| Abd paracentesis w/imaging (49083) |
— |
$1,995.53 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,995.53 |
— |
| Amniocentesis diagnostic (59000) |
— |
$1,780.93 |
— |
| Anoscopy diagnostic (46600) |
— |
$275.75 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$1,956.13 |
— |
| Application cast elbow finger short arm (29075) |
— |
$594.27 |
— |
Application finger splint static (29130)
range across 2 matching MRF lines |
— |
$87.25–$275.75 |
— |
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines |
— |
$347.78–$773.53 |
— |
Application Long Leg Splint (29505)
range across 2 matching MRF lines |
— |
$217.94–$347.78 |
— |
| Application of long leg cast (29345) |
— |
$616.77 |
— |
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines |
— |
$775.59–$1,318.40 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$206.94 |
— |
Application short arm splint forearm-hand static (29125)
range across 5 matching MRF lines |
— |
$163.46–$627.27 |
— |
Application short leg splint calf foot (29515)
range across 5 matching MRF lines |
— |
$185.19–$773.53 |
— |
| Apply long arm cast (29065) |
— |
$594.27 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
— |
$454.23–$773.53 |
— |
| Apply Short Leg Cast (29405) |
— |
$616.77 |
— |
Arterial puncture (36600)
range across 2 matching MRF lines |
— |
$145.78–$152.99 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$643.78 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,564.46 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$643.78 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$643.78 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$6,320.34 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$13,980.34 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$6,320.34 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,334.86 |
— |
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines |
— |
$1,334.86–$1,830.49 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$442.32–$577.83 |
— |
| Biopsy bone open deep (20245) |
— |
$8,207.04 |
— |
| Biopsy bone open superficial (20240) |
— |
$8,207.04 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$4,911.04 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$4,682.38 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$4,682.38 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$830.62 |
— |
| Bladder Irrigation (51700) |
— |
$653.61 |
— |
| Bladder Scan (51798) |
— |
$137.31 |
— |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
— |
$542–$979.19 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$3,918.52 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$384.97 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$4,224.27 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$903.73 |
— |
| Chemical Cautery Tissue (17250) |
— |
$577.83 |
— |
| Chest tube placement (32551) |
— |
$3,466.57 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$4,399.45 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$3,432.80 |
— |
| Clear outer ear canal (69200) |
— |
$275.75 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$6,320.34 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$3,432.80 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$508.74 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$542.30 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$508.74 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$3,432.80 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$508.74 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$508.74 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$3,432.80 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$508.74 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$508.74 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$508.74 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$508.74 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$3,432.80 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$508.74 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$3,432.80 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$508.74 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$3,432.80 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$508.74 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,432.80 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$508.74 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$508.74 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$3,432.80 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$508.74 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$3,432.80 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$508.74 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$3,432.80 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$508.74 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$508.74 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$508.74 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$508.74 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$508.74 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
— |
$3,107.72–$3,432.80 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$3,432.80 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$508.74 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$3,432.80 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$508.74 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$508.74 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515)
range across 2 matching MRF lines |
— |
$508.74–$542.19 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$508.74 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,432.80 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$508.74 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$3,432.80 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$508.74 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$594.27 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$742.76 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$742.76 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$542.19 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$3,432.80 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$508.74 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$508.74 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$508.74 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$3,432.80 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$3,432.80 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$508.74 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$508.74 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$3,432.80 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$508.74 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$3,432.80 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$508.74 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$508.74 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$3,432.80 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$508.74 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$3,432.80 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$508.74 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$508.74 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$3,432.80 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$508.74 |
— |
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines |
— |
$267.22–$275.75 |
— |
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines |
— |
$9–$79.77 |
— |
| Complex drainage wound (10180) |
— |
$8,207.04 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$275.75 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$275.75 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$275.75 |
— |
| Curette/treat cornea (65435) |
— |
$1,995.53 |
— |
| Cystourethroscopy (52000) |
— |
$2,537.95 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$6,733.93 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,813.83 |
— |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 3 matching MRF lines |
— |
$1,212.30–$1,813.83 |
— |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
— |
$137.31–$176.13 |
— |
| Debride nail 6 or more (11721) |
— |
$176.13 |
— |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines |
— |
$3,307.41–$4,682.38 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 4 matching MRF lines |
— |
$771.47–$1,151.54 |
— |
| Delivery of placenta (59414) |
— |
$6,466.05 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$643.78 |
— |
| Drainage of finger abscess simple (26010) |
— |
$442.32 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$4,682.38 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$3,468.81 |
— |
Draw Blood Off Venous Device (36591)
range across 3 matching MRF lines |
— |
$152.99–$275.75 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$852.01 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines |
— |
$442.32–$577.83 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
— |
$442.32–$577.83 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$3,017.46 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$5,298.32 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$5,267.42 |
— |
Epidural Blood Patch (62273)
range across 2 matching MRF lines |
— |
$1,356.64–$1,868.75 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$275.75 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,388.85 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$4,682.38 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$2,032.19 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$5,290.99 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$2,556.03 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,151.54 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$2,032.19 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$4,682.38 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$3,107.72 |
— |
| Excision olecranon bursa (24105) |
— |
$6,320.34 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$406.61 |
— |
| Fetal non-stress test (59025) |
— |
$406.61 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,729.06 |
— |
| Foreskin manipulation (54450) |
— |
$903.42 |
— |
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines |
— |
$360.16–$521.12 |
— |
I&d abscess simple (10060)
range across 2 matching MRF lines |
— |
$442.32–$577.83 |
— |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
— |
$4,642.21 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,854.83 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$1,963.82 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,525.07 |
— |
| Incise finger tendon sheath (26055) |
— |
$3,107.72 |
— |
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines |
— |
$852.01–$1,151.54 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$3,468.81 |
— |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
— |
$852.01–$1,151.54 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$419.82 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,014.94 |
— |
| Incision of Foot Tendon (28234) |
— |
$4,642.21 |
— |
| Incision of rectal abscess (46040) |
— |
$2,556.03 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,813.83 |
— |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 3 matching MRF lines |
— |
$442.32–$577.83 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$2,027.04 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$830.62 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$1,709.06 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,281.16 |
— |
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines |
— |
$1,709.06–$2,281.16 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$2,281.16 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,356.64 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$1,709.06 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$643.78 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$643.78 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$643.78 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,356.64 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
— |
$1,356.64–$1,564.46 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$344.41 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$7,054.69 |
— |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
— |
$244.77–$267.22 |
— |
| Insert tunneled cv cath (36561) |
— |
$6,320.34 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$275.75 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$7,054.69 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,150.16 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$852.01 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$852.01 |
— |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
— |
$521.12–$597.02 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$903.42 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$11,292.24 |
— |
| Late closure of wound (13160) |
— |
$3,822.36 |
— |
| Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) |
— |
$9,349.31 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$10,693.14 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$3,107.72 |
— |
| N block inj intercost sng (64420) |
— |
$1,356.64 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$666.30 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$3,918.52 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$643.78 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,027.04 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$2,281.16 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$2,281.16 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$2,281.16 |
— |
| Occipital Nerve Block (64405) |
— |
$643.78 |
— |
| Open bone biopsy (20250) |
— |
$9,835.47 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$13,980.34 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$13,980.34 |
— |
| Penile Injection (54235) |
— |
$903.42 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$3,466.57 |
— |
| Peritoneal Lavage (49084) |
— |
$1,995.53 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$666.30 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,151.54 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$1,151.54 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$643.78 |
— |
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines |
— |
$516.43–$3,468.81 |
— |
| Removal foreign body foot deep (28192) |
— |
$3,468.81 |
— |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
— |
$1,532.95–$2,190.81 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$6,977.03 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$5,842.51 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$137.31 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$137.31 |
— |
| Removal Implant Deep (20680) |
— |
$5,290.99 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$665.17 |
— |
Removal of nail bed (11750)
range across 2 matching MRF lines |
— |
$442.32–$1,151.54 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$5,842.51 |
— |
| Removal sweat gland lesion (11450) |
— |
$5,290.99 |
— |
| Remove foreign body from eye (65205) |
— |
$275.75 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$275.75 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$1,532.95 |
— |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
— |
$13,980.34 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,292.08 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,292.08 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,292.08 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132)
range across 2 matching MRF lines |
— |
$1,292.08–$1,813.83 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,292.08 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,292.08 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,292.08 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,292.08 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$3,432.80 |
— |
| Repair Hand Tendon (26410) |
— |
$3,432.80 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$852.01 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$852.01 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,292.08 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$852.01 |
— |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines |
— |
$852.01–$1,151.54 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,292.08 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$4,228.53 |
— |
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines |
— |
$771.47–$852.01 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines |
— |
$852.01–$1,151.54 |
— |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines |
— |
$771.47–$1,151.54 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,292.08 |
— |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines |
— |
$771.47–$852.01 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$4,228.53 |
— |
| Repair of nail bed (11760) |
— |
$1,292.08 |
— |
| Repair tongue laceration (41252) |
— |
$521.12 |
— |
| Repair tongue laceration (41250) |
— |
$666.30 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$1,115.38 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$1,995.53 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$666.30 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$275.75 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$666.30 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$5,842.51 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$3,468.81 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,813.83 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$656.17 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$442.32 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,292.08 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$521.12 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$852.01 |
— |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
— |
$442.32–$577.83 |
— |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines |
— |
$442.32–$577.83 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$852.01 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$442.32 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$442.32 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
— |
$442.32–$577.83 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$442.32 |
— |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines |
— |
$400.80–$442.32 |
— |
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines |
— |
$1,813.83–$2,222 |
— |
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines |
— |
$1,813.83–$2,222 |
— |
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines |
— |
$5,267.42–$6,204 |
— |
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines |
— |
$1,359.60–$6,204 |
— |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
— |
$442.32–$577.83 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$852.01 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$852.01 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,564.46 |
— |
| Strapping ankle (29540) |
— |
$347.78 |
— |
| Strapping elbow or wrist (29260) |
— |
$137.31 |
— |
| Strapping hand/finger (29280) |
— |
$137.31 |
— |
| Strapping knee (29530) |
— |
$275.75 |
— |
| Strapping shoulder (29240) |
— |
$275.75 |
— |
| Strapping thorax (29200) |
— |
$347.78 |
— |
| Strapping toes (29550) |
— |
$137.31 |
— |
Strapping Unna Boot (29580)
range across 9 matching MRF lines |
— |
$334.45–$1,227.76 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$577.83 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$4,642.21 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$766.46 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$521.12 |
— |
| Treat humerus fracture (24500) |
— |
$508.74 |
— |
| Treat Humerus Fracture (24505) |
— |
$3,432.80 |
— |
| Treat humerus fracture (23600) |
— |
$508.74 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$508.74 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$508.74 |
— |
| Treat toe dislocation (28630) |
— |
$542.19 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$3,432.80 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$508.74 |
— |
| Trim skin lesion (11055) |
— |
$577.83 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$577.83 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$176.13 |
— |
Tx Gastro Intub W/Asp (43753)
range across 3 matching MRF lines |
— |
$621.97–$651.67 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$27,521.42 |
— |
Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257)
range across 2 matching MRF lines |
— |
$508.74–$3,432.80 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,813.83 |
— |
| Unlisted procedure nervous system (64999) |
— |
$1,356.64 |
— |
| Vaginal delivery only (59409) |
— |
$6,466.05 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$24,757.82 |
— |
| Vein Access Cutdown < 1 Yr (36420) |
— |
$275.75 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$666.30 |
— |
Wound Prep F/N/Hf/G (15004)
range across 2 matching MRF lines |
— |
$1,212.30–$1,813.83 |
— |
Wound Prep Trk/Arm/Leg (15002)
range across 3 matching MRF lines |
— |
$1,580.02–$5,267.42 |
— |