Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
— |
$287.52–$12,436.79 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$2,269.41 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$16,344.08 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$16,344.08 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$10,000 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$16,344.08 |
— |
| Amniocentesis diagnostic (59000) |
— |
$2,012.61 |
— |
Amniocentesis therapeutic (59001)
range across 2 matching MRF lines |
— |
$477.24–$803.16 |
— |
| Amputation foot transmetarsal (28805) |
— |
$17,597.01 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$17,597.01 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$17,597.01 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$17,597.01 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$19,760.49 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$391.05 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$12,355.65 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$25,458.98 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$394.47 |
— |
| Application finger splint static (29130) |
— |
$319.80 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$394.47 |
— |
| Application Long Leg Splint (29505) |
— |
$394.47 |
— |
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines |
— |
$672.36–$16,290.31 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$319.80 |
— |
| Application short leg splint calf foot (29515) |
— |
$394.47 |
— |
| Application uniplane external fixation system (20690) |
— |
$17,192.88 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
— |
$394.47–$16,290.31 |
— |
| Arterial puncture (36600) |
— |
$319.80 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$25,838.57 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
— |
$29,980.84 |
— |
| Artery-vein autograft (36825) |
— |
$33,490.13 |
— |
| Arthrd Carpo/Metacarpal Jt Thumb W/WO Int Fixj (26841) |
— |
$36,913.70 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$7,611.29 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines |
— |
$142.29–$7,611.29 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
— |
$122.73–$10,604.05 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$160.83–$6,873.52 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$7,611.29 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$34,911.71 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$97,897.04 |
— |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
— |
$17,597.01 |
— |
| Arthroscopy hip w/femoroplasty (29914) |
— |
$13,881.24 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$11,980.50 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$28,851.63 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$24,907.93 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
— |
$19,760.49 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$19,760.49 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$36,830.18 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$15,644.04 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$16,984.74 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$28,917.80 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$19,626.44 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$32,729.39 |
— |
| Arthrotomy biopsy interphalangeal joint each (26110) |
— |
$12,011.86 |
— |
| Arthrotomy wrist joint with synovectomy (25105) |
— |
$17,597.01 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$83,054.45 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$70,060.50 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$40,634.38 |
— |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
— |
$70,060.50 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$11,015.16 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$19,760.49 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$16,530.83 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$14,794.38 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$14,794.38 |
— |
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines |
— |
$296.28–$12,441 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$14,077.05 |
— |
| Av Fistula Revision Open (36832) |
— |
$37,488.28 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$38,470.64 |
— |
| Av fusion/forearm vein (36820) |
— |
$34,833.80 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$7,066.75 |
— |
Biopsy Abdominal Mass (49180)
range across 4 matching MRF lines |
— |
$225.21–$7,335.96 |
— |
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines |
— |
$351.45–$7,860.81 |
— |
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines |
— |
$236.52–$4,058.94 |
— |
Biopsy muscle percutaneous needle (20206)
range across 3 matching MRF lines |
— |
$154.77–$7,860.81 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$21,176.78 |
— |
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines |
— |
$236.52–$12,011.86 |
— |
| Biopsy of palate, uvula (42100) |
— |
$8,327.79 |
— |
| Biopsy Oropharynx (42800) |
— |
$9,037.37 |
— |
Biopsy Pleura Percutaneous Needle (32400)
range across 2 matching MRF lines |
— |
$228.12–$7,335.96 |
— |
Biopsy Salivary Gland Needle (42400)
range across 2 matching MRF lines |
— |
$142.08–$5,958.65 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$7,137.54 |
— |
Biopsy soft tissue neck/thorax (21550)
range across 2 matching MRF lines |
— |
$417.27–$7,537.84 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$6,138.52 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$15,586.25 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$19,771.59 |
— |
| Bladder Irrigation (51700) |
— |
$16,503.12 |
— |
| Bladder Scan (51798) |
— |
$153.15 |
— |
| Blepharoplasty Lower Eyelid Herniated Fat Pad (15821) |
— |
$16,344.08 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$16,344.08 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$9,646.17 |
— |
| Blood Transfusion Service (36430) |
— |
$1,086.78 |
— |
| Breast augmentation with implant (19325) |
— |
$35,000 |
— |
| Breast Reduction (19318) |
— |
$35,261.37 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$17,115.52 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$21,167.52 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$26,624.14 |
— |
| Bronchoscopy Bronch Stents (31636) |
— |
$25,399.35 |
— |
| Bronchoscopy Clear Airways (31645) |
— |
$18,829.81 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$14,680.50 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$23,635.97 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$15,311.53 |
— |
Bx breast 1st lesion strtctc (19081)
range across 4 matching MRF lines |
— |
$443.07–$12,011.86 |
— |
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines |
— |
$416.61–$12,011.86 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$32,591 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$10,063.34 |
— |
| Cataract surgery complex (66982) |
— |
$10,441.76 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$533.97 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$25,838.57 |
— |
| Chemical Cautery Tissue (17250) |
— |
$8,843.57 |
— |
Chest tube placement (32551)
range across 2 matching MRF lines |
— |
$420.48–$14,792.66 |
— |
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines |
— |
$880.38–$8,661.39 |
— |
| Ciliary body destruction; cyclodialysis Facility (66740) |
— |
$10,113.33 |
— |
| Circumcision 28 days or older (54161) |
— |
$16,673.04 |
— |
| Circumcision Neonate (54160) |
— |
$1,710.18 |
— |
| Claviculectomy partial (23120) |
— |
$13,378.71 |
— |
| Clear outer ear canal (69200) |
— |
$319.80 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$19,760.49 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$6,238.91 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$43,908.35 |
— |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
— |
$67,920.91 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$12,011.86 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$14,794.38 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$590.40 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$4,023.69 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$16,405.79 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$12,011.86 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$16,290.31 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$590.40 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$13,262.22 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$31,668.01 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$590.40 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$319.80 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$26.49 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$11,793.46 |
— |
| Colonoscopy thru stoma (44388) |
— |
$10,500.59 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$11,793.46 |
— |
| Colonoscopy w/ablation (45388) |
— |
$11,793.46 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$11,793.46 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$11,793.46 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$7,979.19 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$8,664.62 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$7,979.19 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$11,793.46 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$11,793.46 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$11,793.46 |
— |
| Complex drainage wound (10180) |
— |
$12,355.65 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$12,887.97 |
— |
| Conization of cervix (57520) |
— |
$17,920.27 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines |
— |
$412.80–$7,335.96 |
— |
| Correction hammertoe (28285) |
— |
$17,597.01 |
— |
| Correction of inverted nipples (19355) |
— |
$29,464.59 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$23,456.80 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$19,974.80 |
— |
| Curettage postpartum (59160) |
— |
$17,920.27 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$28,391.42 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$24,646.37 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$19,628.04 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$23,760.35 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$14,023.63 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$25,131.27 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$27,010.96 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$1,710.18 |
— |
| Cystoscopy implant stent (52282) |
— |
$19,529.89 |
— |
| Cystourethroscopy (52000) |
— |
$7,814.58 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$19,529.89 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$26,071.12 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$16,605.31 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$12,942.05 |
— |
| Debride nail 1-5 (11720) |
— |
$5,000 |
— |
| Debride nail 6 or more (11721) |
— |
$5,000 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$12,011.86 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$8,391.53 |
— |
| Declot vascular device (36593) |
— |
$847.86 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$11,049.19 |
— |
| Delivery of placenta (59414) |
— |
$7,826.97 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$8,843.57 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$7,555.93 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$5,555.51 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$5,811.99 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$7,814.58 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$7,611.29 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$7,974.28 |
— |
| Drainage of rectal abscess (45005) |
— |
$12,846.31 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$9,907.89 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$319.80 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$9,877.31 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$8,464.22 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$8,843.57 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$8,843.57 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$12,355.65 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$11,976.12 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$14,203.03 |
— |
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines |
— |
$232.71–$7,814.58 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$17,353.52 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$17,353.52 |
— |
| Egd cautery tumor polyp (43250) |
— |
$17,353.52 |
— |
| Egd control bleeding any (43255) |
— |
$17,353.52 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$17,353.52 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$13,173.49 |
— |
| Egd guide wire insertion (43248) |
— |
$13,173.49 |
— |
| Egd lesion ablation (43270) |
— |
$17,353.52 |
— |
| Egd place gastrostomy tube (43246) |
— |
$13,480.91 |
— |
| Egd remove lesion snare (43251) |
— |
$14,077.51 |
— |
| Egd Varices Ligation (43244) |
— |
$17,353.52 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$785.79 |
— |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
— |
$25,458.98 |
— |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
— |
$16,344.08 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$11,805.43 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$11,805.43 |
— |
| Epidural Blood Patch (62273) |
— |
$3,613.07 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$319.80 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$6,645.80 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$6,872.52 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$6,782.74 |
— |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
— |
$10,232.40 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$8,016.08 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$8,016.08 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$7,504.21 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$6,390.27 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$6,411.63 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$7,728.66 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$7,541.68 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$12,355.65 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$6,135.51 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$6,766.20 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$6,476.15 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$6,333.66 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$14,794.38 |
— |
| Exc Lesion/Tumor Dentoalveolar Strux W/Smpl Rpr (41826) |
— |
$17,597.01 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$12,355.65 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$6,838.57 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$6,706.86 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$12,355.65 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$7,171.59 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$12,762.47 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$12,355.65 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$7,197.78 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$12,355.65 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$11,793.46 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$6,149.53 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$6,584.05 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$6,886.63 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$12,355.65 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$6,595.56 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$7,580.30 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$6,475.32 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$12,355.65 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$12,355.65 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$6,668.29 |
— |
| Excise excessive skin arm (15836) |
— |
$12,215.57 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$5,694.97 |
— |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
— |
$10,232.40 |
— |
| Excision Chalazion Single (67800) |
— |
$9,646.17 |
— |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
— |
$12,215.57 |
— |
| Excision H/P/P/U Complex Repair (11471) |
— |
$12,355.65 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$12,355.65 |
— |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
— |
$13,524.08 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$12,355.65 |
— |
| Excision Infected Graft Extremity (35903) |
— |
$27,855.27 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$7,319.87 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$8,498.08 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$7,477.37 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$7,500 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$7,168.76 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$7,085.25 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$7,292.70 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$7,842.48 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$12,355.65 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$9,247.14 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$26,465.34 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$12,355.65 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$11,793.46 |
— |
| Excision olecranon bursa (24105) |
— |
$17,597.01 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$12,355.65 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$50,579.64 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$12,355.65 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$15,723.50 |
— |
| Excision Torus Mandibularis (21031) |
— |
$17,597.01 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$7,415.23 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$12,355.65 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad Facility (15838) |
— |
$12,215.57 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh Facility (15832) |
— |
$12,215.57 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$7,060.10 |
— |
| Excision/Transposition Pterygium W/Grafg (65426) |
— |
$10,232.40 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$17,597.01 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$7,860.81 |
— |
| External cephalic version (59412) |
— |
$7,826.97 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$17,597.01 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$17,597.01 |
— |
| Fetal non-stress test (59025) |
— |
$498.87 |
— |
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 2 matching MRF lines |
— |
$296.07–$7,814.58 |
— |
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines |
— |
$82.08–$613.47 |
— |
Fna Bx W/Fluor Gdn 1St Les (10007)
range across 2 matching MRF lines |
— |
$244.02–$7,814.58 |
— |
Fna bx w/us gdn 1st les (10005)
range across 2 matching MRF lines |
— |
$199.08–$7,814.58 |
— |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
— |
$16,344.08 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$24,641.71 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$36,495.15 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$12,355.65 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$12,355.65 |
— |
| Hemorrhoidopexy by stapling (46947) |
— |
$10,218.53 |
— |
| Hip arthro w/labral repair (29916) |
— |
$19,228.32 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$18,585.54 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$17,920.27 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$25,458.98 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$17,252.97 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$21,087.01 |
— |
| I&d abscess peritonsillar (42700) |
— |
$12,954.55 |
— |
I&d abscess simple (10060)
range across 2 matching MRF lines |
— |
$284.34–$12,878.40 |
— |
| I&d perianal abscess superficial (46050) |
— |
$10,033.50 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$7,814.58 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$7,814.58 |
— |
Image Cath Fluid Colxn Visc (49405)
range across 2 matching MRF lines |
— |
$527.10–$4,058.94 |
— |
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines |
— |
$526.26–$4,058.94 |
— |
Image Cath Fluid Trns/Vgnl (49407)
range across 2 matching MRF lines |
— |
$558.90–$4,058.94 |
— |
| Incise finger tendon sheath (26055) |
— |
$6,992.77 |
— |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
— |
$492.42–$9,379.23 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$7,974.28 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$6,693.24 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$12,011.86 |
— |
| Incision of eardrum (69420) |
— |
$13,253.51 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$10,293.64 |
— |
| Incision of rectal abscess (46040) |
— |
$10,702.44 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$12,321.51 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$501.21 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$11,976.12 |
— |
Inj W/Fluor Eval Cv Device (36598)
range across 3 matching MRF lines |
— |
$14.70–$536.61 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$11,976.12 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$11,976.12 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$11,976.12 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$11,976.12 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$11,976.12 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$7,814.58 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$7,814.58 |
— |
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines |
— |
$87.33–$8,391.53 |
— |
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines |
— |
$105.18–$7,611.29 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$11,976.12 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$7,814.58 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$7,814.58 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$7,980 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$7,980 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$7,980 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$13,757.79 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$13,757.79 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$21,269.22 |
— |
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines |
— |
$207.42–$391.05 |
— |
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines |
— |
$404.58–$4,009.50 |
— |
| Insert cath pleura w/o image (32556) |
— |
$17,536.77 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$26,733.42 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$26,733.42 |
— |
| Insert Nasal Septal Button (30220) |
— |
$6,727.50 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$16,686.16 |
— |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
— |
$67.95–$319.80 |
— |
| Insert tunneled cv cath (36561) |
— |
$18,459.02 |
— |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
— |
$68.70–$319.80 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$10,765.10 |
— |
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines |
— |
$226.41–$4,009.50 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$21,269.22 |
— |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
— |
$10,262.16 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$4,009.50 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$30,730.55 |
— |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
— |
$35,000 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$82,364.07 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$21,269.22 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$26,733.42 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$59,011.89 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$17,597.01 |
— |
| Intro cath dialysis circuit (36901) |
— |
$12,011.86 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$611.52 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$17,597.01 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$30,465.95 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$45,705.74 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$56,906.55 |
— |
| Laparoscopic myomectomy (58545) |
— |
$54,212.25 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$29,507.81 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$16,369.89 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$47,811.78 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$51,358.51 |
— |
| Laparoscopy W/Lysis Of Adhesions (58660) |
— |
$28,965.29 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$24,074.27 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$36,168.87 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$44,468.44 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$49,719.19 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$48,773.36 |
— |
| Laparoscopy, Tubal Block (58671) |
— |
$17,364.94 |
— |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines |
— |
$14,445.36–$39,623 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$35,599.19 |
— |
| Laps pelvic lymphadec (38573) |
— |
$50,893.96 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$60,851.92 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$20,066.31 |
— |
| Late closure of wound (13160) |
— |
$16,344.08 |
— |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
— |
$28,680.54 |
— |
| Ligation of a-v fistula (37607) |
— |
$31,087.85 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$12,011.86 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$23,648.88 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$13,289.30 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$17,322.86 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$12,011.86 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$4,870.55 |
— |
| Mast mod rad (19307) |
— |
$48,140.10 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$16,765.61 |
— |
| Mastectomy partial (19301) |
— |
$28,561.56 |
— |
| Mastectomy simple complete (19303) |
— |
$46,512.42 |
— |
| Mastopexy (19316) |
— |
$35,261.37 |
— |
| Mediastinoscpy w/lmph nod bx (39402) |
— |
$39,498.69 |
— |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
— |
$20,564.05 |
— |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
— |
$26,465.34 |
— |
| Muscle-skin graft trunk (15734) |
— |
$26,465.34 |
— |
Myelography Lumbar Injection (62304)
range across 2 matching MRF lines |
— |
$318.33–$2,004.54 |
— |
Myelography via lumbar injection rs&i cervical (62302)
range across 2 matching MRF lines |
— |
$323.04–$2,004.54 |
— |
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 3 matching MRF lines |
— |
$323.04–$2,004.54 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$11,976.12 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$7,814.58 |
— |
| N Block Inj Pudendal (64430) |
— |
$12,009.47 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$11,976.12 |
— |
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines |
— |
$109.20–$997.50 |
— |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
— |
$17,162.06 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$17,692.97 |
— |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
— |
$17,692.97 |
— |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
— |
$25,399.35 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$25,399.35 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$11,448.51 |
— |
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines |
— |
$232.35–$7,335.96 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$74.55 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$74.55 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$16,673.04 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$10,970.85 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,250.34 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$7,979.19 |
— |
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 2 matching MRF lines |
— |
$189.57–$8,661.39 |
— |
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines |
— |
$570.48–$8,661.39 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$11,976.12 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$7,814.58 |
— |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
— |
$25,399.35 |
— |
| Occipital Nerve Block (64405) |
— |
$7,979.19 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$21,477.81 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$37,227.37 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$65,294.11 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$45,408.62 |
— |
| Open treatment metacarpophalangeal dislocation (26715) |
— |
$19,760.49 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$59,143.24 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$68,951.84 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$51,185.31 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$44,828.59 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$49,100.22 |
— |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
— |
$49,657.61 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$17,597.01 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$18,904.07 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$39,434.52 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$36,413.37 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$27,541.80 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$52,920.50 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$46,316.63 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$70,060.50 |
— |
| Ostectomy calcaneus (28118) |
— |
$17,597.01 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$19,252.04 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$17,597.01 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$36,495.15 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$17,597.01 |
— |
| Part remv talus or calcaneus (28120) |
— |
$22,681.36 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$17,920.27 |
— |
| Peri-Implant Capsulectomy Breast Complete (19371) |
— |
$18,672.13 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$4,009.50 |
— |
Perq dev breast 1st strtctc (19283)
range across 4 matching MRF lines |
— |
$269.34–$5,958.65 |
— |
Perq dev breast 1st us imag (19285)
range across 4 matching MRF lines |
— |
$228.15–$5,958.65 |
— |
Perq device breast 1st imag (19281)
range across 4 matching MRF lines |
— |
$267.12–$12,011.86 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$17,597.01 |
— |
| Place Cath Subclavian Art (36225) |
— |
$57,460.86 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$25,838.57 |
— |
| Place Cath Vertebral Art (36226) |
— |
$56,560.15 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$9,272.02 |
— |
| Prim art mech thrombectomy (37184) |
— |
$43,899.81 |
— |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
— |
$10,232.40 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$18,864.57 |
— |
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines |
— |
$279.60–$10,117.41 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$7,541.68 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$8,464.22 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 4 matching MRF lines |
— |
$116.10–$7,814.58 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$7,814.58 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$4,565.49 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$7,980 |
— |
| Removal Anal Seton Other Marker (46030) |
— |
$11,793.46 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$17,597.01 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$5,000 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$5,000 |
— |
| Removal Implant Deep (20680) |
— |
$13,477.87 |
— |
| Removal intact breast implant (19328) |
— |
$11,227.74 |
— |
| Removal of adenoids (42831) |
— |
$17,597.01 |
— |
| Removal of adenoids (42830) |
— |
$17,597.01 |
— |
| Removal of adenoids (42836) |
— |
$17,597.01 |
— |
| Removal of anal fissure (46200) |
— |
$12,355.65 |
— |
| Removal of heel spur (28119) |
— |
$19,760.49 |
— |
| Removal of knee prosthesis (27488) |
— |
$51,458.63 |
— |
| Removal of mammary implant material (19330) |
— |
$16,507.11 |
— |
| Removal of nail bed (11750) |
— |
$6,990.55 |
— |
| Removal of sesamoid bone (28315) |
— |
$11,360.49 |
— |
| Removal of tonsils (42825) |
— |
$39,498.69 |
— |
| Removal of tonsils (42826) |
— |
$17,597.01 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$23,220.19 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$9,831.42 |
— |
| Removal ppm generator only (33233) |
— |
$21,269.22 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$6,835.38 |
— |
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines |
— |
$227.94–$5,958.65 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$11,319.93 |
— |
| Removal sweat gland lesion (11450) |
— |
$12,355.65 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$12,011.86 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$672.36 |
— |
| Remove drug implant device (11982) |
— |
$6,638.73 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$9,831.42 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$14,794.38 |
— |
| Remove Intrauterine Device (58301) |
— |
$7,979.19 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$11,772.06 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$319.80 |
— |
| Remove palate/lesion (42120) |
— |
$39,498.69 |
— |
| Remove Pulse Generator (33241) |
— |
$9,831.42 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$7,071.60 |
— |
| Remove&replace pm gen singl (33227) |
— |
$21,269.22 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$59,011.89 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$82,364.07 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$59,011.89 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$26,733.42 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$48,781.95 |
— |
Renal Biopsy Perq (50200)
range across 2 matching MRF lines |
— |
$341.52–$7,335.96 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
— |
$26,071.12 |
— |
| Reopen fallopian tube (58350) |
— |
$27,382.41 |
— |
| Repair Achilles Tendon (27650) |
— |
$23,580.63 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$12,321.51 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$12,321.51 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$13,524.08 |
— |
| Repair Elbow Perc (24357) |
— |
$19,760.49 |
— |
| Repair Finger Tendon (26433) |
— |
$17,597.01 |
— |
| Repair Hallux Rigidus (28289) |
— |
$19,760.49 |
— |
| Repair Hand Joint (26540) |
— |
$16,363.89 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$41,644.95 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$7,944.51 |
— |
| Repair lead pace-defib dual (33220) |
— |
$9,831.42 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$9,831.42 |
— |
| Repair of anal fistula with fibrin glue (46706) |
— |
$12,355.65 |
— |
| Repair of nail bed (11760) |
— |
$12,321.51 |
— |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
— |
$36,495.15 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$36,495.15 |
— |
| Repair of shoulder (23420) |
— |
$21,477.81 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$67,676.91 |
— |
| Reposition L Ventric Lead (33226) |
— |
$7,980 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$7,980 |
— |
| Revision of reconstructed breast (19380) |
— |
$35,261.37 |
— |
| Revision Peri-Implant Capsule Breast (19370) |
— |
$21,176.78 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$51,458.63 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$60,387.50 |
— |
| Rhytidectomy Cheek Chin & Neck (15828) |
— |
$16,748.49 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$7,335.96 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$15,000 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$6,138.52 |
— |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
— |
$10,262.16 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$6,331.79 |
— |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
— |
$365.64–$10,804.94 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$618.75 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$18,763.18 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$18,608.60 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$55,212.95 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$44,085.52 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$51,935.19 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$46,824.69 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$37,097.83 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$14,792.66 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$17,597.01 |
— |
| Shoulder arthroscopy (29820) |
— |
$12,820.82 |
— |
| Shoulder Arthroscopy/Surgery (29825) |
— |
$12,427.78 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$11,598.38 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$9,802.95 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$4,585.81 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$16,344.08 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$17,246.76 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$14,807.66 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$17,246.76 |
— |
| Skin Tissue Procedure (17999) |
— |
$14,239.29 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$17,246.76 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$39,498.69 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$29,237.49 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$38,470.64 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$25,458.98 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$8,235.80 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$12,355.65 |
— |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
— |
$174.81–$7,319.87 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$27,647.18 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$11,805.43 |
— |
| Strapping ankle (29540) |
— |
$394.47 |
— |
| Strapping elbow or wrist (29260) |
— |
$153.15 |
— |
| Strapping knee (29530) |
— |
$319.80 |
— |
| Strapping shoulder (29240) |
— |
$319.80 |
— |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
— |
$394.47–$16,290.31 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$17,597.01 |
— |
| Suction assisted lipectomy; head and neck (15876) |
— |
$19,687.83 |
— |
| Suction assisted lipectomy; trunk (15877) |
— |
$10,563 |
— |
| Surg tx anal fistula subq (46270) |
— |
$12,355.65 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$12,355.65 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$36,495.15 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
— |
$36,495.15 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$40,980.40 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$8,235.80 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$14,794.38 |
— |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
— |
$17,597.01 |
— |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
— |
$6,820.67 |
— |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
— |
$17,597.01 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$15,190.07 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$25,838.57 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$38,470.64 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$847.86 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$25,838.57 |
— |
| Thumb fusion with graft (26842) |
— |
$36,913.70 |
— |
Thyroid biopsy (60100)
range across 2 matching MRF lines |
— |
$207.96–$5,958.65 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$46,827.14 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$10,000 |
— |
| Tissue Expander Placement Breast Reconstruction (19357) |
— |
$38,057.83 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$19,760.49 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$20,442.39 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$12,191.50 |
— |
| Tooth extraction (41899) |
— |
$12,655.59 |
— |
| Total Knee Arthroplasty (27447) |
— |
$83,587.64 |
— |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
— |
$43,982.91 |
— |
| Treat Finger Fracture Each (26727) |
— |
$14,074.96 |
— |
| Treat fracture radius/ulna (25575) |
— |
$36,495.15 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$62,889.31 |
— |
| Treat Kneecap Fracture (27524) |
— |
$60,193.18 |
— |
| Treat Thumb Dislocation (26641) |
— |
$590.40 |
— |
| Treat thumb fracture (26665) |
— |
$19,760.49 |
— |
| Trim skin lesion (11055) |
— |
$8,235.80 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$8,235.80 |
— |
| Trim skin lesions over 4 (11057) |
— |
$8,235.80 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$5,000 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$14,309.37 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$12,355.65 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$55,583.23 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$21,374.78 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$13,825.09 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$13,960.86 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$63,891.74 |
— |
| Tympanoplasty (69631) |
— |
$14,138.09 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$13,169.66 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$12,441 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$39,498.69 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$43,181.99 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$51,772.20 |
— |
| Unlisted procedure anus (46999) |
— |
$12,009.47 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$13,173.49 |
— |
| Unlisted procedure liver (47399) |
— |
$5,958.65 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$37,833.46 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$14,800.65 |
— |
| Vag hyst w/t/o & vag repair (58263) |
— |
$25,458.98 |
— |
| Vaginal delivery only (59409) |
— |
$7,826.97 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$25,458.98 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$25,458.98 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$43,899.81 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$16,673.04 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$27,541.80 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$17,597.01 |
— |
| Vulvectomy simple partial (56620) |
— |
$23,595.25 |
— |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
— |
$51,563.11 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$12,789.32 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$12,240.77 |
— |