| Abd paracentesis w/imaging (49083) |
— |
$203 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,747 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$698 |
— |
| Anoplasty, plastic operation for stricture; adult Facility (46700) |
— |
$1,029 |
— |
| Anoscopy diagnostic (46600) |
— |
$77 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$123 |
— |
| Application finger splint static (29130) |
— |
$259 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$324 |
— |
Application Long Leg Splint (29505)
range across 3 matching MRF lines |
— |
$206–$324 |
— |
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines |
— |
$102–$259 |
— |
| Application short leg splint calf foot (29515) |
— |
$324 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$50 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$606 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$606 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$78.75 |
— |
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines |
— |
$207–$215 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,289 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$402 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$298 |
— |
| Bladder Scan (51798) |
— |
$266 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$591 |
— |
Blood Transfusion Service (36430)
range across 6 matching MRF lines |
— |
$427–$908 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$399 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$410 |
— |
| Change of Windpipe Airway (31502) |
— |
$700 |
— |
| Chest tube placement (32551) |
— |
$3,316 |
— |
| Clear outer ear canal (69200) |
— |
$259 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$602 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,206 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$462 |
— |
Closed tx patellar dislocation w/o anesthesia (27560)
range across 2 matching MRF lines |
— |
$492–$509 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$462 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$462 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$462 |
— |
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 4 matching MRF lines |
— |
$51–$492 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,197 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$462 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$3,197 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$462 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$462 |
— |
Cltx dstl fibular fx lat malls w/manj (27788)
range across 4 matching MRF lines |
— |
$462–$595 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$302 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$462 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$462 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$898 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$462 |
— |
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines |
— |
$656–$3,106 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$462 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$462 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$161 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$415 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$503 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$470 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$276 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$259 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$391 |
— |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 4 matching MRF lines |
— |
$106.05–$1,294 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$246 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$240 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$85 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$113 |
— |
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 4 matching MRF lines |
— |
$302–$1,447 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$3,342 |
— |
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines |
— |
$348–$1,447 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines |
— |
$364–$831 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$402 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$402 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$316 |
— |
| Egd cautery tumor polyp (43250) |
— |
$330 |
— |
| Egd control bleeding any (43255) |
— |
$390 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$363 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$343 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$461 |
— |
Egd place gastrostomy tube (43246)
range across 3 matching MRF lines |
— |
$389–$695 |
— |
| Egd remove lesion snare (43251) |
— |
$404 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$268 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$259 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$291 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$1,163 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$449 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$188 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$269 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$749 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$274 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$434 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$386 |
— |
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 5 matching MRF lines |
— |
$175–$2,413 |
— |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines |
— |
$302–$831 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$177 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$914 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$830 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$886 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$1,163 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$476 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$678 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$596 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$436 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$359 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$272 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$590 |
— |
| Excision olecranon bursa (24105) |
— |
$644 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$677 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$691 |
— |
Exploration penetrating wound spx extremity (20103)
range across 4 matching MRF lines |
— |
$693–$3,342 |
— |
Exploration Penetrating Wound Spx Neck (20100)
range across 4 matching MRF lines |
— |
$934–$1,270 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$355 |
— |
| I&d abscess peritonsillar (42700) |
— |
$253 |
— |
| I&d abscess simple (10060) |
— |
$402 |
— |
| I&D Intramural Im/Absc Transanal Anes (46045) |
— |
$685 |
— |
I&d perianal abscess superficial (46050)
range across 4 matching MRF lines |
— |
$196–$1,852 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$2,228 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,447 |
— |
| Incise external hemorrhoid (46083) |
— |
$478 |
— |
Incision & drainage abscess complicated/multiple (10061)
range across 4 matching MRF lines |
— |
$279–$831 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$603 |
— |
Incision & removal foreign body subq tiss compl (10121)
range across 4 matching MRF lines |
— |
$289–$3,342 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$831 |
— |
Incision and drainage of vulva or perineal abscess (56405)
range across 4 matching MRF lines |
— |
$272–$650 |
— |
| Incision of rectal abscess (46040) |
— |
$2,413 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$402 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$606 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines |
— |
$95–$1,435 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$323 |
— |
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines |
— |
$234–$6,637 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$259 |
— |
Insert tunneled cv cath (36561)
range across 3 matching MRF lines |
— |
$536–$541 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$259 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
— |
$178–$1,100 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$547 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$588 |
— |
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines |
— |
$250–$1,750 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$274 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$681 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$1,002 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$1,141 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$1,358 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$2,118 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$423 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$7,210 |
— |
| Orchiopexy Ingun/Scrot Appr (54640) |
— |
$755 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$841 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$103 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$831 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$2,681 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$1,447 |
— |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520)
range across 4 matching MRF lines |
— |
$227–$3,342 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$129 |
— |
Removal of foreign body from pharynx (42809)
range across 2 matching MRF lines |
— |
$274–$841 |
— |
Removal of nail bed (11750)
range across 4 matching MRF lines |
— |
$176–$831 |
— |
| Removal of testis (54520) |
— |
$609 |
— |
| Removal sweat gland lesion (11450) |
— |
$391 |
— |
| Remove foreign body from eye (65205) |
— |
$259 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$259 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$520 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,294 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,294 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 4 matching MRF lines |
— |
$624–$831 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,294 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,294 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,294 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$1,086 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$937 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$831 |
— |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 3 matching MRF lines |
— |
$319–$831 |
— |
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053)
range across 2 matching MRF lines |
— |
$541–$831 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$831 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$831 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$831 |
— |
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 4 matching MRF lines |
— |
$416–$1,294 |
— |
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 3 matching MRF lines |
— |
$488–$831 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 4 matching MRF lines |
— |
$296–$831 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$831 |
— |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 3 matching MRF lines |
— |
$514–$831 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$488 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$999 |
— |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 4 matching MRF lines |
— |
$107–$841 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$476 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$841 |
— |
Rplc Gtube No Revj Trc (43762)
range across 4 matching MRF lines |
— |
$224–$478 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$402 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$483 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$248 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$181 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$138 |
— |
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016)
range across 4 matching MRF lines |
— |
$337–$831 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$402 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$402 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$246 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$402 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$402 |
— |
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007)
range across 4 matching MRF lines |
— |
$402–$564 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$402 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$402 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$831 |
— |
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 4 matching MRF lines |
— |
$306–$831 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$252 |
— |
| Strapping ankle (29540) |
— |
$324 |
— |
| Strapping hand/finger (29280) |
— |
$200 |
— |
| Strapping knee (29530) |
— |
$259 |
— |
| Strapping toes (29550) |
— |
$235 |
— |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
— |
$50–$324 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$1,260 |
— |
Tracheostomy Emergency Procedure Transtracheal (31603)
range across 4 matching MRF lines |
— |
$359–$3,093 |
— |
| Treat humerus fracture (23600) |
— |
$462 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$462 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$462 |
— |
Treat Vaginal Bleeding (57180)
range across 4 matching MRF lines |
— |
$332–$397 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$462 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$624 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$462 |
— |
| Vaginal delivery only (59409) |
— |
$6,299 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$428 |
— |
| Wedge excision skin nail fold (11765) |
— |
$831 |
— |