| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
— |
$2,431 |
— |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
— |
$1,708 |
— |
| Acne surgery (10040) |
— |
$254 |
— |
| Application cast elbow finger short arm (29075) |
— |
$356 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$84 |
— |
| Application finger splint static (29130) |
— |
$84 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$204 |
— |
| Application Long Leg Splint (29505) |
— |
$204 |
— |
| Application of long leg cast (29345) |
— |
$356 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$356 |
— |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
— |
$158–$316 |
— |
| Application short leg splint calf foot (29515) |
— |
$204 |
— |
| Apply hand/wrist cast (29085) |
— |
$204 |
— |
| Apply long arm cast (29065) |
— |
$356 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
— |
$204–$418 |
— |
| Apply Short Leg Cast (29405) |
— |
$356 |
— |
| Arterial puncture (36600) |
— |
$216 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
— |
$368–$735 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines |
— |
$816–$1,632 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
— |
$368–$735 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$368–$735 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
— |
$368–$735 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$368 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$254 |
— |
| Biopsy External Auditory Canal (69105) |
— |
$1,708 |
— |
| Biopsy of lip (40490) |
— |
$268 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$2,023 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$2,023 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$2,023 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$690 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$864 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$864 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$690 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$402 |
— |
| Blood Transfusion Service (36430) |
— |
$2,250 |
— |
| Bone Marrow Biopsy (38221) |
— |
$4,542 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$4,542 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$2,022 |
— |
| Bx Cervix (57500) |
— |
$864 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$403 |
— |
| Cautery Cervix Electro/Thermal (57510) |
— |
$3,410 |
— |
| Chemical Cautery Tissue (17250) |
— |
$254 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$816 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$368 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$368 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$816 |
— |
| Clear outer ear canal (69200) |
— |
$158 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$323 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$323 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$323 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$323 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$323 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$323 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$323 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$323 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$323 |
— |
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines |
— |
$323–$646 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$323 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$323 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$323 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$323 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$323 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$323 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$323 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$338 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$323 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$323 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$323 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$852 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$323 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$323 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$323 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$323 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$323 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$2,023 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$323 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$323 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$323 |
— |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
— |
$323 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$323 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$323 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$2,025 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$356 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$377 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$323 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$323 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$323 |
— |
Cltx prox fibula/shft fx w/o manj (27780)
range across 2 matching MRF lines |
— |
$323–$646 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$2,025 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$323 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$323 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$323 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$323 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$134 |
— |
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines |
— |
$26–$28 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$403 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$403 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$242 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$403 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$403 |
— |
| Colposcopy of vulva (56820) |
— |
$242 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$864 |
— |
| Complex drainage wound (10180) |
— |
$3,488 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$158 |
— |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
— |
$158–$316 |
— |
| Create Eardrum Opening (69433) |
— |
$690 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$158 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$733 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$409 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$733 |
— |
| Debride nail 1-5 (11720) |
— |
$23 |
— |
| Debride nail 6 or more (11721) |
— |
$38 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$2,023 |
— |
Debridement Mastoidectomy Cavity Simple (69220)
range across 2 matching MRF lines |
— |
$254–$964 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$560 |
— |
Declot vascular device (36593)
range across 2 matching MRF lines |
— |
$446–$921 |
— |
| Destr penis lesion(s) (54065) |
— |
$2,353 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$1,009 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$2,416 |
— |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
— |
$2,416–$4,832 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$254 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$254 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$1,009 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$2,353 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$2,353 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$467 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$254 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$254 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$254 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$254 |
— |
| Destruction of skin lesions (17106) |
— |
$467 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$467 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$254 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$3,410 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$242 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$368 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$860 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,023 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$467 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$254 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$253 |
— |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines |
— |
$1,009–$2,018 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$4,542 |
— |
| Endocervical curettage (57505) |
— |
$864 |
— |
| Endometrial Biopsy (58100) |
— |
$242 |
— |
Endoven abltj incmptnt vein xtr laser 1st vein (36478)
range across 2 matching MRF lines |
— |
$3,740–$7,479 |
— |
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 2 matching MRF lines |
— |
$3,740–$7,480 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$7,710 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$158 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$4,046 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$860 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$2,023 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$2,023 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$3,488 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$860 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$860 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$2,023 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$2,023 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$860 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$860 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$860 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$2,023 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$2,023 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$2,023 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$3,488 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$2,023 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$860 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$2,023 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$860 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$2,023 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$3,488 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$2,023 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$3,488 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$2,023 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$3,488 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$2,023 |
— |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401)
range across 2 matching MRF lines |
— |
$467–$933 |
— |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines |
— |
$860–$933 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$2,023 |
— |
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552)
range across 2 matching MRF lines |
— |
$3,488–$6,976 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$3,488 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$2,023 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$2,023 |
— |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
— |
$3,488 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$2,023 |
— |
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines |
— |
$2,023–$4,046 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$2,023 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$3,488 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$2,023 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$3,488 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$3,488 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$860 |
— |
| Excision External Ear Partial Simple Repair (69110) |
— |
$3,488 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$3,488 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$860 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$860 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$467 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$860 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$860 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$2,023 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$3,488 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$2,023 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$860 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$860 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$2,023 |
— |
| Excision nasal polyp(s) simple (30110) |
— |
$1,708 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$3,410 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$3,488 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$3,488 |
— |
| Excision soft tissue lesion, external auditory canal (69145) |
— |
$3,488 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$2,023 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$2,023 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$3,488 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$2,023 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$2,023 |
— |
| External cephalic version (59412) |
— |
$9,480 |
— |
Fetal non-stress test (59025)
range across 4 matching MRF lines |
— |
$242–$767 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$467 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$869 |
— |
Fracture Nasal Inferior Turbinate Therapeutic (30930)
range across 2 matching MRF lines |
— |
$3,299–$6,598 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$3,410 |
— |
| I&d abscess simple (10060) |
— |
$254 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$860 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$860 |
— |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
— |
$2,023 |
— |
Implant neuroelectrodes (63650)
range across 2 matching MRF lines |
— |
$9,084–$18,168 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$467 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,023 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$467 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$242 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$403 |
— |
Incision of eardrum (69420)
range across 2 matching MRF lines |
— |
$268–$536 |
— |
| Incision of Foot Tendon (28234) |
— |
$2,025 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$871 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$254 |
— |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
— |
$1,009–$2,018 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$1,918 |
— |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines |
— |
$1,009–$2,018 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
— |
$368–$736 |
— |
Injection aa&/strd axillary nerve w/img gdn (64417)
range across 2 matching MRF lines |
— |
$1,009–$1,790 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$1,918 |
— |
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 3 matching MRF lines |
— |
$925–$2,018 |
— |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 2 matching MRF lines |
— |
$816–$1,918 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$1,275 |
— |
Injection Anes Superior Hypogastric Plexus (64517)
range across 2 matching MRF lines |
— |
$1,009–$2,018 |
— |
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines |
— |
$816–$1,632 |
— |
| Injection enzyme palmar fascial cord (20527) |
— |
$368 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$368 |
— |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
— |
$368–$735 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$368 |
— |
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines |
— |
$368–$736 |
— |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines |
— |
$896–$2,018 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$896 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
— |
$767–$1,632 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$254 |
— |
| Insert cervical dilator (59200) |
— |
$403 |
— |
| Insert Drug Implant Device (11981) |
— |
$158 |
— |
| Insert pessary/other device (57160) |
— |
$242 |
— |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
— |
$139–$158 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$1,933 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$467 |
— |
| Intranasal Biopsy (30100) |
— |
$1,708 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$236 |
— |
| Laser Surgery of Cervix (57513) |
— |
$3,410 |
— |
| Lysis of labial adhesions (56441) |
— |
$3,410 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$3,410 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$1,009 |
— |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines |
— |
$816–$1,632 |
— |
N block inj intercost sng (64420)
range across 3 matching MRF lines |
— |
$816–$1,632 |
— |
| N Block Inj Paracervical (64435) |
— |
$816 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$368 |
— |
| N Block Inj Pudendal (64430) |
— |
$1,009 |
— |
N Block Lumbar/Thoracic (64520)
range across 4 matching MRF lines |
— |
$1,009–$2,018 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$236 |
— |
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237)
range across 2 matching MRF lines |
— |
$1,986–$3,972 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$1,986 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$52 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$52 |
— |
Njx anes stellate ganglion crv sympathetic (64510)
range across 3 matching MRF lines |
— |
$1,009–$2,018 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$368 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
— |
$1,009–$2,018 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$2,538 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$2,375 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$2,538 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$2,051 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$2,375 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$467 |
— |
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines |
— |
$467–$933 |
— |
| Occipital Nerve Block (64405) |
— |
$368 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$8,400 |
— |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
— |
$9,242 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$560 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$467 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$860 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$1,887 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
— |
$116–$232 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
— |
$84–$168 |
— |
| Removal of nail bed (11750) |
— |
$467 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$254 |
— |
Removal sweat gland lesion (11450)
range across 2 matching MRF lines |
— |
$3,488–$6,976 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$356 |
— |
| Remove drug implant device (11982) |
— |
$496 |
— |
| Remove foreign body from eye (65205) |
— |
$158 |
— |
| Remove Intrauterine Device (58301) |
— |
$242 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$158 |
— |
Repair brow ptosis (67900)
range across 2 matching MRF lines |
— |
$402–$803 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$733 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$733 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$467 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$733 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$733 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$733 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$733 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$467 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$467 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$467 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$467 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$733 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$467 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$467 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$733 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$2,353 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$467 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$467 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$467 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$733 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$467 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$2,353 |
— |
| Repair of nail bed (11760) |
— |
$733 |
— |
| Repair Spica/Body/Jacket Cast (29720) |
— |
$204 |
— |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
— |
$3,410 |
— |
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines |
— |
$2,023–$4,045 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$496 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$919 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$919 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$347 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$560 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$254 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$254 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$254 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$253 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$254 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$467 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$254 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$467 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$254 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$254 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$254 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$254 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$264 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$2,353 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$2,353 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$4,066 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$2,353 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$254 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,278 |
— |
| Strapping Unna Boot (29580) |
— |
$204 |
— |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
— |
$254 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$265 |
— |
Thyroid biopsy (60100)
range across 2 matching MRF lines |
— |
$157–$314 |
— |
| Treat humerus fracture (24500) |
— |
$323 |
— |
| Treat Humerus Fracture (24505) |
— |
$2,023 |
— |
| Treat humerus fracture (23600) |
— |
$323 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$323 |
— |
| Trim skin lesion (11055) |
— |
$254 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$254 |
— |
| Trim skin lesions over 4 (11057) |
— |
$254 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$84 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$2,025 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$733 |
— |
| Unlisted procedure nervous system (64999) |
— |
$1,535 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$2,544 |
— |
| Vulvectomy simple partial (56620) |
— |
$3,410 |
— |
Wedge excision skin nail fold (11765)
range across 2 matching MRF lines |
— |
$467–$933 |
— |