Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
— |
$1,716–$4,301 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$906 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$270 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$309 |
— |
| Application finger splint static (29130) |
— |
$309 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$326 |
— |
| Application Long Leg Splint (29505) |
— |
$321 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$486 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$350 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$408 |
— |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
— |
$250–$254 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$270 |
— |
| Arterial puncture (36600) |
— |
$243 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$117 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$139 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$345 |
— |
| Artificial insemination intra-uterine (58322) |
— |
$187 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,184 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$837 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$212 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$196 |
— |
| Bladder Irrigation (51700) |
— |
$487 |
— |
| Bladder Scan (51798) |
— |
$315 |
— |
| Blood Transfusion Service (36430) |
— |
$979 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,615 |
— |
| Bx Cervix (57500) |
— |
$306 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$404 |
— |
| Circumcision 28 days or older (54161) |
— |
$4,249 |
— |
| Circumcision Neonate (54160) |
— |
$1,433 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$14 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$347 |
— |
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines |
— |
$260–$1,209 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$628 |
— |
| Delivery of placenta (59414) |
— |
$4,783 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$901 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$908 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$797 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$799 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$338 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$374 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$521 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,300 |
— |
| Endometrial Biopsy (58100) |
— |
$206 |
— |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
— |
$3,209 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$1,481 |
— |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
— |
$514–$568 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,528 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$740 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$404 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$444 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$124 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$457 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$469 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$182 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$111 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$128 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$156 |
— |
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines |
— |
$296–$316 |
— |
| Insert cervical dilator (59200) |
— |
$524 |
— |
Insert Drug Implant Device (11981)
range across 2 matching MRF lines |
— |
$207–$373 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$445 |
— |
| Insert pessary/other device (57160) |
— |
$152 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$295 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$161 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$1,424 |
— |
| Intranasal Biopsy (30100) |
— |
$2,440 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,007 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$1,185 |
— |
| Maternity Care Procedure (59899) |
— |
$3,804 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$889 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$230 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$471 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$235 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$5,804 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$372 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$542 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$532 |
— |
| Occipital Nerve Block (64405) |
— |
$160 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$3,353 |
— |
| Perq device breast 1st imag (19281) |
— |
$3,193 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$1,775 |
— |
Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625)
range across 3 matching MRF lines |
— |
$945–$1,417 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$175 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$260 |
— |
| Remove drug implant device (11982) |
— |
$598 |
— |
Remove Intrauterine Device (58301)
range across 2 matching MRF lines |
— |
$224–$598 |
— |
Remove/Insert Drug Implant (11983)
range across 2 matching MRF lines |
— |
$291–$598 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$412 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,353 |
— |
| Simple Cystometrogram (51725) |
— |
$420 |
— |
| Sperm washing artificial insemination (58323) |
— |
$30 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,326 |
— |
| Strapping elbow or wrist (29260) |
— |
$225 |
— |
| Strapping hand/finger (29280) |
— |
$225 |
— |
| Strapping Unna Boot (29580) |
— |
$270 |
— |
Subcutaneous Hormone Pellet Implantation (11980)
range across 6 matching MRF lines |
— |
$175–$750 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$544 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$1,645 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$2,900 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$487 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$1,465 |
— |