| Abd paracentesis w/imaging (49083) |
$1,160 |
$3,929.60 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,160 |
$2,357.76 |
1.0× |
| Abrasion single lesion (15786) |
$256 |
$873.65 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,640 |
$20,000 |
1.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,640 |
$14,942 |
1.0× |
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301)
range across 2 matching MRF lines |
$4,535 |
$10,709.30–$10,709.34 |
1.0× |
| Amniocentesis diagnostic (59000) |
$1,178 |
$2,436 |
1.0× |
| Amniocentesis therapeutic (59001) |
$390 |
$1,029 |
1.0× |
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952)
range across 2 matching MRF lines |
$4,187 |
$14,942–$15,420.20 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$4,187 |
$14,942 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$4,187 |
$8,000 |
1.0× |
| Anoscopy diagnostic (46600) |
$170 |
$545.15 |
1.0× |
| Apheresis Platelets (36513) |
$564 |
$2,716.28 |
1.0× |
| Application cast elbow finger short arm (29075) |
$357 |
$1,149.10 |
1.0× |
| Application finger splint static (29130) |
$170 |
$501.23 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$207 |
$674 |
1.0× |
| Application Long Leg Splint (29505) |
$207 |
$668.70 |
1.0× |
| Application of long leg cast (29345) |
$357 |
$807.04 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$170 |
$545.15 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$170 |
$574 |
1.0× |
| Application short leg splint calf foot (29515) |
$207 |
$668.70 |
1.0× |
| Apply hand/wrist cast (29085) |
$207 |
$668.70 |
1.0× |
| Apply long arm cast (29065) |
$357 |
$1,149.10 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$207 |
$668.70 |
1.0× |
| Apply Short Leg Cast (29405) |
$357 |
$725 |
1.0× |
| Apply short leg cast (29425) |
$357 |
$704 |
1.0× |
| Arterial puncture (36600) |
$170 |
$756.80 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,041 |
$51,769.20 |
1.0× |
| Artery-vein autograft (36825) |
$7,121 |
$50,588 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$392 |
$1,308.85 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$903 |
$3,242.60 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$392 |
$1,308.85 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$392 |
$1,305.85 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$392 |
$1,308.85 |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$22,440 |
$47,888 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$4,187 |
$67,500 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$16,431 |
$30,358 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$802 |
$3,152.55 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$802 |
$2,708.10 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,675 |
$7,286 |
1.0× |
| Av Fistula Revision Open (36832) |
$7,121 |
$61,688 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$7,121 |
$51,288 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$256 |
$873.65 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$2,113 |
$6,863 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$2,113 |
$6,863 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,113 |
$7,184.95 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$2,113 |
$7,035 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$5,011 |
$24,000 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,113 |
$6,863 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,113 |
$6,863 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$906 |
$3,244.85 |
1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,113 |
$7,035 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$2,113 |
$7,184.95 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$2,113 |
$6,776.95 |
1.0× |
| Bladder Irrigation (51700) |
$319 |
$784 |
1.0× |
| Bladder Scan (51798) |
$75 |
$275.05 |
1.0× |
| Blepharoplasty upper eyelid (15822) |
$2,640 |
$8,746.30 |
1.0× |
| Blood Transfusion Service (36430) |
$564 |
$2,566.77 |
1.0× |
| Bone Marrow Biopsy (38221) |
$2,113 |
$6,863 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$2,113 |
$7,035 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,278 |
$10,124.70 |
1.0× |
| Bronch Thermoplsty 1 Lobe (31660) |
$9,032 |
$30,935.30 |
1.0× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$9,032 |
$30,935.40 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$2,278 |
$7,153.05 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$500 |
$1,889.45 |
1.0× |
Bronchoscopy W/Biopsy(S) (31625)
range across 2 matching MRF lines |
$2,278 |
$4,751.88–$14,942 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,771 |
$8,810.73 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$4,771 |
$21,019.40 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$2,113 |
$6,863 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$2,113 |
$6,863 |
1.0× |
Bx Cervix (57500)
range across 2 matching MRF lines |
$1,178 |
$12,980.67–$12,980.70 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$5,011 |
$8,111.02 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$2,499 |
$19,331 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$280 |
$1,194.14 |
1.0× |
Cerclage cervix pregnancy vaginal (59320)
range across 2 matching MRF lines |
$4,143 |
$7,448.50–$7,494.30 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$4,041 |
$8,610 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$319 |
$1,174.50 |
1.0× |
| Change of Windpipe Airway (31502) |
$303 |
$1,425.48 |
1.0× |
| Chemical Cautery Tissue (17250) |
$256 |
$873.65 |
1.0× |
| Chest tube placement (32551) |
$2,014 |
$8,155.65 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,582 |
$15,546.70 |
1.0× |
Circumcision 28 days or older (54161)
range across 2 matching MRF lines |
$2,675 |
$9,274.40–$19,618 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,058 |
$7,112.55 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,058 |
$6,961.75 |
1.0× |
| Clear outer ear canal (69200) |
$170 |
$545.15 |
1.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$315 |
$1,030.95 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$315 |
$1,030.95 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$315 |
$1,078.20 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,058 |
$6,961.75 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$315 |
$1,030.95 |
1.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,058 |
$7,656.65 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$315 |
$1,765 |
1.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,985 |
$6,763.95 |
1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$7,576 |
$28,604 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,058 |
$6,961.75 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,243 |
$14,225.20 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$315 |
$1,052.50 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$315 |
$1,078.20 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,058 |
$6,961.75 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,058 |
$7,112.55 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,058 |
$6,961.75 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$315 |
$1,078.20 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,058 |
$6,961.75 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$315 |
$1,035.05 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$315 |
$1,035.05 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,058 |
$7,172.60 |
1.0× |
Closure Laceration Vestibule Mouth 2.5 Cm/< (40830)
range across 2 matching MRF lines |
$303 |
$873.65–$1,163.65 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$315 |
$1,078.20 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,058 |
$6,776.95 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$315 |
$1,030.95 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$315 |
$1,078.20 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$315 |
$1,052.50 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,058 |
$6,776.95 |
1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,058 |
$6,776.95 |
1.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$2,058 |
$3,572.20 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,058 |
$6,961.75 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$315 |
$1,035.05 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$315 |
$1,078.20 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,058 |
$8,002.05 |
1.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,058 |
$6,961.75 |
1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,058 |
$6,961.75 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$315 |
$1,078.20 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,058 |
$6,961.75 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$315 |
$1,035.05 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$315 |
$1,078.20 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,058 |
$6,776.95 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$315 |
$1,078.20 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,058 |
$7,656.65 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$315 |
$1,030.95 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$315 |
$1,052.50 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,058 |
$6,961.75 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,058 |
$7,656.65 |
1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$315 |
$1,052.50 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$315 |
$1,078.20 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,058 |
$6,961.75 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,058 |
$7,656.65 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,058 |
$7,112.55 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$2,058 |
$6,961.75 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,058 |
$1,392.35 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$170 |
$327.09 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$54 |
1.0× |
| Colonoscopy Flexible With Decompression (45393) |
$1,531 |
$5,021.10 |
1.0× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,531 |
$5,021.10 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,531 |
$5,621.80 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,531 |
$4,011 |
1.0× |
| Colonoscopy thru stoma (44388) |
$1,190 |
$3,194 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,531 |
$5,414.55 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,531 |
$4,683 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,531 |
$5,021.10 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,531 |
$3,853.41 |
1.0× |
| Colonoscopy W/Resection (45390) |
$3,552 |
$7,032.54 |
1.0× |
| Colonoscopy w/stent plcmt (45389) |
$7,769 |
$17,532 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,531 |
$3,953 |
1.0× |
| Colpocleisis (le fort type) (57120) |
$6,402 |
$39,617.50 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$390 |
$1,950 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$4,143 |
$14,942 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,531 |
$3,950 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,531 |
$3,824 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,531 |
$4,425 |
1.0× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$1,531 |
$5,021.10 |
1.0× |
Combined anteroposterior colporrhaphy; (57260)
range across 2 matching MRF lines |
$6,402 |
$30,738.67–$30,738.70 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$4,143 |
$15,238.60 |
1.0× |
| Conization of cervix (57520) |
$4,143 |
$15,307.80 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$170 |
$575.80 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$170 |
$545.15 |
1.0× |
| Conversion ext bil drg cath (47535) |
$4,582 |
$12,065 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,455 |
$6,072 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,675 |
$7,122 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,113 |
$6,863 |
1.0× |
| Corpora Cavernosa-Saphenous Vein Shunt Uni/Bi (54420) |
$4,511 |
$15,381.70 |
1.0× |
| Correction hammertoe (28285) |
$4,187 |
$24,000 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$7,121 |
$42,688 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$170 |
$559.75 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,675 |
$20,000 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,675 |
$26,365.30 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$4,511 |
$4,052 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$6,862 |
$29,492 |
1.0× |
| Cystourethroscopy (52000) |
$892 |
$21,588 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$4,511 |
$23,342 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,675 |
$16,507 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,675 |
$22,005.20 |
1.0× |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
$2,675 |
$20,000 |
1.0× |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
$945 |
$2,485.10–$14,942 |
1.0× |
| Debride nail 1-5 (11720) |
$75 |
$349 |
1.0× |
| Debride nail 6 or more (11721) |
$75 |
$366 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,113 |
$6,863 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$520 |
$1,597.55 |
1.0× |
| Declot vascular device (36593) |
$422 |
$1,548 |
1.0× |
| Deep Muscle Biopsy (20205) |
$3,717 |
$11,594.50 |
1.0× |
| Delivery of placenta (59414) |
— |
$9,281 |
— |
| Destr penis lesion(s) (54065) |
$2,640 |
$4,052 |
1.0× |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
$1,190 |
$2,541–$3,819.40 |
1.0× |
| Dilat Xst Trc New Access Rcs (50437) |
$4,511 |
$15,092.70 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,143 |
$4,052 |
1.0× |
| Dilation Cervical Canal (57800) |
$4,143 |
$8,252 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$903 |
$2,211 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$906 |
$3,109.85 |
1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,113 |
$7,723.75 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$906 |
$3,050.05 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,113 |
$7,035 |
1.0× |
| Drainage of finger abscess simple (26010) |
$256 |
$873.65 |
1.0× |
| Drainage of gum lesion (41800) |
$170 |
$545.15 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$2,113 |
$6,863 |
1.0× |
| Drainage of rectal abscess (45005) |
$1,531 |
$5,184.80 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$2,113 |
$7,035 |
1.0× |
| Drainage of scrotum (54700) |
$2,675 |
$9,143.25 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$906 |
$3,050.05 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$520 |
$1,899.60 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$256 |
$873.65 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,717 |
$11,594.50 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$2,278 |
$10,124.70 |
1.0× |
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines |
$2,278 |
$5,094–$12,012 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,278 |
$7,640 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$903 |
$3,172.95 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,455 |
$8,294.05 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,455 |
$6,682.56 |
1.0× |
| Egd cautery tumor polyp (43250) |
$2,455 |
$4,680.38 |
1.0× |
| Egd control bleeding any (43255) |
$2,455 |
$6,682.56 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,455 |
$6,682.56 |
1.0× |
| Egd endo mucosal resection (43254) |
$2,455 |
$8,707.95 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$1,160 |
$4,324 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,455 |
$4,425 |
1.0× |
| Egd lesion ablation (43270) |
$2,455 |
$4,672.20 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,455 |
$6,682.56 |
1.0× |
| Egd remove lesion snare (43251) |
$2,455 |
$6,682.56 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$2,455 |
$8,294.05 |
1.0× |
| Egd Varices Ligation (43244) |
$2,455 |
$6,682.56 |
1.0× |
| Endoscopic us exam esoph (43237) |
$2,455 |
$6,072 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$14,775 |
$49,542.40 |
1.0× |
| Epidural Blood Patch (62273) |
$903 |
$3,172.95 |
1.0× |
| Episiotomy or vaginal repair (59300) |
— |
$10,274 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$7,769 |
$18,405 |
1.0× |
| Ercp duct stent placement (43274) |
$7,769 |
$20,970.10 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,934 |
$8,997.24 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$4,934 |
$8,997.24 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,934 |
$13,402.30 |
1.0× |
| Ercp remove forgn body duct (43275) |
$2,455 |
$8,997.24 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$7,769 |
$14,342.50 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,934 |
$8,997.24 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$4,934 |
$13,402.30 |
1.0× |
| Esoph Scope W/Submucous Inj (43201) |
$2,455 |
$9,028.85 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,160 |
$3,255 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,160 |
$3,929.60 |
1.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$2,455 |
$8,125.10 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,455 |
$6,072 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,455 |
$7,787 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,455 |
$7,787 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$170 |
$545.15 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,113 |
$20,000 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$906 |
$16,000 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,113 |
$9,961.34 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$2,113 |
$14,942 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$3,717 |
$18,929.70 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$3,717 |
$17,532.30 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,011 |
$27,230.60 |
1.0× |
Exc Face Les Sbq 2 Cm/> (21012)
range across 2 matching MRF lines |
$2,113 |
$13,333.30–$13,333.34 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$3,717 |
$14,942 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,113 |
$14,942 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,717 |
$15,294.70 |
1.0× |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406)
range across 2 matching MRF lines |
$2,113 |
$7,184.95–$14,942 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,717 |
$14,942 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,531 |
$5,184.80 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,113 |
$14,942 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,717 |
$5,000 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$3,717 |
$14,942 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$3,717 |
$16,892.70 |
1.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$3,717 |
$14,942 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,717 |
$2,019.20 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,113 |
$3,202.84 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,717 |
$14,942 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,113 |
$34,888 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,717 |
$1,918.23 |
1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,717 |
$14,942 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,717 |
$14,942 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,582 |
$15,546.70 |
1.0× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines |
$2,675 |
$7,122–$9,703.30 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,455 |
$7,787 |
1.0× |
| Excision nasal polyp(s) simple (30110) |
$1,985 |
$10,096 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$4,582 |
$8,394.33 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,717 |
$21,588 |
1.0× |
Excision spermatocele w/wo epididymectomy (54840)
range across 2 matching MRF lines |
$2,675 |
$16,788.67–$16,788.70 |
1.0× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$7,737 |
$21,655 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,113 |
$15,429.70 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$2,113 |
$14,942 |
1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$2,113 |
$21,588 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,717 |
$14,942 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,717 |
$1,867.75 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$3,717 |
$14,942 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,640 |
$9,146.15 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$2,113 |
$7,723.75 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,113 |
$3,109.85 |
1.0× |
| Extensive Retinopathy 1/> Sess Preterm Infant (67229) |
$703 |
$1,520.79 |
1.0× |
| Fetal Contraction Stress Test (59020) |
— |
$525 |
— |
| Fetal non-stress test (59025) |
— |
$893 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$906 |
$3,109.85 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$520 |
$1,899.60 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$305 |
$1,419.19 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$906 |
$3,050.05 |
1.0× |
| Foreskin manipulation (54450) |
$319 |
$1,330.70 |
1.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$4,243 |
$14,600 |
1.0× |
| Frenulotomy of penis (54164) |
$2,675 |
$20,192 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$906 |
$3,109.85 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,552 |
$25,096 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$4,143 |
$11,866.20 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$6,402 |
$19,266.60 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$4,143 |
$12,484 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$6,402 |
$20,192 |
1.0× |
| I&d abscess peritonsillar (42700) |
$303 |
$1,080.35 |
1.0× |
| I&d abscess simple (10060) |
$256 |
$964 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,190 |
$3,819.40 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$906 |
$3,351.80 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$906 |
$3,050.05 |
1.0× |
| Icd Pocket Revision (33223) |
$2,640 |
$8,113.70 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,160 |
$4,318.45 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$2,113 |
$6,863 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$2,113 |
$6,863 |
1.0× |
| Incise external hemorrhoid (46083) |
$319 |
$1,330.70 |
1.0× |
| Incise finger tendon sheath (26055) |
$2,058 |
$21,588 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$520 |
$1,597.55 |
1.0× |
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines |
$2,113 |
$6,863–$15,471 |
1.0× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$520 |
$1,597.55–$14,942 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$258 |
$830.25 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$390 |
$1,353.60 |
1.0× |
| Incision of rectal abscess (46040) |
$1,531 |
$5,184.80 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$945 |
$1,597.55 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$256 |
$873.65 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,132 |
$4,060.25 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$392 |
$1,308.85 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,132 |
$4,060.25 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$903 |
$3,125.25 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$392 |
$1,308.85 |
1.0× |
| Injection for identification of sentinel node (38792) |
$511 |
$1,478 |
1.0× |
| Injection single tendon origin/insertion (20551) |
$392 |
$1,411 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$392 |
$1,308.85 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$392 |
$1,411 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,132 |
$4,060.25 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$903 |
$3,125.25 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$903 |
$3,125.25 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$4,041 |
$13,856.40 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$4,041 |
$10,583.40 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$4,041 |
$11,622 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,121 |
$17,415 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$7,121 |
$22,981 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$40,173 |
$90,000 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$10,591 |
$38,209.30 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$164 |
$691.75 |
1.0× |
| Insert cath pleura w/ image (32557) |
$2,014 |
$5,073.50 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,455 |
$9,064.95 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,455 |
$7,787 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$13,377 |
$51,259.70 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$23,462 |
$16,778.70 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$4,041 |
$11,087.80 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$13,377 |
$51,259.70 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,014 |
$3,440.68 |
1.0× |
| Insert pulse gen mult leads (33221) |
$24,652 |
$54,939.70 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$170 |
$610 |
1.0× |
| Insert tun ip cath perc (49418) |
$4,582 |
$16,246.80 |
1.0× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$4,041 |
$13,856.40–$17,158.90 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$7,121 |
$22,981 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$170 |
$598 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,582 |
$15,917 |
1.0× |
| Insertion of cannula (36800) |
$7,121 |
$22,981 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,014 |
$8,155.65 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,591 |
$40,473.10 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$10,591 |
$38,209.30 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$4,041 |
$15,737.50 |
1.0× |
| Insj Picc Rs&I <5 Yr (36572) |
$802 |
$3,152.55 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 3 matching MRF lines |
$2,014 |
$7,439.25–$8,155.65 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$4,041 |
$13,856.40 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$7,121 |
$18,903 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,041 |
$13,856.40 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$10,460 |
$5,669 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$40,173 |
$87,202 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,591 |
$38,209.30 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$13,377 |
$51,259.70 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$28,468 |
$68,138.70 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$520 |
$1,729.20 |
1.0× |
| Intro cath dialysis circuit (36901) |
$2,014 |
$8,155.65 |
1.0× |
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902)
range across 2 matching MRF lines |
$7,284 |
$25,425–$30,312.70 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$303 |
$1,711 |
1.0× |
| Lam facetec & foramot lumbar (63047) |
$9,286 |
$17,900 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$7,737 |
$29,492 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$13,604 |
$33,866 |
1.0× |
Laparoscopy aspiration (49322)
range across 2 matching MRF lines |
$7,737 |
$19,661.30–$19,661.34 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$7,737 |
$24,220.50 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$13,604 |
$42,537.50 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$7,737 |
$36,300 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$7,737 |
$27,296.20 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$7,737 |
$16,405 |
1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$13,604 |
$24,916 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,737 |
$33,888 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,737 |
$34,758.40 |
1.0× |
| Laryngoscopy W/Biopsy (31535) |
$4,771 |
$24,000 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,278 |
$7,481.95 |
1.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$500 |
$2,645.23 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$4,771 |
$14,392 |
1.0× |
Ligation of a-v fistula (37607)
range across 2 matching MRF lines |
$4,041 |
$13,856.40–$28,604 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,511 |
$7,780.66 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,511 |
$17,868 |
1.0× |
| Low Back Disk Surgery (63030) |
$9,286 |
$28,604 |
1.0× |
| Lyse chest fibrin init day (32561) |
$802 |
$3,091.30 |
1.0× |
| Lyse Chest Fibrin Subq Day (32562) |
$802 |
$3,091.30 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$2,058 |
$4,052 |
1.0× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$2,058 |
$4,728 |
1.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$4,143 |
$5,000 |
1.0× |
| Mast mod rad (19307) |
$8,498 |
$37,374 |
1.0× |
| Mastectomy partial (19301) |
$5,011 |
$26,854.40 |
1.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$8,498 |
$46,144 |
1.0× |
Mastectomy simple complete (19303)
range across 2 matching MRF lines |
$8,498 |
$45,754.78–$45,754.80 |
1.0× |
| Myelography Lumbar Injection (62305) |
$1,003 |
$3,404.10 |
1.0× |
| Myelography Lumbar Injection (62304) |
$1,003 |
$3,404.10 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,003 |
$3,404.10 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,003 |
$3,404.10 |
1.0× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$4,143 |
$15,720.50 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$903 |
$3,172.95 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$571 |
$1,425 |
1.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,190 |
$3,049 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$2,113 |
$6,863 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$2,113 |
$6,863 |
1.0× |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines |
$2,499 |
$8,987.60–$14,942 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416 |
$1,250.34 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$392 |
$1,308.85 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,582 |
$15,546.70 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,582 |
$10,793.10 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$903 |
$2,359.18 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$903 |
$2,219 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$892 |
$3,096.30 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$892 |
$3,096.30 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$1,160 |
$4,687.80 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,286 |
$21,588 |
1.0× |
Open Treatment Proximal Humeral Fracture (23615)
range across 2 matching MRF lines |
$16,431 |
$28,206.67–$28,206.70 |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$9,286 |
$21,588 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$4,187 |
$14,461.40 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$9,286 |
$29,492 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$14,775 |
$49,542.40 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$14,775 |
$42,918 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$9,286 |
$30,358 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$16,431 |
$64,334.10 |
1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$6,402 |
$30,813 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$4,143 |
$14,893.90 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$14,775 |
$51,292.40 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$906 |
$2,505.38 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,041 |
$10,179 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$2,014 |
$6,708 |
1.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$23,462 |
$80,320 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$906 |
$5,490.09 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$906 |
$3,050.05 |
1.0× |
| Perq device breast 1st imag (19281) |
$2,113 |
$3,050.05 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,511 |
$8,857.75 |
1.0× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$12,115 |
$31,319 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$14,775 |
$52,552.30 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,284 |
$24,769.50 |
1.0× |
| Place Cath Subclavian Art (36225) |
$4,041 |
$13,856.40 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$4,041 |
$10,179 |
1.0× |
| Place Cath Vertebral Art (36226) |
$7,121 |
$17,415 |
1.0× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$6,402 |
$21,357.70 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$571 |
$1,817.95 |
1.0× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$8,285 |
$21,980.90 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$7,737 |
$24,168.50 |
1.0× |
Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539)
range across 2 matching MRF lines |
$7,737 |
$14,942–$24,168.50 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$7,737 |
$24,168.50 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,675 |
$8,857.75 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$4,511 |
$12,149.80 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,511 |
$13,244.70 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$4,511 |
$15,092.70 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$6,402 |
$23,342 |
1.0× |
| Prim art mech thrombectomy (37184) |
$23,462 |
$49,542.40 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,582 |
$12,788 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,582 |
$15,546.70 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$802 |
$2,892.50 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$520 |
$1,407.43 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$520 |
$1,597.55 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$906 |
$3,050.05 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$3,717 |
$16,405 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$4,041 |
$10,179 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,640 |
$4,924.60 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$4,041 |
$13,856.40 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,160 |
$3,929.60 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$906 |
$3,050.05 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$75 |
$275.05 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75 |
$321.25 |
1.0× |
Removal Implant Deep (20680)
range across 2 matching MRF lines |
$3,717 |
$12,107.80–$26,519.60 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$571 |
$1,817.95 |
1.0× |
| Removal of kidney stone (50081) |
$12,115 |
$31,319 |
1.0× |
| Removal of nail bed (11750) |
$520 |
$1,597.55 |
1.0× |
| Removal of tonsils (42826) |
$4,243 |
$23,342 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$4,782 |
$8,961 |
1.0× |
| Removal ppm generator only (33233) |
$10,591 |
$53,492.90 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$906 |
$3,109.85 |
1.0× |
| Remove cerclage suture (59871) |
— |
$7,494.30 |
— |
| Remove Elctrd Transvenously (33244) |
$4,782 |
$9,135.90 |
1.0× |
| Remove foreign body from eye (65205) |
$170 |
$545.15 |
1.0× |
| Remove Intrauterine Device (58301) |
$390 |
$1,520.95 |
1.0× |
| Remove intrvas foreign body (37197) |
$4,041 |
$10,179 |
1.0× |
| Remove lung catheter (32552) |
$802 |
$3,152.55 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$170 |
$545.15 |
1.0× |
| Remove Pulse Generator (33241) |
$4,782 |
$7,615 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$892 |
$2,782.65 |
1.0× |
| Remove vc lesion w/scope (31545) |
$4,771 |
$24,000 |
1.0× |
| Remove&replace pm gen singl (33227) |
$10,591 |
$38,209.30 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$28,468 |
$90,000 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$40,173 |
$90,000 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$28,468 |
$90,000 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$13,377 |
$51,259.70 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$24,652 |
$93,056.30 |
1.0× |
| Renal Biopsy Perq (50200) |
$2,113 |
$6,863 |
1.0× |
| Repair Achilles Tendon (27650) |
$9,286 |
$33,073.20 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$945 |
$2,674.45 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$945 |
$2,992 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$520 |
$2,620.85 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$520 |
$2,485.10 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,582 |
$31,235 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$520 |
$1,597.55 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$520 |
$1,597.55 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$520 |
$1,729.20 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$520 |
$1,729.20 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$945 |
$2,674.45 |
1.0× |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines |
$520 |
$1,597.55–$24,000 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$520 |
$1,597.55 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$945 |
$2,485.10 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$520 |
$1,597.55 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$520 |
$1,597.55 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$520 |
$1,597.55 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$945 |
$2,485.10 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$520 |
$1,597.55 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,640 |
$9,146.15 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$4,782 |
$18,328.50 |
1.0× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$9,286 |
$26,905 |
1.0× |
| Repair of nail bed (11760) |
$945 |
$2,485.10 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$9,286 |
$33,073.20 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$9,286 |
$33,073.20 |
1.0× |
| Repair tongue laceration (41252) |
$303 |
$1,018.20 |
1.0× |
| Repair tongue laceration (41250) |
$571 |
$545.15 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,160 |
$4,048 |
1.0× |
| Replace G-J Tube Perc (49452) |
$1,160 |
$3,118 |
1.0× |
| Replace g/c tube perc (49450) |
$1,160 |
$3,929.60 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$319 |
$1,174.50 |
1.0× |
| Reposition L Ventric Lead (33226) |
$4,041 |
$8,313.84 |
1.0× |
| Reposition Venous Catheter (36597) |
$2,014 |
$4,893.39 |
1.0× |
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines |
$4,582 |
$10,119.30–$10,119.33 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$7,284 |
$19,152 |
1.0× |
| Rhinoplasty primary w/major septal repair (30420) |
$7,576 |
$29,200 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,675 |
$7,122 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$571 |
$1,817.95 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$170 |
$575.80 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$571 |
$1,817.95 |
1.0× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$1,985 |
$6,763.95 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,782 |
$8,230 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$2,014 |
$4,084.43–$5,472.33 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$802 |
$3,152.55 |
1.0× |
| Rmvl/revj sling stress incontinence (57287) |
$4,143 |
$7,780.66 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$319 |
$1,368.27 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$319 |
$1,174.50 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,014 |
$4,893.39 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,041 |
$14,308.30 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,041 |
$13,856.40 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,737 |
$30,356 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,582 |
$22,026.50 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$8,285 |
$30,150 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,582 |
$30,150 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$8,285 |
$16,678.50 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,737 |
$23,468.90 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$906 |
$3,177.70 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$2,014 |
$4,893.39 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$256 |
$873.65 |
1.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$303 |
$1,058 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$690 |
$2,208.60 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$690 |
$2,208.60 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,985 |
$6,763.95 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,190 |
$2,464.84 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,531 |
$4,011 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,190 |
$2,746.20 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,531 |
$5,020 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$520 |
$1,729.20 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$256 |
$874.41 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$256 |
$873.65 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$520 |
$865.35 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$256 |
$873.65 |
1.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$256 |
$897.75 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$256 |
$873.65 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$256 |
$902.90 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$256 |
$873.65 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$945 |
$8,113.70 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$945 |
$8,113.70 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,640 |
$14,886.50 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$7,121 |
$17,415 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$4,041 |
$13,856.40 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$7,121 |
$22,981 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$6,402 |
$37,500 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$256 |
$873.65 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$520 |
$1,597.55 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$520 |
$1,765 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$903 |
$3,125.25 |
1.0× |
| Strapping ankle (29540) |
$207 |
$668.70 |
1.0× |
| Strapping elbow or wrist (29260) |
$75 |
$167.15 |
1.0× |
| Strapping hand/finger (29280) |
$75 |
$300.87 |
1.0× |
| Strapping knee (29530) |
$170 |
$545.15 |
1.0× |
| Strapping shoulder (29240) |
$170 |
$545.15 |
1.0× |
| Strapping toes (29550) |
$75 |
$381.96 |
1.0× |
| Strapping Unna Boot (29580) |
$207 |
$534.96 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$4,243 |
$6,250 |
1.0× |
| Suction assisted lipectomy; trunk (15877) |
$4,535 |
$17,868 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$9,286 |
$27,738 |
1.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$9,286 |
$33,866 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$520 |
$873.65 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$24,652 |
$79,699.90 |
1.0× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$4,041 |
$10,813 |
1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$903 |
$3,172.95 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,993 |
$5,403.75 |
1.0× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$7,121 |
$45,288 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$23,462 |
$79,699.90 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$4,041 |
$8,118.91 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$7,121 |
$22,981 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$422 |
$2,060.67 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$4,041 |
$8,947 |
1.0× |
| Thyroid biopsy (60100) |
$906 |
$3,050.05 |
1.0× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,640 |
$23,342 |
1.0× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$17,637 |
$4,052 |
1.0× |
| Tooth extraction (41899) |
$303 |
$1,080.35 |
1.0× |
| Total Knee Arthroplasty (27447) |
$16,431 |
$47,888 |
1.0× |
| Tracheostomy planned (31600) |
$4,243 |
$13,096.50 |
1.0× |
| Transcatheter biopsy (37200) |
$7,121 |
$18,903 |
1.0× |
| Treat Dental Ridge Fracture (21440) |
$4,243 |
$13,096.50 |
1.0× |
| Treat Humerus Fracture (24505) |
$2,058 |
$6,776.95 |
1.0× |
| Treat knee fracture (27532) |
$4,187 |
$14,152 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$315 |
$1,030.95 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$315 |
$1,052.50 |
1.0× |
| Treat Thumb Dislocation (26641) |
$315 |
$1,030.95 |
1.0× |
| Treat toe dislocation (28630) |
$315 |
$1,078.20 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$315 |
$1,078.20 |
1.0× |
| Trim skin lesion (11055) |
$256 |
$873.65 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$256 |
$873.65 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$75 |
$278.30 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$7,284 |
$17,996 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,284 |
$24,769.50 |
1.0× |
| Tubal ligation (58600) |
$4,143 |
$18,879.50 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$276 |
$759.30 |
1.0× |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516)
range across 2 matching MRF lines |
$16,431 |
$13,362.66–$13,362.70 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,143 |
$24,000 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$945 |
$2,485.10 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,058 |
$6,961.75 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$16,431 |
$34,888 |
1.0× |
| Unlisted Cardiac Surgery (33999) |
$802 |
$3,152.55 |
1.0× |
Unlisted laparoscopic procedure liver (47379)
range across 2 matching MRF lines |
$7,737 |
$24,680.27–$24,680.30 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$7,737 |
$19,331 |
1.0× |
| Unlisted procedure anus (46999) |
$1,190 |
$4,155.20 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$207 |
$593 |
1.0× |
| Unlisted Procedure Esophagus (43499) |
$1,160 |
$3,232 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$315 |
$1,052.50 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$315 |
$1,078.20 |
1.0× |
| Unlisted Procedure Leg/Ankle (27899) |
$315 |
$9,896 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$315 |
$5,468.33 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$303 |
$1,163.65 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$1,190 |
$3,968.25 |
1.0× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$303 |
$1,080.35 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$802 |
$3,629.93 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,160 |
$3,929.60 |
1.0× |
| Upgrade of pacemaker system (33214) |
$13,377 |
$51,259.70 |
1.0× |
| Vaginal delivery only (59409) |
$4,143 |
$7,494.30 |
1.0× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262)
range across 2 matching MRF lines |
$6,402 |
$13,042.66–$13,042.70 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$23,462 |
$63,256.50 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$14,775 |
$42,918 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$14,775 |
$42,918 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$14,775 |
$42,918 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$14,775 |
$39,949.70 |
1.0× |
| Wedge excision skin nail fold (11765) |
$520 |
$1,729.20 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$520 |
$2,674.45 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$945 |
$8,746.30 |
1.0× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$7,121 |
$13,788.60 |
1.0× |