| Aqueous shunt eye w/graft |
66180 |
$15,650.29 |
| Artery-vein autograft |
36825 |
$12,569.50 |
| Artery-vein nonautograft |
36830 |
$14,816.77 |
| Arthrodesis sacroiliac joint |
27279 |
$55,686.00 |
| Arthroscop rotator cuff repr |
29827 |
$13,792.34 |
| Arthroscopy biceps tenodesis |
29828 |
$14,461.43 |
| Autgrft implnt knee w/scope |
29866 |
$8,684.40 |
| Av fistula revision |
36833 |
$17,636.57 |
| Av fistula revision open |
36832 |
$11,682.36 |
| Av fuse uppr arm basilic |
36819 |
$9,873.06 |
| Av fuse uppr arm cephalic |
36818 |
$11,000.88 |
| Av fusion direct any site |
36821 |
$9,744.47 |
| Av fusion/forearm vein |
36820 |
$9,856.67 |
| Bariatric surg stat-del |
64912 |
$31,419.33 |
| Biopsy abdominal mass |
49180 |
$1,371.00 |
| Biopsy forearm soft tissues |
25065 |
$4,900.00 |
| Biopsy of breast open |
19101 |
$4,944.33 |
| Biopsy of cervix |
57500 |
$7,767.00 |
| Biopsy of cervix w/scope |
57455 |
$5,935.00 |
| Biopsy of external ear |
69100 |
$1,671.00 |
