| Abd paracentesis w/imaging (49083) |
— |
$5,240.34 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$21,410.95 |
— |
| Acetabuloplasty (27120) |
— |
$104,097.92 |
— |
| Acne surgery (10040) |
— |
$61,462.95 |
— |
Acromiopl/Acromionect Partial (23130)
range across 3 matching MRF lines |
— |
$37,943.07–$46,047.93 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$33,724.74 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$18,320.48 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$17,990.77 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$93,972.80 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$65,897.86 |
— |
| Amputation foot transmetarsal (28805) |
— |
$65,897.86 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$20,839.55 |
— |
| Amputation thigh through femur any level (27590) |
— |
$93,972.80 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$14,041.59 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$17,635.62 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$71,331.49 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$101,012.67 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$101,012.67 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$19,649.69 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$101,012.67 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$101,012.67 |
— |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
— |
$93,972.80 |
— |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
— |
$93,972.80 |
— |
| Ankle Arthroscopy/Surgery (29892) |
— |
$39,611.80 |
— |
| Ankle disarticulation (27889) |
— |
$102,122.06 |
— |
| Anorectal myomectomy (45108) |
— |
$85,242.62 |
— |
| Anoscopy diagnostic (46600) |
— |
$55,299.65 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$15,141.08 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$33,020.17 |
— |
Anterior Tibial Tubercleplasty (27418)
range across 2 matching MRF lines |
— |
$33,922.24–$37,240.66 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$623.47 |
— |
| Application cast elbow finger short arm (29075) |
— |
$1,091.09 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$61,433.81 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$52,516.98 |
— |
| Application finger splint static (29130) |
— |
$514.03 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$623.47 |
— |
| Application Long Leg Splint (29505) |
— |
$623.47 |
— |
| Application multiplane external fixation system (20692) |
— |
$126,251.62 |
— |
| Application of long leg cast (29345) |
— |
$1,091.09 |
— |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
— |
$170,631.05 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$1,283.37 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$490.60 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$41,077.21 |
— |
| Application short leg splint calf foot (29515) |
— |
$60,789.43 |
— |
| Application uniplane external fixation system (20690) |
— |
$45,629.35 |
— |
| Application, cast; figure-of-eight Facility (29049) |
— |
$61,433.81 |
— |
| Apply long arm cast (29065) |
— |
$1,091.09 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 4 matching MRF lines |
— |
$519.99–$1,118 |
— |
| Apply Short Leg Cast (29405) |
— |
$1,091.09 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
— |
$62,394.61 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
— |
$62,394.61 |
— |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
— |
$62,394.61 |
— |
| Arterial puncture (36600) |
— |
$492.48 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
— |
$9,879.40–$14,002.61 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$2,774.16 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
— |
$7,379.78–$10,896.48 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$1,145.82 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines |
— |
$14,258.80–$37,606.51 |
— |
| Arthrodesis ankle open (27870) |
— |
$48,656.19 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$22,092.24 |
— |
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines |
— |
$31,868.54–$45,560.67 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$91,941.25 |
— |
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 3 matching MRF lines |
— |
$24,110.16–$32,136.67 |
— |
| Arthroplasty Radial Head W/Implant (24366) |
— |
$51,044.90 |
— |
| Arthroplasty, femoral condyles or tibial plateau(s), knee; with debridement and partial synovectomy Facility (27443) |
— |
$113,104.33 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$71,150.33 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$57,719.76 |
— |
Arthroscopy Ankle Surgical Debridement Extensive (29898)
range across 3 matching MRF lines |
— |
$40,759.06–$54,075.38 |
— |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
— |
$42,359.64 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$28,124.84 |
— |
| Arthroscopy Knee Osteochondral Allograft (29867) |
— |
$67,793.34 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$50,518.31 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$19,945.31 |
— |
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884)
range across 3 matching MRF lines |
— |
$21,483.39–$32,965.34 |
— |
Arthroscopy shoulder distal claviculectomy (29824)
range across 3 matching MRF lines |
— |
$36,563.39–$43,618.62 |
— |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 3 matching MRF lines |
— |
$22,267.45–$42,012.65 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
— |
$48,112.74 |
— |
| Arthroscopy, elbow, surgical; synovectomy, complete Facility (29836) |
— |
$28,127.18 |
— |
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834)
range across 2 matching MRF lines |
— |
$24,289.05–$28,127.18 |
— |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862)
range across 2 matching MRF lines |
— |
$35,196.58–$43,198.52 |
— |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
— |
$44,144 |
— |
Arthroscopy, knee, surgical; with lateral release (29873)
range across 3 matching MRF lines |
— |
$19,470.75–$25,856.35 |
— |
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883)
range across 2 matching MRF lines |
— |
$37,758.67–$48,689.85 |
— |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines |
— |
$29,824.60–$42,119.16 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 3 matching MRF lines |
— |
$36,908.93–$42,932.84 |
— |
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 3 matching MRF lines |
— |
$31,993.05–$36,466.47 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines |
— |
$33,142.49–$43,158.32 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$30,100.53 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$40,137.52 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 3 matching MRF lines |
— |
$40,972.01–$45,865.60 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$9,649.51 |
— |
| Arthrotomy W/Biopsy Hip Joint (27052) |
— |
$88,278.57 |
— |
| Arthrotomy Wrist Joint With Biopsy (25100) |
— |
$41,607.44 |
— |
| Arthrotomy wrist joint with synovectomy (25105) |
— |
$41,607.44 |
— |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
— |
$33,443.01 |
— |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
— |
$65,501.01 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$71,150.33 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$89,246.01 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$76,243.63 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 3 matching MRF lines |
— |
$49,810.51–$56,854 |
— |
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 3 matching MRF lines |
— |
$21,228.26–$53,898.26 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$26,598.98 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$20,724.27 |
— |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
— |
$87,818.52 |
— |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
— |
$33,443.01 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$25,154.18 |
— |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
— |
$47,575.63 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$22,632.76 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$13,795.09 |
— |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
— |
$71,150.33 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$41,607.44 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$4,301.57 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$2,873.64 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$1,145.82 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$2,682.96 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$8,058.81 |
— |
| Autologous Chondrocyte Implantation Knee (27412) |
— |
$48,890.30 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$22,092.24 |
— |
| Axillary lymphadenectomy; complete (38745) |
— |
$17,817.91 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$6,372.42 |
— |
| Biopsy bone open superficial (20240) |
— |
$14,942.46 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$6,372.42 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$6,372.42 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$6,372.42 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$14,869.98 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$32,755.27 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$28,087.47 |
— |
| Biopsy of rectum (45100) |
— |
$21,825.40 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$2,682.96 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$24,637.69 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$24,637.69 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$6,372.42 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$6,083.90 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$6,083.90 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$11,015.35 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$6,372.42 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$20,534.01 |
— |
Biopsy/removal lymph nodes (38510)
range across 2 matching MRF lines |
— |
$16,633.58–$18,424.14 |
— |
| Bladder Irrigation (51700) |
— |
$1,072.85 |
— |
| Bladder Scan (51798) |
— |
$258.69 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$1,313.30 |
— |
| Blood Transfusion Service (36430) |
— |
$1,774.26 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$54,185.80 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$54,185.80 |
— |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
— |
$62,394.61 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
— |
$45,976.98 |
— |
| Bone Marrow Biopsy (38221) |
— |
$6,372.42 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$6,342.57 |
— |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
— |
$6,489.41–$6,924.58 |
— |
Bx/exc lymph node open superficial (38500)
range across 3 matching MRF lines |
— |
$13,296.26–$66,265.59 |
— |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
— |
$30,951.43 |
— |
Capsulorrhaphy Anterior W/Labral Repair (23455)
range across 2 matching MRF lines |
— |
$49,045–$51,434.15 |
— |
Carpal Tunnel Surgery (64721)
range across 4 matching MRF lines |
— |
$14,804.47–$21,640.57 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$888.79 |
— |
| Cerclage cervix pregnancy vaginal (59320) |
— |
$12,302.72 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$5,065.77 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$32,241.84 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$1,072.85 |
— |
| Change ureter stent percut (50382) |
— |
$6,626.12 |
— |
| Chemical Cautery Tissue (17250) |
— |
$848.27 |
— |
| Chest tube placement (32551) |
— |
$5,067.43 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$8,058.81 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$13,651.87 |
— |
| Circumcision 28 days or older (54161) |
— |
$12,745.82 |
— |
| Circumcision Neonate (54160) |
— |
$7,408.38 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$7,410.25 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$6,083.90 |
— |
Claviculectomy partial (23120)
range across 3 matching MRF lines |
— |
$43,562.91–$47,518.08 |
— |
| Clear outer ear canal (69200) |
— |
$492.48 |
— |
Closed Rx Metacarpal Fx,Percut (26608)
range across 3 matching MRF lines |
— |
$14,478.67–$16,160.45 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$16,128.93 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$5,503.80 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$15,162.63 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$1,043 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$1,043 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$765.03 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$6,083.90 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$1,043 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$1,043 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$6,083.90 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$1,043 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$25,929.62 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,043 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$6,083.90 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$1,043 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$6,083.90 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$10,823.88 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,043 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$13,083.84 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$6,083.90 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,043 |
— |
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines |
— |
$9,555.63–$11,079.67 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$1,043 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$9,267.53 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$1,043 |
— |
| Closed tx septal&nose fx (21337) |
— |
$9,554.02 |
— |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
— |
$1,043 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$1,043 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$6,083.90 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$1,043 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$1,043 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$6,083.90 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$1,043 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$1,043 |
— |
| Closure Gastrostomy Surg (43870) |
— |
$24,056.87 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$6,083.90 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$1,043 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$7,059.67 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,043 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$6,083.90 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$6,083.90 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$31,848.52 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$1,043 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$1,043 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$1,043 |
— |
Cltx dstl fibular fx lat malls w/manj (27788)
range across 2 matching MRF lines |
— |
$19,010.59–$31,512.20 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$1,043 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$1,043 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$1,043 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$1,043 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$6,083.90 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$6,083.90 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,043 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$6,083.90 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$1,043 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$1,043 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$1,043 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$1,043 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$1,043 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$6,083.90 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$16,128.93 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$1,043 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$1,043 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$6,083.90 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$6,083.90 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$1,043 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$1,043 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,043 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$19,010.59 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$1,043 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,043 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$1,043 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$1,043 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$1,043 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$19,694.22 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,043 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$6,083.90 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$1,043 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$6,083.90 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$1,043 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$1,043 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$1,043 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$6,083.90 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$5,103.97 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$6,083.90 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$1,043 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$6,083.90 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$1,043 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$1,043 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$1,043 |
— |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$1,043 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$6,083.90 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$1,043 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$492.48 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$23.22 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$55,299.65 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$6,035.57 |
— |
| Colonoscopy thru stoma (44388) |
— |
$8,642.49 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$55,299.65 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$7,561.38 |
— |
| Colpocleisis (le fort type) (57120) |
— |
$47,322.67 |
— |
| Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) |
— |
$36,704.98 |
— |
| Colporrhaphy (57200) |
— |
$22,039.19 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$15,943.70 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$13,375.24 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$7,049.93 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$4,768.35 |
— |
| Complex drainage wound (10180) |
— |
$28,612.12 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$13,168.24 |
— |
| Conization of cervix (57520) |
— |
$19,419.20 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$492.48 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$16,455.80 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$79,364.35 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$6,869.88 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$6,999.22 |
— |
| Correction hammertoe (28285) |
— |
$27,178.47 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$30,166.81 |
— |
Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297)
range across 2 matching MRF lines |
— |
$33,802.10–$54,995.02 |
— |
Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292)
range across 2 matching MRF lines |
— |
$30,493.66–$40,445.89 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$50,222.88 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$411.09 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$13,557.35 |
— |
| Cystourethroscopy (52000) |
— |
$40,809.30 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$19,647.89 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$95,572.94 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$2,236.90 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$22,391.07 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$58,907.86 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$17,292.87 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$3,966.32 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$13,430.06 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,447.92 |
— |
| Declot vascular device (36593) |
— |
$1,886.48 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$75,298.25 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
— |
$55,890.04 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
— |
$55,890.04 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
— |
$55,890.04 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
— |
$55,890.04 |
— |
| Decompression of leg (27894) |
— |
$28,910.38 |
— |
| Decompression of tibia nerve (28035) |
— |
$39,818.23 |
— |
| Decompressive fasciotomy hand (26037) |
— |
$20,889.74 |
— |
| Delivery of placenta (59414) |
— |
$26,048.75 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$815.83 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$13,533.32 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$14,464.68 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$13,332.86 |
— |
| Diagnostic anoscopy (46601) |
— |
$55,299.65 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$5,659.33 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$18,886.09 |
— |
| Disarticulation At Knee (27598) |
— |
$135,311.31 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$2,774.16 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$1,145.82 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$14,781.12 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,682.96 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$6,372.42 |
— |
| Drainage of finger abscess simple (26010) |
— |
$20,993.16 |
— |
| Drainage of gum lesion (41800) |
— |
$492.48 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$15,409.87 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$6,372.42 |
— |
| Drainage of scrotum (54700) |
— |
$15,605.09 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$646.55 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$12,485.83 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$1,503.85 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$1,135.16 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$2,130.29 |
— |
| Dstrj Lesion Anus Extensive (46924) |
— |
$12,211.02 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$15,967.82 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$12,529.05 |
— |
| Dstrj lesion penis simple laser (54057) |
— |
$18,149.13 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$6,372.42 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$32,825.23 |
— |
| Dx laryngoscopy w/oper scope (31526) |
— |
$12,522.97 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$3,593.23 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$36,766.01 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$8,111.19 |
— |
| Egd cautery tumor polyp (43250) |
— |
$47,410.82 |
— |
| Egd control bleeding any (43255) |
— |
$48,503.64 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$8,687.13 |
— |
| Egd endo mucosal resection (43254) |
— |
$48,503.64 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$48,503.64 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$10,890.20 |
— |
| Egd guide wire insertion (43248) |
— |
$12,419.65 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$47,410.82 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$36,766.01 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$36,766.01 |
— |
| Egd lesion ablation (43270) |
— |
$7,767.92 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$36,766.01 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$48,503.64 |
— |
| Egd place gastrostomy tube (43246) |
— |
$6,849.82 |
— |
| Egd remove lesion snare (43251) |
— |
$12,243.42 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$36,766.01 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$36,766.01 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$48,503.64 |
— |
| Egd Varices Ligation (43244) |
— |
$48,503.64 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$48,503.64 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$48,503.64 |
— |
| Embedded ip cath exit-site (49436) |
— |
$76,799.80 |
— |
| Endoscopic us exam esoph (43237) |
— |
$48,503.64 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$32,853.47 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$44,076.56 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$7,174.99 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$7,174.99 |
— |
| Epidural Blood Patch (62273) |
— |
$3,979.67 |
— |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
— |
$64,463.96 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$36,704.98 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$13,084.77 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$58,104.51 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$32,853.47 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$36,766.01 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$32,853.47 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$32,853.47 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$32,853.47 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$39,838.96 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$32,853.47 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$32,853.47 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$39,838.96 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$32,853.47 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$32,853.47 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$39,838.96 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$39,838.96 |
— |
| Ethmoidectomy; intranasal, total Facility (31201) |
— |
$21,467.70 |
— |
| Evacuate mole of uterus (59870) |
— |
$26,048.75 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$492.48 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$12,928.85 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$26,184.90 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$14,523.09 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$23,281.08 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$15,292.31 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$15,662.82 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$14,730.11 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$12,853.76 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$16,216.18 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$14,705.09 |
— |
Exc Face-Mm B9+Marg 2.1-3 Cm (11443)
range across 2 matching MRF lines |
— |
$15,631.57–$20,900.64 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$14,612.82 |
— |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
— |
$30,928.85 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$22,187.90 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$20,271.79 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$13,971.14 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$13,980.83 |
— |
Exc Hand Les Sc < 1.5 Cm (26115)
range across 2 matching MRF lines |
— |
$14,002.61–$16,353.17 |
— |
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090)
range across 2 matching MRF lines |
— |
$12,846.78–$19,879.32 |
— |
| Exc Rct Tum Incl Muscularis Propria (45172) |
— |
$19,011.15 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$16,532.24 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$28,344.36 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$15,791.54 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$15,427.71 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$21,291.49 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$16,412.81 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$47,881.60 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$24,420.26 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$18,307.37 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$20,874.14 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$17,716.34 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$18,155.73 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$18,180.69 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$14,842.43 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$15,753.34 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$15,780.16 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$12,494.03 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$20,803.02 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$17,166.35 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$14,538.48 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$27,713.18 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$58,195.09 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$58,195.09 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$48,112.74 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$14,648.20 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$14,626.06 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$75,298.25 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$19,013.25 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$15,594.01 |
— |
| Exc/Curettage Cyst/Tumor Metacarpal W/Autograft (26205) |
— |
$32,495.52 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$18,961.15 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$14,391.88 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$13,842.66 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$8,058.81 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$7,300.93 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$22,745.48 |
— |
| Excision H/P/P/U Complex Repair (11471) |
— |
$26,184.90 |
— |
Excision inferior turbinate partial/complete (30130)
range across 2 matching MRF lines |
— |
$17,020.08–$17,752.48 |
— |
| Excision lesion meniscus/capsule knee (27347) |
— |
$54,286.33 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$54,756.60 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$55,520.49 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$55,520.49 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$55,520.49 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$14,549.82 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$15,602.30 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$47,881.60 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$14,570.96 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$47,881.60 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$47,881.60 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$15,388.32 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$14,498.21 |
— |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
— |
$58,104.51 |
— |
| Excision of cervical stump, vaginal approach; with anterior and/or posterior repair Facility (57555) |
— |
$36,704.98 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$62,394.61 |
— |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
— |
$30,928.85 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$15,068.24 |
— |
Excision of pilonidal cyst or sinus; simple (11770)
range across 3 matching MRF lines |
— |
$15,761.46–$18,842.78 |
— |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
— |
$85,242.62 |
— |
| Excision of sublingual salivary cyst (ranula) (42408) |
— |
$13,188.43 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$33,933.90 |
— |
| Excision of vaginal septum (57130) |
— |
$15,358.34 |
— |
| Excision olecranon bursa (24105) |
— |
$22,553.91 |
— |
| Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft)… (23145) |
— |
$48,467.16 |
— |
Excision or curettage of bone cyst or benign tumor of femur; (27355)
range across 2 matching MRF lines |
— |
$19,502.02–$21,310.71 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) Facility (27357) |
— |
$16,359.95 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$16,635.22 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$17,578.74 |
— |
| Excision prepatellar bursa (27340) |
— |
$33,413.11 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$99,259.50 |
— |
| Excision tendon finger flexor/extensor each (26180) |
— |
$30,928.85 |
— |
| Excision tendon palm flexor/extensor single each (26170) |
— |
$30,928.85 |
— |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
— |
$22,260.16 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$18,307.53 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$14,305.68 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$13,089.45 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$16,580.47 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$56,254.69 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$58,104.51 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$58,104.51 |
— |
| Excision, trochanteric pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; with… (15958) |
— |
$58,104.51 |
— |
| Excision, trochanteric pressure ulcer, with primary suture; Facility (15950) |
— |
$58,104.51 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; Facility (15952) |
— |
$58,104.51 |
— |
| Excision, trochanteric pressure ulcer, with skin flap closure; with ostectomy Facility (15953) |
— |
$58,104.51 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$14,166.36 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$14,807.31 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
— |
$75,298.25 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$23,004.66 |
— |
| Excision/curettage cyst/tumor carpal bones (25130) |
— |
$13,190.65 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$18,657.66 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$74,949.68 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$33,170.60 |
— |
| Exploration of hip joint (27033) |
— |
$24,123.06 |
— |
| Exploration of knee joint (27310) |
— |
$21,485.35 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$7,174.99 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$2,682.96 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$1,810.18 |
— |
| Exploratory elbow surgery (24000) |
— |
$29,103.01 |
— |
| Explore/Treat Elbow Joint (24101) |
— |
$33,443.01 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$47,575.63 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$81,825.63 |
— |
| Explore/Treat Wrist Joint (25040) |
— |
$17,391.55 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$45,371.31 |
— |
Fasciotomy Iliotibial Open (27305)
range across 3 matching MRF lines |
— |
$23,828.23–$34,881.84 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$45,371.31 |
— |
| Fasciotomy, hip or thigh, any type (27025) |
— |
$31,970.54 |
— |
Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123)
range across 2 matching MRF lines |
— |
$16,840.94–$22,409.17 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$767.76 |
— |
| Fetal non-stress test (59025) |
— |
$767.76 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$2,682.96 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$52,477.69 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$25,855.98 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$1,067.88 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$52,477.69 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$3,214.47 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$21,442.82 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
— |
$54,185.80 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$14,549.82 |
— |
| Fusion Finger Joint (26860) |
— |
$22,438.63 |
— |
| Fusion of foot bones (28740) |
— |
$49,179.34 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$111,786.25 |
— |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
— |
$32,244.65 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$3,026.20 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$88,796.50 |
— |
| Hemiepiphyseal Arrest (24470) |
— |
$83,701.95 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$17,959.01 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$16,919.64 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$18,558.91 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
— |
$18,944.95 |
— |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
— |
$17,471.37 |
— |
Hip arthro acetabuloplasty (29915)
range across 3 matching MRF lines |
— |
$30,252.95–$53,488.14 |
— |
| Hip arthro w/labral repair (29916) |
— |
$29,611.42 |
— |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
— |
$17,525.78 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$16,333.23 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$21,548.06 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$20,879.23 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$20,879.28 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$12,691.76 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$24,394.63 |
— |
| I&d abscess peritonsillar (42700) |
— |
$953.47 |
— |
| I&d abscess simple (10060) |
— |
$15,210.40 |
— |
I&d deep absc bursa/hematoma thigh/knee region (27301)
range across 3 matching MRF lines |
— |
$21,888.03–$34,694.54 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$27,863.12 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$26,487.52 |
— |
| I&d perianal abscess superficial (46050) |
— |
$3,450.69 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$13,789.98 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$17,646.71 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$95,725.61 |
— |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
— |
$18,944.94 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$32,853.47 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$6,372.42 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$6,372.42 |
— |
| Incise external hemorrhoid (46083) |
— |
$1,072.85 |
— |
Incise finger tendon sheath (26055)
range across 3 matching MRF lines |
— |
$14,063.31–$14,578.15 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$19,044.63 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$19,834.23 |
— |
| Incision & drainage leg/ankle infected bursa (27604) |
— |
$10,347.61 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$25,621.20 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$15,708.67 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$767.76 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,263.55 |
— |
| Incision bone cortex foot (28005) |
— |
$18,064.51 |
— |
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines |
— |
$12,651.65–$14,082.47 |
— |
| Incision of eardrum (69421) |
— |
$16,966.99 |
— |
| Incision of eardrum (69420) |
— |
$9,961.80 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$8,675.21 |
— |
| Incision of rectal abscess (46040) |
— |
$13,733.16 |
— |
| Incision of tibia & fibula (27709) |
— |
$77,083.04 |
— |
| Incision&drainage bursa foot (28001) |
— |
$6,372.42 |
— |
Incision&Drainage Upper Arm/Elbow Bursa (23931)
range across 2 matching MRF lines |
— |
$19,050.41–$23,088.22 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$16,922.71 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$815.83 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$867.24 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
— |
$14,029.84–$19,055.50 |
— |
| Injection for identification of sentinel node (38792) |
— |
$50,240.60 |
— |
| Injection of sclerosing solution, hemorrhoids (46500) |
— |
$22,220.30 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$16,840.94 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,043.13 |
— |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines |
— |
$60,895.18–$72,370.60 |
— |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines |
— |
$67,604.89–$71,467.03 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$45,631.06 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$12,235.77 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$12,235.77 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$20,273.02 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$34,297.96 |
— |
| Insert and remove bone pin (20650) |
— |
$12,151.20 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$840.72 |
— |
| Insert cath pleura w/ image (32557) |
— |
$5,067.43 |
— |
| Insert cath pleura w/o image (32556) |
— |
$33,300.10 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$39,539.83 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$45,762.67 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$45,762.67 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$5,067.43 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$45,762.67 |
— |
| Insert pessary/other device (57160) |
— |
$767.76 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$29,544.43 |
— |
| Insert pulse gen dual leads (33213) |
— |
$45,762.67 |
— |
| Insert pulse gen mult leads (33221) |
— |
$81,892.95 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$34,297.96 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$43,426.59 |
— |
| Insert tun ip cath perc (49418) |
— |
$13,651.87 |
— |
| Insert tunneled cv cath (36561) |
— |
$22,292.29 |
— |
| Insert tunneled cv cath (36563) |
— |
$83,367.77 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$83,367.77 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$492.48 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$13,651.87 |
— |
| Insertion of cannula for hemodialysis, other purpose (separate procedure); arteriovenous, external revision, or closure… (36815) |
— |
$73,954.87 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$10,004.85 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$34,297.96 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$34,297.96 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$29,758.99 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$29,544.43 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$29,544.43 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$7,385.03 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$83,367.77 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$84,315.89 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$84,315.89 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$20,317.17 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$142,007.24 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$34,297.96 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$45,762.67 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,455.90 |
— |
| Intro cath dialysis circuit (36901) |
— |
$5,065.77 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$3,526.97 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$1,331.54 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$1,072.85 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$81,825.63 |
— |
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines |
— |
$21,054.28–$22,314.23 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$57,719.76 |
— |
| Lap impl electrode antrum (43647) |
— |
$52,434.75 |
— |
| Lap paraesoph her rpr w/mesh (43282) |
— |
$44,934.15 |
— |
| Lap paraesophag hern repair (43281) |
— |
$72,024.55 |
— |
| Lap replace gastr adj device (43773) |
— |
$48,503.64 |
— |
| Lap revision perm ip cath (49325) |
— |
$76,799.80 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$38,958.91 |
— |
| Laparoscopic myomectomy (58545) |
— |
$22,959.04 |
— |
Laparoscopy aspiration (49322)
range across 2 matching MRF lines |
— |
$19,936.15–$21,031.39 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$43,426.59 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$22,357.87 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$57,075.28 |
— |
| Laparoscopy salpingostomy (58673) |
— |
$27,648.87 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$36,390.23 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$37,942.63 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$39,003.86 |
— |
| Laparoscopy W/Lysis Of Adhesions (58660) |
— |
$29,687.45 |
— |
Laparoscopy w/rmvl adnexal structures (58661)
range across 4 matching MRF lines |
— |
$21,817.91–$30,373.28 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$39,193.53 |
— |
| Laparoscopy, surgical, esophageal sphincter augmentation procedure, placement of sphincter augmentation device (ie,… (43284) |
— |
$52,636.19 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$56,761.46 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$48,503.64 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$43,486.29 |
— |
| Laparoscopy, surgical, splenectomy (38120) |
— |
$89,887.14 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$37,264.72 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
— |
$41,370.39 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$31,005.20 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$59,741.95 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$33,033.10 |
— |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
— |
$60,133.36 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$26,358.46 |
— |
| Laparoscopy, Tubal Block (58671) |
— |
$20,874.55 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$21,692.23 |
— |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines |
— |
$22,402.41–$22,744.02 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$41,714.02 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$42,449.20 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$39,692.70 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$6,351.93 |
— |
| Laryngoscopy flexible ablatj destj lesion(s) uni (31572) |
— |
$6,351.93 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$6,351.93 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$6,351.93 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$6,351.93 |
— |
| Laryngoscopy W/Biopsy (31535) |
— |
$12,803.17 |
— |
Laryngoscopy w/biopsy microscope/telescope (31536)
range across 2 matching MRF lines |
— |
$12,396.17–$13,636.96 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$6,351.93 |
— |
Larynscop w/tumr exc + scope (31541)
range across 2 matching MRF lines |
— |
$12,487.76–$13,910.19 |
— |
| Late closure of wound (13160) |
— |
$17,626.09 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$58,376.24 |
— |
Lig&div long saph vein saphfem junct/interrupj (37700)
range across 2 matching MRF lines |
— |
$25,160.87–$32,521.25 |
— |
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines |
— |
$44,088.80–$47,583.62 |
— |
| Ligamentous reconstruction knee intra-articular (27428) |
— |
$50,523.14 |
— |
| Ligate leg veins open (37761) |
— |
$58,376.24 |
— |
| Ligate/strip long leg vein (37722) |
— |
$32,745.05 |
— |
| Ligate/strip short leg vein (37718) |
— |
$38,967.82 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$16,983.07 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$42,449.20 |
— |
| Lsh uterus above 250 g (58543) |
— |
$42,449.20 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$42,449.20 |
— |
Manipulation knee joint under general anesthesia (27570)
range across 3 matching MRF lines |
— |
$6,892.72–$31,723.22 |
— |
Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700)
range across 3 matching MRF lines |
— |
$6,795.64–$6,865.78 |
— |
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines |
— |
$14,803.02–$15,538.84 |
— |
| Mast mod rad (19307) |
— |
$44,898.94 |
— |
| Mastectomy partial (19301) |
— |
$16,199.92 |
— |
| Mastectomy simple complete (19303) |
— |
$66,265.59 |
— |
| Maternity Care Procedure (59899) |
— |
$27,589.30 |
— |
| Metatarsectomy (28140) |
— |
$29,156.35 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$47,881.60 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$57,962.69 |
— |
| Multiple osteotomies with realignment on intramedullary rod, humeral shaft (Sofield type procedure) Facility (24410) |
— |
$94,123.80 |
— |
| Myelography Lumbar Injection (62305) |
— |
$3,203.63 |
— |
| Myelography Lumbar Injection (62304) |
— |
$6,188.93 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$3,203.63 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$3,203.63 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$1,173.42 |
— |
| N Block Inj Pudendal (64430) |
— |
$15,704.98 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$18,506.60 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$1,611.77 |
— |
Nasal/sinus endoscopy w/maxillary antrostomy (31256)
range across 4 matching MRF lines |
— |
$19,839.77–$22,321.62 |
— |
Nasal/Sinus Endoscopy W/Sphenoidotomy (31287)
range across 2 matching MRF lines |
— |
$19,086.24–$20,877.07 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$17,559.80 |
— |
Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240)
range across 2 matching MRF lines |
— |
$17,752.48–$21,365.61 |
— |
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 3 matching MRF lines |
— |
$15,711.67–$17,189.87 |
— |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
— |
$21,270.51 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$18,125.24 |
— |
Nasal/sinus ndsc w/partial ethmoidectomy (31254)
range across 3 matching MRF lines |
— |
$20,356.75–$20,672.20 |
— |
Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276)
range across 3 matching MRF lines |
— |
$20,696.16–$23,033.29 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$20,882.76 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$32,853.47 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$6,372.42 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$6,372.42 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 3 matching MRF lines |
— |
$17,251.55–$24,522.18 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,431.01 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$4,831.72 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$4,241.65 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$19,793.65 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$2,774.16 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$19,793.65 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$19,793.65 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$2,774.16 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$19,793.65 |
— |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
— |
$22,220.30 |
— |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
— |
$22,220.30 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$2,605.01 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$22,220.30 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$15,880.07 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$22,220.30 |
— |
Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267)
range across 4 matching MRF lines |
— |
$20,694.66–$21,890.24 |
— |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
— |
$20,256.67 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$15,448.28 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$62,429.94 |
— |
Open Repair of Rotator Cuff Acute (23410)
range across 3 matching MRF lines |
— |
$48,422.76–$49,543.23 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$42,369.39 |
— |
| Open treatment calcaneal fracture (28415) |
— |
$61,708.44 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$71,195.61 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$27,004.17 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$41,181.26 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$77,737.72 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$83,701.95 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$22,159.14 |
— |
| Open treatment metacarpophalangeal dislocation (26715) |
— |
$32,495.52 |
— |
Open treatment metatarsal fracture each (28485)
range across 2 matching MRF lines |
— |
$21,580.69–$33,584.81 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$44,369.62 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$31,835.03 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$88,154.94 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$72,287.28 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
— |
$74,617.10 |
— |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
— |
$74,617.10 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$88,154.94 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$73,144.30 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$73,024.91 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$56,598.08 |
— |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair Facility (27557) |
— |
$109,125.29 |
— |
| Open treatment of knee dislocation, includes internal fixation, when performed; with primary ligamentous repair, with… (27558) |
— |
$109,125.29 |
— |
| Open treatment of knee dislocation, includes internal fixation, when performed; without primary ligamentous repair or… (27556) |
— |
$109,125.29 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$62,429.94 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$62,429.94 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$72,287.28 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$72,287.28 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$71,057.90 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$70,957.04 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$50,340.70 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$28,936.61 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$44,902.90 |
— |
| Open treatment posterior malleolus fracture (27769) |
— |
$102,294.29 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$31,512.20 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$46,442.09 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$22,073.54 |
— |
Open Tx Acute/Chronic Elbow Dislocation (24615)
range across 2 matching MRF lines |
— |
$24,703.83–$31,907.47 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$42,323.27 |
— |
Open tx carpal scaphoid navicular fracture (25628)
range across 2 matching MRF lines |
— |
$23,375.91–$24,250.81 |
— |
| Open Tx Depressed Malar Fracture (21360) |
— |
$42,362.43 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$26,591.69 |
— |
Open Tx Distal Phalangeal Fracture Each (26765)
range across 2 matching MRF lines |
— |
$16,418.97–$18,239.01 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$43,514.61 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$88,154.94 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$88,154.94 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$49,986.51 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$21,993.70 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$23,919.14 |
— |
Open Tx Metacarpal Fracture Single Ea Bone (26615)
range across 3 matching MRF lines |
— |
$23,278.46–$58,907.86 |
— |
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735)
range across 2 matching MRF lines |
— |
$20,831.35–$22,624.10 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$20,953.25 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$59,343.29 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$61,968.29 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$69,701.61 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$52,197.08 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$40,930.75 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$43,702.43 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$44,789.33 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$36,550.38 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$42,810.96 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$73,024.91 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$39,091.11 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$69,701.61 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$71,195.61 |
— |
Ostectomy calcaneus (28118)
range across 2 matching MRF lines |
— |
$38,185.01–$60,789.43 |
— |
Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110)
range across 2 matching MRF lines |
— |
$15,240.09–$16,371.12 |
— |
| Osteochondral talus autogrft (28446) |
— |
$42,142.44 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$75,029.97 |
— |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
— |
$61,968.29 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$20,448.99 |
— |
| Osteotomy calcaneus w/wo internal fixation (28300) |
— |
$61,968.29 |
— |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
— |
$61,968.29 |
— |
| Osteotomy Tibia (27705) |
— |
$77,083.04 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$72,287.28 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$76,106.37 |
— |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
— |
$25,720.36 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$65,571.09 |
— |
| Ovarian cystectomy, unilateral or bilateral (58925) |
— |
$23,243.29 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$21,570.97 |
— |
| Part remv talus or calcaneus (28120) |
— |
$31,482.24 |
— |
| Partial excision bone metacarpal (26230) |
— |
$15,962.93 |
— |
| Partial excision bone olecranon process (24147) |
— |
$23,088.22 |
— |
Partial Excision Distal Phalanx Finger (26236)
range across 2 matching MRF lines |
— |
$20,285.87–$20,819.37 |
— |
| Partial excision of lip (40520) |
— |
$13,269.94 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$12,550.34 |
— |
| Partial removal of fibula (27641) |
— |
$76,664.71 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$13,795.09 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$23,414.91 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$13,989.91 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$2,682.96 |
— |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
— |
$126,214.98 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$7,632.65 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$12,151.20 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,682.96 |
— |
| Perq device breast 1st imag (19281) |
— |
$2,683.05 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$12,151.20 |
— |
Perq skel fixj distal radial fx/epiphysl sep (25606)
range across 3 matching MRF lines |
— |
$12,091.92–$16,542.44 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$27,597.23 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$27,597.23 |
— |
Phleb Veins - Extrem 20+ (37766)
range across 2 matching MRF lines |
— |
$30,959.56–$34,065.92 |
— |
| Place Cath Subclavian Art (36225) |
— |
$9,740.22 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$1,611.77 |
— |
| Placement of seton (46020) |
— |
$28,918.15 |
— |
| Plastic Repair Introitus (56800) |
— |
$36,704.98 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$13,651.87 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$8,058.81 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$10,537.80 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$10,537.80 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$14,122.78 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$40,343.65 |
— |
| Prim art mech thrombectomy (37184) |
— |
$21,670.88 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$55,299.65 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$55,299.65 |
— |
| Prophylactic treatment (nailing, pinning, plating or wiring) with or without methylmethacrylate; proximal humerus… (23491) |
— |
$93,340.15 |
— |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
— |
$65,468 |
— |
| Prosthesis Removal Humeral/Glenoid Component (23334) |
— |
$50,986.37 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$2,682.96 |
— |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
— |
$19,793.65 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$13,651.87 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$13,651.87 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$33,382.82 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$12,737.50 |
— |
| Prq Skeletal Fixj Calcaneal Fracture W/Manj (28406) |
— |
$126,214.98 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$74,147.22 |
— |
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines |
— |
$15,254.44–$26,999.65 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$2,873.64 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$52,922.15 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$1,455.90 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$3,952.09 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$42,108.23 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$58,195.09 |
— |
| Rad resection tumor soft tissue abdl wall 5 cm/> (22905) |
— |
$26,184.90 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of abdominal wall; less than 5 cm Facility (22904) |
— |
$14,345.84 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$18,012.29 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$47,735.84 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$53,655.28 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
— |
$58,195.09 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; 5 cm or greater Facility (24079) |
— |
$47,938.90 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of upper arm or elbow area; less than 5 cm Facility (24077) |
— |
$47,938.90 |
— |
| Radical Resection Tumor Metacarpal (26250) |
— |
$15,962.93 |
— |
| Realignment of knee (27455) |
— |
$71,195.61 |
— |
| Reconstruct elbow lat ligmnt (24344) |
— |
$32,213.83 |
— |
| Reconstruct elbow med ligmnt (24346) |
— |
$25,613.84 |
— |
| Reconstruct finger joint (26545) |
— |
$30,928.85 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$48,681.06 |
— |
| Reconstruction of dislocating patella; with patellectomy Facility (27424) |
— |
$75,330.15 |
— |
| Reinforce hip bones (27187) |
— |
$69,001.41 |
— |
| Reinforce tibia (27745) |
— |
$77,083.04 |
— |
Release of shoulder ligament (23415)
range across 2 matching MRF lines |
— |
$45,878.36–$49,261.98 |
— |
| Release or recession, hamstring, proximal Facility (27097) |
— |
$55,890.04 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$7,174.99 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$12,235.77 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$3,520.55 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$12,457.71 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$6,372.42 |
— |
| Removal foreign body foot deep (28192) |
— |
$13,044.53 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$28,769.55 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$242.19 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$10,470.72 |
— |
| Removal Implant Deep (20680) |
— |
$19,971.39 |
— |
| Removal of anal fissure (46200) |
— |
$20,093.70 |
— |
| Removal of bladder cyst (51500) |
— |
$99,259.50 |
— |
Removal of heel spur (28119)
range across 3 matching MRF lines |
— |
$16,799.13–$24,088.58 |
— |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
— |
$127,942.20 |
— |
| Removal of hip prosthesis; complicated, including total hip prosthesis, methylmethacrylate with or without insertion of… (27091) |
— |
$122,694.83 |
— |
| Removal of knee prosthesis (27488) |
— |
$142,208.39 |
— |
Removal of nail bed (11750)
range across 3 matching MRF lines |
— |
$12,812.19–$13,794.59 |
— |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
— |
$50,986.37 |
— |
Removal of sperm cord lesion (55520)
range across 2 matching MRF lines |
— |
$22,386.36–$22,847.19 |
— |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
— |
$30,928.85 |
— |
| Removal of tendon for graft (20924) |
— |
$30,928.85 |
— |
| Removal of testis (54520) |
— |
$25,926.46 |
— |
Removal of tonsils (42826)
range across 2 matching MRF lines |
— |
$12,925.49–$13,196.21 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$76,799.80 |
— |
| Removal ppm generator only (33233) |
— |
$34,297.96 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$18,595.41 |
— |
| Removal sweat gland lesion (11450) |
— |
$23,616.52 |
— |
| Remove drug implant device (11982) |
— |
$21,991.89 |
— |
| Remove Elbow Joint Lining (24102) |
— |
$31,735.63 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$14,500.86 |
— |
| Remove foreign body from eye (65205) |
— |
$837.38 |
— |
| Remove Hand Bone Lesion (26200) |
— |
$11,497.12 |
— |
| Remove hip pressure sore (15941) |
— |
$58,104.51 |
— |
| Remove hip pressure sore (15940) |
— |
$58,104.51 |
— |
| Remove humerus lesion (24110) |
— |
$24,289.05 |
— |
| Remove Intrauterine Device (58301) |
— |
$20,897.61 |
— |
| Remove intrvas foreign body (37197) |
— |
$12,235.77 |
— |
| Remove knee joint lining (27334) |
— |
$71,150.33 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$17,159.11 |
— |
| Remove lung catheter (32552) |
— |
$3,293.17 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$492.48 |
— |
| Remove Pulse Generator (33241) |
— |
$14,500.86 |
— |
| Remove radius head implant (24164) |
— |
$24,547.07 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$2,605.01 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$95,725.61 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$15,974.50 |
— |
| Remove thigh pressure sore (15951) |
— |
$58,104.51 |
— |
| Remove thigh pressure sore (15956) |
— |
$58,104.51 |
— |
| Remove ureter stent percut (50384) |
— |
$6,626.12 |
— |
| Remove&replace pm gen singl (33227) |
— |
$34,297.96 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$62,394.61 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$101,892.36 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$142,007.24 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$45,762.67 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$81,892.95 |
— |
| Renal Biopsy Perq (50200) |
— |
$6,626.12 |
— |
| Reopen fallopian tube (58350) |
— |
$24,113.80 |
— |
Repair Achilles Tendon (27650)
range across 2 matching MRF lines |
— |
$29,909.98–$49,254.49 |
— |
Repair Collat Ankle Ligmnt,Secondary (27698)
range across 3 matching MRF lines |
— |
$29,247.63–$42,081.05 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$2,236.90 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,455.90 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$17,802.34 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$2,236.90 |
— |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines |
— |
$23,581.49–$30,265.83 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$21,024.22 |
— |
| Repair Elbow Perc (24357) |
— |
$90,574.29 |
— |
Repair extensor tendon finger w/o graft each (26418)
range across 2 matching MRF lines |
— |
$23,243.45–$42,323.27 |
— |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
— |
$30,928.85 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$19,126.81 |
— |
Repair Flexor Tendon Leg Primary W/O Graft Each (27658)
range across 3 matching MRF lines |
— |
$15,663.95–$24,849.02 |
— |
| Repair Foot Dislocation (28615) |
— |
$29,376.56 |
— |
| Repair Forearm Tendon Sheath (25275) |
— |
$33,892.86 |
— |
| Repair forearm tendon/muscle (25265) |
— |
$84,410.89 |
— |
| Repair Hallux Rigidus (28289) |
— |
$16,226.70 |
— |
| Repair Hand Tendon (26410) |
— |
$6,083.90 |
— |
| Repair incomplete circumcision (54163) |
— |
$12,745.82 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$153,207.36 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$153,207.36 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,455.90 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,455.90 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,455.90 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,455.90 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$2,236.90 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$13,737.08 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$14,575.09 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$2,236.90 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$16,275.07 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$15,452.61 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$15,188.93 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,906.93 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$16,453.41 |
— |
| Repair lower leg epiphyses (27734) |
— |
$62,394.61 |
— |
| Repair lower leg tendons (27676) |
— |
$26,770.52 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$69,701.61 |
— |
| Repair of arm tendon (24320) |
— |
$84,410.89 |
— |
| Repair of biceps tendon (24340) |
— |
$92,276.47 |
— |
| Repair of fibula epiphysis (27732) |
— |
$62,394.61 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$32,194.34 |
— |
| Repair of metatarsals (28322) |
— |
$29,211.78 |
— |
| Repair of nail bed (11760) |
— |
$2,236.90 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$62,429.94 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$28,773.21 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$69,701.61 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$69,701.61 |
— |
Repair of Ruptured Tendon (24342)
range across 3 matching MRF lines |
— |
$22,538.49–$28,173.62 |
— |
| Repair of shoulder (23420) |
— |
$75,017.42 |
— |
| Repair paravag defect vag (57285) |
— |
$36,704.98 |
— |
| Repair radius & ulna (25415) |
— |
$43,767.89 |
— |
| Repair recurrent femoral hernia; reducible Facility (49555) |
— |
$153,207.36 |
— |
Repair Rotator Cuff Chronic (23412)
range across 3 matching MRF lines |
— |
$45,636.85–$50,184.09 |
— |
Repair secondary achilles tendon w/wo graft (27654)
range across 2 matching MRF lines |
— |
$30,063.89–$45,909.58 |
— |
| Repair shoulder capsule (23462) |
— |
$42,126.55 |
— |
| Repair Spica/Body/Jacket Cast (29720) |
— |
$61,433.81 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$12,151.20 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$32,015.30 |
— |
| Repair tongue laceration (41252) |
— |
$803.65 |
— |
| Repair tongue laceration (41250) |
— |
$492.48 |
— |
| Repair umbilical lesion (49600) |
— |
$99,259.50 |
— |
| Repair webbed toe(s) (28345) |
— |
$45,371.31 |
— |
Repair, primary, disrupted ligament, ankle; collateral (27695)
range across 2 matching MRF lines |
— |
$48,112.74–$54,075.38 |
— |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405)
range across 3 matching MRF lines |
— |
$18,213.09–$40,915.19 |
— |
Repair/graft achilles tendon (27652)
range across 2 matching MRF lines |
— |
$31,356.74–$42,139.16 |
— |
| Replace elbow joint (24363) |
— |
$104,632.66 |
— |
| Replace G-J Tube Perc (49452) |
— |
$3,526.97 |
— |
| Replace g/c tube perc (49450) |
— |
$3,526.97 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$12,235.77 |
— |
| Reposition Venous Catheter (36597) |
— |
$5,067.43 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$36,881.86 |
— |
Rerepair ing hernia reduce (49520)
range across 3 matching MRF lines |
— |
$22,985.76–$32,588.58 |
— |
| Resect forarm/wrist tum 3cm> (25078) |
— |
$18,605.30 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$58,195.09 |
— |
| Resect Shoulder Tumor 5 Cm/> (23078) |
— |
$47,938.90 |
— |
| Resect shoulder tumor < 5 cm (23077) |
— |
$47,938.90 |
— |
| Resection of elbow joint (arthrectomy) Facility (24155) |
— |
$31,735.63 |
— |
| Resection/transplantation long tendon biceps (23440) |
— |
$33,744.80 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
— |
$15,968.69 |
— |
| Revis Elbow Arthrplsty Humeral/Ulna Compnt (24370) |
— |
$104,632.66 |
— |
| Revis reconst shoulder joint (23473) |
— |
$76,183.96 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$112,747.04 |
— |
| Revise Abdomen-Venous Shunt (49426) |
— |
$55,973.23 |
— |
| Revise finger joint each (26140) |
— |
$26,435.13 |
— |
| Revise Lower Leg Tendons (27686) |
— |
$66,738.19 |
— |
| Revise reconst elbow joint (24371) |
— |
$104,632.66 |
— |
| Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) Facility (44345) |
— |
$86,206.12 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
— |
$86,206.12 |
— |
| Revision of humerus (24400) |
— |
$83,701.95 |
— |
| Revision of knee joint (27442) |
— |
$113,104.33 |
— |
| Revision of lower leg tendon (27685) |
— |
$32,960.02 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$101,848.50 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$85,203.77 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$159,591.05 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$39,846.86 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$15,968.69 |
— |
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines |
— |
$8,934.94–$9,047.35 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,567.04 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$58,104.51 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$95,725.61 |
— |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
— |
$30,928.85 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$14,500.86 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$14,080.23 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$13,633.75 |
— |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
— |
$117,447.46 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$3,574.89 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$73,954.87 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$73,954.87 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$73,954.87 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$73,954.87 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$73,954.87 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$17,759.16 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$12,235.77 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$31,475.96 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$33,035.07 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$28,660.47 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$34,714.59 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$29,073.69 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$30,367.98 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$30,453.58 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$27,501.66 |
— |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
— |
$46,272.91 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$815.83 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,455.90 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$803.65 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$69,701.61 |
— |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696)
range across 2 matching MRF lines |
— |
$20,355.69–$40,759.06 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$25,559.16 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$12,151.20 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$12,151.20 |
— |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$30,928.85 |
— |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
— |
$30,928.85 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$25,239.27 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
— |
$30,928.85 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$2,853.74 |
— |
Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520)
range across 2 matching MRF lines |
— |
$20,273.39–$21,881.95 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$6,011.95 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$5,765.61 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$57,962.69 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$47,881.60 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$47,881.60 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$47,881.60 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$47,881.60 |
— |
| Shoulder Arthroscopy/Surgery (29825) |
— |
$22,267.45 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$57,962.69 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$57,962.69 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$57,962.69 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$55,299.65 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$55,299.65 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$5,160.38 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$5,309.98 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,455.90 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$815.83 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$815.83 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$815.83 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$37,013.43 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$47,048.41 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$815.83 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$815.83 |
— |
| Sinusotomy frontal; obliterative, with osteoplastic flap, coronal incision Facility (31085) |
— |
$20,694.66 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$52,922.15 |
— |
| Skin Pinch Graft (15050) |
— |
$52,922.15 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$16,679.15 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$24,785.39 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$20,993.16 |
— |
| Skin Tissue Procedure (17999) |
— |
$24,767.72 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$27,791.05 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$28,400.32 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$815.83 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,455.90 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,455.90 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$13,310.36 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$2,774.16 |
— |
Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765)
range across 3 matching MRF lines |
— |
$21,888.96–$36,763.26 |
— |
| Strapping ankle (29540) |
— |
$623.47 |
— |
| Strapping elbow or wrist (29260) |
— |
$514.03 |
— |
| Strapping hand/finger (29280) |
— |
$514.03 |
— |
| Strapping Hip (29520) |
— |
$74,762.89 |
— |
| Strapping knee (29530) |
— |
$492.48 |
— |
| Strapping shoulder (29240) |
— |
$514.03 |
— |
| Strapping thorax (29200) |
— |
$635.09 |
— |
| Strapping toes (29550) |
— |
$321.69 |
— |
| Strapping Unna Boot (29580) |
— |
$571.99 |
— |
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 3 matching MRF lines |
— |
$19,552.74–$21,467.70 |
— |
| Surg Tx Anal Fistula 2nd Stage (46285) |
— |
$13,481.55 |
— |
| Surgery to stop leg growth (27479) |
— |
$62,394.61 |
— |
| Surgery to stop leg growth (27477) |
— |
$62,394.61 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$15,902.51 |
— |
| Suture 1 Nerve Median Motor Thenar (64835) |
— |
$25,239.27 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
— |
$57,987.06 |
— |
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 3 matching MRF lines |
— |
$33,079.96–$49,116.59 |
— |
| Synovectomy carpometacarpal joint (26130) |
— |
$26,435.13 |
— |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
— |
$26,435.13 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$16,226.66 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$52,922.15 |
— |
| Tendon transfer with graft (26492) |
— |
$30,928.85 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$46,125.42 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$14,852.01 |
— |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
— |
$24,899.76 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$6,083.90 |
— |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
— |
$66,738.19 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$66,738.19 |
— |
Tenotomy, hip flexor(s), open (27005)
range across 2 matching MRF lines |
— |
$24,501.80–$25,720.36 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$6,083.90 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$5,065.77 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$20,273.02 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$1,384.73 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$12,235.77 |
— |
| Thyroid biopsy (60100) |
— |
$2,682.96 |
— |
| Tlh uterus over 250 g (58572) |
— |
$36,886.33 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$33,443.01 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$24,750.79 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$13,183.92 |
— |
| Total Knee Arthroplasty (27447) |
— |
$76,960.31 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$42,982.34 |
— |
| Treat ankle dislocation (27848) |
— |
$102,294.29 |
— |
| Treat ankle fracture (28445) |
— |
$61,968.29 |
— |
| Treat dislocation/fracture (23670) |
— |
$42,842.94 |
— |
| Treat dislocation/fracture (23680) |
— |
$77,737.72 |
— |
Treat ectopic pregnancy (59151)
range across 3 matching MRF lines |
— |
$26,785.56–$33,809.34 |
— |
| Treat elbow fracture (24586) |
— |
$68,801.97 |
— |
| Treat Elbow Fracture (24635) |
— |
$62,429.94 |
— |
| Treat elbow fracture (24587) |
— |
$66,951.66 |
— |
| Treat Finger Fracture Each (26727) |
— |
$15,312.15 |
— |
| Treat fracture radius/ulna (25575) |
— |
$44,899.84 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$47,553.17 |
— |
| Treat Hand Bone Lesion (26034) |
— |
$13,413.24 |
— |
| Treat humerus fracture (24500) |
— |
$1,043 |
— |
| Treat Humerus Fracture (24505) |
— |
$6,083.90 |
— |
| Treat humerus fracture (23600) |
— |
$1,043 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$1,043 |
— |
| Treat kneecap dislocation (27566) |
— |
$74,476.03 |
— |
| Treat Kneecap Fracture (27524) |
— |
$34,232.97 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$1,043 |
— |
| Treat lower leg dislocation (27832) |
— |
$71,032.62 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$1,043 |
— |
| Treat midfoot fracture (28456) |
— |
$126,214.98 |
— |
Treat scapula fracture (23585)
range across 2 matching MRF lines |
— |
$54,152.82–$80,242.42 |
— |
| Treat Thumb Dislocation (26641) |
— |
$1,043 |
— |
| Treat Thumb Fracture (26645) |
— |
$6,083.90 |
— |
| Treat thumb fracture (26665) |
— |
$25,987.65 |
— |
| Treat toe dislocation (28630) |
— |
$1,043 |
— |
| Treat/graft heel fracture (28420) |
— |
$61,968.29 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$6,083.90 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,043 |
— |
| Treatment of ankle fracture (27823) |
— |
$102,294.29 |
— |
| Treatment of foot infection (28003) |
— |
$29,156.35 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$73,024.91 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$64,463.96 |
— |
| Treatment of tibia fracture (27756) |
— |
$61,152.30 |
— |
| Trim skin lesion (11055) |
— |
$5,182.01 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$996.99 |
— |
| Trim skin lesions over 4 (11057) |
— |
$781.31 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$21,672.51 |
— |
| Tubal ligation (58600) |
— |
$20,597.39 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$17,529.75 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$1,169.01 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$68,627.74 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$15,256.77 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$73,024.91 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$15,141.02 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$26,048.75 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$16,128.93 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$2,236.90 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$6,083.90 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$1,043 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$48,661.97 |
— |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$10,106.74 |
— |
Tympanostomy general anesthesia (69436)
range across 4 matching MRF lines |
— |
$10,604.17–$11,275.51 |
— |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
— |
$14,520.34 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$76,064.10 |
— |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
— |
$797.38 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$15,778.68 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$12,504.86 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$29,882.91 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$51,881.54 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$44,099.83 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$24,775.19 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$56,349.21 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$43,890.45 |
— |
| Unlisted procedure anus (46999) |
— |
$15,883.22 |
— |
| Unlisted procedure arthroscopy (29999) |
— |
$22,219.64 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$114,771.83 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$50,310.94 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$7,521.54 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$58,376.63 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$19,151.85 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$39,812.05 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$3,526.97 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$9,879.40 |
— |
| Unlisted procedure liver (47399) |
— |
$15,778.68 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$1,043 |
— |
| Unlisted procedure nervous system (64999) |
— |
$941.40 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$25,905.36 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$21,686.28 |
— |
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines |
— |
$7,273.39–$11,462.80 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$81,307.22 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$19,460.73 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$3,526.97 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$16,786.75 |
— |
| Upgrade of pacemaker system (33214) |
— |
$45,762.67 |
— |
| Vag hyst complex (58290) |
— |
$39,494.95 |
— |
| Vag hyst incl t/o complex (58291) |
— |
$42,284.92 |
— |
| Vag hyst w/t/o & vag repair (58263) |
— |
$42,284.92 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$15,778.68 |
— |
| Vaginal delivery only (59409) |
— |
$10,937.42 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$47,982.98 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
— |
$42,284.92 |
— |
| Vaginal hysterectomy, for uterus greater than 250 g; with removal of tube(s) and/or ovary(s), with repair of enterocele… (58292) |
— |
$42,284.92 |
— |
| Vaginal hysterectomy, for uterus greater than 250 g; with repair of enterocele Facility (58294) |
— |
$42,284.92 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$36,994.88 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$44,789.33 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$21,670.87 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$9,670.55 |
— |
Vulvectomy simple partial (56620)
range across 2 matching MRF lines |
— |
$15,324.25–$17,443.12 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$13,152.19 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$17,705.80 |
— |
| Xfer Single Deep Low Leg Tendon (27691) |
— |
$26,999.65 |
— |