| Abd paracentesis w/imaging (49083) |
— |
$6,361.33 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$9,996.62 |
— |
| Abrasion single lesion (15786) |
— |
$55,282.41 |
— |
| Acne surgery (10040) |
— |
$78,993.36 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$55,620.75 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$36,166.32 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$35,345.81 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$27,724.91 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$346,741.83 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$475,702.86 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$475,702.86 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$475,702.86 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$475,702.86 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$475,702.86 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$28,870.80 |
— |
| Ankle disarticulation (27889) |
— |
$346,741.83 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$31,749.05 |
— |
| Anoscopy diagnostic (46600) |
— |
$57,993.11 |
— |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
— |
$27,706.02 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$57,993.11 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$76,479.69 |
— |
| Appendectomy (44950) |
— |
$125,855.34 |
— |
| Application Long Leg Splint (29505) |
— |
$1,237.84 |
— |
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines |
— |
$3,868.59–$4,860.79 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$960.15 |
— |
| Application uniplane external fixation system (20690) |
— |
$92,629.83 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$1,237.85 |
— |
| Arterial puncture (36600) |
— |
$278.65 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$193,346.48 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$2,262.15 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$5,303.81 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$2,262.15 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,328.25 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$1,255.14 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$69,045.74 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$33,238.76 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$109,309.10 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$69,045.74 |
— |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines |
— |
$92,624.35–$101,113.57 |
— |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 3 matching MRF lines |
— |
$69,293.28–$114,296.36 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines |
— |
$105,407.08–$108,986.11 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$73,704.45 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines |
— |
$78,772.52–$89,470.75 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$110,011.50 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$70,650.24 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
— |
$110,432.89–$113,514.73 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$219,466.44 |
— |
| Arthrotomy biopsy interphalangeal joint each (26110) |
— |
$73,792.75 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$153,538.34 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 3 matching MRF lines |
— |
$105,741.49–$116,004.38 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$69,045.74 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$48,080.49 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$7,930.80 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$5,667.34 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$1,212.07 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$22,215.95 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$69,046.79 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$6,773.50 |
— |
| Biopsy bone open superficial (20240) |
— |
$25,008.44 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$6,601.50 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$63,564.48 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$39,535.30 |
— |
| Biopsy of rectum (45100) |
— |
$37,818.02 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$5,172.73 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$13,225.93 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$30,618.96 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$40,564.93 |
— |
| Bladder Irrigation (51700) |
— |
$46,466.63 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$22,223.90 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$2,446.62 |
— |
| Blood Transfusion Service (36430) |
— |
$3,265.02 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$186,894.33 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$186,894.33 |
— |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
— |
$193,346.48 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
— |
$167,537.87 |
— |
| Bone Marrow Biopsy (38221) |
— |
$12,573.14 |
— |
| Breast Reduction (19318) |
— |
$67,454.73 |
— |
| Bronchoscopy Clear Airways (31645) |
— |
$14,082.66 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$100,259.22 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$4,255.88 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$8,927.61 |
— |
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines |
— |
$24,903.55–$40,852.65 |
— |
Cataract surgery complex (66982)
range across 2 matching MRF lines |
— |
$17,796.05–$20,791.94 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$74,635.78 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$68,650.58 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$2,115.38 |
— |
| Change of Windpipe Airway (31502) |
— |
$1,631.62 |
— |
| Chemical Cautery Tissue (17250) |
— |
$3,529.40 |
— |
| Chest tube placement (32551) |
— |
$9,996.62 |
— |
| Circumcision 28 days or older (54161) |
— |
$27,644.22 |
— |
| Circumcision Neonate (54160) |
— |
$11,982.35 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$11,982.35 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$12,004.93 |
— |
Claviculectomy partial (23120)
range across 2 matching MRF lines |
— |
$73,829.34–$74,070.44 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$36,800.02 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$1,958.92 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$2,057.49 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$92,629.83 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$2,057.49 |
— |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
— |
$4,407.59 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$2,057.49 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$4,452.75 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$13,195.86 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$696.44 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$12,004.93 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$12,004.93 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$12,004.93 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$1,827.76 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$12,004.93 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$2,057.49 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$12,004.93 |
— |
| Closure Gastrostomy Surg (43870) |
— |
$249,732.65 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$1,631.62 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$2,057.49 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$12,004.93 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$2,057.49 |
— |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
— |
$4,452.75 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$2,057.49 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$110,299.34 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$110,299.34 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$2,057.49 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$12,004.93 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$2,057.49 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$2,057.49 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$2,057.49 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$17,097.34 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$2,057.49 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$2,057.49 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$2,057.49 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$2,057.49 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$12,004.93 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$2,057.49 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$12,004.93 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$12,004.93 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$1,964.33 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$2,057.49 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$12,004.93 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$68,827.09 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$12,004.93 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$2,057.49 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$110,299.34 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$11,979.47 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$2,057.49 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$71.71 |
— |
| Colonoscopy Stoma Control Bleeding (44391) |
— |
$51,564.48 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$84,307.78 |
— |
| Colonoscopy stoma w/balloon dilation (44405) |
— |
$84,307.78 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$84,307.78 |
— |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
— |
$84,307.78 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$63,631.97 |
— |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
— |
$84,307.78 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$114,939.89 |
— |
| Colonoscopy thru stoma (44388) |
— |
$11,013.30 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$13,550.87 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$19,426.71 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$57,993.11 |
— |
| Colonoscopy w/ndl aspir/bx (44407) |
— |
$84,307.78 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$21,664.88 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$20,079.02 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$63,589.75 |
— |
| Complex drainage wound (10180) |
— |
$21,251.09 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$29,231.68 |
— |
| Conization of cervix (57520) |
— |
$36,789.31 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$973.33 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$4,203.57 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$153,538.34 |
— |
| Correction hammertoe (28285) |
— |
$43,118.69 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$77,348.65 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$193,346.48 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$193,346.48 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$193,346.48 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$29,518.21 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$193,346.48 |
— |
| Csf shunt reprogram (62252) |
— |
$83,243.77 |
— |
| Curettage postpartum (59160) |
— |
$31,979.01 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$16,969.32 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$68,376.66 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$56,003.55 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$27,891.30 |
— |
| Cysto w/up stricture tx (52342) |
— |
$64,554.59 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$64,554.59 |
— |
Cysto w/ureteroscopy w/rmvl/manj stones (52352)
range across 3 matching MRF lines |
— |
$28,947.46–$68,376.66 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$64,554.59 |
— |
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines |
— |
$26,285.40–$32,721.14 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$42,415.08 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$64,554.59 |
— |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
— |
$105,489.14 |
— |
| Cystouretero w/renal strict (52346) |
— |
$64,554.59 |
— |
| Cystourethroscopy (52000) |
— |
$20,867.88 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$64,554.59 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$22,313.72 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$38,619.77 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$49,428.91 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$27,454.93 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$64,554.59 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$55,282.41 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$167,537.87 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$99,490.99 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$5,236.27 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$7,337.64 |
— |
| Debride nail 1-5 (11720) |
— |
$511.52 |
— |
| Debride nail 6 or more (11721) |
— |
$511.52 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$11,118.29 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$3,829.10 |
— |
| Declot vascular device (36593) |
— |
$74,635.78 |
— |
| Delivery of placenta (59414) |
— |
$52,318.38 |
— |
| Dermabrasion regional other than face (15782) |
— |
$55,282.41 |
— |
| Dermabrasion superficial any site (15783) |
— |
$55,282.41 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$1,544.34 |
— |
| Diagnostic anoscopy (46601) |
— |
$57,993.11 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$11,013.30 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$64,554.59 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$31,118.67 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$118,827.75 |
— |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
— |
$77,296.16 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$4,966.90 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$77,429.77 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$5,295.60 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$5,236.27 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$1,884.29 |
— |
| Drainage of finger abscess simple (26010) |
— |
$1,544.34 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$12,573.12 |
— |
| Drainage of rectal abscess (45005) |
— |
$8,956.02 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$12,573.12 |
— |
| Drainage of scrotum (54700) |
— |
$55,878.32 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$2,840.94 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$1,544.34 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$3,634.49 |
— |
| Dstrj Lesion Anus Extensive (46924) |
— |
$41,278 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$29,129.82 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$31,991.99 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$72,952.73 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$11,715.84 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$104,249.11 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$17,151.99 |
— |
| Egd cautery tumor polyp (43250) |
— |
$41,334.06 |
— |
| Egd control bleeding any (43255) |
— |
$17,466.83 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$118,827.75 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$21,120.50 |
— |
| Egd guide wire insertion (43248) |
— |
$15,693.02 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$41,334.06 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$71,220.13 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$71,220.13 |
— |
| Egd lesion ablation (43270) |
— |
$41,334.06 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$69,260.39 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$90,443.55 |
— |
| Egd place gastrostomy tube (43246) |
— |
$53,656 |
— |
| Egd remove lesion snare (43251) |
— |
$18,301.58 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$69,260.39 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$71,220.13 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$73,179.86 |
— |
| Egd Varices Ligation (43244) |
— |
$14,282.03 |
— |
| Embedded ip cath exit-site (49436) |
— |
$86,555.36 |
— |
| Endoscopic injection/implant (51715) |
— |
$32,695.05 |
— |
| Endoscopic plantar fasciotomy (29893) |
— |
$24,144.99 |
— |
| Endoscopic us exam esoph (43237) |
— |
$73,179.86 |
— |
| Endoscopy of ureter (50953) |
— |
$64,554.59 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$11,560.77 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$14,901.62 |
— |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
— |
$13,456.87 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$13,456.87 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$195,003.49 |
— |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
— |
$90,443.55 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$63,215.87 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$90,443.55 |
— |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
— |
$90,443.55 |
— |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
— |
$90,443.55 |
— |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
— |
$90,443.55 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$90,443.55 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
— |
$90,443.55 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
— |
$15,231.81 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$14,336.64 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$14,336.64 |
— |
| Epidural Blood Patch (62273) |
— |
$8,475.52 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$46,124.65 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$140,181.81 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$69,260.39 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$61,281.44 |
— |
| Esophagosc Dilate Balloon 30 (43214) |
— |
$118,827.75 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$69,260.39 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$69,260.39 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$118,827.75 |
— |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
— |
$77,522.94 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$118,827.75 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$69,260.39 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$67,414.25 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$69,260.39 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$69,260.39 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$67,414.25 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$118,827.75 |
— |
| Esophagoscopy rig transoral removal foreign body (43194) |
— |
$42,857.38 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$69,260.39 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$69,260.39 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$16,662.36 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$42,857.38 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$67,414.25 |
— |
| Evacuate mole of uterus (59870) |
— |
$62,488.07 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$973.33 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$95,539.15 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$38,789.11 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$101,398.72 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$39,655.43 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$40,774.66 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$29,538.81 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$42,398.06 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$30,886.57 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$36,450.03 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$27,388.93 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$30,556.33 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$33,540.26 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$32,616.07 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$12,563.21 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$30,848.15 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$45,441.74 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$25,566.31 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$23,343.58 |
— |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
— |
$69,093.61 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$48,946.11 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$101,398.72 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$30,713.96 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$33,731.08 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$32,506.75 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$37,561.69 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$9,628.72 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$30,184.24 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$46,820.53 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$38,373.15 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$30,851.97 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$95,539.15 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$95,539.15 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$175,568.35 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$175,568.35 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$25,262.82 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$32,024.59 |
— |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
— |
$32,988.73 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$193,346.48 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$608.56 |
— |
| Excise breast duct fistula (19112) |
— |
$67,454.73 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$47,322.05 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$43,637.24 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$28,004.73 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$55,620.75 |
— |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
— |
$95,539.15 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$32,478.03 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$115,939.45 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$67,454.73 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$67,454.73 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$67,454.73 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$38,377.50 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$31,437.48 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$193,346.48 |
— |
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines |
— |
$30,020.06–$33,596.55 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$31,221.37 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$44,428.35 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$31,579.04 |
— |
| Excision olecranon bursa (24105) |
— |
$22,811.35 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$193,346.48 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$53,745.22 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$44,126.15 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$86,555.36 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$27,703.09 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$38,736.66 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$25,359.87 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$104,047.63 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$29,664.01 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$23,823.73 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$140,181.81 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$140,181.81 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$140,181.81 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$140,181.81 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$149,300.50 |
— |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
— |
$167,537.87 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$28,086.50 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$86,555.36 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$64,830.86 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$5,477.30 |
— |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
— |
$79,601.98 |
— |
| External cephalic version (59412) |
— |
$19,225.58 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$23,343.58 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$101,398.72 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$866.93 |
— |
| Fixation contralateral testis separate procedure (54620) |
— |
$38,544.56 |
— |
| Fluid Pressure Muscle (20950) |
— |
$28,870.80 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$2,107.50 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$5,295.62 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$5,295.62 |
— |
| Foreskin manipulation (54450) |
— |
$1,794.55 |
— |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
— |
$193,346.48 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
— |
$167,537.87 |
— |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
— |
$249,732.65 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$249,732.65 |
— |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
— |
$112,324.71 |
— |
| Goniotomy (65820) |
— |
$15,292.79 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$2,030.26 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$60,108.94 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$152,539.50 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$37,614.21 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$54,188.20 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$36,564.34 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$19,860.40 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$31,532.88 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$42,725.74 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$28,092.92 |
— |
| I&d abscess peritonsillar (42700) |
— |
$1,884.29 |
— |
| I&d abscess simple (10060) |
— |
$30,343.71 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$21,251.09 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$66,875.16 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$5,295.60 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$5,295.60 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$12,322.02 |
— |
| Icd Pocket Revision (33223) |
— |
$9,963.81 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$69,260.39 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,051.94 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$6,221.94 |
— |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
— |
$99,671.68 |
— |
| Incise external hemorrhoid (46083) |
— |
$2,115.38 |
— |
| Incise finger tendon sheath (26055) |
— |
$31,180.88 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$47,249.74 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$21,251.09 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$26,758.74 |
— |
| Incision of rectal abscess (46040) |
— |
$37,786.18 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$5,946.84 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$56,390.13 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$1,673.39 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$23,720.51 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$119,163.35 |
— |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 3 matching MRF lines |
— |
$84,472.80–$94,361.62 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$2,147.69 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$64,946.10 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$2,262.15 |
— |
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines |
— |
$24,351.48–$27,721.41 |
— |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines |
— |
$86,681.11–$92,133.86 |
— |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines |
— |
$87,628.63–$108,480.83 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
— |
$55,296.69–$63,853.41 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$142,260.88 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$13,207.60 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$1,242.68 |
— |
| Insert cath pleura w/ image (32557) |
— |
$12,247.09 |
— |
| Insert cath pleura w/o image (32556) |
— |
$37,729.72 |
— |
| Insert cervical dilator (59200) |
— |
$2,403.24 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$6,560.85 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$45,439.47 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$73,620.56 |
— |
| Insert pulse gen dual leads (33213) |
— |
$26,299.73 |
— |
| Insert pulse gen mult leads (33221) |
— |
$64,102.46 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$23,908.17 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$51,979.89 |
— |
| Insert tun ip cath perc (49418) |
— |
$27,481.57 |
— |
| Insert tunneled cv cath (36561) |
— |
$32,504.99 |
— |
| Insert tunneled cv cath (36563) |
— |
$104,641.29 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$104,641.29 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$973.33 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$37,729.72 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$25,261.45 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$92,292.16 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$4,761.85 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$73,620.56 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$73,620.56 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$9,602.20 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$104,641.29 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$126,550.06 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$126,550.06 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$22,863.56 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$33,653.03 |
— |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
— |
$30,906.07 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$2,870.95 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$2,870.95 |
— |
| Intro cath dialysis circuit (36901) |
— |
$14,416.57 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$78,725.74 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$43,784.59 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$40,876.66 |
— |
| Kidney endoscopy (50553) |
— |
$64,554.59 |
— |
| Kidney endoscopy (50551) |
— |
$64,554.59 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$69,045.74 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
— |
$167,537.87 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$118,918.48 |
— |
| Lap revision perm ip cath (49325) |
— |
$86,555.36 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$88,582.89 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$59,455.36 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$195,161.35 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$100,634.21 |
— |
Laparoscopy w/rmvl adnexal structures (58661)
range across 3 matching MRF lines |
— |
$51,540.13–$53,791.77 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$60,336.64 |
— |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
— |
$118,918.48 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$118,918.48 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$81,018.80 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$64,336.63 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$103,686.05 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$130,952.69 |
— |
| Laparoscopy, Tubal Block (58671) |
— |
$47,535.55 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$47,397.28 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$57,325.18 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$60,099.63 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$102,818.29 |
— |
| Laser vaporization of prostate (52648) |
— |
$42,577.09 |
— |
| Late closure of wound (13160) |
— |
$86,555.36 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$39,108.06 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$29,593.15 |
— |
Mast mod rad (19307)
range across 2 matching MRF lines |
— |
$49,673.92–$50,922.80 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$67,454.73 |
— |
| Mastectomy partial (19301) |
— |
$42,343.45 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$70,912.95 |
— |
| Maternity Care Procedure (59899) |
— |
$74,204.78 |
— |
| Metatarsectomy (28140) |
— |
$193,346.48 |
— |
| Myelography Lumbar Injection (62304) |
— |
$7,625.68 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$6,323.13 |
— |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
— |
$204,098.81 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$89,194.97 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$3,016.55 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$28,870.80 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$69,260.39 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$11,883.15 |
— |
| Nipple Exploration (19110) |
— |
$67,454.73 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$2,204.49 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$48,977.61 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$48,977.61 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$1,080.17 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$2,095.53 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$56,390.13 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$103,776.16 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines |
— |
$82,923.88–$95,201.43 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$183,039.71 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$159,695.94 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$111,016.71 |
— |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
— |
$115,793.13 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$104,073.41 |
— |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 3 matching MRF lines |
— |
$94,388.68–$99,250.25 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$158,830.06 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$180,554.64 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$158,830.06 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$183,039.71 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$159,695.94 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$176,984.50 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$103,776.16 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$103,776.16 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$180,554.64 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$180,554.64 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$180,554.64 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$180,554.64 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$104,073.41 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$90,030.50 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$183,039.71 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$80,491.02 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$103,776.16 |
— |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
— |
$41,201.17 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$81,812.50 |
— |
Open Tx Distal Tibiofibular Joint Disruption (27829)
range across 2 matching MRF lines |
— |
$84,377.32–$93,977.85 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$158,830.06 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$158,830.06 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$176,984.50 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$176,984.50 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$69,545.31 |
— |
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines |
— |
$55,296.69–$70,372.15 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$103,776.16 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$103,776.16 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines |
— |
$91,131.41–$93,210.31 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$64,388.46 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$142,260.88 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$88,382.40 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$80,101.49 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$119,163.35 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$159,695.94 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$176,984.50 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$183,039.71 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$193,346.48 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$193,346.48 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$29,623.38 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$193,346.48 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$44,808.80 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$193,346.48 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$159,634.09 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$193,346.48 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$193,346.48 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$28,595.59 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$180,554.64 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$158,830.06 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
— |
$193,346.48 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$12,758.50 |
— |
| Partial removal of toe (28160) |
— |
$20,975.07 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$25,822.65 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$5,295.62 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$74,635.78 |
— |
| Peritoneal Lavage (49084) |
— |
$6,961.15 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$1,050.51 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,050.51 |
— |
| Perq device breast 1st imag (19281) |
— |
$38,436.99 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$64,554.59 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$89,108.05 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$38,092.79 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$6,817.39 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$6,962.64 |
— |
| Placement of seton (46020) |
— |
$35,522.01 |
— |
| Plastic Repair Introitus (56800) |
— |
$46,124.65 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$7,408.47 |
— |
| Prim art mech thrombectomy (37184) |
— |
$137,160.32 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$64,560.24 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$57,993.11 |
— |
| Prostate laser enucleation (52649) |
— |
$87,177.90 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$125,763.29 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$176,984.50 |
— |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
— |
$26,305.56 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$125,763.29 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$193,346.48 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$2,158.93 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,612.89 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$7,022.75 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$2,830.80 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$74,414.50 |
— |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
— |
$95,539.15 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
— |
$95,539.15 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$104,047.63 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$104,047.63 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$193,346.48 |
— |
| Realignment of knee (27455) |
— |
$183,039.71 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$124,744.11 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$12,828.84 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$9,937.19 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$17,003.97 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$2,178.90 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$22,345.64 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$22,345.64 |
— |
| Removal Implant Deep (20680) |
— |
$32,567.85 |
— |
| Removal of bladder cyst (51500) |
— |
$86,555.36 |
— |
| Removal of cervix (57530) |
— |
$43,118.52 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$3,162.93 |
— |
| Removal of nail bed (11750) |
— |
$5,279.81 |
— |
| Removal of testis (54520) |
— |
$38,544.56 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$86,555.36 |
— |
| Removal ppm generator only (33233) |
— |
$8,029.10 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$104,073.41 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$6,247.29 |
— |
| Remove drug implant device (11982) |
— |
$46,276.53 |
— |
| Remove hip pressure sore (15941) |
— |
$140,181.81 |
— |
| Remove hip pressure sore (15940) |
— |
$140,181.81 |
— |
| Remove Intrauterine Device (58301) |
— |
$22,947.07 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$973.33 |
— |
| Remove Pulse Generator (33241) |
— |
$10,039.26 |
— |
| Remove sacrum pressure sore (15937) |
— |
$149,300.50 |
— |
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines |
— |
$21,035.68–$37,563.93 |
— |
| Remove/graft foot lesion (28107) |
— |
$193,346.48 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$145,969.94 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$145,969.94 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$50,022.80 |
— |
| Renal Biopsy Perq (50200) |
— |
$3,466.11 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$64,554.59 |
— |
| Reopen fallopian tube (58350) |
— |
$46,641.72 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$24,176.76 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$4,462.53 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$2,840.94 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$4,462.53 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$34,943.50 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$124,875.67 |
— |
| Repair incomplete circumcision (54163) |
— |
$11,982.35 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$128,476.66 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$54,541.15 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$128,476.66 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$31,661.05 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$2,840.94 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$4,413.98 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$32,917.73 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$2,840.94 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$45,231.04 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$45,231.04 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$60,432.41 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$40,774.66 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$30,931.43 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$4,462.53 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$34,651.41 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$10,913.51 |
— |
| Repair of anal sphincter (46760) |
— |
$59,438.53 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$183,039.71 |
— |
| Repair of metatarsals (28322) |
— |
$85,332.15 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$103,776.16 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$79,967.42 |
— |
Repair of shoulder (23420)
range across 2 matching MRF lines |
— |
$93,608.45–$109,076.08 |
— |
| Repair radius & ulna (25415) |
— |
$103,776.16 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$128,476.66 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$97,499.56 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$124,875.67 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$17,612.32 |
— |
| Repair tongue laceration (41250) |
— |
$960.15 |
— |
| Repair umbilical lesion (49600) |
— |
$86,555.36 |
— |
| Repair webbed toe(s) (28345) |
— |
$101,398.72 |
— |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
— |
$124,875.67 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$128,476.66 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$128,476.66 |
— |
| Repair/graft achilles tendon (27652) |
— |
$124,875.67 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$55,658.65 |
— |
| Replace G-J Tube Perc (49452) |
— |
$55,658.65 |
— |
| Replace g/c tube perc (49450) |
— |
$55,658.65 |
— |
| Reposition Venous Catheter (36597) |
— |
$11,562.87 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$41,936.13 |
— |
| Revise hernia & sperm veins (55540) |
— |
$130,952.69 |
— |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
— |
$145,027.55 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
— |
$145,027.55 |
— |
| Revision of reconstructed breast (19380) |
— |
$67,454.73 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$171,499.90 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$161,373.67 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$12,106.34 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$6,796.06 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$3,182.43 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$973.33 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$75,500.99 |
— |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
— |
$21,771.29 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$33,653.03 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$10,950.34 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$5,056.90 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$7,480.45 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$11,562.87 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$62,315.35 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$53,267.33 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$84,908.55 |
— |
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines |
— |
$32,389.58–$62,854.96 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$49,062.75 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$124,875.67 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$1,544.34 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$124,875.67 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$128,476.66 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$128,476.66 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$128,476.66 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$45,231.04 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$4,452.75 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$11,691.94 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$4,453.81 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$73,823.10 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$88,090.21 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$57,993.11 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$126,289.64 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$65,287.72 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$1,544.34 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$65,287.72 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$65,287.72 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$39,482.39 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,544.34 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,544.34 |
— |
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines |
— |
$18,020.07–$51,218.69 |
— |
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines |
— |
$16,454.74–$17,341.21 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$35,059.14 |
— |
| Skin Tissue Procedure (17999) |
— |
$29,623.38 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$14,336.64 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$18,838.10 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$38,973.77 |
— |
| Small bowel endoscopy (44366) |
— |
$16,702.21 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$90,443.55 |
— |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
— |
$90,443.55 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$42,153.64 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$2,840.94 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$42,153.64 |
— |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
— |
$59,438.53 |
— |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
— |
$59,438.53 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$13,039.53 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$24,775.85 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$14,336.64 |
— |
| Strapping elbow or wrist (29260) |
— |
$293.61 |
— |
| Strapping hand/finger (29280) |
— |
$293.61 |
— |
| Strapping shoulder (29240) |
— |
$973.33 |
— |
| Strapping Unna Boot (29580) |
— |
$1,237.85 |
— |
| Surg Implnt Neuroelect,Epidural (63655) |
— |
$167,537.87 |
— |
| Surg tx anal fistula subq (46270) |
— |
$29,930.06 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$69,545.31 |
— |
Tenodesis long tendon biceps (23430)
range across 3 matching MRF lines |
— |
$72,482.73–$113,514.73 |
— |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
— |
$102,445.70 |
— |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
— |
$102,445.70 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$102,445.70 |
— |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
— |
$102,445.70 |
— |
| Tenotomy extensor hand/finger open each tendon (26460) |
— |
$77,429.77 |
— |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
— |
$77,429.77 |
— |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
— |
$77,429.77 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$7,843.24 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$125,017.02 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$74,635.78 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$2,555.30 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$74,635.78 |
— |
| Tooth extraction (41899) |
— |
$59,706.17 |
— |
| Total Knee Arthroplasty (27447) |
— |
$146,783.13 |
— |
| Treat dislocation/fracture (23670) |
— |
$103,573.30 |
— |
| Treat dislocation/fracture (23680) |
— |
$176,984.50 |
— |
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines |
— |
$56,608.39–$66,876.15 |
— |
| Treat Elbow Fracture (24635) |
— |
$103,776.16 |
— |
| Treat elbow fracture (24587) |
— |
$103,776.16 |
— |
| Treat fracture radius/ulna (25575) |
— |
$108,099.70 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$82,321.49 |
— |
| Treat Hand Bone Lesion (26034) |
— |
$69,071.42 |
— |
| Treat Humerus Fracture (24505) |
— |
$12,004.93 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$2,057.49 |
— |
| Treat lower leg dislocation (27832) |
— |
$183,039.71 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$2,057.49 |
— |
| Treat Thumb Fracture (26645) |
— |
$13,069.48 |
— |
| Treat toe dislocation (28630) |
— |
$1,958.92 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$159,695.94 |
— |
Trim skin lesion (11055)
range across 2 matching MRF lines |
— |
$1,416.87–$3,325.19 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$3,556.26 |
— |
| Trim skin lesions over 4 (11057) |
— |
$1,544.34 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$511.52 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$45,844.23 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$46,480.77 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$2,491.67 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$176,984.50 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$41,945.27 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$159,695.94 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$33,942.20 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$62,488.07 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$12,004.93 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$41,424.78 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$1,964.33 |
— |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
— |
$95,539.15 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$39,405.88 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$26,911.58 |
— |
| Unlisted laparoscopy procedure appendix (44979) |
— |
$63,523.33 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$68,863.94 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$73,828.08 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$56,056.55 |
— |
| Unlisted laparoscopy procedure, esophagus (43289) |
— |
$82,846.84 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$120,792.40 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$97,775.80 |
— |
| Unlisted procedure anus (46999) |
— |
$32,009.92 |
— |
| Unlisted procedure arthroscopy (29999) |
— |
$52,470.31 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$195,003.49 |
— |
| Unlisted Procedure Esophagus (43499) |
— |
$82,846.84 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$104,073.41 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$129,360.34 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$175,568.35 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$38,874.66 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$176,984.50 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$6,833.77 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$475,702.86 |
— |
| Unlisted procedure liver (47399) |
— |
$39,405.88 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$4,805.66 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$2,360.99 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$133,490.70 |
— |
| Unlisted procedure nervous system (64999) |
— |
$7,014.62 |
— |
| Unlisted procedure shoulder (23929) |
— |
$92,343.63 |
— |
| Unlisted procedure stomach (43999) |
— |
$64,375.21 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$13,516.64 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$161,054.47 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$14,154.39 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$46,466.63 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$48,538.73 |
— |
| Unlisted vascular endoscopy procedure (37501) |
— |
$104,906.95 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$64,554.59 |
— |
| Vag hyst w/t/o & vag repair (58263) |
— |
$36,481.44 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$39,374.43 |
— |
| Vaginal delivery only (59409) |
— |
$39,343.62 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$49,056.84 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$74,635.78 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$51,218.69 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$14,336.64 |
— |
Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991)
range across 3 matching MRF lines |
— |
$19,652.99–$21,540.80 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$4,811.27 |
— |