| Abd paracentesis w/imaging (49083) |
— |
$1,628.20 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,584.10 |
— |
| Ablate Pulm Tumor Perq Crybl (32994) |
— |
$29,866.25 |
— |
| Ablation 1/> liver tumor perq cryoablation (47383) |
— |
$15,703 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$13,984.90 |
— |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
— |
$13,984.90 |
— |
| Amniocentesis diagnostic (59000) |
— |
$1,711.95 |
— |
| Amniocentesis therapeutic (59001) |
— |
$671.20 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$865.75 |
— |
| Anoscopy diagnostic (46600) |
— |
$370.25 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$2,649 |
— |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
— |
$4,658.30 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$209.80 |
— |
| Application cast elbow finger short arm (29075) |
— |
$778.40 |
— |
| Application Cast Finger (29086) |
— |
$456.70 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$177.30 |
— |
| Application finger splint static (29130) |
— |
$370.25 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$456.70 |
— |
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 2 matching MRF lines |
— |
$778.40–$1,362.20 |
— |
| Application Long Leg Splint (29505) |
— |
$456.70 |
— |
| Application of long leg cast (29345) |
— |
$778.40 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$474.40 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$370.25 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$370.25 |
— |
| Application short leg splint calf foot (29515) |
— |
$456.70 |
— |
| Apply hand/wrist cast (29085) |
— |
$456.70 |
— |
| Apply long arm cast (29065) |
— |
$778.40 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
— |
$211.75–$337.55 |
— |
| Apply Short Leg Cast (29405) |
— |
$778.40 |
— |
| Apply short leg cast (29425) |
— |
$778.40 |
— |
| Arterial puncture (36600) |
— |
$370.65 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
— |
$337.45–$506.15 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$692.70 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
— |
$349.80–$530.30 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$432.95–$566.75 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
— |
$337.45–$506.15 |
— |
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines |
— |
$1,172.70–$1,857 |
— |
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines |
— |
$1,137.20–$1,705.80 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$858.45 |
— |
| Aspiration & Injection Treatment Bone Cyst (20615) |
— |
$1,696.70 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$2,789.60 |
— |
| Aspiration Bladder Needle (51100) |
— |
$474.50 |
— |
| Aspiration bladder trocar/intracatheter (51101) |
— |
$3,030.40 |
— |
| Av fistula revision (36833) |
— |
$11,756.55 |
— |
| Av Fistula Revision Open (36832) |
— |
$11,756.55 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$580.85 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$11,235 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$7,659.45 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$2,196.35 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,452.05 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$3,236.30 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,317.85 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$2,348.35 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$2,239.50 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$2,320 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$2,176.20 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$2,127 |
— |
| Biopsy Vaginal Mucosa Extensive (57105) |
— |
$6,521 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$1,477.20 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$1,477.20 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$2,030.45 |
— |
| Bladder Irrigation (51700) |
— |
$301.55 |
— |
| Bladder Scan (51798) |
— |
$78.85 |
— |
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines |
— |
$844.35–$1,477.60 |
— |
| Blood Transfusion Service (36430) |
— |
$1,092.90 |
— |
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines |
— |
$5,977.15–$8,965.75 |
— |
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines |
— |
$5,479.05–$8,218.60 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$5,764.55 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$7,197.15 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$4,919.35 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$6,254.05 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$4,270.45 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,716.05 |
— |
| Bx Cervix (57500) |
— |
$1,575.65 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$370.85 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$4,193.60 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,387.95 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$336.65 |
— |
| Change of Windpipe Airway (31502) |
— |
$412.30 |
— |
Change ureter stent percut (50382)
range across 2 matching MRF lines |
— |
$4,952.65–$7,428.95 |
— |
| Chemical Cautery Tissue (17250) |
— |
$235.60 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$1,380.95 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,294.65 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$532.65 |
— |
Chemodenerv musc neck dyston (64616)
range across 4 matching MRF lines |
— |
$525.32–$919.30 |
— |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
— |
$532.65 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$2,876.85 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$2,876.85 |
— |
| Chemodenervation of extraocular muscle (67345) |
— |
$606.80 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$532.65 |
— |
| Chest tube placement (32551) |
— |
$3,698.25 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$4,341.40 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$7,659.45 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$540 |
— |
Cl Tx Scapular Fx; W Manip (23575)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$4,658.30 |
— |
| Clear outer ear canal (69200) |
— |
$370.25 |
— |
Closed rx talotarsal disloc,anesth (28575)
range across 2 matching MRF lines |
— |
$9,381.60–$16,417.85 |
— |
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$4,658.30 |
— |
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$683.50 |
— |
Closed Treatment Sesamoid Fracture (28530)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$683.50 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$683.50 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$683.50 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$4,658.30 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$683.50 |
— |
Closed Tx Calcaneal Fracture W/Manipulation (28405)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$683.50 |
— |
Closed tx carpal scaphoid fracture w/manj (25624)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$683.50 |
— |
| Closed Tx Craniofacial Separation (21431) |
— |
$9,331.70 |
— |
Closed Tx Femoral Fracture Prox Head W/Manj (27268)
range across 2 matching MRF lines |
— |
$9,381.60–$16,417.85 |
— |
Closed tx femoral fracture prox head w/o manj (27267)
range across 2 matching MRF lines |
— |
$9,381.60–$16,417.85 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$683.50 |
— |
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Closed tx knee dislocation w/o anesthesia (27550)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Closed Tx Lunate Dislocation W/Manipulation (25690)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Closed tx mandibular fracture w/manipulation (21451) |
— |
$4,420.20 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$1,594.70 |
— |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
— |
$16,973.50 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$683.50 |
— |
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$4,420.20 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$9,331.70 |
— |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
— |
$4,420.20 |
— |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
— |
$9,331.70 |
— |
Closed tx patellar dislocation w/anesthesia (27562)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$683.50 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$683.50 |
— |
Closed tx radial head/neck fx w/manipulation (24655)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$683.50 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$4,658.30 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$683.50 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$4,658.30 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$683.50 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$683.50 |
— |
| Closed tx septal&nose fx (21337) |
— |
$9,331.70 |
— |
Closed Tx Sternoclavicular Dislc W/Manipulation (23525)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Closed tx talotarsal joint dislc w/o anes (28570)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Closed Tx Talus Fracture W/Manipulation (28435)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Closed tx talus fracture w/o manipulation (28430)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
— |
$683.50 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$683.50 |
— |
Closed tx temporomandibular dislc comp 1st/sbsq (21485)
range across 2 matching MRF lines |
— |
$4,420.20–$7,735.30 |
— |
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$683.50 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$683.50 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$707.95 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$1,594.70 |
— |
Clsd tx acromioclavicular dislc w/manipulation (23545)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$683.50 |
— |
Clsd Tx Clavicular Fracture W/Manipulation (23505)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$683.50 |
— |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
— |
$1,594.70 |
— |
| Clsd Tx Pelvic Ring Fx (27198) |
— |
$683.50 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$683.50 |
— |
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Clsd tx sternoclavicular dislc w/o manipulation (23520)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$4,658.30 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$683.50 |
— |
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$683.50 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$683.50 |
— |
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$683.50 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$683.50 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$683.50 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$683.50 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$683.50 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$4,658.30 |
— |
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$683.50 |
— |
Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232)
range across 2 matching MRF lines |
— |
$1,367–$2,392.30 |
— |
Cltx Fem Fx Prox End Nck W/O Manj (27230)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$683.50 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$683.50 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$683.50 |
— |
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Cltx hip dislocation traumatic req anesthesia (27252)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$683.50 |
— |
Cltx humeral condylar fx medial/lateral w/manj (24577)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$683.50 |
— |
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$778.40 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$683.50 |
— |
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240)
range across 2 matching MRF lines |
— |
$9,316.60–$16,304.10 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$683.50 |
— |
Cltx Med Ankle Fx W/Mnpj (27762)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$683.50 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$683.50 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$683.50 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$4,658.30 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$683.50 |
— |
Cltx post hip arthrp dislc req anes (27266)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Cltx post hip arthrp dislc w/o anes (27265)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Cltx prox fibula/shft fx w/manj (27781)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$683.50 |
— |
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Cltx prox tibfib jt dislc req anes (27831)
range across 2 matching MRF lines |
— |
$9,381.60–$16,417.85 |
— |
Cltx prox tibfib jt dislc w/o anes (27830)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$683.50 |
— |
Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$683.50 |
— |
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545)
range across 2 matching MRF lines |
— |
$9,381.60–$16,417.85 |
— |
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$683.50 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$683.50 |
— |
Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680)
range across 2 matching MRF lines |
— |
$683.50–$1,196.15 |
— |
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$683.50 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$9,381.60 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$124.75 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$18.10 |
— |
| Complex drainage wound (10180) |
— |
$4,115.10 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$370.25 |
— |
| Conversion ext bil drg cath (47535) |
— |
$7,659.45 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$4,991.70 |
— |
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines |
— |
$3,317.15–$4,352.80 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$3,019.95 |
— |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
— |
$12,000.75 |
— |
| Csf shunt reprogram (62252) |
— |
$633.40 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$370.25 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$707.95 |
— |
| Curettage postpartum (59160) |
— |
$9,061.40 |
— |
| Cystometrogram W/Vp (51728) |
— |
$2,002.40 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,820.35 |
— |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
— |
$20,092.80 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$767.55 |
— |
| Debride nail 1-5 (11720) |
— |
$127.70 |
— |
| Debride nail 6 or more (11721) |
— |
$131.95 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$4,704 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$526.55 |
— |
| Declot vascular device (36593) |
— |
$440.40 |
— |
| Delivery of placenta (59414) |
— |
$5,653.60 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$2,700.25 |
— |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
— |
$2,702.40–$4,729.15 |
— |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
— |
$3,531.10–$5,443.95 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$2,627.35 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$2,057.10 |
— |
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines |
— |
$692.70–$1,039.10 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$1,594.70 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$2,039.25 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$4,699.15 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,039.25 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$4,699.15 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$707.95 |
— |
| Drainage of finger abscess simple (26010) |
— |
$580.25 |
— |
| Drainage of gum lesion (41800) |
— |
$370.25 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,493.60 |
— |
| Drainage of nose lesion (30000) |
— |
$707.95 |
— |
| Drainage of rectal abscess (45005) |
— |
$3,420.30 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$4,699.15 |
— |
| Drainage of scrotum (54700) |
— |
$5,903.50 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$247.10 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
— |
$1,594.70 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$2,039.25 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$435.95 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$415 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$249.15 |
— |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
— |
$5,602 |
— |
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines |
— |
$2,750.40–$4,125.60 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,327.15 |
— |
| Egd place gastrostomy tube (43246) |
— |
$8,322.55 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$865.75 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$865.75 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$1,425.10 |
— |
| Endometrial Biopsy (58100) |
— |
$396.95 |
— |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
— |
$15,354.35 |
— |
| Epidural Blood Patch (62273) |
— |
$1,984.70 |
— |
| Escharotomy; initial incision (16035) |
— |
$1,155.70 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$282.55 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$4,699.15 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$3,420.30 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,156.95 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$808.25 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$7,659.45 |
— |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
— |
$2,261.70–$2,902.30 |
— |
| Exchange Transfusion Blood Newborn (36450) |
— |
$976.50 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$4,991.70 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$4,699.15 |
— |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
— |
$1,668.85 |
— |
| External cephalic version (59412) |
— |
$4,202.70 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$658.80 |
— |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
— |
$1,049.10 |
— |
| Fetal non-stress test (59025) |
— |
$658.80 |
— |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
— |
$1,049.10 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$2,608.95 |
— |
| Finger tendon transfer (26497) |
— |
$90,871.40 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$1,027.15 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$2,608.95 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$996.40 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,172.85 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$1,896 |
— |
| I&d abscess peritonsillar (42700) |
— |
$707.95 |
— |
| I&d abscess simple (10060) |
— |
$238.60 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$8,235.75 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$7,837.85 |
— |
I&D Forearm&/Wrist Deep Abscess/Hematoma (25028)
range across 2 matching MRF lines |
— |
$9,381.60–$16,417.85 |
— |
I&d forearm/wrist bursa (25031)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| I&D Mouth/Tong Intra,Masticator (41009) |
— |
$1,594.70 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$19,985.65 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,649 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$2,039.25 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$2,039.25 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
— |
$8,235.75 |
— |
I&d upper arm/elbow deep abscess/hematoma (23930)
range across 2 matching MRF lines |
— |
$8,235.75–$14,412.60 |
— |
| Icd Pocket Revision (33223) |
— |
$2,667.40 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$6,375.25 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$5,677.25 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$5,622.65 |
— |
| Incise external hemorrhoid (46083) |
— |
$716.35 |
— |
Incise/Drain Conjunctiva (68020)
range across 2 matching MRF lines |
— |
$2,934.45–$5,135.25 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,988.90 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$8,235.75 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$4,699.15 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,155.70 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$577.55 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$929.80 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$2,326.25 |
— |
| Incision of rectal abscess (46040) |
— |
$3,420.30 |
— |
| Incision&drainage bursa foot (28001) |
— |
$4,699.15 |
— |
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines |
— |
$4,699.15–$8,223.50 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,822.20 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$580.25 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$2,641.80 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$538.60 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,641.80 |
— |
| Inject Intravitreal Pharmcologic (67028) |
— |
$1,009.05 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$859.35 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$2,641.80 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$2,004.35 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$698.70 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$2,004.35 |
— |
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines |
— |
$473.70–$539.40 |
— |
| Injection Into Brain Canal (61055) |
— |
$882.90 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$532.65 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$413.95 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$532.65 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$3,114.50 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$532.65 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$2,641.80 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,639.55 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 5 matching MRF lines |
— |
$1,294.65–$2,265.60 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$858.45 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$366.10 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$262.30 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$10,608.05 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$7,654.20 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$17,634.85 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$11,756.55 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$14,695.70 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$40,146.85 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$13,033.75 |
— |
| Insert and remove bone pin (20650) |
— |
$9,381.60 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$151.90 |
— |
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines |
— |
$1,943.05–$2,405.05 |
— |
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines |
— |
$2,304.60–$5,520.85 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$4,991.70 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$14,887.20 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$14,691.30 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$16,189.50 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$4,193.60 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$17,586.75 |
— |
| Insert pulse gen dual leads (33213) |
— |
$17,586.75 |
— |
| Insert pulse gen mult leads (33221) |
— |
$31,324.10 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$13,033.75 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$158.55 |
— |
| Insert tun ip cath perc (49418) |
— |
$8,029.10 |
— |
| Insert tunneled cv cath (36561) |
— |
$4,627.20 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$8,668.90 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$370.25 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$5,184.40 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,430.75 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$12,340.60 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$13,033.75 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$4,193.60 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,430.75 |
— |
| Insj Subq Impltbl Dfb Elctrd (33271) |
— |
$14,077.30 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$5,066.70 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$3,448.30 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$49,705.60 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$13,033.75 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$13,033.75 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$15,083.05 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$41,100.75 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$57,031.40 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$41,100.75 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$4,205.85 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,155.70 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,155.70 |
— |
| Intraoral i&d tongue/floor lingual (41000) |
— |
$1,594.70 |
— |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
— |
$707.95 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
— |
$4,420.20 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$9,331.70 |
— |
| Intro cath dialysis circuit (36901) |
— |
$2,853.75 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$23,408.85 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$11,745.20 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,744.60 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$466.60 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$284.90 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$1,183.50 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$557.50 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$468.35 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$4,919.35 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$4,556.95 |
— |
| Laryngoscopy W/WO Tracheoscopy Dx Newborn (31520) |
— |
$777.30 |
— |
| Ligation of a-v fistula (37607) |
— |
$6,364.80 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$16,242.55 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$9,061.40 |
— |
| Medial Canthopexy Separate Procedure (21280) |
— |
$683.50 |
— |
| Myelography Lumbar Injection (62305) |
— |
$1,970.10 |
— |
| Myelography Lumbar Injection (62304) |
— |
$3,152.15 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$3,152.15 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$3,152.15 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$1,677.50 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$1,547.35 |
— |
| N block inj intercost sng (64420) |
— |
$1,929.10 |
— |
N Block Inj Paracervical (64435)
range across 2 matching MRF lines |
— |
$2,004.35–$3,507.65 |
— |
| N Block Inj Pudendal (64430) |
— |
$2,641.80 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$695.85 |
— |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
— |
$1,806.45–$3,506.60 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$2,055.30 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$66 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$66 |
— |
| Neuroplasty and/or transposition; cranial nerve (specify) Facility (64716) |
— |
$6,567.55 |
— |
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines |
— |
$1,155.20–$1,939.20 |
— |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
— |
$6,378.60 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$970.35 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$7,021.15 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$7,659.45 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
— |
$2,641.80–$4,623.20 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$2,641.80 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,995.85 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines |
— |
$1,232.80–$2,140.55 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines |
— |
$1,323.70–$2,233.65 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$3,212.70 |
— |
Occipital Nerve Block (64405)
range across 4 matching MRF lines |
— |
$465.95–$605.25 |
— |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
— |
$25,365 |
— |
| Open bowel to skin (44300) |
— |
$2,139.40 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$24,578.60 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$29,216.85 |
— |
| Perc Cryo Ablate Renal Tum (50593) |
— |
$20,988.60 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$1,675.20 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$11,434.70 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$15,703 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$12,283.50 |
— |
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines |
— |
$1,411.10–$2,134.65 |
— |
Percut Mech Thrombectomy, Venous, Repeat (37188)
range across 2 matching MRF lines |
— |
$7,072–$10,608 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$4,646.70 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$19,647.80 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$4,291 |
— |
| Perq dev breast 1st mr guide (19287) |
— |
$1,356.10 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$1,356.10 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,356.10 |
— |
| Perq device breast 1st imag (19281) |
— |
$2,606.55 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$4,291 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$5,771.25 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$2,449.50 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$19,477.90 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$13,010.05 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$8,614.65 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$8,076.25 |
— |
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines |
— |
$6,365.45–$9,547.20 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$6,365.45 |
— |
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines |
— |
$6,613.05–$9,919.60 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$4,272.35 |
— |
| Place Rt Device/Marker Pros (55876) |
— |
$1,415.55 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$1,378.30 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$16,606.05 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$10,298.75 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$10,766.85 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$11,235 |
— |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines |
— |
$3,613.35–$3,739.15 |
— |
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines |
— |
$5,125.30–$6,150.35 |
— |
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines |
— |
$6,711.60–$10,067.40 |
— |
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines |
— |
$6,152.30–$9,228.45 |
— |
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines |
— |
$6,431.95–$9,647.95 |
— |
Prim art mech thrombectomy (37184)
range across 2 matching MRF lines |
— |
$24,554.30–$33,917.70 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$8,138.10 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$2,608.95 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$7,659.45 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$7,659.45 |
— |
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines |
— |
$1,923.40–$2,766.90 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$407.25 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$457.40 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,344.50 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$973.15 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$1,929.10 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$7,072 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$2,667.40 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$7,445.90 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$1,744.60 |
— |
Removal Embedded Foreign Body Eyelid (67938)
range across 2 matching MRF lines |
— |
$844.35–$1,477.60 |
— |
Removal Foreign Body Foot Complicated (28193)
range across 2 matching MRF lines |
— |
$4,699.15–$8,223.50 |
— |
| Removal foreign body foot deep (28192) |
— |
$4,699.15 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$1,319.90 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$4,699.15 |
— |
Removal Foreign Body Pelvis/Hip Deep (27087)
range across 2 matching MRF lines |
— |
$9,381.60–$16,417.85 |
— |
| Removal Foreign Body Scrotum (55120) |
— |
$5,903.50 |
— |
Removal foreign body upper arm/elbow deep (24201)
range across 2 matching MRF lines |
— |
$8,235.75–$14,412.60 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
— |
$134.70–$140.05 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
— |
$134.70–$143.65 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$9,061.40 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$948.70 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$1,154.85 |
— |
| Removal of nail bed (11750) |
— |
$600.60 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$10,733.05 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$4,781.85 |
— |
| Removal ppm generator only (33233) |
— |
$13,033.75 |
— |
Removal shoulder foreign body deep subfascial/im (23333)
range across 2 matching MRF lines |
— |
$8,235.75–$14,412.60 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$580.85 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$1,007.15 |
— |
| Remove cerclage suture (59871) |
— |
$9,061.40 |
— |
| Remove drug implant device (11982) |
— |
$551.55 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$4,781.85 |
— |
Remove Forearm Foreign Body (25248)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Remove foreign body from eye (65205) |
— |
$370.25 |
— |
| Remove Intrauterine Device (58301) |
— |
$929.80 |
— |
| Remove intrvas foreign body (37197) |
— |
$7,072 |
— |
| Remove lung catheter (32552) |
— |
$761.80 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$370.25 |
— |
| Remove Pulse Generator (33241) |
— |
$4,781.85 |
— |
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines |
— |
$1,654.55–$2,481.85 |
— |
Remove Shoulder Foreign Body (23330)
range across 2 matching MRF lines |
— |
$4,699.15–$8,223.50 |
— |
Remove ureter stent percut (50384)
range across 2 matching MRF lines |
— |
$4,952.65–$7,428.95 |
— |
| Remove&replace pm gen singl (33227) |
— |
$13,033.75 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$38,470.75 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$39,577.80 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$37,422.20 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$14,691.30 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$26,167 |
— |
Renal Biopsy Perq (50200)
range across 2 matching MRF lines |
— |
$3,723.90–$4,468.65 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,820.35 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,820.35 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,155.70 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,820.35 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,820.35 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,067.80 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,820.35 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,820.35 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$4,658.30 |
— |
Repair Eyelid Wound (67935)
range across 2 matching MRF lines |
— |
$6,772.95–$11,852.65 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,155.70 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,155.70 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,155.70 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,155.70 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,155.70 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,820.35 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,155.70 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,155.70 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,820.35 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$5,285.55 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,155.70 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,155.70 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,155.70 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,820.35 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,155.70 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$5,285.55 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$1,594.70 |
— |
| Repair Laceration Palate >2 Cm/Complex (42182) |
— |
$16,973.50 |
— |
| Repair of anal fistula with fibrin glue (46706) |
— |
$5,721.55 |
— |
| Repair of nail bed (11760) |
— |
$1,820.35 |
— |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
range across 2 matching MRF lines |
— |
$20,735.30–$36,286.75 |
— |
| Repair tongue laceration (41252) |
— |
$707.95 |
— |
| Repair tongue laceration (41250) |
— |
$1,154.85 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$2,616.90 |
— |
| Replace G-J Tube Perc (49452) |
— |
$2,616.90 |
— |
| Replace g/c tube perc (49450) |
— |
$2,616.90 |
— |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
— |
$5,605.55 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$570.30 |
— |
| Reposition L Ventric Lead (33226) |
— |
$4,410.10 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$4,409.60 |
— |
| Reposition Venous Catheter (36597) |
— |
$2,049.55 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$12,261.55 |
— |
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines |
— |
$3,280.10–$4,920.25 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$4,420.20 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$1,594.70 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$2,627.35 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,154.85 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$370.25 |
— |
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210)
range across 2 matching MRF lines |
— |
$1,154.85–$2,020.95 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$3,773.35 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$8,235.75 |
— |
Rmvl foreign body pelvis/hip subcutaneous tiss (27086)
range across 2 matching MRF lines |
— |
$8,235.75–$14,412.60 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$4,699.15 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$4,781.85 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$4,646.70 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,178.20 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$654.15 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$697.45 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$5,998.65 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,853.75 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$2,049.55 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$5,998.65 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$5,998.65 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$2,039.25 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$2,164.15 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$580.25 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,820.35 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$707.95 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,594.70 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,594.70 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$4,420.20 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$9,381.60 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$9,381.60 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$2,073.95 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$5,473.95 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$3,420.30 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,155.70 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$580.25 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$580.25 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$1,155.70 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$580.25 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$580.25 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$580.25 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$580.25 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$580.25 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$2,625.05 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$2,625.05 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$3,472.55 |
— |
Skin Tissue Procedure (17999)
range across 3 matching MRF lines |
— |
$278.75–$659.20 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$2,608.30 |
— |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines |
— |
$10,579.85–$11,594.75 |
— |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines |
— |
$6,365.45–$9,547.20 |
— |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines |
— |
$12,231.25–$12,631.20 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$580.25 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,155.70 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,155.70 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,057.10 |
— |
| Strapping ankle (29540) |
— |
$456.70 |
— |
| Strapping elbow or wrist (29260) |
— |
$177.30 |
— |
| Strapping hand/finger (29280) |
— |
$177.30 |
— |
Strapping Hip (29520)
range across 2 matching MRF lines |
— |
$370.25–$647.95 |
— |
| Strapping knee (29530) |
— |
$370.25 |
— |
| Strapping shoulder (29240) |
— |
$370.25 |
— |
| Strapping toes (29550) |
— |
$177.30 |
— |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
— |
$227.95–$368.90 |
— |
Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930)
range across 2 matching MRF lines |
— |
$6,772.95–$11,852.65 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$228.65 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$27,616.25 |
— |
| Tenodesis Wrist Extensors Fingers (25301) |
— |
$8,152.05 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$2,057.10 |
— |
| Therapeutic plasma exchange (36514) |
— |
$2,523.50 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$23,914 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$4,193.60 |
— |
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines |
— |
$10,562.75–$15,838.10 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$1,279.80 |
— |
Thrombolytic Venous Therapy (37212)
range across 2 matching MRF lines |
— |
$8,115.80–$12,173.70 |
— |
| Thyroid biopsy (60100) |
— |
$2,134.60 |
— |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
— |
$1,049.10 |
— |
| Transcatheter biopsy (37200) |
— |
$11,756.55 |
— |
| Treat Dental Ridge Fracture (21440) |
— |
$9,331.70 |
— |
Treat Hip Socket Fracture (27222)
range across 2 matching MRF lines |
— |
$1,367–$2,392.30 |
— |
| Treat humerus fracture (24500) |
— |
$683.50 |
— |
| Treat Humerus Fracture (24505) |
— |
$4,658.30 |
— |
| Treat humerus fracture (23600) |
— |
$683.50 |
— |
Treat knee fracture (27532)
range across 2 matching MRF lines |
— |
$9,381.60–$16,417.85 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$683.50 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$683.50 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$683.50 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$683.50 |
— |
| Treat Thumb Dislocation (26641) |
— |
$683.50 |
— |
Treat Thumb Fracture (26645)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Treat toe dislocation (28630) |
— |
$683.50 |
— |
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 2 matching MRF lines |
— |
$4,658.30–$8,152.05 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$683.50 |
— |
| Trim skin lesion (11055) |
— |
$580.85 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$580.85 |
— |
| Trim skin lesions over 4 (11057) |
— |
$256.95 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$67.75 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$14,930.25 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$14,455.60 |
— |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
— |
$3,711.20 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$597.10 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,822.40 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$1,155.70 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$4,658.30 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$683.50 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$35,837.80 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$2,770.85 |
— |
| Unlisted procedure liver (47399) |
— |
$3,585.70 |
— |
Unlisted procedure lungs and pleura (32999)
range across 3 matching MRF lines |
— |
$1,238.95–$7,203.13 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$535.20 |
— |
Unlisted procedure nervous system (64999)
range across 5 matching MRF lines |
— |
$1,127.30–$1,352.75 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$2,860.95 |
— |
| Unlisted procedure shoulder (23929) |
— |
$705.60 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$582.45 |
— |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
— |
$2,352.05–$6,564.60 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$5,784.91 |
— |
| Upgrade of pacemaker system (33214) |
— |
$17,586.75 |
— |
| Vaginal delivery only (59409) |
— |
$9,828.80 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$24,782.35 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$29,216.85 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$23,831.70 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$24,782.35 |
— |
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines |
— |
$16,369.50–$24,554.30 |
— |
| Wedge excision skin nail fold (11765) |
— |
$1,155.70 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$3,509.95 |
— |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) |
— |
$5,963.65 |
— |