138
ARIZONA PHYSICIANS' FEE SCHEDULE Surgery Codes 2017 Surgery/Radiology Conversion Factor: $82.38 CODE CATEGORY NF RVU FAC RVU RBRVS NF RATE RBRVS FAC RATE The codes listed herein are CPT only copyright 2016 American Medical Association. All rights reserved. 29 10021 00 Surgery 3.47 2.00 $ 285.88 $ 164.77 10022 00 Surgery 4.00 1.88 $ 329.54 $ 154.88 10030 00 Surgery 19.80 4.47 $ 1,631.22 $ 368.26 10035 00 Surgery 15.25 2.57 $ 1,256.37 $ 211.73 10036 00 Surgery 13.19 1.28 $ 1,086.66 $ 105.45 10040 00 Surgery 2.89 2.53 $ 238.09 $ 208.43 10060 00 Surgery 3.33 2.78 $ 274.34 $ 229.03 10061 00 Surgery 5.86 5.13 $ 482.77 $ 422.63 10080 00 Surgery 5.08 2.94 $ 418.51 $ 242.21 10081 00 Surgery 7.63 4.85 $ 628.60 $ 399.57 10120 00 Surgery 4.32 2.95 $ 355.90 $ 243.04 10121 00 Surgery 7.77 5.31 $ 640.13 $ 437.46 10140 00 Surgery 4.63 3.38 $ 381.44 $ 278.46 10160 00 Surgery 3.68 2.74 $ 303.18 $ 225.73 10180 00 Surgery 7.00 5.12 $ 576.69 $ 421.81 11000 00 Surgery 1.54 0.82 $ 126.87 $ 67.56 11001 00 Surgery 0.61 0.41 $ 50.25 $ 33.78 11004 00 Surgery 16.76 16.76 $ 1,380.77 $ 1,380.77 11005 00 Surgery 22.67 22.67 $ 1,867.66 $ 1,867.66 11006 00 Surgery 20.41 20.41 $ 1,681.47 $ 1,681.47 11008 00 Surgery 7.97 7.97 $ 656.61 $ 656.61 11010 00 Surgery 14.37 8.20 $ 1,183.87 $ 675.56 11011 00 Surgery 15.27 8.65 $ 1,258.02 $ 712.63 11012 00 Surgery 20.23 12.30 $ 1,666.64 $ 1,013.33 11042 00 Surgery 3.30 1.77 $ 271.87 $ 145.82 11043 00 Surgery 6.48 4.48 $ 533.85 $ 369.08 11044 00 Surgery 8.94 6.65 $ 736.52 $ 547.86 11045 00 Surgery 1.16 0.75 $ 95.57 $ 61.79 11046 00 Surgery 2.09 1.62 $ 172.18 $ 133.46 11047 00 Surgery 3.55 2.88 $ 292.47 $ 237.27 11055 00 Surgery 1.35 0.46 $ 111.22 $ 37.90 11056 00 Surgery 1.65 0.65 $ 135.93 $ 53.55 11057 00 Surgery 1.85 0.85 $ 152.41 $ 70.03 11100 00 Surgery 2.93 1.41 $ 241.39 $ 116.16 11101 00 Surgery 0.93 0.72 $ 76.62 $ 59.32 11200 00 Surgery 2.51 2.11 $ 206.79 $ 173.83 11201 00 Surgery 0.54 0.48 $ 44.49 $ 39.54 11300 00 Surgery 2.78 1.02 $ 229.03 $ 84.03 11301 00 Surgery 3.42 1.55 $ 281.76 $ 127.70 11302 00 Surgery 4.03 1.82 $ 332.01 $ 149.94 11303 00 Surgery 4.45 2.15 $ 366.61 $ 177.13 11305 00 Surgery 2.81 1.13 $ 231.50 $ 93.09

ARIZONA PHYSICIANS' FEE SCHEDULE Surgery … 00 Surgery 7.05 4.71 $ 580.81 $ 388.03 ... 12035 00 Surgery 10.81 6.91 $ 890.58 $ 569.28 ... 13120 00 Surgery 9.94 6.82 $ 818.90 $ 561.86

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ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

29

10021 00 Surgery 3.47 2.00 $ 285.88 $ 164.77

10022 00 Surgery 4.00 1.88 $ 329.54 $ 154.88

10030 00 Surgery 19.80 4.47 $ 1,631.22 $ 368.26

10035 00 Surgery 15.25 2.57 $ 1,256.37 $ 211.73

10036 00 Surgery 13.19 1.28 $ 1,086.66 $ 105.45

10040 00 Surgery 2.89 2.53 $ 238.09 $ 208.43

10060 00 Surgery 3.33 2.78 $ 274.34 $ 229.03

10061 00 Surgery 5.86 5.13 $ 482.77 $ 422.63

10080 00 Surgery 5.08 2.94 $ 418.51 $ 242.21

10081 00 Surgery 7.63 4.85 $ 628.60 $ 399.57

10120 00 Surgery 4.32 2.95 $ 355.90 $ 243.04

10121 00 Surgery 7.77 5.31 $ 640.13 $ 437.46

10140 00 Surgery 4.63 3.38 $ 381.44 $ 278.46

10160 00 Surgery 3.68 2.74 $ 303.18 $ 225.73

10180 00 Surgery 7.00 5.12 $ 576.69 $ 421.81

11000 00 Surgery 1.54 0.82 $ 126.87 $ 67.56

11001 00 Surgery 0.61 0.41 $ 50.25 $ 33.78

11004 00 Surgery 16.76 16.76 $ 1,380.77 $ 1,380.77

11005 00 Surgery 22.67 22.67 $ 1,867.66 $ 1,867.66

11006 00 Surgery 20.41 20.41 $ 1,681.47 $ 1,681.47

11008 00 Surgery 7.97 7.97 $ 656.61 $ 656.61

11010 00 Surgery 14.37 8.20 $ 1,183.87 $ 675.56

11011 00 Surgery 15.27 8.65 $ 1,258.02 $ 712.63

11012 00 Surgery 20.23 12.30 $ 1,666.64 $ 1,013.33

11042 00 Surgery 3.30 1.77 $ 271.87 $ 145.82

11043 00 Surgery 6.48 4.48 $ 533.85 $ 369.08

11044 00 Surgery 8.94 6.65 $ 736.52 $ 547.86

11045 00 Surgery 1.16 0.75 $ 95.57 $ 61.79

11046 00 Surgery 2.09 1.62 $ 172.18 $ 133.46

11047 00 Surgery 3.55 2.88 $ 292.47 $ 237.27

11055 00 Surgery 1.35 0.46 $ 111.22 $ 37.90

11056 00 Surgery 1.65 0.65 $ 135.93 $ 53.55

11057 00 Surgery 1.85 0.85 $ 152.41 $ 70.03

11100 00 Surgery 2.93 1.41 $ 241.39 $ 116.16

11101 00 Surgery 0.93 0.72 $ 76.62 $ 59.32

11200 00 Surgery 2.51 2.11 $ 206.79 $ 173.83

11201 00 Surgery 0.54 0.48 $ 44.49 $ 39.54

11300 00 Surgery 2.78 1.02 $ 229.03 $ 84.03

11301 00 Surgery 3.42 1.55 $ 281.76 $ 127.70

11302 00 Surgery 4.03 1.82 $ 332.01 $ 149.94

11303 00 Surgery 4.45 2.15 $ 366.61 $ 177.13

11305 00 Surgery 2.81 1.13 $ 231.50 $ 93.09

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

30

11306 00 Surgery 3.48 1.50 $ 286.70 $ 123.58

11307 00 Surgery 4.09 1.93 $ 336.95 $ 159.00

11308 00 Surgery 4.29 2.12 $ 353.43 $ 174.66

11310 00 Surgery 3.24 1.37 $ 266.93 $ 112.87

11311 00 Surgery 3.15 1.89 $ 259.51 $ 155.71

11312 00 Surgery 4.57 2.26 $ 376.50 $ 186.19

11313 00 Surgery 5.30 2.90 $ 436.64 $ 238.92

11400 00 Surgery 3.52 2.31 $ 289.99 $ 190.31

11401 00 Surgery 4.23 2.98 $ 348.49 $ 245.51

11402 00 Surgery 4.71 3.27 $ 388.03 $ 269.40

11403 00 Surgery 5.45 4.23 $ 449.00 $ 348.49

11404 00 Surgery 6.19 4.66 $ 509.96 $ 383.91

11406 00 Surgery 8.92 7.09 $ 734.87 $ 584.11

11420 00 Surgery 3.47 2.34 $ 285.88 $ 192.78

11421 00 Surgery 4.44 3.16 $ 365.79 $ 260.34

11422 00 Surgery 4.98 3.89 $ 410.28 $ 320.48

11423 00 Surgery 5.72 4.50 $ 471.24 $ 370.73

11424 00 Surgery 6.64 5.17 $ 547.03 $ 425.93

11426 00 Surgery 9.49 7.90 $ 781.83 $ 650.84

11440 00 Surgery 3.81 2.94 $ 313.89 $ 242.21

11441 00 Surgery 4.76 3.75 $ 392.15 $ 308.94

11442 00 Surgery 5.33 4.16 $ 439.11 $ 342.72

11443 00 Surgery 6.36 5.11 $ 523.97 $ 420.99

11444 00 Surgery 8.00 6.52 $ 659.08 $ 537.15

11446 00 Surgery 11.11 9.36 $ 915.29 $ 771.12

11450 00 Surgery 10.84 7.25 $ 893.05 $ 597.29

11451 00 Surgery 13.81 9.34 $ 1,137.73 $ 769.47

11462 00 Surgery 10.59 6.93 $ 872.45 $ 570.93

11463 00 Surgery 13.99 9.39 $ 1,152.56 $ 773.59

11470 00 Surgery 11.70 8.05 $ 963.90 $ 663.20

11471 00 Surgery 14.51 10.04 $ 1,195.40 $ 827.14

11600 00 Surgery 5.46 3.43 $ 449.82 $ 282.58

11601 00 Surgery 6.50 4.29 $ 535.50 $ 353.43

11602 00 Surgery 7.05 4.71 $ 580.81 $ 388.03

11603 00 Surgery 8.06 5.65 $ 664.02 $ 465.47

11604 00 Surgery 8.96 6.22 $ 738.17 $ 512.43

11606 00 Surgery 12.82 9.24 $ 1,056.17 $ 761.24

11620 00 Surgery 5.51 3.47 $ 453.94 $ 285.88

11621 00 Surgery 6.54 4.32 $ 538.80 $ 355.90

11622 00 Surgery 7.29 4.95 $ 600.58 $ 407.80

11623 00 Surgery 8.55 6.12 $ 704.39 $ 504.19

11624 00 Surgery 9.65 6.94 $ 795.01 $ 571.75

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

31

11626 00 Surgery 11.61 8.50 $ 956.49 $ 700.27

11640 00 Surgery 5.69 3.59 $ 468.77 $ 295.76

11641 00 Surgery 6.76 4.50 $ 556.92 $ 370.73

11642 00 Surgery 7.72 5.31 $ 636.01 $ 437.46

11643 00 Surgery 9.10 6.65 $ 749.70 $ 547.86

11644 00 Surgery 11.21 8.22 $ 923.53 $ 677.20

11646 00 Surgery 14.66 11.42 $ 1,207.76 $ 940.83

11719 00 Surgery 0.40 0.22 $ 32.95 $ 18.12

11720 00 Surgery 0.91 0.42 $ 74.97 $ 34.60

11721 00 Surgery 1.27 0.71 $ 104.63 $ 58.49

11730 00 Surgery 2.97 1.59 $ 244.68 $ 130.99

11732 00 Surgery 0.90 0.51 $ 74.15 $ 42.02

11740 00 Surgery 1.40 0.93 $ 115.34 $ 76.62

11750 00 Surgery 4.34 3.24 $ 364.14 $ 271.85

11755 00 Surgery 3.77 2.22 $ 310.59 $ 182.89

11760 00 Surgery 5.35 3.28 $ 440.76 $ 270.22

11762 00 Surgery 7.90 5.23 $ 650.84 $ 430.87

11765 00 Surgery 4.74 2.69 $ 390.50 $ 221.62

11770 00 Surgery 7.87 5.31 $ 648.37 $ 437.46

11771 00 Surgery 16.30 12.46 $ 1,342.87 $ 1,026.51

11772 00 Surgery 19.75 16.51 $ 1,627.10 $ 1,360.17

11900 00 Surgery 1.58 0.90 $ 130.17 $ 74.15

11901 00 Surgery 1.99 1.40 $ 163.95 $ 115.34

11920 00 Surgery 4.83 3.27 $ 397.92 $ 269.40

11921 00 Surgery 5.61 3.85 $ 462.57 $ 317.45

11922 00 Surgery 1.74 0.86 $ 235.55 $ 116.42

11950 00 Surgery 2.21 1.53 $ 182.07 $ 126.05

11951 00 Surgery 2.84 2.09 $ 245.25 $ 180.48

11952 00 Surgery 3.54 2.69 $ 416.25 $ 316.30

11954 00 Surgery 4.49 3.31 $ 369.91 $ 272.69

11960 00 Surgery 27.26 27.26 $ 2,245.81 $ 2,245.81

11970 00 Surgery 17.50 17.50 $ 1,441.73 $ 1,441.73

11971 00 Surgery 13.33 9.11 $ 1,098.19 $ 750.53

11976 00 Surgery 4.05 2.70 $ 333.66 $ 222.44

11980 00 Surgery 2.67 1.62 $ 219.97 $ 133.46

11981 00 Surgery 4.01 2.39 $ 330.36 $ 196.90

11982 00 Surgery 4.55 2.90 $ 374.85 $ 238.92

11983 00 Surgery 6.42 5.06 $ 528.91 $ 416.87

12001 00 Surgery 2.54 1.27 $ 209.26 $ 104.63

12002 00 Surgery 3.08 1.68 $ 253.75 $ 138.41

12004 00 Surgery 3.62 2.10 $ 298.23 $ 173.01

12005 00 Surgery 4.57 2.73 $ 376.50 $ 224.91

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

32

12006 00 Surgery 5.40 3.36 $ 444.88 $ 276.81

12007 00 Surgery 6.21 4.21 $ 511.61 $ 346.84

12011 00 Surgery 3.10 1.58 $ 255.39 $ 130.17

12013 00 Surgery 3.23 1.66 $ 266.10 $ 136.76

12014 00 Surgery 3.78 2.14 $ 311.41 $ 176.30

12015 00 Surgery 4.58 2.70 $ 377.32 $ 222.44

12016 00 Surgery 5.79 3.68 $ 477.01 $ 303.18

12017 00 Surgery 4.48 4.48 $ 452.77 $ 452.77

12018 00 Surgery 5.07 5.07 $ 492.75 $ 492.75

12020 00 Surgery 7.96 5.41 $ 655.78 $ 445.70

12021 00 Surgery 4.61 3.94 $ 379.79 $ 324.60

12031 00 Surgery 6.74 4.41 $ 555.27 $ 363.32

12032 00 Surgery 8.61 5.62 $ 709.33 $ 463.00

12034 00 Surgery 8.86 5.98 $ 729.93 $ 492.66

12035 00 Surgery 10.81 6.91 $ 890.58 $ 569.28

12036 00 Surgery 11.96 8.03 $ 985.32 $ 661.55

12037 00 Surgery 13.68 9.47 $ 1,127.02 $ 780.18

12041 00 Surgery 6.73 4.34 $ 554.45 $ 357.55

12042 00 Surgery 8.21 5.79 $ 676.38 $ 477.01

12044 00 Surgery 10.19 6.19 $ 839.50 $ 509.96

12045 00 Surgery 11.37 7.76 $ 936.71 $ 639.31

12046 00 Surgery 13.50 8.90 $ 1,112.19 $ 733.22

12047 00 Surgery 15.57 10.64 $ 1,282.73 $ 876.57

12051 00 Surgery 7.32 4.94 $ 603.06 $ 406.98

12052 00 Surgery 8.35 5.89 $ 687.91 $ 485.25

12053 00 Surgery 9.80 6.28 $ 807.37 $ 517.38

12054 00 Surgery 10.22 6.41 $ 841.97 $ 528.09

12055 00 Surgery 13.24 8.79 $ 1,090.77 $ 724.16

12056 00 Surgery 13.92 9.85 $ 1,146.80 $ 811.49

12057 00 Surgery 15.43 11.28 $ 1,271.20 $ 929.30

13100 00 Surgery 9.50 5.95 $ 782.66 $ 490.19

13101 00 Surgery 11.24 7.32 $ 926.00 $ 603.06

13102 00 Surgery 3.45 2.15 $ 284.23 $ 177.13

13120 00 Surgery 9.94 6.82 $ 818.90 $ 561.86

13121 00 Surgery 12.13 7.73 $ 999.33 $ 636.83

13122 00 Surgery 3.79 2.48 $ 312.24 $ 204.31

13131 00 Surgery 10.95 7.23 $ 902.11 $ 595.64

13132 00 Surgery 13.53 9.11 $ 1,114.67 $ 750.53

13133 00 Surgery 5.09 3.81 $ 419.34 $ 313.89

13151 00 Surgery 12.00 8.31 $ 988.62 $ 684.62

13152 00 Surgery 14.40 10.08 $ 1,186.34 $ 830.44

13153 00 Surgery 5.53 4.10 $ 455.59 $ 337.78

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

33

13160 00 Surgery 23.08 23.08 $ 1,901.44 $ 1,901.44

14000 00 Surgery 17.70 14.45 $ 1,458.21 $ 1,190.46

14001 00 Surgery 22.85 18.90 $ 1,882.49 $ 1,557.07

14020 00 Surgery 19.82 16.35 $ 1,632.87 $ 1,346.99

14021 00 Surgery 24.81 20.71 $ 2,043.97 $ 1,706.19

14040 00 Surgery 21.69 18.21 $ 1,786.93 $ 1,500.23

14041 00 Surgery 26.89 22.46 $ 2,215.33 $ 1,850.36

14060 00 Surgery 22.13 19.40 $ 1,823.17 $ 1,598.26

14061 00 Surgery 28.93 24.03 $ 2,383.39 $ 1,979.71

14301 00 Surgery 30.71 25.44 $ 2,530.04 $ 2,095.87

14302 00 Surgery 6.40 6.40 $ 636.00 $ 636.00

14350 00 Surgery 19.72 19.72 $ 1,624.63 $ 1,624.63

15002 00 Surgery 9.88 6.55 $ 813.96 $ 539.62

15003 00 Surgery 2.15 1.32 $ 177.13 $ 108.75

15004 00 Surgery 11.39 7.78 $ 938.36 $ 640.95

15005 00 Surgery 3.56 2.64 $ 293.29 $ 217.50

15040 00 Surgery 7.22 3.68 $ 594.82 $ 303.18

15050 00 Surgery 15.94 12.73 $ 1,313.21 $ 1,048.76

15100 00 Surgery 24.45 20.58 $ 2,014.31 $ 1,695.48

15101 00 Surgery 5.29 3.21 $ 435.82 $ 264.46

15110 00 Surgery 22.68 19.84 $ 1,868.49 $ 1,634.51

15111 00 Surgery 3.31 2.99 $ 272.69 $ 246.33

15115 00 Surgery 22.87 20.03 $ 1,884.14 $ 1,650.17

15116 00 Surgery 4.68 4.28 $ 385.56 $ 352.61

15120 00 Surgery 24.23 20.06 $ 1,996.18 $ 1,652.64

15121 00 Surgery 5.94 3.85 $ 489.37 $ 317.18

15130 00 Surgery 19.01 16.08 $ 1,566.13 $ 1,324.75

15131 00 Surgery 2.58 2.37 $ 212.55 $ 195.25

15135 00 Surgery 23.94 21.07 $ 1,972.29 $ 1,735.85

15136 00 Surgery 2.48 2.33 $ 204.31 $ 191.96

15150 00 Surgery 19.54 17.95 $ 1,609.80 $ 1,478.81

15151 00 Surgery 3.46 3.20 $ 285.05 $ 263.63

15152 00 Surgery 4.23 3.98 $ 348.49 $ 327.89

15155 00 Surgery 20.49 19.01 $ 1,688.06 $ 1,566.13

15156 00 Surgery 4.68 4.44 $ 385.56 $ 365.79

15157 00 Surgery 5.27 4.93 $ 434.17 $ 406.16

15200 00 Surgery 23.68 19.36 $ 1,950.87 $ 1,594.97

15201 00 Surgery 4.16 2.27 $ 342.72 $ 187.01

15220 00 Surgery 21.96 17.72 $ 1,809.17 $ 1,459.86

15221 00 Surgery 3.88 2.07 $ 319.65 $ 170.54

15240 00 Surgery 26.60 23.09 $ 2,191.43 $ 1,902.26

15241 00 Surgery 5.25 3.22 $ 432.52 $ 265.28

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

34

15260 00 Surgery 28.87 24.78 $ 2,378.45 $ 2,041.49

15261 00 Surgery 6.12 4.05 $ 504.19 $ 333.66

15271 00 Surgery 3.98 2.44 $ 327.89 $ 201.02

15272 00 Surgery 0.77 0.50 $ 63.44 $ 41.19

15273 00 Surgery 8.54 5.87 $ 703.57 $ 483.60

15274 00 Surgery 2.04 1.33 $ 168.06 $ 109.57

15275 00 Surgery 4.23 2.76 $ 348.49 $ 227.38

15276 00 Surgery 0.99 0.73 $ 81.56 $ 60.14

15277 00 Surgery 9.31 6.58 $ 767.00 $ 542.09

15278 00 Surgery 2.44 1.67 $ 201.02 $ 137.58

15570 00 Surgery 26.04 21.17 $ 2,145.30 $ 1,744.09

15572 00 Surgery 25.37 21.52 $ 2,090.10 $ 1,772.92

15574 00 Surgery 25.99 22.04 $ 2,141.18 $ 1,815.76

15576 00 Surgery 22.97 19.31 $ 1,892.38 $ 1,590.85

15600 00 Surgery 9.14 5.92 $ 753.00 $ 487.72

15610 00 Surgery 10.12 6.95 $ 833.73 $ 572.57

15620 00 Surgery 12.42 9.32 $ 1,023.22 $ 767.83

15630 00 Surgery 13.05 9.95 $ 1,075.12 $ 819.73

15650 00 Surgery 14.38 11.01 $ 1,184.69 $ 907.06

15731 00 Surgery 32.10 28.95 $ 2,644.55 $ 2,385.04

15732 00 Surgery 36.59 32.03 $ 3,014.46 $ 2,638.78

15734 00 Surgery 42.95 37.95 $ 3,538.43 $ 3,126.50

15736 00 Surgery 37.69 32.77 $ 3,105.08 $ 2,699.75

15738 00 Surgery 40.00 35.38 $ 3,295.39 $ 2,914.77

15740 00 Surgery 29.03 24.57 $ 2,391.63 $ 2,024.19

15750 00 Surgery 26.37 26.37 $ 2,172.49 $ 2,172.49

15756 00 Surgery 66.81 66.81 $ 5,504.13 $ 5,504.13

15757 00 Surgery 65.88 65.88 $ 5,427.51 $ 5,427.51

15758 00 Surgery 66.07 66.07 $ 5,443.16 $ 5,443.16

15760 00 Surgery 24.31 20.40 $ 2,002.77 $ 1,680.65

15770 00 Surgery 19.19 19.19 $ 1,580.96 $ 1,580.96

15775 00 Surgery 8.56 6.42 $ 705.21 $ 528.91

15776 00 Surgery 13.86 10.11 $ 1,141.85 $ 832.91

15777 00 Surgery 6.23 6.23 $ 513.26 $ 513.26

15780 00 Surgery 24.52 18.60 $ 2,020.07 $ 1,532.36

15781 00 Surgery 15.78 12.42 $ 1,300.03 $ 1,023.22

15782 00 Surgery 18.12 12.80 $ 1,492.81 $ 1,054.53

15783 00 Surgery 13.58 10.62 $ 1,118.79 $ 874.93

15786 00 Surgery 6.96 3.91 $ 573.40 $ 322.12

15787 00 Surgery 1.40 0.49 $ 115.34 $ 40.37

15788 00 Surgery 13.03 7.03 $ 1,073.47 $ 579.16

15789 00 Surgery 15.84 12.19 $ 1,304.97 $ 1,004.27

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

35

15792 00 Surgery 12.39 7.36 $ 1,020.75 $ 606.35

15793 00 Surgery 14.06 10.57 $ 1,158.33 $ 870.81

15819 00 Surgery 22.75 22.75 $ 1,874.25 $ 1,874.25

15820 00 Surgery 16.61 14.96 $ 1,368.41 $ 1,232.48

15821 00 Surgery 17.21 15.47 $ 1,417.84 $ 1,274.49

15822 00 Surgery 12.64 11.11 $ 1,041.34 $ 915.29

15823 00 Surgery 17.21 15.45 $ 1,417.84 $ 1,272.84

15824 00 Surgery 31.77 31.77 $ 2,617.36 $ 2,617.36

15825 00 Surgery 35.74 35.74 $ 2,944.43 $ 2,944.43

15826 00 Surgery 25.81 25.81 $ 2,126.35 $ 2,126.35

15828 00 Surgery 67.51 67.51 $ 5,561.80 $ 5,561.80

15829 00 Surgery 75.45 75.45 $ 6,215.93 $ 6,215.93

15830 00 Surgery 33.77 33.77 $ 2,782.13 $ 2,782.13

15832 00 Surgery 26.28 26.28 $ 2,165.07 $ 2,165.07

15833 00 Surgery 24.54 24.54 $ 2,021.72 $ 2,021.72

15834 00 Surgery 25.49 25.49 $ 2,099.99 $ 2,099.99

15835 00 Surgery 26.24 26.24 $ 2,161.78 $ 2,161.78

15836 00 Surgery 22.62 22.62 $ 1,863.54 $ 1,863.54

15837 00 Surgery 24.37 20.45 $ 2,007.72 $ 1,684.77

15838 00 Surgery 16.30 16.30 $ 1,342.87 $ 1,342.87

15839 00 Surgery 25.15 21.17 $ 2,071.98 $ 1,744.09

15840 00 Surgery 28.84 28.84 $ 2,375.98 $ 2,375.98

15841 00 Surgery 45.72 45.72 $ 3,766.63 $ 3,766.63

15842 00 Surgery 70.13 70.13 $ 5,777.64 $ 5,777.64

15845 00 Surgery 28.59 28.59 $ 2,355.38 $ 2,355.38

15847 00 Surgery 13.90 13.90 $ 1,227.23 $ 1,227.23

15850 00 Surgery 2.51 1.19 $ 206.79 $ 98.04

15851 00 Surgery 2.80 1.31 $ 230.68 $ 107.92

15852 00 Surgery 1.35 1.35 $ 130.97 $ 130.97

15860 00 Surgery 3.17 3.17 $ 261.16 $ 261.16

15876 00 Surgery 19.40 19.40 $ 1,598.26 $ 1,598.26

15877 00 Surgery 19.40 19.40 $ 1,598.26 $ 1,598.26

15878 00 Surgery 19.40 19.40 $ 1,598.26 $ 1,598.26

15879 00 Surgery 19.40 19.40 $ 1,598.26 $ 1,598.26

15920 00 Surgery 17.81 17.81 $ 1,467.27 $ 1,467.27

15922 00 Surgery 22.44 22.44 $ 1,848.71 $ 1,848.71

15931 00 Surgery 19.75 19.75 $ 1,627.10 $ 1,627.10

15933 00 Surgery 24.26 24.26 $ 1,998.65 $ 1,998.65

15934 00 Surgery 26.78 26.78 $ 2,206.26 $ 2,206.26

15935 00 Surgery 31.69 31.69 $ 2,610.77 $ 2,610.77

15936 00 Surgery 25.58 25.58 $ 2,107.40 $ 2,107.40

15937 00 Surgery 29.63 29.63 $ 2,441.06 $ 2,441.06

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

36

15940 00 Surgery 20.09 20.09 $ 1,655.11 $ 1,655.11

15941 00 Surgery 25.77 25.77 $ 2,123.06 $ 2,123.06

15944 00 Surgery 25.53 25.53 $ 2,103.28 $ 2,103.28

15945 00 Surgery 28.20 28.20 $ 2,323.25 $ 2,323.25

15946 00 Surgery 47.00 47.00 $ 3,872.08 $ 3,872.08

15950 00 Surgery 16.98 16.98 $ 1,398.89 $ 1,398.89

15951 00 Surgery 24.92 24.92 $ 2,053.03 $ 2,053.03

15952 00 Surgery 25.78 25.78 $ 2,123.88 $ 2,123.88

15953 00 Surgery 28.57 28.57 $ 2,353.73 $ 2,353.73

15956 00 Surgery 33.00 33.00 $ 2,718.70 $ 2,718.70

15958 00 Surgery 33.67 33.67 $ 2,773.90 $ 2,773.90

15999 00 Surgery - - BR BR

16000 00 Surgery 1.96 1.32 $ 161.47 $ 108.75

16020 00 Surgery 2.32 1.55 $ 191.13 $ 127.70

16025 00 Surgery 4.19 3.20 $ 345.19 $ 263.63

16030 00 Surgery 5.28 3.85 $ 434.99 $ 317.18

16035 00 Surgery 5.60 5.60 $ 461.35 $ 461.35

16036 00 Surgery 2.35 2.35 $ 193.60 $ 193.60

17000 00 Surgery 1.89 1.52 $ 155.71 $ 125.22

17003 00 Surgery 0.16 0.07 $ 14.25 $ 6.23

17004 00 Surgery 4.26 2.86 $ 350.96 $ 235.62

17106 00 Surgery 9.75 7.96 $ 803.25 $ 655.78

17107 00 Surgery 12.31 9.94 $ 1,014.16 $ 818.90

17108 00 Surgery 18.32 15.21 $ 1,509.29 $ 1,253.07

17110 00 Surgery 3.14 2.00 $ 258.69 $ 164.77

17111 00 Surgery 3.73 2.46 $ 307.30 $ 202.67

17250 00 Surgery 2.24 1.06 $ 184.54 $ 87.33

17260 00 Surgery 2.69 2.02 $ 221.62 $ 166.42

17261 00 Surgery 4.06 2.63 $ 334.48 $ 216.67

17262 00 Surgery 4.96 3.35 $ 408.63 $ 275.99

17263 00 Surgery 5.42 3.71 $ 446.53 $ 305.65

17264 00 Surgery 5.79 3.95 $ 477.01 $ 325.42

17266 00 Surgery 6.60 4.65 $ 543.74 $ 383.09

17270 00 Surgery 4.27 2.88 $ 351.78 $ 237.27

17271 00 Surgery 4.63 3.19 $ 381.44 $ 262.81

17272 00 Surgery 5.28 3.67 $ 434.99 $ 302.35

17273 00 Surgery 5.90 4.16 $ 486.07 $ 342.72

17274 00 Surgery 6.98 5.09 $ 575.05 $ 419.34

17276 00 Surgery 8.06 6.08 $ 664.02 $ 500.90

17280 00 Surgery 4.00 2.62 $ 329.54 $ 215.85

17281 00 Surgery 5.05 3.60 $ 416.04 $ 296.59

17282 00 Surgery 5.80 4.14 $ 477.83 $ 341.07

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

37

17283 00 Surgery 6.95 5.18 $ 572.57 $ 426.75

17284 00 Surgery 7.94 6.05 $ 654.14 $ 498.43

17286 00 Surgery 10.18 8.11 $ 838.68 $ 668.14

17311 00 Surgery 18.79 10.94 $ 1,548.01 $ 901.29

17312 00 Surgery 11.04 5.82 $ 909.53 $ 479.48

17313 00 Surgery 17.56 9.81 $ 1,446.68 $ 808.19

17314 00 Surgery 10.59 5.40 $ 872.45 $ 444.88

17315 00 Surgery 2.28 1.54 $ 187.84 $ 126.87

17340 00 Surgery 1.47 1.40 $ 121.11 $ 115.34

17360 00 Surgery 3.65 2.83 $ 300.70 $ 233.15

17380 00 Surgery 2.15 2.15 $ 177.13 $ 177.13

17999 00 Surgery - - BR BR

19000 00 Surgery 3.20 1.26 $ 263.63 $ 103.80

19001 00 Surgery 0.77 0.63 $ 63.44 $ 51.90

19020 00 Surgery 13.44 8.78 $ 1,107.25 $ 723.34

19030 00 Surgery 4.69 2.25 $ 386.38 $ 185.37

19081 00 Surgery 19.64 4.89 $ 1,618.04 $ 402.86

19082 00 Surgery 16.21 2.46 $ 1,335.46 $ 202.67

19083 00 Surgery 19.05 4.60 $ 1,569.43 $ 378.97

19084 00 Surgery 15.58 2.29 $ 1,283.55 $ 188.66

19085 00 Surgery 28.94 5.37 $ 2,384.22 $ 442.41

19086 00 Surgery 23.15 2.67 $ 1,907.21 $ 219.97

19100 00 Surgery 4.28 2.02 $ 352.61 $ 166.42

19101 00 Surgery 9.70 6.36 $ 799.13 $ 523.97

19105 00 Surgery 66.54 5.78 $ 5,481.88 $ 476.18

19110 00 Surgery 13.81 9.83 $ 1,137.73 $ 809.84

19112 00 Surgery 13.08 8.97 $ 1,077.59 $ 738.99

19120 00 Surgery 14.09 11.88 $ 1,160.80 $ 978.73

19125 00 Surgery 15.62 13.19 $ 1,286.85 $ 1,086.66

19126 00 Surgery 4.68 4.68 $ 385.56 $ 385.56

19260 00 Surgery 34.62 34.62 $ 2,852.16 $ 2,852.16

19271 00 Surgery 46.78 46.78 $ 3,853.96 $ 3,853.96

19272 00 Surgery 51.20 51.20 $ 4,218.10 $ 4,218.10

19281 00 Surgery 6.82 2.93 $ 561.86 $ 241.39

19282 00 Surgery 4.73 1.47 $ 389.68 $ 121.11

19283 00 Surgery 7.70 2.96 $ 634.36 $ 243.86

19284 00 Surgery 5.79 1.49 $ 477.01 $ 122.75

19285 00 Surgery 14.67 2.51 $ 1,208.58 $ 206.79

19286 00 Surgery 12.79 1.26 $ 1,053.70 $ 103.80

19287 00 Surgery 24.55 3.75 $ 2,022.55 $ 308.94

19288 00 Surgery 19.75 1.87 $ 1,627.10 $ 154.06

19296 00 Surgery 111.95 6.09 $ 9,222.97 $ 501.72

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

38

19297 00 Surgery 2.75 2.75 $ 226.56 $ 226.56

19298 00 Surgery 27.82 9.07 $ 2,291.94 $ 747.23

19300 00 Surgery 14.92 11.85 $ 1,229.18 $ 976.26

19301 00 Surgery 18.77 18.77 $ 1,546.36 $ 1,546.36

19302 00 Surgery 25.90 25.90 $ 2,133.77 $ 2,133.77

19303 00 Surgery 29.09 29.09 $ 2,396.57 $ 2,396.57

19304 00 Surgery 16.57 16.57 $ 1,365.12 $ 1,365.12

19305 00 Surgery 32.52 32.52 $ 2,679.15 $ 2,679.15

19306 00 Surgery 34.14 34.14 $ 2,812.62 $ 2,812.62

19307 00 Surgery 34.44 34.44 $ 2,837.33 $ 2,837.33

19316 00 Surgery 22.16 22.16 $ 1,825.65 $ 1,825.65

19318 00 Surgery 31.73 31.73 $ 2,614.07 $ 2,614.07

19324 00 Surgery 14.20 14.20 $ 1,169.86 $ 1,169.86

19325 00 Surgery 18.45 18.45 $ 1,520.00 $ 1,520.00

19328 00 Surgery 14.22 14.22 $ 1,171.51 $ 1,171.51

19330 00 Surgery 18.21 18.21 $ 1,500.23 $ 1,500.23

19340 00 Surgery 28.87 28.87 $ 2,378.45 $ 2,378.45

19342 00 Surgery 26.52 26.52 $ 2,184.84 $ 2,184.84

19350 00 Surgery 23.53 19.36 $ 1,938.51 $ 1,594.97

19355 00 Surgery 19.93 16.39 $ 1,641.93 $ 1,350.29

19357 00 Surgery 43.27 43.27 $ 3,564.79 $ 3,564.79

19361 00 Surgery 45.39 45.39 $ 3,739.44 $ 3,739.44

19364 00 Surgery 79.46 79.46 $ 6,546.29 $ 6,546.29

19366 00 Surgery 40.65 40.65 $ 3,348.94 $ 3,348.94

19367 00 Surgery 51.52 51.52 $ 4,244.46 $ 4,244.46

19368 00 Surgery 63.50 63.50 $ 5,231.43 $ 5,231.43

19369 00 Surgery 58.42 58.42 $ 4,812.92 $ 4,812.92

19370 00 Surgery 19.72 19.72 $ 1,624.63 $ 1,624.63

19371 00 Surgery 22.54 22.54 $ 1,856.95 $ 1,856.95

19380 00 Surgery 22.24 22.24 $ 1,832.24 $ 1,832.24

19396 00 Surgery 8.32 4.21 $ 685.44 $ 346.84

19499 00 Surgery - - BR BR

20005 00 Surgery 8.88 6.74 $ 731.58 $ 555.27

20100 00 Surgery 17.51 17.51 $ 1,442.56 $ 1,442.56

20101 00 Surgery 12.70 6.01 $ 1,046.29 $ 495.13

20102 00 Surgery 13.85 7.34 $ 1,141.03 $ 604.70

20103 00 Surgery 16.60 10.03 $ 1,367.59 $ 826.32

20150 00 Surgery 27.19 27.19 $ 2,240.04 $ 2,240.04

20200 00 Surgery 5.90 2.76 $ 486.07 $ 227.38

20205 00 Surgery 8.24 4.51 $ 678.85 $ 371.56

20206 00 Surgery 6.68 1.71 $ 550.33 $ 140.88

20220 00 Surgery 4.77 2.08 $ 392.98 $ 171.36

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

39

20225 00 Surgery 14.81 3.13 $ 1,220.12 $ 257.86

20240 00 Surgery 4.41 4.41 $ 373.13 $ 373.13

20245 00 Surgery 10.21 10.21 $ 841.15 $ 841.15

20250 00 Surgery 11.20 11.20 $ 922.71 $ 922.71

20251 00 Surgery 12.26 12.26 $ 1,010.04 $ 1,010.04

20500 00 Surgery 2.93 2.40 $ 241.39 $ 197.72

20501 00 Surgery 3.35 1.10 $ 275.99 $ 90.62

20520 00 Surgery 5.80 4.20 $ 477.83 $ 346.02

20525 00 Surgery 13.61 7.12 $ 1,121.26 $ 586.58

20526 00 Surgery 2.20 1.66 $ 181.25 $ 136.76

20527 00 Surgery 2.40 1.92 $ 197.72 $ 158.18

20550 00 Surgery 1.50 1.13 $ 123.58 $ 93.09

20551 00 Surgery 1.72 1.22 $ 141.70 $ 100.51

20552 00 Surgery 1.57 1.09 $ 129.34 $ 89.80

20553 00 Surgery 1.81 1.24 $ 149.12 $ 102.16

20555 00 Surgery 9.40 9.40 $ 774.42 $ 774.42

20600 00 Surgery 1.36 1.02 $ 112.04 $ 84.03

20604 00 Surgery 2.06 1.34 $ 169.71 $ 110.40

20605 00 Surgery 1.43 1.07 $ 117.81 $ 88.15

20606 00 Surgery 2.28 1.52 $ 187.84 $ 125.22

20610 00 Surgery 1.72 1.33 $ 141.70 $ 109.57

20611 00 Surgery 2.59 1.77 $ 213.38 $ 145.82

20612 00 Surgery 1.72 1.20 $ 141.70 $ 98.86

20615 00 Surgery 6.87 4.65 $ 565.98 $ 383.09

20650 00 Surgery 5.95 4.53 $ 490.19 $ 373.20

20660 00 Surgery 7.14 7.14 $ 588.23 $ 588.23

20661 00 Surgery 14.55 14.55 $ 1,198.70 $ 1,198.70

20662 00 Surgery 12.47 12.47 $ 1,027.34 $ 1,027.34

20663 00 Surgery 13.02 13.02 $ 1,072.65 $ 1,072.65

20664 00 Surgery 25.34 25.34 $ 2,087.63 $ 2,087.63

20665 00 Surgery 3.02 2.60 $ 248.80 $ 214.20

20670 00 Surgery 10.78 4.22 $ 888.11 $ 347.66

20680 00 Surgery 17.62 12.16 $ 1,451.62 $ 1,001.80

20690 00 Surgery 17.12 17.12 $ 1,410.43 $ 1,410.43

20692 00 Surgery 32.19 32.19 $ 2,651.97 $ 2,651.97

20693 00 Surgery 12.75 12.75 $ 1,050.41 $ 1,050.41

20694 00 Surgery 12.12 9.70 $ 998.50 $ 799.13

20696 00 Surgery 34.77 34.77 $ 2,864.52 $ 2,864.52

20697 00 Surgery 59.73 59.73 $ 4,920.84 $ 4,920.84

20802 00 Surgery 79.74 79.74 $ 6,569.36 $ 6,569.36

20805 00 Surgery 90.14 90.14 $ 7,426.16 $ 7,426.16

20808 00 Surgery 115.33 115.33 $ 9,501.44 $ 9,501.44

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

40

20816 00 Surgery 60.77 60.77 $ 5,006.52 $ 5,006.52

20822 00 Surgery 51.65 51.65 $ 4,255.17 $ 4,255.17

20824 00 Surgery 56.32 56.32 $ 4,639.91 $ 4,639.91

20827 00 Surgery 52.96 52.96 $ 4,363.10 $ 4,363.10

20838 00 Surgery 77.70 77.70 $ 6,401.30 $ 6,401.30

20900 00 Surgery 11.86 5.46 $ 977.08 $ 449.82

20902 00 Surgery 8.24 8.24 $ 678.85 $ 678.85

20910 00 Surgery 12.98 12.98 $ 1,069.35 $ 1,069.35

20912 00 Surgery 13.68 13.68 $ 1,127.02 $ 1,127.02

20920 00 Surgery 11.32 11.32 $ 932.60 $ 932.60

20922 00 Surgery 16.88 14.06 $ 1,390.65 $ 1,158.33

20924 00 Surgery 14.57 14.57 $ 1,200.35 $ 1,200.35

20926 00 Surgery 12.15 12.15 $ 1,000.97 $ 1,000.97

20930 00 Surgery 3.50 3.50 $ 288.35 $ 288.35

20931 00 Surgery 3.29 3.29 $ 271.05 $ 271.05

20936 00 Surgery 3.68 3.68 $ 303.18 $ 303.18

20937 00 Surgery 4.90 4.90 $ 403.69 $ 403.69

20938 00 Surgery 5.42 5.42 $ 446.53 $ 446.53

20950 00 Surgery 7.15 2.62 $ 589.05 $ 215.85

20955 00 Surgery 72.24 72.24 $ 5,951.48 $ 5,951.48

20956 00 Surgery 76.71 76.71 $ 6,319.74 $ 6,319.74

20957 00 Surgery 65.50 65.50 $ 5,396.20 $ 5,396.20

20962 00 Surgery 62.02 62.02 $ 5,109.50 $ 5,109.50

20969 00 Surgery 79.63 79.63 $ 6,560.30 $ 6,560.30

20970 00 Surgery 83.05 83.05 $ 6,842.05 $ 6,842.05

20972 00 Surgery 69.59 69.59 $ 5,733.16 $ 5,733.16

20973 00 Surgery 71.36 71.36 $ 5,878.98 $ 5,878.98

20974 00 Surgery 2.20 1.46 $ 232.07 $ 154.01

20975 00 Surgery 5.16 5.16 $ 425.11 $ 425.11

20979 00 Surgery 1.48 0.93 $ 121.93 $ 76.62

20982 00 Surgery 48.38 10.66 $ 5,163.45 $ 1,137.71

20983 00 Surgery 178.44 10.69 $ 14,700.74 $ 880.69

20985 00 Surgery 4.26 4.26 $ 350.96 $ 350.96

20999 00 Surgery - - BR BR

21010 00 Surgery 21.78 21.78 $ 1,794.34 $ 1,794.34

21011 00 Surgery 9.93 7.45 $ 818.08 $ 613.77

21012 00 Surgery 9.75 9.75 $ 803.25 $ 803.25

21013 00 Surgery 14.82 11.54 $ 1,220.94 $ 950.72

21014 00 Surgery 15.00 15.00 $ 1,235.77 $ 1,235.77

21015 00 Surgery 20.35 20.35 $ 1,676.53 $ 1,676.53

21016 00 Surgery 29.38 29.38 $ 2,420.46 $ 2,420.46

21025 00 Surgery 25.67 21.76 $ 2,114.82 $ 1,792.69

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

41

21026 00 Surgery 17.80 14.45 $ 1,466.45 $ 1,190.46

21029 00 Surgery 22.10 18.44 $ 1,820.70 $ 1,519.18

21030 00 Surgery 14.96 12.10 $ 1,232.48 $ 996.86

21031 00 Surgery 11.40 8.57 $ 939.19 $ 706.04

21032 00 Surgery 11.53 8.45 $ 949.90 $ 696.15

21034 00 Surgery 37.88 33.47 $ 3,120.74 $ 2,757.42

21040 00 Surgery 15.06 12.11 $ 1,240.71 $ 997.68

21044 00 Surgery 25.24 25.24 $ 2,079.39 $ 2,079.39

21045 00 Surgery 35.34 35.34 $ 2,911.48 $ 2,911.48

21046 00 Surgery 32.36 32.36 $ 2,665.97 $ 2,665.97

21047 00 Surgery 38.04 38.04 $ 3,133.92 $ 3,133.92

21048 00 Surgery 33.20 33.20 $ 2,735.17 $ 2,735.17

21049 00 Surgery 34.78 34.78 $ 2,865.34 $ 2,865.34

21050 00 Surgery 24.02 24.02 $ 1,978.88 $ 1,978.88

21060 00 Surgery 23.13 23.13 $ 1,905.56 $ 1,905.56

21070 00 Surgery 17.51 17.51 $ 1,442.56 $ 1,442.56

21073 00 Surgery 11.45 7.41 $ 943.31 $ 610.47

21076 00 Surgery 28.68 24.08 $ 2,362.80 $ 1,983.83

21077 00 Surgery 72.43 61.01 $ 5,967.13 $ 5,026.29

21079 00 Surgery 48.80 40.65 $ 4,020.38 $ 3,348.94

21080 00 Surgery 54.81 45.27 $ 4,515.51 $ 3,729.56

21081 00 Surgery 50.55 41.64 $ 4,164.55 $ 3,430.50

21082 00 Surgery 47.66 38.82 $ 3,926.46 $ 3,198.18

21083 00 Surgery 45.48 36.14 $ 3,746.86 $ 2,977.39

21084 00 Surgery 52.14 41.87 $ 4,295.54 $ 3,449.45

21085 00 Surgery 21.87 16.44 $ 1,801.75 $ 1,354.41

21086 00 Surgery 53.82 45.17 $ 4,433.95 $ 3,721.32

21087 00 Surgery 53.54 44.84 $ 4,410.88 $ 3,694.13

21088 00 Surgery 20.21 20.21 $ 1,665.39 $ 1,665.39

21089 00 Surgery - - BR BR

21100 00 Surgery 23.90 11.69 $ 1,969.00 $ 963.08

21110 00 Surgery 23.15 19.44 $ 1,907.21 $ 1,601.56

21116 00 Surgery 4.19 1.28 $ 345.19 $ 105.45

21120 00 Surgery 17.21 13.74 $ 1,417.84 $ 1,131.97

21121 00 Surgery 23.19 19.44 $ 1,910.50 $ 1,601.56

21122 00 Surgery 19.00 19.00 $ 1,565.31 $ 1,565.31

21123 00 Surgery 26.07 26.07 $ 2,147.77 $ 2,147.77

21125 00 Surgery 91.51 21.23 $ 7,539.03 $ 1,749.03

21127 00 Surgery 125.23 25.74 $ 10,317.04 $ 2,120.58

21137 00 Surgery 20.00 20.00 $ 1,647.70 $ 1,647.70

21138 00 Surgery 26.49 26.49 $ 2,182.37 $ 2,182.37

21139 00 Surgery 31.21 31.21 $ 2,571.23 $ 2,571.23

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

42

21141 00 Surgery 39.24 39.24 $ 3,232.78 $ 3,232.78

21142 00 Surgery 41.59 41.59 $ 3,426.38 $ 3,426.38

21143 00 Surgery 42.32 42.32 $ 3,486.52 $ 3,486.52

21145 00 Surgery 46.24 46.24 $ 3,809.47 $ 3,809.47

21146 00 Surgery 48.17 48.17 $ 3,968.47 $ 3,968.47

21147 00 Surgery 48.53 48.53 $ 3,998.13 $ 3,998.13

21150 00 Surgery 50.14 50.14 $ 4,130.77 $ 4,130.77

21151 00 Surgery 58.12 58.12 $ 4,788.20 $ 4,788.20

21154 00 Surgery 54.35 54.35 $ 4,477.61 $ 4,477.61

21155 00 Surgery 60.31 60.31 $ 4,968.63 $ 4,968.63

21159 00 Surgery 75.73 75.73 $ 6,239.00 $ 6,239.00

21160 00 Surgery 78.49 78.49 $ 6,466.38 $ 6,466.38

21172 00 Surgery 59.50 59.50 $ 4,901.89 $ 4,901.89

21175 00 Surgery 60.89 60.89 $ 5,016.41 $ 5,016.41

21179 00 Surgery 39.33 39.33 $ 3,240.19 $ 3,240.19

21180 00 Surgery 45.86 45.86 $ 3,778.17 $ 3,778.17

21181 00 Surgery 21.32 21.32 $ 1,756.44 $ 1,756.44

21182 00 Surgery 57.06 57.06 $ 4,700.87 $ 4,700.87

21183 00 Surgery 64.31 64.31 $ 5,298.16 $ 5,298.16

21184 00 Surgery 78.72 78.72 $ 6,485.33 $ 6,485.33

21188 00 Surgery 47.07 47.07 $ 3,877.85 $ 3,877.85

21193 00 Surgery 34.03 34.03 $ 2,803.55 $ 2,803.55

21194 00 Surgery 42.73 42.73 $ 3,520.30 $ 3,520.30

21195 00 Surgery 38.05 38.05 $ 3,134.74 $ 3,134.74

21196 00 Surgery 42.93 42.93 $ 3,536.78 $ 3,536.78

21198 00 Surgery 33.77 33.77 $ 2,782.13 $ 2,782.13

21199 00 Surgery 29.17 29.17 $ 2,403.16 $ 2,403.16

21206 00 Surgery 35.18 35.18 $ 2,898.30 $ 2,898.30

21208 00 Surgery 52.89 24.30 $ 4,357.33 $ 2,001.95

21209 00 Surgery 23.36 17.84 $ 1,924.51 $ 1,469.74

21210 00 Surgery 65.20 25.10 $ 5,371.49 $ 2,067.86

21215 00 Surgery 114.90 26.12 $ 9,466.01 $ 2,151.89

21230 00 Surgery 21.46 21.46 $ 1,767.98 $ 1,767.98

21235 00 Surgery 20.74 16.29 $ 1,708.66 $ 1,342.05

21240 00 Surgery 32.43 32.43 $ 2,671.74 $ 2,671.74

21242 00 Surgery 29.84 29.84 $ 2,458.36 $ 2,458.36

21243 00 Surgery 49.52 49.52 $ 4,079.69 $ 4,079.69

21244 00 Surgery 30.70 30.70 $ 2,529.21 $ 2,529.21

21245 00 Surgery 31.63 25.41 $ 2,605.83 $ 2,093.40

21246 00 Surgery 25.53 25.53 $ 2,103.28 $ 2,103.28

21247 00 Surgery 44.24 44.24 $ 3,644.70 $ 3,644.70

21248 00 Surgery 32.04 26.28 $ 2,639.61 $ 2,165.07

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

43

21249 00 Surgery 43.67 37.15 $ 3,597.74 $ 3,060.59

21255 00 Surgery 39.97 39.97 $ 3,292.92 $ 3,292.92

21256 00 Surgery 34.64 34.64 $ 2,853.81 $ 2,853.81

21260 00 Surgery 35.98 35.98 $ 2,964.20 $ 2,964.20

21261 00 Surgery 60.82 60.82 $ 5,010.64 $ 5,010.64

21263 00 Surgery 56.17 56.17 $ 4,627.55 $ 4,627.55

21267 00 Surgery 45.60 45.60 $ 3,756.75 $ 3,756.75

21268 00 Surgery 50.19 50.19 $ 4,134.89 $ 4,134.89

21270 00 Surgery 27.75 20.89 $ 2,286.18 $ 1,721.02

21275 00 Surgery 24.15 24.15 $ 1,989.59 $ 1,989.59

21280 00 Surgery 16.26 16.26 $ 1,339.58 $ 1,339.58

21282 00 Surgery 10.87 10.87 $ 895.52 $ 895.52

21295 00 Surgery 5.33 5.33 $ 459.83 $ 459.83

21296 00 Surgery 12.75 12.75 $ 1,050.41 $ 1,050.41

21299 00 Surgery - - BR BR

21310 00 Surgery 3.77 0.78 $ 310.59 $ 64.26

21315 00 Surgery 7.86 4.34 $ 647.54 $ 357.55

21320 00 Surgery 7.29 3.87 $ 600.58 $ 318.83

21325 00 Surgery 13.57 13.57 $ 1,117.96 $ 1,117.96

21330 00 Surgery 16.41 16.41 $ 1,351.93 $ 1,351.93

21335 00 Surgery 20.74 20.74 $ 1,708.66 $ 1,708.66

21336 00 Surgery 18.49 18.49 $ 1,523.29 $ 1,523.29

21337 00 Surgery 11.54 8.47 $ 950.72 $ 697.80

21338 00 Surgery 21.59 21.59 $ 1,778.69 $ 1,778.69

21339 00 Surgery 24.33 24.33 $ 2,004.42 $ 2,004.42

21340 00 Surgery 23.02 23.02 $ 1,896.50 $ 1,896.50

21343 00 Surgery 34.98 34.98 $ 2,881.82 $ 2,881.82

21344 00 Surgery 40.03 40.03 $ 3,297.86 $ 3,297.86

21345 00 Surgery 23.08 18.60 $ 1,901.44 $ 1,532.36

21346 00 Surgery 26.02 26.02 $ 2,143.65 $ 2,143.65

21347 00 Surgery 32.75 32.75 $ 2,698.10 $ 2,698.10

21348 00 Surgery 34.62 34.62 $ 2,852.16 $ 2,852.16

21355 00 Surgery 12.88 9.60 $ 1,061.12 $ 790.89

21356 00 Surgery 14.37 10.87 $ 1,183.87 $ 895.52

21360 00 Surgery 15.53 15.53 $ 1,279.44 $ 1,279.44

21365 00 Surgery 32.06 32.06 $ 2,641.26 $ 2,641.26

21366 00 Surgery 32.60 32.60 $ 2,685.74 $ 2,685.74

21385 00 Surgery 19.46 19.46 $ 1,603.21 $ 1,603.21

21386 00 Surgery 19.99 19.99 $ 1,646.87 $ 1,646.87

21387 00 Surgery 20.35 20.35 $ 1,676.53 $ 1,676.53

21390 00 Surgery 22.85 22.85 $ 1,882.49 $ 1,882.49

21395 00 Surgery 29.13 29.13 $ 2,399.87 $ 2,399.87

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

44

21400 00 Surgery 5.50 4.48 $ 453.12 $ 369.08

21401 00 Surgery 13.91 8.75 $ 1,145.97 $ 720.87

21406 00 Surgery 16.43 16.43 $ 1,353.58 $ 1,353.58

21407 00 Surgery 18.57 18.57 $ 1,529.89 $ 1,529.89

21408 00 Surgery 25.70 25.70 $ 2,117.29 $ 2,117.29

21421 00 Surgery 24.29 20.12 $ 2,001.13 $ 1,657.58

21422 00 Surgery 19.50 19.50 $ 1,606.50 $ 1,606.50

21423 00 Surgery 22.75 22.75 $ 1,874.25 $ 1,874.25

21431 00 Surgery 21.12 21.12 $ 1,739.97 $ 1,739.97

21432 00 Surgery 19.59 19.59 $ 1,613.92 $ 1,613.92

21433 00 Surgery 50.13 50.13 $ 4,129.95 $ 4,129.95

21435 00 Surgery 36.60 36.60 $ 3,015.28 $ 3,015.28

21436 00 Surgery 54.74 54.74 $ 4,509.74 $ 4,509.74

21440 00 Surgery 16.63 13.53 $ 1,370.06 $ 1,114.67

21445 00 Surgery 22.09 18.02 $ 1,819.88 $ 1,484.57

21450 00 Surgery 17.76 14.25 $ 1,463.15 $ 1,173.98

21451 00 Surgery 23.62 19.49 $ 1,945.93 $ 1,605.68

21452 00 Surgery 16.38 9.69 $ 1,349.46 $ 798.31

21453 00 Surgery 26.24 22.51 $ 2,161.78 $ 1,854.48

21454 00 Surgery 16.64 16.64 $ 1,370.88 $ 1,370.88

21461 00 Surgery 61.33 27.10 $ 5,052.66 $ 2,232.63

21462 00 Surgery 65.21 30.23 $ 5,372.31 $ 2,490.49

21465 00 Surgery 27.13 27.13 $ 2,235.10 $ 2,235.10

21470 00 Surgery 34.84 34.84 $ 2,870.29 $ 2,870.29

21480 00 Surgery 2.81 0.92 $ 231.50 $ 75.79

21485 00 Surgery 20.08 16.83 $ 1,654.29 $ 1,386.54

21490 00 Surgery 26.48 26.48 $ 2,181.55 $ 2,181.55

21497 00 Surgery 21.28 17.71 $ 1,753.15 $ 1,459.03

21499 00 Surgery - - BR BR

21501 00 Surgery 12.91 9.21 $ 1,063.59 $ 758.76

21502 00 Surgery 14.61 14.61 $ 1,203.64 $ 1,203.64

21510 00 Surgery 12.86 12.86 $ 1,059.47 $ 1,059.47

21550 00 Surgery 7.49 4.54 $ 617.06 $ 374.03

21552 00 Surgery 12.85 12.85 $ 1,058.64 $ 1,058.64

21554 00 Surgery 21.07 21.07 $ 1,735.85 $ 1,735.85

21555 00 Surgery 11.85 8.80 $ 976.26 $ 724.99

21556 00 Surgery 15.22 15.22 $ 1,253.90 $ 1,253.90

21557 00 Surgery 27.63 27.63 $ 2,276.29 $ 2,276.29

21558 00 Surgery 38.80 38.80 $ 3,196.53 $ 3,196.53

21600 00 Surgery 15.99 15.99 $ 1,317.33 $ 1,317.33

21610 00 Surgery 34.17 34.17 $ 2,815.09 $ 2,815.09

21615 00 Surgery 17.99 17.99 $ 1,482.10 $ 1,482.10

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

45

21616 00 Surgery 21.76 21.76 $ 1,792.69 $ 1,792.69

21620 00 Surgery 14.52 14.52 $ 1,196.23 $ 1,196.23

21627 00 Surgery 15.54 15.54 $ 1,280.26 $ 1,280.26

21630 00 Surgery 35.01 35.01 $ 2,884.29 $ 2,884.29

21632 00 Surgery 34.49 34.49 $ 2,841.45 $ 2,841.45

21685 00 Surgery 28.59 28.59 $ 2,355.38 $ 2,355.38

21700 00 Surgery 10.66 10.66 $ 878.22 $ 878.22

21705 00 Surgery 15.93 15.93 $ 1,312.39 $ 1,312.39

21720 00 Surgery 14.27 14.27 $ 1,175.63 $ 1,175.63

21725 00 Surgery 15.53 15.53 $ 1,279.44 $ 1,279.44

21740 00 Surgery 29.70 29.70 $ 2,446.83 $ 2,446.83

21742 00 Surgery 34.63 34.63 $ 2,852.98 $ 2,852.98

21743 00 Surgery 45.56 45.56 $ 3,753.45 $ 3,753.45

21750 00 Surgery 19.74 19.74 $ 1,626.28 $ 1,626.28

21811 00 Surgery 17.58 17.58 $ 1,448.32 $ 1,448.32

21812 00 Surgery 21.09 21.09 $ 1,737.49 $ 1,737.49

21813 00 Surgery 27.77 27.77 $ 2,287.83 $ 2,287.83

21820 00 Surgery 4.00 4.10 $ 329.54 $ 337.78

21825 00 Surgery 15.54 15.54 $ 1,280.26 $ 1,280.26

21899 00 Surgery - - BR BR

21920 00 Surgery 7.34 4.61 $ 604.70 $ 379.79

21925 00 Surgery 12.85 10.27 $ 1,058.64 $ 846.09

21930 00 Surgery 13.52 10.51 $ 1,113.84 $ 865.86

21931 00 Surgery 13.55 13.55 $ 1,116.31 $ 1,116.31

21932 00 Surgery 19.09 19.09 $ 1,572.73 $ 1,572.73

21933 00 Surgery 21.29 21.29 $ 1,753.97 $ 1,753.97

21935 00 Surgery 29.71 29.71 $ 2,447.65 $ 2,447.65

21936 00 Surgery 40.81 40.81 $ 3,362.12 $ 3,362.12

22010 00 Surgery 27.56 27.56 $ 2,270.52 $ 2,270.52

22015 00 Surgery 27.14 27.14 $ 2,235.92 $ 2,235.92

22100 00 Surgery 26.63 26.63 $ 2,193.91 $ 2,193.91

22101 00 Surgery 24.59 24.59 $ 2,025.84 $ 2,025.84

22102 00 Surgery 22.54 22.54 $ 1,856.95 $ 1,856.95

22103 00 Surgery 4.08 4.08 $ 336.13 $ 336.13

22110 00 Surgery 30.25 30.25 $ 2,492.14 $ 2,492.14

22112 00 Surgery 31.93 31.93 $ 2,630.55 $ 2,630.55

22114 00 Surgery 28.57 28.57 $ 2,353.73 $ 2,353.73

22116 00 Surgery 4.12 4.12 $ 339.43 $ 339.43

22206 00 Surgery 71.17 71.17 $ 5,863.32 $ 5,863.32

22207 00 Surgery 69.79 69.79 $ 5,749.63 $ 5,749.63

22208 00 Surgery 17.01 17.01 $ 1,401.36 $ 1,401.36

22210 00 Surgery 51.91 51.91 $ 4,276.59 $ 4,276.59

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

46

22212 00 Surgery 43.06 43.06 $ 3,547.49 $ 3,547.49

22214 00 Surgery 43.17 43.17 $ 3,556.55 $ 3,556.55

22216 00 Surgery 10.62 10.62 $ 874.93 $ 874.93

22220 00 Surgery 46.38 46.38 $ 3,821.01 $ 3,821.01

22222 00 Surgery 43.45 43.45 $ 3,579.62 $ 3,579.62

22224 00 Surgery 45.86 45.86 $ 3,778.17 $ 3,778.17

22226 00 Surgery 10.57 10.57 $ 870.81 $ 870.81

22310 00 Surgery 8.82 8.13 $ 726.63 $ 669.79

22315 00 Surgery 25.39 22.25 $ 2,091.75 $ 1,833.06

22318 00 Surgery 47.79 47.79 $ 3,937.17 $ 3,937.17

22319 00 Surgery 53.30 53.30 $ 4,391.11 $ 4,391.11

22325 00 Surgery 41.75 41.75 $ 3,439.56 $ 3,439.56

22326 00 Surgery 43.34 43.34 $ 3,570.56 $ 3,570.56

22327 00 Surgery 43.59 43.59 $ 3,591.15 $ 3,591.15

22328 00 Surgery 8.27 8.27 $ 681.32 $ 681.32

22505 00 Surgery 3.82 3.82 $ 314.71 $ 314.71

22510 00 Surgery 47.77 12.63 $ 3,935.52 $ 1,040.52

22511 00 Surgery 47.33 11.85 $ 3,899.27 $ 976.26

22512 00 Surgery 27.18 6.07 $ 2,239.22 $ 500.08

22513 00 Surgery 203.68 15.11 $ 16,780.13 $ 1,244.83

22514 00 Surgery 202.50 14.06 $ 16,682.92 $ 1,158.33

22515 00 Surgery 123.57 6.54 $ 10,180.29 $ 538.80

22526 00 Surgery 65.60 9.72 $ 5,404.44 $ 800.78

22527 00 Surgery 55.39 4.60 $ 4,563.29 $ 378.97

22532 00 Surgery 51.61 51.61 $ 4,251.88 $ 4,251.88

22533 00 Surgery 48.13 48.13 $ 3,965.18 $ 3,965.18

22534 00 Surgery 10.54 10.54 $ 868.34 $ 868.34

22548 00 Surgery 56.89 56.89 $ 4,686.87 $ 4,686.87

22551 00 Surgery 49.87 49.87 $ 4,108.53 $ 4,108.53

22552 00 Surgery 11.68 11.68 $ 962.25 $ 962.25

22554 00 Surgery 36.48 36.48 $ 3,207.75 $ 3,207.75

22556 00 Surgery 48.52 48.52 $ 3,997.31 $ 3,997.31

22558 00 Surgery 44.64 44.64 $ 3,677.66 $ 3,677.66

22585 00 Surgery 9.61 9.61 $ 791.72 $ 791.72

22586 00 Surgery 55.46 55.46 $ 4,569.06 $ 4,569.06

22590 00 Surgery 46.03 46.03 $ 3,792.17 $ 3,792.17

22595 00 Surgery 43.91 43.91 $ 4,045.50 $ 4,045.50

22600 00 Surgery 37.51 37.51 $ 3,090.25 $ 3,090.25

22610 00 Surgery 36.70 36.70 $ 3,023.52 $ 3,023.52

22612 00 Surgery 46.14 46.14 $ 3,801.23 $ 3,801.23

22614 00 Surgery 11.47 11.47 $ 944.95 $ 944.95

22630 00 Surgery 45.76 45.76 $ 3,769.93 $ 3,769.93

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

47

22632 00 Surgery 9.43 9.43 $ 776.89 $ 776.89

22633 00 Surgery 53.96 53.96 $ 4,445.48 $ 4,445.48

22634 00 Surgery 14.55 14.55 $ 1,198.70 $ 1,198.70

22800 00 Surgery 39.20 39.20 $ 3,276.75 $ 3,276.75

22802 00 Surgery 61.01 61.01 $ 5,026.29 $ 5,026.29

22804 00 Surgery 70.55 70.55 $ 5,812.25 $ 5,812.25

22808 00 Surgery 53.74 53.74 $ 4,427.36 $ 4,427.36

22810 00 Surgery 59.55 59.55 $ 4,906.01 $ 4,906.01

22812 00 Surgery 63.62 63.62 $ 5,241.32 $ 5,241.32

22818 00 Surgery 63.59 63.59 $ 5,238.85 $ 5,238.85

22819 00 Surgery 79.42 79.42 $ 6,543.00 $ 6,543.00

22830 00 Surgery 23.59 23.59 $ 1,943.46 $ 1,943.46

22840 00 Surgery 22.26 22.26 $ 1,833.88 $ 1,833.88

22841 00 Surgery 11.18 11.18 $ 921.06 $ 921.06

22842 00 Surgery 22.35 22.35 $ 2,878.20 $ 2,878.20

22843 00 Surgery 23.91 23.91 $ 1,969.82 $ 1,969.82

22844 00 Surgery 28.85 28.85 $ 2,376.80 $ 2,376.80

22845 00 Surgery 21.42 21.42 $ 1,764.68 $ 1,764.68

22846 00 Surgery 22.24 22.24 $ 1,832.24 $ 1,832.24

22847 00 Surgery 24.33 24.33 $ 2,004.42 $ 2,004.42

22848 00 Surgery 10.52 10.52 $ 866.69 $ 866.69

22849 00 Surgery 37.75 37.75 $ 3,110.02 $ 3,110.02

22850 00 Surgery 20.98 20.98 $ 1,728.43 $ 1,728.43

22852 00 Surgery 20.08 20.08 $ 1,770.00 $ 1,770.00

22853 00 Surgery 7.64 7.64 $ 629.42 $ 629.42

22854 00 Surgery 9.89 9.89 $ 814.79 $ 814.79

22855 00 Surgery 32.19 32.19 $ 2,651.97 $ 2,651.97

22856 00 Surgery 47.62 47.62 $ 3,923.16 $ 3,923.16

22857 00 Surgery 51.43 51.43 $ 4,237.05 $ 4,237.05

22858 00 Surgery 14.63 14.63 $ 1,205.29 $ 1,205.29

22859 00 Surgery 9.89 9.89 $ 814.79 $ 814.79

22861 00 Surgery 57.01 57.01 $ 4,696.76 $ 4,696.76

22862 00 Surgery 61.76 61.76 $ 5,088.08 $ 5,088.08

22864 00 Surgery 60.37 60.37 $ 4,973.57 $ 4,973.57

22865 00 Surgery 59.03 59.03 $ 4,863.17 $ 4,863.17

22867 00 Surgery 28.55 28.55 $ 2,352.09 $ 2,352.09

22868 00 Surgery 7.14 7.14 $ 588.23 $ 588.23

22869 00 Surgery 15.7 15.7 $ 1,293.44 $ 1,293.44

22870 00 Surgery 4.16 4.16 $ 342.72 $ 342.72

22899 00 Surgery - - BR BR

22900 00 Surgery 16.27 16.27 $ 1,340.40 $ 1,340.40

22901 00 Surgery 19.23 19.23 $ 1,584.26 $ 1,584.26

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

48

22902 00 Surgery 12.53 9.51 $ 1,032.28 $ 783.48

22903 00 Surgery 12.65 12.65 $ 1,042.17 $ 1,042.17

22904 00 Surgery 30.34 30.34 $ 2,499.55 $ 2,499.55

22905 00 Surgery 38.47 38.47 $ 3,169.34 $ 3,169.34

22999 00 Surgery - - BR BR

23000 00 Surgery 16.56 10.59 $ 1,364.29 $ 872.45

23020 00 Surgery 19.80 19.80 $ 1,631.22 $ 1,631.22

23030 00 Surgery 12.63 7.36 $ 1,040.52 $ 606.35

23031 00 Surgery 12.13 6.30 $ 999.33 $ 519.02

23035 00 Surgery 19.52 19.52 $ 1,608.15 $ 1,608.15

23040 00 Surgery 20.60 20.60 $ 1,697.13 $ 1,697.13

23044 00 Surgery 16.30 16.30 $ 1,342.87 $ 1,342.87

23065 00 Surgery 6.21 4.83 $ 511.61 $ 397.92

23066 00 Surgery 15.92 10.26 $ 1,311.57 $ 845.27

23071 00 Surgery 12.08 12.08 $ 995.21 $ 995.21

23073 00 Surgery 20.01 20.01 $ 1,648.52 $ 1,648.52

23075 00 Surgery 13.39 9.39 $ 1,103.13 $ 773.59

23076 00 Surgery 15.52 15.52 $ 1,278.61 $ 1,278.61

23077 00 Surgery 32.98 32.98 $ 2,717.05 $ 2,717.05

23078 00 Surgery 41.41 41.41 $ 3,411.55 $ 3,411.55

23100 00 Surgery 14.32 14.32 $ 1,179.75 $ 1,179.75

23101 00 Surgery 12.82 12.82 $ 1,056.17 $ 1,056.17

23105 00 Surgery 18.27 18.27 $ 1,505.17 $ 1,505.17

23106 00 Surgery 13.80 13.80 $ 1,136.91 $ 1,136.91

23107 00 Surgery 18.99 18.99 $ 1,564.49 $ 1,564.49

23120 00 Surgery 16.76 16.76 $ 1,380.77 $ 1,380.77

23125 00 Surgery 19.95 19.95 $ 1,643.58 $ 1,643.58

23130 00 Surgery 17.49 17.49 $ 1,440.91 $ 1,440.91

23140 00 Surgery 15.47 15.47 $ 1,274.49 $ 1,274.49

23145 00 Surgery 19.71 19.71 $ 1,623.80 $ 1,623.80

23146 00 Surgery 17.67 17.67 $ 1,455.74 $ 1,455.74

23150 00 Surgery 18.90 18.90 $ 1,557.07 $ 1,557.07

23155 00 Surgery 22.69 22.69 $ 1,869.31 $ 1,869.31

23156 00 Surgery 19.22 19.22 $ 1,583.44 $ 1,583.44

23170 00 Surgery 16.09 16.09 $ 1,325.57 $ 1,325.57

23172 00 Surgery 15.91 15.91 $ 1,310.74 $ 1,310.74

23174 00 Surgery 21.79 21.79 $ 1,795.16 $ 1,795.16

23180 00 Surgery 19.00 19.00 $ 1,565.31 $ 1,565.31

23182 00 Surgery 18.88 18.88 $ 1,555.42 $ 1,555.42

23184 00 Surgery 21.04 21.04 $ 1,733.38 $ 1,733.38

23190 00 Surgery 16.40 16.40 $ 1,351.11 $ 1,351.11

23195 00 Surgery 21.70 21.70 $ 1,787.75 $ 1,787.75

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

49

23200 00 Surgery 43.54 43.54 $ 3,587.03 $ 3,587.03

23210 00 Surgery 50.95 50.95 $ 4,197.50 $ 4,197.50

23220 00 Surgery 56.16 56.16 $ 4,626.73 $ 4,626.73

23330 00 Surgery 7.05 4.43 $ 580.81 $ 364.96

23333 00 Surgery 12.95 12.95 $ 1,066.88 $ 1,066.88

23334 00 Surgery 31.00 31.00 $ 2,553.93 $ 2,553.93

23335 00 Surgery 36.90 36.90 $ 3,040.00 $ 3,040.00

23350 00 Surgery 3.70 1.47 $ 304.82 $ 121.11

23395 00 Surgery 36.88 36.88 $ 3,038.35 $ 3,038.35

23397 00 Surgery 32.88 32.88 $ 2,708.81 $ 2,708.81

23400 00 Surgery 27.14 27.14 $ 2,235.92 $ 2,235.92

23405 00 Surgery 17.88 17.88 $ 1,473.04 $ 1,473.04

23406 00 Surgery 22.11 22.11 $ 1,821.53 $ 1,821.53

23410 00 Surgery 23.62 23.62 $ 1,945.93 $ 1,945.93

23412 00 Surgery 24.48 24.48 $ 2,016.78 $ 2,016.78

23415 00 Surgery 20.03 20.03 $ 1,650.17 $ 1,650.17

23420 00 Surgery 27.86 27.86 $ 2,295.24 $ 2,295.24

23430 00 Surgery 21.41 21.41 $ 1,763.86 $ 1,763.86

23440 00 Surgery 21.68 21.68 $ 1,786.10 $ 1,786.10

23450 00 Surgery 27.32 27.32 $ 2,250.75 $ 2,250.75

23455 00 Surgery 28.63 28.63 $ 2,358.68 $ 2,358.68

23460 00 Surgery 31.29 31.29 $ 2,577.82 $ 2,577.82

23462 00 Surgery 30.39 30.39 $ 2,503.67 $ 2,503.67

23465 00 Surgery 31.98 31.98 $ 2,634.66 $ 2,634.66

23466 00 Surgery 32.19 32.19 $ 2,651.97 $ 2,651.97

23470 00 Surgery 34.60 34.60 $ 2,850.51 $ 2,850.51

23472 00 Surgery 41.98 41.98 $ 3,458.51 $ 3,458.51

23473 00 Surgery 46.88 46.88 $ 3,862.20 $ 3,862.20

23474 00 Surgery 50.64 50.64 $ 4,171.96 $ 4,171.96

23480 00 Surgery 23.57 23.57 $ 1,941.81 $ 1,941.81

23485 00 Surgery 27.40 27.40 $ 2,257.34 $ 2,257.34

23490 00 Surgery 24.13 24.13 $ 1,987.94 $ 1,987.94

23491 00 Surgery 29.09 29.09 $ 2,396.57 $ 2,396.57

23500 00 Surgery 6.21 6.31 $ 511.61 $ 519.85

23505 00 Surgery 9.98 9.43 $ 822.20 $ 776.89

23515 00 Surgery 20.69 20.69 $ 1,704.54 $ 1,704.54

23520 00 Surgery 6.51 6.61 $ 536.32 $ 544.56

23525 00 Surgery 10.61 9.83 $ 874.10 $ 809.84

23530 00 Surgery 16.37 16.37 $ 1,348.64 $ 1,348.64

23532 00 Surgery 17.79 17.79 $ 1,465.63 $ 1,465.63

23540 00 Surgery 6.37 6.47 $ 524.79 $ 533.03

23545 00 Surgery 9.57 8.72 $ 788.42 $ 718.40

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

50

23550 00 Surgery 16.07 16.07 $ 1,323.92 $ 1,323.92

23552 00 Surgery 18.80 18.80 $ 1,548.83 $ 1,548.83

23570 00 Surgery 6.60 6.81 $ 543.74 $ 561.04

23575 00 Surgery 11.35 10.65 $ 935.07 $ 877.40

23585 00 Surgery 28.19 28.19 $ 2,322.43 $ 2,322.43

23600 00 Surgery 9.28 8.75 $ 764.53 $ 720.87

23605 00 Surgery 13.19 12.09 $ 1,086.66 $ 996.03

23615 00 Surgery 25.42 25.42 $ 2,094.22 $ 2,094.22

23616 00 Surgery 35.76 35.76 $ 2,964.75 $ 2,964.75

23620 00 Surgery 7.65 7.29 $ 630.24 $ 600.58

23625 00 Surgery 10.75 10.01 $ 885.64 $ 824.67

23630 00 Surgery 22.40 22.40 $ 1,845.42 $ 1,845.42

23650 00 Surgery 8.92 8.20 $ 734.87 $ 675.56

23655 00 Surgery 11.47 11.47 $ 944.95 $ 944.95

23660 00 Surgery 16.68 16.68 $ 1,374.18 $ 1,374.18

23665 00 Surgery 12.12 11.29 $ 998.50 $ 930.12

23670 00 Surgery 25.16 25.16 $ 2,072.80 $ 2,072.80

23675 00 Surgery 15.65 14.28 $ 1,289.32 $ 1,176.45

23680 00 Surgery 26.62 26.62 $ 2,193.08 $ 2,193.08

23700 00 Surgery 5.63 5.63 $ 463.83 $ 463.83

23800 00 Surgery 29.25 29.25 $ 2,409.75 $ 2,409.75

23802 00 Surgery 36.81 36.81 $ 3,032.58 $ 3,032.58

23900 00 Surgery 40.02 40.02 $ 3,297.04 $ 3,297.04

23920 00 Surgery 31.75 31.75 $ 2,615.72 $ 2,615.72

23921 00 Surgery 13.35 13.35 $ 1,099.84 $ 1,099.84

23929 00 Surgery - - BR BR

23930 00 Surgery 10.12 6.22 $ 833.73 $ 512.43

23931 00 Surgery 8.17 4.58 $ 673.08 $ 377.32

23935 00 Surgery 14.51 14.51 $ 1,195.40 $ 1,195.40

24000 00 Surgery 13.70 13.70 $ 1,128.67 $ 1,128.67

24006 00 Surgery 20.43 20.43 $ 1,683.12 $ 1,683.12

24065 00 Surgery 7.31 4.83 $ 602.23 $ 397.92

24066 00 Surgery 17.83 11.95 $ 1,468.92 $ 984.50

24071 00 Surgery 11.68 11.68 $ 962.25 $ 962.25

24073 00 Surgery 19.95 19.95 $ 1,643.58 $ 1,643.58

24075 00 Surgery 14.00 9.49 $ 1,153.39 $ 781.83

24076 00 Surgery 15.61 15.61 $ 1,286.03 $ 1,286.03

24077 00 Surgery 29.87 29.87 $ 2,460.83 $ 2,460.83

24079 00 Surgery 38.33 38.33 $ 3,157.81 $ 3,157.81

24100 00 Surgery 11.87 11.87 $ 977.91 $ 977.91

24101 00 Surgery 14.27 14.27 $ 1,175.63 $ 1,175.63

24102 00 Surgery 17.68 17.68 $ 1,456.56 $ 1,456.56

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

51

24105 00 Surgery 10.02 10.02 $ 825.50 $ 825.50

24110 00 Surgery 16.71 16.71 $ 1,376.65 $ 1,376.65

24115 00 Surgery 20.83 20.83 $ 1,716.07 $ 1,716.07

24116 00 Surgery 24.81 24.81 $ 2,043.97 $ 2,043.97

24120 00 Surgery 15.16 15.16 $ 1,248.95 $ 1,248.95

24125 00 Surgery 17.62 17.62 $ 1,451.62 $ 1,451.62

24126 00 Surgery 18.46 18.46 $ 1,520.82 $ 1,520.82

24130 00 Surgery 14.55 14.55 $ 1,198.70 $ 1,198.70

24134 00 Surgery 21.48 21.48 $ 1,769.62 $ 1,769.62

24136 00 Surgery 17.05 17.05 $ 1,404.66 $ 1,404.66

24138 00 Surgery 19.33 19.33 $ 1,592.50 $ 1,592.50

24140 00 Surgery 20.19 20.19 $ 1,663.35 $ 1,663.35

24145 00 Surgery 16.78 16.78 $ 1,382.42 $ 1,382.42

24147 00 Surgery 17.86 17.86 $ 1,471.39 $ 1,471.39

24149 00 Surgery 33.77 33.77 $ 2,782.13 $ 2,782.13

24150 00 Surgery 44.93 44.93 $ 3,701.55 $ 3,701.55

24152 00 Surgery 38.53 38.53 $ 3,174.29 $ 3,174.29

24155 00 Surgery 24.56 24.56 $ 2,023.37 $ 2,023.37

24160 00 Surgery 36.47 36.47 $ 3,004.57 $ 3,004.57

24164 00 Surgery 20.99 20.99 $ 1,729.26 $ 1,729.26

24200 00 Surgery 5.89 4.00 $ 485.25 $ 329.54

24201 00 Surgery 15.63 10.40 $ 1,287.67 $ 856.80

24220 00 Surgery 4.51 1.98 $ 371.56 $ 163.12

24300 00 Surgery 11.88 11.88 $ 978.73 $ 978.73

24301 00 Surgery 21.53 21.53 $ 1,773.74 $ 1,773.74

24305 00 Surgery 16.53 16.53 $ 1,361.82 $ 1,361.82

24310 00 Surgery 13.42 13.42 $ 1,105.60 $ 1,105.60

24320 00 Surgery 21.95 21.95 $ 1,808.35 $ 1,808.35

24330 00 Surgery 20.57 20.57 $ 1,694.65 $ 1,694.65

24331 00 Surgery 22.31 22.31 $ 1,838.00 $ 1,838.00

24332 00 Surgery 17.58 17.58 $ 1,448.32 $ 1,448.32

24340 00 Surgery 17.58 17.58 $ 1,448.32 $ 1,448.32

24341 00 Surgery 21.41 21.41 $ 1,763.86 $ 1,763.86

24342 00 Surgery 22.27 22.27 $ 1,834.71 $ 1,834.71

24343 00 Surgery 20.29 20.29 $ 1,671.59 $ 1,671.59

24344 00 Surgery 31.37 31.37 $ 2,584.41 $ 2,584.41

24345 00 Surgery 20.19 20.19 $ 1,663.35 $ 1,663.35

24346 00 Surgery 31.58 31.58 $ 2,601.71 $ 2,601.71

24357 00 Surgery 12.08 12.08 $ 995.21 $ 995.21

24358 00 Surgery 14.97 14.97 $ 1,233.30 $ 1,233.30

24359 00 Surgery 18.92 18.92 $ 1,558.72 $ 1,558.72

24360 00 Surgery 25.87 25.87 $ 2,131.29 $ 2,131.29

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

52

24361 00 Surgery 28.84 28.84 $ 2,375.98 $ 2,375.98

24362 00 Surgery 30.51 30.51 $ 2,513.56 $ 2,513.56

24363 00 Surgery 41.96 41.96 $ 3,456.86 $ 3,456.86

24365 00 Surgery 18.33 18.33 $ 1,510.11 $ 1,510.11

24366 00 Surgery 19.54 19.54 $ 1,609.80 $ 1,609.80

24370 00 Surgery 44.71 44.71 $ 3,683.42 $ 3,683.42

24371 00 Surgery 51.43 51.43 $ 4,237.05 $ 4,237.05

24400 00 Surgery 23.52 23.52 $ 1,937.69 $ 1,937.69

24410 00 Surgery 30.44 30.44 $ 2,507.79 $ 2,507.79

24420 00 Surgery 28.33 28.33 $ 2,333.96 $ 2,333.96

24430 00 Surgery 30.43 30.43 $ 2,506.97 $ 2,506.97

24435 00 Surgery 30.95 30.95 $ 2,549.81 $ 2,549.81

24470 00 Surgery 19.27 19.27 $ 1,587.55 $ 1,587.55

24495 00 Surgery 15.30 15.30 $ 1,260.49 $ 1,260.49

24498 00 Surgery 24.84 24.84 $ 2,046.44 $ 2,046.44

24500 00 Surgery 10.19 9.29 $ 839.50 $ 765.35

24505 00 Surgery 14.21 12.86 $ 1,170.69 $ 1,059.47

24515 00 Surgery 25.19 25.19 $ 2,075.27 $ 2,075.27

24516 00 Surgery 24.71 24.71 $ 2,035.73 $ 2,035.73

24530 00 Surgery 10.82 9.81 $ 891.40 $ 808.19

24535 00 Surgery 17.51 16.20 $ 1,442.56 $ 1,334.63

24538 00 Surgery 21.39 21.39 $ 1,762.21 $ 1,762.21

24545 00 Surgery 26.72 26.72 $ 2,201.32 $ 2,201.32

24546 00 Surgery 29.90 29.90 $ 2,463.30 $ 2,463.30

24560 00 Surgery 9.11 8.18 $ 750.53 $ 673.91

24565 00 Surgery 15.14 13.92 $ 1,247.31 $ 1,146.80

24566 00 Surgery 20.60 20.60 $ 1,697.13 $ 1,697.13

24575 00 Surgery 21.07 21.07 $ 1,735.85 $ 1,735.85

24576 00 Surgery 9.66 8.69 $ 795.84 $ 715.92

24577 00 Surgery 15.52 14.26 $ 1,278.61 $ 1,174.81

24579 00 Surgery 24.00 24.00 $ 1,977.23 $ 1,977.23

24582 00 Surgery 23.21 23.21 $ 1,912.15 $ 1,912.15

24586 00 Surgery 31.13 31.13 $ 2,564.64 $ 2,564.64

24587 00 Surgery 31.18 31.18 $ 2,568.76 $ 2,568.76

24600 00 Surgery 10.35 9.49 $ 852.68 $ 781.83

24605 00 Surgery 13.42 13.42 $ 1,105.60 $ 1,105.60

24615 00 Surgery 20.45 20.45 $ 1,684.77 $ 1,684.77

24620 00 Surgery 15.70 15.70 $ 1,293.44 $ 1,293.44

24635 00 Surgery 19.31 19.31 $ 1,590.85 $ 1,590.85

24640 00 Surgery 3.33 2.45 $ 274.34 $ 201.84

24650 00 Surgery 7.43 6.83 $ 612.12 $ 562.69

24655 00 Surgery 12.40 11.30 $ 1,021.57 $ 930.95

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

53

24665 00 Surgery 18.72 18.72 $ 1,542.24 $ 1,542.24

24666 00 Surgery 21.05 21.05 $ 1,734.20 $ 1,734.20

24670 00 Surgery 8.26 7.47 $ 680.50 $ 615.41

24675 00 Surgery 12.86 11.75 $ 1,059.47 $ 968.02

24685 00 Surgery 18.75 18.75 $ 1,544.71 $ 1,544.71

24800 00 Surgery 23.85 23.85 $ 1,964.88 $ 1,964.88

24802 00 Surgery 28.35 28.35 $ 2,335.61 $ 2,335.61

24900 00 Surgery 21.00 21.00 $ 1,730.08 $ 1,730.08

24920 00 Surgery 20.70 20.70 $ 1,705.36 $ 1,705.36

24925 00 Surgery 14.91 14.91 $ 1,228.36 $ 1,228.36

24930 00 Surgery 21.83 21.83 $ 1,798.46 $ 1,798.46

24931 00 Surgery 23.04 23.04 $ 1,898.15 $ 1,898.15

24935 00 Surgery 27.94 27.94 $ 2,301.83 $ 2,301.83

24940 00 Surgery 30.17 30.17 $ 2,485.55 $ 2,485.55

24999 00 Surgery - - BR BR

25000 00 Surgery 9.61 9.61 $ 791.72 $ 791.72

25001 00 Surgery 9.82 9.82 $ 809.02 $ 809.02

25020 00 Surgery 16.42 16.42 $ 1,352.76 $ 1,352.76

25023 00 Surgery 31.51 31.51 $ 2,595.94 $ 2,595.94

25024 00 Surgery 22.26 22.26 $ 1,833.88 $ 1,833.88

25025 00 Surgery 35.22 35.22 $ 2,901.59 $ 2,901.59

25028 00 Surgery 14.97 14.97 $ 1,233.30 $ 1,233.30

25031 00 Surgery 10.39 10.39 $ 855.98 $ 855.98

25035 00 Surgery 16.70 16.70 $ 1,375.83 $ 1,375.83

25040 00 Surgery 16.12 16.12 $ 1,328.04 $ 1,328.04

25065 00 Surgery 7.22 4.69 $ 594.82 $ 386.38

25066 00 Surgery 10.30 10.30 $ 848.56 $ 848.56

25071 00 Surgery 12.24 12.24 $ 1,008.39 $ 1,008.39

25073 00 Surgery 15.33 15.33 $ 1,262.96 $ 1,262.96

25075 00 Surgery 13.61 9.08 $ 1,121.26 $ 748.05

25076 00 Surgery 14.86 14.86 $ 1,224.24 $ 1,224.24

25077 00 Surgery 25.61 25.61 $ 2,109.87 $ 2,109.87

25078 00 Surgery 33.59 33.59 $ 2,767.30 $ 2,767.30

25085 00 Surgery 12.83 12.83 $ 1,057.00 $ 1,057.00

25100 00 Surgery 9.65 9.65 $ 795.01 $ 795.01

25101 00 Surgery 11.55 11.55 $ 951.54 $ 951.54

25105 00 Surgery 13.80 13.80 $ 1,136.91 $ 1,136.91

25107 00 Surgery 17.65 17.65 $ 1,454.09 $ 1,454.09

25109 00 Surgery 15.42 15.42 $ 1,270.37 $ 1,270.37

25110 00 Surgery 9.77 9.77 $ 804.90 $ 804.90

25111 00 Surgery 9.16 9.16 $ 754.64 $ 754.64

25112 00 Surgery 11.07 11.07 $ 912.00 $ 912.00

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

54

25115 00 Surgery 21.77 21.77 $ 1,793.52 $ 1,793.52

25116 00 Surgery 17.19 17.19 $ 1,416.19 $ 1,416.19

25118 00 Surgery 10.91 10.91 $ 898.82 $ 898.82

25119 00 Surgery 14.13 14.13 $ 1,164.10 $ 1,164.10

25120 00 Surgery 14.24 14.24 $ 1,173.16 $ 1,173.16

25125 00 Surgery 16.88 16.88 $ 1,390.65 $ 1,390.65

25126 00 Surgery 16.89 16.89 $ 1,391.48 $ 1,391.48

25130 00 Surgery 12.75 12.75 $ 1,050.41 $ 1,050.41

25135 00 Surgery 16.00 16.00 $ 1,318.16 $ 1,318.16

25136 00 Surgery 13.89 13.89 $ 1,144.32 $ 1,144.32

25145 00 Surgery 14.83 14.83 $ 1,221.77 $ 1,221.77

25150 00 Surgery 16.18 16.18 $ 1,332.99 $ 1,332.99

25151 00 Surgery 16.70 16.70 $ 1,375.83 $ 1,375.83

25170 00 Surgery 42.62 42.62 $ 3,511.24 $ 3,511.24

25210 00 Surgery 13.95 13.95 $ 1,149.27 $ 1,149.27

25215 00 Surgery 17.71 17.71 $ 1,459.03 $ 1,459.03

25230 00 Surgery 12.38 12.38 $ 1,019.92 $ 1,019.92

25240 00 Surgery 12.25 12.25 $ 1,009.21 $ 1,009.21

25246 00 Surgery 4.59 2.17 $ 378.15 $ 178.77

25248 00 Surgery 11.79 11.79 $ 971.32 $ 971.32

25250 00 Surgery 15.20 15.20 $ 1,252.25 $ 1,252.25

25251 00 Surgery 20.64 20.64 $ 2,463.75 $ 2,463.75

25259 00 Surgery 11.86 11.86 $ 977.08 $ 977.08

25260 00 Surgery 18.03 18.03 $ 1,485.40 $ 1,485.40

25263 00 Surgery 17.88 17.88 $ 1,473.04 $ 1,473.04

25265 00 Surgery 21.47 21.47 $ 1,768.80 $ 1,768.80

25270 00 Surgery 14.02 14.02 $ 1,155.03 $ 1,155.03

25272 00 Surgery 15.84 15.84 $ 1,304.97 $ 1,304.97

25274 00 Surgery 18.97 18.97 $ 1,562.84 $ 1,562.84

25275 00 Surgery 19.21 19.21 $ 1,582.61 $ 1,582.61

25280 00 Surgery 16.14 16.14 $ 1,329.69 $ 1,329.69

25290 00 Surgery 12.49 12.49 $ 1,028.99 $ 1,028.99

25295 00 Surgery 15.02 15.02 $ 1,237.42 $ 1,237.42

25300 00 Surgery 19.50 19.50 $ 1,606.50 $ 1,606.50

25301 00 Surgery 18.44 18.44 $ 1,519.18 $ 1,519.18

25310 00 Surgery 17.75 17.75 $ 1,462.33 $ 1,462.33

25312 00 Surgery 20.58 20.58 $ 1,695.48 $ 1,695.48

25315 00 Surgery 22.15 22.15 $ 1,824.82 $ 1,824.82

25316 00 Surgery 26.17 26.17 $ 2,156.01 $ 2,156.01

25320 00 Surgery 28.30 28.30 $ 2,331.49 $ 2,331.49

25332 00 Surgery 24.16 24.16 $ 1,990.42 $ 1,990.42

25335 00 Surgery 27.13 27.13 $ 2,235.10 $ 2,235.10

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

55

25337 00 Surgery 25.57 25.57 $ 2,106.58 $ 2,106.58

25350 00 Surgery 19.31 19.31 $ 1,590.85 $ 1,590.85

25355 00 Surgery 21.86 21.86 $ 1,800.93 $ 1,800.93

25360 00 Surgery 18.73 18.73 $ 1,543.07 $ 1,543.07

25365 00 Surgery 26.31 26.31 $ 2,167.54 $ 2,167.54

25370 00 Surgery 28.94 28.94 $ 2,384.22 $ 2,384.22

25375 00 Surgery 27.41 27.41 $ 2,258.17 $ 2,258.17

25390 00 Surgery 22.11 22.11 $ 1,821.53 $ 1,821.53

25391 00 Surgery 28.64 28.64 $ 2,359.50 $ 2,359.50

25392 00 Surgery 29.34 29.34 $ 2,417.17 $ 2,417.17

25393 00 Surgery 32.25 32.25 $ 2,656.91 $ 2,656.91

25394 00 Surgery 22.50 22.50 $ 1,853.66 $ 1,853.66

25400 00 Surgery 23.06 23.06 $ 1,899.79 $ 1,899.79

25405 00 Surgery 29.80 29.80 $ 2,455.07 $ 2,455.07

25415 00 Surgery 27.82 27.82 $ 2,291.94 $ 2,291.94

25420 00 Surgery 33.43 33.43 $ 2,754.12 $ 2,754.12

25425 00 Surgery 27.69 27.69 $ 2,281.23 $ 2,281.23

25426 00 Surgery 31.45 31.45 $ 2,591.00 $ 2,591.00

25430 00 Surgery 21.01 21.01 $ 1,730.90 $ 1,730.90

25431 00 Surgery 22.61 22.61 $ 1,862.72 $ 1,862.72

25440 00 Surgery 22.08 22.08 $ 1,819.06 $ 1,819.06

25441 00 Surgery 26.86 26.86 $ 2,212.85 $ 2,212.85

25442 00 Surgery 23.13 23.13 $ 1,905.56 $ 1,905.56

25443 00 Surgery 22.25 22.25 $ 1,833.06 $ 1,833.06

25444 00 Surgery 23.49 23.49 $ 1,935.22 $ 1,935.22

25445 00 Surgery 20.73 20.73 $ 1,707.84 $ 1,707.84

25446 00 Surgery 33.73 33.73 $ 2,778.84 $ 2,778.84

25447 00 Surgery 23.77 23.77 $ 1,958.29 $ 1,958.29

25449 00 Surgery 29.68 29.68 $ 2,445.18 $ 2,445.18

25450 00 Surgery 14.85 14.85 $ 1,223.41 $ 1,223.41

25455 00 Surgery 20.83 20.83 $ 1,716.07 $ 1,716.07

25490 00 Surgery 20.65 20.65 $ 1,701.25 $ 1,701.25

25491 00 Surgery 21.25 21.25 $ 1,750.68 $ 1,750.68

25492 00 Surgery 26.00 26.00 $ 2,142.00 $ 2,142.00

25500 00 Surgery 7.77 7.14 $ 640.13 $ 588.23

25505 00 Surgery 14.23 13.05 $ 1,172.34 $ 1,075.12

25515 00 Surgery 19.18 19.18 $ 1,580.14 $ 1,580.14

25520 00 Surgery 16.11 15.30 $ 1,327.22 $ 1,260.49

25525 00 Surgery 22.53 22.53 $ 1,856.13 $ 1,856.13

25526 00 Surgery 27.33 27.33 $ 2,709.00 $ 2,709.00

25530 00 Surgery 7.44 6.75 $ 612.94 $ 556.10

25535 00 Surgery 13.90 12.89 $ 1,145.15 $ 1,061.94

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

56

25545 00 Surgery 17.87 17.87 $ 1,472.22 $ 1,472.22

25560 00 Surgery 7.89 7.15 $ 650.02 $ 589.05

25565 00 Surgery 14.73 13.33 $ 1,213.53 $ 1,098.19

25574 00 Surgery 19.34 19.34 $ 1,593.32 $ 1,593.32

25575 00 Surgery 25.88 25.88 $ 2,132.12 $ 2,132.12

25600 00 Surgery 9.32 8.82 $ 767.83 $ 726.63

25605 00 Surgery 15.48 14.58 $ 1,275.32 $ 1,201.17

25606 00 Surgery 19.00 19.00 $ 1,565.31 $ 1,565.31

25607 00 Surgery 21.08 21.08 $ 1,736.67 $ 1,736.67

25608 00 Surgery 23.65 23.65 $ 1,948.40 $ 1,948.40

25609 00 Surgery 30.08 30.08 $ 2,478.13 $ 2,478.13

25622 00 Surgery 8.65 7.90 $ 712.63 $ 650.84

25624 00 Surgery 13.57 12.39 $ 1,117.96 $ 1,020.75

25628 00 Surgery 20.68 20.68 $ 1,703.72 $ 1,703.72

25630 00 Surgery 8.68 7.99 $ 715.10 $ 658.25

25635 00 Surgery 11.96 10.73 $ 985.32 $ 883.99

25645 00 Surgery 16.17 16.17 $ 1,332.16 $ 1,332.16

25650 00 Surgery 9.07 8.52 $ 747.23 $ 701.92

25651 00 Surgery 13.82 13.82 $ 1,138.56 $ 1,138.56

25652 00 Surgery 17.88 17.88 $ 1,473.04 $ 1,473.04

25660 00 Surgery 11.73 11.73 $ 966.37 $ 966.37

25670 00 Surgery 17.37 17.37 $ 1,431.02 $ 1,431.02

25671 00 Surgery 15.19 15.19 $ 1,251.42 $ 1,251.42

25675 00 Surgery 12.29 11.21 $ 1,012.51 $ 923.53

25676 00 Surgery 18.01 18.01 $ 1,483.75 $ 1,483.75

25680 00 Surgery 13.70 13.70 $ 1,128.67 $ 1,128.67

25685 00 Surgery 21.05 21.05 $ 1,734.20 $ 1,734.20

25690 00 Surgery 13.50 13.50 $ 1,112.19 $ 1,112.19

25695 00 Surgery 18.16 18.16 $ 1,496.11 $ 1,496.11

25800 00 Surgery 21.01 21.01 $ 1,730.90 $ 1,730.90

25805 00 Surgery 24.28 24.28 $ 2,000.30 $ 2,000.30

25810 00 Surgery 24.93 24.93 $ 2,053.85 $ 2,053.85

25820 00 Surgery 17.61 17.61 $ 1,450.80 $ 1,450.80

25825 00 Surgery 21.72 21.72 $ 1,789.40 $ 1,789.40

25830 00 Surgery 27.01 27.01 $ 2,225.21 $ 2,225.21

25900 00 Surgery 20.33 20.33 $ 1,674.88 $ 1,674.88

25905 00 Surgery 20.16 20.16 $ 1,660.88 $ 1,660.88

25907 00 Surgery 17.47 17.47 $ 1,439.26 $ 1,439.26

25909 00 Surgery 19.59 19.59 $ 1,613.92 $ 1,613.92

25915 00 Surgery 29.16 29.16 $ 2,402.34 $ 2,402.34

25920 00 Surgery 19.97 19.97 $ 1,645.22 $ 1,645.22

25922 00 Surgery 14.60 14.60 $ 1,202.82 $ 1,202.82

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

57

25924 00 Surgery 19.08 19.08 $ 1,571.90 $ 1,571.90

25927 00 Surgery 23.07 23.07 $ 1,900.62 $ 1,900.62

25929 00 Surgery 16.38 16.38 $ 1,349.46 $ 1,349.46

25931 00 Surgery 20.75 20.75 $ 1,709.48 $ 1,709.48

25999 00 Surgery - - BR BR

26010 00 Surgery 7.51 3.92 $ 618.71 $ 322.95

26011 00 Surgery 11.07 5.29 $ 912.00 $ 435.82

26020 00 Surgery 12.39 12.39 $ 1,020.75 $ 1,020.75

26025 00 Surgery 12.08 12.08 $ 995.21 $ 995.21

26030 00 Surgery 14.11 14.11 $ 1,162.45 $ 1,162.45

26034 00 Surgery 15.44 15.44 $ 1,272.02 $ 1,272.02

26035 00 Surgery 24.58 24.58 $ 2,025.02 $ 2,025.02

26037 00 Surgery 16.21 16.21 $ 1,335.46 $ 1,335.46

26040 00 Surgery 8.91 8.91 $ 734.05 $ 734.05

26045 00 Surgery 13.40 13.40 $ 1,103.96 $ 1,103.96

26055 00 Surgery 15.85 8.86 $ 1,305.80 $ 729.93

26060 00 Surgery 7.44 7.44 $ 612.94 $ 612.94

26070 00 Surgery 9.02 9.02 $ 743.11 $ 743.11

26075 00 Surgery 9.52 9.52 $ 784.30 $ 784.30

26080 00 Surgery 11.15 11.15 $ 918.59 $ 918.59

26100 00 Surgery 9.27 9.27 $ 763.71 $ 763.71

26105 00 Surgery 9.54 9.54 $ 785.95 $ 785.95

26110 00 Surgery 9.20 9.20 $ 757.94 $ 757.94

26111 00 Surgery 11.98 11.98 $ 986.97 $ 986.97

26113 00 Surgery 15.74 15.74 $ 1,296.74 $ 1,296.74

26115 00 Surgery 14.34 9.52 $ 1,181.40 $ 784.30

26116 00 Surgery 15.10 15.10 $ 1,244.01 $ 1,244.01

26117 00 Surgery 21.44 21.44 $ 1,766.33 $ 1,766.33

26118 00 Surgery 30.32 30.32 $ 2,497.91 $ 2,497.91

26121 00 Surgery 17.11 17.11 $ 1,409.60 $ 1,409.60

26123 00 Surgery 23.93 23.93 $ 1,971.47 $ 1,971.47

26125 00 Surgery 7.92 7.92 $ 652.49 $ 652.49

26130 00 Surgery 13.23 13.23 $ 1,089.95 $ 1,089.95

26135 00 Surgery 15.74 15.74 $ 1,296.74 $ 1,296.74

26140 00 Surgery 14.43 14.43 $ 1,188.81 $ 1,188.81

26145 00 Surgery 14.68 14.68 $ 1,209.41 $ 1,209.41

26160 00 Surgery 16.30 9.54 $ 1,342.87 $ 785.95

26170 00 Surgery 11.61 11.61 $ 956.49 $ 956.49

26180 00 Surgery 12.66 12.66 $ 1,042.99 $ 1,042.99

26185 00 Surgery 15.56 15.56 $ 1,281.91 $ 1,281.91

26200 00 Surgery 12.85 12.85 $ 1,058.64 $ 1,058.64

26205 00 Surgery 17.09 17.09 $ 1,407.96 $ 1,407.96

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

58

26210 00 Surgery 12.65 12.65 $ 1,042.17 $ 1,042.17

26215 00 Surgery 16.01 16.01 $ 1,318.98 $ 1,318.98

26230 00 Surgery 14.30 14.30 $ 1,178.10 $ 1,178.10

26235 00 Surgery 14.09 14.09 $ 1,160.80 $ 1,160.80

26236 00 Surgery 12.61 12.61 $ 1,038.87 $ 1,038.87

26250 00 Surgery 31.01 31.01 $ 2,554.75 $ 2,554.75

26260 00 Surgery 23.10 23.10 $ 1,903.09 $ 1,903.09

26262 00 Surgery 18.05 18.05 $ 1,487.05 $ 1,487.05

26320 00 Surgery 9.91 9.91 $ 816.43 $ 816.43

26340 00 Surgery 9.51 9.51 $ 783.48 $ 783.48

26341 00 Surgery 2.81 2.15 $ 231.50 $ 177.13

26350 00 Surgery 20.07 20.07 $ 1,653.46 $ 1,653.46

26352 00 Surgery 22.59 22.59 $ 1,861.07 $ 1,861.07

26356 00 Surgery 22.72 22.72 $ 1,871.78 $ 1,871.78

26357 00 Surgery 25.42 25.42 $ 2,094.22 $ 2,094.22

26358 00 Surgery 27.98 27.98 $ 2,305.13 $ 2,305.13

26370 00 Surgery 21.38 21.38 $ 1,761.39 $ 1,761.39

26372 00 Surgery 24.32 24.32 $ 2,003.60 $ 2,003.60

26373 00 Surgery 23.54 23.54 $ 1,939.34 $ 1,939.34

26390 00 Surgery 23.67 23.67 $ 1,950.05 $ 1,950.05

26392 00 Surgery 27.45 27.45 $ 2,261.46 $ 2,261.46

26410 00 Surgery 15.91 15.91 $ 1,310.74 $ 1,310.74

26412 00 Surgery 19.52 19.52 $ 1,608.15 $ 1,608.15

26415 00 Surgery 19.21 19.21 $ 1,582.61 $ 1,582.61

26416 00 Surgery 24.46 24.46 $ 2,015.13 $ 2,015.13

26418 00 Surgery 16.26 16.26 $ 1,339.58 $ 1,339.58

26420 00 Surgery 19.91 19.91 $ 1,640.28 $ 1,640.28

26426 00 Surgery 14.34 14.34 $ 1,181.40 $ 1,181.40

26428 00 Surgery 20.88 20.88 $ 1,720.19 $ 1,720.19

26432 00 Surgery 14.04 14.04 $ 1,156.68 $ 1,156.68

26433 00 Surgery 14.91 14.91 $ 1,228.36 $ 1,228.36

26434 00 Surgery 18.23 18.23 $ 1,501.87 $ 1,501.87

26437 00 Surgery 17.55 17.55 $ 1,445.85 $ 1,445.85

26440 00 Surgery 17.43 17.43 $ 1,435.97 $ 1,435.97

26442 00 Surgery 27.28 27.28 $ 2,247.46 $ 2,247.46

26445 00 Surgery 16.22 16.22 $ 1,336.28 $ 1,336.28

26449 00 Surgery 19.89 19.89 $ 1,638.63 $ 1,638.63

26450 00 Surgery 11.43 11.43 $ 941.66 $ 941.66

26455 00 Surgery 11.36 11.36 $ 935.89 $ 935.89

26460 00 Surgery 11.10 11.10 $ 914.47 $ 914.47

26471 00 Surgery 17.33 17.33 $ 1,427.73 $ 1,427.73

26474 00 Surgery 16.92 16.92 $ 1,393.95 $ 1,393.95

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

59

26476 00 Surgery 16.28 16.28 $ 1,341.22 $ 1,341.22

26477 00 Surgery 16.41 16.41 $ 1,351.93 $ 1,351.93

26478 00 Surgery 17.46 17.46 $ 1,438.44 $ 1,438.44

26479 00 Surgery 17.31 17.31 $ 1,426.08 $ 1,426.08

26480 00 Surgery 21.18 21.18 $ 1,744.91 $ 1,744.91

26483 00 Surgery 23.72 23.72 $ 1,954.17 $ 1,954.17

26485 00 Surgery 22.74 22.74 $ 1,873.43 $ 1,873.43

26489 00 Surgery 26.35 26.35 $ 2,170.84 $ 2,170.84

26490 00 Surgery 22.53 22.53 $ 1,856.13 $ 1,856.13

26492 00 Surgery 25.00 25.00 $ 2,059.62 $ 2,059.62

26494 00 Surgery 22.07 22.07 $ 1,818.23 $ 1,818.23

26496 00 Surgery 24.24 24.24 $ 1,997.01 $ 1,997.01

26497 00 Surgery 24.52 24.52 $ 2,020.07 $ 2,020.07

26498 00 Surgery 32.17 32.17 $ 2,650.32 $ 2,650.32

26499 00 Surgery 23.18 23.18 $ 1,909.68 $ 1,909.68

26500 00 Surgery 17.60 17.60 $ 1,449.97 $ 1,449.97

26502 00 Surgery 20.03 20.03 $ 1,650.17 $ 1,650.17

26508 00 Surgery 17.77 17.77 $ 1,463.98 $ 1,463.98

26510 00 Surgery 16.76 16.76 $ 1,380.77 $ 1,380.77

26516 00 Surgery 19.75 19.75 $ 1,627.10 $ 1,627.10

26517 00 Surgery 22.09 22.09 $ 1,819.88 $ 1,819.88

26518 00 Surgery 23.30 23.30 $ 1,919.57 $ 1,919.57

26520 00 Surgery 18.32 18.32 $ 1,509.29 $ 1,509.29

26525 00 Surgery 18.33 18.33 $ 1,510.11 $ 1,510.11

26530 00 Surgery 15.40 15.40 $ 1,268.73 $ 1,268.73

26531 00 Surgery 17.87 17.87 $ 1,472.22 $ 1,472.22

26535 00 Surgery 12.09 12.09 $ 996.03 $ 996.03

26536 00 Surgery 19.95 19.95 $ 1,643.58 $ 1,643.58

26540 00 Surgery 18.53 18.53 $ 1,526.59 $ 1,526.59

26541 00 Surgery 22.62 22.62 $ 1,863.54 $ 1,863.54

26542 00 Surgery 19.13 19.13 $ 1,576.02 $ 1,576.02

26545 00 Surgery 19.90 19.90 $ 1,639.46 $ 1,639.46

26546 00 Surgery 28.13 28.13 $ 2,317.48 $ 2,317.48

26548 00 Surgery 21.39 21.39 $ 1,762.21 $ 1,762.21

26550 00 Surgery 46.60 46.60 $ 3,839.13 $ 3,839.13

26551 00 Surgery 95.76 95.76 $ 7,889.17 $ 7,889.17

26553 00 Surgery 80.96 80.96 $ 6,669.87 $ 6,669.87

26554 00 Surgery 94.79 94.79 $ 7,809.25 $ 7,809.25

26555 00 Surgery 36.45 36.45 $ 3,002.92 $ 3,002.92

26556 00 Surgery 97.65 97.65 $ 8,044.87 $ 8,044.87

26560 00 Surgery 16.39 16.39 $ 1,350.29 $ 1,350.29

26561 00 Surgery 26.34 26.34 $ 2,170.01 $ 2,170.01

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

60

26562 00 Surgery 37.84 37.84 $ 3,117.44 $ 3,117.44

26565 00 Surgery 19.10 19.10 $ 1,573.55 $ 1,573.55

26567 00 Surgery 19.14 19.14 $ 1,576.84 $ 1,576.84

26568 00 Surgery 25.41 25.41 $ 2,093.40 $ 2,093.40

26580 00 Surgery 42.52 42.52 $ 3,503.00 $ 3,503.00

26587 00 Surgery 28.78 28.78 $ 2,371.03 $ 2,371.03

26590 00 Surgery 37.38 37.38 $ 3,079.54 $ 3,079.54

26591 00 Surgery 12.24 12.24 $ 1,008.39 $ 1,008.39

26593 00 Surgery 16.92 16.92 $ 1,393.95 $ 1,393.95

26596 00 Surgery 21.43 21.43 $ 1,765.51 $ 1,765.51

26600 00 Surgery 8.35 7.86 $ 687.91 $ 647.54

26605 00 Surgery 9.12 8.33 $ 751.35 $ 686.27

26607 00 Surgery 13.00 13.00 $ 1,071.00 $ 1,071.00

26608 00 Surgery 13.60 13.60 $ 1,120.43 $ 1,120.43

26615 00 Surgery 16.49 16.49 $ 1,358.52 $ 1,358.52

26641 00 Surgery 10.66 9.73 $ 878.22 $ 801.60

26645 00 Surgery 12.15 11.17 $ 1,000.97 $ 920.24

26650 00 Surgery 13.63 13.63 $ 1,122.90 $ 1,122.90

26665 00 Surgery 17.97 17.97 $ 1,480.45 $ 1,480.45

26670 00 Surgery 9.64 8.76 $ 794.19 $ 721.69

26675 00 Surgery 12.84 11.82 $ 1,057.82 $ 973.79

26676 00 Surgery 14.27 14.27 $ 1,175.63 $ 1,175.63

26685 00 Surgery 16.48 16.48 $ 1,357.70 $ 1,357.70

26686 00 Surgery 17.88 17.88 $ 1,473.04 $ 1,473.04

26700 00 Surgery 9.18 8.63 $ 756.29 $ 710.98

26705 00 Surgery 11.75 10.78 $ 968.02 $ 888.11

26706 00 Surgery 12.57 12.57 $ 1,035.58 $ 1,035.58

26715 00 Surgery 16.38 16.38 $ 1,349.46 $ 1,349.46

26720 00 Surgery 5.62 5.23 $ 463.00 $ 430.87

26725 00 Surgery 9.55 8.63 $ 786.77 $ 710.98

26727 00 Surgery 13.41 13.41 $ 1,104.78 $ 1,104.78

26735 00 Surgery 17.08 17.08 $ 1,407.13 $ 1,407.13

26740 00 Surgery 6.54 6.15 $ 538.80 $ 506.67

26742 00 Surgery 10.50 9.53 $ 865.04 $ 785.13

26746 00 Surgery 21.28 21.28 $ 1,753.15 $ 1,753.15

26750 00 Surgery 5.21 5.23 $ 429.22 $ 430.87

26755 00 Surgery 8.90 7.76 $ 733.22 $ 639.31

26756 00 Surgery 11.90 11.90 $ 980.38 $ 980.38

26765 00 Surgery 14.32 14.32 $ 1,179.75 $ 1,179.75

26770 00 Surgery 7.80 7.23 $ 642.60 $ 595.64

26775 00 Surgery 10.87 9.86 $ 895.52 $ 812.31

26776 00 Surgery 12.64 12.64 $ 1,041.34 $ 1,041.34

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

61

26785 00 Surgery 15.67 15.67 $ 1,290.97 $ 1,290.97

26820 00 Surgery 21.68 21.68 $ 1,786.10 $ 1,786.10

26841 00 Surgery 20.46 20.46 $ 1,685.59 $ 1,685.59

26842 00 Surgery 22.12 22.12 $ 1,822.35 $ 1,822.35

26843 00 Surgery 20.79 20.79 $ 1,712.78 $ 1,712.78

26844 00 Surgery 23.19 23.19 $ 1,910.50 $ 1,910.50

26850 00 Surgery 19.50 19.50 $ 1,606.50 $ 1,606.50

26852 00 Surgery 22.46 22.46 $ 1,850.36 $ 1,850.36

26860 00 Surgery 15.90 15.90 $ 1,309.92 $ 1,309.92

26861 00 Surgery 2.99 2.99 $ 246.33 $ 246.33

26862 00 Surgery 20.48 20.48 $ 1,687.24 $ 1,687.24

26863 00 Surgery 6.68 6.68 $ 550.33 $ 550.33

26910 00 Surgery 20.37 20.37 $ 1,678.18 $ 1,678.18

26951 00 Surgery 18.40 18.40 $ 1,515.88 $ 1,515.88

26952 00 Surgery 18.17 18.17 $ 1,496.93 $ 1,496.93

26989 00 Surgery - - BR BR

26990 00 Surgery 17.98 17.98 $ 1,481.28 $ 1,481.28

26991 00 Surgery 20.18 15.02 $ 1,662.52 $ 1,237.42

26992 00 Surgery 27.56 27.56 $ 2,270.52 $ 2,270.52

27000 00 Surgery 11.68 11.68 $ 962.25 $ 962.25

27001 00 Surgery 15.55 15.55 $ 1,281.08 $ 1,281.08

27003 00 Surgery 16.76 16.76 $ 1,380.77 $ 1,380.77

27005 00 Surgery 20.79 20.79 $ 1,712.78 $ 1,712.78

27006 00 Surgery 21.09 21.09 $ 1,737.49 $ 1,737.49

27025 00 Surgery 26.22 26.22 $ 2,160.13 $ 2,160.13

27027 00 Surgery 25.50 25.50 $ 2,100.81 $ 2,100.81

27030 00 Surgery 26.93 26.93 $ 2,218.62 $ 2,218.62

27033 00 Surgery 27.99 27.99 $ 2,305.95 $ 2,305.95

27035 00 Surgery 30.54 30.54 $ 2,516.03 $ 2,516.03

27036 00 Surgery 29.09 29.09 $ 2,396.57 $ 2,396.57

27040 00 Surgery 9.82 5.74 $ 809.02 $ 472.89

27041 00 Surgery 19.91 19.91 $ 1,640.28 $ 1,640.28

27043 00 Surgery 13.56 13.56 $ 1,117.14 $ 1,117.14

27045 00 Surgery 21.56 21.56 $ 1,776.22 $ 1,776.22

27047 00 Surgery 13.35 10.42 $ 1,099.84 $ 858.45

27048 00 Surgery 17.60 17.60 $ 1,449.97 $ 1,449.97

27049 00 Surgery 38.38 38.38 $ 3,161.93 $ 3,161.93

27050 00 Surgery 11.08 11.08 $ 912.82 $ 912.82

27052 00 Surgery 16.65 16.65 $ 1,371.71 $ 1,371.71

27054 00 Surgery 19.65 19.65 $ 1,618.86 $ 1,618.86

27057 00 Surgery 29.11 29.11 $ 2,398.22 $ 2,398.22

27059 00 Surgery 52.32 52.32 $ 4,310.37 $ 4,310.37

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

62

27060 00 Surgery 13.28 13.28 $ 1,094.07 $ 1,094.07

27062 00 Surgery 13.07 13.07 $ 1,076.77 $ 1,076.77

27065 00 Surgery 14.82 14.82 $ 1,220.94 $ 1,220.94

27066 00 Surgery 23.37 23.37 $ 1,925.33 $ 1,925.33

27067 00 Surgery 29.45 29.45 $ 2,426.23 $ 2,426.23

27070 00 Surgery 24.49 24.49 $ 2,017.60 $ 2,017.60

27071 00 Surgery 26.31 26.31 $ 2,167.54 $ 2,167.54

27075 00 Surgery 60.25 60.25 $ 4,963.68 $ 4,963.68

27076 00 Surgery 72.94 72.94 $ 6,009.14 $ 6,009.14

27077 00 Surgery 81.37 81.37 $ 6,703.65 $ 6,703.65

27078 00 Surgery 59.46 59.46 $ 4,898.60 $ 4,898.60

27080 00 Surgery 14.69 14.69 $ 1,210.23 $ 1,210.23

27086 00 Surgery 7.91 4.61 $ 651.66 $ 379.79

27087 00 Surgery 17.75 17.75 $ 1,462.33 $ 1,462.33

27090 00 Surgery 23.84 23.84 $ 1,964.05 $ 1,964.05

27091 00 Surgery 46.04 46.04 $ 3,792.99 $ 3,792.99

27093 00 Surgery 5.32 2.02 $ 438.29 $ 166.42

27095 00 Surgery 6.91 2.40 $ 569.28 $ 197.72

27096 00 Surgery 4.52 2.40 $ 399.30 $ 212.02

27097 00 Surgery 19.45 19.45 $ 1,602.38 $ 1,602.38

27098 00 Surgery 18.35 18.35 $ 1,511.76 $ 1,511.76

27100 00 Surgery 23.49 23.49 $ 1,935.22 $ 1,935.22

27105 00 Surgery 24.93 24.93 $ 2,053.85 $ 2,053.85

27110 00 Surgery 27.89 27.89 $ 2,297.71 $ 2,297.71

27111 00 Surgery 25.95 25.95 $ 2,137.88 $ 2,137.88

27120 00 Surgery 37.29 37.29 $ 3,072.13 $ 3,072.13

27122 00 Surgery 31.70 31.70 $ 2,611.60 $ 2,611.60

27125 00 Surgery 32.67 32.67 $ 2,691.51 $ 2,691.51

27130 00 Surgery 39.11 39.11 $ 3,222.07 $ 3,222.07

27132 00 Surgery 48.32 48.32 $ 3,980.83 $ 3,980.83

27134 00 Surgery 55.33 55.33 $ 4,558.35 $ 4,558.35

27137 00 Surgery 42.51 42.51 $ 3,502.18 $ 3,502.18

27138 00 Surgery 44.16 44.16 $ 3,638.11 $ 3,638.11

27140 00 Surgery 25.67 25.67 $ 2,114.82 $ 2,114.82

27146 00 Surgery 36.70 36.70 $ 3,023.52 $ 3,023.52

27147 00 Surgery 42.11 42.11 $ 3,469.22 $ 3,469.22

27151 00 Surgery 45.95 45.95 $ 3,785.58 $ 3,785.58

27156 00 Surgery 48.87 48.87 $ 4,026.14 $ 4,026.14

27158 00 Surgery 40.46 40.46 $ 3,333.29 $ 3,333.29

27161 00 Surgery 34.97 34.97 $ 2,881.00 $ 2,881.00

27165 00 Surgery 39.56 39.56 $ 3,259.14 $ 3,259.14

27170 00 Surgery 33.89 33.89 $ 2,792.02 $ 2,792.02

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

63

27175 00 Surgery 18.86 18.86 $ 1,553.78 $ 1,553.78

27176 00 Surgery 26.44 26.44 $ 2,178.25 $ 2,178.25

27177 00 Surgery 32.11 32.11 $ 2,645.37 $ 2,645.37

27178 00 Surgery 23.09 23.09 $ 1,902.26 $ 1,902.26

27179 00 Surgery 27.47 27.47 $ 2,263.11 $ 2,263.11

27181 00 Surgery 36.84 36.84 $ 3,035.05 $ 3,035.05

27185 00 Surgery 20.64 20.64 $ 1,700.42 $ 1,700.42

27187 00 Surgery 28.54 28.54 $ 2,351.26 $ 2,351.26

27197 00 Surgery 3.35 3.35 $ 275.99 $ 275.99

27198 00 Surgery 8.54 8.54 $ 703.57 $ 703.57

27200 00 Surgery 5.17 5.38 $ 425.93 $ 443.23

27202 00 Surgery 15.93 15.93 $ 1,312.39 $ 1,312.39

27215 00 Surgery 17.94 17.94 $ 1,518.75 $ 1,518.75

27216 00 Surgery 26.60 26.60 $ 2,640.00 $ 2,640.00

27217 00 Surgery 24.96 24.96 $ 2,625.00 $ 2,625.00

27218 00 Surgery 34.50 34.50 $ 3,759.00 $ 3,759.00

27220 00 Surgery 15.19 15.07 $ 1,251.42 $ 1,241.54

27222 00 Surgery 28.04 28.04 $ 2,310.07 $ 2,310.07

27226 00 Surgery 30.45 30.45 $ 2,508.62 $ 2,508.62

27227 00 Surgery 47.93 47.93 $ 5,470.50 $ 5,470.50

27228 00 Surgery 54.47 54.47 $ 7,148.25 $ 7,148.25

27230 00 Surgery 13.60 13.51 $ 1,120.43 $ 1,113.02

27232 00 Surgery 21.53 21.53 $ 1,773.74 $ 1,773.74

27235 00 Surgery 26.19 26.19 $ 2,157.66 $ 2,157.66

27236 00 Surgery 34.48 34.48 $ 2,840.63 $ 2,840.63

27238 00 Surgery 13.19 13.19 $ 1,086.66 $ 1,086.66

27240 00 Surgery 27.56 27.56 $ 2,270.52 $ 2,270.52

27244 00 Surgery 35.49 35.49 $ 2,923.84 $ 2,923.84

27245 00 Surgery 35.49 35.49 $ 2,923.84 $ 2,923.84

27246 00 Surgery 11.01 11.07 $ 907.06 $ 912.00

27248 00 Surgery 21.37 21.37 $ 1,760.56 $ 1,760.56

27250 00 Surgery 5.19 5.19 $ 491.22 $ 491.22

27252 00 Surgery 21.78 21.78 $ 1,794.34 $ 1,794.34

27253 00 Surgery 27.12 27.12 $ 2,234.27 $ 2,234.27

27254 00 Surgery 36.53 36.53 $ 3,009.52 $ 3,009.52

27256 00 Surgery 8.53 6.73 $ 702.74 $ 554.45

27257 00 Surgery 9.82 9.82 $ 1,011.00 $ 1,011.00

27258 00 Surgery 31.96 31.96 $ 2,633.02 $ 2,633.02

27259 00 Surgery 44.83 44.83 $ 3,693.31 $ 3,693.31

27265 00 Surgery 11.38 11.38 $ 937.54 $ 937.54

27266 00 Surgery 16.68 16.68 $ 1,374.18 $ 1,374.18

27267 00 Surgery 12.40 12.40 $ 1,021.57 $ 1,021.57

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

64

27268 00 Surgery 15.22 15.22 $ 1,253.90 $ 1,253.90

27269 00 Surgery 35.85 35.85 $ 2,953.49 $ 2,953.49

27275 00 Surgery 5.22 5.22 $ 430.05 $ 430.05

27279 00 Surgery 19.93 19.93 $ 1,641.93 $ 1,641.93

27280 00 Surgery 39.39 39.39 $ 3,245.14 $ 3,245.14

27282 00 Surgery 23.40 23.40 $ 1,927.80 $ 1,927.80

27284 00 Surgery 42.70 42.70 $ 3,517.83 $ 3,517.83

27286 00 Surgery 46.81 46.81 $ 3,856.43 $ 3,856.43

27290 00 Surgery 46.40 46.40 $ 3,822.65 $ 3,822.65

27295 00 Surgery 36.49 36.49 $ 3,006.22 $ 3,006.22

27299 00 Surgery - - BR BR

27301 00 Surgery 19.19 14.41 $ 1,580.96 $ 1,187.16

27303 00 Surgery 18.39 18.39 $ 1,515.06 $ 1,515.06

27305 00 Surgery 13.76 13.76 $ 1,133.61 $ 1,133.61

27306 00 Surgery 10.08 10.08 $ 830.44 $ 830.44

27307 00 Surgery 12.22 12.22 $ 1,006.74 $ 1,006.74

27310 00 Surgery 20.99 20.99 $ 1,729.26 $ 1,729.26

27323 00 Surgery 7.73 5.13 $ 636.83 $ 422.63

27324 00 Surgery 11.42 11.42 $ 940.83 $ 940.83

27325 00 Surgery 14.68 14.68 $ 1,209.41 $ 1,209.41

27326 00 Surgery 14.31 14.31 $ 1,178.93 $ 1,178.93

27327 00 Surgery 13.10 9.02 $ 1,079.24 $ 743.11

27328 00 Surgery 17.88 17.88 $ 1,473.04 $ 1,473.04

27329 00 Surgery 29.97 29.97 $ 2,469.07 $ 2,469.07

27330 00 Surgery 11.80 11.80 $ 972.14 $ 972.14

27331 00 Surgery 13.61 13.61 $ 1,121.26 $ 1,121.26

27332 00 Surgery 18.41 18.41 $ 1,516.70 $ 1,516.70

27333 00 Surgery 16.82 16.82 $ 1,440.00 $ 1,440.00

27334 00 Surgery 19.62 19.62 $ 1,616.39 $ 1,616.39

27335 00 Surgery 21.89 21.89 $ 1,803.40 $ 1,803.40

27337 00 Surgery 12.03 12.03 $ 991.09 $ 991.09

27339 00 Surgery 21.71 21.71 $ 1,788.57 $ 1,788.57

27340 00 Surgery 10.64 10.64 $ 876.57 $ 876.57

27345 00 Surgery 13.75 13.75 $ 1,132.79 $ 1,132.79

27347 00 Surgery 15.16 15.16 $ 1,248.95 $ 1,248.95

27350 00 Surgery 18.68 18.68 $ 1,538.95 $ 1,538.95

27355 00 Surgery 17.30 17.30 $ 1,425.26 $ 1,425.26

27356 00 Surgery 21.10 21.10 $ 1,738.32 $ 1,738.32

27357 00 Surgery 23.38 23.38 $ 1,926.16 $ 1,926.16

27358 00 Surgery 8.08 8.08 $ 725.39 $ 725.39

27360 00 Surgery 24.40 24.40 $ 2,010.19 $ 2,010.19

27364 00 Surgery 45.02 45.02 $ 3,708.96 $ 3,708.96

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

65

27365 00 Surgery 59.55 59.55 $ 4,906.01 $ 4,906.01

27370 00 Surgery 4.37 1.46 $ 360.02 $ 120.28

27372 00 Surgery 17.20 11.53 $ 1,417.02 $ 949.90

27380 00 Surgery 17.00 17.00 $ 1,400.54 $ 1,400.54

27381 00 Surgery 22.92 22.92 $ 1,888.26 $ 1,888.26

27385 00 Surgery 16.45 16.45 $ 1,355.23 $ 1,355.23

27386 00 Surgery 23.76 23.76 $ 1,957.46 $ 1,957.46

27390 00 Surgery 12.65 12.65 $ 1,042.17 $ 1,042.17

27391 00 Surgery 16.41 16.41 $ 1,351.93 $ 1,351.93

27392 00 Surgery 20.10 20.10 $ 1,655.93 $ 1,655.93

27393 00 Surgery 14.62 14.62 $ 1,204.47 $ 1,204.47

27394 00 Surgery 18.25 18.25 $ 1,503.52 $ 1,503.52

27395 00 Surgery 25.27 25.27 $ 2,081.86 $ 2,081.86

27396 00 Surgery 17.58 17.58 $ 1,448.32 $ 1,448.32

27397 00 Surgery 26.01 26.01 $ 2,142.83 $ 2,142.83

27400 00 Surgery 19.65 19.65 $ 1,618.86 $ 1,618.86

27403 00 Surgery 18.36 18.36 $ 1,512.58 $ 1,512.58

27405 00 Surgery 19.35 19.35 $ 1,594.15 $ 1,594.15

27407 00 Surgery 22.25 22.25 $ 1,833.06 $ 1,833.06

27409 00 Surgery 27.78 27.78 $ 2,288.65 $ 2,288.65

27412 00 Surgery 47.69 47.69 $ 3,928.93 $ 3,928.93

27415 00 Surgery 39.62 39.62 $ 3,264.08 $ 3,264.08

27416 00 Surgery 28.25 28.25 $ 2,327.37 $ 2,327.37

27418 00 Surgery 23.68 23.68 $ 1,950.87 $ 1,950.87

27420 00 Surgery 21.33 21.33 $ 1,757.27 $ 1,757.27

27422 00 Surgery 21.33 21.33 $ 1,757.27 $ 1,757.27

27424 00 Surgery 21.51 21.51 $ 1,772.10 $ 1,772.10

27425 00 Surgery 12.83 12.83 $ 1,350.00 $ 1,350.00

27427 00 Surgery 20.42 20.42 $ 1,682.30 $ 1,682.30

27428 00 Surgery 31.96 31.96 $ 2,633.02 $ 2,633.02

27429 00 Surgery 35.72 35.72 $ 2,942.78 $ 2,942.78

27430 00 Surgery 21.22 21.22 $ 1,748.20 $ 1,748.20

27435 00 Surgery 23.16 23.16 $ 1,908.03 $ 1,908.03

27437 00 Surgery 19.01 19.01 $ 1,566.13 $ 1,566.13

27438 00 Surgery 24.14 24.14 $ 1,988.77 $ 1,988.77

27440 00 Surgery 22.87 22.87 $ 1,884.14 $ 1,884.14

27441 00 Surgery 23.73 23.73 $ 1,954.99 $ 1,954.99

27442 00 Surgery 25.01 25.01 $ 2,060.44 $ 2,060.44

27443 00 Surgery 23.39 23.39 $ 2,027.25 $ 2,027.25

27445 00 Surgery 36.11 36.11 $ 2,974.91 $ 2,974.91

27446 00 Surgery 33.42 33.42 $ 2,753.30 $ 2,753.30

27447 00 Surgery 39.09 39.09 $ 3,220.42 $ 3,220.42

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

66

27448 00 Surgery 22.13 22.13 $ 1,823.17 $ 1,823.17

27450 00 Surgery 29.16 29.16 $ 2,402.34 $ 2,402.34

27454 00 Surgery 37.41 37.41 $ 3,082.01 $ 3,082.01

27455 00 Surgery 27.07 27.07 $ 2,230.16 $ 2,230.16

27457 00 Surgery 27.21 27.21 $ 2,241.69 $ 2,241.69

27465 00 Surgery 35.52 35.52 $ 2,926.31 $ 2,926.31

27466 00 Surgery 33.82 33.82 $ 2,786.25 $ 2,786.25

27468 00 Surgery 38.74 38.74 $ 3,191.59 $ 3,191.59

27470 00 Surgery 33.85 33.85 $ 2,788.72 $ 2,788.72

27472 00 Surgery 36.37 36.37 $ 2,996.33 $ 2,996.33

27475 00 Surgery 19.01 19.01 $ 1,566.13 $ 1,566.13

27477 00 Surgery 21.08 21.08 $ 1,736.67 $ 1,736.67

27479 00 Surgery 26.51 26.51 $ 2,184.02 $ 2,184.02

27485 00 Surgery 19.15 19.15 $ 1,577.67 $ 1,577.67

27486 00 Surgery 40.56 40.56 $ 3,341.53 $ 3,341.53

27487 00 Surgery 50.73 50.73 $ 4,179.38 $ 4,179.38

27488 00 Surgery 34.58 34.58 $ 2,848.87 $ 2,848.87

27495 00 Surgery 32.41 32.41 $ 2,670.09 $ 2,670.09

27496 00 Surgery 15.41 15.41 $ 1,269.55 $ 1,269.55

27497 00 Surgery 16.59 16.59 $ 1,366.76 $ 1,366.76

27498 00 Surgery 18.67 18.67 $ 1,538.12 $ 1,538.12

27499 00 Surgery 19.85 19.85 $ 1,635.34 $ 1,635.34

27500 00 Surgery 14.84 13.75 $ 1,222.59 $ 1,132.79

27501 00 Surgery 14.43 14.31 $ 1,188.81 $ 1,178.93

27502 00 Surgery 21.84 21.84 $ 1,799.28 $ 1,799.28

27503 00 Surgery 22.98 22.98 $ 1,893.20 $ 1,893.20

27506 00 Surgery 38.55 38.55 $ 3,175.93 $ 3,175.93

27507 00 Surgery 28.02 28.02 $ 2,308.42 $ 2,308.42

27508 00 Surgery 15.00 14.12 $ 1,235.77 $ 1,163.27

27509 00 Surgery 18.41 18.41 $ 1,516.70 $ 1,516.70

27510 00 Surgery 19.59 19.59 $ 1,613.92 $ 1,613.92

27511 00 Surgery 28.74 28.74 $ 2,367.74 $ 2,367.74

27513 00 Surgery 35.77 35.77 $ 2,946.90 $ 2,946.90

27514 00 Surgery 27.86 27.86 $ 2,295.24 $ 2,295.24

27516 00 Surgery 14.48 13.60 $ 1,192.93 $ 1,120.43

27517 00 Surgery 18.39 18.39 $ 1,515.06 $ 1,515.06

27519 00 Surgery 25.71 25.71 $ 2,118.11 $ 2,118.11

27520 00 Surgery 9.19 8.40 $ 757.12 $ 692.03

27524 00 Surgery 21.61 21.61 $ 1,780.33 $ 1,780.33

27530 00 Surgery 8.59 7.98 $ 707.69 $ 657.43

27532 00 Surgery 17.60 16.54 $ 1,449.97 $ 1,362.64

27535 00 Surgery 25.85 25.85 $ 2,129.65 $ 2,129.65

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

67

27536 00 Surgery 34.26 34.26 $ 2,822.50 $ 2,822.50

27538 00 Surgery 13.59 12.74 $ 1,119.61 $ 1,049.58

27540 00 Surgery 23.33 23.33 $ 1,922.04 $ 1,922.04

27550 00 Surgery 14.48 13.44 $ 1,192.93 $ 1,107.25

27552 00 Surgery 17.98 17.98 $ 1,481.28 $ 1,481.28

27556 00 Surgery 24.86 24.86 $ 2,048.09 $ 2,048.09

27557 00 Surgery 29.44 29.44 $ 2,425.41 $ 2,425.41

27558 00 Surgery 34.50 34.50 $ 2,842.27 $ 2,842.27

27560 00 Surgery 10.24 9.46 $ 843.62 $ 779.36

27562 00 Surgery 13.60 13.60 $ 1,120.43 $ 1,120.43

27566 00 Surgery 25.58 25.58 $ 2,107.40 $ 2,107.40

27570 00 Surgery 4.33 4.33 $ 356.73 $ 356.73

27580 00 Surgery 41.38 41.38 $ 3,409.08 $ 3,409.08

27590 00 Surgery 23.21 23.21 $ 1,912.15 $ 1,912.15

27591 00 Surgery 27.82 27.82 $ 2,291.94 $ 2,291.94

27592 00 Surgery 19.78 19.78 $ 1,629.57 $ 1,629.57

27594 00 Surgery 14.58 14.58 $ 1,201.17 $ 1,201.17

27596 00 Surgery 20.90 20.90 $ 1,721.84 $ 1,721.84

27598 00 Surgery 20.72 20.72 $ 1,707.01 $ 1,707.01

27599 00 Surgery - - BR BR

27600 00 Surgery 11.74 11.74 $ 967.20 $ 967.20

27601 00 Surgery 12.84 12.84 $ 1,057.82 $ 1,057.82

27602 00 Surgery 14.11 14.11 $ 1,162.45 $ 1,162.45

27603 00 Surgery 15.10 11.13 $ 1,244.01 $ 916.94

27604 00 Surgery 14.01 9.86 $ 1,154.21 $ 812.31

27605 00 Surgery 9.79 5.32 $ 806.55 $ 438.29

27606 00 Surgery 8.10 8.10 $ 667.32 $ 667.32

27607 00 Surgery 17.47 17.47 $ 1,439.26 $ 1,439.26

27610 00 Surgery 18.66 18.66 $ 1,537.30 $ 1,537.30

27612 00 Surgery 16.17 16.17 $ 1,332.16 $ 1,332.16

27613 00 Surgery 7.21 4.68 $ 593.99 $ 385.56

27614 00 Surgery 16.58 11.67 $ 1,365.94 $ 961.43

27615 00 Surgery 29.48 29.48 $ 2,428.70 $ 2,428.70

27616 00 Surgery 36.61 36.61 $ 3,016.11 $ 3,016.11

27618 00 Surgery 12.88 8.87 $ 1,061.12 $ 730.75

27619 00 Surgery 13.44 13.44 $ 1,107.25 $ 1,107.25

27620 00 Surgery 13.05 13.05 $ 1,075.12 $ 1,075.12

27625 00 Surgery 16.64 16.64 $ 1,370.88 $ 1,370.88

27626 00 Surgery 17.38 17.38 $ 1,431.85 $ 1,431.85

27630 00 Surgery 15.99 10.46 $ 1,317.33 $ 861.74

27632 00 Surgery 11.89 11.89 $ 979.55 $ 979.55

27634 00 Surgery 19.73 19.73 $ 1,625.45 $ 1,625.45

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

68

27635 00 Surgery 16.81 16.81 $ 1,384.89 $ 1,384.89

27637 00 Surgery 21.90 21.90 $ 1,804.23 $ 1,804.23

27638 00 Surgery 21.91 21.91 $ 1,805.05 $ 1,805.05

27640 00 Surgery 23.99 23.99 $ 1,976.41 $ 1,976.41

27641 00 Surgery 19.19 19.19 $ 1,580.96 $ 1,580.96

27645 00 Surgery 51.20 51.20 $ 4,218.10 $ 4,218.10

27646 00 Surgery 42.81 42.81 $ 3,526.89 $ 3,526.89

27647 00 Surgery 29.51 29.51 $ 2,431.17 $ 2,431.17

27648 00 Surgery 4.71 1.52 $ 388.03 $ 125.22

27650 00 Surgery 18.90 18.90 $ 1,557.07 $ 1,557.07

27652 00 Surgery 19.67 19.67 $ 1,620.51 $ 1,620.51

27654 00 Surgery 20.34 20.34 $ 1,675.71 $ 1,675.71

27656 00 Surgery 17.74 11.20 $ 1,461.51 $ 922.71

27658 00 Surgery 10.70 10.70 $ 881.52 $ 881.52

27659 00 Surgery 13.73 13.73 $ 1,131.14 $ 1,131.14

27664 00 Surgery 10.40 10.40 $ 856.80 $ 856.80

27665 00 Surgery 11.78 11.78 $ 970.49 $ 970.49

27675 00 Surgery 14.07 14.07 $ 1,159.15 $ 1,159.15

27676 00 Surgery 17.43 17.43 $ 1,435.97 $ 1,435.97

27680 00 Surgery 12.33 12.33 $ 1,015.80 $ 1,015.80

27681 00 Surgery 15.70 15.70 $ 1,293.44 $ 1,293.44

27685 00 Surgery 19.02 13.32 $ 1,566.96 $ 1,097.37

27686 00 Surgery 16.06 16.06 $ 1,323.10 $ 1,323.10

27687 00 Surgery 13.03 13.03 $ 1,073.47 $ 1,073.47

27690 00 Surgery 18.19 18.19 $ 1,498.58 $ 1,498.58

27691 00 Surgery 21.49 21.49 $ 1,770.45 $ 1,770.45

27692 00 Surgery 3.03 3.03 $ 249.63 $ 249.63

27695 00 Surgery 13.70 13.70 $ 1,128.67 $ 1,128.67

27696 00 Surgery 15.87 15.87 $ 1,307.45 $ 1,307.45

27698 00 Surgery 18.41 18.41 $ 1,516.70 $ 1,516.70

27700 00 Surgery 17.50 17.50 $ 1,441.73 $ 1,441.73

27702 00 Surgery 27.73 27.73 $ 2,284.53 $ 2,284.53

27703 00 Surgery 31.92 31.92 $ 2,629.72 $ 2,629.72

27704 00 Surgery 16.51 16.51 $ 1,360.17 $ 1,360.17

27705 00 Surgery 21.79 21.79 $ 1,795.16 $ 1,795.16

27707 00 Surgery 11.47 11.47 $ 944.95 $ 944.95

27709 00 Surgery 33.75 33.75 $ 2,780.49 $ 2,780.49

27712 00 Surgery 31.87 31.87 $ 2,625.60 $ 2,625.60

27715 00 Surgery 30.26 30.26 $ 2,492.96 $ 2,492.96

27720 00 Surgery 25.15 25.15 $ 2,071.98 $ 2,071.98

27722 00 Surgery 25.63 25.63 $ 2,111.52 $ 2,111.52

27724 00 Surgery 36.43 36.43 $ 3,001.28 $ 3,001.28

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

69

27725 00 Surgery 34.32 34.32 $ 2,827.45 $ 2,827.45

27726 00 Surgery 27.72 27.72 $ 2,283.71 $ 2,283.71

27727 00 Surgery 25.69 25.69 $ 2,116.46 $ 2,116.46

27730 00 Surgery 15.91 15.91 $ 1,310.74 $ 1,310.74

27732 00 Surgery 10.64 10.64 $ 876.57 $ 876.57

27734 00 Surgery 18.85 18.85 $ 1,552.95 $ 1,552.95

27740 00 Surgery 19.93 19.93 $ 1,641.93 $ 1,641.93

27742 00 Surgery 21.69 21.69 $ 1,786.93 $ 1,786.93

27745 00 Surgery 21.73 21.73 $ 1,790.22 $ 1,790.22

27750 00 Surgery 9.87 9.06 $ 813.14 $ 746.41

27752 00 Surgery 15.32 14.16 $ 1,262.13 $ 1,166.57

27756 00 Surgery 16.55 16.55 $ 1,363.47 $ 1,363.47

27758 00 Surgery 25.63 25.63 $ 2,111.52 $ 2,111.52

27759 00 Surgery 28.75 28.75 $ 2,368.56 $ 2,368.56

27760 00 Surgery 9.47 8.65 $ 780.18 $ 712.63

27762 00 Surgery 13.41 12.23 $ 1,104.78 $ 1,007.57

27766 00 Surgery 17.48 17.48 $ 1,440.09 $ 1,440.09

27767 00 Surgery 7.98 8.03 $ 657.43 $ 661.55

27768 00 Surgery 12.54 12.54 $ 1,033.10 $ 1,033.10

27769 00 Surgery 20.77 20.77 $ 1,711.13 $ 1,711.13

27780 00 Surgery 8.71 7.94 $ 717.57 $ 654.14

27781 00 Surgery 12.16 11.29 $ 1,001.80 $ 930.12

27784 00 Surgery 20.54 20.54 $ 1,692.18 $ 1,692.18

27786 00 Surgery 8.99 8.15 $ 740.64 $ 671.44

27788 00 Surgery 11.99 10.96 $ 987.79 $ 902.94

27792 00 Surgery 18.74 18.74 $ 1,543.89 $ 1,543.89

27808 00 Surgery 9.51 8.55 $ 783.48 $ 704.39

27810 00 Surgery 13.28 12.06 $ 1,094.07 $ 993.56

27814 00 Surgery 22.17 22.17 $ 1,826.47 $ 1,826.47

27816 00 Surgery 9.16 8.23 $ 754.64 $ 678.03

27818 00 Surgery 13.78 12.37 $ 1,135.26 $ 1,019.10

27822 00 Surgery 24.67 24.67 $ 2,032.43 $ 2,032.43

27823 00 Surgery 27.98 27.98 $ 2,305.13 $ 2,305.13

27824 00 Surgery 8.94 8.69 $ 736.52 $ 715.92

27825 00 Surgery 15.55 14.13 $ 1,281.08 $ 1,164.10

27826 00 Surgery 24.43 24.43 $ 2,012.66 $ 2,012.66

27827 00 Surgery 31.61 31.61 $ 2,604.18 $ 2,604.18

27828 00 Surgery 37.81 37.81 $ 3,114.97 $ 3,114.97

27829 00 Surgery 19.98 19.98 $ 1,646.05 $ 1,646.05

27830 00 Surgery 10.74 10.02 $ 884.81 $ 825.50

27831 00 Surgery 10.82 10.82 $ 891.40 $ 891.40

27832 00 Surgery 21.75 21.75 $ 1,791.87 $ 1,791.87

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

70

27840 00 Surgery 10.49 10.49 $ 864.22 $ 864.22

27842 00 Surgery 14.13 14.13 $ 1,164.10 $ 1,164.10

27846 00 Surgery 20.93 20.93 $ 1,724.31 $ 1,724.31

27848 00 Surgery 23.18 23.18 $ 1,909.68 $ 1,909.68

27860 00 Surgery 4.96 4.96 $ 408.63 $ 408.63

27870 00 Surgery 29.64 29.64 $ 2,441.88 $ 2,441.88

27871 00 Surgery 19.67 19.67 $ 1,620.51 $ 1,620.51

27880 00 Surgery 26.60 26.60 $ 2,191.43 $ 2,191.43

27881 00 Surgery 25.09 25.09 $ 2,067.03 $ 2,067.03

27882 00 Surgery 17.40 17.40 $ 1,433.49 $ 1,433.49

27884 00 Surgery 16.66 16.66 $ 1,372.53 $ 1,372.53

27886 00 Surgery 19.04 19.04 $ 1,568.61 $ 1,568.61

27888 00 Surgery 19.87 19.87 $ 1,636.99 $ 1,636.99

27889 00 Surgery 18.78 18.78 $ 1,547.19 $ 1,547.19

27892 00 Surgery 15.99 15.99 $ 1,317.33 $ 1,317.33

27893 00 Surgery 17.41 17.41 $ 1,434.32 $ 1,434.32

27894 00 Surgery 24.70 24.70 $ 2,034.90 $ 2,034.90

27899 00 Surgery - - BR BR

28001 00 Surgery 7.96 4.87 $ 655.78 $ 401.21

28002 00 Surgery 12.70 9.14 $ 1,046.29 $ 753.00

28003 00 Surgery 20.19 16.13 $ 1,663.35 $ 1,328.87

28005 00 Surgery 16.59 16.59 $ 1,366.76 $ 1,366.76

28008 00 Surgery 12.49 8.45 $ 1,028.99 $ 696.15

28010 00 Surgery 6.66 6.00 $ 548.68 $ 494.31

28011 00 Surgery 9.22 8.24 $ 759.59 $ 678.85

28020 00 Surgery 15.58 10.42 $ 1,283.55 $ 858.45

28022 00 Surgery 14.01 9.31 $ 1,154.21 $ 767.00

28024 00 Surgery 13.25 8.74 $ 1,091.60 $ 720.04

28035 00 Surgery 15.22 10.23 $ 1,253.90 $ 842.80

28039 00 Surgery 14.64 10.07 $ 1,206.11 $ 829.61

28041 00 Surgery 13.16 13.16 $ 1,084.18 $ 1,084.18

28043 00 Surgery 11.58 7.58 $ 954.02 $ 624.48

28045 00 Surgery 14.34 10.03 $ 1,181.40 $ 826.32

28046 00 Surgery 20.98 20.98 $ 1,728.43 $ 1,728.43

28047 00 Surgery 30.67 30.67 $ 2,526.74 $ 2,526.74

28050 00 Surgery 13.71 8.91 $ 1,129.50 $ 734.05

28052 00 Surgery 12.80 8.16 $ 1,054.53 $ 672.26

28054 00 Surgery 11.11 6.92 $ 915.29 $ 570.10

28055 00 Surgery 10.85 10.85 $ 893.87 $ 893.87

28060 00 Surgery 14.93 10.26 $ 1,230.00 $ 845.27

28062 00 Surgery 16.95 11.74 $ 1,396.42 $ 967.20

28070 00 Surgery 15.51 10.32 $ 1,277.79 $ 850.21

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

71

28072 00 Surgery 14.71 9.60 $ 1,211.88 $ 790.89

28080 00 Surgery 15.18 10.58 $ 1,250.60 $ 871.63

28086 00 Surgery 15.75 10.36 $ 1,297.56 $ 853.51

28088 00 Surgery 12.89 8.12 $ 1,061.94 $ 668.96

28090 00 Surgery 13.58 8.87 $ 1,118.79 $ 730.75

28092 00 Surgery 12.26 7.76 $ 1,010.04 $ 639.31

28100 00 Surgery 17.51 11.88 $ 1,442.56 $ 978.73

28102 00 Surgery 17.40 17.40 $ 1,433.49 $ 1,433.49

28103 00 Surgery 11.42 11.42 $ 940.83 $ 940.83

28104 00 Surgery 15.25 10.18 $ 1,256.37 $ 838.68

28106 00 Surgery 12.34 12.34 $ 1,016.63 $ 1,016.63

28107 00 Surgery 14.94 10.06 $ 1,230.83 $ 828.79

28108 00 Surgery 12.71 8.30 $ 1,047.11 $ 683.79

28110 00 Surgery 13.39 8.34 $ 1,103.13 $ 687.09

28111 00 Surgery 14.24 9.39 $ 1,173.16 $ 773.59

28112 00 Surgery 14.14 9.02 $ 1,164.92 $ 743.11

28113 00 Surgery 17.08 12.24 $ 1,407.13 $ 1,008.39

28114 00 Surgery 31.02 24.14 $ 2,555.58 $ 1,988.77

28116 00 Surgery 21.93 16.49 $ 1,806.70 $ 1,358.52

28118 00 Surgery 17.08 11.84 $ 1,407.13 $ 975.44

28119 00 Surgery 15.17 10.39 $ 1,249.78 $ 855.98

28120 00 Surgery 19.50 14.30 $ 1,606.50 $ 1,178.10

28122 00 Surgery 17.30 12.67 $ 1,425.26 $ 1,043.82

28124 00 Surgery 13.79 9.51 $ 1,136.09 $ 783.48

28126 00 Surgery 11.44 7.16 $ 942.48 $ 589.87

28130 00 Surgery 18.50 18.50 $ 1,524.12 $ 1,524.12

28140 00 Surgery 17.20 12.65 $ 1,417.02 $ 1,042.17

28150 00 Surgery 12.32 8.07 $ 1,014.98 $ 664.85

28153 00 Surgery 11.87 7.58 $ 977.91 $ 624.48

28160 00 Surgery 12.13 7.74 $ 999.33 $ 637.66

28171 00 Surgery 24.41 24.41 $ 2,011.01 $ 2,011.01

28173 00 Surgery 21.87 21.87 $ 1,801.75 $ 1,801.75

28175 00 Surgery 14.10 14.10 $ 1,161.63 $ 1,161.63

28190 00 Surgery 7.42 3.85 $ 611.29 $ 317.18

28192 00 Surgery 13.54 9.02 $ 1,115.49 $ 743.11

28193 00 Surgery 15.35 10.63 $ 1,264.61 $ 875.75

28200 00 Surgery 14.19 9.27 $ 1,169.04 $ 763.71

28202 00 Surgery 17.14 12.21 $ 1,412.07 $ 1,005.92

28208 00 Surgery 13.78 9.03 $ 1,135.26 $ 743.93

28210 00 Surgery 16.85 11.94 $ 1,388.18 $ 983.67

28220 00 Surgery 13.06 8.72 $ 1,075.95 $ 718.40

28222 00 Surgery 14.66 10.06 $ 1,207.76 $ 828.79

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

72

28225 00 Surgery 11.94 7.52 $ 983.67 $ 619.53

28226 00 Surgery 14.16 9.12 $ 1,166.57 $ 751.35

28230 00 Surgery 12.59 8.17 $ 1,037.22 $ 673.08

28232 00 Surgery 11.20 7.00 $ 922.71 $ 576.69

28234 00 Surgery 11.80 7.59 $ 972.14 $ 625.30

28238 00 Surgery 19.35 14.00 $ 1,594.15 $ 1,153.39

28240 00 Surgery 13.06 8.53 $ 1,075.95 $ 702.74

28250 00 Surgery 16.69 11.60 $ 1,375.00 $ 955.66

28260 00 Surgery 20.01 14.82 $ 1,648.52 $ 1,220.94

28261 00 Surgery 28.91 22.79 $ 2,381.74 $ 1,877.55

28262 00 Surgery 42.37 34.10 $ 3,490.64 $ 2,809.32

28264 00 Surgery 25.25 19.37 $ 2,080.22 $ 1,595.79

28270 00 Surgery 14.23 9.63 $ 1,172.34 $ 793.37

28272 00 Surgery 11.40 7.32 $ 939.19 $ 603.06

28280 00 Surgery 14.92 10.06 $ 1,229.18 $ 828.79

28285 00 Surgery 15.46 10.88 $ 1,273.67 $ 896.35

28286 00 Surgery 13.02 8.60 $ 1,072.65 $ 708.51

28288 00 Surgery 17.44 12.35 $ 1,436.79 $ 1,017.45

28289 00 Surgery 21.58 13.38 $ 1,777.86 $ 1,102.31

28291 00 Surgery 21.14 13.84 $ 1,741.61 $ 1,140.21

28292 00 Surgery 21.58 13.92 $ 1,777.86 $ 1,146.80

28295 00 Surgery 27.1 15.42 $ 2,232.63 $ 1,270.37

28296 00 Surgery 26.33 14.83 $ 2,169.19 $ 1,221.77

28297 00 Surgery 30.25 17.35 $ 2,492.14 $ 1,429.38

28298 00 Surgery 24.55 14.27 $ 2,022.55 $ 1,175.63

28299 00 Surgery 28.93 16.68 $ 2,383.39 $ 1,374.18

28300 00 Surgery 18.73 18.73 $ 1,543.07 $ 1,543.07

28302 00 Surgery 20.59 20.59 $ 1,696.30 $ 1,696.30

28304 00 Surgery 23.90 17.50 $ 1,969.00 $ 1,441.73

28305 00 Surgery 19.18 19.18 $ 1,580.14 $ 1,580.14

28306 00 Surgery 17.76 11.63 $ 1,463.15 $ 958.13

28307 00 Surgery 19.26 12.69 $ 1,586.73 $ 1,045.46

28308 00 Surgery 16.39 10.87 $ 1,350.29 $ 895.52

28309 00 Surgery 25.92 25.92 $ 2,135.41 $ 2,135.41

28310 00 Surgery 15.84 10.33 $ 1,304.97 $ 851.03

28312 00 Surgery 14.70 9.18 $ 1,211.06 $ 756.29

28313 00 Surgery 15.22 10.29 $ 1,253.90 $ 847.74

28315 00 Surgery 13.95 9.39 $ 1,149.27 $ 773.59

28320 00 Surgery 17.61 17.61 $ 1,450.80 $ 1,450.80

28322 00 Surgery 22.70 16.60 $ 1,870.13 $ 1,367.59

28340 00 Surgery 16.72 11.90 $ 1,377.47 $ 980.38

28341 00 Surgery 19.40 14.16 $ 1,598.26 $ 1,166.57

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

73

28344 00 Surgery 16.11 10.26 $ 1,327.22 $ 845.27

28345 00 Surgery 15.34 10.67 $ 1,263.78 $ 879.05

28360 00 Surgery 26.52 26.52 $ 2,184.84 $ 2,184.84

28400 00 Surgery 7.10 6.49 $ 584.93 $ 534.68

28405 00 Surgery 11.24 10.21 $ 926.00 $ 841.15

28406 00 Surgery 14.93 14.93 $ 1,230.00 $ 1,230.00

28415 00 Surgery 32.31 32.31 $ 2,661.85 $ 2,661.85

28420 00 Surgery 36.61 36.61 $ 3,016.11 $ 3,016.11

28430 00 Surgery 6.75 6.00 $ 556.10 $ 494.31

28435 00 Surgery 9.20 8.23 $ 757.94 $ 678.03

28436 00 Surgery 12.77 12.77 $ 1,052.05 $ 1,052.05

28445 00 Surgery 30.60 30.60 $ 2,520.97 $ 2,520.97

28446 00 Surgery 34.73 34.73 $ 2,861.22 $ 2,861.22

28450 00 Surgery 6.17 5.50 $ 508.31 $ 453.12

28455 00 Surgery 8.23 7.40 $ 678.03 $ 609.65

28456 00 Surgery 9.02 9.02 $ 743.11 $ 743.11

28465 00 Surgery 18.06 18.06 $ 1,487.87 $ 1,487.87

28470 00 Surgery 6.25 5.84 $ 514.90 $ 481.13

28475 00 Surgery 7.31 6.50 $ 602.23 $ 535.50

28476 00 Surgery 10.10 10.10 $ 832.09 $ 832.09

28485 00 Surgery 15.56 15.56 $ 1,281.91 $ 1,281.91

28490 00 Surgery 4.16 3.58 $ 342.72 $ 294.94

28495 00 Surgery 5.10 4.30 $ 420.16 $ 354.25

28496 00 Surgery 12.88 6.84 $ 1,061.12 $ 563.51

28505 00 Surgery 19.30 14.41 $ 1,590.03 $ 1,187.16

28510 00 Surgery 3.54 3.44 $ 291.64 $ 283.40

28515 00 Surgery 4.63 4.09 $ 381.44 $ 336.95

28525 00 Surgery 16.27 11.41 $ 1,340.40 $ 940.01

28530 00 Surgery 3.30 2.93 $ 271.87 $ 241.39

28531 00 Surgery 9.90 5.24 $ 815.61 $ 431.70

28540 00 Surgery 5.52 4.99 $ 454.76 $ 411.10

28545 00 Surgery 8.47 7.52 $ 697.80 $ 619.53

28546 00 Surgery 16.17 9.52 $ 1,332.16 $ 784.30

28555 00 Surgery 25.32 19.20 $ 2,085.98 $ 1,581.79

28570 00 Surgery 5.16 4.37 $ 425.11 $ 360.02

28575 00 Surgery 10.15 9.19 $ 836.21 $ 757.12

28576 00 Surgery 11.33 11.33 $ 933.42 $ 933.42

28585 00 Surgery 24.90 19.47 $ 2,051.38 $ 1,604.03

28600 00 Surgery 6.34 5.44 $ 522.32 $ 448.17

28605 00 Surgery 9.37 8.43 $ 771.95 $ 694.50

28606 00 Surgery 11.38 11.38 $ 937.54 $ 937.54

28615 00 Surgery 23.12 23.12 $ 1,904.74 $ 1,904.74

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

74

28630 00 Surgery 4.56 3.19 $ 375.67 $ 262.81

28635 00 Surgery 5.05 3.80 $ 416.04 $ 313.06

28636 00 Surgery 10.06 6.45 $ 828.79 $ 531.38

28645 00 Surgery 18.94 13.95 $ 1,560.37 $ 1,149.27

28660 00 Surgery 3.35 2.56 $ 275.99 $ 210.91

28665 00 Surgery 4.46 3.79 $ 367.44 $ 312.24

28666 00 Surgery 5.33 5.33 $ 439.11 $ 439.11

28675 00 Surgery 16.86 11.85 $ 1,389.01 $ 976.26

28705 00 Surgery 35.91 35.91 $ 2,958.44 $ 2,958.44

28715 00 Surgery 27.02 27.02 $ 2,226.04 $ 2,226.04

28725 00 Surgery 22.39 22.39 $ 1,844.59 $ 1,844.59

28730 00 Surgery 21.08 21.08 $ 1,736.67 $ 1,736.67

28735 00 Surgery 22.55 22.55 $ 1,857.78 $ 1,857.78

28737 00 Surgery 20.05 20.05 $ 1,651.81 $ 1,651.81

28740 00 Surgery 24.41 17.93 $ 2,011.01 $ 1,477.16

28750 00 Surgery 23.39 16.96 $ 1,926.98 $ 1,397.25

28755 00 Surgery 14.68 9.51 $ 1,209.41 $ 783.48

28760 00 Surgery 22.94 16.72 $ 1,889.91 $ 1,377.47

28800 00 Surgery 15.58 15.58 $ 1,283.55 $ 1,283.55

28805 00 Surgery 21.12 21.12 $ 1,739.97 $ 1,739.97

28810 00 Surgery 12.45 12.45 $ 1,025.69 $ 1,025.69

28820 00 Surgery 16.28 11.39 $ 1,341.22 $ 938.36

28825 00 Surgery 15.56 10.69 $ 1,281.91 $ 880.69

28890 00 Surgery 9.34 6.49 $ 769.47 $ 534.68

28899 00 Surgery - - BR BR

29000 00 Surgery 8.59 5.22 $ 707.69 $ 430.05

29010 00 Surgery 6.25 3.98 $ 514.90 $ 327.89

29015 00 Surgery 7.62 4.87 $ 627.77 $ 401.21

29035 00 Surgery 7.31 4.15 $ 602.23 $ 341.90

29040 00 Surgery 6.45 4.19 $ 531.38 $ 345.19

29044 00 Surgery 7.14 4.41 $ 588.23 $ 363.32

29046 00 Surgery 7.47 4.76 $ 615.41 $ 392.15

29049 00 Surgery 2.10 1.62 $ 173.01 $ 133.46

29055 00 Surgery 6.28 3.96 $ 517.38 $ 326.24

29058 00 Surgery 3.51 2.70 $ 289.17 $ 222.44

29065 00 Surgery 2.74 1.96 $ 225.73 $ 161.47

29075 00 Surgery 2.48 1.79 $ 204.31 $ 147.47

29085 00 Surgery 2.73 1.95 $ 224.91 $ 160.65

29086 00 Surgery 2.17 1.43 $ 178.77 $ 117.81

29105 00 Surgery 2.51 1.71 $ 206.79 $ 140.88

29125 00 Surgery 1.84 1.13 $ 151.59 $ 93.09

29126 00 Surgery 2.16 1.38 $ 177.95 $ 113.69

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

75

29130 00 Surgery 1.17 0.82 $ 96.39 $ 67.56

29131 00 Surgery 1.45 0.95 $ 119.46 $ 78.27

29200 00 Surgery 0.85 0.52 $ 70.03 $ 42.84

29240 00 Surgery 0.81 0.52 $ 85.40 $ 54.83

29260 00 Surgery 0.82 0.56 $ 67.56 $ 46.14

29280 00 Surgery 0.82 0.56 $ 67.56 $ 46.14

29305 00 Surgery 7.01 4.56 $ 577.52 $ 375.67

29325 00 Surgery 7.80 5.12 $ 642.60 $ 421.81

29345 00 Surgery 3.90 2.91 $ 321.30 $ 239.74

29355 00 Surgery 4.03 3.07 $ 332.01 $ 252.92

29358 00 Surgery 4.59 2.99 $ 378.15 $ 246.33

29365 00 Surgery 3.51 2.52 $ 289.17 $ 207.61

29405 00 Surgery 2.34 1.73 $ 192.78 $ 142.53

29425 00 Surgery 2.24 1.63 $ 184.54 $ 134.29

29435 00 Surgery 3.36 2.40 $ 276.81 $ 197.72

29440 00 Surgery 1.25 0.83 $ 102.98 $ 68.38

29445 00 Surgery 3.84 2.99 $ 316.36 $ 246.33

29450 00 Surgery 4.14 3.26 $ 341.07 $ 268.57

29505 00 Surgery 2.39 1.43 $ 196.90 $ 117.81

29515 00 Surgery 2.06 1.43 $ 169.71 $ 117.81

29520 00 Surgery 0.89 0.53 $ 73.32 $ 43.66

29530 00 Surgery 0.81 0.52 $ 66.73 $ 42.84

29540 00 Surgery 0.74 0.52 $ 60.96 $ 42.84

29550 00 Surgery 0.54 0.33 $ 45.92 $ 28.06

29580 00 Surgery 1.49 1.02 $ 122.75 $ 84.03

29581 00 Surgery 1.77 0.37 $ 145.82 $ 30.48

29582 00 Surgery 2.00 0.45 $ 164.77 $ 37.07

29583 00 Surgery 1.25 0.32 $ 102.98 $ 26.36

29584 00 Surgery 2.00 0.45 $ 164.77 $ 37.07

29700 00 Surgery 1.80 0.97 $ 148.29 $ 79.91

29705 00 Surgery 1.91 1.36 $ 157.35 $ 112.04

29710 00 Surgery 3.48 2.40 $ 286.70 $ 197.72

29720 00 Surgery 2.43 1.28 $ 200.19 $ 105.45

29730 00 Surgery 1.84 1.29 $ 151.59 $ 106.28

29740 00 Surgery 2.85 2.03 $ 234.80 $ 167.24

29750 00 Surgery 2.59 1.98 $ 213.38 $ 163.12

29799 00 Surgery - - BR BR

29800 00 Surgery 15.17 15.17 $ 1,249.78 $ 1,249.78

29804 00 Surgery 18.56 18.56 $ 1,529.06 $ 1,529.06

29805 00 Surgery 13.56 13.56 $ 1,117.14 $ 1,117.14

29806 00 Surgery 30.58 30.58 $ 2,519.33 $ 2,519.33

29807 00 Surgery 29.82 29.82 $ 2,456.71 $ 2,456.71

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

76

29819 00 Surgery 16.84 16.84 $ 1,575.00 $ 1,575.00

29820 00 Surgery 15.35 15.35 $ 1,335.00 $ 1,335.00

29821 00 Surgery 16.77 16.77 $ 1,597.50 $ 1,597.50

29822 00 Surgery 16.29 16.29 $ 1,408.50 $ 1,408.50

29823 00 Surgery 17.77 17.77 $ 1,597.50 $ 1,597.50

29824 00 Surgery 19.15 19.15 $ 1,577.67 $ 1,577.67

29825 00 Surgery 16.58 16.58 $ 1,365.94 $ 1,365.94

29826 00 Surgery 5.10 5.10 $ 1,836.00 $ 1,836.00

29827 00 Surgery 30.36 30.36 $ 2,501.20 $ 2,501.20

29828 00 Surgery 26.20 26.20 $ 2,158.48 $ 2,158.48

29830 00 Surgery 13.12 13.12 $ 1,080.89 $ 1,080.89

29834 00 Surgery 13.99 13.99 $ 1,654.79 $ 1,654.79

29835 00 Surgery 14.39 14.39 $ 1,405.50 $ 1,405.50

29836 00 Surgery 16.42 16.42 $ 1,774.50 $ 1,774.50

29837 00 Surgery 15.01 15.01 $ 1,283.25 $ 1,283.25

29838 00 Surgery 16.88 16.88 $ 1,698.75 $ 1,698.75

29840 00 Surgery 12.93 12.93 $ 1,065.24 $ 1,065.24

29843 00 Surgery 13.92 13.92 $ 1,146.80 $ 1,146.80

29844 00 Surgery 14.23 14.23 $ 1,172.34 $ 1,172.34

29845 00 Surgery 16.53 16.53 $ 1,361.82 $ 1,361.82

29846 00 Surgery 14.93 14.93 $ 1,425.75 $ 1,425.75

29847 00 Surgery 15.57 15.57 $ 1,425.75 $ 1,425.75

29848 00 Surgery 14.68 14.68 $ 1,209.41 $ 1,209.41

29850 00 Surgery 17.44 17.44 $ 1,436.79 $ 1,436.79

29851 00 Surgery 25.97 25.97 $ 2,139.53 $ 2,139.53

29855 00 Surgery 22.50 22.50 $ 1,853.66 $ 1,853.66

29856 00 Surgery 28.57 28.57 $ 2,353.73 $ 2,353.73

29860 00 Surgery 18.99 18.99 $ 1,564.49 $ 1,564.49

29861 00 Surgery 20.74 20.74 $ 1,708.66 $ 1,708.66

29862 00 Surgery 23.18 23.18 $ 1,909.68 $ 1,909.68

29863 00 Surgery 23.17 23.17 $ 1,908.86 $ 1,908.86

29866 00 Surgery 29.85 29.85 $ 2,459.19 $ 2,459.19

29867 00 Surgery 36.90 36.90 $ 3,040.00 $ 3,040.00

29868 00 Surgery 47.51 47.51 $ 3,914.10 $ 3,914.10

29870 00 Surgery 16.67 11.82 $ 1,373.35 $ 973.79

29871 00 Surgery 14.80 14.80 $ 1,219.29 $ 1,219.29

29873 00 Surgery 15.03 15.03 $ 1,238.24 $ 1,238.24

29874 00 Surgery 15.45 15.45 $ 1,290.00 $ 1,290.00

29875 00 Surgery 14.23 14.23 $ 1,452.75 $ 1,452.75

29876 00 Surgery 18.92 18.92 $ 1,601.25 $ 1,601.25

29877 00 Surgery 17.87 17.87 $ 1,601.25 $ 1,601.25

29879 00 Surgery 19.05 19.05 $ 1,601.25 $ 1,601.25

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

77

29880 00 Surgery 16.17 16.17 $ 2,100.00 $ 2,100.00

29881 00 Surgery 15.56 15.56 $ 1,601.25 $ 1,601.25

29882 00 Surgery 20.19 20.19 $ 2,073.75 $ 2,073.75

29883 00 Surgery 24.32 24.32 $ 2,296.50 $ 2,296.50

29884 00 Surgery 17.65 17.65 $ 1,601.25 $ 1,601.25

29885 00 Surgery 21.50 21.50 $ 1,932.75 $ 1,932.75

29886 00 Surgery 18.27 18.27 $ 1,545.75 $ 1,545.75

29887 00 Surgery 21.27 21.27 $ 1,752.32 $ 1,752.32

29888 00 Surgery 28.38 28.38 $ 3,054.00 $ 3,054.00

29889 00 Surgery 35.21 35.21 $ 2,900.77 $ 2,900.77

29891 00 Surgery 19.32 19.32 $ 1,591.67 $ 1,591.67

29892 00 Surgery 18.62 18.62 $ 1,534.00 $ 1,534.00

29893 00 Surgery 17.62 12.29 $ 1,451.62 $ 1,012.51

29894 00 Surgery 14.29 14.29 $ 1,307.25 $ 1,307.25

29895 00 Surgery 13.72 13.72 $ 1,221.00 $ 1,221.00

29897 00 Surgery 14.47 14.47 $ 1,221.00 $ 1,221.00

29898 00 Surgery 16.22 16.22 $ 1,654.79 $ 1,654.79

29899 00 Surgery 29.90 29.90 $ 2,463.30 $ 2,463.30

29900 00 Surgery 12.07 12.07 $ 994.38 $ 994.38

29901 00 Surgery 15.13 15.13 $ 1,246.48 $ 1,246.48

29902 00 Surgery 13.96 13.96 $ 1,150.09 $ 1,150.09

29904 00 Surgery 18.06 18.06 $ 1,487.87 $ 1,487.87

29905 00 Surgery 19.55 19.55 $ 1,610.62 $ 1,610.62

29906 00 Surgery 19.90 19.90 $ 1,639.46 $ 1,639.46

29907 00 Surgery 25.21 25.21 $ 2,076.92 $ 2,076.92

29914 00 Surgery 28.59 28.59 $ 2,355.38 $ 2,355.38

29915 00 Surgery 29.12 29.12 $ 2,399.04 $ 2,399.04

29916 00 Surgery 29.15 29.15 $ 2,401.52 $ 2,401.52

29999 00 Surgery - - BR BR

30000 00 Surgery 6.48 3.35 $ 533.85 $ 275.99

30020 00 Surgery 6.57 3.38 $ 541.27 $ 278.46

30100 00 Surgery 3.98 1.96 $ 327.89 $ 161.47

30110 00 Surgery 6.51 3.70 $ 536.32 $ 304.82

30115 00 Surgery 12.23 12.23 $ 1,007.57 $ 1,007.57

30117 00 Surgery 24.73 9.65 $ 2,037.38 $ 795.01

30118 00 Surgery 21.84 21.84 $ 1,799.28 $ 1,799.28

30120 00 Surgery 14.84 12.55 $ 1,222.59 $ 1,033.93

30124 00 Surgery 8.10 8.10 $ 667.32 $ 667.32

30125 00 Surgery 17.19 17.19 $ 1,416.19 $ 1,416.19

30130 00 Surgery 10.79 10.79 $ 888.93 $ 888.93

30140 00 Surgery 12.46 12.46 $ 1,026.51 $ 1,026.51

30150 00 Surgery 21.82 21.82 $ 1,797.64 $ 1,797.64

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

78

30160 00 Surgery 21.91 21.91 $ 1,805.05 $ 1,805.05

30200 00 Surgery 3.19 1.69 $ 262.81 $ 139.23

30210 00 Surgery 4.23 2.83 $ 348.49 $ 233.15

30220 00 Surgery 8.55 3.55 $ 704.39 $ 292.47

30300 00 Surgery 5.04 3.01 $ 415.22 $ 247.98

30310 00 Surgery 5.85 5.85 $ 481.95 $ 481.95

30320 00 Surgery 12.80 12.80 $ 1,054.53 $ 1,054.53

30400 00 Surgery 28.63 28.63 $ 2,358.68 $ 2,358.68

30410 00 Surgery 33.35 33.35 $ 2,747.53 $ 2,747.53

30420 00 Surgery 38.86 38.86 $ 3,201.47 $ 3,201.47

30430 00 Surgery 24.26 24.26 $ 1,998.65 $ 1,998.65

30435 00 Surgery 35.69 35.69 $ 2,940.31 $ 2,940.31

30450 00 Surgery 42.33 42.33 $ 3,487.35 $ 3,487.35

30460 00 Surgery 23.19 23.19 $ 1,910.50 $ 1,910.50

30462 00 Surgery 40.05 40.05 $ 3,299.51 $ 3,299.51

30465 00 Surgery 27.81 27.81 $ 2,291.12 $ 2,291.12

30520 00 Surgery 17.65 17.65 $ 1,454.09 $ 1,454.09

30540 00 Surgery 19.62 19.62 $ 1,616.39 $ 1,616.39

30545 00 Surgery 25.18 25.18 $ 2,074.45 $ 2,074.45

30560 00 Surgery 7.57 3.89 $ 623.65 $ 320.48

30580 00 Surgery 18.65 14.68 $ 1,536.48 $ 1,209.41

30600 00 Surgery 16.17 12.18 $ 1,332.16 $ 1,003.45

30620 00 Surgery 17.70 17.70 $ 1,458.21 $ 1,458.21

30630 00 Surgery 17.63 17.63 $ 1,452.44 $ 1,452.44

30801 00 Surgery 6.47 3.87 $ 533.03 $ 318.83

30802 00 Surgery 8.21 5.39 $ 676.38 $ 444.05

30901 00 Surgery 2.70 1.63 $ 222.44 $ 134.29

30903 00 Surgery 6.26 2.31 $ 515.73 $ 190.31

30905 00 Surgery 7.69 3.05 $ 633.54 $ 251.27

30906 00 Surgery 9.84 3.93 $ 810.67 $ 323.77

30915 00 Surgery 16.31 16.31 $ 1,343.70 $ 1,343.70

30920 00 Surgery 23.74 23.74 $ 1,955.81 $ 1,955.81

30930 00 Surgery 3.49 3.49 $ 287.52 $ 287.52

30999 00 Surgery - - BR BR

31000 00 Surgery 5.21 3.01 $ 429.22 $ 247.98

31002 00 Surgery 5.40 5.40 $ 444.88 $ 444.88

31020 00 Surgery 13.75 10.22 $ 1,132.79 $ 841.97

31030 00 Surgery 19.58 15.03 $ 1,613.09 $ 1,238.24

31032 00 Surgery 16.30 16.30 $ 1,342.87 $ 1,342.87

31040 00 Surgery 21.65 21.65 $ 1,783.63 $ 1,783.63

31050 00 Surgery 13.71 13.71 $ 1,129.50 $ 1,129.50

31051 00 Surgery 18.29 18.29 $ 1,506.82 $ 1,506.82

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

79

31070 00 Surgery 12.42 12.42 $ 1,023.22 $ 1,023.22

31075 00 Surgery 22.27 22.27 $ 1,834.71 $ 1,834.71

31080 00 Surgery 29.65 29.65 $ 2,442.71 $ 2,442.71

31081 00 Surgery 42.52 42.52 $ 3,503.00 $ 3,503.00

31084 00 Surgery 33.73 33.73 $ 2,778.84 $ 2,778.84

31085 00 Surgery 45.38 45.38 $ 3,738.62 $ 3,738.62

31086 00 Surgery 32.18 32.18 $ 2,651.14 $ 2,651.14

31087 00 Surgery 30.95 30.95 $ 2,549.81 $ 2,549.81

31090 00 Surgery 29.04 29.04 $ 2,392.45 $ 2,392.45

31200 00 Surgery 16.24 16.24 $ 1,337.93 $ 1,337.93

31201 00 Surgery 20.98 20.98 $ 1,728.43 $ 1,728.43

31205 00 Surgery 25.55 25.55 $ 2,104.93 $ 2,104.93

31225 00 Surgery 53.43 53.43 $ 4,401.82 $ 4,401.82

31230 00 Surgery 58.81 58.81 $ 4,845.05 $ 4,845.05

31231 00 Surgery 5.92 1.86 $ 487.72 $ 153.24

31233 00 Surgery 7.42 3.91 $ 611.29 $ 322.12

31235 00 Surgery 8.47 4.62 $ 697.80 $ 380.62

31237 00 Surgery 7.32 4.61 $ 603.06 $ 379.79

31238 00 Surgery 7.31 4.83 $ 602.23 $ 397.92

31239 00 Surgery 17.58 17.58 $ 1,448.32 $ 1,448.32

31240 00 Surgery 4.60 4.60 $ 378.97 $ 378.97

31254 00 Surgery 7.82 7.82 $ 750.00 $ 750.00

31255 00 Surgery 11.45 11.45 $ 975.00 $ 975.00

31256 00 Surgery 5.66 5.66 $ 660.00 $ 660.00

31267 00 Surgery 9.08 9.08 $ 748.05 $ 748.05

31276 00 Surgery 14.44 14.44 $ 1,189.64 $ 1,189.64

31287 00 Surgery 6.64 6.64 $ 547.50 $ 547.50

31288 00 Surgery 7.70 7.70 $ 644.40 $ 644.40

31290 00 Surgery 33.04 33.04 $ 2,721.99 $ 2,721.99

31291 00 Surgery 35.26 35.26 $ 2,904.89 $ 2,904.89

31292 00 Surgery 28.56 28.56 $ 2,352.91 $ 2,352.91

31293 00 Surgery 31.03 31.03 $ 2,556.40 $ 2,556.40

31294 00 Surgery 35.90 35.90 $ 2,957.61 $ 2,957.61

31295 00 Surgery 57.31 4.69 $ 4,721.47 $ 386.38

31296 00 Surgery 58.46 5.62 $ 4,816.21 $ 463.00

31297 00 Surgery 57.40 4.60 $ 4,728.89 $ 378.97

31299 00 Surgery - - BR BR

31300 00 Surgery 37.31 37.31 $ 3,073.78 $ 3,073.78

31320 00 Surgery 16.07 16.07 $ 1,323.92 $ 1,323.92

31360 00 Surgery 60.43 60.43 $ 4,978.51 $ 4,978.51

31365 00 Surgery 74.53 74.53 $ 6,140.14 $ 6,140.14

31367 00 Surgery 63.86 63.86 $ 5,261.09 $ 5,261.09

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

80

31368 00 Surgery 71.08 71.08 $ 5,855.91 $ 5,855.91

31370 00 Surgery 60.13 60.13 $ 4,953.80 $ 4,953.80

31375 00 Surgery 57.01 57.01 $ 4,696.76 $ 4,696.76

31380 00 Surgery 56.24 56.24 $ 4,633.32 $ 4,633.32

31382 00 Surgery 61.87 61.87 $ 5,097.15 $ 5,097.15

31390 00 Surgery 83.10 83.10 $ 6,846.17 $ 6,846.17

31395 00 Surgery 87.85 87.85 $ 7,237.50 $ 7,237.50

31400 00 Surgery 28.15 28.15 $ 2,319.13 $ 2,319.13

31420 00 Surgery 23.74 23.74 $ 1,955.81 $ 1,955.81

31500 00 Surgery 4.07 4.07 $ 335.31 $ 335.31

31502 00 Surgery 1.01 1.01 $ 83.21 $ 83.21

31505 00 Surgery 2.34 1.41 $ 192.78 $ 116.16

31510 00 Surgery 6.03 3.50 $ 496.78 $ 288.35

31511 00 Surgery 6.02 3.73 $ 495.96 $ 307.30

31512 00 Surgery 5.87 3.74 $ 483.60 $ 308.12

31513 00 Surgery 3.80 3.80 $ 313.06 $ 313.06

31515 00 Surgery 5.17 2.99 $ 425.93 $ 246.33

31520 00 Surgery 4.51 4.51 $ 371.56 $ 371.56

31525 00 Surgery 7.20 4.61 $ 593.17 $ 379.79

31526 00 Surgery 4.53 4.53 $ 373.20 $ 373.20

31527 00 Surgery 5.61 5.61 $ 462.18 $ 462.18

31528 00 Surgery 4.17 4.17 $ 343.54 $ 343.54

31529 00 Surgery 4.66 4.66 $ 383.91 $ 383.91

31530 00 Surgery 5.71 5.71 $ 470.42 $ 470.42

31531 00 Surgery 6.11 6.11 $ 503.37 $ 503.37

31535 00 Surgery 5.46 5.46 $ 449.82 $ 449.82

31536 00 Surgery 6.08 6.08 $ 500.90 $ 500.90

31540 00 Surgery 6.98 6.98 $ 575.05 $ 575.05

31541 00 Surgery 7.61 7.61 $ 626.95 $ 626.95

31545 00 Surgery 10.45 10.45 $ 860.92 $ 860.92

31546 00 Surgery 15.88 15.88 $ 1,308.27 $ 1,308.27

31551 00 Surgery 40.74 40.74 $ 3,356.36 $ 3,356.36

31552 00 Surgery 41.19 41.19 $ 3,393.43 $ 3,393.43

31553 00 Surgery 44.91 44.91 $ 3,699.90 $ 3,699.90

31554 00 Surgery 47.29 47.29 $ 3,895.98 $ 3,895.98

31560 00 Surgery 9.03 9.03 $ 1,066.50 $ 1,066.50

31561 00 Surgery 9.89 9.89 $ 1,397.25 $ 1,397.25

31570 00 Surgery 9.64 6.62 $ 794.19 $ 545.39

31571 00 Surgery 7.21 7.21 $ 593.99 $ 593.99

31572 00 Surgery 14.15 5.21 $ 1,165.74 $ 429.22

31573 00 Surgery 7.53 4.3 $ 620.36 $ 354.25

31574 00 Surgery 29.16 4.3 $ 2,402.34 $ 354.25

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

81

31575 00 Surgery 3.23 1.94 $ 266.10 $ 159.83

31576 00 Surgery 7.53 3.43 $ 620.36 $ 282.58

31577 00 Surgery 7.80 3.87 $ 642.60 $ 318.83

31578 00 Surgery 8.57 4.30 $ 706.04 $ 354.25

31579 00 Surgery 5.04 3.44 $ 415.22 $ 283.40

31580 00 Surgery 35.73 35.73 $ 2,943.61 $ 2,943.61

31584 00 Surgery 39.65 39.65 $ 3,266.56 $ 3,266.56

31587 00 Surgery 33.28 33.28 $ 2,741.77 $ 2,741.77

31590 00 Surgery 24.95 24.95 $ 2,055.50 $ 2,055.50

31591 00 Surgery 29.85 29.85 $ 2,459.19 $ 2,459.19

31592 00 Surgery 48.3 48.3 $ 3,979.18 $ 3,979.18

31595 00 Surgery 21.66 21.66 $ 1,784.45 $ 1,784.45

31599 00 Surgery - - BR BR

31600 00 Surgery 11.46 11.46 $ 944.13 $ 944.13

31601 00 Surgery 6.10 6.10 $ 502.55 $ 502.55

31603 00 Surgery 6.44 6.44 $ 530.56 $ 530.56

31605 00 Surgery 5.32 5.32 $ 438.29 $ 438.29

31610 00 Surgery 20.39 20.39 $ 1,679.83 $ 1,679.83

31611 00 Surgery 15.32 15.32 $ 1,262.13 $ 1,262.13

31612 00 Surgery 2.37 1.39 $ 195.25 $ 114.51

31613 00 Surgery 12.96 12.96 $ 1,067.71 $ 1,067.71

31614 00 Surgery 21.53 21.53 $ 1,773.74 $ 1,773.74

31615 00 Surgery 4.79 3.31 $ 394.62 $ 272.69

31622 00 Surgery 6.86 3.81 $ 565.16 $ 313.89

31623 00 Surgery 7.70 3.87 $ 634.36 $ 318.83

31624 00 Surgery 7.20 3.92 $ 593.17 $ 322.95

31625 00 Surgery 9.43 4.53 $ 776.89 $ 373.20

31626 00 Surgery 23.92 5.76 $ 1,970.64 $ 474.54

31627 00 Surgery 39.65 2.82 $ 3,266.56 $ 232.33

31628 00 Surgery 10.00 5.09 $ 823.85 $ 419.34

31629 00 Surgery 12.36 5.42 $ 1,018.28 $ 446.53

31630 00 Surgery 5.78 5.78 $ 537.00 $ 537.00

31631 00 Surgery 6.63 6.63 $ 546.21 $ 546.21

31632 00 Surgery 1.84 1.42 $ 151.59 $ 116.99

31633 00 Surgery 2.29 1.83 $ 188.66 $ 150.76

31634 00 Surgery 50.88 5.61 $ 4,191.74 $ 462.18

31635 00 Surgery 7.96 5.07 $ 655.78 $ 417.69

31636 00 Surgery 6.37 6.37 $ 524.79 $ 524.79

31637 00 Surgery 2.14 2.14 $ 176.30 $ 176.30

31638 00 Surgery 7.26 7.26 $ 598.11 $ 598.11

31640 00 Surgery 7.30 7.30 $ 601.41 $ 601.41

31641 00 Surgery 7.45 7.45 $ 722.09 $ 722.09

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

82

31643 00 Surgery 5.12 5.12 $ 421.81 $ 421.81

31645 00 Surgery 7.25 4.31 $ 597.29 $ 355.08

31646 00 Surgery 6.53 3.68 $ 537.97 $ 303.18

31647 00 Surgery 6.10 6.10 $ 502.55 $ 502.55

31648 00 Surgery 5.57 5.57 $ 458.88 $ 458.88

31649 00 Surgery 2.01 2.01 $ 165.59 $ 165.59

31651 00 Surgery 2.15 2.15 $ 177.13 $ 177.13

31652 00 Surgery 23.48 6.42 $ 1,934.39 $ 528.91

31653 00 Surgery 24.85 7.11 $ 2,047.26 $ 585.76

31654 00 Surgery 3.59 1.96 $ 295.76 $ 161.47

31660 00 Surgery 5.66 5.66 $ 466.30 $ 466.30

31661 00 Surgery 5.97 5.97 $ 491.84 $ 491.84

31717 00 Surgery 7.39 3.12 $ 608.82 $ 257.04

31720 00 Surgery 1.50 1.50 $ 123.58 $ 123.58

31725 00 Surgery 2.25 2.25 $ 216.53 $ 216.53

31730 00 Surgery 35.07 4.32 $ 2,889.23 $ 355.90

31750 00 Surgery 40.15 40.15 $ 3,307.75 $ 3,307.75

31755 00 Surgery 50.82 50.82 $ 4,186.79 $ 4,186.79

31760 00 Surgery 40.24 40.24 $ 3,315.16 $ 3,315.16

31766 00 Surgery 51.61 51.61 $ 4,251.88 $ 4,251.88

31770 00 Surgery 38.64 38.64 $ 3,183.35 $ 3,183.35

31775 00 Surgery 36.94 36.94 $ 3,043.29 $ 3,043.29

31780 00 Surgery 33.89 33.89 $ 2,792.02 $ 2,792.02

31781 00 Surgery 40.20 40.20 $ 3,311.87 $ 3,311.87

31785 00 Surgery 31.08 31.08 $ 2,560.52 $ 2,560.52

31786 00 Surgery 43.17 43.17 $ 3,556.55 $ 3,556.55

31800 00 Surgery 21.00 21.00 $ 1,730.08 $ 1,730.08

31805 00 Surgery 23.66 23.66 $ 1,949.22 $ 1,949.22

31820 00 Surgery 12.33 9.36 $ 1,015.80 $ 771.12

31825 00 Surgery 17.08 13.70 $ 1,407.13 $ 1,128.67

31830 00 Surgery 12.58 9.82 $ 1,036.40 $ 809.02

31899 00 Surgery - - BR BR

32035 00 Surgery 20.92 20.92 $ 1,723.49 $ 1,723.49

32036 00 Surgery 22.34 22.34 $ 1,840.48 $ 1,840.48

32096 00 Surgery 23.33 23.33 $ 1,922.04 $ 1,922.04

32097 00 Surgery 23.27 23.27 $ 1,917.09 $ 1,917.09

32098 00 Surgery 22.07 22.07 $ 1,818.23 $ 1,818.23

32100 00 Surgery 23.47 23.47 $ 1,933.57 $ 1,933.57

32110 00 Surgery 42.35 42.35 $ 3,488.99 $ 3,488.99

32120 00 Surgery 25.22 25.22 $ 2,077.74 $ 2,077.74

32124 00 Surgery 26.82 26.82 $ 2,209.56 $ 2,209.56

32140 00 Surgery 28.53 28.53 $ 2,350.44 $ 2,350.44

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

83

32141 00 Surgery 44.12 44.12 $ 3,634.82 $ 3,634.82

32150 00 Surgery 29.08 29.08 $ 2,395.75 $ 2,395.75

32151 00 Surgery 29.00 29.00 $ 2,389.16 $ 2,389.16

32160 00 Surgery 22.87 22.87 $ 1,884.14 $ 1,884.14

32200 00 Surgery 32.65 32.65 $ 2,689.86 $ 2,689.86

32215 00 Surgery 23.05 23.05 $ 1,898.97 $ 1,898.97

32220 00 Surgery 45.80 45.80 $ 3,773.22 $ 3,773.22

32225 00 Surgery 28.73 28.73 $ 2,366.91 $ 2,366.91

32310 00 Surgery 26.44 26.44 $ 2,178.25 $ 2,178.25

32320 00 Surgery 46.22 46.22 $ 3,807.82 $ 3,807.82

32400 00 Surgery 4.30 2.52 $ 354.25 $ 207.61

32405 00 Surgery 11.03 2.64 $ 908.70 $ 217.50

32440 00 Surgery 45.28 45.28 $ 3,730.38 $ 3,730.38

32442 00 Surgery 89.11 89.11 $ 7,341.31 $ 7,341.31

32445 00 Surgery 102.75 102.75 $ 8,465.03 $ 8,465.03

32480 00 Surgery 42.79 42.79 $ 3,525.24 $ 3,525.24

32482 00 Surgery 45.78 45.78 $ 3,771.57 $ 3,771.57

32484 00 Surgery 41.56 41.56 $ 3,423.91 $ 3,423.91

32486 00 Surgery 68.12 68.12 $ 5,612.05 $ 5,612.05

32488 00 Surgery 69.57 69.57 $ 5,731.51 $ 5,731.51

32491 00 Surgery 42.62 42.62 $ 3,511.24 $ 3,511.24

32501 00 Surgery 7.10 7.10 $ 617.25 $ 617.25

32503 00 Surgery 52.33 52.33 $ 4,311.19 $ 4,311.19

32504 00 Surgery 60.12 60.12 $ 4,952.97 $ 4,952.97

32505 00 Surgery 26.95 26.95 $ 2,220.27 $ 2,220.27

32506 00 Surgery 4.54 4.54 $ 374.03 $ 374.03

32507 00 Surgery 4.54 4.54 $ 374.03 $ 374.03

32540 00 Surgery 50.23 50.23 $ 4,138.19 $ 4,138.19

32550 00 Surgery 20.22 6.05 $ 1,665.82 $ 498.43

32551 00 Surgery 4.56 4.56 $ 375.67 $ 375.67

32552 00 Surgery 5.28 4.58 $ 434.99 $ 377.32

32553 00 Surgery 14.84 5.25 $ 1,222.59 $ 432.52

32554 00 Surgery 5.74 2.59 $ 472.89 $ 213.38

32555 00 Surgery 8.24 3.25 $ 678.85 $ 267.75

32556 00 Surgery 15.71 3.56 $ 1,294.26 $ 293.29

32557 00 Surgery 14.52 4.43 $ 1,196.23 $ 364.96

32560 00 Surgery 6.93 2.26 $ 570.93 $ 186.19

32561 00 Surgery 2.64 1.98 $ 217.50 $ 163.12

32562 00 Surgery 2.37 1.78 $ 195.25 $ 146.64

32601 00 Surgery 8.94 8.94 $ 736.52 $ 736.52

32604 00 Surgery 14.01 14.01 $ 1,154.21 $ 1,154.21

32606 00 Surgery 13.41 13.41 $ 1,104.78 $ 1,104.78

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

84

32607 00 Surgery 8.94 8.94 $ 736.52 $ 736.52

32608 00 Surgery 10.97 10.97 $ 903.76 $ 903.76

32609 00 Surgery 7.50 7.50 $ 617.89 $ 617.89

32650 00 Surgery 19.24 19.24 $ 1,585.08 $ 1,585.08

32651 00 Surgery 31.70 31.70 $ 2,611.60 $ 2,611.60

32652 00 Surgery 48.11 48.11 $ 3,963.53 $ 3,963.53

32653 00 Surgery 30.64 30.64 $ 2,524.27 $ 2,524.27

32654 00 Surgery 34.26 34.26 $ 2,822.50 $ 2,822.50

32655 00 Surgery 27.66 27.66 $ 2,278.76 $ 2,278.76

32656 00 Surgery 23.17 23.17 $ 1,908.86 $ 1,908.86

32658 00 Surgery 20.64 20.64 $ 1,700.42 $ 1,700.42

32659 00 Surgery 21.16 21.16 $ 1,743.26 $ 1,743.26

32661 00 Surgery 23.13 23.13 $ 1,905.56 $ 1,905.56

32662 00 Surgery 25.82 25.82 $ 2,127.17 $ 2,127.17

32663 00 Surgery 40.56 40.56 $ 3,341.53 $ 3,341.53

32664 00 Surgery 24.44 24.44 $ 2,013.48 $ 2,013.48

32665 00 Surgery 35.74 35.74 $ 2,944.43 $ 2,944.43

32666 00 Surgery 25.20 25.20 $ 2,076.10 $ 2,076.10

32667 00 Surgery 4.56 4.56 $ 375.67 $ 375.67

32668 00 Surgery 4.56 4.56 $ 375.67 $ 375.67

32669 00 Surgery 38.96 38.96 $ 3,209.71 $ 3,209.71

32670 00 Surgery 46.42 46.42 $ 3,824.30 $ 3,824.30

32671 00 Surgery 51.47 51.47 $ 4,240.34 $ 4,240.34

32672 00 Surgery 44.13 44.13 $ 3,635.64 $ 3,635.64

32673 00 Surgery 35.22 35.22 $ 2,901.59 $ 2,901.59

32674 00 Surgery 6.27 6.27 $ 516.55 $ 516.55

32701 00 Surgery 6.21 6.21 $ 511.61 $ 511.61

32800 00 Surgery 27.36 27.36 $ 2,254.05 $ 2,254.05

32810 00 Surgery 25.83 25.83 $ 2,128.00 $ 2,128.00

32815 00 Surgery 80.81 80.81 $ 6,657.51 $ 6,657.51

32820 00 Surgery 40.71 40.71 $ 3,353.88 $ 3,353.88

32850 00 Surgery - - BR BR

32851 00 Surgery 95.63 95.63 $ 7,878.46 $ 7,878.46

32852 00 Surgery 104.47 104.47 $ 8,606.74 $ 8,606.74

32853 00 Surgery 133.36 133.36 $ 10,986.83 $ 10,986.83

32854 00 Surgery 141.58 141.58 $ 11,664.04 $ 11,664.04

32855 00 Surgery 7.10 7.10 $ 584.93 $ 584.93

32856 00 Surgery 8.60 8.60 $ 708.51 $ 708.51

32900 00 Surgery 40.73 40.73 $ 3,355.53 $ 3,355.53

32905 00 Surgery 38.91 38.91 $ 3,205.59 $ 3,205.59

32906 00 Surgery 47.96 47.96 $ 3,951.17 $ 3,951.17

32940 00 Surgery 35.84 35.84 $ 2,952.67 $ 2,952.67

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

85

32960 00 Surgery 3.66 2.68 $ 301.53 $ 220.79

32997 00 Surgery 9.88 9.88 $ 813.96 $ 813.96

32998 00 Surgery 54.95 8.19 $ 4,527.04 $ 674.73

32999 00 Surgery - - BR BR

33010 00 Surgery 3.11 3.11 $ 256.22 $ 256.22

33011 00 Surgery 3.14 3.14 $ 258.69 $ 258.69

33015 00 Surgery 14.82 14.82 $ 1,220.94 $ 1,220.94

33020 00 Surgery 25.49 25.49 $ 2,099.99 $ 2,099.99

33025 00 Surgery 23.12 23.12 $ 1,904.74 $ 1,904.74

33030 00 Surgery 58.10 58.10 $ 4,786.56 $ 4,786.56

33031 00 Surgery 71.67 71.67 $ 5,904.52 $ 5,904.52

33050 00 Surgery 28.91 28.91 $ 2,381.74 $ 2,381.74

33120 00 Surgery 60.90 60.90 $ 5,017.23 $ 5,017.23

33130 00 Surgery 40.05 40.05 $ 3,299.51 $ 3,299.51

33140 00 Surgery 45.78 45.78 $ 3,771.57 $ 3,771.57

33141 00 Surgery 3.83 3.83 $ 1,175.25 $ 1,175.25

33202 00 Surgery 22.49 22.49 $ 1,852.83 $ 1,852.83

33203 00 Surgery 23.34 23.34 $ 1,922.86 $ 1,922.86

33206 00 Surgery 13.08 13.08 $ 1,077.59 $ 1,077.59

33207 00 Surgery 13.95 13.95 $ 1,149.27 $ 1,149.27

33208 00 Surgery 15.14 15.14 $ 1,247.31 $ 1,247.31

33210 00 Surgery 4.81 4.81 $ 396.27 $ 396.27

33211 00 Surgery 4.92 4.92 $ 405.33 $ 405.33

33212 00 Surgery 9.28 9.28 $ 764.53 $ 764.53

33213 00 Surgery 9.71 9.71 $ 799.96 $ 799.96

33214 00 Surgery 13.85 13.85 $ 1,141.03 $ 1,141.03

33215 00 Surgery 9.01 9.01 $ 742.29 $ 742.29

33216 00 Surgery 10.73 10.73 $ 883.99 $ 883.99

33217 00 Surgery 10.52 10.52 $ 866.69 $ 866.69

33218 00 Surgery 11.28 11.28 $ 929.30 $ 929.30

33220 00 Surgery 11.29 11.29 $ 930.12 $ 930.12

33221 00 Surgery 10.46 10.46 $ 861.74 $ 861.74

33222 00 Surgery 9.74 9.74 $ 802.43 $ 802.43

33223 00 Surgery 11.82 11.82 $ 973.79 $ 973.79

33224 00 Surgery 15.02 15.02 $ 1,237.42 $ 1,237.42

33225 00 Surgery 13.69 13.69 $ 1,127.85 $ 1,127.85

33226 00 Surgery 14.45 14.45 $ 1,190.46 $ 1,190.46

33227 00 Surgery 9.79 9.79 $ 806.55 $ 806.55

33228 00 Surgery 10.24 10.24 $ 843.62 $ 843.62

33229 00 Surgery 10.85 10.85 $ 893.87 $ 893.87

33230 00 Surgery 11.10 11.10 $ 914.47 $ 914.47

33231 00 Surgery 11.67 11.67 $ 961.43 $ 961.43

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

86

33233 00 Surgery 6.65 6.65 $ 547.86 $ 547.86

33234 00 Surgery 14.07 14.07 $ 1,289.25 $ 1,289.25

33235 00 Surgery 18.49 18.49 $ 1,523.29 $ 1,523.29

33236 00 Surgery 22.71 22.71 $ 1,870.96 $ 1,870.96

33237 00 Surgery 24.26 24.26 $ 1,998.65 $ 1,998.65

33238 00 Surgery 27.04 27.04 $ 2,227.68 $ 2,227.68

33240 00 Surgery 10.59 10.59 $ 1,011.00 $ 1,011.00

33241 00 Surgery 6.23 6.23 $ 732.53 $ 732.53

33243 00 Surgery 39.70 39.70 $ 3,270.68 $ 3,270.68

33244 00 Surgery 24.96 24.96 $ 2,056.32 $ 2,056.32

33249 00 Surgery 26.61 26.61 $ 2,192.26 $ 2,192.26

33250 00 Surgery 42.14 42.14 $ 3,471.69 $ 3,471.69

33251 00 Surgery 47.11 47.11 $ 3,881.15 $ 3,881.15

33254 00 Surgery 39.59 39.59 $ 3,261.61 $ 3,261.61

33255 00 Surgery 47.68 47.68 $ 3,928.11 $ 3,928.11

33256 00 Surgery 56.39 56.39 $ 4,645.68 $ 4,645.68

33257 00 Surgery 16.87 16.87 $ 1,389.83 $ 1,389.83

33258 00 Surgery 18.96 18.96 $ 1,562.02 $ 1,562.02

33259 00 Surgery 24.48 24.48 $ 2,016.78 $ 2,016.78

33261 00 Surgery 47.10 47.10 $ 3,880.32 $ 3,880.32

33262 00 Surgery 10.81 10.81 $ 890.58 $ 890.58

33263 00 Surgery 11.26 11.26 $ 927.65 $ 927.65

33264 00 Surgery 11.74 11.74 $ 967.20 $ 967.20

33265 00 Surgery 39.38 39.38 $ 3,244.31 $ 3,244.31

33266 00 Surgery 53.57 53.57 $ 4,413.35 $ 4,413.35

33270 00 Surgery 17.13 17.13 $ 1,411.25 $ 1,411.25

33271 00 Surgery 14.33 14.33 $ 1,180.57 $ 1,180.57

33272 00 Surgery 10.12 10.12 $ 833.73 $ 833.73

33273 00 Surgery 11.82 11.82 $ 973.79 $ 973.79

33282 00 Surgery 6.53 6.53 $ 567.09 $ 567.09

33284 00 Surgery 5.74 5.74 $ 472.89 $ 472.89

33300 00 Surgery 71.12 71.12 $ 5,859.20 $ 5,859.20

33305 00 Surgery 119.06 119.06 $ 9,808.73 $ 9,808.73

33310 00 Surgery 34.22 34.22 $ 2,819.21 $ 2,819.21

33315 00 Surgery 55.50 55.50 $ 4,572.35 $ 4,572.35

33320 00 Surgery 30.81 30.81 $ 2,538.27 $ 2,538.27

33321 00 Surgery 34.52 34.52 $ 2,843.92 $ 2,843.92

33322 00 Surgery 40.26 40.26 $ 3,316.81 $ 3,316.81

33330 00 Surgery 41.46 41.46 $ 3,415.67 $ 3,415.67

33335 00 Surgery 54.43 54.43 $ 4,484.20 $ 4,484.20

33340 00 Surgery 23.22 23.22 $ 1,912.97 $ 1,912.97

33361 00 Surgery 39.59 39.59 $ 3,261.61 $ 3,261.61

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

87

33362 00 Surgery 43.20 43.20 $ 3,559.02 $ 3,559.02

33363 00 Surgery 45.48 45.48 $ 3,746.86 $ 3,746.86

33364 00 Surgery 47.16 47.16 $ 3,885.27 $ 3,885.27

33365 00 Surgery 51.88 51.88 $ 4,274.12 $ 4,274.12

33366 00 Surgery 56.11 56.11 $ 4,622.61 $ 4,622.61

33367 00 Surgery 18.20 18.20 $ 1,499.40 $ 1,499.40

33368 00 Surgery 21.73 21.73 $ 1,790.22 $ 1,790.22

33369 00 Surgery 28.74 28.74 $ 2,367.74 $ 2,367.74

33390 00 Surgery 55.37 55.37 $ 4,561.64 $ 4,561.64

33391 00 Surgery 65.61 65.61 $ 5,405.26 $ 5,405.26

33404 00 Surgery 50.92 50.92 $ 4,195.03 $ 4,195.03

33405 00 Surgery 65.85 65.85 $ 5,425.04 $ 5,425.04

33406 00 Surgery 83.54 83.54 $ 6,882.42 $ 6,882.42

33410 00 Surgery 73.82 73.82 $ 6,081.64 $ 6,081.64

33411 00 Surgery 97.43 97.43 $ 8,026.75 $ 8,026.75

33412 00 Surgery 92.11 92.11 $ 7,588.46 $ 7,588.46

33413 00 Surgery 94.28 94.28 $ 7,767.24 $ 7,767.24

33414 00 Surgery 62.71 62.71 $ 5,166.35 $ 5,166.35

33415 00 Surgery 59.03 59.03 $ 4,863.17 $ 4,863.17

33416 00 Surgery 58.92 58.92 $ 4,854.11 $ 4,854.11

33417 00 Surgery 48.58 48.58 $ 4,002.25 $ 4,002.25

33418 00 Surgery 52.42 52.42 $ 4,318.61 $ 4,318.61

33419 00 Surgery 12.39 12.39 $ 1,020.75 $ 1,020.75

33420 00 Surgery 42.40 42.40 $ 3,493.11 $ 3,493.11

33422 00 Surgery 48.49 48.49 $ 3,994.84 $ 3,994.84

33425 00 Surgery 79.27 79.27 $ 6,530.64 $ 6,530.64

33426 00 Surgery 69.13 69.13 $ 5,695.26 $ 5,695.26

33427 00 Surgery 70.99 70.99 $ 5,848.49 $ 5,848.49

33430 00 Surgery 81.20 81.20 $ 6,689.64 $ 6,689.64

33460 00 Surgery 70.48 70.48 $ 5,806.48 $ 5,806.48

33463 00 Surgery 89.71 89.71 $ 7,390.74 $ 7,390.74

33464 00 Surgery 70.88 70.88 $ 5,839.43 $ 5,839.43

33465 00 Surgery 80.08 80.08 $ 6,597.37 $ 6,597.37

33468 00 Surgery 71.49 71.49 $ 5,889.69 $ 5,889.69

33470 00 Surgery 37.71 37.71 $ 3,106.73 $ 3,106.73

33471 00 Surgery 40.30 40.30 $ 3,320.11 $ 3,320.11

33474 00 Surgery 63.49 63.49 $ 5,230.61 $ 5,230.61

33475 00 Surgery 67.67 67.67 $ 5,574.98 $ 5,574.98

33476 00 Surgery 44.32 44.32 $ 3,651.29 $ 3,651.29

33477 00 Surgery 38.02 38.02 $ 3,132.27 $ 3,132.27

33478 00 Surgery 45.80 45.80 $ 3,773.22 $ 3,773.22

33496 00 Surgery 48.57 48.57 $ 4,001.43 $ 4,001.43

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

88

33500 00 Surgery 45.37 45.37 $ 3,737.80 $ 3,737.80

33501 00 Surgery 32.31 32.31 $ 2,661.85 $ 2,661.85

33502 00 Surgery 37.16 37.16 $ 3,061.42 $ 3,061.42

33503 00 Surgery 38.61 38.61 $ 3,180.88 $ 3,180.88

33504 00 Surgery 42.69 42.69 $ 3,517.01 $ 3,517.01

33505 00 Surgery 60.19 60.19 $ 4,958.74 $ 4,958.74

33506 00 Surgery 59.92 59.92 $ 4,936.50 $ 4,936.50

33507 00 Surgery 50.27 50.27 $ 4,141.48 $ 4,141.48

33508 00 Surgery 0.47 0.47 $ 38.72 $ 38.72

33510 00 Surgery 56.07 56.07 $ 4,619.31 $ 4,619.31

33511 00 Surgery 61.63 61.63 $ 5,077.37 $ 5,077.37

33512 00 Surgery 70.05 70.05 $ 5,771.05 $ 5,771.05

33513 00 Surgery 72.11 72.11 $ 5,940.77 $ 5,940.77

33514 00 Surgery 76.15 76.15 $ 6,273.60 $ 6,273.60

33516 00 Surgery 79.73 79.73 $ 6,568.54 $ 6,568.54

33517 00 Surgery 5.45 5.45 $ 449.00 $ 449.00

33518 00 Surgery 11.97 11.97 $ 986.15 $ 986.15

33519 00 Surgery 15.83 15.83 $ 1,304.15 $ 1,304.15

33521 00 Surgery 18.99 18.99 $ 1,564.49 $ 1,564.49

33522 00 Surgery 21.31 21.31 $ 1,755.62 $ 1,755.62

33523 00 Surgery 24.15 24.15 $ 1,989.59 $ 1,989.59

33530 00 Surgery 15.29 15.29 $ 1,259.66 $ 1,259.66

33533 00 Surgery 54.22 54.22 $ 4,466.90 $ 4,466.90

33534 00 Surgery 63.80 63.80 $ 5,256.15 $ 5,256.15

33535 00 Surgery 71.22 71.22 $ 5,867.44 $ 5,867.44

33536 00 Surgery 76.77 76.77 $ 6,324.68 $ 6,324.68

33542 00 Surgery 76.18 76.18 $ 6,276.07 $ 6,276.07

33545 00 Surgery 89.92 89.92 $ 7,408.04 $ 7,408.04

33548 00 Surgery 86.10 86.10 $ 7,093.33 $ 7,093.33

33572 00 Surgery 6.69 6.69 $ 551.15 $ 551.15

33600 00 Surgery 50.06 50.06 $ 4,124.18 $ 4,124.18

33602 00 Surgery 48.59 48.59 $ 4,003.08 $ 4,003.08

33606 00 Surgery 51.80 51.80 $ 4,267.53 $ 4,267.53

33608 00 Surgery 52.44 52.44 $ 4,320.26 $ 4,320.26

33610 00 Surgery 51.73 51.73 $ 4,261.76 $ 4,261.76

33611 00 Surgery 56.93 56.93 $ 4,690.16 $ 4,690.16

33612 00 Surgery 58.45 58.45 $ 4,815.39 $ 4,815.39

33615 00 Surgery 58.20 58.20 $ 4,794.79 $ 4,794.79

33617 00 Surgery 63.06 63.06 $ 5,195.18 $ 5,195.18

33619 00 Surgery 79.46 79.46 $ 6,546.29 $ 6,546.29

33620 00 Surgery 48.15 48.15 $ 3,966.83 $ 3,966.83

33621 00 Surgery 27.12 27.12 $ 2,234.27 $ 2,234.27

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

89

33622 00 Surgery 106.14 106.14 $ 8,744.32 $ 8,744.32

33641 00 Surgery 47.82 47.82 $ 3,939.64 $ 3,939.64

33645 00 Surgery 50.47 50.47 $ 4,157.96 $ 4,157.96

33647 00 Surgery 53.02 53.02 $ 4,368.04 $ 4,368.04

33660 00 Surgery 51.23 51.23 $ 4,220.57 $ 4,220.57

33665 00 Surgery 57.33 57.33 $ 4,723.12 $ 4,723.12

33670 00 Surgery 57.59 57.59 $ 4,744.54 $ 4,744.54

33675 00 Surgery 57.54 57.54 $ 4,740.42 $ 4,740.42

33676 00 Surgery 62.32 62.32 $ 5,134.22 $ 5,134.22

33677 00 Surgery 64.75 64.75 $ 5,334.41 $ 5,334.41

33681 00 Surgery 53.58 53.58 $ 4,414.18 $ 4,414.18

33684 00 Surgery 55.11 55.11 $ 4,540.22 $ 4,540.22

33688 00 Surgery 58.12 58.12 $ 4,788.20 $ 4,788.20

33690 00 Surgery 34.93 34.93 $ 2,877.70 $ 2,877.70

33692 00 Surgery 60.39 60.39 $ 4,975.22 $ 4,975.22

33694 00 Surgery 56.93 56.93 $ 4,690.16 $ 4,690.16

33697 00 Surgery 59.97 59.97 $ 4,940.61 $ 4,940.61

33702 00 Surgery 45.04 45.04 $ 3,710.61 $ 3,710.61

33710 00 Surgery 59.86 59.86 $ 4,931.55 $ 4,931.55

33720 00 Surgery 45.07 45.07 $ 3,713.08 $ 3,713.08

33722 00 Surgery 47.39 47.39 $ 3,904.21 $ 3,904.21

33724 00 Surgery 44.89 44.89 $ 3,698.25 $ 3,698.25

33726 00 Surgery 59.33 59.33 $ 4,887.89 $ 4,887.89

33730 00 Surgery 58.46 58.46 $ 4,816.21 $ 4,816.21

33732 00 Surgery 48.01 48.01 $ 3,955.29 $ 3,955.29

33735 00 Surgery 37.73 37.73 $ 3,108.38 $ 3,108.38

33736 00 Surgery 40.96 40.96 $ 3,374.48 $ 3,374.48

33737 00 Surgery 37.79 37.79 $ 3,113.32 $ 3,113.32

33750 00 Surgery 38.55 38.55 $ 3,175.93 $ 3,175.93

33755 00 Surgery 40.02 40.02 $ 3,297.04 $ 3,297.04

33762 00 Surgery 39.16 39.16 $ 3,226.19 $ 3,226.19

33764 00 Surgery 38.34 38.34 $ 3,158.63 $ 3,158.63

33766 00 Surgery 40.74 40.74 $ 3,356.36 $ 3,356.36

33767 00 Surgery 41.46 41.46 $ 3,415.67 $ 3,415.67

33768 00 Surgery 12.96 12.96 $ 1,067.71 $ 1,067.71

33770 00 Surgery 65.32 65.32 $ 5,381.37 $ 5,381.37

33771 00 Surgery 67.36 67.36 $ 5,549.44 $ 5,549.44

33774 00 Surgery 52.43 52.43 $ 4,319.43 $ 4,319.43

33775 00 Surgery 56.74 56.74 $ 4,674.51 $ 4,674.51

33776 00 Surgery 59.95 59.95 $ 4,938.97 $ 4,938.97

33777 00 Surgery 55.15 55.15 $ 4,543.52 $ 4,543.52

33778 00 Surgery 68.51 68.51 $ 5,644.18 $ 5,644.18

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

90

33779 00 Surgery 71.85 71.85 $ 5,919.35 $ 5,919.35

33780 00 Surgery 73.13 73.13 $ 6,024.80 $ 6,024.80

33781 00 Surgery 71.52 71.52 $ 5,892.16 $ 5,892.16

33782 00 Surgery 94.24 94.24 $ 7,763.94 $ 7,763.94

33783 00 Surgery 101.83 101.83 $ 8,389.24 $ 8,389.24

33786 00 Surgery 70.15 70.15 $ 5,779.29 $ 5,779.29

33788 00 Surgery 46.97 46.97 $ 3,869.61 $ 3,869.61

33800 00 Surgery 28.78 28.78 $ 2,371.03 $ 2,371.03

33802 00 Surgery 31.56 31.56 $ 2,600.06 $ 2,600.06

33803 00 Surgery 33.51 33.51 $ 2,760.71 $ 2,760.71

33813 00 Surgery 37.71 37.71 $ 3,106.73 $ 3,106.73

33814 00 Surgery 44.37 44.37 $ 3,655.41 $ 3,655.41

33820 00 Surgery 28.23 28.23 $ 2,325.72 $ 2,325.72

33822 00 Surgery 31.13 31.13 $ 2,564.64 $ 2,564.64

33824 00 Surgery 34.34 34.34 $ 2,829.09 $ 2,829.09

33840 00 Surgery 37.67 37.67 $ 3,103.43 $ 3,103.43

33845 00 Surgery 38.84 38.84 $ 3,199.82 $ 3,199.82

33851 00 Surgery 38.72 38.72 $ 3,189.94 $ 3,189.94

33852 00 Surgery 40.75 40.75 $ 3,357.18 $ 3,357.18

33853 00 Surgery 53.41 53.41 $ 4,400.17 $ 4,400.17

33860 00 Surgery 93.29 93.29 $ 7,685.68 $ 7,685.68

33863 00 Surgery 91.53 91.53 $ 7,540.68 $ 7,540.68

33864 00 Surgery 93.79 93.79 $ 7,726.87 $ 7,726.87

33870 00 Surgery 73.38 73.38 $ 6,045.39 $ 6,045.39

33875 00 Surgery 79.62 79.62 $ 6,559.48 $ 6,559.48

33877 00 Surgery 105.77 105.77 $ 8,713.84 $ 8,713.84

33880 00 Surgery 52.50 52.50 $ 4,325.20 $ 4,325.20

33881 00 Surgery 45.10 45.10 $ 3,715.55 $ 3,715.55

33883 00 Surgery 32.73 32.73 $ 2,696.45 $ 2,696.45

33884 00 Surgery 12.05 12.05 $ 992.74 $ 992.74

33886 00 Surgery 28.17 28.17 $ 2,320.78 $ 2,320.78

33889 00 Surgery 23.02 23.02 $ 1,896.50 $ 1,896.50

33891 00 Surgery 28.61 28.61 $ 2,357.03 $ 2,357.03

33910 00 Surgery 76.55 76.55 $ 6,306.55 $ 6,306.55

33915 00 Surgery 36.92 36.92 $ 3,041.65 $ 3,041.65

33916 00 Surgery 122.03 122.03 $ 10,053.41 $ 10,053.41

33917 00 Surgery 42.45 42.45 $ 3,497.23 $ 3,497.23

33920 00 Surgery 55.58 55.58 $ 4,578.95 $ 4,578.95

33922 00 Surgery 40.46 40.46 $ 3,333.29 $ 3,333.29

33924 00 Surgery 8.35 8.35 $ 687.91 $ 687.91

33925 00 Surgery 50.12 50.12 $ 4,129.12 $ 4,129.12

33926 00 Surgery 74.61 74.61 $ 6,146.73 $ 6,146.73

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

91

33930 00 Surgery - - BR BR

33933 00 Surgery 9.90 9.90 $ 815.61 $ 815.61

33935 00 Surgery 144.43 144.43 $ 14,108.25 $ 14,108.25

33940 00 Surgery - - BR BR

33944 00 Surgery 6.90 6.90 $ 568.45 $ 568.45

33945 00 Surgery 141.21 141.21 $ 11,633.55 $ 11,633.55

33946 00 Surgery 8.97 8.97 $ 738.99 $ 738.99

33947 00 Surgery 9.96 9.96 $ 820.55 $ 820.55

33948 00 Surgery 6.94 6.94 $ 571.75 $ 571.75

33949 00 Surgery 6.80 6.80 $ 560.22 $ 560.22

33951 00 Surgery 12.46 12.46 $ 1,026.51 $ 1,026.51

33952 00 Surgery 12.46 12.46 $ 1,026.51 $ 1,026.51

33953 00 Surgery 13.92 13.92 $ 1,146.80 $ 1,146.80

33954 00 Surgery 13.92 13.92 $ 1,146.80 $ 1,146.80

33955 00 Surgery 24.38 24.38 $ 2,008.54 $ 2,008.54

33956 00 Surgery 24.28 24.28 $ 2,000.30 $ 2,000.30

33957 00 Surgery 5.43 5.43 $ 447.35 $ 447.35

33958 00 Surgery 5.30 5.30 $ 456.76 $ 456.76

33959 00 Surgery 6.88 6.88 $ 566.81 $ 566.81

33962 00 Surgery 6.88 6.88 $ 566.81 $ 566.81

33963 00 Surgery 13.76 13.76 $ 1,133.61 $ 1,133.61

33964 00 Surgery 14.07 14.07 $ 1,159.15 $ 1,159.15

33965 00 Surgery 5.43 5.43 $ 447.35 $ 447.35

33966 00 Surgery 6.91 6.91 $ 569.28 $ 569.28

33967 00 Surgery 7.56 7.56 $ 622.83 $ 622.83

33968 00 Surgery 0.98 0.98 $ 194.25 $ 194.25

33969 00 Surgery 8.04 8.04 $ 662.37 $ 662.37

33970 00 Surgery 10.34 10.34 $ 851.86 $ 851.86

33971 00 Surgery 20.62 20.62 $ 1,698.77 $ 1,698.77

33973 00 Surgery 15.00 15.00 $ 1,235.77 $ 1,235.77

33974 00 Surgery 25.94 25.94 $ 2,137.06 $ 2,137.06

33975 00 Surgery 38.14 38.14 $ 3,142.16 $ 3,142.16

33976 00 Surgery 46.49 46.49 $ 3,830.07 $ 3,830.07

33977 00 Surgery 32.81 32.81 $ 2,703.04 $ 2,703.04

33978 00 Surgery 38.86 38.86 $ 3,201.47 $ 3,201.47

33979 00 Surgery 56.87 56.87 $ 4,685.22 $ 4,685.22

33980 00 Surgery 51.96 51.96 $ 4,280.71 $ 4,280.71

33981 00 Surgery 24.15 24.15 $ 1,989.59 $ 1,989.59

33982 00 Surgery 57.08 57.08 $ 4,702.52 $ 4,702.52

33983 00 Surgery 67.49 67.49 $ 5,560.15 $ 5,560.15

33984 00 Surgery 8.35 8.35 $ 687.91 $ 687.91

33985 00 Surgery 15.06 15.06 $ 1,240.71 $ 1,240.71

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

92

33986 00 Surgery 15.23 15.23 $ 1,254.72 $ 1,254.72

33987 00 Surgery 6.12 6.12 $ 504.19 $ 504.19

33988 00 Surgery 22.85 22.85 $ 1,882.49 $ 1,882.49

33989 00 Surgery 14.47 14.47 $ 1,192.11 $ 1,192.11

33990 00 Surgery 12.41 12.41 $ 1,022.39 $ 1,022.39

33991 00 Surgery 18.17 18.17 $ 1,496.93 $ 1,496.93

33992 00 Surgery 5.84 5.84 $ 481.13 $ 481.13

33993 00 Surgery 5.10 5.10 $ 420.16 $ 420.16

33999 00 Surgery - - BR BR

34001 00 Surgery 28.34 28.34 $ 2,334.78 $ 2,334.78

34051 00 Surgery 25.98 25.98 $ 2,140.36 $ 2,140.36

34101 00 Surgery 17.55 17.55 $ 1,445.85 $ 1,445.85

34111 00 Surgery 17.54 17.54 $ 1,445.03 $ 1,445.03

34151 00 Surgery 41.07 41.07 $ 3,383.54 $ 3,383.54

34201 00 Surgery 30.20 30.20 $ 2,488.02 $ 2,488.02

34203 00 Surgery 27.96 27.96 $ 2,303.48 $ 2,303.48

34401 00 Surgery 42.65 42.65 $ 3,513.71 $ 3,513.71

34421 00 Surgery 21.23 21.23 $ 1,749.03 $ 1,749.03

34451 00 Surgery 47.70 47.70 $ 3,929.75 $ 3,929.75

34471 00 Surgery 31.87 31.87 $ 2,625.60 $ 2,625.60

34490 00 Surgery 17.80 17.80 $ 1,466.45 $ 1,466.45

34501 00 Surgery 26.25 26.25 $ 2,162.60 $ 2,162.60

34502 00 Surgery 44.89 44.89 $ 3,698.25 $ 3,698.25

34510 00 Surgery 34.87 34.87 $ 2,872.76 $ 2,872.76

34520 00 Surgery 30.80 30.80 $ 2,537.45 $ 2,537.45

34530 00 Surgery 27.82 27.82 $ 2,291.94 $ 2,291.94

34800 00 Surgery 33.07 33.07 $ 2,724.46 $ 2,724.46

34802 00 Surgery 36.51 36.51 $ 3,007.87 $ 3,007.87

34803 00 Surgery 37.86 37.86 $ 3,119.09 $ 3,119.09

34804 00 Surgery 36.57 36.57 $ 3,012.81 $ 3,012.81

34805 00 Surgery 34.93 34.93 $ 2,877.70 $ 2,877.70

34806 00 Surgery 2.92 2.92 $ 240.56 $ 240.56

34808 00 Surgery 6.08 6.08 $ 500.90 $ 500.90

34812 00 Surgery 9.88 9.88 $ 813.96 $ 813.96

34813 00 Surgery 6.92 6.92 $ 609.00 $ 609.00

34820 00 Surgery 14.33 14.33 $ 1,180.57 $ 1,180.57

34825 00 Surgery 20.37 20.37 $ 1,678.18 $ 1,678.18

34826 00 Surgery 6.02 6.02 $ 495.96 $ 495.96

34830 00 Surgery 52.72 52.72 $ 4,343.32 $ 4,343.32

34831 00 Surgery 55.79 55.79 $ 4,596.25 $ 4,596.25

34832 00 Surgery 55.40 55.40 $ 4,564.12 $ 4,564.12

34833 00 Surgery 17.81 17.81 $ 1,467.27 $ 1,467.27

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

93

34834 00 Surgery 7.97 7.97 $ 656.61 $ 656.61

34839 00 Surgery 9.74 9.74 $ 802.19 $ 802.19

34841 00 Surgery 41.80 41.80 $ 3,443.68 $ 3,443.68

34842 00 Surgery 49.20 49.20 $ 4,053.33 $ 4,053.33

34843 00 Surgery 91.00 91.00 $ 7,497.01 $ 7,497.01

34844 00 Surgery 168.40 168.40 $ 13,873.59 $ 13,873.59

34845 00 Surgery 5.70 5.70 $ 469.59 $ 469.59

34846 00 Surgery 21.20 21.20 $ 1,746.56 $ 1,746.56

34847 00 Surgery 39.30 39.30 $ 3,237.72 $ 3,237.72

34848 00 Surgery 72.70 72.70 $ 5,989.37 $ 5,989.37

34900 00 Surgery 26.15 26.15 $ 2,154.36 $ 2,154.36

35001 00 Surgery 32.67 32.67 $ 2,691.51 $ 2,691.51

35002 00 Surgery 33.53 33.53 $ 2,762.36 $ 2,762.36

35005 00 Surgery 32.91 32.91 $ 2,711.28 $ 2,711.28

35011 00 Surgery 29.47 29.47 $ 2,427.88 $ 2,427.88

35013 00 Surgery 36.71 36.71 $ 3,024.34 $ 3,024.34

35021 00 Surgery 36.15 36.15 $ 2,978.21 $ 2,978.21

35022 00 Surgery 41.71 41.71 $ 3,436.27 $ 3,436.27

35045 00 Surgery 28.93 28.93 $ 2,383.39 $ 2,383.39

35081 00 Surgery 51.11 51.11 $ 4,210.69 $ 4,210.69

35082 00 Surgery 64.34 64.34 $ 5,300.64 $ 5,300.64

35091 00 Surgery 52.53 52.53 $ 4,327.67 $ 4,327.67

35092 00 Surgery 76.35 76.35 $ 6,290.08 $ 6,290.08

35102 00 Surgery 55.24 55.24 $ 4,550.93 $ 4,550.93

35103 00 Surgery 65.95 65.95 $ 5,433.28 $ 5,433.28

35111 00 Surgery 38.84 38.84 $ 3,199.82 $ 3,199.82

35112 00 Surgery 55.24 55.24 $ 4,550.93 $ 4,550.93

35121 00 Surgery 48.40 48.40 $ 3,987.42 $ 3,987.42

35122 00 Surgery 63.21 63.21 $ 5,207.54 $ 5,207.54

35131 00 Surgery 40.73 40.73 $ 3,355.53 $ 3,355.53

35132 00 Surgery 47.90 47.90 $ 3,946.23 $ 3,946.23

35141 00 Surgery 32.42 32.42 $ 2,670.91 $ 2,670.91

35142 00 Surgery 38.79 38.79 $ 3,195.71 $ 3,195.71

35151 00 Surgery 36.39 36.39 $ 2,997.98 $ 2,997.98

35152 00 Surgery 40.74 40.74 $ 3,356.36 $ 3,356.36

35180 00 Surgery 27.84 27.84 $ 2,293.59 $ 2,293.59

35182 00 Surgery 52.04 52.04 $ 4,287.30 $ 4,287.30

35184 00 Surgery 32.80 32.80 $ 2,702.22 $ 2,702.22

35188 00 Surgery 31.13 31.13 $ 2,564.64 $ 2,564.64

35189 00 Surgery 46.55 46.55 $ 3,835.01 $ 3,835.01

35190 00 Surgery 22.26 22.26 $ 1,833.88 $ 1,833.88

35201 00 Surgery 27.62 27.62 $ 2,275.47 $ 2,275.47

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

94

35206 00 Surgery 22.74 22.74 $ 1,873.43 $ 1,873.43

35207 00 Surgery 21.81 21.81 $ 1,796.81 $ 1,796.81

35211 00 Surgery 40.06 40.06 $ 3,300.33 $ 3,300.33

35216 00 Surgery 59.57 59.57 $ 4,907.66 $ 4,907.66

35221 00 Surgery 42.63 42.63 $ 3,512.06 $ 3,512.06

35226 00 Surgery 24.40 24.40 $ 2,010.19 $ 2,010.19

35231 00 Surgery 36.01 36.01 $ 2,966.68 $ 2,966.68

35236 00 Surgery 28.78 28.78 $ 2,371.03 $ 2,371.03

35241 00 Surgery 40.09 40.09 $ 3,302.81 $ 3,302.81

35246 00 Surgery 45.80 45.80 $ 3,773.22 $ 3,773.22

35251 00 Surgery 50.07 50.07 $ 4,125.01 $ 4,125.01

35256 00 Surgery 29.84 29.84 $ 2,458.36 $ 2,458.36

35261 00 Surgery 31.11 31.11 $ 2,562.99 $ 2,562.99

35266 00 Surgery 25.39 25.39 $ 2,091.75 $ 2,091.75

35271 00 Surgery 40.30 40.30 $ 3,320.11 $ 3,320.11

35276 00 Surgery 42.59 42.59 $ 3,508.77 $ 3,508.77

35281 00 Surgery 47.25 47.25 $ 3,892.68 $ 3,892.68

35286 00 Surgery 27.33 27.33 $ 2,251.58 $ 2,251.58

35301 00 Surgery 33.19 33.19 $ 2,734.35 $ 2,734.35

35302 00 Surgery 32.97 32.97 $ 2,716.23 $ 2,716.23

35303 00 Surgery 36.37 36.37 $ 2,996.33 $ 2,996.33

35304 00 Surgery 37.75 37.75 $ 3,110.02 $ 3,110.02

35305 00 Surgery 36.09 36.09 $ 2,973.27 $ 2,973.27

35306 00 Surgery 13.04 13.04 $ 1,074.30 $ 1,074.30

35311 00 Surgery 45.50 45.50 $ 3,748.51 $ 3,748.51

35321 00 Surgery 26.10 26.10 $ 2,150.24 $ 2,150.24

35331 00 Surgery 42.55 42.55 $ 3,505.47 $ 3,505.47

35341 00 Surgery 40.17 40.17 $ 3,309.40 $ 3,309.40

35351 00 Surgery 37.50 37.50 $ 3,089.43 $ 3,089.43

35355 00 Surgery 30.32 30.32 $ 2,497.91 $ 2,497.91

35361 00 Surgery 44.66 44.66 $ 3,679.30 $ 3,679.30

35363 00 Surgery 51.71 51.71 $ 4,260.12 $ 4,260.12

35371 00 Surgery 24.01 24.01 $ 1,978.06 $ 1,978.06

35372 00 Surgery 28.77 28.77 $ 2,370.21 $ 2,370.21

35390 00 Surgery 4.68 4.68 $ 385.56 $ 385.56

35400 00 Surgery 4.37 4.37 $ 383.98 $ 383.98

35500 00 Surgery 9.36 9.36 $ 771.12 $ 771.12

35501 00 Surgery 43.95 43.95 $ 3,620.81 $ 3,620.81

35506 00 Surgery 37.40 37.40 $ 3,081.19 $ 3,081.19

35508 00 Surgery 39.19 39.19 $ 3,228.66 $ 3,228.66

35509 00 Surgery 41.38 41.38 $ 3,409.08 $ 3,409.08

35510 00 Surgery 35.99 35.99 $ 2,965.03 $ 2,965.03

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

95

35511 00 Surgery 35.70 35.70 $ 2,941.14 $ 2,941.14

35512 00 Surgery 40.25 40.25 $ 3,315.99 $ 3,315.99

35515 00 Surgery 42.40 42.40 $ 3,493.11 $ 3,493.11

35516 00 Surgery 35.71 35.71 $ 2,941.96 $ 2,941.96

35518 00 Surgery 34.00 34.00 $ 2,801.08 $ 2,801.08

35521 00 Surgery 35.90 35.90 $ 2,957.61 $ 2,957.61

35522 00 Surgery 35.48 35.48 $ 2,923.01 $ 2,923.01

35523 00 Surgery 37.53 37.53 $ 3,091.90 $ 3,091.90

35525 00 Surgery 33.68 33.68 $ 2,774.72 $ 2,774.72

35526 00 Surgery 49.42 49.42 $ 4,071.46 $ 4,071.46

35531 00 Surgery 59.46 59.46 $ 4,898.60 $ 4,898.60

35533 00 Surgery 43.90 43.90 $ 3,616.69 $ 3,616.69

35535 00 Surgery 56.17 56.17 $ 4,627.55 $ 4,627.55

35536 00 Surgery 50.44 50.44 $ 4,155.49 $ 4,155.49

35537 00 Surgery 69.65 69.65 $ 5,738.10 $ 5,738.10

35538 00 Surgery 68.93 68.93 $ 5,678.78 $ 5,678.78

35539 00 Surgery 65.30 65.30 $ 5,379.73 $ 5,379.73

35540 00 Surgery 75.11 75.11 $ 6,187.92 $ 6,187.92

35556 00 Surgery 41.09 41.09 $ 3,385.19 $ 3,385.19

35558 00 Surgery 36.15 36.15 $ 2,978.21 $ 2,978.21

35560 00 Surgery 50.07 50.07 $ 4,125.01 $ 4,125.01

35563 00 Surgery 43.92 43.92 $ 3,618.34 $ 3,618.34

35565 00 Surgery 39.06 39.06 $ 3,217.95 $ 3,217.95

35566 00 Surgery 49.04 49.04 $ 4,040.15 $ 4,040.15

35570 00 Surgery 44.31 44.31 $ 3,650.47 $ 3,650.47

35571 00 Surgery 38.96 38.96 $ 3,209.71 $ 3,209.71

35572 00 Surgery 10.14 10.14 $ 835.38 $ 835.38

35583 00 Surgery 42.49 42.49 $ 3,500.53 $ 3,500.53

35585 00 Surgery 49.26 49.26 $ 4,058.27 $ 4,058.27

35587 00 Surgery 40.19 40.19 $ 3,311.04 $ 3,311.04

35600 00 Surgery 7.43 7.43 $ 612.12 $ 612.12

35601 00 Surgery 41.10 41.10 $ 3,386.01 $ 3,386.01

35606 00 Surgery 34.45 34.45 $ 2,838.16 $ 2,838.16

35612 00 Surgery 31.21 31.21 $ 2,571.23 $ 2,571.23

35616 00 Surgery 32.43 32.43 $ 2,671.74 $ 2,671.74

35621 00 Surgery 32.26 32.26 $ 2,657.73 $ 2,657.73

35623 00 Surgery 38.76 38.76 $ 3,193.23 $ 3,193.23

35626 00 Surgery 46.09 46.09 $ 3,797.11 $ 3,797.11

35631 00 Surgery 54.37 54.37 $ 4,479.26 $ 4,479.26

35632 00 Surgery 52.92 52.92 $ 4,359.80 $ 4,359.80

35633 00 Surgery 58.82 58.82 $ 4,845.87 $ 4,845.87

35634 00 Surgery 52.84 52.84 $ 4,353.21 $ 4,353.21

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

96

35636 00 Surgery 47.60 47.60 $ 3,921.51 $ 3,921.51

35637 00 Surgery 50.93 50.93 $ 4,195.86 $ 4,195.86

35638 00 Surgery 51.76 51.76 $ 4,264.24 $ 4,264.24

35642 00 Surgery 32.14 32.14 $ 2,647.85 $ 2,647.85

35645 00 Surgery 30.56 30.56 $ 2,517.68 $ 2,517.68

35646 00 Surgery 50.39 50.39 $ 4,151.37 $ 4,151.37

35647 00 Surgery 45.63 45.63 $ 3,759.22 $ 3,759.22

35650 00 Surgery 31.93 31.93 $ 2,630.55 $ 2,630.55

35654 00 Surgery 40.24 40.24 $ 3,315.16 $ 3,315.16

35656 00 Surgery 31.82 31.82 $ 2,621.48 $ 2,621.48

35661 00 Surgery 31.88 31.88 $ 2,626.43 $ 2,626.43

35663 00 Surgery 36.68 36.68 $ 3,021.87 $ 3,021.87

35665 00 Surgery 34.42 34.42 $ 2,835.68 $ 2,835.68

35666 00 Surgery 37.13 37.13 $ 3,058.95 $ 3,058.95

35671 00 Surgery 32.74 32.74 $ 2,697.28 $ 2,697.28

35681 00 Surgery 2.36 2.36 $ 908.25 $ 908.25

35682 00 Surgery 10.37 10.37 $ 854.33 $ 854.33

35683 00 Surgery 11.98 11.98 $ 986.97 $ 986.97

35685 00 Surgery 5.83 5.83 $ 480.30 $ 480.30

35686 00 Surgery 4.70 4.70 $ 387.21 $ 387.21

35691 00 Surgery 27.54 27.54 $ 2,268.88 $ 2,268.88

35693 00 Surgery 24.48 24.48 $ 2,016.78 $ 2,016.78

35694 00 Surgery 28.97 28.97 $ 2,386.69 $ 2,386.69

35695 00 Surgery 30.56 30.56 $ 2,517.68 $ 2,517.68

35697 00 Surgery 4.33 4.33 $ 356.73 $ 356.73

35700 00 Surgery 4.48 4.48 $ 386.72 $ 386.72

35701 00 Surgery 16.47 16.47 $ 1,356.88 $ 1,356.88

35721 00 Surgery 13.40 13.40 $ 1,103.96 $ 1,103.96

35741 00 Surgery 14.98 14.98 $ 1,234.12 $ 1,234.12

35761 00 Surgery 11.39 11.39 $ 938.36 $ 938.36

35800 00 Surgery 20.85 20.85 $ 1,717.72 $ 1,717.72

35820 00 Surgery 58.49 58.49 $ 4,818.69 $ 4,818.69

35840 00 Surgery 34.67 34.67 $ 2,856.28 $ 2,856.28

35860 00 Surgery 24.57 24.57 $ 2,024.19 $ 2,024.19

35870 00 Surgery 36.48 36.48 $ 3,005.40 $ 3,005.40

35875 00 Surgery 17.46 17.46 $ 1,438.44 $ 1,438.44

35876 00 Surgery 27.78 27.78 $ 2,288.65 $ 2,288.65

35879 00 Surgery 27.05 27.05 $ 2,228.51 $ 2,228.51

35881 00 Surgery 29.92 29.92 $ 2,464.95 $ 2,464.95

35883 00 Surgery 35.45 35.45 $ 2,920.54 $ 2,920.54

35884 00 Surgery 36.31 36.31 $ 2,991.39 $ 2,991.39

35901 00 Surgery 14.49 14.49 $ 1,193.76 $ 1,193.76

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

97

35903 00 Surgery 16.49 16.49 $ 1,358.52 $ 1,358.52

35905 00 Surgery 51.88 51.88 $ 4,274.12 $ 4,274.12

35907 00 Surgery 56.08 56.08 $ 4,620.14 $ 4,620.14

36000 00 Surgery 0.73 0.27 $ 64.50 $ 23.86

36002 00 Surgery 4.60 3.09 $ 378.97 $ 254.57

36005 00 Surgery 9.15 1.40 $ 753.82 $ 115.34

36010 00 Surgery 13.71 3.19 $ 1,129.50 $ 262.81

36011 00 Surgery 23.46 4.57 $ 1,932.75 $ 376.50

36012 00 Surgery 24.18 5.05 $ 1,992.06 $ 416.04

36013 00 Surgery 21.82 3.58 $ 1,797.64 $ 294.94

36014 00 Surgery 22.62 4.39 $ 1,863.54 $ 361.67

36015 00 Surgery 24.42 4.98 $ 2,011.84 $ 410.28

36100 00 Surgery 13.57 4.47 $ 1,117.96 $ 368.26

36120 00 Surgery 11.91 2.94 $ 981.20 $ 242.21

36140 00 Surgery 11.99 2.63 $ 987.79 $ 216.67

36160 00 Surgery 13.93 3.60 $ 1,147.62 $ 296.59

36200 00 Surgery 15.93 4.09 $ 1,312.39 $ 336.95

36215 00 Surgery 31.84 6.81 $ 2,623.13 $ 561.04

36216 00 Surgery 32.92 7.90 $ 2,712.11 $ 650.84

36217 00 Surgery 53.88 9.40 $ 4,438.89 $ 774.42

36218 00 Surgery 5.27 1.51 $ 434.17 $ 124.40

36221 00 Surgery 29.21 5.88 $ 2,406.46 $ 484.42

36222 00 Surgery 34.15 8.22 $ 2,813.44 $ 677.20

36223 00 Surgery 41.90 9.08 $ 3,451.92 $ 748.05

36224 00 Surgery 53.36 10.32 $ 4,396.05 $ 850.21

36225 00 Surgery 40.31 9.04 $ 3,320.93 $ 744.76

36226 00 Surgery 50.60 10.18 $ 4,168.67 $ 838.68

36227 00 Surgery 7.20 3.38 $ 593.17 $ 278.46

36228 00 Surgery 36.24 6.92 $ 2,985.62 $ 570.10

36245 00 Surgery 36.90 6.98 $ 3,040.00 $ 575.05

36246 00 Surgery 23.34 7.46 $ 1,922.86 $ 614.59

36247 00 Surgery 42.45 8.87 $ 3,497.23 $ 730.75

36248 00 Surgery 4.33 1.43 $ 356.73 $ 117.81

36251 00 Surgery 38.92 7.74 $ 3,206.42 $ 637.66

36252 00 Surgery 42.16 10.55 $ 3,473.34 $ 869.16

36253 00 Surgery 62.45 10.55 $ 5,144.93 $ 869.16

36254 00 Surgery 60.66 12.32 $ 4,997.46 $ 1,014.98

36260 00 Surgery 18.49 18.49 $ 1,523.29 $ 1,523.29

36261 00 Surgery 9.39 9.39 $ 773.59 $ 773.59

36262 00 Surgery 8.66 8.66 $ 713.45 $ 713.45

36299 00 Surgery - - BR BR

36400 00 Surgery 0.77 0.52 $ 63.44 $ 42.84

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

98

36405 00 Surgery 0.73 0.47 $ 60.14 $ 38.72

36406 00 Surgery 0.53 0.26 $ 48.71 $ 23.90

36410 00 Surgery 0.48 0.27 $ 39.54 $ 22.24

36415 00 Surgery 0.08 0.08 $ 13.50 $ 13.50

36416 00 Surgery 0.08 0.08 $ 8.25 $ 8.25

36420 00 Surgery 1.56 1.56 $ 128.52 $ 128.52

36425 00 Surgery 1.16 1.16 $ 95.57 $ 95.57

36430 00 Surgery 0.99 0.99 $ 81.56 $ 81.56

36440 00 Surgery 1.57 1.57 $ 129.34 $ 129.34

36450 00 Surgery 5.40 5.40 $ 468.68 $ 468.68

36455 00 Surgery 3.71 3.71 $ 648.00 $ 648.00

36456 00 Surgery 3.09 3.09 $ 254.57 $ 254.57

36460 00 Surgery 9.95 9.95 $ 819.73 $ 819.73

36468 00 Surgery - - BR BR

36470 00 Surgery 4.19 2.40 $ 345.19 $ 197.72

36471 00 Surgery 4.97 2.90 $ 409.45 $ 238.92

36473 00 Surgery 42.42 5.01 $ 3,494.76 $ 412.75

36474 00 Surgery 7.77 2.51 $ 640.13 $ 206.79

36475 00 Surgery 43.07 8.16 $ 3,548.31 $ 672.26

36476 00 Surgery 8.39 3.97 $ 691.21 $ 327.07

36478 00 Surgery 34.10 8.11 $ 2,809.32 $ 668.14

36479 00 Surgery 8.81 3.99 $ 725.81 $ 328.72

36481 00 Surgery 55.61 9.78 $ 4,581.42 $ 805.72

36500 00 Surgery 5.30 5.30 $ 436.64 $ 436.64

36510 00 Surgery 2.47 1.62 $ 203.49 $ 133.46

36511 00 Surgery 2.69 2.69 $ 221.62 $ 221.62

36512 00 Surgery 2.72 2.72 $ 224.09 $ 224.09

36513 00 Surgery 2.80 2.80 $ 230.68 $ 230.68

36514 00 Surgery 15.34 2.69 $ 1,263.78 $ 221.62

36515 00 Surgery 59.02 2.56 $ 4,862.35 $ 210.91

36516 00 Surgery 59.57 2.02 $ 4,907.66 $ 166.42

36522 00 Surgery 40.27 2.95 $ 3,317.63 $ 243.04

36555 00 Surgery 5.83 3.07 $ 480.30 $ 252.92

36556 00 Surgery 6.64 3.48 $ 547.03 $ 286.70

36557 00 Surgery 26.11 9.08 $ 2,151.07 $ 748.05

36558 00 Surgery 20.35 7.63 $ 1,676.53 $ 628.60

36560 00 Surgery 28.56 9.88 $ 2,352.91 $ 813.96

36561 00 Surgery 30.93 9.85 $ 2,548.16 $ 811.49

36563 00 Surgery 34.95 10.69 $ 2,879.35 $ 880.69

36565 00 Surgery 25.19 9.70 $ 2,075.27 $ 799.13

36566 00 Surgery 153.47 10.83 $ 12,643.59 $ 892.23

36568 00 Surgery 7.03 2.46 $ 579.16 $ 202.67

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

99

36569 00 Surgery 7.10 2.65 $ 584.93 $ 218.32

36570 00 Surgery 35.08 9.16 $ 2,890.06 $ 754.64

36571 00 Surgery 34.49 8.98 $ 2,841.45 $ 739.82

36575 00 Surgery 4.71 1.01 $ 388.03 $ 83.21

36576 00 Surgery 8.96 5.34 $ 738.17 $ 439.93

36578 00 Surgery 12.75 5.88 $ 1,050.41 $ 484.42

36580 00 Surgery 6.07 1.93 $ 500.08 $ 159.00

36581 00 Surgery 19.99 5.31 $ 1,646.87 $ 437.46

36582 00 Surgery 28.64 8.45 $ 2,359.50 $ 696.15

36583 00 Surgery 35.45 9.38 $ 2,920.54 $ 772.77

36584 00 Surgery 5.81 1.92 $ 478.66 $ 158.18

36585 00 Surgery 30.55 7.92 $ 2,516.85 $ 652.49

36589 00 Surgery 4.69 3.97 $ 386.38 $ 327.07

36590 00 Surgery 6.35 5.53 $ 523.14 $ 455.59

36591 00 Surgery 0.67 0.67 $ 55.20 $ 55.20

36592 00 Surgery 0.75 0.75 $ 61.79 $ 61.79

36593 00 Surgery 0.89 0.89 $ 73.32 $ 73.32

36595 00 Surgery 16.62 5.32 $ 1,369.23 $ 438.29

36596 00 Surgery 3.74 1.29 $ 308.12 $ 106.28

36597 00 Surgery 3.61 1.77 $ 297.41 $ 145.82

36598 00 Surgery 3.15 1.07 $ 259.51 $ 88.15

36600 00 Surgery 0.89 0.44 $ 73.32 $ 36.25

36620 00 Surgery 1.47 1.47 $ 121.11 $ 121.11

36625 00 Surgery 3.02 3.02 $ 248.80 $ 248.80

36640 00 Surgery 3.31 3.31 $ 272.69 $ 272.69

36660 00 Surgery 2.13 2.13 $ 175.48 $ 175.48

36680 00 Surgery 1.69 1.69 $ 139.23 $ 139.23

36800 00 Surgery 3.57 3.57 $ 294.11 $ 294.11

36810 00 Surgery 6.26 6.26 $ 515.73 $ 515.73

36815 00 Surgery 4.00 4.00 $ 336.11 $ 336.11

36818 00 Surgery 20.32 20.32 $ 1,674.06 $ 1,674.06

36819 00 Surgery 21.46 21.46 $ 1,767.98 $ 1,767.98

36820 00 Surgery 21.44 21.44 $ 1,766.33 $ 1,766.33

36821 00 Surgery 19.45 19.45 $ 1,602.38 $ 1,602.38

36823 00 Surgery 40.24 40.24 $ 3,315.16 $ 3,315.16

36825 00 Surgery 23.40 23.40 $ 1,927.80 $ 1,927.80

36830 00 Surgery 19.56 19.56 $ 1,611.45 $ 1,611.45

36831 00 Surgery 18.07 18.07 $ 1,488.69 $ 1,488.69

36832 00 Surgery 22.17 22.17 $ 1,826.47 $ 1,826.47

36833 00 Surgery 23.79 23.79 $ 1,959.93 $ 1,959.93

36835 00 Surgery 14.30 14.30 $ 1,178.10 $ 1,178.10

36838 00 Surgery 33.56 33.56 $ 2,764.83 $ 2,764.83

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

100

36860 00 Surgery 5.95 3.20 $ 490.19 $ 263.63

36861 00 Surgery 3.91 3.91 $ 322.12 $ 322.12

36901 00 Surgery 16.18 4.21 $ 1,332.99 $ 346.84

36902 00 Surgery 34.41 6.27 $ 2,834.86 $ 516.55

36903 00 Surgery 157.8 8.58 $ 13,000.32 $ 706.86

36904 00 Surgery 50.17 9.88 $ 4,133.24 $ 813.96

36905 00 Surgery 64.2 12.4 $ 5,289.10 $ 1,021.57

36906 00 Surgery 191.35 14.47 $ 15,764.33 $ 1,192.11

36907 00 Surgery 20.59 3.61 $ 1,696.30 $ 297.41

36908 00 Surgery 75.84 5.41 $ 6,248.06 $ 445.70

36909 00 Surgery 55.32 5.14 $ 4,557.53 $ 423.46

37140 00 Surgery 67.14 67.14 $ 5,531.31 $ 5,531.31

37145 00 Surgery 62.39 62.39 $ 5,139.99 $ 5,139.99

37160 00 Surgery 64.10 64.10 $ 5,280.86 $ 5,280.86

37180 00 Surgery 61.68 61.68 $ 5,081.49 $ 5,081.49

37181 00 Surgery 62.42 62.42 $ 5,142.46 $ 5,142.46

37182 00 Surgery 24.09 24.09 $ 1,984.65 $ 1,984.65

37183 00 Surgery 164.63 11.01 $ 13,563.00 $ 907.06

37184 00 Surgery 62.97 13.15 $ 5,187.77 $ 1,083.36

37185 00 Surgery 20.00 4.92 $ 1,647.70 $ 405.33

37186 00 Surgery 37.87 7.22 $ 3,119.91 $ 594.82

37187 00 Surgery 55.84 11.47 $ 4,600.37 $ 944.95

37188 00 Surgery 47.66 8.14 $ 3,926.46 $ 670.61

37191 00 Surgery 72.69 6.58 $ 5,988.55 $ 542.09

37192 00 Surgery 45.36 10.57 $ 3,736.97 $ 870.81

37193 00 Surgery 43.33 10.26 $ 3,569.73 $ 845.27

37195 00 Surgery 27.68 27.68 $ 2,280.41 $ 2,280.41

37197 00 Surgery 40.86 8.82 $ 3,366.24 $ 726.63

37200 00 Surgery 6.37 6.37 $ 524.79 $ 524.79

37211 00 Surgery 11.26 11.26 $ 927.65 $ 927.65

37212 00 Surgery 9.82 9.82 $ 809.02 $ 809.02

37213 00 Surgery 6.83 6.83 $ 562.69 $ 562.69

37214 00 Surgery 3.59 3.59 $ 295.76 $ 295.76

37215 00 Surgery 29.09 29.09 $ 2,396.57 $ 2,396.57

37216 00 Surgery 118.62 118.62 $ 9,772.48 $ 9,772.48

37217 00 Surgery 32.12 32.12 $ 2,646.20 $ 2,646.20

37218 00 Surgery 23.80 23.80 $ 1,960.76 $ 1,960.76

37220 00 Surgery 86.76 11.78 $ 7,147.70 $ 970.49

37221 00 Surgery 128.65 14.56 $ 10,598.80 $ 1,199.52

37222 00 Surgery 24.35 5.48 $ 2,006.07 $ 451.47

37223 00 Surgery 72.18 6.28 $ 5,946.53 $ 517.38

37224 00 Surgery 105.23 13.02 $ 8,669.35 $ 1,072.65

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

101

37225 00 Surgery 308.26 17.78 $ 25,395.93 $ 1,464.80

37226 00 Surgery 252.59 15.35 $ 20,809.57 $ 1,264.61

37227 00 Surgery 417.59 21.43 $ 34,403.06 $ 1,765.51

37228 00 Surgery 150.71 15.96 $ 12,416.21 $ 1,314.86

37229 00 Surgery 303.88 20.79 $ 25,035.08 $ 1,712.78

37230 00 Surgery 232.18 20.53 $ 19,128.10 $ 1,691.36

37231 00 Surgery 375.96 22.28 $ 30,973.38 $ 1,835.53

37232 00 Surgery 33.63 5.94 $ 2,770.60 $ 489.37

37233 00 Surgery 40.65 9.65 $ 3,348.94 $ 795.01

37234 00 Surgery 110.02 8.36 $ 9,063.97 $ 688.74

37235 00 Surgery 118.20 11.59 $ 9,737.88 $ 954.84

37236 00 Surgery 111.94 12.92 $ 9,222.15 $ 1,064.41

37237 00 Surgery 68.39 6.25 $ 5,634.29 $ 514.90

37238 00 Surgery 116.75 8.76 $ 9,618.42 $ 721.69

37239 00 Surgery 56.71 4.42 $ 4,672.04 $ 364.14

37241 00 Surgery 134.24 12.93 $ 11,059.33 $ 1,065.24

37242 00 Surgery 210.49 14.05 $ 17,341.17 $ 1,157.51

37243 00 Surgery 273.53 16.58 $ 22,534.71 $ 1,365.94

37244 00 Surgery 190.77 19.52 $ 15,716.54 $ 1,608.15

37246 00 Surgery 60.6 10.29 $ 4,992.52 $ 847.74

37247 00 Surgery 24.52 5.1 $ 2,020.07 $ 420.16

37248 00 Surgery 41.98 8.85 $ 3,458.51 $ 729.11

37249 00 Surgery 17.99 4.34 $ 1,482.10 $ 357.55

37252 00 Surgery 39.05 2.69 $ 3,217.13 $ 221.62

37253 00 Surgery 5.88 2.17 $ 484.42 $ 178.77

37500 00 Surgery 18.87 18.87 $ 1,554.60 $ 1,554.60

37501 00 Surgery - - BR BR

37565 00 Surgery 21.35 21.35 $ 1,758.91 $ 1,758.91

37600 00 Surgery 20.65 20.65 $ 1,701.25 $ 1,701.25

37605 00 Surgery 23.00 23.00 $ 1,894.85 $ 1,894.85

37606 00 Surgery 15.08 15.08 $ 1,242.36 $ 1,242.36

37607 00 Surgery 10.96 10.96 $ 902.94 $ 902.94

37609 00 Surgery 8.84 5.99 $ 728.28 $ 493.48

37615 00 Surgery 14.72 14.72 $ 1,212.70 $ 1,212.70

37616 00 Surgery 31.99 31.99 $ 2,635.49 $ 2,635.49

37617 00 Surgery 38.98 38.98 $ 3,211.36 $ 3,211.36

37618 00 Surgery 11.14 11.14 $ 917.77 $ 917.77

37619 00 Surgery 47.98 47.98 $ 3,952.82 $ 3,952.82

37650 00 Surgery 13.50 13.50 $ 1,112.19 $ 1,112.19

37660 00 Surgery 37.76 37.76 $ 3,110.85 $ 3,110.85

37700 00 Surgery 7.23 7.23 $ 595.64 $ 595.64

37718 00 Surgery 12.64 12.64 $ 1,041.34 $ 1,041.34

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

102

37722 00 Surgery 13.90 13.90 $ 1,145.15 $ 1,145.15

37735 00 Surgery 17.04 17.04 $ 1,403.84 $ 1,403.84

37760 00 Surgery 17.90 17.90 $ 1,474.69 $ 1,474.69

37761 00 Surgery 16.01 16.01 $ 1,318.98 $ 1,318.98

37765 00 Surgery 18.68 13.09 $ 1,538.95 $ 1,078.42

37766 00 Surgery 22.18 15.98 $ 1,827.29 $ 1,316.51

37780 00 Surgery 7.31 7.31 $ 602.23 $ 602.23

37785 00 Surgery 10.20 7.63 $ 840.32 $ 628.60

37788 00 Surgery 36.51 36.51 $ 3,007.87 $ 3,007.87

37790 00 Surgery 14.08 14.08 $ 1,340.01 $ 1,340.01

37799 00 Surgery - - BR BR

38100 00 Surgery 33.42 33.42 $ 2,753.30 $ 2,753.30

38101 00 Surgery 33.46 33.46 $ 2,756.59 $ 2,756.59

38102 00 Surgery 7.62 7.62 $ 627.77 $ 627.77

38115 00 Surgery 36.77 36.77 $ 3,029.29 $ 3,029.29

38120 00 Surgery 30.47 30.47 $ 2,510.26 $ 2,510.26

38129 00 Surgery - - BR BR

38200 00 Surgery 3.92 3.92 $ 322.95 $ 322.95

38204 00 Surgery 3.04 3.04 $ 250.45 $ 250.45

38205 00 Surgery 2.40 2.40 $ 197.72 $ 197.72

38206 00 Surgery 2.40 2.40 $ 197.72 $ 197.72

38207 00 Surgery 1.35 1.35 $ 111.22 $ 111.22

38208 00 Surgery 0.86 0.86 $ 70.85 $ 70.85

38209 00 Surgery 0.36 0.36 $ 53.25 $ 53.25

38210 00 Surgery 2.38 2.38 $ 196.08 $ 196.08

38211 00 Surgery 2.16 2.16 $ 177.95 $ 177.95

38212 00 Surgery 1.43 1.43 $ 117.81 $ 117.81

38213 00 Surgery 0.36 0.36 $ 53.25 $ 53.25

38214 00 Surgery 1.23 1.23 $ 101.33 $ 101.33

38215 00 Surgery 1.43 1.43 $ 117.81 $ 117.81

38220 00 Surgery 4.77 1.78 $ 392.98 $ 146.64

38221 00 Surgery 4.77 2.15 $ 392.98 $ 177.13

38230 00 Surgery 5.73 5.73 $ 531.05 $ 531.05

38232 00 Surgery 5.65 5.65 $ 465.47 $ 465.47

38240 00 Surgery 6.46 6.46 $ 532.21 $ 532.21

38241 00 Surgery 4.83 4.83 $ 397.92 $ 397.92

38242 00 Surgery 3.42 3.42 $ 281.76 $ 281.76

38243 00 Surgery 3.42 3.42 $ 281.76 $ 281.76

38300 00 Surgery 7.74 5.23 $ 637.66 $ 430.87

38305 00 Surgery 13.22 13.22 $ 1,089.13 $ 1,089.13

38308 00 Surgery 12.89 12.89 $ 1,061.94 $ 1,061.94

38380 00 Surgery 16.15 16.15 $ 1,330.51 $ 1,330.51

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

103

38381 00 Surgery 23.28 23.28 $ 1,917.92 $ 1,917.92

38382 00 Surgery 19.42 19.42 $ 1,599.91 $ 1,599.91

38500 00 Surgery 9.49 7.34 $ 781.83 $ 604.70

38505 00 Surgery 3.59 2.06 $ 295.76 $ 169.71

38510 00 Surgery 14.87 12.12 $ 1,225.06 $ 998.50

38520 00 Surgery 13.38 13.38 $ 1,102.31 $ 1,102.31

38525 00 Surgery 12.62 12.62 $ 1,039.70 $ 1,039.70

38530 00 Surgery 15.99 15.99 $ 1,317.33 $ 1,317.33

38542 00 Surgery 14.94 14.94 $ 1,230.83 $ 1,230.83

38550 00 Surgery 14.57 14.57 $ 1,200.35 $ 1,200.35

38555 00 Surgery 29.34 29.34 $ 2,417.17 $ 2,417.17

38562 00 Surgery 20.37 20.37 $ 1,678.18 $ 1,678.18

38564 00 Surgery 20.25 20.25 $ 1,668.29 $ 1,668.29

38570 00 Surgery 14.58 14.58 $ 1,201.17 $ 1,201.17

38571 00 Surgery 19.34 19.34 $ 1,593.32 $ 1,593.32

38572 00 Surgery 27.17 27.17 $ 2,238.39 $ 2,238.39

38589 00 Surgery - - BR BR

38700 00 Surgery 23.19 23.19 $ 1,910.50 $ 1,910.50

38720 00 Surgery 38.71 38.71 $ 3,189.11 $ 3,189.11

38724 00 Surgery 41.83 41.83 $ 3,446.15 $ 3,446.15

38740 00 Surgery 20.07 20.07 $ 1,653.46 $ 1,653.46

38745 00 Surgery 25.36 25.36 $ 2,089.28 $ 2,089.28

38746 00 Surgery 6.25 6.25 $ 514.90 $ 514.90

38747 00 Surgery 7.75 7.75 $ 638.48 $ 638.48

38760 00 Surgery 24.38 24.38 $ 2,008.54 $ 2,008.54

38765 00 Surgery 37.47 37.47 $ 3,086.96 $ 3,086.96

38770 00 Surgery 23.38 23.38 $ 1,926.16 $ 1,926.16

38780 00 Surgery 29.69 29.69 $ 2,446.00 $ 2,446.00

38790 00 Surgery 2.40 2.40 $ 216.62 $ 216.62

38792 00 Surgery 1.15 1.15 $ 131.60 $ 131.60

38794 00 Surgery 8.66 8.66 $ 713.45 $ 713.45

38900 00 Surgery 4.01 4.01 $ 330.36 $ 330.36

38999 00 Surgery - - BR BR

39000 00 Surgery 14.35 14.35 $ 1,182.22 $ 1,182.22

39010 00 Surgery 22.80 22.80 $ 1,878.37 $ 1,878.37

39200 00 Surgery 25.25 25.25 $ 2,080.22 $ 2,080.22

39220 00 Surgery 32.86 32.86 $ 2,707.16 $ 2,707.16

39401 00 Surgery 9.02 9.02 $ 743.11 $ 743.11

39402 00 Surgery 11.78 11.78 $ 970.49 $ 970.49

39499 00 Surgery - - BR BR

39501 00 Surgery 24.56 24.56 $ 2,023.37 $ 2,023.37

39503 00 Surgery 172.06 172.06 $ 14,175.12 $ 14,175.12

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

104

39540 00 Surgery 25.15 25.15 $ 2,071.98 $ 2,071.98

39541 00 Surgery 27.33 27.33 $ 2,251.58 $ 2,251.58

39545 00 Surgery 25.66 25.66 $ 2,113.99 $ 2,113.99

39560 00 Surgery 23.11 23.11 $ 1,903.91 $ 1,903.91

39561 00 Surgery 35.98 35.98 $ 2,964.20 $ 2,964.20

39599 00 Surgery - - BR BR

40490 00 Surgery 3.69 2.13 $ 304.00 $ 175.48

40500 00 Surgery 14.52 10.52 $ 1,196.23 $ 866.69

40510 00 Surgery 13.90 10.31 $ 1,145.15 $ 849.39

40520 00 Surgery 14.05 10.36 $ 1,157.51 $ 853.51

40525 00 Surgery 15.93 15.93 $ 1,312.39 $ 1,312.39

40527 00 Surgery 18.01 18.01 $ 1,483.75 $ 1,483.75

40530 00 Surgery 15.41 11.61 $ 1,269.55 $ 956.49

40650 00 Surgery 12.58 8.63 $ 1,036.40 $ 710.98

40652 00 Surgery 14.11 10.23 $ 1,162.45 $ 842.80

40654 00 Surgery 16.43 12.34 $ 1,353.58 $ 1,016.63

40700 00 Surgery 29.20 29.20 $ 2,405.64 $ 2,405.64

40701 00 Surgery 34.60 34.60 $ 2,850.51 $ 2,850.51

40702 00 Surgery 26.08 26.08 $ 2,148.59 $ 2,148.59

40720 00 Surgery 28.84 28.84 $ 2,375.98 $ 2,375.98

40761 00 Surgery 28.05 28.05 $ 2,310.89 $ 2,310.89

40799 00 Surgery - - BR BR

40800 00 Surgery 6.16 3.85 $ 507.49 $ 317.18

40801 00 Surgery 9.13 6.51 $ 752.17 $ 536.32

40804 00 Surgery 5.31 3.31 $ 437.46 $ 272.69

40805 00 Surgery 9.33 6.81 $ 768.65 $ 561.04

40806 00 Surgery 3.02 0.96 $ 248.80 $ 79.09

40808 00 Surgery 5.39 3.16 $ 444.05 $ 260.34

40810 00 Surgery 5.97 3.72 $ 491.84 $ 306.47

40812 00 Surgery 8.38 5.78 $ 690.38 $ 476.18

40814 00 Surgery 11.21 8.93 $ 923.53 $ 735.70

40816 00 Surgery 11.68 9.25 $ 962.25 $ 762.06

40818 00 Surgery 10.44 7.98 $ 860.10 $ 657.43

40819 00 Surgery 9.18 7.02 $ 756.29 $ 578.34

40820 00 Surgery 7.69 5.04 $ 633.54 $ 415.22

40830 00 Surgery 7.76 4.85 $ 639.31 $ 399.57

40831 00 Surgery 9.78 6.58 $ 805.72 $ 542.09

40840 00 Surgery 23.37 18.20 $ 1,925.33 $ 1,499.40

40842 00 Surgery 23.64 18.89 $ 1,947.58 $ 1,556.25

40843 00 Surgery 31.38 24.86 $ 2,585.23 $ 2,048.09

40844 00 Surgery 37.25 30.41 $ 3,068.83 $ 2,505.32

40845 00 Surgery 42.14 35.51 $ 3,471.69 $ 2,925.48

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

105

40899 00 Surgery - - BR BR

41000 00 Surgery 4.69 3.27 $ 386.38 $ 269.40

41005 00 Surgery 6.55 3.63 $ 539.62 $ 299.06

41006 00 Surgery 11.22 7.89 $ 924.36 $ 650.02

41007 00 Surgery 11.06 7.65 $ 911.18 $ 630.24

41008 00 Surgery 11.05 7.92 $ 910.35 $ 652.49

41009 00 Surgery 11.73 8.60 $ 966.37 $ 708.51

41010 00 Surgery 5.77 3.11 $ 475.36 $ 256.22

41015 00 Surgery 13.21 10.27 $ 1,088.30 $ 846.09

41016 00 Surgery 12.82 10.30 $ 1,056.17 $ 848.56

41017 00 Surgery 12.98 10.37 $ 1,069.35 $ 854.33

41018 00 Surgery 14.72 12.09 $ 1,212.70 $ 996.03

41019 00 Surgery 13.64 13.64 $ 1,123.73 $ 1,123.73

41100 00 Surgery 4.85 3.13 $ 399.57 $ 257.86

41105 00 Surgery 4.94 3.26 $ 406.98 $ 268.57

41108 00 Surgery 4.28 2.64 $ 352.61 $ 217.50

41110 00 Surgery 6.12 3.82 $ 504.19 $ 314.71

41112 00 Surgery 9.71 7.40 $ 799.96 $ 609.65

41113 00 Surgery 10.63 8.19 $ 875.75 $ 674.73

41114 00 Surgery 18.49 18.49 $ 1,523.29 $ 1,523.29

41115 00 Surgery 7.10 4.21 $ 584.93 $ 346.84

41116 00 Surgery 9.59 6.42 $ 790.07 $ 528.91

41120 00 Surgery 31.35 31.35 $ 2,582.76 $ 2,582.76

41130 00 Surgery 38.58 38.58 $ 3,178.40 $ 3,178.40

41135 00 Surgery 63.45 63.45 $ 5,227.31 $ 5,227.31

41140 00 Surgery 63.93 63.93 $ 5,266.86 $ 5,266.86

41145 00 Surgery 80.82 80.82 $ 6,658.34 $ 6,658.34

41150 00 Surgery 64.24 64.24 $ 5,292.40 $ 5,292.40

41153 00 Surgery 69.85 69.85 $ 5,754.58 $ 5,754.58

41155 00 Surgery 88.01 88.01 $ 7,250.68 $ 7,250.68

41250 00 Surgery 7.71 4.46 $ 635.19 $ 367.44

41251 00 Surgery 8.28 5.27 $ 682.15 $ 434.17

41252 00 Surgery 9.16 6.15 $ 754.64 $ 506.67

41500 00 Surgery 13.06 13.06 $ 1,075.95 $ 1,075.95

41510 00 Surgery 12.33 12.33 $ 1,015.80 $ 1,015.80

41512 00 Surgery 19.17 19.17 $ 1,579.32 $ 1,579.32

41520 00 Surgery 10.22 7.52 $ 841.97 $ 619.53

41530 00 Surgery 28.11 10.88 $ 4,266.71 $ 1,651.43

41599 00 Surgery - - BR BR

41800 00 Surgery 7.98 4.31 $ 657.43 $ 355.08

41805 00 Surgery 7.15 4.98 $ 589.05 $ 410.28

41806 00 Surgery 10.27 7.59 $ 846.09 $ 625.30

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

106

41820 00 Surgery 7.01 7.01 $ 577.52 $ 577.52

41821 00 Surgery 1.58 1.58 $ 130.17 $ 130.17

41822 00 Surgery 9.12 5.42 $ 751.35 $ 446.53

41823 00 Surgery 13.32 9.78 $ 1,097.37 $ 805.72

41825 00 Surgery 6.15 3.57 $ 506.67 $ 294.11

41826 00 Surgery 9.18 6.25 $ 756.29 $ 514.90

41827 00 Surgery 12.85 9.04 $ 1,058.64 $ 744.76

41828 00 Surgery 8.95 6.28 $ 737.34 $ 517.38

41830 00 Surgery 11.44 8.32 $ 942.48 $ 685.44

41850 00 Surgery 3.50 3.50 $ 288.35 $ 288.35

41870 00 Surgery 8.76 8.76 $ 721.69 $ 721.69

41872 00 Surgery 10.93 7.70 $ 900.47 $ 634.36

41874 00 Surgery 11.04 7.55 $ 909.53 $ 622.00

41899 00 Surgery - - BR BR

42000 00 Surgery 4.61 3.03 $ 379.79 $ 249.63

42100 00 Surgery 4.34 3.18 $ 357.55 $ 261.98

42104 00 Surgery 6.23 4.05 $ 513.26 $ 333.66

42106 00 Surgery 7.95 5.23 $ 654.96 $ 430.87

42107 00 Surgery 13.36 10.08 $ 1,107.45 $ 835.56

42120 00 Surgery 29.50 29.50 $ 2,430.35 $ 2,430.35

42140 00 Surgery 7.26 4.47 $ 598.11 $ 368.26

42145 00 Surgery 20.32 20.32 $ 1,674.06 $ 1,674.06

42160 00 Surgery 6.70 4.27 $ 551.98 $ 351.78

42180 00 Surgery 7.01 5.30 $ 577.52 $ 436.64

42182 00 Surgery 9.22 7.40 $ 759.59 $ 609.65

42200 00 Surgery 24.65 24.65 $ 2,030.78 $ 2,030.78

42205 00 Surgery 26.36 26.36 $ 2,171.66 $ 2,171.66

42210 00 Surgery 30.07 30.07 $ 2,477.31 $ 2,477.31

42215 00 Surgery 20.96 20.96 $ 1,726.78 $ 1,726.78

42220 00 Surgery 15.28 15.28 $ 1,258.84 $ 1,258.84

42225 00 Surgery 25.22 25.22 $ 2,077.74 $ 2,077.74

42226 00 Surgery 26.19 26.19 $ 2,157.66 $ 2,157.66

42227 00 Surgery 24.67 24.67 $ 2,032.43 $ 2,032.43

42235 00 Surgery 21.08 21.08 $ 1,736.67 $ 1,736.67

42260 00 Surgery 24.24 20.19 $ 1,997.01 $ 1,663.35

42280 00 Surgery 4.74 3.23 $ 390.50 $ 266.10

42281 00 Surgery 5.89 4.36 $ 485.25 $ 359.20

42299 00 Surgery - - BR BR

42300 00 Surgery 6.01 4.41 $ 495.13 $ 363.32

42305 00 Surgery 12.49 12.49 $ 1,028.99 $ 1,028.99

42310 00 Surgery 4.63 3.58 $ 381.44 $ 294.94

42320 00 Surgery 7.13 5.04 $ 587.40 $ 415.22

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

107

42330 00 Surgery 6.68 4.77 $ 550.33 $ 392.98

42335 00 Surgery 10.76 7.45 $ 886.46 $ 613.77

42340 00 Surgery 13.40 9.75 $ 1,103.96 $ 803.25

42400 00 Surgery 3.02 1.59 $ 248.80 $ 130.99

42405 00 Surgery 8.59 6.54 $ 707.69 $ 538.80

42408 00 Surgery 13.06 9.45 $ 1,075.95 $ 778.54

42409 00 Surgery 9.58 6.42 $ 789.25 $ 528.91

42410 00 Surgery 17.93 17.93 $ 1,477.16 $ 1,477.16

42415 00 Surgery 30.45 30.45 $ 2,508.62 $ 2,508.62

42420 00 Surgery 34.17 34.17 $ 2,815.09 $ 2,815.09

42425 00 Surgery 24.10 24.10 $ 1,985.47 $ 1,985.47

42426 00 Surgery 38.94 38.94 $ 3,208.06 $ 3,208.06

42440 00 Surgery 11.87 11.87 $ 977.91 $ 977.91

42450 00 Surgery 13.03 10.36 $ 1,073.47 $ 853.51

42500 00 Surgery 12.49 9.89 $ 1,028.99 $ 814.79

42505 00 Surgery 15.97 13.07 $ 1,315.68 $ 1,076.77

42507 00 Surgery 14.49 14.49 $ 1,193.76 $ 1,193.76

42509 00 Surgery 24.35 24.35 $ 2,006.07 $ 2,006.07

42510 00 Surgery 18.63 18.63 $ 1,534.83 $ 1,534.83

42550 00 Surgery 3.87 1.83 $ 318.83 $ 150.76

42600 00 Surgery 13.55 9.91 $ 1,116.31 $ 816.43

42650 00 Surgery 2.40 1.70 $ 197.72 $ 140.05

42660 00 Surgery 3.70 2.60 $ 304.82 $ 214.20

42665 00 Surgery 9.08 6.01 $ 748.05 $ 495.13

42699 00 Surgery - - BR BR

42700 00 Surgery 5.44 3.91 $ 448.17 $ 322.12

42720 00 Surgery 13.05 11.31 $ 1,075.12 $ 931.77

42725 00 Surgery 23.70 23.70 $ 1,952.52 $ 1,952.52

42800 00 Surgery 4.55 3.23 $ 374.85 $ 266.10

42804 00 Surgery 5.60 3.26 $ 461.35 $ 268.57

42806 00 Surgery 6.29 3.80 $ 518.20 $ 313.06

42808 00 Surgery 6.52 4.68 $ 537.15 $ 385.56

42809 00 Surgery 5.76 3.53 $ 474.54 $ 290.82

42810 00 Surgery 11.11 8.33 $ 915.29 $ 686.27

42815 00 Surgery 16.12 16.12 $ 1,328.04 $ 1,328.04

42820 00 Surgery 8.32 8.32 $ 685.44 $ 685.44

42821 00 Surgery 8.68 8.68 $ 715.10 $ 715.10

42825 00 Surgery 7.55 7.55 $ 622.00 $ 622.00

42826 00 Surgery 7.25 7.25 $ 597.29 $ 597.29

42830 00 Surgery 5.97 5.97 $ 491.84 $ 491.84

42831 00 Surgery 6.45 6.45 $ 531.38 $ 531.38

42835 00 Surgery 5.24 5.24 $ 431.70 $ 431.70

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

108

42836 00 Surgery 6.94 6.94 $ 571.75 $ 571.75

42842 00 Surgery 29.46 29.46 $ 2,427.06 $ 2,427.06

42844 00 Surgery 40.53 40.53 $ 3,339.05 $ 3,339.05

42845 00 Surgery 65.08 65.08 $ 5,361.60 $ 5,361.60

42860 00 Surgery 5.42 5.42 $ 446.53 $ 446.53

42870 00 Surgery 17.31 17.31 $ 1,426.08 $ 1,426.08

42890 00 Surgery 41.78 41.78 $ 3,442.04 $ 3,442.04

42892 00 Surgery 55.15 55.15 $ 4,543.52 $ 4,543.52

42894 00 Surgery 69.28 69.28 $ 5,707.62 $ 5,707.62

42900 00 Surgery 9.76 9.76 $ 804.08 $ 804.08

42950 00 Surgery 23.77 23.77 $ 1,958.29 $ 1,958.29

42953 00 Surgery 28.55 28.55 $ 2,352.09 $ 2,352.09

42955 00 Surgery 22.14 22.14 $ 1,824.00 $ 1,824.00

42960 00 Surgery 4.91 4.91 $ 404.51 $ 404.51

42961 00 Surgery 12.18 12.18 $ 1,003.45 $ 1,003.45

42962 00 Surgery 15.00 15.00 $ 1,235.77 $ 1,235.77

42970 00 Surgery 11.80 11.80 $ 972.14 $ 972.14

42971 00 Surgery 13.28 13.28 $ 1,094.07 $ 1,094.07

42972 00 Surgery 14.74 14.74 $ 1,214.35 $ 1,214.35

42999 00 Surgery - - BR BR

43020 00 Surgery 15.47 15.47 $ 1,274.49 $ 1,274.49

43030 00 Surgery 14.94 14.94 $ 1,230.83 $ 1,230.83

43045 00 Surgery 37.70 37.70 $ 3,105.91 $ 3,105.91

43100 00 Surgery 17.93 17.93 $ 1,477.16 $ 1,477.16

43101 00 Surgery 30.89 30.89 $ 2,544.87 $ 2,544.87

43107 00 Surgery 74.17 74.17 $ 6,110.48 $ 6,110.48

43108 00 Surgery 135.36 135.36 $ 11,151.60 $ 11,151.60

43112 00 Surgery 78.36 78.36 $ 6,455.67 $ 6,455.67

43113 00 Surgery 126.63 126.63 $ 10,432.38 $ 10,432.38

43116 00 Surgery 152.24 152.24 $ 12,542.26 $ 12,542.26

43117 00 Surgery 71.61 71.61 $ 5,899.57 $ 5,899.57

43118 00 Surgery 109.93 109.93 $ 9,056.56 $ 9,056.56

43121 00 Surgery 82.84 82.84 $ 6,824.75 $ 6,824.75

43122 00 Surgery 74.34 74.34 $ 6,124.48 $ 6,124.48

43123 00 Surgery 136.57 136.57 $ 11,251.29 $ 11,251.29

43124 00 Surgery 111.53 111.53 $ 9,188.37 $ 9,188.37

43130 00 Surgery 22.66 22.66 $ 1,866.84 $ 1,866.84

43135 00 Surgery 43.02 43.02 $ 3,544.19 $ 3,544.19

43180 00 Surgery 15.84 15.84 $ 1,304.97 $ 1,304.97

43191 00 Surgery 4.47 4.47 $ 368.26 $ 368.26

43192 00 Surgery 4.92 4.92 $ 405.33 $ 405.33

43193 00 Surgery 4.91 4.91 $ 404.51 $ 404.51

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

109

43194 00 Surgery 5.61 5.61 $ 462.18 $ 462.18

43195 00 Surgery 5.36 5.36 $ 441.58 $ 441.58

43196 00 Surgery 5.72 5.72 $ 471.24 $ 471.24

43197 00 Surgery 5.37 2.41 $ 442.41 $ 198.55

43198 00 Surgery 5.95 2.88 $ 490.19 $ 237.27

43200 00 Surgery 6.15 2.56 $ 506.67 $ 210.91

43201 00 Surgery 6.28 3.02 $ 517.38 $ 248.80

43202 00 Surgery 8.72 3.03 $ 718.40 $ 249.63

43204 00 Surgery 3.99 3.99 $ 433.26 $ 433.26

43205 00 Surgery 4.15 4.15 $ 441.39 $ 441.39

43206 00 Surgery 7.56 3.92 $ 622.83 $ 322.95

43210 00 Surgery 12.63 12.63 $ 1,040.52 $ 1,040.52

43211 00 Surgery 6.93 6.93 $ 570.93 $ 570.93

43212 00 Surgery 5.58 5.58 $ 459.71 $ 459.71

43213 00 Surgery 32.66 7.59 $ 2,690.69 $ 625.30

43214 00 Surgery 5.65 5.65 $ 465.47 $ 465.47

43215 00 Surgery 10.23 4.16 $ 842.80 $ 342.72

43216 00 Surgery 10.12 3.95 $ 833.73 $ 325.42

43217 00 Surgery 10.79 4.72 $ 888.93 $ 388.86

43220 00 Surgery 30.40 3.46 $ 2,504.50 $ 285.05

43226 00 Surgery 9.02 3.83 $ 743.11 $ 315.53

43227 00 Surgery 17.82 4.85 $ 1,468.10 $ 399.57

43229 00 Surgery 18.33 5.80 $ 1,510.11 $ 477.83

43231 00 Surgery 9.52 4.70 $ 784.30 $ 387.21

43232 00 Surgery 11.43 5.81 $ 941.66 $ 478.66

43233 00 Surgery 6.69 6.69 $ 551.15 $ 551.15

43235 00 Surgery 7.28 3.61 $ 599.76 $ 297.41

43236 00 Surgery 9.34 4.07 $ 769.47 $ 335.31

43237 00 Surgery 5.75 5.75 $ 473.71 $ 473.71

43238 00 Surgery 6.85 6.85 $ 564.34 $ 564.34

43239 00 Surgery 9.73 4.08 $ 801.60 $ 336.13

43240 00 Surgery 11.55 11.55 $ 951.54 $ 951.54

43241 00 Surgery 4.19 4.19 $ 345.19 $ 345.19

43242 00 Surgery 7.73 7.73 $ 737.78 $ 737.78

43243 00 Surgery 6.97 6.97 $ 574.22 $ 574.22

43244 00 Surgery 7.22 7.22 $ 594.82 $ 594.82

43245 00 Surgery 15.67 5.16 $ 1,290.97 $ 425.11

43246 00 Surgery 5.88 5.88 $ 518.77 $ 518.77

43247 00 Surgery 9.94 5.20 $ 818.90 $ 428.40

43248 00 Surgery 9.95 4.88 $ 819.73 $ 402.04

43249 00 Surgery 28.82 4.52 $ 2,374.33 $ 372.38

43250 00 Surgery 11.28 5.00 $ 929.30 $ 411.92

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

110

43251 00 Surgery 12.50 5.76 $ 1,029.81 $ 474.54

43252 00 Surgery 8.58 4.95 $ 831.48 $ 479.70

43253 00 Surgery 7.73 7.73 $ 636.83 $ 636.83

43254 00 Surgery 7.96 7.96 $ 655.78 $ 655.78

43255 00 Surgery 18.86 5.91 $ 1,553.78 $ 486.89

43257 00 Surgery 6.83 6.83 $ 574.80 $ 574.80

43259 00 Surgery 6.65 6.65 $ 606.18 $ 606.18

43260 00 Surgery 9.48 9.48 $ 781.01 $ 781.01

43261 00 Surgery 9.96 9.96 $ 820.55 $ 820.55

43262 00 Surgery 10.51 10.51 $ 865.86 $ 865.86

43263 00 Surgery 10.53 10.53 $ 867.51 $ 867.51

43264 00 Surgery 10.71 10.71 $ 953.00 $ 953.00

43265 00 Surgery 12.75 12.75 $ 1,050.41 $ 1,050.41

43266 00 Surgery 6.42 6.42 $ 745.46 $ 745.46

43270 00 Surgery 18.92 6.61 $ 1,558.72 $ 544.56

43273 00 Surgery 3.52 3.52 $ 289.99 $ 289.99

43274 00 Surgery 13.62 13.62 $ 1,122.08 $ 1,122.08

43275 00 Surgery 11.08 11.08 $ 912.82 $ 912.82

43276 00 Surgery 14.18 14.18 $ 1,168.22 $ 1,168.22

43277 00 Surgery 11.14 11.14 $ 917.77 $ 917.77

43278 00 Surgery 12.74 12.74 $ 1,049.58 $ 1,049.58

43279 00 Surgery 37.43 37.43 $ 3,083.66 $ 3,083.66

43280 00 Surgery 31.33 31.33 $ 2,581.11 $ 2,581.11

43281 00 Surgery 44.78 44.78 $ 3,689.19 $ 3,689.19

43282 00 Surgery 50.37 50.37 $ 4,149.72 $ 4,149.72

43283 00 Surgery 4.61 4.61 $ 379.79 $ 379.79

43284 00 Surgery 18.79 18.79 $ 1,548.01 $ 1,548.01

43285 00 Surgery 19.01 19.01 $ 1,566.13 $ 1,566.13

43289 00 Surgery - - BR BR

43300 00 Surgery 17.86 17.86 $ 1,471.39 $ 1,471.39

43305 00 Surgery 31.49 31.49 $ 2,594.30 $ 2,594.30

43310 00 Surgery 42.79 42.79 $ 3,525.24 $ 3,525.24

43312 00 Surgery 46.71 46.71 $ 3,848.19 $ 3,848.19

43313 00 Surgery 78.59 78.59 $ 6,474.62 $ 6,474.62

43314 00 Surgery 86.44 86.44 $ 7,121.34 $ 7,121.34

43320 00 Surgery 40.19 40.19 $ 3,311.04 $ 3,311.04

43325 00 Surgery 38.73 38.73 $ 3,190.76 $ 3,190.76

43327 00 Surgery 23.76 23.76 $ 1,957.46 $ 1,957.46

43328 00 Surgery 32.71 32.71 $ 2,694.81 $ 2,694.81

43330 00 Surgery 38.71 38.71 $ 3,189.11 $ 3,189.11

43331 00 Surgery 38.82 38.82 $ 3,198.18 $ 3,198.18

43332 00 Surgery 33.66 33.66 $ 2,773.07 $ 2,773.07

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

111

43333 00 Surgery 36.74 36.74 $ 3,026.82 $ 3,026.82

43334 00 Surgery 36.31 36.31 $ 2,991.39 $ 2,991.39

43335 00 Surgery 38.95 38.95 $ 3,208.89 $ 3,208.89

43336 00 Surgery 43.75 43.75 $ 3,604.33 $ 3,604.33

43337 00 Surgery 47.16 47.16 $ 3,885.27 $ 3,885.27

43338 00 Surgery 3.38 3.38 $ 278.46 $ 278.46

43340 00 Surgery 39.67 39.67 $ 3,268.20 $ 3,268.20

43341 00 Surgery 40.74 40.74 $ 3,356.36 $ 3,356.36

43351 00 Surgery 39.98 39.98 $ 3,293.74 $ 3,293.74

43352 00 Surgery 31.05 31.05 $ 2,558.05 $ 2,558.05

43360 00 Surgery 68.53 68.53 $ 5,645.83 $ 5,645.83

43361 00 Surgery 74.84 74.84 $ 6,165.68 $ 6,165.68

43400 00 Surgery 43.15 43.15 $ 3,554.90 $ 3,554.90

43401 00 Surgery 42.75 42.75 $ 3,521.95 $ 3,521.95

43405 00 Surgery 44.35 44.35 $ 3,653.76 $ 3,653.76

43410 00 Surgery 30.47 30.47 $ 2,510.26 $ 2,510.26

43415 00 Surgery 74.58 74.58 $ 6,144.26 $ 6,144.26

43420 00 Surgery 29.38 29.38 $ 2,420.46 $ 2,420.46

43425 00 Surgery 42.28 42.28 $ 3,483.23 $ 3,483.23

43450 00 Surgery 4.46 2.33 $ 367.44 $ 191.96

43453 00 Surgery 25.77 2.52 $ 2,123.06 $ 207.61

43460 00 Surgery 6.26 6.26 $ 515.73 $ 515.73

43496 00 Surgery - - BR BR

43499 00 Surgery - - BR BR

43500 00 Surgery 22.76 22.76 $ 1,875.08 $ 1,875.08

43501 00 Surgery 39.01 39.01 $ 3,213.83 $ 3,213.83

43502 00 Surgery 43.61 43.61 $ 3,592.80 $ 3,592.80

43510 00 Surgery 26.80 26.80 $ 2,207.91 $ 2,207.91

43520 00 Surgery 19.89 19.89 $ 1,638.63 $ 1,638.63

43605 00 Surgery 24.34 24.34 $ 2,005.25 $ 2,005.25

43610 00 Surgery 28.38 28.38 $ 2,338.08 $ 2,338.08

43611 00 Surgery 35.42 35.42 $ 2,918.07 $ 2,918.07

43620 00 Surgery 57.05 57.05 $ 4,700.05 $ 4,700.05

43621 00 Surgery 65.80 65.80 $ 5,420.92 $ 5,420.92

43622 00 Surgery 66.52 66.52 $ 5,480.23 $ 5,480.23

43631 00 Surgery 42.03 42.03 $ 3,462.63 $ 3,462.63

43632 00 Surgery 58.92 58.92 $ 4,854.11 $ 4,854.11

43633 00 Surgery 55.72 55.72 $ 4,590.48 $ 4,590.48

43634 00 Surgery 61.46 61.46 $ 5,063.37 $ 5,063.37

43635 00 Surgery 3.28 3.28 $ 270.22 $ 270.22

43640 00 Surgery 34.15 34.15 $ 2,813.44 $ 2,813.44

43641 00 Surgery 34.57 34.57 $ 2,848.04 $ 2,848.04

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

112

43644 00 Surgery 50.23 50.23 $ 4,138.19 $ 4,138.19

43645 00 Surgery 53.52 53.52 $ 4,409.23 $ 4,409.23

43647 00 Surgery 139.30 139.30 $ 11,476.20 $ 11,476.20

43648 00 Surgery 61.00 61.00 $ 5,025.47 $ 5,025.47

43651 00 Surgery 18.89 18.89 $ 1,556.25 $ 1,556.25

43652 00 Surgery 22.15 22.15 $ 1,824.82 $ 1,824.82

43653 00 Surgery 16.57 16.57 $ 1,365.12 $ 1,365.12

43659 00 Surgery - - BR BR

43752 00 Surgery 1.18 1.18 $ 97.21 $ 97.21

43753 00 Surgery 0.63 0.63 $ 51.90 $ 51.90

43754 00 Surgery 3.48 1.02 $ 286.70 $ 84.03

43755 00 Surgery 3.92 1.74 $ 322.95 $ 143.35

43756 00 Surgery 5.74 1.47 $ 472.89 $ 121.11

43757 00 Surgery 8.26 2.25 $ 680.50 $ 185.37

43760 00 Surgery 13.90 1.36 $ 1,145.15 $ 112.04

43761 00 Surgery 3.36 2.98 $ 276.81 $ 245.51

43770 00 Surgery 32.43 32.43 $ 2,671.74 $ 2,671.74

43771 00 Surgery 36.83 36.83 $ 3,034.23 $ 3,034.23

43772 00 Surgery 27.43 27.43 $ 2,259.81 $ 2,259.81

43773 00 Surgery 36.91 36.91 $ 3,040.82 $ 3,040.82

43774 00 Surgery 27.77 27.77 $ 2,287.83 $ 2,287.83

43775 00 Surgery 31.97 31.97 $ 2,633.84 $ 2,633.84

43800 00 Surgery 26.94 26.94 $ 2,219.45 $ 2,219.45

43810 00 Surgery 29.39 29.39 $ 2,421.29 $ 2,421.29

43820 00 Surgery 38.87 38.87 $ 3,202.30 $ 3,202.30

43825 00 Surgery 37.45 37.45 $ 3,085.31 $ 3,085.31

43830 00 Surgery 20.22 20.22 $ 1,665.82 $ 1,665.82

43831 00 Surgery 16.27 16.27 $ 1,340.40 $ 1,340.40

43832 00 Surgery 30.03 30.03 $ 2,474.01 $ 2,474.01

43840 00 Surgery 39.37 39.37 $ 3,243.49 $ 3,243.49

43842 00 Surgery 34.46 34.46 $ 2,838.98 $ 2,838.98

43843 00 Surgery 36.81 36.81 $ 3,032.58 $ 3,032.58

43845 00 Surgery 56.86 56.86 $ 4,684.40 $ 4,684.40

43846 00 Surgery 46.91 46.91 $ 3,864.67 $ 3,864.67

43847 00 Surgery 51.44 51.44 $ 4,237.87 $ 4,237.87

43848 00 Surgery 55.74 55.74 $ 4,592.13 $ 4,592.13

43850 00 Surgery 46.78 46.78 $ 3,853.96 $ 3,853.96

43855 00 Surgery 48.40 48.40 $ 3,987.42 $ 3,987.42

43860 00 Surgery 47.40 47.40 $ 3,905.04 $ 3,905.04

43865 00 Surgery 49.09 49.09 $ 4,044.27 $ 4,044.27

43870 00 Surgery 20.58 20.58 $ 1,695.48 $ 1,695.48

43880 00 Surgery 46.35 46.35 $ 3,818.53 $ 3,818.53

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

113

43881 00 Surgery 19.30 19.30 $ 1,590.03 $ 1,590.03

43882 00 Surgery 22.20 22.20 $ 1,828.94 $ 1,828.94

43886 00 Surgery 10.46 10.46 $ 861.74 $ 861.74

43887 00 Surgery 9.43 9.43 $ 776.89 $ 776.89

43888 00 Surgery 13.24 13.24 $ 1,090.77 $ 1,090.77

43999 00 Surgery - - BR BR

44005 00 Surgery 31.73 31.73 $ 2,614.07 $ 2,614.07

44010 00 Surgery 25.01 25.01 $ 2,060.44 $ 2,060.44

44015 00 Surgery 4.14 4.14 $ 499.30 $ 499.30

44020 00 Surgery 28.19 28.19 $ 2,322.43 $ 2,322.43

44021 00 Surgery 28.21 28.21 $ 2,324.07 $ 2,324.07

44025 00 Surgery 28.48 28.48 $ 2,346.32 $ 2,346.32

44050 00 Surgery 27.07 27.07 $ 2,230.16 $ 2,230.16

44055 00 Surgery 43.21 43.21 $ 3,559.85 $ 3,559.85

44100 00 Surgery 3.17 3.17 $ 261.16 $ 261.16

44110 00 Surgery 24.68 24.68 $ 2,033.26 $ 2,033.26

44111 00 Surgery 28.43 28.43 $ 2,342.20 $ 2,342.20

44120 00 Surgery 35.46 35.46 $ 2,921.36 $ 2,921.36

44121 00 Surgery 7.04 7.04 $ 579.99 $ 579.99

44125 00 Surgery 34.22 34.22 $ 2,819.21 $ 2,819.21

44126 00 Surgery 70.60 70.60 $ 5,816.36 $ 5,816.36

44127 00 Surgery 80.23 80.23 $ 6,609.73 $ 6,609.73

44128 00 Surgery 7.12 7.12 $ 586.58 $ 586.58

44130 00 Surgery 38.06 38.06 $ 3,135.56 $ 3,135.56

44132 00 Surgery 32.72 32.72 $ 2,695.39 $ 2,695.39

44133 00 Surgery 56.09 56.09 $ 4,620.68 $ 4,620.68

44135 00 Surgery 93.48 93.48 $ 7,701.13 $ 7,701.13

44136 00 Surgery 105.16 105.16 $ 8,663.78 $ 8,663.78

44137 00 Surgery 46.74 46.74 $ 3,850.57 $ 3,850.57

44139 00 Surgery 3.53 3.53 $ 290.82 $ 290.82

44140 00 Surgery 38.88 38.88 $ 3,203.12 $ 3,203.12

44141 00 Surgery 52.94 52.94 $ 4,361.45 $ 4,361.45

44143 00 Surgery 48.27 48.27 $ 3,976.71 $ 3,976.71

44144 00 Surgery 51.30 51.30 $ 4,226.34 $ 4,226.34

44145 00 Surgery 48.09 48.09 $ 3,961.88 $ 3,961.88

44146 00 Surgery 61.53 61.53 $ 5,069.13 $ 5,069.13

44147 00 Surgery 56.34 56.34 $ 4,641.56 $ 4,641.56

44150 00 Surgery 54.19 54.19 $ 4,464.43 $ 4,464.43

44151 00 Surgery 61.87 61.87 $ 5,097.15 $ 5,097.15

44155 00 Surgery 60.44 60.44 $ 4,979.34 $ 4,979.34

44156 00 Surgery 65.74 65.74 $ 5,415.97 $ 5,415.97

44157 00 Surgery 62.58 62.58 $ 5,155.64 $ 5,155.64

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

114

44158 00 Surgery 64.77 64.77 $ 5,336.06 $ 5,336.06

44160 00 Surgery 35.99 35.99 $ 2,965.03 $ 2,965.03

44180 00 Surgery 26.63 26.63 $ 2,193.91 $ 2,193.91

44186 00 Surgery 18.86 18.86 $ 1,553.78 $ 1,553.78

44187 00 Surgery 32.02 32.02 $ 2,637.96 $ 2,637.96

44188 00 Surgery 35.50 35.50 $ 2,924.66 $ 2,924.66

44202 00 Surgery 40.17 40.17 $ 3,309.40 $ 3,309.40

44203 00 Surgery 7.01 7.01 $ 577.52 $ 577.52

44204 00 Surgery 44.62 44.62 $ 3,676.01 $ 3,676.01

44205 00 Surgery 38.81 38.81 $ 3,197.35 $ 3,197.35

44206 00 Surgery 50.80 50.80 $ 4,185.15 $ 4,185.15

44207 00 Surgery 52.81 52.81 $ 4,350.74 $ 4,350.74

44208 00 Surgery 57.65 57.65 $ 4,749.48 $ 4,749.48

44210 00 Surgery 51.66 51.66 $ 4,256.00 $ 4,256.00

44211 00 Surgery 63.41 63.41 $ 5,224.02 $ 5,224.02

44212 00 Surgery 59.39 59.39 $ 4,892.83 $ 4,892.83

44213 00 Surgery 5.48 5.48 $ 451.47 $ 451.47

44227 00 Surgery 48.35 48.35 $ 3,983.30 $ 3,983.30

44238 00 Surgery - - BR BR

44300 00 Surgery 24.37 24.37 $ 2,007.72 $ 2,007.72

44310 00 Surgery 30.26 30.26 $ 2,492.96 $ 2,492.96

44312 00 Surgery 17.09 17.09 $ 1,407.96 $ 1,407.96

44314 00 Surgery 29.07 29.07 $ 2,394.93 $ 2,394.93

44316 00 Surgery 41.10 41.10 $ 3,386.01 $ 3,386.01

44320 00 Surgery 34.82 34.82 $ 2,868.64 $ 2,868.64

44322 00 Surgery 28.81 28.81 $ 2,373.51 $ 2,373.51

44340 00 Surgery 18.04 18.04 $ 1,486.22 $ 1,486.22

44345 00 Surgery 30.48 30.48 $ 2,511.09 $ 2,511.09

44346 00 Surgery 34.29 34.29 $ 2,824.97 $ 2,824.97

44360 00 Surgery 4.23 4.23 $ 348.49 $ 348.49

44361 00 Surgery 4.67 4.67 $ 384.74 $ 384.74

44363 00 Surgery 5.64 5.64 $ 464.65 $ 464.65

44364 00 Surgery 6.01 6.01 $ 495.13 $ 495.13

44365 00 Surgery 5.30 5.30 $ 436.64 $ 436.64

44366 00 Surgery 7.06 7.06 $ 581.64 $ 581.64

44369 00 Surgery 7.24 7.24 $ 596.47 $ 596.47

44370 00 Surgery 7.84 7.84 $ 645.90 $ 645.90

44372 00 Surgery 7.07 7.07 $ 582.46 $ 582.46

44373 00 Surgery 5.65 5.65 $ 495.77 $ 495.77

44376 00 Surgery 8.36 8.36 $ 688.74 $ 688.74

44377 00 Surgery 8.81 8.81 $ 725.81 $ 725.81

44378 00 Surgery 11.32 11.32 $ 932.60 $ 932.60

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

115

44379 00 Surgery 12.06 12.06 $ 993.56 $ 993.56

44380 00 Surgery 4.77 1.65 $ 392.98 $ 135.93

44381 00 Surgery 26.53 2.49 $ 2,185.67 $ 205.14

44382 00 Surgery 7.43 2.15 $ 612.12 $ 177.13

44384 00 Surgery 4.48 4.48 $ 598.98 $ 598.98

44385 00 Surgery 5.42 2.11 $ 460.72 $ 179.36

44386 00 Surgery 8.10 2.61 $ 667.32 $ 215.02

44388 00 Surgery 8.21 4.59 $ 676.38 $ 378.15

44389 00 Surgery 10.76 5.05 $ 886.46 $ 416.04

44390 00 Surgery 10.65 6.20 $ 877.40 $ 510.79

44391 00 Surgery 19.66 6.77 $ 1,619.68 $ 557.74

44392 00 Surgery 9.96 5.82 $ 820.55 $ 479.48

44394 00 Surgery 11.49 6.63 $ 946.60 $ 546.21

44401 00 Surgery 90.09 7.12 $ 7,422.04 $ 586.58

44402 00 Surgery 7.65 7.65 $ 630.24 $ 630.24

44403 00 Surgery 8.92 8.92 $ 734.87 $ 734.87

44404 00 Surgery 10.23 5.05 $ 842.80 $ 416.04

44405 00 Surgery 15.30 5.38 $ 1,260.49 $ 443.23

44406 00 Surgery 6.75 6.75 $ 556.10 $ 556.10

44407 00 Surgery 8.09 8.09 $ 666.49 $ 666.49

44408 00 Surgery 6.81 6.81 $ 561.04 $ 561.04

44500 00 Surgery 0.56 0.56 $ 73.28 $ 73.28

44602 00 Surgery 40.94 40.94 $ 3,372.83 $ 3,372.83

44603 00 Surgery 47.02 47.02 $ 3,873.73 $ 3,873.73

44604 00 Surgery 30.68 30.68 $ 2,527.56 $ 2,527.56

44605 00 Surgery 37.78 37.78 $ 3,112.50 $ 3,112.50

44615 00 Surgery 31.12 31.12 $ 2,563.81 $ 2,563.81

44620 00 Surgery 25.16 25.16 $ 2,072.80 $ 2,072.80

44625 00 Surgery 29.48 29.48 $ 2,428.70 $ 2,428.70

44626 00 Surgery 46.50 46.50 $ 3,830.89 $ 3,830.89

44640 00 Surgery 40.67 40.67 $ 3,350.59 $ 3,350.59

44650 00 Surgery 41.95 41.95 $ 3,456.04 $ 3,456.04

44660 00 Surgery 38.77 38.77 $ 3,194.06 $ 3,194.06

44661 00 Surgery 44.97 44.97 $ 3,704.84 $ 3,704.84

44680 00 Surgery 30.93 30.93 $ 2,548.16 $ 2,548.16

44700 00 Surgery 29.49 29.49 $ 2,429.53 $ 2,429.53

44701 00 Surgery 4.89 4.89 $ 402.86 $ 402.86

44705 00 Surgery - - BR BR

44715 00 Surgery - - BR BR

44720 00 Surgery 8.82 8.82 $ 726.63 $ 726.63

44721 00 Surgery 11.18 11.18 $ 921.06 $ 921.06

44799 00 Surgery - - BR BR

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

116

44800 00 Surgery 22.15 22.15 $ 1,824.82 $ 1,824.82

44820 00 Surgery 24.22 24.22 $ 1,995.36 $ 1,995.36

44850 00 Surgery 21.71 21.71 $ 1,788.57 $ 1,788.57

44899 00 Surgery - - BR BR

44900 00 Surgery 22.21 22.21 $ 1,829.77 $ 1,829.77

44950 00 Surgery 18.59 18.59 $ 1,531.53 $ 1,531.53

44955 00 Surgery 2.44 2.44 $ 201.02 $ 201.02

44960 00 Surgery 25.32 25.32 $ 2,085.98 $ 2,085.98

44970 00 Surgery 17.38 17.38 $ 1,431.85 $ 1,431.85

44979 00 Surgery - - BR BR

45000 00 Surgery 12.23 12.23 $ 1,007.57 $ 1,007.57

45005 00 Surgery 7.86 4.66 $ 647.54 $ 383.91

45020 00 Surgery 16.55 16.55 $ 1,363.47 $ 1,363.47

45100 00 Surgery 8.64 8.64 $ 711.80 $ 711.80

45108 00 Surgery 10.53 10.53 $ 867.51 $ 867.51

45110 00 Surgery 53.53 53.53 $ 4,410.06 $ 4,410.06

45111 00 Surgery 31.48 31.48 $ 2,593.47 $ 2,593.47

45112 00 Surgery 54.43 54.43 $ 4,484.20 $ 4,484.20

45113 00 Surgery 56.02 56.02 $ 4,615.19 $ 4,615.19

45114 00 Surgery 52.34 52.34 $ 4,312.02 $ 4,312.02

45116 00 Surgery 46.89 46.89 $ 3,863.02 $ 3,863.02

45119 00 Surgery 56.43 56.43 $ 4,648.97 $ 4,648.97

45120 00 Surgery 45.99 45.99 $ 3,788.88 $ 3,788.88

45121 00 Surgery 48.12 48.12 $ 3,964.36 $ 3,964.36

45123 00 Surgery 32.45 32.45 $ 2,673.39 $ 2,673.39

45126 00 Surgery 80.90 80.90 $ 6,664.93 $ 6,664.93

45130 00 Surgery 31.55 31.55 $ 2,599.24 $ 2,599.24

45135 00 Surgery 39.59 39.59 $ 3,261.61 $ 3,261.61

45136 00 Surgery 55.36 55.36 $ 4,560.82 $ 4,560.82

45150 00 Surgery 10.42 10.42 $ 858.45 $ 858.45

45160 00 Surgery 29.56 29.56 $ 2,435.29 $ 2,435.29

45171 00 Surgery 17.36 17.36 $ 1,430.20 $ 1,430.20

45172 00 Surgery 23.40 23.40 $ 1,927.80 $ 1,927.80

45190 00 Surgery 20.10 20.10 $ 1,655.93 $ 1,655.93

45300 00 Surgery 3.51 1.57 $ 289.17 $ 129.34

45303 00 Surgery 25.61 2.52 $ 2,109.87 $ 207.61

45305 00 Surgery 4.06 2.13 $ 334.48 $ 175.48

45307 00 Surgery 4.74 2.83 $ 390.50 $ 233.15

45308 00 Surgery 4.55 2.44 $ 374.85 $ 201.02

45309 00 Surgery 4.74 2.60 $ 390.50 $ 214.20

45315 00 Surgery 5.15 3.06 $ 424.28 $ 252.10

45317 00 Surgery 5.20 3.26 $ 428.40 $ 268.57

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

117

45320 00 Surgery 5.05 3.03 $ 419.84 $ 251.91

45321 00 Surgery 2.95 2.95 $ 243.04 $ 243.04

45327 00 Surgery 3.30 3.30 $ 347.39 $ 347.39

45330 00 Surgery 4.74 1.64 $ 390.50 $ 135.11

45331 00 Surgery 7.27 2.11 $ 598.94 $ 173.83

45332 00 Surgery 7.13 3.09 $ 587.40 $ 254.57

45333 00 Surgery 8.33 2.76 $ 686.27 $ 227.38

45334 00 Surgery 15.62 3.46 $ 1,286.85 $ 285.05

45335 00 Surgery 6.63 1.95 $ 546.21 $ 160.65

45337 00 Surgery 3.39 3.39 $ 279.28 $ 279.28

45338 00 Surgery 7.63 3.54 $ 628.60 $ 291.64

45340 00 Surgery 12.23 2.28 $ 1,007.57 $ 187.84

45341 00 Surgery 3.64 3.64 $ 336.75 $ 336.75

45342 00 Surgery 4.99 4.99 $ 452.00 $ 452.00

45346 00 Surgery 86.54 4.72 $ 7,129.58 $ 388.86

45347 00 Surgery 4.54 4.54 $ 411.80 $ 411.80

45349 00 Surgery 5.83 5.83 $ 480.30 $ 480.30

45350 00 Surgery 14.87 2.96 $ 1,225.06 $ 243.86

45378 00 Surgery 8.99 5.44 $ 740.64 $ 448.17

45379 00 Surgery 11.60 7.03 $ 955.66 $ 579.16

45380 00 Surgery 11.50 5.90 $ 947.42 $ 486.07

45381 00 Surgery 10.99 5.90 $ 905.41 $ 486.07

45382 00 Surgery 20.45 7.62 $ 1,684.77 $ 627.77

45384 00 Surgery 12.76 6.71 $ 1,051.23 $ 552.80

45385 00 Surgery 12.09 7.48 $ 996.03 $ 616.24

45386 00 Surgery 16.60 6.23 $ 1,367.59 $ 513.26

45388 00 Surgery 90.96 7.96 $ 7,493.72 $ 655.78

45389 00 Surgery 8.53 8.53 $ 702.74 $ 702.74

45390 00 Surgery 9.77 9.77 $ 804.90 $ 804.90

45391 00 Surgery 7.58 7.58 $ 624.48 $ 624.48

45392 00 Surgery 8.94 8.94 $ 736.52 $ 736.52

45393 00 Surgery 7.43 7.43 $ 612.12 $ 612.12

45395 00 Surgery 57.33 57.33 $ 4,723.12 $ 4,723.12

45397 00 Surgery 62.43 62.43 $ 5,143.28 $ 5,143.28

45398 00 Surgery 19.09 6.90 $ 1,572.73 $ 568.45

45399 00 Surgery - - BR BR

45400 00 Surgery 33.04 33.04 $ 2,721.99 $ 2,721.99

45402 00 Surgery 44.06 44.06 $ 3,629.87 $ 3,629.87

45499 00 Surgery - - BR BR

45500 00 Surgery 15.08 15.08 $ 1,242.36 $ 1,242.36

45505 00 Surgery 17.10 17.10 $ 1,408.78 $ 1,408.78

45520 00 Surgery 4.42 1.17 $ 364.14 $ 96.39

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

118

45540 00 Surgery 30.63 30.63 $ 2,523.45 $ 2,523.45

45541 00 Surgery 27.31 27.31 $ 2,249.93 $ 2,249.93

45550 00 Surgery 42.37 42.37 $ 3,490.64 $ 3,490.64

45560 00 Surgery 19.86 19.86 $ 1,636.16 $ 1,636.16

45562 00 Surgery 32.53 32.53 $ 2,679.98 $ 2,679.98

45563 00 Surgery 47.52 47.52 $ 3,914.92 $ 3,914.92

45800 00 Surgery 34.86 34.86 $ 2,871.93 $ 2,871.93

45805 00 Surgery 41.50 41.50 $ 3,418.97 $ 3,418.97

45820 00 Surgery 32.67 32.67 $ 2,691.51 $ 2,691.51

45825 00 Surgery 41.45 41.45 $ 3,414.85 $ 3,414.85

45900 00 Surgery 5.85 5.85 $ 481.95 $ 481.95

45905 00 Surgery 4.87 4.87 $ 401.21 $ 401.21

45910 00 Surgery 5.59 5.59 $ 460.53 $ 460.53

45915 00 Surgery 9.48 6.54 $ 781.01 $ 538.80

45990 00 Surgery 3.12 3.12 $ 257.04 $ 257.04

45999 00 Surgery - - BR BR

46020 00 Surgery 7.92 6.75 $ 652.49 $ 556.10

46030 00 Surgery 3.98 2.61 $ 327.89 $ 215.02

46040 00 Surgery 15.33 11.94 $ 1,262.96 $ 983.67

46045 00 Surgery 12.54 12.54 $ 1,033.10 $ 1,033.10

46050 00 Surgery 5.75 2.81 $ 473.71 $ 231.50

46060 00 Surgery 13.73 13.73 $ 1,131.14 $ 1,131.14

46070 00 Surgery 6.53 6.53 $ 537.97 $ 537.97

46080 00 Surgery 7.10 4.61 $ 584.93 $ 379.79

46083 00 Surgery 5.04 3.07 $ 415.22 $ 252.92

46200 00 Surgery 12.76 9.38 $ 1,051.23 $ 772.77

46220 00 Surgery 5.88 3.42 $ 484.42 $ 281.76

46221 00 Surgery 7.66 5.48 $ 631.07 $ 451.47

46230 00 Surgery 7.81 4.98 $ 643.43 $ 410.28

46250 00 Surgery 13.24 9.08 $ 1,090.77 $ 748.05

46255 00 Surgery 14.49 10.20 $ 1,193.76 $ 840.32

46257 00 Surgery 12.13 12.13 $ 999.33 $ 999.33

46258 00 Surgery 13.37 13.37 $ 1,101.48 $ 1,101.48

46260 00 Surgery 13.71 13.71 $ 1,129.50 $ 1,129.50

46261 00 Surgery 15.06 15.06 $ 1,240.71 $ 1,240.71

46262 00 Surgery 15.96 15.96 $ 1,314.86 $ 1,314.86

46270 00 Surgery 14.54 11.28 $ 1,197.87 $ 929.30

46275 00 Surgery 15.41 11.92 $ 1,269.55 $ 982.03

46280 00 Surgery 13.52 13.52 $ 1,113.84 $ 1,113.84

46285 00 Surgery 15.32 11.91 $ 1,262.13 $ 981.20

46288 00 Surgery 15.87 15.87 $ 1,307.45 $ 1,307.45

46320 00 Surgery 5.25 3.20 $ 432.52 $ 263.63

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

119

46500 00 Surgery 5.36 3.55 $ 441.58 $ 292.47

46505 00 Surgery 8.16 6.87 $ 672.26 $ 565.98

46600 00 Surgery 2.52 1.18 $ 207.61 $ 97.21

46601 00 Surgery 3.89 2.72 $ 320.48 $ 224.09

46604 00 Surgery 17.66 1.93 $ 1,454.92 $ 159.00

46606 00 Surgery 6.44 2.20 $ 530.56 $ 181.25

46607 00 Surgery 5.49 3.68 $ 452.29 $ 303.18

46608 00 Surgery 6.68 2.42 $ 550.33 $ 199.37

46610 00 Surgery 6.49 2.36 $ 534.68 $ 194.43

46611 00 Surgery 5.03 2.36 $ 414.40 $ 194.43

46612 00 Surgery 7.10 2.66 $ 584.93 $ 219.14

46614 00 Surgery 3.66 1.87 $ 301.53 $ 154.06

46615 00 Surgery 4.09 2.68 $ 336.95 $ 220.79

46700 00 Surgery 18.88 18.88 $ 1,555.42 $ 1,555.42

46705 00 Surgery 14.43 14.43 $ 1,188.81 $ 1,188.81

46706 00 Surgery 5.04 5.04 $ 415.22 $ 415.22

46707 00 Surgery 13.59 13.59 $ 1,119.61 $ 1,119.61

46710 00 Surgery 30.12 30.12 $ 2,481.43 $ 2,481.43

46712 00 Surgery 61.17 61.17 $ 5,039.48 $ 5,039.48

46715 00 Surgery 15.63 15.63 $ 1,287.67 $ 1,287.67

46716 00 Surgery 31.98 31.98 $ 2,634.66 $ 2,634.66

46730 00 Surgery 52.62 52.62 $ 4,335.09 $ 4,335.09

46735 00 Surgery 60.95 60.95 $ 5,021.35 $ 5,021.35

46740 00 Surgery 58.73 58.73 $ 4,838.46 $ 4,838.46

46742 00 Surgery 78.69 78.69 $ 6,482.86 $ 6,482.86

46744 00 Surgery 102.12 102.12 $ 8,413.13 $ 8,413.13

46746 00 Surgery 103.63 103.63 $ 8,537.53 $ 8,537.53

46748 00 Surgery 114.67 114.67 $ 9,447.06 $ 9,447.06

46750 00 Surgery 21.77 21.77 $ 1,793.52 $ 1,793.52

46751 00 Surgery 17.19 17.19 $ 1,416.19 $ 1,416.19

46753 00 Surgery 16.68 16.68 $ 1,374.18 $ 1,374.18

46754 00 Surgery 8.43 6.54 $ 694.50 $ 538.80

46760 00 Surgery 31.96 31.96 $ 2,633.02 $ 2,633.02

46761 00 Surgery 26.65 26.65 $ 2,195.55 $ 2,195.55

46762 00 Surgery 26.38 26.38 $ 2,173.31 $ 2,173.31

46900 00 Surgery 6.91 3.95 $ 569.28 $ 325.42

46910 00 Surgery 7.32 3.85 $ 603.06 $ 317.18

46916 00 Surgery 6.57 4.13 $ 541.27 $ 340.25

46917 00 Surgery 12.96 3.82 $ 1,067.71 $ 314.71

46922 00 Surgery 7.62 3.90 $ 627.77 $ 321.30

46924 00 Surgery 15.19 5.29 $ 1,251.42 $ 435.82

46930 00 Surgery 5.87 4.22 $ 483.60 $ 347.66

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

120

46940 00 Surgery 6.53 4.22 $ 537.97 $ 347.66

46942 00 Surgery 6.17 3.79 $ 508.31 $ 312.24

46945 00 Surgery 8.83 6.50 $ 727.46 $ 535.50

46946 00 Surgery 8.96 6.48 $ 738.17 $ 533.85

46947 00 Surgery 11.02 11.02 $ 907.88 $ 907.88

46999 00 Surgery - - BR BR

47000 00 Surgery 8.70 2.61 $ 716.75 $ 215.02

47001 00 Surgery 3.03 3.03 $ 249.63 $ 249.63

47010 00 Surgery 34.92 34.92 $ 2,876.88 $ 2,876.88

47015 00 Surgery 33.65 33.65 $ 2,772.25 $ 2,772.25

47100 00 Surgery 24.42 24.42 $ 2,011.84 $ 2,011.84

47120 00 Surgery 67.53 67.53 $ 5,563.44 $ 5,563.44

47122 00 Surgery 99.41 99.41 $ 8,189.87 $ 8,189.87

47125 00 Surgery 89.12 89.12 $ 7,342.13 $ 7,342.13

47130 00 Surgery 95.75 95.75 $ 7,888.34 $ 7,888.34

47133 00 Surgery 81.71 81.71 $ 6,732.05 $ 6,732.05

47135 00 Surgery 155.54 155.54 $ 12,814.13 $ 12,814.13

47140 00 Surgery 96.88 96.88 $ 7,981.44 $ 7,981.44

47141 00 Surgery 123.72 123.72 $ 10,192.64 $ 10,192.64

47142 00 Surgery 135.77 135.77 $ 11,185.38 $ 11,185.38

47143 00 Surgery 12.10 12.10 $ 996.86 $ 996.86

47144 00 Surgery 12.10 12.10 $ 996.86 $ 996.86

47145 00 Surgery 12.10 12.10 $ 996.86 $ 996.86

47146 00 Surgery 9.59 9.59 $ 790.07 $ 790.07

47147 00 Surgery 11.13 11.13 $ 916.94 $ 916.94

47300 00 Surgery 32.79 32.79 $ 2,701.40 $ 2,701.40

47350 00 Surgery 39.63 39.63 $ 3,264.91 $ 3,264.91

47360 00 Surgery 53.66 53.66 $ 4,420.77 $ 4,420.77

47361 00 Surgery 87.96 87.96 $ 7,246.56 $ 7,246.56

47362 00 Surgery 42.03 42.03 $ 3,462.63 $ 3,462.63

47370 00 Surgery 36.15 36.15 $ 2,978.21 $ 2,978.21

47371 00 Surgery 35.96 35.96 $ 2,962.56 $ 2,962.56

47379 00 Surgery - - BR BR

47380 00 Surgery 41.72 41.72 $ 3,437.09 $ 3,437.09

47381 00 Surgery 40.02 40.02 $ 3,297.04 $ 3,297.04

47382 00 Surgery 137.16 21.82 $ 11,299.89 $ 1,797.64

47383 00 Surgery 192.77 13.16 $ 15,881.31 $ 1,084.18

47399 00 Surgery - - BR BR

47400 00 Surgery 61.83 61.83 $ 5,093.85 $ 5,093.85

47420 00 Surgery 38.82 38.82 $ 3,198.18 $ 3,198.18

47425 00 Surgery 37.82 37.82 $ 3,115.79 $ 3,115.79

47460 00 Surgery 36.43 36.43 $ 3,001.28 $ 3,001.28

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

121

47480 00 Surgery 25.36 25.36 $ 2,089.28 $ 2,089.28

47490 00 Surgery 9.57 9.57 $ 788.42 $ 788.42

47531 00 Surgery 8.88 2.06 $ 731.58 $ 169.71

47532 00 Surgery 22.77 6.23 $ 1,875.90 $ 513.26

47533 00 Surgery 35.12 7.82 $ 2,893.35 $ 644.25

47534 00 Surgery 41.82 10.89 $ 3,445.33 $ 897.17

47535 00 Surgery 28.85 5.80 $ 2,376.80 $ 477.83

47536 00 Surgery 19.58 3.88 $ 1,613.09 $ 319.65

47537 00 Surgery 10.40 2.82 $ 856.80 $ 232.33

47538 00 Surgery 122.37 6.90 $ 10,081.42 $ 568.45

47539 00 Surgery 135.43 12.51 $ 11,157.37 $ 1,030.63

47540 00 Surgery 138.81 12.96 $ 11,435.83 $ 1,067.71

47541 00 Surgery 33.30 9.75 $ 2,743.41 $ 803.25

47542 00 Surgery 13.10 3.97 $ 1,079.24 $ 327.07

47543 00 Surgery 16.37 4.65 $ 1,348.64 $ 383.09

47544 00 Surgery 30.86 4.71 $ 2,542.39 $ 388.03

47550 00 Surgery 4.81 4.81 $ 396.27 $ 396.27

47552 00 Surgery 8.99 8.99 $ 740.64 $ 740.64

47553 00 Surgery 8.93 8.93 $ 735.70 $ 735.70

47554 00 Surgery 13.76 13.76 $ 1,133.61 $ 1,133.61

47555 00 Surgery 10.60 10.60 $ 873.28 $ 873.28

47556 00 Surgery 12.09 12.09 $ 996.03 $ 996.03

47562 00 Surgery 19.03 19.03 $ 1,567.78 $ 1,567.78

47563 00 Surgery 20.67 20.67 $ 1,702.89 $ 1,702.89

47564 00 Surgery 32.22 32.22 $ 2,654.44 $ 2,654.44

47570 00 Surgery 22.48 22.48 $ 1,852.01 $ 1,852.01

47579 00 Surgery - - BR BR

47600 00 Surgery 30.90 30.90 $ 2,545.69 $ 2,545.69

47605 00 Surgery 32.53 32.53 $ 2,679.98 $ 2,679.98

47610 00 Surgery 36.34 36.34 $ 2,993.86 $ 2,993.86

47612 00 Surgery 36.71 36.71 $ 3,024.34 $ 3,024.34

47620 00 Surgery 39.69 39.69 $ 3,269.85 $ 3,269.85

47700 00 Surgery 30.09 30.09 $ 2,478.96 $ 2,478.96

47701 00 Surgery 49.47 49.47 $ 4,075.57 $ 4,075.57

47711 00 Surgery 45.09 45.09 $ 3,714.73 $ 3,714.73

47712 00 Surgery 57.79 57.79 $ 4,761.02 $ 4,761.02

47715 00 Surgery 38.39 38.39 $ 3,162.75 $ 3,162.75

47720 00 Surgery 33.06 33.06 $ 2,723.64 $ 2,723.64

47721 00 Surgery 39.12 39.12 $ 3,222.89 $ 3,222.89

47740 00 Surgery 37.86 37.86 $ 3,119.09 $ 3,119.09

47741 00 Surgery 42.03 42.03 $ 3,462.63 $ 3,462.63

47760 00 Surgery 65.31 65.31 $ 5,380.55 $ 5,380.55

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

122

47765 00 Surgery 88.13 88.13 $ 7,260.57 $ 7,260.57

47780 00 Surgery 71.71 71.71 $ 5,907.81 $ 5,907.81

47785 00 Surgery 94.01 94.01 $ 7,744.99 $ 7,744.99

47800 00 Surgery 45.68 45.68 $ 3,763.34 $ 3,763.34

47801 00 Surgery 29.01 29.01 $ 2,389.98 $ 2,389.98

47802 00 Surgery 44.14 44.14 $ 3,636.46 $ 3,636.46

47900 00 Surgery 39.74 39.74 $ 3,273.97 $ 3,273.97

47999 00 Surgery - - BR BR

48000 00 Surgery 54.07 54.07 $ 4,454.54 $ 4,454.54

48001 00 Surgery 67.05 67.05 $ 5,523.90 $ 5,523.90

48020 00 Surgery 33.62 33.62 $ 2,769.78 $ 2,769.78

48100 00 Surgery 25.76 25.76 $ 2,122.23 $ 2,122.23

48102 00 Surgery 15.17 7.01 $ 1,249.78 $ 577.52

48105 00 Surgery 82.58 82.58 $ 6,803.33 $ 6,803.33

48120 00 Surgery 32.06 32.06 $ 2,641.26 $ 2,641.26

48140 00 Surgery 45.31 45.31 $ 3,732.85 $ 3,732.85

48145 00 Surgery 47.03 47.03 $ 3,874.56 $ 3,874.56

48146 00 Surgery 54.26 54.26 $ 4,470.20 $ 4,470.20

48148 00 Surgery 36.01 36.01 $ 2,966.68 $ 2,966.68

48150 00 Surgery 90.29 90.29 $ 7,438.52 $ 7,438.52

48152 00 Surgery 83.66 83.66 $ 6,892.31 $ 6,892.31

48153 00 Surgery 89.77 89.77 $ 7,395.68 $ 7,395.68

48154 00 Surgery 83.62 83.62 $ 6,889.01 $ 6,889.01

48155 00 Surgery 52.65 52.65 $ 4,337.56 $ 4,337.56

48160 00 Surgery 90.12 90.12 $ 7,424.52 $ 7,424.52

48400 00 Surgery 3.10 3.10 $ 255.39 $ 255.39

48500 00 Surgery 32.75 32.75 $ 2,698.10 $ 2,698.10

48510 00 Surgery 31.55 31.55 $ 2,599.24 $ 2,599.24

48520 00 Surgery 31.63 31.63 $ 2,605.83 $ 2,605.83

48540 00 Surgery 37.99 37.99 $ 3,129.80 $ 3,129.80

48545 00 Surgery 38.95 38.95 $ 3,208.89 $ 3,208.89

48547 00 Surgery 51.71 51.71 $ 4,260.12 $ 4,260.12

48548 00 Surgery 48.02 48.02 $ 3,956.12 $ 3,956.12

48550 00 Surgery 49.60 49.60 $ 4,086.28 $ 4,086.28

48551 00 Surgery 5.60 5.60 $ 461.35 $ 461.35

48552 00 Surgery 6.81 6.81 $ 561.04 $ 561.04

48554 00 Surgery 73.86 73.86 $ 6,084.94 $ 6,084.94

48556 00 Surgery 36.69 36.69 $ 3,022.70 $ 3,022.70

48999 00 Surgery - - BR BR

49000 00 Surgery 22.29 22.29 $ 1,836.36 $ 1,836.36

49002 00 Surgery 30.28 30.28 $ 2,494.61 $ 2,494.61

49010 00 Surgery 27.06 27.06 $ 2,229.33 $ 2,229.33

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

123

49020 00 Surgery 46.09 46.09 $ 3,797.11 $ 3,797.11

49040 00 Surgery 28.92 28.92 $ 2,382.57 $ 2,382.57

49060 00 Surgery 31.80 31.80 $ 2,619.84 $ 2,619.84

49062 00 Surgery 21.40 21.40 $ 1,763.03 $ 1,763.03

49082 00 Surgery 5.48 2.15 $ 451.47 $ 177.13

49083 00 Surgery 8.36 3.15 $ 688.74 $ 259.51

49084 00 Surgery 3.15 3.15 $ 259.51 $ 259.51

49180 00 Surgery 4.64 2.48 $ 382.27 $ 204.31

49185 00 Surgery 27.78 3.54 $ 2,288.65 $ 291.64

49203 00 Surgery 34.69 34.69 $ 2,857.93 $ 2,857.93

49204 00 Surgery 44.42 44.42 $ 3,659.53 $ 3,659.53

49205 00 Surgery 51.01 51.01 $ 4,202.45 $ 4,202.45

49215 00 Surgery 64.33 64.33 $ 5,299.81 $ 5,299.81

49220 00 Surgery 28.14 28.14 $ 2,318.31 $ 2,318.31

49250 00 Surgery 17.02 17.02 $ 1,402.19 $ 1,402.19

49255 00 Surgery 22.89 22.89 $ 1,885.79 $ 1,885.79

49320 00 Surgery 9.41 9.41 $ 775.24 $ 775.24

49321 00 Surgery 9.97 9.97 $ 821.38 $ 821.38

49322 00 Surgery 10.67 10.67 $ 879.05 $ 879.05

49323 00 Surgery 18.41 18.41 $ 1,516.70 $ 1,516.70

49324 00 Surgery 11.26 11.26 $ 927.65 $ 927.65

49325 00 Surgery 12.01 12.01 $ 989.44 $ 989.44

49326 00 Surgery 5.49 5.49 $ 452.29 $ 452.29

49327 00 Surgery 3.80 3.80 $ 313.06 $ 313.06

49329 00 Surgery - - BR BR

49400 00 Surgery 3.85 2.70 $ 317.18 $ 222.44

49402 00 Surgery 24.77 24.77 $ 2,040.67 $ 2,040.67

49405 00 Surgery 22.91 5.77 $ 1,887.44 $ 475.36

49406 00 Surgery 22.92 5.77 $ 1,888.26 $ 475.36

49407 00 Surgery 18.61 6.14 $ 1,533.18 $ 505.84

49411 00 Surgery 13.70 5.35 $ 1,128.67 $ 440.76

49412 00 Surgery 2.39 2.39 $ 196.90 $ 196.90

49418 00 Surgery 38.70 5.95 $ 3,188.29 $ 490.19

49419 00 Surgery 12.86 12.86 $ 1,059.47 $ 1,059.47

49421 00 Surgery 6.67 6.67 $ 549.51 $ 549.51

49422 00 Surgery 11.00 11.00 $ 906.23 $ 906.23

49423 00 Surgery 15.51 2.08 $ 1,277.79 $ 171.36

49424 00 Surgery 4.14 1.11 $ 341.07 $ 91.45

49425 00 Surgery 20.85 20.85 $ 1,717.72 $ 1,717.72

49426 00 Surgery 17.67 17.67 $ 1,493.35 $ 1,493.35

49427 00 Surgery 1.33 1.33 $ 142.97 $ 142.97

49428 00 Surgery 13.29 13.29 $ 1,094.89 $ 1,094.89

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

124

49429 00 Surgery 13.31 13.31 $ 1,096.54 $ 1,096.54

49435 00 Surgery 3.47 3.47 $ 285.88 $ 285.88

49436 00 Surgery 5.39 5.39 $ 444.05 $ 444.05

49440 00 Surgery 27.52 6.03 $ 2,267.23 $ 496.78

49441 00 Surgery 31.06 7.04 $ 2,558.87 $ 579.99

49442 00 Surgery 25.84 6.07 $ 2,128.82 $ 500.08

49446 00 Surgery 26.44 4.35 $ 2,178.25 $ 358.37

49450 00 Surgery 18.89 1.94 $ 1,556.25 $ 159.83

49451 00 Surgery 20.64 2.63 $ 1,700.42 $ 216.67

49452 00 Surgery 25.52 4.05 $ 2,102.46 $ 333.66

49460 00 Surgery 20.89 1.39 $ 1,721.02 $ 114.51

49465 00 Surgery 4.66 0.90 $ 383.91 $ 74.15

49491 00 Surgery 22.65 22.65 $ 1,866.01 $ 1,866.01

49492 00 Surgery 27.70 27.70 $ 2,282.06 $ 2,282.06

49495 00 Surgery 10.93 10.93 $ 900.47 $ 900.47

49496 00 Surgery 15.67 15.67 $ 1,290.97 $ 1,290.97

49500 00 Surgery 11.38 11.38 $ 937.54 $ 937.54

49501 00 Surgery 17.51 17.51 $ 1,442.56 $ 1,442.56

49505 00 Surgery 15.04 15.04 $ 1,239.07 $ 1,239.07

49507 00 Surgery 16.91 16.91 $ 1,393.13 $ 1,393.13

49520 00 Surgery 18.27 18.27 $ 1,505.17 $ 1,505.17

49521 00 Surgery 20.72 20.72 $ 1,707.01 $ 1,707.01

49525 00 Surgery 16.56 16.56 $ 1,364.29 $ 1,364.29

49540 00 Surgery 19.47 19.47 $ 1,604.03 $ 1,604.03

49550 00 Surgery 16.63 16.63 $ 1,370.06 $ 1,370.06

49553 00 Surgery 18.23 18.23 $ 1,501.87 $ 1,501.87

49555 00 Surgery 17.28 17.28 $ 1,423.61 $ 1,423.61

49557 00 Surgery 20.95 20.95 $ 1,725.96 $ 1,725.96

49560 00 Surgery 21.34 21.34 $ 1,758.09 $ 1,758.09

49561 00 Surgery 26.91 26.91 $ 2,216.97 $ 2,216.97

49565 00 Surgery 22.22 22.22 $ 1,830.59 $ 1,830.59

49566 00 Surgery 27.15 27.15 $ 2,236.75 $ 2,236.75

49568 00 Surgery 7.76 7.76 $ 639.31 $ 639.31

49570 00 Surgery 12.03 12.03 $ 991.09 $ 991.09

49572 00 Surgery 14.91 14.91 $ 1,228.36 $ 1,228.36

49580 00 Surgery 9.46 9.46 $ 779.36 $ 779.36

49582 00 Surgery 13.34 13.34 $ 1,099.01 $ 1,099.01

49585 00 Surgery 12.85 12.85 $ 1,058.64 $ 1,058.64

49587 00 Surgery 13.72 13.72 $ 1,130.32 $ 1,130.32

49590 00 Surgery 16.55 16.55 $ 1,363.47 $ 1,363.47

49600 00 Surgery 19.02 19.02 $ 1,566.96 $ 1,566.96

49605 00 Surgery 143.40 143.40 $ 11,813.98 $ 11,813.98

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

125

49606 00 Surgery 32.84 32.84 $ 2,705.52 $ 2,705.52

49610 00 Surgery 18.83 18.83 $ 1,551.31 $ 1,551.31

49611 00 Surgery 16.19 16.19 $ 1,333.81 $ 1,333.81

49650 00 Surgery 12.37 12.37 $ 1,019.10 $ 1,019.10

49651 00 Surgery 16.08 16.08 $ 1,324.75 $ 1,324.75

49652 00 Surgery 21.51 21.51 $ 1,772.10 $ 1,772.10

49653 00 Surgery 26.84 26.84 $ 2,211.21 $ 2,211.21

49654 00 Surgery 24.47 24.47 $ 2,015.96 $ 2,015.96

49655 00 Surgery 29.86 29.86 $ 2,460.01 $ 2,460.01

49656 00 Surgery 26.55 26.55 $ 2,187.32 $ 2,187.32

49657 00 Surgery 38.24 38.24 $ 3,150.39 $ 3,150.39

49659 00 Surgery - - BR BR

49900 00 Surgery 23.55 23.55 $ 1,940.16 $ 1,940.16

49904 00 Surgery 41.08 41.08 $ 3,384.37 $ 3,384.37

49905 00 Surgery 10.26 10.26 $ 845.27 $ 845.27

49906 00 Surgery 67.31 67.31 $ 5,545.70 $ 5,545.70

49999 00 Surgery - - BR BR

50010 00 Surgery 21.37 21.37 $ 1,760.56 $ 1,760.56

50020 00 Surgery 29.32 29.32 $ 2,415.52 $ 2,415.52

50040 00 Surgery 26.75 26.75 $ 2,203.79 $ 2,203.79

50045 00 Surgery 27.15 27.15 $ 2,236.75 $ 2,236.75

50060 00 Surgery 32.97 32.97 $ 2,716.23 $ 2,716.23

50065 00 Surgery 34.94 34.94 $ 2,878.52 $ 2,878.52

50070 00 Surgery 35.80 35.80 $ 2,949.37 $ 2,949.37

50075 00 Surgery 42.17 42.17 $ 3,474.17 $ 3,474.17

50080 00 Surgery 25.12 25.12 $ 2,069.51 $ 2,069.51

50081 00 Surgery 36.88 36.88 $ 3,038.35 $ 3,038.35

50100 00 Surgery 31.78 31.78 $ 2,618.19 $ 2,618.19

50120 00 Surgery 27.85 27.85 $ 2,294.42 $ 2,294.42

50125 00 Surgery 29.67 29.67 $ 2,444.36 $ 2,444.36

50130 00 Surgery 29.82 29.82 $ 2,456.71 $ 2,456.71

50135 00 Surgery 32.41 32.41 $ 2,670.09 $ 2,670.09

50200 00 Surgery 15.21 3.75 $ 1,253.07 $ 308.94

50205 00 Surgery 21.80 21.80 $ 1,795.99 $ 1,795.99

50220 00 Surgery 30.24 30.24 $ 2,491.32 $ 2,491.32

50225 00 Surgery 34.71 34.71 $ 2,859.58 $ 2,859.58

50230 00 Surgery 37.06 37.06 $ 3,053.18 $ 3,053.18

50234 00 Surgery 37.61 37.61 $ 3,098.49 $ 3,098.49

50236 00 Surgery 42.40 42.40 $ 3,493.11 $ 3,493.11

50240 00 Surgery 38.24 38.24 $ 3,150.39 $ 3,150.39

50250 00 Surgery 34.95 34.95 $ 2,879.35 $ 2,879.35

50280 00 Surgery 27.70 27.70 $ 2,282.06 $ 2,282.06

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

126

50290 00 Surgery 25.95 25.95 $ 2,137.88 $ 2,137.88

50300 00 Surgery 44.32 44.32 $ 3,651.00 $ 3,651.00

50320 00 Surgery 43.46 43.46 $ 3,580.44 $ 3,580.44

50323 00 Surgery 6.30 6.30 $ 3,797.85 $ 3,797.85

50325 00 Surgery 6.20 6.20 $ 4,069.13 $ 4,069.13

50327 00 Surgery 6.30 6.30 $ 519.02 $ 519.02

50328 00 Surgery 5.52 5.52 $ 454.76 $ 454.76

50329 00 Surgery 5.21 5.21 $ 429.22 $ 429.22

50340 00 Surgery 27.34 27.34 $ 2,252.40 $ 2,252.40

50360 00 Surgery 70.00 70.00 $ 5,766.93 $ 5,766.93

50365 00 Surgery 82.66 82.66 $ 6,809.92 $ 6,809.92

50370 00 Surgery 34.76 34.76 $ 2,863.69 $ 2,863.69

50380 00 Surgery 55.57 55.57 $ 4,578.12 $ 4,578.12

50382 00 Surgery 31.51 7.48 $ 2,595.94 $ 616.24

50384 00 Surgery 24.73 6.75 $ 2,037.38 $ 556.10

50385 00 Surgery 30.68 6.36 $ 2,527.56 $ 523.97

50386 00 Surgery 19.56 4.75 $ 1,611.45 $ 391.33

50387 00 Surgery 13.92 2.46 $ 1,146.80 $ 202.67

50389 00 Surgery 8.44 1.57 $ 695.33 $ 129.34

50390 00 Surgery 2.79 2.79 $ 229.85 $ 229.85

50391 00 Surgery 3.49 2.83 $ 287.52 $ 233.15

50395 00 Surgery 5.16 5.16 $ 425.11 $ 425.11

50396 00 Surgery 3.39 3.39 $ 279.28 $ 279.28

50400 00 Surgery 33.48 33.48 $ 2,758.24 $ 2,758.24

50405 00 Surgery 40.41 40.41 $ 3,329.17 $ 3,329.17

50430 00 Surgery 12.97 4.46 $ 1,068.53 $ 367.44

50431 00 Surgery 4.63 1.92 $ 381.44 $ 158.18

50432 00 Surgery 21.93 6.02 $ 1,806.70 $ 495.96

50433 00 Surgery 30.00 7.51 $ 2,471.54 $ 618.71

50434 00 Surgery 23.55 5.68 $ 1,940.16 $ 467.95

50435 00 Surgery 13.39 2.93 $ 1,103.13 $ 241.39

50500 00 Surgery 33.48 33.48 $ 2,758.24 $ 2,758.24

50520 00 Surgery 29.77 29.77 $ 2,452.59 $ 2,452.59

50525 00 Surgery 45.87 45.87 $ 3,778.99 $ 3,778.99

50526 00 Surgery 42.78 42.78 $ 3,524.42 $ 3,524.42

50540 00 Surgery 32.93 32.93 $ 2,712.93 $ 2,712.93

50541 00 Surgery 26.55 26.55 $ 2,187.32 $ 2,187.32

50542 00 Surgery 33.69 33.69 $ 2,775.54 $ 2,775.54

50543 00 Surgery 42.99 42.99 $ 3,541.72 $ 3,541.72

50544 00 Surgery 36.03 36.03 $ 2,968.32 $ 2,968.32

50545 00 Surgery 38.74 38.74 $ 3,191.59 $ 3,191.59

50546 00 Surgery 34.77 34.77 $ 2,864.52 $ 2,864.52

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

127

50547 00 Surgery 46.55 46.55 $ 3,835.01 $ 3,835.01

50548 00 Surgery 38.96 38.96 $ 3,209.71 $ 3,209.71

50549 00 Surgery - - BR BR

50551 00 Surgery 10.36 8.53 $ 853.51 $ 702.74

50553 00 Surgery 11.04 9.06 $ 909.53 $ 746.41

50555 00 Surgery 11.86 9.88 $ 977.08 $ 813.96

50557 00 Surgery 12.08 10.03 $ 995.21 $ 826.32

50561 00 Surgery 13.67 11.41 $ 1,126.20 $ 940.01

50562 00 Surgery 16.81 16.81 $ 1,384.89 $ 1,384.89

50570 00 Surgery 14.29 14.29 $ 1,177.28 $ 1,177.28

50572 00 Surgery 15.41 15.41 $ 1,269.55 $ 1,269.55

50574 00 Surgery 16.38 16.38 $ 1,349.46 $ 1,349.46

50575 00 Surgery 20.71 20.71 $ 1,706.19 $ 1,706.19

50576 00 Surgery 16.34 16.34 $ 1,346.17 $ 1,346.17

50580 00 Surgery 17.61 17.61 $ 1,450.80 $ 1,450.80

50590 00 Surgery 20.65 16.39 $ 2,156.25 $ 1,711.43

50592 00 Surgery 35.00 10.05 $ 6,081.00 $ 1,746.12

50593 00 Surgery 128.35 13.47 $ 10,574.08 $ 1,109.72

50600 00 Surgery 27.22 27.22 $ 2,242.51 $ 2,242.51

50605 00 Surgery 28.50 28.50 $ 2,347.97 $ 2,347.97

50606 00 Surgery 19.98 4.54 $ 1,646.05 $ 374.03

50610 00 Surgery 27.97 27.97 $ 2,304.30 $ 2,304.30

50620 00 Surgery 26.07 26.07 $ 2,147.77 $ 2,147.77

50630 00 Surgery 25.93 25.93 $ 2,136.24 $ 2,136.24

50650 00 Surgery 29.92 29.92 $ 2,464.95 $ 2,464.95

50660 00 Surgery 33.48 33.48 $ 2,758.24 $ 2,758.24

50684 00 Surgery 3.03 1.46 $ 249.63 $ 120.28

50686 00 Surgery 4.19 2.59 $ 345.19 $ 213.38

50688 00 Surgery 2.29 2.29 $ 188.66 $ 188.66

50690 00 Surgery 2.82 2.04 $ 232.33 $ 168.06

50693 00 Surgery 28.03 5.96 $ 2,309.25 $ 491.01

50694 00 Surgery 30.77 7.80 $ 2,534.98 $ 642.60

50695 00 Surgery 37.78 10.00 $ 3,112.50 $ 823.85

50700 00 Surgery 26.68 26.68 $ 2,198.03 $ 2,198.03

50705 00 Surgery 54.94 5.79 $ 4,526.22 $ 477.01

50706 00 Surgery 28.33 5.46 $ 2,333.96 $ 449.82

50715 00 Surgery 35.32 35.32 $ 2,909.83 $ 2,909.83

50722 00 Surgery 30.33 30.33 $ 2,498.73 $ 2,498.73

50725 00 Surgery 32.56 32.56 $ 2,682.45 $ 2,682.45

50727 00 Surgery 14.69 14.69 $ 1,210.23 $ 1,210.23

50728 00 Surgery 20.16 20.16 $ 1,660.88 $ 1,660.88

50740 00 Surgery 35.10 35.10 $ 2,891.71 $ 2,891.71

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

128

50750 00 Surgery 33.15 33.15 $ 2,731.06 $ 2,731.06

50760 00 Surgery 32.52 32.52 $ 2,679.15 $ 2,679.15

50770 00 Surgery 33.94 33.94 $ 2,796.14 $ 2,796.14

50780 00 Surgery 32.01 32.01 $ 2,637.14 $ 2,637.14

50782 00 Surgery 34.49 34.49 $ 2,841.45 $ 2,841.45

50783 00 Surgery 32.73 32.73 $ 2,696.45 $ 2,696.45

50785 00 Surgery 35.05 35.05 $ 2,887.59 $ 2,887.59

50800 00 Surgery 26.67 26.67 $ 2,197.20 $ 2,197.20

50810 00 Surgery 39.52 39.52 $ 3,255.85 $ 3,255.85

50815 00 Surgery 35.42 35.42 $ 2,918.07 $ 2,918.07

50820 00 Surgery 38.00 38.00 $ 3,130.62 $ 3,130.62

50825 00 Surgery 47.94 47.94 $ 3,949.53 $ 3,949.53

50830 00 Surgery 52.57 52.57 $ 4,330.97 $ 4,330.97

50840 00 Surgery 35.57 35.57 $ 2,930.43 $ 2,930.43

50845 00 Surgery 36.12 36.12 $ 2,975.74 $ 2,975.74

50860 00 Surgery 27.52 27.52 $ 2,267.23 $ 2,267.23

50900 00 Surgery 24.81 24.81 $ 2,043.97 $ 2,043.97

50920 00 Surgery 26.45 26.45 $ 2,179.08 $ 2,179.08

50930 00 Surgery 31.85 31.85 $ 2,623.95 $ 2,623.95

50940 00 Surgery 25.50 25.50 $ 2,100.81 $ 2,100.81

50945 00 Surgery 28.23 28.23 $ 2,325.72 $ 2,325.72

50947 00 Surgery 40.12 40.12 $ 3,305.28 $ 3,305.28

50948 00 Surgery 36.90 36.90 $ 3,040.00 $ 3,040.00

50949 00 Surgery - - BR BR

50951 00 Surgery 10.82 8.88 $ 891.40 $ 731.58

50953 00 Surgery 11.43 9.43 $ 941.66 $ 776.89

50955 00 Surgery 12.24 10.21 $ 1,008.39 $ 841.15

50957 00 Surgery 12.36 10.28 $ 1,018.28 $ 846.92

50961 00 Surgery 11.14 9.19 $ 917.77 $ 757.12

50970 00 Surgery 10.73 10.73 $ 883.99 $ 883.99

50972 00 Surgery 10.37 10.37 $ 854.33 $ 854.33

50974 00 Surgery 13.70 13.70 $ 1,128.67 $ 1,128.67

50976 00 Surgery 13.51 13.51 $ 1,113.02 $ 1,113.02

50980 00 Surgery 10.31 10.31 $ 849.39 $ 849.39

51020 00 Surgery 13.54 13.54 $ 1,115.49 $ 1,115.49

51030 00 Surgery 13.57 13.57 $ 1,117.96 $ 1,117.96

51040 00 Surgery 8.35 8.35 $ 737.21 $ 737.21

51045 00 Surgery 14.10 14.10 $ 1,161.63 $ 1,161.63

51050 00 Surgery 13.62 13.62 $ 1,122.08 $ 1,122.08

51060 00 Surgery 16.71 16.71 $ 1,512.65 $ 1,512.65

51065 00 Surgery 16.71 16.71 $ 1,483.52 $ 1,483.52

51080 00 Surgery 11.84 11.84 $ 975.44 $ 975.44

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

129

51100 00 Surgery 1.76 1.13 $ 145.00 $ 93.09

51101 00 Surgery 3.52 1.50 $ 289.99 $ 123.58

51102 00 Surgery 6.48 4.18 $ 533.85 $ 344.37

51500 00 Surgery 18.43 18.43 $ 1,518.35 $ 1,518.35

51520 00 Surgery 17.20 17.20 $ 1,417.02 $ 1,417.02

51525 00 Surgery 24.82 24.82 $ 2,044.79 $ 2,044.79

51530 00 Surgery 23.02 23.02 $ 1,896.50 $ 1,896.50

51535 00 Surgery 22.55 22.55 $ 1,857.78 $ 1,857.78

51550 00 Surgery 27.88 27.88 $ 2,296.89 $ 2,296.89

51555 00 Surgery 36.63 36.63 $ 3,017.75 $ 3,017.75

51565 00 Surgery 37.58 37.58 $ 3,096.02 $ 3,096.02

51570 00 Surgery 42.74 42.74 $ 3,521.12 $ 3,521.12

51575 00 Surgery 52.66 52.66 $ 4,338.38 $ 4,338.38

51580 00 Surgery 55.59 55.59 $ 4,579.77 $ 4,579.77

51585 00 Surgery 61.15 61.15 $ 5,037.83 $ 5,037.83

51590 00 Surgery 55.90 55.90 $ 4,605.31 $ 4,605.31

51595 00 Surgery 63.26 63.26 $ 5,211.66 $ 5,211.66

51596 00 Surgery 68.04 68.04 $ 5,605.46 $ 5,605.46

51597 00 Surgery 66.25 66.25 $ 5,457.99 $ 5,457.99

51600 00 Surgery 5.22 1.28 $ 430.05 $ 105.45

51605 00 Surgery 1.11 1.11 $ 91.45 $ 91.45

51610 00 Surgery 3.04 1.86 $ 250.45 $ 153.24

51700 00 Surgery 2.07 1.04 $ 170.54 $ 85.68

51701 00 Surgery 1.35 0.74 $ 111.22 $ 60.96

51702 00 Surgery 1.79 0.74 $ 147.47 $ 60.96

51703 00 Surgery 3.56 2.22 $ 293.29 $ 182.89

51705 00 Surgery 2.59 1.50 $ 213.38 $ 123.58

51710 00 Surgery 3.67 2.31 $ 302.35 $ 190.31

51715 00 Surgery 8.31 5.77 $ 684.62 $ 475.36

51720 00 Surgery 2.51 1.86 $ 206.79 $ 153.24

51725 00 Surgery 5.32 5.32 $ 438.29 $ 438.29

51725 26 Surgery 2.20 2.20 $ 181.25 $ 181.25

51725 TC Surgery 3.12 3.12 $ 257.04 $ 257.04

51726 00 Surgery 7.49 7.49 $ 617.06 $ 617.06

51726 26 Surgery 2.46 2.46 $ 202.67 $ 202.67

51726 TC Surgery 5.03 5.03 $ 414.40 $ 414.40

51727 00 Surgery 8.85 8.85 $ 729.11 $ 729.11

51727 26 Surgery 3.09 3.09 $ 254.57 $ 254.57

51727 TC Surgery 5.76 5.76 $ 504.04 $ 504.04

51728 00 Surgery 8.95 8.95 $ 737.34 $ 737.34

51728 26 Surgery 3.02 3.02 $ 248.80 $ 248.80

51728 TC Surgery 5.93 5.93 $ 549.32 $ 549.32

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

130

51729 00 Surgery 9.67 9.67 $ 907.50 $ 907.50

51729 26 Surgery 3.65 3.65 $ 300.70 $ 300.70

51729 TC Surgery 6.02 6.02 $ 675.27 $ 675.27

51736 00 Surgery 0.44 0.44 $ 78.00 $ 78.00

51736 26 Surgery 0.24 0.24 $ 41.60 $ 41.60

51736 TC Surgery 0.20 0.20 $ 36.41 $ 36.41

51741 00 Surgery 0.45 0.45 $ 124.50 $ 124.50

51741 26 Surgery 0.24 0.24 $ 83.19 $ 83.19

51741 TC Surgery 0.21 0.21 $ 41.31 $ 41.31

51784 00 Surgery 1.97 1.97 $ 355.90 $ 355.90

51784 26 Surgery 1.08 1.08 $ 153.48 $ 153.48

51784 TC Surgery 0.89 0.89 $ 202.42 $ 202.42

51785 00 Surgery 7.52 7.52 $ 619.53 $ 619.53

51785 26 Surgery 2.57 2.57 $ 211.73 $ 211.73

51785 TC Surgery 4.95 4.95 $ 407.80 $ 407.80

51792 00 Surgery 6.01 6.01 $ 495.13 $ 495.13

51792 26 Surgery 1.59 1.59 $ 206.03 $ 206.03

51792 TC Surgery 4.42 4.42 $ 364.14 $ 364.14

51797 00 Surgery 3.18 3.18 $ 404.25 $ 404.25

51797 26 Surgery 1.16 1.16 $ 138.68 $ 138.68

51797 TC Surgery 2.02 2.02 $ 265.57 $ 265.57

51798 00 Surgery 0.55 0.55 $ 45.31 $ 45.31

51798 26 Surgery - - $ - $ -

51798 TC Surgery 0.55 0.55 $ 45.31 $ 45.31

51800 00 Surgery 30.21 30.21 $ 2,488.84 $ 2,488.84

51820 00 Surgery 33.93 33.93 $ 2,795.32 $ 2,795.32

51840 00 Surgery 18.93 18.93 $ 1,559.54 $ 1,559.54

51841 00 Surgery 22.58 22.58 $ 1,860.25 $ 1,860.25

51845 00 Surgery 16.84 16.84 $ 1,387.36 $ 1,387.36

51860 00 Surgery 21.54 21.54 $ 1,774.57 $ 1,774.57

51865 00 Surgery 25.87 25.87 $ 2,131.29 $ 2,131.29

51880 00 Surgery 13.50 13.50 $ 1,112.19 $ 1,112.19

51900 00 Surgery 24.22 24.22 $ 1,995.36 $ 1,995.36

51920 00 Surgery 22.60 22.60 $ 1,861.90 $ 1,861.90

51925 00 Surgery 29.78 29.78 $ 2,453.42 $ 2,453.42

51940 00 Surgery 47.83 47.83 $ 3,940.46 $ 3,940.46

51960 00 Surgery 40.05 40.05 $ 3,299.51 $ 3,299.51

51980 00 Surgery 20.60 20.60 $ 1,697.13 $ 1,697.13

51990 00 Surgery 21.69 21.69 $ 1,786.93 $ 1,786.93

51992 00 Surgery 24.23 24.23 $ 1,996.18 $ 1,996.18

51999 00 Surgery - - BR BR

52000 00 Surgery 4.68 2.94 $ 385.56 $ 242.21

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

131

52001 00 Surgery 10.66 8.32 $ 878.22 $ 685.44

52005 00 Surgery 7.58 3.86 $ 624.48 $ 318.01

52007 00 Surgery 12.63 4.80 $ 1,040.52 $ 395.45

52010 00 Surgery 10.47 4.80 $ 862.57 $ 395.45

52204 00 Surgery 10.50 4.10 $ 865.04 $ 337.78

52214 00 Surgery 18.77 5.11 $ 1,546.36 $ 420.99

52224 00 Surgery 19.66 5.91 $ 1,619.68 $ 486.89

52234 00 Surgery 7.13 7.13 $ 587.40 $ 587.40

52235 00 Surgery 8.36 8.36 $ 688.74 $ 688.74

52240 00 Surgery 11.35 11.35 $ 1,073.25 $ 1,073.25

52250 00 Surgery 6.93 6.93 $ 570.93 $ 570.93

52260 00 Surgery 6.09 6.09 $ 501.72 $ 501.72

52265 00 Surgery 10.40 4.70 $ 856.80 $ 387.21

52270 00 Surgery 10.14 5.27 $ 835.38 $ 434.17

52275 00 Surgery 13.68 7.20 $ 1,127.02 $ 593.17

52276 00 Surgery 7.67 7.67 $ 631.89 $ 631.89

52277 00 Surgery 9.36 9.36 $ 771.12 $ 771.12

52281 00 Surgery 7.78 4.41 $ 640.95 $ 363.32

52282 00 Surgery 9.75 9.75 $ 803.25 $ 803.25

52283 00 Surgery 7.93 5.83 $ 653.31 $ 480.30

52285 00 Surgery 8.00 5.67 $ 659.08 $ 467.12

52287 00 Surgery 8.88 4.90 $ 731.58 $ 403.69

52290 00 Surgery 7.06 7.06 $ 581.64 $ 581.64

52300 00 Surgery 8.12 8.12 $ 668.96 $ 668.96

52301 00 Surgery 8.40 8.40 $ 692.03 $ 692.03

52305 00 Surgery 8.08 8.08 $ 665.67 $ 665.67

52310 00 Surgery 6.95 4.39 $ 572.57 $ 361.67

52315 00 Surgery 11.80 7.95 $ 972.14 $ 654.96

52317 00 Surgery 22.90 10.06 $ 1,886.61 $ 828.79

52318 00 Surgery 13.71 13.71 $ 1,129.50 $ 1,129.50

52320 00 Surgery 7.15 7.15 $ 589.05 $ 589.05

52325 00 Surgery 9.30 9.30 $ 766.18 $ 766.18

52327 00 Surgery 7.59 7.59 $ 727.22 $ 727.22

52330 00 Surgery 14.09 7.64 $ 1,160.80 $ 629.42

52332 00 Surgery 13.92 4.51 $ 1,146.80 $ 371.56

52334 00 Surgery 7.40 7.40 $ 609.65 $ 609.65

52341 00 Surgery 8.23 8.23 $ 678.03 $ 678.03

52342 00 Surgery 8.96 8.96 $ 738.17 $ 738.17

52343 00 Surgery 9.96 9.96 $ 820.55 $ 820.55

52344 00 Surgery 10.70 10.70 $ 881.52 $ 881.52

52345 00 Surgery 11.42 11.42 $ 940.83 $ 940.83

52346 00 Surgery 12.92 12.92 $ 1,064.41 $ 1,064.41

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

132

52351 00 Surgery 8.77 8.77 $ 722.51 $ 722.51

52352 00 Surgery 10.25 10.25 $ 844.44 $ 844.44

52353 00 Surgery 11.35 11.35 $ 935.07 $ 935.07

52354 00 Surgery 12.08 12.08 $ 995.21 $ 995.21

52355 00 Surgery 13.54 13.54 $ 1,115.49 $ 1,115.49

52356 00 Surgery 12.04 12.04 $ 1,073.47 $ 1,073.47

52400 00 Surgery 13.82 13.82 $ 1,138.56 $ 1,138.56

52402 00 Surgery 7.73 7.73 $ 636.83 $ 636.83

52441 00 Surgery 35.22 6.56 $ 2,901.59 $ 540.44

52442 00 Surgery 26.95 1.75 $ 2,220.27 $ 144.17

52450 00 Surgery 13.56 13.56 $ 1,117.14 $ 1,117.14

52500 00 Surgery 14.08 14.08 $ 1,159.98 $ 1,159.98

52601 00 Surgery 24.43 24.43 $ 2,012.66 $ 2,012.66

52630 00 Surgery 11.55 11.55 $ 1,206.13 $ 1,206.13

52640 00 Surgery 9.09 9.09 $ 748.88 $ 748.88

52647 00 Surgery 50.69 18.69 $ 4,176.08 $ 1,539.77

52648 00 Surgery 52.16 19.92 $ 4,297.19 $ 1,641.10

52649 00 Surgery 23.77 23.77 $ 1,958.29 $ 1,958.29

52700 00 Surgery 12.76 12.76 $ 1,051.23 $ 1,051.23

53000 00 Surgery 4.26 4.26 $ 350.96 $ 350.96

53010 00 Surgery 8.50 8.50 $ 700.27 $ 700.27

53020 00 Surgery 2.81 2.81 $ 231.50 $ 231.50

53025 00 Surgery 2.07 2.07 $ 170.54 $ 170.54

53040 00 Surgery 11.33 11.33 $ 933.42 $ 933.42

53060 00 Surgery 5.27 4.74 $ 434.17 $ 390.50

53080 00 Surgery 12.12 12.12 $ 998.50 $ 998.50

53085 00 Surgery 19.02 19.02 $ 1,566.96 $ 1,566.96

53200 00 Surgery 4.49 4.12 $ 369.91 $ 339.43

53210 00 Surgery 22.47 22.47 $ 1,851.19 $ 1,851.19

53215 00 Surgery 26.83 26.83 $ 2,210.38 $ 2,210.38

53220 00 Surgery 13.21 13.21 $ 1,088.30 $ 1,088.30

53230 00 Surgery 17.49 17.49 $ 1,440.91 $ 1,440.91

53235 00 Surgery 18.31 18.31 $ 1,508.47 $ 1,508.47

53240 00 Surgery 12.26 12.26 $ 1,010.04 $ 1,010.04

53250 00 Surgery 11.80 11.80 $ 972.14 $ 972.14

53260 00 Surgery 5.77 5.18 $ 475.36 $ 426.75

53265 00 Surgery 6.25 5.36 $ 514.90 $ 441.58

53270 00 Surgery 5.92 5.31 $ 487.72 $ 437.46

53275 00 Surgery 7.60 7.60 $ 626.12 $ 626.12

53400 00 Surgery 23.11 23.11 $ 1,903.91 $ 1,903.91

53405 00 Surgery 25.38 25.38 $ 2,090.93 $ 2,090.93

53410 00 Surgery 28.24 28.24 $ 2,326.55 $ 2,326.55

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

133

53415 00 Surgery 32.65 32.65 $ 2,689.86 $ 2,689.86

53420 00 Surgery 24.30 24.30 $ 2,001.95 $ 2,001.95

53425 00 Surgery 27.06 27.06 $ 2,229.33 $ 2,229.33

53430 00 Surgery 27.92 27.92 $ 2,300.18 $ 2,300.18

53431 00 Surgery 33.34 33.34 $ 2,746.71 $ 2,746.71

53440 00 Surgery 21.74 21.74 $ 1,791.04 $ 1,791.04

53442 00 Surgery 22.59 22.59 $ 1,861.07 $ 1,861.07

53444 00 Surgery 22.89 22.89 $ 1,885.79 $ 1,885.79

53445 00 Surgery 21.74 21.74 $ 1,891.14 $ 1,891.14

53446 00 Surgery 18.53 18.53 $ 1,526.59 $ 1,526.59

53447 00 Surgery 23.34 23.34 $ 1,922.86 $ 1,922.86

53448 00 Surgery 37.03 37.03 $ 3,050.71 $ 3,050.71

53449 00 Surgery 17.65 17.65 $ 1,454.09 $ 1,454.09

53450 00 Surgery 11.79 11.79 $ 971.32 $ 971.32

53460 00 Surgery 13.22 13.22 $ 1,089.13 $ 1,089.13

53500 00 Surgery 21.60 21.60 $ 1,779.51 $ 1,779.51

53502 00 Surgery 14.04 14.04 $ 1,156.68 $ 1,156.68

53505 00 Surgery 14.02 14.02 $ 1,155.03 $ 1,155.03

53510 00 Surgery 18.22 18.22 $ 1,501.05 $ 1,501.05

53515 00 Surgery 22.81 22.81 $ 1,879.20 $ 1,879.20

53520 00 Surgery 16.05 16.05 $ 1,322.28 $ 1,322.28

53600 00 Surgery 2.38 1.84 $ 196.08 $ 151.59

53601 00 Surgery 2.32 1.55 $ 191.13 $ 127.70

53605 00 Surgery 1.87 1.87 $ 154.06 $ 154.06

53620 00 Surgery 3.33 2.53 $ 274.34 $ 208.43

53621 00 Surgery 3.12 2.09 $ 257.04 $ 172.18

53660 00 Surgery 2.01 1.21 $ 165.59 $ 99.69

53661 00 Surgery 1.98 1.17 $ 163.12 $ 96.39

53665 00 Surgery 1.12 1.12 $ 92.27 $ 92.27

53850 00 Surgery 58.95 17.51 $ 4,856.58 $ 1,442.56

53852 00 Surgery 54.39 17.97 $ 4,480.91 $ 1,480.45

53855 00 Surgery 22.09 2.39 $ 1,819.88 $ 196.90

53860 00 Surgery 44.52 6.50 $ 3,667.77 $ 535.50

53899 00 Surgery - - BR BR

54000 00 Surgery 4.23 3.12 $ 348.49 $ 257.04

54001 00 Surgery 5.28 4.00 $ 434.99 $ 329.54

54015 00 Surgery 8.89 8.89 $ 732.40 $ 732.40

54050 00 Surgery 3.79 3.05 $ 312.24 $ 251.27

54055 00 Surgery 3.39 2.67 $ 279.28 $ 219.97

54056 00 Surgery 4.05 3.19 $ 333.66 $ 262.81

54057 00 Surgery 3.89 2.74 $ 320.48 $ 225.73

54060 00 Surgery 5.13 3.76 $ 422.63 $ 309.77

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

134

54065 00 Surgery 6.25 4.98 $ 514.90 $ 410.28

54100 00 Surgery 5.66 3.64 $ 466.30 $ 299.88

54105 00 Surgery 7.57 6.15 $ 623.65 $ 506.67

54110 00 Surgery 18.07 18.07 $ 1,488.69 $ 1,488.69

54111 00 Surgery 23.31 23.31 $ 1,920.39 $ 1,920.39

54112 00 Surgery 27.09 27.09 $ 2,231.80 $ 2,231.80

54115 00 Surgery 13.09 12.33 $ 1,078.42 $ 1,015.80

54120 00 Surgery 18.25 18.25 $ 1,503.52 $ 1,503.52

54125 00 Surgery 23.52 23.52 $ 1,937.69 $ 1,937.69

54130 00 Surgery 34.48 34.48 $ 2,840.63 $ 2,840.63

54135 00 Surgery 43.70 43.70 $ 3,600.21 $ 3,600.21

54150 00 Surgery 4.42 2.83 $ 364.14 $ 233.15

54160 00 Surgery 6.28 4.16 $ 517.38 $ 342.72

54161 00 Surgery 5.68 5.68 $ 467.95 $ 467.95

54162 00 Surgery 7.35 5.73 $ 605.53 $ 472.06

54163 00 Surgery 6.31 6.31 $ 519.85 $ 519.85

54164 00 Surgery 5.59 5.59 $ 460.53 $ 460.53

54200 00 Surgery 3.06 2.41 $ 252.10 $ 198.55

54205 00 Surgery 15.36 15.36 $ 1,265.43 $ 1,265.43

54220 00 Surgery 5.85 3.88 $ 481.95 $ 319.65

54230 00 Surgery 2.77 2.30 $ 228.21 $ 189.48

54231 00 Surgery 4.02 3.37 $ 331.19 $ 277.64

54235 00 Surgery 2.59 2.12 $ 213.38 $ 174.66

54240 00 Surgery 2.98 2.98 $ 245.51 $ 245.51

54240 26 Surgery 1.99 1.99 $ 163.95 $ 163.95

54240 TC Surgery 0.99 0.99 $ 81.56 $ 81.56

54250 00 Surgery 3.48 3.48 $ 286.70 $ 286.70

54250 26 Surgery 3.17 3.17 $ 261.16 $ 261.16

54250 TC Surgery 0.31 0.31 $ 25.54 $ 25.54

54300 00 Surgery 18.56 18.56 $ 1,529.06 $ 1,529.06

54304 00 Surgery 21.61 21.61 $ 1,780.33 $ 1,780.33

54308 00 Surgery 20.65 20.65 $ 1,701.25 $ 1,701.25

54312 00 Surgery 24.72 24.72 $ 2,036.55 $ 2,036.55

54316 00 Surgery 30.14 30.14 $ 2,483.08 $ 2,483.08

54318 00 Surgery 20.53 20.53 $ 1,691.36 $ 1,691.36

54322 00 Surgery 22.32 22.32 $ 1,838.83 $ 1,838.83

54324 00 Surgery 27.94 27.94 $ 2,301.83 $ 2,301.83

54326 00 Surgery 27.32 27.32 $ 2,250.75 $ 2,250.75

54328 00 Surgery 27.64 27.64 $ 2,277.11 $ 2,277.11

54332 00 Surgery 30.59 30.59 $ 2,520.15 $ 2,520.15

54336 00 Surgery 34.36 34.36 $ 2,830.74 $ 2,830.74

54340 00 Surgery 16.34 16.34 $ 1,346.17 $ 1,346.17

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

135

54344 00 Surgery 27.39 27.39 $ 2,256.52 $ 2,256.52

54348 00 Surgery 29.30 29.30 $ 2,413.87 $ 2,413.87

54352 00 Surgery 40.94 40.94 $ 3,372.83 $ 3,372.83

54360 00 Surgery 20.82 20.82 $ 1,715.25 $ 1,715.25

54380 00 Surgery 23.09 23.09 $ 1,902.26 $ 1,902.26

54385 00 Surgery 28.05 28.05 $ 2,310.89 $ 2,310.89

54390 00 Surgery 35.85 35.85 $ 2,953.49 $ 2,953.49

54400 00 Surgery 15.28 15.28 $ 1,258.84 $ 1,258.84

54401 00 Surgery 18.90 18.90 $ 1,557.07 $ 1,557.07

54405 00 Surgery 23.35 23.35 $ 1,923.68 $ 1,923.68

54406 00 Surgery 21.10 21.10 $ 1,738.32 $ 1,738.32

54408 00 Surgery 22.83 22.83 $ 1,880.84 $ 1,880.84

54410 00 Surgery 24.82 24.82 $ 2,044.79 $ 2,044.79

54411 00 Surgery 29.64 29.64 $ 2,441.88 $ 2,441.88

54415 00 Surgery 15.26 15.26 $ 1,257.19 $ 1,257.19

54416 00 Surgery 20.51 20.51 $ 1,689.71 $ 1,689.71

54417 00 Surgery 25.96 25.96 $ 2,138.71 $ 2,138.71

54420 00 Surgery 20.32 20.32 $ 1,674.06 $ 1,674.06

54430 00 Surgery 18.46 18.46 $ 1,520.82 $ 1,520.82

54435 00 Surgery 12.04 12.04 $ 991.91 $ 991.91

54437 00 Surgery 19.58 19.58 $ 1,613.09 $ 1,613.09

54438 00 Surgery 38.92 38.92 $ 3,206.42 $ 3,206.42

54440 00 Surgery 16.28 16.28 $ 1,341.22 $ 1,341.22

54450 00 Surgery 2.01 1.67 $ 165.59 $ 137.58

54500 00 Surgery 2.16 2.16 $ 177.95 $ 177.95

54505 00 Surgery 6.06 6.06 $ 499.25 $ 499.25

54512 00 Surgery 15.60 15.60 $ 1,285.20 $ 1,285.20

54520 00 Surgery 9.42 9.42 $ 776.06 $ 776.06

54522 00 Surgery 17.09 17.09 $ 1,407.96 $ 1,407.96

54530 00 Surgery 14.58 14.58 $ 1,201.17 $ 1,201.17

54535 00 Surgery 21.71 21.71 $ 1,788.57 $ 1,788.57

54550 00 Surgery 14.32 14.32 $ 1,179.75 $ 1,179.75

54560 00 Surgery 20.75 20.75 $ 1,709.48 $ 1,709.48

54600 00 Surgery 13.14 13.14 $ 1,082.54 $ 1,082.54

54620 00 Surgery 8.66 8.66 $ 713.45 $ 713.45

54640 00 Surgery 13.80 13.80 $ 1,136.91 $ 1,136.91

54650 00 Surgery 20.98 20.98 $ 1,728.43 $ 1,728.43

54660 00 Surgery 10.50 10.50 $ 865.04 $ 865.04

54670 00 Surgery 11.83 11.83 $ 974.61 $ 974.61

54680 00 Surgery 23.19 23.19 $ 1,910.50 $ 1,910.50

54690 00 Surgery 19.08 19.08 $ 1,571.90 $ 1,571.90

54692 00 Surgery 23.09 23.09 $ 1,902.26 $ 1,902.26

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

136

54699 00 Surgery - - BR BR

54700 00 Surgery 6.17 6.17 $ 508.31 $ 508.31

54800 00 Surgery 3.85 3.85 $ 317.18 $ 317.18

54830 00 Surgery 10.76 10.76 $ 886.46 $ 886.46

54840 00 Surgery 9.27 9.27 $ 763.71 $ 763.71

54860 00 Surgery 12.09 12.09 $ 996.03 $ 996.03

54861 00 Surgery 16.33 16.33 $ 1,345.34 $ 1,345.34

54865 00 Surgery 10.36 10.36 $ 853.51 $ 853.51

54900 00 Surgery 24.18 24.18 $ 1,992.06 $ 1,992.06

54901 00 Surgery 30.50 30.50 $ 2,512.74 $ 2,512.74

55000 00 Surgery 3.35 2.46 $ 275.99 $ 202.67

55040 00 Surgery 9.76 9.76 $ 804.08 $ 804.08

55041 00 Surgery 14.73 14.73 $ 1,213.53 $ 1,213.53

55060 00 Surgery 10.99 10.99 $ 905.41 $ 905.41

55100 00 Surgery 6.16 4.78 $ 507.49 $ 393.80

55110 00 Surgery 11.20 11.20 $ 922.71 $ 922.71

55120 00 Surgery 10.39 10.39 $ 855.98 $ 855.98

55150 00 Surgery 14.20 14.20 $ 1,169.86 $ 1,169.86

55175 00 Surgery 10.51 10.51 $ 865.86 $ 865.86

55180 00 Surgery 19.86 19.86 $ 1,636.16 $ 1,636.16

55200 00 Surgery 12.38 7.90 $ 1,019.92 $ 650.84

55250 00 Surgery 11.02 6.58 $ 907.88 $ 542.09

55300 00 Surgery 5.43 5.43 $ 447.35 $ 447.35

55400 00 Surgery 14.39 14.39 $ 1,371.14 $ 1,371.14

55450 00 Surgery 10.49 7.55 $ 864.22 $ 622.00

55500 00 Surgery 11.42 11.42 $ 940.83 $ 940.83

55520 00 Surgery 13.08 13.08 $ 1,077.59 $ 1,077.59

55530 00 Surgery 10.15 10.15 $ 836.21 $ 836.21

55535 00 Surgery 12.42 12.42 $ 1,023.22 $ 1,023.22

55540 00 Surgery 15.94 15.94 $ 1,313.21 $ 1,313.21

55550 00 Surgery 12.37 12.37 $ 1,019.10 $ 1,019.10

55559 00 Surgery - - BR BR

55600 00 Surgery 12.17 12.17 $ 1,002.62 $ 1,002.62

55605 00 Surgery 15.76 15.76 $ 1,298.38 $ 1,298.38

55650 00 Surgery 20.76 20.76 $ 1,710.31 $ 1,710.31

55680 00 Surgery 10.51 10.51 $ 1,511.87 $ 1,511.87

55700 00 Surgery 7.06 3.79 $ 581.64 $ 312.24

55705 00 Surgery 7.69 7.69 $ 633.54 $ 633.54

55706 00 Surgery 10.75 10.75 $ 885.64 $ 885.64

55720 00 Surgery 13.05 13.05 $ 1,075.12 $ 1,075.12

55725 00 Surgery 18.89 18.89 $ 1,556.25 $ 1,556.25

55801 00 Surgery 31.69 31.69 $ 2,610.77 $ 2,610.77

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

137

55810 00 Surgery 37.87 37.87 $ 3,119.91 $ 3,119.91

55812 00 Surgery 47.80 47.80 $ 3,937.99 $ 3,937.99

55815 00 Surgery 51.16 51.16 $ 4,214.80 $ 4,214.80

55821 00 Surgery 25.24 25.24 $ 2,079.39 $ 2,079.39

55831 00 Surgery 27.30 27.30 $ 2,249.10 $ 2,249.10

55840 00 Surgery 33.87 33.87 $ 2,790.37 $ 2,790.37

55842 00 Surgery 33.86 33.86 $ 2,789.55 $ 2,789.55

55845 00 Surgery 39.41 39.41 $ 3,246.78 $ 3,246.78

55860 00 Surgery 25.29 25.29 $ 2,083.51 $ 2,083.51

55862 00 Surgery 32.40 32.40 $ 2,669.27 $ 2,669.27

55865 00 Surgery 38.55 38.55 $ 3,175.93 $ 3,175.93

55866 00 Surgery 41.74 41.74 $ 3,438.74 $ 3,438.74

55870 00 Surgery 5.04 4.12 $ 415.22 $ 339.43

55873 00 Surgery 200.52 22.07 $ 16,519.79 $ 1,818.23

55875 00 Surgery 22.03 22.03 $ 1,814.94 $ 1,814.94

55876 00 Surgery 3.88 2.91 $ 319.65 $ 239.74

55899 00 Surgery - - BR BR

55920 00 Surgery 12.92 12.92 $ 1,064.41 $ 1,064.41

55970 00 Surgery - - Not Covered Not Covered

55980 00 Surgery - - Not Covered Not Covered

56405 00 Surgery 3.11 3.09 $ 256.22 $ 254.57

56420 00 Surgery 3.44 2.60 $ 283.40 $ 214.20

56440 00 Surgery 5.19 5.19 $ 427.58 $ 427.58

56441 00 Surgery 4.09 3.95 $ 336.95 $ 325.42

56442 00 Surgery 1.36 1.36 $ 112.04 $ 112.04

56501 00 Surgery 3.72 3.28 $ 306.47 $ 270.22

56515 00 Surgery 6.45 5.75 $ 531.38 $ 473.71

56605 00 Surgery 2.34 1.73 $ 192.78 $ 142.53

56606 00 Surgery 1.08 0.86 $ 88.98 $ 70.85

56620 00 Surgery 14.92 14.92 $ 1,229.18 $ 1,229.18

56625 00 Surgery 18.15 18.15 $ 1,495.28 $ 1,495.28

56630 00 Surgery 26.76 26.76 $ 2,204.62 $ 2,204.62

56631 00 Surgery 34.09 34.09 $ 2,808.50 $ 2,808.50

56632 00 Surgery 39.76 39.76 $ 3,275.62 $ 3,275.62

56633 00 Surgery 34.93 34.93 $ 2,877.70 $ 2,877.70

56634 00 Surgery 37.43 37.43 $ 3,083.66 $ 3,083.66

56637 00 Surgery 43.66 43.66 $ 3,596.92 $ 3,596.92

56640 00 Surgery 43.95 43.95 $ 3,620.81 $ 3,620.81

56700 00 Surgery 5.34 5.34 $ 439.93 $ 439.93

56740 00 Surgery 8.58 8.58 $ 706.86 $ 706.86

56800 00 Surgery 6.86 6.86 $ 565.16 $ 565.16

56805 00 Surgery 36.16 36.16 $ 2,979.03 $ 2,979.03

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

138

56810 00 Surgery 7.41 7.41 $ 610.47 $ 610.47

56820 00 Surgery 3.20 2.49 $ 263.63 $ 205.14

56821 00 Surgery 4.21 3.32 $ 346.84 $ 273.52

57000 00 Surgery 5.25 5.25 $ 432.52 $ 432.52

57010 00 Surgery 12.36 12.36 $ 1,018.28 $ 1,018.28

57020 00 Surgery 2.63 2.30 $ 216.67 $ 189.48

57022 00 Surgery 4.89 4.89 $ 402.86 $ 402.86

57023 00 Surgery 8.80 8.80 $ 724.99 $ 724.99

57061 00 Surgery 3.22 2.80 $ 265.28 $ 230.68

57065 00 Surgery 5.56 4.98 $ 458.06 $ 410.28

57100 00 Surgery 2.55 1.93 $ 210.08 $ 159.00

57105 00 Surgery 3.88 3.61 $ 319.65 $ 297.41

57106 00 Surgery 14.13 14.13 $ 1,164.10 $ 1,164.10

57107 00 Surgery 41.72 41.72 $ 3,437.09 $ 3,437.09

57109 00 Surgery 50.60 50.60 $ 4,168.67 $ 4,168.67

57110 00 Surgery 25.40 25.40 $ 2,092.57 $ 2,092.57

57111 00 Surgery 46.23 46.23 $ 3,808.65 $ 3,808.65

57112 00 Surgery 51.79 51.79 $ 4,266.71 $ 4,266.71

57120 00 Surgery 14.46 14.46 $ 1,191.28 $ 1,191.28

57130 00 Surgery 5.02 4.51 $ 413.57 $ 371.56

57135 00 Surgery 5.46 4.94 $ 449.82 $ 406.98

57150 00 Surgery 1.28 0.83 $ 105.45 $ 68.38

57155 00 Surgery 10.38 7.98 $ 855.15 $ 657.43

57156 00 Surgery 5.65 4.21 $ 465.47 $ 346.84

57160 00 Surgery 2.17 1.34 $ 178.77 $ 110.40

57170 00 Surgery 1.73 1.39 $ 142.53 $ 114.51

57180 00 Surgery 3.98 3.00 $ 327.89 $ 247.15

57200 00 Surgery 8.62 8.62 $ 710.16 $ 710.16

57210 00 Surgery 10.43 10.43 $ 859.27 $ 859.27

57220 00 Surgery 9.09 9.09 $ 748.88 $ 748.88

57230 00 Surgery 11.22 11.22 $ 924.36 $ 924.36

57240 00 Surgery 19.11 19.11 $ 1,574.37 $ 1,574.37

57250 00 Surgery 19.22 19.22 $ 1,583.44 $ 1,583.44

57260 00 Surgery 23.67 23.67 $ 1,950.05 $ 1,950.05

57265 00 Surgery 25.94 25.94 $ 2,137.06 $ 2,137.06

57267 00 Surgery 7.31 7.31 $ 602.23 $ 602.23

57268 00 Surgery 13.77 13.77 $ 1,134.44 $ 1,134.44

57270 00 Surgery 22.83 22.83 $ 1,880.84 $ 1,880.84

57280 00 Surgery 27.17 27.17 $ 2,238.39 $ 2,238.39

57282 00 Surgery 14.24 14.24 $ 1,173.16 $ 1,173.16

57283 00 Surgery 19.59 19.59 $ 1,613.92 $ 1,613.92

57284 00 Surgery 23.22 23.22 $ 1,912.97 $ 1,912.97

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

139

57285 00 Surgery 19.15 19.15 $ 1,577.67 $ 1,577.67

57287 00 Surgery 19.44 19.44 $ 1,601.56 $ 1,601.56

57288 00 Surgery 20.43 20.43 $ 1,683.12 $ 1,683.12

57289 00 Surgery 21.04 21.04 $ 1,733.38 $ 1,733.38

57291 00 Surgery 15.01 15.01 $ 1,796.40 $ 1,796.40

57292 00 Surgery 23.26 23.26 $ 2,314.10 $ 2,314.10

57295 00 Surgery 13.59 13.59 $ 1,119.61 $ 1,119.61

57296 00 Surgery 26.67 26.67 $ 2,197.20 $ 2,197.20

57300 00 Surgery 16.09 16.09 $ 1,325.57 $ 1,325.57

57305 00 Surgery 26.86 26.86 $ 2,212.85 $ 2,212.85

57307 00 Surgery 30.23 30.23 $ 2,490.49 $ 2,490.49

57308 00 Surgery 18.15 18.15 $ 1,495.28 $ 1,495.28

57310 00 Surgery 13.30 13.30 $ 1,154.03 $ 1,154.03

57311 00 Surgery 15.09 15.09 $ 1,243.19 $ 1,243.19

57320 00 Surgery 15.25 15.25 $ 1,256.37 $ 1,256.37

57330 00 Surgery 21.59 21.59 $ 1,778.69 $ 1,778.69

57335 00 Surgery 35.65 35.65 $ 2,937.02 $ 2,937.02

57400 00 Surgery 3.85 3.85 $ 317.18 $ 317.18

57410 00 Surgery 3.08 3.08 $ 253.75 $ 253.75

57415 00 Surgery 4.56 4.56 $ 375.67 $ 375.67

57420 00 Surgery 3.36 2.64 $ 276.81 $ 217.50

57421 00 Surgery 4.48 3.56 $ 369.08 $ 293.29

57423 00 Surgery 25.94 25.94 $ 2,137.06 $ 2,137.06

57425 00 Surgery 27.63 27.63 $ 2,276.29 $ 2,276.29

57426 00 Surgery 23.97 23.97 $ 1,974.76 $ 1,974.76

57452 00 Surgery 3.10 2.64 $ 255.39 $ 217.50

57454 00 Surgery 4.34 3.88 $ 357.55 $ 319.65

57455 00 Surgery 4.05 3.17 $ 333.66 $ 261.16

57456 00 Surgery 3.82 2.95 $ 314.71 $ 243.04

57460 00 Surgery 8.00 4.64 $ 659.08 $ 382.27

57461 00 Surgery 9.06 5.36 $ 746.41 $ 441.58

57500 00 Surgery 3.62 2.17 $ 298.23 $ 178.77

57505 00 Surgery 2.90 2.63 $ 238.92 $ 216.67

57510 00 Surgery 3.72 3.29 $ 306.47 $ 271.05

57511 00 Surgery 4.11 3.76 $ 338.60 $ 309.77

57513 00 Surgery 4.12 3.82 $ 339.43 $ 314.71

57520 00 Surgery 8.75 7.87 $ 720.87 $ 648.37

57522 00 Surgery 7.48 6.93 $ 616.24 $ 570.93

57530 00 Surgery 9.90 9.90 $ 815.61 $ 815.61

57531 00 Surgery 52.95 52.95 $ 4,362.27 $ 4,362.27

57540 00 Surgery 24.05 24.05 $ 1,981.35 $ 1,981.35

57545 00 Surgery 23.78 23.78 $ 1,959.11 $ 1,959.11

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

140

57550 00 Surgery 11.52 11.52 $ 949.07 $ 949.07

57555 00 Surgery 17.12 17.12 $ 1,410.43 $ 1,410.43

57556 00 Surgery 16.06 16.06 $ 1,323.10 $ 1,323.10

57558 00 Surgery 3.52 3.22 $ 289.99 $ 265.28

57700 00 Surgery 8.91 8.91 $ 749.84 $ 749.84

57720 00 Surgery 8.74 8.74 $ 720.04 $ 720.04

57800 00 Surgery 1.72 1.39 $ 141.70 $ 114.51

58100 00 Surgery 3.10 2.50 $ 255.39 $ 205.96

58110 00 Surgery 1.36 1.17 $ 112.04 $ 96.39

58120 00 Surgery 7.34 6.24 $ 604.70 $ 514.08

58140 00 Surgery 26.16 26.16 $ 2,155.19 $ 2,155.19

58145 00 Surgery 15.60 15.60 $ 1,285.20 $ 1,285.20

58146 00 Surgery 32.79 32.79 $ 2,701.40 $ 2,701.40

58150 00 Surgery 29.01 29.01 $ 2,389.98 $ 2,389.98

58152 00 Surgery 35.54 35.54 $ 2,927.95 $ 2,927.95

58180 00 Surgery 27.43 27.43 $ 2,259.81 $ 2,259.81

58200 00 Surgery 39.45 39.45 $ 3,250.08 $ 3,250.08

58210 00 Surgery 53.20 53.20 $ 4,382.87 $ 4,382.87

58240 00 Surgery 83.76 83.76 $ 6,900.55 $ 6,900.55

58260 00 Surgery 23.46 23.46 $ 1,932.75 $ 1,932.75

58262 00 Surgery 26.18 26.18 $ 2,156.83 $ 2,156.83

58263 00 Surgery 28.09 28.09 $ 2,314.19 $ 2,314.19

58267 00 Surgery 29.79 29.79 $ 2,454.24 $ 2,454.24

58270 00 Surgery 25.05 25.05 $ 2,063.74 $ 2,063.74

58275 00 Surgery 27.96 27.96 $ 2,303.48 $ 2,303.48

58280 00 Surgery 29.80 29.80 $ 2,455.07 $ 2,455.07

58285 00 Surgery 41.04 41.04 $ 3,381.07 $ 3,381.07

58290 00 Surgery 32.68 32.68 $ 2,692.33 $ 2,692.33

58291 00 Surgery 35.25 35.25 $ 2,904.06 $ 2,904.06

58292 00 Surgery 37.17 37.17 $ 3,062.24 $ 3,062.24

58293 00 Surgery 38.69 38.69 $ 3,187.47 $ 3,187.47

58294 00 Surgery 34.49 34.49 $ 2,841.45 $ 2,841.45

58300 00 Surgery 2.06 1.54 $ 169.71 $ 126.87

58301 00 Surgery 2.69 1.93 $ 221.62 $ 159.00

58321 00 Surgery 2.18 1.39 $ 179.60 $ 114.51

58322 00 Surgery 2.43 1.67 $ 200.19 $ 137.58

58323 00 Surgery 0.43 0.34 $ 35.43 $ 28.01

58340 00 Surgery 3.38 1.66 $ 278.46 $ 136.76

58345 00 Surgery 7.89 7.89 $ 650.02 $ 650.02

58346 00 Surgery 13.00 13.00 $ 1,071.00 $ 1,071.00

58350 00 Surgery 2.74 2.24 $ 225.73 $ 184.54

58353 00 Surgery 28.41 6.22 $ 2,340.55 $ 512.43

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

141

58356 00 Surgery 53.20 9.82 $ 4,382.87 $ 809.02

58400 00 Surgery 12.52 12.52 $ 1,031.46 $ 1,031.46

58410 00 Surgery 22.93 22.93 $ 1,889.08 $ 1,889.08

58520 00 Surgery 23.87 23.87 $ 1,966.52 $ 1,966.52

58540 00 Surgery 25.58 25.58 $ 2,107.40 $ 2,107.40

58541 00 Surgery 20.37 20.37 $ 1,678.18 $ 1,678.18

58542 00 Surgery 23.27 23.27 $ 1,917.09 $ 1,917.09

58543 00 Surgery 23.49 23.49 $ 1,935.22 $ 1,935.22

58544 00 Surgery 25.63 25.63 $ 2,111.52 $ 2,111.52

58545 00 Surgery 25.72 25.72 $ 2,118.94 $ 2,118.94

58546 00 Surgery 31.86 31.86 $ 2,624.78 $ 2,624.78

58548 00 Surgery 54.80 54.80 $ 4,514.69 $ 4,514.69

58550 00 Surgery 25.05 25.05 $ 2,063.74 $ 2,063.74

58552 00 Surgery 28.11 28.11 $ 2,315.84 $ 2,315.84

58553 00 Surgery 32.33 32.33 $ 2,663.50 $ 2,663.50

58554 00 Surgery 37.78 37.78 $ 3,112.50 $ 3,112.50

58555 00 Surgery 7.60 4.40 $ 626.12 $ 362.49

58558 00 Surgery 38.51 6.72 $ 3,172.64 $ 553.63

58559 00 Surgery 8.28 8.28 $ 682.15 $ 682.15

58560 00 Surgery 9.07 9.07 $ 747.23 $ 747.23

58561 00 Surgery 12.52 12.52 $ 1,031.46 $ 1,031.46

58562 00 Surgery 9.64 6.64 $ 794.19 $ 547.03

58563 00 Surgery 44.97 7.82 $ 3,704.84 $ 644.25

58565 00 Surgery 53.16 12.32 $ 4,379.57 $ 1,014.98

58570 00 Surgery 22.18 22.18 $ 1,827.29 $ 1,827.29

58571 00 Surgery 25.64 25.64 $ 2,112.35 $ 2,112.35

58572 00 Surgery 29.07 29.07 $ 2,394.93 $ 2,394.93

58573 00 Surgery 34.76 34.76 $ 2,863.69 $ 2,863.69

58578 00 Surgery - - BR BR

58579 00 Surgery - - BR BR

58600 00 Surgery 10.30 10.30 $ 848.56 $ 848.56

58605 00 Surgery 9.33 9.33 $ 768.65 $ 768.65

58611 00 Surgery 2.19 2.19 $ 263.95 $ 263.95

58615 00 Surgery 7.07 7.07 $ 670.51 $ 670.51

58660 00 Surgery 19.18 19.18 $ 1,580.14 $ 1,580.14

58661 00 Surgery 18.52 18.52 $ 1,525.77 $ 1,525.77

58662 00 Surgery 20.23 20.23 $ 1,666.64 $ 1,666.64

58670 00 Surgery 10.35 10.35 $ 907.22 $ 907.22

58671 00 Surgery 10.32 10.32 $ 907.40 $ 907.40

58672 00 Surgery 20.82 20.82 $ 1,715.25 $ 1,715.25

58673 00 Surgery 22.66 22.66 $ 1,866.84 $ 1,866.84

58674 00 Surgery 23.23 23.23 $ 1,913.80 $ 1,913.80

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

142

58679 00 Surgery - - BR BR

58700 00 Surgery 22.22 22.22 $ 1,830.59 $ 1,830.59

58720 00 Surgery 21.08 21.08 $ 1,736.67 $ 1,736.67

58740 00 Surgery 25.20 25.20 $ 2,076.10 $ 2,076.10

58750 00 Surgery 27.45 27.45 $ 2,261.46 $ 2,261.46

58752 00 Surgery 25.80 25.80 $ 2,125.53 $ 2,125.53

58760 00 Surgery 22.93 22.93 $ 1,889.08 $ 1,889.08

58770 00 Surgery 24.82 24.82 $ 2,044.79 $ 2,044.79

58800 00 Surgery 8.98 8.43 $ 739.82 $ 694.50

58805 00 Surgery 11.51 11.51 $ 966.51 $ 966.51

58820 00 Surgery 9.29 9.29 $ 765.35 $ 765.35

58822 00 Surgery 19.82 19.82 $ 1,632.87 $ 1,632.87

58825 00 Surgery 21.58 21.58 $ 1,777.86 $ 1,777.86

58900 00 Surgery 11.74 11.74 $ 967.20 $ 967.20

58920 00 Surgery 21.55 21.55 $ 1,775.39 $ 1,775.39

58925 00 Surgery 21.30 21.30 $ 1,754.80 $ 1,754.80

58940 00 Surgery 15.04 15.04 $ 1,239.07 $ 1,239.07

58943 00 Surgery 33.72 33.72 $ 2,778.01 $ 2,778.01

58950 00 Surgery 32.51 32.51 $ 2,678.33 $ 2,678.33

58951 00 Surgery 41.90 41.90 $ 3,451.92 $ 3,451.92

58952 00 Surgery 47.42 47.42 $ 3,906.69 $ 3,906.69

58953 00 Surgery 58.67 58.67 $ 4,833.51 $ 4,833.51

58954 00 Surgery 63.74 63.74 $ 5,251.21 $ 5,251.21

58956 00 Surgery 39.83 39.83 $ 3,281.39 $ 3,281.39

58957 00 Surgery 45.80 45.80 $ 3,773.22 $ 3,773.22

58958 00 Surgery 50.52 50.52 $ 4,162.08 $ 4,162.08

58960 00 Surgery 27.87 27.87 $ 2,296.06 $ 2,296.06

58970 00 Surgery 6.32 5.69 $ 520.67 $ 468.77

58974 00 Surgery 4.18 4.18 $ 344.37 $ 344.37

58976 00 Surgery 7.18 6.22 $ 591.52 $ 512.43

58999 00 Surgery - - Not Covered Not Covered

59000 00 Surgery 3.60 2.35 $ 296.59 $ 193.60

59001 00 Surgery 5.21 5.21 $ 429.22 $ 429.22

59012 00 Surgery 5.89 5.89 $ 485.25 $ 485.25

59015 00 Surgery 4.49 3.85 $ 369.91 $ 317.18

59020 00 Surgery 2.03 2.03 $ 167.24 $ 167.24

59020 26 Surgery 1.07 1.07 $ 88.15 $ 88.15

59020 TC Surgery 0.96 0.96 $ 79.09 $ 79.09

59025 00 Surgery 1.38 1.38 $ 113.69 $ 113.69

59025 26 Surgery 0.86 0.86 $ 70.85 $ 70.85

59025 TC Surgery 0.52 0.52 $ 42.84 $ 42.84

59030 00 Surgery 2.89 2.89 $ 238.09 $ 238.09

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

143

59050 00 Surgery 1.39 1.39 $ 117.97 $ 117.97

59051 00 Surgery 1.23 1.23 $ 101.33 $ 101.33

59070 00 Surgery 11.51 8.86 $ 948.25 $ 729.93

59072 00 Surgery 13.51 13.51 $ 1,113.02 $ 1,113.02

59074 00 Surgery 11.08 8.73 $ 912.82 $ 719.22

59076 00 Surgery 13.51 13.51 $ 1,113.02 $ 1,113.02

59100 00 Surgery 22.63 22.63 $ 1,864.37 $ 1,864.37

59120 00 Surgery 22.85 22.85 $ 1,882.49 $ 1,882.49

59121 00 Surgery 22.92 22.92 $ 1,888.26 $ 1,888.26

59130 00 Surgery 26.88 26.88 $ 2,214.50 $ 2,214.50

59135 00 Surgery 23.90 23.90 $ 1,969.00 $ 1,969.00

59136 00 Surgery 25.45 25.45 $ 2,096.69 $ 2,096.69

59140 00 Surgery 10.69 10.69 $ 950.06 $ 950.06

59150 00 Surgery 22.18 22.18 $ 1,827.29 $ 1,827.29

59151 00 Surgery 21.62 21.62 $ 1,781.16 $ 1,781.16

59160 00 Surgery 5.85 5.01 $ 481.95 $ 412.75

59200 00 Surgery 2.06 1.30 $ 169.71 $ 107.10

59300 00 Surgery 5.53 4.28 $ 455.59 $ 352.61

59320 00 Surgery 4.43 4.43 $ 364.96 $ 364.96

59325 00 Surgery 7.04 7.04 $ 579.99 $ 579.99

59350 00 Surgery 7.98 7.98 $ 679.46 $ 679.46

59400 00 Surgery 60.28 60.28 $ 4,966.15 $ 4,966.15

59409 00 Surgery 23.58 23.58 $ 1,942.63 $ 1,942.63

59410 00 Surgery 30.10 30.10 $ 2,479.78 $ 2,479.78

59412 00 Surgery 2.99 2.99 $ 246.33 $ 246.33

59414 00 Surgery 2.67 2.67 $ 219.97 $ 219.97

59425 00 Surgery 13.08 10.31 $ 1,077.59 $ 849.39

59426 00 Surgery 23.42 18.20 $ 1,929.45 $ 1,499.40

59430 00 Surgery 5.31 4.03 $ 437.46 $ 332.01

59510 00 Surgery 66.91 66.91 $ 5,512.36 $ 5,512.36

59514 00 Surgery 26.58 26.58 $ 2,189.79 $ 2,189.79

59515 00 Surgery 36.59 36.59 $ 3,014.46 $ 3,014.46

59525 00 Surgery 14.10 14.10 $ 1,161.63 $ 1,161.63

59610 00 Surgery 63.45 63.45 $ 5,227.31 $ 5,227.31

59612 00 Surgery 26.61 26.61 $ 2,192.26 $ 2,192.26

59614 00 Surgery 33.09 33.09 $ 2,726.11 $ 2,726.11

59618 00 Surgery 67.81 67.81 $ 5,586.51 $ 5,586.51

59620 00 Surgery 27.16 27.16 $ 2,237.57 $ 2,237.57

59622 00 Surgery 37.27 37.27 $ 3,070.48 $ 3,070.48

59812 00 Surgery 9.17 8.54 $ 755.47 $ 703.57

59820 00 Surgery 10.91 10.28 $ 898.82 $ 846.92

59821 00 Surgery 11.00 10.30 $ 906.23 $ 848.56

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

144

59830 00 Surgery 12.62 12.62 $ 1,039.70 $ 1,039.70

59840 00 Surgery 6.24 5.99 $ 514.08 $ 493.48

59841 00 Surgery 11.04 10.44 $ 909.53 $ 860.10

59850 00 Surgery 10.99 10.99 $ 905.41 $ 905.41

59851 00 Surgery 11.52 11.52 $ 949.07 $ 949.07

59852 00 Surgery 14.48 14.48 $ 1,192.93 $ 1,192.93

59855 00 Surgery 12.01 12.01 $ 989.44 $ 989.44

59856 00 Surgery 14.12 14.12 $ 1,163.27 $ 1,163.27

59857 00 Surgery 14.88 14.88 $ 1,225.89 $ 1,225.89

59866 00 Surgery 6.22 6.22 $ 512.43 $ 512.43

59870 00 Surgery 13.62 13.62 $ 1,122.08 $ 1,122.08

59871 00 Surgery 3.89 3.89 $ 320.48 $ 320.48

59897 00 Surgery - - BR BR

59898 00 Surgery - - BR BR

59899 00 Surgery - - BR BR

60000 00 Surgery 4.54 4.09 $ 374.03 $ 336.95

60100 00 Surgery 3.22 2.28 $ 265.28 $ 187.84

60200 00 Surgery 19.00 19.00 $ 1,565.31 $ 1,565.31

60210 00 Surgery 20.37 20.37 $ 1,678.18 $ 1,678.18

60212 00 Surgery 29.07 29.07 $ 2,394.93 $ 2,394.93

60220 00 Surgery 20.32 20.32 $ 1,674.06 $ 1,674.06

60225 00 Surgery 26.80 26.80 $ 2,207.91 $ 2,207.91

60240 00 Surgery 26.48 26.48 $ 2,181.55 $ 2,181.55

60252 00 Surgery 38.08 38.08 $ 3,137.21 $ 3,137.21

60254 00 Surgery 48.05 48.05 $ 3,958.59 $ 3,958.59

60260 00 Surgery 31.49 31.49 $ 2,594.30 $ 2,594.30

60270 00 Surgery 39.50 39.50 $ 3,254.20 $ 3,254.20

60271 00 Surgery 30.48 30.48 $ 2,511.09 $ 2,511.09

60280 00 Surgery 12.69 12.69 $ 1,045.46 $ 1,045.46

60281 00 Surgery 16.96 16.96 $ 1,397.25 $ 1,397.25

60300 00 Surgery 3.36 1.44 $ 276.81 $ 118.63

60500 00 Surgery 27.83 27.83 $ 2,292.77 $ 2,292.77

60502 00 Surgery 37.14 37.14 $ 3,059.77 $ 3,059.77

60505 00 Surgery 39.93 39.93 $ 3,289.62 $ 3,289.62

60512 00 Surgery 7.03 7.03 $ 579.16 $ 579.16

60520 00 Surgery 30.14 30.14 $ 2,483.08 $ 2,483.08

60521 00 Surgery 32.45 32.45 $ 2,673.39 $ 2,673.39

60522 00 Surgery 39.43 39.43 $ 3,248.43 $ 3,248.43

60540 00 Surgery 30.78 30.78 $ 2,535.80 $ 2,535.80

60545 00 Surgery 35.22 35.22 $ 2,901.59 $ 2,901.59

60600 00 Surgery 40.19 40.19 $ 3,311.04 $ 3,311.04

60605 00 Surgery 55.93 55.93 $ 4,607.78 $ 4,607.78

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

145

60650 00 Surgery 34.52 34.52 $ 2,843.92 $ 2,843.92

60659 00 Surgery - - BR BR

60699 00 Surgery - - BR BR

61000 00 Surgery 3.28 3.28 $ 270.22 $ 270.22

61001 00 Surgery 2.42 2.42 $ 199.37 $ 199.37

61020 00 Surgery 2.94 2.94 $ 242.21 $ 242.21

61026 00 Surgery 3.02 3.02 $ 248.80 $ 248.80

61050 00 Surgery 2.48 2.48 $ 204.31 $ 204.31

61055 00 Surgery 3.52 3.52 $ 289.99 $ 289.99

61070 00 Surgery 1.66 1.66 $ 146.44 $ 146.44

61105 00 Surgery 12.92 12.92 $ 1,064.41 $ 1,064.41

61107 00 Surgery 9.27 9.27 $ 763.71 $ 763.71

61108 00 Surgery 26.47 26.47 $ 2,180.72 $ 2,180.72

61120 00 Surgery 21.84 21.84 $ 1,799.28 $ 1,799.28

61140 00 Surgery 36.96 36.96 $ 3,044.94 $ 3,044.94

61150 00 Surgery 39.76 39.76 $ 3,275.62 $ 3,275.62

61151 00 Surgery 29.26 29.26 $ 2,410.58 $ 2,410.58

61154 00 Surgery 37.21 37.21 $ 3,065.54 $ 3,065.54

61156 00 Surgery 36.58 36.58 $ 3,013.63 $ 3,013.63

61210 00 Surgery 10.91 10.91 $ 898.82 $ 898.82

61215 00 Surgery 14.86 14.86 $ 1,224.24 $ 1,224.24

61250 00 Surgery 24.22 24.22 $ 1,995.36 $ 1,995.36

61253 00 Surgery 23.46 23.46 $ 1,932.75 $ 1,932.75

61304 00 Surgery 47.97 47.97 $ 3,952.00 $ 3,952.00

61305 00 Surgery 59.25 59.25 $ 4,881.30 $ 4,881.30

61312 00 Surgery 61.05 61.05 $ 5,029.59 $ 5,029.59

61313 00 Surgery 58.17 58.17 $ 4,792.32 $ 4,792.32

61314 00 Surgery 53.62 53.62 $ 4,417.47 $ 4,417.47

61315 00 Surgery 60.77 60.77 $ 5,006.52 $ 5,006.52

61316 00 Surgery 2.62 2.62 $ 215.85 $ 215.85

61320 00 Surgery 55.76 55.76 $ 4,593.77 $ 4,593.77

61321 00 Surgery 62.06 62.06 $ 5,112.80 $ 5,112.80

61322 00 Surgery 69.85 69.85 $ 5,754.58 $ 5,754.58

61323 00 Surgery 70.75 70.75 $ 5,828.72 $ 5,828.72

61330 00 Surgery 51.54 51.54 $ 4,246.11 $ 4,246.11

61332 00 Surgery 49.37 49.37 $ 4,067.34 $ 4,067.34

61333 00 Surgery 52.26 52.26 $ 4,305.43 $ 4,305.43

61340 00 Surgery 42.60 42.60 $ 3,509.59 $ 3,509.59

61343 00 Surgery 64.40 64.40 $ 5,305.58 $ 5,305.58

61345 00 Surgery 59.72 59.72 $ 4,920.02 $ 4,920.02

61450 00 Surgery 56.72 56.72 $ 4,672.86 $ 4,672.86

61458 00 Surgery 58.99 58.99 $ 4,859.88 $ 4,859.88

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

146

61460 00 Surgery 60.46 60.46 $ 4,980.98 $ 4,980.98

61480 00 Surgery 57.23 57.23 $ 4,714.88 $ 4,714.88

61500 00 Surgery 38.44 38.44 $ 3,166.87 $ 3,166.87

61501 00 Surgery 33.39 33.39 $ 2,750.83 $ 2,750.83

61510 00 Surgery 64.04 64.04 $ 5,275.92 $ 5,275.92

61512 00 Surgery 74.79 74.79 $ 6,161.56 $ 6,161.56

61514 00 Surgery 55.79 55.79 $ 4,596.25 $ 4,596.25

61516 00 Surgery 54.48 54.48 $ 4,488.32 $ 4,488.32

61517 00 Surgery 2.58 2.58 $ 212.55 $ 212.55

61518 00 Surgery 80.88 80.88 $ 6,663.28 $ 6,663.28

61519 00 Surgery 86.34 86.34 $ 7,113.10 $ 7,113.10

61520 00 Surgery 110.40 110.40 $ 9,095.28 $ 9,095.28

61521 00 Surgery 93.32 93.32 $ 7,688.15 $ 7,688.15

61522 00 Surgery 64.50 64.50 $ 5,313.82 $ 5,313.82

61524 00 Surgery 61.17 61.17 $ 5,039.48 $ 5,039.48

61526 00 Surgery 107.79 107.79 $ 8,880.25 $ 8,880.25

61530 00 Surgery 89.94 89.94 $ 7,409.69 $ 7,409.69

61531 00 Surgery 35.25 35.25 $ 2,904.06 $ 2,904.06

61533 00 Surgery 44.41 44.41 $ 3,658.71 $ 3,658.71

61534 00 Surgery 48.47 48.47 $ 3,993.19 $ 3,993.19

61535 00 Surgery 28.84 28.84 $ 2,375.98 $ 2,375.98

61536 00 Surgery 75.19 75.19 $ 6,194.51 $ 6,194.51

61537 00 Surgery 72.76 72.76 $ 5,994.32 $ 5,994.32

61538 00 Surgery 78.43 78.43 $ 6,461.44 $ 6,461.44

61539 00 Surgery 69.65 69.65 $ 5,738.10 $ 5,738.10

61540 00 Surgery 63.47 63.47 $ 5,228.96 $ 5,228.96

61541 00 Surgery 63.38 63.38 $ 5,221.55 $ 5,221.55

61543 00 Surgery 61.36 61.36 $ 5,055.13 $ 5,055.13

61544 00 Surgery 56.10 56.10 $ 4,621.79 $ 4,621.79

61545 00 Surgery 93.98 93.98 $ 7,742.52 $ 7,742.52

61546 00 Surgery 67.71 67.71 $ 5,578.27 $ 5,578.27

61548 00 Surgery 46.04 46.04 $ 3,792.99 $ 3,792.99

61550 00 Surgery 34.84 34.84 $ 2,870.29 $ 2,870.29

61552 00 Surgery 33.56 33.56 $ 2,764.83 $ 2,764.83

61556 00 Surgery 45.36 45.36 $ 3,736.97 $ 3,736.97

61557 00 Surgery 49.51 49.51 $ 4,078.87 $ 4,078.87

61558 00 Surgery 55.33 55.33 $ 4,558.35 $ 4,558.35

61559 00 Surgery 66.98 66.98 $ 5,518.13 $ 5,518.13

61563 00 Surgery 57.91 57.91 $ 4,770.90 $ 4,770.90

61564 00 Surgery 66.98 66.98 $ 5,518.13 $ 5,518.13

61566 00 Surgery 66.30 66.30 $ 5,462.11 $ 5,462.11

61567 00 Surgery 69.43 69.43 $ 5,719.97 $ 5,719.97

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

147

61570 00 Surgery 53.98 53.98 $ 4,447.13 $ 4,447.13

61571 00 Surgery 58.63 58.63 $ 4,830.22 $ 4,830.22

61575 00 Surgery 72.99 72.99 $ 6,013.26 $ 6,013.26

61576 00 Surgery 98.65 98.65 $ 8,127.26 $ 8,127.26

61580 00 Surgery 71.43 71.43 $ 5,884.74 $ 5,884.74

61581 00 Surgery 76.40 76.40 $ 6,294.20 $ 6,294.20

61582 00 Surgery 87.66 87.66 $ 7,221.85 $ 7,221.85

61583 00 Surgery 84.41 84.41 $ 6,954.10 $ 6,954.10

61584 00 Surgery 82.88 82.88 $ 6,828.05 $ 6,828.05

61585 00 Surgery 92.51 92.51 $ 7,621.41 $ 7,621.41

61586 00 Surgery 69.17 69.17 $ 5,698.55 $ 5,698.55

61590 00 Surgery 87.96 87.96 $ 7,246.56 $ 7,246.56

61591 00 Surgery 89.13 89.13 $ 7,342.95 $ 7,342.95

61592 00 Surgery 92.67 92.67 $ 7,634.60 $ 7,634.60

61595 00 Surgery 67.91 67.91 $ 5,594.75 $ 5,594.75

61596 00 Surgery 70.40 70.40 $ 5,799.89 $ 5,799.89

61597 00 Surgery 83.25 83.25 $ 6,858.53 $ 6,858.53

61598 00 Surgery 81.68 81.68 $ 6,729.19 $ 6,729.19

61600 00 Surgery 61.42 61.42 $ 5,060.07 $ 5,060.07

61601 00 Surgery 69.80 69.80 $ 5,750.46 $ 5,750.46

61605 00 Surgery 62.44 62.44 $ 5,144.10 $ 5,144.10

61606 00 Surgery 86.23 86.23 $ 7,104.04 $ 7,104.04

61607 00 Surgery 78.24 78.24 $ 6,445.78 $ 6,445.78

61608 00 Surgery 94.98 94.98 $ 7,824.91 $ 7,824.91

61610 00 Surgery 48.07 48.07 $ 3,960.24 $ 3,960.24

61611 00 Surgery 11.25 11.25 $ 926.83 $ 926.83

61612 00 Surgery 34.66 34.66 $ 3,169.48 $ 3,169.48

61613 00 Surgery 94.10 94.10 $ 7,752.41 $ 7,752.41

61615 00 Surgery 71.64 71.64 $ 5,902.04 $ 5,902.04

61616 00 Surgery 97.00 97.00 $ 7,991.32 $ 7,991.32

61618 00 Surgery 37.73 37.73 $ 3,108.38 $ 3,108.38

61619 00 Surgery 41.69 41.69 $ 3,434.62 $ 3,434.62

61623 00 Surgery 16.62 16.62 $ 1,369.23 $ 1,369.23

61624 00 Surgery 33.43 33.43 $ 2,754.12 $ 2,754.12

61626 00 Surgery 25.03 25.03 $ 2,062.09 $ 2,062.09

61630 00 Surgery 39.17 39.17 $ 3,227.01 $ 3,227.01

61635 00 Surgery 41.79 41.79 $ 3,442.86 $ 3,442.86

61640 00 Surgery 14.01 14.01 $ 1,181.34 $ 1,181.34

61641 00 Surgery 4.92 4.92 $ 453.75 $ 453.75

61642 00 Surgery 9.84 9.84 $ 810.67 $ 810.67

61645 00 Surgery 22.77 22.77 $ 1,875.90 $ 1,875.90

61650 00 Surgery 15.57 15.57 $ 1,282.73 $ 1,282.73

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

148

61651 00 Surgery 6.62 6.62 $ 545.39 $ 545.39

61680 00 Surgery 66.33 66.33 $ 5,464.58 $ 5,464.58

61682 00 Surgery 122.40 122.40 $ 10,083.90 $ 10,083.90

61684 00 Surgery 83.95 83.95 $ 6,916.20 $ 6,916.20

61686 00 Surgery 132.75 132.75 $ 10,936.58 $ 10,936.58

61690 00 Surgery 63.94 63.94 $ 5,267.68 $ 5,267.68

61692 00 Surgery 107.65 107.65 $ 8,868.72 $ 8,868.72

61697 00 Surgery 123.91 123.91 $ 10,208.30 $ 10,208.30

61698 00 Surgery 136.58 136.58 $ 11,252.11 $ 11,252.11

61700 00 Surgery 100.11 100.11 $ 8,247.54 $ 8,247.54

61702 00 Surgery 117.93 117.93 $ 9,715.64 $ 9,715.64

61703 00 Surgery 36.02 36.02 $ 2,967.50 $ 2,967.50

61705 00 Surgery 76.83 76.83 $ 6,329.62 $ 6,329.62

61708 00 Surgery 67.91 67.91 $ 5,594.75 $ 5,594.75

61710 00 Surgery 62.58 62.58 $ 5,155.64 $ 5,155.64

61711 00 Surgery 76.62 76.62 $ 6,312.32 $ 6,312.32

61720 00 Surgery 37.40 37.40 $ 3,081.19 $ 3,081.19

61735 00 Surgery 46.84 46.84 $ 3,858.90 $ 3,858.90

61750 00 Surgery 41.32 41.32 $ 3,404.14 $ 3,404.14

61751 00 Surgery 40.52 40.52 $ 3,338.23 $ 3,338.23

61760 00 Surgery 46.38 46.38 $ 3,821.01 $ 3,821.01

61770 00 Surgery 47.87 47.87 $ 3,943.76 $ 3,943.76

61781 00 Surgery 6.96 6.96 $ 573.40 $ 573.40

61782 00 Surgery 5.07 5.07 $ 417.69 $ 417.69

61783 00 Surgery 6.83 6.83 $ 562.69 $ 562.69

61790 00 Surgery 25.77 25.77 $ 2,123.06 $ 2,123.06

61791 00 Surgery 32.07 32.07 $ 2,642.08 $ 2,642.08

61796 00 Surgery 29.83 29.83 $ 2,783.25 $ 2,783.25

61797 00 Surgery 6.52 6.52 $ 848.94 $ 848.94

61798 00 Surgery 40.61 40.61 $ 3,345.65 $ 3,345.65

61799 00 Surgery 9.02 9.02 $ 761.25 $ 761.25

61800 00 Surgery 4.55 4.55 $ 448.50 $ 448.50

61850 00 Surgery 28.89 28.89 $ 2,380.10 $ 2,380.10

61860 00 Surgery 45.51 45.51 $ 3,749.33 $ 3,749.33

61863 00 Surgery 44.10 44.10 $ 3,633.17 $ 3,633.17

61864 00 Surgery 8.41 8.41 $ 692.86 $ 692.86

61867 00 Surgery 67.00 67.00 $ 5,519.78 $ 5,519.78

61868 00 Surgery 14.77 14.77 $ 1,216.82 $ 1,216.82

61870 00 Surgery 30.10 30.10 $ 2,479.78 $ 2,479.78

61880 00 Surgery 16.59 16.59 $ 1,366.76 $ 1,366.76

61885 00 Surgery 14.99 14.99 $ 1,234.95 $ 1,234.95

61886 00 Surgery 24.63 24.63 $ 2,029.14 $ 2,029.14

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

149

61888 00 Surgery 11.58 11.58 $ 954.02 $ 954.02

62000 00 Surgery 28.02 28.02 $ 2,308.42 $ 2,308.42

62005 00 Surgery 36.92 36.92 $ 3,041.65 $ 3,041.65

62010 00 Surgery 44.87 44.87 $ 3,696.60 $ 3,696.60

62100 00 Surgery 46.32 46.32 $ 3,816.06 $ 3,816.06

62115 00 Surgery 37.83 37.83 $ 3,116.62 $ 3,116.62

62117 00 Surgery 57.87 57.87 $ 4,767.61 $ 4,767.61

62120 00 Surgery 47.91 47.91 $ 3,947.05 $ 3,947.05

62121 00 Surgery 46.19 46.19 $ 3,805.35 $ 3,805.35

62140 00 Surgery 30.22 30.22 $ 2,489.67 $ 2,489.67

62141 00 Surgery 33.37 33.37 $ 2,749.18 $ 2,749.18

62142 00 Surgery 25.95 25.95 $ 2,137.88 $ 2,137.88

62143 00 Surgery 30.50 30.50 $ 2,512.74 $ 2,512.74

62145 00 Surgery 41.47 41.47 $ 3,416.50 $ 3,416.50

62146 00 Surgery 35.08 35.08 $ 2,890.06 $ 2,890.06

62147 00 Surgery 41.65 41.65 $ 3,431.33 $ 3,431.33

62148 00 Surgery 3.74 3.74 $ 308.12 $ 308.12

62160 00 Surgery 5.63 5.63 $ 463.83 $ 463.83

62161 00 Surgery 44.45 44.45 $ 3,662.00 $ 3,662.00

62162 00 Surgery 55.44 55.44 $ 4,567.41 $ 4,567.41

62163 00 Surgery 36.02 36.02 $ 2,967.50 $ 2,967.50

62164 00 Surgery 60.98 60.98 $ 5,023.82 $ 5,023.82

62165 00 Surgery 44.88 44.88 $ 3,697.43 $ 3,697.43

62180 00 Surgery 47.16 47.16 $ 3,885.27 $ 3,885.27

62190 00 Surgery 20.92 20.92 $ 1,785.13 $ 1,785.13

62192 00 Surgery 28.63 28.63 $ 2,358.68 $ 2,358.68

62194 00 Surgery 12.91 12.91 $ 1,063.59 $ 1,063.59

62200 00 Surgery 39.68 39.68 $ 3,269.03 $ 3,269.03

62201 00 Surgery 35.28 35.28 $ 2,906.53 $ 2,906.53

62220 00 Surgery 30.24 30.24 $ 2,491.32 $ 2,491.32

62223 00 Surgery 30.54 30.54 $ 2,516.03 $ 2,516.03

62225 00 Surgery 14.77 14.77 $ 1,216.82 $ 1,216.82

62230 00 Surgery 24.60 24.60 $ 2,026.67 $ 2,026.67

62252 00 Surgery 2.46 2.46 $ 202.67 $ 202.67

62252 26 Surgery 1.37 1.37 $ 112.87 $ 112.87

62252 TC Surgery 1.09 1.09 $ 89.80 $ 89.80

62256 00 Surgery 17.51 17.51 $ 1,442.56 $ 1,442.56

62258 00 Surgery 32.75 32.75 $ 2,698.10 $ 2,698.10

62263 00 Surgery 17.18 9.30 $ 1,415.37 $ 766.18

62264 00 Surgery 11.90 6.82 $ 980.38 $ 561.86

62267 00 Surgery 7.09 4.60 $ 584.11 $ 378.97

62268 00 Surgery 7.47 7.47 $ 1,060.60 $ 1,060.60

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

150

62269 00 Surgery 7.72 7.72 $ 1,160.80 $ 1,160.80

62270 00 Surgery 4.51 2.25 $ 371.56 $ 185.37

62272 00 Surgery 5.74 2.43 $ 472.89 $ 200.19

62273 00 Surgery 4.90 3.26 $ 403.69 $ 268.57

62280 00 Surgery 8.57 4.61 $ 706.04 $ 379.79

62281 00 Surgery 6.87 4.51 $ 565.98 $ 371.56

62282 00 Surgery 8.43 4.21 $ 694.50 $ 346.84

62284 00 Surgery 5.32 2.53 $ 438.29 $ 208.43

62287 00 Surgery 16.50 16.50 $ 1,359.35 $ 1,359.35

62290 00 Surgery 9.36 4.91 $ 771.12 $ 404.51

62291 00 Surgery 9.41 4.88 $ 775.24 $ 402.04

62292 00 Surgery 16.60 16.60 $ 1,367.59 $ 1,367.59

62294 00 Surgery 27.85 27.85 $ 2,294.42 $ 2,294.42

62302 00 Surgery 6.90 3.55 $ 568.45 $ 292.47

62303 00 Surgery 7.11 3.58 $ 585.76 $ 294.94

62304 00 Surgery 6.81 3.48 $ 561.04 $ 286.70

62305 00 Surgery 7.41 3.64 $ 610.47 $ 299.88

62320 00 Surgery 4.75 2.94 $ 391.33 $ 242.21

62321 00 Surgery 7.06 3.17 $ 581.64 $ 261.16

62322 00 Surgery 4.43 2.53 $ 364.96 $ 208.43

62323 00 Surgery 6.93 2.89 $ 570.93 $ 238.09

62324 00 Surgery 4.15 2.68 $ 341.90 $ 220.79

62325 00 Surgery 6.26 3.08 $ 515.73 $ 253.75

62326 00 Surgery 4.36 2.63 $ 359.20 $ 216.67

62327 00 Surgery 6.38 2.8 $ 525.61 $ 230.68

62350 00 Surgery 11.52 11.52 $ 949.07 $ 949.07

62351 00 Surgery 24.94 24.94 $ 2,054.68 $ 2,054.68

62355 00 Surgery 7.72 7.72 $ 636.01 $ 636.01

62360 00 Surgery 8.92 8.92 $ 734.87 $ 734.87

62361 00 Surgery 12.26 12.26 $ 1,010.04 $ 1,010.04

62362 00 Surgery 11.11 11.11 $ 915.29 $ 915.29

62365 00 Surgery 8.60 8.60 $ 708.51 $ 708.51

62367 00 Surgery 1.17 0.73 $ 96.39 $ 60.14

62368 00 Surgery 1.60 1.01 $ 131.82 $ 83.21

62369 00 Surgery 3.36 1.02 $ 276.81 $ 84.03

62370 00 Surgery 3.55 1.33 $ 292.47 $ 109.57

62380 00 Surgery - - RNE/BR/Not covered/- RNE/BR/Not covered/-

63001 00 Surgery 36.23 36.23 $ 3,882.75 $ 3,882.75

63003 00 Surgery 36.18 36.18 $ 3,609.75 $ 3,609.75

63005 00 Surgery 34.45 34.45 $ 2,838.16 $ 2,838.16

63011 00 Surgery 31.72 31.72 $ 2,613.24 $ 2,613.24

63012 00 Surgery 34.69 34.69 $ 3,300.00 $ 3,300.00

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

151

63015 00 Surgery 43.30 43.30 $ 4,002.00 $ 4,002.00

63016 00 Surgery 44.52 44.52 $ 3,814.50 $ 3,814.50

63017 00 Surgery 36.67 36.67 $ 3,675.00 $ 3,675.00

63020 00 Surgery 33.81 33.81 $ 3,375.00 $ 3,375.00

63030 00 Surgery 28.20 28.20 $ 2,850.00 $ 2,850.00

63035 00 Surgery 5.61 5.61 $ 629.25 $ 629.25

63040 00 Surgery 40.58 40.58 $ 3,750.00 $ 3,750.00

63042 00 Surgery 37.67 37.67 $ 3,750.00 $ 3,750.00

63043 00 Surgery 17.13 17.13 $ 1,411.25 $ 1,411.25

63044 00 Surgery 16.28 16.28 $ 1,341.22 $ 1,341.22

63045 00 Surgery 37.58 37.58 $ 3,750.00 $ 3,750.00

63046 00 Surgery 35.58 35.58 $ 3,750.00 $ 3,750.00

63047 00 Surgery 32.06 32.06 $ 3,750.00 $ 3,750.00

63048 00 Surgery 6.19 6.19 $ 988.79 $ 988.79

63050 00 Surgery 43.79 43.79 $ 3,607.63 $ 3,607.63

63051 00 Surgery 49.79 49.79 $ 4,101.94 $ 4,101.94

63055 00 Surgery 47.59 47.59 $ 3,920.69 $ 3,920.69

63056 00 Surgery 43.21 43.21 $ 3,559.85 $ 3,559.85

63057 00 Surgery 9.37 9.37 $ 771.95 $ 771.95

63064 00 Surgery 51.75 51.75 $ 4,263.41 $ 4,263.41

63066 00 Surgery 6.08 6.08 $ 644.25 $ 644.25

63075 00 Surgery 39.44 39.44 $ 3,249.26 $ 3,249.26

63076 00 Surgery 7.26 7.26 $ 696.75 $ 696.75

63077 00 Surgery 43.40 43.40 $ 3,575.50 $ 3,575.50

63078 00 Surgery 5.67 5.67 $ 675.00 $ 675.00

63081 00 Surgery 51.19 51.19 $ 4,217.28 $ 4,217.28

63082 00 Surgery 7.80 7.80 $ 753.77 $ 753.77

63085 00 Surgery 55.80 55.80 $ 4,597.07 $ 4,597.07

63086 00 Surgery 5.58 5.58 $ 808.02 $ 808.02

63087 00 Surgery 70.26 70.26 $ 5,788.35 $ 5,788.35

63088 00 Surgery 7.61 7.61 $ 808.02 $ 808.02

63090 00 Surgery 56.83 56.83 $ 4,681.93 $ 4,681.93

63091 00 Surgery 5.18 5.18 $ 719.84 $ 719.84

63101 00 Surgery 67.55 67.55 $ 5,565.09 $ 5,565.09

63102 00 Surgery 66.20 66.20 $ 5,453.87 $ 5,453.87

63103 00 Surgery 8.57 8.57 $ 706.04 $ 706.04

63170 00 Surgery 46.91 46.91 $ 3,864.67 $ 3,864.67

63172 00 Surgery 41.31 41.31 $ 3,403.31 $ 3,403.31

63173 00 Surgery 50.06 50.06 $ 4,124.18 $ 4,124.18

63180 00 Surgery 39.04 39.04 $ 3,216.30 $ 3,216.30

63182 00 Surgery 48.06 48.06 $ 3,959.41 $ 3,959.41

63185 00 Surgery 33.21 33.21 $ 2,736.00 $ 2,736.00

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

152

63190 00 Surgery 37.22 37.22 $ 3,066.36 $ 3,066.36

63191 00 Surgery 36.85 36.85 $ 3,035.88 $ 3,035.88

63194 00 Surgery 40.63 40.63 $ 3,347.29 $ 3,347.29

63195 00 Surgery 36.74 36.74 $ 3,026.82 $ 3,026.82

63196 00 Surgery 40.84 40.84 $ 3,364.59 $ 3,364.59

63197 00 Surgery 40.91 40.91 $ 3,370.36 $ 3,370.36

63198 00 Surgery 48.12 48.12 $ 3,964.36 $ 3,964.36

63199 00 Surgery 50.49 50.49 $ 4,159.61 $ 4,159.61

63200 00 Surgery 44.99 44.99 $ 3,706.49 $ 3,706.49

63250 00 Surgery 87.67 87.67 $ 7,222.67 $ 7,222.67

63251 00 Surgery 88.74 88.74 $ 7,310.82 $ 7,310.82

63252 00 Surgery 89.06 89.06 $ 7,337.19 $ 7,337.19

63265 00 Surgery 48.79 48.79 $ 4,019.55 $ 4,019.55

63266 00 Surgery 50.28 50.28 $ 4,142.31 $ 4,142.31

63267 00 Surgery 39.92 39.92 $ 3,288.80 $ 3,288.80

63268 00 Surgery 40.77 40.77 $ 3,358.83 $ 3,358.83

63270 00 Surgery 60.97 60.97 $ 5,023.00 $ 5,023.00

63271 00 Surgery 60.42 60.42 $ 4,977.69 $ 4,977.69

63272 00 Surgery 55.20 55.20 $ 4,547.64 $ 4,547.64

63273 00 Surgery 53.65 53.65 $ 4,419.94 $ 4,419.94

63275 00 Surgery 52.60 52.60 $ 4,333.44 $ 4,333.44

63276 00 Surgery 52.31 52.31 $ 4,309.55 $ 4,309.55

63277 00 Surgery 45.25 45.25 $ 3,727.91 $ 3,727.91

63278 00 Surgery 46.28 46.28 $ 3,812.77 $ 3,812.77

63280 00 Surgery 61.81 61.81 $ 5,092.20 $ 5,092.20

63281 00 Surgery 61.34 61.34 $ 5,053.48 $ 5,053.48

63282 00 Surgery 57.68 57.68 $ 4,751.95 $ 4,751.95

63283 00 Surgery 55.34 55.34 $ 4,559.17 $ 4,559.17

63285 00 Surgery 77.21 77.21 $ 6,360.93 $ 6,360.93

63286 00 Surgery 75.22 75.22 $ 6,196.98 $ 6,196.98

63287 00 Surgery 81.02 81.02 $ 6,674.81 $ 6,674.81

63290 00 Surgery 81.98 81.98 $ 6,753.90 $ 6,753.90

63295 00 Surgery 9.82 9.82 $ 809.02 $ 809.02

63300 00 Surgery 53.59 53.59 $ 4,415.00 $ 4,415.00

63301 00 Surgery 60.67 60.67 $ 4,998.28 $ 4,998.28

63302 00 Surgery 63.13 63.13 $ 5,200.95 $ 5,200.95

63303 00 Surgery 66.02 66.02 $ 5,439.04 $ 5,439.04

63304 00 Surgery 67.99 67.99 $ 5,601.34 $ 5,601.34

63305 00 Surgery 70.45 70.45 $ 5,804.01 $ 5,804.01

63306 00 Surgery 60.43 60.43 $ 4,978.51 $ 4,978.51

63307 00 Surgery 63.37 63.37 $ 5,220.72 $ 5,220.72

63308 00 Surgery 9.47 9.47 $ 780.18 $ 780.18

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

153

63600 00 Surgery 25.78 25.78 $ 2,123.88 $ 2,123.88

63610 00 Surgery 12.99 12.99 $ 1,750.97 $ 1,750.97

63615 00 Surgery 36.45 36.45 $ 3,002.92 $ 3,002.92

63620 00 Surgery 32.88 32.88 $ 2,708.81 $ 2,708.81

63621 00 Surgery 7.41 7.41 $ 622.85 $ 622.85

63650 00 Surgery 37.24 11.82 $ 3,068.01 $ 973.79

63655 00 Surgery 24.09 24.09 $ 1,984.65 $ 1,984.65

63661 00 Surgery 16.54 9.27 $ 1,362.64 $ 763.71

63662 00 Surgery 24.33 24.33 $ 2,004.42 $ 2,004.42

63663 00 Surgery 22.31 12.93 $ 1,838.00 $ 1,065.24

63664 00 Surgery 25.12 25.12 $ 2,069.51 $ 2,069.51

63685 00 Surgery 10.54 10.54 $ 868.34 $ 868.34

63688 00 Surgery 10.71 10.71 $ 882.34 $ 882.34

63700 00 Surgery 33.40 33.40 $ 2,751.65 $ 2,751.65

63702 00 Surgery 37.12 37.12 $ 3,058.12 $ 3,058.12

63704 00 Surgery 42.28 42.28 $ 3,483.23 $ 3,483.23

63706 00 Surgery 50.77 50.77 $ 4,182.67 $ 4,182.67

63707 00 Surgery 26.77 26.77 $ 2,205.44 $ 2,205.44

63709 00 Surgery 32.02 32.02 $ 2,637.96 $ 2,637.96

63710 00 Surgery 31.47 31.47 $ 2,592.65 $ 2,592.65

63740 00 Surgery 27.28 27.28 $ 2,247.46 $ 2,247.46

63741 00 Surgery 19.69 19.69 $ 1,622.16 $ 1,622.16

63744 00 Surgery 19.27 19.27 $ 1,587.55 $ 1,587.55

63746 00 Surgery 17.60 17.60 $ 1,449.97 $ 1,449.97

64400 00 Surgery 3.63 2.05 $ 299.06 $ 168.89

64402 00 Surgery 3.81 2.32 $ 313.89 $ 191.13

64405 00 Surgery 2.86 1.81 $ 235.62 $ 149.12

64408 00 Surgery 3.38 2.49 $ 278.46 $ 205.14

64410 00 Surgery 3.85 2.17 $ 317.18 $ 178.77

64413 00 Surgery 3.62 2.33 $ 298.23 $ 191.96

64415 00 Surgery 3.32 1.86 $ 273.52 $ 153.24

64416 00 Surgery 2.26 2.26 $ 303.00 $ 303.00

64417 00 Surgery 3.63 2.01 $ 299.06 $ 165.59

64418 00 Surgery 4.12 2.19 $ 339.43 $ 180.42

64420 00 Surgery 3.15 1.94 $ 259.51 $ 159.83

64421 00 Surgery 4.25 2.63 $ 350.14 $ 216.67

64425 00 Surgery 3.74 2.68 $ 308.12 $ 220.79

64430 00 Surgery 3.90 2.33 $ 321.30 $ 191.96

64435 00 Surgery 3.84 2.38 $ 316.36 $ 196.08

64445 00 Surgery 3.84 2.07 $ 316.36 $ 170.54

64446 00 Surgery 2.26 2.26 $ 307.50 $ 307.50

64447 00 Surgery 3.38 1.90 $ 278.46 $ 156.53

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

154

64448 00 Surgery 2.04 2.04 $ 282.75 $ 282.75

64449 00 Surgery 2.40 2.40 $ 220.70 $ 220.70

64450 00 Surgery 2.27 1.30 $ 187.01 $ 107.10

64455 00 Surgery 1.36 1.00 $ 112.04 $ 82.38

64461 00 Surgery 4.21 2.50 $ 346.84 $ 205.96

64462 00 Surgery 2.39 1.57 $ 196.90 $ 129.34

64463 00 Surgery 4.72 2.57 $ 388.86 $ 211.73

64479 00 Surgery 6.65 3.79 $ 547.86 $ 312.24

64480 00 Surgery 3.19 1.82 $ 262.81 $ 149.94

64483 00 Surgery 6.17 3.21 $ 508.31 $ 264.46

64484 00 Surgery 2.48 1.49 $ 204.31 $ 122.75

64486 00 Surgery 3.45 1.79 $ 284.23 $ 147.47

64487 00 Surgery 3.82 1.94 $ 314.71 $ 159.83

64488 00 Surgery 3.96 2.12 $ 326.24 $ 174.66

64489 00 Surgery 5.06 2.26 $ 416.87 $ 186.19

64490 00 Surgery 5.35 3.05 $ 440.76 $ 251.27

64491 00 Surgery 2.65 1.73 $ 218.32 $ 142.53

64492 00 Surgery 2.66 1.75 $ 219.14 $ 144.17

64493 00 Surgery 4.85 2.60 $ 399.57 $ 214.20

64494 00 Surgery 2.44 1.49 $ 201.02 $ 122.75

64495 00 Surgery 2.45 1.51 $ 201.84 $ 124.40

64505 00 Surgery 3.01 2.52 $ 247.98 $ 207.61

64508 00 Surgery 1.71 2.06 $ 200.16 $ 241.13

64510 00 Surgery 3.59 2.10 $ 295.76 $ 173.01

64517 00 Surgery 5.27 3.56 $ 434.17 $ 293.29

64520 00 Surgery 5.25 2.32 $ 432.52 $ 191.13

64530 00 Surgery 5.35 2.62 $ 440.76 $ 215.85

64550 00 Surgery 0.45 0.25 $ 56.45 $ 31.36

64553 00 Surgery 5.77 4.35 $ 475.36 $ 358.37

64555 00 Surgery 5.99 4.38 $ 493.48 $ 360.85

64561 00 Surgery 23.42 8.74 $ 1,929.45 $ 720.04

64565 00 Surgery 5.50 3.85 $ 453.12 $ 317.18

64566 00 Surgery 3.61 0.87 $ 297.41 $ 71.67

64568 00 Surgery 18.87 18.87 $ 1,554.60 $ 1,554.60

64569 00 Surgery 22.72 22.72 $ 1,871.78 $ 1,871.78

64570 00 Surgery 19.03 19.03 $ 1,567.78 $ 1,567.78

64575 00 Surgery 9.22 9.22 $ 759.59 $ 759.59

64580 00 Surgery 8.69 8.69 $ 715.92 $ 715.92

64581 00 Surgery 19.14 19.14 $ 1,576.84 $ 1,576.84

64585 00 Surgery 6.98 4.12 $ 575.05 $ 339.43

64590 00 Surgery 7.56 4.63 $ 622.83 $ 381.44

64595 00 Surgery 7.00 3.63 $ 576.69 $ 299.06

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

155

64600 00 Surgery 11.18 6.34 $ 921.06 $ 522.32

64605 00 Surgery 17.33 9.96 $ 1,427.73 $ 820.55

64610 00 Surgery 21.34 14.25 $ 1,758.09 $ 1,173.98

64611 00 Surgery 3.37 2.97 $ 277.64 $ 244.68

64612 00 Surgery 3.73 3.35 $ 307.30 $ 275.99

64615 00 Surgery 4.16 3.62 $ 342.72 $ 298.23

64616 00 Surgery 3.65 3.18 $ 300.70 $ 261.98

64617 00 Surgery 5.12 3.41 $ 421.81 $ 280.93

64620 00 Surgery 5.80 4.91 $ 477.83 $ 404.51

64630 00 Surgery 6.58 5.50 $ 542.09 $ 453.12

64632 00 Surgery 2.43 1.97 $ 200.19 $ 162.30

64633 00 Surgery 11.87 6.47 $ 977.91 $ 533.03

64634 00 Surgery 5.32 1.96 $ 438.29 $ 161.47

64635 00 Surgery 11.74 6.38 $ 967.20 $ 525.61

64636 00 Surgery 4.84 1.71 $ 398.74 $ 140.88

64640 00 Surgery 3.75 2.66 $ 308.94 $ 219.14

64642 00 Surgery 4.06 3.15 $ 334.48 $ 259.51

64643 00 Surgery 2.65 2.09 $ 218.32 $ 172.18

64644 00 Surgery 4.67 3.44 $ 384.74 $ 283.40

64645 00 Surgery 3.28 2.42 $ 270.22 $ 199.37

64646 00 Surgery 4.26 3.37 $ 350.96 $ 277.64

64647 00 Surgery 5.08 3.99 $ 418.51 $ 328.72

64650 00 Surgery 2.21 1.22 $ 182.07 $ 100.51

64653 00 Surgery 2.69 1.56 $ 221.62 $ 128.52

64680 00 Surgery 8.69 4.73 $ 715.92 $ 389.68

64681 00 Surgery 14.92 7.83 $ 1,229.18 $ 645.07

64702 00 Surgery 14.34 14.34 $ 1,181.40 $ 1,181.40

64704 00 Surgery 9.16 9.16 $ 754.64 $ 754.64

64708 00 Surgery 14.31 14.31 $ 1,178.93 $ 1,178.93

64712 00 Surgery 16.70 16.70 $ 1,375.83 $ 1,375.83

64713 00 Surgery 22.12 22.12 $ 1,822.35 $ 1,822.35

64714 00 Surgery 20.40 20.40 $ 1,680.65 $ 1,680.65

64716 00 Surgery 15.31 15.31 $ 1,575.00 $ 1,575.00

64718 00 Surgery 16.98 16.98 $ 1,398.89 $ 1,398.89

64719 00 Surgery 11.48 11.48 $ 945.78 $ 945.78

64721 00 Surgery 12.30 12.23 $ 1,013.33 $ 1,007.57

64722 00 Surgery 10.43 10.43 $ 1,056.15 $ 1,056.15

64726 00 Surgery 7.83 7.83 $ 645.07 $ 645.07

64727 00 Surgery 5.35 5.35 $ 440.76 $ 440.76

64732 00 Surgery 10.80 10.80 $ 889.76 $ 889.76

64734 00 Surgery 14.56 14.56 $ 1,199.52 $ 1,199.52

64736 00 Surgery 11.17 11.17 $ 920.24 $ 920.24

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

156

64738 00 Surgery 13.23 13.23 $ 1,089.95 $ 1,089.95

64740 00 Surgery 12.98 12.98 $ 1,069.35 $ 1,069.35

64742 00 Surgery 13.06 13.06 $ 1,075.95 $ 1,075.95

64744 00 Surgery 14.19 14.19 $ 1,169.04 $ 1,169.04

64746 00 Surgery 12.23 12.23 $ 1,007.57 $ 1,007.57

64755 00 Surgery 25.28 25.28 $ 2,082.69 $ 2,082.69

64760 00 Surgery 14.29 14.29 $ 1,177.28 $ 1,177.28

64763 00 Surgery 13.80 13.80 $ 1,136.91 $ 1,136.91

64766 00 Surgery 16.21 16.21 $ 1,335.46 $ 1,335.46

64771 00 Surgery 17.27 17.27 $ 1,422.78 $ 1,422.78

64772 00 Surgery 16.22 16.22 $ 1,336.28 $ 1,336.28

64774 00 Surgery 11.91 11.91 $ 981.20 $ 981.20

64776 00 Surgery 11.15 11.15 $ 918.59 $ 918.59

64778 00 Surgery 4.09 4.09 $ 336.95 $ 336.95

64782 00 Surgery 13.07 13.07 $ 1,076.77 $ 1,076.77

64783 00 Surgery 6.41 6.41 $ 528.09 $ 528.09

64784 00 Surgery 20.98 20.98 $ 1,728.43 $ 1,728.43

64786 00 Surgery 31.24 31.24 $ 2,573.70 $ 2,573.70

64787 00 Surgery 7.03 7.03 $ 579.16 $ 579.16

64788 00 Surgery 11.47 11.47 $ 944.95 $ 944.95

64790 00 Surgery 24.43 24.43 $ 2,012.66 $ 2,012.66

64792 00 Surgery 31.25 31.25 $ 2,574.52 $ 2,574.52

64795 00 Surgery 5.61 5.61 $ 462.18 $ 462.18

64802 00 Surgery 18.54 18.54 $ 1,527.41 $ 1,527.41

64804 00 Surgery 25.87 25.87 $ 2,131.29 $ 2,131.29

64809 00 Surgery 26.14 26.14 $ 2,153.54 $ 2,153.54

64818 00 Surgery 16.44 16.44 $ 1,354.41 $ 1,354.41

64820 00 Surgery 20.38 20.38 $ 1,679.00 $ 1,679.00

64821 00 Surgery 19.84 19.84 $ 1,634.51 $ 1,634.51

64822 00 Surgery 19.83 19.83 $ 1,633.69 $ 1,633.69

64823 00 Surgery 22.68 22.68 $ 1,868.49 $ 1,868.49

64831 00 Surgery 19.73 19.73 $ 1,625.45 $ 1,625.45

64832 00 Surgery 9.78 9.78 $ 805.72 $ 805.72

64834 00 Surgery 21.46 21.46 $ 1,767.98 $ 1,767.98

64835 00 Surgery 23.20 23.20 $ 1,911.33 $ 1,911.33

64836 00 Surgery 23.72 23.72 $ 1,954.17 $ 1,954.17

64837 00 Surgery 11.04 11.04 $ 909.53 $ 909.53

64840 00 Surgery 28.05 28.05 $ 2,310.89 $ 2,310.89

64856 00 Surgery 29.19 29.19 $ 2,404.81 $ 2,404.81

64857 00 Surgery 30.42 30.42 $ 2,506.14 $ 2,506.14

64858 00 Surgery 33.79 33.79 $ 2,783.78 $ 2,783.78

64859 00 Surgery 7.27 7.27 $ 598.94 $ 598.94

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

157

64861 00 Surgery 36.06 36.06 $ 2,970.79 $ 2,970.79

64862 00 Surgery 40.19 40.19 $ 3,311.04 $ 3,311.04

64864 00 Surgery 25.35 25.35 $ 2,088.45 $ 2,088.45

64865 00 Surgery 32.12 32.12 $ 2,646.20 $ 2,646.20

64866 00 Surgery 32.94 32.94 $ 2,713.75 $ 2,713.75

64868 00 Surgery 29.76 29.76 $ 2,451.77 $ 2,451.77

64872 00 Surgery 3.39 3.39 $ 279.28 $ 279.28

64874 00 Surgery 4.76 4.76 $ 392.15 $ 392.15

64876 00 Surgery 5.12 5.12 $ 421.81 $ 421.81

64885 00 Surgery 32.76 32.76 $ 2,698.93 $ 2,698.93

64886 00 Surgery 37.48 37.48 $ 3,087.78 $ 3,087.78

64890 00 Surgery 31.45 31.45 $ 2,591.00 $ 2,591.00

64891 00 Surgery 33.28 33.28 $ 2,741.77 $ 2,741.77

64892 00 Surgery 30.11 30.11 $ 2,480.61 $ 2,480.61

64893 00 Surgery 32.84 32.84 $ 2,705.52 $ 2,705.52

64895 00 Surgery 38.76 38.76 $ 3,193.23 $ 3,193.23

64896 00 Surgery 41.51 41.51 $ 3,419.79 $ 3,419.79

64897 00 Surgery 37.09 37.09 $ 3,055.65 $ 3,055.65

64898 00 Surgery 42.87 42.87 $ 3,531.84 $ 3,531.84

64901 00 Surgery 16.10 16.10 $ 1,326.39 $ 1,326.39

64902 00 Surgery 18.84 18.84 $ 1,552.13 $ 1,552.13

64905 00 Surgery 29.81 29.81 $ 2,455.89 $ 2,455.89

64907 00 Surgery 38.34 38.34 $ 3,158.63 $ 3,158.63

64910 00 Surgery 23.65 23.65 $ 1,948.40 $ 1,948.40

64911 00 Surgery 29.28 29.28 $ 2,412.23 $ 2,412.23

64999 00 Surgery - - BR BR

65091 00 Surgery 18.00 18.00 $ 1,482.93 $ 1,482.93

65093 00 Surgery 17.78 17.78 $ 1,464.80 $ 1,464.80

65101 00 Surgery 20.90 20.90 $ 1,721.84 $ 1,721.84

65103 00 Surgery 21.80 21.80 $ 1,795.99 $ 1,795.99

65105 00 Surgery 24.02 24.02 $ 1,978.88 $ 1,978.88

65110 00 Surgery 34.69 34.69 $ 2,857.93 $ 2,857.93

65112 00 Surgery 40.28 40.28 $ 3,318.46 $ 3,318.46

65114 00 Surgery 41.95 41.95 $ 3,456.04 $ 3,456.04

65125 00 Surgery 12.77 8.19 $ 1,052.05 $ 674.73

65130 00 Surgery 20.69 20.69 $ 1,704.54 $ 1,704.54

65135 00 Surgery 21.01 21.01 $ 1,730.90 $ 1,730.90

65140 00 Surgery 22.83 22.83 $ 1,880.84 $ 1,880.84

65150 00 Surgery 16.37 16.37 $ 1,348.64 $ 1,348.64

65155 00 Surgery 23.91 23.91 $ 1,969.82 $ 1,969.82

65175 00 Surgery 18.61 18.61 $ 1,533.18 $ 1,533.18

65205 00 Surgery 1.59 1.25 $ 130.99 $ 102.98

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

158

65210 00 Surgery 1.94 1.51 $ 159.83 $ 124.40

65220 00 Surgery 1.65 1.21 $ 135.93 $ 99.69

65222 00 Surgery 1.89 1.48 $ 155.71 $ 121.93

65235 00 Surgery 20.11 20.11 $ 1,656.76 $ 1,656.76

65260 00 Surgery 27.22 27.22 $ 2,242.51 $ 2,242.51

65265 00 Surgery 30.64 30.64 $ 2,524.27 $ 2,524.27

65270 00 Surgery 7.50 3.98 $ 617.89 $ 327.89

65272 00 Surgery 14.20 9.95 $ 1,169.86 $ 819.73

65273 00 Surgery 10.81 10.81 $ 890.58 $ 890.58

65275 00 Surgery 16.34 13.09 $ 1,346.17 $ 1,078.42

65280 00 Surgery 19.04 19.04 $ 1,568.61 $ 1,568.61

65285 00 Surgery 31.43 31.43 $ 2,589.35 $ 2,589.35

65286 00 Surgery 19.90 14.05 $ 1,639.46 $ 1,157.51

65290 00 Surgery 13.95 13.95 $ 1,149.27 $ 1,149.27

65400 00 Surgery 19.23 17.10 $ 1,584.26 $ 1,408.78

65410 00 Surgery 4.04 2.97 $ 366.53 $ 269.46

65420 00 Surgery 14.59 10.70 $ 1,201.99 $ 881.52

65426 00 Surgery 18.43 13.57 $ 1,518.35 $ 1,117.96

65430 00 Surgery 3.23 2.94 $ 266.10 $ 242.21

65435 00 Surgery 2.26 1.98 $ 186.19 $ 163.12

65436 00 Surgery 10.97 10.54 $ 903.76 $ 868.34

65450 00 Surgery 9.20 9.11 $ 757.94 $ 750.53

65600 00 Surgery 11.16 9.76 $ 919.41 $ 804.08

65710 00 Surgery 31.33 31.33 $ 2,581.11 $ 2,581.11

65730 00 Surgery 34.78 34.78 $ 2,865.34 $ 2,865.34

65750 00 Surgery 34.97 34.97 $ 2,881.00 $ 2,881.00

65755 00 Surgery 34.79 34.79 $ 2,866.17 $ 2,866.17

65756 00 Surgery 33.59 33.59 $ 2,767.30 $ 2,767.30

65757 00 Surgery - - BR BR

65760 00 Surgery 33.03 33.03 $ 2,738.33 $ 2,738.33

65765 00 Surgery 47.88 47.88 $ 3,944.58 $ 3,944.58

65767 00 Surgery 44.58 44.58 $ 3,672.71 $ 3,672.71

65770 00 Surgery 39.74 39.74 $ 3,273.97 $ 3,273.97

65771 00 Surgery 18.16 18.16 $ 1,496.11 $ 1,496.11

65772 00 Surgery 12.77 11.52 $ 1,052.05 $ 949.07

65775 00 Surgery 15.62 15.62 $ 1,303.37 $ 1,303.37

65778 00 Surgery 40.13 1.63 $ 3,306.10 $ 134.29

65779 00 Surgery 33.97 4.32 $ 2,798.61 $ 355.90

65780 00 Surgery 18.89 18.89 $ 1,556.25 $ 1,556.25

65781 00 Surgery 37.80 37.80 $ 3,114.14 $ 3,114.14

65782 00 Surgery 32.62 32.62 $ 2,687.39 $ 2,687.39

65785 00 Surgery 59.79 11.02 $ 4,925.79 $ 907.88

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

159

65800 00 Surgery 3.37 2.60 $ 277.64 $ 214.20

65810 00 Surgery 13.19 13.19 $ 1,086.66 $ 1,086.66

65815 00 Surgery 18.02 13.54 $ 1,484.57 $ 1,115.49

65820 00 Surgery 21.19 21.19 $ 1,745.73 $ 1,745.73

65850 00 Surgery 23.79 23.79 $ 1,959.93 $ 1,959.93

65855 00 Surgery 6.92 5.90 $ 722.97 $ 616.41

65860 00 Surgery 8.73 7.19 $ 719.22 $ 592.35

65865 00 Surgery 13.40 13.40 $ 1,103.96 $ 1,103.96

65870 00 Surgery 16.75 16.75 $ 1,379.94 $ 1,379.94

65875 00 Surgery 17.86 17.86 $ 1,471.39 $ 1,471.39

65880 00 Surgery 18.80 18.80 $ 1,548.83 $ 1,548.83

65900 00 Surgery 27.30 27.30 $ 2,249.10 $ 2,249.10

65920 00 Surgery 22.33 22.33 $ 1,839.65 $ 1,839.65

65930 00 Surgery 18.06 18.06 $ 1,487.87 $ 1,487.87

66020 00 Surgery 5.27 3.72 $ 434.17 $ 306.47

66030 00 Surgery 4.69 3.14 $ 386.38 $ 258.69

66130 00 Surgery 19.70 16.15 $ 1,622.98 $ 1,330.51

66150 00 Surgery 24.83 24.83 $ 2,045.61 $ 2,045.61

66155 00 Surgery 24.81 24.81 $ 2,043.97 $ 2,043.97

66160 00 Surgery 27.98 27.98 $ 2,305.13 $ 2,305.13

66170 00 Surgery 31.01 31.01 $ 2,554.75 $ 2,554.75

66172 00 Surgery 33.74 33.74 $ 2,779.66 $ 2,779.66

66174 00 Surgery 26.87 26.87 $ 2,314.17 $ 2,314.17

66175 00 Surgery 28.14 28.14 $ 2,687.41 $ 2,687.41

66179 00 Surgery 30.54 30.54 $ 2,516.03 $ 2,516.03

66180 00 Surgery 32.23 32.23 $ 2,655.26 $ 2,655.26

66183 00 Surgery 29.18 29.18 $ 2,403.99 $ 2,403.99

66184 00 Surgery 22.24 22.24 $ 1,832.24 $ 1,832.24

66185 00 Surgery 23.92 23.92 $ 1,970.64 $ 1,970.64

66220 00 Surgery 20.12 20.12 $ 1,657.58 $ 1,657.58

66225 00 Surgery 26.42 26.42 $ 2,176.61 $ 2,176.61

66250 00 Surgery 21.17 15.80 $ 1,744.09 $ 1,301.68

66500 00 Surgery 10.03 10.03 $ 826.32 $ 826.32

66505 00 Surgery 11.06 11.06 $ 911.18 $ 911.18

66600 00 Surgery 23.58 23.58 $ 1,942.63 $ 1,942.63

66605 00 Surgery 29.94 29.94 $ 2,466.60 $ 2,466.60

66625 00 Surgery 12.16 12.16 $ 1,001.80 $ 1,001.80

66630 00 Surgery 16.14 16.14 $ 1,329.69 $ 1,329.69

66635 00 Surgery 16.28 16.28 $ 1,341.22 $ 1,341.22

66680 00 Surgery 14.68 14.68 $ 1,209.41 $ 1,209.41

66682 00 Surgery 18.06 18.06 $ 1,487.87 $ 1,487.87

66700 00 Surgery 12.74 11.15 $ 1,049.58 $ 918.59

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

160

66710 00 Surgery 12.44 11.14 $ 1,024.87 $ 917.77

66711 00 Surgery 18.22 18.22 $ 1,501.05 $ 1,501.05

66720 00 Surgery 13.02 11.60 $ 1,072.65 $ 955.66

66740 00 Surgery 12.36 11.14 $ 1,018.28 $ 917.77

66761 00 Surgery 8.37 6.69 $ 777.16 $ 621.17

66762 00 Surgery 13.44 12.09 $ 1,107.25 $ 996.03

66770 00 Surgery 14.94 13.72 $ 1,230.83 $ 1,130.32

66820 00 Surgery 11.16 11.16 $ 919.41 $ 919.41

66821 00 Surgery 9.33 8.81 $ 768.65 $ 725.81

66825 00 Surgery 21.52 21.52 $ 1,772.92 $ 1,772.92

66830 00 Surgery 20.22 20.22 $ 1,665.82 $ 1,665.82

66840 00 Surgery 19.74 19.74 $ 1,626.28 $ 1,626.28

66850 00 Surgery 22.47 22.47 $ 1,851.19 $ 1,851.19

66852 00 Surgery 23.93 23.93 $ 1,971.47 $ 1,971.47

66920 00 Surgery 21.38 21.38 $ 1,761.39 $ 1,761.39

66930 00 Surgery 24.24 24.24 $ 1,997.01 $ 1,997.01

66940 00 Surgery 22.17 22.17 $ 1,826.47 $ 1,826.47

66982 00 Surgery 22.54 22.54 $ 2,146.70 $ 2,146.70

66983 00 Surgery 21.02 21.02 $ 1,738.88 $ 1,738.88

66984 00 Surgery 18.14 18.14 $ 1,766.96 $ 1,766.96

66985 00 Surgery 21.82 21.82 $ 1,797.64 $ 1,797.64

66986 00 Surgery 25.76 25.76 $ 2,122.23 $ 2,122.23

66990 00 Surgery 2.57 2.57 $ 211.73 $ 211.73

66999 00 Surgery - - BR BR

67005 00 Surgery 13.39 13.39 $ 1,270.21 $ 1,270.21

67010 00 Surgery 15.38 15.38 $ 2,240.25 $ 2,240.25

67015 00 Surgery 16.44 16.44 $ 1,354.41 $ 1,354.41

67025 00 Surgery 20.54 17.93 $ 1,692.18 $ 1,477.16

67027 00 Surgery 24.16 24.16 $ 1,990.42 $ 1,990.42

67028 00 Surgery 2.89 2.85 $ 478.90 $ 472.27

67030 00 Surgery 15.08 15.08 $ 1,242.36 $ 1,242.36

67031 00 Surgery 11.00 10.11 $ 906.23 $ 832.91

67036 00 Surgery 25.54 25.54 $ 2,403.73 $ 2,403.73

67039 00 Surgery 27.37 27.37 $ 2,438.89 $ 2,438.89

67040 00 Surgery 29.59 29.59 $ 2,666.36 $ 2,666.36

67041 00 Surgery 32.66 32.66 $ 2,690.69 $ 2,690.69

67042 00 Surgery 32.69 32.69 $ 2,693.16 $ 2,693.16

67043 00 Surgery 34.52 34.52 $ 2,843.92 $ 2,843.92

67101 00 Surgery 9.28 8.07 $ 1,647.91 $ 1,433.04

67105 00 Surgery 8.40 7.80 $ 1,486.04 $ 1,379.89

67107 00 Surgery 32.12 32.12 $ 2,646.20 $ 2,646.20

67108 00 Surgery 34.06 34.06 $ 2,965.37 $ 2,965.37

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

161

67110 00 Surgery 24.82 23.04 $ 2,044.79 $ 1,898.15

67113 00 Surgery 38.01 38.01 $ 3,131.45 $ 3,131.45

67115 00 Surgery 14.17 14.17 $ 1,167.39 $ 1,167.39

67120 00 Surgery 18.60 15.82 $ 1,532.36 $ 1,303.33

67121 00 Surgery 25.75 25.75 $ 2,121.41 $ 2,121.41

67141 00 Surgery 14.82 13.83 $ 1,220.94 $ 1,139.38

67145 00 Surgery 14.91 14.12 $ 1,228.36 $ 1,163.27

67208 00 Surgery 16.98 16.40 $ 1,398.89 $ 1,351.11

67210 00 Surgery 14.68 14.19 $ 1,209.41 $ 1,169.04

67218 00 Surgery 39.25 39.25 $ 3,233.60 $ 3,233.60

67220 00 Surgery 15.12 14.19 $ 1,465.50 $ 1,375.36

67221 00 Surgery 8.12 6.07 $ 668.96 $ 500.08

67225 00 Surgery 0.84 0.80 $ 69.20 $ 65.91

67227 00 Surgery 8.21 7.29 $ 1,092.83 $ 970.36

67228 00 Surgery 9.65 8.72 $ 1,580.12 $ 1,427.84

67229 00 Surgery 33.06 33.06 $ 2,723.64 $ 2,723.64

67250 00 Surgery 22.11 22.11 $ 1,821.53 $ 1,821.53

67255 00 Surgery 19.37 19.37 $ 1,669.64 $ 1,669.64

67299 00 Surgery - - BR BR

67311 00 Surgery 16.94 16.94 $ 1,395.60 $ 1,395.60

67312 00 Surgery 20.17 20.17 $ 1,661.70 $ 1,661.70

67314 00 Surgery 19.06 19.06 $ 1,570.25 $ 1,570.25

67316 00 Surgery 22.72 22.72 $ 1,871.78 $ 1,871.78

67318 00 Surgery 20.00 20.00 $ 1,647.70 $ 1,647.70

67320 00 Surgery 9.17 9.17 $ 1,257.06 $ 1,257.06

67331 00 Surgery 8.71 8.71 $ 1,070.75 $ 1,070.75

67332 00 Surgery 9.45 9.45 $ 1,314.92 $ 1,314.92

67334 00 Surgery 8.58 8.58 $ 963.79 $ 963.79

67335 00 Surgery 4.23 4.23 $ 374.94 $ 374.94

67340 00 Surgery 10.20 10.20 $ 1,214.09 $ 1,214.09

67343 00 Surgery 18.54 18.54 $ 1,527.41 $ 1,527.41

67345 00 Surgery 6.87 6.20 $ 565.98 $ 510.79

67346 00 Surgery 5.51 5.51 $ 453.94 $ 453.94

67399 00 Surgery - - BR BR

67400 00 Surgery 26.33 26.33 $ 2,169.19 $ 2,169.19

67405 00 Surgery 22.43 22.43 $ 1,847.89 $ 1,847.89

67412 00 Surgery 24.09 24.09 $ 1,984.65 $ 1,984.65

67413 00 Surgery 24.19 24.19 $ 1,992.89 $ 1,992.89

67414 00 Surgery 37.60 37.60 $ 3,097.67 $ 3,097.67

67415 00 Surgery 2.99 2.99 $ 251.24 $ 251.24

67420 00 Surgery 45.88 45.88 $ 3,779.81 $ 3,779.81

67430 00 Surgery 35.02 35.02 $ 2,885.11 $ 2,885.11

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

162

67440 00 Surgery 34.14 34.14 $ 2,812.62 $ 2,812.62

67445 00 Surgery 39.74 39.74 $ 3,273.97 $ 3,273.97

67450 00 Surgery 35.40 35.40 $ 2,916.42 $ 2,916.42

67500 00 Surgery 2.22 2.04 $ 182.89 $ 168.06

67505 00 Surgery 2.51 2.30 $ 206.79 $ 189.48

67515 00 Surgery 2.75 2.54 $ 226.56 $ 209.26

67550 00 Surgery 27.31 27.31 $ 2,249.93 $ 2,249.93

67560 00 Surgery 27.98 27.98 $ 2,305.13 $ 2,305.13

67570 00 Surgery 33.06 33.06 $ 2,723.64 $ 2,723.64

67599 00 Surgery - - BR BR

67700 00 Surgery 7.56 3.30 $ 622.83 $ 271.87

67710 00 Surgery 6.29 2.75 $ 518.20 $ 226.56

67715 00 Surgery 6.75 3.07 $ 556.10 $ 252.92

67800 00 Surgery 3.58 2.94 $ 294.94 $ 242.21

67801 00 Surgery 4.58 3.78 $ 377.32 $ 311.41

67805 00 Surgery 5.69 4.67 $ 468.77 $ 384.74

67808 00 Surgery 10.44 10.44 $ 860.10 $ 860.10

67810 00 Surgery 4.87 2.06 $ 401.21 $ 169.71

67820 00 Surgery 1.42 1.51 $ 116.99 $ 124.40

67825 00 Surgery 3.63 3.44 $ 299.06 $ 283.40

67830 00 Surgery 7.49 3.91 $ 617.06 $ 322.12

67835 00 Surgery 12.45 12.45 $ 1,025.69 $ 1,025.69

67840 00 Surgery 7.76 4.49 $ 639.31 $ 369.91

67850 00 Surgery 6.08 3.87 $ 500.90 $ 318.83

67875 00 Surgery 4.84 2.77 $ 398.74 $ 228.21

67880 00 Surgery 12.95 10.45 $ 1,066.88 $ 860.92

67882 00 Surgery 15.94 13.39 $ 1,313.21 $ 1,103.13

67900 00 Surgery 18.11 14.47 $ 1,491.99 $ 1,192.11

67901 00 Surgery 21.39 16.37 $ 1,762.21 $ 1,348.64

67902 00 Surgery 20.51 20.51 $ 1,689.71 $ 1,689.71

67903 00 Surgery 16.78 13.73 $ 1,382.42 $ 1,131.14

67904 00 Surgery 20.71 16.96 $ 1,706.19 $ 1,397.25

67906 00 Surgery 14.42 14.42 $ 1,187.99 $ 1,187.99

67908 00 Surgery 13.94 12.03 $ 1,148.44 $ 991.09

67909 00 Surgery 15.16 12.45 $ 1,248.95 $ 1,025.69

67911 00 Surgery 15.96 15.96 $ 1,321.07 $ 1,321.07

67912 00 Surgery 24.85 13.91 $ 2,047.26 $ 1,145.97

67914 00 Surgery 13.26 9.29 $ 1,092.42 $ 765.35

67915 00 Surgery 8.24 5.60 $ 678.85 $ 461.35

67916 00 Surgery 16.73 12.24 $ 1,378.30 $ 1,008.39

67917 00 Surgery 17.03 13.00 $ 1,403.01 $ 1,071.00

67921 00 Surgery 12.98 8.80 $ 1,069.35 $ 724.99

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

163

67922 00 Surgery 8.17 5.60 $ 673.08 $ 461.35

67923 00 Surgery 16.70 12.22 $ 1,375.83 $ 1,006.74

67924 00 Surgery 17.80 13.00 $ 1,466.45 $ 1,071.00

67930 00 Surgery 10.30 6.83 $ 848.56 $ 562.69

67935 00 Surgery 16.81 12.57 $ 1,384.89 $ 1,035.58

67938 00 Surgery 6.87 3.30 $ 565.98 $ 271.87

67950 00 Surgery 16.19 13.16 $ 1,333.81 $ 1,084.18

67961 00 Surgery 16.24 12.91 $ 1,337.93 $ 1,063.59

67966 00 Surgery 21.73 18.66 $ 1,790.22 $ 1,537.30

67971 00 Surgery 20.53 20.53 $ 1,691.36 $ 1,691.36

67973 00 Surgery 26.42 26.42 $ 2,176.61 $ 2,176.61

67974 00 Surgery 26.35 26.35 $ 2,170.84 $ 2,170.84

67975 00 Surgery 19.42 19.42 $ 1,599.91 $ 1,599.91

67999 00 Surgery - - BR BR

68020 00 Surgery 3.38 3.13 $ 278.46 $ 257.86

68040 00 Surgery 1.75 1.43 $ 144.17 $ 117.81

68100 00 Surgery 4.79 2.77 $ 394.62 $ 228.21

68110 00 Surgery 6.36 4.21 $ 523.97 $ 346.84

68115 00 Surgery 8.78 5.22 $ 723.34 $ 430.05

68130 00 Surgery 15.21 11.68 $ 1,253.07 $ 962.25

68135 00 Surgery 4.43 4.28 $ 364.96 $ 352.61

68200 00 Surgery 1.17 0.99 $ 96.39 $ 81.56

68320 00 Surgery 20.46 15.29 $ 1,685.59 $ 1,259.66

68325 00 Surgery 18.68 18.68 $ 1,538.95 $ 1,538.95

68326 00 Surgery 18.32 18.32 $ 1,509.29 $ 1,509.29

68328 00 Surgery 20.11 20.11 $ 1,656.76 $ 1,656.76

68330 00 Surgery 17.07 13.08 $ 1,406.31 $ 1,077.59

68335 00 Surgery 18.39 18.39 $ 1,515.06 $ 1,515.06

68340 00 Surgery 15.38 11.32 $ 1,267.08 $ 932.60

68360 00 Surgery 15.03 11.69 $ 1,238.24 $ 963.08

68362 00 Surgery 18.62 18.62 $ 1,534.00 $ 1,534.00

68371 00 Surgery 11.71 11.71 $ 964.73 $ 964.73

68399 00 Surgery - - BR BR

68400 00 Surgery 8.00 3.74 $ 659.08 $ 308.12

68420 00 Surgery 9.05 4.78 $ 745.58 $ 393.80

68440 00 Surgery 2.88 2.80 $ 237.27 $ 230.68

68500 00 Surgery 27.74 27.74 $ 2,285.35 $ 2,285.35

68505 00 Surgery 27.48 27.48 $ 2,263.93 $ 2,263.93

68510 00 Surgery 12.56 8.29 $ 1,034.75 $ 682.97

68520 00 Surgery 19.47 19.47 $ 1,604.03 $ 1,604.03

68525 00 Surgery 7.52 7.52 $ 619.53 $ 619.53

68530 00 Surgery 12.06 7.32 $ 993.56 $ 603.06

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

164

68540 00 Surgery 26.34 26.34 $ 2,170.01 $ 2,170.01

68550 00 Surgery 31.56 31.56 $ 2,600.06 $ 2,600.06

68700 00 Surgery 17.13 17.13 $ 1,411.25 $ 1,411.25

68705 00 Surgery 6.68 4.72 $ 550.33 $ 388.86

68720 00 Surgery 21.46 21.46 $ 1,767.98 $ 1,767.98

68745 00 Surgery 21.54 21.54 $ 1,774.57 $ 1,774.57

68750 00 Surgery 22.30 22.30 $ 1,837.18 $ 1,837.18

68760 00 Surgery 5.68 4.14 $ 467.95 $ 341.07

68761 00 Surgery 4.17 3.37 $ 343.54 $ 277.64

68770 00 Surgery 17.86 17.86 $ 1,471.39 $ 1,471.39

68801 00 Surgery 2.50 2.24 $ 205.96 $ 184.54

68810 00 Surgery 4.45 3.62 $ 366.61 $ 298.23

68811 00 Surgery 3.87 3.87 $ 361.97 $ 361.97

68815 00 Surgery 11.21 6.29 $ 923.53 $ 518.20

68816 00 Surgery 18.20 4.63 $ 1,499.40 $ 381.44

68840 00 Surgery 3.61 3.30 $ 297.41 $ 271.87

68850 00 Surgery 1.75 1.61 $ 144.17 $ 132.64

68899 00 Surgery - - BR BR

69000 00 Surgery 5.32 3.40 $ 438.29 $ 280.11

69005 00 Surgery 6.10 4.48 $ 502.55 $ 369.08

69020 00 Surgery 6.58 4.06 $ 542.09 $ 334.48

69090 00 Surgery 0.87 0.87 $ 71.96 $ 71.96

69100 00 Surgery 2.86 1.41 $ 235.62 $ 116.16

69105 00 Surgery 3.97 1.82 $ 327.07 $ 149.94

69110 00 Surgery 13.04 9.28 $ 1,074.30 $ 764.53

69120 00 Surgery 11.60 11.60 $ 955.66 $ 955.66

69140 00 Surgery 24.99 24.99 $ 2,058.80 $ 2,058.80

69145 00 Surgery 11.24 7.12 $ 926.00 $ 586.58

69150 00 Surgery 29.96 29.96 $ 2,468.25 $ 2,468.25

69155 00 Surgery 47.72 47.72 $ 3,931.40 $ 3,931.40

69200 00 Surgery 2.35 1.36 $ 193.60 $ 112.04

69205 00 Surgery 2.90 2.90 $ 238.92 $ 238.92

69209 00 Surgery 0.36 0.36 $ 29.66 $ 29.66

69210 00 Surgery 1.39 0.94 $ 114.51 $ 77.44

69220 00 Surgery 2.56 1.48 $ 210.91 $ 121.93

69222 00 Surgery 6.22 3.90 $ 512.43 $ 321.30

69300 00 Surgery 16.88 13.18 $ 1,390.65 $ 1,085.83

69310 00 Surgery 31.16 31.16 $ 2,567.11 $ 2,567.11

69320 00 Surgery 43.54 43.54 $ 3,587.03 $ 3,587.03

69399 00 Surgery - - BR BR

69420 00 Surgery 5.42 3.44 $ 446.53 $ 283.40

69421 00 Surgery 4.25 4.25 $ 350.14 $ 350.14

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

165

69424 00 Surgery 3.61 1.78 $ 297.41 $ 146.64

69433 00 Surgery 5.74 3.78 $ 472.89 $ 311.41

69436 00 Surgery 4.58 4.58 $ 377.32 $ 377.32

69440 00 Surgery 19.67 19.67 $ 1,620.51 $ 1,620.51

69450 00 Surgery 15.56 15.56 $ 1,281.91 $ 1,281.91

69501 00 Surgery 20.97 20.97 $ 1,727.61 $ 1,727.61

69502 00 Surgery 27.92 27.92 $ 2,300.18 $ 2,300.18

69505 00 Surgery 34.39 34.39 $ 2,833.21 $ 2,833.21

69511 00 Surgery 35.26 35.26 $ 2,904.89 $ 2,904.89

69530 00 Surgery 47.77 47.77 $ 3,935.52 $ 3,935.52

69535 00 Surgery 77.15 77.15 $ 6,355.98 $ 6,355.98

69540 00 Surgery 5.92 3.62 $ 487.72 $ 298.23

69550 00 Surgery 29.73 29.73 $ 2,449.30 $ 2,449.30

69552 00 Surgery 44.58 44.58 $ 3,672.71 $ 3,672.71

69554 00 Surgery 72.16 72.16 $ 5,944.88 $ 5,944.88

69601 00 Surgery 29.91 29.91 $ 2,464.13 $ 2,464.13

69602 00 Surgery 31.24 31.24 $ 2,573.70 $ 2,573.70

69603 00 Surgery 36.22 36.22 $ 2,983.98 $ 2,983.98

69604 00 Surgery 31.80 31.80 $ 2,619.84 $ 2,619.84

69605 00 Surgery 47.97 47.97 $ 3,952.00 $ 3,952.00

69610 00 Surgery 10.93 8.34 $ 900.47 $ 687.09

69620 00 Surgery 19.70 13.96 $ 1,622.98 $ 1,150.09

69631 00 Surgery 25.26 25.26 $ 2,081.04 $ 2,081.04

69632 00 Surgery 30.81 30.81 $ 2,538.27 $ 2,538.27

69633 00 Surgery 29.86 29.86 $ 2,460.01 $ 2,460.01

69635 00 Surgery 35.34 35.34 $ 2,911.48 $ 2,911.48

69636 00 Surgery 39.43 39.43 $ 3,248.43 $ 3,248.43

69637 00 Surgery 40.04 40.04 $ 3,298.69 $ 3,298.69

69641 00 Surgery 29.77 29.77 $ 2,452.59 $ 2,452.59

69642 00 Surgery 38.19 38.19 $ 3,146.27 $ 3,146.27

69643 00 Surgery 34.99 34.99 $ 2,882.64 $ 2,882.64

69644 00 Surgery 42.25 42.25 $ 3,480.76 $ 3,480.76

69645 00 Surgery 41.53 41.53 $ 3,421.44 $ 3,421.44

69646 00 Surgery 44.11 44.11 $ 3,633.99 $ 3,633.99

69650 00 Surgery 23.08 23.08 $ 1,901.44 $ 1,901.44

69660 00 Surgery 26.50 26.50 $ 2,183.20 $ 2,183.20

69661 00 Surgery 34.48 34.48 $ 2,840.63 $ 2,840.63

69662 00 Surgery 33.23 33.23 $ 2,737.65 $ 2,737.65

69666 00 Surgery 23.23 23.23 $ 1,913.80 $ 1,913.80

69667 00 Surgery 23.23 23.23 $ 1,913.80 $ 1,913.80

69670 00 Surgery 27.16 27.16 $ 2,237.57 $ 2,237.57

69676 00 Surgery 23.74 23.74 $ 1,955.81 $ 1,955.81

ARIZONA PHYSICIANS' FEE SCHEDULE

Surgery Codes 2017

Surgery/Radiology Conversion Factor: $82.38

CODE CATEGORY

NF

RVU

FAC

RVU RBRVS NF RATE RBRVS FAC RATE

The codes listed herein are CPT only copyright 2016 American Medical Association.

All rights reserved.

166

69700 00 Surgery 19.84 19.84 $ 1,634.51 $ 1,634.51

69710 00 Surgery 16.93 16.93 $ 1,395.13 $ 1,395.13

69711 00 Surgery 24.64 24.64 $ 2,029.96 $ 2,029.96

69714 00 Surgery 30.85 30.85 $ 2,541.57 $ 2,541.57

69715 00 Surgery 39.54 39.54 $ 3,257.49 $ 3,257.49

69717 00 Surgery 32.44 32.44 $ 2,672.56 $ 2,672.56

69718 00 Surgery 38.43 38.43 $ 3,166.05 $ 3,166.05

69720 00 Surgery 34.85 34.85 $ 2,871.11 $ 2,871.11

69725 00 Surgery 53.85 53.85 $ 4,436.42 $ 4,436.42

69740 00 Surgery 34.21 34.21 $ 2,818.38 $ 2,818.38

69745 00 Surgery 33.56 33.56 $ 2,764.83 $ 2,764.83

69799 00 Surgery - - BR BR

69801 00 Surgery 5.56 3.62 $ 1,422.36 $ 926.07

69805 00 Surgery 30.17 30.17 $ 2,485.55 $ 2,485.55

69806 00 Surgery 27.05 27.05 $ 2,228.51 $ 2,228.51

69820 00 Surgery 23.92 23.92 $ 1,970.64 $ 1,970.64

69840 00 Surgery 25.86 25.86 $ 2,130.47 $ 2,130.47

69905 00 Surgery 26.22 26.22 $ 2,160.13 $ 2,160.13

69910 00 Surgery 29.30 29.30 $ 2,413.87 $ 2,413.87

69915 00 Surgery 45.49 45.49 $ 3,747.68 $ 3,747.68

69930 00 Surgery 35.05 35.05 $ 2,887.59 $ 2,887.59

69949 00 Surgery - - BR BR

69950 00 Surgery 52.07 52.07 $ 4,289.77 $ 4,289.77

69955 00 Surgery 56.50 56.50 $ 4,654.74 $ 4,654.74

69960 00 Surgery 55.17 55.17 $ 4,545.17 $ 4,545.17

69970 00 Surgery 61.40 61.40 $ 5,058.42 $ 5,058.42

69979 00 Surgery - - BR BR

69990 00 Surgery 6.43 6.43 $ 529.73 $ 529.73

AZ063-054 Arthroscopic discectomy, transpedicular approach, removal of herniated intervertebral disk; lumbar. Additional levels will use modifier “-50”. Second level will be valued at 50% of the listed value and the third level at 25% of the listed value. 00 Surgery 57.62 57.62 $ 4,747.26 $ 4,747.26