| Abd paracentesis w/imaging (49083) |
— |
$1,976 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,200 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$2,741 |
— |
| Ablate Pulm Tumor Perq Crybl (32994) |
— |
$9,668 |
— |
| Ablation 1/> liver tumor perq cryoablation (47383) |
— |
$10,200 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$13,042 |
— |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
— |
$7,830 |
— |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
— |
$2,777 |
— |
| Abrasion single lesion (15786) |
— |
$192 |
— |
| Acne surgery (10040) |
— |
$609 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$4,032 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$4,674 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$6,507 |
— |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
— |
$4,517 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$3,732 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$3,729 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$4,843 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$3,970 |
— |
| Allogeneic lymphocyte infusions (38242) |
— |
$3,826 |
— |
| Amniocentesis diagnostic (59000) |
— |
$915 |
— |
| Amniocentesis therapeutic (59001) |
— |
$551 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$4,448 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$4,388 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$6,168 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$5,922 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$5,475 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$594 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$1,090 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$4,033 |
— |
| Anoscopy Control Bleeding (46614) |
— |
$1,349 |
— |
| Anoscopy diagnostic (46600) |
— |
$795 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$1,392 |
— |
| Anoscopy remove lesion (46610) |
— |
$4,102 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$1,326 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$1,295 |
— |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
— |
$1,638 |
— |
| Apheresis Platelets (36513) |
— |
$2,254 |
— |
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 3 matching MRF lines |
— |
$382–$573 |
— |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
— |
$3,045 |
— |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
— |
$941 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$435 |
— |
Application cast elbow finger short arm (29075)
range across 12 matching MRF lines |
— |
$709–$1,418 |
— |
Application Cast Finger (29086)
range across 3 matching MRF lines |
— |
$306–$612 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$171 |
— |
| Application finger splint static (29130) |
— |
$302 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$629 |
— |
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 3 matching MRF lines |
— |
$706–$1,412 |
— |
| Application Long Leg Splint (29505) |
— |
$619 |
— |
Application of cylinder cast (thigh to ankle) (29365)
range across 3 matching MRF lines |
— |
$547–$1,094 |
— |
Application of long leg cast (29345)
range across 12 matching MRF lines |
— |
$1,468–$2,936 |
— |
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines |
— |
$921–$1,382 |
— |
Application Patellar Tendon Bearing Cast (29435)
range across 3 matching MRF lines |
— |
$420–$840 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$614 |
— |
| Application short leg splint calf foot (29515) |
— |
$539 |
— |
Apply hand/wrist cast (29085)
range across 3 matching MRF lines |
— |
$677–$1,016 |
— |
Apply long arm cast (29065)
range across 12 matching MRF lines |
— |
$767–$1,534 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
— |
$393–$590 |
— |
Apply Short Leg Cast (29405)
range across 12 matching MRF lines |
— |
$1,019–$2,038 |
— |
Apply short leg cast (29425)
range across 12 matching MRF lines |
— |
$779–$1,558 |
— |
| Arterial puncture (36600) |
— |
$182 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$16,650 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$806 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,114 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
— |
$1,222–$1,833 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines |
— |
$1,461–$2,192 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$575 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$3,896 |
— |
| Artificial insemination intra-cervical (58321) |
— |
$558 |
— |
| Artificial insemination intra-uterine (58322) |
— |
$491 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,927 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,644 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$583 |
— |
| Aspiration & Injection Treatment Bone Cyst (20615) |
— |
$856 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$751 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$4,360 |
— |
| Aspiration Bladder Needle (51100) |
— |
$657 |
— |
| Aspiration bladder trocar/intracatheter (51101) |
— |
$1,101 |
— |
| Av Fistula Revision Open (36832) |
— |
$11,120 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$534 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$7,497 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$10,200 |
— |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
— |
$9,456 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$4,902 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$2,802 |
— |
| Biopsy bone open superficial (20240) |
— |
$5,481 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$2,676 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$1,763 |
— |
| Biopsy External Auditory Canal (69105) |
— |
$3,044 |
— |
| Biopsy external ear (69100) |
— |
$857 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,245 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$2,797 |
— |
| Biopsy nail unit (11755) |
— |
$1,806 |
— |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
— |
$3,597 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$7,152 |
— |
| Biopsy of conjunctiva (68100) |
— |
$2,369 |
— |
| Biopsy of cornea (65410) |
— |
$2,625 |
— |
| Biopsy of floor of mouth (41108) |
— |
$3,120 |
— |
| Biopsy of foot joint lining (28052) |
— |
$6,016 |
— |
| Biopsy of lip (40490) |
— |
$670 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$2,934 |
— |
| Biopsy of palate, uvula (42100) |
— |
$1,542 |
— |
| Biopsy of penis (54100) |
— |
$3,327 |
— |
| Biopsy of rectum (45100) |
— |
$3,078 |
— |
| Biopsy of upper nose/throat (42806) |
— |
$3,402 |
— |
| Biopsy of urethra (53200) |
— |
$2,782 |
— |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
— |
$6,708 |
— |
| Biopsy Oropharynx (42800) |
— |
$2,695 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$2,835 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$4,879 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$1,296 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$3,322 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$1,573 |
— |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
— |
$3,503 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$2,260 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$2,947 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$1,696 |
— |
| Biopsy Soft Tissue Shoulder Deep (23066) |
— |
$5,850 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$3,479 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$2,372 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$2,277 |
— |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
— |
$1,725 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$2,072 |
— |
| Biopsy Tongue Posterior One-Third (41105) |
— |
$3,543 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$2,190 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$1,012 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$1,072 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$7,984 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$705 |
— |
| Bladder Irrigation (51700) |
— |
$776 |
— |
| Bladder Scan (51798) |
— |
$193 |
— |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
— |
$3,712 |
— |
| Blepharoplasty Lower Eyelid (15820) |
— |
$3,387 |
— |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
— |
$3,524 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$2,878 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$4,158 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$821 |
— |
| Blood Transfusion Service (36430) |
— |
$1,738 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$502 |
— |
| Bone Marrow Biopsy (38221) |
— |
$3,000 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$3,000 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$3,553 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$5,253 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$5,253 |
— |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
— |
$2,671 |
— |
| Brnchsc Removal Bronchial Valve Initial (31648) |
— |
$4,132 |
— |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
— |
$13,385 |
— |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
— |
$4,546 |
— |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
— |
$3,160 |
— |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
— |
$4,980 |
— |
| Bronchial Valve Init Insert (31647) |
— |
$13,385 |
— |
| Bronchoscopy Balloon Occlusion (31634) |
— |
$13,385 |
— |
| Bronchoscopy Bronch Stents (31636) |
— |
$13,385 |
— |
Bronchoscopy Clear Airways (31645)
range across 2 matching MRF lines |
— |
$2,508–$2,640 |
— |
| Bronchoscopy Dilate W/Stent (31631) |
— |
$13,385 |
— |
| Bronchoscopy Reclear Airway (31646) |
— |
$1,922 |
— |
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines |
— |
$4,120–$4,337 |
— |
| Bronchoscopy W/Excision Tumor (31640) |
— |
$4,546 |
— |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) |
— |
$13,385 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$3,226 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$7,212 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$4,159 |
— |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
— |
$2,747 |
— |
Bx breast 1st lesion mr imag (19085)
range across 4 matching MRF lines |
— |
$3,410–$5,115 |
— |
Bx breast 1st lesion strtctc (19081)
range across 3 matching MRF lines |
— |
$3,410–$5,116 |
— |
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines |
— |
$3,410–$5,115 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$3,120 |
— |
| Bx Cervix (57500) |
— |
$2,264 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$6,816 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$5,084 |
— |
| Canthoplasty (67950) |
— |
$3,093 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$4,506 |
— |
| Car-t admn autologous (38228) |
— |
$775 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$3,447 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$657 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$6,640 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$6,646 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,101 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$744 |
— |
| Change of Windpipe Airway (31502) |
— |
$386 |
— |
| Change ureter stent percut (50382) |
— |
$4,280 |
— |
| Chemical Cautery Tissue (17250) |
— |
$505 |
— |
| Chemical peel, facial; epidermal (15788) |
— |
$747 |
— |
| Chemical Pleurodesis (32560) |
— |
$814 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$950 |
— |
Chemodenerv 1 extremity 1-4 (64642)
range across 2 matching MRF lines |
— |
$950–$1,069 |
— |
| Chemodenerv Eccrine Glands (64650) |
— |
$342 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$823 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$738 |
— |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
— |
$660 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,069 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$1,199 |
— |
| Chemodenervation eccrine glands oth area per day (64653) |
— |
$382 |
— |
Chemodenervation Muscle Larynx Unilat W/Emg (64617)
range across 3 matching MRF lines |
— |
$782–$1,173 |
— |
| Chemodenervation of extraocular muscle (67345) |
— |
$484 |
— |
| Chemodenervation of internal anal sphincter (46505) |
— |
$4,162 |
— |
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 6 matching MRF lines |
— |
$871–$1,742 |
— |
| Chest tube placement (32551) |
— |
$4,047 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$2,780 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$4,541 |
— |
| Chorionic Villus Sampling (59015) |
— |
$915 |
— |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
— |
$4,385 |
— |
| Circumcision 28 days or older (54161) |
— |
$3,807 |
— |
| Circumcision Neonate (54160) |
— |
$3,751 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$4,220 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$3,072 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$3,072 |
— |
| Clear outer ear canal (69200) |
— |
$308 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$462 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$878 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$806 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$529 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$245 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$330 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,615 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$345 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$456 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$3,124 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$395 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$766 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$766 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$3,054 |
— |
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315)
range across 2 matching MRF lines |
— |
$2,804–$3,094 |
— |
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines |
— |
$6,037–$6,097 |
— |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
— |
$9,109 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$304 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$567 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$3,045 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$650 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$2,985 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$423 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$2,991 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$423 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$425 |
— |
| Closed tx septal&nose fx (21337) |
— |
$6,166 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$3,072 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$285 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$367 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$678 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,124 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$504 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$476 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$408 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$1,031 |
— |
| Closure lacrimal punctum (68760) |
— |
$584 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$287 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$653 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$354 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$2,991 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$536 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$2,038 |
— |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$805 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$318 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$3,072 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$352 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
— |
$4,818 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$367 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$262 |
— |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
— |
$2,985 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$499 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$470 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$477 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$429 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$3,072 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$2,985 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$346 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$423 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$2,499 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$487 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$559 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$545 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$484 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$2,776 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$333 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$429 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$861 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$2,846 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$3,597 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$325 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$504 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$2,985 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$2,985 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$318 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$2,985 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$2,640 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$806 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$1,235 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$421 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$2,832 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$396 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$873 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$433 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$2,542 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$522 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$289 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$1,795 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$829 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$3,299 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$388 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$2,776 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$404 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$457 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$2,870 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$2,133 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$3,622 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$2,985 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$448 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$2,985 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$254 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$498 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$1,160 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,871 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$329 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$6,317 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$268 |
— |
Collection of venous blood by venipuncture (36415)
range across 11 matching MRF lines |
— |
$12–$61 |
— |
| Colonoscopy Flexible With Decompression (45393) |
— |
$2,970 |
— |
| Colonoscopy Stoma Ablation Lesion (44401) |
— |
$3,116 |
— |
| Colonoscopy Stoma Control Bleeding (44391) |
— |
$2,115 |
— |
| Colonoscopy stoma w/balloon dilation (44405) |
— |
$3,427 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$2,970 |
— |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
— |
$11,338 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$2,832 |
— |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
— |
$2,970 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$3,299 |
— |
| Colonoscopy thru stoma (44388) |
— |
$2,488 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$3,301 |
— |
| Colonoscopy w/ablation (45388) |
— |
$3,188 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$3,275 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$2,900 |
— |
| Colonoscopy W/Resection (45390) |
— |
$3,275 |
— |
| Colonoscopy w/stent plcmt (45389) |
— |
$6,529 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$3,919 |
— |
| Colporrhaphy (57200) |
— |
$6,890 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$1,417 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$1,069 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$622 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$1,088 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$5,855 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$3,578 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$623 |
— |
| Colposcopy of vulva (56820) |
— |
$334 |
— |
| Colposcopy Vulva W/Biopsy (56821) |
— |
$492 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$1,004 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$3,785 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$3,712 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$4,449 |
— |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
— |
$2,837 |
— |
| Complex Cystometrogram (51726) |
— |
$1,429 |
— |
| Complex drainage wound (10180) |
— |
$2,718 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$4,166 |
— |
| Conization of cervix (57520) |
— |
$4,540 |
— |
| Constj Intermargin Adhes/Tarsor/Canthor W/Trpos (67882) |
— |
$2,340 |
— |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
— |
$3,469 |
— |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines |
— |
$653–$707 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$559 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$634 |
— |
| Conversion ext bil drg cath (47535) |
— |
$7,488 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$2,679 |
— |
| Convert Nephrostomy Catheter (50434) |
— |
$3,458 |
— |
| Cordocentesis (59012) |
— |
$443 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines |
— |
$2,787–$3,090 |
— |
| Cornea Scraping Diagnostic Smear &/Culture (65430) |
— |
$428 |
— |
| Correction Everted Punctum Cautery (68705) |
— |
$377 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$219 |
— |
| Create Eardrum Opening (69433) |
— |
$1,520 |
— |
| Crnl Relaxing Inc Corrj Induced Astigmatism (65772) |
— |
$2,489 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$6,803 |
— |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
— |
$154 |
— |
| Csf shunt reprogram (62252) |
— |
$498 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$547 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$547 |
— |
| Curettage postpartum (59160) |
— |
$6,117 |
— |
| Curette/treat cornea (65435) |
— |
$1,468 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$3,893 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$4,556 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$6,005 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$3,727 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$6,153 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$6,655 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$4,630 |
— |
| Cystometrogram W/Up (51727) |
— |
$1,442 |
— |
| Cystometrogram W/Vp (51728) |
— |
$1,733 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$1,957 |
— |
| Cystoscopy implant stent (52282) |
— |
$6,898 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$3,621 |
— |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
— |
$2,130 |
— |
| Cystourethroscopy (52000) |
— |
$3,946 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$3,938 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$5,304 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$5,764 |
— |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
— |
$3,658 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$4,991 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$713 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$5,481 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,184 |
— |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
— |
$6,647 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,698 |
— |
| Debride nail 1-5 (11720) |
— |
$174 |
— |
| Debride nail 6 or more (11721) |
— |
$213 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$2,915 |
— |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
— |
$3,446 |
— |
Debridement Mastoidectomy Cavity Simple (69220)
range across 3 matching MRF lines |
— |
$286–$429 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,535 |
— |
| Declot vascular device (36593) |
— |
$1,068 |
— |
| Deep Muscle Biopsy (20205) |
— |
$3,364 |
— |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
— |
$4,723 |
— |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
— |
$4,293 |
— |
| Delay Flap/Sectioning Flap Scalp Arms/Legs (15610) |
— |
$3,504 |
— |
| Delay Flap/Sectioning Flap Trunk (15600) |
— |
$7,039 |
— |
| Delivery of placenta (59414) |
— |
$6,000 |
— |
| Dermabrasion segmental face (15781) |
— |
$1,071 |
— |
| Dermabrasion superficial any site (15783) |
— |
$447 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$2,141 |
— |
Destroy cerv/thor facet jnt (64633)
range across 3 matching MRF lines |
— |
$2,303–$2,491 |
— |
Destroy lumb/sac facet jnt (64635)
range across 3 matching MRF lines |
— |
$2,130–$2,304 |
— |
| Destruc retinal lesn,photocoag (67210) |
— |
$2,222 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$251 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$371 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$1,903 |
— |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
— |
$4,252 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$542 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$886 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$1,333 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$3,899 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$4,055 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$397 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$457 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$655 |
— |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
— |
$767 |
— |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
— |
$935 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$401 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$460 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$540 |
— |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
— |
$659 |
— |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
— |
$684 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$333 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$257 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$321 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$369 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$437 |
— |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
— |
$506 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$295 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$4,298 |
— |
| Destruction of lesion of cornea by cryotherapy, photocoagulation or thermocauterization (65450) |
— |
$1,133 |
— |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
— |
$1,100 |
— |
| Destruction of skin lesions (17106) |
— |
$700 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$714 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$249 |
— |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$5,655 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$3,351 |
— |
| Diagnostic anoscopy (46601) |
— |
$628 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$1,671 |
— |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
— |
$278 |
— |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
— |
$196 |
— |
| Dilat rct strix spx under anes oth/thn local (45910) |
— |
$3,031 |
— |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
— |
$200 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$6,585 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$1,089 |
— |
| Dilate Urethra Stricture (53620) |
— |
$2,468 |
— |
| Dilate Urethra Stricture (53600) |
— |
$1,132 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$4,587 |
— |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
— |
$1,684 |
— |
| Dilation Cervical Canal (57800) |
— |
$6,000 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$3,769 |
— |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
— |
$508 |
— |
| Dilation Salivary Duct (42650) |
— |
$1,969 |
— |
| Drain ant chmbr,remv vitreous (65810) |
— |
$4,562 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,186 |
— |
| Drain ovary abscess open (58820) |
— |
$4,589 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$929 |
— |
| Drainage abscess parotid simple (42300) |
— |
$4,588 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$736 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$3,490 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$736 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$2,111 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$840 |
— |
Drainage of eye (65800)
range across 2 matching MRF lines |
— |
$2,185–$2,410 |
— |
| Drainage of finger abscess simple (26010) |
— |
$301 |
— |
| Drainage of gum lesion (41800) |
— |
$554 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$3,704 |
— |
| Drainage of hydrocele (55000) |
— |
$743 |
— |
| Drainage of nose lesion (30000) |
— |
$294 |
— |
| Drainage of rectal abscess (45005) |
— |
$3,073 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$2,209 |
— |
| Drainage of scrotum (54700) |
— |
$2,796 |
— |
| Drainage of skene's gland abscess or cyst (53060) |
— |
$2,383 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
— |
$5,655 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$360 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
— |
$2,410 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$772 |
— |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
— |
$753 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$777 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$740 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$629 |
— |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
— |
$719 |
— |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
— |
$3,452 |
— |
| Dstrj les/scar vestibule mouth physical meths (40820) |
— |
$5,691 |
— |
| Dstrj Lesion Anus Extensive (46924) |
— |
$4,781 |
— |
| Dstrj Lesion Anus Simple Chemical (46900) |
— |
$529 |
— |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$260 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$3,981 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$4,672 |
— |
| Dstrj lesion choroid pc 1/> sess (67220) |
— |
$1,220 |
— |
| Dstrj Lesion Choroid Photodynamic Therapy (67221) |
— |
$1,723 |
— |
| Dstrj Lesion Penis Simple Chemical (54050) |
— |
$747 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$307 |
— |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
— |
$4,667 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$2,388 |
— |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
— |
$684 |
— |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
— |
$5,173 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,140 |
— |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
— |
$1,858 |
— |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
— |
$2,431 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$5,167 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$4,772 |
— |
Dx Bronchoscope/Wash (31622)
range across 5 matching MRF lines |
— |
$2,822–$2,971 |
— |
| Dx gastr intub w/asp spec (43754) |
— |
$607 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$469 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$3,250 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,719 |
— |
| Dynamic Cavernosometry Njx Vasoactive Drugs (54231) |
— |
$4,009 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$2,833 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$3,878 |
— |
| Egd cautery tumor polyp (43250) |
— |
$3,879 |
— |
| Egd control bleeding any (43255) |
— |
$4,244 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$3,011 |
— |
| Egd endo mucosal resection (43254) |
— |
$2,370 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$11,338 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$3,637 |
— |
| Egd guide wire insertion (43248) |
— |
$3,492 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$2,701 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$5,901 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$3,348 |
— |
| Egd lesion ablation (43270) |
— |
$3,258 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$19,658 |
— |
| Egd place gastrostomy tube (43246) |
— |
$3,485 |
— |
| Egd remove lesion snare (43251) |
— |
$3,836 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$2,440 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$5,021 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$3,258 |
— |
| Egd Varices Ligation (43244) |
— |
$4,608 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$4,777 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$11,338 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$931 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$842 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$493 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$616 |
— |
| Endocervical curettage (57505) |
— |
$1,041 |
— |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
— |
$5,553 |
— |
| Endometrial Biopsy (58100) |
— |
$1,091 |
— |
| Endoscopic injection/implant (51715) |
— |
$5,660 |
— |
| Endoscopic us exam esoph (43237) |
— |
$3,682 |
— |
Endoscopy Upper Small Intestine (44360)
range across 2 matching MRF lines |
— |
$1,948–$2,050 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$2,707 |
— |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
— |
$12,198 |
— |
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines |
— |
$2,925–$6,061 |
— |
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines |
— |
$2,924–$7,829 |
— |
Endoven ther chem adhes 1st (36482)
range across 2 matching MRF lines |
— |
$4,870–$10,685 |
— |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
— |
$2,780 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$1,972 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$2,741 |
— |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
— |
$3,956 |
— |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
— |
$9,530 |
— |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
— |
$2,741 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$2,870 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
— |
$3,531 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
— |
$2,974 |
— |
| Epidural Blood Patch (62273) |
— |
$1,126 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$5,903 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
— |
$11,338 |
— |
| Ercp duct stent placement (43274) |
— |
$6,888 |
— |
Ercp Dx Collection Specimen Brushing/Washing (43260)
range across 2 matching MRF lines |
— |
$5,174–$5,445 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$5,594 |
— |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
— |
$7,000 |
— |
| Ercp remove forgn body duct (43275) |
— |
$6,217 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$6,839 |
— |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
— |
$4,663 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$5,818 |
— |
| Ercp w/pressure measurement sphincter of oddi (43263) |
— |
$5,534 |
— |
| Ercp,Sphincterotomy (43262) |
— |
$7,079 |
— |
| Esoph Scope W/Submucous Inj (43201) |
— |
$2,585 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$3,307 |
— |
| Esophagosc Dilate Balloon 30 (43214) |
— |
$2,833 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$1,967 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$11,338 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$2,876 |
— |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
— |
$5,505 |
— |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
— |
$3,160 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$3,184 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$1,874 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$1,874 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$1,731 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$3,511 |
— |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
— |
$3,313 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$2,833 |
— |
| Esophagoscopy rig transoral removal foreign body (43194) |
— |
$2,833 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$7,054 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$1,967 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$2,762 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$3,257 |
— |
| Esophagoscp Guide Wire Dilat (43196) |
— |
$7,054 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$2,833 |
— |
| Esophagoscp Rig Trnso Inject (43192) |
— |
$2,833 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$205 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$3,352 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$2,272 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$1,379 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$2,277 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$4,674 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$5,372 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$4,674 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$1,549 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$1,910 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$3,062 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$3,241 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,149 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$1,343 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$1,454 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$2,445 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$3,552 |
— |
Exc Forearm Les Sc 3 Cm/> (25071)
range across 3 matching MRF lines |
— |
$5,275–$7,913 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$3,000 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$1,588 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$1,746 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$2,771 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$1,378 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$3,264 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$2,410 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$2,857 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$3,655 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$2,906 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$3,780 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$2,756 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$4,807 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$3,894 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$4,658 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$3,514 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,450 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$1,890 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$2,603 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$8,507 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$5,725 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$5,216 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$5,165 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$3,264 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$3,047 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$3,002 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$3,105 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$6,000 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$5,619 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$4,789 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$4,210 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$4,816 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$3,458 |
— |
| Exchange Transfusion (36455) |
— |
$805 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$3,901 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$3,878 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$3,878 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$2,309 |
— |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
— |
$3,400 |
— |
| Excision Aural Polyp (69540) |
— |
$1,425 |
— |
| Excision Chalazion Multiple Same Lid (67801) |
— |
$1,627 |
— |
| Excision Chalazion Single (67800) |
— |
$979 |
— |
| Excision Chest Wall Tumor Including Ribs (21601) |
— |
$6,271 |
— |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
— |
$2,955 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$5,167 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$3,189 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$3,045 |
— |
| Excision Infected Graft Extremity (35903) |
— |
$10,792 |
— |
| Excision Lesion Conjunctiva </1 Cm (68110) |
— |
$3,256 |
— |
| Excision lesion conjunctiva > 1 cm (68115) |
— |
$3,457 |
— |
| Excision Lesion Cornea Xcp Pterygium (65400) |
— |
$2,053 |
— |
| Excision lesion mouth roof (42104) |
— |
$3,680 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$3,290 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$1,604 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$1,178 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$1,390 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$1,874 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$2,616 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$1,477 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$2,754 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$4,849 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$1,636 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$1,770 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$1,862 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$2,985 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$4,874 |
— |
Excision nasal polyp(s) simple (30110)
range across 3 matching MRF lines |
— |
$2,078–$3,117 |
— |
| Excision of chalazion; multiple, different lids (67805) |
— |
$1,096 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$3,237 |
— |
| Excision of lacrimal gland tumor; involving osteotomy Facility (68550) |
— |
$3,891 |
— |
| Excision of lingual tonsil (42870) |
— |
$10,680 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$5,167 |
— |
| Excision of sublingual salivary cyst (ranula) (42408) |
— |
$5,588 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$4,796 |
— |
| Excision olecranon bursa (24105) |
— |
$3,211 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$2,921 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$7,792 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$5,811 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$5,915 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$5,681 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$3,952 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$10,465 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$2,701 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$2,995 |
— |
| Excision/destruction lesion pharynx any method (42808) |
— |
$5,013 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$3,633 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$2,256 |
— |
| Exploration maxillary sinus (31020) |
— |
$5,061 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$3,582 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$2,238 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$1,734 |
— |
| External cephalic version (59412) |
— |
$5,655 |
— |
| Fasciotomy palmar percutaneous (26040) |
— |
$2,260 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$542 |
— |
| Fetal non-stress test (59025) |
— |
$783 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$3,619 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$3,866 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$1,099 |
— |
| Fluid Pressure Muscle (20950) |
— |
$736 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$565 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$2,144 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$2,269 |
— |
| Foreskin manipulation (54450) |
— |
$498 |
— |
| Frenulotomy of penis (54164) |
— |
$3,487 |
— |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
— |
$3,869 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$3,689 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$3,728 |
— |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
— |
$3,468 |
— |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
— |
$10,680 |
— |
| Grafting of autologous soft tiss by direct exc (15769) |
— |
$8,051 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,120 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$4,128 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$3,622 |
— |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
— |
$4,144 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$1,770 |
— |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
— |
$6,592 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$5,128 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$3,671 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$5,476 |
— |
| I&d abscess peritonsillar (42700) |
— |
$628 |
— |
| I&d abscess simple (10060) |
— |
$726 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$5,481 |
— |
I&D Deep Absc/Hematoma Neck/Chest (21501)
range across 2 matching MRF lines |
— |
$4,457–$5,014 |
— |
| I&D Intramural Im/Absc Transanal Anes (46045) |
— |
$5,458 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$3,510 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,735 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$1,893 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$829 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$2,938 |
— |
| Icd Pocket Revision (33223) |
— |
$3,876 |
— |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
— |
$3,312 |
— |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
— |
$3,060 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$2,749 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$3,746 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$3,875 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$2,496 |
— |
| Implant neuroelectrodes (63650) |
— |
$11,771 |
— |
| Implantation intrastromal corneal ring segments (65785) |
— |
$7,454 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$11,648 |
— |
| Incise external hemorrhoid (46083) |
— |
$716 |
— |
| Incise finger tendon sheath (26055) |
— |
$3,314 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$893 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$4,100 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,782 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,132 |
— |
Incision and drainage of bartholin's gland abscess (56420)
range across 2 matching MRF lines |
— |
$734–$810 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,122 |
— |
| Incision Drainage Lacrimal Sac (68420) |
— |
$2,894 |
— |
| Incision of eardrum (69420) |
— |
$768 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$623 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$1,604 |
— |
| Incision of rectal abscess (46040) |
— |
$4,363 |
— |
| Incision of urethra (53025) |
— |
$2,383 |
— |
| Incision of urethra (53020) |
— |
$2,367 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$2,687 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$1,190 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$681 |
— |
| Induced abortion dilation and curettage (59840) |
— |
$5,676 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$341 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$1,483 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$456 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$1,903 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$1,925 |
— |
| Inject Intravitreal Pharmcologic (67028) |
— |
$1,402 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$990 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$940 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$928 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$1,563 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,331 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$1,346 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$1,726 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,066 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$1,671 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$678 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$1,065 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$813 |
— |
| Injection enzyme palmar fascial cord (20527) |
— |
$550 |
— |
| Injection into spinal artery (62294) |
— |
$1,216 |
— |
| Injection medication/other subst tenon capsule (67515) |
— |
$1,401 |
— |
| Injection of sclerosing solution, hemorrhoids (46500) |
— |
$2,278 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$322 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$1,321 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$704 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$1,059 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$1,632 |
— |
Injection therapeutic carpal tunnel (20526)
range across 4 matching MRF lines |
— |
$585–$878 |
— |
| Injection Turbinate Therapeutic (30200) |
— |
$960 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$940 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,806 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$851 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$844 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$258 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$235 |
— |
| Injx anterior chamber eye air/liquid spx (66020) |
— |
$4,747 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$1,903 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$1,903 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$1,705 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$9,239 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$7,391 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$10,371 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$6,914 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$13,444 |
— |
| Ins Vag Brachytx Device (57156) |
— |
$429 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$67,121 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$10,277 |
— |
| Insert and remove bone pin (20650) |
— |
$4,277 |
— |
Insert Bladder Cath Complex (51703)
range across 5 matching MRF lines |
— |
$434–$479 |
— |
| Insert cath pleura w/ image (32557) |
— |
$2,946 |
— |
| Insert cath pleura w/o image (32556) |
— |
$3,769 |
— |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
— |
$3,134 |
— |
| Insert cervical dilator (59200) |
— |
$350 |
— |
| Insert Drug Implant Device (11981) |
— |
$197 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$2,389 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$24,862 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$26,194 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$26,638 |
— |
| Insert Nasal Septal Button (30220) |
— |
$1,790 |
— |
Insert non-tunnel cv cath (36556)
range across 7 matching MRF lines |
— |
$3,413–$3,593 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$33,015 |
— |
| Insert pessary/other device (57160) |
— |
$306 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$1,926 |
— |
| Insert pulse gen dual leads (33213) |
— |
$21,447 |
— |
| Insert pulse gen mult leads (33221) |
— |
$27,588 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$21,053 |
— |
Insert Temp Bladder Cath (51702)
range across 7 matching MRF lines |
— |
$282–$311 |
— |
| Insert tun ip cath perc (49418) |
— |
$6,388 |
— |
| Insert tunneled cv cath (36561) |
— |
$6,794 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$6,049 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$226 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$6,744 |
— |
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 9 matching MRF lines |
— |
$3,616–$3,773 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$11,049 |
— |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
— |
$5,332 |
— |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
— |
$6,516 |
— |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$9,271 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$10,277 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$3,593 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$2,602 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$4,820 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$3,635 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 9 matching MRF lines |
— |
$2,989–$3,147 |
— |
| Insj Subq Impltbl Dfb Elctrd (33271) |
— |
$10,097 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$8,878 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$4,987 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$5,205 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$91,718 |
— |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
— |
$43,183 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$14,641 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$15,042 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$26,343 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$72,688 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$72,688 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$78,353 |
— |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
— |
$310 |
— |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
— |
$3,172 |
— |
| Interdental fixation (21110) |
— |
$2,947 |
— |
| Interdental Wiring Other Than Fracture (21497) |
— |
$2,591 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$2,548 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$806 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$846 |
— |
| Intranasal Biopsy (30100) |
— |
$2,889 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
— |
$2,875 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$3,755 |
— |
| Intro cath dialysis circuit (36901) |
— |
$2,874 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$12,198 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$10,518 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$959 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,268 |
— |
| Iridoplasty photocoagulation 1/> sessions (66762) |
— |
$1,533 |
— |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$1,542 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$357 |
— |
| Island pedicle flap graft (15740) |
— |
$2,550 |
— |
| Labyrinthotomy Transcanal (69801) |
— |
$2,928 |
— |
| Laparo ablate liver tumor rf (47370) |
— |
$13,409 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$5,313 |
— |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
— |
$4,885 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$275 |
— |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$4,516 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$666 |
— |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
— |
$6,328 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$2,739 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$4,099 |
— |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$2,862 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$944 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$1,375 |
— |
| Laryngoscopy Indirect W/Biopsy (31510) |
— |
$6,935 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$323 |
— |
| Laryngoscopy Indirect W/Removal Lesion (31512) |
— |
$4,234 |
— |
| Laryngoscopy Indirect W/Vocal Cord Injection (31513) |
— |
$650 |
— |
| Laryngoscopy W/Biopsy (31535) |
— |
$4,740 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$4,153 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$2,798 |
— |
| Larynscop w/tumr exc + scope (31541) |
— |
$6,668 |
— |
| Laser Surgery Anal Lesions (46917) |
— |
$5,067 |
— |
| Laser Surgery,Sever Vitreous Strands (67031) |
— |
$1,596 |
— |
| Laser treatment of retina (67040) |
— |
$8,080 |
— |
| Laser vaporization of prostate (52648) |
— |
$10,924 |
— |
| Late closure of wound (13160) |
— |
$4,358 |
— |
| Ligate/strip long leg vein (37722) |
— |
$10,265 |
— |
| Ligation of a-v fistula (37607) |
— |
$9,958 |
— |
| Ligation of hemorrhoids (46946) |
— |
$3,874 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$4,059 |
— |
| Lip Surgery Procedure (40799) |
— |
$1,379 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$6,398 |
— |
| Lyse chest fibrin init day (32561) |
— |
$850 |
— |
| Lyse Chest Fibrin Subq Day (32562) |
— |
$850 |
— |
| Lysis Intranasal Synechia (30560) |
— |
$475 |
— |
| Lysis of labial adhesions (56441) |
— |
$2,938 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$4,215 |
— |
| Maniplatn palar fascial crd post inj single cord (26341) |
— |
$773 |
— |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
— |
$3,201 |
— |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
— |
$1,969 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$3,695 |
— |
| Maternity Care Procedure (59899) |
— |
$469 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$3,220 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$3,392 |
— |
| Middle ear surgery proc unlisted (69799) |
— |
$300 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$1,315 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$1,368 |
— |
| Multiple punctures of anterior cornea (eg, for corneal erosion, tattoo) (65600) |
— |
$3,005 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,523 |
— |
| Myelography Lumbar Injection (62304) |
— |
$3,461 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$3,501 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$2,978 |
— |
N Block Inj Celiac Pelus (64530)
range across 3 matching MRF lines |
— |
$1,150–$1,294 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$732 |
— |
| N block inj intercost sng (64420) |
— |
$1,180 |
— |
| N Block Inj Paracervical (64435) |
— |
$683 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$580 |
— |
| N Block Inj Pudendal (64430) |
— |
$1,851 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$1,576 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$579 |
— |
| Nasal surgery procedure (30999) |
— |
$468 |
— |
Nasal/Orogastric W/Tube Plmt (43752)
range across 4 matching MRF lines |
— |
$453–$818 |
— |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
— |
$12,870 |
— |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
— |
$11,160 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$5,020 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$3,116 |
— |
Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296)
range across 2 matching MRF lines |
— |
$8,112–$12,168 |
— |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 2 matching MRF lines |
— |
$8,112–$12,168 |
— |
Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297)
range across 2 matching MRF lines |
— |
$8,112–$12,168 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$475 |
— |
Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385)
range across 3 matching MRF lines |
— |
$1,719–$2,486 |
— |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
— |
$1,719 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$2,020 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$3,307 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$51 |
— |
| Neuroeltrd Stim Post Tibial (64566) |
— |
$472 |
— |
| Nipple/areola reconstruction (19350) |
— |
$4,466 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$1,211 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$612 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$7,663 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$5,651 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$1,580 |
— |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines |
— |
$1,403–$1,579 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$1,143 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$1,448 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$1,749 |
— |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines |
— |
$1,757–$1,977 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$1,587 |
— |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
— |
$2,700 |
— |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
— |
$2,926 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$1,831 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$2,076 |
— |
Njx Sclrsnt 1 Incmptnt Vein (36470)
range across 2 matching MRF lines |
— |
$353–$474 |
— |
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines |
— |
$353–$1,468 |
— |
Njx Sclrsnt Spider Veins (36468)
range across 2 matching MRF lines |
— |
$353–$426 |
— |
| Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) |
— |
$1,730 |
— |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
— |
$12,870 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$2,240 |
— |
| Occipital Nerve Block (64405) |
— |
$751 |
— |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
— |
$7,285 |
— |
| Open bone biopsy (20251) |
— |
$14,287 |
— |
| Open Implantation Nea Sacral Nerve (64581) |
— |
$10,592 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$4,040 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$5,602 |
— |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
— |
$10,702 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$18,558 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$18,558 |
— |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
— |
$6,362 |
— |
| Orchiopexy Ingun/Scrot Appr (54640) |
— |
$7,025 |
— |
| Palatopharyngoplasty (42145) |
— |
$11,108 |
— |
| Part remv talus or calcaneus (28120) |
— |
$3,397 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$2,305 |
— |
| Partial excision of lip (40520) |
— |
$5,691 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$3,207 |
— |
| Partial removal of toe (28160) |
— |
$3,605 |
— |
| Partial removal of tongue (41120) |
— |
$10,680 |
— |
Penile Injection (54235)
range across 2 matching MRF lines |
— |
$424–$468 |
— |
| Penile Plethysmography (54240) |
— |
$561 |
— |
Perc Cryo Ablate Renal Tum (50593)
range across 4 matching MRF lines |
— |
$12,911–$19,367 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$2,442 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$6,130 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$7,460 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$16,132 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$1,868 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$6,198 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$1,827 |
— |
Peritoneal Lavage (49084)
range across 3 matching MRF lines |
— |
$995–$1,028 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$13,408 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$4,888 |
— |
| Perq dev breast 1st mr guide (19287) |
— |
$826 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$826 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$826 |
— |
| Perq device breast 1st imag (19281) |
— |
$3,245 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$4,548 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$5,125 |
— |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
— |
$11,622 |
— |
| Perq p-art revsc 1 nm nt uni (33900) |
— |
$23,764 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$7,812 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,213 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$14,343 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$9,562 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$11,643 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$11,643 |
— |
| Phalangectomy toe each toe (28150) |
— |
$3,397 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$5,645 |
— |
| Photopheresis extracorporeal (36522) |
— |
$7,693 |
— |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
— |
$2,262 |
— |
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines |
— |
$7,225–$10,836 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$7,647 |
— |
Place Cath Vertebral Art (36226)
range across 4 matching MRF lines |
— |
$11,813–$17,721 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$2,709 |
— |
| Place Rt Device/Marker Pros (55876) |
— |
$2,411 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$481 |
— |
| Placement of seton (46020) |
— |
$3,553 |
— |
| Plastic Repair Canaliculi (68700) |
— |
$5,879 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$7,497 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$8,027 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$8,971 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$9,444 |
— |
| Plmt expandable cath brst following prtl mast (19296) |
— |
$9,667 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$6,952 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$5,959 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$6,174 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$6,174 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$6,174 |
— |
| Prim art mech thrombectomy (37184) |
— |
$22,964 |
— |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
— |
$867 |
— |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
— |
$3,651 |
— |
| Probing nasolacrimal duct (68810) |
— |
$1,998 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$1,192 |
— |
| Proctosgmdsc Rigid Control Bleeding (45317) |
— |
$1,381 |
— |
| Proctosgmdsc rigid w/dilation (45303) |
— |
$4,180 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$3,221 |
— |
| Proctosigmoidoscopy, rigid; with ablation of tumor(s), polyp(s), or other lesion(s) not amenable to removal by hot… (45320) |
— |
$2,957 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$1,359 |
— |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
— |
$1,820 |
— |
| Prostatic microwave thermotx (53850) |
— |
$6,570 |
— |
| Prostatic Rf Thermotx (53852) |
— |
$7,583 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$751 |
— |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
— |
$1,671 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$5,742 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$8,612 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$13,230 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$3,397 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$711 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$681 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$747 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$929 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$742 |
— |
| Pvb thoracic cont infusion (64463) |
— |
$1,193 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$1,371 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$4,298 |
— |
| Reconstruct extra finger (26587) |
— |
$9,000 |
— |
| Reconstruction Nail Bed W/Graft (11762) |
— |
$2,856 |
— |
| Reconstruction Tongue Fold (41520) |
— |
$6,094 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$8,020 |
— |
| Reduction of rectal prolapse (45900) |
— |
$960 |
— |
| Reduction Overcorrection Ptosis (67909) |
— |
$3,143 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$3,750 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$9,225 |
— |
| Removal Anal Seton Other Marker (46030) |
— |
$1,251 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$1,274 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$736 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$4,118 |
— |
| Removal foreign body foot deep (28192) |
— |
$2,445 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$1,474 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$1,664 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$5,167 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$167 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 5 matching MRF lines |
— |
$102–$441 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$6,360 |
— |
| Removal Implant Deep (20680) |
— |
$4,602 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$3,460 |
— |
| Removal of anal fissure (46200) |
— |
$4,155 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$803 |
— |
| Removal of implant from finger or hand (26320) |
— |
$2,746 |
— |
| Removal of intranasal lesion (30118) |
— |
$4,022 |
— |
| Removal of kidney stone (50081) |
— |
$12,914 |
— |
| Removal of nail bed (11750) |
— |
$1,346 |
— |
| Removal of nose lesion (30124) |
— |
$2,520 |
— |
| Removal of testis (54520) |
— |
$6,788 |
— |
| Removal of tonsils (42826) |
— |
$3,515 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$3,579 |
— |
Removal or bivalving full arm or full leg cast (29705)
range across 6 matching MRF lines |
— |
$405–$810 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$5,624 |
— |
| Removal parotid stone (42340) |
— |
$11,627 |
— |
| Removal ppm generator only (33233) |
— |
$17,659 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$5,589 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$402 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$3,357 |
— |
| Removal Submand Stone,Complicated (42335) |
— |
$5,954 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$4,721 |
— |
| Removal sweat gland lesion (11450) |
— |
$3,045 |
— |
| Removal tong/halo applied by another individual (20665) |
— |
$577 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$291 |
— |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
— |
$3,566 |
— |
| Remove Brain Cavity Fluid (61020) |
— |
$2,603 |
— |
| Remove drug implant device (11982) |
— |
$756 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$7,168 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$6,281 |
— |
| Remove foreign body from eye (65205) |
— |
$422 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$2,166 |
— |
| Remove Intrauterine Device (58301) |
— |
$348 |
— |
| Remove intrvas foreign body (37197) |
— |
$8,472 |
— |
| Remove lung catheter (32552) |
— |
$821 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$354 |
— |
| Remove Pulse Generator (33241) |
— |
$6,362 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,018 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$3,000 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$3,372 |
— |
| Remove ureter stent percut (50384) |
— |
$2,300 |
— |
| Remove&replace pm gen singl (33227) |
— |
$24,482 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$756 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$84,941 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$84,941 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$84,941 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$26,594 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$27,337 |
— |
| Renal Biopsy Perq (50200) |
— |
$2,335 |
— |
| Repair Anorectal Fistula Plug (46707) |
— |
$4,984 |
— |
| Repair blood vessel direct neck (35201) |
— |
$5,820 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$5,708 |
— |
Repair brow ptosis (67900)
range across 2 matching MRF lines |
— |
$3,868–$5,802 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,054 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,961 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,097 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,421 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$827 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,202 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$877 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,087 |
— |
| Repair Detached Retina (67101) |
— |
$2,588 |
— |
| Repair detached retina (67105) |
— |
$1,708 |
— |
| Repair Ectropion Excision Tarsal Wedge (67916) |
— |
$2,963 |
— |
| Repair Ectropion Extensive (67917) |
— |
$4,269 |
— |
| Repair Ectropion Suture (67914) |
— |
$2,746 |
— |
| Repair Entropion Extensive (67924) |
— |
$4,649 |
— |
| Repair Entropion Suture (67921) |
— |
$3,180 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$4,180 |
— |
| Repair Eyelid Wound (67935) |
— |
$4,080 |
— |
| Repair Hand Joint (26540) |
— |
$6,317 |
— |
| Repair Hand Tendon (26410) |
— |
$2,551 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$655 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$708 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$731 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$768 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$888 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$831 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$634 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$686 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$755 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,802 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$818 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$653 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$726 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$900 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$744 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,802 |
— |
| Repair lead pace-defib dual (33220) |
— |
$9,722 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$9,722 |
— |
| Repair of anal fistula with fibrin glue (46706) |
— |
$5,234 |
— |
| Repair of nail bed (11760) |
— |
$848 |
— |
| Repair tongue laceration (41252) |
— |
$352 |
— |
| Repair tongue laceration (41250) |
— |
$803 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$2,709 |
— |
| Replace G-J Tube Perc (49452) |
— |
$2,219 |
— |
| Replace g/c tube perc (49450) |
— |
$2,709 |
— |
| Replace/Revise Brain Shunt (62230) |
— |
$10,758 |
— |
| Replantation digit complete (20822) |
— |
$3,836 |
— |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
— |
$5,326 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$1,090 |
— |
| Reposition L Ventric Lead (33226) |
— |
$4,200 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$5,115 |
— |
| Reposition Venous Catheter (36597) |
— |
$1,939 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
— |
$4,262 |
— |
| Revise eyelashes (67825) |
— |
$844 |
— |
| Revision of eyelid (67880) |
— |
$2,147 |
— |
| Revj Aqueous Shunt Extraocular Reservoir W/Graft (66185) |
— |
$3,044 |
— |
| Revj Shunt Extraocular Reservoir W/O Graft (66184) |
— |
$3,044 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$21,794 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$6,798 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$4,262 |
— |
| Revj/rpr oprative wound anterior segment (66250) |
— |
$3,239 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$2,672 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$1,753 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$598 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$847 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$426 |
— |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
— |
$1,877 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$3,360 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$1,747 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$5,326 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$4,159 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,095 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$2,161 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,076 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,292 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$5,556 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,047 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$7,795 |
— |
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584)
range across 5 matching MRF lines |
— |
$3,330–$3,505 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$4,772 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$5,041 |
— |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
— |
$5,288 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$5,387 |
— |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
— |
$3,621 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$2,038 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$822 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$914 |
— |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
— |
$2,405 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$2,601 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,420 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$1,425 |
— |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
— |
$4,513 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$5,260 |
— |
Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575)
range across 6 matching MRF lines |
— |
$1,551–$1,745 |
— |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
— |
$6,073 |
— |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
— |
$4,043 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$2,371 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$1,633 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$2,322 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$747 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$414 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$515 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$221 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$239 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$407 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$451 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$428 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$448 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$240 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$747 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$283 |
— |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
— |
$2,942 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$2,177 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$1,548 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
— |
$2,174 |
— |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
— |
$2,474 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$4,383 |
— |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
— |
$2,089 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$2,335 |
— |
| Sigmoidoscopy w/plcmt stent (45347) |
— |
$11,338 |
— |
| Sigmoidoscopy W/Resection (45349) |
— |
$2,897 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$2,862 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$2,108 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$2,380 |
— |
| Simple Cystometrogram (51725) |
— |
$1,206 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$627 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$642 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$701 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$503 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$606 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$4,853 |
— |
| Skin Pinch Graft (15050) |
— |
$1,000 |
— |
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines |
— |
$3,246–$3,452 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,452 |
— |
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines |
— |
$5,955–$6,507 |
— |
| Skin Tissue Procedure (17999) |
— |
$5,602 |
— |
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines |
— |
$1,789–$3,246 |
— |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 3 matching MRF lines |
— |
$7,758–$11,639 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$6,564 |
— |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 3 matching MRF lines |
— |
$11,282–$16,923 |
— |
| Slitting of prepuce (54001) |
— |
$2,556 |
— |
| Small bowel endoscopy (44366) |
— |
$4,321 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$3,571 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$520 |
— |
| Snip Incision Lacrimal Punctum (68440) |
— |
$1,810 |
— |
| Sperm washing artificial insemination (58323) |
— |
$600 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$3,553 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,874 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$4,032 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$4,533 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$5,081 |
— |
| Strapping ankle (29540) |
— |
$278 |
— |
| Strapping Hip (29520) |
— |
$459 |
— |
| Strapping knee (29530) |
— |
$465 |
— |
| Strapping shoulder (29240) |
— |
$252 |
— |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
— |
$342–$513 |
— |
| Subconjunctival injection (68200) |
— |
$756 |
— |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
— |
$501 |
— |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
— |
$1,162 |
— |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
— |
$608 |
— |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
— |
$1,162 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$5,253 |
— |
| Surg tx anal fistula subq (46270) |
— |
$3,777 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$3,527 |
— |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
— |
$2,369 |
— |
| Suture digital nerve hand/foot 1 nerve (64831) |
— |
$4,761 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$681 |
— |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
— |
$668 |
— |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
— |
$736 |
— |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
— |
$37,134 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$25,624 |
— |
| Tcat Rmvl Perm Ldls Pm (33275) |
— |
$4,093 |
— |
| Temporary Closure Eyelids Suture (67875) |
— |
$1,262 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$2,694 |
— |
| Thaw preserved stem cells (38208) |
— |
$569 |
— |
Ther Apheresis W/Extracorporeal Immunoadsorption (36516)
range across 2 matching MRF lines |
— |
$6,757–$10,077 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$2,947 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$1,719 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$2,156 |
— |
| Therapeutic plasma exchange (36514) |
— |
$3,242 |
— |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
— |
$11,120 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$23,903 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$9,554 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$10,214 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$386 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$10,214 |
— |
| Thyroid biopsy (60100) |
— |
$1,086 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$4,217 |
— |
| Tooth extraction (41899) |
— |
$459 |
— |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
— |
$9,465 |
— |
| Trabeculoplasty by laser surgery (65855) |
— |
$1,922 |
— |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
— |
$6,532 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$1,681 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$1,620 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$1,604 |
— |
| Transcatheter biopsy (37200) |
— |
$11,120 |
— |
| Transoral lower esophageal myotomy (43497) |
— |
$2,142 |
— |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
— |
$20,690 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$3,207 |
— |
| Transur electr resection of prostate (52601) |
— |
$10,716 |
— |
| Treat humerus fracture (24500) |
— |
$456 |
— |
| Treat Humerus Fracture (24505) |
— |
$2,985 |
— |
| Treat humerus fracture (23600) |
— |
$992 |
— |
| Treat knee fracture (27532) |
— |
$6,193 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$300 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$745 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$241 |
— |
| Treat toe dislocation (28630) |
— |
$739 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$838 |
— |
Treatment extensive retinopathy photocoagulation (67228)
range across 6 matching MRF lines |
— |
$2,501–$5,002 |
— |
| Treatment mouth roof lesion (42160) |
— |
$5,691 |
— |
| Treatment of foot infection (28003) |
— |
$3,768 |
— |
| Treatment of retina (67141) |
— |
$1,261 |
— |
| Trim skin lesion (11055) |
— |
$220 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$220 |
— |
| Trim skin lesions over 4 (11057) |
— |
$248 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$182 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$9,562 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$12,536 |
— |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
— |
$3,839 |
— |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
— |
$1,348 |
— |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
— |
$1,592 |
— |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
— |
$91,360 |
— |
| Trnsplj autologous hematopoietic cells per donor (38241) |
— |
$4,392 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$4,428 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$518 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$3,801 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$3,728 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$3,483 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,047 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$615 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$289 |
— |
Unlisted Cardiac Surgery (33999)
range across 3 matching MRF lines |
— |
$5,311–$30,297 |
— |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
— |
$255 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$11,276 |
— |
| Unlisted Procedure Accessory Sinuses (31299) |
— |
$6,762 |
— |
Unlisted procedure anus (46999)
range across 2 matching MRF lines |
— |
$1,686–$4,522 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$3,468 |
— |
| Unlisted procedure breast (19499) |
— |
$4,403 |
— |
Unlisted Procedure Casting/Strapping (29799)
range across 3 matching MRF lines |
— |
$291–$582 |
— |
| Unlisted Procedure Conjunctiva (68399) |
— |
$2,620 |
— |
| Unlisted Procedure Esophagus (43499) |
— |
$2,446 |
— |
| Unlisted procedure eyelids (67999) |
— |
$459 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$1,712 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$573 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$3,852 |
— |
| Unlisted procedure larynx (31599) |
— |
$2,444 |
— |
| Unlisted procedure liver (47399) |
— |
$835 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$3,259 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$12,328 |
— |
Unlisted procedure nervous system (64999)
range across 7 matching MRF lines |
— |
$410–$3,117 |
— |
| Unlisted Procedure Palate Uvula (42299) |
— |
$6,661 |
— |
Unlisted procedure pancreas (48999)
range across 3 matching MRF lines |
— |
$743–$4,458 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$616 |
— |
Unlisted Procedure Rectum (45999)
range across 3 matching MRF lines |
— |
$3,475–$3,875 |
— |
| Unlisted procedure spine (22899) |
— |
$5,873 |
— |
Unlisted procedure stomach (43999)
range across 8 matching MRF lines |
— |
$988–$3,806 |
— |
| Unlisted Procedure Tongue Floor Mouth (41599) |
— |
$351 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$3,545 |
— |
Unlisted Procedure Vascular Surgery (37799)
range across 5 matching MRF lines |
— |
$2,830–$3,844 |
— |
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 2 matching MRF lines |
— |
$4,848–$5,244 |
— |
Unlisted Procedure, Urinary System (53899)
range across 3 matching MRF lines |
— |
$1,565–$1,629 |
— |
| Unlisted procedure, vestibule of mouth (40899) |
— |
$2,054 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$206 |
— |
| Upgrade of pacemaker system (33214) |
— |
$22,219 |
— |
| Urinary Reflex Study (51792) |
— |
$433 |
— |
| Urine Flow Measurement (51736) |
— |
$587 |
— |
| Uvulectomy excision of uvula (42140) |
— |
$5,691 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$4,012 |
— |
| Vaginal delivery only (59409) |
— |
$6,000 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$17,376 |
— |
Vasc Embolize/Occlude Bleed (37244)
range across 2 matching MRF lines |
— |
$17,736–$18,669 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$17,780 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$16,933 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$22,964 |
— |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
— |
$5,691 |
— |
| Wedge excision skin nail fold (11765) |
— |
$540 |
— |
Wedging of cast (29740)
range across 6 matching MRF lines |
— |
$395–$790 |
— |
Wedging of clubfoot cast (29750)
range across 3 matching MRF lines |
— |
$412–$824 |
— |
| Windowing of cast (29730) |
— |
$302 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$3,482 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$2,836 |
— |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) |
— |
$2,465 |
— |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
— |
$10,704 |
— |