Abd paracentesis w/imaging (49083)
range across 4 matching MRF lines |
$906 |
$3,807.75–$10,440.20 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$906 |
$3,807.75 |
1.0× |
| Abdomen Surgery Procedure (22999) |
$246 |
$17,442 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,062 |
$10,222.53 |
1.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,062 |
$16,800 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,542 |
$8,400 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,062 |
$14,000 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,062 |
$15,400 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,062 |
$21,000 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,062 |
$17,100 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,270 |
$11,200 |
1.0× |
| Amputation foot transmetarsal (28805) |
$3,270 |
$14,250 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,270 |
$14,250 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,270 |
$14,250 |
1.0× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$2,774 |
$11,200 |
1.0× |
| Anoscopy diagnostic (46600) |
$133 |
$532.40 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,000 |
$14,250 |
1.0× |
| Application finger splint static (29130) |
$133 |
$563.20 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$162 |
$961.19 |
1.0× |
| Application Long Leg Cast Brace (29358) |
$279 |
$1,177.90 |
1.0× |
| Application Long Leg Splint (29505) |
$162 |
$961.19 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$279 |
$1,649.06 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$133 |
$760.27 |
1.0× |
| Application short leg splint calf foot (29515) |
$162 |
$961.19 |
1.0× |
| Apply long arm cast (29065) |
$279 |
$1,177.90 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$162 |
$961.19 |
1.0× |
| Apply Short Leg Cast (29405) |
$279 |
$1,177.90 |
1.0× |
| Apply short leg cast (29425) |
$279 |
$1,177.90 |
1.0× |
Arterial puncture (36600)
range across 3 matching MRF lines |
$133 |
$532.40–$760.27 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,156 |
$21,400.90 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,562 |
$17,100 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$306 |
$1,237.40 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$306 |
$1,305.85–$6,336.84 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$306 |
$1,305.85 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,253 |
$16,800 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,527 |
$81,200 |
1.0× |
| Arthroplasty Radial Head W/Implant (24366) |
$12,833 |
$17,100 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,270 |
$10,687.50 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,270 |
$13,300 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,270 |
$9,264.75 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,253 |
$16,273.83 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,270 |
$19,950 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,270 |
$25,650 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,253 |
$9,722.98 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,270 |
$8,775.98 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,270 |
$7,355.69 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,253 |
$11,114.59 |
1.0× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$3,270 |
$8,568 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$12,833 |
$39,875 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,253 |
$25,650 |
1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,270 |
$17,100 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,270 |
$15,200 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,270 |
$17,319.20 |
1.0× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$3,270 |
$14,000 |
1.0× |
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines |
$627 |
$3,100.05–$4,615.02 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$627 |
$4,340.07 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$707 |
$1,738.02 |
1.0× |
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines |
$2,089 |
$8,698.75–$14,125 |
1.0× |
| Av Fistula Revision Open (36832) |
$5,562 |
$25,650 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,562 |
$24,370.30 |
1.0× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 4 matching MRF lines |
$200 |
$882.25–$8,400 |
1.0× |
| Axillary lymphadenectomy; complete (38745) |
$6,043 |
$5,600 |
1.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$6,471 |
$14,736.60 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,650 |
$4,126.50 |
1.0× |
Biopsy Bone Trocar/Needle Superficial (20220)
range across 3 matching MRF lines |
$1,650 |
$6,877.50–$7,148.15 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,650 |
$7,148.15 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$3,914 |
$9,875 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,650 |
$9,821.07 |
1.0× |
| Biopsy of rectum (45100) |
$2,774 |
$14,000 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy Salivary Gland Incisional (42405) |
$1,551 |
$19,992 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,650 |
$4,757.89 |
1.0× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$2,903 |
$11,400 |
1.0× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$1,650 |
$6,877.50 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,914 |
$25,200 |
1.0× |
| Bladder Irrigation (51700) |
$249 |
$1,180.24 |
1.0× |
| Bladder Scan (51798) |
$58 |
$279.50 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$317 |
$1,387.80 |
1.0× |
Blood Transfusion Service (36430)
range across 7 matching MRF lines |
$441 |
$1,914.20–$2,894.65 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$441 |
$14,000 |
1.0× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$7,253 |
$9,975 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,650 |
$6,877.50 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,650 |
$6,877.50 |
1.0× |
| Breast augmentation with implant (19325) |
$8,170 |
$14,250 |
1.0× |
| Breast Reduction (19318) |
$6,637 |
$46,064.30 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,726 |
$14,250 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,650 |
$9,628.50 |
1.0× |
| Bx Cervix (57500) |
$920 |
$16,205.50 |
1.0× |
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines |
$3,914 |
$18,159–$19,368.80 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$3,914 |
$9,088.33 |
1.0× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,270 |
$8,721 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,952 |
$11,052.60 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,235 |
$16,013.70 |
1.0× |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
$3,235 |
$11,628 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,156 |
$14,308.30 |
1.0× |
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines |
$249 |
$1,089.65–$14,250 |
1.0× |
Change of Windpipe Airway (31502)
range across 2 matching MRF lines |
$236 |
$1,030.70–$8,550 |
1.0× |
| Change ureter stent percut (50382) |
$2,089 |
$19,950 |
1.0× |
| Chemical Cautery Tissue (17250) |
$200 |
$1,259.85 |
1.0× |
| Chemical Pleurodesis (32560) |
$627 |
$3,100.05 |
1.0× |
| Chest tube placement (32551) |
$1,573 |
$5,468.15 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,089 |
$18,248.70 |
1.0× |
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines |
$2,089 |
$7,092.53–$8,698.75 |
1.0× |
| Claviculectomy partial (23120) |
$3,270 |
$14,535 |
1.0× |
| Clear outer ear canal (69200) |
$133 |
$760.27 |
1.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,270 |
$11,200 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,607 |
$6,566.70 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$246 |
$11,628 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$246 |
$1,125.45 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$246 |
$1,125.45 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$246 |
$1,504.45 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,607 |
$3,940.02 |
1.0× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$1,607 |
$1,324.24 |
1.0× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$3,270 |
$13,116.70 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$246 |
$1,125.45 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,551 |
$6,395.50 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$246 |
$1,125.45 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,607 |
$6,776.95 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$246 |
$1,125.45 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,607 |
$6,566.70 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,607 |
$9,193.38 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$246 |
$1,125.45 |
1.0× |
| Closed tx septal&nose fx (21337) |
$3,314 |
$13,096.50 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$246 |
$675.27 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$246 |
$1,035.05 |
1.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,607 |
$6,566.70 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$246 |
$1,125.45 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,607 |
$5,650 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$246 |
$1,607.14 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,607 |
$9,193.38 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$246 |
$1,125.45 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$246 |
$1,125.45 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$246 |
$675.27 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$246 |
$1,575.63 |
1.0× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
$1,607 |
$8,400–$9,377.25 |
1.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,607 |
$6,961.75 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$246 |
$783.15 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,607 |
$7,172.60 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$246 |
$1,147.96 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$246 |
$675.27 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$246 |
$1,607.14 |
1.0× |
| Cltx Medial Ankle Fx (27760) |
$246 |
$1,125.45 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$246 |
$675.27 |
1.0× |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 2 matching MRF lines |
$246 |
$1,575.63–$11,200 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$246 |
$1,125.45 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,607 |
$5,700 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$246 |
$783.15 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$246 |
$1,125.45 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,607 |
$6,566.70 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$246 |
$1,607.14 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,607 |
$6,776.95 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$246 |
$1,125.45 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,607 |
$3,940.02 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$133 |
$532.40 |
1.0× |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$9 |
$18.35–$22,800 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,196 |
$5,814 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,196 |
$9,175.64 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,196 |
$4,602.18 |
1.0× |
| Colporrhaphy (57200) |
$3,235 |
$11,200 |
1.0× |
| Colposcopy of vulva (56820) |
$202 |
$829.65 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,000 |
$23,328.60 |
1.0× |
Complex drainage wound (10180)
range across 2 matching MRF lines |
$2,903 |
$5,800–$11,594.50 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,235 |
$11,581.30 |
1.0× |
| Conization of cervix (57520) |
$3,235 |
$14,250 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$133 |
$532.40 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$133 |
$760.27 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,089 |
$7,250 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,650 |
$7,184.95 |
1.0× |
| Correction hammertoe (28285) |
$3,270 |
$11,400 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,253 |
$11,341.17 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$5,562 |
$28,500 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$133 |
$426.34 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,089 |
$21,802.50 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,089 |
$14,250 |
1.0× |
| Cysto w/complex removal stone & stent (52315) |
$2,089 |
$11,628 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,523 |
$8,663.68 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,523 |
$15,675 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,089 |
$12,532.80 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$3,523 |
$6,063.33 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,523 |
$14,500 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,523 |
$7,825.56 |
1.0× |
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 2 matching MRF lines |
$3,523 |
$8,698.75–$18,668.50 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,359 |
$6,310.55 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,359 |
$17,389.50 |
1.0× |
| Cysto/uretero w/up stricture (52345) |
$3,523 |
$7,133.75 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,089 |
$11,200 |
1.0× |
| Cystouretero w/renal strict (52346) |
$5,359 |
$8,721 |
1.0× |
| Cystourethroscopy (52000) |
$697 |
$12,825 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,089 |
$14,250 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,523 |
$14,250 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,359 |
$22,800 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,089 |
$11,400 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,089 |
$12,112.50 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,089 |
$8,550 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,903 |
$9,315.60 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$707 |
$2,896.70 |
1.0× |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
$738 |
$3,447.83–$14,500 |
1.0× |
| Debride nail 1-5 (11720) |
$58 |
$269.65 |
1.0× |
| Debride nail 6 or more (11721) |
$58 |
$285.09 |
1.0× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines |
$1,650 |
$9,800–$9,821.07 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$406 |
$2,198.56–$2,242.53 |
1.0× |
Declot vascular device (36593)
range across 2 matching MRF lines |
$330 |
$1,441.90–$1,758 |
1.0× |
| Deep Muscle Biopsy (20205) |
$2,903 |
$14,250 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$1,952 |
$14,281.90 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,952 |
$12,040 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$200 |
$25,200 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$884 |
$8,400 |
1.0× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$1,952 |
$14,000 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,952 |
$15,120 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$929 |
$10,379 |
1.0× |
Dilation & curettage dx&/ther nonobstetric (58120)
range across 2 matching MRF lines |
$3,235 |
$11,692.90–$13,784 |
1.0× |
| Drain Hand Tendon Sheath (26020) |
$3,270 |
$11,200 |
1.0× |
| Drainage abscess parotid simple (42300) |
$1,551 |
$6,395.50 |
1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,650 |
$6,877.50 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$707 |
$2,896.70 |
1.0× |
Drainage of finger abscess simple (26010)
range across 2 matching MRF lines |
$200 |
$1,259.85–$5,600 |
1.0× |
| Drainage of gum lesion (41800) |
$133 |
$760.27 |
1.0× |
Drainage of hematoma/fluid (10140)
range across 3 matching MRF lines |
$1,650 |
$6,877.50–$17,670 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,650 |
$6,877.50 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$133 |
$532.40 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$707 |
$2,896.70 |
1.0× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines |
$406 |
$1,570.40–$2,198.56 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$200 |
$882.25 |
1.0× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
$200 |
$882.65–$1,259.85 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,774 |
$14,000 |
1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$884 |
$8,400 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,903 |
$12,916.30 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$705 |
$3,242.60 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,918 |
$5,675 |
1.0× |
| Egd control bleeding any (43255) |
$1,918 |
$5,700 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$906 |
$14,250 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,918 |
$9,800 |
1.0× |
| Egd remove lesion snare (43251) |
$1,918 |
$8,400 |
1.0× |
| Egd Varices Ligation (43244) |
$1,918 |
$5,700 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$11,539 |
$48,345.20 |
1.0× |
Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115)
range across 2 matching MRF lines |
$2,062 |
$7,744.80–$8,113.70 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,062 |
$7,744.80 |
1.0× |
Epidural Blood Patch (62273)
range across 2 matching MRF lines |
$705 |
$2,994.05–$8,400 |
1.0× |
| Ercp duct stent placement (43274) |
$6,068 |
$17,400 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,854 |
$14,123.50 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,854 |
$8,700 |
1.0× |
| Ercp remove forgn body duct (43275) |
$1,918 |
$14,500 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,068 |
$11,600 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,854 |
$11,832 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$3,854 |
$10,039.01 |
1.0× |
| Escharotomy; initial incision (16035) |
$406 |
$1,579.55 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,918 |
$5,600 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$133 |
$563.20 |
1.0× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$1,650 |
$8,550 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,650 |
$11,628 |
1.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$2,903 |
$14,000 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,650 |
$8,400 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,650 |
$11,760 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,650 |
$4,609.76 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,903 |
$14,164.70 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$2,903 |
$13,180.90 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$3,914 |
$9,800 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$707 |
$7,770 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$707 |
$16,800 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,650 |
$19,600 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,650 |
$11,200 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$707 |
$6,013 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$707 |
$9,445.33 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,650 |
$22,869.30 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,650 |
$18,435.80 |
1.0× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$2,903 |
$9,800 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$707 |
$5,600 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422)
range across 2 matching MRF lines |
$1,650 |
$1,436.99–$14,396.60 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,650 |
$22,397.46 |
1.0× |
| Exc hand tum deep < 1.5 cm (26116) |
$1,650 |
$11,200 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$2,903 |
$11,200 |
1.0× |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 2 matching MRF lines |
$707 |
$3,050.05–$10,272.80 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,650 |
$5,674.67 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,903 |
$14,000 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,650 |
$10,941.70 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,650 |
$14,375 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,903 |
$7,093.33 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,650 |
$12,400 |
1.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,270 |
$14,000 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,903 |
$19,481.60 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,903 |
$16,800 |
1.0× |
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines |
$1,196 |
$5,184.80–$22,167.90 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$406 |
$8,400 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$707 |
$10,316.70 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,650 |
$8,891.67 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,903 |
$8,400 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$2,903 |
$10,800 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,650 |
$5,712 |
1.0× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,650 |
$8,400 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$2,903 |
$12,821.40 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,903 |
$14,000 |
1.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,903 |
$25,525 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,903 |
$12,600 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,903 |
$11,200 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,650 |
$9,800 |
1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,650 |
$8,400 |
1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$2,903 |
$16,800 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,650 |
$8,400 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,903 |
$15,103 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,650 |
$8,400 |
1.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$2,903 |
$12,725 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$2,903 |
$3,360 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,903 |
$14,732.50 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,579 |
$14,736.60 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,089 |
$8,698.75 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,918 |
$7,416.75 |
1.0× |
| Excise breast duct fistula (19112) |
$3,914 |
$11,200 |
1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$707 |
$5,600 |
1.0× |
| Excision Chest Wall Tumor Including Ribs (21601) |
$2,903 |
$11,200 |
1.0× |
| Excision H/P/P/U Complex Repair (11471) |
$2,903 |
$11,400 |
1.0× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$2,903 |
$23,441.20 |
1.0× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$2,903 |
$12,725 |
1.0× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$2,903 |
$19,314.60 |
1.0× |
| Excision lesion tendon sheath forearm&/wrist (25110) |
$1,607 |
$11,200 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$406 |
$4,095 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$707 |
$9,800 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$707 |
$6,426 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,650 |
$12,600 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$707 |
$14,000 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,650 |
$8,568 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,607 |
$12,800 |
1.0× |
| Excision of hydrocele; bilateral (55041) |
$3,579 |
$22,800 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,579 |
$14,820 |
1.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$5,917 |
$15,641.70 |
1.0× |
| Excision of submandibular (submaxillary) gland (42440) |
$5,917 |
$11,415 |
1.0× |
| Excision of urethral diverticulum (separate procedure); male Facility (53235) |
$5,359 |
$7,837.50 |
1.0× |
| Excision olecranon bursa (24105) |
$3,270 |
$11,400 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,903 |
$22,271.30 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,903 |
$20,914.10 |
1.0× |
| Excision Radial Head (24130) |
$3,270 |
$9,975 |
1.0× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$6,637 |
$28,235.50 |
1.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,903 |
$11,200 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,089 |
$14,000 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,650 |
$13,066.70 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,650 |
$11,400 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,650 |
$8,400 |
1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,650 |
$3,696 |
1.0× |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
$2,903 |
$17,100 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,903 |
$22,034.30 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,903 |
$14,150 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$2,903 |
$14,000 |
1.0× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$3,270 |
$17,100 |
1.0× |
| Excision; trochanteric bursa or calcification (27062) |
$3,270 |
$22,800 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,062 |
$8,400 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,650 |
$8,400 |
1.0× |
| Exploration of knee joint (27310) |
$3,270 |
$14,250 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,650 |
$11,200 |
1.0× |
| Explore treat shoulder joint (23107) |
$7,253 |
$8,874 |
1.0× |
| Explore/Treat Hand Joint (26070) |
$1,607 |
$11,400 |
1.0× |
| Fasciectomy Palm Only (26121) |
$3,270 |
$2,800 |
1.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,270 |
$16,800 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,270 |
$14,000 |
1.0× |
| Fetal Contraction Stress Test (59020) |
— |
$2,166.31 |
— |
| Fetal non-stress test (59025) |
— |
$1,184.74 |
— |
| Fine needle aspiration without imaging guidance (10021) |
$406 |
$1,570.40 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$238 |
$1,646.20 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$707 |
$2,896.70 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$707 |
$3,102 |
1.0× |
| Foreskin manipulation (54450) |
$249 |
$1,357.31 |
1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,062 |
$9,860.67 |
1.0× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,062 |
$8,330 |
1.0× |
| Fusion Finger Joint (26860) |
$3,270 |
$16,975 |
1.0× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,542 |
$12,813.10 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$707 |
$2,896.70 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,774 |
$11,514 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,774 |
$15,675 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,235 |
$12,596.70 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,000 |
$13,126 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,235 |
$20,299.68 |
1.0× |
| I&d abscess peritonsillar (42700) |
$236 |
$1,030.70 |
1.0× |
I&d abscess simple (10060)
range across 6 matching MRF lines |
$200 |
$882.25–$13,712.20 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,903 |
$8,400 |
1.0× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$2,774 |
$4,760 |
1.0× |
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines |
$929 |
$3,698.25–$8,475 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$707 |
$4,055.38 |
1.0× |
I&d pilonidal cyst simple (10080)
range across 2 matching MRF lines |
$707 |
$4,136.49–$16,328.90 |
1.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,903 |
$5,712 |
1.0× |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
$2,903 |
$11,200 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,650 |
$6,877.50 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,650 |
$6,877.50 |
1.0× |
| Immediate breast prosthesis (19340) |
$8,170 |
$6,540.75 |
1.0× |
| Implant neuroelectrodes (63650) |
$6,370 |
$12,880 |
1.0× |
| Implant Neuroelectrodes (64561) |
$6,370 |
$13,842.90 |
1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$19,393 |
$10,744.50 |
1.0× |
| Incise external hemorrhoid (46083) |
$249 |
$694.26 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,607 |
$9,022.22 |
1.0× |
Incision & drainage abscess complicated/multiple (10061)
range across 3 matching MRF lines |
$406 |
$942.24–$7,000 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,903 |
$7,134.87 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,650 |
$11,200 |
1.0× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$406 |
$1,570.40–$2,242.53 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$202 |
$1,161.51 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$304 |
$1,949.22 |
1.0× |
| Incision Drainage Lacrimal Sac (68420) |
$2,376 |
$9,676 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,607 |
$11,260 |
1.0× |
Incision of rectal abscess (46040)
range across 2 matching MRF lines |
$1,196 |
$4,898.95–$9,875 |
1.0× |
| Incision of urethra (53010) |
$5,359 |
$28,000 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$738 |
$2,769 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$200 |
$1,259.85 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$884 |
$10,477.80 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$306 |
$1,237.40 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$884 |
$8,953.50 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$705 |
$9,975 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$705 |
$7,733.33 |
1.0× |
| Injection for identification of sentinel node (38792) |
$399 |
$7,797.77 |
1.0× |
| Injection Into Brain Canal (61055) |
$306 |
$1,543.68 |
1.0× |
| Injection single tendon origin/insertion (20551) |
$306 |
$5,600 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$306 |
$1,767.01 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$306 |
$1,305.85 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$306 |
$5,600 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$884 |
$9,733.68 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$705 |
$10,863.89 |
1.0× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$705 |
$4,275.50–$5,600 |
1.0× |
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines |
$3,156 |
$8,993.22–$13,207.60 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,156 |
$13,207.60 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,156 |
$13,207.60 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,562 |
$21,882.60 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,918 |
$8,125.10 |
1.0× |
| Insert cervical dilator (59200) |
— |
$1,414.40 |
— |
| Insert Heart Pm Ventricular (33207) |
$10,448 |
$47,079.90 |
1.0× |
Insert non-tunnel cv cath (36556)
range across 6 matching MRF lines |
$3,156 |
$4,358.78–$14,053.50 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$10,448 |
$52,000.80 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,573 |
$3,100.05 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$8,272 |
$37,020.60 |
1.0× |
Insert Temp Bladder Cath (51702)
range across 4 matching MRF lines |
$133 |
$440.63–$1,946.39 |
1.0× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$3,156 |
$12,527.60–$13,207.60 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$5,562 |
$21,882.60 |
1.0× |
| Insert Uro/Ves Nck Sphincter (53445) |
$20,718 |
$30,800 |
1.0× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$133 |
$563.20–$1,126.90 |
1.0× |
| Insertion of cannula (36800) |
$5,562 |
$21,882.60 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,573 |
$5,468.15 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,272 |
$37,456.90 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,156 |
$13,207.60 |
1.0× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$3,156 |
$13,207.60 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines |
$1,573 |
$5,468.15–$7,655.41 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,156 |
$7,924.56 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$5,562 |
$21,882.60 |
1.0× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$3,156 |
$13,207.60 |
1.0× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines |
$3,156 |
$18,860.50–$31,491.80 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,170 |
$8,400 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$31,377 |
$90,000 |
1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$30,846 |
$15,400 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,272 |
$37,456.90 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$10,448 |
$47,079.90 |
1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$22,235 |
$90,000 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$22,235 |
$90,000 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$406 |
$1,570.40 |
1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$406 |
$1,570.40 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$539 |
$1,819.26 |
1.0× |
Intro cath dialysis circuit (36901)
range across 2 matching MRF lines |
$1,573 |
$3,420.85–$7,030.70 |
1.0× |
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 5 matching MRF lines |
$5,689 |
$14,035.60–$24,784.20 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$906 |
$3,807.75 |
1.0× |
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines |
$236 |
$1,030.70–$1,471.84 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$249 |
$1,619.94 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,270 |
$19,950 |
1.0× |
| Lam facetec & foramot lumbar (63047) |
$7,253 |
$22,036.50 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,043 |
$5,600 |
1.0× |
| Lap paraesoph her rpr w/mesh (43282) |
$10,625 |
$36,216.70 |
1.0× |
| Lap paraesophag hern repair (43281) |
$10,625 |
$14,518 |
1.0× |
| Laparo ablate renal cyst (50541) |
$10,625 |
$24,072 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$10,625 |
$33,942.20 |
1.0× |
| Laparoscope proc ureter (50949) |
$6,043 |
$13,533.33 |
1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$6,043 |
$17,100 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$6,043 |
$24,958.80 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,043 |
$27,906.10 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$10,625 |
$37,200 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$6,043 |
$47,604.90 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,043 |
$23,494.80 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,043 |
$12,970.40 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$10,625 |
$33,300 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$6,043 |
$32,673.10 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,043 |
$18,867.60 |
1.0× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$6,043 |
$5,700 |
1.0× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$10,625 |
$57,950 |
1.0× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$10,625 |
$38,550 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,043 |
$38,780 |
1.0× |
| Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement Facility (50948) |
$10,625 |
$13,533.34 |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$10,625 |
$34,046 |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,043 |
$12,088.20 |
1.0× |
| Laparoscopy, Tubal Block (58671) |
$6,043 |
$20,694 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,043 |
$16,975 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,043 |
$28,115.50 |
1.0× |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
$10,625 |
$45,675 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$10,625 |
$39,900 |
1.0× |
| Late closure of wound (13160) |
$3,542 |
$29,755.20 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,253 |
$19,950 |
1.0× |
| Ligation of a-v fistula (37607) |
$3,156 |
$8,550 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,523 |
$19,950 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,523 |
$14,250 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,523 |
$13,254.10 |
1.0× |
| Low Back Disk Surgery (63030) |
$7,253 |
$64,900 |
1.0× |
| Manipulation Elbow Under Anesthesia (24300) |
$1,607 |
$6,387.50 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,607 |
$5,600 |
1.0× |
| Manipulation wrist under anesthesia (25259) |
$1,607 |
$2,800 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,607 |
$6,533.33 |
1.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,235 |
$20,951.10 |
1.0× |
| Mast mod rad (19307) |
$6,637 |
$20,300 |
1.0× |
| Mastectomy for gynecomastia (19300) |
$3,914 |
$24,115.20 |
1.0× |
| Mastectomy partial (19301) |
$3,914 |
$14,570.10 |
1.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$6,637 |
$18,133.30 |
1.0× |
| Mastectomy simple complete (19303) |
$6,637 |
$8,690.34 |
1.0× |
| Mastopexy (19316) |
$6,637 |
$12,491.55 |
1.0× |
| Maternity Care Procedure (59899) |
$202 |
$8,400 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,573 |
$5,468.15 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$3,156 |
$13,207.60 |
1.0× |
| Muscle-skin graft trunk (15734) |
$3,542 |
$5,814 |
1.0× |
| Myelography Lumbar Injection (62304) |
$783 |
$3,458.75 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$783 |
$2,075.25 |
1.0× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$3,235 |
$11,400 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,650 |
$9,628.50 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,650 |
$6,877.50 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,952 |
$15,400 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416 |
$2,125.58 |
1.0× |
| Nipple Exploration (19110) |
$3,914 |
$11,400 |
1.0× |
| Nipple/areola reconstruction (19350) |
$3,914 |
$7,545.38 |
1.0× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
$306 |
$1,237.40–$1,305.85 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,579 |
$8,841.96 |
1.0× |
Njx Cholangio Prq W/Img Gid Rs&I New Access (47532)
range across 2 matching MRF lines |
$3,579 |
$8,841.96–$14,736.60 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$884 |
$6,533.33 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$705 |
$8,960 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$697 |
$2,811.25 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,914 |
$11,400 |
1.0× |
| Open Implantation Nea Sacral Nerve (64581) |
$6,370 |
$25,650 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,253 |
$8,010.96 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,253 |
$25,650 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$7,253 |
$18,411 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,253 |
$28,500 |
1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$7,253 |
$17,442 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$7,253 |
$37,050 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,253 |
$34,800 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$7,253 |
$24,225 |
1.0× |
| Open treatment of ulnar styloid fracture (25652) |
$7,253 |
$12,825 |
1.0× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$7,253 |
$22,800 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$12,833 |
$27,075 |
1.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,253 |
$31,307.80 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,253 |
$21,375 |
1.0× |
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines |
$3,270 |
$5,860–$14,250 |
1.0× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$3,270 |
$19,950 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,270 |
$17,100 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,270 |
$10,472 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,253 |
$10,830 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,253 |
$22,800 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$11,539 |
$48,345.20 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,539 |
$48,345.20 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,253 |
$20,900 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,253 |
$20,520 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$12,833 |
$39,900 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,579 |
$21,375 |
1.0× |
| Ostectomy calcaneus (28118) |
$3,270 |
$17,400 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,270 |
$5,600 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,270 |
$11,312 |
1.0× |
| Osteotomy Phalanx Finger Each (26567) |
$3,270 |
$10,472 |
1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$5,000 |
$14,500 |
1.0× |
Parathyroidectomy or exploration of parathyroid(s); (60500)
range across 2 matching MRF lines |
$5,917 |
$22,121.20–$46,372.20 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,607 |
$14,250 |
1.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,235 |
$11,200 |
1.0× |
| Partial removal of fibula (27641) |
$3,270 |
$8,550 |
1.0× |
| Partial removal of penis (54120) |
$3,523 |
$29,070 |
1.0× |
| Partial removal of thyroid (60220) |
$6,043 |
$21,266.70 |
1.0× |
| Penile Injection (54235) |
$249 |
$1,330.70 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$11,539 |
$48,345.20 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$707 |
$3,715.93 |
1.0× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$3,914 |
$21,375 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$3,270 |
$13,116.70 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$707 |
$8,114.26 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,650 |
$1,738.02 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,523 |
$20,349 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,270 |
$13,116.70 |
1.0× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$9,462 |
$15,950 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,539 |
$48,345.20 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,689 |
$24,784.20 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,253 |
$21,000 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,253 |
$16,800 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$446 |
$1,740.80 |
1.0× |
| Placement of seton (46020) |
$2,774 |
$23,517.35 |
1.0× |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines |
$2,089 |
$4,633.11–$8,698.75 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,523 |
$37,050 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,523 |
$8,698.75 |
1.0× |
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines |
$3,523 |
$14,634.30–$15,370.30 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$5,000 |
$14,350 |
1.0× |
| Prim art mech thrombectomy (37184) |
$18,324 |
$77,311.40 |
1.0× |
Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533)
range across 2 matching MRF lines |
$3,579 |
$8,841.96–$14,736.60 |
1.0× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,270 |
$8,550 |
1.0× |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
$3,270 |
$8,550 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$406 |
$1,758 |
1.0× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines |
$406 |
$942.24–$2,242.53 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
$1,607 |
$6,426 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,270 |
$8,400 |
1.0× |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
$2,903 |
$16,800 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,952 |
$10,400 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$3,523 |
$15,092.70 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,062 |
$8,040.20 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,196 |
$8,721 |
1.0× |
| Removal Embedded Foreign Body Eyelid (67938) |
$317 |
$1,306.40 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$1,650 |
$8,400 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$707 |
$2,896.70 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$2,903 |
$11,891.50 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58 |
$285.09 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58 |
$391.30 |
1.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,235 |
$8,568 |
1.0× |
| Removal Implant Deep (20680) |
$2,903 |
$13,211.40 |
1.0× |
| Removal implantable contraceptive capsules (11976) |
$707 |
$25,286.31 |
1.0× |
| Removal of ankle implant (27704) |
$3,270 |
$28,500 |
1.0× |
| Removal of bone lesion (23140) |
$3,270 |
$11,200 |
1.0× |
| Removal of kidney stone (50081) |
$9,462 |
$23,883.30 |
1.0× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$406 |
$1,570.40–$2,198.56 |
1.0× |
| Removal of sperm cord lesion (55520) |
$3,523 |
$8,400 |
1.0× |
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines |
$3,156 |
$13,207.60–$27,623.10 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$3,735 |
$15,652.70 |
1.0× |
| Removal ppm generator only (33233) |
$8,272 |
$37,020.60 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$200 |
$1,235.15 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$707 |
$3,249.85 |
1.0× |
| Removal sweat gland lesion (11450) |
$2,903 |
$18,767.92 |
1.0× |
Removal/bivalving gauntlet boot/body cast (29700)
range across 2 matching MRF lines |
$279 |
$1,149.10–$1,177.90 |
1.0× |
| Remove foreign body from eye (65205) |
$133 |
$563.20 |
1.0× |
| Remove groin lymph nodes (38760) |
$6,637 |
$25,650 |
1.0× |
| Remove Intrauterine Device (58301) |
$304 |
$7,438.50 |
1.0× |
| Remove muti-comp penis pros (54406) |
$3,523 |
$19,600 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$133 |
$760.27 |
1.0× |
| Remove prostate regrowth (52630) |
$5,359 |
$18,781.50 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$697 |
$7,182 |
1.0× |
| Remove Shoulder Foreign Body (23330) |
$1,650 |
$2,896.70 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,607 |
$8,400 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,272 |
$22,212.30 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,448 |
$49,396.70 |
1.0× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
$5,359 |
$22,800 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,650 |
$4,126.50 |
1.0× |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
$5,359 |
$5,800 |
1.0× |
| Repair Achilles Tendon (27650) |
$7,253 |
$21,375 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$7,253 |
$14,790 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$406 |
$5,600 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$406 |
$4,750 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$738 |
$8,700 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,607 |
$7,267.50 |
1.0× |
| Repair Hallux Rigidus (28289) |
$3,270 |
$19,600 |
1.0× |
| Repair Hand Joint (26540) |
$3,270 |
$8,568 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$3,579 |
$17,100 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,579 |
$14,790 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,579 |
$21,707.70 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$406 |
$2,198.56 |
1.0× |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines |
$406 |
$2,198.56–$14,000 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$406 |
$942.24 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$406 |
$942.24 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$738 |
$2,414.45 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$406 |
$2,198.56 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$406 |
$942.24 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$738 |
$2,769 |
1.0× |
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines |
$406 |
$1,570.40–$14,250 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$406 |
$2,198.56 |
1.0× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 2 matching MRF lines |
$406 |
$2,242.53–$11,200 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$738 |
$2,414.45 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$406 |
$1,758 |
1.0× |
| Repair lumbar hernia (49540) |
$6,043 |
$17,136 |
1.0× |
| Repair Nasal Vestibular Stenosis (30465) |
$5,917 |
$11,628 |
1.0× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$12,833 |
$37,050 |
1.0× |
| Repair Nonunion Hand (26546) |
$7,253 |
$17,442 |
1.0× |
| Repair of biceps tendon (24340) |
$7,253 |
$19,261.50 |
1.0× |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
$5,000 |
$17,100 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$7,253 |
$34,884 |
1.0× |
| Repair of hypospadias complication(s) (ie, fistula, stricture, diverticula); requiring mobilization of skin flaps and… (54344) |
$9,462 |
$19,950 |
1.0× |
| Repair of metatarsals (28322) |
$7,253 |
$20,349 |
1.0× |
| Repair of nail bed (11760) |
$738 |
$2,769 |
1.0× |
| Repair of rectocele (45560) |
$2,774 |
$7,267.50 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$6,471 |
$20,066.70 |
1.0× |
| Repair Rotator Cuff Chronic (23412) |
$7,253 |
$14,714.34 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,253 |
$25,650 |
1.0× |
| Repair tongue laceration (41250) |
$446 |
$1,359.20 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$7,253 |
$17,442 |
1.0× |
| Repair/graft achilles tendon (27652) |
$7,253 |
$11,400 |
1.0× |
| Replace elbow joint (24363) |
$17,527 |
$60,900 |
1.0× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$7,253 |
$12,174.25 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$249 |
$1,966.26 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$3,156 |
$13,207.60 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,573 |
$5,468.15 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,270 |
$17,100 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,579 |
$14,250 |
1.0× |
| Revision of foot (28116) |
$3,270 |
$22,848 |
1.0× |
| Revision of reconstructed breast (19380) |
$6,637 |
$19,950 |
1.0× |
| Revision Peri-Implant Capsule Breast (19370) |
$3,914 |
$25,650 |
1.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$6,370 |
$36,400 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$5,689 |
$23,392.70 |
1.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,494 |
$16,800 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,089 |
$8,400 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$446 |
$1,756.65 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$133 |
$745.36 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,735 |
$15,652.70 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$1,573 |
$3,664.84–$8,722.98 |
1.0× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
$627 |
$4,426.87–$8,831.63 |
1.0× |
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines |
$249 |
$1,358.85–$6,814.02 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,156 |
$13,207.60 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,573 |
$3,280.89 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,573 |
$5,468.15 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,156 |
$14,053.50 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,043 |
$25,168.20 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,579 |
$12,033.30 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$6,471 |
$103,404 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$6,471 |
$16,530 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,043 |
$31,350 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,579 |
$22,800 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,471 |
$22,402.90 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,043 |
$22,168.30 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$707 |
$2,896.70 |
1.0× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$3,270 |
$5,814 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$200 |
$1,235.15 |
1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$738 |
$1,570.40 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$539 |
$2,435.65 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$539 |
$2,208.60 |
1.0× |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
$7,253 |
$8,550 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,270 |
$14,790 |
1.0× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$3,270 |
$7,000 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$627 |
$1,860.03 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$1,650 |
$14,250 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$200 |
$882.25 |
1.0× |
| Shoulder arthroscopy diagnostic (29805) |
$3,270 |
$8,700 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$929 |
$8,377.75 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,196 |
$7,584.24 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$406 |
$942.24 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$200 |
$1,259.85 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$200 |
$1,259.85 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$200 |
$1,259.85 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$200 |
$1,259.85 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$200 |
$1,259.85 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$200 |
$1,259.85 |
1.0× |
| Skin Full Grft Face/Genit/Hf (15240) |
$2,062 |
$8,400 |
1.0× |
| Skin graft, harvest cultured tissue (15040) |
$2,062 |
$8,113.70 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$738 |
$11,059.60 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$738 |
$11,059.60 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,062 |
$13,830.70 |
1.0× |
| Skin Tissue Procedure (17999) |
$200 |
$7,125 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,062 |
$7,744.80 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,562 |
$21,882.60 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,156 |
$13,207.60 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,562 |
$21,882.60 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,000 |
$22,400 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$200 |
$1,259.85 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$406 |
$2,198.56 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$406 |
$1,570.40 |
1.0× |
Spinal puncture lumbar diagnostic (62270)
range across 4 matching MRF lines |
$705 |
$2,994.05–$4,275.50 |
1.0× |
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120)
range across 2 matching MRF lines |
$3,542 |
$13,830.70–$19,600 |
1.0× |
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines |
$2,062 |
$7,744.80–$11,600 |
1.0× |
| Strapping ankle (29540) |
$162 |
$673.10 |
1.0× |
| Strapping elbow or wrist (29260) |
$58 |
$310.99 |
1.0× |
| Strapping knee (29530) |
$133 |
$532.40 |
1.0× |
| Strapping shoulder (29240) |
$133 |
$563.20 |
1.0× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$162 |
$600.51–$673.10 |
1.0× |
| Surg tx anal fistula subq (46270) |
$2,774 |
$14,250 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,774 |
$14,200 |
1.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$1,952 |
$20,706 |
1.0× |
| Suture/repair testicular injury (54670) |
$3,523 |
$11,400 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$406 |
$1,235.15 |
1.0× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$3,156 |
$7,034.62 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,253 |
$13,718.75 |
1.0× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$1,607 |
$23,573.50 |
1.0× |
| Tenotomy shoulder area single tendon (23405) |
$7,253 |
$22,848 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$18,324 |
$47,819.90 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,562 |
$23,851.80 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$330 |
$1,493.15 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,156 |
$14,308.30 |
1.0× |
| Thyroid biopsy (60100) |
$707 |
$1,738.02 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$6,043 |
$69,600 |
1.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$5,917 |
$29,000 |
1.0× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,062 |
$16,467.70 |
1.0× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$3,542 |
$14,886.50 |
1.0× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$13,775 |
$11,400 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,270 |
$14,500 |
1.0× |
| Tooth extraction (41899) |
$236 |
$1,058 |
1.0× |
| Total Knee Arthroplasty (27447) |
$12,833 |
$44,604.80 |
1.0× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$6,043 |
$24,650 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,551 |
$6,395.50 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
— |
$1,296.86 |
— |
| Transcatheter biopsy (37200) |
$5,562 |
$21,882.60 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,359 |
$21,800 |
1.0× |
| Transurethral resection bladder neck (52500) |
$3,523 |
$22,800 |
1.0× |
| Treat Big Toe Fracture (28505) |
$3,270 |
$19,598 |
1.0× |
| Treat ectopic pregnancy (59151) |
$6,043 |
$19,833.30 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,270 |
$11,200 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,253 |
$24,225 |
1.0× |
| Treat Humerus Fracture (24505) |
$1,607 |
$7,112.55 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,253 |
$22,287 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$246 |
$785.58 |
1.0× |
| Treat Thumb Dislocation (26641) |
$246 |
$1,125.45 |
1.0× |
| Treat toe dislocation (28630) |
$246 |
$1,607.14 |
1.0× |
| Treat/graft heel fracture (28420) |
$12,833 |
$18,411 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$246 |
$1,607.14 |
1.0× |
| Trim skin lesion (11055) |
$200 |
$882.65 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$200 |
$882.65 |
1.0× |
| Trim skin lesions over 4 (11057) |
$200 |
$882.25 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$58 |
$279.50 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,235 |
$11,791.90 |
1.0× |
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines |
$3,235 |
$13,116–$13,852 |
1.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$3,235 |
$9,800 |
1.0× |
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines |
$738 |
$3,380.23–$11,200 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$12,833 |
$22,800 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$6,043 |
$13,084.70 |
1.0× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$6,043 |
$12,600 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,043 |
$15,180.56 |
1.0× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$6,043 |
$9,996 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$6,043 |
$15,988.50 |
1.0× |
| Unlisted procedure anus (46999) |
$929 |
$13,989.53 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$246 |
$4,350 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$162 |
$673.10 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$246 |
$1,125.45 |
1.0× |
| Unlisted Procedure Hands/Fingers (26989) |
$246 |
$10,472 |
1.0× |
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines |
$306 |
$532.40–$12,320 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$246 |
$31,900 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$236 |
$1,018.20 |
1.0× |
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines |
$929 |
$3,819.40–$11,400 |
1.0× |
| Unlisted procedure spine (22899) |
$246 |
$2,559.34 |
1.0× |
| Unlisted procedure stomach (43999) |
$906 |
$3,807.75 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$627 |
$3,062.85 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$906 |
$9,512 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$249 |
$8,649.75 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$202 |
$14,331 |
1.0× |
| Upgrade of pacemaker system (33214) |
$10,448 |
$49,396.70 |
1.0× |
| Vaginal delivery only (59409) |
— |
$18,899.50 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,000 |
$21,750 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$11,539 |
$48,345.20 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,089 |
$14,000 |
1.0× |
| Wedge excision skin nail fold (11765) |
$406 |
$942.24 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$406 |
$2,769 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$738 |
$11,059.60 |
1.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$7,253 |
$23,200 |
1.0× |