| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$257 |
— |
| Application finger splint static (29130) |
— |
$134 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$134 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$134 |
— |
| Application short leg splint calf foot (29515) |
— |
$134 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$203 |
— |
| Arterial puncture (36600) |
— |
$43 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
— |
$122–$594 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$144 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$120 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$148 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$248–$383 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$1,495 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$764 |
— |
Bladder Irrigation (51700)
range across 3 matching MRF lines |
— |
$163–$262 |
— |
| Bladder Scan (51798) |
— |
$101 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$659 |
— |
| Blood Transfusion Service (36430) |
— |
$331 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$332 |
— |
| Chemical Cautery Tissue (17250) |
— |
$271 |
— |
| Chest tube placement (32551) |
— |
$525 |
— |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
— |
$181–$268 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,372 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$881 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,809 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$640 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$951 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$615 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$1,046 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$626 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$804 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$615 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$1,121 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$166 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$166 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,913 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$504 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$640 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$1,263 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,039 |
— |
Cltx metacarpal fx w/o manipulation each bone (26600)
range across 2 matching MRF lines |
— |
$634–$1,083 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$166 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$726 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$1,133 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$1,105 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$1,244 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$105 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$29 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$488 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$372 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$670 |
— |
| Cystourethroscopy (52000) |
— |
$567 |
— |
| Debride nail 6 or more (11721) |
— |
$62 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$233 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$128 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$194 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$417 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$105 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$624 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$535 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$612 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$193 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$258 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$274 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$268 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$355 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$483 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$807 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$341 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$344 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$404 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$913 |
— |
| Fetal non-stress test (59025) |
— |
$170 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$213 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$640 |
— |
I&d abscess simple (10060)
range across 3 matching MRF lines |
— |
$237–$633 |
— |
| I&d perianal abscess superficial (46050) |
— |
$356 |
— |
| Incise external hemorrhoid (46083) |
— |
$394 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$633 |
— |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
— |
$301–$640 |
— |
Incision and drainage of vulva or perineal abscess (56405)
range across 2 matching MRF lines |
— |
$292–$311 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$624 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$129 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$115 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$133 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$609 |
— |
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines |
— |
$152–$285 |
— |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines |
— |
$101–$299 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$506 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$1,501 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$2,493 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$141 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$47 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$127 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$586 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$178 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$822 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$1,012 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$279 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$458 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$29 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines |
— |
$104–$167 |
— |
| Removal of nail bed (11750) |
— |
$325 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$173 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$660 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$482 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$848 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$544 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$640 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$640 |
— |
| Repair tongue laceration (41252) |
— |
$1,144 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$2,571 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$1,989 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$1,975 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$1,660 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,121 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$226 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$236 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$266 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$249 |
— |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
— |
$184–$244 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$192 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$248 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 2 matching MRF lines |
— |
$149–$206 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$244 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$3,029 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,029 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$195 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$224 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$991 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$574 |
— |
| Tracheostoma revj smpl w/o flap rotation (31613) |
— |
$1,464 |
— |
| Treat humerus fracture (24500) |
— |
$1,302 |
— |
| Treat humerus fracture (23600) |
— |
$615 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$750 |
— |