Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
— |
$996–$1,583.50 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$2,958.25 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$7,441.50 |
— |
| Amniocentesis diagnostic (59000) |
— |
$1,145 |
— |
| Amputation foot transmetarsal (28805) |
— |
$6,704.25 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$4,334.50 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$10,673.25 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$10,291.75 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$809.25 |
— |
Anoscopy diagnostic (46600)
range across 2 matching MRF lines |
— |
$375–$378.50 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$3,379.25 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$6,917 |
— |
| Appendectomy (44950) |
— |
$6,863.25 |
— |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
— |
$713.75 |
— |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
— |
$1,229.25 |
— |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
— |
$2,495.75 |
— |
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines |
— |
$328.75–$725.25 |
— |
| Application Cast Finger (29086) |
— |
$145.75 |
— |
Application Finger Splint Dynamic (29131)
range across 5 matching MRF lines |
— |
$410–$802 |
— |
Application finger splint static (29130)
range across 8 matching MRF lines |
— |
$263–$802 |
— |
Application long arm splint shoulder hand (29105)
range across 7 matching MRF lines |
— |
$465–$802 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$1,364.50 |
— |
Application Long Leg Splint (29505)
range across 3 matching MRF lines |
— |
$594.75–$901 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$1,110.25 |
— |
Application of long leg cast (29345)
range across 2 matching MRF lines |
— |
$328.75–$1,233.75 |
— |
| Application Patellar Tendon Bearing Cast (29435) |
— |
$1,534 |
— |
Application Short Arm Splint Dynamic (29126)
range across 7 matching MRF lines |
— |
$238–$802 |
— |
Application short arm splint forearm-hand static (29125)
range across 8 matching MRF lines |
— |
$380–$802 |
— |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
— |
$512–$589 |
— |
| Apply hand/wrist cast (29085) |
— |
$680 |
— |
Apply long arm cast (29065)
range across 2 matching MRF lines |
— |
$328.75–$934.50 |
— |
Apply Short Leg Cast (29405)
range across 2 matching MRF lines |
— |
$328.75–$1,018.50 |
— |
| Apply short leg cast (29425) |
— |
$1,194.75 |
— |
| Arterial puncture (36600) |
— |
$137.50 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 4 matching MRF lines |
— |
$142.75–$541.75 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$998 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines |
— |
$345.75–$820.50 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,150 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
— |
$142.75–$471.25 |
— |
| Arthrodesis ankle open (27870) |
— |
$14,484.50 |
— |
| Arthrodesis subtalar (28725) |
— |
$10,792.50 |
— |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
— |
$9,947.50 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$5,916.50 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$11,906 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$9,979.50 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$8,898.50 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$75.50 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$26,282.75 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$20,796.25 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$4,923.50 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$9,937 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$3,045 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,500 |
— |
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines |
— |
$583.75–$1,583.50 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$1,583.50 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$446–$447.25 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$2,108.25 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$1,639 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,680.50 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$1,221.56 |
— |
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines |
— |
$1,602–$1,883.25 |
— |
Biopsy Pleura Percutaneous Needle (32400)
range across 3 matching MRF lines |
— |
$1,585.50–$2,261.75 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$874 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$2,874.75 |
— |
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines |
— |
$170.50–$1,120.75 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$2,826.75 |
— |
| Bladder Irrigation (51700) |
— |
$324 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$7,946.75 |
— |
Blood Transfusion Service (36430)
range across 10 matching MRF lines |
— |
$585–$2,330.50 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$760.75 |
— |
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines |
— |
$386.75–$8,996.50 |
— |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
— |
$4,100–$6,330 |
— |
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines |
— |
$1,227.75–$1,995 |
— |
Bx Cervix (57500)
range across 2 matching MRF lines |
— |
$685.95–$1,601.25 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$2,587.25 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$2,606.50 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$6,804 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$616.25 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$1,299.25 |
— |
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines |
— |
$400.25–$427.75 |
— |
| Chemical Pleurodesis (32560) |
— |
$1,134.75 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$2,641.25 |
— |
| Chest tube placement (32551) |
— |
$1,679 |
— |
| Circumcision 28 days or older (54161) |
— |
$357 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$1,685.25 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$1,435 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$4,305 |
— |
| Claviculectomy partial (23120) |
— |
$7,023.50 |
— |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
— |
$536.75–$924.75 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$4,625 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$621 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$1,050 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$1,250 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$621 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,950 |
— |
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808)
range across 2 matching MRF lines |
— |
$1,500–$2,560 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$1,687 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$1,435 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$2,291.75 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$750 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$4,305 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$621 |
— |
| Closed tx mandibular fracture w/manipulation (21451) |
— |
$1,650 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$1,050 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$1,612.75 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$2,394 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$1,950 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$2,845 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$790 |
— |
Closed Tx Patellar Fracture W/O Manipulation (27520)
range across 2 matching MRF lines |
— |
$850–$1,550 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,435 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,829.25 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$2,297 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$547 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$4,267.75 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$1,098 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$835 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$1,464.75 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$438 |
— |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
— |
$2,995 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$621 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$1,729.50 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$889 |
— |
| Closure lacrimal punctum (68760) |
— |
$1,302 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$662.40 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$641.70 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$1,435 |
— |
Clsd tx clavicular fracture w/o manipulation (23500)
range across 2 matching MRF lines |
— |
$730–$1,675.25 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$959 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$4,305 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$683.10 |
— |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$979.75 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$4,305 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$1,998 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
— |
$1,435 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$2,431.75 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,550 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$2,213.25 |
— |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines |
— |
$798–$922.50 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines |
— |
$730–$4,481.50 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$4,481.50 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$6,596.75 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$1,285.25 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$645 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$547 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$645 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$4,305 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$950 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$720 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$621 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$1,050 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,190 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$1,413.25 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$4,305 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$2,083.50 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$963.75 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$1,550 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$1,050 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$1,435 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$810 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,435 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$725 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$1,250 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$2,123.50 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$2,082.50 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$2,250 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$2,496.25 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$2,985 |
— |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$5 |
$57–$85 |
0.5× |
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 4 matching MRF lines |
— |
$891.75–$1,870.75 |
— |
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines |
— |
$891.75–$1,469.50 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$475 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$1,265.75 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$550 |
— |
| Colposcopy of vulva (56820) |
— |
$245 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$1,500 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$6,460.75 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$6,867.50 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$2,995 |
— |
| Complex Cystometrogram (51726) |
— |
$2,050.25 |
— |
| Complex drainage wound (10180) |
— |
$1,802.50 |
— |
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines |
— |
$2,174–$3,250 |
— |
| Conization of cervix (57520) |
— |
$2,826.75 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$371.20 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$348 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines |
— |
$2,095.75–$2,816.75 |
— |
| Corneal wedge resection for correction of surgically induced astigmatism Facility (65775) |
— |
$7,139.50 |
— |
| Correction hammertoe (28285) |
— |
$4,042.50 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$510.75 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$9,478.75 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$7,523.25 |
— |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) |
— |
$5,709.50 |
— |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
— |
$312.50 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$359.60 |
— |
| Curette/treat cornea (65435) |
— |
$793.25 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$2,430.50 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$3,259.25 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$2,833 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$17,524.25 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$5,116.75 |
— |
| Cystourethroscopy (52000) |
— |
$1,674.75 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$6,357.75 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$2,269.25 |
— |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines |
— |
$465–$468.75 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,914.25 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$3,349 |
— |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
— |
$56.25–$254.75 |
— |
Debride nail 6 or more (11721)
range across 2 matching MRF lines |
— |
$93.25–$376.25 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$1,799.75 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
— |
$1,612.75–$1,869.50 |
— |
| Declot vascular device (36593) |
— |
$1,638.75 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
— |
$5,708 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$1,866.50 |
— |
| Destruc retinal lesn,photocoag (67210) |
— |
$8,806.50 |
— |
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines |
— |
$506.25–$528.50 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$330 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$1,285 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$429.75 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$2,098.50 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$3,660 |
— |
Destruction Lesions Vulva Simple (56501)
range across 4 matching MRF lines |
— |
$936–$1,850 |
— |
Destruction premalignant lesion 1st (17000)
range across 2 matching MRF lines |
— |
$385.25–$713.75 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$1,319.25 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$352.75 |
— |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
— |
$391.50 |
— |
| Dilate Urethra Stricture (53600) |
— |
$471.25 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$4,030.50 |
— |
| Dilation Cervical Canal (57800) |
— |
$844.25 |
— |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
— |
$487.75 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$3,242.50 |
— |
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines |
— |
$473.50–$705 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,150 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$3,731.25 |
— |
| Drainage of gum lesion (41800) |
— |
$348 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$765.25 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$83.75 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$1,623 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$1,119 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines |
— |
$684.75–$913 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
— |
$355.75–$498.50 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$1,398.25 |
— |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
— |
$1,629.50 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$4,740.75 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$3,403.25 |
— |
| Egd cautery tumor polyp (43250) |
— |
$5,403.75 |
— |
| Egd control bleeding any (43255) |
— |
$5,731.50 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$4,912.50 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$4,912.50 |
— |
| Egd guide wire insertion (43248) |
— |
$4,341.25 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$5,895.25 |
— |
| Egd place gastrostomy tube (43246) |
— |
$7,207 |
— |
| Egd remove lesion snare (43251) |
— |
$5,403.75 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$798.50 |
— |
| Egd Varices Ligation (43244) |
— |
$1,524.50 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$652 |
— |
Endometrial ablation, thermal, without hysteroscopic guidance (58353)
range across 2 matching MRF lines |
— |
$5,941.25–$11,978.75 |
— |
Endometrial Biopsy (58100)
range across 2 matching MRF lines |
— |
$413.50–$1,078.25 |
— |
Epidural Blood Patch (62273)
range across 2 matching MRF lines |
— |
$2,100–$2,631.75 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$6,060.25 |
— |
| Ercp,Sphincterotomy (43262) |
— |
$9,495.25 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$4,421 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$3,929.25 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$3,602 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$3,929.25 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$5,240 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$423 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$3,500.50 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$847.75 |
— |
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines |
— |
$1,957–$2,050 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$5,303.25 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$3,957.25 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$2,617.75 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$3,297 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$4,901.75 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$979.75 |
— |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441)
range across 2 matching MRF lines |
— |
$395–$1,290 |
— |
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines |
— |
$1,719.15–$1,719.75 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$2,194 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$2,041 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$821.25 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$1,058.25 |
— |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines |
— |
$495–$1,330 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$1,273.25 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$3,771.25 |
— |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines |
— |
$713.75–$1,606.50 |
— |
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines |
— |
$2,505.50–$2,506 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$3,279 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$2,650 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$1,331.50 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$3,211.50 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$3,249 |
— |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines |
— |
$940.75–$996.25 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$1,251.50 |
— |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines |
— |
$2,267.75–$2,268 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$3,146.75 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$4,773.75 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$3,338.25 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$3,297.75 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$2,066 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$4,563 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$1,985.50 |
— |
| Excise breast duct fistula (19112) |
— |
$4,025.25 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$2,369.75 |
— |
| Excision Chalazion Multiple Same Lid (67801) |
— |
$1,199.75 |
— |
| Excision Chalazion Single (67800) |
— |
$901 |
— |
| Excision Chest Wall Tumor Including Ribs (21601) |
— |
$8,101 |
— |
| Excision Lesion Cornea Xcp Pterygium (65400) |
— |
$6,664.75 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$1,901 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$3,126.75 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$4,223.50 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$2,617.75 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$4,054.25 |
— |
| Excision of chalazion; multiple, different lids (67805) |
— |
$1,346.50 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$3,675.50 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$5,752.75 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$4,031 |
— |
| Excision of sublingual gland (42450) |
— |
$5,091 |
— |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
— |
$8,611.25 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$5,782 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$2,833.25 |
— |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
— |
$4,947.75 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$2,185 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$3,592 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$4,155 |
— |
| Excision/Transposition Pterygium W/O Graft (65420) |
— |
$5,234.75 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$9,549.75 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$1,695 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$8,526.50 |
— |
| External cephalic version (59412) |
— |
$598.50 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$917.75 |
— |
Fetal non-stress test (59025)
range across 5 matching MRF lines |
— |
$113.25–$866 |
— |
Fine needle aspiration without imaging guidance (10021)
range across 3 matching MRF lines |
— |
$783–$860.50 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,750 |
— |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
— |
$9,684.25 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$7,485.50 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$5,866 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$4,847.75 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$7,732.25 |
— |
| I&d abscess peritonsillar (42700) |
— |
$624 |
— |
I&d abscess simple (10060)
range across 2 matching MRF lines |
— |
$499.75–$583.25 |
— |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
— |
$2,426.75 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$2,339.75 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$3,729.75 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$2,475.25 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,239.75 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$2,596 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,232 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$6,145 |
— |
| Incise finger tendon sheath (26055) |
— |
$3,806.25 |
— |
| Incise/Drain Conjunctiva (68020) |
— |
$674.50 |
— |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
— |
$915.75–$1,793 |
— |
Incision & removal foreign body subq tiss compl (10121)
range across 3 matching MRF lines |
— |
$1,132.50–$1,787.25 |
— |
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines |
— |
$594.50–$713.75 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$534 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,397.25 |
— |
| Incision bone cortex foot (28005) |
— |
$3,060.25 |
— |
| Incision of lymph channels (38308) |
— |
$2,586.50 |
— |
| Incision of rectal abscess (46040) |
— |
$2,940.75 |
— |
| Induced abortion dilation and curettage (59840) |
— |
$4,005 |
— |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines |
— |
$457.50–$631 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$1,278.75 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines |
— |
$207.50–$547 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,278.75 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$2,132.75 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,110.25 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$855.50 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,194.75 |
— |
| Injection Into Brain Canal (61055) |
— |
$2,776.75 |
— |
| Injection medication/other subst tenon capsule (67515) |
— |
$663.75 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$583.75 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$816 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$816 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$547 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$708.75 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$1,025.50 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$403.75 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$3,019.75 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$2,387 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$435 |
— |
| Insert cath pleura w/ image (32557) |
— |
$2,975.70 |
— |
| Insert cervical dilator (59200) |
— |
$945 |
— |
| Insert Drug Implant Device (11981) |
— |
$936 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$2,132.25 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$2,050 |
— |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
— |
$494.75–$603.75 |
— |
| Insert tunneled cv cath (36561) |
— |
$2,574.25 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$2,980 |
— |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines |
— |
$295.75–$630 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,232 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$2,980 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
— |
$2,990–$3,080 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$1,702.75 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$3,200 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$18,500 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$8,638.75 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,268.20 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,305.50 |
— |
Intro Gastrointestinal Tube (44500)
range across 2 matching MRF lines |
— |
$725.94–$1,358 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$453.75 |
— |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$7,919.50 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$895 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$5,200 |
— |
| Lap paraesophag hern repair (43281) |
— |
$5,200 |
— |
| Laparoscopy aspiration (49322) |
— |
$6,304 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$6,041.25 |
— |
| Laparoscopy W/Lysis Of Adhesions (58660) |
— |
$7,916.75 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$5,059.50 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$2,227.25 |
— |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
— |
$5,000 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$12,205.50 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$13,117.25 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$2,577 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$1,646.50 |
— |
| Laparoscopy, Tubal Block (58671) |
— |
$7,380.50 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$4,899.50 |
— |
| Laser vaporization of prostate (52648) |
— |
$29,900 |
— |
| Late closure of wound (13160) |
— |
$2,821.25 |
— |
| Lateral retinacular release open (27425) |
— |
$3,742.50 |
— |
| Ligate/strip long leg vein (37722) |
— |
$2,448.50 |
— |
| Ligation Major Artery Abdomen (37617) |
— |
$9,886.50 |
— |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
— |
$2,218.50 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$1,964.25 |
— |
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines |
— |
$1,632.25–$11,659.50 |
— |
| Lmtd lmphadec staging spx pel¶-aortic (38562) |
— |
$5,089.75 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$1,427 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$1,643.75 |
— |
| Mastectomy partial (19301) |
— |
$2,906.25 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$7,389 |
— |
| Mastoidectomy (69501) |
— |
$3,594 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$2,810.50 |
— |
| N block inj intercost sng (64420) |
— |
$1,251.50 |
— |
| N Block Inj Paracervical (64435) |
— |
$1,025.50 |
— |
| N Block Inj Pudendal (64430) |
— |
$1,110.25 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$2,217.50 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$650 |
— |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
— |
$1,448.50–$5,426 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$3,309.50 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$583.75 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$2,387 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$455 |
— |
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines |
— |
$698.50–$966.25 |
— |
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines |
— |
$1,294.50–$1,954 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$2,532.25 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$2,240.50 |
— |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
— |
$555–$1,194.75 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$8,729.75 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$7,795.75 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$6,051.25 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$11,068 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$7,361.75 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$4,718.50 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$6,919.25 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$3,995 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$7,022.25 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$9,792.75 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$7,692.50 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$2,394 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$7,547.25 |
— |
| Orchiopexy Ingun/Scrot Appr (54640) |
— |
$8,607.25 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$5,992 |
— |
| Osteotomy calcaneus w/wo internal fixation (28300) |
— |
$7,386.75 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$6,507.75 |
— |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
— |
$4,885.75 |
— |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
— |
$11,852.50 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$3,844.75 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$4,555.25 |
— |
Percut Drain/Inject Renal Cyst (50390)
range across 3 matching MRF lines |
— |
$1,583.50–$4,069.50 |
— |
| Peritoneal Lavage (49084) |
— |
$3,850 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$832.50 |
— |
| Perq device breast 1st imag (19281) |
— |
$2,302.50 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$6,148.50 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$6,297 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$1,134 |
— |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines |
— |
$1,836.25–$4,521.75 |
— |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
— |
$2,438 |
— |
| Probing nasolacrimal duct (68810) |
— |
$1,222.25 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$691.75 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$1,629.50 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$1,143.50 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$7,029.50 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$5,228.75 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$357 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines |
— |
$487.50–$1,583.50 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines |
— |
$702.75–$1,260 |
— |
| Reconstruction Tongue Fold (41520) |
— |
$3,492 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$747.75 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$5,184.25 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$4,500 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$5,725 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
— |
$110–$924.75 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines |
— |
$78.25–$373.50 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$1,134 |
— |
| Removal Implant Deep (20680) |
— |
$3,129.50 |
— |
Removal Implant Superficial Separate Procedure (20670)
range across 2 matching MRF lines |
— |
$1,324.25–$2,034 |
— |
Removal implantable contraceptive capsules (11976)
range across 2 matching MRF lines |
— |
$936–$1,515.25 |
— |
| Removal of bone lesion (23140) |
— |
$3,831.25 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$1,134 |
— |
| Removal of heel spur (28119) |
— |
$6,155.50 |
— |
Removal of nail bed (11750)
range across 3 matching MRF lines |
— |
$441–$2,052.75 |
— |
| Removal of sesamoid bone (28315) |
— |
$3,765.25 |
— |
| Removal of tonsils (42825) |
— |
$4,097.50 |
— |
| Removal of tonsils (42826) |
— |
$4,112.50 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$391.50 |
— |
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines |
— |
$550–$583.25 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$353.75 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$341.25 |
— |
| Remove drug implant device (11982) |
— |
$650 |
— |
| Remove ear lesion (69552) |
— |
$12,328.75 |
— |
Remove foreign body from eye (65205)
range across 2 matching MRF lines |
— |
$417.25–$468.75 |
— |
Remove Intrauterine Device (58301)
range across 5 matching MRF lines |
— |
$93.75–$891.75 |
— |
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines |
— |
$721–$743.75 |
— |
| Remove Skin Nerve Lesion (64774) |
— |
$3,231 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$4,814.75 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$827 |
— |
Renal Biopsy Perq (50200)
range across 2 matching MRF lines |
— |
$2,548.50–$3,635.50 |
— |
| Repair bladder neck (51845) |
— |
$11,676.75 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,743 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,801.10 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,119 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,801.10 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,917.30 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,975.40 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,743 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,801.10 |
— |
| Repair detached retina (67105) |
— |
$15,276.25 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$5,702.75 |
— |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051)
range across 2 matching MRF lines |
— |
$1,240–$1,314 |
— |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines |
— |
$1,481–$1,571 |
— |
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines |
— |
$1,885.25–$1,998.75 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,230.90 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,342.80 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,743 |
— |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines |
— |
$1,104.75–$1,170.75 |
— |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042)
range across 2 matching MRF lines |
— |
$1,374.75–$1,456.75 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,743 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$5,178 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,230.90 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines |
— |
$991.75–$1,079.50 |
— |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines |
— |
$1,325.75–$1,458 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,743 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$2,391.25 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$5,178 |
— |
| Repair of nail bed (11760) |
— |
$1,743 |
— |
| Repair of shoulder (23420) |
— |
$16,147.75 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$8,134 |
— |
| Repair shoulder capsule (23466) |
— |
$15,653 |
— |
| Repair/Graft Wrist Bone (25440) |
— |
$11,034 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$3,744 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$3,539.75 |
— |
| Revise eyelashes (67825) |
— |
$901 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,171.80 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$629.50 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$498.50 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$348 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$7,749 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$1,447 |
— |
| Rmvl Vitreous Ant Appr Subtot Rmvl Mech Vitrect (67010) |
— |
$18,870.50 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$7,821.75 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$615.40 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$6,008.50 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$348 |
— |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
— |
$12,417.75 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$463.75 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$475.25 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$573.25 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$4,155 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$1,918 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$3,595.75 |
— |
| Simple Cystometrogram (51725) |
— |
$1,058.25 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,119 |
— |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
— |
$991.50–$1,051.75 |
— |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines |
— |
$1,293.75–$1,370.25 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$1,156.30 |
— |
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014)
range across 2 matching MRF lines |
— |
$1,535.75–$1,627.25 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$543 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
— |
$660.50–$762.75 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$543 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$359.60 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$2,759.75 |
— |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
— |
$933.50–$960 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,119 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$561.10 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$2,948.50 |
— |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
— |
$906–$1,058.25 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$5,051 |
— |
| Strapping ankle (29540) |
— |
$213.75 |
— |
| Strapping elbow or wrist (29260) |
— |
$240 |
— |
| Strapping hand/finger (29280) |
— |
$240 |
— |
| Strapping thorax (29200) |
— |
$438 |
— |
Strapping toes (29550)
range across 2 matching MRF lines |
— |
$425.25–$451.25 |
— |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
— |
$143.50–$505.75 |
— |
| Subconjunctival injection (68200) |
— |
$600.75 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$357 |
— |
| Thyroid biopsy (60100) |
— |
$2,431 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$13,816.25 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$547 |
— |
| Total Knee Arthroplasty (27447) |
— |
$23,139.50 |
— |
| Trabeculoplasty by laser surgery (65855) |
— |
$9,150.50 |
— |
| Transur electr resection of prostate (52601) |
— |
$13,418.50 |
— |
| Treat humerus fracture (24500) |
— |
$959 |
— |
| Treat Humerus Fracture (24505) |
— |
$1,435 |
— |
| Treat humerus fracture (23616) |
— |
$19,925.25 |
— |
| Treat humerus fracture (23600) |
— |
$796.25 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$621 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$850 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$402 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$4,305 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$621 |
— |
| Treatment extensive retinopathy photocoagulation (67228) |
— |
$9,427.25 |
— |
| Trim skin lesion (11055) |
— |
$334.75 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$417.25 |
— |
| Trim skin lesions over 4 (11057) |
— |
$471 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$4,469 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$5,189.50 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$4,305 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$2,181.75 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$8,441 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$438 |
— |
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines |
— |
$902.75–$1,275.25 |
— |
Vaginal delivery only (59409)
range across 2 matching MRF lines |
— |
$1,082–$7,659 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$6,790.25 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$13,850.75 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$4,511.50 |
— |
| Wedge excision skin nail fold (11765) |
— |
$465 |
— |
| Wedging of cast (29740) |
— |
$145.75 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$1,445 |
— |