Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$853 |
$3,807.75–$4,131.95 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$853 |
$4,080 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,942 |
$1,395.02 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,942 |
$1,046.52 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,942 |
$6,280.05 |
1.0× |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
$6,831 |
$7,059.42 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,080 |
$3,109.28 |
1.0× |
| Amputate Metacarpal Bone (26910) |
$3,080 |
$4,286.51 |
1.0× |
| Amputation foot transmetarsal (28805) |
$3,080 |
$930.01 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,080 |
$1,162.68 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,080 |
$3,428.51 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,080 |
$2,790.05 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,613 |
$2,790.05 |
1.0× |
| Application cast elbow finger short arm (29075) |
$263 |
$1,199.55 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$55 |
$279.50 |
1.0× |
Application finger splint static (29130) range across 2 matching MRF lines |
$125 |
$275.05–$279.50 |
1.0× |
Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$152 |
$668.70–$942.34 |
1.0× |
| Application Long Leg Splint (29505) |
$152 |
$668.70 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$125 |
$532.40 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$125 |
$545.15 |
1.0× |
| Application short leg splint calf foot (29515) |
$152 |
$668.70 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$152 |
$728.80 |
1.0× |
| Apply Short Leg Cast (29405) |
$263 |
$2,033.48 |
1.0× |
| Arterial puncture (36600) |
$125 |
$532.40 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$12,086 |
$2,922.35 |
1.0× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$288 |
$1,237.40–$2,790.05 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$664 |
$3,125.25 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$288 |
$1,237.40–$2,790.05 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$288 |
$1,664.32 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$288 |
$1,308.85 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$6,831 |
$1,714.83 |
1.0× |
| Arthrodesis subtalar (28725) |
$12,086 |
$7,059.42 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,080 |
$2,647.60 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,080 |
$6,002.51 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,080 |
$3,940.51 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$6,831 |
$7,060.71 |
1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$3,080 |
$2,451.54 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,080 |
$4,706.71 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,080 |
$4,087.03 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,831 |
$5,491.82 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,831 |
$7,976.30 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$12,086 |
$15,886.90 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$6,831 |
$5,882.42 |
1.0× |
Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$590 |
$2,760.20–$3,100.05 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$590 |
$3,100.05 |
1.0× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$188 |
$882.25–$1,235.15 |
1.0× |
| Biopsy bone open deep (20245) |
$2,734 |
$1,054.09 |
1.0× |
| Biopsy bone open superficial (20240) |
$2,734 |
$5,273.74 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,554 |
$1,534.62 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,554 |
$1,395.03 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,554 |
$6,877.50 |
1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,554 |
$8,891.10 |
1.0× |
| Bladder Irrigation (51700) |
$235 |
$1,157.10 |
1.0× |
| Bladder Scan (51798) |
$55 |
$291.40 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$298 |
$1,306.40 |
1.0× |
Blood Transfusion Service (36430) range across 2 matching MRF lines |
$415 |
$1,914.50–$1,940.20 |
1.0× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$6,831 |
$2,265.07 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,675 |
$1,498.25 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,510 |
$1,198.17 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,554 |
$6,877.50 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,080 |
$1,176.48 |
1.0× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$1,513 |
$823.64 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,838 |
$3,047.21 |
1.0× |
| Cataract surgery complex (66982) |
$2,172 |
$2,790.05 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$235 |
$1,157.10 |
1.0× |
| Change of Windpipe Airway (31502) |
$222 |
$1,030.70 |
1.0× |
| Chemical Cautery Tissue (17250) |
$188 |
$882.25 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,370 |
$16,481.70 |
1.0× |
| Claviculectomy partial (23120) |
$3,080 |
$4,705.42 |
1.0× |
| Clear outer ear canal (69200) |
$125 |
$580.55 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,513 |
$2,790.05 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,513 |
$2,790.05 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$232 |
$1,125.45 |
1.0× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,513 |
$2,790.05–$6,749.70 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$232 |
$2,588.88 |
1.0× |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$9 |
$29.87–$40.92 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,126 |
$2,398.47 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,047 |
$2,790.05 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,126 |
$2,773.56 |
1.0× |
| Complex drainage wound (10180) |
$2,734 |
$11,891.50 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,047 |
$2,790.05 |
1.0× |
| Conization of cervix (57520) |
$3,047 |
$2,790.05 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$125 |
$2,790.05 |
1.0× |
| Control oropharyngeal hemorrhage simple (42960) |
$507 |
$3,022.72 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,554 |
$7,497.75 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,080 |
$2,941.85 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$12,086 |
$2,706.60 |
1.0× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$8,912 |
$20,102.70 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$382 |
$2,790.05 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,734 |
$2,790.05 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$695 |
$4,186.05 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,554 |
$2,790.05 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$382 |
$2,198.56–$2,790.05 |
1.0× |
| Declot vascular device (36593) |
$310 |
$1,441.90 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$875 |
$1,198.17 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$666 |
$3,050.05 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,554 |
$7,035 |
1.0× |
| Drainage of finger abscess simple (26010) |
$188 |
$897.75 |
1.0× |
| Drainage of gum lesion (41800) |
$125 |
$745.36 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,554 |
$6,863 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$125 |
$545.15 |
1.0× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$188 |
$1,235.15–$2,790.05 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$1,675 |
$1,198.17 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,675 |
$1,198.17 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,675 |
$3,428.51 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$664 |
$3,125.25 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,806 |
$1,198.17 |
1.0× |
| Egd cautery tumor polyp (43250) |
$1,806 |
$799.49 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$853 |
$3,898.85 |
1.0× |
| Egd remove lesion snare (43251) |
$1,806 |
$1,198.17 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$1,806 |
$1,198.17 |
1.0× |
| Epidural Blood Patch (62273) |
$664 |
$3,125.25 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$125 |
$745.36 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,554 |
$2,895.65 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,554 |
$2,790.05 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,734 |
$2,790.05 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$2,734 |
$2,790.05 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$666 |
$2,790.05 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$666 |
$2,790.05 |
1.0× |
| Exc ganglion wrist recurrent (25112) |
$1,513 |
$3,428.51 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,554 |
$3,139.05 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$666 |
$2,790.05–$2,896.70 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$1,554 |
$2,790.05–$6,877.50 |
1.0× |
| Exc hand tum deep < 1.5 cm (26116) |
$1,554 |
$2,790.05 |
1.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$3,121 |
$2,790.05 |
1.0× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$1,838 |
$697.51 |
1.0× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,838 |
$3,428.51 |
1.0× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$5,573 |
$2,790.05 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$666 |
$2,790.05 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,554 |
$2,790.05 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,734 |
$3,488.05 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,554 |
$2,790.05 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,554 |
$2,790.05 |
1.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,080 |
$1,395.03 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,734 |
$3,488.05 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$382 |
$2,790.05 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$666 |
$3,139.05 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,554 |
$3,235.54 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,734 |
$2,790.05 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$2,734 |
$2,790.05 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,554 |
$2,790.05 |
1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,734 |
$1,395.02 |
1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$666 |
$4,884.05 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$2,734 |
$3,428.51 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$666 |
$558.01 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$382 |
$2,790.05 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$666 |
$930.01 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$666 |
$1,395.03 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$666 |
$3,538.28 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,513 |
$3,428.51 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,734 |
$2,790.05 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$3,047 |
$2,790.05 |
1.0× |
| Excision olecranon bursa (24105) |
$3,080 |
$2,547.15 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$3,080 |
$2,647.60 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,734 |
$4,186.05 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,734 |
$2,949.67 |
1.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,734 |
$2,790.05 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,554 |
$2,790.05 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,734 |
$1,395.02 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,554 |
$2,790.05 |
1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,554 |
$2,790.05 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,734 |
$2,790.05 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,554 |
$7,035 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,080 |
$6,978.05 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$382 |
$1,899.60 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$666 |
$3,868.75 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,942 |
$2,000.85 |
1.0× |
| Fusion of foot bones (28740) |
$6,831 |
$2,588.88 |
1.0× |
| Gastrocnemius recession (27687) |
$3,080 |
$2,411.78 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,613 |
$4,186.05 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$875 |
$2,790.05 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,047 |
$2,881.26 |
1.0× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$188 |
$902.90–$2,790.05 |
1.0× |
| I&d perianal abscess superficial (46050) |
$875 |
$3,724.45 |
1.0× |
I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$666 |
$2,790.05–$2,896.70 |
1.0× |
Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$235 |
$271.77–$1,157.10 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,513 |
$3,138.30 |
1.0× |
| Incise Wrist/Forearm Tendon (25290) |
$3,080 |
$523.26 |
1.0× |
Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
$1,554 |
$2,790.05–$7,184.95 |
1.0× |
Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
$382 |
$1,570.40–$2,790.05 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$190 |
$829.65 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$286 |
$1,365 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,513 |
$2,790.05 |
1.0× |
| Incision of labial frenum (frenotomy) (40806) |
$507 |
$2,790.05 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,460 |
$2,790.05 |
1.0× |
| Incision of rectal abscess (46040) |
$1,126 |
$5,021.10 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,554 |
$6,863 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$832 |
$3,824.20 |
1.0× |
Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
$832 |
$3,824.20–$4,112.30 |
1.0× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$832 |
$3,824.20 |
1.0× |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 2 matching MRF lines |
$664 |
$2,994.05–$3,242.60 |
1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$832 |
$3,824.20 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$288 |
$1,411 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$664 |
$3,172.95 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$288 |
$1,237.40 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$288 |
$1,237.40 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$832 |
$3,824.20 |
1.0× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 4 matching MRF lines |
$664 |
$2,994.05–$3,172.95 |
1.0× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$664 |
$1,240–$3,125.25 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$121 |
$691.75 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$2,972 |
$5,468.15 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$125 |
$532.40 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,370 |
$15,546.70 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,972 |
$2,790.05 |
1.0× |
Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$125 |
$89.38–$532.40 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,370 |
$14,736.60 |
1.0× |
Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,481 |
$547.54–$7,030.70 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,481 |
$547.54–$5,468.15 |
1.0× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 3 matching MRF lines |
$2,972 |
$2,790.05–$14,618.20 |
1.0× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,460 |
$6,746.70 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$222 |
$1,030.70 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,080 |
$3,428.51 |
1.0× |
| Labyrinthotomy Transcanal (69801) |
$1,460 |
$2,790.05 |
1.0× |
| Laparoscopy aspiration (49322) |
$5,691 |
$2,143.26 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$5,691 |
$4,060.72 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$5,691 |
$4,661.12 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,691 |
$3,706.63 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$5,691 |
$4,343.86 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,691 |
$3,428.51 |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$5,691 |
$3,001.25 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,691 |
$3,428.51 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,691 |
$4,011.02 |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$5,691 |
$6,002.51 |
1.0× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$3,510 |
$3,109.28 |
1.0× |
| Laryngoscopy W/Biopsy (31535) |
$3,510 |
$3,124.17 |
1.0× |
| Late closure of wound (13160) |
$3,336 |
$1,071.65 |
1.0× |
| Lip Surgery Procedure (40799) |
$222 |
$1,030.70 |
1.0× |
| Manipulation Ankle Under General Anesthesia (27860) |
$3,080 |
$1,372.73 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,513 |
$2,790.05 |
1.0× |
| Mastectomy partial (19301) |
$3,686 |
$3,488.05 |
1.0× |
| N block inj intercost sng (64420) |
$664 |
$3,172.95 |
1.0× |
| N Block Lumbar/Thoracic (64520) |
$832 |
$3,824.20 |
1.0× |
| Nasal surgery procedure (30999) |
$222 |
$3,428.51 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$420 |
$1,740.80 |
1.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,510 |
$4,286.51 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,675 |
$3,428.51 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27 |
$126.15 |
1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$27 |
$126.15 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,838 |
$4,425.67 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$288 |
$1,237.40 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$664 |
$2,994.05 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$832 |
$3,824.20 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$832 |
$3,824.20 |
1.0× |
| Occipital Nerve Block (64405) |
$288 |
$1,237.40 |
1.0× |
| Onc thyr mut alys 10 gen 37 RNA fsn xprsn 4 mrna (0245U) |
$1,266 |
$3,750 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,831 |
$10,590.40 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$6,831 |
$11,767.40 |
1.0× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$12,086 |
$9,151.96 |
1.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$12,086 |
$11,767.40 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$6,831 |
$7,059.42 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$6,831 |
$2,129.08 |
1.0× |
Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) range across 2 matching MRF lines |
$6,831 |
$10,380.98–$10,381 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$6,831 |
$4,705.42 |
1.0× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$6,831 |
$1,765.07 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$6,831 |
$6,472.43 |
1.0× |
| Open treatment posterior malleolus fracture (27769) |
$6,831 |
$2,941.21 |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$6,831 |
$9,413.42 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$6,831 |
$6,101.74 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$6,831 |
$3,445.67 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,080 |
$4,884.05 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,080 |
$2,286.84 |
1.0× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$12,086 |
$5,883.71 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$6,831 |
$7,059.42 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$6,831 |
$8,374.05 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$6,831 |
$6,899.73 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$6,831 |
$7,518.08 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$12,086 |
$14,121.40 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$6,831 |
$2,969.91 |
1.0× |
| Part remv talus or calcaneus (28120) |
$3,080 |
$6,002.51 |
1.0× |
| Partial removal of tibia (27640) |
$3,080 |
$2,790.05 |
1.0× |
| Partial removal of toe (28160) |
$3,080 |
$1,395.02 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,080 |
$2,143.25 |
1.0× |
| Penile Injection (54235) |
$235 |
$1,330.70 |
1.0× |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
$3,080 |
$1,071.62 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$420 |
$2,437.12 |
1.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$1,126 |
$1,198.17 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$666 |
$2,896.70 |
1.0× |
| Prq skel fixj femoral fx prox end neck (27235) |
$6,831 |
$6,470.92 |
1.0× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,080 |
$3,488.05 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,080 |
$2,487.75 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$382 |
$2,790.05 |
1.0× |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$382 |
$1,570.40–$1,865.35 |
1.0× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$664 |
$3,242.60 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$2,734 |
$2,790.05 |
1.0× |
| Release of big toe (28240) |
$3,080 |
$1,694.65 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$2,972 |
$13,207.60 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$55 |
$2,790.05 |
1.0× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$55 |
$278.30–$391.30 |
1.0× |
| Removal Implant Deep (20680) |
$2,734 |
$5,051.72 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,554 |
$2,790.05 |
1.0× |
| Removal of a lesion from the floor of the mouth (41116) |
$3,121 |
$2,790.05 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$420 |
$1,740.80 |
1.0× |
| Removal of heel spur (28119) |
$3,080 |
$2,745.47 |
1.0× |
| Removal of implant from finger or hand (26320) |
$1,554 |
$2,143.26 |
1.0× |
| Removal of nail bed (11750) |
$382 |
$1,570.40 |
1.0× |
| Removal of tonsils (42825) |
$5,573 |
$2,790.05 |
1.0× |
| Removal of tonsils (42826) |
$3,121 |
$3,139.05 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,972 |
$13,846.40 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$188 |
$882.25 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,942 |
$3,109.28 |
1.0× |
| Removal sweat gland lesion (11450) |
$2,734 |
$2,790.05 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,513 |
$2,411.77 |
1.0× |
| Remove drug implant device (11982) |
$420 |
$2,143.26 |
1.0× |
| Remove elbow lesion (24120) |
$3,080 |
$2,093.02 |
1.0× |
| Remove Lower Leg Bone Lesion (27635) |
$3,080 |
$1,395.02 |
1.0× |
| Remove lung catheter (32552) |
$590 |
$1,395.03 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,513 |
$3,428.51 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,554 |
$606.53 |
1.0× |
| Repair Achilles Tendon (27650) |
$6,831 |
$5,144.51 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$6,831 |
$3,971.35 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$382 |
$930.01 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$382 |
$1,395.03 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$382 |
$2,790.05 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$695 |
$1,395.03 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,513 |
$2,572.26 |
1.0× |
| Repair Hand Joint (26540) |
$3,080 |
$5,144.51 |
1.0× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,370 |
$4,286.51 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,370 |
$5,094.28 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$382 |
$1,395.02 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$382 |
$1,570.40 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$382 |
$1,395.02 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$382 |
$1,278.82 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$6,831 |
$5,001.62 |
1.0× |
| Repair of nail bed (11760) |
$695 |
$2,414.45 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$6,831 |
$5,575.26 |
1.0× |
| Repair Rotator Cuff Chronic (23412) |
$6,831 |
$4,314.82 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$6,831 |
$2,093.02 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,831 |
$5,582.05 |
1.0× |
| Repair Toe Dislocation (28645) |
$3,080 |
$1,714.85 |
1.0× |
| Repair tongue laceration (41252) |
$222 |
$1,058 |
1.0× |
| Repair Tooth Socket (41874) |
$3,121 |
$1,116.37 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$6,831 |
$5,882.42 |
1.0× |
| Revision of foot bones (28737) |
$12,086 |
$3,824.60 |
1.0× |
| Revision of foot fascia (28250) |
$3,080 |
$1,372.73 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,080 |
$2,776.03 |
1.0× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$3,336 |
$2,790.05 |
1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,554 |
$2,790.05 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$420 |
$1,887.85 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$235 |
$1,174.50 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$235 |
$1,174.50 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,972 |
$3,488.05 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,691 |
$4,665.02 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,370 |
$3,967.02 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,094 |
$5,144.51 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,691 |
$2,790.05 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$666 |
$2,896.70 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$507 |
$2,435.65 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,080 |
$3,530.35 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,126 |
$1,198.17 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$188 |
$23 |
1.0× |
Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$695 |
$8,113.70–$8,629.30 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$1,942 |
$13,830.70 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$1,942 |
$7,744.80 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$664 |
$3,221.70 |
1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,336 |
$4,066.97 |
1.0× |
Strapping ankle (29540) range across 2 matching MRF lines |
$152 |
$668.70–$688.70 |
1.0× |
| Strapping elbow or wrist (29260) |
$55 |
$210.12 |
1.0× |
Strapping hand/finger (29280) range across 2 matching MRF lines |
$55 |
$210.12–$287.40 |
1.0× |
Strapping knee (29530) range across 2 matching MRF lines |
$125 |
$532.40–$559.75 |
1.0× |
Strapping shoulder (29240) range across 2 matching MRF lines |
$125 |
$532.40–$545.15 |
1.0× |
| Strapping Unna Boot (29580) |
$152 |
$728.80 |
1.0× |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
$695 |
$2,352.71 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,613 |
$2,790.05 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$6,831 |
$7,328.95 |
1.0× |
Thrombolytic Therapy Stroke (37195) range across 2 matching MRF lines |
$310 |
$1,583.40–$2,128.88 |
1.0× |
| Thyroid biopsy (60100) |
$666 |
$2,896.70 |
1.0× |
| Tnot elbow lateral/medial debride open (24358) |
$3,080 |
$3,887.28 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,121 |
$2,790.05 |
1.0× |
Tooth extraction (41899) range across 2 matching MRF lines |
$222 |
$1,030.70–$4,137.17 |
1.0× |
| Total Knee Arthroplasty (27447) |
$12,086 |
$14,121.40 |
1.0× |
| Treat Ankle Dislocation (27846) |
$6,831 |
$5,001.60 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,080 |
$4,984.01 |
1.0× |
Treat fracture radius/ulna (25575) range across 2 matching MRF lines |
$6,831 |
$11,767.40–$11,767.42 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$6,831 |
$7,059.42 |
1.0× |
| Treat Kneecap Fracture (27524) |
$6,831 |
$4,705.42 |
1.0× |
| Treat Vaginal Bleeding (57180) |
$190 |
$829.65 |
1.0× |
| Treatment of anal fissure (46940) |
$2,613 |
$2,790.05 |
1.0× |
| Treatment of ankle fracture (27823) |
$6,831 |
$3,530.15 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$55 |
$279.50 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$203 |
$1,261.55 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,513 |
$823.64 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$695 |
$1,162.69 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,460 |
$2,790.05 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$5,691 |
$4,286.51 |
1.0× |
| Unlisted procedure anus (46999) |
$875 |
$2,790.05 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$232 |
$1,637.95 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$232 |
$3,215.69 |
1.0× |
| Unlisted Procedure Leg/Ankle (27899) |
$232 |
$1,372.73 |
1.0× |
| Unlisted Procedure Muscskeletal System General (20999) |
$232 |
$1,412.44 |
1.0× |
Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$288 |
$1,305.85–$1,359.45 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$232 |
$4,066.96 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$222 |
$1,058 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$590 |
$3,100.05 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$853 |
$1,714.25 |
1.0× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$3,047 |
$11,806.40 |
1.0× |
| Vaginal delivery only (59409) |
$3,047 |
$11,806.40 |
1.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,121 |
$2,790.05 |
1.0× |
| Vulvectomy simple partial (56620) |
$3,047 |
$2,790.05 |
1.0× |
| Wedge excision skin nail fold (11765) |
$382 |
$1,570.40 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$382 |
$1,395.03 |
1.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$6,831 |
$3,544.08 |
1.0× |