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					      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   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   0190T   PLACEMENT OF INTRAOCULAR RADIATION SRC APPLICATOR                                           BR
sur   0191T   INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE                                       BR
sur   0192T   INSERTION OF ANTERIOR SEGMENT AQUEOUS DRAINAGE DEVICE, WITHOUT EXTRAOCULAR RESER        $581.60
sur   0213T   INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL                            $149.89
sur   0214T   INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL                             $75.37
sur   0215T   INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL                             $76.27
sur   0216T   INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL                            $133.63
sur   0217T   INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL                             $68.55
sur   0218T   INJECTION(S), DIAGNOSTIC OR THERAPEUTIC AGENT, PARAVERTEBRAL                             $69.44
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   0262T   Implantation of catheter-delivered prosthetic pulmonary valv                           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   11920   TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGM                       $146.88
sur   11921   TATTOOING, INTRADERMAL INTRODUCTION OF INSOLUBLE OPAQUE PIGM                       $169.27
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   11976   REMOVAL, IMPLANTABLE CONTRACEPTIVE CAPSULES                                        $121.77
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   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   15271   Application of skin substitute graft to trunk, arms, legs, total wound surface a     $121.73
sur   15272   Application of skin substitute graft to trunk, arms, legs, total wound surface a      $23.01
sur   15273   Application of skin substitute graft to trunk, arms, legs, total wound surface a     $250.06
sur   15274   Application of skin substitute graft to trunk, arms, legs, total wound surface a      $58.94
sur   15275   Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears,     $130.66
sur   15276   Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears,      $28.49
sur   15277   Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears,     $251.80
sur   15278   Application of skin substitute graft to face, scalp, eyelids, mouth, neck, ears,      $69.58
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   15777   Implantation of biologic implant (eg, acellular dermal matri                         $180.48
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   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   19325   MAMMAPLASTY, AUGMENTATION; WITH PROSTHETIC IMPLANT                                   $584.58
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   20527   Injection, enzyme (eg, collagenase), palmar fascial cord (ie, Dupuytren's contra    $64.09
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   20931   ALLOGRAFT, STRUCTURAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CO      $96.03
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   22633   Arthrodesis, combined posterior or posterolateral technique with posterior inter   $1,567.93
sur   22634   Arthrodesis, combined posterior or posterolateral technique with posterior inter     $422.69
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   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   26341   Manipulation, palmar fascial cord (ie, Dupuytren’s cord), post enzyme injection     $83.27
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   29582   Application of multi-layercompression system; thigh and leg, including ankle a      $58.90
sur   29583   Application of multi-layercompression system; upper arm and forearm                 $36.50
sur   29584   Application of multi-layercompression system; upper arm, forearm, hand, and fi      $58.90
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   32096   Thoracotomy, with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, incis     $695.14
sur   32097   Thoracotomy, with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wedg     $695.14
sur   32098   Thoracotomy, with biopsy(ies) of pleura                                              $653.31
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   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   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   32505   Thoracotomy; with therapeutic wedge resection (eg, mass, nodule), initial            $802.22
sur   32506   Thoracotomy; with therapeutic wedge resection (eg, mass or nodule), each additio     $135.29
sur   32507   Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection     $135.29
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   32604   THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); PERICARDIAL SAC, WITH BIOPSY          $423.14
sur   32606   THORACOSCOPY, DIAGNOSTIC (SEPARATE PROCEDURE); MEDIASTINAL SPACE, WITH BIOPSY        $405.40
sur   32607   Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg, wedge, inci     $266.32
sur   32608   Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg, wed     $327.08
sur   32609   Thoracoscopy; with biopsy(ies) of pleura                                             $226.10
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   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   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   32666   Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass, nodule), ini     $750.18
sur   32667   Thoracoscopy, surgical; with therapeutic wedge resection (eg, mass or nodule), e     $135.29
sur   32668   Thoracoscopy, surgical; with diagnostic wedge resection followed by anatomic lun     $136.11
sur   32669   Thoracoscopy, surgical; with removal of a single lung segment (segmentectomy)      $1,155.29
sur   32670   Thoracoscopy, surgical; with removal of two lobes (bilobectomy)                    $1,378.75
sur   32671   Thoracoscopy, surgical; with removal of lung (pneumonectomy)                       $1,530.63
sur   32672   Thoracoscopy, surgical; with resection-plication for emphysematous lung (bullous   $1,309.10
sur   32673   Thoracoscopy, surgical; with resection of thymus, unilateral or bilateral          $1,032.58
sur   32674   Thoracoscopy, surgical; with mediastinal and regional lymphadenectomy (List sepa     $185.48
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   33221   Insertion of pacemaker pulse generator only; with existing multiple leads            $301.70
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   33227   Removal of permanent pacemaker pulse generator with replacement of pacemaker pul     $287.92
sur   33228   Removal of permanent pacemaker pulse generator with replacement of pacemaker pul     $300.25
sur   33229   Removal of permanent pacemaker pulse generator with replacement of pacemaker pul     $312.58
sur   33230   Insertion ofpacing cardioverter-defibrillator pulse generator only; with exist       $324.63
sur   33231   Insertion ofpacing cardioverter-defibrillator pulse generator only; with exist       $336.97
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   33262   Removal of pacing cardioverter-defibrillator pulse generator with replacement of     $312.88
sur   33263   Removal of pacing cardioverter-defibrillator pulse generator with replacement of     $325.21
sur   33264   Removal of pacing cardioverter-defibrillator pulse generator with replacement of     $337.55
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   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   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   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   36251   Selective catheter placement (first-order), main renal artery and any accessory    $1,238.53
sur   36252   Selective catheter placement (first-order), main renal artery and any accessory    $1,359.65
sur   36253   Superselective catheter placement (one or more second order or higher renal arte   $1,894.70
sur   36254   Superselective catheter placement (one or more second order or higher renal arte   $1,971.28
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   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   37191   Insertion of intravascular vena cava filter, endovascular approach including vas   $2,250.66
sur   37192   Repositioning of intravascular vena cava filter, endovascular approach including   $1,510.72
sur   37193   Retrieval (removal) of intravascular vena cava filter, endovascular approach inc   $1,441.66
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   37619   Ligation of inferior vena cava                                                      $1,398.62
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   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   38232   Bone marrow harvesting for transplantation; autologous                               $156.28
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   49082   Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance         $138.22
sur   49083   Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance            $261.10
sur   49084   Peritoneal lavage, including imaging guidance, when performed                         $83.44
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        $1,746.89
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   62369   Electronic analysis of programmable, implanted pump for intrathecal or epidural      $105.13
sur   62370   Electronic analysis of programmable, implanted pump for intrathecal or epidural      $110.07
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   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   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   64630   DESTRUCTION BY NEUROLYTIC AGENT; PUDENDAL NERVE                                    $190.81
sur   64632   Destruction by neurolytic agent; plantar common digital nerve                       $72.04
sur   64633   Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imagin   $382.06
sur   64634   Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imagin   $174.94
sur   64635   Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imagin   $375.46
sur   64636   Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imagin   $157.42
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   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
  $569.98   10/01/2011
      BR    01/01/2008
      BR    07/01/2008
      BR    07/01/2008
  $581.60   10/01/2011
   $89.11   10/01/2011
   $50.76   10/01/2011
   $51.66   10/01/2011
   $75.22   10/01/2011
   $43.35   10/01/2011
   $44.23   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
    BR    07/01/2011
 $59.50   10/01/2011
 $55.65   10/01/2011
 $78.02   10/01/2011
$134.71   10/01/2011
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$141.31   10/01/2011
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$154.12   10/01/2011
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$148.02   10/01/2011
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$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
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$103.48   10/01/2011
$179.59   10/01/2011
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$132.97   10/01/2011
$200.39   10/01/2011
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$353.24   10/01/2011
$460.85   10/01/2011
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$757.01   10/01/2011
$262.01   10/01/2011
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$149.93   10/01/2011
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$116.98   10/01/2011
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$182.51   10/01/2011
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$229.68   10/01/2011
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$207.78   10/01/2011
$277.35   10/01/2011
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$399.57   10/01/2011
$113.30   10/01/2011
$232.49   10/01/2011
$269.93   10/01/2011
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$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
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$107.41   10/01/2011
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$620.01   10/01/2011
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$474.68   10/01/2011
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$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
  $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
   $74.16   01/01/2012
   $14.70   01/01/2012
  $176.70   01/01/2012
   $37.44   01/01/2012
   $85.95   01/01/2012
   $21.04   01/01/2012
  $182.74   01/01/2012
   $46.37   01/01/2012
  $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
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$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
  $180.48   01/01/2012
  $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
   $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
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  $748.68   10/01/2011
  $831.08   10/01/2011
$1,381.88   10/01/2011
  $477.28   10/01/2011
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  $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
  $584.58   10/01/2010
  $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
 $50.34   01/01/2012
 $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
   $96.03   10/01/2011
  $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
$1,567.93   01/01/2012
  $422.69   01/01/2012
$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
  $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
 $62.92   01/01/2012
$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
 $13.05   01/01/2012
  $9.56   01/01/2012
 $13.05   01/01/2012
 $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
  $695.14   01/01/2012
  $695.14   01/01/2012
  $653.31   01/01/2012
  $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
   $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
  $215.87   10/01/2011
$1,581.35   10/01/2011
$1,798.28   10/01/2011
  $802.22   01/01/2012
  $135.29   01/01/2012
  $135.29   01/01/2012
$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
  $423.14   10/01/2011
  $405.40   10/01/2011
  $266.32   01/01/2012
  $327.08   01/01/2012
  $226.10   01/01/2012
  $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
  $624.31   10/01/2011
  $639.79   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
  $750.18   01/01/2012
  $135.29   01/01/2012
  $136.11   01/01/2012
$1,155.29   01/01/2012
$1,378.75   01/01/2012
$1,530.63   01/01/2012
$1,309.10   01/01/2012
$1,032.58   01/01/2012
  $185.48   01/01/2012
  $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
  $301.70   01/01/2012
  $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
  $287.92   01/01/2012
  $300.25   01/01/2012
  $312.58   01/01/2012
  $324.63   01/01/2012
  $336.97   01/01/2012
  $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
  $312.88   01/01/2012
  $325.21   01/01/2012
  $337.55   01/01/2012
$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
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$1,982.38   10/01/2011
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$1,581.18   10/01/2011
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$1,500.78   10/01/2011
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$1,279.08   10/01/2011
$1,437.83   10/01/2011
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$1,120.47   10/01/2011
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  $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
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$1,213.82   10/01/2011
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$2,022.12   10/01/2011
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$1,585.88   10/01/2011
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$1,217.33   10/01/2011
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$1,529.41   10/01/2011
$1,259.21   10/01/2011
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$1,324.66   10/01/2011
$1,072.42   10/01/2011
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$1,413.48   10/01/2011
$1,683.89   10/01/2011
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$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
$1,252.30   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
   $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
$238.45   01/01/2012
$310.58   01/01/2012
$331.83   01/01/2012
$357.98   01/01/2012
$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
 $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
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  $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
  $203.52   01/01/2012
  $315.50   01/01/2012
  $315.22   01/01/2012
  $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
$1,398.62   01/01/2012
  $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
   $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
  $156.28   01/01/2012
  $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
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  $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
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  $112.13   10/01/2011
  $247.25   10/01/2011
  $478.39   10/01/2011
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  $226.08   10/01/2011
  $217.16   10/01/2011
  $178.57   10/01/2011
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  $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
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  $827.00   10/01/2011
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  $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
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$3,919.10   10/01/2011
$3,366.23   10/01/2011
  $677.55   10/01/2011
$1,283.69   10/01/2011
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  $193.59   10/01/2011
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  $147.98   10/01/2011
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  $253.99   10/01/2011
  $147.86   10/01/2011
  $342.87   10/01/2011
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  $366.19   10/01/2011
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  $255.47   10/01/2011
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  $163.00   10/01/2011
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  $299.76   10/01/2011
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  $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
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  $697.43   10/01/2011
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$1,293.79   10/01/2011
$1,412.19   10/01/2011
  $114.99   10/01/2011
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$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
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$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
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  $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
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  $108.12   10/01/2011
  $142.61   10/01/2011
  $159.30   10/01/2011
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  $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
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$1,088.83   10/01/2011
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  $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
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$2,422.35   10/01/2011
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$1,130.96   10/01/2011
$1,505.81   10/01/2011
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   $65.77   10/01/2011
   $84.99   10/01/2011
   $72.09   10/01/2011
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   $97.75   10/01/2011
   $91.09   10/01/2011
   $90.46   10/01/2011
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   $64.97   10/01/2011
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  $135.48   10/01/2011
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  $186.88   10/01/2011
  $233.82   10/01/2011
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  $212.56   10/01/2011
  $285.94   10/01/2011
  $289.04   10/01/2011
  $233.52   10/01/2011
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  $229.18   10/01/2011
  $297.71   10/01/2011
  $255.50   10/01/2011
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$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
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  $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
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  $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
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   $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
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  $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
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  $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
   $59.13   01/01/2012
   $91.17   01/01/2012
   $83.44   01/01/2012
   $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
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      BR    10/01/1982
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$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
  $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

				
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posted:10/26/2012
language:Unknown
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