| Abd paracentesis w/imaging (49083) |
$854 |
$2,703.58 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$854 |
$2,763.75 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$16,518 |
$23,725.80 |
1.0× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,461 |
$5,665 |
1.0× |
| Amniocentesis diagnostic (59000) |
$867 |
$1,647.70 |
1.0× |
| Amniocentesis therapeutic (59001) |
$287 |
$3,192.25 |
1.0× |
| Anal/Urinary Muscle Study (51784) |
$121 |
$685.10 |
1.0× |
| Anoscopy diagnostic (46600) |
$125 |
$451.83 |
1.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$153 |
$859.98 |
1.0× |
| Application cast elbow finger short arm (29075) |
$263 |
$1,248.67 |
1.0× |
| Application Cast Finger (29086) |
$153 |
$631.08 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$55 |
$337.64 |
1.0× |
| Application finger splint static (29130) |
$125 |
$343.19 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$153 |
$875.41 |
1.0× |
| Application Long Leg Splint (29505) |
$153 |
$826.42 |
1.0× |
| Application of long leg cast (29345) |
$263 |
$1,248.67 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$125 |
$462.88 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$125 |
$653.67 |
1.0× |
| Application short leg splint calf foot (29515) |
$153 |
$826.42 |
1.0× |
| Apply long arm cast (29065) |
$263 |
$1,248.67 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$153 |
$859.98 |
1.0× |
| Apply Short Leg Cast (29405) |
$263 |
$1,248.67 |
1.0× |
| Arterial puncture (36600) |
$125 |
$764.92 |
1.0× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$289 |
$1,632.96–$6,195.55 |
1.0× |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines |
$665 |
$2,951.59–$5,834.95 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$289 |
$1,954.64–$5,666.34 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$289 |
$1,632.96 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$289 |
$1,632.96 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$590 |
$2,421.19 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$590 |
$2,421.19 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$289 |
$1,519.27 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$667 |
$2,168.28 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,969 |
$6,792.13 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$189 |
$1,608.40 |
1.0× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,014 |
$14,732.20 |
1.0× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$6,099 |
$12,963 |
1.0× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$6,099 |
$14,732.20 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,555 |
$4,641.04 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,555 |
$2,827.59 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,555 |
$5,370.35 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,555 |
$3,854.03 |
1.0× |
| Biopsy of lacrimal gland (68510) |
$2,239 |
$2,652.25 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,555 |
$4,641.04 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,555 |
$4,641.04 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$667 |
$3,854.03 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,555 |
$6,023.53 |
1.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,555 |
$3,909.29 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$1,555 |
$2,444.53 |
1.0× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$508 |
$2,711.69 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$656 |
$191.54 |
1.0× |
| Bladder Irrigation (51700) |
$235 |
$351.15 |
1.0× |
| Bladder Scan (51798) |
$55 |
$351.15 |
1.0× |
| Blepharoplasty upper eyelid (15822) |
$1,943 |
$6,280.89 |
1.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$1,943 |
$8,679.74 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$299 |
$1,494.65 |
1.0× |
| Blood Transfusion Service (36430) |
$415 |
$2,524.34 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,555 |
$5,371.57 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,555 |
$5,371.57 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,512 |
$5,079.36 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,676 |
$5,079.36 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,512 |
$5,200.91 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,555 |
$2,400.33 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,555 |
$3,346.95 |
1.0× |
| Canthoplasty (67950) |
$2,239 |
$5,915.49 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,839 |
$5,721.65 |
1.0× |
| Cataract surgery complex (66982) |
$2,174 |
$7,859.23 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$206 |
$151.01 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$2,974 |
$4,270.24 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$235 |
$886.47 |
1.0× |
| Change of Windpipe Airway (31502) |
$223 |
$665.47 |
1.0× |
| Chemical Cautery Tissue (17250) |
$189 |
$589.34 |
1.0× |
| Chemodenerv musc neck dyston (64616) |
$289 |
$1,632.96 |
1.0× |
| Chemodenerv trunk musc 1-5 (64646) |
$665 |
$3,585.14 |
1.0× |
| Chest tube placement (32551) |
$1,483 |
$4,270.24 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,373 |
$14,732.20 |
1.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$175.58 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,514 |
$8,300.91 |
1.0× |
| Clear outer ear canal (69200) |
$125 |
$653.67 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$232 |
$1,921.49 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,514 |
$8,546.63 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$232 |
$1,062.04 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$232 |
$1,377.58 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,514 |
$3,985.40 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$232 |
$1,323.81 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,514 |
$8,300.91 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,461 |
$4,994.64 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$232 |
$1,265.79 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$232 |
$1,381.82 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,514 |
$5,801.30 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$232 |
$968.72 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,514 |
$8,546.63 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,514 |
$2,179.33 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$232 |
$1,381.82 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,514 |
$5,128.47 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,514 |
$6,425.01 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$232 |
$1,381.82 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,514 |
$8,546.63 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$232 |
$1,639.10 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$232 |
$1,381.82 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$232 |
$777.19 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$232 |
$1,194.64 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,514 |
$4,837.51 |
1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,514 |
$8,300.91 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$232 |
$1,381.82 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$232 |
$1,027.66 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,514 |
$5,063.39 |
1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,514 |
$5,242.65 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$232 |
$1,155.36 |
1.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,514 |
$8,819.19 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$263 |
$1,404.58 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$232 |
$1,381.82 |
1.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,514 |
$1,301.46 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$263 |
$1,284.26 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$232 |
$1,381.82 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,514 |
$7,324.98 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$232 |
$1,333.37 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$232 |
$1,381.82 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$232 |
$1,194.64 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,514 |
$8,300.91 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,514 |
$8,546.63 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$232 |
$1,381.82 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,514 |
$2,059 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,514 |
$8,300.91 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$232 |
$838.58 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,514 |
$4,837.51 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$125 |
$311.85 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$29.46 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,127 |
$6,164.84 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,127 |
$6,316.66 |
1.0× |
| Colonoscopy w/stent plcmt (45389) |
$5,719 |
$7,802.60 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,127 |
$6,201.56 |
1.0× |
| Colporrhaphy (57200) |
$3,049 |
$16,103.70 |
1.0× |
| Complex Cystometrogram (51726) |
$235 |
$2,774.79 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$125 |
$750.18 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$125 |
$640.90 |
1.0× |
| Control oropharyngeal hemorrhage simple (42960) |
$508 |
$1,144.30 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$1,969 |
$6,792.13 |
1.0× |
| Correction Everted Punctum Cautery (68705) |
$299 |
$1,768.16 |
1.0× |
| Correction Trichiasis Inccision Lid Margin (67830) |
$939 |
$6,842.81 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$125 |
$799.29 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$223 |
$763.69 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,320 |
$5,880.67 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,320 |
$2,940.33 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,051 |
$8,821 |
1.0× |
| Cystometrogram W/Vp (51728) |
$656 |
$2,774.79 |
1.0× |
| Cystometrogram W/Vp&Up (51729) |
$656 |
$2,774.79 |
1.0× |
| Cystourethroscopy (52000) |
$656 |
$3,882.27 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,320 |
$8,821 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$1,969 |
$11,621 |
1.0× |
| Cystourethroscopy with transurethral resection or incision of ejaculatory ducts Facility (52402) |
$3,320 |
$8,821 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$382 |
$1,580.16 |
1.0× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$1,839 |
$18,426.70 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$382 |
$1,555.60 |
1.0× |
| Declot vascular device (36593) |
$311 |
$1,004.33 |
1.0× |
| Decompress Spinal Cord Lmbr (63056) |
$6,836 |
$36,893.80 |
1.0× |
| Delivery of placenta (59414) |
— |
$2,164.59 |
— |
| Destroy cerv/thor facet jnt (64633) |
$1,839 |
$11,047.60 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,839 |
$11,047.60 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$189 |
$551.27 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$833 |
$4,515.80 |
1.0× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$833 |
$4,515.80 |
1.0× |
Destruction neurolytic agt genicular nerve w/img (64624)
range across 2 matching MRF lines |
$1,839 |
$7,850.66–$10,401.40 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$876 |
$4,808.85 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$854 |
$4,945.54 |
1.0× |
| Dilation Esophagus Guide Wire (43453) |
$1,807 |
$9,975.90 |
1.0× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$420 |
$2,940.33 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$665 |
$1,925.16 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$289 |
$2,104.43 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$667 |
$1,209.38 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$667 |
$996.96 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,555 |
$8,678.41 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$223 |
$1,265.48 |
1.0× |
| Drainage of finger abscess simple (26010) |
$189 |
$1,083.21 |
1.0× |
| Drainage of gum lesion (41800) |
$125 |
$816.49 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,555 |
$5,370.35 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,555 |
$3,814.75 |
1.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$3,049 |
$12,761.60 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$125 |
$311.85 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$667 |
$3,351.80 |
1.0× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$2,736 |
$4,641.04 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$382 |
$823.84 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$189 |
$1,083.21 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$189 |
$1,083.21 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,614 |
$15,316.70 |
1.0× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines |
$833 |
$4,515.80–$7,736.33 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,736 |
$5,371.57 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$1,676 |
$5,200.91 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,676 |
$5,200.91 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,676 |
$5,994.06 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$665 |
$3,895.71 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,807 |
$9,431.86 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$854 |
$4,945.54 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,807 |
$4,027.14 |
1.0× |
| Egd remove lesion snare (43251) |
$1,807 |
$9,560.79 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$1,807 |
$9,886.74 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$1,807 |
$3,737.39 |
1.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$289 |
$1,651.37 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$10,875 |
$32,562.20 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,974 |
$13,161.90 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$2,974 |
$15,658 |
1.0× |
| Epidural Blood Patch (62273) |
$665 |
$1,925.16 |
1.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,807 |
$9,431.86 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,807 |
$9,431.86 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,807 |
$9,431.86 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$125 |
$653.67 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,555 |
$6,654.61 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,555 |
$5,371.57 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,736 |
$9,270 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$667 |
$5,592.60 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$667 |
$3,809.82 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,555 |
$5,986.70 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$667 |
$2,828.82 |
1.0× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$939 |
$7,850.66 |
1.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$3,123 |
$16,798.50 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$667 |
$3,016.68 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,555 |
$8,738.17 |
1.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,736 |
$11,476.10 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,127 |
$7,210.81 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$667 |
$2,999.48 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,736 |
$9,285.77 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,555 |
$8,951.80 |
1.0× |
| Exchange Intraocular Lens (66986) |
$2,174 |
$7,850.66 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,969 |
$6,792.13 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,807 |
$5,791.48 |
1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,461 |
$5,665 |
1.0× |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
$2,239 |
$2,505.73 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$667 |
$2,828.82 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,514 |
$5,665 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,736 |
$15,175.50 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,555 |
$9,447.83 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,555 |
$8,444.11 |
1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,555 |
$8,444.11 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,555 |
$8,951.80 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,736 |
$11,476.10 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,555 |
$9,133.52 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,555 |
$4,017.32 |
1.0× |
| External cephalic version (59412) |
— |
$9,403.62 |
— |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$2,174 |
$5,665 |
1.0× |
| Fetal non-stress test (59025) |
— |
$719.49 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$667 |
$3,016.68 |
1.0× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$667 |
$3,016.68 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$382 |
$590.57 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$224 |
$744.05 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$667 |
$3,016.68 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$667 |
$3,016.68 |
1.0× |
| Foreskin manipulation (54450) |
$235 |
$1,442.03 |
1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,943 |
$7,897.20 |
1.0× |
| Goniotomy (65820) |
$3,894 |
$5,314.64 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,049 |
$4,566.33 |
1.0× |
| I&d abscess peritonsillar (42700) |
$223 |
$1,409.50 |
1.0× |
| I&d abscess simple (10060) |
$189 |
$1,147.98 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,736 |
$7,283.24 |
1.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,082 |
$7,819.78 |
1.0× |
| I&d perianal abscess superficial (46050) |
$876 |
$3,878.58 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$667 |
$2,771.12 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$667 |
$2,133.92 |
1.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,736 |
$6,068.96 |
1.0× |
| Icd Pocket Revision (33223) |
$1,943 |
$3,652.68 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,555 |
$5,371.57 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,555 |
$6,549.03 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,555 |
$5,371.57 |
1.0× |
| Implant neuroelectrodes (63650) |
$6,004 |
$39,405.90 |
1.0× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$8,267 |
$19,687.60 |
1.0× |
| Incise external hemorrhoid (46083) |
$235 |
$1,527.36 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,514 |
$7,687.33 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$382 |
$1,734.86 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$382 |
$1,637.17 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$190 |
$827.53 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$287 |
$1,123.42 |
1.0× |
| Incision of rectal abscess (46040) |
$1,127 |
$8,643.63 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$189 |
$500.95 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$833 |
$4,515.80 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$200 |
$730.54 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$833 |
$4,515.80 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$833 |
$4,515.80 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$289 |
$1,632.96 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$833 |
$4,515.80 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$665 |
$3,783.17 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$833 |
$2,811.63 |
1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$665 |
$3,837.15 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$665 |
$3,583.91 |
1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$833 |
$4,515.80 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$289 |
$1,632.96 |
1.0× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$833 |
$4,515.80 |
1.0× |
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines |
$665 |
$3,585.14–$5,887.79 |
1.0× |
| Injection for identification of sentinel node (38792) |
$376 |
$1,517.55 |
1.0× |
| Injection Into Brain Canal (61055) |
$289 |
$3,531.11 |
1.0× |
| Injection single tendon origin/insertion (20551) |
$289 |
$1,632.96 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$289 |
$1,632.96 |
1.0× |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
$289 |
$1,632.96–$4,288.74 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$833 |
$1,935 |
1.0× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$665 |
$3,585.14–$5,834.95 |
1.0× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$665 |
$1,636.65–$5,834.95 |
1.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$189 |
$1,093.09 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$2,974 |
$2,113.01 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$2,974 |
$2,113.01 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$2,974 |
$2,206.34 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,242 |
$2,206.34 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,242 |
$22,227.90 |
1.0× |
| Ins Vag Brachytx Device (57156) |
$287 |
$1,507.72 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$7,796 |
$9,000.92 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$121 |
$535.32 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,483 |
$6,713.54 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,807 |
$2,349.99 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,807 |
$5,747.27 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$9,846 |
$33,009.10 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$9,846 |
$33,009.10 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$17,270 |
$15,456.60 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$2,974 |
$5,693.25 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$9,846 |
$63,432.40 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,483 |
$5,386.32 |
1.0× |
| Insert pulse gen dual leads (33213) |
$9,846 |
$33,009.10 |
1.0× |
| Insert pulse gen mult leads (33221) |
$18,146 |
$22,942.50 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$7,796 |
$33,009.10 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$125 |
$692.48 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,373 |
$11,506.80 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,974 |
$15,365.80 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$125 |
$653.67 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,373 |
$1,147.98 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,483 |
$5,386.32 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$7,796 |
$38,543.90 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$7,796 |
$9,000.92 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,974 |
$7,430.58 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$2,974 |
$12,539.40 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,483 |
$5,386.32 |
1.0× |
| Insj Stablj Dev W/Dcmprn (22867) |
$16,518 |
$75,559.30 |
1.0× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$12,095 |
$75,559.30 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,974 |
$10,314.70 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,974 |
$12,827.90 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$29,571 |
$152,798 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$7,796 |
$17,581.90 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$7,796 |
$17,581.90 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$9,846 |
$41,261.10 |
1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$20,955 |
$22,942.50 |
1.0× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$29,571 |
$22,942.50 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$20,955 |
$50,739.60 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$382 |
$2,158.79 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,483 |
$510.75 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$5,362 |
$24,875 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$223 |
$1,998.84 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$235 |
$931.89 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$5,695 |
$10,078.50 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$5,695 |
$5,834.95 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$5,695 |
$29,669.50 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$5,695 |
$29,669.50 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$188 |
$613.89 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$188 |
$725.62 |
1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$368 |
$2,287.98 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,320 |
$19,264 |
1.0× |
| Lyse chest fibrin init day (32561) |
$590 |
$2,421.19 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,483 |
$5,324.91 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$2,974 |
$12,043.40 |
1.0× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$3,338 |
$1,974.29 |
1.0× |
| Myelography Lumbar Injection (62305) |
$738 |
$4,302.16 |
1.0× |
| Myelography Lumbar Injection (62304) |
$738 |
$2,701.13 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$738 |
$2,701.13 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$738 |
$2,701.13 |
1.0× |
| N Block Inj Celiac Pelus (64530) |
$833 |
$4,515.80 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$665 |
$3,585.14 |
1.0× |
| N block inj intercost sng (64420) |
$665 |
$1,851.51 |
1.0× |
| N Block Inj Plantar Digit (64455) |
$289 |
$1,632.96 |
1.0× |
| N Block Inj Pudendal (64430) |
$833 |
$4,515.80 |
1.0× |
| N Block Lumbar/Thoracic (64520) |
$833 |
$4,515.80 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$420 |
$1,357.93 |
1.0× |
| Ndsc dcmprn spinal cord 1 w/lamot ntrspc lumbar (62380) |
$6,836 |
$36,893.80 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,555 |
$3,827.01 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,555 |
$4,641.04 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27 |
$46.29 |
1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$27 |
$69.44 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,839 |
$4,107.42 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$833 |
$4,515.80 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$289 |
$1,227.79 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,373 |
$1,480.71 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,373 |
$810.34 |
1.0× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$833 |
$3,373.66–$4,515.80 |
1.0× |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines |
$665 |
$3,526.63–$3,585.14 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$665 |
$2,952.82 |
1.0× |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines |
$665 |
$3,585.14–$5,747.10 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$833 |
$4,305.86 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$656 |
$267.66 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$656 |
$267.66 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$854 |
$2,228.44 |
1.0× |
| Occipital Nerve Block (64405) |
$289 |
$1,632.96 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,082 |
$16,521.10 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$10,875 |
$36,019.60 |
1.0× |
| Orbitotomy W/O Bone Flap W/Removal Lesion (67412) |
$2,239 |
$5,304.50 |
1.0× |
| Penile Injection (54235) |
$235 |
$1,506.49 |
1.0× |
| Penile Plethysmography (54240) |
$203 |
$526.72 |
1.0× |
| Perc Rf Ablate Renal Tumor (50592) |
$5,695 |
$25,387 |
1.0× |
| Percut Ablate Liver Rf (47382) |
$5,695 |
$22,525 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$10,875 |
$32,562.20 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$667 |
$2,410.15 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$2,974 |
$20,598.60 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,483 |
$8,632.22 |
1.0× |
| Peritoneal Lavage (49084) |
$854 |
$1,489.31 |
1.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$17,270 |
$5,225.47 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$3,082 |
$10,329.40 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$667 |
$3,015.45 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,555 |
$2,158.45 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,082 |
$10,329.40 |
1.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$5,695 |
$25,533.10 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$10,875 |
$1,690.67 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,362 |
$22,538.50 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,836 |
$10,329.40 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$6,836 |
$10,329.40 |
1.0× |
| Place Cath Subclavian Art (36225) |
$2,974 |
$17,088.40 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$2,974 |
$16,221.50 |
1.0× |
| Place Cath Vertebral Art (36226) |
$5,242 |
$17,088.40 |
1.0× |
| Place ndl musc/tis for rt (20555) |
$3,082 |
$11,638.20 |
1.0× |
| Place Rt Device/Marker Pros (55876) |
$1,304 |
$6,610.43 |
1.0× |
| Placement needle head/neck radioelement applicat (41019) |
$5,577 |
$9,641.82 |
1.0× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$4,712 |
$9,118.78 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$420 |
$1,783.97 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,695 |
$21,782.20 |
1.0× |
| Plmt expandable cath brst following prtl mast (19296) |
$7,700 |
$23,595.60 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,320 |
$6,792.13 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,320 |
$11,864.10 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,320 |
$11,428.30 |
1.0× |
| Prim art mech thrombectomy (37184) |
$17,270 |
$15,250.40 |
1.0× |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
$299 |
$2,235.05 |
1.0× |
| Probe Nasolacrimal Duct W/WO Irrg Insj Tube/Stnt (68815) |
$2,239 |
$2,592.66 |
1.0× |
| Proctopexy Perineal Approach (45541) |
$2,614 |
$12,307.30 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$667 |
$2,262.81 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,373 |
$11,515.40 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$590 |
$1,147.98 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$382 |
$1,072.67 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$382 |
$1,788.89 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$667 |
$2,168.28 |
1.0× |
| Rcnstj Eyelid Full Thickness </Two-Thirds 1 Stg (67971) |
$2,239 |
$1,974.29 |
1.0× |
| Reconstruction Toe Polydactyly (28344) |
$3,082 |
$12,672 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$2,974 |
$19,332.80 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$1,943 |
$3,518.85 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$2,974 |
$10,312.20 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$854 |
$2,974.93 |
1.0× |
| Removal Embedded Foreign Body Eyelid (67938) |
$299 |
$1,545.93 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,555 |
$8,951.80 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$667 |
$3,003.17 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,555 |
$5,311.41 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$55 |
$343.19 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$55 |
$343.19 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$420 |
$1,102.56 |
1.0× |
| Removal of nail bed (11750) |
$382 |
$1,618.23 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$2,974 |
$2,218.61 |
1.0× |
| Removal of vein clot (34490) |
$2,974 |
$19,391.70 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$263 |
$472.70 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$3,520 |
$6,197.86 |
1.0× |
| Removal ppm generator only (33233) |
$7,796 |
$4,087.31 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$189 |
$624.94 |
1.0× |
| Removal tong/halo applied by another individual (20665) |
$420 |
$295.90 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$263 |
$446.93 |
1.0× |
| Remove cerclage suture (59871) |
— |
$10,683 |
— |
| Remove Elctrd Transvenously (33244) |
$3,520 |
$6,197.86 |
1.0× |
| Remove foreign body from eye (65205) |
$125 |
$634.77 |
1.0× |
| Remove Intrauterine Device (58301) |
$287 |
$1,125.89 |
1.0× |
| Remove intrvas foreign body (37197) |
$2,974 |
$20,208.20 |
1.0× |
| Remove lung catheter (32552) |
$590 |
$2,421.19 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$125 |
$653.67 |
1.0× |
| Remove Peritoneal Foreign Body (49402) |
$3,373 |
$960.13 |
1.0× |
| Remove Pulse Generator (33241) |
$3,520 |
$3,418.17 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$656 |
$2,195.29 |
1.0× |
| Remove Shoulder Foreign Body (23330) |
$1,555 |
$4,983.59 |
1.0× |
| Remove spine eltrd plate (63662) |
$3,293 |
$19,009.80 |
1.0× |
| Remove&replace pm gen singl (33227) |
$7,796 |
$22,942.50 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$20,955 |
$82,781.20 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$29,571 |
$82,781.20 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$20,955 |
$82,781.20 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$9,846 |
$22,942.50 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$18,146 |
$22,942.50 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,555 |
$2,410.15 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,974 |
$9,554.65 |
1.0× |
| Repair brow ptosis (67900) |
$2,239 |
$3,312.89 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$696 |
$2,100.75 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$696 |
$2,164.59 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$382 |
$1,632.96 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$382 |
$2,009.89 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$382 |
$1,535.97 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$382 |
$1,788.89 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$696 |
$2,459.25 |
1.0× |
| Repair Ectropion Extensive (67917) |
$2,239 |
$8,385.59 |
1.0× |
| Repair Entropion Extensive (67924) |
$2,239 |
$6,185.05 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,373 |
$20,227.80 |
1.0× |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
$3,373 |
$3,339.58 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$382 |
$1,637.17 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$382 |
$1,637.17 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$382 |
$1,297.77 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$382 |
$1,354.26 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$696 |
$2,035.67 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$382 |
$2,103.93 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$382 |
$1,145.52 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$696 |
$1,235.17 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$382 |
$1,596.13 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$382 |
$1,637.17 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$382 |
$1,637.17 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$696 |
$2,041.81 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$382 |
$1,556.83 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,943 |
$2,400.33 |
1.0× |
| Repair lead pace-defib dual (33220) |
$3,520 |
$9,000.92 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$3,520 |
$9,000.92 |
1.0× |
| Repair of nail bed (11760) |
$696 |
$1,778.66 |
1.0× |
| Repair tongue laceration (41252) |
$223 |
$1,250.14 |
1.0× |
| Repair Tooth Socket (41874) |
$3,123 |
$14,519.80 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$854 |
$2,228.44 |
1.0× |
| Replace G-J Tube Perc (49452) |
$854 |
$2,973.71 |
1.0× |
| Replace g/c tube perc (49450) |
$854 |
$2,212.47 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$235 |
$903.64 |
1.0× |
| Reposition L Ventric Lead (33226) |
$2,974 |
$5,786.56 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$2,974 |
$9,000.92 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,483 |
$5,507.87 |
1.0× |
| Revise Abdomen-Venous Shunt (49426) |
$3,373 |
$8,088.67 |
1.0× |
| Revise eyelashes (67825) |
$299 |
$6,153.22 |
1.0× |
| Revise Spine Eltrd Plate (63664) |
$10,497 |
$119,533 |
1.0× |
| Revision of eyelid (67880) |
$2,239 |
$4,008.19 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$5,362 |
$15,477.50 |
1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$3,293 |
$19,009.80 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,969 |
$6,792.13 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,461 |
$5,619.58 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$854 |
$1,782.75 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$420 |
$1,637.17 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$125 |
$589.34 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$420 |
$561.09 |
1.0× |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
$299 |
$2,307.45 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,127 |
$5,714.12 |
1.0× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$1,461 |
$10,863.50 |
1.0× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,839 |
$11,047.60 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,520 |
$6,197.86 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,483 |
$5,804.99 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$590 |
$2,931.96 |
1.0× |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
$2,174 |
$2,940.33 |
1.0× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$263 |
$520.58 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$235 |
$1,420.67 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$235 |
$241.88 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,483 |
$5,324.91 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,483 |
$5,324.91 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$2,974 |
$14,632.80 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,974 |
$12,454.70 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$5,695 |
$11,639 |
1.0× |
| Rpr Blepharoptosis Levator Rescj/Advmnt Internal (67903) |
$2,239 |
$7,850.66 |
1.0× |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
$2,239 |
$7,850.66 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$667 |
$4,067.65 |
1.0× |
| Rpr Blpos Conjunctivo-Tarso-Musc-Levator Rescj (67908) |
$2,239 |
$8,147.05 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$189 |
$1,083.21 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$508 |
$3,009.32 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$590 |
$4,514.58 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,127 |
$6,201.56 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$876 |
$4,847.30 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$382 |
$1,068.17 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$189 |
$1,083.21 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$382 |
$2,837.42 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$189 |
$1,083.21 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$189 |
$1,147.98 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$189 |
$1,083.21 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$189 |
$1,083.21 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,242 |
$27,752.90 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$2,974 |
$16,221.50 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,242 |
$17,088.40 |
1.0× |
| Slitting of prepuce (54001) |
$1,969 |
$11,621 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$189 |
$1,083.21 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$382 |
$1,637.17 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$382 |
$1,637.17 |
1.0× |
| Snip Incision Lacrimal Punctum (68440) |
$299 |
$1,435.39 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$665 |
$2,337.70 |
1.0× |
| Strapping ankle (29540) |
$153 |
$433.41 |
1.0× |
| Strapping elbow or wrist (29260) |
$55 |
$460.43 |
1.0× |
| Strapping Hip (29520) |
$125 |
$686.36 |
1.0× |
| Strapping knee (29530) |
$125 |
$504.62 |
1.0× |
| Strapping shoulder (29240) |
$125 |
$653.67 |
1.0× |
| Strapping toes (29550) |
$55 |
$539 |
1.0× |
| Surg Implnt Neuroelect,Epidural (63655) |
$18,277 |
$119,533 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,467 |
$5,521.37 |
1.0× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$5,242 |
$20,075.60 |
1.0× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$2,974 |
$19,391.70 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$2,974 |
$18,392.30 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,242 |
$17,087.10 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$311 |
$4,740.48 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$2,974 |
$10,314.70 |
1.0× |
| Thyroid biopsy (60100) |
$667 |
$2,168.28 |
1.0× |
| Tooth extraction (41899) |
$223 |
$859.45 |
1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$223 |
$3,491.83 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,461 |
$3,017.90 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$287 |
$718.27 |
1.0× |
| Transcatheter biopsy (37200) |
$5,242 |
$17,087.10 |
1.0× |
| Treat humerus fracture (24500) |
$232 |
$791.93 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$232 |
$1,381.82 |
1.0× |
| Treat toe dislocation (28630) |
$232 |
$748.94 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$232 |
$1,381.82 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$55 |
$295.90 |
1.0× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,676 |
$4,019.79 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$203 |
$568.48 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$696 |
$3,975.58 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$153 |
$486.20 |
1.0× |
| Unlisted procedure liver (47399) |
$667 |
$20,701.70 |
1.0× |
| Unlisted procedure nervous system (64999) |
$289 |
$1,632.96 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$223 |
$1,202.61 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$590 |
$4,035.75 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$854 |
$6,364.85 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$235 |
$1,990.25 |
1.0× |
| Upgrade of pacemaker system (33214) |
$9,846 |
$33,009.10 |
1.0× |
| Vaginal delivery only (59409) |
$3,049 |
$3,577.77 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$10,875 |
$33,514.90 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$10,875 |
$32,562.20 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,969 |
$11,621 |
1.0× |
| Venous Cutdown >1 Y/O (36425) |
$420 |
$241.88 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$10,875 |
$18,265.80 |
1.0× |
| Wedge excision skin nail fold (11765) |
$382 |
$584.43 |
1.0× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$5,013 |
$7,656.68 |
1.0× |
| Xcapsl Ctrc Rmvl Insj Io Lens Prsth Cplx Insj 1+ (66989) |
$5,013 |
$6,717 |
1.0× |