Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$1,160 |
$2,230.47–$2,284.65 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,160 |
$2,230.47 |
1.0× |
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
$4,187 |
$7,935.69–$8,591.30 |
1.0× |
| Amputation foot transmetarsal (28805) |
$4,187 |
$26,250 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$4,187 |
$4,154 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,187 |
$4,020 |
1.0× |
| Anoscopy diagnostic (46600) |
$170 |
$315.12 |
1.0× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,531 |
$2,809.17 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,190 |
$2,370.10 |
1.0× |
| Application finger splint static (29130) |
$170 |
$321.45 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$207 |
$673.10 |
1.0× |
| Application Long Leg Splint (29505) |
$207 |
$673.10 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$357 |
$1,205.85 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$170 |
$532.40 |
1.0× |
| Application short leg splint calf foot (29515) |
$207 |
$673.10 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$207 |
$705.90 |
1.0× |
| Apply Short Leg Cast (29405) |
$357 |
$711.84 |
1.0× |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
$6,810 |
$16,000 |
1.0× |
| Arterial puncture (36600) |
$170 |
$756.80 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,041 |
$14,583.30 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$7,121 |
$15,000 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$392 |
$1,237.40 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$903 |
$3,172.95 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$392 |
$1,237.40 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$392 |
$1,238.65–$1,305.85 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$392 |
$734.10 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$9,286 |
$7,500 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,286 |
$7,861.13 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$9,286 |
$3,500 |
1.0× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$16,431 |
$2,916.67 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,187 |
$10,000 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$802 |
$1,837.71 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$802 |
$1,837.71 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$392 |
$734.10 |
1.0× |
Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$2,675 |
$4,020–$5,087.04 |
1.0× |
| Av fistula revision (36833) |
$7,121 |
$22,500 |
1.0× |
| Av Fistula Revision Open (36832) |
$7,121 |
$20,000 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$7,121 |
$21,250 |
1.0× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$256 |
$882.25–$897.75 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$2,113 |
$1,496 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$2,113 |
$6,863 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,113 |
$1,074 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,113 |
$7,723.75 |
1.0× |
| Bladder Irrigation (51700) |
$319 |
$688.59 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$406 |
$1,136.80 |
1.0× |
Blood Transfusion Service (36430) range across 5 matching MRF lines |
$564 |
$351.12–$1,940.20 |
1.0× |
| Breast augmentation with implant (19325) |
$10,460 |
$2,375 |
1.0× |
| Breast Reduction (19318) |
$8,498 |
$60,000 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,278 |
$3,971.10 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$2,113 |
$6,562.50 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$2,113 |
$5,281.53 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$5,011 |
$30,000 |
1.0× |
| Canthoplasty (67950) |
$3,042 |
$7,723.45 |
1.0× |
| Canthotomy Separate Procedure (67715) |
$3,042 |
$7,723.45 |
1.0× |
| Cataract surgery complex (66982) |
$2,953 |
$11,710.50 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$280 |
$1,016.10 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$4,143 |
$11,375 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$4,041 |
$9,971.35 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$319 |
$688.59 |
1.0× |
Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$256 |
$506.85–$897.75 |
1.0× |
| Chest tube placement (32551) |
$2,014 |
$3,280.89 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,582 |
$10,967.20 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,058 |
$4,049.82 |
1.0× |
| Clear outer ear canal (69200) |
$170 |
$532.40 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$315 |
$863.41 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,058 |
$4,049.82 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$315 |
$1,125.45 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,058 |
$4,049.82 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$315 |
$644.70 |
1.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$315 |
$644.70 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,058 |
$4,049.82 |
1.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$315 |
$644.70 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$315 |
$779.47 |
1.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,985 |
$3,414.54 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$690 |
$1,379.61 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$315 |
$644.70 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,058 |
$6,749.70 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,985 |
$6,692.70 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,243 |
$6,597.18 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$315 |
$1,125.45 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$315 |
$644.70 |
1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$315 |
$644.70 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,058 |
$4,049.82 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,058 |
$8,002.05 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$315 |
$1,125.45 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$315 |
$644.70 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$303 |
$618.60 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$315 |
$644.70 |
1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$690 |
$2,411.20 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,058 |
$4,267.35 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$315 |
$1,125.45 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,058 |
$4,914.55 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,058 |
$4,049.82 |
1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$315 |
$644.70 |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,058 |
$4,049.82 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$315 |
$1,125.45 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$315 |
$644.70 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$315 |
$644.70 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$315 |
$644.70 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$315 |
$644.70 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,058 |
$4,049.82 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,058 |
$4,049.82 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$315 |
$723.50 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$315 |
$644.70 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$315 |
$644.70 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$315 |
$644.70 |
1.0× |
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 2 matching MRF lines |
$2,058 |
$4,049.82–$7,166.30 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$315 |
$1,125.45 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,058 |
$4,049.82 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$315 |
$1,125.45 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$315 |
$1,125.45 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,058 |
$4,049.82 |
1.0× |
| Cltx Medial Ankle Fx (27760) |
$315 |
$644.70 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$315 |
$1,125.45 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$315 |
$644.70 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$315 |
$1,125.45 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$315 |
$644.70 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$315 |
$1,125.45 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$315 |
$1,125.45 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,058 |
$6,749.70 |
1.0× |
| Cltx prox tibfib jt dislc req anes (27831) |
$4,187 |
$7,935.69 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$315 |
$972.30 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$315 |
$1,125.45 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,058 |
$4,049.82 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$315 |
$644.70 |
1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$315 |
$644.70 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$315 |
$644.70 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,058 |
$4,049.82 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$315 |
$644.70 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$170 |
$12,576.60 |
1.0× |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$9 |
$40–$75 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$170 |
$364.25 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$170 |
$532.40 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,113 |
$4,044.09 |
1.0× |
| Correction hammertoe (28285) |
$4,187 |
$17,500 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,187 |
$18,750 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$7,121 |
$27,500 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$170 |
$364.25 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$303 |
$535.50 |
1.0× |
| Curettage postpartum (59160) |
— |
$7,981.55 |
— |
| Curette/treat cornea (65435) |
$1,275 |
$2,425.11 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,675 |
$10,000 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$4,511 |
$10,000 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$4,511 |
$12,500 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$6,862 |
$11,666.70 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$6,862 |
$18,750 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,675 |
$10,000 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,675 |
$10,000 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,717 |
$6,974.61 |
1.0× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$2,499 |
$22,830.30 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$945 |
$2,620.85 |
1.0× |
| Debride nail 1-5 (11720) |
$75 |
$278.30 |
1.0× |
| Debride nail 6 or more (11721) |
$75 |
$278.30 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,113 |
$7,035 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$520 |
$1,333.44–$1,729.20 |
1.0× |
| Declot vascular device (36593) |
$422 |
$1,441.90 |
1.0× |
| Delivery of placenta (59414) |
$4,143 |
$6,818.31 |
1.0× |
| Diagnostic anoscopy (46601) |
$571 |
$315.12 |
1.0× |
| Dilat Xst Trc New Access Rcs (50437) |
$4,511 |
$14,634.30 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$903 |
$2,034 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$392 |
$1,305.85 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$906 |
$1,738.02 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,113 |
$4,044.09 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$303 |
$1,030.70 |
1.0× |
| Drainage of finger abscess simple (26010) |
$256 |
$882.25 |
1.0× |
| Drainage of gum lesion (41800) |
$170 |
$484.60 |
1.0× |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$2,113 |
$4,044.09–$7,035 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$2,113 |
$5,022.95 |
1.0× |
| Drainage of scrotum (54700) |
$2,675 |
$5,219.25 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$906 |
$2,695.55 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$520 |
$1,333.44 |
1.0× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$256 |
$882.25–$897.75 |
1.0× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$256 |
$506.85–$897.75 |
1.0× |
| Duodenal intubat w/imag guided multiple specimen (43757) |
$1,160 |
$2,230.47 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$2,278 |
$3,971.10 |
1.0× |
| Dx gastr intub w/asp spec (43754) |
$276 |
$746.49 |
1.0× |
| Dx gastr intub w/asp specs (43755) |
$164 |
$408.96 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,278 |
$4,600.30 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$903 |
$3,125.25 |
1.0× |
| Endoscopic plantar fasciotomy (29893) |
$4,187 |
$10,000 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,455 |
$4,282.17 |
1.0× |
Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
$170 |
$315.12–$559.75 |
1.0× |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$906 |
$1,814.15–$3,109.85 |
1.0× |
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$2,113 |
$4,044.09–$12,500 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,011 |
$23,125 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$2,113 |
$15,000 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$2,113 |
$6,666.68 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$2,113 |
$4,044.09–$7,035 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$906 |
$2,515.34–$3,109.85 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,113 |
$4,044.09 |
1.0× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$2,499 |
$10,000 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$3,552 |
$14,375 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$906 |
$10,000 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,113 |
$4,162.18 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,717 |
$6,974.61 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,113 |
$13,750 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,113 |
$7,527.67 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,531 |
$2,809.17 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$520 |
$1,614.15 |
1.0× |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$906 |
$1,814.15–$14,267.80 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$3,717 |
$10,000 |
1.0× |
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 2 matching MRF lines |
$2,113 |
$14,444.40–$14,444.44 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,717 |
$10,000 |
1.0× |
| Exc urethral diverticulum spx female (53230) |
$6,862 |
$17,500 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,675 |
$5,087.04 |
1.0× |
| Exchange Transfusion Blood Newborn (36450) |
$564 |
$1,262.51 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,455 |
$4,450.05 |
1.0× |
| Excision Infected Graft Extremity (35903) |
$4,041 |
$10,000 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$906 |
$1,896 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$4,143 |
$6,881.55 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,058 |
$4,020 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$4,143 |
$4,020 |
1.0× |
| Excision olecranon bursa (24105) |
$4,187 |
$8,867.95 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,113 |
$13,750 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,717 |
$10,000 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,717 |
$10,000 |
1.0× |
| Excision/Transposition Pterygium W/Grafg (65426) |
$3,042 |
$10,000 |
1.0× |
| Excision/Transposition Pterygium W/O Graft (65420) |
$3,042 |
$15,000 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,640 |
$5,414.20 |
1.0× |
| Exploration penetrating wound spx chest (20101) |
$2,640 |
$5,414.20 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,113 |
$1,718.55 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$690 |
$1,418.20 |
1.0× |
| Fetal non-stress test (59025) |
$258 |
$482.10 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$906 |
$2,896.70 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$520 |
$932.40 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$305 |
$1,152.80 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$906 |
$2,896.70 |
1.0× |
Foreskin manipulation (54450) range across 2 matching MRF lines |
$319 |
$1,080.20–$1,157.10 |
1.0× |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
$2,953 |
$14,166.70 |
1.0× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$4,535 |
$3,166.67 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$906 |
$5,663.83 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,552 |
$4,053.50 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,552 |
$4,053.50 |
1.0× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$3,552 |
$6,946.89 |
1.0× |
| Hemorrhoidopexy by stapling (46947) |
$3,552 |
$4,154 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$4,143 |
$4,087 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$6,402 |
$4,221 |
1.0× |
| I&d abscess peritonsillar (42700) |
$303 |
$1,371.75 |
1.0× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$256 |
$882.25–$897.75 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,190 |
$4,404.55 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$906 |
$3,472.95 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$906 |
$1,738.02 |
1.0× |
| Icd Pocket Revision (33223) |
$2,640 |
$5,986.90 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$2,113 |
$4,054.50 |
1.0× |
Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
$2,113 |
$1,022–$6,049.80 |
1.0× |
| Incise external hemorrhoid (46083) |
$319 |
$1,157.10 |
1.0× |
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$520 |
$1,729.20–$2,400.15 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,113 |
$4,462.85 |
1.0× |
Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$520 |
$1,333.44–$5,260 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$258 |
$829.65 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$390 |
$1,365 |
1.0× |
| Incision of Foot Tendon (28234) |
$2,058 |
$5,932.45 |
1.0× |
| Incision of rectal abscess (46040) |
$1,531 |
$5,382.10 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,113 |
$7,796.95 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$945 |
$2,620.85 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$256 |
$882.25 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,132 |
$2,685.10 |
1.0× |
Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
$272 |
$573.27–$881.40 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$392 |
$734.10 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$392 |
$734.10 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,132 |
$4,451.45 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$903 |
$1,796.43 |
1.0× |
Ins cath ren art 1st bilat (36252) range across 3 matching MRF lines |
$4,041 |
$8,505.98–$11,622 |
1.0× |
Ins cath ren art 1st unilat (36251) range across 3 matching MRF lines |
$4,041 |
$8,505.98–$11,622 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$4,041 |
$11,622 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,121 |
$12,794.90 |
1.0× |
Ins endovas vena cava filtr (37191) range across 3 matching MRF lines |
$7,121 |
$12,794.90–$17,294.50 |
1.0× |
| Ins Vag Brachytx Device (57156) |
$390 |
$1,397.30 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$40,173 |
$92,886.40 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$10,591 |
$22,113 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$164 |
$408.96 |
1.0× |
| Insert cath pleura w/ image (32557) |
$2,014 |
$4,972 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,455 |
$7,416.75 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$13,377 |
$29,244 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$13,377 |
$29,244 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$23,462 |
$11,109 |
1.0× |
Insert non-tunnel cv cath (36556) range across 4 matching MRF lines |
$4,041 |
$3,280.89–$6,000 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$13,377 |
$29,244 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,014 |
$2,449.25 |
1.0× |
| Insert pulse gen dual leads (33213) |
$13,377 |
$29,244 |
1.0× |
| Insert pulse gen mult leads (33221) |
$24,652 |
$52,756.60 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$10,591 |
$22,113 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$170 |
$532.40 |
1.0× |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$4,041 |
$11,386.10–$14,600.50 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$170 |
$532.40 |
1.0× |
Insertion of cannula (36800) range across 2 matching MRF lines |
$7,121 |
$12,117.50–$12,794.90 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,014 |
$5,468.15 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$10,591 |
$22,113 |
1.0× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$2,953 |
$13,750 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$4,041 |
$2,948.91 |
1.0× |
Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) range across 2 matching MRF lines |
$4,041 |
$7,478.22–$9,322.30 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$2,014 |
$4,108.75–$4,312.55 |
1.0× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$10,591 |
$22,113 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,041 |
$9,322.30 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$40,173 |
$92,886.40 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,591 |
$22,113 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$10,591 |
$22,113 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$13,377 |
$29,244 |
1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$28,468 |
$110,553 |
1.0× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$40,173 |
$133,574 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$28,468 |
$66,331.60 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$520 |
$1,086.08 |
1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$520 |
$1,015.50 |
1.0× |
Intro cath dialysis circuit (36901) range across 6 matching MRF lines |
$2,014 |
$1,837.71–$5,468.15 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$14,775 |
$45,921.50 |
1.0× |
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) range across 5 matching MRF lines |
$7,284 |
$15,255–$25,425 |
1.0× |
Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$303 |
$802.80–$1,030.70 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$319 |
$1,157.10 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$7,737 |
$12,500 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$7,737 |
$20,000 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$7,737 |
$15,500 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$7,737 |
$7,031.25 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,737 |
$17,500 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$255 |
$471.24 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$255 |
$471.24 |
1.0× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,278 |
$6,919.90 |
1.0× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$500 |
$1,374.80 |
1.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$255 |
$471.24 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,278 |
$6,919.90 |
1.0× |
| Laser vaporization of prostate (52648) |
$6,862 |
$26,250 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$9,286 |
$3,333.33 |
1.0× |
| Ligation of a-v fistula (37607) |
$4,041 |
$13,750 |
1.0× |
Ligation Of Inf Vena Cava (37619) range across 3 matching MRF lines |
$7,121 |
$12,794.90–$17,294.50 |
1.0× |
| Lip Surgery Procedure (40799) |
$303 |
$892.50 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,511 |
$12,291.70 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$2,058 |
$2,857.14 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,058 |
$4,087 |
1.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$4,143 |
$4,087 |
1.0× |
| Mastectomy for gynecomastia (19300) |
$5,011 |
$17,500 |
1.0× |
| Mastectomy partial (19301) |
$5,011 |
$22,083.30 |
1.0× |
| Mastopexy (19316) |
$8,498 |
$3,166.67 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$4,041 |
$13,114.90 |
1.0× |
| N block inj intercost sng (64420) |
$903 |
$1,630.14 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$2,113 |
$7,599.08 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$392 |
$734.10 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,582 |
$8,733.48 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,582 |
$8,733.48 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$892 |
$9,883.34 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$892 |
$7,297 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$1,160 |
$3,807.75 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,286 |
$5,250 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$9,286 |
$15,000 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$9,286 |
$4,890.63 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$14,775 |
$31,531.40 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$14,775 |
$31,531.40 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,187 |
$18,750 |
1.0× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$7,576 |
$18,750 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,058 |
$4,808 |
1.0× |
| Partial removal of thyroid (60220) |
$7,737 |
$15,000 |
1.0× |
Percut Mech Thrombectomy, Venous, Repeat (37188) range across 2 matching MRF lines |
$4,041 |
$10,050.10–$15,050.10 |
1.0× |
Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$906 |
$3,244.85–$4,317.03 |
1.0× |
Perq device breast 1st imag (19281) range across 2 matching MRF lines |
$2,113 |
$4,869.35–$7,499.25 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,511 |
$8,698.75 |
1.0× |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) range across 4 matching MRF lines |
$14,775 |
$31,531.40–$52,552.30 |
1.0× |
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) range across 3 matching MRF lines |
$7,284 |
$15,255–$25,425 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,286 |
$19,157.90 |
1.0× |
Place Cath Subclavian Art (36225) range across 3 matching MRF lines |
$4,041 |
$3,000–$8,505.98 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$4,041 |
$7,478.22 |
1.0× |
Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$7,121 |
$5,000–$12,794.90 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$2,455 |
$7,416.75 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$571 |
$1,333.44 |
1.0× |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 4 matching MRF lines |
$2,675 |
$5,087.04–$8,893.30 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$4,511 |
$14,094.70 |
1.0× |
Prim art mech thrombectomy (37184) range across 3 matching MRF lines |
$23,462 |
$15,050.10–$42,171 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,582 |
$8,733.48 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$520 |
$1,729.20 |
1.0× |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$520 |
$1,333.44–$1,729.20 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$4,041 |
$11,868.30 |
1.0× |
| Reduction of rectal prolapse (45900) |
$1,190 |
$2,954.70 |
1.0× |
Relocation Pocket Pacemaker (33222) range across 2 matching MRF lines |
$2,640 |
$4,705.29–$5,962.25 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$4,041 |
$11,868.30 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,531 |
$10,000 |
1.0× |
Removal foreign body foot deep (28192) range across 2 matching MRF lines |
$2,113 |
$4,020–$4,462.85 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$906 |
$1,738.02 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,113 |
$4,044.09 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$75 |
$278 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75 |
$279.50 |
1.0× |
| Removal Implant Deep (20680) |
$3,717 |
$4,087 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$571 |
$1,333.44 |
1.0× |
| Removal of implanted material, anterior segment of eye (65920) |
$2,953 |
$13,125 |
1.0× |
Removal of nail bed (11750) range across 2 matching MRF lines |
$520 |
$1,333.44–$1,729.20 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$357 |
$711.84 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$4,782 |
$8,603.85 |
1.0× |
| Removal ppm generator only (33233) |
$10,591 |
$22,113 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$256 |
$506.85 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$906 |
$3,351.80 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,640 |
$10,000 |
1.0× |
| Removal sweat gland lesion (11450) |
$3,717 |
$4,020 |
1.0× |
| Remove Brain Cavity Fluid (61020) |
$1,132 |
$2,016.54 |
1.0× |
| Remove cerclage suture (59871) |
— |
$6,818.31 |
— |
| Remove Elctrd Transvenously (33244) |
$4,782 |
$8,603.85 |
1.0× |
| Remove foreign body from eye (65205) |
$170 |
$368.30 |
1.0× |
| Remove Intrauterine Device (58301) |
$390 |
$708.35 |
1.0× |
Remove intrvas foreign body (37197) range across 2 matching MRF lines |
$4,041 |
$7,478.22–$8,870.47 |
1.0× |
| Remove iris and lesion (66600) |
$5,290 |
$6,500 |
1.0× |
| Remove lung catheter (32552) |
$802 |
$3,100.05 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$170 |
$532.40 |
1.0× |
| Remove Pulse Generator (33241) |
$4,782 |
$8,603.85 |
1.0× |
| Remove Shoulder Foreign Body (23330) |
$2,113 |
$3,278.25 |
1.0× |
| Remove&replace pm gen singl (33227) |
$10,591 |
$36,844.50 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$28,468 |
$110,553 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$40,173 |
$133,574 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$28,468 |
$110,553 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$13,377 |
$40,410.70 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$24,652 |
$52,756.60 |
1.0× |
Renal Biopsy Perq (50200) range across 2 matching MRF lines |
$2,113 |
$1,599–$7,723.75 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,041 |
$12,181 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$945 |
$1,597.75 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$945 |
$1,578.55 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$520 |
$932.40 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$520 |
$1,464.60 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$520 |
$1,464.60 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$520 |
$1,464.60 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$945 |
$1,464.60 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$945 |
$1,578.55 |
1.0× |
| Repair Ectropion Extensive (67917) |
$3,042 |
$15,000 |
1.0× |
| Repair Entropion Suture (67921) |
$3,042 |
$33,750 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,058 |
$4,653.65 |
1.0× |
| Repair Hand Tendon (26410) |
$2,058 |
$4,653.65 |
1.0× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,582 |
$17,500 |
1.0× |
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
$4,582 |
$12,876.70–$26,726.80 |
1.0× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$4,582 |
$12,876.70 |
1.0× |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$520 |
$1,333.44–$1,578.55 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$520 |
$932.40 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$520 |
$932.40 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$520 |
$932.40 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$520 |
$932.40 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$945 |
$1,464.60 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$520 |
$932.40 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$520 |
$932.40 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$945 |
$1,464.60 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$520 |
$1,333.44 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$520 |
$1,333.44 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$520 |
$1,333.44 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$945 |
$1,464.60 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$520 |
$1,333.44 |
1.0× |
Repair lead pace-defib dual (33220) range across 2 matching MRF lines |
$4,782 |
$10,318–$10,997.30 |
1.0× |
Repair Lead Pace-Defib One (33218) range across 2 matching MRF lines |
$4,782 |
$18,328.30–$18,328.80 |
1.0× |
| Repair of hydrocele (55060) |
$4,511 |
$25,000 |
1.0× |
| Repair of nail bed (11760) |
$945 |
$1,464.60 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$4,187 |
$7,935.69 |
1.0× |
| Repair tongue laceration (41252) |
$303 |
$2,411.20 |
1.0× |
| Repair tongue laceration (41250) |
$571 |
$532.40 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,160 |
$3,807.75 |
1.0× |
| Replace g/c tube perc (49450) |
$1,160 |
$2,862.30 |
1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,782 |
$8,603.85 |
1.0× |
| Reposition L Ventric Lead (33226) |
$4,041 |
$7,478.22 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$4,041 |
$7,478.22 |
1.0× |
| Reposition Venous Catheter (36597) |
$2,014 |
$4,108.75 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$4,582 |
$12,500 |
1.0× |
| Revision of reconstructed breast (19380) |
$8,498 |
$3,166.67 |
1.0× |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
$2,953 |
$12,500 |
1.0× |
| Revj Shunt Extraocular Reservoir W/O Graft (66184) |
$2,953 |
$10,000 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$7,284 |
$15,255 |
1.0× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$690 |
$2,411.20 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,160 |
$2,230.47 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$571 |
$1,333.44 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$170 |
$532.40 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$571 |
$990.03 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,531 |
$2,809.17 |
1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,717 |
$7,134.87 |
1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,113 |
$4,044.09 |
1.0× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$2,953 |
$7,500 |
1.0× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$4,782 |
$8,603.85 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,782 |
$8,603.85 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 4 matching MRF lines |
$2,014 |
$3,625.90–$4,108.75 |
1.0× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 7 matching MRF lines |
$802 |
$2,150.22–$2,382.75 |
1.0× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,953 |
$9,375 |
1.0× |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
$2,953 |
$18,750 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$319 |
$1,157.10 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$4,041 |
$7,478.22 |
1.0× |
Rplcmt compl non-tun cvc w/o subq port/pmp (36580) range across 3 matching MRF lines |
$2,014 |
$4,108.75–$5,468.15 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,014 |
$4,108.75 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,041 |
$11,200.90 |
1.0× |
Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 3 matching MRF lines |
$4,041 |
$9,322.30–$15,737.50 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,737 |
$22,500 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,582 |
$13,750 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$8,285 |
$19,062.50 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,737 |
$16,250 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$906 |
$3,278.25 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$256 |
$882.25 |
1.0× |
| Rpr ing hernia init reduce (49500) |
$8,285 |
$12,876.70 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$690 |
$2,411.20 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$690 |
$2,411.20 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$802 |
$2,345.50 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$520 |
$1,333.44 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$256 |
$882.25 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$256 |
$882.25 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$520 |
$932.40 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$256 |
$882.25 |
1.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$256 |
$750 |
1.0× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$256 |
$506.85–$882.25 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$256 |
$506.85 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$256 |
$882.25 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$945 |
$8,576.80 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$945 |
$8,576.80 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,640 |
$17,610.80 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,640 |
$8,576.80 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$7,121 |
$12,794.90 |
1.0× |
Slctv cath carotid/innom art angio xtrcranl art (36222) range across 3 matching MRF lines |
$4,041 |
$8,505.98–$10,095 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$7,121 |
$12,794.90 |
1.0× |
| Slitting of prepuce (54001) |
$2,675 |
$8,355.80 |
1.0× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$256 |
$882.25–$897.75 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$520 |
$1,333.44 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$520 |
$1,333.44 |
1.0× |
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$903 |
$1,630.14–$1,796.43 |
1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,535 |
$8,600.75 |
1.0× |
| Strabismus Recession/Rescj 2 Hrzntl Musc (67312) |
$5,031 |
$17,500 |
1.0× |
| Strapping ankle (29540) |
$207 |
$406.26 |
1.0× |
| Strapping elbow or wrist (29260) |
$75 |
$355.95 |
1.0× |
| Strapping hand/finger (29280) |
$75 |
$357.20 |
1.0× |
| Strapping Hip (29520) |
$170 |
$357.20 |
1.0× |
| Strapping knee (29530) |
$170 |
$321.45 |
1.0× |
| Strapping shoulder (29240) |
$170 |
$532.40 |
1.0× |
| Strapping toes (29550) |
$75 |
$321.45 |
1.0× |
| Strapping Unna Boot (29580) |
$207 |
$705.75 |
1.0× |
| Subconjunctival injection (68200) |
$571 |
$6,250 |
1.0× |
| Surg tx anal fistula subq (46270) |
$3,552 |
$10,000 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$9,286 |
$6,000 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$520 |
$897.75 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$24,652 |
$82,011.60 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$9,286 |
$8,194.33 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$23,462 |
$48,061.20 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$4,041 |
$9,971.35 |
1.0× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$7,121 |
$5,612.95 |
1.0× |
Thrombolytic Art Therapy (37211) range across 5 matching MRF lines |
$7,121 |
$12,794.90–$13,129.60 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$422 |
$2,060.67 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$4,041 |
$7,478.22 |
1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$303 |
$3,056.85 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,985 |
$3,414.54 |
1.0× |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
$12,115 |
$31,250 |
1.0× |
| Treat Hip Socket Fracture (27222) |
$315 |
$4,236.32 |
1.0× |
| Treat humerus fracture (24500) |
$315 |
$644.70 |
1.0× |
| Treat humerus fracture (23600) |
$315 |
$644.70 |
1.0× |
| Treat knee fracture (27532) |
$4,187 |
$13,116.70 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$315 |
$1,125.45 |
1.0× |
| Treat Thumb Dislocation (26641) |
$315 |
$945.90 |
1.0× |
| Treat toe dislocation (28630) |
$315 |
$644.70 |
1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,058 |
$4,914.55 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$315 |
$1,125.45 |
1.0× |
| Trim skin lesion (11055) |
$256 |
$897.75 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$256 |
$897.75 |
1.0× |
| Trim skin lesions over 4 (11057) |
$256 |
$897.75 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$75 |
$278.30 |
1.0× |
Trluml Balo Angiop 1St Art (37246) range across 9 matching MRF lines |
$7,284 |
$15,255–$25,425 |
1.0× |
Trluml Balo Angiop 1St Vein (37248) range across 6 matching MRF lines |
$7,284 |
$15,255–$25,425 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$276 |
$746.49 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,143 |
$4,020 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,058 |
$4,914.55 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$945 |
$1,791.90 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$315 |
$644.70 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$207 |
$406.26 |
1.0× |
| Unlisted procedure nervous system (64999) |
$392 |
$674.45 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$1,190 |
$2,129.94 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$802 |
$4,476.05 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,160 |
$2,230.47 |
1.0× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$303 |
$535.50 |
1.0× |
| Upgrade of pacemaker system (33214) |
$13,377 |
$29,244 |
1.0× |
| Vaginal delivery only (59409) |
$4,143 |
$6,818.31 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$23,462 |
$31,531.40 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$14,775 |
$31,531.40 |
1.0× |
| Vein Access Cutdown < 1 Yr (36420) |
$170 |
$167.88 |
1.0× |
| Venous Cutdown >1 Y/O (36425) |
$571 |
$990.03 |
1.0× |
Venous Mech Thrombectomy (37187) range across 2 matching MRF lines |
$14,775 |
$15,050.10–$15,255 |
1.0× |
| Vitrectomy mechanical pars plana (67036) |
$5,290 |
$11,250 |
1.0× |
| Wedge excision skin nail fold (11765) |
$520 |
$932.40 |
1.0× |
| Windowing of cast (29730) |
$207 |
$406.26 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$520 |
$2,620.85 |
1.0× |