| Abd paracentesis w/imaging (49083) |
— |
$1,058 |
— |
| Application cast elbow finger short arm (29075) |
— |
$574 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$138 |
— |
| Application finger splint static (29130) |
— |
$138 |
— |
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines |
— |
$266–$689 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$252 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$234 |
— |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
— |
$429–$603 |
— |
| Arterial puncture (36600) |
— |
$516 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 26 matching MRF lines |
— |
$147–$1,311 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,090 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 31 matching MRF lines |
— |
$364–$913 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines |
— |
$1,264–$1,896 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 8 matching MRF lines |
— |
$345–$1,311 |
— |
| Arthrotomy W/Biopsy Sacroiliac Joint (27050) |
— |
$469 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,962 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$1,859 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$4,311 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,774 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$1,721 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$2,242 |
— |
| Biopsy ovary uni/bi separate procedure (58900) |
— |
$6,818 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$1,962 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$4,437 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$4,828 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$4,311 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$4,311 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$1,448 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$1,423 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$1,078 |
— |
| Bladder Scan (51798) |
— |
$45 |
— |
| Blood Transfusion Service (36430) |
— |
$1,167 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,204 |
— |
Bx breast 1st lesion mr imag (19085)
range across 6 matching MRF lines |
— |
$3,411–$3,614 |
— |
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines |
— |
$3,358–$5,037 |
— |
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines |
— |
$2,785–$4,177 |
— |
| Bx Cervix (57500) |
— |
$1,514 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$5,186 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$353 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$3,518 |
— |
Clear outer ear canal (69200)
range across 4 matching MRF lines |
— |
$168–$545 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$569 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$842 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$521 |
— |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
— |
$5,071 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$880 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$563 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$3,510 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$3,518 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$516 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$27 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$421 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$767 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$527 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$788 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$5,494 |
— |
| Colposcopy Vulva W/Biopsy (56821) |
— |
$435 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$1,560 |
— |
| Complex Cystometrogram (51726) |
— |
$390 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines |
— |
$1,962–$2,804 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
— |
$4,966 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$844 |
— |
| Declot vascular device (36593) |
— |
$741 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$257 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$485 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$188 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,857 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$516 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$548 |
— |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 10 matching MRF lines |
— |
$1,422–$4,268 |
— |
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines |
— |
$2,884–$3,095 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,695 |
— |
| Endometrial Biopsy (58100) |
— |
$386 |
— |
| Epidural Blood Patch (62273) |
— |
$2,258 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$1,301 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$364 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$2,748 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,190 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$1,368 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$250 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$1,462 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$6,634 |
— |
| Excision/curettage cyst/tumor phalanx finger (26210) |
— |
$3,518 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$605 |
— |
Fetal non-stress test (59025)
range across 3 matching MRF lines |
— |
$81–$566 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,360 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$381 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,360 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$2,253 |
— |
| I&d abscess simple (10060) |
— |
$319 |
— |
Image Cath Fluid Colxn Visc (49405)
range across 4 matching MRF lines |
— |
$2,395–$3,591 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$3,182 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$559 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$352 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$648 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$231 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$583 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$696 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$911 |
— |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 3 matching MRF lines |
— |
$1,695–$2,560 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$893 |
— |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 3 matching MRF lines |
— |
$1,756–$2,440 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$333 |
— |
| Injection for identification of sentinel node (38792) |
— |
$1,369 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$874 |
— |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines |
— |
$33–$237 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$2,652 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$818 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$325 |
— |
| Insert Drug Implant Device (11981) |
— |
$334 |
— |
| Insert pessary/other device (57160) |
— |
$441 |
— |
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines |
— |
$324–$325 |
— |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 6 matching MRF lines |
— |
$108–$325 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$3,404 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$3,404 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$2,679 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$851 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,218 |
— |
| Myelography Lumbar Injection (62304) |
— |
$2,612 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$1,789 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$1,789 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$1,716 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$3,306 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$2,242 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$3,127 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 3 matching MRF lines |
— |
$1,767–$2,651 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$1,756 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$918 |
— |
| Onc thyr mut alys 10 gen 37 RNA fsn xprsn 4 mrna (0245U) |
— |
$1,125 |
— |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
— |
$15,975 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$3,411 |
— |
Perq device breast 1st imag (19281)
range across 3 matching MRF lines |
— |
$1,743–$3,411 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$874 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$1,695 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$566 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$819 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines |
— |
$1,360–$2,040 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines |
— |
$41–$61 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines |
— |
$121–$182 |
— |
| Removal of nail bed (11750) |
— |
$518 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$242 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$2,170 |
— |
| Remove drug implant device (11982) |
— |
$355 |
— |
Remove Intrauterine Device (58301)
range across 2 matching MRF lines |
— |
$286–$296 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$546 |
— |
| Renal Biopsy Perq (50200) |
— |
$2,509 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$1,716 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$495 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$503 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$507 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$354 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$540 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$878 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$473 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$537 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$254 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$501 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$248 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$297 |
— |
| Strapping ankle (29540) |
— |
$138 |
— |
| Strapping elbow or wrist (29260) |
— |
$138 |
— |
| Strapping hand/finger (29280) |
— |
$138 |
— |
| Strapping Hip (29520) |
— |
$138 |
— |
| Strapping knee (29530) |
— |
$138 |
— |
| Strapping shoulder (29240) |
— |
$138 |
— |
| Strapping toes (29550) |
— |
$138 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$470 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$639 |
— |
| Thyroid biopsy (60100) |
— |
$1,360 |
— |
| Trim skin lesion (11055) |
— |
$359 |
— |
| Unlisted procedure breast (19499) |
— |
$3,411 |
— |
Unlisted Procedure Muscskeletal System General (20999)
range across 3 matching MRF lines |
— |
$3,672–$5,508 |
— |
| Wedge excision skin nail fold (11765) |
— |
$888 |
— |