PROC DESCRIPTION NONFAC RATE
sur 0048T IMPLANTATION OF A VENTRICULAR ASSIST DEVICE, EXTRACORPOREAL, PERCUTANEOUS $491.36
sur 0050T REMOVAL OF A VENTRICULAR ASSIST DEVICE, EXTRACORPOREAL, PERCUTANEOUS $223.75
sur 0054T COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WI BR
sur 0055T COMPUTER-ASSISTED MUSCULOSKELETAL SURGICAL NAVIGATIONAL ORTHOPEDIC PROCEDURE, WI BR
sur 0058T CRYOPRESERVATION; REPRODUCTIVE TISSUE, OVARIAN BR
sur 0059T CRYOPRESERVATION; OOCYTE(S) BR
sur 0073T COMPENSATOR-BASED BEAM MODULATION TREATMENT DELIVERY OF INVERSE PLANNED $419.74
sur 0092T TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTO BR
sur 0095T REMOVAL OF TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, EACH AD BR
sur 0098T REVISION INCLUDING REPLACEMENT OF TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANT BR
sur 0163T TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTO BR
sur 0164T REMOVAL OF TOTAL DISC ARTHROPLASTY, (ARTIFICIAL DISC), ANTERIOR APPROACH, EACH A BR
sur 0165T REVISION INCLUDING REPLACEMENT OF TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANT BR
sur 0166T TRANSMYOCARDIAL TRANSCATHETER CLOSURE OF VENTRICULAR SEPTAL DEFECT, WITH IMPLANT BR
sur 0167T TRANSMYOCARDIAL TRANSCATHETER CLOSURE OF VENTRICULAR SEPTAL DEFECT, WITH IMPLANT BR
sur 0169T STEREOTACTIC PLACEMENT OF INFUSION CATHETER(S) IN THE BRAIN FOR DELIVERY OF THER BR
sur 0184T EXCISION OF RECTAL TUMOR, TRANSANAL ENDOSCOPIC MICROSURGICAL APPROACH (IE, TEMS) $569.98
sur 0186T SUPRACHOROIDAL DELIVERY OF PHARMACOLOGIC AGENT (DOES NOT INCLUDE SUPPLY OF MEDIC BR
sur 0192T INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESER $581.60
sur 0234T TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN OR PERCUTANEOUS, INCLUDING RADIOLOGICA BR
sur 0235T TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN OR PERCUTANEOUS, INCLUDING RADIOLOGICA BR
sur 0236T TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN OR PERCUTANEOUS, INCLUDING RADIOLOGICA BR
sur 0237T TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN OR PERCUTANEOUS, INCLUDING RADIOLOGICA BR
sur 0238T TRANSLUMINAL PERIPHERAL ATHERECTOMY, OPEN OR PERCUTANEOUS, INCLUDING RADIOLOGICA BR
sur 0245T OPEN TREATMENT OF RIB FRACTURE REQUIRING INTERNAL FIXATION, UNILATERAL; 1-2 RIBS BR
sur 0246T OPEN TREATMENT OF RIB FRACTURE REQUIRING INTERNAL FIXATION, UNILATERAL; 3-4 RIBS BR
sur 0247T OPEN TREATMENT OF RIB FRACTURE REQUIRING INTERNAL FIXATION, UNILATERAL; 5-6 RIBS BR
sur 0248T OPEN TREATMENT OF RIB FRACTURE REQUIRING INTERNAL FIXATION, UNILATERAL; 7 OR MOR BR
sur 0249T LIGATION, HEMORRHOIDAL VASCULAR BUNDLE(S), INCLUDING ULTRASOUND GUIDANCE BR
sur 0251T BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED BR
sur 0252T BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED BR
sur 0253T INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESER BR
sur 0254T ENDOVASCULAR REPAIR OF ILIAC ARTERY BIFURCATION (EG, ANEURYSM, PSEUDOANEURYSM, A BR
sur 0255T ENDOVASCULAR REPAIR OF ILIAC ARTERY BIFURCATION (EG, ANEURYSM, PSEUDOANEURYSM, A BR
sur 0258T TRANSTHORACIC CARDIAC EXPOSURE (EG, STERNOTOMY, THORACOTOMY, SUBXIPHOID) FOR CAT BR
sur 0259T TRANSTHORACIC CARDIAC EXPOSURE (EG, STERNOTOMY, THORACOTOMY, SUBXIPHOID) FOR CAT BR
sur 10021 FINE NEEDLE ASPIRATION; WITHOUT IMAGING GUIDANCE $120.25
sur 10022 FINE NEEDLE ASPIRATION; WITH IMAGING GUIDANCE $115.54
sur 10060 INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, $92.06
sur 10061 INCISION AND DRAINAGE OF ABSCESS (EG, CARBUNCLE, SUPPURATIVE HIDRADENITIS, $153.62
sur 10080 INCISION AND DRAINAGE OF PILONIDAL CYST; SIMPLE $140.61
sur 10081 INCISION AND DRAINAGE OF PILONIDAL CYST; COMPLICATED $216.96
sur 10120 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; SIMPLE $113.48
sur 10121 INCISION AND REMOVAL OF FOREIGN BODY, SUBCUTANEOUS TISSUES; COMPLICATED $220.31
sur 10140 INCISION AND DRAINAGE OF HEMATOMA, SEROMA OR FLUID COLLECTION $130.18
sur 10160 PUNCTURE ASPIRATION OF ABSCESS, HEMATOMA, BULLA, OR CYST $105.46
sur 10180 INCISION AND DRAINAGE, COMPLEX, POSTOPERATIVE WOUND INFECTION $197.59
sur 11000 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; UP TO 10% OF BODY SURFACE $44.04
sur 11001 DEBRIDEMENT OF EXTENSIVE ECZEMATOUS OR INFECTED SKIN; EACH ADDITIONAL 10% OF THE $17.85
sur 11004 DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING $494.94
sur 11005 DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING $662.37
sur 11006 DEBRIDEMENT OF SKIN, SUBCUTANEOUS TISSUE, MUSCLE AND FASCIA FOR NECROTIZING $603.77
sur 11008 REMOVAL OF PROSTHETIC MATERIAL OR MESH, ABDOMINAL WALL FOR INFECTION (EG, FOR CH $232.74
sur 11010 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTUR $397.69
sur 11011 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTUR $436.30
sur 11012 DEBRIDEMENT INCLUDING REMOVAL OF FOREIGN MATERIAL AT THE SITE OF AN OPEN FRACTUR $585.59
sur 11042 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); $73.26
sur 11043 DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS $161.08
sur 11044 DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/O $245.78
sur 11045 DEBRIDEMENT, SUBCUTANEOUS TISSUE (INCLUDES EPIDERMIS AND DERMIS, IF PERFORMED); $26.10
sur 11046 DEBRIDEMENT, MUSCLE AND/OR FASCIA (INCLUDES EPIDERMIS, DERMIS, AND SUBCUTANEOUS $45.38
sur 11047 DEBRIDEMENT, BONE (INCLUDES EPIDERMIS, DERMIS, SUBCUTANEOUS TISSUE, MUSCLE AND/O $74.65
sur 11055 PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); SINGLE L $40.56
sur 11056 PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); TWO TO $48.65
sur 11057 PARING OR CUTTING OF BENIGN HYPERKERATOTIC LESION (EG, CORN OR CALLUS); MORE $57.60
sur 11100 BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE CLO $86.43
sur 11101 BIOPSY OF SKIN, SUBCUTANEOUS TISSUE AND/OR MUCOUS MEMBRANE (INCLUDING SIMPLE $27.61
sur 11200 REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; UP TO AND INCLUDIN $70.67
sur 11201 REMOVAL OF SKIN TAGS, MULTIPLE FIBROCUTANEOUS TAGS, ANY AREA; EACH ADDITIONAL 10 $15.82
sur 11300 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; LESIO $57.13
sur 11301 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; $77.57
sur 11302 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; $92.79
sur 11303 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, TRUNK, ARMS OR LEGS; $109.43
sur 11305 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, $57.25
sur 11306 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, $79.35
sur 11307 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, $93.98
sur 11308 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, SCALP, NECK, HANDS, FEET, $104.15
sur 11310 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, $70.65
sur 11311 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, $89.07
sur 11312 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, $103.67
sur 11313 SHAVING OF EPIDERMAL OR DERMAL LESION, SINGLE LESION, FACE, EARS, EYELIDS, $128.69
sur 11400 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED ELSEWH $98.78
sur 11401 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $120.86
sur 11402 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $134.63
sur 11403 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $154.74
sur 11404 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $175.95
sur 11406 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $250.83
sur 11420 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $98.56
sur 11421 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $128.08
sur 11422 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $142.72
sur 11423 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $165.40
sur 11424 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $190.09
sur 11426 EXCISION, BENIGN LESION INCLUDING MARGINS, EXCEPT SKIN TAG (UNLESS LISTED $271.94
sur 11440 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), $108.80
sur 11441 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), $136.96
sur 11442 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), $154.45
sur 11443 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), $184.06
sur 11444 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), $231.48
sur 11446 EXCISION, OTHER BENIGN LESION INCLUDING MARGINS (UNLESS LISTED ELSEWHERE), $318.82
sur 11450 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH $301.15
sur 11451 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, AXILLARY; WITH $384.91
sur 11462 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH $295.70
sur 11463 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, INGUINAL; WITH $392.98
sur 11470 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, $329.37
sur 11471 EXCISION OF SKIN AND SUBCUTANEOUS TISSUE FOR HIDRADENITIS, PERIANAL, PERINEAL, $407.47
sur 11600 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED DIAM $153.87
sur 11601 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED $187.23
sur 11602 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED $204.75
sur 11603 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED $232.65
sur 11604 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED $257.84
sur 11606 EXCISION, MALIGNANT LESION INCLUDING MARGINS, TRUNK, ARMS, OR LEGS; EXCISED $365.19
sur 11620 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, $156.74
sur 11621 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, $188.66
sur 11622 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, $212.49
sur 11623 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, $248.41
sur 11624 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, $279.10
sur 11626 EXCISION, MALIGNANT LESION INCLUDING MARGINS, SCALP, NECK, HANDS, FEET, $337.07
sur 11640 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; $162.78
sur 11641 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; $196.97
sur 11642 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; $225.73
sur 11643 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; $265.94
sur 11644 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; $327.66
sur 11646 EXCISION, MALIGNANT LESION INCLUDING MARGINS, FACE, EARS, EYELIDS, NOSE, LIPS; $429.07
sur 11719 TRIMMING OF NONDYSTROPHIC NAILS, ANY NUMBER $17.83
sur 11720 DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); ONE TO FIVE $25.89
sur 11721 DEBRIDEMENT OF NAIL(S) BY ANY METHOD(S); SIX OR MORE $35.43
sur 11730 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; SINGLE $79.47
sur 11732 AVULSION OF NAIL PLATE, PARTIAL OR COMPLETE, SIMPLE; EACH ADDITIONAL NAIL PLATE $36.31
sur 11740 EVACUATION OF SUBUNGUAL HEMATOMA $38.52
sur 11750 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN OR DEFORMED $179.60
sur 11752 EXCISION OF NAIL AND NAIL MATRIX, PARTIAL OR COMPLETE, (EG, INGROWN OR DEFORMED $258.90
sur 11755 BIOPSY OF NAIL UNIT (EG, PLATE, BED, MATRIX, HYPONYCHIUM, PROXIMAL AND LATERAL $109.60
sur 11760 REPAIR OF NAIL BED $177.65
sur 11762 RECONSTRUCTION OF NAIL BED WITH GRAFT $224.05
sur 11765 WEDGE EXCISION OF SKIN OF NAIL FOLD (EG, FOR INGROWN TOENAIL) $112.88
sur 11770 EXCISION OF PILONIDAL CYST OR SINUS; SIMPLE $220.05
sur 11771 EXCISION OF PILONIDAL CYST OR SINUS; EXTENSIVE $456.39
sur 11772 EXCISION OF PILONIDAL CYST OR SINUS; COMPLICATED $547.10
sur 11900 INJECTION, INTRALESIONAL; UP TO AND INCLUDING SEVEN LESIONS $46.82
sur 11901 INJECTION, INTRALESIONAL; MORE THAN SEVEN LESIONS $59.20
sur 11960 INSERTION OF TISSUE EXPANDER(S) FOR OTHER THAN BREAST, INCLUDING SUBSEQUENT $757.01
sur 11971 REMOVAL OF TISSUE EXPANDER(S) WITHOUT INSERTION OF PROSTHESIS $386.95
sur 11975 INSERTION, IMPLANTABLE CONTRACEPTIVE CAPSULES $106.27
sur 11976 REMOVAL, IMPLANTABLE CONTRACEPTIVE CAPSULES $121.77
sur 11977 REMOVAL WITH REINSERTION, IMPLANTABLE CONTRACEPTIVE CAPSULES $187.12
sur 11980 SUBCUTANEOUS HORMONE PELLET IMPLANTATION (IMPLANTATION OF ESTRADIOL AND/OR $87.38
sur 11981 INSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT $112.86
sur 11982 REMOVAL, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT $125.90
sur 11983 REMOVAL WITH REINSERTION, NON-BIODEGRADABLE DRUG DELIVERY IMPLANT $187.47
sur 12001 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL GENITALIA, $80.65
sur 12002 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL $94.74
sur 12004 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL $112.55
sur 12005 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL $145.02
sur 12006 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL $175.15
sur 12007 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF SCALP, NECK, AXILLAE, EXTERNAL $204.16
sur 12011 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR $96.71
sur 12013 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR $103.93
sur 12014 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR $123.18
sur 12015 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR $151.04
sur 12016 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR $188.94
sur 12017 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR $146.00
sur 12018 SIMPLE REPAIR OF SUPERFICIAL WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR $172.99
sur 12020 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; SIMPLE CLOSURE $223.98
sur 12021 TREATMENT OF SUPERFICIAL WOUND DEHISCENCE; WITH PACKING $133.26
sur 12031 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/ OR EXTREMITIES (EXCLU $202.68
sur 12032 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/ OR EXTREMITIES (EXCLU $255.22
sur 12034 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/ OR EXTREMITIES (EXCLU $254.62
sur 12035 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/ OR EXTREMITIES (EXCLU $308.74
sur 12036 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/ OR EXTREMITIES (EXCLU $337.43
sur 12037 REPAIR, INTERMEDIATE, WOUNDS OF SCALP, AXILLAE, TRUNK AND/ OR EXTREMITIES (EXCLU $378.18
sur 12041 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.5 $211.64
sur 12042 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 2.6 $242.40
sur 12044 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 7.6 $287.07
sur 12045 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 12. $307.72
sur 12046 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; 20. $364.91
sur 12047 REPAIR, INTERMEDIATE, WOUNDS OF NECK, HANDS, FEET AND/OR EXTERNAL GENITALIA; OVE $396.20
sur 12051 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME $223.97
sur 12052 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME $255.60
sur 12053 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME $282.23
sur 12054 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME $299.41
sur 12055 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME $359.49
sur 12056 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME $429.36
sur 12057 REPAIR, INTERMEDIATE, WOUNDS OF FACE, EARS, EYELIDS, NOSE, LIPS AND/OR MUCOUS ME $489.71
sur 13100 REPAIR, COMPLEX, TRUNK; 1.1 CM TO 2.5 CM $261.60
sur 13101 REPAIR, COMPLEX, TRUNK; 2.6 CM TO 7.5 CM $332.54
sur 13102 REPAIR, COMPLEX, TRUNK; EACH ADDITIONAL 5 CM OR LESS (LIST SEPARATELY IN $90.41
sur 13120 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 1.1 CM TO 2.5 CM $272.25
sur 13121 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; 2.6 CM TO 7.5 CM $370.77
sur 13122 REPAIR, COMPLEX, SCALP, ARMS, AND/OR LEGS; EACH ADDITIONAL 5 CM OR LESS (LIST $99.90
sur 13131 REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS $300.71
sur 13132 REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS $487.25
sur 13133 REPAIR, COMPLEX, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS $141.38
sur 13150 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.0 CM OR LESS $298.96
sur 13151 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 1.1 CM TO 2.5 CM $340.71
sur 13152 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; 2.6 CM TO 7.5 CM $471.17
sur 13153 REPAIR, COMPLEX, EYELIDS, NOSE, EARS AND/OR LIPS; EACH ADDITIONAL 5 CM OR LESS $155.14
sur 13160 SECONDARY CLOSURE OF SURGICAL WOUND OR DEHISCENCE, EXTENSIVE OR COMPLICATED $679.97
sur 14000 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10 SQ CM OR LESS $520.66
sur 14001 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ $672.60
sur 14020 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10 $584.82
sur 14021 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10.1 $735.24
sur 14040 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, $645.17
sur 14041 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, $799.83
sur 14060 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; $655.88
sur 14061 ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; $858.42
sur 14301 Adjacent tissue transfer or rearrangement, any area: defect 30.1 sq cm to 60.0 s $926.32
sur 14302 Adjacent tissue transfer or rearrangement, any area; each additional 30.0 sq cm $198.29
sur 14350 FILLETED FINGER OR TOE FLAP, INCLUDING PREPARATION OF RECIPIENT SITE $609.23
sur 15002 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, B $280.73
sur 15003 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, B $61.11
sur 15004 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, B $330.44
sur 15005 SURGICAL PREPARATION OR CREATION OF RECIPIENT SITE BY EXCISION OF OPEN WOUNDS, B $101.31
sur 15040 HARVEST OF SKIN FOR TISSUE CULTURED SKIN AUTOGRAFT, 100 SQ CM OR LESS $211.14
sur 15050 PINCH GRAFT, SINGLE OR MULTIPLE, TO COVER SMALL ULCER, TIP OF DIGIT, OR OTHER $466.29
sur 15100 SPLIT-THICKNESS AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR ONE PE $719.89
sur 15101 SPLIT GRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITIONAL $155.47
sur 15110 EPIDERMAL AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR ONE PERCENT $710.27
sur 15111 EPIDERMAL AUTOGRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDIT $99.29
sur 15115 EPIDERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, $722.21
sur 15116 EPIDERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, $142.66
sur 15120 SPLIT-THICKNESS AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENI $795.92
sur 15121 SPLIT GRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, $222.38
sur 15130 DERMAL AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR ONE PERCENT OF $563.22
sur 15131 DERMAL AUTOGRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITION $85.21
sur 15135 DERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HA $727.19
sur 15136 DERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HA $74.47
sur 15150 TISSUE CULTURED EPIDERMAL AUTOGRAFT, TRUNK, ARMS, LEGS; FIRST 25 SQ CM OR LESS $579.14
sur 15151 TISSUE CULTURED EPIDERMAL AUTOGRAFT, TRUNK, ARMS, LEGS; ADDITIONAL 1 SQ CM TO 75 $111.03
sur 15152 TISSUE CULTURED EPIDERMAL AUTOGRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ C $130.62
sur 15155 TISSUE CULTURED EPIDERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, OR $542.20
sur 15156 TISSUE CULTURED EPIDERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, OR $142.29
sur 15157 TISSUE CULTURED EPIDERMAL AUTOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, OR $139.16
sur 15170 ACELLULAR DERMAL REPLACEMENT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR ONE $362.95
sur 15171 ACELLULAR DERMAL REPLACEMENT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR E $79.23
sur 15175 ACELLULAR DERMAL REPLACEMENT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, G $433.36
sur 15176 ACELLULAR DERMAL REPLACEMENT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, G $123.93
sur 15200 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; 20 $684.31
sur 15201 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, TRUNK; EACH $123.92
sur 15220 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, $644.20
sur 15221 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, SCALP, ARMS, $114.75
sur 15240 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, $779.11
sur 15241 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, FOREHEAD, CH $154.70
sur 15260 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, $845.20
sur 15261 FULL THICKNESS GRAFT, FREE, INCLUDING DIRECT CLOSURE OF DONOR SITE, NOSE, EARS, $180.60
sur 15300 ALLOGRAFT SKIN FOR TEMPORARY WOUND CLOSURE, TRUNK, ARMS, LEGS; FIRST 100 SQ CM O $290.83
sur 15301 ALLOGRAFT SKIN FOR TEMPORARY WOUND CLOSURE, TRUNK, ARMS, LEGS; EACH ADDITIONAL 1 $52.82
sur 15320 ALLOGRAFT SKIN FOR TEMPORARY WOUND CLOSURE, FACE, SCALP, EYELIDS, MOUTH, NECK, E $312.36
sur 15321 ALLOGRAFT SKIN FOR TEMPORARY WOUND CLOSURE, FACE, SCALP, EYELIDS, MOUTH, NECK, E $79.22
sur 15330 ACELLULAR DERMAL ALLOGRAFT, TRUNK, ARMS, LEGS; FIRST 100 SQ CM OR LESS, OR ONE P $270.36
sur 15331 ACELLULAR DERMAL ALLOGRAFT, TRUNK, ARMS, LEGS; EACH ADDITIONAL 100 SQ CM, OR EAC $53.68
sur 15335 ACELLULAR DERMAL ALLOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GEN $266.27
sur 15336 ACELLULAR DERMAL ALLOGRAFT, FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GEN $74.72
sur 15340 TISSUE CULTURED ALLOGENEIC SKIN SUBSTITUTE; FIRST 25 SQ CM OR LESS $261.31
sur 15341 TISSUE CULTURED ALLOGENEIC SKIN SUBSTITUTE; EACH ADDITIONAL 25 SQ CM, OR PART TH $39.07
sur 15360 TISSUE CULTURED ALLOGENEIC DERMAL SUBSTITUTE; TRUNK, ARMS, LEGS; FIRST 100 SQ CM $297.92
sur 15361 TISSUE CULTURED ALLOGENEIC DERMAL SUBSTITUTE; EACH ADDITIONAL 100 SQ CM, OR EACH $55.18
sur 15365 TISSUE CULTURED ALLOGENEIC DERMAL SUBSTITUTE, FACE, SCALP, EYELIDS, MOUTH, NECK, $285.27
sur 15366 TISSUE CULTURED ALLOGENEIC DERMAL SUBSTITUTE, FACE, SCALP, EYELIDS, MOUTH, NECK, $68.30
sur 15400 XENOGRAFT, SKIN (DERMAL), FOR TEMPORARY WOUND CLOSURE; TRUNK, ARMS, LEGS; FIRST $337.51
sur 15401 XENOGRAFT, SKIN (DERMAL), FOR TEMPORARY WOUND CLOSURE; EACH ADDITIONAL 100 SQ CM $75.98
sur 15420 XENOGRAFT SKIN (DERMAL), FOR TEMPORARY WOUND CLOSURE, FACE, SCALP, EYELIDS, MOUT $366.74
sur 15421 XENOGRAFT SKIN (DERMAL), FOR TEMPORARY WOUND CLOSURE, FACE, SCALP, EYELIDS, MOUT $96.99
sur 15430 ACELLULAR XENOGRAFT IMPLANT; FIRST 100 SQ CM OR LESS, OR ONE PERCENT OF BODY ARE $451.11
sur 15431 ACELLULAR XENOGRAFT IMPLANT; EACH ADDITIONAL 100 SQ CM, OR EACH ADDITIONAL ONE P $112.44
sur 15570 FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; TRUNK $745.87
sur 15572 FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; SCALP, ARMS, OR $727.43
sur 15574 FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; FOREHEAD, $760.96
sur 15576 FORMATION OF DIRECT OR TUBED PEDICLE, WITH OR WITHOUT TRANSFER; EYELIDS, NOSE, $676.05
sur 15600 DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT TRUNK $270.44
sur 15610 DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT SCALP, ARMS, OR $284.02
sur 15620 DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT FOREHEAD, CHEEKS, $365.40
sur 15630 DELAY OF FLAP OR SECTIONING OF FLAP (DIVISION AND INSET); AT EYELIDS, NOSE, $386.40
sur 15650 TRANSFER, INTERMEDIATE, OF ANY PEDICLE FLAP (EG, ABDOMEN TO WRIST, WALKING $427.16
sur 15731 FOREHEAD FLAP WITH PRESERVATION OF VASCULAR PEDICLE (EG, AXIAL PATTERN FLAP, PAR $959.59
sur 15732 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; HEAD AND NECK (EG, TEMPORALIS, $1,263.19
sur 15734 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; TRUNK $1,282.88
sur 15736 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; UPPER EXTREMITY $1,128.89
sur 15738 MUSCLE, MYOCUTANEOUS, OR FASCIOCUTANEOUS FLAP; LOWER EXTREMITY $1,201.75
sur 15740 FLAP; ISLAND PEDICLE $861.32
sur 15750 FLAP; NEUROVASCULAR PEDICLE $774.30
sur 15756 FREE MUSCLE OR MYOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS $2,006.05
sur 15757 FREE SKIN FLAP WITH MICROVASCULAR ANASTOMOSIS $1,986.99
sur 15758 FREE FASCIAL FLAP WITH MICROVASCULAR ANASTOMOSIS $1,978.27
sur 15760 GRAFT; COMPOSITE (EG, FULL THICKNESS OF EXTERNAL EAR OR NASAL ALA), INCLUDING $714.61
sur 15770 GRAFT; DERMA-FAT-FASCIA $563.91
sur 15788 CHEMICAL PEEL, FACIAL; EPIDERMAL $373.42
sur 15789 CHEMICAL PEEL, FACIAL; DERMAL $469.28
sur 15792 CHEMICAL PEEL, NONFACIAL; EPIDERMAL $358.51
sur 15793 CHEMICAL PEEL, NONFACIAL; DERMAL $406.00
sur 15823 BLEPHAROPLASTY, UPPER EYELID; WITH EXCESSIVE SKIN WEIGHTING DOWN LID $511.71
sur 15830 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY); ABDOMEN, $983.29
sur 15840 GRAFT FOR FACIAL NERVE PARALYSIS; FREE FASCIA GRAFT (INCLUDING OBTAINING FASCIA) $864.77
sur 15841 GRAFT FOR FACIAL NERVE PARALYSIS; FREE MUSCLE GRAFT (INCLUDING OBTAINING GRAFT) $1,429.91
sur 15842 GRAFT FOR FACIAL NERVE PARALYSIS; FREE MUSCLE FLAP BY MICROSURGICAL TECHNIQUE $2,145.81
sur 15845 GRAFT FOR FACIAL NERVE PARALYSIS; REGIONAL MUSCLE TRANSFER $826.90
sur 15847 EXCISION, EXCESSIVE SKIN AND SUBCUTANEOUS TISSUE (INCLUDES LIPECTOMY), ABDOMEN ( $367.45
sur 15850 REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), SAME SURGEON $72.21
sur 15851 REMOVAL OF SUTURES UNDER ANESTHESIA (OTHER THAN LOCAL), OTHER SURGEON $78.99
sur 15852 DRESSING CHANGE (FOR OTHER THAN BURNS) UNDER ANESTHESIA (OTHER THAN LOCAL) $39.68
sur 15860 INTRAVENOUS INJECTION OF AGENT (EG, FLUORESCEIN) TO TEST VASCULAR FLOW IN FLAP $92.46
sur 15920 EXCISION, COCCYGEAL PRESSURE ULCER, WITH COCCYGECTOMY; WITH PRIMARY SUTURE $503.24
sur 15922 EXCISION, COCCYGEAL PRESSURE ULCER, WITH COCCYGECTOMY; WITH FLAP CLOSURE $648.33
sur 15931 EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE; $563.27
sur 15933 EXCISION, SACRAL PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY $697.82
sur 15934 EXCISION, SACRAL PRESSURE ULCER, WITH SKIN FLAP CLOSURE; $775.66
sur 15935 EXCISION, SACRAL PRESSURE ULCER, WITH SKIN FLAP CLOSURE; WITH OSTECTOMY $918.30
sur 15936 EXCISION, SACRAL PRESSURE ULCER, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP $748.70
sur 15937 EXCISION, SACRAL PRESSURE ULCER, IN PREPARATION FOR MUSCLE OR MYOCUTANEOUS FLAP $876.11
sur 15940 EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUTURE; $580.53
sur 15941 EXCISION, ISCHIAL PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY $752.72
sur 15944 EXCISION, ISCHIAL PRESSURE ULCER, WITH SKIN FLAP CLOSURE; $748.68
sur 15945 EXCISION, ISCHIAL PRESSURE ULCER, WITH SKIN FLAP CLOSURE; WITH OSTECTOMY $831.08
sur 15946 EXCISION, ISCHIAL PRESSURE ULCER, WITH OSTECTOMY, IN PREPARATION FOR MUSCLE OR $1,381.88
sur 15950 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH PRIMARY SUTURE; $477.28
sur 15951 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH PRIMARY SUTURE; WITH OSTECTOMY $718.93
sur 15952 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH SKIN FLAP CLOSURE; $702.22
sur 15953 EXCISION, TROCHANTERIC PRESSURE ULCER, WITH SKIN FLAP CLOSURE; WITH OSTECTOMY $770.96
sur 15956 EXCISION, TROCHANTERIC PRESSURE ULCER, IN PREPARATION FOR MUSCLE OR $971.04
sur 15958 EXCISION, TROCHANTERIC PRESSURE ULCER, IN PREPARATION FOR MUSCLE OR $990.85
sur 15999 UNLISTED PROCEDURE, EXCISION PRESSURE ULCER BR
sur 16000 INITIAL TREATMENT, FIRST DEGREE BURN, WHEN NO MORE THAN LOCAL TREATMENT IS REQUI $56.94
sur 16020 DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT; $68.66
sur 16025 DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT; $123.21
sur 16030 DRESSINGS AND/OR DEBRIDEMENT OF PARTIAL-THICKNESS BURNS, INITIAL OR SUBSEQUENT; $148.14
sur 16035 ESCHAROTOMY; INITIAL INCISION $172.21
sur 16036 ESCHAROTOMY; EACH ADDITIONAL INCISION (LIST SEPARATELY IN ADDITION TO CODE FOR $69.54
sur 17000 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGI $67.21
sur 17003 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, $6.03
sur 17004 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGI $145.36
sur 17106 DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS (EG, LASER TECHNIQUE); $286.73
sur 17107 DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS (EG, LASER TECHNIQUE); $371.97
sur 17108 DESTRUCTION OF CUTANEOUS VASCULAR PROLIFERATIVE LESIONS (EG, LASER TECHNIQUE); $531.17
sur 17110 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, SURGI $91.60
sur 17111 DESTRUCTION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, CHEMOSURGERY, $109.13
sur 17250 CHEMICAL CAUTERIZATION OF GRANULATION TISSUE (PROUD FLESH, SINUS OR FISTULA) $63.15
sur 17260 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, C $79.32
sur 17261 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $119.73
sur 17262 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $145.33
sur 17263 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $160.00
sur 17264 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $171.47
sur 17266 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $194.49
sur 17270 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $124.92
sur 17271 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $137.27
sur 17272 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $156.55
sur 17273 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $174.37
sur 17274 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $205.73
sur 17276 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $238.18
sur 17280 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $117.15
sur 17281 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $148.50
sur 17282 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $172.07
sur 17283 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $206.88
sur 17284 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $239.97
sur 17286 DESTRUCTION, MALIGNANT LESION (EG, LASER SURGERY, ELECTROSURGERY, CRYOSURGERY, $303.74
sur 17311 MOHS MICROGRAPHIC TECHNIQUE, INCLUDING REMOVAL OF ALL GROSS TUMOR, SURGICAL EXCI $564.66
sur 17312 MOHS MICROGRAPHIC TECHNIQUE, INCLUDING REMOVAL OF ALL GROSS TUMOR, SURGICAL EXCI $336.84
sur 17313 MOHS MICROGRAPHIC TECHNIQUE, INCLUDING REMOVAL OF ALL GROSS TUMOR, SURGICAL EXCI $514.96
sur 17314 MOHS MICROGRAPHIC TECHNIQUE, INCLUDING REMOVAL OF ALL GROSS TUMOR, SURGICAL EXCI $312.43
sur 17315 MOHS MICROGRAPHIC TECHNIQUE, INCLUDING REMOVAL OF ALL GROSS TUMOR, SURGICAL EXCI $67.83
sur 17340 CRYOTHERAPY (CO2 SLUSH, LIQUID N2) FOR ACNE $41.73
sur 17999 UNLISTED PROCEDURE, SKIN, MUCOUS MEMBRANE AND SUBCUTANEOUS TISSUE BR
sur 19000 PUNCTURE ASPIRATION OF CYST OF BREAST; $91.89
sur 19001 PUNCTURE ASPIRATION OF CYST OF BREAST; EACH ADDITIONAL CYST (LIST SEPARATELY IN $22.45
sur 19020 MASTOTOMY WITH EXPLORATION OR DRAINAGE OF ABSCESS, DEEP $373.68
sur 19030 INJECTION PROCEDURE ONLY FOR MAMMARY DUCTOGRAM OR GALACTOGRAM $136.59
sur 19100 BIOPSY OF BREAST; PERCUTANEOUS, NEEDLE CORE, NOT USING IMAGING GUIDANCE (SEPARAT $119.88
sur 19101 BIOPSY OF BREAST; OPEN, INCISIONAL $273.32
sur 19102 BIOPSY OF BREAST; PERCUTANEOUS, NEEDLE CORE, USING IMAGING GUIDANCE $179.93
sur 19103 BIOPSY OF BREAST; PERCUTANEOUS, AUTOMATED VACUUM ASSISTED OR ROTATING BIOPSY $461.92
sur 19105 ABLATION, CRYOSURGICAL, OF FIBROADENOMA, INCLUDING ULTRASOUND GUIDANCE, EACH FIB $1,717.49
sur 19110 NIPPLE EXPLORATION, WITH OR WITHOUT EXCISION OF A SOLITARY LACTIFEROUS DUCT OR $388.01
sur 19112 EXCISION OF LACTIFEROUS DUCT FISTULA $364.18
sur 19120 EXCISION OF CYST, FIBROADENOMA, OR OTHER BENIGN OR MALIGNANT TUMOR, ABERRANT BRE $395.54
sur 19125 EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL $439.13
sur 19126 EXCISION OF BREAST LESION IDENTIFIED BY PREOPERATIVE PLACEMENT OF RADIOLOGICAL $135.42
sur 19260 EXCISION OF CHEST WALL TUMOR INCLUDING RIBS $1,012.27
sur 19271 EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; $1,372.71
sur 19272 EXCISION OF CHEST WALL TUMOR INVOLVING RIBS, WITH PLASTIC RECONSTRUCTION; WITH $1,519.62
sur 19290 PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE, BREAST; $134.78
sur 19291 PREOPERATIVE PLACEMENT OF NEEDLE LOCALIZATION WIRE, BREAST; EACH ADDITIONAL $57.24
sur 19295 IMAGE GUIDED PLACEMENT, METALLIC LOCALIZATION CLIP, PERCUTANEOUS, DURING BREAST $76.21
sur 19296 PLACEMENT OF RADIOTHERAPY AFTERLOADING EXPANDABLE CATHETER (SINGLE OR MULTICHANN $3,330.64
sur 19297 PLACEMENT OF RADIOTHERAPY AFTERLOADING EXPANDABLE CATHETER (SINGLE OR MULTICHANN $79.23
sur 19298 PLACEMENT OF RADIOTHERAPY AFTERLOADING BRACHYTHERAPY CATHETERS (MULTIPLE TUBE $1,023.28
sur 19300 MASTECTOMY FOR GYNECOMASTIA $419.55
sur 19301 MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); $531.05
sur 19302 MASTECTOMY, PARTIAL (EG, LUMPECTOMY, TYLECTOMY, QUADRANTECTOMY, SEGMENTECTOMY); $732.42
sur 19303 MASTECTOMY, SIMPLE, COMPLETE $822.23
sur 19304 MASTECTOMY, SUBCUTANEOUS $467.62
sur 19305 MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, AXILLARY LYMPH NODES $928.91
sur 19306 MASTECTOMY, RADICAL, INCLUDING PECTORAL MUSCLES, AXILLARY AND INTERNAL MAMMARY L $978.52
sur 19307 MASTECTOMY, MODIFIED RADICAL, INCLUDING AXILLARY LYMPH NODES, WITH OR WITHOUT PE $978.86
sur 19316 MASTOPEXY $652.66
sur 19318 REDUCTION MAMMAPLASTY $947.41
sur 19328 REMOVAL OF INTACT MAMMARY IMPLANT $416.68
sur 19330 REMOVAL OF MAMMARY IMPLANT MATERIAL $532.40
sur 19340 IMMEDIATE INSERTION OF BREAST PROSTHESIS FOLLOWING MASTOPEXY, MASTECTOMY OR IN $737.19
sur 19342 DELAYED INSERTION OF BREAST PROSTHESIS FOLLOWING MASTOPEXY, MASTECTOMY OR IN $782.42
sur 19350 NIPPLE/AREOLA RECONSTRUCTION $701.23
sur 19355 CORRECTION OF INVERTED NIPPLES $586.22
sur 19357 BREAST RECONSTRUCTION, IMMEDIATE OR DELAYED, WITH TISSUE EXPANDER, INCLUDING $1,250.59
sur 19361 BREAST RECONSTRUCTION WITH LATISSIMUS DORSI FLAP, WITHOUT PROSTHETIC IMPLANT $1,431.52
sur 19364 BREAST RECONSTRUCTION WITH FREE FLAP $2,365.19
sur 19366 BREAST RECONSTRUCTION WITH OTHER TECHNIQUE $1,166.57
sur 19367 BREAST RECONSTRUCTION WITH TRANSVERSE RECTUS ABDOMINIS MYOCUTANEOUS FLAP $1,534.73
sur 19368 BREAST RECONSTRUCTION WITH TRANSVERSE RECTUS ABDOMINIS MYOCUTANEOUS FLAP $1,897.32
sur 19369 BREAST RECONSTRUCTION WITH TRANSVERSE RECTUS ABDOMINIS MYOCUTANEOUS FLAP $1,751.52
sur 19370 OPEN PERIPROSTHETIC CAPSULOTOMY, BREAST $580.00
sur 19371 PERIPROSTHETIC CAPSULECTOMY, BREAST $664.70
sur 19380 REVISION OF RECONSTRUCTED BREAST $653.50
sur 19396 PREPARATION OF MOULAGE FOR CUSTOM BREAST IMPLANT $201.89
sur 19499 UNLISTED PROCEDURE, BREAST BR
sur 20005 INCISION AND DRAINAGE OF SOFT TISSUE ABSCESS, SUBFASCIAL (IE, INVOLVES THE SOFT $249.87
sur 20100 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); NECK $501.75
sur 20101 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); CHEST $333.45
sur 20102 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); ABDOMEN/FLANK/BACK $393.49
sur 20103 EXPLORATION OF PENETRATING WOUND (SEPARATE PROCEDURE); EXTREMITY $473.44
sur 20150 EXCISION OF EPIPHYSEAL BAR WITH/WITHOUT AUTOGENOUS SOFT TISSUE GRAFT OBTAINED TH $830.33
sur 20200 BIOPSY, MUSCLE; SUPERFICIAL $164.24
sur 20205 BIOPSY, MUSCLE; DEEP $226.11
sur 20206 BIOPSY, MUSCLE, PERCUTANEOUS NEEDLE $208.61
sur 20220 BIOPSY, BONE, TROCAR, OR NEEDLE; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS $137.38
sur 20225 BIOPSY, BONE, TROCAR, OR NEEDLE; DEEP (EG, VERTEBRAL BODY, FEMUR) $513.96
sur 20240 BIOPSY, BONE, OPEN; SUPERFICIAL (EG, ILIUM, STERNUM, SPINOUS PROCESS, RIBS, $188.54
sur 20245 BIOPSY, BONE, OPEN; DEEP (EG, HUMERUS, ISCHIUM, FEMUR) $529.48
sur 20250 BIOPSY, VERTEBRAL BODY, OPEN; THORACIC $317.87
sur 20251 BIOPSY, VERTEBRAL BODY, OPEN; LUMBAR OR CERVICAL $347.45
sur 20500 INJECTION OF SINUS TRACT; THERAPEUTIC (SEPARATE PROCEDURE) $91.80
sur 20501 INJECTION OF SINUS TRACT; DIAGNOSTIC (SINOGRAM) $103.97
sur 20520 REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; SIMPLE $161.66
sur 20525 REMOVAL OF FOREIGN BODY IN MUSCLE OR TENDON SHEATH; DEEP OR COMPLICATED $391.31
sur 20526 INJECTION, THERAPEUTIC (EG, LOCAL ANESTHETIC, CORTICOSTEROID), CARPAL TUNNEL $62.37
sur 20550 INJECTION(S); SINGLE TENDON SHEATH, OR LIGAMENT, APONEUROSIS (EG, PLANTAR $47.49
sur 20551 INJECTION(S); SINGLE TENDON ORIGIN/INSERTION $48.35
sur 20552 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), ONE OR TWO MUSCLE(S) $44.31
sur 20553 INJECTION(S); SINGLE OR MULTIPLE TRIGGER POINT(S), THREE OR MORE MUSCLE(S) $50.09
sur 20555 PLACEMENT OF NEEDLES OR CATHETERS INTO MUSCLE AND/OR SOFT TISSUE FOR SUBSEQUENT $278.89
sur 20600 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; SMALL JOINT OR BURSA (EG, FINGERS, $44.89
sur 20605 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; INTERMEDIATE JOINT OR BURSA (EG, $48.89
sur 20610 ARTHROCENTESIS, ASPIRATION AND/OR INJECTION; MAJOR JOINT OR BURSA (EG, $64.91
sur 20612 ASPIRATION AND/OR INJECTION OF GANGLION CYST(S) ANY LOCATION $48.61
sur 20615 ASPIRATION AND INJECTION FOR TREATMENT OF BONE CYST $181.09
sur 20650 INSERTION OF WIRE OR PIN WITH APPLICATION OF SKELETAL TRACTION, INCLUDING $163.87
sur 20660 APPLICATION OF CRANIAL TONGS, CALIPER, OR STEREOTACTIC FRAME, INCLUDING REMOVAL $205.77
sur 20661 APPLICATION OF HALO, INCLUDING REMOVAL; CRANIAL $407.29
sur 20662 APPLICATION OF HALO, INCLUDING REMOVAL; PELVIC $362.40
sur 20663 APPLICATION OF HALO, INCLUDING REMOVAL; FEMORAL $381.92
sur 20664 APPLICATION OF HALO, INCLUDING REMOVAL, CRANIAL, 6 OR MORE PINS PLACED, FOR THIN $679.33
sur 20665 REMOVAL OF TONGS OR HALO APPLIED BY ANOTHER PHYSICIAN $92.15
sur 20670 REMOVAL OF IMPLANT; SUPERFICIAL, (EG, BURIED WIRE, PIN OR ROD) (SEPARATE $321.50
sur 20680 REMOVAL OF IMPLANT; DEEP (EG, BURIED WIRE, PIN, SCREW, METAL BAND, NAIL, ROD OR $506.56
sur 20690 APPLICATION OF A UNIPLANE (PINS OR WIRES IN ONE PLANE), UNILATERAL, EXTERNAL FIX $482.17
sur 20692 APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE THAN ONE PLANE), UNILATERAL, $906.43
sur 20693 ADJUSTMENT OR REVISION OF EXTERNAL FIXATION SYSTEM REQUIRING ANESTHESIA (EG, $381.35
sur 20694 REMOVAL, UNDER ANESTHESIA, OF EXTERNAL FIXATION SYSTEM $352.17
sur 20696 Application of multiplane (pins or wires in more than one plane), unilateral, ex $907.36
sur 20697 Application of multiplane (pins or wires in more than one plane), unilateral, ex $1,412.12
sur 20802 REPLANTATION, ARM (INCLUDES SURGICAL NECK OF HUMERUS THROUGH ELBOW JOINT); COMPL $1,955.16
sur 20805 REPLANTATION, FOREARM (INCLUDES RADIUS AND ULNA TO RADIAL CARPAL JOINT), $2,405.27
sur 20808 REPLANTATION, HAND (INCLUDES HAND THROUGH METACARPOPHALANGEAL JOINTS), COMPLETE $3,517.62
sur 20816 REPLANTATION, DIGIT, EXCLUDING THUMB (INCLUDES METACARPOPHALANGEAL JOINT TO $1,814.42
sur 20822 REPLANTATION, DIGIT, EXCLUDING THUMB (INCLUDES DISTAL TIP TO SUBLIMIS TENDON $1,599.43
sur 20824 REPLANTATION, THUMB (INCLUDES CARPOMETACARPAL JOINT TO MP JOINT), COMPLETE $1,830.07
sur 20827 REPLANTATION, THUMB (INCLUDES DISTAL TIP TO MP JOINT), COMPLETE AMPUTATION $1,660.85
sur 20838 REPLANTATION, FOOT, COMPLETE AMPUTATION $2,006.84
sur 20900 BONE GRAFT, ANY DONOR AREA; MINOR OR SMALL (EG, DOWEL OR BUTTON) $344.78
sur 20902 BONE GRAFT, ANY DONOR AREA; MAJOR OR LARGE $275.58
sur 20910 CARTILAGE GRAFT; COSTOCHONDRAL $355.76
sur 20912 CARTILAGE GRAFT; NASAL SEPTUM $411.56
sur 20920 FASCIA LATA GRAFT; BY STRIPPER $338.88
sur 20922 FASCIA LATA GRAFT; BY INCISION AND AREA EXPOSURE, COMPLEX OR SHEET $500.86
sur 20924 TENDON GRAFT, FROM A DISTANCE (EG, PALMARIS, TOE EXTENSOR, PLANTARIS) $422.96
sur 20926 TISSUE GRAFTS, OTHER (EG, PARATENON, FAT, DERMIS) $366.12
sur 20930 ALLOGRAFT, MORSELIZED, OR PLACEMENT OF OSTEOPROMOTIVE MATERIAL, FOR SPINE SURGER BR
sur 20931 ALLOGRAFT, STRUCTURAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CO $96.03
sur 20936 AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); LOCAL (EG, RIB BR
sur 20937 AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); MORSELIZED (TH $144.13
sur 20938 AUTOGRAFT FOR SPINE SURGERY ONLY (INCLUDES HARVESTING THE GRAFT); STRUCTURAL, BI $157.98
sur 20950 MONITORING OF INTERSTITIAL FLUID PRESSURE (INCLUDES INSERTION OF DEVICE, EG, WIC $204.76
sur 20955 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; FIBULA $2,166.68
sur 20956 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; ILIAC CREST $2,236.65
sur 20957 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; METATARSAL $2,177.47
sur 20962 BONE GRAFT WITH MICROVASCULAR ANASTOMOSIS; OTHER THAN FIBULA, ILIAC CREST, OR $2,217.29
sur 20969 FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS; OTHER THAN ILIAC $2,391.31
sur 20970 FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS; ILIAC CREST $2,388.82
sur 20972 FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS; METATARSAL $1,951.88
sur 20973 FREE OSTEOCUTANEOUS FLAP WITH MICROVASCULAR ANASTOMOSIS; GREAT TOE WITH WEB $2,281.17
sur 20974 ELECTRICAL STIMULATION TO AID BONE HEALING; NONINVASIVE (NONOPERATIVE) $57.95
sur 20975 ELECTRICAL STIMULATION TO AID BONE HEALING; INVASIVE (OPERATIVE) $149.09
sur 20979 LOW INTENSITY ULTRASOUND STIMULATION TO AID BONE HEALING, NONINVASIVE $43.70
sur 20982 ABLATION, BONE TUMOR(S) (EG, OSTEOID OSTEOMA, METASTASIS) RADIOFREQUENCY, $3,015.66
sur 20999 UNLISTED PROCEDURE, MUSCULOSKELETAL SYSTEM, GENERAL BR
sur 21010 ARTHROTOMY, TEMPOROMANDIBULAR JOINT $610.64
sur 21011 Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm $277.66
sur 21012 Excision, tumor, soft tissue of face or scalp, subcutaneous; 2 cm or greater $292.73
sur 21013 Excision, tumor, soft tissue of face and scalp, subfascial (eg, subgaleal, intra $429.13
sur 21014 Excision, tumor, soft tissue of face and scalp, subfascial (eg,subgaleal, intram $451.63
sur 21015 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF FACE OR SCAL $554.44
sur 21016 Radical resection of tumor (eg, malignant neoplasm), soft tissue of face or scal $895.10
sur 21025 EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE ABSCESS); MANDIBLE $742.20
sur 21026 EXCISION OF BONE (EG, FOR OSTEOMYELITIS OR BONE ABSCESS); FACIAL BONE(S) $506.04
sur 21029 REMOVAL BY CONTOURING OF BENIGN TUMOR OF FACIAL BONE (EG, FIBROUS DYSPLASIA) $644.68
sur 21030 EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA OR ZYGOMA BY ENUCLEATION AND $424.12
sur 21031 EXCISION OF TORUS MANDIBULARIS $319.45
sur 21032 EXCISION OF MAXILLARY TORUS PALATINUS $324.89
sur 21034 EXCISION OF MALIGNANT TUMOR OF MAXILLA OR ZYGOMA $1,122.34
sur 21040 EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE, BY ENUCLEATION AND/OR CURETTAGE $427.30
sur 21044 EXCISION OF MALIGNANT TUMOR OF MANDIBLE; $747.75
sur 21045 EXCISION OF MALIGNANT TUMOR OF MANDIBLE; RADICAL RESECTION $1,042.15
sur 21046 EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE; REQUIRING INTRA-ORAL OSTEOTOMY $920.02
sur 21047 EXCISION OF BENIGN TUMOR OR CYST OF MANDIBLE; REQUIRING EXTRA-ORAL OSTEOTOMY $1,100.73
sur 21048 EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA; REQUIRING INTRA-ORAL OSTEOTOMY $940.76
sur 21049 EXCISION OF BENIGN TUMOR OR CYST OF MAXILLA; REQUIRING EXTRA-ORAL OSTEOTOMY AND $1,055.64
sur 21050 CONDYLECTOMY, TEMPOROMANDIBULAR JOINT (SEPARATE PROCEDURE) $740.74
sur 21060 MENISCECTOMY, PARTIAL OR COMPLETE, TEMPOROMANDIBULAR JOINT (SEPARATE PROCEDURE) $690.16
sur 21070 CORONOIDECTOMY (SEPARATE PROCEDURE) $527.57
sur 21073 MANIPULATION OF TEMPOROMANDIBULAR JOINT(S) (TMJ), THERAPEUTIC, REQUIRING AN ANES $322.69
sur 21076 IMPRESSION AND CUSTOM PREPARATION; SURGICAL OBTURATOR PROSTHESIS $815.84
sur 21077 IMPRESSION AND CUSTOM PREPARATION; ORBITAL PROSTHESIS $2,032.94
sur 21079 IMPRESSION AND CUSTOM PREPARATION; INTERIM OBTURATOR PROSTHESIS $1,380.37
sur 21080 IMPRESSION AND CUSTOM PREPARATION; DEFINITIVE OBTURATOR PROSTHESIS $1,558.66
sur 21081 IMPRESSION AND CUSTOM PREPARATION; MANDIBULAR RESECTION PROSTHESIS $1,430.33
sur 21082 IMPRESSION AND CUSTOM PREPARATION; PALATAL AUGMENTATION PROSTHESIS $1,341.65
sur 21083 IMPRESSION AND CUSTOM PREPARATION; PALATAL LIFT PROSTHESIS $1,247.53
sur 21084 IMPRESSION AND CUSTOM PREPARATION; SPEECH AID PROSTHESIS $1,469.23
sur 21085 IMPRESSION AND CUSTOM PREPARATION; ORAL SURGICAL SPLINT $661.28
sur 21086 IMPRESSION AND CUSTOM PREPARATION; AURICULAR PROSTHESIS $1,493.02
sur 21087 IMPRESSION AND CUSTOM PREPARATION; NASAL PROSTHESIS $1,490.15
sur 21088 IMPRESSION AND CUSTOM PREPARATION; FACIAL PROSTHESIS BR
sur 21089 UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE BR
sur 21100 APPLICATION OF HALO TYPE APPLIANCE FOR MAXILLOFACIAL FIXATION, INCLUDES REMOVAL $545.49
sur 21110 APPLICATION OF INTERDENTAL FIXATION DEVICE FOR CONDITIONS OTHER THAN FRACTURE $645.59
sur 21116 INJECTION PROCEDURE FOR TEMPOROMANDIBULAR JOINT ARTHROGRAPHY $122.66
sur 21120 GENIOPLASTY; AUGMENTATION (AUTOGRAFT, ALLOGRAFT, PROSTHETIC MATERIAL) $534.61
sur 21121 GENIOPLASTY; SLIDING OSTEOTOMY, SINGLE PIECE $644.65
sur 21122 GENIOPLASTY; SLIDING OSTEOTOMIES, TWO OR MORE OSTEOTOMIES (EG, WEDGE EXCISION $588.79
sur 21123 GENIOPLASTY; SLIDING, AUGMENTATION WITH INTERPOSITIONAL BONE GRAFTS (INCLUDES $736.14
sur 21125 AUGMENTATION, MANDIBULAR BODY OR ANGLE; PROSTHETIC MATERIAL $2,547.31
sur 21127 AUGMENTATION, MANDIBULAR BODY OR ANGLE; WITH BONE GRAFT, ONLAY OR $3,112.61
sur 21137 REDUCTION FOREHEAD; CONTOURING ONLY $605.91
sur 21138 REDUCTION FOREHEAD; CONTOURING AND APPLICATION OF PROSTHETIC MATERIAL OR BONE $750.00
sur 21139 REDUCTION FOREHEAD; CONTOURING AND SETBACK OF ANTERIOR FRONTAL SINUS WALL $834.86
sur 21141 RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY $1,160.38
sur 21142 RECONSTRUCTION MIDFACE, LEFORT I; TWO PIECES, SEGMENT MOVEMENT IN ANY $1,169.89
sur 21143 RECONSTRUCTION MIDFACE, LEFORT I; THREE OR MORE PIECES, SEGMENT MOVEMENT IN ANY $1,239.19
sur 21145 RECONSTRUCTION MIDFACE, LEFORT I; SINGLE PIECE, SEGMENT MOVEMENT IN ANY $1,266.39
sur 21146 RECONSTRUCTION MIDFACE, LEFORT I; TWO PIECES, SEGMENT MOVEMENT IN ANY $1,446.84
sur 21147 RECONSTRUCTION MIDFACE, LEFORT I; THREE OR MORE PIECES, SEGMENT MOVEMENT IN ANY $1,388.18
sur 21150 RECONSTRUCTION MIDFACE, LEFORT II; ANTERIOR INTRUSION (EG, TREACHER-COLLINS $1,390.30
sur 21151 RECONSTRUCTION MIDFACE, LEFORT II; ANY DIRECTION, REQUIRING BONE GRAFTS $1,660.74
sur 21154 RECONSTRUCTION MIDFACE, LEFORT III (EXTRACRANIAL), ANY TYPE, REQUIRING BONE $1,799.72
sur 21155 RECONSTRUCTION MIDFACE, LEFORT III (EXTRACRANIAL), ANY TYPE, REQUIRING BONE $1,838.28
sur 21159 RECONSTRUCTION MIDFACE, LEFORT III (EXTRA AND INTRACRANIAL) WITH FOREHEAD $2,370.16
sur 21160 RECONSTRUCTION MIDFACE, LEFORT III (EXTRA AND INTRACRANIAL) WITH FOREHEAD $2,280.88
sur 21172 RECONSTRUCTION SUPERIOR-LATERAL ORBITAL RIM AND LOWER FOREHEAD, ADVANCEMENT OR $1,513.00
sur 21175 RECONSTRUCTION, BIFRONTAL, SUPERIOR-LATERAL ORBITAL RIMS AND LOWER FOREHEAD, $2,017.17
sur 21179 RECONSTRUCTION, ENTIRE OR MAJORITY OF FOREHEAD AND/OR SUPRAORBITAL RIMS; WITH $1,290.18
sur 21180 RECONSTRUCTION, ENTIRE OR MAJORITY OF FOREHEAD AND/OR SUPRAORBITAL RIMS; WITH $1,408.07
sur 21181 RECONSTRUCTION BY CONTOURING OF BENIGN TUMOR OF CRANIAL BONES (EG, FIBROUS $602.46
sur 21182 RECONSTRUCTION OF ORBITAL WALLS, RIMS, FOREHEAD, NASOETHMOID COMPLEX FOLLOWING $1,683.96
sur 21183 RECONSTRUCTION OF ORBITAL WALLS, RIMS, FOREHEAD, NASOETHMOID COMPLEX FOLLOWING $1,909.52
sur 21184 RECONSTRUCTION OF ORBITAL WALLS, RIMS, FOREHEAD, NASOETHMOID COMPLEX FOLLOWING $2,102.31
sur 21188 RECONSTRUCTION MIDFACE, OSTEOTOMIES (OTHER THAN LEFORT TYPE) AND BONE GRAFTS $1,365.09
sur 21193 RECONSTRUCTION OF MANDIBULAR RAMI, HORIZONTAL, VERTICAL, C, OR L OSTEOTOMY; $1,108.37
sur 21194 RECONSTRUCTION OF MANDIBULAR RAMI, HORIZONTAL, VERTICAL, C, OR L OSTEOTOMY; $1,183.70
sur 21195 RECONSTRUCTION OF MANDIBULAR RAMI AND/OR BODY, SAGITTAL SPLIT; WITHOUT INTERNAL $1,137.82
sur 21196 RECONSTRUCTION OF MANDIBULAR RAMI AND/OR BODY, SAGITTAL SPLIT; WITH INTERNAL $1,245.08
sur 21198 OSTEOTOMY, MANDIBLE, SEGMENTAL; $983.06
sur 21199 OSTEOTOMY, MANDIBLE, SEGMENTAL; WITH GENIOGLOSSUS ADVANCEMENT $867.30
sur 21206 OSTEOTOMY, MAXILLA, SEGMENTAL (EG, WASSMUND OR SCHUCHARD) $1,027.28
sur 21208 OSTEOPLASTY, FACIAL BONES; AUGMENTATION (AUTOGRAFT, ALLOGRAFT, OR PROSTHETIC $1,515.80
sur 21209 OSTEOPLASTY, FACIAL BONES; REDUCTION $701.93
sur 21210 GRAFT, BONE; NASAL, MAXILLARY OR MALAR AREAS (INCLUDES OBTAINING GRAFT) $1,814.31
sur 21215 GRAFT, BONE; MANDIBLE (INCLUDES OBTAINING GRAFT) $3,161.00
sur 21230 GRAFT; RIB CARTILAGE, AUTOGENOUS, TO FACE, CHIN, NOSE OR EAR (INCLUDES $657.28
sur 21235 GRAFT; EAR CARTILAGE, AUTOGENOUS, TO NOSE OR EAR (INCLUDES OBTAINING GRAFT) $614.98
sur 21240 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH OR WITHOUT AUTOGRAFT (INCLUDES $929.37
sur 21242 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH ALLOGRAFT $852.45
sur 21243 ARTHROPLASTY, TEMPOROMANDIBULAR JOINT, WITH PROSTHETIC JOINT REPLACEMENT $1,403.23
sur 21244 RECONSTRUCTION OF MANDIBLE, EXTRAORAL, WITH TRANSOSTEAL BONE PLATE (EG, $896.00
sur 21245 RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTEAL IMPLANT; PARTIAL $952.16
sur 21246 RECONSTRUCTION OF MANDIBLE OR MAXILLA, SUBPERIOSTEAL IMPLANT; COMPLETE $709.10
sur 21247 RECONSTRUCTION OF MANDIBULAR CONDYLE WITH BONE AND CARTILAGE AUTOGRAFTS $1,376.27
sur 21248 RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER); $906.50
sur 21249 RECONSTRUCTION OF MANDIBLE OR MAXILLA, ENDOSTEAL IMPLANT (EG, BLADE, CYLINDER); $1,247.47
sur 21255 RECONSTRUCTION OF ZYGOMATIC ARCH AND GLENOID FOSSA WITH BONE AND CARTILAGE $1,167.76
sur 21256 RECONSTRUCTION OF ORBIT WITH OSTEOTOMIES (EXTRACRANIAL) AND WITH BONE GRAFTS $1,001.92
sur 21260 PERIORBITAL OSTEOTOMIES FOR ORBITAL HYPERTELORISM, WITH BONE GRAFTS; $1,124.70
sur 21261 PERIORBITAL OSTEOTOMIES FOR ORBITAL HYPERTELORISM, WITH BONE GRAFTS; COMBINED $1,865.78
sur 21263 PERIORBITAL OSTEOTOMIES FOR ORBITAL HYPERTELORISM, WITH BONE GRAFTS; WITH $1,601.25
sur 21267 ORBITAL REPOSITIONING, PERIORBITAL OSTEOTOMIES, UNILATERAL, WITH BONE GRAFTS; $1,355.04
sur 21268 ORBITAL REPOSITIONING, PERIORBITAL OSTEOTOMIES, UNILATERAL, WITH BONE GRAFTS; $1,551.34
sur 21270 MALAR AUGMENTATION, PROSTHETIC MATERIAL $797.95
sur 21275 SECONDARY REVISION OF ORBITOCRANIOFACIAL RECONSTRUCTION $707.21
sur 21280 MEDIAL CANTHOPEXY (SEPARATE PROCEDURE) $474.35
sur 21282 LATERAL CANTHOPEXY $312.30
sur 21295 REDUCTION OF MASSETER MUSCLE AND BONE (EG, FOR TREATMENT OF BENIGN MASSETERIC $148.62
sur 21296 REDUCTION OF MASSETER MUSCLE AND BONE (EG, FOR TREATMENT OF BENIGN MASSETERIC $338.11
sur 21299 UNLISTED CRANIOFACIAL AND MAXILLOFACIAL PROCEDURE BR
sur 21310 CLOSED TREATMENT OF NASAL BONE FRACTURE WITHOUT MANIPULATION $93.79
sur 21315 CLOSED TREATMENT OF NASAL BONE FRACTURE; WITHOUT STABILIZATION $226.40
sur 21320 CLOSED TREATMENT OF NASAL BONE FRACTURE; WITH STABILIZATION $213.58
sur 21325 OPEN TREATMENT OF NASAL FRACTURE; UNCOMPLICATED $398.15
sur 21330 OPEN TREATMENT OF NASAL FRACTURE; COMPLICATED, WITH INTERNAL AND/OR EXTERNAL $481.07
sur 21335 OPEN TREATMENT OF NASAL FRACTURE; WITH CONCOMITANT OPEN TREATMENT OF FRACTURED $620.36
sur 21336 OPEN TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR WITHOUT STABILIZATION $547.96
sur 21337 CLOSED TREATMENT OF NASAL SEPTAL FRACTURE, WITH OR WITHOUT STABILIZATION $335.60
sur 21338 OPEN TREATMENT OF NASOETHMOID FRACTURE; WITHOUT EXTERNAL FIXATION $630.19
sur 21339 OPEN TREATMENT OF NASOETHMOID FRACTURE; WITH EXTERNAL FIXATION $679.10
sur 21340 PERCUTANEOUS TREATMENT OF NASOETHMOID COMPLEX FRACTURE, WITH SPLINT, WIRE OR $658.88
sur 21343 OPEN TREATMENT OF DEPRESSED FRONTAL SINUS FRACTURE $973.32
sur 21344 OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING POSTERIOR WALL) $1,404.46
sur 21345 CLOSED TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE), WITH $662.32
sur 21346 OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE); WITH WIRING $787.53
sur 21347 OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE); REQUIRING $933.09
sur 21348 OPEN TREATMENT OF NASOMAXILLARY COMPLEX FRACTURE (LEFORT II TYPE); WITH BONE $983.25
sur 21355 PERCUTANEOUS TREATMENT OF FRACTURE OF MALAR AREA, INCLUDING ZYGOMATIC ARCH AND $374.16
sur 21356 OPEN TREATMENT OF DEPRESSED ZYGOMATIC ARCH FRACTURE (EG, GILLIES APPROACH) $415.59
sur 21360 OPEN TREATMENT OF DEPRESSED MALAR FRACTURE, INCLUDING ZYGOMATIC ARCH AND MALAR $448.73
sur 21365 OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING CRANIAL NERVE $945.65
sur 21366 OPEN TREATMENT OF COMPLICATED (EG, COMMINUTED OR INVOLVING CRANIAL NERVE $1,071.73
sur 21385 OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; TRANSANTRAL APPROACH $590.55
sur 21386 OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH $562.84
sur 21387 OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; COMBINED APPROACH $633.42
sur 21390 OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH, WITH $670.24
sur 21395 OPEN TREATMENT OF ORBITAL FLOOR BLOWOUT FRACTURE; PERIORBITAL APPROACH WITH $824.71
sur 21400 CLOSED TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITHOUT MANIPULATION $154.08
sur 21401 CLOSED TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITH MANIPULATION $397.80
sur 21406 OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITHOUT IMPLANT $464.81
sur 21407 OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITH IMPLANT $547.97
sur 21408 OPEN TREATMENT OF FRACTURE OF ORBIT, EXCEPT BLOWOUT; WITH BONE GRAFTING $763.43
sur 21421 CLOSED TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE), WITH $626.98
sur 21422 OPEN TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE); $560.52
sur 21423 OPEN TREATMENT OF PALATAL OR MAXILLARY FRACTURE (LEFORT I TYPE); COMPLICATED $694.18
sur 21431 CLOSED TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE) USING INTERDENTAL $625.72
sur 21432 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE); WITH WIRING AND/OR $592.61
sur 21433 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE); COMPLICATED (EG, $1,429.19
sur 21435 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE); COMPLICATED, $1,104.82
sur 21436 OPEN TREATMENT OF CRANIOFACIAL SEPARATION (LEFORT III TYPE); COMPLICATED, $1,736.20
sur 21440 CLOSED TREATMENT OF MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE (SEPARATE $463.12
sur 21445 OPEN TREATMENT OF MANDIBULAR OR MAXILLARY ALVEOLAR RIDGE FRACTURE (SEPARATE $633.32
sur 21450 CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITHOUT MANIPULATION $485.65
sur 21451 CLOSED TREATMENT OF MANDIBULAR FRACTURE; WITH MANIPULATION $630.61
sur 21452 PERCUTANEOUS TREATMENT OF MANDIBULAR FRACTURE, WITH EXTERNAL FIXATION $487.64
sur 21453 CLOSED TREATMENT OF MANDIBULAR FRACTURE WITH INTERDENTAL FIXATION $736.16
sur 21454 OPEN TREATMENT OF MANDIBULAR FRACTURE WITH EXTERNAL FIXATION $469.41
sur 21461 OPEN TREATMENT OF MANDIBULAR FRACTURE; WITHOUT INTERDENTAL FIXATION $1,699.02
sur 21462 OPEN TREATMENT OF MANDIBULAR FRACTURE; WITH INTERDENTAL FIXATION $1,802.98
sur 21465 OPEN TREATMENT OF MANDIBULAR CONDYLAR FRACTURE $802.71
sur 21470 OPEN TREATMENT OF COMPLICATED MANDIBULAR FRACTURE BY MULTIPLE SURGICAL $1,020.90
sur 21480 CLOSED TREATMENT OF TEMPOROMANDIBULAR DISLOCATION; INITIAL OR SUBSEQUENT $76.89
sur 21485 CLOSED TREATMENT OF TEMPOROMANDIBULAR DISLOCATION; COMPLICATED (EG, RECURRENT $566.78
sur 21490 OPEN TREATMENT OF TEMPOROMANDIBULAR DISLOCATION $787.21
sur 21495 OPEN TREATMENT OF HYOID FRACTURE $592.77
sur 21497 INTERDENTAL WIRING, FOR CONDITION OTHER THAN FRACTURE $567.55
sur 21499 UNLISTED MUSCULOSKELETAL PROCEDURE, HEAD BR
sur 21501 INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA, SOFT TISSUES OF NECK OR THORAX; $373.25
sur 21502 INCISION AND DRAINAGE, DEEP ABSCESS OR HEMATOMA, SOFT TISSUES OF NECK OR $430.58
sur 21510 INCISION, DEEP, WITH OPENING OF BONE CORTEX (EG, FOR OSTEOMYELITIS OR BONE $396.11
sur 21550 BIOPSY, SOFT TISSUE OF NECK OR THORAX $215.35
sur 21552 Excision, tumor, soft tissue of neck or anterior thorax, subcutaneous; 3 cm or g $384.01
sur 21554 Excision, tumor, soft tissue of neck or anterior thorax, subfascial (eg,intramus $630.55
sur 21555 EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBCUTANEOUS; LESS THAN $343.09
sur 21556 EXCISION, TUMOR, SOFT TISSUE OF NECK OR ANTERIOR THORAX, SUBFASCIAL (EG, INTRAMU $434.13
sur 21557 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF NECK OR ANTE $753.24
sur 21558 Radical resection of tumor (eg, malignant neoplasm), soft tissue of neck or ante $1,172.66
sur 21600 EXCISION OF RIB, PARTIAL $473.21
sur 21610 COSTOTRANSVERSECTOMY (SEPARATE PROCEDURE) $972.50
sur 21615 EXCISION FIRST AND/OR CERVICAL RIB; $560.37
sur 21616 EXCISION FIRST AND/OR CERVICAL RIB; WITH SYMPATHECTOMY $684.67
sur 21620 OSTECTOMY OF STERNUM, PARTIAL $443.03
sur 21627 STERNAL DEBRIDEMENT $464.18
sur 21630 RADICAL RESECTION OF STERNUM; $1,074.40
sur 21632 RADICAL RESECTION OF STERNUM; WITH MEDIASTINAL LYMPHADENECTOMY $1,067.66
sur 21685 HYOID MYOTOMY AND SUSPENSION $853.20
sur 21700 DIVISION OF SCALENUS ANTICUS; WITHOUT RESECTION OF CERVICAL RIB $363.13
sur 21705 DIVISION OF SCALENUS ANTICUS; WITH RESECTION OF CERVICAL RIB $513.93
sur 21720 DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, OPEN OPERATION; WITHOUT CAST $376.04
sur 21725 DIVISION OF STERNOCLEIDOMASTOID FOR TORTICOLLIS, OPEN OPERATION; WITH CAST $447.69
sur 21740 RECONSTRUCTIVE REPAIR OF PECTUS EXCAVATUM OR CARINATUM; OPEN $884.21
sur 21742 RECONSTRUCTIVE REPAIR OF PECTUS EXCAVATUM OR CARINATUM; MINIMALLY INVASIVE BR
sur 21743 RECONSTRUCTIVE REPAIR OF PECTUS EXCAVATUM OR CARINATUM; MINIMALLY INVASIVE BR
sur 21750 CLOSURE OF MEDIAN STERNOTOMY SEPARATION WITH OR WITHOUT DEBRIDEMENT (SEPARATE $600.16
sur 21800 CLOSED TREATMENT OF RIB FRACTURE, UNCOMPLICATED, EACH $85.24
sur 21805 OPEN TREATMENT OF RIB FRACTURE WITHOUT FIXATION, EACH $220.42
sur 21810 TREATMENT OF RIB FRACTURE REQUIRING EXTERNAL FIXATION (FLAIL CHEST) $438.01
sur 21820 CLOSED TREATMENT OF STERNUM FRACTURE $113.05
sur 21825 OPEN TREATMENT OF STERNUM FRACTURE WITH OR WITHOUT SKELETAL FIXATION $477.24
sur 21899 UNLISTED PROCEDURE, NECK OR THORAX BR
sur 21920 BIOPSY, SOFT TISSUE OF BACK OR FLANK; SUPERFICIAL $215.56
sur 21925 BIOPSY, SOFT TISSUE OF BACK OR FLANK; DEEP $358.59
sur 21930 EXCISION, TUMOR, SOFT TISSUE OF BACK OR FLANK, SUBCUTANEOUS; LESS THAN 3 CM $386.93
sur 21931 Excision, tumor, soft tissue of back or flank, subcutaneous; 3 cm or greater $401.11
sur 21932 Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); l $572.30
sur 21933 Excision, tumor, soft tissue of back or flank, subfascial (eg, intramuscular); $630.57
sur 21935 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF BACK OR FLAN $869.22
sur 21936 Radical resection of tumor (eg, malignant neoplasm), soft tissue of backor flank $1,221.94
sur 22010 INCISION AND DRAINAGE, OPEN, OF DEEP ABSCESS (SUBFASCIAL), POSTERIOR SPINE; CERV $783.33
sur 22015 INCISION AND DRAINAGE, OPEN, OF DEEP ABSCESS (SUBFASCIAL), POSTERIOR SPINE; LUMB $771.38
sur 22100 PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA O $728.95
sur 22101 PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA $713.49
sur 22102 PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA $688.06
sur 22103 PARTIAL EXCISION OF POSTERIOR VERTEBRAL COMPONENT (EG, SPINOUS PROCESS, LAMINA $122.79
sur 22110 PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT $896.43
sur 22112 PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT $883.84
sur 22114 PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT $831.16
sur 22116 PARTIAL EXCISION OF VERTEBRAL BODY, FOR INTRINSIC BONY LESION, WITHOUT $119.99
sur 22206 OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, THREE COLUMNS, ONE VER $1,983.58
sur 22207 OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, THREE COLUMNS, ONE VER $2,011.59
sur 22208 OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, THREE COLUMNS, ONE VER $500.97
sur 22210 OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, ONE VERTEBRAL SEGMENT; $1,482.59
sur 22212 OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, ONE VERTEBRAL $1,230.15
sur 22214 OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, ONE VERTEBRAL $1,237.88
sur 22216 OSTEOTOMY OF SPINE, POSTERIOR OR POSTEROLATERAL APPROACH, ONE VERTEBRAL $312.83
sur 22220 OSTEOTOMY OF SPINE, INCLUDING DISKECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL $1,348.80
sur 22222 OSTEOTOMY OF SPINE, INCLUDING DISKECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL $1,255.26
sur 22224 OSTEOTOMY OF SPINE, INCLUDING DISKECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL $1,323.77
sur 22226 OSTEOTOMY OF SPINE, INCLUDING DISKECTOMY, ANTERIOR APPROACH, SINGLE VERTEBRAL $313.54
sur 22305 CLOSED TREATMENT OF VERTEBRAL PROCESS FRACTURE(S) $155.53
sur 22310 CLOSED TREATMENT OF VERTEBRAL BODY FRACTURE(S), WITHOUT MANIPULATION, REQUIRING $249.06
sur 22315 CLOSED TREATMENT OF VERTEBRAL FRACTURE(S) AND/OR DISLOCATION(S) REQUIRING CASTIN $728.23
sur 22318 OPEN TREATMENT AND/OR REDUCTION OF ODONTOID FRACTURE(S) AND OR DISLOCATION(S) $1,364.17
sur 22319 OPEN TREATMENT AND/OR REDUCTION OF ODONTOID FRACTURE(S) AND OR DISLOCATION(S) $1,518.43
sur 22325 OPEN TREATMENT AND/OR REDUCTION OF VERTEBRAL FRACTURE(S) AND/ OR $1,194.31
sur 22326 OPEN TREATMENT AND/OR REDUCTION OF VERTEBRAL FRACTURE(S) AND/ OR $1,239.98
sur 22327 OPEN TREATMENT AND/OR REDUCTION OF VERTEBRAL FRACTURE(S) AND/ OR $1,232.73
sur 22328 OPEN TREATMENT AND/OR REDUCTION OF VERTEBRAL FRACTURE(S) AND/ OR $242.22
sur 22505 MANIPULATION OF SPINE REQUIRING ANESTHESIA, ANY REGION $99.48
sur 22520 PERCUTANEOUS VERTEBROPLASTY, 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION $1,882.77
sur 22521 PERCUTANEOUS VERTEBROPLASTY, 1 VERTEBRAL BODY, UNILATERAL OR BILATERAL INJECTION $1,847.06
sur 22522 PERCUTANEOUS VERTEBROPLASTY, ONE VERTEBRAL BODY, UNILATERAL OR BILATERAL $195.88
sur 22523 PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTI $496.04
sur 22524 PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTI $476.80
sur 22525 PERCUTANEOUS VERTEBRAL AUGMENTATION, INCLUDING CAVITY CREATION (FRACTURE REDUCTI $222.65
sur 22532 ARTHRODESIS, LATERAL EXTRACAVITARY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO PR $1,496.40
sur 22533 ARTHRODESIS, LATERAL EXTRACAVITARY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO $1,411.41
sur 22534 ARTHRODESIS, LATERAL EXTRACAVITARY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO $311.50
sur 22548 ARTHRODESIS, ANTERIOR TRANSORAL OR EXTRAORAL TECHNIQUE, CLIVUS-C1-C2 (ATLAS-AXIS $1,628.08
sur 22551 ARTHRODESIS, ANTERIOR INTERBODY, INCLUDING DISC SPACE PREPARATION, DISCECTOMY, O $1,462.38
sur 22552 ARTHRODESIS, ANTERIOR INTERBODY, INCLUDING DISC SPACE PREPARATION, DISCECTOMY, O $341.16
sur 22554 ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO $1,068.75
sur 22556 ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO $1,403.69
sur 22558 ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO $1,298.49
sur 22585 ARTHRODESIS, ANTERIOR INTERBODY TECHNIQUE, INCLUDING MINIMAL DISKECTOMY TO $288.62
sur 22590 ARTHRODESIS, POSTERIOR TECHNIQUE, CRANIOCERVICAL (OCCIPUT-C2) $1,317.70
sur 22595 ARTHRODESIS, POSTERIOR TECHNIQUE, ATLAS-AXIS (C1-C2) $1,252.79
sur 22600 ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE LEVEL; CERVICAL $1,070.34
sur 22610 ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE LEVEL; THORACIC $1,049.44
sur 22612 ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE LEVEL; LUMBAR (WITH $1,343.17
sur 22614 ARTHRODESIS, POSTERIOR OR POSTEROLATERAL TECHNIQUE, SINGLE LEVEL; EACH $336.56
sur 22630 ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, INCLUDING LAMINECTOMY AND/OR $1,293.38
sur 22632 ARTHRODESIS, POSTERIOR INTERBODY TECHNIQUE, INCLUDING LAMINECTOMY AND/OR $274.33
sur 22800 ARTHRODESIS, POSTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; UP TO 6 VERT $1,137.28
sur 22802 ARTHRODESIS, POSTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 7 TO 12 $1,782.10
sur 22804 ARTHRODESIS, POSTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 13 OR MORE $2,054.63
sur 22808 ARTHRODESIS, ANTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 2 TO 3 $1,547.62
sur 22810 ARTHRODESIS, ANTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 4 TO 7 $1,722.19
sur 22812 ARTHRODESIS, ANTERIOR, FOR SPINAL DEFORMITY, WITH OR WITHOUT CAST; 8 OR MORE $1,865.52
sur 22818 KYPHECTOMY, CIRCUMFERENTIAL EXPOSURE OF SPINE AND RESECTION OF VERTEBRAL $1,844.62
sur 22819 KYPHECTOMY, CIRCUMFERENTIAL EXPOSURE OF SPINE AND RESECTION OF VERTEBRAL $2,291.68
sur 22830 EXPLORATION OF SPINAL FUSION $677.63
sur 22840 POSTERIOR NON-SEGMENTAL INSTRUMENTATION (EG, HARRINGTON ROD TECHNIQUE, PEDICLE F $655.60
sur 22841 INTERNAL SPINAL FIXATION BY WIRING OF SPINOUS PROCESSES (LIST SEPARATELY IN ADDI BR
sur 22842 POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIP $656.85
sur 22843 POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIP $697.85
sur 22844 POSTERIOR SEGMENTAL INSTRUMENTATION (EG, PEDICLE FIXATION, DUAL RODS WITH MULTIP $843.65
sur 22845 ANTERIOR INSTRUMENTATION; 2 TO 3 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION $631.74
sur 22846 ANTERIOR INSTRUMENTATION; 4 TO 7 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION $655.52
sur 22847 ANTERIOR INSTRUMENTATION; 8 OR MORE VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDIT $747.79
sur 22848 PELVIC FIXATION (ATTACHMENT OF CAUDAL END OF INSTRUMENTATION TO PELVIC BONY STRU $309.04
sur 22849 REINSERTION OF SPINAL FIXATION DEVICE $1,096.51
sur 22850 REMOVAL OF POSTERIOR NONSEGMENTAL INSTRUMENTATION (EG, HARRINGTON ROD) $601.59
sur 22851 APPLICATION OF INTERVERTEBRAL BIOMECHANICAL DEVICE(S) (EG, SYNTHETIC CAGE(S), ME $350.78
sur 22852 REMOVAL OF POSTERIOR SEGMENTAL INSTRUMENTATION $575.13
sur 22855 REMOVAL OF ANTERIOR INSTRUMENTATION $938.06
sur 22856 Total disc arthroplasty (artificial disc), anterior approach, including discecto $1,393.44
sur 22857 TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, INCLUDING DISCECTO $1,416.66
sur 22861 Revision including replacement of total disc arthroplasty (artificial disc), ant $1,701.49
sur 22862 REVISION INCLUDING REPLACEMENT OF TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANT $1,614.08
sur 22864 Removal of total disc arthroplasty (artificial disc), anterior approach, single $1,597.43
sur 22865 REMOVAL OF TOTAL DISC ARTHROPLASTY (ARTIFICIAL DISC), ANTERIOR APPROACH, SINGLE $1,712.85
sur 22899 UNLISTED PROCEDURE, SPINE BR
sur 22900 EXCISION, TUMOR, SOFT TISSUE OF ABDOMINAL WALL, SUBFASCIAL (EG, INTRAMUSCULAR); $444.51
sur 22901 Excision, tumor, soft tissue of abdominal wall, subfascial (eg,intramuscular); 5 $561.51
sur 22902 Excision, tumor, soft tissue of abdominal wall, subcutaneous; less than 3 cm $368.96
sur 22903 Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater $377.23
sur 22904 Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wa $877.88
sur 22905 Radical resection of tumor (eg, malignant neoplasm), soft tissue of abdominal wa $1,141.80
sur 22999 UNLISTED PROCEDURE, ABDOMEN, MUSCULOSKELETAL SYSTEM BR
sur 23000 REMOVAL OF SUBDELTOID CALCAREOUS DEPOSITS, OPEN $457.81
sur 23020 CAPSULAR CONTRACTURE RELEASE (EG, SEVER TYPE PROCEDURE) $573.79
sur 23030 INCISION AND DRAINAGE, SHOULDER AREA; DEEP ABSCESS OR HEMATOMA $356.23
sur 23031 INCISION AND DRAINAGE, SHOULDER AREA; INFECTED BURSA $331.56
sur 23035 INCISION, BONE CORTEX (EG, OSTEOMYELITIS OR BONE ABSCESS), SHOULDER AREA $569.39
sur 23040 ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF $600.12
sur 23044 ARTHROTOMY, ACROMIOCLAVICULAR, STERNOCLAVICULAR JOINT, INCLUDING EXPLORATION, $475.81
sur 23065 BIOPSY, SOFT TISSUE OF SHOULDER AREA; SUPERFICIAL $179.75
sur 23066 BIOPSY, SOFT TISSUE OF SHOULDER AREA; DEEP $432.54
sur 23071 Excision, tumor, soft tissue of shoulder area, subcutaneous; 3 cm or greater $357.50
sur 23073 Excision, tumor, soft tissue of shoulder area, subfascial (eg, intramuscular); 5 $592.31
sur 23075 EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBCUTANEOUS; LESS THAN 3 CM $332.16
sur 23076 EXCISION, TUMOR, SOFT TISSUE OF SHOULDER AREA, SUBFASCIAL (EG, INTRAMUSCULAR); L $451.63
sur 23077 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF SHOULDER ARE $973.14
sur 23078 Radical resection of tumor (eg, malignant neoplasm), soft tissue of shoulder are $1,187.96
sur 23100 ARTHROTOMY, GLENOHUMERAL JOINT, INCLUDING BIOPSY $411.21
sur 23101 ARTHROTOMY, ACROMIOCLAVICULAR JOINT OR STERNOCLAVICULAR JOINT, INCLUDING BIOPSY $373.62
sur 23105 ARTHROTOMY; GLENOHUMERAL JOINT, WITH SYNOVECTOMY, WITH OR WITHOUT BIOPSY $530.65
sur 23106 ARTHROTOMY; STERNOCLAVICULAR JOINT, WITH SYNOVECTOMY, WITH OR WITHOUT BIOPSY $404.90
sur 23107 ARTHROTOMY, GLENOHUMERAL JOINT, WITH JOINT EXPLORATION, WITH OR WITHOUT REMOVAL $550.23
sur 23120 CLAVICULECTOMY; PARTIAL $482.96
sur 23125 CLAVICULECTOMY; TOTAL $588.64
sur 23130 ACROMIOPLASTY OR ACROMIONECTOMY, PARTIAL, WITH OR WITHOUT CORACOACROMIAL $505.08
sur 23140 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA; $433.04
sur 23145 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH $578.58
sur 23146 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CLAVICLE OR SCAPULA; WITH $508.82
sur 23150 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; $547.67
sur 23155 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; WITH $661.23
sur 23156 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL HUMERUS; WITH $563.63
sur 23170 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), CLAVICLE $454.57
sur 23172 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), SCAPULA $464.86
sur 23174 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), HUMERAL HEAD TO $630.52
sur 23180 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, $566.42
sur 23182 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, $553.58
sur 23184 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, $616.82
sur 23190 OSTECTOMY OF SCAPULA, PARTIAL (EG, SUPERIOR MEDIAL ANGLE) $470.92
sur 23195 RESECTION, HUMERAL HEAD $629.12
sur 23200 RADICAL RESECTION OF TUMOR; CLAVICLE $1,187.87
sur 23210 RADICAL RESECTION OF TUMOR; SCAPULA $1,390.04
sur 23220 RADICAL RESECTION OF TUMOR, PROXIMAL HUMERUS $1,534.73
sur 23330 REMOVAL OF FOREIGN BODY, SHOULDER; SUBCUTANEOUS $189.64
sur 23331 REMOVAL OF FOREIGN BODY, SHOULDER; DEEP (EG, NEER HEMIARTHROPLASTY REMOVAL) $491.01
sur 23332 REMOVAL OF FOREIGN BODY, SHOULDER; COMPLICATED (EG, TOTAL SHOULDER) $738.54
sur 23350 INJECTION PROCEDURE FOR SHOULDER ARTHROGRAPHY OR ENHANCED CT/MRI SHOULDER $125.23
sur 23395 MUSCLE TRANSFER, ANY TYPE, SHOULDER OR UPPER ARM; SINGLE $1,078.44
sur 23397 MUSCLE TRANSFER, ANY TYPE, SHOULDER OR UPPER ARM; MULTIPLE $961.22
sur 23400 SCAPULOPEXY (EG, SPRENGELS DEFORMITY OR FOR PARALYSIS) $815.95
sur 23405 TENOTOMY, SHOULDER AREA; SINGLE TENDON $524.10
sur 23406 TENOTOMY, SHOULDER AREA; MULTIPLE TENDONS THROUGH SAME INCISION $652.96
sur 23410 REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; ACUTE $689.70
sur 23412 REPAIR OF RUPTURED MUSCULOTENDINOUS CUFF (EG, ROTATOR CUFF) OPEN; CHRONIC $717.59
sur 23415 CORACOACROMIAL LIGAMENT RELEASE, WITH OR WITHOUT ACROMIOPLASTY $580.01
sur 23420 RECONSTRUCTION OF COMPLETE SHOULDER (ROTATOR) CUFF AVULSION, CHRONIC (INCLUDES $813.97
sur 23430 TENODESIS OF LONG TENDON OF BICEPS $620.27
sur 23440 RESECTION OR TRANSPLANTATION OF LONG TENDON OF BICEPS $633.19
sur 23450 CAPSULORRHAPHY, ANTERIOR; PUTTI-PLATT PROCEDURE OR MAGNUSON TYPE OPERATION $795.88
sur 23455 CAPSULORRHAPHY, ANTERIOR; WITH LABRAL REPAIR (EG, BANKART PROCEDURE) $845.62
sur 23460 CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH BONE BLOCK $918.43
sur 23462 CAPSULORRHAPHY, ANTERIOR, ANY TYPE; WITH CORACOID PROCESS TRANSFER $902.64
sur 23465 CAPSULORRHAPHY, GLENOHUMERAL JOINT, POSTERIOR, WITH OR WITHOUT BONE BLOCK $939.13
sur 23466 CAPSULORRHAPHY, GLENOHUMERAL JOINT, ANY TYPE MULTI-DIRECTIONAL INSTABILITY $937.92
sur 23470 ARTHROPLASTY, GLENOHUMERAL JOINT; HEMIARTHROPLASTY $1,019.54
sur 23472 ARTHROPLASTY, GLENOHUMERAL JOINT; TOTAL SHOULDER (GLENOID AND PROXIMAL HUMERAL $1,263.33
sur 23480 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXATION; $686.83
sur 23485 OSTEOTOMY, CLAVICLE, WITH OR WITHOUT INTERNAL FIXATION; WITH BONE GRAFT FOR $806.85
sur 23490 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT $731.55
sur 23491 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT $851.27
sur 23500 CLOSED TREATMENT OF CLAVICULAR FRACTURE; WITHOUT MANIPULATION $175.05
sur 23505 CLOSED TREATMENT OF CLAVICULAR FRACTURE; WITH MANIPULATION $284.40
sur 23515 OPEN TREATMENT OF CLAVICULAR FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORME $600.99
sur 23520 CLOSED TREATMENT OF STERNOCLAVICULAR DISLOCATION; WITHOUT MANIPULATION $183.92
sur 23525 CLOSED TREATMENT OF STERNOCLAVICULAR DISLOCATION; WITH MANIPULATION $301.27
sur 23530 OPEN TREATMENT OF STERNOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; $463.47
sur 23532 OPEN TREATMENT OF STERNOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; WITH FASCIAL $518.30
sur 23540 CLOSED TREATMENT OF ACROMIOCLAVICULAR DISLOCATION; WITHOUT MANIPULATION $178.55
sur 23545 CLOSED TREATMENT OF ACROMIOCLAVICULAR DISLOCATION; WITH MANIPULATION $261.53
sur 23550 OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; $475.87
sur 23552 OPEN TREATMENT OF ACROMIOCLAVICULAR DISLOCATION, ACUTE OR CHRONIC; WITH FASCIAL $548.51
sur 23570 CLOSED TREATMENT OF SCAPULAR FRACTURE; WITHOUT MANIPULATION $186.24
sur 23575 CLOSED TREATMENT OF SCAPULAR FRACTURE; WITH MANIPULATION, WITH OR WITHOUT $322.21
sur 23585 OPEN TREATMENT OF SCAPULAR FRACTURE (BODY, GLENOID OR ACROMION) INCLUDES INTERNA $815.81
sur 23600 CLOSED TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE; $261.37
sur 23605 CLOSED TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE; $379.90
sur 23615 OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLU $738.50
sur 23616 OPEN TREATMENT OF PROXIMAL HUMERAL (SURGICAL OR ANATOMICAL NECK) FRACTURE, INCLU $1,054.88
sur 23620 CLOSED TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE; WITHOUT MANIPULATION $216.04
sur 23625 CLOSED TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE; WITH MANIPULATION $309.06
sur 23630 OPEN TREATMENT OF GREATER HUMERAL TUBEROSITY FRACTURE, INCLUDES INTERNAL FIXATIO $645.19
sur 23650 CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; WITHOUT ANESTHESIA $243.50
sur 23655 CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH MANIPULATION; REQUIRING $321.79
sur 23660 OPEN TREATMENT OF ACUTE SHOULDER DISLOCATION $484.44
sur 23665 CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH FRACTURE OF GREATER HUMERAL $344.67
sur 23670 OPEN TREATMENT OF SHOULDER DISLOCATION, WITH FRACTURE OF GREATER HUMERAL TUBEROS $723.59
sur 23675 CLOSED TREATMENT OF SHOULDER DISLOCATION, WITH SURGICAL OR ANATOMICAL NECK $448.83
sur 23680 OPEN TREATMENT OF SHOULDER DISLOCATION, WITH SURGICAL OR ANATOMICAL NECK FRACTUR $772.10
sur 23700 MANIPULATION UNDER ANESTHESIA, SHOULDER JOINT, INCLUDING APPLICATION OF FIXATION $161.60
sur 23800 ARTHRODESIS, GLENOHUMERAL JOINT; $861.56
sur 23802 ARTHRODESIS, GLENOHUMERAL JOINT; WITH AUTOGENOUS GRAFT (INCLUDES OBTAINING $1,065.43
sur 23900 INTERTHORACOSCAPULAR AMPUTATION (FOREQUARTER) $1,141.81
sur 23920 DISARTICULATION OF SHOULDER; $927.08
sur 23921 DISARTICULATION OF SHOULDER; SECONDARY CLOSURE OR SCAR REVISION $367.14
sur 23929 UNLISTED PROCEDURE, SHOULDER BR
sur 23930 INCISION AND DRAINAGE, UPPER ARM OR ELBOW AREA; DEEP ABSCESS OR HEMATOMA $292.24
sur 23931 INCISION AND DRAINAGE, UPPER ARM OR ELBOW AREA; BURSA $231.18
sur 23935 INCISION, DEEP, WITH OPENING OF BONE CORTEX (EG, FOR OSTEOMYELITIS OR BONE $417.85
sur 24000 ARTHROTOMY, ELBOW, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY $395.21
sur 24006 ARTHROTOMY OF THE ELBOW, WITH CAPSULAR EXCISION FOR CAPSULAR RELEASE (SEPARATE $593.70
sur 24065 BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; SUPERFICIAL $211.83
sur 24066 BIOPSY, SOFT TISSUE OF UPPER ARM OR ELBOW AREA; DEEP (SUBFASCIAL OR $495.90
sur 24071 Excision, tumor, soft tissue of upper arm or elbow area, subcutaneous; 3 cm or g $348.62
sur 24073 Excision, tumor, soft tissue of upper arm or elbow area, subfascial (eg,intramus $594.37
sur 24075 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBCUTANEOUS; LESS THAN $402.71
sur 24076 EXCISION, TUMOR, SOFT TISSUE OF UPPER ARM OR ELBOW AREA, SUBFASCIAL (EG, INTRAMU $440.80
sur 24077 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF UPPER ARM OR $842.91
sur 24079 Radical resection of tumor (eg, malignant neoplasm), soft tissue of upper ar $1,095.63
sur 24100 ARTHROTOMY, ELBOW; WITH SYNOVIAL BIOPSY ONLY $341.17
sur 24101 ARTHROTOMY, ELBOW; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR $414.72
sur 24102 ARTHROTOMY, ELBOW; WITH SYNOVECTOMY $511.57
sur 24105 EXCISION, OLECRANON BURSA $284.38
sur 24110 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS; $486.69
sur 24115 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS; WITH AUTOGRAFT $612.75
sur 24116 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, HUMERUS; WITH ALLOGRAFT $721.83
sur 24120 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR $436.60
sur 24125 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR $511.72
sur 24126 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF HEAD OR NECK OF RADIUS OR $538.97
sur 24130 EXCISION, RADIAL HEAD $420.25
sur 24134 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), SHAFT OR DISTAL HUMERUS $626.25
sur 24136 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), RADIAL HEAD OR NECK $511.15
sur 24138 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), OLECRANON PROCESS $557.02
sur 24140 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, $592.84
sur 24145 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, $498.48
sur 24147 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, $521.19
sur 24149 RADICAL RESECTION OF CAPSULE, SOFT TISSUE, AND HETEROTOPIC BONE, ELBOW, WITH $977.39
sur 24150 RADICAL RESECTION OF TUMOR, SHAFT OR DISTAL HUMERUS $1,236.08
sur 24152 RADICAL RESECTION OF TUMOR, RADIAL HEAD OR NECK $1,051.25
sur 24155 RESECTION OF ELBOW JOINT (ARTHRECTOMY) $712.65
sur 24160 IMPLANT REMOVAL; ELBOW JOINT $504.38
sur 24164 IMPLANT REMOVAL; RADIAL HEAD $413.52
sur 24200 REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; SUBCUTANEOUS $166.18
sur 24201 REMOVAL OF FOREIGN BODY, UPPER ARM OR ELBOW AREA; DEEP (SUBFASCIAL OR $456.92
sur 24220 INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY $136.23
sur 24300 MANIPULATION, ELBOW, UNDER ANESTHESIA $332.94
sur 24301 MUSCLE OR TENDON TRANSFER, ANY TYPE, UPPER ARM OR ELBOW, SINGLE (EXCLUDING $627.98
sur 24305 TENDON LENGTHENING, UPPER ARM OR ELBOW, EACH TENDON $482.12
sur 24310 TENOTOMY, OPEN, ELBOW TO SHOULDER, EACH TENDON $395.79
sur 24320 TENOPLASTY, WITH MUSCLE TRANSFER, WITH OR WITHOUT FREE GRAFT, ELBOW TO $650.63
sur 24330 FLEXOR-PLASTY, ELBOW (EG, STEINDLER TYPE ADVANCEMENT); $598.69
sur 24331 FLEXOR-PLASTY, ELBOW (EG, STEINDLER TYPE ADVANCEMENT); WITH EXTENSOR ADVANCEMENT $672.71
sur 24332 TENOLYSIS, TRICEPS $507.38
sur 24340 TENODESIS OF BICEPS TENDON AT ELBOW (SEPARATE PROCEDURE) $510.85
sur 24341 REPAIR, TENDON OR MUSCLE, UPPER ARM OR ELBOW, EACH TENDON OR MUSCLE, PRIMARY OR $616.16
sur 24342 REINSERTION OF RUPTURED BICEPS OR TRICEPS TENDON, DISTAL, WITH OR WITHOUT $651.93
sur 24343 REPAIR LATERAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE $585.99
sur 24344 RECONSTRUCTION LATERAL COLLATERAL LIGAMENT, ELBOW, WITH TENDON GRAFT (INCLUDES $916.94
sur 24345 REPAIR MEDIAL COLLATERAL LIGAMENT, ELBOW, WITH LOCAL TISSUE $582.55
sur 24346 RECONSTRUCTION MEDIAL COLLATERAL LIGAMENT, ELBOW, WITH TENDON GRAFT (INCLUDES $918.37
sur 24357 TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S EL $369.39
sur 24358 TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S EL $434.88
sur 24359 TENOTOMY, ELBOW, LATERAL OR MEDIAL (EG, EPICONDYLITIS, TENNIS ELBOW, GOLFER'S EL $547.22
sur 24360 ARTHROPLASTY, ELBOW; WITH MEMBRANE (EG, FASCIAL) $753.71
sur 24361 ARTHROPLASTY, ELBOW; WITH DISTAL HUMERAL PROSTHETIC REPLACEMENT $846.40
sur 24362 ARTHROPLASTY, ELBOW; WITH IMPLANT AND FASCIA LATA LIGAMENT RECONSTRUCTION $890.86
sur 24363 ARTHROPLASTY, ELBOW; WITH DISTAL HUMERUS AND PROXIMAL ULNAR PROSTHETIC $1,260.32
sur 24365 ARTHROPLASTY, RADIAL HEAD; $533.52
sur 24366 ARTHROPLASTY, RADIAL HEAD; WITH IMPLANT $570.13
sur 24400 OSTEOTOMY, HUMERUS, WITH OR WITHOUT INTERNAL FIXATION $685.72
sur 24410 MULTIPLE OSTEOTOMIES WITH REALIGNMENT ON INTRAMEDULLARY ROD, HUMERAL SHAFT $881.68
sur 24420 OSTEOPLASTY, HUMERUS (EG, SHORTENING OR LENGTHENING) (EXCLUDING 64876) $829.13
sur 24430 REPAIR OF NONUNION OR MALUNION, HUMERUS; WITHOUT GRAFT (EG, COMPRESSION $885.85
sur 24435 REPAIR OF NONUNION OR MALUNION, HUMERUS; WITH ILIAC OR OTHER AUTOGRAFT $900.95
sur 24470 HEMIEPIPHYSEAL ARREST (EG, CUBITUS VARUS OR VALGUS, DISTAL HUMERUS) $542.69
sur 24495 DECOMPRESSION FASCIOTOMY, FOREARM, WITH BRACHIAL ARTERY EXPLORATION $549.24
sur 24498 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING), WITH OR WITHOUT $727.58
sur 24500 CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE; WITHOUT MANIPULATION $285.22
sur 24505 CLOSED TREATMENT OF HUMERAL SHAFT FRACTURE; WITH MANIPULATION, WITH OR WITHOUT $407.72
sur 24515 OPEN TREATMENT OF HUMERAL SHAFT FRACTURE WITH PLATE/SCREWS, WITH OR WITHOUT $732.81
sur 24516 TREATMENT OF HUMERAL SHAFT FRACTURE, WITH INSERTION OF INTRAMEDULLARY IMPLANT, $721.87
sur 24530 CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR HUMERAL FRACTURE, WITH OR $305.60
sur 24535 CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR HUMERAL FRACTURE, WITH OR $506.21
sur 24538 PERCUTANEOUS SKELETAL FIXATION OF SUPRACONDYLAR OR TRANSCONDYLAR HUMERAL $620.16
sur 24545 OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, INCLUDES INTE $774.42
sur 24546 OPEN TREATMENT OF HUMERAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE, INCLUDES INTE $876.32
sur 24560 CLOSED TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL; WITHOUT $256.23
sur 24565 CLOSED TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL; WITH $427.79
sur 24566 PERCUTANEOUS SKELETAL FIXATION OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR $593.13
sur 24575 OPEN TREATMENT OF HUMERAL EPICONDYLAR FRACTURE, MEDIAL OR LATERAL, INCLUDES INTE $611.05
sur 24576 CLOSED TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL; WITHOUT $271.68
sur 24577 CLOSED TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL; WITH $442.73
sur 24579 OPEN TREATMENT OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL, INCLUDES INTERNA $696.94
sur 24582 PERCUTANEOUS SKELETAL FIXATION OF HUMERAL CONDYLAR FRACTURE, MEDIAL OR LATERAL, $664.62
sur 24586 OPEN TREATMENT OF PERIARTICULAR FRACTURE AND/OR DISLOCATION OF THE ELBOW $914.27
sur 24587 OPEN TREATMENT OF PERIARTICULAR FRACTURE AND/OR DISLOCATION OF THE ELBOW $912.80
sur 24600 TREATMENT OF CLOSED ELBOW DISLOCATION; WITHOUT ANESTHESIA $293.19
sur 24605 TREATMENT OF CLOSED ELBOW DISLOCATION; REQUIRING ANESTHESIA $383.40
sur 24615 OPEN TREATMENT OF ACUTE OR CHRONIC ELBOW DISLOCATION $595.43
sur 24620 CLOSED TREATMENT OF MONTEGGIA TYPE OF FRACTURE DISLOCATION AT ELBOW (FRACTURE $458.43
sur 24635 OPEN TREATMENT OF MONTEGGIA TYPE OF FRACTURE DISLOCATION AT ELBOW (FRACTURE PROX $586.96
sur 24640 CLOSED TREATMENT OF RADIAL HEAD SUBLUXATION IN CHILD, NURSEMAID ELBOW, WITH $103.59
sur 24650 CLOSED TREATMENT OF RADIAL HEAD OR NECK FRACTURE; WITHOUT MANIPULATION $208.33
sur 24655 CLOSED TREATMENT OF RADIAL HEAD OR NECK FRACTURE; WITH MANIPULATION $353.28
sur 24665 OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, INCLUDES INTERNAL FIXATION OR RA $541.05
sur 24666 OPEN TREATMENT OF RADIAL HEAD OR NECK FRACTURE, INCLUDES INTERNAL FIXATION OR RA $610.88
sur 24670 CLOSED TREATMENT OF ULNAR FRACTURE, PROXIMAL END (EG, OLECRANON OR CORONOID PROC $232.99
sur 24675 CLOSED TREATMENT OF ULNAR FRACTURE, PROXIMAL END (EG, OLECRANON OR CORONOID PROC $372.20
sur 24685 OPEN TREATMENT OF ULNAR FRACTURE, PROXIMAL END (EG, OLECRANON OR CORONOID PROCES $542.14
sur 24800 ARTHRODESIS, ELBOW JOINT; LOCAL $681.05
sur 24802 ARTHRODESIS, ELBOW JOINT; WITH AUTOGENOUS GRAFT (INCLUDES OBTAINING GRAFT) $838.92
sur 24900 AMPUTATION, ARM THROUGH HUMERUS; WITH PRIMARY CLOSURE $607.29
sur 24920 AMPUTATION, ARM THROUGH HUMERUS; OPEN, CIRCULAR (GUILLOTINE) $604.15
sur 24925 AMPUTATION, ARM THROUGH HUMERUS; SECONDARY CLOSURE OR SCAR REVISION $468.05
sur 24930 AMPUTATION, ARM THROUGH HUMERUS; RE-AMPUTATION $640.30
sur 24931 AMPUTATION, ARM THROUGH HUMERUS; WITH IMPLANT $650.33
sur 24935 STUMP ELONGATION, UPPER EXTREMITY $810.20
sur 24940 CINEPLASTY, UPPER EXTREMITY, COMPLETE PROCEDURE $1,530.00
sur 24999 UNLISTED PROCEDURE, HUMERUS OR ELBOW BR
sur 25000 INCISION, EXTENSOR TENDON SHEATH, WRIST (EG, DEQUERVAIN'S DISEASE) $284.71
sur 25001 INCISION, FLEXOR TENDON SHEATH, WRIST (EG, FLEXOR CARPI RADIALIS) $280.47
sur 25020 DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR OR EXTENSOR COMPARTMENT; $478.81
sur 25023 DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR OR EXTENSOR COMPARTMENT; $921.39
sur 25024 DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR AND EXTENSOR $649.50
sur 25025 DECOMPRESSION FASCIOTOMY, FOREARM AND/OR WRIST, FLEXOR AND EXTENSOR $1,017.50
sur 25028 INCISION AND DRAINAGE, FOREARM AND/OR WRIST; DEEP ABSCESS OR HEMATOMA $429.25
sur 25031 INCISION AND DRAINAGE, FOREARM AND/OR WRIST; BURSA $301.30
sur 25035 INCISION, DEEP, BONE CORTEX, FOREARM AND/OR WRIST (EG, OSTEOMYELITIS OR BONE $513.41
sur 25040 ARTHROTOMY, RADIOCARPAL OR MIDCARPAL JOINT, WITH EXPLORATION, DRAINAGE, OR $472.03
sur 25065 BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; SUPERFICIAL $210.95
sur 25066 BIOPSY, SOFT TISSUE OF FOREARM AND/OR WRIST; DEEP (SUBFASCIAL OR INTRAMUSCULAR) $305.95
sur 25071 Excision, tumor, soft tissue of forearm and/or wrist area, subcutaneous; 3 cm or $366.47
sur 25073 Excision, tumor, soft tissue of forearm and/or wrist area, subfascial (eg, intra $458.10
sur 25075 EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBCUTANEOUS; LESS TH $398.15
sur 25076 EXCISION, TUMOR, SOFT TISSUE OF FOREARM AND/OR WRIST AREA, SUBFASCIAL (EG, INTRA $431.42
sur 25077 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF FOREARM AND/ $738.68
sur 25078 Radical resection of tumor (eg, malignant neoplasm), soft tissue of forearm and/ $958.15
sur 25085 CAPSULOTOMY, WRIST (EG, CONTRACTURE) $381.38
sur 25100 ARTHROTOMY, WRIST JOINT; WITH BIOPSY $287.24
sur 25101 ARTHROTOMY, WRIST JOINT; WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH $336.97
sur 25105 ARTHROTOMY, WRIST JOINT; WITH SYNOVECTOMY $405.93
sur 25107 ARTHROTOMY, DISTAL RADIOULNAR JOINT INCLUDING REPAIR OF TRIANGULAR CARTILAGE, $514.83
sur 25109 EXCISION OF TENDON, FOREARM AND/OR WRIST, FLEXOR OR EXTENSOR, EACH $443.06
sur 25110 EXCISION, LESION OF TENDON SHEATH, FOREARM AND/OR WRIST $291.33
sur 25111 EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); PRIMARY $263.73
sur 25112 EXCISION OF GANGLION, WRIST (DORSAL OR VOLAR); RECURRENT $320.04
sur 25115 RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FOREARM TENDON SHEATHS (EG, $656.96
sur 25116 RADICAL EXCISION OF BURSA, SYNOVIA OF WRIST, OR FOREARM TENDON SHEATHS (EG, $523.71
sur 25118 SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE COMPARTMENT; $318.39
sur 25119 SYNOVECTOMY, EXTENSOR TENDON SHEATH, WRIST, SINGLE COMPARTMENT; WITH RESECTION $418.96
sur 25120 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING $439.72
sur 25125 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING $519.09
sur 25126 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF RADIUS OR ULNA (EXCLUDING $521.12
sur 25130 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CARPAL BONES; $374.91
sur 25135 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CARPAL BONES; WITH $466.89
sur 25136 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF CARPAL BONES; WITH $411.20
sur 25145 SEQUESTRECTOMY (EG, FOR OSTEOMYELITIS OR BONE ABSCESS), FOREARM AND/OR WRIST $453.96
sur 25150 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, $477.14
sur 25151 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) OF BONE (EG, $512.80
sur 25170 RADICAL RESECTION OF TUMOR, RADIUS OR ULNA $1,188.71
sur 25210 CARPECTOMY; ONE BONE $409.17
sur 25215 CARPECTOMY; ALL BONES OF PROXIMAL ROW $521.27
sur 25230 RADIAL STYLOIDECTOMY (SEPARATE PROCEDURE) $360.74
sur 25240 EXCISION DISTAL ULNA PARTIAL OR COMPLETE (EG, DARRACH TYPE OR MATCHED RESECTION) $361.54
sur 25246 INJECTION PROCEDURE FOR WRIST ARTHROGRAPHY $138.55
sur 25248 EXPLORATION WITH REMOVAL OF DEEP FOREIGN BODY, FOREARM OR WRIST $356.68
sur 25250 REMOVAL OF WRIST PROSTHESIS; (SEPARATE PROCEDURE) $438.80
sur 25251 REMOVAL OF WRIST PROSTHESIS; COMPLICATED, INCLUDING TOTAL WRIST $600.40
sur 25259 MANIPULATION, WRIST, UNDER ANESTHESIA $334.95
sur 25260 REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH TE $549.14
sur 25263 REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; SECONDARY, SINGLE, EACH $546.94
sur 25265 REPAIR, TENDON OR MUSCLE, FLEXOR, FOREARM AND/OR WRIST; SECONDARY, WITH FREE $650.32
sur 25270 REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM AND/OR WRIST; PRIMARY, SINGLE, EACH $434.53
sur 25272 REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM AND/OR WRIST; SECONDARY, SINGLE, $488.02
sur 25274 REPAIR, TENDON OR MUSCLE, EXTENSOR, FOREARM AND/OR WRIST; SECONDARY, WITH FREE $584.24
sur 25275 REPAIR, TENDON SHEATH, EXTENSOR, FOREARM AND/OR WRIST, WITH FREE GRAFT $563.05
sur 25280 LENGTHENING OR SHORTENING OF FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, $495.07
sur 25290 TENOTOMY, OPEN, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH $403.30
sur 25295 TENOLYSIS, FLEXOR OR EXTENSOR TENDON, FOREARM AND/OR WRIST, SINGLE, EACH TENDON $460.85
sur 25300 TENODESIS AT WRIST; FLEXORS OF FINGERS $573.09
sur 25301 TENODESIS AT WRIST; EXTENSORS OF FINGERS $540.06
sur 25310 TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTENSOR, FOREARM AND/OR WRIST, $539.60
sur 25312 TENDON TRANSPLANTATION OR TRANSFER, FLEXOR OR EXTENSOR, FOREARM AND/OR WRIST, $626.50
sur 25315 FLEXOR ORIGIN SLIDE (EG, FOR CEREBRAL PALSY, VOLKMANN CONTRACTURE), FOREARM $672.41
sur 25316 FLEXOR ORIGIN SLIDE (EG, FOR CEREBRAL PALSY, VOLKMANN CONTRACTURE), FOREARM $764.19
sur 25320 CAPSULORRHAPHY OR RECONSTRUCTION, WRIST, OPEN (EG, CAPSULODESIS, LIGAMENT $820.96
sur 25332 ARTHROPLASTY, WRIST, WITH OR WITHOUT INTERPOSITION, WITH OR WITHOUT EXTERNAL OR $706.86
sur 25335 CENTRALIZATION OF WRIST ON ULNA (EG, RADIAL CLUB HAND) $702.17
sur 25337 RECONSTRUCTION FOR STABILIZATION OF UNSTABLE DISTAL ULNA OR DISTAL RADIOULNAR $744.18
sur 25350 OSTEOTOMY, RADIUS; DISTAL THIRD $589.22
sur 25355 OSTEOTOMY, RADIUS; MIDDLE OR PROXIMAL THIRD $667.52
sur 25360 OSTEOTOMY; ULNA $572.92
sur 25365 OSTEOTOMY; RADIUS AND ULNA $790.36
sur 25370 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMEDULLARY ROD (SOFIELD TYPE $866.14
sur 25375 MULTIPLE OSTEOTOMIES, WITH REALIGNMENT ON INTRAMEDULLARY ROD (SOFIELD TYPE $781.33
sur 25390 OSTEOPLASTY, RADIUS OR ULNA; SHORTENING $670.57
sur 25391 OSTEOPLASTY, RADIUS OR ULNA; LENGTHENING WITH AUTOGRAFT $862.11
sur 25392 OSTEOPLASTY, RADIUS AND ULNA; SHORTENING (EXCLUDING 64876) $878.17
sur 25393 OSTEOPLASTY, RADIUS AND ULNA; LENGTHENING WITH AUTOGRAFT $999.58
sur 25394 OSTEOPLASTY, CARPAL BONE, SHORTENING $654.07
sur 25400 REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; WITHOUT GRAFT (EG, COMPRESSION $701.41
sur 25405 REPAIR OF NONUNION OR MALUNION, RADIUS OR ULNA; WITH AUTOGRAFT (INCLUDES $897.90
sur 25415 REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; WITHOUT GRAFT (EG, COMPRESSION $850.63
sur 25420 REPAIR OF NONUNION OR MALUNION, RADIUS AND ULNA; WITH AUTOGRAFT (INCLUDES $1,011.94
sur 25425 REPAIR OF DEFECT WITH AUTOGRAFT; RADIUS OR ULNA $855.77
sur 25426 REPAIR OF DEFECT WITH AUTOGRAFT; RADIUS AND ULNA $942.01
sur 25430 INSERTION OF VASCULAR PEDICLE INTO CARPAL BONE (EG, HORI PROCEDURE) $586.34
sur 25431 REPAIR OF NONUNION OF CARPAL BONE (EXCLUDING CARPAL SCAPHOID (NAVICULAR)) $656.07
sur 25440 REPAIR OF NONUNION, SCAPHOID CARPAL (NAVICULAR) BONE, WITH OR WITHOUT RADIAL $645.04
sur 25441 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL RADIUS $777.77
sur 25442 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL ULNA $660.89
sur 25443 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; SCAPHOID CARPAL (NAVICULAR) $653.48
sur 25444 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; LUNATE $665.97
sur 25445 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; TRAPEZIUM $602.13
sur 25446 ARTHROPLASTY WITH PROSTHETIC REPLACEMENT; DISTAL RADIUS AND PARTIAL OR ENTIRE $985.15
sur 25447 ARTHROPLASTY, INTERPOSITION, INTERCARPAL OR CARPOMETACARPAL JOINTS $687.25
sur 25449 REVISION OF ARTHROPLASTY, INCLUDING REMOVAL OF IMPLANT, WRIST JOINT $876.24
sur 25450 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; DISTAL RADIUS OR ULNA $471.86
sur 25455 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING; DISTAL RADIUS AND ULNA $522.37
sur 25490 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT $589.42
sur 25491 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT $645.43
sur 25492 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT $781.21
sur 25500 CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; WITHOUT MANIPULATION $214.71
sur 25505 CLOSED TREATMENT OF RADIAL SHAFT FRACTURE; WITH MANIPULATION $408.36
sur 25515 OPEN TREATMENT OF RADIAL SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFOR $555.44
sur 25520 CLOSED TREATMENT OF RADIAL SHAFT FRACTURE AND CLOSED TREATMENT OF DISLOCATION $457.66
sur 25525 OPEN TREATMENT OF RADIAL SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFOR $659.34
sur 25526 OPEN TREATMENT OF RADIAL SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFOR $812.16
sur 25530 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITHOUT MANIPULATION $208.03
sur 25535 CLOSED TREATMENT OF ULNAR SHAFT FRACTURE; WITH MANIPULATION $397.45
sur 25545 OPEN TREATMENT OF ULNAR SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORM $517.80
sur 25560 CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITHOUT MANIPULATION $218.09
sur 25565 CLOSED TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES; WITH MANIPULATION $426.48
sur 25574 OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL FIXATION, WHEN $556.81
sur 25575 OPEN TREATMENT OF RADIAL AND ULNAR SHAFT FRACTURES, WITH INTERNAL FIXATION, WHEN $749.22
sur 25600 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR EPIPHYS $234.72
sur 25605 CLOSED TREATMENT OF DISTAL RADIAL FRACTURE (EG, COLLES OR SMITH TYPE) OR $509.11
sur 25606 PERCUTANEOUS SKELETAL FIXATION OF DISTAL RADIAL FRACTURE OR EPIPHYSEAL SEPARATIO $553.03
sur 25607 OPEN TREATMENT OF DISTAL RADIAL EXTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATIO $605.94
sur 25608 OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATIO $680.97
sur 25609 OPEN TREATMENT OF DISTAL RADIAL INTRA-ARTICULAR FRACTURE OR EPIPHYSEAL SEPARATIO $868.46
sur 25622 CLOSED TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE; WITHOUT MANIPULATION $242.75
sur 25624 CLOSED TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE; WITH MANIPULATION $375.09
sur 25628 OPEN TREATMENT OF CARPAL SCAPHOID (NAVICULAR) FRACTURE, INCLUDES INTERNAL FIXATI $599.28
sur 25630 CLOSED TREATMENT OF CARPAL BONE FRACTURE (EXCLUDING CARPAL SCAPHOID $245.94
sur 25635 CLOSED TREATMENT OF CARPAL BONE FRACTURE (EXCLUDING CARPAL SCAPHOID $363.80
sur 25645 OPEN TREATMENT OF CARPAL BONE FRACTURE (OTHER THAN CARPAL SCAPHOID $472.34
sur 25650 CLOSED TREATMENT OF ULNAR STYLOID FRACTURE $257.99
sur 25651 PERCUTANEOUS SKELETAL FIXATION OF ULNAR STYLOID FRACTURE $398.66
sur 25652 OPEN TREATMENT OF ULNAR STYLOID FRACTURE $516.22
sur 25660 CLOSED TREATMENT OF RADIOCARPAL OR INTERCARPAL DISLOCATION, ONE OR MORE BONES, $331.60
sur 25670 OPEN TREATMENT OF RADIOCARPAL OR INTERCARPAL DISLOCATION, ONE OR MORE BONES $504.14
sur 25671 PERCUTANEOUS SKELETAL FIXATION OF DISTAL RADIOULNAR DISLOCATION $437.32
sur 25675 CLOSED TREATMENT OF DISTAL RADIOULNAR DISLOCATION WITH MANIPULATION $351.96
sur 25676 OPEN TREATMENT OF DISTAL RADIOULNAR DISLOCATION, ACUTE OR CHRONIC $525.36
sur 25680 CLOSED TREATMENT OF TRANS-SCAPHOPERILUNAR TYPE OF FRACTURE DISLOCATION, WITH $381.14
sur 25685 OPEN TREATMENT OF TRANS-SCAPHOPERILUNAR TYPE OF FRACTURE DISLOCATION $611.92
sur 25690 CLOSED TREATMENT OF LUNATE DISLOCATION, WITH MANIPULATION $391.08
sur 25695 OPEN TREATMENT OF LUNATE DISLOCATION $527.52
sur 25800 ARTHRODESIS, WRIST; COMPLETE, WITHOUT BONE GRAFT (INCLUDES RADIOCARPAL AND/ OR I $615.96
sur 25805 ARTHRODESIS, WRIST; WITH SLIDING GRAFT $712.34
sur 25810 ARTHRODESIS, WRIST; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES OBTAINING GRAFT) $726.86
sur 25820 ARTHRODESIS, WRIST; LIMITED, WITHOUT BONE GRAFT (EG, INTERCARPAL OR RADIOCARPAL) $510.20
sur 25825 ARTHRODESIS, WRIST; WITH AUTOGRAFT (INCLUDES OBTAINING GRAFT) $630.06
sur 25830 ARTHRODESIS, DISTAL RADIOULNAR JOINT WITH SEGMENTAL RESECTION OF ULNA, WITH OR $792.75
sur 25900 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; $612.85
sur 25905 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; OPEN, CIRCULAR (GUILLOTINE) $603.80
sur 25907 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; SECONDARY CLOSURE OR SCAR REVISION $528.31
sur 25909 AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; RE-AMPUTATION $591.16
sur 25915 KRUKENBERG PROCEDURE $952.85
sur 25920 DISARTICULATION THROUGH WRIST; $577.10
sur 25922 DISARTICULATION THROUGH WRIST; SECONDARY CLOSURE OR SCAR REVISION $432.26
sur 25924 DISARTICULATION THROUGH WRIST; RE-AMPUTATION $534.44
sur 25927 TRANSMETACARPAL AMPUTATION; $663.92
sur 25929 TRANSMETACARPAL AMPUTATION; SECONDARY CLOSURE OR SCAR REVISION $492.17
sur 25931 TRANSMETACARPAL AMPUTATION; RE-AMPUTATION $578.49
sur 25999 UNLISTED PROCEDURE, FOREARM OR WRIST BR
sur 26010 DRAINAGE OF FINGER ABSCESS; SIMPLE $209.42
sur 26011 DRAINAGE OF FINGER ABSCESS; COMPLICATED (EG, FELON) $317.25
sur 26020 DRAINAGE OF TENDON SHEATH, DIGIT AND/OR PALM, EACH $357.38
sur 26025 DRAINAGE OF PALMAR BURSA; SINGLE, BURSA $346.82
sur 26030 DRAINAGE OF PALMAR BURSA; MULTIPLE BURSA $408.50
sur 26034 INCISION, BONE CORTEX, HAND OR FINGER (EG, OSTEOMYELITIS OR BONE ABSCESS) $443.81
sur 26035 DECOMPRESSION FINGERS AND/OR HAND, INJECTION INJURY (EG, GREASE GUN) $703.71
sur 26037 DECOMPRESSIVE FASCIOTOMY, HAND (EXCLUDES 26035) $475.35
sur 26040 FASCIOTOMY, PALMAR (EG, DUPUYTREN'S CONTRACTURE); PERCUTANEOUS $255.03
sur 26045 FASCIOTOMY, PALMAR (EG, DUPUYTREN'S CONTRACTURE); OPEN, PARTIAL $386.32
sur 26055 TENDON SHEATH INCISION (EG, FOR TRIGGER FINGER) $461.46
sur 26060 TENOTOMY, PERCUTANEOUS, SINGLE, EACH DIGIT $219.56
sur 26070 ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; $251.87
sur 26075 ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; $264.49
sur 26080 ARTHROTOMY, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN BODY; $319.27
sur 26100 ARTHROTOMY WITH BIOPSY; CARPOMETACARPAL JOINT, EACH $271.18
sur 26105 ARTHROTOMY WITH BIOPSY; METACARPOPHALANGEAL JOINT, EACH $275.17
sur 26110 ARTHROTOMY WITH BIOPSY; INTERPHALANGEAL JOINT, EACH $263.56
sur 26111 Excision, tumor or vascular malformation, soft tissue of hand or finger,subcutan $358.00
sur 26113 Excision, tumor, soft tissue, or vascular malformation, of hand or finger, subfa $469.21
sur 26115 EXCISION, TUMOR OR VASCULAR MALFORMATION, SOFT TISSUE OF HAND OR FINGER, SUBCUTA $460.43
sur 26116 EXCISION, TUMOR, SOFT TISSUE, OR VASCULAR MALFORMATION, OF HAND OR FINGER, SUBFA $436.45
sur 26117 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF HAND OR FING $609.60
sur 26118 Radical resection of tumor (eg, malignant neoplasm), soft tissue of hand or fing $917.45
sur 26121 FASCIECTOMY, PALM ONLY, WITH OR WITHOUT Z-PLASTY, OTHER LOCAL TISSUE $496.71
sur 26123 FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF SINGLE DIGIT INCLUDING PROXIMAL $690.35
sur 26125 FASCIECTOMY, PARTIAL PALMAR WITH RELEASE OF SINGLE DIGIT INCLUDING PROXIMAL $235.29
sur 26130 SYNOVECTOMY, CARPOMETACARPAL JOINT $380.01
sur 26135 SYNOVECTOMY, METACARPOPHALANGEAL JOINT INCLUDING INTRINSIC RELEASE AND EXTENSOR $458.00
sur 26140 SYNOVECTOMY, PROXIMAL INTERPHALANGEAL JOINT, INCLUDING EXTENSOR RECONSTRUCTION, $418.62
sur 26145 SYNOVECTOMY, TENDON SHEATH, RADICAL (TENOSYNOVECTOMY), FLEXOR TENDON, PALM $424.90
sur 26160 EXCISION OF LESION OF TENDON SHEATH OR JOINT CAPSULE (EG, CYST, MUCOUS CYST, OR $468.10
sur 26170 EXCISION OF TENDON, PALM, FLEXOR OR EXTENSOR, SINGLE, EACH TENDON $335.66
sur 26180 EXCISION OF TENDON, FINGER, FLEXOR OR EXTENSOR, EACH TENDON $364.45
sur 26185 SESAMOIDECTOMY, THUMB OR FINGER (SEPARATE PROCEDURE) $449.65
sur 26200 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF METACARPAL; $373.50
sur 26205 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF METACARPAL; WITH $501.63
sur 26210 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL, MIDDLE, OR $365.20
sur 26215 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF PROXIMAL, MIDDLE, OR $465.74
sur 26230 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, $414.97
sur 26235 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, $410.38
sur 26236 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE (EG, $365.21
sur 26250 RADICAL RESECTION OF TUMOR, METACARPAL $827.82
sur 26260 RADICAL RESECTION OF TUMOR, PROXIMAL OR MIDDLE PHALANX OF FINGER $648.67
sur 26262 RADICAL RESECTION OF TUMOR, DISTAL PHALANX OF FINGER $498.55
sur 26320 REMOVAL OF IMPLANT FROM FINGER OR HAND $286.28
sur 26340 MANIPULATION, FINGER JOINT, UNDER ANESTHESIA, EACH JOINT $268.83
sur 26350 REPAIR OR ADVANCEMENT, FLEXOR TENDON, NOT IN ZONE 2 DIGITAL FLEXOR TENDON $587.06
sur 26352 REPAIR OR ADVANCEMENT, FLEXOR TENDON, NOT IN ZONE 2 DIGITAL FLEXOR TENDON $670.42
sur 26356 REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH $895.97
sur 26357 REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH $716.09
sur 26358 REPAIR OR ADVANCEMENT, FLEXOR TENDON, IN ZONE 2 DIGITAL FLEXOR TENDON SHEATH $764.82
sur 26370 REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; $632.12
sur 26372 REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; $732.40
sur 26373 REPAIR OR ADVANCEMENT OF PROFUNDUS TENDON, WITH INTACT SUPERFICIALIS TENDON; $699.71
sur 26390 EXCISION FLEXOR TENDON, WITH IMPLANTATION OF SYNTHETIC ROD FOR DELAYED TENDON $688.60
sur 26392 REMOVAL OF SYNTHETIC ROD AND INSERTION OF FLEXOR TENDON GRAFT, HAND OR FINGER $803.04
sur 26410 REPAIR, EXTENSOR TENDON, HAND, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH $465.95
sur 26412 REPAIR, EXTENSOR TENDON, HAND, PRIMARY OR SECONDARY; WITH FREE GRAFT (INCLUDES $565.07
sur 26415 EXCISION OF EXTENSOR TENDON, WITH IMPLANTATION OF SYNTHETIC ROD FOR DELAYED $577.51
sur 26416 REMOVAL OF SYNTHETIC ROD AND INSERTION OF EXTENSOR TENDON GRAFT (INCLUDES $692.35
sur 26418 REPAIR, EXTENSOR TENDON, FINGER, PRIMARY OR SECONDARY; WITHOUT FREE GRAFT, EACH $472.78
sur 26420 REPAIR, EXTENSOR TENDON, FINGER, PRIMARY OR SECONDARY; WITH FREE GRAFT $586.08
sur 26426 REPAIR OF EXTENSOR TENDON, CENTRAL SLIP, SECONDARY (EG, BOUTONNIERE DEFORMITY); $447.26
sur 26428 REPAIR OF EXTENSOR TENDON, CENTRAL SLIP, SECONDARY (EG, BOUTONNIERE DEFORMITY); $621.35
sur 26432 CLOSED TREATMENT OF DISTAL EXTENSOR TENDON INSERTION, WITH OR WITHOUT $408.91
sur 26433 REPAIR OF EXTENSOR TENDON, DISTAL INSERTION, PRIMARY OR SECONDARY; WITHOUT $437.57
sur 26434 REPAIR OF EXTENSOR TENDON, DISTAL INSERTION, PRIMARY OR SECONDARY; WITH FREE $529.26
sur 26437 REALIGNMENT OF EXTENSOR TENDON, HAND, EACH TENDON $511.79
sur 26440 TENOLYSIS, FLEXOR TENDON; PALM OR FINGER, EACH TENDON $512.50
sur 26442 TENOLYSIS, FLEXOR TENDON; PALM AND FINGER, EACH TENDON $792.45
sur 26445 TENOLYSIS, EXTENSOR TENDON, HAND OR FINGER, EACH TENDON $476.58
sur 26449 TENOLYSIS, COMPLEX, EXTENSOR TENDON, FINGER, INCLUDING FOREARM, EACH TENDON $610.10
sur 26450 TENOTOMY, FLEXOR, PALM, OPEN, EACH TENDON $332.04
sur 26455 TENOTOMY, FLEXOR, FINGER, OPEN, EACH TENDON $330.85
sur 26460 TENOTOMY, EXTENSOR, HAND OR FINGER, OPEN, EACH TENDON $322.00
sur 26471 TENODESIS; OF PROXIMAL INTERPHALANGEAL JOINT, EACH JOINT $505.74
sur 26474 TENODESIS; OF DISTAL JOINT, EACH JOINT $493.11
sur 26476 LENGTHENING OF TENDON, EXTENSOR, HAND OR FINGER, EACH TENDON $482.76
sur 26477 SHORTENING OF TENDON, EXTENSOR, HAND OR FINGER, EACH TENDON $479.10
sur 26478 LENGTHENING OF TENDON, FLEXOR, HAND OR FINGER, EACH TENDON $514.24
sur 26479 SHORTENING OF TENDON, FLEXOR, HAND OR FINGER, EACH TENDON $512.62
sur 26480 TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; $620.48
sur 26483 TRANSFER OR TRANSPLANT OF TENDON, CARPOMETACARPAL AREA OR DORSUM OF HAND; WITH $697.61
sur 26485 TRANSFER OR TRANSPLANT OF TENDON, PALMAR; WITHOUT FREE TENDON GRAFT, EACH TENDON $668.15
sur 26489 TRANSFER OR TRANSPLANT OF TENDON, PALMAR; WITH FREE TENDON GRAFT (INCLUDES $750.00
sur 26490 OPPONENSPLASTY; SUPERFICIALIS TENDON TRANSFER TYPE, EACH TENDON $655.59
sur 26492 OPPONENSPLASTY; TENDON TRANSFER WITH GRAFT (INCLUDES OBTAINING GRAFT), EACH $726.21
sur 26494 OPPONENSPLASTY; HYPOTHENAR MUSCLE TRANSFER $657.91
sur 26496 OPPONENSPLASTY; OTHER METHODS $707.84
sur 26497 TRANSFER OF TENDON TO RESTORE INTRINSIC FUNCTION; RING AND SMALL FINGER $713.86
sur 26498 TRANSFER OF TENDON TO RESTORE INTRINSIC FUNCTION; ALL FOUR FINGERS $948.67
sur 26499 CORRECTION CLAW FINGER, OTHER METHODS $683.14
sur 26500 RECONSTRUCTION OF TENDON PULLEY, EACH TENDON; WITH LOCAL TISSUES (SEPARATE $517.09
sur 26502 RECONSTRUCTION OF TENDON PULLEY, EACH TENDON; WITH TENDON OR FASCIAL GRAFT $588.94
sur 26508 RELEASE OF THENAR MUSCLE(S) (EG, THUMB CONTRACTURE) $519.48
sur 26510 CROSS INTRINSIC TRANSFER, EACH TENDON $490.78
sur 26516 CAPSULODESIS, METACARPOPHALANGEAL JOINT; SINGLE DIGIT $577.54
sur 26517 CAPSULODESIS, METACARPOPHALANGEAL JOINT; TWO DIGITS $681.11
sur 26518 CAPSULODESIS, METACARPOPHALANGEAL JOINT; THREE OR FOUR DIGITS $692.91
sur 26520 CAPSULECTOMY OR CAPSULOTOMY; METACARPOPHALANGEAL JOINT, EACH JOINT $537.98
sur 26525 CAPSULECTOMY OR CAPSULOTOMY; INTERPHALANGEAL JOINT, EACH JOINT $538.36
sur 26530 ARTHROPLASTY, METACARPOPHALANGEAL JOINT; EACH JOINT $444.79
sur 26531 ARTHROPLASTY, METACARPOPHALANGEAL JOINT; WITH PROSTHETIC IMPLANT, EACH JOINT $517.85
sur 26535 ARTHROPLASTY, INTERPHALANGEAL JOINT; EACH JOINT $338.26
sur 26536 ARTHROPLASTY, INTERPHALANGEAL JOINT; WITH PROSTHETIC IMPLANT, EACH JOINT $570.04
sur 26540 REPAIR OF COLLATERAL LIGAMENT, METACARPOPHALANGEAL OR INTERPHALANGEAL JOINT $543.31
sur 26541 RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHALANGEAL JOINT, SINGLE; WITH $659.77
sur 26542 RECONSTRUCTION, COLLATERAL LIGAMENT, METACARPOPHALANGEAL JOINT, SINGLE; WITH $562.25
sur 26545 RECONSTRUCTION, COLLATERAL LIGAMENT, INTERPHALANGEAL JOINT, SINGLE, INCLUDING $574.33
sur 26546 REPAIR NON-UNION, METACARPAL OR PHALANX, (INCLUDES OBTAINING BONE GRAFT WITH OR $813.69
sur 26548 REPAIR AND RECONSTRUCTION, FINGER, VOLAR PLATE, INTERPHALANGEAL JOINT $631.15
sur 26550 POLLICIZATION OF A DIGIT $1,308.45
sur 26551 TRANSFER, TOE-TO-HAND WITH MICROVASCULAR ANASTOMOSIS; GREAT TOE WRAP-AROUND $2,548.56
sur 26553 TRANSFER, TOE-TO-HAND WITH MICROVASCULAR ANASTOMOSIS; OTHER THAN GREAT TOE, $2,502.16
sur 26554 TRANSFER, TOE-TO-HAND WITH MICROVASCULAR ANASTOMOSIS; OTHER THAN GREAT TOE, $2,746.24
sur 26555 TRANSFER, FINGER TO ANOTHER POSITION WITHOUT MICROVASCULAR ANASTOMOSIS $1,138.90
sur 26556 TRANSFER, FREE TOE JOINT, WITH MICROVASCULAR ANASTOMOSIS $2,396.98
sur 26560 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; WITH SKIN FLAPS $480.20
sur 26561 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; WITH SKIN FLAPS AND GRAFTS $783.28
sur 26562 REPAIR OF SYNDACTYLY (WEB FINGER) EACH WEB SPACE; COMPLEX (EG, INVOLVING BONE, $1,051.21
sur 26565 OSTEOTOMY; METACARPAL, EACH $560.00
sur 26567 OSTEOTOMY; PHALANX OF FINGER, EACH $560.86
sur 26568 OSTEOPLASTY, LENGTHENING, METACARPAL OR PHALANX $740.19
sur 26580 REPAIR CLEFT HAND $1,132.59
sur 26587 RECONSTRUCTION OF POLYDACTYLOUS DIGIT, SOFT TISSUE AND BONE $862.53
sur 26590 REPAIR MACRODACTYLIA, EACH DIGIT $1,053.64
sur 26591 REPAIR, INTRINSIC MUSCLES OF HAND, EACH MUSCLE $359.48
sur 26593 RELEASE, INTRINSIC MUSCLES OF HAND, EACH MUSCLE $491.98
sur 26596 EXCISION OF CONSTRICTING RING OF FINGER, WITH MULTIPLE Z-PLASTIES $618.36
sur 26600 CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITHOUT MANIPULATION, EACH BONE $231.56
sur 26605 CLOSED TREATMENT OF METACARPAL FRACTURE, SINGLE; WITH MANIPULATION, EACH BONE $258.83
sur 26607 CLOSED TREATMENT OF METACARPAL FRACTURE, WITH MANIPULATION, WITH EXTERNAL $369.92
sur 26608 PERCUTANEOUS SKELETAL FIXATION OF METACARPAL FRACTURE, EACH BONE $393.80
sur 26615 OPEN TREATMENT OF METACARPAL FRACTURE, SINGLE, INCLUDES INTERNAL FIXATION, WHEN $469.67
sur 26641 CLOSED TREATMENT OF CARPOMETACARPAL DISLOCATION, THUMB, WITH MANIPULATION $292.29
sur 26645 CLOSED TREATMENT OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (BENNETT $342.33
sur 26650 PERCUTANEOUS SKELETAL FIXATION OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (B $394.29
sur 26665 OPEN TREATMENT OF CARPOMETACARPAL FRACTURE DISLOCATION, THUMB (BENNETT FRACTURE) $516.16
sur 26670 CLOSED TREATMENT OF CARPOMETACARPAL DISLOCATION, OTHER THAN THUMB, WITH $267.03
sur 26675 CLOSED TREATMENT OF CARPOMETACARPAL DISLOCATION, OTHER THAN THUMB, WITH $364.38
sur 26676 PERCUTANEOUS SKELETAL FIXATION OF CARPOMETACARPAL DISLOCATION, OTHER THAN $412.46
sur 26685 OPEN TREATMENT OF CARPOMETACARPAL DISLOCATION, OTHER THAN THUMB; INCLUDES INTERN $474.34
sur 26686 OPEN TREATMENT OF CARPOMETACARPAL DISLOCATION, OTHER THAN THUMB; COMPLEX, $517.14
sur 26700 CLOSED TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH MANIPULATION; $255.32
sur 26705 CLOSED TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH MANIPULATION; $335.77
sur 26706 PERCUTANEOUS SKELETAL FIXATION OF METACARPOPHALANGEAL DISLOCATION, SINGLE, WITH $361.17
sur 26715 OPEN TREATMENT OF METACARPOPHALANGEAL DISLOCATION, SINGLE, INCLUDES INTERNAL FIX $467.61
sur 26720 CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, $156.94
sur 26725 CLOSED TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, $274.36
sur 26727 PERCUTANEOUS SKELETAL FIXATION OF UNSTABLE PHALANGEAL SHAFT FRACTURE, PROXIMAL $387.80
sur 26735 OPEN TREATMENT OF PHALANGEAL SHAFT FRACTURE, PROXIMAL OR MIDDLE PHALANX, FINGER $487.73
sur 26740 CLOSED TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR $182.56
sur 26742 CLOSED TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR $298.52
sur 26746 OPEN TREATMENT OF ARTICULAR FRACTURE, INVOLVING METACARPOPHALANGEAL OR INTERPHAL $605.57
sur 26750 CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITHOUT $146.07
sur 26755 CLOSED TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB; WITH $252.56
sur 26756 PERCUTANEOUS SKELETAL FIXATION OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB, $343.29
sur 26765 OPEN TREATMENT OF DISTAL PHALANGEAL FRACTURE, FINGER OR THUMB, INCLUDES INTERNAL $405.01
sur 26770 CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, WITH $217.38
sur 26775 CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, WITH $308.57
sur 26776 PERCUTANEOUS SKELETAL FIXATION OF INTERPHALANGEAL JOINT DISLOCATION, SINGLE, $364.25
sur 26785 OPEN TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, $441.81
sur 26820 FUSION IN OPPOSITION, THUMB, WITH AUTOGENOUS GRAFT (INCLUDES OBTAINING GRAFT) $648.98
sur 26841 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR WITHOUT INTERNAL FIXATION; $601.43
sur 26842 ARTHRODESIS, CARPOMETACARPAL JOINT, THUMB, WITH OR WITHOUT INTERNAL FIXATION; $652.16
sur 26843 ARTHRODESIS, CARPOMETACARPAL JOINT, DIGIT, OTHER THAN THUMB, EACH; $607.06
sur 26844 ARTHRODESIS, CARPOMETACARPAL JOINT, DIGIT, OTHER THAN THUMB, EACH; WITH $675.66
sur 26850 ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; $571.54
sur 26852 ARTHRODESIS, METACARPOPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH $656.10
sur 26860 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; $462.35
sur 26861 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; EACH $88.49
sur 26862 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH $597.97
sur 26863 ARTHRODESIS, INTERPHALANGEAL JOINT, WITH OR WITHOUT INTERNAL FIXATION; WITH $197.83
sur 26910 AMPUTATION, METACARPAL, WITH FINGER OR THUMB (RAY AMPUTATION), SINGLE, WITH OR W $591.39
sur 26951 AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, $527.64
sur 26952 AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, $534.59
sur 26989 UNLISTED PROCEDURE, HANDS OR FINGERS BR
sur 26990 INCISION AND DRAINAGE, PELVIS OR HIP JOINT AREA; DEEP ABSCESS OR HEMATOMA $517.09
sur 26991 INCISION AND DRAINAGE, PELVIS OR HIP JOINT AREA; INFECTED BURSA $581.22
sur 26992 INCISION, BONE CORTEX, PELVIS AND/OR HIP JOINT (EG, OSTEOMYELITIS OR BONE $804.44
sur 27000 TENOTOMY, ADDUCTOR OF HIP, PERCUTANEOUS (SEPARATE PROCEDURE) $366.00
sur 27001 TENOTOMY, ADDUCTOR OF HIP, OPEN $449.71
sur 27003 TENOTOMY, ADDUCTOR, SUBCUTANEOUS, OPEN, WITH OBTURATOR NEURECTOMY $492.45
sur 27005 TENOTOMY, HIP FLEXOR(S), OPEN (SEPARATE PROCEDURE) $607.60
sur 27006 TENOTOMY, ABDUCTORS AND/OR EXTENSOR(S) OF HIP, OPEN (SEPARATE PROCEDURE) $615.67
sur 27025 FASCIOTOMY, HIP OR THIGH, ANY TYPE $759.94
sur 27027 Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medi $700.93
sur 27030 ARTHROTOMY, HIP, WITH DRAINAGE (EG, INFECTION) $786.77
sur 27033 ARTHROTOMY, HIP, INCLUDING EXPLORATION OR REMOVAL OF LOOSE OR FOREIGN BODY $818.86
sur 27035 DENERVATION, HIP JOINT, INTRAPELVIC OR EXTRAPELVIC INTRA-ARTICULAR BRANCHES OF $961.00
sur 27036 CAPSULECTOMY OR CAPSULOTOMY, HIP, WITH OR WITHOUT EXCISION OF HETEROTOPIC BONE, $843.62
sur 27040 BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA; SUPERFICIAL $281.00
sur 27041 BIOPSY, SOFT TISSUE OF PELVIS AND HIP AREA; DEEP, SUBFASCIAL OR INTRAMUSCULAR $567.87
sur 27043 Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or great $401.11
sur 27045 Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscul $636.48
sur 27047 EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBCUTANEOUS; LESS THAN 3 C $404.98
sur 27048 EXCISION, TUMOR, SOFT TISSUE OF PELVIS AND HIP AREA, SUBFASCIAL (EG, INTRAMUSCUL $497.00
sur 27049 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF PELVIS AND H $1,105.08
sur 27050 ARTHROTOMY, WITH BIOPSY; SACROILIAC JOINT $313.94
sur 27052 ARTHROTOMY, WITH BIOPSY; HIP JOINT $473.49
sur 27054 ARTHROTOMY WITH SYNOVECTOMY, HIP JOINT $569.97
sur 27057 Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medi $788.66
sur 27059 Radical resection of tumor (eg, malignant neoplasm), soft tissue of pelvis and h $1,558.74
sur 27060 EXCISION; ISCHIAL BURSA $374.47
sur 27062 EXCISION; TROCHANTERIC BURSA OR CALCIFICATION $377.36
sur 27065 EXCISION OF BONE CYST OR BENIGN TUMOR, WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATE $419.58
sur 27066 EXCISION OF BONE CYST OR BENIGN TUMOR, WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATE $677.91
sur 27067 EXCISION OF BONE CYST OR BENIGN TUMOR, WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATE $867.90
sur 27070 PARTIAL EXCISION, WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATER TROCHANTER OF FEMUR $711.18
sur 27071 PARTIAL EXCISION, WING OF ILIUM, SYMPHYSIS PUBIS, OR GREATER TROCHANTER OF FEMUR $761.68
sur 27075 RADICAL RESECTION OF TUMOR; WING OF ILIUM, 1 PUBIC OR ISCHIAL RAMUS OR SYMPHYSIS $1,769.97
sur 27076 RADICAL RESECTION OF TUMOR; ILIUM, INCLUDING ACETABULUM, BOTH PUBIC RAMI, OR ISC $2,026.24
sur 27077 RADICAL RESECTION OF TUMOR; INNOMINATE BONE, TOTAL $2,374.88
sur 27078 RADICAL RESECTION OF TUMOR; ISCHIAL TUBEROSITY AND GREATER TROCHANTER OF FEMUR $1,618.34
sur 27080 COCCYGECTOMY, PRIMARY $420.89
sur 27086 REMOVAL OF FOREIGN BODY, PELVIS OR HIP; SUBCUTANEOUS TISSUE $202.91
sur 27087 REMOVAL OF FOREIGN BODY, PELVIS OR HIP; DEEP (SUBFASCIAL OR INTRAMUSCULAR) $526.16
sur 27090 REMOVAL OF HIP PROSTHESIS; (SEPARATE PROCEDURE) $695.44
sur 27091 REMOVAL OF HIP PROSTHESIS; COMPLICATED, INCLUDING TOTAL HIP PROSTHESIS, $1,347.93
sur 27093 INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITHOUT ANESTHESIA $159.97
sur 27095 INJECTION PROCEDURE FOR HIP ARTHROGRAPHY; WITH ANESTHESIA $195.81
sur 27096 INJECTION PROCEDURE FOR SACROILIAC JOINT, ARTHROGRAPHY AND/ OR $156.05
sur 27097 RELEASE OR RECESSION, HAMSTRING, PROXIMAL $562.52
sur 27098 TRANSFER, ADDUCTOR TO ISCHIUM $555.92
sur 27100 TRANSFER EXTERNAL OBLIQUE MUSCLE TO GREATER TROCHANTER INCLUDING FASCIAL OR $688.80
sur 27105 TRANSFER PARASPINAL MUSCLE TO HIP (INCLUDES FASCIAL OR TENDON EXTENSION GRAFT) $724.15
sur 27110 TRANSFER ILIOPSOAS; TO GREATER TROCHANTER OF FEMUR $807.64
sur 27111 TRANSFER ILIOPSOAS; TO FEMORAL NECK $734.81
sur 27120 ACETABULOPLASTY; (EG, WHITMAN, COLONNA, HAYGROVES, OR CUP TYPE) $1,089.55
sur 27122 ACETABULOPLASTY; RESECTION, FEMORAL HEAD (EG, GIRDLESTONE PROCEDURE) $927.38
sur 27125 HEMIARTHROPLASTY, HIP, PARTIAL (EG, FEMORAL STEM PROSTHESIS, BIPOLAR $951.76
sur 27130 ARTHROPLASTY, ACETABULAR AND PROXIMAL FEMORAL PROSTHETIC REPLACEMENT (TOTAL HIP $1,216.75
sur 27132 CONVERSION OF PREVIOUS HIP SURGERY TO TOTAL HIP ARTHROPLASTY, WITH OR WITHOUT $1,420.56
sur 27134 REVISION OF TOTAL HIP ARTHROPLASTY; BOTH COMPONENTS, WITH OR WITHOUT AUTOGRAFT $1,633.91
sur 27137 REVISION OF TOTAL HIP ARTHROPLASTY; ACETABULAR COMPONENT ONLY, WITH OR WITHOUT $1,250.67
sur 27138 REVISION OF TOTAL HIP ARTHROPLASTY; FEMORAL COMPONENT ONLY, WITH OR WITHOUT $1,301.45
sur 27140 OSTEOTOMY AND TRANSFER OF GREATER TROCHANTER OF FEMUR (SEPARATE PROCEDURE) $751.67
sur 27146 OSTEOTOMY, ILIAC, ACETABULAR OR INNOMINATE BONE; $1,074.32
sur 27147 OSTEOTOMY, ILIAC, ACETABULAR OR INNOMINATE BONE; WITH OPEN REDUCTION OF HIP $1,238.85
sur 27151 OSTEOTOMY, ILIAC, ACETABULAR OR INNOMINATE BONE; WITH FEMORAL OSTEOTOMY $1,314.95
sur 27156 OSTEOTOMY, ILIAC, ACETABULAR OR INNOMINATE BONE; WITH FEMORAL OSTEOTOMY AND $1,445.85
sur 27158 OSTEOTOMY, PELVIS, BILATERAL (EG, CONGENITAL MALFORMATION) $1,173.40
sur 27161 OSTEOTOMY, FEMORAL NECK (SEPARATE PROCEDURE) $1,023.84
sur 27165 OSTEOTOMY, INTERTROCHANTERIC OR SUBTROCHANTERIC INCLUDING INTERNAL OR EXTERNAL $1,155.87
sur 27170 BONE GRAFT, FEMORAL HEAD, NECK, INTERTROCHANTERIC OR SUBTROCHANTERIC AREA $993.41
sur 27175 TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY TRACTION, WITHOUT REDUCTION $557.36
sur 27176 TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; BY SINGLE OR MULTIPLE PINNING, IN SITU $767.14
sur 27177 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; SINGLE OR MULTIPLE PINNING OR BONE $935.10
sur 27178 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; CLOSED MANIPULATION WITH SINGLE OR $764.56
sur 27179 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEOPLASTY OF FEMORAL NECK $817.99
sur 27181 OPEN TREATMENT OF SLIPPED FEMORAL EPIPHYSIS; OSTEOTOMY AND INTERNAL FIXATION $939.09
sur 27185 EPIPHYSEAL ARREST BY EPIPHYSIODESIS OR STAPLING, GREATER TROCHANTER OF FEMUR $505.77
sur 27187 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT $833.49
sur 27193 CLOSED TREATMENT OF PELVIC RING FRACTURE, DISLOCATION, DIASTASIS OR SUBLUXATION; $389.43
sur 27194 CLOSED TREATMENT OF PELVIC RING FRACTURE, DISLOCATION, DIASTASIS OR $580.51
sur 27200 CLOSED TREATMENT OF COCCYGEAL FRACTURE $144.66
sur 27202 OPEN TREATMENT OF COCCYGEAL FRACTURE $502.69
sur 27215 OPEN TREATMENT OF ILIAC SPINE(S), TUBEROSITY AVULSION, OR ILIAC WING FRACTURE(S) $535.25
sur 27216 PERCUTANEOUS SKELETAL FIXATION OF POSTERIOR PELVIC BONE FRACTURE AND/OR DISLOCAT $791.22
sur 27217 OPEN TREATMENT OF ANTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION FOR FRACTURE $746.72
sur 27218 OPEN TREATMENT OF POSTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION, FOR FRACTUR $1,022.86
sur 27220 CLOSED TREATMENT OF ACETABULUM (HIP SOCKET) FRACTURE(S); WITHOUT MANIPULATION $438.24
sur 27222 CLOSED TREATMENT OF ACETABULUM (HIP SOCKET) FRACTURE(S); WITH MANIPULATION, $819.47
sur 27226 OPEN TREATMENT OF POSTERIOR OR ANTERIOR ACETABULAR WALL FRACTURE, WITH INTERNAL $882.01
sur 27227 OPEN TREATMENT OF ACETABULAR FRACTURE(S) INVOLVING ANTERIOR OR POSTERIOR (ONE) $1,407.92
sur 27228 OPEN TREATMENT OF ACETABULAR FRACTURE(S) INVOLVING ANTERIOR AND POSTERIOR (TWO) $1,607.45
sur 27230 CLOSED TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, NECK; WITHOUT MANIPULATION $390.55
sur 27232 CLOSED TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, NECK; WITH MANIPULATION, $643.96
sur 27235 PERCUTANEOUS SKELETAL FIXATION OF FEMORAL FRACTURE, PROXIMAL END, NECK $764.60
sur 27236 OPEN TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, NECK, INTERNAL FIXATION OR $1,005.45
sur 27238 CLOSED TREATMENT OF INTERTROCHANTERIC, PERTROCHANTERIC, OR SUBTROCHANTERIC $378.22
sur 27240 CLOSED TREATMENT OF INTERTROCHANTERIC, PERTROCHANTERIC, OR SUBTROCHANTERIC $801.13
sur 27244 TREATMENT OF INTERTROCHANTERIC, PERTROCHANTERIC, OR SUBTROCHANTERIC FEMORAL $1,034.46
sur 27245 TREATMENT OF INTERTROCHANTERIC, PERTROCHANTERIC, OR SUBTROCHANTERIC FEMORAL $1,045.64
sur 27246 CLOSED TREATMENT OF GREATER TROCHANTERIC FRACTURE, WITHOUT MANIPULATION $317.71
sur 27248 OPEN TREATMENT OF GREATER TROCHANTERIC FRACTURE, INCLUDES INTERNAL FIXATION, WHE $627.71
sur 27250 CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; WITHOUT ANESTHESIA $173.03
sur 27252 CLOSED TREATMENT OF HIP DISLOCATION, TRAUMATIC; REQUIRING ANESTHESIA $632.95
sur 27253 OPEN TREATMENT OF HIP DISLOCATION, TRAUMATIC, WITHOUT INTERNAL FIXATION $791.89
sur 27254 OPEN TREATMENT OF HIP DISLOCATION, TRAUMATIC, WITH ACETABULAR WALL AND FEMORAL $1,067.47
sur 27256 TREATMENT OF SPONTANEOUS HIP DISLOCATION (DEVELOPMENTAL, INCLUDING CONGENITAL $242.73
sur 27257 TREATMENT OF SPONTANEOUS HIP DISLOCATION (DEVELOPMENTAL, INCLUDING CONGENITAL $280.06
sur 27258 OPEN TREATMENT OF SPONTANEOUS HIP DISLOCATION (DEVELOPMENTAL, INCLUDING $932.50
sur 27259 OPEN TREATMENT OF SPONTANEOUS HIP DISLOCATION (DEVELOPMENTAL, INCLUDING $1,307.75
sur 27265 CLOSED TREATMENT OF POST HIP ARTHROPLASTY DISLOCATION; WITHOUT ANESTHESIA $324.80
sur 27266 CLOSED TREATMENT OF POST HIP ARTHROPLASTY DISLOCATION; REQUIRING REGIONAL OR $483.88
sur 27267 CLOSED TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, HEAD; WITHOUT MANIPULATION $353.82
sur 27268 CLOSED TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, HEAD; WITH MANIPULATION $438.24
sur 27269 OPEN TREATMENT OF FEMORAL FRACTURE, PROXIMAL END, HEAD, INCLUDES INTERNAL FIXATI $1,031.40
sur 27275 MANIPULATION, HIP JOINT, REQUIRING GENERAL ANESTHESIA $147.93
sur 27280 ARTHRODESIS, SACROILIAC JOINT (INCLUDING OBTAINING GRAFT) $863.58
sur 27282 ARTHRODESIS, SYMPHYSIS PUBIS (INCLUDING OBTAINING GRAFT) $696.34
sur 27284 ARTHRODESIS, HIP JOINT (INCLUDING OBTAINING GRAFT); $1,337.95
sur 27286 ARTHRODESIS, HIP JOINT (INCLUDING OBTAINING GRAFT); WITH SUBTROCHANTERIC $1,400.14
sur 27290 INTERPELVIABDOMINAL AMPUTATION (HINDQUARTER AMPUTATION) $1,351.08
sur 27295 DISARTICULATION OF HIP $1,070.70
sur 27299 UNLISTED PROCEDURE, PELVIS OR HIP JOINT BR
sur 27301 INCISION AND DRAINAGE, DEEP ABSCESS, BURSA, OR HEMATOMA, THIGH OR KNEE REGION $550.18
sur 27303 INCISION, DEEP, WITH OPENING OF BONE CORTEX, FEMUR OR KNEE (EG, OSTEOMYELITIS $532.96
sur 27305 FASCIOTOMY, ILIOTIBIAL (TENOTOMY), OPEN $394.01
sur 27306 TENOTOMY, PERCUTANEOUS, ADDUCTOR OR HAMSTRING; SINGLE TENDON (SEPARATE $311.94
sur 27307 TENOTOMY, PERCUTANEOUS, ADDUCTOR OR HAMSTRING; MULTIPLE TENDONS $393.13
sur 27310 ARTHROTOMY, KNEE, WITH EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY (EG, $609.31
sur 27323 BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; SUPERFICIAL $223.83
sur 27324 BIOPSY, SOFT TISSUE OF THIGH OR KNEE AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR) $323.88
sur 27325 NEURECTOMY, HAMSTRING MUSCLE $452.57
sur 27326 NEURECTOMY, POPLITEAL (GASTROCNEMIUS) $416.40
sur 27327 EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBCUTANEOUS; LESS THAN 3 CM $363.68
sur 27328 EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBFASCIAL (EG, INTRAMUSCULA $491.84
sur 27329 EXCISION, TUMOR, SOFT TISSUE OF THIGH OR KNEE AREA, SUBFASCIAL (EG, INTRAMUSCULA $874.14
sur 27330 ARTHROTOMY, KNEE; WITH SYNOVIAL BIOPSY ONLY $337.01
sur 27331 ARTHROTOMY, KNEE; INCLUDING JOINT EXPLORATION, BIOPSY, OR REMOVAL OF LOOSE OR $394.02
sur 27332 ARTHROTOMY, WITH EXCISION OF SEMILUNAR CARTILAGE (MENISCECTOMY) KNEE; MEDIAL OR $532.96
sur 27333 ARTHROTOMY, WITH EXCISION OF SEMILUNAR CARTILAGE (MENISCECTOMY) KNEE; MEDIAL $485.53
sur 27334 ARTHROTOMY, WITH SYNOVECTOMY, KNEE; ANTERIOR OR POSTERIOR $568.81
sur 27335 ARTHROTOMY, WITH SYNOVECTOMY, KNEE; ANTERIOR AND POSTERIOR INCLUDING POPLITEAL $638.58
sur 27337 Excision, tumor, soft tissue of thigh or knee area, subcutaneous; 3 cm or greate $358.65
sur 27339 Excision, tumor, soft tissue of thigh or knee area, subfascial (eg, intramuscula $645.08
sur 27340 EXCISION, PREPATELLAR BURSA $305.04
sur 27345 EXCISION OF SYNOVIAL CYST OF POPLITEAL SPACE (EG, BAKER'S CYST) $399.17
sur 27347 EXCISION OF LESION OF MENISCUS OR CAPSULE (EG, CYST, GANGLION), KNEE $435.35
sur 27350 PATELLECTOMY OR HEMIPATELLECTOMY $542.71
sur 27355 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; $502.21
sur 27356 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH ALLOGRAFT $614.78
sur 27357 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH AUTOGRAFT $679.89
sur 27358 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR OF FEMUR; WITH INTERNAL $240.05
sur 27360 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY) BONE, FEMUR, $710.58
sur 27364 Radical resection of tumor (eg, malignant neoplasm), soft tissue of thigh or kne $1,339.92
sur 27365 RADICAL RESECTION OF TUMOR, FEMUR OR KNEE $1,644.66
sur 27370 INJECTION PROCEDURE FOR KNEE ARTHROGRAPHY $141.21
sur 27372 REMOVAL OF FOREIGN BODY, DEEP, THIGH REGION OR KNEE AREA $496.22
sur 27380 SUTURE OF INFRAPATELLAR TENDON; PRIMARY $492.70
sur 27381 SUTURE OF INFRAPATELLAR TENDON; SECONDARY RECONSTRUCTION, INCLUDING FASCIAL OR $667.24
sur 27385 SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; PRIMARY $526.60
sur 27386 SUTURE OF QUADRICEPS OR HAMSTRING MUSCLE RUPTURE; SECONDARY RECONSTRUCTION, $693.93
sur 27390 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; SINGLE TENDON $369.02
sur 27391 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE TENDONS, ONE LEG $478.09
sur 27392 TENOTOMY, OPEN, HAMSTRING, KNEE TO HIP; MULTIPLE TENDONS, BILATERAL $590.07
sur 27393 LENGTHENING OF HAMSTRING TENDON; SINGLE TENDON $420.72
sur 27394 LENGTHENING OF HAMSTRING TENDON; MULTIPLE TENDONS, ONE LEG $541.62
sur 27395 LENGTHENING OF HAMSTRING TENDON; MULTIPLE TENDONS, BILATERAL $735.30
sur 27396 TRANSPLANT OR TRANSFER (WITH MUSCLE REDIRECTION OR REROUTING), THIGH (EG, EXTENS $512.82
sur 27397 TRANSPLANT OR TRANSFER (WITH MUSCLE REDIRECTION OR REROUTING), THIGH (EG, EXTENS $763.16
sur 27400 TRANSFER, TENDON OR MUSCLE, HAMSTRINGS TO FEMUR (EG, EGGER'S TYPE PROCEDURE) $577.42
sur 27403 ARTHROTOMY WITH MENISCUS REPAIR, KNEE $534.14
sur 27405 REPAIR, PRIMARY, TORN LIGAMENT AND/OR CAPSULE, KNEE; COLLATERAL $564.76
sur 27407 REPAIR, PRIMARY, TORN LIGAMENT AND/OR CAPSULE, KNEE; CRUCIATE $653.20
sur 27409 REPAIR, PRIMARY, TORN LIGAMENT AND/OR CAPSULE, KNEE; COLLATERAL AND CRUCIATE $809.06
sur 27412 AUTOLOGOUS CHONDROCYTE IMPLANTATION, KNEE $1,389.78
sur 27415 OSTEOCHONDRAL ALLOGRAFT, KNEE, OPEN $1,151.54
sur 27416 OSTEOCHONDRAL AUTOGRAFT(S), KNEE, OPEN (EG, MOSAICPLASTY) (INCLUDES HARVESTING O $816.57
sur 27418 ANTERIOR TIBIAL TUBERCLEPLASTY (EG, MAQUET TYPE PROCEDURE) $696.60
sur 27420 RECONSTRUCTION OF DISLOCATING PATELLA; (EG, HAUSER TYPE PROCEDURE) $623.69
sur 27422 RECONSTRUCTION OF DISLOCATING PATELLA; WITH EXTENSOR REALIGNMENT AND/OR MUSCLE $621.10
sur 27424 RECONSTRUCTION OF DISLOCATING PATELLA; WITH PATELLECTOMY $621.96
sur 27425 LATERAL RETINACULAR RELEASE, OPEN $369.30
sur 27427 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE; EXTRA-ARTICULAR $599.26
sur 27428 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE; INTRA-ARTICULAR (OPEN) $931.00
sur 27429 LIGAMENTOUS RECONSTRUCTION (AUGMENTATION), KNEE; INTRA-ARTICULAR (OPEN) AND $1,041.52
sur 27430 QUADRICEPSPLASTY (EG, BENNETT OR THOMPSON TYPE) $618.22
sur 27435 CAPSULOTOMY, POSTERIOR CAPSULAR RELEASE, KNEE $671.26
sur 27437 ARTHROPLASTY, PATELLA; WITHOUT PROSTHESIS $551.57
sur 27438 ARTHROPLASTY, PATELLA; WITH PROSTHESIS $703.76
sur 27440 ARTHROPLASTY, KNEE, TIBIAL PLATEAU; $655.54
sur 27441 ARTHROPLASTY, KNEE, TIBIAL PLATEAU; WITH DEBRIDEMENT AND PARTIAL SYNOVECTOMY $676.80
sur 27442 ARTHROPLASTY, FEMORAL CONDYLES OR TIBIAL PLATEAU(S), KNEE; $727.89
sur 27443 ARTHROPLASTY, FEMORAL CONDYLES OR TIBIAL PLATEAU(S), KNEE; WITH DEBRIDEMENT AND $683.35
sur 27445 ARTHROPLASTY, KNEE, HINGE PROSTHESIS (EG, WALLDIUS TYPE) $1,057.65
sur 27446 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL OR LATERAL COMPARTMENT $933.98
sur 27447 ARTHROPLASTY, KNEE, CONDYLE AND PLATEAU; MEDIAL AND LATERAL COMPARTMENTS WITH $1,300.57
sur 27448 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR; WITHOUT FIXATION $686.23
sur 27450 OSTEOTOMY, FEMUR, SHAFT OR SUPRACONDYLAR; WITH FIXATION $853.25
sur 27454 OSTEOTOMY, MULTIPLE, WITH REALIGNMENT ON INTRAMEDULLARY ROD, FEMORAL SHAFT (EG, $1,087.54
sur 27455 OSTEOTOMY, PROXIMAL TIBIA, INCLUDING FIBULAR EXCISION OR OSTEOTOMY (INCLUDES $790.14
sur 27457 OSTEOTOMY, PROXIMAL TIBIA, INCLUDING FIBULAR EXCISION OR OSTEOTOMY (INCLUDES $811.12
sur 27465 OSTEOPLASTY, FEMUR; SHORTENING (EXCLUDING 64876) $1,047.04
sur 27466 OSTEOPLASTY, FEMUR; LENGTHENING $992.20
sur 27468 OSTEOPLASTY, FEMUR; COMBINED, LENGTHENING AND SHORTENING WITH FEMORAL SEGMENT $1,127.75
sur 27470 REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEAD AND NECK; WITHOUT GRAFT $992.48
sur 27472 REPAIR, NONUNION OR MALUNION, FEMUR, DISTAL TO HEAD AND NECK; WITH ILIAC OR $1,067.99
sur 27475 ARREST, EPIPHYSEAL, ANY METHOD (EG, EPIPHYSIODESIS); DISTAL FEMUR $513.17
sur 27477 ARREST, EPIPHYSEAL, ANY METHOD (EG, EPIPHYSIODESIS); TIBIA AND FIBULA, PROXIMAL $612.47
sur 27479 ARREST, EPIPHYSEAL, ANY METHOD (EG, EPIPHYSIODESIS); COMBINED DISTAL FEMUR, $729.03
sur 27485 ARREST, HEMIEPIPHYSEAL, DISTAL FEMUR OR PROXIMAL TIBIA OR FIBULA (EG, GENU $560.47
sur 27486 REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; ONE COMPONENT $1,189.19
sur 27487 REVISION OF TOTAL KNEE ARTHROPLASTY, WITH OR WITHOUT ALLOGRAFT; FEMORAL AND $1,492.91
sur 27488 REMOVAL OF PROSTHESIS, INCLUDING TOTAL KNEE PROSTHESIS, METHYLMETHACRYLATE WITH $1,011.17
sur 27495 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT $950.92
sur 27496 DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, ONE COMPARTMENT (FLEXOR OR $437.07
sur 27497 DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, ONE COMPARTMENT (FLEXOR OR $471.24
sur 27498 DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, MULTIPLE COMPARTMENTS; $522.09
sur 27499 DECOMPRESSION FASCIOTOMY, THIGH AND/OR KNEE, MULTIPLE COMPARTMENTS; WITH $567.68
sur 27500 CLOSED TREATMENT OF FEMORAL SHAFT FRACTURE, WITHOUT MANIPULATION $426.17
sur 27501 CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR FEMORAL FRACTURE WITH OR $417.83
sur 27502 CLOSED TREATMENT OF FEMORAL SHAFT FRACTURE, WITH MANIPULATION, WITH OR WITHOUT $655.07
sur 27503 CLOSED TREATMENT OF SUPRACONDYLAR OR TRANSCONDYLAR FEMORAL FRACTURE WITH OR $672.21
sur 27506 OPEN TREATMENT OF FEMORAL SHAFT FRACTURE, WITH OR WITHOUT EXTERNAL FIXATION, $1,125.99
sur 27507 OPEN TREATMENT OF FEMORAL SHAFT FRACTURE WITH PLATE/SCREWS, WITH OR WITHOUT $823.18
sur 27508 CLOSED TREATMENT OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, $431.03
sur 27509 PERCUTANEOUS SKELETAL FIXATION OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR $537.22
sur 27510 CLOSED TREATMENT OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, $579.57
sur 27511 OPEN TREATMENT OF FEMORAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE WITHOUT INTERC $851.33
sur 27513 OPEN TREATMENT OF FEMORAL SUPRACONDYLAR OR TRANSCONDYLAR FRACTURE WITH INTERCOND $1,064.04
sur 27514 OPEN TREATMENT OF FEMORAL FRACTURE, DISTAL END, MEDIAL OR LATERAL CONDYLE, INCLU $835.25
sur 27516 CLOSED TREATMENT OF DISTAL FEMORAL EPIPHYSEAL SEPARATION; WITHOUT MANIPULATION $412.02
sur 27517 CLOSED TREATMENT OF DISTAL FEMORAL EPIPHYSEAL SEPARATION; WITH MANIPULATION, $570.23
sur 27519 OPEN TREATMENT OF DISTAL FEMORAL EPIPHYSEAL SEPARATION, INCLUDES INTERNAL FIXATI $764.34
sur 27520 CLOSED TREATMENT OF PATELLAR FRACTURE, WITHOUT MANIPULATION $259.92
sur 27524 OPEN TREATMENT OF PATELLAR FRACTURE, WITH INTERNAL FIXATION AND/OR PARTIAL OR $629.99
sur 27530 CLOSED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); WITHOUT MANIPULATION $323.38
sur 27532 CLOSED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); WITH OR WITHOUT $509.07
sur 27535 OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICONDYLAR, INCLUDES INT $763.80
sur 27536 OPEN TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); BICONDYLAR, WITH OR $1,002.26
sur 27538 CLOSED TREATMENT OF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY FRACTURE(S) OF $385.64
sur 27540 OPEN TREATMENT OF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY FRACTURE(S) OF THE KN $685.36
sur 27550 CLOSED TREATMENT OF KNEE DISLOCATION; WITHOUT ANESTHESIA $407.05
sur 27552 CLOSED TREATMENT OF KNEE DISLOCATION; REQUIRING ANESTHESIA $520.00
sur 27556 OPEN TREATMENT OF KNEE DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; $751.68
sur 27557 OPEN TREATMENT OF KNEE DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; $899.82
sur 27558 OPEN TREATMENT OF KNEE DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERFORMED; $1,021.00
sur 27560 CLOSED TREATMENT OF PATELLAR DISLOCATION; WITHOUT ANESTHESIA $307.04
sur 27562 CLOSED TREATMENT OF PATELLAR DISLOCATION; REQUIRING ANESTHESIA $392.85
sur 27566 OPEN TREATMENT OF PATELLAR DISLOCATION, WITH OR WITHOUT PARTIAL OR TOTAL $747.96
sur 27570 MANIPULATION OF KNEE JOINT UNDER GENERAL ANESTHESIA (INCLUDES APPLICATION OF TRA $123.69
sur 27580 ARTHRODESIS, KNEE, ANY TECHNIQUE $1,213.82
sur 27590 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; $702.71
sur 27591 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; IMMEDIATE FITTING TECHNIQUE $767.79
sur 27592 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; OPEN, CIRCULAR (GUILLOTINE) $596.70
sur 27594 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; SECONDARY CLOSURE OR SCAR REVISION $432.28
sur 27596 AMPUTATION, THIGH, THROUGH FEMUR, ANY LEVEL; RE-AMPUTATION $623.38
sur 27598 DISARTICULATION AT KNEE $632.08
sur 27599 UNLISTED PROCEDURE, FEMUR OR KNEE BR
sur 27600 DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL COMPARTMENTS ONLY $354.87
sur 27601 DECOMPRESSION FASCIOTOMY, LEG; POSTERIOR COMPARTMENT(S) ONLY $375.22
sur 27602 DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL, AND POSTERIOR $435.60
sur 27603 INCISION AND DRAINAGE, LEG OR ANKLE; DEEP ABSCESS OR HEMATOMA $442.11
sur 27604 INCISION AND DRAINAGE, LEG OR ANKLE; INFECTED BURSA $386.96
sur 27605 TENOTOMY, PERCUTANEOUS, ACHILLES TENDON (SEPARATE PROCEDURE); LOCAL ANESTHESIA $288.45
sur 27606 TENOTOMY, PERCUTANEOUS, ACHILLES TENDON (SEPARATE PROCEDURE); GENERAL ANESTHESIA $243.60
sur 27607 INCISION (EG, OSTEOMYELITIS OR BONE ABSCESS), LEG OR ANKLE $514.56
sur 27610 ARTHROTOMY, ANKLE, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF FOREIGN BODY $547.95
sur 27612 ARTHROTOMY, POSTERIOR CAPSULAR RELEASE, ANKLE, WITH OR WITHOUT ACHILLES TENDON $471.05
sur 27613 BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA; SUPERFICIAL $209.08
sur 27614 BIOPSY, SOFT TISSUE OF LEG OR ANKLE AREA; DEEP (SUBFASCIAL OR INTRAMUSCULAR) $472.15
sur 27615 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF LEG OR ANKLE $856.46
sur 27616 Radical resection of tumor (eg, malignant neoplasm), soft tissue of leg or ankle $1,094.67
sur 27618 EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBCUTANEOUS; LESS THAN 3 CM $365.26
sur 27619 EXCISION, TUMOR, SOFT TISSUE OF LEG OR ANKLE AREA, SUBFASCIAL (EG, INTRAMUSCULAR $419.88
sur 27620 ARTHROTOMY, ANKLE, WITH JOINT EXPLORATION, WITH OR WITHOUT BIOPSY, WITH OR WITHO $384.31
sur 27625 ARTHROTOMY, WITH SYNOVECTOMY, ANKLE; $486.18
sur 27626 ARTHROTOMY, WITH SYNOVECTOMY, ANKLE; INCLUDING TENOSYNOVECTOMY $529.81
sur 27630 EXCISION OF LESION OF TENDON SHEATH OR CAPSULE (EG, CYST OR GANGLION), LEG $452.46
sur 27632 Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater $355.09
sur 27634 Excision, tumor, soft tissue of leg or ankle area, subfascial (eg, intramuscular $576.18
sur 27635 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA; $496.94
sur 27637 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA; WITH $635.44
sur 27638 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TIBIA OR FIBULA; WITH $651.81
sur 27640 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY), BONE (EG, OST $715.67
sur 27641 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, OR DIAPHYSECTOMY), BONE (EG, OST $570.28
sur 27645 RADICAL RESECTION OF TUMOR; TIBIA $1,414.11
sur 27646 RADICAL RESECTION OF TUMOR; FIBULA $1,220.32
sur 27647 RADICAL RESECTION OF TUMOR; TALUS OR CALCANEUS $916.57
sur 27648 INJECTION PROCEDURE FOR ANKLE ARTHROGRAPHY $135.48
sur 27650 REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON; $560.83
sur 27652 REPAIR, PRIMARY, OPEN OR PERCUTANEOUS, RUPTURED ACHILLES TENDON; WITH GRAFT $598.01
sur 27654 REPAIR, SECONDARY, ACHILLES TENDON, WITH OR WITHOUT GRAFT $598.74
sur 27656 REPAIR, FASCIAL DEFECT OF LEG $484.76
sur 27658 REPAIR, FLEXOR TENDON, LEG; PRIMARY, WITHOUT GRAFT, EACH TENDON $317.01
sur 27659 REPAIR, FLEXOR TENDON, LEG; SECONDARY, WITH OR WITHOUT GRAFT, EACH TENDON $411.85
sur 27664 REPAIR, EXTENSOR TENDON, LEG; PRIMARY, WITHOUT GRAFT, EACH TENDON $305.42
sur 27665 REPAIR, EXTENSOR TENDON, LEG; SECONDARY, WITH OR WITHOUT GRAFT, EACH TENDON $345.69
sur 27675 REPAIR, DISLOCATING PERONEAL TENDONS; WITHOUT FIBULAR OSTEOTOMY $415.63
sur 27676 REPAIR, DISLOCATING PERONEAL TENDONS; WITH FIBULAR OSTEOTOMY $523.25
sur 27680 TENOLYSIS, FLEXOR OR EXTENSOR TENDON, LEG AND/OR ANKLE; SINGLE, EACH TENDON $362.83
sur 27681 TENOLYSIS, FLEXOR OR EXTENSOR TENDON, LEG AND/OR ANKLE; MULTIPLE TENDONS $446.25
sur 27685 LENGTHENING OR SHORTENING OF TENDON, LEG OR ANKLE; SINGLE TENDON (SEPARATE $534.73
sur 27686 LENGTHENING OR SHORTENING OF TENDON, LEG OR ANKLE; MULTIPLE TENDONS (THROUGH $467.43
sur 27687 GASTROCNEMIUS RECESSION (EG, STRAYER PROCEDURE) $384.56
sur 27690 TRANSFER OR TRANSPLANT OF SINGLE TENDON (WITH MUSCLE REDIRECTION OR REROUTING); $533.98
sur 27691 TRANSFER OR TRANSPLANT OF SINGLE TENDON (WITH MUSCLE REDIRECTION OR REROUTING); $631.04
sur 27692 TRANSFER OR TRANSPLANT OF SINGLE TENDON (WITH MUSCLE REDIRECTION OR REROUTING); $92.51
sur 27695 REPAIR, PRIMARY, DISRUPTED LIGAMENT, ANKLE; COLLATERAL $407.16
sur 27696 REPAIR, PRIMARY, DISRUPTED LIGAMENT, ANKLE; BOTH COLLATERAL LIGAMENTS $478.13
sur 27698 REPAIR, SECONDARY, DISRUPTED LIGAMENT, ANKLE, COLLATERAL (EG, WATSON-JONES $544.70
sur 27700 ARTHROPLASTY, ANKLE; $504.67
sur 27702 ARTHROPLASTY, ANKLE; WITH IMPLANT (TOTAL ANKLE) $828.16
sur 27703 ARTHROPLASTY, ANKLE; REVISION, TOTAL ANKLE $959.29
sur 27704 REMOVAL OF ANKLE IMPLANT $480.09
sur 27705 OSTEOTOMY; TIBIA $641.44
sur 27707 OSTEOTOMY; FIBULA $335.23
sur 27709 OSTEOTOMY; TIBIA AND FIBULA $979.78
sur 27712 OSTEOTOMY; MULTIPLE, WITH REALIGNMENT ON INTRAMEDULLARY ROD (EG, SOFIELD TYPE $927.31
sur 27715 OSTEOPLASTY, TIBIA AND FIBULA, LENGTHENING OR SHORTENING $893.15
sur 27720 REPAIR OF NONUNION OR MALUNION, TIBIA; WITHOUT GRAFT, (EG, COMPRESSION $736.81
sur 27722 REPAIR OF NONUNION OR MALUNION, TIBIA; WITH SLIDING GRAFT $741.94
sur 27724 REPAIR OF NONUNION OR MALUNION, TIBIA; WITH ILIAC OR OTHER AUTOGRAFT (INCLUDES $1,076.39
sur 27725 REPAIR OF NONUNION OR MALUNION, TIBIA; BY SYNOSTOSIS, WITH FIBULA, ANY METHOD $1,020.88
sur 27726 REPAIR OF FIBULA NONUNION AND/OR MALUNION WITH INTERNAL FIXATION $803.79
sur 27727 REPAIR OF CONGENITAL PSEUDARTHROSIS, TIBIA $844.97
sur 27730 ARREST, EPIPHYSEAL (EPIPHYSIODESIS), OPEN; DISTAL TIBIA $486.71
sur 27732 ARREST, EPIPHYSEAL (EPIPHYSIODESIS), OPEN; DISTAL FIBULA $355.55
sur 27734 ARREST, EPIPHYSEAL (EPIPHYSIODESIS), OPEN; DISTAL TIBIA AND FIBULA $496.54
sur 27740 ARREST, EPIPHYSEAL (EPIPHYSIODESIS), ANY METHOD, COMBINED, PROXIMAL AND DISTAL $533.33
sur 27742 ARREST, EPIPHYSEAL (EPIPHYSIODESIS), ANY METHOD, COMBINED, PROXIMAL AND DISTAL $596.48
sur 27745 PROPHYLACTIC TREATMENT (NAILING, PINNING, PLATING OR WIRING) WITH OR WITHOUT $632.03
sur 27750 CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE); WI $279.18
sur 27752 CLOSED TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE); $443.08
sur 27756 PERCUTANEOUS SKELETAL FIXATION OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT $477.54
sur 27758 OPEN TREATMENT OF TIBIAL SHAFT FRACTURE, (WITH OR WITHOUT FIBULAR FRACTURE) $746.83
sur 27759 TREATMENT OF TIBIAL SHAFT FRACTURE (WITH OR WITHOUT FIBULAR FRACTURE) BY $841.54
sur 27760 CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE; WITHOUT MANIPULATION $269.75
sur 27762 CLOSED TREATMENT OF MEDIAL MALLEOLUS FRACTURE; WITH MANIPULATION, WITH OR $395.52
sur 27766 OPEN TREATMENT OF MEDIAL MALLEOLUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PE $509.46
sur 27767 CLOSED TREATMENT OF POSTERIOR MALLEOLUS FRACTURE; WITHOUT MANIPULATION $223.51
sur 27768 CLOSED TREATMENT OF POSTERIOR MALLEOLUS FRACTURE; WITH MANIPULATION $351.78
sur 27769 OPEN TREATMENT OF POSTERIOR MALLEOLUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN $600.72
sur 27780 CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITHOUT MANIPULATION $244.18
sur 27781 CLOSED TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE; WITH MANIPULATION $346.37
sur 27784 OPEN TREATMENT OF PROXIMAL FIBULA OR SHAFT FRACTURE, INCLUDES INTERNAL FIXATION, $594.12
sur 27786 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITHOUT $255.15
sur 27788 CLOSED TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS); WITH $346.17
sur 27792 OPEN TREATMENT OF DISTAL FIBULAR FRACTURE (LATERAL MALLEOLUS), INCLUDES INTERNAL $594.51
sur 27808 CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI, $268.57
sur 27810 CLOSED TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI, $387.14
sur 27814 OPEN TREATMENT OF BIMALLEOLAR ANKLE FRACTURE (EG, LATERAL AND MEDIAL MALLEOLI, O $648.72
sur 27816 CLOSED TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE; WITHOUT MANIPULATION $255.16
sur 27818 CLOSED TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE; WITH MANIPULATION $396.98
sur 27822 OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN $709.80
sur 27823 OPEN TREATMENT OF TRIMALLEOLAR ANKLE FRACTURE, INCLUDES INTERNAL FIXATION, WHEN $807.39
sur 27824 CLOSED TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR PORTION OF DISTAL $254.00
sur 27825 CLOSED TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR PORTION OF DISTAL $452.31
sur 27826 OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL $698.03
sur 27827 OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL $912.66
sur 27828 OPEN TREATMENT OF FRACTURE OF WEIGHT BEARING ARTICULAR SURFACE/PORTION OF DISTAL $1,093.00
sur 27829 OPEN TREATMENT OF DISTAL TIBIOFIBULAR JOINT (SYNDESMOSIS) DISRUPTION, INCLUDES I $566.28
sur 27830 CLOSED TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATION; WITHOUT ANESTHESIA $302.73
sur 27831 CLOSED TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATION; REQUIRING $323.15
sur 27832 OPEN TREATMENT OF PROXIMAL TIBIOFIBULAR JOINT DISLOCATION, INCLUDES INTERNAL FIX $617.93
sur 27840 CLOSED TREATMENT OF ANKLE DISLOCATION; WITHOUT ANESTHESIA $295.25
sur 27842 CLOSED TREATMENT OF ANKLE DISLOCATION; REQUIRING ANESTHESIA, WITH OR WITHOUT $409.08
sur 27846 OPEN TREATMENT OF ANKLE DISLOCATION, WITH OR WITHOUT PERCUTANEOUS SKELETAL $616.92
sur 27848 OPEN TREATMENT OF ANKLE DISLOCATION, WITH OR WITHOUT PERCUTANEOUS SKELETAL $693.80
sur 27860 MANIPULATION OF ANKLE UNDER GENERAL ANESTHESIA (INCLUDES APPLICATION OF TRACTION $146.53
sur 27870 ARTHRODESIS, ANKLE, OPEN $879.07
sur 27871 ARTHRODESIS, TIBIOFIBULAR JOINT, PROXIMAL OR DISTAL $581.51
sur 27880 AMPUTATION LEG, THROUGH TIBIA AND FIBULA; $795.17
sur 27881 AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; WITH IMMEDIATE FITTING TECHNIQUE $752.88
sur 27882 AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; OPEN, CIRCULAR (GUILLOTINE) $532.60
sur 27884 AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; SECONDARY CLOSURE OR SCAR REVISION $498.86
sur 27886 AMPUTATION, LEG, THROUGH TIBIA AND FIBULA; RE-AMPUTATION $568.55
sur 27888 AMPUTATION, ANKLE, THROUGH MALLEOLI OF TIBIA AND FIBULA (EG, SYME, PIROGOFF $586.06
sur 27889 ANKLE DISARTICULATION $581.88
sur 27892 DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL COMPARTMENTS ONLY, WITH D $465.11
sur 27893 DECOMPRESSION FASCIOTOMY, LEG; POSTERIOR COMPARTMENT(S) ONLY, WITH DEBRIDEMENT $491.95
sur 27894 DECOMPRESSION FASCIOTOMY, LEG; ANTERIOR AND/OR LATERAL, AND POSTERIOR $726.10
sur 27899 UNLISTED PROCEDURE, LEG OR ANKLE BR
sur 28001 INCISION AND DRAINAGE, BURSA, FOOT $222.71
sur 28002 INCISION AND DRAINAGE BELOW FASCIA, WITH OR WITHOUT TENDON SHEATH INVOLVEMENT, $421.37
sur 28003 INCISION AND DRAINAGE BELOW FASCIA, WITH OR WITHOUT TENDON SHEATH INVOLVEMENT, $561.39
sur 28005 INCISION, BONE CORTEX (EG, OSTEOMYELITIS OR BONE ABSCESS), FOOT $503.78
sur 28008 FASCIOTOMY, FOOT AND/OR TOE $352.18
sur 28010 TENOTOMY, PERCUTANEOUS, TOE; SINGLE TENDON $193.20
sur 28011 TENOTOMY, PERCUTANEOUS, TOE; MULTIPLE TENDONS $274.49
sur 28020 ARTHROTOMY, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN $430.16
sur 28022 ARTHROTOMY, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN $389.67
sur 28024 ARTHROTOMY, INCLUDING EXPLORATION, DRAINAGE, OR REMOVAL OF LOOSE OR FOREIGN $368.18
sur 28035 RELEASE, TARSAL TUNNEL (POSTERIOR TIBIAL NERVE DECOMPRESSION) $426.51
sur 28039 Excision, tumor, soft tissue of foot or toe, subcutaneous; 1.5 cm or greater $411.36
sur 28041 Excision, tumor, soft tissue of foot or toe, subfascial (eg, intramuscular); 1.5 $378.29
sur 28043 EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBCUTANEOUS; LESS THAN 1.5 CM $311.79
sur 28045 EXCISION, TUMOR, SOFT TISSUE OF FOOT OR TOE, SUBFASCIAL (EG, INTRAMUSCULAR); LES $415.06
sur 28046 RADICAL RESECTION OF TUMOR (EG, MALIGNANT NEOPLASM), SOFT TISSUE OF FOOT OR TOE; $631.74
sur 28047 Radical resection of tumor (eg, malignant neoplasm), soft tissue of foot or toe; $788.22
sur 28050 ARTHROTOMY WITH BIOPSY; INTERTARSAL OR TARSOMETATARSAL JOINT $358.71
sur 28052 ARTHROTOMY WITH BIOPSY; METATARSOPHALANGEAL JOINT $348.31
sur 28054 ARTHROTOMY WITH BIOPSY; INTERPHALANGEAL JOINT $313.27
sur 28055 NEURECTOMY, INTRINSIC MUSCULATURE OF FOOT $322.40
sur 28060 FASCIECTOMY, PLANTAR FASCIA; PARTIAL (SEPARATE PROCEDURE) $418.51
sur 28062 FASCIECTOMY, PLANTAR FASCIA; RADICAL (SEPARATE PROCEDURE) $482.65
sur 28070 SYNOVECTOMY; INTERTARSAL OR TARSOMETATARSAL JOINT, EACH $425.27
sur 28072 SYNOVECTOMY; METATARSOPHALANGEAL JOINT, EACH $417.11
sur 28080 EXCISION, INTERDIGITAL (MORTON) NEUROMA, SINGLE, EACH $416.08
sur 28086 SYNOVECTOMY, TENDON SHEATH, FOOT; FLEXOR $442.54
sur 28088 SYNOVECTOMY, TENDON SHEATH, FOOT; EXTENSOR $388.30
sur 28090 EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) $379.53
sur 28092 EXCISION OF LESION, TENDON, TENDON SHEATH, OR CAPSULE (INCLUDING SYNOVECTOMY) $344.94
sur 28100 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; $485.90
sur 28102 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; WITH $470.05
sur 28103 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TALUS OR CALCANEUS; WITH $348.16
sur 28104 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, $415.86
sur 28106 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, $373.87
sur 28107 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, TARSAL OR METATARSAL, $438.12
sur 28108 EXCISION OR CURETTAGE OF BONE CYST OR BENIGN TUMOR, PHALANGES OF FOOT $352.67
sur 28110 OSTECTOMY, PARTIAL EXCISION, FIFTH METATARSAL HEAD (BUNIONETTE) (SEPARATE $372.05
sur 28111 OSTECTOMY, COMPLETE EXCISION; FIRST METATARSAL HEAD $417.69
sur 28112 OSTECTOMY, COMPLETE EXCISION; OTHER METATARSAL HEAD (SECOND, THIRD OR FOURTH) $400.12
sur 28113 OSTECTOMY, COMPLETE EXCISION; FIFTH METATARSAL HEAD $483.73
sur 28114 OSTECTOMY, COMPLETE EXCISION; ALL METATARSAL HEADS, WITH PARTIAL PROXIMAL $876.57
sur 28116 OSTECTOMY, EXCISION OF TARSAL COALITION $615.81
sur 28118 OSTECTOMY, CALCANEUS; $479.76
sur 28119 OSTECTOMY, CALCANEUS; FOR SPUR, WITH OR WITHOUT PLANTAR FASCIAL RELEASE $424.91
sur 28120 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR $580.61
sur 28122 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR $539.45
sur 28124 PARTIAL EXCISION (CRATERIZATION, SAUCERIZATION, SEQUESTRECTOMY, OR $387.89
sur 28126 RESECTION, PARTIAL OR COMPLETE, PHALANGEAL BASE, EACH TOE $318.33
sur 28130 TALECTOMY (ASTRAGALECTOMY) $581.76
sur 28140 METATARSECTOMY $506.04
sur 28150 PHALANGECTOMY, TOE, EACH TOE $353.13
sur 28153 RESECTION, CONDYLE(S), DISTAL END OF PHALANX, EACH TOE $333.25
sur 28160 HEMIPHALANGECTOMY OR INTERPHALANGEAL JOINT EXCISION, TOE, PROXIMAL END OF $340.71
sur 28171 RADICAL RESECTION OF TUMOR; TARSAL (EXCEPT TALUS OR CALCANEUS) $713.66
sur 28173 RADICAL RESECTION OF TUMOR; METATARSAL $645.12
sur 28175 RADICAL RESECTION OF TUMOR; PHALANX OF TOE $406.23
sur 28190 REMOVAL OF FOREIGN BODY, FOOT; SUBCUTANEOUS $204.90
sur 28192 REMOVAL OF FOREIGN BODY, FOOT; DEEP $385.07
sur 28193 REMOVAL OF FOREIGN BODY, FOOT; COMPLICATED $437.05
sur 28200 REPAIR, TENDON, FLEXOR, FOOT; PRIMARY OR SECONDARY, WITHOUT FREE GRAFT, EACH TEN $386.27
sur 28202 REPAIR, TENDON, FLEXOR, FOOT; SECONDARY WITH FREE GRAFT, EACH TENDON (INCLUDES $490.77
sur 28208 REPAIR, TENDON, EXTENSOR, FOOT; PRIMARY OR SECONDARY, EACH TENDON $377.19
sur 28210 REPAIR, TENDON, EXTENSOR, FOOT; SECONDARY WITH FREE GRAFT, EACH TENDON $469.58
sur 28220 TENOLYSIS, FLEXOR, FOOT; SINGLE TENDON $364.83
sur 28222 TENOLYSIS, FLEXOR, FOOT; MULTIPLE TENDONS $417.91
sur 28225 TENOLYSIS, EXTENSOR, FOOT; SINGLE TENDON $321.81
sur 28226 TENOLYSIS, EXTENSOR, FOOT; MULTIPLE TENDONS $383.58
sur 28230 TENOTOMY, OPEN, TENDON FLEXOR; FOOT, SINGLE OR MULTIPLE TENDON(S) (SEPARATE $350.67
sur 28232 TENOTOMY, OPEN, TENDON FLEXOR; TOE, SINGLE TENDON (SEPARATE PROCEDURE) $316.26
sur 28234 TENOTOMY, OPEN, EXTENSOR, FOOT OR TOE, EACH TENDON $331.72
sur 28238 RECONSTRUCTION (ADVANCEMENT), POSTERIOR TIBIAL TENDON WITH EXCISION OF $554.09
sur 28240 TENOTOMY, LENGTHENING, OR RELEASE, ABDUCTOR HALLUCIS MUSCLE $359.52
sur 28250 DIVISION OF PLANTAR FASCIA AND MUSCLE (EG, STEINDLER STRIPPING) (SEPARATE $465.38
sur 28260 CAPSULOTOMY, MIDFOOT; MEDIAL RELEASE ONLY (SEPARATE PROCEDURE) $566.75
sur 28261 CAPSULOTOMY, MIDFOOT; WITH TENDON LENGTHENING $795.06
sur 28262 CAPSULOTOMY, MIDFOOT; EXTENSIVE, INCLUDING POSTERIOR TALOTIBIAL CAPSULOTOMY AND $1,144.02
sur 28264 CAPSULOTOMY, MIDTARSAL (EG, HEYMAN TYPE PROCEDURE) $750.36
sur 28270 CAPSULOTOMY; METATARSOPHALANGEAL JOINT, WITH OR WITHOUT TENORRHAPHY, EACH JOINT $397.44
sur 28272 CAPSULOTOMY; INTERPHALANGEAL JOINT, EACH JOINT (SEPARATE PROCEDURE) $319.38
sur 28280 SYNDACTYLIZATION, TOES (EG, WEBBING OR KELIKIAN TYPE PROCEDURE) $426.38
sur 28285 CORRECTION, HAMMERTOE (EG, INTERPHALANGEAL FUSION, PARTIAL OR TOTAL $382.27
sur 28286 CORRECTION, COCK-UP FIFTH TOE, WITH PLASTIC SKIN CLOSURE (EG, RUIZ-MORA TYPE $370.33
sur 28288 OSTECTOMY, PARTIAL, EXOSTECTOMY OR CONDYLECTOMY, METATARSAL HEAD, EACH $491.34
sur 28289 HALLUX RIGIDUS CORRECTION WITH CHEILECTOMY, DEBRIDEMENT AND CAPSULAR RELEASE OF $603.24
sur 28290 CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; SIMPLE $475.16
sur 28292 CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; KELLER, $644.88
sur 28293 CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; RESECTION $852.81
sur 28294 CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; WITH TENDON $600.76
sur 28296 CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; WITH $589.45
sur 28297 CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; LAPIDUS $675.67
sur 28298 CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; BY PHALANX $587.68
sur 28299 CORRECTION, HALLUX VALGUS (BUNION), WITH OR WITHOUT SESAMOIDECTOMY; BY DOUBLE $739.85
sur 28300 OSTEOTOMY; CALCANEUS (EG, DWYER OR CHAMBERS TYPE PROCEDURE), WITH OR WITHOUT $559.17
sur 28302 OSTEOTOMY; TALUS $583.76
sur 28304 OSTEOTOMY, TARSAL BONES, OTHER THAN CALCANEUS OR TALUS; $657.25
sur 28305 OSTEOTOMY, TARSAL BONES, OTHER THAN CALCANEUS OR TALUS; WITH AUTOGRAFT $556.14
sur 28306 OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, $500.46
sur 28307 OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, $579.16
sur 28308 OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, $453.08
sur 28309 OSTEOTOMY, WITH OR WITHOUT LENGTHENING, SHORTENING OR ANGULAR CORRECTION, $754.08
sur 28310 OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; PROXIMAL PHALANX, $439.22
sur 28312 OSTEOTOMY, SHORTENING, ANGULAR OR ROTATIONAL CORRECTION; OTHER PHALANGES, ANY $406.78
sur 28313 RECONSTRUCTION, ANGULAR DEFORMITY OF TOE, SOFT TISSUE PROCEDURES ONLY (EG, $429.25
sur 28315 SESAMOIDECTOMY, FIRST TOE (SEPARATE PROCEDURE) $386.90
sur 28320 REPAIR, NONUNION OR MALUNION; TARSAL BONES $520.47
sur 28322 REPAIR, NONUNION OR MALUNION; METATARSAL, WITH OR WITHOUT BONE GRAFT (INCLUDES $642.00
sur 28340 RECONSTRUCTION, TOE, MACRODACTYLY; SOFT TISSUE RESECTION $485.57
sur 28341 RECONSTRUCTION, TOE, MACRODACTYLY; REQUIRING BONE RESECTION $560.88
sur 28344 RECONSTRUCTION, TOE(S); POLYDACTYLY $368.85
sur 28345 RECONSTRUCTION, TOE(S); SYNDACTYLY, WITH OR WITHOUT SKIN GRAFT(S), EACH WEB $444.25
sur 28360 RECONSTRUCTION, CLEFT FOOT $878.05
sur 28400 CLOSED TREATMENT OF CALCANEAL FRACTURE; WITHOUT MANIPULATION $201.55
sur 28405 CLOSED TREATMENT OF CALCANEAL FRACTURE; WITH MANIPULATION $322.25
sur 28406 PERCUTANEOUS SKELETAL FIXATION OF CALCANEAL FRACTURE, WITH MANIPULATION $438.44
sur 28415 OPEN TREATMENT OF CALCANEAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED $947.88
sur 28420 OPEN TREATMENT OF CALCANEAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED $1,035.51
sur 28430 CLOSED TREATMENT OF TALUS FRACTURE; WITHOUT MANIPULATION $189.80
sur 28435 CLOSED TREATMENT OF TALUS FRACTURE; WITH MANIPULATION $280.31
sur 28436 PERCUTANEOUS SKELETAL FIXATION OF TALUS FRACTURE, WITH MANIPULATION $364.92
sur 28445 OPEN TREATMENT OF TALUS FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORMED $895.04
sur 28446 OPEN OSTEOCHONDRAL AUTOGRAFT, TALUS (INCLUDES OBTAINING GRAFT¿S¿) $1,018.04
sur 28450 TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITHOUT $174.62
sur 28455 TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS); WITH $240.27
sur 28456 PERCUTANEOUS SKELETAL FIXATION OF TARSAL BONE FRACTURE (EXCEPT TALUS AND $250.73
sur 28465 OPEN TREATMENT OF TARSAL BONE FRACTURE (EXCEPT TALUS AND CALCANEUS), INCLUDES IN $512.41
sur 28470 CLOSED TREATMENT OF METATARSAL FRACTURE; WITHOUT MANIPULATION, EACH $172.55
sur 28475 CLOSED TREATMENT OF METATARSAL FRACTURE; WITH MANIPULATION, EACH $212.20
sur 28476 PERCUTANEOUS SKELETAL FIXATION OF METATARSAL FRACTURE, WITH MANIPULATION, EACH $285.25
sur 28485 OPEN TREATMENT OF METATARSAL FRACTURE, INCLUDES INTERNAL FIXATION, WHEN PERFORME $445.05
sur 28490 CLOSED TREATMENT OF FRACTURE GREAT TOE, PHALANX OR PHALANGES; WITHOUT $114.59
sur 28495 CLOSED TREATMENT OF FRACTURE GREAT TOE, PHALANX OR PHALANGES; WITH MANIPULATION $143.13
sur 28496 PERCUTANEOUS SKELETAL FIXATION OF FRACTURE GREAT TOE, PHALANX OR PHALANGES, $351.83
sur 28505 OPEN TREATMENT OF FRACTURE, GREAT TOE, PHALANX OR PHALANGES, INCLUDES INTERNAL F $549.68
sur 28510 CLOSED TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE; $98.30
sur 28515 CLOSED TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE; WITH $129.07
sur 28525 OPEN TREATMENT OF FRACTURE, PHALANX OR PHALANGES, OTHER THAN GREAT TOE, INCLUDES $466.13
sur 28530 CLOSED TREATMENT OF SESAMOID FRACTURE $93.46
sur 28531 OPEN TREATMENT OF SESAMOID FRACTURE, WITH OR WITHOUT INTERNAL FIXATION $297.98
sur 28540 CLOSED TREATMENT OF TARSAL BONE DISLOCATION, OTHER THAN TALOTARSAL; WITHOUT $165.12
sur 28545 CLOSED TREATMENT OF TARSAL BONE DISLOCATION, OTHER THAN TALOTARSAL; REQUIRING $223.78
sur 28546 PERCUTANEOUS SKELETAL FIXATION OF TARSAL BONE DISLOCATION, OTHER THAN $430.44
sur 28555 OPEN TREATMENT OF TARSAL BONE DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN PERF $720.74
sur 28570 CLOSED TREATMENT OF TALOTARSAL JOINT DISLOCATION; WITHOUT ANESTHESIA $135.88
sur 28575 CLOSED TREATMENT OF TALOTARSAL JOINT DISLOCATION; REQUIRING ANESTHESIA $287.18
sur 28576 PERCUTANEOUS SKELETAL FIXATION OF TALOTARSAL JOINT DISLOCATION, WITH $313.65
sur 28585 OPEN TREATMENT OF TALOTARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, WHEN $759.80
sur 28600 CLOSED TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION; WITHOUT ANESTHESIA $176.92
sur 28605 CLOSED TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION; REQUIRING ANESTHESIA $231.25
sur 28606 PERCUTANEOUS SKELETAL FIXATION OF TARSOMETATARSAL JOINT DISLOCATION, WITH $326.05
sur 28615 OPEN TREATMENT OF TARSOMETATARSAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, $659.91
sur 28630 CLOSED TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION; WITHOUT ANESTHESIA $124.19
sur 28635 CLOSED TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION; REQUIRING ANESTHESIA $145.80
sur 28636 PERCUTANEOUS SKELETAL FIXATION OF METATARSOPHALANGEAL JOINT DISLOCATION, WITH $224.95
sur 28645 OPEN TREATMENT OF METATARSOPHALANGEAL JOINT DISLOCATION, INCLUDES INTERNAL FIXAT $523.58
sur 28660 CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION; WITHOUT ANESTHESIA $91.35
sur 28665 CLOSED TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION; REQUIRING ANESTHESIA $128.00
sur 28666 PERCUTANEOUS SKELETAL FIXATION OF INTERPHALANGEAL JOINT DISLOCATION, WITH $170.75
sur 28675 OPEN TREATMENT OF INTERPHALANGEAL JOINT DISLOCATION, INCLUDES INTERNAL FIXATION, $476.36
sur 28705 ARTHRODESIS; PANTALAR $1,097.36
sur 28715 ARTHRODESIS; TRIPLE $820.57
sur 28725 ARTHRODESIS; SUBTALAR $669.01
sur 28730 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPLE OR TRANSVERSE; $709.74
sur 28735 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, MULTIPLE OR TRANSVERSE; WITH $670.67
sur 28737 ARTHRODESIS, WITH TENDON LENGTHENING AND ADVANCEMENT, MIDTARSAL, TARSAL $577.39
sur 28740 ARTHRODESIS, MIDTARSAL OR TARSOMETATARSAL, SINGLE JOINT $705.32
sur 28750 ARTHRODESIS, GREAT TOE; METATARSOPHALANGEAL JOINT $685.58
sur 28755 ARTHRODESIS, GREAT TOE; INTERPHALANGEAL JOINT $411.13
sur 28760 ARTHRODESIS, WITH EXTENSOR HALLUCIS LONGUS TRANSFER TO FIRST METATARSAL NECK, $650.57
sur 28800 AMPUTATION, FOOT; MIDTARSAL (EG, CHOPART TYPE PROCEDURE) $476.50
sur 28805 AMPUTATION, FOOT; TRANSMETATARSAL $643.24
sur 28810 AMPUTATION, METATARSAL, WITH TOE, SINGLE $375.13
sur 28820 AMPUTATION, TOE; METATARSOPHALANGEAL JOINT $435.11
sur 28825 AMPUTATION, TOE; INTERPHALANGEAL JOINT $480.10
sur 28890 EXTRACORPOREAL SHOCK WAVE, HIGH ENERGY, PERFORMED BY A PHYSICIAN, REQUIRING ANES $282.96
sur 28899 UNLISTED PROCEDURE, FOOT OR TOES BR
sur 29000 APPLICATION OF HALO TYPE BODY CAST (SEE 20661-20663 FOR INSERTION) $240.59
sur 29010 APPLICATION OF RISSER JACKET, LOCALIZER, BODY; ONLY $232.05
sur 29015 APPLICATION OF RISSER JACKET, LOCALIZER, BODY; INCLUDING HEAD $195.50
sur 29020 APPLICATION OF TURNBUCKLE JACKET, BODY; ONLY $175.68
sur 29025 APPLICATION OF TURNBUCKLE JACKET, BODY; INCLUDING HEAD $205.96
sur 29035 APPLICATION OF BODY CAST, SHOULDER TO HIPS; $202.77
sur 29040 APPLICATION OF BODY CAST, SHOULDER TO HIPS; INCLUDING HEAD, MINERVA TYPE $194.24
sur 29044 APPLICATION OF BODY CAST, SHOULDER TO HIPS; INCLUDING ONE THIGH $223.73
sur 29046 APPLICATION OF BODY CAST, SHOULDER TO HIPS; INCLUDING BOTH THIGHS $220.86
sur 29049 APPLICATION, CAST; FIGURE-OF-EIGHT $76.01
sur 29055 APPLICATION, CAST; SHOULDER SPICA $175.25
sur 29058 APPLICATION, CAST; PLASTER VELPEAU $83.85
sur 29065 APPLICATION, CAST; SHOULDER TO HAND (LONG ARM) $77.18
sur 29075 APPLICATION, CAST; ELBOW TO FINGER (SHORT ARM) $72.02
sur 29085 APPLICATION, CAST; HAND AND LOWER FOREARM (GAUNTLET) $76.37
sur 29086 APPLICATION, CAST; FINGER (EG, CONTRACTURE) $60.61
sur 29105 APPLICATION OF LONG ARM SPLINT (SHOULDER TO HAND) $70.06
sur 29125 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); STATIC $55.97
sur 29126 APPLICATION OF SHORT ARM SPLINT (FOREARM TO HAND); DYNAMIC $63.77
sur 29130 APPLICATION OF FINGER SPLINT; STATIC $33.06
sur 29131 APPLICATION OF FINGER SPLINT; DYNAMIC $41.95
sur 29200 STRAPPING; THORAX $43.49
sur 29240 STRAPPING; SHOULDER (EG, VELPEAU) $46.96
sur 29260 STRAPPING; ELBOW OR WRIST $42.01
sur 29280 STRAPPING; HAND OR FINGER $40.87
sur 29305 APPLICATION OF HIP SPICA CAST; ONE LEG $195.93
sur 29325 APPLICATION OF HIP SPICA CAST; ONE AND ONE-HALF SPICA OR BOTH LEGS $217.73
sur 29345 APPLICATION OF LONG LEG CAST (THIGH TO TOES); $110.46
sur 29355 APPLICATION OF LONG LEG CAST (THIGH TO TOES); WALKER OR AMBULATORY TYPE $114.79
sur 29358 APPLICATION OF LONG LEG CAST BRACE $127.63
sur 29365 APPLICATION OF CYLINDER CAST (THIGH TO ANKLE) $99.55
sur 29405 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES); $72.10
sur 29425 APPLICATION OF SHORT LEG CAST (BELOW KNEE TO TOES); WALKING OR AMBULATORY TYPE $77.05
sur 29435 APPLICATION OF PATELLAR TENDON BEARING (PTB) CAST $96.69
sur 29440 ADDING WALKER TO PREVIOUSLY APPLIED CAST $39.66
sur 29445 APPLICATION OF RIGID TOTAL CONTACT LEG CAST $116.16
sur 29450 APPLICATION OF CLUBFOOT CAST WITH MOLDING OR MANIPULATION, LONG OR SHORT LEG $120.37
sur 29505 APPLICATION OF LONG LEG SPLINT (THIGH TO ANKLE OR TOES) $62.87
sur 29515 APPLICATION OF SHORT LEG SPLINT (CALF TO FOOT) $58.62
sur 29520 STRAPPING; HIP $40.59
sur 29530 STRAPPING; KNEE $42.59
sur 29540 STRAPPING; ANKLE AND/OR FOOT $27.89
sur 29550 STRAPPING; TOES $22.40
sur 29580 STRAPPING; UNNA BOOT $43.11
sur 29581 Application of multi-layer venous wound compression system, below knee $77.53
sur 29590 DENIS-BROWNE SPLINT STRAPPING $43.83
sur 29700 REMOVAL OR BIVALVING; GAUNTLET, BOOT OR BODY CAST $53.37
sur 29705 REMOVAL OR BIVALVING; FULL ARM OR FULL LEG CAST $54.58
sur 29710 REMOVAL OR BIVALVING; SHOULDER OR HIP SPICA, MINERVA, OR RISSER JACKET, ETC. $99.55
sur 29715 REMOVAL OR BIVALVING; TURNBUCKLE JACKET $70.14
sur 29720 REPAIR OF SPICA, BODY CAST OR JACKET $66.29
sur 29730 WINDOWING OF CAST $52.88
sur 29740 WEDGING OF CAST (EXCEPT CLUBFOOT CASTS) $74.40
sur 29750 WEDGING OF CLUBFOOT CAST $83.76
sur 29799 UNLISTED PROCEDURE, CASTING OR STRAPPING BR
sur 29800 ARTHROSCOPY, TEMPOROMANDIBULAR JOINT, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPS $437.95
sur 29804 ARTHROSCOPY, TEMPOROMANDIBULAR JOINT, SURGICAL $547.59
sur 29805 ARTHROSCOPY, SHOULDER, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE $392.58
sur 29806 ARTHROSCOPY, SHOULDER, SURGICAL; CAPSULORRHAPHY $892.03
sur 29807 ARTHROSCOPY, SHOULDER, SURGICAL; REPAIR OF SLAP LESION $870.53
sur 29819 ARTHROSCOPY, SHOULDER, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY $490.48
sur 29820 ARTHROSCOPY, SHOULDER, SURGICAL; SYNOVECTOMY, PARTIAL $451.47
sur 29821 ARTHROSCOPY, SHOULDER, SURGICAL; SYNOVECTOMY, COMPLETE $494.20
sur 29822 ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, LIMITED $480.40
sur 29823 ARTHROSCOPY, SHOULDER, SURGICAL; DEBRIDEMENT, EXTENSIVE $524.35
sur 29824 ARTHROSCOPY, SHOULDER, SURGICAL; DISTAL CLAVICULECTOMY INCLUDING DISTAL $563.91
sur 29825 ARTHROSCOPY, SHOULDER, SURGICAL; WITH LYSIS AND RESECTION OF ADHESIONS, WITH OR $489.33
sur 29826 ARTHROSCOPY, SHOULDER, SURGICAL; DECOMPRESSION OF SUBACROMIAL SPACE WITH $559.08
sur 29827 ARTHROSCOPY, SHOULDER, SURGICAL; WITH ROTATOR CUFF REPAIR $908.38
sur 29828 ARTHROSCOPY, SHOULDER, SURGICAL; BICEPS TENODESIS $770.35
sur 29830 ARTHROSCOPY, ELBOW, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE $379.06
sur 29834 ARTHROSCOPY, ELBOW, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY $411.04
sur 29835 ARTHROSCOPY, ELBOW, SURGICAL; SYNOVECTOMY, PARTIAL $422.74
sur 29836 ARTHROSCOPY, ELBOW, SURGICAL; SYNOVECTOMY, COMPLETE $487.58
sur 29837 ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT, LIMITED $442.28
sur 29838 ARTHROSCOPY, ELBOW, SURGICAL; DEBRIDEMENT, EXTENSIVE $494.86
sur 29840 ARTHROSCOPY, WRIST, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE $375.61
sur 29843 ARTHROSCOPY, WRIST, SURGICAL; FOR INFECTION, LAVAGE AND DRAINAGE $402.33
sur 29844 ARTHROSCOPY, WRIST, SURGICAL; SYNOVECTOMY, PARTIAL $415.18
sur 29845 ARTHROSCOPY, WRIST, SURGICAL; SYNOVECTOMY, COMPLETE $479.56
sur 29846 ARTHROSCOPY, WRIST, SURGICAL; EXCISION AND/OR REPAIR OF TRIANGULAR $435.63
sur 29847 ARTHROSCOPY, WRIST, SURGICAL; INTERNAL FIXATION FOR FRACTURE OR INSTABILITY $454.01
sur 29848 ENDOSCOPY, WRIST, SURGICAL, WITH RELEASE OF TRANSVERSE CARPAL LIGAMENT $422.59
sur 29850 ARTHROSCOPICALLY AIDED TREATMENT OF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY $500.54
sur 29851 ARTHROSCOPICALLY AIDED TREATMENT OF INTERCONDYLAR SPINE(S) AND/OR TUBEROSITY $783.25
sur 29855 ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); UNICOND $658.94
sur 29856 ARTHROSCOPICALLY AIDED TREATMENT OF TIBIAL FRACTURE, PROXIMAL (PLATEAU); BICONDY $839.76
sur 29860 ARTHROSCOPY, HIP, DIAGNOSTIC WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE $553.02
sur 29861 ARTHROSCOPY, HIP, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BODY $608.77
sur 29862 ARTHROSCOPY, HIP, SURGICAL; WITH DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE $683.06
sur 29863 ARTHROSCOPY, HIP, SURGICAL; WITH SYNOVECTOMY $681.04
sur 29866 ARTHROSCOPY, KNEE, SURGICAL; OSTEOCHONDRAL AUTOGRAFT(S) (EG, MOSAICPLASTY) (INCL $879.62
sur 29867 ARTHROSCOPY, KNEE, SURGICAL; OSTEOCHONDRAL ALLOGRAFT (EG, MOSAICPLASTY) $1,070.86
sur 29868 ARTHROSCOPY, KNEE, SURGICAL; MENISCAL TRANSPLANTATION (INCLUDES ARTHROTOMY FOR $1,411.32
sur 29870 ARTHROSCOPY, KNEE, DIAGNOSTIC, WITH OR WITHOUT SYNOVIAL BIOPSY (SEPARATE $487.63
sur 29871 ARTHROSCOPY, KNEE, SURGICAL; FOR INFECTION, LAVAGE AND DRAINAGE $428.18
sur 29873 ARTHROSCOPY, KNEE, SURGICAL; WITH LATERAL RELEASE $433.30
sur 29874 ARTHROSCOPY, KNEE, SURGICAL; FOR REMOVAL OF LOOSE BODY OR FOREIGN BODY (EG, $450.31
sur 29875 ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, LIMITED (EG, PLICA OR SHELF $413.82
sur 29876 ARTHROSCOPY, KNEE, SURGICAL; SYNOVECTOMY, MAJOR, TWO OR MORE COMPARTMENTS (EG, $548.45
sur 29877 ARTHROSCOPY, KNEE, SURGICAL; DEBRIDEMENT/SHAVING OF ARTICULAR CARTILAGE $519.47
sur 29879 ARTHROSCOPY, KNEE, SURGICAL; ABRASION ARTHROPLASTY (INCLUDES CHONDROPLASTY $554.47
sur 29880 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL AND LATERAL, INCLUDING $578.03
sur 29881 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCECTOMY (MEDIAL OR LATERAL, INCLUDING $540.14
sur 29882 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL OR LATERAL) $584.04
sur 29883 ARTHROSCOPY, KNEE, SURGICAL; WITH MENISCUS REPAIR (MEDIAL AND LATERAL) $705.21
sur 29884 ARTHROSCOPY, KNEE, SURGICAL; WITH LYSIS OF ADHESIONS, WITH OR WITHOUT $518.03
sur 29885 ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR OSTEOCHONDRITIS DISSECANS WITH BONE $627.67
sur 29886 ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR INTACT OSTEOCHONDRITIS DISSECANS $529.80
sur 29887 ARTHROSCOPY, KNEE, SURGICAL; DRILLING FOR INTACT OSTEOCHONDRITIS DISSECANS $623.66
sur 29888 ARTHROSCOPICALLY AIDED ANTERIOR CRUCIATE LIGAMENT REPAIR/AUGMENTATION OR $832.38
sur 29889 ARTHROSCOPICALLY AIDED POSTERIOR CRUCIATE LIGAMENT REPAIR/ AUGMENTATION OR $1,024.37
sur 29891 ARTHROSCOPY, ANKLE, SURGICAL, EXCISION OF OSTEOCHONDRAL DEFECT OF TALUS AND/OR $580.27
sur 29892 ARTHROSCOPICALLY AIDED REPAIR OF LARGE OSTEOCHONDRITIS DISSECANS LESION, TALAR $558.62
sur 29893 ENDOSCOPIC PLANTAR FASCIOTOMY $495.27
sur 29894 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; WITH REMOVAL $432.99
sur 29895 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; SYNOVECTOMY, $414.15
sur 29897 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, $433.79
sur 29898 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; DEBRIDEMENT, $482.42
sur 29899 ARTHROSCOPY, ANKLE (TIBIOTALAR AND FIBULOTALAR JOINTS), SURGICAL; WITH ANKLE $881.50
sur 29900 ARTHROSCOPY, METACARPOPHALANGEAL JOINT, DIAGNOSTIC, INCLUDES SYNOVIAL BIOPSY $378.03
sur 29901 ARTHROSCOPY, METACARPOPHALANGEAL JOINT, SURGICAL; WITH DEBRIDEMENT $431.90
sur 29902 ARTHROSCOPY, METACARPOPHALANGEAL JOINT, SURGICAL; WITH REDUCTION OF DISPLACED $455.93
sur 29904 ARTHROSCOPY, SUBTALAR JOINT, SURGICAL; WITH REMOVAL OF LOOSE BODY OR FOREIGN BOD $527.81
sur 29905 ARTHROSCOPY, SUBTALAR JOINT, SURGICAL; WITH SYNOVECTOMY $570.53
sur 29906 ARTHROSCOPY, SUBTALAR JOINT, SURGICAL; WITH DEBRIDEMENT $600.40
sur 29907 ARTHROSCOPY, SUBTALAR JOINT, SURGICAL; WITH SUBTALAR ARTHRODESIS $728.12
sur 29914 ARTHROSCOPY, HIP, SURGICAL; WITH FEMOROPLASTY (IE, TREATMENT OF CAM LESION) $870.16
sur 29915 ARTHROSCOPY, HIP, SURGICAL; WITH ACETABULOPLASTY (IE, TREATMENT OF PINCER LESION $886.58
sur 29916 ARTHROSCOPY, HIP, SURGICAL; WITH LABRAL REPAIR $886.58
sur 29999 UNLISTED PROCEDURE, ARTHROSCOPY BR
sur 30000 DRAINAGE ABSCESS OR HEMATOMA, NASAL, INTERNAL APPROACH $193.42
sur 30020 DRAINAGE ABSCESS OR HEMATOMA, NASAL SEPTUM $191.46
sur 30100 BIOPSY, INTRANASAL $118.01
sur 30110 EXCISION, NASAL POLYP(S), SIMPLE $191.49
sur 30115 EXCISION, NASAL POLYP(S), EXTENSIVE $362.69
sur 30117 EXCISION OR DESTRUCTION (EG, LASER), INTRANASAL LESION; INTERNAL APPROACH $714.88
sur 30118 EXCISION OR DESTRUCTION (EG, LASER), INTRANASAL LESION; EXTERNAL APPROACH $650.14
sur 30120 EXCISION OR SURGICAL PLANING OF SKIN OF NOSE FOR RHINOPHYMA $436.52
sur 30124 EXCISION DERMOID CYST, NOSE; SIMPLE, SKIN, SUBCUTANEOUS $230.56
sur 30125 EXCISION DERMOID CYST, NOSE; COMPLEX, UNDER BONE OR CARTILAGE $516.95
sur 30130 EXCISION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD $318.33
sur 30140 SUBMUCOUS RESECTION INFERIOR TURBINATE, PARTIAL OR COMPLETE, ANY METHOD $366.78
sur 30150 RHINECTOMY; PARTIAL $659.48
sur 30160 RHINECTOMY; TOTAL $661.99
sur 30200 INJECTION INTO TURBINATE(S), THERAPEUTIC $94.75
sur 30210 DISPLACEMENT THERAPY (PROETZ TYPE) $124.92
sur 30220 INSERTION, NASAL SEPTAL PROSTHESIS (BUTTON) $249.64
sur 30300 REMOVAL FOREIGN BODY, INTRANASAL; OFFICE TYPE PROCEDURE $190.52
sur 30310 REMOVAL FOREIGN BODY, INTRANASAL; REQUIRING GENERAL ANESTHESIA $172.97
sur 30320 REMOVAL FOREIGN BODY, INTRANASAL; BY LATERAL RHINOTOMY $381.34
sur 30400 RHINOPLASTY, PRIMARY; LATERAL AND ALAR CARTILAGES AND/OR ELEVATION OF NASAL TIP $864.79
sur 30410 RHINOPLASTY, PRIMARY; COMPLETE, EXTERNAL PARTS INCLUDING BONY PYRAMID, LATERAL $1,017.38
sur 30420 RHINOPLASTY, PRIMARY; INCLUDING MAJOR SEPTAL REPAIR $1,164.02
sur 30430 RHINOPLASTY, SECONDARY; MINOR REVISION (SMALL AMOUNT OF NASAL TIP WORK) $765.02
sur 30435 RHINOPLASTY, SECONDARY; INTERMEDIATE REVISION (BONY WORK WITH OSTEOTOMIES) $1,018.53
sur 30450 RHINOPLASTY, SECONDARY; MAJOR REVISION (NASAL TIP WORK AND OSTEOTOMIES) $1,299.25
sur 30460 RHINOPLASTY FOR NASAL DEFORMITY SECONDARY TO CONGENITAL CLEFT LIP AND/OR $647.76
sur 30462 RHINOPLASTY FOR NASAL DEFORMITY SECONDARY TO CONGENITAL CLEFT LIP AND/OR $1,321.18
sur 30465 REPAIR OF NASAL VESTIBULAR STENOSIS (EG, SPREADER GRAFTING, LATERAL NASAL WALL $831.58
sur 30520 SEPTOPLASTY OR SUBMUCOUS RESECTION, WITH OR WITHOUT CARTILAGE SCORING, $520.87
sur 30540 REPAIR CHOANAL ATRESIA; INTRANASAL $574.67
sur 30545 REPAIR CHOANAL ATRESIA; TRANSPALATINE $735.08
sur 30560 LYSIS INTRANASAL SYNECHIA $226.09
sur 30580 REPAIR FISTULA; OROMAXILLARY (COMBINE WITH 31030 IF ANTROTOMY IS INCLUDED) $530.04
sur 30600 REPAIR FISTULA; ORONASAL $483.73
sur 30620 SEPTAL OR OTHER INTRANASAL DERMATOPLASTY (DOES NOT INCLUDE OBTAINING GRAFT) $523.07
sur 30630 REPAIR NASAL SEPTAL PERFORATIONS $528.57
sur 30801 ABLATION, SOFT TISSUE OF INFERIOR TURBINATES, UNILATERAL OR BILATERAL, ANY METHO $189.41
sur 30802 ABLATION, SOFT TISSUE OF INFERIOR TURBINATES, UNILATERAL OR BILATERAL, ANY METHO $243.19
sur 30901 CONTROL NASAL HEMORRHAGE, ANTERIOR, SIMPLE (LIMITED CAUTERY AND/OR PACKING) ANY $81.03
sur 30903 CONTROL NASAL HEMORRHAGE, ANTERIOR, COMPLEX (EXTENSIVE CAUTERY AND/OR PACKING) $165.63
sur 30905 CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIOR NASAL PACKS AND/OR CAUTERY, $205.54
sur 30906 CONTROL NASAL HEMORRHAGE, POSTERIOR, WITH POSTERIOR NASAL PACKS AND/OR CAUTERY, $232.93
sur 30915 LIGATION ARTERIES; ETHMOIDAL $488.81
sur 30920 LIGATION ARTERIES; INTERNAL MAXILLARY ARTERY, TRANSANTRAL $705.46
sur 30930 FRACTURE NASAL INFERIOR TURBINATE(S), THERAPEUTIC $103.73
sur 30999 UNLISTED PROCEDURE, NOSE BR
sur 31000 LAVAGE BY CANNULATION; MAXILLARY SINUS (ANTRUM PUNCTURE OR NATURAL OSTIUM) $150.75
sur 31002 LAVAGE BY CANNULATION; SPHENOID SINUS $169.22
sur 31020 SINUSOTOMY, MAXILLARY (ANTROTOMY); INTRANASAL $403.62
sur 31030 SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL (CALDWELL-LUC) WITHOUT REMOVAL OF $578.85
sur 31032 SINUSOTOMY, MAXILLARY (ANTROTOMY); RADICAL (CALDWELL-LUC) WITH REMOVAL OF $481.81
sur 31040 PTERYGOMAXILLARY FOSSA SURGERY, ANY APPROACH $633.28
sur 31050 SINUSOTOMY, SPHENOID, WITH OR WITHOUT BIOPSY; $412.19
sur 31051 SINUSOTOMY, SPHENOID, WITH OR WITHOUT BIOPSY; WITH MUCOSAL STRIPPING OR REMOVAL $543.90
sur 31070 SINUSOTOMY FRONTAL; EXTERNAL, SIMPLE (TREPHINE OPERATION) $369.20
sur 31075 SINUSOTOMY FRONTAL; TRANSORBITAL, UNILATERAL (FOR MUCOCELE OR OSTEOMA, LYNCH $662.44
sur 31080 SINUSOTOMY FRONTAL; OBLITERATIVE WITHOUT OSTEOPLASTIC FLAP, BROW INCISION $862.65
sur 31081 SINUSOTOMY FRONTAL; OBLITERATIVE, WITHOUT OSTEOPLASTIC FLAP, CORONAL INCISION $1,159.48
sur 31084 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTIC FLAP, BROW INCISION $988.67
sur 31085 SINUSOTOMY FRONTAL; OBLITERATIVE, WITH OSTEOPLASTIC FLAP, CORONAL INCISION $1,124.16
sur 31086 SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH OSTEOPLASTIC FLAP, BROW INCISION $948.97
sur 31087 SINUSOTOMY FRONTAL; NONOBLITERATIVE, WITH OSTEOPLASTIC FLAP, CORONAL INCISION $922.98
sur 31090 SINUSOTOMY, UNILATERAL, THREE OR MORE PARANASAL SINUSES (FRONTAL, MAXILLARY, $857.62
sur 31200 ETHMOIDECTOMY; INTRANASAL, ANTERIOR $460.12
sur 31201 ETHMOIDECTOMY; INTRANASAL, TOTAL $619.46
sur 31205 ETHMOIDECTOMY; EXTRANASAL, TOTAL $740.74
sur 31225 MAXILLECTOMY; WITHOUT ORBITAL EXENTERATION $1,576.30
sur 31230 MAXILLECTOMY; WITH ORBITAL EXENTERATION (EN BLOC) $1,759.47
sur 31231 NASAL ENDOSCOPY, DIAGNOSTIC, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE) $160.48
sur 31233 NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH MAXILLARY SINUSOSCOPY (VIA INFERIOR $224.28
sur 31235 NASAL/SINUS ENDOSCOPY, DIAGNOSTIC WITH SPHENOID SINUSOSCOPY (VIA PUNCTURE OF $254.24
sur 31237 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH BIOPSY, POLYPECTOMY OR DEBRIDEMENT $275.22
sur 31238 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONTROL OF NASAL HEMORRHAGE $283.32
sur 31239 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DACRYOCYSTORHINOSTOMY $572.34
sur 31240 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH CONCHA BULLOSA RESECTION $139.01
sur 31254 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH ETHMOIDECTOMY, PARTIAL (ANTERIOR) $236.91
sur 31255 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH ETHMOIDECTOMY, TOTAL (ANTERIOR AND $347.23
sur 31256 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; $171.30
sur 31267 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH MAXILLARY ANTROSTOMY; WITH REMOVAL OF $275.24
sur 31276 NASAL/SINUS ENDOSCOPY, SURGICAL WITH FRONTAL SINUS EXPLORATION, WITH OR WITHOUT $438.19
sur 31287 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY; $201.22
sur 31288 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH SPHENOIDOTOMY; WITH REMOVAL OF TISSUE $233.72
sur 31290 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CEREBROSPINAL FLUID LEAK; $996.75
sur 31291 NASAL/SINUS ENDOSCOPY, SURGICAL, WITH REPAIR OF CEREBROSPINAL FLUID LEAK; $1,056.08
sur 31292 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH MEDIAL OR INFERIOR ORBITAL WALL $858.22
sur 31293 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH MEDIAL ORBITAL WALL AND INFERIOR ORBITAL $935.12
sur 31294 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH OPTIC NERVE DECOMPRESSION $1,071.58
sur 31295 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DILATION OF MAXILLARY SINUS OSTIUM (EG, BA $1,715.08
sur 31296 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DILATION OF FRONTAL SINUS OSTIUM (EG, BALL $3,210.76
sur 31297 NASAL/SINUS ENDOSCOPY, SURGICAL; WITH DILATION OF SPHENOID SINUS OSTIUM (EG, BAL $3,180.51
sur 31299 UNLISTED PROCEDURE, ACCESSORY SINUSES BR
sur 31300 LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); WITH REMOVAL OF TUMOR OR LARYNGOCELE, C $1,072.59
sur 31320 LARYNGOTOMY (THYROTOMY, LARYNGOFISSURE); DIAGNOSTIC $552.13
sur 31360 LARYNGECTOMY; TOTAL, WITHOUT RADICAL NECK DISSECTION $1,747.36
sur 31365 LARYNGECTOMY; TOTAL, WITH RADICAL NECK DISSECTION $2,170.06
sur 31367 LARYNGECTOMY; SUBTOTAL SUPRAGLOTTIC, WITHOUT RADICAL NECK DISSECTION $1,865.36
sur 31368 LARYNGECTOMY; SUBTOTAL SUPRAGLOTTIC, WITH RADICAL NECK DISSECTION $2,071.77
sur 31370 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); HORIZONTAL $1,752.13
sur 31375 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); LATEROVERTICAL $1,661.20
sur 31380 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); ANTEROVERTICAL $1,636.16
sur 31382 PARTIAL LARYNGECTOMY (HEMILARYNGECTOMY); ANTERO-LATERO-VERTICAL $1,795.58
sur 31390 PHARYNGOLARYNGECTOMY, WITH RADICAL NECK DISSECTION; WITHOUT RECONSTRUCTION $2,411.34
sur 31395 PHARYNGOLARYNGECTOMY, WITH RADICAL NECK DISSECTION; WITH RECONSTRUCTION $2,546.22
sur 31400 ARYTENOIDECTOMY OR ARYTENOIDOPEXY, EXTERNAL APPROACH $850.03
sur 31420 EPIGLOTTIDECTOMY $711.60
sur 31500 INTUBATION, ENDOTRACHEAL, EMERGENCY PROCEDURE $93.37
sur 31502 TRACHEOTOMY TUBE CHANGE PRIOR TO ESTABLISHMENT OF FISTULA TRACT $29.98
sur 31505 LARYNGOSCOPY, INDIRECT (SEPARATE PROCEDURE); DIAGNOSTIC $70.08
sur 31510 LARYNGOSCOPY, INDIRECT; WITH BIOPSY $178.95
sur 31511 LARYNGOSCOPY, INDIRECT; WITH REMOVAL OF FOREIGN BODY $178.67
sur 31512 LARYNGOSCOPY, INDIRECT; WITH REMOVAL OF LESION $176.99
sur 31513 LARYNGOSCOPY, INDIRECT; WITH VOCAL CORD INJECTION $114.25
sur 31515 LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; FOR ASPIRATION $176.35
sur 31520 LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, NEWBORN $134.70
sur 31525 LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, EXCEPT NEWBORN $212.95
sur 31526 LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; DIAGNOSTIC, WITH OPERATING MI $137.00
sur 31527 LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH INSERTION OF OBTURATOR $168.70
sur 31528 LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH DILATION, INITIAL $125.48
sur 31529 LARYNGOSCOPY DIRECT, WITH OR WITHOUT TRACHEOSCOPY; WITH DILATION, SUBSEQUENT $140.48
sur 31530 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH FOREIGN BODY REMOVAL; $171.85
sur 31531 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH FOREIGN BODY REMOVAL; WITH OPERATING MICRO $184.83
sur 31535 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY; $164.93
sur 31536 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH BIOPSY; WITH OPERATING MICROSCOPE OR TELES $183.95
sur 31540 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/ OR STRIPPING OF $211.29
sur 31541 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH EXCISION OF TUMOR AND/ OR STRIPPING OF VOC $230.86
sur 31545 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH OPERATING MICROSCOPE OR TELESCOPE, WITH $315.84
sur 31546 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH OPERATING MICROSCOPE OR TELESCOPE, WITH $478.53
sur 31560 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH ARYTENOIDECTOMY; $273.52
sur 31561 LARYNGOSCOPY, DIRECT, OPERATIVE, WITH ARYTENOIDECTOMY; WITH OPERATING MICROSCOPE $299.15
sur 31570 LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC; $292.25
sur 31571 LARYNGOSCOPY, DIRECT, WITH INJECTION INTO VOCAL CORD(S), THERAPEUTIC; WITH OPERA $217.64
sur 31575 LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; DIAGNOSTIC $97.44
sur 31576 LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH BIOPSY $190.76
sur 31577 LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH REMOVAL OF FOREIGN BODY $206.01
sur 31578 LARYNGOSCOPY, FLEXIBLE FIBEROPTIC; WITH REMOVAL OF LESION $239.11
sur 31579 LARYNGOSCOPY, FLEXIBLE OR RIGID FIBEROPTIC, WITH STROBOSCOPY $183.04
sur 31580 LARYNGOPLASTY; FOR LARYNGEAL WEB, TWO STAGE, WITH KEEL INSERTION AND REMOVAL $1,032.16
sur 31582 LARYNGOPLASTY; FOR LARYNGEAL STENOSIS, WITH GRAFT OR CORE MOLD, INCLUDING $1,619.57
sur 31584 LARYNGOPLASTY; WITH OPEN REDUCTION OF FRACTURE $1,286.82
sur 31587 LARYNGOPLASTY, CRICOID SPLIT $851.79
sur 31588 LARYNGOPLASTY, NOT OTHERWISE SPECIFIED (EG, FOR BURNS, RECONSTRUCTION AFTER $971.47
sur 31590 LARYNGEAL REINNERVATION BY NEUROMUSCULAR PEDICLE $756.31
sur 31595 SECTION RECURRENT LARYNGEAL NERVE, THERAPEUTIC (SEPARATE PROCEDURE), UNILATERAL $650.53
sur 31599 UNLISTED PROCEDURE, LARYNX BR
sur 31600 TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE); $341.10
sur 31601 TRACHEOSTOMY, PLANNED (SEPARATE PROCEDURE); UNDER TWO YEARS $225.14
sur 31603 TRACHEOSTOMY, EMERGENCY PROCEDURE; TRANSTRACHEAL $192.35
sur 31605 TRACHEOSTOMY, EMERGENCY PROCEDURE; CRICOTHYROID MEMBRANE $156.94
sur 31610 TRACHEOSTOMY, FENESTRATION PROCEDURE WITH SKIN FLAPS $604.87
sur 31611 CONSTRUCTION OF TRACHEOESOPHAGEAL FISTULA AND SUBSEQUENT INSERTION OF AN $456.47
sur 31612 TRACHEAL PUNCTURE, PERCUTANEOUS WITH TRANSTRACHEAL ASPIRATION AND/OR INJECTION $68.72
sur 31613 TRACHEOSTOMA REVISION; SIMPLE, WITHOUT FLAP ROTATION $380.26
sur 31614 TRACHEOSTOMA REVISION; COMPLEX, WITH FLAP ROTATION $635.44
sur 31615 TRACHEOBRONCHOSCOPY THROUGH ESTABLISHED TRACHEOSTOMY INCISION $154.96
sur 31620 ENDOBRONCHIAL ULTRASOUND (EBUS) DURING BRONCHOSCOPIC DIAGNOSTIC OR THERAPEUTIC $234.85
sur 31622 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED $265.46
sur 31623 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $284.87
sur 31624 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $266.25
sur 31625 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $286.15
sur 31626 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed $374.81
sur 31627 Bronchoscopy, rigid or flexible, including fluoroscopic guidance, when performed $1,073.00
sur 31628 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $335.11
sur 31629 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $520.29
sur 31630 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $174.26
sur 31631 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $198.66
sur 31632 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $60.55
sur 31633 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $74.09
sur 31634 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED $1,522.63
sur 31635 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $293.59
sur 31636 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $192.41
sur 31637 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; EACH $65.89
sur 31638 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $220.02
sur 31640 BRONCHOSCOPY, RIGID OR FLEXIBLE, WITH OR WITHOUT FLUOROSCOPIC GUIDANCE; WITH $222.07
sur 31641 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED $221.64
sur 31643 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED $149.57
sur 31645 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED $256.58
sur 31646 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED $233.78
sur 31656 BRONCHOSCOPY, RIGID OR FLEXIBLE, INCLUDING FLUOROSCOPIC GUIDANCE, WHEN PERFORMED $259.80
sur 31715 TRANSTRACHEAL INJECTION FOR BRONCHOGRAPHY $45.66
sur 31717 CATHETERIZATION WITH BRONCHIAL BRUSH BIOPSY $241.43
sur 31720 CATHETER ASPIRATION (SEPARATE PROCEDURE); NASOTRACHEAL $43.92
sur 31725 CATHETER ASPIRATION (SEPARATE PROCEDURE); TRACHEOBRONCHIAL WITH FIBERSCOPE, $81.09
sur 31730 TRANSTRACHEAL (PERCUTANEOUS) INTRODUCTION OF NEEDLE WIRE DILATOR/ STENT OR $859.01
sur 31750 TRACHEOPLASTY; CERVICAL $1,156.09
sur 31755 TRACHEOPLASTY; TRACHEOPHARYNGEAL FISTULIZATION, EACH STAGE $1,461.23
sur 31760 TRACHEOPLASTY; INTRATHORACIC $1,195.39
sur 31766 CARINAL RECONSTRUCTION $1,548.56
sur 31770 BRONCHOPLASTY; GRAFT REPAIR $1,159.27
sur 31775 BRONCHOPLASTY; EXCISION STENOSIS AND ANASTOMOSIS $1,187.06
sur 31780 EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVICAL $1,027.96
sur 31781 EXCISION TRACHEAL STENOSIS AND ANASTOMOSIS; CERVICOTHORACIC $1,226.34
sur 31785 EXCISION OF TRACHEAL TUMOR OR CARCINOMA; CERVICAL $929.05
sur 31786 EXCISION OF TRACHEAL TUMOR OR CARCINOMA; THORACIC $1,271.59
sur 31800 SUTURE OF TRACHEAL WOUND OR INJURY; CERVICAL $594.22
sur 31805 SUTURE OF TRACHEAL WOUND OR INJURY; INTRATHORACIC $708.85
sur 31820 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITHOUT PLASTIC REPAIR $367.72
sur 31825 SURGICAL CLOSURE TRACHEOSTOMY OR FISTULA; WITH PLASTIC REPAIR $511.84
sur 31830 REVISION OF TRACHEOSTOMY SCAR $371.36
sur 31899 UNLISTED PROCEDURE, TRACHEA, BRONCHI BR
sur 32035 THORACOSTOMY; WITH RIB RESECTION FOR EMPYEMA $620.46
sur 32036 THORACOSTOMY; WITH OPEN FLAP DRAINAGE FOR EMPYEMA $670.14
sur 32095 THORACOTOMY, LIMITED, FOR BIOPSY OF LUNG OR PLEURA $546.14
sur 32100 THORACOTOMY, MAJOR; WITH EXPLORATION AND BIOPSY $831.55
sur 32110 THORACOTOMY, MAJOR; WITH CONTROL OF TRAUMATIC HEMORRHAGE AND/OR REPAIR OF LUNG $1,263.66
sur 32120 THORACOTOMY, MAJOR; FOR POSTOPERATIVE COMPLICATIONS $758.42
sur 32124 THORACOTOMY, MAJOR; WITH OPEN INTRAPLEURAL PNEUMONOLYSIS $805.10
sur 32140 THORACOTOMY, MAJOR; WITH CYST(S) REMOVAL, WITH OR WITHOUT A PLEURAL PROCEDURE $858.26
sur 32141 THORACOTOMY, MAJOR; WITH EXCISION-PLICATION OF BULLAE, WITH OR WITHOUT ANY $1,326.58
sur 32150 THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPLEURAL FOREIGN BODY OR FIBRIN DEPOSIT $867.43
sur 32151 THORACOTOMY, MAJOR; WITH REMOVAL OF INTRAPULMONARY FOREIGN BODY $877.44
sur 32160 THORACOTOMY, MAJOR; WITH CARDIAC MASSAGE $672.36
sur 32200 PNEUMONOSTOMY; WITH OPEN DRAINAGE OF ABSCESS OR CYST $980.52
sur 32201 PNEUMONOSTOMY; WITH PERCUTANEOUS DRAINAGE OF ABSCESS OR CYST $780.63
sur 32215 PLEURAL SCARIFICATION FOR REPEAT PNEUMOTHORAX $694.28
sur 32220 DECORTICATION, PULMONARY (SEPARATE PROCEDURE); TOTAL $1,384.12
sur 32225 DECORTICATION, PULMONARY (SEPARATE PROCEDURE); PARTIAL $865.12
sur 32310 PLEURECTOMY, PARIETAL (SEPARATE PROCEDURE) $795.95
sur 32320 DECORTICATION AND PARIETAL PLEURECTOMY $1,389.51
sur 32400 BIOPSY, PLEURA; PERCUTANEOUS NEEDLE $127.16
sur 32402 BIOPSY, PLEURA; OPEN $490.03
sur 32405 BIOPSY, LUNG OR MEDIASTINUM, PERCUTANEOUS NEEDLE $84.26
sur 32420 PNEUMOCENTESIS, PUNCTURE OF LUNG FOR ASPIRATION $94.87
sur 32421 THORACENTESIS, PUNCTURE OF PLEURAL CAVITY FOR ASPIRATION, INITIAL OR SUBSEQUENT $131.43
sur 32422 THORACENTESIS WITH INSERTION OF TUBE, INCLUDES WATER SEAL (EG, FOR PNEUMOTHORAX) $166.55
sur 32440 REMOVAL OF LUNG, TOTAL PNEUMONECTOMY; $1,371.70
sur 32442 REMOVAL OF LUNG, TOTAL PNEUMONECTOMY; WITH RESECTION OF SEGMENT OF TRACHEA $2,409.75
sur 32445 REMOVAL OF LUNG, TOTAL PNEUMONECTOMY; EXTRAPLEURAL $3,040.06
sur 32480 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; SINGLE LOBE (LOBECTOMY) $1,297.66
sur 32482 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; TWO LOBES (BILOBECTOMY) $1,387.14
sur 32484 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; SINGLE SEGMENT (SEGMENTECTOMY) $1,257.92
sur 32486 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; WITH CIRCUMFERENTIAL RESECTION $2,052.00
sur 32488 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; ALL REMAINING LUNG FOLLOWING $2,081.63
sur 32491 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; EXCISION-PLICATION OF $1,293.15
sur 32500 REMOVAL OF LUNG, OTHER THAN TOTAL PNEUMONECTOMY; WEDGE RESECTION, SINGLE OR $1,258.06
sur 32501 RESECTION AND REPAIR OF PORTION OF BRONCHUS (BRONCHOPLASTY) WHEN PERFORMED AT $215.87
sur 32503 RESECTION OF APICAL LUNG TUMOR (EG, PANCOAST TUMOR), INCLUDING CHEST WALL RESECT $1,581.35
sur 32504 RESECTION OF APICAL LUNG TUMOR (EG, PANCOAST TUMOR), INCLUDING CHEST WALL RESECT $1,798.28
sur 32540 EXTRAPLEURAL ENUCLEATION OF EMPYEMA (EMPYEMECTOMY) $1,493.79
sur 32550 INSERTION OF INDWELLING TUNNELED PLEURAL CATHETER WITH CUFF $672.35
sur 32551 TUBE THORACOSTOMY, INCLUDES WATER SEAL (EG, FOR ABSCESS, HEMOTHORAX, EMPYEMA), W $148.15
sur 32552 Removal of indwelling tunneled pleural catheter with cuff $159.07
sur 32553 Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial $523.05
sur 32560 INSTILLATION, VIA CHEST TUBE/CATHETER, AGENT FOR PLEURODESIS (EG, TALC FOR RECUR $220.00
sur 32561 Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolyt $81.58
sur 32562 Instillation(s), via chest tube/catheter, agent for fibrinolysis (eg, fibrinolyt $72.93
sur 32601 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); LUNGS AND PLEURAL SPACE, WITHOUT $269.76
sur 32602 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); LUNGS AND PLEURAL SPACE, WITH $292.18
sur 32603 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); PERICARDIAL SAC, WITHOUT BIOPSY $381.00
sur 32604 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); PERICARDIAL SAC, WITH BIOPSY $423.14
sur 32605 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); MEDIASTINAL SPACE, WITHOUT BIOPSY $336.25
sur 32606 THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); MEDIASTINAL SPACE, WITH BIOPSY $405.40
sur 32650 THORACOSCOPY, SURGICAL; WITH PLEURODESIS (EG, MECHANICAL OR CHEMICAL) $580.58
sur 32651 THORACOSCOPY, SURGICAL; WITH PARTIAL PULMONARY DECORTICATION $944.42
sur 32652 THORACOSCOPY, SURGICAL; WITH TOTAL PULMONARY DECORTICATION, INCLUDING $1,434.07
sur 32653 THORACOSCOPY, SURGICAL; WITH REMOVAL OF INTRAPLEURAL FOREIGN BODY OR FIBRIN $910.12
sur 32654 THORACOSCOPY, SURGICAL; WITH CONTROL OF TRAUMATIC HEMORRHAGE $1,016.23
sur 32655 THORACOSCOPY, SURGICAL; WITH EXCISION-PLICATION OF BULLAE, INCLUDING ANY $827.89
sur 32656 THORACOSCOPY, SURGICAL; WITH PARIETAL PLEURECTOMY $695.04
sur 32657 THORACOSCOPY, SURGICAL; WITH WEDGE RESECTION OF LUNG, SINGLE OR MULTIPLE $685.64
sur 32658 THORACOSCOPY, SURGICAL; WITH REMOVAL OF CLOT OR FOREIGN BODY FROM PERICARDIAL $624.31
sur 32659 THORACOSCOPY, SURGICAL; WITH CREATION OF PERICARDIAL WINDOW OR PARTIAL $639.79
sur 32660 THORACOSCOPY, SURGICAL; WITH TOTAL PERICARDIECTOMY $913.55
sur 32661 THORACOSCOPY, SURGICAL; WITH EXCISION OF PERICARDIAL CYST, TUMOR, OR MASS $697.69
sur 32662 THORACOSCOPY, SURGICAL; WITH EXCISION OF MEDIASTINAL CYST, TUMOR, OR MASS $782.00
sur 32663 THORACOSCOPY, SURGICAL; WITH LOBECTOMY, TOTAL OR SEGMENTAL $1,221.79
sur 32664 THORACOSCOPY, SURGICAL; WITH THORACIC SYMPATHECTOMY $738.38
sur 32665 THORACOSCOPY, SURGICAL; WITH ESOPHAGOMYOTOMY (HELLER TYPE) $1,056.66
sur 32800 REPAIR LUNG HERNIA THROUGH CHEST WALL $814.36
sur 32810 CLOSURE OF CHEST WALL FOLLOWING OPEN FLAP DRAINAGE FOR EMPYEMA (CLAGETT TYPE $782.83
sur 32815 OPEN CLOSURE OF MAJOR BRONCHIAL FISTULA $2,415.30
sur 32820 MAJOR RECONSTRUCTION, CHEST WALL (POSTTRAUMATIC) $1,165.51
sur 32850 DONOR PNEUMONECTOMY(IES)(INCL. COLD PRESERVATION), FROM CADAVER DONOR BR
sur 32851 LUNG TRANSPLANT, SINGLE; WITHOUT CARDIOPULMONARY BYPASS $2,254.09
sur 32852 LUNG TRANSPLANT, SINGLE; WITH CARDIOPULMONARY BYPASS $2,494.10
sur 32853 LUNG TRANSPLANT, DOUBLE (BILATERAL SEQUENTIAL OR EN BLOC); WITHOUT $2,680.78
sur 32854 LUNG TRANSPLANT, DOUBLE (BILATERAL SEQUENTIAL OR EN BLOC); WITH CARDIOPULMONARY $2,932.83
sur 32855 BACKBENCH STANDARD PREPARATION OF CADAVER DONOR LUNG ALLOGRAFT PRIOR TO $159.13
sur 32856 BACKBENCH STANDARD PREPARATION OF CADAVER DONOR LUNG ALLOGRAFT PRIOR TO $162.52
sur 32900 RESECTION OF RIBS, EXTRAPLEURAL, ALL STAGES $1,203.85
sur 32905 THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEURAL (ALL STAGES); $1,164.42
sur 32906 THORACOPLASTY, SCHEDE TYPE OR EXTRAPLEURAL (ALL STAGES); WITH CLOSURE OF $1,442.16
sur 32940 PNEUMONOLYSIS, EXTRAPERIOSTEAL, INCLUDING FILLING OR PACKING PROCEDURES $1,073.21
sur 32960 PNEUMOTHORAX, THERAPEUTIC, INTRAPLEURAL INJECTION OF AIR $119.55
sur 32997 TOTAL LUNG LAVAGE (UNILATERAL) $304.65
sur 32998 ABLATION THERAPY FOR REDUCTION OR ERADICATION OF ONE OR MORE PULMONARY TUMOR(S) $2,437.02
sur 32999 UNLISTED PROCEDURE, LUNGS AND PLEURA BR
sur 33010 PERICARDIOCENTESIS; INITIAL $106.79
sur 33011 PERICARDIOCENTESIS; SUBSEQUENT $106.71
sur 33015 TUBE PERICARDIOSTOMY $453.85
sur 33020 PERICARDIOTOMY FOR REMOVAL OF CLOT OR FOREIGN BODY (PRIMARY PROCEDURE) $765.35
sur 33025 CREATION OF PERICARDIAL WINDOW OR PARTIAL RESECTION FOR DRAINAGE $700.50
sur 33030 PERICARDIECTOMY, SUBTOTAL OR COMPLETE; WITHOUT CARDIOPULMONARY BYPASS $1,128.40
sur 33031 PERICARDIECTOMY, SUBTOTAL OR COMPLETE; WITH CARDIOPULMONARY BYPASS $1,256.36
sur 33050 EXCISION OF PERICARDIAL CYST OR TUMOR $875.45
sur 33120 EXCISION OF INTRACARDIAC TUMOR, RESECTION WITH CARDIOPULMONARY BYPASS $1,365.63
sur 33130 RESECTION OF EXTERNAL CARDIAC TUMOR $1,215.51
sur 33140 TRANSMYOCARDIAL LASER REVASCULARIZATION, BY THORACOTOMY (SEPARATE PROCEDURE) $1,398.27
sur 33141 TRANSMYOCARDIAL LASER REVASCULARIZATION, BY THORACOTOMY; PERFORMED AT THE TIME $121.52
sur 33202 INSERTION OF EPICARDIAL ELECTRODE(S); OPEN INCISION (EG, THORACOTOMY, MEDIAN STE $680.94
sur 33203 INSERTION OF EPICARDIAL ELECTRODE(S); ENDOSCOPIC APPROACH (EG, THORACOSCOPY, PER $714.61
sur 33206 INSERTION OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); $407.55
sur 33207 INSERTION OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); $434.22
sur 33208 INSERTION OR REPLACEMENT OF PERMANENT PACEMAKER WITH TRANSVENOUS ELECTRODE(S); $468.94
sur 33210 INSERTION OR REPLACEMENT OF TEMPORARY TRANSVENOUS SINGLE CHAMBER CARDIAC $160.94
sur 33211 INSERTION OR REPLACEMENT OF TEMPORARY TRANSVENOUS DUAL CHAMBER PACING $163.49
sur 33212 INSERTION OR REPLACEMENT OF PACEMAKER PULSE GENERATOR ONLY; SINGLE CHAMBER, $302.01
sur 33213 INSERTION OR REPLACEMENT OF PACEMAKER PULSE GENERATOR ONLY; DUAL CHAMBER $344.45
sur 33214 UPGRADE OF IMPLANTED PACEMAKER SYSTEM, CONVERSION OF SINGLE CHAMBER SYSTEM TO $429.96
sur 33215 REPOSITIONING OF PREVIOUSLY IMPLANTED TRANSVENOUS PACEMAKER OR PACING $272.75
sur 33216 INSERTION OF A SINGLE TRANSVENOUS ELECTRODE, PERMANENT PACEMAKER OR CARDIOVERTER $336.71
sur 33217 INSERTION OF 2 TRANSVENOUS ELECTRODES, PERMANENT PACEMAKER OR CARDIOVERTER-DEFIB $334.69
sur 33218 REPAIR OF SINGLE TRANSVENOUS ELECTRODE FOR A SINGLE CHAMBER, PERMANENT $351.06
sur 33220 REPAIR OF TWO TRANSVENOUS ELECTRODES FOR A DUAL CHAMBER PERMANENT PACEMAKER OR $353.94
sur 33222 REVISION OR RELOCATION OF SKIN POCKET FOR PACEMAKER $308.82
sur 33223 REVISION OF SKIN POCKET FOR CARDIOVERTER-DEFIBRILLATOR $370.78
sur 33224 INSERTION OF PACING ELECTRODE, CARDIAC VENOUS SYSTEM, FOR LEFT VENTRICULAR $454.33
sur 33225 INSERTION OF PACING ELECTRODE, CARDIAC VENOUS SYSTEM, FOR LEFT VENTRICULAR $409.62
sur 33226 REPOSITIONING OF PREVIOUSLY IMPLANTED CARDIAC VENOUS SYSTEM (LEFT VENTRICULAR) $437.40
sur 33233 REMOVAL OF PERMANENT PACEMAKER PULSE GENERATOR $213.39
sur 33234 REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S); SINGLE LEAD SYSTEM, ATRIAL OR $435.07
sur 33235 REMOVAL OF TRANSVENOUS PACEMAKER ELECTRODE(S); DUAL LEAD SYSTEM $567.82
sur 33236 REMOVAL OF PERMANENT EPICARDIAL PACEMAKER AND ELECTRODES BY THORACOTOMY; SINGLE $689.27
sur 33237 REMOVAL OF PERMANENT EPICARDIAL PACEMAKER AND ELECTRODES BY THORACOTOMY; DUAL $738.70
sur 33238 REMOVAL OF PERMANENT TRANSVENOUS ELECTRODE(S) BY THORACOTOMY $821.37
sur 33240 INSERTION OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR PULSE $414.47
sur 33241 SUBCUTANEOUS REMOVAL OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER- $201.06
sur 33243 REMOVAL OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR $1,208.14
sur 33244 REMOVAL OF SINGLE OR DUAL CHAMBER PACING CARDIOVERTER-DEFIBRILLATOR $764.56
sur 33249 INSERTION OR REPOSITIONING OF ELECTRODE LEAD(S) FOR SINGLE OR DUAL CHAMBER $812.55
sur 33250 OPERATIVE ABLATION OF SUPRAVENTRICULAR ARRHYTHMOGENIC FOCUS OR PATHWAY (EG, WOLF $1,296.89
sur 33251 OPERATIVE ABLATION OF SUPRAVENTRICULAR ARRHYTHMOGENIC FOCUS OR PATHWAY (EG, $1,438.53
sur 33254 OPERATIVE TISSUE ABLATION AND RECONSTRUCTION OF ATRIA, LIMITED (EG, MODIFIED MAZ $1,205.49
sur 33255 OPERATIVE TISSUE ABLATION AND RECONSTRUCTION OF ATRIA, EXTENSIVE (EG, MAZE PROCE $1,462.74
sur 33256 OPERATIVE TISSUE ABLATION AND RECONSTRUCTION OF ATRIA, EXTENSIVE (EG, MAZE PROCE $1,738.54
sur 33257 OPERATIVE TISSUE ABLATION AND RECONSTRUCTION OF ATRIA, PERFORMED AT THE TIME OF $514.13
sur 33258 OPERATIVE TISSUE ABLATION AND RECONSTRUCTION OF ATRIA, PERFORMED AT THE TIME OF $578.35
sur 33259 OPERATIVE TISSUE ABLATION AND RECONSTRUCTION OF ATRIA, PERFORMED AT THE TIME OF $746.77
sur 33261 OPERATIVE ABLATION OF VENTRICULAR ARRHYTHMOGENIC FOCUS WITH CARDIOPULMONARY $1,432.35
sur 33265 ENDOSCOPY, SURGICAL; OPERATIVE TISSUE ABLATION AND RECONSTRUCTION OF ATRIA, LIMI $1,191.71
sur 33266 ENDOSCOPY, SURGICAL; OPERATIVE TISSUE ABLATION AND RECONSTRUCTION OF ATRIA, EXTE $1,629.15
sur 33282 IMPLANTATION OF PATIENT-ACTIVATED CARDIAC EVENT RECORDER $289.37
sur 33284 REMOVAL OF AN IMPLANTABLE, PATIENT-ACTIVATED CARDIAC EVENT RECORDER $208.21
sur 33300 REPAIR OF CARDIAC WOUND; WITHOUT BYPASS $2,127.75
sur 33305 REPAIR OF CARDIAC WOUND; WITH CARDIOPULMONARY BYPASS $3,578.15
sur 33310 CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREIGN BODY, ATRIAL OR $1,019.90
sur 33315 CARDIOTOMY, EXPLORATORY (INCLUDES REMOVAL OF FOREIGN BODY, ATRIAL OR $1,306.82
sur 33320 SUTURE REPAIR OF AORTA OR GREAT VESSELS; WITHOUT SHUNT OR CARDIOPULMONARY BYPASS $935.15
sur 33321 SUTURE REPAIR OF AORTA OR GREAT VESSELS; WITH SHUNT BYPASS $1,045.15
sur 33322 SUTURE REPAIR OF AORTA OR GREAT VESSELS; WITH CARDIOPULMONARY BYPASS $1,228.30
sur 33330 INSERTION OF GRAFT, AORTA OR GREAT VESSELS; WITHOUT SHUNT, OR CARDIOPULMONARY $1,255.87
sur 33332 INSERTION OF GRAFT, AORTA OR GREAT VESSELS; WITH SHUNT BYPASS $1,232.15
sur 33335 INSERTION OF GRAFT, AORTA OR GREAT VESSELS; WITH CARDIOPULMONARY BYPASS $1,663.56
sur 33400 VALVULOPLASTY, AORTIC VALVE, OPEN, WITH CARDIOPULMONARY BYPASS $2,020.88
sur 33401 VALVULOPLASTY, AORTIC VALVE; OPEN, WITH INFLOW OCCLUSION $1,266.37
sur 33403 VALVULOPLASTY, AORTIC VALVE; USING TRANSVENTRICULAR DILATION, WITH $1,321.79
sur 33404 CONSTRUCTION OF APICAL-AORTIC CONDUIT $1,553.40
sur 33405 REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BYPASS; WITH PROSTHETIC VALVE $2,031.61
sur 33406 REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BYPASS; WITH ALLOGRAFT VALVE $2,544.93
sur 33410 REPLACEMENT, AORTIC VALVE, WITH CARDIOPULMONARY BYPASS; WITH STENTLESS TISSUE $2,252.56
sur 33411 REPLACEMENT, AORTIC VALVE; WITH AORTIC ANNULUS ENLARGEMENT, NONCORONARY SINUS $2,965.27
sur 33412 REPLACEMENT, AORTIC VALVE; WITH TRANSVENTRICULAR AORTIC ANNULUS ENLARGEMENT $2,183.44
sur 33413 REPLACEMENT, AORTIC VALVE; BY TRANSLOCATION OF AUTOLOGOUS PULMONARY VALVE WITH $2,862.87
sur 33414 REPAIR OF LEFT VENTRICULAR OUTFLOW TRACT OBSTRUCTION BY PATCH ENLARGEMENT OF $1,919.63
sur 33415 RESECTION OR INCISION OF SUBVALVULAR TISSUE FOR DISCRETE SUBVALVULAR AORTIC $1,782.30
sur 33416 VENTRICULOMYOTOMY (-MYECTOMY) FOR IDIOPATHIC HYPERTROPHIC SUBAORTIC STENOSIS $1,793.11
sur 33417 AORTOPLASTY (GUSSET) FOR SUPRAVALVULAR STENOSIS $1,475.93
sur 33420 VALVOTOMY, MITRAL VALVE; CLOSED HEART $1,236.88
sur 33422 VALVOTOMY, MITRAL VALVE; OPEN HEART, WITH CARDIOPULMONARY BYPASS $1,492.54
sur 33425 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS; $2,395.31
sur 33426 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS; WITH PROSTHETIC RING $2,117.56
sur 33427 VALVULOPLASTY, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS; RADICAL $2,180.04
sur 33430 REPLACEMENT, MITRAL VALVE, WITH CARDIOPULMONARY BYPASS $2,479.78
sur 33460 VALVECTOMY, TRICUSPID VALVE, WITH CARDIOPULMONARY BYPASS $2,131.61
sur 33463 VALVULOPLASTY, TRICUSPID VALVE; WITHOUT RING INSERTION $2,712.67
sur 33464 VALVULOPLASTY, TRICUSPID VALVE; WITH RING INSERTION $2,155.66
sur 33465 REPLACEMENT, TRICUSPID VALVE, WITH CARDIOPULMONARY BYPASS $2,422.87
sur 33468 TRICUSPID VALVE REPOSITIONING AND PLICATION FOR EBSTEIN ANOMALY $1,649.18
sur 33470 VALVOTOMY, PULMONARY VALVE, CLOSED HEART; TRANSVENTRICULAR $1,109.33
sur 33472 VALVOTOMY, PULMONARY VALVE, OPEN HEART; WITH INFLOW OCCLUSION $1,054.88
sur 33474 VALVOTOMY, PULMONARY VALVE, OPEN HEART; WITH CARDIOPULMONARY BYPASS $1,872.75
sur 33475 REPLACEMENT, PULMONARY VALVE $2,066.01
sur 33476 RIGHT VENTRICULAR RESECTION FOR INFUNDIBULAR STENOSIS, WITH OR WITHOUT $1,332.95
sur 33478 OUTFLOW TRACT AUGMENTATION (GUSSET), WITH OR WITHOUT COMMISSUROTOMY OR $1,387.94
sur 33496 REPAIR OF NON-STRUCTURAL PROSTHETIC VALVE DYSFUNCTION WITH CARDIOPULMONARY BYPAS $1,474.58
sur 33500 REPAIR OF CORONARY ARTERIOVENOUS OR ARTERIOCARDIAC CHAMBER FISTULA; WITH CARDIOP $1,393.69
sur 33501 REPAIR OF CORONARY ARTERIOVENOUS OR ARTERIOCARDIAC CHAMBER FISTULA; WITHOUT $988.59
sur 33502 REPAIR OF ANOMALOUS CORONARY ARTERY FROM PULMONARY ARTERY ORIGIN; BY LIGATION $1,122.69
sur 33503 REPAIR OF ANOMALOUS CORONARY ARTERY; BY GRAFT, WITHOUT CARDIOPULMONARY BYPASS $1,173.96
sur 33504 REPAIR OF ANOMALOUS CORONARY ARTERY; BY GRAFT, WITH CARDIOPULMONARY BYPASS $1,286.56
sur 33505 REPAIR OF ANOMALOUS CORONARY ARTERY; WITH CONSTRUCTION OF INTRAPULMONARY ARTERY $1,823.36
sur 33506 REPAIR OF ANOMALOUS CORONARY ARTERY; BY TRANSLOCATION FROM PULMONARY ARTERY TO $1,912.84
sur 33507 REPAIR OF ANOMALOUS (EG, INTRAMURAL) AORTIC ORIGIN OF CORONARY ARTERY BY UNROOFI $1,519.59
sur 33508 ENDOSCOPY, SURGICAL, INCLUDING VIDEO-ASSISTED HARVEST OF VEIN(S) FOR CORONARY AR $14.34
sur 33510 CORONARY ARTERY BYPASS, VEIN ONLY; SINGLE CORONARY VENOUS GRAFT $1,729.81
sur 33511 CORONARY ARTERY BYPASS, VEIN ONLY; TWO CORONARY VENOUS GRAFTS $1,895.16
sur 33512 CORONARY ARTERY BYPASS, VEIN ONLY; THREE CORONARY VENOUS GRAFTS $2,149.61
sur 33513 CORONARY ARTERY BYPASS, VEIN ONLY; FOUR CORONARY VENOUS GRAFTS $2,202.84
sur 33514 CORONARY ARTERY BYPASS, VEIN ONLY; FIVE CORONARY VENOUS GRAFTS $2,331.98
sur 33516 CORONARY ARTERY BYPASS, VEIN ONLY; SIX OR MORE CORONARY VENOUS GRAFTS $2,429.56
sur 33517 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); SINGLE VEIN $166.23
sur 33518 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); TWO VENOUS $364.53
sur 33519 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); THREE VENOU $483.19
sur 33521 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); FOUR VENOUS $582.01
sur 33522 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); FIVE VENOUS $655.36
sur 33523 CORONARY ARTERY BYPASS, USING VENOUS GRAFT(S) AND ARTERIAL GRAFT(S); SIX OR MORE $743.97
sur 33530 REOPERATION, CORONARY ARTERY BYPASS PROCEDURE OR VALVE PROCEDURE, MORE THAN ONE $464.30
sur 33533 CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); SINGLE ARTERIAL GRAFT $1,673.61
sur 33534 CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); TWO CORONARY ARTERIAL GRAFTS $1,963.69
sur 33535 CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); THREE CORONARY ARTERIAL GRAFTS $2,187.23
sur 33536 CORONARY ARTERY BYPASS, USING ARTERIAL GRAFT(S); FOUR OR MORE CORONARY ARTERIAL $2,352.45
sur 33542 MYOCARDIAL RESECTION (EG, VENTRICULAR ANEURYSMECTOMY) $2,312.06
sur 33545 REPAIR OF POSTINFARCTION VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT MYOCARDIAL $2,717.47
sur 33548 SURGICAL VENTRICULAR RESTORATION PROCEDURE, INCLUDES PROSTHETIC PATCH, WHEN PERF $2,636.66
sur 33572 CORONARY ENDARTERECTOMY, OPEN, ANY METHOD, OF LEFT ANTERIOR DESCENDING, CIRCUMFL $206.60
sur 33600 CLOSURE OF ATRIOVENTRICULAR VALVE (MITRAL OR TRICUSPID) BY SUTURE OR PATCH $1,500.69
sur 33602 CLOSURE OF SEMILUNAR VALVE (AORTIC OR PULMONARY) BY SUTURE OR PATCH $1,431.69
sur 33606 ANASTOMOSIS OF PULMONARY ARTERY TO AORTA (DAMUS-KAYE-STANSEL PROCEDURE) $1,569.65
sur 33608 REPAIR OF COMPLEX CARDIAC ANOMALY OTHER THAN PULMONARY ATRESIA WITH VENTRICULAR $1,585.79
sur 33610 REPAIR OF COMPLEX CARDIAC ANOMALIES (EG, SINGLE VENTRICLE WITH SUBAORTIC $1,553.97
sur 33611 REPAIR OF DOUBLE OUTLET RIGHT VENTRICLE WITH INTRAVENTRICULAR TUNNEL REPAIR; $1,733.41
sur 33612 REPAIR OF DOUBLE OUTLET RIGHT VENTRICLE WITH INTRAVENTRICULAR TUNNEL REPAIR; $1,742.08
sur 33615 REPAIR OF COMPLEX CARDIAC ANOMALIES (EG, TRICUSPID ATRESIA) BY CLOSURE OF $1,764.65
sur 33617 REPAIR OF COMPLEX CARDIAC ANOMALIES (EG, SINGLE VENTRICLE) BY MODIFIED FONTAN $1,891.37
sur 33619 REPAIR OF SINGLE VENTRICLE WITH AORTIC OUTFLOW OBSTRUCTION AND AORTIC ARCH $2,402.48
sur 33620 APPLICATION OF RIGHT AND LEFT PULMONARY ARTERY BANDS (EG, HYBRID APPROACH STAGE $1,458.12
sur 33621 TRANSTHORACIC INSERTION OF CATHETER FOR STENT PLACEMENT WITH CATHETER REMOVAL AN $783.50
sur 33622 RECONSTRUCTION OF COMPLEX CARDIAC ANOMALY (EG, SINGLE VENTRICLE OR HYPOPLASTIC L $3,072.44
sur 33641 REPAIR ATRIAL SEPTAL DEFECT, SECUNDUM, WITH CARDIOPULMONARY BYPASS, WITH OR WITH $1,444.36
sur 33645 DIRECT OR PATCH CLOSURE, SINUS VENOSUS, WITH OR WITHOUT ANOMALOUS PULMONARY $1,399.42
sur 33647 REPAIR OF ATRIAL SEPTAL DEFECT AND VENTRICULAR SEPTAL DEFECT, WITH DIRECT OR $1,495.96
sur 33660 REPAIR OF INCOMPLETE OR PARTIAL ATRIOVENTRICULAR CANAL (OSTIUM PRIMUM ATRIAL $1,642.92
sur 33665 REPAIR OF INTERMEDIATE OR TRANSITIONAL ATRIOVENTRICULAR CANAL, WITH OR WITHOUT $1,699.85
sur 33670 REPAIR OF COMPLETE ATRIOVENTRICULAR CANAL, WITH OR WITHOUT PROSTHETIC VALVE $1,754.58
sur 33675 CLOSURE OF MULTIPLE VENTRICULAR SEPTAL DEFECTS; $1,745.47
sur 33676 CLOSURE OF MULTIPLE VENTRICULAR SEPTAL DEFECTS; WITH PULMONARY VALVOTOMY OR INFU $1,666.36
sur 33677 CLOSURE OF MULTIPLE VENTRICULAR SEPTAL DEFECTS; WITH REMOVAL OF PULMONARY ARTERY $1,645.96
sur 33681 CLOSURE OF SINGLE VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT PATCH; $1,622.01
sur 33684 CLOSURE OF VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT PATCH; WITH PULMONARY $1,676.97
sur 33688 CLOSURE OF VENTRICULAR SEPTAL DEFECT, WITH OR WITHOUT PATCH; WITH REMOVAL OF $1,661.77
sur 33690 BANDING OF PULMONARY ARTERY $1,072.38
sur 33692 COMPLETE REPAIR TETRALOGY OF FALLOT WITHOUT PULMONARY ATRESIA; $1,434.39
sur 33694 COMPLETE REPAIR TETRALOGY OF FALLOT WITHOUT PULMONARY ATRESIA; WITH $1,737.42
sur 33697 COMPLETE REPAIR TETRALOGY OF FALLOT WITH PULMONARY ATRESIA INCLUDING $1,844.16
sur 33702 REPAIR SINUS OF VALSALVA FISTULA, WITH CARDIOPULMONARY BYPASS; $1,362.74
sur 33710 REPAIR SINUS OF VALSALVA FISTULA, WITH CARDIOPULMONARY BYPASS; WITH REPAIR OF $1,563.98
sur 33720 REPAIR SINUS OF VALSALVA ANEURYSM, WITH CARDIOPULMONARY BYPASS $1,357.32
sur 33722 CLOSURE OF AORTICO-LEFT VENTRICULAR TUNNEL $1,461.88
sur 33724 REPAIR OF ISOLATED PARTIAL ANOMALOUS PULMONARY VENOUS RETURN (EG, SCIMITAR SYNDR $1,363.67
sur 33726 REPAIR OF PULMONARY VENOUS STENOSIS $1,860.34
sur 33730 COMPLETE REPAIR OF ANOMALOUS VENOUS RETURN (SUPRACARDIAC, INTRACARDIAC, OR INFRA $1,750.87
sur 33732 REPAIR OF COR TRIATRIATUM OR SUPRAVALVULAR MITRAL RING BY RESECTION OF LEFT $1,457.57
sur 33735 ATRIAL SEPTECTOMY OR SEPTOSTOMY; CLOSED HEART (BLALOCK-HANLON TYPE OPERATION) $1,136.97
sur 33736 ATRIAL SEPTECTOMY OR SEPTOSTOMY; OPEN HEART WITH CARDIOPULMONARY BYPASS $1,239.01
sur 33737 ATRIAL SEPTECTOMY OR SEPTOSTOMY; OPEN HEART, WITH INFLOW OCCLUSION $1,136.00
sur 33750 SHUNT; SUBCLAVIAN TO PULMONARY ARTERY (BLALOCK-TAUSSIG TYPE OPERATION) $1,206.57
sur 33755 SHUNT; ASCENDING AORTA TO PULMONARY ARTERY (WATERSTON TYPE OPERATION) $1,133.01
sur 33762 SHUNT; DESCENDING AORTA TO PULMONARY ARTERY (POTTS-SMITH TYPE OPERATION) $1,050.97
sur 33764 SHUNT; CENTRAL, WITH PROSTHETIC GRAFT $1,140.97
sur 33766 SHUNT; SUPERIOR VENA CAVA TO PULMONARY ARTERY FOR FLOW TO ONE LUNG (CLASSICAL $1,183.25
sur 33767 SHUNT; SUPERIOR VENA CAVA TO PULMONARY ARTERY FOR FLOW TO BOTH LUNGS $1,251.29
sur 33768 ANASTOMOSIS, CAVOPULMONARY, SECOND SUPERIOR VENA CAVA (LIST SEPARATELY IN ADDITI $345.54
sur 33770 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES WITH VENTRICULAR SEPTAL DEFECT AND $1,863.56
sur 33771 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES WITH VENTRICULAR SEPTAL DEFECT $1,789.13
sur 33774 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATRIAL BAFFLE PROCEDURE (EG, $1,591.35
sur 33775 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATRIAL BAFFLE PROCEDURE (EG, $1,523.74
sur 33776 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATRIAL BAFFLE PROCEDURE (EG, $1,609.19
sur 33777 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, ATRIAL BAFFLE PROCEDURE (EG, $1,484.60
sur 33778 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AORTIC PULMONARY ARTERY $1,933.15
sur 33779 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AORTIC PULMONARY ARTERY $1,917.84
sur 33780 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AORTIC PULMONARY ARTERY $1,966.80
sur 33781 REPAIR OF TRANSPOSITION OF THE GREAT ARTERIES, AORTIC PULMONARY ARTERY $1,901.21
sur 33782 Aortic root translocation with ventricular septal defect and pulmonary stenosis $2,814.45
sur 33783 Aortic root translocation with ventricular septal defect and pulmonary stenosis $3,041.78
sur 33786 TOTAL REPAIR, TRUNCUS ARTERIOSUS (RASTELLI TYPE OPERATION) $1,823.40
sur 33788 REIMPLANTATION OF AN ANOMALOUS PULMONARY ARTERY $1,230.66
sur 33800 AORTIC SUSPENSION (AORTOPEXY) FOR TRACHEAL DECOMPRESSION (EG, FOR TRACHEOMALACIA $864.59
sur 33802 DIVISION OF ABERRANT VESSEL (VASCULAR RING); $973.43
sur 33803 DIVISION OF ABERRANT VESSEL (VASCULAR RING); WITH REANASTOMOSIS $1,007.51
sur 33813 OBLITERATION OF AORTOPULMONARY SEPTAL DEFECT; WITHOUT CARDIOPULMONARY BYPASS $1,129.10
sur 33814 OBLITERATION OF AORTOPULMONARY SEPTAL DEFECT; WITH CARDIOPULMONARY BYPASS $1,344.42
sur 33820 REPAIR OF PATENT DUCTUS ARTERIOSUS; BY LIGATION $860.26
sur 33822 REPAIR OF PATENT DUCTUS ARTERIOSUS; BY DIVISION, UNDER 18 YEARS $838.38
sur 33824 REPAIR OF PATENT DUCTUS ARTERIOSUS; BY DIVISION, 18 YEARS AND OLDER $1,047.14
sur 33840 EXCISION OF COARCTATION OF AORTA, WITH OR WITHOUT ASSOCIATED PATENT DUCTUS $1,110.94
sur 33845 EXCISION OF COARCTATION OF AORTA, WITH OR WITHOUT ASSOCIATED PATENT DUCTUS $1,194.03
sur 33851 EXCISION OF COARCTATION OF AORTA, WITH OR WITHOUT ASSOCIATED PATENT DUCTUS $1,219.57
sur 33852 REPAIR OF HYPOPLASTIC OR INTERRUPTED AORTIC ARCH USING AUTOGENOUS OR PROSTHETIC $1,229.54
sur 33853 REPAIR OF HYPOPLASTIC OR INTERRUPTED AORTIC ARCH USING AUTOGENOUS OR PROSTHETIC $1,643.17
sur 33860 ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, INCLUDES VALVE SUSPENSION, W $2,830.68
sur 33863 ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS, WITH AORTIC ROOT REPLACEMENT $2,791.17
sur 33864 ASCENDING AORTA GRAFT, WITH CARDIOPULMONARY BYPASS WITH VALVE SUSPENSION, WITH C $2,857.50
sur 33870 TRANSVERSE ARCH GRAFT, WITH CARDIOPULMONARY BYPASS $2,233.50
sur 33875 DESCENDING THORACIC AORTA GRAFT, WITH OR WITHOUT BYPASS $1,760.01
sur 33877 REPAIR OF THORACOABDOMINAL AORTIC ANEURYSM WITH GRAFT, WITH OR WITHOUT $3,197.65
sur 33880 ENDOVASCULAR REPAIR OF DESCENDING THORACIC AORTA (EG, ANEURYSM, PSEUDOANEURYSM, $1,623.85
sur 33881 ENDOVASCULAR REPAIR OF DESCENDING THORACIC AORTA (EG, ANEURYSM, PSEUDOANEURYSM, $1,396.99
sur 33883 PLACEMENT OF PROXIMAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF DESCENDING $1,012.68
sur 33884 PLACEMENT OF PROXIMAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF DESCENDING $369.10
sur 33886 PLACEMENT OF DISTAL EXTENSION PROSTHESIS(S) DELAYED AFTER ENDOVASCULAR REPAIR OF $878.48
sur 33889 OPEN SUBCLAVIAN TO CAROTID ARTERY TRANSPOSITION PERFORMED IN CONJUNCTION WITH EN $722.01
sur 33891 BYPASS GRAFT, WITH OTHER THAN VEIN, TRANSCERVICAL RETROPHARYNGEAL CAROTID-CAROTI $891.69
sur 33910 PULMONARY ARTERY EMBOLECTOMY; WITH CARDIOPULMONARY BYPASS $1,481.64
sur 33915 PULMONARY ARTERY EMBOLECTOMY; WITHOUT CARDIOPULMONARY BYPASS $1,198.78
sur 33916 PULMONARY ENDARTERECTOMY, WITH OR WITHOUT EMBOLECTOMY, WITH CARDIOPULMONARY $1,445.26
sur 33917 REPAIR OF PULMONARY ARTERY STENOSIS BY RECONSTRUCTION WITH PATCH OR GRAFT $1,299.12
sur 33920 REPAIR OF PULMONARY ATRESIA WITH VENTRICULAR SEPTAL DEFECT, BY CONSTRUCTION OR $1,606.25
sur 33922 TRANSECTION OF PULMONARY ARTERY WITH CARDIOPULMONARY BYPASS $1,223.23
sur 33924 LIGATION AND TAKEDOWN OF A SYSTEMIC-TO-PULMONARY ARTERY SHUNT, PERFORMED IN $251.13
sur 33925 REPAIR OF PULMONARY ARTERY ARBORIZATION ANOMALIES BY UNIFOCALIZATION; WITHOUT CA $1,525.61
sur 33926 REPAIR OF PULMONARY ARTERY ARBORIZATION ANOMALIES BY UNIFOCALIZATION; WITH CARDI $2,229.05
sur 33930 DONOR CARDIECTOMY-PNEUMONECTOMY (INCLUDING COLD PRESERVATION) BR
sur 33933 BACKBENCH STANDARD PREPARATION OF CADAVER DONOR HEART/LUNG ALLOGRAFT PRIOR TO BR
sur 33935 HEART-LUNG TRANSPLANT WITH RECIPIENT CARDIECTOMY-PNEUMONECTOMY $3,058.06
sur 33940 DONOR CARDIECTOMY (INCLUDING COLD PRESERVATION) BR
sur 33944 BACKBENCH STANDARD PREPARATION OF CADAVER DONOR HEART ALLOGRAFT PRIOR TO $169.27
sur 33945 HEART TRANSPLANT, WITH OR WITHOUT RECIPIENT CARDIECTOMY $4,237.80
sur 33960 PROLONGED EXTRACORPOREAL CIRCULATION FOR CARDIOPULMONARY INSUFFICIENCY; INITIAL $868.04
sur 33961 PROLONGED EXTRACORPOREAL CIRCULATION FOR CARDIOPULMONARY INSUFFICIENCY; EACH $480.56
sur 33967 INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE, PERCUTANEOUS $236.89
sur 33968 REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE, PERCUTANEOUS $30.41
sur 33970 INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE THROUGH THE FEMORAL ARTERY, $319.65
sur 33971 REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE INCLUDING REPAIR OF FEMORAL $630.36
sur 33973 INSERTION OF INTRA-AORTIC BALLOON ASSIST DEVICE THROUGH THE ASCENDING AORTA $463.87
sur 33974 REMOVAL OF INTRA-AORTIC BALLOON ASSIST DEVICE FROM THE ASCENDING AORTA, $794.66
sur 33975 INSERTION OF VENTRICULAR ASSIST DEVICE; EXTRACORPOREAL, SINGLE VENTRICLE $973.06
sur 33976 INSERTION OF VENTRICULAR ASSIST DEVICE; EXTRACORPOREAL, BIVENTRICULAR $1,079.12
sur 33977 REMOVAL OF VENTRICULAR ASSIST DEVICE; EXTRACORPOREAL, SINGLE VENTRICLE $1,061.33
sur 33978 REMOVAL OF VENTRICULAR ASSIST DEVICE; EXTRACORPOREAL, BIVENTRICULAR $1,179.10
sur 33979 INSERTION OF VENTRICULAR ASSIST DEVICE, IMPLANTABLE INTRACORPOREAL, SINGLE $2,127.69
sur 33980 REMOVAL OF VENTRICULAR ASSIST DEVICE, IMPLANTABLE INTRACORPOREAL, SINGLE $3,195.29
sur 33981 Replacement of extracorporeal ventricular assist device, single or biventricular $527.56
sur 33982 Replacement of ventricular assist device pump(s); implantable intracorporeal, si $850.85
sur 33983 Replacement of ventricular assist device pump(s); implantable intracorporeal, si $1,276.28
sur 33999 UNLISTED PROCEDURE, CARDIAC SURGERY BR
sur 34001 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; CAROTID, SUBCLAVIAN OR IN $875.98
sur 34051 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; INNOMINATE, SUBCLAVIAN $870.87
sur 34101 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; AXILLARY, BRACHIAL, $547.14
sur 34111 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; RADIAL OR ULNAR ARTERY, $546.90
sur 34151 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; RENAL, CELIAC, $1,263.80
sur 34201 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; FEMOROPOPLITEAL, $926.66
sur 34203 EMBOLECTOMY OR THROMBECTOMY, WITH OR WITHOUT CATHETER; POPLITEAL-TIBIO-PERONEAL $873.88
sur 34401 THROMBECTOMY, DIRECT OR WITH CATHETER; VENA CAVA, ILIAC VEIN, BY ABDOMINAL INCIS $1,322.03
sur 34421 THROMBECTOMY, DIRECT OR WITH CATHETER; VENA CAVA, ILIAC, FEMOROPOPLITEAL VEIN, $665.37
sur 34451 THROMBECTOMY, DIRECT OR WITH CATHETER; VENA CAVA, ILIAC, FEMOROPOPLITEAL VEIN, $1,337.65
sur 34471 THROMBECTOMY, DIRECT OR WITH CATHETER; SUBCLAVIAN VEIN, BY NECK INCISION $1,033.45
sur 34490 THROMBECTOMY, DIRECT OR WITH CATHETER; AXILLARY AND SUBCLAVIAN VEIN, BY ARM $552.94
sur 34501 VALVULOPLASTY, FEMORAL VEIN $833.77
sur 34502 RECONSTRUCTION OF VENA CAVA, ANY METHOD $1,360.44
sur 34510 VENOUS VALVE TRANSPOSITION, ANY VEIN DONOR $997.30
sur 34520 CROSS-OVER VEIN GRAFT TO VENOUS SYSTEM $919.49
sur 34530 SAPHENOPOPLITEAL VEIN ANASTOMOSIS $862.19
sur 34800 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; USING $1,022.34
sur 34802 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; $1,129.85
sur 34803 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; $1,167.39
sur 34804 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; $1,130.90
sur 34805 ENDOVASCULAR REPAIR OF INFRARENAL ABDOMINAL AORTIC ANEURYSM OR DISSECTION; $1,074.95
sur 34808 ENDOVASCULAR PLACEMENT OF ILIAC ARTERY OCCLUSION DEVICE (LIST SEPARATELY IN $185.32
sur 34812 OPEN FEMORAL ARTERY EXPOSURE FOR DELIVERY OF ENDOVASCULAR PROSTHESIS, BY GROIN $304.50
sur 34813 PLACEMENT OF FEMORAL-FEMORAL PROSTHETIC GRAFT DURING ENDOVASCULAR AORTIC $215.04
sur 34820 OPEN ILIAC ARTERY EXPOSURE FOR DELIVERY OF ENDOVASCULAR PROSTHESIS OR ILIAC $439.10
sur 34825 PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF $633.73
sur 34826 PLACEMENT OF PROXIMAL OR DISTAL EXTENSION PROSTHESIS FOR ENDOVASCULAR REPAIR OF $185.93
sur 34830 OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF $1,634.90
sur 34831 OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF $1,744.39
sur 34832 OPEN REPAIR OF INFRARENAL AORTIC ANEURYSM OR DISSECTION, PLUS REPAIR OF $1,757.85
sur 34833 OPEN ILIAC ARTERY EXPOSURE WITH CREATION OF CONDUIT FOR DELIVERY OF AORTIC OR IL $551.86
sur 34834 OPEN BRACHIAL ARTERY EXPOSURE TO ASSIST IN THE DEPLOYMENT OF AORTIC OR ILIAC END $249.41
sur 34900 ENDOVASCULAR REPAIR OF ILIAC ARTERY (EG, ANEURYSM, PSEUDOANEURYSM, ARTERIOVENOUS $813.71
sur 35001 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND GR $1,021.47
sur 35002 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,047.25
sur 35005 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $992.00
sur 35011 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $900.95
sur 35013 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,127.47
sur 35021 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,069.22
sur 35022 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,252.98
sur 35045 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $883.64
sur 35081 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,589.42
sur 35082 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,982.38
sur 35091 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,638.75
sur 35092 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $2,361.83
sur 35102 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,716.75
sur 35103 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $2,033.76
sur 35111 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,288.20
sur 35112 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,581.18
sur 35121 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,494.63
sur 35122 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,735.08
sur 35131 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,265.20
sur 35132 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,507.66
sur 35141 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,006.02
sur 35142 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,205.06
sur 35151 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,135.64
sur 35152 DIRECT REPAIR OF ANEURYSM, PSEUDOANEURYSM, OR EXCISION (PARTIAL OR TOTAL) AND $1,300.39
sur 35180 REPAIR, CONGENITAL ARTERIOVENOUS FISTULA; HEAD AND NECK $824.31
sur 35182 REPAIR, CONGENITAL ARTERIOVENOUS FISTULA; THORAX AND ABDOMEN $1,532.98
sur 35184 REPAIR, CONGENITAL ARTERIOVENOUS FISTULA; EXTREMITIES $915.25
sur 35188 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; HEAD AND NECK $737.35
sur 35189 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; THORAX AND ABDOMEN $1,494.50
sur 35190 REPAIR, ACQUIRED OR TRAUMATIC ARTERIOVENOUS FISTULA; EXTREMITIES $674.67
sur 35201 REPAIR BLOOD VESSEL, DIRECT; NECK $841.75
sur 35206 REPAIR BLOOD VESSEL, DIRECT; UPPER EXTREMITY $691.21
sur 35207 REPAIR BLOOD VESSEL, DIRECT; HAND, FINGER $633.63
sur 35211 REPAIR BLOOD VESSEL, DIRECT; INTRATHORACIC, WITH BYPASS $1,225.14
sur 35216 REPAIR BLOOD VESSEL, DIRECT; INTRATHORACIC, WITHOUT BYPASS $1,782.02
sur 35221 REPAIR BLOOD VESSEL, DIRECT; INTRA-ABDOMINAL $1,267.00
sur 35226 REPAIR BLOOD VESSEL, DIRECT; LOWER EXTREMITY $756.33
sur 35231 REPAIR BLOOD VESSEL WITH VEIN GRAFT; NECK $1,047.06
sur 35236 REPAIR BLOOD VESSEL WITH VEIN GRAFT; UPPER EXTREMITY $878.50
sur 35241 REPAIR BLOOD VESSEL WITH VEIN GRAFT; INTRATHORACIC, WITH BYPASS $1,289.60
sur 35246 REPAIR BLOOD VESSEL WITH VEIN GRAFT; INTRATHORACIC, WITHOUT BYPASS $1,345.40
sur 35251 REPAIR BLOOD VESSEL WITH VEIN GRAFT; INTRA-ABDOMINAL $1,500.78
sur 35256 REPAIR BLOOD VESSEL WITH VEIN GRAFT; LOWER EXTREMITY $920.39
sur 35261 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; NECK $945.56
sur 35266 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; UPPER EXTREMITY $777.59
sur 35271 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; INTRATHORACIC, WITH BYPASS $1,230.69
sur 35276 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; INTRATHORACIC, WITHOUT BYPASS $1,279.08
sur 35281 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; INTRA-ABDOMINAL $1,437.83
sur 35286 REPAIR BLOOD VESSEL WITH GRAFT OTHER THAN VEIN; LOWER EXTREMITY $849.21
sur 35301 THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; CAROTID, VERTEBRAL, $952.35
sur 35302 THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; SUPERFICIAL FEMORAL $1,015.79
sur 35303 THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; POPLITEAL ARTERY $1,120.47
sur 35304 THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; TIBIOPERONEAL TRUNK $1,160.35
sur 35305 THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; TIBIAL OR PERONEAL A $1,117.89
sur 35306 THROMBOENDARTERECTOMY, INCLUDING PATCH GRAFT, IF PERFORMED; EACH ADDITIONAL TIBI $428.23
sur 35311 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; SUBCLAVIAN, INNOMINATE, BY $1,368.80
sur 35321 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; AXILLARY-BRACHIAL $808.61
sur 35331 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; ABDOMINAL AORTA $1,331.07
sur 35341 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; MESENTERIC, CELIAC, OR RENAL $1,244.56
sur 35351 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; ILIAC $1,167.23
sur 35355 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; ILIOFEMORAL $946.74
sur 35361 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; COMBINED AORTOILIAC $1,413.60
sur 35363 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; COMBINED AORTOILIOFEMORAL $1,562.02
sur 35371 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; COMMON FEMORAL $747.45
sur 35372 THROMBOENDARTERECTOMY, WITH OR WITHOUT PATCH GRAFT; DEEP (PROFUNDA) FEMORAL $893.42
sur 35390 REOPERATION, CAROTID, THROMBOENDARTERECTOMY, MORE THAN ONE MONTH AFTER ORIGINAL $144.52
sur 35400 ANGIOSCOPY (NON-CORONARY VESSELS OR GRAFTS) DURING THERAPEUTIC INTERVENTION (LIS $135.64
sur 35450 TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; RENAL OR OTHER VISCERAL ARTERY $464.90
sur 35452 TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; AORTIC $323.43
sur 35458 TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; BRACHIOCEPHALIC TRUNK OR BRANCHES, EACH $441.63
sur 35460 TRANSLUMINAL BALLOON ANGIOPLASTY, OPEN; VENOUS $281.69
sur 35471 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; RENAL OR VISCERAL ARTERY $2,492.79
sur 35472 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; AORTIC $1,804.91
sur 35475 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; BRACHIOCEPHALIC TRUNK OR $1,959.90
sur 35476 TRANSLUMINAL BALLOON ANGIOPLASTY, PERCUTANEOUS; VENOUS $1,481.06
sur 35500 HARVEST OF UPPER EXTREMITY VEIN, ONE SEGMENT, FOR LOWER EXTREMITY OR CORONARY AR $290.98
sur 35501 BYPASS GRAFT, WITH VEIN; COMMON CAROTID-IPSILATERAL INTERNAL CAROTID $1,424.35
sur 35506 BYPASS GRAFT, WITH VEIN; CAROTID-SUBCLAVIAN OR SUBCLAVIAN-CAROTID $1,213.82
sur 35508 BYPASS GRAFT, WITH VEIN; CAROTID-VERTEBRAL $1,281.10
sur 35509 BYPASS GRAFT, WITH VEIN; CAROTID-CONTRALATERAL CAROTID $1,352.28
sur 35510 BYPASS GRAFT, WITH VEIN; CAROTID-BRACHIAL $1,146.22
sur 35511 BYPASS GRAFT, WITH VEIN; SUBCLAVIAN-SUBCLAVIAN $1,120.66
sur 35512 BYPASS GRAFT, WITH VEIN; SUBCLAVIAN-BRACHIAL $1,120.67
sur 35515 BYPASS GRAFT, WITH VEIN; SUBCLAVIAN-VERTEBRAL $1,215.57
sur 35516 BYPASS GRAFT, WITH VEIN; SUBCLAVIAN-AXILLARY $1,117.28
sur 35518 BYPASS GRAFT, WITH VEIN; AXILLARY-AXILLARY $1,069.67
sur 35521 BYPASS GRAFT, WITH VEIN; AXILLARY-FEMORAL $1,204.08
sur 35522 BYPASS GRAFT, WITH VEIN; AXILLARY-BRACHIAL $1,112.98
sur 35523 BYPASS GRAFT, WITH VEIN; BRACHIAL-ULNAR OR -RADIAL $1,168.49
sur 35525 BYPASS GRAFT, WITH VEIN; BRACHIAL-BRACHIAL $1,037.93
sur 35526 BYPASS GRAFT, WITH VEIN; AORTOSUBCLAVIAN, AORTOINNOMINATE, OR AORTOCAROTID $1,495.35
sur 35531 BYPASS GRAFT, WITH VEIN; AORTOCELIAC OR AORTOMESENTERIC $1,837.73
sur 35533 BYPASS GRAFT, WITH VEIN; AXILLARY-FEMORAL-FEMORAL $1,479.53
sur 35535 Bypass graft, with vein; hepatorenal $1,611.76
sur 35536 BYPASS GRAFT, WITH VEIN; SPLENORENAL $1,563.50
sur 35537 BYPASS GRAFT, WITH VEIN; AORTOILIAC $2,035.87
sur 35538 BYPASS GRAFT, WITH VEIN; AORTOBI-ILIAC $2,282.08
sur 35539 BYPASS GRAFT, WITH VEIN; AORTOFEMORAL $2,022.12
sur 35540 BYPASS GRAFT, WITH VEIN; AORTOBIFEMORAL $2,311.20
sur 35548 BYPASS GRAFT, WITH VEIN; AORTOILIOFEMORAL, UNILATERAL $1,075.96
sur 35549 BYPASS GRAFT, WITH VEIN; AORTOILIOFEMORAL, BILATERAL $1,245.41
sur 35551 BYPASS GRAFT, WITH VEIN; AORTOFEMORAL-POPLITEAL $1,374.53
sur 35556 BYPASS GRAFT, WITH VEIN; FEMORAL-POPLITEAL $1,271.59
sur 35558 BYPASS GRAFT, WITH VEIN; FEMORAL-FEMORAL $1,121.85
sur 35560 BYPASS GRAFT, WITH VEIN; AORTORENAL $1,585.88
sur 35563 BYPASS GRAFT, WITH VEIN; ILIOILIAC $1,224.47
sur 35565 BYPASS GRAFT, WITH VEIN; ILIOFEMORAL $1,202.27
sur 35566 BYPASS GRAFT, WITH VEIN; FEMORAL-ANTERIOR TIBIAL, POSTERIOR TIBIAL, PERONEAL $1,523.76
sur 35570 Bypass graft, with vein; tibial-tibial, peroneal-tibial, or tibial/peroneal trun $1,250.14
sur 35571 BYPASS GRAFT, WITH VEIN; POPLITEAL-TIBIAL, -PERONEAL ARTERY OR OTHER DISTAL $1,217.33
sur 35572 HARVEST OF FEMOROPOPLITEAL VEIN, ONE SEGMENT, FOR VASCULAR RECONSTRUCTION $313.62
sur 35583 IN-SITU VEIN BYPASS; FEMORAL-POPLITEAL $1,315.20
sur 35585 IN-SITU VEIN BYPASS; FEMORAL-ANTERIOR TIBIAL, POSTERIOR TIBIAL, OR PERONEAL $1,529.41
sur 35587 IN-SITU VEIN BYPASS; POPLITEAL-TIBIAL, PERONEAL $1,259.21
sur 35600 HARVEST OF UPPER EXTREMITY ARTERY, ONE SEGMENT, FOR CORONARY ARTERY BYPASS PROCE $230.96
sur 35601 BYPASS GRAFT, WITH OTHER THAN VEIN; COMMON CAROTID-IPSILATERAL INTERNAL CAROTID $1,324.66
sur 35606 BYPASS GRAFT, WITH OTHER THAN VEIN; CAROTID-SUBCLAVIAN $1,072.42
sur 35612 BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-SUBCLAVIAN $820.00
sur 35616 BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-AXILLARY $1,065.59
sur 35621 BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-FEMORAL $1,004.28
sur 35623 BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-POPLITEAL OR -TIBIAL $1,288.09
sur 35626 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOSUBCLAVIAN, AORTOINNOMINATE, OR AORTOCA $1,413.48
sur 35631 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOCELIAC, AORTOMESENTERIC, AORTORENAL $1,683.89
sur 35632 Bypass graft, with other than vein; ilio-celiac $1,530.54
sur 35633 Bypass graft, with other than vein; ilio-mesenteric $1,672.28
sur 35634 Bypass graft, with other than vein; iliorenal $1,513.10
sur 35636 BYPASS GRAFT, WITH OTHER THAN VEIN; SPLENORENAL (SPLENIC TO RENAL ARTERIAL $1,562.35
sur 35637 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOILIAC $1,560.48
sur 35638 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOBI-ILIAC $1,595.06
sur 35642 BYPASS GRAFT, WITH OTHER THAN VEIN; CAROTID-VERTEBRAL $983.39
sur 35645 BYPASS GRAFT, WITH OTHER THAN VEIN; SUBCLAVIAN-VERTEBRAL $937.33
sur 35646 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOBIFEMORAL $1,564.01
sur 35647 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL $1,420.25
sur 35650 BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-AXILLARY $972.60
sur 35651 BYPASS GRAFT, WITH OTHER THAN VEIN; AORTOFEMORAL-POPLITEAL $1,217.38
sur 35654 BYPASS GRAFT, WITH OTHER THAN VEIN; AXILLARY-FEMORAL-FEMORAL $1,252.30
sur 35656 BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-POPLITEAL $986.56
sur 35661 BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-FEMORAL $990.83
sur 35663 BYPASS GRAFT, WITH OTHER THAN VEIN; ILIOILIAC $1,142.33
sur 35665 BYPASS GRAFT, WITH OTHER THAN VEIN; ILIOFEMORAL $1,071.77
sur 35666 BYPASS GRAFT, WITH OTHER THAN VEIN; FEMORAL-ANTERIOR TIBIAL, POSTERIOR TIBIAL, $1,158.88
sur 35671 BYPASS GRAFT, WITH OTHER THAN VEIN; POPLITEAL-TIBIAL OR -PERONEAL ARTERY $1,020.96
sur 35681 BYPASS GRAFT; COMPOSITE, PROSTHETIC AND VEIN (LIST SEPARATELY IN ADDITION TO COD $72.53
sur 35682 BYPASS GRAFT; AUTOGENOUS COMPOSITE, TWO SEGMENTS OF VEINS FROM TWO LOCATIONS $322.84
sur 35685 PLACEMENT OF VEIN PATCH OR CUFF AT DISTAL ANASTOMOSIS OF BYPASS GRAFT, SYNTHETIC $181.78
sur 35686 CREATION OF DISTAL ARTERIOVENOUS FISTULA DURING LOWER EXTREMITY BYPASS SURGERY $150.85
sur 35691 TRANSPOSITION AND/OR REIMPLANTATION; VERTEBRAL TO CAROTID ARTERY $880.50
sur 35693 TRANSPOSITION AND/OR REIMPLANTATION; VERTEBRAL TO SUBCLAVIAN ARTERY $780.17
sur 35694 TRANSPOSITION AND/OR REIMPLANTATION; SUBCLAVIAN TO CAROTID ARTERY $929.52
sur 35695 TRANSPOSITION AND/OR REIMPLANTATION; CAROTID TO SUBCLAVIAN ARTERY $951.87
sur 35697 REIMPLANTATION, VISCERAL ARTERY TO INFRARENAL AORTIC PROSTHESIS, EACH ARTERY $135.33
sur 35700 REOPERATION, FEMORAL-POPLITEAL OR FEMORAL (POPLITEAL) -ANTERIOR TIBIAL, POSTERIO $139.34
sur 35701 EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; $492.03
sur 35721 EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; $409.48
sur 35741 EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; $453.98
sur 35761 EXPLORATION (NOT FOLLOWED BY SURGICAL REPAIR), WITH OR WITHOUT LYSIS OF ARTERY; $340.45
sur 35800 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; NECK $434.66
sur 35820 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; CHEST $1,753.41
sur 35840 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; ABDOMEN $567.16
sur 35860 EXPLORATION FOR POSTOPERATIVE HEMORRHAGE, THROMBOSIS OR INFECTION; EXTREMITY $366.43
sur 35870 REPAIR OF GRAFT-ENTERIC FISTULA $1,220.15
sur 35875 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT (OTHER THAN HEMODIALYSIS GRAFT OR $540.20
sur 35876 THROMBECTOMY OF ARTERIAL OR VENOUS GRAFT (OTHER THAN HEMODIALYSIS GRAFT OR $859.88
sur 35879 REVISION, LOWER EXTREMITY ARTERIAL BYPASS, WITHOUT THROMBECTOMY, OPEN; WITH $844.92
sur 35881 REVISION, LOWER EXTREMITY ARTERIAL BYPASS, WITHOUT THROMBECTOMY, OPEN; WITH $935.45
sur 35883 REVISION, FEMORAL ANASTOMOSIS OF SYNTHETIC ARTERIAL BYPASS GRAFT IN GROIN, OPEN; $1,095.22
sur 35884 REVISION, FEMORAL ANASTOMOSIS OF SYNTHETIC ARTERIAL BYPASS GRAFT IN GROIN, OPEN; $1,139.35
sur 35901 EXCISION OF INFECTED GRAFT; NECK $455.59
sur 35903 EXCISION OF INFECTED GRAFT; EXTREMITY $512.12
sur 35905 EXCISION OF INFECTED GRAFT; THORAX $1,559.51
sur 35907 EXCISION OF INFECTED GRAFT; ABDOMEN $1,746.92
sur 36000 INTRODUCTION OF NEEDLE OR INTRACATHETER, VEIN $21.23
sur 36002 INJECTION PROCEDURES (EG, THROMBIN) FOR PERCUTANEOUS TREATMENT OF EXTREMITY $142.49
sur 36005 INJECTION PROCEDURE FOR EXTREMITY VENOGRAPHY (INCLUDING INTRODUCTION OF NEEDLE $294.77
sur 36010 INTRODUCTION OF CATHETER, SUPERIOR OR INFERIOR VENA CAVA $479.33
sur 36011 SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM; FIRST ORDER BRANCH (EG, RENAL $785.81
sur 36012 SELECTIVE CATHETER PLACEMENT, VENOUS SYSTEM; SECOND ORDER, OR MORE SELECTIVE, $762.06
sur 36013 INTRODUCTION OF CATHETER, RIGHT HEART OR MAIN PULMONARY ARTERY $693.50
sur 36014 SELECTIVE CATHETER PLACEMENT, LEFT OR RIGHT PULMONARY ARTERY $727.52
sur 36015 SELECTIVE CATHETER PLACEMENT, SEGMENTAL OR SUBSEGMENTAL PULMONARY ARTERY $790.73
sur 36100 INTRODUCTION OF NEEDLE OR INTRACATHETER, CAROTID OR VERTEBRAL ARTERY $453.74
sur 36120 INTRODUCTION OF NEEDLE OR INTRACATHETER; RETROGRADE BRACHIAL ARTERY $385.46
sur 36140 INTRODUCTION OF NEEDLE OR INTRACATHETER; EXTREMITY ARTERY $411.41
sur 36147 Introduction of needle and/or catheter, arteriovenous shunt created for dialysis $698.01
sur 36148 Introduction of needle and/or catheter, arteriovenous shunt created for dialysis $220.04
sur 36160 INTRODUCTION OF NEEDLE OR INTRACATHETER, AORTIC, TRANSLUMBAR $445.78
sur 36200 INTRODUCTION OF CATHETER, AORTA $556.76
sur 36215 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; EACH FIRST ORDER THORACIC OR $988.97
sur 36216 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL SECOND ORDER THORACIC OR $1,088.19
sur 36217 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL THIRD ORDER OR MORE $1,776.73
sur 36218 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; ADDITIONAL SECOND ORDER, THIRD $164.65
sur 36245 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; EACH FIRST ORDER ABDOMINAL, $1,043.31
sur 36246 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL SECOND ORDER ABDOMINAL, $1,053.98
sur 36247 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; INITIAL THIRD ORDER OR MORE $1,656.70
sur 36248 SELECTIVE CATHETER PLACEMENT, ARTERIAL SYSTEM; ADDITIONAL SECOND ORDER, THIRD $138.30
sur 36260 INSERTION OF IMPLANTABLE INTRA-ARTERIAL INFUSION PUMP (EG, FOR CHEMOTHERAPY OF $532.14
sur 36261 REVISION OF IMPLANTED INTRA-ARTERIAL INFUSION PUMP $331.04
sur 36262 REMOVAL OF IMPLANTED INTRA-ARTERIAL INFUSION PUMP $249.85
sur 36299 UNLISTED PROCEDURE, VASCULAR INJECTION BR
sur 36400 VENIPUNCTURE, UNDER AGE 3 YEARS, NECESSITATING PHYSICIAN'S SKILL, NOT TO BE USED $24.73
sur 36405 VENIPUNCTURE, UNDER AGE 3 YEARS, NECESSITATING PHYSICIAN'S SKILL, NOT TO BE $20.39
sur 36406 VENIPUNCTURE, UNDER AGE 3 YEARS, NECESSITATING PHYSICIAN'S SKILL, NOT TO BE $14.65
sur 36410 VENIPUNCTURE, AGE 3 YEARS OR OLDER, NECESSITATING PHYSICIAN'S SKILL (SEPARATE $15.50
sur 36415 COLLECTION OF VENOUS BLOOD BY VENIPUNCTURE $2.62
sur 36416 COLLECTION OF CAPILLARY BLOOD SPECIMEN (EG, FINGER, HEEL, EAR STICK) $3.65
sur 36420 VENIPUNCTURE, CUTDOWN; UNDER AGE 1 YEAR $40.38
sur 36425 VENIPUNCTURE, CUTDOWN; AGE 1 OR OVER $33.97
sur 36430 TRANSFUSION, BLOOD OR BLOOD COMPONENTS $29.50
sur 36440 PUSH TRANSFUSION, BLOOD, 2 YEARS OR UNDER $48.45
sur 36450 EXCHANGE TRANSFUSION, BLOOD; NEWBORN $97.45
sur 36455 EXCHANGE TRANSFUSION, BLOOD; OTHER THAN NEWBORN $102.93
sur 36460 TRANSFUSION, INTRAUTERINE, FETAL $306.73
sur 36468 SINGLE OR MULTIPLE INJECTIONS OF SCLEROSING SOLUTIONS, SPIDER VEINS BR
sur 36469 SINGLE OR MULTIPLE INJECTIONS OF SCLEROSING SOLUTIONS, SPIDER VEINS BR
sur 36470 INJECTION OF SCLEROSING SOLUTION; SINGLE VEIN $122.17
sur 36471 INJECTION OF SCLEROSING SOLUTION; MULTIPLE VEINS, SAME LEG $150.30
sur 36475 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL $1,561.00
sur 36476 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL $341.21
sur 36478 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL $1,234.25
sur 36479 ENDOVENOUS ABLATION THERAPY OF INCOMPETENT VEIN, EXTREMITY, INCLUSIVE OF ALL $351.38
sur 36481 PERCUTANEOUS PORTAL VEIN CATHETERIZATION BY ANY METHOD $1,071.66
sur 36500 VENOUS CATHETERIZATION FOR SELECTIVE ORGAN BLOOD SAMPLING $158.84
sur 36510 CATHETERIZATION OF UMBILICAL VEIN FOR DIAGNOSIS OR THERAPY, NEWBORN $90.03
sur 36511 THERAPEUTIC APHERESIS; FOR WHITE BLOOD CELLS $81.40
sur 36512 THERAPEUTIC APHERESIS; FOR RED BLOOD CELLS $79.05
sur 36513 THERAPEUTIC APHERESIS; FOR PLATELETS $85.85
sur 36514 THERAPEUTIC APHERESIS; FOR PLASMA PHERESIS $439.89
sur 36515 THERAPEUTIC APHERESIS; WITH EXTRACORPOREAL IMMUNOADSORPTION AND PLASMA $1,638.03
sur 36516 THERAPEUTIC APHERESIS; WITH EXTRACORPOREAL SELECTIVE ADSORPTION OR SELECTIVE $1,810.05
sur 36522 PHOTOPHERESIS, EXTRACORPOREAL $1,152.16
sur 36555 INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; UNDER 5 YE $229.26
sur 36556 INSERTION OF NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER; AGE 5 $199.47
sur 36557 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT $797.52
sur 36558 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHETER, WITHOUT $687.22
sur 36560 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH $1,075.92
sur 36561 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH $1,006.27
sur 36563 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE WITH $1,069.56
sur 36565 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, $854.58
sur 36566 INSERTION OF TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, $3,799.50
sur 36568 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC), WITHOUT $253.61
sur 36569 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER (PICC), WITHOUT $219.75
sur 36570 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH $959.03
sur 36571 INSERTION OF PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, WITH $1,082.02
sur 36575 REPAIR OF TUNNELED OR NON-TUNNELED CENTRAL VENOUS ACCESS CATHETER, WITHOUT SUBCU $137.96
sur 36576 REPAIR OF CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR PUMP, CENTRAL $319.11
sur 36578 REPLACEMENT, CATHETER ONLY, OF CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS P $436.24
sur 36580 REPLACEMENT, COMPLETE, OF A NON-TUNNELED CENTRALLY INSERTED CENTRAL VENOUS CATHE $190.31
sur 36581 REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS $652.45
sur 36582 REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS $937.55
sur 36583 REPLACEMENT, COMPLETE, OF A TUNNELED CENTRALLY INSERTED CENTRAL VENOUS ACCESS $1,044.50
sur 36584 REPLACEMENT, COMPLETE, OF A PERIPHERALLY INSERTED CENTRAL VENOUS CATHETER $182.62
sur 36585 REPLACEMENT, COMPLETE, OF A PERIPHERALLY INSERTED CENTRAL VENOUS ACCESS DEVICE, $942.36
sur 36589 REMOVAL OF TUNNELED CENTRAL VENOUS CATHETER, WITHOUT SUBCUTANEOUS PORT OR PUMP $143.65
sur 36590 REMOVAL OF TUNNELED CENTRAL VENOUS ACCESS DEVICE, WITH SUBCUTANEOUS PORT OR $243.95
sur 36591 COLLECTION OF BLOOD SPECIMEN FROM A COMPLETELY IMPLANTABLE VENOUS ACCESS DEVICE $19.47
sur 36592 COLLECTION OF BLOOD SPECIMEN USING ESTABLISHED CENTRAL OR PERIPHERAL CATHETER, V $21.76
sur 36593 DECLOTTING BY THROMBOLYTIC AGENT OF IMPLANTED VASCULAR ACCESS DEVICE OR CATHETER $24.34
sur 36595 MECHANICAL REMOVAL OF PERICATHETER OBSTRUCTIVE MATERIAL (EG, FIBRIN SHEATH) FROM $502.46
sur 36596 MECHANICAL REMOVAL OF INTRALUMINAL (INTRACATHETER) OBSTRUCTIVE MATERIAL FROM $115.65
sur 36597 REPOSITIONING OF PREVIOUSLY PLACED CENTRAL VENOUS CATHETER UNDER FLUOROSCOPIC GU $107.26
sur 36598 CONTRAST INJECTION(S) FOR RADIOLOGIC EVALUATION OF EXISTING CENTRAL VENOUS ACCES $96.51
sur 36600 ARTERIAL PUNCTURE, WITHDRAWAL OF BLOOD FOR DIAGNOSIS $26.18
sur 36620 ARTERIAL CATHETERIZATION OR CANNULATION FOR SAMPLING, MONITORING OR TRANSFUSION $43.35
sur 36625 ARTERIAL CATHETERIZATION OR CANNULATION FOR SAMPLING, MONITORING OR TRANSFUSION $92.75
sur 36640 ARTERIAL CATHETERIZATION FOR PROLONGED INFUSION THERAPY (CHEMOTHERAPY), CUTDOWN $109.36
sur 36660 CATHETERIZATION, UMBILICAL ARTERY, NEWBORN, FOR DIAGNOSIS OR THERAPY $65.05
sur 36680 PLACEMENT OF NEEDLE FOR INTRAOSSEOUS INFUSION $51.44
sur 36800 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); VEIN $139.33
sur 36810 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); $184.73
sur 36815 INSERTION OF CANNULA FOR HEMODIALYSIS, OTHER PURPOSE (SEPARATE PROCEDURE); $131.97
sur 36818 ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM CEPHALIC VEIN TRANSPOSITION $596.52
sur 36819 ARTERIOVENOUS ANASTOMOSIS, OPEN; BY UPPER ARM BASILIC VEIN TRANSPOSITION $710.34
sur 36820 ARTERIOVENOUS ANASTOMOSIS, OPEN; BY FOREARM VEIN TRANSPOSITION $715.51
sur 36821 ARTERIOVENOUS ANASTOMOSIS, OPEN; DIRECT, ANY SITE (EG, CIMINO TYPE) (SEPARATE $609.40
sur 36822 INSERTION OF CANNULA(S) FOR PROLONGED EXTRACORPOREAL CIRCULATION FOR $333.97
sur 36823 INSERTION OF ARTERIAL AND VENOUS CANNULA(S) FOR ISOLATED EXTRACORPOREAL $1,144.52
sur 36825 CREATION OF ARTERIOVENOUS FISTULA BY OTHER THAN DIRECT ARTERIOVENOUS $723.29
sur 36830 CREATION OF ARTERIOVENOUS FISTULA BY OTHER THAN DIRECT ARTERIOVENOUS $585.58
sur 36831 THROMBECTOMY, OPEN, ARTERIOVENOUS FISTULA WITHOUT REVISION, AUTOGENOUS OR $406.65
sur 36832 REVISION, OPEN, ARTERIOVENOUS FISTULA; WITHOUT THROMBECTOMY, AUTOGENOUS OR $516.81
sur 36833 REVISION, OPEN, ARTERIOVENOUS FISTULA; WITH THROMBECTOMY, AUTOGENOUS OR $584.16
sur 36835 INSERTION OF THOMAS SHUNT (SEPARATE PROCEDURE) $424.19
sur 36838 DISTAL REVASCULARIZATION AND INTERVAL LIGATION (DRIL), UPPER EXTREMITY $1,036.57
sur 36860 EXTERNAL CANNULA DECLOTTING (SEPARATE PROCEDURE); WITHOUT BALLOON CATHETER $171.83
sur 36861 EXTERNAL CANNULA DECLOTTING (SEPARATE PROCEDURE); WITH BALLOON CATHETER $132.66
sur 36870 THROMBECTOMY, PERCUTANEOUS, ARTERIOVENOUS FISTULA, AUTOGENOUS OR NONAUTOGENOUS $1,595.58
sur 37140 VENOUS ANASTOMOSIS, OPEN; PORTOCAVAL $1,247.75
sur 37145 VENOUS ANASTOMOSIS, OPEN; RENOPORTAL $1,308.88
sur 37160 VENOUS ANASTOMOSIS, OPEN; CAVAL-MESENTERIC $1,153.32
sur 37180 VENOUS ANASTOMOSIS, OPEN; SPLENORENAL, PROXIMAL $1,288.76
sur 37181 VENOUS ANASTOMOSIS, OPEN; SPLENORENAL, DISTAL (SELECTIVE DECOMPRESSION OF $1,391.24
sur 37182 INSERTION OF TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT(S) (TIPS) (INCLUDE3 $747.28
sur 37183 REVISION OF TRANSVENOUS INTRAHEPATIC PORTOSYSTEMIC SHUNT(S) (TIPS) (INCLUDES VEN $4,596.51
sur 37184 PRIMARY PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, NONCORONARY, ARTERIAL $2,040.61
sur 37185 PRIMARY PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, NONCORONARY, ARTERIAL $673.79
sur 37186 SECONDARY PERCUTANEOUS TRANSLUMINAL THROMBECTOMY (EG, NONPRIMARY MECHANICAL, SNA $1,327.53
sur 37187 PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, VEIN(S), INCLUDING INTRAPROCE $1,942.80
sur 37188 PERCUTANEOUS TRANSLUMINAL MECHANICAL THROMBECTOMY, VEIN(S), INCLUDING INTRAPROCE $1,638.51
sur 37195 THROMBOLYSIS, CEREBRAL, BY INTRAVENOUS INFUSION $274.58
sur 37200 TRANSCATHETER BIOPSY $197.97
sur 37201 TRANSCATHETER THERAPY, INFUSION FOR THROMBOLYSIS OTHER THAN CORONARY $244.49
sur 37202 TRANSCATHETER THERAPY, INFUSION OTHER THAN FOR THROMBOLYSIS, ANY TYPE (EG, $296.70
sur 37203 TRANSCATHETER RETRIEVAL, PERCUTANEOUS, OF INTRAVASCULAR FOREIGN BODY (EG, $1,149.04
sur 37204 TRANSCATHETER OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, TO ACHIEVE $796.77
sur 37205 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (EXCEPT CORONARY, CAROTID, $3,669.07
sur 37206 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (EXCEPT CORONARY, CAROTID, $2,206.26
sur 37207 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (EXCEPT CORONARY, CAROTID, $384.00
sur 37208 TRANSCATHETER PLACEMENT OF AN INTRAVASCULAR STENT(S) (EXCEPT CORONARY, CAROTID, $185.55
sur 37209 EXCHANGE OF A PREVIOUSLY PLACED INTRAVASCULAR CATHETER DURING THROMBOLYTIC THERA $100.46
sur 37210 UTERINE FIBROID EMBOLIZATION (UFE, EMBOLIZATION OF THE UTERINE ARTERIES TO TREAT $3,053.54
sur 37215 TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CERVICAL CAROTID ARTERY, $985.23
sur 37216 TRANSCATHETER PLACEMENT OF INTRAVASCULAR STENT(S), CERVICAL CAROTID ARTERY, $874.37
sur 37220 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, UNILATERAL, $2,675.61
sur 37221 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, UNILATERAL, $3,953.54
sur 37222 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, EACH ADDITI $771.70
sur 37223 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, ILIAC ARTERY, EACH ADDITI $2,177.06
sur 37224 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL/POPLITEAL ARTERY( $3,214.47
sur 37225 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL/POPLITEAL ARTERY( $9,073.40
sur 37226 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL/POPLITEAL ARTERY( $7,596.54
sur 37227 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, FEMORAL/POPLITEAL ARTERY( $12,266.35
sur 37228 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, U $4,575.39
sur 37229 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, U $8,996.11
sur 37230 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, U $7,068.80
sur 37231 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, U $11,341.16
sur 37232 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, U $1,027.89
sur 37233 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, U $1,256.40
sur 37234 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, U $3,272.10
sur 37235 REVASCULARIZATION, ENDOVASCULAR, OPEN OR PERCUTANEOUS, TIBIAL/PERONEAL ARTERY, U $3,496.09
sur 37250 INTRAVASCULAR ULTRASOUND (NON-CORONARY VESSEL) DURING DIAGNOSTIC EVALUATION AND/ $97.26
sur 37251 INTRAVASCULAR ULTRASOUND (NON-CORONARY VESSEL) DURING DIAGNOSTIC EVALUATION $72.58
sur 37500 VASCULAR ENDOSCOPY, SURGICAL, WITH LIGATION OF PERFORA $615.08
sur 37501 UNLISTED VASCULAR ENDOSCOPY PROCEDURE BR
sur 37565 LIGATION, INTERNAL JUGULAR VEIN $624.84
sur 37600 LIGATION; EXTERNAL CAROTID ARTERY $627.07
sur 37605 LIGATION; INTERNAL OR COMMON CAROTID ARTERY $717.41
sur 37606 LIGATION; INTERNAL OR COMMON CAROTID ARTERY, WITH GRADUAL OCCLUSION, AS WITH $446.12
sur 37607 LIGATION OR BANDING OF ANGIOACCESS ARTERIOVENOUS FISTULA $333.56
sur 37609 LIGATION OR BIOPSY, TEMPORAL ARTERY $260.97
sur 37615 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); NECK $444.95
sur 37616 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); CHEST $955.06
sur 37617 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); ABDOMEN $1,143.75
sur 37618 LIGATION, MAJOR ARTERY (EG, POST-TRAUMATIC, RUPTURE); EXTREMITY $336.71
sur 37620 INTERRUPTION, PARTIAL OR COMPLETE, OF INFERIOR VENA CAVA BY SUTURE, LIGATION, $569.35
sur 37650 LIGATION OF FEMORAL VEIN $432.78
sur 37660 LIGATION OF COMMON ILIAC VEIN $1,093.98
sur 37700 LIGATION AND DIVISION OF LONG SAPHENOUS VEIN AT SAPHENOFEMORAL JUNCTION, OR $222.83
sur 37718 LIGATION, DIVISION, AND STRIPPING, SHORT SAPHENOUS VEIN $385.17
sur 37722 LIGATION, DIVISION, AND STRIPPING, LONG (GREATER) SAPHENOUS VEINS FROM SAPHENOFE $428.75
sur 37735 LIGATION AND DIVISION AND COMPLETE STRIPPING OF LONG OR SHORT SAPHENOUS VEINS $556.99
sur 37760 LIGATION OF PERFORATOR VEINS, SUBFASCIAL, RADICAL (LINTON TYPE), INCLUDING SKIN $567.48
sur 37761 Ligation of perforator vein(s), subfascial, open, including ultrasound guidance, $495.41
sur 37765 STAB PHLEBECTOMY OF VARICOSE VEINS, ONE EXTREMITY; 10-20 STAB INCISIONS $571.43
sur 37766 STAB PHLEBECTOMY OF VARICOSE VEINS, ONE EXTREMITY; MORE THAN 20 INCISIONS $680.68
sur 37780 LIGATION AND DIVISION OF SHORT SAPHENOUS VEIN AT SAPHENOPOPLITEAL JUNCTION $229.72
sur 37785 LIGATION, DIVISION, AND/OR EXCISION OF VARICOSE VEIN CLUSTER(S), ONE LEG $309.67
sur 37788 PENILE REVASCULARIZATION, ARTERY, WITH OR WITHOUT VEIN GRAFT $1,204.64
sur 37790 PENILE VENOUS OCCLUSIVE PROCEDURE $418.30
sur 37799 UNLISTED PROCEDURE, VASCULAR SURGERY BR
sur 38100 SPLENECTOMY (SEPARATE PROCEDURE); TOTAL $954.44
sur 38101 SPLENECTOMY; PARTIAL (SEPARATE PROCEDURE) $961.73
sur 38102 SPLENECTOMY; TOTAL, EN BLOC FOR EXTENSIVE DISEASE, IN CONJUNCTION WITH OTHER $220.71
sur 38115 REPAIR OF RUPTURED SPLEEN (SPLENORRHAPHY) WITH OR WITHOUT PARTIAL SPLENECTOMY $1,054.32
sur 38120 LAPAROSCOPY, SURGICAL, SPLENECTOMY $873.94
sur 38129 UNLISTED LAPAROSCOPY PROCEDURE, SPLEEN BR
sur 38200 INJECTION PROCEDURE FOR SPLENOPORTOGRAPHY $127.26
sur 38204 MANAGEMENT OF RECIPIENT HEMATOPOIETIC PROGENITOR CELL DONOR SEARCH AND CELL ACQU $86.38
sur 38205 BLOOD-DERIVED HEMATOPOIETIC PROGENITOR CELL HARVESTING FOR TRANSPLANTATION, PER $67.92
sur 38206 BLOOD-DERIVED HEMATOPOIETIC PROGENITOR CELL HARVESTING FOR TRANSPLANTATION, PER $68.72
sur 38207 TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; CRYOPRESERVATION AND $40.45
sur 38208 TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; THAWING OF PREVIOUSLY $25.70
sur 38209 TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; THAWING OF PREVIOUSLY $10.99
sur 38210 TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; SPECIFIC CELL $71.92
sur 38211 TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; TUMOR CELL DEPLETION $65.26
sur 38212 TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; RED BLOOD CELL REMOVAL $42.77
sur 38213 TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; PLATELET DEPLETION $10.99
sur 38214 TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; PLASMA (VOLUME) $36.98
sur 38215 TRANSPLANT PREPARATION OF HEMATOPOIETIC PROGENITOR CELLS; CELL CONCENTRATION IN $42.77
sur 38220 BONE MARROW; ASPIRATION ONLY $127.83
sur 38221 BONE MARROW; BIOPSY, NEEDLE OR TROCAR $138.35
sur 38230 BONE MARROW HARVESTING FOR TRANSPLANTATION $289.58
sur 38240 BONE MARROW OR BLOOD-DERIVED PERIPHERAL STEM CELL TRANSPLANTATION; ALLOGENIC $106.52
sur 38241 BONE MARROW OR BLOOD-DERIVED PERIPHERAL STEM CELL TRANSPLANTATION; AUTOLOGOUS $106.28
sur 38242 BONE MARROW OR BLOOD-DERIVED PERIPHERAL STEM CELL TRANSPLANTATION; ALLOGENEIC $81.16
sur 38300 DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; SIMPLE $229.86
sur 38305 DRAINAGE OF LYMPH NODE ABSCESS OR LYMPHADENITIS; EXTENSIVE $386.87
sur 38308 LYMPHANGIOTOMY OR OTHER OPERATIONS ON LYMPHATIC CHANNELS $375.21
sur 38380 SUTURE AND/OR LIGATION OF THORACIC DUCT; CERVICAL APPROACH $483.95
sur 38381 SUTURE AND/OR LIGATION OF THORACIC DUCT; THORACIC APPROACH $696.27
sur 38382 SUTURE AND/OR LIGATION OF THORACIC DUCT; ABDOMINAL APPROACH $569.19
sur 38500 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, SUPERFICIAL $270.50
sur 38505 BIOPSY OR EXCISION OF LYMPH NODE(S); BY NEEDLE, SUPERFICIAL (EG, CERVICAL, $106.35
sur 38510 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP CERVICAL NODE(S) $433.85
sur 38520 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP CERVICAL NODE(S) WITH EXCISION $390.59
sur 38525 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, DEEP AXILLARY NODE(S) $358.03
sur 38530 BIOPSY OR EXCISION OF LYMPH NODE(S); OPEN, INTERNAL MAMMARY NODE(S) $457.19
sur 38542 DISSECTION, DEEP JUGULAR NODE(S) $439.08
sur 38550 EXCISION OF CYSTIC HYGROMA, AXILLARY OR CERVICAL; WITHOUT DEEP NEUROVASCULAR $413.35
sur 38555 EXCISION OF CYSTIC HYGROMA, AXILLARY OR CERVICAL; WITH DEEP NEUROVASCULAR $841.93
sur 38562 LIMITED LYMPHADENECTOMY FOR STAGING (SEPARATE PROCEDURE); PELVIC AND PARA-AORTIC $587.77
sur 38564 LIMITED LYMPHADENECTOMY FOR STAGING (SEPARATE PROCEDURE); RETROPERITONEAL $589.92
sur 38570 LAPAROSCOPY, SURGICAL; WITH RETROPERITONEAL LYMPH NODE SAMPLING (BIOPSY), SINGLE $456.31
sur 38571 LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY $692.31
sur 38572 LAPAROSCOPY, SURGICAL; WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND $798.97
sur 38589 UNLISTED LAPAROSCOPY PROCEDURE, LYMPHATIC SYSTEM BR
sur 38700 SUPRAHYOID LYMPHADENECTOMY $682.44
sur 38720 CERVICAL LYMPHADENECTOMY (COMPLETE) $1,139.29
sur 38724 CERVICAL LYMPHADENECTOMY (MODIFIED RADICAL NECK DISSECTION) $1,233.78
sur 38740 AXILLARY LYMPHADENECTOMY; SUPERFICIAL $570.07
sur 38745 AXILLARY LYMPHADENECTOMY; COMPLETE $724.12
sur 38746 THORACIC LYMPHADENECTOMY, REGIONAL, INCLUDING MEDIASTINAL AND PERITRACHEAL $225.90
sur 38747 ABDOMINAL LYMPHADENECTOMY, REGIONAL, INCLUDING CELIAC, GASTRIC, PORTAL, $224.98
sur 38760 INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, INCLUDING CLOQUETS NODE (SEPARATE $704.26
sur 38765 INGUINOFEMORAL LYMPHADENECTOMY, SUPERFICIAL, IN CONTINUITY WITH PELVIC $1,083.39
sur 38770 PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL ILIAC, HYPOGASTRIC, AND OBTURATOR $687.94
sur 38780 RETROPERITONEAL TRANSABDOMINAL LYMPHADENECTOMY, EXTENSIVE, INCLUDING PELVIC, $879.55
sur 38790 INJECTION PROCEDURE; LYMPHANGIOGRAPHY $71.21
sur 38792 INJECTION PROCEDURE; FOR IDENTIFICATION OF SENTINEL NODE $34.19
sur 38794 CANNULATION, THORACIC DUCT $254.18
sur 38900 INTRAOPERATIVE IDENTIFICATION (EG, MAPPING) OF SENTINEL LYMPH NODE(S), INCLUDES $115.92
sur 38999 UNLISTED PROCEDURE, HEMIC OR LYMPHATIC SYSTEM BR
sur 39000 MEDIASTINOTOMY WITH EXPLORATION, DRAINAGE, REMOVAL OF FOREIGN BODY, OR BIOPSY; C $427.60
sur 39010 MEDIASTINOTOMY WITH EXPLORATION, DRAINAGE, REMOVAL OF FOREIGN BODY, OR BIOPSY; $693.04
sur 39200 EXCISION OF MEDIASTINAL CYST $767.36
sur 39220 EXCISION OF MEDIASTINAL TUMOR $990.67
sur 39400 MEDIASTINOSCOPY, WITH OR WITHOUT BIOPSY $439.16
sur 39499 UNLISTED PROCEDURE, MEDIASTINUM BR
sur 39501 REPAIR, LACERATION OF DIAPHRAGM, ANY APPROACH $715.29
sur 39503 REPAIR, NEONATAL DIAPHRAGMATIC HERNIA, WITH OR WITHOUT CHEST TUBE INSERTION AND $5,105.80
sur 39540 REPAIR, DIAPHRAGMATIC HERNIA (OTHER THAN NEONATAL), TRAUMATIC; ACUTE $733.29
sur 39541 REPAIR, DIAPHRAGMATIC HERNIA (OTHER THAN NEONATAL), TRAUMATIC; CHRONIC $794.62
sur 39545 IMBRICATION OF DIAPHRAGM FOR EVENTRATION, TRANSTHORACIC OR TRANSABDOMINAL, $771.41
sur 39560 RESECTION, DIAPHRAGM; WITH SIMPLE REPAIR (EG, PRIMARY SUTURE) $670.74
sur 39561 RESECTION, DIAPHRAGM; WITH COMPLEX REPAIR (EG, PROSTHETIC MATERIAL, LOCAL $1,054.05
sur 39599 UNLISTED PROCEDURE, DIAPHRAGM BR
sur 40490 BIOPSY OF LIP $109.13
sur 40500 VERMILIONECTOMY (LIP SHAVE), WITH MUCOSAL ADVANCEMENT $424.66
sur 40510 EXCISION OF LIP; TRANSVERSE WEDGE EXCISION WITH PRIMARY CLOSURE $406.42
sur 40520 EXCISION OF LIP; V-EXCISION WITH PRIMARY DIRECT LINEAR CLOSURE $415.20
sur 40525 EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH LOCAL FLAP (EG, ESTLANDER $473.76
sur 40527 EXCISION OF LIP; FULL THICKNESS, RECONSTRUCTION WITH CROSS LIP FLAP $542.89
sur 40530 RESECTION OF LIP, MORE THAN ONE-FOURTH, WITHOUT RECONSTRUCTION $458.33
sur 40650 REPAIR LIP, FULL THICKNESS; VERMILION ONLY $349.86
sur 40652 REPAIR LIP, FULL THICKNESS; UP TO HALF VERTICAL HEIGHT $407.84
sur 40654 REPAIR LIP, FULL THICKNESS; OVER ONE-HALF VERTICAL HEIGHT, OR COMPLEX $480.23
sur 40700 PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; PRIMARY, PARTIAL OR COMPLETE, $819.99
sur 40701 PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; PRIMARY BILATERAL, ONE STAGE $948.53
sur 40702 PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; PRIMARY BILATERAL, ONE OF TWO $705.33
sur 40720 PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; SECONDARY, BY RECREATION OF DEFECT $837.52
sur 40761 PLASTIC REPAIR OF CLEFT LIP/NASAL DEFORMITY; WITH CROSS LIP PEDICLE FLAP $931.04
sur 40799 UNLISTED PROCEDURE, LIPS BR
sur 40800 DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; SIMPLE $172.18
sur 40801 DRAINAGE OF ABSCESS, CYST, HEMATOMA, VESTIBULE OF MOUTH; COMPLICATED $260.16
sur 40804 REMOVAL OF EMBEDDED FOREIGN BODY, VESTIBULE OF MOUTH; SIMPLE $176.55
sur 40805 REMOVAL OF EMBEDDED FOREIGN BODY, VESTIBULE OF MOUTH; COMPLICATED $270.03
sur 40806 INCISION OF LABIAL FRENUM (FRENOTOMY) $88.33
sur 40808 BIOPSY, VESTIBULE OF MOUTH $154.14
sur 40810 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITHOUT REPAIR $171.09
sur 40812 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH SIMPLE $237.81
sur 40814 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; WITH COMPLEX $320.27
sur 40816 EXCISION OF LESION OF MUCOSA AND SUBMUCOSA, VESTIBULE OF MOUTH; COMPLEX, WITH $336.94
sur 40818 EXCISION OF MUCOSA OF VESTIBULE OF MOUTH AS DONOR GRAFT $295.80
sur 40819 EXCISION OF FRENUM, LABIAL OR BUCCAL (FRENUMECTOMY, FRENULECTOMY, FRENECTOMY) $254.74
sur 40820 DESTRUCTION OF LESION OR SCAR OF VESTIBULE OF MOUTH BY PHYSICAL METHODS (EG, $221.51
sur 40830 CLOSURE OF LACERATION, VESTIBULE OF MOUTH; 2.5 CM OR LESS $206.30
sur 40831 CLOSURE OF LACERATION, VESTIBULE OF MOUTH; OVER 2.5 CM OR COMPLEX $274.36
sur 40840 VESTIBULOPLASTY; ANTERIOR $701.32
sur 40842 VESTIBULOPLASTY; POSTERIOR, UNILATERAL $672.38
sur 40843 VESTIBULOPLASTY; POSTERIOR, BILATERAL $896.68
sur 40844 VESTIBULOPLASTY; ENTIRE ARCH $1,178.14
sur 40845 VESTIBULOPLASTY; COMPLEX (INCLUDING RIDGE EXTENSION, MUSCLE REPOSITIONING) $1,240.73
sur 40899 UNLISTED PROCEDURE, VESTIBULE OF MOUTH BR
sur 41000 INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR FLOOR $135.27
sur 41005 INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR $186.87
sur 41006 INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR $301.68
sur 41007 INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR $301.06
sur 41008 INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR $311.73
sur 41009 INTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF TONGUE OR $331.83
sur 41010 INCISION OF LINGUAL FRENUM (FRENOTOMY) $172.20
sur 41015 EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF $364.02
sur 41016 EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF $364.06
sur 41017 EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF $367.21
sur 41018 EXTRAORAL INCISION AND DRAINAGE OF ABSCESS, CYST, OR HEMATOMA OF FLOOR OF $415.29
sur 41019 PLACEMENT OF NEEDLES, CATHETERS, OR OTHER DEVICE(S) INTO THE HEAD AND/OR NECK RE $399.22
sur 41100 BIOPSY OF TONGUE; ANTERIOR TWO-THIRDS $141.85
sur 41105 BIOPSY OF TONGUE; POSTERIOR ONE-THIRD $143.31
sur 41108 BIOPSY OF FLOOR OF MOUTH $123.48
sur 41110 EXCISION OF LESION OF TONGUE WITHOUT CLOSURE $178.27
sur 41112 EXCISION OF LESION OF TONGUE WITH CLOSURE; ANTERIOR TWO-THIRDS $278.89
sur 41113 EXCISION OF LESION OF TONGUE WITH CLOSURE; POSTERIOR ONE-THIRD $304.23
sur 41114 EXCISION OF LESION OF TONGUE WITH CLOSURE; WITH LOCAL TONGUE FLAP $543.29
sur 41115 EXCISION OF LINGUAL FRENUM (FRENECTOMY) $204.45
sur 41116 EXCISION, LESION OF FLOOR OF MOUTH $275.65
sur 41120 GLOSSECTOMY; LESS THAN ONE-HALF TONGUE $897.41
sur 41130 GLOSSECTOMY; HEMIGLOSSECTOMY $1,110.80
sur 41135 GLOSSECTOMY; PARTIAL, WITH UNILATERAL RADICAL NECK DISSECTION $1,838.92
sur 41140 GLOSSECTOMY; COMPLETE OR TOTAL, WITH OR WITHOUT TRACHEOSTOMY, WITHOUT RADICAL $1,873.96
sur 41145 GLOSSECTOMY; COMPLETE OR TOTAL, WITH OR WITHOUT TRACHEOSTOMY, WITH UNILATERAL $2,359.75
sur 41150 GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH AND MANDIBULAR $1,867.89
sur 41153 GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH, WITH SUPRAHYOID $2,030.15
sur 41155 GLOSSECTOMY; COMPOSITE PROCEDURE WITH RESECTION FLOOR OF MOUTH, MANDIBULAR $2,537.57
sur 41250 REPAIR OF LACERATION 2.5 CM OR LESS; FLOOR OF MOUTH AND/OR ANTERIOR TWO-THIRDS O $201.46
sur 41251 REPAIR OF LACERATION 2.5 CM OR LESS; POSTERIOR ONE-THIRD OF TONGUE $211.16
sur 41252 REPAIR OF LACERATION OF TONGUE, FLOOR OF MOUTH, OVER 2.6 CM OR COMPLEX $261.85
sur 41500 FIXATION OF TONGUE, MECHANICAL, OTHER THAN SUTURE (EG, K-WIRE) $382.86
sur 41510 SUTURE OF TONGUE TO LIP FOR MICROGNATHIA (DOUGLAS TYPE PROCEDURE) $323.22
sur 41512 Tongue base suspension, permanent suture technique $529.37
sur 41520 FRENOPLASTY (SURGICAL REVISION OF FRENUM, EG, WITH Z-PLASTY) $290.97
sur 41530 Submucosal ablation of the tongue base, radiofrequency, one or more sites, per s $2,719.57
sur 41599 UNLISTED PROCEDURE, TONGUE, FLOOR OF MOUTH BR
sur 41800 DRAINAGE OF ABSCESS, CYST, HEMATOMA FROM DENTOALVEOLAR STRUCTURES $205.07
sur 41805 REMOVAL OF EMBEDDED FOREIGN BODY FROM DENTOALVEOLAR STRUCTURES; SOFT TISSUES $201.17
sur 41806 REMOVAL OF EMBEDDED FOREIGN BODY FROM DENTOALVEOLAR STRUCTURES; BONE $298.87
sur 41820 GINGIVECTOMY, EXCISION GINGIVA, EACH QUADRANT BR
sur 41821 OPERCULECTOMY, EXCISION PERICORONAL TISSUES BR
sur 41822 EXCISION OF FIBROUS TUBEROSITIES, DENTOALVEOLAR STRUCTURES $240.12
sur 41823 EXCISION OF OSSEOUS TUBEROSITIES, DENTOALVEOLAR STRUCTURES $356.51
sur 41825 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; $174.51
sur 41826 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; $250.44
sur 41827 EXCISION OF LESION OR TUMOR (EXCEPT LISTED ABOVE), DENTOALVEOLAR STRUCTURES; $362.53
sur 41828 EXCISION OF HYPERPLASTIC ALVEOLAR MUCOSA, EACH QUADRANT (SPECIFY) $252.93
sur 41830 ALVEOLECTOMY, INCLUDING CURETTAGE OF OSTEITIS OR SEQUESTRECTOMY $323.76
sur 41850 DESTRUCTION OF LESION (EXCEPT EXCISION), DENTOALVEOLAR STRUCTURES BR
sur 41870 PERIODONTAL MUCOSAL GRAFTING BR
sur 41872 GINGIVOPLASTY, EACH QUADRANT (SPECIFY) $308.89
sur 41874 ALVEOLOPLASTY, EACH QUADRANT (SPECIFY) $306.82
sur 41899 UNLISTED PROCEDURE, DENTOALVEOLAR STRUCTURES BR
sur 42000 DRAINAGE OF ABSCESS OF PALATE, UVULA $131.84
sur 42100 BIOPSY OF PALATE, UVULA $126.11
sur 42104 EXCISION, LESION OF PALATE, UVULA; WITHOUT CLOSURE $178.89
sur 42106 EXCISION, LESION OF PALATE, UVULA; WITH SIMPLE PRIMARY CLOSURE $224.84
sur 42107 EXCISION, LESION OF PALATE, UVULA; WITH LOCAL FLAP CLOSURE $385.90
sur 42120 RESECTION OF PALATE OR EXTENSIVE RESECTION OF LESION $845.14
sur 42140 UVULECTOMY, EXCISION OF UVULA $214.14
sur 42145 PALATOPHARYNGOPLASTY (EG, UVULOPALATOPHARYNGOPLASTY, UVULOPHARYNGOPLASTY) $604.92
sur 42160 DESTRUCTION OF LESION, PALATE OR UVULA (THERMAL, CRYO OR CHEMICAL) $199.30
sur 42180 REPAIR, LACERATION OF PALATE; UP TO 2 CM $197.74
sur 42182 REPAIR, LACERATION OF PALATE; OVER 2 CM OR COMPLEX $275.15
sur 42200 PALATOPLASTY FOR CLEFT PALATE, SOFT AND/OR HARD PALATE ONLY $742.52
sur 42205 PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; SOFT TISSUE ONLY $813.24
sur 42210 PALATOPLASTY FOR CLEFT PALATE, WITH CLOSURE OF ALVEOLAR RIDGE; WITH BONE GRAFT $897.73
sur 42215 PALATOPLASTY FOR CLEFT PALATE; MAJOR REVISION $612.33
sur 42220 PALATOPLASTY FOR CLEFT PALATE; SECONDARY LENGTHENING PROCEDURE $449.26
sur 42225 PALATOPLASTY FOR CLEFT PALATE; ATTACHMENT PHARYNGEAL FLAP $779.71
sur 42226 LENGTHENING OF PALATE, AND PHARYNGEAL FLAP $781.57
sur 42227 LENGTHENING OF PALATE, WITH ISLAND FLAP $746.49
sur 42235 REPAIR OF ANTERIOR PALATE, INCLUDING VOMER FLAP $632.57
sur 42260 REPAIR OF NASOLABIAL FISTULA $697.00
sur 42280 MAXILLARY IMPRESSION FOR PALATAL PROSTHESIS $137.35
sur 42281 INSERTION OF PIN-RETAINED PALATAL PROSTHESIS $173.24
sur 42299 UNLISTED PROCEDURE, PALATE, UVULA BR
sur 42300 DRAINAGE OF ABSCESS; PAROTID, SIMPLE $177.23
sur 42305 DRAINAGE OF ABSCESS; PAROTID, COMPLICATED $369.59
sur 42310 DRAINAGE OF ABSCESS; SUBMAXILLARY OR SUBLINGUAL, INTRAORAL $137.61
sur 42320 DRAINAGE OF ABSCESS; SUBMAXILLARY, EXTERNAL $212.32
sur 42330 SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), SUBLINGUAL OR PAROTID, $197.09
sur 42335 SIALOLITHOTOMY; SUBMANDIBULAR (SUBMAXILLARY), COMPLICATED, INTRAORAL $315.75
sur 42340 SIALOLITHOTOMY; PAROTID, EXTRAORAL OR COMPLICATED INTRAORAL $393.39
sur 42400 BIOPSY OF SALIVARY GLAND; NEEDLE $91.06
sur 42405 BIOPSY OF SALIVARY GLAND; INCISIONAL $253.82
sur 42408 EXCISION OF SUBLINGUAL SALIVARY CYST (RANULA) $386.21
sur 42409 MARSUPIALIZATION OF SUBLINGUAL SALIVARY CYST (RANULA) $282.09
sur 42410 EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITHOUT NERVE $534.51
sur 42415 EXCISION OF PAROTID TUMOR OR PAROTID GLAND; LATERAL LOBE, WITH DISSECTION AND $957.41
sur 42420 EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, WITH DISSECTION AND $1,096.69
sur 42425 EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, EN BLOC REMOVAL WITH $723.58
sur 42426 EXCISION OF PAROTID TUMOR OR PAROTID GLAND; TOTAL, WITH UNILATERAL RADICAL NECK $1,170.28
sur 42440 EXCISION OF SUBMANDIBULAR (SUBMAXILLARY) GLAND $401.63
sur 42450 EXCISION OF SUBLINGUAL GLAND $384.74
sur 42500 PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; PRIMARY OR SIMPLE $367.47
sur 42505 PLASTIC REPAIR OF SALIVARY DUCT, SIALODOCHOPLASTY; SECONDARY OR COMPLICATED $472.59
sur 42507 PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); $442.18
sur 42508 PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); WITH EXCISION OF ONE $606.23
sur 42509 PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); WITH EXCISION OF BOTH $703.19
sur 42510 PAROTID DUCT DIVERSION, BILATERAL (WILKE TYPE PROCEDURE); WITH LIGATION OF BOTH $542.38
sur 42550 INJECTION PROCEDURE FOR SIALOGRAPHY $117.89
sur 42600 CLOSURE SALIVARY FISTULA $410.91
sur 42650 DILATION SALIVARY DUCT $70.67
sur 42660 DILATION AND CATHETERIZATION OF SALIVARY DUCT, WITH OR WITHOUT INJECTION $90.25
sur 42665 LIGATION SALIVARY DUCT, INTRAORAL $265.39
sur 42699 UNLISTED PROCEDURE, SALIVARY GLANDS OR DUCTS BR
sur 42700 INCISION AND DRAINAGE ABSCESS; PERITONSILLAR $160.54
sur 42720 INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR PARAPHARYNGEAL, INTRAORAL $389.43
sur 42725 INCISION AND DRAINAGE ABSCESS; RETROPHARYNGEAL OR PARAPHARYNGEAL, EXTERNAL $697.80
sur 42800 BIOPSY; OROPHARYNX $134.99
sur 42802 BIOPSY; HYPOPHARYNX $201.50
sur 42804 BIOPSY; NASOPHARYNX, VISIBLE LESION, SIMPLE $169.67
sur 42806 BIOPSY; NASOPHARYNX, SURVEY FOR UNKNOWN PRIMARY LESION $190.63
sur 42808 EXCISION OR DESTRUCTION OF LESION OF PHARYNX, ANY METHOD $193.98
sur 42809 REMOVAL OF FOREIGN BODY FROM PHARYNX $144.79
sur 42810 EXCISION BRANCHIAL CLEFT CYST OR VESTIGE, CONFINED TO SKIN AND SUBCUTANEOUS $330.07
sur 42815 EXCISION BRANCHIAL CLEFT CYST, VESTIGE, OR FISTULA, EXTENDING BENEATH $478.39
sur 42820 TONSILLECTOMY AND ADENOIDECTOMY; UNDER AGE 12 $250.60
sur 42821 TONSILLECTOMY AND ADENOIDECTOMY; AGE 12 OR OVER $260.92
sur 42825 TONSILLECTOMY, PRIMARY OR SECONDARY; UNDER AGE 12 $226.08
sur 42826 TONSILLECTOMY, PRIMARY OR SECONDARY; AGE 12 OR OVER $217.16
sur 42830 ADENOIDECTOMY, PRIMARY; UNDER AGE 12 $178.57
sur 42831 ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER $192.38
sur 42835 ADENOIDECTOMY, SECONDARY; UNDER AGE 12 $153.59
sur 42836 ADENOIDECTOMY, SECONDARY; AGE 12 OR OVER $208.25
sur 42842 RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; $847.02
sur 42844 RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; $1,172.74
sur 42845 RADICAL RESECTION OF TONSIL, TONSILLAR PILLARS, AND/OR RETROMOLAR TRIGONE; $1,906.89
sur 42860 EXCISION OF TONSIL TAGS $162.14
sur 42870 EXCISION OR DESTRUCTION LINGUAL TONSIL, ANY METHOD (SEPARATE PROCEDURE) $495.59
sur 42890 LIMITED PHARYNGECTOMY $1,204.71
sur 42892 RESECTION OF LATERAL PHARYNGEAL WALL OR PYRIFORM SINUS, DIRECT CLOSURE BY $1,590.00
sur 42894 RESECTION OF PHARYNGEAL WALL REQUIRING CLOSURE WITH MYOCUTANEOUS OR FASCIOCUTANE $2,016.25
sur 42900 SUTURE PHARYNX FOR WOUND OR INJURY $293.81
sur 42950 PHARYNGOPLASTY (PLASTIC OR RECONSTRUCTIVE OPERATION ON PHARYNX) $680.62
sur 42953 PHARYNGOESOPHAGEAL REPAIR $827.00
sur 42955 PHARYNGOSTOMY (FISTULIZATION OF PHARYNX, EXTERNAL FOR FEEDING) $641.74
sur 42960 CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, $145.83
sur 42961 CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, $362.43
sur 42962 CONTROL OROPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, $447.03
sur 42970 CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, $339.02
sur 42971 CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, $394.42
sur 42972 CONTROL OF NASOPHARYNGEAL HEMORRHAGE, PRIMARY OR SECONDARY (EG, $441.62
sur 42999 UNLISTED PROCEDURE, PHARYNX, ADENOIDS, OR TONSILS BR
sur 43020 ESOPHAGOTOMY, CERVICAL APPROACH; WITH REMOVAL OF FOREIGN BODY $457.25
sur 43030 CRICOPHARYNGEAL MYOTOMY $448.59
sur 43045 ESOPHAGOTOMY, THORACIC APPROACH, WITH REMOVAL OF FOREIGN BODY $1,128.28
sur 43100 EXCISION OF LESION, ESOPHAGUS, WITH PRIMARY REPAIR; CERVICAL APPROACH $537.54
sur 43101 EXCISION OF LESION, ESOPHAGUS, WITH PRIMARY REPAIR; THORACIC OR ABDOMINAL $872.57
sur 43107 TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITHOUT THORACOTOMY; WITH $2,183.58
sur 43108 TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITHOUT THORACOTOMY; WITH COLON $3,884.38
sur 43112 TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITH THORACOTOMY; WITH PHARYNGOGASTROSTOMY $2,316.05
sur 43113 TOTAL OR NEAR TOTAL ESOPHAGECTOMY, WITH THORACOTOMY; WITH COLON INTERPOSITION $3,832.90
sur 43116 PARTIAL ESOPHAGECTOMY, CERVICAL, WITH FREE INTESTINAL GRAFT, INCLUDING $4,386.22
sur 43117 PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THORACOTOMY AND SEPARATE $2,124.00
sur 43118 PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THORACOTOMY AND SEPARATE $3,173.06
sur 43121 PARTIAL ESOPHAGECTOMY, DISTAL TWO-THIRDS, WITH THORACOTOMY ONLY, WITH OR $2,461.30
sur 43122 PARTIAL ESOPHAGECTOMY, THORACOABDOMINAL OR ABDOMINAL APPROACH, WITH OR WITHOUT $2,161.98
sur 43123 PARTIAL ESOPHAGECTOMY, THORACOABDOMINAL OR ABDOMINAL APPROACH, WITH OR WITHOUT $3,919.10
sur 43124 TOTAL OR PARTIAL ESOPHAGECTOMY, WITHOUT RECONSTRUCTION (ANY APPROACH), WITH $3,366.23
sur 43130 DIVERTICULECTOMY OF HYPOPHARYNX OR ESOPHAGUS, WITH OR WITHOUT MYOTOMY; CERVICAL $677.55
sur 43135 DIVERTICULECTOMY OF HYPOPHARYNX OR ESOPHAGUS, WITH OR WITHOUT MYOTOMY; THORACIC $1,283.69
sur 43200 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPEC $183.43
sur 43201 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY $250.59
sur 43202 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE $239.91
sur 43204 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH INJECTION SCLEROSIS OF ESOPHAGEAL VARICES $191.79
sur 43205 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BAND LIGATION OF ESOPHAGEAL VARICES $193.59
sur 43215 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH REMOVAL OF FOREIGN BODY $133.12
sur 43216 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER $176.13
sur 43217 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER $321.09
sur 43219 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH INSERTION OF PLASTIC TUBE OR STENT $147.98
sur 43220 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH BALLOON DILATION (LESS THAN 30 MM $109.59
sur 43226 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH INSERTION OF GUIDE WIRE FOLLOWED BY $122.19
sur 43227 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH CONTROL OF BLEEDING (EG, INJECTION, $181.50
sur 43228 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER $192.65
sur 43231 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION $164.51
sur 43232 ESOPHAGOSCOPY, RIGID OR FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND-GUIDED $226.61
sur 43234 UPPER GASTROINTESTINAL ENDOSCOPY, SIMPLE PRIMARY EXAMINATION (EG, WITH SMALL $237.57
sur 43235 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $251.74
sur 43236 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $312.07
sur 43237 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $203.63
sur 43238 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $253.99
sur 43239 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $291.70
sur 43240 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $342.87
sur 43241 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $134.31
sur 43242 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $366.19
sur 43243 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $231.26
sur 43244 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $255.47
sur 43245 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $162.46
sur 43246 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $217.37
sur 43247 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $173.12
sur 43248 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $162.84
sur 43249 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $150.16
sur 43250 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $163.00
sur 43251 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $188.38
sur 43255 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $244.22
sur 43256 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $220.26
sur 43257 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $275.04
sur 43258 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $230.68
sur 43259 UPPER GASTROINTESTINAL ENDOSCOPY INCLUDING ESOPHAGUS, STOMACH, AND EITHER THE $262.67
sur 43260 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); DIAGNOSTIC, WITH OR $299.76
sur 43261 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH BIOPSY, SINGLE OR $315.02
sur 43262 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH $370.23
sur 43263 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH PRESSURE $365.04
sur 43264 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ENDOSCOPIC $444.46
sur 43265 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ENDOSCOPIC $498.54
sur 43267 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ENDOSCOPIC $368.79
sur 43268 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ENDOSCOPIC $375.10
sur 43269 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ENDOSCOPIC $410.22
sur 43271 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ENDOSCOPIC $369.94
sur 43272 ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY (ERCP); WITH ABLATION OF $370.23
sur 43273 Endoscopic cannulation of papilla with direct visualization of common bile duct( $110.76
sur 43279 Laparoscopy, surgical, esophagomyotomy (Heller type), with fundoplasty, when per $1,083.66
sur 43280 LAPAROSCOPY, SURGICAL, ESOPHAGOGASTRIC FUNDOPLASTY (EG, NISSEN, TOUPET PROCEDURE $902.90
sur 43281 Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, wh $1,330.10
sur 43282 Laparoscopy, surgical, repair of paraesophageal hernia, includes fundoplasty, wh $1,494.56
sur 43283 LAPAROSCOPY, SURGICAL, ESOPHAGEAL LENGTHENING PROCEDURE (EG, COLLIS GASTROPLASTY $138.64
sur 43289 UNLISTED LAPAROSCOPY PROCEDURE, ESOPHAGUS BR
sur 43300 ESOPHAGOPLASTY (PLASTIC REPAIR OR RECONSTRUCTION), CERVICAL APPROACH; WITHOUT RE $528.86
sur 43305 ESOPHAGOPLASTY (PLASTIC REPAIR OR RECONSTRUCTION), CERVICAL APPROACH; WITH $945.01
sur 43310 ESOPHAGOPLASTY (PLASTIC REPAIR OR RECONSTRUCTION), THORACIC APPROACH; WITHOUT $1,295.13
sur 43312 ESOPHAGOPLASTY (PLASTIC REPAIR OR RECONSTRUCTION), THORACIC APPROACH; WITH $1,412.63
sur 43313 ESOPHAGOPLASTY FOR CONGENITAL DEFECT (PLASTIC REPAIR OR RECONSTRUCTION), $2,390.14
sur 43314 ESOPHAGOPLASTY FOR CONGENITAL DEFECT (PLASTIC REPAIR OR RECONSTRUCTION), $2,450.46
sur 43320 ESOPHAGOGASTROSTOMY (CARDIOPLASTY), WITH OR WITHOUT VAGOTOMY AND PYLOROPLASTY, $1,170.81
sur 43325 ESOPHAGOGASTRIC FUNDOPLASTY; WITH FUNDIC PATCH (THAL-NISSEN PROCEDURE) $1,118.33
sur 43327 ESOPHAGOGASTRIC FUNDOPLASTY PARTIAL OR COMPLETE; LAPAROTOMY $697.43
sur 43328 ESOPHAGOGASTRIC FUNDOPLASTY PARTIAL OR COMPLETE; THORACOTOMY $1,022.99
sur 43330 ESOPHAGOMYOTOMY (HELLER TYPE); ABDOMINAL APPROACH $1,101.61
sur 43331 ESOPHAGOMYOTOMY (HELLER TYPE); THORACIC APPROACH $1,170.13
sur 43332 REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA LAPAROTOMY, $998.98
sur 43333 REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA LAPAROTOMY, $1,084.81
sur 43334 REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA THORACOTOMY $1,096.56
sur 43335 REPAIR, PARAESOPHAGEAL HIATAL HERNIA (INCLUDING FUNDOPLICATION), VIA THORACOTOMY $1,181.55
sur 43336 REPAIR, PARAESOPHAGEAL HIATAL HERNIA, (INCLUDING FUNDOPLICATION), VIA THORACOABD $1,293.79
sur 43337 REPAIR, PARAESOPHAGEAL HIATAL HERNIA, (INCLUDING FUNDOPLICATION), VIA THORACOABD $1,412.19
sur 43338 ESOPHAGEAL LENGTHENING PROCEDURE (EG, COLLIS GASTROPLASTY OR WEDGE GASTROPLASTY) $114.99
sur 43340 ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); ABDOMINAL APPROACH $1,149.33
sur 43341 ESOPHAGOJEJUNOSTOMY (WITHOUT TOTAL GASTRECTOMY); THORACIC APPROACH $1,261.83
sur 43350 ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNAL; ABDOMINAL APPROACH $1,033.36
sur 43351 ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNAL; THORACIC APPROACH $1,129.13
sur 43352 ESOPHAGOSTOMY, FISTULIZATION OF ESOPHAGUS, EXTERNAL; CERVICAL APPROACH $924.19
sur 43360 GASTROINTESTINAL RECONSTRUCTION FOR PREVIOUS ESOPHAGECTOMY, FOR OBSTRUCTING $1,962.44
sur 43361 GASTROINTESTINAL RECONSTRUCTION FOR PREVIOUS ESOPHAGECTOMY, FOR OBSTRUCTING $2,187.74
sur 43400 LIGATION, DIRECT, ESOPHAGEAL VARICES $1,293.92
sur 43401 TRANSECTION OF ESOPHAGUS WITH REPAIR, FOR ESOPHAGEAL VARICES $1,275.91
sur 43405 LIGATION OR STAPLING AT GASTROESOPHAGEAL JUNCTION FOR PRE-EXISTING ESOPHAGEAL $1,277.50
sur 43410 SUTURE OF ESOPHAGEAL WOUND OR INJURY; CERVICAL APPROACH $884.60
sur 43415 SUTURE OF ESOPHAGEAL WOUND OR INJURY; TRANSTHORACIC OR TRANSABDOMINAL APPROACH $1,466.87
sur 43420 CLOSURE OF ESOPHAGOSTOMY OR FISTULA; CERVICAL APPROACH $867.31
sur 43425 CLOSURE OF ESOPHAGOSTOMY OR FISTULA; TRANSTHORACIC OR TRANSABDOMINAL APPROACH $1,284.97
sur 43450 DILATION OF ESOPHAGUS, BY UNGUIDED SOUND OR BOUGIE, SINGLE OR MULTIPLE PASSES $133.19
sur 43453 DILATION OF ESOPHAGUS, OVER GUIDE WIRE $250.44
sur 43456 DILATION OF ESOPHAGUS, BY BALLOON OR DILATOR, RETROGRADE $506.84
sur 43458 DILATION OF ESOPHAGUS WITH BALLOON (30 MM DIAMETER OR LARGER) FOR ACHALASIA $328.70
sur 43460 ESOPHAGOGASTRIC TAMPONADE, WITH BALLOON (SENGSTAKEN TYPE) $191.05
sur 43496 FREE JEJUNUM TRANSFER WITH MICROVASCULAR ANASTOMOSIS $761.29
sur 43499 UNLISTED PROCEDURE, ESOPHAGUS BR
sur 43500 GASTROTOMY; WITH EXPLORATION OR FOREIGN BODY REMOVAL $651.86
sur 43501 GASTROTOMY; WITH SUTURE REPAIR OF BLEEDING ULCER $1,117.00
sur 43502 GASTROTOMY; WITH SUTURE REPAIR OF PRE-EXISTING ESOPHAGOGASTRIC LACERATION (EG, $1,264.70
sur 43510 GASTROTOMY; WITH ESOPHAGEAL DILATION AND INSERTION OF PERMANENT INTRALUMINAL $795.29
sur 43520 PYLOROMYOTOMY, CUTTING OF PYLORIC MUSCLE (FREDET-RAMSTEDT TYPE OPERATION) $582.48
sur 43605 BIOPSY OF STOMACH, BY LAPAROTOMY $696.41
sur 43610 EXCISION, LOCAL; ULCER OR BENIGN TUMOR OF STOMACH $814.56
sur 43611 EXCISION, LOCAL; MALIGNANT TUMOR OF STOMACH $1,014.29
sur 43620 GASTRECTOMY, TOTAL; WITH ESOPHAGOENTEROSTOMY $1,642.88
sur 43621 GASTRECTOMY, TOTAL; WITH ROUX-EN-Y RECONSTRUCTION $1,887.10
sur 43622 GASTRECTOMY, TOTAL; WITH FORMATION OF INTESTINAL POUCH, ANY TYPE $1,913.71
sur 43631 GASTRECTOMY, PARTIAL, DISTAL; WITH GASTRODUODENOSTOMY $1,207.07
sur 43632 GASTRECTOMY, PARTIAL, DISTAL; WITH GASTROJEJUNOSTOMY $1,679.19
sur 43633 GASTRECTOMY, PARTIAL, DISTAL; WITH ROUX-EN-Y RECONSTRUCTION $1,591.09
sur 43634 GASTRECTOMY, PARTIAL, DISTAL; WITH FORMATION OF INTESTINAL POUCH $1,759.94
sur 43635 VAGOTOMY WHEN PERFORMED WITH PARTIAL DISTAL GASTRECTOMY (LIST SEPARATELY IN $94.15
sur 43640 VAGOTOMY INCLUDING PYLOROPLASTY, WITH OR WITHOUT GASTROSTOMY; TRUNCAL OR $977.58
sur 43641 VAGOTOMY INCLUDING PYLOROPLASTY, WITH OR WITHOUT GASTROSTOMY; PARIETAL CELL $991.54
sur 43644 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND RO $1,443.53
sur 43645 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; WITH GASTRIC BYPASS AND $1,542.96
sur 43648 LAPAROSCOPY, SURGICAL; REVISION OR REMOVAL OF GASTRIC NEUROSTIMULATOR ELECTRODES BR
sur 43651 LAPAROSCOPY, SURGICAL; TRANSECTION OF VAGUS NERVES, TRUNCAL $539.91
sur 43652 LAPAROSCOPY, SURGICAL; TRANSECTION OF VAGUS NERVES, SELECTIVE OR HIGHLY $631.72
sur 43653 LAPAROSCOPY, SURGICAL; GASTROSTOMY, WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, $469.02
sur 43659 UNLISTED LAPAROSCOPY PROCEDURE, STOMACH BR
sur 43752 NASO- OR ORO-GASTRIC TUBE PLACEMENT, REQUIRING PHYSICIAN'S SKILL AND $35.19
sur 43753 GASTRIC INTUBATION AND ASPIRATION(S) THERAPEUTIC, NECESSITATING PHYSICIAN'S SKIL $17.64
sur 43754 GASTRIC INTUBATION AND ASPIRATION, DIAGNOSTIC; SINGLE SPECIMEN (EG, ACID ANALYSI $66.62
sur 43755 GASTRIC INTUBATION AND ASPIRATION, DIAGNOSTIC; COLLECTION OF MULTIPLE FRACTIONAL $101.74
sur 43756 DUODENAL INTUBATION AND ASPIRATION, DIAGNOSTIC, INCLUDES IMAGE GUIDANCE; SINGLE $184.25
sur 43757 DUODENAL INTUBATION AND ASPIRATION, DIAGNOSTIC, INCLUDES IMAGE GUIDANCE; COLLECT $237.15
sur 43760 CHANGE OF GASTROSTOMY TUBE, PERCUTANEOUS, WITHOUT IMAGING OR ENDOSCOPIC GUIDANCE $340.87
sur 43761 REPOSITIONING OF A NASO- OR ORO-GASTRIC FEEDING TUBE, THROUGH THE DUODENUM FOR E $102.24
sur 43770 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; PLACEMENT OF ADJUSTABLE GA $926.72
sur 43771 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REVISION OF ADJUSTABLE GAS $1,056.05
sur 43772 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GAST $795.54
sur 43773 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL AND REPLACEMENT OF $1,056.05
sur 43774 LAPAROSCOPY, SURGICAL, GASTRIC RESTRICTIVE PROCEDURE; REMOVAL OF ADJUSTABLE GAST $797.86
sur 43775 Laparoscopy, surgical, gastric restrictive procedure; longitudinal gastrectomy ( $1,097.08
sur 43800 PYLOROPLASTY $772.87
sur 43810 GASTRODUODENOSTOMY $841.21
sur 43820 GASTROJEJUNOSTOMY; WITHOUT VAGOTOMY $1,106.12
sur 43825 GASTROJEJUNOSTOMY; WITH VAGOTOMY, ANY TYPE $1,083.63
sur 43830 GASTROSTOMY, OPEN; WITHOUT CONSTRUCTION OF GASTRIC TUBE (EG, STAMM PROCEDURE) $577.38
sur 43831 GASTROSTOMY, OPEN; NEONATAL, FOR FEEDING $487.94
sur 43832 GASTROSTOMY, OPEN; WITH CONSTRUCTION OF GASTRIC TUBE (EG, JANEWAY PROCEDURE) $876.71
sur 43840 GASTRORRHAPHY, SUTURE OF PERFORATED DUODENAL OR GASTRIC ULCER, WOUND, OR INJURY $1,121.04
sur 43842 GASTRIC RESTRICTIVE PROCEDURE, WITHOUT GASTRIC BYPASS, FOR MORBID OBESITY; $974.19
sur 43843 GASTRIC RESTRICTIVE PROCEDURE, WITHOUT GASTRIC BYPASS, FOR MORBID OBESITY; $1,057.81
sur 43845 GASTRIC RESTRICTIVE PROCEDURE WITH PARTIAL GASTRECTOMY, PYLORUS-PRESERVING $1,627.15
sur 43846 GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS FOR MORBID OBESITY; WITH $1,356.29
sur 43847 GASTRIC RESTRICTIVE PROCEDURE, WITH GASTRIC BYPASS FOR MORBID OBESITY; WITH $1,489.06
sur 43848 REVISION, OPEN, OF GASTRIC RESTRICTIVE PROCEDURE FOR MORBID OBESITY, OTHER THAN $1,605.63
sur 43850 REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH $1,348.48
sur 43855 REVISION OF GASTRODUODENAL ANASTOMOSIS (GASTRODUODENOSTOMY) WITH $1,403.28
sur 43860 REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, $1,360.38
sur 43865 REVISION OF GASTROJEJUNAL ANASTOMOSIS (GASTROJEJUNOSTOMY) WITH RECONSTRUCTION, $1,419.06
sur 43870 CLOSURE OF GASTROSTOMY, SURGICAL $588.60
sur 43880 CLOSURE OF GASTROCOLIC FISTULA $1,328.01
sur 43882 REVISION OR REMOVAL OF GASTRIC NEUROSTIMULATOR ELECTRODES, ANTRUM, OPEN BR
sur 43886 GASTRIC RESTRICTIVE PROCEDURE, OPEN; REVISION OF SUBCUTANEOUS PORT COMPONENT ONL $293.71
sur 43887 GASTRIC RESTRICTIVE PROCEDURE, OPEN; REMOVAL OF SUBCUTANEOUS PORT COMPONENT ONLY $266.50
sur 43888 GASTRIC RESTRICTIVE PROCEDURE, OPEN; REMOVAL AND REPLACEMENT OF SUBCUTANEOUS POR $376.35
sur 43999 UNLISTED PROCEDURE, STOMACH BR
sur 44005 ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PROCEDURE) $909.41
sur 44010 DUODENOTOMY, FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL $719.03
sur 44015 TUBE OR NEEDLE CATHETER JEJUNOSTOMY FOR ENTERAL ALIMENTATION, INTRAOPERATIVE, $120.79
sur 44020 ENTEROTOMY, SMALL INTESTINE, OTHER THAN DUODENUM; FOR EXPLORATION, BIOPSY(S), $807.46
sur 44021 ENTEROTOMY, SMALL INTESTINE, OTHER THAN DUODENUM; FOR DECOMPRESSION (EG, BAKER $816.02
sur 44025 COLOTOMY, FOR EXPLORATION, BIOPSY(S), OR FOREIGN BODY REMOVAL $820.44
sur 44050 REDUCTION OF VOLVULUS, INTUSSUSCEPTION, INTERNAL HERNIA, BY LAPAROTOMY $775.64
sur 44055 CORRECTION OF MALROTATION BY LYSIS OF DUODENAL BANDS AND/OR REDUCTION OF MIDGUT $1,243.57
sur 44100 BIOPSY OF INTESTINE BY CAPSULE, TUBE, PERORAL (ONE OR MORE SPECIMENS) $98.08
sur 44110 EXCISION OF ONE OR MORE LESIONS OF SMALL OR LARGE INTESTINE NOT REQUIRING $704.53
sur 44111 EXCISION OF ONE OR MORE LESIONS OF SMALL OR LARGE INTESTINE NOT REQUIRING $818.42
sur 44120 ENTERECTOMY, RESECTION OF SMALL INTESTINE; SINGLE RESECTION AND ANASTOMOSIS $1,015.88
sur 44121 ENTERECTOMY, RESECTION OF SMALL INTESTINE; EACH ADDITIONAL RESECTION AND $203.53
sur 44125 ENTERECTOMY, RESECTION OF SMALL INTESTINE; WITH ENTEROSTOMY $981.92
sur 44126 ENTERECTOMY, RESECTION OF SMALL INTESTINE FOR CONGENITAL ATRESIA, SINGLE $2,043.98
sur 44127 ENTERECTOMY, RESECTION OF SMALL INTESTINE FOR CONGENITAL ATRESIA, SINGLE $2,367.63
sur 44128 ENTERECTOMY, RESECTION OF SMALL INTESTINE FOR CONGENITAL ATRESIA, SINGLE $204.62
sur 44130 ENTEROENTEROSTOMY, ANASTOMOSIS OF INTESTINE, WITH OR WITHOUT CUTANEOUS $1,083.39
sur 44132 DONOR ENTERECTOMY (INCLUDING COLD PRESERVATION), OPEN; FROM CADAVER DONOR BR
sur 44133 DONOR ENTERECTOMY (INCLUDING COLD PRESERVATION), OPEN; PARTIAL, FROM LIVING BR
sur 44135 INTESTINAL ALLOTRANSPLANTATION; FROM CADAVER DONOR BR
sur 44136 INTESTINAL ALLOTRANSPLANTATION; FROM LIVING DONOR BR
sur 44137 REMOVAL OF TRANSPLANTED INTESTINAL ALLOGRAFT, COMPLETE BR
sur 44139 MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN CONJUNCTION WITH $101.94
sur 44140 COLECTOMY, PARTIAL; WITH ANASTOMOSIS $1,115.56
sur 44141 COLECTOMY, PARTIAL; WITH SKIN LEVEL CECOSTOMY OR COLOSTOMY $1,506.62
sur 44143 COLECTOMY, PARTIAL; WITH END COLOSTOMY AND CLOSURE OF DISTAL SEGMENT (HARTMANN $1,384.11
sur 44144 COLECTOMY, PARTIAL; WITH RESECTION, WITH COLOSTOMY OR ILEOSTOMY AND CREATION OF $1,467.37
sur 44145 COLECTOMY, PARTIAL; WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS) $1,384.38
sur 44146 COLECTOMY, PARTIAL; WITH COLOPROCTOSTOMY (LOW PELVIC ANASTOMOSIS), WITH $1,755.18
sur 44147 COLECTOMY, PARTIAL; ABDOMINAL AND TRANSANAL APPROACH $1,605.28
sur 44150 COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY; WITH ILEOSTOMY OR $1,548.14
sur 44151 COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY; WITH CONTINENT ILEOSTOMY $1,774.74
sur 44155 COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH ILEOSTOMY $1,723.49
sur 44156 COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH CONTINENT ILEOSTOMY $1,909.83
sur 44157 COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH ILEOANAL ANASTOMOSIS, INCLUD $1,805.72
sur 44158 COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY; WITH ILEOANAL ANASTOMOSIS, CREATI $1,848.48
sur 44160 COLECTOMY, PARTIAL, WITH REMOVAL OF TERMINAL ILEUM WITH ILEOCOLOSTOMY $1,031.82
sur 44180 LAPAROSCOPY, SURGICAL, ENTEROLYSIS (FREEING OF INTESTINAL ADHESION) (SEPARATE PR $765.91
sur 44186 LAPAROSCOPY, SURGICAL; JEJUNOSTOMY (EG, FOR DECOMPRESSION OR FEEDING) $543.06
sur 44187 LAPAROSCOPY, SURGICAL; ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE $915.40
sur 44188 LAPAROSCOPY, SURGICAL, COLOSTOMY OR SKIN LEVEL CECOSTOMY $1,015.30
sur 44202 LAPAROSCOPY, SURGICAL; ENTERECTOMY, RESECTION OF SMALL INTESTINE, SINGLE RESECTI $1,154.50
sur 44203 LAPAROSCOPY, SURGICAL; EACH ADDITIONAL SMALL INTESTINE RESECTION AND $203.75
sur 44204 LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS $1,284.18
sur 44205 LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH REMOVAL OF TERMINAL ILEUM WITH $1,118.03
sur 44206 LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH END COLOSTOMY AND CLOSURE OF $1,464.40
sur 44207 LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH $1,527.11
sur 44208 LAPAROSCOPY, SURGICAL; COLECTOMY, PARTIAL, WITH ANASTOMOSIS, WITH $1,659.49
sur 44210 LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITHOUT PROCTECTOMY, WITH $1,494.29
sur 44211 LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY, WITH ILEOA $1,862.52
sur 44212 LAPAROSCOPY, SURGICAL; COLECTOMY, TOTAL, ABDOMINAL, WITH PROCTECTOMY, WITH $1,714.01
sur 44213 LAPAROSCOPY, SURGICAL, MOBILIZATION (TAKE-DOWN) OF SPLENIC FLEXURE PERFORMED IN $159.12
sur 44227 LAPAROSCOPY, SURGICAL, CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE, WITH RE $1,393.20
sur 44238 UNLISTED LAPAROSCOPY PROCEDURE, INTESTINE (EXCEPT RECTUM) BR
sur 44300 PLACEMENT, ENTEROSTOMY OR CECOSTOMY, TUBE OPEN (EG, FOR FEEDING OR DECOMPRESSION $700.07
sur 44310 ILEOSTOMY OR JEJUNOSTOMY, NON-TUBE $868.48
sur 44312 REVISION OF ILEOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE) $493.48
sur 44314 REVISION OF ILEOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE $840.02
sur 44316 CONTINENT ILEOSTOMY (KOCK PROCEDURE) (SEPARATE PROCEDURE) $1,170.55
sur 44320 COLOSTOMY OR SKIN LEVEL CECOSTOMY; $997.62
sur 44322 COLOSTOMY OR SKIN LEVEL CECOSTOMY; WITH MULTIPLE BIOPSIES (EG, FOR CONGENITAL $814.33
sur 44340 REVISION OF COLOSTOMY; SIMPLE (RELEASE OF SUPERFICIAL SCAR) (SEPARATE PROCEDURE) $511.41
sur 44345 REVISION OF COLOSTOMY; COMPLICATED (RECONSTRUCTION IN-DEPTH) (SEPARATE $873.50
sur 44346 REVISION OF COLOSTOMY; WITH REPAIR OF PARACOLOSTOMY HERNIA (SEPARATE PROCEDURE) $981.25
sur 44360 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT I $136.05
sur 44361 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT $149.60
sur 44363 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT $178.33
sur 44364 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT $191.02
sur 44365 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT $170.57
sur 44366 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT $224.67
sur 44369 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT $229.58
sur 44370 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT $247.97
sur 44372 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT $220.56
sur 44373 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, NOT $177.46
sur 44376 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, $262.55
sur 44377 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, $277.87
sur 44378 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, $356.71
sur 44379 SMALL INTESTINAL ENDOSCOPY, ENTEROSCOPY BEYOND SECOND PORTION OF DUODENUM, $378.01
sur 44380 ILEOSCOPY, THROUGH STOMA; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) $58.69
sur 44382 ILEOSCOPY, THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE $71.29
sur 44383 ILEOSCOPY, THROUGH STOMA; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES $145.50
sur 44385 ENDOSCOPIC EVALUATION OF SMALL INTESTINAL (ABDOMINAL OR PELVIC) POUCH; $213.85
sur 44386 ENDOSCOPIC EVALUATION OF SMALL INTESTINAL (ABDOMINAL OR PELVIC) POUCH; WITH $294.38
sur 44388 COLONOSCOPY THROUGH STOMA; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF $294.77
sur 44389 COLONOSCOPY THROUGH STOMA; WITH BIOPSY, SINGLE OR MULTIPLE $337.54
sur 44390 COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF FOREIGN BODY $392.47
sur 44391 COLONOSCOPY THROUGH STOMA; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR $430.07
sur 44392 COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER $370.26
sur 44393 COLONOSCOPY THROUGH STOMA; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER $428.95
sur 44394 COLONOSCOPY THROUGH STOMA; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER $427.18
sur 44397 COLONOSCOPY THROUGH STOMA; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES $237.63
sur 44500 INTRODUCTION OF LONG GASTROINTESTINAL TUBE (EG, MILLER-ABBOTT) (SEPARATE PROCEDU $21.08
sur 44602 SUTURE OF SMALL INTESTINE (ENTERORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, WO $1,167.26
sur 44603 SUTURE OF SMALL INTESTINE (ENTERORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, $1,339.26
sur 44604 SUTURE OF LARGE INTESTINE (COLORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, $880.27
sur 44605 SUTURE OF LARGE INTESTINE (COLORRHAPHY) FOR PERFORATED ULCER, DIVERTICULUM, $1,088.83
sur 44615 INTESTINAL STRICTUROPLASTY (ENTEROTOMY AND ENTERORRHAPHY) WITH OR WITHOUT $896.59
sur 44620 CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; $719.48
sur 44625 CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND $848.19
sur 44626 CLOSURE OF ENTEROSTOMY, LARGE OR SMALL INTESTINE; WITH RESECTION AND COLORECTAL $1,340.12
sur 44640 CLOSURE OF INTESTINAL CUTANEOUS FISTULA $1,170.30
sur 44650 CLOSURE OF ENTEROENTERIC OR ENTEROCOLIC FISTULA $1,211.67
sur 44660 CLOSURE OF ENTEROVESICAL FISTULA; WITHOUT INTESTINAL OR BLADDER RESECTION $1,139.89
sur 44661 CLOSURE OF ENTEROVESICAL FISTULA; WITH INTESTINE AND/OR BLADDER RESECTION $1,305.25
sur 44680 INTESTINAL PLICATION (SEPARATE PROCEDURE) $890.81
sur 44700 EXCLUSION OF SMALL INTESTINE FROM PELVIS BY MESH OR OTHER PROSTHESIS, OR NATIVE $847.22
sur 44701 INTRAOPERATIVE COLONIC LAVAGE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY $140.74
sur 44715 BACKBENCH STANDARD PREPARATION OF CADAVER OR LIVING DONOR INTESTINE ALLOGRAFT BR
sur 44720 BACKBENCH RECONSTRUCTION OF CADAVER OR LIVING DONOR INTESTINE ALLOGRAFT PRIOR $215.82
sur 44721 BACKBENCH RECONSTRUCTION OF CADAVER OR LIVING DONOR INTESTINE ALLOGRAFT PRIOR $324.50
sur 44799 UNLISTED PROCEDURE, INTESTINE BR
sur 44800 EXCISION OF MECKEL'S DIVERTICULUM (DIVERTICULECTOMY) OR OMPHALOMESENTERIC DUCT $631.99
sur 44820 EXCISION OF LESION OF MESENTERY (SEPARATE PROCEDURE) $697.64
sur 44850 SUTURE OF MESENTERY (SEPARATE PROCEDURE) $619.82
sur 44899 UNLISTED PROCEDURE, MECKEL'S DIVERTICULUM AND THE MESENTERY BR
sur 44900 INCISION AND DRAINAGE OF APPENDICEAL ABSCESS; OPEN $639.85
sur 44901 INCISION AND DRAINAGE OF APPENDICEAL ABSCESS; PERCUTANEOUS $796.43
sur 44950 APPENDECTOMY; $533.40
sur 44955 APPENDECTOMY; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR PROCEDURE $70.62
sur 44960 APPENDECTOMY; FOR RUPTURED APPENDIX WITH ABSCESS OR GENERALIZED PERITONITIS $724.73
sur 44970 LAPAROSCOPY, SURGICAL, APPENDECTOMY $494.97
sur 44979 UNLISTED LAPAROSCOPY PROCEDURE, APPENDIX BR
sur 45000 TRANSRECTAL DRAINAGE OF PELVIC ABSCESS $347.92
sur 45005 INCISION AND DRAINAGE OF SUBMUCOSAL ABSCESS, RECTUM $214.00
sur 45020 INCISION AND DRAINAGE OF DEEP SUPRALEVATOR, PELVIRECTAL, OR RETRORECTAL ABSCESS $464.29
sur 45100 BIOPSY OF ANORECTAL WALL, ANAL APPROACH (EG, CONGENITAL MEGACOLON) $243.25
sur 45108 ANORECTAL MYOMECTOMY $299.48
sur 45110 PROCTECTOMY; COMPLETE, COMBINED ABDOMINOPERINEAL, WITH COLOSTOMY $1,538.71
sur 45111 PROCTECTOMY; PARTIAL RESECTION OF RECTUM, TRANSABDOMINAL APPROACH $905.48
sur 45112 PROCTECTOMY, COMBINED ABDOMINOPERINEAL, PULL-THROUGH PROCEDURE (EG, COLO-ANAL $1,574.36
sur 45113 PROCTECTOMY, PARTIAL, WITH RECTAL MUCOSECTOMY, ILEOANAL ANASTOMOSIS, CREATION $1,644.25
sur 45114 PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; ABDOMINAL AND TRANSSACRAL APPROACH $1,503.11
sur 45116 PROCTECTOMY, PARTIAL, WITH ANASTOMOSIS; TRANSSACRAL APPROACH ONLY (KRASKE TYPE) $1,306.61
sur 45119 PROCTECTOMY, COMBINED ABDOMINOPERINEAL PULL-THROUGH PROCEDURE (EG, COLO-ANAL ANA $1,622.21
sur 45120 PROCTECTOMY, COMPLETE (FOR CONGENITAL MEGACOLON), ABDOMINAL AND PERINEAL $1,316.31
sur 45121 PROCTECTOMY, COMPLETE (FOR CONGENITAL MEGACOLON), ABDOMINAL AND PERINEAL $1,437.99
sur 45123 PROCTECTOMY, PARTIAL, WITHOUT ANASTOMOSIS, PERINEAL APPROACH $924.15
sur 45126 PELVIC EXENTERATION FOR COLORECTAL MALIGNANCY, WITH PROCTECTOMY (WITH OR $2,422.35
sur 45130 EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; PERINEAL APPROACH $902.28
sur 45135 EXCISION OF RECTAL PROCIDENTIA, WITH ANASTOMOSIS; ABDOMINAL AND PERINEAL $1,130.96
sur 45136 EXCISION OF ILEOANAL RESERVOIR WITH ILEOSTOMY $1,505.81
sur 45150 DIVISION OF STRICTURE OF RECTUM $327.88
sur 45160 EXCISION OF RECTAL TUMOR BY PROCTOTOMY, TRANSSACRAL OR TRANSCOCCYGEAL APPROACH $835.72
sur 45171 Excision of rectal tumor, transanal approach; not including muscularis propria ( $507.29
sur 45172 Excision of rectal tumor, transanal approach; including muscularis propria (ie, $692.63
sur 45190 DESTRUCTION OF RECTAL TUMOR (EG, ELECTRODESSICATION, ELECTROSURGERY, LASER ABLAT $565.60
sur 45300 PROCTOSIGMOIDOSCOPY, RIGID; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S $95.86
sur 45303 PROCTOSIGMOIDOSCOPY, RIGID; WITH DILATION (EG, BALLOON, GUIDE WIRE, BOUGIE) $740.67
sur 45305 PROCTOSIGMOIDOSCOPY, RIGID; WITH BIOPSY, SINGLE OR MULTIPLE $153.74
sur 45307 PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF FOREIGN BODY $172.68
sur 45308 PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER $162.36
sur 45309 PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER $172.99
sur 45315 PROCTOSIGMOIDOSCOPY, RIGID; WITH REMOVAL OF MULTIPLE TUMORS, POLYPS, OR OTHER $191.64
sur 45317 PROCTOSIGMOIDOSCOPY, RIGID; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR $184.86
sur 45320 PROCTOSIGMOIDOSCOPY, RIGID; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER $179.63
sur 45321 PROCTOSIGMOIDOSCOPY, RIGID; WITH DECOMPRESSION OF VOLVULUS $90.46
sur 45327 PROCTOSIGMOIDOSCOPY, RIGID; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES $107.02
sur 45330 SIGMOIDOSCOPY, FLEXIBLE; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) $116.25
sur 45331 SIGMOIDOSCOPY, FLEXIBLE; WITH BIOPSY, SINGLE OR MULTIPLE $144.91
sur 45332 SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF FOREIGN BODY $241.86
sur 45333 SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) $244.44
sur 45334 SIGMOIDOSCOPY, FLEXIBLE; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR $141.26
sur 45335 SIGMOIDOSCOPY, FLEXIBLE; WITH DIRECTED SUBMUCOSAL INJECTION(S), ANY SUBSTANCE $213.45
sur 45337 SIGMOIDOSCOPY, FLEXIBLE; WITH DECOMPRESSION OF VOLVULUS, ANY METHOD $122.18
sur 45338 SIGMOIDOSCOPY, FLEXIBLE; WITH REMOVAL OF TUMOR(S), POLYP(S), OR OTHER LESION(S) $268.08
sur 45339 SIGMOIDOSCOPY, FLEXIBLE; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER $282.83
sur 45340 SIGMOIDOSCOPY, FLEXIBLE; WITH DILATION BY BALLOON, 1 OR MORE STRICTURES $383.73
sur 45341 SIGMOIDOSCOPY, FLEXIBLE; WITH ENDOSCOPIC ULTRASOUND EXAMINATION $135.48
sur 45342 SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC ULTRASOUND GUIDED INTRAMURAL OR $206.82
sur 45345 SIGMOIDOSCOPY, FLEXIBLE; WITH TRANSENDOSCOPIC STENT PLACEMENT (INCLUDES $150.42
sur 45355 COLONOSCOPY, RIGID OR FLEXIBLE, TRANSABDOMINAL VIA COLOTOMY, SINGLE OR MULTIPLE $174.76
sur 45378 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; DIAGNOSTIC, WITH OR WITHOUT $334.46
sur 45379 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH REMOVAL OF FOREIGN BODY $426.67
sur 45380 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH BIOPSY, SINGLE OR $399.71
sur 45381 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH DIRECTED SUBMUCOSAL $389.08
sur 45382 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH CONTROL OF BLEEDING $523.49
sur 45383 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH ABLATION OF TUMOR(S), $480.17
sur 45384 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH REMOVAL OF TUMOR(S), $395.71
sur 45385 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH REMOVAL OF TUMOR(S), $450.60
sur 45386 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH DILATION BY BALLOON, 1 $558.43
sur 45387 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH TRANSENDOSCOPIC STENT $297.71
sur 45391 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH ENDOSCOPIC ULTRASOUND $255.50
sur 45392 COLONOSCOPY, FLEXIBLE, PROXIMAL TO SPLENIC FLEXURE; WITH TRANSENDOSCOPIC $328.12
sur 45395 LAPAROSCOPY, SURGICAL; PROCTECTOMY, COMPLETE, COMBINED ABDOMINOPERINEAL, WITH CO $1,655.83
sur 45397 LAPAROSCOPY, SURGICAL; PROCTECTOMY, COMBINED ABDOMINOPERINEAL PULL-THROUGH PROCE $1,787.31
sur 45400 LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE) $958.58
sur 45402 LAPAROSCOPY, SURGICAL; PROCTOPEXY (FOR PROLAPSE), WITH SIGMOID RESECTION $1,275.61
sur 45499 UNLISTED LAPAROSCOPY PROCEDURE, RECTUM BR
sur 45500 PROCTOPLASTY; FOR STENOSIS $427.18
sur 45505 PROCTOPLASTY; FOR PROLAPSE OF MUCOUS MEMBRANE $478.18
sur 45520 PERIRECTAL INJECTION OF SCLEROSING SOLUTION FOR PROLAPSE $115.90
sur 45540 PROCTOPEXY (EG, FOR PROLAPSE); ABDOMINAL APPROACH $878.61
sur 45541 PROCTOPEXY FOR PROLAPSE; PERINEAL APPROACH $765.17
sur 45550 PROCTOPEXY (EG, FOR PROLAPSE); WITH SIGMOID RESECTION, ABDOMINAL APPROACH $1,215.56
sur 45560 REPAIR OF RECTOCELE (SEPARATE PROCEDURE) $588.03
sur 45562 EXPLORATION, REPAIR, AND PRESACRAL DRAINAGE FOR RECTAL INJURY; $925.58
sur 45563 EXPLORATION, REPAIR, AND PRESACRAL DRAINAGE FOR RECTAL INJURY; WITH COLOSTOMY $1,355.55
sur 45800 CLOSURE OF RECTOVESICAL FISTULA; $1,011.53
sur 45805 CLOSURE OF RECTOVESICAL FISTULA; WITH COLOSTOMY $1,202.92
sur 45820 CLOSURE OF RECTOURETHRAL FISTULA; $981.24
sur 45825 CLOSURE OF RECTOURETHRAL FISTULA; WITH COLOSTOMY $1,209.30
sur 45900 REDUCTION OF PROCIDENTIA (SEPARATE PROCEDURE) UNDER ANESTHESIA $165.68
sur 45905 DILATION OF ANAL SPHINCTER (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN $139.02
sur 45910 DILATION OF RECTAL STRICTURE (SEPARATE PROCEDURE) UNDER ANESTHESIA OTHER THAN $162.62
sur 45915 REMOVAL OF FECAL IMPACTION OR FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA $262.43
sur 45990 ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), D $89.95
sur 45999 UNLISTED PROCEDURE, RECTUM BR
sur 46020 PLACEMENT OF SETON $218.45
sur 46030 REMOVAL OF ANAL SETON, OTHER MARKER $109.91
sur 46040 INCISION AND DRAINAGE OF ISCHIORECTAL AND/OR PERIRECTAL ABSCESS (SEPARATE $422.90
sur 46045 INCISION AND DRAINAGE OF INTRAMURAL, INTRAMUSCULAR, OR SUBMUCOSAL ABSCESS, $349.26
sur 46050 INCISION AND DRAINAGE, PERIANAL ABSCESS, SUPERFICIAL $155.44
sur 46060 INCISION AND DRAINAGE OF ISCHIORECTAL OR INTRAMURAL ABSCESS, WITH FISTULECTOMY $382.73
sur 46070 INCISION, ANAL SEPTUM (INFANT) $186.38
sur 46080 SPHINCTEROTOMY, ANAL, DIVISION OF SPHINCTER (SEPARATE PROCEDURE) $197.39
sur 46083 INCISION OF THROMBOSED HEMORRHOID, EXTERNAL $143.51
sur 46200 FISSURECTOMY, INCLUDING SPHINCTEROTOMY, WHEN PERFORMED $341.78
sur 46220 EXCISION OF SINGLE EXTERNAL PAPILLA OR TAG, ANUS $162.37
sur 46221 HEMORRHOIDECTOMY, INTERNAL, BY RUBBER BAND LIGATION(S) $211.53
sur 46230 CODE IS OUT OF NUMERICAL SEQUENCE. SEE 46200-46288 $217.52
sur 46250 HEMORRHOIDECTOMY, EXTERNAL, 2 OR MORE COLUMNS/GROUPS $365.51
sur 46255 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP; $402.27
sur 46257 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SIMPLE; WITH FISSURECTOMY $340.51
sur 46258 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, SINGLE COLUMN/GROUP; WITH FISTULECTOMY, $378.92
sur 46260 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; $384.44
sur 46261 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, COMPLEX OR EXTENSIVE; WITH FISSURECTOMY $429.98
sur 46262 HEMORRHOIDECTOMY, INTERNAL AND EXTERNAL, 2 OR MORE COLUMNS/GROUPS; WITH FISTULEC $448.87
sur 46270 SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SUBCUTANEOUS $400.18
sur 46275 SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); INTERSPHINCTERIC $421.92
sur 46280 SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); TRANSSPHINCTERIC, $377.39
sur 46285 SURGICAL TREATMENT OF ANAL FISTULA (FISTULECTOMY/FISTULOTOMY); SECOND STAGE $414.61
sur 46288 CLOSURE OF ANAL FISTULA WITH RECTAL ADVANCEMENT FLAP $443.03
sur 46320 EXCISION OF THROMBOSED HEMORRHOID, EXTERNAL $144.62
sur 46500 INJECTION OF SCLEROSING SOLUTION, HEMORRHOIDS $182.21
sur 46505 CHEMODENERVATION OF INTERNAL ANAL SPHINCTER $230.76
sur 46600 ANOSCOPY; DIAGNOSTIC, WITH OR WITHOUT COLLECTION OF SPECIMEN(S) BY BRUSHING OR W $69.45
sur 46604 ANOSCOPY; WITH DILATION (EG, BALLOON, GUIDE WIRE, BOUGIE) $460.67
sur 46606 ANOSCOPY; WITH BIOPSY, SINGLE OR MULTIPLE $179.22
sur 46608 ANOSCOPY; WITH REMOVAL OF FOREIGN BODY $184.98
sur 46610 ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY HOT BIOPSY $181.82
sur 46611 ANOSCOPY; WITH REMOVAL OF SINGLE TUMOR, POLYP, OR OTHER LESION BY SNARE $142.02
sur 46612 ANOSCOPY; WITH REMOVAL OF MULTIPLE TUMORS, POLYPS, OR OTHER LESIONS BY HOT $214.45
sur 46614 ANOSCOPY; WITH CONTROL OF BLEEDING (EG, INJECTION, BIPOLAR CAUTERY, UNIPOLAR $103.94
sur 46615 ANOSCOPY; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE $119.07
sur 46700 ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; ADULT $531.37
sur 46705 ANOPLASTY, PLASTIC OPERATION FOR STRICTURE; INFANT $402.07
sur 46706 REPAIR OF ANAL FISTULA WITH FIBRIN GLUE $137.89
sur 46707 Repair of anorectal fistula with plug (eg, porcine small intestine submucosa ¿S $396.49
sur 46710 REPAIR OF ILEOANAL POUCH FISTULA/SINUS (EG, PERINEAL OR VAGINAL), POUCH ADVANCEM $905.95
sur 46712 REPAIR OF ILEOANAL POUCH FISTULA/SINUS (EG, PERINEAL OR VAGINAL), POUCH ADVANCEM $1,702.01
sur 46715 REPAIR OF LOW IMPERFORATE ANUS; WITH ANOPERINEAL FISTULA (CUT-BACK PROCEDURE) $403.58
sur 46716 REPAIR OF LOW IMPERFORATE ANUS; WITH TRANSPOSITION OF ANOPERINEAL OR $958.38
sur 46730 REPAIR OF HIGH IMPERFORATE ANUS WITHOUT FISTULA; PERINEAL OR SACROPERINEAL $1,479.33
sur 46735 REPAIR OF HIGH IMPERFORATE ANUS WITHOUT FISTULA; COMBINED TRANSABDOMINAL AND $1,715.37
sur 46740 REPAIR OF HIGH IMPERFORATE ANUS WITH RECTOURETHRAL OR RECTOVAGINAL FISTULA; $1,759.48
sur 46742 REPAIR OF HIGH IMPERFORATE ANUS WITH RECTOURETHRAL OR RECTOVAGINAL FISTULA; $2,053.87
sur 46744 REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, $2,815.10
sur 46746 REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, COMBINED $2,992.24
sur 46748 REPAIR OF CLOACAL ANOMALY BY ANORECTOVAGINOPLASTY AND URETHROPLASTY, COMBINED $3,180.57
sur 46750 SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR PROLAPSE; ADULT $631.27
sur 46751 SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE OR PROLAPSE; CHILD $510.33
sur 46753 GRAFT (THIERSCH OPERATION) FOR RECTAL INCONTINENCE AND/OR PROLAPSE $479.30
sur 46754 REMOVAL OF THIERSCH WIRE OR SUTURE, ANAL CANAL $238.19
sur 46760 SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; MUSCLE TRANSPLANT $893.34
sur 46761 SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; LEVATOR MUSCLE IMBRICATION $770.60
sur 46762 SPHINCTEROPLASTY, ANAL, FOR INCONTINENCE, ADULT; IMPLANTATION ARTIFICIAL $758.38
sur 46900 DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM, $191.18
sur 46910 DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $198.84
sur 46916 DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $192.10
sur 46917 DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $375.08
sur 46922 DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $209.99
sur 46924 DESTRUCTION OF LESION(S), ANUS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $428.59
sur 46930 Destruction of internal hemorrhoid(s) by thermal energy (eg, infrared coagulatio $171.91
sur 46940 CURETTAGE OR CAUTERY OF ANAL FISSURE, INCLUDING DILATION OF ANAL SPHINCTER $180.66
sur 46942 CURETTAGE OR CAUTERY OF ANAL FISSURE, INCLUDING DILATION OF ANAL SPHINCTER $168.85
sur 46945 HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; SINGLE HEMORRHOI $238.73
sur 46946 HEMORRHOIDECTOMY, INTERNAL, BY LIGATION OTHER THAN RUBBER BAND; SINGLE HEMORRHOI $248.85
sur 46947 HEMORRHOIDOPEXY (EG, FOR PROLAPSING INTERNAL HEMORRHOIDS) BY STAPLING $312.02
sur 46999 UNLISTED PROCEDURE, ANUS BR
sur 47000 BIOPSY OF LIVER, NEEDLE; PERCUTANEOUS $291.39
sur 47001 BIOPSY OF LIVER, NEEDLE; WHEN DONE FOR INDICATED PURPOSE AT TIME OF OTHER MAJOR $86.99
sur 47010 HEPATOTOMY; FOR OPEN DRAINAGE OF ABSCESS OR CYST, ONE OR TWO STAGES $995.01
sur 47011 HEPATOTOMY; FOR PERCUTANEOUS DRAINAGE OF ABSCESS OR CYST, ONE OR TWO STAGES $161.01
sur 47015 LAPAROTOMY, WITH ASPIRATION AND/OR INJECTION OF HEPATIC PARASITIC (EG, AMOEBIC $957.38
sur 47100 BIOPSY OF LIVER, WEDGE $695.52
sur 47120 HEPATECTOMY, RESECTION OF LIVER; PARTIAL LOBECTOMY $1,934.42
sur 47122 HEPATECTOMY, RESECTION OF LIVER; TRISEGMENTECTOMY $2,859.49
sur 47125 HEPATECTOMY, RESECTION OF LIVER; TOTAL LEFT LOBECTOMY $2,560.35
sur 47130 HEPATECTOMY, RESECTION OF LIVER; TOTAL RIGHT LOBECTOMY $2,748.68
sur 47133 DONOR HEPATECTOMY (INCLUDING COLD PRESERVATION), FROM CADAVER DONOR BR
sur 47135 LIVER ALLOTRANSPLANTATION; ORTHOTOPIC, PARTIAL OR WHOLE, FROM CADAVER OR LIVING $4,073.52
sur 47136 LIVER ALLOTRANSPLANTATION; HETEROTOPIC, PARTIAL OR WHOLE, FROM CADAVER OR $3,458.68
sur 47140 DONOR HEPATECTOMY (INCLUDING COLD PRESERVATION), FROM LIVING DONOR; LEFT $2,956.81
sur 47141 DONOR HEPATECTOMY (INCLUDING COLD PRESERVATION), FROM LIVING DONOR; TOTAL LEFT $3,237.06
sur 47142 DONOR HEPATECTOMY (INCLUDING COLD PRESERVATION), FROM LIVING DONOR; TOTAL RIGHT $3,903.96
sur 47143 BACKBENCH STANDARD PREPARATION OF CADAVER DONOR WHOLE LIVER GRAFT PRIOR TO $169.27
sur 47144 BACKBENCH STANDARD PREPARATION OF CADAVER DONOR WHOLE LIVER GRAFT PRIOR TO BR
sur 47145 BACKBENCH STANDARD PREPARATION OF CADAVER DONOR WHOLE LIVER GRAFT PRIOR TO BR
sur 47146 BACKBENCH RECONSTRUCTION OF CADAVER OR LIVING DONOR LIVER GRAFT PRIOR TO $276.89
sur 47147 BACKBENCH RECONSTRUCTION OF CADAVER OR LIVING DONOR LIVER GRAFT PRIOR TO $322.82
sur 47300 MARSUPIALIZATION OF CYST OR ABSCESS OF LIVER $936.76
sur 47350 MANAGEMENT OF LIVER HEMORRHAGE; SIMPLE SUTURE OF LIVER WOUND OR INJURY $1,137.46
sur 47360 MANAGEMENT OF LIVER HEMORRHAGE; COMPLEX SUTURE OF LIVER WOUND OR INJURY, WITH $1,555.32
sur 47361 MANAGEMENT OF LIVER HEMORRHAGE; EXPLORATION OF HEPATIC WOUND, EXTENSIVE $2,515.02
sur 47362 MANAGEMENT OF LIVER HEMORRHAGE; RE-EXPLORATION OF HEPATIC WOUND FOR REMOVAL OF $1,192.50
sur 47370 LAPAROSCOPY, SURGICAL, ABLATION OF ONE OR MORE LIVER TUMOR(S); RADIOFREQUENCY $1,029.86
sur 47371 LAPAROSCOPY, SURGICAL, ABLATION OF ONE OR MORE LIVER TUMOR(S); CRYOSURGICAL $1,049.75
sur 47379 UNLISTED LAPAROSCOPIC PROCEDURE, LIVER BR
sur 47380 ABLATION, OPEN, OF ONE OR MORE LIVER TUMOR(S); RADIOFREQUENCY $1,200.16
sur 47381 ABLATION, OPEN, OF ONE OR MORE LIVER TUMOR(S); CRYOSURGICAL $1,197.00
sur 47382 ABLATION, 1 OR MORE LIVER TUMOR(S), PERCUTANEOUS, RADIOFREQUENCY $3,910.54
sur 47399 UNLISTED PROCEDURE, LIVER BR
sur 47400 HEPATICOTOMY OR HEPATICOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF CALCULUS $1,789.18
sur 47420 CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF $1,112.93
sur 47425 CHOLEDOCHOTOMY OR CHOLEDOCHOSTOMY WITH EXPLORATION, DRAINAGE, OR REMOVAL OF $1,129.51
sur 47460 TRANSDUODENAL SPHINCTEROTOMY OR SPHINCTEROPLASTY, WITH OR WITHOUT TRANSDUODENAL $1,059.78
sur 47480 CHOLECYSTOTOMY OR CHOLECYSTOSTOMY, OPEN, WITH EXPLORATION, DRAINAGE, OR REMOVAL $717.06
sur 47490 CHOLECYSTOSTOMY, PERCUTANEOUS, COMPLETE PROCEDURE, INCLUDING IMAGING GUIDANCE, C $309.51
sur 47500 INJECTION PROCEDURE FOR PERCUTANEOUS TRANSHEPATIC CHOLANGIOGRAPHY $85.67
sur 47505 INJECTION PROCEDURE FOR CHOLANGIOGRAPHY THROUGH AN EXISTING CATHETER (EG, $32.90
sur 47510 INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC CATHETER FOR BILIARY DRAINAGE $411.26
sur 47511 INTRODUCTION OF PERCUTANEOUS TRANSHEPATIC STENT FOR INTERNAL AND EXTERNAL $509.02
sur 47525 CHANGE OF PERCUTANEOUS BILIARY DRAINAGE CATHETER $434.32
sur 47530 REVISION AND/OR REINSERTION OF TRANSHEPATIC TUBE $1,223.05
sur 47550 BILIARY ENDOSCOPY, INTRAOPERATIVE (CHOLEDOCHOSCOPY) (LIST SEPARATELY IN ADDITION $139.47
sur 47552 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; DIAGNOSTIC, WITH OR $276.23
sur 47553 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; WITH BIOPSY, SINGLE $276.66
sur 47554 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; WITH REMOVAL OF $422.64
sur 47555 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; WITH DILATION OF $328.67
sur 47556 BILIARY ENDOSCOPY, PERCUTANEOUS VIA T-TUBE OR OTHER TRACT; WITH DILATION OF $372.54
sur 47560 LAPAROSCOPY, SURGICAL; WITH GUIDED TRANSHEPATIC CHOLANGIOGRAPHY, WITHOUT BIOPSY $226.08
sur 47561 LAPAROSCOPY, SURGICAL; WITH GUIDED TRANSHEPATIC CHOLANGIOGRAPHY WITH BIOPSY $246.75
sur 47562 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY $617.72
sur 47563 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH CHOLANGIOGRAPHY $626.01
sur 47564 LAPAROSCOPY, SURGICAL; CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT $717.81
sur 47570 LAPAROSCOPY, SURGICAL; CHOLECYSTOENTEROSTOMY $642.08
sur 47579 UNLISTED LAPAROSCOPY PROCEDURE, BILIARY TRACT BR
sur 47600 CHOLECYSTECTOMY; $892.87
sur 47605 CHOLECYSTECTOMY; WITH CHOLANGIOGRAPHY $813.65
sur 47610 CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT; $1,041.19
sur 47612 CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT; WITH CHOLEDOCHOENTEROSTOMY $1,052.41
sur 47620 CHOLECYSTECTOMY WITH EXPLORATION OF COMMON DUCT; WITH TRANSDUODENAL $1,143.56
sur 47630 BILIARY DUCT STONE EXTRACTION, PERCUTANEOUS VIA T-TUBE TRACT, BASKET, OR SNARE $476.56
sur 47700 EXPLORATION FOR CONGENITAL ATRESIA OF BILE DUCTS, WITHOUT REPAIR, WITH OR $869.83
sur 47701 PORTOENTEROSTOMY (EG, KASAI PROCEDURE) $1,462.62
sur 47711 EXCISION OF BILE DUCT TUMOR, WITH OR WITHOUT PRIMARY REPAIR OF BILE DUCT; $1,294.01
sur 47712 EXCISION OF BILE DUCT TUMOR, WITH OR WITHOUT PRIMARY REPAIR OF BILE DUCT; $1,658.59
sur 47715 EXCISION OF CHOLEDOCHAL CYST $1,097.08
sur 47720 CHOLECYSTOENTEROSTOMY; DIRECT $946.51
sur 47721 CHOLECYSTOENTEROSTOMY; WITH GASTROENTEROSTOMY $1,118.01
sur 47740 CHOLECYSTOENTEROSTOMY; ROUX-EN-Y $1,081.61
sur 47741 CHOLECYSTOENTEROSTOMY; ROUX-EN-Y WITH GASTROENTEROSTOMY $1,220.18
sur 47760 ANASTOMOSIS, OF EXTRAHEPATIC BILIARY DUCTS AND GASTROINTESTINAL TRACT $1,861.61
sur 47765 ANASTOMOSIS, OF INTRAHEPATIC DUCTS AND GASTROINTESTINAL TRACT $2,498.47
sur 47780 ANASTOMOSIS, ROUX-EN-Y, OF EXTRAHEPATIC BILIARY DUCTS AND GASTROINTESTINAL TRACT $2,040.91
sur 47785 ANASTOMOSIS, ROUX-EN-Y, OF INTRAHEPATIC BILIARY DUCTS AND GASTROINTESTINAL TRACT $2,676.08
sur 47800 RECONSTRUCTION, PLASTIC, OF EXTRAHEPATIC BILIARY DUCTS WITH END-TO-END $1,310.83
sur 47801 PLACEMENT OF CHOLEDOCHAL STENT $874.87
sur 47802 U-TUBE HEPATICOENTEROSTOMY $1,262.05
sur 47900 SUTURE OF EXTRAHEPATIC BILIARY DUCT FOR PRE-EXISTING INJURY (SEPARATE PROCEDURE) $1,130.51
sur 47999 UNLISTED PROCEDURE, BILIARY TRACT BR
sur 48000 PLACEMENT OF DRAINS, PERIPANCREATIC, FOR ACUTE PANCREATITIS; $1,543.45
sur 48001 PLACEMENT OF DRAINS, PERIPANCREATIC, FOR ACUTE PANCREATITIS; WITH $1,921.42
sur 48020 REMOVAL OF PANCREATIC CALCULUS $974.28
sur 48100 BIOPSY OF PANCREAS, OPEN (EG, FINE NEEDLE ASPIRATION, NEEDLE CORE BIOPSY, WEDGE $735.22
sur 48102 BIOPSY OF PANCREAS, PERCUTANEOUS NEEDLE $457.34
sur 48105 RESECTION OR DEBRIDEMENT OF PANCREAS AND PERIPANCREATIC TISSUE FOR ACUTE NECROTI $2,372.33
sur 48120 EXCISION OF LESION OF PANCREAS (EG, CYST, ADENOMA) $918.41
sur 48140 PANCREATECTOMY, DISTAL SUBTOTAL, WITH OR WITHOUT SPLENECTOMY; WITHOUT $1,297.74
sur 48145 PANCREATECTOMY, DISTAL SUBTOTAL, WITH OR WITHOUT SPLENECTOMY; WITH $1,352.21
sur 48146 PANCREATECTOMY, DISTAL, NEAR-TOTAL WITH PRESERVATION OF DUODENUM (CHILD-TYPE $1,550.68
sur 48148 EXCISION OF AMPULLA OF VATER $1,030.27
sur 48150 PANCREATECTOMY, PROXIMAL SUBTOTAL WITH TOTAL DUODENECTOMY, PARTIAL GASTRECTOMY, $2,581.97
sur 48152 PANCREATECTOMY, PROXIMAL SUBTOTAL WITH TOTAL DUODENECTOMY, PARTIAL GASTRECTOMY, $2,397.38
sur 48153 PANCREATECTOMY, PROXIMAL SUBTOTAL WITH NEAR-TOTAL DUODENECTOMY, $2,578.27
sur 48154 PANCREATECTOMY, PROXIMAL SUBTOTAL WITH NEAR-TOTAL DUODENECTOMY, $2,405.41
sur 48155 PANCREATECTOMY, TOTAL $1,501.62
sur 48160 PANCREATECTOMY, TOTAL OR SUBTOTAL, WITH AUTOLOGOUS TRANSPLANTATION OF PANCREAS BR
sur 48400 INJECTION PROCEDURE FOR INTRAOPERATIVE PANCREATOGRAPHY (LIST SEPARATELY IN ADDIT $89.20
sur 48500 MARSUPIALIZATION OF PANCREATIC CYST $947.02
sur 48510 EXTERNAL DRAINAGE, PSEUDOCYST OF PANCREAS; OPEN $896.96
sur 48511 EXTERNAL DRAINAGE, PSEUDOCYST OF PANCREAS; PERCUTANEOUS $795.82
sur 48520 INTERNAL ANASTOMOSIS OF PANCREATIC CYST TO GASTROINTESTINAL TRACT; DIRECT $907.24
sur 48540 INTERNAL ANASTOMOSIS OF PANCREATIC CYST TO GASTROINTESTINAL TRACT; ROUX-EN-Y $1,076.50
sur 48545 PANCREATORRHAPHY FOR INJURY $1,110.00
sur 48547 DUODENAL EXCLUSION WITH GASTROJEJUNOSTOMY FOR PANCREATIC INJURY $1,484.79
sur 48548 PANCREATICOJEJUNOSTOMY, SIDE-TO-SIDE ANASTOMOSIS (PUESTOW-TYPE OPERATION) $1,383.21
sur 48550 DONOR PANCREATECTOMY (INCLUDING COLD PRESERVATION), WITH OR WITHOUT DUODENAL SEG BR
sur 48551 BACKBENCH STANDARD PREPARATION OF CADAVER DONOR PANCREAS ALLOGRAFT PRIOR TO $196.28
sur 48552 BACKBENCH RECONSTRUCTION OF CADAVER DONOR PANCREAS ALLOGRAFT PRIOR TO $198.88
sur 48554 TRANSPLANTATION OF PANCREATIC ALLOGRAFT $2,101.07
sur 48556 REMOVAL OF TRANSPLANTED PANCREATIC ALLOGRAFT $1,044.53
sur 48999 UNLISTED PROCEDURE, PANCREAS BR
sur 49000 EXPLORATORY LAPAROTOMY, EXPLORATORY CELIOTOMY WITH OR WITHOUT BIOPSY(S) (SEPARAT $641.13
sur 49002 REOPENING OF RECENT LAPAROTOMY $863.79
sur 49010 EXPLORATION, RETROPERITONEAL AREA WITH OR WITHOUT BIOPSY(S) (SEPARATE PROCEDURE) $792.32
sur 49020 DRAINAGE OF PERITONEAL ABSCESS OR LOCALIZED PERITONITIS, EXCLUSIVE OF $1,322.88
sur 49021 DRAINAGE OF PERITONEAL ABSCESS OR LOCALIZED PERITONITIS, EXCLUSIVE OF $757.25
sur 49040 DRAINAGE OF SUBDIAPHRAGMATIC OR SUBPHRENIC ABSCESS; OPEN $831.99
sur 49041 DRAINAGE OF SUBDIAPHRAGMATIC OR SUBPHRENIC ABSCESS; PERCUTANEOUS $780.63
sur 49060 DRAINAGE OF RETROPERITONEAL ABSCESS; OPEN $922.07
sur 49061 DRAINAGE OF RETROPERITONEAL ABSCESS; PERCUTANEOUS $763.94
sur 49062 DRAINAGE OF EXTRAPERITONEAL LYMPHOCELE TO PERITONEAL CAVITY, OPEN $623.72
sur 49080 PERITONEOCENTESIS, ABDOMINAL PARACENTESIS, OR PERITONEAL LAVAGE (DIAGNOSTIC OR $138.25
sur 49081 PERITONEOCENTESIS, ABDOMINAL PARACENTESIS, OR PERITONEAL LAVAGE (DIAGNOSTIC OR $138.13
sur 49180 BIOPSY, ABDOMINAL OR RETROPERITONEAL MASS, PERCUTANEOUS NEEDLE $138.93
sur 49203 EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 $998.02
sur 49204 EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 $1,271.16
sur 49205 EXCISION OR DESTRUCTION, OPEN, INTRA-ABDOMINAL TUMORS, CYSTS OR ENDOMETRIOMAS, 1 $1,458.61
sur 49215 EXCISION OF PRESACRAL OR SACROCOCCYGEAL TUMOR $1,838.45
sur 49220 STAGING LAPAROTOMY FOR HODGKINS DISEASE OR LYMPHOMA (INCLUDES SPLENECTOMY, $806.41
sur 49250 UMBILECTOMY, OMPHALECTOMY, EXCISION OF UMBILICUS (SEPARATE PROCEDURE) $482.98
sur 49255 OMENTECTOMY, EPIPLOECTOMY, RESECTION OF OMENTUM (SEPARATE PROCEDURE) $654.94
sur 49320 LAPAROSCOPY, ABDOMEN, PERITONEUM, AND OMENTUM, DIAGNOSTIC, WITH OR WITHOUT COLLE $272.96
sur 49321 LAPAROSCOPY, SURGICAL; WITH BIOPSY (SINGLE OR MULTIPLE) $288.95
sur 49322 LAPAROSCOPY, SURGICAL; WITH ASPIRATION OF CAVITY OR CYST (EG, OVARIAN CYST) $310.67
sur 49323 LAPAROSCOPY, SURGICAL; WITH DRAINAGE OF LYMPHOCELE TO PERITONEAL CAVITY $537.42
sur 49324 LAPAROSCOPY, SURGICAL; WITH INSERTION OF TUNNELED INTRAPERITONEAL CATHETER $328.81
sur 49325 LAPAROSCOPY, SURGICAL; WITH REVISION OF PREVIOUSLY PLACED INTRAPERITONEAL CANNUL $351.99
sur 49326 LAPAROSCOPY, SURGICAL; WITH OMENTOPEXY (OMENTAL TACKING PROCEDURE) (LIST SEPARAT $159.28
sur 49327 LAPAROSCOPY, SURGICAL; WITH PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION TH $111.67
sur 49329 UNLISTED LAPAROSCOPY PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM BR
sur 49400 INJECTION OF AIR OR CONTRAST INTO PERITONEAL CAVITY (SEPARATE PROCEDURE) $133.41
sur 49402 REMOVAL OF PERITONEAL FOREIGN BODY FROM PERITONEAL CAVITY $710.86
sur 49411 Placement of interstitial device(s) for radiation therapy guidance (eg, fiducial $441.33
sur 49412 PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL $69.76
sur 49418 INSERTION OF TUNNELED INTRAPERITONEAL CATHETER (EG, DIALYSIS, INTRAPERITONEAL CH $1,281.98
sur 49419 INSERTION OF TUNNELED INTRAPERITONEAL CATHETER, WITH SUBCUTANEOUS PORT (IE, TOTA $370.39
sur 49421 INSERTION OF TUNNELED INTRAPERITONEAL CATHETER FOR DIALYSIS, OPEN $227.63
sur 49422 REMOVAL OF TUNNELED INTRAPERITONEAL CATHETER $321.14
sur 49423 EXCHANGE OF PREVIOUSLY PLACED ABSCESS OR CYST DRAINAGE CATHETER UNDER $481.60
sur 49424 CONTRAST INJECTION FOR ASSESSMENT OF ABSCESS OR CYST VIA PREVIOUSLY PLACED $128.61
sur 49425 INSERTION OF PERITONEAL-VENOUS SHUNT $633.03
sur 49426 REVISION OF PERITONEAL-VENOUS SHUNT $534.50
sur 49427 INJECTION PROCEDURE (EG, CONTRAST MEDIA) FOR EVALUATION OF PREVIOUSLY PLACED $39.49
sur 49428 LIGATION OF PERITONEAL-VENOUS SHUNT $363.76
sur 49429 REMOVAL OF PERITONEAL-VENOUS SHUNT $382.71
sur 49435 INSERTION OF SUBCUTANEOUS EXTENSION TO INTRAPERITONEAL CANNULA OR CATHETER WITH $100.78
sur 49436 DELAYED CREATION OF EXIT SITE FROM EMBEDDED SUBCUTANEOUS SEGMENT OF INTRAPERITON $154.88
sur 49440 INSERTION OF GASTROSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANCE INCLUDI $920.36
sur 49441 INSERTION OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC $1,019.96
sur 49442 INSERTION OF CECOSTOMY OR OTHER COLONIC TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC G $856.02
sur 49446 CONVERSION OF GASTROSTOMY TUBE TO GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER F $850.93
sur 49450 REPLACEMENT OF GASTROSTOMY OR CECOSTOMY (OR OTHER COLONIC) TUBE, PERCUTANEOUS, U $606.49
sur 49451 REPLACEMENT OF DUODENOSTOMY OR JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPI $614.59
sur 49452 REPLACEMENT OF GASTRO-JEJUNOSTOMY TUBE, PERCUTANEOUS, UNDER FLUOROSCOPIC GUIDANC $764.24
sur 49460 MECHANICAL REMOVAL OF OBSTRUCTIVE MATERIAL FROM GASTROSTOMY, DUODENOSTOMY, JEJUN $669.09
sur 49465 CONTRAST INJECTION(S) FOR RADIOLOGICAL EVALUATION OF EXISTING GASTROSTOMY, DUODE $146.06
sur 49491 REPAIR, INITIAL INGUINAL HERNIA, PRETERM INFANT (LESS THAN 37 WEEKS GESTATION AT $652.10
sur 49492 REPAIR, INITIAL INGUINAL HERNIA, PRETERM INFANT (LESS THAN 37 WEEKS GESTATION $790.10
sur 49495 REPAIR, INITIAL INGUINAL HERNIA, FULL TERM INFANT UNDER AGE 6 MONTHS, OR $333.64
sur 49496 REPAIR, INITIAL INGUINAL HERNIA, FULL TERM INFANT UNDER AGE 6 MONTHS, OR $509.10
sur 49500 REPAIR INITIAL INGUINAL HERNIA, AGE 6 MONTHS TO UNDER 5 YEARS, WITH OR WITHOUT $317.58
sur 49501 REPAIR INITIAL INGUINAL HERNIA, AGE 6 MONTHS TO UNDER 5 YEARS, WITH OR WITHOUT $497.46
sur 49505 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OVER; REDUCIBLE $428.38
sur 49507 REPAIR INITIAL INGUINAL HERNIA, AGE 5 YEARS OR OVER; INCARCERATED OR $526.76
sur 49520 REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; REDUCIBLE $521.91
sur 49521 REPAIR RECURRENT INGUINAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED $633.84
sur 49525 REPAIR INGUINAL HERNIA, SLIDING, ANY AGE $472.58
sur 49540 REPAIR LUMBAR HERNIA $559.20
sur 49550 REPAIR INITIAL FEMORAL HERNIA, ANY AGE; REDUCIBLE $475.42
sur 49553 REPAIR INITIAL FEMORAL HERNIA, ANY AGE; INCARCERATED OR STRANGULATED $521.02
sur 49555 REPAIR RECURRENT FEMORAL HERNIA; REDUCIBLE $493.79
sur 49557 REPAIR RECURRENT FEMORAL HERNIA; INCARCERATED OR STRANGULATED $599.08
sur 49560 REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; REDUCIBLE $610.63
sur 49561 REPAIR INITIAL INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED $771.27
sur 49565 REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; REDUCIBLE $635.83
sur 49566 REPAIR RECURRENT INCISIONAL OR VENTRAL HERNIA; INCARCERATED OR STRANGULATED $779.55
sur 49568 IMPLANTATION OF MESH OR OTHER PROSTHESIS FOR OPEN INCISIONAL OR VENTRAL HERNIA R $224.98
sur 49570 REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); REDUCIBLE (SEPARATE PROCEDURE) $340.81
sur 49572 REPAIR EPIGASTRIC HERNIA (EG, PREPERITONEAL FAT); INCARCERATED OR STRANGULATED $422.91
sur 49580 REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS; REDUCIBLE $269.64
sur 49582 REPAIR UMBILICAL HERNIA, UNDER AGE 5 YEARS; INCARCERATED OR STRANGULATED $394.73
sur 49585 REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OVER; REDUCIBLE $364.68
sur 49587 REPAIR UMBILICAL HERNIA, AGE 5 YEARS OR OVER; INCARCERATED OR STRANGULATED $431.23
sur 49590 REPAIR SPIGELIAN HERNIA $471.96
sur 49600 REPAIR OF SMALL OMPHALOCELE, WITH PRIMARY CLOSURE $606.79
sur 49605 REPAIR OF LARGE OMPHALOCELE OR GASTROSCHISIS; WITH OR WITHOUT PROSTHESIS $4,151.40
sur 49606 REPAIR OF LARGE OMPHALOCELE OR GASTROSCHISIS; WITH REMOVAL OF PROSTHESIS, FINAL $941.60
sur 49610 REPAIR OF OMPHALOCELE (GROSS TYPE OPERATION); FIRST STAGE $569.79
sur 49611 REPAIR OF OMPHALOCELE (GROSS TYPE OPERATION); SECOND STAGE $464.94
sur 49650 LAPAROSCOPY, SURGICAL; REPAIR INITIAL INGUINAL HERNIA $351.47
sur 49651 LAPAROSCOPY, SURGICAL; REPAIR RECURRENT INGUINAL HERNIA $457.58
sur 49652 Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric herni $611.18
sur 49653 Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric herni $765.89
sur 49654 Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when $702.47
sur 49655 Laparoscopy, surgical, repair, incisional hernia (includes mesh insertion, when $845.39
sur 49656 Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insert $705.03
sur 49657 Laparoscopy, surgical, repair, recurrent incisional hernia (includes mesh insert $1,014.13
sur 49659 UNLISTED LAPAROSCOPY PROCEDURE, HERNIOPLASTY, HERNIORRHAPHY, HERNIOTOMY BR
sur 49900 SUTURE, SECONDARY, OF ABDOMINAL WALL FOR EVISCERATION OR DEHISCENCE $675.21
sur 49904 OMENTAL FLAP, EXTRA-ABDOMINAL (EG, FOR RECONSTRUCTION OF STERNAL AND CHEST WALL $1,230.13
sur 49905 OMENTAL FLAP, INTRA-ABDOMINAL (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY $297.86
sur 49906 FREE OMENTAL FLAP WITH MICROVASCULAR ANASTOMOSIS $3,221.87
sur 49999 UNLISTED PROCEDURE, ABDOMEN, PERITONEUM AND OMENTUM BR
sur 50010 RENAL EXPLORATION, NOT NECESSITATING OTHER SPECIFIC PROCEDURES $632.54
sur 50020 DRAINAGE OF PERIRENAL OR RENAL ABSCESS; OPEN $899.81
sur 50021 DRAINAGE OF PERIRENAL OR RENAL ABSCESS; PERCUTANEOUS $799.95
sur 50040 NEPHROSTOMY, NEPHROTOMY WITH DRAINAGE $811.18
sur 50045 NEPHROTOMY, WITH EXPLORATION $813.69
sur 50060 NEPHROLITHOTOMY; REMOVAL OF CALCULUS $1,000.05
sur 50065 NEPHROLITHOTOMY; SECONDARY SURGICAL OPERATION FOR CALCULUS $1,053.73
sur 50070 NEPHROLITHOTOMY; COMPLICATED BY CONGENITAL KIDNEY ABNORMALITY $1,042.97
sur 50075 NEPHROLITHOTOMY; REMOVAL OF LARGE STAGHORN CALCULUS FILLING RENAL PELVIS AND $1,281.50
sur 50080 PERCUTANEOUS NEPHROSTOLITHOTOMY OR PYELOSTOLITHOTOMY, WITH OR WITHOUT DILATION, $764.58
sur 50081 PERCUTANEOUS NEPHROSTOLITHOTOMY OR PYELOSTOLITHOTOMY, WITH OR WITHOUT DILATION, $1,122.48
sur 50100 TRANSECTION OR REPOSITIONING OF ABERRANT RENAL VESSELS (SEPARATE PROCEDURE) $846.37
sur 50120 PYELOTOMY; WITH EXPLORATION $829.56
sur 50125 PYELOTOMY; WITH DRAINAGE, PYELOSTOMY $881.92
sur 50130 PYELOTOMY; WITH REMOVAL OF CALCULUS (PYELOLITHOTOMY, PELVIOLITHOTOMY, INCLUDING $907.40
sur 50135 PYELOTOMY; COMPLICATED (EG, SECONDARY OPERATION, CONGENITAL KIDNEY ABNORMALITY) $983.00
sur 50200 RENAL BIOPSY; PERCUTANEOUS, BY TROCAR OR NEEDLE $488.96
sur 50205 RENAL BIOPSY; BY SURGICAL EXPOSURE OF KIDNEY $628.46
sur 50220 NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB $909.60
sur 50225 NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB $1,045.03
sur 50230 NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY, ANY OPEN APPROACH INCLUDING RIB $1,124.07
sur 50234 NEPHRECTOMY WITH TOTAL URETERECTOMY AND BLADDER CUFF; THROUGH SAME INCISION $1,141.41
sur 50236 NEPHRECTOMY WITH TOTAL URETERECTOMY AND BLADDER CUFF; THROUGH SEPARATE INCISION $1,287.71
sur 50240 NEPHRECTOMY, PARTIAL $1,161.59
sur 50250 ABLATION, OPEN, 1 OR MORE RENAL MASS LESION(S), CRYOSURGICAL, INCLUDING INTRAOPE $1,072.26
sur 50280 EXCISION OR UNROOFING OF CYST(S) OF KIDNEY $835.10
sur 50290 EXCISION OF PERINEPHRIC CYST $794.83
sur 50300 DONOR NEPHRECTOMY (INCLUDING COLD PRESERVATION); FROM CADAVER DONOR, UNILATERAL $643.21
sur 50320 DONOR NEPHRECTOMY (INCLUDING COLD PRESERVATION); OPEN, FROM LIVING DONOR $1,196.41
sur 50323 BACKBENCH STANDARD PREPARATION OF CADAVER DONOR RENAL ALLOGRAFT PRIOR TO $162.52
sur 50325 BACKBENCH STANDARD PREPARATION OF LIVING DONOR RENAL ALLOGRAFT (OPEN OR $162.52
sur 50327 BACKBENCH RECONSTRUCTION OF CADAVER OR LIVING DONOR RENAL ALLOGRAFT PRIOR TO $183.21
sur 50328 BACKBENCH RECONSTRUCTION OF CADAVER OR LIVING DONOR RENAL ALLOGRAFT PRIOR TO $160.26
sur 50329 BACKBENCH RECONSTRUCTION OF CADAVER OR LIVING DONOR RENAL ALLOGRAFT PRIOR TO $150.83
sur 50340 RECIPIENT NEPHRECTOMY (SEPARATE PROCEDURE) $777.66
sur 50360 RENAL ALLOTRANSPLANTATION, IMPLANTATION OF GRAFT; WITHOUT RECIPIENT NEPHRECTOMY $2,124.40
sur 50365 RENAL ALLOTRANSPLANTATION, IMPLANTATION OF GRAFT; WITH RECIPIENT NEPHRECTOMY $2,392.07
sur 50370 REMOVAL OF TRANSPLANTED RENAL ALLOGRAFT $992.30
sur 50380 RENAL AUTOTRANSPLANTATION, REIMPLANTATION OF KIDNEY $1,676.75
sur 50382 REMOVAL (VIA SNARE/CAPTURE) AND REPLACEMENT OF INTERNALLY DWELLING URETERAL STEN $1,082.26
sur 50384 REMOVAL (VIA SNARE/CAPTURE) OF INTERNALLY DWELLING URETERAL STENT VIA PERCUTANEO $904.15
sur 50385 REMOVAL (VIA SNARE/CAPTURE) AND REPLACEMENT OF INTERNALLY DWELLING URETERAL STEN $1,057.01
sur 50386 REMOVAL (VIA SNARE/CAPTURE) OF INTERNALLY DWELLING URETERAL STENT VIA TRANSURETH $689.02
sur 50387 REMOVAL AND REPLACEMENT OF EXTERNALLY ACCESSIBLE TRANSNEPHRIC URETERAL STENT (EG $501.48
sur 50389 REMOVAL OF NEPHROSTOMY TUBE, REQUIRING FLUOROSCOPIC GUIDANCE (EG, WITH CONCURREN $278.87
sur 50390 ASPIRATION AND/OR INJECTION OF RENAL CYST OR PELVIS BY NEEDLE, PERCUTANEOUS $85.14
sur 50391 INSTILLATION(S) OF THERAPEUTIC AGENT INTO RENAL PELVIS AND/OR URETER THROUGH $109.74
sur 50392 INTRODUCTION OF INTRACATHETER OR CATHETER INTO RENAL PELVIS FOR DRAINAGE AND/OR $156.92
sur 50393 INTRODUCTION OF URETERAL CATHETER OR STENT INTO URETER THROUGH RENAL PELVIS FOR $190.98
sur 50394 INJECTION PROCEDURE FOR PYELOGRAPHY (AS NEPHROSTOGRAM, PYELOSTOGRAM, ANTEGRADE $88.77
sur 50395 INTRODUCTION OF GUIDE INTO RENAL PELVIS AND/OR URETER WITH DILATION TO $158.61
sur 50396 MANOMETRIC STUDIES THROUGH NEPHROSTOMY OR PYELOSTOMY TUBE, OR INDWELLING $102.07
sur 50398 CHANGE OF NEPHROSTOMY OR PYELOSTOMY TUBE $453.81
sur 50400 PYELOPLASTY (FOLEY Y-PYELOPLASTY), PLASTIC OPERATION ON RENAL PELVIS, WITH OR WI $1,014.07
sur 50405 PYELOPLASTY (FOLEY Y-PYELOPLASTY), PLASTIC OPERATION ON RENAL PELVIS, WITH OR $1,223.56
sur 50500 NEPHRORRHAPHY, SUTURE OF KIDNEY WOUND OR INJURY $1,071.57
sur 50520 CLOSURE OF NEPHROCUTANEOUS OR PYELOCUTANEOUS FISTULA $904.81
sur 50525 CLOSURE OF NEPHROVISCERAL FISTULA (EG, RENOCOLIC), INCLUDING VISCERAL REPAIR; $1,247.13
sur 50526 CLOSURE OF NEPHROVISCERAL FISTULA (EG, RENOCOLIC), INCLUDING VISCERAL REPAIR; $1,209.33
sur 50540 SYMPHYSIOTOMY FOR HORSESHOE KIDNEY WITH OR WITHOUT PYELOPLASTY AND/OR OTHER $996.94
sur 50541 LAPAROSCOPY, SURGICAL; ABLATION OF RENAL CYSTS $807.81
sur 50542 LAPAROSCOPY, SURGICAL; ABLATION OF RENAL MASS LESION(S), INCLUDING INTRAOPERATIV $1,025.58
sur 50543 LAPAROSCOPY, SURGICAL; PARTIAL NEPHRECTOMY $1,308.13
sur 50544 LAPAROSCOPY, SURGICAL; PYELOPLASTY $1,096.92
sur 50545 LAPAROSCOPY, SURGICAL; RADICAL NEPHRECTOMY (INCLUDES REMOVAL OF GEROTA'S FASCIA $1,180.37
sur 50546 LAPAROSCOPY, SURGICAL; NEPHRECTOMY, INCLUDING PARTIAL URETERECTOMY $1,052.93
sur 50547 LAPAROSCOPY, SURGICAL; DONOR NEPHRECTOMY (INCLUDING COLD PRESERVATION), FROM $1,350.29
sur 50548 LAPAROSCOPY, SURGICAL; NEPHRECTOMY WITH TOTAL URETERECTOMY $1,186.06
sur 50549 UNLISTED LAPAROSCOPY PROCEDURE, RENAL BR
sur 50551 RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT I $318.31
sur 50553 RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT $338.05
sur 50555 RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT $363.58
sur 50557 RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT $370.19
sur 50561 RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT $420.60
sur 50562 RENAL ENDOSCOPY THROUGH ESTABLISHED NEPHROSTOMY OR PYELOSTOMY, WITH OR WITHOUT $513.30
sur 50570 RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, $433.85
sur 50572 RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, $470.14
sur 50574 RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, $499.85
sur 50575 RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, $631.12
sur 50576 RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, $498.15
sur 50580 RENAL ENDOSCOPY THROUGH NEPHROTOMY OR PYELOTOMY, WITH OR WITHOUT IRRIGATION, $535.34
sur 50590 LITHOTRIPSY, EXTRACORPOREAL SHOCK WAVE $749.09
sur 50592 ABLATION, ONE OR MORE RENAL TUMOR(S), PERCUTANEOUS, UNILATERAL, RADIOFREQUENCY $2,910.59
sur 50593 ABLATION, RENAL TUMOR(S), UNILATERAL, PERCUTANEOUS, CRYOTHERAPY $4,004.22
sur 50600 URETEROTOMY WITH EXPLORATION OR DRAINAGE (SEPARATE PROCEDURE) $820.94
sur 50605 URETEROTOMY FOR INSERTION OF INDWELLING STENT, ALL TYPES $831.63
sur 50610 URETEROLITHOTOMY; UPPER ONE-THIRD OF URETER $829.30
sur 50620 URETEROLITHOTOMY; MIDDLE ONE-THIRD OF URETER $793.21
sur 50630 URETEROLITHOTOMY; LOWER ONE-THIRD OF URETER $777.38
sur 50650 URETERECTOMY, WITH BLADDER CUFF (SEPARATE PROCEDURE) $907.83
sur 50660 URETERECTOMY, TOTAL, ECTOPIC URETER, COMBINATION ABDOMINAL, VAGINAL AND/OR $1,000.62
sur 50684 INJECTION PROCEDURE FOR URETEROGRAPHY OR URETEROPYELOGRAPHY THROUGH URETEROSTOMY $127.46
sur 50686 MANOMETRIC STUDIES THROUGH URETEROSTOMY OR INDWELLING URETERAL CATHETER $124.95
sur 50688 CHANGE OF URETEROSTOMY TUBE OR EXTERNALLY ACCESSIBLE URETERAL STENT VIA ILEAL CO $69.72
sur 50690 INJECTION PROCEDURE FOR VISUALIZATION OF ILEAL CONDUIT AND/ OR $85.19
sur 50700 URETEROPLASTY, PLASTIC OPERATION ON URETER (EG, STRICTURE) $809.32
sur 50715 URETEROLYSIS, WITH OR WITHOUT REPOSITIONING OF URETER FOR RETROPERITONEAL $1,004.74
sur 50722 URETEROLYSIS FOR OVARIAN VEIN SYNDROME $891.56
sur 50725 URETEROLYSIS FOR RETROCAVAL URETER, WITH REANASTOMOSIS OF UPPER URINARY TRACT $983.47
sur 50727 REVISION OF URINARY-CUTANEOUS ANASTOMOSIS (ANY TYPE UROSTOMY); $441.68
sur 50728 REVISION OF URINARY-CUTANEOUS ANASTOMOSIS (ANY TYPE UROSTOMY); WITH REPAIR OF $605.96
sur 50740 URETEROPYELOSTOMY, ANASTOMOSIS OF URETER AND RENAL PELVIS $1,020.46
sur 50750 URETEROCALYCOSTOMY, ANASTOMOSIS OF URETER TO RENAL CALYX $1,014.45
sur 50760 URETEROURETEROSTOMY $976.77
sur 50770 TRANSURETEROURETEROSTOMY, ANASTOMOSIS OF URETER TO CONTRALATERAL URETER $995.25
sur 50780 URETERONEOCYSTOSTOMY; ANASTOMOSIS OF SINGLE URETER TO BLADDER $964.27
sur 50782 URETERONEOCYSTOSTOMY; ANASTOMOSIS OF DUPLICATED URETER TO BLADDER $994.96
sur 50783 URETERONEOCYSTOSTOMY; WITH EXTENSIVE URETERAL TAILORING $998.51
sur 50785 URETERONEOCYSTOSTOMY; WITH VESICO-PSOAS HITCH OR BLADDER FLAP $1,060.66
sur 50800 URETEROENTEROSTOMY, DIRECT ANASTOMOSIS OF URETER TO INTESTINE $809.80
sur 50810 URETEROSIGMOIDOSTOMY, WITH CREATION OF SIGMOID BLADDER AND ESTABLISHMENT OF $1,134.10
sur 50815 URETEROCOLON CONDUIT, INCLUDING INTESTINE ANASTOMOSIS $1,070.60
sur 50820 URETEROILEAL CONDUIT (ILEAL BLADDER), INCLUDING INTESTINE ANASTOMOSIS (BRICKER $1,149.87
sur 50825 CONTINENT DIVERSION, INCLUDING INTESTINE ANASTOMOSIS USING ANY SEGMENT OF SMALL $1,451.82
sur 50830 URINARY UNDIVERSION (EG, TAKING DOWN OF URETEROILEAL CONDUIT, $1,571.17
sur 50840 REPLACEMENT OF ALL OR PART OF URETER BY INTESTINE SEGMENT, INCLUDING INTESTINE $1,078.07
sur 50845 CUTANEOUS APPENDICO-VESICOSTOMY $1,094.15
sur 50860 URETEROSTOMY, TRANSPLANTATION OF URETER TO SKIN $826.36
sur 50900 URETERORRHAPHY, SUTURE OF URETER (SEPARATE PROCEDURE) $736.32
sur 50920 CLOSURE OF URETEROCUTANEOUS FISTULA $772.37
sur 50930 CLOSURE OF URETEROVISCERAL FISTULA (INCLUDING VISCERAL REPAIR) $1,009.33
sur 50940 DELIGATION OF URETER $774.42
sur 50945 LAPAROSCOPY, SURGICAL, URETEROLITHOTOMY $853.84
sur 50947 LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITH CYSTOSCOPY AND URETERAL STENT $1,209.48
sur 50948 LAPAROSCOPY, SURGICAL; URETERONEOCYSTOSTOMY WITHOUT CYSTOSCOPY AND URETERAL $1,122.38
sur 50949 UNLISTED LAPAROSCOPY PROCEDURE, URETER BR
sur 50951 URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT IRRIGATION, $332.72
sur 50953 URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT $352.01
sur 50955 URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT $383.13
sur 50957 URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT $378.57
sur 50961 URETERAL ENDOSCOPY THROUGH ESTABLISHED URETEROSTOMY, WITH OR WITHOUT $341.93
sur 50970 URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, $327.10
sur 50972 URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, $315.82
sur 50974 URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, $417.67
sur 50976 URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, $411.32
sur 50980 URETERAL ENDOSCOPY THROUGH URETEROTOMY, WITH OR WITHOUT IRRIGATION, $314.41
sur 51020 CYSTOTOMY OR CYSTOSTOMY; WITH FULGURATION AND/OR INSERTION OF RADIOACTIVE $410.56
sur 51030 CYSTOTOMY OR CYSTOSTOMY; WITH CRYOSURGICAL DESTRUCTION OF INTRAVESICAL LESION $406.96
sur 51040 CYSTOSTOMY, CYSTOTOMY WITH DRAINAGE $254.36
sur 51045 CYSTOTOMY, WITH INSERTION OF URETERAL CATHETER OR STENT (SEPARATE PROCEDURE) $423.52
sur 51050 CYSTOLITHOTOMY, CYSTOTOMY WITH REMOVAL OF CALCULUS, WITHOUT VESICAL NECK $414.14
sur 51060 TRANSVESICAL URETEROLITHOTOMY $509.84
sur 51065 CYSTOTOMY, WITH CALCULUS BASKET EXTRACTION AND/OR ULTRASONIC OR $506.70
sur 51080 DRAINAGE OF PERIVESICAL OR PREVESICAL SPACE ABSCESS $356.46
sur 51100 ASPIRATION OF BLADDER; BY NEEDLE $54.10
sur 51101 ASPIRATION OF BLADDER; BY TROCAR OR INTRACATHETER $110.30
sur 51102 ASPIRATION OF BLADDER; WITH INSERTION OF SUPRAPUBIC CATHETER $201.33
sur 51500 EXCISION OF URACHAL CYST OR SINUS, WITH OR WITHOUT UMBILICAL HERNIA REPAIR $567.50
sur 51520 CYSTOTOMY; FOR SIMPLE EXCISION OF VESICAL NECK (SEPARATE PROCEDURE) $515.97
sur 51525 CYSTOTOMY; FOR EXCISION OF BLADDER DIVERTICULUM, SINGLE OR MULTIPLE (SEPARATE $754.07
sur 51530 CYSTOTOMY; FOR EXCISION OF BLADDER TUMOR $685.71
sur 51535 CYSTOTOMY FOR EXCISION, INCISION, OR REPAIR OF URETEROCELE $677.58
sur 51550 CYSTECTOMY, PARTIAL; SIMPLE $842.35
sur 51555 CYSTECTOMY, PARTIAL; COMPLICATED (EG, POSTRADIATION, PREVIOUS SURGERY, $1,109.13
sur 51565 CYSTECTOMY, PARTIAL, WITH REIMPLANTATION OF URETER(S) INTO BLADDER $1,130.66
sur 51570 CYSTECTOMY, COMPLETE; (SEPARATE PROCEDURE) $1,293.38
sur 51575 CYSTECTOMY, COMPLETE; WITH BILATERAL PELVIC LYMPHADENECTOMY, INCLUDING EXTERNAL $1,599.62
sur 51580 CYSTECTOMY, COMPLETE, WITH URETEROSIGMOIDOSTOMY OR URETEROCUTANEOUS $1,666.22
sur 51585 CYSTECTOMY, COMPLETE, WITH URETEROSIGMOIDOSTOMY OR URETEROCUTANEOUS $1,855.48
sur 51590 CYSTECTOMY, COMPLETE, WITH URETEROILEAL CONDUIT OR SIGMOID BLADDER, INCLUDING $1,696.32
sur 51595 CYSTECTOMY, COMPLETE, WITH URETEROILEAL CONDUIT OR SIGMOID BLADDER, INCLUDING $1,923.98
sur 51596 CYSTECTOMY, COMPLETE, WITH CONTINENT DIVERSION, ANY OPEN TECHNIQUE, USING ANY $2,067.38
sur 51597 PELVIC EXENTERATION, COMPLETE, FOR VESICAL, PROSTATIC OR URETHRAL MALIGNANCY, $2,009.28
sur 51600 INJECTION PROCEDURE FOR CYSTOGRAPHY OR VOIDING URETHROCYSTOGRAPHY $165.62
sur 51605 INJECTION PROCEDURE AND PLACEMENT OF CHAIN FOR CONTRAST AND/ OR CHAIN $33.45
sur 51610 INJECTION PROCEDURE FOR RETROGRADE URETHROCYSTOGRAPHY $95.17
sur 51700 BLADDER IRRIGATION, SIMPLE, LAVAGE AND/OR INSTILLATION $74.21
sur 51701 INSERTION OF NON-INDWELLING BLADDER CATHETER (EG, STRAIGHT CATHETERIZATION FOR $50.58
sur 51702 INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; SIMPLE (EG, FOLEY) $65.20
sur 51703 INSERTION OF TEMPORARY INDWELLING BLADDER CATHETER; COMPLICATED (EG, ALTERED $118.22
sur 51705 CHANGE OF CYSTOSTOMY TUBE; SIMPLE $96.02
sur 51710 CHANGE OF CYSTOSTOMY TUBE; COMPLICATED $133.72
sur 51715 ENDOSCOPIC INJECTION OF IMPLANT MATERIAL INTO THE SUBMUCOSAL TISSUES OF THE $254.36
sur 51720 BLADDER INSTILLATION OF ANTICARCINOGENIC AGENT (INCLUDING RETENTION TIME) $97.89
sur 51725 SIMPLE CYSTOMETROGRAM (CMG) (EG, SPINAL MANOMETER) $178.43
sur 51726 COMPLEX CYSTOMETROGRAM (IE, CALIBRATED ELECTRONIC EQUIPMENT); $260.40
sur 51727 Complex cystometrogram (ie, calibrated electronic equipment); with urethral pres $259.05
sur 51728 Complex cystometrogram (ie, calibrated electronic equipment); with voiding press $256.55
sur 51729 Complex cystometrogram (ie, calibrated electronic equipment); with voiding press $280.99
sur 51736 SIMPLE UROFLOWMETRY (UFR) (EG, STOP-WATCH FLOW RATE, MECHANICAL UROFLOWMETER) $29.85
sur 51741 COMPLEX UROFLOWMETRY (EG, CALIBRATED ELECTRONIC EQUIPMENT) $36.44
sur 51784 ELECTROMYOGRAPHY STUDIES (EMG) OF ANAL OR URETHRAL SPHINCTER, OTHER THAN $174.14
sur 51785 NEEDLE ELECTROMYOGRAPHY STUDIES (EMG) OF ANAL OR URETHRAL SPHINCTER, ANY $191.34
sur 51792 STIMULUS EVOKED RESPONSE (EG, MEASUREMENT OF BULBOCAVERNOSUS REFLEX LATENCY $196.90
sur 51797 VOIDING PRESSURE STUDIES, INTRA-ABDOMINAL (IE, RECTAL, GASTRIC, INTRAPERIT $114.33
sur 51798 MEASUREMENT OF POST-VOIDING RESIDUAL URINE AND/OR BLADDER CAPACITY BY $16.60
sur 51800 CYSTOPLASTY OR CYSTOURETHROPLASTY, PLASTIC OPERATION ON BLADDER AND/OR VESICAL N $916.05
sur 51820 CYSTOURETHROPLASTY WITH UNILATERAL OR BILATERAL URETERONEOCYSTOSTOMY $933.43
sur 51840 ANTERIOR VESICOURETHROPEXY, OR URETHROPEXY (EG, MARSHALL-MARCHETTI-KRANTZ, $572.24
sur 51841 ANTERIOR VESICOURETHROPEXY, OR URETHROPEXY (EG, MARSHALL-MARCHETTI-KRANTZ, $681.01
sur 51845 ABDOMINO-VAGINAL VESICAL NECK SUSPENSION, WITH OR WITHOUT ENDOSCOPIC CONTROL $514.94
sur 51860 CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; SIMPLE $644.07
sur 51865 CYSTORRHAPHY, SUTURE OF BLADDER WOUND, INJURY OR RUPTURE; COMPLICATED $780.48
sur 51880 CLOSURE OF CYSTOSTOMY (SEPARATE PROCEDURE) $408.78
sur 51900 CLOSURE OF VESICOVAGINAL FISTULA, ABDOMINAL APPROACH $717.59
sur 51920 CLOSURE OF VESICOUTERINE FISTULA; $659.65
sur 51925 CLOSURE OF VESICOUTERINE FISTULA; WITH HYSTERECTOMY $913.87
sur 51940 CLOSURE, EXSTROPHY OF BLADDER $1,416.67
sur 51960 ENTEROCYSTOPLASTY, INCLUDING INTESTINAL ANASTOMOSIS $1,219.31
sur 51980 CUTANEOUS VESICOSTOMY $623.27
sur 51990 LAPAROSCOPY, SURGICAL; URETHRAL SUSPENSION FOR STRESS INCONTINENCE $655.50
sur 51992 LAPAROSCOPY, SURGICAL; SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR $733.25
sur 51999 UNLISTED LAPAROSCOPY PROCEDURE, BLADDER BR
sur 52000 CYSTOURETHROSCOPY (SEPARATE PROCEDURE) $180.88
sur 52001 CYSTOURETHROSCOPY WITH IRRIGATION AND EVACUATION OF MULTIPLE OBSTRUCTING CLOTS $330.00
sur 52005 CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, $247.41
sur 52007 CYSTOURETHROSCOPY, WITH URETERAL CATHETERIZATION, WITH OR WITHOUT IRRIGATION, $443.61
sur 52010 CYSTOURETHROSCOPY, WITH EJACULATORY DUCT CATHETERIZATION, WITH OR WITHOUT $342.45
sur 52204 CYSTOURETHROSCOPY, WITH BIOPSY(S) $358.66
sur 52214 CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OF $535.54
sur 52224 CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) OR $639.66
sur 52234 CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) $216.88
sur 52235 CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) $254.36
sur 52240 CYSTOURETHROSCOPY, WITH FULGURATION (INCLUDING CRYOSURGERY OR LASER SURGERY) $444.45
sur 52250 CYSTOURETHROSCOPY WITH INSERTION OF RADIOACTIVE SUBSTANCE, WITH OR WITHOUT $213.93
sur 52260 CYSTOURETHROSCOPY, WITH DILATION OF BLADDER FOR INTERSTITIAL CYSTITIS; GENERAL $184.83
sur 52265 CYSTOURETHROSCOPY, WITH DILATION OF BLADDER FOR INTERSTITIAL CYSTITIS; LOCAL $350.05
sur 52270 CYSTOURETHROSCOPY, WITH INTERNAL URETHROTOMY; FEMALE $335.98
sur 52275 CYSTOURETHROSCOPY, WITH INTERNAL URETHROTOMY; MALE $457.03
sur 52276 CYSTOURETHROSCOPY WITH DIRECT VISION INTERNAL URETHROTOMY $234.16
sur 52277 CYSTOURETHROSCOPY, WITH RESECTION OF EXTERNAL SPHINCTER (SPHINCTEROTOMY) $286.67
sur 52281 CYSTOURETHROSCOPY, WITH CALIBRATION AND/OR DILATION OF URETHRAL STRICTURE OR $248.32
sur 52282 CYSTOURETHROSCOPY, WITH INSERTION OF PERMANENT URETHRAL STENT $296.71
sur 52283 CYSTOURETHROSCOPY, WITH STEROID INJECTION INTO STRICTURE $244.95
sur 52285 CYSTOURETHROSCOPY FOR TREATMENT OF THE FEMALE URETHRAL SYNDROME WITH ANY OR ALL $246.89
sur 52290 CYSTOURETHROSCOPY; WITH URETERAL MEATOTOMY, UNILATERAL OR BILATERAL $215.43
sur 52300 CYSTOURETHROSCOPY; WITH RESECTION OR FULGURATION OF ORTHOTOPIC URETEROCELE(S), $249.64
sur 52301 CYSTOURETHROSCOPY; WITH RESECTION OR FULGURATION OF ECTOPIC URETEROCELE(S), $258.11
sur 52305 CYSTOURETHROSCOPY; WITH INCISION OR RESECTION OF ORIFICE OF BLADDER $245.71
sur 52310 CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT $214.85
sur 52315 CYSTOURETHROSCOPY, WITH REMOVAL OF FOREIGN BODY, CALCULUS, OR URETERAL STENT $376.37
sur 52317 LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND $777.99
sur 52318 LITHOLAPAXY: CRUSHING OR FRAGMENTATION OF CALCULUS BY ANY MEANS IN BLADDER AND $417.68
sur 52320 CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH REMOVAL OF URETERAL $217.18
sur 52325 CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH FRAGMENTATION OF $282.64
sur 52327 CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH SUBURETERIC $231.32
sur 52330 CYSTOURETHROSCOPY (INCLUDING URETERAL CATHETERIZATION); WITH MANIPULATION, $569.73
sur 52332 CYSTOURETHROSCOPY, WITH INSERTION OF INDWELLING URETERAL STENT (EG, GIBBONS OR $423.43
sur 52334 CYSTOURETHROSCOPY WITH INSERTION OF URETERAL GUIDE WIRE THROUGH KIDNEY TO $226.35
sur 52341 CYSTOURETHROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, BALLOON DILATION, $255.48
sur 52342 CYSTOURETHROSCOPY; WITH TREATMENT OF URETEROPELVIC JUNCTION STRICTURE (EG, $277.71
sur 52343 CYSTOURETHROSCOPY; WITH TREATMENT OF INTRA-RENAL STRICTURE (EG, BALLOON $309.13
sur 52344 CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETERAL STRICTURE (EG, $335.37
sur 52345 CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF URETEROPELVIC JUNCTION $357.60
sur 52346 CYSTOURETHROSCOPY WITH URETEROSCOPY; WITH TREATMENT OF INTRA-RENAL STRICTURE $403.73
sur 52351 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; DIAGNOSTIC $276.56
sur 52352 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH REMOVAL OR $324.98
sur 52353 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH LITHOTRIPSY $373.19
sur 52354 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH BIOPSY AND/OR $345.47
sur 52355 CYSTOURETHROSCOPY, WITH URETEROSCOPY AND/OR PYELOSCOPY; WITH RESECTION OF $411.52
sur 52400 CYSTOURETHROSCOPY WITH INCISION, FULGURATION, OR RESECTION OF CONGENITAL POSTERI $422.11
sur 52402 CYSTOURETHROSCOPY WITH TRANSURETHRAL RESECTION OR INCISION OF EJACULATORY DUCTS $235.42
sur 52450 TRANSURETHRAL INCISION OF PROSTATE $411.52
sur 52500 TRANSURETHRAL RESECTION OF BLADDER NECK (SEPARATE PROCEDURE) $427.98
sur 52601 TRANSURETHRAL ELECTROSURGICAL RESECTION OF PROSTATE, INCLUDING CONTROL OF $733.49
sur 52630 TRANSURETHRAL RESECTION; RESIDUAL OR REGROWTH OF OBSTRUCTIVE PROSTATE TISSUE INC $389.14
sur 52640 TRANSURETHRAL RESECTION; OF POSTOPERATIVE BLADDER NECK CONTRACTURE $260.50
sur 52647 LASER COAGULATION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COMP $1,753.35
sur 52648 LASER VAPORIZATION OF PROSTATE, INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, COM $1,796.25
sur 52649 LASER ENUCLEATION OF THE PROSTATE WITH MORCELLATION, INCLUDING CONTROL OF POSTOP $848.49
sur 52700 TRANSURETHRAL DRAINAGE OF PROSTATIC ABSCESS $383.07
sur 53000 URETHROTOMY OR URETHROSTOMY, EXTERNAL (SEPARATE PROCEDURE); PENDULOUS URETHRA $130.47
sur 53010 URETHROTOMY OR URETHROSTOMY, EXTERNAL (SEPARATE PROCEDURE); PERINEAL URETHRA, $257.81
sur 53020 MEATOTOMY, CUTTING OF MEATUS (SEPARATE PROCEDURE); EXCEPT INFANT $85.33
sur 53025 MEATOTOMY, CUTTING OF MEATUS (SEPARATE PROCEDURE); INFANT $58.02
sur 53040 DRAINAGE OF DEEP PERIURETHRAL ABSCESS $343.51
sur 53060 DRAINAGE OF SKENE'S GLAND ABSCESS OR CYST $159.76
sur 53080 DRAINAGE OF PERINEAL URINARY EXTRAVASATION; UNCOMPLICATED (SEPARATE PROCEDURE) $374.87
sur 53085 DRAINAGE OF PERINEAL URINARY EXTRAVASATION; COMPLICATED $559.91
sur 53200 BIOPSY OF URETHRA $135.70
sur 53210 URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; FEMALE $676.65
sur 53215 URETHRECTOMY, TOTAL, INCLUDING CYSTOSTOMY; MALE $815.69
sur 53220 EXCISION OR FULGURATION OF CARCINOMA OF URETHRA $396.87
sur 53230 EXCISION OF URETHRAL DIVERTICULUM (SEPARATE PROCEDURE); FEMALE $532.34
sur 53235 EXCISION OF URETHRAL DIVERTICULUM (SEPARATE PROCEDURE); MALE $556.90
sur 53240 MARSUPIALIZATION OF URETHRAL DIVERTICULUM, MALE OR FEMALE $373.78
sur 53250 EXCISION OF BULBOURETHRAL GLAND (COWPER'S GLAND) $375.15
sur 53260 EXCISION OR FULGURATION; URETHRAL POLYP(S), DISTAL URETHRA $175.87
sur 53265 EXCISION OR FULGURATION; URETHRAL CARUNCLE $192.30
sur 53270 EXCISION OR FULGURATION; SKENE'S GLANDS $185.31
sur 53275 EXCISION OR FULGURATION; URETHRAL PROLAPSE $231.16
sur 53400 URETHROPLASTY; FIRST STAGE, FOR FISTULA, DIVERTICULUM, OR STRICTURE (EG, JOHANNS $703.01
sur 53405 URETHROPLASTY; SECOND STAGE (FORMATION OF URETHRA), INCLUDING URINARY DIVERSION $768.33
sur 53410 URETHROPLASTY, ONE-STAGE RECONSTRUCTION OF MALE ANTERIOR URETHRA $860.06
sur 53415 URETHROPLASTY, TRANSPUBIC OR PERINEAL, ONE STAGE, FOR RECONSTRUCTION OR REPAIR $991.56
sur 53420 URETHROPLASTY, TWO-STAGE RECONSTRUCTION OR REPAIR OF PROSTATIC OR MEMBRANOUS $719.74
sur 53425 URETHROPLASTY, TWO-STAGE RECONSTRUCTION OR REPAIR OF PROSTATIC OR MEMBRANOUS $824.93
sur 53430 URETHROPLASTY, RECONSTRUCTION OF FEMALE URETHRA $842.50
sur 53431 URETHROPLASTY WITH TUBULARIZATION OF POSTERIOR URETHRA AND/ OR LOWER BLADDER $1,012.14
sur 53440 SLING OPERATION FOR CORRECTION OF MALE URINARY INCONTINENCE (EG, FASCIA OR $773.71
sur 53442 REMOVAL OR REVISION OF SLING FOR MALE URINARY INCONTINENCE (EG, FASCIA OR $683.43
sur 53444 INSERTION OF TANDEM CUFF (DUAL CUFF) $697.12
sur 53445 INSERTION OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PLACEMENT OF $771.94
sur 53446 REMOVAL OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PUMP, $565.17
sur 53447 REMOVAL AND REPLACEMENT OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER INCLUDING $712.01
sur 53448 REMOVAL AND REPLACEMENT OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER INCLUDING $1,124.57
sur 53449 REPAIR OF INFLATABLE URETHRAL/BLADDER NECK SPHINCTER, INCLUDING PUMP, $537.80
sur 53450 URETHROMEATOPLASTY, WITH MUCOSAL ADVANCEMENT $358.21
sur 53460 URETHROMEATOPLASTY, WITH PARTIAL EXCISION OF DISTAL URETHRAL SEGMENT $401.23
sur 53500 URETHROLYSIS, TRANSVAGINAL, SECONDARY, OPEN, INCLUDING CYSTOURETHROSCOPY (EG, $655.29
sur 53502 URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY, FEMALE $424.55
sur 53505 URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY; PENILE $426.56
sur 53510 URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY; PERINEAL $554.02
sur 53515 URETHRORRHAPHY, SUTURE OF URETHRAL WOUND OR INJURY; PROSTATOMEMBRANOUS $696.57
sur 53520 CLOSURE OF URETHROSTOMY OR URETHROCUTANEOUS FISTULA, MALE (SEPARATE PROCEDURE) $487.69
sur 53600 DILATION OF URETHRAL STRICTURE BY PASSAGE OF SOUND OR URETHRAL DILATOR, MALE; IN $74.02
sur 53601 DILATION OF URETHRAL STRICTURE BY PASSAGE OF SOUND OR URETHRAL DILATOR, MALE; $71.96
sur 53605 DILATION OF URETHRAL STRICTURE OR VESICAL NECK BY PASSAGE OF SOUND OR URETHRAL $56.56
sur 53620 DILATION OF URETHRAL STRICTURE BY PASSAGE OF FILIFORM AND FOLLOWER, MALE; $105.07
sur 53621 DILATION OF URETHRAL STRICTURE BY PASSAGE OF FILIFORM AND FOLLOWER, MALE; $99.00
sur 53660 DILATION OF FEMALE URETHRA INCLUDING SUPPOSITORY AND/OR INSTILLATION; INITIAL $62.97
sur 53661 DILATION OF FEMALE URETHRA INCLUDING SUPPOSITORY AND/OR INSTILLATION; SUBSEQUENT $62.39
sur 53665 DILATION OF FEMALE URETHRA, GENERAL OR CONDUCTION (SPINAL) ANESTHESIA $33.74
sur 53850 TRANSURETHRAL DESTRUCTION OF PROSTATE TISSUE; BY MICROWAVE THERMOTHERAPY $1,985.36
sur 53852 TRANSURETHRAL DESTRUCTION OF PROSTATE TISSUE; BY RADIOFREQUENCY THERMOTHERAPY $1,914.52
sur 53855 Insertion of a temporary prostatic urethral stent, including urethral measuremen $603.97
sur 53899 UNLISTED PROCEDURE, URINARY SYSTEM BR
sur 54000 SLITTING OF PREPUCE, DORSAL OR LATERAL (SEPARATE PROCEDURE); NEWBORN $133.47
sur 54001 SLITTING OF PREPUCE, DORSAL OR LATERAL (SEPARATE PROCEDURE); EXCEPT NEWBORN $165.69
sur 54015 INCISION AND DRAINAGE OF PENIS, DEEP $270.59
sur 54050 DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM CONTAGIOSUM $111.21
sur 54055 DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $101.77
sur 54056 DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $119.19
sur 54057 DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $119.60
sur 54060 DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $159.86
sur 54065 DESTRUCTION OF LESION(S), PENIS (EG, CONDYLOMA, PAPILLOMA, MOLLUSCUM $187.14
sur 54100 BIOPSY OF PENIS; (SEPARATE PROCEDURE) $169.80
sur 54105 BIOPSY OF PENIS; DEEP STRUCTURES $237.16
sur 54110 EXCISION OF PENILE PLAQUE (PEYRONIE DISEASE); $547.13
sur 54111 EXCISION OF PENILE PLAQUE (PEYRONIE DISEASE); WITH GRAFT TO 5 CM IN LENGTH $703.76
sur 54112 EXCISION OF PENILE PLAQUE (PEYRONIE DISEASE); WITH GRAFT GREATER THAN 5 CM IN $824.92
sur 54115 REMOVAL FOREIGN BODY FROM DEEP PENILE TISSUE (EG, PLASTIC IMPLANT) $395.80
sur 54120 AMPUTATION OF PENIS; PARTIAL $554.56
sur 54125 AMPUTATION OF PENIS; COMPLETE $713.70
sur 54130 AMPUTATION OF PENIS, RADICAL; WITH BILATERAL INGUINOFEMORAL LYMPHADENECTOMY $1,048.70
sur 54135 AMPUTATION OF PENIS, RADICAL; IN CONTINUITY WITH BILATERAL PELVIC $1,330.24
sur 54161 OLDER THAN 28 DAYS OF AGE $172.88
sur 54162 LYSIS OR EXCISION OF PENILE POST-CIRCUMCISION ADHESIONS $232.22
sur 54163 REPAIR INCOMPLETE CIRCUMCISION $191.82
sur 54164 FRENULOTOMY OF PENIS $169.30
sur 54200 INJECTION PROCEDURE FOR PEYRONIE DISEASE; $95.48
sur 54205 INJECTION PROCEDURE FOR PEYRONIE DISEASE; WITH SURGICAL EXPOSURE OF PLAQUE $469.20
sur 54220 IRRIGATION OF CORPORA CAVERNOSA FOR PRIAPISM $181.77
sur 54230 INJECTION PROCEDURE FOR CORPORA CAVERNOSOGRAPHY $84.67
sur 54231 DYNAMIC CAVERNOSOMETRY, INCLUDING INTRACAVERNOSAL INJECTION OF VASOACTIVE DRUGS $122.97
sur 54235 INJECTION OF CORPORA CAVERNOSA WITH PHARMACOLOGIC AGENT(S) (EG, PAPAVERINE, $78.88
sur 54240 PENILE PLETHYSMOGRAPHY $86.43
sur 54250 NOCTURNAL PENILE TUMESCENCE AND/OR RIGIDITY TEST $106.54
sur 54300 PLASTIC OPERATION OF PENIS FOR STRAIGHTENING OF CHORDEE (EG, HYPOSPADIAS), WITH $566.69
sur 54304 PLASTIC OPERATION ON PENIS FOR CORRECTION OF CHORDEE OR FOR FIRST STAGE $662.47
sur 54308 URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS REPAIR (INCLUDING URINARY $642.50
sur 54312 URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS REPAIR (INCLUDING URINARY $735.90
sur 54316 URETHROPLASTY FOR SECOND STAGE HYPOSPADIAS REPAIR (INCLUDING URINARY DIVERSION) $896.30
sur 54318 URETHROPLASTY FOR THIRD STAGE HYPOSPADIAS REPAIR TO RELEASE PENIS FROM SCROTUM $629.07
sur 54322 ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH OR WITHOUT CHORDEE OR CIRCUMCISION); $689.87
sur 54324 ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH OR WITHOUT CHORDEE OR CIRCUMCISION); $856.31
sur 54326 ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH OR WITHOUT CHORDEE OR CIRCUMCISION); $818.60
sur 54328 ONE STAGE DISTAL HYPOSPADIAS REPAIR (WITH OR WITHOUT CHORDEE OR CIRCUMCISION); $824.02
sur 54332 ONE STAGE PROXIMAL PENILE OR PENOSCROTAL HYPOSPADIAS REPAIR REQUIRING EXTENSIVE $894.07
sur 54336 ONE STAGE PERINEAL HYPOSPADIAS REPAIR REQUIRING EXTENSIVE DISSECTION TO CORRECT $1,038.31
sur 54340 REPAIR OF HYPOSPADIAS COMPLICATIONS (IE, FISTULA, STRICTURE, DIVERTICULA); BY $497.22
sur 54344 REPAIR OF HYPOSPADIAS COMPLICATIONS (IE, FISTULA, STRICTURE, DIVERTICULA); $851.85
sur 54348 REPAIR OF HYPOSPADIAS COMPLICATIONS (IE, FISTULA, STRICTURE, DIVERTICULA); $987.32
sur 54352 REPAIR OF HYPOSPADIAS CRIPPLE REQUIRING EXTENSIVE DISSECTION AND EXCISION OF $1,395.53
sur 54360 PLASTIC OPERATION ON PENIS TO CORRECT ANGULATION $636.52
sur 54380 PLASTIC OPERATION ON PENIS FOR EPISPADIAS DISTAL TO EXTERNAL SPHINCTER; $705.43
sur 54385 PLASTIC OPERATION ON PENIS FOR EPISPADIAS DISTAL TO EXTERNAL SPHINCTER; WITH $862.65
sur 54390 PLASTIC OPERATION ON PENIS FOR EPISPADIAS DISTAL TO EXTERNAL SPHINCTER; WITH $1,077.94
sur 54406 REMOVAL OF ALL COMPONENTS OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS $641.42
sur 54408 REPAIR OF COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE PENILE PROSTHESIS $693.84
sur 54410 REMOVAL AND REPLACEMENT OF ALL COMPONENT(S) OF A MULTI-COMPONENT, INFLATABLE $756.42
sur 54411 REMOVAL AND REPLACEMENT OF ALL COMPONENTS OF A MULTI-COMPONENT INFLATABLE $900.37
sur 54415 REMOVAL OF NON-INFLATABLE (SEMI-RIGID) OR INFLATABLE (SELF-CONTAINED) PENILE $463.14
sur 54416 REMOVAL AND REPLACEMENT OF NON-INFLATABLE (SEMI-RIGID) OR INFLATABLE $622.82
sur 54417 REMOVAL AND REPLACEMENT OF NON-INFLATABLE (SEMI-RIGID) OR INFLATABLE $788.79
sur 54420 CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT (PRIAPISM OPERATION), UNILATERAL OR $620.91
sur 54430 CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT (PRIAPISM OPERATION), UNILATERAL OR $563.78
sur 54435 CORPORA CAVERNOSA-GLANS PENIS FISTULIZATION (EG, BIOPSY NEEDLE, WINTER $366.26
sur 54440 PLASTIC OPERATION OF PENIS FOR INJURY $311.23
sur 54450 FORESKIN MANIPULATION INCLUDING LYSIS OF PREPUTIAL ADHESIONS AND STRETCHING $62.53
sur 54500 BIOPSY OF TESTIS, NEEDLE (SEPARATE PROCEDURE) $65.46
sur 54505 BIOPSY OF TESTIS, INCISIONAL (SEPARATE PROCEDURE) $185.30
sur 54512 EXCISION OF EXTRAPARENCHYMAL LESION OF TESTIS $470.67
sur 54520 ORCHIECTOMY, SIMPLE (INCLUDING SUBCAPSULAR), WITH OR WITHOUT TESTICULAR $285.93
sur 54522 ORCHIECTOMY, PARTIAL $510.80
sur 54530 ORCHIECTOMY, RADICAL, FOR TUMOR; INGUINAL APPROACH $443.99
sur 54535 ORCHIECTOMY, RADICAL, FOR TUMOR; WITH ABDOMINAL EXPLORATION $646.95
sur 54550 EXPLORATION FOR UNDESCENDED TESTIS (INGUINAL OR SCROTAL AREA) $429.74
sur 54560 EXPLORATION FOR UNDESCENDED TESTIS WITH ABDOMINAL EXPLORATION $590.73
sur 54600 REDUCTION OF TORSION OF TESTIS, SURGICAL, WITH OR WITHOUT FIXATION OF CONTRALATE $396.88
sur 54620 FIXATION OF CONTRALATERAL TESTIS (SEPARATE PROCEDURE) $264.04
sur 54640 ORCHIOPEXY, INGUINAL APPROACH, WITH OR WITHOUT HERNIA REPAIR $416.41
sur 54650 ORCHIOPEXY, ABDOMINAL APPROACH, FOR INTRA-ABDOMINAL TESTIS (EG, FOWLER-STEPHENS) $620.05
sur 54660 INSERTION OF TESTICULAR PROSTHESIS (SEPARATE PROCEDURE) $311.80
sur 54670 SUTURE OR REPAIR OF TESTICULAR INJURY $354.45
sur 54680 TRANSPLANTATION OF TESTIS(ES) TO THIGH (BECAUSE OF SCROTAL DESTRUCTION) $685.61
sur 54690 LAPAROSCOPY, SURGICAL; ORCHIECTOMY $597.06
sur 54692 LAPAROSCOPY, SURGICAL; ORCHIOPEXY FOR INTRA-ABDOMINAL TESTIS $667.49
sur 54699 UNLISTED LAPAROSCOPY PROCEDURE, TESTIS BR
sur 54700 INCISION AND DRAINAGE OF EPIDIDYMIS, TESTIS AND/OR SCROTAL SPACE (EG, ABSCESS OR $186.33
sur 54800 BIOPSY OF EPIDIDYMIS, NEEDLE $128.57
sur 54830 EXCISION OF LOCAL LESION OF EPIDIDYMIS $326.07
sur 54840 EXCISION OF SPERMATOCELE, WITH OR WITHOUT EPIDIDYMECTOMY $282.38
sur 54860 EPIDIDYMECTOMY; UNILATERAL $367.13
sur 54861 EPIDIDYMECTOMY; BILATERAL $495.50
sur 54865 EXPLORATION OF EPIDIDYMIS, WITH OR WITHOUT BIOPSY $313.49
sur 54900 EPIDIDYMOVASOSTOMY, ANASTOMOSIS OF EPIDIDYMIS TO VAS DEFERENS; UNILATERAL $670.05
sur 54901 EPIDIDYMOVASOSTOMY, ANASTOMOSIS OF EPIDIDYMIS TO VAS DEFERENS; BILATERAL $931.69
sur 55000 PUNCTURE ASPIRATION OF HYDROCELE, TUNICA VAGINALIS, WITH OR WITHOUT INJECTION OF $104.44
sur 55040 EXCISION OF HYDROCELE; UNILATERAL $296.60
sur 55041 EXCISION OF HYDROCELE; BILATERAL $446.55
sur 55060 REPAIR OF TUNICA VAGINALIS HYDROCELE (BOTTLE TYPE) $332.94
sur 55100 DRAINAGE OF SCROTAL WALL ABSCESS $190.02
sur 55110 SCROTAL EXPLORATION $339.60
sur 55120 REMOVAL OF FOREIGN BODY IN SCROTUM $311.64
sur 55150 RESECTION OF SCROTUM $429.53
sur 55175 SCROTOPLASTY; SIMPLE $318.90
sur 55180 SCROTOPLASTY; COMPLICATED $605.25
sur 55200 VASOTOMY, CANNULIZATION WITH OR WITHOUT INCISION OF VAS, UNILATERAL OR BILATERAL $407.40
sur 55250 VASECTOMY, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE), INCLUDING POSTOPERATIVE $363.20
sur 55300 VASOTOMY FOR VASOGRAMS, SEMINAL VESICULOGRAMS, OR EPIDIDYMOGRAMS, UNILATERAL OR $160.36
sur 55450 LIGATION (PERCUTANEOUS) OF VAS DEFERENS, UNILATERAL OR BILATERAL (SEPARATE PROCE $324.86
sur 55500 EXCISION OF HYDROCELE OF SPERMATIC CORD, UNILATERAL (SEPARATE PROCEDURE) $341.72
sur 55520 EXCISION OF LESION OF SPERMATIC CORD (SEPARATE PROCEDURE) $373.05
sur 55530 EXCISION OF VARICOCELE OR LIGATION OF SPERMATIC VEINS FOR VARICOCELE; (SEPARATE $310.18
sur 55535 EXCISION OF VARICOCELE OR LIGATION OF SPERMATIC VEINS FOR VARICOCELE; ABDOMINAL $375.25
sur 55540 EXCISION OF VARICOCELE OR LIGATION OF SPERMATIC VEINS FOR VARICOCELE; WITH $448.06
sur 55550 LAPAROSCOPY, SURGICAL, WITH LIGATION OF SPERMATIC VEINS FOR VARICOCELE $371.24
sur 55559 UNLISTED LAPAROSCOPY PROCEDURE, SPERMATIC CORD BR
sur 55600 VESICULOTOMY; $370.02
sur 55605 VESICULOTOMY; COMPLICATED $455.67
sur 55650 VESICULECTOMY, ANY APPROACH $625.89
sur 55680 EXCISION OF MULLERIAN DUCT CYST $298.58
sur 55700 BIOPSY, PROSTATE; NEEDLE OR PUNCH, SINGLE OR MULTIPLE, ANY APPROACH $197.61
sur 55705 BIOPSY, PROSTATE; INCISIONAL, ANY APPROACH $234.91
sur 55706 Biopsy, prostate; needle, transperineal, stereotactic template guided saturation $328.60
sur 55720 PROSTATOTOMY, EXTERNAL DRAINAGE OF PROSTATIC ABSCESS, ANY APPROACH; SIMPLE $395.49
sur 55725 PROSTATOTOMY, EXTERNAL DRAINAGE OF PROSTATIC ABSCESS, ANY APPROACH; COMPLICATED $517.64
sur 55801 PROSTATECTOMY, PERINEAL, SUBTOTAL (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, $955.82
sur 55810 PROSTATECTOMY, PERINEAL RADICAL; $1,155.77
sur 55812 PROSTATECTOMY, PERINEAL RADICAL; WITH LYMPH NODE BIOPSY(S) (LIMITED PELVIC $1,412.99
sur 55815 PROSTATECTOMY, PERINEAL RADICAL; WITH BILATERAL PELVIC LYMPHADENECTOMY, $1,549.74
sur 55821 PROSTATECTOMY (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, VASECTOMY, $768.03
sur 55831 PROSTATECTOMY (INCLUDING CONTROL OF POSTOPERATIVE BLEEDING, VASECTOMY, $830.69
sur 55840 PROSTATECTOMY, RETROPUBIC RADICAL, WITH OR WITHOUT NERVE SPARING; $1,175.86
sur 55842 PROSTATECTOMY, RETROPUBIC RADICAL, WITH OR WITHOUT NERVE SPARING; WITH LYMPH $1,258.92
sur 55845 PROSTATECTOMY, RETROPUBIC RADICAL, WITH OR WITHOUT NERVE SPARING; WITH $1,438.61
sur 55860 EXPOSURE OF PROSTATE, ANY APPROACH, FOR INSERTION OF RADIOACTIVE SUBSTANCE; $768.13
sur 55862 EXPOSURE OF PROSTATE, ANY APPROACH, FOR INSERTION OF RADIOACTIVE SUBSTANCE; $965.09
sur 55865 EXPOSURE OF PROSTATE, ANY APPROACH, FOR INSERTION OF RADIOACTIVE SUBSTANCE; $1,173.89
sur 55866 LAPAROSCOPY, SURGICAL PROSTATECTOMY, RETROPUBIC RADICAL, INCLUDING NERVE SPARING $1,522.70
sur 55870 ELECTROEJACULATION $153.77
sur 55873 CRYOSURGICAL ABLATION OF THE PROSTATE (INCLUDES ULTRASONIC GUIDANCE AND MONITORI $5,345.34
sur 55875 TRANSPERINEAL PLACEMENT OF NEEDLES OR CATHETERS INTO PROSTATE FOR INTERSTITIAL R $668.85
sur 55876 PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY GUIDANCE (EG, FIDUCIAL $119.45
sur 55899 UNLISTED PROCEDURE, MALE GENITAL SYSTEM BR
sur 55920 PLACEMENT OF NEEDLES OR CATHETERS INTO PELVIC ORGANS AND/ OR GENITALIA (EXCEPT P $381.31
sur 56405 INCISION AND DRAINAGE OF VULVA OR PERINEAL ABSCESS $93.05
sur 56420 INCISION AND DRAINAGE OF BARTHOLIN'S GLAND ABSCESS $105.10
sur 56440 MARSUPIALIZATION OF BARTHOLIN'S GLAND CYST $156.31
sur 56441 LYSIS OF LABIAL ADHESIONS $124.78
sur 56442 HYMENOTOMY, SIMPLE INCISION $41.09
sur 56501 DESTRUCTION OF LESION(S), VULVA; SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRYO $111.13
sur 56515 DESTRUCTION OF LESION(S), VULVA; EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, $190.49
sur 56605 BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); ONE LESION $70.38
sur 56606 BIOPSY OF VULVA OR PERINEUM (SEPARATE PROCEDURE); EACH SEPARATE ADDITIONAL $31.92
sur 56620 VULVECTOMY SIMPLE; PARTIAL $426.10
sur 56625 VULVECTOMY SIMPLE; COMPLETE $511.56
sur 56630 VULVECTOMY, RADICAL, PARTIAL; $751.45
sur 56631 VULVECTOMY, RADICAL, PARTIAL; WITH UNILATERAL INGUINOFEMORAL LYMPHADENECTOMY $952.50
sur 56632 VULVECTOMY, RADICAL, PARTIAL; WITH BILATERAL INGUINOFEMORAL LYMPHADENECTOMY $1,106.80
sur 56633 VULVECTOMY, RADICAL, COMPLETE; $976.95
sur 56634 VULVECTOMY, RADICAL, COMPLETE; WITH UNILATERAL INGUINOFEMORAL LYMPHADENECTOMY $1,032.69
sur 56637 VULVECTOMY, RADICAL, COMPLETE; WITH BILATERAL INGUINOFEMORAL LYMPHADENECTOMY $1,215.57
sur 56640 VULVECTOMY, RADICAL, COMPLETE, WITH INGUINOFEMORAL, ILIAC, AND PELVIC $1,198.68
sur 56700 PARTIAL HYMENECTOMY OR REVISION OF HYMENAL RING $159.76
sur 56740 EXCISION OF BARTHOLIN'S GLAND OR CYST $253.76
sur 56800 PLASTIC REPAIR OF INTROITUS $206.39
sur 56805 CLITOROPLASTY FOR INTERSEX STATE $978.67
sur 56810 PERINEOPLASTY, REPAIR OF PERINEUM, NONOBSTETRICAL (SEPARATE PROCEDURE) $221.94
sur 56820 COLPOSCOPY OF THE VULVA; $93.91
sur 56821 COLPOSCOPY OF THE VULVA; WITH BIOPSY(S) $124.97
sur 57000 COLPOTOMY; WITH EXPLORATION $162.38
sur 57010 COLPOTOMY; WITH DRAINAGE OF PELVIC ABSCESS $370.11
sur 57020 COLPOCENTESIS (SEPARATE PROCEDURE) $80.16
sur 57022 INCISION AND DRAINAGE OF VAGINAL HEMATOMA; OBSTETRICAL/POSTPARTUM $143.14
sur 57023 INCISION AND DRAINAGE OF VAGINAL HEMATOMA; NON-OBSTETRICAL (EG, POST-TRAUMA, $265.85
sur 57061 DESTRUCTION OF VAGINAL LESION(S); SIMPLE (EG, LASER SURGERY, ELECTROSURGERY, CRY $96.76
sur 57065 DESTRUCTION OF VAGINAL LESION(S); EXTENSIVE (EG, LASER SURGERY, ELECTROSURGERY, $162.90
sur 57100 BIOPSY OF VAGINAL MUCOSA; SIMPLE (SEPARATE PROCEDURE) $74.69
sur 57105 BIOPSY OF VAGINAL MUCOSA; EXTENSIVE, REQUIRING SUTURE (INCLUDING CYSTS) $114.89
sur 57106 VAGINECTOMY, PARTIAL REMOVAL OF VAGINAL WALL; $409.02
sur 57107 VAGINECTOMY, PARTIAL REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL $1,197.21
sur 57109 VAGINECTOMY, PARTIAL REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL $1,368.28
sur 57110 VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; $767.49
sur 57111 VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL $1,376.59
sur 57112 VAGINECTOMY, COMPLETE REMOVAL OF VAGINAL WALL; WITH REMOVAL OF PARAVAGINAL $1,296.82
sur 57120 COLPOCLEISIS (LE FORT TYPE) $436.61
sur 57130 EXCISION OF VAGINAL SEPTUM $152.26
sur 57135 EXCISION OF VAGINAL CYST OR TUMOR $163.49
sur 57150 IRRIGATION OF VAGINA AND/OR APPLICATION OF MEDICAMENT FOR TREATMENT OF BACTERIAL $40.51
sur 57155 INSERTION OF UTERINE TANDEM AND/OR VAGINAL OVOIDS FOR CLINICAL BRACHYTHERAPY $277.87
sur 57156 INSERTION OF A VAGINAL RADIATION AFTERLOADING APPARATUS FOR CLINICAL BRACHYTHERA $126.97
sur 57160 FITTING AND INSERTION OF PESSARY OR OTHER INTRAVAGINAL SUPPORT DEVICE $65.21
sur 57170 DIAPHRAGM OR CERVICAL CAP FITTING WITH INSTRUCTIONS $55.19
sur 57180 INTRODUCTION OF ANY HEMOSTATIC AGENT OR PACK FOR SPONTANEOUS OR TRAUMATIC $120.04
sur 57200 COLPORRHAPHY, SUTURE OF INJURY OF VAGINA (NONOBSTETRICAL) $253.77
sur 57210 COLPOPERINEORRHAPHY, SUTURE OF INJURY OF VAGINA AND/OR PERINEUM (NONOBSTETRICAL) $312.17
sur 57220 PLASTIC OPERATION ON URETHRAL SPHINCTER, VAGINAL APPROACH (EG, KELLY URETHRAL $273.28
sur 57230 PLASTIC REPAIR OF URETHROCELE $341.67
sur 57240 ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE $569.47
sur 57250 POSTERIOR COLPORRHAPHY, REPAIR OF RECTOCELE WITH OR WITHOUT PERINEORRHAPHY $571.00
sur 57260 COMBINED ANTEROPOSTERIOR COLPORRHAPHY; $705.58
sur 57265 COMBINED ANTEROPOSTERIOR COLPORRHAPHY; WITH ENTEROCELE REPAIR $777.50
sur 57267 INSERTION OF MESH OR OTHER PROSTHESIS FOR REPAIR OF PELVIC FLOOR DEFECT, EACH $222.46
sur 57268 REPAIR OF ENTEROCELE, VAGINAL APPROACH (SEPARATE PROCEDURE) $411.03
sur 57270 REPAIR OF ENTEROCELE, ABDOMINAL APPROACH (SEPARATE PROCEDURE) $681.60
sur 57280 COLPOPEXY, ABDOMINAL APPROACH $818.80
sur 57282 COLPOPEXY, VAGINAL; EXTRA-PERITONEAL APPROACH (SACROSPINOUS, ILIOCOCCYGEUS) $429.25
sur 57283 COLPOPEXY, VAGINAL; INTRA-PERITONEAL APPROACH (UTEROSACRAL, LEVATOR MYORRHAPHY) $590.73
sur 57284 PARAVAGINAL DEFECT REPAIR (INCLUDING REPAIR OF CYSTOCELE, IF PERFORMED); OPEN AB $703.89
sur 57285 PARAVAGINAL DEFECT REPAIR (INCLUDING REPAIR OF CYSTOCELE, IF PERFORMED); VAGINAL $579.48
sur 57287 REMOVAL OR REVISION OF SLING FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC) $588.25
sur 57288 SLING OPERATION FOR STRESS INCONTINENCE (EG, FASCIA OR SYNTHETIC) $610.55
sur 57289 PEREYRA PROCEDURE, INCLUDING ANTERIOR COLPORRHAPHY $626.50
sur 57291 CONSTRUCTION OF ARTIFICIAL VAGINA; WITHOUT GRAFT $506.19
sur 57292 CONSTRUCTION OF ARTIFICIAL VAGINA; WITH GRAFT $703.65
sur 57295 REVISION (INCLUDING REMOVAL) OF PROSTHETIC VAGINAL GRAFT, VAGINAL APPROACH $412.64
sur 57296 REVISION (INCLUDING REMOVAL) OF PROSTHETIC VAGINAL GRAFT; OPEN ABDOMINAL APPROAC $813.17
sur 57300 CLOSURE OF RECTOVAGINAL FISTULA; VAGINAL OR TRANSANAL APPROACH $466.58
sur 57305 CLOSURE OF RECTOVAGINAL FISTULA; ABDOMINAL APPROACH $777.25
sur 57307 CLOSURE OF RECTOVAGINAL FISTULA; ABDOMINAL APPROACH, WITH CONCOMITANT COLOSTOMY $881.89
sur 57308 CLOSURE OF RECTOVAGINAL FISTULA; TRANSPERINEAL APPROACH, WITH PERINEAL BODY $551.76
sur 57310 CLOSURE OF URETHROVAGINAL FISTULA; $399.47
sur 57311 CLOSURE OF URETHROVAGINAL FISTULA; WITH BULBOCAVERNOSUS TRANSPLANT $454.84
sur 57320 CLOSURE OF VESICOVAGINAL FISTULA; VAGINAL APPROACH $461.60
sur 57330 CLOSURE OF VESICOVAGINAL FISTULA; TRANSVESICAL AND VAGINAL APPROACH $640.37
sur 57335 VAGINOPLASTY FOR INTERSEX STATE $996.77
sur 57400 DILATION OF VAGINA UNDER ANESTHESIA (OTHER THAN LOCAL) $114.69
sur 57410 PELVIC EXAMINATION UNDER ANESTHESIA (OTHER THAN LOCAL) $91.40
sur 57415 REMOVAL OF IMPACTED VAGINAL FOREIGN BODY (SEPARATE PROCEDURE) UNDER ANESTHESIA ( $136.31
sur 57420 COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT; $98.26
sur 57421 COLPOSCOPY OF THE ENTIRE VAGINA, WITH CERVIX IF PRESENT; WITH BIOPSY(S) OF VAGIN $132.44
sur 57423 PARAVAGINAL DEFECT REPAIR (INCLUDING REPAIR OF CYSTOCELE, IF PERFORMED), LAPAROS $788.44
sur 57425 LAPAROSCOPY, SURGICAL, COLPOPEXY (SUSPENSION OF VAGINAL APEX) $830.27
sur 57426 Revision (including removal) of prosthetic vaginal graft, laparoscopic approach $719.41
sur 57452 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; $92.24
sur 57454 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE $130.76
sur 57455 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH BIOPSY(S) OF THE $121.52
sur 57456 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH ENDOCERVICAL $114.91
sur 57460 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE $247.15
sur 57461 COLPOSCOPY OF THE CERVIX INCLUDING UPPER/ADJACENT VAGINA; WITH LOOP ELECTRODE $278.17
sur 57500 BIOPSY OF CERVIX, SINGLE OR MULTIPLE, OR LOCAL EXCISION OF LESION, WITH OR WITHO $110.51
sur 57505 ENDOCERVICAL CURETTAGE (NOT DONE AS PART OF A DILATION AND CURETTAGE) $86.43
sur 57510 CAUTERY OF CERVIX; ELECTRO OR THERMAL $112.07
sur 57511 CAUTERY OF CERVIX; CRYOCAUTERY, INITIAL OR REPEAT $123.80
sur 57513 CAUTERY OF CERVIX; LASER ABLATION $122.36
sur 57520 CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND $260.27
sur 57522 CONIZATION OF CERVIX, WITH OR WITHOUT FULGURATION, WITH OR WITHOUT DILATION AND $224.62
sur 57530 TRACHELECTOMY (CERVICECTOMY), AMPUTATION OF CERVIX (SEPARATE PROCEDURE) $293.41
sur 57531 RADICAL TRACHELECTOMY, WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND $1,461.08
sur 57540 EXCISION OF CERVICAL STUMP, ABDOMINAL APPROACH; $665.12
sur 57545 EXCISION OF CERVICAL STUMP, ABDOMINAL APPROACH; WITH PELVIC FLOOR REPAIR $701.95
sur 57550 EXCISION OF CERVICAL STUMP, VAGINAL APPROACH; $348.53
sur 57555 EXCISION OF CERVICAL STUMP, VAGINAL APPROACH; WITH ANTERIOR AND/OR POSTERIOR $512.46
sur 57556 EXCISION OF CERVICAL STUMP, VAGINAL APPROACH; WITH REPAIR OF ENTEROCELE $484.50
sur 57558 DILATION AND CURETTAGE OF CERVICAL STUMP $106.57
sur 57700 CERCLAGE OF UTERINE CERVIX, NONOBSTETRICAL $264.89
sur 57720 TRACHELORRHAPHY, PLASTIC REPAIR OF UTERINE CERVIX, VAGINAL APPROACH $262.07
sur 57800 DILATION OF CERVICAL CANAL, INSTRUMENTAL (SEPARATE PROCEDURE) $50.86
sur 58100 ENDOMETRIAL SAMPLING (BIOPSY) WITH OR WITHOUT ENDOCERVICAL SAMPLING (BIOPSY), WI $93.36
sur 58110 ENDOMETRIAL SAMPLING (BIOPSY) PERFORMED IN CONJUNCTION WITH COLPOSCOPY (LIST SEP $41.11
sur 58120 DILATION AND CURETTAGE, DIAGNOSTIC AND/OR THERAPEUTIC (NONOBSTETRICAL) $216.02
sur 58140 MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) $782.97
sur 58145 MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 1 TO 4 INTRAMURAL MYOMA(S) $463.86
sur 58146 MYOMECTOMY, EXCISION OF FIBROID TUMOR(S) OF UTERUS, 5 OR MORE INTRAMURAL MYOMAS $988.52
sur 58150 TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF $848.49
sur 58152 TOTAL ABDOMINAL HYSTERECTOMY (CORPUS AND CERVIX), WITH OR WITHOUT REMOVAL OF $1,065.17
sur 58180 SUPRACERVICAL ABDOMINAL HYSTERECTOMY (SUBTOTAL HYSTERECTOMY), WITH OR WITHOUT $815.76
sur 58200 TOTAL ABDOMINAL HYSTERECTOMY, INCLUDING PARTIAL VAGINECTOMY, WITH PARA-AORTIC $1,118.49
sur 58210 RADICAL ABDOMINAL HYSTERECTOMY, WITH BILATERAL TOTAL PELVIC LYMPHADENECTOMY AND $1,494.65
sur 58240 PELVIC EXENTERATION FOR GYNECOLOGIC MALIGNANCY, WITH TOTAL ABDOMINAL $2,371.81
sur 58260 VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; $706.51
sur 58262 VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; WITH REMOVAL OF TUBE(S), $788.14
sur 58263 VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; WITH REMOVAL OF TUBE(S), $847.94
sur 58267 VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; WITH COLPO-URETHROCYSTOPEXY $901.94
sur 58270 VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; WITH REPAIR OF ENTEROCELE $753.68
sur 58275 VAGINAL HYSTERECTOMY, WITH TOTAL OR PARTIAL VAGINECTOMY; $840.69
sur 58280 VAGINAL HYSTERECTOMY, WITH TOTAL OR PARTIAL VAGINECTOMY; WITH REPAIR OF $899.14
sur 58285 VAGINAL HYSTERECTOMY, RADICAL (SCHAUTA TYPE OPERATION) $1,122.28
sur 58290 VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; $985.07
sur 58291 VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; WITH REMOVAL OF $1,068.44
sur 58292 VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; WITH REMOVAL OF $1,125.98
sur 58293 VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; WITH $1,170.23
sur 58294 VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 GRAMS; WITH REPAIR OF $1,042.55
sur 58300 INSERTION OF INTRAUTERINE DEVICE (IUD) $61.11
sur 58301 REMOVAL OF INTRAUTERINE DEVICE (IUD) $81.56
sur 58340 CATHETERIZATION AND INTRODUCTION OF SALINE OR CONTRAST MATERIAL FOR SALINE $103.93
sur 58346 INSERTION OF HEYMAN CAPSULES FOR CLINICAL BRACHYTHERAPY $372.69
sur 58353 ENDOMETRIAL ABLATION, THERMAL, WITHOUT HYSTEROSCOPIC GUIDANCE $911.78
sur 58356 ENDOMETRIAL CRYOABLATION WITH ULTRASONIC GUIDANCE, INCLUDING ENDOMETRIAL $1,689.35
sur 58400 UTERINE SUSPENSION, WITH OR WITHOUT SHORTENING OF ROUND LIGAMENTS, WITH OR WITHO $377.00
sur 58410 UTERINE SUSPENSION, WITH OR WITHOUT SHORTENING OF ROUND LIGAMENTS, WITH OR $686.42
sur 58520 HYSTERORRHAPHY, REPAIR OF RUPTURED UTERUS (NONOBSTETRICAL) $687.34
sur 58540 HYSTEROPLASTY, REPAIR OF UTERINE ANOMALY (STRASSMAN TYPE) $775.50
sur 58541 LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; $734.41
sur 58542 LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WIT $820.32
sur 58543 LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G $834.39
sur 58544 LAPAROSCOPY, SURGICAL, SUPRACERVICAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G $901.94
sur 58545 LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 1 TO 4 INTRAMURAL MYOMAS WITH TOTAL $764.21
sur 58546 LAPAROSCOPY, SURGICAL, MYOMECTOMY, EXCISION; 5 OR MORE INTRAMURAL MYOMAS AND/OR $964.64
sur 58548 LAPAROSCOPY, SURGICAL, WITH RADICAL HYSTERECTOMY, WITH BILATERAL TOTAL PELVIC LY $1,524.70
sur 58550 LAPAROSCOPY SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; $754.18
sur 58552 LAPAROSCOPY SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS 250 GRAMS OR LESS; $836.68
sur 58553 LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 $970.41
sur 58554 LAPAROSCOPY, SURGICAL, WITH VAGINAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 $1,122.42
sur 58555 HYSTEROSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE) $229.47
sur 58558 HYSTEROSCOPY, SURGICAL; WITH SAMPLING (BIOPSY) OF ENDOMETRIUM AND/OR $304.46
sur 58559 HYSTEROSCOPY, SURGICAL; WITH LYSIS OF INTRAUTERINE ADHESIONS (ANY METHOD) $294.05
sur 58560 HYSTEROSCOPY, SURGICAL; WITH DIVISION OR RESECTION OF INTRAUTERINE SEPTUM (ANY $332.03
sur 58561 HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF LEIOMYOMATA $469.49
sur 58562 HYSTEROSCOPY, SURGICAL; WITH REMOVAL OF IMPACTED FOREIGN BODY $318.30
sur 58563 HYSTEROSCOPY, SURGICAL; WITH ENDOMETRIAL ABLATION (EG, ENDOMETRIAL RESECTION, $1,492.43
sur 58565 HYSTEROSCOPY, SURGICAL; WITH BILATERAL FALLOPIAN TUBE CANNULATION TO INDUCE $1,624.69
sur 58570 LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; $789.55
sur 58571 LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS 250 G OR LESS; WITH R $874.61
sur 58572 LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; $981.31
sur 58573 LAPAROSCOPY, SURGICAL, WITH TOTAL HYSTERECTOMY, FOR UTERUS GREATER THAN 250 G; W $1,120.22
sur 58578 UNLISTED LAPAROSCOPY PROCEDURE, UTERUS BR
sur 58579 UNLISTED HYSTEROSCOPY PROCEDURE, UTERUS BR
sur 58600 LIGATION OR TRANSECTION OF FALLOPIAN TUBE(S), ABDOMINAL OR VAGINAL APPROACH, UNI $310.92
sur 58605 LIGATION OR TRANSECTION OF FALLOPIAN TUBE(S), ABDOMINAL OR VAGINAL APPROACH, $281.07
sur 58611 LIGATION OR TRANSECTION OF FALLOPIAN TUBE(S) WHEN DONE AT THE TIME OF CESAREAN $66.42
sur 58615 OCCLUSION OF FALLOPIAN TUBE(S) BY DEVICE (EG, BAND, CLIP, FALOPE RING) VAGINAL $210.34
sur 58660 LAPAROSCOPY, SURGICAL; WITH LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS) (SEP $573.54
sur 58661 LAPAROSCOPY, SURGICAL; WITH REMOVAL OF ADNEXAL STRUCTURES (PARTIAL OR TOTAL $549.29
sur 58662 LAPAROSCOPY, SURGICAL; WITH FULGURATION OR EXCISION OF LESIONS OF THE OVARY, $601.85
sur 58670 LAPAROSCOPY, SURGICAL; WITH FULGURATION OF OVIDUCTS (WITH OR WITHOUT $312.06
sur 58671 LAPAROSCOPY, SURGICAL; WITH OCCLUSION OF OVIDUCTS BY DEVICE (EG, BAND, CLIP, OR $311.78
sur 58679 UNLISTED LAPAROSCOPY PROCEDURE, OVIDUCT, OVARY BR
sur 58700 SALPINGECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE) $658.86
sur 58720 SALPINGO-OOPHORECTOMY, COMPLETE OR PARTIAL, UNILATERAL OR BILATERAL (SEPARATE $614.58
sur 58740 LYSIS OF ADHESIONS (SALPINGOLYSIS, OVARIOLYSIS) $746.75
sur 58800 DRAINAGE OF OVARIAN CYST(S), UNILATERAL OR BILATERAL, (SEPARATE PROCEDURE); VAGI $272.97
sur 58805 DRAINAGE OF OVARIAN CYST(S), UNILATERAL OR BILATERAL, (SEPARATE PROCEDURE); $343.96
sur 58820 DRAINAGE OF OVARIAN ABSCESS; VAGINAL APPROACH, OPEN $277.84
sur 58822 DRAINAGE OF OVARIAN ABSCESS; ABDOMINAL APPROACH $615.94
sur 58823 DRAINAGE OF PELVIC ABSCESS, TRANSVAGINAL OR TRANSRECTAL APPROACH, PERCUTANEOUS $770.87
sur 58825 TRANSPOSITION, OVARY(S) $597.85
sur 58900 BIOPSY OF OVARY, UNILATERAL OR BILATERAL (SEPARATE PROCEDURE) $371.21
sur 58920 WEDGE RESECTION OR BISECTION OF OVARY, UNILATERAL OR BILATERAL $596.72
sur 58925 OVARIAN CYSTECTOMY, UNILATERAL OR BILATERAL $629.45
sur 58940 OOPHORECTOMY, PARTIAL OR TOTAL, UNILATERAL OR BILATERAL; $437.35
sur 58943 OOPHORECTOMY, PARTIAL OR TOTAL, UNILATERAL OR BILATERAL; FOR OVARIAN, TUBAL OR $960.44
sur 58950 RESECTION (INITIAL) OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY WITH BILA $917.73
sur 58951 RESECTION OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY WITH BILATERAL $1,179.51
sur 58952 RESECTION OF OVARIAN, TUBAL OR PRIMARY PERITONEAL MALIGNANCY WITH BILATERAL $1,331.17
sur 58953 BILATERAL SALPINGO-OOPHORECTOMY WITH OMENTECTOMY, TOTAL ABDOMINAL HYSTERECTOMY $1,647.15
sur 58954 BILATERAL SALPINGO-OOPHORECTOMY WITH OMENTECTOMY, TOTAL ABDOMINAL HYSTERECTOMY $1,785.49
sur 58956 BILATERAL SALPINGO-OOPHORECTOMY WITH TOTAL OMENTECTOMY, TOTAL ABDOMINAL $1,125.59
sur 58957 RESECTION (TUMOR DEBULKING) OF RECURRENT OVARIAN, TUBAL, PRIMARY PERITONEAL, UTE $1,283.23
sur 58958 RESECTION (TUMOR DEBULKING) OF RECURRENT OVARIAN, TUBAL, PRIMARY PERITONEAL, UTE $1,411.67
sur 58960 LAPAROTOMY, FOR STAGING OR RESTAGING OF OVARIAN, TUBAL OR PRIMARY PERITONEAL $789.36
sur 58999 UNLISTED PROCEDURE, FEMALE GENITAL SYSTEM (NONOBSTETRICAL) BR
sur 60000 INCISION AND DRAINAGE OF THYROGLOSSAL DUCT CYST, INFECTED $137.38
sur 60100 BIOPSY THYROID, PERCUTANEOUS CORE NEEDLE $95.01
sur 60200 EXCISION OF CYST OR ADENOMA OF THYROID, OR TRANSECTION OF ISTHMUS $556.27
sur 60210 PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY $595.08
sur 60212 PARTIAL THYROID LOBECTOMY, UNILATERAL; WITH CONTRALATERAL SUBTOTAL LOBECTOMY, $854.40
sur 60220 TOTAL THYROID LOBECTOMY, UNILATERAL; WITH OR WITHOUT ISTHMUSECTOMY $649.93
sur 60225 TOTAL THYROID LOBECTOMY, UNILATERAL; WITH CONTRALATERAL SUBTOTAL LOBECTOMY, $781.66
sur 60240 THYROIDECTOMY, TOTAL OR COMPLETE $820.42
sur 60252 THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH LIMITED NECK DISSECTION $1,113.39
sur 60254 THYROIDECTOMY, TOTAL OR SUBTOTAL FOR MALIGNANCY; WITH RADICAL NECK DISSECTION $1,429.31
sur 60260 THYROIDECTOMY, REMOVAL OF ALL REMAINING THYROID TISSUE FOLLOWING PREVIOUS $926.51
sur 60270 THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; STERNAL SPLIT OR TRANSTHORACIC $1,168.55
sur 60271 THYROIDECTOMY, INCLUDING SUBSTERNAL THYROID; CERVICAL APPROACH $894.63
sur 60280 EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS; $375.86
sur 60281 EXCISION OF THYROGLOSSAL DUCT CYST OR SINUS; RECURRENT $501.22
sur 60300 ASPIRATION AND/OR INJECTION, THYROID CYST $93.67
sur 60500 PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); $857.07
sur 60502 PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); RE-EXPLORATION $1,076.59
sur 60505 PARATHYROIDECTOMY OR EXPLORATION OF PARATHYROID(S); WITH MEDIASTINAL $1,176.03
sur 60512 PARATHYROID AUTOTRANSPLANTATION (LIST SEPARATELY IN ADDITION TO CODE FOR $205.68
sur 60520 THYMECTOMY, PARTIAL OR TOTAL; TRANSCERVICAL APPROACH (SEPARATE PROCEDURE) $874.55
sur 60521 THYMECTOMY, PARTIAL OR TOTAL; STERNAL SPLIT OR TRANSTHORACIC APPROACH, WITHOUT $984.01
sur 60522 THYMECTOMY, PARTIAL OR TOTAL; STERNAL SPLIT OR TRANSTHORACIC APPROACH, WITH $1,191.99
sur 60540 ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR $898.78
sur 60545 ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION OF ADRENAL GLAND WITH OR $1,032.15
sur 60600 EXCISION OF CAROTID BODY TUMOR; WITHOUT EXCISION OF CAROTID ARTERY $1,229.20
sur 60605 EXCISION OF CAROTID BODY TUMOR; WITH EXCISION OF CAROTID ARTERY $1,521.61
sur 60650 LAPAROSCOPY, SURGICAL, WITH ADRENALECTOMY, PARTIAL OR COMPLETE, OR EXPLORATION O $1,010.17
sur 60659 UNLISTED LAPAROSCOPY PROCEDURE, ENDOCRINE SYSTEM BR
sur 60699 UNLISTED PROCEDURE, ENDOCRINE SYSTEM BR
sur 61000 SUBDURAL TAP THROUGH FONTANELLE, OR SUTURE, INFANT, UNILATERAL OR BILATERAL; INI $91.62
sur 61001 SUBDURAL TAP THROUGH FONTANELLE, OR SUTURE, INFANT, UNILATERAL OR BILATERAL; $96.51
sur 61020 VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR HOLE, FONTANELLE, SUTURE, OR $114.06
sur 61026 VENTRICULAR PUNCTURE THROUGH PREVIOUS BURR HOLE, FONTANELLE, SUTURE, OR $107.23
sur 61050 CISTERNAL OR LATERAL CERVICAL (C1-C2) PUNCTURE; WITHOUT INJECTION (SEPARATE $87.90
sur 61055 CISTERNAL OR LATERAL CERVICAL (C1-C2) PUNCTURE; WITH INJECTION OF MEDICATION OR $115.07
sur 61070 PUNCTURE OF SHUNT TUBING OR RESERVOIR FOR ASPIRATION OR INJECTION PROCEDURE $70.24
sur 61105 TWIST DRILL HOLE FOR SUBDURAL OR VENTRICULAR PUNCTURE; $406.94
sur 61107 TWIST DRILL HOLE(S) FOR SUBDURAL, INTRACEREBRAL, OR VENTRICULAR PUNCTURE; FOR IM $289.30
sur 61108 TWIST DRILL HOLE FOR SUBDURAL OR VENTRICULAR PUNCTURE; FOR EVACUATION AND/OR $807.13
sur 61120 BURR HOLE(S) FOR VENTRICULAR PUNCTURE (INCLUDING INJECTION OF GAS, CONTRAST $664.88
sur 61140 BURR HOLE(S) OR TREPHINE; WITH BIOPSY OF BRAIN OR INTRACRANIAL LESION $1,130.22
sur 61150 BURR HOLE(S) OR TREPHINE; WITH DRAINAGE OF BRAIN ABSCESS OR CYST $1,217.15
sur 61151 BURR HOLE(S) OR TREPHINE; WITH SUBSEQUENT TAPPING (ASPIRATION) OF INTRACRANIAL $888.21
sur 61154 BURR HOLE(S) WITH EVACUATION AND/OR DRAINAGE OF HEMATOMA, EXTRADURAL OR SUBDURAL $1,134.79
sur 61156 BURR HOLE(S); WITH ASPIRATION OF HEMATOMA OR CYST, INTRACEREBRAL $1,122.62
sur 61210 BURR HOLE(S); FOR IMPLANTING VENTRICULAR CATHETER, RESERVOIR, EEG ELECTRODE(S), $337.77
sur 61215 INSERTION OF SUBCUTANEOUS RESERVOIR, PUMP OR CONTINUOUS INFUSION SYSTEM FOR $445.64
sur 61250 BURR HOLE(S) OR TREPHINE, SUPRATENTORIAL, EXPLORATORY, NOT FOLLOWED BY OTHER $771.05
sur 61253 BURR HOLE(S) OR TREPHINE, INFRATENTORIAL, UNILATERAL OR BILATERAL $766.31
sur 61304 CRANIECTOMY OR CRANIOTOMY, EXPLORATORY; SUPRATENTORIAL $1,479.37
sur 61305 CRANIECTOMY OR CRANIOTOMY, EXPLORATORY; INFRATENTORIAL (POSTERIOR FOSSA) $1,812.70
sur 61312 CRANIECTOMY OR CRANIOTOMY FOR EVACUATION OF HEMATOMA, SUPRATENTORIAL; $1,876.48
sur 61313 CRANIECTOMY OR CRANIOTOMY FOR EVACUATION OF HEMATOMA, SUPRATENTORIAL; $1,785.22
sur 61314 CRANIECTOMY OR CRANIOTOMY FOR EVACUATION OF HEMATOMA, INFRATENTORIAL; $1,644.92
sur 61315 CRANIECTOMY OR CRANIOTOMY FOR EVACUATION OF HEMATOMA, INFRATENTORIAL; $1,867.86
sur 61316 INCISION AND SUBCUTANEOUS PLACEMENT OF CRANIAL BONE GRAFT (LIST SEPARATELY IN $80.08
sur 61320 CRANIECTOMY OR CRANIOTOMY, DRAINAGE OF INTRACRANIAL ABSCESS; SUPRATENTORIAL $1,718.75
sur 61321 CRANIECTOMY OR CRANIOTOMY, DRAINAGE OF INTRACRANIAL ABSCESS; INFRATENTORIAL $1,912.63
sur 61322 CRANIECTOMY OR CRANIOTOMY, DECOMPRESSIVE, WITH OR WITHOUT DURAPLASTY, FOR $2,130.90
sur 61323 CRANIECTOMY OR CRANIOTOMY, DECOMPRESSIVE, WITH OR WITHOUT DURAPLASTY, FOR $2,154.28
sur 61330 DECOMPRESSION OF ORBIT ONLY, TRANSCRANIAL APPROACH $1,591.69
sur 61332 EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH BIOPSY $1,772.05
sur 61333 EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH REMOVAL OF LESION $1,847.96
sur 61334 EXPLORATION OF ORBIT (TRANSCRANIAL APPROACH); WITH REMOVAL OF FOREIGN BODY $1,209.91
sur 61340 SUBTEMPORAL CRANIAL DECOMPRESSION (PSEUDOTUMOR CEREBRI, SLIT VENTRICLE SYNDROME) $1,296.91
sur 61343 CRANIECTOMY, SUBOCCIPITAL WITH CERVICAL LAMINECTOMY FOR DECOMPRESSION OF $1,984.91
sur 61345 OTHER CRANIAL DECOMPRESSION, POSTERIOR FOSSA $1,842.44
sur 61440 CRANIOTOMY FOR SECTION OF TENTORIUM CEREBELLI (SEPARATE PROCEDURE) $1,806.54
sur 61450 CRANIECTOMY, SUBTEMPORAL, FOR SECTION, COMPRESSION, OR DECOMPRESSION OF SENSORY $1,733.14
sur 61458 CRANIECTOMY, SUBOCCIPITAL; FOR EXPLORATION OR DECOMPRESSION OF CRANIAL NERVES $1,813.79
sur 61460 CRANIECTOMY, SUBOCCIPITAL; FOR SECTION OF ONE OR MORE CRANIAL NERVES $1,888.71
sur 61470 CRANIECTOMY, SUBOCCIPITAL; FOR MEDULLARY TRACTOTOMY $1,731.93
sur 61480 CRANIECTOMY, SUBOCCIPITAL; FOR MESENCEPHALIC TRACTOTOMY OR PEDUNCULOTOMY $1,388.78
sur 61490 CRANIOTOMY FOR LOBOTOMY, INCLUDING CINGULOTOMY $1,712.58
sur 61500 CRANIECTOMY; WITH EXCISION OF TUMOR OR OTHER BONE LESION OF SKULL $1,208.71
sur 61501 CRANIECTOMY; FOR OSTEOMYELITIS $1,039.87
sur 61510 CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OF BRAIN TUMOR, $1,967.24
sur 61512 CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OF MENINGIOMA, $2,307.01
sur 61514 CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OF BRAIN ABSCESS, $1,716.12
sur 61516 CRANIECTOMY, TREPHINATION, BONE FLAP CRANIOTOMY; FOR EXCISION OR FENESTRATION $1,671.25
sur 61517 IMPLANTATION OF BRAIN INTRACAVITARY CHEMOTHERAPY AGENT (LIST SEPARATELY IN $79.77
sur 61518 CRANIECTOMY FOR EXCISION OF BRAIN TUMOR, INFRATENTORIAL OR POSTERIOR FOSSA; $2,491.09
sur 61519 CRANIECTOMY FOR EXCISION OF BRAIN TUMOR, INFRATENTORIAL OR POSTERIOR FOSSA; $2,670.93
sur 61520 CRANIECTOMY FOR EXCISION OF BRAIN TUMOR, INFRATENTORIAL OR POSTERIOR FOSSA; $3,411.92
sur 61521 CRANIECTOMY FOR EXCISION OF BRAIN TUMOR, INFRATENTORIAL OR POSTERIOR FOSSA; $2,881.18
sur 61522 CRANIECTOMY, INFRATENTORIAL OR POSTERIOR FOSSA; FOR EXCISION OF BRAIN ABSCESS $1,977.73
sur 61524 CRANIECTOMY, INFRATENTORIAL OR POSTERIOR FOSSA; FOR EXCISION OR FENESTRATION OF $1,876.13
sur 61526 CRANIECTOMY, BONE FLAP CRANIOTOMY, TRANSTEMPORAL (MASTOID) FOR EXCISION OF $3,282.67
sur 61530 CRANIECTOMY, BONE FLAP CRANIOTOMY, TRANSTEMPORAL (MASTOID) FOR EXCISION OF $2,774.89
sur 61531 SUBDURAL IMPLANTATION OF STRIP ELECTRODES THROUGH ONE OR MORE BURR OR TREPHINE $1,095.77
sur 61533 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR SUBDURAL IMPLANTATION OF AN $1,372.42
sur 61534 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR EXCISION OF EPILEPTOGENIC FOCUS $1,481.38
sur 61535 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR REMOVAL OF EPIDURAL OR SUBDURAL $893.86
sur 61536 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR EXCISION OF CEREBRAL EPILEPTOGENIC $2,338.48
sur 61537 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR LOBECTOMY, TEMPORAL LOBE, WITHOUT $2,216.95
sur 61538 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR LOBECTOMY, TEMPORAL LOBE, WITH $2,398.08
sur 61539 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR LOBECTOMY, OTHER THAN TEMPORAL $2,129.24
sur 61540 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR LOBECTOMY, OTHER THAN TEMPORAL $1,974.67
sur 61541 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR TRANSECTION OF CORPUS CALLOSUM $1,939.04
sur 61542 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR TOTAL HEMISPHERECTOMY $2,023.22
sur 61543 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR PARTIAL OR SUBTOTAL (FUNCTIONAL) $1,951.61
sur 61544 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR EXCISION OR COAGULATION OF CHOROID $1,667.58
sur 61545 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR EXCISION OF CRANIOPHARYNGIOMA $2,876.08
sur 61546 CRANIOTOMY FOR HYPOPHYSECTOMY OR EXCISION OF PITUITARY TUMOR, INTRACRANIAL $2,083.25
sur 61548 HYPOPHYSECTOMY OR EXCISION OF PITUITARY TUMOR, TRANSNASAL OR TRANSSEPTAL $1,413.57
sur 61550 CRANIECTOMY FOR CRANIOSYNOSTOSIS; SINGLE CRANIAL SUTURE $845.79
sur 61552 CRANIECTOMY FOR CRANIOSYNOSTOSIS; MULTIPLE CRANIAL SUTURES $1,074.34
sur 61556 CRANIOTOMY FOR CRANIOSYNOSTOSIS; FRONTAL OR PARIETAL BONE FLAP $1,484.77
sur 61557 CRANIOTOMY FOR CRANIOSYNOSTOSIS; BIFRONTAL BONE FLAP $1,517.65
sur 61558 EXTENSIVE CRANIECTOMY FOR MULTIPLE CRANIAL SUTURE CRANIOSYNOSTOSIS (EG, $1,600.96
sur 61559 EXTENSIVE CRANIECTOMY FOR MULTIPLE CRANIAL SUTURE CRANIOSYNOSTOSIS (EG, $1,884.60
sur 61563 EXCISION, INTRA AND EXTRACRANIAL, BENIGN TUMOR OF CRANIAL BONE (EG, FIBROUS $1,789.63
sur 61564 EXCISION, INTRA AND EXTRACRANIAL, BENIGN TUMOR OF CRANIAL BONE (EG, FIBROUS $2,177.22
sur 61566 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR SELECTIVE AMYGDALOHIPPOCAMPECTOMY $2,037.28
sur 61567 CRANIOTOMY WITH ELEVATION OF BONE FLAP; FOR MULTIPLE SUBPIAL TRANSECTIONS, WITH $2,325.37
sur 61570 CRANIECTOMY OR CRANIOTOMY; WITH EXCISION OF FOREIGN BODY FROM BRAIN $1,676.76
sur 61571 CRANIECTOMY OR CRANIOTOMY; WITH TREATMENT OF PENETRATING WOUND OF BRAIN $1,797.06
sur 61575 TRANSORAL APPROACH TO SKULL BASE, BRAIN STEM OR UPPER SPINAL CORD FOR BIOPSY, $2,245.43
sur 61576 TRANSORAL APPROACH TO SKULL BASE, BRAIN STEM OR UPPER SPINAL CORD FOR BIOPSY, $3,233.62
sur 61580 CRANIOFACIAL APPROACH TO ANTERIOR CRANIAL FOSSA; EXTRADURAL, INCLUDING LATERAL R $2,230.31
sur 61581 CRANIOFACIAL APPROACH TO ANTERIOR CRANIAL FOSSA; EXTRADURAL, INCLUDING LATERAL $2,462.33
sur 61582 CRANIOFACIAL APPROACH TO ANTERIOR CRANIAL FOSSA; EXTRADURAL, INCLUDING $2,682.66
sur 61583 CRANIOFACIAL APPROACH TO ANTERIOR CRANIAL FOSSA; INTRADURAL, INCLUDING $2,602.72
sur 61584 ORBITOCRANIAL APPROACH TO ANTERIOR CRANIAL FOSSA, EXTRADURAL, INCLUDING $2,559.38
sur 61585 ORBITOCRANIAL APPROACH TO ANTERIOR CRANIAL FOSSA, EXTRADURAL, INCLUDING $2,851.17
sur 61586 BICORONAL, TRANSZYGOMATIC AND/OR LEFORT I OSTEOTOMY APPROACH TO ANTERIOR $2,103.83
sur 61590 INFRATEMPORAL PRE-AURICULAR APPROACH TO MIDDLE CRANIAL FOSSA (PARAPHARYNGEAL SPA $2,810.61
sur 61591 INFRATEMPORAL POST-AURICULAR APPROACH TO MIDDLE CRANIAL FOSSA (INTERNAL $2,843.21
sur 61592 ORBITOCRANIAL ZYGOMATIC APPROACH TO MIDDLE CRANIAL FOSSA (CAVERNOUS SINUS AND $2,852.21
sur 61595 TRANSTEMPORAL APPROACH TO POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN OR MIDLINE SK $2,150.42
sur 61596 TRANSCOCHLEAR APPROACH TO POSTERIOR CRANIAL FOSSA, JUGULAR FORAMEN OR MIDLINE $2,289.60
sur 61597 TRANSCONDYLAR (FAR LATERAL) APPROACH TO POSTERIOR CRANIAL FOSSA, JUGULAR $2,619.90
sur 61598 TRANSPETROSAL APPROACH TO POSTERIOR CRANIAL FOSSA, CLIVUS OR FORAMEN MAGNUM, $2,469.74
sur 61600 RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF BASE OF AN $1,941.27
sur 61601 RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF BASE OF $2,138.09
sur 61605 RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF INFRATEMPO $2,008.89
sur 61606 RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF $2,710.83
sur 61607 RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF $2,622.98
sur 61608 RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF $2,923.70
sur 61609 TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS; WITHOUT REPAIR $547.76
sur 61610 TRANSECTION OR LIGATION, CAROTID ARTERY IN CAVERNOUS SINUS; WITH REPAIR BY $1,716.30
sur 61611 TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITHOUT REPAIR (LIST $356.51
sur 61612 TRANSECTION OR LIGATION, CAROTID ARTERY IN PETROUS CANAL; WITH REPAIR BY $1,322.76
sur 61613 OBLITERATION OF CAROTID ANEURYSM, ARTERIOVENOUS MALFORMATION, OR $2,942.03
sur 61615 RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF BASE OF PO $2,125.05
sur 61616 RESECTION OR EXCISION OF NEOPLASTIC, VASCULAR OR INFECTIOUS LESION OF BASE OF $2,992.40
sur 61618 SECONDARY REPAIR OF DURA FOR CEREBROSPINAL FLUID LEAK, ANTERIOR, MIDDLE OR POSTE $1,175.83
sur 61619 SECONDARY REPAIR OF DURA FOR CEREBROSPINAL FLUID LEAK, ANTERIOR, MIDDLE OR $1,351.71
sur 61623 ENDOVASCULAR TEMPORARY BALLOON ARTERIAL OCCLUSION, HEAD OR NECK (EXTRACRANIAL/IN $509.00
sur 61624 TRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, $1,018.89
sur 61626 TRANSCATHETER PERMANENT OCCLUSION OR EMBOLIZATION (EG, FOR TUMOR DESTRUCTION, $799.37
sur 61680 SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; SUPRATENTORIAL, SIMPLE $2,044.63
sur 61682 SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; SUPRATENTORIAL, COMPLEX $3,809.32
sur 61684 SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; INFRATENTORIAL, SIMPLE $2,564.88
sur 61686 SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; INFRATENTORIAL, COMPLEX $4,093.25
sur 61690 SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; DURAL, SIMPLE $1,971.58
sur 61692 SURGERY OF INTRACRANIAL ARTERIOVENOUS MALFORMATION; DURAL, COMPLEX $3,318.58
sur 61697 SURGERY OF COMPLEX INTRACRANIAL ANEURYSM, INTRACRANIAL APPROACH; CAROTID $3,820.93
sur 61698 SURGERY OF COMPLEX INTRACRANIAL ANEURYSM, INTRACRANIAL APPROACH; $4,177.16
sur 61700 SURGERY OF SIMPLE INTRACRANIAL ANEURYSM, INTRACRANIAL APPROACH; CAROTID $3,108.17
sur 61702 SURGERY OF SIMPLE INTRACRANIAL ANEURYSM, INTRACRANIAL APPROACH; VERTEBROBASILAR $3,631.49
sur 61703 SURGERY OF INTRACRANIAL ANEURYSM, CERVICAL APPROACH BY APPLICATION OF OCCLUDING $1,223.94
sur 61705 SURGERY OF ANEURYSM, VASCULAR MALFORMATION OR CAROTID-CAVERNOUS FISTULA; BY $2,340.23
sur 61708 SURGERY OF ANEURYSM, VASCULAR MALFORMATION OR CAROTID-CAVERNOUS FISTULA; BY $1,888.52
sur 61710 SURGERY OF ANEURYSM, VASCULAR MALFORMATION OR CAROTID-CAVERNOUS FISTULA; BY $1,694.50
sur 61711 ANASTOMOSIS, ARTERIAL, EXTRACRANIAL-INTRACRANIAL (EG, MIDDLE CEREBRAL/CORTICAL) $2,358.08
sur 61720 CREATION OF LESION BY STEREOTACTIC METHOD, INCLUDING BURR HOLE(S) AND LOCALIZING $1,119.48
sur 61735 CREATION OF LESION BY STEREOTACTIC METHOD, INCLUDING BURR HOLE(S) AND $1,364.47
sur 61750 STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION, INCLUDING BURR HOLE(S), FOR $1,266.95
sur 61751 STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION, INCLUDING BURR HOLE(S), FOR $1,236.06
sur 61760 STEREOTACTIC IMPLANTATION OF DEPTH ELECTRODES INTO THE CEREBRUM FOR LONG TERM $1,409.76
sur 61770 STEREOTACTIC LOCALIZATION, INCLUDING BURR HOLE(S), WITH INSERTION OF $1,441.88
sur 61781 STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; CRANIAL, INTRADURAL (LI $218.94
sur 61782 STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; CRANIAL, EXTRADURAL (LI $180.03
sur 61783 STEREOTACTIC COMPUTER-ASSISTED (NAVIGATIONAL) PROCEDURE; SPINAL (LIST SEPARATELY $218.94
sur 61790 CREATION OF LESION BY STEREOTACTIC METHOD, PERCUTANEOUS, BY NEUROLYTIC AGENT $776.46
sur 61791 CREATION OF LESION BY STEREOTACTIC METHOD, PERCUTANEOUS, BY NEUROLYTIC AGENT $997.84
sur 61796 Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); 1 si $874.13
sur 61797 Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); each $197.43
sur 61798 Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); 1 co $1,167.22
sur 61799 Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); each $272.36
sur 61800 Application of stereotactic headframe for stereotactic radiosurgery (List separa $136.71
sur 61850 TWIST DRILL OR BURR HOLE(S) FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; CORT $837.10
sur 61860 CRANIECTOMY OR CRANIOTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, $1,413.17
sur 61863 TWIST DRILL, BURR HOLE, CRANIOTOMY, OR CRANIECTOMY WITH STEREOTACTIC $1,351.40
sur 61864 TWIST DRILL, BURR HOLE, CRANIOTOMY, OR CRANIECTOMY WITH STEREOTACTIC $261.06
sur 61867 TWIST DRILL, BURR HOLE, CRANIOTOMY, OR CRANIECTOMY WITH STEREOTACTIC $2,065.52
sur 61868 TWIST DRILL, BURR HOLE, CRANIOTOMY, OR CRANIECTOMY WITH STEREOTACTIC $459.83
sur 61870 CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR; CORTICAL $1,068.35
sur 61875 CRANIECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, CEREBELLAR; $934.23
sur 61880 REVISION OR REMOVAL OF INTRACRANIAL NEUROSTIMULATOR ELECTRODES $501.45
sur 61885 INSERTION OR REPLACEMENT OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR $488.88
sur 61886 INSERTION OR REPLACEMENT OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR $745.66
sur 61888 REVISION OR REMOVAL OF CRANIAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER $352.12
sur 62000 ELEVATION OF DEPRESSED SKULL FRACTURE; SIMPLE, EXTRADURAL $889.95
sur 62005 ELEVATION OF DEPRESSED SKULL FRACTURE; COMPOUND OR COMMINUTED, EXTRADURAL $1,136.74
sur 62010 ELEVATION OF DEPRESSED SKULL FRACTURE; WITH REPAIR OF DURA AND/OR DEBRIDEMENT $1,373.94
sur 62100 CRANIOTOMY FOR REPAIR OF DURAL/CEREBROSPINAL FLUID LEAK, INCLUDING SURGERY FOR $1,450.94
sur 62115 REDUCTION OF CRANIOMEGALIC SKULL (EG, TREATED HYDROCEPHALUS); NOT REQUIRING $1,120.92
sur 62116 REDUCTION OF CRANIOMEGALIC SKULL (EG, TREATED HYDROCEPHALUS); WITH SIMPLE $1,599.49
sur 62117 REDUCTION OF CRANIOMEGALIC SKULL (EG, TREATED HYDROCEPHALUS); REQUIRING $1,591.67
sur 62120 REPAIR OF ENCEPHALOCELE, SKULL VAULT, INCLUDING CRANIOPLASTY $1,561.48
sur 62121 CRANIOTOMY FOR REPAIR OF ENCEPHALOCELE, SKULL BASE $1,534.98
sur 62140 CRANIOPLASTY FOR SKULL DEFECT; UP TO 5 CM DIAMETER $937.98
sur 62141 CRANIOPLASTY FOR SKULL DEFECT; LARGER THAN 5 CM DIAMETER $1,030.31
sur 62142 REMOVAL OF BONE FLAP OR PROSTHETIC PLATE OF SKULL $795.04
sur 62143 REPLACEMENT OF BONE FLAP OR PROSTHETIC PLATE OF SKULL $931.03
sur 62145 CRANIOPLASTY FOR SKULL DEFECT WITH REPARATIVE BRAIN SURGERY $1,276.30
sur 62146 CRANIOPLASTY WITH AUTOGRAFT (INCLUDES OBTAINING BONE GRAFTS); UP TO 5 CM $1,114.94
sur 62147 CRANIOPLASTY WITH AUTOGRAFT (INCLUDES OBTAINING BONE GRAFTS); LARGER THAN 5 CM $1,315.02
sur 62148 INCISION AND RETRIEVAL OF SUBCUTANEOUS CRANIAL BONE GRAFT FOR CRANIOPLASTY $115.36
sur 62160 NEUROENDOSCOPY, INTRACRANIAL, FOR PLACEMENT OR REPLACEMENT OF VENTRICULAR CATHET $174.54
sur 62161 NEUROENDOSCOPY, INTRACRANIAL; WITH DISSECTION OF ADHESIONS, FENESTRATION OF $1,366.28
sur 62162 NEUROENDOSCOPY, INTRACRANIAL; WITH FENESTRATION OR EXCISION OF COLLOID CYST, $1,708.74
sur 62163 NEUROENDOSCOPY, INTRACRANIAL; WITH RETRIEVAL OF FOREIGN BODY $1,101.62
sur 62164 NEUROENDOSCOPY, INTRACRANIAL; WITH EXCISION OF BRAIN TUMOR, INCLUDING PLACEMENT $1,869.79
sur 62165 NEUROENDOSCOPY, INTRACRANIAL; WITH EXCISION OF PITUITARY TUMOR, TRANSNASAL OR $1,415.08
sur 62180 VENTRICULOCISTERNOSTOMY (TORKILDSEN TYPE OPERATION) $1,443.89
sur 62190 CREATION OF SHUNT; SUBARACHNOID/SUBDURAL-ATRIAL, -JUGULAR, -AURICULAR $825.40
sur 62192 CREATION OF SHUNT; SUBARACHNOID/SUBDURAL-PERITONEAL, -PLEURAL, OTHER TERMINUS $874.75
sur 62194 REPLACEMENT OR IRRIGATION, SUBARACHNOID/SUBDURAL CATHETER $356.11
sur 62200 VENTRICULOCISTERNOSTOMY, THIRD VENTRICLE; $1,239.83
sur 62201 VENTRICULOCISTERNOSTOMY, THIRD VENTRICLE; STEREOTACTIC, NEUROENDOSCOPIC METHOD $1,076.20
sur 62220 CREATION OF SHUNT; VENTRICULO-ATRIAL, -JUGULAR, -AURICULAR $912.61
sur 62223 CREATION OF SHUNT; VENTRICULO-PERITONEAL, -PLEURAL, OTHER TERMINUS $943.97
sur 62225 REPLACEMENT OR IRRIGATION, VENTRICULAR CATHETER $458.78
sur 62230 REPLACEMENT OR REVISION OF CEREBROSPINAL FLUID SHUNT, OBSTRUCTED VALVE, OR $754.40
sur 62252 REPROGRAMMING OF PROGRAMMABLE CEREBROSPINAL SHUNT $83.04
sur 62256 REMOVAL OF COMPLETE CEREBROSPINAL FLUID SHUNT SYSTEM; WITHOUT REPLACEMENT $532.11
sur 62258 REMOVAL OF COMPLETE CEREBROSPINAL FLUID SHUNT SYSTEM; WITH REPLACEMENT BY $1,009.79
sur 62263 PERCUTANEOUS LYSIS OF EPIDURAL ADHESIONS USING SOLUTION INJECTION (EG, HYPERTONI $599.93
sur 62264 PERCUTANEOUS LYSIS OF EPIDURAL ADHESIONS USING SOLUTION INJECTION (EG, $349.35
sur 62267 Percutaneous aspiration within the nucleus pulposus, intervertebral disc, or par $208.91
sur 62268 PERCUTANEOUS ASPIRATION, SPINAL CORD CYST OR SYRINX $298.58
sur 62269 BIOPSY OF SPINAL CORD, PERCUTANEOUS NEEDLE $321.13
sur 62270 SPINAL PUNCTURE, LUMBAR, DIAGNOSTIC $131.17
sur 62272 SPINAL PUNCTURE, THERAPEUTIC, FOR DRAINAGE OF CEREBROSPINAL FLUID (BY NEEDLE OR $162.48
sur 62273 INJECTION, EPIDURAL, OF BLOOD OR CLOT PATCH $141.93
sur 62280 INJECTION/INFUSION OF NEUROLYTIC SUBSTANCE (EG, ALCOHOL, PHENOL, ICED SALINE $273.09
sur 62281 INJECTION/INFUSION OF NEUROLYTIC SUBSTANCE (EG, ALCOHOL, PHENOL, ICED SALINE $219.41
sur 62282 INJECTION/INFUSION OF NEUROLYTIC SUBSTANCE (EG, ALCOHOL, PHENOL, ICED SALINE $247.86
sur 62284 INJECTION PROCEDURE FOR MYELOGRAPHY AND/OR COMPUTED TOMOGRAPHY, SPINAL (OTHER TH $180.64
sur 62287 DECOMPRESSION PROCEDURE, PERCUTANEOUS, OF NUCLEUS PULPOSUS OF INTERVERTEBRAL DIS $466.16
sur 62290 INJECTION PROCEDURE FOR DISKOGRAPHY, EACH LEVEL; LUMBAR $280.84
sur 62291 INJECTION PROCEDURE FOR DISKOGRAPHY, EACH LEVEL; CERVICAL OR THORACIC $265.10
sur 62292 INJECTION PROCEDURE FOR CHEMONUCLEOLYSIS, INCLUDING DISKOGRAPHY, INTERVERTEBRAL $462.11
sur 62294 INJECTION PROCEDURE, ARTERIAL, FOR OCCLUSION OF ARTERIOVENOUS MALFORMATION, $583.13
sur 62310 INJECTION, SINGLE (NOT VIA INDWELLING CATHETER), NOT INCLUDING NEUROLYTIC $194.91
sur 62311 INJECTION, SINGLE (NOT VIA INDWELLING CATHETER), NOT INCLUDING NEUROLYTIC $167.30
sur 62318 INJECTION, INCLUDING CATHETER PLACEMENT, CONTINUOUS INFUSION OR INTERMITTENT $200.42
sur 62319 INJECTION, INCLUDING CATHETER PLACEMENT, CONTINUOUS INFUSION OR INTERMITTENT $159.93
sur 62350 IMPLANTATION, REVISION OR REPOSITIONING OF TUNNELED INTRATHECAL OR EPIDURAL CATH $329.53
sur 62351 IMPLANTATION, REVISION OR REPOSITIONING OF TUNNELED INTRATHECAL OR EPIDURAL $718.40
sur 62355 REMOVAL OF PREVIOUSLY IMPLANTED INTRATHECAL OR EPIDURAL CATHETER $248.82
sur 62360 IMPLANTATION OR REPLACEMENT OF DEVICE FOR INTRATHECAL OR EPIDURAL DRUG INFUSION; $253.97
sur 62361 IMPLANTATION OR REPLACEMENT OF DEVICE FOR INTRATHECAL OR EPIDURAL DRUG $327.80
sur 62362 IMPLANTATION OR REPLACEMENT OF DEVICE FOR INTRATHECAL OR EPIDURAL DRUG $343.54
sur 62365 REMOVAL OF SUBCUTANEOUS RESERVOIR OR PUMP, PREVIOUSLY IMPLANTED FOR INTRATHECAL $273.88
sur 62367 ELECTRONIC ANALYSIS OF PROGRAMMABLE, IMPLANTED PUMP FOR INTRATHECAL OR EPIDURAL $33.95
sur 62368 ELECTRONIC ANALYSIS OF PROGRAMMABLE, IMPLANTED PUMP FOR INTRATHECAL OR EPIDURAL $48.94
sur 63001 LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA EQ $1,112.56
sur 63003 LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA $1,117.69
sur 63005 LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA $1,061.51
sur 63011 LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA $979.46
sur 63012 LAMINECTOMY WITH REMOVAL OF ABNORMAL FACETS AND/OR PARS INTER-ARTICULARIS WITH $1,071.54
sur 63015 LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA $1,335.38
sur 63016 LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA $1,367.33
sur 63017 LAMINECTOMY WITH EXPLORATION AND/OR DECOMPRESSION OF SPINAL CORD AND/OR CAUDA $1,123.15
sur 63020 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PAR $1,050.64
sur 63030 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PAR $870.47
sur 63035 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING PAR $177.21
sur 63040 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING $1,268.01
sur 63042 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING $1,174.63
sur 63043 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING $164.29
sur 63044 LAMINOTOMY (HEMILAMINECTOMY), WITH DECOMPRESSION OF NERVE ROOT(S), INCLUDING $152.58
sur 63045 LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH $1,145.62
sur 63046 LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH $1,091.70
sur 63047 LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH $991.54
sur 63048 LAMINECTOMY, FACETECTOMY AND FORAMINOTOMY (UNILATERAL OR BILATERAL WITH $195.90
sur 63050 LAMINOPLASTY, CERVICAL, WITH DECOMPRESSION OF THE SPINAL CORD, TWO OR MORE $1,415.36
sur 63051 LAMINOPLASTY, CERVICAL, WITH DECOMPRESSION OF THE SPINAL CORD, TWO OR MORE $1,551.50
sur 63055 TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE R $1,470.96
sur 63056 TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE $1,338.65
sur 63057 TRANSPEDICULAR APPROACH WITH DECOMPRESSION OF SPINAL CORD, EQUINA AND/OR NERVE $296.19
sur 63064 COSTOVERTEBRAL APPROACH WITH DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), $1,599.30
sur 63066 COSTOVERTEBRAL APPROACH WITH DECOMPRESSION OF SPINAL CORD OR NERVE ROOT(S), $190.19
sur 63075 DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/ OR NERVE ROOT(S), I $1,242.71
sur 63076 DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/ OR NERVE ROOT(S), $230.18
sur 63077 DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/ OR NERVE ROOT(S), $1,360.53
sur 63078 DISKECTOMY, ANTERIOR, WITH DECOMPRESSION OF SPINAL CORD AND/ OR NERVE ROOT(S), $179.11
sur 63081 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, ANTERIOR $1,604.00
sur 63082 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, ANTERIOR $247.47
sur 63085 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, $1,722.78
sur 63086 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, $176.34
sur 63087 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, COMBINED $2,173.89
sur 63088 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, COMBINED $238.76
sur 63090 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, $1,788.02
sur 63091 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, $164.35
sur 63101 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, LATERAL EX $2,101.07
sur 63102 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, LATERAL $2,033.12
sur 63103 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, LATERAL $269.95
sur 63170 LAMINECTOMY WITH MYELOTOMY (EG, BISCHOF OR DREZ TYPE), CERVICAL, THORACIC OR THO $1,423.02
sur 63172 LAMINECTOMY WITH DRAINAGE OF INTRAMEDULLARY CYST/SYRINX; TO SUBARACHNOID SPACE $1,266.87
sur 63173 LAMINECTOMY WITH DRAINAGE OF INTRAMEDULLARY CYST/SYRINX; TO PERITONEAL OR $1,556.48
sur 63180 LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, $1,314.11
sur 63182 LAMINECTOMY AND SECTION OF DENTATE LIGAMENTS, WITH OR WITHOUT DURAL GRAFT, $1,414.57
sur 63185 LAMINECTOMY WITH RHIZOTOMY; ONE OR TWO SEGMENTS $1,068.63
sur 63190 LAMINECTOMY WITH RHIZOTOMY; MORE THAN TWO SEGMENTS $1,148.05
sur 63191 LAMINECTOMY WITH SECTION OF SPINAL ACCESSORY NERVE $1,075.32
sur 63194 LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF ONE SPINOTHALAMIC TRACT, ONE STAGE; $1,246.91
sur 63195 LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF ONE SPINOTHALAMIC TRACT, ONE STAGE; $1,377.27
sur 63196 LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, ONE $1,312.81
sur 63197 LAMINECTOMY WITH CORDOTOMY, WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, ONE $1,540.53
sur 63198 LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, TWO $1,453.22
sur 63199 LAMINECTOMY WITH CORDOTOMY WITH SECTION OF BOTH SPINOTHALAMIC TRACTS, TWO $1,601.09
sur 63200 LAMINECTOMY, WITH RELEASE OF TETHERED SPINAL CORD, LUMBAR $1,370.49
sur 63250 LAMINECTOMY FOR EXCISION OR OCCLUSION OF ARTERIOVENOUS MALFORMATION OF SPINAL CO $2,682.29
sur 63251 LAMINECTOMY FOR EXCISION OR OCCLUSION OF ARTERIOVENOUS MALFORMATION OF SPINAL $2,747.41
sur 63252 LAMINECTOMY FOR EXCISION OR OCCLUSION OF ARTERIOVENOUS MALFORMATION OF SPINAL $2,745.24
sur 63265 LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN $1,505.00
sur 63266 LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN $1,550.35
sur 63267 LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN $1,239.85
sur 63268 LAMINECTOMY FOR EXCISION OR EVACUATION OF INTRASPINAL LESION OTHER THAN $1,298.50
sur 63270 LAMINECTOMY FOR EXCISION OF INTRASPINAL LESION OTHER THAN NEOPLASM, INTRADURAL; $1,871.22
sur 63271 LAMINECTOMY FOR EXCISION OF INTRASPINAL LESION OTHER THAN NEOPLASM, INTRADURAL; $1,870.05
sur 63272 LAMINECTOMY FOR EXCISION OF INTRASPINAL LESION OTHER THAN NEOPLASM, INTRADURAL; $1,718.97
sur 63273 LAMINECTOMY FOR EXCISION OF INTRASPINAL LESION OTHER THAN NEOPLASM, INTRADURAL; $1,662.59
sur 63275 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, CERVICAL $1,620.00
sur 63276 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, THORACIC $1,610.91
sur 63277 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, LUMBAR $1,400.62
sur 63278 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; EXTRADURAL, SACRAL $1,421.19
sur 63280 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, $1,910.66
sur 63281 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, $1,892.05
sur 63282 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, $1,782.35
sur 63283 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, SACRAL $1,707.20
sur 63285 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, $2,353.49
sur 63286 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, $2,325.61
sur 63287 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; INTRADURAL, $2,480.20
sur 63290 LAMINECTOMY FOR BIOPSY/EXCISION OF INTRASPINAL NEOPLASM; COMBINED $2,516.38
sur 63295 OSTEOPLASTIC RECONSTRUCTION OF DORSAL SPINAL ELEMENTS, FOLLOWING PRIMARY $302.46
sur 63300 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR EXCISI $1,656.24
sur 63301 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR $1,960.44
sur 63302 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR $1,939.33
sur 63303 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR $2,060.43
sur 63304 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR $2,116.42
sur 63305 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR $2,220.54
sur 63306 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR $2,071.89
sur 63307 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR $2,162.92
sur 63308 VERTEBRAL CORPECTOMY (VERTEBRAL BODY RESECTION), PARTIAL OR COMPLETE, FOR $295.75
sur 63600 CREATION OF LESION OF SPINAL CORD BY STEREOTACTIC METHOD, PERCUTANEOUS, ANY MODA $717.22
sur 63610 STEREOTACTIC STIMULATION OF SPINAL CORD, PERCUTANEOUS, SEPARATE PROCEDURE NOT $727.34
sur 63615 STEREOTACTIC BIOPSY, ASPIRATION, OR EXCISION OF LESION, SPINAL CORD $1,019.77
sur 63620 Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); 1 sp $887.75
sur 63621 Stereotactic radiosurgery (particle beam, gamma ray or linear accelerator); each $210.76
sur 63650 PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODE ARRAY, EPIDURAL $352.15
sur 63655 LAMINECTOMY FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES, PLATE/PADDLE, $719.89
sur 63661 Removal of spinal neurostimulator electrode percutaneous array(s), including flu $505.12
sur 63662 Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotom $606.63
sur 63663 Revision including replacement, when performed, of spinal neurostimulator electr $721.73
sur 63664 Revision including replacement, when performed, of spinal neurostimulator electr $630.84
sur 63685 INSERTION OR REPLACEMENT OF SPINAL NEUROSTIMULATOR PULSE GENERATOR OR RECEIVER, $335.16
sur 63688 REVISION OR REMOVAL OF IMPLANTED SPINAL NEUROSTIMULATOR PULSE GENERATOR OR $302.88
sur 63700 REPAIR OF MENINGOCELE; LESS THAN 5 CM DIAMETER $1,151.90
sur 63702 REPAIR OF MENINGOCELE; LARGER THAN 5 CM DIAMETER $1,275.85
sur 63704 REPAIR OF MYELOMENINGOCELE; LESS THAN 5 CM DIAMETER $1,453.20
sur 63706 REPAIR OF MYELOMENINGOCELE; LARGER THAN 5 CM DIAMETER $1,641.56
sur 63707 REPAIR OF DURAL/CEREBROSPINAL FLUID LEAK, NOT REQUIRING LAMINECTOMY $816.47
sur 63709 REPAIR OF DURAL/CEREBROSPINAL FLUID LEAK OR PSEUDOMENINGOCELE, WITH LAMINECTOMY $990.57
sur 63710 DURAL GRAFT, SPINAL $993.96
sur 63740 CREATION OF SHUNT, LUMBAR, SUBARACHNOID-PERITONEAL, -PLEURAL, OR OTHER; INCLUDIN $785.31
sur 63741 CREATION OF SHUNT, LUMBAR, SUBARACHNOID-PERITONEAL, -PLEURAL, OR OTHER; $515.28
sur 63744 REPLACEMENT, IRRIGATION OR REVISION OF LUMBOSUBARACHNOID SHUNT $552.96
sur 63746 REMOVAL OF ENTIRE LUMBOSUBARACHNOID SHUNT SYSTEM WITHOUT REPLACEMENT $489.13
sur 64400 INJECTION, ANESTHETIC AGENT; TRIGEMINAL NERVE, ANY DIVISION OR BRANCH $95.32
sur 64402 INJECTION, ANESTHETIC AGENT; FACIAL NERVE $95.10
sur 64405 INJECTION, ANESTHETIC AGENT; GREATER OCCIPITAL NERVE $94.97
sur 64408 INJECTION, ANESTHETIC AGENT; VAGUS NERVE $103.82
sur 64410 INJECTION, ANESTHETIC AGENT; PHRENIC NERVE $124.97
sur 64412 INJECTION, ANESTHETIC AGENT; SPINAL ACCESSORY NERVE $125.98
sur 64413 INJECTION, ANESTHETIC AGENT; CERVICAL PLEXUS $100.29
sur 64415 INJECTION, ANESTHETIC AGENT; BRACHIAL PLEXUS, SINGLE $103.67
sur 64416 INJECTION, ANESTHETIC AGENT; BRACHIAL PLEXUS, CONTINUOUS INFUSION BY CATHETER (I $69.10
sur 64417 INJECTION, ANESTHETIC AGENT; AXILLARY NERVE $108.81
sur 64418 INJECTION, ANESTHETIC AGENT; SUPRASCAPULAR NERVE $115.89
sur 64420 INJECTION, ANESTHETIC AGENT; INTERCOSTAL NERVE, SINGLE $114.96
sur 64421 INJECTION, ANESTHETIC AGENT; INTERCOSTAL NERVES, MULTIPLE, REGIONAL BLOCK $165.20
sur 64425 INJECTION, ANESTHETIC AGENT; ILIOINGUINAL, ILIOHYPOGASTRIC NERVES $110.50
sur 64430 INJECTION, ANESTHETIC AGENT; PUDENDAL NERVE $120.79
sur 64435 INJECTION, ANESTHETIC AGENT; PARACERVICAL (UTERINE) NERVE $119.15
sur 64445 INJECTION, ANESTHETIC AGENT; SCIATIC NERVE, SINGLE $113.02
sur 64446 INJECTION, ANESTHETIC AGENT; SCIATIC NERVE, CONTINUOUS INFUSION BY CATHETER (INC $70.24
sur 64447 INJECTION, ANESTHETIC AGENT; FEMORAL NERVE, SINGLE $100.81
sur 64448 INJECTION, ANESTHETIC AGENT; FEMORAL NERVE, CONTINUOUS INFUSION BY CATHETER (INC $62.46
sur 64449 INJECTION, ANESTHETIC AGENT; LUMBAR PLEXUS, POSTERIOR APPROACH, CONTINUOUS INFUS $71.39
sur 64450 INJECTION, ANESTHETIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH $86.66
sur 64455 Injection(s), anesthetic agent and/or steroid; plantar common digital nerve(s) ( $41.47
sur 64479 INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMA $224.39
sur 64480 INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMA $106.83
sur 64483 INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMA $203.15
sur 64484 INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMA $90.03
sur 64490 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophysea $166.12
sur 64491 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophysea $82.31
sur 64492 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophysea $83.16
sur 64493 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophysea $148.04
sur 64494 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophysea $74.27
sur 64495 Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophysea $75.41
sur 64505 INJECTION, ANESTHETIC AGENT; SPHENOPALATINE GANGLION $83.00
sur 64508 INJECTION, ANESTHETIC AGENT; CAROTID SINUS (SEPARATE PROCEDURE) $88.04
sur 64510 INJECTION, ANESTHETIC AGENT; STELLATE GANGLION (CERVICAL SYMPATHETIC) $114.16
sur 64517 INJECTION, ANESTHETIC AGENT; SUPERIOR HYPOGASTRIC PLEXUS $146.87
sur 64520 INJECTION, ANESTHETIC AGENT; LUMBAR OR THORACIC (PARAVERTEBRAL SYMPATHETIC) $161.49
sur 64530 INJECTION, ANESTHETIC AGENT; CELIAC PLEXUS, WITH OR WITHOUT RADIOLOGIC $163.55
sur 64550 APPLICATION OF SURFACE (TRANSCUTANEOUS) NEUROSTIMULATOR $13.25
sur 64553 PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; CRANIAL NERVE $174.05
sur 64555 PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; PERIPHERAL NERVE $170.26
sur 64560 PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; AUTONOMIC NERVE $194.01
sur 64561 PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; SACRAL NERVE $824.94
sur 64565 PERCUTANEOUS IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; NEUROMUSCULAR $148.84
sur 64566 POSTERIOR TIBIAL NEUROSTIMULATION, PERCUTANEOUS NEEDLE ELECTRODE, SINGLE TREATME $109.08
sur 64568 INCISION FOR IMPLANTATION OF CRANIAL NERVE (EG, VAGUS NERVE) NEUROSTIMULATOR ELE $543.21
sur 64569 REVISION OR REPLACEMENT OF CRANIAL NERVE (EG, VAGUS NERVE) NEUROSTIMULATOR ELECT $533.43
sur 64570 REMOVAL OF CRANIAL NERVE (EG, VAGUS NERVE) NEUROSTIMULATOR ELECTRODE ARRAY AND P $468.36
sur 64575 INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; PERIPHERAL NERVE (EXCLU $242.86
sur 64577 INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; AUTONOMIC NERVE $282.03
sur 64580 INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; NEUROMUSCULAR $254.74
sur 64581 INCISION FOR IMPLANTATION OF NEUROSTIMULATOR ELECTRODES; SACRAL NERVE $598.85
sur 64585 REVISION OR REMOVAL OF PERIPHERAL NEUROSTIMULATOR ELECTRODES $246.36
sur 64590 INSERTION OR REPLACEMENT OF PERIPHERAL OR GASTRIC NEUROSTIMULATOR PULSE GENERATO $241.90
sur 64595 REVISION OR REMOVAL OF PERIPHERAL OR GASTRIC NEUROSTIMULATOR PULSE GENERATOR OR $239.70
sur 64600 DESTRUCTION BY NEUROLYTIC AGENT, TRIGEMINAL NERVE; SUPRAORBITAL, INFRAORBITAL, M $346.52
sur 64605 DESTRUCTION BY NEUROLYTIC AGENT, TRIGEMINAL NERVE; SECOND AND THIRD DIVISION $547.50
sur 64610 DESTRUCTION BY NEUROLYTIC AGENT, TRIGEMINAL NERVE; SECOND AND THIRD DIVISION $612.98
sur 64611 CHEMODENERVATION OF PAROTID AND SUBMANDIBULAR SALIVARY GLANDS, BILATERAL $84.45
sur 64612 CHEMODENERVATION OF MUSCLE(S); MUSCLE(S) INNERVATED BY FACIAL NERVE (EG, FOR $144.10
sur 64613 CHEMODENERVATION OF MUSCLE(S); NECK MUSCLE(S) (EG, FOR SPASMODIC TORTICOLLIS, SP $138.19
sur 64614 CHEMODENERVATION OF MUSCLE(S); EXTREMITY(S) AND/OR TRUNK MUSCLE(S) (EG, FOR $147.81
sur 64620 DESTRUCTION BY NEUROLYTIC AGENT, INTERCOSTAL NERVE $202.29
sur 64622 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE; LUMBAR OR $283.53
sur 64623 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE; LUMBAR OR $105.78
sur 64626 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE; CERVICAL OR $337.37
sur 64627 DESTRUCTION BY NEUROLYTIC AGENT, PARAVERTEBRAL FACET JOINT NERVE; CERVICAL OR $144.51
sur 64630 DESTRUCTION BY NEUROLYTIC AGENT; PUDENDAL NERVE $190.81
sur 64632 Destruction by neurolytic agent; plantar common digital nerve $72.04
sur 64640 DESTRUCTION BY NEUROLYTIC AGENT; OTHER PERIPHERAL NERVE OR BRANCH $184.59
sur 64650 CHEMODENERVATION OF ECCRINE GLANDS; BOTH AXILLAE $77.49
sur 64653 CHEMODENERVATION OF ECCRINE GLANDS; OTHER AREA(S) (EG, SCALP, FACE, NECK), PER D $92.51
sur 64680 DESTRUCTION BY NEUROLYTIC AGENT, WITH OR WITHOUT RADIOLOGIC MONITORING; CELIAC P $265.20
sur 64681 DESTRUCTION BY NEUROLYTIC AGENT, WITH OR WITHOUT RADIOLOGIC MONITORING; $316.18
sur 64702 NEUROPLASTY; DIGITAL, ONE OR BOTH, SAME DIGIT $404.69
sur 64704 NEUROPLASTY; NERVE OF HAND OR FOOT $272.31
sur 64708 NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; OTHER THAN SPECIFIED $405.40
sur 64712 NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; SCIATIC NERVE $462.35
sur 64713 NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; BRACHIAL PLEXUS $638.75
sur 64714 NEUROPLASTY, MAJOR PERIPHERAL NERVE, ARM OR LEG, OPEN; LUMBAR PLEXUS $565.68
sur 64716 NEUROPLASTY AND/OR TRANSPOSITION; CRANIAL NERVE (SPECIFY) $447.61
sur 64718 NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT ELBOW $487.72
sur 64719 NEUROPLASTY AND/OR TRANSPOSITION; ULNAR NERVE AT WRIST $330.67
sur 64721 NEUROPLASTY AND/OR TRANSPOSITION; MEDIAN NERVE AT CARPAL TUNNEL $353.50
sur 64722 DECOMPRESSION; UNSPECIFIED NERVE(S) (SPECIFY) $288.66
sur 64726 DECOMPRESSION; PLANTAR DIGITAL NERVE $233.71
sur 64727 INTERNAL NEUROLYSIS, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY IN $157.05
sur 64732 TRANSECTION OR AVULSION OF; SUPRAORBITAL NERVE $350.99
sur 64734 TRANSECTION OR AVULSION OF; INFRAORBITAL NERVE $356.92
sur 64736 TRANSECTION OR AVULSION OF; MENTAL NERVE $361.82
sur 64738 TRANSECTION OR AVULSION OF; INFERIOR ALVEOLAR NERVE BY OSTEOTOMY $432.94
sur 64740 TRANSECTION OR AVULSION OF; LINGUAL NERVE $387.73
sur 64742 TRANSECTION OR AVULSION OF; FACIAL NERVE, DIFFERENTIAL OR COMPLETE $402.51
sur 64744 TRANSECTION OR AVULSION OF; GREATER OCCIPITAL NERVE $385.81
sur 64746 TRANSECTION OR AVULSION OF; PHRENIC NERVE $371.48
sur 64752 TRANSECTION OR AVULSION OF; VAGUS NERVE (VAGOTOMY), TRANSTHORACIC $434.25
sur 64755 TRANSECTION OR AVULSION OF; VAGUS NERVES LIMITED TO PROXIMAL STOMACH (SELECTIVE $760.56
sur 64760 TRANSECTION OR AVULSION OF; VAGUS NERVE (VAGOTOMY), ABDOMINAL $416.56
sur 64761 TRANSECTION OR AVULSION OF; PUDENDAL NERVE $377.96
sur 64763 TRANSECTION OR AVULSION OF OBTURATOR NERVE, EXTRAPELVIC, WITH OR WITHOUT $443.19
sur 64766 TRANSECTION OR AVULSION OF OBTURATOR NERVE, INTRAPELVIC, WITH OR WITHOUT $498.86
sur 64771 TRANSECTION OR AVULSION OF OTHER CRANIAL NERVE, EXTRADURAL $475.29
sur 64772 TRANSECTION OR AVULSION OF OTHER SPINAL NERVE, EXTRADURAL $481.60
sur 64774 EXCISION OF NEUROMA; CUTANEOUS NERVE, SURGICALLY IDENTIFIABLE $347.46
sur 64776 EXCISION OF NEUROMA; DIGITAL NERVE, ONE OR BOTH, SAME DIGIT $327.16
sur 64778 EXCISION OF NEUROMA; DIGITAL NERVE, EACH ADDITIONAL DIGIT (LIST SEPARATELY IN $162.20
sur 64782 EXCISION OF NEUROMA; HAND OR FOOT, EXCEPT DIGITAL NERVE $379.79
sur 64783 EXCISION OF NEUROMA; HAND OR FOOT, EACH ADDITIONAL NERVE, EXCEPT SAME DIGIT $185.18
sur 64784 EXCISION OF NEUROMA; MAJOR PERIPHERAL NERVE, EXCEPT SCIATIC $612.69
sur 64786 EXCISION OF NEUROMA; SCIATIC NERVE $904.44
sur 64787 IMPLANTATION OF NERVE END INTO BONE OR MUSCLE (LIST SEPARATELY IN ADDITION TO $207.63
sur 64788 EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; CUTANEOUS NERVE $331.65
sur 64790 EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; MAJOR PERIPHERAL NERVE $698.43
sur 64792 EXCISION OF NEUROFIBROMA OR NEUROLEMMOMA; EXTENSIVE (INCLUDING MALIGNANT TYPE) $949.90
sur 64795 BIOPSY OF NERVE $166.59
sur 64802 SYMPATHECTOMY, CERVICAL $520.70
sur 64804 SYMPATHECTOMY, CERVICOTHORACIC $692.45
sur 64809 SYMPATHECTOMY, THORACOLUMBAR $719.29
sur 64818 SYMPATHECTOMY, LUMBAR $563.33
sur 64820 SYMPATHECTOMY; DIGITAL ARTERIES, EACH DIGIT $639.58
sur 64821 SYMPATHECTOMY; RADIAL ARTERY $577.70
sur 64822 SYMPATHECTOMY; ULNAR ARTERY $573.40
sur 64823 SYMPATHECTOMY; SUPERFICIAL PALMAR ARCH $650.66
sur 64831 SUTURE OF DIGITAL NERVE, HAND OR FOOT; ONE NERVE $570.88
sur 64832 SUTURE OF DIGITAL NERVE, HAND OR FOOT; EACH ADDITIONAL DIGITAL NERVE (LIST $289.88
sur 64834 SUTURE OF ONE NERVE; HAND OR FOOT, COMMON SENSORY NERVE $624.26
sur 64835 SUTURE OF ONE NERVE; MEDIAN MOTOR THENAR $680.54
sur 64836 SUTURE OF ONE NERVE; ULNAR MOTOR $681.11
sur 64837 SUTURE OF EACH ADDITIONAL NERVE, HAND OR FOOT (LIST SEPARATELY IN ADDITION TO $305.87
sur 64840 SUTURE OF POSTERIOR TIBIAL NERVE $739.76
sur 64856 SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR LEG, EXCEPT SCIATIC; INCLUDING $854.74
sur 64857 SUTURE OF MAJOR PERIPHERAL NERVE, ARM OR LEG, EXCEPT SCIATIC; WITHOUT $889.94
sur 64858 SUTURE OF SCIATIC NERVE $1,026.67
sur 64859 SUTURE OF EACH ADDITIONAL MAJOR PERIPHERAL NERVE (LIST SEPARATELY IN ADDITION $223.64
sur 64861 SUTURE OF; BRACHIAL PLEXUS $1,087.98
sur 64862 SUTURE OF; LUMBAR PLEXUS $1,230.92
sur 64864 SUTURE OF FACIAL NERVE; EXTRACRANIAL $731.60
sur 64865 SUTURE OF FACIAL NERVE; INFRATEMPORAL, WITH OR WITHOUT GRAFTING $965.20
sur 64866 ANASTOMOSIS; FACIAL-SPINAL ACCESSORY $970.48
sur 64868 ANASTOMOSIS; FACIAL-HYPOGLOSSAL $880.35
sur 64870 ANASTOMOSIS; FACIAL-PHRENIC $917.85
sur 64872 SUTURE OF NERVE; REQUIRING SECONDARY OR DELAYED SUTURE (LIST SEPARATELY IN $98.17
sur 64874 SUTURE OF NERVE; REQUIRING EXTENSIVE MOBILIZATION, OR TRANSPOSITION OF NERVE $149.16
sur 64876 SUTURE OF NERVE; REQUIRING SHORTENING OF BONE OF EXTREMITY (LIST SEPARATELY IN $165.11
sur 64885 NERVE GRAFT (INCLUDES OBTAINING GRAFT), HEAD OR NECK; UP TO 4 CM IN LENGTH $946.32
sur 64886 NERVE GRAFT (INCLUDES OBTAINING GRAFT), HEAD OR NECK; MORE THAN 4 CM LENGTH $1,110.69
sur 64890 NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, HAND OR FOOT; UP TO 4 CM $913.91
sur 64891 NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, HAND OR FOOT; MORE THAN $992.50
sur 64892 NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, ARM OR LEG; UP TO 4 CM $886.60
sur 64893 NERVE GRAFT (INCLUDES OBTAINING GRAFT), SINGLE STRAND, ARM OR LEG; MORE THAN 4 $949.16
sur 64895 NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), HAND OR FOOT; $1,144.41
sur 64896 NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), HAND OR FOOT; $1,291.73
sur 64897 NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), ARM OR LEG; $1,077.82
sur 64898 NERVE GRAFT (INCLUDES OBTAINING GRAFT), MULTIPLE STRANDS (CABLE), ARM OR LEG; $1,163.63
sur 64901 NERVE GRAFT, EACH ADDITIONAL NERVE; SINGLE STRAND (LIST SEPARATELY IN ADDITION $533.39
sur 64902 NERVE GRAFT, EACH ADDITIONAL NERVE; MULTIPLE STRANDS (CABLE) (LIST SEPARATELY $615.51
sur 64905 NERVE PEDICLE TRANSFER; FIRST STAGE $864.80
sur 64907 NERVE PEDICLE TRANSFER; SECOND STAGE $976.44
sur 64910 NERVE REPAIR; WITH SYNTHETIC CONDUIT OR VEIN ALLOGRAFT (EG, NERVE TUBE), EACH NE $689.93
sur 64911 NERVE REPAIR; WITH AUTOGENOUS VEIN GRAFT (INCLUDES HARVEST OF VEIN GRAFT), EACH $860.14
sur 64999 UNLISTED PROCEDURE, NERVOUS SYSTEM BR
sur 65091 EVISCERATION OF OCULAR CONTENTS; WITHOUT IMPLANT $526.49
sur 65093 EVISCERATION OF OCULAR CONTENTS; WITH IMPLANT $521.61
sur 65101 ENUCLEATION OF EYE; WITHOUT IMPLANT $609.71
sur 65103 ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES NOT ATTACHED TO IMPLANT $637.27
sur 65105 ENUCLEATION OF EYE; WITH IMPLANT, MUSCLES ATTACHED TO IMPLANT $703.28
sur 65110 EXENTERATION OF ORBIT (DOES NOT INCLUDE SKIN GRAFT), REMOVAL OF ORBITAL $989.45
sur 65112 EXENTERATION OF ORBIT (DOES NOT INCLUDE SKIN GRAFT), REMOVAL OF ORBITAL $1,155.76
sur 65114 EXENTERATION OF ORBIT (DOES NOT INCLUDE SKIN GRAFT), REMOVAL OF ORBITAL $1,211.28
sur 65125 MODIFICATION OF OCULAR IMPLANT WITH PLACEMENT OR REPLACEMENT OF PEGS (EG, DRILLI $369.69
sur 65130 INSERTION OF OCULAR IMPLANT SECONDARY; AFTER EVISCERATION, IN SCLERAL SHELL $604.57
sur 65135 INSERTION OF OCULAR IMPLANT SECONDARY; AFTER ENUCLEATION, MUSCLES NOT ATTACHED $614.36
sur 65140 INSERTION OF OCULAR IMPLANT SECONDARY; AFTER ENUCLEATION, MUSCLES ATTACHED TO $652.96
sur 65150 REINSERTION OF OCULAR IMPLANT; WITH OR WITHOUT CONJUNCTIVAL GRAFT $457.89
sur 65155 REINSERTION OF OCULAR IMPLANT; WITH USE OF FOREIGN MATERIAL FOR REINFORCEMENT $703.33
sur 65175 REMOVAL OF OCULAR IMPLANT $530.42
sur 65205 REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CONJUNCTIVAL SUPERFICIAL $45.42
sur 65210 REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CONJUNCTIVAL EMBEDDED (INCLUDES $56.33
sur 65220 REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITHOUT SLIT LAMP $46.84
sur 65222 REMOVAL OF FOREIGN BODY, EXTERNAL EYE; CORNEAL, WITH SLIT LAMP $62.07
sur 65235 REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM ANTERIOR CHAMBER OF EYE OR LENS $574.76
sur 65260 REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM POSTERIOR SEGMENT, MAGNETIC $757.20
sur 65265 REMOVAL OF FOREIGN BODY, INTRAOCULAR; FROM POSTERIOR SEGMENT, NONMAGNETIC $907.77
sur 65270 REPAIR OF LACERATION; CONJUNCTIVA, WITH OR WITHOUT NONPERFORATING LACERATION SCL $213.33
sur 65272 REPAIR OF LACERATION; CONJUNCTIVA, BY MOBILIZATION AND REARRANGEMENT, WITHOUT $394.20
sur 65273 REPAIR OF LACERATION; CONJUNCTIVA, BY MOBILIZATION AND REARRANGEMENT, WITH $302.11
sur 65275 REPAIR OF LACERATION; CORNEA, NONPERFORATING, WITH OR WITHOUT REMOVAL FOREIGN $459.28
sur 65280 REPAIR OF LACERATION; CORNEA AND/OR SCLERA, PERFORATING, NOT INVOLVING UVEAL $559.33
sur 65285 REPAIR OF LACERATION; CORNEA AND/OR SCLERA, PERFORATING, WITH REPOSITION OR $862.79
sur 65286 REPAIR OF LACERATION; APPLICATION OF TISSUE GLUE, WOUNDS OF CORNEA AND/OR SCLERA $566.53
sur 65290 REPAIR OF WOUND, EXTRAOCULAR MUSCLE, TENDON AND/OR TENON'S CAPSULE $410.40
sur 65400 EXCISION OF LESION, CORNEA (KERATECTOMY, LAMELLAR, PARTIAL), EXCEPT PTERYGIUM $546.93
sur 65410 BIOPSY OF CORNEA $118.44
sur 65420 EXCISION OR TRANSPOSITION OF PTERYGIUM; WITHOUT GRAFT $413.08
sur 65426 EXCISION OR TRANSPOSITION OF PTERYGIUM; WITH GRAFT $523.98
sur 65430 SCRAPING OF CORNEA, DIAGNOSTIC, FOR SMEAR AND/OR CULTURE $93.98
sur 65435 REMOVAL OF CORNEAL EPITHELIUM; WITH OR WITHOUT CHEMOCAUTERIZATION (ABRASION, $65.75
sur 65436 REMOVAL OF CORNEAL EPITHELIUM; WITH APPLICATION OF CHELATING AGENT (EG, EDTA) $318.75
sur 65450 DESTRUCTION OF LESION OF CORNEA BY CRYOTHERAPY, PHOTOCOAGULATION OR $261.22
sur 65600 MULTIPLE PUNCTURES OF ANTERIOR CORNEA (EG, FOR CORNEAL EROSION, TATTOO) $317.50
sur 65710 KERATOPLASTY (CORNEAL TRANSPLANT); ANTERIOR LAMELLAR $901.20
sur 65730 KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (EXCEPT IN APHAKIA OR PSEUDOPHAKI $1,000.47
sur 65750 KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (IN APHAKIA) $1,005.47
sur 65755 KERATOPLASTY (CORNEAL TRANSPLANT); PENETRATING (IN PSEUDOPHAKIA) $1,004.01
sur 65756 Keratoplasty (corneal transplant); endothelial $938.34
sur 65757 Backbench preparation of corneal endothelial allograft prior to transplantation $124.83
sur 65770 KERATOPROSTHESIS $1,268.21
sur 65772 CORNEAL RELAXING INCISION FOR CORRECTION OF SURGICALLY INDUCED ASTIGMATISM $362.83
sur 65775 CORNEAL WEDGE RESECTION FOR CORRECTION OF SURGICALLY INDUCED ASTIGMATISM $435.98
sur 65778 PLACEMENT OF AMNIOTIC MEMBRANE ON THE OCULAR SURFACE FOR WOUND HEALING; SELF-RET $1,058.47
sur 65779 PLACEMENT OF AMNIOTIC MEMBRANE ON THE OCULAR SURFACE FOR WOUND HEALING; SINGLE L $958.18
sur 65780 OCULAR SURFACE RECONSTRUCTION; AMNIOTIC MEMBRANE TRANSPLANTATION, MULTIPLE LAYER $719.16
sur 65781 OCULAR SURFACE RECONSTRUCTION; LIMBAL STEM CELL ALLOGRAFT (EG, CADAVERIC OR $1,061.18
sur 65782 OCULAR SURFACE RECONSTRUCTION; LIMBAL CONJUNCTIVAL AUTOGRAFT (INCLUDES $967.66
sur 65800 PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH DIAGNOSTIC AS $121.89
sur 65805 PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH THERAPEUTIC $135.22
sur 65810 PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH REMOVAL OF $383.15
sur 65815 PARACENTESIS OF ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); WITH REMOVAL OF $519.47
sur 65820 GONIOTOMY $591.43
sur 65850 TRABECULOTOMY AB EXTERNO $698.48
sur 65855 TRABECULOPLASTY BY LASER SURGERY, ONE OR MORE SESSIONS (DEFINED TREATMENT $277.79
sur 65860 SEVERING ADHESIONS OF ANTERIOR SEGMENT, LASER TECHNIQUE (SEPARATE PROCEDURE) $273.89
sur 65865 SEVERING ADHESIONS OF ANTERIOR SEGMENT OF EYE, INCISIONAL TECHNIQUE (WITH OR WIT $374.01
sur 65870 SEVERING ADHESIONS OF ANTERIOR SEGMENT OF EYE, INCISIONAL TECHNIQUE (WITH OR $487.31
sur 65875 SEVERING ADHESIONS OF ANTERIOR SEGMENT OF EYE, INCISIONAL TECHNIQUE (WITH OR $511.16
sur 65880 SEVERING ADHESIONS OF ANTERIOR SEGMENT OF EYE, INCISIONAL TECHNIQUE (WITH OR $523.30
sur 65900 REMOVAL OF EPITHELIAL DOWNGROWTH, ANTERIOR CHAMBER OF EYE $763.20
sur 65920 REMOVAL OF IMPLANTED MATERIAL, ANTERIOR SEGMENT OF EYE $637.32
sur 65930 REMOVAL OF BLOOD CLOT, ANTERIOR SEGMENT OF EYE $529.54
sur 66020 INJECTION, ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); AIR OR LIQUID $146.73
sur 66030 INJECTION, ANTERIOR CHAMBER OF EYE (SEPARATE PROCEDURE); MEDICATION $132.95
sur 66130 EXCISION OF LESION, SCLERA $581.91
sur 66150 FISTULIZATION OF SCLERA FOR GLAUCOMA; TREPHINATION WITH IRIDECTOMY $688.30
sur 66155 FISTULIZATION OF SCLERA FOR GLAUCOMA; THERMOCAUTERIZATION WITH IRIDECTOMY $687.73
sur 66160 FISTULIZATION OF SCLERA FOR GLAUCOMA; SCLERECTOMY WITH PUNCH OR SCISSORS, WITH $778.35
sur 66165 FISTULIZATION OF SCLERA FOR GLAUCOMA; IRIDENCLEISIS OR IRIDOTASIS $674.43
sur 66170 FISTULIZATION OF SCLERA FOR GLAUCOMA; TRABECULECTOMY AB EXTERNO IN ABSENCE OF $967.78
sur 66172 FISTULIZATION OF SCLERA FOR GLAUCOMA; TRABECULECTOMY AB EXTERNO WITH SCARRING $1,219.42
sur 66174 TRANSLUMINAL DILATION OF AQUEOUS OUTFLOW CANAL; WITHOUT RETENTION OF DEVICE OR S $830.16
sur 66175 TRANSLUMINAL DILATION OF AQUEOUS OUTFLOW CANAL; WITH RETENTION OF DEVICE OR STEN $936.13
sur 66180 AQUEOUS SHUNT TO EXTRAOCULAR RESERVOIR (EG, MOLTENO, SCHOCKET, DENVER-KRUPIN) $950.24
sur 66185 REVISION OF AQUEOUS SHUNT TO EXTRAOCULAR RESERVOIR $617.14
sur 66220 REPAIR OF SCLERAL STAPHYLOMA; WITHOUT GRAFT $597.72
sur 66225 REPAIR OF SCLERAL STAPHYLOMA; WITH GRAFT $779.19
sur 66250 REVISION OR REPAIR OF OPERATIVE WOUND OF ANTERIOR SEGMENT, ANY TYPE, EARLY OR $614.17
sur 66500 IRIDOTOMY BY STAB INCISION (SEPARATE PROCEDURE); EXCEPT TRANSFIXION $278.45
sur 66505 IRIDOTOMY BY STAB INCISION (SEPARATE PROCEDURE); WITH TRANSFIXION AS FOR IRIS $305.23
sur 66600 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; FOR REMOVAL OF LESION $653.08
sur 66605 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; WITH CYCLECTOMY $835.11
sur 66625 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; PERIPHERAL FOR GLAUCOMA $348.18
sur 66630 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; SECTOR FOR GLAUCOMA $467.63
sur 66635 IRIDECTOMY, WITH CORNEOSCLERAL OR CORNEAL SECTION; OPTICAL (SEPARATE PROCEDURE) $453.34
sur 66680 REPAIR OF IRIS, CILIARY BODY (AS FOR IRIDODIALYSIS) $430.51
sur 66682 SUTURE OF IRIS, CILIARY BODY (SEPARATE PROCEDURE) WITH RETRIEVAL OF SUTURE $522.47
sur 66700 CILIARY BODY DESTRUCTION; DIATHERMY $357.45
sur 66710 CILIARY BODY DESTRUCTION; CYCLOPHOTOCOAGULATION, TRANSSCLERAL $364.97
sur 66711 CILIARY BODY DESTRUCTION; CYCLOPHOTOCOAGULATION, ENDOSCOPIC $505.40
sur 66720 CILIARY BODY DESTRUCTION; CRYOTHERAPY $377.62
sur 66740 CILIARY BODY DESTRUCTION; CYCLODIALYSIS $344.56
sur 66761 IRIDOTOMY/IRIDECTOMY BY LASER SURGERY (EG, FOR GLAUCOMA) (PER SESSION) $266.20
sur 66762 IRIDOPLASTY BY PHOTOCOAGULATION (ONE OR MORE SESSIONS) (EG, FOR IMPROVEMENT OF $381.83
sur 66770 DESTRUCTION OF CYST OR LESION IRIS OR CILIARY BODY (NONEXCISIONAL PROCEDURE) $414.82
sur 66820 DISCISSION OF SECONDARY MEMBRANOUS CATARACT (OPACIFIED POSTERIOR LENS CAPSULE AN $321.28
sur 66821 DISCISSION OF SECONDARY MEMBRANOUS CATARACT (OPACIFIED POSTERIOR LENS CAPSULE $265.96
sur 66825 REPOSITIONING OF INTRAOCULAR LENS PROSTHESIS, REQUIRING AN INCISION (SEPARATE $614.16
sur 66830 REMOVAL OF SECONDARY MEMBRANOUS CATARACT (OPACIFIED POSTERIOR LENS CAPSULE AND/O $563.83
sur 66840 REMOVAL OF LENS MATERIAL; ASPIRATION TECHNIQUE, ONE OR MORE STAGES $580.56
sur 66850 REMOVAL OF LENS MATERIAL; PHACOFRAGMENTATION TECHNIQUE (MECHANICAL OR $645.56
sur 66852 REMOVAL OF LENS MATERIAL; PARS PLANA APPROACH, WITH OR WITHOUT VITRECTOMY $700.48
sur 66920 REMOVAL OF LENS MATERIAL; INTRACAPSULAR $596.74
sur 66930 REMOVAL OF LENS MATERIAL; INTRACAPSULAR, FOR DISLOCATED LENS $678.34
sur 66940 REMOVAL OF LENS MATERIAL; EXTRACAPSULAR (OTHER THAN 66840, 66850, 66852) $644.62
sur 66982 EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS $872.67
sur 66983 INTRACAPSULAR CATARACT EXTRACTION WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS $591.20
sur 66984 EXTRACAPSULAR CATARACT REMOVAL WITH INSERTION OF INTRAOCULAR LENS PROSTHESIS $627.97
sur 66985 INSERTION OF INTRAOCULAR LENS PROSTHESIS (SECONDARY IMPLANT), NOT ASSOCIATED $622.70
sur 66986 EXCHANGE OF INTRAOCULAR LENS $741.32
sur 66990 USE OF OPHTHALMIC ENDOSCOPE (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY $72.76
sur 66999 UNLISTED PROCEDURE, ANTERIOR SEGMENT OF EYE BR
sur 67005 REMOVAL OF VITREOUS, ANTERIOR APPROACH (OPEN SKY TECHNIQUE OR LIMBAL INCISION); $394.09
sur 67010 REMOVAL OF VITREOUS, ANTERIOR APPROACH (OPEN SKY TECHNIQUE OR LIMBAL INCISION); $441.07
sur 67015 ASPIRATION OR RELEASE OF VITREOUS, SUBRETINAL OR CHOROIDAL FLUID, PARS PLANA $470.89
sur 67025 INJECTION OF VITREOUS SUBSTITUTE, PARS PLANA OR LIMBAL APPROACH, (FLUID-GAS $595.11
sur 67027 IMPLANTATION OF INTRAVITREAL DRUG DELIVERY SYSTEM (EG, GANCICLOVIR IMPLANT), $705.97
sur 67028 INTRAVITREAL INJECTION OF A PHARMACOLOGIC AGENT (SEPARATE PROCEDURE) $108.62
sur 67030 DISCISSION OF VITREOUS STRANDS (WITHOUT REMOVAL), PARS PLANA APPROACH $416.24
sur 67031 SEVERING OF VITREOUS STRANDS, VITREOUS FACE ADHESIONS, SHEETS, MEMBRANES OR $313.07
sur 67036 VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; $784.90
sur 67039 VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH FOCAL ENDOLASER $1,025.81
sur 67040 VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH ENDOLASER PANRETINAL $1,161.62
sur 67041 VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF PRERETINAL CELLULAR $1,084.46
sur 67042 VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF INTERNAL LIMITING M $1,240.70
sur 67043 VITRECTOMY, MECHANICAL, PARS PLANA APPROACH; WITH REMOVAL OF SUBRETINAL MEMBRANE $1,327.32
sur 67101 REPAIR OF RETINAL DETACHMENT, ONE OR MORE SESSIONS; CRYOTHERAPY OR DIATHERMY, WI $640.21
sur 67105 REPAIR OF RETINAL DETACHMENT, ONE OR MORE SESSIONS; PHOTOCOAGULATION, WITH OR $582.97
sur 67107 REPAIR OF RETINAL DETACHMENT; SCLERAL BUCKLING (SUCH AS LAMELLAR SCLERAL $1,009.79
sur 67108 REPAIR OF RETINAL DETACHMENT; WITH VITRECTOMY, ANY METHOD, WITH OR WITHOUT AIR $1,315.07
sur 67110 REPAIR OF RETINAL DETACHMENT; BY INJECTION OF AIR OR OTHER GAS (EG, PNEUMATIC $701.03
sur 67112 REPAIR OF RETINAL DETACHMENT; BY SCLERAL BUCKLING OR VITRECTOMY, ON PATIENT $1,084.93
sur 67113 REPAIR OF COMPLEX RETINAL DETACHMENT (EG, PROLIFERATIVE VITREORETINOPATHY, STAGE $1,428.21
sur 67115 RELEASE OF ENCIRCLING MATERIAL (POSTERIOR SEGMENT) $401.47
sur 67120 REMOVAL OF IMPLANTED MATERIAL, POSTERIOR SEGMENT; EXTRAOCULAR $541.68
sur 67121 REMOVAL OF IMPLANTED MATERIAL, POSTERIOR SEGMENT; INTRAOCULAR $752.72
sur 67141 PROPHYLAXIS OF RETINAL DETACHMENT (EG, RETINAL BREAK, LATTICE DEGENERATION) WITH $429.22
sur 67145 PROPHYLAXIS OF RETINAL DETACHMENT (EG, RETINAL BREAK, LATTICE DEGENERATION) $426.05
sur 67208 DESTRUCTION OF LOCALIZED LESION OF RETINA (EG, MACULAR EDEMA, TUMORS), ONE OR MO $472.66
sur 67210 DESTRUCTION OF LOCALIZED LESION OF RETINA (EG, MACULAR EDEMA, TUMORS), ONE OR $566.05
sur 67218 DESTRUCTION OF LOCALIZED LESION OF RETINA (EG, MACULAR EDEMA, TUMORS), ONE OR $1,102.60
sur 67220 DESTRUCTION OF LOCALIZED LESION OF CHOROID (EG, CHOROIDAL NEOVASCULARIZATION); $881.65
sur 67221 DESTRUCTION OF LOCALIZED LESION OF CHOROID (EG, CHOROIDAL NEOVASCULARIZATION); $237.71
sur 67225 DESTRUCTION OF LOCALIZED LESION OF CHOROID (EG, CHOROIDAL NEOVASCULARIZATION); $23.95
sur 67227 DESTRUCTION OF EXTENSIVE OR PROGRESSIVE RETINOPATHY (EG, DIABETIC RETINOPATHY), $481.48
sur 67228 TREATMENT OF EXTENSIVE OR PROGRESSIVE RETINOPATHY, ONE OR MORE SESSIONS; (EG, DI $957.93
sur 67229 TREATMENT OF EXTENSIVE OR PROGRESSIVE RETINOPATHY, ONE OR MORE SESSIONS; PRETERM $905.18
sur 67250 SCLERAL REINFORCEMENT (SEPARATE PROCEDURE); WITHOUT GRAFT $643.34
sur 67255 SCLERAL REINFORCEMENT (SEPARATE PROCEDURE); WITH GRAFT $699.03
sur 67299 UNLISTED PROCEDURE, POSTERIOR SEGMENT BR
sur 67311 STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE; ONE HORIZONTAL MUSCLE $492.91
sur 67312 STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE; TWO HORIZONTAL MUSCLES $595.78
sur 67314 STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE; ONE VERTICAL MUSCLE $553.82
sur 67316 STRABISMUS SURGERY, RECESSION OR RESECTION PROCEDURE; TWO OR MORE VERTICAL $669.56
sur 67318 STRABISMUS SURGERY, ANY PROCEDURE, SUPERIOR OBLIQUE MUSCLE $555.98
sur 67320 TRANSPOSITION PROCEDURE (EG, FOR PARETIC EXTRAOCULAR MUSCLE), ANY EXTRAOCULAR $258.36
sur 67331 STRABISMUS SURGERY ON PATIENT WITH PREVIOUS EYE SURGERY OR INJURY THAT DID NOT $257.82
sur 67332 STRABISMUS SURGERY ON PATIENT WITH SCARRING OF EXTRAOCULAR MUSCLES (EG, PRIOR $280.25
sur 67334 STRABISMUS SURGERY BY POSTERIOR FIXATION SUTURE TECHNIQUE, WITH OR WITHOUT $241.63
sur 67335 PLACEMENT OF ADJUSTABLE SUTURE(S) DURING STRABISMUS SURGERY, INCLUDING $126.19
sur 67340 STRABISMUS SURGERY INVOLVING EXPLORATION AND/OR REPAIR OF DETACHED EXTRAOCULAR $287.53
sur 67343 RELEASE OF EXTENSIVE SCAR TISSUE WITHOUT DETACHING EXTRAOCULAR MUSCLE (SEPARATE $543.83
sur 67345 CHEMODENERVATION OF EXTRAOCULAR MUSCLE $201.02
sur 67346 BIOPSY OF EXTRAOCULAR MUSCLE $170.68
sur 67399 UNLISTED PROCEDURE, OCULAR MUSCLE BR
sur 67400 ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); FOR EXPLOR $771.01
sur 67405 ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH $642.02
sur 67412 ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH $707.09
sur 67413 ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH $712.79
sur 67414 ORBITOTOMY WITHOUT BONE FLAP (FRONTAL OR TRANSCONJUNCTIVAL APPROACH); WITH $1,074.50
sur 67415 FINE NEEDLE ASPIRATION OF ORBITAL CONTENTS $87.50
sur 67420 ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH $1,362.31
sur 67430 ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH $987.94
sur 67440 ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH $978.03
sur 67445 ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); WITH $1,177.51
sur 67450 ORBITOTOMY WITH BONE FLAP OR WINDOW, LATERAL APPROACH (EG, KROENLEIN); FOR $1,016.30
sur 67500 RETROBULBAR INJECTION; MEDICATION (SEPARATE PROCEDURE, DOES NOT INCLUDE SUPPLY O $68.69
sur 67505 RETROBULBAR INJECTION; ALCOHOL $74.89
sur 67515 INJECTION OF MEDICATION OR OTHER SUBSTANCE INTO TENON'S CAPSULE $80.11
sur 67550 ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE CONE); INSERTION $804.06
sur 67560 ORBITAL IMPLANT (IMPLANT OUTSIDE MUSCLE CONE); REMOVAL OR REVISION $802.32
sur 67570 OPTIC NERVE DECOMPRESSION (EG, INCISION OR FENESTRATION OF OPTIC NERVE SHEATH) $1,018.75
sur 67599 UNLISTED PROCEDURE, ORBIT BR
sur 67700 BLEPHAROTOMY, DRAINAGE OF ABSCESS, EYELID $213.71
sur 67710 SEVERING OF TARSORRHAPHY $180.61
sur 67715 CANTHOTOMY (SEPARATE PROCEDURE) $190.94
sur 67800 EXCISION OF CHALAZION; SINGLE $103.94
sur 67801 EXCISION OF CHALAZION; MULTIPLE, SAME LID $134.30
sur 67805 EXCISION OF CHALAZION; MULTIPLE, DIFFERENT LIDS $166.71
sur 67808 EXCISION OF CHALAZION; UNDER GENERAL ANESTHESIA AND/OR REQUIRING $305.62
sur 67810 BIOPSY OF EYELID $179.67
sur 67820 CORRECTION OF TRICHIASIS; EPILATION, BY FORCEPS ONLY $42.25
sur 67825 CORRECTION OF TRICHIASIS; EPILATION BY OTHER THAN FORCEPS (EG, BY $106.18
sur 67830 CORRECTION OF TRICHIASIS; INCISION OF LID MARGIN $215.95
sur 67835 CORRECTION OF TRICHIASIS; INCISION OF LID MARGIN, WITH FREE MUCOUS MEMBRANE $367.03
sur 67840 EXCISION OF LESION OF EYELID (EXCEPT CHALAZION) WITHOUT CLOSURE OR WITH SIMPLE $223.86
sur 67850 DESTRUCTION OF LESION OF LID MARGIN (UP TO 1 CM) $178.04
sur 67875 TEMPORARY CLOSURE OF EYELIDS BY SUTURE (EG, FROST SUTURE) $139.73
sur 67880 CONSTRUCTION OF INTERMARGINAL ADHESIONS, MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY; $373.98
sur 67882 CONSTRUCTION OF INTERMARGINAL ADHESIONS, MEDIAN TARSORRHAPHY, OR CANTHORRHAPHY; $464.51
sur 67900 REPAIR OF BROW PTOSIS (SUPRACILIARY, MID-FOREHEAD OR CORONAL APPROACH) $527.29
sur 67901 REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE TECHNIQUE WITH SUTURE OR OTHER MATERI $596.16
sur 67902 REPAIR OF BLEPHAROPTOSIS; FRONTALIS MUSCLE TECHNIQUE WITH AUTOLOGOUS FASCIAL SLI $601.26
sur 67903 REPAIR OF BLEPHAROPTOSIS; (TARSO) LEVATOR RESECTION OR ADVANCEMENT, INTERNAL $497.81
sur 67904 REPAIR OF BLEPHAROPTOSIS; (TARSO) LEVATOR RESECTION OR ADVANCEMENT, EXTERNAL $602.61
sur 67906 REPAIR OF BLEPHAROPTOSIS; SUPERIOR RECTUS TECHNIQUE WITH FASCIAL SLING $404.47
sur 67908 REPAIR OF BLEPHAROPTOSIS; CONJUNCTIVO-TARSO-MULLER'S MUSCLE-LEVATOR RESECTION $407.10
sur 67909 REDUCTION OF OVERCORRECTION OF PTOSIS $442.96
sur 67911 CORRECTION OF LID RETRACTION $465.37
sur 67912 CORRECTION OF LAGOPHTHALMOS, WITH IMPLANTATION OF UPPER EYELID LID LOAD (EG, $723.66
sur 67914 REPAIR OF ECTROPION; SUTURE $318.55
sur 67915 REPAIR OF ECTROPION; THERMOCAUTERIZATION $280.66
sur 67916 REPAIR OF ECTROPION; EXCISION TARSAL WEDGE $441.22
sur 67917 REPAIR OF ECTROPION; EXTENSIVE (EG, TARSAL STRIP OPERATIONS) $483.26
sur 67921 REPAIR OF ENTROPION; SUTURE $304.94
sur 67922 REPAIR OF ENTROPION; THERMOCAUTERIZATION $271.21
sur 67923 REPAIR OF ENTROPION; EXCISION TARSAL WEDGE $467.78
sur 67924 REPAIR OF ENTROPION; EXTENSIVE (EG, TARSAL STRIP OR CAPSULOPALPEBRAL FASCIA $482.62
sur 67930 SUTURE OF RECENT WOUND, EYELID, INVOLVING LID MARGIN, TARSUS, AND/OR PALPEBRAL C $301.53
sur 67935 SUTURE OF RECENT WOUND, EYELID, INVOLVING LID MARGIN, TARSUS, AND/OR PALPEBRAL $492.32
sur 67938 REMOVAL OF EMBEDDED FOREIGN BODY, EYELID $195.10
sur 67950 CANTHOPLASTY (RECONSTRUCTION OF CANTHUS) $472.97
sur 67961 EXCISION AND REPAIR OF EYELID, INVOLVING LID MARGIN, TARSUS, CONJUNCTIVA, $474.05
sur 67966 EXCISION AND REPAIR OF EYELID, INVOLVING LID MARGIN, TARSUS, CONJUNCTIVA, $634.55
sur 67971 RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP $610.18
sur 67973 RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP $788.39
sur 67974 RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP $786.08
sur 67975 RECONSTRUCTION OF EYELID, FULL THICKNESS BY TRANSFER OF TARSOCONJUNCTIVAL FLAP $576.85
sur 67999 UNLISTED PROCEDURE, EYELIDS BR
sur 68020 INCISION OF CONJUNCTIVA, DRAINAGE OF CYST $97.15
sur 68040 EXPRESSION OF CONJUNCTIVAL FOLLICLES (EG, FOR TRACHOMA) $54.25
sur 68100 BIOPSY OF CONJUNCTIVA $137.23
sur 68110 EXCISION OF LESION, CONJUNCTIVA; UP TO 1 CM $183.58
sur 68115 EXCISION OF LESION, CONJUNCTIVA; OVER 1 CM $249.58
sur 68130 EXCISION OF LESION, CONJUNCTIVA; WITH ADJACENT SCLERA $425.63
sur 68135 DESTRUCTION OF LESION, CONJUNCTIVA $127.07
sur 68200 SUBCONJUNCTIVAL INJECTION $34.76
sur 68320 CONJUNCTIVOPLASTY; WITH CONJUNCTIVAL GRAFT OR EXTENSIVE REARRANGEMENT $591.82
sur 68325 CONJUNCTIVOPLASTY; WITH BUCCAL MUCOUS MEMBRANE GRAFT (INCLUDES OBTAINING GRAFT) $549.87
sur 68326 CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-SAC; WITH CONJUNCTIVAL GRAFT OR $538.38
sur 68328 CONJUNCTIVOPLASTY, RECONSTRUCTION CUL-DE-SAC; WITH BUCCAL MUCOUS MEMBRANE GRAFT $595.49
sur 68330 REPAIR OF SYMBLEPHARON; CONJUNCTIVOPLASTY, WITHOUT GRAFT $495.71
sur 68335 REPAIR OF SYMBLEPHARON; WITH FREE GRAFT CONJUNCTIVA OR BUCCAL MUCOUS MEMBRANE $539.53
sur 68340 REPAIR OF SYMBLEPHARON; DIVISION OF SYMBLEPHARON, WITH OR WITHOUT INSERTION OF $445.75
sur 68360 CONJUNCTIVAL FLAP; BRIDGE OR PARTIAL (SEPARATE PROCEDURE) $435.18
sur 68362 CONJUNCTIVAL FLAP; TOTAL (SUCH AS GUNDERSON THIN FLAP OR PURSE STRING FLAP) $547.28
sur 68371 HARVESTING CONJUNCTIVAL ALLOGRAFT, LIVING DONOR $326.76
sur 68399 UNLISTED PROCEDURE, CONJUNCTIVA BR
sur 68400 INCISION, DRAINAGE OF LACRIMAL GLAND $227.98
sur 68420 INCISION, DRAINAGE OF LACRIMAL SAC (DACRYOCYSTOTOMY OR DACRYOCYSTOSTOMY) $256.45
sur 68440 SNIP INCISION OF LACRIMAL PUNCTUM $86.34
sur 68500 EXCISION OF LACRIMAL GLAND (DACRYOADENECTOMY), EXCEPT FOR TUMOR; TOTAL $826.36
sur 68505 EXCISION OF LACRIMAL GLAND (DACRYOADENECTOMY), EXCEPT FOR TUMOR; PARTIAL $813.61
sur 68510 BIOPSY OF LACRIMAL GLAND $370.96
sur 68520 EXCISION OF LACRIMAL SAC (DACRYOCYSTECTOMY) $557.94
sur 68525 BIOPSY OF LACRIMAL SAC $227.67
sur 68530 REMOVAL OF FOREIGN BODY OR DACRYOLITH, LACRIMAL PASSAGES $352.54
sur 68540 EXCISION OF LACRIMAL GLAND TUMOR; FRONTAL APPROACH $754.46
sur 68550 EXCISION OF LACRIMAL GLAND TUMOR; INVOLVING OSTEOTOMY $923.99
sur 68700 PLASTIC REPAIR OF CANALICULI $503.66
sur 68705 CORRECTION OF EVERTED PUNCTUM, CAUTERY $194.20
sur 68720 DACRYOCYSTORHINOSTOMY (FISTULIZATION OF LACRIMAL SAC TO NASAL CAVITY) $625.66
sur 68745 CONJUNCTIVORHINOSTOMY (FISTULIZATION OF CONJUNCTIVA TO NASAL CAVITY); WITHOUT $635.36
sur 68750 CONJUNCTIVORHINOSTOMY (FISTULIZATION OF CONJUNCTIVA TO NASAL CAVITY); WITH $656.34
sur 68760 CLOSURE OF THE LACRIMAL PUNCTUM; BY THERMOCAUTERIZATION, LIGATION, OR LASER $164.67
sur 68761 CLOSURE OF THE LACRIMAL PUNCTUM; BY PLUG, EACH $119.74
sur 68770 CLOSURE OF LACRIMAL FISTULA (SEPARATE PROCEDURE) $511.73
sur 68801 DILATION OF LACRIMAL PUNCTUM, WITH OR WITHOUT IRRIGATION $100.46
sur 68810 PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; $195.70
sur 68811 PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; REQUIRING GENERAL $171.30
sur 68815 PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; WITH INSERTION OF $361.77
sur 68816 PROBING OF NASOLACRIMAL DUCT, WITH OR WITHOUT IRRIGATION; WITH TRANSLUMINAL BALL $571.40
sur 68840 PROBING OF LACRIMAL CANALICULI, WITH OR WITHOUT IRRIGATION $103.88
sur 68850 INJECTION OF CONTRAST MEDIUM FOR DACRYOCYSTOGRAPHY $50.69
sur 68899 UNLISTED PROCEDURE, LACRIMAL SYSTEM BR
sur 69000 DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; SIMPLE $154.17
sur 69005 DRAINAGE EXTERNAL EAR, ABSCESS OR HEMATOMA; COMPLICATED $180.43
sur 69020 DRAINAGE EXTERNAL AUDITORY CANAL, ABSCESS $196.07
sur 69100 BIOPSY EXTERNAL EAR $87.00
sur 69105 BIOPSY EXTERNAL AUDITORY CANAL $118.56
sur 69110 EXCISION EXTERNAL EAR; PARTIAL, SIMPLE REPAIR $386.66
sur 69120 EXCISION EXTERNAL EAR; COMPLETE AMPUTATION $342.11
sur 69140 EXCISION EXOSTOSIS(ES), EXTERNAL AUDITORY CANAL $744.93
sur 69145 EXCISION SOFT TISSUE LESION, EXTERNAL AUDITORY CANAL $331.59
sur 69150 RADICAL EXCISION EXTERNAL AUDITORY CANAL LESION; WITHOUT NECK DISSECTION $893.38
sur 69155 RADICAL EXCISION EXTERNAL AUDITORY CANAL LESION; WITH NECK DISSECTION $1,435.05
sur 69200 REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; WITHOUT GENERAL ANESTHESIA $103.33
sur 69205 REMOVAL FOREIGN BODY FROM EXTERNAL AUDITORY CANAL; WITH GENERAL ANESTHESIA $86.53
sur 69210 REMOVAL IMPACTED CERUMEN (SEPARATE PROCEDURE), ONE OR BOTH EARS $42.28
sur 69220 DEBRIDEMENT, MASTOIDECTOMY CAVITY, SIMPLE (EG, ROUTINE CLEANING) $116.26
sur 69222 DEBRIDEMENT, MASTOIDECTOMY CAVITY, COMPLEX (EG, WITH ANESTHESIA OR MORE THAN $186.61
sur 69300 OTOPLASTY, PROTRUDING EAR, WITH OR WITHOUT SIZE REDUCTION $566.64
sur 69310 RECONSTRUCTION OF EXTERNAL AUDITORY CANAL (MEATOPLASTY) (EG, FOR STENOSIS DUE $926.35
sur 69320 RECONSTRUCTION EXTERNAL AUDITORY CANAL FOR CONGENITAL ATRESIA, SINGLE STAGE $1,310.14
sur 69399 UNLISTED PROCEDURE, EXTERNAL EAR BR
sur 69400 EUSTACHIAN TUBE INFLATION, TRANSNASAL; WITH CATHETERIZATION $122.56
sur 69401 EUSTACHIAN TUBE INFLATION, TRANSNASAL; WITHOUT CATHETERIZATION $71.52
sur 69405 EUSTACHIAN TUBE CATHETERIZATION, TRANSTYMPANIC $221.00
sur 69420 MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION $162.22
sur 69421 MYRINGOTOMY INCLUDING ASPIRATION AND/OR EUSTACHIAN TUBE INFLATION REQUIRING $128.50
sur 69424 VENTILATING TUBE REMOVAL REQUIRING GENERAL ANESTHESIA $108.82
sur 69433 TYMPANOSTOMY (REQUIRING INSERTION OF VENTILATING TUBE), LOCAL OR TOPICAL $169.11
sur 69436 TYMPANOSTOMY (REQUIRING INSERTION OF VENTILATING TUBE), GENERAL ANESTHESIA $138.87
sur 69440 MIDDLE EAR EXPLORATION THROUGH POSTAURICULAR OR EAR CANAL INCISION $586.37
sur 69450 TYMPANOLYSIS, TRANSCANAL $462.13
sur 69501 TRANSMASTOID ANTROTOMY (''SIMPLE'' MASTOIDECTOMY) $625.12
sur 69502 MASTOIDECTOMY; COMPLETE $831.20
sur 69505 MASTOIDECTOMY; MODIFIED RADICAL $1,028.35
sur 69511 MASTOIDECTOMY; RADICAL $1,055.12
sur 69530 PETROUS APICECTOMY INCLUDING RADICAL MASTOIDECTOMY $1,416.34
sur 69535 RESECTION TEMPORAL BONE, EXTERNAL APPROACH $2,296.01
sur 69540 EXCISION AURAL POLYP $177.10
sur 69550 EXCISION AURAL GLOMUS TUMOR; TRANSCANAL $889.47
sur 69552 EXCISION AURAL GLOMUS TUMOR; TRANSMASTOID $1,345.69
sur 69554 EXCISION AURAL GLOMUS TUMOR; EXTENDED (EXTRATEMPORAL) $2,146.11
sur 69601 REVISION MASTOIDECTOMY; RESULTING IN COMPLETE MASTOIDECTOMY $895.22
sur 69602 REVISION MASTOIDECTOMY; RESULTING IN MODIFIED RADICAL MASTOIDECTOMY $931.36
sur 69603 REVISION MASTOIDECTOMY; RESULTING IN RADICAL MASTOIDECTOMY $1,081.34
sur 69604 REVISION MASTOIDECTOMY; RESULTING IN TYMPANOPLASTY $956.11
sur 69605 REVISION MASTOIDECTOMY; WITH APICECTOMY $1,336.56
sur 69610 TYMPANIC MEMBRANE REPAIR, WITH OR WITHOUT SITE PREPARATION OF PERFORATION FOR $331.12
sur 69620 MYRINGOPLASTY (SURGERY CONFINED TO DRUMHEAD AND DONOR AREA) $589.16
sur 69631 TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR $753.41
sur 69632 TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR $921.16
sur 69633 TYMPANOPLASTY WITHOUT MASTOIDECTOMY (INCLUDING CANALPLASTY, ATTICOTOMY AND/OR $888.88
sur 69635 TYMPANOPLASTY WITH ANTROTOMY OR MASTOIDOTOMY (INCLUDING CANALPLASTY, $1,043.63
sur 69636 TYMPANOPLASTY WITH ANTROTOMY OR MASTOIDOTOMY (INCLUDING CANALPLASTY, $1,179.64
sur 69637 TYMPANOPLASTY WITH ANTROTOMY OR MASTOIDOTOMY (INCLUDING CANALPLASTY, $1,176.09
sur 69641 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, $889.87
sur 69642 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, $1,145.33
sur 69643 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, $1,046.70
sur 69644 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, $1,266.00
sur 69645 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, $1,242.61
sur 69646 TYMPANOPLASTY WITH MASTOIDECTOMY (INCLUDING CANALPLASTY, MIDDLE EAR SURGERY, $1,318.45
sur 69650 STAPES MOBILIZATION $682.59
sur 69660 STAPEDECTOMY OR STAPEDOTOMY WITH REESTABLISHMENT OF OSSICULAR CONTINUITY, WITH $794.26
sur 69661 STAPEDECTOMY OR STAPEDOTOMY WITH REESTABLISHMENT OF OSSICULAR CONTINUITY, WITH $1,035.69
sur 69662 REVISION OF STAPEDECTOMY OR STAPEDOTOMY $991.98
sur 69666 REPAIR OVAL WINDOW FISTULA $690.02
sur 69667 REPAIR ROUND WINDOW FISTULA $691.17
sur 69670 MASTOID OBLITERATION (SEPARATE PROCEDURE) $806.23
sur 69676 TYMPANIC NEURECTOMY $710.64
sur 69700 CLOSURE POSTAURICULAR FISTULA, MASTOID (SEPARATE PROCEDURE) $589.38
sur 69710 IMPLANTATION OR REPLACEMENT OF ELECTROMAGNETIC BONE CONDUCTION HEARING DEVICE BR
sur 69711 REMOVAL OR REPAIR OF ELECTROMAGNETIC BONE CONDUCTION HEARING DEVICE IN TEMPORAL $739.51
sur 69714 IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS $922.34
sur 69715 IMPLANTATION, OSSEOINTEGRATED IMPLANT, TEMPORAL BONE, WITH PERCUTANEOUS $1,142.94
sur 69717 REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, $975.33
sur 69718 REPLACEMENT (INCLUDING REMOVAL OF EXISTING DEVICE), OSSEOINTEGRATED IMPLANT, $1,155.61
sur 69720 DECOMPRESSION FACIAL NERVE, INTRATEMPORAL; LATERAL TO GENICULATE GANGLION $1,004.94
sur 69725 DECOMPRESSION FACIAL NERVE, INTRATEMPORAL; INCLUDING MEDIAL TO GENICULATE $1,617.18
sur 69740 SUTURE FACIAL NERVE, INTRATEMPORAL, WITH OR WITHOUT GRAFT OR DECOMPRESSION; $1,003.32
sur 69745 SUTURE FACIAL NERVE, INTRATEMPORAL, WITH OR WITHOUT GRAFT OR DECOMPRESSION; $1,069.39
sur 69799 UNLISTED PROCEDURE, MIDDLE EAR BR
sur 69801 LABYRINTHOTOMY, WITH PERFUSION OF VESTIBULOACTIVE DRUG(S); TRANSCANAL $170.69
sur 69802 LABYRINTHOTOMY, WITH PERFUSION OF VESTIBULOACTIVE DRUG(S); WITH MASTOIDECTOMY $891.23
sur 69805 ENDOLYMPHATIC SAC OPERATION; WITHOUT SHUNT $904.36
sur 69806 ENDOLYMPHATIC SAC OPERATION; WITH SHUNT $810.45
sur 69820 FENESTRATION SEMICIRCULAR CANAL $735.73
sur 69840 REVISION FENESTRATION OPERATION $714.05
sur 69905 LABYRINTHECTOMY; TRANSCANAL $786.61
sur 69910 LABYRINTHECTOMY; WITH MASTOIDECTOMY $874.91
sur 69915 VESTIBULAR NERVE SECTION, TRANSLABYRINTHINE APPROACH $1,323.66
sur 69930 COCHLEAR DEVICE IMPLANTATION, WITH OR WITHOUT MASTOIDECTOMY $1,056.67
sur 69949 UNLISTED PROCEDURE, INNER EAR BR
sur 69950 VESTIBULAR NERVE SECTION, TRANSCRANIAL APPROACH $1,616.89
sur 69955 TOTAL FACIAL NERVE DECOMPRESSION AND/OR REPAIR (MAY INCLUDE GRAFT) $1,704.42
sur 69960 DECOMPRESSION INTERNAL AUDITORY CANAL $1,657.99
sur 69970 REMOVAL OF TUMOR, TEMPORAL BONE $1,848.40
sur 69979 UNLISTED PROCEDURE, TEMPORAL BONE, MIDDLE FOSSA APPROACH BR
sur 69990 MICROSURGICAL TECHNIQUES, REQUIRING USE OF OPERATING MICROSCOPE (LIST SEPARATELY $185.03
sur G0104 COLORECTAL CANCER SCREENING; FLEXIBLE SIGMOIDOSCOPY $116.25
sur G0105 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL AT HIGH RISK $334.46
sur G0106 COLORECTAL CANCER SCREENING; ALTERNATIVE TO G0104, SCREENING SIGMOIDOSCOPY, $179.79
sur G0121 COLORECTAL CANCER SCREENING; COLONOSCOPY ON INDIVIDUAL NOT MEETING CRITERIA FOR $334.46
sur G0127 TRIMMING OF DYSTROPHIC NAILS, ANY NUMBER $18.12
sur G0168 WOUND CLOSURE UTILIZING TISSUE ADHESIVE(S) ONLY $72.95
sur G0186 DESTRUCTION OF LOCALIZED LESION OF CHOROID (FOR EXAMPLE, CHOROIDAL $836.52
sur G0259 INJECTION PROCEDURE FOR SACROILIAC JOINT; ARTHROGRAPY BR
sur G0260 INJECTION PROCEDURE FOR SACROILIAC JOINT; PROVISION OF ANESTHETIC, STEROID BR
sur G0268 REMOVAL OF IMPACTED CERUMEN (ONE OR BOTH EARS) BY PHYSICIAN ON SAME DATE OF $43.22
sur G0289 ARTHROSCOPY, KNEE, SURGICAL, FOR REMOVAL OF LOOSE BODY, FOREIGN BODY, $75.22
sur G0293 NONCOVERED SURGICAL PROCEDURE(S) USING CONSCIOUS SEDATION, REGIONAL, GENERAL OR BR
sur G0294 NONCOVERED PROCEDURE(S) USING EITHER NO ANESTHESIA OR LOCAL ANESTHESIA ONLY, IN BR
sur G0302 PRE-OPERATIVE PULMONARY SURGERY SERVICES FOR PREPARATION FOR LVRS, COMPLETE BR
sur G0303 PRE-OPERATIVE PULMONARY SURGERY SERVICES FOR PREPARATION FOR LVRS, 10 TO 15 BR
sur G0304 PRE-OPERATIVE PULMONARY SURGERY SERVICES FOR PREPARATION FOR LVRS, 1 TO 9 DAYS BR
sur G0305 POST-DISCHARGE PULMONARY SURGERY SERVICES AFTER LVRS, MINIMUM OF 6 DAYS OF BR
sur G0329 ELECTROMAGNETIC THERAPY, TO ONE OR MORE AREAS FOR CHRONIC STAGE III AND STAGE $7.75
sur G0364 BONE MARROW ASPIRATION PERFORMED WITH BONE MARROW BIOPSY THROUGH THE SAME $10.37
sur S0199 MEDICALLY INDUCED ABORTION BY ORAL INGESTION OF MEDICATION INCLUDING ALL $184.34
sur S2083 ADJUSTMENT OF GASTRIC BAND DIAMETER VIA SUBCUTANEOUS PORT BY INJECTION OR BR
FAC RATE EFF. DATE
$491.36 10/01/2011
$223.75 10/01/2011
BR 01/01/2009
BR 01/01/2009
BR 01/01/2011
BR 01/01/2011
$419.74 10/01/2011
BR 07/01/2005
BR 07/01/2005
BR 07/01/2005
BR 01/01/2007
BR 01/01/2007
BR 01/01/2007
BR 01/01/2007
BR 01/01/2007
BR 01/01/2007
$569.98 10/01/2011
BR 01/01/2008
$581.60 10/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
BR 01/01/2011
$59.50 10/01/2011
$55.65 10/01/2011
$78.02 10/01/2011
$134.71 10/01/2011
$82.73 10/01/2011
$141.31 10/01/2011
$76.51 10/01/2011
$154.12 10/01/2011
$98.09 10/01/2011
$79.67 10/01/2011
$148.02 10/01/2011
$25.12 10/01/2011
$12.70 10/01/2011
$494.94 10/01/2011
$662.37 10/01/2011
$603.77 10/01/2011
$232.74 10/01/2011
$236.07 10/01/2011
$253.47 10/01/2011
$362.37 10/01/2011
$40.02 10/01/2011
$103.48 10/01/2011
$179.59 10/01/2011
$15.21 10/01/2011
$32.20 10/01/2011
$56.03 10/01/2011
$17.35 10/01/2011
$24.58 10/01/2011
$31.81 10/01/2011
$42.02 10/01/2011
$21.30 10/01/2011
$59.50 10/01/2011
$14.11 10/01/2011
$25.33 10/01/2011
$43.18 10/01/2011
$53.82 10/01/2011
$63.29 10/01/2011
$28.60 10/01/2011
$46.40 10/01/2011
$55.59 10/01/2011
$64.31 10/01/2011
$36.83 10/01/2011
$53.82 10/01/2011
$62.41 10/01/2011
$83.41 10/01/2011
$64.67 10/01/2011
$85.33 10/01/2011
$94.21 10/01/2011
$120.06 10/01/2011
$132.97 10/01/2011
$200.39 10/01/2011
$67.61 10/01/2011
$92.27 10/01/2011
$111.77 10/01/2011
$130.16 10/01/2011
$148.82 10/01/2011
$226.95 10/01/2011
$83.87 10/01/2011
$108.59 10/01/2011
$120.92 10/01/2011
$148.53 10/01/2011
$189.36 10/01/2011
$270.11 10/01/2011
$202.86 10/01/2011
$262.56 10/01/2011
$194.83 10/01/2011
$266.89 10/01/2011
$229.07 10/01/2011
$283.40 10/01/2011
$97.99 10/01/2011
$124.76 10/01/2011
$137.41 10/01/2011
$163.31 10/01/2011
$179.61 10/01/2011
$265.47 10/01/2011
$99.71 10/01/2011
$125.91 10/01/2011
$145.15 10/01/2011
$178.49 10/01/2011
$202.02 10/01/2011
$249.10 10/01/2011
$104.03 10/01/2011
$132.79 10/01/2011
$156.39 10/01/2011
$195.45 10/01/2011
$242.27 10/01/2011
$337.66 10/01/2011
$6.94 10/01/2011
$12.99 10/01/2011
$21.96 10/01/2011
$44.51 10/01/2011
$23.12 10/01/2011
$26.49 10/01/2011
$144.64 10/01/2011
$218.50 10/01/2011
$67.76 10/01/2011
$110.03 10/01/2011
$158.14 10/01/2011
$57.29 10/01/2011
$150.41 10/01/2011
$353.24 10/01/2011
$460.85 10/01/2011
$26.76 10/01/2011
$41.72 10/01/2011
$757.01 10/01/2011
$262.01 10/01/2011
$64.14 10/01/2011
$81.36 10/01/2011
$143.57 10/01/2011
$68.75 10/01/2011
$70.74 10/01/2011
$84.06 10/01/2011
$149.93 10/01/2011
$46.55 10/01/2011
$59.78 10/01/2011
$72.72 10/01/2011
$95.72 10/01/2011
$116.98 10/01/2011
$140.55 10/01/2011
$55.73 10/01/2011
$62.95 10/01/2011
$78.19 10/01/2011
$96.02 10/01/2011
$127.33 10/01/2011
$146.00 10/01/2011
$172.99 10/01/2011
$155.77 10/01/2011
$114.93 10/01/2011
$136.20 10/01/2011
$164.67 10/01/2011
$171.81 10/01/2011
$198.71 10/01/2011
$227.39 10/01/2011
$263.55 10/01/2011
$144.58 10/01/2011
$168.18 10/01/2011
$178.76 10/01/2011
$203.70 10/01/2011
$241.69 10/01/2011
$260.37 10/01/2011
$153.76 10/01/2011
$183.68 10/01/2011
$182.51 10/01/2011
$191.95 10/01/2011
$229.68 10/01/2011
$289.81 10/01/2011
$320.93 10/01/2011
$198.27 10/01/2011
$241.71 10/01/2011
$64.05 10/01/2011
$207.78 10/01/2011
$277.35 10/01/2011
$73.25 10/01/2011
$234.24 10/01/2011
$399.57 10/01/2011
$113.30 10/01/2011
$232.49 10/01/2011
$269.93 10/01/2011
$362.27 10/01/2011
$121.90 10/01/2011
$679.97 10/01/2011
$427.25 10/01/2011
$561.13 10/01/2011
$486.24 10/01/2011
$620.90 10/01/2011
$547.17 10/01/2011
$674.60 10/01/2011
$579.08 10/01/2011
$720.02 10/01/2011
$776.74 10/01/2011
$198.29 10/01/2011
$609.23 10/01/2011
$191.33 10/01/2011
$38.47 10/01/2011
$231.58 10/01/2011
$76.67 10/01/2011
$107.41 10/01/2011
$376.59 10/01/2011
$604.69 10/01/2011
$94.15 10/01/2011
$620.01 10/01/2011
$89.26 10/01/2011
$639.68 10/01/2011
$130.05 10/01/2011
$666.68 10/01/2011
$145.02 10/01/2011
$474.68 10/01/2011
$77.77 10/01/2011
$646.09 10/01/2011
$69.32 10/01/2011
$531.29 10/01/2011
$103.01 10/01/2011
$122.02 10/01/2011
$502.65 10/01/2011
$134.26 10/01/2011
$128.84 10/01/2011
$312.52 10/01/2011
$74.93 10/01/2011
$386.09 10/01/2011
$115.61 10/01/2011
$563.10 10/01/2011
$68.32 10/01/2011
$524.70 10/01/2011
$61.73 10/01/2011
$679.11 10/01/2011
$96.81 10/01/2011
$734.59 10/01/2011
$122.42 10/01/2011
$245.84 10/01/2011
$48.23 10/01/2011
$263.65 10/01/2011
$73.20 10/01/2011
$224.22 10/01/2011
$49.66 10/01/2011
$221.86 10/01/2011
$67.27 10/01/2011
$222.91 10/01/2011
$22.17 10/01/2011
$253.80 10/01/2011
$50.31 10/01/2011
$245.15 10/01/2011
$62.00 10/01/2011
$298.25 10/01/2011
$48.48 10/01/2011
$323.76 10/01/2011
$72.92 10/01/2011
$432.76 10/01/2011
$110.02 10/01/2011
$609.47 10/01/2011
$621.12 10/01/2011
$648.91 10/01/2011
$571.17 10/01/2011
$172.15 10/01/2011
$201.49 10/01/2011
$271.40 10/01/2011
$294.12 10/01/2011
$327.73 10/01/2011
$868.18 10/01/2011
$1,130.23 10/01/2011
$1,140.18 10/01/2011
$981.89 10/01/2011
$1,064.78 10/01/2011
$738.39 10/01/2011
$774.30 10/01/2011
$2,006.05 10/01/2011
$1,986.99 10/01/2011
$1,978.27 10/01/2011
$603.72 10/01/2011
$563.91 10/01/2011
$206.93 10/01/2011
$359.24 10/01/2011
$220.96 10/01/2011
$307.15 10/01/2011
$465.29 10/01/2011
$983.29 10/01/2011
$864.77 10/01/2011
$1,429.91 10/01/2011
$2,145.81 10/01/2011
$826.90 10/01/2011
$292.99 10/01/2011
$33.81 10/01/2011
$38.87 10/01/2011
$39.68 10/01/2011
$92.46 10/01/2011
$503.24 10/01/2011
$648.33 10/01/2011
$563.27 10/01/2011
$697.82 10/01/2011
$775.66 10/01/2011
$918.30 10/01/2011
$748.70 10/01/2011
$876.11 10/01/2011
$580.53 10/01/2011
$752.72 10/01/2011
$748.68 10/01/2011
$831.08 10/01/2011
$1,381.88 10/01/2011
$477.28 10/01/2011
$718.93 10/01/2011
$702.22 10/01/2011
$770.96 10/01/2011
$971.04 10/01/2011
$990.85 10/01/2011
BR 10/01/1982
$38.88 10/01/2011
$47.74 10/01/2011
$97.14 10/01/2011
$110.60 10/01/2011
$172.21 10/01/2011
$69.54 10/01/2011
$46.87 10/01/2011
$3.74 10/01/2011
$113.55 10/01/2011
$234.00 10/01/2011
$301.77 10/01/2011
$443.76 10/01/2011
$57.78 10/01/2011
$71.87 10/01/2011
$30.19 10/01/2011
$57.54 10/01/2011
$78.18 10/01/2011
$99.48 10/01/2011
$110.13 10/01/2011
$117.59 10/01/2011
$136.89 10/01/2011
$84.80 10/01/2011
$95.14 10/01/2011
$109.55 10/01/2011
$123.64 10/01/2011
$151.00 10/01/2011
$180.87 10/01/2011
$77.32 10/01/2011
$106.95 10/01/2011
$123.64 10/01/2011
$154.15 10/01/2011
$182.66 10/01/2011
$244.71 10/01/2011
$327.68 10/01/2011
$174.08 10/01/2011
$294.02 10/01/2011
$161.42 10/01/2011
$45.76 10/01/2011
$40.01 10/01/2011
BR 10/01/1982
$37.44 10/01/2011
$18.45 10/01/2011
$246.17 10/01/2011
$66.38 10/01/2011
$58.27 10/01/2011
$181.63 10/01/2011
$87.65 10/01/2011
$163.61 10/01/2011
$163.80 10/01/2011
$276.83 10/01/2011
$250.70 10/01/2011
$335.94 10/01/2011
$373.51 10/01/2011
$135.42 10/01/2011
$1,012.27 10/01/2011
$1,372.71 10/01/2011
$1,519.62 10/01/2011
$55.40 10/01/2011
$27.15 10/01/2011
$76.21 10/01/2011
$175.40 10/01/2011
$79.23 10/01/2011
$275.65 10/01/2011
$330.15 10/01/2011
$531.05 10/01/2011
$732.42 10/01/2011
$822.23 10/01/2011
$467.62 10/01/2011
$928.91 10/01/2011
$978.52 10/01/2011
$978.86 10/01/2011
$652.66 10/01/2011
$947.41 10/01/2011
$416.68 10/01/2011
$532.40 10/01/2011
$737.19 10/01/2011
$782.42 10/01/2011
$571.41 10/01/2011
$474.75 10/01/2011
$1,250.59 10/01/2011
$1,431.52 10/01/2011
$2,365.19 10/01/2011
$1,166.57 10/01/2011
$1,534.73 10/01/2011
$1,897.32 10/01/2011
$1,751.52 10/01/2011
$580.00 10/01/2011
$664.70 10/01/2011
$653.50 10/01/2011
$115.06 10/01/2011
BR 10/01/1982
$194.86 10/01/2011
$501.75 10/01/2011
$168.97 10/01/2011
$210.96 10/01/2011
$294.05 10/01/2011
$830.33 10/01/2011
$78.86 10/01/2011
$127.82 10/01/2011
$51.29 10/01/2011
$63.45 10/01/2011
$96.17 10/01/2011
$188.54 10/01/2011
$529.48 10/01/2011
$317.87 10/01/2011
$347.45 10/01/2011
$74.89 10/01/2011
$33.19 10/01/2011
$120.11 10/01/2011
$207.91 10/01/2011
$48.04 10/01/2011
$34.59 10/01/2011
$35.74 10/01/2011
$31.14 10/01/2011
$34.90 10/01/2011
$278.89 10/01/2011
$32.85 10/01/2011
$34.56 10/01/2011
$41.98 10/01/2011
$35.14 10/01/2011
$132.66 10/01/2011
$128.05 10/01/2011
$205.77 10/01/2011
$407.29 10/01/2011
$362.40 10/01/2011
$381.92 10/01/2011
$679.33 10/01/2011
$78.10 10/01/2011
$124.06 10/01/2011
$354.97 10/01/2011
$482.17 10/01/2011
$906.43 10/01/2011
$381.35 10/01/2011
$281.39 10/01/2011
$907.36 10/01/2011
$1,412.12 10/01/2011
$1,955.16 10/01/2011
$2,405.27 10/01/2011
$3,517.62 10/01/2011
$1,814.42 10/01/2011
$1,599.43 10/01/2011
$1,830.07 10/01/2011
$1,660.85 10/01/2011
$2,006.84 10/01/2011
$194.92 10/01/2011
$275.58 10/01/2011
$355.76 10/01/2011
$411.56 10/01/2011
$338.88 10/01/2011
$415.18 10/01/2011
$422.96 10/01/2011
$366.12 10/01/2011
BR 01/01/1996
$96.03 10/01/2011
BR 01/01/1996
$144.13 10/01/2011
$157.98 10/01/2011
$76.09 10/01/2011
$2,166.68 10/01/2011
$2,236.65 10/01/2011
$2,177.47 10/01/2011
$2,217.29 10/01/2011
$2,391.31 10/01/2011
$2,388.82 10/01/2011
$1,951.88 10/01/2011
$2,281.17 10/01/2011
$40.47 10/01/2011
$149.09 10/01/2011
$28.51 10/01/2011
$327.78 10/01/2011
BR 10/01/1982
$610.64 10/01/2011
$211.76 10/01/2011
$292.73 10/01/2011
$341.15 10/01/2011
$451.63 10/01/2011
$554.44 10/01/2011
$895.10 10/01/2011
$630.44 10/01/2011
$414.63 10/01/2011
$542.95 10/01/2011
$345.89 10/01/2011
$241.79 10/01/2011
$239.50 10/01/2011
$993.97 10/01/2011
$345.63 10/01/2011
$747.75 10/01/2011
$1,042.15 10/01/2011
$920.02 10/01/2011
$1,100.73 10/01/2011
$940.76 10/01/2011
$1,055.64 10/01/2011
$740.74 10/01/2011
$690.16 10/01/2011
$527.57 10/01/2011
$212.38 10/01/2011
$696.92 10/01/2011
$1,766.74 10/01/2011
$1,170.33 10/01/2011
$1,309.65 10/01/2011
$1,195.36 10/01/2011
$1,114.99 10/01/2011
$1,004.54 10/01/2011
$1,203.88 10/01/2011
$533.47 10/01/2011
$1,292.43 10/01/2011
$1,288.13 10/01/2011
BR 01/01/1991
BR 01/01/1991
$311.09 10/01/2011
$545.59 10/01/2011
$34.97 10/01/2011
$431.44 10/01/2011
$541.20 10/01/2011
$588.79 10/01/2011
$736.14 10/01/2011
$666.37 10/01/2011
$743.95 10/01/2011
$605.91 10/01/2011
$750.00 10/01/2011
$834.86 10/01/2011
$1,160.38 10/01/2011
$1,169.89 10/01/2011
$1,239.19 10/01/2011
$1,266.39 10/01/2011
$1,446.84 10/01/2011
$1,388.18 10/01/2011
$1,390.30 10/01/2011
$1,660.74 10/01/2011
$1,799.72 10/01/2011
$1,838.28 10/01/2011
$2,370.16 10/01/2011
$2,280.88 10/01/2011
$1,513.00 10/01/2011
$2,017.17 10/01/2011
$1,290.18 10/01/2011
$1,408.07 10/01/2011
$602.46 10/01/2011
$1,683.96 10/01/2011
$1,909.52 10/01/2011
$2,102.31 10/01/2011
$1,365.09 10/01/2011
$1,108.37 10/01/2011
$1,183.70 10/01/2011
$1,137.82 10/01/2011
$1,245.08 10/01/2011
$983.06 10/01/2011
$867.30 10/01/2011
$1,027.28 10/01/2011
$709.43 10/01/2011
$556.36 10/01/2011
$710.50 10/01/2011
$756.81 10/01/2011
$657.28 10/01/2011
$484.60 10/01/2011
$929.37 10/01/2011
$852.45 10/01/2011
$1,403.23 10/01/2011
$896.00 10/01/2011
$767.05 10/01/2011
$709.10 10/01/2011
$1,376.27 10/01/2011
$746.02 10/01/2011
$1,058.35 10/01/2011
$1,167.76 10/01/2011
$1,001.92 10/01/2011
$1,124.70 10/01/2011
$1,865.78 10/01/2011
$1,601.25 10/01/2011
$1,355.04 10/01/2011
$1,551.34 10/01/2011
$615.41 10/01/2011
$707.21 10/01/2011
$474.35 10/01/2011
$312.30 10/01/2011
$148.62 10/01/2011
$338.11 10/01/2011
BR 01/01/1991
$23.87 10/01/2011
$127.55 10/01/2011
$115.86 10/01/2011
$398.15 10/01/2011
$481.07 10/01/2011
$620.36 10/01/2011
$547.96 10/01/2011
$247.05 10/01/2011
$630.19 10/01/2011
$679.10 10/01/2011
$658.88 10/01/2011
$973.32 10/01/2011
$1,404.46 10/01/2011
$539.68 10/01/2011
$787.53 10/01/2011
$933.09 10/01/2011
$983.25 10/01/2011
$279.59 10/01/2011
$317.59 10/01/2011
$448.73 10/01/2011
$945.65 10/01/2011
$1,071.73 10/01/2011
$590.55 10/01/2011
$562.84 10/01/2011
$633.42 10/01/2011
$670.24 10/01/2011
$824.71 10/01/2011
$125.99 10/01/2011
$252.81 10/01/2011
$464.81 10/01/2011
$547.97 10/01/2011
$763.43 10/01/2011
$534.43 10/01/2011
$560.52 10/01/2011
$694.18 10/01/2011
$625.72 10/01/2011
$592.61 10/01/2011
$1,429.19 10/01/2011
$1,104.82 10/01/2011
$1,736.20 10/01/2011
$382.03 10/01/2011
$519.85 10/01/2011
$399.11 10/01/2011
$528.59 10/01/2011
$285.62 10/01/2011
$643.03 10/01/2011
$469.41 10/01/2011
$784.91 10/01/2011
$861.65 10/01/2011
$802.71 10/01/2011
$1,020.90 10/01/2011
$27.32 10/01/2011
$478.52 10/01/2011
$787.21 10/01/2011
$592.77 10/01/2011
$483.88 10/01/2011
BR 10/01/1982
$269.23 10/01/2011
$430.58 10/01/2011
$396.11 10/01/2011
$133.40 10/01/2011
$384.01 10/01/2011
$630.55 10/01/2011
$258.56 10/01/2011
$434.13 10/01/2011
$753.24 10/01/2011
$1,172.66 10/01/2011
$473.21 10/01/2011
$972.50 10/01/2011
$560.37 10/01/2011
$684.67 10/01/2011
$443.03 10/01/2011
$464.18 10/01/2011
$1,074.40 10/01/2011
$1,067.66 10/01/2011
$853.20 10/01/2011
$363.13 10/01/2011
$513.93 10/01/2011
$376.04 10/01/2011
$447.69 10/01/2011
$884.21 10/01/2011
BR 01/01/2003
BR 01/01/2003
$600.16 10/01/2011
$85.24 10/01/2011
$220.42 10/01/2011
$438.01 10/01/2011
$113.05 10/01/2011
$477.24 10/01/2011
BR 10/01/1982
$136.18 10/01/2011
$288.10 10/01/2011
$304.69 10/01/2011
$401.11 10/01/2011
$572.30 10/01/2011
$630.57 10/01/2011
$869.22 10/01/2011
$1,221.94 10/01/2011
$783.33 10/01/2011
$771.38 10/01/2011
$728.95 10/01/2011
$713.49 10/01/2011
$688.06 10/01/2011
$122.79 10/01/2011
$896.43 10/01/2011
$883.84 10/01/2011
$831.16 10/01/2011
$119.99 10/01/2011
$1,983.58 10/01/2011
$2,011.59 10/01/2011
$500.97 10/01/2011
$1,482.59 10/01/2011
$1,230.15 10/01/2011
$1,237.88 10/01/2011
$312.83 10/01/2011
$1,348.80 10/01/2011
$1,255.26 10/01/2011
$1,323.77 10/01/2011
$313.54 10/01/2011
$142.64 10/01/2011
$231.59 10/01/2011
$643.12 10/01/2011
$1,364.17 10/01/2011
$1,518.43 10/01/2011
$1,194.31 10/01/2011
$1,239.98 10/01/2011
$1,232.73 10/01/2011
$242.22 10/01/2011
$99.48 10/01/2011
$443.99 10/01/2011
$419.73 10/01/2011
$195.88 10/01/2011
$496.04 10/01/2011
$476.80 10/01/2011
$222.65 10/01/2011
$1,496.40 10/01/2011
$1,411.41 10/01/2011
$311.50 10/01/2011
$1,628.08 10/01/2011
$1,462.38 10/01/2011
$341.16 10/01/2011
$1,068.75 10/01/2011
$1,403.69 10/01/2011
$1,298.49 10/01/2011
$288.62 10/01/2011
$1,317.70 10/01/2011
$1,252.79 10/01/2011
$1,070.34 10/01/2011
$1,049.44 10/01/2011
$1,343.17 10/01/2011
$336.56 10/01/2011
$1,293.38 10/01/2011
$274.33 10/01/2011
$1,137.28 10/01/2011
$1,782.10 10/01/2011
$2,054.63 10/01/2011
$1,547.62 10/01/2011
$1,722.19 10/01/2011
$1,865.52 10/01/2011
$1,844.62 10/01/2011
$2,291.68 10/01/2011
$677.63 10/01/2011
$655.60 10/01/2011
BR 01/01/1996
$656.85 10/01/2011
$697.85 10/01/2011
$843.65 10/01/2011
$631.74 10/01/2011
$655.52 10/01/2011
$747.79 10/01/2011
$309.04 10/01/2011
$1,096.51 10/01/2011
$601.59 10/01/2011
$350.78 10/01/2011
$575.13 10/01/2011
$938.06 10/01/2011
$1,393.44 10/01/2011
$1,416.66 10/01/2011
$1,701.49 10/01/2011
$1,614.08 10/01/2011
$1,597.43 10/01/2011
$1,712.85 10/01/2011
BR 10/01/1982
$444.51 10/01/2011
$561.51 10/01/2011
$289.02 10/01/2011
$377.23 10/01/2011
$877.88 10/01/2011
$1,141.80 10/01/2011
BR 10/01/1982
$303.36 10/01/2011
$573.79 10/01/2011
$213.82 10/01/2011
$178.83 10/01/2011
$569.39 10/01/2011
$600.12 10/01/2011
$475.81 10/01/2011
$141.06 10/01/2011
$286.68 10/01/2011
$357.50 10/01/2011
$592.31 10/01/2011
$241.61 10/01/2011
$451.63 10/01/2011
$973.14 10/01/2011
$1,187.96 10/01/2011
$411.21 10/01/2011
$373.62 10/01/2011
$530.65 10/01/2011
$404.90 10/01/2011
$550.23 10/01/2011
$482.96 10/01/2011
$588.64 10/01/2011
$505.08 10/01/2011
$433.04 10/01/2011
$578.58 10/01/2011
$508.82 10/01/2011
$547.67 10/01/2011
$661.23 10/01/2011
$563.63 10/01/2011
$454.57 10/01/2011
$464.86 10/01/2011
$630.52 10/01/2011
$566.42 10/01/2011
$553.58 10/01/2011
$616.82 10/01/2011
$470.92 10/01/2011
$629.12 10/01/2011
$1,187.87 10/01/2011
$1,390.04 10/01/2011
$1,534.73 10/01/2011
$124.60 10/01/2011
$491.01 10/01/2011
$738.54 10/01/2011
$43.85 10/01/2011
$1,078.44 10/01/2011
$961.22 10/01/2011
$815.95 10/01/2011
$524.10 10/01/2011
$652.96 10/01/2011
$689.70 10/01/2011
$717.59 10/01/2011
$580.01 10/01/2011
$813.97 10/01/2011
$620.27 10/01/2011
$633.19 10/01/2011
$795.88 10/01/2011
$845.62 10/01/2011
$918.43 10/01/2011
$902.64 10/01/2011
$939.13 10/01/2011
$937.92 10/01/2011
$1,019.54 10/01/2011
$1,263.33 10/01/2011
$686.83 10/01/2011
$806.85 10/01/2011
$731.55 10/01/2011
$851.27 10/01/2011
$175.05 10/01/2011
$269.22 10/01/2011
$600.99 10/01/2011
$183.92 10/01/2011
$276.91 10/01/2011
$463.47 10/01/2011
$518.30 10/01/2011
$178.55 10/01/2011
$239.46 10/01/2011
$475.87 10/01/2011
$548.51 10/01/2011
$186.24 10/01/2011
$303.00 10/01/2011
$815.81 10/01/2011
$243.31 10/01/2011
$350.11 10/01/2011
$738.50 10/01/2011
$1,054.88 10/01/2011
$204.86 10/01/2011
$289.28 10/01/2011
$645.19 10/01/2011
$223.73 10/01/2011
$321.79 10/01/2011
$484.44 10/01/2011
$323.17 10/01/2011
$723.59 10/01/2011
$412.72 10/01/2011
$772.10 10/01/2011
$161.60 10/01/2011
$861.56 10/01/2011
$1,065.43 10/01/2011
$1,141.81 10/01/2011
$927.08 10/01/2011
$367.14 10/01/2011
BR 10/01/1982
$180.77 10/01/2011
$131.46 10/01/2011
$417.85 10/01/2011
$395.21 10/01/2011
$593.70 10/01/2011
$141.06 10/01/2011
$337.43 10/01/2011
$348.62 10/01/2011
$594.37 10/01/2011
$271.18 10/01/2011
$440.80 10/01/2011
$842.91 10/01/2011
$1,095.63 10/01/2011
$341.17 10/01/2011
$414.72 10/01/2011
$511.57 10/01/2011
$284.38 10/01/2011
$486.69 10/01/2011
$612.75 10/01/2011
$721.83 10/01/2011
$436.60 10/01/2011
$511.72 10/01/2011
$538.97 10/01/2011
$420.25 10/01/2011
$626.25 10/01/2011
$511.15 10/01/2011
$557.02 10/01/2011
$592.84 10/01/2011
$498.48 10/01/2011
$521.19 10/01/2011
$977.39 10/01/2011
$1,236.08 10/01/2011
$1,051.25 10/01/2011
$712.65 10/01/2011
$504.38 10/01/2011
$413.52 10/01/2011
$114.88 10/01/2011
$303.90 10/01/2011
$58.29 10/01/2011
$332.94 10/01/2011
$627.98 10/01/2011
$482.12 10/01/2011
$395.79 10/01/2011
$650.63 10/01/2011
$598.69 10/01/2011
$672.71 10/01/2011
$507.38 10/01/2011
$510.85 10/01/2011
$616.16 10/01/2011
$651.93 10/01/2011
$585.99 10/01/2011
$916.94 10/01/2011
$582.55 10/01/2011
$918.37 10/01/2011
$369.39 10/01/2011
$434.88 10/01/2011
$547.22 10/01/2011
$753.71 10/01/2011
$846.40 10/01/2011
$890.86 10/01/2011
$1,260.32 10/01/2011
$533.52 10/01/2011
$570.13 10/01/2011
$685.72 10/01/2011
$881.68 10/01/2011
$829.13 10/01/2011
$885.85 10/01/2011
$900.95 10/01/2011
$542.69 10/01/2011
$549.24 10/01/2011
$727.58 10/01/2011
$259.72 10/01/2011
$371.90 10/01/2011
$732.81 10/01/2011
$721.87 10/01/2011
$277.52 10/01/2011
$470.10 10/01/2011
$620.16 10/01/2011
$774.42 10/01/2011
$876.32 10/01/2011
$229.00 10/01/2011
$394.55 10/01/2011
$593.13 10/01/2011
$611.05 10/01/2011
$244.75 10/01/2011
$407.48 10/01/2011
$696.94 10/01/2011
$664.62 10/01/2011
$914.27 10/01/2011
$912.80 10/01/2011
$268.55 10/01/2011
$383.40 10/01/2011
$595.43 10/01/2011
$458.43 10/01/2011
$586.96 10/01/2011
$73.22 10/01/2011
$190.27 10/01/2011
$323.77 10/01/2011
$541.05 10/01/2011
$610.88 10/01/2011
$210.07 10/01/2011
$342.11 10/01/2011
$542.14 10/01/2011
$681.05 10/01/2011
$838.92 10/01/2011
$607.29 10/01/2011
$604.15 10/01/2011
$468.05 10/01/2011
$640.30 10/01/2011
$650.33 10/01/2011
$810.20 10/01/2011
$1,530.00 10/01/2011
BR 10/01/1982
$284.71 10/01/2011
$280.47 10/01/2011
$478.81 10/01/2011
$921.39 10/01/2011
$649.50 10/01/2011
$1,017.50 10/01/2011
$429.25 10/01/2011
$301.30 10/01/2011
$513.41 10/01/2011
$472.03 10/01/2011
$139.32 10/01/2011
$305.95 10/01/2011
$366.47 10/01/2011
$458.10 10/01/2011
$271.78 10/01/2011
$431.42 10/01/2011
$738.68 10/01/2011
$958.15 10/01/2011
$381.38 10/01/2011
$287.24 10/01/2011
$336.97 10/01/2011
$405.93 10/01/2011
$514.83 10/01/2011
$443.06 10/01/2011
$291.33 10/01/2011
$263.73 10/01/2011
$320.04 10/01/2011
$656.96 10/01/2011
$523.71 10/01/2011
$318.39 10/01/2011
$418.96 10/01/2011
$439.72 10/01/2011
$519.09 10/01/2011
$521.12 10/01/2011
$374.91 10/01/2011
$466.89 10/01/2011
$411.20 10/01/2011
$453.96 10/01/2011
$477.14 10/01/2011
$512.80 10/01/2011
$1,188.71 10/01/2011
$409.17 10/01/2011
$521.27 10/01/2011
$360.74 10/01/2011
$361.54 10/01/2011
$63.76 10/01/2011
$356.68 10/01/2011
$438.80 10/01/2011
$600.40 10/01/2011
$334.95 10/01/2011
$549.14 10/01/2011
$546.94 10/01/2011
$650.32 10/01/2011
$434.53 10/01/2011
$488.02 10/01/2011
$584.24 10/01/2011
$563.05 10/01/2011
$495.07 10/01/2011
$403.30 10/01/2011
$460.85 10/01/2011
$573.09 10/01/2011
$540.06 10/01/2011
$539.60 10/01/2011
$626.50 10/01/2011
$672.41 10/01/2011
$764.19 10/01/2011
$820.96 10/01/2011
$706.86 10/01/2011
$702.17 10/01/2011
$744.18 10/01/2011
$589.22 10/01/2011
$667.52 10/01/2011
$572.92 10/01/2011
$790.36 10/01/2011
$866.14 10/01/2011
$781.33 10/01/2011
$670.57 10/01/2011
$862.11 10/01/2011
$878.17 10/01/2011
$999.58 10/01/2011
$654.07 10/01/2011
$701.41 10/01/2011
$897.90 10/01/2011
$850.63 10/01/2011
$1,011.94 10/01/2011
$855.77 10/01/2011
$942.01 10/01/2011
$586.34 10/01/2011
$656.07 10/01/2011
$645.04 10/01/2011
$777.77 10/01/2011
$660.89 10/01/2011
$653.48 10/01/2011
$665.97 10/01/2011
$602.13 10/01/2011
$985.15 10/01/2011
$687.25 10/01/2011
$876.24 10/01/2011
$471.86 10/01/2011
$522.37 10/01/2011
$589.42 10/01/2011
$645.43 10/01/2011
$781.21 10/01/2011
$196.66 10/01/2011
$376.56 10/01/2011
$555.44 10/01/2011
$435.31 10/01/2011
$659.34 10/01/2011
$812.16 10/01/2011
$187.97 10/01/2011
$370.80 10/01/2011
$517.80 10/01/2011
$196.60 10/01/2011
$389.50 10/01/2011
$556.81 10/01/2011
$749.22 10/01/2011
$213.52 10/01/2011
$481.59 10/01/2011
$553.03 10/01/2011
$605.94 10/01/2011
$680.97 10/01/2011
$868.46 10/01/2011
$220.40 10/01/2011
$342.43 10/01/2011
$599.28 10/01/2011
$224.45 10/01/2011
$329.13 10/01/2011
$472.34 10/01/2011
$239.93 10/01/2011
$398.66 10/01/2011
$516.22 10/01/2011
$331.60 10/01/2011
$504.14 10/01/2011
$437.32 10/01/2011
$323.59 10/01/2011
$525.36 10/01/2011
$381.14 10/01/2011
$611.92 10/01/2011
$391.08 10/01/2011
$527.52 10/01/2011
$615.96 10/01/2011
$712.34 10/01/2011
$726.86 10/01/2011
$510.20 10/01/2011
$630.06 10/01/2011
$792.75 10/01/2011
$612.85 10/01/2011
$603.80 10/01/2011
$528.31 10/01/2011
$591.16 10/01/2011
$952.85 10/01/2011
$577.10 10/01/2011
$432.26 10/01/2011
$534.44 10/01/2011
$663.92 10/01/2011
$492.17 10/01/2011
$578.49 10/01/2011
BR 10/01/1982
$111.71 10/01/2011
$152.76 10/01/2011
$357.38 10/01/2011
$346.82 10/01/2011
$408.50 10/01/2011
$443.81 10/01/2011
$703.71 10/01/2011
$475.35 10/01/2011
$255.03 10/01/2011
$386.32 10/01/2011
$250.85 10/01/2011
$219.56 10/01/2011
$251.87 10/01/2011
$264.49 10/01/2011
$319.27 10/01/2011
$271.18 10/01/2011
$275.17 10/01/2011
$263.56 10/01/2011
$358.00 10/01/2011
$469.21 10/01/2011
$285.06 10/01/2011
$436.45 10/01/2011
$609.60 10/01/2011
$917.45 10/01/2011
$496.71 10/01/2011
$690.35 10/01/2011
$235.29 10/01/2011
$380.01 10/01/2011
$458.00 10/01/2011
$418.62 10/01/2011
$424.90 10/01/2011
$271.81 10/01/2011
$335.66 10/01/2011
$364.45 10/01/2011
$449.65 10/01/2011
$373.50 10/01/2011
$501.63 10/01/2011
$365.20 10/01/2011
$465.74 10/01/2011
$414.97 10/01/2011
$410.38 10/01/2011
$365.21 10/01/2011
$827.82 10/01/2011
$648.67 10/01/2011
$498.55 10/01/2011
$286.28 10/01/2011
$268.83 10/01/2011
$587.06 10/01/2011
$670.42 10/01/2011
$895.97 10/01/2011
$716.09 10/01/2011
$764.82 10/01/2011
$632.12 10/01/2011
$732.40 10/01/2011
$699.71 10/01/2011
$688.60 10/01/2011
$803.04 10/01/2011
$465.95 10/01/2011
$565.07 10/01/2011
$577.51 10/01/2011
$692.35 10/01/2011
$472.78 10/01/2011
$586.08 10/01/2011
$447.26 10/01/2011
$621.35 10/01/2011
$408.91 10/01/2011
$437.57 10/01/2011
$529.26 10/01/2011
$511.79 10/01/2011
$512.50 10/01/2011
$792.45 10/01/2011
$476.58 10/01/2011
$610.10 10/01/2011
$332.04 10/01/2011
$330.85 10/01/2011
$322.00 10/01/2011
$505.74 10/01/2011
$493.11 10/01/2011
$482.76 10/01/2011
$479.10 10/01/2011
$514.24 10/01/2011
$512.62 10/01/2011
$620.48 10/01/2011
$697.61 10/01/2011
$668.15 10/01/2011
$750.00 10/01/2011
$655.59 10/01/2011
$726.21 10/01/2011
$657.91 10/01/2011
$707.84 10/01/2011
$713.86 10/01/2011
$948.67 10/01/2011
$683.14 10/01/2011
$517.09 10/01/2011
$588.94 10/01/2011
$519.48 10/01/2011
$490.78 10/01/2011
$577.54 10/01/2011
$681.11 10/01/2011
$692.91 10/01/2011
$537.98 10/01/2011
$538.36 10/01/2011
$444.79 10/01/2011
$517.85 10/01/2011
$338.26 10/01/2011
$570.04 10/01/2011
$543.31 10/01/2011
$659.77 10/01/2011
$562.25 10/01/2011
$574.33 10/01/2011
$813.69 10/01/2011
$631.15 10/01/2011
$1,308.45 10/01/2011
$2,548.56 10/01/2011
$2,502.16 10/01/2011
$2,746.24 10/01/2011
$1,138.90 10/01/2011
$2,396.98 10/01/2011
$480.20 10/01/2011
$783.28 10/01/2011
$1,051.21 10/01/2011
$560.00 10/01/2011
$560.86 10/01/2011
$740.19 10/01/2011
$1,132.59 10/01/2011
$862.53 10/01/2011
$1,053.64 10/01/2011
$359.48 10/01/2011
$491.98 10/01/2011
$618.36 10/01/2011
$216.37 10/01/2011
$236.19 10/01/2011
$369.92 10/01/2011
$393.80 10/01/2011
$469.67 10/01/2011
$268.50 10/01/2011
$315.40 10/01/2011
$394.29 10/01/2011
$516.16 10/01/2011
$242.67 10/01/2011
$336.29 10/01/2011
$412.46 10/01/2011
$474.34 10/01/2011
$517.14 10/01/2011
$239.56 10/01/2011
$307.97 10/01/2011
$361.17 10/01/2011
$467.61 10/01/2011
$144.91 10/01/2011
$247.43 10/01/2011
$387.80 10/01/2011
$487.73 10/01/2011
$171.38 10/01/2011
$271.58 10/01/2011
$605.57 10/01/2011
$144.35 10/01/2011
$221.04 10/01/2011
$343.29 10/01/2011
$405.01 10/01/2011
$201.05 10/01/2011
$278.77 10/01/2011
$364.25 10/01/2011
$441.81 10/01/2011
$648.98 10/01/2011
$601.43 10/01/2011
$652.16 10/01/2011
$607.06 10/01/2011
$675.66 10/01/2011
$571.54 10/01/2011
$656.10 10/01/2011
$462.35 10/01/2011
$88.49 10/01/2011
$597.97 10/01/2011
$197.83 10/01/2011
$591.39 10/01/2011
$527.64 10/01/2011
$534.59 10/01/2011
BR 10/01/1982
$517.09 10/01/2011
$435.94 10/01/2011
$804.44 10/01/2011
$366.00 10/01/2011
$449.71 10/01/2011
$492.45 10/01/2011
$607.60 10/01/2011
$615.67 10/01/2011
$759.94 10/01/2011
$700.93 10/01/2011
$786.77 10/01/2011
$818.86 10/01/2011
$961.00 10/01/2011
$843.62 10/01/2011
$167.53 10/01/2011
$567.87 10/01/2011
$401.11 10/01/2011
$636.48 10/01/2011
$320.16 10/01/2011
$497.00 10/01/2011
$1,105.08 10/01/2011
$313.94 10/01/2011
$473.49 10/01/2011
$569.97 10/01/2011
$788.66 10/01/2011
$1,558.74 10/01/2011
$374.47 10/01/2011
$377.36 10/01/2011
$419.58 10/01/2011
$677.91 10/01/2011
$867.90 10/01/2011
$711.18 10/01/2011
$761.68 10/01/2011
$1,769.97 10/01/2011
$2,026.24 10/01/2011
$2,374.88 10/01/2011
$1,618.34 10/01/2011
$420.89 10/01/2011
$122.67 10/01/2011
$526.16 10/01/2011
$695.44 10/01/2011
$1,347.93 10/01/2011
$59.67 10/01/2011
$69.44 10/01/2011
$60.05 10/01/2011
$562.52 10/01/2011
$555.92 10/01/2011
$688.80 10/01/2011
$724.15 10/01/2011
$807.64 10/01/2011
$734.81 10/01/2011
$1,089.55 10/01/2011
$927.38 10/01/2011
$951.76 10/01/2011
$1,216.75 10/01/2011
$1,420.56 10/01/2011
$1,633.91 10/01/2011
$1,250.67 10/01/2011
$1,301.45 10/01/2011
$751.67 10/01/2011
$1,074.32 10/01/2011
$1,238.85 10/01/2011
$1,314.95 10/01/2011
$1,445.85 10/01/2011
$1,173.40 10/01/2011
$1,023.84 10/01/2011
$1,155.87 10/01/2011
$993.41 10/01/2011
$557.36 10/01/2011
$767.14 10/01/2011
$935.10 10/01/2011
$764.56 10/01/2011
$817.99 10/01/2011
$939.09 10/01/2011
$505.77 10/01/2011
$833.49 10/01/2011
$389.43 10/01/2011
$580.51 10/01/2011
$144.66 10/01/2011
$502.69 10/01/2011
$535.25 10/01/2011
$791.22 10/01/2011
$746.72 10/01/2011
$1,022.86 10/01/2011
$434.80 10/01/2011
$819.47 10/01/2011
$882.01 10/01/2011
$1,407.92 10/01/2011
$1,607.45 10/01/2011
$386.83 10/01/2011
$643.96 10/01/2011
$764.60 10/01/2011
$1,005.45 10/01/2011
$378.22 10/01/2011
$801.13 10/01/2011
$1,034.46 10/01/2011
$1,045.64 10/01/2011
$317.71 10/01/2011
$627.71 10/01/2011
$173.03 10/01/2011
$632.95 10/01/2011
$791.89 10/01/2011
$1,067.47 10/01/2011
$197.74 10/01/2011
$280.06 10/01/2011
$932.50 10/01/2011
$1,307.75 10/01/2011
$324.80 10/01/2011
$483.88 10/01/2011
$353.82 10/01/2011
$438.24 10/01/2011
$1,031.40 10/01/2011
$147.93 10/01/2011
$863.58 10/01/2011
$696.34 10/01/2011
$1,337.95 10/01/2011
$1,400.14 10/01/2011
$1,351.08 10/01/2011
$1,070.70 10/01/2011
BR 10/01/1982
$416.07 10/01/2011
$532.96 10/01/2011
$394.01 10/01/2011
$311.94 10/01/2011
$393.13 10/01/2011
$609.31 10/01/2011
$150.19 10/01/2011
$323.88 10/01/2011
$452.57 10/01/2011
$416.40 10/01/2011
$264.25 10/01/2011
$491.84 10/01/2011
$874.14 10/01/2011
$337.01 10/01/2011
$394.02 10/01/2011
$532.96 10/01/2011
$485.53 10/01/2011
$568.81 10/01/2011
$638.58 10/01/2011
$358.65 10/01/2011
$645.08 10/01/2011
$305.04 10/01/2011
$399.17 10/01/2011
$435.35 10/01/2011
$542.71 10/01/2011
$502.21 10/01/2011
$614.78 10/01/2011
$679.89 10/01/2011
$240.05 10/01/2011
$710.58 10/01/2011
$1,339.92 10/01/2011
$1,644.66 10/01/2011
$44.65 10/01/2011
$337.19 10/01/2011
$492.70 10/01/2011
$667.24 10/01/2011
$526.60 10/01/2011
$693.93 10/01/2011
$369.02 10/01/2011
$478.09 10/01/2011
$590.07 10/01/2011
$420.72 10/01/2011
$541.62 10/01/2011
$735.30 10/01/2011
$512.82 10/01/2011
$763.16 10/01/2011
$577.42 10/01/2011
$534.14 10/01/2011
$564.76 10/01/2011
$653.20 10/01/2011
$809.06 10/01/2011
$1,389.78 10/01/2011
$1,151.54 10/01/2011
$816.57 10/01/2011
$696.60 10/01/2011
$623.69 10/01/2011
$621.10 10/01/2011
$621.96 10/01/2011
$369.30 10/01/2011
$599.26 10/01/2011
$931.00 10/01/2011
$1,041.52 10/01/2011
$618.22 10/01/2011
$671.26 10/01/2011
$551.57 10/01/2011
$703.76 10/01/2011
$655.54 10/01/2011
$676.80 10/01/2011
$727.89 10/01/2011
$683.35 10/01/2011
$1,057.65 10/01/2011
$933.98 10/01/2011
$1,300.57 10/01/2011
$686.23 10/01/2011
$853.25 10/01/2011
$1,087.54 10/01/2011
$790.14 10/01/2011
$811.12 10/01/2011
$1,047.04 10/01/2011
$992.20 10/01/2011
$1,127.75 10/01/2011
$992.48 10/01/2011
$1,067.99 10/01/2011
$513.17 10/01/2011
$612.47 10/01/2011
$729.03 10/01/2011
$560.47 10/01/2011
$1,189.19 10/01/2011
$1,492.91 10/01/2011
$1,011.17 10/01/2011
$950.92 10/01/2011
$437.07 10/01/2011
$471.24 10/01/2011
$522.09 10/01/2011
$567.68 10/01/2011
$396.08 10/01/2011
$413.25 10/01/2011
$655.07 10/01/2011
$672.21 10/01/2011
$1,125.99 10/01/2011
$823.18 10/01/2011
$406.67 10/01/2011
$537.22 10/01/2011
$579.57 10/01/2011
$851.33 10/01/2011
$1,064.04 10/01/2011
$835.25 10/01/2011
$388.23 10/01/2011
$570.23 10/01/2011
$764.34 10/01/2011
$236.71 10/01/2011
$629.99 10/01/2011
$301.60 10/01/2011
$480.42 10/01/2011
$763.80 10/01/2011
$1,002.26 10/01/2011
$361.84 10/01/2011
$685.36 10/01/2011
$378.97 10/01/2011
$520.00 10/01/2011
$751.68 10/01/2011
$899.82 10/01/2011
$1,021.00 10/01/2011
$282.69 10/01/2011
$392.85 10/01/2011
$747.96 10/01/2011
$123.69 10/01/2011
$1,213.82 10/01/2011
$702.71 10/01/2011
$767.79 10/01/2011
$596.70 10/01/2011
$432.28 10/01/2011
$623.38 10/01/2011
$632.08 10/01/2011
BR 10/01/1982
$354.87 10/01/2011
$375.22 10/01/2011
$435.60 10/01/2011
$328.63 10/01/2011
$283.23 10/01/2011
$158.93 10/01/2011
$243.60 10/01/2011
$514.56 10/01/2011
$547.95 10/01/2011
$471.05 10/01/2011
$138.87 10/01/2011
$343.21 10/01/2011
$856.46 10/01/2011
$1,094.67 10/01/2011
$265.82 10/01/2011
$419.88 10/01/2011
$384.31 10/01/2011
$486.18 10/01/2011
$529.81 10/01/2011
$307.76 10/01/2011
$355.09 10/01/2011
$576.18 10/01/2011
$496.94 10/01/2011
$635.44 10/01/2011
$651.81 10/01/2011
$715.67 10/01/2011
$570.28 10/01/2011
$1,414.11 10/01/2011
$1,220.32 10/01/2011
$916.57 10/01/2011
$44.36 10/01/2011
$560.83 10/01/2011
$598.01 10/01/2011
$598.74 10/01/2011
$313.11 10/01/2011
$317.01 10/01/2011
$411.85 10/01/2011
$305.42 10/01/2011
$345.69 10/01/2011
$415.63 10/01/2011
$523.25 10/01/2011
$362.83 10/01/2011
$446.25 10/01/2011
$392.89 10/01/2011
$467.43 10/01/2011
$384.56 10/01/2011
$533.98 10/01/2011
$631.04 10/01/2011
$92.51 10/01/2011
$407.16 10/01/2011
$478.13 10/01/2011
$544.70 10/01/2011
$504.67 10/01/2011
$828.16 10/01/2011
$959.29 10/01/2011
$480.09 10/01/2011
$641.44 10/01/2011
$335.23 10/01/2011
$979.78 10/01/2011
$927.31 10/01/2011
$893.15 10/01/2011
$736.81 10/01/2011
$741.94 10/01/2011
$1,076.39 10/01/2011
$1,020.88 10/01/2011
$803.79 10/01/2011
$844.97 10/01/2011
$486.71 10/01/2011
$355.55 10/01/2011
$496.54 10/01/2011
$533.33 10/01/2011
$596.48 10/01/2011
$632.03 10/01/2011
$256.54 10/01/2011
$411.55 10/01/2011
$477.54 10/01/2011
$746.83 10/01/2011
$841.54 10/01/2011
$245.97 10/01/2011
$364.00 10/01/2011
$509.46 10/01/2011
$223.51 10/01/2011
$351.78 10/01/2011
$600.72 10/01/2011
$222.11 10/01/2011
$322.58 10/01/2011
$594.12 10/01/2011
$230.79 10/01/2011
$318.37 10/01/2011
$594.51 10/01/2011
$241.64 10/01/2011
$355.04 10/01/2011
$648.72 10/01/2011
$229.66 10/01/2011
$360.59 10/01/2011
$709.80 10/01/2011
$807.39 10/01/2011
$245.68 10/01/2011
$413.91 10/01/2011
$698.03 10/01/2011
$912.66 10/01/2011
$1,093.00 10/01/2011
$566.28 10/01/2011
$282.95 10/01/2011
$323.15 10/01/2011
$617.93 10/01/2011
$295.25 10/01/2011
$409.08 10/01/2011
$616.92 10/01/2011
$693.80 10/01/2011
$146.53 10/01/2011
$879.07 10/01/2011
$581.51 10/01/2011
$795.17 10/01/2011
$752.88 10/01/2011
$532.60 10/01/2011
$498.86 10/01/2011
$568.55 10/01/2011
$586.06 10/01/2011
$581.88 10/01/2011
$465.11 10/01/2011
$491.95 10/01/2011
$726.10 10/01/2011
BR 10/01/1982
$144.76 10/01/2011
$319.65 10/01/2011
$457.95 10/01/2011
$503.78 10/01/2011
$249.59 10/01/2011
$177.16 10/01/2011
$250.13 10/01/2011
$302.07 10/01/2011
$273.03 10/01/2011
$256.71 10/01/2011
$301.29 10/01/2011
$288.13 10/01/2011
$378.29 10/01/2011
$225.54 10/01/2011
$297.00 10/01/2011
$631.74 10/01/2011
$788.22 10/01/2011
$247.53 10/01/2011
$235.99 10/01/2011
$206.10 10/01/2011
$322.40 10/01/2011
$300.74 10/01/2011
$347.39 10/01/2011
$298.04 10/01/2011
$288.16 10/01/2011
$301.73 10/01/2011
$303.29 10/01/2011
$255.62 10/01/2011
$260.32 10/01/2011
$229.46 10/01/2011
$341.77 10/01/2011
$470.05 10/01/2011
$348.16 10/01/2011
$292.65 10/01/2011
$373.87 10/01/2011
$306.01 10/01/2011
$242.34 10/01/2011
$243.39 10/01/2011
$284.45 10/01/2011
$267.16 10/01/2011
$359.07 10/01/2011
$701.20 10/01/2011
$481.14 10/01/2011
$347.95 10/01/2011
$304.27 10/01/2011
$442.49 10/01/2011
$420.52 10/01/2011
$279.86 10/01/2011
$210.87 10/01/2011
$581.76 10/01/2011
$381.96 10/01/2011
$241.66 10/01/2011
$222.92 10/01/2011
$229.82 10/01/2011
$713.66 10/01/2011
$645.12 10/01/2011
$406.23 10/01/2011
$112.92 10/01/2011
$268.15 10/01/2011
$315.85 10/01/2011
$266.50 10/01/2011
$362.11 10/01/2011
$259.99 10/01/2011
$346.37 10/01/2011
$256.51 10/01/2011
$302.15 10/01/2011
$214.93 10/01/2011
$264.94 10/01/2011
$241.79 10/01/2011
$209.66 10/01/2011
$224.27 10/01/2011
$416.83 10/01/2011
$248.91 10/01/2011
$339.87 10/01/2011
$438.67 10/01/2011
$651.78 10/01/2011
$952.03 10/01/2011
$593.62 10/01/2011
$282.82 10/01/2011
$215.94 10/01/2011
$302.02 10/01/2011
$271.09 10/01/2011
$256.28 10/01/2011
$364.11 10/01/2011
$465.13 10/01/2011
$335.61 10/01/2011
$505.32 10/01/2011
$600.07 10/01/2011
$445.74 10/01/2011
$443.88 10/01/2011
$503.45 10/01/2011
$429.22 10/01/2011
$576.52 10/01/2011
$559.17 10/01/2011
$583.76 10/01/2011
$502.52 10/01/2011
$556.14 10/01/2011
$343.71 10/01/2011
$393.19 10/01/2011
$314.67 10/01/2011
$754.08 10/01/2011
$300.25 10/01/2011
$268.66 10/01/2011
$309.19 10/01/2011
$273.42 10/01/2011
$520.47 10/01/2011
$487.84 10/01/2011
$358.05 10/01/2011
$424.76 10/01/2011
$250.21 10/01/2011
$322.47 10/01/2011
$878.05 10/01/2011
$184.93 10/01/2011
$297.03 10/01/2011
$438.44 10/01/2011
$947.88 10/01/2011
$1,035.51 10/01/2011
$168.88 10/01/2011
$255.09 10/01/2011
$364.92 10/01/2011
$895.04 10/01/2011
$1,018.04 10/01/2011
$155.99 10/01/2011
$220.21 10/01/2011
$250.73 10/01/2011
$512.41 10/01/2011
$155.65 10/01/2011
$192.14 10/01/2011
$285.25 10/01/2011
$445.05 10/01/2011
$99.69 10/01/2011
$123.64 10/01/2011
$191.36 10/01/2011
$415.86 10/01/2011
$96.00 10/01/2011
$116.46 10/01/2011
$332.02 10/01/2011
$84.57 10/01/2011
$162.16 10/01/2011
$151.36 10/01/2011
$202.29 10/01/2011
$267.39 10/01/2011
$558.56 10/01/2011
$119.26 10/01/2011
$263.97 10/01/2011
$313.65 10/01/2011
$612.22 10/01/2011
$155.43 10/01/2011
$212.92 10/01/2011
$326.05 10/01/2011
$659.91 10/01/2011
$91.52 10/01/2011
$113.42 10/01/2011
$156.46 10/01/2011
$399.51 10/01/2011
$72.44 10/01/2011
$112.24 10/01/2011
$170.75 10/01/2011
$340.82 10/01/2011
$1,097.36 10/01/2011
$820.57 10/01/2011
$669.01 10/01/2011
$709.74 10/01/2011
$670.67 10/01/2011
$577.39 10/01/2011
$531.38 10/01/2011
$507.63 10/01/2011
$278.46 10/01/2011
$491.82 10/01/2011
$476.50 10/01/2011
$643.24 10/01/2011
$375.13 10/01/2011
$293.56 10/01/2011
$343.41 10/01/2011
$191.27 10/01/2011
BR 10/01/1982
$140.87 10/01/2011
$136.34 10/01/2011
$133.90 10/01/2011
$108.91 10/01/2011
$141.48 10/01/2011
$118.81 10/01/2011
$130.05 10/01/2011
$138.33 10/01/2011
$147.22 10/01/2011
$55.09 10/01/2011
$114.21 10/01/2011
$67.23 10/01/2011
$56.56 10/01/2011
$51.39 10/01/2011
$55.17 10/01/2011
$41.41 10/01/2011
$49.14 10/01/2011
$35.91 10/01/2011
$43.71 10/01/2011
$23.89 10/01/2011
$27.90 10/01/2011
$33.18 10/01/2011
$36.07 10/01/2011
$30.84 10/01/2011
$29.40 10/01/2011
$132.03 10/01/2011
$148.67 10/01/2011
$84.67 10/01/2011
$89.86 10/01/2011
$86.94 10/01/2011
$73.76 10/01/2011
$52.91 10/01/2011
$57.00 10/01/2011
$71.47 10/01/2011
$26.77 10/01/2011
$91.23 10/01/2011
$98.01 10/01/2011
$39.95 10/01/2011
$41.13 10/01/2011
$29.99 10/01/2011
$31.13 10/01/2011
$19.87 10/01/2011
$13.52 10/01/2011
$30.22 10/01/2011
$27.09 10/01/2011
$32.65 10/01/2011
$29.02 10/01/2011
$39.67 10/01/2011
$70.60 10/01/2011
$45.78 10/01/2011
$36.77 10/01/2011
$37.97 10/01/2011
$54.34 10/01/2011
$64.85 10/01/2011
BR 10/01/1982
$437.95 10/01/2011
$547.59 10/01/2011
$392.58 10/01/2011
$892.03 10/01/2011
$870.53 10/01/2011
$490.48 10/01/2011
$451.47 10/01/2011
$494.20 10/01/2011
$480.40 10/01/2011
$524.35 10/01/2011
$563.91 10/01/2011
$489.33 10/01/2011
$559.08 10/01/2011
$908.38 10/01/2011
$770.35 10/01/2011
$379.06 10/01/2011
$411.04 10/01/2011
$422.74 10/01/2011
$487.58 10/01/2011
$442.28 10/01/2011
$494.86 10/01/2011
$375.61 10/01/2011
$402.33 10/01/2011
$415.18 10/01/2011
$479.56 10/01/2011
$435.63 10/01/2011
$454.01 10/01/2011
$422.59 10/01/2011
$500.54 10/01/2011
$783.25 10/01/2011
$658.94 10/01/2011
$839.76 10/01/2011
$553.02 10/01/2011
$608.77 10/01/2011
$683.06 10/01/2011
$681.04 10/01/2011
$879.62 10/01/2011
$1,070.86 10/01/2011
$1,411.32 10/01/2011
$342.63 10/01/2011
$428.18 10/01/2011
$433.30 10/01/2011
$450.31 10/01/2011
$413.82 10/01/2011
$548.45 10/01/2011
$519.47 10/01/2011
$554.47 10/01/2011
$578.03 10/01/2011
$540.14 10/01/2011
$584.04 10/01/2011
$705.21 10/01/2011
$518.03 10/01/2011
$627.67 10/01/2011
$529.80 10/01/2011
$623.66 10/01/2011
$832.38 10/01/2011
$1,024.37 10/01/2011
$580.27 10/01/2011
$558.62 10/01/2011
$357.73 10/01/2011
$432.99 10/01/2011
$414.15 10/01/2011
$433.79 10/01/2011
$482.42 10/01/2011
$881.50 10/01/2011
$378.03 10/01/2011
$431.90 10/01/2011
$455.93 10/01/2011
$527.81 10/01/2011
$570.53 10/01/2011
$600.40 10/01/2011
$728.12 10/01/2011
$870.16 10/01/2011
$886.58 10/01/2011
$886.58 10/01/2011
BR 01/01/2002
$100.58 10/01/2011
$100.91 10/01/2011
$58.69 10/01/2011
$110.97 10/01/2011
$362.69 10/01/2011
$283.32 10/01/2011
$650.14 10/01/2011
$375.77 10/01/2011
$230.56 10/01/2011
$516.95 10/01/2011
$318.33 10/01/2011
$366.78 10/01/2011
$659.48 10/01/2011
$661.99 10/01/2011
$50.90 10/01/2011
$84.24 10/01/2011
$106.94 10/01/2011
$104.27 10/01/2011
$172.97 10/01/2011
$381.34 10/01/2011
$864.79 10/01/2011
$1,017.38 10/01/2011
$1,164.02 10/01/2011
$765.02 10/01/2011
$1,018.53 10/01/2011
$1,299.25 10/01/2011
$647.76 10/01/2011
$1,321.18 10/01/2011
$831.58 10/01/2011
$520.87 10/01/2011
$574.67 10/01/2011
$735.08 10/01/2011
$117.20 10/01/2011
$421.44 10/01/2011
$367.68 10/01/2011
$523.07 10/01/2011
$528.57 10/01/2011
$113.47 10/01/2011
$160.09 10/01/2011
$48.65 10/01/2011
$69.07 10/01/2011
$87.76 10/01/2011
$114.87 10/01/2011
$488.81 10/01/2011
$705.46 10/01/2011
$103.73 10/01/2011
BR 10/01/1982
$88.57 10/01/2011
$169.22 10/01/2011
$298.17 10/01/2011
$439.02 10/01/2011
$481.81 10/01/2011
$633.28 10/01/2011
$412.19 10/01/2011
$543.90 10/01/2011
$369.20 10/01/2011
$662.44 10/01/2011
$862.65 10/01/2011
$1,159.48 10/01/2011
$988.67 10/01/2011
$1,124.16 10/01/2011
$948.97 10/01/2011
$922.98 10/01/2011
$857.62 10/01/2011
$460.12 10/01/2011
$619.46 10/01/2011
$740.74 10/01/2011
$1,576.30 10/01/2011
$1,759.47 10/01/2011
$65.64 10/01/2011
$118.26 10/01/2011
$139.33 10/01/2011
$156.30 10/01/2011
$169.85 10/01/2011
$572.34 10/01/2011
$139.01 10/01/2011
$236.91 10/01/2011
$347.23 10/01/2011
$171.30 10/01/2011
$275.24 10/01/2011
$438.19 10/01/2011
$201.22 10/01/2011
$233.72 10/01/2011
$996.75 10/01/2011
$1,056.08 10/01/2011
$858.22 10/01/2011
$935.12 10/01/2011
$1,071.58 10/01/2011
$148.48 10/01/2011
$177.29 10/01/2011
$145.32 10/01/2011
BR 10/01/1982
$1,072.59 10/01/2011
$552.13 10/01/2011
$1,747.36 10/01/2011
$2,170.06 10/01/2011
$1,865.36 10/01/2011
$2,071.77 10/01/2011
$1,752.13 10/01/2011
$1,661.20 10/01/2011
$1,636.16 10/01/2011
$1,795.58 10/01/2011
$2,411.34 10/01/2011
$2,546.22 10/01/2011
$850.03 10/01/2011
$711.60 10/01/2011
$93.37 10/01/2011
$29.98 10/01/2011
$41.71 10/01/2011
$104.15 10/01/2011
$110.19 10/01/2011
$112.52 10/01/2011
$114.25 10/01/2011
$94.39 10/01/2011
$134.70 10/01/2011
$137.87 10/01/2011
$137.00 10/01/2011
$168.70 10/01/2011
$125.48 10/01/2011
$140.48 10/01/2011
$171.85 10/01/2011
$184.83 10/01/2011
$164.93 10/01/2011
$183.95 10/01/2011
$211.29 10/01/2011
$230.86 10/01/2011
$315.84 10/01/2011
$478.53 10/01/2011
$273.52 10/01/2011
$299.15 10/01/2011
$198.84 10/01/2011
$217.64 10/01/2011
$65.35 10/01/2011
$106.80 10/01/2011
$128.64 10/01/2011
$147.98 10/01/2011
$122.00 10/01/2011
$1,032.16 10/01/2011
$1,619.57 10/01/2011
$1,286.82 10/01/2011
$851.79 10/01/2011
$971.47 10/01/2011
$756.31 10/01/2011
$650.53 10/01/2011
BR 10/01/1982
$341.10 10/01/2011
$225.14 10/01/2011
$192.35 10/01/2011
$156.94 10/01/2011
$604.87 10/01/2011
$456.47 10/01/2011
$40.92 10/01/2011
$380.26 10/01/2011
$635.44 10/01/2011
$109.97 10/01/2011
$58.04 10/01/2011
$125.05 10/01/2011
$125.26 10/01/2011
$125.55 10/01/2011
$145.45 10/01/2011
$178.80 10/01/2011
$87.25 10/01/2011
$161.74 10/01/2011
$174.41 10/01/2011
$174.26 10/01/2011
$198.66 10/01/2011
$41.92 10/01/2011
$53.75 10/01/2011
$175.53 10/01/2011
$161.78 10/01/2011
$192.41 10/01/2011
$65.89 10/01/2011
$220.02 10/01/2011
$222.07 10/01/2011
$221.64 10/01/2011
$149.57 10/01/2011
$137.09 10/01/2011
$119.16 10/01/2011
$93.88 10/01/2011
$45.66 10/01/2011
$93.85 10/01/2011
$43.92 10/01/2011
$81.09 10/01/2011
$127.15 10/01/2011
$1,156.09 10/01/2011
$1,461.23 10/01/2011
$1,195.39 10/01/2011
$1,548.56 10/01/2011
$1,159.27 10/01/2011
$1,187.06 10/01/2011
$1,027.96 10/01/2011
$1,226.34 10/01/2011
$929.05 10/01/2011
$1,271.59 10/01/2011
$594.22 10/01/2011
$708.85 10/01/2011
$280.89 10/01/2011
$412.98 10/01/2011
$291.98 10/01/2011
BR 10/01/1982
$620.46 10/01/2011
$670.14 10/01/2011
$546.14 10/01/2011
$831.55 10/01/2011
$1,263.66 10/01/2011
$758.42 10/01/2011
$805.10 10/01/2011
$858.26 10/01/2011
$1,326.58 10/01/2011
$867.43 10/01/2011
$877.44 10/01/2011
$672.36 10/01/2011
$980.52 10/01/2011
$174.00 10/01/2011
$694.28 10/01/2011
$1,384.12 10/01/2011
$865.12 10/01/2011
$795.95 10/01/2011
$1,389.51 10/01/2011
$75.87 10/01/2011
$490.03 10/01/2011
$83.98 10/01/2011
$94.87 10/01/2011
$65.82 10/01/2011
$105.81 10/01/2011
$1,371.70 10/01/2011
$2,409.75 10/01/2011
$3,040.06 10/01/2011
$1,297.66 10/01/2011
$1,387.14 10/01/2011
$1,257.92 10/01/2011
$2,052.00 10/01/2011
$2,081.63 10/01/2011
$1,293.15 10/01/2011
$1,258.06 10/01/2011
$215.87 10/01/2011
$1,581.35 10/01/2011
$1,798.28 10/01/2011
$1,493.79 10/01/2011
$195.23 10/01/2011
$148.15 10/01/2011
$139.87 10/01/2011
$178.04 10/01/2011
$71.56 10/01/2011
$61.53 10/01/2011
$55.45 10/01/2011
$269.76 10/01/2011
$292.18 10/01/2011
$381.00 10/01/2011
$423.14 10/01/2011
$336.25 10/01/2011
$405.40 10/01/2011
$580.58 10/01/2011
$944.42 10/01/2011
$1,434.07 10/01/2011
$910.12 10/01/2011
$1,016.23 10/01/2011
$827.89 10/01/2011
$695.04 10/01/2011
$685.64 10/01/2011
$624.31 10/01/2011
$639.79 10/01/2011
$913.55 10/01/2011
$697.69 10/01/2011
$782.00 10/01/2011
$1,221.79 10/01/2011
$738.38 10/01/2011
$1,056.66 10/01/2011
$814.36 10/01/2011
$782.83 10/01/2011
$2,415.30 10/01/2011
$1,165.51 10/01/2011
BR 01/01/1994
$2,254.09 10/01/2011
$2,494.10 10/01/2011
$2,680.78 10/01/2011
$2,932.83 10/01/2011
$159.13 10/01/2011
$162.52 10/01/2011
$1,203.85 10/01/2011
$1,164.42 10/01/2011
$1,442.16 10/01/2011
$1,073.21 10/01/2011
$89.46 10/01/2011
$304.65 10/01/2011
$254.33 10/01/2011
BR 10/01/1982
$106.79 10/01/2011
$106.71 10/01/2011
$453.85 10/01/2011
$765.35 10/01/2011
$700.50 10/01/2011
$1,128.40 10/01/2011
$1,256.36 10/01/2011
$875.45 10/01/2011
$1,365.63 10/01/2011
$1,215.51 10/01/2011
$1,398.27 10/01/2011
$121.52 10/01/2011
$680.94 10/01/2011
$714.61 10/01/2011
$407.55 10/01/2011
$434.22 10/01/2011
$468.94 10/01/2011
$160.94 10/01/2011
$163.49 10/01/2011
$302.01 10/01/2011
$344.45 10/01/2011
$429.96 10/01/2011
$272.75 10/01/2011
$336.71 10/01/2011
$334.69 10/01/2011
$351.06 10/01/2011
$353.94 10/01/2011
$308.82 10/01/2011
$370.78 10/01/2011
$454.33 10/01/2011
$409.62 10/01/2011
$437.40 10/01/2011
$213.39 10/01/2011
$435.07 10/01/2011
$567.82 10/01/2011
$689.27 10/01/2011
$738.70 10/01/2011
$821.37 10/01/2011
$414.47 10/01/2011
$201.06 10/01/2011
$1,208.14 10/01/2011
$764.56 10/01/2011
$812.55 10/01/2011
$1,296.89 10/01/2011
$1,438.53 10/01/2011
$1,205.49 10/01/2011
$1,462.74 10/01/2011
$1,738.54 10/01/2011
$514.13 10/01/2011
$578.35 10/01/2011
$746.77 10/01/2011
$1,432.35 10/01/2011
$1,191.71 10/01/2011
$1,629.15 10/01/2011
$289.37 10/01/2011
$208.21 10/01/2011
$2,127.75 10/01/2011
$3,578.15 10/01/2011
$1,019.90 10/01/2011
$1,306.82 10/01/2011
$935.15 10/01/2011
$1,045.15 10/01/2011
$1,228.30 10/01/2011
$1,255.87 10/01/2011
$1,232.15 10/01/2011
$1,663.56 10/01/2011
$2,020.88 10/01/2011
$1,266.37 10/01/2011
$1,321.79 10/01/2011
$1,553.40 10/01/2011
$2,031.61 10/01/2011
$2,544.93 10/01/2011
$2,252.56 10/01/2011
$2,965.27 10/01/2011
$2,183.44 10/01/2011
$2,862.87 10/01/2011
$1,919.63 10/01/2011
$1,782.30 10/01/2011
$1,793.11 10/01/2011
$1,475.93 10/01/2011
$1,236.88 10/01/2011
$1,492.54 10/01/2011
$2,395.31 10/01/2011
$2,117.56 10/01/2011
$2,180.04 10/01/2011
$2,479.78 10/01/2011
$2,131.61 10/01/2011
$2,712.67 10/01/2011
$2,155.66 10/01/2011
$2,422.87 10/01/2011
$1,649.18 10/01/2011
$1,109.33 10/01/2011
$1,054.88 10/01/2011
$1,872.75 10/01/2011
$2,066.01 10/01/2011
$1,332.95 10/01/2011
$1,387.94 10/01/2011
$1,474.58 10/01/2011
$1,393.69 10/01/2011
$988.59 10/01/2011
$1,122.69 10/01/2011
$1,173.96 10/01/2011
$1,286.56 10/01/2011
$1,823.36 10/01/2011
$1,912.84 10/01/2011
$1,519.59 10/01/2011
$14.34 10/01/2011
$1,729.81 10/01/2011
$1,895.16 10/01/2011
$2,149.61 10/01/2011
$2,202.84 10/01/2011
$2,331.98 10/01/2011
$2,429.56 10/01/2011
$166.23 10/01/2011
$364.53 10/01/2011
$483.19 10/01/2011
$582.01 10/01/2011
$655.36 10/01/2011
$743.97 10/01/2011
$464.30 10/01/2011
$1,673.61 10/01/2011
$1,963.69 10/01/2011
$2,187.23 10/01/2011
$2,352.45 10/01/2011
$2,312.06 10/01/2011
$2,717.47 10/01/2011
$2,636.66 10/01/2011
$206.60 10/01/2011
$1,500.69 10/01/2011
$1,431.69 10/01/2011
$1,569.65 10/01/2011
$1,585.79 10/01/2011
$1,553.97 10/01/2011
$1,733.41 10/01/2011
$1,742.08 10/01/2011
$1,764.65 10/01/2011
$1,891.37 10/01/2011
$2,402.48 10/01/2011
$1,458.12 10/01/2011
$783.50 10/01/2011
$3,072.44 10/01/2011
$1,444.36 10/01/2011
$1,399.42 10/01/2011
$1,495.96 10/01/2011
$1,642.92 10/01/2011
$1,699.85 10/01/2011
$1,754.58 10/01/2011
$1,745.47 10/01/2011
$1,666.36 10/01/2011
$1,645.96 10/01/2011
$1,622.01 10/01/2011
$1,676.97 10/01/2011
$1,661.77 10/01/2011
$1,072.38 10/01/2011
$1,434.39 10/01/2011
$1,737.42 10/01/2011
$1,844.16 10/01/2011
$1,362.74 10/01/2011
$1,563.98 10/01/2011
$1,357.32 10/01/2011
$1,461.88 10/01/2011
$1,363.67 10/01/2011
$1,860.34 10/01/2011
$1,750.87 10/01/2011
$1,457.57 10/01/2011
$1,136.97 10/01/2011
$1,239.01 10/01/2011
$1,136.00 10/01/2011
$1,206.57 10/01/2011
$1,133.01 10/01/2011
$1,050.97 10/01/2011
$1,140.97 10/01/2011
$1,183.25 10/01/2011
$1,251.29 10/01/2011
$345.54 10/01/2011
$1,863.56 10/01/2011
$1,789.13 10/01/2011
$1,591.35 10/01/2011
$1,523.74 10/01/2011
$1,609.19 10/01/2011
$1,484.60 10/01/2011
$1,933.15 10/01/2011
$1,917.84 10/01/2011
$1,966.80 10/01/2011
$1,901.21 10/01/2011
$2,814.45 10/01/2011
$3,041.78 10/01/2011
$1,823.40 10/01/2011
$1,230.66 10/01/2011
$864.59 10/01/2011
$973.43 10/01/2011
$1,007.51 10/01/2011
$1,129.10 10/01/2011
$1,344.42 10/01/2011
$860.26 10/01/2011
$838.38 10/01/2011
$1,047.14 10/01/2011
$1,110.94 10/01/2011
$1,194.03 10/01/2011
$1,219.57 10/01/2011
$1,229.54 10/01/2011
$1,643.17 10/01/2011
$2,830.68 10/01/2011
$2,791.17 10/01/2011
$2,857.50 10/01/2011
$2,233.50 10/01/2011
$1,760.01 10/01/2011
$3,197.65 10/01/2011
$1,623.85 10/01/2011
$1,396.99 10/01/2011
$1,012.68 10/01/2011
$369.10 10/01/2011
$878.48 10/01/2011
$722.01 10/01/2011
$891.69 10/01/2011
$1,481.64 10/01/2011
$1,198.78 10/01/2011
$1,445.26 10/01/2011
$1,299.12 10/01/2011
$1,606.25 10/01/2011
$1,223.23 10/01/2011
$251.13 10/01/2011
$1,525.61 10/01/2011
$2,229.05 10/01/2011
BR 01/01/1986
BR 01/01/2005
$3,058.06 10/01/2011
BR 01/01/1986
$169.27 10/01/2011
$4,237.80 10/01/2011
$868.04 10/01/2011
$480.56 10/01/2011
$236.89 10/01/2011
$30.41 10/01/2011
$319.65 10/01/2011
$630.36 10/01/2011
$463.87 10/01/2011
$794.66 10/01/2011
$973.06 10/01/2011
$1,079.12 10/01/2011
$1,061.33 10/01/2011
$1,179.10 10/01/2011
$2,127.69 10/01/2011
$3,195.29 10/01/2011
$527.56 10/01/2011
$850.85 10/01/2011
$1,276.28 10/01/2011
BR 10/01/1982
$875.98 10/01/2011
$870.87 10/01/2011
$547.14 10/01/2011
$546.90 10/01/2011
$1,263.80 10/01/2011
$926.66 10/01/2011
$873.88 10/01/2011
$1,322.03 10/01/2011
$665.37 10/01/2011
$1,337.65 10/01/2011
$1,033.45 10/01/2011
$552.94 10/01/2011
$833.77 10/01/2011
$1,360.44 10/01/2011
$997.30 10/01/2011
$919.49 10/01/2011
$862.19 10/01/2011
$1,022.34 10/01/2011
$1,129.85 10/01/2011
$1,167.39 10/01/2011
$1,130.90 10/01/2011
$1,074.95 10/01/2011
$185.32 10/01/2011
$304.50 10/01/2011
$215.04 10/01/2011
$439.10 10/01/2011
$633.73 10/01/2011
$185.93 10/01/2011
$1,634.90 10/01/2011
$1,744.39 10/01/2011
$1,757.85 10/01/2011
$551.86 10/01/2011
$249.41 10/01/2011
$813.71 10/01/2011
$1,021.47 10/01/2011
$1,047.25 10/01/2011
$992.00 10/01/2011
$900.95 10/01/2011
$1,127.47 10/01/2011
$1,069.22 10/01/2011
$1,252.98 10/01/2011
$883.64 10/01/2011
$1,589.42 10/01/2011
$1,982.38 10/01/2011
$1,638.75 10/01/2011
$2,361.83 10/01/2011
$1,716.75 10/01/2011
$2,033.76 10/01/2011
$1,288.20 10/01/2011
$1,581.18 10/01/2011
$1,494.63 10/01/2011
$1,735.08 10/01/2011
$1,265.20 10/01/2011
$1,507.66 10/01/2011
$1,006.02 10/01/2011
$1,205.06 10/01/2011
$1,135.64 10/01/2011
$1,300.39 10/01/2011
$824.31 10/01/2011
$1,532.98 10/01/2011
$915.25 10/01/2011
$737.35 10/01/2011
$1,494.50 10/01/2011
$674.67 10/01/2011
$841.75 10/01/2011
$691.21 10/01/2011
$633.63 10/01/2011
$1,225.14 10/01/2011
$1,782.02 10/01/2011
$1,267.00 10/01/2011
$756.33 10/01/2011
$1,047.06 10/01/2011
$878.50 10/01/2011
$1,289.60 10/01/2011
$1,345.40 10/01/2011
$1,500.78 10/01/2011
$920.39 10/01/2011
$945.56 10/01/2011
$777.59 10/01/2011
$1,230.69 10/01/2011
$1,279.08 10/01/2011
$1,437.83 10/01/2011
$849.21 10/01/2011
$952.35 10/01/2011
$1,015.79 10/01/2011
$1,120.47 10/01/2011
$1,160.35 10/01/2011
$1,117.89 10/01/2011
$428.23 10/01/2011
$1,368.80 10/01/2011
$808.61 10/01/2011
$1,331.07 10/01/2011
$1,244.56 10/01/2011
$1,167.23 10/01/2011
$946.74 10/01/2011
$1,413.60 10/01/2011
$1,562.02 10/01/2011
$747.45 10/01/2011
$893.42 10/01/2011
$144.52 10/01/2011
$135.64 10/01/2011
$464.90 10/01/2011
$323.43 10/01/2011
$441.63 10/01/2011
$281.69 10/01/2011
$482.90 10/01/2011
$328.01 10/01/2011
$433.72 10/01/2011
$275.24 10/01/2011
$290.98 10/01/2011
$1,424.35 10/01/2011
$1,213.82 10/01/2011
$1,281.10 10/01/2011
$1,352.28 10/01/2011
$1,146.22 10/01/2011
$1,120.66 10/01/2011
$1,120.67 10/01/2011
$1,215.57 10/01/2011
$1,117.28 10/01/2011
$1,069.67 10/01/2011
$1,204.08 10/01/2011
$1,112.98 10/01/2011
$1,168.49 10/01/2011
$1,037.93 10/01/2011
$1,495.35 10/01/2011
$1,837.73 10/01/2011
$1,479.53 10/01/2011
$1,611.76 10/01/2011
$1,563.50 10/01/2011
$2,035.87 10/01/2011
$2,282.08 10/01/2011
$2,022.12 10/01/2011
$2,311.20 10/01/2011
$1,075.96 10/01/2011
$1,245.41 10/01/2011
$1,374.53 10/01/2011
$1,271.59 10/01/2011
$1,121.85 10/01/2011
$1,585.88 10/01/2011
$1,224.47 10/01/2011
$1,202.27 10/01/2011
$1,523.76 10/01/2011
$1,250.14 10/01/2011
$1,217.33 10/01/2011
$313.62 10/01/2011
$1,315.20 10/01/2011
$1,529.41 10/01/2011
$1,259.21 10/01/2011
$230.96 10/01/2011
$1,324.66 10/01/2011
$1,072.42 10/01/2011
$820.00 10/01/2011
$1,065.59 10/01/2011
$1,004.28 10/01/2011
$1,288.09 10/01/2011
$1,413.48 10/01/2011
$1,683.89 10/01/2011
$1,530.54 10/01/2011
$1,672.28 10/01/2011
$1,513.10 10/01/2011
$1,562.35 10/01/2011
$1,560.48 10/01/2011
$1,595.06 10/01/2011
$983.39 10/01/2011
$937.33 10/01/2011
$1,564.01 10/01/2011
$1,420.25 10/01/2011
$972.60 10/01/2011
$1,217.38 10/01/2011
$1,252.30 10/01/2011
$986.56 10/01/2011
$990.83 10/01/2011
$1,142.33 10/01/2011
$1,071.77 10/01/2011
$1,158.88 10/01/2011
$1,020.96 10/01/2011
$72.53 10/01/2011
$322.84 10/01/2011
$181.78 10/01/2011
$150.85 10/01/2011
$880.50 10/01/2011
$780.17 10/01/2011
$929.52 10/01/2011
$951.87 10/01/2011
$135.33 10/01/2011
$139.34 10/01/2011
$492.03 10/01/2011
$409.48 10/01/2011
$453.98 10/01/2011
$340.45 10/01/2011
$434.66 10/01/2011
$1,753.41 10/01/2011
$567.16 10/01/2011
$366.43 10/01/2011
$1,220.15 10/01/2011
$540.20 10/01/2011
$859.88 10/01/2011
$844.92 10/01/2011
$935.45 10/01/2011
$1,095.22 10/01/2011
$1,139.35 10/01/2011
$455.59 10/01/2011
$512.12 10/01/2011
$1,559.51 10/01/2011
$1,746.92 10/01/2011
$8.34 10/01/2011
$94.92 10/01/2011
$42.88 10/01/2011
$107.38 10/01/2011
$139.06 10/01/2011
$157.42 10/01/2011
$114.38 10/01/2011
$133.21 10/01/2011
$154.01 10/01/2011
$142.84 10/01/2011
$88.87 10/01/2011
$92.18 10/01/2011
$162.72 10/01/2011
$42.95 10/01/2011
$113.95 10/01/2011
$137.82 10/01/2011
$216.70 10/01/2011
$245.14 10/01/2011
$291.52 10/01/2011
$46.31 10/01/2011
$220.61 10/01/2011
$243.04 10/01/2011
$289.56 10/01/2011
$45.74 10/01/2011
$532.14 10/01/2011
$331.04 10/01/2011
$249.85 10/01/2011
BR 10/01/1982
$14.99 10/01/2011
$13.80 10/01/2011
$8.05 10/01/2011
$8.05 10/01/2011
$2.62 10/01/2011
$3.65 10/01/2011
$40.38 10/01/2011
$33.97 10/01/2011
$29.50 10/01/2011
$48.45 10/01/2011
$97.45 10/01/2011
$102.93 10/01/2011
$306.73 10/01/2011
BR 03/01/1989
BR 03/01/1989
$61.71 10/01/2011
$87.54 10/01/2011
$311.92 10/01/2011
$152.65 10/01/2011
$310.12 10/01/2011
$151.94 10/01/2011
$312.86 10/01/2011
$158.84 10/01/2011
$52.49 10/01/2011
$81.40 10/01/2011
$79.05 10/01/2011
$85.85 10/01/2011
$79.97 10/01/2011
$79.46 10/01/2011
$60.07 10/01/2011
$87.04 10/01/2011
$105.19 10/01/2011
$104.06 10/01/2011
$275.13 10/01/2011
$244.50 10/01/2011
$308.53 10/01/2011
$306.21 10/01/2011
$321.07 10/01/2011
$305.25 10/01/2011
$327.04 10/01/2011
$82.54 10/01/2011
$80.49 10/01/2011
$260.99 10/01/2011
$275.94 10/01/2011
$30.79 10/01/2011
$168.39 10/01/2011
$188.08 10/01/2011
$58.21 10/01/2011
$173.90 10/01/2011
$267.01 10/01/2011
$282.84 10/01/2011
$58.26 10/01/2011
$244.89 10/01/2011
$121.30 10/01/2011
$175.75 10/01/2011
$19.47 10/01/2011
$21.76 04/01/2011
$24.34 10/01/2011
$163.17 10/01/2011
$39.42 10/01/2011
$53.68 10/01/2011
$42.63 10/01/2011
$13.28 10/01/2011
$43.35 10/01/2011
$92.75 10/01/2011
$109.36 10/01/2011
$65.05 10/01/2011
$51.44 10/01/2011
$139.33 10/01/2011
$184.73 10/01/2011
$131.97 10/01/2011
$596.52 10/01/2011
$710.34 10/01/2011
$715.51 10/01/2011
$609.40 10/01/2011
$333.97 10/01/2011
$1,144.52 10/01/2011
$723.29 10/01/2011
$585.58 10/01/2011
$406.65 10/01/2011
$516.81 10/01/2011
$584.16 10/01/2011
$424.19 10/01/2011
$1,036.57 10/01/2011
$92.45 10/01/2011
$132.66 10/01/2011
$265.68 10/01/2011
$1,247.75 10/01/2011
$1,308.88 10/01/2011
$1,153.32 10/01/2011
$1,288.76 10/01/2011
$1,391.24 10/01/2011
$747.28 10/01/2011
$353.21 10/01/2011
$404.39 10/01/2011
$149.67 10/01/2011
$228.31 10/01/2011
$366.46 10/01/2011
$261.90 10/01/2011
$274.58 10/01/2011
$197.97 10/01/2011
$244.49 10/01/2011
$296.70 10/01/2011
$232.07 10/01/2011
$796.77 10/01/2011
$386.88 10/01/2011
$190.64 10/01/2011
$384.00 10/01/2011
$185.55 10/01/2011
$100.46 10/01/2011
$469.68 10/01/2011
$985.23 10/01/2011
$874.37 10/01/2011
$368.57 10/01/2011
$448.70 10/01/2011
$167.36 10/01/2011
$190.09 10/01/2011
$405.95 10/01/2011
$546.69 10/01/2011
$452.17 10/01/2011
$660.33 10/01/2011
$496.01 10/01/2011
$640.19 10/01/2011
$618.18 10/01/2011
$671.89 10/01/2011
$179.40 10/01/2011
$294.72 10/01/2011
$245.79 10/01/2011
$348.86 10/01/2011
$97.26 10/01/2011
$72.58 10/01/2011
$615.08 10/01/2011
BR 01/01/2003
$624.84 10/01/2011
$627.07 10/01/2011
$717.41 10/01/2011
$446.12 10/01/2011
$333.56 10/01/2011
$177.29 10/01/2011
$444.95 10/01/2011
$955.06 10/01/2011
$1,143.75 10/01/2011
$336.71 10/01/2011
$569.35 10/01/2011
$432.78 10/01/2011
$1,093.98 10/01/2011
$222.83 10/01/2011
$385.17 10/01/2011
$428.75 10/01/2011
$556.99 10/01/2011
$567.48 10/01/2011
$495.41 10/01/2011
$402.08 10/01/2011
$492.41 10/01/2011
$229.72 10/01/2011
$230.30 10/01/2011
$1,204.64 10/01/2011
$418.30 10/01/2011
BR 10/01/1982
$954.44 10/01/2011
$961.73 10/01/2011
$220.71 10/01/2011
$1,054.32 10/01/2011
$873.94 10/01/2011
BR 01/01/2000
$127.26 10/01/2011
$86.38 10/01/2011
$67.92 10/01/2011
$68.72 10/01/2011
$40.45 10/01/2011
$25.70 10/01/2011
$10.99 10/01/2011
$71.92 10/01/2011
$65.26 10/01/2011
$42.77 10/01/2011
$10.99 10/01/2011
$36.98 10/01/2011
$42.77 10/01/2011
$52.17 10/01/2011
$64.42 10/01/2011
$289.58 10/01/2011
$106.52 10/01/2011
$106.28 10/01/2011
$81.16 10/01/2011
$154.50 10/01/2011
$386.87 10/01/2011
$375.21 10/01/2011
$483.95 10/01/2011
$696.27 10/01/2011
$569.19 10/01/2011
$210.33 10/01/2011
$61.93 10/01/2011
$354.77 10/01/2011
$390.59 10/01/2011
$358.03 10/01/2011
$457.19 10/01/2011
$439.08 10/01/2011
$413.35 10/01/2011
$841.93 10/01/2011
$587.77 10/01/2011
$589.92 10/01/2011
$456.31 10/01/2011
$692.31 10/01/2011
$798.97 10/01/2011
BR 01/01/2000
$682.44 10/01/2011
$1,139.29 10/01/2011
$1,233.78 10/01/2011
$570.07 10/01/2011
$724.12 10/01/2011
$225.90 10/01/2011
$224.98 10/01/2011
$704.26 10/01/2011
$1,083.39 10/01/2011
$687.94 10/01/2011
$879.55 10/01/2011
$71.21 10/01/2011
$34.19 10/01/2011
$254.18 10/01/2011
$115.92 10/01/2011
BR 10/01/1982
$427.60 10/01/2011
$693.04 10/01/2011
$767.36 10/01/2011
$990.67 10/01/2011
$439.16 10/01/2011
BR 10/01/1982
$715.29 10/01/2011
$5,105.80 10/01/2011
$733.29 10/01/2011
$794.62 10/01/2011
$771.41 10/01/2011
$670.74 10/01/2011
$1,054.05 10/01/2011
BR 10/01/1982
$63.85 10/01/2011
$310.33 10/01/2011
$303.25 10/01/2011
$306.60 10/01/2011
$473.76 10/01/2011
$542.89 10/01/2011
$346.86 10/01/2011
$245.55 10/01/2011
$299.24 10/01/2011
$362.45 10/01/2011
$819.99 10/01/2011
$948.53 10/01/2011
$705.33 10/01/2011
$837.52 10/01/2011
$931.04 10/01/2011
BR 10/01/1982
$109.42 10/01/2011
$187.10 10/01/2011
$110.35 10/01/2011
$191.23 10/01/2011
$26.43 10/01/2011
$91.09 10/01/2011
$108.05 10/01/2011
$166.17 10/01/2011
$257.51 10/01/2011
$269.31 10/01/2011
$229.60 10/01/2011
$197.72 10/01/2011
$146.16 10/01/2011
$135.53 10/01/2011
$189.54 10/01/2011
$547.72 10/01/2011
$535.12 10/01/2011
$700.10 10/01/2011
$989.30 10/01/2011
$1,053.61 10/01/2011
BR 10/01/1982
$94.87 10/01/2011
$108.35 10/01/2011
$222.02 10/01/2011
$211.94 10/01/2011
$226.91 10/01/2011
$246.72 10/01/2011
$93.68 10/01/2011
$288.09 10/01/2011
$294.72 10/01/2011
$295.86 10/01/2011
$340.79 10/01/2011
$399.22 10/01/2011
$93.14 10/01/2011
$95.46 10/01/2011
$77.05 10/01/2011
$112.94 10/01/2011
$214.13 10/01/2011
$236.60 10/01/2011
$543.29 10/01/2011
$127.36 10/01/2011
$187.39 10/01/2011
$897.41 10/01/2011
$1,110.80 10/01/2011
$1,838.92 10/01/2011
$1,873.96 10/01/2011
$2,359.75 10/01/2011
$1,867.89 10/01/2011
$2,030.15 10/01/2011
$2,537.57 10/01/2011
$124.09 10/01/2011
$140.95 10/01/2011
$181.05 10/01/2011
$382.86 10/01/2011
$323.22 10/01/2011
$529.37 10/01/2011
$216.18 10/01/2011
$346.33 10/01/2011
BR 10/01/1982
$116.24 10/01/2011
$141.86 10/01/2011
$222.65 10/01/2011
BR 10/01/1982
BR 10/01/1982
$151.58 10/01/2011
$271.97 10/01/2011
$106.03 10/01/2011
$175.65 10/01/2011
$259.08 10/01/2011
$180.72 10/01/2011
$237.22 10/01/2011
BR 10/01/1982
BR 10/01/1982
$226.94 10/01/2011
$213.98 10/01/2011
BR 10/01/1982
$88.28 10/01/2011
$93.15 10/01/2011
$118.14 10/01/2011
$152.06 10/01/2011
$294.20 10/01/2011
$845.14 10/01/2011
$133.62 10/01/2011
$604.92 10/01/2011
$128.23 10/01/2011
$151.60 10/01/2011
$223.57 10/01/2011
$742.52 10/01/2011
$813.24 10/01/2011
$897.73 10/01/2011
$612.33 10/01/2011
$449.26 10/01/2011
$779.71 10/01/2011
$781.57 10/01/2011
$746.49 10/01/2011
$632.57 10/01/2011
$571.77 10/01/2011
$94.37 10/01/2011
$130.26 10/01/2011
BR 10/01/1982
$131.10 10/01/2011
$369.59 10/01/2011
$107.23 10/01/2011
$151.85 10/01/2011
$141.78 10/01/2011
$221.48 10/01/2011
$289.95 10/01/2011
$48.36 10/01/2011
$193.94 10/01/2011
$282.20 10/01/2011
$191.82 10/01/2011
$534.51 10/01/2011
$957.41 10/01/2011
$1,096.69 10/01/2011
$723.58 10/01/2011
$1,170.28 10/01/2011
$401.63 10/01/2011
$308.51 10/01/2011
$293.82 10/01/2011
$390.07 10/01/2011
$442.18 10/01/2011
$606.23 10/01/2011
$703.19 10/01/2011
$542.38 10/01/2011
$54.27 10/01/2011
$302.60 10/01/2011
$50.61 10/01/2011
$66.75 10/01/2011
$178.56 10/01/2011
BR 10/01/1982
$116.99 10/01/2011
$339.28 10/01/2011
$697.80 10/01/2011
$96.87 10/01/2011
$116.39 10/01/2011
$98.60 10/01/2011
$115.27 10/01/2011
$140.67 10/01/2011
$112.13 10/01/2011
$247.25 10/01/2011
$478.39 10/01/2011
$250.60 10/01/2011
$260.92 10/01/2011
$226.08 10/01/2011
$217.16 10/01/2011
$178.57 10/01/2011
$192.38 10/01/2011
$153.59 10/01/2011
$208.25 10/01/2011
$847.02 10/01/2011
$1,172.74 10/01/2011
$1,906.89 10/01/2011
$162.14 10/01/2011
$495.59 10/01/2011
$1,204.71 10/01/2011
$1,590.00 10/01/2011
$2,016.25 10/01/2011
$293.81 10/01/2011
$680.62 10/01/2011
$827.00 10/01/2011
$641.74 10/01/2011
$145.83 10/01/2011
$362.43 10/01/2011
$447.03 10/01/2011
$339.02 10/01/2011
$394.42 10/01/2011
$441.62 10/01/2011
BR 10/01/1982
$457.25 10/01/2011
$448.59 10/01/2011
$1,128.28 10/01/2011
$537.54 10/01/2011
$872.57 10/01/2011
$2,183.58 10/01/2011
$3,884.38 10/01/2011
$2,316.05 10/01/2011
$3,832.90 10/01/2011
$4,386.22 10/01/2011
$2,124.00 10/01/2011
$3,173.06 10/01/2011
$2,461.30 10/01/2011
$2,161.98 10/01/2011
$3,919.10 10/01/2011
$3,366.23 10/01/2011
$677.55 10/01/2011
$1,283.69 10/01/2011
$90.01 10/01/2011
$111.32 10/01/2011
$99.21 10/01/2011
$191.79 10/01/2011
$193.59 10/01/2011
$133.12 10/01/2011
$123.69 10/01/2011
$147.44 10/01/2011
$147.98 10/01/2011
$109.59 10/01/2011
$122.19 10/01/2011
$181.50 10/01/2011
$192.65 10/01/2011
$164.51 10/01/2011
$226.61 10/01/2011
$104.04 10/01/2011
$125.37 10/01/2011
$151.60 10/01/2011
$203.63 10/01/2011
$253.99 10/01/2011
$147.86 10/01/2011
$342.87 10/01/2011
$134.31 10/01/2011
$366.19 10/01/2011
$231.26 10/01/2011
$255.47 10/01/2011
$162.46 10/01/2011
$217.37 10/01/2011
$173.12 10/01/2011
$162.84 10/01/2011
$150.16 10/01/2011
$163.00 10/01/2011
$188.38 10/01/2011
$244.22 10/01/2011
$220.26 10/01/2011
$275.04 10/01/2011
$230.68 10/01/2011
$262.67 10/01/2011
$299.76 10/01/2011
$315.02 10/01/2011
$370.23 10/01/2011
$365.04 10/01/2011
$444.46 10/01/2011
$498.54 10/01/2011
$368.79 10/01/2011
$375.10 10/01/2011
$410.22 10/01/2011
$369.94 10/01/2011
$370.23 10/01/2011
$110.76 10/01/2011
$1,083.66 10/01/2011
$902.90 10/01/2011
$1,330.10 10/01/2011
$1,494.56 10/01/2011
$138.64 10/01/2011
BR 01/01/2000
$528.86 10/01/2011
$945.01 10/01/2011
$1,295.13 10/01/2011
$1,412.63 10/01/2011
$2,390.14 10/01/2011
$2,450.46 10/01/2011
$1,170.81 10/01/2011
$1,118.33 10/01/2011
$697.43 10/01/2011
$1,022.99 10/01/2011
$1,101.61 10/01/2011
$1,170.13 10/01/2011
$998.98 10/01/2011
$1,084.81 10/01/2011
$1,096.56 10/01/2011
$1,181.55 10/01/2011
$1,293.79 10/01/2011
$1,412.19 10/01/2011
$114.99 10/01/2011
$1,149.33 10/01/2011
$1,261.83 10/01/2011
$1,033.36 10/01/2011
$1,129.13 10/01/2011
$924.19 10/01/2011
$1,962.44 10/01/2011
$2,187.74 10/01/2011
$1,293.92 10/01/2011
$1,275.91 10/01/2011
$1,277.50 10/01/2011
$884.60 10/01/2011
$1,466.87 10/01/2011
$867.31 10/01/2011
$1,284.97 10/01/2011
$77.03 10/01/2011
$83.10 10/01/2011
$133.75 10/01/2011
$156.77 10/01/2011
$191.05 10/01/2011
$761.29 10/01/2011
BR 10/01/1982
$651.86 10/01/2011
$1,117.00 10/01/2011
$1,264.70 10/01/2011
$795.29 10/01/2011
$582.48 10/01/2011
$696.41 10/01/2011
$814.56 10/01/2011
$1,014.29 10/01/2011
$1,642.88 10/01/2011
$1,887.10 10/01/2011
$1,913.71 10/01/2011
$1,207.07 10/01/2011
$1,679.19 10/01/2011
$1,591.09 10/01/2011
$1,759.94 10/01/2011
$94.15 10/01/2011
$977.58 10/01/2011
$991.54 10/01/2011
$1,443.53 10/01/2011
$1,542.96 10/01/2011
BR 01/01/2007
$539.91 10/01/2011
$631.72 10/01/2011
$469.02 10/01/2011
BR 01/01/2000
$35.19 10/01/2011
$17.64 10/01/2011
$26.79 10/01/2011
$49.02 10/01/2011
$44.13 10/01/2011
$63.79 10/01/2011
$42.28 10/01/2011
$89.91 10/01/2011
$926.72 10/01/2011
$1,056.05 10/01/2011
$795.54 10/01/2011
$1,056.05 10/01/2011
$797.86 10/01/2011
$1,097.08 10/01/2011
$772.87 10/01/2011
$841.21 10/01/2011
$1,106.12 10/01/2011
$1,083.63 10/01/2011
$577.38 10/01/2011
$487.94 10/01/2011
$876.71 10/01/2011
$1,121.04 10/01/2011
$974.19 10/01/2011
$1,057.81 10/01/2011
$1,627.15 10/01/2011
$1,356.29 10/01/2011
$1,489.06 10/01/2011
$1,605.63 10/01/2011
$1,348.48 10/01/2011
$1,403.28 10/01/2011
$1,360.38 10/01/2011
$1,419.06 10/01/2011
$588.60 10/01/2011
$1,328.01 10/01/2011
BR 01/01/2007
$293.71 10/01/2011
$266.50 10/01/2011
$376.35 10/01/2011
BR 10/01/1982
$909.41 10/01/2011
$719.03 10/01/2011
$120.79 10/01/2011
$807.46 10/01/2011
$816.02 10/01/2011
$820.44 10/01/2011
$775.64 10/01/2011
$1,243.57 10/01/2011
$98.08 10/01/2011
$704.53 10/01/2011
$818.42 10/01/2011
$1,015.88 10/01/2011
$203.53 10/01/2011
$981.92 10/01/2011
$2,043.98 10/01/2011
$2,367.63 10/01/2011
$204.62 10/01/2011
$1,083.39 10/01/2011
BR 01/01/2001
BR 01/01/2001
BR 01/01/2001
BR 01/01/2001
BR 01/01/2005
$101.94 10/01/2011
$1,115.56 10/01/2011
$1,506.62 10/01/2011
$1,384.11 10/01/2011
$1,467.37 10/01/2011
$1,384.38 10/01/2011
$1,755.18 10/01/2011
$1,605.28 10/01/2011
$1,548.14 10/01/2011
$1,774.74 10/01/2011
$1,723.49 10/01/2011
$1,909.83 10/01/2011
$1,805.72 10/01/2011
$1,848.48 10/01/2011
$1,031.82 10/01/2011
$765.91 10/01/2011
$543.06 10/01/2011
$915.40 10/01/2011
$1,015.30 10/01/2011
$1,154.50 10/01/2011
$203.75 10/01/2011
$1,284.18 10/01/2011
$1,118.03 10/01/2011
$1,464.40 10/01/2011
$1,527.11 10/01/2011
$1,659.49 10/01/2011
$1,494.29 10/01/2011
$1,862.52 10/01/2011
$1,714.01 10/01/2011
$159.12 10/01/2011
$1,393.20 10/01/2011
BR 01/01/2003
$700.07 10/01/2011
$868.48 10/01/2011
$493.48 10/01/2011
$840.02 10/01/2011
$1,170.55 10/01/2011
$997.62 10/01/2011
$814.33 10/01/2011
$511.41 10/01/2011
$873.50 10/01/2011
$981.25 10/01/2011
$136.05 10/01/2011
$149.60 10/01/2011
$178.33 10/01/2011
$191.02 10/01/2011
$170.57 10/01/2011
$224.67 10/01/2011
$229.58 10/01/2011
$247.97 10/01/2011
$220.56 10/01/2011
$177.46 10/01/2011
$262.55 10/01/2011
$277.87 10/01/2011
$356.71 10/01/2011
$378.01 10/01/2011
$58.69 10/01/2011
$71.29 10/01/2011
$145.50 10/01/2011
$90.92 10/01/2011
$108.12 10/01/2011
$142.61 10/01/2011
$159.30 10/01/2011
$192.45 10/01/2011
$216.87 10/01/2011
$188.58 10/01/2011
$239.83 10/01/2011
$220.85 10/01/2011
$237.63 10/01/2011
$21.08 10/01/2011
$1,167.26 10/01/2011
$1,339.26 10/01/2011
$880.27 10/01/2011
$1,088.83 10/01/2011
$896.59 10/01/2011
$719.48 10/01/2011
$848.19 10/01/2011
$1,340.12 10/01/2011
$1,170.30 10/01/2011
$1,211.67 10/01/2011
$1,139.89 10/01/2011
$1,305.25 10/01/2011
$890.81 10/01/2011
$847.22 10/01/2011
$140.74 10/01/2011
BR 01/01/2005
$215.82 10/01/2011
$324.50 10/01/2011
BR 10/01/1982
$631.99 10/01/2011
$697.64 10/01/2011
$619.82 10/01/2011
BR 10/01/1982
$639.85 10/01/2011
$147.10 10/01/2011
$533.40 10/01/2011
$70.62 10/01/2011
$724.73 10/01/2011
$494.97 10/01/2011
BR 01/01/2000
$347.92 10/01/2011
$128.89 10/01/2011
$464.29 10/01/2011
$243.25 10/01/2011
$299.48 10/01/2011
$1,538.71 10/01/2011
$905.48 10/01/2011
$1,574.36 10/01/2011
$1,644.25 10/01/2011
$1,503.11 10/01/2011
$1,306.61 10/01/2011
$1,622.21 10/01/2011
$1,316.31 10/01/2011
$1,437.99 10/01/2011
$924.15 10/01/2011
$2,422.35 10/01/2011
$902.28 10/01/2011
$1,130.96 10/01/2011
$1,505.81 10/01/2011
$327.88 10/01/2011
$835.72 10/01/2011
$507.29 10/01/2011
$692.63 10/01/2011
$565.60 10/01/2011
$43.71 10/01/2011
$75.29 10/01/2011
$65.77 10/01/2011
$84.99 10/01/2011
$72.09 10/01/2011
$78.71 10/01/2011
$91.92 10/01/2011
$97.75 10/01/2011
$91.09 10/01/2011
$90.46 10/01/2011
$107.02 10/01/2011
$53.49 10/01/2011
$64.97 10/01/2011
$94.86 10/01/2011
$94.57 10/01/2011
$141.26 10/01/2011
$79.05 10/01/2011
$122.18 10/01/2011
$121.66 10/01/2011
$160.76 10/01/2011
$99.47 10/01/2011
$135.48 10/01/2011
$206.82 10/01/2011
$150.42 10/01/2011
$174.76 10/01/2011
$186.88 10/01/2011
$233.82 10/01/2011
$224.05 10/01/2011
$212.56 10/01/2011
$285.94 10/01/2011
$289.04 10/01/2011
$233.52 10/01/2011
$265.77 10/01/2011
$229.18 10/01/2011
$297.71 10/01/2011
$255.50 10/01/2011
$328.12 10/01/2011
$1,655.83 10/01/2011
$1,787.31 10/01/2011
$958.58 10/01/2011
$1,275.61 10/01/2011
BR 01/01/2006
$427.18 10/01/2011
$478.18 10/01/2011
$32.80 10/01/2011
$878.61 10/01/2011
$765.17 10/01/2011
$1,215.56 10/01/2011
$588.03 10/01/2011
$925.58 10/01/2011
$1,355.55 10/01/2011
$1,011.53 10/01/2011
$1,202.92 10/01/2011
$981.24 10/01/2011
$1,209.30 10/01/2011
$165.68 10/01/2011
$139.02 10/01/2011
$162.62 10/01/2011
$184.77 10/01/2011
$89.95 10/01/2011
BR 10/01/1982
$188.65 10/01/2011
$73.80 10/01/2011
$334.93 10/01/2011
$349.26 10/01/2011
$78.93 10/01/2011
$382.73 10/01/2011
$186.38 10/01/2011
$131.78 10/01/2011
$88.20 10/01/2011
$258.11 10/01/2011
$97.04 10/01/2011
$154.21 10/01/2011
$142.17 10/01/2011
$255.18 10/01/2011
$287.65 10/01/2011
$340.51 10/01/2011
$378.92 10/01/2011
$384.44 10/01/2011
$429.98 10/01/2011
$448.87 10/01/2011
$313.93 10/01/2011
$332.52 10/01/2011
$377.39 10/01/2011
$329.79 10/01/2011
$443.03 10/01/2011
$90.75 10/01/2011
$105.13 10/01/2011
$195.23 10/01/2011
$32.77 10/01/2011
$54.92 10/01/2011
$63.46 10/01/2011
$67.21 10/01/2011
$67.49 10/01/2011
$68.37 10/01/2011
$79.48 10/01/2011
$54.65 10/01/2011
$79.24 10/01/2011
$531.37 10/01/2011
$402.07 10/01/2011
$137.89 10/01/2011
$396.49 10/01/2011
$905.95 10/01/2011
$1,702.01 10/01/2011
$403.58 10/01/2011
$958.38 10/01/2011
$1,479.33 10/01/2011
$1,715.37 10/01/2011
$1,759.48 10/01/2011
$2,053.87 10/01/2011
$2,815.10 10/01/2011
$2,992.24 10/01/2011
$3,180.57 10/01/2011
$631.27 10/01/2011
$510.33 10/01/2011
$479.30 10/01/2011
$185.18 10/01/2011
$893.34 10/01/2011
$770.60 10/01/2011
$758.38 10/01/2011
$114.09 10/01/2011
$110.29 10/01/2011
$121.32 10/01/2011
$110.59 10/01/2011
$110.84 10/01/2011
$152.63 10/01/2011
$124.92 10/01/2011
$121.05 10/01/2011
$108.38 10/01/2011
$180.28 10/01/2011
$183.51 10/01/2011
$312.02 10/01/2011
BR 10/01/1982
$83.92 10/01/2011
$86.99 10/01/2011
$995.01 10/01/2011
$161.01 10/01/2011
$957.38 10/01/2011
$695.52 10/01/2011
$1,934.42 10/01/2011
$2,859.49 10/01/2011
$2,560.35 10/01/2011
$2,748.68 10/01/2011
BR 01/01/1986
$4,073.52 10/01/2011
$3,458.68 10/01/2011
$2,956.81 10/01/2011
$3,237.06 10/01/2011
$3,903.96 10/01/2011
$169.27 10/01/2011
BR 01/01/2005
BR 01/01/2005
$276.89 10/01/2011
$322.82 10/01/2011
$936.76 10/01/2011
$1,137.46 10/01/2011
$1,555.32 10/01/2011
$2,515.02 10/01/2011
$1,192.50 10/01/2011
$1,029.86 10/01/2011
$1,049.75 10/01/2011
BR 01/01/2001
$1,200.16 10/01/2011
$1,197.00 10/01/2011
$687.67 10/01/2011
BR 10/01/1982
$1,789.18 10/01/2011
$1,112.93 10/01/2011
$1,129.51 10/01/2011
$1,059.78 10/01/2011
$717.06 10/01/2011
$309.51 10/01/2011
$85.67 10/01/2011
$32.90 10/01/2011
$411.26 10/01/2011
$509.02 10/01/2011
$83.58 10/01/2011
$309.52 10/01/2011
$139.47 10/01/2011
$276.23 10/01/2011
$276.66 10/01/2011
$422.64 10/01/2011
$328.67 10/01/2011
$372.54 10/01/2011
$226.08 10/01/2011
$246.75 10/01/2011
$617.72 10/01/2011
$626.01 10/01/2011
$717.81 10/01/2011
$642.08 10/01/2011
BR 01/01/2000
$892.87 10/01/2011
$813.65 10/01/2011
$1,041.19 10/01/2011
$1,052.41 10/01/2011
$1,143.56 10/01/2011
$476.56 10/01/2011
$869.83 10/01/2011
$1,462.62 10/01/2011
$1,294.01 10/01/2011
$1,658.59 10/01/2011
$1,097.08 10/01/2011
$946.51 10/01/2011
$1,118.01 10/01/2011
$1,081.61 10/01/2011
$1,220.18 10/01/2011
$1,861.61 10/01/2011
$2,498.47 10/01/2011
$2,040.91 10/01/2011
$2,676.08 10/01/2011
$1,310.83 10/01/2011
$874.87 10/01/2011
$1,262.05 10/01/2011
$1,130.51 10/01/2011
BR 10/01/1982
$1,543.45 10/01/2011
$1,921.42 10/01/2011
$974.28 10/01/2011
$735.22 10/01/2011
$212.91 10/01/2011
$2,372.33 10/01/2011
$918.41 10/01/2011
$1,297.74 10/01/2011
$1,352.21 10/01/2011
$1,550.68 10/01/2011
$1,030.27 10/01/2011
$2,581.97 10/01/2011
$2,397.38 10/01/2011
$2,578.27 10/01/2011
$2,405.41 10/01/2011
$1,501.62 10/01/2011
BR 10/01/1982
$89.20 10/01/2011
$947.02 10/01/2011
$896.96 10/01/2011
$174.28 10/01/2011
$907.24 10/01/2011
$1,076.50 10/01/2011
$1,110.00 10/01/2011
$1,484.79 10/01/2011
$1,383.21 10/01/2011
BR 01/01/1994
$196.28 10/01/2011
$198.88 10/01/2011
$2,101.07 10/01/2011
$1,044.53 10/01/2011
BR 10/01/1982
$641.13 10/01/2011
$863.79 10/01/2011
$792.32 10/01/2011
$1,322.88 10/01/2011
$146.61 10/01/2011
$831.99 10/01/2011
$174.00 10/01/2011
$922.07 10/01/2011
$160.74 10/01/2011
$623.72 10/01/2011
$59.17 10/01/2011
$57.60 10/01/2011
$75.32 10/01/2011
$998.02 10/01/2011
$1,271.16 10/01/2011
$1,458.61 10/01/2011
$1,838.45 10/01/2011
$806.41 10/01/2011
$482.98 10/01/2011
$654.94 10/01/2011
$272.96 10/01/2011
$288.95 10/01/2011
$310.67 10/01/2011
$537.42 10/01/2011
$328.81 10/01/2011
$351.99 10/01/2011
$159.28 10/01/2011
$111.67 10/01/2011
BR 01/01/2000
$83.26 10/01/2011
$710.86 10/01/2011
$167.96 10/01/2011
$69.76 10/01/2011
$198.81 10/01/2011
$370.39 10/01/2011
$227.63 10/01/2011
$321.14 10/01/2011
$64.38 10/01/2011
$34.04 10/01/2011
$633.03 10/01/2011
$534.50 10/01/2011
$39.49 10/01/2011
$363.76 10/01/2011
$382.71 10/01/2011
$100.78 10/01/2011
$154.88 10/01/2011
$196.52 10/01/2011
$223.34 10/01/2011
$184.91 10/01/2011
$144.57 10/01/2011
$58.32 10/01/2011
$81.31 10/01/2011
$125.23 10/01/2011
$42.11 10/01/2011
$26.85 10/01/2011
$652.10 10/01/2011
$790.10 10/01/2011
$333.64 10/01/2011
$509.10 10/01/2011
$317.58 10/01/2011
$497.46 10/01/2011
$428.38 10/01/2011
$526.76 10/01/2011
$521.91 10/01/2011
$633.84 10/01/2011
$472.58 10/01/2011
$559.20 10/01/2011
$475.42 10/01/2011
$521.02 10/01/2011
$493.79 10/01/2011
$599.08 10/01/2011
$610.63 10/01/2011
$771.27 10/01/2011
$635.83 10/01/2011
$779.55 10/01/2011
$224.98 10/01/2011
$340.81 10/01/2011
$422.91 10/01/2011
$269.64 10/01/2011
$394.73 10/01/2011
$364.68 10/01/2011
$431.23 10/01/2011
$471.96 10/01/2011
$606.79 10/01/2011
$4,151.40 10/01/2011
$941.60 10/01/2011
$569.79 10/01/2011
$464.94 10/01/2011
$351.47 10/01/2011
$457.58 10/01/2011
$611.18 10/01/2011
$765.89 10/01/2011
$702.47 10/01/2011
$845.39 10/01/2011
$705.03 10/01/2011
$1,014.13 10/01/2011
BR 01/01/2000
$675.21 10/01/2011
$1,230.13 10/01/2011
$297.86 10/01/2011
$3,221.87 10/01/2011
BR 10/01/1982
$632.54 10/01/2011
$899.81 10/01/2011
$146.32 10/01/2011
$811.18 10/01/2011
$813.69 10/01/2011
$1,000.05 10/01/2011
$1,053.73 10/01/2011
$1,042.97 10/01/2011
$1,281.50 10/01/2011
$764.58 10/01/2011
$1,122.48 10/01/2011
$846.37 10/01/2011
$829.56 10/01/2011
$881.92 10/01/2011
$907.40 10/01/2011
$983.00 10/01/2011
$125.61 10/01/2011
$628.46 10/01/2011
$909.60 10/01/2011
$1,045.03 10/01/2011
$1,124.07 10/01/2011
$1,141.41 10/01/2011
$1,287.71 10/01/2011
$1,161.59 10/01/2011
$1,072.26 10/01/2011
$835.10 10/01/2011
$794.83 10/01/2011
$643.21 10/01/2011
$1,196.41 10/01/2011
$162.52 10/01/2011
$162.52 10/01/2011
$183.21 10/01/2011
$160.26 10/01/2011
$150.83 10/01/2011
$777.66 10/01/2011
$2,124.40 10/01/2011
$2,392.07 10/01/2011
$992.30 10/01/2011
$1,676.75 10/01/2011
$242.09 10/01/2011
$219.86 10/01/2011
$206.52 10/01/2011
$156.03 10/01/2011
$87.69 10/01/2011
$47.91 10/01/2011
$85.14 10/01/2011
$87.68 10/01/2011
$156.92 10/01/2011
$190.98 10/01/2011
$43.50 10/01/2011
$158.61 10/01/2011
$102.07 10/01/2011
$64.38 10/01/2011
$1,014.07 10/01/2011
$1,223.56 10/01/2011
$1,071.57 10/01/2011
$904.81 10/01/2011
$1,247.13 10/01/2011
$1,209.33 10/01/2011
$996.94 10/01/2011
$807.81 10/01/2011
$1,025.58 10/01/2011
$1,308.13 10/01/2011
$1,096.92 10/01/2011
$1,180.37 10/01/2011
$1,052.93 10/01/2011
$1,350.29 10/01/2011
$1,186.06 10/01/2011
BR 01/01/2000
$259.86 10/01/2011
$277.30 10/01/2011
$300.82 10/01/2011
$305.15 10/01/2011
$348.67 10/01/2011
$513.30 10/01/2011
$433.85 10/01/2011
$470.14 10/01/2011
$499.85 10/01/2011
$631.12 10/01/2011
$498.15 10/01/2011
$535.34 10/01/2011
$495.49 10/01/2011
$316.99 10/01/2011
$412.26 10/01/2011
$820.94 10/01/2011
$831.63 10/01/2011
$829.30 10/01/2011
$793.21 10/01/2011
$777.38 10/01/2011
$907.83 10/01/2011
$1,000.62 10/01/2011
$43.50 10/01/2011
$81.68 10/01/2011
$69.72 10/01/2011
$60.83 10/01/2011
$809.32 10/01/2011
$1,004.74 10/01/2011
$891.56 10/01/2011
$983.47 10/01/2011
$441.68 10/01/2011
$605.96 10/01/2011
$1,020.46 10/01/2011
$1,014.45 10/01/2011
$976.77 10/01/2011
$995.25 10/01/2011
$964.27 10/01/2011
$994.96 10/01/2011
$998.51 10/01/2011
$1,060.66 10/01/2011
$809.80 10/01/2011
$1,134.10 10/01/2011
$1,070.60 10/01/2011
$1,149.87 10/01/2011
$1,451.82 10/01/2011
$1,571.17 10/01/2011
$1,078.07 10/01/2011
$1,094.15 10/01/2011
$826.36 10/01/2011
$736.32 10/01/2011
$772.37 10/01/2011
$1,009.33 10/01/2011
$774.42 10/01/2011
$853.84 10/01/2011
$1,209.48 10/01/2011
$1,122.38 10/01/2011
BR 01/01/2001
$270.82 10/01/2011
$299.29 10/01/2011
$322.39 10/01/2011
$312.37 10/01/2011
$280.32 10/01/2011
$327.10 10/01/2011
$315.82 10/01/2011
$417.67 10/01/2011
$411.32 10/01/2011
$314.41 10/01/2011
$410.56 10/01/2011
$406.96 10/01/2011
$254.36 10/01/2011
$423.52 10/01/2011
$414.14 10/01/2011
$509.84 10/01/2011
$506.70 10/01/2011
$356.46 10/01/2011
$34.32 10/01/2011
$45.82 10/01/2011
$129.13 10/01/2011
$567.50 10/01/2011
$515.97 10/01/2011
$754.07 10/01/2011
$685.71 10/01/2011
$677.58 10/01/2011
$842.35 10/01/2011
$1,109.13 10/01/2011
$1,130.66 10/01/2011
$1,293.38 10/01/2011
$1,599.62 10/01/2011
$1,666.22 10/01/2011
$1,855.48 10/01/2011
$1,696.32 10/01/2011
$1,923.98 10/01/2011
$2,067.38 10/01/2011
$2,009.28 10/01/2011
$38.67 10/01/2011
$33.45 10/01/2011
$55.62 10/01/2011
$38.96 10/01/2011
$23.93 10/01/2011
$26.22 10/01/2011
$71.51 10/01/2011
$59.06 10/01/2011
$83.28 10/01/2011
$174.70 10/01/2011
$71.24 10/01/2011
$178.43 10/01/2011
$260.40 10/01/2011
$259.05 10/01/2011
$256.55 10/01/2011
$280.99 10/01/2011
$29.85 10/01/2011
$36.44 10/01/2011
$174.14 10/01/2011
$191.34 10/01/2011
$196.90 10/01/2011
$114.33 10/01/2011
$16.60 10/01/2011
$916.05 10/01/2011
$933.43 10/01/2011
$572.24 10/01/2011
$681.01 10/01/2011
$514.94 10/01/2011
$644.07 10/01/2011
$780.48 10/01/2011
$408.78 10/01/2011
$717.59 10/01/2011
$659.65 10/01/2011
$913.87 10/01/2011
$1,416.67 10/01/2011
$1,219.31 10/01/2011
$623.27 10/01/2011
$655.50 10/01/2011
$733.25 10/01/2011
BR 01/01/2006
$110.39 10/01/2011
$252.92 10/01/2011
$117.03 10/01/2011
$145.88 10/01/2011
$143.30 10/01/2011
$124.26 10/01/2011
$183.37 10/01/2011
$149.07 10/01/2011
$216.88 10/01/2011
$254.36 10/01/2011
$444.45 10/01/2011
$213.93 10/01/2011
$184.83 10/01/2011
$142.59 10/01/2011
$160.31 10/01/2011
$219.19 10/01/2011
$234.16 10/01/2011
$286.67 10/01/2011
$128.83 10/01/2011
$296.71 10/01/2011
$177.33 10/01/2011
$172.10 10/01/2011
$215.43 10/01/2011
$249.64 10/01/2011
$258.11 10/01/2011
$245.71 10/01/2011
$133.76 10/01/2011
$241.69 10/01/2011
$306.61 10/01/2011
$417.68 10/01/2011
$217.18 10/01/2011
$282.64 10/01/2011
$231.32 10/01/2011
$232.45 10/01/2011
$128.85 10/01/2011
$226.35 10/01/2011
$255.48 10/01/2011
$277.71 10/01/2011
$309.13 10/01/2011
$335.37 10/01/2011
$357.60 10/01/2011
$403.73 10/01/2011
$276.56 10/01/2011
$324.98 10/01/2011
$373.19 10/01/2011
$345.47 10/01/2011
$411.52 10/01/2011
$422.11 10/01/2011
$235.42 10/01/2011
$411.52 10/01/2011
$427.98 10/01/2011
$733.49 10/01/2011
$389.14 10/01/2011
$260.50 10/01/2011
$567.01 10/01/2011
$605.05 10/01/2011
$848.49 10/01/2011
$383.07 10/01/2011
$130.47 10/01/2011
$257.81 10/01/2011
$85.33 10/01/2011
$58.02 10/01/2011
$343.51 10/01/2011
$142.84 10/01/2011
$374.87 10/01/2011
$559.91 10/01/2011
$123.66 10/01/2011
$676.65 10/01/2011
$815.69 10/01/2011
$396.87 10/01/2011
$532.34 10/01/2011
$556.90 10/01/2011
$373.78 10/01/2011
$375.15 10/01/2011
$156.38 10/01/2011
$162.49 10/01/2011
$166.96 10/01/2011
$231.16 10/01/2011
$703.01 10/01/2011
$768.33 10/01/2011
$860.06 10/01/2011
$991.56 10/01/2011
$719.74 10/01/2011
$824.93 10/01/2011
$842.50 10/01/2011
$1,012.14 10/01/2011
$773.71 10/01/2011
$683.43 10/01/2011
$697.12 10/01/2011
$771.94 10/01/2011
$565.17 10/01/2011
$712.01 10/01/2011
$1,124.57 10/01/2011
$537.80 10/01/2011
$358.21 10/01/2011
$401.23 10/01/2011
$655.29 10/01/2011
$424.55 10/01/2011
$426.56 10/01/2011
$554.02 10/01/2011
$696.57 10/01/2011
$487.69 10/01/2011
$55.97 10/01/2011
$46.74 10/01/2011
$56.56 10/01/2011
$76.99 10/01/2011
$63.18 10/01/2011
$36.32 10/01/2011
$35.46 10/01/2011
$33.74 10/01/2011
$498.43 10/01/2011
$545.08 10/01/2011
$70.41 10/01/2011
BR 10/01/1982
$93.92 10/01/2011
$121.57 10/01/2011
$270.59 10/01/2011
$88.86 10/01/2011
$79.14 10/01/2011
$94.27 10/01/2011
$81.49 10/01/2011
$113.43 10/01/2011
$146.45 10/01/2011
$108.20 10/01/2011
$187.87 10/01/2011
$547.13 10/01/2011
$703.76 10/01/2011
$824.92 10/01/2011
$370.87 10/01/2011
$554.56 10/01/2011
$713.70 10/01/2011
$1,048.70 10/01/2011
$1,330.24 10/01/2011
$172.88 10/01/2011
$173.77 10/01/2011
$191.82 10/01/2011
$169.30 10/01/2011
$73.99 10/01/2011
$469.20 10/01/2011
$118.44 10/01/2011
$69.76 10/01/2011
$102.61 10/01/2011
$64.27 10/01/2011
$86.43 10/01/2011
$106.54 10/01/2011
$566.69 10/01/2011
$662.47 10/01/2011
$642.50 10/01/2011
$735.90 10/01/2011
$896.30 10/01/2011
$629.07 10/01/2011
$689.87 10/01/2011
$856.31 10/01/2011
$818.60 10/01/2011
$824.02 10/01/2011
$894.07 10/01/2011
$1,038.31 10/01/2011
$497.22 10/01/2011
$851.85 10/01/2011
$987.32 10/01/2011
$1,395.53 10/01/2011
$636.52 10/01/2011
$705.43 10/01/2011
$862.65 10/01/2011
$1,077.94 10/01/2011
$641.42 10/01/2011
$693.84 10/01/2011
$756.42 10/01/2011
$900.37 10/01/2011
$463.14 10/01/2011
$622.82 10/01/2011
$788.79 10/01/2011
$620.91 10/01/2011
$563.78 10/01/2011
$366.26 10/01/2011
$311.23 10/01/2011
$50.78 10/01/2011
$65.46 10/01/2011
$185.30 10/01/2011
$470.67 10/01/2011
$285.93 10/01/2011
$510.80 10/01/2011
$443.99 10/01/2011
$646.95 10/01/2011
$429.74 10/01/2011
$590.73 10/01/2011
$396.88 10/01/2011
$264.04 10/01/2011
$416.41 10/01/2011
$620.05 10/01/2011
$311.80 10/01/2011
$354.45 10/01/2011
$685.61 10/01/2011
$597.06 10/01/2011
$667.49 10/01/2011
BR 01/01/2000
$186.33 10/01/2011
$128.57 10/01/2011
$326.07 10/01/2011
$282.38 10/01/2011
$367.13 10/01/2011
$495.50 10/01/2011
$313.49 10/01/2011
$670.05 10/01/2011
$931.69 10/01/2011
$73.78 10/01/2011
$296.60 10/01/2011
$446.55 10/01/2011
$332.94 10/01/2011
$144.45 10/01/2011
$339.60 10/01/2011
$311.64 10/01/2011
$429.53 10/01/2011
$318.90 10/01/2011
$605.25 10/01/2011
$242.35 10/01/2011
$199.87 10/01/2011
$160.36 10/01/2011
$223.99 10/01/2011
$341.72 10/01/2011
$373.05 10/01/2011
$310.18 10/01/2011
$375.25 10/01/2011
$448.06 10/01/2011
$371.24 10/01/2011
BR 01/01/2000
$370.02 10/01/2011
$455.67 10/01/2011
$625.89 10/01/2011
$298.58 10/01/2011
$121.67 10/01/2011
$234.91 10/01/2011
$328.60 10/01/2011
$395.49 10/01/2011
$517.64 10/01/2011
$955.82 10/01/2011
$1,155.77 10/01/2011
$1,412.99 10/01/2011
$1,549.74 10/01/2011
$768.03 10/01/2011
$830.69 10/01/2011
$1,175.86 10/01/2011
$1,258.92 10/01/2011
$1,438.61 10/01/2011
$768.13 10/01/2011
$965.09 10/01/2011
$1,173.89 10/01/2011
$1,522.70 10/01/2011
$125.97 10/01/2011
$734.39 10/01/2011
$668.85 10/01/2011
$88.79 10/01/2011
BR 10/01/1982
$381.31 10/01/2011
$91.91 10/01/2011
$78.45 10/01/2011
$156.31 10/01/2011
$119.04 10/01/2011
$41.09 10/01/2011
$97.37 10/01/2011
$169.29 10/01/2011
$51.76 10/01/2011
$25.04 10/01/2011
$426.10 10/01/2011
$511.56 10/01/2011
$751.45 10/01/2011
$952.50 10/01/2011
$1,106.80 10/01/2011
$976.95 10/01/2011
$1,032.69 10/01/2011
$1,215.57 10/01/2011
$1,198.68 10/01/2011
$159.76 10/01/2011
$253.76 10/01/2011
$206.39 10/01/2011
$978.67 10/01/2011
$221.94 10/01/2011
$72.71 10/01/2011
$97.75 10/01/2011
$162.38 10/01/2011
$370.11 10/01/2011
$69.85 10/01/2011
$143.14 10/01/2011
$265.85 10/01/2011
$83.29 10/01/2011
$145.70 10/01/2011
$56.07 10/01/2011
$106.29 10/01/2011
$409.02 10/01/2011
$1,197.21 10/01/2011
$1,368.28 10/01/2011
$767.49 10/01/2011
$1,376.59 10/01/2011
$1,296.82 10/01/2011
$436.61 10/01/2011
$136.50 10/01/2011
$147.15 10/01/2011
$25.04 10/01/2011
$153.79 10/01/2011
$87.14 10/01/2011
$40.56 10/01/2011
$41.14 10/01/2011
$90.53 10/01/2011
$253.77 10/01/2011
$312.17 10/01/2011
$273.28 10/01/2011
$341.67 10/01/2011
$569.47 10/01/2011
$571.00 10/01/2011
$705.58 10/01/2011
$777.50 10/01/2011
$222.46 10/01/2011
$411.03 10/01/2011
$681.60 10/01/2011
$818.80 10/01/2011
$429.25 10/01/2011
$590.73 10/01/2011
$703.89 10/01/2011
$579.48 10/01/2011
$588.25 10/01/2011
$610.55 10/01/2011
$626.50 10/01/2011
$506.19 10/01/2011
$703.65 10/01/2011
$412.64 10/01/2011
$813.17 10/01/2011
$466.58 10/01/2011
$777.25 10/01/2011
$881.89 10/01/2011
$551.76 10/01/2011
$399.47 10/01/2011
$454.84 10/01/2011
$461.60 10/01/2011
$640.37 10/01/2011
$996.77 10/01/2011
$114.69 10/01/2011
$91.40 10/01/2011
$136.31 10/01/2011
$76.77 10/01/2011
$104.64 10/01/2011
$788.44 10/01/2011
$830.27 10/01/2011
$719.41 10/01/2011
$77.91 10/01/2011
$116.14 10/01/2011
$94.88 10/01/2011
$88.54 10/01/2011
$139.69 10/01/2011
$161.54 10/01/2011
$64.37 10/01/2011
$77.84 10/01/2011
$98.60 10/01/2011
$112.62 10/01/2011
$112.91 10/01/2011
$231.89 10/01/2011
$207.42 10/01/2011
$293.41 10/01/2011
$1,461.08 10/01/2011
$665.12 10/01/2011
$701.95 10/01/2011
$348.53 10/01/2011
$512.46 10/01/2011
$484.50 10/01/2011
$96.83 10/01/2011
$264.89 10/01/2011
$262.07 10/01/2011
$41.11 10/01/2011
$75.02 10/01/2011
$35.10 10/01/2011
$185.65 10/01/2011
$782.97 10/01/2011
$463.86 10/01/2011
$988.52 10/01/2011
$848.49 10/01/2011
$1,065.17 10/01/2011
$815.76 10/01/2011
$1,118.49 10/01/2011
$1,494.65 10/01/2011
$2,371.81 10/01/2011
$706.51 10/01/2011
$788.14 10/01/2011
$847.94 10/01/2011
$901.94 10/01/2011
$753.68 10/01/2011
$840.69 10/01/2011
$899.14 10/01/2011
$1,122.28 10/01/2011
$985.07 10/01/2011
$1,068.44 10/01/2011
$1,125.98 10/01/2011
$1,170.23 10/01/2011
$1,042.55 10/01/2011
$43.91 10/01/2011
$58.35 10/01/2011
$49.48 10/01/2011
$372.69 10/01/2011
$187.95 10/01/2011
$297.27 10/01/2011
$377.00 10/01/2011
$686.42 10/01/2011
$687.34 10/01/2011
$775.50 10/01/2011
$734.41 10/01/2011
$820.32 10/01/2011
$834.39 10/01/2011
$901.94 10/01/2011
$764.21 10/01/2011
$964.64 10/01/2011
$1,524.70 10/01/2011
$754.18 10/01/2011
$836.68 10/01/2011
$970.41 10/01/2011
$1,122.42 10/01/2011
$162.41 10/01/2011
$228.53 10/01/2011
$294.05 10/01/2011
$332.03 10/01/2011
$469.49 10/01/2011
$248.67 10/01/2011
$294.05 10/01/2011
$370.73 10/01/2011
$789.55 10/01/2011
$874.61 10/01/2011
$981.31 10/01/2011
$1,120.22 10/01/2011
BR 01/01/2000
BR 01/01/2000
$310.92 10/01/2011
$281.07 10/01/2011
$66.42 10/01/2011
$210.34 10/01/2011
$573.54 10/01/2011
$549.29 10/01/2011
$601.85 10/01/2011
$312.06 10/01/2011
$311.78 10/01/2011
BR 01/01/2000
$658.86 10/01/2011
$614.58 10/01/2011
$746.75 10/01/2011
$255.49 10/01/2011
$343.96 10/01/2011
$277.84 10/01/2011
$615.94 10/01/2011
$148.18 10/01/2011
$597.85 10/01/2011
$371.21 10/01/2011
$596.72 10/01/2011
$629.45 10/01/2011
$437.35 10/01/2011
$960.44 10/01/2011
$917.73 10/01/2011
$1,179.51 10/01/2011
$1,331.17 10/01/2011
$1,647.15 10/01/2011
$1,785.49 10/01/2011
$1,125.59 10/01/2011
$1,283.23 10/01/2011
$1,411.67 10/01/2011
$789.36 10/01/2011
BR 10/01/1982
$124.20 10/01/2011
$68.36 10/01/2011
$556.27 10/01/2011
$595.08 10/01/2011
$854.40 10/01/2011
$649.93 10/01/2011
$781.66 10/01/2011
$820.42 10/01/2011
$1,113.39 10/01/2011
$1,429.31 10/01/2011
$926.51 10/01/2011
$1,168.55 10/01/2011
$894.63 10/01/2011
$375.86 10/01/2011
$501.22 10/01/2011
$42.38 10/01/2011
$857.07 10/01/2011
$1,076.59 10/01/2011
$1,176.03 10/01/2011
$205.68 10/01/2011
$874.55 10/01/2011
$984.01 10/01/2011
$1,191.99 10/01/2011
$898.78 10/01/2011
$1,032.15 10/01/2011
$1,229.20 10/01/2011
$1,521.61 10/01/2011
$1,010.17 10/01/2011
BR 01/01/2000
BR 10/01/1982
$91.62 10/01/2011
$96.51 10/01/2011
$114.06 10/01/2011
$107.23 10/01/2011
$87.90 10/01/2011
$115.07 10/01/2011
$70.24 10/01/2011
$406.94 10/01/2011
$289.30 10/01/2011
$807.13 10/01/2011
$664.88 10/01/2011
$1,130.22 10/01/2011
$1,217.15 10/01/2011
$888.21 10/01/2011
$1,134.79 10/01/2011
$1,122.62 10/01/2011
$337.77 10/01/2011
$445.64 10/01/2011
$771.05 10/01/2011
$766.31 10/01/2011
$1,479.37 10/01/2011
$1,812.70 10/01/2011
$1,876.48 10/01/2011
$1,785.22 10/01/2011
$1,644.92 10/01/2011
$1,867.86 10/01/2011
$80.08 10/01/2011
$1,718.75 10/01/2011
$1,912.63 10/01/2011
$2,130.90 10/01/2011
$2,154.28 10/01/2011
$1,591.69 10/01/2011
$1,772.05 10/01/2011
$1,847.96 10/01/2011
$1,209.91 10/01/2011
$1,296.91 10/01/2011
$1,984.91 10/01/2011
$1,842.44 10/01/2011
$1,806.54 10/01/2011
$1,733.14 10/01/2011
$1,813.79 10/01/2011
$1,888.71 10/01/2011
$1,731.93 10/01/2011
$1,388.78 10/01/2011
$1,712.58 10/01/2011
$1,208.71 10/01/2011
$1,039.87 10/01/2011
$1,967.24 10/01/2011
$2,307.01 10/01/2011
$1,716.12 10/01/2011
$1,671.25 10/01/2011
$79.77 10/01/2011
$2,491.09 10/01/2011
$2,670.93 10/01/2011
$3,411.92 10/01/2011
$2,881.18 10/01/2011
$1,977.73 10/01/2011
$1,876.13 10/01/2011
$3,282.67 10/01/2011
$2,774.89 10/01/2011
$1,095.77 10/01/2011
$1,372.42 10/01/2011
$1,481.38 10/01/2011
$893.86 10/01/2011
$2,338.48 10/01/2011
$2,216.95 10/01/2011
$2,398.08 10/01/2011
$2,129.24 10/01/2011
$1,974.67 10/01/2011
$1,939.04 10/01/2011
$2,023.22 10/01/2011
$1,951.61 10/01/2011
$1,667.58 10/01/2011
$2,876.08 10/01/2011
$2,083.25 10/01/2011
$1,413.57 10/01/2011
$845.79 10/01/2011
$1,074.34 10/01/2011
$1,484.77 10/01/2011
$1,517.65 10/01/2011
$1,600.96 10/01/2011
$1,884.60 10/01/2011
$1,789.63 10/01/2011
$2,177.22 10/01/2011
$2,037.28 10/01/2011
$2,325.37 10/01/2011
$1,676.76 10/01/2011
$1,797.06 10/01/2011
$2,245.43 10/01/2011
$3,233.62 10/01/2011
$2,230.31 10/01/2011
$2,462.33 10/01/2011
$2,682.66 10/01/2011
$2,602.72 10/01/2011
$2,559.38 10/01/2011
$2,851.17 10/01/2011
$2,103.83 10/01/2011
$2,810.61 10/01/2011
$2,843.21 10/01/2011
$2,852.21 10/01/2011
$2,150.42 10/01/2011
$2,289.60 10/01/2011
$2,619.90 10/01/2011
$2,469.74 10/01/2011
$1,941.27 10/01/2011
$2,138.09 10/01/2011
$2,008.89 10/01/2011
$2,710.83 10/01/2011
$2,622.98 10/01/2011
$2,923.70 10/01/2011
$547.76 10/01/2011
$1,716.30 10/01/2011
$356.51 10/01/2011
$1,322.76 10/01/2011
$2,942.03 10/01/2011
$2,125.05 10/01/2011
$2,992.40 10/01/2011
$1,175.83 10/01/2011
$1,351.71 10/01/2011
$509.00 10/01/2011
$1,018.89 10/01/2011
$799.37 10/01/2011
$2,044.63 10/01/2011
$3,809.32 10/01/2011
$2,564.88 10/01/2011
$4,093.25 10/01/2011
$1,971.58 10/01/2011
$3,318.58 10/01/2011
$3,820.93 10/01/2011
$4,177.16 10/01/2011
$3,108.17 10/01/2011
$3,631.49 10/01/2011
$1,223.94 10/01/2011
$2,340.23 10/01/2011
$1,888.52 10/01/2011
$1,694.50 10/01/2011
$2,358.08 10/01/2011
$1,119.48 10/01/2011
$1,364.47 10/01/2011
$1,266.95 10/01/2011
$1,236.06 10/01/2011
$1,409.76 10/01/2011
$1,441.88 10/01/2011
$218.94 10/01/2011
$180.03 10/01/2011
$218.94 10/01/2011
$776.46 10/01/2011
$997.84 10/01/2011
$874.13 10/01/2011
$197.43 10/01/2011
$1,167.22 10/01/2011
$272.36 10/01/2011
$136.71 10/01/2011
$837.10 10/01/2011
$1,413.17 10/01/2011
$1,351.40 10/01/2011
$261.06 10/01/2011
$2,065.52 10/01/2011
$459.83 10/01/2011
$1,068.35 10/01/2011
$934.23 10/01/2011
$501.45 10/01/2011
$488.88 10/01/2011
$745.66 10/01/2011
$352.12 10/01/2011
$889.95 10/01/2011
$1,136.74 10/01/2011
$1,373.94 10/01/2011
$1,450.94 10/01/2011
$1,120.92 10/01/2011
$1,599.49 10/01/2011
$1,591.67 10/01/2011
$1,561.48 10/01/2011
$1,534.98 10/01/2011
$937.98 10/01/2011
$1,030.31 10/01/2011
$795.04 10/01/2011
$931.03 10/01/2011
$1,276.30 10/01/2011
$1,114.94 10/01/2011
$1,315.02 10/01/2011
$115.36 10/01/2011
$174.54 10/01/2011
$1,366.28 10/01/2011
$1,708.74 10/01/2011
$1,101.62 10/01/2011
$1,869.79 10/01/2011
$1,415.08 10/01/2011
$1,443.89 10/01/2011
$825.40 10/01/2011
$874.75 10/01/2011
$356.11 10/01/2011
$1,239.83 10/01/2011
$1,076.20 10/01/2011
$912.61 10/01/2011
$943.97 10/01/2011
$458.78 10/01/2011
$754.40 10/01/2011
$83.04 10/01/2011
$532.11 10/01/2011
$1,009.79 10/01/2011
$339.17 10/01/2011
$197.48 10/01/2011
$135.27 10/01/2011
$220.06 10/01/2011
$225.71 10/01/2011
$66.69 10/01/2011
$71.63 10/01/2011
$94.64 10/01/2011
$136.97 10/01/2011
$127.14 10/01/2011
$118.34 10/01/2011
$74.04 10/01/2011
$466.16 10/01/2011
$144.72 10/01/2011
$139.58 10/01/2011
$462.11 10/01/2011
$583.13 10/01/2011
$87.74 10/01/2011
$72.16 10/01/2011
$84.36 10/01/2011
$79.97 10/01/2011
$329.53 10/01/2011
$718.40 10/01/2011
$248.82 10/01/2011
$253.97 10/01/2011
$327.80 10/01/2011
$343.54 10/01/2011
$273.88 10/01/2011
$20.77 10/01/2011
$32.32 10/01/2011
$1,112.56 10/01/2011
$1,117.69 10/01/2011
$1,061.51 10/01/2011
$979.46 10/01/2011
$1,071.54 10/01/2011
$1,335.38 10/01/2011
$1,367.33 10/01/2011
$1,123.15 10/01/2011
$1,050.64 10/01/2011
$870.47 10/01/2011
$177.21 10/01/2011
$1,268.01 10/01/2011
$1,174.63 10/01/2011
$164.29 10/01/2011
$152.58 10/01/2011
$1,145.62 10/01/2011
$1,091.70 10/01/2011
$991.54 10/01/2011
$195.90 10/01/2011
$1,415.36 10/01/2011
$1,551.50 10/01/2011
$1,470.96 10/01/2011
$1,338.65 10/01/2011
$296.19 10/01/2011
$1,599.30 10/01/2011
$190.19 10/01/2011
$1,242.71 10/01/2011
$230.18 10/01/2011
$1,360.53 10/01/2011
$179.11 10/01/2011
$1,604.00 10/01/2011
$247.47 10/01/2011
$1,722.78 10/01/2011
$176.34 10/01/2011
$2,173.89 10/01/2011
$238.76 10/01/2011
$1,788.02 10/01/2011
$164.35 10/01/2011
$2,101.07 10/01/2011
$2,033.12 10/01/2011
$269.95 10/01/2011
$1,423.02 10/01/2011
$1,266.87 10/01/2011
$1,556.48 10/01/2011
$1,314.11 10/01/2011
$1,414.57 10/01/2011
$1,068.63 10/01/2011
$1,148.05 10/01/2011
$1,075.32 10/01/2011
$1,246.91 10/01/2011
$1,377.27 10/01/2011
$1,312.81 10/01/2011
$1,540.53 10/01/2011
$1,453.22 10/01/2011
$1,601.09 10/01/2011
$1,370.49 10/01/2011
$2,682.29 10/01/2011
$2,747.41 10/01/2011
$2,745.24 10/01/2011
$1,505.00 10/01/2011
$1,550.35 10/01/2011
$1,239.85 10/01/2011
$1,298.50 10/01/2011
$1,871.22 10/01/2011
$1,870.05 10/01/2011
$1,718.97 10/01/2011
$1,662.59 10/01/2011
$1,620.00 10/01/2011
$1,610.91 10/01/2011
$1,400.62 10/01/2011
$1,421.19 10/01/2011
$1,910.66 10/01/2011
$1,892.05 10/01/2011
$1,782.35 10/01/2011
$1,707.20 10/01/2011
$2,353.49 10/01/2011
$2,325.61 10/01/2011
$2,480.20 10/01/2011
$2,516.38 10/01/2011
$302.46 10/01/2011
$1,656.24 10/01/2011
$1,960.44 10/01/2011
$1,939.33 10/01/2011
$2,060.43 10/01/2011
$2,116.42 10/01/2011
$2,220.54 10/01/2011
$2,071.89 10/01/2011
$2,162.92 10/01/2011
$295.75 10/01/2011
$717.22 10/01/2011
$338.77 10/01/2011
$1,019.77 10/01/2011
$887.75 10/01/2011
$210.76 10/01/2011
$352.15 10/01/2011
$719.89 10/01/2011
$279.60 10/01/2011
$606.63 10/01/2011
$405.94 10/01/2011
$630.84 10/01/2011
$335.16 10/01/2011
$302.88 10/01/2011
$1,151.90 10/01/2011
$1,275.85 10/01/2011
$1,453.20 10/01/2011
$1,641.56 10/01/2011
$816.47 10/01/2011
$990.57 10/01/2011
$993.96 10/01/2011
$785.31 10/01/2011
$515.28 10/01/2011
$552.96 10/01/2011
$489.13 10/01/2011
$56.34 10/01/2011
$61.58 10/01/2011
$67.18 10/01/2011
$76.88 10/01/2011
$70.53 10/01/2011
$62.65 10/01/2011
$66.77 10/01/2011
$57.24 10/01/2011
$69.10 10/01/2011
$59.23 10/01/2011
$62.31 10/01/2011
$56.51 10/01/2011
$77.79 10/01/2011
$79.83 10/01/2011
$70.35 10/01/2011
$70.72 10/01/2011
$64.02 10/01/2011
$70.24 10/01/2011
$56.11 10/01/2011
$62.46 10/01/2011
$71.39 10/01/2011
$58.29 10/01/2011
$31.44 10/01/2011
$111.19 10/01/2011
$56.68 10/01/2011
$87.10 10/01/2011
$45.04 10/01/2011
$94.48 10/01/2011
$53.37 10/01/2011
$54.22 10/01/2011
$79.56 10/01/2011
$45.32 10/01/2011
$45.89 10/01/2011
$69.53 10/01/2011
$63.10 10/01/2011
$59.14 10/01/2011
$101.59 10/01/2011
$66.36 10/01/2011
$76.72 10/01/2011
$7.52 10/01/2011
$135.07 10/01/2011
$125.84 10/01/2011
$137.27 10/01/2011
$348.11 10/01/2011
$105.28 10/01/2011
$25.41 10/01/2011
$543.21 10/01/2011
$533.43 10/01/2011
$468.36 10/01/2011
$242.86 10/01/2011
$282.03 10/01/2011
$254.74 10/01/2011
$598.85 10/01/2011
$128.59 10/01/2011
$142.47 10/01/2011
$112.47 10/01/2011
$186.05 10/01/2011
$288.74 10/01/2011
$409.81 10/01/2011
$76.43 10/01/2011
$131.20 10/01/2011
$122.43 10/01/2011
$128.32 10/01/2011
$143.83 10/01/2011
$155.15 10/01/2011
$42.45 10/01/2011
$210.14 10/01/2011
$49.94 10/01/2011
$159.28 10/01/2011
$59.72 10/01/2011
$142.75 10/01/2011
$33.93 10/01/2011
$44.65 10/01/2011
$138.25 10/01/2011
$169.18 10/01/2011
$404.69 10/01/2011
$272.31 10/01/2011
$405.40 10/01/2011
$462.35 10/01/2011
$638.75 10/01/2011
$565.68 10/01/2011
$447.61 10/01/2011
$487.72 10/01/2011
$330.67 10/01/2011
$351.78 10/01/2011
$288.66 10/01/2011
$233.71 10/01/2011
$157.05 10/01/2011
$350.99 10/01/2011
$356.92 10/01/2011
$361.82 10/01/2011
$432.94 10/01/2011
$387.73 10/01/2011
$402.51 10/01/2011
$385.81 10/01/2011
$371.48 10/01/2011
$434.25 10/01/2011
$760.56 10/01/2011
$416.56 10/01/2011
$377.96 10/01/2011
$443.19 10/01/2011
$498.86 10/01/2011
$475.29 10/01/2011
$481.60 10/01/2011
$347.46 10/01/2011
$327.16 10/01/2011
$162.20 10/01/2011
$379.79 10/01/2011
$185.18 10/01/2011
$612.69 10/01/2011
$904.44 10/01/2011
$207.63 10/01/2011
$331.65 10/01/2011
$698.43 10/01/2011
$949.90 10/01/2011
$166.59 10/01/2011
$520.70 10/01/2011
$692.45 10/01/2011
$719.29 10/01/2011
$563.33 10/01/2011
$639.58 10/01/2011
$577.70 10/01/2011
$573.40 10/01/2011
$650.66 10/01/2011
$570.88 10/01/2011
$289.88 10/01/2011
$624.26 10/01/2011
$680.54 10/01/2011
$681.11 10/01/2011
$305.87 10/01/2011
$739.76 10/01/2011
$854.74 10/01/2011
$889.94 10/01/2011
$1,026.67 10/01/2011
$223.64 10/01/2011
$1,087.98 10/01/2011
$1,230.92 10/01/2011
$731.60 10/01/2011
$965.20 10/01/2011
$970.48 10/01/2011
$880.35 10/01/2011
$917.85 10/01/2011
$98.17 10/01/2011
$149.16 10/01/2011
$165.11 10/01/2011
$946.32 10/01/2011
$1,110.69 10/01/2011
$913.91 10/01/2011
$992.50 10/01/2011
$886.60 10/01/2011
$949.16 10/01/2011
$1,144.41 10/01/2011
$1,291.73 10/01/2011
$1,077.82 10/01/2011
$1,163.63 10/01/2011
$533.39 10/01/2011
$615.51 10/01/2011
$864.80 10/01/2011
$976.44 10/01/2011
$689.93 10/01/2011
$860.14 10/01/2011
BR 10/01/1982
$526.49 10/01/2011
$521.61 10/01/2011
$609.71 10/01/2011
$637.27 10/01/2011
$703.28 10/01/2011
$989.45 10/01/2011
$1,155.76 10/01/2011
$1,211.28 10/01/2011
$239.87 10/01/2011
$604.57 10/01/2011
$614.36 10/01/2011
$652.96 10/01/2011
$457.89 10/01/2011
$703.33 10/01/2011
$530.42 10/01/2011
$36.25 10/01/2011
$44.30 10/01/2011
$35.09 10/01/2011
$48.60 10/01/2011
$574.76 10/01/2011
$757.20 10/01/2011
$907.77 10/01/2011
$115.04 10/01/2011
$277.00 10/01/2011
$302.11 10/01/2011
$373.60 10/01/2011
$559.33 10/01/2011
$862.79 10/01/2011
$402.62 10/01/2011
$410.40 10/01/2011
$487.61 10/01/2011
$88.35 10/01/2011
$303.62 10/01/2011
$388.15 10/01/2011
$85.39 10/01/2011
$58.02 10/01/2011
$306.43 10/01/2011
$258.35 10/01/2011
$277.67 10/01/2011
$901.20 10/01/2011
$1,000.47 10/01/2011
$1,005.47 10/01/2011
$1,004.01 10/01/2011
$938.34 10/01/2011
$124.83 10/01/2011
$1,268.21 10/01/2011
$327.87 10/01/2011
$435.98 10/01/2011
$63.55 10/01/2011
$245.80 10/01/2011
$719.16 10/01/2011
$1,061.18 10/01/2011
$967.66 10/01/2011
$107.86 10/01/2011
$109.72 10/01/2011
$383.15 10/01/2011
$392.82 10/01/2011
$591.43 10/01/2011
$698.48 10/01/2011
$245.70 10/01/2011
$230.62 10/01/2011
$374.01 10/01/2011
$487.31 10/01/2011
$511.16 10/01/2011
$523.30 10/01/2011
$763.20 10/01/2011
$637.32 10/01/2011
$529.54 10/01/2011
$103.75 10/01/2011
$89.68 10/01/2011
$481.90 10/01/2011
$688.30 10/01/2011
$687.73 10/01/2011
$778.35 10/01/2011
$674.43 10/01/2011
$967.78 10/01/2011
$1,219.42 10/01/2011
$830.16 10/01/2011
$936.13 10/01/2011
$950.24 10/01/2011
$617.14 10/01/2011
$597.72 10/01/2011
$779.19 10/01/2011
$462.59 10/01/2011
$278.45 10/01/2011
$305.23 10/01/2011
$653.08 10/01/2011
$835.11 10/01/2011
$348.18 10/01/2011
$467.63 10/01/2011
$453.34 10/01/2011
$430.51 10/01/2011
$522.47 10/01/2011
$314.17 10/01/2011
$328.00 10/01/2011
$505.40 10/01/2011
$340.09 10/01/2011
$311.03 10/01/2011
$226.66 10/01/2011
$343.71 10/01/2011
$380.14 10/01/2011
$321.28 10/01/2011
$251.06 10/01/2011
$614.16 10/01/2011
$563.83 10/01/2011
$580.56 10/01/2011
$645.56 10/01/2011
$700.48 10/01/2011
$596.74 10/01/2011
$678.34 10/01/2011
$644.62 10/01/2011
$872.67 10/01/2011
$591.20 10/01/2011
$627.97 10/01/2011
$622.70 10/01/2011
$741.32 10/01/2011
$72.76 10/01/2011
BR 10/01/1982
$394.09 10/01/2011
$441.07 10/01/2011
$470.89 10/01/2011
$521.46 10/01/2011
$705.97 10/01/2011
$90.86 10/01/2011
$416.24 10/01/2011
$288.13 10/01/2011
$784.90 10/01/2011
$1,025.81 10/01/2011
$1,161.62 10/01/2011
$1,084.46 10/01/2011
$1,240.70 10/01/2011
$1,327.32 10/01/2011
$556.54 10/01/2011
$523.94 10/01/2011
$1,009.79 10/01/2011
$1,315.07 10/01/2011
$627.38 10/01/2011
$1,084.93 10/01/2011
$1,428.21 10/01/2011
$401.47 10/01/2011
$463.74 10/01/2011
$752.72 10/01/2011
$401.14 10/01/2011
$402.84 10/01/2011
$456.32 10/01/2011
$548.00 10/01/2011
$1,102.60 10/01/2011
$842.39 10/01/2011
$178.68 10/01/2011
$22.52 10/01/2011
$450.82 10/01/2011
$865.09 10/01/2011
$905.18 10/01/2011
$643.34 10/01/2011
$699.03 10/01/2011
BR 10/01/1982
$492.91 10/01/2011
$595.78 10/01/2011
$553.82 10/01/2011
$669.56 10/01/2011
$555.98 10/01/2011
$258.36 10/01/2011
$257.82 10/01/2011
$280.25 10/01/2011
$241.63 10/01/2011
$126.19 10/01/2011
$287.53 10/01/2011
$543.83 10/01/2011
$183.26 10/01/2011
$170.68 10/01/2011
BR 10/01/1982
$771.01 10/01/2011
$642.02 10/01/2011
$707.09 10/01/2011
$712.79 10/01/2011
$1,074.50 10/01/2011
$87.50 10/01/2011
$1,362.31 10/01/2011
$987.94 10/01/2011
$978.03 10/01/2011
$1,177.51 10/01/2011
$1,016.30 10/01/2011
$62.68 10/01/2011
$68.30 10/01/2011
$74.38 10/01/2011
$804.06 10/01/2011
$802.32 10/01/2011
$1,018.75 10/01/2011
BR 10/01/1982
$94.79 10/01/2011
$80.32 10/01/2011
$90.65 10/01/2011
$86.18 10/01/2011
$112.81 10/01/2011
$138.63 10/01/2011
$305.62 10/01/2011
$77.08 10/01/2011
$42.25 10/01/2011
$100.45 10/01/2011
$115.08 10/01/2011
$367.03 10/01/2011
$131.01 10/01/2011
$114.14 10/01/2011
$81.28 10/01/2011
$303.49 10/01/2011
$392.87 10/01/2011
$424.99 10/01/2011
$480.39 10/01/2011
$601.26 10/01/2011
$408.97 10/01/2011
$496.30 10/01/2011
$404.47 10/01/2011
$356.96 10/01/2011
$366.73 10/01/2011
$465.37 10/01/2011
$405.58 10/01/2011
$239.74 10/01/2011
$207.59 10/01/2011
$357.82 10/01/2011
$396.43 10/01/2011
$226.14 10/01/2011
$199.57 10/01/2011
$388.40 10/01/2011
$375.16 10/01/2011
$205.25 10/01/2011
$375.70 10/01/2011
$94.80 10/01/2011
$387.28 10/01/2011
$380.06 10/01/2011
$547.15 10/01/2011
$610.18 10/01/2011
$788.39 10/01/2011
$786.08 10/01/2011
$576.85 10/01/2011
BR 10/01/1982
$90.56 10/01/2011
$45.09 10/01/2011
$80.78 10/01/2011
$123.40 10/01/2011
$149.57 10/01/2011
$325.90 10/01/2011
$122.77 10/01/2011
$28.73 10/01/2011
$446.25 10/01/2011
$549.87 10/01/2011
$538.38 10/01/2011
$595.49 10/01/2011
$382.80 10/01/2011
$539.53 10/01/2011
$331.13 10/01/2011
$341.19 10/01/2011
$547.28 10/01/2011
$326.76 10/01/2011
BR 10/01/1982
$112.21 10/01/2011
$139.53 10/01/2011
$80.89 10/01/2011
$826.36 10/01/2011
$813.61 10/01/2011
$249.17 10/01/2011
$557.94 10/01/2011
$227.67 10/01/2011
$218.43 10/01/2011
$754.46 10/01/2011
$923.99 10/01/2011
$503.66 10/01/2011
$138.61 10/01/2011
$625.66 10/01/2011
$635.36 10/01/2011
$656.34 10/01/2011
$121.11 10/01/2011
$97.39 10/01/2011
$511.73 10/01/2011
$87.28 10/01/2011
$155.87 10/01/2011
$171.30 10/01/2011
$213.91 10/01/2011
$208.04 10/01/2011
$94.43 10/01/2011
$46.39 10/01/2011
BR 10/01/1982
$100.30 10/01/2011
$134.02 10/01/2011
$121.56 10/01/2011
$42.30 10/01/2011
$54.38 10/01/2011
$278.63 10/01/2011
$342.11 10/01/2011
$744.93 10/01/2011
$212.10 10/01/2011
$893.38 10/01/2011
$1,435.05 10/01/2011
$48.32 10/01/2011
$86.53 10/01/2011
$27.67 10/01/2011
$52.94 10/01/2011
$117.27 10/01/2011
$406.18 10/01/2011
$926.35 10/01/2011
$1,310.14 10/01/2011
BR 10/01/1982
$52.94 10/01/2011
$42.01 10/01/2011
$165.12 10/01/2011
$102.91 10/01/2011
$128.50 10/01/2011
$52.95 10/01/2011
$111.51 10/01/2011
$138.87 10/01/2011
$586.37 10/01/2011
$462.13 10/01/2011
$625.12 10/01/2011
$831.20 10/01/2011
$1,028.35 10/01/2011
$1,055.12 10/01/2011
$1,416.34 10/01/2011
$2,296.01 10/01/2011
$108.89 10/01/2011
$889.47 10/01/2011
$1,345.69 10/01/2011
$2,146.11 10/01/2011
$895.22 10/01/2011
$931.36 10/01/2011
$1,081.34 10/01/2011
$956.11 10/01/2011
$1,336.56 10/01/2011
$252.32 10/01/2011
$417.23 10/01/2011
$753.41 10/01/2011
$921.16 10/01/2011
$888.88 10/01/2011
$1,043.63 10/01/2011
$1,179.64 10/01/2011
$1,176.09 10/01/2011
$889.87 10/01/2011
$1,145.33 10/01/2011
$1,046.70 10/01/2011
$1,266.00 10/01/2011
$1,242.61 10/01/2011
$1,318.45 10/01/2011
$682.59 10/01/2011
$794.26 10/01/2011
$1,035.69 10/01/2011
$991.98 10/01/2011
$690.02 10/01/2011
$691.17 10/01/2011
$806.23 10/01/2011
$710.64 10/01/2011
$589.38 10/01/2011
BR 03/01/1989
$739.51 10/01/2011
$922.34 10/01/2011
$1,142.94 10/01/2011
$975.33 10/01/2011
$1,155.61 10/01/2011
$1,004.94 10/01/2011
$1,617.18 10/01/2011
$1,003.32 10/01/2011
$1,069.39 10/01/2011
BR 10/01/1982
$170.69 10/01/2011
$891.23 10/01/2011
$904.36 10/01/2011
$810.45 10/01/2011
$735.73 10/01/2011
$714.05 10/01/2011
$786.61 10/01/2011
$874.91 10/01/2011
$1,323.66 10/01/2011
$1,056.67 10/01/2011
BR 10/01/1982
$1,616.89 10/01/2011
$1,704.42 10/01/2011
$1,657.99 10/01/2011
$1,848.40 10/01/2011
BR 10/01/1982
$185.03 10/01/2011
$53.49 10/01/2011
$186.88 10/01/2011
$179.79 10/01/2011
$186.88 10/01/2011
$6.94 10/01/2011
$21.94 10/01/2011
$798.01 10/01/2011
BR 01/01/2003
BR 01/01/2003
$27.46 10/01/2011
$75.22 10/01/2011
BR 01/01/2003
BR 01/01/2003
BR 01/01/2004
BR 01/01/2004
BR 01/01/2004
BR 01/01/2004
$7.75 10/01/2011
$7.51 10/01/2011
$184.34 10/01/2011
BR 04/01/2004