| Abd paracentesis w/imaging (49083) |
$967 |
$1,318 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$967 |
$4,688 |
1.0× |
Abdomen Surgery Procedure (22999) range across 2 matching MRF lines |
$263 |
$21,203.90–$21,203.91 |
1.0× |
| Ablate inf turbinate submuc (30802) |
$1,654 |
$8,359 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,200 |
$8,684 |
1.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,200 |
$10,057 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,778 |
$13,914 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,200 |
$10,309 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,200 |
$9,489 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,200 |
$17,118 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,200 |
$10,292 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,489 |
$12,660 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,489 |
$5,225.67 |
1.0× |
| Amputate Metacarpal Bone (26910) |
$3,489 |
$3,541.50 |
1.0× |
| Amputation follow-up surgery (27594) |
$3,489 |
$17,952 |
1.0× |
| Amputation foot transmetarsal (28805) |
$3,489 |
$5,548.50 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,489 |
$9,431 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,489 |
$8,987 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,489 |
$12,435 |
1.0× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$3,489 |
$6,988 |
1.0× |
| Anal/Urinary Muscle Study (51784) |
$137 |
$3,030 |
1.0× |
| Anoscopy Ablation Lesion (46615) |
$2,959 |
$5,422 |
1.0× |
| Anoscopy diagnostic (46600) |
$141 |
$9,090 |
1.0× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,276 |
$5,803 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,959 |
$11,968 |
1.0× |
Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
$5,334 |
$28,754.75–$28,754.80 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$62 |
$182 |
1.0× |
| Application finger splint static (29130) |
$141 |
$182 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$173 |
$438 |
1.0× |
| Application Long Leg Splint (29505) |
$173 |
$438 |
1.0× |
| Application multiplane external fixation system (20692) |
$13,690 |
$16,002 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$141 |
$340 |
1.0× |
| Application short leg splint calf foot (29515) |
$173 |
$438 |
1.0× |
| Arterial puncture (36600) |
$141 |
$153 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,367 |
$16,375 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,933 |
$21,292 |
1.0× |
| Artery-vein autograft (36825) |
$5,933 |
$22,691 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$327 |
$1,147 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$327 |
$1,424–$5,993 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$327 |
$1,045–$5,448 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$327 |
$4,264 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,737 |
$29,394 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,737 |
$20,109.50 |
1.0× |
| Arthrodesis Iphal Jt W/WO Int Fixj W/Autograft (26862) |
$3,489 |
$19,144 |
1.0× |
| Arthrodesis subtalar (28725) |
$13,690 |
$46,627 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$18,697 |
$27,280 |
1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,489 |
$25,802 |
1.0× |
| Arthroplasty Patella W/Prosthesis (27438) |
$13,690 |
$28,120 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,489 |
$36,680 |
1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,489 |
$20,251 |
1.0× |
Arthroscopy Knee Synovectomy 2/>Compartments (29876) range across 2 matching MRF lines |
$3,489 |
$21,782.37–$21,782.40 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,489 |
$6,776 |
1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,489 |
$9,856 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,489 |
$16,602 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,737 |
$29,722 |
1.0× |
| Arthroscopy, knee, surgical; meniscal transplantation (includes arthrotomy for meniscal insertion), medial or lateral… (29868) |
$7,737 |
$36,938 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,489 |
$6,163.50 |
1.0× |
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
$3,489 |
$23,393.67–$23,393.70 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,489 |
$17,227 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,737 |
$17,227 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,489 |
$23,352 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,737 |
$27,027 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,737 |
$21,022 |
1.0× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,489 |
$19,026 |
1.0× |
| Arthrotomy biopsy interphalangeal joint each (26110) |
$1,714 |
$8,528 |
1.0× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$7,737 |
$9,090 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$13,690 |
$30,780 |
1.0× |
Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) range across 2 matching MRF lines |
$3,489 |
$18,561.56–$18,561.60 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$13,690 |
$30,833 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,737 |
$36,320 |
1.0× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$3,489 |
$23,996 |
1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,489 |
$20,465 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,489 |
$12,735 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,489 |
$14,052 |
1.0× |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
$3,489 |
$13,552 |
1.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,714 |
$6,988 |
1.0× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$3,489 |
$2,842.68 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$668 |
$2,139 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$668 |
$1,557 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,229 |
$6,022 |
1.0× |
| Av fistula revision (36833) |
$5,933 |
$21,923 |
1.0× |
| Av Fistula Revision Open (36832) |
$5,933 |
$23,528 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,933 |
$21,247 |
1.0× |
| Av fusion/forearm vein (36820) |
$5,933 |
$27,153 |
1.0× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$213 |
$459–$5,226 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,761 |
$2,616 |
1.0× |
Biopsy bone open superficial (20240) range across 2 matching MRF lines |
$3,097 |
$10,010–$10,010.03 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,761 |
$3,696 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,761 |
$3,192 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,761 |
$3,458 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$4,175 |
$9,090 |
1.0× |
| Biopsy of foot joint lining (28050) |
$3,489 |
$10,068 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,761 |
$4,543 |
1.0× |
| Biopsy of penis (54100) |
$1,761 |
$4,264 |
1.0× |
| Biopsy of rectum (45100) |
$2,959 |
$4,264 |
1.0× |
Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) range across 2 matching MRF lines |
$4,175 |
$27,308.67–$27,308.70 |
1.0× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$3,758 |
$7,083 |
1.0× |
| Biopsy soft tissue back/flank deep (21925) |
$1,761 |
$4,520 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,761 |
$3,271 |
1.0× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,761 |
$5,329 |
1.0× |
| Biopsy Tongue Posterior One-Third (41105) |
$3,535 |
$2,992 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$982 |
$4,264 |
1.0× |
Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
$982 |
$17,436.80–$17,436.83 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$4,175 |
$13,104 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$743 |
$596 |
1.0× |
| Bladder Scan (51798) |
$62 |
$182 |
1.0× |
| Blepharoplasty Upper Eyelid W/Excessive Skin (15823) |
$2,200 |
$11,608 |
1.0× |
| Blood Transfusion Service (36430) |
$470 |
$598 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,761 |
$3,696 |
1.0× |
| Breast Reduction (19318) |
$7,080 |
$44,177 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,898 |
$4,163.53 |
1.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$3,975 |
$16,002 |
1.0× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$3,975 |
$18,452 |
1.0× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$3,975 |
$5,421.50 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,898 |
$8,622 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,898 |
$7,083 |
1.0× |
| Bronchoscopy W/Excision Tumor (31640) |
$3,975 |
$5,421.50 |
1.0× |
Bronchoscopy w/transbronchial lung bx 1 lobe (31628) range across 2 matching MRF lines |
$3,975 |
$5,079–$11,097 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,975 |
$5,040.16 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,761 |
$5,453 |
1.0× |
| Bx Cervix (57500) |
$982 |
$5,448 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,175 |
$11,513 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$4,175 |
$12,101 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,489 |
$8,444.34 |
1.0× |
| Capsulorrhaphy Anterior With Bone Block (23460) |
$7,737 |
$44,564 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$2,082 |
$8,020 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$233 |
$395 |
1.0× |
| Cautery Cervix Electro/Thermal (57510) |
$3,451 |
$5,278.49 |
1.0× |
Cerclage cervix pregnancy vaginal (59320) range across 2 matching MRF lines |
$3,451 |
$9,013–$15,898 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,367 |
$2,718 |
1.0× |
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$266 |
$319–$9,090 |
1.0× |
| Change of Windpipe Airway (31502) |
$252 |
$1,179 |
1.0× |
| Change ureter stent percut (50382) |
$2,229 |
$10,243 |
1.0× |
| Chemodenervation of internal anal sphincter (46505) |
$1,276 |
$5,895 |
1.0× |
| Chest tube placement (32551) |
$1,678 |
$7,767 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,818 |
$5,649 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,229 |
$9,566 |
1.0× |
| Circumcision Neonate (54160) |
— |
$3,337 |
— |
Circumcision w/clamp/oth dev w/block (54150) range across 2 matching MRF lines |
$2,229 |
$3,891–$8,913 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,714 |
$8,002 |
1.0× |
| Clear outer ear canal (69200) |
$141 |
$176 |
1.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,489 |
$12,825 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$263 |
$695 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$263 |
$695 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,654 |
$29,578 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,714 |
$4,366 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,714 |
$8,002 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$263 |
$1,829 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,714 |
$4,366 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$252 |
$5,678 |
1.0× |
Clsd tx shoulder dislc w/manipulation req anes (23655) range across 2 matching MRF lines |
$1,714 |
$4,366–$5,652 |
1.0× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$263 |
$695–$5,448 |
1.0× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$2,959 |
$7,647 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,714 |
$4,366 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$263 |
$695 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,714 |
$4,366 |
1.0× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$1,714 |
$11,097 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$263 |
$695 |
1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,714 |
$2,620 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$263 |
$695 |
1.0× |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$263 |
$695–$4,072 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$263 |
$8,002 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,714 |
$4,366 |
1.0× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$5,334 |
$46,064.50 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$141 |
$392 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$71 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,276 |
$5,895 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,276 |
$5,895 |
1.0× |
| Colonoscopy thru stoma (44388) |
$991 |
$4,559 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,276 |
$5,895 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,276 |
$5,895 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,276 |
$5,175 |
1.0× |
| Colonoscopy W/Resection (45390) |
$2,959 |
$13,712 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,276 |
$6,145 |
1.0× |
| Colpocleisis (le fort type) (57120) |
$5,334 |
$9,051 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$7,907 |
$26,803 |
1.0× |
Colpopexy vaginal intraperitoneal approach (57283) range across 2 matching MRF lines |
$7,907 |
$31,272.20–$31,272.24 |
1.0× |
| Colporrhaphy (57200) |
$3,451 |
$6,988 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$324 |
$11,586 |
1.0× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$215 |
$3,356 |
1.0× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,451 |
$6,988 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,451 |
$9,261 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,276 |
$5,895 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,276 |
$6,145 |
1.0× |
Combined anteroposterior colporrhaphy; (57260) range across 2 matching MRF lines |
$5,334 |
$24,812.45–$24,812.50 |
1.0× |
| Complex Cystometrogram (51726) |
$266 |
$3,647 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,451 |
$8,866 |
1.0× |
| Conization of cervix (57520) |
$3,451 |
$9,338 |
1.0× |
| Contour of face bone lesion (21029) |
$3,535 |
$7,083 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$141 |
$550 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$141 |
$388 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,761 |
$5,891 |
1.0× |
| Correction hammertoe (28285) |
$3,489 |
$14,207 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,489 |
$18,371 |
1.0× |
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) range across 2 matching MRF lines |
$13,690 |
$14,919.80–$14,919.82 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$7,737 |
$6,875.40 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,489 |
$14,710 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,737 |
$15,111 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$5,933 |
$19,246 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,229 |
$8,445 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,229 |
$8,077 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$3,758 |
$6,997 |
1.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$5,717 |
$12,572 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,758 |
$10,669 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,758 |
$4,424 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$3,758 |
$16,166 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,758 |
$15,031 |
1.0× |
Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$2,229 |
$3,291–$8,641 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$3,758 |
$8,528 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,717 |
$25,846 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,758 |
$7,470.58 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,758 |
$6,672 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,758 |
$11,097 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,717 |
$18,376 |
1.0× |
| Cystometrogram W/Vp (51728) |
$743 |
$8,980 |
1.0× |
| Cystoscopy implant stent (52282) |
$3,758 |
$7,250 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,229 |
$15,600 |
1.0× |
| Cystourethroscopy (52000) |
$743 |
$7,343 |
1.0× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$5,717 |
$11,926 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,229 |
$5,448 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,758 |
$13,322 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,717 |
$21,719 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,229 |
$15,170 |
1.0× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,758 |
$4,368 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,229 |
$8,349 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,229 |
$7,967 |
1.0× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,229 |
$8,202 |
1.0× |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
$3,489 |
$17,952 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$788 |
$10,068 |
1.0× |
| Debride nail 6 or more (11721) |
$62 |
$15,898 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,761 |
$12,011 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$433 |
$7,153 |
1.0× |
| Declot vascular device (36593) |
$352 |
$530 |
1.0× |
| Delivery of placenta (59414) |
— |
$15,898 |
— |
| Destr penis lesion(s) (54065) |
$2,200 |
$8,528 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$2,082 |
$5,834 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$2,082 |
$3,664 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$213 |
$6,700 |
1.0× |
| Destruction Lesions Vulva Extensive (56515) |
$2,200 |
$9,090 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$2,200 |
$13,595 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,082 |
$7,083 |
1.0× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,451 |
$10,402 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$991 |
$4,559 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$967 |
$4,688 |
1.0× |
| Dilate Urethra Stricture (53620) |
$743 |
$7,984 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,451 |
$8,957 |
1.0× |
| Dir Rpr Ruptd Aneurysm Radial/Ulnar Artery (35045) |
$5,933 |
$7,344 |
1.0× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$5,933 |
$8,559 |
1.0× |
| Discission Secondary Membranous Cataract (66820) |
$2,460 |
$8,301 |
1.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,898 |
$7,083 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$755 |
$16,215 |
1.0× |
| Drainage of finger abscess simple (26010) |
$213 |
$301 |
1.0× |
| Drainage of gum lesion (41800) |
$141 |
$278 |
1.0× |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$1,761 |
$2,616–$6,988 |
1.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$3,451 |
$10,451 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$141 |
$395 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$755 |
$1,110 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$433 |
$531 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$213 |
$310 |
1.0× |
| Dstrj Lesion Anus Extensive (46924) |
$2,959 |
$6,745 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,959 |
$6,451 |
1.0× |
| Dstrj lesion penis simple laser (54057) |
$2,200 |
$6,552 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,097 |
$3,518 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$1,898 |
$2,384 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,898 |
$2,316 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$752 |
$2,616 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,046 |
$5,063 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,046 |
$29,764 |
1.0× |
| Egd cautery tumor polyp (43250) |
$2,046 |
$9,485 |
1.0× |
| Egd control bleeding any (43255) |
$2,046 |
$9,485 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,046 |
$9,485 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$967 |
$4,688 |
1.0× |
| Egd guide wire insertion (43248) |
$967 |
$4,688 |
1.0× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,046 |
$9,485 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,046 |
$5,678 |
1.0× |
| Egd remove lesion snare (43251) |
$2,046 |
$9,485 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$2,046 |
$9,485 |
1.0× |
| Egd Varices Ligation (43244) |
$2,046 |
$5,620 |
1.0× |
| Electro-Uroflowmetry First (51741) |
$230 |
$9,798.67 |
1.0× |
| Endocervical curettage (57505) |
$982 |
$3,375.75 |
1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$5,334 |
$13,595 |
1.0× |
| Endometrial Biopsy (58100) |
$215 |
$8,087 |
1.0× |
| Endoscopic us exam esoph (43237) |
$2,046 |
$9,485 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,367 |
$9,573 |
1.0× |
| Endoven ther chem adhes 1st (36482) |
$5,933 |
$7,889 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,046 |
$9,485 |
1.0× |
| Epididymectomy unilateral (54860) |
$3,758 |
$8,057.25 |
1.0× |
| Epidural Blood Patch (62273) |
$752 |
$1,544 |
1.0× |
| Episiotomy or vaginal repair (59300) |
— |
$4,865 |
— |
| Ercp duct stent placement (43274) |
$6,473 |
$29,764 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,111 |
$3,870 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,111 |
$19,023 |
1.0× |
| Ercp remove forgn body duct (43275) |
$2,046 |
$9,485 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,473 |
$8,331 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,111 |
$19,023 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$4,111 |
$19,023 |
1.0× |
| Escharotomy; initial incision (16035) |
$433 |
$3,160 |
1.0× |
| Esoph Scope W/Submucous Inj (43201) |
$2,046 |
$9,887 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$967 |
$4,688 |
1.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$4,111 |
$19,828 |
1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$2,046 |
$3,761 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$967 |
$4,688 |
1.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$2,046 |
$9,485 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,046 |
$9,887 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,046 |
$9,887 |
1.0× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$1,654 |
$5,225.66 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$141 |
$259 |
1.0× |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
$1,761 |
$8,785 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,761 |
$7,405 |
1.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$3,097 |
$11,311 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,761 |
$7,090 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$755 |
$7,720 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,761 |
$9,855 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,761 |
$5,808.50 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$3,097 |
$10,068 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$3,097 |
$2,523.16 |
1.0× |
Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) range across 2 matching MRF lines |
$4,175 |
$13,179.30–$13,179.33 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,761 |
$12,336 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$755 |
$10,094 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$755 |
$3,588.40 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$755 |
$8,087 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$1,761 |
$7,083 |
1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,761 |
$7,083 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,761 |
$3,356 |
1.0× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$3,097 |
$4,195.44 |
1.0× |
| Exc ganglion wrist recurrent (25112) |
$1,714 |
$11,245 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,761 |
$6,792 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$755 |
$7,514 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,761 |
$8,625 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,761 |
$7,119 |
1.0× |
| Exc hand tum deep < 1.5 cm (26116) |
$1,761 |
$7,792 |
1.0× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$3,758 |
$6,552 |
1.0× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$1,063 |
$9,090 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,714 |
$8,383 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,714 |
$6,988 |
1.0× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$6,312 |
$15,583.50 |
1.0× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$2,959 |
$9,815 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$3,097 |
$5,448 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$755 |
$9,090 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,761 |
$10,094 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,097 |
$10,094 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,761 |
$8,415 |
1.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$3,097 |
$11,608 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,761 |
$4,264 |
1.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,489 |
$6,988 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,097 |
$5,448 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,097 |
$13,104 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,276 |
$4,829.25 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$433 |
$7,250 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$755 |
$7,423 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,761 |
$9,733 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,097 |
$15,111 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$3,097 |
$10,970 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,761 |
$9,090 |
1.0× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$1,761 |
$7,758 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$3,097 |
$11,572 |
1.0× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$3,097 |
$11,304 |
1.0× |
Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) range across 2 matching MRF lines |
$3,097 |
$17,146.67–$17,146.70 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,097 |
$3,214.50 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$3,097 |
$10,094 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,761 |
$11,097 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,097 |
$9,298 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,097 |
$9,051 |
1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
$3,097 |
$4,344 |
1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$3,097 |
$8,848 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,761 |
$8,043.12 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,097 |
$21,132 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,761 |
$9,090 |
1.0× |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
$3,097 |
$9,431 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,097 |
$9,431 |
1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,097 |
$1,884 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,097 |
$9,475 |
1.0× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$3,758 |
$11,608 |
1.0× |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
$1,714 |
$5,129.33 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,818 |
$4,456 |
1.0× |
| Exchange Intraocular Lens (66986) |
$2,460 |
$9,639 |
1.0× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$2,229 |
$3,985–$10,243 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,046 |
$17,645 |
1.0× |
| Excis penile plaque (54110) |
$3,758 |
$11,608 |
1.0× |
| Excise breast duct fistula (19112) |
$4,175 |
$11,968 |
1.0× |
| Excision Chest Wall Tumor Including Ribs (21601) |
$3,097 |
$12,101 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,097 |
$21,132 |
1.0× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$3,097 |
$7,838.50 |
1.0× |
| Excision inferior turbinate partial/complete (30130) |
$3,535 |
$9,562.50 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$755 |
$5,448 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$755 |
$8,528 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,959 |
$3,674.50 |
1.0× |
| Excision Nasal Polyp Extensive (30115) |
$3,535 |
$3,777.75 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$3,451 |
$10,816 |
1.0× |
| Excision of chalazion; multiple, different lids (67805) |
$338 |
$2,949.33 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,714 |
$7,716 |
1.0× |
| Excision of hydrocele; bilateral (55041) |
$3,818 |
$13,593 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,818 |
$10,893 |
1.0× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$2,082 |
$5,759 |
1.0× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$6,312 |
$14,084.50 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,097 |
$5,448 |
1.0× |
| Excision of submandibular (submaxillary) gland (42440) |
$6,312 |
$19,125 |
1.0× |
Excision of tracheal tumor or carcinoma; cervical Facility (31785) range across 2 matching MRF lines |
$6,312 |
$10,777.68–$10,777.70 |
1.0× |
| Excision olecranon bursa (24105) |
$3,489 |
$14,268 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$3,489 |
$11,608 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,097 |
$16,475 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$3,097 |
$8,304 |
1.0× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$7,080 |
$23,139 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,229 |
$11,097 |
1.0× |
| Excision synovial cyst popliteal space (27345) |
$3,489 |
$13,552 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,761 |
$9,090 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,097 |
$8,528 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$1,761 |
$8,528 |
1.0× |
Excision tumor soft tissue shoulder subq 3 cm/> (23071) range across 2 matching MRF lines |
$1,761 |
$10,227.25–$10,227.30 |
1.0× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$1,761 |
$4,899.33 |
1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,714 |
$9,625 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,097 |
$9,090 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,097 |
$10,068 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,097 |
$19,390 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$3,097 |
$5,756.50 |
1.0× |
| Excision/curettage cyst/tumor phalanx finger (26210) |
$1,714 |
$14,260 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,761 |
$10,301.50 |
1.0× |
| Exploration for undescended testis with abdominal exploration (54560) |
$2,229 |
$10,068 |
1.0× |
| Exploration of hip joint (27033) |
$7,737 |
$15,240 |
1.0× |
| Exploration of knee joint (27310) |
$3,489 |
$22,440 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,761 |
$18,372 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$575 |
$16,358 |
1.0× |
| External cephalic version (59412) |
— |
$4,410 |
— |
| Extraction of lens (66940) |
$2,460 |
$22,045 |
1.0× |
| Fasciectomy Palm Only (26121) |
$3,489 |
$26,928 |
1.0× |
| Fasciotomy palmar open partial (26045) |
$3,489 |
$14,688 |
1.0× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$3,489 |
$16,370 |
1.0× |
| Fetal non-stress test (59025) |
— |
$1,134 |
— |
| Fluoro exam of g/colon tube (49465) |
$254 |
$435 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$755 |
$1,818 |
1.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$3,535 |
$5,225.66 |
1.0× |
| Frenulotomy of penis (54164) |
$2,229 |
$6,752 |
1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,200 |
$8,559 |
1.0× |
| Fusion Finger Joint (26860) |
$3,489 |
$18,452 |
1.0× |
Fusion of knuckle joint (26516) range across 2 matching MRF lines |
$3,489 |
$14,982.67–$14,982.70 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$755 |
$2,420 |
1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,737 |
$15,227 |
1.0× |
| Hand tendon reconstruction (26500) |
$7,737 |
$12,734 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,959 |
$11,917 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,959 |
$5,150.75 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,959 |
$8,085 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$2,959 |
$4,545 |
1.0× |
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 2 matching MRF lines |
$991 |
$4,559–$6,988 |
1.0× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$2,959 |
$7,216 |
1.0× |
| Hemorrhoidopexy by stapling (46947) |
$2,959 |
$11,722 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,451 |
$10,325 |
1.0× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$5,334 |
$9,090 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,451 |
$9,090 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,334 |
$10,763 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,451 |
$9,090 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,334 |
$11,800 |
1.0× |
| I&d abscess peritonsillar (42700) |
$252 |
$1,759 |
1.0× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$213 |
$311–$7,889 |
1.0× |
I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$991 |
$4,209–$6,988 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$755 |
$3,518 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$755 |
$1,110 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,097 |
$7,555.50 |
1.0× |
| Icd Pocket Revision (33223) |
$2,200 |
$3,587 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$967 |
$4,688 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,761 |
$2,425 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,761 |
$6,552 |
1.0× |
| Implant neuroelectrodes (63650) |
$6,795 |
$14,538 |
1.0× |
| Implant Neuroelectrodes (64561) |
$6,795 |
$12,707 |
1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$20,687 |
$10,235 |
1.0× |
| Incise external hemorrhoid (46083) |
$266 |
$1,216 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,714 |
$6,509 |
1.0× |
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$433 |
$603–$8,162 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,761 |
$6,988 |
1.0× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$433 |
$1,045–$6,988 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$215 |
$524 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$324 |
$368 |
1.0× |
| Incision bone cortex foot (28005) |
$3,489 |
$7,589 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,714 |
$8,333 |
1.0× |
| Incision of Foot Tendon (28234) |
$1,714 |
$6,776 |
1.0× |
Incision of rectal abscess (46040) range across 2 matching MRF lines |
$1,276 |
$6,998–$8,230 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$788 |
$2,724 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$213 |
$326 |
1.0× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$943 |
$3,836–$9,090 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$226 |
$339 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$943 |
$2,958 |
1.0× |
| Inject Intravitreal Pharmcologic (67028) |
$352 |
$11,022.50 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$327 |
$592 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$943 |
$1,303 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$752 |
$3,463 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$943 |
$1,060 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$752 |
$880 |
1.0× |
| Injection for identification of sentinel node (38792) |
$426 |
$5,409.33 |
1.0× |
Injection single tendon origin/insertion (20551) range across 2 matching MRF lines |
$327 |
$606–$6,988 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$327 |
$1,616 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$327 |
$1,838 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$327 |
$545 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$943 |
$2,164 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$752 |
$1,760 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$752 |
$1,760 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,933 |
$8,275 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$33,472 |
$25,146 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,678 |
$1,665 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,046 |
$2,769 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,046 |
$8,782 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$11,145 |
$12,741 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$11,145 |
$13,959 |
1.0× |
Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$3,367 |
$2,343–$6,988 |
1.0× |
| Insert pulse gen mult leads (33221) |
$20,540 |
$34,123 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$141 |
$164 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,818 |
$17,645 |
1.0× |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$3,367 |
$7,274–$9,059 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$141 |
$645 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,818 |
$5,649 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,678 |
$3,434 |
1.0× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285) range across 2 matching MRF lines |
$8,824 |
$21,910–$23,249 |
1.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$5,334 |
$9,431 |
1.0× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$2,460 |
$20,902 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,367 |
$5,095 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$1,678 |
$2,744–$7,767 |
1.0× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$3,367 |
$5,095–$12,580 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$33,472 |
$53,724 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,824 |
$14,303 |
1.0× |
Insrt heart pm atrial & vent (33208) range across 2 matching MRF lines |
$11,145 |
$15,291–$15,780 |
1.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,959 |
$9,090 |
1.0× |
| Intranasal Biopsy (30100) |
$1,654 |
$7,555.50 |
1.0× |
Intro cath dialysis circuit (36901) range across 2 matching MRF lines |
$1,678 |
$1,651–$21,132 |
1.0× |
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) range across 2 matching MRF lines |
$6,069 |
$9,015–$18,623 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$252 |
$716 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,489 |
$18,452 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,446 |
$17,554 |
1.0× |
| Lap paraesoph her rpr w/mesh (43282) |
$11,335 |
$38,455 |
1.0× |
| Lap revision perm ip cath (49325) |
$6,446 |
$21,045 |
1.0× |
| Laparo ablate renal cyst (50541) |
$11,335 |
$37,066 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$11,335 |
$57,214 |
1.0× |
| Laparoscopic myomectomy (58545) |
$6,446 |
$81,882 |
1.0× |
| Laparoscopy aspiration (49322) |
$6,446 |
$10,746.50 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,446 |
$29,636 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$11,335 |
$75,711 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$11,335 |
$49,384 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$6,446 |
$13,799.50 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,446 |
$25,648 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,446 |
$11,781 |
1.0× |
Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) range across 2 matching MRF lines |
$11,335 |
$20,024.70–$20,024.72 |
1.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,335 |
$41,804 |
1.0× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$11,335 |
$74,842 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$11,335 |
$30,702 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$6,446 |
$60,448 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,446 |
$24,523 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
$11,335 |
$15,821 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,446 |
$36,186 |
1.0× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) range across 2 matching MRF lines |
$11,335 |
$12,355.30–$12,355.34 |
1.0× |
Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) range across 2 matching MRF lines |
$11,335 |
$26,437.70–$26,437.72 |
1.0× |
Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
$6,446 |
$11,836.90–$11,836.92 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,446 |
$17,227 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,446 |
$40,025 |
1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$11,335 |
$52,190 |
1.0× |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
$11,335 |
$66,943 |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$6,446 |
$25,375 |
1.0× |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
$3,975 |
$7,083 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$212 |
$221 |
1.0× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$3,975 |
$11,097 |
1.0× |
| Laryngoscopy flexible rmvl lesion(s) non-laser (31578) |
$3,975 |
$7,349 |
1.0× |
| Laryngoscopy W/Biopsy (31535) |
$3,975 |
$7,196.50 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,898 |
$7,083 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$3,975 |
$9,286 |
1.0× |
| Laser treatment of retina (67040) |
$4,407 |
$17,544 |
1.0× |
| Laser vaporization of prostate (52648) |
$5,717 |
$24,827 |
1.0× |
| Late closure of wound (13160) |
$3,778 |
$13,104 |
1.0× |
| Lengthen metacarpal/finger (26568) |
$7,737 |
$3,541.50 |
1.0× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$3,367 |
$10,068 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,737 |
$26,928 |
1.0× |
| Ligation of a-v fistula (37607) |
$3,367 |
$11,097 |
1.0× |
| Ligation of hemorrhoids (46946) |
$2,959 |
$12,669 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,758 |
$20,565 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,758 |
$14,549 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,758 |
$16,816 |
1.0× |
| Lyse chest fibrin init day (32561) |
$668 |
$1,289 |
1.0× |
| Lyse Chest Fibrin Subq Day (32562) |
$668 |
$1,289 |
1.0× |
| Manipulation Elbow Under Anesthesia (24300) |
$1,714 |
$945.58 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,714 |
$4,511 |
1.0× |
| Manipulation wrist under anesthesia (25259) |
$1,714 |
$4,072 |
1.0× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,714 |
$4,003 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,714 |
$4,087 |
1.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,451 |
$10,046 |
1.0× |
| Mastectomy partial (19301) |
$4,175 |
$10,549 |
1.0× |
| Mastectomy simple complete (19303) |
$7,080 |
$9,298 |
1.0× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$2,200 |
$2,724 |
1.0× |
| Myelography Lumbar Injection (62305) |
$835 |
$2,541 |
1.0× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$3,451 |
$12,101 |
1.0× |
| N Block Inj Celiac Pelus (64530) |
$943 |
$5,422 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$752 |
$3,463 |
1.0× |
N block inj intercost sng (64420) range across 2 matching MRF lines |
$752 |
$784–$6,843 |
1.0× |
N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$943 |
$7,083–$9,764 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$476 |
$1,233 |
1.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,975 |
$4,042.72 |
1.0× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$6,312 |
$11,097 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,898 |
$11,097 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$7,525 |
$7,213.33 |
1.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$7,525 |
$3,869.82 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$7,525 |
$3,276 |
1.0× |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) |
$1,898 |
$5,808.50 |
1.0× |
Nasal/sinus ndsc w/partial ethmoidectomy (31254) range across 2 matching MRF lines |
$7,525 |
$14,576.80–$14,576.84 |
1.0× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$7,525 |
$4,266.01 |
1.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$7,525 |
$4,531.66 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,714 |
$8,126 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,761 |
$4,148 |
1.0× |
| Nerve repair w/conduit each nerve (64910) |
$9,358 |
$16,002 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,082 |
$13,255 |
1.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,082 |
$9,081.72 |
1.0× |
| Nipple Exploration (19110) |
$4,175 |
$8,688 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$943 |
$8,652 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$327 |
$818 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,818 |
$5,649 |
1.0× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$943 |
$3,862–$7,525 |
1.0× |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
$752 |
$1,682–$7,083 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$943 |
$1,694 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$752 |
$5,578 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$743 |
$3,337 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$743 |
$3,577 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$433 |
$6,752 |
1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$433 |
$8,015 |
1.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$7,525 |
$4,373.67 |
1.0× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$7,525 |
$3,777.75 |
1.0× |
| Occipital Nerve Block (64405) |
$327 |
$9,849 |
1.0× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$6,903 |
$30,235 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,175 |
$17,118 |
1.0× |
| Open bowel to skin (44300) |
$2,046 |
$7,083 |
1.0× |
| Open Implantation Nea Sacral Nerve (64581) |
$6,795 |
$11,715 |
1.0× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$46,969 |
$34,396 |
1.0× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$32,905 |
$34,117 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,737 |
$32,102 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$13,690 |
$25,802 |
1.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$13,690 |
$31,179 |
1.0× |
| Open treatment interphalangeal joint dislocation (28675) |
$3,489 |
$13,104 |
1.0× |
| Open Treatment Lunate Dislocation (25695) |
$7,737 |
$22,268.50 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,737 |
$23,352 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,737 |
$26,415 |
1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$7,737 |
$30,161 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$7,737 |
$28,920 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,737 |
$24,822 |
1.0× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$3,535 |
$13,104 |
1.0× |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
$7,737 |
$20,194 |
1.0× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$7,737 |
$21,686 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$7,737 |
$23,352 |
1.0× |
| Open treatment of ulnar styloid fracture (25652) |
$7,737 |
$13,160 |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$7,737 |
$33,152 |
1.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,737 |
$36,562 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,737 |
$24,985 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,737 |
$16,602 |
1.0× |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
$6,312 |
$7,280 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,489 |
$23,853 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,489 |
$21,687 |
1.0× |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
$13,690 |
$28,252 |
1.0× |
Open Tx Tibial Fracture Proximal Unicondylar (27535) range across 2 matching MRF lines |
$7,737 |
$36,263.75–$36,263.80 |
1.0× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
$7,737 |
$29,148–$35,719 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,737 |
$29,885 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$12,310 |
$20,396 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,737 |
$21,294 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,737 |
$27,589 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$13,690 |
$35,602 |
1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$7,737 |
$65,002 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,818 |
$17,118 |
1.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,489 |
$17,118 |
1.0× |
| Ostectomy calcaneus (28118) |
$3,489 |
$6,380 |
1.0× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$3,489 |
$9,372.33 |
1.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$3,489 |
$5,422 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,489 |
$11,374 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,489 |
$6,381.33 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$7,737 |
$5,212 |
1.0× |
Ovarian cystectomy, unilateral or bilateral (58925) range across 2 matching MRF lines |
$5,334 |
$23,039.80–$23,039.83 |
1.0× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$6,312 |
$26,393 |
1.0× |
| Part remv talus or calcaneus (28120) |
$3,489 |
$3,767 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,714 |
$7,968.50 |
1.0× |
| Partial removal of thyroid (60220) |
$6,446 |
$16,738 |
1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$6,446 |
$43,209 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,489 |
$16,534 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,451 |
$4,760 |
1.0× |
| Penile Injection (54235) |
$266 |
$374 |
1.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$11,335 |
$16,605 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$755 |
$1,211 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,678 |
$6,828 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,451 |
$8,559 |
1.0× |
Perq dev breast 1st us imag (19285) range across 2 matching MRF lines |
$755 |
$4,208–$14,688 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,758 |
$26,770 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,489 |
$16,223 |
1.0× |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
$10,094 |
$41,749 |
1.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$755 |
$2,399 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,310 |
$7,963.50 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,069 |
$9,015 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,737 |
$10,854 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,737 |
$18,452 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$3,367 |
$11,209 |
1.0× |
| Placement of seton (46020) |
$2,959 |
$19,841 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,229 |
$3,347 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,758 |
$17,245 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$5,334 |
$23,139 |
1.0× |
| Prim art mech thrombectomy (37184) |
$19,548 |
$9,870 |
1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,959 |
$5,448 |
1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,489 |
$13,552 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,489 |
$7,984 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$433 |
$5,448 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$433 |
$603 |
1.0× |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
$3,489 |
$5,034 |
1.0× |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
$3,097 |
$11,097 |
1.0× |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
$3,489 |
$20,524 |
1.0× |
| Rcnstj Dislocating Patella (27420) |
$7,737 |
$44,537 |
1.0× |
| Reconstruct elbow joint (24360) |
$7,737 |
$7,555.50 |
1.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$7,737 |
$44,537 |
1.0× |
| Reconstruction of tendon pulley, each tendon; with tendon or fascial graft (includes obtaining graft) (separate… (26502) |
$3,489 |
$12,734 |
1.0× |
| Reconstruction Tongue Fold (41520) |
$3,535 |
$5,034 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,200 |
$3,712 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,761 |
$14,688 |
1.0× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$3,489 |
$10,068 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$62 |
$90 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$62 |
$157 |
1.0× |
| Removal Implant Deep (20680) |
$3,097 |
$14,540 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,761 |
$10,094 |
1.0× |
| Removal of anal fissure (46200) |
$2,959 |
$2,724 |
1.0× |
| Removal of ankle implant (27704) |
$3,489 |
$11,097 |
1.0× |
| Removal of bone lesion (23140) |
$3,489 |
$4,545 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$476 |
$1,995 |
1.0× |
| Removal of implanted material, anterior segment of eye (65920) |
$2,460 |
$11,518 |
1.0× |
| Removal of lens material (66852) |
$4,407 |
$23,081 |
1.0× |
Removal of nail bed (11750) range across 2 matching MRF lines |
$433 |
$554–$6,660 |
1.0× |
| Removal of testis (54520) |
$3,758 |
$21,686 |
1.0× |
| Removal of tonsils (42826) |
$3,535 |
$11,034 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,367 |
$5,226 |
1.0× |
| Removal of wrist bone (25210) |
$3,489 |
$10,451 |
1.0× |
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$213 |
$10,657.17–$10,657.20 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$755 |
$5,652 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,200 |
$8,307 |
1.0× |
| Removal sweat gland lesion (11450) |
$3,097 |
$8,039 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,714 |
$11,097 |
1.0× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$2,229 |
$7,083 |
1.0× |
| Remove drug implant device (11982) |
$476 |
$6,988 |
1.0× |
| Remove foreign body from eye (65265) |
$2,460 |
$15,351 |
1.0× |
| Remove foreign body from eye (65235) |
$2,460 |
$6,776 |
1.0× |
| Remove Intrauterine Device (58301) |
$324 |
$7,083 |
1.0× |
| Remove lung catheter (32552) |
$668 |
$3,091 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$141 |
$342 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$743 |
$3,337 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,714 |
$7,267 |
1.0× |
| Remove tissue expander (11971) |
$3,097 |
$15,111 |
1.0× |
| Remove/graft foot lesion (28107) |
$7,737 |
$26,928 |
1.0× |
| Remove/replace penis prosth (54410) |
$22,101 |
$32,616 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$23,719 |
$36,199 |
1.0× |
Remv&replc cvd gen mult lead (33264) range across 2 matching MRF lines |
$33,472 |
$17,118–$60,081 |
1.0× |
Remv&replc pm gen dual lead (33228) range across 2 matching MRF lines |
$11,145 |
$13,915–$17,787 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,761 |
$3,799 |
1.0× |
| Reopen fallopian tube (58350) |
$5,334 |
$21,614 |
1.0× |
| Repair Achilles Tendon (27650) |
$7,737 |
$22,652 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$7,737 |
$23,352 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$433 |
$3,767 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$433 |
$6,777.16 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$433 |
$8,043.12 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$433 |
$5,548.50 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$788 |
$8,043.16 |
1.0× |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
$3,489 |
$16,228 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,714 |
$12,921 |
1.0× |
| Repair Finger Tendon (26433) |
$3,489 |
$8,848 |
1.0× |
| Repair Finger/Hand Tendon (26350) |
$3,489 |
$34,905 |
1.0× |
| Repair Foot Dislocation (28615) |
$7,737 |
$19,740 |
1.0× |
| Repair Hallux Rigidus (28289) |
$3,489 |
$11,097 |
1.0× |
| Repair Hand Joint (26540) |
$3,489 |
$17,401 |
1.0× |
| Repair Hand Tendon (26410) |
$1,714 |
$6,300.75 |
1.0× |
| Repair incomplete circumcision (54163) |
$2,229 |
$15,240 |
1.0× |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
$3,818 |
$14,580 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,818 |
$15,029 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$433 |
$2,082 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$433 |
$661 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$433 |
$455 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$433 |
$597 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$788 |
$633 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$433 |
$1,998 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$433 |
$1,045 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$433 |
$1,067 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$788 |
$11,608 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$433 |
$1,299 |
1.0× |
| Repair Leg Fascia Defect (27656) |
$3,489 |
$10,721 |
1.0× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$13,690 |
$40,502 |
1.0× |
| Repair of anal fistula with fibrin glue (46706) |
$2,959 |
$6,077 |
1.0× |
| Repair of biceps tendon (24340) |
$7,737 |
$9,882.84 |
1.0× |
Repair of nail bed (11760) range across 2 matching MRF lines |
$788 |
$1,589–$9,566 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
$7,737 |
$47,852 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,737 |
$25,802 |
1.0× |
| Repair of rectocele (45560) |
$2,959 |
$4,545 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$7,737 |
$27,844 |
1.0× |
| Repair of traumatic corporeal tear(s) (54437) |
$3,758 |
$14,688 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$6,903 |
$21,132 |
1.0× |
| Repair retinal detach cplx (67113) |
$5,674 |
$25,932 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,737 |
$16,377 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,489 |
$7,830 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,737 |
$16,002 |
1.0× |
Repair Toe Dislocation (28645) range across 2 matching MRF lines |
$3,489 |
$11,841.95–$11,842 |
1.0× |
| Repair tongue laceration (41250) |
$476 |
$1,995 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,737 |
$8,884 |
1.0× |
| Repair/graft achilles tendon (27652) |
$7,737 |
$35,602 |
1.0× |
| Repair/Graft Wrist Bone (25440) |
$7,737 |
$52,446 |
1.0× |
| Repair/Revise Wrist Joint (25320) |
$7,737 |
$35,282 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$967 |
$9,090 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,678 |
$7,767 |
1.0× |
| Repositioning Io Lens Prosthesis Req Inc Spx (66825) |
$2,460 |
$11,518 |
1.0× |
Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
$3,818 |
$27,310.75–$27,310.80 |
1.0× |
| Resect thigh/knee tum < 5 cm (27329) |
$3,097 |
$10,451 |
1.0× |
| Resection of scrotum (55150) |
$3,758 |
$10,816 |
1.0× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$3,489 |
$5,160.40 |
1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,728 |
$7,484.33 |
1.0× |
| Revis reconst shoulder joint (23473) |
$13,690 |
$30,235 |
1.0× |
| Revise external ear (69300) |
$3,535 |
$19,917 |
1.0× |
| Revise ulnar nerve at wrist (64719) |
$2,082 |
$10,068 |
1.0× |
| Revise Wrist/Forearm Tendon (25280) |
$3,489 |
$6,678 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,489 |
$19,144 |
1.0× |
| Revision of reconstructed breast (19380) |
$7,080 |
$33,152 |
1.0× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$18,697 |
$26,004 |
1.0× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$13,690 |
$27,062 |
1.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,728 |
$8,528 |
1.0× |
| Rhinp Prim Complete Xtrnl Parts (30410) |
$6,312 |
$7,713 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$476 |
$553 |
1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,761 |
$8,528 |
1.0× |
| Rmvl implnt matl posterior segment extraocular (67120) |
$2,460 |
$57,652 |
1.0× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$2,460 |
$11,102 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,678 |
$1,464–$6,824 |
1.0× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$668 |
$1,051–$6,407 |
1.0× |
| Rmvl/revj sling stress incontinence (57287) |
$3,451 |
$14,688 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$266 |
$727 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,678 |
$1,891 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,678 |
$2,744 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,367 |
$5,095 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,446 |
$27,473 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,818 |
$20,647 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$6,903 |
$32,687 |
1.0× |
Rpr aa hernia recr 3-10 cm reducible (49615) range across 2 matching MRF lines |
$6,903 |
$23,497.25–$23,497.30 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,446 |
$20,481.50 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,818 |
$34,332 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,903 |
$30,926 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,446 |
$18,163 |
1.0× |
| Rpr Component Inflatable Penile Prosthesis (54408) |
$5,717 |
$33,174 |
1.0× |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
$7,737 |
$24,228 |
1.0× |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
$7,737 |
$28,394 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$575 |
$1,908 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$575 |
$1,741 |
1.0× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$4,407 |
$21,589 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,489 |
$5,882 |
1.0× |
| Rpr xtnsr tdn cntrl slip tiss w/lat band ea fngr (26426) |
$3,489 |
$19,144 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,489 |
$20,848 |
1.0× |
| Scrotal exploration (55110) |
$3,758 |
$7,686 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$3,535 |
$13,312 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,489 |
$16,602 |
1.0× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,276 |
$13,552 |
1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,276 |
$5,895 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$991 |
$6,712 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,276 |
$5,895 |
1.0× |
Simple Cystometrogram (51725) range across 2 matching MRF lines |
$266 |
$11,134.70–$11,134.73 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$213 |
$811 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$213 |
$1,038 |
1.0× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$213 |
$354–$8,652 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$213 |
$847 |
1.0× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$6,312 |
$11,513 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$788 |
$9,170 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$788 |
$9,043 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,334 |
$14,504 |
1.0× |
| Slitting of prepuce (54001) |
$2,229 |
$9,487 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$213 |
$704 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$433 |
$931 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$752 |
$1,544 |
1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,778 |
$5,548.50 |
1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$2,200 |
$9,940 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,367 |
$8,321 |
1.0× |
| Strabismus Recession/Rescj 1 Hrzntl Musc (67311) |
$2,535 |
$35,904 |
1.0× |
| Strapping ankle (29540) |
$173 |
$789 |
1.0× |
| Strapping elbow or wrist (29260) |
$62 |
$412 |
1.0× |
| Strapping hand/finger (29280) |
$62 |
$297 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,535 |
$6,990.19 |
1.0× |
| Surg tx anal fistula subq (46270) |
$2,959 |
$5,875 |
1.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,082 |
$12,031 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$7,737 |
$20,902 |
1.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$7,737 |
$33,152 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,737 |
$17,702 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$7,737 |
$20,902 |
1.0× |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
$1,714 |
$3,494 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$20,540 |
$48,212 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,489 |
$13,148 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,737 |
$18,452 |
1.0× |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
$1,714 |
$19,839 |
1.0× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$3,489 |
$2,842.66 |
1.0× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$3,489 |
$6,552 |
1.0× |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$1,714 |
$10,446 |
1.0× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,660 |
$2,786 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,660 |
$2,743 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$19,548 |
$31,089 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,933 |
$8,275 |
1.0× |
| Thyroid biopsy (60100) |
$755 |
$2,211 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$6,446 |
$19,749 |
1.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$6,312 |
$49,230 |
1.0× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$2,200 |
$8,528 |
1.0× |
| Tnot elbow lateral/medial debride open (24358) |
$3,489 |
$6,079.38 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,489 |
$12,932 |
1.0× |
| Tooth extraction (41899) |
$252 |
$7,280 |
1.0× |
| Total Knee Arthroplasty (27447) |
$13,690 |
$26,342 |
1.0× |
| Tracheostomy planned (31600) |
$3,535 |
$1,252 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,717 |
$23,282 |
1.0× |
| Transurethral resection bladder neck (52500) |
$3,758 |
$5,034 |
1.0× |
| Treat ankle fracture (28445) |
$7,737 |
$5,838 |
1.0× |
| Treat ectopic pregnancy (59151) |
$6,446 |
$19,292 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,489 |
$13,486 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,737 |
$23,574 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,737 |
$22,392 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$263 |
$1,199 |
1.0× |
| Treat lower leg bone lesion (27607) |
$3,489 |
$5,034 |
1.0× |
| Treat scapula fracture (23585) |
$7,737 |
$20,902 |
1.0× |
| Treat Thumb Dislocation (26641) |
$263 |
$695 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$263 |
$695 |
1.0× |
| Treatment of ankle fracture (27823) |
$7,737 |
$53,698 |
1.0× |
| Trim skin lesion (11055) |
$213 |
$7,250 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$6,069 |
$9,015 |
1.0× |
| Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) |
$1,898 |
$6,034 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,959 |
$5,448 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,451 |
$9,090 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,451 |
$9,574 |
1.0× |
Tx Missed Abortion Second Trimester Surgical (59821) range across 2 matching MRF lines |
$3,451 |
$15,688.26–$15,688.30 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,714 |
$12,002.50 |
1.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,714 |
$10,068 |
1.0× |
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$788 |
$1,131–$5,652 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$13,690 |
$32,086 |
1.0× |
| Tympanoplasty (69631) |
$6,312 |
$17,118 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,654 |
$8,198.75 |
1.0× |
Unlisted laparoscopic procedure liver (47379) range across 2 matching MRF lines |
$6,446 |
$17,284.20–$17,284.23 |
1.0× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 2 matching MRF lines |
$6,446 |
$15,948.07–$15,948.10 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,446 |
$37,066 |
1.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$6,446 |
$5,548.50 |
1.0× |
| Unlisted procedure anus (46999) |
$991 |
$4,349.35 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$263 |
$28,096 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$263 |
$4,072 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$263 |
$6,375 |
1.0× |
| Unlisted Procedure Hands/Fingers (26989) |
$263 |
$11,513 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$263 |
$24,785 |
1.0× |
| Unlisted Procedure Male Genital System (55899) |
$266 |
$13,590 |
1.0× |
| Unlisted procedure nervous system (64999) |
$327 |
$1,398 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$263 |
$12,859 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$252 |
$1,161 |
1.0× |
| Unlisted Procedure Trachea Bronchi (31899) |
$212 |
$1,866 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$668 |
$8,583 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$266 |
$8,528 |
1.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$215 |
$7,555.50 |
1.0× |
| Urine Flow Measurement (51736) |
$141 |
$8,165.56 |
1.0× |
Vaginal hysterectomy, for uterus 250 g or less; (58260) range across 2 matching MRF lines |
$5,334 |
$12,672.66–$12,672.70 |
1.0× |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) range across 2 matching MRF lines |
$5,334 |
$20,755.47–$20,755.50 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$19,548 |
$16,329 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$12,310 |
$22,565 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$12,310 |
$56,703 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$12,310 |
$14,947 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$12,310 |
$9,870 |
1.0× |
| Vit for membrane dissect (67043) |
$4,407 |
$13,806 |
1.0× |
| Vitrectomy mechanical pars plana (67036) |
$4,407 |
$13,552 |
1.0× |
| Vitrectomy pars plana remove int memb retina (67042) |
$4,407 |
$20,902 |
1.0× |
| Vitrectomy Pars Plana Remove Preretinal Membrane (67041) |
$4,407 |
$19,128 |
1.0× |
| Vitrectomy, mechanical, pars plana approach; with focal endolaser photocoagulation Facility (67039) |
$4,407 |
$14,698 |
1.0× |
| Vulvectomy simple partial (56620) |
$3,451 |
$6,581 |
1.0× |
| Wedge excision skin nail fold (11765) |
$433 |
$1,998 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$433 |
$5,560.69 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$788 |
$3,358.67 |
1.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$7,737 |
$5,212 |
1.0× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$5,933 |
$27,029 |
1.0× |