| Abd paracentesis w/imaging (49083) |
$986 |
$4,885.53 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$986 |
$2,870.61 |
1.0× |
| Abdomen Surgery Procedure (22999) |
$268 |
$4,945.03 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$19,071 |
$16,134.70 |
1.0× |
| Acne surgery (10040) |
$218 |
$207.08 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,244 |
$4,201.73 |
1.0× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$2,244 |
$4,384.36 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,854 |
$5,982.64 |
1.0× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$2,244 |
$3,970.65 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,244 |
$4,577.32 |
1.0× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,244 |
$10,961.26 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,244 |
$4,369.26 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,244 |
$4,384.36 |
1.0× |
| Amniocentesis diagnostic (59000) |
$1,001 |
$907.47 |
1.0× |
| Amniocentesis therapeutic (59001) |
$331 |
$1,239.19 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,559 |
$5,306.56 |
1.0× |
Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951)
range across 2 matching MRF lines |
$3,559 |
$8,106.12–$8,430.55 |
1.0× |
| Amputate Metacarpal Bone (26910) |
$3,559 |
$10,116.70 |
1.0× |
| Amputation foot transmetarsal (28805) |
$3,559 |
$6,300.19 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,559 |
$10,961.30 |
1.0× |
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines |
$3,559 |
$4,486.68–$10,961.30 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,559 |
$10,961.30 |
1.0× |
| Anoscopy Ablation Lesion (46615) |
$3,019 |
$10,961.30 |
1.0× |
| Anoscopy diagnostic (46600) |
$144 |
$208.06 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,011 |
$1,197.89 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,301 |
$11,761.60 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$3,019 |
$10,961.30 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,441 |
$12,331.30 |
1.0× |
| Apheresis Platelets (36513) |
$479 |
$3,633.84 |
1.0× |
| Appendectomy (44950) |
$7,041 |
$8,430.55 |
1.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$176 |
$326.51 |
1.0× |
| Application cast elbow finger short arm (29075) |
$304 |
$749.84 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$64 |
$362.56 |
1.0× |
| Application finger splint static (29130) |
$144 |
$671.69 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$176 |
$822.23 |
1.0× |
| Application Long Leg Splint (29505) |
$176 |
$822.23 |
1.0× |
| Application of long leg cast (29345) |
$304 |
$749.84 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$304 |
$780.74 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$144 |
$313.12 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$144 |
$671.69 |
1.0× |
| Application short leg splint calf foot (29515) |
$176 |
$822.23 |
1.0× |
| Apply long arm cast (29065) |
$304 |
$749.84 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$176 |
$822.23 |
1.0× |
| Apply Short Leg Cast (29405) |
$304 |
$749.84 |
1.0× |
| Arterial puncture (36600) |
$144 |
$671.69 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,434 |
$18,485.20 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$6,052 |
$21,577.50 |
1.0× |
| Artery-vein autograft (36825) |
$6,052 |
$30,127.50 |
1.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$13,964 |
$6,205.40 |
1.0× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$13,964 |
$1,984.68 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$13,964 |
$12,860.09 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$333 |
$1,538.21 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$767 |
$1,275.35 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$333 |
$1,538.21–$8,430.55 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$333 |
$1,275.35 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$333 |
$1,274.52 |
1.0× |
| Arthrodesis ankle open (27870) |
$13,964 |
$7,671.95 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,892 |
$10,538.50 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,892 |
$11,802.80 |
1.0× |
| Arthrodesis Posterior Interbody Lumbar (22630) |
$29,514 |
$8,044.27 |
1.0× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$19,071 |
$5,462.24 |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$19,071 |
$18,727.50 |
1.0× |
| Arthrodesis subtalar (28725) |
$13,964 |
$9,019.67 |
1.0× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$19,071 |
$18,727.50 |
1.0× |
| Arthroplasty Ankle W/Implant (27702) |
$29,514 |
$11,873.75 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$19,071 |
$25,852.50 |
1.0× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$13,964 |
$16,754.62 |
1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,559 |
$10,961.30 |
1.0× |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
$13,964 |
$10,584.97 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,559 |
$4,891.53 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$3,559 |
$6,880.06 |
1.0× |
| Arthroscopy hip w/femoroplasty (29914) |
$7,892 |
$28,046.90 |
1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,559 |
$3,653.75 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,559 |
$12,484.70 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,559 |
$14,655.90 |
1.0× |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
$3,559 |
$14,452.50 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,559 |
$7,950.45 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,892 |
$16,440.90 |
1.0× |
| Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) |
$7,892 |
$13,701.26 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,559 |
$13,027.40 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,559 |
$21,524.17 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,559 |
$17,777.50 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,892 |
$4,377.05 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,559 |
$11,650 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,559 |
$5,344.67 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,892 |
$12,761.44 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,892 |
$18,727.50 |
1.0× |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
$3,559 |
$2,107.63 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$13,964 |
$20,297.80 |
1.0× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$3,559 |
$8,094.53 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$13,964 |
$18,132.10 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,892 |
$25,917.90 |
1.0× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$3,559 |
$5,292.31 |
1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,559 |
$10,132.52 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,559 |
$13,027.40 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,559 |
$12,971.70 |
1.0× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$1,749 |
$4,436.21 |
1.0× |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
$1,749 |
$8,430.55 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$682 |
$3,221.69 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$682 |
$3,221.69 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$333 |
$503.67 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$770 |
$865.20 |
1.0× |
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines |
$2,273 |
$10,674.60–$13,701.30 |
1.0× |
| Aspiration Bladder Needle (51100) |
$271 |
$635.51 |
1.0× |
| Av fistula revision (36833) |
$6,052 |
$18,547.20 |
1.0× |
| Av Fistula Revision Open (36832) |
$6,052 |
$16,197.50 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$6,052 |
$27,119.30 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$218 |
$908.72 |
1.0× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$11,562 |
$10,850.40 |
1.0× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$7,041 |
$4,882.20 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,796 |
$8,442.91 |
1.0× |
| Biopsy bone open deep (20245) |
$3,159 |
$3,653.75 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,159 |
$5,806.36 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,796 |
$8,442.91 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,796 |
$8,442.91 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,796 |
$1,688.58 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$4,258 |
$10,961.30 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,796 |
$8,442.91 |
1.0× |
| Biopsy of rectum (45100) |
$3,019 |
$10,117.70 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,796 |
$2,257.76 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$770 |
$1,535.73 |
1.0× |
| Biopsy soft tissue back/flank deep (21925) |
$1,796 |
$4,968.72 |
1.0× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$1,796 |
$1,688.58 |
1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$1,796 |
$2,018.80 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,796 |
$8,442.91 |
1.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$1,796 |
$1,906.53 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,001 |
$3,750 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,001 |
$8,430.55 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$4,258 |
$8,430.55 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$758 |
$9,167.20 |
1.0× |
| Bladder Irrigation (51700) |
$271 |
$1,191.81 |
1.0× |
| Bladder Scan (51798) |
$64 |
$309.53 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$345 |
$613.78 |
1.0× |
| Blood Transfusion Service (36430) |
$479 |
$2,278.10 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$479 |
$788.98 |
1.0× |
| Bone Graft Any Donor Area Major/Large (20902) |
$7,892 |
$7,655.90 |
1.0× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$7,892 |
$7,377.28 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,796 |
$8,442.91 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,796 |
$7,068.89 |
1.0× |
| Breast augmentation with implant (19325) |
$8,890 |
$13,153.10 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,936 |
$8,986.04 |
1.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$4,055 |
$10,258.40 |
1.0× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$4,055 |
$19,212.30 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,055 |
$4,526.74 |
1.0× |
| Bronch Thermoplsty 1 Lobe (31660) |
$7,676 |
$21,643.40 |
1.0× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$7,676 |
$21,643.40 |
1.0× |
| Bronchoscopy Balloon Occlusion (31634) |
$7,676 |
$30,935.40 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,936 |
$8,986.04 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$425 |
$2,023.44 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,936 |
$1,860.18 |
1.0× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) |
$7,676 |
$7,214.46 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,936 |
$1,860.18 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,055 |
$11,527.40 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$4,055 |
$11,527.40 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$1,796 |
$3,322.45 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,796 |
$8,442.91 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,796 |
$8,442.91 |
1.0× |
| Bx Cervix (57500) |
$1,001 |
$3,228.39 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,258 |
$8,430.55 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$4,258 |
$10,961.30 |
1.0× |
| Canthoplasty (67950) |
$2,586 |
$8,430.55 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,559 |
$2,171.24 |
1.0× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$1,749 |
$7,531.87 |
1.0× |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
$3,559 |
$1,053.81 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$2,124 |
$8,430.55 |
1.0× |
| Carpectomy All Bones Proximal Row (25215) |
$3,559 |
$10,538.55 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$238 |
$1,059.84 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$13,799.70 |
— |
| Cerv artific diskectomy (22856) |
$19,071 |
$21,577.50 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,434 |
$16,401.30 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$758 |
$1,812.80 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$271 |
$1,267.34 |
1.0× |
| Change of Windpipe Airway (31502) |
$257 |
$1,210.08 |
1.0× |
| Change ureter stent percut (50382) |
$2,273 |
$4,969.96 |
1.0× |
| Chemical Cautery Tissue (17250) |
$218 |
$1,035.41 |
1.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$767 |
$721.73 |
1.0× |
| Chemodenervation of internal anal sphincter (46505) |
$1,301 |
$1,826.87 |
1.0× |
| Chest tube placement (32551) |
$1,712 |
$8,094.82 |
1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,273 |
$4,627.79 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,894 |
$18,389.60 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,273 |
$9,976.15 |
1.0× |
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines |
$2,273 |
$4,555.18–$8,430.55 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,749 |
$1,764.39 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,749 |
$5,707.23 |
1.0× |
| Claviculectomy partial (23120) |
$3,559 |
$13,027.40 |
1.0× |
| Clear outer ear canal (69200) |
$144 |
$1,033.09 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$268 |
$582.98 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$268 |
$1,159.21 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$268 |
$1,852.97 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,749 |
$1,764.39 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,749 |
$1,764.39 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$268 |
$582.98 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,749 |
$5,707.23 |
1.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,687 |
$2,750.10 |
1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$6,439 |
$12,550.50 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$268 |
$1,035.05 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,749 |
$5,707.23 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,687 |
$4,768.90 |
1.0× |
Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320)
range across 2 matching MRF lines |
$3,606 |
$3,379.86–$10,961.30 |
1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$3,606 |
$7,908.34 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$268 |
$1,159.21 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,749 |
$1,764.39 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$268 |
$8,655.78 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,749 |
$1,764.39 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,749 |
$8,339.58 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$268 |
$582.98 |
1.0× |
| Closed tx septal&nose fx (21337) |
$3,606 |
$5,452.82 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$268 |
$1,764.39 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,749 |
$1,667.92 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$268 |
$582.98 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$268 |
$1,159.21 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,749 |
$1,667.92 |
1.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$586 |
$1,056.78 |
1.0× |
| Closure of cystostomy (separate procedure) Facility (51880) |
$3,834 |
$13,488.90 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$268 |
$1,764.39 |
1.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,749 |
$5,707.23 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,749 |
$4,865.72 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$268 |
$1,249.99 |
1.0× |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
$3,019 |
$10,961.30 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,749 |
$4,058.22 |
1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,749 |
$1,681.99 |
1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$268 |
$297.88 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$268 |
$582.98 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$268 |
$1,159.21 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$268 |
$582.98 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$268 |
$582.98 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$268 |
$1,686.11 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,749 |
$8,339.58 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$268 |
$1,231.48 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,749 |
$5,108.80 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$268 |
$582.98 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$268 |
$1,159.21 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,749 |
$5,707.23 |
1.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$268 |
$297.88 |
1.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,749 |
$5,707.23 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$268 |
$1,326.64 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$268 |
$1,159.21 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$304 |
$1,199.55 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$268 |
$1,249.99 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,749 |
$5,707.23 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$268 |
$1,159.21 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$268 |
$1,249.99 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$268 |
$582.98 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,749 |
$7,172.60 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$268 |
$1,159.21 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,749 |
$5,707.23 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,749 |
$5,707.23 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$268 |
$582.98 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$268 |
$1,159.21 |
1.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,749 |
$1,764.39 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,749 |
$1,764.39 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,749 |
$7,172.60 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,749 |
$1,667.92 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$268 |
$582.98 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$268 |
$582.98 |
1.0× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$268 |
$297.67 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,749 |
$4,058.22 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$268 |
$582.98 |
1.0× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$5,441 |
$16,440.90 |
1.0× |
| Coccygectomy, primary (27080) |
$3,559 |
$19,541.44 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$144 |
$671.69 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$45.45 |
1.0× |
| Colonoscopy Flexible With Decompression (45393) |
$1,301 |
$46,754.80 |
1.0× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,301 |
$4,771.17 |
1.0× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,301 |
$3,466.96 |
1.0× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,301 |
$4,771.17 |
1.0× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,301 |
$4,771.17 |
1.0× |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
$6,603 |
$6,203.90 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,301 |
$4,771.17 |
1.0× |
| Colonoscopy Through Stoma With Decompression (44408) |
$1,011 |
$4,771.17 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,301 |
$5,621.80 |
1.0× |
| Colonoscopy thru stoma (44388) |
$1,011 |
$4,155.20 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,301 |
$5,621.80 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,301 |
$4,771.17 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,301 |
$4,771.17 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,301 |
$5,621.80 |
1.0× |
| Colonoscopy W/Resection (45390) |
$3,019 |
$4,771.17 |
1.0× |
| Colonoscopy w/stent plcmt (45389) |
$6,603 |
$6,203.90 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,301 |
$6,144.07 |
1.0× |
| Colpocleisis (le fort type) (57120) |
$5,441 |
$11,157.85 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$8,065 |
$9,133.75 |
1.0× |
| Colpopexy vaginal intraperitoneal approach (57283) |
$8,065 |
$24,664.49 |
1.0× |
| Colporrhaphy (57200) |
$3,521 |
$6,765.04 |
1.0× |
| Colposcopy entire vagina w/cervix if present (57420) |
$331 |
$10,961.26 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,301 |
$3,686.44 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,301 |
$5,414.55 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,301 |
$5,621.80 |
1.0× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$1,301 |
$6,144.07 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,441 |
$18,723.50 |
1.0× |
Complex drainage wound (10180)
range across 2 matching MRF lines |
$3,159 |
$5,447.67–$9,590.23 |
1.0× |
| Composite Skin Graft (15760) |
$2,244 |
$5,175.75 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,521 |
$8,430.55 |
1.0× |
| Conization of cervix (57520) |
$3,521 |
$9,218.71 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$144 |
$504.70 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$144 |
$671.69 |
1.0× |
| Control oropharyngeal hemorrhage simple (42960) |
$586 |
$10,961.30 |
1.0× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$13,964 |
$21,577.50 |
1.0× |
| Conversion ext bil drg cath (47535) |
$3,894 |
$18,389.60 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,087 |
$1,977.01 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,273 |
$2,701.07 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,796 |
$8,442.91 |
1.0× |
| Correction hammertoe (28285) |
$3,559 |
$10,961.30 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,559 |
$3,288.27 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$7,892 |
$2,831.59 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,559 |
$13,153.10 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,892 |
$14,614.30 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$6,052 |
$25,315.70 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$144 |
$1,236 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$257 |
$1,541.91 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,273 |
$8,430.55 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,273 |
$13,948.30 |
1.0× |
| Cysto w/complex removal stone & stent (52315) |
$2,273 |
$16,441.30 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$3,834 |
$9,695.91 |
1.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$5,832 |
$10,961.30 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,834 |
$9,984.82 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,834 |
$5,620.37 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$3,834 |
$5,480.63 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,834 |
$10,539.50 |
1.0× |
Cysto W/Simple Removal Stone & Stent (52310)
range across 2 matching MRF lines |
$2,273 |
$4,431.06–$9,063.23 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$3,834 |
$5,480.42 |
1.0× |
Cysto w/ureteroscopy w/lithotripsy (52353)
range across 2 matching MRF lines |
$5,832 |
$5,298.05–$12,179 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,834 |
$10,961.30 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,834 |
$8,430.55 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,832 |
$8,430.55 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,832 |
$12,690.70 |
1.0× |
| Cystolithotomy (51050) |
$5,832 |
$16,284.99 |
1.0× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$10,296 |
$30,687.14 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,273 |
$7,420.12 |
1.0× |
Cystourethroscopy (52000)
range across 2 matching MRF lines |
$758 |
$2,335.01–$9,063.23 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,273 |
$8,430.55 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,834 |
$10,337.90 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,832 |
$15,344.90 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,273 |
$11,645.74 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,273 |
$7,340.12 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,273 |
$8,430.55 |
1.0× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$5,832 |
$18,547.20 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$442 |
$637.95 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$770 |
$1,694.35 |
1.0× |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
$803 |
$3,189.75–$8,430.55 |
1.0× |
| Debride nail 1-5 (11720) |
$64 |
$254.41 |
1.0× |
| Debride nail 6 or more (11721) |
$64 |
$174.07 |
1.0× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 2 matching MRF lines |
$1,796 |
$3,706.97–$8,430.55 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$442 |
$2,081.91–$9,695.91 |
1.0× |
| Declot vascular device (36593) |
$359 |
$1,728.40 |
1.0× |
| Decompress Spinal Cord Lmbr (63056) |
$7,892 |
$21,577.50 |
1.0× |
| Decompression of tibia nerve (28035) |
$2,124 |
$9,676.69 |
1.0× |
| Deep Muscle Biopsy (20205) |
$3,159 |
$7,672.48 |
1.0× |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
$2,244 |
$18,727.50 |
1.0× |
| Delivery of placenta (59414) |
— |
$3,902.57 |
— |
| Destr penis lesion(s) (54065) |
$2,244 |
$7,500 |
1.0× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$962 |
$2,473.24 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$442 |
$8,430.55 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$218 |
$207.08 |
1.0× |
| Destruction Vaginal Lesions Simple (57061) |
$3,521 |
$13,701.30 |
1.0× |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
$1,011 |
$4,354.05–$8,430.55 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$986 |
$4,318.45 |
1.0× |
| Dilate Urethra Stricture (53620) |
$758 |
$5,753.58 |
1.0× |
| Dilate Urethra Stricture (53600) |
$271 |
$631.39 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,521 |
$6,822.57 |
1.0× |
| Dilation Esophagus Guide Wire (43453) |
$2,087 |
$9,064.95 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$767 |
$732.33 |
1.0× |
| Drain Hand Tendon Sheath (26020) |
$3,559 |
$10,961.30 |
1.0× |
| Drain Spinal Cord Cyst (62268) |
$962 |
$1,981.72 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$333 |
$1,345.03 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$586 |
$743.25 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$770 |
$733.27 |
1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,796 |
$3,266.13 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$770 |
$1,790.16 |
1.0× |
Drainage Finger Abscess Complicated (26011)
range across 2 matching MRF lines |
$1,796 |
$4,250.30–$10,961.30 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$257 |
$759.11 |
1.0× |
| Drainage of finger abscess simple (26010) |
$218 |
$908.72 |
1.0× |
| Drainage of gum lesion (41800) |
$144 |
$740.57 |
1.0× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$1,796 |
$8,442.91–$10,864.40 |
1.0× |
| Drainage of hydrocele (55000) |
$770 |
$1,223.64 |
1.0× |
| Drainage of nose lesion (30000) |
$257 |
$703.49 |
1.0× |
| Drainage of rectal abscess (45005) |
$1,301 |
$2,193.90 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,796 |
$8,442.91 |
1.0× |
| Drainage of scrotum (54700) |
$2,273 |
$8,430.55 |
1.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$3,521 |
$2,950.69 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$144 |
$671.69 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$770 |
$1,790.16 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$442 |
$1,199.95 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$218 |
$818.85 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$218 |
$1,035.41 |
1.0× |
| Dstrj Lesion Anus Extensive (46924) |
$3,019 |
$6,483.85 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$3,019 |
$9,274.12 |
1.0× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$2,244 |
$4,590.48 |
1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$962 |
$3,969.36 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,159 |
$14,913.90 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$1,936 |
$8,986.04 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,936 |
$8,986.04 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,936 |
$3,550.41 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$767 |
$3,608.65 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,087 |
$8,707.95 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,087 |
$9,885.03 |
1.0× |
| Egd cautery tumor polyp (43250) |
$2,087 |
$8,707.95 |
1.0× |
| Egd control bleeding any (43255) |
$2,087 |
$9,885.03 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,087 |
$8,707.95 |
1.0× |
| Egd endo mucosal resection (43254) |
$2,087 |
$5,931.02 |
1.0× |
| Egd Endoscopic Stent Place (43266) |
$6,603 |
$18,611.70 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$986 |
$4,885.53 |
1.0× |
| Egd guide wire insertion (43248) |
$986 |
$4,885.53 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,087 |
$9,064.95 |
1.0× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,087 |
$9,885.03 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,087 |
$9,885.03 |
1.0× |
| Egd lesion ablation (43270) |
$2,087 |
$9,484.95 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,087 |
$5,931.02 |
1.0× |
| Egd remove lesion snare (43251) |
$2,087 |
$9,484.95 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$2,087 |
$8,294.05 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$2,087 |
$9,885.03 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$2,087 |
$5,931.02 |
1.0× |
| Egd Varices Ligation (43244) |
$2,087 |
$43,244 |
1.0× |
| Egd W/Transmural Drain Cyst (43240) |
$6,603 |
$6,203.90 |
1.0× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$6,052 |
$5,058.33 |
1.0× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$6,052 |
$26,179.60 |
1.0× |
| Endocervical curettage (57505) |
$1,001 |
$8,430.55 |
1.0× |
| Endoscopic us exam esoph (43237) |
$2,087 |
$9,885.03 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$2,087 |
$9,064.95 |
1.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$2,087 |
$9,484.95 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,434 |
$6,433.81 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,434 |
$8,744.94 |
1.0× |
| Endoven ther chem adhes 1st (36482) |
$6,052 |
$22,539.10 |
1.0× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$2,087 |
$9,064.95 |
1.0× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$2,087 |
$3,525.63 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,087 |
$3,110.60 |
1.0× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$2,087 |
$9,064.95 |
1.0× |
| Epidural Blood Patch (62273) |
$767 |
$1,850.32 |
1.0× |
| Episiotomy or vaginal repair (59300) |
— |
$13,397.80 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$6,603 |
$18,611.70 |
1.0× |
| Ercp duct stent placement (43274) |
$6,603 |
$31,019.50 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,193 |
$19,825 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$4,193 |
$18,244.80 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,193 |
$19,825 |
1.0× |
| Ercp remove forgn body duct (43275) |
$2,087 |
$9,484.95 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$6,603 |
$26,203.60 |
1.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$4,193 |
$11,895 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,193 |
$11,895 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$4,193 |
$19,825 |
1.0× |
| Esoph Scope W/Submucous Inj (43201) |
$2,087 |
$8,707.95 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$986 |
$4,318.45 |
1.0× |
| Esophagoscop Mucosal Resect (43211) |
$2,087 |
$1,977.01 |
1.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$2,087 |
$8,707.95 |
1.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$4,193 |
$4,584.85 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$986 |
$4,127.55 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,087 |
$8,707.95 |
1.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$2,087 |
$2,612 |
1.0× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,087 |
$3,008.93 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,087 |
$8,707.95 |
1.0× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$6,439 |
$27,898.50 |
1.0× |
| Evacuate mole of uterus (59870) |
$3,521 |
$7,500 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$144 |
$671.69 |
1.0× |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
$1,796 |
$6,744.44 |
1.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$3,159 |
$8,430.55 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$770 |
$5,269.29 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,796 |
$8,430.55 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,796 |
$7,868.52 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$3,159 |
$8,430.55 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$3,159 |
$8,430.55 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$4,258 |
$10,961.30 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,796 |
$8,430.55 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$770 |
$2,084.72 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,796 |
$1,686.11 |
1.0× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$3,159 |
$2,107.63 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,796 |
$6,483.85 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,796 |
$2,107.63 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,749 |
$948.43 |
1.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$3,606 |
$8,430.55 |
1.0× |
| Exc neuroma hand/foot xcp digital nerve (64782) |
$2,124 |
$4,384.19 |
1.0× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$3,019 |
$10,959.70 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$3,019 |
$8,430.55 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$3,159 |
$11,802.80 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$770 |
$8,430.55 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,796 |
$10,961.30 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,159 |
$8,430.55 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,796 |
$8,936.69 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,796 |
$8,430.55 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,159 |
$2,107.75 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,159 |
$9,133.22 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,159 |
$13,027.40 |
1.0× |
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 2 matching MRF lines |
$1,301 |
$6,658.95–$10,961.30 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$770 |
$9,695.91 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,796 |
$5,620.37 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,159 |
$8,430.55 |
1.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$3,159 |
$2,634.63 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,159 |
$2,810.18 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,796 |
$8,430.55 |
1.0× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,796 |
$1,686.11 |
1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$3,159 |
$10,539.28 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,159 |
$10,116.70 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,159 |
$8,430.55 |
1.0× |
| Exc/fulguration urethral caruncle (53265) |
$2,273 |
$7,780.62 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,894 |
$11,212.10 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,273 |
$10,674.60 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,087 |
$3,079.70 |
1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,687 |
$8,430.55 |
1.0× |
| Excise intraspinal lesion (63267) |
$7,892 |
$28,496 |
1.0× |
| Excise oral mucosa for graft (40818) |
$586 |
$7,306.47 |
1.0× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$3,159 |
$10,961.26 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$442 |
$6,323.30 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$770 |
$8,430.55 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$3,159 |
$13,152.42 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$770 |
$8,430.55 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$770 |
$4,742.46 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,019 |
$10,961.30 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$3,521 |
$9,375 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,749 |
$8,430.55 |
1.0× |
| Excision of hydrocele; bilateral (55041) |
$3,894 |
$11,802.80 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,894 |
$11,297.10 |
1.0× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$2,124 |
$8,430.55 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$3,521 |
$7,500 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,159 |
$11,410.30 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$3,159 |
$10,117.70 |
1.0× |
| Excision prepatellar bursa (27340) |
$3,559 |
$10,749.90 |
1.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,159 |
$5,620.37 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,273 |
$9,695.91 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,796 |
$8,430.55 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,796 |
$7,025.58 |
1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,749 |
$6,322.92 |
1.0× |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
$2,244 |
$5,114.98 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,159 |
$6,323.69 |
1.0× |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
$3,159 |
$8,430.55 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,159 |
$10,538.55 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
$3,159 |
$8,430.55 |
1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,796 |
$8,430.55 |
1.0× |
| Excision; trochanteric bursa or calcification (27062) |
$3,559 |
$10,116.70 |
1.0× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$3,434 |
$5,043.81 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$1,796 |
$7,068.89 |
1.0× |
| Exploration of knee joint (27310) |
$3,559 |
$5,620.37 |
1.0× |
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines |
$1,796 |
$4,587.62–$15,021.20 |
1.0× |
| Exploration Penetrating Wound Spx Neck (20100) |
$586 |
$1,618.13 |
1.0× |
| Exploratory elbow surgery (24000) |
$3,559 |
$8,430.55 |
1.0× |
| External cephalic version (59412) |
— |
$3,902.57 |
— |
| Fasciectomy Palm Only (26121) |
$3,559 |
$8,430.55 |
1.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,559 |
$6,463.94 |
1.0× |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$3,559 |
$4,384.36 |
1.0× |
| Fetal Contraction Stress Test (59020) |
— |
$309 |
— |
| Fetal non-stress test (59025) |
— |
$308.59 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$770 |
$2,950.18 |
1.0× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$770 |
$2,950.18 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$442 |
$416.38 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$259 |
$389.03 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$770 |
$2,950.18 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$770 |
$3,666.34 |
1.0× |
| Foreskin manipulation (54450) |
$271 |
$1,191.81 |
1.0× |
| Fuse hand bones with graft (25825) |
$7,892 |
$18,727.50 |
1.0× |
| Fusion Finger Joint (26860) |
$3,559 |
$10,260.32 |
1.0× |
| Fusion of foot bones (28740) |
$7,892 |
$5,366.11 |
1.0× |
| Fusion of knuckle (26850) |
$7,892 |
$1,475.34 |
1.0× |
| Gastrocnemius recession (27687) |
$3,559 |
$6,144.81 |
1.0× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$2,087 |
$8,542.87 |
1.0× |
| Grafting of autologous fat by lipo 50 cc or less (15771) |
$3,854 |
$1,972.86 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$770 |
$2,983.60 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,019 |
$10,961.30 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,019 |
$10,961.30 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,019 |
$11,204.80 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
$3,019 |
$10,961.30 |
1.0× |
| Hip arthro acetabuloplasty (29915) |
$7,892 |
$8,677.08 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,521 |
$8,796.28 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,441 |
$9,200.02 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,521 |
$10,550.80 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,441 |
$8,430.55 |
1.0× |
| I&d abscess peritonsillar (42700) |
$257 |
$1,467.75 |
1.0× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$218 |
$1,035.41–$10,961.30 |
1.0× |
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 2 matching MRF lines |
$3,159 |
$5,195.32–$9,695.91 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,159 |
$3,812.03 |
1.0× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$3,019 |
$10,961.30 |
1.0× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$3,019 |
$10,961.30 |
1.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,559 |
$4,336.30 |
1.0× |
I&d perianal abscess superficial (46050)
range across 2 matching MRF lines |
$1,011 |
$3,193–$10,961.30 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$770 |
$1,563.54 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$770 |
$1,790.16 |
1.0× |
I&d shoulder deep abscess/hematoma (23030)
range across 2 matching MRF lines |
$3,159 |
$5,395.14–$10,961.30 |
1.0× |
| Icd Pocket Revision (33223) |
$2,244 |
$2,035.28 |
1.0× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$2,087 |
$5,149.12 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,796 |
$8,442.91 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,796 |
$8,442.91 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,796 |
$4,482.46 |
1.0× |
| Implant neuroelectrodes (63650) |
$6,932 |
$12,458.90 |
1.0× |
| Incise external hemorrhoid (46083) |
$271 |
$1,846.79 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,749 |
$10,961.30 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$442 |
$2,081.91 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,159 |
$8,430.55 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,796 |
$5,088.20 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$442 |
$2,081.91 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$219 |
$1,044.42 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$331 |
$1,405.95 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,749 |
$3,688.46 |
1.0× |
| Incision of rectal abscess (46040) |
$1,301 |
$5,804.05 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,796 |
$5,529.04 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$803 |
$3,189.75 |
1.0× |
| Induced abortion, by dilation and evacuation (59841) |
$3,521 |
$6,991.93 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$218 |
$908.72 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$962 |
$1,432.22 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$231 |
$1,097.88 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$962 |
$4,260.90 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$962 |
$3,113.69 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$333 |
$721 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$962 |
$4,451.45 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$962 |
$2,083.69 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$767 |
$3,608.65 |
1.0× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$333 |
$1,093.61 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$767 |
$3,294.50 |
1.0× |
| Injection for identification of sentinel node (38792) |
$434 |
$2,093.90 |
1.0× |
| Injection Into Brain Canal (61055) |
$333 |
$1,266.90 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$333 |
$1,538.21 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$333 |
$1,538.21 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$333 |
$7,307.51 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$962 |
$4,639.21 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$767 |
$3,608.65 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$767 |
$3,608.65 |
1.0× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$962 |
$2,346.34 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,434 |
$7,932.03 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,434 |
$5,742.97 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,434 |
$7,932.03 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$6,052 |
$7,932.03 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$6,052 |
$28,168.60 |
1.0× |
| Ins Vag Brachytx Device (57156) |
$331 |
$1,434.79 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$34,142 |
$128,750 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$9,001 |
$43,125.30 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$139 |
$1,208.19 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,712 |
$8,094.82 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,087 |
$9,064.95 |
1.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,301 |
$3,040.97 |
1.0× |
| Insert cervical dilator (59200) |
— |
$317.02 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,087 |
$9,885.03 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$11,368 |
$21,405.80 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$11,368 |
$54,533.80 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$19,939 |
$2,101.20 |
1.0× |
| Insert Nasal Septal Button (30220) |
$1,687 |
$10,961.30 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,434 |
$16,401.30 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$11,368 |
$54,533.80 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,712 |
$2,145.80 |
1.0× |
| Insert pulse gen dual leads (33213) |
$11,368 |
$11,879.20 |
1.0× |
| Insert pulse gen mult leads (33221) |
$20,951 |
$19,875.60 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$9,001 |
$10,976.10 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$144 |
$671.69 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,894 |
$18,389.60 |
1.0× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$3,434 |
$11,393.20–$16,401.30 |
1.0× |
| Insert tunneled cv cath (36563) |
$6,052 |
$5,633.71 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,052 |
$5,770.06 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$144 |
$671.69 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,894 |
$18,389.60 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,712 |
$8,094.82 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,001 |
$43,125.30 |
1.0× |
Insertion Uterine Tandem&/Vaginal Ovoids (57155)
range across 2 matching MRF lines |
$5,441 |
$5,144.67–$8,722.56 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$9,001 |
$16,036.10 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,434 |
$3,280.26 |
1.0× |
| Insj Picc Rs&I <5 Yr (36572) |
$682 |
$3,193.05 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,434 |
$3,280.26 |
1.0× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$3,434 |
$3,280.26 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$1,712 |
$4,441.93–$8,094.82 |
1.0× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$9,001 |
$39,521.90 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,434 |
$9,100.05 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$6,052 |
$19,276.50 |
1.0× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$3,434 |
$3,280.26 |
1.0× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 2 matching MRF lines |
$3,434 |
$10,961.30–$16,401.30 |
1.0× |
| Insj/rplcmt breast implant sep day mastectomy (19342) |
$8,890 |
$10,961.30 |
1.0× |
| Insj/Rplcmt Cranial Neurostim Gener 2/> Eltrds (61886) |
$33,564 |
$9,695.91 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$34,142 |
$100,242 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,001 |
$43,125.30 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$9,001 |
$33,708.50 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$11,368 |
$54,533.80 |
1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$24,194 |
$23,393 |
1.0× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$34,142 |
$33,413.90 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$24,194 |
$52,724.40 |
1.0× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,505 |
$7,129.87 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$442 |
$1,754.09 |
1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$442 |
$1,754.09 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$586 |
$2,301.02 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,606 |
$4,370.29 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,712 |
$5,632.19 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$6,190 |
$49,143.10 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$986 |
$1,194.80 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$257 |
$1,210.08 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$271 |
$529.42 |
1.0× |
| Lam facetec & foramot lumbar (63047) |
$7,892 |
$15,525 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$7,892 |
$13,638.75 |
1.0× |
| Laminotomy Single Lumbar (63042) |
$7,892 |
$13,488.90 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,575 |
$12,666.90 |
1.0× |
| Lap paraesoph her rpr w/mesh (43282) |
$11,562 |
$18,061.20 |
1.0× |
| Lap paraesophag hern repair (43281) |
$11,562 |
$22,798.90 |
1.0× |
| Laparo ablate renal mass (50542) |
$11,562 |
$21,920.50 |
1.0× |
| Laparo new ureter/bladder (50947) |
$11,562 |
$9,836.85 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$11,562 |
$33,292.80 |
1.0× |
| Laparoscopic myomectomy (58545) |
$6,575 |
$18,158.48 |
1.0× |
| Laparoscopy aspiration (49322) |
$6,575 |
$10,047.15 |
1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$6,575 |
$19,728.60 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$6,575 |
$13,035.70 |
1.0× |
| Laparoscopy gastrostomy (43653) |
$6,575 |
$7,307.51 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,575 |
$14,251.30 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$11,562 |
$46,566.30 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$11,562 |
$32,105.70 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$6,575 |
$4,567.03 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,575 |
$15,067.30 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,575 |
$8,430.55 |
1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$11,562 |
$32,078.30 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$11,562 |
$18,521.29 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$6,575 |
$31,750.80 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$11,562 |
$28,046.90 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,575 |
$12,944.90 |
1.0× |
| Laparoscopy, surgical; jejunostomy (eg, for decompression or feeding) (44186) |
$6,575 |
$8,430.55 |
1.0× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$11,562 |
$35,451.60 |
1.0× |
| Laparoscopy, surgical; pyeloplasty (50544) |
$11,562 |
$34,522.80 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,575 |
$14,567.50 |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy), single… (38572) |
$11,562 |
$19,374.26 |
1.0× |
| Laparoscopy, surgical; with bilateral total pelvic lymphadenectomy Facility (38571) |
$11,562 |
$33,267.88 |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,575 |
$14,249 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,575 |
$12,380.60 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,575 |
$16,908.80 |
1.0× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$4,193 |
$14,981.40 |
1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$11,562 |
$18,393.51 |
1.0× |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
$11,562 |
$33,214.90 |
1.0× |
| Laps surg retroperitoneal lymph node bx 1/mlt (38570) |
$6,575 |
$18,401.27 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$11,562 |
$37,306.60 |
1.0× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,055 |
$13,027.40 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$217 |
$604.61 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$217 |
$1,011.64 |
1.0× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$217 |
$519.12 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,936 |
$7,706.41 |
1.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$425 |
$2,071.33 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$4,055 |
$9,962.85 |
1.0× |
| Laser Surgery Anal Lesions (46917) |
$3,019 |
$7,307.51 |
1.0× |
| Laser vaporization of prostate (52648) |
$5,832 |
$16,167 |
1.0× |
Late closure of wound (13160)
range across 2 matching MRF lines |
$3,854 |
$6,171.76–$10,961.30 |
1.0× |
| Lateral retinacular release open (27425) |
$3,559 |
$4,384.19 |
1.0× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$3,434 |
$10,960.84 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,892 |
$16,945.83 |
1.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$13,964 |
$10,584.97 |
1.0× |
Ligation of a-v fistula (37607)
range across 2 matching MRF lines |
$3,434 |
$5,982.24–$18,908.10 |
1.0× |
| Ligation of hemorrhoids (46946) |
$3,019 |
$10,961.30 |
1.0× |
| Ligation Of Inf Vena Cava (37619) |
$6,052 |
$9,309.14 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,796 |
$10,961.30 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,834 |
$13,883.70 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,834 |
$10,961.30 |
1.0× |
| Low Back Disk Surgery (63030) |
$7,892 |
$17,495.70 |
1.0× |
| Lumbar spine fusion combined (22633) |
$29,514 |
$9,236.86 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,749 |
$11,002.60 |
1.0× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$758 |
$1,248.72 |
1.0× |
| Mast mod rad (19307) |
$7,222 |
$7,124.25 |
1.0× |
| Mastectomy partial (19301) |
$4,258 |
$11,863.80 |
1.0× |
| Mastectomy simple complete (19303) |
$7,222 |
$13,153.10 |
1.0× |
| Mastopexy (19316) |
$7,222 |
$1,972.86 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,712 |
$1,640.79 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$3,434 |
$3,280.26 |
1.0× |
| Mediastinoscpy w/lmph nod bx (39402) |
$6,575 |
$10,961.30 |
1.0× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$3,854 |
$6,576.20 |
1.0× |
| Muscle-skin graft trunk (15734) |
$3,854 |
$20,474.52 |
1.0× |
| Myelography Lumbar Injection (62305) |
$852 |
$3,703.75 |
1.0× |
| Myelography Lumbar Injection (62304) |
$852 |
$3,814.40 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$852 |
$3,814.40 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$852 |
$3,703.75 |
1.0× |
| N Block Inj Celiac Pelus (64530) |
$962 |
$1,440.25 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$767 |
$942.45 |
1.0× |
| N block inj intercost sng (64420) |
$767 |
$3,294.50 |
1.0× |
| N Block Inj Pudendal (64430) |
$962 |
$1,693.32 |
1.0× |
| N Block Lumbar/Thoracic (64520) |
$962 |
$2,083.69 |
1.0× |
| Nasal Endoscopy Dx (31231) |
$217 |
$846.61 |
1.0× |
| Nasal surgery procedure (30999) |
$257 |
$1,089.74 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$485 |
$2,079.36 |
1.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$4,055 |
$3,288.27 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,936 |
$7,706.41 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$1,936 |
$2,740.22 |
1.0× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$7,676 |
$30,935.40 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,749 |
$10,961.30 |
1.0× |
| Neck spine disk surgery (63020) |
$7,892 |
$20,582.30 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,796 |
$8,442.91 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,796 |
$2,707.87 |
1.0× |
| Nerve repair w/conduit each nerve (64910) |
$9,545 |
$15,877.50 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,124 |
$8,430.55 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416 |
$2,083.90 |
1.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,126 |
$2,126.20 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$962 |
$2,777.91 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$333 |
$1,538.21 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,894 |
$3,677.92 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,894 |
$11,212.10 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$962 |
$1,595.47 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$962 |
$3,290.49 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$767 |
$2,612.03 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$767 |
$1,707.74 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$962 |
$1,707.74 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$962 |
$3,938.93 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$767 |
$3,083.87 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$962 |
$2,415.35 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$758 |
$2,701.07 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$758 |
$2,701.07 |
1.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$7,676 |
$2,192.18 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$986 |
$977.11 |
1.0× |
| Occipital Nerve Block (64405) |
$333 |
$376.98 |
1.0× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$7,041 |
$35,982.71 |
1.0× |
| Onc solid orgn DNA compre genomic prflg 257 gene (0244U) |
$3,500 |
$17,500 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,258 |
$10,116.70 |
1.0× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$7,892 |
$19,728.60 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,892 |
$18,252.71 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,892 |
$12,057.20 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$7,892 |
$33,655.11 |
1.0× |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
$13,964 |
$30,127.50 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$13,964 |
$19,557.10 |
1.0× |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
$7,892 |
$13,638.75 |
1.0× |
| Open Treatment Lunate Dislocation (25695) |
$7,892 |
$17,536.80 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,892 |
$15,877.50 |
1.0× |
Open treatment metacarpophalangeal dislocation (26715)
range across 2 matching MRF lines |
$3,559 |
$6,390.12–$8,430.55 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,892 |
$12,057.20 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,892 |
$20,448.90 |
1.0× |
| Open treatment of orbital floor blowout fracture; periorbital approach, with alloplastic or other implant Facility (21390) |
$6,439 |
$10,961.30 |
1.0× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$7,892 |
$3,425.15 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$7,892 |
$12,057.20 |
1.0× |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
$7,892 |
$7,868.52 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$13,964 |
$19,677.50 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$3,559 |
$16,440.90 |
1.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,892 |
$2,810.18 |
1.0× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$3,559 |
$2,810.18 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,892 |
$13,771.40 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,559 |
$5,308.62 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,892 |
$4,904.38 |
1.0× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$3,559 |
$10,961.30 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,559 |
$14,461.40 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,559 |
$10,961.30 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,559 |
$12,057.20 |
1.0× |
| Open Tx Radial Head/Neck Fracture (24665) |
$7,892 |
$13,153.10 |
1.0× |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines |
$7,892 |
$15,710.40–$34,081.70 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,892 |
$10,961.30 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$12,556 |
$59,094.60 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$12,556 |
$32,368 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,892 |
$10,961.30 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,892 |
$13,838.10 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$13,964 |
$18,727.50 |
1.0× |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
$7,892 |
$8,430.55 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,894 |
$10,959.70 |
1.0× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$3,894 |
$10,678.70 |
1.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,559 |
$2,557.49 |
1.0× |
| Ostectomy calcaneus (28118) |
$3,559 |
$2,922.79 |
1.0× |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
$3,559 |
$6,745.18 |
1.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$3,559 |
$7,272.15 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,559 |
$8,220.64 |
1.0× |
| Osteochondral allograft knee open (27415) |
$13,964 |
$16,284.99 |
1.0× |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
$7,892 |
$3,425.15 |
1.0× |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
$7,892 |
$2,326.77 |
1.0× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$7,892 |
$3,653.23 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,559 |
$8,430.55 |
1.0× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$7,892 |
$3,653.23 |
1.0× |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
$7,892 |
$3,425.15 |
1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$5,441 |
$15,344.90 |
1.0× |
| Palatopharyngoplasty (42145) |
$6,439 |
$3,836.23 |
1.0× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$6,439 |
$16,441 |
1.0× |
| Part remv talus or calcaneus (28120) |
$3,559 |
$5,366.19 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,749 |
$2,811.90 |
1.0× |
| Partial removal of fibula (27641) |
$3,559 |
$6,791.32 |
1.0× |
| Partial removal of thyroid (60220) |
$6,575 |
$7,307.51 |
1.0× |
| Partial removal of toe (28160) |
$3,559 |
$9,134.18 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,559 |
$5,807.14 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,521 |
$9,836.16 |
1.0× |
| Penile Injection (54235) |
$271 |
$1,358.85 |
1.0× |
| Penis plastic surgery (54360) |
$3,834 |
$10,961.30 |
1.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$11,562 |
$10,962.30 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,505 |
$3,179.61 |
1.0× |
| Perc Rf Ablate Renal Tumor (50592) |
$6,575 |
$8,054.60 |
1.0× |
| Percut Ablate Liver Rf (47382) |
$6,575 |
$10,643 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$12,556 |
$17,500.30 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$770 |
$1,837.52 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,434 |
$6,077 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,712 |
$8,400.32 |
1.0× |
| Peritoneal Lavage (49084) |
$986 |
$1,291.62 |
1.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$19,939 |
$1,673.75 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$3,559 |
$15,712.10 |
1.0× |
| Perq dev breast 1st mr guide (19287) |
$770 |
$733.27 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$770 |
$733.27 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$770 |
$2,983.60 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,796 |
$5,065.75 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,834 |
$16,025.60 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,559 |
$15,712.10 |
1.0× |
Perq nl/pl lithotrp simple up to 2 cm 1 location (50080)
range across 2 matching MRF lines |
$10,296 |
$9,637.19–$15,877.50 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,559 |
$10,961.30 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,556 |
$75,252.70 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,190 |
$47,299.20 |
1.0× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
range across 2 matching MRF lines |
$7,892 |
$10,397.70–$38,178.10 |
1.0× |
Perq Vertebral Augmentation (22513)
range across 2 matching MRF lines |
$7,892 |
$10,285.40–$38,178.10 |
1.0× |
| Pin hand dislocation (26676) |
$3,559 |
$2,740.31 |
1.0× |
| Place Cath Subclavian Art (36225) |
$3,434 |
$9,014.56 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$3,434 |
$13,603.80 |
1.0× |
| Place Cath Vertebral Art (36226) |
$6,052 |
$22,539.10 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$2,087 |
$1,977.01 |
1.0× |
| Place Rt Device/Marker Pros (55876) |
$1,505 |
$7,129.87 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$485 |
$1,373.44 |
1.0× |
| Placement of seton (46020) |
$3,019 |
$8,722.56 |
1.0× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$7,041 |
$19,508.80 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,575 |
$21,208.90 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,575 |
$21,208.90 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$6,575 |
$21,208.90 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,273 |
$10,674.60 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,834 |
$17,972.20 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,834 |
$11,554 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,834 |
$11,554 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,834 |
$11,554 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$5,441 |
$15,706.07 |
1.0× |
| Prim art mech thrombectomy (37184) |
$19,939 |
$56,142.40 |
1.0× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,301 |
$1,663.80 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$770 |
$1,023.82 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,894 |
$11,212.10 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,894 |
$18,389.60 |
1.0× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$7,892 |
$10,961.30 |
1.0× |
| Prq Skel Fixj Talotarsal Jt Dislc W/Manj (28576) |
$7,892 |
$18,727.50 |
1.0× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$3,559 |
$9,695.91 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,559 |
$8,430.55 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$682 |
$3,221.69 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$442 |
$3,097.21 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$442 |
$1,373.44 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$770 |
$865.20 |
1.0× |
| Rad resect tumor soft tiss neck/ant thorax 5cm/> (21558) |
$3,159 |
$10,116.70 |
1.0× |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
$3,159 |
$10,116.70 |
1.0× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$3,559 |
$1,758.86 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$3,834 |
$13,153.10 |
1.0× |
| Reconstruct extra finger (26587) |
$3,559 |
$14,883.30 |
1.0× |
| Reconstruct ulna/radioulnar (25337) |
$7,892 |
$8,768.40 |
1.0× |
| Reconstruct wrist joint (25445) |
$7,892 |
$13,027.40 |
1.0× |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
$7,892 |
$27,277.50 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$3,434 |
$5,864.82 |
1.0× |
| Release of big toe (28240) |
$3,559 |
$6,576.56 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,244 |
$9,531.93 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,434 |
$5,864.82 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,301 |
$7,307.51 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$986 |
$2,486.57 |
1.0× |
| Removal Embedded Foreign Body Eyelid (67938) |
$345 |
$1,799.41 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,796 |
$7,283.54 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$770 |
$1,602.89 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,796 |
$1,688.58 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$64 |
$309.53 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$64 |
$418.18 |
1.0× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,521 |
$5,620.37 |
1.0× |
| Removal Implant Deep (20680) |
$3,159 |
$12,322.20 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$1,796 |
$4,521.70 |
1.0× |
| Removal of adenoids (42830) |
$3,606 |
$5,620.37 |
1.0× |
| Removal of anal fissure (46200) |
$3,019 |
$10,961.30 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$485 |
$1,373.44 |
1.0× |
| Removal of heel spur (28119) |
$3,559 |
$2,810.18 |
1.0× |
| Removal of kidney stone (50081) |
$10,296 |
$24,562.80 |
1.0× |
| Removal of nail bed (11750) |
$442 |
$1,450.24 |
1.0× |
| Removal of posterior segmental instrumentation Facility (22852) |
$7,892 |
$28,046.90 |
1.0× |
| Removal of sesamoid bone (28315) |
$3,559 |
$6,520.35 |
1.0× |
| Removal of testis (54520) |
$3,834 |
$8,430.55 |
1.0× |
| Removal of tonsils (42826) |
$3,606 |
$10,961.30 |
1.0× |
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines |
$3,434 |
$8,430.55–$16,401.30 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$304 |
$365.65 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$4,064 |
$4,290.67 |
1.0× |
| Removal ppm generator only (33233) |
$9,001 |
$8,625.06 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$218 |
$908.72 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$770 |
$3,203.15 |
1.0× |
| Removal sweat gland lesion (11450) |
$3,159 |
$8,430.55 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,749 |
$10,961.30 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$304 |
$365.65 |
1.0× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$2,273 |
$4,135.45 |
1.0× |
| Remove Ankle Joint Lining (27626) |
$3,559 |
$10,584.64 |
1.0× |
| Remove cerclage suture (59871) |
— |
$3,902.57 |
— |
| Remove drug implant device (11982) |
$485 |
$469.58 |
1.0× |
| Remove Elctrd Transvenously (33244) |
$4,064 |
$18,964 |
1.0× |
| Remove foreign body from eye (65205) |
$144 |
$671.69 |
1.0× |
| Remove hip pressure sore (15940) |
$3,159 |
$8,430.55 |
1.0× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$2,273 |
$2,134.92 |
1.0× |
| Remove Intrauterine Device (58301) |
$331 |
$409.94 |
1.0× |
| Remove intrvas foreign body (37197) |
$3,434 |
$8,029.88 |
1.0× |
| Remove lung catheter (32552) |
$682 |
$644.34 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$144 |
$1,953.91 |
1.0× |
| Remove prostate regrowth (52630) |
$5,832 |
$10,961.30 |
1.0× |
| Remove Pulse Generator (33241) |
$4,064 |
$5,912.96 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$758 |
$1,700.53 |
1.0× |
| Remove spine lamina 1/2 lmbr (63005) |
$7,892 |
$35,621.26 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,749 |
$8,430.55 |
1.0× |
| Remove ureter stent percut (50384) |
$2,273 |
$4,186.95 |
1.0× |
| Remove&replace pm gen singl (33227) |
$9,001 |
$10,976.10 |
1.0× |
| Remove/graft foot lesion (28102) |
$7,892 |
$3,425.15 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$24,194 |
$23,393 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$34,142 |
$33,413.90 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$24,194 |
$116,965 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$11,368 |
$54,533.80 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$20,951 |
$95,848 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,796 |
$8,442.91 |
1.0× |
| Reopen fallopian tube (58350) |
$5,441 |
$5,332.79 |
1.0× |
| Repair Achilles Tendon (27650) |
$7,892 |
$12,821.20 |
1.0× |
| Repair arm/leg nerve (64857) |
$3,715 |
$4,885.36 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$3,434 |
$5,866.88 |
1.0× |
| Repair blood vessel lesion (35190) |
$6,052 |
$16,861.10 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$7,892 |
$9,826.92 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$803 |
$1,889.02 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$803 |
$1,889.02 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$442 |
$1,841.64 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$442 |
$1,841.64 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$442 |
$637.95 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$442 |
$1,492.13 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$803 |
$1,799.41 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$803 |
$1,799.41 |
1.0× |
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines |
$1,749 |
$5,306.56–$8,430.55 |
1.0× |
| Repair Finger/Hand Tendon (26350) |
$3,559 |
$10,116.70 |
1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,559 |
$2,921.97 |
1.0× |
| Repair Foot Dislocation (28615) |
$7,892 |
$5,114.63 |
1.0× |
| Repair Forearm Tendon Sheath (25275) |
$3,559 |
$4,650.97 |
1.0× |
| Repair Hallux Rigidus (28289) |
$3,559 |
$10,961.30 |
1.0× |
| Repair Hand Joint (26540) |
$3,559 |
$3,629.72 |
1.0× |
| Repair Hand Tendon (26410) |
$1,749 |
$5,306.56 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,894 |
$12,646.55 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$442 |
$1,373.44 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$442 |
$2,081.91 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$442 |
$2,081.91 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$442 |
$1,373.44 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$442 |
$1,799.41 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$803 |
$1,492.13 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$442 |
$1,373.44 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$442 |
$1,373.44 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$803 |
$1,492.13 |
1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,244 |
$1,906.39 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$442 |
$2,081.91 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$442 |
$1,373.44 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$442 |
$1,373.44 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$803 |
$1,754.09 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$442 |
$1,841.64 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,244 |
$1,906.39 |
1.0× |
| Repair lead pace-defib dual (33220) |
$4,064 |
$5,215.92 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$4,064 |
$4,290.67 |
1.0× |
| Repair lumbar hernia (49540) |
$6,575 |
$28,046.90 |
1.0× |
| Repair Nonunion Hand (26546) |
$7,892 |
$4,384.36 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$7,892 |
$2,466.07 |
1.0× |
| Repair of metatarsals (28322) |
$7,892 |
$5,480.42 |
1.0× |
| Repair of nail bed (11760) |
$803 |
$3,189.75 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,892 |
$17,365.30 |
1.0× |
| Repair of rectum (45505) |
$3,019 |
$17,536.80 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$7,892 |
$18,100.50 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,892 |
$13,153.10 |
1.0× |
| Repair shoulder capsule (23462) |
$7,892 |
$22,359.11 |
1.0× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$3,559 |
$4,885.36 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,892 |
$20,383.20 |
1.0× |
| Repair tongue laceration (41252) |
$257 |
$2,750.10 |
1.0× |
| Repair tongue laceration (41250) |
$485 |
$1,346.21 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,892 |
$9,181.31 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$7,892 |
$21,577.50 |
1.0× |
| Repair/Graft Wrist Bone (25440) |
$7,892 |
$16,440.84 |
1.0× |
| Repair/Revise Wrist Joint (25320) |
$7,892 |
$3,836.23 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$986 |
$1,194.59 |
1.0× |
| Replace elbow joint (24363) |
$19,071 |
$12,822.58 |
1.0× |
| Replace G-J Tube Perc (49452) |
$986 |
$2,824.26 |
1.0× |
| Replace g/c tube perc (49450) |
$986 |
$4,885.53 |
1.0× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$7,892 |
$9,864.32 |
1.0× |
| Replantation digit complete (20822) |
$1,749 |
$7,449.99 |
1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,064 |
$34,271.20 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$271 |
$2,009.53 |
1.0× |
| Reposition L Ventric Lead (33226) |
$3,434 |
$5,215.92 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$3,434 |
$16,401.30 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,712 |
$2,608.99 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,559 |
$5,620.37 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,894 |
$11,637.20 |
1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,802 |
$2,500 |
1.0× |
| Revis reconst shoulder joint (23473) |
$13,964 |
$24,427.50 |
1.0× |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
$13,964 |
$24,427.50 |
1.0× |
| Revise Hand/Foot Nerve (64704) |
$2,124 |
$7,096.15 |
1.0× |
| Revise ulnar nerve at wrist (64719) |
$2,124 |
$4,566.73 |
1.0× |
| Revise/remove neuroelectrode (61880) |
$3,802 |
$6,744.44 |
1.0× |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
$3,521 |
$10,961.30 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,559 |
$8,124.08 |
1.0× |
| Revision of urethra (57220) |
$5,441 |
$3,793.74 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$6,190 |
$22,441.60 |
1.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$3,802 |
$3,836.23 |
1.0× |
| Revj/rmvl neurostimulator pulse generator (61888) |
$12,120 |
$3,372.22 |
1.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,802 |
$13,027.40 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,273 |
$2,134.92 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,687 |
$6,687.79 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$986 |
$977.11 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$485 |
$1,373.44 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$144 |
$548.37 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$485 |
$1,373.44 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,301 |
$3,040.97 |
1.0× |
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525)
range across 2 matching MRF lines |
$3,159 |
$6,639.38–$8,430.55 |
1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,796 |
$8,430.55 |
1.0× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$4,064 |
$14,173.10 |
1.0× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$3,715 |
$10,116.70 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,064 |
$5,358.06 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$1,712 |
$8,094.82–$10,117.70 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$682 |
$3,221.69 |
1.0× |
| Rmvl/revj sling stress incontinence (57287) |
$3,521 |
$3,558.39 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$271 |
$1,267.34 |
1.0× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,434 |
$3,280.26 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,712 |
$8,094.82 |
1.0× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$3,434 |
$3,280.26 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,712 |
$2,145.49 |
1.0× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$6,052 |
$5,633.71 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,434 |
$16,401.30 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,434 |
$4,845.12 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,575 |
$21,005.60 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,894 |
$15,579.80 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$7,041 |
$18,200.10 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$7,041 |
$16,461.70 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,575 |
$15,344.90 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,894 |
$24,343 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$7,041 |
$20,508.20 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,575 |
$15,385.50 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$770 |
$6,853.62 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,712 |
$2,608.99 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$218 |
$1,139.18 |
1.0× |
| Rpr ing hernia init reduce (49500) |
$7,041 |
$10,961.30 |
1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$803 |
$1,754.09 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$586 |
$1,569.72 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,687 |
$1,674.78 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,559 |
$11,691.19 |
1.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$3,559 |
$7,744.57 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$682 |
$2,182.57 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,559 |
$7,681.49 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$3,606 |
$5,423.98 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,011 |
$4,354.05 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,301 |
$6,144.07 |
1.0× |
| Shoulder arthroscopy (29820) |
$7,892 |
$7,996.23 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,559 |
$6,475.29 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$1,011 |
$4,155.20 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,011 |
$4,155.20 |
1.0× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,301 |
$4,998.08 |
1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,301 |
$5,414.55 |
1.0× |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
$1,301 |
$3,800.70 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,301 |
$4,998.08 |
1.0× |
| Sigmoidoscopy w/plcmt stent (45347) |
$6,603 |
$6,203.90 |
1.0× |
| Sigmoidoscopy W/Resection (45349) |
$3,019 |
$4,998.08 |
1.0× |
| Sigmoidoscopy W/Ultrasound (45341) |
$1,011 |
$4,750.83 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,011 |
$4,354.05 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,301 |
$3,686.44 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$442 |
$1,754.09 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$218 |
$1,035.41 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$442 |
$1,754.09 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$218 |
$1,195.83 |
1.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$218 |
$1,754.09 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$218 |
$1,035.41 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$218 |
$1,754.09 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$218 |
$1,195.83 |
1.0× |
| Skin Full Grft Face/Genit/Hf (15240) |
$2,244 |
$4,369.26 |
1.0× |
| Skin Pedicle Flap Trunk (15570) |
$2,244 |
$1,972.86 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$803 |
$9,531.93 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$803 |
$9,531.93 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,244 |
$3,815.39 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$6,052 |
$12,185.90 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,434 |
$7,932.03 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,052 |
$22,539.10 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,441 |
$12,620.90 |
1.0× |
| Slitting of prepuce (54001) |
$2,273 |
$10,961.30 |
1.0× |
| Small bowel endoscopy (44384) |
$2,087 |
$5,149.12 |
1.0× |
| Small bowel endoscopy (44366) |
$2,087 |
$5,931.02 |
1.0× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,087 |
$3,112.42 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$218 |
$1,035.41 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$442 |
$2,081.91 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$442 |
$1,817.95 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$767 |
$3,608.65 |
1.0× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$3,854 |
$4,795.31 |
1.0× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$2,244 |
$4,600.71 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,434 |
$5,480.42 |
1.0× |
| Strapping ankle (29540) |
$176 |
$693.29 |
1.0× |
| Strapping elbow or wrist (29260) |
$64 |
$333.72 |
1.0× |
| Strapping hand/finger (29280) |
$64 |
$211.15 |
1.0× |
| Strapping Hip (29520) |
$144 |
$365.65 |
1.0× |
| Strapping knee (29530) |
$144 |
$548.37 |
1.0× |
| Strapping shoulder (29240) |
$144 |
$548.37 |
1.0× |
| Strapping thorax (29200) |
$176 |
$338.87 |
1.0× |
| Strapping toes (29550) |
$64 |
$211.15 |
1.0× |
| Strapping Unna Boot (29580) |
$176 |
$508.31 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,606 |
$7,855.38 |
1.0× |
| Surg tx anal fistula subq (46270) |
$3,019 |
$10,961.30 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,019 |
$11,691.90 |
1.0× |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
$3,715 |
$8,430.55 |
1.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,124 |
$5,620.85 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$7,892 |
$10,961.30 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,892 |
$19,009.40 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$20,951 |
$99,377.90 |
1.0× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,559 |
$7,764.95 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,892 |
$13,354.18 |
1.0× |
| Tenodesis proximal interphalangeal joint each (26471) |
$3,559 |
$1,053.81 |
1.0× |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
$3,559 |
$5,620.37 |
1.0× |
| Tenolysis flexor foot single tendon (28220) |
$1,749 |
$9,134.18 |
1.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,559 |
$2,922.79 |
1.0× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$3,559 |
$2,898.01 |
1.0× |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
$3,559 |
$8,430.55 |
1.0× |
| Tenotomy Hip Abd/Ext Open (27006) |
$3,559 |
$14,614.18 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,749 |
$2,146.97 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,749 |
$2,740.31 |
1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$767 |
$3,219.01 |
1.0× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,694 |
$3,633.84 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,694 |
$3,633.84 |
1.0× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$6,052 |
$16,018 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$19,939 |
$47,299.20 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$3,434 |
$6,162.29 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$6,052 |
$28,168.60 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$359 |
$1,712.89 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,434 |
$13,603.80 |
1.0× |
| Thyroid biopsy (60100) |
$770 |
$865.20 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$6,575 |
$16,441.30 |
1.0× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$6,439 |
$13,153.10 |
1.0× |
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060)
range across 2 matching MRF lines |
$2,244 |
$6,171.76–$8,430.55 |
1.0× |
| Tissue Expander Placement Breast Reconstruction (19357) |
$14,989 |
$3,899.13 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,559 |
$8,430.55 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,606 |
$8,430.55 |
1.0× |
| Tooth extraction (41899) |
$257 |
$708.64 |
1.0× |
| Total Knee Arthroplasty (27447) |
$13,964 |
$20,693 |
1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$257 |
$5,587.75 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,687 |
$1,543.76 |
1.0× |
| Tracheostomy planned (31600) |
$3,606 |
$16,899.30 |
1.0× |
| Transcatheter biopsy (37200) |
$6,052 |
$7,013.27 |
1.0× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$3,521 |
$3,313.64 |
1.0× |
| Transplant hand tendon (26480) |
$3,559 |
$12,057.20 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,832 |
$12,336.20 |
1.0× |
| Transurethral resection bladder neck (52500) |
$3,834 |
$10,961.30 |
1.0× |
| Treat ankle dislocation (27848) |
$7,892 |
$6,165.31 |
1.0× |
| Treat Dental Ridge Fracture (21440) |
$3,606 |
$7,908.34 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,559 |
$8,430.55 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,892 |
$14,614.30 |
1.0× |
| Treat Hand Bone Lesion (26034) |
$1,749 |
$8,430.55 |
1.0× |
| Treat Humerus Fracture (24505) |
$1,749 |
$1,667.92 |
1.0× |
| Treat knee fracture (27532) |
$3,559 |
$5,707.23 |
1.0× |
| Treat kneecap dislocation (27566) |
$7,892 |
$10,598.93 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,892 |
$12,646.50 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$268 |
$582.98 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$268 |
$582.98 |
1.0× |
| Treat Thumb Dislocation (26641) |
$268 |
$582.98 |
1.0× |
| Treat Thumb Fracture (26645) |
$1,749 |
$1,764.39 |
1.0× |
| Treat toe dislocation (28630) |
$268 |
$1,159.21 |
1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,749 |
$10,961.30 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$268 |
$1,159.21 |
1.0× |
| Trim skin lesion (11055) |
$218 |
$1,035.41 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$218 |
$1,035.41 |
1.0× |
| Trim skin lesions over 4 (11057) |
$218 |
$487.19 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$64 |
$254.41 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$6,190 |
$49,142.90 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$6,190 |
$49,142.80 |
1.0× |
| Trurl rescj postop bladder neck contracture (52640) |
$3,834 |
$6,483.85 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,019 |
$10,961.30 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$234 |
$1,009.40 |
1.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$13,964 |
$14,332.70 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,521 |
$7,739.42 |
1.0× |
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines |
$3,521 |
$3,902.57–$7,070.05 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,749 |
$5,807.14 |
1.0× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,749 |
$5,807.14 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$803 |
$1,841.64 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$13,964 |
$19,541.44 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,687 |
$8,430.55 |
1.0× |
| Unlisted Cardiac Surgery (33999) |
$682 |
$128,750 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$6,575 |
$4,504.43 |
1.0× |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
$6,575 |
$8,863.66 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,575 |
$12,082.11 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,575 |
$16,935.30 |
1.0× |
| Unlisted laparoscopy procedure, lymphatic system (38589) |
$6,575 |
$17,201.26 |
1.0× |
| Unlisted laparoscopy procedure, rectum (45499) |
$6,575 |
$10,538.55 |
1.0× |
| Unlisted procedure anus (46999) |
$1,011 |
$1,135.37 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$268 |
$1,123.45 |
1.0× |
| Unlisted Procedure Endocrine System (60699) |
$6,575 |
$9,584.15 |
1.0× |
| Unlisted Procedure Esophagus (43499) |
$986 |
$4,885.53 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$268 |
$459.38 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$268 |
$13,153.10 |
1.0× |
| Unlisted procedure forearm or wrist (25999) |
$268 |
$290.05 |
1.0× |
| Unlisted Procedure Intestine (44799) |
$986 |
$4,885.53 |
1.0× |
| Unlisted Procedure Leg/Ankle (27899) |
$268 |
$3,425.31 |
1.0× |
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines |
$333 |
$528.39–$15,344.90 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$257 |
$636.95 |
1.0× |
| Unlisted Procedure Rectum (45999) |
$1,011 |
$3,435.05 |
1.0× |
| Unlisted procedure stomach (43999) |
$986 |
$3,599.85 |
1.0× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$257 |
$708.64 |
1.0× |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
$682 |
$4,441.93–$9,695.91 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$986 |
$4,318.45 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$271 |
$253.47 |
1.0× |
| Upgrade of pacemaker system (33214) |
$11,368 |
$38,744.50 |
1.0× |
| Urethrectomy, total, including cystostomy; male Facility (53215) |
$5,832 |
$7,306.47 |
1.0× |
| Urethroplasty, 1-stage reconstruction of male anterior urethra Facility (53410) |
$5,832 |
$16,804.79 |
1.0× |
| Urethroplasty; first stage, for fistula, diverticulum, or stricture (eg, Johannsen type) Facility (53400) |
$5,832 |
$7,306.47 |
1.0× |
| Uvulectomy excision of uvula (42140) |
$3,606 |
$8,430.55 |
1.0× |
| Vaginal delivery only (59409) |
$3,521 |
$3,313.64 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,441 |
$28,141.26 |
1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$5,441 |
$17,536.80 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$19,939 |
$56,142.40 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$12,556 |
$31,384.70 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$12,556 |
$31,384.70 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$12,556 |
$31,384.70 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,273 |
$10,961.30 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$12,556 |
$45,457 |
1.0× |
| Vulvectomy simple partial (56620) |
$3,521 |
$10,961.30 |
1.0× |
| Wedge excision skin nail fold (11765) |
$442 |
$586.07 |
1.0× |
| Windowing of cast (29730) |
$176 |
$365.65 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$803 |
$9,845.89 |
1.0× |
| Xfer Single Deep Low Leg Tendon (27691) |
$7,892 |
$4,490.60 |
1.0× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$6,052 |
$8,442.91 |
1.0× |