| Abd paracentesis w/imaging (49083) |
$906 |
$4,230.16 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$906 |
$4,230.16 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$17,527 |
$28,498 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,062 |
$10,810 |
1.0× |
| Amniocentesis diagnostic (59000) |
$920 |
$2,790.20 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,270 |
$13,116.70 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,270 |
$28,231.81 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,270 |
$3,144.25 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,000 |
$22,921.99 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$58 |
$150 |
1.0× |
| Application finger splint static (29130) |
$133 |
$563.20 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$162 |
$737.67 |
1.0× |
| Application Long Leg Splint (29505) |
$162 |
$737.67 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$279 |
$1,205.85 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$133 |
$150 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$133 |
$563.20 |
1.0× |
| Application short leg splint calf foot (29515) |
$162 |
$737.67 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$162 |
$737.67 |
1.0× |
| Apply Short Leg Cast (29405) |
$279 |
$126 |
1.0× |
| Apply short leg cast (29425) |
$279 |
$191 |
1.0× |
| Arterial puncture (36600) |
$133 |
$563.20 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,156 |
$29,362.90 |
1.0× |
| Artery-vein autograft (36825) |
$5,562 |
$28,298.30 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$12,833 |
$112,500 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$306 |
$1,305.85 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$306 |
$1,364.61–$10,344.50 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$306 |
$1,364.61 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$306 |
$1,237.40 |
1.0× |
| Arthrodesis ankle open (27870) |
$12,833 |
$55,024.40 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,253 |
$40,875.30 |
1.0× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$17,527 |
$5,520 |
1.0× |
| Arthrodesis subtalar (28725) |
$12,833 |
$53,452.30 |
1.0× |
| Arthrodesis triple (28715) |
$12,833 |
$26,338.33 |
1.0× |
| Arthroplasty Ankle W/Implant (27702) |
$27,124 |
$69,000 |
1.0× |
Arthroplasty glenohumeral joint total shoulder (23472)
range across 2 matching MRF lines |
$17,527 |
$40,825–$62,966.40 |
1.0× |
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470)
range across 2 matching MRF lines |
$12,833 |
$48,300–$62,966.40 |
1.0× |
| Arthroplasty Patella W/Prosthesis (27438) |
$12,833 |
$12,359.63 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,270 |
$41,923.30 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$3,270 |
$13,625.08 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,270 |
$12,577 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,270 |
$12,577 |
1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,270 |
$25,154 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,253 |
$26,726.10 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,270 |
$18,865.50 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,270 |
$18,865.50 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,270 |
$18,865.50 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,253 |
$28,298.30 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,253 |
$25,990.50 |
1.0× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$7,253 |
$18,865.50 |
1.0× |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130)
range across 2 matching MRF lines |
$12,833 |
$48,195.40–$62,966.40 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$12,833 |
$41,428.90 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,253 |
$30,045.10 |
1.0× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$3,270 |
$9,432.75 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,270 |
$18,865.50 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,270 |
$22,009.80 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$627 |
$3,239.55 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$627 |
$3,239.55 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$306 |
$1,237.40 |
1.0× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$707 |
$4,716.37 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$707 |
$2,896.70 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,089 |
$8,980.20 |
1.0× |
| Av Fistula Revision Open (36832) |
$5,562 |
$43,364.60 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,562 |
$56,563.20 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$200 |
$938.15 |
1.0× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,625 |
$22,979.30 |
1.0× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$6,471 |
$14,736.60 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,650 |
$7,148.15 |
1.0× |
Biopsy bone open superficial (20240)
range across 2 matching MRF lines |
$2,903 |
$11,891.50–$25,154 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy nail unit (11755) |
$707 |
$2,896.70 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$707 |
$3,102 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$920 |
$11,637.60 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,914 |
$14,046.90 |
1.0× |
| Bladder Irrigation (51700) |
$249 |
$1,209.17 |
1.0× |
| Bladder Scan (51798) |
$58 |
$292.08 |
1.0× |
| Blood Transfusion Service (36430) |
$441 |
$2,074.64 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$441 |
$1,914.50 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,650 |
$7,035 |
1.0× |
| Bone Marrow Harvest Autolog (38232) |
$4,353 |
$9,432.75 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,650 |
$7,148.15 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,779 |
$6,846.45 |
1.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$3,726 |
$13,406.30 |
1.0× |
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines |
$3,726 |
$15,490.10–$17,817.40 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,726 |
$13,703.30 |
1.0× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$3,726 |
$16,510.80 |
1.0× |
| Bronchoscopy Bronch Stents (31636) |
$7,054 |
$25,737.80 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,779 |
$6,846.45 |
1.0× |
| Bronchoscopy Dilate W/Stent (31631) |
$7,054 |
$25,737.80 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$390 |
$1,948 |
1.0× |
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines |
$1,779 |
$7,483.15–$12,577 |
1.0× |
| Bronchoscopy W/Excision Tumor (31640) |
$3,726 |
$13,703.30 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,779 |
$6,846.45 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,726 |
$15,490.10 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,726 |
$13,703.30 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$1,650 |
$6,877.50 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,650 |
$7,148.15 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,650 |
$7,148.15 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,650 |
$12,577 |
1.0× |
| Bx Cervix (57500) |
$920 |
$10,991 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,914 |
$11,460.80 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$3,914 |
$14,411.14 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,270 |
$12,577 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,952 |
$12,063.10 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$218 |
$1,001.11 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,235 |
$10,797.90 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,156 |
$6,741.99 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$249 |
$1,330.70 |
1.0× |
| Change of Windpipe Airway (31502) |
$236 |
$1,076.90 |
1.0× |
| Chemical Cautery Tissue (17250) |
$200 |
$938.15 |
1.0× |
Chemical Pleurodesis (32560)
range across 2 matching MRF lines |
$627 |
$3,100.05–$12,577 |
1.0× |
| Chest tube placement (32551) |
$1,573 |
$7,061.05 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,579 |
$15,253.50 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,089 |
$14,870.20 |
1.0× |
| Circumcision Neonate (54160) |
— |
$3,011.75 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$8,964.95 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,607 |
$7,086.05 |
1.0× |
| Clear outer ear canal (69200) |
$133 |
$886.16 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$246 |
$352 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$246 |
$1,157 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,551 |
$1,724 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,607 |
$7,086.05 |
1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$246 |
$290 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,607 |
$12,577 |
1.0× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
$246 |
$1,039.70–$12,577 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$246 |
$2,375 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$246 |
$199 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$246 |
$1,206.98 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$246 |
$498 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,607 |
$12,577 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$246 |
$447 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$246 |
$1,039.70 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$246 |
$3,078 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,607 |
$436 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$246 |
$1,039.70 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,607 |
$904 |
1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$246 |
$2,761 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,607 |
$7,086.05 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$44.15 |
1.0× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy Through Stoma With Decompression (44408) |
$929 |
$5,214.23 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy thru stoma (44388) |
$929 |
$3,968.25 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,196 |
$4,898.95 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,196 |
$6,858.53 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,196 |
$6,858.53 |
1.0× |
| Colonoscopy w/stent plcmt (45389) |
$6,068 |
$22,480.30 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,196 |
$5,202.85 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$7,412 |
$12,409.96 |
1.0× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$7,412 |
$25,154 |
1.0× |
| Colporrhaphy (57200) |
$3,235 |
$12,577 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,196 |
$5,202.85 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,196 |
$6,858.53 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,196 |
$5,202.85 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,000 |
$23,267.50 |
1.0× |
| Complex drainage wound (10180) |
$2,903 |
$11,891.50 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,235 |
$12,930.60 |
1.0× |
| Conization of cervix (57520) |
$3,235 |
$11,945.10 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$133 |
$563.20 |
1.0× |
| Conversion ext bil drg cath (47535) |
$3,579 |
$14,736.60 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,918 |
$7,416.75 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,089 |
$8,698.75 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,650 |
$7,148.15 |
1.0× |
| Correction hammertoe (28285) |
$3,270 |
$29,870.40 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,270 |
$21,223.68 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$12,833 |
$40,875.30 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,270 |
$31,442.50 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,253 |
$44,019.50 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$5,562 |
$44,161.50 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$133 |
$563.20 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,089 |
$14,149.10 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$3,523 |
$28,298.30 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,523 |
$15,402.30 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,523 |
$12,577 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$3,523 |
$12,577 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,523 |
$22,009.80 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,089 |
$12,577 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,523 |
$4,380.99 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,359 |
$31,442.50 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,089 |
$8,964.95 |
1.0× |
| Cystouretero W/Congen Repr (52400) |
$3,523 |
$12,577 |
1.0× |
| Cystouretero w/excise tumor (52355) |
$5,359 |
$25,154 |
1.0× |
| Cystourethroscopy (52000) |
$697 |
$18,865.50 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,523 |
$28,298.30 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,089 |
$17,293.40 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,089 |
$15,721.30 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$406 |
$2,414.45 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,903 |
$7,536.96 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$707 |
$2,896.70 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$738 |
$2,769 |
1.0× |
| Debride nail 1-5 (11720) |
$58 |
$399 |
1.0× |
| Debride nail 6 or more (11721) |
$58 |
$399 |
1.0× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines |
$1,650 |
$7,035–$15,721.30 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$406 |
$1,758–$12,930.60 |
1.0× |
| Declot vascular device (36593) |
$330 |
$1,837.11 |
1.0× |
| Deep Muscle Biopsy (20205) |
$2,903 |
$15,721.30 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$200 |
$130 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$200 |
$882.25 |
1.0× |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
$929 |
$3,968.25–$4,029.55 |
1.0× |
| Dilat Xst Trc New Access Rcs (50437) |
$3,523 |
$14,634.30 |
1.0× |
| Dilate Urethra Stricture (53620) |
$697 |
$2,782.65 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,235 |
$9,817.94 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$705 |
$3,172.95 |
1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,650 |
$13,512.51 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$707 |
$3,249.79 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,650 |
$10,344.50 |
1.0× |
| Drainage of finger abscess simple (26010) |
$200 |
$938.15 |
1.0× |
| Drainage of gum lesion (41800) |
$133 |
$559.75 |
1.0× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$1,650 |
$7,035–$12,246.80 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$406 |
$1,729.20 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$200 |
$882.25 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$200 |
$938.15 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,774 |
$10,344.50 |
1.0× |
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines |
$1,779 |
$7,483.15–$12,245.80 |
1.0× |
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines |
$1,779 |
$7,483.15–$12,577 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,779 |
$6,846.45 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,918 |
$7,416.75 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,918 |
$8,389.40 |
1.0× |
| Egd cautery tumor polyp (43250) |
$1,918 |
$7,416.75 |
1.0× |
| Egd control bleeding any (43255) |
$1,918 |
$8,389.40 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,918 |
$7,416.75 |
1.0× |
| Egd Endoscopic Stent Place (43266) |
$6,068 |
$22,480.30 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$906 |
$4,230.16 |
1.0× |
| Egd guide wire insertion (43248) |
$906 |
$4,048 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,918 |
$8,389.40 |
1.0× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$1,918 |
$8,125.10 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,918 |
$7,416.75 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,918 |
$8,389.40 |
1.0× |
| Egd remove lesion snare (43251) |
$1,918 |
$8,389.40 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$1,918 |
$8,294.05 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$1,918 |
$7,416.75 |
1.0× |
| Egd Varices Ligation (43244) |
$1,918 |
$8,389.40 |
1.0× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$5,562 |
$24,351.30 |
1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$5,000 |
$13,910.30 |
1.0× |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$5,000 |
$12,577 |
1.0× |
| Endoscopic us exam esoph (43237) |
$1,918 |
$8,125.10 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,156 |
$13,207.60 |
1.0× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$1,918 |
$7,416.75 |
1.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$1,918 |
$7,416.75 |
1.0× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$1,918 |
$7,416.75 |
1.0× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,918 |
$7,416.75 |
1.0× |
| Epidural Blood Patch (62273) |
$705 |
$3,315.73 |
1.0× |
| Episiotomy or vaginal repair (59300) |
— |
$13,784 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$6,068 |
$22,480.30 |
1.0× |
| Ercp duct stent placement (43274) |
$6,068 |
$26,274 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,854 |
$16,885.20 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$3,854 |
$16,885.20 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,854 |
$16,885.20 |
1.0× |
| Ercp remove forgn body duct (43275) |
$1,918 |
$14,759 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,068 |
$25,142.60 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,854 |
$16,885.20 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$3,854 |
$16,885.20 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$906 |
$3,996.60 |
1.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$3,854 |
$14,123.50 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$1,918 |
$7,416.75 |
1.0× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$1,918 |
$7,416.75 |
1.0× |
| Evacuate mole of uterus (59870) |
$3,235 |
$11,460.80 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$133 |
$563.20 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,650 |
$4,927.82 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,903 |
$29,205.50 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,650 |
$12,930.60 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$707 |
$12,930.60 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,650 |
$5,172.25 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,650 |
$10,344.50 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$707 |
$9,214.77 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,650 |
$11,950.70 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,650 |
$12,577 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,607 |
$10,344.50 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$2,903 |
$20,689 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$707 |
$10,344.50 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,903 |
$11,891.50 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,650 |
$11,950.70 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,650 |
$8,620.42 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,903 |
$12,577 |
1.0× |
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines |
$1,196 |
$4,898.95–$15,721.30 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$406 |
$15,721.30 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$707 |
$10,344.50 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,650 |
$14,223.70 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,903 |
$23,150.18 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$2,903 |
$9,273.99 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,903 |
$10,344.50 |
1.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,903 |
$53,452.30 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,903 |
$12,930.60 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,903 |
$12,577 |
1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,650 |
$10,344.50 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,650 |
$23,436 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,903 |
$10,810.02 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,650 |
$8,107.52 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,903 |
$12,998.80 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,579 |
$16,633.30 |
1.0× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
$2,089 |
$8,980.20–$9,274.40 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,918 |
$7,416.75 |
1.0× |
| Excise Wrist Tendon Sheath (25118) |
$1,607 |
$12,577 |
1.0× |
| Excision Infected Graft Extremity (35903) |
$3,156 |
$20,689 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$707 |
$5,172.25 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$707 |
$3,244.85 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$3,235 |
$10,344.50 |
1.0× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
$3,914 |
$12,577 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,607 |
$10,344.50 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,579 |
$23,275.20 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,903 |
$35,488.12 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$3,235 |
$10,081.30 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,903 |
$22,009.80 |
1.0× |
| Excision prepatellar bursa (27340) |
$3,270 |
$6,288.50 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,650 |
$10,860.80 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,903 |
$22,009.80 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,650 |
$14,223.70 |
1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,607 |
$19,409.80 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,903 |
$12,930.60 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,903 |
$25,154 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,903 |
$15,721.30 |
1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,650 |
$15,516.80 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,062 |
$7,744.80 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,650 |
$6,877.50 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,650 |
$2,896.70 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$539 |
$2,435.65 |
1.0× |
| External cephalic version (59412) |
— |
$1,500 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,270 |
$19,651.60 |
1.0× |
| Fetal Contraction Stress Test (59020) |
— |
$557 |
— |
| Fetal non-stress test (59025) |
— |
$878.55 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$707 |
$3,249.79 |
1.0× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$707 |
$2,896.70 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$406 |
$1,758 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$238 |
$1,204.68 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$707 |
$2,896.70 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$707 |
$3,249.79 |
1.0× |
| Fusion of foot bones (28740) |
$7,253 |
$62,885 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$707 |
$2,896.70 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$929 |
$5,455 |
1.0× |
| Hemorrhoidopexy by stapling (46947) |
$2,774 |
$19,714.45 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,235 |
$13,377 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,235 |
$16,428.71 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,000 |
$12,793.20 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,235 |
$16,586.80 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,000 |
$11,460.80 |
1.0× |
| I&d abscess peritonsillar (42700) |
$236 |
$1,089 |
1.0× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$200 |
$1,290.73–$10,344.50 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,903 |
$12,577 |
1.0× |
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines |
$2,903 |
$11,891.50–$12,930.60 |
1.0× |
| I&d perianal abscess superficial (46050) |
$929 |
$4,029.55 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$707 |
$4,055.38 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$707 |
$3,249.79 |
1.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,903 |
$31,442.50 |
1.0× |
| Icd Pocket Revision (33223) |
$2,062 |
$7,744.80 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,650 |
$7,148.15 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,650 |
$7,148.15 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,650 |
$6,877.50 |
1.0× |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
$18,017 |
$80,336.90 |
1.0× |
| Incise external hemorrhoid (46083) |
$249 |
$1,443 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,607 |
$11,088.70 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$406 |
$1,729.20 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,903 |
$28,298.30 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,650 |
$12,577 |
1.0× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$406 |
$1,758–$27,816.90 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$202 |
$878.55 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$304 |
$1,414.40 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,607 |
$10,344.50 |
1.0× |
| Incision of rectal abscess (46040) |
$1,196 |
$5,202.85 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$738 |
$1,570.40 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$200 |
$938.15 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$884 |
$3,824.20 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$212 |
$1,063.29 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$306 |
$6,896.34 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$705 |
$3,315.73 |
1.0× |
| Injection for identification of sentinel node (38792) |
$399 |
$1,885.60 |
1.0× |
| Injection Into Brain Canal (61055) |
$306 |
$1,237.40 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$306 |
$1,364.61 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$705 |
$8,947.01 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$705 |
$3,315.73 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,156 |
$18,490.60 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,156 |
$13,207.60 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,156 |
$13,207.60 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,562 |
$21,882.60 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,562 |
$24,228.70 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$31,377 |
$90,000 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$8,272 |
$37,020.60 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,918 |
$7,416.75 |
1.0× |
| Insert Drug Implant Device (11981) |
$133 |
$4,716.37 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,918 |
$7,416.75 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$10,448 |
$49,396.70 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$10,448 |
$29,638 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$18,324 |
$4,039 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,156 |
$14,952.20 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$10,448 |
$29,638 |
1.0× |
| Insert pulse gen dual leads (33213) |
$10,448 |
$49,396.70 |
1.0× |
| Insert pulse gen mult leads (33221) |
$19,254 |
$53,037 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$8,272 |
$37,020.60 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$133 |
$778.90 |
1.0× |
| Insert testicular prosthesis (54660) |
$5,359 |
$25,154 |
1.0× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$3,156 |
$14,952.20–$16,979 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,579 |
$15,917 |
1.0× |
| Insertion of cannula (36800) |
$5,562 |
$21,882.60 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$3,579 |
$22,009.80 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$8,272 |
$37,020.60 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,156 |
$14,308.30 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,573 |
$7,061.05 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,156 |
$14,308.30 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,156 |
$14,952.20 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$31,377 |
$71,999.80 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,272 |
$37,020.60 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$8,272 |
$37,020.60 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$10,448 |
$29,638 |
1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$22,235 |
$65,989.40 |
1.0× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$31,377 |
$90,000 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$22,235 |
$65,989.40 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$406 |
$1,570.40 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$539 |
$2,435.65 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,573 |
$7,061.05 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$5,689 |
$25,200 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$906 |
$3,807.75 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$236 |
$1,076.90 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$249 |
$1,390.58 |
1.0× |
| Knee arthroscopy/drainage (29871) |
$3,270 |
$18,865.50 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,270 |
$15,721.30 |
1.0× |
| Lam facetec & foramot lumbar (63047) |
$7,253 |
$5,520 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,043 |
$31,442.50 |
1.0× |
| Lap paraesophag hern repair (43281) |
$10,625 |
$21,357.33 |
1.0× |
| Lap revision perm ip cath (49325) |
$6,043 |
$22,009.80 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$10,625 |
$30,498.02 |
1.0× |
| Laparoscopic myomectomy (58545) |
$6,043 |
$25,616.46 |
1.0× |
| Laparoscopy aspiration (49322) |
$6,043 |
$22,009.80 |
1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$6,043 |
$8,384.67 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$6,043 |
$25,831.20 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,043 |
$29,419.40 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$10,625 |
$40,875.30 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$10,625 |
$44,446.70 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,043 |
$31,278.10 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,043 |
$16,951.60 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$6,043 |
$12,047.71 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,043 |
$22,250.60 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,043 |
$25,154 |
1.0× |
| Laparoscopy, Tubal Block (58671) |
$6,043 |
$23,137.80 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,043 |
$18,236.30 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,043 |
$23,647.60 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$199 |
$821.95 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,779 |
$6,846.45 |
1.0× |
| Laser vaporization of prostate (52648) |
$5,359 |
$22,009.80 |
1.0× |
| Late closure of wound (13160) |
$3,542 |
$25,154 |
1.0× |
| Lateral retinacular release open (27425) |
$3,270 |
$21,850 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,253 |
$34,586.80 |
1.0× |
| Ligation of a-v fistula (37607) |
$3,156 |
$12,611.70 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,650 |
$15,721.30 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,523 |
$44,019.50 |
1.0× |
| Lyse chest fibrin init day (32561) |
$627 |
$3,100.05 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,607 |
$8,065 |
1.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,235 |
$19,189.30 |
1.0× |
| Mast mod rad (19307) |
$6,637 |
$14,149.13 |
1.0× |
| Mastectomy partial (19301) |
$3,914 |
$22,989.70 |
1.0× |
| Mastectomy simple complete (19303) |
$6,637 |
$12,577 |
1.0× |
| Myelography Lumbar Injection (62305) |
$783 |
$3,530.15 |
1.0× |
| Myelography Lumbar Injection (62304) |
$783 |
$3,575.90 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$783 |
$3,458.75 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$783 |
$3,458.75 |
1.0× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$3,235 |
$10,344.50 |
1.0× |
| N Block Inj Celiac Pelus (64530) |
$884 |
$3,824.20 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$446 |
$1,740.80 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,650 |
$7,148.15 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,650 |
$7,148.15 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,952 |
$12,577 |
1.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,952 |
$26,726.10 |
1.0× |
| Neurp major prph nrv opn arm/leg sciatic nrv (64712) |
$1,952 |
$22,009.80 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416 |
$2,177.68 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$306 |
$1,364.61 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,579 |
$15,253.50 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,579 |
$16,633.30 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$884 |
$3,824.20 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$697 |
$4,112.86 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$697 |
$3,011.75 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,914 |
$18,865.50 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,253 |
$25,154 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,253 |
$42,971.40 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$7,253 |
$50,308 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$12,833 |
$31,442.50 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,253 |
$28,298.30 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,253 |
$33,538.70 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,253 |
$26,726.10 |
1.0× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$12,833 |
$53,452.30 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$7,253 |
$18,865.50 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$12,833 |
$39,428.89 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$3,270 |
$22,009.80 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,253 |
$27,529.80 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,270 |
$4,710.81 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,253 |
$26,071.30 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,270 |
$3,930.31 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,270 |
$4,024.63 |
1.0× |
| Open Tx Radial Head/Neck Fracture (24665) |
$7,253 |
$13,142.97 |
1.0× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$7,253 |
$27,250.17 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,253 |
$23,605.46 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,253 |
$47,163.80 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$11,539 |
$29,007.10 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,539 |
$48,503.50 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,253 |
$24,525.20 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,253 |
$22,009.80 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,579 |
$20,689 |
1.0× |
| Ostectomy calcaneus (28118) |
$3,270 |
$12,210.17 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,270 |
$31,442.50 |
1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$7,253 |
$14,542.15 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,270 |
$31,442.50 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$7,253 |
$21,459.51 |
1.0× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$7,253 |
$17,817.41 |
1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$5,000 |
$30,394.40 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,607 |
$12,577 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,235 |
$8,065 |
1.0× |
| Penile Injection (54235) |
$249 |
$1,209.17 |
1.0× |
| Perc Rf Ablate Renal Tumor (50592) |
$6,043 |
$22,979.30 |
1.0× |
| Percut Ablate Liver Rf (47382) |
$6,043 |
$22,979.30 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,539 |
$48,345.20 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$707 |
$3,249.79 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,235 |
$11,528.92 |
1.0× |
| Peritoneal Lavage (49084) |
$906 |
$3,807.75 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$3,270 |
$13,116.70 |
1.0× |
| Perq dev breast 1st mr guide (19287) |
$707 |
$2,896.70 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,650 |
$7,148.15 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,523 |
$8,698.75 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,270 |
$13,116.70 |
1.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$6,043 |
$22,979.30 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,270 |
$13,834.70 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,539 |
$52,474.40 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,689 |
$25,200 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,253 |
$28,498 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,253 |
$31,324.80 |
1.0× |
| Place Cath Subclavian Art (36225) |
$3,156 |
$13,207.60 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$3,156 |
$13,207.60 |
1.0× |
| Place Cath Vertebral Art (36226) |
$5,562 |
$21,882.60 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$1,918 |
$7,416.75 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$446 |
$1,756.65 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,043 |
$22,979.30 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,043 |
$22,979.30 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$6,043 |
$22,979.30 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,089 |
$8,980.20 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,523 |
$15,370.30 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,523 |
$15,370.30 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,523 |
$8,698.75 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,523 |
$16,073.90 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$5,000 |
$9,857.23 |
1.0× |
| Prim art mech thrombectomy (37184) |
$18,324 |
$23,392.70 |
1.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$1,196 |
$9,432.75 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,579 |
$14,736.60 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,579 |
$15,253.50 |
1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,270 |
$13,142.97 |
1.0× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$7,253 |
$17,974.70 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$627 |
$3,100.05 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$406 |
$882.25 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$406 |
$1,758 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$707 |
$3,249.79 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,607 |
$3,206.32 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,270 |
$3,448.16 |
1.0× |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
$2,903 |
$11,460.80 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
$2,903 |
$5,618.62 |
1.0× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$7,253 |
$53,452.30 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$3,523 |
$25,154 |
1.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$7,253 |
$28,298.30 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$3,156 |
$13,207.60 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,062 |
$7,744.80 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,156 |
$13,207.60 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$906 |
$3,996.60 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,650 |
$16,428.71 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,650 |
$25,223.40 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58 |
$290.82 |
1.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,235 |
$11,976.49 |
1.0× |
| Removal Implant Deep (20680) |
$2,903 |
$20,662.20 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,650 |
$6,877.50 |
1.0× |
| Removal of nail bed (11750) |
$406 |
$2,198.56 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,156 |
$18,102.90 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$3,735 |
$15,652.70 |
1.0× |
| Removal ppm generator only (33233) |
$8,272 |
$37,020.60 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$200 |
$897.75 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,062 |
$8,629.30 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,607 |
$12,577 |
1.0× |
| Remove cerclage suture (59871) |
$3,235 |
$21,099.82 |
1.0× |
| Remove drug implant device (11982) |
$446 |
$13,142.97 |
1.0× |
| Remove Elctrd Transvenously (33244) |
$3,735 |
$15,652.70 |
1.0× |
Remove Intrauterine Device (58301)
range across 2 matching MRF lines |
$304 |
$829.65–$10,344.50 |
1.0× |
| Remove intrvas foreign body (37197) |
$3,156 |
$13,207.60 |
1.0× |
| Remove knee joint lining (27334) |
$3,270 |
$31,050 |
1.0× |
| Remove Lower Leg Bone Lesion (27635) |
$3,270 |
$4,310.21 |
1.0× |
| Remove Pulse Generator (33241) |
$3,735 |
$15,652.70 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$697 |
$4,112.86 |
1.0× |
| Remove ureter stent percut (50384) |
$2,089 |
$8,698.75 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,272 |
$37,020.60 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$22,235 |
$65,989.40 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$31,377 |
$90,000 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$22,235 |
$65,989.40 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,448 |
$29,638 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$19,254 |
$93,056.30 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,650 |
$7,148.15 |
1.0× |
| Repair Achilles Tendon (27650) |
$7,253 |
$35,215.60 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,156 |
$13,207.60 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$7,253 |
$29,346.34 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$738 |
$2,414.45 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$406 |
$2,414.45 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$406 |
$2,414.45 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,607 |
$7,286.80 |
1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,270 |
$47,163.80 |
1.0× |
| Repair Foot Dislocation (28615) |
$7,253 |
$50,308 |
1.0× |
| Repair incomplete circumcision (54163) |
$2,089 |
$15,516.80 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,579 |
$52,571.85 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$406 |
$1,729.20 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$406 |
$1,758 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$406 |
$1,729.20 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$406 |
$1,758 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$406 |
$3,668.29 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$738 |
$2,620.85 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$406 |
$1,729.20 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$406 |
$1,758 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$406 |
$1,758 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$738 |
$2,414.45 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$406 |
$4,310.21 |
1.0× |
| Repair lead pace-defib dual (33220) |
$3,735 |
$15,652.70 |
1.0× |
| Repair lower leg tendons (27676) |
$7,253 |
$29,346.34 |
1.0× |
| Repair of nail bed (11760) |
$738 |
$2,620.85 |
1.0× |
| Repair Rotator Cuff Chronic (23412) |
$7,253 |
$33,538.70 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,253 |
$28,298.30 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,270 |
$28,298.30 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,253 |
$34,586.80 |
1.0× |
| Repair tongue laceration (41252) |
$236 |
$1,629 |
1.0× |
| Repair tongue laceration (41250) |
$446 |
$1,355 |
1.0× |
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines |
$7,253 |
$33,073.20–$47,163.80 |
1.0× |
| Repair/graft achilles tendon (27652) |
$7,253 |
$39,303.10 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$906 |
$3,807.75 |
1.0× |
| Replace G-J Tube Perc (49452) |
$906 |
$3,807.75 |
1.0× |
| Replace g/c tube perc (49450) |
$906 |
$3,807.75 |
1.0× |
| Reposition L Ventric Lead (33226) |
$3,156 |
$13,207.60 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$3,156 |
$13,207.60 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,573 |
$7,030.70 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,579 |
$31,442.50 |
1.0× |
| Revis reconst shoulder joint (23473) |
$12,833 |
$62,966.40 |
1.0× |
| Revise knuckle joint (26530) |
$7,253 |
$13,142.97 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,270 |
$34,586.80 |
1.0× |
| Revision of toe (28312) |
$3,270 |
$6,288.50 |
1.0× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$12,833 |
$34,500 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$5,689 |
$23,392.70 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,089 |
$12,178.30 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$906 |
$3,807.75 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$446 |
$1,756.65 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$133 |
$745.36 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,196 |
$4,898.95 |
1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$2,903 |
$10,810 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,735 |
$15,652.70 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$1,573 |
$7,061.05–$10,344.50 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$627 |
$3,239.55 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$249 |
$1,390.58 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$249 |
$1,157.10 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,573 |
$7,061.05 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,573 |
$5,468.15 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,156 |
$14,308.30 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,156 |
$14,952.20 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,043 |
$34,483.10 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,579 |
$20,612.30 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$6,471 |
$44,019.50 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,471 |
$32,558.10 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,043 |
$22,295.60 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$707 |
$3,109.85 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,573 |
$5,468.15 |
1.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$7,253 |
$37,731 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$539 |
$3,563.36 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,270 |
$34,586.80 |
1.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$3,270 |
$12,930.60 |
1.0× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$7,253 |
$13,625.08 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$627 |
$3,100.05 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$929 |
$4,029.55 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,196 |
$4,898.95 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,270 |
$27,605.20 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$929 |
$3,724.45 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,196 |
$5,184.80 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,196 |
$4,898.95 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$929 |
$4,029.55 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,196 |
$4,898.95 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$406 |
$1,729.20 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$200 |
$938.15 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$406 |
$1,570.40 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$200 |
$938.15 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$200 |
$938.15 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$200 |
$882.25 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$200 |
$938.15 |
1.0× |
| Skin Pinch Graft (15050) |
$738 |
$2,414.45 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$738 |
$8,384.66 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$738 |
$8,576.80 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,062 |
$13,830.70 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,562 |
$21,882.60 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,156 |
$13,207.60 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,562 |
$21,882.60 |
1.0× |
Slitting of prepuce (54001)
range across 2 matching MRF lines |
$2,089 |
$8,698.75–$12,930.60 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$200 |
$938.15 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$406 |
$1,758 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$406 |
$1,765 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$705 |
$3,315.73 |
1.0× |
| Strapping ankle (29540) |
$162 |
$88 |
1.0× |
| Strapping elbow or wrist (29260) |
$58 |
$90 |
1.0× |
| Strapping hand/finger (29280) |
$58 |
$90 |
1.0× |
| Strapping knee (29530) |
$133 |
$563.20 |
1.0× |
| Strapping shoulder (29240) |
$133 |
$559.75 |
1.0× |
| Strapping toes (29550) |
$58 |
$88 |
1.0× |
| Strapping Unna Boot (29580) |
$162 |
$705.90 |
1.0× |
| Subtalar arthro w/deb (29906) |
$3,270 |
$28,298.30 |
1.0× |
| Surgery to stop leg growth (27477) |
$7,253 |
$11,500 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,774 |
$21,620.04 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,253 |
$25,154 |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,607 |
$18,358.20 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$406 |
$882.25 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,253 |
$8,384.66 |
1.0× |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
$3,270 |
$20,437.60 |
1.0× |
| Tenotomy shoulder area single tendon (23405) |
$7,253 |
$15,516.77 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,607 |
$12,311.95 |
1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$705 |
$3,265.89 |
1.0× |
| Thoracoscopy w/bx nodule (32608) |
$10,625 |
$22,979.30 |
1.0× |
Thoracoscopy w/bx pleura (32609)
range across 2 matching MRF lines |
$6,043 |
$12,577–$22,979.30 |
1.0× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$10,625 |
$22,979.30 |
1.0× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$6,043 |
$22,979.30 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$18,324 |
$80,320 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$3,156 |
$6,741.99 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,562 |
$21,882.60 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$330 |
$1,623.67 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,156 |
$13,207.60 |
1.0× |
| Thyroid biopsy (60100) |
$707 |
$3,249.79 |
1.0× |
| Tibial Arthroscopy/Surgery (29855) |
$7,253 |
$5,502.43 |
1.0× |
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines |
$12,833 |
$37,614.80–$62,966.40 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,359 |
$27,250.20 |
1.0× |
| Transurethral resection bladder neck (52500) |
$3,523 |
$12,577 |
1.0× |
| Treat ankle fracture (28445) |
$7,253 |
$23,057.83 |
1.0× |
| Treat ectopic pregnancy (59151) |
$6,043 |
$18,865.50 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,270 |
$12,577 |
1.0× |
| Treat fracture radius/ulna (25575) |
$7,253 |
$39,303.10 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,253 |
$25,154 |
1.0× |
| Treat humerus fracture (23600) |
$246 |
$1,214 |
1.0× |
| Treat knee fracture (27532) |
$3,270 |
$12,577 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,253 |
$26,052.40 |
1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,607 |
$773 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$246 |
$1,039.70 |
1.0× |
| Treatment of ankle fracture (27823) |
$7,253 |
$27,250.17 |
1.0× |
| Treatment of foot infection (28003) |
$3,270 |
$12,577 |
1.0× |
| Trim skin lesion (11055) |
$200 |
$897.75 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$200 |
$882.25 |
1.0× |
| Trim skin lesions over 4 (11057) |
$200 |
$882.25 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$5,689 |
$24,784.20 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,689 |
$25,200 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$215 |
$1,261.55 |
1.0× |
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines |
$3,235 |
$11,718–$11,806.40 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,235 |
$13,313.70 |
1.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$3,235 |
$10,497.80 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,607 |
$8,253.66 |
1.0× |
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines |
$738 |
$2,414.45–$15,721.30 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$12,833 |
$40,875.30 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,551 |
$10,344.50 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$6,043 |
$12,577 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,043 |
$15,721.30 |
1.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$6,043 |
$12,577 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$6,043 |
$17,523.96 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$246 |
$13,209.34 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$162 |
$88 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$246 |
$18,865.50 |
1.0× |
| Unlisted procedure forearm or wrist (25999) |
$246 |
$1,030.95 |
1.0× |
| Unlisted procedure liver (47399) |
$707 |
$2,896.70 |
1.0× |
| Unlisted Procedure Muscskeletal System General (20999) |
$246 |
$10,480.83 |
1.0× |
| Unlisted procedure nervous system (64999) |
$306 |
$1,237.40 |
1.0× |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
$627 |
$3,239.55–$10,344.50 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$249 |
$2,375 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$202 |
$11,882.16 |
1.0× |
| Upgrade of pacemaker system (33214) |
$10,448 |
$29,638 |
1.0× |
| Vag hyst complex (58290) |
$7,412 |
$50,308 |
1.0× |
| Vag hyst incl t/o complex (58291) |
$5,000 |
$22,009.80 |
1.0× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
range across 2 matching MRF lines |
$5,000 |
$23,695.50–$28,210.90 |
1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,000 |
$23,644.80 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$18,324 |
$77,311.40 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,539 |
$29,007.10 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$11,539 |
$48,503.50 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$11,539 |
$48,503.50 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$11,539 |
$48,503.50 |
1.0× |
| Vulvectomy simple partial (56620) |
$3,235 |
$13,239.20 |
1.0× |
| Wedge excision skin nail fold (11765) |
$406 |
$1,758 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$406 |
$2,414.45 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$738 |
$8,576.80 |
1.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$7,253 |
$18,865.50 |
1.0× |