| Abd paracentesis w/imaging (49083) |
— |
$2,101 |
— |
| Acromiopl/Acromionect Partial (23130) |
— |
$2,370 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$1,099 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$3,680 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$714 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$1,552 |
— |
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines |
— |
$106–$234 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$236 |
— |
Application finger splint static (29130)
range across 4 matching MRF lines |
— |
$107–$236 |
— |
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines |
— |
$107–$551 |
— |
Application Long Leg Splint (29505)
range across 3 matching MRF lines |
— |
$107–$236 |
— |
| Application of long leg cast (29345) |
— |
$402 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$160 |
— |
Application short arm splint forearm-hand static (29125)
range across 5 matching MRF lines |
— |
$107–$305 |
— |
Application short leg splint calf foot (29515)
range across 4 matching MRF lines |
— |
$107–$305 |
— |
| Apply hand/wrist cast (29085) |
— |
$55 |
— |
Apply long arm cast (29065)
range across 2 matching MRF lines |
— |
$106–$273 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
— |
$55–$244 |
— |
| Apply Short Leg Cast (29405) |
— |
$234 |
— |
| Arterial puncture (36600) |
— |
$146 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines |
— |
$189–$1,030 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 6 matching MRF lines |
— |
$853–$1,030 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,030 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 4 matching MRF lines |
— |
$138–$335 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$1,167 |
— |
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines |
— |
$2,381–$4,760 |
— |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
— |
$3,587 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$2,021 |
— |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
— |
$2,021 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$2,565 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$1,944 |
— |
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines |
— |
$881–$1,762 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
— |
$1,865 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$2,037 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$1,149 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines |
— |
$1,150–$2,298 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$2,291 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines |
— |
$978–$1,956 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
— |
$1,531–$3,060 |
— |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030)
range across 2 matching MRF lines |
— |
$1,284–$2,567 |
— |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines |
— |
$2,817–$5,634 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines |
— |
$1,818–$3,635 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$2,641 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$2,603 |
— |
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines |
— |
$1,205–$2,409 |
— |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
— |
$2,449 |
— |
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines |
— |
$1,088–$2,177 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$2,487 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$4,136 |
— |
Aspirate/Inj Ganglion Cyst (20612)
range across 3 matching MRF lines |
— |
$151–$186 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$459 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines |
— |
$187–$312 |
— |
Biopsy Abdominal Mass (49180)
range across 2 matching MRF lines |
— |
$1,464–$2,049 |
— |
| Biopsy bone open superficial (20240) |
— |
$584 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$1,524 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$1,240 |
— |
Biopsy nail unit (11755)
range across 2 matching MRF lines |
— |
$265–$409 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$2,438 |
— |
| Biopsy of penis (54100) |
— |
$302 |
— |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
— |
$927 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$112 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$1,240 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$1,711 |
— |
Bladder Irrigation (51700)
range across 2 matching MRF lines |
— |
$132–$849 |
— |
| Blood Transfusion Service (36430) |
— |
$1,802.92 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$1,696 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$1,711 |
— |
Change Cystostomy Tube Simple (51705)
range across 4 matching MRF lines |
— |
$144–$459 |
— |
| Change of Windpipe Airway (31502) |
— |
$435 |
— |
| Change ureter stent percut (50382) |
— |
$459 |
— |
| Chemical Cautery Tissue (17250) |
— |
$98 |
— |
Chest tube placement (32551)
range across 4 matching MRF lines |
— |
$1,702–$1,788 |
— |
| Circumcision 28 days or older (54161) |
— |
$745 |
— |
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines |
— |
$1,944–$3,535 |
— |
Claviculectomy partial (23120)
range across 2 matching MRF lines |
— |
$1,070–$2,139 |
— |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
— |
$164–$450 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$1,035 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$944 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$1,090 |
— |
Closed Treatment Ulnar Styloid Fracture (25650)
range across 2 matching MRF lines |
— |
$55–$1,165 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$566 |
— |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines |
— |
$1,670–$1,705 |
— |
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines |
— |
$55–$1,165 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$895 |
— |
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622)
range across 2 matching MRF lines |
— |
$55–$1,090 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$1,865 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$908 |
— |
Closed tx metatarsal fracture w/o manipulation (28470)
range across 2 matching MRF lines |
— |
$273–$795 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$5,170 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$518 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$1,281 |
— |
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines |
— |
$573–$1,325 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$1,126 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$934 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,788 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$965 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines |
— |
$1,815–$1,827 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$971 |
— |
Closed Tx Talus Fracture W/Manipulation (28435)
range across 3 matching MRF lines |
— |
$1,189–$1,705 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$816 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$334 |
— |
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670)
range across 2 matching MRF lines |
— |
$840–$1,012 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$895 |
— |
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines |
— |
$347–$855 |
— |
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines |
— |
$1,165–$1,554 |
— |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
— |
$632–$837 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$2,021 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$566 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$1,090 |
— |
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 2 matching MRF lines |
— |
$465–$538 |
— |
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines |
— |
$488–$1,090 |
— |
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 2 matching MRF lines |
— |
$960–$1,111 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$837 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$700 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines |
— |
$601–$1,165 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines |
— |
$1,711–$1,944 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,903 |
— |
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines |
— |
$1,827–$1,865 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$566 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$482 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines |
— |
$544–$566 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$466 |
— |
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines |
— |
$432–$1,903 |
— |
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824)
range across 2 matching MRF lines |
— |
$55–$1,165 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$971 |
— |
Cltx Greater Trochanteric Fx W/O Manj (27246)
range across 2 matching MRF lines |
— |
$1,477–$1,554 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$2,955 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$573 |
— |
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 3 matching MRF lines |
— |
$423–$1,105 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$1,788 |
— |
Cltx iphal jt dislc w/manj w/o anes (26770)
range across 2 matching MRF lines |
— |
$837–$971 |
— |
Cltx Medial Ankle Fx (27760)
range across 2 matching MRF lines |
— |
$970–$1,195 |
— |
Cltx metacarpal fx w/manipulation each bone (26605)
range across 3 matching MRF lines |
— |
$584–$1,126 |
— |
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines |
— |
$255–$1,049 |
— |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines |
— |
$566–$1,165 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$700 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$2,255 |
— |
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines |
— |
$566–$627 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$1,090 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$54 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$1,713 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$837 |
— |
Cltx tibial fx proximal w/o manipulation (27530)
range across 2 matching MRF lines |
— |
$55–$1,090 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$1,246 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,815 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$1,111 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$3,033 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$576 |
— |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
— |
$24–$32 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$933 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$1,375 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$1,010 |
— |
| Complex drainage wound (10180) |
— |
$3,429 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$350 |
— |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
— |
$225–$450 |
— |
Conv prev hip tot hip arthrp w/wo agrft/algrft (27132)
range across 2 matching MRF lines |
— |
$3,191–$6,382 |
— |
| Correction hammertoe (28285) |
— |
$1,003 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$1,582 |
— |
| Create Eardrum Opening (69433) |
— |
$521 |
— |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines |
— |
$160–$342 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$505 |
— |
Cysto calibration dilat urtl strix/stenosis (52281)
range across 2 matching MRF lines |
— |
$584–$592 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$1,049 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$584 |
— |
Cysto w/irrig & evac multple obstructing clots (52001)
range across 2 matching MRF lines |
— |
$372–$1,090 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$777 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$934 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$584 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$475 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$797 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$1,483 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$1,165 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$1,165 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$14,316 |
— |
| Cystoscopy implant stent (52282) |
— |
$1,284 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$351 |
— |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
— |
$1,865 |
— |
| Cystourethroscopy (52000) |
— |
$3,213 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$1,012 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$881 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$1,090 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$1,922 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$801 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$934 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$562 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$916 |
— |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 3 matching MRF lines |
— |
$154–$895 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$1,670 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,090 |
— |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
— |
$1,466 |
— |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
— |
$394–$2,136 |
— |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
— |
$55–$73 |
— |
Debride nail 6 or more (11721)
range across 2 matching MRF lines |
— |
$67–$123 |
— |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines |
— |
$895–$2,449 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$273 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 6 matching MRF lines |
— |
$204–$453 |
— |
| Decompression of tibia nerve (28035) |
— |
$1,375 |
— |
| Destr penis lesion(s) (54065) |
— |
$642 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$6,815 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$4,935 |
— |
Destruct B9 Lesion 1-14 (17110)
range across 3 matching MRF lines |
— |
$225–$328 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$6,815 |
— |
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines |
— |
$86–$150 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$640 |
— |
| Dilat female urethra general/cndj spinal anes (53665) |
— |
$149 |
— |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
— |
$155 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$640 |
— |
| Dilate Urethra Stricture (53600) |
— |
$241 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$880 |
— |
| Drainage of gum lesion (41800) |
— |
$544 |
— |
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines |
— |
$232–$1,838 |
— |
| Drainage of hydrocele (55000) |
— |
$1,284 |
— |
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines |
— |
$695–$3,110 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$576 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$798 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$453 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$55 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
— |
$182–$693 |
— |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
— |
$428 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,197 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$584 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$730 |
— |
| Egd control bleeding any (43255) |
— |
$1,028 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$729 |
— |
| Egd guide wire insertion (43248) |
— |
$2,980 |
— |
| Egd remove lesion snare (43251) |
— |
$647 |
— |
| Egd Varices Ligation (43244) |
— |
$767 |
— |
| Endoscopic injection/implant (51715) |
— |
$762 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$693 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$709 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
— |
$856 |
— |
| Epididymectomy unilateral (54860) |
$723.60 |
$1,206 |
0.2× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$2,496 |
— |
Evacuation of subungual hematoma (11740)
range across 3 matching MRF lines |
— |
$83–$391 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$1,592 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$360 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$621 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$2,603 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$326 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$513 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$1,477 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$490 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$253 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$1,404 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$2,021 |
— |
| Exc neuroma hand/foot xcp digital nerve (64782) |
— |
$1,202 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$641 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$3,001 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$391 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$466 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$2,082 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$643 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$1,058 |
— |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
— |
$2,143 |
— |
| Excision Distal Ulna Partial/Complete (25240) |
— |
$1,633 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$611 |
— |
| Excision lesion mouth roof (42104) |
— |
$225 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$381 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$1,121 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$1,637 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$1,284 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$743 |
— |
Excision olecranon bursa (24105)
range across 2 matching MRF lines |
— |
$834–$1,325 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
— |
$2,333 |
— |
| Excision prepatellar bursa (27340) |
— |
$1,438 |
— |
| Excision Radial Head (24130) |
— |
$1,944 |
— |
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines |
— |
$513–$745 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$1,206 |
— |
| Excision synovial cyst popliteal space (27345) |
— |
$1,788 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$1,827 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$1,271 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$608 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$1,206 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$1,711 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$954 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$1,206 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$813 |
— |
| Fasciotomy, hip or thigh, any type (27025) |
— |
$3,575 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$785 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$2,010 |
— |
| Foreskin manipulation (54450) |
— |
$96 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$482 |
— |
Hemiarthroplasty hip partial (27125)
range across 2 matching MRF lines |
— |
$2,215.50–$4,431 |
— |
| I&d abscess peritonsillar (42700) |
— |
$263 |
— |
I&d abscess simple (10060)
range across 6 matching MRF lines |
— |
$105–$365 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$1,944 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$973 |
— |
I&d pelvis/hip jt area deep abscess/hematoma (26990)
range across 2 matching MRF lines |
— |
$2,409–$5,067 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,865 |
— |
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines |
— |
$129–$2,456 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$1,119 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$3,305 |
— |
| Implant Neuroelectrodes (64561) |
— |
$2,043 |
— |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
— |
$460 |
— |
| Incise external hemorrhoid (46083) |
— |
$660 |
— |
| Incise finger tendon sheath (26055) |
— |
$1,206 |
— |
Incision & drainage abscess complicated/multiple (10061)
range across 5 matching MRF lines |
— |
$210–$1,394 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$408 |
— |
Incision & removal foreign body subq tiss simple (10120)
range across 5 matching MRF lines |
— |
$170–$1,394 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$544 |
— |
Incision and drainage of vulva or perineal abscess (56405)
range across 3 matching MRF lines |
— |
$302–$1,062 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$1,284 |
— |
| Incision of eardrum (69421) |
— |
$584 |
— |
| Incision of fibula (27707) |
— |
$1,554 |
— |
Incision of rectal abscess (46040)
range across 2 matching MRF lines |
— |
$2,792–$2,813 |
— |
| Incision of urethra (53020) |
— |
$368 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$286 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$186 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$3,107 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$532 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 4 matching MRF lines |
— |
$151–$335 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,010 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$2,417 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$2,332 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$1,793 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,202 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$786 |
— |
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines |
— |
$145–$155 |
— |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines |
— |
$155–$1,300 |
— |
Injection single/mlt trigger point 3/> muscles (20553)
range across 5 matching MRF lines |
— |
$155–$708 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$234 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$3,107 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,237 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
— |
$1,793–$2,417 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$102 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$102 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$882 |
— |
| Insert cath pleura w/ image (32557) |
— |
$1,702 |
— |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
— |
$2,394–$3,570 |
— |
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines |
— |
$123–$244 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$184 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$1,762 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$5,917 |
— |
| Intranasal Biopsy (30100) |
— |
$279 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,333 |
— |
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines |
— |
$576–$810 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$442 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$1,983 |
— |
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines |
— |
$1,050–$2,098 |
— |
| Labyrinthotomy Transcanal (69801) |
— |
$237 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$7,508 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$305 |
— |
| Laser vaporization of prostate (52648) |
— |
$2,565 |
— |
| Late closure of wound (13160) |
— |
$1,515 |
— |
| Ligamentous reconstruction knee intra-articular (27428) |
— |
$4,275 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$2,031 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$1,325 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$2,125 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$584 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$777 |
— |
| Myelography Lumbar Injection (62305) |
— |
$4,146 |
— |
| Myelography Lumbar Injection (62304) |
— |
$2,487 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$2,936 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$2,705 |
— |
| N block inj intercost sng (64420) |
— |
$1,794 |
— |
N Block Inj Plantar Digit (64455)
range across 3 matching MRF lines |
— |
$137–$354 |
— |
Nasal Endoscopy Dx (31231)
range across 2 matching MRF lines |
— |
$111–$320 |
— |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
— |
$934 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$760 |
— |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
— |
$7,771 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
— |
$777 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
— |
$660 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
— |
$640 |
— |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
— |
$1,944 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$1,554 |
— |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
— |
$347 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$1,713 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines |
— |
$2,215–$2,333 |
— |
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines |
— |
$164–$915 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$1,030 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$3,107 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$2,417 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$2,417 |
— |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
— |
$1,246 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$3,110 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines |
— |
$2,169–$3,033 |
— |
Open treatment fracture distal tibia only (27827)
range across 2 matching MRF lines |
— |
$2,578–$2,604 |
— |
| Open treatment interphalangeal joint dislocation (28675) |
— |
$1,554 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$2,370 |
— |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
— |
$1,711 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$1,663 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$2,409 |
— |
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines |
— |
$2,282–$2,305 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$1,530 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$1,944 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$1,399 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$1,197 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$3,498 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines |
— |
$3,265–$3,367 |
— |
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines |
— |
$1,243.50–$2,487 |
— |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 2 matching MRF lines |
— |
$1,021–$2,042 |
— |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines |
— |
$1,302–$2,603 |
— |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236)
range across 2 matching MRF lines |
— |
$2,332–$4,663 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$3,459 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$2,002 |
— |
| Osteotomy Tibia (27705) |
— |
$2,955 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$3,303 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$2,720 |
— |
| Partial removal of fibula (27641) |
— |
$1,868 |
— |
| Partial removal of tibia (27640) |
— |
$3,110 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$970 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$428 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,042 |
— |
Perq device breast 1st imag (19281)
range across 2 matching MRF lines |
— |
$1,548–$2,457 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$2,565 |
— |
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines |
— |
$254–$1,393 |
— |
Prq skel fixj femoral fx prox end neck (27235)
range across 2 matching MRF lines |
— |
$2,759–$3,575 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$729 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$1,067 |
— |
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines |
— |
$57–$453 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines |
— |
$55–$1,394 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,260 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
— |
$2,875 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$4,935 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$1,865 |
— |
| Release of shoulder ligament (23415) |
— |
$2,720 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$402 |
— |
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines |
— |
$145–$281 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$584 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$736 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
— |
$61–$159 |
— |
| Removal Implant Deep (20680) |
— |
$1,633 |
— |
| Removal of adenoids (42830) |
— |
$394 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$209 |
— |
Removal of nail bed (11750)
range across 4 matching MRF lines |
— |
$320–$1,477 |
— |
| Removal of testis (54520) |
— |
$1,114 |
— |
| Removal of tonsils (42826) |
— |
$414 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$160 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$1,325 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$132 |
— |
| Remove elbow lesion (24120) |
— |
$2,060 |
— |
Remove femur lesion/graft (27356)
range across 2 matching MRF lines |
— |
$946–$1,890 |
— |
| Remove foreign body from eye (65235) |
— |
$2,587 |
— |
Remove foreign body from eye (65205)
range across 2 matching MRF lines |
— |
$176–$450 |
— |
Remove knee joint lining (27334)
range across 2 matching MRF lines |
— |
$1,085–$2,170 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$1,828 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$209 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$1,284 |
— |
| Repair Achilles Tendon (27650) |
— |
$2,603 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$442 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,090 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$592 |
— |
| Repair Hallux Rigidus (28289) |
— |
$978 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,090 |
— |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines |
— |
$341–$1,090 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$365 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,394 |
— |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines |
— |
$407–$677 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$2,136 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,090 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines |
— |
$621–$1,090 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,090 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,090 |
— |
| Repair Nonunion Hand (26546) |
— |
$1,872 |
— |
| Repair of hydrocele (55060) |
— |
$695 |
— |
| Repair of metatarsals (28322) |
— |
$2,255 |
— |
Repair of nail bed (11760)
range across 2 matching MRF lines |
— |
$391–$544 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$3,110 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$2,311 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$3,344 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$4,661 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$644 |
— |
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138)
range across 2 matching MRF lines |
— |
$4,744–$4,887 |
— |
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486)
range across 2 matching MRF lines |
— |
$2,308.50–$4,617 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$453 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$450 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$318 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$564 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$693 |
— |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
— |
$1,455 |
— |
| Scrotal exploration (55110) |
— |
$2,452 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$1,284 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$457 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$133 |
— |
| Shoulder arthroscopy (29820) |
— |
$1,762 |
— |
Shoulder Arthroscopy/Surgery (29825)
range across 2 matching MRF lines |
— |
$1,046–$2,090 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$276 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$453 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$693 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$693 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$693 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$693 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$365 |
— |
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines |
— |
$440–$1,918 |
— |
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines |
— |
$401–$2,075 |
— |
| Skin Tissue Procedure (17999) |
— |
$752 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$2,760 |
— |
| Slitting of prepuce (54001) |
— |
$323 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$693 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$453 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$482 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,417 |
— |
Strapping ankle (29540)
range across 2 matching MRF lines |
— |
$158–$209 |
— |
Strapping elbow or wrist (29260)
range across 3 matching MRF lines |
— |
$70–$236 |
— |
| Strapping hand/finger (29280) |
— |
$207 |
— |
Strapping knee (29530)
range across 2 matching MRF lines |
— |
$209–$450 |
— |
Strapping shoulder (29240)
range across 2 matching MRF lines |
— |
$81–$184 |
— |
| Strapping thorax (29200) |
— |
$244 |
— |
| Strapping toes (29550) |
— |
$207 |
— |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
— |
$152–$153 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$1,788 |
— |
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines |
— |
$870–$1,740 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$1,854 |
— |
Tangential biopsy skin single lesion (11102)
range across 2 matching MRF lines |
— |
$59–$1,134 |
— |
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines |
— |
$1,009–$2,017 |
— |
| Tenotomy Hip Abd/Ext Open (27006) |
— |
$2,875 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$1,834 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$1,377 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$2,021 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$2,565 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$1,206 |
— |
| Tooth extraction (41899) |
— |
$327 |
— |
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines |
— |
$2,915–$5,831 |
— |
| Trabeculoplasty by laser surgery (65855) |
— |
$672 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$263 |
— |
| Transur electr resection of prostate (52601) |
— |
$2,594 |
— |
| Treat fracture radius/ulna (25575) |
— |
$3,498 |
— |
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines |
— |
$914–$1,827 |
— |
| Treat humerus fracture (24500) |
— |
$1,246 |
— |
Treat Humerus Fracture (24505)
range across 2 matching MRF lines |
— |
$1,018–$1,815 |
— |
Treat humerus fracture (23600)
range across 3 matching MRF lines |
— |
$932–$1,165 |
— |
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines |
— |
$1,458–$2,914 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$566 |
— |
Treat Metatarsal Fracture (28475)
range across 2 matching MRF lines |
— |
$55–$568 |
— |
| Treat Thumb Dislocation (26641) |
— |
$1,284 |
— |
| Treat thumb fracture (26665) |
— |
$1,525 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$1,827 |
— |
Treatment closed elbow dislocation w/o anes (24600)
range across 2 matching MRF lines |
— |
$837–$1,284 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$4,663 |
— |
Trim skin lesion (11055)
range across 2 matching MRF lines |
— |
$48–$225 |
— |
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines |
— |
$99–$225 |
— |
Trim skin lesions over 4 (11057)
range across 2 matching MRF lines |
— |
$95–$114 |
— |
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines |
— |
$61–$63 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$1,087 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$4,177 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$680 |
— |
Tx superficial wound dehiscence w/packing (12021)
range across 2 matching MRF lines |
— |
$59–$281 |
— |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759)
range across 2 matching MRF lines |
— |
$6,847–$13,796 |
— |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$1,145 |
— |
| Tympanoplasty (69631) |
— |
$1,663 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$660 |
— |
| Unlisted procedure arthroscopy (29999) |
— |
$6,309 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$934 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$2,240 |
— |
| Unlisted procedure nervous system (64999) |
— |
$1,202 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$18,415 |
— |
| Vaginal delivery only (59409) |
— |
$18,415 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$855 |
— |
| Wedge excision skin nail fold (11765) |
— |
$1,394 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,019 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$829 |
— |