| Abd paracentesis w/imaging (49083) |
— |
$1,927.45 |
— |
| Application risser jacket localizer body only (29010) |
— |
$3,122.50 |
— |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
— |
$13,312.70 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 5 matching MRF lines |
— |
$574.20–$1,157.60 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines |
— |
$1,684.35–$1,685.35 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
— |
$1,157.60–$2,315.25 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,869.55 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$1,275.70 |
— |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
— |
$29,519.45 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$29,519.45 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$8,942.65 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$8,942.65 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,873.35 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$1,056.95 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$2,011 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,373.10 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$2,373.10 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$2,930.95 |
— |
| Blood Transfusion Service (36430) |
— |
$1,212 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,215.30 |
— |
Carpal Tunnel Surgery (64721)
range across 4 matching MRF lines |
— |
$6,366.95–$12,733.85 |
— |
| Cerv artific diskectomy (22856) |
— |
$17,943.20 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$231.50 |
— |
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines |
— |
$27.35–$54.40 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$2,373.10 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$2,373.10 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$2,373.10 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$2,373.10 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$2,373.10 |
— |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
— |
$2,373.10 |
— |
Control oropharyngeal hemorrhage simple (42960)
range across 3 matching MRF lines |
— |
$708.50–$874 |
— |
| Debride nail 1-5 (11720) |
— |
$840 |
— |
Decompression; median nerve at the carpal tunnel, percutaneous, with intracarpal tunnel balloon dilation, including… (64728)
range across 2 matching MRF lines |
— |
$6,366.95–$12,733.85 |
— |
Destroy cerv/thor facet jnt (64633)
range across 5 matching MRF lines |
— |
$3,180.70–$6,361.40 |
— |
Destroy lumb/sac facet jnt (64635)
range across 5 matching MRF lines |
— |
$3,492.70–$6,985.45 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,734.60 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$4,341.05 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$4,341.05 |
— |
| Egd cautery tumor polyp (43250) |
— |
$4,341.05 |
— |
| Egd control bleeding any (43255) |
— |
$4,341.05 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$4,341.05 |
— |
| Egd endo mucosal resection (43254) |
— |
$2,373.10 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$2,373.10 |
— |
| Egd guide wire insertion (43248) |
— |
$2,373.10 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$2,373.10 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$4,341.05 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$4,341.05 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$4,341.05 |
— |
| Egd place gastrostomy tube (43246) |
— |
$4,341.05 |
— |
| Egd remove lesion snare (43251) |
— |
$4,341.05 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$2,373.10 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$4,341.05 |
— |
| Egd Varices Ligation (43244) |
— |
$4,341.05 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$8,942.65 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$4,341.05 |
— |
| Endoscopic us exam esoph (43237) |
— |
$4,341.05 |
— |
| Epidural Blood Patch (62273) |
— |
$1,852.20 |
— |
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 4 matching MRF lines |
— |
$3,976–$7,952 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$1,705 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$2,011.95 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,736.45 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$2,373.10 |
— |
| I&d abscess simple (10060) |
— |
$607.75 |
— |
| Incise finger tendon sheath (26055) |
— |
$3,270.75 |
— |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 6 matching MRF lines |
— |
$2,123.10–$4,176.70 |
— |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 6 matching MRF lines |
— |
$1,562.75–$3,050.35 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$911.75 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$629.75 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$1,210.10 |
— |
Insert Temp Bladder Cath (51702)
range across 5 matching MRF lines |
— |
$351.85–$422.50 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$3,057.35 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,351.65 |
— |
| Lam facetec & foramot lumbar (63047) |
— |
$13,312.70 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$13,312.70 |
— |
| Low Back Disk Surgery (63030) |
— |
$13,312.70 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,865.15 |
— |
Myelography Lumbar Injection (62304)
range across 3 matching MRF lines |
— |
$2,373.10–$2,865.15 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$2,865.15 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$2,373.10 |
— |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
— |
$8,942.65 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$13,312.70 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$2,373.10 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 7 matching MRF lines |
— |
$2,199.50–$4,330.65 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$1,202.75 |
— |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 4 matching MRF lines |
— |
$1,550.05–$3,099.10 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$1,328.60 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$1,416.15 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$1,579.30 |
— |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines |
— |
$1,529.20–$2,373.10 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$2,135.20 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$4,746.25 |
— |
Perq dev breast 1st us imag (19285)
range across 4 matching MRF lines |
— |
$1,604.45–$3,208.95 |
— |
Perq device breast 1st imag (19281)
range across 7 matching MRF lines |
— |
$1,625.30–$3,250.60 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$2,373.10 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$747.80 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines |
— |
$968.30–$13,312.70 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$1,590.60 |
— |
Repair Elbow Perc (24357)
range across 4 matching MRF lines |
— |
$6,366.95–$12,733.85 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$2,022.35 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,978.15 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$568.35 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,376.40 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$1,438.90 |
— |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
— |
$11,500 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$8,942.65 |
— |
| Total Knee Arthroplasty (27447) |
— |
$41,095.70 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$3,270.75 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$6,366.95 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$2,193.60 |
— |
| Unlisted procedure nervous system (64999) |
— |
$6,366.95 |
— |