| Abd paracentesis w/imaging (49083) |
— |
$1,646 |
— |
Amniocentesis diagnostic (59000) range across 2 matching MRF lines |
— |
$699.51–$1,856 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$117 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$977 |
— |
| Application short leg splint calf foot (29515) |
— |
$147 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$611 |
— |
| Apply Short Leg Cast (29405) |
— |
$413 |
— |
| Apply short leg cast (29425) |
— |
$425.46 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$379 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 5 matching MRF lines |
— |
$1,500–$3,197 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
— |
$88–$846 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
— |
$354.53–$1,693 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$323 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,929 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$2,169 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$354.53 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$587 |
— |
Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
— |
$2,342–$3,500 |
— |
| Biopsy bone open superficial (20240) |
— |
$5,936 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,577 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$4,122 |
— |
| Biopsy nail unit (11755) |
— |
$703.34 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$4,122 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$91.59 |
— |
| Bladder Scan (51798) |
— |
$103 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$2,704 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,704 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$5,457 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,814 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$661 |
— |
| Chemical Cautery Tissue (17250) |
— |
$390 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$96.90 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$82.80 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$84.30 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$75.90 |
— |
| Complex Cystometrogram (51726) |
— |
$159.90 |
— |
| Complex drainage wound (10180) |
— |
$7,354 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 4 matching MRF lines |
— |
$132.83–$4,638 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$142.50 |
— |
| Cystometrogram W/Up (51727) |
— |
$189.30 |
— |
| Cystometrogram W/Vp (51728) |
— |
$191.10 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$206.70 |
— |
| Cystourethroscopy (52000) |
— |
$7,610 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$3,824 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$728 |
— |
| Debride nail 1-5 (11720) |
— |
$144 |
— |
| Debride nail 6 or more (11721) |
— |
$145.23 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$2,025 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$727 |
— |
Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
— |
$323–$596 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$78.30 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$765 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$38.40 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$731 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$3,266 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$2,471 |
— |
| Drainage of scrotum (54700) |
— |
$7,000 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$371 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$274 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$374 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$82.50 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$3,939 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$4,656 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,837 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$9.90 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$6,638.10 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$930 |
— |
| Epidural Blood Patch (62273) |
— |
$904 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$8,578 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$126 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$1,004.54 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$116.70 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$77.40 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$96.90 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$108.60 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$129.90 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$165.30 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$70.80 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$90.60 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$101.40 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$111 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$135.60 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$194.10 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$182.10 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$261.90 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$86.10 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$3,707 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$126 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$4,005 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$3,475 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$164.40 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$237.90 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$111 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$132.30 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$143.70 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$182.70 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,415 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$1,459 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$891 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$481 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$1,459 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,639 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,930 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$244.80 |
— |
| I&d abscess simple (10060) |
— |
$356 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$5,593 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$1,544.66 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,104 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$8,586.15 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$1,894 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$435 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$4,181.73 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,090.97 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$983 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$87.30 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$659 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$2,409 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,592 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$344 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$870 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$870 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$1,897 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$931 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$870 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$745 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$870 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,770 |
— |
| Injection for identification of sentinel node (38792) |
— |
$388 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$35.40 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$37.20 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$45 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$2,529 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,857 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$2,425 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$596 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$2,469 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$2,469 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$10,673 |
— |
| Ins Vag Brachytx Device (57156) |
— |
$1,824 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$8,383 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$221 |
— |
| Insertion of cannula (36800) |
— |
$5,405.70 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,098 |
— |
| Lyse chest fibrin init day (32561) |
— |
$1,854.78 |
— |
| Myelography Lumbar Injection (62305) |
— |
$3,676 |
— |
| Myelography Lumbar Injection (62304) |
— |
$3,748 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$2,930 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$3,664 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$717 |
— |
| N block inj intercost sng (64420) |
— |
$1,770 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$290 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$2,577 |
— |
Needle insertion w/o injection 1 or 2 muscles (20560) range across 3 matching MRF lines |
— |
$45–$675 |
— |
Needle insertion w/o injection 3 or more muscles (20561) range across 3 matching MRF lines |
— |
$65–$800 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$751 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$3,492 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$2,469 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$2,469 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$2,592 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$919 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$919 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$90 |
— |
| Occipital Nerve Block (64405) |
— |
$770 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$2,013 |
— |
| Peritoneal Lavage (49084) |
— |
$2,372 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,113.10 |
— |
| Perq device breast 1st imag (19281) |
— |
$2,388.15 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$6,837 |
— |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
— |
$12,917 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$559 |
— |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 5 matching MRF lines |
— |
$3,271–$6,146 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$1,686 |
— |
Punch biopsy skin single lesion (11104) range across 3 matching MRF lines |
— |
$72.30–$1,029 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$359 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,177 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$1,894 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$4,264 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$177 |
— |
| Removal of nail bed (11750) |
— |
$822 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$701 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$428 |
— |
| Removal sweat gland lesion (11450) |
— |
$219.90 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$37.50 |
— |
| Remove Intrauterine Device (58301) |
— |
$825 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$193 |
— |
| Renal Biopsy Perq (50200) |
— |
$2,342 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$939 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,461 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$193.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$939 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$939 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$939 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$939 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$939 |
— |
| Repair of nail bed (11760) |
— |
$1,443 |
— |
| Replace g/c tube perc (49450) |
— |
$1,568 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$4,295 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$2,067.45 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,886 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$731 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$57.30 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$82.50 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$428 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$428 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$173 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$513 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$4,497 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,592 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$3,795 |
— |
| Skin Tissue Procedure (17999) |
— |
$596.10 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$2,165 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$513 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,067 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$6,807 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$6,529 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$7,174 |
— |
| Strapping ankle (29540) |
— |
$161.49 |
— |
Strapping Unna Boot (29580) range across 2 matching MRF lines |
— |
$382–$602 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$22.20 |
— |
| Thyroid biopsy (60100) |
— |
$650 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$1,625.30 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$547 |
— |
| Trim skin lesion (11055) |
— |
$229 |
— |
| Trim skin lesions over 4 (11057) |
— |
$393.75 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$68.15 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$12,560 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$15,298 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,218 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$98.10 |
— |
Unlisted procedure nervous system (64999) range across 5 matching MRF lines |
— |
$803–$1,000 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$260.10 |
— |
| Wedge excision skin nail fold (11765) |
— |
$750 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,233 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$4,636 |
— |