| Abd paracentesis w/imaging (49083) |
— |
$11,521.61 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$89,749.04 |
— |
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines |
— |
$27,157.55–$38,432.15 |
— |
| Acne surgery (10040) |
— |
$36,458.84 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$35,815.02 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$88,182.14 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$88,182.14 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$88,182.14 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$70,552.18 |
— |
| Amputation foot transmetarsal (28805) |
— |
$70,552.18 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$28,140.21 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$17,306.62 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$70,552.18 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$121,949.69 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$121,949.69 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$121,949.69 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$121,949.69 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$121,949.69 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$72,625.94 |
— |
| Anorectal myomectomy (45108) |
— |
$94,481.12 |
— |
| Anoscopy diagnostic (46600) |
— |
$59,702.70 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$11,387.30 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$29,248.27 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
— |
$1,357.32–$2,280.44 |
— |
| Arterial puncture (36600) |
— |
$778.87 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$35,602.52 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
— |
$23,885.35 |
— |
| Artery-vein autograft (36825) |
— |
$33,073.12 |
— |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
— |
$63,338.80 |
— |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
— |
$43,177.27 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$106,736.39 |
— |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
— |
$67,574.92 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
— |
$5,033.09–$8,722.73 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$5,182.42–$5,466.92 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$67,574.92 |
— |
| Arthrodesis Pantalar (28705) |
— |
$106,736.39 |
— |
| Arthrodesis Posterior Interbody Lumbar (22630) |
— |
$111,226.06 |
— |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
— |
$102,264.63 |
— |
| Arthrodesis subtalar (28725) |
— |
$106,736.39 |
— |
| Arthrodesis triple (28715) |
— |
$106,736.39 |
— |
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) |
— |
$107,200.81 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
— |
$107,200.81 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
— |
$107,200.81 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
— |
$107,200.81 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$63,734.93 |
— |
| Arthroplasty interphalangeal joint each (26535) |
— |
$25,815.24 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$125,847.90 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$33,027.98 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 2 matching MRF lines |
— |
$35,298.35–$45,910.52 |
— |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines |
— |
$38,003.10–$44,165.55 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$38,003.10 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
— |
$35,088.02–$45,705.37 |
— |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
— |
$29,048.69 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$125,847.90 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$62,902.71 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$19,191.57 |
— |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
— |
$29,048.69 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$125,847.90 |
— |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
— |
$125,847.90 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$7,503.05 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$63,087.92 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$22,605.60 |
— |
| Av fistula revision (36833) |
— |
$73,165.39 |
— |
| Av Fistula Revision Open (36832) |
— |
$34,440.35 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$41,441.14 |
— |
| Av fusion/forearm vein (36820) |
— |
$73,165.39 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$59,936.07 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$6,124.85 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$11,701.28 |
— |
| Biopsy of rectum (45100) |
— |
$87,671.38 |
— |
| Blepharoplasty Lower Eyelid (15820) |
— |
$32,082.73 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$24,436.56 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$27,927.07 |
— |
| Blood Transfusion Service (36430) |
— |
$1,553.71 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$82,923.69 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$75,686.39 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$75,686.39 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
— |
$75,686.39 |
— |
| Bone Marrow Biopsy (38221) |
— |
$18,646.45 |
— |
| Breast augmentation with implant (19325) |
— |
$44,651.36 |
— |
| Breast Reduction (19318) |
— |
$56,548.22 |
— |
Brnchsc Brushing/Protected Brushings (31623)
range across 3 matching MRF lines |
— |
$44,327.59–$59,990.97 |
— |
Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652)
range across 3 matching MRF lines |
— |
$31,254.88–$59,990.97 |
— |
Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653)
range across 2 matching MRF lines |
— |
$24,508.01–$41,446.57 |
— |
Bronchoscopy W/Biopsy(S) (31625)
range across 3 matching MRF lines |
— |
$46,912.17–$59,990.97 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$65,880.04 |
— |
Bronchoscopy/Needle Bx Each (31629)
range across 2 matching MRF lines |
— |
$47,693.18–$59,990.97 |
— |
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines |
— |
$9,639.12–$10,017.51 |
— |
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines |
— |
$9,983.39–$15,415.37 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$49,470.19 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$47,333.01 |
— |
| Canthoplasty (67950) |
— |
$34,224.89 |
— |
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines |
— |
$13,196.24–$18,274.54 |
— |
Cataract surgery complex (66982)
range across 3 matching MRF lines |
— |
$11,004.55–$12,663.29 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$12,093.17 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$100,375.34 |
— |
| Chemical Cautery Tissue (17250) |
— |
$2,245.34 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$46,381.35 |
— |
| Circumcision 28 days or older (54161) |
— |
$14,354.45 |
— |
| Circumcision Neonate (54160) |
— |
$359.74 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$6,247.48 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$56,989.62 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$71,043.43 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$13,639.71 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$56,989.62 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$56,989.62 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$56,989.62 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$225.61 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$49.68 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$70,939.31 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$70,939.31 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$59,702.70 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$59,994.76 |
— |
| Colonoscopy thru stoma (44388) |
— |
$59,702.70 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$70,939.31 |
— |
| Colonoscopy w/ablation (45388) |
— |
$18,173.32 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$59,702.70 |
— |
| Colonoscopy W/Resection (45390) |
— |
$70,939.31 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$14,245.10 |
— |
| Colpocleisis (le fort type) (57120) |
— |
$31,848.64 |
— |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
— |
$23,545.77 |
— |
| Colpopexy extraperitoneal (57282) |
— |
$27,284.07 |
— |
| Colporrhaphy (57200) |
— |
$23,545.77 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$21,418.39 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$13,612.68 |
— |
| Complex drainage wound (10180) |
— |
$38,677.58 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$17,943.81 |
— |
| Conization of cervix (57520) |
— |
$16,054.63 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$86,243.14 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$116,760.26 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines |
— |
$10,534.91–$12,762.75 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$29,273.69 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$20,669.05 |
— |
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines |
— |
$22,537.04–$23,322.54 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$22,550.87 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$45,234.71 |
— |
| Curettage postpartum (59160) |
— |
$21,096.56 |
— |
Cysto Bladder W/Ureteral Catheterization (52005)
range across 2 matching MRF lines |
— |
$12,923.55–$20,130.02 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$16,121.94 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$28,436.77 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$23,990.29 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$20,370.38 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$28,501.45 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$24,091.82 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$18,190.31 |
— |
| Cysto w/up stricture tx (52342) |
— |
$51,260.10 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$51,260.10 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$40,840.05 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$24,520.86 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$52,945.85 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$37,774.14 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$32,089.59 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$51,260.10 |
— |
| Cystoscopy and radiotracer (52250) |
— |
$50,264.31 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$14,056.43 |
— |
| Cystouretero W/Congen Repr (52400) |
— |
$37,774.14 |
— |
| Cystouretero w/renal strict (52346) |
— |
$51,260.10 |
— |
| Cystourethroscopy (52000) |
— |
$14,722.17 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
— |
$36,708.32 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$52,945.85 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$21,211.88 |
— |
| Cystourethroscopy tx female urethral syndrome (52285) |
— |
$37,774.14 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$28,706.67 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$28,934.37 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$38,419.86 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$51,260.10 |
— |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
— |
$37,774.14 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$94,716.58 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$33,123.18 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$59,971.14 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$212,645.55 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$13,676.02 |
— |
| Debride nail 1-5 (11720) |
— |
$54,784.54 |
— |
| Debride nail 6 or more (11721) |
— |
$54,784.54 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$18,437.45 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$4,030.15 |
— |
| Declot vascular device (36593) |
— |
$100,375.34 |
— |
| Decompress Spinal Cord Lmbr (63056) |
— |
$109,748.32 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$215,551.02 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
— |
$209,740.08 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
— |
$209,740.08 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
— |
$209,740.08 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
— |
$209,740.08 |
— |
| Delivery of placenta (59414) |
— |
$25,011.97 |
— |
| Derma-fat-fascia graft (15770) |
— |
$34,224.89 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$9,598.49 |
— |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
— |
$12,866.26–$13,001.58 |
— |
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines |
— |
$12,193.97–$14,397.80 |
— |
| Diagnostic anoscopy (46601) |
— |
$59,702.70 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$5,664.44 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$52,945.85 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$9,978.11 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$37,440.29 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$50,900.55 |
— |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
— |
$209,488.41 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$17,575.83 |
— |
| Drainage of perirenal or renal abscess, open Facility (50020) |
— |
$48,328.13 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$225.61 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$33,123.18 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$33,123.18 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$9,525.15 |
— |
| Dstrj Lesion Anus Extensive (46924) |
— |
$17,911.98 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$13,524.67 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$13,562.95 |
— |
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines |
— |
$33,712.17–$59,990.97 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$29,363.10 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$3,417.03 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$53,772.04 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$13,973.52 |
— |
| Egd cautery tumor polyp (43250) |
— |
$40,637.78 |
— |
| Egd control bleeding any (43255) |
— |
$12,359.54 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$40,249.70 |
— |
| Egd endo mucosal resection (43254) |
— |
$40,637.78 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$31,727.15 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$12,940.58 |
— |
| Egd guide wire insertion (43248) |
— |
$8,624.76 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$40,637.78 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$54,448.68 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$54,448.68 |
— |
| Egd lesion ablation (43270) |
— |
$45,127.85 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$54,448.68 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$40,637.78 |
— |
| Egd place gastrostomy tube (43246) |
— |
$31,246.43 |
— |
| Egd remove lesion snare (43251) |
— |
$15,744.59 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$54,448.68 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$54,448.68 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$40,637.78 |
— |
| Egd Varices Ligation (43244) |
— |
$10,470.26 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$40,637.78 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$40,637.78 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$72,625.94 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$72,625.94 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$72,625.94 |
— |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
— |
$119,060.73 |
— |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
— |
$162,310.36 |
— |
| Endoscopic us exam esoph (43237) |
— |
$40,637.78 |
— |
| Endoscopy of ureter (50953) |
— |
$52,945.85 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$58,394.66 |
— |
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines |
— |
$20,657.08–$23,768.45 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$58,625.49 |
— |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
— |
$67,385.39 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$23,545.77 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
— |
$51,886.61 |
— |
| Ercp duct stent placement (43274) |
— |
$51,609.47 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$24,883.98 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$66,842.44 |
— |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
— |
$46,497.76 |
— |
| Ercp remove forgn body duct (43275) |
— |
$51,886.61 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$66,842.44 |
— |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
— |
$66,842.44 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$50,588.40 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$58,394.66 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$13,103.63 |
— |
| Esophagosc Dilate Balloon 30 (43214) |
— |
$45,652.37 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$58,394.66 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$58,394.66 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$50,900.55 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$50,900.55 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$58,394.66 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$34,474.06 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$58,394.66 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$58,394.66 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$34,474.06 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$45,652.37 |
— |
| Esophagoscopy rig transoral removal foreign body (43194) |
— |
$48,371.45 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$58,394.66 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$58,394.66 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$34,474.06 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$48,371.45 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$34,474.06 |
— |
| Evacuate mole of uterus (59870) |
— |
$28,927.37 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$41,216.98 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$121,451 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$23,740.29 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$23,179.46 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$43,938.46 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$44,567.91 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$16,965.21 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$19,455.80 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$41,216.98 |
— |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
— |
$18,179.89 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$15,855.05 |
— |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
— |
$21,543.24 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$94,481.12 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$20,275.76 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$19,363.10 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$41,216.98 |
— |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines |
— |
$16,352.89–$20,553.98 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$33,123.18 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$33,123.18 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$33,062.29 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$4,428.16 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$44,926.92 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$44,926.92 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$44,567.91 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$14,687.72 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$16,075.64 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$68,436.95 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$13,438.22 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$43,938.46 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$209,740.08 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$209,740.08 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$18,239.13 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$26,902.34 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$215,551.02 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$44,926.92 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$18,304.56 |
— |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
— |
$75,686.39 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$75,686.39 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$24,007.43 |
— |
| Excise breast duct fistula (19112) |
— |
$84,277.80 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$70,468.41 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$14,248.48 |
— |
| Excision inferior turbinate partial/complete (30130) |
— |
$27,641.27 |
— |
| Excision lesion meniscus/capsule knee (27347) |
— |
$125,847.90 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$25,127.44 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$70,468.41 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$70,468.41 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$70,468.41 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$25,127.44 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$25,127.44 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$33,123.18 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$17,777.91 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$21,037.27 |
— |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
— |
$23,545.77 |
— |
| Excision of extraparenchymal lesion of testis (54512) |
— |
$76,826.95 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$22,282.87 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$17,406.05 |
— |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
— |
$94,481.12 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$14,722.17 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$75,686.39 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$75,686.39 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$24,626.66 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$41,970.63 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$76,826.95 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$22,464.34 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$31,174.48 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$31,174.48 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$43,938.46 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$44,926.92 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$121,451 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$18,399.72 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$13,828.44 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$15,976.65 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
— |
$212,645.55 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$43,938.46 |
— |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
— |
$82,455.53 |
— |
| Exploration of knee joint (27310) |
— |
$74,985.19 |
— |
| Explore/Treat Elbow Joint (24101) |
— |
$29,048.69 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$74,985.19 |
— |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
— |
$209,740.08 |
— |
| Fascia lata graft; by stripper Facility (20920) |
— |
$209,740.08 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$31,174.48 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$22,481.02 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$31,174.48 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$16,105.64 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$4,509.15 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
— |
$75,686.39 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$41,970.63 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$44,567.91 |
— |
Fusion Finger Joint (26860)
range across 2 matching MRF lines |
— |
$26,372.82–$27,413.32 |
— |
| Fusion of foot bones (28740) |
— |
$106,736.39 |
— |
| Grafting of autologous soft tiss by direct exc (15769) |
— |
$20,953.68 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$79,727.97 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$18,244.24 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$18,477.52 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$21,202.96 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$24,325.04 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$27,936.22 |
— |
| I&d abscess simple (10060) |
— |
$8,259.95 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$58,394.66 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$172,685.66 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$15,576.82 |
— |
Implant neuroelectrodes (63650)
range across 2 matching MRF lines |
— |
$28,521.56–$64,836.16 |
— |
| Implant Neuroelectrodes (64561) |
— |
$33,919.27 |
— |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
— |
$47,627.11 |
— |
| Incise finger tendon sheath (26055) |
— |
$11,189.02 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$16,681.91 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$76,302.96 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$15,877.24 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$17,776.24 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$21,354.08 |
— |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines |
— |
$6,888.44–$10,074.75 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$1,724.67 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$70,528.73 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$10,354.25 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$70,528.73 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$70,528.73 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$70,528.73 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$70,528.73 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$70,528.73 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$70,528.73 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$70,528.73 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$70,528.73 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$4,671.26 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$55,779.23 |
— |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines |
— |
$7,521.59–$9,821.20 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$38,866.03 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$64,481.81 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$10,174.57 |
— |
| Injx Anterior Chamber Eye Medication Spx (66030) |
— |
$10,321.98 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$132,287.79 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$126,024.16 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$50,392.05 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$142,509.40 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$30,523.72 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$65,915.85 |
— |
| Insert cath pleura w/ image (32557) |
— |
$61,593.45 |
— |
| Insert cath pleura w/o image (32556) |
— |
$61,593.45 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$35,493.65 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$104,821.78 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$94,749.79 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$55,093.74 |
— |
| Insert pulse gen dual leads (33213) |
— |
$96,202.37 |
— |
| Insert spine infusion device (62360) |
— |
$166,044.43 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$65,915.85 |
— |
| Insert tunneled cv cath (36561) |
— |
$21,597.13 |
— |
| Insert tunneled cv cath (36563) |
— |
$92,343.28 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$134,294.51 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$18,895.31 |
— |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
— |
$73,165.39 |
— |
| Insertion of Thomas shunt (separate procedure) Facility (36835) |
— |
$73,165.39 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$55,093.74 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$34,369.99 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$30,523.72 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$50,392.05 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$55,093.74 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$18,956.11 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$110,569.09 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$3,757.19 |
— |
| Insj Stablj Dev W/Dcmprn (22867) |
— |
$120,187.49 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$92,343.28 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$139,419.22 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$139,419.22 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$21,198.49 |
— |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
— |
$51,596.09 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$281,350.22 |
— |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
— |
$35,587.56 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$30,523.72 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$30,523.72 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$76,760.03 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$180,197.02 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$180,197.02 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$180,197.02 |
— |
| Intro cath dialysis circuit (36901) |
— |
$15,746.02 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$42,566.36 |
— |
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 3 matching MRF lines |
— |
$31,228.31–$48,212.75 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$20,166.55 |
— |
| Kidney endoscopy (50553) |
— |
$52,945.85 |
— |
| Kidney endoscopy (50551) |
— |
$52,945.85 |
— |
Lam facetec & foramot lumbar (63047)
range across 2 matching MRF lines |
— |
$40,742.77–$40,936.94 |
— |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
— |
$43,177.27 |
— |
| Lap insert tunnel ip cath (49324) |
— |
$29,442.11 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$92,950.39 |
— |
| Lap paraesophag hern repair (43281) |
— |
$39,626.61 |
— |
| Lap replace gastr adj device (43773) |
— |
$40,637.78 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$40,087.77 |
— |
| Laparoscopy aspiration (49322) |
— |
$42,878.83 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$27,597.53 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$40,637.78 |
— |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 3 matching MRF lines |
— |
$29,321.18–$32,547.75 |
— |
| Laparoscopy surgical orchiectomy (54690) |
— |
$127,537.49 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$40,333.30 |
— |
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines |
— |
$25,491.27–$32,134.57 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$39,893.97 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$37,826.14 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$40,637.78 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$40,637.78 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$43,042.09 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$40,372.90 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$30,080.29 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$62,973.48 |
— |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651)
range across 2 matching MRF lines |
— |
$41,044.79–$49,637.51 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$27,445.18 |
— |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines |
— |
$31,909.78–$49,659.66 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$40,637.78 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$75,684.37 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$46,112.90 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$99,007.81 |
— |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$99,007.81 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$99,007.81 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$39,362.89 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$99,007.81 |
— |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$39,362.89 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$65,880.04 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$99,007.81 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$65,880.04 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$99,007.81 |
— |
| Laser vaporization of prostate (52648) |
— |
$22,773.26 |
— |
| Late closure of wound (13160) |
— |
$189,826.99 |
— |
| Lateral Canthopexy (21282) |
— |
$29,940.56 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$28,524.67 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$18,311.21 |
— |
Low Back Disk Surgery (63030)
range across 3 matching MRF lines |
— |
$37,401.15–$41,679.82 |
— |
| Lumbar spine fusion combined (22633) |
— |
$120,079.41 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$13,401.33 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$15,198.99 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$84,277.80 |
— |
| Mastectomy partial (19301) |
— |
$41,555.92 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$84,277.80 |
— |
Mastectomy simple complete (19303)
range across 2 matching MRF lines |
— |
$24,129.11–$101,690.45 |
— |
Mastopexy (19316)
range across 2 matching MRF lines |
— |
$36,484.39–$51,596.09 |
— |
| Maternity Care Procedure (59899) |
— |
$35,488.31 |
— |
| Mediastinoscpy w/lmph nod bx (39402) |
— |
$82,923.69 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$33,123.18 |
— |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
— |
$25,013.75 |
— |
Muscle-skin graft trunk (15734)
range across 3 matching MRF lines |
— |
$41,148.85–$77,578.97 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$10,245.95 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$10,174.57 |
— |
| N block inj intercost sng (64420) |
— |
$70,528.73 |
— |
| N Block Inj Paracervical (64435) |
— |
$70,528.73 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$70,528.73 |
— |
| N Block Inj Pudendal (64430) |
— |
$14,382.97 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$9,065.58 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$29,363.10 |
— |
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 2 matching MRF lines |
— |
$24,182.05–$30,308.04 |
— |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 2 matching MRF lines |
— |
$24,182.05–$31,742.68 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$29,541.42 |
— |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
— |
$20,601.05 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$27,537.35 |
— |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 2 matching MRF lines |
— |
$24,182.05–$30,862.17 |
— |
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 2 matching MRF lines |
— |
$24,182.05–$31,860.88 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$58,394.66 |
— |
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines |
— |
$13,760.34–$20,939.61 |
— |
| Neck spine disk surgery (63020) |
— |
$64,259.78 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$9,102.43 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$17,837.36 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,119.96 |
— |
| Nipple Exploration (19110) |
— |
$84,277.80 |
— |
| Nipple/areola reconstruction (19350) |
— |
$25,958.06 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$70,528.73 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$117,871.65 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$117,871.65 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
— |
$10,124.81–$10,349.35 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$9,106.49 |
— |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 4 matching MRF lines |
— |
$9,576.65–$10,089.37 |
— |
| Occipital Nerve Block (64405) |
— |
$9,030.03 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$19,374.63 |
— |
| Open Implantation Nea Sacral Nerve (64581) |
— |
$48,642.66 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$55,988.54 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$47,870.96 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$84,789.92 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$110,171.01 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$82,143.20 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$59,971.14 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$43,112.66 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$88,532.74 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$59,408.83 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$82,143.20 |
— |
| Open treatment of mandibular condylar fracture Facility (21465) |
— |
$34,441.25 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$55,988.54 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$55,988.54 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$88,532.74 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$88,532.74 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$81,483.62 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$81,483.62 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$59,971.14 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$63,575.20 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$63,575.20 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$59,408.83 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$37,763.12 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$22,850.08 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$27,688.98 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$110,171.01 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$110,171.01 |
— |
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 2 matching MRF lines |
— |
$25,753.12–$34,699.15 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$31,057.52 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$28,668.37 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$43,020.45 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$110,171.01 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines |
— |
$41,534.69–$80,622.32 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$65,402.23 |
— |
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines |
— |
$126,024.16–$132,287.79 |
— |
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines |
— |
$100,097.47–$106,202.34 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$48,401.87 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$38,539.89 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$82,143.20 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$110,171.01 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$84,789.92 |
— |
| Orchiectomy partial (54522) |
— |
$127,537.49 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$127,537.49 |
— |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
— |
$127,537.49 |
— |
| Ostectomy calcaneus (28118) |
— |
$75,686.39 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$14,517.95 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$82,143.20 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$23,866.95 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$34,948.25 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$46,669.33 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$20,959.75 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$88,532.74 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$67,385.39 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$70,965.52 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$27,707.02 |
— |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
— |
$41,317.09 |
— |
| Part remv talus or calcaneus (28120) |
— |
$75,686.39 |
— |
| Partial removal of thyroid (60220) |
— |
$27,612.93 |
— |
| Partial thyroid excision (60212) |
— |
$27,612.93 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$27,612.93 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$100,375.34 |
— |
Peri-Implant Capsulectomy Breast Complete (19371)
range across 2 matching MRF lines |
— |
$30,714.78–$33,599.59 |
— |
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines |
— |
$18,130.27–$31,072.68 |
— |
| Perq device breast 1st imag (19281) |
— |
$47,131.33 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$52,945.85 |
— |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
— |
$72,255.89 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$111,736.69 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$111,736.69 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$39,228.73 |
— |
| Plastic Repair Introitus (56800) |
— |
$23,545.77 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$27,337.14 |
— |
| Prim art mech thrombectomy (37184) |
— |
$104,906.56 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$59,702.70 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$59,702.70 |
— |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
— |
$67,385.39 |
— |
| Prostatic microwave thermotx (53850) |
— |
$83,472.77 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$69,247.39 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$72,366.32 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$17,525.17 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$2,417.18 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$9,621.91 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$6,492.74 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$51,072.52 |
— |
| Pvb thoracic cont infusion (64463) |
— |
$70,528.73 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$70,528.73 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$209,740.08 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$121,451 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$31,174.48 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$31,174.48 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
— |
$43,938.46 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
— |
$75,686.39 |
— |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
— |
$32,700.83 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$75,686.39 |
— |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
— |
$21,601.45 |
— |
| Realignment of knee (27455) |
— |
$84,789.92 |
— |
| Reinforce hip bones (27187) |
— |
$67,385.39 |
— |
| Relieve Pressure on Nerve(S) (64722) |
— |
$35,265.18 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$32,439.64 |
— |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
— |
$59,353.28 |
— |
| Removal Implant Deep (20680) |
— |
$18,529.17 |
— |
| Removal of adenoids (42831) |
— |
$22,266.91 |
— |
| Removal of bladder cyst (51500) |
— |
$121,451 |
— |
| Removal of foot joint lining (28072) |
— |
$202,486.86 |
— |
| Removal of heel spur (28119) |
— |
$75,686.39 |
— |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
— |
$72,750.29 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$170,368.72 |
— |
| Removal of kidney stone (50081) |
— |
$72,255.89 |
— |
| Removal of knee prosthesis (27488) |
— |
$79,702.33 |
— |
| Removal of nail bed (11750) |
— |
$54,784.54 |
— |
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines |
— |
$24,122.07–$30,489.09 |
— |
| Removal of testis (54520) |
— |
$127,537.49 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$68,592.06 |
— |
| Removal ppm generator only (33233) |
— |
$104,821.78 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$16,835.61 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$5,546.77 |
— |
| Remove cranial cavity fluid (61000) |
— |
$189,516.40 |
— |
| Remove drug implant device (11982) |
— |
$42,580.03 |
— |
| Remove Elbow Joint Lining (24102) |
— |
$29,048.69 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$46,911.27 |
— |
| Remove Intrauterine Device (58301) |
— |
$14,987.09 |
— |
| Remove knee joint lining (27334) |
— |
$125,847.90 |
— |
| Remove Pulse Generator (33241) |
— |
$104,821.78 |
— |
| Remove self-contd penis pros (54415) |
— |
$28,830.45 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$17,837.36 |
— |
Remove tissue expander (11971)
range across 2 matching MRF lines |
— |
$20,248.34–$36,484.39 |
— |
| Remove&replace pm gen singl (33227) |
— |
$104,821.78 |
— |
| Remove/graft foot lesion (28102) |
— |
$75,686.39 |
— |
| Remove/graft foot lesion (28107) |
— |
$75,686.39 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$189,654.19 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$243,277.02 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$142,509.40 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$66,283.69 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$88,548.99 |
— |
| Renal Biopsy Perq (50200) |
— |
$7,566.37 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
— |
$42,712.07 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$52,945.85 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) |
— |
$48,328.13 |
— |
| Renal ndsc nephros/pyelostomy rmvl fb/calculus (50561) |
— |
$48,328.13 |
— |
| Reopen fallopian tube (58350) |
— |
$25,881.26 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$209,488.41 |
— |
| Repair blood vessel lesion (35190) |
— |
$106,490.58 |
— |
| Repair blood vessel lesion (35236) |
— |
$209,488.41 |
— |
| Repair brow ptosis (67900) |
— |
$28,319.17 |
— |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
— |
$26,900.36 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$189,826.99 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$32,842.68 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$31,662.36 |
— |
| Repair Hallux Rigidus (28289) |
— |
$18,369.80 |
— |
| Repair incomplete circumcision (54163) |
— |
$6,247.48 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$50,074.46 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$49,131.09 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$49,131.09 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$50,074.46 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$50,074.46 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$22,418.96 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$189,826.99 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$14,687.72 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$19,248.67 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$189,826.99 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$189,826.99 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$189,826.99 |
— |
| Repair Leg Fascia Defect (27656) |
— |
$189,826.99 |
— |
| Repair Non/Malunion Humerus W/O Graft (24430) |
— |
$61,523.76 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$110,171.01 |
— |
| Repair of biceps tendon (24340) |
— |
$24,686.17 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$59,408.83 |
— |
| Repair of nail bed (11760) |
— |
$17,037.60 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$55,988.54 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$55,988.54 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$110,171.01 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$110,171.01 |
— |
| Repair paravag defect vag (57285) |
— |
$23,545.77 |
— |
| Repair radius & ulna (25415) |
— |
$55,988.54 |
— |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
— |
$49,131.09 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$50,074.46 |
— |
| Repair webbed toe(s) (28345) |
— |
$31,174.48 |
— |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
— |
$106,490.58 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$50,074.46 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$50,074.46 |
— |
| Repair/graft achilles tendon (27652) |
— |
$55,070.73 |
— |
| Replace elbow joint (24363) |
— |
$65,402.23 |
— |
| Replace g/c tube perc (49450) |
— |
$1,760.52 |
— |
| Replacement Tissue Expander W/Permanent Implant (11970) |
— |
$37,040.30 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$65,402.23 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$50,074.46 |
— |
| Resect back tum < 5 cm (21935) |
— |
$121,451 |
— |
| Resect forarm/wrist tum 3cm> (25078) |
— |
$43,938.46 |
— |
| Resect Shoulder Tumor 5 Cm/> (23078) |
— |
$25,013.75 |
— |
| Resection of elbow joint (arthrectomy) Facility (24155) |
— |
$29,048.69 |
— |
| Revis reconst shoulder joint (23473) |
— |
$32,371.48 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$15,855.05 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$18,274.54 |
— |
| Revision of foot bones (28737) |
— |
$106,736.39 |
— |
| Revision of reconstructed breast (19380) |
— |
$37,040.30 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$82,103.59 |
— |
| Revision Peri-Implant Capsule Breast (19370) |
— |
$51,596.09 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$76,139.02 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$84,419.47 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$84,419.47 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$9,559.56 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$104,821.78 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$68,592.06 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$15,763.45 |
— |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 2 matching MRF lines |
— |
$6,320.15–$26,738.12 |
— |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
— |
$228,012.12 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$166,044.43 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$22,511.82 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$45,607.61 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$39,793.66 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$53,498.84 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$32,837.44 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$34,343.81 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$36,954.74 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$80,741.12 |
— |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
— |
$29,087.79 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$31,810.53 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$50,074.46 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$50,074.46 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$50,074.46 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$110,171.01 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$22,266.91 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$33,123.18 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$33,123.18 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$33,123.18 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$33,123.18 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$59,702.70 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$59,702.70 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$87,671.38 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$31,810.53 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$31,810.53 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$31,810.53 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$31,810.53 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$33,123.18 |
— |
| Skin Pinch Graft (15050) |
— |
$33,123.18 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$118,503.69 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$118,503.69 |
— |
| Skin Tissue Procedure (17999) |
— |
$36,838.62 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$29,319.43 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$27,090.90 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$4,078.33 |
— |
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100)
range across 2 matching MRF lines |
— |
$23,890.01–$32,361.10 |
— |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
— |
$2,199.59–$2,272.32 |
— |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
— |
$189,516.40 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$22,266.91 |
— |
| Suction Lipectomy Lwr Extrem (15879) |
— |
$36,838.62 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$30,404.59 |
— |
| Talectomy (astragalectomy) Facility (28130) |
— |
$75,686.39 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$39,778.64 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$71,519.06 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$49,811.98 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$543,688.33 |
— |
| Therapeutic plasma exchange (36514) |
— |
$543,688.33 |
— |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
— |
$82,455.53 |
— |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
— |
$82,455.53 |
— |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
— |
$78,461.89 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$70,877.28 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$100,375.34 |
— |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
— |
$209,488.41 |
— |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
— |
$108,094.54 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$100,375.34 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$22,193.10 |
— |
Tissue Expander Placement Breast Reconstruction (19357)
range across 3 matching MRF lines |
— |
$28,861.11–$101,690.45 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$29,048.69 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$29,048.69 |
— |
| Tooth extraction (41899) |
— |
$14,235.94 |
— |
| Total Knee Arthroplasty (27447) |
— |
$66,394.09 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$88,182.14 |
— |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
— |
$83,472.77 |
— |
| Transur electr resection of prostate (52601) |
— |
$24,388.38 |
— |
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines |
— |
$25,044.20–$37,882.71 |
— |
| Treat Elbow Fracture (24635) |
— |
$55,988.54 |
— |
| Treat elbow fracture (24587) |
— |
$55,988.54 |
— |
| Treat fracture radius/ulna (25575) |
— |
$38,532.77 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$48,401.87 |
— |
| Treat knee fracture (27532) |
— |
$56,989.62 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$56,989.62 |
— |
| Treat kneecap dislocation (27566) |
— |
$33,027.98 |
— |
| Treat lower leg dislocation (27832) |
— |
$84,789.92 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$82,143.20 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$67,385.39 |
— |
| Treatment of tibia fracture (27756) |
— |
$71,043.43 |
— |
| Trim skin lesion (11055) |
— |
$2,277.48 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$33,123.18 |
— |
| Trim skin lesions over 4 (11057) |
— |
$33,123.18 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$54,784.54 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$83,810.24 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$83,472.77 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$29,363.10 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$24,093.44 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$82,143.20 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$16,968.82 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$28,927.37 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$31,810.53 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$10,160.05 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$149,658.18 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$24,966.47 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$28,143.35 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$44,401.11 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$38,226.56 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$37,774.14 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$75,127.88 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$90,663.17 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$38,420.65 |
— |
| Unlisted laparoscopy procedure, uterus (58578) |
— |
$45,343.98 |
— |
| Unlisted procedure anus (46999) |
— |
$11,387.30 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$53,986.54 |
— |
Unlisted procedure eyelids (67999)
range across 2 matching MRF lines |
— |
$25,749.44–$29,779.74 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$123,811.89 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$179,465.64 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$111,444.47 |
— |
| Unlisted procedure liver (47399) |
— |
$24,966.47 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$83,472.77 |
— |
| Unlisted procedure nervous system (64999) |
— |
$70,528.73 |
— |
| Unlisted procedure pancreas (48999) |
— |
$68,033.71 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$400,125.77 |
— |
| Unlisted procedure spine (22899) |
— |
$107,200.81 |
— |
| Unlisted procedure stomach (43999) |
— |
$1,573.26 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$81,914.32 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$126,024.16 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$46,100.92 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$29,204.64 |
— |
| Unlisted vascular endoscopy procedure (37501) |
— |
$87,108.70 |
— |
| Upgrade of pacemaker system (33214) |
— |
$96,202.37 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
— |
$46,911.27 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$52,945.85 |
— |
| Vag hyst complex (58290) |
— |
$23,545.77 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$24,966.47 |
— |
| Vaginal delivery only (59409) |
— |
$24,928.53 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$139,947.59 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$139,947.59 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$139,947.59 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$83,810.24 |
— |
| Vulvectomy simple partial (56620) |
— |
$17,735.67 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$69,775.97 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$20,154.28 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$100,375.34 |
— |