Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
— |
$129.75–$785.50 |
— |
| Application finger splint static (29130) |
— |
$66.30 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$137.65 |
— |
| Application Long Leg Splint (29505) |
— |
$192.88 |
— |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
— |
$89.93–$139.75 |
— |
| Application short leg splint calf foot (29515) |
— |
$114.48 |
— |
| Arterial puncture (36600) |
— |
$47.05 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$92.45 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
— |
$111.25–$120 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$150.38–$577.50 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$98 |
— |
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines |
— |
$239–$957.90 |
— |
Aspiration and/or injection thyroid cyst (60300)
range across 2 matching MRF lines |
— |
$96–$166 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$122.45 |
— |
Biopsy of liver, needle; percutaneous (47000)
range across 2 matching MRF lines |
— |
$190–$986 |
— |
| Blood Transfusion Service (36430) |
— |
$454 |
— |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
— |
$393.35–$1,386.93 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$74.28 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$128.10 |
— |
| Change of Windpipe Airway (31502) |
— |
$84.73 |
— |
| Chest tube placement (32551) |
— |
$416 |
— |
| Clear outer ear canal (69200) |
— |
$287.48 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$888.60 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$817.48 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$180 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$897.68 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$496 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$208.51 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,216.85 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$122 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$210 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$221 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$25 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$20 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$226.45 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$572.33 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$649.70 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$112.70 |
— |
| Delivery of placenta (59414) |
— |
$198.18 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$168 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$280.63 |
— |
| Drainage of finger abscess simple (26010) |
— |
$311.85 |
— |
| Drainage of gum lesion (41800) |
— |
$364 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$25 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$309.55 |
— |
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines |
— |
$278.17–$766 |
— |
| Endometrial Biopsy (58100) |
— |
$197 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$84 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$421 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$221 |
— |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
— |
$237–$1,425 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$583 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$1,401.52 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$170 |
— |
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines |
— |
$72.23–$122.82 |
— |
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines |
— |
$238–$1,250 |
— |
I&d abscess simple (10060)
range across 2 matching MRF lines |
— |
$258.03–$295 |
— |
| I&d perianal abscess superficial (46050) |
— |
$431.53 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$238.96 |
— |
| Incise external hemorrhoid (46083) |
— |
$399.50 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$431 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$432.10 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$213.70 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$245 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$207.46 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$159.53 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$69 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$140.90 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$110.38 |
— |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
— |
$83–$1,383 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$115.58 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$530 |
— |
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines |
— |
$368–$2,147 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$644.03 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$814.55 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$263.83 |
— |
| Laryngoscopy and dilation (31528) |
— |
$351.20 |
— |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
— |
$393.12 |
— |
Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596)
range across 2 matching MRF lines |
— |
$47–$403 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$440 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$1,426.48 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$380 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$119.30 |
— |
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines |
— |
$226–$1,595 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$884.53 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$144.33 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines |
— |
$223.38–$932.68 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines |
— |
$84–$288 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$541.98 |
— |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
— |
$312.05–$318 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$450.78 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
— |
$66–$77.15 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$404.43 |
— |
| Removal of nail bed (11750) |
— |
$407.53 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$181 |
— |
| Remove drug implant device (11982) |
— |
$245 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$994.10 |
— |
| Remove foreign body from eye (65205) |
— |
$101.88 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$234 |
— |
| Renal Biopsy Perq (50200) |
— |
$300 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$756.15 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,015.63 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$655.75 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,119.18 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$581.50 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$776.33 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$554.75 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$676.68 |
— |
| Repair Eyelid Wound (67935) |
— |
$1,370.68 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$430.43 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$514.20 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$511.20 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$537.45 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$902.43 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$720.18 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$404.93 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$471.18 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$500.63 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$727.25 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$555.30 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031)
range across 2 matching MRF lines |
— |
$381.08–$421 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$460.73 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$635.30 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$480.75 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$736.28 |
— |
| Repair of nail bed (11760) |
— |
$307.53 |
— |
| Repair tongue laceration (41252) |
— |
$730 |
— |
| Repair tongue laceration (41250) |
— |
$560.58 |
— |
Replace G-J Tube Perc (49452)
range across 2 matching MRF lines |
— |
$326.53–$1,099 |
— |
Replace g/c tube perc (49450)
range across 2 matching MRF lines |
— |
$326.53–$1,099 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$98.53 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$136.43 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$124.40 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$462.73 |
— |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
— |
$331.10–$1,086.60 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$115.93 |
— |
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 2 matching MRF lines |
— |
$157.33–$1,888.90 |
— |
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 2 matching MRF lines |
— |
$471.78–$2,122.17 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$870.85 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$248.90 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$674.88 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$181 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,135.60 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$974.10 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$1,337.83 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$334.57 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$142.50 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$160.35 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$384.25 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$201.38 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$445.23 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$116 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$569.80 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$186.80 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$151.63 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$249.52 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$488.68 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$187.08 |
— |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
— |
$839.18 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$440.50 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$540 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$653.60 |
— |
| Treat toe dislocation (28630) |
— |
$160 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$1,137.23 |
— |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
— |
$357.55 |
— |
| Vaginal delivery only (59409) |
— |
$1,746.03 |
— |
| Vein Access Cutdown < 1 Yr (36420) |
— |
$114.30 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$95.65 |
— |
| Wedge excision skin nail fold (11765) |
— |
$160.83 |
— |