Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
— |
$295–$1,944 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$3,536 |
— |
| Ablate Pulm Tumor Perq Crybl (32994) |
— |
$12,154.25 |
— |
| Ablation 1/> liver tumor perq cryoablation (47383) |
— |
$12,154.75 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$15,046.25 |
— |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
— |
$15,046.25 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$7,868 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$7,868 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$1,190.25 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$396.64 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$550.75 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$248.25 |
— |
| Apply Short Leg Cast (29405) |
— |
$572.25 |
— |
| Apply short leg cast (29425) |
— |
$572.25 |
— |
| Arterial puncture (36600) |
— |
$110 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$358.75 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,022.75 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
— |
$205–$390 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$390 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$597.25 |
— |
| Arthrodesis sacroiliac joint percutaneous (27279) |
— |
$39,667.75 |
— |
Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
— |
$196–$1,555.25 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$628.25 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$4,301 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$174.75 |
— |
Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
— |
$339–$3,380.25 |
— |
| Biopsy bone open deep (20245) |
— |
$3,921 |
— |
| Biopsy bone open superficial (20240) |
— |
$3,451.25 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,769.75 |
— |
Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
— |
$170–$3,769.75 |
— |
| Biopsy external ear (69100) |
— |
$153.34 |
— |
Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
— |
$142–$3,536 |
— |
| Biopsy of lip (40490) |
— |
$175.81 |
— |
Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
— |
$259–$3,514.25 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$3,514.25 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$1,535 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,929.30 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$316 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$686.75 |
— |
| Bladder Irrigation (51700) |
— |
$157.95 |
— |
Bladder Scan (51798) range across 2 matching MRF lines |
— |
$46–$123.25 |
— |
| Blood Transfusion Service (36430) |
— |
$817 |
— |
Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
— |
$331–$3,769.75 |
— |
Bone Marrow; Aspiration Only (38220) range across 2 matching MRF lines |
— |
$331–$3,769.75 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$5,467.75 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$5,467.75 |
— |
Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
— |
$528–$6,079.50 |
— |
Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
— |
$412–$1,947.50 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$204.25 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$5,528.50 |
— |
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
— |
$191.76–$639 |
— |
| Change ureter stent percut (50382) |
— |
$4,301 |
— |
| Chemical Cautery Tissue (17250) |
— |
$274.50 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$629.25 |
— |
| Chest tube placement (32551) |
— |
$2,816.75 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$4,480.75 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$7,642.25 |
— |
| Circumcision Neonate (54160) |
— |
$221.75 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$221.75 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$132.50 |
— |
Collection of venous blood by venipuncture (36415) range across 11 matching MRF lines |
— |
$14–$35 |
— |
| Complex drainage wound (10180) |
— |
$3,544.25 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$386.47 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$143.20 |
— |
| Conversion ext bil drg cath (47535) |
— |
$7,482.25 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$3,902.25 |
— |
| Convert Nephrostomy Catheter (50434) |
— |
$4,301 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
— |
$367–$3,386.75 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$62.26 |
— |
| Create Eardrum Opening (69433) |
— |
$248.79 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$399.64 |
— |
| Cystometrogram W/Vp (51728) |
— |
$315 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$414.48 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$4,442 |
— |
| Cystourethroscopy (52000) |
— |
$373.55 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$617.50 |
— |
| Debride nail 1-5 (11720) |
— |
$150 |
— |
Debride nail 6 or more (11721) range across 2 matching MRF lines |
— |
$61–$150 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$1,930 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$209.05 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
— |
$557.50–$571 |
— |
| Declot vascular device (36593) |
— |
$497.50 |
— |
| Delivery of placenta (59414) |
— |
$4,960 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$2,909.75 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$2,909.75 |
— |
Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
— |
$141–$438.50 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$438.50 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$1,397.25 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$2,191 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$4,222.50 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,144.75 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$597.25 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,148 |
— |
| Drainage of hydrocele (55000) |
— |
$180.49 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$132.50 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$637.25 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$637.25 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$316.50 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,257 |
— |
Dx Bone Marrow Bx & Aspir (38222) range across 3 matching MRF lines |
— |
$662–$5,695.75 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$2,896.50 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,527.50 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$1,190.25 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$672 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$661.50 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$175.68 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$6,332.75 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$5,960.75 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$11,271.50 |
— |
| Epidural Blood Patch (62273) |
— |
$1,559.50 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$12,091.75 |
— |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
— |
$139.50–$1,462.50 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$220.71 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$286.63 |
— |
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 2 matching MRF lines |
— |
$326.48–$1,534.70 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$456.37 |
— |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
— |
$179.62–$1,534.70 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$205.01 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$156.89 |
— |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
— |
$179.18–$1,534.70 |
— |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
— |
$190.60–$1,414.60 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$342.92 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$200.96 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$254.53 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$311.83 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$394.04 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$343.15 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$468.88 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$487.23 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$167.06 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$187.89 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$234.63 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$7,591.25 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$4,480.75 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$3,902.25 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$3,178 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$324.20 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$265 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$267.67 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$293.87 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$359.08 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$247.39 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$370.43 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$583.99 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$222.77 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$269.70 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$304.04 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$619 |
— |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
— |
$3,543 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$289.46 |
— |
| External cephalic version (59412) |
— |
$4,960 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$7,072 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$175.25 |
— |
| Fetal non-stress test (59025) |
— |
$175.25 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,535 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$732.50 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$552.75 |
— |
Fna bx w/us gdn 1st les (10005) range across 6 matching MRF lines |
— |
$181–$1,450 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,495.25 |
— |
| I&d abscess simple (10060) |
— |
$358.25 |
— |
| I&d perianal abscess superficial (46050) |
— |
$235.71 |
— |
| Icd Pocket Revision (33223) |
— |
$3,792 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$3,420.75 |
— |
Image Cath Fluid Peri/Retro (49406) range across 2 matching MRF lines |
— |
$632–$3,420.75 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$3,420.75 |
— |
| Implant neuroelectrodes (63650) |
— |
$13,362.75 |
— |
| Implant Neuroelectrodes (64561) |
— |
$13,975.50 |
— |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
— |
$24,252.25 |
— |
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
— |
$160.42–$664.75 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$3,440.50 |
— |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
— |
$143.16–$801.25 |
— |
| Incision of lymph channels (38308) |
— |
$8,115 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,484.50 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$1,685.50 |
— |
Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
— |
$86–$565.50 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$1,559.50 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,112.75 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$406 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,559.50 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$2,112.75 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$1,416.75 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,559.50 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,559.50 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$1,559.50 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,559.50 |
— |
Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
— |
$113–$762.75 |
— |
| Injection Into Brain Canal (61055) |
— |
$1,559.50 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$239 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$572 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$282 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$282 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$572 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$1,116.50 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,559.50 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
— |
$144–$1,416.75 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$2,068 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$2,068 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$2,068 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$13,561.50 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$6,781.25 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$6,705 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$6,781.25 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$10,091.25 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$11,979 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$343.50 |
— |
| Insert cath pleura w/ image (32557) |
— |
$3,378 |
— |
| Insert cath pleura w/o image (32556) |
— |
$3,218.50 |
— |
| Insert cervical dilator (59200) |
— |
$677.75 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$3,902.25 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$27,937.25 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$27,937.25 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$18,000 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$2,825.25 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$34,165 |
— |
| Insert pulse gen dual leads (33213) |
— |
$25,860 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$22,848.50 |
— |
Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
— |
$130–$164.80 |
— |
| Insert tun ip cath perc (49418) |
— |
$7,482.25 |
— |
| Insert tunneled cv cath (36561) |
— |
$7,121.75 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$124.50 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$7,482.25 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,101 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$18,382 |
— |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
— |
$11,455 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$11,979 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$2,101 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$6,876 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$2,965.25 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$101,465.25 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$17,845.25 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$11,979 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$34,165.25 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$77,928 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$77,928 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$75,926.50 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$3,033.50 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$505.11 |
— |
| Intro cath dialysis circuit (36901) |
— |
$1,784.75 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$26,149.25 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$16,917.50 |
— |
Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
— |
$192–$272 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$88.65 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$11,122.75 |
— |
| Lyse chest fibrin init day (32561) |
— |
$1,298.50 |
— |
| Lyse Chest Fibrin Subq Day (32562) |
— |
$1,298.50 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$1,613 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$6,876 |
— |
| Myelography Lumbar Injection (62304) |
— |
$1,780.75 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$306 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$1,721.75 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$1,703.50 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$1,559.50 |
— |
| N block inj intercost sng (64420) |
— |
$1,559.50 |
— |
| N Block Inj Paracervical (64435) |
— |
$1,559.50 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$647.20 |
— |
| N Block Inj Pudendal (64430) |
— |
$1,559.50 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$1,559.50 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$294.61 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$864 |
— |
Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
— |
$231–$3,380.25 |
— |
| Neuroeltrd Stim Post Tibial (64566) |
— |
$163.45 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$1,559.50 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$597.25 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$7,482.25 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$7,482.25 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$1,685.50 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$890 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$890 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$2,191 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,120.25 |
— |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
— |
$3,912 |
— |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
— |
$3,912 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$1,398 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$1,398 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$829 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$829 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$434.25 |
— |
| Occipital Nerve Block (64405) |
— |
$597.25 |
— |
| Open Implantation Nea Sacral Nerve (64581) |
— |
$15,433.50 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$24,047.25 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$24,047.25 |
— |
| Perc Cryo Ablate Renal Tum (50593) |
— |
$21,395.25 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$3,033.50 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$12,154.25 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$12,154.25 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$1,495.25 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$9,566 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$3,305.25 |
— |
| Perq av fistula creation uxtr sep access sites (36837) |
— |
$39,326 |
— |
| Perq av fistula creation uxtr single access (36836) |
— |
$39,326 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$6,803.25 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$252 |
— |
Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
— |
$257–$744.50 |
— |
Perq device breast 1st imag (19281) range across 2 matching MRF lines |
— |
$300–$1,886.75 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$7,385.75 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$6,803.25 |
— |
| Perq p-art revsc 1 nm nt uni (33900) |
— |
$24,302 |
— |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
— |
$39,326 |
— |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
— |
$24,302 |
— |
| Perq p-art revsc st 1st nml native connj bi (33901) |
— |
$24,302 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$12,154.25 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$215 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$26,149.25 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$12,385 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$15,046.25 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$15,046.25 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$6,468.50 |
— |
| Place Cath Subclavian Art (36225) |
— |
$7,863.75 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$7,863.75 |
— |
| Place Cath Vertebral Art (36226) |
— |
$12,860.25 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$3,902.25 |
— |
| Place ndl musc/tis for rt (20555) |
— |
$8,016.25 |
— |
| Placement needle head/neck radioelement applicat (41019) |
— |
$5,725.25 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$354.75 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$7,482.25 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$12,154.75 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$12,154.75 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$12,154.75 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$4,421 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$7,385.75 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$7,384.75 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$7,385.75 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$7,384.75 |
— |
| Prim art mech thrombectomy (37184) |
— |
$9,721 |
— |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
— |
$15,505 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$7,482.25 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$7,482.25 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$1,560.50 |
— |
Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
— |
$141.30–$454.25 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
— |
$412–$830.75 |
— |
Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
— |
$217–$324 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$1,282.50 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$4,222.50 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$6,925.25 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$3,792 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$6,925.25 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$1,944 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$63.70 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$3,929 |
— |
| Removal of nail bed (11750) |
— |
$726.75 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$6,876 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$607 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$5,251.25 |
— |
| Removal ppm generator only (33233) |
— |
$17,845.25 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$2,586.75 |
— |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
— |
$4,301 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$5,251.25 |
— |
| Remove foreign body from eye (65205) |
— |
$266 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$4,301 |
— |
| Remove intrvas foreign body (37197) |
— |
$7,022 |
— |
Remove lung catheter (32552) range across 2 matching MRF lines |
— |
$162.55–$1,298.50 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$7,642.25 |
— |
| Remove Pulse Generator (33241) |
— |
$5,251.25 |
— |
Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
— |
$1,382–$1,382.50 |
— |
| Remove spine eltrd plate (63662) |
— |
$4,595.50 |
— |
| Remove ureter stent percut (50384) |
— |
$4,301 |
— |
| Remove&replace pm gen singl (33227) |
— |
$20,804.75 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$77,928 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$77,928 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$77,928 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$22,800.50 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$22,800.50 |
— |
Renal Biopsy Perq (50200) range across 5 matching MRF lines |
— |
$374–$3,769.75 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$614 |
— |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
— |
$335.66–$769 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$368.98 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$411.80 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$444.99 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$321.52 |
— |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
— |
$348.48–$870 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$418.56 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$458.01 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$296.49 |
— |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
— |
$384.97–$769 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$488.10 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$364.15 |
— |
| Repair lead pace-defib dual (33220) |
— |
$5,251.25 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$5,251.25 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$1,896 |
— |
| Replace G-J Tube Perc (49452) |
— |
$1,944 |
— |
| Replace g/c tube perc (49450) |
— |
$1,944 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$639 |
— |
| Reposition L Ventric Lead (33226) |
— |
$5,250.75 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$5,251.25 |
— |
| Reposition Venous Catheter (36597) |
— |
$2,101 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
— |
$6,186.25 |
— |
| Revise Spine Eltrd Plate (63664) |
— |
$47,134.50 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$13,975.50 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$11,906.25 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$4,188.75 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$4,480.75 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$83.76 |
— |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
— |
$3,711.50 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$4,595.50 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$5,251.25 |
— |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
— |
$372.65–$1,597 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,898.25 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$533 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,101 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$6,876 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$2,101 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$6,876 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$5,927 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$2,101 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$2,101 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$1,494.25 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$137 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$700 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$3,761.50 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,968.50 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$5,696 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$5,696 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$7,863.75 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$7,863.75 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$12,860.25 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,022.75 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$6,468.50 |
— |
| Strapping Unna Boot (29580) |
— |
$238 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$865 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$454.25 |
— |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
— |
$75,563.50 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$3,511.90 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$3,511.90 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$9,602 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$1,527.50 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$39,635.75 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$5,528.50 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$10,113.25 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$2,729 |
— |
| Thyroid biopsy (60100) |
— |
$1,495.25 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$245.25 |
— |
| Transcatheter biopsy (37200) |
— |
$7,059.50 |
— |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
— |
$8,346 |
— |
Trim skin lesion (11055) range across 2 matching MRF lines |
— |
$46–$204.25 |
— |
Trim skin lesions 2 to 4 (11056) range across 2 matching MRF lines |
— |
$47–$204.25 |
— |
| Trim skin lesions over 4 (11057) |
— |
$273 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$150 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$16,917.50 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$16,917.50 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$459 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$3,396.25 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$250.25 |
— |
| Unlisted procedure nervous system (64999) |
— |
$627.75 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$3,902.25 |
— |
| Upgrade of pacemaker system (33214) |
— |
$34,165.25 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$5,110.50 |
— |
| Vaginal delivery only (59409) |
— |
$4,960 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$21,415.50 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$27,272.75 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$23,550 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$21,415.50 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$9,721 |
— |
| Wedge excision skin nail fold (11765) |
— |
$870 |
— |
| Windowing of cast (29730) |
— |
$348 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,372 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$3,985 |
— |