| Abd paracentesis w/imaging (49083) |
— |
$5,195 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$5,175 |
— |
| Ablate Pulm Tumor Perq Crybl (32994) |
— |
$31,928 |
— |
| Acne surgery (10040) |
— |
$821 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$5,476 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$8,171 |
— |
| Amniocentesis diagnostic (59000) |
— |
$4,532 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$17,987 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$8,985 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$906 |
— |
| Application cast elbow finger short arm (29075) |
— |
$762 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$366 |
— |
| Application finger splint static (29130) |
— |
$718 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$725 |
— |
| Application Long Leg Splint (29505) |
— |
$587 |
— |
| Application of long leg cast (29345) |
— |
$1,565 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$366 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$464 |
— |
| Application short leg splint calf foot (29515) |
— |
$1,062 |
— |
| Apply hand/wrist cast (29085) |
— |
$1,016 |
— |
| Apply long arm cast (29065) |
— |
$1,016 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$924 |
— |
| Apply Short Leg Cast (29405) |
— |
$1,565 |
— |
| Arterial puncture (36600) |
— |
$724 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,171 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,171 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,661 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$1,536 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$4,576 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$4,289 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$1,619 |
— |
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines |
— |
$5,671–$5,740 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$1,390 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$4,433 |
— |
| Biopsy bone open superficial (20240) |
— |
$14,674 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$8,708 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$8,382 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$4,433 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$9,070 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$5,902 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$3,272 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$3,616 |
— |
| Bladder Irrigation (51700) |
— |
$688 |
— |
| Bladder Scan (51798) |
— |
$433 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$1,152 |
— |
| Blood Transfusion Service (36430) |
— |
$5,803 |
— |
| Bone Marrow Biopsy (38221) |
— |
$9,070 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$8,436 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$8,102 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$9,454 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$6,396 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$6,396 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$9,873 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$13,060 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$919 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$3,401 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$924 |
— |
| Change of Windpipe Airway (31502) |
— |
$1,348 |
— |
Chemical Cautery Tissue (17250)
range across 3 matching MRF lines |
— |
$598–$989 |
— |
| Chest tube placement (32551) |
— |
$3,131 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$20,016 |
— |
| Chorionic Villus Sampling (59015) |
— |
$4,532 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$4,359 |
— |
| Clear outer ear canal (69200) |
— |
$598 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$724 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$4,416 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$2,165 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$1,073 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,108 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$2,368 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$1,539 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$1,011 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$967 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$2,224 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$1,032 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$1,427 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$688 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$1,636 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$4,416 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,041 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$2,414 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$1,427 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$2,830 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$966 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$762 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$4,215 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$666 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$741 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$6,206 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$1,463 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$1,119 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$821 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$1,427 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$3,888 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,056 |
— |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$1,389 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$1,713 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$1,751 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$6,421 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,022 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$1,427 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$1,016 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$789 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$1,427 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$2,414 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,279 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$919 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$726 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$651 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$718 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$4,356 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$1,074 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$1,064 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$4,436 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$1,099 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$1,532 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$4,416 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$1,463 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$823 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$629 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$4,359 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$1,427 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,787 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$839 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$2,856 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$2,282 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$6,055 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,747 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$2,963 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$1,324 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$5,613 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$711 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$4,416 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$2,413 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$4,416 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$1,543 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$686 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$1,085 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$1,166 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$2,368 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$1,335 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$723 |
— |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
— |
$34–$130 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$6,680 |
— |
| Colonoscopy thru stoma (44388) |
— |
$6,680 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$6,680 |
— |
| Colonoscopy w/ablation (45388) |
— |
$6,637 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$6,680 |
— |
| Colonoscopy W/Resection (45390) |
— |
$15,487 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$6,680 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$2,045 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$1,745 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$1,730 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$3,616 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$6,680 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$6,680 |
— |
| Complex drainage wound (10180) |
— |
$14,903 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$802 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$669 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$1,039 |
— |
| Convert Nephrostomy Catheter (50434) |
— |
$6,528 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$9,557 |
— |
| Csf shunt reprogram (62252) |
— |
$1,686 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$1,169 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$851 |
— |
| Curette/treat cornea (65435) |
— |
$2,647 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$11,304 |
— |
| Cystourethroscopy (52000) |
— |
$3,786 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$732 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$14,344 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$6,676 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$3,042 |
— |
| Debride nail 1-5 (11720) |
— |
$610 |
— |
| Debride nail 6 or more (11721) |
— |
$354 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$4,743 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$3,735 |
— |
| Declot vascular device (36593) |
— |
$1,609 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$1,202 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$6,637 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$5,049 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$5,196 |
— |
| Dilate Urethra Stricture (53600) |
— |
$832 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$989 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$3,282 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,918 |
— |
| Drainage of finger abscess simple (26010) |
— |
$1,162 |
— |
| Drainage of gum lesion (41800) |
— |
$753 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$8,436 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$3,428 |
— |
| Drainage of scrotum (54700) |
— |
$7,447 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$724 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$2,112 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$887 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$755 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$14,511 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$8,102 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$9,454 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$3,331 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$5,665 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$10,290 |
— |
| Egd control bleeding any (43255) |
— |
$10,290 |
— |
| Egd endo mucosal resection (43254) |
— |
$8,631 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$9,500 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$5,441 |
— |
| Egd guide wire insertion (43248) |
— |
$5,441 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$8,820 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$10,062 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$9,878 |
— |
| Egd lesion ablation (43270) |
— |
$8,820 |
— |
Egd place gastrostomy tube (43246)
range across 4 matching MRF lines |
— |
$3,964–$10,648 |
— |
| Egd remove lesion snare (43251) |
— |
$10,290 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$9,877 |
— |
| Egd Varices Ligation (43244) |
— |
$10,290 |
— |
| Endocervical curettage (57505) |
— |
$1,788 |
— |
| Endometrial Biopsy (58100) |
— |
$919 |
— |
| Endoscopic us exam esoph (43237) |
— |
$9,783 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$8,820 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$10,290 |
— |
| Epidural Blood Patch (62273) |
— |
$2,568 |
— |
| Ercp duct stent placement (43274) |
— |
$22,239 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$17,000 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$16,983 |
— |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
— |
$16,983 |
— |
| Ercp remove forgn body duct (43275) |
— |
$16,983 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$16,983 |
— |
| Ercp,Sphincterotomy (43262) |
— |
$16,983 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$5,441 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$4,816 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$418 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$3,941 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$3,529 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$4,537 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$15,955 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$9,075 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$4,339 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$7,219 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$11,251 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$4,339 |
— |
| Exchange Transfusion (36455) |
— |
$2,568 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$4,094 |
— |
| Excision Chalazion Single (67800) |
— |
$1,169 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$7,898 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$8,464 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$2,853 |
— |
| Exploratory elbow surgery (24000) |
— |
$8,791 |
— |
| Fetal non-stress test (59025) |
— |
$1,290 |
— |
| Fluid Pressure Muscle (20950) |
— |
$1,121 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$3,941 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$4,490 |
— |
| Foreskin manipulation (54450) |
— |
$1,215 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$5,190 |
— |
| Hymenotomy Simple Incision (56442) |
— |
$15,805 |
— |
| I&d abscess peritonsillar (42700) |
— |
$1,237 |
— |
| I&d abscess simple (10060) |
— |
$1,044 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$5,428 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,507 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$4,823 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,621 |
— |
| Icd Pocket Revision (33223) |
— |
$8,292 |
— |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
— |
$4,880 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$5,843 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$5,843 |
— |
| Incise external hemorrhoid (46083) |
— |
$796 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$2,166 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$5,428 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$10,007 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$2,632 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$868 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$915 |
— |
| Incision of rectal abscess (46040) |
— |
$3,905 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$3,274 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$863 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$684 |
— |
Inject Intravitreal Pharmcologic (67028)
range across 2 matching MRF lines |
— |
$1,730–$2,108 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$1,484 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,483 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$811 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$3,473 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$11,120 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$8,728 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$8,728 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$12,185 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$16,690 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$751 |
— |
| Insert cath pleura w/ image (32557) |
— |
$4,576 |
— |
| Insert cath pleura w/o image (32556) |
— |
$6,096 |
— |
| Insert Drug Implant Device (11981) |
— |
$577 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$5,381 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$31,878 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$26,817 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$8,671 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$38,399 |
— |
| Insert pessary/other device (57160) |
— |
$678 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$3,577 |
— |
| Insert pulse gen dual leads (33213) |
— |
$30,419 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$509 |
— |
| Insert tun ip cath perc (49418) |
— |
$20,568 |
— |
| Insert tunneled cv cath (36561) |
— |
$11,450 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$12,564 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$446 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$21,376 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$11,087 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$37,607 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$3,360 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$7,215 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$4,183 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$7,215 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$7,531 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$148,774 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$32,317 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$31,398 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$58,052 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$90,722 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$71,324 |
— |
| Intro cath dialysis circuit (36901) |
— |
$6,873 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$24,090 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,348 |
— |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$2,871 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$1,443 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$27,375 |
— |
| Laryngoscopy and dilation (31528) |
— |
$19,198 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$649 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$1,011 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$2,022 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$513 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$4,942 |
— |
| Late closure of wound (13160) |
— |
$16,120 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$7,215 |
— |
| Myelography Lumbar Injection (62304) |
— |
$6,174 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$1,824 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$4,433 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$4,433 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$1,980 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$9,832 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$18,747 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$2,472 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$2,231 |
— |
| Occipital Nerve Block (64405) |
— |
$1,980 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$9,207 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$38,410 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$74,809 |
— |
| Perc Cryo Ablate Renal Tum (50593) |
— |
$25,879 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$25,879 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$3,544 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$16,650 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$6,873 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$28,416 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$47,292 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$26,572 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$38,410 |
— |
| Place Cath Vertebral Art (36226) |
— |
$7,655 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$9,874 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$651 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$30,266 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$4,254 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$7,088 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$10,554 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$10,554 |
— |
| Prim art mech thrombectomy (37184) |
— |
$59,330 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$17,600 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$19,360 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$3,360 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$2,456 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$1,621 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$2,378 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$8,292 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$13,261 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$4,992 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$932 |
— |
| Removal foreign body foot deep (28192) |
— |
$3,044 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$2,310 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$245 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$307 |
— |
| Removal Implant Deep (20680) |
— |
$14,674 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$8,558 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$2,456 |
— |
| Removal of nail bed (11750) |
— |
$1,774 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$890 |
— |
| Removal ppm generator only (33233) |
— |
$18,694 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$385 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$6,934 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$436 |
— |
| Remove drug implant device (11982) |
— |
$2,456 |
— |
| Remove foreign body from eye (65205) |
— |
$613 |
— |
| Remove Intrauterine Device (58301) |
— |
$1,537 |
— |
| Remove intrvas foreign body (37197) |
— |
$17,841 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$580 |
— |
| Remove Pulse Generator (33241) |
— |
$14,011 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$3,866 |
— |
| Remove ureter stent percut (50384) |
— |
$9,976 |
— |
| Remove&replace pm gen singl (33227) |
— |
$35,557 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$2,456 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$66,531 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$155,071 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$66,531 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$48,646 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$41,950 |
— |
| Renal Biopsy Perq (50200) |
— |
$9,458 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$3,991 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$2,698 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,828 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$2,395 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$3,384 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$3,515 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$3,264 |
— |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
— |
$7,475 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$4,112 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$7,475 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,430 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,529 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,781 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$2,050 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$2,045 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,848 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,225 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,499 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,727 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$1,905 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$2,175 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,476 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$2,541 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,861 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$14,011 |
— |
| Repair of nail bed (11760) |
— |
$2,842 |
— |
| Repair tongue laceration (41252) |
— |
$2,326 |
— |
| Repair tongue laceration (41250) |
— |
$707 |
— |
| Replace G-J Tube Perc (49452) |
— |
$5,014 |
— |
| Replace g/c tube perc (49450) |
— |
$2,393 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$8,602 |
— |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
— |
$29,292 |
— |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
— |
$37,276 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$11,534 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$3,736 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$2,456 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$312 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$718 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$12,679 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,285 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$2,277 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,577 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$7,380 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$16,389 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$4,089 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$7,214 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$7,215 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$5,191 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$3,920 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$1,500 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$2,937 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$2,864 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$7,798 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$8,791 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$2,035 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$4,300 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$5,091 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
— |
$5,518 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$6,606 |
— |
| Sigmoidoscopy W/Resection (45349) |
— |
$15,487 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$5,049 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$5,518 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,861 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$1,390 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$1,217 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,315 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$1,070 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$2,007 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,397 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$11,867 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$11,574 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$10,667 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$9,034 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$29,533 |
— |
| Small bowel endoscopy (44366) |
— |
$8,090 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$10,290 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$1,242 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,536 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,996 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$4,131 |
— |
| Strapping ankle (29540) |
— |
$436 |
— |
| Strapping elbow or wrist (29260) |
— |
$368 |
— |
| Strapping hand/finger (29280) |
— |
$387 |
— |
| Strapping Hip (29520) |
— |
$332 |
— |
| Strapping knee (29530) |
— |
$332 |
— |
| Strapping shoulder (29240) |
— |
$450 |
— |
| Strapping toes (29550) |
— |
$317 |
— |
| Strapping Unna Boot (29580) |
— |
$587 |
— |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
— |
$5,574 |
— |
| Therapeutic plasma exchange (36514) |
— |
$6,170 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$71,681 |
— |
| Thyroid biopsy (60100) |
— |
$3,769 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$2,651 |
— |
| Treat humerus fracture (24500) |
— |
$1,287 |
— |
| Treat Humerus Fracture (24505) |
— |
$4,416 |
— |
| Treat humerus fracture (23600) |
— |
$1,279 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$1,250 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$1,713 |
— |
| Treat metacarpal fracture (26607) |
— |
$17,523 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$687 |
— |
| Treat Thumb Dislocation (26641) |
— |
$1,271 |
— |
| Treat toe dislocation (28630) |
— |
$711 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$937 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,166 |
— |
| Trim skin lesion (11055) |
— |
$557 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$1,191 |
— |
| Trim skin lesions over 4 (11057) |
— |
$1,064 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$37,405 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$2,395 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$1,532 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$587 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$1,785 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$10,757 |
— |
| Vaginal delivery only (59409) |
— |
$8,891 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$43,960 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$43,960 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$43,960 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$39,274 |
— |
| Wedge excision skin nail fold (11765) |
— |
$1,025 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$3,613 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$6,037 |
— |