| Abd paracentesis w/imaging (49083) |
— |
$1,246.60 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,246.60 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$2,601.85 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$209.53 |
— |
| Application finger splint static (29130) |
— |
$274.85 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$390 |
— |
| Application Long Leg Splint (29505) |
— |
$497.50 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$528.55 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$349.80 |
— |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
— |
$127.25–$330.15 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
— |
$375.33–$750.66 |
— |
| Arterial puncture (36600) |
— |
$210.10 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$456.45 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$225.10–$524.50 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$580.73 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$803.05 |
— |
Blood Transfusion Service (36430)
range across 7 matching MRF lines |
— |
$1,267.35–$1,302.15 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,695.90 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$1,098.85 |
— |
| Chemical Cautery Tissue (17250) |
— |
$200.43 |
— |
| Chest tube placement (32551) |
— |
$1,652.45 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$1,873.20 |
— |
| Clear outer ear canal (69200) |
— |
$304.10 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$471.35 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$471.35 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$471.35 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$471.35 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$471.35 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$677.85 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,033.55 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$881.80 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$471.35 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$471.35 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$747.50 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$471.35 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$774.85 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$650.50 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$649.20 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$2,272.25 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$2,164.05 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$471.35 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$863.10 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$516.15 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$471.35 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,996.30 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$471.35 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$471.35 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$389.30 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$385.55 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$471.35 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$564.65 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$471.35 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$824.60 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$638.15 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$471.35 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$610.70 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$564.65 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$810.90 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$471.35 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$1,129.35 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$471.35 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$471.35 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$526.10 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$471.35 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$19.45 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$1,600 |
— |
| Colonoscopy thru stoma (44388) |
— |
$2,692.75 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$3,306.55 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$362.40 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,310.43 |
— |
| Debride nail 1-5 (11720) |
— |
$80.68 |
— |
| Debride nail 6 or more (11721) |
— |
$137.05 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$3,517.50 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$865 |
— |
| Declot vascular device (36593) |
— |
$595.10 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$2,137.45 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,145.65 |
— |
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines |
— |
$2,695.90–$3,592.48 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$210.10 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$304.45 |
— |
| Egd control bleeding any (43255) |
— |
$3,265 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$3,620.95 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$3,302.75 |
— |
| Egd place gastrostomy tube (43246) |
— |
$2,841.15 |
— |
| Egd remove lesion snare (43251) |
— |
$3,226.50 |
— |
| Epidural Blood Patch (62273) |
— |
$1,710.65 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$210.10 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$232.41 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$3,766.55 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$2,724.75 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$526.10 |
— |
| Fetal non-stress test (59025) |
— |
$526.10 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,136.73 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$2,601.85 |
— |
I&d abscess simple (10060)
range across 3 matching MRF lines |
— |
$290.53–$752.40 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,145.62 |
— |
| Incise external hemorrhoid (46083) |
— |
$506.20 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,824.35 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$984.48 |
— |
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines |
— |
$263.23–$609.65 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$2,984.95 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$516.15 |
— |
| Incision bone cortex foot (28005) |
— |
$6,057.23 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$468.90 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$658.15 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$2,157.55 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$204.15 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$218.80 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$1,326.20 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$9,941.10 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,085.80 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$842 |
— |
| Late closure of wound (13160) |
— |
$1,989.40 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$19,792.05 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$2,695.90 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$7,035.25 |
— |
| Penile Injection (54235) |
— |
$188.28 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$557.20 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$443.50 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$619.35 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$488.80 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$851.75 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$4,649.40 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$725.50 |
— |
Removal of nail bed (11750)
range across 2 matching MRF lines |
— |
$798.78–$866.90 |
— |
| Remove foreign body from eye (65205) |
— |
$352.50 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$364.40 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$573.40 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,412.90 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,304.55 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$2,490.50 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$2,780.85 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$551 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$364.90 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$526.10 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$551 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,006.60 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$4,288.40 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$4,287.50 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$552.20 |
— |
| Strapping ankle (29540) |
— |
$178.90 |
— |
| Strapping elbow or wrist (29260) |
— |
$253.40 |
— |
| Strapping hand/finger (29280) |
— |
$245.10 |
— |
| Strapping knee (29530) |
— |
$174.10 |
— |
| Strapping shoulder (29240) |
— |
$418.25 |
— |
| Strapping toes (29550) |
— |
$237.55 |
— |
| Strapping Unna Boot (29580) |
— |
$350 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$250.83 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$3,556.28 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$2,693.95 |
— |
| Treat humerus fracture (24500) |
— |
$924.10 |
— |
| Treat humerus fracture (23600) |
— |
$924.10 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$471.35 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,230 |
— |
| Trim skin lesion (11055) |
— |
$44.03 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$477 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$361.95 |
— |
| Unlisted procedure nervous system (64999) |
— |
$848.20 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,337.23 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$4,372.50 |
— |