| Abd paracentesis w/imaging (49083) |
$967 |
$1,318 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$967 |
$1,069 |
1.0× |
Acetabuloplasty (27120) range across 2 matching MRF lines |
$13,690 |
$13,748.30–$13,748.34 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,778 |
$7,044 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,200 |
$7,713 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,489 |
$6,252.66 |
1.0× |
| Amputation foot transmetarsal (28805) |
$3,489 |
$17,118 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,489 |
$12,956 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,489 |
$13,187 |
1.0× |
| Anoscopy diagnostic (46600) |
$141 |
$3,625 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$991 |
$9,233 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,276 |
$8,528 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,959 |
$8,528 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,334 |
$8,858.43 |
1.0× |
| Application finger splint static (29130) |
$141 |
$182 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$173 |
$438 |
1.0× |
| Application Long Leg Splint (29505) |
$173 |
$438 |
1.0× |
| Application multiplane external fixation system (20692) |
$13,690 |
$6,375 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$141 |
$340 |
1.0× |
| Application short leg splint calf foot (29515) |
$173 |
$438 |
1.0× |
| Application uniplane external fixation system (20690) |
$7,737 |
$9,654 |
1.0× |
Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$173 |
$21,297.80–$21,297.83 |
1.0× |
| Arterial puncture (36600) |
$141 |
$153 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,367 |
$18,292 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,933 |
$18,477 |
1.0× |
| Artery-vein autograft (36825) |
$5,933 |
$25,146 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$13,690 |
$23,352 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$327 |
$1,147 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$327 |
$1,424 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$327 |
$1,045 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$327 |
$828 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,737 |
$14,282 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,737 |
$18,678 |
1.0× |
| Arthrodesis subtalar (28725) |
$13,690 |
$28,050 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$18,697 |
$44,967 |
1.0× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$13,690 |
$32,280 |
1.0× |
| Arthroplasty interphalangeal joint each (26535) |
$3,489 |
$9,498.34 |
1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,489 |
$23,352 |
1.0× |
| Arthroplasty Patella W/Prosthesis (27438) |
$13,690 |
$36,581 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,489 |
$8,923.33 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$3,489 |
$7,228.66 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,489 |
$14,369 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,489 |
$11,518 |
1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,489 |
$18,452 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,489 |
$8,879.34 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,737 |
$25,802 |
1.0× |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
$3,489 |
$13,385 |
1.0× |
| Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) |
$3,489 |
$10,451 |
1.0× |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) range across 2 matching MRF lines |
$7,737 |
$13,748.30–$13,748.33 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,489 |
$5,534 |
1.0× |
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
$3,489 |
$16,461.70–$16,461.72 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,489 |
$18,452 |
1.0× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
$7,737 |
$10,410.20–$10,410.21 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,489 |
$15,460 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,489 |
$7,721.42 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,737 |
$25,802 |
1.0× |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
$3,489 |
$18,088 |
1.0× |
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) range across 2 matching MRF lines |
$3,489 |
$11,456.78–$11,456.80 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,737 |
$25,061 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$13,690 |
$41,544 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$13,690 |
$36,555 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,737 |
$30,581 |
1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,489 |
$13,552 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,489 |
$16,002 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,489 |
$14,932 |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$3,489 |
$9,720 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$668 |
$2,139 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$668 |
$1,557 |
1.0× |
Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$2,229 |
$3,291–$11,097 |
1.0× |
| Av fistula revision (36833) |
$5,933 |
$25,146 |
1.0× |
| Av Fistula Revision Open (36832) |
$5,933 |
$24,143 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,933 |
$26,038 |
1.0× |
| Av fusion/forearm vein (36820) |
$5,933 |
$15,111 |
1.0× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$213 |
$459–$6,300 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,761 |
$2,616 |
1.0× |
Biopsy bone open deep (20245) range across 2 matching MRF lines |
$3,097 |
$12,943.67–$12,943.70 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,761 |
$3,696 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$4,175 |
$17,118 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,761 |
$4,543 |
1.0× |
| Biopsy of palate, uvula (42100) |
$1,654 |
$3,674.50 |
1.0× |
| Biopsy of penis (54100) |
$1,761 |
$8,528 |
1.0× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$1,761 |
$2,420 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,761 |
$3,271 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$982 |
$7,228.66 |
1.0× |
Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$982 |
$12,982.30–$12,982.33 |
1.0× |
| Bladder Scan (51798) |
$62 |
$182 |
1.0× |
| Blood Transfusion Service (36430) |
$470 |
$598 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,761 |
$3,696 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,761 |
$2,420 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,898 |
$6,107.35 |
1.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$3,975 |
$18,452 |
1.0× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$3,975 |
$28,252 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,898 |
$8,622 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,898 |
$5,359.26 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,975 |
$5,079 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,975 |
$6,253.61 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,761 |
$6,804 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,761 |
$5,453 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,761 |
$10,068 |
1.0× |
| Bx Cervix (57500) |
$982 |
$6,092.44 |
1.0× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$3,758 |
$12,914 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,175 |
$25,815 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$4,175 |
$9,051 |
1.0× |
| Canthoplasty (67950) |
$2,535 |
$4,342.66 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,489 |
$5,726.08 |
1.0× |
| Capsular contracture release (23020) |
$3,489 |
$3,892 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$2,082 |
$8,688 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$233 |
$395 |
1.0× |
| Cautery Cervix Electro/Thermal (57510) |
$3,451 |
$4,000.50 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$266 |
$319 |
1.0× |
| Change of Windpipe Airway (31502) |
$252 |
$1,179 |
1.0× |
| Chemodenervation of internal anal sphincter (46505) |
$1,276 |
$5,034 |
1.0× |
| Chest tube placement (32551) |
$1,678 |
$1,907 |
1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,229 |
$3,291 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,818 |
$5,649 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,229 |
$8,528 |
1.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,229 |
$10,068 |
1.0× |
| Cjp Rcnstj Cul-De-Sac Buccal Grf/Xtnsv Rearrgmt (68326) |
$4,192 |
$13,552 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,714 |
$4,366 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,714 |
$4,366 |
1.0× |
| Claviculectomy partial (23120) |
$3,489 |
$23,876 |
1.0× |
Clear outer ear canal (69200) range across 2 matching MRF lines |
$141 |
$176–$4,072 |
1.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,489 |
$17,118 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$263 |
$695 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,714 |
$4,366 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,535 |
$5,448 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$263 |
$695 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,714 |
$8,472 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$263 |
$1,829 |
1.0× |
| Closure Gastrostomy Surg (43870) |
$4,111 |
$10,446 |
1.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$575 |
$1,415 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,714 |
$6,320 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$263 |
$695 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,714 |
$4,366 |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,714 |
$25,802 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$263 |
$695 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,714 |
$4,366 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,714 |
$4,366 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$263 |
$695 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$263 |
$550 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$298 |
$6,988 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$263 |
$695 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$263 |
$695 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$263 |
$695 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$263 |
$1,182 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$263 |
$695 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,714 |
$4,366 |
1.0× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$5,334 |
$9,533.88 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$141 |
$392 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$71 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,276 |
$8,528 |
1.0× |
| Colonoscopy thru stoma (44388) |
$991 |
$7,250 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,276 |
$10,642 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,276 |
$8,256 |
1.0× |
Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
$1,276 |
$5,895–$7,373 |
1.0× |
| Colpocleisis (le fort type) (57120) |
$5,334 |
$23,700 |
1.0× |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
$3,451 |
$33,378 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$7,907 |
$7,767.49 |
1.0× |
Colpopexy vaginal intraperitoneal approach (57283) range across 2 matching MRF lines |
$7,907 |
$18,160.28–$18,160.30 |
1.0× |
| Colporrhaphy (57200) |
$3,451 |
$15,677 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$215 |
$8,128 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,451 |
$9,090 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$324 |
$3,625 |
1.0× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$982 |
$7,784 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,276 |
$6,145 |
1.0× |
Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
$5,334 |
$16,174.36–$16,174.40 |
1.0× |
| Complex drainage wound (10180) |
$3,097 |
$8,528 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,451 |
$7,929 |
1.0× |
| Conization of cervix (57520) |
$3,451 |
$9,728 |
1.0× |
| Conjunctivoplasty w/grf/xtnsv rearrangement (68320) |
$2,535 |
$5,534 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$141 |
$550 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$141 |
$388 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,229 |
$3,291 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,761 |
$5,891 |
1.0× |
| Correction hammertoe (28285) |
$3,489 |
$10,222 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,489 |
$14,480 |
1.0× |
Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) range across 2 matching MRF lines |
$3,489 |
$35,508.47–$35,508.50 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$13,690 |
$28,665 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$7,737 |
$13,104 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,489 |
$17,376 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,737 |
$15,111 |
1.0× |
| Create Tear Sac-Nasal Fistula (68720) |
$4,192 |
$13,886 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$5,933 |
$22,047 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$141 |
$726 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,229 |
$8,663 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,229 |
$8,907 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$3,758 |
$7,095 |
1.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$5,717 |
$8,848 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,758 |
$9,600 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,758 |
$9,152 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$3,758 |
$7,469 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,758 |
$10,270 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,229 |
$8,965 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,717 |
$13,730 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,758 |
$5,671.25 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,758 |
$8,624.50 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,758 |
$4,899.33 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,717 |
$5,866.17 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,717 |
$17,176 |
1.0× |
| Cysto/uretero w/up stricture (52345) |
$3,758 |
$4,715.50 |
1.0× |
| Cystolithotomy (51050) |
$5,717 |
$8,528 |
1.0× |
| Cystoscopy implant stent (52282) |
$3,758 |
$6,988 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,229 |
$5,448 |
1.0× |
| Cystourethroscopy (52000) |
$743 |
$8,267 |
1.0× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,758 |
$4,545 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,229 |
$8,528 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,758 |
$12,782 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,717 |
$14,777 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,229 |
$8,541 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,229 |
$6,372 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,229 |
$6,988 |
1.0× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,229 |
$5,448 |
1.0× |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
$3,758 |
$8,528 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,097 |
$5,034 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$788 |
$35,811 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,761 |
$14,018 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$433 |
$2,245–$7,172 |
1.0× |
| Declot vascular device (36593) |
$352 |
$530 |
1.0× |
| Decompression of tibia nerve (28035) |
$2,082 |
$5,627.25 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$213 |
$8,652 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,082 |
$8,184 |
1.0× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,451 |
$5,706 |
1.0× |
Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$991 |
$1,378–$5,895 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$967 |
$4,688 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,451 |
$11,721 |
1.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,898 |
$7,216 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$752 |
$1,544 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$755 |
$7,119 |
1.0× |
| Drainage of finger abscess simple (26010) |
$213 |
$301 |
1.0× |
| Drainage of gum lesion (41800) |
$141 |
$278 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,761 |
$2,616 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,761 |
$8,471 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$141 |
$395 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$213 |
$310 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,959 |
$13,104 |
1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$943 |
$8,528 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,097 |
$3,518 |
1.0× |
Dx Bronchoscope/Lavage (31624) range across 2 matching MRF lines |
$1,898 |
$5,978–$11,097 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,898 |
$2,316 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,046 |
$29,764 |
1.0× |
Egd cautery tumor polyp (43250) range across 2 matching MRF lines |
$2,046 |
$8,528–$9,485 |
1.0× |
| Egd control bleeding any (43255) |
$2,046 |
$9,485 |
1.0× |
Egd dilation gastric/duodenal stricture (43245) range across 2 matching MRF lines |
$2,046 |
$6,988–$9,485 |
1.0× |
Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
$967 |
$5,048–$8,382 |
1.0× |
| Egd guide wire insertion (43248) |
$967 |
$4,688 |
1.0× |
Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$2,046 |
$5,678–$9,045 |
1.0× |
| Egd remove lesion snare (43251) |
$2,046 |
$5,271 |
1.0× |
Egd us exam duodenum/jejunum (43259) range across 2 matching MRF lines |
$2,046 |
$7,250–$9,485 |
1.0× |
| Egd Varices Ligation (43244) |
$2,046 |
$9,485 |
1.0× |
| Endocervical curettage (57505) |
$982 |
$4,180.40 |
1.0× |
| Endoscopic injection/implant (51715) |
$3,758 |
$5,550 |
1.0× |
| Endoscopic plantar fasciotomy (29893) |
$3,489 |
$15,677 |
1.0× |
| Endoscopic us exam esoph (43237) |
$2,046 |
$19,023 |
1.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$2,046 |
$5,448 |
1.0× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$3,367 |
$5,583.20 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,367 |
$8,528 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,367 |
$5,123.67 |
1.0× |
Enterorrhaphy single perforation (44602) range across 2 matching MRF lines |
$4,111 |
$35,571.25–$35,571.30 |
1.0× |
| Ercp duct stent placement (43274) |
$6,473 |
$29,764 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,111 |
$3,870 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$4,111 |
$9,524 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,473 |
$12,134 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$4,111 |
$19,023 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,046 |
$9,887 |
1.0× |
| Esophagoscp Rig Trnso Inject (43192) |
$2,046 |
$9,431 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$141 |
$259 |
1.0× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$1,761 |
$13,148 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,761 |
$10,451 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$755 |
$9,032.50 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,761 |
$8,652 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$3,097 |
$15,111 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$4,175 |
$13,148 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,761 |
$9,798.67 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,761 |
$17,118 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$755 |
$6,988 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$755 |
$14,698 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$755 |
$11,097 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,761 |
$18,372 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,761 |
$8,652 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$755 |
$8,528 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,761 |
$5,448 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,761 |
$8,109.33 |
1.0× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$3,758 |
$20,330.50 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,714 |
$10,068 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,714 |
$8,528 |
1.0× |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
$3,535 |
$7,349 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,959 |
$10,068 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$755 |
$15,111 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,761 |
$9,469 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,097 |
$13,104 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,761 |
$13,104 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,761 |
$4,368 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,097 |
$8,559 |
1.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,489 |
$7,838.50 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,097 |
$8,848 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,276 |
$9,428.50 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$433 |
$2,416.68 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$755 |
$5,223 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,761 |
$11,097 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,097 |
$13,104 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,097 |
$11,097 |
1.0× |
Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) range across 2 matching MRF lines |
$3,097 |
$12,636.39–$12,636.40 |
1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,761 |
$8,528 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,761 |
$8,240 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,761 |
$12,573 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,097 |
$13,595 |
1.0× |
| Exc urethral diverticulum spx female (53230) |
$5,717 |
$7,713 |
1.0× |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
$3,489 |
$9,562.50 |
1.0× |
| Exc/fulguration urethral caruncle (53265) |
$2,229 |
$7,250 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,818 |
$4,456 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,229 |
$3,985 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,046 |
$2,874 |
1.0× |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
$2,535 |
$24,005 |
1.0× |
Excision & Repair Eyelid One-Fourth Lid Margin (67966) range across 2 matching MRF lines |
$2,535 |
$12,612.20–$12,612.22 |
1.0× |
| Excision inferior turbinate partial/complete (30130) |
$3,535 |
$6,114.25 |
1.0× |
| Excision lesion meniscus/capsule knee (27347) |
$3,489 |
$6,988 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$755 |
$5,283 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,761 |
$9,090 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,959 |
$9,090 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$3,451 |
$5,225.66 |
1.0× |
| Excision of chalazion; multiple, different lids (67805) |
$338 |
$6,988 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,714 |
$9,760 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,818 |
$9,898 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,097 |
$8,528 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$1,276 |
$4,715.50 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$3,451 |
$11,119 |
1.0× |
| Excision of vaginal septum (57130) |
$3,451 |
$6,375 |
1.0× |
| Excision olecranon bursa (24105) |
$3,489 |
$28,252 |
1.0× |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
$3,489 |
$6,150.68 |
1.0× |
| Excision or fulguration; Skene's glands Facility (53270) |
$3,758 |
$5,034 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,097 |
$13,148 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$3,097 |
$10,838 |
1.0× |
| Excision prepatellar bursa (27340) |
$3,489 |
$17,118 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,229 |
$11,097 |
1.0× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$6,446 |
$21,132 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,761 |
$12,101 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,097 |
$6,877 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,761 |
$7,501 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,761 |
$10,122 |
1.0× |
Excision, interdigital (morton) neuroma, single, each (28080) range across 2 matching MRF lines |
$1,714 |
$10,963.30–$10,963.34 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,097 |
$11,097 |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,535 |
$6,950.50 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,761 |
$11,097 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,761 |
$15,240 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$575 |
$14,698 |
1.0× |
| Fasciectomy Palm Only (26121) |
$3,489 |
$26,087 |
1.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,489 |
$8,559 |
1.0× |
| Fasciotomy palmar open partial (26045) |
$3,489 |
$10,068 |
1.0× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$2,200 |
$12,248 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$755 |
$1,818 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$433 |
$781 |
1.0× |
| Fixation contralateral testis separate procedure (54620) |
$3,758 |
$13,728 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$254 |
$435 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$755 |
$1,818 |
1.0× |
| Foreskin manipulation (54450) |
$266 |
$537 |
1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,200 |
$5,856.44 |
1.0× |
| Fusion of foot bones (28740) |
$7,737 |
$15,111 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$755 |
$2,420 |
1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,737 |
$24,471 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,959 |
$13,104 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,959 |
$13,104 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,959 |
$11,097 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$991 |
$13,712 |
1.0× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$2,959 |
$15,677 |
1.0× |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
$2,959 |
$8,528 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,451 |
$10,762 |
1.0× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$5,334 |
$5,494.75 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,451 |
$9,431 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,334 |
$11,981 |
1.0× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$5,334 |
$6,489.39 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,451 |
$7,349 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,334 |
$19,063 |
1.0× |
| I&d abscess peritonsillar (42700) |
$252 |
$1,759 |
1.0× |
| I&d abscess simple (10060) |
$213 |
$311 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,097 |
$6,988 |
1.0× |
I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$991 |
$4,209–$11,097 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$755 |
$1,110 |
1.0× |
| Icd Pocket Revision (33223) |
$2,200 |
$3,587 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,761 |
$2,420 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,761 |
$2,425 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,761 |
$2,603 |
1.0× |
| Implant neuroelectrodes (63650) |
$6,795 |
$13,732.50 |
1.0× |
| Implant Neuroelectrodes (64561) |
$6,795 |
$17,049 |
1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$20,687 |
$14,777 |
1.0× |
| Incise external hemorrhoid (46083) |
$266 |
$1,216 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,714 |
$8,368 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$433 |
$603 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,097 |
$2,949.33 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,761 |
$3,250 |
1.0× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$433 |
$1,045–$10,068 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$215 |
$524 |
1.0× |
Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
$324 |
$368–$9,090 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,714 |
$13,104 |
1.0× |
| Incision of Foot Tendon (28234) |
$1,714 |
$4,279.50 |
1.0× |
Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,276 |
$6,998–$9,714 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$226 |
$339 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$327 |
$7,175 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$943 |
$1,303 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$752 |
$1,760 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$327 |
$1,649 |
1.0× |
| Injection for identification of sentinel node (38792) |
$426 |
$6,375 |
1.0× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$991 |
$5,282 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$327 |
$3,699 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$327 |
$6,552 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$943 |
$2,164 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$752 |
$1,760 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$752 |
$1,760 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,367 |
$5,598 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,933 |
$8,275 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$33,472 |
$60,081 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$8,824 |
$14,303 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$137 |
$326 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,678 |
$1,665 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,046 |
$2,769 |
1.0× |
Insert Heart Pm Ventricular (33207) range across 2 matching MRF lines |
$11,145 |
$13,343–$13,959 |
1.0× |
| Insert multi-comp penis pros (54405) |
$22,101 |
$27,153 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,367 |
$2,343 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$141 |
$164 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,818 |
$4,178 |
1.0× |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$3,367 |
$7,274–$11,593 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$141 |
$241 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,818 |
$5,649 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,678 |
$3,434 |
1.0× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$8,824 |
$22,914–$23,249 |
1.0× |
| Insj Picc Rs&I <5 Yr (36572) |
$668 |
$1,946 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,367 |
$10,068 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,678 |
$2,744 |
1.0× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$3,367 |
$5,095–$13,595 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,715 |
$5,034 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$33,472 |
$53,724 |
1.0× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 2 matching MRF lines |
$32,905 |
$11,471.25–$11,471.30 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,824 |
$14,303 |
1.0× |
Insrt heart pm atrial & vent (33208) range across 2 matching MRF lines |
$11,145 |
$15,780–$16,844 |
1.0× |
Intro cath dialysis circuit (36901) range across 2 matching MRF lines |
$1,678 |
$1,651–$13,432 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$12,310 |
$11,097 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$6,069 |
$15,469 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$252 |
$716 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,446 |
$19,459 |
1.0× |
| Lap paraesoph her rpr w/mesh (43282) |
$11,335 |
$64,289 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$11,335 |
$43,055 |
1.0× |
| Laparoscope proc ureter (50949) |
$6,446 |
$52,654 |
1.0× |
| Laparoscopic myomectomy (58545) |
$6,446 |
$76,632 |
1.0× |
Laparoscopy aspiration (49322) range across 2 matching MRF lines |
$6,446 |
$13,339.50–$13,339.53 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,446 |
$27,608 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$11,335 |
$76,334 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$11,335 |
$57,202 |
1.0× |
Laparoscopy W/Lysis Of Adhesions (58660) range across 2 matching MRF lines |
$6,446 |
$24,231.80–$24,231.83 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,446 |
$34,029 |
1.0× |
Laparoscopy, surgical, ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring,… (58674) range across 2 matching MRF lines |
$11,335 |
$11,156.17–$11,156.20 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,446 |
$15,982 |
1.0× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) range across 2 matching MRF lines |
$11,335 |
$18,525.10–$18,525.13 |
1.0× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$11,335 |
$93,202 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$11,335 |
$52,654 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$6,446 |
$47,852 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,446 |
$25,494 |
1.0× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$11,335 |
$28,275.50 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,446 |
$27,537 |
1.0× |
Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) range across 2 matching MRF lines |
$6,446 |
$46,099.10–$46,099.11 |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$11,335 |
$29,816 |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,446 |
$4,670.40 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,446 |
$22,637 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,446 |
$36,741 |
1.0× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$4,111 |
$11,097 |
1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$11,335 |
$55,619 |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$6,446 |
$20,902 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$11,335 |
$39,754 |
1.0× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$3,975 |
$11,097 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$212 |
$888 |
1.0× |
| Laryngoscopy W/Biopsy (31535) |
$3,975 |
$9,090 |
1.0× |
| Late closure of wound (13160) |
$3,778 |
$9,298 |
1.0× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$3,367 |
$9,218 |
1.0× |
| Ligate/strip long leg vein (37722) |
$3,367 |
$14,688 |
1.0× |
| Ligation of a-v fistula (37607) |
$3,367 |
$13,552 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,761 |
$22,440 |
1.0× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,367 |
$11,608 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,758 |
$13,552 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,758 |
$17,561 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,758 |
$18,080 |
1.0× |
| Low Back Disk Surgery (63030) |
$7,737 |
$19,365 |
1.0× |
| Lsh uterus 250 g or less (58541) |
$11,335 |
$35,879.50 |
1.0× |
| Lysis of labial adhesions (56441) |
$3,451 |
$5,225.68 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,714 |
$4,123 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,714 |
$4,072 |
1.0× |
| Mastectomy partial (19301) |
$4,175 |
$13,312 |
1.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$7,080 |
$32,050 |
1.0× |
| Mastectomy simple complete (19303) |
$7,080 |
$45,402 |
1.0× |
| Midface flap (ie, zygomaticofacial flap) with preservation of vascular pedicle(s) (15730) |
$3,778 |
$6,613.68 |
1.0× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$3,778 |
$26,928 |
1.0× |
| Myelography Lumbar Injection (62305) |
$835 |
$2,541 |
1.0× |
| Myelography Lumbar Injection (62304) |
$835 |
$2,430 |
1.0× |
| Nasal surgery procedure (30999) |
$252 |
$8,477.64 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$476 |
$641 |
1.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,975 |
$7,206 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,898 |
$10,616.50 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$1,898 |
$5,551.31 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,898 |
$7,886 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dacryocystorhinostomy (31239) |
$3,975 |
$10,074 |
1.0× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$7,525 |
$10,792.80 |
1.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$7,525 |
$22,247.20 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$7,525 |
$7,206 |
1.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$7,525 |
$6,784.61 |
1.0× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$7,525 |
$4,860 |
1.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$7,525 |
$9,720 |
1.0× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$991 |
$5,448 |
1.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$991 |
$5,448 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,714 |
$9,953 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,761 |
$4,148 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,082 |
$22,561 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$327 |
$818 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,818 |
$5,649 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,818 |
$4,095 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$743 |
$1,379 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$743 |
$3,577 |
1.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$7,525 |
$9,292.53 |
1.0× |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
$4,192 |
$5,653.67 |
1.0× |
| Open Implantation Nea Sacral Nerve (64581) |
$6,795 |
$11,478.50 |
1.0× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$32,905 |
$37,709 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,737 |
$23,352 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,737 |
$33,981 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$13,690 |
$28,826 |
1.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$13,690 |
$29,312 |
1.0× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,489 |
$11,097 |
1.0× |
Open Treatment Medial Malleolus Fracture (27766) range across 2 matching MRF lines |
$7,737 |
$14,317.30–$14,317.33 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,737 |
$18,681.50 |
1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$7,737 |
$19,144 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,737 |
$26,619 |
1.0× |
| Open treatment of depressed zygomatic arch fracture (eg, Gillies approach) Facility (21356) |
$6,312 |
$13,552 |
1.0× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$13,690 |
$16,820 |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$6,312 |
$20,440 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$13,690 |
$29,312 |
1.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,737 |
$26,770 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,737 |
$23,352 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,489 |
$6,381.33 |
1.0× |
Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$7,737 |
$14,325.89–$14,325.90 |
1.0× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$13,690 |
$21,112 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,489 |
$9,572 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,489 |
$16,112 |
1.0× |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
$7,737 |
$21,686 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,737 |
$41,170 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,737 |
$30,702 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$12,310 |
$23,139 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,737 |
$20,875 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,737 |
$27,657 |
1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$7,737 |
$43,574 |
1.0× |
| Orbitotomy w/o bone flap expl w/wo biopsy (67400) |
$4,192 |
$11,810 |
1.0× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$2,535 |
$8,528 |
1.0× |
| Orbitotomy with bone flap or window, lateral approach (eg, Kroenlein); for exploration, with or without biopsy Facility (67450) |
$4,192 |
$2,719 |
1.0× |
| Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression Facility (67414) |
$4,192 |
$8,590.40 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,818 |
$15,111 |
1.0× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$3,818 |
$12,232 |
1.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,489 |
$11,097 |
1.0× |
| Ostectomy calcaneus (28118) |
$3,489 |
$16,195 |
1.0× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$3,489 |
$4,330.10 |
1.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$3,489 |
$13,104 |
1.0× |
| Ostectomy, complete excision; first metatarsal head (28111) |
$3,489 |
$17,759 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,489 |
$11,097 |
1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$7,737 |
$13,104 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,489 |
$15,111 |
1.0× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$7,737 |
$18,025.50 |
1.0× |
Ovarian cystectomy, unilateral or bilateral (58925) range across 2 matching MRF lines |
$5,334 |
$26,644.30–$26,644.33 |
1.0× |
| Palatopharyngoplasty (42145) |
$6,312 |
$10,068 |
1.0× |
Part exc bone femur prox tibia (27360) range across 2 matching MRF lines |
$3,489 |
$13,748.30–$13,748.33 |
1.0× |
| Part remv talus or calcaneus (28120) |
$3,489 |
$9,394.72 |
1.0× |
| Partial removal of thyroid (60220) |
$6,446 |
$35,181 |
1.0× |
| Partial removal of tibia (27640) |
$3,489 |
$5,919.66 |
1.0× |
| Partial removal of toe (28160) |
$3,489 |
$4,397.60 |
1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$6,446 |
$12,573 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,489 |
$9,261 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,451 |
$4,225 |
1.0× |
| Penis plastic surgery (54360) |
$3,758 |
$15,240 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,678 |
$6,828 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,451 |
$3,869.34 |
1.0× |
| Perq av fistula creation uxtr single access (36836) |
$19,548 |
$13,552 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$755 |
$4,265 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$755 |
$4,208 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,761 |
$3,769 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,489 |
$11,608 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,310 |
$14,639 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,069 |
$9,015 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,737 |
$13,179 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$3,367 |
$11,147 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$476 |
$641 |
1.0× |
| Placement of seton (46020) |
$2,959 |
$13,782 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,229 |
$3,347 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,758 |
$4,872 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,758 |
$3,628 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,758 |
$4,692 |
1.0× |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) range across 2 matching MRF lines |
$5,334 |
$16,835.60–$16,835.64 |
1.0× |
| Prim art mech thrombectomy (37184) |
$19,548 |
$89,784 |
1.0× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$2,535 |
$13,104 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$991 |
$5,223 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$755 |
$1,211 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,818 |
$5,073 |
1.0× |
| Prq skel fixj metar fx w/manj (28476) |
$3,489 |
$4,226.40 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,489 |
$6,380 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$668 |
$827 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$433 |
$994 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$433 |
$603 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of neck or anterior thorax; less than 5 cm Facility (21557) |
$3,097 |
$17,759 |
1.0× |
| Rcnstj Eyelid Full Thickness Lower Eyelid 1 Stg (67973) |
$2,535 |
$7,044 |
1.0× |
Rcnstj Eyelid Full Thickness Second Stage (67975) range across 2 matching MRF lines |
$2,535 |
$10,913.67–$10,913.70 |
1.0× |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
$7,737 |
$13,860.50 |
1.0× |
| Reconstruction of eyelid, full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid,… (67974) |
$4,192 |
$6,613.66 |
1.0× |
| Reconstruction of throat (42950) |
$6,312 |
$5,804 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,367 |
$12,640 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$967 |
$1,560 |
1.0× |
Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$755 |
$2,420–$8,528 |
1.0× |
| Removal foreign body jawbone (41806) |
$1,654 |
$9,920.50 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$62 |
$90 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$62 |
$157 |
1.0× |
| Removal Implant Deep (20680) |
$3,097 |
$15,632 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,761 |
$6,613.68 |
1.0× |
| Removal of ankle implant (27704) |
$3,489 |
$16,538 |
1.0× |
| Removal of bone lesion (23140) |
$3,489 |
$20,902 |
1.0× |
| Removal of heel spur (28119) |
$3,489 |
$11,097 |
1.0× |
Removal of nail bed (11750) range across 2 matching MRF lines |
$433 |
$554–$9,469 |
1.0× |
| Removal of testis (54520) |
$3,758 |
$13,104 |
1.0× |
| Removal of tonsils (42826) |
$3,535 |
$15,041 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,367 |
$6,957 |
1.0× |
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$213 |
$15,693.60–$15,693.62 |
1.0× |
| Removal sweat gland lesion (11450) |
$3,097 |
$17,149 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,714 |
$12,101 |
1.0× |
| Remove drug implant device (11982) |
$476 |
$8,528 |
1.0× |
| Remove elbow lesion (24120) |
$3,489 |
$25,151 |
1.0× |
| Remove Elctrd Transvenously (33244) |
$3,984 |
$18,197 |
1.0× |
| Remove foreign body from eye (65205) |
$141 |
$571 |
1.0× |
| Remove Intrauterine Device (58301) |
$324 |
$5,868.18 |
1.0× |
| Remove Lower Leg Bone Lesion (27635) |
$3,489 |
$6,025 |
1.0× |
| Remove lung catheter (32552) |
$668 |
$2,040 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$141 |
$342 |
1.0× |
| Remove Pulse Generator (33241) |
$3,984 |
$8,279 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$743 |
$1,098 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,714 |
$7,889 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$23,719 |
$36,199 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$33,472 |
$60,081 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$23,719 |
$34,755 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$11,145 |
$13,915 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,761 |
$3,799 |
1.0× |
Reopen fallopian tube (58350) range across 2 matching MRF lines |
$5,334 |
$14,611.15–$14,611.20 |
1.0× |
| Repair Achilles Tendon (27650) |
$7,737 |
$18,984 |
1.0× |
| Repair Bladder-Vagina Lesion (57320) |
$5,334 |
$17,590.50 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$7,737 |
$7,685 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$433 |
$4,195.58 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$433 |
$5,346 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$788 |
$7,044 |
1.0× |
| Repair Ectropion Extensive (67917) |
$2,535 |
$2,719 |
1.0× |
| Repair Entropion Suture (67921) |
$2,535 |
$13,104 |
1.0× |
| Repair Finger/Hand Tendon (26350) |
$3,489 |
$6,233.40 |
1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,489 |
$8,559 |
1.0× |
| Repair Foot Dislocation (28615) |
$7,737 |
$35,904 |
1.0× |
| Repair Hallux Rigidus (28289) |
$3,489 |
$11,898 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,818 |
$14,580 |
1.0× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,818 |
$19,841 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,818 |
$20,033 |
1.0× |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$433 |
$597–$19,308 |
1.0× |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$433 |
$661–$12,232 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$433 |
$860 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$433 |
$1,998 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$433 |
$597 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$433 |
$2,416.66 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$433 |
$1,067 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$433 |
$1,299 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$7,737 |
$14,580 |
1.0× |
Repair of rectocele (45560) range across 2 matching MRF lines |
$2,959 |
$10,777.68–$10,777.70 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$7,737 |
$28,225 |
1.0× |
| Repair of shoulder (23420) |
$7,737 |
$21,463.50 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$6,903 |
$9,920.50 |
1.0× |
| Repair Rotator Cuff Chronic (23412) |
$7,737 |
$18,310.50 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,737 |
$17,768 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,737 |
$20,902 |
1.0× |
| Repair/graft achilles tendon (27652) |
$7,737 |
$12,901 |
1.0× |
| Replace G-J Tube Perc (49452) |
$967 |
$9,431 |
1.0× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$7,737 |
$8,301 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,818 |
$22,440 |
1.0× |
| Resection, partial or complete, phalangeal base, each toe (28126) |
$3,489 |
$6,855 |
1.0× |
| Revise eye with implant (65093) |
$4,192 |
$13,104 |
1.0× |
| Revise Hand/Foot Nerve (64704) |
$2,082 |
$8,528 |
1.0× |
| Revise hernia & sperm veins (55540) |
$3,818 |
$20,330.50 |
1.0× |
| Revise/Implant Finger Joint (26536) |
$7,737 |
$28,252 |
1.0× |
| Revise/Repair Finger/Toe Nerve (64702) |
$2,082 |
$5,371.50 |
1.0× |
| Revision of foot (28116) |
$3,489 |
$8,923.34 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,489 |
$32,050.50 |
1.0× |
| Revision of reconstructed breast (19380) |
$7,080 |
$26,087 |
1.0× |
| Revision Peri-Implant Capsule Breast (19370) |
$4,175 |
$4,592.25 |
1.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$6,795 |
$21,686 |
1.0× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$18,697 |
$61,965 |
1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$3,728 |
$17,952 |
1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,761 |
$3,934 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,276 |
$5,652 |
1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,097 |
$8,528 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,678 |
$1,464 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$668 |
$1,051 |
1.0× |
| Rmvl/revj sling stress incontinence (57287) |
$3,451 |
$6,463.50 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$266 |
$727 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,367 |
$5,095 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,678 |
$7,767 |
1.0× |
Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 2 matching MRF lines |
$3,367 |
$5,095–$10,721 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,446 |
$13,104 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,818 |
$15,725 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$6,903 |
$32,378 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$6,903 |
$30,387 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,818 |
$13,350 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,903 |
$18,084 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,446 |
$12,631 |
1.0× |
Rpr Blepharopt Frontalis Musc Autol Fascal Sling (67902) range across 2 matching MRF lines |
$4,192 |
$14,008–$14,008.03 |
1.0× |
| Rpr Blepharoptosis Frontalis Musc Sutr/Oth Matrl (67901) |
$2,535 |
$15,240 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,678 |
$1,809 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$213 |
$1,323 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$575 |
$1,908 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$575 |
$1,741 |
1.0× |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) range across 2 matching MRF lines |
$7,737 |
$22,872.90–$22,872.94 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,489 |
$11,216 |
1.0× |
| Rpr Wnd Extraocular Muscle Tendon&/Tenon Capsu (65290) |
$4,192 |
$8,590.40 |
1.0× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$3,489 |
$14,688 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$3,535 |
$6,610.15 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$991 |
$5,652 |
1.0× |
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$1,276 |
$3,651–$6,543 |
1.0× |
| Shoulder arthroscopy (29820) |
$7,737 |
$9,577 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$213 |
$12,646 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$991 |
$5,034 |
1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,276 |
$5,516 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,276 |
$3,625 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,276 |
$6,988 |
1.0× |
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$991 |
$7,557–$29,764 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$433 |
$1,802 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$213 |
$811 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$213 |
$1,038 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$213 |
$354 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$213 |
$847 |
1.0× |
| Skin Full Grft Face/Genit/Hf (15240) |
$2,200 |
$5,137.25 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$788 |
$9,041 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$788 |
$4,840.33 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,334 |
$8,940 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$213 |
$704 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$433 |
$931 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,959 |
$14,363 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$752 |
$1,544 |
1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,778 |
$11,097 |
1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$2,200 |
$15,111 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,367 |
$8,913 |
1.0× |
| Strapping ankle (29540) |
$173 |
$789 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,535 |
$6,557.54 |
1.0× |
| Surg Implnt Neuroelect,Epidural (63655) |
$20,687 |
$25,802 |
1.0× |
| Surg tx anal fistula subq (46270) |
$2,959 |
$11,513 |
1.0× |
Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) range across 2 matching MRF lines |
$2,959 |
$14,804.30–$14,804.33 |
1.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,082 |
$6,233.40 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$7,737 |
$16,228 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,737 |
$18,976.50 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$20,540 |
$48,212 |
1.0× |
| Temporary Closure Eyelids Suture (67875) |
$1,063 |
$4,621.44 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,737 |
$17,959 |
1.0× |
| Tenotomy shoulder area single tendon (23405) |
$7,737 |
$3,892 |
1.0× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,660 |
$2,786 |
1.0× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$3,367 |
$36,938 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$352 |
$1,864 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$6,446 |
$35,181 |
1.0× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,200 |
$5,856.45 |
1.0× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$14,695 |
$11,963.20 |
1.0× |
| Tlh uterus over 250 g (58572) |
$11,335 |
$56,551 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,535 |
$13,126 |
1.0× |
| Total Knee Arthroplasty (27447) |
$13,690 |
$40,674 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,717 |
$15,988 |
1.0× |
| Transurethral resection bladder neck (52500) |
$3,758 |
$16,602 |
1.0× |
| Treat ectopic pregnancy (59151) |
$6,446 |
$18,604 |
1.0× |
| Treat elbow fracture (24586) |
$13,690 |
$45,402 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,737 |
$30,878 |
1.0× |
| Treat humerus fracture (24500) |
$263 |
$8,528 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,737 |
$31,531 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$263 |
$695 |
1.0× |
| Treatment of ankle fracture (27823) |
$7,737 |
$8,848 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$6,069 |
$17,118 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$6,069 |
$19,125 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,959 |
$7,250 |
1.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$13,690 |
$54,413 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,451 |
$10,175 |
1.0× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$7,737 |
$30,235 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,451 |
$9,352 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,714 |
$2,613 |
1.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,714 |
$15,111 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$788 |
$1,131 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,654 |
$5,474 |
1.0× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$215 |
$4,802.27 |
1.0× |
Unlisted laparoscopy procedure appendix (44979) range across 2 matching MRF lines |
$6,446 |
$27,642.68–$27,642.70 |
1.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$6,446 |
$14,580 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,446 |
$33,169 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,446 |
$18,452 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$6,446 |
$17,849 |
1.0× |
| Unlisted procedure anus (46999) |
$991 |
$13,744 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$263 |
$7,769.72 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$263 |
$4,072 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$263 |
$5,221.91 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$263 |
$5,652 |
1.0× |
| Unlisted Procedure Intestine (44799) |
$967 |
$14,698 |
1.0× |
| Unlisted Procedure Male Genital System (55899) |
$266 |
$14,289 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$991 |
$1,169 |
1.0× |
| Unlisted procedure stomach (43999) |
$967 |
$15,125 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$668 |
$6,988 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$266 |
$8,345.50 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$215 |
$6,375 |
1.0× |
| Vag hyst complex (58290) |
$7,907 |
$42,952 |
1.0× |
| Vag hyst w/t/o & vag repair (58263) |
$5,334 |
$9,720 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,334 |
$27,153 |
1.0× |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) range across 2 matching MRF lines |
$5,334 |
$13,373.60–$13,373.63 |
1.0× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) range across 2 matching MRF lines |
$5,334 |
$12,283.46–$12,283.50 |
1.0× |
| Vaginectomy, partial removal of vaginal wall; (57106) |
$3,451 |
$3,869.33 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$12,310 |
$19,261 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$12,310 |
$14,947 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$12,310 |
$17,590.50 |
1.0× |
| Vulvectomy simple partial (56620) |
$3,451 |
$8,528 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$433 |
$4,246.10 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$788 |
$6,791.16 |
1.0× |