| Abd paracentesis w/imaging (49083) |
— |
$1,872 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,883 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$1,812 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$18,374 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$1,865 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$18,490.97 |
— |
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040)
range across 2 matching MRF lines |
— |
$32,255.83–$55,791.79 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$16,621.50 |
— |
| Amniocentesis diagnostic (59000) |
— |
$1,001 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$2,426 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$4,889 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$7,174 |
— |
| Amputation follow-up surgery (27594) |
— |
$7,174 |
— |
| Amputation foot transmetarsal (28805) |
— |
$9,043 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$32,237.08 |
— |
| Amputation thigh through femur any level (27590) |
— |
$8,398 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$9,043 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$21,912.88 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$7,237 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$8,372 |
— |
| Ankle Arthroscopy/Surgery (29892) |
— |
$1,846 |
— |
| Ankle disarticulation (27889) |
— |
$2,632 |
— |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
— |
$3,747 |
— |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
— |
$3,747 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$3,747 |
— |
| Anoscopy Control Bleeding (46614) |
— |
$3,747 |
— |
| Anoscopy diagnostic (46600) |
— |
$3,868 |
— |
| Anoscopy remove lesion (46610) |
— |
$3,747 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$3,747 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$3,389 |
— |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
— |
$3,747 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$428 |
— |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
— |
$6,695 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$2,213 |
— |
| Appendectomy (44950) |
— |
$4,582 |
— |
| Application cast elbow finger short arm (29075) |
— |
$740 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$238 |
— |
| Application finger splint static (29130) |
— |
$372 |
— |
Application long arm splint shoulder hand (29105)
range across 3 matching MRF lines |
— |
$428–$452 |
— |
| Application Long Leg Splint (29505) |
— |
$624 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$428 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$8,735 |
— |
| Application short leg splint calf foot (29515) |
— |
$757 |
— |
| Apply hand/wrist cast (29085) |
— |
$356 |
— |
| Apply long arm cast (29065) |
— |
$599 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$442 |
— |
| Apply Short Leg Cast (29405) |
— |
$770 |
— |
| Apply short leg cast (29425) |
— |
$73,136.82 |
— |
| Aqueous Shunt Extraoc Equat Plate Rsvr W/Graft (66180) |
— |
$11,780 |
— |
| Arterial puncture (36600) |
— |
$9,623.39 |
— |
Arthrd midtarsl/tarsometatarsal mult/transvrs (28730)
range across 2 matching MRF lines |
— |
$88,888.31–$186,728.95 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,306 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$2,028 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
— |
$1,656.82–$2,241.29 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$1,226.50–$1,356.69 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$849 |
— |
| Arthrodesis ankle open (27870) |
— |
$37,645 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$48,151.58 |
— |
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines |
— |
$40,055.45–$62,521.06 |
— |
Arthrodesis subtalar (28725)
range across 3 matching MRF lines |
— |
$113,019.18–$137,425.23 |
— |
| Arthrodesis triple (28715) |
— |
$151,916.98 |
— |
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 3 matching MRF lines |
— |
$66,837.88–$89,305.82 |
— |
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 3 matching MRF lines |
— |
$72,963.94–$94,700.59 |
— |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
— |
$15,825 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$8,372 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$8,339 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$10,096 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$19,084 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
— |
$9,282 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$2,132 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$11,016 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$8,588 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$2,556 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$13,567.17 |
— |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
— |
$76,657.38 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$1,435 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$12,063 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,078 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$2,798 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$835 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$573 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$3,052 |
— |
| Biopsy bone open superficial (20240) |
— |
$12,864.72 |
— |
| Biopsy external ear (69100) |
— |
$3,497 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,104 |
— |
| Biopsy nail unit (11755) |
— |
$1,966 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$9,207 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$2,759 |
— |
| Biopsy of palate, uvula (42100) |
— |
$555 |
— |
| Biopsy of rectum (45100) |
— |
$843 |
— |
| Biopsy Oropharynx (42800) |
— |
$587 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$3,051 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$1,036 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$2,738 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$368 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$2,209 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$4,582 |
— |
| Bladder Irrigation (51700) |
— |
$589 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$460 |
— |
| Blood Transfusion Service (36430) |
— |
$3,849 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$18,231 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$3,800 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,436 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$652 |
— |
| Bx Cervix (57500) |
— |
$1,958 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$4,069 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$9,164 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$5,467 |
— |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
— |
$5,467 |
— |
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines |
— |
$6,015.43–$10,570.82 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$1,635 |
— |
Cataract surgery complex (66982)
range across 3 matching MRF lines |
— |
$12,867.48–$14,080.89 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$232 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$557 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$691 |
— |
| Chemical Cautery Tissue (17250) |
— |
$521 |
— |
| Chemical Pleurodesis (32560) |
— |
$668 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,836 |
— |
| Chemodenerv Eccrine Glands (64650) |
— |
$756 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$756 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$756 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,836 |
— |
| Chest tube placement (32551) |
— |
$1,763 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$10,575 |
— |
| Circumcision 28 days or older (54161) |
— |
$3,946 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$6,225 |
— |
| Clear outer ear canal (69200) |
— |
$306 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$307 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$495 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$700 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$541 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,352 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$700 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$665 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$700 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$811 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$4,701 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$676 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$225 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$213 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,277 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$820.58 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,404 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$687 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,340 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$805 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$700 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$811 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$866 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$700 |
— |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
— |
$791 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$373 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$665 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$700 |
— |
| Closure Gastrostomy Surg (43870) |
— |
$2,869 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$616 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$866 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$541 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$866 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$823 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$4,701 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$901 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$589 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$1,056 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$949 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$999 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$1,002 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$877 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$2,246 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,323.70 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$700 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$700 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$866 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$744 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$479 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$510 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$1,955 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$790 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$702 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$3,670 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,097 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$879 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$700 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$847 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$700 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$1,111 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$1,002 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$816 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$886 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$1,015 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$811 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$307 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$833.30 |
— |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
— |
$5,697 |
— |
| Coccygectomy, primary (27080) |
— |
$1,905 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$358 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$26 |
— |
| Colonoscopy Stoma Control Bleeding (44391) |
— |
$5,485 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$5,485 |
— |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
— |
$5,485 |
— |
| Colonoscopy Through Stoma With Decompression (44408) |
— |
$663 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$5,485 |
— |
| Colonoscopy thru stoma (44388) |
— |
$5,269 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$5,485 |
— |
| Colonoscopy w/ablation (45388) |
— |
$14,738.40 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$3,384 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$5,485 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$5,485 |
— |
| Colpopexy extraperitoneal (57282) |
— |
$1,641 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$592 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$517 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$421 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$657 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$1,638 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$20,050.79 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$349 |
— |
| Colposcopy Vulva W/Biopsy (56821) |
— |
$437 |
— |
| Colpotomy; with drainage of pelvic abscess (57010) |
— |
$6,222 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$5,485 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$10,144.30 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$10,272 |
— |
| Complex Cystometrogram (51726) |
— |
$1,168 |
— |
| Complex drainage wound (10180) |
— |
$635 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$21,345.23 |
— |
| Conization of cervix (57520) |
— |
$10,272 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$646 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$710 |
— |
Correction hammertoe (28285)
range across 2 matching MRF lines |
— |
$7,074.67–$30,679.82 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$27,342.27 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$20,038 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$7,621 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$8,588 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$680 |
— |
| Curettage or cautery of anal fissure, including dilation of anal sphincter (separate procedure); subsequent Facility (46942) |
— |
$359 |
— |
| Cystometrogram W/Up (51727) |
— |
$896 |
— |
| Cystometrogram W/Vp (51728) |
— |
$1,011 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$820 |
— |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
— |
$2,793 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$7,765 |
— |
| Cystourethroscopy (52000) |
— |
$2,197 |
— |
| Cystourethroscopy tx female urethral syndrome (52285) |
— |
$1,782 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$1,046 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$576 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$7,826 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,093 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$1,310 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$3,205 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$4,716 |
— |
| Debride nail 1-5 (11720) |
— |
$177 |
— |
| Debride nail 6 or more (11721) |
— |
$177 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$4,493 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$4,453 |
— |
| Declot vascular device (36593) |
— |
$1,800 |
— |
| Decompression of tibia nerve (28035) |
— |
$6,053.79 |
— |
| Delivery of placenta (59414) |
— |
$2,534 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$2,380 |
— |
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines |
— |
$8,311.64–$10,002.36 |
— |
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines |
— |
$12,404.40–$13,051.54 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$597 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$573 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$2,380 |
— |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
— |
$5,077 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$835 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$2,380 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$3,368 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$549 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$549 |
— |
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines |
— |
$6,037.49–$7,293.01 |
— |
| Destruction of rectal tumor transanal approach (45190) |
— |
$7,450 |
— |
| Destruction of skin lesions (17106) |
— |
$1,002 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$179 |
— |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$1,386 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$466 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$7,734.05 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$4,528 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,836 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$835 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$230 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$611 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$611 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$651 |
— |
| Drainage of eye (65800) |
— |
$2,893 |
— |
| Drainage of finger abscess simple (26010) |
— |
$618 |
— |
| Drainage of gum lesion (41800) |
— |
$569 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$6,090 |
— |
| Drainage of nose lesion (30000) |
— |
$486 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$4,628.15 |
— |
| Drainage of scrotum (54700) |
— |
$2,214 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$358 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$487 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$574 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$487 |
— |
| Dstrj Lesion Anus Extensive (46924) |
— |
$762 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$4,806 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$609 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$7,126.33 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,380 |
— |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
— |
$2,380 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$3,876 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$634 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$5,425 |
— |
| Egd cautery tumor polyp (43250) |
— |
$4,806 |
— |
| Egd control bleeding any (43255) |
— |
$4,622 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$13,376.31 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$21,591.84 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$21,591.84 |
— |
| Egd lesion ablation (43270) |
— |
$4,783 |
— |
| Egd place gastrostomy tube (43246) |
— |
$6,570 |
— |
| Egd remove lesion snare (43251) |
— |
$4,806 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$21,591.84 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$21,591.84 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$789 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$789 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$247 |
— |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
— |
$2,381 |
— |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
— |
$3,876 |
— |
| Endometrial Biopsy (58100) |
— |
$417 |
— |
| Endoscopic plantar fasciotomy (29893) |
— |
$9,017 |
— |
| Endoscopic us exam esoph (43237) |
— |
$21,591.84 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$647 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$5,945 |
— |
| Enucleation Eye Implt Musc X Attached Implt (65103) |
— |
$12,717 |
— |
| Epidural Blood Patch (62273) |
— |
$3,851 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$6,823 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$4,389 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$11,890.27 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$4,895 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$11,890.27 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$4,895 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$4,895 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$11,890.27 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$195 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$1,421 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$4,137 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$16,181.58 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$7,954.81 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$2,749 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$7,967 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$6,152 |
— |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
— |
$2,969 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$3,711 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$4,915.67 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$4,358 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$2,609 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$6,492.54 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$9,959.13 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$4,502.87 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$8,598 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$6,052.10 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$1,927 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$4,019 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$22,424.28 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$12,791.97 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$7,830.83 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$3,537 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$5,780 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$1,351 |
— |
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines |
— |
$7,637.22–$14,427.70 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$1,379 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$3,738 |
— |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
— |
$3,738 |
— |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
— |
$5,400 |
— |
| Exc neuroma hand/foot xcp digital nerve (64782) |
— |
$5,445 |
— |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
— |
$2,462 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$5,046 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$14,103.48 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$8,906 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$10,701.85 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$11,530.99 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$4,571 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$4,144 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$7,759.27 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$10,790.78 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$1,521 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$7,071 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$6,947 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$16,990 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$9,548.03 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$7,496.33 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$2,097 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$2,948 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$6,881 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$2,711 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$4,171 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$21,613.01 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$2,518 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$3,537 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$4,669 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$7,759.98 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$3,655 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$3,369 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$1,661 |
— |
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104)
range across 2 matching MRF lines |
— |
$16,254.52–$19,891.29 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$6,530 |
— |
| Exc/fulguration urethral caruncle (53265) |
— |
$726 |
— |
| Exchange Intraocular Lens (66986) |
— |
$3,249 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$780 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$12,998.56 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$1,960 |
— |
| Excision H/P/P/U Complex Repair (11471) |
— |
$3,683 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$4,034 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$3,683 |
— |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
— |
$3,683 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$3,683 |
— |
| Excision Lesion Conjunctiva </1 Cm (68110) |
— |
$1,204 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$4,164.82 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$3,497 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$3,711 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$8,943 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$8,310.02 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$3,497 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$14,653.65 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$12,264.80 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$3,497 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$3,711 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$12,638 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$5,006 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$3,959 |
— |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
— |
$4,582 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$4,442 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$4,918 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$4,430 |
— |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
— |
$15,344 |
— |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
— |
$4,269 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$774 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$4,278 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$1,547 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$3,928 |
— |
| Excision olecranon bursa (24105) |
— |
$39,677.16 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$9,017 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$9,771.87 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$7,726 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$14,606 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$1,362 |
— |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
— |
$1,736 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$7,904.77 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$21,134.13 |
— |
Excision tumor soft tissue foot/toe subq <1.5cm (28043)
range across 2 matching MRF lines |
— |
$9,590.75–$15,997.62 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$1,638 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$1,969 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$4,346 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$1,584 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$3,327 |
— |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
— |
$9,204 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$2,024 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$2,609 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$1,865 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$2,969 |
— |
| Excision/Transposition Pterygium W/O Graft (65420) |
— |
$2,312 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$5,473 |
— |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
— |
$3,298 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$5,641 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$3,883 |
— |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
— |
$3,767 |
— |
| Explore for undescended testis (54550) |
— |
$4,424 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$1,934 |
— |
Fasciectomy Plantar Fascia Partial Spx (28060)
range across 2 matching MRF lines |
— |
$10,152.34–$76,741.92 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$3,219 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$1,197 |
— |
| Fasciotomy, hip or thigh, any type (27025) |
— |
$3,778 |
— |
| Fetal non-stress test (59025) |
— |
$326 |
— |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
— |
$4,979 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$324 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,618 |
— |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
— |
$2,603 |
— |
| Fstlj Sclera Glc Trbec Ab Externo Scarring (66172) |
— |
$4,524 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$2,264 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$3,772 |
— |
Fusion of foot bones (28740)
range across 2 matching MRF lines |
— |
$50,449.84–$105,179.44 |
— |
Gastrocnemius recession (27687)
range across 3 matching MRF lines |
— |
$66,576.63–$115,644.74 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$8,021 |
— |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
— |
$2,801 |
— |
| Goniotomy (65820) |
— |
$2,406 |
— |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
— |
$4,959 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$5,465 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$8,186 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$7,758 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$17,965.37 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
— |
$2,166 |
— |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
— |
$9,209 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$939 |
— |
| Hemorrhoidopexy by stapling (46947) |
— |
$944 |
— |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
— |
$12,613 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$3,103 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$8,520 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$4,395.23 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$3,473 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$1,671 |
— |
| I&d abscess simple (10060) |
— |
$1,538.16 |
— |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
— |
$7,690.14 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$3,000 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$2,889 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,321 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$431 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$596 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$4,608 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$5,465 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$5,465 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$5,465 |
— |
| Implant neuroelectrodes (63650) |
— |
$17,830 |
— |
| Implant Neuroelectrodes (64561) |
— |
$17,830 |
— |
| Implant Spine Infusion Pump (62362) |
— |
$49,291 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$18,192.10 |
— |
| Incise external hemorrhoid (46083) |
— |
$739 |
— |
| Incise finger tendon sheath (26055) |
— |
$3,996.37 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,041 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$3,901 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$5,265.60 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$2,513.74 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$589 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$4,853 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$6,342 |
— |
| Incision of Foot Tendon (28234) |
— |
$5,467 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$4,164.82 |
— |
| Incision of lymph channels (38308) |
— |
$8,986 |
— |
| Incision of rectal abscess (46040) |
— |
$3,959 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$912 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,052 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$277 |
— |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines |
— |
$3,960.28–$5,345.85 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$740 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$2,489.20 |
— |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 5 matching MRF lines |
— |
$2,267–$4,528 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$2,806.06 |
— |
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines |
— |
$3,360.41–$3,412.07 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$2,489.20 |
— |
Injection aa&/strd genicular nrv branches w/img (64454)
range across 4 matching MRF lines |
— |
$2,857.40–$3,272.39 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$5,630.28 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$2,489.20 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$1,836 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,836 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$2,489.20 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$756 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$2,380 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,836 |
— |
| Injection Into Brain Canal (61055) |
— |
$2,421 |
— |
| Injection into disk lesion (62292) |
— |
$5,077 |
— |
| Injection into spinal artery (62294) |
— |
$2,380 |
— |
Injection single tendon origin/insertion (20551)
range across 4 matching MRF lines |
— |
$732–$849 |
— |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
— |
$2,371.65–$2,569.32 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$2,198.33 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$2,134 |
— |
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines |
— |
$732–$756 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$2,380 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,836 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
— |
$3,009.21–$3,632.25 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$756 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$574 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$2,380 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$2,380 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$2,380 |
— |
| Insert cath pleura w/o image (32556) |
— |
$1,320 |
— |
| Insert Drug Implant Device (11981) |
— |
$454 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$4,895 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,663 |
— |
| Insert pessary/other device (57160) |
— |
$480 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$840 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$8,318.36 |
— |
| Insert tun ip cath perc (49418) |
— |
$9,449 |
— |
| Insert tunneled cv cath (36561) |
— |
$8,826.60 |
— |
| Insert tunneled cv cath (36563) |
— |
$1,281 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$5,817.68 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,592 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$3,420 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$1,301 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$1,209 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,343 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$4,863 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$7,834 |
— |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
— |
$85,215 |
— |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
— |
$410 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$891 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$951 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,882 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$7,883.42 |
— |
| Irdec Crnlsclrl/Crnl Sctj Prph Glc Spx (66625) |
— |
$1,415 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$714 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$8,339 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$5,025 |
— |
| Laparoscopy aspiration (49322) |
— |
$14,663 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$13,643 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$10,419 |
— |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines |
— |
$14,869.05–$18,091.20 |
— |
| Laparoscopy W/Lysis Of Adhesions (58660) |
— |
$5,447 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$7,040 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$34,786.82 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$4,223 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$23,770.40 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$13,327 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$7,782 |
— |
| Laparoscopy, surgical; urethral suspension for stress incontinence Facility (51990) |
— |
$3,225 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$8,113 |
— |
| Laparoscopy, Tubal Block (58671) |
— |
$15,397 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$8,423 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$6,225 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$4,468 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$401 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$334 |
— |
| Late closure of wound (13160) |
— |
$4,979 |
— |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
— |
$1,147 |
— |
| Ligate leg veins open (37761) |
— |
$2,130 |
— |
| Ligation of hemorrhoids (46946) |
— |
$879 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$2,841 |
— |
| Lip Surgery Procedure (40799) |
— |
$3,556 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$3,964 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$7,565.36 |
— |
| Mast mod rad (19307) |
— |
$14,606 |
— |
| Mastectomy partial (19301) |
— |
$2,167 |
— |
| Mastectomy simple complete (19303) |
— |
$10,814 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$709 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$27,272.80 |
— |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
— |
$5,133 |
— |
| Muscle-skin graft trunk (15734) |
— |
$9,266 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$2,489.20 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$1,873 |
— |
| N block inj intercost sng (64420) |
— |
$5,630.28 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$835 |
— |
| N Block Inj Pudendal (64430) |
— |
$2,380 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$2,380 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$309 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$2,609 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$4,542 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$85 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$85 |
— |
| Neurectomy Popliteal (27326) |
— |
$5,206 |
— |
| Neuroeltrd Stim Post Tibial (64566) |
— |
$756 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$13,698.88 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$1,946 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$777 |
— |
| Nipple/areola reconstruction (19350) |
— |
$2,633 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$2,489.20 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$808.85 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$989 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines |
— |
$3,903.87–$5,737.47 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$2,380 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$2,681.71 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$2,733.80 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$2,380 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$16,497 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$2,687.86 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$2,380 |
— |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
— |
$3,232.43–$4,726.71 |
— |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$4,018 |
— |
| Open Implantation Nea Peripheral Nerve (64575) |
— |
$32,519 |
— |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) |
— |
$59,269 |
— |
| Open treatment calcaneal fracture (28415) |
— |
$41,277.62 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$50,401.22 |
— |
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines |
— |
$56,871.70–$72,218.88 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$39,177.61 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$8,189 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$9,017 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$15,998 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$8,194 |
— |
Open tx tarsal fracture xcp talus & calcaneus ea (28465)
range across 2 matching MRF lines |
— |
$64,658.86–$112,374.83 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$8,588 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$38,934.18 |
— |
| Ostectomy calcaneus (28118) |
— |
$47,914.80 |
— |
Ostectomy Complete Other Metatarsal Head 2/3/4 (28112)
range across 2 matching MRF lines |
— |
$22,715.25–$66,940.33 |
— |
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines |
— |
$16,878.48–$66,940.33 |
— |
Ostectomy, complete excision; first metatarsal head (28111)
range across 2 matching MRF lines |
— |
$23,066.11–$66,940.33 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$36,753.48 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$18,231 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$40,221.64 |
— |
Osteotomy calcaneus w/wo internal fixation (28300)
range across 2 matching MRF lines |
— |
$83,029.75–$87,023.36 |
— |
| Osteotomy radius distal third (25350) |
— |
$14,631 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$12,346 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$3,327 |
— |
Part remv talus or calcaneus (28120)
range across 3 matching MRF lines |
— |
$41,086.65–$77,627.01 |
— |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) |
— |
$3,453 |
— |
| Partial removal of tibia (27640) |
— |
$109,264.57 |
— |
| Partial removal of toe (28160) |
— |
$4,681 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$6,525 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$54,467.43 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$3,654 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$3,051 |
— |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) |
— |
$32,519 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,406 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$18,131 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$18,131 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$506 |
— |
| Placement of seton (46020) |
— |
$3,029 |
— |
| Plastic Repair Introitus (56800) |
— |
$2,483 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$2,851 |
— |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
— |
$4,380 |
— |
| Proctopexy Perineal Approach (45541) |
— |
$3,862 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$3,961 |
— |
| Proctosgmdsc Rigid Control Bleeding (45317) |
— |
$4,175 |
— |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
— |
$4,175 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$4,175 |
— |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
— |
$4,175 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$4,175 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$4,175 |
— |
| Proctosigmoidoscopy, rigid; with decompression of volvulus Facility (45321) |
— |
$4,175 |
— |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
— |
$17,830 |
— |
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines |
— |
$10,370.80–$45,266.58 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$9,932.75 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$487 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,476 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$1,836 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$5,077 |
— |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
— |
$9,017 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$19,827 |
— |
| Realignment of knee (27455) |
— |
$4,704 |
— |
| Reconstruct extra finger (26587) |
— |
$8,579 |
— |
| Reconstruct lip with flap (40525) |
— |
$2,281 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$52,602.70 |
— |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
— |
$4,167 |
— |
| Release of big toe (28240) |
— |
$21,472.03 |
— |
| Relieve Pressure on Nerve(S) (64722) |
— |
$5,077 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$956 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$1,154 |
— |
| Removal foreign body foot deep (28192) |
— |
$2,480 |
— |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
— |
$6,679.01–$7,239.65 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$4,493 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$207 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$267 |
— |
Removal Implant Deep (20680)
range across 3 matching MRF lines |
— |
$12,824.20–$142,449.17 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$1,517 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$517 |
— |
| Removal of adenoids (42830) |
— |
$8,743 |
— |
| Removal of anal fissure (46200) |
— |
$12,810.63 |
— |
| Removal of cervix (57530) |
— |
$1,355 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$225 |
— |
Removal of heel spur (28119)
range across 3 matching MRF lines |
— |
$6,632.83–$63,339.67 |
— |
| Removal of intranasal lesion (30118) |
— |
$2,814 |
— |
| Removal of nail bed (11750) |
— |
$4,880 |
— |
| Removal of residual cervix (57550) |
— |
$9,783 |
— |
| Removal of sesamoid bone (28315) |
— |
$8,839.65 |
— |
| Removal of sperm cord lesion (55520) |
— |
$4,005 |
— |
| Removal of testis (54520) |
— |
$5,473 |
— |
| Removal of tonsils (42825) |
— |
$8,743 |
— |
| Removal of tonsils (42826) |
— |
$4,566 |
— |
| Removal of vein clot (34490) |
— |
$2,531 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$356 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$3,165 |
— |
| Removal sweat gland lesion (11450) |
— |
$3,333 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$356 |
— |
| Remove drug implant device (11982) |
— |
$347 |
— |
| Remove eye/attach implant (65105) |
— |
$12,717 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$3,153 |
— |
| Remove foreign body from eye (65205) |
— |
$799 |
— |
| Remove groin lymph nodes (38760) |
— |
$4,131 |
— |
| Remove Intrauterine Device (58301) |
— |
$480 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$34,461.51 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$192 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$1,619 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$3,606 |
— |
| Remove thigh pressure sore (15956) |
— |
$5,584 |
— |
| Remove thyroid lesion (60200) |
— |
$2,613 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$615 |
— |
| Renal Biopsy Perq (50200) |
— |
$3,051 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$2,896 |
— |
| Repair blood vessel with vein graft; lower extremity Facility (35256) |
— |
$3,773 |
— |
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 3 matching MRF lines |
— |
$77,402.72–$100,117.10 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,583 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,194 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,082 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$2,778 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$3,104 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,618 |
— |
| Repair Ectropion Extensive (67917) |
— |
$2,737 |
— |
| Repair Elbow Perc (24357) |
— |
$10,491 |
— |
| Repair Entropion Suture (67921) |
— |
$5,904 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$2,125 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$9,076 |
— |
| Repair Fistula Oromaxillary (30580) |
— |
$14,516 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$72,963.94 |
— |
Repair Foot Dislocation (28615)
range across 3 matching MRF lines |
— |
$97,619.50–$186,728.95 |
— |
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines |
— |
$12,017.70–$20,439.72 |
— |
| Repair Hand Tendon (26410) |
— |
$2,830 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$4,965 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$9,405 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$3,654 |
— |
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 2 matching MRF lines |
— |
$17,679.06–$23,628.11 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$8,598 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$2,154 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,088.95 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$15,839.08 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,471 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$833 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$2,154 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$10,089.06 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,715.17 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,471 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$11,856.13 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$15,721.29 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$9,504.75 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$891 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$983 |
— |
Repair lower leg tendons (27676)
range across 3 matching MRF lines |
— |
$68,345.51–$100,654.86 |
— |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
— |
$1,785 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$20,038 |
— |
| Repair of nail bed (11760) |
— |
$513 |
— |
| Repair of rectocele (45560) |
— |
$6,916 |
— |
| Repair of rectum (45505) |
— |
$5,733 |
— |
| Repair of urethra injury (53502) |
— |
$3,221 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$6,498 |
— |
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines |
— |
$47,914.80–$53,728.29 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$1,212 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$39,677.16 |
— |
| Repair tongue laceration (41252) |
— |
$1,825 |
— |
| Repair, acquired or traumatic arteriovenous fistula; head and neck Facility (35188) |
— |
$4,167 |
— |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
— |
$8,304 |
— |
| Repair, congenital arteriovenous fistula; head and neck Facility (35180) |
— |
$8,300 |
— |
Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665)
range across 2 matching MRF lines |
— |
$33,421.07–$142,449.17 |
— |
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 3 matching MRF lines |
— |
$57,715.74–$151,916.98 |
— |
| Replace g/c tube perc (49450) |
— |
$281 |
— |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
— |
$7,122 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$2,537 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$8,839.65 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$1,001 |
— |
| Retrobulbar injection (67500) |
— |
$756 |
— |
| Revise hernia & sperm veins (55540) |
— |
$6,095 |
— |
| Revise knuckle joint (26530) |
— |
$20,038 |
— |
| Revision of big toe (28310) |
— |
$77,350.10 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
— |
$5,425 |
— |
| Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44314) |
— |
$4,162 |
— |
| Revision of leg vein (37780) |
— |
$1,070 |
— |
| Revision of lower leg tendon (27685) |
— |
$8,205 |
— |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
— |
$4,522 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$17,830 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$9,479 |
— |
| Revj/rpr oprative wound anterior segment (66250) |
— |
$5,383 |
— |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
— |
$7,571 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$1,239 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$377 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$545 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$622 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$276 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$622 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$6,137 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$7,572 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$1,117 |
— |
| Rmvl Lens Material Aspir Tq 1/> Stages (66840) |
— |
$2,595 |
— |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
— |
$5,077 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$5,077 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$16,497 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$5,489.70 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$2,226 |
— |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
— |
$6,631 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$658 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$8,422 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$19,824.23 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$16,203.28 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$9,763 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$9,763 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$15,316 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$9,763 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$15,322.60 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$21,560.73 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$3,122 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$891 |
— |
Rpr flexor tendon leg secondary w/o graft each (27659)
range across 2 matching MRF lines |
— |
$89,039.61–$104,704.77 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$891 |
— |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
— |
$20,038 |
— |
Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200)
range across 2 matching MRF lines |
— |
$24,849.13–$132,401.29 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$2,221 |
— |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
— |
$2,712 |
— |
| Scrotal exploration (55110) |
— |
$9,818 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$4,436 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$6,492.40 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$240 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$162 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$328 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$27,272.80 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$27,272.80 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$8,588 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$263 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$101 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$392 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$4,436 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$4,436 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$19,350.75 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$4,436 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$9,227.62 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$4,436 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$951 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$6,938.89 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$805 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$912 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$864 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$1,068 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$2,851.84 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,010 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$3,475.01 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$2,154 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$27,272.80 |
— |
| Skin Pedicle Flap Trunk (15570) |
— |
$50,102.44 |
— |
| Skin Pinch Graft (15050) |
— |
$27,272.80 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$16,878.48 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$5,863 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$9,854 |
— |
| Skin Tissue Procedure (17999) |
— |
$715.30 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$5,228 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$13,022 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$979 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$846 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,042 |
— |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
— |
$3,131 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$2,631 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,836 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$3,014 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$9,204 |
— |
| Strapping ankle (29540) |
— |
$356 |
— |
| Strapping elbow or wrist (29260) |
— |
$238 |
— |
| Strapping hand/finger (29280) |
— |
$392 |
— |
| Strapping Hip (29520) |
— |
$356 |
— |
| Strapping knee (29530) |
— |
$356 |
— |
| Strapping shoulder (29240) |
— |
$153 |
— |
| Strapping thorax (29200) |
— |
$310 |
— |
| Strapping toes (29550) |
— |
$356 |
— |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
— |
$371–$452 |
— |
| Surg tx anal fistula subq (46270) |
— |
$7,123 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$4,046 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$2,416 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$9,965 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$573 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$99,456.60 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$4,609 |
— |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
— |
$6,088 |
— |
| Thyroid biopsy (60100) |
— |
$1,478 |
— |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
— |
$13,825 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$5,305 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$4,196 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$6,465 |
— |
| Tooth extraction (41899) |
— |
$4,411 |
— |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
— |
$3,717 |
— |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
— |
$1,105 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$2,133 |
— |
| Transfer skin pedicle flap (15650) |
— |
$12,291 |
— |
| Translum Dil Eye Canal (66174) |
— |
$6,769 |
— |
| Treat ankle fracture (28445) |
— |
$19,084 |
— |
| Treat Big Toe Fracture (28505) |
— |
$11,157.45 |
— |
| Treat humerus fracture (24500) |
— |
$805 |
— |
| Treat Humerus Fracture (24505) |
— |
$700 |
— |
| Treat humerus fracture (23600) |
— |
$982 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$866 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$646.67 |
— |
| Treat Thumb Dislocation (26641) |
— |
$1,004 |
— |
| Treat Thumb Fracture (26645) |
— |
$700 |
— |
| Treat toe dislocation (28630) |
— |
$700 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$1,590 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,219 |
— |
| Trim skin lesion (11055) |
— |
$573 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$573 |
— |
| Trim skin lesions over 4 (11057) |
— |
$573 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$177 |
— |
| Tubal ligation (58600) |
— |
$2,805 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$7,145 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$88 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$3,620 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$19,084 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,589 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$822 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$811 |
— |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
— |
$7,524 |
— |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
— |
$326 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$1,633 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$21,591.84 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$15,039 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$5,660 |
— |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
— |
$2,086 |
— |
Unlisted Procedure Casting/Strapping (29799)
range across 3 matching MRF lines |
— |
$356–$517 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$27,272.80 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$653 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$866 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$700 |
— |
| Unlisted procedure nervous system (64999) |
— |
$756 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$8,564 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$8,415 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$757 |
— |
| Vaginal delivery only (59409) |
— |
$4,893 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$10,272 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$5,229 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$47 |
— |
| Vulvectomy simple partial (56620) |
— |
$10,272 |
— |
| Wedge excision skin nail fold (11765) |
— |
$1,076 |
— |
| Windowing of cast (29730) |
— |
$356 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$16,878.48 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$4,941 |
— |
| Xfer Single Deep Low Leg Tendon (27691) |
— |
$109,264.57 |
— |