CPT Code Description Standard Charge Cash Price DISCLAIMER "This list reflects our standard charges and applicable cash prices for services as required by ORC 3727.33 and CMS Price Transparency regulations. Cash prices reflect facility fees only unless otherwise noted. Charges do not include professional fees such as those from surgeons or anesthesiologists. Please contact our billing department for a personalized estimate: Abby Burk, Billing Manager | Phone: 937-222-5390 | Fax: 937-224-5308 | 1 Elizabeth Place, Dayton OH 45417 | aburk@rhilive.com" 10061 DRAINAGE OF SKIN ABSCESS1 21280 1500 10120 REMOVE FOREIGN BODY 21280 1500 10121 REMOVE FOREIGN BODY1 21280 1800 10140 DRAINAGE OF HEMATOMA/FLUID 21280 1800 10180 COMPLEX DRAINAGE WOUND 23580 3000 11400 EXC TR-EXT B9+MARG 0.5 CM< 9780 1500 11401 EXC TR-EXT B9+MARG 0.6-1 CM 12080 1500 11402 EXC TR-EXT B9+MARG 1.1-2 CM 14380 1500 11403 EXC TR-EXT B9+MARG 2.1-3CM 16680 1500 11404 EXC TR-EXT B9+MARG 3.1-4 CM 18980 1500 11406 EXC TR-EXT B9+MARG >4.0 CM 21280 1500 11420 EXC H-F-NK-SP B9+MARG 0.5/< 12080 1500 11421 EXC H-F-NK-SP B9+MARG 0.6-1 14380 1500 11422 EXC H-F-NK-SP B9+MARG 1.1-2 16680 1500 11423 EXC H-F-NK-SP B9+MARG 2.1-3 18980 2500 11424 EXC H-F-NK-SP B9+MARG 3.1-4 21280 2500 11426 EXC H-F-NK-SP B9+MARG >4 CM 23580 2500 11471 REMOVAL SWEAT GLAND LESION4 16680 750 11730 REMOVAL OF NAIL PLATE 14380 11750 REMOVAL OF NAIL BED 14380 11772 REMOVE PILONIDAL CYST COMPL 18980 850 11950 TX CONTOUR DEFECTS 1 CC/< 4600 11981 INSERTION DRUG DLVR IMPLANT 18980 12002 RPR S/N/AX/GEN/TRNK2.6-7.5CM 14380 12020 CLOSURE OF SPLIT WOUND 18980 13100 CMPLX RPR TRUNK 1.1-2.5 CM 9780 13101 CMPLX RPR TRUNK 2.6-7.5 CM 9780 13121 CMPLX RPR S/A/L 2.6-7.5 CM 9780 13122 CMPLX RPR S/A/L ADDL 5 CM/> 9780 13131 CMPLX RPR F/C/C/M/N/AX/G/H/F 16680 14060 TIS TRNFR E/N/E/L 10 SQ CM/< 16680 14350 FILLETED FINGER/TOE FLAP 16680 15738 MUSCLE-SKIN GRAFT LEG 21280 15771 GRFG AUTOL FAT LIPO 50 CC/< 21280 4760 15772 GRFG AUTOL FAT LIPO EA ADDL 14380 2690 15777 ACELLULAR DERM MATRIX IMPLT 14380 15820 REVISION OF LOWER EYELID 21280 2517.5 15821 REVISION OF LOWER EYELID1 21280 2690 15822 REVISION OF UPPER EYELID 23580 2517.5 15823 REVISION OF UPPER EYELID1 21280 2690 15825 REMOVAL OF NECK WRINKLES 28180 1922.5 15828 REMOVAL OF FACE WRINKLES 25880 2095 15829 REMOVAL OF SKIN WRINKLES 21280 3725 15830 EXC SKIN ABD 18980 3725 15832 EXCISE EXCESSIVE SKIN THIGH 21280 3725 15835 EXCISE EXCESSIVE SKIN BUTTCK 21280 3725 15836 EXCISE EXCESSIVE SKIN ARM 21280 3035 15839 EXCISE EXCESS SKIN & TISSUE 21280 3725 15847 EXC SKIN ABD ADD-ON 21280 3380 15876 SUCTION LIPECTOMY HEAD&NECK 21280 2690 15877 SUCTION LIPECTOMY TRUNK 17830 2690 15878 SUCTION LIPECTOMY UPR EXTREM 17830 2690 15879 SUCTION LIPECTOMY LWR EXTREM 17830 2690 17999 SKIN TISSUE PROCEDURE 14380 2095 19300 REMOVAL OF BREAST TISSUE 21280 2690 19316 SUSPENSION OF BREAST 21280 4070 19318 BREAST REDUCTION 32780 4415 19325 BREAST AUGMENTATION W/IMPLT 25880 2690 19328 RMVL INTACT BREAST IMPLANT 21280 2517.5 19330 RMVL RUPTURED BREAST IMPLANT 21280 2517.5 19342 INSJ/RPLCMT BRST IMPLT SEP D 14380 2517.5 19370 REVJ PERI-IMPLT CAPSULE BRST 14380 2095 19371 PERI-IMPLT CAPSLC BRST COMPL 21280 19380 REVJ RECONSTRUCTED BREAST 21280 19499 BREAST SURGERY PROCEDURE 14380 20520 REMOVAL OF FOREIGN BODY 21280 20525 REMOVAL OF FOREIGN BODY1 23580 20526 THER INJECTION CARP TUNNEL 10930 20550 INJ TENDON SHEATH/LIGAMENT 10930 20552 INJ TRIGGER POINT 1/2 MUSCL 14380 20553 INJECT TRIGGER POINTS 3/> 10930 20600 DRAIN/INJ JOINT/BURSA W/O US 9780 20604 DRAIN/INJ JOINT/BURSA W/US 10930 20605 DRAIN/INJ JOINT/BURSA W/O US1 10930 20606 DRAIN/INJ JOINT/BURSA W/US1 10930 20610 DRAIN/INJ JOINT/BURSA W/O US2 12080 20611 DRAIN/INJ JOINT/BURSA W/US2 12080 20670 REMOVAL OF SUPPORT IMPLANT 12080 20680 REMOVAL OF SUPPORT IMPLANT1 16680 20692 APPLY BONE FIXATION DEVICE1 21280 20693 ADJUST BONE FIXATION DEVICE 14380 20694 REMOVE BONE FIXATION DEVICE 18980 20696 COMP MULTIPLANE EXT FIXATION 21280 20900 REMOVAL OF BONE FOR GRAFT 4600 20902 REMOVAL OF BONE FOR GRAFT1 9780 20930 SP BONE ALGRFT MORSEL ADD-ON 4600 20931 SP BONE ALGRFT STRUCT ADD-ON 4600 20936 SP BONE AGRFT LOCAL ADD-ON 4600 21120 RECONSTRUCTION OF CHIN 21280 22015 I&D ABSCESS P-SPINE L/S/LS 21280 22212 INCIS 1 VERTEBRAL SEG THORAC 21280 22214 INCIS 1 VERTEBRAL SEG LUMBAR 21280 22216 INCIS ADDL SPINE SEGMENT 4600 22325 TREAT SPINE FRACTURE 4600 22513 PERQ VERTEBRAL AUGMENTATION 25880 22514 PERQ VERTEBRAL AUGMENTATION1 25880 22515 PERQ VERTEBRAL AUGMENTATION2 10640 22526 IDET SINGLE LEVEL 4600 22527 IDET 1 OR MORE LEVELS 4600 22532 ARTHRD LAT XTRCVTRY TQ THRC 4600 22551 ARTHRD ANT NTRBDY CERVICAL 29040 22552 ARTHRD ANT NTRBD CERVICAL EA 25880 22554 ARTHRD ANT NTRBD MIN DSC CRV 4600 22558 ARTHRD ANT NTRBD MIN DSC LUM 35080 22585 ARTHRD ANT NTRBD MIN DSC EA 25880 22586 ARTHRD PRE-SAC NTRBDY L5-S1 14380 22600 ARTHRD PST TQ 1NTRSPC CRV 14380 22610 ARTHRD PST TQ 1NTRSPC THRC 29040 22612 ARTHRD PST TQ 1NTRSPC LUMBAR 32780 22614 ARTHRD PST TQ 1NTRSPC EA ADD 8340 22630 ARTHRD PST TQ 1NTRSPC LUM 8630 22633 ARTHRD CMBN 1NTRSPC LUMBAR 29330 22634 ARTHRD CMBN 1NTRSPC EA ADDL 8630 22830 EXPLORATION OF SPINAL FUSION 25880 22840 INSERT SPINE FIXATION DEVICE2 4600 22842 INSERT SPINE FIXATION DEVICE4 4600 22843 INSERT SPINE FIXATION DEVICE5 4600 22845 INSERT SPINE FIXATION DEVICE 4600 22846 INSERT SPINE FIXATION DEVICE1 7480 22847 INSERT SPINE FIXATION DEVICE7 4600 22848 INSERT PELV FIXATION DEVICE 7480 22849 REINSERT SPINAL FIXATION 9780 22850 REMOVE SPINE FIXATION DEVICE 8630 22851 Application of intervertabral biomechanical device (eg PEEK) 21280 22852 REMOVE SPINE FIXATION DEVICE1 4600 22853 INSJ BIOMECHANICAL DEVICE 4600 22854 INSJ BIOMECHANICAL DEVICE1 5180 22855 REMOVE SPINE FIXATION DEVICE2 29330 22856 TOT DISC ARTHRP ANT 1NTRSPC 32780 22857 TOT DISC ARTHRP ANT LUMBAR 32780 22858 TOT DISC ARTHRP ANT 2ND LVL 4600 22859 INSJ BIOMECHANICAL DEVICE2 5180 22861 REVISE CERV ARTIFIC DISC 4600 22864 REMOVE CERV ARTIF DISC 21280 22867 INSJ STABLJ DEV W/DCMPRN 34500 22868 INSJ STABLJ DEV W/DCMPRN1 14380 22903 EXC ABD LES SC 3 CM/> 21280 23040 EXPLORATORY SHOULDER SURGERY 18980 23076 EXC SHOULDER TUM DEEP < 5 CM 14380 23101 SHOULDER JOINT SURGERY 21280 23105 REMOVE SHOULDER JOINT LINING 21280 23107 EXPLORE TREAT SHOULDER JOINT 23580 23120 PARTIAL REMOVAL COLLAR BONE 18980 23130 REMOVE SHOULDER BONE PART 18980 23140 REMOVAL OF BONE LESION 25880 23150 REMOVAL OF HUMERUS LESION 22430 23180 REMOVE COLLAR BONE LESION1 14380 23330 REMOVE SHOULDER FOREIGN BODY 18980 23334 SHOULDER PROSTHESIS REMOVAL 18980 23335 SHOULDER PROSTHESIS REMOVAL1 18980 23350 INJECTION FOR SHOULDER X-RAY 4600 23395 MUSCLE TRANSFER SHOULDER/ARM 4600 23400 FIXATION OF SHOULDER BLADE 23580 23405 INCISION OF TENDON & MUSCLE 18980 23406 INCISE TENDON(S) & MUSCLE(S) 23580 23410 REPAIR ROTATOR CUFF ACUTE 25880 23412 REPAIR ROTATOR CUFF CHRONIC 25880 23415 RELEASE OF SHOULDER LIGAMENT 21280 23420 REPAIR OF SHOULDER 21280 23430 REPAIR BICEPS TENDON 21280 23440 REMOVE/TRANSPLANT TENDON 23580 23455 REPAIR SHOULDER CAPSULE1 21280 23462 REPAIR SHOULDER CAPSULE3 21280 23470 RECONSTRUCT SHOULDER JOINT 35080 23472 RECONSTRUCT SHOULDER JOINT1 35080 23473 REVIS RECONST SHOULDER JOINT 35080 23474 REVIS RECONST SHOULDER JOINT1 35080 23515 TREAT CLAVICLE FRACTURE2 25880 23550 TREAT CLAVICLE DISLOCATION6 18980 23552 TREAT CLAVICLE DISLOCATION7 21280 23585 TREAT SCAPULA FRACTURE 18980 23615 TREAT HUMERUS FRACTURE2 18980 23655 TREAT SHOULDER DISLOCATION1 18980 23700 FIXATION OF SHOULDER 18980 23929 SHOULDER SURGERY PROCEDURE 16680 24000 EXPLORATORY ELBOW SURGERY 21280 24101 EXPLORE/TREAT ELBOW JOINT 21280 24138 REMOVE ELBOW BONE LESION 16680 24200 REMOVAL OF ARM FOREIGN BODY 21280 24201 REMOVAL OF ARM FOREIGN BODY1 23580 24220 INJECTION FOR ELBOW X-RAY 16680 24301 MUSCLE/TENDON TRANSFER 21280 24310 REVISION OF ARM TENDON 18980 24340 REPAIR OF BICEPS TENDON 18980 24341 REPAIR ARM TENDON/MUSCLE 21280 24342 REPAIR OF RUPTURED TENDON 21280 24357 REPAIR ELBOW PERC 17830 24359 REPAIR ELBOW DEB/ATTCH OPEN 17830 24430 REPAIR OF HUMERUS 23580 24435 REPAIR HUMERUS WITH GRAFT 25880 24615 TREAT ELBOW DISLOCATION2 23580 24685 TREAT ULNAR FRACTURE2 23580 25000 INCISION OF TENDON SHEATH 20930 25111 REMOVE WRIST TENDON LESION1 21280 25112 REREMOVE WRIST TENDON LESION 18980 25115 REMOVE WRIST/FOREARM LESION 14380 25246 INJECTION FOR WRIST X-RAY 4600 25270 REPAIR FOREARM TENDON/MUSCLE3 23580 25447 REPAIR WRIST JOINTS 23580 25574 TREAT FRACTURE RADIUS & ULNA2 25880 25605 TREAT FRACTURE RADIUS/ULNA2 21280 25607 TREAT FX RAD EXTRA-ARTICUL 23580 25608 TREAT FX RAD INTRA-ARTICUL 23580 25609 TREAT FX RADIAL 3+ FRAG 25880 26055 INCISE FINGER TENDON SHEATH 21280 26540 REPAIR HAND JOINT 18980 26615 TREAT METACARPAL FRACTURE4 21280 26746 TREAT FINGER FRACTURE EACH8 21280 26990 DRAINAGE OF PELVIS LESION 21280 27000 INCISION OF HIP TENDON 21280 27001 INCISION OF HIP TENDON1 21280 27006 INCISION OF HIP TENDONS 23580 27033 EXPLORATION OF HIP JOINT 28180 27036 EXCISION OF HIP JOINT/MUSCLE 23580 27045 EXC HIP/PELV TUM DEEP 5 CM/> 25580 27049 RESECT HIP/PELV TUM < 5 CM 23580 27096 INJECT SACROILIAC JOINT 14380 1000 27130 TOTAL HIP ARTHROPLASTY 24730 27132 TOTAL HIP ARTHROPLASTY1 28180 27134 REVISE HIP JOINT REPLACEMENT 28180 27279 ARTHRODESIS SACROILIAC JOINT 21280 27280 FUSION OF SACROILIAC JOINT 23580 27301 DRAIN THIGH/KNEE LESION 21280 27306 INCISION OF THIGH TENDON 21280 27310 EXPLORATION OF KNEE JOINT 18980 27330 BIOPSY KNEE JOINT LINING 21280 27331 EXPLORE/TREAT KNEE JOINT 16680 27335 REMOVE KNEE JOINT LINING1 14380 27340 REMOVAL OF KNEECAP BURSA 17830 27347 REMOVE KNEE CYST 14380 27350 REMOVAL OF KNEECAP 16680 27355 REMOVE FEMUR LESION 23580 27380 REPAIR OF KNEECAP TENDON 25880 27381 "REPAIR, REVISION, AND/OR RECONSTRUCTION ON FEMUR (THIGH REGION) AND KNEE JOINT" 28180 27385 REPAIR OF THIGH MUSCLE 28180 27386 REPAIR/GRAFT OF THIGH MUSCLE 28180 27425 LAT RETINACULAR RELEASE OPEN 14380 27438 REVISE KNEECAP WITH IMPLANT 25880 27446 REVISION OF KNEE JOINT5 25880 27447 TOTAL KNEE ARTHROPLASTY 29040 27486 REVISE/REPLACE KNEE JOINT 29040 27487 REVISE/REPLACE KNEE JOINT1 29040 27488 REMOVAL OF KNEE PROSTHESIS 21280 27536 TREAT KNEE FRACTURE3 22430 27570 FIXATION OF KNEE JOINT 14380 27590 AMPUTATE LEG AT THIGH 30480 27599 LEG SURGERY PROCEDURE 21280 27605 INCISION OF ACHILLES TENDON 21280 27606 INCISION OF ACHILLES TENDON1 14380 27610 EXPLORE/TREAT ANKLE JOINT 21280 27619 EXC LEG/ANKLE TUM DEEP <5 CM 17830 27630 REMOVAL OF TENDON LESION 17830 27635 REMOVE LOWER LEG BONE LESION 21280 27648 INJECTION FOR ANKLE X-RAY 4600 27650 REPAIR ACHILLES TENDON 21280 27652 REPAIR/GRAFT ACHILLES TENDON 23580 27654 REPAIR OF ACHILLES TENDON 18980 27656 REPAIR LEG FASCIA DEFECT 21280 27658 REPAIR OF LEG TENDON EACH 14380 27675 REPAIR LOWER LEG TENDONS 21280 27676 REPAIR LOWER LEG TENDONS1 23580 27680 RELEASE OF LOWER LEG TENDON 28180 27685 REVISION OF LOWER LEG TENDON 23580 27687 REVISION OF CALF TENDON 21280 27690 REVISE LOWER LEG TENDON 12080 27691 REVISE LOWER LEG TENDON1 14380 27695 REPAIR OF ANKLE LIGAMENT 21280 27696 REPAIR OF ANKLE LIGAMENTS 23580 27698 REPAIR OF ANKLE LIGAMENT1 18980 27700 REVISION OF ANKLE JOINT 21280 27702 RECONSTRUCT ANKLE JOINT 23580 27703 RECONSTRUCTION ANKLE JOINT 21280 27766 OPTX MEDIAL ANKLE FX 17830 27792 TREATMENT OF ANKLE FRACTURE2 23580 27814 TREATMENT OF ANKLE FRACTURE7 23580 27822 TREATMENT OF ANKLE FRACTURE8 23580 27870 FUSION OF ANKLE JOINT OPEN 21280 28005 TREAT FOOT BONE LESION 12080 28008 INCISION OF FOOT FASCIA 12080 28060 PARTIAL REMOVAL FOOT FASCIA 16680 28080 REMOVAL OF FOOT LESION 16680 28090 REMOVAL OF FOOT LESION1 16680 28108 REMOVAL OF TOE LESIONS1 18980 28110 PART REMOVAL OF METATARSAL 16680 28112 PART REMOVAL OF METATARSAL2 16680 28118 REMOVAL OF HEEL BONE 18980 4500 28119 REMOVAL OF HEEL SPUR 21280 28122 PARTIAL REMOVAL OF FOOT BONE 9780 28124 PARTIAL REMOVAL OF TOE 14380 28220 RELEASE OF FOOT TENDON 21280 28232 INCISION OF TOE TENDON1 21280 28238 REVISION OF FOOT TENDON 25880 28250 REVISION OF FOOT FASCIA 21280 28270 RELEASE OF FOOT CONTRACTURE 21280 28285 REPAIR OF HAMMERTOE 14380 28289 CORRJ HALUX RIGDUS W/O IMPLT 21280 28291 CORRJ HALUX RIGDUS W/IMPLT 16680 28292 CORRECTION HALLUX VALGUS 16680 28295 CORRECTION HALLUX VALGUS1 18980 28296 CORRECTION HALLUX VALGUS2 21280 28297 CORRECTION HALLUX VALGUS4 14380 28298 CORRECTION HALLUX VALGUS5 21280 28299 CORRECTION HALLUX VALGUS3 21280 28300 INCISION OF HEEL BONE 18980 28302 INCISION OF ANKLE BONE 18980 28308 INCISION OF METATARSAL2 21280 28310 REVISION OF BIG TOE 25880 28313 REPAIR DEFORMITY OF TOE 21280 28415 TREAT HEEL FRACTURE 21280 28485 TREAT METATARSAL FRACTURE3 25880 28615 REPAIR FOOT DISLOCATION2 21280 28645 REPAIR TOE DISLOCATION 18980 28715 FUSION OF FOOT BONES1 32780 28725 FUSION OF FOOT BONES2 28180 28730 FUSION OF FOOT BONES3 23580 28735 FUSION OF FOOT BONES4 21280 28740 FUSION OF FOOT BONES5 21280 28750 FUSION OF BIG TOE JOINT 23580 28755 FUSION OF BIG TOE JOINT1 21280 28805 AMPUTATION THRU METATARSAL 21280 28810 AMPUTATION TOE & METATARSAL 21280 28820 AMPUTATION OF TOE 21280 28825 PARTIAL AMPUTATION OF TOE 10640 28899 FOOT/TOES SURGERY PROCEDURE 4600 29000 APPLICATION OF BODY CAST 21280 29105 APPLY LONG ARM SPLINT 7480 29515 APPLICATION LOWER LEG SPLINT 7480 29805 SHO ARTHRS DX +- SYNOVIAL BX 23580 29806 SHO ARTHRS SRG CAPSULORRAPHY 23580 29807 SHO ARTHRS SRG RPR SLAP LES 21280 29820 SHO ARTHRS SRG PRTL SYNVCT 21280 29821 SHO ARTHRS SRG COMPL SYNVCT 21280 29822 SHO ARTHRS SRG LMTD DBRDMT 21280 29823 SHO ARTHRS SRG XTNSV DBRDMT 23580 29824 SHO ARTHRS SRG DSTL CLAVICLC 21280 29825 SHO ARTHRS SRG LSS&RESCJ ADS 21280 29826 SHO ARTHRS SRG DECOMPRESSION 21280 29827 SHO ARTHRS SRG RT8TR CUF RPR 21280 29828 SHO ARTHRS SRG BICP TENODSIS 14380 29850 KNEE ARTHROSCOPY/SURGERY 21280 29863 HIP ARTHR0 W/SYNOVECTOMY 21280 29870 KNEE ARTHROSCOPY DX 21280 29873 KNEE ARTHROSCOPY/SURGERY2 21280 29874 KNEE ARTHROSCOPY/SURGERY3 21280 29875 KNEE ARTHROSCOPY/SURGERY4 21280 29876 KNEE ARTHROSCOPY/SURGERY5 21280 29877 KNEE ARTHROSCOPY/SURGERY6 21280 29879 KNEE ARTHROSCOPY/SURGERY8 23580 29880 KNEE ARTHROSCOPY/SURGERY9 25880 29881 KNEE ARTHROSCOPY/SURGERY10 25880 29882 KNEE ARTHROSCOPY/SURGERY7 23580 29883 KNEE ARTHROSCOPY/SURGERY11 21280 29884 KNEE ARTHROSCOPY/SURGERY12 21280 29886 KNEE ARTHROSCOPY/SURGERY14 21280 29887 KNEE ARTHROSCOPY/SURGERY15 21280 29888 KNEE ARTHROSCOPY/SURGERY16 21280 29889 KNEE ARTHROSCOPY/SURGERY17 21280 29891 ANKLE ARTHROSCOPY/SURGERY 23580 29893 SCOPE PLANTAR FASCIOTOMY 21280 29894 ANKLE ARTHROSCOPY/SURGERY2 23580 29898 ANKLE ARTHROSCOPY/SURGERY5 23580 29999 ARTHROSCOPY OF JOINT 21280 30120 REVISION OF NOSE 23580 30130 EXCISE INFERIOR TURBINATE 23580 30400 RECONSTRUCTION OF NOSE 21280 30410 RECONSTRUCTION OF NOSE1 23580 30420 RECONSTRUCTION OF NOSE2 25880 30430 REVISION OF NOSE1 18980 30435 REVISION OF NOSE2 18980 30520 REPAIR OF NASAL SEPTUM 21280 32554 ASPIRATE PLEURA W/O IMAGING 12080 36005 INJECTION EXT VENOGRAPHY 12080 36011 PLACE CATHETER IN VEIN1 12080 36012 PLACE CATHETER IN VEIN2 12080 36140 INTRO NDL ICATH UPR/LXTR ART 1730 36200 PLACE CATHETER IN AORTA 4600 36216 PLACE CATHETER IN ARTERY4 4600 36221 PLACE CATH THORACIC AORTA 4600 36223 PLACE CATH CAROTID/INOM ART1 12080 36225 PLACE CATH SUBCLAVIAN ART 12080 36245 INS CATH ABD/L-EXT ART 1ST 9780 36246 INS CATH ABD/L-EXT ART 2ND 9780 36247 INS CATH ABD/L-EXT ART 3RD 9780 36415 ROUTINE VENIPUNCTURE 1730 36475 ENDOVENOUS RF 1ST VEIN 25880 36476 ENDOVENOUS RF VEIN ADD-ON 25880 36478 ENDOVENOUS LASER 1ST VEIN 25880 36479 ENDOVENOUS LASER VEIN ADDON 25880 36901 INTRO CATH DIALYSIS CIRCUIT 9780 36909 DIALYSIS CIRCUIT EMBOLJ 21280 37193 REM ENDOVAS VENA CAVA FILTER 18980 37221 ILIAC REVASC W/STENT 18980 37241 VASC EMBOLIZE/OCCLUDE VENOUS 17830 37243 VASC EMBOLIZE/OCCLUDE ORGAN 28180 37248 TRLUML BALO ANGIOP 1ST VEIN 28180 37249 TRLUML BALO ANGIOP ADDL VEIN 16680 37765 STAB PHLEB VEINS XTR 10-20 23580 37766 PHLEB VEINS - EXTREM 20+ 23580 43235 EGD DIAGNOSTIC BRUSH WASH 16500 43644 LAP GASTRIC BYPASS/ROUX-EN-Y 25880 14000 43770 LAP PLACE GASTR ADJ DEVICE 25880 43773 LAP REPLACE GASTR ADJ DEVICE 25880 43774 LAP RMVL GASTR ADJ ALL PARTS 25880 43775 LAP SLEEVE GASTRECTOMY 25880 43846 GASTRIC BYPASS FOR OBESITY 25880 6000 43860 REVISE STOMACH-BOWEL FUSION2 21280 43865 REVISE STOMACH-BOWEL FUSION3 25880 44180 LAP ENTEROLYSIS 21280 45990 SURG DX EXAM ANORECTAL 18980 1500 46255 REMOVE INT/EXT HEM 1 GROUP 23580 46260 REMOVE IN/EX HEM GROUPS 2+ 23580 47001 NEEDLE BIOPSY LIVER ADD-ON 9780 47562 LAPAROSCOPIC CHOLECYSTECTOMY 25880 3000 47563 LAPARO CHOLECYSTECTOMY/GRAPH 25880 49320 DIAG LAPARO SEPARATE PROC 18880 49505 PRP I/HERN INIT REDUC >5 YR 23580 49507 PRP I/HERN INIT BLOCK >5 YR 25880 49520 REREPAIR ING HERNIA REDUCE 23580 49560 RPR VENTRAL HERN INIT REDUC 25880 49561 RPR VENTRAL HERN INIT BLOCK 23580 49565 REREPAIR VENTRL HERN REDUCE 23580 49566 REREPAIR VENTRL HERN BLOCK 23580 49568 HERNIA REPAIR W/MESH 23580 49585 RPR UMBIL HERN REDUC > 5 YR 21280 49587 RPR UMBIL HERN BLOCK > 5 YR 16680 49591 REPAIR OF ANTERIOR ABDOMINAL HERNIA 25880 49592 "REPAIR OF ANTERIOR ABD HERNIA, ANY APPROACH" 25880 49593 REPAIR OF ANTERIOR ABD HERNIA 3CM TO 10CM REDUCABLE 25880 49594 REPAIR OF ABDOMINAL HERNIA 3CM TO 10CM INCARCERATED OR STRANGULATED 28180 49596 "REPAIR OF ANTERIOR ABDOMINAL HERNIA(S), ANY APPROACH, INITIAL" 28180 49650 LAP ING HERNIA REPAIR INIT 25880 49652 LAP VENT/ABD HERNIA REPAIR 23580 49653 LAP VENT/ABD HERN PROC COMP 25880 49657 LAP INC HERN RECUR COMP 23580 49900 REPAIR OF ABDOMINAL WALL 23580 49999 ABDOMEN SURGERY PROCEDURE1 25880 54900 FUSION OF SPERMATIC DUCTS 16680 54901 FUSION OF SPERMATIC DUCTS1 21280 55400 REPAIR OF SPERM DUCT 21280 55899 GENITAL SURGERY PROCEDURE 21280 57135 REMOVE VAGINA LESION1 23580 57540 REMOVAL OF RESIDUAL CERVIX 21280 58140 MYOMECTOMY ABDOM METHOD 18980 58150 TOTAL HYSTERECTOMY 18980 58180 PARTIAL HYSTERECTOMY 18980 58558 HYSTEROSCOPY BIOPSY 21280 58559 HYSTEROSCOPY LYSIS 21280 58560 HYSTEROSCOPY RESECT SEPTUM 21280 58561 HYSTEROSCOPY REMOVE MYOMA 21280 58562 HYSTEROSCOPY REMOVE FB 18980 58563 HYSTEROSCOPY ABLATION 16680 58600 DIVISION OF FALLOPIAN TUBE 21280 58660 LAPAROSCOPY LYSIS 22430 58661 LAPAROSCOPY REMOVE ADNEXA 22430 58662 LAPAROSCOPY EXCISE LESIONS 18980 58670 LAPAROSCOPY TUBAL CAUTERY 9780 58720 REMOVAL OF OVARY/TUBE(S) 21280 58920 PARTIAL REMOVAL OF OVARY(S) 21280 58940 REMOVAL OF OVARY(S) 22430 61783 SCAN PROC SPINAL 4600 62284 INJECTION FOR MYELOGRAM 14380 62290 NJX PX DISCOGRAPHY LUMBAR 4600 62320 NJX INTERLAMINAR CRV/THRC 10930 62321 NJX INTERLAMINAR CRV/THRC1 18980 62322 NJX INTERLAMINAR LMBR/SAC 10930 62323 NJX INTERLAMINAR LMBR/SAC1 12080 62324 NJX INTERLAMINAR CRV/THRC2 14380 62325 NJX INTERLAMINAR CRV/THRC3 15530 62326 NJX INTERLAMINAR LMBR/SAC2 14380 62327 NJX INTERLAMINAR LMBR/SAC3 15530 62350 IMPLANT SPINAL CANAL CATH 9780 62355 REMOVE SPINAL CANAL CATHETER 4600 62360 INSERT SPINE INFUSION DEVICE 9780 62362 IMPLANT SPINE INFUSION PUMP1 21280 62365 REMOVE SPINE INFUSION DEVICE 21280 62367 ANALYZE SPINE INFUS PUMP 9200 62368 ANALYZE SP INF PUMP W/REPROG 9200 62369 ANAL SP INF PMP W/REPRG&FILL 9200 62370 ANL SP INF PMP W/MDREPRG&FIL 9200 62380 NDSC DCMPRN 1 NTRSPC LUMBAR 28750 63005 REMOVE SPINE LAMINA 1/2 LMBR 21280 63020 NECK SPINE DISK SURGERY 25880 63030 LOW BACK DISK SURGERY 23580 9000 63035 SPINAL DISK SURGERY ADD-ON 2300 63042 LAMINOTOMY SINGLE LUMBAR 21280 63044 LAMINOTOMY ADDL LUMBAR 14380 63045 LAM FACETEC & FORAMOT CRV 14380 63046 LAM FACETEC & FORAMOT THRC 14380 63047 LAM FACETEC & FORAMOT LUMBAR 21280 63048 LAM FACETEC &FORAMOT EA ADDL 4600 63052 LAM FACETC/FRMT ARTHRD LUM 1 14380 63053 LAM FACTC/FRMT ARTHRD LUM EA 4600 63056 DECOMPRESS SPINAL CORD LMBR 25880 63057 DECOMPRESS SPINE CORD ADD-ON 10500 63064 DECOMPRESS SPINAL CORD THRC1 8630 63075 NECK SPINE DISK SURGERY1 4600 63081 REMOVE VERT BODY DCMPRN CRVL 4600 63082 REMOVE VERTEBRAL BODY ADD-ON 4600 63267 EXCISE INTRSPINL LESION LMBR 21280 63650 IMPLANT NEUROELECTRODES3 21280 63655 IMPLANT NEUROELECTRODES4 21280 63661 REMOVE SPINE ELTRD PERQ ARAY 18980 63662 REMOVE SPINE ELTRD PLATE 18980 63663 REVISE SPINE ELTRD PERQ ARAY 18980 63664 REVISE SPINE ELTRD PLATE 21280 63685 INSRT/REDO SPINE N GENERATOR 34500 30000 63688 REVISE/REMOVE NEURORECEIVER1 34500 63707 REPAIR SPINAL FLUID LEAKAGE 4600 63709 REPAIR SPINAL FLUID LEAKAGE1 16680 63710 GRAFT REPAIR OF SPINE DEFECT 16680 64400 NJX AA&/STRD TRIGEMINAL NRV 9780 64405 NJX AA&/STRD GR OCPL NRV 12080 64415 NJX AA&/STRD BRACH PLEXUS 15530 64417 NJX AA&/STRD AXILLARY NRV 14380 64418 NJX AA&/STRD SPRSCAP NRV 14380 64420 NJX AA&/STRD NTRCOST NRV 1 14380 64421 NJX AA&/STRD NTRCOST NRV EA 12080 64425 NJX AA&/STRD II IH NERVES 14380 64430 NJX AA&/STRD PUDENDAL NERVE 12080 64445 NJX AA&/STRD SCIATIC NERVE 14380 64450 NJX AA&/STRD OTHER PN/BRANCH 14380 64451 NJX AA&/STRD NRV NRVTG SI JT 14380 64454 NJX AA&/STRD GNCLR NRV BRNCH 14380 64455 NJX AA&/STRD PLTR COM DG NRV 12080 64479 NJX AA&/STRD TFRM EPI C/T 1 21280 64480 NJX AA&/STRD TFRM EPI C/T EA 7190 1000 64483 NJX AA&/STRD TFRM EPI L/S 1 21280 1000 64484 NJX AA&/STRD TFRM EPI L/S EA 7190 1000 64490 INJ PARAVERT F JNT C/T 1 LEV 21280 1000 64491 INJ PARAVERT F JNT C/T 2 LEV 6040 1000 64492 INJ PARAVERT F JNT C/T 3 LEV 6040 1000 64493 INJ PARAVERT F JNT L/S 1 LEV 21280 1000 64494 INJ PARAVERT F JNT L/S 2 LEV 6040 1000 64495 INJ PARAVERT F JNT L/S 3 LEV 6040 1000 64505 N BLOCK SPENOPALATINE GANGL 12080 64510 N BLOCK STELLATE GANGLION 12080 64520 N BLOCK LUMBAR/THORACIC 12080 64530 N BLOCK INJ CELIAC PELUS 12080 64555 IMPLANT NEUROELECTRODES6 21280 64590 INSRT/REDO PN/GASTR STIMUL 28750 64615 CHEMODENERV MUSC MIGRAINE 14380 64616 CHEMODENERV MUSC NECK DYSTON 14380 64624 DSTRJ NULYT AGT GNCLR NRV 16680 64625 RF ABLTJ NRV NRVTG SI JT 16680 64628 TRML DSTRJ IOS BVN 1ST 2 L/S 16680 64629 TRML DSTRJ IOS BVN EA ADDL 7190 64630 INJECTION TREATMENT OF NERVE4 14380 64633 DESTROY CERV/THOR FACET JNT 14380 64634 DESTROY C/TH FACET JNT ADDL 7190 64635 DESTROY LUMB/SAC FACET JNT 14380 64636 DESTROY L/S FACET JNT ADDL 7190 64640 INJECTION TREATMENT OF NERVE5 12080 64642 CHEMODENERV 1 EXTREMITY 1-4 12080 64646 CHEMODENERV TRUNK MUSC 1-5 9780 64702 REVISE FINGER/TOE NERVE 23580 64704 REVISE HAND/FOOT NERVE 23580 64708 REVISE ARM/LEG NERVE 23580 64718 REVISE ULNAR NERVE AT ELBOW 21280 64719 REVISE ULNAR NERVE AT WRIST 1150 64721 CARPAL TUNNEL SURGERY 14380 64722 RELIEVE PRESSURE ON NERVE(S) 21280 64772 INCISION OF SPINAL NERVE 14380 64774 REMOVE SKIN NERVE LESION 17830 64999 NERVOUS SYSTEM SURGERY 14380 69990 MICROSURGERY ADD-ON 4600