| Abd paracentesis w/imaging (49083) |
— |
$2,345 |
— |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 5 matching MRF lines |
— |
$196–$2,813 |
— |
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines |
— |
$201–$405 |
— |
| Application cast elbow finger short arm (29075) |
— |
$796.74 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$258 |
— |
| Application finger splint static (29130) |
— |
$387 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$473 |
— |
| Application Long Leg Splint (29505) |
— |
$473 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$387 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$387 |
— |
| Application short leg splint calf foot (29515) |
— |
$473 |
— |
| Apply hand/wrist cast (29085) |
— |
$473 |
— |
| Apply long arm cast (29065) |
— |
$796.74 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
— |
$227–$405 |
— |
| Apply shoulder cast,plastr velpeau (29058) |
— |
$797 |
— |
Arterial puncture (36600)
range across 2 matching MRF lines |
— |
$44–$387 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$885.57 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$885.57 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$885.57 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,854.78 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,854.78 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$596 |
— |
| Bladder Irrigation (51700) |
— |
$730 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$897 |
— |
| Blood Transfusion Service (36430) |
— |
$1,311.54 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$4,860 |
— |
| Cataract surgery complex (66982) |
— |
$4,392 |
— |
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines |
— |
$100–$510 |
— |
| Chest tube placement (32551) |
— |
$4,660 |
— |
| Circumcision 28 days or older (54161) |
— |
$6,145.53 |
— |
| Circumcision Neonate (54160) |
— |
$776 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$260 |
— |
| Clear outer ear canal (69200) |
— |
$387 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$260 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$720 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$720 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$720 |
— |
Closed tx ankle dislocation w/o anesthesia (27840)
range across 2 matching MRF lines |
— |
$260–$720 |
— |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 2 matching MRF lines |
— |
$260–$4,801 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$720 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$720 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$720 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$260 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$380 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$1,528 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$720 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$720 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$4,801 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$720 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$260 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$720 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$719.64 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$720 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$719.64 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$720 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$720 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$719.64 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$260 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$719.64 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$4,801 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$719.64 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$260 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$720 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$720 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$720 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$720 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$4,801 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$720 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$720 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$720 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$720 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$719.64 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$720 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$719.64 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$4,801 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$719.64 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$720 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$638 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$260 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$720 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$720 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$720 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$720 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$720 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$720 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$720 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$260 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$719.64 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$720 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$4,801 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$720 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$260 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$387 |
— |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
— |
$7–$27.27 |
— |
| Colpocentesis (57020) |
— |
$14,809 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$603 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$9,539 |
— |
| Complex drainage wound (10180) |
— |
$8,586 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$387 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$387 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$387 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$697 |
— |
| Cystourethroscopy (52000) |
— |
$2,002 |
— |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines |
— |
$383–$1,911 |
— |
| Debride nail 1-5 (11720) |
— |
$178 |
— |
| Debride nail 6 or more (11721) |
— |
$178 |
— |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines |
— |
$4,155–$4,270 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 7 matching MRF lines |
— |
$97–$1,025 |
— |
| Declot vascular device (36593) |
— |
$457 |
— |
| Delivery of placenta (59414) |
— |
$9,539 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$2,735 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$2,078 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$4,860.72 |
— |
| Drainage of finger abscess simple (26010) |
— |
$596 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$4,860.72 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$2,496 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$1,199 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$596 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 3 matching MRF lines |
— |
$154–$596 |
— |
Epidural Blood Patch (62273)
range across 2 matching MRF lines |
— |
$1,404.57–$2,077.56 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$387 |
— |
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423)
range across 2 matching MRF lines |
— |
$394–$4,270 |
— |
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641)
range across 2 matching MRF lines |
— |
$372–$1,831 |
— |
Exc Face-Mm B9+Marg 1.1-2 Cm (11442)
range across 2 matching MRF lines |
— |
$361–$1,831 |
— |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines |
— |
$365–$4,155 |
— |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines |
— |
$401–$1,025 |
— |
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424)
range across 2 matching MRF lines |
— |
$452–$4,270 |
— |
Exc Skin Benig >4 Cm Remaindr Body (11426)
range across 2 matching MRF lines |
— |
$673–$7,510 |
— |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines |
— |
$663–$4,155 |
— |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines |
— |
$282–$1,025 |
— |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 4 matching MRF lines |
— |
$287–$1,831 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$4,155 |
— |
Excision H/P/P/U Complex Repair (11471)
range across 2 matching MRF lines |
— |
$937–$7,339 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$654 |
— |
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601)
range across 2 matching MRF lines |
— |
$355–$1,831 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$1,804 |
— |
Excision/Transposition Pterygium W/Grafg (65426)
range across 2 matching MRF lines |
— |
$2,765–$6,998.88 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$604 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$8,227 |
— |
I&d abscess simple (10060)
range across 3 matching MRF lines |
— |
$510–$596.10 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$2,110 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
— |
$8,586 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$8,586 |
— |
| Incise external hemorrhoid (46083) |
— |
$729 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,199 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$4,860.72 |
— |
Incision & removal foreign body subq tiss simple (10120)
range across 3 matching MRF lines |
— |
$279–$1,051 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$604 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$912.57 |
— |
| Incision of eardrum (69421) |
— |
$1,666 |
— |
Incisional biopsy skin single lesion (11106)
range across 2 matching MRF lines |
— |
$130–$1,911 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$596 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$885.57 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$885.57 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$885.57 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$885.57 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$9,443 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$387 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$387 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$4,660 |
— |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines |
— |
$840–$9,442.50 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,199 |
— |
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines |
— |
$332–$697 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$646 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$583 |
— |
Manipulation hip joint general anesthesia (27275)
range across 4 matching MRF lines |
— |
$4,801–$4,801.23 |
— |
| Manipulation spine requiring anesthesia (22505) |
— |
$4,801.23 |
— |
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 3 matching MRF lines |
— |
$4,801.23–$4,801.25 |
— |
| N block inj intercost sng (64420) |
— |
$2,078 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,670.87 |
— |
| Open Tx Trans-Scaphoperilunar Fracture Dislc (25685) |
— |
$21,432 |
— |
| Penile Injection (54235) |
— |
$624 |
— |
| Perq device breast 1st imag (19281) |
— |
$4,860 |
— |
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines |
— |
$133–$1,197 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$1,199 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$1,051 |
— |
| Removal foreign body foot deep (28192) |
— |
$2,270 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$2,110.77 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$9,729 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$154 |
— |
Removal sweat gland lesion (11450)
range across 2 matching MRF lines |
— |
$696–$7,339 |
— |
| Remove foreign body from eye (65205) |
— |
$387 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$387 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$4,860 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,836.39 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,836.39 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,199 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,836 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,836 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,836 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,836.39 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,836.39 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,199 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,199 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,199 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,199 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,199 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,199 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,836 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,199 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,199 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,199 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,836 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,199 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$5,488 |
— |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
— |
$2,765 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,197 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$387 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$8,586 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$1,300 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,854.78 |
— |
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines |
— |
$95–$646 |
— |
Rplc gtube revj gstrst trc (43763)
range across 3 matching MRF lines |
— |
$227–$646 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$9,442.50 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$596 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,199 |
— |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 2 matching MRF lines |
— |
$596.10–$1,054 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$596.10 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$1,199 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$596.10 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$596 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$596.10 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$596.10 |
— |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 2 matching MRF lines |
— |
$596–$596.10 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,199 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,199 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,078 |
— |
| Strapping ankle (29540) |
— |
$473 |
— |
| Strapping elbow or wrist (29260) |
— |
$178 |
— |
| Strapping hand/finger (29280) |
— |
$178 |
— |
| Strapping knee (29530) |
— |
$387 |
— |
| Strapping shoulder (29240) |
— |
$387 |
— |
| Strapping toes (29550) |
— |
$178 |
— |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
— |
$165–$473 |
— |
| Treat humerus fracture (24500) |
— |
$719.64 |
— |
| Treat humerus fracture (23600) |
— |
$719.64 |
— |
| Treat metacarpal fracture (26607) |
— |
$260 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$720 |
— |
| Treat Thumb Dislocation (26641) |
— |
$720 |
— |
| Treat toe dislocation (28630) |
— |
$719.64 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$523 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$719.64 |
— |
Trim skin lesion (11055)
range across 4 matching MRF lines |
— |
$39–$596 |
— |
Trim skin lesions 2 to 4 (11056)
range across 2 matching MRF lines |
— |
$57–$519 |
— |
| Trim skin lesions over 4 (11057) |
— |
$73 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$934 |
— |
| Vaginal delivery only (59409) |
— |
$9,539 |
— |