| Abd paracentesis w/imaging (49083) |
$967 |
$2,166 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$967 |
$1,205 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$18,697 |
$29,126 |
1.0× |
| Amputation foot transmetarsal (28805) |
$3,489 |
$17,072 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,489 |
$24,168 |
1.0× |
| Amputation thigh through femur any level (27590) |
$3,489 |
$6,059.50 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,489 |
$19,158 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,489 |
$17,072 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,959 |
$15,298 |
1.0× |
| Application finger splint static (29130) |
$141 |
$645 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$173 |
$789 |
1.0× |
| Application Long Leg Splint (29505) |
$173 |
$789 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$298 |
$879 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$141 |
$645 |
1.0× |
| Application short leg splint calf foot (29515) |
$173 |
$789 |
1.0× |
| Application uniplane external fixation system (20690) |
$7,737 |
$12,119 |
1.0× |
Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$173 |
$427–$641 |
1.0× |
| Apply Short Leg Cast (29405) |
$298 |
$6,653.81 |
1.0× |
| Apply short leg cast (29425) |
$298 |
$4,958.27 |
1.0× |
| Arterial puncture (36600) |
$141 |
$142 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,367 |
$32,297 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,933 |
$30,081 |
1.0× |
| Artery-vein autograft (36825) |
$5,933 |
$35,522 |
1.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$13,690 |
$52,198 |
1.0× |
Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) range across 2 matching MRF lines |
$13,690 |
$11,087.78–$11,087.80 |
1.0× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) range across 2 matching MRF lines |
$13,690 |
$14,223.25–$14,223.30 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$13,690 |
$24,238 |
1.0× |
| Arthrd W/Xtnsr Hallucis Longus Tr 1st Metar Nck (28760) |
$7,737 |
$7,113 |
1.0× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$327 |
$331–$684 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$752 |
$833 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$327 |
$651–$7,794 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$327 |
$1,808 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$327 |
$592 |
1.0× |
| Arthrodesis ankle open (27870) |
$13,690 |
$56,454 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,737 |
$22,225 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,737 |
$28,484 |
1.0× |
Arthrodesis Posterior Interbody Lumbar (22630) range across 2 matching MRF lines |
$28,934 |
$30,240.38–$30,240.40 |
1.0× |
Arthrodesis Posterior/Posterolateral Lumbar (22612) range across 2 matching MRF lines |
$18,697 |
$23,453.39–$23,453.40 |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$18,697 |
$33,027 |
1.0× |
| Arthrodesis subtalar (28725) |
$13,690 |
$28,265 |
1.0× |
Arthrodesis triple (28715) range across 2 matching MRF lines |
$13,690 |
$21,899.09–$21,899.10 |
1.0× |
| Arthrodesis, anterior interbody technique, including minimal discectomy to prepare interspace (other than for… (22558) |
$28,934 |
$36,870 |
1.0× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
$18,697 |
$27,858 |
1.0× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$18,697 |
$32,364 |
1.0× |
| Arthroplasty Ankle (27700) |
$7,737 |
$40,132 |
1.0× |
| Arthroplasty Ankle W/Implant (27702) |
$28,934 |
$44,301 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$18,697 |
$38,303 |
1.0× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$13,690 |
$43,307 |
1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,489 |
$26,659 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,489 |
$23,631 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$3,489 |
$4,936.10 |
1.0× |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
$3,489 |
$16,771.50 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,489 |
$13,518 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,489 |
$11,676 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,489 |
$28,265 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,737 |
$31,161 |
1.0× |
| Arthroscopy Wrist Surgical Synovectomy Complete (29845) |
$3,489 |
$22,810 |
1.0× |
Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) range across 2 matching MRF lines |
$3,489 |
$11,857–$11,857.05 |
1.0× |
Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) range across 2 matching MRF lines |
$7,737 |
$18,486.18–$18,486.20 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,489 |
$18,846 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,489 |
$19,837.50 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,737 |
$36,319 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,489 |
$25,580 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,489 |
$8,073 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,737 |
$26,654 |
1.0× |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
$3,489 |
$16,146 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,737 |
$33,758 |
1.0× |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
$3,489 |
$4,310.84 |
1.0× |
| Arthrotomy W/Synovectomy Ankle (27625) |
$3,489 |
$5,630.52 |
1.0× |
| Arthrotomy wrist joint with synovectomy (25105) |
$3,489 |
$4,153.83 |
1.0× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$3,489 |
$20,681 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$13,690 |
$40,798 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$13,690 |
$47,184 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,737 |
$24,147 |
1.0× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$3,489 |
$25,123 |
1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,489 |
$13,929 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,489 |
$29,360 |
1.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,714 |
$10,687 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$668 |
$1,458 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$668 |
$1,205 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$755 |
$2,920 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,229 |
$20,066 |
1.0× |
| Av fistula revision (36833) |
$5,933 |
$42,683 |
1.0× |
| Av Fistula Revision Open (36832) |
$5,933 |
$43,556 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,933 |
$47,047 |
1.0× |
Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$213 |
$299–$359 |
1.0× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$6,903 |
$6,003 |
1.0× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$11,335 |
$8,194 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,761 |
$3,884 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,097 |
$2,803.60 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,761 |
$6,044 |
1.0× |
Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
$1,761 |
$2,636–$13,524 |
1.0× |
Biopsy muscle percutaneous needle (20206) range across 2 matching MRF lines |
$1,761 |
$2,984–$13,930 |
1.0× |
| Biopsy nail unit (11755) |
$755 |
$8,374.33 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$4,175 |
$13,930 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,761 |
$5,933 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,761 |
$5,558 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$755 |
$1,210 |
1.0× |
Biopsy soft tissue neck/thorax (21550) range across 2 matching MRF lines |
$1,761 |
$2,830–$13,930 |
1.0× |
Biopsy/removal lymph nodes (38510) range across 2 matching MRF lines |
$4,175 |
$17,704.80–$17,704.82 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$743 |
$602 |
1.0× |
Bladder Irrigation (51700) range across 3 matching MRF lines |
$266 |
$666–$9,144 |
1.0× |
| Bladder Scan (51798) |
$62 |
$243 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$338 |
$7,794 |
1.0× |
| Blood Transfusion Service (36430) |
$470 |
$921 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$470 |
$2,388 |
1.0× |
| Bone Graft Any Donor Area Major/Large (20902) |
$7,737 |
$6,770.93 |
1.0× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$7,737 |
$6,461.45 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,761 |
$2,097 |
1.0× |
Bx breast 1st lesion mr imag (19085) range across 3 matching MRF lines |
$1,761 |
$4,350–$12,152 |
1.0× |
Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$1,761 |
$6,525–$12,152 |
1.0× |
Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$1,761 |
$5,778–$13,930 |
1.0× |
Bx prostate strtctc saturation sampling img gid (55706) range across 2 matching MRF lines |
$3,758 |
$5,500–$13,067 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,175 |
$16,795 |
1.0× |
Bx/exc lymph node open superficial (38500) range across 2 matching MRF lines |
$4,175 |
$5,742–$36,870 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,489 |
$6,491.15 |
1.0× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$7,737 |
$36,319 |
1.0× |
| Capsulotomy Iphal Joint Each Joint Spx (28272) |
$1,714 |
$6,252.80 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$2,082 |
$10,862 |
1.0× |
| Carpectomy All Bones Proximal Row (25215) |
$3,489 |
$11,567 |
1.0× |
| Cataract surgery complex (66982) |
$2,460 |
$13,527 |
1.0× |
| Cerv artific diskectomy (22856) |
$18,697 |
$47,209 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,367 |
$4,594 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$266 |
$952 |
1.0× |
| Change of Windpipe Airway (31502) |
$252 |
$813 |
1.0× |
| Change ureter stent percut (50382) |
$2,229 |
$3,915 |
1.0× |
| Chemical Cautery Tissue (17250) |
$213 |
$982 |
1.0× |
| Chest tube placement (32551) |
$1,678 |
$1,599 |
1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,229 |
$3,322 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,818 |
$3,833 |
1.0× |
Circumcision 28 days or older (54161) range across 2 matching MRF lines |
$2,229 |
$10,817.26–$10,817.30 |
1.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,229 |
$14,438 |
1.0× |
Claviculectomy partial (23120) range across 2 matching MRF lines |
$3,489 |
$18,801.10–$18,801.11 |
1.0× |
| Clear outer ear canal (69200) |
$141 |
$452 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,714 |
$12,601 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$263 |
$27,447 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$263 |
$20,620 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$263 |
$17,696 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,714 |
$20,173 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$141 |
$403 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$69 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,276 |
$13,792 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,276 |
$5,895 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$7,907 |
$11,929.60 |
1.0× |
| Colporrhaphy (57200) |
$3,451 |
$32,755 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,334 |
$11,929.60 |
1.0× |
| Complex drainage wound (10180) |
$3,097 |
$24,203 |
1.0× |
| Contour of face bone lesion (21029) |
$3,535 |
$20,620 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$141 |
$1,146 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$141 |
$529 |
1.0× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$13,690 |
$57,147 |
1.0× |
| Conversion ext bil drg cath (47535) |
$3,818 |
$5,729 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,046 |
$2,640 |
1.0× |
Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$2,229 |
$2,263–$4,226 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,761 |
$5,885 |
1.0× |
| Correction hammertoe (28285) |
$3,489 |
$19,976 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,489 |
$37,464 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$13,690 |
$31,503 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$7,737 |
$17,072 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,489 |
$7,249.26 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,737 |
$28,899 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,229 |
$13,365.50 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,229 |
$19,423 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,758 |
$10,048 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,758 |
$10,862 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$3,758 |
$8,078 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,758 |
$17,307 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,229 |
$10,862 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$3,758 |
$7,530 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,717 |
$17,072 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,758 |
$7,794 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,758 |
$5,431 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,717 |
$8,499 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,717 |
$17,812 |
1.0× |
| Cystourethroscopy (52000) |
$743 |
$7,794 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,758 |
$16,375 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,717 |
$29,295 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,229 |
$15,464 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,229 |
$10,503 |
1.0× |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$788 |
$1,413–$27,858 |
1.0× |
| Debride nail 1-5 (11720) |
$62 |
$292 |
1.0× |
| Debride nail 6 or more (11721) |
$62 |
$358 |
1.0× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,761 |
$2,995–$17,072 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$433 |
$2,909–$18,265 |
1.0× |
| Declot vascular device (36593) |
$352 |
$778 |
1.0× |
| Decompress Spinal Cord Lmbr (63056) |
$7,737 |
$22,941 |
1.0× |
| Delivery of placenta (59414) |
$3,451 |
$4,860 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$213 |
$13,967 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,082 |
$7,297 |
1.0× |
Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$991 |
$4,559–$9,976 |
1.0× |
| Dilat Xst Trc New Access Rcs (50437) |
$3,758 |
$9,513 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,451 |
$13,524 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$327 |
$764 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$755 |
$3,518 |
1.0× |
Drainage of hematoma/fluid (10140) range across 3 matching MRF lines |
$1,761 |
$225–$21,099 |
1.0× |
| Drainage of hydrocele (55000) |
$755 |
$1,261 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$141 |
$360 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$433 |
$773 |
1.0× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$213 |
$644–$867 |
1.0× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$213 |
$310–$1,998 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,959 |
$13,524 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,097 |
$3,515 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$752 |
$2,613 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,046 |
$9,485 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$967 |
$4,688 |
1.0× |
| Egd remove lesion snare (43251) |
$2,046 |
$9,485 |
1.0× |
| Egd Varices Ligation (43244) |
$2,046 |
$9,485 |
1.0× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$5,933 |
$10,210 |
1.0× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$5,933 |
$17,496 |
1.0× |
| Endoscopic plantar fasciotomy (29893) |
$3,489 |
$17,072 |
1.0× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$3,367 |
$4,606 |
1.0× |
Endoven abltj incmptnt vein xtr laser 1st vein (36478) range across 2 matching MRF lines |
$3,367 |
$5,453–$5,616 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,367 |
$11,398 |
1.0× |
| Epidural Blood Patch (62273) |
$752 |
$2,424 |
1.0× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$6,473 |
$7,219 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,111 |
$5,396.30 |
1.0× |
| Ercp remove forgn body duct (43275) |
$2,046 |
$9,328 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,473 |
$7,219 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$4,111 |
$9,328 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$141 |
$452 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$755 |
$16,998 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,761 |
$6,263 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$3,097 |
$15,464 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$4,175 |
$16,788 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$755 |
$4,795.60 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,761 |
$9,576.66 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$755 |
$6,837.44 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,761 |
$7,904 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,761 |
$9,976 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,714 |
$9,884.71 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,714 |
$10,687 |
1.0× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,082 |
$6,627.33 |
1.0× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$2,082 |
$8,314.33 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$755 |
$13,524 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,761 |
$13,930 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,761 |
$6,582.10 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,097 |
$13,930 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,097 |
$13,723.50 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,276 |
$17,072 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$755 |
$16,998 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,761 |
$10,862 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,097 |
$18,846 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,761 |
$6,965 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,097 |
$21,374 |
1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,761 |
$13,930 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,097 |
$10,862 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,097 |
$10,494 |
1.0× |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
$7,737 |
$17,072 |
1.0× |
Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) range across 2 matching MRF lines |
$3,489 |
$11,580.20–$11,580.24 |
1.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,714 |
$5,802 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,818 |
$4,519 |
1.0× |
| Exchange Intraocular Lens (66986) |
$2,460 |
$14,018 |
1.0× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$2,229 |
$2,263–$3,101 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,046 |
$2,517 |
1.0× |
| Excise intraspinal lesion (63267) |
$7,737 |
$33,027 |
1.0× |
| Excision Chest Wall Tumor Including Ribs (21601) |
$3,097 |
$6,965 |
1.0× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$3,097 |
$11,258 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$433 |
$16,998 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,959 |
$17,696 |
1.0× |
| Excision of extraparenchymal lesion of testis (54512) |
$3,758 |
$17,072 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,818 |
$16,422 |
1.0× |
Excision of pilonidal cyst or sinus; simple (11770) range across 2 matching MRF lines |
$3,097 |
$5,289–$14,953 |
1.0× |
| Excision olecranon bursa (24105) |
$3,489 |
$20,949 |
1.0× |
Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) range across 2 matching MRF lines |
$7,737 |
$10,802.66–$10,802.70 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,097 |
$29,270 |
1.0× |
Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
$3,097 |
$14,441–$14,441.03 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,761 |
$16,998 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,097 |
$22,394 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,761 |
$13,524 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,761 |
$8,078 |
1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,714 |
$14,640 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,097 |
$13,930 |
1.0× |
Excision; trochanteric bursa or calcification (27062) range across 2 matching MRF lines |
$3,489 |
$18,964.30–$18,964.33 |
1.0× |
| Exploration of spinal fusion (22830) |
$7,737 |
$7,925.50 |
1.0× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$3,489 |
$10,477 |
1.0× |
| Fasciotomy, foot and/or toe (28008) |
$3,489 |
$15,298 |
1.0× |
| Fasciotomy, hip or thigh, any type (27025) |
$3,489 |
$27,858 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$755 |
$1,883 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$254 |
$584 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$755 |
$1,883 |
1.0× |
| Fusion of foot bones (28740) |
$7,737 |
$28,873 |
1.0× |
| Fusion of knuckle (26850) |
$7,737 |
$21,374 |
1.0× |
| Gastrocnemius recession (27687) |
$3,489 |
$8,636.87 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$755 |
$2,430 |
1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,737 |
$23,008 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,959 |
$17,072 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,959 |
$17,072 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,959 |
$19,910 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,451 |
$15,298 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,334 |
$13,524 |
1.0× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$213 |
$344–$13,524 |
1.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$1,714 |
$20,620 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,097 |
$28,873 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,097 |
$16,998 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$755 |
$1,485 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$755 |
$851 |
1.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,097 |
$23,807 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,097 |
$20,066 |
1.0× |
| Icd Pocket Revision (33223) |
$2,200 |
$4,708 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,761 |
$4,341 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,761 |
$4,775 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,761 |
$5,478 |
1.0× |
| Incise external hemorrhoid (46083) |
$266 |
$943 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,714 |
$12,637 |
1.0× |
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$433 |
$584–$936 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,761 |
$293 |
1.0× |
Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$433 |
$250–$13,930 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$215 |
$705 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$788 |
$3,061 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$226 |
$519 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$943 |
$1,259 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$327 |
$532 |
1.0× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$943 |
$1,396 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$752 |
$2,613 |
1.0× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$943 |
$3,200 |
1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$752 |
$2,613 |
1.0× |
| Injection for identification of sentinel node (38792) |
$426 |
$3,261 |
1.0× |
| Injection single tendon origin/insertion (20551) |
$327 |
$1,245 |
1.0× |
Injection, anesthetic agent; brachial plexus, single (64415) range across 2 matching MRF lines |
$943 |
$1,148–$36,319 |
1.0× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$752 |
$1,116–$3,463 |
1.0× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$752 |
$803–$3,463 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,367 |
$14,689 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,367 |
$9,205 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,933 |
$12,443 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$33,472 |
$64,669 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$137 |
$602 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,678 |
$3,031 |
1.0× |
Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$2,046 |
$742–$2,435 |
1.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,276 |
$4,363 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,046 |
$3,855 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$11,145 |
$12,847 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$11,145 |
$14,057 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$19,548 |
$16,263 |
1.0× |
Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$3,367 |
$2,758–$5,668 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$11,145 |
$21,120 |
1.0× |
| Insert pulse gen dual leads (33213) |
$11,145 |
$12,847 |
1.0× |
| Insert pulse gen mult leads (33221) |
$20,540 |
$22,987 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$8,824 |
$9,628 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$141 |
$286 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,818 |
$5,493 |
1.0× |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$3,367 |
$9,388–$9,919 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$141 |
$243 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,818 |
$4,470 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,678 |
$2,715 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,824 |
$24,066 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$3,818 |
$23,352 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$8,824 |
$10,611 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,367 |
$11,017 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,367 |
$4,594 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$5,933 |
$10,363 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,367 |
$3,820 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$33,472 |
$44,063 |
1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$32,905 |
$23,352 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,824 |
$9,628 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$11,145 |
$16,952 |
1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$23,719 |
$74,114 |
1.0× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$33,472 |
$77,142 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,678 |
$1,549 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$12,310 |
$13,725 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$6,069 |
$8,451 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$252 |
$751 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$266 |
$884 |
1.0× |
| Knee Arthroscopy/Surgery (29885) |
$7,737 |
$8,079.34 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,489 |
$25,123 |
1.0× |
| Lam facetec & foramot lumbar (63047) |
$7,737 |
$41,968 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$7,737 |
$31,271 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63046) |
$7,737 |
$27,447 |
1.0× |
| Laminotomy Single Lumbar (63042) |
$7,737 |
$35,368 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,446 |
$30,862 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$11,335 |
$31,264 |
1.0× |
| Laparoscopic myomectomy (58545) |
$6,446 |
$37,645 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,446 |
$44,777 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$11,335 |
$86,340 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$11,335 |
$56,454 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,446 |
$18,438 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,446 |
$33,507 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,446 |
$28,899 |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,446 |
$28,873 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,446 |
$20,211 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,446 |
$37,326 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$11,335 |
$26,213.50 |
1.0× |
| Laser vaporization of prostate (52648) |
$5,717 |
$22,844 |
1.0× |
| Late closure of wound (13160) |
$3,778 |
$20,620 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,737 |
$19,800 |
1.0× |
| Ligate/strip long leg vein (37722) |
$3,367 |
$24,200 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,758 |
$24,168 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,758 |
$14,018 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,758 |
$21,036 |
1.0× |
| Low Back Disk Surgery (63030) |
$7,737 |
$35,305 |
1.0× |
| Lumbar spine fusion combined (22633) |
$28,934 |
$48,759 |
1.0× |
| Manipulation hip joint general anesthesia (27275) |
$1,714 |
$5,714 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,714 |
$5,670 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,714 |
$5,816 |
1.0× |
Mast mod rad (19307) range across 2 matching MRF lines |
$7,080 |
$21,074.10–$21,074.14 |
1.0× |
| Mastectomy partial (19301) |
$4,175 |
$13,930 |
1.0× |
| Mastectomy simple complete (19303) |
$7,080 |
$24,238 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,678 |
$2,416 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$3,367 |
$4,594 |
1.0× |
Muscle transfer, any type, shoulder or upper arm; single Facility (23395) range across 2 matching MRF lines |
$7,737 |
$15,439.08–$15,439.10 |
1.0× |
| Myelography Lumbar Injection (62305) |
$835 |
$1,728 |
1.0× |
| Myelography Lumbar Injection (62304) |
$835 |
$1,652 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$835 |
$1,685 |
1.0× |
| N Block Inj Plantar Digit (64455) |
$327 |
$13,858 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,714 |
$21,831 |
1.0× |
Neck spine disk surgery (63020) range across 2 matching MRF lines |
$7,737 |
$18,819.67–$18,819.70 |
1.0× |
Neck spine fusion (22600) range across 2 matching MRF lines |
$18,697 |
$10,163.10–$10,163.13 |
1.0× |
Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
$1,761 |
$1,789–$10,494 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,761 |
$1,815 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$30 |
$103 |
1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$30 |
$103 |
1.0× |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 2 matching MRF lines |
$2,082 |
$14,895.30–$14,895.33 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$327 |
$1,034 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,818 |
$3,833 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,818 |
$5,729 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$752 |
$1,985 |
1.0× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$2,200 |
$6,337 |
1.0× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$2,200 |
$6,337 |
1.0× |
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 3 matching MRF lines |
$743 |
$1,380–$2,072 |
1.0× |
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 3 matching MRF lines |
$743 |
$1,380–$2,072 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$433 |
$596 |
1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$433 |
$700 |
1.0× |
| Njx Sclrsnt Spider Veins (36468) |
$433 |
$1,326 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$967 |
$1,205 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,175 |
$13,930 |
1.0× |
Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
$7,737 |
$17,307.80–$17,307.84 |
1.0× |
| Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s), posterior approach, 1 fractured… (22327) |
$13,690 |
$28,873 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,737 |
$24,607 |
1.0× |
Open treatment calcaneal fracture (28415) range across 2 matching MRF lines |
$7,737 |
$28,602.28–$28,602.30 |
1.0× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$13,690 |
$15,275.20 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$13,690 |
$88,670 |
1.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$13,690 |
$40,346 |
1.0× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,489 |
$5,690 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,737 |
$6,931.23 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,737 |
$26,674 |
1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$7,737 |
$36,834 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,737 |
$41,119 |
1.0× |
| Open treatment of sesamoid fracture, with or without internal fixation Facility (28531) |
$7,737 |
$8,536 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$13,690 |
$55,144 |
1.0× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$3,489 |
$10,310 |
1.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,737 |
$32,292 |
1.0× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$3,489 |
$10,310 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,737 |
$24,017 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,489 |
$25,052 |
1.0× |
Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$7,737 |
$14,590.15–$14,590.20 |
1.0× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$13,690 |
$30,781.50 |
1.0× |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
$13,690 |
$56,893 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,489 |
$75,573 |
1.0× |
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$3,489 |
$23,894.67–$23,894.70 |
1.0× |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
$7,737 |
$5,974.14 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,737 |
$40,714 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,737 |
$45,438 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$12,310 |
$28,810 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$12,310 |
$14,813 |
1.0× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$7,737 |
$24,261.25–$24,261.30 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,737 |
$32,182 |
1.0× |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
$7,737 |
$48,687 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$13,690 |
$47,771 |
1.0× |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
$3,489 |
$6,873.33 |
1.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,489 |
$9,648 |
1.0× |
| Ostectomy calcaneus (28118) |
$3,489 |
$40,169 |
1.0× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$3,489 |
$9,766.53 |
1.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$3,489 |
$9,543.54 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,489 |
$24,168 |
1.0× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$7,737 |
$8,350.66 |
1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$7,737 |
$7,369.08 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,489 |
$29,367 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$7,737 |
$20,211 |
1.0× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$7,737 |
$6,458.40 |
1.0× |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
$7,737 |
$9,941 |
1.0× |
Part remv talus or calcaneus (28120) range across 2 matching MRF lines |
$3,489 |
$10,677.39–$10,677.40 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,714 |
$10,687 |
1.0× |
| Partial removal of fibula (27641) |
$3,489 |
$6,052.30 |
1.0× |
| Partial removal of thyroid (60220) |
$6,446 |
$31,264 |
1.0× |
| Partial removal of tibia (27640) |
$3,489 |
$22,713 |
1.0× |
| Partial removal of toe (28160) |
$3,489 |
$13,524 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,489 |
$13,524 |
1.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$11,335 |
$10,187 |
1.0× |
| Perc Rf Ablate Renal Tumor (50592) |
$6,446 |
$8,194 |
1.0× |
| Percut Ablate Liver Rf (47382) |
$6,446 |
$9,003 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$755 |
$1,814 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,367 |
$6,252 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,678 |
$6,821 |
1.0× |
| Perq av fistula creation uxtr single access (36836) |
$19,548 |
$33,229 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$3,489 |
$4,101 |
1.0× |
Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
$755 |
$5,277–$5,567 |
1.0× |
Perq device breast 1st imag (19281) range across 3 matching MRF lines |
$1,761 |
$2,127–$12,152 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,758 |
$5,656 |
1.0× |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
$6,446 |
$8,354 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,310 |
$13,725 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,069 |
$8,451 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,737 |
$20,608 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,737 |
$22,414 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$3,367 |
$10,978 |
1.0× |
Place Cath Subclavian Art (36225) range across 3 matching MRF lines |
$3,367 |
$9,728–$14,594 |
1.0× |
Place Cath Thoracic Aorta (36221) range across 4 matching MRF lines |
$3,367 |
$6,485–$9,728 |
1.0× |
Place Cath Vertebral Art (36226) range across 3 matching MRF lines |
$5,933 |
$15,480–$23,221 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$2,046 |
$2,640 |
1.0× |
| Place Rt Device/Marker Pros (55876) |
$1,475 |
$3,873 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$476 |
$453 |
1.0× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$6,903 |
$5,729 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,446 |
$10,837 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,446 |
$14,655 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$6,446 |
$17,510 |
1.0× |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 3 matching MRF lines |
$2,229 |
$3,887–$5,829 |
1.0× |
Plmt Nephroureteral Catheter (50433) range across 3 matching MRF lines |
$3,758 |
$3,966–$5,947 |
1.0× |
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 3 matching MRF lines |
$3,758 |
$13,174–$19,762 |
1.0× |
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$3,758 |
$7,851–$11,777 |
1.0× |
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
$3,758 |
$10,277–$15,415 |
1.0× |
| Prim art mech thrombectomy (37184) |
$19,548 |
$9,439 |
1.0× |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
$7,737 |
$16,771.50 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$755 |
$1,210 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,818 |
$5,729 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,818 |
$7,592 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,489 |
$21,269 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$668 |
$826 |
1.0× |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$433 |
$581–$612 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$755 |
$1,397 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,489 |
$8,092 |
1.0× |
| Rad resect elbow caps/sr bone w rels (24149) |
$7,737 |
$21,441.50 |
1.0× |
| Radical resection of tumor; fibula Facility (27646) |
$3,489 |
$8,735.51 |
1.0× |
| Radical resection of tumor; tibia Facility (27645) |
$3,489 |
$9,275.91 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,082 |
$7,191 |
1.0× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$3,489 |
$6,119.09 |
1.0× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Local Tiss (26542) |
$3,489 |
$17,618 |
1.0× |
Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) range across 2 matching MRF lines |
$7,737 |
$14,305.16–$14,305.20 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$3,758 |
$17,072 |
1.0× |
| Reinforce tibia (27745) |
$7,737 |
$7,467.63 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,367 |
$13,328 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$967 |
$1,274 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,761 |
$38,360 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$755 |
$14,279 |
1.0× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$62 |
$147–$221 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$62 |
$376 |
1.0× |
| Removal Implant Deep (20680) |
$3,097 |
$31,204 |
1.0× |
| Removal of foot joint lining (28072) |
$3,489 |
$6,375.03 |
1.0× |
| Removal of heel spur (28119) |
$3,489 |
$25,942 |
1.0× |
| Removal of knee prosthesis (27488) |
$13,690 |
$58,477 |
1.0× |
Removal of nail bed (11750) range across 2 matching MRF lines |
$433 |
$1,072–$13,524 |
1.0× |
| Removal of posterior segmental instrumentation Facility (22852) |
$7,737 |
$36,870 |
1.0× |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
$7,737 |
$52,232 |
1.0× |
| Removal of sesamoid bone (28315) |
$3,489 |
$16,868 |
1.0× |
| Removal of sperm cord lesion (55520) |
$3,758 |
$8,809 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,367 |
$13,375 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$3,984 |
$6,392 |
1.0× |
| Removal peritoneal-venous shunt (49429) |
$3,367 |
$5,261 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$755 |
$1,883 |
1.0× |
| Removal sweat gland lesion (11450) |
$3,097 |
$43,442 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,714 |
$6,533.68 |
1.0× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$2,229 |
$8,542 |
1.0× |
| Remove Ankle Joint Lining (27626) |
$3,489 |
$7,298.68 |
1.0× |
| Remove drug implant device (11982) |
$476 |
$11,258 |
1.0× |
| Remove Elctrd Transvenously (33244) |
$3,984 |
$5,417 |
1.0× |
| Remove foreign body from eye (65205) |
$141 |
$452 |
1.0× |
| Remove intrvas foreign body (37197) |
$3,367 |
$5,783 |
1.0× |
| Remove knee joint lining (27334) |
$3,489 |
$8,079.33 |
1.0× |
| Remove Lower Leg Bone Lesion (27635) |
$3,489 |
$12,084 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$141 |
$452 |
1.0× |
| Remove Pulse Generator (33241) |
$3,984 |
$5,266 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$743 |
$1,378 |
1.0× |
| Remove spine eltrd plate (63662) |
$3,728 |
$45,882 |
1.0× |
| Remove spine fixation device (22850) |
$7,737 |
$38,213 |
1.0× |
| Remove spine lamina 1/2 lmbr (63005) |
$7,737 |
$27,858 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,714 |
$8,344.50 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,824 |
$28,469 |
1.0× |
Remove/graft leg bone lesion (27637) range across 2 matching MRF lines |
$7,737 |
$20,436.75–$20,436.80 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$23,719 |
$47,934 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$33,472 |
$49,958 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$23,719 |
$36,311 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$11,145 |
$29,777 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$20,540 |
$31,551 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,761 |
$4,622 |
1.0× |
| Repair Achilles Tendon (27650) |
$7,737 |
$33,073 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$7,737 |
$24,238 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$433 |
$13,723.50 |
1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,489 |
$5,745.94 |
1.0× |
| Repair Foot Dislocation (28615) |
$7,737 |
$9,573.22 |
1.0× |
| Repair Hallux Rigidus (28289) |
$3,489 |
$20,212 |
1.0× |
| Repair Hand Joint (26540) |
$3,489 |
$24,168 |
1.0× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,818 |
$18,229.50 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,818 |
$22,350 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$433 |
$6,762 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$433 |
$7,032.24 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$433 |
$546 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$788 |
$7,711.33 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$433 |
$6,326.65 |
1.0× |
| Repair lead pace-defib dual (33220) |
$3,984 |
$4,903 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$3,984 |
$5,479 |
1.0× |
Repair Leg Fascia Defect (27656) range across 2 matching MRF lines |
$3,489 |
$17,394.50–$17,394.54 |
1.0× |
| Repair lower leg tendons (27676) |
$7,737 |
$4,039.66 |
1.0× |
| Repair Nonunion/Malunion Tarsal Bones (28320) |
$13,690 |
$8,350.66 |
1.0× |
| Repair of biceps tendon (24340) |
$7,737 |
$24,238 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$7,737 |
$5,720.75 |
1.0× |
| Repair of metatarsals (28322) |
$7,737 |
$31,201 |
1.0× |
| Repair of nail bed (11760) |
$788 |
$763 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$7,737 |
$30,868 |
1.0× |
Repair radius & ulna (25415) range across 2 matching MRF lines |
$7,737 |
$104,127.57–$104,128 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,737 |
$47,168 |
1.0× |
| Repair shoulder capsule (23462) |
$7,737 |
$24,200 |
1.0× |
| Repair shoulder capsule (23466) |
$7,737 |
$27,447 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,489 |
$19,528 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,737 |
$36,319 |
1.0× |
| Repair Toe Dislocation (28645) |
$3,489 |
$4,124 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,737 |
$7,739.14 |
1.0× |
| Repair/graft achilles tendon (27652) |
$7,737 |
$24,168 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$967 |
$1,205 |
1.0× |
| Replace G-J Tube Perc (49452) |
$967 |
$1,205 |
1.0× |
| Replace g/c tube perc (49450) |
$967 |
$1,685 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$266 |
$1,958 |
1.0× |
| Reposition L Ventric Lead (33226) |
$3,367 |
$6,216 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,678 |
$1,817 |
1.0× |
| Repr Elbw Med Ligmnt W/Tiss (24345) |
$7,737 |
$28,730 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,818 |
$18,021 |
1.0× |
Revis reconst shoulder joint (23473) range across 2 matching MRF lines |
$13,690 |
$28,810.47–$28,810.50 |
1.0× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$13,690 |
$38,874 |
1.0× |
Revise/Repair Finger/Toe Nerve (64702) range across 2 matching MRF lines |
$2,082 |
$10,780.30–$10,780.33 |
1.0× |
Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22862) range across 2 matching MRF lines |
$18,697 |
$38,555.10–$38,555.11 |
1.0× |
| Revision including replacement of total disc arthroplasty (artificial disc), anterior approach, single interspace;… (22861) |
$18,697 |
$32,364 |
1.0× |
Revision of big toe (28310) range across 2 matching MRF lines |
$7,737 |
$12,028.66–$12,028.70 |
1.0× |
| Revision of foot (28116) |
$3,489 |
$6,059.50 |
1.0× |
Revision of foot bones (28737) range across 2 matching MRF lines |
$13,690 |
$23,700.90–$23,700.92 |
1.0× |
Revision of lower leg tendon (27685) range across 2 matching MRF lines |
$3,489 |
$11,811.80–$11,811.84 |
1.0× |
| Revision of toe (28312) |
$3,489 |
$4,039.66 |
1.0× |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
$13,690 |
$51,890 |
1.0× |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
$13,690 |
$45,381 |
1.0× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$18,697 |
$60,267 |
1.0× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$13,690 |
$38,774 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$6,069 |
$22,386 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$967 |
$3,282 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$476 |
$1,397 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$141 |
$452 |
1.0× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$3,984 |
$13,601 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,984 |
$4,903 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,678 |
$3,738–$6,350 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$668 |
$2,330 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$266 |
$754 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$266 |
$852 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,678 |
$1,946 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,678 |
$1,946 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,367 |
$5,129 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,367 |
$3,436 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,446 |
$21,933 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,818 |
$27,073 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$6,903 |
$27,346 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,818 |
$17,072 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,903 |
$22,298 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,446 |
$19,733 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,678 |
$2,135 |
1.0× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$3,489 |
$5,498.30 |
1.0× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$7,737 |
$9,421.67 |
1.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$7,737 |
$6,291.55 |
1.0× |
| Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) |
$7,737 |
$7,474.40 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,489 |
$16,184 |
1.0× |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
$7,737 |
$38,360 |
1.0× |
Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) range across 2 matching MRF lines |
$7,737 |
$16,825.80–$16,825.82 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$668 |
$1,205 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$1,761 |
$1,965 |
1.0× |
| Shoulder arthroscopy diagnostic (29805) |
$3,489 |
$20,949 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,489 |
$22,369 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$991 |
$4,559 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$213 |
$994 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$213 |
$994 |
1.0× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$213 |
$454–$994 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$788 |
$3,130 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$788 |
$3,130 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,200 |
$5,352 |
1.0× |
| Skin Tissue Procedure (17999) |
$213 |
$51,112 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,200 |
$5,567 |
1.0× |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 3 matching MRF lines |
$5,933 |
$12,232–$18,350 |
1.0× |
Slctv cath carotid/innom art angio xtrcranl art (36222) range across 3 matching MRF lines |
$3,367 |
$6,485–$9,728 |
1.0× |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 3 matching MRF lines |
$5,933 |
$14,186–$21,278 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,334 |
$24,424.80 |
1.0× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$213 |
$471–$994 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,959 |
$9,639 |
1.0× |
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$752 |
$2,034–$2,150 |
1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,778 |
$8,536 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,367 |
$10,978 |
1.0× |
| Strapping shoulder (29240) |
$141 |
$452 |
1.0× |
Strapping Unna Boot (29580) range across 2 matching MRF lines |
$173 |
$315–$473 |
1.0× |
| Surg tx anal fistula subq (46270) |
$2,959 |
$17,072 |
1.0× |
| Surgery to stop leg growth (27477) |
$7,737 |
$36,870 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,959 |
$15,610 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,737 |
$28,265 |
1.0× |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
$3,489 |
$8,124.88 |
1.0× |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
$3,489 |
$4,073.13 |
1.0× |
| Synovectomy; intertarsal or tarsometatarsal joint, each Facility (28070) |
$7,737 |
$5,950.69 |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,714 |
$9,108.89 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$433 |
$574 |
1.0× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$30,587 |
$123,902 |
1.0× |
Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$7,737 |
$13,462.60–$13,462.63 |
1.0× |
| Tenolysis extensor foot single tendon (28225) |
$3,489 |
$6,369.44 |
1.0× |
| Tenolysis flexor foot single tendon (28220) |
$1,714 |
$5,629.12 |
1.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,489 |
$6,539.61 |
1.0× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$3,489 |
$5,653 |
1.0× |
Tenotomy Prq Achilles Tendon Spx General Anes (27606) range across 2 matching MRF lines |
$3,489 |
$20,610.66–$20,610.70 |
1.0× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,714 |
$33,372 |
1.0× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$3,489 |
$50,388 |
1.0× |
| Tenotomy shoulder area single tendon (23405) |
$7,737 |
$25,123 |
1.0× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,660 |
$4,190 |
1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$752 |
$2,613 |
1.0× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,660 |
$4,142 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,660 |
$4,142 |
1.0× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$5,933 |
$8,296 |
1.0× |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
$3,367 |
$8,853 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$19,548 |
$19,964 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$3,367 |
$5,123 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,933 |
$8,296 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$352 |
$576 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,367 |
$3,436 |
1.0× |
| Thyroid biopsy (60100) |
$755 |
$1,200 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$6,446 |
$45,216 |
1.0× |
Tissue Expander Placement Breast Reconstruction (19357) range across 2 matching MRF lines |
$14,695 |
$25,862.09–$25,862.10 |
1.0× |
| Total disc arthroplasty (artificial disc), anterior approach, including discectomy to prepare interspace (other than… (22857) |
$18,697 |
$28,446.50 |
1.0× |
| Total Knee Arthroplasty (27447) |
$13,690 |
$46,200 |
1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$252 |
$1,446 |
1.0× |
| Transcatheter biopsy (37200) |
$5,933 |
$5,692 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,717 |
$26,731 |
1.0× |
| Treat ankle fracture (28445) |
$7,737 |
$31,953 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,737 |
$42,883 |
1.0× |
| Treat knee fracture (27532) |
$3,489 |
$12,119 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,737 |
$37,645 |
1.0× |
Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$263 |
$21,502.66–$21,502.70 |
1.0× |
| Treatment of foot infection (28003) |
$3,489 |
$25,123 |
1.0× |
| Trim skin lesion (11055) |
$213 |
$282 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$213 |
$401 |
1.0× |
| Trim skin lesions over 4 (11057) |
$213 |
$596 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$62 |
$148 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$6,069 |
$8,451 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$6,069 |
$8,451 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$788 |
$32,364 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$263 |
$16,184 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$13,690 |
$20,173 |
1.0× |
Unlisted laparoscopy procedure, intestine (except rectum) (44238) range across 2 matching MRF lines |
$6,446 |
$27,117.67–$27,117.70 |
1.0× |
| Unlisted procedure anus (46999) |
$991 |
$20,620 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$263 |
$16,146 |
1.0× |
| Unlisted procedure colon (45399) |
$991 |
$8,848 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$263 |
$16,182 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$263 |
$12,157 |
1.0× |
| Unlisted procedure forearm or wrist (25999) |
$263 |
$22,810 |
1.0× |
Unlisted Procedure Leg/Ankle (27899) range across 2 matching MRF lines |
$263 |
$27,580.25–$27,580.30 |
1.0× |
| Unlisted procedure nervous system (64999) |
$327 |
$358 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$263 |
$41,376 |
1.0× |
Unlisted Procedure Vascular Surgery (37799) range across 5 matching MRF lines |
$668 |
$1,890–$4,008 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$967 |
$17,072 |
1.0× |
| Upgrade of pacemaker system (33214) |
$11,145 |
$35,504 |
1.0× |
| Vag hyst w/t/o & vag repair (58263) |
$5,334 |
$32,755 |
1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,334 |
$59,648 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$19,548 |
$18,828 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$12,310 |
$26,159 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$12,310 |
$22,219 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$12,310 |
$17,326 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$12,310 |
$7,225 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$433 |
$2,803.60 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$788 |
$8,306.20 |
1.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$7,737 |
$7,266.73 |
1.0× |