| 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg, Magpi,… (54322) |
— |
$22,819.51 |
— |
| 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps… (54324) |
— |
$26,603.63 |
— |
| Abd paracentesis w/imaging (49083) |
— |
$3,394 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$2,628.75 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$59,587.54 |
— |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
— |
$81,180.78 |
— |
| Abrasion single lesion (15786) |
— |
$30,965.58 |
— |
| Acne surgery (10040) |
— |
$57,852.34 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$86,618.06 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$57,673.57 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$72,642.30 |
— |
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines |
— |
$28,558.89–$106,421.21 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$46,703.20 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$46,703.20 |
— |
| Amniocentesis diagnostic (59000) |
— |
$16,879.26 |
— |
| Amniocentesis therapeutic (59001) |
— |
$4,575.27 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$23,426.08 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$108,350.57 |
— |
| Amputation foot transmetarsal (28805) |
— |
$108,350.57 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$10,241.80 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$24,016.52 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$98,471.74 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$85,802.87 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$85,802.87 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$85,802.87 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$85,802.87 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$85,802.87 |
— |
Ankle Arthroscopy/Surgery (29892)
range across 3 matching MRF lines |
— |
$42,278–$52,516.76 |
— |
| Ankle disarticulation (27889) |
— |
$29,319.91 |
— |
| Anorectal myomectomy (45108) |
— |
$122,217.74 |
— |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
— |
$47,458.81 |
— |
| Anoscopy diagnostic (46600) |
— |
$18,970.59 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$21,442.92 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$47,458.81 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$12,974.69 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$44,420.78 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$70,737.63 |
— |
| Appendectomy (44950) |
— |
$41,038.79 |
— |
| Application finger splint static (29130) |
— |
$360.75 |
— |
| Application Hip Spica Cast 1 Leg (29305) |
— |
$22,061.05 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$703 |
— |
| Application Long Leg Splint (29505) |
— |
$931 |
— |
| Application multiplane external fixation system (20692) |
— |
$103,924.78 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$1,675.75 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$18,115.65 |
— |
| Application short leg splint calf foot (29515) |
— |
$655.25 |
— |
| Application uniplane external fixation system (20690) |
— |
$97,946.59 |
— |
| Apply long arm cast (29065) |
— |
$619.50 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$1,896.75 |
— |
| Arrest Epiphyseal Open Distal Tibia (27730) |
— |
$91,425.55 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
— |
$91,425.55 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
— |
$91,425.55 |
— |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
— |
$91,425.55 |
— |
| Arterial puncture (36600) |
— |
$414.25 |
— |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
— |
$87,618.82 |
— |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
— |
$108,557.45 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$111,481.74 |
— |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines |
— |
$56,103.97–$84,802.62 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
— |
$6,097.67–$42,324.04 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,121.25 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$32,863.41 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$21,744.18 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$807.75 |
— |
Arthrodesis ankle open (27870)
range across 2 matching MRF lines |
— |
$70,170.44–$88,110.03 |
— |
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines |
— |
$22,558.30–$33,521.51 |
— |
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines |
— |
$59,590.15–$78,679.03 |
— |
| Arthrodesis Posterior Interbody Lumbar (22630) |
— |
$227,280.01 |
— |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
— |
$206,433.29 |
— |
Arthrodesis sacroiliac joint percutaneous (27279)
range across 3 matching MRF lines |
— |
$61,032.93–$84,365.75 |
— |
Arthrodesis subtalar (28725)
range across 3 matching MRF lines |
— |
$93,498.95–$106,421.21 |
— |
| Arthrodesis triple (28715) |
— |
$175,560.79 |
— |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
— |
$170,547.05 |
— |
| Arthrodesis, anterior transoral or extraoral technique, clivus-C1-C2 (atlas-axis), with or without excision of odontoid… (22548) |
— |
$108,557.45 |
— |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 2 to 3 vertebral segments Facility (22808) |
— |
$108,557.45 |
— |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 4 to 7 vertebral segments Facility (22810) |
— |
$108,557.45 |
— |
| Arthrodesis, anterior, for spinal deformity, with or without cast; 8 or more vertebral segments Facility (22812) |
— |
$114,566.90 |
— |
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) |
— |
$229,382.48 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
— |
$229,382.48 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
— |
$200,678.58 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
— |
$197,934.46 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
— |
$77,608.65 |
— |
| Arthroplasty ankle revision total ankle (27703) |
— |
$126,255.97 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$129,950.16 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$56,400.69 |
— |
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
range across 2 matching MRF lines |
— |
$49,356.76–$51,406.62 |
— |
| Arthroplasty interphalangeal joint each (26535) |
— |
$16,622.80 |
— |
| Arthroplasty Patella W/Prosthesis (27438) |
— |
$72,498.61 |
— |
| Arthroplasty radial head (24365) |
— |
$95,653.55 |
— |
| Arthroplasty Radial Head W/Implant (24366) |
— |
$102,333.33 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$84,889.25 |
— |
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 3 matching MRF lines |
— |
$46,833.95–$96,925.01 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$58,146.55 |
— |
Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899)
range across 2 matching MRF lines |
— |
$75,407.53–$82,159.47 |
— |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
— |
$30,715.83 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$103,479.54 |
— |
Arthroscopy Knee Osteochondral Allograft (29867)
range across 2 matching MRF lines |
— |
$37,995.50–$45,233.42 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$40,869.76 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$73,786.15 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$27,418.82 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$30,485.32 |
— |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
— |
$30,715.83 |
— |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
— |
$58,493.85 |
— |
Arthroscopy, knee, surgical; with lateral release (29873)
range across 3 matching MRF lines |
— |
$62,407.53–$66,562.18 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
— |
$38,265.73 |
— |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 3 matching MRF lines |
— |
$60,213.62–$73,786.15 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines |
— |
$43,457.05–$50,870.49 |
— |
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 3 matching MRF lines |
— |
$23,914.16–$35,464.06 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines |
— |
$36,803.25–$45,080.20 |
— |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines |
— |
$41,819.92–$42,859.91 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$42,119.89 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$42,119.89 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$180,408.54 |
— |
| Arthrotomy W/Meniscus Repair Knee (27403) |
— |
$63,324.11 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
— |
$40,919.64 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$62,032.93 |
— |
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 3 matching MRF lines |
— |
$54,195.90–$91,878.27 |
— |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
— |
$34,235.27 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 3 matching MRF lines |
— |
$66,146.56–$73,786.15 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$46,178.01 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$50,305.62 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$84,889.25 |
— |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
— |
$29,116.53 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$23,511.64 |
— |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
— |
$54,897.56 |
— |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
— |
$180,408.54 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$18,496.98 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$22,093.32 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,462.50 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,739.25 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$21,603.39 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$12,282.49 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$689 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$69,153.16 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$69,153.16 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$10,256.75 |
— |
| Biopsy bone open deep (20245) |
— |
$22,400.82 |
— |
| Biopsy bone open superficial (20240) |
— |
$287,768.03 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$174,240.29 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$7,023.90 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$94,292.65 |
— |
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines |
— |
$22,150.77–$26,459.23 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$40,751.81 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$8,758.39 |
— |
| Biopsy of rectum (45100) |
— |
$16,280.46 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$1,846 |
— |
Biopsy soft tissue leg/ankle area superficial (27613)
range across 2 matching MRF lines |
— |
$25,856.38–$26,976.30 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$94,292.65 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$94,292.65 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$19,591.39 |
— |
Biopsy/removal lymph nodes (38510)
range across 3 matching MRF lines |
— |
$18,307.11–$20,093.57 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$17,672.76 |
— |
| Bladder Scan (51798) |
— |
$498.75 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$1,145 |
— |
| Blood Transfusion Service (36430) |
— |
$1,320.50 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$74,256.36 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$86,733.29 |
— |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
— |
$63,548.26 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
— |
$90,089.93 |
— |
| Bone Marrow Biopsy (38221) |
— |
$53,150.01 |
— |
| Breast augmentation with implant (19325) |
— |
$50,647.78 |
— |
| Breast Reduction (19318) |
— |
$74,407.48 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$2,348.25 |
— |
| Bronchoscopy Clear Airways (31645) |
— |
$91,195 |
— |
| Bronchoscopy Reclear Airway (31646) |
— |
$91,195 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$5,271.75 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$79,288.86 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$76,291.45 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$76,291.45 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$8,822.75 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$5,701.50 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,884.75 |
— |
| Bx Cervix (57500) |
— |
$17,310.75 |
— |
Bx/exc lymph node open deep axillary node (38525)
range across 4 matching MRF lines |
— |
$53,407.65–$82,939.06 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$54,527.10 |
— |
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines |
— |
$32,209.74–$47,523.94 |
— |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
— |
$61,932.23 |
— |
| Capsulotomy Posterior Capsular Release Knee (27435) |
— |
$47,057.68 |
— |
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines |
— |
$32,999.90–$52,051.32 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$16,891.27 |
— |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
— |
$25,530.68 |
— |
| Cerv artific diskectomy (22856) |
— |
$72,439.64 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$88,681.94 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$2,509.53 |
— |
| Chemical Cautery Tissue (17250) |
— |
$1,007.50 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$113,960.27 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$113,960.27 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$113,960.27 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$113,960.27 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$113,960.27 |
— |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
— |
$113,960.27 |
— |
| Chemodenervation of internal anal sphincter (46505) |
— |
$23,536.77 |
— |
| Chest tube placement (32551) |
— |
$4,954.75 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$5,939 |
— |
| Circumcision 28 days or older (54161) |
— |
$18,645.47 |
— |
| Circumcision Neonate (54160) |
— |
$5,217.96 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$17,102.41 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$14,844.04 |
— |
| Claviculectomy partial (23120) |
— |
$48,999.65 |
— |
| Clear outer ear canal (69200) |
— |
$759 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$27,101.67 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$25,893.29 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$4,080 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$2,704.50 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$97,946.59 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$34,709.01 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,295.75 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$34,709.01 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$34,709.01 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$4,182.75 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$34,709.01 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$8,786.23 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$34,709.01 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$23,994.17 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$2,188.25 |
— |
| Closure Gastrostomy Surg (43870) |
— |
$13,327.35 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,595.75 |
— |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
— |
$36,921.02 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,697.50 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$1,560.50 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$644 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$34,709.01 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$2,368.25 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$17,258.73 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$28,519.14 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$4,314 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$23,113.61 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$25,893.29 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$2,451.25 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$23,113.61 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$23,113.61 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$23,113.61 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$448.75 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,367.25 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,483 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$25,893.29 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,117.25 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$20,469.75 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$23,113.61 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$20,469.75 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$20,469.75 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$1,233.50 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$34,709.01 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$23,113.61 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$23,113.61 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$4,089.25 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$23,113.61 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$5,639 |
— |
| Coccygectomy, primary (27080) |
— |
$305,194.49 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$231 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$34.75 |
— |
| Colonoscopy Stoma Ablation Lesion (44401) |
— |
$92,104.12 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$55,417.92 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$55,417.92 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$59,245.59 |
— |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
— |
$37,515.39 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$36,732.97 |
— |
| Colonoscopy thru stoma (44388) |
— |
$6,553.05 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$9,046.96 |
— |
| Colonoscopy w/ablation (45388) |
— |
$17,070.07 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$13,706.25 |
— |
| Colonoscopy W/Resection (45390) |
— |
$18,731.72 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$15,907.54 |
— |
| Colpocleisis (le fort type) (57120) |
— |
$43,984.30 |
— |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
— |
$51,296.36 |
— |
| Colpopexy extraperitoneal (57282) |
— |
$60,003.58 |
— |
| Colpopexy vaginal intraperitoneal approach (57283) |
— |
$51,666.51 |
— |
| Colporrhaphy (57200) |
— |
$51,296.36 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$14,940.40 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$14,486.85 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$10,974.49 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$15,747.88 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$162,666.22 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$14,231.82 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$7,483.74 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$162,666.22 |
— |
| Colpotomy; with drainage of pelvic abscess (57010) |
— |
$45,083.39 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$6,343.75 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$18,551.84 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$18,731.72 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$46,413.60 |
— |
| Complex drainage wound (10180) |
— |
$24,268.28 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$15,047.50 |
— |
| Conization of cervix (57520) |
— |
$18,369.09 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$615 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$425.25 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$62,503.32 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$15,075 |
— |
| Cordocentesis (59012) |
— |
$24,301.68 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$4,419.25 |
— |
| Correction hammertoe (28285) |
— |
$49,443.06 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$49,662.41 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$63,548.26 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$63,548.26 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$111,481.74 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$187,932.61 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$72,256.82 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$1,021 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$25,300.01 |
— |
| Curettage postpartum (59160) |
— |
$14,942.77 |
— |
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines |
— |
$22,984.67–$29,652.78 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$19,073.98 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$45,911.08 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$17,435.36 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$23,017.72 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$17,435.36 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$16,889.46 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$11,572.53 |
— |
| Cysto w/up stricture tx (52342) |
— |
$30,643.84 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$43,570.01 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$39,428.49 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$16,134.94 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$19,558.30 |
— |
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 3 matching MRF lines |
— |
$13,601.65–$17,883.51 |
— |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 2 matching MRF lines |
— |
$25,764.51–$27,855 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$26,358.22 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$33,767.07 |
— |
| Cystolithotomy (51050) |
— |
$34,461.95 |
— |
Cystoscopy implant stent (52282)
range across 3 matching MRF lines |
— |
$17,477.01–$37,819.66 |
— |
| Cystouretero W/Congen Repr (52400) |
— |
$18,761.62 |
— |
| Cystouretero w/renal strict (52346) |
— |
$43,570.01 |
— |
| Cystourethroscopy (52000) |
— |
$39,060.55 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
— |
$29,768.21 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$43,570.01 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$22,200.22 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$17,233.24 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$22,541.82 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$25,596.99 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$32,819.54 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$18,168.21 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$14,586.45 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$43,570.01 |
— |
| Cystourethroscopy, with steroid injection into stricture Facility (52283) |
— |
$14,518.04 |
— |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
— |
$19,935.51 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,022.25 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$99,260.80 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$23,994.17 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$62,929.34 |
— |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
— |
$81,525.56 |
— |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
— |
$27,417.54 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$25,747.96 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$20,633.49 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$30,256.31 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$23,603.27 |
— |
| Declot vascular device (36593) |
— |
$11,645.63 |
— |
| Decompress Fingers/Hand (26035) |
— |
$51,621.42 |
— |
| Decompress Spinal Cord Lmbr (63056) |
— |
$105,948.77 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$64,524.42 |
— |
| Decompression of tibia nerve (28035) |
— |
$47,467.26 |
— |
| Deep Muscle Biopsy (20205) |
— |
$94,292.65 |
— |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
— |
$46,703.20 |
— |
| Delivery of placenta (59414) |
— |
$22,152.69 |
— |
| Dermabrasion regional other than face (15782) |
— |
$30,965.58 |
— |
| Dermabrasion superficial any site (15783) |
— |
$30,965.58 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$5,794.25 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$6,818.25 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$168.53 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$2,371.75 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$5,349.75 |
— |
| Diagnostic anoscopy (46601) |
— |
$59,245.59 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$4,023.48 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$43,570.01 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$13,407.25 |
— |
| Dilation And Curettage Of Cervical Stump (57558) |
— |
$83,135.63 |
— |
| Dilation Cervical Canal (57800) |
— |
$14,656.30 |
— |
| Disarticulation At Knee (27598) |
— |
$103,548.77 |
— |
| Disarticulation of hip Facility (27295) |
— |
$69,115.54 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$56,759.59 |
— |
| Drain chest lesion (21502) |
— |
$32,257.85 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$32,062.80 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$56,689.33 |
— |
| Drainage lymph node lesion (38305) |
— |
$28,094.80 |
— |
| Drainage of finger abscess simple (26010) |
— |
$912.50 |
— |
| Drainage of gum lesion (41800) |
— |
$506 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$43,157.91 |
— |
| Drainage of hydrocele (55000) |
— |
$10,717.83 |
— |
| Drainage of perirenal or renal abscess, open Facility (50020) |
— |
$60,111.06 |
— |
| Drainage of rectal abscess (45005) |
— |
$36,702.94 |
— |
| Drainage of salivary cyst (42409) |
— |
$40,192.09 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$13,357.59 |
— |
| Drainage of skene's gland abscess or cyst (53060) |
— |
$15,359.23 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$231 |
— |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
— |
$40,192.09 |
— |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
— |
$38,688.56 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$30,965.58 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$994.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$551.50 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$17,730.23 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,723.75 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$9,872.28 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$2,283.75 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$12,837.11 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$21,018.72 |
— |
| Dx laryngoscopy w/oper scope (31526) |
— |
$13,539.99 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$2,238 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$66,179.38 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$9,610.54 |
— |
| Egd cautery tumor polyp (43250) |
— |
$5,723.50 |
— |
| Egd control bleeding any (43255) |
— |
$16,048.55 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$2,934.25 |
— |
| Egd endo mucosal resection (43254) |
— |
$31,954.03 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$31,954.03 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$10,857.42 |
— |
| Egd guide wire insertion (43248) |
— |
$6,249.51 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$32,715.56 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$41,942.71 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$41,942.71 |
— |
| Egd lesion ablation (43270) |
— |
$10,865.79 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$41,653.09 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$31,954.03 |
— |
| Egd place gastrostomy tube (43246) |
— |
$3,558 |
— |
| Egd remove lesion snare (43251) |
— |
$11,775.37 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$41,942.71 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$13,458.21 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$31,706.91 |
— |
| Egd Varices Ligation (43244) |
— |
$9,887.75 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$31,954.03 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$31,954.03 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$1,008.50 |
— |
| Embedded ip cath exit-site (49436) |
— |
$70,805.56 |
— |
| Endocervical curettage (57505) |
— |
$83,135.63 |
— |
| Endometrial Biopsy (58100) |
— |
$15,353.88 |
— |
| Endoscopic injection/implant (51715) |
— |
$38,600.53 |
— |
| Endoscopic plantar fasciotomy (29893) |
— |
$52,516.76 |
— |
| Endoscopic us exam esoph (43237) |
— |
$31,954.03 |
— |
| Endoscopy of ureter (50953) |
— |
$43,570.01 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$6,303.74 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$14,260.50 |
— |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
— |
$6,559.50 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$49,920.31 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$22,302.89 |
— |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
— |
$42,237.55 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
— |
$3,684.50 |
— |
| Epididymectomy unilateral (54860) |
— |
$18,864.18 |
— |
| Epidural Blood Patch (62273) |
— |
$2,553 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$26,402.09 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
— |
$39,677.54 |
— |
| Ercp duct stent placement (43274) |
— |
$33,850.62 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$10,818.25 |
— |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
— |
$30,538.19 |
— |
| Ercp remove forgn body duct (43275) |
— |
$25,983.09 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$50,204.27 |
— |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
— |
$50,204.27 |
— |
| Ercp,Sphincterotomy (43262) |
— |
$25,916.83 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$66,981.51 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$47,977.54 |
— |
| Esoph Scope W/Submucous Inj (43201) |
— |
$6,504.49 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$5,359.37 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$47,977.54 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$47,977.54 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$47,977.54 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$44,848 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$47,977.54 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$47,977.54 |
— |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
— |
$24,540.25 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$47,231.80 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$47,977.54 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$47,977.54 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$11,908.12 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$47,231.80 |
— |
| Esophagotomy, cervical approach, with removal of foreign body Facility (43020) |
— |
$39,041.40 |
— |
| Evacuate mole of uterus (59870) |
— |
$23,834.13 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$392 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$25,707.88 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$19,121.60 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$72,942.89 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$21,483.31 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$23,069.42 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$17,622.50 |
— |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) |
— |
$15,181.70 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$53,466.29 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$17,675.30 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$56,415.07 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$56,415.07 |
— |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
— |
$37,511.11 |
— |
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines |
— |
$27,476.01–$28,428.87 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$35,923.71 |
— |
| Exc Frenum Labial/Buccal (40819) |
— |
$20,190.34 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$21,234.95 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$61,946 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$56,415.07 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$23,352.46 |
— |
| Exc Rct Tum Incl Muscularis Propria (45172) |
— |
$28,934.37 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$13,198.55 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$55,172.91 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$13,287.92 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$62,953.10 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$20,742.75 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$14,856.47 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$34,158.84 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$25,287.81 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$18,082.17 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$6,903.25 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$322.95 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$56,415.07 |
— |
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines |
— |
$17,274.97–$28,428.87 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$2,954.70 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$16,871.25 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$56,424.28 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$19,842.64 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$21,334.54 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$58,941.64 |
— |
Exc tumor soft tissue leg/ankle subq <3cm (27618)
range across 2 matching MRF lines |
— |
$13,676.07–$13,976.07 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$20,133.38 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$15,249.88 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$64,524.42 |
— |
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines |
— |
$25,524.12–$28,428.87 |
— |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
— |
$95,378.73 |
— |
| Exc/Curettage Cyst/Tumor Tibia/Fibula W/Algraft (27638) |
— |
$101,317.03 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$27,708.82 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$6,309.50 |
— |
| Excise breast duct fistula (19112) |
— |
$25,834.62 |
— |
| Excise intraspinal lesion (63267) |
— |
$33,442.35 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$134,485.99 |
— |
| Excision Distal Ulna Partial/Complete (25240) |
— |
$77,608.65 |
— |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
— |
$34,782.50 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$3,493.25 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$100,733.75 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$134,485.99 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$28,916.10 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$421.05 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$22,881.76 |
— |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
— |
$51,296.36 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$79,413.08 |
— |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
— |
$37,511.11 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$17,054.82 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$18,985.52 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$17,421.75 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$16,508.12 |
— |
| Excision of vaginal septum (57130) |
— |
$71,197.15 |
— |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
— |
$17,225.28 |
— |
| Excision olecranon bursa (24105) |
— |
$42,324.04 |
— |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
— |
$96,176.47 |
— |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
— |
$96,176.47 |
— |
| Excision or curettage of bone cyst or benign tumor, humerus; with autograft (includes obtaining graft) Facility (24115) |
— |
$96,176.47 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$95,378.73 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$90,073.66 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$22,029.82 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$20,759.09 |
— |
| Excision prepatellar bursa (27340) |
— |
$18,900.68 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$59,764.43 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$11,768.86 |
— |
| Excision tendon palm flexor/extensor single each (26170) |
— |
$37,511.11 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$17,902.63 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$20,140.42 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$14,593.62 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$18,082.17 |
— |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
— |
$305,194.49 |
— |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
— |
$305,194.49 |
— |
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines |
— |
$17,909.40–$74,807.86 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$66,981.51 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$66,981.51 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$66,981.51 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$66,981.51 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$66,981.51 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$24,820.38 |
— |
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043)
range across 2 matching MRF lines |
— |
$24,545.23–$28,428.87 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
— |
$65,725.70 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$75,973.49 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$12,854.46 |
— |
| Exploration of knee joint (27310) |
— |
$65,276.03 |
— |
| Exploration of spinal fusion (22830) |
— |
$200,832.16 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$81,223.24 |
— |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
— |
$51,303.01 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$105,806.16 |
— |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
— |
$4,281.25 |
— |
| External cephalic version (59412) |
— |
$12,100.11 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$8,074.60 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$41,247.21 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$51,621.42 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$60,184.69 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$56,269.44 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$1,313 |
— |
| Fetal non-stress test (59025) |
— |
$1,094.25 |
— |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
— |
$15,373.64 |
— |
| Flap; neurovascular pedicle (15750) |
— |
$46,703.20 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$517 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,966.75 |
— |
| Forehead flap w/vasc pedicle (15731) |
— |
$38,292.21 |
— |
| Formation of direct or tubed pedicle, with or without transfer; scalp, arms, or legs Facility (15572) |
— |
$46,703.20 |
— |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
— |
$63,548.26 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
— |
$90,089.93 |
— |
Fusion of foot bones (28740)
range across 2 matching MRF lines |
— |
$87,735.86–$94,755.48 |
— |
| Fusion of knuckle (26850) |
— |
$32,999.90 |
— |
Fusion of knuckle joint (26516)
range across 3 matching MRF lines |
— |
$31,170.57–$32,719.62 |
— |
| Fusion of knuckle with graft (26852) |
— |
$20,502.39 |
— |
Gastrocnemius recession (27687)
range across 3 matching MRF lines |
— |
$79,162.24–$89,034.28 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$297,765.82 |
— |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
— |
$11,195.01 |
— |
| Grafting of autologous fat by lipo 25 cc or less (15773) |
— |
$42,142.88 |
— |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
— |
$55,742.95 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$2,325.50 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$63,548.26 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$94,851.65 |
— |
| Hemiepiphyseal Arrest (24470) |
— |
$75,105.35 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$16,150.86 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$17,351.14 |
— |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
— |
$20,658.35 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$29,586.86 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$21,077.33 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$15,283.96 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$17,830.16 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$19,848.52 |
— |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
— |
$39,965.66 |
— |
| I&d abscess peritonsillar (42700) |
— |
$1,117.25 |
— |
| I&d abscess simple (10060) |
— |
$14,345.65 |
— |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
— |
$43,939.33 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$32,810.23 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$32,257.85 |
— |
| I&D Intramural Im/Absc Transanal Anes (46045) |
— |
$29,827.78 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$38,425.98 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$10,764.74 |
— |
| I&d perianal abscess superficial (46050) |
— |
$23,907.92 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$2,193.25 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
— |
$27,907.01 |
— |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
— |
$26,402.09 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$6,125.29 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$46,082.12 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$5,322 |
— |
| Immediate breast prosthesis (19340) |
— |
$116,594.28 |
— |
Implant neuroelectrodes (63650)
range across 2 matching MRF lines |
— |
$70,986.12–$97,307.02 |
— |
| Implant Spine Infusion Pump (62362) |
— |
$65,477.14 |
— |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
— |
$81,803.65 |
— |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
— |
$78,228.71 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$39,427.46 |
— |
| Incise external hemorrhoid (46083) |
— |
$19,464.40 |
— |
| Incise finger tendon sheath (26055) |
— |
$17,013.02 |
— |
| Incise Wrist/Forearm Tendon (25290) |
— |
$38,627.55 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,795.25 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$15,826.25 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$54,172.68 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,263 |
— |
| Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) |
— |
$45,083.39 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$967.25 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
— |
$84,059.62 |
— |
| Incision bone cortex foot (28005) |
— |
$133,804.19 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$18,253.70 |
— |
| Incision of eardrum (69421) |
— |
$40,459.22 |
— |
| Incision of eardrum (69420) |
— |
$40,459.22 |
— |
| Incision of fibula (27707) |
— |
$71,260.80 |
— |
Incision of Foot Tendon (28234)
range across 3 matching MRF lines |
— |
$49,794.08–$67,891.21 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$16,649.61 |
— |
| Incision of rectal abscess (46040) |
— |
$5,647.75 |
— |
| Incision of tibia & fibula (27709) |
— |
$101,317.03 |
— |
| Incision of urethra (53020) |
— |
$9,860.38 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$311.94 |
— |
| Induced abortion dilation and curettage (59840) |
— |
$13,971.05 |
— |
| Induced abortion, by dilation and evacuation (59841) |
— |
$19,153.49 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$634 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$3,150 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$1,081.71 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$39,827.31 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,971.25 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$113,960.27 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$2,723.75 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$39,827.31 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$2,723.75 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$39,827.31 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$39,827.31 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$39,827.31 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$39,827.31 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$39,827.31 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$2,134.75 |
— |
| Injection for identification of sentinel node (38792) |
— |
$61,967.68 |
— |
| Injection Into Brain Canal (61055) |
— |
$48,240.56 |
— |
| Injection into spinal artery (62294) |
— |
$48,240.56 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$59,362.31 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$113,960.27 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$25,596.99 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$769 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$113,960.27 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$39,827.31 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$81,930.47 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$58,493.85 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$48,240.56 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$53,603.76 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$16,801.50 |
— |
| Ins Vag Brachytx Device (57156) |
— |
$1,769 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$175,021.84 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$49,823.99 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$27,992.04 |
— |
| Insert cath pleura w/ image (32557) |
— |
$4,954.75 |
— |
| Insert cath pleura w/o image (32556) |
— |
$53,926.66 |
— |
| Insert Drug Implant Device (11981) |
— |
$34,782.50 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$5,359.25 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$101,248.29 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$86,858.47 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$21,136.29 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$2,934.25 |
— |
| Insert pulse gen dual leads (33213) |
— |
$111,820.23 |
— |
| Insert pulse gen mult leads (33221) |
— |
$101,248.29 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$101,248.29 |
— |
| Insert spine infusion device (62360) |
— |
$138,615.23 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$314 |
— |
| Insert tun ip cath perc (49418) |
— |
$7,800.75 |
— |
| Insert tunneled cv cath (36561) |
— |
$23,921.49 |
— |
| Insert tunneled cv cath (36563) |
— |
$71,285.89 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$76,740.71 |
— |
| Insert Uro/Ves Nck Sphincter (53445) |
— |
$66,104.61 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$479 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$10,524.90 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,163.50 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$43,542.58 |
— |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
— |
$32,695.45 |
— |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$39,797.74 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$79,179.04 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$10,086.50 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$2,163.50 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$13,155.25 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$29,021.82 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$4,602.48 |
— |
| Insj Stablj Dev W/Dcmprn (22867) |
— |
$216,325.21 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$71,285.89 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$74,476.47 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$74,476.47 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$5,709.50 |
— |
Insj/rplcmt breast implant sep day mastectomy (19342)
range across 2 matching MRF lines |
— |
$86,618.06–$89,120 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$131,791.12 |
— |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
— |
$117,416.38 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$62,557.74 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$39,080.34 |
— |
| Intro cath dialysis circuit (36901) |
— |
$37,381.18 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$37,381.18 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$5,000.81 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$615 |
— |
| Island pedicle flap graft (15740) |
— |
$30,342.50 |
— |
| Kidney endoscopy (50553) |
— |
$43,570.01 |
— |
| Kidney endoscopy (50551) |
— |
$43,570.01 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$22,564.16 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$84,889.25 |
— |
Lam facetec & foramot lumbar (63047)
range across 2 matching MRF lines |
— |
$48,810–$49,892.04 |
— |
| Laminotomy Single Lumbar (63042) |
— |
$72,003.12 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$25,624.33 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$61,280.50 |
— |
| Lap paraesophag hern repair (43281) |
— |
$59,209.12 |
— |
| Lap replace gastr adj device (43773) |
— |
$31,954.03 |
— |
| Lap revision perm ip cath (49325) |
— |
$29,165.36 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$46,273.17 |
— |
| Laparoscopic myomectomy (58545) |
— |
$61,303.13 |
— |
Laparoscopy aspiration (49322)
range across 3 matching MRF lines |
— |
$13,892.64–$24,801.74 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$69,515.60 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$27,806.11 |
— |
| Laparoscopy salpingostomy (58673) |
— |
$22,626.11 |
— |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 4 matching MRF lines |
— |
$39,337.61–$51,636.72 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$56,408.04 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$52,804.80 |
— |
| Laparoscopy W/Lysis Of Adhesions (58660) |
— |
$18,382.85 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$33,918.99 |
— |
| Laparoscopy, surgical, abdomen, peritoneum, and omentum; with drainage of lymphocele to peritoneal cavity (49323) |
— |
$28,094.80 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$36,219.12 |
— |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
— |
$59,997.67 |
— |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
— |
$61,280.50 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$55,271.26 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$31,954.03 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$31,954.03 |
— |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
— |
$78,492.67 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$46,937.58 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$43,818.22 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
— |
$50,941.47 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$40,451.18 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$71,785.43 |
— |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
— |
$32,460.01 |
— |
Laparoscopy, surgical; partial nephrectomy (50543)
range across 2 matching MRF lines |
— |
$80,021.17–$111,324.42 |
— |
Laparoscopy, surgical; pyeloplasty (50544)
range across 3 matching MRF lines |
— |
$34,839.07–$72,314.32 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$39,136.47 |
— |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
— |
$53,590.10 |
— |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
— |
$55,377.43 |
— |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
— |
$85,839.48 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$36,002.62 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$21,637.38 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$38,441.78 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$31,954.03 |
— |
| Laps pelvic lymphadec (38573) |
— |
$65,263.51 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$64,071.84 |
— |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
— |
$70,524.92 |
— |
Laps surg retroperitoneal lymph node bx 1/mlt (38570)
range across 2 matching MRF lines |
— |
$64,810.31–$94,208.79 |
— |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
— |
$23,466.41 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$58,931.80 |
— |
| Laryngoplasty Laryngeal Sten W/O Stent 12 Yrs > (31552) |
— |
$13,303.84 |
— |
| Laryngoplasty Laryngeal Sten W/Stent 12 Yrs > (31554) |
— |
$13,303.84 |
— |
| Laryngoplasty; for laryngeal stenosis, with graft, with indwelling stent placement, younger than 12 years of age… (31553) |
— |
$13,303.84 |
— |
| Laryngoplasty; for laryngeal stenosis, with graft, without indwelling stent placement, younger than 12 years of age… (31551) |
— |
$13,303.84 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$27,341.37 |
— |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$27,341.37 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$27,341.37 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$156,398.79 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$27,341.37 |
— |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$156,398.79 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$27,341.37 |
— |
| Laryngoscopy W/Biopsy (31535) |
— |
$10,728.48 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$27,341.37 |
— |
| Laser vaporization of prostate (52648) |
— |
$52,324.68 |
— |
| Late closure of wound (13160) |
— |
$25,829.90 |
— |
Lateral retinacular release open (27425)
range across 2 matching MRF lines |
— |
$52,570.57–$52,602.89 |
— |
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 3 matching MRF lines |
— |
$42,688.99–$69,724.39 |
— |
Ligamentous reconstruction knee intra-articular (27428)
range across 3 matching MRF lines |
— |
$62,157.91–$69,667.82 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$38,272.36 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$20,790.17 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$28,116.56 |
— |
| Low Back Disk Surgery (63030) |
— |
$34,491.11 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$48,210.33 |
— |
| Lsh uterus above 250 g (58543) |
— |
$64,071.84 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$78,056.22 |
— |
| Lumbar spine fusion combined (22633) |
— |
$183,589 |
— |
| Lysis of labial adhesions (56441) |
— |
$9,276.65 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$13,429.07 |
— |
| Male sling procedure (53440) |
— |
$33,671.80 |
— |
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines |
— |
$6,801.73–$9,508.12 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$17,691.90 |
— |
| Mast mod rad (19307) |
— |
$85,975.01 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$134,485.99 |
— |
| Mastectomy partial (19301) |
— |
$50,420.87 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$49,176.61 |
— |
| Mastectomy simple complete (19303) |
— |
$62,955.40 |
— |
Mastopexy (19316)
range across 2 matching MRF lines |
— |
$60,887.65–$65,443.49 |
— |
| Maternity Care Procedure (59899) |
— |
$35,690.02 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$83,394.76 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$10,086.50 |
— |
| Metatarsectomy (28140) |
— |
$63,548.26 |
— |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
— |
$38,948.33 |
— |
| Muscle transfer, any type, shoulder or upper arm; single Facility (23395) |
— |
$34,411.59 |
— |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
— |
$17,343.68 |
— |
| Muscle-skin graft trunk (15734) |
— |
$116,431.41 |
— |
| Myelography Lumbar Injection (62305) |
— |
$99,034.01 |
— |
| Myelography Lumbar Injection (62304) |
— |
$99,034.01 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$99,034.01 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$99,034.01 |
— |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
— |
$22,635.50 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$2,568.25 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$39,827.31 |
— |
| N block inj intercost sng (64420) |
— |
$2,134.75 |
— |
| N Block Inj Paracervical (64435) |
— |
$39,827.31 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$39,827.31 |
— |
| N Block Inj Pudendal (64430) |
— |
$39,827.31 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$2,723.75 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$32,609.91 |
— |
| Nasal surgery procedure (30999) |
— |
$32,609.91 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$43,346.01 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$6,009.41 |
— |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
— |
$6,182.06 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$12,440.80 |
— |
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines |
— |
$8,425.68–$14,585 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$60 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$100.75 |
— |
| Nerve repair w/conduit each nerve (64910) |
— |
$29,866.57 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines |
— |
$16,588.24–$65,760 |
— |
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708)
range across 2 matching MRF lines |
— |
$25,287.81–$43,571.86 |
— |
| Nipple Exploration (19110) |
— |
$22,150.77 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$2,723.75 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$612 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$11,209.75 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$8,270.83 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$81,851.85 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$5,612.72 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$81,851.85 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$81,851.85 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$6,476.18 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$2,510.25 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$1,543.50 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$1,552.50 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,276.75 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$31,201.46 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$66,851.52 |
— |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22325) |
— |
$100,860.54 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 3 matching MRF lines |
— |
$42,693.07–$60,090.95 |
— |
Open treatment calcaneal fracture (28415)
range across 2 matching MRF lines |
— |
$43,827.66–$61,134.22 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$64,715.17 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$110,886.47 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$71,419.22 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$52,647.97 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$45,580.06 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$41,511.92 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$18,166.42 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$48,999.65 |
— |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines |
— |
$42,728.87–$45,308.22 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$107,973.38 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$61,828.14 |
— |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
— |
$169,577.52 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$107,973.38 |
— |
| Open treatment of fracture of orbit, except blowout; with bone grafting (includes obtaining graft) Facility (21408) |
— |
$36,038.50 |
— |
| Open treatment of fracture of orbit, except blowout; with implant Facility (21407) |
— |
$36,038.50 |
— |
| Open treatment of fracture of orbit, except blowout; without implant Facility (21406) |
— |
$36,038.50 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$83,010.87 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$71,419.22 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$76,146.05 |
— |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
— |
$24,497.73 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$66,851.52 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$66,851.52 |
— |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
— |
$77,745.47 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$61,828.14 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$61,828.14 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$61,828.14 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$60,325.62 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$62,953.10 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$66,851.52 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$66,851.52 |
— |
| Open treatment posterior malleolus fracture (27769) |
— |
$57,393 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$83,010.87 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$55,290.88 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$19,419.58 |
— |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
— |
$13,153.10 |
— |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 3 matching MRF lines |
— |
$36,849.68–$72,079.81 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$42,357.38 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$107,973.38 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$37,314.37 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$25,342.10 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$74,887.90 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$77,034.80 |
— |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
— |
$39,080.34 |
— |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
— |
$32,532.85 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$13,153.10 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$30,798.31 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$97,946.59 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$77,034.80 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines |
— |
$38,956.17–$52,097.08 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$65,357.70 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$84,735.28 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$45,135.75 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$50,952.31 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$71,419.22 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$60,837.69 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$63,324.11 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$79,792.99 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$20,571.68 |
— |
Orchiopexy Ingun/Scrot Appr (54640)
range across 4 matching MRF lines |
— |
$15,082.65–$28,033.66 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$63,548.26 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$60,611.01 |
— |
| Ostectomy calcaneus (28118) |
— |
$45,506.69 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$51,171.83 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$14,034.52 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$63,548.26 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$23,436.03 |
— |
Osteochondral allograft knee open (27415)
range across 2 matching MRF lines |
— |
$74,595.03–$103,479.54 |
— |
| Osteoplasty Humerus (24420) |
— |
$96,176.47 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$78,406.72 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$93,514.31 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$84,609.21 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$57,597.44 |
— |
Osteotomy calcaneus w/wo internal fixation (28300)
range across 3 matching MRF lines |
— |
$74,589.22–$89,349.16 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) |
— |
$70,345.12 |
— |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
— |
$70,350.73 |
— |
| Osteotomy Tibia (27705) |
— |
$101,317.03 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$61,828.14 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$107,973.38 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
— |
$63,548.26 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$86,219.72 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$34,183.43 |
— |
| Palatop cl palate soft&/hard palate only (42200) |
— |
$63,160.95 |
— |
| Palatoplasty for cleft palate, with closure of alveolar ridge; soft tissue only Facility (42205) |
— |
$63,160.95 |
— |
| Palatoplasty for cleft palate; attachment pharyngeal flap Facility (42225) |
— |
$63,160.95 |
— |
| Palatoplasty for cleft palate; major revision Facility (42215) |
— |
$63,160.95 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$91,425.55 |
— |
| Part remv talus or calcaneus (28120) |
— |
$94,481.69 |
— |
| Partial excision (craterization, saucerization, or diaphysectomy) bone (eg, osteomyelitis), proximal humerus Facility (23184) |
— |
$96,176.47 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$96,176.47 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$9,613.42 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$11,590.83 |
— |
| Partial removal of tibia (27640) |
— |
$41,247.21 |
— |
Partical Excision Bone Phalanx Toe (28124)
range across 2 matching MRF lines |
— |
$12,473.02–$17,353.75 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$79,811.69 |
— |
| Penis plastic surgery (54360) |
— |
$16,601.37 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$46,082.12 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$86,120.04 |
— |
| Percutaneous skeletal fixation of humeral condylar fracture, medial or lateral, with manipulation Facility (24582) |
— |
$16,305.42 |
— |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
— |
$16,305.42 |
— |
Peri-Implant Capsulectomy Breast Complete (19371)
range across 4 matching MRF lines |
— |
$28,597.47–$89,256.26 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$8,493.37 |
— |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
— |
$16,869.89 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,484 |
— |
| Perq device breast 1st imag (19281) |
— |
$3,083.50 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$43,570.01 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$10,050.75 |
— |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
— |
$57,870.76 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$2,001 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$10,110.46 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$98,916.05 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$14,975.75 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$64,548.92 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$37,601.95 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$5,723.50 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$66,007.24 |
— |
| Placement of seton (46020) |
— |
$13,667.73 |
— |
| Plastic Repair Introitus (56800) |
— |
$51,296.36 |
— |
| Plastic repair of cleft lip/nasal deformity; primary bilateral, 1-stage procedure Facility (40701) |
— |
$30,692.19 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$3,040.75 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$7,758.75 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$47,347.09 |
— |
| Prescrl Fuse W/ Instr L5/S1 (22586) |
— |
$220,400.96 |
— |
| Prim art mech thrombectomy (37184) |
— |
$45,013.25 |
— |
| Proctoplasty Stenosis (45500) |
— |
$116,546.16 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$32,490.10 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$122,217.74 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$59,245.59 |
— |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
— |
$11,168.13 |
— |
| Prostate laser enucleation (52649) |
— |
$35,692.43 |
— |
| Prostatic microwave thermotx (53850) |
— |
$52,082.03 |
— |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
— |
$91,525.59 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$3,763.55 |
— |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
— |
$81,851.85 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$11,209.75 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$69,197.11 |
— |
Prq skel fixj metar fx w/manj (28476)
range across 2 matching MRF lines |
— |
$13,245.23–$20,546.58 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$16,432.87 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$17,942.11 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$25,657.62 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$5,601.24 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$17,731.32 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$10,279.03 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$3,610.95 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$10,438.56 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$52,579.80 |
— |
| Pvb thoracic cont infusion (64463) |
— |
$39,827.31 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$39,827.31 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$58,941.64 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$60,184.69 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$60,184.69 |
— |
| Radical resection of tumor, proximal humerus Facility (23220) |
— |
$96,176.47 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
— |
$95,378.73 |
— |
| Radical resection of tumor; tibia Facility (27645) |
— |
$101,317.03 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$63,548.26 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$5,349.75 |
— |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
— |
$32,103.38 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$95,378.73 |
— |
| Realignment of knee (27457) |
— |
$101,317.03 |
— |
| Realignment of knee (27455) |
— |
$83,828.74 |
— |
| Reconst lwr jaw w/fixation (21196) |
— |
$113,320.16 |
— |
| Reconstruct cleft palate (42220) |
— |
$63,160.95 |
— |
| Reconstruct cleft palate (42210) |
— |
$63,160.95 |
— |
| Reconstruct midface lefort (21143) |
— |
$113,320.16 |
— |
| Reconstruction midface, LeFort II; anterior intrusion (eg, Treacher-Collins Syndrome) Facility (21150) |
— |
$36,038.50 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$69,920.58 |
— |
| Reconstruction Toe Polydactyly (28344) |
— |
$37,372.58 |
— |
| Reinforce hip bones (27187) |
— |
$59,295.15 |
— |
| Reinforce humerus (24498) |
— |
$52,020.44 |
— |
| Reinforce tibia (27745) |
— |
$126,255.97 |
— |
| Reinsert spinal fixation (22849) |
— |
$96,830.69 |
— |
| Release of shoulder ligament (23415) |
— |
$70,338.58 |
— |
| Relieve Pressure on Nerve(S) (64722) |
— |
$76,384.54 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$8,562.60 |
— |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
— |
$74,275.15 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$45,843.27 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$22,151.78 |
— |
| Removal foreign body foot deep (28192) |
— |
$7,065.75 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$1,867.25 |
— |
| Removal Foreign Body Scrotum (55120) |
— |
$12,784.31 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$36,004.78 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$26,734.44 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$189.75 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$177.75 |
— |
| Removal Implant Deep (20680) |
— |
$56,002.18 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$11,277.49 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$30,579.45 |
— |
Removal intact breast implant (19328)
range across 3 matching MRF lines |
— |
$34,869.83–$51,372.48 |
— |
Removal of adenoids (42830)
range across 2 matching MRF lines |
— |
$13,297.99–$13,660.99 |
— |
| Removal of bladder cyst (51500) |
— |
$75,973.49 |
— |
Removal of foot joint lining (28072)
range across 3 matching MRF lines |
— |
$32,103.38–$57,132.39 |
— |
| Removal of heel spur (28119) |
— |
$32,680.91 |
— |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
— |
$152,024.36 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$152,024.36 |
— |
| Removal of humerus lesion (23150) |
— |
$96,176.47 |
— |
| Removal of humerus lesion (23156) |
— |
$96,176.47 |
— |
| Removal of kidney stone (50081) |
— |
$57,870.76 |
— |
| Removal of knee prosthesis (27488) |
— |
$148,575.92 |
— |
Removal of mammary implant material (19330)
range across 2 matching MRF lines |
— |
$38,292.21–$51,423.34 |
— |
| Removal of nail bed (11750) |
— |
$7,898.59 |
— |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
— |
$91,525.59 |
— |
| Removal of sesamoid bone (28315) |
— |
$58,939.13 |
— |
| Removal of tendon for graft (20924) |
— |
$79,955.59 |
— |
Removal of testis (54520)
range across 3 matching MRF lines |
— |
$11,951.45–$20,452.46 |
— |
| Removal of tonsils (42825) |
— |
$16,719.43 |
— |
| Removal of tonsils (42826) |
— |
$14,024.41 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$23,075.85 |
— |
Removal of wrist bone (25210)
range across 2 matching MRF lines |
— |
$31,689.23–$31,948.57 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$27,215.68 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$70,805.56 |
— |
| Removal ppm generator only (33233) |
— |
$113,886.20 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$45,461.21 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$17,750.23 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$103,924.78 |
— |
| Remove Ankle Joint Lining (27626) |
— |
$79,955.59 |
— |
| Remove armpit lymph nodes (38740) |
— |
$39,142.09 |
— |
| Remove cerclage suture (59871) |
— |
$10,354.76 |
— |
| Remove drug implant device (11982) |
— |
$38,370.31 |
— |
| Remove foreign body from eye (65205) |
— |
$309.50 |
— |
| Remove hip pressure sore (15941) |
— |
$66,981.51 |
— |
| Remove hip pressure sore (15940) |
— |
$66,981.51 |
— |
| Remove Intrauterine Device (58301) |
— |
$25,780.14 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$91,425.55 |
— |
| Remove muti-comp penis pros (54406) |
— |
$24,789.92 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$945.25 |
— |
| Remove part lumbar vertebra (22102) |
— |
$52,669.10 |
— |
| Remove radius head implant (24164) |
— |
$102,333.33 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,627 |
— |
| Remove sacrum pressure sore (15937) |
— |
$66,981.51 |
— |
| Remove shoulder joint lining (23105) |
— |
$75,023.54 |
— |
| Remove&replace pm gen singl (33227) |
— |
$101,248.29 |
— |
| Remove/graft foot lesion (28102) |
— |
$95,378.73 |
— |
| Remove/graft foot lesion (28107) |
— |
$90,073.66 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$91,425.55 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$124,827.25 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$37,933.30 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$101,650.80 |
— |
| Renal Biopsy Perq (50200) |
— |
$11,644.26 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
— |
$48,503.24 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$43,570.01 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) |
— |
$57,870.76 |
— |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
— |
$57,870.76 |
— |
| Reopen fallopian tube (58350) |
— |
$20,803.69 |
— |
Repair Achilles Tendon (27650)
range across 3 matching MRF lines |
— |
$25,742.58–$26,739.45 |
— |
| Repair cleft lip/nasal (40720) |
— |
$30,692.19 |
— |
| Repair cleft lip/nasal (40702) |
— |
$30,692.19 |
— |
| Repair cleft lip/nasal (40761) |
— |
$30,692.19 |
— |
| Repair cleft lip/nasal (40700) |
— |
$30,692.19 |
— |
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 3 matching MRF lines |
— |
$48,388.49–$65,880.45 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$26,411.95 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$72,556.32 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$31,675.96 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$33,548.06 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$18,496.98 |
— |
| Repair Fistula Oromaxillary (30580) |
— |
$63,160.95 |
— |
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 3 matching MRF lines |
— |
$42,485.62–$72,576.52 |
— |
| Repair Foot Dislocation (28615) |
— |
$38,261.36 |
— |
Repair Hallux Rigidus (28289)
range across 3 matching MRF lines |
— |
$14,912.71–$30,533.85 |
— |
Repair Hand Joint (26540)
range across 2 matching MRF lines |
— |
$22,075.08–$32,726.56 |
— |
| Repair humerus with graft (24435) |
— |
$57,241.83 |
— |
| Repair incomplete circumcision (54163) |
— |
$15,179.39 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$35,552.64 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$78,262.26 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$78,262.26 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$32,303 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$35,552.64 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$56,415.07 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,003 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,422.75 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$56,415.07 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$26,720.71 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,885.75 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$40,582.14 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$20,742.75 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$72,556.32 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,393.50 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$72,556.32 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$15,632.96 |
— |
| Repair Laceration Palate >2 Cm/Complex (42182) |
— |
$63,160.95 |
— |
| Repair lower leg epiphyses (27734) |
— |
$91,425.55 |
— |
| Repair mouth/nose fistula (30600) |
— |
$63,160.95 |
— |
Repair Non/Malunion Humerus W/O Graft (24430)
range across 2 matching MRF lines |
— |
$82,257.84–$117,524.80 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$77,034.80 |
— |
| Repair nose to lip fistula (42260) |
— |
$30,692.19 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$74,807.86 |
— |
Repair of hydrocele (55060)
range across 3 matching MRF lines |
— |
$16,579.87–$23,118.44 |
— |
| Repair of metatarsals (28322) |
— |
$42,384.63 |
— |
| Repair of nail bed (11760) |
— |
$18,115.65 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$66,851.52 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$66,851.52 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$75,124.34 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$77,034.80 |
— |
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines |
— |
$22,058.63–$37,816.17 |
— |
Repair of shoulder (23420)
range across 2 matching MRF lines |
— |
$65,809.17–$75,366.59 |
— |
| Repair palate (42235) |
— |
$63,160.95 |
— |
| Repair paravag defect lap (57423) |
— |
$62,188.37 |
— |
| Repair paravag defect vag (57285) |
— |
$51,296.36 |
— |
| Repair radius & ulna (25415) |
— |
$66,851.52 |
— |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
— |
$78,262.26 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$36,710.42 |
— |
Repair Rotator Cuff Chronic (23412)
range across 2 matching MRF lines |
— |
$53,261.05–$58,942.71 |
— |
Repair secondary achilles tendon w/wo graft (27654)
range across 3 matching MRF lines |
— |
$30,535.88–$54,048.45 |
— |
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines |
— |
$49,794.08–$73,786.15 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$54,444.18 |
— |
| Repair tongue laceration (41250) |
— |
$1,013.50 |
— |
| Repair Tooth Socket (41874) |
— |
$18,120.45 |
— |
| Repair umbilical lesion (49600) |
— |
$75,973.49 |
— |
| Repair webbed toe(s) (28345) |
— |
$60,184.69 |
— |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
range across 2 matching MRF lines |
— |
$44,096.47–$46,683.62 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$35,552.64 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$35,552.64 |
— |
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 3 matching MRF lines |
— |
$41,313.81–$53,310.67 |
— |
| Repair, tendon or muscle, flexor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25263) |
— |
$72,556.32 |
— |
| Replace elbow joint (24363) |
— |
$97,880.14 |
— |
| Replace G-J Tube Perc (49452) |
— |
$2,851 |
— |
| Replace g/c tube perc (49450) |
— |
$2,851 |
— |
Replacement Tissue Expander W/Permanent Implant (11970)
range across 2 matching MRF lines |
— |
$29,973.55–$57,256.13 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$1,331.50 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$9,987.43 |
— |
Repr elbow lat ligmnt w/tiss (24343)
range across 2 matching MRF lines |
— |
$29,637.39–$58,493.85 |
— |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
— |
$29,637.39 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$40,674.46 |
— |
| Resect enlarged toe tissue (28340) |
— |
$77,745.47 |
— |
| Resect Shoulder Tumor 5 Cm/> (23078) |
— |
$70,338.58 |
— |
| Resect shoulder tumor < 5 cm (23077) |
— |
$70,338.58 |
— |
| Resection, humeral head Facility (23195) |
— |
$96,176.47 |
— |
| Resection/transplantation long tendon biceps (23440) |
— |
$46,878.29 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
— |
$19,748.44 |
— |
| Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) |
— |
$108,268.12 |
— |
| Revis reconst shoulder joint (23473) |
— |
$54,087.58 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$93,935.07 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$52,516.76 |
— |
| Revise hernia & sperm veins (55540) |
— |
$35,552.64 |
— |
| Revise lower leg tendon (27690) |
— |
$27,012.22 |
— |
| Revise penis/urethra (54332) |
— |
$23,333.36 |
— |
| Revise reconst elbow joint (24371) |
— |
$108,268.12 |
— |
| Revise/Implant Finger Joint (26536) |
— |
$19,698.67 |
— |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
— |
$58,426.71 |
— |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862) |
— |
$88,352.96 |
— |
| Revision of foot bones (28737) |
— |
$76,055.62 |
— |
| Revision of foot fascia (28250) |
— |
$84,609.21 |
— |
| Revision of humerus (24400) |
— |
$72,222.94 |
— |
Revision of lower leg tendon (27685)
range across 4 matching MRF lines |
— |
$23,012.62–$112,433.82 |
— |
| Revision of penis (54300) |
— |
$16,120.85 |
— |
| Revision of penis (54304) |
— |
$34,654.42 |
— |
Revision of reconstructed breast (19380)
range across 3 matching MRF lines |
— |
$61,070.39–$80,752.55 |
— |
| Revision of scrotum (55180) |
— |
$24,067.64 |
— |
| Revision of toe (28312) |
— |
$88,235.59 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$66,340.32 |
— |
| Revision Peri-Implant Capsule Breast (19370) |
— |
$69,211.05 |
— |
| Revj Arthrp W/Removal Implant Wrist Joint (25449) |
— |
$52,153.06 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$83,713.90 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$106,529.09 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$45,354.69 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$52,441.30 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$31,027.72 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$19,748.44 |
— |
| Rhytidectomy Neck W/Platysmal Tightening (15825) |
— |
$1,260 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$956.75 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$430.25 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$13,590.45 |
— |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
— |
$57,932.04 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$31,815.26 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$125,938.90 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$72,432.30 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$4,263.37 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$3,416.14 |
— |
| Rmvl/revj sling stress incontinence (57287) |
— |
$38,596.71 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$12,955 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$9,985.06 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$4,954.75 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$7,623.74 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$49,207.12 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$39,121.11 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$112,634.59 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$34,241.37 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$39,612.49 |
— |
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines |
— |
$34,220.97–$43,604.61 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$37,593.32 |
— |
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664)
range across 2 matching MRF lines |
— |
$27,168.10–$36,477.32 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$1,990.50 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$43,541.92 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$35,552.64 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$17,267.29 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$37,358.02 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,775.50 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$30,692.19 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$30,692.19 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$62,847.10 |
— |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
range across 2 matching MRF lines |
— |
$42,922.60–$78,323.85 |
— |
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines |
— |
$51,200.52–$55,249.62 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$72,556.32 |
— |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
— |
$66,645.84 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$29,866.57 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$1,938.75 |
— |
| Scrotoplasty Simple (55175) |
— |
$14,986.98 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$9,491.54 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$8,752.08 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$15,674.45 |
— |
Shoulder arthroscopy diagnostic (29805)
range across 2 matching MRF lines |
— |
$39,073.66–$65,809.17 |
— |
Shoulder Arthroscopy/Surgery (29825)
range across 3 matching MRF lines |
— |
$24,263.38–$40,399.73 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$2,734.75 |
— |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
— |
$12,479.44 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$58,689.71 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$13,590.45 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$59,245.59 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$7,804.28 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$776 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$881.75 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$30,692.19 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,523 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$36,873.41 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$52,925.97 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$22,275.39 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$981 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$34,654.42 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$27,722.99 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$22,131.97 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$15,890.75 |
— |
| Skin Tissue Procedure (17999) |
— |
$8,272.36 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$33,424.69 |
— |
| Small bowel endoscopy (44366) |
— |
$42,237.55 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$894.25 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$22,275.39 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$22,275.39 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,928.50 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$21,089.98 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$22,757.39 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$7,693 |
— |
| Strapping Unna Boot (29580) |
— |
$1,896.75 |
— |
| Suction assisted lipectomy; trunk (15877) |
— |
$74,675.89 |
— |
| Surgery to stop leg growth (27479) |
— |
$91,425.55 |
— |
| Surgery to stop leg growth (27477) |
— |
$91,425.55 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$21,079.62 |
— |
Suture infrapatellar tendon primary (27380)
range across 2 matching MRF lines |
— |
$29,880.22–$56,452.88 |
— |
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines |
— |
$27,564.29–$50,158.48 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$79,955.59 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$91,719.13 |
— |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
— |
$13,216.42 |
— |
| Talectomy (astragalectomy) Facility (28130) |
— |
$95,378.73 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$1,007.50 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$115,532.67 |
— |
| Tendon lengthening upper arm/elbow ea tendon (24305) |
— |
$20,134.79 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
— |
$77,608.65 |
— |
Tenodesis long tendon biceps (23430)
range across 3 matching MRF lines |
— |
$60,468.65–$65,278.18 |
— |
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)
range across 3 matching MRF lines |
— |
$51,021.51–$85,079.04 |
— |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
— |
$47,151.68 |
— |
| Tenolysis, flexor or extensor tendon, leg and/or ankle; multiple tendons (through separate incisionºs») Facility (27681) |
— |
$78,323.85 |
— |
| Tenotomy extensor hand/finger open each tendon (26460) |
— |
$33,619.46 |
— |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
— |
$32,062.80 |
— |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
— |
$33,619.46 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$77,478.20 |
— |
Tenotomy Prq Achilles Tendon Spx General Anes (27606)
range across 2 matching MRF lines |
— |
$102,983.44–$111,929.44 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$125,537.62 |
— |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
— |
$36,486.44 |
— |
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011)
range across 4 matching MRF lines |
— |
$64,432.05–$78,787.60 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$56,759.59 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$98,916.05 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$88,681.94 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$111,739.01 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$86,120.04 |
— |
Tissue Expander Placement Breast Reconstruction (19357)
range across 3 matching MRF lines |
— |
$49,698.94–$113,579.49 |
— |
| Tlh uterus over 250 g (58572) |
— |
$41,204.41 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$15,614.70 |
— |
| Tooth extraction (41899) |
— |
$39,080.34 |
— |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
— |
$102,852.54 |
— |
| Total Knee Arthroplasty (27447) |
— |
$73,254.82 |
— |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
— |
$16,715.44 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$36,534.95 |
— |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
— |
$45,265.47 |
— |
Transfer of iliopsoas muscle (27110)
range across 2 matching MRF lines |
— |
$60,624.20–$61,874.27 |
— |
| Transfer skin pedicle flap (15650) |
— |
$38,196.40 |
— |
| Transfusion Intrauterine Fetal (36460) |
— |
$20,076.14 |
— |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
— |
$52,082.03 |
— |
| Transur electr resection of prostate (52601) |
— |
$23,830.05 |
— |
| Transurethral resection bladder neck (52500) |
— |
$23,437.51 |
— |
Treat ankle fracture (28445)
range across 2 matching MRF lines |
— |
$63,079.08–$103,924.78 |
— |
| Treat dislocation/fracture (23670) |
— |
$73,802.37 |
— |
| Treat dislocation/fracture (23680) |
— |
$78,747.80 |
— |
Treat ectopic pregnancy (59151)
range across 3 matching MRF lines |
— |
$18,958.04–$31,754.50 |
— |
| Treat elbow fracture (24586) |
— |
$108,268.12 |
— |
| Treat Elbow Fracture (24635) |
— |
$58,159.29 |
— |
| Treat elbow fracture (24587) |
— |
$99,984.80 |
— |
| Treat fracture radius/ulna (25575) |
— |
$66,851.52 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$30,150.18 |
— |
| Treat Humerus Fracture (24505) |
— |
$23,113.61 |
— |
| Treat humerus fracture (23600) |
— |
$23,113.61 |
— |
| Treat kneecap dislocation (27566) |
— |
$52,441.30 |
— |
| Treat Kneecap Fracture (27524) |
— |
$40,844.36 |
— |
| Treat lower leg dislocation (27832) |
— |
$79,792.99 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$18,166.42 |
— |
| Treat scapula fracture (23585) |
— |
$59,576.75 |
— |
| Treat toe dislocation (28630) |
— |
$812.25 |
— |
| Treat/graft heel fracture (28420) |
— |
$54,652.61 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$10,219.75 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$4,349.75 |
— |
Treatment of ankle fracture (27823)
range across 2 matching MRF lines |
— |
$35,475.93–$55,398.82 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$71,419.22 |
— |
| Treatment of tibia fracture (27756) |
— |
$87,069.70 |
— |
| Trim skin lesion (11055) |
— |
$1,007.50 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$1,011 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$9,454 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$52,082.03 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$20,285.18 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$21,018.72 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$54,364.47 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$14,918.02 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$53,188.86 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$13,077.95 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$14,968.35 |
— |
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines |
— |
$63,275.66–$64,527.55 |
— |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
— |
$43,937.81 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$25,893.29 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$25,738.60 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$70,442.49 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$16,169.88 |
— |
| Umbilical cord occlud w/us (59072) |
— |
$45,162.11 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$168,889.37 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$24,002.70 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$14,294.34 |
— |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
— |
$41,408.66 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$62,478.61 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$27,953.34 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$78,036.87 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$54,853.57 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$89,893.87 |
— |
| Unlisted laparoscopy procedure, rectum (45499) |
— |
$66,761.50 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$43,064.46 |
— |
| Unlisted laparoscopy procedure, uterus (58578) |
— |
$15,614.24 |
— |
| Unlisted procedure anus (46999) |
— |
$21,204.53 |
— |
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines |
— |
$46,683.62–$78,088.44 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$297,765.82 |
— |
| Unlisted procedure breast (19499) |
— |
$25,750.57 |
— |
| Unlisted procedure colon (45399) |
— |
$49,678.04 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$62,953.10 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$48,796.23 |
— |
Unlisted procedure foot or toes (28899)
range across 2 matching MRF lines |
— |
$53,468.90–$56,765.61 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$30,798.31 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$49,228.66 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$83,819.32 |
— |
| Unlisted procedure larynx (31599) |
— |
$11,833.07 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$49,576.09 |
— |
| Unlisted procedure liver (47399) |
— |
$24,002.70 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$28,891.71 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$17,802.37 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$49,743.72 |
— |
| Unlisted procedure nervous system (64999) |
— |
$42,943.10 |
— |
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines |
— |
$37,812.88–$52,192.64 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$39,965.66 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$31,647.25 |
— |
| Unlisted procedure spine (22899) |
— |
$157,594.43 |
— |
| Unlisted procedure stomach (43999) |
— |
$38,967.78 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$124,956.79 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$13,457.49 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$12,805.03 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$44,514.22 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$15,879.53 |
— |
| Unlisted Px Salivary Glands/Ducts (42699) |
— |
$8,868.69 |
— |
| Unlisted vascular endoscopy procedure (37501) |
— |
$67,353.87 |
— |
| Upgrade of pacemaker system (33214) |
— |
$78,509.20 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$43,570.01 |
— |
| Ureteral endoscopy via ureterostomy (50951) |
— |
$27,504.50 |
— |
| Vag hyst complex (58290) |
— |
$51,296.36 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$24,082.84 |
— |
| Vaginal delivery only (59409) |
— |
$24,076.39 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$26,222.75 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$26,222.75 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$26,222.75 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$13,822.34 |
— |
| Vasovasostomy vasovasorrhaphy (55400) |
— |
$3,499 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$29,399.50 |
— |
Vulvectomy simple partial (56620)
range across 2 matching MRF lines |
— |
$18,687.89–$27,101.66 |
— |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
— |
$41,098.72 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$24,274.82 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$34,869.83 |
— |
Xfer Single Deep Low Leg Tendon (27691)
range across 4 matching MRF lines |
— |
$65,155.61–$80,346.76 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$88,681.94 |
— |