| Abd paracentesis w/imaging (49083) |
$1,160 |
$6,232.50 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,160 |
$5,070.90 |
1.0× |
| Ablate inf turbinate submuc (30802) |
$1,985 |
$7,885.41 |
1.0× |
Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) range across 2 matching MRF lines |
$4,535 |
$19,900–$19,900.01 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,640 |
$6,120.83 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,640 |
$8,150 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$4,187 |
$18,107 |
1.0× |
| Amputate Metacarpal Bone (26910) |
$4,187 |
$10,864.20 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$4,187 |
$13,000 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$4,187 |
$13,000 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,187 |
$12,500 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$3,552 |
$12,500 |
1.0× |
Anterior colporraphy rpr cystocele w/cysto (57240) range across 2 matching MRF lines |
$6,402 |
$15,531.25–$15,531.30 |
1.0× |
| Application finger splint static (29130) |
$170 |
$839.80 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$207 |
$1,052.19 |
1.0× |
| Application Long Leg Splint (29505) |
$207 |
$1,052.19 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$170 |
$923.78 |
1.0× |
| Application short leg splint calf foot (29515) |
$207 |
$1,052.19 |
1.0× |
| Apply hand/wrist cast (29085) |
$207 |
$8,666.66 |
1.0× |
| Apply long arm cast (29065) |
$357 |
$16,250 |
1.0× |
| Arterial puncture (36600) |
$170 |
$923.78 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,041 |
$30,000 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$16,431 |
$17,875 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$392 |
$1,656.85 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$903 |
$3,172.95 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$392 |
$1,945.83–$9,124.66 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$392 |
$1,558.05 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$392 |
$994.11 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$9,286 |
$5,250 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$22,440 |
$35,625 |
1.0× |
| Arthroplasty Radial Head W/Implant (24366) |
$16,431 |
$33,750 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$4,187 |
$9,458.33 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$4,187 |
$13,750 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$9,286 |
$27,500 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,187 |
$15,000 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$9,286 |
$10,349.40 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,187 |
$9,166.66 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,187 |
$22,500 |
1.0× |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
$9,286 |
$23,518.75–$23,518.80 |
1.0× |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
$9,286 |
$20,713.20–$20,713.21 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$16,431 |
$39,738.90 |
1.0× |
| Arthrp Intercarpal/Carp/Mtcrpl Jt Suspension (25448) |
$4,187 |
$21,000 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$16,431 |
$40,125 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$9,286 |
$22,766.70 |
1.0× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$16,431 |
$34,375 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,187 |
$16,250 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$802 |
$4,298.04 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$802 |
$3,220.52 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$392 |
$1,475.95 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,675 |
$9,400 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$256 |
$1,337.44 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$2,113 |
$10,479 |
1.0× |
| Biopsy bone open deep (20245) |
$3,717 |
$14,127 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,717 |
$12,000 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$2,113 |
$5,441.72 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$2,113 |
$7,497.75 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$5,011 |
$13,750 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,113 |
$10,479 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,113 |
$8,101.20 |
1.0× |
| Bladder Irrigation (51700) |
$319 |
$1,585.44 |
1.0× |
| Bladder Scan (51798) |
$75 |
$342.17 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$406 |
$1,558.57 |
1.0× |
| Blood Transfusion Service (36430) |
$564 |
$3,251.70 |
1.0× |
| Bone Marrow Biopsy (38221) |
$2,113 |
$8,383.19 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$2,113 |
$8,383.19 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,278 |
$8,085.70 |
1.0× |
| Bronch Thermoplsty 1 Lobe (31660) |
$9,032 |
$32,606 |
1.0× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$9,032 |
$32,606 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$2,278 |
$9,494.55 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$500 |
$1,945.25 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,278 |
$8,914.10 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,771 |
$18,434.80 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$2,113 |
$7,497.75 |
1.0× |
| Bx Cervix (57500) |
$1,178 |
$4,700 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$5,011 |
$6,591.43 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$2,499 |
$9,400 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$280 |
$1,312.46 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$4,143 |
$9,400 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$4,041 |
$17,830.90 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$319 |
$1,981.80 |
1.0× |
| Change of Windpipe Airway (31502) |
$303 |
$1,260.49 |
1.0× |
| Chemical Cautery Tissue (17250) |
$256 |
$882.25 |
1.0× |
| Chest tube placement (32551) |
$2,014 |
$10,472.90 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,582 |
$18,956.20 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,675 |
$11,883.30 |
1.0× |
| Circumcision Neonate (54160) |
— |
$2,292.80 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,058 |
$7,656.65 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,058 |
$8,990.74 |
1.0× |
Claviculectomy partial (23120) range across 2 matching MRF lines |
$4,187 |
$18,333.30–$18,333.34 |
1.0× |
| Clear outer ear canal (69200) |
$170 |
$839.80 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$315 |
$1,035.05 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,058 |
$5,394.45 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$315 |
$1,075.89 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$315 |
$1,228.03 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,058 |
$8,298.68 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$315 |
$791.52 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$315 |
$1,669.75 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,058 |
$7,656.65 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,058 |
$5,394.45 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,243 |
$8,527 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$315 |
$1,319.20 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,058 |
$8,298.68 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,058 |
$8,298.68 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$315 |
$1,123.45 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$315 |
$1,228.03 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,058 |
$8,002.05 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$315 |
$1,530.91 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,058 |
$8,990.74 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$315 |
$791.52 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$315 |
$1,418.13 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$315 |
$1,228.03 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,058 |
$8,990.74 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$315 |
$1,319.20 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,058 |
$8,298.68 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$315 |
$1,388.54 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$315 |
$1,228.03 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$315 |
$1,319.20 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$315 |
$1,319.20 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$315 |
$1,319.20 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$315 |
$1,243.27 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$315 |
$1,319.20 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,058 |
$5,394.45 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$315 |
$791.52 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$315 |
$1,228.03 |
1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$315 |
$1,283.30 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,058 |
$8,298.68 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$315 |
$791.52 |
1.0× |
| Cmbnd anterpost colporraphy w/cysto w/ntrcl rpr (57265) |
$6,402 |
$14,350 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$67.62 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,531 |
$3,960.81 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,531 |
$5,895.40 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,531 |
$6,178.41 |
1.0× |
| Colonoscopy thru stoma (44388) |
$1,190 |
$4,728.22 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,531 |
$6,178.41 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,531 |
$3,960.81 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,531 |
$6,601.34 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,531 |
$5,895.40 |
1.0× |
| Colonoscopy W/Resection (45390) |
$3,552 |
$12,475.20 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,531 |
$7,723.01 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$9,490 |
$11,375 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,531 |
$6,178.41 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,531 |
$6,178.41 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,531 |
$6,601.34 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$6,402 |
$26,000 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$4,143 |
$10,540.80 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$170 |
$714.58 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$170 |
$839.80 |
1.0× |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
$16,431 |
$13,750 |
1.0× |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
$2,113 |
$1,879.75–$9,069.54 |
1.0× |
| Correction hammertoe (28285) |
$4,187 |
$12,500 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,187 |
$19,062.50 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$4,187 |
$5,585.93 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$170 |
$708 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,675 |
$10,850 |
1.0× |
| Cysto w/complex removal stone & stent (52315) |
$2,675 |
$15,625 |
1.0× |
Cysto w/dilat rx balo cath urtl strix/sten male (52284) range across 2 matching MRF lines |
$6,862 |
$16,041.67–$16,041.70 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$4,511 |
$14,533.30 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$4,511 |
$13,937.50 |
1.0× |
| Cysto w/rescj/fulg orthopic ureterocele uni/bi (52300) |
$4,511 |
$12,500 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$4,511 |
$7,175 |
1.0× |
Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) range across 2 matching MRF lines |
$4,511 |
$11,979.17–$11,979.20 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$6,862 |
$20,990.70 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,675 |
$12,500 |
1.0× |
| Cystourethroscopy (52000) |
$892 |
$27,500 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$4,511 |
$13,000 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$6,862 |
$24,600 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,675 |
$11,700 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,717 |
$13,750 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$945 |
$3,060.65 |
1.0× |
| Debride nail 6 or more (11721) |
$75 |
$9,400 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$520 |
$5,449 |
1.0× |
| Deep Muscle Biopsy (20205) |
$3,717 |
$12,916.30 |
1.0× |
| Delivery of placenta (59414) |
— |
$10,493.40 |
— |
| Destroy lumb/sac facet jnt (64635) |
$2,499 |
$8,111.20 |
1.0× |
Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$1,190 |
$4,558.55–$5,910.28 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,160 |
$4,687.80 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,143 |
$9,400 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$903 |
$3,783.39 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$906 |
$3,707.67 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,113 |
$8,383.19 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$303 |
$1,260.49 |
1.0× |
| Drainage of finger abscess simple (26010) |
$256 |
$1,569.36 |
1.0× |
| Drainage of gum lesion (41800) |
$170 |
$714.58 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$2,113 |
$9,069.54 |
1.0× |
| Drainage of hydrocele (55000) |
$906 |
$4,375 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$2,113 |
$8,383.19 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$256 |
$1,337.44 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$3,552 |
$7,000 |
1.0× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$2,640 |
$9,400 |
1.0× |
| Dstrj lesion penis simple surg excision (54060) |
$2,640 |
$7,000 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$2,278 |
$10,444 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$2,278 |
$11,142.60 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,278 |
$5,696.73 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$903 |
$3,462.60 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,455 |
$9,064.95 |
1.0× |
Egd Balloon Dilation Esophagus <30 Mm Diam (43249) range across 2 matching MRF lines |
$2,455 |
$5,354–$9,677.23 |
1.0× |
| Egd cautery tumor polyp (43250) |
$2,455 |
$6,386.66 |
1.0× |
Egd control bleeding any (43255) range across 2 matching MRF lines |
$2,455 |
$9,400–$12,096.50 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,455 |
$9,677.23 |
1.0× |
| Egd endo mucosal resection (43254) |
$2,455 |
$9,484.95 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$1,160 |
$4,821.03 |
1.0× |
| Egd guide wire insertion (43248) |
$1,160 |
$6,026.29 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,455 |
$6,386.66 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,455 |
$13,306.20 |
1.0× |
Egd remove lesion snare (43251) range across 2 matching MRF lines |
$2,455 |
$9,400–$12,096.50 |
1.0× |
| Egd Varices Ligation (43244) |
$2,455 |
$12,096.50 |
1.0× |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
$6,402 |
$10,500 |
1.0× |
| Endoscopic injection/implant (51715) |
$4,511 |
$17,187.50 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,455 |
$9,677.23 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,934 |
$22,868 |
1.0× |
Ercp ea duct/ampulla dilate (43277) range across 2 matching MRF lines |
$4,934 |
$9,400–$21,423.80 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,934 |
$21,423.80 |
1.0× |
| Ercp remove forgn body duct (43275) |
$2,455 |
$9,064.95 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$7,769 |
$3,437.50 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,934 |
$8,593.76 |
1.0× |
Ercp,Sphincterotomy (43262) range across 2 matching MRF lines |
$4,934 |
$20,900–$22,868 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,160 |
$6,026.29 |
1.0× |
| Esophagosc Dilate Balloon 30 (43214) |
$2,455 |
$9,677.23 |
1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$2,455 |
$9,484.95 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,160 |
$3,133.33 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,455 |
$11,693.80 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,455 |
$9,064.95 |
1.0× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$2,455 |
$9,064.95 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,455 |
$9,677.23 |
1.0× |
| Evacuate mole of uterus (59870) |
$4,143 |
$9,400 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$170 |
$671.84 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$2,113 |
$5,729.16 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$5,011 |
$17,187.50 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$2,113 |
$11,700 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$906 |
$15,750 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$906 |
$7,300 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,113 |
$10,500 |
1.0× |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
$3,717 |
$11,700 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,113 |
$5,441.72 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$906 |
$9,400 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,113 |
$11,375 |
1.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$4,243 |
$34,375 |
1.0× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$4,243 |
$10,950 |
1.0× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$3,552 |
$10,500 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$3,552 |
$9,400 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$3,717 |
$10,500 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,717 |
$5,833.33 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,113 |
$14,000 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,113 |
$4,180 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,717 |
$5,639 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,531 |
$3,960.81 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$906 |
$5,250 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,717 |
$11,262.50 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$3,717 |
$16,025 |
1.0× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$3,717 |
$10,500 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$2,113 |
$7,000 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,717 |
$13,000 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,717 |
$7,000 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$2,113 |
$9,677 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,717 |
$11,700 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,675 |
$6,836.40 |
1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,985 |
$13,587.70 |
1.0× |
| Excision External Ear Partial Simple Repair (69110) |
$3,717 |
$4,666.68 |
1.0× |
| Excision external ear; complete amputation Facility (69120) |
$7,576 |
$29,578.30 |
1.0× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$3,717 |
$8,150 |
1.0× |
| Excision lesion mouth roof (42104) |
$4,243 |
$11,714.50 |
1.0× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,985 |
$7,377 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$520 |
$7,750 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,552 |
$13,750 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,058 |
$7,377 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$4,582 |
$11,812.50 |
1.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$7,576 |
$48,750 |
1.0× |
| Excision of submandibular (submaxillary) gland (42440) |
$7,576 |
$11,700 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$4,143 |
$2,625 |
1.0× |
| Excision of vaginal septum (57130) |
$4,143 |
$2,625 |
1.0× |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
$4,187 |
$15,750 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,717 |
$15,000 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$3,717 |
$9,139.15 |
1.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,717 |
$13,125 |
1.0× |
Excision Thyroglossal Duct Cyst/Sinus (60280) range across 2 matching MRF lines |
$7,737 |
$35,368.75–$35,368.80 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,113 |
$11,700 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,717 |
$13,000 |
1.0× |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
$2,113 |
$13,000 |
1.0× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$4,187 |
$12,250 |
1.0× |
Excision/destruction lesion pharynx any method (42808) range across 2 matching MRF lines |
$4,243 |
$12,031.25–$12,031.30 |
1.0× |
| External cephalic version (59412) |
— |
$45,378 |
— |
| Fetal non-stress test (59025) |
— |
$1,025 |
— |
| Fine needle aspiration without imaging guidance (10021) |
$520 |
$2,059.37 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$305 |
$1,507.82 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$906 |
$3,517.95 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$906 |
$3,707.67 |
1.0× |
| Foreskin manipulation (54450) |
$319 |
$1,565.98 |
1.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$4,243 |
$7,218.75 |
1.0× |
| Gastrocnemius recession (27687) |
$4,187 |
$4,726.56 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$906 |
$6,782 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,552 |
$8,200 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$3,552 |
$10,688.20 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,190 |
$4,172.94 |
1.0× |
| Hymenotomy Simple Incision (56442) |
$4,143 |
$5,250 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$4,143 |
$9,633.79 |
1.0× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$6,402 |
$5,354 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$4,143 |
$6,500 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$6,402 |
$9,112.59 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$4,143 |
$9,538.50 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$6,402 |
$10,209 |
1.0× |
| I&d abscess peritonsillar (42700) |
$303 |
$1,318.34 |
1.0× |
| I&d abscess simple (10060) |
$256 |
$1,337.44 |
1.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$2,058 |
$10,500 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,190 |
$4,728.22 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$906 |
$3,824.50 |
1.0× |
I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$906 |
$3,935.82–$13,125 |
1.0× |
| Icd Pocket Revision (33223) |
$2,640 |
$6,120.83 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,160 |
$4,318.45 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$2,113 |
$9,069.54 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$2,113 |
$8,383.19 |
1.0× |
Implant Neuroelectrodes (64561) range across 2 matching MRF lines |
$8,156 |
$11,458.30–$11,458.34 |
1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$24,829 |
$5,729.16 |
1.0× |
| Incise external hemorrhoid (46083) |
$319 |
$1,585.44 |
1.0× |
| Incise finger tendon sheath (26055) |
$2,058 |
$3,714.28 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$520 |
$2,230.59 |
1.0× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$520 |
$2,059.37–$9,400 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$258 |
$1,114.71 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$390 |
$1,794.59 |
1.0× |
| Incision of fibula (27707) |
$4,187 |
$2,812.50 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,985 |
$11,700 |
1.0× |
| Incision of rectal abscess (46040) |
$1,531 |
$8,307.50 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$256 |
$1,119.93 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,132 |
$2,506.67 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,132 |
$4,451.45 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$903 |
$8,400 |
1.0× |
| Injection for identification of sentinel node (38792) |
$511 |
$2,009.15 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$392 |
$1,945.83 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$392 |
$1,656.85 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,132 |
$5,427.81 |
1.0× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$903 |
$4,118.13–$29,250 |
1.0× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$903 |
$4,729.24–$10,500 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$4,041 |
$15,185 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$4,041 |
$10,698.50 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$7,121 |
$18,444.70 |
1.0× |
| Insert cath pleura w/ image (32557) |
$2,014 |
$10,472.90 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,455 |
$9,677.23 |
1.0× |
| Insert cervical dilator (59200) |
— |
$1,680.36 |
— |
| Insert Nasal Septal Button (30220) |
$1,985 |
$8,200 |
1.0× |
Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$4,041 |
$19,500–$23,452 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$13,377 |
$35,840.70 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,014 |
$5,390.69 |
1.0× |
| Insert pulse gen dual leads (33213) |
$13,377 |
$61,951.40 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$10,591 |
$28,515 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$170 |
$839.80 |
1.0× |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$4,041 |
$16,135.70–$18,618.60 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$7,121 |
$35,515.30 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$170 |
$839.80 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,582 |
$17,645.30 |
1.0× |
| Insertion of cannula (36800) |
$7,121 |
$30,741.10 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,014 |
$9,854.94 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$4,041 |
$10,698.50 |
1.0× |
Insj prph ctr vad w/subq port age 5 yr/> (36571) range across 2 matching MRF lines |
$4,041 |
$15,156.30–$17,830.90 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$2,014 |
$5,375.42–$11,520.20 |
1.0× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$4,041 |
$11,700–$15,737.50 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$40,173 |
$184,039 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$10,591 |
$41,379.90 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$13,377 |
$77,439.30 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$4,243 |
$11,156.40 |
1.0× |
| Intro cath dialysis circuit (36901) |
$2,014 |
$8,959.04 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$303 |
$1,733.17 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$319 |
$1,177.40 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$7,737 |
$9,400 |
1.0× |
| Laparo-vag hyst incl t/o (58552) |
$13,604 |
$43,875 |
1.0× |
| Laparoscopic myomectomy (58545) |
$7,737 |
$23,000 |
1.0× |
| Laparoscopy fulguration oviducts (58670) |
$7,737 |
$13,049.80 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$7,737 |
$33,437.50 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$13,604 |
$13,750 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$7,737 |
$25,857.10 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$7,737 |
$20,215.90 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$7,737 |
$15,930 |
1.0× |
| Laparoscopy, surgical, colpopexy (suspension of vaginal apex) (57425) |
$13,604 |
$17,250 |
1.0× |
| Laparoscopy, surgical, myomectomy, excision; 5 or more intramural myomas and/or intramural myomas with total weight… (58546) |
$13,604 |
$35,750 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$7,737 |
$30,000 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,737 |
$19,586 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$7,737 |
$39,000 |
1.0× |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
$7,737 |
$19,500 |
1.0× |
Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 2 matching MRF lines |
$7,737 |
$12,031.27–$12,031.30 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,737 |
$15,758.80 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,737 |
$20,209.70 |
1.0× |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) range across 2 matching MRF lines |
$13,604 |
$29,166.67–$29,166.70 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$13,604 |
$34,250 |
1.0× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,771 |
$9,400 |
1.0× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$4,771 |
$3,133.34 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$4,771 |
$16,300 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$4,511 |
$9,750 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,511 |
$12,500 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,511 |
$14,389.40 |
1.0× |
| Lysis Intranasal Synechia (30560) |
$690 |
$7,583.33 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$2,058 |
$8,400 |
1.0× |
| Manipulation wrist under anesthesia (25259) |
$2,058 |
$10,312.50 |
1.0× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$2,058 |
$5,156.25 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,058 |
$3,500 |
1.0× |
| Mastectomy partial (19301) |
$5,011 |
$14,060.90 |
1.0× |
| Mastectomy simple complete (19303) |
$8,498 |
$31,250 |
1.0× |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
$4,143 |
$10,500 |
1.0× |
| Nasal Endoscopy Dx (31231) |
$255 |
$5,550 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$571 |
$1,337.33 |
1.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$4,771 |
$5,835.98 |
1.0× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$9,032 |
$5,126.04 |
1.0× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$7,576 |
$19,500 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$2,278 |
$14,000 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$2,278 |
$6,044.96 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Frnt&Sphn Sinus (31298) |
$9,032 |
$6,205.40 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$9,032 |
$39,000 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Maxillary Sinus (31295) |
$9,032 |
$7,583.34 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$9,032 |
$5,753.34 |
1.0× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$9,032 |
$4,872.39 |
1.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$9,032 |
$6,794.33 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$9,032 |
$5,648.98 |
1.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$9,032 |
$11,746.30 |
1.0× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$9,032 |
$4,128.18 |
1.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$9,032 |
$6,533.15 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$2,113 |
$8,383.19 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$392 |
$1,945.83 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,582 |
$18,956.20 |
1.0× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,132 |
$4,342.25–$9,400 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$903 |
$9,382.39 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$903 |
$9,111.54 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$892 |
$12,375 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$892 |
$3,427.75 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$520 |
$2,059.37 |
1.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$9,032 |
$5,798.77 |
1.0× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$9,032 |
$7,800 |
1.0× |
| Occipital Nerve Block (64405) |
$392 |
$1,475.95 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$5,011 |
$8,500 |
1.0× |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
$9,286 |
$23,337.50 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$9,286 |
$33,041.70 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$16,431 |
$30,937.50 |
1.0× |
| Open treatment interphalangeal joint dislocation (28675) |
$4,187 |
$12,191.70 |
1.0× |
| Open treatment metacarpophalangeal dislocation (26715) |
$4,187 |
$16,250 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$9,286 |
$18,750 |
1.0× |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
$9,286 |
$9,166.66 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$9,286 |
$28,131.30 |
1.0× |
Open treatment of ulnar styloid fracture (25652) range across 2 matching MRF lines |
$9,286 |
$13,384.26–$13,384.30 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$16,431 |
$44,850 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,187 |
$22,750 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$9,286 |
$13,812.50 |
1.0× |
Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$9,286 |
$14,729.50–$14,729.54 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$4,187 |
$20,625 |
1.0× |
Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
$4,187 |
$13,177.08–$13,177.10 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$4,187 |
$17,437.50 |
1.0× |
| Open Tx Radial Head/Neck Fracture (24665) |
$9,286 |
$26,000 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$9,286 |
$24,000 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$9,286 |
$33,500 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$14,775 |
$56,702.80 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$14,775 |
$61,540.80 |
1.0× |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
$9,286 |
$13,351.25–$13,351.30 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$9,286 |
$34,026.80 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$16,431 |
$31,050 |
1.0× |
Osteotomy calcaneus w/wo internal fixation (28300) range across 2 matching MRF lines |
$9,286 |
$29,218.76–$29,218.80 |
1.0× |
Osteotomy tarsal bones oth/thn calcaneus/talus (28304) range across 2 matching MRF lines |
$9,286 |
$14,609.37–$14,609.40 |
1.0× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$6,402 |
$12,000 |
1.0× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$7,576 |
$35,750 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,058 |
$9,400 |
1.0× |
| Partial removal of thyroid (60220) |
$7,737 |
$43,566 |
1.0× |
| Partial removal of tibia (27640) |
$4,187 |
$8,593.75 |
1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$7,737 |
$29,250 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,187 |
$10,500 |
1.0× |
| Penile Injection (54235) |
$319 |
$1,074.35 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,041 |
$15,737.50 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$2,014 |
$7,767.20 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$906 |
$2,361.49 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$906 |
$3,244.85 |
1.0× |
| Perq device breast 1st imag (19281) |
$2,113 |
$6,000 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$4,041 |
$17,062.50 |
1.0× |
| Place Cath Vertebral Art (36226) |
$7,121 |
$18,444.70 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$571 |
$2,228.88 |
1.0× |
| Placement of seton (46020) |
$3,552 |
$8,475 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,675 |
$13,335.10 |
1.0× |
| Prim art mech thrombectomy (37184) |
$23,462 |
$98,092 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,190 |
$10,500 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,582 |
$11,612.10 |
1.0× |
| Prq skel fixj femoral fx prox end neck (27235) |
$9,286 |
$13,750 |
1.0× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$9,286 |
$13,000 |
1.0× |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
$4,187 |
$10,500 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$4,187 |
$9,916.67 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$520 |
$2,230.59 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$4,511 |
$17,244.80 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,640 |
$8,687.65 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,531 |
$17,187.50 |
1.0× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$4,243 |
$4,700 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$75 |
$342.17 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75 |
$414.59 |
1.0× |
| Removal Implant Deep (20680) |
$3,717 |
$11,475 |
1.0× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,113 |
$10,500 |
1.0× |
| Removal of adenoids (42835) |
$4,243 |
$10,500 |
1.0× |
| Removal of adenoids (42831) |
$4,243 |
$9,950 |
1.0× |
| Removal of adenoids (42830) |
$4,243 |
$11,700 |
1.0× |
| Removal of anal fissure (46200) |
$3,552 |
$9,400 |
1.0× |
| Removal of ankle implant (27704) |
$4,187 |
$15,420.20 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$571 |
$2,201.38 |
1.0× |
| Removal of nail bed (11750) |
$520 |
$2,230.59 |
1.0× |
| Removal of tonsils (42825) |
$7,576 |
$9,400 |
1.0× |
| Removal of tonsils (42826) |
$4,243 |
$12,305.70 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,041 |
$17,056 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$256 |
$1,069.95 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$906 |
$2,625 |
1.0× |
| Removal sweat gland lesion (11450) |
$3,717 |
$15,750 |
1.0× |
| Remove foreign body from eye (65205) |
$170 |
$671.84 |
1.0× |
| Remove Intrauterine Device (58301) |
$390 |
$9,400 |
1.0× |
| Remove lung catheter (32552) |
$802 |
$3,152.55 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$170 |
$671.84 |
1.0× |
| Remove prostate regrowth (52630) |
$6,862 |
$15,375 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$892 |
$5,526.50 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$2,058 |
$14,625 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$28,468 |
$131,859 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$40,173 |
$116,108 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$13,377 |
$59,734.50 |
1.0× |
| Renal Biopsy Perq (50200) |
$2,113 |
$8,383.19 |
1.0× |
| Reopen fallopian tube (58350) |
$6,402 |
$6,500 |
1.0× |
| Repair Achilles Tendon (27650) |
$9,286 |
$22,750 |
1.0× |
| Repair Choanal Atresia Intranasal (30540) |
$7,576 |
$7,583.34 |
1.0× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$9,286 |
$21,875 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$945 |
$5,850 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$520 |
$3,120.44 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$520 |
$3,120.44 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,058 |
$9,400 |
1.0× |
| Repair Finger Tendon (26433) |
$4,187 |
$13,125 |
1.0× |
| Repair Finger/Hand Tendon (26350) |
$4,187 |
$6,987.50 |
1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$4,187 |
$7,031.25 |
1.0× |
| Repair Hallux Rigidus (28289) |
$4,187 |
$13,750 |
1.0× |
| Repair Hand Joint (26540) |
$4,187 |
$17,187.50 |
1.0× |
| Repair inguinal hernia, sliding, any age (49525) |
$4,582 |
$19,500 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,582 |
$22,830.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$520 |
$1,338.35 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$520 |
$1,463.10 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$945 |
$3,120.44 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$520 |
$2,059.37 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$945 |
$2,108 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$520 |
$2,059.37 |
1.0× |
| Repair Nasal Vestibular Stenosis (30465) |
$7,576 |
$8,316.06 |
1.0× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$16,431 |
$33,750 |
1.0× |
| Repair of nail bed (11760) |
$945 |
$3,513.33 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$9,286 |
$11,375 |
1.0× |
Repair of Ruptured Tendon (24342) range across 2 matching MRF lines |
$9,286 |
$32,083.30–$32,083.33 |
1.0× |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
$8,285 |
$24,708.30 |
1.0× |
| Repair tongue laceration (41250) |
$571 |
$1,337.33 |
1.0× |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
$9,286 |
$8,020.83 |
1.0× |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) range across 2 matching MRF lines |
$9,286 |
$18,416.68–$18,416.70 |
1.0× |
Repair/Revise Wrist Joint (25320) range across 2 matching MRF lines |
$9,286 |
$20,833.30–$20,833.34 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$319 |
$5,436.03 |
1.0× |
| Revise ulnar nerve at wrist (64719) |
$2,499 |
$6,125 |
1.0× |
| Revision of lower leg tendon (27685) |
$4,187 |
$4,726.56 |
1.0× |
| Revision of urethra (57220) |
$6,402 |
$9,750 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,160 |
$3,042.54 |
1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$2,113 |
$12,711.30 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$571 |
$2,228.88 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$170 |
$714.58 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$571 |
$1,337.33 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,014 |
$22,750 |
1.0× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$802 |
$2,699.85–$13,000 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$319 |
$1,981.80 |
1.0× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$4,041 |
$15,185 |
1.0× |
Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 2 matching MRF lines |
$4,041 |
$5,354–$15,737.50 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,737 |
$18,312.50 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,582 |
$22,833.30 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$8,285 |
$39,000 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$8,285 |
$55,250 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$7,737 |
$21,525 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$8,285 |
$36,504.20 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,737 |
$22,257.70 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$906 |
$3,707.67 |
1.0× |
Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) range across 2 matching MRF lines |
$9,286 |
$16,041.67–$16,041.70 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$256 |
$1,161 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$690 |
$3,077.86 |
1.0× |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
$7,576 |
$7,904.17 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,187 |
$3,714.29 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$4,243 |
$39,000 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,190 |
$4,728.22 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,531 |
$6,178.41 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$1,190 |
$4,354.05 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,190 |
$5,112.70 |
1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,531 |
$5,621.80 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,531 |
$6,178.41 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,190 |
$5,112.70 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,531 |
$5,621.80 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$520 |
$1,338.35 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$256 |
$1,337.44 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$520 |
$1,997.65 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$256 |
$1,069.95 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$256 |
$1,471.18 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$256 |
$1,718 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$256 |
$1,337.44 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$945 |
$3,437.50 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$945 |
$4,151.39 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,640 |
$3,437.50 |
1.0× |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 2 matching MRF lines |
$6,402 |
$10,152.20–$10,152.21 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$256 |
$1,337.44 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$520 |
$2,230.59 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$520 |
$2,059.37 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$3,552 |
$9,400 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$903 |
$3,868.53 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$4,041 |
$18,958.30 |
1.0× |
| Strapping ankle (29540) |
$207 |
$596.20 |
1.0× |
| Strapping elbow or wrist (29260) |
$75 |
$486.71 |
1.0× |
| Strapping hand/finger (29280) |
$75 |
$354 |
1.0× |
| Strapping knee (29530) |
$170 |
$714.58 |
1.0× |
| Strapping shoulder (29240) |
$170 |
$671.84 |
1.0× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$571 |
$5,250 |
1.0× |
Submucous Rescj Inferior Turbinate Prtl/Compl (30140) range across 2 matching MRF lines |
$4,243 |
$13,330.20–$13,330.24 |
1.0× |
| Surg nasopharyngoscopy dilat eustachian tube bi (69706) |
$7,576 |
$6,093.75 |
1.0× |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
$7,576 |
$5,275 |
1.0× |
| Surg tx anal fistula subq (46270) |
$3,552 |
$13,662.50 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$3,552 |
$10,550 |
1.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,499 |
$3,714.28 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$9,286 |
$20,637.50 |
1.0× |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
$945 |
$2,108 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$24,652 |
$85,888 |
1.0× |
Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$9,286 |
$19,547.20–$19,547.22 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$422 |
$1,899.72 |
1.0× |
| Thyroid biopsy (60100) |
$906 |
$3,707.67 |
1.0× |
| Thyroidectomy, total or complete (60240) |
$7,737 |
$51,559.20 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$4,187 |
$10,500 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,243 |
$13,443.80 |
1.0× |
| Total Knee Arthroplasty (27447) |
$16,431 |
$35,096.30 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$390 |
$2,799 |
1.0× |
| Transur electr resection of prostate (52601) |
$6,862 |
$18,945.80 |
1.0× |
| Treat Big Toe Fracture (28505) |
$4,187 |
$16,250 |
1.0× |
| Treat ectopic pregnancy (59151) |
$7,737 |
$21,590.60 |
1.0× |
| Treat Finger Fracture Each (26727) |
$4,187 |
$27,500 |
1.0× |
| Treat fracture radius/ulna (25575) |
$9,286 |
$16,250 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$9,286 |
$24,600 |
1.0× |
| Treat Humerus Fracture (24505) |
$2,058 |
$8,002.05 |
1.0× |
| Treat knee fracture (27532) |
$4,187 |
$16,873.10 |
1.0× |
| Treat Kneecap Fracture (27524) |
$9,286 |
$35,750 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$315 |
$1,228.03 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$315 |
$1,228.03 |
1.0× |
| Treat toe dislocation (28630) |
$315 |
$791.52 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$315 |
$1,319.20 |
1.0× |
| Treatment of ankle fracture (27823) |
$9,286 |
$35,750 |
1.0× |
| Trim skin lesion (11055) |
$256 |
$902.90 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$7,284 |
$37,246 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,284 |
$31,973.60 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,552 |
$12,125 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$276 |
$1,576.84 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$4,143 |
$9,400 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$4,143 |
$8,051.33 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$945 |
$3,513.33 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,985 |
$9,792.63 |
1.0× |
| Unlisted hysteroscopy procedure, uterus (58579) |
$258 |
$2,625 |
1.0× |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 2 matching MRF lines |
$7,737 |
$12,447.90–$12,447.92 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$7,737 |
$33,000 |
1.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$7,737 |
$27,000 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$7,737 |
$29,250 |
1.0× |
| Unlisted procedure anus (46999) |
$1,190 |
$4,354.05 |
1.0× |
Unlisted procedure arthroscopy (29999) range across 2 matching MRF lines |
$315 |
$14,609.37–$14,609.40 |
1.0× |
| Unlisted Procedure Leg/Ankle (27899) |
$315 |
$2,812.50 |
1.0× |
| Unlisted Procedure Male Genital System (55899) |
$319 |
$13,125 |
1.0× |
Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$392 |
$1,656.85–$9,400 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$303 |
$6,925.17 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$802 |
$3,100.05 |
1.0× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$303 |
$1,161.10 |
1.0× |
| Uvulectomy excision of uvula (42140) |
$4,243 |
$9,400 |
1.0× |
| Vaginal delivery only (59409) |
$4,143 |
$15,632.20 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$14,775 |
$56,702.80 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$14,775 |
$61,540.80 |
1.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,243 |
$10,500 |
1.0× |
| Vulvectomy simple partial (56620) |
$4,143 |
$14,000 |
1.0× |
| Wedge excision skin nail fold (11765) |
$520 |
$2,059.37 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$520 |
$3,437.50 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$945 |
$8,352.50 |
1.0× |