| Abd paracentesis w/imaging (49083) |
— |
$1,705.20 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,746.30 |
— |
| Abrasion single lesion (15786) |
— |
$254.27 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$4,842 |
— |
| Amniocentesis diagnostic (59000) |
— |
$891.10 |
— |
| Application finger splint static (29130) |
— |
$277 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$485 |
— |
| Application Long Leg Splint (29505) |
— |
$612 |
— |
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines |
— |
$723.57–$1,085.34 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$554 |
— |
| Application short leg splint calf foot (29515) |
— |
$837 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
— |
$422.91–$634.37 |
— |
| Arterial puncture (36600) |
— |
$353.83 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$654.52 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,627.57 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
— |
$707.91–$1,061.87 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$831.18 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$667.47 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,447.74 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,746.30 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$899 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$575.70 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$255.47 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$1,972.40 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$2,011.37 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$1,972.40 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$3,027.72 |
— |
| Biopsy bone open superficial (20240) |
— |
$7,201.12 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$2,637.59 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,419.35 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,639.98 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$2,006.99 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$254.27 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$4,827.53 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$801.19 |
— |
| Bladder Irrigation (51700) |
— |
$512 |
— |
| Bladder Scan (51798) |
— |
$305 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$4,634 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,213.43 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$2,650 |
— |
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines |
— |
$2,470.11–$3,705.15 |
— |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
— |
$5,015–$7,523 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$6,311.17 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,737.32 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$743.63 |
— |
| Change of Windpipe Airway (31502) |
— |
$2,261 |
— |
| Change ureter stent percut (50382) |
— |
$5,420.02 |
— |
| Chemical Cautery Tissue (17250) |
— |
$465.21 |
— |
| Chest tube placement (32551) |
— |
$1,760.70 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$307.04 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$3,297 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$399.68 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$3,794 |
— |
| Clear outer ear canal (69200) |
— |
$363 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$3,842 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$5,350 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,183 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$3,810 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$493 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$3,412 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,517 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$3,412 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$3,842 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$6,767 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$871 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$3,794 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$493 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$3,778 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$793 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$3,842 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$666 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,842 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$3,746 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$754 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$3,842 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$973 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,198 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$887 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$857 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$982 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$3,778 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$3,412 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$3,842 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$570 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$570 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$1,826 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,794 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$584 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$3,794 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$570 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$2,356 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$808 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$3,778 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$915 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$942 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$493 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,268 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$3,810 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$1,388 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$496 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$3,762 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$3,810 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$17.83 |
— |
| Complex drainage wound (10180) |
— |
$5,833.82 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$503 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$450 |
— |
| Conversion ext bil drg cath (47535) |
— |
$7,833.20 |
— |
| Convert Nephrostomy Catheter (50434) |
— |
$1,886.63 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$1,499.55 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$693 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$495 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$507.34 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,624 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$3,177 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$859.37 |
— |
| Debride nail 1-5 (11720) |
— |
$254.27 |
— |
| Debride nail 6 or more (11721) |
— |
$254.27 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$2,197.87 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$846.24 |
— |
| Declot vascular device (36593) |
— |
$678.86 |
— |
| Delivery of placenta (59414) |
— |
$940.76 |
— |
| Dilate Urethra Stricture (53620) |
— |
$1,488 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,913.02 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$1,087 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$1,544 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,229 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$3,567 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$495 |
— |
| Drainage of finger abscess simple (26010) |
— |
$842 |
— |
| Drainage of gum lesion (41800) |
— |
$448 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$3,682.11 |
— |
| Drainage of nose lesion (30000) |
— |
$5,425 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$3,567 |
— |
| Drainage of scrotum (54700) |
— |
$4,412 |
— |
| Drainage of urethra abscess (53040) |
— |
$1,391.29 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$652 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
— |
$1,087 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$3,717 |
— |
| Drg privesical/prevesical space absc (51080) |
— |
$618.88 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$462.97 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$462.97 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$462.97 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$2,966.08 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$2,214.06 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$2,211 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$821.58 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$4,293 |
— |
| Egd place gastrostomy tube (43246) |
— |
$632.86 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$6,921.06 |
— |
| Epidural Blood Patch (62273) |
— |
$861.29 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$821.58 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$1,206 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$3,863 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$6,144 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$6,089 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$5,398 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$6,632 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$7,833.20 |
— |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
— |
$1,887–$2,830 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$4,915 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$4,105 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$3,887 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$6,105 |
— |
| External cephalic version (59412) |
— |
$936.09 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$556.87 |
— |
| Fetal non-stress test (59025) |
— |
$564.46 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,706.23 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$968.51 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$527.06 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$1,751.11 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,626.36 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$3,118.40 |
— |
| I&d abscess peritonsillar (42700) |
— |
$1,398 |
— |
| I&d abscess simple (10060) |
— |
$370.11 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$1,581.99 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$1,221.90 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,977 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$7,608 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$2,486 |
— |
| Icd Pocket Revision (33223) |
— |
$4,682.40 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,337.30 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$4,495 |
— |
| Incise external hemorrhoid (46083) |
— |
$1,569 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$449.77 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$3,567 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,963 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,083 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$1,709 |
— |
| Incision of rectal abscess (46040) |
— |
$5,096 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$3,567 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$999.09 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$430 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$615.28 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$1,212 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$1,681 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$8,572.35 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$7,987.92 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$11,262.24 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$10,508 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$10,855.50 |
— |
| Ins Vag Brachytx Device (57156) |
— |
$875.32 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$15,863.07 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$1,132 |
— |
| Insert cath pleura w/ image (32557) |
— |
$1,483.64 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$516.85 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$34,665.85 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$34,665.85 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$2,306.41 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,038 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$42,836.05 |
— |
| Insert pulse gen dual leads (33213) |
— |
$32,496.16 |
— |
| Insert pulse gen mult leads (33221) |
— |
$32,496.16 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$27,220.05 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$220.68 |
— |
| Insert tun ip cath perc (49418) |
— |
$3,297 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$8,998.22 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$2,373.70 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$17,500 |
— |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$14,263.10 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$15,863.07 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$1,561.59 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,176.92 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$3,038 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$96,350 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$15,475.67 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$32,000 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$79,021.52 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$79,021.52 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$79,021.52 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$2,251.99 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$2,878 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$888 |
— |
| Intro cath dialysis circuit (36901) |
— |
$2,461.14 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$35,076.03 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$14,750 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$701.72 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$1,569 |
— |
| Kidney endoscopy (50553) |
— |
$3,475.82 |
— |
| Kidney endoscopy (50551) |
— |
$12,341.58 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$6,181 |
— |
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines |
— |
$323.43–$1,730 |
— |
| Maternity Care Procedure (59899) |
— |
$564.41 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$658.46 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$789.20 |
— |
| Myelography Lumbar Injection (62305) |
— |
$3,822 |
— |
| Myelography Lumbar Injection (62304) |
— |
$2,201.32 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$2,170 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$2,210.46 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$462.79 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$3,389.47 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$3,410.13 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$1,025 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$3,297 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$7,833.20 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$1,743.70 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 2 matching MRF lines |
— |
$1,886.63–$2,830 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$1,886.63 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$215.89 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$215.89 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$215.89 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,509.44 |
— |
| Occipital Nerve Block (64405) |
— |
$1,772 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$7,080 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$32,813.99 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$32,813.99 |
— |
| Penile Injection (54235) |
— |
$581 |
— |
| Perc Cryo Ablate Renal Tum (50593) |
— |
$14,775.23 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$3,378.57 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$301.04 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$2,659.50 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$5,532.77 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$5,445.91 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$2,744.19 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$1,761.16 |
— |
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines |
— |
$2,065.45–$3,098.18 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,499.55 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$2,629.05 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$29,650 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$17,355.10 |
— |
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines |
— |
$7,987.92–$11,981.87 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$9,260.69 |
— |
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines |
— |
$13,061.31–$19,591.97 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$1,122 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$7,833.20 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$14,818.42 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$14,818.42 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$14,818.42 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$5,420.02 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$5,420.02 |
— |
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 2 matching MRF lines |
— |
$8,071.87–$16,143.80 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$8,071.87 |
— |
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694)
range across 2 matching MRF lines |
— |
$8,071.87–$10,090 |
— |
| Prim art mech thrombectomy (37184) |
— |
$16,708 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$1,753.49 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$7,833.20 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$7,833.20 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$682.85 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$557.51 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$513.44 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines |
— |
$550.44–$825.66 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$1,013 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$4,682.40 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$7,641.29 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$1,736.70 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$6,280 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$2,659 |
— |
| Removal Foreign Body Scrotum (55120) |
— |
$4,412 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$310 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$577 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$3,002 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$1,958 |
— |
| Removal of nail bed (11750) |
— |
$1,406.87 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$5,944.15 |
— |
| Removal of vein clot (34490) |
— |
$10,742.90 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$571 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$7,091.97 |
— |
| Removal ppm generator only (33233) |
— |
$8,162.77 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$2,648 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$2,459.94 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$7,100.37 |
— |
| Remove foreign body from eye (65205) |
— |
$725 |
— |
| Remove Intrauterine Device (58301) |
— |
$2,525 |
— |
| Remove intrvas foreign body (37197) |
— |
$11,324.59 |
— |
| Remove lung catheter (32552) |
— |
$1,737.91 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$577 |
— |
| Remove Pulse Generator (33241) |
— |
$7,091.97 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,763.88 |
— |
| Remove ureter stent percut (50384) |
— |
$2,518.71 |
— |
| Remove&replace pm gen singl (33227) |
— |
$27,220.05 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$65,950 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$67,800 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$79,021.52 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$25,500 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$32,496.16 |
— |
Renal Biopsy Perq (50200)
range across 2 matching MRF lines |
— |
$3,895–$5,843 |
— |
| Repair blood vessel lesion (35190) |
— |
$7,757.63 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,382 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,673 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,388 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$2,367 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,382 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$2,589 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$2,869 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$3,060 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$1,432 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,532 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,648 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,530 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$888 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,382 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$1,141 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,628 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,826 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$4,105 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$2,841 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,366 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$1,533 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$2,759 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$1,683 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$8,372 |
— |
| Repair of nail bed (11760) |
— |
$2,399 |
— |
| Repair tongue laceration (41252) |
— |
$5,274 |
— |
| Repair tongue laceration (41250) |
— |
$898 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$1,102.24 |
— |
| Replace G-J Tube Perc (49452) |
— |
$1,157.35 |
— |
| Reposition L Ventric Lead (33226) |
— |
$7,091.97 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$7,091.97 |
— |
| Reposition Venous Catheter (36597) |
— |
$765.21 |
— |
| Revise Abdomen-Venous Shunt (49426) |
— |
$1,845.27 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$1,248.56 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$4,345.36 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$898 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$847 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$4,856 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$3,567 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$7,091.97 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$1,300.14 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$766.79 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$553 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$1,592.79 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$1,561.59 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$2,948.09 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$3,038 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$1,715 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,382 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$621 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,883 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$626.09 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$3,389.47 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$595 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$3,005 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$1,015 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$532.52 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$888 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$1,365 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$430 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$702 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$3,383 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$1,323 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$1,002.69 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$1,002.69 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$3,463.83 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$1,526.81 |
— |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines |
— |
$8,270.96–$12,406.44 |
— |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines |
— |
$6,234.40–$9,351.61 |
— |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines |
— |
$7,184.32–$10,776.48 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$1,080 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,678 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,744 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,132.42 |
— |
| Strapping toes (29550) |
— |
$137 |
— |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
— |
$231.99–$347.99 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$561.32 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$38,500 |
— |
| Tcat Rmvl Perm Ldls Pm (33275) |
— |
$7,768.02 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$2,247.05 |
— |
| Therapeutic plasma exchange (36514) |
— |
$5,157.36 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$53,166.37 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$6,311.17 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$2,828.15 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$675 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$2,828.15 |
— |
| Thyroid biopsy (60100) |
— |
$661.51 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$3,302 |
— |
| Transcatheter biopsy (37200) |
— |
$942.71 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$1,671.94 |
— |
| Treat Humerus Fracture (24505) |
— |
$3,842 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$734 |
— |
| Treat Thumb Dislocation (26641) |
— |
$726 |
— |
| Treat toe dislocation (28630) |
— |
$570 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$3,842 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,056 |
— |
| Trim skin lesion (11055) |
— |
$242.27 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$176.31 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$17,355.10 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$17,355.10 |
— |
| Trurl drainage prostatic abscess (52700) |
— |
$2,860.55 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$667 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$1,492.96 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$275.85 |
— |
| Upgrade of pacemaker system (33214) |
— |
$34,231.43 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$26,514.81 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$31,690 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$26,514.81 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$26,514.81 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$6,578.64 |
— |
| Wedge excision skin nail fold (11765) |
— |
$888 |
— |