIN 65.91 69.20 (3.29) 84446 ASSAY OF VITAMIN E 18.37 19.29 (0.92) 84449 ASSAY OF TRANSCORTIN 23.32 24.49 (1.17) 84450 TRANSFERASE (AST) (SGOT) 6.7 7.04 (0.34) 84460 ALANINE AMINO (ALT) (SGPT) 6.85 7.21 (0.36) 84466 ASSAY OF TRANSFERRIN 16.54 17.38 (0.84) 84478 ASSAY OF TRIGLYCERIDES 7.44 7.82 (0.38) 84479 ASSAY OF THYROID (T3 OR T4) 8.38 8.81 (0.43) 84480 ASSAY TRIIODOTHYRONINE (T3) 18.37 19.29 (0.92) 84481 FREE ASSAY (FT-3) 21.95 23.05 (1.10) 84482 T3 REVERSE 20.42 21.45 (1.03) 84484 ASSAY OF TROPONIN QUANT 12.74 13.39 (0.65) 84485 ASSAY DUODENAL FLUID TRYPSIN 9.73 10.23 (0.50) 84488 TEST FECES FOR TRYPSIN 9.46 9.94 (0.48) 84490 ASSAY OF FECES FOR TRYPSIN 9.85 10.35 (0.50) 84510 ASSAY OF TYROSINE 13.48 14.16 (0.68) 84512 ASSAY OF TROPONIN QUAL 9.98 10.48 (0.50) 84520 ASSAY OF UREA NITROGEN 5.12 5.37 (0.25) 84525 UREA NITROGEN SEMI-QUANT 4.88 5.12 (0.24) 84540 ASSAY OF URINE/UREA-N 6.15 6.46 (0.31) 84545 UREA-N CLEARANCE TEST 8.55 8.99 (0.44) 84550 ASSAY OF BLOOD/URIC ACID 5.85 6.15 (0.30) 84560 ASSAY OF URINE/URIC ACID 6.15 6.46 (0.31) 84577 ASSAY OF FECES/UROBILINOGEN 16.17 16.98 (0.81) 84578 TEST URINE UROBILINOGEN 4.2 4.43 (0.23) 84580 ASSAY OF URINE UROBILINOGEN 9.19 9.66 (0.47) 84583 ASSAY OF URINE UROBILINOGEN 6.51 6.85 (0.34) 84585 ASSAY OF URINE VMA 20.08 21.09 (1.01) 84586 ASSAY OF VIP 45.79 48.09 (2.30) 84588 ASSAY OF VASOPRESSIN 43.99 46.19 (2.20) 84590 ASSAY OF VITAMIN A 15.03 15.79 (0.76) 84591 ASSAY OF NOS VITAMIN 15.03 15.79 (0.76) 84597 ASSAY OF VITAMIN K 17.77 18.66 (0.89) 84600 ASSAY OF VOLATILES 20.83 21.88 (1.05) 84620 XYLOSE TOLERANCE TEST 15.35 16.12 (0.77) 84630 ASSAY OF ZINC 14.75 15.50 (0.75) 84681 ASSAY OF C-PEPTIDE 26.97 28.32 (1.35) 84702 CHORIONIC GONADOTROPIN TEST 18.2 19.11 (0.91) 84703 CHORIONIC GONADOTROPIN ASSAY 9.74 10.23 (0.49) 84704 HCG FREE BETACHAIN TEST 18.2 19.11 (0.91) 84830 OVULATION TESTS 12.99 13.65 (0.66) 85002 BLEEDING TIME TEST 5.84 6.13 (0.29) 85004 AUTOMATED DIFF WBC COUNT 8.38 8.81 (0.43) 85007 BL SMEAR W/DIFF WBC COUNT 4.45 4.68 (0.23) 85008 BL SMEAR W/O DIFF WBC COUNT 4.45 4.68 (0.23) 85009 MANUAL DIFF WBC COUNT B-COAT 4.82 5.06 (0.24) 85013 SPUN MICROHEMATOCRIT 3.06 3.23 (0.17) 85014 HEMATOCRIT 3.06 3.23 (0.17) 85018 HEMOGLOBIN 3.06 3.23 (0.17) 85025 COMPLETE CBC W/AUTO DIFF WBC 10.07 10.58 (0.51) 85027 COMPLETE CBC AUTOMATED 8.38 8.81 (0.43) 85032 MANUAL CELL COUNT EACH 5.57 5.85 (0.28) 85041 AUTOMATED RBC COUNT 3.9 4.11 (0.21) 85044 MANUAL RETICULOCYTE COUNT 5.57 5.85 (0.28) 85045 AUTOMATED RETICULOCYTE COUNT 5.17 5.44 (0.27) 85046 RETICYTE/HGB CONCENTRATE 7.22 7.59 (0.37) 85048 AUTOMATED LEUKOCYTE COUNT 3.28 3.46 (0.18) 85049 AUTOMATED PLATELET COUNT 5.8 6.09 (0.29) 85055 RETICULATED PLATELET ASSAY 23.45 24.63 (1.18) 85130 CHROMOGENIC SUBSTRATE ASSAY 15.4 16.18 (0.78) 85170 BLOOD CLOT RETRACTION 4.69 4.92 (0.23) 85175 BLOOD CLOT LYSIS TIME 5.89 6.19 (0.30) 85210 CLOT FACTOR II PROTHROM SPEC 16.83 17.67 (0.84) 85220 BLOOC CLOT FACTOR V TEST 22.86 24.01 (1.15) 85230 CLOT FACTOR VII PROCONVERTIN 23.2 24.37 (1.17) 85240 CLOT FACTOR VIII AHG 1 STAGE 23.2 24.37 (1.17) 85244 CLOT FACTOR VIII RELTD ANTGN 26.45 27.79 (1.34) 85245 CLOT FACTOR VIII VW RISTOCTN 29.73 31.22 (1.49) 85246 CLOT FACTOR VIII VW ANTIGEN 29.73 31.22 (1.49) 85247 CLOT FACTOR VIII MULTIMETRIC 29.73 31.22 (1.49) 85250 CLOT FACTOR IX PTC/CHRSTMAS 24.67 25.91 (1.24) 85260 CLOT FACTOR X STUART-POWER 23.2 24.37 (1.17) 85270 CLOT FACTOR XI PTA 23.2 24.37 (1.17) 85280 CLOT FACTOR XII HAGEMAN 25.08 26.33 (1.25) 85290 CLOT FACTOR XIII FIBRIN STAB 21.18 22.24 (1.06) 85291 CLOT FACTOR XIII FIBRIN SCRN 11.53 12.11 (0.58) 85292 CLOT FACTOR FLETCHER FACT 24.54 25.77 (1.23) 85293 CLOT FACTOR WGHT KININOGEN 24.54 25.77 (1.23) 85300 ANTITHROMBIN III ACTIVITY 15.36 16.13 (0.77) 85301 ANTITHROMBIN III ANTIGEN 14.01 14.71 (0.70) 85302 CLOT INHIBIT PROT C ANTIGEN 15.58 16.35 (0.77) 85303 CLOT INHIBIT PROT C ACTIVITY 17.92 18.82 (0.90) 85305 CLOT INHIBIT PROT S TOTAL 15.03 15.79 (0.76) 85306 CLOT INHIBIT PROT S FREE 19.86 20.85 (0.99) 85307 ASSAY ACTIVATED PROTEIN C 19.86 20.85 (0.99) 85335 FACTOR INHIBITOR TEST 16.68 17.52 (0.84) 85337 THROMBOMODULIN 9.16 9.63 (0.47) 85345 COAGULATION TIME LEE & WHITE 5.57 5.85 (0.28) 85347 COAGULATION TIME ACTIVATED 5.51 5.79 (0.28) 85348 COAGULATION TIME OTR METHOD 4.82 5.07 (0.25) 85360 EUGLOBULIN LYSIS 10.88 11.43 (0.55) 85362 FIBRIN DEGRADATION PRODUCTS 7.36 7.73 (0.37) 85366 FIBRINOGEN TEST 10.86 11.41 (0.55) 85370 FIBRINOGEN TEST 14.71 15.45 (0.74) 85378 FIBRIN DEGRADE SEMIQUANT 9.24 9.71 (0.47) 85379 FIBRIN DEGRADATION QUANT 13.19 13.85 (0.66) 85384 FIBRINOGEN ACTIVITY 11 11.56 (0.56) 85385 FIBRINOGEN ANTIGEN 11 11.56 (0.56) 85390 FIBRINOLYSINS SCREEN I&R 6.69 7.04 (0.35) 85397 CLOTTING FUNCT ACTIVITY 29.73 31.22 (1.49) 85400 FIBRINOLYTIC PLASMIN 11.46 12.04 (0.58) 85410 FIBRINOLYTIC ANTIPLASMIN 9.99 10.49 (0.50) 85415 FIBRINOLYTIC PLASMINOGEN 22.28 23.40 (1.12) 85420 FIBRINOLYTIC PLASMINOGEN 8.47 8.89 (0.42) 85421 FIBRINOLYTIC PLASMINOGEN 13.2 13.86 (0.66) 85441 HEINZ BODIES DIRECT 5.45 5.72 (0.27) 85445 HEINZ BODIES INDUCED 8.83 9.28 (0.45) 85460 HEMOGLOBIN FETAL 10.03 10.53 (0.50) 85461 HEMOGLOBIN FETAL 8.59 9.03 (0.44) 85475 HEMOLYSIN ACID 11.5 12.08 (0.58) 85520 HEPARIN ASSAY 16.96 17.82 (0.86) 85525 HEPARIN NEUTRALIZATION 15.35 16.12 (0.77) 85530 HEPARIN-PROTAMINE TOLERANCE 18.37 19.29 (0.92) 85536 IRON STAIN PERIPHERAL BLOOD 8.38 8.81 (0.43) 85540 WBC ALKALINE PHOSPHATASE 11.15 11.71 (0.56) 85547 RBC MECHANICAL FRAGILITY 11.15 11.71 (0.56) 85549 MURAMIDASE 24.31 25.52 (1.21) 85555 RBC OSMOTIC FRAGILITY 8.66 9.09 (0.43) 85557 RBC OSMOTIC FRAGILITY 17.31 18.18 (0.87) 85576 BLOOD PLATELET AGGREGATION 27.84 29.24 (1.40) 85597 PHOSPHOLIPID PLTLT NEUTRALIZ 23.29 24.46 (1.17) 85598 HEXAGNAL PHOSPH PLTLT NEUTRL PHOSP 23.29 24.46 (1.17) 85610 PROTHROMBIN TIME 5.1 5.35 (0.25) 85611 PROTHROMBIN TEST 5.11 5.36 (0.25) 85612 VIPER VENOM PROTHROMBIN TIME 12.4 13.03 (0.63) 85613 RUSSELL VIPER VENOM DILUTED 12.4 13.03 (0.63) 85635 REPTILASE TEST 12.75 13.39 (0.64) 85651 RBC SED RATE NONAUTOMATED 4.59 4.82 (0.23) 85652 RBC SED RATE AUTOMATED 3.5 3.68 (0.18) 85660 RBC SICKLE CELL TEST 7.15 7.50 (0.35) 85670 THROMBIN TIME PLASMA 7.47 7.85 (0.38) 85675 THROMBIN TIME TITER 8.87 9.32 (0.45) 85705 THROMBOPLASTIN INHIBITION 12.47 13.10 (0.63) 85730 THROMBOPLASTIN TIME PARTIAL 7.78 8.17 (0.39) 85732 THROMBOPLASTIN TIME PARTIAL 8.38 8.81 (0.43) 85810 BLOOD VISCOSITY EXAMINATION 15.12 15.89 (0.77) 86000 AGGLUTININS FEBRILE ANTIGEN 9.04 9.50 (0.46) 86001 ALLERGEN SPECIFIC IGG 6.76 7.10 (0.34) 86003 ALLERGEN SPECIFIC IGE 6.76 7.10 (0.34) 86005 ALLERGEN SPECIFIC IGE 10.33 10.85 (0.52) 86021 WBC ANTIBODY IDENTIFICATION 14.69 15.43 (0.74) 86022 PLATELET ANTIBODIES 23.8 25.00 (1.20) 86023 IMMUNOGLOBULIN ASSAY 10.26 10.77 (0.51) 86038 ANTINUCLEAR ANTIBODIES 15.66 16.45 (0.79) 86039 ANTINUCLEAR ANTIBODIES (ANA) 14.46 15.19 (0.73) 86060 ANTISTREPTOLYSIN O TITER 9.46 9.94 (0.48) 86063 ANTISTREPTOLYSIN O SCREEN 7.47 7.85 (0.38) 86140 C-REACTIVE PROTEIN 6.7 7.04 (0.34) 86141 C-REACTIVE PROTEIN HS 16.77 17.62 (0.85) 86146 BETA-2 GLYCOPROTEIN ANTIBODY 32.97 34.62 (1.65) 86147 CARDIOLIPIN ANTIBODY EA IG 32.97 34.62 (1.65) 86148 ANTI-PHOSPHOLIPID ANTIBODY 20.82 21.87 (1.05) 86155 CHEMOTAXIS ASSAY 20.71 21.76 (1.05) 86156 COLD AGGLUTININ SCREEN 8.68 9.12 (0.44) 86157 COLD AGGLUTININ TITER 10.45 10.97 (0.52) 86160 COMPLEMENT ANTIGEN 15.56 16.33 (0.77) 86161 COMPLEMENT/FUNCTION ACTIVITY 15.56 16.33 (0.77) 86162 COMPLEMENT TOTAL (CH50) 26.33 27.65 (1.32) 86171 COMPLEMENT FIXATION EACH 12.97 13.62 (0.65) 86185 COUNTERIMMUNOELECTROPHORESIS 11.59 12.17 (0.58) 86200 CCP ANTIBODY 16.77 17.62 (0.85) 86215 DEOXYRIBONUCLEASE ANTIBODY 17.17 18.03 (0.86) 86225 DNA ANTIBODY NATIVE 17.8 18.69 (0.89) 86226 DNA ANTIBODY SINGLE STRAND 15.69 16.48 (0.79) 86235 NUCLEAR ANTIGEN ANTIBODY 21.69 22.78 (1.09) 86243 FC RECEPTOR 26.59 27.92 (1.33) 86255 FLUORESCENT ANTIBODY SCREEN 15.61 16.40 (0.79) 86256 FLUORESCENT ANTIBODY TITER 15.61 16.40 (0.79) 86277 GROWTH HORMONE ANTIBODY 20.39 21.42 (1.03) 86280 HEMAGGLUTINATION INHIBITION 10.61 11.14 (0.53) 86294 IMMUNOASSAY TUMOR QUAL 25.43 26.70 (1.27) 86300 IMMUNOASSAY TUMOR CA 15-3 26.97 28.32 (1.35) 86301 IMMUNOASSAY TUMOR CA 19-9 26.97 28.32 (1.35) 86304 IMMUNOASSAY TUMOR CA 125 26.97 28.32 (1.35) 86308 HETEROPHILE ANTIBODY SCREEN 6.7 7.04 (0.34) 86309 HETEROPHILE ANTIBODY TITER 8.38 8.81 (0.43) 86310 HETEROPHILE ANTIBODY ABSRBJ 9.55 10.03 (0.48) 86316 IMMUNOASSAY TUMOR OTHER 26.97 28.32 (1.35) 86317 IMMUNOASSAY INFECTIOUS AGENT 19.42 20.40 (0.98) 86318 IMMUNOASSAY INFECTIOUS AGENT 16.77 17.62 (0.85) 86320 SERUM IMMUNOELECTROPHORESIS 29.05 30.50 (1.45) 86325 OTHER IMMUNOELECTROPHORESIS 28.98 30.44 (1.46) 86327 IMMUNOELECTROPHORESIS ASSAY 29.4 30.88 (1.48) 86329 IMMUNODIFFUSION NES 18.19 19.11 (0.92) 86331 IMMUNODIFFUSION OUCHTERLONY 15.53 16.30 (0.77) 86332 IMMUNE COMPLEX ASSAY 31.58 33.17 (1.59) 86334 IMMUNOFIX E-PHORESIS SERUM 28.95 30.41 (1.46) 86335 IMMUNFIX E-PHORSIS/URINE/CSF 38.03 39.94 (1.91) 86336 INHIBIN A 16.78 17.63 (0.85) 86337 INSULIN ANTIBODIES 27.74 29.13 (1.39) 86340 INTRINSIC FACTOR ANTIBODY 19.53 20.51 (0.98) 86341 ISLET CELL ANTIBODY 25.64 26.92 (1.28) 86343 LEUKOCYTE HISTAMINE RELEASE 16.15 16.96 (0.81) 86344 LEUKOCYTE PHAGOCYTOSIS 10.35 10.87 (0.52) 86353 LYMPHOCYTE TRANSFORMATION 63.54 66.72 (3.18) 86355 B CELLS TOTAL COUNT 48.88 51.34 (2.46) 86356 Mononuclear cell antigen 23.45 24.63 (1.18) 86357 NK CELLS TOTAL COUNT 48.88 51.34 (2.46) 86359 T CELLS TOTAL COUNT 48.88 51.34 (2.46) 86360 T CELL ABSOLUTE COUNT/RATIO 60.89 63.94 (3.05) 86361 T CELL ABSOLUTE COUNT 23.45 24.63 (1.18) 86367 STEM CELLS TOTAL COUNT 48.88 51.34 (2.46) 86376 MICROSOMAL ANTIBODY EACH 18.85 19.80 (0.95) 86378 MIGRATION INHIBITORY FACTOR 25.51 26.80 (1.29) 86382 NEUTRALIZATION TEST VIRAL 21.91 23.01 (1.10) 86384 NITROBLUE TETRAZOLIUM DYE 14.75 15.50 (0.75) 86403 PARTICLE AGGLUT ANTBDY SCRN 13.2 13.87 (0.67) 86406 PARTICLE AGGLUT ANTBDY TITR 13.78 14.47 (0.69) 86430 RHEUMATOID FACTOR TEST QUAL 7.35 7.72 (0.37) 86431 RHEUMATOID FACTOR QUANT 7.35 7.72 (0.37) 86480 TB TEST CELL IMMUN MEASURE 80.33 84.35 (4.02) 86481 TB AG RESPONSE T-CELL SUSP TUBER 97.1 101.96 (4.86) 86590 STREPTOKINASE ANTIBODY 14.31 15.03 (0.72) 86592 SYPHILIS TEST NON-TREP QUAL 5.52 5.81 (0.29) 86593 SYPHILIS TEST NON-TREP QUANT 5.7 5.99 (0.29) 86602 ANTINOMYCES ANTIBODY 13.19 13.85 (0.66) 86603 ADENOVIRUS ANTIBODY 16.67 17.51 (0.84) 86606 ASPERGILLUS ANTIBODY 19.51 20.49 (0.98) 86609 BACTERIUM ANTIBODY 16.7 17.53 (0.83) 86611 BARTONELLA ANTIBODY 13.19 13.85 (0.66) 86612 BLASTOMYCES ANTIBODY 16.72 17.56 (0.84) 86615 BORDETELLA ANTIBODY 17.1 17.95 (0.85) 86617 LYME DISEASE ANTIBODY 20.07 21.08 (1.01) 86618 LYME DISEASE ANTIBODY 22.07 23.18 (1.11) 86619 BORRELIA ANTIBODY 17.33 18.21 (0.88) 86622 BRUCELLA ANTIBODY 11.58 12.16 (0.58) 86625 CAMPYLOBACTER ANTIBODY 17 17.86 (0.86) 86628 CANDIDA ANTIBODY 15.56 16.34 (0.78) 86631 CHLAMYDIA ANTIBODY 15.32 16.09 (0.77) 86632 CHLAMYDIA IGM ANTIBODY 16.44 17.27 (0.83) 86635 COCCIDIOIDES ANTIBODY 14.86 15.61 (0.75) 86638 Q FEVER ANTIBODY 15.71 16.50 (0.79) 86641 CRYPTOCOCCUS ANTIBODY 18.67 19.61 (0.94) 86644 CMV ANTIBODY 18.65 19.58 (0.93) 86645 CMV ANTIBODY IGM 21.83 22.93 (1.10) 86648 DIPHTHERIA ANTIBODY 19.71 20.69 (0.98) 86651 ENCEPHALITIS CALIFORN ANTBDY 17.1 17.95 (0.85) 86652 ENCEPHALTIS EAST EQNE ANBDY 17.1 17.95 (0.85) 86653 ENCEPHALTIS ST LOUIS ANTBODY 17.1 17.95 (0.85) 86654 ENCEPHALTIS WEST EQNE ANTBDY 17.1 17.95 (0.85) 86658 ENTEROVIRUS ANTIBODY 16.88 17.73 (0.85) 86663 EPSTEIN-BARR ANTIBODY 17 17.86 (0.86) 86664 EPSTEIN-BARR NUCLEAR ANTIGEN 19.82 20.82 (1.00) 86665 EPSTEIN-BARR CAPSID VCA 23.51 24.69 (1.18) 86666 EHRLICHIA ANTIBODY 13.19 13.85 (0.66) 86668 FRANCISELLA TULARENSIS 13.48 14.16 (0.68) 86671 FUNGUS NES ANTIBODY 15.88 16.68 (0.80) 86674 GIARDIA LAMBLIA ANTIBODY 19.07 20.03 (0.96) 86677 HELICOBACTER PYLORI ANTIBODY 18.81 19.74 (0.93) 86682 HELMINTH ANTIBODY 16.86 17.70 (0.84) 86684 HEMOPHILUS INFLUENZA ANTIBDY 20.52 21.56 (1.04) 86687 HTLV-I ANTIBODY 10.87 11.42 (0.55) 86688 HTLV-II ANTIBODY 18.15 19.06 (0.91) 86689 HTLV/HIV CONFIRMJ ANTIBODY 25.08 26.34 (1.26) 86692 HEPATITIS DELTA AGENT ANTBDY 22.23 23.35 (1.12) 86694 HERPES SIMPLEX NES ANTBDY 18.65 19.58 (0.93) 86695 HERPES SIMPLEX TYPE 1 TEST 17.1 17.95 (0.85) 86696 HERPES SIMPLEX TYPE 2 TEST 25.08 26.34 (1.26) 86698 HISTOPLASMA ANTIBODY 16.19 17.01 (0.82) 86701 HIV-1ANTIBODY 11.51 12.09 (0.58) 86702 HIV-2 ANTIBODY 17.51 18.39 (0.88) 86703 HIV-1/HIV-2 1 RESULT ANTBDY 17.76 18.66 (0.90) 86704 HEP B CORE ANTIBODY TOTAL 15.61 16.40 (0.79) 86705 HEP B CORE ANTIBODY IGM 15.26 16.03 (0.77) 86706 HEP B SURFACE ANTIBODY 13.91 14.62 (0.71) 86707 HEPATITIS BE ANTIBODY 14.99 15.75 (0.76) 86708 HEPATITIS A ANTIBODY 16.05 16.86 (0.81) 86709 HEPATITIS A IGM ANTIBODY 14.59 15.32 (0.73) 86710 INFLUENZA VIRUS ANTIBODY 17.56 18.44 (0.88) 86713 LEGIONELLA ANTIBODY 19.83 20.82 (0.99) 86717 LEISHMANIA ANTIBODY 15.87 16.67 (0.80) 86720 LEPTOSPIRA ANTIBODY 17.1 17.95 (0.85) 86723 LISTERIA MONOCYTOGENES 17.1 17.95 (0.85) 86727 LYMPH CHORIOMENINGITIS AB 16.67 17.51 (0.84) 86729 LYMPHO VENEREUM ANTIBODY 15.48 16.26 (0.78) 86732 MUCORMYCOSIS ANTIBODY 17.1 17.95 (0.85) 86735 MUMPS ANTIBODY 16.91 17.76 (0.85) 86738 MYCOPLASMA ANTIBODY 17.16 18.02 (0.86) 86741 NEISSERIA MENINGITIDIS 17.1 17.95 (0.85) 86744 NOCARDIA ANTIBODY 17.1 17.95 (0.85) 86747 PARVOVIRUS ANTIBODY 19.48 20.46 (0.98) 86750 MALARIA ANTIBODY 17.1 17.95 (0.85) 86753 PROTOZOA ANTIBODY NOS 16.05 16.86 (0.81) 86756 RESPIRATORY VIRUS ANTIBODY 16.7 17.54 (0.84) 86757 RICKETTSIA ANTIBODY 25.08 26.34 (1.26) 86759 ROTAVIRUS ANTIBODY 17.1 17.95 (0.85) 86762 RUBELLA ANTIBODY 18.65 19.58 (0.93) 86765 RUBEOLA ANTIBODY 16.7 17.53 (0.83) 86768 SALMONELLA ANTIBODY 17.1 17.95 (0.85) 86771 SHIGELLA ANTIBODY 17.1 17.95 (0.85) 86774 TETANUS ANTIBODY 19.18 20.14 (0.96) 86777 TOXOPLASMA ANTIBODY 18.65 19.58 (0.93) 86778 TOXOPLASMA ANTIBODY IGM 18.66 19.60 (0.94) 86784 TRICHINELLA ANTIBODY 16.28 17.09 (0.81) 86787 VARICELLA-ZOSTER ANTIBODY 16.7 17.53 (0.83) 86788 WEST NILE VIRUS AB IGM 21.83 22.93 (1.10) 86789 WEST NILE VIRUS ANTIBODY 18.65 19.58 (0.93) 86790 VIRUS ANTIBODY NOS 16.7 17.53 (0.83) 86793 YERSINIA ANTIBODY 17.1 17.95 (0.85) 86800 THYROGLOBULIN ANTIBODY 20.61 21.65 (1.04) 86803 HEPATITIS C AB TEST 18.49 19.42 (0.93) 86804 HEP C AB TEST CONFIRM 20.07 21.08 (1.01) 86805 LYMPHOCYTOTOXICITY ASSAY 67.77 71.16 (3.39) 86806 LYMPHOCYTOTOXICITY ASSAY 61.68 64.76 (3.08) 86807 CYTOTOXIC ANTIBODY SCREENING 33.15 34.81 (1.66) 86808 CYTOTOXIC ANTIBODY SCREENING 33.15 34.81 (1.66) 86812 HLA TYPING A B OR C 33.44 35.12 (1.68) 86813 HLA TYPING A B OR C 54.25 56.97 (2.72) 86816 HLA TYPING DR/DQ 36.1 37.91 (1.81) 86817 HLA TYPING DR/DQ 54.25 56.97 (2.72) 86821 LYMPHOCYTE CULTURE MIXED 54.25 56.97 (2.72) 86822 LYMPHOCYTE CULTURE PRIMED 47.38 49.75 (2.37) 86880 COOMBS TEST DIRECT 6.97 7.33 (0.36) 86885 COOMBS TEST INDIRECT QUAL 7.41 7.79 (0.38) 86886 COOMBS TEST INDIRECT TITER 6.7 7.04 (0.34) 86900 BLOOD TYPING SEROLOGIC ABO 3.86 4.06 (0.20) 86901 BLOOD TYPING SEROLOGIC RH(D) 3.86 4.06 (0.20) 86902 BLOOD TYPE ANTIGEN DONOR EA BLOOD 4.95 5.20 (0.25) 86904 BLOOD TYPING PATIENT SERUM 12.32 12.94 (0.62) 86905 BLOOD TYPING RBC ANTIGENS 4.95 5.20 (0.25) 86906 BLD TYPING SEROLOGIC RH PHNT 10.04 10.55 (0.51) 86940 HEMOLYSINS/AGGLUTININS AUTO 10.63 11.16 (0.53) 86941 HEMOLYSINS/AGGLUTININS 15.69 16.48 (0.79) 87003 SMALL ANIMAL INOCULATION 21.82 22.91 (1.09) 87015 SPECIMEN INFECT AGNT CONCNTJ 8.65 9.09 (0.44) 87040 BLOOD CULTURE FOR BACTERIA 13.38 14.05 (0.67) 87045 FECES CULTURE AEROBIC BACT 12.23 12.85 (0.62) 87046 STOOL CULTR AEROBIC BACT EA 12.23 12.85 (0.62) 87070 CULTURE OTHR SPECIMN AEROBIC 11.16 11.72 (0.56) 87071 CULTURE AEROBIC QUANT OTHER 12.23 12.85 (0.62) 87073 CULTURE BACTERIA ANAEROBIC 12.23 12.85 (0.62) 87075 CULTR BACTERIA EXCEPT BLOOD 12.26 12.88 (0.62) 87076 CULTURE ANAEROBE IDENT EACH 10.47 11.00 (0.53) 87077 CULTURE AEROBIC IDENTIFY 10.47 11.00 (0.53) 87081 CULTURE SCREEN ONLY 8.59 9.02 (0.43) 87084 CULTURE OF SPECIMEN BY KIT 11.16 11.72 (0.56) 87086 URINE CULTURE/COLONY COUNT 10.45 10.99 (0.54) 87088 URINE BACTERIA CULTURE 10.49 11.02 (0.53) 87101 SKIN FUNGI CULTURE 9.99 10.49 (0.50) 87102 FUNGUS ISOLATION CULTURE 10.88 11.43 (0.55) 87103 BLOOD FUNGUS CULTURE 11.68 12.27 (0.59) 87106 FUNGI IDENTIFICATION YEAST 13.38 14.05 (0.67) 87107 FUNGI IDENTIFICATION MOLD 13.38 14.05 (0.67) 87109 MYCOPLASMA 19.94 20.94 (1.00) 87110 CHLAMYDIA CULTURE 25.39 26.66 (1.27) 87116 MYCOBACTERIA CULTURE 14 14.70 (0.70) 87118 MYCOBACTERIC IDENTIFICATION 14.18 14.90 (0.72) 87140 CULTURE TYPE IMMUNOFLUORESC 7.22 7.59 (0.37) 87143 CULTURE TYPING GLC/HPLC 16.23 17.05 (0.82) 87147 CULTURE TYPE IMMUNOLOGIC 6.51 6.84 (0.33) 87149 DNA/RNA DIRECT PROBE 25.99 27.29 (1.30) 87152 CULTURE TYPE PULSE FIELD GEL 6.77 7.12 (0.35) 87158 CULTURE TYPING ADDED METHOD 6.77 7.12 (0.35) 87164 DARK FIELD EXAMINATION 13.91 14.62 (0.71) 87166 DARK FIELD EXAMINATION 14.63 15.37 (0.74) 87168 MACROSCOPIC EXAM ARTHROPOD 5.52 5.81 (0.29) 87169 MACROSCOPIC EXAM PARASITE 5.52 5.81 (0.29) 87172 PINWORM EXAM 5.52 5.81 (0.29) 87176 TISSUE HOMOGENIZATION CULTR 7.62 8.01 (0.39) 87177 OVA AND PARASITES SMEARS 11.53 12.11 (0.58) 87181 MICROBE SUSCEPTIBLE DIFFUSE 2.17 2.28 (0.11) 87184 MICROBE SUSCEPTIBLE DISK 8.93 9.39 (0.46) 87185 MICROBE SUSCEPTIBLE ENZYME 2.17 2.28 (0.11) 87186 MICROBE SUSCEPTIBLE MIC 11.21 11.77 (0.56) 87187 MICROBE SUSCEPTIBLE MLC 13.43 14.10 (0.67) 87188 MICROBE SUSCEPT MACROBROTH 8.6 9.04 (0.44) 87190 MICROBE SUSCEPT MYCOBACTERI 6.51 6.84 (0.33) 87197 BACTERICIDAL LEVEL SERUM 19.47 20.45 (0.98) 87205 SMEAR GRAM STAIN 5.52 5.81 (0.29) 87206 SMEAR FLUORESCENT/ACID STAI 6.97 7.33 (0.36) 87207 SMEAR SPECIAL STAIN 7.77 8.15 (0.38) 87209 SMEAR COMPLEX STAIN 23.29 24.46 (1.17) 87210 SMEAR WET MOUNT SALINE/INK 5.52 5.81 (0.29) 87220 TISSUE EXAM FOR FUNGI 5.52 5.81 (0.29) 87230 ASSAY TOXIN OR ANTITOXIN 25.59 26.87 (1.28) 87250 VIRUS INOCULATE EGGS/ANIMAL 25.34 26.62 (1.28) 87252 VIRUS INOCULATION TISSUE 33.78 35.48 (1.70) 87253 VIRUS INOCULATE TISSUE ADDL 26.18 27.49 (1.31) 87254 VIRUS INOCULATION SHELL VIA 25.34 26.62 (1.28) 87255 GENET VIRUS ISOLATE HSV 43.89 46.08 (2.19) 87260 ADENOVIRUS AG IF 15.54 16.32 (0.78) 87265 PERTUSSIS AG IF 15.54 16.32 (0.78) 87269 GIARDIA AG IF 15.54 16.32 (0.78) 87270 CHLAMYDIA TRACHOMATIS AG IF 15.54 16.32 (0.78) 87271 CYTOMEGALOVIRUS DFA 15.54 16.32 (0.78) 87272 CRYPTOSPORIDIUM AG IF 15.54 16.32 (0.78) 87273 HERPES SIMPLEX 2 AG IF 15.54 16.32 (0.78) 87274 HERPES SIMPLEX 1 AG IF 15.54 16.32 (0.78) 87275 INFLUENZA B AG IF 15.54 16.32 (0.78) 87276 INFLUENZA A AG IF 15.54 16.32 (0.78) 87277 LEGIONELLA MICDADEI AG IF 15.54 16.32 (0.78) 87278 LEGION PNEUMOPHILIA AG IF 15.54 16.32 (0.78) 87279 PARAINFLUENZA AG IF 15.54 16.32 (0.78) 87280 RESPIRATORY SYNCYTIAL AG IF 15.54 16.32 (0.78) 87281 PNEUMOCYSTIS CARINII AG IF 15.54 16.32 (0.78) 87283 RUBEOLA AG IF 15.54 16.32 (0.78) 87285 TREPONEMA PALLIDUM AG IF 15.54 16.32 (0.78) 87290 VARICELLA ZOSTER AG IF 15.54 16.32 (0.78) 87299 ANTIBODY DETECTION NOS IF 15.54 16.32 (0.78) 87300 AG DETECTION POLYVAL IF 15.54 16.32 (0.78) 87301 ADENOVIRUS AG IA 15.54 16.32 (0.78) 87305 ASPERGILLUS AG IA 15.54 16.32 (0.78) 87320 CHYLMD TRACH AG IA 15.54 16.32 (0.78) 87324 CLOSTRIDIUM AG IA 15.54 16.32 (0.78) 87327 CRYPTOCOCCUS NEOFORM AG IA 15.54 16.32 (0.78) 87328 CRYPTOSPORIDIUM AG IA 15.54 16.32 (0.78) 87329 GIARDIA AG IA 15.54 16.32 (0.78) 87332 CYTOMEGALOVIRUS AG IA 15.54 16.32 (0.78) 87335 E COLI 0157 AG IA 15.54 16.32 (0.78) 87336 ENTAMOEB HIST DISPR AG IA 15.54 16.32 (0.78) 87337 ENTAMOEB HIST GROUP AG IA 15.54 16.32 (0.78) 87338 HPYLORI STOOL IA 15.55 16.33 (0.78) 87339 H PYLORI AG IA 15.54 16.32 (0.78) 87340 HEPATITIS B SURFACE AG IA 13.39 14.06 (0.67) 87341 HEPATITIS B SURFACE AG IA 13.39 14.06 (0.67) 87350 HEPATITIS BE AG IA 14.94 15.69 (0.75) 87380 HEPATITIS DELTA AG IA 21.27 22.33 (1.06) 87385 HISTOPLASMA CAPSUL AG IA 15.54 16.32 (0.78) 87390 HIV-1 AG IA 22.85 24.01 (1.16) 87391 HIV-2 AG IA 22.85 24.01 (1.16) 87400 INFLUENZA A/B AG IA 15.54 16.32 (0.78) 87420 RESP SYNCYTIAL AG IA 15.54 16.32 (0.78) 87425 ROTAVIRUS AG IA 15.54 16.32 (0.78) 87427 SHIGA-LIKE TOXIN AG IA 15.54 16.32 (0.78) 87430 STREP A AG IA 15.54 16.32 (0.78) 87449 AG DETECT NOS IA MULT 15.54 16.32 (0.78) 87450 AG DETECT NOS IA SINGLE 12.42 13.05 (0.63) 87451 AG DETECT POLYVAL IA MULT 12.42 13.05 (0.63) 87470 BARTONELLA DNA DIR PROBE 25.99 27.29 (1.30) 87471 BARTONELLA DNA AMP PROBE 45.47 47.76 (2.29) 87472 BARTONELLA DNA QUANT 55.51 58.29 (2.78) 87475 LYME DIS DNA DIR PROBE 25.99 27.29 (1.30) 87476 LYME DIS DNA AMP PROBE 45.47 47.76 (2.29) 87477 LYME DIS DNA QUANT 55.51 58.29 (2.78) 87480 CANDIDA DNA DIR PROBE 25.99 27.29 (1.30) 87481 CANDIDA DNA AMP PROBE 45.47 47.76 (2.29) 87482 CANDIDA DNA QUANT 54.11 56.82 (2.71) 87485 CHYLMD PNEUM DNA DIR PROBE 25.99 27.29 (1.30) 87486 CHYLMD PNEUM DNA AMP PROBE 45.47 47.76 (2.29) 87487 CHYLMD PNEUM DNA QUANT 55.51 58.29 (2.78) 87490 CHYLMD TRACH DNA DIR PROBE 25.99 27.29 (1.30) 87491 CHYLMD TRACH DNA AMP PROBE 45.47 47.76 (2.29) 87492 CHYLMD TRACH DNA QUANT 45.3 47.57 (2.27) 87495 CYTOMEG DNA DIR PROBE 25.99 27.29 (1.30) 87496 CYTOMEG DNA AMP PROBE 45.47 47.76 (2.29) 87497 CYTOMEG DNA QUANT 55.51 58.29 (2.78) 87498 ENTEROVIRUS PROBE&REVRS TRNS 45.47 47.76 (2.29) 87500 VANOMYCIN DNA AMP PROBE 45.47 47.76 (2.29) 87501 INFLUENZA DNA AMP PROB 1+ 66.5 69.83 (3.33) 87502 INFLUENZA DNA AMP PROBE 110.28 115.80 (5.52) 87503 INFLUENZA DNA AMP PROB ADDL INFEC 26.91 28.26 (1.35) 87510 GARDNER VAG DNA DIR PROBE 25.99 27.29 (1.30) 87511 GARDNER VAG DNA AMP PROBE 45.47 47.76 (2.29) 87512 GARDNER VAG DNA QUANT 54.11 56.82 (2.71) 87515 HEPATITIS B DNA DIR PROBE 25.99 27.29 (1.30) 87516 HEPATITIS B DNA AMP PROBE 45.47 47.76 (2.29) 87517 HEPATITIS B DNA QUANT 55.51 58.29 (2.78) 87520 HEPATITIS C RNA DIR PROBE 25.99 27.29 (1.30) 87521 HEPATITIS C PROBE&RVRS TRNSC 45.47 47.76 (2.29) 87522 HEPATITIS C REVRS TRNSCRPJ 55.51 58.29 (2.78) 87525 HEPATITIS G DNA DIR PROBE 25.99 27.29 (1.30) 87526 HEPATITIS G DNA AMP PROBE 45.47 47.76 (2.29) 87527 HEPATITIS G DNA QUANT 54.11 56.82 (2.71) 87528 HSV DNA DIR PROBE 25.99 27.29 (1.30) 87529 HSV DNA AMP PROBE 45.47 47.76 (2.29) 87530 HSV DNA QUANT 55.51 58.29 (2.78) 87531 HHV-6 DNA DIR PROBE 25.99 27.29 (1.30) 87532 HHV-6 DNA AMP PROBE 45.47 47.76 (2.29) 87533 HHV-6 DNA QUANT 54.11 56.82 (2.71) 87534 HIV-1 DNA DIR PROBE 25.99 27.29 (1.30) 87535 HIV-1 PROBE&REVERSE TRNSCRPJ 45.47 47.76 (2.29) 87536 HIV-1 QUANT&REVRSE TRNSCRPJ 110.28 115.80 (5.52) 87537 HIV-2 DNA DIR PROBE 25.99 27.29 (1.30) 87538 HIV-2 PROBE&REVRSE TRNSCRIPJ 45.47 47.76 (2.29) 87539 HIV-2 QUANT&REVRSE TRNSCRIPJ 55.51 58.29 (2.78) 87540 LEGION PNEUMO DNA DIR PROB 25.99 27.29 (1.30) 87541 LEGION PNEUMO DNA AMP PROB 45.47 47.76 (2.29) 87542 LEGION PNEUMO DNA QUANT 54.11 56.82 (2.71) 87550 MYCOBACTERIA DNA DIR PROBE 25.99 27.29 (1.30) 87551 MYCOBACTERIA DNA AMP PROBE 45.47 47.76 (2.29) 87552 MYCOBACTERIA DNA QUANT 55.51 58.29 (2.78) 87555 M.TUBERCULO DNA DIR PROBE 25.99 27.29 (1.30) 87556 M.TUBERCULO DNA AMP PROBE 45.47 47.76 (2.29) 87557 M.TUBERCULO DNA QUANT 55.51 58.29 (2.78) 87560 M.AVIUM-INTRA DNA DIR PROB 25.99 27.29 (1.30) 87561 M.AVIUM-INTRA DNA AMP PROB 45.47 47.76 (2.29) 87562 M.AVIUM-INTRA DNA QUANT 55.51 58.29 (2.78) 87580 M.PNEUMON DNA DIR PROBE 25.99 27.29 (1.30) 87581 M.PNEUMON DNA AMP PROBE 45.47 47.76 (2.29) 87582 M.PNEUMON DNA QUANT 54.11 56.82 (2.71) 87590 N.GONORRHOEAE DNA DIR PROB 25.99 27.29 (1.30) 87591 N.GONORRHOEAE DNA AMP PROB 45.47 47.76 (2.29) 87592 N.GONORRHOEAE DNA QUANT 55.51 58.29 (2.78) 87623 HPV LOW-RISK TYPES 24.53 47.76 (23.23) 87624 HPV HIGH-RISK TYPES 24.53 47.76 (23.23) 87625 HPV TYPES 16 & 18 ONLY 24.53 47.76 (23.23) 87640 STAPH A DNA AMP PROBE 45.47 47.76 (2.29) 87641 MR-STAPH DNA AMP PROBE 45.47 47.76 (2.29) 87650 STREP A DNA DIR PROBE 25.99 27.29 (1.30) 87651 STREP A DNA AMP PROBE 45.47 47.76 (2.29) 87652 STREP A DNA QUANT 54.11 56.82 (2.71) 87653 STREP B DNA AMP PROBE 45.47 47.76 (2.29) 87660 TRICHOMONAS VAGIN DIR PROBE 25.99 27.29 (1.30) 87797 DETECT AGENT NOS DNA DIR 25.99 27.29 (1.30) 87798 DETECT AGENT NOS DNA AMP 45.47 47.76 (2.29) 87799 DETECT AGENT NOS DNA QUANT 55.51 58.29 (2.78) 87800 DETECT AGNT MULT DNA DIREC 51.98 54.59 (2.61) 87801 DETECT AGNT MULT DNA AMPLI 90.97 95.52 (4.55) 87802 STREP B ASSAY W/OPTIC 15.54 16.32 (0.78) 87803 CLOSTRIDIUM TOXIN A W/OPTIC 15.54 16.32 (0.78) 87804 INFLUENZA ASSAY W/OPTIC 15.54 16.32 (0.78) 87807 RSV ASSAY W/OPTIC 15.54 16.32 (0.78) 87808 TRICHOMONAS ASSAY W/OPTIC 15.54 16.32 (0.78) 87809 Adenovirus assay w/optic 15.54 16.32 (0.78) 87810 CHYLMD TRACH ASSAY W/OPTIC 15.54 16.32 (0.78) 87850 N. GONORRHOEAE ASSAY W/OPTIC 15.54 16.32 (0.78) 87880 STREP A ASSAY W/OPTIC 15.54 16.32 (0.78) 87899 AGENT NOS ASSAY W/OPTIC 15.54 16.32 (0.78) 87900 PHENOTYPE INFECT AGENT DRUG 168.92 177.38 (8.46) 87901 GENOTYPE DNA HIV REVERSE T 333.65 350.35 (16.70) 87902 GENOTYPE DNA/RNA HEP C 333.65 350.35 (16.70) 87903 PHENOTYPE DNA HIV W/CULTURE 633.3 664.98 (31.68) 87904 PHENOTYPE DNA HIV W/CLT ADD 33.78 35.48 (1.70) 87905 SIALIDASE ENZYME ASSAY 15.83 16.63 (0.80) 87906 GENOTYPE DNA/RNA HIV 166.83 175.18 (8.35) 88130 SEX CHROMATIN IDENTIFICATION 19.51 20.48 (0.97) 88140 SEX CHROMATIN IDENTIFICATION 10.36 10.88 (0.52) 88142 CYTOPATH C/V THIN LAYER 26.25 27.57 (1.32) 88143 CYTOPATH C/V THIN LAYER REDO 26.25 27.57 (1.32) 88147 CYTOPATH C/V AUTOMATED 14.75 15.49 (0.74) 88148 CYTOPATH C/V AUTO RESCREEN 19.69 20.68 (0.99) 88150 CYTOPATH C/V MANUAL 13.69 14.38 (0.69) 88152 CYTOPATH C/V AUTO REDO 13.69 14.38 (0.69) 88153 CYTOPATH C/V REDO 13.69 14.38 (0.69) 88154 CYTOPATH C/V SELECT 13.69 14.38 (0.69) 88155 CYTOPATH C/V INDEX ADD-ON 7.77 8.15 (0.38) 88164 CYTOPATH TBS C/V MANUAL 13.69 14.38 (0.69) 88165 CYTOPATH TBS C/V REDO 13.69 14.38 (0.69) 88166 CYTOPATH TBS C/V AUTO REDO 13.69 14.38 (0.69) 88167 CYTOPATH TBS C/V SELECT 13.69 14.38 (0.69) 88174 CYTOPATH C/V AUTO IN FLUID 27.69 29.08 (1.39) 88175 CYTOPATH C/V AUTO FLUID REDO 34.33 36.05 (1.72) 88230 TISSUE CULTURE LYMPHOCYTE 150.99 158.54 (7.55) 88233 TISSUE CULTURE SKIN/BIOPSY 182.39 191.51 (9.12) 88235 TISSUE CULTURE PLACENTA 190.85 200.40 (9.55) 88237 TISSUE CULTURE BONE MARROW 163.7 171.89 (8.19) 88239 TISSUE CULTURE TUMOR 191.19 200.75 (9.56) 88240 CELL CRYOPRESERVE/STORAGE 13.09 13.74 (0.65) 88241 FROZEN CELL PREPARATION 13.09 13.74 (0.65) 88245 CHROMOSOME ANALYSIS 20-25 192.93 202.58 (9.65) 88248 CHROMOSOME ANALYSIS 50-100 224.44 235.67 (11.23) 88249 CHROMOSOME ANALYSIS 100 224.44 235.67 (11.23) 88261 CHROMOSOME ANALYSIS 5 229.05 240.51 (11.46) 88262 CHROMOSOME ANALYSIS 15-20 161.53 169.62 (8.09) 88263 CHROMOSOME ANALYSIS 45 194.77 204.52 (9.75) 88264 CHROMOSOME ANALYSIS 20-25 161.53 169.62 (8.09) 88267 CHROMOSOME ANALYS PLACENTA 232.99 244.64 (11.65) 88269 CHROMOSOME ANALYS AMNIOTIC 215.56 226.34 (10.78) 88271 CYTOGENETICS DNA PROBE 27.75 29.14 (1.39) 88272 CYTOGENETICS 3-5 34.7 36.44 (1.74) 88273 CYTOGENETICS 10-30 41.64 43.73 (2.09) 88274 CYTOGENETICS 25-99 45.11 47.37 (2.26) 88275 CYTOGENETICS 100-300 52.05 54.65 (2.60) 88280 CHROMOSOME KARYOTYPE STUDY 32.52 34.15 (1.63) 88283 CHROMOSOME BANDING STUDY 64.94 68.19 (3.25) 88285 CHROMOSOME COUNT ADDITIONAL 24.62 25.86 (1.24) 88289 CHROMOSOME STUDY ADDITIONAL 18.54 19.47 (0.93) 88371 PROTEIN WESTERN BLOT TISSUE 19.13 20.09 (0.96) 88372 PROTEIN ANALYSIS W/PROBE 29.47 30.95 (1.48) 88720 BILIRUBIN TOTAL TRANSCUT 6.49 6.83 (0.34) 88740 TRANSCUTANEOUS CARBOXYHB 6.49 6.83 (0.34) 88741 TRANSCUTANEOUS METHB 6.49 6.83 (0.34) 89050 BODY FLUID CELL COUNT 6.12 6.43 (0.31) 89051 BODY FLUID CELL COUNT 7.13 7.49 (0.36) 89055 LEUKOCYTE ASSESSMENT FECAL 5.52 5.81 (0.29) 89060 EXAM SYNOVIAL FLUID CRYSTALS 9.27 9.74 (0.47) 89125 SPECIMEN FAT STAIN 4.47 4.70 (0.23) 89160 EXAM FECES FOR MEAT FIBERS 4.77 5.02 (0.25) 89190 NASAL SMEAR FOR EOSINOPHILS 6.15 6.46 (0.31) 89310 SEMEN ANALYSIS W/COUNT 11.15 11.71 (0.56)

Footnote: (1) Laboratory and pathology codes 80000-89999 will be reimbursed at 95% of the Medicare Clinical Lab Fee Schedule.