| Abd paracentesis w/imaging (49083) |
$854 |
$2,903.72 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$854 |
$2,763.75 |
1.0× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$10,014 |
$6,428.70 |
1.0× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$10,014 |
$22,129.70 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$16,518 |
$23,725.80 |
1.0× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$6,836 |
$17,789.40 |
1.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,943 |
$2,956.95 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,943 |
$3,889.97 |
1.0× |
| Amniocentesis diagnostic (59000) |
$867 |
$1,647.70 |
1.0× |
| Amniocentesis therapeutic (59001) |
$287 |
$3,192.25 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,082 |
$6,556.15 |
1.0× |
| Amputation foot transmetarsal (28805) |
$3,082 |
$7,850.66 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,082 |
$8,891 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,082 |
$7,798.45 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,082 |
$7,911.28 |
1.0× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$289 |
$1,662.04 |
1.0× |
| Anal/Urinary Muscle Study (51784) |
$121 |
$685.10 |
1.0× |
| Ankle Arthroscopy/Surgery (29892) |
$6,836 |
$6,213.16 |
1.0× |
| Anoscopy diagnostic (46600) |
$125 |
$451.83 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$876 |
$4,808.85 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$4,712 |
$26,841.40 |
1.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$153 |
$859.98 |
1.0× |
| Application cast elbow finger short arm (29075) |
$263 |
$1,248.67 |
1.0× |
| Application Cast Finger (29086) |
$153 |
$631.08 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$55 |
$337.64 |
1.0× |
| Application finger splint static (29130) |
$125 |
$364.65 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$153 |
$876.63 |
1.0× |
| Application Long Leg Splint (29505) |
$153 |
$876.63 |
1.0× |
| Application of long leg cast (29345) |
$263 |
$1,248.67 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$263 |
$805.43 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$125 |
$462.88 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$125 |
$693.70 |
1.0× |
| Application short leg splint calf foot (29515) |
$153 |
$876.63 |
1.0× |
| Apply long arm cast (29065) |
$263 |
$1,248.67 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$153 |
$585.65 |
1.0× |
| Apply Short Leg Cast (29405) |
$263 |
$1,248.67 |
1.0× |
| Arterial puncture (36600) |
$125 |
$764.92 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$2,974 |
$10,300 |
1.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$12,095 |
$2,824.64 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$12,095 |
$6,373.26 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$289 |
$966.27 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$665 |
$2,951.59 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$289 |
$1,954.64–$6,556.15 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$289 |
$3,698.10 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$289 |
$1,216.73 |
1.0× |
| Arthrodesis ankle open (27870) |
$12,095 |
$25,779.90 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$6,836 |
$12,012.20 |
1.0× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$16,518 |
$8,168.93 |
1.0× |
| Arthrodesis subtalar (28725) |
$12,095 |
$9,105.87 |
1.0× |
| Arthrodesis triple (28715) |
$12,095 |
$11,115.65 |
1.0× |
Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
$16,518 |
$20,031.30–$75,057.70 |
1.0× |
Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) range across 2 matching MRF lines |
$12,095 |
$23,483–$75,057.70 |
1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,082 |
$10,998.80 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,082 |
$9,214.08 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,082 |
$9,045.30 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,082 |
$10,403 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$6,836 |
$10,268.40 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,082 |
$8,755 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,082 |
$10,403 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$6,836 |
$9,473.43 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,082 |
$10,403 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,082 |
$8,622.83 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$6,836 |
$8,821 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$6,836 |
$11,252.90 |
1.0× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$3,082 |
$10,211.17 |
1.0× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$3,082 |
$5,233.78 |
1.0× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$6,836 |
$8,961 |
1.0× |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
$12,095 |
$15,320.40–$75,057.70 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$6,836 |
$14,174.20 |
1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,082 |
$9,329.72 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,082 |
$9,026.79 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,082 |
$9,197.89 |
1.0× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$3,082 |
$7,072.67 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$590 |
$2,421.19 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$590 |
$2,421.19 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$289 |
$1,289.18 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$667 |
$2,262.81 |
1.0× |
Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$1,969 |
$6,793.35–$7,445.55 |
1.0× |
| Av Fistula Revision Open (36832) |
$5,242 |
$9,785 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,242 |
$13,034 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$189 |
$1,608.40 |
1.0× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,014 |
$14,732.20 |
1.0× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$6,099 |
$12,963 |
1.0× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$6,099 |
$14,732.20 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,555 |
$5,263.53 |
1.0× |
| Biopsy bone open superficial (20240) |
$2,736 |
$6,719.04 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,555 |
$5,263.53 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,555 |
$5,370.35 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,555 |
$5,371.57 |
1.0× |
| Biopsy nail unit (11755) |
$667 |
$2,216.15 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,555 |
$5,263.53 |
1.0× |
| Biopsy ovary uni/bi separate procedure (58900) |
$3,049 |
$16,361.10 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,555 |
$5,371.57 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$667 |
$3,854.03 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,555 |
$6,023.53 |
1.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,555 |
$3,909.29 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,555 |
$2,444.53 |
1.0× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$508 |
$5,165.45 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$867 |
$8,344.18 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,688 |
$6,695 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$656 |
$903.64 |
1.0× |
| Bladder Irrigation (51700) |
$235 |
$351.15 |
1.0× |
| Bladder Scan (51798) |
$55 |
$351.15 |
1.0× |
| Blood Transfusion Service (36430) |
$415 |
$2,525.56 |
1.0× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$6,836 |
$6,106.97 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,555 |
$5,371.57 |
1.0× |
| Bone Marrow Harvest Autolog (38232) |
$4,103 |
$4,388.50 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,555 |
$5,371.57 |
1.0× |
| Breast Reduction (19318) |
$6,255 |
$25,029 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,676 |
$5,200.91 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,512 |
$5,079.36 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,676 |
$5,079.36 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,676 |
$5,199.68 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,512 |
$5,200.91 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,512 |
$5,200.91 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$1,555 |
$3,346.95 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,555 |
$2,400.33 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,555 |
$4,482.66 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,688 |
$9,859.83 |
1.0× |
| Canthoplasty (67950) |
$2,239 |
$5,915.49 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,082 |
$6,340.53 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,839 |
$5,900.96 |
1.0× |
| Cataract surgery complex (66982) |
$2,174 |
$6,749.50 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$206 |
$151.01 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$15,970.50 |
— |
| Cessj Therapy Cath Removal (37214) |
$2,974 |
$4,270.24 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$656 |
$2,725.69 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$235 |
$1,506.49 |
1.0× |
| Change of Windpipe Airway (31502) |
$223 |
$665.47 |
1.0× |
| Change ureter stent percut (50382) |
$1,969 |
$6,793.35 |
1.0× |
| Chemical Cautery Tissue (17250) |
$189 |
$857 |
1.0× |
| Chest tube placement (32551) |
$1,483 |
$4,270.24 |
1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$1,969 |
$10,242.50 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,373 |
$14,732.20 |
1.0× |
| Chorionic Villus Sampling (59015) |
$867 |
$3,859 |
1.0× |
| Circumcision 28 days or older (54161) |
$1,969 |
$10,899 |
1.0× |
| Circumcision Neonate (54160) |
— |
$3,501.93 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$11,528.90 |
— |
| Claviculectomy partial (23120) |
$3,082 |
$8,755 |
1.0× |
| Clear outer ear canal (69200) |
$125 |
$693.70 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$232 |
$1,921.49 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,514 |
$8,478.36 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$232 |
$1,720.13 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$232 |
$1,377.58 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,514 |
$3,985.40 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$232 |
$1,464.75 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,461 |
$4,994.64 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$232 |
$1,464.75 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$232 |
$1,464.75 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,514 |
$5,801.30 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$232 |
$968.72 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,514 |
$2,179.33 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,514 |
$8,546.63 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$232 |
$1,464.75 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$232 |
$1,464.75 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,514 |
$5,128.47 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,514 |
$6,425.01 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$232 |
$1,464.75 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,514 |
$5,903.20 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$232 |
$1,639.10 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$232 |
$1,464.75 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$232 |
$1,254.62 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$232 |
$777.19 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$232 |
$1,194.64 |
1.0× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$1,514 |
$5,128.47–$7,850.66 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,514 |
$8,603.01 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$232 |
$879.09 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$232 |
$1,464.75 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,514 |
$5,063.39 |
1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,514 |
$5,795.16 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$232 |
$1,464.75 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$263 |
$1,404.58 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$232 |
$774.73 |
1.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,514 |
$1,301.46 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$263 |
$1,248.67 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$232 |
$1,464.75 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,514 |
$7,324.98 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$232 |
$1,333.37 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$232 |
$1,464.75 |
1.0× |
Cltx post hip arthrp dislc req anes (27266) range across 2 matching MRF lines |
$1,514 |
$5,665–$6,049.30 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$232 |
$1,464.75 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,514 |
$8,231.42 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$232 |
$1,464.75 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,514 |
$2,059 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$232 |
$838.58 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$232 |
$1,262.31 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,514 |
$5,128.47 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$125 |
$416.23 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$29.46 |
1.0× |
| Colonoscopy Flexible With Decompression (45393) |
$1,127 |
$6,266.31 |
1.0× |
| Colonoscopy thru stoma (44388) |
$876 |
$3,505.34 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,127 |
$6,535.53 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,127 |
$6,316.66 |
1.0× |
Colonoscopy W/Band Ligation (45398) range across 2 matching MRF lines |
$1,127 |
$1,021.52–$7,850.66 |
1.0× |
| Colonoscopy w/stent plcmt (45389) |
$5,719 |
$7,802.60 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,127 |
$6,093.52 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,127 |
$6,375.90 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,127 |
$6,093.52 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,127 |
$5,101.46 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$4,712 |
$26,841.40 |
1.0× |
Complex drainage wound (10180) range across 2 matching MRF lines |
$2,736 |
$8,321.70–$9,564.46 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,049 |
$6,624.48 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$125 |
$750.18 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$125 |
$640.90 |
1.0× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$12,095 |
$17,761.22 |
1.0× |
| Conversion ext bil drg cath (47535) |
$3,373 |
$11,515.40 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,807 |
$10,135.40 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$1,969 |
$6,793.35 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,555 |
$5,263.53 |
1.0× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$3,320 |
$18,715.10 |
1.0× |
| Correction hammertoe (28285) |
$3,082 |
$8,149.86 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,082 |
$11,473 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$12,095 |
$11,988.20 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$6,836 |
$5,127.32 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$6,836 |
$13,985.80 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$5,242 |
$11,750.80 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$125 |
$799.29 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$223 |
$763.69 |
1.0× |
| Curettage postpartum (59160) |
$3,049 |
$2,121.80 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,320 |
$5,534.56 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,320 |
$8,755 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,969 |
$5,749.98 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,051 |
$8,746.97 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,320 |
$1,944.98 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,051 |
$10,886.30 |
1.0× |
| Cystometrogram W/Vp (51728) |
$656 |
$2,774.79 |
1.0× |
| Cystometrogram W/Vp&Up (51729) |
$656 |
$2,774.79 |
1.0× |
| Cystourethroscopy (52000) |
$656 |
$7,850.66 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,320 |
$7,622 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$1,969 |
$6,003.61 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$382 |
$1,580.16 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,736 |
$5,150 |
1.0× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$1,839 |
$18,426.70 |
1.0× |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$696 |
$1,656.27–$6,757.83 |
1.0× |
| Debride nail 1-5 (11720) |
$55 |
$309.40 |
1.0× |
| Debride nail 6 or more (11721) |
$55 |
$357.28 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,555 |
$4,835.02 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$382 |
$1,722.58–$7,178.76 |
1.0× |
| Declot vascular device (36593) |
$311 |
$1,165.16 |
1.0× |
| Decompress Spinal Cord Lmbr (63056) |
$6,836 |
$17,504.80 |
1.0× |
| Delivery of placenta (59414) |
— |
$2,164.59 |
— |
| Destroy cerv/thor facet jnt (64633) |
$1,839 |
$4,706.11 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,839 |
$6,455.71 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$189 |
$551.27 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$833 |
$3,290.47 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,839 |
$5,148.11 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$189 |
$1,102.24 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$876 |
$2,909.86 |
1.0× |
| Dilat Xst Trc New Access Rcs (50437) |
$3,320 |
$15,236.80 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$854 |
$4,164.66 |
1.0× |
| Dilate Urethra Stricture (53600) |
$235 |
$1,619.80 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,049 |
$7,736.33 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$665 |
$1,842.91 |
1.0× |
| Drain Spinal Cord Cyst (62268) |
$833 |
$3,750.89 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$289 |
$2,104.43 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$667 |
$1,209.38 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$667 |
$2,262.81 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,555 |
$6,653.39 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$223 |
$692.48 |
1.0× |
| Drainage of finger abscess simple (26010) |
$189 |
$1,149.21 |
1.0× |
| Drainage of gum lesion (41800) |
$125 |
$816.49 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,555 |
$5,370.35 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,555 |
$3,814.75 |
1.0× |
| Drainage of scrotum (54700) |
$1,969 |
$8,961 |
1.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$3,049 |
$12,761.60 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$125 |
$416.23 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$667 |
$3,744.81 |
1.0× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$2,736 |
$4,641.04 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$382 |
$1,656.27 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$189 |
$1,138.15 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$189 |
$1,217.96 |
1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$833 |
$3,982.95 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,736 |
$5,371.57 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$1,676 |
$5,200.91 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,676 |
$5,200.91 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,676 |
$5,994.06 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$665 |
$4,067.65 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,807 |
$7,721.56 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,807 |
$4,758.90 |
1.0× |
| Egd cautery tumor polyp (43250) |
$1,807 |
$7,721.56 |
1.0× |
| Egd control bleeding any (43255) |
$1,807 |
$9,289.44 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,807 |
$9,652.87 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$854 |
$4,208.86 |
1.0× |
| Egd guide wire insertion (43248) |
$854 |
$4,838.72 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,807 |
$7,721.56 |
1.0× |
| Egd lesion ablation (43270) |
$1,807 |
$10,135.40 |
1.0× |
Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$1,807 |
$4,027.14–$7,850.66 |
1.0× |
| Egd remove lesion snare (43251) |
$1,807 |
$7,721.56 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$1,807 |
$9,886.74 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$1,807 |
$3,737.39 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$1,807 |
$10,185.40 |
1.0× |
| Egd Varices Ligation (43244) |
$1,807 |
$7,721.56 |
1.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$289 |
$1,299 |
1.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$289 |
$1,651.37 |
1.0× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$289 |
$1,338.15 |
1.0× |
| Electro-Uroflowmetry First (51741) |
$203 |
$2,774.79 |
1.0× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$5,242 |
$27,590.90 |
1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$4,712 |
$9,831.01 |
1.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$1,807 |
$10,185.40 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$10,875 |
$32,562.20 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,974 |
$13,161.90 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$2,974 |
$13,050.20 |
1.0× |
| Endoven ther chem adhes 1st (36482) |
$5,242 |
$17,088.40 |
1.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$1,943 |
$8,229.86 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$1,943 |
$2,518.20 |
1.0× |
| Epidural Blood Patch (62273) |
$665 |
$2,337.70 |
1.0× |
| Episiotomy or vaginal repair (59300) |
— |
$15,970.50 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$5,719 |
$30,506.80 |
1.0× |
| Ercp duct stent placement (43274) |
$5,719 |
$4,681.55 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,632 |
$7,121.18 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$3,632 |
$14,705.20 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,632 |
$14,705.20 |
1.0× |
| Ercp remove forgn body duct (43275) |
$1,807 |
$2,941.79 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,632 |
$8,043.25 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$3,632 |
$2,941.79 |
1.0× |
| Escharotomy; initial incision (16035) |
$382 |
$2,079.86 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$854 |
$3,964.54 |
1.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,807 |
$9,886.74 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$854 |
$4,925.41 |
1.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$1,807 |
$9,064.95 |
1.0× |
| Esophagoscopy Retro Balloon (43213) |
$1,807 |
$10,185.40 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,807 |
$10,077.80 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,807 |
$10,185.40 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$125 |
$693.70 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,555 |
$5,749.98 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,555 |
$2,652.25 |
1.0× |
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$1,555 |
$6,895.85–$8,951.80 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,555 |
$8,564.66 |
1.0× |
Exc Back Tum Deep 5 Cm/> (21933) range across 2 matching MRF lines |
$2,736 |
$7,253.85–$14,549.40 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$2,736 |
$14,549.30 |
1.0× |
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$3,688 |
$10,048.70–$18,324.70 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$667 |
$3,744.81 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$667 |
$3,755.29 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,555 |
$7,426.30 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$667 |
$3,744.81 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$667 |
$3,818.24 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,555 |
$3,976.81 |
1.0× |
Exc Forearm Les Sc 3 Cm/> (25071) range across 2 matching MRF lines |
$1,555 |
$6,757.83–$8,564.66 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$667 |
$3,818.24 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$1,555 |
$5,665–$8,951.80 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,555 |
$6,556.15 |
1.0× |
| Exc lesion mucosa & sbmcsl vestibule cplx rpr (40814) |
$3,123 |
$4,370.77 |
1.0× |
| Exc Lesion Palate Uvula W/Smpl Prim Closure (42106) |
$3,123 |
$2,185.38 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,514 |
$6,482.15 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,514 |
$7,243 |
1.0× |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
$1,839 |
$6,556.15 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$2,736 |
$7,291.63 |
1.0× |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$667 |
$4,616.48–$7,327.98 |
1.0× |
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 2 matching MRF lines |
$1,555 |
$5,665–$8,951.80 |
1.0× |
Exc Skin Benig >4 Cm Remaindr Body (11426) range across 2 matching MRF lines |
$2,736 |
$5,834.95–$14,549.40 |
1.0× |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$1,555 |
$7,384.48–$7,478.46 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,555 |
$8,637.48 |
1.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,082 |
$10,370.60 |
1.0× |
Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
$2,736 |
$7,956.75–$14,549.40 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,736 |
$7,850.66 |
1.0× |
Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 2 matching MRF lines |
$1,127 |
$7,210.81–$7,850.66 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$382 |
$4,597.24 |
1.0× |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$667 |
$2,540.29–$5,834.95 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,555 |
$6,180 |
1.0× |
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
$2,736 |
$6,015.20–$14,549.40 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$2,736 |
$7,982.50 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$2,736 |
$5,665 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,555 |
$5,304.50 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$2,736 |
$5,665 |
1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,555 |
$8,637.48 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,555 |
$2,940.33 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,736 |
$6,895.85 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,555 |
$5,665 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,736 |
$5,665 |
1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,082 |
$3,571.69 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,373 |
$11,515.40 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,969 |
$6,793.35 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,807 |
$5,791.48 |
1.0× |
| Excise intraspinal lesion (63267) |
$6,836 |
$18,884 |
1.0× |
| Excise Wrist Tendon Sheath (25118) |
$1,514 |
$1,192.02 |
1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$667 |
$3,818.24 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$2,736 |
$5,665 |
1.0× |
| Excision Lesion Tongue W/O Closure (41110) |
$3,123 |
$5,665 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$667 |
$3,787.90 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$667 |
$3,744.81 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$382 |
$2,103.93 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$667 |
$4,983.59 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,555 |
$8,637.48 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$667 |
$3,818.24 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$667 |
$3,755.29 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,555 |
$8,426.31 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,614 |
$8,821 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,514 |
$5,826.65 |
1.0× |
| Excision of hydrocele; bilateral (55041) |
$3,373 |
$5,665 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,373 |
$8,344.19 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,736 |
$7,622 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$3,049 |
$5,665 |
1.0× |
| Excision olecranon bursa (24105) |
$3,082 |
$7,389.01 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,736 |
$11,231.20 |
1.0× |
Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$2,736 |
$6,895.85–$7,367.95 |
1.0× |
| Excision prepatellar bursa (27340) |
$3,082 |
$7,655.58 |
1.0× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$6,255 |
$13,469.91 |
1.0× |
Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 2 matching MRF lines |
$1,555 |
$6,531.54–$8,426.31 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,736 |
$7,850.66 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,555 |
$6,090.39 |
1.0× |
Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$1,555 |
$7,081.25–$8,678.41 |
1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,555 |
$8,637.48 |
1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,514 |
$7,325.88 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,555 |
$8,637.48 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$2,736 |
$10,609 |
1.0× |
Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) range across 2 matching MRF lines |
$2,736 |
$8,221.50–$15,476.30 |
1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,555 |
$7,489.50 |
1.0× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$2,974 |
$6,695 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,555 |
$9,133.52 |
1.0× |
| Exploration of knee joint (27310) |
$3,082 |
$10,072.62 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,555 |
$4,017.32 |
1.0× |
| External cephalic version (59412) |
— |
$9,403.62 |
— |
| Extraction of lens (66920) |
$2,174 |
$5,665 |
1.0× |
| Fasciectomy Palm Only (26121) |
$3,082 |
$6,913.76 |
1.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,082 |
$5,558.41 |
1.0× |
| Fasciotomy, foot and/or toe (28008) |
$3,082 |
$8,321.70 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,082 |
$3,456.88 |
1.0× |
| Fetal Contraction Stress Test (59020) |
— |
$1,037.01 |
— |
| Fetal non-stress test (59025) |
— |
$719.49 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$667 |
$3,016.68 |
1.0× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$667 |
$3,016.68 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$382 |
$590.57 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$224 |
$907.34 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$667 |
$3,016.68 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$667 |
$3,016.68 |
1.0× |
| Foreskin manipulation (54450) |
$235 |
$1,202.01 |
1.0× |
| Fusion of foot bones (28740) |
$6,836 |
$16,125.70 |
1.0× |
| Gastrocnemius recession (27687) |
$3,082 |
$7,946.85 |
1.0× |
| Goniotomy (65820) |
$3,894 |
$4,734.01 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$667 |
$3,818.24 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,614 |
$7,850.66 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,614 |
$7,850.66 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,614 |
$9,689.55 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$876 |
$8,821 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,049 |
$8,359.53 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,049 |
$5,665 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$4,712 |
$6,625.58 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,049 |
$9,630.50 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,712 |
$7,962.42 |
1.0× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$3,123 |
$14,519.80 |
1.0× |
| I&d abscess peritonsillar (42700) |
$223 |
$1,409.50 |
1.0× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$189 |
$1,149.21–$7,622 |
1.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$1,514 |
$7,748.17 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,736 |
$7,283.24 |
1.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,082 |
$7,819.78 |
1.0× |
| I&d perianal abscess superficial (46050) |
$876 |
$3,878.58 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$667 |
$2,771.12 |
1.0× |
I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$667 |
$2,262.81–$8,321.70 |
1.0× |
I&d shoulder deep abscess/hematoma (23030) range across 2 matching MRF lines |
$2,736 |
$6,068.96–$7,850.66 |
1.0× |
| Icd Pocket Revision (33223) |
$1,943 |
$6,048.08 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$854 |
$4,925.41 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,555 |
$5,371.57 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,555 |
$6,549.03 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,555 |
$5,371.57 |
1.0× |
| Implant neuroelectrodes (63650) |
$6,004 |
$32,451.70 |
1.0× |
Implant Spine Infusion Pump (62362) range across 2 matching MRF lines |
$16,980 |
$6,895.85–$83,646.30 |
1.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$8,267 |
$19,687.60 |
1.0× |
| Incise external hemorrhoid (46083) |
$235 |
$1,506.49 |
1.0× |
Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$1,514 |
$7,835.76–$8,320.66 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$382 |
$2,123.10 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,555 |
$8,677.20 |
1.0× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$382 |
$2,044.26–$5,665 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$190 |
$1,080.46 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$287 |
$1,123.42 |
1.0× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$1,514 |
$7,850.66 |
1.0× |
| Incision bone cortex foot (28005) |
$3,082 |
$5,238.30 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,514 |
$5,622.77 |
1.0× |
Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,127 |
$7,850.66–$8,643.63 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,555 |
$5,665 |
1.0× |
Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
$696 |
$1,635.41–$5,665 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$189 |
$1,149.21 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$833 |
$3,971.89 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$200 |
$730.54 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$833 |
$5,010.86 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$833 |
$4,039.24 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$289 |
$918.38 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$833 |
$5,010.86 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$665 |
$3,837.15 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$833 |
$2,811.63 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$665 |
$3,865.27 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$289 |
$1,157.81 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$833 |
$4,039.24 |
1.0× |
| Injection for identification of sentinel node (38792) |
$376 |
$1,517.55 |
1.0× |
| Injection Into Brain Canal (61055) |
$289 |
$3,531.11 |
1.0× |
| Injection single tendon origin/insertion (20551) |
$289 |
$1,339.51 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$289 |
$1,339.51 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$289 |
$1,270.76 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$833 |
$5,284.40 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$665 |
$4,067.65 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$665 |
$1,636.65 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$2,974 |
$9,732.67 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$2,974 |
$9,732.67 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$2,974 |
$10,314.70 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,242 |
$17,088.40 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,242 |
$16,652.50 |
1.0× |
| Ins Vag Brachytx Device (57156) |
$287 |
$1,507.72 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$7,796 |
$28,779.40 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$121 |
$535.32 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,483 |
$6,713.54 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,807 |
$5,791.48 |
1.0× |
| Insert cervical dilator (59200) |
— |
$1,716.75 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,807 |
$5,791.48 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$9,846 |
$38,060.20 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$9,846 |
$38,060.20 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$17,270 |
$15,456.60 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$2,974 |
$5,693.25 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$9,846 |
$38,573.40 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,483 |
$5,386.32 |
1.0× |
| Insert pulse gen dual leads (33213) |
$9,846 |
$38,060.20 |
1.0× |
| Insert pulse gen mult leads (33221) |
$18,146 |
$69,377.40 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$7,796 |
$28,908.30 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$125 |
$693.70 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,373 |
$11,508.10 |
1.0× |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$2,974 |
$9,732.67–$9,879.97 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$125 |
$693.70 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,373 |
$11,508.10 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,483 |
$7,117.49 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,796 |
$38,543.90 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$7,796 |
$28,779.40 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,974 |
$9,732.67 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,974 |
$17,237.90 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,483 |
$3,838.06–$5,386.32 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,974 |
$10,314.70 |
1.0× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$2,974 |
$17,237.90 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,974 |
$9,732.67 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$7,700 |
$3,819.24 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$29,571 |
$120,888 |
1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$29,071 |
$6,010 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$7,796 |
$28,779.40 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$7,796 |
$28,908.30 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$9,846 |
$38,060.20 |
1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$20,955 |
$86,328.20 |
1.0× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$29,571 |
$119,695 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$20,955 |
$86,328.20 |
1.0× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,304 |
$7,645.08 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,483 |
$6,905.08 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$5,362 |
$19,854.50 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$223 |
$1,998.84 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$235 |
$931.89 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,082 |
$9,017.65 |
1.0× |
| Lam facetec & foramot lumbar (63047) |
$6,836 |
$17,094 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$5,695 |
$9,985.14 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$10,014 |
$23,700.10 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$5,695 |
$7,782.94 |
1.0× |
| Laparoscopy gastrostomy (43653) |
$5,695 |
$10,702.90 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$5,695 |
$16,569.18 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$10,014 |
$21,218.08 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$10,014 |
$27,870.80 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,695 |
$10,205.40 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$5,695 |
$6,680.02 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$5,695 |
$23,445.90 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$10,014 |
$22,597.20 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,695 |
$10,127.60 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,695 |
$14,237.50 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$5,695 |
$11,280.90 |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$5,695 |
$7,748.17 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$10,014 |
$24,243.80 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$188 |
$613.89 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$188 |
$725.62 |
1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$368 |
$2,287.98 |
1.0× |
| Laser vaporization of prostate (52648) |
$5,051 |
$8,961 |
1.0× |
| Late closure of wound (13160) |
$3,338 |
$7,725 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$6,836 |
$14,383.81 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,555 |
$11,639 |
1.0× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$2,974 |
$13,050.20 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,320 |
$2,616.88 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,320 |
$19,264 |
1.0× |
| Low Back Disk Surgery (63030) |
$6,836 |
$16,888.60 |
1.0× |
| Lyse chest fibrin init day (32561) |
$590 |
$2,421.19 |
1.0× |
| Lyse Chest Fibrin Subq Day (32562) |
$590 |
$3,324.97 |
1.0× |
Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
$1,514 |
$3,090–$5,901.97 |
1.0× |
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) range across 2 matching MRF lines |
$1,514 |
$3,090–$9,156.84 |
1.0× |
| Mastectomy for gynecomastia (19300) |
$3,688 |
$11,920.27 |
1.0× |
| Mastectomy partial (19301) |
$3,688 |
$8,944.52 |
1.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$6,255 |
$11,639 |
1.0× |
| Mastectomy simple complete (19303) |
$6,255 |
$9,689.55 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,483 |
$5,324.91 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$2,974 |
$12,043.40 |
1.0× |
| Myelography Lumbar Injection (62305) |
$738 |
$3,602.33 |
1.0× |
| Myelography Lumbar Injection (62304) |
$738 |
$2,701.13 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$738 |
$3,602.33 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$738 |
$3,602.33 |
1.0× |
| N Block Inj Celiac Pelus (64530) |
$833 |
$4,039.24 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$665 |
$2,100.75 |
1.0× |
| N block inj intercost sng (64420) |
$665 |
$2,100.75 |
1.0× |
| N Block Inj Pudendal (64430) |
$833 |
$4,562.45 |
1.0× |
| N Block Lumbar/Thoracic (64520) |
$833 |
$3,582.68 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$420 |
$1,359.16 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,514 |
$3,456.88 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,555 |
$5,263.53 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,555 |
$4,641.04 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27 |
$46.29 |
1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$27 |
$69.44 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,839 |
$6,240.67 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$833 |
$3,264.68 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$289 |
$1,227.79 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,373 |
$11,368.10 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,373 |
$11,368.10 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$833 |
$3,971.89 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$833 |
$3,924.01 |
1.0× |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$665 |
$3,120.90–$3,160.33 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$665 |
$3,971.89 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$833 |
$3,924.01 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$833 |
$3,924.01 |
1.0× |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$665 |
$3,160.33–$5,749.98 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$833 |
$4,305.86 |
1.0× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$1,943 |
$6,048.08 |
1.0× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$1,943 |
$6,048.08 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$656 |
$2,196.51 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$656 |
$2,774.79 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$854 |
$2,228.44 |
1.0× |
| Occipital Nerve Block (64405) |
$289 |
$2,100.75 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,688 |
$6,842.81 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$6,836 |
$6,094.53 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$6,836 |
$15,536 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$12,095 |
$21,619.70 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$6,836 |
$9,229.83 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$6,836 |
$10,300 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$6,836 |
$14,079.60 |
1.0× |
| Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation,… (21470) |
$5,577 |
$14,498.97 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$6,836 |
$11,920.27 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$12,095 |
$13,946.70 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$6,836 |
$11,411.90 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$6,836 |
$5,346.90 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,082 |
$16,521.10 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,082 |
$7,911.95 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$6,836 |
$20,034.20 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$6,836 |
$10,361.80 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$10,875 |
$41,036.30 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$10,875 |
$37,752 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$6,836 |
$9,380.62 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$6,836 |
$10,368.30 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,373 |
$10,132.22 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,082 |
$5,665 |
1.0× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$6,836 |
$1,037.06 |
1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$6,836 |
$12,702.77 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,082 |
$6,110.58 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$6,836 |
$6,158.65 |
1.0× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$6,836 |
$3,836.92 |
1.0× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$5,577 |
$17,504.80 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,514 |
$5,834.95 |
1.0× |
| Partial removal of fibula (27641) |
$3,082 |
$7,572 |
1.0× |
| Partial removal of thyroid (60220) |
$5,695 |
$21,012 |
1.0× |
| Partial removal of toe (28160) |
$3,082 |
$7,850.66 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,082 |
$7,850.66 |
1.0× |
| Patellectomy or hemipatellectomy (27350) |
$6,836 |
$7,341.33 |
1.0× |
| Penile Injection (54235) |
$235 |
$1,506.49 |
1.0× |
| Penile Plethysmography (54240) |
$203 |
$526.72 |
1.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$10,014 |
$8,069.02 |
1.0× |
| Perc Rf Ablate Renal Tumor (50592) |
$5,695 |
$25,387 |
1.0× |
| Percut Ablate Liver Rf (47382) |
$5,695 |
$22,525 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$10,875 |
$32,562.20 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$667 |
$2,410.15 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,974 |
$20,598.60 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,483 |
$10,614.20 |
1.0× |
| Peritoneal Lavage (49084) |
$854 |
$1,489.31 |
1.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$17,270 |
$5,225.47 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$3,082 |
$10,329.40 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$667 |
$2,158.45 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,555 |
$3,770.54 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,320 |
$9,057.39 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,082 |
$10,329.40 |
1.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$5,695 |
$25,533.10 |
1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$667 |
$2,543.98 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,082 |
$6,556.15 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$10,875 |
$33,090.10 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,362 |
$33,090.10 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,836 |
$21,890.20 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$6,836 |
$21,890.20 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$2,974 |
$13,050.20 |
1.0× |
| Place Cath Subclavian Art (36225) |
$2,974 |
$9,732.67 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$2,974 |
$9,732.67 |
1.0× |
| Place Cath Vertebral Art (36226) |
$5,242 |
$17,088.40 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$1,807 |
$9,880.98 |
1.0× |
| Place ndl musc/tis for rt (20555) |
$3,082 |
$11,638.20 |
1.0× |
| Place Rt Device/Marker Pros (55876) |
$1,304 |
$6,610.43 |
1.0× |
| Placement needle head/neck radioelement applicat (41019) |
$5,577 |
$9,641.82 |
1.0× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$4,712 |
$9,118.78 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$420 |
$1,783.97 |
1.0× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$6,099 |
$11,515.40 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,695 |
$21,783.40 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,695 |
$21,783.40 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$5,695 |
$21,783.40 |
1.0× |
| Plmt expandable cath brst following prtl mast (19296) |
$7,700 |
$23,595.60 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$1,969 |
$6,621.45 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,320 |
$6,793.35 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,320 |
$11,867.80 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,320 |
$6,793.35 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,320 |
$11,428.30 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,712 |
$26,841.40 |
1.0× |
| Prim art mech thrombectomy (37184) |
$17,270 |
$19,854.50 |
1.0× |
| Proctopexy Perineal Approach (45541) |
$2,614 |
$12,307.30 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$667 |
$2,262.81 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,373 |
$11,515.40 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,373 |
$11,515.40 |
1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,082 |
$15,019.54 |
1.0× |
| Prq skel fixj femoral fx prox end neck (27235) |
$6,836 |
$8,034 |
1.0× |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
$3,082 |
$10,255.37 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,082 |
$2,616.88 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$590 |
$2,392.95 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$382 |
$1,138.15 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$382 |
$1,788.89 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$667 |
$2,168.28 |
1.0× |
| Rcnstj Dislocating Patella (27420) |
$6,836 |
$15,347 |
1.0× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$6,836 |
$7,610.39 |
1.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$6,836 |
$13,055.80 |
1.0× |
| Reconstruction Toe Polydactyly (28344) |
$3,082 |
$12,672 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$2,974 |
$10,314.70 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$1,943 |
$6,124.20 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$2,974 |
$10,313.40 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$854 |
$2,974.93 |
1.0× |
Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$667 |
$3,003.17–$7,736.33 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,555 |
$5,311.41 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$55 |
$364.65 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$55 |
$364.65 |
1.0× |
| Removal Implant Deep (20680) |
$2,736 |
$8,399.68 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,555 |
$7,850.66 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$420 |
$1,102.56 |
1.0× |
| Removal of knee prosthesis (27488) |
$12,095 |
$14,110 |
1.0× |
Removal of nail bed (11750) range across 2 matching MRF lines |
$382 |
$2,216.15–$6,185.05 |
1.0× |
| Removal of sesamoid bone (28315) |
$3,082 |
$9,229.83 |
1.0× |
| Removal of testis (54520) |
$3,320 |
$9,229.83 |
1.0× |
| Removal of tonsils (42826) |
$3,123 |
$6,556.15 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,974 |
$2,218.61 |
1.0× |
| Removal of vein clot (34490) |
$2,974 |
$19,391.70 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$263 |
$472.70 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$3,520 |
$12,223.90 |
1.0× |
| Removal ppm generator only (33233) |
$7,796 |
$28,779.40 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$189 |
$1,149.21 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$667 |
$3,016.68 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$1,943 |
$4,370.77 |
1.0× |
| Removal sweat gland lesion (11450) |
$2,736 |
$6,264.98 |
1.0× |
| Removal tong/halo applied by another individual (20665) |
$420 |
$295.90 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,514 |
$8,284.60 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$263 |
$446.93 |
1.0× |
| Remove cerclage suture (59871) |
— |
$10,683 |
— |
| Remove Elctrd Transvenously (33244) |
$3,520 |
$12,223.90 |
1.0× |
| Remove foreign body from eye (65205) |
$125 |
$634.77 |
1.0× |
| Remove Intrauterine Device (58301) |
$287 |
$1,125.89 |
1.0× |
| Remove intrvas foreign body (37197) |
$2,974 |
$9,732.67 |
1.0× |
| Remove lung catheter (32552) |
$590 |
$2,421.19 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$125 |
$693.70 |
1.0× |
| Remove Peritoneal Foreign Body (49402) |
$3,373 |
$7,672.45 |
1.0× |
| Remove Pulse Generator (33241) |
$3,520 |
$12,223.90 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$656 |
$2,196.51 |
1.0× |
| Remove Shoulder Foreign Body (23330) |
$1,555 |
$4,983.59 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,514 |
$6,204.10 |
1.0× |
| Remove&replace pm gen singl (33227) |
$7,796 |
$28,908.30 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$20,955 |
$85,882.60 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$29,571 |
$187,314 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$20,955 |
$85,882.60 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$9,846 |
$38,060.20 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$18,146 |
$69,026.30 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,555 |
$5,263.53 |
1.0× |
| Repair Achilles Tendon (27650) |
$6,836 |
$14,850.50 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,974 |
$9,554.65 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$6,836 |
$10,300 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$696 |
$2,100.75 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$696 |
$2,164.59 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$382 |
$1,632.96 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$382 |
$2,009.89 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$382 |
$1,535.97 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$382 |
$1,885.89 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$696 |
$2,459.25 |
1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,082 |
$11,039.80 |
1.0× |
| Repair Foot Dislocation (28615) |
$6,836 |
$9,978.84 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,373 |
$10,762.70 |
1.0× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$3,373 |
$3,339.58 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$382 |
$1,736.09 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$382 |
$1,736.09 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$382 |
$1,297.77 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$382 |
$1,354.26 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$696 |
$2,035.67 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$382 |
$982.23 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$382 |
$1,736.09 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$696 |
$1,885.89 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$382 |
$1,596.13 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$382 |
$1,736.09 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$382 |
$1,736.09 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$696 |
$2,041.81 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$382 |
$1,736.09 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,943 |
$2,400.33 |
1.0× |
| Repair lead pace-defib dual (33220) |
$3,520 |
$12,223.90 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$3,520 |
$12,223.90 |
1.0× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$12,095 |
$25,992 |
1.0× |
Repair of nail bed (11760) range across 2 matching MRF lines |
$696 |
$1,287.95–$7,850.66 |
1.0× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$6,836 |
$7,965.89 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$6,836 |
$14,883 |
1.0× |
| Repair Rotator Cuff Chronic (23412) |
$6,836 |
$10,003.90 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,836 |
$15,807.40 |
1.0× |
| Repair tongue laceration (41250) |
$420 |
$940.49 |
1.0× |
| Repair Tooth Socket (41874) |
$3,123 |
$6,695 |
1.0× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$6,836 |
$21,012 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$6,836 |
$6,928.68 |
1.0× |
| Repair/graft achilles tendon (27652) |
$6,836 |
$14,317 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$854 |
$2,903.72 |
1.0× |
| Replace G-J Tube Perc (49452) |
$854 |
$2,974.93 |
1.0× |
| Replace g/c tube perc (49450) |
$854 |
$2,903.72 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$235 |
$903.64 |
1.0× |
| Reposition L Ventric Lead (33226) |
$2,974 |
$10,313.40 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$2,974 |
$10,314.70 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,483 |
$5,507.87 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,373 |
$8,321.70 |
1.0× |
| Resect back tum < 5 cm (21935) |
$2,736 |
$7,748.17 |
1.0× |
| Revis reconst shoulder joint (23473) |
$12,095 |
$75,057.70 |
1.0× |
| Revise Abdomen-Venous Shunt (49426) |
$3,373 |
$8,088.67 |
1.0× |
| Revision of foot (28116) |
$3,082 |
$9,229.83 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,082 |
$8,544.71 |
1.0× |
| Revision of toe (28312) |
$3,082 |
$2,006.86 |
1.0× |
| Revision Peri-Implant Capsule Breast (19370) |
$3,688 |
$1,909.62 |
1.0× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$12,095 |
$18,643 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$5,362 |
$15,477.50 |
1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$3,293 |
$16,085.50 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,969 |
$6,793.35 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,461 |
$5,619.58 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$854 |
$1,782.75 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$420 |
$1,736.09 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$125 |
$693.70 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$420 |
$561.09 |
1.0× |
Rmvl fecal impaction/fb spx under anes (45915) range across 2 matching MRF lines |
$1,127 |
$5,714.12–$5,834.95 |
1.0× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$1,461 |
$10,863.50 |
1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,555 |
$6,556.15 |
1.0× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$1,839 |
$8,616.08 |
1.0× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$3,218 |
$27,995 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,520 |
$12,223.90 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,483 |
$3,090–$8,681.69 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$590 |
$2,392.95 |
1.0× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$263 |
$520.58 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$235 |
$1,506.49 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$235 |
$1,205.68 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,483 |
$3,838.06 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,483 |
$5,324.91 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,974 |
$14,632.80 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,974 |
$9,732.67 |
1.0× |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
$5,695 |
$11,679.10–$30,160.30 |
1.0× |
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$3,373 |
$9,094.60–$20,495.50 |
1.0× |
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) range across 2 matching MRF lines |
$6,099 |
$20,263.20–$20,495.50 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$6,099 |
$20,495.50 |
1.0× |
Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) range across 2 matching MRF lines |
$5,695 |
$14,169.40–$30,160.30 |
1.0× |
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines |
$3,373 |
$9,764.92–$20,495.50 |
1.0× |
Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
$6,099 |
$11,551.40–$20,495.50 |
1.0× |
Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
$5,695 |
$8,816.90–$30,160.30 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$667 |
$4,067.65 |
1.0× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$3,082 |
$11,639 |
1.0× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$6,836 |
$13,469.90 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$189 |
$1,149.21 |
1.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$6,836 |
$4,031.42 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$508 |
$3,009.32 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,461 |
$7,265.25 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,082 |
$6,064.81 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$590 |
$4,514.58 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$1,555 |
$4,982.36 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$3,123 |
$3,433.33 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$876 |
$775.96 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,127 |
$6,506.15 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,127 |
$11,988.20 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$876 |
$3,246.27 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,127 |
$1,019.07 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$382 |
$1,068.17 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$189 |
$1,149.21 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$382 |
$2,837.42 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$189 |
$1,149.21 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$189 |
$1,149.21 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$189 |
$817.72 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$189 |
$1,149.21 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$696 |
$8,229.86 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$696 |
$8,229.86 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$1,943 |
$13,460.20 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$1,943 |
$8,229.86 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,242 |
$16,652.50 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$2,974 |
$9,732.67 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,242 |
$17,088.40 |
1.0× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$189 |
$1,149.21–$7,622 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$382 |
$1,736.09 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$382 |
$1,736.09 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$665 |
$3,116.57 |
1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$1,943 |
$13,367.30 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$2,974 |
$13,050.20 |
1.0× |
| Strapping ankle (29540) |
$153 |
$433.41 |
1.0× |
| Strapping elbow or wrist (29260) |
$55 |
$460.43 |
1.0× |
| Strapping Hip (29520) |
$125 |
$686.36 |
1.0× |
| Strapping knee (29530) |
$125 |
$693.70 |
1.0× |
| Strapping shoulder (29240) |
$125 |
$693.70 |
1.0× |
| Strapping toes (29550) |
$55 |
$539 |
1.0× |
| Strapping Unna Boot (29580) |
$153 |
$805.43 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,123 |
$6,866.67 |
1.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$6,836 |
$10,168.11 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$6,836 |
$12,226 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$382 |
$919.61 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$18,146 |
$99,398.90 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$6,836 |
$5,269.13 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,514 |
$1,795.99 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,514 |
$5,458.29 |
1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$665 |
$3,895.71 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,467 |
$5,521.37 |
1.0× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$5,242 |
$20,075.60 |
1.0× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$2,974 |
$19,391.70 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$17,270 |
$62,549.70 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$2,974 |
$4,270.24 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,242 |
$17,087.10 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$311 |
$1,162.71 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$2,974 |
$10,314.70 |
1.0× |
| Thyroid biopsy (60100) |
$667 |
$2,168.28 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$5,695 |
$20,354.40 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,123 |
$6,351.67 |
1.0× |
| Tooth extraction (41899) |
$223 |
$6,827.41 |
1.0× |
Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
$12,095 |
$15,601.30–$75,057.70 |
1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$223 |
$3,491.83 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,461 |
$3,017.90 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$287 |
$718.27 |
1.0× |
| Transcatheter biopsy (37200) |
$5,242 |
$17,087.10 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,051 |
$9,715 |
1.0× |
Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
$5,695 |
$13,987.10–$30,160.30 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,082 |
$7,850.66 |
1.0× |
| Treat fracture radius/ulna (25575) |
$6,836 |
$23,482.96 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$6,836 |
$10,506 |
1.0× |
| Treat humerus fracture (24500) |
$232 |
$791.93 |
1.0× |
| Treat Humerus Fracture (24505) |
$1,514 |
$8,478.36 |
1.0× |
| Treat Kneecap Fracture (27524) |
$6,836 |
$7,140.58 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$232 |
$1,464.75 |
1.0× |
| Treat toe dislocation (28630) |
$232 |
$748.94 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$232 |
$1,464.75 |
1.0× |
| Treatment of ankle fracture (27823) |
$6,836 |
$15,969.17 |
1.0× |
| Trim skin lesion (11055) |
$189 |
$574.60 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$189 |
$857 |
1.0× |
| Trim skin lesions over 4 (11057) |
$189 |
$857 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$55 |
$309.40 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$5,362 |
$19,854.50 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,362 |
$23,593.20 |
1.0× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,676 |
$4,019.79 |
1.0× |
| Tubal ligation (58600) |
$3,049 |
$4,915.50 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$203 |
$568.48 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,049 |
$7,189.92 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,049 |
$6,643.50 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,514 |
$2,512.29 |
1.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,514 |
$6,734.97 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,514 |
$8,300.91 |
1.0× |
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$696 |
$3,975.58–$5,665 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,461 |
$5,665 |
1.0× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$3,373 |
$10,609 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$5,695 |
$6,397.22 |
1.0× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$5,695 |
$6,866.67 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$5,695 |
$10,328.30 |
1.0× |
| Unlisted laparoscopy procedure, esophagus (43289) |
$5,695 |
$29,907.70 |
1.0× |
| Unlisted procedure anus (46999) |
$876 |
$5,718.94 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$232 |
$3,324.15 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$153 |
$486.20 |
1.0× |
| Unlisted procedure colon (45399) |
$876 |
$8,821 |
1.0× |
| Unlisted Procedure Esophagus (43499) |
$854 |
$4,687.80 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$232 |
$12,051 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$232 |
$5,817.09 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$232 |
$1,262.31 |
1.0× |
| Unlisted procedure liver (47399) |
$667 |
$20,701.70 |
1.0× |
| Unlisted procedure nervous system (64999) |
$289 |
$1,610.86 |
1.0× |
| Unlisted procedure stomach (43999) |
$854 |
$3,969.45 |
1.0× |
| Unlisted Procedure Trachea Bronchi (31899) |
$188 |
$2,940.33 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$590 |
$7,619.66 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$854 |
$6,364.85 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$235 |
$1,990.25 |
1.0× |
| Upgrade of pacemaker system (33214) |
$9,846 |
$38,060.20 |
1.0× |
| Vaginal delivery only (59409) |
$3,049 |
$3,577.77 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$17,270 |
$41,036.30 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$10,875 |
$37,752 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$10,875 |
$37,752 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$10,875 |
$53,745.20 |
1.0× |
| Venous Cutdown >1 Y/O (36425) |
$420 |
$241.88 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$10,875 |
$18,267 |
1.0× |
| Wedge excision skin nail fold (11765) |
$382 |
$584.43 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$696 |
$7,946.85 |
1.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$6,836 |
$8,727.22 |
1.0× |