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Medi-Cal Rates Information

Medi-Cal Rates as of 03/15/2020 (Codes 61000 thru 63283)

Medi-Cal Rates are updated and effective as of the 15th of the month and published to the Medi-Cal website on the 16th of the month


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Proc Type Proc Code Procedure Description Unit Value Basic Rate Child Rate ER Rate Conv Ind ER Ind Cut-back Ind Prof % Rental Rate Non-Physn. Med.Prac. Ind
K 61000 REMOVE CRANIAL CAVITY FLUID 2.27 $84.51 --- $106.58 004 1 1 0.00 $0.00 Y
K 61001 REMOVE CRANIAL CAVITY FLUID 1.59 $59.20 --- $74.65 004 1 1 0.00 $0.00 Y
K 61020 REMOVE BRAIN CAVITY FLUID 2.27 $84.51 --- $106.58 004 1 1 0.00 $0.00 Y
K 61026 INJECTION INTO BRAIN CANAL 3.50 $130.31 --- $164.33 004 1 0 0.00 $0.00 Y
K 61050 REMOVE BRAIN CANAL FLUID 2.04 $75.95 --- $95.78 004 1 0 0.00 $0.00 Y
K 61055 INJECTION INTO BRAIN CANAL 3.80 $141.47 --- $178.41 004 1 0 0.00 $0.00 Y
K 61070 BRAIN CANAL SHUNT PROCEDURE 3.51 $130.68 --- $164.79 004 1 1 0.00 $0.00 Y
K 61105 TWIST DRILL HOLE 7.93 $295.23 --- $372.31 004 1 0 0.00 $0.00 Y
K 61107 DRILL SKULL FOR IMPLANTATION 8.40 $312.73 --- -- 004 0 0 0.00 $0.00 Y
K 61108 DRILL SKULL FOR DRAINAGE 13.59 $505.96 --- $638.05 004 1 0 0.00 $0.00 Y
K 61120 BURR HOLE FOR PUNCTURE 11.33 $421.82 --- $531.94 004 1 0 0.00 $0.00 Y
O 61120 BURR HOLE FOR PUNCTURE 2.27 $84.51 --- $106.58 004 1 0 0.00 $0.00 Y
O 61140 PIERCE SKULL FOR BIOPSY 4.30 $160.09 --- $201.89 004 1 0 0.00 $0.00 Y
K 61140 PIERCE SKULL FOR BIOPSY 21.63 $805.28 --- $1015.53 004 1 0 0.00 $0.00 Y
K 61150 PIERCE SKULL FOR DRAINAGE 25.67 $955.69 --- $1205.21 004 1 0 0.00 $0.00 Y
O 61150 PIERCE SKULL FOR DRAINAGE 5.13 $190.99 --- $240.85 004 1 0 0.00 $0.00 Y
K 61151 PIERCE SKULL FOR DRAINAGE 10.20 $379.75 --- $478.89 004 1 0 0.00 $0.00 Y
K 61154 PIERCE SKULL & REMOVE CLOT 26.00 $967.98 --- $1220.70 004 1 0 0.00 $0.00 Y
O 61154 PIERCE SKULL & REMOVE CLOT 5.20 $193.60 --- $244.14 004 1 0 0.00 $0.00 Y
O 61156 PIERCE SKULL FOR DRAINAGE 5.20 $193.60 --- $244.14 004 1 0 0.00 $0.00 Y
K 61156 PIERCE SKULL FOR DRAINAGE 26.00 $967.98 --- $1220.70 004 1 0 0.00 $0.00 Y
K 61210 PIERCE SKULL IMPLANT DEVICE 7.53 $280.34 --- -- 004 0 0 0.00 $0.00 Y
O 61210 PIERCE SKULL IMPLANT DEVICE 2.15 $80.04 --- -- 004 0 0 0.00 $0.00 Y
O 61215 INSERT BRAIN-FLUID DEVICE 1.13 $42.07 --- $53.05 004 1 0 0.00 $0.00 Y
K 61215 INSERT BRAIN-FLUID DEVICE 5.66 $210.72 --- $265.74 004 1 0 0.00 $0.00 Y
K 61250 PIERCE SKULL & EXPLORE 14.72 $548.03 --- $691.10 004 1 0 0.00 $0.00 Y
O 61250 PIERCE SKULL & EXPLORE 2.94 $109.46 --- $138.03 004 1 0 0.00 $0.00 Y
O 61253 PIERCE SKULL & EXPLORE 3.93 $146.31 --- $184.51 004 1 0 0.00 $0.00 Y
K 61253 PIERCE SKULL & EXPLORE 19.63 $730.82 --- $921.63 004 1 0 0.00 $0.00 Y
K 61304 INCISE SKULL FOR EXPLORATION 34.00 $1265.82 --- $1596.30 004 1 0 0.00 $0.00 Y
O 61304 INCISE SKULL FOR EXPLORATION 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
O 61305 INCISE SKULL FOR EXPLORATION 8.00 $297.84 --- $375.60 004 1 0 0.00 $0.00 Y
K 61305 INCISE SKULL FOR EXPLORATION 40.00 $1489.20 --- $1878.00 004 1 0 0.00 $0.00 Y
K 61312 INCISE SKULL FOR DRAINAGE 31.71 $1180.56 --- $1488.78 004 1 0 0.00 $0.00 Y
O 61312 INCISE SKULL FOR DRAINAGE 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
O 61313 INCISE SKULL FOR DRAINAGE 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
K 61313 INCISE SKULL FOR DRAINAGE 31.71 $1180.56 --- $1488.78 004 1 0 0.00 $0.00 Y
K 61314 INCISE SKULL FOR DRAINAGE 31.71 $1180.56 --- $1488.78 004 1 0 0.00 $0.00 Y
O 61314 INCISE SKULL FOR DRAINAGE 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
O 61315 INCISE SKULL FOR DRAINAGE 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
K 61315 INCISE SKULL FOR DRAINAGE 31.71 $1180.56 --- $1488.78 004 1 0 0.00 $0.00 Y
K 61316 IMPLT CRAN BONE FLAP TO ABDO 1.67 $62.00 --- $78.41 004 1 0 0.00 $0.00 Y
O 61316 IMPLT CRAN BONE FLAP TO ABDO 0.28 $10.40 --- $13.15 004 1 0 0.00 $0.00 Y
O 61320 INCISE SKULL FOR DRAINAGE 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
K 61320 INCISE SKULL FOR DRAINAGE 31.71 $1180.56 --- $1488.78 004 1 0 0.00 $0.00 Y
K 61321 INCISE SKULL FOR DRAINAGE 31.71 $1180.56 --- $1488.78 004 1 0 0.00 $0.00 Y
O 61321 INCISE SKULL FOR DRAINAGE 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
O 61322 DECOMPRESSIVE CRANIOTOMY 4.92 $183.17 --- $230.99 004 1 0 0.00 $0.00 Y
K 61322 DECOMPRESSIVE CRANIOTOMY 24.63 $916.97 --- $1156.38 004 1 0 0.00 $0.00 Y
K 61323 DECOMPRESSIVE LOBECTOMY 28.16 $1048.40 --- $1322.11 004 1 0 0.00 $0.00 Y
O 61323 DECOMPRESSIVE LOBECTOMY 5.64 $209.98 --- $264.80 004 1 0 0.00 $0.00 Y
O 61330 DECOMPRESS EYE SOCKET 5.89 $219.28 --- $276.54 004 1 0 0.00 $0.00 Y
K 61330 DECOMPRESS EYE SOCKET 29.45 $1096.42 --- $1382.68 004 1 0 0.00 $0.00 Y
K 61333 EXPLORE ORBIT/REMOVE LESION 39.91 $1485.85 --- $1873.77 004 1 0 0.00 $0.00 Y
O 61333 EXPLORE ORBIT/REMOVE LESION 7.98 $297.10 --- $374.66 004 1 0 0.00 $0.00 Y
O 61340 SUBTEMPORAL DECOMPRESSION 3.62 $134.77 --- $169.96 004 1 0 0.00 $0.00 Y
K 61340 SUBTEMPORAL DECOMPRESSION 18.12 $674.61 --- $850.73 004 1 0 0.00 $0.00 Y
K 61343 INCISE SKULL (PRESS RELIEF) 23.41 $871.55 --- $1099.10 004 1 0 0.00 $0.00 Y
O 61343 INCISE SKULL (PRESS RELIEF) 4.66 $173.49 --- $218.79 004 1 0 0.00 $0.00 Y
O 61345 RELIEVE CRANIAL PRESSURE 4.32 $160.83 --- $202.82 004 1 0 0.00 $0.00 Y
K 61345 RELIEVE CRANIAL PRESSURE 21.70 $807.89 --- $1018.82 004 1 0 0.00 $0.00 Y
K 61450 INCISE SKULL FOR SURGERY 31.71 $1180.56 --- $1488.78 004 1 0 0.00 $0.00 Y
O 61450 INCISE SKULL FOR SURGERY 6.34 $236.04 --- $297.66 004 1 0 0.00 $0.00 Y
O 61458 INCISE SKULL FOR BRAIN WOUND 7.70 $286.67 --- $361.52 004 1 0 0.00 $0.00 Y
K 61458 INCISE SKULL FOR BRAIN WOUND 38.51 $1433.73 --- $1808.04 004 1 0 0.00 $0.00 Y
K 61460 INCISE SKULL FOR SURGERY 38.51 $1433.73 --- $1808.04 004 1 0 0.00 $0.00 Y
O 61460 INCISE SKULL FOR SURGERY 7.70 $286.67 --- $361.52 004 1 0 0.00 $0.00 Y
O 61500 REMOVAL OF SKULL LESION 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 61500 REMOVAL OF SKULL LESION 676.57 $676.57 --- -- 009 0 0 0.00 $0.00 Y
K 61501 REMOVE INFECTED SKULL BONE 25.60 $953.09 --- $1201.92 004 1 0 0.00 $0.00 Y
O 61501 REMOVE INFECTED SKULL BONE 5.12 $190.62 --- $240.38 004 1 0 0.00 $0.00 Y
O 61510 REMOVAL OF BRAIN LESION 7.70 $286.67 --- $361.52 004 1 0 0.00 $0.00 Y
K 61510 REMOVAL OF BRAIN LESION 38.51 $1433.73 --- $1808.04 004 1 0 0.00 $0.00 Y
K 61512 REMOVE BRAIN LINING LESION 38.51 $1433.73 --- $1808.04 004 1 0 0.00 $0.00 Y
O 61512 REMOVE BRAIN LINING LESION 7.70 $286.67 --- $361.52 004 1 0 0.00 $0.00 Y
O 61514 REMOVAL OF BRAIN ABSCESS 7.36 $274.01 --- $345.55 004 1 0 0.00 $0.00 Y
K 61514 REMOVAL OF BRAIN ABSCESS 36.79 $1369.69 --- $1727.29 004 1 0 0.00 $0.00 Y
K 61516 REMOVAL OF BRAIN LESION 36.19 $1347.35 --- $1699.12 004 1 0 0.00 $0.00 Y
O 61516 REMOVAL OF BRAIN LESION 7.24 $269.55 --- $339.92 004 1 0 0.00 $0.00 Y
O 61517 IMPLT BRAIN CHEMOTX ADDON 0.23 $8.65 --- -- 004 0 0 0.00 $0.00 Y
K 61517 IMPLT BRAIN CHEMOTX ADDON 1.16 $43.24 --- -- 004 0 0 0.00 $0.00 Y
K 61518 REMOVAL OF BRAIN LESION 45.30 $1686.52 --- $2126.84 004 1 0 0.00 $0.00 Y
O 61518 REMOVAL OF BRAIN LESION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 61519 REMOVE BRAIN LINING LESION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 61519 REMOVE BRAIN LINING LESION 45.30 $1686.52 --- $2126.84 004 1 0 0.00 $0.00 Y
K 61520 REMOVAL OF BRAIN LESION 45.30 $1686.52 --- $2126.84 004 1 0 0.00 $0.00 Y
O 61520 REMOVAL OF BRAIN LESION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 61521 REMOVAL OF BRAIN LESION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 61521 REMOVAL OF BRAIN LESION 45.30 $1686.52 --- $2126.84 004 1 0 0.00 $0.00 Y
K 61522 REMOVAL OF BRAIN ABSCESS 43.18 $1607.59 --- $2027.30 004 1 0 0.00 $0.00 Y
O 61522 REMOVAL OF BRAIN ABSCESS 8.64 $321.67 --- $405.65 004 1 0 0.00 $0.00 Y
O 61524 REMOVAL OF BRAIN LESION 8.17 $304.17 --- $383.58 004 1 0 0.00 $0.00 Y
K 61524 REMOVAL OF BRAIN LESION 40.84 $1520.47 --- $1917.44 004 1 0 0.00 $0.00 Y
K 61526 REMOVAL OF BRAIN LESION 45.30 $1686.52 --- $2126.84 004 1 0 0.00 $0.00 Y
O 61526 REMOVAL OF BRAIN LESION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 61530 REMOVAL OF BRAIN LESION 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 61530 REMOVAL OF BRAIN LESION 45.30 $1686.52 --- $2126.84 004 1 0 0.00 $0.00 Y
K 61531 IMPLANT BRAIN ELECTRODES 25.24 $939.69 --- $1185.02 004 1 0 0.00 $0.00 Y
O 61531 IMPLANT BRAIN ELECTRODES 5.05 $188.01 --- $237.10 004 1 0 0.00 $0.00 Y
O 61533 INSERT BRAIN ELECTRODES 6.24 $232.32 --- $292.97 004 1 0 0.00 $0.00 Y
K 61533 INSERT BRAIN ELECTRODES 31.19 $1161.20 --- $1464.37 004 1 0 0.00 $0.00 Y
K 61534 REMOVAL OF BRAIN LESION 32.07 $1193.97 --- $1505.69 004 1 0 0.00 $0.00 Y
O 61534 REMOVAL OF BRAIN LESION 6.41 $238.64 --- $300.95 004 1 0 0.00 $0.00 Y
O 61535 REMOVE BRAIN ELECTRODES 3.75 $139.61 --- $176.06 004 1 0 0.00 $0.00 Y
K 61535 REMOVE BRAIN ELECTRODES 18.75 $698.06 --- $880.31 004 1 0 0.00 $0.00 Y
K 61536 REMOVAL OF BRAIN LESION 54.54 $2030.52 --- $2560.65 004 1 0 0.00 $0.00 Y
O 61536 REMOVAL OF BRAIN LESION 10.91 $406.18 --- $512.22 004 1 0 0.00 $0.00 Y
O 61537 REMOVAL OF BRAIN TISSUE 4.84 $180.01 --- $227.24 004 1 0 0.00 $0.00 Y
K 61537 REMOVAL OF BRAIN TISSUE 24.18 $900.05 --- $1135.25 004 1 0 0.00 $0.00 Y
K 61538 REMOVAL OF BRAIN TISSUE 39.61 $1474.68 --- $1859.69 004 1 0 0.00 $0.00 Y
O 61538 REMOVAL OF BRAIN TISSUE 7.92 $294.86 --- $371.84 004 1 0 0.00 $0.00 Y
O 61539 REMOVAL OF BRAIN TISSUE 8.61 $320.55 --- $404.24 004 1 0 0.00 $0.00 Y
K 61539 REMOVAL OF BRAIN TISSUE 43.04 $1602.38 --- $2020.73 004 1 0 0.00 $0.00 Y
K 61540 REMOVAL OF BRAIN TISSUE 29.13 $1084.59 --- $1367.65 004 1 0 0.00 $0.00 Y
O 61540 REMOVAL OF BRAIN TISSUE 5.83 $217.05 --- $273.72 004 1 0 0.00 $0.00 Y
O 61541 INCISION OF BRAIN TISSUE 8.82 $328.37 --- $414.10 004 1 0 0.00 $0.00 Y
K 61541 INCISION OF BRAIN TISSUE 44.11 $1642.22 --- $2070.96 004 1 0 0.00 $0.00 Y
K 61543 REMOVAL OF BRAIN TISSUE 42.37 $1577.44 --- $1989.27 004 1 0 0.00 $0.00 Y
O 61543 REMOVAL OF BRAIN TISSUE 8.47 $315.34 --- $397.67 004 1 0 0.00 $0.00 Y
O 61544 REMOVE & TREAT BRAIN LESION 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 61544 REMOVE & TREAT BRAIN LESION 33.98 $1265.08 --- $1595.36 004 1 0 0.00 $0.00 Y
K 61545 EXCISION OF BRAIN TUMOR 34.23 $1274.38 --- $1607.10 004 1 0 0.00 $0.00 Y
O 61545 EXCISION OF BRAIN TUMOR 6.85 $255.03 --- $321.61 004 1 0 0.00 $0.00 Y
O 61546 REMOVAL OF PITUITARY GLAND 7.70 $286.67 --- $361.52 004 1 0 0.00 $0.00 Y
K 61546 REMOVAL OF PITUITARY GLAND 38.51 $1433.73 --- $1808.04 004 1 0 0.00 $0.00 Y
K 61548 REMOVAL OF PITUITARY GLAND 39.48 $1469.84 --- $1853.59 004 1 0 0.00 $0.00 Y
O 61548 REMOVAL OF PITUITARY GLAND 7.90 $294.12 --- $370.91 004 1 0 0.00 $0.00 Y
O 61550 CRANIECTOMY FOR CRANIOSYNOSTOSIS; SINGLE 4.80 $178.70 --- $225.36 004 1 0 0.00 $0.00 Y
K 61550 CRANIECTOMY FOR CRANIOSYNOSTOSIS; SINGLE 24.00 $893.52 --- $1126.80 004 1 0 0.00 $0.00 Y
K 61552 CRANIECTOMY FOR CRANIOSYNOSTOSIS; MULTIP 30.00 $1116.90 --- $1408.50 004 1 0 0.00 $0.00 Y
O 61552 CRANIECTOMY FOR CRANIOSYNOSTOSIS; MULTIP 6.00 $223.38 --- $281.70 004 1 0 0.00 $0.00 Y
O 61556 CRANIOTOMY, FRONTAL/PARIET FLAP 5.46 $203.28 --- $256.35 004 1 0 0.00 $0.00 Y
K 61556 CRANIOTOMY, FRONTAL/PARIETAL FLAP 27.30 $1016.38 --- $1281.74 004 1 0 0.00 $0.00 Y
K 61557 CRANIOTOMY, BIFRONTAL FLAP 27.18 $1011.91 --- $1276.10 004 1 0 0.00 $0.00 Y
O 61557 CRANIOTOMY, BIFRONTAL FLAP 5.44 $202.53 --- $255.41 004 1 0 0.00 $0.00 Y
O 61558 EXTENSIVE CRANIECTOMY 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 61558 EXTENSIVE CRANIECTOMY 33.98 $1265.08 --- $1595.36 004 1 0 0.00 $0.00 Y
K 61559 EXTENS. CRANIECT. W/CONTOUR 47.55 $1770.29 --- $2232.47 004 1 0 0.00 $0.00 Y
O 61559 EXTENS. CRANIECT. W/CONTOUR 9.51 $354.06 --- $446.49 004 1 0 0.00 $0.00 Y
O 61563 EXCIS. BENIGN TUMOR CRANIAL BONE 4.36 $162.32 --- $204.70 004 1 0 0.00 $0.00 Y
K 61563 EXCIS. BENIGN TUMOR, CRANIAL BONE 21.81 $811.99 --- $1023.98 004 1 0 0.00 $0.00 Y
K 61564 EXCIS. CRAN TUM.W/DECOMP OPT NER 33.86 $1260.61 --- $1589.73 004 1 0 0.00 $0.00 Y
O 61564 EXCIS. CRAN. TUMOR,W/DECOMP OPT NERVE 6.77 $252.05 --- $317.85 004 1 0 0.00 $0.00 Y
O 61566 REMOVAL OF BRAIN TISSUE 5.79 $215.69 --- $271.84 004 1 0 0.00 $0.00 Y
K 61566 REMOVAL OF BRAIN TISSUE 28.97 $1078.45 --- $1360.14 004 1 0 0.00 $0.00 Y
K 61567 INCISION OF BRAIN TISSUE 32.57 $1212.55 --- $1529.16 004 1 0 0.00 $0.00 Y
O 61567 INCISION OF BRAIN TISSUE 6.51 $242.51 --- $305.64 004 1 0 0.00 $0.00 Y
O 61570 REMOVE FOREIGN BODY BRAIN 7.00 $260.61 --- $328.65 004 1 0 0.00 $0.00 Y
K 61570 REMOVE FOREIGN BODY BRAIN 34.98 $1302.31 --- $1642.31 004 1 0 0.00 $0.00 Y
K 61571 INCISE SKULL FOR BRAIN WOUND 38.00 $1414.74 --- $1784.10 004 1 0 0.00 $0.00 Y
O 61571 INCISE SKULL FOR BRAIN WOUND 7.60 $282.95 --- $356.82 004 1 0 0.00 $0.00 Y
O 61575 SKULL BASE/BRAINSTEM SURGERY 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
K 61575 SKULL BASE/BRAINSTEM SURGERY 49.98 $1860.76 --- $2346.56 004 1 0 0.00 $0.00 Y
K 61576 SKULL BASE/BRAINSTEM SURGERY 79.33 $2953.46 --- $3724.54 004 1 0 0.00 $0.00 Y
O 61576 SKULL BASE/BRAINSTEM SURGERY 15.87 $590.84 --- $745.10 004 1 0 0.00 $0.00 Y
O 61580 CRANIOFACIAL APPROACH SKULL 8.04 $299.33 --- $377.48 004 1 0 0.00 $0.00 Y
K 61580 CRANIOFACIAL APPROACH SKULL 40.20 $1496.65 --- $1887.39 004 1 0 0.00 $0.00 Y
K 61581 CRANIOFACIAL APPROACH SKULL 45.62 $1698.43 --- $2141.86 004 1 0 0.00 $0.00 Y
O 61581 CRANIOFACIAL APPROACH SKULL 9.13 $339.91 --- $428.65 004 1 0 0.00 $0.00 Y
O 61582 CRANIOFACIAL APPROACH SKULL 8.28 $308.26 --- $388.75 004 1 0 0.00 $0.00 Y
K 61582 CRANIOFACIAL APPROACH SKULL 41.39 $1540.95 --- $1943.26 004 1 0 0.00 $0.00 Y
K 61583 CRANIOFACIAL APPROACH SKULL 47.22 $1758.00 --- $2216.98 004 1 0 0.00 $0.00 Y
O 61583 CRANIOFACIAL APPROACH SKULL 9.45 $351.82 --- $443.68 004 1 0 0.00 $0.00 Y
O 61584 ORBITOCRANIAL APP TO ANTERIOR CRAN FOSSA 9.14 $340.28 --- $429.12 004 1 0 0.00 $0.00 Y
K 61584 ORBITOCRANIAL APP TO ANTERIOR CRAN FOSSA 45.71 $1701.78 --- $2146.08 004 1 0 0.00 $0.00 Y
K 61585 ORBITOCRANIAL APP TOANTERIOR CRAN FOSSA 51.20 $1906.18 --- $2403.84 004 1 0 0.00 $0.00 Y
O 61585 ORBITOCRANIAL APP TO ANTERIOR CRAN FOSSA 10.24 $381.24 --- $480.77 004 1 0 0.00 $0.00 Y
O 61586 RESECT NASOPHARYNX SKULL 7.26 $270.29 --- $340.86 004 1 0 0.00 $0.00 Y
K 61586 RESECT NASOPHARYNX SKULL 36.31 $1351.82 --- $1704.75 004 1 0 0.00 $0.00 Y
K 61590 INFRATEMP PRE-AURIC APP TO MDL CRAN FOSS 55.67 $2072.59 --- $2613.71 004 1 0 0.00 $0.00 Y
O 61590 INFRATEMP PRE-AURIC APP TO MDL CRAN FOSS 11.13 $414.37 --- $522.55 004 1 0 0.00 $0.00 Y
O 61591 INFRATEMP POST-AURIC APP TO MDL CRAN FOS 11.68 $434.85 --- $548.38 004 1 0 0.00 $0.00 Y
K 61591 INFRATEMP POST-AURIC APP TO MDL CRAN FOS 58.39 $2173.86 --- $2741.41 004 1 0 0.00 $0.00 Y
K 61592 ORBITOCRANIAL ZYGO APP TO MDL CRAN FOSSA 52.89 $1969.09 --- $2483.19 004 1 0 0.00 $0.00 Y
O 61592 ORBITOCRANIAL ZYGO APP TO MDL CRAN FOSSA 10.58 $393.89 --- $496.73 004 1 0 0.00 $0.00 Y
O 61595 TRANSTEMP APP TO POSTERIOR CRAN FOSSA 7.82 $291.14 --- $367.15 004 1 0 0.00 $0.00 Y
K 61595 TRANSTEMP APP TO POSTERIOR CRAN FOSSA 39.09 $1455.32 --- $1835.28 004 1 0 0.00 $0.00 Y
K 61596 TRANSCOCH APP TO POSTERIOR CRAN FOSSA 47.55 $1770.29 --- $2232.47 004 1 0 0.00 $0.00 Y
O 61596 TRANSCOCH APP TO POSTERIOR CRAN FOSSA 9.51 $354.06 --- $446.49 004 1 0 0.00 $0.00 Y
O 61597 TRANSCOND (FAR LATERAL) APP TO POST CRAN 10.05 $374.16 --- $471.85 004 1 0 0.00 $0.00 Y
K 61597 TRANSCOND (FAR LATERAL) APP TO POST CRAN 50.25 $1870.81 --- $2359.24 004 1 0 0.00 $0.00 Y
K 61598 TRANSPETR APP TO POSTERIOR CRAN FOSSA 44.19 $1645.19 --- $2074.72 004 1 0 0.00 $0.00 Y
O 61598 TRANSPETR APP TO POSTERIOR CRAN FOSSA 8.83 $328.74 --- $414.57 004 1 0 0.00 $0.00 Y
O 61600 RESECT OR EXCIS OF NEOPLASTIC, VASC/INFE 6.78 $252.42 --- $318.32 004 1 0 0.00 $0.00 Y
K 61600 RESECT OR EXCIS OF NEOPLASTIC, VASC/INFE 33.90 $1262.10 --- $1591.61 004 1 0 0.00 $0.00 Y
K 61601 RESECT OR EXCIS OF NEOPLASTIC, VASC/INFE 36.38 $1354.43 --- $1708.04 004 1 0 0.00 $0.00 Y
O 61601 RESECT OR EXCIS OF NEOPLASTIC, VASC/INFE 7.27 $270.66 --- $341.33 004 1 0 0.00 $0.00 Y
O 61605 RESECT OR EXCIS OF NEOPLASTIC, VASC/INFE 7.69 $286.30 --- $361.05 004 1 0 0.00 $0.00 Y
K 61605 RESECT OR EXCIS OF NEOPLASTIC, VASC/INFE 38.45 $1431.49 --- $1805.23 004 1 0 0.00 $0.00 Y
K 61606 RESECT OR EXCIS OF NEOPLASTIC, VASC/INFE 51.52 $1918.09 --- $2418.86 004 1 0 0.00 $0.00 Y
O 61606 RESECT OR EXCIS OF NEOPLASTIC, VASC/INFE 10.31 $383.84 --- $484.05 004 1 0 0.00 $0.00 Y
O 61607 RES OR EXCIS OF NEOPLAS,VAS OR INFECTIOU 9.62 $358.15 --- $451.66 004 1 0 0.00 $0.00 Y
K 61607 RES OR EXCIS OF NEOPLAS, VAS OR INFECTIO 48.09 $1790.39 --- $2257.83 004 1 0 0.00 $0.00 Y
K 61608 RES OR EXCIS OF NEOPLAS, VAS OR INFECTIO 55.91 $2081.53 --- $2624.97 004 1 0 0.00 $0.00 Y
O 61608 RES OR EXCIS OF NEOPLAS, VAS OR INFECTIO 11.18 $416.23 --- $524.90 004 1 0 0.00 $0.00 Y
O 61611 TRANSECT ARTERY SINUS 1.63 $60.68 --- $76.53 004 1 0 0.00 $0.00 Y
K 61611 TRANSECT ARTERY SINUS 8.15 $303.42 --- $382.64 004 1 0 0.00 $0.00 Y
K 61613 REMOVE ANEURYSM SINUS 54.81 $2040.58 --- $2573.33 004 1 0 0.00 $0.00 Y
O 61613 REMOVE ANEURYSM SINUS 10.96 $408.04 --- $514.57 004 1 0 0.00 $0.00 Y
O 61615 RESECT/EXCISE LESION SKULL 8.45 $314.59 --- $396.73 004 1 0 0.00 $0.00 Y
K 61615 RESECT/EXCISE LESION SKULL 42.27 $1573.71 --- $1984.58 004 1 0 0.00 $0.00 Y
K 61616 RESECT/EXCISE LESION SKULL 57.43 $2138.12 --- $2696.34 004 1 0 0.00 $0.00 Y
O 61616 RESECT/EXCISE LESION SKULL 11.48 $427.40 --- $538.99 004 1 0 0.00 $0.00 Y
O 61618 REPAIR DURA 4.33 $161.21 --- $203.29 004 1 0 0.00 $0.00 Y
K 61618 REPAIR DURA 21.62 $804.91 --- $1015.06 004 1 0 0.00 $0.00 Y
K 61619 SEC REPAIR OF DURA FOR CSF LEAK ANT MIDD 27.11 $1009.31 --- $1272.81 004 1 0 0.00 $0.00 Y
O 61619 SEC REPAIR OF DURA FOR CSF LEAK, ANT MID 5.43 $202.16 --- $254.94 004 1 0 0.00 $0.00 Y
O 61623 ENDOVASC TEMPORY VESSEL OCCL 1.61 $60.00 --- -- 004 0 0 0.00 $0.00 Y
K 61623 ENDOVASC TEMPORY VESSEL OCCL 8.06 $300.07 --- -- 004 0 0 0.00 $0.00 Y
K 61624 TRANSCATH OCCLUSION CNS 22.42 $834.70 --- $1052.62 004 1 0 0.00 $0.00 Y
O 61624 TRANSCATH OCCLUSION CNS 4.48 $166.79 --- $210.34 004 1 0 0.00 $0.00 Y
O 61626 TRANSCATH OCCLUSION NON-CNS 3.64 $135.52 --- $170.90 004 1 0 0.00 $0.00 Y
K 61626 TRANSCATH OCCLUSION NON-CNS 18.22 $678.33 --- $855.43 004 1 0 0.00 $0.00 Y
K 61630 INTRACRANIAL ANGIOPLASTY 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
O 61630 INTRACRANIAL ANGIOPLASTY 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
O 61635 INTRACRAN ANGIOPLSTY W/STENT 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
K 61635 INTRACRAN ANGIOPLSTY W/STENT 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
K 61640 DILATE IC VASOSPASM INIT 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 61640 DILATE IC VASOSPASM INIT 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 61641 DILATE IC VASOSPASM ADDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 61641 DILATE IC VASOSPASM ADDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 61642 DILATE IC VASOSPASM ADDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 61642 DILATE IC VASOSPASM ADDON 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 61645 PERQ ART M-THROMBECT &/NFS 17.79 $662.32 --- -- 004 0 0 0.00 $0.00 Y
K 61650 EVASC PRLNG ADMN RX AGNT 1ST 11.93 $444.15 --- -- 004 0 0 0.00 $0.00 Y
K 61651 EVASC PRLNG ADMN RX AGNT ADD 5.06 $188.38 --- -- 004 0 0 0.00 $0.00 Y
K 61680 INTRACRANIAL VESSEL SURGERY 45.01 $1675.72 --- $2113.22 004 1 0 0.00 $0.00 Y
O 61680 INTRACRANIAL VESSEL SURGERY 9.00 $335.07 --- $422.55 004 1 0 0.00 $0.00 Y
O 61682 INTRACRANIAL VESSEL SURGERY 17.56 $653.76 --- $824.44 004 1 0 0.00 $0.00 Y
K 61682 INTRACRANIAL VESSEL SURGERY 87.78 $3268.05 --- $4121.27 004 1 0 0.00 $0.00 Y
K 61684 INTRACRANIAL VESSEL SURGERY 58.53 $2179.07 --- $2747.98 004 1 0 0.00 $0.00 Y
O 61684 INTRACRANIAL VESSEL SURGERY 11.71 $435.96 --- $549.78 004 1 0 0.00 $0.00 Y
O 61686 INTRACRANIAL VESSEL SURGERY 18.51 $689.13 --- $869.04 004 1 0 0.00 $0.00 Y
K 61686 INTRACRANIAL VESSEL SURGERY 92.55 $3445.64 --- $4345.22 004 1 0 0.00 $0.00 Y
K 61690 INTRACRANIAL VESSEL SURGERY 45.11 $1679.45 --- $2117.91 004 1 0 0.00 $0.00 Y
O 61690 INTRACRANIAL VESSEL SURGERY 9.02 $335.81 --- $423.49 004 1 0 0.00 $0.00 Y
O 61692 INTRACRANIAL VESSEL SURGERY 14.72 $548.03 --- $691.10 004 1 0 0.00 $0.00 Y
K 61692 INTRACRANIAL VESSEL SURGERY 73.59 $2739.76 --- $3455.05 004 1 0 0.00 $0.00 Y
K 61697 BRAIN ANEURYSM REPR COMPLX 74.94 $2790.02 --- $3518.43 004 1 0 0.00 $0.00 Y
O 61697 BRAIN ANEURYSM REPR COMPLX 14.99 $558.08 --- $703.78 004 1 0 0.00 $0.00 Y
O 61698 BRAIN ANEURYSM REPR COMPLX 14.43 $537.23 --- $677.49 004 1 0 0.00 $0.00 Y
K 61698 BRAIN ANEURYSM REPR COMPLX 72.13 $2685.40 --- $3386.50 004 1 0 0.00 $0.00 Y
K 61700 BRAIN ANEURYSM REPR SIMPLE 45.30 $1686.52 --- $2126.84 004 1 0 0.00 $0.00 Y
O 61700 BRAIN ANEURYSM REPR SIMPLE 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
O 61702 INNER SKULL VESSEL SURGERY 9.06 $337.30 --- $425.37 004 1 0 0.00 $0.00 Y
K 61702 INNER SKULL VESSEL SURGERY 45.30 $1686.52 --- $2126.84 004 1 0 0.00 $0.00 Y
K 61703 CLAMP NECK ARTERY 27.07 $1007.82 --- $1270.94 004 1 0 0.00 $0.00 Y
O 61703 CLAMP NECK ARTERY 5.41 $201.41 --- $254.00 004 1 0 0.00 $0.00 Y
O 61705 REVISE CIRCULATION TO HEAD 10.19 $379.37 --- $478.42 004 1 0 0.00 $0.00 Y
K 61705 REVISE CIRCULATION TO HEAD 50.94 $1896.50 --- $2391.63 004 1 0 0.00 $0.00 Y
K 61708 REVISE CIRCULATION TO HEAD 46.57 $1733.80 --- $2186.46 004 1 0 0.00 $0.00 Y
O 61708 REVISE CIRCULATION TO HEAD 9.31 $346.61 --- $437.10 004 1 0 0.00 $0.00 Y
O 61710 REVISE CIRCULATION TO HEAD 7.43 $276.62 --- $348.84 004 1 0 0.00 $0.00 Y
K 61710 REVISE CIRCULATION TO HEAD 37.14 $1382.72 --- $1743.72 004 1 0 0.00 $0.00 Y
K 61711 FUSION OF SKULL ARTERIES 43.27 $1610.94 --- $2031.53 004 1 0 0.00 $0.00 Y
O 61711 FUSION OF SKULL ARTERIES 8.61 $320.55 --- $404.24 004 1 0 0.00 $0.00 Y
O 61720 INCISE SKULL/BRAIN SURGERY 7.60 $282.95 --- -- 004 0 0 0.00 $0.00 Y
K 61720 INCISE SKULL/BRAIN SURGERY 38.00 $1414.74 --- -- 004 0 0 0.00 $0.00 Y
K 61735 INCISE SKULL/BRAIN SURGERY 38.00 $1414.74 --- $1784.10 004 1 0 0.00 $0.00 Y
O 61735 INCISE SKULL/BRAIN SURGERY 7.60 $282.95 --- $356.82 004 1 0 0.00 $0.00 Y
O 61750 INCISE SKULL/BRAIN BIOPSY 5.60 $208.49 --- $262.92 004 1 0 0.00 $0.00 Y
K 61750 INCISE SKULL/BRAIN BIOPSY 28.00 $1042.44 --- $1314.60 004 1 0 0.00 $0.00 Y
K 61751 BRAIN BIOPSY W/CT/MR GUIDE 32.50 $1209.98 --- $1525.88 004 1 0 0.00 $0.00 Y
O 61751 BRAIN BIOPSY W/CT/MR GUIDE 6.50 $242.00 --- $305.18 004 1 0 0.00 $0.00 Y
O 61760 IMPLANT BRAIN ELECTRODES 5.33 $198.44 --- $250.24 004 1 0 0.00 $0.00 Y
K 61760 IMPLANT BRAIN ELECTRODES 26.63 $991.43 --- $1250.28 004 1 0 0.00 $0.00 Y
K 61770 INCISE SKULL FOR TREATMENT 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 61770 INCISE SKULL FOR TREATMENT 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 61781 SCAN PROC CRANIAL INTRA 1.04 $38.88 --- -- 004 0 0 0.00 $0.00 Y
K 61781 SCAN PROC CRANIAL INTRA 5.22 $194.40 --- -- 004 0 0 0.00 $0.00 Y
K 61782 SCAN PROC CRANIAL EXTRA 4.34 $161.44 --- -- 004 0 0 0.00 $0.00 Y
O 61782 SCAN PROC CRANIAL EXTRA 0.87 $32.29 --- -- 004 0 0 0.00 $0.00 Y
O 61783 SCAN PROC SPINAL 1.04 $38.88 --- -- 004 0 0 0.00 $0.00 Y
K 61783 SCAN PROC SPINAL 5.22 $194.40 --- -- 004 0 0 0.00 $0.00 Y
K 61790 TREAT TRIGEMINAL NERVE 14.90 $554.73 --- $699.56 004 1 0 0.00 $0.00 Y
O 61790 TREAT TRIGEMINAL NERVE 3.00 $111.69 --- $140.85 004 1 0 0.00 $0.00 Y
O 61791 TREAT TRIGEMINAL TRACT 4.80 $178.70 --- $225.36 004 1 0 0.00 $0.00 Y
K 61791 TREAT TRIGEMINAL TRACT 24.00 $893.52 --- $1126.80 004 1 0 0.00 $0.00 Y
K 61796 SRS CRANIAL LESION SIMPLE 14.27 $531.27 --- -- 004 0 0 0.00 $0.00 Y
O 61796 SRS CRANIAL LESION SIMPLE 2.85 $106.11 --- -- 004 0 0 0.00 $0.00 Y
O 61797 SRS CRAN LES SIMPLE ADDL 0.77 $28.67 --- -- 004 0 0 0.00 $0.00 Y
K 61797 SRS CRAN LES SIMPLE ADDL 3.85 $143.34 --- -- 004 0 0 0.00 $0.00 Y
K 61798 SRS CRANIAL LESION COMPLEX 14.27 $531.27 --- -- 004 0 0 0.00 $0.00 Y
O 61798 SRS CRANIAL LESION COMPLEX 2.85 $106.11 --- -- 004 0 0 0.00 $0.00 Y
O 61799 SRS CRAN LES COMPLEX ADDL 1.06 $39.46 --- -- 004 0 0 0.00 $0.00 Y
K 61799 SRS CRAN LES COMPLEX ADDL 5.32 $198.06 --- -- 004 0 0 0.00 $0.00 Y
K 61800 APPLY SRS HEADFRAME ADD-ON 2.73 $101.64 --- -- 004 0 0 0.00 $0.00 Y
O 61800 APPLY SRS HEADFRAME ADD-ON 0.55 $20.48 --- -- 004 0 0 0.00 $0.00 Y
O 61867 IMPLANT NEUROELECTRODE 4.29 $159.72 --- $201.42 004 1 0 0.00 $0.00 Y
K 61867 IMPLANT NEUROELECTRODE 21.45 $798.58 --- $1007.08 004 1 0 0.00 $0.00 Y
K 61868 IMPLANT NEUROELECTRDE ADDL 7.11 $264.71 --- $333.81 004 1 0 0.00 $0.00 Y
O 61868 IMPLANT NEUROELECTRDE ADDL 1.42 $52.87 --- $66.67 004 1 0 0.00 $0.00 Y
O 61880 REVISE/REMOVE NEUROELECTRODE 2.09 $77.81 --- $98.13 004 1 0 0.00 $0.00 Y
K 61880 REVISE/REMOVE NEUROELECTRODE 10.46 $389.43 --- $491.10 004 1 0 0.00 $0.00 Y
K 61885 INSRT/REDO NEUROSTIM 1 ARRAY 10.43 $388.31 --- $489.69 004 1 0 0.00 $0.00 Y
O 61885 INSRT/REDO NEUROSTIM 1 ARRAY 2.08 $77.44 --- $97.66 004 1 0 0.00 $0.00 Y
K 61886 IMPLANT NEUROSTIM ARRAYS 10.17 $378.63 --- $477.48 004 1 0 0.00 $0.00 Y
K 61888 REVIS OR REML OF NEUROSTIMULATOR OR RECE 8.18 $304.54 --- $384.05 004 1 0 0.00 $0.00 Y
O 61888 REVIS OR REML OF NEUROSTIMULATOR OR RECE 1.63 $60.68 --- $76.53 004 1 0 0.00 $0.00 Y
O 62000 TREAT SKULL FRACTURE 3.60 $134.03 --- $169.02 004 1 0 0.00 $0.00 Y
K 62000 TREAT SKULL FRACTURE 18.00 $670.14 --- $845.10 004 1 0 0.00 $0.00 Y
K 62005 TREAT SKULL FRACTURE 24.00 $893.52 --- $1126.80 004 1 0 0.00 $0.00 Y
O 62005 TREAT SKULL FRACTURE 4.80 $178.70 --- $225.36 004 1 0 0.00 $0.00 Y
O 62010 TREATMENT OF HEAD INJURY 5.80 $215.93 --- $272.31 004 1 0 0.00 $0.00 Y
K 62010 TREATMENT OF HEAD INJURY 29.00 $1079.67 --- $1361.55 004 1 0 0.00 $0.00 Y
K 62100 REPAIR BRAIN FLUID LEAKAGE 32.75 $1219.28 --- $1537.61 004 1 0 0.00 $0.00 Y
O 62100 REPAIR BRAIN FLUID LEAKAGE 6.55 $243.86 --- $307.52 004 1 0 0.00 $0.00 Y
O 62115 REDUCT. CRANIOMEGAL. SKULL 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
K 62115 REDUCT. CRANIOMEGAL. SKULL 22.65 $843.26 --- $1063.42 004 1 0 0.00 $0.00 Y
K 62117 REDUCT/CRANIOT.CRANIOMEG 39.56 $1472.82 --- $1857.34 004 1 0 0.00 $0.00 Y
O 62117 REDUCT/CRANIOT.CRANIOMEG 7.91 $294.49 --- $371.37 004 1 0 0.00 $0.00 Y
O 62120 REPAIR ENCEPHALOCELE, SKULL VAULT 6.00 $223.38 --- $281.70 004 1 0 0.00 $0.00 Y
K 62120 REPAIR ENCEPHALOCELE, SKULL VAULT 30.01 $1117.27 --- $1408.97 004 1 0 0.00 $0.00 Y
K 62121 CRANIOT. W/REP.ENCEPHALOCELE 31.84 $1185.40 --- $1494.89 004 1 0 0.00 $0.00 Y
O 62121 CRANIOT. W/REP. ENCEPHALOCELE 6.37 $237.16 --- $299.07 004 1 0 0.00 $0.00 Y
O 62140 REPAIR OF SKULL DEFECT 4.07 $151.53 --- $191.09 004 1 0 0.00 $0.00 Y
K 62140 REPAIR OF SKULL DEFECT 20.35 $757.63 --- $955.43 004 1 0 0.00 $0.00 Y
K 62141 REPAIR OF SKULL DEFECT 22.54 $839.16 --- $1058.25 004 1 0 0.00 $0.00 Y
O 62141 REPAIR OF SKULL DEFECT 4.53 $168.65 --- $212.68 004 1 0 0.00 $0.00 Y
O 62142 REMOVE SKULL PLATE/FLAP 3.32 $123.60 --- $155.87 004 1 0 0.00 $0.00 Y
K 62142 REMOVE SKULL PLATE/FLAP 16.59 $617.65 --- $778.90 004 1 0 0.00 $0.00 Y
K 62143 REPLACE SKULL PLATE/FLAP 20.00 $744.60 --- $939.00 004 1 0 0.00 $0.00 Y
O 62143 REPLACE SKULL PLATE/FLAP 4.00 $148.92 --- $187.80 004 1 0 0.00 $0.00 Y
O 62145 REPAIR OF SKULL & BRAIN 6.80 $253.16 --- $319.26 004 1 0 0.00 $0.00 Y
K 62145 REPAIR OF SKULL & BRAIN 34.00 $1265.82 --- $1596.30 004 1 0 0.00 $0.00 Y
K 62146 CRANIOPLAST. W/AUTOGRAFT < 5 CM 24.05 $895.38 --- $1129.15 004 1 0 0.00 $0.00 Y
O 62146 CRANIOPLAST W/AUTOGRAFT < 5 CM 4.81 $179.08 --- $225.83 004 1 0 0.00 $0.00 Y
O 62147 CRANIOPLASTY W/AUTOGRAFT > 5 CM 5.64 $209.98 --- $264.80 004 1 0 0.00 $0.00 Y
K 62147 CRANIOPLASTY W/AUTOGRAFT > 5 CM 28.18 $1049.14 --- $1323.05 004 1 0 0.00 $0.00 Y
K 62148 RETR BONE FLAP TO FIX SKULL 1.89 $70.36 --- $88.74 004 1 0 0.00 $0.00 Y
O 62148 RETR BONE FLAP TO FIX SKULL 0.38 $14.05 --- $17.84 004 1 0 0.00 $0.00 Y
O 62160 NEUROENDOSCOPY ADDON 0.55 $20.47 --- $25.82 004 1 0 0.00 $0.00 Y
K 62160 NEUROENDOSCOPY ADDON 2.75 $102.38 --- $129.11 004 1 0 0.00 $0.00 Y
K 62161 DISSECT BRAIN W/SCOPE 18.48 $688.01 --- $867.64 004 1 0 0.00 $0.00 Y
O 62161 DISSECT BRAIN W/SCOPE 3.70 $137.75 --- $173.72 004 1 0 0.00 $0.00 Y
O 62162 REMOVE COLLOID CYST W/SCOPE 4.81 $179.08 --- $225.83 004 1 0 0.00 $0.00 Y
K 62162 REMOVE COLLOID CYST W/SCOPE 24.05 $895.38 --- $1129.15 004 1 0 0.00 $0.00 Y
K 62163 ZNEUROENDOSCOPY W/FB REMOVAL 14.86 $553.24 --- $697.68 004 1 0 0.00 $0.00 Y
O 62163 ZNEUROENDOSCOPY W/FB REMOVAL 2.97 $110.68 --- $139.44 004 1 0 0.00 $0.00 Y
O 62164 REMOVE BRAIN TUMOR W/SCOPE 5.17 $192.48 --- $242.73 004 1 0 0.00 $0.00 Y
K 62164 REMOVE BRAIN TUMOR W/SCOPE 25.86 $962.77 --- $1214.13 004 1 0 0.00 $0.00 Y
K 62165 REMOVE PITUIT TUMOR W/SCOPE 20.04 $746.09 --- $940.88 004 1 0 0.00 $0.00 Y
O 62165 REMOVE PITUIT TUMOR W/SCOPE 4.01 $149.29 --- $188.27 004 1 0 0.00 $0.00 Y
O 62180 ESTABLISH BRAIN CAVITY SHUNT 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
K 62180 ESTABLISH BRAIN CAVITY SHUNT 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
K 62190 ESTABLISH BRAIN CAVITY SHUNT 26.00 $967.98 --- $1220.70 004 1 0 0.00 $0.00 Y
O 62190 ESTABLISH BRAIN CAVITY SHUNT 5.20 $193.60 --- $244.14 004 1 0 0.00 $0.00 Y
O 62192 ESTABLISH BRAIN CAVITY SHUNT 5.20 $193.60 --- $244.14 004 1 0 0.00 $0.00 Y
K 62192 ESTABLISH BRAIN CAVITY SHUNT 26.00 $967.98 --- $1220.70 004 1 0 0.00 $0.00 Y
K 62194 REPLACE/IRRIGATE CATHETER 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
O 62194 REPLACE/IRRIGATE CATHETER 2.00 $74.46 --- $93.90 004 1 0 0.00 $0.00 Y
O 62200 ESTABLISH BRAIN CAVITY SHUNT 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
K 62200 ESTABLISH BRAIN CAVITY SHUNT 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
K 62201 BRAIN CAVITY SHUNT W/SCOPE 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
O 62201 BRAIN CAVITY SHUNT W/SCOPE 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
O 62220 ESTABLISH BRAIN CAVITY SHUNT 5.20 $193.60 --- $244.14 004 1 0 0.00 $0.00 Y
K 62220 ESTABLISH BRAIN CAVITY SHUNT 26.00 $967.98 --- $1220.70 004 1 0 0.00 $0.00 Y
K 62223 ESTABLISH BRAIN CAVITY SHUNT 26.00 $967.98 --- $1220.70 004 1 0 0.00 $0.00 Y
O 62223 ESTABLISH BRAIN CAVITY SHUNT 5.20 $193.60 --- $244.14 004 1 0 0.00 $0.00 Y
O 62225 REPLACE/IRRIGATE CATHETER 2.00 $74.46 --- $93.90 004 1 0 0.00 $0.00 Y
K 62225 REPLACE/IRRIGATE CATHETER 10.00 $372.30 --- $469.50 004 1 1 0.00 $0.00 Y
K 62230 REPLACE/REVISE BRAIN SHUNT 20.00 $744.60 --- $939.00 004 1 0 0.00 $0.00 Y
O 62230 REPLACE/REVISE BRAIN SHUNT 4.00 $148.92 --- $187.80 004 1 0 0.00 $0.00 Y
K 62252 CSF SHUNT REPROGRAM 1.95 $72.60 --- $91.55 004 1 0 0.47 $0.00 Y
K 62256 REMOVE BRAIN CAVITY SHUNT 10.89 $405.43 --- $511.29 004 1 1 0.00 $0.00 Y
O 62256 REMOVE BRAIN CAVITY SHUNT 2.18 $81.16 --- $102.35 004 1 0 0.00 $0.00 Y
O 62258 REPLACE BRAIN CAVITY SHUNT 2.67 $99.40 --- $125.36 004 1 0 0.00 $0.00 Y
K 62258 REPLACE BRAIN CAVITY SHUNT 13.36 $497.39 --- $627.25 004 1 0 0.00 $0.00 Y
K 62263 EPIDURAL LYSIS MULT SESSIONS 7.64 $284.44 --- $358.70 004 1 0 0.00 $0.00 Y
K 62264 EPIDURAL LYSIS ON SINGLE DAY 5.13 $190.99 --- $240.85 004 1 0 0.00 $0.00 Y
K 62267 INTERDISCAL PERQ ASPIR DX 3.13 $116.53 --- -- 004 0 0 0.00 $0.00 Y
K 62268 DRAIN SPINAL CORD CYST 8.60 $320.18 --- $403.77 004 1 0 0.00 $0.00 Y
K 62269 NEEDLE BIOPSY SPINAL CORD 10.00 $372.30 --- $469.50 004 1 0 0.00 $0.00 Y
K 62270 DX LMBR SPI PNXR 2.20 $81.91 --- $103.29 004 1 1 0.00 $0.00 Y
K 62272 THER SPI PNXR DRG CSF 2.21 $82.28 --- $103.76 004 1 0 0.00 $0.00 Y
K 62273 INJECT EPIDURAL PATCH 2.04 $75.95 --- $95.78 004 1 0 0.00 $0.00 Y
K 62280 TREAT SPINAL CORD LESION 3.32 $123.60 --- $155.87 004 1 0 0.00 $0.00 Y
K 62281 TREAT SPINAL CORD LESION 2.88 $107.22 --- $135.22 004 1 0 0.00 $0.00 Y
K 62282 TREAT SPINAL CANAL LESION 3.61 $134.40 --- $169.49 004 1 0 0.00 $0.00 Y
K 62284 INJECTION FOR MYELOGRAM 2.38 $88.61 --- $111.74 004 1 0 0.00 $0.00 Y
K 62287 PERCUTANEOUS DISKECTOMY 20.00 $744.60 --- -- 004 0 0 0.00 $0.00 Y
K 62290 NJX PX DISCOGRAPHY LUMBAR 3.43 $127.70 --- $161.04 004 1 0 0.00 $0.00 Y
O 62290 NJX PX DISCOGRAPHY LUMBAR 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 62291 NJX PX DISCOGRAPHY CRV/THRC 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 62291 NJX PX DISCOGRAPHY CRV/THRC 3.45 $128.44 --- $161.98 004 1 0 0.00 $0.00 Y
K 62292 NJX CHEMONUCLEOLYSIS LMBR 12.41 $462.02 --- $582.65 004 1 0 0.00 $0.00 Y
K 62294 INJECTION INTO SPINAL ARTERY 16.57 $616.90 --- $777.96 004 1 0 0.00 $0.00 Y
O 62294 INJECTION INTO SPINAL ARTERY 3.31 $123.23 --- $155.40 004 1 0 0.00 $0.00 Y
K 62302 MYELOGRAPHY LUMBAR INJECTION 2.91 $108.34 --- -- 004 0 0 0.00 $0.00 N
K 62303 MYELOGRAPHY LUMBAR INJECTION 2.95 $109.83 --- -- 004 0 0 0.00 $0.00 N
K 62304 MYELOGRAPHY LUMBAR INJECTION 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 N
K 62305 MYELOGRAPHY LUMBAR INJECTION 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 N
K 62320 NJX INTERLAMINAR CRV/THRC 3.97 $147.80 --- -- 004 0 0 0.00 $0.00 Y
K 62321 NJX INTERLAMINAR CRV/THRC 6.00 $223.38 --- -- 004 0 0 0.00 $0.00 Y
K 62322 NJX INTERLAMINAR LMBR/SAC 3.72 $138.50 --- -- 004 0 0 0.00 $0.00 Y
K 62323 NJX INTERLAMINAR LMBR/SAC 5.91 $220.03 --- -- 004 0 0 0.00 $0.00 Y
K 62324 NJX INTERLAMINAR CRV/THRC 3.42 $127.33 --- -- 004 0 0 0.00 $0.00 Y
K 62325 NJX INTERLAMINAR CRV/THRC 5.25 $195.46 --- -- 004 0 0 0.00 $0.00 Y
K 62326 NJX INTERLAMINAR LMBR/SAC 3.63 $135.14 --- -- 004 0 0 0.00 $0.00 Y
K 62327 NJX INTERLAMINAR LMBR/SAC 5.40 $201.04 --- -- 004 0 0 0.00 $0.00 Y
K 62328 DX LMBR SPI PNXR W/FLUOR/CT 6.39 $238.13 --- -- 004 0 0 0.00 $0.00 Y
K 62329 THER SPI PNXR CSF FLUOR/CT 7.90 $294.19 --- -- 004 0 0 0.00 $0.00 Y
K 62350 IMPLANT SPINAL CANAL CATH 7.01 $260.98 --- $329.12 004 1 0 0.00 $0.00 Y
O 62350 IMPLANT SPINAL CANAL CATH 1.40 $52.12 --- $65.73 004 1 0 0.00 $0.00 Y
O 62351 IMPLANT SPINAL CANAL CATH 2.07 $77.07 --- $97.19 004 1 0 0.00 $0.00 Y
K 62351 IMPLANT SPINAL CANAL CATH 10.36 $385.70 --- $486.40 004 1 0 0.00 $0.00 Y
K 62355 REMOVAL OF PREVIOUSLY IMPLANTED INTRATHE 5.84 $217.42 --- $274.19 004 1 0 0.00 $0.00 Y
O 62355 REMOVAL OF PREVIOUSLY IMPLANTED INTRATHE 1.17 $43.56 --- $54.93 004 1 0 0.00 $0.00 Y
O 62360 IMPL OR REP. OF DEV. DRUG INFU. SUB. RES 0.45 $16.75 --- $21.13 004 1 0 0.00 $0.00 Y
K 62360 IMPL OR REP. OF DEV. DRUG INFU. SUB. RES 2.24 $83.40 --- $105.17 004 1 0 0.00 $0.00 Y
K 62361 IMP OR REPL OF DEV DRUG INFU. NON-PROG P 5.38 $200.30 --- $252.59 004 1 0 0.00 $0.00 Y
O 62361 IMP OR REPL OF DEV DRUG INFU. NON-PROG P 1.08 $40.21 --- $50.71 004 1 0 0.00 $0.00 Y
O 62362 IMP OR REPL OF DEV DRUG INFU W/WO PROG P 1.40 $52.12 --- $65.73 004 1 0 0.00 $0.00 Y
K 62362 IMP OR REPL OF DEV DRUG INFU W/WO PROG P 7.04 $262.10 --- $330.53 004 1 0 0.00 $0.00 Y
K 62365 REMOVAL OF SUBCUTANEOUS RESERVOIR OR PUM 5.81 $216.31 --- $272.78 004 1 0 0.00 $0.00 Y
O 62365 REMOVAL OF SUBCUTANEOUS RESERVOIR OR PUM 1.17 $43.56 --- $54.93 004 1 0 0.00 $0.00 Y
K 62367 ANALYZE SPINE INFUS PUMP 0.59 $21.97 --- $27.70 004 1 0 1.00 $0.00 N
K 62368 ANALYZE SP INF PUMP W/REPROG 0.92 $34.25 --- $43.19 004 1 0 1.00 $0.00 N
K 62369 ANAL SP INF PMP W/REPRG&FILL 0.79 $29.52 --- $37.09 004 1 0 0.00 $0.00 Y
K 62370 ANL SP INF PMP W/MDREPRG&FIL 1.06 $39.44 --- $49.77 004 1 0 0.00 $0.00 Y
K 62380 NDSC DCMPRN 1 NTRSPC LUMBAR 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
O 62380 NDSC DCMPRN 1 NTRSPC LUMBAR 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
O 63001 REMOVE SPINE LAMINA 1/2 CRVL 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
K 63001 REMOVE SPINE LAMINA 1/2 CRVL 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
K 63003 REMOVE SPINE LAMINA 1/2 THRC 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
O 63003 REMOVE SPINE LAMINA 1/2 THRC 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
O 63005 REMOVE SPINE LAMINA 1/2 LMBR 5.20 $193.60 --- $244.14 004 1 0 0.00 $0.00 Y
K 63005 REMOVE SPINE LAMINA 1/2 LMBR 26.00 $967.98 --- $1220.70 004 1 0 0.00 $0.00 Y
K 63011 REMOVE SPINE LAMINA 1/2 SCRL 22.00 $819.06 --- $1032.90 004 1 0 0.00 $0.00 Y
O 63011 REMOVE SPINE LAMINA 1/2 SCRL 4.40 $163.81 --- $206.58 004 1 0 0.00 $0.00 Y
O 63012 REMOVE LAMINA/FACETS LUMBAR 5.60 $208.49 --- $262.92 004 1 0 0.00 $0.00 Y
K 63012 REMOVE LAMINA/FACETS LUMBAR 28.00 $1042.44 --- $1314.60 004 1 0 0.00 $0.00 Y
K 63015 REMOVE SPINE LAMINA >2 CRVCL 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
O 63015 REMOVE SPINE LAMINA >2 CRVCL 1.02 $37.97 --- $47.89 004 1 0 0.00 $0.00 Y
O 63016 REMOVE SPINE LAMINA >2 THRC 6.28 $233.80 --- $294.85 004 1 0 0.00 $0.00 Y
K 63016 REMOVE SPINE LAMINA >2 THRC 31.39 $1168.65 --- $1473.76 004 1 0 0.00 $0.00 Y
K 63017 REMOVE SPINE LAMINA >2 LMBR 27.62 $1028.29 --- $1296.76 004 1 0 0.00 $0.00 Y
O 63017 REMOVE SPINE LAMINA >2 LMBR 5.52 $205.51 --- $259.16 004 1 0 0.00 $0.00 Y
O 63020 NECK SPINE DISK SURGERY 5.20 $193.60 --- -- 004 0 0 0.00 $0.00 Y
K 63020 NECK SPINE DISK SURGERY 26.00 $967.98 --- -- 004 0 0 0.00 $0.00 Y
K 63030 LOW BACK DISK SURGERY 24.00 $893.52 --- -- 004 0 0 0.00 $0.00 Y
O 63030 LOW BACK DISK SURGERY 4.80 $178.70 --- -- 004 0 0 0.00 $0.00 Y
O 63035 SPINAL DISK SURGERY ADD-ON 0.00 $0.00 --- -- 004 0 0 0.00 $0.00 Y
K 63035 SPINAL DISK SURGERY ADD-ON 5.30 $197.32 --- -- 004 0 0 0.00 $0.00 Y
K 63040 LAMINOTOMY SINGLE CERVICAL 28.81 $1072.60 --- $1352.63 004 1 0 0.00 $0.00 Y
O 63040 LAMINOTOMY SINGLE CERVICAL 5.76 $214.44 --- $270.43 004 1 0 0.00 $0.00 Y
O 63042 LAMINOTOMY SINGLE LUMBAR 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 63042 LAMINOTOMY SINGLE LUMBAR 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
K 63043 LAMINOTOMY ADDL CERVICAL 6.95 $258.75 --- $326.30 004 1 0 0.00 $0.00 Y
O 63043 LAMINOTOMY ADDL CERVICAL 1.39 $51.75 --- $65.26 004 1 0 0.00 $0.00 Y
O 63044 LAMINOTOMY ADDL LUMBAR 1.31 $48.77 --- $61.50 004 1 0 0.00 $0.00 Y
K 63044 LAMINOTOMY ADDL LUMBAR 6.57 $244.60 --- $308.46 004 1 0 0.00 $0.00 Y
K 63045 REMOVE SPINE LAMINA 1 CRVL 25.77 $959.42 --- $1209.90 004 1 0 0.00 $0.00 Y
O 63045 REMOVE SPINE LAMINA 1 CRVL 5.15 $191.73 --- $241.79 004 1 0 0.00 $0.00 Y
O 63046 REMOVE SPINE LAMINA 1 THRC 5.34 $198.81 --- $250.71 004 1 0 0.00 $0.00 Y
K 63046 REMOVE SPINE LAMINA 1 THRC 26.72 $994.79 --- $1254.50 004 1 0 0.00 $0.00 Y
K 63047 REMOVE SPINE LAMINA 1 LMBR 24.52 $912.88 --- $1151.21 004 1 0 0.00 $0.00 Y
O 63047 REMOVE SPINE LAMINA 1 LMBR 4.90 $182.43 --- $230.06 004 1 0 0.00 $0.00 Y
O 63048 REMOVE SPINAL LAMINA ADD-ON 1.10 $40.95 --- $51.65 004 1 0 0.00 $0.00 Y
K 63048 REMOVE SPINAL LAMINA ADD-ON 5.52 $205.51 --- $259.16 004 1 0 0.00 $0.00 Y
K 63050 CERVICAL LAMINOPLSTY 2/> SEG 20.54 $764.67 --- $964.35 004 1 0 0.00 $0.00 Y
O 63050 CERVICAL LAMINOPLSTY 2/> SEG 4.11 $152.93 --- $192.96 004 1 0 0.00 $0.00 Y
O 63051 CLAMINOPLASTY W/GRAFT/PLATE 4.70 $174.98 --- $220.67 004 1 0 0.00 $0.00 Y
K 63051 CLAMINOPLASTY W/GRAFT/PLATE 23.48 $874.12 --- $1102.39 004 1 0 0.00 $0.00 Y
K 63055 DECOMPRESS SPINAL CORD THRC 35.45 $1319.80 --- $1664.38 004 1 0 0.00 $0.00 Y
O 63055 DECOMPRESS SPINAL CORD THRC 7.09 $263.96 --- $332.88 004 1 0 0.00 $0.00 Y
O 63056 DECOMPRESS SPINAL CORD LMBR 6.10 $227.10 --- $286.40 004 1 0 0.00 $0.00 Y
K 63056 DECOMPRESS SPINAL CORD LMBR 30.52 $1136.26 --- $1432.91 004 1 0 0.00 $0.00 Y
K 63057 DECOMPRESS SPINE CORD ADD-ON 8.14 $303.05 --- $382.17 004 1 0 0.00 $0.00 Y
O 63057 DECOMPRESS SPINE CORD ADD-ON 1.63 $60.68 --- $76.53 004 1 0 0.00 $0.00 Y
O 63064 DECOMPRESS SPINAL CORD THRC 7.25 $269.92 --- $340.39 004 1 0 0.00 $0.00 Y
K 63064 DECOMPRESS SPINAL CORD THRC 36.24 $1349.22 --- $1701.47 004 1 0 0.00 $0.00 Y
K 63066 DECOMPRESS SPINE CORD ADD-ON 5.25 $195.46 --- $246.49 004 1 0 0.00 $0.00 Y
O 63066 DECOMPRESS SPINE CORD ADD-ON 1.05 $39.09 --- $49.30 004 1 0 0.00 $0.00 Y
O 63075 DISKECTOMY, ANTERIOR, W/DECOM, SINGLE 5.21 $193.97 --- $244.61 004 1 0 0.00 $0.00 Y
K 63075 DISKECTOMY, ANTERIOR, W/DECOM, SINGLE 26.28 $978.40 --- $1233.85 004 1 0 0.00 $0.00 Y
K 63076 NECK SPINE DISK SURGERY 5.63 $209.60 --- $264.33 004 1 0 0.00 $0.00 Y
O 63076 NECK SPINE DISK SURGERY 0.00 $0.00 --- -- 004 1 0 0.00 $0.00 Y
O 63077 SPINE DISK SURGERY THORAX 6.46 $240.51 --- $303.30 004 1 0 0.00 $0.00 Y
K 63077 SPINE DISK SURGERY THORAX 32.29 $1202.16 --- $1516.02 004 1 0 0.00 $0.00 Y
K 63078 SPINE DISK SURGERY THORAX 5.24 $195.09 --- $246.02 004 1 0 0.00 $0.00 Y
O 63078 SPINE DISK SURGERY THORAX 1.05 $39.09 --- $49.30 004 1 0 0.00 $0.00 Y
O 63081 REMOVE VERT BODY DCMPRN CRVL 7.24 $269.55 --- $339.92 004 1 0 0.00 $0.00 Y
K 63081 REMOVE VERT BODY DCMPRN CRVL 36.22 $1348.47 --- $1700.53 004 1 0 0.00 $0.00 Y
K 63082 REMOVE VERTEBRAL BODY ADD-ON 7.28 $271.03 --- $341.80 004 1 0 0.00 $0.00 Y
O 63082 REMOVE VERTEBRAL BODY ADD-ON 1.46 $54.36 --- $68.55 004 1 0 0.00 $0.00 Y
O 63085 REMOVE VERT BODY DCMPRN THRC 8.09 $301.19 --- $379.83 004 1 0 0.00 $0.00 Y
K 63085 REMOVE VERT BODY DCMPRN THRC 40.47 $1506.70 --- $1900.07 004 1 0 0.00 $0.00 Y
K 63086 REMOVE VERTEBRAL BODY ADD-ON 5.43 $202.16 --- $254.94 004 1 0 0.00 $0.00 Y
O 63086 REMOVE VERTEBRAL BODY ADD-ON 1.09 $40.58 --- $51.18 004 1 0 0.00 $0.00 Y
O 63087 REMOV VERTBR DCMPRN THRCLMBR 10.29 $383.10 --- $483.12 004 1 0 0.00 $0.00 Y
K 63087 REMOV VERTBR DCMPRN THRCLMBR 51.45 $1915.48 --- $2415.58 004 1 0 0.00 $0.00 Y
K 63088 REMOVE VERTEBRAL BODY ADD-ON 7.15 $266.19 --- $335.69 004 1 0 0.00 $0.00 Y
O 63088 REMOVE VERTEBRAL BODY ADD-ON 1.43 $53.24 --- $67.14 004 1 0 0.00 $0.00 Y
O 63090 REMOVE VERT BODY DCMPRN LMBR 8.21 $305.66 --- $385.46 004 1 0 0.00 $0.00 Y
K 63090 REMOVE VERT BODY DCMPRN LMBR 41.04 $1527.92 --- $1926.83 004 1 0 0.00 $0.00 Y
K 63091 REMOVE VERTEBRAL BODY ADD-ON 4.84 $180.19 --- $227.24 004 1 0 0.00 $0.00 Y
O 63091 REMOVE VERTEBRAL BODY ADD-ON 0.97 $36.11 --- $45.54 004 1 0 0.00 $0.00 Y
O 63101 REMOVE VERT BODY DCMPRN THRC 5.85 $217.86 --- $274.66 004 1 0 0.00 $0.00 Y
K 63101 REMOVE VERT BODY DCMPRN THRC 29.26 $1089.29 --- $1373.76 004 1 0 0.00 $0.00 Y
K 63102 REMOVE VERT BODY DCMPRN LMBR 29.26 $1089.29 --- $1373.76 004 1 0 0.00 $0.00 Y
O 63102 REMOVE VERT BODY DCMPRN LMBR 5.85 $217.86 --- $274.66 004 1 0 0.00 $0.00 Y
O 63103 REMOVE VERTEBRAL BODY ADDON 0.72 $26.90 --- $33.80 004 1 0 0.00 $0.00 Y
K 63103 REMOVE VERTEBRAL BODY ADDON 3.61 $134.51 --- $169.49 004 1 0 0.00 $0.00 Y
K 63170 LAMINECTOMY WITH MYELOTOMY 30.45 $1133.65 --- $1429.63 004 1 0 0.00 $0.00 Y
O 63170 LAMINECTOMY WITH MYELOTOMY 6.09 $226.73 --- $285.93 004 1 0 0.00 $0.00 Y
O 63172 LAMINECTOMY W/ DRAINAGE OF CYST 5.58 $207.74 --- $261.98 004 1 0 0.00 $0.00 Y
K 63172 LAMINECTOMY W/ DRAINAGE OF CYST 27.89 $1038.34 --- $1309.44 004 1 0 0.00 $0.00 Y
K 63173 DRAINAGE OF SPINAL CYST 33.72 $1255.40 --- $1583.15 004 1 0 0.00 $0.00 Y
O 63173 DRAINAGE OF SPINAL CYST 6.74 $250.93 --- $316.44 004 1 0 0.00 $0.00 Y
O 63180 REVISE SPINAL CORD LIGAMENTS 7.60 $282.95 --- $356.82 004 1 0 0.00 $0.00 Y
K 63180 REVISE SPINAL CORD LIGAMENTS 38.00 $1414.74 --- $1784.10 004 1 0 0.00 $0.00 Y
K 63182 REVISE SPINAL CORD LIGAMENTS 30.74 $1144.45 --- $1443.24 004 1 0 0.00 $0.00 Y
O 63182 REVISE SPINAL CORD LIGAMENTS 6.15 $228.96 --- $288.74 004 1 0 0.00 $0.00 Y
O 63185 INCISE SPINE NRV HALF SEGMNT 5.60 $208.49 --- $262.92 004 1 0 0.00 $0.00 Y
K 63185 INCISE SPINE NRV HALF SEGMNT 28.00 $1042.44 --- $1314.60 004 1 0 0.00 $0.00 Y
K 63190 INCISE SPINE NRV >2 SEGMNTS 27.97 $1041.32 --- $1313.19 004 1 0 0.00 $0.00 Y
O 63190 INCISE SPINE NRV >2 SEGMNTS 5.59 $208.12 --- $262.45 004 1 0 0.00 $0.00 Y
O 63191 INCISE SPINE ACCESSORY NERVE 5.48 $204.02 --- $257.29 004 1 0 0.00 $0.00 Y
K 63191 INCISE SPINE ACCESSORY NERVE 27.42 $1020.85 --- $1287.37 004 1 0 0.00 $0.00 Y
K 63194 INCISE SPINE & CORD CERVICAL 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
O 63194 INCISE SPINE & CORD CERVICAL 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
O 63195 INCISE SPINE & CORD THORACIC 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
K 63195 INCISE SPINE & CORD THORACIC 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
K 63196 INCISE SPINE&CORD 2 TRX CRVL 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
O 63196 INCISE SPINE&CORD 2 TRX CRVL 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
O 63197 INCISE SPINE&CORD 2 TRX THRC 6.40 $238.27 --- $300.48 004 1 0 0.00 $0.00 Y
K 63197 INCISE SPINE&CORD 2 TRX THRC 32.00 $1191.36 --- $1502.40 004 1 0 0.00 $0.00 Y
K 63198 INCISE SPIN&CORD 2 STGS CRVL 40.00 $1489.20 --- $1878.00 004 1 0 0.00 $0.00 Y
O 63198 INCISE SPIN&CORD 2 STGS CRVL 8.00 $297.84 --- $375.60 004 1 0 0.00 $0.00 Y
O 63199 INCISE SPIN&CORD 2 STGS THRC 8.00 $297.84 --- $375.60 004 1 0 0.00 $0.00 Y
K 63199 INCISE SPIN&CORD 2 STGS THRC 40.00 $1489.20 --- $1878.00 004 1 0 0.00 $0.00 Y
K 63200 RELEASE SPINAL CORD LUMBAR 33.45 $1245.34 --- $1570.48 004 1 0 0.00 $0.00 Y
O 63200 RELEASE SPINAL CORD LUMBAR 6.69 $249.07 --- $314.10 004 1 0 0.00 $0.00 Y
O 63250 REVISE SPINAL CORD VSLS CRVL 11.24 $418.47 --- $527.72 004 1 0 0.00 $0.00 Y
K 63250 REVISE SPINAL CORD VSLS CRVL 56.21 $2092.70 --- $2639.06 004 1 0 0.00 $0.00 Y
K 63251 REVISE SPINAL CORD VSLS THRC 58.79 $2188.75 --- $2760.19 004 1 0 0.00 $0.00 Y
O 63251 REVISE SPINAL CORD VSLS THRC 11.76 $437.82 --- $552.13 004 1 0 0.00 $0.00 Y
O 63252 REVISE SPINE CORD VSL THRLMB 12.46 $463.89 --- $585.00 004 1 0 0.00 $0.00 Y
K 63252 REVISE SPINE CORD VSL THRLMB 62.30 $2319.43 --- $2924.99 004 1 0 0.00 $0.00 Y
K 63265 EXCISE INTRASPINL LESION CRV 36.44 $1356.66 --- $1710.86 004 1 0 0.00 $0.00 Y
O 63265 EXCISE INTRASPINL LESION CRV 7.28 $271.03 --- $341.80 004 1 0 0.00 $0.00 Y
O 63266 EXCISE INTRSPINL LESION THRC 7.13 $265.45 --- $334.75 004 1 0 0.00 $0.00 Y
K 63266 EXCISE INTRSPINL LESION THRC 35.66 $1327.62 --- $1674.24 004 1 0 0.00 $0.00 Y
K 63267 EXCISE INTRSPINL LESION LMBR 30.26 $1126.58 --- $1420.71 004 1 0 0.00 $0.00 Y
O 63267 EXCISE INTRSPINL LESION LMBR 6.05 $225.24 --- $284.05 004 1 0 0.00 $0.00 Y
O 63268 EXCISE INTRSPINL LESION SCRL 6.35 $236.41 --- $298.13 004 1 0 0.00 $0.00 Y
K 63268 EXCISE INTRSPINL LESION SCRL 31.75 $1182.05 --- $1490.66 004 1 0 0.00 $0.00 Y
K 63270 EXCISE INTRSPINL LESION CRVL 39.23 $1460.53 --- $1841.85 004 1 0 0.00 $0.00 Y
O 63270 EXCISE INTRSPINL LESION CRVL 7.85 $292.26 --- $368.56 004 1 0 0.00 $0.00 Y
O 63271 EXCISE INTRSPINL LESION THRC 8.49 $316.08 --- $398.61 004 1 0 0.00 $0.00 Y
K 63271 EXCISE INTRSPINL LESION THRC 42.47 $1581.16 --- $1993.97 004 1 0 0.00 $0.00 Y
K 63272 EXCISE INTRSPINL LESION LMBR 36.90 $1373.79 --- $1732.46 004 1 0 0.00 $0.00 Y
O 63272 EXCISE INTRSPINL LESION LMBR 7.38 $274.76 --- $346.49 004 1 0 0.00 $0.00 Y
O 63273 EXCISE INTRSPINL LESION SCRL 7.13 $265.45 --- $334.75 004 1 0 0.00 $0.00 Y
K 63273 EXCISE INTRSPINL LESION SCRL 35.67 $1327.99 --- $1674.71 004 1 0 0.00 $0.00 Y
K 63275 BX/EXC XDRL SPINE LESN CRVL 39.17 $1458.30 --- $1839.03 004 1 0 0.00 $0.00 Y
O 63275 BX/EXC XDRL SPINE LESN CRVL 7.83 $291.51 --- $367.62 004 1 0 0.00 $0.00 Y
O 63276 BX/EXC XDRL SPINE LESN THRC 6.85 $255.03 --- $321.61 004 1 0 0.00 $0.00 Y
K 63276 BX/EXC XDRL SPINE LESN THRC 34.26 $1275.50 --- $1608.51 004 1 0 0.00 $0.00 Y
K 63277 BX/EXC XDRL SPINE LESN LMBR 30.54 $1137.00 --- $1433.85 004 1 0 0.00 $0.00 Y
O 63277 BX/EXC XDRL SPINE LESN LMBR 6.11 $227.48 --- $286.86 004 1 0 0.00 $0.00 Y
O 63278 BX/EXC XDRL SPINE LESN SCRL 6.02 $224.12 --- $282.64 004 1 0 0.00 $0.00 Y
K 63278 BX/EXC XDRL SPINE LESN SCRL 30.12 $1121.37 --- $1414.13 004 1 0 0.00 $0.00 Y
K 63280 BX/EXC IDRL SPINE LESN CRVL 41.35 $1539.46 --- $1941.38 004 1 0 0.00 $0.00 Y
O 63280 BX/EXC IDRL SPINE LESN CRVL 8.27 $307.89 --- $388.28 004 1 0 0.00 $0.00 Y
O 63281 BX/EXC IDRL SPINE LESN THRC 8.16 $303.80 --- $383.11 004 1 0 0.00 $0.00 Y
K 63281 BX/EXC IDRL SPINE LESN THRC 40.81 $1519.36 --- $1916.03 004 1 0 0.00 $0.00 Y
K 63282 BX/EXC IDRL SPINE LESN LMBR 38.66 $1439.31 --- $1815.09 004 1 0 0.00 $0.00 Y
O 63282 BX/EXC IDRL SPINE LESN LMBR 7.73 $287.79 --- $362.92 004 1 0 0.00 $0.00 Y
O 63283 BX/EXC IDRL SPINE LESN SCRL 3.76 $139.98 --- $176.53 004 1 0 0.00 $0.00 Y
K 63283 BX/EXC IDRL SPINE LESN SCRL 18.80 $699.92 --- $882.66 004 1 0 0.00 $0.00 Y