Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$1,160 |
$5,281–$6,232.50 |
1.0× |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
$1,160 |
$3,548.13–$5,070.90 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,640 |
$6,120.83 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$4,187 |
$18,107 |
1.0× |
| Amputate Metacarpal Bone (26910) |
$4,187 |
$10,864.20 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$4,187 |
$4,339.06 |
1.0× |
Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
$6,402 |
$12,323.68–$12,323.70 |
1.0× |
| Application finger splint static (29130) |
$170 |
$839.80 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$207 |
$1,052.19 |
1.0× |
| Application Long Leg Splint (29505) |
$207 |
$1,052.19 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$170 |
$923.78 |
1.0× |
| Application short leg splint calf foot (29515) |
$207 |
$1,052.19 |
1.0× |
| Arterial puncture (36600) |
$170 |
$923.78 |
1.0× |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
$16,431 |
$7,792.87 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$16,431 |
$11,275 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$392 |
$1,656.85 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$903 |
$3,172.95 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$392 |
$1,945.83 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$392 |
$1,558.05 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$392 |
$994.11 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$802 |
$4,298.04 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$802 |
$3,220.52 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$392 |
$1,475.95 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$256 |
$1,337.44 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$2,113 |
$10,479 |
1.0× |
| Biopsy bone open deep (20245) |
$3,717 |
$14,127 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,717 |
$3,140.66 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$2,113 |
$5,441.72 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$2,113 |
$7,497.75 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,113 |
$10,479 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,113 |
$8,101.20 |
1.0× |
| Bladder Irrigation (51700) |
$319 |
$1,585.44 |
1.0× |
| Bladder Scan (51798) |
$75 |
$342.17 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$406 |
$1,558.57 |
1.0× |
| Blood Transfusion Service (36430) |
$564 |
$3,251.70 |
1.0× |
| Bone Marrow Biopsy (38221) |
$2,113 |
$8,383.19 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$2,113 |
$8,383.19 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,278 |
$8,085.70 |
1.0× |
| Bronch Thermoplsty 1 Lobe (31660) |
$9,032 |
$32,606 |
1.0× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$9,032 |
$32,606 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$2,278 |
$9,494.55 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$500 |
$1,945.25 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,278 |
$8,914.10 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,771 |
$18,434.80 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$2,113 |
$7,497.75 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$280 |
$1,312.46 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$4,041 |
$17,830.90 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$319 |
$1,981.80 |
1.0× |
| Change of Windpipe Airway (31502) |
$303 |
$1,260.49 |
1.0× |
| Chemical Cautery Tissue (17250) |
$256 |
$882.25 |
1.0× |
| Chest tube placement (32551) |
$2,014 |
$10,472.90 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,582 |
$18,956.20 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,058 |
$7,656.65 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,058 |
$8,990.74 |
1.0× |
| Clear outer ear canal (69200) |
$170 |
$839.80 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$315 |
$1,035.05 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,058 |
$5,394.45 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$315 |
$1,075.89 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$315 |
$1,228.03 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,058 |
$8,298.68 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$315 |
$791.52 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$315 |
$1,669.75 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,058 |
$7,656.65 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,058 |
$5,394.45 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$315 |
$1,319.20 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,058 |
$8,298.68 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,058 |
$8,298.68 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$315 |
$1,123.45 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$315 |
$1,228.03 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,058 |
$8,002.05 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,058 |
$9,887.30 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$315 |
$1,530.91 |
1.0× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$3,552 |
$4,966.85 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,058 |
$8,990.74 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$315 |
$791.52 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$315 |
$1,418.13 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$315 |
$1,228.03 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,058 |
$8,990.74 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$315 |
$1,319.20 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,058 |
$8,298.68 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$315 |
$1,388.54 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$315 |
$1,228.03 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$315 |
$1,319.20 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$315 |
$1,319.20 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$315 |
$1,319.20 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$315 |
$1,243.27 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$315 |
$1,319.20 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$315 |
$791.52 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$315 |
$1,228.03 |
1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$315 |
$1,283.30 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,058 |
$8,298.68 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$315 |
$791.52 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$67.62 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,531 |
$3,960.81 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,531 |
$5,895.40 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,531 |
$6,178.41 |
1.0× |
| Colonoscopy thru stoma (44388) |
$1,190 |
$4,728.22 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,531 |
$6,178.41 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,531 |
$3,960.81 |
1.0× |
Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$1,531 |
$6,601.34–$10,761.60 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,531 |
$5,895.40 |
1.0× |
| Colonoscopy W/Resection (45390) |
$3,552 |
$12,475.20 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,531 |
$7,723.01 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$4,143 |
$11,236.60 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,531 |
$6,178.41 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,531 |
$6,178.41 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,531 |
$6,601.34 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$6,402 |
$18,844 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$4,143 |
$11,944.90 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$170 |
$714.58 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$170 |
$839.80 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,113 |
$9,069.54 |
1.0× |
| Correction hammertoe (28285) |
$4,187 |
$9,961 |
1.0× |
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) range across 2 matching MRF lines |
$4,187 |
$13,469.80–$13,469.84 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$9,286 |
$18,750 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$170 |
$708 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$4,511 |
$10,500 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$945 |
$3,060.65 |
1.0× |
| Deep Muscle Biopsy (20205) |
$3,717 |
$12,916.30 |
1.0× |
| Delivery of placenta (59414) |
— |
$10,493.40 |
— |
Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$1,190 |
$4,558.55–$5,910.28 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,160 |
$4,687.80 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$903 |
$3,783.39 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$906 |
$3,707.67 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,113 |
$8,383.19 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$303 |
$1,260.49 |
1.0× |
| Drainage of finger abscess simple (26010) |
$256 |
$1,569.36 |
1.0× |
| Drainage of gum lesion (41800) |
$170 |
$714.58 |
1.0× |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$2,113 |
$9,069.54–$9,422 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$2,113 |
$8,383.19 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$256 |
$1,337.44 |
1.0× |
| Dstrj Lesion Anus Extensive (46924) |
$3,552 |
$11,935.60 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$3,552 |
$12,281.60 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$2,278 |
$10,444 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$2,278 |
$11,142.60 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,278 |
$5,696.73 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$903 |
$3,462.60 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,455 |
$9,064.95 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,455 |
$9,677.23 |
1.0× |
| Egd cautery tumor polyp (43250) |
$2,455 |
$6,386.66 |
1.0× |
| Egd control bleeding any (43255) |
$2,455 |
$12,096.50 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,455 |
$9,677.23 |
1.0× |
| Egd endo mucosal resection (43254) |
$2,455 |
$9,484.95 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$1,160 |
$4,821.03 |
1.0× |
| Egd guide wire insertion (43248) |
$1,160 |
$6,026.29 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,455 |
$6,386.66 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,455 |
$13,306.20 |
1.0× |
| Egd remove lesion snare (43251) |
$2,455 |
$12,096.50 |
1.0× |
Egd Varices Ligation (43244) range across 2 matching MRF lines |
$2,455 |
$10,323.50–$12,096.50 |
1.0× |
| Endoscopic plantar fasciotomy (29893) |
$4,187 |
$15,617.20 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,455 |
$9,677.23 |
1.0× |
| Ercp duct stent placement (43274) |
$7,769 |
$26,082.30 |
1.0× |
Ercp Dx Collection Specimen Brushing/Washing (43260) range across 2 matching MRF lines |
$4,934 |
$12,593.90–$22,868 |
1.0× |
Ercp ea duct/ampulla dilate (43277) range across 2 matching MRF lines |
$4,934 |
$11,573.30–$21,423.80 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,934 |
$21,423.80 |
1.0× |
Ercp remove forgn body duct (43275) range across 2 matching MRF lines |
$2,455 |
$9,064.95–$9,961 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,934 |
$12,366.40 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$4,934 |
$22,868 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,160 |
$6,026.29 |
1.0× |
| Esophagosc Dilate Balloon 30 (43214) |
$2,455 |
$9,677.23 |
1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$2,455 |
$9,484.95 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,455 |
$11,693.80 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,455 |
$9,064.95 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,455 |
$10,215.40 |
1.0× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$2,455 |
$9,064.95 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,455 |
$9,677.23 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$170 |
$671.84 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,113 |
$5,441.72 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,058 |
$5,600 |
1.0× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,499 |
$4,661.92 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$3,552 |
$10,500 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$3,717 |
$10,627.50 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$906 |
$7,044.38 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,113 |
$7,007.20 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,531 |
$3,960.81 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$3,717 |
$10,507.20 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,717 |
$10,507.20 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,717 |
$4,375 |
1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$2,113 |
$8,750 |
1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$4,187 |
$6,090.23 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,675 |
$6,836.40 |
1.0× |
| Excision external ear; complete amputation Facility (69120) |
$7,576 |
$29,578.30 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,552 |
$6,533.12 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,717 |
$20,789.10 |
1.0× |
| Excision of vaginal septum (57130) |
$4,143 |
$4,711 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,717 |
$12,634 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$3,717 |
$16,225.90 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,113 |
$11,792.50 |
1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$2,113 |
$4,375 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,717 |
$12,728.50 |
1.0× |
| Fetal non-stress test (59025) |
— |
$1,025 |
— |
| Fine needle aspiration without imaging guidance (10021) |
$520 |
$2,059.37 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$305 |
$1,507.82 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$906 |
$3,517.95 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$906 |
$3,707.67 |
1.0× |
| Foreskin manipulation (54450) |
$319 |
$1,565.98 |
1.0× |
| Fusion of foot bones (28740) |
$9,286 |
$6,624.87 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$906 |
$6,782 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,552 |
$10,775.50 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,552 |
$12,500 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,552 |
$14,181.30 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,190 |
$4,172.94 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$4,143 |
$17,945.20 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$4,143 |
$16,870.20 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$6,402 |
$19,146.30 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$4,143 |
$14,829.40 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$6,402 |
$21,104.40 |
1.0× |
| I&d abscess peritonsillar (42700) |
$303 |
$1,318.34 |
1.0× |
| I&d abscess simple (10060) |
$256 |
$1,337.44 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,190 |
$4,728.22 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$906 |
$3,824.50 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$906 |
$3,935.82 |
1.0× |
| Icd Pocket Revision (33223) |
$2,640 |
$6,120.83 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,160 |
$4,318.45 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$2,113 |
$9,069.54 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$2,113 |
$8,383.19 |
1.0× |
| Incise external hemorrhoid (46083) |
$319 |
$1,585.44 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$520 |
$2,230.59 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$520 |
$2,059.37 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$258 |
$1,114.71 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$390 |
$1,794.59 |
1.0× |
| Incision of rectal abscess (46040) |
$1,531 |
$8,307.50 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$256 |
$1,119.93 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,132 |
$4,451.45 |
1.0× |
| Injection for identification of sentinel node (38792) |
$511 |
$2,009.15 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$392 |
$1,945.83 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$392 |
$1,656.85 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,132 |
$5,427.81 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$903 |
$4,118.13 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$903 |
$4,729.24 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$4,041 |
$15,185 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$4,041 |
$10,698.50 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$7,121 |
$18,444.70 |
1.0× |
| Insert cath pleura w/ image (32557) |
$2,014 |
$10,472.90 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,455 |
$9,677.23 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$4,041 |
$23,452 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$13,377 |
$35,840.70 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,014 |
$5,390.69 |
1.0× |
| Insert pulse gen dual leads (33213) |
$13,377 |
$61,951.40 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$10,591 |
$28,515 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$170 |
$839.80 |
1.0× |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$4,041 |
$18,618.60–$21,199.50 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$7,121 |
$35,515.30 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$170 |
$839.80 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,582 |
$17,645.30 |
1.0× |
| Insertion of cannula (36800) |
$7,121 |
$30,741.10 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,014 |
$9,854.94 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$4,041 |
$10,698.50 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,041 |
$17,830.90 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$2,014 |
$5,375.42–$11,520.20 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,041 |
$15,737.50 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$40,173 |
$184,039 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$10,591 |
$41,379.90 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$13,377 |
$77,439.30 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,243 |
$11,156.40 |
1.0× |
| Intro cath dialysis circuit (36901) |
$2,014 |
$8,959.04 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$303 |
$1,733.17 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$319 |
$1,177.40 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$13,604 |
$35,772.80 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$7,737 |
$15,899.70 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$13,604 |
$32,503.40 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$7,737 |
$19,649 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$7,737 |
$19,307.70 |
1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$13,604 |
$27,600 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$7,737 |
$7,762.50 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,737 |
$24,263.80 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$13,604 |
$11,500 |
1.0× |
| Mastectomy partial (19301) |
$5,011 |
$15,375 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$571 |
$1,337.33 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$2,113 |
$8,383.19 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$392 |
$1,945.83 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,582 |
$18,956.20 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,132 |
$4,342.25 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$892 |
$3,427.75 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$520 |
$2,059.37 |
1.0× |
| Occipital Nerve Block (64405) |
$392 |
$1,475.95 |
1.0× |
| Open treatment interphalangeal joint dislocation (28675) |
$4,187 |
$12,191.70 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$9,286 |
$23,625 |
1.0× |
Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
$9,286 |
$21,022.65–$21,022.70 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$14,775 |
$56,702.80 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$14,775 |
$61,540.80 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$4,187 |
$7,797.45 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$4,187 |
$5,496.16 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$9,286 |
$8,763.29 |
1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$6,402 |
$16,190.60 |
1.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$4,143 |
$4,711 |
1.0× |
| Penile Injection (54235) |
$319 |
$1,074.35 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,041 |
$15,737.50 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$2,014 |
$7,767.20 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$906 |
$2,361.49 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$906 |
$3,244.85 |
1.0× |
| Perq device breast 1st imag (19281) |
$2,113 |
$6,000 |
1.0× |
| Place Cath Vertebral Art (36226) |
$7,121 |
$18,444.70 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$571 |
$2,228.88 |
1.0× |
| Placement of seton (46020) |
$3,552 |
$13,802.20 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,675 |
$13,335.10 |
1.0× |
| Prim art mech thrombectomy (37184) |
$23,462 |
$98,092 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,582 |
$11,612.10 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$520 |
$2,230.59 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$4,511 |
$17,244.80 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,640 |
$8,687.65 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,531 |
$5,948.75 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$75 |
$342.17 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75 |
$414.59 |
1.0× |
| Removal Implant Deep (20680) |
$3,717 |
$8,333.34 |
1.0× |
| Removal of anal fissure (46200) |
$3,552 |
$12,125 |
1.0× |
| Removal of ankle implant (27704) |
$4,187 |
$15,420.20 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$571 |
$2,201.38 |
1.0× |
| Removal of nail bed (11750) |
$520 |
$2,230.59 |
1.0× |
| Removal of sesamoid bone (28315) |
$4,187 |
$19,217.80 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,041 |
$17,056 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$256 |
$1,069.95 |
1.0× |
| Remove foreign body from eye (65205) |
$170 |
$671.84 |
1.0× |
Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$390 |
$10,812.80–$10,812.83 |
1.0× |
| Remove lung catheter (32552) |
$802 |
$3,152.55 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$170 |
$671.84 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$892 |
$5,526.50 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$28,468 |
$131,859 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$40,173 |
$116,108 |
1.0× |
Remv&replc pm gen dual lead (33228) range across 2 matching MRF lines |
$13,377 |
$11,777.50–$59,734.50 |
1.0× |
| Renal Biopsy Perq (50200) |
$2,113 |
$8,383.19 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$520 |
$3,120.44 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$520 |
$3,120.44 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$945 |
$3,500 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$520 |
$1,338.35 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$520 |
$1,463.10 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$945 |
$3,120.44 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$945 |
$2,108 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$520 |
$2,059.37 |
1.0× |
| Repair of nail bed (11760) |
$945 |
$3,513.33 |
1.0× |
| Repair tongue laceration (41250) |
$571 |
$1,337.33 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$319 |
$5,436.03 |
1.0× |
Revision of foot bones (28737) range across 2 matching MRF lines |
$16,431 |
$10,272.25–$10,272.30 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,160 |
$3,042.54 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$571 |
$2,228.88 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$170 |
$714.58 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$571 |
$1,337.33 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,014 |
$9,785.08 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$802 |
$2,699.85 |
1.0× |
Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
$319 |
$1,981.80–$16,483.80 |
1.0× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$4,041 |
$15,185 |
1.0× |
Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 2 matching MRF lines |
$4,041 |
$13,087.50–$15,737.50 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,737 |
$16,359.40 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,582 |
$23,779.20 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$8,285 |
$18,750 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,737 |
$21,920.70 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$906 |
$3,707.67 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$256 |
$1,161 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$690 |
$3,077.86 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$4,187 |
$15,525 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,190 |
$4,728.22 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,531 |
$6,178.41 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$1,190 |
$4,354.05 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,190 |
$5,112.70 |
1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,531 |
$5,621.80 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,531 |
$6,178.41 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,190 |
$5,112.70 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,531 |
$5,621.80 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$520 |
$1,338.35 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$256 |
$1,337.44 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$520 |
$1,997.65 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$256 |
$1,069.95 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$256 |
$1,471.18 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$256 |
$1,718 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$256 |
$1,337.44 |
1.0× |
Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$945 |
$20,566.86–$20,566.90 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$945 |
$8,802.15 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$6,402 |
$7,021.82 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$256 |
$1,337.44 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$520 |
$2,230.59 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$520 |
$2,059.37 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,552 |
$11,441.90 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$903 |
$3,868.53 |
1.0× |
| Strapping ankle (29540) |
$207 |
$596.20 |
1.0× |
| Strapping elbow or wrist (29260) |
$75 |
$486.71 |
1.0× |
| Strapping hand/finger (29280) |
$75 |
$354 |
1.0× |
| Strapping knee (29530) |
$170 |
$714.58 |
1.0× |
| Strapping shoulder (29240) |
$170 |
$671.84 |
1.0× |
| Surg tx anal fistula subq (46270) |
$3,552 |
$12,281.80 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,552 |
$12,376.60 |
1.0× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$945 |
$2,108 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$24,652 |
$85,888 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$422 |
$1,899.72 |
1.0× |
| Thyroid biopsy (60100) |
$906 |
$3,707.67 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$390 |
$2,799 |
1.0× |
| Treat ectopic pregnancy (59151) |
$7,737 |
$25,092.40 |
1.0× |
| Treat Humerus Fracture (24505) |
$2,058 |
$8,002.05 |
1.0× |
| Treat knee fracture (27532) |
$4,187 |
$16,873.10 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$315 |
$1,228.03 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$315 |
$1,228.03 |
1.0× |
| Treat toe dislocation (28630) |
$315 |
$791.52 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$315 |
$1,319.20 |
1.0× |
| Trim skin lesion (11055) |
$256 |
$902.90 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$7,284 |
$37,246 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,284 |
$31,973.60 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,552 |
$14,920.70 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$276 |
$1,576.84 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,143 |
$13,750 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$4,143 |
$9,781.33 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$945 |
$3,513.33 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$7,737 |
$27,134.80 |
1.0× |
| Unlisted procedure anus (46999) |
$1,190 |
$4,354.05 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$315 |
$6,312.34 |
1.0× |
| Unlisted procedure nervous system (64999) |
$392 |
$1,656.85 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$303 |
$6,925.17 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$802 |
$3,100.05 |
1.0× |
Unlisted px female genital system nonobstetrical (58999) range across 2 matching MRF lines |
$258 |
$11,451.57–$11,451.60 |
1.0× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$303 |
$1,161.10 |
1.0× |
| Vaginal delivery only (59409) |
$4,143 |
$15,632.20 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$14,775 |
$56,702.80 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$14,775 |
$61,540.80 |
1.0× |
| Vulvectomy simple partial (56620) |
$4,143 |
$14,921.70 |
1.0× |
| Wedge excision skin nail fold (11765) |
$520 |
$2,059.37 |
1.0× |