| Abd paracentesis w/imaging (49083) |
— |
$1,600 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,512 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$542 |
— |
Application finger splint static (29130)
range across 2 matching MRF lines |
— |
$106–$323 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$337 |
— |
Application Long Leg Splint (29505)
range across 2 matching MRF lines |
— |
$65–$391 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$323 |
— |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
— |
$159–$325 |
— |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
— |
$125–$348 |
— |
| Apply long arm cast (29065) |
— |
$263 |
— |
Arterial puncture (36600)
range across 2 matching MRF lines |
— |
$261.77–$523.54 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$162 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
— |
$195–$536 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$144 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$243–$404 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$374 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$291 |
— |
| Bladder Scan (51798) |
— |
$95 |
— |
Blood Transfusion Service (36430)
range across 3 matching MRF lines |
— |
$668–$1,908 |
— |
| Bx Cervix (57500) |
— |
$318 |
— |
Catheter aspiration nasotracheal spx (31720)
range across 3 matching MRF lines |
— |
$875–$2,625 |
— |
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines |
— |
$307.95–$370 |
— |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
— |
$70–$216 |
— |
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 3 matching MRF lines |
— |
$750–$7,465 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$450 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$1,748 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$1,799 |
— |
Collection of venous blood by venipuncture (36415)
range across 10 matching MRF lines |
— |
$32–$1,661 |
— |
Colonoscopy thru stoma (44388)
range across 2 matching MRF lines |
— |
$822–$3,462 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$491 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$250 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$341 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$400 |
— |
Conization of cervix (57520)
range across 2 matching MRF lines |
— |
$5,950–$7,465 |
— |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 4 matching MRF lines |
— |
$217–$4,435 |
— |
Create Eardrum Opening (69433)
range across 2 matching MRF lines |
— |
$438–$4,435 |
— |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
— |
$11,900 |
— |
| Curettage postpartum (59160) |
— |
$951 |
— |
| Debridement Mastoidectomy Cavity Simple (69220) |
— |
$156 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$304 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$205 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$2,596 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$143 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$300 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$160 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$263 |
— |
| Endometrial Biopsy (58100) |
— |
$318 |
— |
| Epidural Blood Patch (62273) |
— |
$869 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$235 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$432 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$505 |
— |
Exc Face-Mm B9+Marg 0.5 Cm/< (11440)
range across 2 matching MRF lines |
— |
$195.26–$242 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$2,596 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$395 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$519 |
— |
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420)
range across 2 matching MRF lines |
— |
$244–$488 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$319 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$394 |
— |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
— |
$3,462 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$437 |
— |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines |
— |
$469.60–$587 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$285 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$351 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$388 |
— |
| Exchange Transfusion (36455) |
— |
$277 |
— |
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603)
range across 2 matching MRF lines |
— |
$607.54–$952 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$363 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$403 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$476 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$570 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$343.76 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$485 |
— |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
— |
$2.50 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$431.72 |
— |
| Fetal non-stress test (59025) |
— |
$455 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$250.22 |
— |
Hysteroscopy Biopsy (58558)
range across 3 matching MRF lines |
— |
$4,435–$7,465 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$3,462 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$4,435 |
— |
| I&d abscess peritonsillar (42700) |
— |
$421 |
— |
I&d abscess simple (10060)
range across 2 matching MRF lines |
— |
$245.05–$1,115 |
— |
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines |
— |
$208.63–$1,854 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$2,064 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$236 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$369 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$315 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$342 |
— |
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines |
— |
$215.80–$1,014.04 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
— |
$50.83–$287.20 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$150 |
— |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
— |
$171–$492.47 |
— |
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines |
— |
$358.40–$358.41 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$116 |
— |
| Insert Drug Implant Device (11981) |
— |
$294 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,400 |
— |
| Insert pessary/other device (57160) |
— |
$136 |
— |
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines |
— |
$261.77–$523.54 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$261.77 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$200 |
— |
| Laparoscopy W/Lysis Of Adhesions (58660) |
— |
$5,950 |
— |
Laparoscopy w/rmvl adnexal structures (58661)
range across 5 matching MRF lines |
— |
$3,732.50–$13,525 |
— |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines |
— |
$5,950–$10,484 |
— |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines |
— |
$950–$10,495 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$335 |
— |
Laryngoscopy W/Biopsy (31535)
range across 2 matching MRF lines |
— |
$253.95–$4,328 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$6,060 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$422 |
— |
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 3 matching MRF lines |
— |
$765–$10,495 |
— |
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines |
— |
$773–$8,980 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$894 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
— |
$1,500 |
— |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
— |
$1,562 |
— |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
— |
$2,536 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$1,604 |
— |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 4 matching MRF lines |
— |
$1,758–$12,010 |
— |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
— |
$243–$587 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$925 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$200 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$205 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$78 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
— |
$113–$4,435 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$446 |
— |
Removal of adenoids (42835)
range across 2 matching MRF lines |
— |
$3,462–$4,435 |
— |
Removal of adenoids (42831)
range across 2 matching MRF lines |
— |
$3,462–$5,950 |
— |
Removal of adenoids (42830)
range across 3 matching MRF lines |
— |
$664–$5,950 |
— |
| Removal of nail bed (11750) |
— |
$295.70 |
— |
Removal of tonsils (42825)
range across 3 matching MRF lines |
— |
$1,282–$7,465 |
— |
Removal of tonsils (42826)
range across 4 matching MRF lines |
— |
$849–$8,980 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$177 |
— |
| Remove drug implant device (11982) |
— |
$219 |
— |
| Remove Intrauterine Device (58301) |
— |
$200 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$393 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$375 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,675 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$2,411.79 |
— |
| Rhinoplasty Secondary Intermediate Revision (30435) |
— |
$12,010 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$2,596 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$1,200 |
— |
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 5 matching MRF lines |
— |
$1,716–$12,010 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$790 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$185 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$200 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$238 |
— |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines |
— |
$302.44–$708.78 |
— |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013)
range across 2 matching MRF lines |
— |
$375.48–$597 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 4 matching MRF lines |
— |
$261.27–$811 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$725 |
— |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002)
range across 3 matching MRF lines |
— |
$318.97–$681.70 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$961 |
— |
Tonsillectomy and adenoidectomy; age 12 or over (42821)
range across 3 matching MRF lines |
— |
$5,950–$8,980 |
— |
| Trim skin lesion (11055) |
— |
$125 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$450 |
— |
| Tubal ligation (58600) |
— |
$12,010 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$7,465 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$5,950 |
— |
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 4 matching MRF lines |
— |
$717–$12,010 |
— |
| Tympanoplasty (69631) |
— |
$12,010 |
— |
Tympanostomy general anesthesia (69436)
range across 5 matching MRF lines |
— |
$1,298–$5,950 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$2,937 |
— |
| Vaginal delivery only (59409) |
— |
$1,797 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$940 |
— |
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines |
— |
$353–$2,596 |
— |