| Abd paracentesis w/imaging (49083) |
— |
$386 |
— |
| Anoscopy diagnostic (46600) |
— |
$1,368 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$1,959 |
— |
| Application finger splint static (29130) |
— |
$226 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$226 |
— |
Application Long Leg Splint (29505) range across 6 matching MRF lines |
— |
$224–$525 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$226 |
— |
Application short leg splint calf foot (29515) range across 7 matching MRF lines |
— |
$226–$525 |
— |
| Arterial puncture (36600) |
— |
$105 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,524 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,050 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 23 matching MRF lines |
— |
$542–$1,089 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$7,560 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$298 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$9,317 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$3.37 |
— |
Aspirate Pleura W/O Imaging (32554) range across 6 matching MRF lines |
— |
$1,177–$4,199 |
— |
| Aspiration Bladder Needle (51100) |
— |
$427 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$315 |
— |
Biopsy Abdominal Mass (49180) range across 5 matching MRF lines |
— |
$2,138–$3,000 |
— |
Biopsy bone trocar/needle deep (20225) range across 4 matching MRF lines |
— |
$2,138–$3,000 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,138 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,138 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$3,000 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$3,000 |
— |
| Bladder Irrigation (51700) |
— |
$427 |
— |
Blood Transfusion Service (36430) range across 5 matching MRF lines |
— |
$520–$552 |
— |
Bone Marrow Biopsy (38221) range across 4 matching MRF lines |
— |
$2,138–$3,000 |
— |
Bone Marrow; Aspiration Only (38220) range across 9 matching MRF lines |
— |
$315–$5,238 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$3,000 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$7,875 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$519 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$315 |
— |
| Change of Windpipe Airway (31502) |
— |
$299 |
— |
Chest tube placement (32551) range across 6 matching MRF lines |
— |
$1,177–$1,260 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$971 |
— |
| Clear outer ear canal (69200) |
— |
$173 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$499 |
— |
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 6 matching MRF lines |
— |
$351–$544 |
— |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
— |
$3,150 |
— |
Closed tx knee dislocation w/o anesthesia (27550) range across 6 matching MRF lines |
— |
$351–$855 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$2,625 |
— |
Closed tx patellar dislocation w/o anesthesia (27560) range across 4 matching MRF lines |
— |
$368–$610 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$243 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$2,100 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$522 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$525 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$351 |
— |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$859 |
— |
Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
— |
$26–$158 |
— |
Control Nasal Hemorrhage Anterior Complex (30903) range across 9 matching MRF lines |
— |
$243–$369 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$243 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 4 matching MRF lines |
— |
$2,138–$3,000 |
— |
Correction hammertoe (28285) range across 9 matching MRF lines |
— |
$158–$2,835 |
— |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 6 matching MRF lines |
— |
$243–$548 |
— |
Cysto Bladder W/Ureteral Catheterization (52005) range across 13 matching MRF lines |
— |
$262–$3,096 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$485.66 |
— |
| Debride nail 1-5 (11720) |
— |
$630 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$683 |
— |
| Declot vascular device (36593) |
— |
$492 |
— |
| Deep Muscle Biopsy (20205) |
— |
$3,000 |
— |
| Delivery of placenta (59414) |
— |
$2,100 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$453 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$840 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$2,100 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$58 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$210 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$2,138 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$3,612 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$995 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$363 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$3,500 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$9,702 |
— |
Hemiarthroplasty hip partial (27125) range across 7 matching MRF lines |
— |
$3,483–$4,257 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$3,891 |
— |
| I&d abscess peritonsillar (42700) |
— |
$725 |
— |
I&d abscess simple (10060) range across 4 matching MRF lines |
— |
$324–$788 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,989 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$420 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$2,100 |
— |
| Implant neuroelectrodes (63650) |
— |
$6,277 |
— |
| Incise external hemorrhoid (46083) |
— |
$1,500 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$2,625 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$704 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$324 |
— |
| Incision of rectal abscess (46040) |
— |
$2,100 |
— |
Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 5 matching MRF lines |
— |
$1,452–$1,525 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$542 |
— |
| Injection for identification of sentinel node (38792) |
— |
$158 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$542 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$4,725 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$11,000 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$232 |
— |
Insert Gastrostomy Tube Percutaneous (49440) range across 4 matching MRF lines |
— |
$1,575–$2,426 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$749 |
— |
Insert non-tunnel cv cath (36556) range across 7 matching MRF lines |
— |
$2,363–$8,280 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$2,365 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$173 |
— |
| Insert testicular prosthesis (54660) |
— |
$9,625 |
— |
| Insert tun ip cath perc (49418) |
— |
$10,763.20 |
— |
Insert tunneled cv cath (36561) range across 4 matching MRF lines |
— |
$3,977–$4,317 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$158 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,541 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$2,363 |
— |
Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 8 matching MRF lines |
— |
$871–$4,317 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$945 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$22,220 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$940 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$940 |
— |
Intubation endotracheal emergency procedure (31500) range across 4 matching MRF lines |
— |
$520–$525 |
— |
| Lam facetec & foramot lumbar (63047) |
— |
$86,940 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$170 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$2,138 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$542 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$4,843 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$4,411 |
— |
| Open bowel to skin (44300) |
— |
$850 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$5,109 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$6,300 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$1,386 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$7,528 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$1,176 |
— |
Perq device breast 1st imag (19281) range across 4 matching MRF lines |
— |
$478–$488 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$2,426 |
— |
Placement of needle for intraosseous infusion (36680) range across 5 matching MRF lines |
— |
$320–$520 |
— |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 5 matching MRF lines |
— |
$2,302–$2,760 |
— |
| Prim art mech thrombectomy (37184) |
— |
$15,417 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$4,843 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$735 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$4,725 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$4,317 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 5 matching MRF lines |
— |
$142–$284 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$327 |
— |
Removal of nail bed (11750) range across 21 matching MRF lines |
— |
$600–$705 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$224 |
— |
| Remove foreign body from eye (65205) |
— |
$203 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$307 |
— |
| Remove spine eltrd plate (63662) |
— |
$3,087 |
— |
Renal Biopsy Perq (50200) range across 4 matching MRF lines |
— |
$2,138–$3,000 |
— |
Repair Achilles Tendon (27650) range across 3 matching MRF lines |
— |
$1,244–$10,854 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$940 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$940 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 4 matching MRF lines |
— |
$668–$940 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$940 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$940 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$940 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$940 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$439 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$493 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$578 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$940 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$668 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$409 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$485 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$603 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$877 |
— |
Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 4 matching MRF lines |
— |
$525–$732 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$513 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$593 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$773 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$630 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$773 |
— |
| Repair tongue laceration (41252) |
— |
$1,613 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$1,224 |
— |
| Replace g/c tube perc (49450) |
— |
$1,224 |
— |
| Revise Spine Eltrd Plate (63664) |
— |
$11,361 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$6,277 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$3,087 |
— |
Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 5 matching MRF lines |
— |
$2,100–$4,199 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$203 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$203 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$420 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$1,709 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$982 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,351 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,541 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$4,317 |
— |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 4 matching MRF lines |
— |
$525–$630 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$799 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$725 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,614 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$3,150 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$525 |
— |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 6 matching MRF lines |
— |
$392–$1,614 |
— |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 4 matching MRF lines |
— |
$392–$525 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$525 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$525 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$525 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$392 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$483 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$392 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$6,615 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$392 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$392 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$392 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$789 |
— |
Strapping ankle (29540) range across 6 matching MRF lines |
— |
$224–$525 |
— |
| Strapping elbow or wrist (29260) |
— |
$224 |
— |
Strapping knee (29530) range across 6 matching MRF lines |
— |
$224–$525 |
— |
Strapping shoulder (29240) range across 6 matching MRF lines |
— |
$224–$525 |
— |
| Strapping thorax (29200) |
— |
$226 |
— |
Strapping toes (29550) range across 5 matching MRF lines |
— |
$226–$525 |
— |
Strapping Unna Boot (29580) range across 6 matching MRF lines |
— |
$224–$525 |
— |
| Surg Implnt Neuroelect,Epidural (63655) |
— |
$20,450 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$851 |
— |
| Therapeutic plasma exchange (36514) |
— |
$2,389 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$1,613 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$1,613 |
— |
| Tracheostomy planned (31600) |
— |
$735 |
— |
| Treat toe dislocation (28630) |
— |
$351 |
— |
Treatment closed elbow dislocation w/o anes (24600) range across 5 matching MRF lines |
— |
$352–$606 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$2,125 |
— |
Tx Gastro Intub W/Asp (43753) range across 4 matching MRF lines |
— |
$322–$525 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$525 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$630 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$158 |
— |
| Vaginal delivery only (59409) |
— |
$2,100 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$7,717 |
— |
Wedge excision skin nail fold (11765) range across 22 matching MRF lines |
— |
$189–$273 |
— |
| Windowing of cast (29730) |
— |
$61 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,050 |
— |
Wound Prep Trk/Arm/Leg (15002) range across 4 matching MRF lines |
— |
$331–$525 |
— |