Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
— |
$808.05–$2,498 |
— |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 4 matching MRF lines |
— |
$488.02–$1,370 |
— |
| Acne surgery (10040) |
— |
$127 |
— |
| Acromiopl/Acromionect Partial (23130) |
— |
$1,953 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$1,047.06 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$1,676 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$1,163 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$1,848 |
— |
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) range across 2 matching MRF lines |
— |
$1,450–$3,530 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$3,096 |
— |
| Amputation foot transmetarsal (28805) |
— |
$1,843 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$1,613 |
— |
| Amputation thigh through femur any level (27590) |
— |
$3,069 |
— |
Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
— |
$1,421–$11,526.11 |
— |
Amputation toe metatarsophalangeal joint (28820) range across 2 matching MRF lines |
— |
$1,101–$12,267.51 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$2,785 |
— |
Anoscopy diagnostic (46600) range across 3 matching MRF lines |
— |
$108–$234 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$398.11 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$286 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$275 |
— |
Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
— |
$290–$13,776.09 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$3,013 |
— |
| Appendectomy (44950) |
— |
$1,962 |
— |
Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) range across 3 matching MRF lines |
— |
$750–$1,563 |
— |
Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
— |
$206–$478 |
— |
Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
— |
$148–$226 |
— |
Application finger splint static (29130) range across 3 matching MRF lines |
— |
$87–$194 |
— |
| Application Hip Spica Cast 1 Leg (29305) |
— |
$581 |
— |
Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
— |
$153–$428 |
— |
Application Long Leg Splint (29505) range across 3 matching MRF lines |
— |
$208–$396 |
— |
| Application multiplane external fixation system (20692) |
— |
$2,027 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$287 |
— |
Application of long leg cast (29345) range across 3 matching MRF lines |
— |
$394–$666 |
— |
Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
— |
$379–$1,086 |
— |
| Application Patellar Tendon Bearing Cast (29435) |
— |
$394 |
— |
Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
— |
$168–$345 |
— |
Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
— |
$132–$412 |
— |
Application short leg splint calf foot (29515) range across 4 matching MRF lines |
— |
$142–$427 |
— |
Application uniplane external fixation system (20690) range across 2 matching MRF lines |
— |
$1,282–$11,638.58 |
— |
| Apply hand/wrist cast (29085) |
— |
$257 |
— |
Apply long arm cast (29065) range across 4 matching MRF lines |
— |
$290–$645 |
— |
Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
— |
$620–$669 |
— |
Apply Short Leg Cast (29405) range across 4 matching MRF lines |
— |
$262–$509 |
— |
| Apply short leg cast (29425) |
— |
$306 |
— |
Arterial puncture (36600) range across 4 matching MRF lines |
— |
$96–$209 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
— |
$186.01–$685 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$315 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
— |
$206–$2,684.49 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 6 matching MRF lines |
— |
$395–$682 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
— |
$174–$447 |
— |
| Arthrodesis ankle open (27870) |
— |
$4,835 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$2,138 |
— |
Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
— |
$5,752–$74,383.90 |
— |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
— |
$4,358 |
— |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
— |
$3,440.71 |
— |
| Arthroplasty Radial Head W/Implant (24366) |
— |
$2,280 |
— |
| Arthroscopically aided treatment of tibial fracture, proximal (plateau); bicondylar, includes internal fixation, when… (29856) |
— |
$3,555.09 |
— |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
— |
$2,553 |
— |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
— |
$2,250 |
— |
| Arthroscopy hip w/femoroplasty (29914) |
— |
$3,529 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$1,324 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$3,220 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$2,698 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$2,920 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$1,917 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$3,966 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
— |
$2,893 |
— |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
— |
$2,140 |
— |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
— |
$4,208.09 |
— |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
— |
$3,740 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$2,457 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
— |
$4,604.07 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$3,544 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
— |
$3,453.03–$37,465.53 |
— |
Arthroscopy, shoulder, surgical; debridement, extensive (29823) range across 2 matching MRF lines |
— |
$2,988.09–$45,288.35 |
— |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
— |
$3,069 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$4,022.01 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
— |
$2,797 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$2,346 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$3,298 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$2,374 |
— |
| Arthrotomy biopsy interphalangeal joint each (26110) |
— |
$1,131 |
— |
| Arthrotomy W/Meniscus Repair Knee (27403) |
— |
$2,572 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
— |
$2,410 |
— |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
— |
$3,565 |
— |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
— |
$9,673.02–$89,663.28 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$4,476 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 2 matching MRF lines |
— |
$4,764–$75,680.72 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$3,310 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$2,879 |
— |
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) range across 2 matching MRF lines |
— |
$3,957–$91,283.65 |
— |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
— |
$1,367 |
— |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
— |
$2,566 |
— |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
— |
$2,278 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$1,065.07 |
— |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
— |
$1,330 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$937 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$1,063 |
— |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
— |
$1,006 |
— |
| Artificial insemination intra-uterine (58322) |
— |
$300 |
— |
Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
— |
$985–$2,368 |
— |
Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
— |
$945–$1,735 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$123 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$935 |
— |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
— |
$200–$449 |
— |
| Biopsy bone open deep (20245) |
— |
$14,490.55 |
— |
Biopsy bone open superficial (20240) range across 3 matching MRF lines |
— |
$521–$572 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$691 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$1,040 |
— |
Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
— |
$627–$4,809 |
— |
| Biopsy of rectum (45100) |
— |
$960 |
— |
| Biopsy ovary uni/bi separate procedure (58900) |
— |
$1,205 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$976 |
— |
| Biopsy soft tissue forearm&/wrist deep (25066) |
— |
$1,691 |
— |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
— |
$319 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$574 |
— |
Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
— |
$759–$832 |
— |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
— |
$306 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$274 |
— |
| Biopsy Vaginal Mucosa Extensive (57105) |
— |
$425 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$289 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$345 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$1,217 |
— |
Bladder Irrigation (51700) range across 3 matching MRF lines |
— |
$87–$515 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$222.08 |
— |
Blood Transfusion Service (36430) range across 2 matching MRF lines |
— |
$939–$1,712 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$1,051.45 |
— |
Bone Marrow Biopsy (38221) range across 2 matching MRF lines |
— |
$399–$1,011 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$841.05 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$5,617 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,613 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$418 |
— |
| Bx Cervix (57500) |
— |
$332 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$1,722 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$961.07 |
— |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
— |
$5,782 |
— |
Carpal Tunnel Surgery (64721) range across 2 matching MRF lines |
— |
$2,003–$13,033.96 |
— |
| Cataract surgery complex (66982) |
— |
$7,475.83 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$390 |
— |
| Cautery Cervix Electro/Thermal (57510) |
— |
$401 |
— |
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
— |
$365–$1,027 |
— |
| Chemical Cautery Tissue (17250) |
— |
$95 |
— |
Chest tube placement (32551) range across 3 matching MRF lines |
— |
$739–$2,037 |
— |
Circumcision 28 days or older (54161) range across 2 matching MRF lines |
— |
$1,416–$14,752.09 |
— |
| Circumcision Neonate (54160) |
— |
$475 |
— |
Circumcision w/clamp/oth dev w/block (54150) range across 3 matching MRF lines |
— |
$200–$701 |
— |
Cl Tx Tib Shft Fx W Manip (27752) range across 4 matching MRF lines |
— |
$1,338–$3,134 |
— |
| Claviculectomy partial (23120) |
— |
$3,004 |
— |
Clear outer ear canal (69200) range across 4 matching MRF lines |
— |
$133–$422 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$1,944 |
— |
Closed rx talotarsal disloc,anesth (28575) range across 3 matching MRF lines |
— |
$661–$1,000 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$1,048.01 |
— |
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 3 matching MRF lines |
— |
$892.08–$1,404 |
— |
Closed treatment of posterior malleolus fracture; with manipulation (27768) range across 2 matching MRF lines |
— |
$1,184–$2,613 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$616 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$542 |
— |
Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
— |
$781–$1,521 |
— |
Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
— |
$489–$748 |
— |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 4 matching MRF lines |
— |
$1,445–$2,513 |
— |
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
— |
$710–$1,015 |
— |
Closed Tx Calcaneal Fracture W/Manipulation (28405) range across 2 matching MRF lines |
— |
$1,145–$2,207 |
— |
Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
— |
$679–$1,148 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$948 |
— |
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
— |
$732–$1,283 |
— |
Closed Tx Knee Dislocation W/Anesthesia (27552) range across 3 matching MRF lines |
— |
$936–$2,113 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$809 |
— |
Closed Tx Lunate Dislocation W/Manipulation (25690) range across 3 matching MRF lines |
— |
$1,300–$2,871 |
— |
Closed Tx Mandibular Fracture W/O Manipulation (21450) range across 2 matching MRF lines |
— |
$393–$599 |
— |
Closed tx metatarsal fracture w/o manipulation (28470) range across 3 matching MRF lines |
— |
$510–$867 |
— |
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 3 matching MRF lines |
— |
$1,320–$1,989 |
— |
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 3 matching MRF lines |
— |
$830–$3,857 |
— |
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) range across 2 matching MRF lines |
— |
$947–$2,999 |
— |
Closed tx patellar dislocation w/anesthesia (27562) range across 2 matching MRF lines |
— |
$748–$2,669 |
— |
Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
— |
$569–$1,032 |
— |
Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
— |
$692–$1,252 |
— |
Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
— |
$877–$1,259 |
— |
Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
— |
$600–$1,056 |
— |
Closed tx radial shaft fracture w/manipulation (25505) range across 4 matching MRF lines |
— |
$903–$2,152 |
— |
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
— |
$534–$813 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 4 matching MRF lines |
— |
$1,238–$2,299 |
— |
Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
— |
$712–$1,071 |
— |
Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
— |
$531–$910 |
— |
Closed tx talotarsal joint dislc w/o anes (28570) range across 3 matching MRF lines |
— |
$572–$861 |
— |
Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
— |
$1,195–$1,818 |
— |
Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
— |
$688–$1,167 |
— |
Closed Tx Tarsometatarsal Dislocation W/Anes (28605) range across 3 matching MRF lines |
— |
$640–$1,078 |
— |
Closed tx tarsometatarsal dislocation w/o anes (28600) range across 2 matching MRF lines |
— |
$530–$952 |
— |
Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
— |
$358–$595 |
— |
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
— |
$600–$1,000 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$633 |
— |
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) range across 3 matching MRF lines |
— |
$803–$1,535 |
— |
Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) range across 2 matching MRF lines |
— |
$817–$1,729 |
— |
| Closure of cystostomy (separate procedure) Facility (51880) |
— |
$1,645 |
— |
Clsd tx acromioclavicular dislc w/manipulation (23545) range across 2 matching MRF lines |
— |
$727–$1,536 |
— |
Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) range across 3 matching MRF lines |
— |
$599–$1,325 |
— |
Clsd Tx Clavicular Fracture W/Manipulation (23505) range across 3 matching MRF lines |
— |
$701–$1,297 |
— |
Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
— |
$523–$1,161 |
— |
| Clsd Tx Pelvic Ring Fx (27198) |
— |
$2,005 |
— |
Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) range across 2 matching MRF lines |
— |
$427–$1,023 |
— |
Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
— |
$892–$2,675 |
— |
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
— |
$574–$1,519 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$1,033 |
— |
Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
— |
$1,018–$1,638 |
— |
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 4 matching MRF lines |
— |
$883–$1,824 |
— |
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 3 matching MRF lines |
— |
$599–$878 |
— |
Cltx Carpal Bone Fx W/Manj Each Bone (25635) range across 3 matching MRF lines |
— |
$989–$2,100 |
— |
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
— |
$526–$796 |
— |
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 3 matching MRF lines |
— |
$650–$1,432 |
— |
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 2 matching MRF lines |
— |
$615–$928 |
— |
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 2 matching MRF lines |
— |
$1,116.06–$1,683 |
— |
Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) range across 3 matching MRF lines |
— |
$2,165–$3,869 |
— |
Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
— |
$841–$1,266 |
— |
Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
— |
$729–$1,613 |
— |
Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) range across 5 matching MRF lines |
— |
$559–$1,181 |
— |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
— |
$302–$499 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
— |
$682–$1,201 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 5 matching MRF lines |
— |
$1,099.04–$3,916.01 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$2,840 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,171 |
— |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
— |
$2,066 |
— |
Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 3 matching MRF lines |
— |
$998–$1,505 |
— |
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 3 matching MRF lines |
— |
$2,599–$5,731 |
— |
Cltx fx grt toe phlx/phlg w/manj (28495) range across 4 matching MRF lines |
— |
$521–$1,563 |
— |
Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
— |
$360–$495 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 3 matching MRF lines |
— |
$303–$467 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
— |
$234–$327 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,651 |
— |
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
— |
$886–$1,475 |
— |
Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
— |
$542–$821 |
— |
Cltx Greater Trochanteric Fx W/O Manj (27246) range across 3 matching MRF lines |
— |
$678–$1,024 |
— |
Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) range across 2 matching MRF lines |
— |
$1,036–$2,190 |
— |
Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
— |
$1,497–$2,640 |
— |
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 3 matching MRF lines |
— |
$652–$933 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$873 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$1,100 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$485 |
— |
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 4 matching MRF lines |
— |
$168–$396 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$2,106 |
— |
Cltx Iphal Jt Dislc W/Manj Req Anes (26775) range across 3 matching MRF lines |
— |
$393–$767 |
— |
Cltx iphal jt dislc w/manj w/o anes (26770) range across 3 matching MRF lines |
— |
$669–$1,071 |
— |
Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
— |
$1,283–$2,827 |
— |
Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
— |
$692–$1,207 |
— |
Cltx metacarpal fx w/manipulation each bone (26605) range across 3 matching MRF lines |
— |
$763–$1,871 |
— |
Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
— |
$510–$1,253 |
— |
Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 2 matching MRF lines |
— |
$886–$1,957 |
— |
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 2 matching MRF lines |
— |
$425–$857 |
— |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 4 matching MRF lines |
— |
$486–$987 |
— |
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 3 matching MRF lines |
— |
$321–$860 |
— |
Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
— |
$1,481–$2,640 |
— |
Cltx post hip arthrp dislc w/o anes (27265) range across 2 matching MRF lines |
— |
$1,092.03–$2,974 |
— |
Cltx prox fibula/shft fx w/manj (27781) range across 3 matching MRF lines |
— |
$1,184–$2,613 |
— |
Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
— |
$637–$992 |
— |
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
— |
$1,455–$2,975 |
— |
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 3 matching MRF lines |
— |
$989–$1,937 |
— |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
— |
$275–$422 |
— |
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 2 matching MRF lines |
— |
$1,409–$3,116 |
— |
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 2 matching MRF lines |
— |
$1,918–$3,696 |
— |
Cltx sprcndylr/transcndylr humeral fx w/manj (24535) range across 2 matching MRF lines |
— |
$1,687–$3,566 |
— |
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 2 matching MRF lines |
— |
$785–$1,570 |
— |
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 3 matching MRF lines |
— |
$1,676–$2,410 |
— |
Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) range across 2 matching MRF lines |
— |
$549–$828 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$462 |
— |
Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
— |
$896–$1,294 |
— |
Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
— |
$817–$1,231 |
— |
Cltx trimalleolar ankle fx w/manipulation (27818) range across 4 matching MRF lines |
— |
$1,651–$11,638.58 |
— |
Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
— |
$741–$1,121 |
— |
Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
— |
$77–$173 |
— |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
— |
$20–$55 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$1,083 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$1,076 |
— |
| Colonoscopy thru stoma (44388) |
— |
$1,131 |
— |
| Colonoscopy w/ablation (45388) |
— |
$1,236 |
— |
| Colonoscopy W/Resection (45390) |
— |
$1,505 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$1,121 |
— |
| Colpocleisis (le fort type) (57120) |
— |
$1,810 |
— |
| Colporrhaphy (57200) |
— |
$844 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$575 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$370 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$405 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$250 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$680 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$625 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$350 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$499 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$1,213 |
— |
Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
— |
$1,394–$3,643.78 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$2,031 |
— |
Complex drainage wound (10180) range across 3 matching MRF lines |
— |
$703–$1,349 |
— |
| Conization of cervix (57520) |
— |
$1,169 |
— |
| Contour cranial bone lesion (21181) |
— |
$2,996 |
— |
Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
— |
$522–$892 |
— |
Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
— |
$187–$570 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$877 |
— |
| Correction hammertoe (28285) |
— |
$1,144 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$2,407 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$2,394 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$1,658 |
— |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
— |
$122 |
— |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
— |
$662–$1,096 |
— |
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 3 matching MRF lines |
— |
$745–$1,232 |
— |
| Curettage postpartum (59160) |
— |
$937 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$791.04 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$700 |
— |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
— |
$3,236 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$4,674 |
— |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
— |
$5,122 |
— |
Cystourethroscopy (52000) range across 2 matching MRF lines |
— |
$474–$5,685.61 |
— |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
— |
$133–$378 |
— |
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 4 matching MRF lines |
— |
$1,818–$66,152.25 |
— |
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 3 matching MRF lines |
— |
$475–$950 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$983 |
— |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
— |
$1,922 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$1,443 |
— |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 4 matching MRF lines |
— |
$574–$25,641.36 |
— |
Debride nail 1-5 (11720) range across 5 matching MRF lines |
— |
$54–$112 |
— |
Debride nail 6 or more (11721) range across 3 matching MRF lines |
— |
$74–$100 |
— |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 6 matching MRF lines |
— |
$703–$28,898.05 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 5 matching MRF lines |
— |
$411–$651 |
— |
Declot vascular device (36593) range across 2 matching MRF lines |
— |
$732–$790 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$1,483 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
— |
$1,414 |
— |
Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) range across 2 matching MRF lines |
— |
$2,122–$60,932.33 |
— |
| Delivery of placenta (59414) |
— |
$370 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$6,254.95 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$8,039.08 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$194 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$240 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$1,306 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$378 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$289 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$355 |
— |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
— |
$900 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$222.08 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$280 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$305 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$240.03 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$296 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$249 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$350 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$350 |
— |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
— |
$421 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$170 |
— |
| Destruction of skin lesions (17106) |
— |
$420 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$370 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$153 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$378 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$294 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$53.29 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$832 |
— |
| Dilation of vagina (57400) |
— |
$563 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$618 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$1,330 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$235 |
— |
Drainage External Ear Abscess/Hematoma Simple (69000) range across 4 matching MRF lines |
— |
$385–$737 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$721 |
— |
Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
— |
$260–$768 |
— |
Drainage of gum lesion (41800) range across 3 matching MRF lines |
— |
$342–$843 |
— |
Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
— |
$253–$698 |
— |
| Drainage of hydrocele (55000) |
— |
$225 |
— |
| Drainage of nose lesion (30000) |
— |
$300 |
— |
| Drainage of palmar bursa single bursa (26025) |
— |
$1,581 |
— |
Drainage of scrotal wall abscess (55100) range across 3 matching MRF lines |
— |
$670–$1,056 |
— |
| Drainage of scrotum (54700) |
— |
$500 |
— |
Draw Blood Off Venous Device (36591) range across 2 matching MRF lines |
— |
$130–$213 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$125 |
— |
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 3 matching MRF lines |
— |
$242–$285 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
— |
$417–$924 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
— |
$283–$644 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 4 matching MRF lines |
— |
$227–$423 |
— |
| Dstrj les/scar vestibule mouth physical meths (40820) |
— |
$860 |
— |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$490 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$939 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$546 |
— |
| Dstrj Lesion Penis Simple Chemical (54050) |
— |
$213 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$305 |
— |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
— |
$550 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$822 |
— |
Dx Laryngoscopy Excl Nb (31525) range across 2 matching MRF lines |
— |
$695–$1,338 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$976 |
— |
| Egd cautery tumor polyp (43250) |
— |
$1,097 |
— |
| Egd control bleeding any (43255) |
— |
$1,163 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$1,097 |
— |
Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
— |
$1,010–$10,669.83 |
— |
| Egd guide wire insertion (43248) |
— |
$825 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$3,918.54 |
— |
| Egd place gastrostomy tube (43246) |
— |
$1,462 |
— |
| Egd remove lesion snare (43251) |
— |
$1,070 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$1,614.06 |
— |
| Endocervical curettage (57505) |
— |
$347 |
— |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
— |
$1,786.05 |
— |
| Endometrial Biopsy (58100) |
— |
$298 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$909.09 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$2,481 |
— |
Epidural Blood Patch (62273) range across 4 matching MRF lines |
— |
$982–$1,900 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$676 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$773.01 |
— |
Esophagoscopy Flexible Transoral Diagnostic (43200) range across 2 matching MRF lines |
— |
$734–$3,313.83 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$706 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$684 |
— |
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 3 matching MRF lines |
— |
$981–$2,213 |
— |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
— |
$1,001 |
— |
| Evacuate mole of uterus (59870) |
— |
$1,108 |
— |
Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
— |
$108–$839 |
— |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
— |
$1,850 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$1,356 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$711 |
— |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
— |
$195–$745 |
— |
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
— |
$627–$18,190.97 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$1,448 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$2,232 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$2,032 |
— |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
— |
$1,763 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$1,186.05 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$397 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$632 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$935 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$711 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$243 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$320 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$402 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$557 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$697 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$1,786 |
— |
| Exc Frenum Labial/Buccal (40819) |
— |
$690 |
— |
Exc ganglion wrist recurrent (25112) range across 2 matching MRF lines |
— |
$1,513–$16,672.28 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$218 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$261 |
— |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
— |
$329–$14,678.97 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$887 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$1,596 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$412.02 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$994 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$671 |
— |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
— |
$498 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$1,483 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$2,092 |
— |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 3 matching MRF lines |
— |
$375–$19,973.11 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$637 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$744 |
— |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
— |
$792–$7,551.18 |
— |
Exc Skin Benig >4cm Face,Facial (11446) range across 2 matching MRF lines |
— |
$995–$995.09 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$613 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$968 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$878 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$1,625 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$1,121 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$5,089 |
— |
Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 4 matching MRF lines |
— |
$598–$11,712.94 |
— |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
— |
$246–$721 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$292 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$584 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$1,057 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$1,928 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$1,367 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$1,300 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$1,281 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$1,036 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$1,141 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$1,197 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$1,350 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$1,740 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$761 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$1,131 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$980 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$1,041 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$916 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$480 |
— |
| Excise Wrist Tendon Sheath (25118) |
— |
$1,407 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$458 |
— |
| Excision Chalazion Single (67800) |
— |
$281 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$862.46 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$1,034 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$274.05 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$367 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$598 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$366 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$820 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$818 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$465 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$500 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$841.05 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$748 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$875 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$1,310 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$3,175 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$2,575 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$1,596 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$669.06 |
— |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
— |
$3,678 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$365 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$3,196 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$925 |
— |
| Excision olecranon bursa (24105) |
— |
$1,136 |
— |
| Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft)… (23155) |
— |
$4,019 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$1,442 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$1,087 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$959 |
— |
| Excision prepatellar bursa (27340) |
— |
$1,713 |
— |
| Excision Radial Head (24130) |
— |
$1,935 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$944 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$991 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$1,562 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$1,161 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$2,043 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$1,150 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$1,164 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$1,169 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$987 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$1,550 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$721.04 |
— |
| Excision/curettage cyst/tumor carpal bones (25130) |
— |
$1,660 |
— |
| Excision/curettage cyst/tumor phalanx finger (26210) |
— |
$1,457 |
— |
| Excision/Transposition Pterygium W/O Graft (65420) |
— |
$10,032.97 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$794 |
— |
| Exploration of knee joint (27310) |
— |
$3,315 |
— |
Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
— |
$1,813–$3,983 |
— |
| Explore treat shoulder joint (23107) |
— |
$2,304 |
— |
Explore/Treat Elbow Joint (24101) range across 2 matching MRF lines |
— |
$2,262–$9,905.60 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$1,590 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$2,934 |
— |
Explore/Treat Wrist Joint (25040) range across 2 matching MRF lines |
— |
$1,828–$47,233.47 |
— |
External cephalic version (59412) range across 3 matching MRF lines |
— |
$995–$9,568.40 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$1,105 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$1,690 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$1,013.04 |
— |
| Fasciotomy, hip or thigh, any type (27025) |
— |
$4,763 |
— |
Fetal non-stress test (59025) range across 3 matching MRF lines |
— |
$175–$496 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,961 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$1,778 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$181 |
— |
Fluid Pressure Muscle (20950) range across 2 matching MRF lines |
— |
$288–$549 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$1,488 |
— |
Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
— |
$296–$1,909 |
— |
Foreskin manipulation (54450) range across 3 matching MRF lines |
— |
$233–$522 |
— |
| Fusion Finger Joint (26860) |
— |
$1,948 |
— |
| Fusion of tibiofibular joint (27871) |
— |
$3,368 |
— |
| Gastrocnemius recession (27687) |
— |
$1,428 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$3,154 |
— |
Guide Cathet Fluid Drainage (10030) range across 3 matching MRF lines |
— |
$743–$3,390 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$8,072 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$1,580.04 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$1,135 |
— |
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
— |
$1,919–$21,343.01 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
— |
$2,175 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$476 |
— |
| Hemorrhoidopexy by stapling (46947) |
— |
$973 |
— |
| Hip arthro w/labral repair (29916) |
— |
$3,755 |
— |
Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
— |
$1,786.05–$10,190.61 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$1,240 |
— |
I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
— |
$340–$1,899 |
— |
I&d abscess simple (10060) range across 4 matching MRF lines |
— |
$214–$21,412.20 |
— |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
— |
$806.09 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$978.08 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$914 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$3,142 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$1,330 |
— |
| I&d perianal abscess superficial (46050) |
— |
$599 |
— |
I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
— |
$883.03–$1,670 |
— |
I&d pilonidal cyst simple (10080) range across 4 matching MRF lines |
— |
$230–$426 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
— |
$876 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$841.05 |
— |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
— |
$490 |
— |
Incise external hemorrhoid (46083) range across 3 matching MRF lines |
— |
$279–$444 |
— |
| Incise finger tendon sheath (26055) |
— |
$1,564 |
— |
Incision & drainage abscess complicated/multiple (10061) range across 3 matching MRF lines |
— |
$502–$921 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$1,048.01 |
— |
Incision & removal foreign body subq tiss compl (10121) range across 3 matching MRF lines |
— |
$439–$641 |
— |
Incision & removal foreign body subq tiss simple (10120) range across 4 matching MRF lines |
— |
$302–$662 |
— |
Incision and drainage of bartholin's gland abscess (56420) range across 4 matching MRF lines |
— |
$377–$832 |
— |
Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
— |
$355–$1,011 |
— |
| Incision bone cortex foot (28005) |
— |
$1,215 |
— |
Incision Drainage Lacrimal Sac (68420) range across 2 matching MRF lines |
— |
$455–$686 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$1,266 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$341 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$698 |
— |
Incision of rectal abscess (46040) range across 4 matching MRF lines |
— |
$939–$20,798.46 |
— |
| Incision&drainage bursa foot (28001) |
— |
$313 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$841.05 |
— |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
— |
$3,222 |
— |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), humerus or elbow Facility (23935) |
— |
$1,855.04 |
— |
Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
— |
$165–$688 |
— |
| Induced abortion dilation and curettage (59840) |
— |
$710 |
— |
Initial Tx 1st Degree Burn Local Tx (16000) range across 4 matching MRF lines |
— |
$194–$350 |
— |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 4 matching MRF lines |
— |
$746–$4,382 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$332 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$992 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
— |
$186.01–$349 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$564 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$978 |
— |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 3 matching MRF lines |
— |
$526–$725 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$500 |
— |
| Injection enzyme palmar fascial cord (20527) |
— |
$275 |
— |
| Injection for identification of sentinel node (38792) |
— |
$239.09 |
— |
Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
— |
$156–$426 |
— |
Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
— |
$197–$418 |
— |
Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
— |
$216–$500 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$210 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$871 |
— |
Injection, anesthetic agent; femoral nerve, single (64447) range across 5 matching MRF lines |
— |
$47.80–$750 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
— |
$335–$815 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$86 |
— |
| Insert and remove bone pin (20650) |
— |
$391 |
— |
Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
— |
$576–$4,020 |
— |
| Insert cath pleura w/ image (32557) |
— |
$828 |
— |
| Insert cervical dilator (59200) |
— |
$285 |
— |
Insert Drug Implant Device (11981) range across 2 matching MRF lines |
— |
$77.73–$192 |
— |
Insert non-tunnel cv cath (36556) range across 6 matching MRF lines |
— |
$403–$16,248.19 |
— |
| Insert pessary/other device (57160) |
— |
$209 |
— |
Insert Temp Bladder Cath (51702) range across 6 matching MRF lines |
— |
$200–$678 |
— |
Insert tun ip cath perc (49418) range across 2 matching MRF lines |
— |
$1,718–$2,965 |
— |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
— |
$2,669–$17,876.47 |
— |
Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
— |
$285–$562 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,757 |
— |
Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
— |
$3,803–$13,957.41 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
— |
$914–$1,941 |
— |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
— |
$1,741–$17,349.12 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$2,678 |
— |
Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
— |
$1,115.02–$2,191 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$2,079 |
— |
Intubation endotracheal emergency procedure (31500) range across 5 matching MRF lines |
— |
$390–$1,663 |
— |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$2,522 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$640 |
— |
| Kidney endoscopy (50570) |
— |
$518 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$1,891 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$2,734 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$5,250 |
— |
| Lap paraesophag hern repair (43281) |
— |
$4,485 |
— |
| Lap revision perm ip cath (49325) |
— |
$1,301 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$3,815 |
— |
| Laparoscopic myomectomy (58545) |
— |
$3,155 |
— |
| Laparoscopy aspiration (49322) |
— |
$1,906.07 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$2,948 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$1,556 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$1,812 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$3,568 |
— |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 2 matching MRF lines |
— |
$2,801–$30,050.03 |
— |
| Laparoscopy W/Lysis Of Adhesions (58660) |
— |
$2,721 |
— |
Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
— |
$2,609–$21,670.80 |
— |
Laparoscopy, surgical, appendectomy (44970) range across 3 matching MRF lines |
— |
$1,962–$26,552.25 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$3,635 |
— |
Laparoscopy, surgical, splenectomy (38120) range across 2 matching MRF lines |
— |
$5,322–$26,664.85 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$3,330 |
— |
Laparoscopy, surgical; cholecystectomy with cholangiography (47563) range across 2 matching MRF lines |
— |
$3,270–$21,507.24 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$3,601 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$2,078 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$1,906.07 |
— |
| Laparoscopy, Tubal Block (58671) |
— |
$1,701 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$1,708 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$2,982 |
— |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
— |
$6,283 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$3,320 |
— |
Laryngoscopy diagnostic (31505) range across 2 matching MRF lines |
— |
$283–$479 |
— |
Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
— |
$306–$644 |
— |
| Laryngoscopy Indirect W/Biopsy (31510) |
— |
$774 |
— |
Laryngoscopy W/Foreign Body Removal (31530) range across 2 matching MRF lines |
— |
$1,050–$1,583 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$454.09 |
— |
| Late closure of wound (13160) |
— |
$1,410 |
— |
| Lateral retinacular release open (27425) |
— |
$1,989 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$2,132 |
— |
| Ligate/strip long leg vein (37722) |
— |
$1,337 |
— |
| Ligate/strip short leg vein (37718) |
— |
$1,497 |
— |
| Ligation of hemorrhoids (46946) |
— |
$800 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$700 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$505 |
— |
| Maniplatn palar fascial crd post inj single cord (26341) |
— |
$410 |
— |
| Manipulation Elbow Under Anesthesia (24300) |
— |
$1,037 |
— |
Manipulation knee joint under general anesthesia (27570) range across 4 matching MRF lines |
— |
$636–$1,983 |
— |
| Mast mod rad (19307) |
— |
$3,188 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$1,355 |
— |
| Mastectomy partial (19301) |
— |
$1,594 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$2,370 |
— |
| Mastectomy simple complete (19303) |
— |
$1,859 |
— |
| Maternity Care Procedure (59899) |
— |
$937 |
— |
| Metatarsectomy (28140) |
— |
$1,372 |
— |
| Muscle-skin graft trunk (15734) |
— |
$5,015 |
— |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
— |
$2,482 |
— |
N Block Inj Ilio-Ing/Hypogi (64425) range across 4 matching MRF lines |
— |
$63.20–$632 |
— |
| N block inj intercost sng (64420) |
— |
$658 |
— |
| N Block Inj Paracervical (64435) |
— |
$503 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$305 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$1,243 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$629 |
— |
Nasal/Orogastric W/Tube Plmt (43752) range across 3 matching MRF lines |
— |
$215–$679 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$2,175 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$999 |
— |
Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
— |
$405–$620 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$2,331 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$35 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
— |
$2,830–$9,971 |
— |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
— |
$2,838 |
— |
| Nipple Exploration (19110) |
— |
$1,002 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$1,062 |
— |
Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 4 matching MRF lines |
— |
$445–$1,204 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 5 matching MRF lines |
— |
$682–$4,408 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$3,052.59 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$823 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$1,001 |
— |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 4 matching MRF lines |
— |
$1,072–$3,266.24 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$865 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$371 |
— |
Occipital Nerve Block (64405) range across 3 matching MRF lines |
— |
$352–$1,105 |
— |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
— |
$923 |
— |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
— |
$2,346 |
— |
Open biopsy/excision inguinofemoral nodes (38531) range across 2 matching MRF lines |
— |
$1,400–$12,813.24 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$2,863 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$2,948 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$3,000 |
— |
| Open treatment calcaneal fracture (28415) |
— |
$2,948 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$4,359 |
— |
Open treatment fracture distal tibia only (27827) range across 2 matching MRF lines |
— |
$4,359–$30,447.92 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$2,272 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$2,852 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$2,657 |
— |
Open treatment interphalangeal joint dislocation (28675) range across 2 matching MRF lines |
— |
$678–$1,359 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$2,146 |
— |
Open treatment metacarpophalangeal dislocation (26715) range across 4 matching MRF lines |
— |
$1,349–$3,137 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$1,797 |
— |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
— |
$3,193 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$3,880 |
— |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
— |
$2,441–$22,909.34 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$4,159 |
— |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) range across 2 matching MRF lines |
— |
$4,904–$27,123.84 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$2,316 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$3,474 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$3,814.02 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$1,911 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$2,965 |
— |
Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines |
— |
$2,194–$37,605.95 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$1,988 |
— |
Open treatment posterior malleolus fracture (27769) range across 2 matching MRF lines |
— |
$2,165–$10,798.56 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$1,991 |
— |
Open Treatment Proximal Humeral Fracture (23615) range across 2 matching MRF lines |
— |
$3,281.04–$52,121.10 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$2,475 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$2,545 |
— |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
— |
$1,921 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$2,410 |
— |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 2 matching MRF lines |
— |
$2,106–$28,063.27 |
— |
Open Tx Distal Phalangeal Fracture Each (26765) range across 3 matching MRF lines |
— |
$1,046.05–$1,577 |
— |
Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
— |
$2,123–$60,235.11 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$4,547 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$995 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$2,718 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$3,048 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$2,921 |
— |
Open tx interphalangeal joint dislocation (26785) range across 3 matching MRF lines |
— |
$1,016–$1,556 |
— |
Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
— |
$2,238–$4,770 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$1,841 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$2,154 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$2,782.08 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$1,957 |
— |
Open Tx Tibial Fracture Proximal Unicondylar (27535) range across 2 matching MRF lines |
— |
$3,108–$26,727.84 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
— |
$3,441–$51,422.68 |
— |
Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
— |
$2,352–$84,956.59 |
— |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
— |
$2,901 |
— |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
— |
$2,586–$38,550.89 |
— |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
— |
$3,522–$48,849.87 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$4,362 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$2,818 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$3,604 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$3,229.07 |
— |
| Orchiopexy Ingun/Scrot Appr (54640) |
— |
$2,292 |
— |
| Ostectomy calcaneus (28118) |
— |
$1,466 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$1,074 |
— |
| Osteochondral allograft knee open (27415) |
— |
$6,505 |
— |
| Osteoplasty Radius/Ulna Shortening (25390) |
— |
$3,129 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$1,333 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$4,350 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$3,671 |
— |
| Part remv talus or calcaneus (28120) |
— |
$1,569 |
— |
| Partial excision bone olecranon process (24147) |
— |
$1,727 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$1,740 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$401 |
— |
| Partial removal of thyroid (60220) |
— |
$2,544 |
— |
| Partial removal of tibia (27640) |
— |
$3,184 |
— |
| Partial thyroid excision (60212) |
— |
$3,377 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$2,472 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$294 |
— |
| Penile Injection (54235) |
— |
$275 |
— |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
— |
$679 |
— |
Pericardiocentesis W/Imaging (33016) range across 6 matching MRF lines |
— |
$499–$4,955 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,176 |
— |
Perq device breast 1st imag (19281) range across 5 matching MRF lines |
— |
$728–$1,034 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$1,779 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$1,923 |
— |
| Pin Finger Dislocation (26776) |
— |
$941 |
— |
| Pin hand dislocation (26676) |
— |
$1,201.10 |
— |
Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
— |
$363–$1,484 |
— |
| Placement of seton (46020) |
— |
$350 |
— |
| Plastic Repair Introitus (56800) |
— |
$930 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$1,600 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$255 |
— |
| Proctosgmdsc Rigid Rmvl 1 Lesion Cautery (45308) |
— |
$419 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$419 |
— |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
— |
$630 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$276 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$1,109 |
— |
Prq skel fixj femoral fx prox end neck (27235) range across 2 matching MRF lines |
— |
$4,431–$38,080.38 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$1,383 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$2,469 |
— |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
— |
$1,028 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$1,597 |
— |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
— |
$1,439.75 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$2,065 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$1,900 |
— |
Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
— |
$155–$346 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 3 matching MRF lines |
— |
$169–$662 |
— |
Puncture Aspiration Cyst Breast (19000) range across 5 matching MRF lines |
— |
$220–$1,060 |
— |
| Rad resect elbow caps/sr bone w rels (24149) |
— |
$2,985 |
— |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
— |
$782 |
— |
| Rcnstj Dislocating Patella (27420) |
— |
$2,739 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$1,807 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$2,823 |
— |
| Removal Anal Seton Other Marker (46030) |
— |
$318 |
— |
Removal Foreign Body Deep Thigh/Knee (27372) range across 2 matching MRF lines |
— |
$1,752–$2,664 |
— |
Removal foreign body foot deep (28192) range across 3 matching MRF lines |
— |
$1,158–$1,795 |
— |
Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
— |
$540–$2,337 |
— |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
— |
$336–$1,000 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$1,776 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$500 |
— |
Removal foreign body, intranasal; requiring general anesthesia (30310) range across 2 matching MRF lines |
— |
$727–$1,078 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
— |
$50–$109 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
— |
$78–$363 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$413 |
— |
Removal Implant Deep (20680) range across 2 matching MRF lines |
— |
$1,589–$21,516.19 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$362 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$275 |
— |
| Removal of anal fissure (46200) |
— |
$826 |
— |
Removal of foreign body from pharynx (42809) range across 3 matching MRF lines |
— |
$330–$501 |
— |
| Removal of heel spur (28119) |
— |
$1,296 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$6,029 |
— |
| Removal of humerus lesion (23156) |
— |
$2,833 |
— |
| Removal of implant from finger or hand (26320) |
— |
$1,430 |
— |
Removal of nail bed (11750) range across 3 matching MRF lines |
— |
$365–$577 |
— |
| Removal of sesamoid bone (28315) |
— |
$912 |
— |
Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
— |
$1,337–$21,265.79 |
— |
| Removal of tendon for graft (20924) |
— |
$1,156.59 |
— |
| Removal of tonsils (42826) |
— |
$1,000 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$1,219.05 |
— |
Removal or bivalving full arm or full leg cast (29705) range across 3 matching MRF lines |
— |
$129–$259 |
— |
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
— |
$131–$6,657.70 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$123 |
— |
| Removal sweat gland lesion (11450) |
— |
$760 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$883 |
— |
Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
— |
$83–$187 |
— |
| Remove armpit lymph nodes (38740) |
— |
$2,047 |
— |
Remove drug implant device (11982) range across 3 matching MRF lines |
— |
$88.33–$17,349.12 |
— |
| Remove Elbow Joint Lining (24102) |
— |
$3,245 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$1,092 |
— |
Remove foreign body from eye (65205) range across 3 matching MRF lines |
— |
$155–$651 |
— |
Remove Intrauterine Device (58301) range across 4 matching MRF lines |
— |
$76.69–$607 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$2,573.81 |
— |
| Remove lung catheter (32552) |
— |
$565 |
— |
Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
— |
$145–$218 |
— |
| Remove Skin Nerve Lesion (64774) |
— |
$878 |
— |
Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
— |
$1,020–$16,681.23 |
— |
Remove/Insert Drug Implant (11983) range across 2 matching MRF lines |
— |
$109.64–$237 |
— |
| Reopen fallopian tube (58350) |
— |
$340 |
— |
| Repair Achilles Tendon (27650) |
— |
$2,638.65 |
— |
| Repair blood vessel direct neck (35201) |
— |
$5,400 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$3,700 |
— |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
— |
$2,986 |
— |
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 2 matching MRF lines |
— |
$788–$1,488 |
— |
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 3 matching MRF lines |
— |
$1,373.09–$2,891 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
— |
$626–$1,255 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 3 matching MRF lines |
— |
$1,213–$1,924 |
— |
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 3 matching MRF lines |
— |
$542–$913 |
— |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
— |
$832–$1,611 |
— |
Repair complex trunk 1.1-2.5 cm (13100) range across 3 matching MRF lines |
— |
$310–$620 |
— |
Repair complex trunk 2.6-7.5 cm (13101) range across 3 matching MRF lines |
— |
$569–$1,218 |
— |
Repair extensor tendon finger w/o graft each (26418) range across 3 matching MRF lines |
— |
$1,478–$26,342.14 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$2,796 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$1,236 |
— |
| Repair Foot Dislocation (28615) |
— |
$1,655 |
— |
Repair Hand Joint (26540) range across 2 matching MRF lines |
— |
$2,747–$26,342.14 |
— |
| Repair incomplete circumcision (54163) |
— |
$438 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$1,675 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$1,826 |
— |
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) range across 2 matching MRF lines |
— |
$1,861–$33,327.50 |
— |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 4 matching MRF lines |
— |
$377–$1,039 |
— |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
— |
$420.30–$1,231 |
— |
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
— |
$530–$1,292 |
— |
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 3 matching MRF lines |
— |
$1,064–$1,316 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$2,229 |
— |
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
— |
$587–$1,063 |
— |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 4 matching MRF lines |
— |
$385–$14,678.97 |
— |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 4 matching MRF lines |
— |
$398–$18,190.97 |
— |
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 4 matching MRF lines |
— |
$517–$843 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,569 |
— |
Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 4 matching MRF lines |
— |
$634–$11,819.20 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 3 matching MRF lines |
— |
$330–$804 |
— |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
— |
$542–$14,678.97 |
— |
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 4 matching MRF lines |
— |
$786–$1,772 |
— |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
— |
$625–$3,752.58 |
— |
Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
— |
$834–$1,498 |
— |
| Repair Nonunion Hand (26546) |
— |
$2,911 |
— |
| Repair of biceps tendon (24340) |
— |
$3,461 |
— |
| Repair of enterocele, vaginal approach (separate procedure) (57268) |
— |
$2,003 |
— |
Repair of nail bed (11760) range across 3 matching MRF lines |
— |
$574–$1,663 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$2,567 |
— |
Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
— |
$2,701–$44,057.01 |
— |
| Repair of shoulder (23420) |
— |
$4,828.01 |
— |
| Repair recurrent femoral hernia; reducible Facility (49555) |
— |
$1,735.02 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$2,235 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$3,514 |
— |
| Repair shoulder capsule (23466) |
— |
$6,260 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$771 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$2,956 |
— |
| Repair Toe Dislocation (28645) |
— |
$1,475 |
— |
Repair tongue laceration (41252) range across 2 matching MRF lines |
— |
$1,090–$2,304 |
— |
| Repair tongue laceration (41250) |
— |
$764 |
— |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
— |
$2,874 |
— |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, single, each tendon or muscle Facility (25272) |
— |
$2,244 |
— |
| Repair, tendon or muscle, extensor, forearm and/or wrist; secondary, with free graft (includes obtaining graft), each… (25274) |
— |
$2,793 |
— |
| Repair/Graft Wrist Bone (25440) |
— |
$5,024 |
— |
| Replace/Revise Brain Shunt (62230) |
— |
$4,688 |
— |
| Replantation digit complete (20822) |
— |
$1,600 |
— |
| Replantation, thumb (includes distal tip to MP joint), complete amputation Facility (20827) |
— |
$398 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$2,571 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$1,952 |
— |
| Resection of scrotum (55150) |
— |
$1,765 |
— |
| Revis reconst shoulder joint (23473) |
— |
$5,060 |
— |
Revis shoulder arthrplsty humeral&glenoid compnt (23474) range across 2 matching MRF lines |
— |
$6,205–$66,497.35 |
— |
| Revise external ear (69300) |
— |
$4,866 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$1,465 |
— |
| Revise lower leg tendon (27690) |
— |
$2,652 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$1,730 |
— |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
— |
$1,274.76 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
— |
$2,587 |
— |
| Revision of leg vein (37780) |
— |
$1,037 |
— |
| Revision of toe (28312) |
— |
$848 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$5,932 |
— |
| Revision of wrist joint (25450) |
— |
$1,310 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$7,800 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$7,017 |
— |
Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) range across 2 matching MRF lines |
— |
$6,600–$76,319.83 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$1,656 |
— |
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
— |
$321–$493 |
— |
Rmvl FB Xtrnl Auditory Canal Anes (69205) range across 3 matching MRF lines |
— |
$902–$1,990 |
— |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
— |
$133–$609 |
— |
Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
— |
$149–$499 |
— |
Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) range across 2 matching MRF lines |
— |
$120–$226 |
— |
Rmvl fecal impaction/fb spx under anes (45915) range across 3 matching MRF lines |
— |
$568–$796 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$896 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$430 |
— |
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 3 matching MRF lines |
— |
$220–$335 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$904 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$479 |
— |
| Rmvl/revj sling stress incontinence (57287) |
— |
$1,843 |
— |
Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
— |
$300–$481 |
— |
Rplc gtube revj gstrst trc (43763) range across 3 matching MRF lines |
— |
$321–$481 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$2,600 |
— |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
— |
$2,643–$53,733.27 |
— |
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
— |
$2,266–$29,853.36 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$2,666 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$2,820 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$2,380 |
— |
Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
— |
$2,466–$38,802.36 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$2,443 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$822 |
— |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
— |
$1,236 |
— |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 3 matching MRF lines |
— |
$650–$1,379 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$1,750 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,346 |
— |
Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
— |
$1,017–$2,155 |
— |
Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) range across 2 matching MRF lines |
— |
$1,912–$4,041 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$1,302 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$1,926.80 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$1,483 |
— |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
— |
$2,239 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$3,464 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$1,283 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$114 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$142 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$244 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$123 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$169 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$199 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$228 |
— |
| Shoulder arthroscopy (29820) |
— |
$3,257 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$1,534 |
— |
| Shoulder joint surgery (23101) |
— |
$2,069 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$165 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$193 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$120 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$230 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$189 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$925 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$531 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$685 |
— |
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 3 matching MRF lines |
— |
$943–$1,960 |
— |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 3 matching MRF lines |
— |
$310–$617 |
— |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 3 matching MRF lines |
— |
$364–$720 |
— |
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
— |
$1,179–$2,552 |
— |
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 3 matching MRF lines |
— |
$530–$1,148 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$1,220 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 4 matching MRF lines |
— |
$246–$590 |
— |
Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) range across 2 matching MRF lines |
— |
$458–$1,218 |
— |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 4 matching MRF lines |
— |
$333–$877 |
— |
Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
— |
$363–$548 |
— |
Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
— |
$326–$493 |
— |
Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
— |
$1,022–$1,538 |
— |
Skin Tissue Procedure (17999) range across 3 matching MRF lines |
— |
$142–$566 |
— |
Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
— |
$944–$1,419 |
— |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
— |
$2,218–$52,323.42 |
— |
| Slitting of prepuce (54001) |
— |
$545 |
— |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 4 matching MRF lines |
— |
$281–$658 |
— |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 3 matching MRF lines |
— |
$524–$1,022 |
— |
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 3 matching MRF lines |
— |
$510–$1,116 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$1,123 |
— |
Spinal puncture lumbar diagnostic (62270) range across 6 matching MRF lines |
— |
$389–$1,019 |
— |
Strapping ankle (29540) range across 3 matching MRF lines |
— |
$87–$139 |
— |
Strapping elbow or wrist (29260) range across 2 matching MRF lines |
— |
$75–$118 |
— |
Strapping hand/finger (29280) range across 2 matching MRF lines |
— |
$68–$110 |
— |
Strapping Hip (29520) range across 2 matching MRF lines |
— |
$127–$194 |
— |
Strapping knee (29530) range across 2 matching MRF lines |
— |
$97–$151 |
— |
Strapping shoulder (29240) range across 3 matching MRF lines |
— |
$87–$194 |
— |
Strapping thorax (29200) range across 2 matching MRF lines |
— |
$87–$139 |
— |
Strapping toes (29550) range across 2 matching MRF lines |
— |
$54–$87 |
— |
Strapping Unna Boot (29580) range across 4 matching MRF lines |
— |
$146–$282 |
— |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
— |
$290 |
— |
| Surg tx anal fistula subq (46270) |
— |
$1,058 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$1,543 |
— |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
— |
$1,737 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$2,300 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$2,381 |
— |
Tangential biopsy skin single lesion (11102) range across 3 matching MRF lines |
— |
$148–$335 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
— |
$2,550 |
— |
Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
— |
$3,744.09–$53,111.17 |
— |
| Tenodesis Wrist Extensors Fingers (25301) |
— |
$2,875 |
— |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
— |
$1,815 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$669 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$2,568 |
— |
| Thyroid biopsy (60100) |
— |
$368 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$3,574 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$2,095 |
— |
| Tooth extraction (41899) |
— |
$803 |
— |
| Total Knee Arthroplasty (27447) |
— |
$6,597.05 |
— |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
— |
$1,021.60 |
— |
Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
— |
$1,247–$2,464 |
— |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
— |
$1,281 |
— |
| Transplant hand tendon (26480) |
— |
$2,740.22 |
— |
| Treat ankle dislocation (27848) |
— |
$2,681 |
— |
| Treat Ankle Dislocation (27846) |
— |
$2,542.05 |
— |
| Treat ankle fracture (28445) |
— |
$2,711 |
— |
| Treat Big Toe Fracture (28505) |
— |
$1,186 |
— |
| Treat dislocation/fracture (23670) |
— |
$3,750 |
— |
| Treat dislocation/fracture (23680) |
— |
$2,937 |
— |
| Treat ectopic pregnancy (59151) |
— |
$2,351 |
— |
| Treat elbow fracture (24586) |
— |
$3,635 |
— |
| Treat Elbow Fracture (24635) |
— |
$3,298.05 |
— |
Treat Finger Fracture Each (26727) range across 2 matching MRF lines |
— |
$1,562.09–$11,449.39 |
— |
Treat fracture radius/ulna (25575) range across 2 matching MRF lines |
— |
$3,200–$7,790.01 |
— |
Treat Fx Rad Extra-Articul (25607) range across 2 matching MRF lines |
— |
$2,418–$42,762.58 |
— |
Treat Hip Socket Fracture (27222) range across 2 matching MRF lines |
— |
$2,272–$3,961 |
— |
Treat humerus fracture (24500) range across 3 matching MRF lines |
— |
$595–$898 |
— |
Treat Humerus Fracture (24505) range across 2 matching MRF lines |
— |
$1,327–$2,803 |
— |
| Treat humerus fracture (23616) |
— |
$5,700 |
— |
Treat humerus fracture (23600) range across 3 matching MRF lines |
— |
$680–$1,165 |
— |
Treat knee fracture (27532) range across 4 matching MRF lines |
— |
$1,342–$38,886.83 |
— |
Treat Knee Fracture(S) (27538) range across 3 matching MRF lines |
— |
$882–$1,338 |
— |
| Treat Kneecap Fracture (27524) |
— |
$2,921 |
— |
Treat Knuckle Dislocation (26700) range across 3 matching MRF lines |
— |
$366–$765 |
— |
| Treat lower leg bone lesion (27607) |
— |
$1,909 |
— |
| Treat metacarpal fracture (26607) |
— |
$1,677 |
— |
Treat Metatarsal Fracture (28475) range across 3 matching MRF lines |
— |
$864–$1,382 |
— |
| Treat midfoot fracture (28456) |
— |
$1,270.08 |
— |
| Treat scapula fracture (23585) |
— |
$3,182 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$524 |
— |
Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
— |
$932–$1,753 |
— |
Treat Thumb Fracture (26645) range across 2 matching MRF lines |
— |
$745.09–$1,128 |
— |
Treat toe dislocation (28630) range across 2 matching MRF lines |
— |
$370–$815 |
— |
Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
— |
$915–$2,675 |
— |
Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
— |
$611–$921 |
— |
| Treatment of ankle fracture (27823) |
— |
$4,038 |
— |
| Treatment of foot infection (28003) |
— |
$1,216 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$3,585 |
— |
| Treatment of tibia fracture (27756) |
— |
$2,681 |
— |
| Trim skin lesion (11055) |
— |
$51 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$62 |
— |
| Trim skin lesions over 4 (11057) |
— |
$80 |
— |
Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
— |
$46–$139 |
— |
| Tubal ligation (58600) |
— |
$2,042 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$1,181 |
— |
Tx Gastro Intub W/Asp (43753) range across 3 matching MRF lines |
— |
$87–$365 |
— |
Tx Incomplete Abortion Any Trimester Surgical (59812) range across 4 matching MRF lines |
— |
$937–$23,990.82 |
— |
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 2 matching MRF lines |
— |
$4,460–$62,493 |
— |
Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines |
— |
$876.02–$16,320.02 |
— |
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 3 matching MRF lines |
— |
$678.65–$1,089 |
— |
Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines |
— |
$457–$676 |
— |
Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) range across 2 matching MRF lines |
— |
$709–$1,696 |
— |
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 3 matching MRF lines |
— |
$563–$854 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$3,756 |
— |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
— |
$1,418 |
— |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
— |
$621 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$2,999 |
— |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
— |
$1,725 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$1,450 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$1,825 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$2,415 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$2,008 |
— |
| Unlisted procedure anus (46999) |
— |
$564 |
— |
| Unlisted procedure arthroscopy (29999) |
— |
$3,069 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$2,734 |
— |
| Unlisted procedure forearm or wrist (25999) |
— |
$2,800 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$1,850 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$6,500 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$321 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$156 |
— |
Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
— |
$425–$1,281 |
— |
Unlisted Procedure Pharynx Adenoids/Tonsils (42999) range across 3 matching MRF lines |
— |
$185–$340 |
— |
| Unlisted procedure shoulder (23929) |
— |
$1,755 |
— |
| Unlisted procedure stomach (43999) |
— |
$3,534 |
— |
Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
— |
$1,450–$37,997.62 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$377 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$1,920 |
— |
| Vaginal delivery only (59409) |
— |
$1,920 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$2,557 |
— |
| Vaginoplasty for intersex state Facility (57335) |
— |
$4,084 |
— |
Vasectomy uni/bi spx w/postop semen exams (55250) range across 3 matching MRF lines |
— |
$269.11–$2,287 |
— |
| Vulvectomy simple partial (56620) |
— |
$2,095 |
— |
Wedge excision skin nail fold (11765) range across 3 matching MRF lines |
— |
$317–$1,206 |
— |
| Wedging of cast (29740) |
— |
$110 |
— |
| Windowing of cast (29730) |
— |
$157 |
— |