| Abd paracentesis w/imaging (49083) |
— |
$2,294 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,943 |
— |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
range across 4 matching MRF lines |
— |
$18,404–$27,606 |
— |
Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983)
range across 2 matching MRF lines |
— |
$17,629–$26,444 |
— |
| Acne surgery (10040) |
— |
$425 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$11,548 |
— |
| Allogeneic lymphocyte infusions (38242) |
— |
$5,107 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$821 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$538 |
— |
| Anoscopy diagnostic (46600) |
— |
$345 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$2,438 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$5,654 |
— |
| Apheresis Platelets (36513) |
— |
$3,900 |
— |
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450)
range across 2 matching MRF lines |
— |
$875–$1,313 |
— |
| Application cast elbow finger short arm (29075) |
— |
$1,512 |
— |
Application Cast Finger (29086)
range across 3 matching MRF lines |
— |
$428–$642 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$1,120 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$469 |
— |
Application finger splint static (29130)
range across 2 matching MRF lines |
— |
$1,019–$1,529 |
— |
| Application Halo Type Body Cast (29000) |
— |
$3,347 |
— |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
— |
$614–$921 |
— |
| Application Long Leg Cast Brace (29358) |
— |
$1,500 |
— |
Application Long Leg Cast Walker/Ambulatory Type (29355)
range across 2 matching MRF lines |
— |
$1,571–$2,357 |
— |
Application Long Leg Splint (29505)
range across 3 matching MRF lines |
— |
$886–$1,329 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$650 |
— |
| Application of long leg cast (29345) |
— |
$946 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$668 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$599 |
— |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
— |
$590–$885 |
— |
| Apply hand/wrist cast (29085) |
— |
$970 |
— |
| Apply long arm cast (29065) |
— |
$1,588 |
— |
| Apply Short Leg Cast (29405) |
— |
$1,170 |
— |
Apply short leg cast (29425)
range across 2 matching MRF lines |
— |
$854–$1,281 |
— |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
— |
$1,605 |
— |
| Arterial puncture (36600) |
— |
$276 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
— |
$1,575–$2,363 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines |
— |
$2,293–$3,440 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
— |
$2,133–$3,200 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$2,454–$3,681 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
— |
$844–$1,266 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
— |
$22,000 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$15,397 |
— |
| Arthrotomy W/Biopsy Hip Joint (27052) |
— |
$3,404 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$13,307 |
— |
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines |
— |
$3,048–$4,572 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$2,550 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$1,885 |
— |
| Aspiration & Injection Treatment Bone Cyst (20615) |
— |
$2,100 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$1,361 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$4,082 |
— |
| Aspiration Bladder Needle (51100) |
— |
$653 |
— |
| Aspiration bladder trocar/intracatheter (51101) |
— |
$1,625 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$788–$1,050 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$6,693 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$3,327 |
— |
| Biopsy bone open deep (20245) |
— |
$5,969 |
— |
| Biopsy bone open superficial (20240) |
— |
$5,969 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$4,596 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,468 |
— |
| Biopsy external ear (69100) |
— |
$872 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,327 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$2,763 |
— |
| Biopsy nail unit (11755) |
— |
$1,361 |
— |
| Biopsy of lip (40490) |
— |
$1,800 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$3,456 |
— |
| Biopsy of penis (54100) |
— |
$3,327 |
— |
| Biopsy of rectum (45100) |
— |
$3,656 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$3,327 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$2,125 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$7,050 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,327 |
— |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
— |
$3,675 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$3,327 |
— |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
— |
$3,327 |
— |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
— |
$3,327 |
— |
| Biopsy Testis Needle Separate Procedure (54500) |
— |
$5,969 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$4,200 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$2,573 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$12,810 |
— |
| Bladder Scan (51798) |
— |
$274 |
— |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
— |
$4,800 |
— |
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines |
— |
$2,288–$3,432 |
— |
| Blood Transfusion Service (36430) |
— |
$2,250 |
— |
| Blood/Lymph System Procedure (38999) |
— |
$3,700 |
— |
| Bone Marrow Biopsy (38221) |
— |
$3,327 |
— |
| Bone marrow harvest allogen (38230) |
— |
$5,000 |
— |
| Bone Marrow Harvest Autolog (38232) |
— |
$9,987 |
— |
Bone Marrow; Aspiration Only (38220)
range across 2 matching MRF lines |
— |
$2,925–$4,388 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$4,583 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$3,327 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$3,327 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,327 |
— |
| Bx Cervix (57500) |
— |
$5,643 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$6,484 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$13,000 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$434 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$5,578 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$2,100 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$665 |
— |
| Change of Windpipe Airway (31502) |
— |
$605 |
— |
| Change ureter stent percut (50382) |
— |
$4,082 |
— |
| Chemical Cautery Tissue (17250) |
— |
$788 |
— |
| Chemical Pleurodesis (32560) |
— |
$2,325 |
— |
Chemodenerv 1 extrem 5/> mus (64644)
range across 3 matching MRF lines |
— |
$1,953–$2,033 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,781 |
— |
| Chemodenerv Eccrine Glands (64650) |
— |
$840 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$630 |
— |
Chemodenerv musc neck dyston (64616)
range across 3 matching MRF lines |
— |
$3,018–$4,527 |
— |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
— |
$826 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,821 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$2,064 |
— |
| Chemodenervation eccrine glands oth area per day (64653) |
— |
$1,050 |
— |
| Chemodenervation of internal anal sphincter (46505) |
— |
$1,463 |
— |
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 4 matching MRF lines |
— |
$2,245–$4,490 |
— |
| Chest tube placement (32551) |
— |
$2,730 |
— |
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688)
range across 2 matching MRF lines |
— |
$4,082–$6,123 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$6,693 |
— |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
— |
$6,300 |
— |
| Circumcision 28 days or older (54161) |
— |
$1,971 |
— |
| Circumcision Neonate (54160) |
— |
$1,421 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$2,461 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$3,404 |
— |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
— |
$280–$420 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$9,700 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$9,000 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$1,724 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$3,572 |
— |
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 2 matching MRF lines |
— |
$1,323–$1,985 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$1,875 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$2,500 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$1,408 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,156 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$3,404 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$1,800 |
— |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
— |
$2,500 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$1,680 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$3,404 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$1,680 |
— |
Closed tx femoral fracture prox head w/o manj (27267)
range across 2 matching MRF lines |
— |
$6,484–$9,726 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$1,816 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$4,725 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$2,730 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$3,404 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$985 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$1,255 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$3,404 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,617 |
— |
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines |
— |
$3,404–$5,106 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$1,476 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$3,974 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$2,500 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$1,800 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$3,574 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$3,404 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$1,800 |
— |
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines |
— |
$1,246–$1,869 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,404 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$1,313 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$1,294 |
— |
| Closure Gastrostomy Surg (43870) |
— |
$6,722 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$1,662 |
— |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
— |
$10,984 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$2,500 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$3,515 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$2,344 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$975 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,435 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$3,404 |
— |
Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220)
range across 2 matching MRF lines |
— |
$3,083–$4,625 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$3,404 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$980 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
— |
$3,404 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$1,260 |
— |
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516)
range across 2 matching MRF lines |
— |
$2,373–$3,560 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,588 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$1,191 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$1,097 |
— |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750)
range across 2 matching MRF lines |
— |
$945–$1,260 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$2,244 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
— |
$4,080–$6,120 |
— |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
— |
$5,700 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,875 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$1,161 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$7,313 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$2,870 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$2,400 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$2,829 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$2,400 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,404 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$3,125 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$4,725 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$1,260 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$3,404 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$3,404 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$1,800 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$3,750 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$3,518 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$945 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$3,404 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$2,400 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,960 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$1,313 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$2,042 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$1,575 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$3,404 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$3,000 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$3,974 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$1,680 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$3,059 |
— |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 4 matching MRF lines |
— |
$1,875–$2,813 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$3,404 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$4,095 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$2,730 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$2,932 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$1,967 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$1,185 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$2,100 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$2,400 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$1,875 |
— |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
— |
$11,000 |
— |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
— |
$10,984 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$1,125 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$919 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$827 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$900 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$3,803 |
— |
| Complex Cystometrogram (51726) |
— |
$1,448 |
— |
| Complex drainage wound (10180) |
— |
$5,969 |
— |
| Composite Skin Graft (15760) |
— |
$3,891 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$4,198 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$3,071 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$2,100 |
— |
| Conversion ext bil drg cath (47535) |
— |
$6,693 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$3,616 |
— |
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines |
— |
$4,082–$6,123 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 5 matching MRF lines |
— |
$4,876–$7,314 |
— |
Create Eardrum Opening (69433)
range across 2 matching MRF lines |
— |
$2,348–$3,522 |
— |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
— |
$1,400 |
— |
| Csf shunt reprogram (62252) |
— |
$741 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$5,334 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$10,000 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$5,601 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$10,500 |
— |
| Cystometrogram W/Up (51727) |
— |
$1,740 |
— |
| Cystometrogram W/Vp (51728) |
— |
$2,701 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$9,300 |
— |
| Cystourethroscopy (52000) |
— |
$3,308 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$731 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$2,438 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,400 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,755 |
— |
| Debride nail 1-5 (11720) |
— |
$623 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$931 |
— |
| Declot vascular device (36593) |
— |
$736 |
— |
| Deep Muscle Biopsy (20205) |
— |
$3,454 |
— |
| Delivery of placenta (59414) |
— |
$1,400 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$2,340 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$4,119 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$640 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$1,313 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$1,918 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$3,891 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$900 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$12,331 |
— |
| Destruction of skin lesions (17106) |
— |
$1,772 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$1,800 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$1,313 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$2,413 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$244 |
— |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
— |
$3,446 |
— |
| Dilat rct strix spx under anes oth/thn local (45910) |
— |
$3,899 |
— |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
— |
$1,634 |
— |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
— |
$3,200 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$7,457 |
— |
| Dilate Urethra Stricture (53620) |
— |
$5,100 |
— |
| Dilate Urethra Stricture (53600) |
— |
$1,950 |
— |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
— |
$3,825 |
— |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
— |
$6,779 |
— |
| Dilation of vagina (57400) |
— |
$6,594 |
— |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
— |
$7,011 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,474 |
— |
| Drain Spinal Cord Cyst (62268) |
— |
$2,175 |
— |
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines |
— |
$1,358–$2,037 |
— |
| Drainage abscess parotid simple (42300) |
— |
$3,107 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$1,875 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,361 |
— |
| Drainage of finger abscess simple (26010) |
— |
$1,019 |
— |
| Drainage of gum lesion (41800) |
— |
$1,319 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,235 |
— |
| Drainage of hydrocele (55000) |
— |
$1,361 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$1,138 |
— |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
— |
$2,284 |
— |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
— |
$3,891 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$4,063 |
— |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines |
— |
$2,438–$3,657 |
— |
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines |
— |
$5,969–$8,954 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$3,689 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$3,652 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$3,652 |
— |
| Dx laryngoscopy w/oper scope (31526) |
— |
$7,100 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$2,796 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$4,829 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$3,236 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$3,720 |
— |
| Egd place gastrostomy tube (43246) |
— |
$4,225 |
— |
| Egd remove lesion snare (43251) |
— |
$4,125 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$824 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$805 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$341 |
— |
| Endometrial Biopsy (58100) |
— |
$684 |
— |
| Endoscopic injection/implant (51715) |
— |
$5,688 |
— |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
— |
$15,307 |
— |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
— |
$7,481 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$7,875 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$7,875 |
— |
Epidural Blood Patch (62273)
range across 2 matching MRF lines |
— |
$3,260–$3,407 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$4,621 |
— |
| Ercp duct stent placement (43274) |
— |
$7,555 |
— |
| Ercp remove forgn body duct (43275) |
— |
$6,152 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$2,916 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$5,291 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$5,475 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$6,015 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$3,616 |
— |
| Esophagoscopy rig transoral removal foreign body (43194) |
— |
$3,825 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$3,616 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$4,725 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$3,825 |
— |
| Esophagoscp Guide Wire Dilat (43196) |
— |
$4,284 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$521 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$10,010 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$1,361 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$3,851 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$3,327 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,361 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$1,427 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$1,575 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$3,327 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$4,206 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$3,327 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$3,493 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$3,668 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$2,324 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$4,044 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$5,969 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$3,840 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$5,891 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$5,969 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,654 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$1,785 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$2,558 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$3,924 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$8,769 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$21,000 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$6,693 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$3,785 |
— |
| Exchange Transfusion (36455) |
— |
$1,800 |
— |
| Exchange Transfusion Blood Newborn (36450) |
— |
$1,800 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$3,616 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$9,281 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$3,644 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$3,009 |
— |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
— |
$5,969 |
— |
Excision External Ear Partial Simple Repair (69110)
range across 2 matching MRF lines |
— |
$5,969–$8,954 |
— |
| Excision inferior turbinate partial/complete (30130) |
— |
$16,500 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$4,725 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$2,312 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$2,511 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$5,969 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$3,327 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$4,042 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$4,561 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$5,900 |
— |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
— |
$6,665 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$19,000 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$3,048 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$4,278 |
— |
| Excision of vaginal septum (57130) |
— |
$16,500 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
— |
$5,688 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$6,745 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$5,969 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$8,775 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$2,573 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,686 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,986 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$1,361 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$989 |
— |
Fixation contralateral testis separate procedure (54620)
range across 2 matching MRF lines |
— |
$10,010–$15,015 |
— |
| Fluid Pressure Muscle (20950) |
— |
$1,138 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$731 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$1,361 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,430 |
— |
| Foreskin manipulation (54450) |
— |
$1,728 |
— |
| Frenulotomy of penis (54164) |
— |
$7,508 |
— |
| Fusion of knuckle (26850) |
— |
$13,000 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,461 |
— |
| Head Surgery Procedure (21499) |
— |
$2,400 |
— |
| Hymenotomy Simple Incision (56442) |
— |
$4,266 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$6,594 |
— |
| I&d abscess peritonsillar (42700) |
— |
$1,190 |
— |
| I&d abscess simple (10060) |
— |
$696 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$5,969 |
— |
| I&D Intramural Im/Absc Transanal Anes (46045) |
— |
$7,508 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$4,713 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$6,484 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,641 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$1,910 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,595 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$4,725 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$3,333 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$3,327 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$3,537 |
— |
| Implant Neuroelectrodes (64561) |
— |
$25,127 |
— |
| Implant Spine Infusion Pump (62362) |
— |
$11,000 |
— |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication… (62351) |
— |
$11,411 |
— |
| Impression & Prepj Palatal Augmentation Prosthes (21082) |
— |
$19,674 |
— |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
— |
$20,559 |
— |
| Incise finger tendon sheath (26055) |
— |
$4,725 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$1,176 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$8,700 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,414 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,858 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$151 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$5,119 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$9,169 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$2,036 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$3,107 |
— |
| Incision of rectal abscess (46040) |
— |
$6,445 |
— |
| Incision of urethra (53025) |
— |
$4,082 |
— |
| Incision of urethra (53020) |
— |
$4,400 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$2,400 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,139 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$808 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$9,281 |
— |
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines |
— |
$1,333–$2,000 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,141 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines |
— |
$848–$1,272 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,892 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$1,918 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,918 |
— |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 4 matching MRF lines |
— |
$1,900–$3,563 |
— |
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 3 matching MRF lines |
— |
$666–$999 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,474 |
— |
| Injection for identification of sentinel node (38792) |
— |
$1,141 |
— |
| Injection Into Brain Canal (61055) |
— |
$1,425 |
— |
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines |
— |
$900–$1,350 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$805 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$1,297 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$2,763 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$6,300 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$2,250 |
— |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 4 matching MRF lines |
— |
$1,369–$2,211 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
— |
$1,904–$2,856 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$911 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$616 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$1,918 |
— |
| Inner ear surgery proc unlisted (69949) |
— |
$8,594 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$6,750 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$5,578 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$10,313 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$8,735 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$9,650 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$20,894 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$8,238 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$495 |
— |
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines |
— |
$3,295–$4,943 |
— |
Insert cath pleura w/o image (32556)
range across 2 matching MRF lines |
— |
$2,925–$4,388 |
— |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
— |
$3,688 |
— |
| Insert Drug Implant Device (11981) |
— |
$681 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$3,616 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$25,242 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$26,554 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$4,256 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$9,734 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$2,730 |
— |
| Insert pulse gen dual leads (33213) |
— |
$15,929 |
— |
| Insert pulse gen mult leads (33221) |
— |
$18,113 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$306 |
— |
| Insert tun ip cath perc (49418) |
— |
$5,485 |
— |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
— |
$6,535–$9,803 |
— |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 2 matching MRF lines |
— |
$7,123–$10,685 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$360 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$6,693 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,210 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$21,668 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$9,316 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$4,084 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$4,106 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$5,188 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$5,578 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,902 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$7,500 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$9,650 |
— |
Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560)
range across 2 matching MRF lines |
— |
$7,671–$11,507 |
— |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines |
— |
$5,578–$8,367 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$42,711 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$12,356 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$14,042 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$35,258 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$61,425 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$64,025 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$40,425 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,036 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,088 |
— |
| Intro cath dialysis circuit (36901) |
— |
$3,544 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$16,328 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$8,578 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,943 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,095 |
— |
| Kidney endoscopy (50553) |
— |
$4,613 |
— |
| Laparoscopy aspiration (49322) |
— |
$11,694 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$11,694 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$17,250 |
— |
Laparoscopy surgical orchiectomy (54690)
range across 2 matching MRF lines |
— |
$15,731–$23,597 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$11,694 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$16,500 |
— |
Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692)
range across 2 matching MRF lines |
— |
$16,500–$24,750 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$10,984 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$722 |
— |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$3,881 |
— |
| Late closure of wound (13160) |
— |
$5,325 |
— |
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines |
— |
$24,000–$36,000 |
— |
| Lyse chest fibrin init day (32561) |
— |
$1,515 |
— |
| Lysis of labial adhesions (56441) |
— |
$2,641 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$2,461 |
— |
| Manipulation spine requiring anesthesia (22505) |
— |
$4,900 |
— |
Manometric stds thru tube/ndwellg urtrl cath (50396)
range across 2 matching MRF lines |
— |
$1,421–$2,132 |
— |
| Manometric studies through ureterostomy or indwelling ureteral catheter Facility (50686) |
— |
$334 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$2,730 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$5,578 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,356 |
— |
| Myelography Lumbar Injection (62304) |
— |
$1,685 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$1,860 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$2,297 |
— |
N Block Inj Celiac Pelus (64530)
range across 2 matching MRF lines |
— |
$6,825–$10,238 |
— |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines |
— |
$1,711–$2,567 |
— |
| N block inj intercost sng (64420) |
— |
$1,600 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$888 |
— |
N Block Lumbar/Thoracic (64520)
range across 2 matching MRF lines |
— |
$4,405–$6,608 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$3,098 |
— |
| Nasal surgery procedure (30999) |
— |
$9,281 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$849 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$3,652 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$21,750 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$714 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$3,730 |
— |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
— |
$2,235–$3,353 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$3,327 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$1,032 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$1,559 |
— |
| Neuroeltrd Stim Post Tibial (64566) |
— |
$2,400 |
— |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
— |
$10,984 |
— |
| Nfct ds bact&fng gram neg org id & rx resist DNA (0142U) |
— |
$1,064 |
— |
| Nfct ds bact&fng gram pos org id & rx resist DNA (0141U) |
— |
$1,064 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$2,200 |
— |
| Nfct Ds Dna&Rna 21 Targets Sars-Cov-2 Amp Probe (0225U) |
— |
$2,200 |
— |
| Nfct ds fungal pathogen id DNA 15 fungal targets (0140U) |
— |
$393 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$993 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$3,250 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$6,693 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$1,987 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$1,625 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$2,324 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$7,313 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines |
— |
$1,512–$2,268 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 2 matching MRF lines |
— |
$1,588–$2,382 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$623 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$852 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$623 |
— |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
— |
$14,000 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,943 |
— |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
— |
$1,276–$1,914 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$8,034 |
— |
| Open implantation of neurostimulator electrode array; neuromuscular Facility (64580) |
— |
$8,040 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$23,000 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$24,045 |
— |
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines |
— |
$22,000–$33,000 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$23,000 |
— |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515)
range across 2 matching MRF lines |
— |
$22,000–$33,000 |
— |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506)
range across 2 matching MRF lines |
— |
$13,828–$20,742 |
— |
Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526)
range across 2 matching MRF lines |
— |
$24,000–$36,000 |
— |
Open Treatment Proximal Fibula/Shaft Fracture (27784)
range across 2 matching MRF lines |
— |
$22,000–$33,000 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$4,675 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$19,000 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$4,675 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$17,250 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$22,000 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$15,865 |
— |
Open/Perq Place Stent Same (37238)
range across 4 matching MRF lines |
— |
$15,514–$23,271 |
— |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
— |
$28,000 |
— |
| Osteoplasty Radius/Ulna Shortening (25390) |
— |
$40,000 |
— |
| Osteoplasty, femur; lengthening Facility (27466) |
— |
$18,034 |
— |
| Osteotomy of spine, including discectomy, anterior approach, single vertebral segment; cervical Facility (22220) |
— |
$8,328 |
— |
Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450)
range across 2 matching MRF lines |
— |
$18,000–$27,000 |
— |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
— |
$24,045 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$13,307 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$13,000 |
— |
| Partial removal of rib (21600) |
— |
$10,400 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$7,508 |
— |
Perc Cryo Ablate Renal Tum (50593)
range across 2 matching MRF lines |
— |
$19,825–$29,738 |
— |
Perc Rf Ablate Renal Tumor (50592)
range across 4 matching MRF lines |
— |
$11,694–$17,541 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$11,694 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$16,508 |
— |
Percut Drain/Inject Renal Cyst (50390)
range across 4 matching MRF lines |
— |
$1,361–$2,042 |
— |
Percut Mech Thrombectomy, Venous, Repeat (37188)
range across 4 matching MRF lines |
— |
$7,313–$10,970 |
— |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
— |
$17,250 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$5,775 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$17,657 |
— |
| Perq device breast 1st imag (19281) |
— |
$3,327 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$6,779 |
— |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
— |
$9,691 |
— |
| Perq p-art revsc 1 nm nt uni (33900) |
— |
$29,599 |
— |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
— |
$40,361 |
— |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
— |
$21,442 |
— |
| Perq p-art revsc st 1st nml native connj bi (33901) |
— |
$41,382 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,564 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$15,298 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$9,287 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$19,688 |
— |
| Photopheresis extracorporeal (36522) |
— |
$9,987 |
— |
Place Cath Subclavian Art (36225)
range across 4 matching MRF lines |
— |
$9,829–$14,744 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$6,225 |
— |
Place Cath Vertebral Art (36226)
range across 5 matching MRF lines |
— |
$12,923–$19,385 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$4,308 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$849 |
— |
| Placement of seton (46020) |
— |
$9,300 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$11,694 |
— |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines |
— |
$4,082–$6,123 |
— |
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines |
— |
$6,663–$9,995 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$6,779 |
— |
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693)
range across 2 matching MRF lines |
— |
$4,998–$7,497 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$6,500 |
— |
Prim art mech thrombectomy (37184)
range across 3 matching MRF lines |
— |
$18,136–$27,204 |
— |
| Proctopexy Perineal Approach (45541) |
— |
$6,763 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$4,278 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$3,825 |
— |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
— |
$7,042 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$6,693 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$9,375 |
— |
Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538)
range across 2 matching MRF lines |
— |
$11,411–$17,117 |
— |
Pseudoaneurysm Injection Trt (36002)
range across 2 matching MRF lines |
— |
$1,275–$1,913 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$720 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$852 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,361 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$1,474 |
— |
| Radical resection of tumor, femur or knee Facility (27365) |
— |
$9,900 |
— |
| Radical resection of tumor; tibia Facility (27645) |
— |
$9,182 |
— |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
— |
$28,000 |
— |
| Reconstruct extra finger (26587) |
— |
$7,314 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$7,694 |
— |
| Reduction of rectal prolapse (45900) |
— |
$2,017 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$4,903 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$9,020 |
— |
| Removal Anal Seton Other Marker (46030) |
— |
$3,825 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$2,048 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$690 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$17,250 |
— |
| Removal foreign body foot deep (28192) |
— |
$3,327 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$2,125 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$1,890 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
— |
$866–$1,299 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$1,496 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$6,900 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$3,327 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$998 |
— |
| Removal of adenoids (42830) |
— |
$17,250 |
— |
| Removal of anal fissure (46200) |
— |
$9,300 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$4,493 |
— |
| Removal of implant from finger or hand (26320) |
— |
$7,532 |
— |
| Removal of kidney stone (50081) |
— |
$10,660 |
— |
| Removal of nail bed (11750) |
— |
$854 |
— |
| Removal of skin wrinkles (15829) |
— |
$14,601 |
— |
| Removal of skull-mounted cranial neurostimulator pulse generator or receiver with cranioplasty, when performed Facility (61892) |
— |
$14,601 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$5,578 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$761 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$8,030 |
— |
| Removal ppm generator only (33233) |
— |
$8,506 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$425 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$3,250 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$4,094 |
— |
Removal sweat gland lesion (11450)
range across 2 matching MRF lines |
— |
$7,125–$10,688 |
— |
| Removal tong/halo applied by another individual (20665) |
— |
$889 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$567 |
— |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
— |
$5,785 |
— |
| Remove brain canal fluid (61050) |
— |
$1,069 |
— |
| Remove Brain Cavity Fluid (61020) |
— |
$6,300 |
— |
Remove cranial cavity fluid (61000)
range across 2 matching MRF lines |
— |
$4,200–$6,300 |
— |
| Remove drug implant device (11982) |
— |
$849 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$6,831 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$3,600 |
— |
| Remove foreign body from eye (65205) |
— |
$569 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$5,767 |
— |
| Remove Intrauterine Device (58301) |
— |
$699 |
— |
| Remove intrvas foreign body (37197) |
— |
$5,850 |
— |
Remove Lower Leg Bone Lesion (27635)
range across 3 matching MRF lines |
— |
$13,307–$19,961 |
— |
| Remove lung catheter (32552) |
— |
$1,856 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$658 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$6,693 |
— |
| Remove Pulse Generator (33241) |
— |
$6,112 |
— |
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines |
— |
$1,421–$2,132 |
— |
| Remove ureter stent percut (50384) |
— |
$3,689 |
— |
| Remove wrist joint cartilage (25107) |
— |
$13,000 |
— |
| Remove&replace pm gen singl (33227) |
— |
$20,764 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$902 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$57,506 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$59,915 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$55,298 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$22,606 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$23,702 |
— |
Renal Biopsy Perq (50200)
range across 2 matching MRF lines |
— |
$3,327–$4,991 |
— |
| Repair cleft lip/nasal (40700) |
— |
$11,375 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,305 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,365 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$852 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,305 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,305 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,370 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,305 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,370 |
— |
| Repair incomplete circumcision (54163) |
— |
$4,082 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$8,879 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$852 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$895 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$940 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$987 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,142 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,305 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$852 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$895 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,218 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$2,024 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$987 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$852 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$895 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,036 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$940 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,088 |
— |
| Repair lead pace-defib dual (33220) |
— |
$7,098 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$6,112 |
— |
| Repair of nail bed (11760) |
— |
$2,376 |
— |
| Repair of web finger (26562) |
— |
$12,000 |
— |
| Repair of web finger (26561) |
— |
$13,307 |
— |
| Repair tongue laceration (41252) |
— |
$5,400 |
— |
| Repair tongue laceration (41250) |
— |
$1,181 |
— |
| Repair umbilical lesion (49600) |
— |
$10,479 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$2,074 |
— |
| Replace G-J Tube Perc (49452) |
— |
$3,250 |
— |
| Replace g/c tube perc (49450) |
— |
$3,281 |
— |
| Replace/Revise Brain Shunt (62230) |
— |
$17,000 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$1,170 |
— |
| Reposition L Ventric Lead (33226) |
— |
$12,600 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$5,578 |
— |
| Reposition Venous Catheter (36597) |
— |
$2,730 |
— |
Repr elbow lat ligmnt w/tiss (24343)
range across 2 matching MRF lines |
— |
$13,307–$19,961 |
— |
Revision of lower leg tendon (27685)
range across 2 matching MRF lines |
— |
$14,000–$21,000 |
— |
| Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode… (64583) |
— |
$24,745 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$18,559 |
— |
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines |
— |
$4,082–$6,123 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$849 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$974 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$829 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$2,498 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$1,423 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$6,112 |
— |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
— |
$4,119 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$10,000 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$6,112 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$4,550 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,638 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,496 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,646 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$4,084 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,730 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$5,363 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$2,779 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$15,419 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$5,857 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$5,578 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$1,480 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$1,648 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$3,295 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$863 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$12,000 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,456 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$8,100 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$9,517 |
— |
Rpr Nsl Vlv Collapse W/Implt (30468)
range across 2 matching MRF lines |
— |
$16,000–$24,000 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$2,322 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$3,327 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$507 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$425 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$895 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$425 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$446 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$500 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$852 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$446 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$852 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$529 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$852 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$570 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$906 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$639 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$783 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$951 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$822 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$999 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$652 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,508 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,042 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$3,891 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,891 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$7,730 |
— |
| Skin Tissue Procedure (17999) |
— |
$1,700 |
— |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines |
— |
$14,034–$21,051 |
— |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 5 matching MRF lines |
— |
$9,201–$13,802 |
— |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 4 matching MRF lines |
— |
$21,678–$32,517 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$992 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,094 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,149 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,474 |
— |
| Strapping hand/finger (29280) |
— |
$840 |
— |
| Strapping Hip (29520) |
— |
$900 |
— |
| Subcutaneous Hormone Pellet Implantation (11980) |
— |
$849 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$11,582 |
— |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
— |
$19,125 |
— |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
— |
$12,750 |
— |
| Suture/repair testicular injury (54670) |
— |
$6,779 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$425 |
— |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
— |
$44,517 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$23,601 |
— |
| Tcat Rmvl Perm Ldls Pm (33275) |
— |
$10,144 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
— |
$19,000 |
— |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
— |
$7,900 |
— |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
— |
$9,400 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$3,404 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$9,987 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$10,969 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$6,188 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$6,130 |
— |
| Therapeutic plasma exchange (36514) |
— |
$4,178 |
— |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
— |
$6,600 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$18,148 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$5,578 |
— |
Thrombolytic Art Therapy (37211)
range across 2 matching MRF lines |
— |
$8,775–$13,163 |
— |
Thrombolytic Venous Therapy (37212)
range across 3 matching MRF lines |
— |
$6,136–$9,204 |
— |
| Thyroid biopsy (60100) |
— |
$2,438 |
— |
| Tooth extraction (41899) |
— |
$2,400 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$2,015 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$5,352 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$3,899 |
— |
| Transcatheter biopsy (37200) |
— |
$7,123 |
— |
| Transplant hand tendon (26480) |
— |
$8,500 |
— |
| Treat Dental Ridge Fracture (21440) |
— |
$7,050 |
— |
| Treat Finger Fracture Each (26727) |
— |
$22,000 |
— |
| Treat fracture radius/ulna (25575) |
— |
$6,298 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$11,411 |
— |
| Treat humerus fracture (24500) |
— |
$1,575 |
— |
| Treat Humerus Fracture (24505) |
— |
$3,048 |
— |
| Treat humerus fracture (23600) |
— |
$1,758 |
— |
| Treat knee fracture (27532) |
— |
$4,675 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$1,800 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$3,031 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$1,400 |
— |
| Treat Thumb Dislocation (26641) |
— |
$1,260 |
— |
| Treat Thumb Fracture (26645) |
— |
$3,404 |
— |
| Treat vagina infection (57150) |
— |
$533 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$6,090 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,221 |
— |
| Trim skin lesion (11055) |
— |
$425 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$513 |
— |
| Trim skin lesions over 4 (11057) |
— |
$624 |
— |
Trluml Balo Angiop 1St Art (37246)
range across 5 matching MRF lines |
— |
$15,221–$22,832 |
— |
Trluml Balo Angiop 1St Vein (37248)
range across 2 matching MRF lines |
— |
$10,424–$15,636 |
— |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
— |
$32,500 |
— |
| Trnsplj autologous hematopoietic cells per donor (38241) |
— |
$3,935 |
— |
| Trnsplj Hematopoietic Cell Boost (38243) |
— |
$3,494 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$9,700 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$665 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,305 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$3,059 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$3,404 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$1,800 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$14,924 |
— |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$7,883 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$9,750 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$8,000 |
— |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
— |
$11,000 |
— |
| Unlisted procedure colon (45399) |
— |
$4,300 |
— |
| Unlisted Procedure Esophagus (43499) |
— |
$3,400 |
— |
| Unlisted Procedure External Ear (69399) |
— |
$2,917 |
— |
Unlisted procedure forearm or wrist (25999)
range across 2 matching MRF lines |
— |
$2,600–$7,972 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$8,594 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$2,100 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$7,972 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$12,963 |
— |
| Unlisted procedure neck or thorax (21899) |
— |
$628 |
— |
| Unlisted procedure nervous system (64999) |
— |
$8,594 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$8,594 |
— |
| Unlisted procedure spine (22899) |
— |
$8,593 |
— |
Unlisted procedure stomach (43999)
range across 3 matching MRF lines |
— |
$5,300–$8,594 |
— |
| Unlisted Procedure Tongue Floor Mouth (41599) |
— |
$1,600 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$6,000 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$1,200 |
— |
| Unlisted procedure, orbit (67599) |
— |
$7,300 |
— |
Unlisted Procedure, Urinary System (53899)
range across 2 matching MRF lines |
— |
$2,500–$8,593 |
— |
| Unlisted Px Salivary Glands/Ducts (42699) |
— |
$5,100 |
— |
| Upgrade of pacemaker system (33214) |
— |
$19,950 |
— |
| Vaginal delivery only (59409) |
— |
$3,000 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$22,269 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$30,845 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$26,163 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$20,842 |
— |
| Vein Access Cutdown < 1 Yr (36420) |
— |
$276 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$626 |
— |
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines |
— |
$15,298–$22,947 |
— |
| Wedge excision skin nail fold (11765) |
— |
$1,194 |
— |
| Wedging of cast (29740) |
— |
$567 |
— |
| Wedging of clubfoot cast (29750) |
— |
$567 |
— |
| Windowing of cast (29730) |
— |
$353 |
— |
| Xtrnl fixj w/strtctc adjustment exchange strut (20697) |
— |
$5,386 |
— |