| Abd paracentesis w/imaging (49083) |
— |
$7,643.58 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$40,534.01 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$30,327.89 |
— |
Ablate inf turbinate submuc (30802)
range across 2 matching MRF lines |
— |
$26,861.90–$31,126.77 |
— |
Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801)
range across 2 matching MRF lines |
— |
$26,291.59–$26,291.60 |
— |
| Abrasion single lesion (15786) |
— |
$45,187.39 |
— |
| Acne surgery (10040) |
— |
$54,007.13 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$21,939.04 |
— |
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines |
— |
$23,605.10–$27,323.34 |
— |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
— |
$23,404.70 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$21,175.24 |
— |
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020)
range across 2 matching MRF lines |
— |
$17,198.30–$45,640.88 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$23,612.77 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$56,414.07 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$18,945.90 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$16,013.24 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$118,257.71 |
— |
| Amputation follow-up surgery (27594) |
— |
$15,844.16 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$112,204.33 |
— |
| Amputation foot transmetarsal (28805) |
— |
$112,204.33 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$20,348.79 |
— |
| Amputation thigh through femur any level (27590) |
— |
$118,257.71 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$19,620.71 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$19,005.06 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$118,573.25 |
— |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
— |
$30,467.83 |
— |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
— |
$30,467.83 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$100,614.03 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$100,614.03 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$100,614.03 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$100,614.03 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$100,614.03 |
— |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
— |
$118,257.71 |
— |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
— |
$118,257.71 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$80,803.78 |
— |
| Ankle disarticulation (27889) |
— |
$214,107 |
— |
| Anorectal myomectomy (45108) |
— |
$96,732.47 |
— |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
— |
$64,604.81 |
— |
| Anoscopy Control Bleeding (46614) |
— |
$18,890.17 |
— |
| Anoscopy diagnostic (46600) |
— |
$49,602 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$64,604.81 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$64,604.81 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$12,615.20 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$27,533.58 |
— |
| Appendectomy (44950) |
— |
$92,868.15 |
— |
| Application Long Leg Splint (29505) |
— |
$30,616.15 |
— |
| Application multiplane external fixation system (20692) |
— |
$38,031.03 |
— |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
— |
$101,877.14 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$5,315.68 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$37,862.20 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$37,862.20 |
— |
| Application uniplane external fixation system (20690) |
— |
$94,783.69 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$2,041 |
— |
| Arterial puncture (36600) |
— |
$778.87 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$42,281.80 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
— |
$26,195.51 |
— |
| Artery-vein autograft (36825) |
— |
$107,218.83 |
— |
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551)
range across 3 matching MRF lines |
— |
$56,483.73–$69,350.03 |
— |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554)
range across 2 matching MRF lines |
— |
$42,409.12–$55,596.86 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$67,021.65 |
— |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
— |
$106,736.39 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
— |
$3,361.20–$9,633.10 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$8,165.10 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$5,182.42 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$12,677.62 |
— |
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines |
— |
$37,332.29–$44,892.18 |
— |
| Arthrodesis Pantalar (28705) |
— |
$106,736.39 |
— |
| Arthrodesis Posterior Interbody Lumbar (22630) |
— |
$93,015.08 |
— |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
— |
$88,235.36 |
— |
| Arthrodesis subtalar (28725) |
— |
$51,629.78 |
— |
| Arthrodesis triple (28715) |
— |
$106,736.39 |
— |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
— |
$40,613.41 |
— |
| Arthrodesis, lateral extracavitary technique, including minimal discectomy to prepare interspace (other than for… (22533) |
— |
$105,229.11 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 13 or more vertebral segments Facility (22804) |
— |
$105,229.11 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; 7 to 12 vertebral segments Facility (22802) |
— |
$105,229.11 |
— |
| Arthrodesis, posterior, for spinal deformity, with or without cast; up to 6 vertebral segments Facility (22800) |
— |
$108,167.10 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
— |
$47,828.34 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$59,852.18 |
— |
Arthroplasty interphalangeal joint each (26535)
range across 2 matching MRF lines |
— |
$21,155.64–$31,876.87 |
— |
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 3 matching MRF lines |
— |
$18,690.28–$25,802.02 |
— |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) |
— |
$92,327.73 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$158,366.21 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$42,943.84 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$42,166.64 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$42,943.84 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$21,345.48 |
— |
Arthroscopy shoulder distal claviculectomy (29824)
range across 3 matching MRF lines |
— |
$21,707.69–$36,792.77 |
— |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 2 matching MRF lines |
— |
$35,971.87–$42,185.90 |
— |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
— |
$21,226.82 |
— |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
— |
$53,076.05 |
— |
Arthroscopy, knee, surgical; with lateral release (29873)
range across 3 matching MRF lines |
— |
$31,672.16–$50,613.72 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$46,256.72 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines |
— |
$27,266.81–$32,465.04 |
— |
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 2 matching MRF lines |
— |
$31,144.42–$35,987.47 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines |
— |
$22,603.05–$37,474.59 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$68,494.86 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
— |
$36,703.10–$41,623.02 |
— |
Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846)
range across 2 matching MRF lines |
— |
$20,322.64–$32,152.04 |
— |
| Arthrotomy W/Biopsy Hip Joint (27052) |
— |
$68,923.74 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
— |
$91,547.57 |
— |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
— |
$129,624.90 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$158,366.21 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$64,162.33 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$63,212.41 |
— |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
— |
$21,686.06 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines |
— |
$43,871.88–$51,482.68 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$20,372.42 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$21,345.48 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$39,011.85 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$158,366.21 |
— |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
— |
$158,366.21 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$42,993.47 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$6,205.70 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$72,742.38 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$64,069.06 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$4,637.25 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$18,583.69 |
— |
| Av fistula revision (36833) |
— |
$53,530.28 |
— |
| Av Fistula Revision Open (36832) |
— |
$48,579.37 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$37,191.19 |
— |
| Av fusion/forearm vein (36820) |
— |
$107,218.83 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$11,689.74–$14,351.30 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$59,936.07 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$65,369.18 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$65,369.18 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$14,215.12 |
— |
| Biopsy bone open superficial (20240) |
— |
$13,456.03 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$13,444.91 |
— |
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines |
— |
$7,515.19–$10,897.51 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$130,714.05 |
— |
Biopsy of breast; open, incisional (19101)
range across 2 matching MRF lines |
— |
$17,373.17–$22,178.31 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$87,611.91 |
— |
| Biopsy of lip (40490) |
— |
$18,807.27 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$11,360.71 |
— |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
— |
$46,998.01 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$48,740.17 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$13,335.68 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$14,037.07 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$130,714.05 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$130,714.05 |
— |
Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065)
range across 2 matching MRF lines |
— |
$9,389.83–$9,631.89 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$28,707.53 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$48,152.53 |
— |
| Bladder Irrigation (51700) |
— |
$78,140.99 |
— |
Blepharoplasty upper eyelid (15822)
range across 2 matching MRF lines |
— |
$21,254.77–$29,682.57 |
— |
Blepharoplasty Upper Eyelid W/Excessive Skin (15823)
range across 2 matching MRF lines |
— |
$21,755.67–$22,819.68 |
— |
| Blood Transfusion Service (36430) |
— |
$1,553.71 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$75,439.83 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$90,504.67 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$70,566.08 |
— |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
— |
$60,402.53 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
— |
$82,762.35 |
— |
| Bone Marrow Biopsy (38221) |
— |
$14,710.15 |
— |
Breast augmentation with implant (19325)
range across 3 matching MRF lines |
— |
$37,781.72–$61,563.03 |
— |
| Breast Reduction (19318) |
— |
$46,488.86 |
— |
Brnchsc Brushing/Protected Brushings (31623)
range across 2 matching MRF lines |
— |
$46,140.39–$47,442.57 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$38,120.19 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$32,605.03 |
— |
| Brnchsc Removal Bronchial Valve Initial (31648) |
— |
$23,626.36 |
— |
| Bronchoscopy Clear Airways (31645) |
— |
$28,472.24 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$44,782.76 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$30,537.27 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$46,986.99 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$28,644.18 |
— |
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines |
— |
$9,883.41–$9,893.94 |
— |
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines |
— |
$9,741.14–$10,314.58 |
— |
| Bx Cervix (57500) |
— |
$17,619.66 |
— |
| Bx prostate strtctc saturation sampling img gid (55706) |
— |
$53,106.22 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$43,735.92 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$35,792.12 |
— |
| Canthoplasty (67950) |
— |
$21,395.89 |
— |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
— |
$269,053.35 |
— |
| Capsulotomy Posterior Capsular Release Knee (27435) |
— |
$41,636.59 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$24,341.49 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$112,304.28 |
— |
Cataract surgery complex (66982)
range across 3 matching MRF lines |
— |
$11,084.91–$11,395.03 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$13,081.47 |
— |
| Cerv artific diskectomy (22856) |
— |
$52,708.27 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$112,217.65 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$15,632.74 |
— |
| Change of Windpipe Airway (31502) |
— |
$9,558.32 |
— |
| Chemical Cautery Tissue (17250) |
— |
$2,043.39 |
— |
| Chest tube placement (32551) |
— |
$94,882.75 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$15,796.92 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$55,375.45 |
— |
| Circumcision 28 days or older (54161) |
— |
$16,088.53 |
— |
| Circumcision Neonate (54160) |
— |
$7,551.53 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$3,366.23 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$20,272.25 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$14,681.63 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$23,228.64 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$37,862.20 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$71,043.43 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$27,061.20 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$12,529.20 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$30,616.15 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines |
— |
$10,143.47–$14,880.49 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$28,061.80 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$37,862.20 |
— |
| Closure Gastrostomy Surg (43870) |
— |
$15,787.96 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$14,123.37 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$42,963.83 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$28,061.80 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
— |
$12,939.07–$13,492.55 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$92,189.86 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$14,862.46 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$23,228.64 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$23,228.64 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$28,061.80 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$14,109.03 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$15,186.36 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$23,228.64 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$42,963.83 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$42,963.83 |
— |
| 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) |
— |
$48,577.11 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$48,577.11 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$49,602 |
— |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
— |
$37,569.25 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$13,995.21 |
— |
| Colonoscopy thru stoma (44388) |
— |
$49,602 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$16,170.77 |
— |
| Colonoscopy w/ablation (45388) |
— |
$15,999.67 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$32,724.08 |
— |
| Colonoscopy W/Resection (45390) |
— |
$48,577.11 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$16,557.63 |
— |
| Colpocleisis (le fort type) (57120) |
— |
$32,838.91 |
— |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
— |
$21,412.20 |
— |
| Colpopexy extraperitoneal (57282) |
— |
$33,099.39 |
— |
| Colporrhaphy (57200) |
— |
$28,682.98 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$21,197.61 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$18,281.21 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$23,188.72 |
— |
| Colpotomy; with drainage of pelvic abscess (57010) |
— |
$38,549.03 |
— |
| Colpotomy; with exploration (57000) |
— |
$22,858.18 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$19,340.53 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$12,680.57 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$15,273.40 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$27,993.17 |
— |
| Complex drainage wound (10180) |
— |
$48,350.57 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$18,697.37 |
— |
| Conization of cervix (57520) |
— |
$20,720.66 |
— |
| Control nose/throat bleeding (42972) |
— |
$16,861 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$16,861 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$85,763.83 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines |
— |
$10,748.76–$11,640.68 |
— |
| Correction hammertoe (28285) |
— |
$25,992.64 |
— |
| Correction of inverted nipples (19355) |
— |
$21,472.43 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$28,992.54 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$34,159.35 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$26,970.40 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$32,959.75 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$17,896.27 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$43,572.86 |
— |
| Costovertebral Dcmprn Spinal Cord Thoracic 1 Seg (63064) |
— |
$117,240.95 |
— |
| Create Tear Sac-Nasal Fistula (68720) |
— |
$16,571.68 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$51,066.74 |
— |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
— |
$16,861 |
— |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
— |
$16,861 |
— |
| Curettage postpartum (59160) |
— |
$24,782.46 |
— |
Cysto Bladder W/Ureteral Catheterization (52005)
range across 4 matching MRF lines |
— |
$19,798.33–$31,632.52 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$21,660.91 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$47,171.09 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$21,779.55 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$28,559.59 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$40,522.45 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$29,282.72 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$26,779.96 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$23,893.52 |
— |
| Cysto w/up stricture tx (52342) |
— |
$62,037.88 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$62,037.88 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$24,167.64 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$26,811.71 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$33,485.29 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$25,492.93 |
— |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 2 matching MRF lines |
— |
$22,347.51–$23,617.11 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$27,372.34 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$62,037.88 |
— |
| Cystoscopy and radiotracer (52250) |
— |
$54,680.77 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$14,481.92 |
— |
| Cystouretero W/Congen Repr (52400) |
— |
$74,866.72 |
— |
| Cystouretero w/excise tumor (52355) |
— |
$17,337.72 |
— |
| Cystouretero w/renal strict (52346) |
— |
$62,037.88 |
— |
| Cystourethroscopy (52000) |
— |
$22,064.16 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
— |
$49,626.84 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$61,868.13 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$18,422.31 |
— |
| Cystourethroscopy tx female urethral syndrome (52285) |
— |
$63,031.51 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$31,774.43 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$29,649.91 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$74,156 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$23,804.06 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$23,878.83 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$18,920.39 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$62,037.88 |
— |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
— |
$74,156 |
— |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
— |
$65,141.93 |
— |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
— |
$18,363.04 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$70,490.97 |
— |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
— |
$73,491.58 |
— |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
— |
$29,629.18 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$17,320.66 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$41,401.75 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$89,379.76 |
— |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
— |
$86,015.63 |
— |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
— |
$70,433.20 |
— |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
— |
$70,433.20 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$70,433.20 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$7,336.27 |
— |
| Debride nail 1-5 (11720) |
— |
$2,590.50 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$8,266.35 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$5,244.56 |
— |
| Declot vascular device (36593) |
— |
$112,641.38 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$86,015.63 |
— |
| Decompress Fingers/Hand (26035) |
— |
$41,039.61 |
— |
| Decompress Spinal Cord Lmbr (63056) |
— |
$40,497.52 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$86,695.81 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
— |
$86,015.63 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
— |
$86,015.63 |
— |
| Decompression fasciotomy, forearm, with brachial artery exploration Facility (24495) |
— |
$86,015.63 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
— |
$73,931.04 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
— |
$73,931.04 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
— |
$73,931.04 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
— |
$73,931.04 |
— |
Decompression of tibia nerve (28035)
range across 2 matching MRF lines |
— |
$13,884.70–$19,045.42 |
— |
| Decompressive fasciotomy hand (26037) |
— |
$13,522.54 |
— |
| Deep Muscle Biopsy (20205) |
— |
$130,714.05 |
— |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
— |
$19,376.75 |
— |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
— |
$16,593.41 |
— |
| Delivery of placenta (59414) |
— |
$30,038.71 |
— |
| Dermabrasion regional other than face (15782) |
— |
$45,187.39 |
— |
| Dermabrasion superficial any site (15783) |
— |
$45,187.39 |
— |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
— |
$37,493.09 |
— |
Destroy cerv/thor facet jnt (64633)
range across 4 matching MRF lines |
— |
$10,877.23–$12,022.01 |
— |
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines |
— |
$11,359.85–$12,187.24 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$34,876.67 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$21,031.13 |
— |
Destruction neurolytic agt genicular nerve w/img (64624)
range across 3 matching MRF lines |
— |
$9,540.39–$11,190.36 |
— |
| Diagnostic anoscopy (46601) |
— |
$49,602 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$8,531.69 |
— |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
— |
$78,140.99 |
— |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
— |
$78,140.99 |
— |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
— |
$59,338.27 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$61,976.01 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$10,932.20 |
— |
| Dilate Urethra Stricture (53600) |
— |
$59,338.27 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$27,784.51 |
— |
| Dilation And Curettage Of Cervical Stump (57558) |
— |
$63,152.20 |
— |
| Dilation Cervical Canal (57800) |
— |
$29,009.23 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$59,344.83 |
— |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
— |
$59,338.27 |
— |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
— |
$43,109.16 |
— |
| Disarticulation At Knee (27598) |
— |
$72,506.06 |
— |
| Discectomy, anterior, with decompression of spinal cord and/or nerve root(s), including osteophytectomy; cervical,… (63075) |
— |
$67,646.47 |
— |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
— |
$53,444.91 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$22,899.59 |
— |
| Drain chest lesion (21502) |
— |
$40,336.22 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$49,018.77 |
— |
| Drain ovary abscess open (58820) |
— |
$59,895.09 |
— |
| Drain Spinal Cord Cyst (62268) |
— |
$8,703.80 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$89,747.68 |
— |
| Drainage lymph node lesion (38305) |
— |
$86,067.65 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$17,479.87 |
— |
| Drainage of perineal urinary extravasation; complicated Facility (53085) |
— |
$171,546.09 |
— |
| Drainage of perineal urinary extravasation; uncomplicated (separate procedure) Facility (53080) |
— |
$171,546.09 |
— |
| Drainage of rectal abscess (45020) |
— |
$53,039.29 |
— |
| Drainage of rectal abscess (45005) |
— |
$53,039.29 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
— |
$59,895.09 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
— |
$35,507.92 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$225.61 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$14,376.61 |
— |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
— |
$86,067.65 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$38,833.18 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$1,651.70 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$1,132.85 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$23,069.04 |
— |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 3 matching MRF lines |
— |
$11,111.44–$11,940.19 |
— |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
— |
$8,365.98 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$16,163.47 |
— |
Dx Bronchoscope/Lavage (31624)
range across 2 matching MRF lines |
— |
$47,442.57–$47,995.32 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$26,503.98 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$43,699.24 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$3,081 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$55,900.38 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$12,978.52 |
— |
| Egd cautery tumor polyp (43250) |
— |
$15,467.79 |
— |
| Egd control bleeding any (43255) |
— |
$15,791.31 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$19,869.97 |
— |
| Egd endo mucosal resection (43254) |
— |
$50,295.86 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$54,718.59 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$13,254.79 |
— |
| Egd guide wire insertion (43248) |
— |
$10,945 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$50,598.81 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$55,313.82 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$55,594.85 |
— |
| Egd lesion ablation (43270) |
— |
$9,343.02 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$55,313.82 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$50,295.86 |
— |
| Egd place gastrostomy tube (43246) |
— |
$12,646.96 |
— |
| Egd remove lesion snare (43251) |
— |
$15,917.59 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$55,313.82 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$55,594.85 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$50,295.86 |
— |
| Egd Varices Ligation (43244) |
— |
$11,298.04 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$50,295.86 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$50,295.86 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$80,803.78 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$80,803.78 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$33,877.49 |
— |
| Embedded ip cath exit-site (49436) |
— |
$82,045.11 |
— |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
— |
$76,060.27 |
— |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
— |
$130,413.85 |
— |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
— |
$102,037.21 |
— |
| Endocervical curettage (57505) |
— |
$15,731.68 |
— |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
— |
$63,152.20 |
— |
Endoscopic plantar fasciotomy (29893)
range across 3 matching MRF lines |
— |
$11,272.90–$15,863.14 |
— |
| Endoscopic us exam esoph (43237) |
— |
$50,295.86 |
— |
| Endoscopy of ureter (50953) |
— |
$61,868.13 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$8,478.48 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$65,442.91 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$22,747.67 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$22,444.19 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$42,720.44 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$55,613.39 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$47,670.37 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$42,698.96 |
— |
| Epididymectomy unilateral (54860) |
— |
$20,781.72 |
— |
| Epidural Blood Patch (62273) |
— |
$6,610.93 |
— |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
— |
$50,352.91 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$15,701.18 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
— |
$62,617.43 |
— |
| Ercp duct stent placement (43274) |
— |
$38,344.32 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$36,781.91 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$41,187.80 |
— |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
— |
$38,838.25 |
— |
| Ercp remove forgn body duct (43275) |
— |
$32,065.80 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$74,278.45 |
— |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
— |
$74,278.45 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$34,454.27 |
— |
| Ercp,Sphincterotomy (43262) |
— |
$37,400.91 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$91,178.33 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$56,279.38 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$12,142.84 |
— |
| Esophagosc Dilate Balloon 30 (43214) |
— |
$61,352.67 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$56,279.38 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$56,279.38 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$28,475.12 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$59,344.83 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$56,279.38 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$58,460.24 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$7,093.95 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$56,279.38 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$58,305.02 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$61,352.67 |
— |
| Esophagoscopy rig transoral removal foreign body (43194) |
— |
$36,726.23 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$56,279.38 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$56,279.38 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$27,690.81 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$28,475.12 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$58,305.02 |
— |
| Evacuate mole of uterus (59870) |
— |
$32,423.57 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$43,009.37 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$16,067.80 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$14,991.98 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$13,802.18 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$17,361.58 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$16,814.16 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$19,506.63 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$12,872.27 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$19,663.17 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$19,376.75 |
— |
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642)
range across 2 matching MRF lines |
— |
$19,567.30–$24,384.48 |
— |
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644)
range across 2 matching MRF lines |
— |
$22,256.91–$39,304.60 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$18,782.92 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$26,009.45 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$17,607.85 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$16,311.46 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$23,555.74 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$15,727.75 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$27,492.86 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$25,119.08 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$23,075.19 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$20,606.79 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$14,594.94 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$7,120.46 |
— |
| Exc hydrocele sprmatic cord uni spx (55500) |
— |
$18,872.34 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$27,492.86 |
— |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
— |
$18,361 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$27,166.87 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$68,688.25 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$15,467.32 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$18,134.14 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$18,850.25 |
— |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 3 matching MRF lines |
— |
$16,407.19–$19,307.56 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$27,024.53 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$17,318.61 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$21,753.55 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$4,428.16 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$30,712.65 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$80,263.81 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$20,949.06 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$18,415.84 |
— |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404)
range across 2 matching MRF lines |
— |
$16,989.18–$19,161.70 |
— |
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 3 matching MRF lines |
— |
$23,738.87–$27,401.59 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$21,186.98 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$49,778.72 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$16,063.81 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$64,207.69 |
— |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
— |
$32,885.24 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$33,644.87 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$130,524.01 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$130,524.01 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$40,340.33 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$84,826.96 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$84,826.96 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$14,573.12 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$16,613.21 |
— |
Exc tumor soft tissue neck/ant thorax subq <3cm (21555)
range across 2 matching MRF lines |
— |
$15,405.76–$16,747.82 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$82,384.72 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$16,144.89 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$80,263.81 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$18,045.54 |
— |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
— |
$111,830.77 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$19,602.55 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$26,313.40 |
— |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
— |
$6,055.18–$7,032.64 |
— |
| Excis penile plaque (54110) |
— |
$25,925.34 |
— |
| Excise breast duct fistula (19112) |
— |
$55,495.41 |
— |
Excise intraspinal lesion (63267)
range across 3 matching MRF lines |
— |
$30,223.70–$46,863.56 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$23,698.11 |
— |
Excision Chest Wall Tumor Including Ribs (21601)
range across 3 matching MRF lines |
— |
$13,538.80–$16,517.05 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$13,914.50 |
— |
| Excision Facial Bone (21026) |
— |
$15,974.53 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$22,078.43 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$17,903.21 |
— |
| Excision Infected Graft Extremity (35903) |
— |
$141,746.42 |
— |
| Excision lesion meniscus/capsule knee (27347) |
— |
$121,124 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$7,749.55 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$76,514.76 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$18,183.74 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$17,380.94 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$20,905.39 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$13,226.74 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$27,871.12 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$29,342.16 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$37,017.69 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$37,017.69 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$18,364.01 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$22,082.62 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$21,860.27 |
— |
Excision of bartholin's gland or cyst (56740)
range across 2 matching MRF lines |
— |
$18,274.26–$18,576.67 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
— |
$91,178.33 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$61,396.15 |
— |
| Excision of extraparenchymal lesion of testis (54512) |
— |
$76,826.95 |
— |
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 3 matching MRF lines |
— |
$14,783.96–$20,362.67 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$23,172.69 |
— |
Excision of hydrocele; unilateral (55040)
range across 3 matching MRF lines |
— |
$18,067.29–$21,877.28 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$13,478.11 |
— |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
— |
$16,277.32 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$18,138.57 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$19,168.39 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$31,970.14 |
— |
| Excision olecranon bursa (24105) |
— |
$17,998.91 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$111,830.77 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$73,259.59 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$21,944.99 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$22,718.43 |
— |
| Excision prepatellar bursa (27340) |
— |
$30,832.90 |
— |
| Excision Radial Head (24130) |
— |
$20,001.53 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$31,917.22 |
— |
Excision soft tissue lesion, external auditory canal (69145)
range across 2 matching MRF lines |
— |
$20,303.45–$26,199.08 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$28,002.76 |
— |
| Excision synovial cyst popliteal space (27345) |
— |
$51,384.97 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$18,937.93 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$26,270.08 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$13,276.09 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$73,040.23 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$28,337.95 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$23,259.71 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$91,178.33 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$91,178.33 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$21,803.49 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$84,728.74 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$84,728.74 |
— |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
— |
$91,178.33 |
— |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
— |
$91,178.33 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
— |
$91,178.33 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
— |
$91,178.33 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$17,403.41 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$21,967.97 |
— |
| 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) |
— |
$16,889.97 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
— |
$86,695.81 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$15,973.70 |
— |
| Excision/curettage cyst/tumor carpal bones (25130) |
— |
$23,587.42 |
— |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
— |
$23,303.59 |
— |
| Excision/destruction intranasal lesion int appr (30117) |
— |
$23,550.47 |
— |
| Excision/destruction lesion pharynx any method (42808) |
— |
$25,272.76 |
— |
| Excision/surgical planing skin nose rhinophyma (30120) |
— |
$18,437.86 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$16,226.96 |
— |
| Expl Po Hemrrg Thrombosis/Infctj Nck (35800) |
— |
$31,798.70 |
— |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
— |
$99,591.77 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$76,989.80 |
— |
| Exploration maxillary sinus (31020) |
— |
$21,468.71 |
— |
| Exploration of knee joint (27310) |
— |
$114,825.39 |
— |
| Exploration of spinal fusion (22830) |
— |
$28,432.12 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$14,200.21 |
— |
| Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) |
— |
$96,571.16 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$37,225.22 |
— |
| Fasciectomy Palm Only (26121) |
— |
$19,535 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$16,114.21 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$22,481.02 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$41,039.61 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$94,159.28 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$17,401.39 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$33,984.21 |
— |
| Fetal non-stress test (59025) |
— |
$33,984.21 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$12,721.24 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$80,704.22 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$80,704.22 |
— |
| Fixation contralateral testis separate procedure (54620) |
— |
$24,184.69 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$2,185.57 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$80,704.22 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$4,054.49 |
— |
| Forehead flap w/vasc pedicle (15731) |
— |
$17,544.54 |
— |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
— |
$63,383.40 |
— |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
— |
$60,402.53 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
— |
$111,830.77 |
— |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
— |
$21,175.24 |
— |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
— |
$39,128.69 |
— |
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260)
range across 2 matching MRF lines |
— |
$26,199.08–$28,974.02 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$29,580.85 |
— |
Fuse hand bones with graft (25825)
range across 3 matching MRF lines |
— |
$37,878.34–$38,058.77 |
— |
Fusion Finger Joint (26860)
range across 3 matching MRF lines |
— |
$20,292.33–$24,199.64 |
— |
| Fusion of foot bones (28740) |
— |
$37,602.01 |
— |
| Fusion of hand bones (25820) |
— |
$49,818.79 |
— |
| Fusion of knuckle (26850) |
— |
$33,763.35 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$168,279.81 |
— |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
— |
$101,498.92 |
— |
Graft Ear Crtlg Autogenous Nose/Ear (21235)
range across 3 matching MRF lines |
— |
$27,150.55–$38,158.96 |
— |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
— |
$36,908.61 |
— |
| Grafting of autologous soft tiss by direct exc (15769) |
— |
$24,756.11 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$74,148.94 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$21,097.94 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$76,181.82 |
— |
| Hemiepiphyseal Arrest (24470) |
— |
$84,500.36 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$25,741.54 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$22,174.26 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$19,005.21 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
— |
$19,034.35 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$21,661.25 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$23,159.74 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$25,949.66 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$17,182.73 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$18,449.39 |
— |
| I&d abscess simple (10060) |
— |
$13,619.79 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$18,629.42 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$19,280.55 |
— |
| I&D Intramural Im/Absc Transanal Anes (46045) |
— |
$40,453.90 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$53,039.29 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$20,814.20 |
— |
| I&d perianal abscess superficial (46050) |
— |
$22,321.99 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$56,279.38 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$116,075.99 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$45,116.49 |
— |
| Implant neuroelectrodes (63650) |
— |
$26,968.10 |
— |
Implant Neuroelectrodes (64561)
range across 3 matching MRF lines |
— |
$20,656.32–$33,531.58 |
— |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
— |
$41,905.47 |
— |
| Incise external hemorrhoid (46083) |
— |
$23,708.68 |
— |
Incise finger tendon sheath (26055)
range across 2 matching MRF lines |
— |
$14,663.49–$18,376.38 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$22,824.96 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$39,915.02 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$56,950.72 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$16,022.14 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$17,831.89 |
— |
| Incision and drainage, open, of deep abscess (subfascial), posterior spine; lumbar, sacral, or lumbosacral Facility (22015) |
— |
$40,336.22 |
— |
| Incision Drainage Lacrimal Sac (68420) |
— |
$20,826.19 |
— |
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines |
— |
$13,757.77–$14,405.46 |
— |
| Incision of eardrum (69421) |
— |
$33,407.14 |
— |
| Incision of eardrum (69420) |
— |
$33,407.14 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$8,053.47 |
— |
| Incision of rectal abscess (46040) |
— |
$28,210.29 |
— |
| Incision, deep, with opening of bone cortex (eg, for osteomyelitis or bone abscess), thorax Facility (21510) |
— |
$81,544.18 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$17,861.59 |
— |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines |
— |
$7,822.25–$9,081.40 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$1,889.19 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$7,760.31 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$13,552.36 |
— |
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines |
— |
$5,965.13–$7,524.98 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$9,482.93 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$9,105.17 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$8,768.47 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$5,062.31 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$8,788.31 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$4,285.56 |
— |
| Injection Into Brain Canal (61055) |
— |
$33,812.87 |
— |
| Injection into spinal artery (62294) |
— |
$33,812.87 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$68,890.69 |
— |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines |
— |
$8,848.64–$9,572.72 |
— |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 2 matching MRF lines |
— |
$26,701.48–$43,176.37 |
— |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines |
— |
$63,119.17–$68,824.17 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 4 matching MRF lines |
— |
$5,344.09–$14,710.74 |
— |
Injx Anterior Chamber Eye Medication Spx (66030)
range across 3 matching MRF lines |
— |
$10,353.34–$10,762.44 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$11,276.98 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$21,851.08 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$33,812.87 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$53,946.82 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$24,174.35 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$213,126.03 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$38,440.06 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$51,038.92 |
— |
| Insert cath pleura w/ image (32557) |
— |
$74,620.65 |
— |
| Insert cath pleura w/o image (32556) |
— |
$74,620.65 |
— |
| Insert cervical dilator (59200) |
— |
$27,069.01 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$37,098.39 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$133,699 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$99,801.16 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$18,016.05 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$225,249.08 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$36,087.27 |
— |
| Insert pulse gen dual leads (33213) |
— |
$109,951.54 |
— |
| Insert pulse gen mult leads (33221) |
— |
$99,056.95 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$135,726.73 |
— |
| Insert spine infusion device (62360) |
— |
$83,542.90 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$11,360.57 |
— |
Insert tissue expander(s) (11960)
range across 2 matching MRF lines |
— |
$26,980.06–$34,192.25 |
— |
| Insert tun ip cath perc (49418) |
— |
$92,977.68 |
— |
| Insert tunneled cv cath (36561) |
— |
$20,636.80 |
— |
| Insert tunneled cv cath (36563) |
— |
$109,704.29 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$112,398.37 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$17,490.08 |
— |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external (Scribner type)… (36810) |
— |
$182,418.05 |
— |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
— |
$124,572.50 |
— |
| Insertion of Thomas shunt (separate procedure) Facility (36835) |
— |
$107,218.83 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,162.07 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$34,347.20 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$225,249.08 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$100,686.32 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$36,087.27 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$19,478.37 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$84,055.93 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$5,855.03 |
— |
| Insj Stablj Dev W/Dcmprn (22867) |
— |
$98,346.60 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$109,704.29 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$108,316.14 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$108,316.14 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$24,550.13 |
— |
Insj/rplcmt breast implant sep day mastectomy (19342)
range across 3 matching MRF lines |
— |
$45,174.59–$58,160.84 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$223,648.72 |
— |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
range across 2 matching MRF lines |
— |
$40,496.15–$64,836.16 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$72,893.94 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$233,260.23 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$233,260.23 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$233,260.23 |
— |
| Intro cath dialysis circuit (36901) |
— |
$17,368.19 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$41,525.15 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$39,993.75 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$18,123.62 |
— |
| Kidney endoscopy (50553) |
— |
$61,868.13 |
— |
| Kidney endoscopy (50551) |
— |
$61,868.13 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$42,943.84 |
— |
Lam facetec & foramot lumbar (63047)
range across 3 matching MRF lines |
— |
$35,473.13–$41,660.45 |
— |
Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045)
range across 2 matching MRF lines |
— |
$42,409.12–$55,258.91 |
— |
| Laminotomy Single Lumbar (63042) |
— |
$72,968.97 |
— |
Lap insert tunnel ip cath (49324)
range across 2 matching MRF lines |
— |
$27,388.09–$35,187.04 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$41,929.38 |
— |
| Lap paraesophag hern repair (43281) |
— |
$39,508.05 |
— |
| Lap replace gastr adj device (43773) |
— |
$50,295.86 |
— |
| Lap revision perm ip cath (49325) |
— |
$21,067.26 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$38,768.13 |
— |
Laparoscopy aspiration (49322)
range across 3 matching MRF lines |
— |
$30,990.29–$41,685.17 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$41,601.80 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$25,682.95 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$50,295.86 |
— |
| Laparoscopy salpingostomy (58673) |
— |
$25,312.54 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$27,840.18 |
— |
| Laparoscopy surgical orchiectomy (54690) |
— |
$50,943.94 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$35,207.80 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$36,851.20 |
— |
Laparoscopy W/Lysis Of Adhesions (58660)
range across 2 matching MRF lines |
— |
$29,494.77–$29,798.16 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$27,360.28 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$41,948.60 |
— |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
— |
$70,358 |
— |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
— |
$123,559.08 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$41,421.01 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$50,295.86 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$30,923.85 |
— |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
— |
$46,580.48 |
— |
| Laparoscopy, surgical, splenectomy (38120) |
— |
$143,963.52 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$35,816.95 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$37,894.39 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
— |
$56,308.23 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$28,457.53 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$65,322.86 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$31,326.27 |
— |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
— |
$43,025.87 |
— |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
— |
$45,716.52 |
— |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
— |
$45,716.52 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$28,458.81 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$25,523.06 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$31,389.55 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$51,560.27 |
— |
| Laps pelvic lymphadec (38573) |
— |
$45,716.52 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$61,093.69 |
— |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
— |
$43,188.90 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$39,579.85 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$15,535.69 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$59,452.30 |
— |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
— |
$14,793.34 |
— |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$59,452.30 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$59,452.30 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$36,148.98 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$59,452.30 |
— |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$36,148.98 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$77,832.30 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$59,452.30 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$77,832.30 |
— |
Laryngoscopy W/Biopsy (31535)
range across 3 matching MRF lines |
— |
$13,056.35–$17,029.98 |
— |
Laryngoscopy w/biopsy microscope/telescope (31536)
range across 2 matching MRF lines |
— |
$15,539.71–$16,460.06 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$59,452.30 |
— |
| Laser vaporization of prostate (52648) |
— |
$20,313.20 |
— |
| Late closure of wound (13160) |
— |
$15,406.18 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$76,252.61 |
— |
Lig&div long saph vein saphfem junct/interrupj (37700)
range across 2 matching MRF lines |
— |
$23,007.87–$23,248.81 |
— |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
— |
$53,076.05 |
— |
| Ligate leg veins open (37761) |
— |
$76,252.61 |
— |
| Ligate/strip long leg vein (37722) |
— |
$26,828.84 |
— |
Ligation of a-v fistula (37607)
range across 3 matching MRF lines |
— |
$26,262.61–$34,943.73 |
— |
| Ligation of hemorrhoids (46946) |
— |
$23,708.68 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$25,079.19 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$21,695.23 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$23,051.65 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$49,672.26 |
— |
| Low Back Disk Surgery (63030) |
— |
$39,260.73 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$61,093.69 |
— |
| Lsh uterus above 250 g (58543) |
— |
$61,093.69 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$61,093.69 |
— |
| Lumbar spine fusion combined (22633) |
— |
$107,663.84 |
— |
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines |
— |
$8,499.35–$51,734.95 |
— |
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 2 matching MRF lines |
— |
$16,947.88–$28,118.60 |
— |
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines |
— |
$14,599.45–$20,892.08 |
— |
| Mast mod rad (19307) |
— |
$72,025.99 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$19,817.21 |
— |
| Mastectomy partial (19301) |
— |
$39,530.04 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$55,495.41 |
— |
| Mastectomy simple complete (19303) |
— |
$77,312.73 |
— |
Mastopexy (19316)
range across 2 matching MRF lines |
— |
$50,439.76–$61,563.03 |
— |
| Maternity Care Procedure (59899) |
— |
$35,059.20 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$117,466.32 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$117,466.32 |
— |
| Mediastinoscpy w/lmph nod bx (39402) |
— |
$76,079.60 |
— |
| Metatarsectomy (28140) |
— |
$57,576.35 |
— |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
— |
$18,536.32 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$37,017.69 |
— |
| Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) |
— |
$69,577 |
— |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
— |
$26,383.73 |
— |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
— |
$14,768.87 |
— |
Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738)
range across 2 matching MRF lines |
— |
$25,327.30–$42,472.86 |
— |
Muscle-skin graft trunk (15734)
range across 2 matching MRF lines |
— |
$26,562.47–$61,914.20 |
— |
| Myelography Lumbar Injection (62305) |
— |
$208,733.45 |
— |
| Myelography Lumbar Injection (62304) |
— |
$10,260.71 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$10,680.82 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$208,733.45 |
— |
| Myringoplasty (69620) |
— |
$7,997.70 |
— |
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines |
— |
$8,448.90–$11,165.69 |
— |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines |
— |
$4,907.69–$22,704 |
— |
| N block inj intercost sng (64420) |
— |
$9,482.93 |
— |
N Block Inj Pudendal (64430)
range across 3 matching MRF lines |
— |
$19,493.69–$22,249.95 |
— |
N Block Lumbar/Thoracic (64520)
range across 4 matching MRF lines |
— |
$7,501.04–$9,116.32 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$9,745.82 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$59,059.01 |
— |
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 4 matching MRF lines |
— |
$29,357.96–$36,275.72 |
— |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 3 matching MRF lines |
— |
$26,723.46–$31,313.50 |
— |
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines |
— |
$27,663.07–$30,158 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$12,391.88 |
— |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
— |
$20,601.05 |
— |
Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298)
range across 2 matching MRF lines |
— |
$25,907.38–$26,649.45 |
— |
Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295)
range across 3 matching MRF lines |
— |
$26,115.10–$26,649.45 |
— |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
— |
$26,115.10 |
— |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 4 matching MRF lines |
— |
$25,647.48–$31,269.79 |
— |
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 3 matching MRF lines |
— |
$29,064.63–$31,269.79 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$56,279.38 |
— |
Ndsc wrst surg w/rls transvrs carpl ligm (29848)
range across 2 matching MRF lines |
— |
$11,685.23–$22,322.77 |
— |
Neck spine disk surgery (63020)
range across 2 matching MRF lines |
— |
$44,605.32–$52,170.42 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$8,011.89 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$44,767.32 |
— |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
— |
$36,845.96 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines |
— |
$18,804.08–$23,495.44 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$19,667.42 |
— |
| Neurp Major Prph Nrv Opn Arm/Leg Brach Plexus (64713) |
— |
$87,791.41 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,119.96 |
— |
| Nipple Exploration (19110) |
— |
$55,495.41 |
— |
| Nipple/areola reconstruction (19350) |
— |
$21,059.22 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$10,181.42 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$9,064.79 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$6,208.25 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$8,574.12 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$9,914.34 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$8,904.16 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$7,686.01 |
— |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 2 matching MRF lines |
— |
$25,865.07–$26,400.10 |
— |
Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288)
range across 3 matching MRF lines |
— |
$23,776.98–$27,209.46 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,584.35 |
— |
| Occipital Nerve Block (64405) |
— |
$9,030.03 |
— |
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines |
— |
$33,324.88–$38,552.79 |
— |
| Open Implantation Nea Sacral Nerve (64581) |
— |
$49,689.99 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$50,727.49 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$36,947.54 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$56,100.76 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$68,833.62 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$46,122.41 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$70,716.98 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$46,192.83 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$84,500.36 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$52,572.45 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$28,814.01 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$29,837.41 |
— |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines |
— |
$35,993.58–$36,849.63 |
— |
| Open treatment of coccygeal fracture Facility (27202) |
— |
$76,040.21 |
— |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
— |
$66,232.52 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$72,611.13 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$75,968.15 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
— |
$79,930.76 |
— |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
— |
$79,930.76 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$72,611.13 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$64,438.82 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$70,716.98 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$83,781.91 |
— |
| Open treatment of mandibular condylar fracture Facility (21465) |
— |
$66,232.52 |
— |
| Open treatment of mandibular fracture with external fixation Facility (21454) |
— |
$66,232.52 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$50,727.49 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$50,727.49 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$75,968.15 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$75,968.15 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$71,447.82 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$62,476.28 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$85,295.40 |
— |
| Open treatment of sternum fracture with or without skeletal fixation Facility (21825) |
— |
$26,754.42 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$31,909.48 |
— |
Open treatment of ulnar styloid fracture (25652)
range across 2 matching MRF lines |
— |
$34,710.23–$46,579.49 |
— |
| Open treatment posterior malleolus fracture (27769) |
— |
$46,217.68 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$64,438.82 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$43,479.36 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$42,045.55 |
— |
| Open tx acute shoulder dislocation (23660) |
— |
$57,209.40 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$39,249.37 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$29,395.96 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$39,166.06 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$39,249.37 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$39,281.86 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$72,611.13 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$72,611.13 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$29,249.31 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$83,781.91 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$74,876.48 |
— |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
— |
$31,083.16 |
— |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
— |
$34,264.18 |
— |
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 3 matching MRF lines |
— |
$26,848.55–$36,662.97 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$25,389.93 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$28,365.30 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$41,364.24 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$40,715.41 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$80,622.32 |
— |
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines |
— |
$33,642.85–$42,816.80 |
— |
Open/Perq Place Stent 1St (37236)
range across 2 matching MRF lines |
— |
$49,488.53–$55,596.79 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$91,945.84 |
— |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
— |
$42,926.73 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$35,878 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$33,686.69 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$70,716.98 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$48,028.42 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$74,876.48 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$68,833.62 |
— |
| Orchiectomy partial (54522) |
— |
$28,302.67 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$50,943.94 |
— |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
— |
$50,943.94 |
— |
| Orchiopexy Ingun/Scrot Appr (54640) |
— |
$19,673.02 |
— |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
— |
$24,184.69 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$61,396.15 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$17,936.29 |
— |
| Ostectomy calcaneus (28118) |
— |
$34,412.42 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$14,601.52 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$60,402.53 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$60,402.53 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$22,472.24 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$72,112.11 |
— |
| Osteoplasty, tibia and fibula, lengthening or shortening Facility (27715) |
— |
$42,166.64 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$27,116.56 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$25,174.22 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$39,810.75 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$47,731.31 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; lumbar Facility (22224) |
— |
$58,485.60 |
— |
| Osteotomy, clavicle, with or without internal fixation; Facility (23480) |
— |
$38,612.46 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$75,968.15 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$69,565 |
— |
| Osteotomy, multiple, with realignment on intramedullary rod, femoral shaft (eg, Sofield type procedure) Facility (27454) |
— |
$52,230.89 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
— |
$60,402.53 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$118,598.17 |
— |
Ovarian cystectomy, unilateral or bilateral (58925)
range across 2 matching MRF lines |
— |
$28,996.18–$31,125.73 |
— |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
— |
$36,961.20 |
— |
| Part remv talus or calcaneus (28120) |
— |
$17,873.51 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$16,504.79 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$16,443.69 |
— |
| Partial removal of scapula (23190) |
— |
$36,971.07 |
— |
Partial removal of thyroid (60220)
range across 2 matching MRF lines |
— |
$31,361.24–$33,749.40 |
— |
| Partial removal of toe (28160) |
— |
$14,196.26 |
— |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210)
range across 3 matching MRF lines |
— |
$31,821.74–$38,439.66 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$18,020.37 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$27,787.06 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$96,095.33 |
— |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
— |
$14,822.20 |
— |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
— |
$17,990.36 |
— |
Peri-Implant Capsulectomy Breast Complete (19371)
range across 2 matching MRF lines |
— |
$50,628.76–$56,044.12 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$89,011.04 |
— |
| Periorbital osteotomies for orbital hypertelorism, with bone grafts; extracranial approach Facility (21260) |
— |
$11,499.14 |
— |
Perq dev breast 1st strtctc (19283)
range across 2 matching MRF lines |
— |
$3,176.10–$3,308.97 |
— |
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines |
— |
$19,986.08–$27,356.09 |
— |
Perq device breast 1st imag (19281)
range across 2 matching MRF lines |
— |
$27,203.26–$27,314.26 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$61,976.01 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$17,990.36 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$47,320.22 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$142,556.30 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$29,482.11 |
— |
| Phalangectomy toe each toe (28150) |
— |
$63,383.40 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$227,693.62 |
— |
| Placement of seton (46020) |
— |
$17,018.70 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$10,771.53 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$25,800.05 |
— |
| Prim art mech thrombectomy (37184) |
— |
$136,029.30 |
— |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
— |
$16,571.68 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$49,602 |
— |
| Proctosgmdsc rigid rmvl 1 lesion snare tq (45309) |
— |
$96,732.47 |
— |
| Proctosgmdsc rigid w/dilation (45303) |
— |
$8,360.92 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$49,602 |
— |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
— |
$61,170.59 |
— |
| Prostate laser enucleation (52649) |
— |
$70,725.81 |
— |
| Prostatic microwave thermotx (53850) |
— |
$76,552.31 |
— |
| Prostatic Rf Thermotx (53852) |
— |
$66,689.18 |
— |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
— |
$77,330.95 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$71,337.96 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$94,783.69 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$65,486.89 |
— |
Prq skel fixj metar fx w/manj (28476)
range across 2 matching MRF lines |
— |
$20,700.79–$22,787.64 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$14,254.73 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$67,101.17 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$17,610.97 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$169,690.87 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$3,682.45 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$6,654.33 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines |
— |
$5,694.40–$6,352.53 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$66,805.71 |
— |
| Rad resect hand tumor 3 cm/> (26118) |
— |
$43,009.37 |
— |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
— |
$43,009.37 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$84,826.96 |
— |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
— |
$49,778.72 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$76,253.52 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
— |
$49,778.72 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$85,691.68 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$85,691.68 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
— |
$73,317.40 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
— |
$84,826.96 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
— |
$72,763.06 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
— |
$72,763.06 |
— |
| Radical resection of tumor; phalanx of toe Facility (28175) |
— |
$63,383.40 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
— |
$111,830.77 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$60,402.53 |
— |
| Radical styloidectomy separate procedure (25230) |
— |
$38,080.11 |
— |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
— |
$34,687.37 |
— |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
— |
$32,489.71 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$17,818.76 |
— |
| Realignment extensor tendon hand each tendon (26437) |
— |
$23,426.33 |
— |
| Realignment of knee (27455) |
— |
$68,833.62 |
— |
| Reconstr lwr jaw segment (21198) |
— |
$15,957.50 |
— |
| Reconstruct elbow lat ligmnt (24344) |
— |
$25,011.21 |
— |
| Reconstruct finger joint (26545) |
— |
$23,894.31 |
— |
| Reconstruct ulna/radioulnar (25337) |
— |
$49,894.59 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$50,613.72 |
— |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
— |
$25,464.24 |
— |
| Reconstruction Toe Polydactyly (28344) |
— |
$14,940.88 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$191,385.53 |
— |
| Reduction of rectal prolapse (45900) |
— |
$37,306.65 |
— |
| Reinforce hip bones (27187) |
— |
$51,982.59 |
— |
| Release or recession, hamstring, proximal Facility (27097) |
— |
$73,931.04 |
— |
| Relieve Pressure on Nerve(S) (64722) |
— |
$86,957.14 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$36,838.51 |
— |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
— |
$121,036.62 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$104,191.63 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$46,154.34 |
— |
| Removal foreign body foot deep (28192) |
— |
$46,154.34 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$16,877.26 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$14,299.30 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$58,141.80 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$10,643.14 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$24,426.63 |
— |
| Removal Implant Deep (20680) |
— |
$20,080.46 |
— |
| Removal of adenoids (42830) |
— |
$9,180.27 |
— |
| Removal of adenoids (42836) |
— |
$13,060.51 |
— |
Removal of ankle implant (27704)
range across 2 matching MRF lines |
— |
$42,166.64–$56,902.19 |
— |
| Removal of anterior instrumentation (22855) |
— |
$54,593.44 |
— |
| Removal of bladder cyst (51500) |
— |
$79,672.42 |
— |
| Removal of heel spur (28119) |
— |
$33,613.06 |
— |
| Removal of hip joint lining (27054) |
— |
$269,053.35 |
— |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
— |
$145,136.51 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$121,216.21 |
— |
| Removal of knee prosthesis (27488) |
— |
$94,499.79 |
— |
| Removal of lens material (66852) |
— |
$9,404.12 |
— |
Removal of mammary implant material (19330)
range across 2 matching MRF lines |
— |
$20,799.24–$31,289.01 |
— |
Removal of nail bed (11750)
range across 2 matching MRF lines |
— |
$10,771.72–$14,087.45 |
— |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
— |
$77,330.95 |
— |
Removal of sesamoid bone (28315)
range across 3 matching MRF lines |
— |
$13,375.62–$20,806.20 |
— |
Removal of sperm cord lesion (55520)
range across 4 matching MRF lines |
— |
$26,096.81–$31,036.78 |
— |
| Removal of tendon for graft (20924) |
— |
$68,688.25 |
— |
| Removal of testis (54520) |
— |
$22,872.81 |
— |
| Removal of thymus gland (60520) |
— |
$176,871.42 |
— |
Removal of tonsils (42826)
range across 2 matching MRF lines |
— |
$14,622.31–$14,772.23 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$18,846.73 |
— |
| Removal of wrist bone (25210) |
— |
$38,466.53 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$82,045.11 |
— |
| Removal ppm generator only (33233) |
— |
$275,144.53 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$23,089.32 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$6,208.53 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$30,304.52 |
— |
| Removal sweat gland lesion (11450) |
— |
$16,868.88 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$35,217.12 |
— |
| Remove cranial cavity fluid (61000) |
— |
$109,245.98 |
— |
Remove drug implant device (11982)
range across 2 matching MRF lines |
— |
$38,397.63–$42,580.03 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$27,564.13 |
— |
| Remove hip pressure sore (15941) |
— |
$91,178.33 |
— |
| Remove hip pressure sore (15940) |
— |
$91,178.33 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$24,059.98 |
— |
| Remove Intrauterine Device (58301) |
— |
$20,486.41 |
— |
| Remove intrvas foreign body (37197) |
— |
$27,152.15 |
— |
| Remove knee joint lining (27334) |
— |
$41,636.59 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$16,217.85 |
— |
| Remove lung catheter (32552) |
— |
$5,816.92 |
— |
| Remove part lumbar vertebra (22102) |
— |
$58,671.44 |
— |
| Remove prostate regrowth (52630) |
— |
$72,574.53 |
— |
| Remove Pulse Generator (33241) |
— |
$106,885.99 |
— |
| Remove sacrum pressure sore (15937) |
— |
$84,728.74 |
— |
| Remove spine lamina 1/2 lmbr (63005) |
— |
$39,589.21 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$13,014.80 |
— |
| Remove thigh pressure sore (15951) |
— |
$91,178.33 |
— |
| Remove thigh pressure sore (15956) |
— |
$91,178.33 |
— |
Remove tissue expander (11971)
range across 3 matching MRF lines |
— |
$20,248.34–$22,486.18 |
— |
| Remove&replace pm gen singl (33227) |
— |
$59,448.93 |
— |
| Remove/graft foot lesion (28102) |
— |
$111,830.77 |
— |
| Remove/graft foot lesion (28107) |
— |
$73,259.59 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$155,143.01 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$172,466.21 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$140,118.25 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$66,596.75 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$91,664.09 |
— |
| Renal Biopsy Perq (50200) |
— |
$8,732.59 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
— |
$45,396.65 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$61,868.13 |
— |
| Reopen fallopian tube (58350) |
— |
$26,726.85 |
— |
Repair Achilles Tendon (27650)
range across 2 matching MRF lines |
— |
$31,094.96–$32,186.09 |
— |
| Repair blood vessel direct neck (35201) |
— |
$18,848.48 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$84,312.70 |
— |
| Repair blood vessel lesion (35190) |
— |
$136,663.63 |
— |
| Repair blood vessel lesion (35236) |
— |
$84,312.70 |
— |
Repair brow ptosis (67900)
range across 2 matching MRF lines |
— |
$29,894.46–$41,724.46 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$29,581.17 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines |
— |
$14,849.11–$16,002.46 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$24,640.87 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$20,862.37 |
— |
Repair complex trunk 2.6-7.5 cm (13101)
range across 2 matching MRF lines |
— |
$24,914.92–$32,999.62 |
— |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
— |
$23,039.77 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$20,803.23 |
— |
Repair Finger/Hand Tendon (26350)
range across 2 matching MRF lines |
— |
$23,535.15–$44,110.73 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$23,259.06 |
— |
| Repair Forearm Tendon Sheath (25275) |
— |
$20,269.90 |
— |
| Repair Hallux Rigidus (28289) |
— |
$20,352.09 |
— |
Repair Hand Joint (26540)
range across 2 matching MRF lines |
— |
$21,919.12–$22,529.98 |
— |
| Repair incomplete circumcision (54163) |
— |
$7,551.53 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$73,314.37 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$49,131.09 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$31,582.13 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$27,625.53 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$73,314.37 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$21,046.03 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$24,515.61 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$24,882.86 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$27,028.46 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$18,456.78 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$24,882.86 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$24,882.86 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$16,127.66 |
— |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032)
range across 3 matching MRF lines |
— |
$15,814.13–$17,168.56 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$21,393.96 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$22,916.02 |
— |
| Repair Nasal Vestibular Stenosis (30465) |
— |
$28,492.31 |
— |
| Repair Nonunion Hand (26546) |
— |
$26,905.69 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$74,876.48 |
— |
Repair of biceps tendon (24340)
range across 2 matching MRF lines |
— |
$30,104.45–$54,142.64 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$42,166.64 |
— |
| Repair of nail bed (11760) |
— |
$16,345.89 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$52,221.65 |
— |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
— |
$30,091.16 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$32,272.41 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$74,876.48 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$74,876.48 |
— |
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines |
— |
$32,117.24–$34,047.66 |
— |
| Repair of shoulder (23420) |
— |
$45,533.21 |
— |
| Repair of sternum separation (21750) |
— |
$678,935.12 |
— |
| Repair radius & ulna (25415) |
— |
$52,221.65 |
— |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
— |
$49,131.09 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$73,314.37 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$24,862.56 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$24,068.99 |
— |
Repair Tendon Extensor Foot 1/2 Each Tendon (28208)
range across 2 matching MRF lines |
— |
$15,517.28–$23,032.93 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$27,013.69 |
— |
| Repair Tooth Socket (41874) |
— |
$19,936.65 |
— |
| Repair umbilical lesion (49600) |
— |
$79,930.11 |
— |
| Repair webbed toe(s) (28345) |
— |
$91,300.37 |
— |
| Repair, congenital arteriovenous fistula; extremities Facility (35184) |
— |
$136,663.63 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$73,314.37 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$73,314.37 |
— |
Repair/graft achilles tendon (27652)
range across 3 matching MRF lines |
— |
$24,898.32–$52,520.59 |
— |
| Replace G-J Tube Perc (49452) |
— |
$4,491.87 |
— |
Replacement Tissue Expander W/Permanent Implant (11970)
range across 2 matching MRF lines |
— |
$41,267.17–$54,319.34 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$16,377.12 |
— |
| Reposition Venous Catheter (36597) |
— |
$14,064.68 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$73,314.37 |
— |
| Resect back tum < 5 cm (21935) |
— |
$76,253.52 |
— |
| Resect enlarged toe (28341) |
— |
$65,505.34 |
— |
| Resect forarm/wrist tum 3cm> (25078) |
— |
$73,317.40 |
— |
| Resect hip/pelv tum 5 cm/> (27059) |
— |
$58,673.76 |
— |
| Resect hip/pelv tum < 5 cm (27049) |
— |
$58,673.76 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$84,826.96 |
— |
| Resect Shoulder Tumor 5 Cm/> (23078) |
— |
$26,383.73 |
— |
| Resect shoulder tumor < 5 cm (23077) |
— |
$72,763.06 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$14,065.99 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$63,383.40 |
— |
| Revis reconst shoulder joint (23473) |
— |
$59,680.09 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$57,209.40 |
— |
| Revise Abdomen-Venous Shunt (49426) |
— |
$84,995.79 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$15,565.45 |
— |
| Revise Lower Leg Tendons (27686) |
— |
$87,282.03 |
— |
Revise ulnar nerve at wrist (64719)
range across 3 matching MRF lines |
— |
$17,634.93–$24,624.36 |
— |
Revise/Implant Finger Joint (26536)
range across 2 matching MRF lines |
— |
$25,025.70–$28,569.63 |
— |
| Revise/Repair Finger/Toe Nerve (64702) |
— |
$65,231.90 |
— |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
— |
$15,879.42 |
— |
| Revision of big toe (28310) |
— |
$63,383.40 |
— |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
— |
$179,234.22 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
— |
$179,234.22 |
— |
| Revision of foot bones (28737) |
— |
$106,736.39 |
— |
| Revision of humerus (24400) |
— |
$84,500.36 |
— |
| Revision of knee joint (27442) |
— |
$92,327.73 |
— |
| Revision of lower leg tendon (27685) |
— |
$87,282.03 |
— |
| Revision of reconstructed breast (19380) |
— |
$42,695.22 |
— |
| Revision of toe (28312) |
— |
$63,383.40 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$92,775.16 |
— |
Revision Peri-Implant Capsule Breast (19370)
range across 3 matching MRF lines |
— |
$51,116.78–$53,653.73 |
— |
| Revision, femoral anastomosis of synthetic arterial bypass graft in groin, open; with nonautogenous patch graft (eg,… (35883) |
— |
$127,278.86 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$91,352.54 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$50,384.06 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$49,519.12 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$30,250.04 |
— |
| Rhinoplasty primary w/major septal repair (30420) |
— |
$42,043.65 |
— |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
— |
$27,148.29 |
— |
| Rhytidectomy Cheek Chin & Neck (15828) |
— |
$60,310.07 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$85,910.81 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$85,910.81 |
— |
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines |
— |
$9,577.08–$10,031.81 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$27,873.64 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$89,998.46 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$131,671.27 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$64,475.20 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$15,138.77 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$20,643.47 |
— |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
— |
$97,295.90 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,914.01 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,627.47 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$30,627.58 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$86,720.85 |
— |
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines |
— |
$27,909.21–$30,977.79 |
— |
Rplcmt compl tun cvc w/o subq port/pmp (36581)
range across 3 matching MRF lines |
— |
$23,350.86–$25,715.52 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$38,464.76 |
— |
Rpr Aa Hernia 1st < 3 Cm Reducible (49591)
range across 2 matching MRF lines |
— |
$30,398.30–$33,318.48 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$33,374.13 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$32,505.85 |
— |
Rpr aa hrn 1st 3-10 rdc (49593)
range across 2 matching MRF lines |
— |
$32,651.27–$33,404.33 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$33,199.60 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$154,113.94 |
— |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
— |
$29,779.37 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$24,721.28 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$34,622.86 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$14,780.89 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$73,314.37 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$73,314.37 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$73,314.37 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$24,882.86 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$74,876.48 |
— |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$68,688.25 |
— |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
— |
$68,688.25 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
— |
$68,688.25 |
— |
| Septal or other intranasal dermatoplasty (does not include obtaining graft) Facility (30620) |
— |
$37,832.73 |
— |
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 4 matching MRF lines |
— |
$23,550.47–$29,546.43 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$10,277.70 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$37,017.69 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$37,017.69 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$37,017.69 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$37,017.69 |
— |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
— |
$20,512.54 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$49,953 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$32,721.45 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$49,602 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$9,965.16 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$77,321.78 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$34,622.86 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$34,622.86 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$77,321.78 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$34,622.86 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$34,622.86 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$17,681.35 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$32,619.13 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$32,619.13 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$28,763.21 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$37,017.69 |
— |
Skin Pedicle Flap Trunk (15570)
range across 2 matching MRF lines |
— |
$23,871.61–$63,555.57 |
— |
| Skin Pinch Graft (15050) |
— |
$37,017.69 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$22,042.61 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$15,850.23 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$71,541.60 |
— |
| Skin Tissue Procedure (17999) |
— |
$23,201.03 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$35,755.15 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$29,177.82 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$32,619.13 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$32,619.13 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$32,619.13 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$16,396.77 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$4,134.22 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$21,575.61 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$22,825.55 |
— |
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 2 matching MRF lines |
— |
$21,133.92–$25,635.50 |
— |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
— |
$1,883.01–$3,048.81 |
— |
| Subdural tap through fontanelle, or suture, infant, unilateral or bilateral; subsequent taps Facility (61001) |
— |
$109,245.98 |
— |
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 3 matching MRF lines |
— |
$27,402.09–$29,428.12 |
— |
| Suction assisted lipectomy; head and neck (15876) |
— |
$47,767.35 |
— |
| Suction assisted lipectomy; trunk (15877) |
— |
$39,183.64 |
— |
| Suction Lipectomy Lwr Extrem (15879) |
— |
$36,838.62 |
— |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
— |
$18,762.83 |
— |
| Surg tx anal fistula subq (46270) |
— |
$16,409.70 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$21,612.55 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$36,961.27 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$22,569.21 |
— |
| Suture/repair testicular injury (54670) |
— |
$19,450.52 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$68,688.25 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$68,688.25 |
— |
| Talectomy (astragalectomy) Facility (28130) |
— |
$111,830.77 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$59,218.10 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$71,324.55 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
— |
$20,875.09 |
— |
| Tenodesis distal joint each (26474) |
— |
$16,855.91 |
— |
Tenodesis long tendon biceps (23430)
range across 3 matching MRF lines |
— |
$46,882.54–$56,905.83 |
— |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
— |
$30,954.60 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$25,464.24 |
— |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
— |
$30,954.60 |
— |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
— |
$87,282.03 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$87,282.03 |
— |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
— |
$40,225.74 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$543,688.33 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$84,382.83 |
— |
| Therapeutic plasma exchange (36514) |
— |
$543,688.33 |
— |
| Thoracoscopy w/bx pleura (32609) |
— |
$48,740.17 |
— |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
— |
$70,518.11 |
— |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
— |
$85,839.13 |
— |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
— |
$86,227.63 |
— |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
— |
$46,625.16 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$48,773.95 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$112,217.65 |
— |
| Thromboendarterectomy, including patch graft, if performed; axillary-brachial Facility (35321) |
— |
$76,060.27 |
— |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
— |
$121,457.61 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$177,257.03 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$94,067.13 |
— |
Thyroidectomy, total or complete (60240)
range across 2 matching MRF lines |
— |
$36,354.85–$37,276.97 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$20,464.56 |
— |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
— |
$42,698.96 |
— |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
— |
$37,493.09 |
— |
Tissue Expander Placement Breast Reconstruction (19357)
range across 4 matching MRF lines |
— |
$59,968.43–$83,781.43 |
— |
| Tlh uterus over 250 g (58572) |
— |
$61,093.69 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$20,679.11 |
— |
Tonsillectomy and adenoidectomy; age 12 or over (42821)
range across 2 matching MRF lines |
— |
$14,449.92–$15,427.88 |
— |
| Tooth extraction (41899) |
— |
$12,240.41 |
— |
| Total Knee Arthroplasty (27447) |
— |
$65,370.87 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$130,874.93 |
— |
| Transfer skin pedicle flap (15650) |
— |
$17,638.24 |
— |
| Transmetacarpal amputation; Facility (25927) |
— |
$83,182.54 |
— |
| Transmetacarpal amputation; re-amputation Facility (25931) |
— |
$83,182.54 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$60,238.14 |
— |
| Transpedicular approach with decompression of spinal cord, equina and/or nerve root(s) (eg, herniated intervertebral… (63055) |
— |
$117,240.95 |
— |
Transplant hand tendon (26480)
range across 2 matching MRF lines |
— |
$17,964.13–$24,452.79 |
— |
| Transplantation of testis(es) to thigh (because of scrotal destruction) Facility (54680) |
— |
$19,450.52 |
— |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
— |
$77,878.24 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$53,039.29 |
— |
| Transur electr resection of prostate (52601) |
— |
$25,728.43 |
— |
| Transurethral resection bladder neck (52500) |
— |
$21,756.97 |
— |
| Treat ankle dislocation (27848) |
— |
$97,356.52 |
— |
| Treat dental ridge fracture (21445) |
— |
$15,343.44 |
— |
| Treat dislocation/fracture (23670) |
— |
$82,632.39 |
— |
| Treat dislocation/fracture (23680) |
— |
$33,071.61 |
— |
Treat ectopic pregnancy (59151)
range across 3 matching MRF lines |
— |
$23,852.66–$36,287.60 |
— |
| Treat elbow fracture (24586) |
— |
$70,775.99 |
— |
| Treat Elbow Fracture (24635) |
— |
$50,727.49 |
— |
| Treat elbow fracture (24587) |
— |
$50,727.49 |
— |
| Treat Finger Fracture Each (26727) |
— |
$18,228.33 |
— |
| Treat fracture radius/ulna (25575) |
— |
$47,754.55 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$38,672.71 |
— |
| Treat humerus fracture (23616) |
— |
$39,789.18 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$30,616.15 |
— |
| Treat kneecap dislocation (27566) |
— |
$32,708.34 |
— |
| Treat Kneecap Fracture (27524) |
— |
$29,962.72 |
— |
| Treat lower leg dislocation (27832) |
— |
$68,833.62 |
— |
| Treatment of ankle fracture (27823) |
— |
$45,588.93 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$70,716.98 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$50,352.91 |
— |
| Treatment of tibia fracture (27756) |
— |
$71,043.43 |
— |
| Trim skin lesion (11055) |
— |
$2,421.73 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$2,342.42 |
— |
| Trim skin lesions over 4 (11057) |
— |
$37,518.69 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$61,607.60 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$74,218.17 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$77,878.24 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
— |
$88,481.42 |
— |
| Tubal ligation (58600) |
— |
$23,398.89 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$43,699.24 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$50,657.88 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$16,824.44 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$59,456.24 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$16,422.87 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$20,537.28 |
— |
Tx open tendon flexor toe 1 tendon spx (28232)
range across 2 matching MRF lines |
— |
$18,830.20–$20,542.82 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$23,228.64 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$34,846.61 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$62,591.84 |
— |
| Tympanoplasty (69631) |
— |
$22,278.78 |
— |
Tympanostomy general anesthesia (69436)
range across 4 matching MRF lines |
— |
$8,409.90–$10,060.31 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$156,986.62 |
— |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
— |
$17,234.34 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$24,700.33 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$32,333.29 |
— |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
— |
$43,932.10 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$51,560.27 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$35,042.79 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$65,141.93 |
— |
| Unlisted laparoscopy procedure, esophagus (43289) |
— |
$49,147.77 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$26,537.10 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$100,433.70 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$30,269.88 |
— |
| Unlisted laparoscopy procedure, uterus (58578) |
— |
$38,590.92 |
— |
| Unlisted procedure anus (46999) |
— |
$26,453.68 |
— |
| Unlisted procedure arthroscopy (29999) |
— |
$18,997.42 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$147,502.61 |
— |
| Unlisted procedure breast (19499) |
— |
$40,684.06 |
— |
| Unlisted procedure colon (45399) |
— |
$107,481.49 |
— |
| Unlisted Procedure Esophagus (43499) |
— |
$129,323.50 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$78,923.04 |
— |
| Unlisted procedure eyelids (67999) |
— |
$28,271.80 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$31,046.28 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$30,636.52 |
— |
| Unlisted procedure forearm or wrist (25999) |
— |
$61,144.71 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$42,024.49 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$19,659.97 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$8,421.49 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$38,142.01 |
— |
| Unlisted procedure liver (47399) |
— |
$24,700.33 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$131,064.43 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$20,055.38 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$33,763.83 |
— |
| Unlisted procedure neck or thorax (21899) |
— |
$72,882.51 |
— |
| Unlisted procedure nervous system (64999) |
— |
$17,951.29 |
— |
| Unlisted procedure pancreas (48999) |
— |
$56,400.52 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$36,945 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$85,910.81 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$22,281.39 |
— |
| Unlisted procedure spine (22899) |
— |
$105,229.11 |
— |
| Unlisted procedure stomach (43999) |
— |
$1,618.24 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$118,097.34 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$174,433.66 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$9,666.27 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$31,301.12 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$28,574.12 |
— |
| Unlisted Px Salivary Glands/Ducts (42699) |
— |
$13,335.68 |
— |
| Unlisted vascular endoscopy procedure (37501) |
— |
$57,772.05 |
— |
| Upgrade of pacemaker system (33214) |
— |
$109,951.54 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
— |
$61,181.26 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$61,868.13 |
— |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
— |
$22,623.63 |
— |
| Vag hyst complex (58290) |
— |
$39,158.20 |
— |
| Vag hyst incl t/o complex (58291) |
— |
$39,158.20 |
— |
| Vag hyst w/t/o & vag repair (58263) |
— |
$39,158.20 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$24,702.88 |
— |
| Vaginal delivery only (59409) |
— |
$24,704.10 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$28,525.56 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
— |
$39,158.20 |
— |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
— |
$39,158.20 |
— |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
— |
$39,158.20 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$37,110.65 |
— |
| Vaginoplasty for intersex state Facility (57335) |
— |
$27,069.01 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$180,292.03 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$180,292.03 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$176,955.20 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$76,230.29 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$14,682.97 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$69,476.80 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$7,997.70 |
— |
| Vulvectomy simple partial (56620) |
— |
$19,030 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$83,889.51 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$23,246.86 |
— |
| Xfer Single Deep Low Leg Tendon (27691) |
— |
$52,520.59 |
— |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
— |
$134,889.02 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$112,217.65 |
— |