| Abd paracentesis w/imaging (49083) |
— |
$13,063.50 |
— |
| Ablate inf turbinate submuc (30802) |
— |
$23,694.44 |
— |
| Acne surgery (10040) |
— |
$25,142.40 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$20,245.39 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$37,129.98 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$24,823.61 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$19,291.75 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$47,369.42 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$52,718.20 |
— |
| Amputation foot transmetarsal (28805) |
— |
$52,718.20 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$45,068.61 |
— |
| Amputation thigh through femur any level (27590) |
— |
$47,369.42 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$16,923.85 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$18,189.55 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$52,718.20 |
— |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
— |
$34,223.80 |
— |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
— |
$28,917.86 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$46,841.74 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$46,841.74 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$46,841.74 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$46,841.74 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$46,841.74 |
— |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
— |
$47,369.42 |
— |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
— |
$47,369.42 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$43,180.87 |
— |
| Application finger splint static (29130) |
— |
$272.50 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$662.90 |
— |
| Application Long Leg Splint (29505) |
— |
$662.90 |
— |
Application of rigid total contact leg cast (29445)
range across 3 matching MRF lines |
— |
$1,408.78–$1,899.14 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$521.69 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$498.37 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines |
— |
$995.31–$1,919.37 |
— |
| Arterial puncture (36600) |
— |
$500.53 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$34,550.20 |
— |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
— |
$34,070.74 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$74,421.85 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$74,421.85 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,533.24 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$74,421.85 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$74,421.85 |
— |
Arthrodesis great toe interphalangeal joint (28755)
range across 2 matching MRF lines |
— |
$18,813.63–$34,110.62 |
— |
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines |
— |
$27,255.51–$34,110.62 |
— |
| Arthrodesis subtalar (28725) |
— |
$63,551.20 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$79,289.29 |
— |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
— |
$44,763.36 |
— |
Arthroscopy Ankle Surgical Debridement Limited (29897)
range across 2 matching MRF lines |
— |
$17,866.30–$25,001.17 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$18,101.66 |
— |
Arthroscopy shoulder distal claviculectomy (29824)
range across 2 matching MRF lines |
— |
$25,585.07–$31,709.75 |
— |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
— |
$47,400.24 |
— |
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895)
range across 2 matching MRF lines |
— |
$21,607.01–$25,001.17 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$68,762.30 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines |
— |
$32,567.80–$37,303.38 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines |
— |
$25,585.07–$32,098.29 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
— |
$38,347.52–$39,482.76 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$62,418.33 |
— |
Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446)
range across 2 matching MRF lines |
— |
$51,805.57–$62,374.64 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 3 matching MRF lines |
— |
$60,486.65–$63,546.15 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$36,974.83 |
— |
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 2 matching MRF lines |
— |
$18,162.20–$27,260.90 |
— |
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 2 matching MRF lines |
— |
$22,966.45–$31,640.73 |
— |
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 2 matching MRF lines |
— |
$18,926.81–$22,323.62 |
— |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
— |
$17,508.17 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$152,398.27 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$152,398.27 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$28,129.14 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$14,381.72 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$81,696.05 |
— |
| Biopsy of rectum (45100) |
— |
$46,276.87 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$31,961.85 |
— |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
— |
$20,015.12 |
— |
| Blood Transfusion Service (36430) |
— |
$2,035.02 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$14,597.99 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$25,786.32 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$32,878.06 |
— |
Carpal Tunnel Surgery (64721)
range across 4 matching MRF lines |
— |
$12,896.57–$15,115.64 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$631.53 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$76,925.25 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$48,146.52 |
— |
| Chemical Cautery Tissue (17250) |
— |
$1,815.23 |
— |
| Circumcision 28 days or older (54161) |
— |
$23,213.20 |
— |
| Circumcision Neonate (54160) |
— |
$5,150.42 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$5,515.99 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$36,589.85 |
— |
Closed Rx Metacarpal Fx,Percut (26608)
range across 2 matching MRF lines |
— |
$15,444.93–$19,112.67 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$24,970.27 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$18,280.32 |
— |
| Closed tx septal&nose fx (21337) |
— |
$22,935.82 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$19,700.60 |
— |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
— |
$78,513.93 |
— |
| Closure of urethrovaginal fistula; Facility (57310) |
— |
$78,513.93 |
— |
| Closure of vesicovaginal fistula; transvesical and vaginal approach Facility (57330) |
— |
$78,513.93 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$36,589.85 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$36,589.85 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$19,700.60 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$14,629.59 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$19,700.60 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$14,437.20 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$14,437.20 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$14,437.20 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$14,437.20 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$14,437.20 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$14,227.19 |
— |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
— |
$78,513.93 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$46.57 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$11,516.14 |
— |
| Colonoscopy thru stoma (44388) |
— |
$12,173.62 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$15,604.54 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$12,363.04 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$23,411.36 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$19,094.44 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$12,801.56 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$20,509.92 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$16,992.66 |
— |
| Combined anteroposterior colporrhaphy; (57260) |
— |
$78,513.93 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$15,763.67 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$23,062.64 |
— |
| Correction hammertoe (28285) |
— |
$24,387.73 |
— |
Corrj hallux valgus w/sesmdc w/dist metar osteot (28296)
range across 3 matching MRF lines |
— |
$24,176.99–$25,119.60 |
— |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
— |
$17,367.12 |
— |
| Curettage postpartum (59160) |
— |
$48,772.14 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$21,039.28 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$30,888.71 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$28,687.25 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$30,888.71 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$21,018.23 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$26,559.12 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$18,056.50 |
— |
| Cysto w/up stricture tx (52342) |
— |
$63,312.94 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$63,312.94 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$23,724.17 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$37,351.84 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$23,579.32 |
— |
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351)
range across 3 matching MRF lines |
— |
$23,443.45–$25,605.19 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$36,027.37 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$33,837.87 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$63,312.94 |
— |
| Cystoscopy and radiotracer (52250) |
— |
$74,970.46 |
— |
| Cystoscopy implant stent (52282) |
— |
$30,884.77 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$13,953.07 |
— |
| Cystouretero w/excise tumor (52355) |
— |
$41,404.65 |
— |
| Cystouretero w/renal strict (52346) |
— |
$63,312.94 |
— |
| Cystourethroscopy (52000) |
— |
$18,851.19 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
— |
$57,934.29 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$63,312.94 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$16,993.14 |
— |
| Cystourethroscopy tx female urethral syndrome (52285) |
— |
$50,015.02 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$34,417.11 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$52,458.13 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$18,407.38 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$57,934.29 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$22,843.09 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$24,886.63 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$63,312.94 |
— |
| Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s), unilateral or bilateral Facility (52301) |
— |
$35,974.69 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$53,176.69 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$3,475.74 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$20,856.47 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$2,638.58 |
— |
| Declot vascular device (36593) |
— |
$76,925.25 |
— |
Decompression of tibia nerve (28035)
range across 2 matching MRF lines |
— |
$14,529.80–$15,344.55 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$7,885.23 |
— |
Destroy lumb/sac facet jnt (64635)
range across 4 matching MRF lines |
— |
$4,052.14–$6,332.93 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$15,574.53 |
— |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
— |
$9,910.95 |
— |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
— |
$50,015.02 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$61,710.11 |
— |
| Dilate Urethra Stricture (53600) |
— |
$50,015.02 |
— |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
— |
$50,015.02 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$12,470.03 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$74,421.85 |
— |
| Drainage of finger abscess simple (26010) |
— |
$10,619.37 |
— |
| Drainage of gum lesion (41800) |
— |
$17,682.01 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$20,682.70 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$1,266.22 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$16,936.36 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$3,679.07 |
— |
| Dx laryngoscopy w/oper scope (31526) |
— |
$18,960.11 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$80,676.75 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$44,915.66 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$19,652.34 |
— |
| Egd cautery tumor polyp (43250) |
— |
$20,872.51 |
— |
| Egd control bleeding any (43255) |
— |
$78,051.36 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$40,525.03 |
— |
| Egd endo mucosal resection (43254) |
— |
$40,525.03 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$40,525.03 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$25,161.62 |
— |
| Egd guide wire insertion (43248) |
— |
$17,437.12 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$40,525.03 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$44,915.66 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$44,915.66 |
— |
| Egd lesion ablation (43270) |
— |
$17,677.91 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$44,915.66 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$40,525.03 |
— |
| Egd place gastrostomy tube (43246) |
— |
$40,525.03 |
— |
| Egd remove lesion snare (43251) |
— |
$28,353.71 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$44,915.66 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$44,915.66 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$40,525.03 |
— |
| Egd Varices Ligation (43244) |
— |
$40,525.03 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$40,525.03 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$40,525.03 |
— |
| Embedded ip cath exit-site (49436) |
— |
$58,342.21 |
— |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
— |
$11,978.84 |
— |
| Endoscopic injection/implant (51715) |
— |
$16,408.36 |
— |
| Endoscopic us exam esoph (43237) |
— |
$11,049.90 |
— |
| Endoscopy of ureter (50953) |
— |
$63,312.94 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$46,745.08 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$10,927.15 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$78,513.93 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$88,997.63 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$44,276.88 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$46,745.08 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$14,977.94 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$46,745.08 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$46,745.08 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$46,745.08 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$43,297.28 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$10,399.15 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$46,745.08 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$46,745.08 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$46,745.08 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$30,940.76 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$30,940.76 |
— |
| Esophagoscp Guide Wire Dilat (43196) |
— |
$18,811.89 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$51,029.91 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$81,397.54 |
— |
| Exc Benign Tumor/Cyst Maxl Intra-Oral Osteot (21048) |
— |
$25,077.31 |
— |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
— |
$61,743.94 |
— |
| Exc Branchial Cleft Cyst Confined Skn&Subq Tis (42810) |
— |
$39,911.18 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$32,749.19 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$9,388.09 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$32,653.15 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$20,694.79 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$50,354.61 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$19,383.89 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$19,507 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$11,379.68 |
— |
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines |
— |
$18,283.70–$24,641.86 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$24,641.86 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$9,183.71 |
— |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
— |
$9,183.71 |
— |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
— |
$9,183.71 |
— |
Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410)
range across 2 matching MRF lines |
— |
$36,381.89–$39,842.51 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$62,837.21 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$14,769.77 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$14,930.11 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$18,586.34 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$37,129.98 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$18,510.26 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$23,762.28 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$44,276.88 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$44,276.88 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$12,979.68 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$44,249.83 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$44,249.83 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$23,762.28 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$14,726.45 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$44,276.88 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$44,276.88 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$44,276.88 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$18,277.87 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$44,249.83 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$21,103.85 |
— |
Exc Varicocele/Ligation Spermatic Veins Spx (55530)
range across 2 matching MRF lines |
— |
$39,554.96–$40,847.64 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$28,895.31 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$62,837.21 |
— |
Excision inferior turbinate partial/complete (30130)
range across 4 matching MRF lines |
— |
$23,903.73–$27,241.62 |
— |
| Excision lesion mouth roof (42104) |
— |
$16,905.04 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$9,183.71 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$62,837.21 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$62,837.21 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$62,837.21 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$62,837.21 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$37,129.98 |
— |
| Excision Nasal Polyp Extensive (30115) |
— |
$23,278.52 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$29,162.46 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
— |
$44,276.88 |
— |
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines |
— |
$16,615.89–$20,759.21 |
— |
Excision of hydrocele; unilateral (55040)
range across 3 matching MRF lines |
— |
$28,584.36–$33,606.74 |
— |
Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415)
range across 2 matching MRF lines |
— |
$41,585.99–$42,003.37 |
— |
Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420)
range across 3 matching MRF lines |
— |
$34,158.82–$42,016.76 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$18,728.39 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$11,469.59 |
— |
| Excision of sublingual gland (42450) |
— |
$32,439.25 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$35,878.37 |
— |
Excision olecranon bursa (24105)
range across 2 matching MRF lines |
— |
$17,237.50–$19,053.30 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$19,656.83 |
— |
| Excision prepatellar bursa (27340) |
— |
$18,406 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$58,342.21 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$33,950.78 |
— |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
— |
$29,135.12 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$81,397.54 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$52,967.08 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$52,967.08 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$44,276.88 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$14,521.89 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$44,276.88 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$44,276.88 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$81,397.54 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$81,397.54 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$81,397.54 |
— |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
— |
$44,276.88 |
— |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
— |
$44,276.88 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
— |
$44,276.88 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
— |
$44,276.88 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$20,028.18 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$10,837.54 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$44,276.88 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$58,342.21 |
— |
| Exploration of knee joint (27310) |
— |
$23,313.94 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$32,891.89 |
— |
| Exploratory elbow surgery (24000) |
— |
$14,499.97 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$16,639.07 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$13,453.76 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$52,967.08 |
— |
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines |
— |
$11,312.53–$20,862.89 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$1,928.70 |
— |
| Fetal non-stress test (59025) |
— |
$1,227.71 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$30,005.03 |
— |
| Fusion of foot bones (28740) |
— |
$52,976.30 |
— |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
— |
$28,780.47 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$84,482.04 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$15,071.85 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$18,801.03 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$12,201.96 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$20,213.58 |
— |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
— |
$34,612.05 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$15,158.40 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$18,357.20 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$17,104.57 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$34,612.05 |
— |
| I&d abscess simple (10060) |
— |
$12,590.93 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$18,535.80 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$46,745.08 |
— |
| Implant Neuroelectrodes (64561) |
— |
$57,633.29 |
— |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
— |
$87,626.85 |
— |
| Incise finger tendon sheath (26055) |
— |
$15,037.28 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$25,142.40 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$13,537.69 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$15,293.38 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$13,371.75 |
— |
| Incision of eardrum (69421) |
— |
$14,891.38 |
— |
Incision of eardrum (69420)
range across 2 matching MRF lines |
— |
$17,356.42–$18,813.61 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,605.71 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$4,092.21 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$100,036.31 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$74,421.85 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$100,036.31 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$100,036.31 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$100,036.31 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$100,036.31 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$100,036.31 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$100,036.31 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$100,036.31 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$100,036.31 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,698.72 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$74,421.85 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,660.50 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$3,020.71 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$36,288.81 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$63,886.24 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$31,474.20 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$158,463.70 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$60,653.57 |
— |
| Insert cath pleura w/ image (32557) |
— |
$33,674.97 |
— |
| Insert cath pleura w/o image (32556) |
— |
$33,674.97 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$56,967.81 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$58,997.18 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$58,194.66 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$69,796.61 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$32,455.96 |
— |
| Insert tunneled cv cath (36561) |
— |
$18,460.31 |
— |
| Insert tunneled cv cath (36563) |
— |
$58,194.66 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$58,045.42 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$52,823.19 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$33,674.97 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$75,554.34 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$47,100.92 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$75,554.34 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$104,303.95 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$104,303.95 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$104,303.95 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$58,194.66 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$58,194.66 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$58,194.66 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$23,650.89 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$186,058.35 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$53,993.37 |
— |
Insrt heart pm atrial & vent (33208)
range across 2 matching MRF lines |
— |
$59,911.25–$61,527.62 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$683.07 |
— |
Irrigation maxillary sinus (31000)
range across 2 matching MRF lines |
— |
$17,451.33–$25,910.59 |
— |
| Kidney endoscopy (50553) |
— |
$63,312.94 |
— |
| Kidney endoscopy (50551) |
— |
$63,312.94 |
— |
| Lap replace gastr adj device (43773) |
— |
$40,525.03 |
— |
| Lap revision perm ip cath (49325) |
— |
$58,342.21 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$46,718.70 |
— |
| Laparoscopy aspiration (49322) |
— |
$34,964.95 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$40,525.03 |
— |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650)
range across 2 matching MRF lines |
— |
$50,420.59–$55,042.54 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$50,931.74 |
— |
Laparoscopy w/rmvl adnexal structures (58661)
range across 4 matching MRF lines |
— |
$25,799.86–$33,740.02 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$51,248.72 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$40,525.03 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$40,525.03 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$43,284.57 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$159,466.25 |
— |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
— |
$53,445.26 |
— |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
— |
$27,994.70 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$40,525.03 |
— |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
— |
$18,954.15 |
— |
| Laryngoscopy and dilation (31528) |
— |
$20,445.28 |
— |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
— |
$21,470.18 |
— |
| Laryngoscopy W/Biopsy (31535) |
— |
$19,747.25 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$19,999.61 |
— |
Larynscop w/tumr exc + scope (31541)
range across 2 matching MRF lines |
— |
$21,156.54–$21,357.91 |
— |
| Laser vaporization of prostate (52648) |
— |
$38,453.24 |
— |
| Late closure of wound (13160) |
— |
$58,342.21 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$20,869.98 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$53,247.69 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$44,353.87 |
— |
Lithotripsy, extracorporeal shock wave (50590)
range across 3 matching MRF lines |
— |
$17,178.62–$17,841.13 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$124,927.83 |
— |
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines |
— |
$11,357.19–$13,180.29 |
— |
| Maternity Care Procedure (59899) |
— |
$35,935 |
— |
Myringoplasty (69620)
range across 3 matching MRF lines |
— |
$17,243.51–$23,743.22 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$100,036.31 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$100,036.31 |
— |
| N block inj intercost sng (64420) |
— |
$100,036.31 |
— |
| N Block Inj Paracervical (64435) |
— |
$100,036.31 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$100,036.31 |
— |
| N Block Inj Pudendal (64430) |
— |
$100,036.31 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$100,036.31 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$100,695.76 |
— |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
— |
$34,142.63 |
— |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
— |
$34,142.63 |
— |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
— |
$27,110.03 |
— |
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 2 matching MRF lines |
— |
$31,389.21–$32,931.44 |
— |
Nasal/Sinus Ndsc W/Total Ethoidectomy (31255)
range across 4 matching MRF lines |
— |
$29,115.16–$35,584.46 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$46,745.08 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$48.68 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$48.68 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines |
— |
$15,756.45–$18,397.47 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,540.42 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$100,036.31 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines |
— |
$6,737.37–$11,891.24 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$4,959.30 |
— |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 3 matching MRF lines |
— |
$4,752.82–$4,846.68 |
— |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 4 matching MRF lines |
— |
$27,751.08–$31,115.52 |
— |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
— |
$29,042.17 |
— |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
— |
$1,442.38–$1,650.64 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$77,292.80 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines |
— |
$14,227.19–$45,513.15 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$83,752.49 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$83,752.49 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$28,830.25 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$53,176.69 |
— |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines |
— |
$41,370.83–$47,762.78 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
— |
$43,068.52 |
— |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
— |
$43,068.52 |
— |
| Open treatment of nasal septal fracture, with or without stabilization Facility (21336) |
— |
$30,023.61 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$77,292.80 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$77,292.80 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$53,176.69 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$77,292.80 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$77,292.80 |
— |
| Open Treatment Tarsal Bone Dislocation (28555) |
— |
$22,486.34 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$16,114.50 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$56,426.41 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$83,752.49 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$33,637.41 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$20,961.85 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$83,752.49 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 3 matching MRF lines |
— |
$15,588.17–$43,749.88 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$46,355.38 |
— |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608)
range across 3 matching MRF lines |
— |
$37,988.77–$44,567.81 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$77,292.80 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$83,752.49 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$83,752.49 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$28,193.35 |
— |
Ostectomy calcaneus (28118)
range across 3 matching MRF lines |
— |
$23,762.28–$36,642.43 |
— |
Ostectomy, complete excision; fifth metatarsal head (28113)
range across 2 matching MRF lines |
— |
$22,293.66–$26,287.10 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$18,946.45 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$43,068.52 |
— |
Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308)
range across 3 matching MRF lines |
— |
$24,289.26–$34,483.21 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$43,068.52 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$81,599.85 |
— |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
— |
$42,061.44 |
— |
| Paravaginal defect repair (including repair of cystocele, stress urinary incontinence, and/or incomplete vaginal… (57284) |
— |
$78,513.93 |
— |
| Part remv talus or calcaneus (28120) |
— |
$41,526.83 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$21,421.67 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$16,729.66 |
— |
| Partial removal of thyroid (60220) |
— |
$30,992.17 |
— |
| Partial removal of tongue (41120) |
— |
$9,183.71 |
— |
| Partial thyroid excision (60212) |
— |
$38,858.26 |
— |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
— |
$36,393.28 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$18,374.48 |
— |
| Pereyra procedure, including anterior colporrhaphy Facility (57289) |
— |
$78,513.93 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$62,574.17 |
— |
| Plastic Repair Introitus (56800) |
— |
$78,513.93 |
— |
| Plastic Repair Of Urethrocele (57230) |
— |
$78,513.93 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$78,513.93 |
— |
| Prim art mech thrombectomy (37184) |
— |
$76,925.25 |
— |
| Prostate laser enucleation (52649) |
— |
$192,726.34 |
— |
| Prostatic microwave thermotx (53850) |
— |
$53,685.47 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$74,577.01 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$20,664.85 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$74,577.01 |
— |
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines |
— |
$19,376.53–$19,567.24 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$76,925.25 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$59,034.81 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$18,978.06 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$53,197.78 |
— |
| Pvb thoracic cont infusion (64463) |
— |
$100,036.31 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$100,036.31 |
— |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
— |
$44,249.83 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$44,276.88 |
— |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
— |
$9,183.71 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$81,397.54 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$52,967.08 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$52,967.08 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
— |
$44,276.88 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
— |
$44,249.83 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$20,287.68 |
— |
| Re-explore parathyroids (60502) |
— |
$96,103.36 |
— |
| Realignment of knee (27455) |
— |
$83,752.49 |
— |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
— |
$26,252.93 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$21,915.27 |
— |
Removal Foreign Body Foot Subcutaneous (28190)
range across 2 matching MRF lines |
— |
$10,702.08–$15,256.22 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines |
— |
$14,821.27–$17,459.70 |
— |
| Removal Implant Deep (20680) |
— |
$19,956.93 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$13,777.32 |
— |
| Removal of adenoids (42831) |
— |
$17,050.04 |
— |
| Removal of adenoids (42830) |
— |
$17,607.86 |
— |
| Removal of bladder cyst (51500) |
— |
$58,342.21 |
— |
Removal of heel spur (28119)
range across 2 matching MRF lines |
— |
$14,145.22–$17,382.66 |
— |
| Removal of implant from finger or hand (26320) |
— |
$36,855.95 |
— |
| Removal of knee prosthesis (27488) |
— |
$97,470.86 |
— |
Removal of nail bed (11750)
range across 2 matching MRF lines |
— |
$12,216.04–$15,136.40 |
— |
| Removal of tonsils (42825) |
— |
$14,920.40 |
— |
| Removal of tonsils (42826) |
— |
$15,690.14 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$58,342.21 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$31,849.39 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$35,870.14 |
— |
| Remove drug implant device (11982) |
— |
$34,911.98 |
— |
| Remove hip pressure sore (15941) |
— |
$44,276.88 |
— |
| Remove hip pressure sore (15940) |
— |
$44,276.88 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$122,419.54 |
— |
| Remove Pulse Generator (33241) |
— |
$158,463.70 |
— |
| Remove sacrum pressure sore (15937) |
— |
$81,397.54 |
— |
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines |
— |
$18,778.52–$22,651.05 |
— |
| Remove thigh pressure sore (15951) |
— |
$44,276.88 |
— |
| Remove thigh pressure sore (15956) |
— |
$44,276.88 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$154,435.45 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$56,585.77 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$60,328.38 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
— |
$57,934.29 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$63,312.94 |
— |
| Repair Bladder-Vagina Lesion (57320) |
— |
$78,513.93 |
— |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
— |
$36,950.73 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$18,277.87 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$68,283.62 |
— |
Repair Fistula Oromaxillary (30580)
range across 2 matching MRF lines |
— |
$35,584.46–$38,663.06 |
— |
| Repair Hallux Rigidus (28289) |
— |
$16,818.52 |
— |
| Repair incomplete circumcision (54163) |
— |
$12,369.81 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$47,286.99 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$58,967.47 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$20,527.38 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$18,510.26 |
— |
| Repair Nasal Vestibular Stenosis (30465) |
— |
$24,970.27 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$83,752.49 |
— |
| Repair of anal sphincter (46760) |
— |
$20,601.64 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$32,420.54 |
— |
| Repair of metatarsals (28322) |
— |
$21,766.86 |
— |
| Repair of nail bed (11760) |
— |
$18,151.70 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$77,292.80 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$77,292.80 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$83,752.49 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$83,752.49 |
— |
| Repair of rectocele (45560) |
— |
$78,513.93 |
— |
| Repair radius & ulna (25415) |
— |
$77,292.80 |
— |
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines |
— |
$31,822.53–$38,270.56 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$40,937.30 |
— |
| Repair umbilical lesion (49600) |
— |
$58,342.21 |
— |
| Repair webbed toe(s) (28345) |
— |
$52,967.08 |
— |
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines |
— |
$25,499.33–$33,679.15 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$14,890.89 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$32,849.37 |
— |
| Resect back tum < 5 cm (21935) |
— |
$81,397.54 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$44,276.88 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$15,509.37 |
— |
Resection, partial or complete, phalangeal base, each toe (28126)
range across 2 matching MRF lines |
— |
$14,654.86–$20,537.62 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
— |
$49,367.98 |
— |
| Revis reconst shoulder joint (23473) |
— |
$76,744.76 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$44,763.36 |
— |
Revise Hand/Foot Nerve (64704)
range across 3 matching MRF lines |
— |
$20,339.69–$34,070.74 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$23,062.64 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$59,444.86 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$9,212.45 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$49,367.98 |
— |
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 4 matching MRF lines |
— |
$11,466.59–$17,463.39 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$18,039.88 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$44,276.88 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$158,463.70 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$32,392.42 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$71,412.89 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$38,092.99 |
— |
Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675)
range across 2 matching MRF lines |
— |
$26,127.40–$31,753.65 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$30,561.32 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$44,898.21 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$20,367.16 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$83,752.49 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$21,947.27 |
— |
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines |
— |
$23,558.10–$27,053.01 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$19,507 |
— |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
— |
$13,999.91 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$12,905.24 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$44,898.21 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$44,898.21 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$44,898.21 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$44,898.21 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$19,811.58 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$38,578.35 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$38,578.35 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$32,749.19 |
— |
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines |
— |
$10,416.59–$11,039.77 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$12,881.98 |
— |
| Skin Tissue Procedure (17999) |
— |
$65,957.20 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$43,180.87 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$38,578.35 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$38,578.35 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$38,578.35 |
— |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
— |
$20,601.64 |
— |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
— |
$20,601.64 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$80,676.75 |
— |
| Strapping Hip (29520) |
— |
$340.55 |
— |
| Strapping knee (29530) |
— |
$523.61 |
— |
| Strapping thorax (29200) |
— |
$622.97 |
— |
| Strapping Unna Boot (29580) |
— |
$961.93 |
— |
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 3 matching MRF lines |
— |
$27,221.14–$30,049.66 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$30,926.14 |
— |
| Syndactylization toes (28280) |
— |
$14,654.86 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$59,034.81 |
— |
| Tenolysis cplx xtnsr tendon finger w/forearm ea (26449) |
— |
$215,708.80 |
— |
| Tenolysis extensor foot single tendon (28225) |
— |
$18,140.40 |
— |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
— |
$25,579.50 |
— |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
— |
$215,708.80 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$76,925.25 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$76,925.25 |
— |
| Thyroidectomy, total or complete (60240) |
— |
$41,468.80 |
— |
Tnot elbow lateral/medial debride open (24358)
range across 2 matching MRF lines |
— |
$15,629.30–$18,983.76 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$16,002.28 |
— |
| Tooth extraction (41899) |
— |
$23,523.93 |
— |
| Total Knee Arthroplasty (27447) |
— |
$59,009.01 |
— |
| Transfer skin pedicle flap (15650) |
— |
$41,526.83 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$24,823.61 |
— |
| Transrectal abltj mal prst8 tissue hifu w/us (55880) |
— |
$53,685.47 |
— |
| Transur electr resection of prostate (52601) |
— |
$44,484.46 |
— |
| Transurethral resection bladder neck (52500) |
— |
$39,986.96 |
— |
| Treat ankle fracture (28445) |
— |
$37,456.47 |
— |
| Treat ectopic pregnancy (59151) |
— |
$63,171.61 |
— |
| Treat Elbow Fracture (24635) |
— |
$77,292.80 |
— |
| Treat elbow fracture (24587) |
— |
$77,292.80 |
— |
| Treat fracture radius/ulna (25575) |
— |
$55,517.08 |
— |
Treat Fx Rad Extra-Articul (25607)
range across 2 matching MRF lines |
— |
$34,150.67–$40,049.37 |
— |
| Treat humerus fracture (24500) |
— |
$14,437.20 |
— |
| Treat Humerus Fracture (24505) |
— |
$14,437.20 |
— |
Treat kneecap dislocation (27566)
range across 2 matching MRF lines |
— |
$31,640.73–$43,113.20 |
— |
| Treat lower leg dislocation (27832) |
— |
$83,752.49 |
— |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
— |
$53,685.47 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$14,499.97 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$14,843.90 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$25,068.24 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$70,095.92 |
— |
Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610)
range across 3 matching MRF lines |
— |
$14,471.19–$28,018.41 |
— |
| Tympanolysis transcanal (69450) |
— |
$11,466.59 |
— |
Tympanoplasty (69631)
range across 3 matching MRF lines |
— |
$25,416.40–$35,135.66 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
— |
$33,855.31 |
— |
Tympanostomy general anesthesia (69436)
range across 4 matching MRF lines |
— |
$12,886.18–$15,315.99 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$18,644.60 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$40,525.03 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$38,683.99 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$53,176.69 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$13,222.60 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$20,750.86 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$14,437.20 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$45,354.24 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$47,193.53 |
— |
| Unlisted procedure liver (47399) |
— |
$18,644.60 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$66,715.33 |
— |
| Unlisted procedure nervous system (64999) |
— |
$100,036.31 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$96,732.15 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$49,312.69 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$48,666.02 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$110,380.25 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$65,194.12 |
— |
| Unlisted procedure, vestibule of mouth (40899) |
— |
$96,732.15 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$78,513.93 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
— |
$122,419.54 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$63,312.94 |
— |
| Uvulectomy excision of uvula (42140) |
— |
$15,581.62 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$18,644.60 |
— |
| Vaginal delivery only (59409) |
— |
$18,644.60 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$41,851.68 |
— |
| Vaginoplasty for intersex state Facility (57335) |
— |
$78,513.93 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$15,987.02 |
— |
Ventilating tube removal requiring general anesthesia (69424)
range across 2 matching MRF lines |
— |
$11,134.55–$15,846.20 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$62,837.21 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$62,837.21 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$76,925.25 |
— |