| Abd paracentesis w/imaging (49083) |
$1,160 |
$6,232.50 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,160 |
$5,070.90 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,640 |
$6,120.83 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$4,187 |
$18,107 |
1.0× |
| Amputate Metacarpal Bone (26910) |
$4,187 |
$10,864.20 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$4,187 |
$26,000 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$6,402 |
$6,500 |
1.0× |
| Application finger splint static (29130) |
$170 |
$839.80 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$207 |
$1,052.19 |
1.0× |
| Application Long Leg Splint (29505) |
$207 |
$1,052.19 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$170 |
$923.78 |
1.0× |
| Application short leg splint calf foot (29515) |
$207 |
$1,052.19 |
1.0× |
| Arterial puncture (36600) |
$170 |
$923.78 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,041 |
$34,767.40 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$7,121 |
$29,250 |
1.0× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$392 |
$1,656.85–$17,806.70 |
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)
range across 2 matching MRF lines |
$392 |
$1,945.83–$11,750 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$392 |
$1,558.05 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$392 |
$994.11 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$22,440 |
$31,500 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$4,187 |
$13,375 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$4,187 |
$10,000 |
1.0× |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines |
$9,286 |
$19,843.75–$19,843.80 |
1.0× |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines |
$4,187 |
$14,886.10–$14,886.11 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$9,286 |
$9,010.42 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,187 |
$7,040.62 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,187 |
$8,858.33 |
1.0× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
$9,286 |
$13,960.30–$13,960.31 |
1.0× |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines |
$9,286 |
$15,970.18–$15,970.20 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,187 |
$14,437.50 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$802 |
$4,298.04 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$802 |
$3,220.52 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$392 |
$1,475.95 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,675 |
$12,500 |
1.0× |
| Av Fistula Revision Open (36832) |
$7,121 |
$35,750 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$7,121 |
$34,125 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$256 |
$1,337.44 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$2,113 |
$10,479 |
1.0× |
| Biopsy bone open deep (20245) |
$3,717 |
$14,127 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$2,113 |
$5,441.72 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$2,113 |
$7,497.75 |
1.0× |
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines |
$2,113 |
$8,383.19–$10,479 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,113 |
$8,101.20 |
1.0× |
| Bladder Irrigation (51700) |
$319 |
$1,585.44 |
1.0× |
| Bladder Scan (51798) |
$75 |
$342.17 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$406 |
$1,558.57 |
1.0× |
| Blood Transfusion Service (36430) |
$564 |
$3,251.70 |
1.0× |
| Bone Marrow Biopsy (38221) |
$2,113 |
$8,383.19 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$2,113 |
$8,383.19 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,278 |
$8,085.70 |
1.0× |
| Bronch Thermoplsty 1 Lobe (31660) |
$9,032 |
$32,606 |
1.0× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$9,032 |
$32,606 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$2,278 |
$9,494.55 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$500 |
$1,945.25 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,278 |
$8,914.10 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,771 |
$18,434.80 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$2,113 |
$7,497.75 |
1.0× |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
$9,286 |
$6,875 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$2,499 |
$13,000 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$280 |
$1,312.46 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$4,041 |
$17,830.90 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$319 |
$1,981.80 |
1.0× |
| Change of Windpipe Airway (31502) |
$303 |
$1,260.49 |
1.0× |
| Chemical Cautery Tissue (17250) |
$256 |
$882.25 |
1.0× |
| Chest tube placement (32551) |
$2,014 |
$10,472.90 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,582 |
$18,956.20 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,675 |
$13,068.90 |
1.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,675 |
$15,017.40 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,058 |
$7,656.65 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,058 |
$8,990.74 |
1.0× |
Claviculectomy partial (23120)
range across 2 matching MRF lines |
$4,187 |
$18,681.25–$18,681.30 |
1.0× |
| Clear outer ear canal (69200) |
$170 |
$839.80 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$315 |
$1,035.05 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,058 |
$5,394.45 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$315 |
$1,075.89 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$315 |
$1,228.03 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,058 |
$8,298.68 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$315 |
$791.52 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$315 |
$1,669.75 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,058 |
$7,656.65 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,058 |
$5,394.45 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$315 |
$1,319.20 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,058 |
$8,298.68 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,058 |
$8,298.68 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$315 |
$1,123.45 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$315 |
$1,228.03 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,058 |
$8,002.05 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,058 |
$13,000 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$315 |
$1,530.91 |
1.0× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$3,552 |
$4,296.87 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,058 |
$8,990.74 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$315 |
$791.52 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$315 |
$1,418.13 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$315 |
$1,228.03 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,058 |
$8,990.74 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$315 |
$1,319.20 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,058 |
$8,298.68 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$315 |
$1,388.54 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$315 |
$1,228.03 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$315 |
$1,319.20 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$315 |
$1,319.20 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$315 |
$1,319.20 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$315 |
$1,243.27 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$315 |
$1,319.20 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$315 |
$791.52 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$315 |
$1,228.03 |
1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$315 |
$1,283.30 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,058 |
$8,298.68 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$315 |
$791.52 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$67.62 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,531 |
$3,960.81 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,531 |
$5,895.40 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,531 |
$6,178.41 |
1.0× |
| Colonoscopy thru stoma (44388) |
$1,190 |
$4,728.22 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,531 |
$6,178.41 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,531 |
$3,960.81 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,531 |
$6,601.34 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,531 |
$5,895.40 |
1.0× |
| Colonoscopy W/Resection (45390) |
$3,552 |
$12,475.20 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,531 |
$7,723.01 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,531 |
$6,178.41 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,531 |
$6,178.41 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,531 |
$6,601.34 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$6,402 |
$17,714.60 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$4,143 |
$10,905.10 |
1.0× |
| Conization of cervix (57520) |
$4,143 |
$10,500 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$170 |
$714.58 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$170 |
$839.80 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,113 |
$9,069.54 |
1.0× |
| Correction hammertoe (28285) |
$4,187 |
$19,500 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$4,187 |
$21,525 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$170 |
$708 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,675 |
$13,937.50 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$4,511 |
$10,500 |
1.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$6,862 |
$22,278.80 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$4,511 |
$21,624.70 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$4,511 |
$17,187.50 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$4,511 |
$11,750.60 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,675 |
$14,491.10 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$6,862 |
$24,974.30 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,511 |
$8,205.24 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,511 |
$18,450 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$6,862 |
$13,000 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$6,862 |
$17,000.30 |
1.0× |
| Cystolithotomy (51050) |
$6,862 |
$35,887.50 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$4,511 |
$17,754.50 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$6,862 |
$14,475 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,675 |
$11,171.30 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,675 |
$33,882.90 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$945 |
$3,060.65 |
1.0× |
| Deep Muscle Biopsy (20205) |
$3,717 |
$12,916.30 |
1.0× |
| Delivery of placenta (59414) |
— |
$10,493.40 |
— |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
$1,190 |
$4,558.55–$5,910.28 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,160 |
$4,687.80 |
1.0× |
| Dilate Urethra Stricture (53600) |
$319 |
$31,098 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,143 |
$13,000 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$903 |
$3,783.39 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$906 |
$3,707.67 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,113 |
$8,383.19 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$303 |
$1,260.49 |
1.0× |
| Drainage of finger abscess simple (26010) |
$256 |
$1,569.36 |
1.0× |
| Drainage of gum lesion (41800) |
$170 |
$714.58 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$2,113 |
$9,069.54 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$2,113 |
$8,383.19 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$256 |
$1,337.44 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$3,552 |
$12,305.90 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$2,278 |
$10,444 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$2,278 |
$11,142.60 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,278 |
$5,696.73 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$903 |
$3,462.60 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,455 |
$9,064.95 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,455 |
$9,677.23 |
1.0× |
| Egd cautery tumor polyp (43250) |
$2,455 |
$6,386.66 |
1.0× |
| Egd control bleeding any (43255) |
$2,455 |
$12,096.50 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,455 |
$9,677.23 |
1.0× |
| Egd endo mucosal resection (43254) |
$2,455 |
$9,484.95 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$1,160 |
$4,821.03 |
1.0× |
| Egd guide wire insertion (43248) |
$1,160 |
$6,026.29 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,455 |
$6,386.66 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,455 |
$13,306.20 |
1.0× |
| Egd remove lesion snare (43251) |
$2,455 |
$12,096.50 |
1.0× |
| Egd Varices Ligation (43244) |
$2,455 |
$12,096.50 |
1.0× |
| Endocervical curettage (57505) |
$1,178 |
$6,000 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,455 |
$9,677.23 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,934 |
$22,868 |
1.0× |
Ercp ea duct/ampulla dilate (43277)
range across 2 matching MRF lines |
$4,934 |
$10,500–$21,423.80 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,934 |
$21,423.80 |
1.0× |
| Ercp remove forgn body duct (43275) |
$2,455 |
$9,064.95 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$4,934 |
$22,868 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,160 |
$6,026.29 |
1.0× |
| Esophagosc Dilate Balloon 30 (43214) |
$2,455 |
$9,677.23 |
1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$2,455 |
$9,484.95 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,455 |
$11,693.80 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,455 |
$9,064.95 |
1.0× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$2,455 |
$9,064.95 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,455 |
$9,677.23 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$170 |
$671.84 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,011 |
$18,750 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$906 |
$8,517.32 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,113 |
$5,441.72 |
1.0× |
| Exc hand tum deep < 1.5 cm (26116) |
$2,113 |
$6,500 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,113 |
$8,750 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,717 |
$10,500 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,531 |
$3,960.81 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$906 |
$7,500 |
1.0× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$2,113 |
$6,500 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,717 |
$8,750 |
1.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$2,058 |
$13,000 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,675 |
$6,836.40 |
1.0× |
| Excision external ear; complete amputation Facility (69120) |
$7,576 |
$29,578.30 |
1.0× |
| Excision of extraparenchymal lesion of testis (54512) |
$4,511 |
$13,000 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,058 |
$10,500 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$4,582 |
$14,394.70 |
1.0× |
| Excision olecranon bursa (24105) |
$4,187 |
$13,000 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,717 |
$12,500 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,675 |
$13,509 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,113 |
$13,000 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,717 |
$9,000 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$2,113 |
$14,213.60 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,113 |
$16,250 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$2,113 |
$13,015 |
1.0× |
| Exploration of knee joint (27310) |
$4,187 |
$6,125 |
1.0× |
| Fetal non-stress test (59025) |
— |
$1,025 |
— |
| Fine needle aspiration without imaging guidance (10021) |
$520 |
$2,059.37 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$305 |
$1,507.82 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$906 |
$3,517.95 |
1.0× |
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines |
$906 |
$1,718.55–$3,707.67 |
1.0× |
| Foreskin manipulation (54450) |
$319 |
$1,565.98 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$906 |
$6,782 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,552 |
$10,500 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,552 |
$12,125 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,552 |
$14,535.80 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,190 |
$4,172.94 |
1.0× |
Hysteroscopy Biopsy (58558)
range across 2 matching MRF lines |
$4,143 |
$10,946.68–$10,946.70 |
1.0× |
| I&d abscess peritonsillar (42700) |
$303 |
$1,318.34 |
1.0× |
| I&d abscess simple (10060) |
$256 |
$1,337.44 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,190 |
$4,728.22 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$906 |
$3,824.50 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$906 |
$3,935.82 |
1.0× |
| Icd Pocket Revision (33223) |
$2,640 |
$6,120.83 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,160 |
$4,318.45 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$2,113 |
$9,069.54 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$2,113 |
$8,383.19 |
1.0× |
| Incise external hemorrhoid (46083) |
$319 |
$1,585.44 |
1.0× |
| Incise finger tendon sheath (26055) |
$2,058 |
$5,722.22 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$520 |
$2,230.59 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$520 |
$2,059.37 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$258 |
$1,114.71 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$390 |
$1,794.59 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$2,058 |
$6,500 |
1.0× |
| Incision of rectal abscess (46040) |
$1,531 |
$8,307.50 |
1.0× |
| Incision of urethra (53020) |
$2,675 |
$10,705.60 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$256 |
$1,119.93 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,132 |
$4,451.45 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$903 |
$14,625 |
1.0× |
| Injection for identification of sentinel node (38792) |
$511 |
$2,009.15 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$392 |
$1,945.83 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$392 |
$1,656.85 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,132 |
$5,427.81 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$903 |
$4,118.13 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$903 |
$4,729.24 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$4,041 |
$15,185 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$4,041 |
$10,698.50 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$7,121 |
$18,444.70 |
1.0× |
| Insert cath pleura w/ image (32557) |
$2,014 |
$10,472.90 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,455 |
$9,677.23 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$4,041 |
$23,452 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$13,377 |
$35,840.70 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,014 |
$5,390.69 |
1.0× |
| Insert pulse gen dual leads (33213) |
$13,377 |
$61,951.40 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$10,591 |
$28,515 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$170 |
$839.80 |
1.0× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$4,041 |
$13,000–$18,618.60 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$7,121 |
$35,515.30 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$170 |
$839.80 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,582 |
$17,645.30 |
1.0× |
| Insertion of cannula (36800) |
$7,121 |
$30,741.10 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,014 |
$9,854.94 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$4,041 |
$10,698.50 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,041 |
$17,830.90 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$2,014 |
$5,375.42–$11,520.20 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,041 |
$15,737.50 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$40,173 |
$184,039 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$10,591 |
$41,379.90 |
1.0× |
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines |
$13,377 |
$40,163.80–$77,439.30 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,243 |
$11,156.40 |
1.0× |
| Intro cath dialysis circuit (36901) |
$2,014 |
$8,959.04 |
1.0× |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
$303 |
$1,310.35–$1,733.17 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$319 |
$1,177.40 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$7,737 |
$13,750 |
1.0× |
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines |
$13,604 |
$41,192.55–$41,192.60 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$7,737 |
$19,210 |
1.0× |
| Laparoscopy surgical orchiectomy (54690) |
$7,737 |
$27,743.30 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$7,737 |
$32,398.50 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$7,737 |
$16,760.60 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,737 |
$10,875 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,737 |
$21,052.40 |
1.0× |
| Laser vaporization of prostate (52648) |
$6,862 |
$43,385 |
1.0× |
| Late closure of wound (13160) |
$4,535 |
$13,000 |
1.0× |
| Ligation of a-v fistula (37607) |
$4,041 |
$22,750 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$4,511 |
$16,111.80 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,511 |
$15,038.10 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,511 |
$12,284.60 |
1.0× |
Lysis/excision penile postcircumcision adhesions (54162)
range across 2 matching MRF lines |
$2,675 |
$10,590.15–$10,590.20 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$2,058 |
$13,000 |
1.0× |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
$9,286 |
$37,500 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$571 |
$1,337.33 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$2,113 |
$8,383.19 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$392 |
$1,945.83 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,582 |
$18,956.20 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,132 |
$4,342.25 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$892 |
$3,427.75 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$520 |
$2,059.37 |
1.0× |
| Occipital Nerve Block (64405) |
$392 |
$1,475.95 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$9,286 |
$20,625 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,286 |
$30,000 |
1.0× |
| Open treatment interphalangeal joint dislocation (28675) |
$4,187 |
$12,191.70 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$9,286 |
$19,500 |
1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$9,286 |
$6,875 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$9,286 |
$22,750 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,286 |
$27,675 |
1.0× |
| Open tx acute shoulder dislocation (23660) |
$9,286 |
$6,875 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$9,286 |
$18,000 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$9,286 |
$12,250 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$4,187 |
$15,166.70 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$9,286 |
$19,900 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$14,775 |
$56,702.80 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$14,775 |
$61,540.80 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$9,286 |
$18,400 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,582 |
$13,000 |
1.0× |
| Osteotomy Clavicle W Bone Graft (23485) |
$16,431 |
$13,000 |
1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$6,402 |
$12,221.10 |
1.0× |
| Partial Excision Bone Ulna (25150) |
$4,187 |
$6,500 |
1.0× |
| Partial removal of scapula (23190) |
$4,187 |
$9,375 |
1.0× |
| Penile Injection (54235) |
$319 |
$1,074.35 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,041 |
$15,737.50 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$2,014 |
$7,767.20 |
1.0× |
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines |
$906 |
$2,361.49–$26,000 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$906 |
$3,244.85 |
1.0× |
| Perq device breast 1st imag (19281) |
$2,113 |
$6,000 |
1.0× |
| Place Cath Vertebral Art (36226) |
$7,121 |
$18,444.70 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$571 |
$2,228.88 |
1.0× |
| Placement of seton (46020) |
$3,552 |
$8,333.34 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$7,737 |
$6,500 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,675 |
$13,335.10 |
1.0× |
| Prim art mech thrombectomy (37184) |
$23,462 |
$98,092 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,582 |
$11,612.10 |
1.0× |
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines |
$4,187 |
$15,558.30–$15,558.34 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$520 |
$2,230.59 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$4,511 |
$17,244.80 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,640 |
$8,687.65 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,531 |
$6,445.32 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$75 |
$342.17 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75 |
$414.59 |
1.0× |
| Removal Implant Deep (20680) |
$3,717 |
$22,500 |
1.0× |
| Removal of ankle implant (27704) |
$4,187 |
$15,420.20 |
1.0× |
| Removal of bladder cyst (51500) |
$7,737 |
$24,094 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$571 |
$2,201.38 |
1.0× |
| Removal of heel spur (28119) |
$4,187 |
$13,000 |
1.0× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$520 |
$2,230.59–$14,667.60 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,041 |
$17,056 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$256 |
$1,069.95 |
1.0× |
| Remove foreign body from eye (65205) |
$170 |
$671.84 |
1.0× |
| Remove lung catheter (32552) |
$802 |
$3,152.55 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$170 |
$671.84 |
1.0× |
| Remove prostate regrowth (52630) |
$6,862 |
$20,242.20 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$892 |
$5,526.50 |
1.0× |
| Remove wrist joint cartilage (25107) |
$4,187 |
$6,500 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$28,468 |
$131,859 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$40,173 |
$116,108 |
1.0× |
Remv&replc pm gen dual lead (33228)
range across 2 matching MRF lines |
$13,377 |
$29,244–$59,734.50 |
1.0× |
| Renal Biopsy Perq (50200) |
$2,113 |
$8,383.19 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$9,286 |
$27,500 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$520 |
$3,120.44 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$520 |
$3,120.44 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,058 |
$8,125 |
1.0× |
| Repair Hallux Rigidus (28289) |
$4,187 |
$13,000 |
1.0× |
| Repair incomplete circumcision (54163) |
$2,675 |
$11,412 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$520 |
$1,338.35 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$520 |
$1,463.10 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$945 |
$3,120.44 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$945 |
$2,108 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$520 |
$2,059.37 |
1.0× |
| Repair Nonunion Hand (26546) |
$9,286 |
$19,500 |
1.0× |
| Repair of biceps tendon (24340) |
$9,286 |
$19,500 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$9,286 |
$37,812.50 |
1.0× |
| Repair of nail bed (11760) |
$945 |
$3,513.33 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$9,286 |
$42,250 |
1.0× |
| Repair shoulder capsule (23462) |
$9,286 |
$32,500 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$9,286 |
$19,500 |
1.0× |
| Repair tongue laceration (41250) |
$571 |
$1,337.33 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$9,286 |
$13,000 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$319 |
$5,436.03 |
1.0× |
| Revision of urethra (57220) |
$6,402 |
$5,000 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,160 |
$3,042.54 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$571 |
$2,228.88 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$170 |
$714.58 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$571 |
$1,337.33 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,531 |
$26,000 |
1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,717 |
$9,000 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$802 |
$2,699.85 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$319 |
$1,981.80 |
1.0× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$4,041 |
$15,185 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,041 |
$15,737.50 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,737 |
$18,750 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,582 |
$9,000 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$8,285 |
$15,625 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,582 |
$18,750 |
1.0× |
Rpr aa hrn 1st < 3 ncr/strn (49592)
range across 2 matching MRF lines |
$7,737 |
$16,467.40–$16,467.42 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$906 |
$3,707.67 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$256 |
$1,161 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$690 |
$3,077.86 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$4,187 |
$7,779.16 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,190 |
$4,728.22 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,531 |
$6,178.41 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$1,190 |
$4,354.05 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,190 |
$5,112.70 |
1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,531 |
$5,621.80 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,531 |
$6,178.41 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,190 |
$5,112.70 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,531 |
$5,621.80 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$520 |
$1,338.35 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$256 |
$1,337.44 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$520 |
$1,997.65 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$256 |
$1,069.95 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$256 |
$1,471.18 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$256 |
$1,718 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$256 |
$1,337.44 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$6,402 |
$16,206.80 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$256 |
$1,337.44 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$520 |
$2,230.59 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$520 |
$2,059.37 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$903 |
$3,868.53 |
1.0× |
| Strapping ankle (29540) |
$207 |
$596.20 |
1.0× |
| Strapping elbow or wrist (29260) |
$75 |
$486.71 |
1.0× |
| Strapping hand/finger (29280) |
$75 |
$354 |
1.0× |
| Strapping knee (29530) |
$170 |
$714.58 |
1.0× |
| Strapping shoulder (29240) |
$170 |
$671.84 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,552 |
$19,809.60 |
1.0× |
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines |
$9,286 |
$15,258.30–$15,258.33 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$9,286 |
$7,575 |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$2,058 |
$4,583.33 |
1.0× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$945 |
$2,108 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$24,652 |
$85,888 |
1.0× |
Tenodesis long tendon biceps (23430)
range across 2 matching MRF lines |
$9,286 |
$16,840.45–$16,840.50 |
1.0× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$4,187 |
$6,500 |
1.0× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$7,121 |
$34,375 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$422 |
$1,899.72 |
1.0× |
| Thyroid biopsy (60100) |
$906 |
$3,707.67 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$7,737 |
$22,750 |
1.0× |
| Total Knee Arthroplasty (27447) |
$16,431 |
$33,450.30 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$390 |
$2,799 |
1.0× |
| Transur electr resection of prostate (52601) |
$6,862 |
$22,564 |
1.0× |
| Transurethral resection bladder neck (52500) |
$4,511 |
$13,000 |
1.0× |
| Treat Humerus Fracture (24505) |
$2,058 |
$8,002.05 |
1.0× |
| Treat knee fracture (27532) |
$4,187 |
$16,873.10 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$315 |
$1,228.03 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$315 |
$1,228.03 |
1.0× |
| Treat thumb fracture (26665) |
$4,187 |
$16,250 |
1.0× |
| Treat toe dislocation (28630) |
$315 |
$791.52 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$315 |
$1,319.20 |
1.0× |
| Trim skin lesion (11055) |
$256 |
$902.90 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$7,284 |
$37,246 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,284 |
$31,973.60 |
1.0× |
| Tubal ligation (58600) |
$4,143 |
$13,813 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,552 |
$18,468.20 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$276 |
$1,576.84 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$945 |
$3,513.33 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$16,431 |
$26,000 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$7,737 |
$9,951.31 |
1.0× |
| Unlisted procedure anus (46999) |
$1,190 |
$4,354.05 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$315 |
$18,450 |
1.0× |
| Unlisted procedure nervous system (64999) |
$392 |
$1,656.85 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$303 |
$6,925.17 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$1,190 |
$13,954.50 |
1.0× |
| Unlisted procedure shoulder (23929) |
$315 |
$6,250 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$802 |
$3,100.05 |
1.0× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$303 |
$1,161.10 |
1.0× |
| Vaginal delivery only (59409) |
$4,143 |
$15,632.20 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$6,402 |
$13,500 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$6,402 |
$17,565 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$14,775 |
$56,702.80 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$14,775 |
$61,540.80 |
1.0× |
| Wedge excision skin nail fold (11765) |
$520 |
$2,059.37 |
1.0× |