| Abd paracentesis w/imaging (49083) |
$899 |
$3,929.60 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$899 |
$2,414.15 |
1.0× |
| Acromiopl/Acromionect Partial (23130) |
$3,245 |
$8,010.91 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,046 |
$6,711.18 |
1.0× |
| Amniocentesis diagnostic (59000) |
$913 |
$895.09 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,753 |
$5,848 |
1.0× |
| Application cast elbow finger short arm (29075) |
$277 |
$1,103.75 |
1.0× |
| Application finger splint static (29130) |
$131 |
$559.75 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$161 |
$705.90 |
1.0× |
| Application Long Leg Splint (29505) |
$161 |
$705.90 |
1.0× |
| Application of long leg cast (29345) |
$277 |
$1,103.75 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$277 |
$623 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$131 |
$575.80 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$131 |
$559.75 |
1.0× |
| Application short leg splint calf foot (29515) |
$161 |
$668.70 |
1.0× |
| Apply long arm cast (29065) |
$277 |
$1,199.55 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$161 |
$625.75 |
1.0× |
| Apply Short Leg Cast (29405) |
$277 |
$1,002.50 |
1.0× |
| Apply short leg cast (29425) |
$277 |
$1,279.40 |
1.0× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$3,132 |
$14,894.90 |
1.0× |
| Arterial puncture (36600) |
$131 |
$658.75 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,519 |
$12,844.70 |
1.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$12,735 |
$21,616.83 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$304 |
$1,237.40 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$700 |
$3,242.60 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$304 |
$1,308.85 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$304 |
$1,334.15 |
1.0× |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
$7,197 |
$20,102.50 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,392 |
$31,567.70 |
1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,245 |
$14,985.50 |
1.0× |
| Arthroplasty Patella W/Prosthesis (27438) |
$12,735 |
$16,813.10 |
1.0× |
| Arthroplasty, patella; without prosthesis (27437) |
$7,197 |
$10,234 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,245 |
$22,500 |
1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,245 |
$26,250 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,245 |
$12,519.60 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,245 |
$11,529 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,245 |
$4,282.61 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,197 |
$21,943.10 |
1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$3,245 |
$6,091.67 |
1.0× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$7,197 |
$11,208.04 |
1.0× |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
$3,245 |
$7,708.04 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,245 |
$22,500 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,245 |
$8,437.50 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,245 |
$16,012.40 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,197 |
$6,976.74 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,245 |
$15,612.10 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,245 |
$16,813.10 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,197 |
$23,120.60 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$12,735 |
$25,312.80 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,197 |
$23,218 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,245 |
$15,379.70 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,245 |
$12,317.30 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$622 |
$3,048.27 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$622 |
$1,828.96 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$702 |
$978 |
1.0× |
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines |
$2,073 |
$7,727.72–$10,242.50 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$199 |
$334 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,638 |
$6,877 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,638 |
$7,497.75 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,638 |
$4,133 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,638 |
$6,877.50 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,638 |
$6,863 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,638 |
$7,035 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$702 |
$3,244.85 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,638 |
$7,035 |
1.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,638 |
$7,035 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$913 |
$5,848 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,883 |
$8,223.75 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$691 |
$987.27 |
1.0× |
| Bladder Irrigation (51700) |
$247 |
$496 |
1.0× |
| Bladder Scan (51798) |
$58 |
$278.30 |
1.0× |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
$2,046 |
$12,131.14 |
1.0× |
| Blepharoplasty upper eyelid (15822) |
$2,046 |
$10,703.90 |
1.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$2,046 |
$10,703.90 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$314 |
$1,258.80 |
1.0× |
| Blood Transfusion Service (36430) |
$437 |
$2,155.47 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$437 |
$646.64 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,638 |
$2,706 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,638 |
$7,035 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,765 |
$4,758 |
1.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$3,698 |
$4,483.05 |
1.0× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$3,698 |
$4,195.39 |
1.0× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$1,765 |
$4,758 |
1.0× |
| Brnchsc Removal Bronchial Valve Initial (31648) |
$3,698 |
$10,002 |
1.0× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$7,000 |
$10,002 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,698 |
$10,002 |
1.0× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$3,698 |
$10,002 |
1.0× |
| Bronch Thermoplsty 1 Lobe (31660) |
$7,000 |
$10,002 |
1.0× |
| Bronchial Valve Init Insert (31647) |
$7,000 |
$10,002 |
1.0× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$7,000 |
$10,002 |
1.0× |
| Bronchoscopy Balloon Occlusion (31634) |
$7,000 |
$10,002 |
1.0× |
| Bronchoscopy Bronch Stents (31636) |
$7,000 |
$10,002 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,765 |
$7,992.80 |
1.0× |
| Bronchoscopy Dilate W/Stent (31631) |
$7,000 |
$10,002 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$387 |
$1,945.25 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,765 |
$4,758 |
1.0× |
| Bronchoscopy W/Excision Tumor (31640) |
$3,698 |
$10,002 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,765 |
$4,758 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,698 |
$4,758 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,698 |
$10,002 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,638 |
$3,195.37 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,638 |
$6,877.50 |
1.0× |
| Bx Cervix (57500) |
$913 |
$9,137.50 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,883 |
$5,891.66 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$3,883 |
$7,310 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,937 |
$7,915 |
1.0× |
| Cataract surgery complex (66982) |
$2,289 |
$8,155 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$217 |
$601.68 |
1.0× |
| Cerv artific diskectomy (22856) |
$17,392 |
$43,233.60 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,132 |
$15,185 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$247 |
$1,330.70 |
1.0× |
| Chemical Cautery Tissue (17250) |
$199 |
$387 |
1.0× |
| Chemodenervation of internal anal sphincter (46505) |
$1,187 |
$5,000 |
1.0× |
| Chest tube placement (32551) |
$1,561 |
$3,420.65 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,551 |
$15,546.70 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,073 |
$9,000 |
1.0× |
| Circumcision Neonate (54160) |
— |
$2,873.85 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$8,105 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,595 |
$7,656.65 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,595 |
$6,961.75 |
1.0× |
| Claviculectomy partial (23120) |
$3,245 |
$11,088.51 |
1.0× |
| Clear outer ear canal (69200) |
$131 |
$440 |
1.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,245 |
$12,844.70 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$244 |
$1,052.50 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,595 |
$2,367.20 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$244 |
$1,030.95 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$244 |
$1,123.45 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$244 |
$1,052.50 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,595 |
$6,961.75 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$244 |
$1,035.05 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$244 |
$1,030.95 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,595 |
$6,961.75 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,595 |
$6,961.75 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,595 |
$7,656.65 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$244 |
$646.45 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$234 |
$1,080.35 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,595 |
$7,656.65 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$244 |
$1,030.95 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,595 |
$7,172.60 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$244 |
$1,078.20 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$244 |
$1,052.50 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,595 |
$6,961.75 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$244 |
$1,035.05 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$244 |
$1,052.50 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,595 |
$6,776.95 |
1.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,595 |
$6,961.75 |
1.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,595 |
$7,112.55 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,595 |
$7,656.65 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$244 |
$1,052.50 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$244 |
$1,030.95 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$244 |
$1,030.95 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,595 |
$8,563.15 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$244 |
$1,030.95 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,595 |
$6,776.95 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$244 |
$1,030.95 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,595 |
$7,112.55 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,595 |
$7,112.55 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$244 |
$1,030.95 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,595 |
$6,961.75 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,595 |
$7,112.55 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,595 |
$7,112.55 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,595 |
$6,961.75 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$131 |
$559.75 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$45.45 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,187 |
$7,310 |
1.0× |
| Colonoscopy thru stoma (44388) |
$922 |
$7,310 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,187 |
$7,310 |
1.0× |
| Colonoscopy W/Resection (45390) |
$2,753 |
$9,137.50 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,187 |
$2,683.17 |
1.0× |
| Colporrhaphy (57200) |
$3,211 |
$11,806.40 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,187 |
$7,310 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,187 |
$2,436.66 |
1.0× |
| Complex drainage wound (10180) |
$2,881 |
$4,233.32 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,211 |
$7,422.67 |
1.0× |
| Conization of cervix (57520) |
$3,211 |
$7,310 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$131 |
$559.75 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$131 |
$439.70 |
1.0× |
| Control oropharyngeal hemorrhage simple (42960) |
$534 |
$11,774.30 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,638 |
$6,877.50 |
1.0× |
| Correction hammertoe (28285) |
$3,245 |
$9,633.55 |
1.0× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,245 |
$6,422.36 |
1.0× |
| Crd ceramides liq chrom plsm (0119U) |
$83 |
$100 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$131 |
$315.10 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,073 |
$7,310 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,073 |
$7,807.23 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,496 |
$7,551.43 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$3,496 |
$7,936.58 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,496 |
$9,678.68 |
1.0× |
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines |
$2,073 |
$7,310–$9,703.30 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,318 |
$10,710.10 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,496 |
$8,249.86 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,496 |
$7,500 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,496 |
$12,000 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,318 |
$9,097.43 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,073 |
$8,563.15 |
1.0× |
Cystourethroscopy (52000)
range across 2 matching MRF lines |
$691 |
$3,337.35–$7,936.58 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,073 |
$7,792.86 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,496 |
$10,770.50 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,318 |
$16,704 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,073 |
$8,155 |
1.0× |
Cystourethroscopy with biopsy (52204)
range across 2 matching MRF lines |
$2,073 |
$8,563.15–$9,274.40 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,073 |
$10,965 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$403 |
$2,333.55 |
1.0× |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
$733 |
$2,485–$7,310 |
1.0× |
| Debride nail 1-5 (11720) |
$58 |
$272.75 |
1.0× |
| Debride nail 6 or more (11721) |
$58 |
$252 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,638 |
$3,083 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$403 |
$1,127.75–$9,137.50 |
1.0× |
| Declot vascular device (36593) |
$327 |
$459 |
1.0× |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
$2,046 |
$10,234 |
1.0× |
| Delivery of placenta (59414) |
— |
$4,702.91 |
— |
| Destruct B9 Lesion 1-14 (17110) |
$199 |
$589.15 |
1.0× |
| Dilation Esophagus Guide Wire (43453) |
$1,903 |
$2,436.66 |
1.0× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$5,519 |
$12,792.50 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$700 |
$1,863.80 |
1.0× |
| Drain Spinal Cord Cyst (62268) |
$877 |
$4,203.65 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$304 |
$1,334.15 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$702 |
$3,109.85 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$702 |
$1,040.69 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,638 |
$7,497.75 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$234 |
$1,030.70 |
1.0× |
| Drainage of finger abscess simple (26010) |
$199 |
$765.60 |
1.0× |
| Drainage of gum lesion (41800) |
$131 |
$440 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,638 |
$6,877.50 |
1.0× |
Drainage of scrotal wall abscess (55100)
range across 2 matching MRF lines |
$1,638 |
$6,183.10–$7,310 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$131 |
$559.75 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$702 |
$3,109.85 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$403 |
$1,570.40 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$199 |
$807.50 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199 |
$589.15 |
1.0× |
| Dstrj Lesion Anus Extensive (46924) |
$2,753 |
$7,310 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,753 |
$4,281.57 |
1.0× |
| Dstrj lesion penis simple laser (54057) |
$2,046 |
$5,177.91 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,881 |
$11,850 |
1.0× |
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines |
$1,765 |
$4,758–$6,996.72 |
1.0× |
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines |
$1,765 |
$4,758–$8,563.15 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$700 |
$3,242.60 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,903 |
$7,310 |
1.0× |
| Egd control bleeding any (43255) |
$1,903 |
$3,350.42 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,903 |
$7,310 |
1.0× |
| Egd endo mucosal resection (43254) |
$1,903 |
$7,310 |
1.0× |
Egd Flexible Foreign Body Removal (43247)
range across 2 matching MRF lines |
$899 |
$4,131.95–$7,479 |
1.0× |
| Egd guide wire insertion (43248) |
$899 |
$2,964.37 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,903 |
$8,249.86 |
1.0× |
| Egd remove lesion snare (43251) |
$1,903 |
$7,732.50 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$1,903 |
$8,294.05 |
1.0× |
| Egd Varices Ligation (43244) |
$1,903 |
$7,310 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$1,903 |
$7,310 |
1.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$1,903 |
$7,310 |
1.0× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$1,903 |
$2,805.88 |
1.0× |
| Epidural Blood Patch (62273) |
$700 |
$2,535.95 |
1.0× |
| Episiotomy or vaginal repair (59300) |
— |
$13,116 |
— |
| Ercp duct stent placement (43274) |
$6,022 |
$9,137.50 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$3,824 |
$1,827.50 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,824 |
$4,788 |
1.0× |
| Ercp remove forgn body duct (43275) |
$1,903 |
$7,310 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,022 |
$7,310 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,824 |
$3,655 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$3,824 |
$1,827.50 |
1.0× |
| Escharotomy; initial incision (16035) |
$403 |
$2,067.20 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$899 |
$5,655 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$131 |
$502.10 |
1.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$2,881 |
$7,310 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$702 |
$4,500 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,638 |
$11,250 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,881 |
$10,035.40 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$2,881 |
$9,137.50 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$3,883 |
$15,462.30 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$702 |
$2,436.66 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,638 |
$7,310 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$702 |
$4,873.34 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,638 |
$7,310 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines |
$702 |
$3,517.95–$7,310 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,638 |
$7,310 |
1.0× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$3,496 |
$14,985.53 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,595 |
$9,137.50 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,753 |
$12,183.30 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$2,881 |
$10,094.50 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$702 |
$7,310 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,638 |
$10,703.90 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,881 |
$4,873.34 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,638 |
$7,693.72 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,638 |
$3,198.12 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,881 |
$7,310 |
1.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,245 |
$7,310 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,881 |
$10,965 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,881 |
$9,000 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,187 |
$5,021.10 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$403 |
$2,250 |
1.0× |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines |
$702 |
$1,040.69–$7,310 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,638 |
$7,310 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,881 |
$7,919.17 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$2,881 |
$7,932.44 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$2,881 |
$7,812.50 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,881 |
$16,447.50 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,881 |
$8,223.75 |
1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,638 |
$4,264.16 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,881 |
$7,310 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,638 |
$9,137.50 |
1.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,881 |
$7,310 |
1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$2,881 |
$3,045.83 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,881 |
$7,310 |
1.0× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$3,496 |
$15,000 |
1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,245 |
$9,000 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,551 |
$14,736.60 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,073 |
$8,105 |
1.0× |
| Excise Neurofibroma Extensive (64792) |
$3,388 |
$7,310 |
1.0× |
| Excise Wrist Tendon Sheath (25118) |
$1,595 |
$5,848 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$2,881 |
$7,310 |
1.0× |
| Excision lesion meniscus/capsule knee (27347) |
$3,245 |
$15,000 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$702 |
$7,310 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$403 |
$4,873.34 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$702 |
$7,310 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$702 |
$6,396.26 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$702 |
$3,198.12 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,638 |
$7,310 |
1.0× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; deep… (27066) |
$3,245 |
$10,234 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,595 |
$10,051.30 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,551 |
$9,000 |
1.0× |
| Excision of local lesion of epididymis (54830) |
$3,496 |
$7,310 |
1.0× |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
$5,318 |
$4,000 |
1.0× |
| Excision olecranon bursa (24105) |
$3,245 |
$16,447.50 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,881 |
$15,559.90 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,881 |
$13,915.10 |
1.0× |
| Excision prepatellar bursa (27340) |
$3,245 |
$24,018.70 |
1.0× |
| Excision Radial Head (24130) |
$3,245 |
$22,500 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,073 |
$9,607.45 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,638 |
$7,310 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,638 |
$9,137.50 |
1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,595 |
$10,965 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,881 |
$9,137.50 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,881 |
$8,781.58 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,881 |
$5,482.50 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,881 |
$7,310 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,638 |
$7,035 |
1.0× |
| Exploration penetrating wound spx chest (20101) |
$2,046 |
$9,000 |
1.0× |
| Fetal non-stress test (59025) |
— |
$654.90 |
— |
| Fixation contralateral testis separate procedure (54620) |
$3,496 |
$6,000 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$236 |
$1,191.78 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$702 |
$3,109.85 |
1.0× |
| Foreskin manipulation (54450) |
$247 |
$1,157.10 |
1.0× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$1,903 |
$9,902.15 |
1.0× |
| Goniotomy (65820) |
$4,100 |
$13,500 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,753 |
$10,703.90 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,753 |
$8,563.15 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,753 |
$11,315.60 |
1.0× |
| Hip arthro w/labral repair (29916) |
$7,197 |
$21,616.80 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,211 |
$7,591.15 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$4,962 |
$7,929.50 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,211 |
$9,000 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,962 |
$8,563.15 |
1.0× |
| I&d abscess peritonsillar (42700) |
$234 |
$1,564.65 |
1.0× |
| I&d abscess simple (10060) |
$199 |
$589.15 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,881 |
$2,401.87 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,245 |
$14,461.40 |
1.0× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$2,753 |
$11,720.90 |
1.0× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$2,753 |
$10,703.90 |
1.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,245 |
$7,310 |
1.0× |
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines |
$922 |
$2,464.75–$7,310 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$702 |
$2,695.55 |
1.0× |
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines |
$702 |
$1,597.89–$7,310 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,881 |
$7,310 |
1.0× |
| Icd Pocket Revision (33223) |
$2,046 |
$7,744.80 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$899 |
$7,310 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,638 |
$4,793.06 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,638 |
$6,877.50 |
1.0× |
| Incise external hemorrhoid (46083) |
$247 |
$1,097.10 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,595 |
$8,563.15 |
1.0× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$403 |
$1,141.35–$7,936.58 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,881 |
$9,280 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$403 |
$1,570.40 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$200 |
$702.95 |
1.0× |
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines |
$302 |
$1,209.95–$7,310 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,595 |
$6,579 |
1.0× |
Incision of rectal abscess (46040)
range across 2 matching MRF lines |
$1,187 |
$4,388–$8,563.15 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,638 |
$7,723.75 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$733 |
$1,597.55 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$199 |
$589.15 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$210 |
$1,017.50 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$877 |
$4,112.30 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$877 |
$4,112.30 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$877 |
$4,112.30 |
1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$700 |
$7,310 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$700 |
$3,172.95 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$304 |
$1,169.60 |
1.0× |
| Injection for identification of sentinel node (38792) |
$396 |
$1,885.60 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$304 |
$1,155 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$304 |
$6,000 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$877 |
$4,112.30 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$700 |
$3,172.95 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$700 |
$3,172.95 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,132 |
$6,067 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,132 |
$4,655.53 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,519 |
$7,995.68 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$8,208 |
$40,762.90 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$127 |
$635.50 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,561 |
$7,030.70 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,903 |
$8,707.95 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$10,367 |
$49,396.70 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$10,367 |
$49,396.70 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,132 |
$15,518.40 |
1.0× |
| Insert pulse gen dual leads (33213) |
$10,367 |
$53,096.60 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$8,208 |
$40,762.90 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$131 |
$658.75 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,551 |
$5,338 |
1.0× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$3,132 |
$11,914.80–$11,951.40 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$131 |
$658.70 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,551 |
$5,338 |
1.0× |
| Insertion of cannula (36800) |
$5,519 |
$25,698.80 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,561 |
$7,030.70 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,208 |
$14,550.20 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$8,208 |
$41,661.80 |
1.0× |
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines |
$3,132 |
$12,936.60–$14,894.90 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,561 |
$1,941 |
1.0× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$8,208 |
$19,100 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,132 |
$13,856.50 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$31,136 |
$153,282 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,208 |
$40,762.90 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$8,208 |
$41,661.80 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$10,367 |
$49,396.70 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$22,064 |
$66,873 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$534 |
$6,004.70 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,561 |
$4,137.60 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$234 |
$1,144.94 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$247 |
$1,097.10 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,245 |
$15,000 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$10,544 |
$25,689.50 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$5,996 |
$9,000 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$5,996 |
$24,374.70 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,996 |
$12,068.80 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$5,996 |
$10,944.90 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,996 |
$12,000 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$5,996 |
$20,250 |
1.0× |
| Laparoscopy, Tubal Block (58671) |
$5,996 |
$7,716.11 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,996 |
$5,887.17 |
1.0× |
| Laser vaporization of prostate (52648) |
$5,318 |
$14,985.50 |
1.0× |
| Late closure of wound (13160) |
$3,515 |
$12,844.74 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,496 |
$8,563.15 |
1.0× |
| Low Back Disk Surgery (63030) |
$7,197 |
$23,548.70 |
1.0× |
| Manipulation Ankle Under General Anesthesia (27860) |
$3,245 |
$2,675.98 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,595 |
$6,265.72 |
1.0× |
| Manipulation wrist under anesthesia (25259) |
$1,595 |
$3,376.16 |
1.0× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,595 |
$3,002.33 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,595 |
$5,848 |
1.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,211 |
$13,397.80 |
1.0× |
| Mast mod rad (19307) |
$6,586 |
$21,407.90 |
1.0× |
| Mastectomy partial (19301) |
$3,883 |
$14,640.40 |
1.0× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$2,046 |
$9,746.67 |
1.0× |
| Myelography Lumbar Injection (62305) |
$777 |
$3,575.90 |
1.0× |
| Myelography Lumbar Injection (62304) |
$777 |
$1,494 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$777 |
$3,404.10 |
1.0× |
| Nasal surgery procedure (30999) |
$234 |
$725 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$443 |
$1,161.55 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,638 |
$6,863 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,638 |
$2,396.53 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,937 |
$10,596.60 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$304 |
$1,305.85 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,551 |
$5,219.90 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,551 |
$5,219.90 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$877 |
$5,848 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$700 |
$1,000 |
1.0× |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines |
$700 |
$3,172.95–$5,848 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$877 |
$4,112.30 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$691 |
$716 |
1.0× |
| Occipital Nerve Block (64405) |
$304 |
$1,334.15 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,883 |
$8,563.15 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,197 |
$7,310 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,197 |
$16,218.87 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,197 |
$12,844.70 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,197 |
$17,126.30 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$7,197 |
$2,625 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,197 |
$29,588.10 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$7,197 |
$19,267.10 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$12,735 |
$16,813.10 |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$7,197 |
$19,267.10 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$3,245 |
$14,152 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,197 |
$24,633.50 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,245 |
$14,461.40 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,197 |
$14,411.20 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,245 |
$14,461.40 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,245 |
$19,267.10 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,197 |
$25,689.50 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,197 |
$23,126.30 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$11,451 |
$50,214.70 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,451 |
$50,214.70 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,197 |
$14,679.70 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$12,735 |
$21,225.10 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,551 |
$14,620 |
1.0× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$3,551 |
$8,563.15 |
1.0× |
| Ostectomy calcaneus (28118) |
$3,245 |
$3,746.38 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,245 |
$12,844.74 |
1.0× |
| Osteotomy radius distal third (25350) |
$7,197 |
$12,487.94 |
1.0× |
| Partial excision bone olecranon process (24147) |
$3,245 |
$10,965 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,595 |
$6,776.95 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,211 |
$9,000 |
1.0× |
| Penile Injection (54235) |
$247 |
$1,177.40 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$702 |
$978 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,561 |
$7,180.80 |
1.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$18,184 |
$16,850.30 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$3,245 |
$4,799.17 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$702 |
$3,109.85 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,638 |
$3,244.99 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,245 |
$4,799.17 |
1.0× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$9,390 |
$38,429.90 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,245 |
$8,563.15 |
1.0× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines |
$7,197 |
$12,792.50–$44,260 |
1.0× |
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines |
$7,197 |
$7,310–$44,260 |
1.0× |
| Place Cath Subclavian Art (36225) |
$3,132 |
$14,894.90 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$3,132 |
$14,894.90 |
1.0× |
| Place Cath Vertebral Art (36226) |
$5,519 |
$24,351.30 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$443 |
$439.70 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,073 |
$6,134.75 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,496 |
$16,025.60 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,496 |
$6,134.75 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,496 |
$16,025.60 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,496 |
$16,607.90 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,962 |
$18,000 |
1.0× |
| Prim art mech thrombectomy (37184) |
$18,184 |
$50,214.70 |
1.0× |
| Proctopexy Perineal Approach (45541) |
$2,753 |
$11,720.90 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$702 |
$3,050.05 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,551 |
$5,219.90 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,551 |
$5,219.90 |
1.0× |
| Prq skel fixj metar fx w/manj (28476) |
$3,245 |
$12,844.70 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,245 |
$7,310 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$622 |
$2,760.20 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$403 |
$464.50 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$403 |
$1,463.10 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$702 |
$978 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$3,496 |
$13,500 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,046 |
$7,744.80 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,187 |
$12,000 |
1.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$2,881 |
$9,137.50 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,638 |
$8,563.15 |
1.0× |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
$702 |
$3,109.85–$8,563.15 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58 |
$279.70 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58 |
$279.70 |
1.0× |
| Removal Implant Deep (20680) |
$2,881 |
$14,162.70 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$443 |
$1,577.40 |
1.0× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$403 |
$1,141.35–$7,310 |
1.0× |
| Removal of sperm cord lesion (55520) |
$3,496 |
$5,848 |
1.0× |
| Removal of tendon for graft (20924) |
$7,197 |
$8,563.16 |
1.0× |
| Removal of testis (54520) |
$3,496 |
$9,280 |
1.0× |
| Removal of tonsils (42825) |
$5,872 |
$8,563.15 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$199 |
$953.75 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$702 |
$3,109.85 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,595 |
$5,351.98 |
1.0× |
| Remove elbow lesion (24120) |
$3,245 |
$10,965 |
1.0× |
| Remove Forearm Foreign Body (25248) |
$1,595 |
$18,000 |
1.0× |
| Remove foreign body from eye (65205) |
$131 |
$559.75 |
1.0× |
| Remove Intrauterine Device (58301) |
$302 |
$1,254.50 |
1.0× |
| Remove intrvas foreign body (37197) |
$3,132 |
$5,570 |
1.0× |
| Remove Lower Leg Bone Lesion (27635) |
$3,245 |
$11,091.67 |
1.0× |
Remove lung catheter (32552)
range across 2 matching MRF lines |
$622 |
$2,760.20–$8,563.15 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$131 |
$532.40 |
1.0× |
| Remove prostate regrowth (52630) |
$5,318 |
$8,000 |
1.0× |
| Remove Pulse Generator (33241) |
$3,706 |
$6,849 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$691 |
$3,126.70 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,595 |
$7,310 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,208 |
$40,473.10 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$22,064 |
$109,982 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$31,136 |
$161,413 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$22,064 |
$109,982 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,367 |
$29,244 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$19,106 |
$93,056.30 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,638 |
$6,877 |
1.0× |
| Repair Achilles Tendon (27650) |
$7,197 |
$19,267.10 |
1.0× |
Repair Blood Vessel Direct Upper Extremity (35206)
range across 2 matching MRF lines |
$3,132 |
$8,563.15–$14,308.30 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$403 |
$2,992 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$403 |
$2,674.45 |
1.0× |
| Repair Entropion Excision Tarsal Wedge (67923) |
$2,358 |
$22,500 |
1.0× |
| Repair Entropion Extensive (67924) |
$2,358 |
$10,051.30 |
1.0× |
| Repair Finger Tendon (26433) |
$3,245 |
$9,137.50 |
1.0× |
| Repair Foot Dislocation (28615) |
$7,197 |
$21,407.90 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,551 |
$24,553.80 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,551 |
$21,407.89 |
1.0× |
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines |
$3,551 |
$16,481.70–$23,816.30 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$403 |
$1,127.75 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$403 |
$1,127.75 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$403 |
$1,485.55 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$733 |
$2,620.85 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$403 |
$1,729.20 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$403 |
$1,729.20 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$733 |
$2,904.75 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$403 |
$932.40 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$403 |
$1,570.40 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$403 |
$1,729.20 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$733 |
$2,992 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$403 |
$1,485.55 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$3,706 |
$17,584.10 |
1.0× |
| Repair of biceps tendon (24340) |
$7,197 |
$25,000 |
1.0× |
| Repair of metatarsals (28322) |
$7,197 |
$6,422.36 |
1.0× |
| Repair of nail bed (11760) |
$733 |
$2,067.20 |
1.0× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$7,197 |
$14,985.50 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$7,197 |
$12,844.70 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,197 |
$21,000 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$7,197 |
$19,734 |
1.0× |
| Repair Rotator Cuff Chronic (23412) |
$7,197 |
$16,447.50 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,197 |
$14,411.20 |
1.0× |
| Repair Toe Dislocation (28645) |
$3,245 |
$21,407.90 |
1.0× |
| Repair tongue laceration (41252) |
$234 |
$1,080.35 |
1.0× |
| Repair tongue laceration (41250) |
$443 |
$440 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,197 |
$10,703.90 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$899 |
$4,318.45 |
1.0× |
| Replace g/c tube perc (49450) |
$899 |
$4,131.95 |
1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,706 |
$11,416 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$247 |
$1,330.70 |
1.0× |
| Reposition L Ventric Lead (33226) |
$3,132 |
$14,894.90 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$3,132 |
$13,207.60 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,551 |
$23,548.70 |
1.0× |
| Revision of scrotum (55180) |
$5,318 |
$8,563.15 |
1.0× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$12,735 |
$25,219.60 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,073 |
$8,964.95 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$443 |
$1,351.10 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$131 |
$575.80 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$443 |
$1,385.90 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,187 |
$8,155 |
1.0× |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
$2,289 |
$5,848 |
1.0× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$3,706 |
$11,416 |
1.0× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$3,388 |
$10,234 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,706 |
$14,920 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$1,561 |
$3,152.55–$7,066.33 |
1.0× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
$622 |
$2,892.50–$8,563.15 |
1.0× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,289 |
$6,091.66 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$247 |
$1,199.12 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,561 |
$7,030.70 |
1.0× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$3,132 |
$14,308.30 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,561 |
$1,965 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,132 |
$13,500 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,996 |
$20,544 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,551 |
$17,074.10 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$6,421 |
$25,689.50 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$6,421 |
$24,619.10 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,551 |
$17,126.30 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,421 |
$17,356.90 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$5,996 |
$15,699.10 |
1.0× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$2,358 |
$15,849.60 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$702 |
$3,177.70 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$199 |
$917 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$534 |
$2,213.10 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,539 |
$6,940.70 |
1.0× |
| Scrotal exploration (55110) |
$3,496 |
$8,563.15 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$922 |
$3,000 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$199 |
$293.90 |
1.0× |
| Shoulder arthroscopy (29820) |
$7,197 |
$1,783.99 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,245 |
$12,009.35 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$922 |
$6,000 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$199 |
$897.75 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$199 |
$897.75 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$199 |
$979.67 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$199 |
$897.75 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$733 |
$2,705.65 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$733 |
$2,705.65 |
1.0× |
| Skin Tissue Procedure (17999) |
$199 |
$293.90 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,046 |
$10,687.50 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,519 |
$24,351.30 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,132 |
$14,618.20 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,519 |
$23,851.80 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,962 |
$7,602.40 |
1.0× |
| Small bowel endoscopy (44366) |
$1,903 |
$6,000 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$199 |
$979.67 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$403 |
$1,597.55 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$403 |
$1,765 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$700 |
$1,365.76 |
1.0× |
| Strapping ankle (29540) |
$161 |
$673.10 |
1.0× |
| Strapping elbow or wrist (29260) |
$58 |
$147.15 |
1.0× |
| Strapping hand/finger (29280) |
$58 |
$278.30 |
1.0× |
| Strapping knee (29530) |
$131 |
$559.75 |
1.0× |
| Strapping shoulder (29240) |
$131 |
$532.40 |
1.0× |
| Strapping Unna Boot (29580) |
$161 |
$639.35 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,753 |
$12,844.70 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$7,197 |
$21,407.90 |
1.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$7,197 |
$26,420.50 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,197 |
$10,125 |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,595 |
$10,965 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$403 |
$882.25 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,197 |
$10,973.97 |
1.0× |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
$3,245 |
$8,563.15 |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,595 |
$5,927.19 |
1.0× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$3,245 |
$3,800.04 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,544 |
$1,797 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$327 |
$1,397.25 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,132 |
$13,207.60 |
1.0× |
| Thyroid biopsy (60100) |
$702 |
$978 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,245 |
$10,051.30 |
1.0× |
| Tooth extraction (41899) |
$234 |
$1,163.65 |
1.0× |
| Total Knee Arthroplasty (27447) |
$12,735 |
$25,887.80 |
1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$234 |
$1,080.35 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,318 |
$11,446.60 |
1.0× |
| Transurethral resection bladder neck (52500) |
$3,496 |
$10,965 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,245 |
$10,703.90 |
1.0× |
| Treat fracture radius/ulna (25575) |
$7,197 |
$25,689.50 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,197 |
$14,450.30 |
1.0× |
| Treat Humerus Fracture (24505) |
$1,595 |
$6,961.75 |
1.0× |
| Treat knee fracture (27532) |
$3,245 |
$14,883.30 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,197 |
$14,620 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$244 |
$1,030.95 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$244 |
$1,035.05 |
1.0× |
| Treat Thumb Dislocation (26641) |
$244 |
$1,123.45 |
1.0× |
| Treat toe dislocation (28630) |
$244 |
$1,030.95 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$244 |
$1,030.95 |
1.0× |
| Trim skin lesion (11055) |
$199 |
$882.25 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$199 |
$882.25 |
1.0× |
| Trim skin lesions over 4 (11057) |
$199 |
$882.25 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$5,645 |
$5,869 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,645 |
$8,433.23 |
1.0× |
| Trurl rescj postop bladder neck contracture (52640) |
$3,496 |
$12,000 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,753 |
$18,750 |
1.0× |
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines |
$3,211 |
$6,683.43–$13,116 |
1.0× |
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines |
$3,211 |
$5,848–$12,490.50 |
1.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$3,211 |
$5,848 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,595 |
$6,452.40 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,595 |
$7,112.55 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$733 |
$2,992 |
1.0× |
| Unlisted Cardiac Surgery (33999) |
$622 |
$2,891 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$244 |
$5,504.27 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$161 |
$491 |
1.0× |
| Unlisted procedure eyelids (67999) |
$314 |
$442.15 |
1.0× |
| Unlisted procedure forearm or wrist (25999) |
$244 |
$1,035.05 |
1.0× |
| Unlisted procedure lungs and pleura (32999) |
$622 |
$780 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$244 |
$16,813.09 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$922 |
$8,563.16 |
1.0× |
| Unlisted procedure spine (22899) |
$244 |
$1,850 |
1.0× |
| Unlisted procedure stomach (43999) |
$899 |
$7,310 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$622 |
$13,207.60 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$899 |
$4,318.45 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$200 |
$8,000 |
1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$4,962 |
$18,000 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$18,184 |
$83,536.60 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,451 |
$53,076.60 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$11,451 |
$16,774.10 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,073 |
$10,207.60 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$11,451 |
$24,769.50 |
1.0× |
| Vulvectomy simple partial (56620) |
$3,211 |
$8,563.15 |
1.0× |
| Wedge excision skin nail fold (11765) |
$403 |
$1,865.35 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$403 |
$2,311 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$733 |
$2,402 |
1.0× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$5,278 |
$7,812.50 |
1.0× |