| Abd paracentesis w/imaging (49083) |
— |
$4,200.06 |
— |
| Acne surgery (10040) |
— |
$150,355.83 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$2,259 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$69,461.94 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$1,704 |
— |
| Amputation foot transmetarsal (28805) |
— |
$2,282 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$1,362 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$85,974.34 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$542 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$2,880 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$37,601.70 |
— |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
— |
$989 |
— |
| Anorectal myomectomy (45108) |
— |
$177,367.96 |
— |
| Anoscopy diagnostic (46600) |
— |
$191 |
— |
| Appendectomy (44950) |
— |
$3,103 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$261 |
— |
| Application finger splint static (29130) |
— |
$276 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$569 |
— |
| Application Long Leg Splint (29505) |
— |
$464 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$402 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$402 |
— |
| Application short leg splint calf foot (29515) |
— |
$486 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$407 |
— |
| Apply Short Leg Cast (29405) |
— |
$561 |
— |
| Apply short leg cast (29425) |
— |
$560 |
— |
| Arterial puncture (36600) |
— |
$295 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$2,084 |
— |
| Artery-vein autograft (36825) |
— |
$1,133 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$883 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,508 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$3,325.11 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$26,059.10 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$400 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$182,339.98 |
— |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
— |
$146,905.51 |
— |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
— |
$138,084.29 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
— |
$104,313.09–$115,910.84 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$194,131.12 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$149,826.79 |
— |
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines |
— |
$56,570.25–$56,689.22 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$2,246 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$2,629 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$911 |
— |
| Av fistula revision (36833) |
— |
$2,547 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$657 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$3,449 |
— |
| Biopsy bone open deep (20245) |
— |
$1,108 |
— |
| Biopsy bone open superficial (20240) |
— |
$453 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,384 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,414 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,449 |
— |
| Biopsy nail unit (11755) |
— |
$1,291 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$55,720.86 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$3,449 |
— |
| Biopsy of rectum (45100) |
— |
$49,597.49 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$3,449 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,449 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$239 |
— |
| Bladder Scan (51798) |
— |
$242 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$1,120 |
— |
| Blood Transfusion Service (36430) |
— |
$2,436 |
— |
| Bone Marrow Biopsy (38221) |
— |
$3,449 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$891 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$4,388 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,647.80 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$5,156.24 |
— |
| Bx Cervix (57500) |
— |
$1,257 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$118,583.74 |
— |
Carpal Tunnel Surgery (64721)
range across 2 matching MRF lines |
— |
$52,391.30–$56,408.75 |
— |
Cataract surgery complex (66982)
range across 2 matching MRF lines |
— |
$13,659.33–$16,126.01 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$11,081 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$2,125 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$793.10 |
— |
| Chest tube placement (32551) |
— |
$3,026 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$4,855 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$1,046 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$2,309 |
— |
| Claviculectomy partial (23120) |
— |
$107,747.41 |
— |
| Clear outer ear canal (69200) |
— |
$569 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$477 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$2,243 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$704 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$679 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,589 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$983 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$693 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$1,266 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$1,583 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$5,022 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$2,691 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$3,348 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$478 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$1,075 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$477 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$5,178 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$1,087 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$5,022 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$645 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$4,809 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$645 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$5,022 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$615 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$5,022 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,929 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$49 |
— |
| Colonoscopy thru stoma (44388) |
— |
$9,297.93 |
— |
| Colonoscopy w/ablation (45388) |
— |
$864 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$728 |
— |
| Complex drainage wound (10180) |
— |
$598 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$654 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$188,607.83 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$3,449 |
— |
| Correction hammertoe (28285) |
— |
$183,807.54 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$955 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$888 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$84,646.74 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$493 |
— |
| Debride nail 1-5 (11720) |
— |
$136 |
— |
| Debride nail 6 or more (11721) |
— |
$170 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$716 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$58,740.89 |
— |
| Declot vascular device (36593) |
— |
$36,163.56 |
— |
| Decompression of tibia nerve (28035) |
— |
$1,163 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$701 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$691 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$196 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$374 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$819 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$168 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$9,103.09 |
— |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
— |
$1,441 |
— |
| Diverticulectomy of hypopharynx or esophagus, with or without myotomy; cervical approach (43130) |
— |
$3,751 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$26,059.10 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$1,678 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$813 |
— |
| Drainage of finger abscess simple (26010) |
— |
$1,033 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$3,652 |
— |
| Drainage of hydrocele (55000) |
— |
$2,028 |
— |
| Drainage of perirenal or renal abscess, open Facility (50020) |
— |
$3,150 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$363 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$1,081 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$519 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$289 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$729 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$491 |
— |
| Egd cautery tumor polyp (43250) |
— |
$1,460 |
— |
| Egd control bleeding any (43255) |
— |
$14,223.29 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$559 |
— |
| Egd endo mucosal resection (43254) |
— |
$19,119.82 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$694 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$565 |
— |
| Egd guide wire insertion (43248) |
— |
$530 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$19,119.82 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$33,341.05 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$33,341.05 |
— |
| Egd lesion ablation (43270) |
— |
$19,119.82 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$33,341.05 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$19,119.82 |
— |
| Egd place gastrostomy tube (43246) |
— |
$638 |
— |
| Egd remove lesion snare (43251) |
— |
$19,119.82 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$33,341.05 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$33,341.05 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$382 |
— |
| Egd Varices Ligation (43244) |
— |
$781 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$19,119.82 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$19,119.82 |
— |
| Embedded ip cath exit-site (49436) |
— |
$174,383.23 |
— |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
— |
$1,885 |
— |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
— |
$1,892 |
— |
| Endometrial Biopsy (58100) |
— |
$260 |
— |
| Endoscopic us exam esoph (43237) |
— |
$19,119.82 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$38,081.46 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$38,081.46 |
— |
| Epididymectomy bilateral (54861) |
— |
$842 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$5,365 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$38,081.46 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$33,341.05 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$38,081.46 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$38,081.46 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$38,081.46 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$38,081.46 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$38,081.46 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$38,081.46 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$38,081.46 |
— |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
— |
$2,616 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$188 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$2,009 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$347 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$503 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$1,180 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$2,982 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$3,186 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$663 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$583 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$1,222 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$1,356 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$412 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$522 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$579 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$710 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$895 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$58,789.91 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$806 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$1,856 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$864 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$864 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$438 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$794 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$464 |
— |
| Exc Rct Tum Incl Muscularis Propria (45172) |
— |
$3,280 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$177,367.96 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$454 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$713 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$1,056 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$757 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$1,219 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$675 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$945 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$1,025 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$58,944.91 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$94,601.58 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$324 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$576 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$500 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$2,124 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$92,405.98 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$65,352.57 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$63,836.27 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$94,601.58 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$94,601.58 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$94,601.58 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$1,228 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$915 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$2,228 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$94,601.58 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$49,232.98 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$5,884 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$2,371 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$623 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$1,716 |
— |
| Excision H/P/P/U Complex Repair (11471) |
— |
$523 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$428 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$1,072 |
— |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
— |
$493 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$375 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$901 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$477 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$521 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$684 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$407 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$990 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$1,590 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$395 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$482 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$901 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$766 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$194,960.27 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$1,066 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$2,058 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$1,087 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$1,318 |
— |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
— |
$177,367.96 |
— |
| Excision olecranon bursa (24105) |
— |
$53,917.01 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$2,327 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$1,451 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$1,737 |
— |
| Excision synovial cyst popliteal space (27345) |
— |
$737 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$2,009 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$503 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$391 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$94,601.58 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$62,247.35 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$1,655 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$174,383.23 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$1,013 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$3,508 |
— |
| Explore/Treat Wrist Joint (25040) |
— |
$2,699 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$79,669.32 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$79,669.32 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$2,303 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$272 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$731 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$2,082 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,404 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$2,028 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$172,300.66 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$1,111 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$62,910.52 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
— |
$792 |
— |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
— |
$623 |
— |
| I&d abscess simple (10060) |
— |
$607 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$52,387.03 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$1,309 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$2,074 |
— |
| I&d forearm/wrist bursa (25031) |
— |
$560 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$1,942 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$2,821 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$512 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$1,714 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$38,081.46 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$5,448 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$5,448 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$4,720 |
— |
| Incise external hemorrhoid (46083) |
— |
$739 |
— |
| Incise finger tendon sheath (26055) |
— |
$42,582.77 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,371 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$1,268 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$562 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,224 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,164 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
— |
$3,073 |
— |
| Incision bone cortex foot (28005) |
— |
$1,941 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$43,798.32 |
— |
| Incision of rectal abscess (46040) |
— |
$1,698 |
— |
| Incision&drainage bursa foot (28001) |
— |
$143 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$496 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$418 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$490 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$26,059.10 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$804 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$290 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$3,885 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$152 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$883 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$219 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$1,575 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$8,706 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$11,449 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$14,965 |
— |
| Insert cath pleura w/ image (32557) |
— |
$3,227 |
— |
| Insert cath pleura w/o image (32556) |
— |
$3,981 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$1,452 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$1,525 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,799 |
— |
| Insert pessary/other device (57160) |
— |
$178 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$1,211.10 |
— |
| Insert tunneled cv cath (36561) |
— |
$1,062 |
— |
| Insert tunneled cv cath (36563) |
— |
$131,186.94 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$131,186.94 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$5,240 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$25,439 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$5,806 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$488 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$25,858.29 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$131,186.94 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$131,186.94 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$131,186.94 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$2,126 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$31,031 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,210 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,550 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,456 |
— |
| Lap replace gastr adj device (43773) |
— |
$19,119.82 |
— |
| Lap revision perm ip cath (49325) |
— |
$174,383.23 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$4,675 |
— |
| Laparoscopy aspiration (49322) |
— |
$2,380 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$19,119.82 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$47,753.10 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$96,076.59 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$5,227 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$19,119.82 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$19,119.82 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$4,156 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
— |
$5,310 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$731 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$4,530 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$1,713 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$1,667 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$335 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$19,119.82 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$8,372 |
— |
| Late closure of wound (13160) |
— |
$112,748.09 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$830 |
— |
| Ligate leg veins open (37761) |
— |
$94,601.58 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$658 |
— |
| Low intensity ultrasound stimulation to aid bone healing, noninvasive (nonoperative) Facility (20979) |
— |
$220 |
— |
Manipulation knee joint under general anesthesia (27570)
range across 3 matching MRF lines |
— |
$32,027.27–$38,369.76 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$29,939.85 |
— |
| Mast mod rad (19307) |
— |
$3,801 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$644 |
— |
| Mastectomy partial (19301) |
— |
$118,583.74 |
— |
| Mastectomy simple complete (19303) |
— |
$3,085 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,821 |
— |
| Myelography Lumbar Injection (62304) |
— |
$2,821 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$2,844 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$2,821 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$819 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$252 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$38,081.46 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$3,023 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$3,449 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$61,175.79 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$1,050 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$1,505 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$10,006 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$284 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$5,838 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$5,838 |
— |
| Open bowel to skin (44300) |
— |
$4,073 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$150,509.50 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$152,210.90 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$84,646.74 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$147,989.56 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$150,509.50 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$147,989.56 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$147,989.56 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$147,989.56 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$147,989.56 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$84,646.74 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$150,030.69 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$172,214.82 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$97,249.56 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$12,880 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$150,509.50 |
— |
| Orchiopexy Ingun/Scrot Appr (54640) |
— |
$2,318 |
— |
| Ostectomy calcaneus (28118) |
— |
$170,605.13 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$150,509.50 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$147,989.56 |
— |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
— |
$1,430 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$514 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$3,433 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$710 |
— |
| Perq av fistula creation uxtr sep access sites (36837) |
— |
$662 |
— |
| Perq av fistula creation uxtr single access (36836) |
— |
$513 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,173 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,403 |
— |
| Place Cath Subclavian Art (36225) |
— |
$9,189 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$11,169 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$11,783 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$6,922 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$5,519 |
— |
| Proctopexy Perineal Approach (45541) |
— |
$74,991.44 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$5,777 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$345 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$301 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,177.29 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$39,512.46 |
— |
| Rad resect elbow caps/sr bone w rels (24149) |
— |
$3,825 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$94,601.58 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$1,540 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$1,054 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
— |
$94,601.58 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$8,086 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$8,676 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$4,860.72 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$258 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$347 |
— |
| Removal Implant Deep (20680) |
— |
$8,027 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$3,282 |
— |
| Removal of anal fissure (46200) |
— |
$45,809.18 |
— |
| Removal of bladder cyst (51500) |
— |
$174,383.23 |
— |
| Removal of bone lesion (23140) |
— |
$837 |
— |
| Removal of heel spur (28119) |
— |
$2,531 |
— |
| Removal of nail bed (11750) |
— |
$1,421 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$406 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$174,383.23 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$164 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$5,554 |
— |
| Removal sweat gland lesion (11450) |
— |
$845 |
— |
| Remove drug implant device (11982) |
— |
$440 |
— |
| Remove Intrauterine Device (58301) |
— |
$537 |
— |
| Remove intrvas foreign body (37197) |
— |
$7,784 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$585 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$1,035 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$137,722.87 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$28,845 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$1,194 |
— |
| Renal Biopsy Perq (50200) |
— |
$3,446 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,129 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,359 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$784 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,955 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$933 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,955 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,078 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$998 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$1,856 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$83,144.43 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$6,194.87 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,529 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,722 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$867 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$886 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,713 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,084 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,398 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,650 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$2,009 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,414 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$2,201 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,318 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,216 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$865 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,845 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,001 |
— |
| Repair iris ciliary body (66680) |
— |
$7,209 |
— |
| Repair of nail bed (11760) |
— |
$806 |
— |
| Repair of shoulder (23420) |
— |
$96,036.58 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$6,194.87 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$170,605.13 |
— |
| Repair tongue laceration (41250) |
— |
$1,430 |
— |
| Repair umbilical lesion (49600) |
— |
$1,086 |
— |
| Repair webbed toe(s) (28345) |
— |
$79,669.32 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$6,194.87 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$1,179 |
— |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
— |
$155,952.41 |
— |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
— |
$8,343 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$63,359.82 |
— |
| Resect forarm/wrist tum 3cm> (25078) |
— |
$1,727 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$94,601.58 |
— |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
— |
$1,543 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
— |
$1,735 |
— |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
— |
$3,020 |
— |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
— |
$927 |
— |
| Revj Ileostomy Simple Rls Superficial Scar Spx (44312) |
— |
$881 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$237,529.35 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$599,781.56 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$415 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$1,603 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$1,722 |
— |
Rmvl Lens Material Phacofragmentation Aspir (66850)
range across 2 matching MRF lines |
— |
$12,073.68–$33,496.51 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$608 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$438 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$32,019.35 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$8,883 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$93,854.82 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$1,025 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$69,112.51 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$75,429.52 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$2,378 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$1,244 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$76,166.26 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$1,981 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$1,926 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$1,415 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$607 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$6,194.87 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,268 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$164 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$269 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$269 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$229 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$340 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$340 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$269 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$164 |
— |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
— |
$252 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$692 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$1,096 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$1,017 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$494 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,505 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$255 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$1,017 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$448 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$416 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$52,370.01 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$83,192.42 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$13,930 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$17,482 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$1,177 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,771 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,791 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$235 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,412 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$2,619 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$858 |
— |
| Strapping ankle (29540) |
— |
$267 |
— |
| Strapping knee (29530) |
— |
$309 |
— |
| Strapping shoulder (29240) |
— |
$198 |
— |
| Strapping toes (29550) |
— |
$267 |
— |
| Strapping Unna Boot (29580) |
— |
$560 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$274 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$1,528 |
— |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
— |
$1,944 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$8,478 |
— |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
— |
$3,069 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$3,329 |
— |
| Thyroid biopsy (60100) |
— |
$3,942.69 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$5,860 |
— |
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines |
— |
$178,489.13–$187,966.93 |
— |
| Transfusion Intrauterine Fetal (36460) |
— |
$1,311.54 |
— |
| Treat Big Toe Fracture (28505) |
— |
$133,945.94 |
— |
| Treat forearm bone lesion (25035) |
— |
$887 |
— |
| Treat Humerus Fracture (24505) |
— |
$688 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$5,022 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$150,509.50 |
— |
| Trim skin lesion (11055) |
— |
$321 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$339 |
— |
| Trim skin lesions over 4 (11057) |
— |
$598 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$170 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$1,913 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$138,212.20 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$150,509.50 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,845 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$587 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$19,119.82 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$9,018 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$260,909.89 |
— |
| Unlisted Procedure Endocrine System (60699) |
— |
$7,080 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$84,646.74 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$431,242.13 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$96,644.57 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$60,889.50 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$2,176 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$914 |
— |
| Vasovasostomy vasovasorrhaphy (55400) |
— |
$741 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$14,566 |
— |
| Wedge excision skin nail fold (11765) |
— |
$195 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$52,370.01 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$83,192.42 |
— |