| Abd paracentesis w/imaging (49083) |
$905 |
$4,131.95 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$905 |
$2,479.17 |
1.0× |
| Ablate Pulm Tumor Perq Crybl (32994) |
$10,609 |
$15,503.10 |
1.0× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$10,609 |
$15,503.10 |
1.0× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$17,500 |
$14,452.10 |
1.0× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$7,242 |
$13,378 |
1.0× |
| Abrasion single lesion (15786) |
$200 |
$550.20 |
1.0× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$3,537 |
$21,875 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,059 |
$8,333.34 |
1.0× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$2,059 |
$18,750 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,059 |
$6,250 |
1.0× |
| Amniocentesis diagnostic (59000) |
$919 |
$2,066.30 |
1.0× |
| Amniocentesis therapeutic (59001) |
$304 |
$2,326 |
1.0× |
| Amputation foot transmetarsal (28805) |
$3,265 |
$25,269.30 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,265 |
$23,163.50 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,265 |
$17,899.08 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,265 |
$15,625 |
1.0× |
| Anal/Urinary Muscle Study (51784) |
$128 |
$471.03 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,770 |
$8,423.10 |
1.0× |
| Ant Vesicourethropexy/Urethropexy Smpl (51840) |
$4,992 |
$3,972.15 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$4,992 |
$33,692.40 |
1.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$162 |
$721.45 |
1.0× |
| Application finger splint static (29130) |
$132 |
$575.80 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$162 |
$721.45 |
1.0× |
| Application Long Leg Splint (29505) |
$162 |
$721.45 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$279 |
$1,724.66 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$132 |
$575.80 |
1.0× |
| Application short leg splint calf foot (29515) |
$162 |
$880.41 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$162 |
$555.76 |
1.0× |
| Arterial puncture (36600) |
$132 |
$575.80 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,151 |
$35,078.80 |
1.0× |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
$5,553 |
$33,613.50 |
1.0× |
| Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) |
$12,814 |
$16,165.44 |
1.0× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$12,814 |
$16,031.25 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$306 |
$1,437.80 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$704 |
$1,511.26 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$306 |
$1,700.14–$12,500 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$306 |
$2,188.43 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$306 |
$1,120.95 |
1.0× |
| Arthrodesis ankle open (27870) |
$12,814 |
$37,903.95 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,242 |
$9,151.05 |
1.0× |
| Arthrodesis Pantalar (28705) |
$17,500 |
$12,500 |
1.0× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$17,500 |
$12,634.65 |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$17,500 |
$52,945.20 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,500 |
$84,320.10 |
1.0× |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
$1,604 |
$82,359.20 |
1.0× |
| Arthroscopy Knee Osteochondral Allograft (29867) |
$12,814 |
$35,296.80 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,265 |
$58,828 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,265 |
$32,355.40 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,265 |
$19,614.24 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$3,265 |
$41,179.60 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,265 |
$76,476.40 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,242 |
$26,717.72 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,265 |
$17,158.17 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,265 |
$24,511.67 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,242 |
$92,654.10 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,242 |
$58,828 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$12,814 |
$51,474.50 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,242 |
$88,442.60 |
1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,265 |
$37,257.74 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,265 |
$26,472.60 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,265 |
$33,826.10 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$626 |
$3,959.57 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$626 |
$2,992.75 |
1.0× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$706 |
$1,863.08 |
1.0× |
Aspiration bladder insert suprapubic catheter (51102)
range across 2 matching MRF lines |
$2,086 |
$9,274.40–$19,653.90 |
1.0× |
| Av fistula revision (36833) |
$5,553 |
$37,907.10 |
1.0× |
| Av Fistula Revision Open (36832) |
$5,553 |
$35,041.50 |
1.0× |
| Av Fuse Uppr Arm Basilic (36819) |
$5,553 |
$36,483.40 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$200 |
$917 |
1.0× |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
$10,609 |
$15,503.10 |
1.0× |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
$6,461 |
$9,748.05 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,648 |
$4,796.54 |
1.0× |
| Biopsy bone open deep (20245) |
$2,899 |
$41,179.60 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,648 |
$5,087.09 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,648 |
$3,822.13 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,648 |
$3,591.03 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$3,908 |
$19,246.80 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,648 |
$7,184.95 |
1.0× |
| Biopsy ovary uni/bi separate procedure (58900) |
$3,231 |
$8,038.68 |
1.0× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$2,899 |
$12,916.30 |
1.0× |
| Biopsy Vaginal Mucosa Simple (57100) |
$919 |
$3,448 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$919 |
$1,942.41 |
1.0× |
| Biopsy/removal lymph nodes (38510) |
$3,908 |
$25,269.30 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$695 |
$952.33 |
1.0× |
| Bladder Irrigation (51700) |
$249 |
$1,119.53 |
1.0× |
| Bladder Scan (51798) |
$58 |
$375.13 |
1.0× |
| Blood Transfusion Service (36430) |
$440 |
$2,149.80 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,648 |
$4,032.07 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,648 |
$4,538.14 |
1.0× |
| Breast Reduction (19318) |
$6,627 |
$18,601.01 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,776 |
$3,763.20 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,776 |
$5,653.60 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$390 |
$1,919.40 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,776 |
$3,862.40 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,776 |
$7,640 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,721 |
$15,817.90 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$3,721 |
$15,817.90 |
1.0× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$2,899 |
$7,264.65 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$1,648 |
$5,915.48 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,648 |
$7,184.95 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,648 |
$5,703.99 |
1.0× |
| Bx Cervix (57500) |
$919 |
$1,905 |
1.0× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$3,518 |
$5,615.40 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,908 |
$23,368.60 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$3,908 |
$22,009.70 |
1.0× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$3,265 |
$27,375.11 |
1.0× |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
$1,604 |
$8,593.75 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,949 |
$12,500 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$218 |
$959.85 |
1.0× |
| Cautery Cervix Electro/Thermal (57510) |
$3,231 |
$8,038.68 |
1.0× |
Cerclage cervix pregnancy vaginal (59320)
range across 2 matching MRF lines |
$3,231 |
$7,135–$14,062.50 |
1.0× |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
$3,231 |
$8,038.68 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,151 |
$10,681.40 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$249 |
$1,074.35 |
1.0× |
| Change ureter stent percut (50382) |
$2,086 |
$13,253.50 |
1.0× |
| Chemical Cautery Tissue (17250) |
$200 |
$1,410.25 |
1.0× |
| Chemodenervation of internal anal sphincter (46505) |
$1,194 |
$4,891.03 |
1.0× |
| Chest tube placement (32551) |
$1,571 |
$4,609.72 |
1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,086 |
$5,485.95 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,573 |
$9,748.05 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,086 |
$16,406.30 |
1.0× |
Circumcision w/clamp/oth dev w/block (54150)
range across 2 matching MRF lines |
$2,086 |
$5,485.95–$16,796.90 |
1.0× |
| Clear outer ear canal (69200) |
$132 |
$575.80 |
1.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,265 |
$21,057.80 |
1.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$246 |
$1,035.05 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,604 |
$7,172.60 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$246 |
$1,035.05 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$246 |
$1,052.50 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,604 |
$7,172.60 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$246 |
$1,035.05 |
1.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$246 |
$1,035.05 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,604 |
$8,002.05 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$246 |
$1,052.50 |
1.0× |
| Closure Of Rectovaginal Fistula; Vaginal Or Transanal Approach (57300) |
$3,231 |
$8,038.68 |
1.0× |
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 2 matching MRF lines |
$1,604 |
$7,656.65–$12,500 |
1.0× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
$246 |
$1,527.39–$12,500 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,604 |
$7,656.65 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$246 |
$1,199.40 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$246 |
$1,123.45 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$246 |
$1,199.40 |
1.0× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
$1,604 |
$7,112.55–$16,846.20 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$246 |
$1,123.45 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$246 |
$1,199.40 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,604 |
$7,172.60 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$246 |
$1,123.45 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$246 |
$1,035.05 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$246 |
$862.93 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$246 |
$16,846.20 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$246 |
$1,035.05 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$246 |
$1,199.40 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,604 |
$8,002.05 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,604 |
$7,112.55 |
1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$246 |
$1,199.40 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$246 |
$1,199.40 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,604 |
$7,112.55 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,604 |
$7,112.55 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$42.85 |
1.0× |
| Colonoscopy Flexible With Decompression (45393) |
$1,194 |
$5,130 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,194 |
$5,414.55 |
1.0× |
| Colonoscopy thru stoma (44388) |
$928 |
$2,441.86 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,194 |
$5,414.55 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,194 |
$4,950.33 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,194 |
$5,295.30 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,194 |
$5,621.80 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,194 |
$2,879 |
1.0× |
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210)
range across 2 matching MRF lines |
$3,231 |
$10,423–$21,057.80 |
1.0× |
Colporrhaphy (57200)
range across 2 matching MRF lines |
$3,231 |
$5,461–$16,394.30 |
1.0× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$304 |
$956 |
1.0× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$304 |
$839.50 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$3,231 |
$8,038.68 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,194 |
$4,954.67 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,194 |
$3,179 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,194 |
$4,284 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$4,992 |
$37,903.95 |
1.0× |
Complex drainage wound (10180)
range across 2 matching MRF lines |
$2,899 |
$11,891.50–$29,480.80 |
1.0× |
Conization cervix w/wo d&c rpr eltrd exc (57522)
range across 2 matching MRF lines |
$3,231 |
$8,652–$14,285.70 |
1.0× |
| Conization of cervix (57520) |
$3,231 |
$8,038.68 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$132 |
$575.80 |
1.0× |
| Conversion ext bil drg cath (47535) |
$3,573 |
$9,748.05 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$1,915 |
$8,636.94 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,086 |
$5,485.95 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,648 |
$5,778.53 |
1.0× |
| Correction hammertoe (28285) |
$3,265 |
$22,439.30 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,265 |
$25,269.30 |
1.0× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,265 |
$21,057.75 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$12,814 |
$63,173.25 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,265 |
$25,269.30 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,242 |
$48,432.82 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$5,553 |
$31,037.70 |
1.0× |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
$9,448 |
$40,430.90 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$132 |
$580.55 |
1.0× |
| Curettage postpartum (59160) |
$3,231 |
$17,086.20 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,086 |
$16,839.90 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,086 |
$17,019.30 |
1.0× |
| Cysto w/complex removal stone & stent (52315) |
$2,086 |
$16,846.20 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$3,518 |
$16,846.20 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,518 |
$15,375 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,518 |
$25,269.30 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$3,518 |
$18,839 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,518 |
$18,952 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,086 |
$33,692.40 |
1.0× |
| Cysto w/ureter stricture tx (52341) |
$3,518 |
$6,332.54 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,351 |
$9,826.95 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,518 |
$25,269.30 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,518 |
$7,358.99 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,518 |
$22,009.70 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,351 |
$21,057.80 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,351 |
$25,206.20 |
1.0× |
| Cystolithotomy (51050) |
$5,351 |
$16,846.20 |
1.0× |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
$9,448 |
$13,517.70 |
1.0× |
| Cystourethroscopy (52000) |
$695 |
$18,053.80 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,518 |
$23,464.30 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,351 |
$37,212.50 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,086 |
$15,050.40 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,086 |
$15,655.60 |
1.0× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$2,086 |
$18,365.40 |
1.0× |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
$3,518 |
$5,615.40 |
1.0× |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
$5,351 |
$15,625 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,899 |
$22,461.60 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$737 |
$3,157.50 |
1.0× |
| Debride nail 1-5 (11720) |
$58 |
$398 |
1.0× |
| Debride nail 6 or more (11721) |
$58 |
$438.01 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,648 |
$5,801.11 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$405 |
$2,341–$25,269.30 |
1.0× |
| Declot vascular device (36593) |
$329 |
$2,702.86 |
1.0× |
| Deep Muscle Biopsy (20205) |
$2,899 |
$9,465.97 |
1.0× |
| Delivery of placenta (59414) |
— |
$8,038.68 |
— |
| Destr penis lesion(s) (54065) |
$2,059 |
$6,250 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$1,949 |
$11,955.56 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$200 |
$6,306.11 |
1.0× |
| Destruction Lesions Vulva Extensive (56515) |
$2,059 |
$4,384 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$2,059 |
$6,346.88 |
1.0× |
| Destruction of rectal tumor transanal approach (45190) |
$2,770 |
$15,625 |
1.0× |
| Destruction Vaginal Lesions Extensive (57065) |
$3,231 |
$8,038.68 |
1.0× |
| Destruction Vaginal Lesions Simple (57061) |
$3,231 |
$6,900.83 |
1.0× |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
$928 |
$1,925.75–$4,052.40 |
1.0× |
| Diaphragm or cervical cap fitting with instructions (57170) |
$201 |
$500 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$905 |
$4,318.45 |
1.0× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$3,231 |
$35,730.80 |
1.0× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$5,553 |
$22,916.67 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$704 |
$3,294.50 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$306 |
$1,867.81 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$706 |
$3,351.80 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$706 |
$3,244.85 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,648 |
$7,497.75 |
1.0× |
| Drainage of finger abscess simple (26010) |
$200 |
$917 |
1.0× |
| Drainage of gum lesion (41800) |
$132 |
$580.55 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,648 |
$6,877.50 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,648 |
$7,184.95 |
1.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
$3,231 |
$8,038.68 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$538 |
$2,546.25 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$706 |
$3,517.95 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$405 |
$2,008.45 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$200 |
$1,283.80 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$200 |
$1,279.75 |
1.0× |
| Dstrj Lesion Anus Extensive (46924) |
$2,770 |
$13,336.58 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,770 |
$16,801.30 |
1.0× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$2,059 |
$5,264.43 |
1.0× |
| Dstrj lesion penis simple laser (54057) |
$2,059 |
$6,483.70 |
1.0× |
| Dstrj lesion penis simple surg excision (54060) |
$2,059 |
$5,277.33 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,899 |
$4,261.03 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$1,776 |
$3,765.20 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,776 |
$3,878.70 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$704 |
$3,242.60 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,915 |
$3,659 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,915 |
$4,934.67 |
1.0× |
| Egd cautery tumor polyp (43250) |
$1,915 |
$4,976.43 |
1.0× |
| Egd control bleeding any (43255) |
$1,915 |
$8,294.05 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,915 |
$5,640.33 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$905 |
$4,385.88 |
1.0× |
| Egd guide wire insertion (43248) |
$905 |
$4,318.45 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,915 |
$3,839 |
1.0× |
| Egd lesion ablation (43270) |
$1,915 |
$4,025 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,915 |
$6,001.83 |
1.0× |
| Egd remove lesion snare (43251) |
$1,915 |
$3,501.33 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$1,915 |
$8,294.05 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$1,915 |
$8,707.95 |
1.0× |
| Egd Varices Ligation (43244) |
$1,915 |
$4,973.33 |
1.0× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$5,553 |
$12,343.50 |
1.0× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$5,553 |
$24,351.30 |
1.0× |
| Endocervical curettage (57505) |
$919 |
$1,246 |
1.0× |
| Endometrial Biopsy (58100) |
$201 |
$489.53 |
1.0× |
| Endoscopic injection/implant (51715) |
$3,518 |
$16,846.20 |
1.0× |
| Endoscopic plantar fasciotomy (29893) |
$3,265 |
$9,826.95 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$1,915 |
$4,976.43 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,151 |
$10,070 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$3,151 |
$14,618.20 |
1.0× |
| Epidural Blood Patch (62273) |
$704 |
$2,515.40 |
1.0× |
| Episiotomy or vaginal repair (59300) |
— |
$6,453 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$6,059 |
$6,931 |
1.0× |
| Ercp duct stent placement (43274) |
$6,059 |
$7,538.33 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,848 |
$5,494.69 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$3,848 |
$5,012.50 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,848 |
$18,244.80 |
1.0× |
| Ercp remove forgn body duct (43275) |
$1,915 |
$5,879 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,848 |
$4,335.67 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$3,848 |
$5,485 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$905 |
$3,335.67 |
1.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$1,915 |
$8,707.95 |
1.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$3,848 |
$19,022.70 |
1.0× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$1,915 |
$8,707.95 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$905 |
$4,131.95 |
1.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$1,915 |
$9,064.95 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,915 |
$8,707.95 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$1,915 |
$8,707.95 |
1.0× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$1,915 |
$8,707.95 |
1.0× |
Evacuate mole of uterus (59870)
range across 2 matching MRF lines |
$3,231 |
$8,038.68–$16,846.20 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$132 |
$575.80 |
1.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$2,899 |
$11,230.80 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,648 |
$20,833.34 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$706 |
$17,648.40 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,648 |
$11,832.50 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,648 |
$12,500 |
1.0× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$2,899 |
$20,312.50 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$2,899 |
$9,465.97 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$3,908 |
$33,692.40 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,648 |
$21,875 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$706 |
$12,500 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$706 |
$11,111.11 |
1.0× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,648 |
$7,291.66 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,648 |
$17,831.77 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421)
range across 2 matching MRF lines |
$706 |
$4,448.78–$15,625 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,648 |
$17,338.02 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,604 |
$12,500 |
1.0× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$1,604 |
$14,062.50 |
1.0× |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
$1,949 |
$19,370.10 |
1.0× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$1,949 |
$25,269.30 |
1.0× |
| Exc Rct Tum Incl Muscularis Propria (45172) |
$2,770 |
$16,846.20 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,770 |
$14,673.10 |
1.0× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$2,899 |
$5,468.75 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$706 |
$10,403.18 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,648 |
$12,500 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,899 |
$7,322 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,648 |
$16,893.20 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$2,899 |
$23,437.50 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$2,899 |
$28,125 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$405 |
$16,706.77 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$706 |
$15,625 |
1.0× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,648 |
$12,500 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,899 |
$15,625 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$2,899 |
$12,500 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,648 |
$14,583.34 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$2,899 |
$12,500 |
1.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$2,899 |
$6,250 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,899 |
$7,264.65 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$2,899 |
$15,625 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$2,899 |
$21,875 |
1.0× |
| Exc urethral diverticulum spx female (53230) |
$5,351 |
$25,000 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,573 |
$11,643.20 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,086 |
$9,143.25 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,915 |
$8,294.05 |
1.0× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$2,899 |
$80,750 |
1.0× |
| Excision Infected Graft Extremity (35903) |
$3,151 |
$37,951.90 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$3,231 |
$8,038.68 |
1.0× |
| Excision of extraparenchymal lesion of testis (54512) |
$3,518 |
$3,125 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$1,604 |
$15,625 |
1.0× |
| Excision of hydrocele; bilateral (55041) |
$3,573 |
$20,312.50 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,573 |
$18,359.40 |
1.0× |
| Excision of local lesion of epididymis (54830) |
$3,518 |
$12,500 |
1.0× |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
$1,949 |
$12,634.65 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,899 |
$29,480.80 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$1,194 |
$16,846.20 |
1.0× |
| Excision of vaginal septum (57130) |
$3,231 |
$8,038.68 |
1.0× |
| Excision olecranon bursa (24105) |
$3,265 |
$14,583.34 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,899 |
$21,900.10 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,086 |
$6,755.85 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,648 |
$17,187.50 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$2,899 |
$12,500 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,648 |
$21,875 |
1.0× |
| Excision, interdigital (morton) neuroma, single, each (28080) |
$1,604 |
$15,625 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$2,899 |
$14,062.50 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,648 |
$15,625 |
1.0× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$2,899 |
$16,235.60 |
1.0× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$1,648 |
$12,500 |
1.0× |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
$3,265 |
$8,333.34 |
1.0× |
| Explore/Treat Elbow Joint (24101) |
$3,265 |
$15,625 |
1.0× |
| External cephalic version (59412) |
— |
$8,038.68 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
$3,265 |
$16,846.20 |
1.0× |
| Fasciotomy, foot and/or toe (28008) |
$3,265 |
$19,074.50 |
1.0× |
| Fetal Contraction Stress Test (59020) |
— |
$1,916.79 |
— |
| Fetal non-stress test (59025) |
— |
$1,519.77 |
— |
| Fetal Scalp Blood Sampling (59030) |
$304 |
$1,104 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$706 |
$2,653.43 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$405 |
$1,899.60 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$238 |
$1,126.25 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$706 |
$3,177.70 |
1.0× |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
$3,537 |
$23,531.20 |
1.0× |
| Gastrocnemius recession (27687) |
$3,265 |
$25,884.30 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$706 |
$4,104.61 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,770 |
$21,057.80 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,770 |
$9,826.95 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$928 |
$4,052.40 |
1.0× |
| Hemorrhoidectomy, internal, by transanal hemorrhoidal dearterialization, 2 or more hemorrhoid columns/groups, including… (46948) |
$2,770 |
$21,057.80 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,231 |
$18,397.30 |
1.0× |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
$4,992 |
$21,057.80 |
1.0× |
| Hysteroscopy Dx Sep Proc (58555) |
$3,231 |
$8,038.68 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$4,992 |
$18,671.70 |
1.0× |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
$4,992 |
$13,510.50 |
1.0× |
Hysteroscopy Removal Impacted Foreign Body (58562)
range across 2 matching MRF lines |
$3,231 |
$8,038.68–$17,177.20 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$4,992 |
$25,677.90 |
1.0× |
| Hysterotomy Abdominal (59100) |
$4,992 |
$13,510.50 |
1.0× |
| I&d abscess peritonsillar (42700) |
$236 |
$1,161.10 |
1.0× |
| I&d abscess simple (10060) |
$200 |
$1,462.91 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,899 |
$12,500 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,899 |
$6,070.23 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,265 |
$14,461.40 |
1.0× |
| I&d perianal abscess superficial (46050) |
$928 |
$4,155.20 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$706 |
$3,244.85 |
1.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,899 |
$7,264.65 |
1.0× |
| Icd Pocket Revision (33223) |
$2,059 |
$4,836.60 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,648 |
$4,516.55 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,648 |
$5,756.12 |
1.0× |
| Implant Neuroelectrodes (64561) |
$6,360 |
$12,500 |
1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$19,363 |
$20,312.50 |
1.0× |
| Incise external hemorrhoid (46083) |
$249 |
$1,216.05 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,604 |
$16,846.20 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$405 |
$2,088.91 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,899 |
$12,107.80 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,648 |
$9,672.60 |
1.0× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$405 |
$1,960.20–$12,500 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$201 |
$828.15 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$304 |
$1,004.58 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,604 |
$9,465.97 |
1.0× |
| Incision of Foot Tendon (28234) |
$1,604 |
$4,211.55 |
1.0× |
| Incision of rectal abscess (46040) |
$1,194 |
$5,621.80 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$737 |
$2,674.45 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$200 |
$917 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$212 |
$921.60 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$882 |
$4,836.30 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$882 |
$3,008.49 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$704 |
$3,473.52 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$704 |
$3,294.50 |
1.0× |
| Injection for identification of sentinel node (38792) |
$399 |
$1,062 |
1.0× |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
$1,548 |
$7,265.25 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$306 |
$6,250.04 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$882 |
$2,646.37 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$704 |
$2,694.08 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$704 |
$2,476.68 |
1.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$200 |
$11,027.26 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,151 |
$12,447 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,151 |
$9,522.60 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$3,151 |
$11,176 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,553 |
$14,610.80 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,553 |
$14,009.60 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$31,329 |
$65,911.20 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$8,259 |
$24,997.10 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,571 |
$3,764.29 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,915 |
$4,525.07 |
1.0× |
| Insert cervical dilator (59200) |
— |
$1,353.50 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,915 |
$7,831.04 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$10,432 |
$29,377.30 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$18,296 |
$11,700.70 |
1.0× |
| Insert multi-comp penis pros (54405) |
$20,686 |
$37,436 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,151 |
$6,632.12 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$10,432 |
$31,858 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,571 |
$6,707.64 |
1.0× |
| Insert pulse gen dual leads (33213) |
$10,432 |
$31,858 |
1.0× |
| Insert pulse gen mult leads (33221) |
$19,225 |
$60,000 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$8,259 |
$24,997.10 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$132 |
$661.58 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,573 |
$12,740.50 |
1.0× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$3,151 |
$12,263.10–$19,427.90 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$132 |
$843.46 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,573 |
$11,569.50 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,571 |
$5,606.61 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,259 |
$21,898 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$8,259 |
$24,997.10 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,151 |
$14,618.20 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,571 |
$6,306.56 |
1.0× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$8,259 |
$24,997.10 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$3,151 |
$12,903.90 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,151 |
$9,488.29 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$31,329 |
$75,000 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,259 |
$23,652 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$8,259 |
$41,661.80 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$10,432 |
$31,279.30 |
1.0× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$22,201 |
$70,652.60 |
1.0× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$31,329 |
$75,000 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$22,201 |
$70,652.60 |
1.0× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,309 |
$15,338.10 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,571 |
$3,666.20 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$5,680 |
$22,945.20 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$905 |
$1,801.70 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$236 |
$1,779.63 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$249 |
$1,074.35 |
1.0× |
| Lam facetec & foramot lumbar (63047) |
$7,242 |
$67,384.80 |
1.0× |
| Laminectomy, facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord, cauda equina… (63045) |
$7,242 |
$21,178.08 |
1.0× |
| Laminotomy Single Lumbar (63042) |
$7,242 |
$46,327.10 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,034 |
$31,586.60 |
1.0× |
| Lap paraesophag hern repair (43281) |
$10,609 |
$47,062.40 |
1.0× |
| Lap revision perm ip cath (49325) |
$6,034 |
$27,453.07 |
1.0× |
Laparo-vag hyst incl t/o (58552)
range across 2 matching MRF lines |
$10,609 |
$27,289.40–$64,956.70 |
1.0× |
| Laparoscopic myomectomy (58545) |
$6,034 |
$82,359.20 |
1.0× |
| Laparoscopy aspiration (49322) |
$6,034 |
$15,503.10 |
1.0× |
| Laparoscopy Enterolysis Separate Procedure (44180) |
$6,034 |
$15,503.10 |
1.0× |
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines |
$6,034 |
$15,503.10–$21,222.60 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,034 |
$60,594.80 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$10,609 |
$59,437.60 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$10,609 |
$78,587.44 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$6,034 |
$15,503.10 |
1.0× |
Laparoscopy w/rmvl adnexal structures (58661)
range across 2 matching MRF lines |
$6,034 |
$15,503.10–$31,165.50 |
1.0× |
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines |
$6,034 |
$15,503.10–$20,738.60 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$10,609 |
$58,961.70 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$6,034 |
$67,652.20 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$10,609 |
$27,289.40 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,034 |
$31,586.60 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,034 |
$47,062.40 |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,034 |
$10,736 |
1.0× |
Laparoscopy, Tubal Block (58671)
range across 2 matching MRF lines |
$6,034 |
$15,503.10–$26,764.50 |
1.0× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
range across 2 matching MRF lines |
$6,034 |
$10,736–$25,269.30 |
1.0× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines |
$6,034 |
$15,503.10–$40,009.70 |
1.0× |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
$3,848 |
$28,500 |
1.0× |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
$10,609 |
$50,538.60 |
1.0× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$6,034 |
$21,864 |
1.0× |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
$10,609 |
$27,289.40 |
1.0× |
| Laser Surgery of Cervix (57513) |
$3,231 |
$8,038.68 |
1.0× |
| Laser vaporization of prostate (52648) |
$5,351 |
$35,096.30 |
1.0× |
| Late closure of wound (13160) |
$3,537 |
$20,833.34 |
1.0× |
| Ligate/strip long leg vein (37722) |
$3,151 |
$47,062.40 |
1.0× |
| Ligation Major Artery Abdomen (37617) |
$5,553 |
$4,032 |
1.0× |
Ligation of a-v fistula (37607)
range across 2 matching MRF lines |
$3,151 |
$8,770.89–$38,467.10 |
1.0× |
| Ligation of hemorrhoids (46946) |
$2,770 |
$9,826.95 |
1.0× |
| Ligation or biopsy temporal artery (37609) |
$1,648 |
$29,480.80 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,518 |
$23,721.20 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,518 |
$22,858.20 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,518 |
$14,628.50 |
1.0× |
| Low Back Disk Surgery (63030) |
$7,242 |
$53,170.80 |
1.0× |
| Lsh uterus 250 g or less (58541) |
$10,609 |
$49,201.60 |
1.0× |
| Lsh w/t/o uterus above 250 g (58544) |
$10,609 |
$82,359.20 |
1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,086 |
$5,615.40 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,604 |
$9,465.97 |
1.0× |
| Manipulation wrist under anesthesia (25259) |
$1,604 |
$1,041.66 |
1.0× |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
$1,604 |
$2,777.77 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,604 |
$3,155.32 |
1.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,231 |
$7,879 |
1.0× |
| Mast mod rad (19307) |
$6,627 |
$46,327.10 |
1.0× |
| Mastectomy partial (19301) |
$3,908 |
$30,684.20 |
1.0× |
| Mastectomy simple complete (19303) |
$6,627 |
$42,115.50 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,571 |
$5,497.60 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$3,151 |
$11,841.50 |
1.0× |
| Metatarsectomy (28140) |
$3,265 |
$29,480.80 |
1.0× |
| Muscle-skin graft trunk (15734) |
$3,537 |
$71,250 |
1.0× |
| Myelography Lumbar Injection (62305) |
$782 |
$4,264.17 |
1.0× |
| Myelography Lumbar Injection (62304) |
$782 |
$3,447.03 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$782 |
$3,464.83 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$782 |
$2,416.72 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$704 |
$3,242.60 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$445 |
$1,430.99 |
1.0× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$7,044 |
$30,935.40 |
1.0× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$7,044 |
$30,935.40 |
1.0× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$7,044 |
$30,935.40 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$7,044 |
$30,935.40 |
1.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$7,044 |
$30,935.40 |
1.0× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$7,044 |
$30,935.40 |
1.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$7,044 |
$30,935.40 |
1.0× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$249 |
$910.05 |
1.0× |
| Neck spine fusion (22600) |
$17,500 |
$10,528.87 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,648 |
$7,184.95 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,648 |
$3,086.56 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,949 |
$12,500 |
1.0× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$1,949 |
$19,653.90 |
1.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,126 |
$2,126.20 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$306 |
$1,334.15 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,573 |
$9,748.05 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,573 |
$9,748.05 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$882 |
$4,342.25 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$882 |
$4,203.65 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$704 |
$12,500 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$882 |
$4,669 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$695 |
$2,937.80 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$695 |
$1,528.33 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$405 |
$1,899.60 |
1.0× |
| Njx Sclrsnt Spider Veins (36468) |
$405 |
$1,059 |
1.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$7,044 |
$30,935.40 |
1.0× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$7,044 |
$30,935.40 |
1.0× |
| Occipital Nerve Block (64405) |
$306 |
$1,411 |
1.0× |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
$3,231 |
$8,038.68 |
1.0× |
| Omntc Epiploectomy Rescj Omentum Spx (49255) |
$6,461 |
$3,528 |
1.0× |
| Open Repair of Rotator Cuff Acute (23410) |
$7,242 |
$58,828 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,242 |
$45,424.60 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$7,242 |
$176,484 |
1.0× |
| Open treatment fracture distal tibia only (27827) |
$12,814 |
$47,062.40 |
1.0× |
| Open Treatment Medial Malleolus Fracture (27766) |
$7,242 |
$46,327.10 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,242 |
$42,115.50 |
1.0× |
| Open treatment of acromioclavicular dislocation acute or chronic (23550) |
$7,242 |
$61,769.40 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,242 |
$42,115.50 |
1.0× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$12,814 |
$96,865.65 |
1.0× |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
$7,242 |
$58,961.70 |
1.0× |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
$7,242 |
$47,062.40 |
1.0× |
| Open treatment of ulnar styloid fracture (25652) |
$7,242 |
$29,414 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$12,814 |
$88,242 |
1.0× |
Open Treatment Radial Shaft Fracture (25515)
range across 2 matching MRF lines |
$7,242 |
$34,081.70–$37,903.90 |
1.0× |
| Open Tx Acute/Chronic Elbow Dislocation (24615) |
$7,242 |
$23,531.20 |
1.0× |
| Open Tx Carpometacarpal Dislocate Not Thumb (26685) |
$3,265 |
$16,846.20 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,242 |
$43,140.54 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,265 |
$11,230.80 |
1.0× |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
$7,242 |
$21,380.85 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,265 |
$37,061.60 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,265 |
$25,269.30 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,242 |
$37,903.90 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,242 |
$75,807.90 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$11,522 |
$33,726 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,522 |
$33,726 |
1.0× |
| Optx carp/mtcrpl dislc thmb cplx mlt/dlyd rdctj (26686) |
$3,265 |
$21,057.75 |
1.0× |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609)
range across 2 matching MRF lines |
$7,242 |
$33,073.20–$47,379.90 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$12,814 |
$100,007.60 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,573 |
$20,312.50 |
1.0× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$3,573 |
$10,816.55 |
1.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,265 |
$19,653.90 |
1.0× |
| Ostectomy calcaneus (28118) |
$3,265 |
$25,000 |
1.0× |
| Osteoplasty Radius/Ulna Shortening (25390) |
$7,242 |
$29,480.80 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,265 |
$5,208.33 |
1.0× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$5,908 |
$33,692.40 |
1.0× |
| Partial removal of thyroid (60220) |
$6,034 |
$52,577.50 |
1.0× |
| Partial removal of tongue (41120) |
$5,908 |
$29,578.30 |
1.0× |
| Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) |
$6,034 |
$21,057.75 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,265 |
$29,480.80 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,231 |
$8,038.68 |
1.0× |
| Penile Injection (54235) |
$249 |
$1,074.35 |
1.0× |
| Penis plastic surgery (54360) |
$3,518 |
$30,884.70 |
1.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$10,609 |
$16,653.30 |
1.0× |
| Perc Rf Ablate Renal Tumor (50592) |
$6,034 |
$15,510.50 |
1.0× |
| Percut Ablate Liver Rf (47382) |
$6,034 |
$15,503.10 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$706 |
$4,333.41 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,151 |
$18,490.60 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,571 |
$7,180.80 |
1.0× |
| Perineoplasty rpr perineum nonobstetrical spx (56810) |
$3,231 |
$8,038.68 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$3,265 |
$10,657.50 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$706 |
$2,800.12 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$706 |
$2,512.19 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,648 |
$1,898.96 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,265 |
$10,456.10 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,522 |
$33,726 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,680 |
$18,344.20 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,242 |
$16,105.90 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,242 |
$16,309 |
1.0× |
| Place Cath Subclavian Art (36225) |
$3,151 |
$14,189.80 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$3,151 |
$23,239 |
1.0× |
| Place Cath Vertebral Art (36226) |
$5,553 |
$27,587.20 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$1,915 |
$7,878.24 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$445 |
$1,049.99 |
1.0× |
| Placement of seton (46020) |
$2,770 |
$9,826.95 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,034 |
$15,503.10 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$6,034 |
$20,000 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,086 |
$9,143.25 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,518 |
$15,700.20 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,518 |
$15,700.20 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,518 |
$6,273.90 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,518 |
$6,511.70 |
1.0× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$4,992 |
$25,269.30 |
1.0× |
| Prim art mech thrombectomy (37184) |
$18,296 |
$15,846.70 |
1.0× |
| Proctoplasty Stenosis (45500) |
$2,770 |
$5,468.75 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$928 |
$4,155.20 |
1.0× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$1,194 |
$13,948.70 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,573 |
$9,748.05 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,573 |
$9,748.05 |
1.0× |
| Prq Skel Fixj Interphalangeal Joint Dislc W/Manj (28666) |
$3,265 |
$11,765.60 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,265 |
$33,692.40 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$626 |
$2,760.20 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$405 |
$1,899.60 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$405 |
$3,002.71 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$706 |
$2,300.72 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$3,151 |
$12,426.30 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,059 |
$8,573.20 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,151 |
$10,951.60 |
1.0× |
| Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field… (54411) |
$20,686 |
$33,692.40 |
1.0× |
| Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an… (54417) |
$20,686 |
$46,327.05 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$905 |
$2,479.17 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,648 |
$8,101.20 |
1.0× |
| Removal Foreign Body Scrotum (55120) |
$2,086 |
$11,832.50 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58 |
$284.25 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58 |
$397.95 |
1.0× |
| Removal Implant Deep (20680) |
$2,899 |
$33,692.40 |
1.0× |
| Removal implantable contraceptive capsules (11976) |
$706 |
$1,906.62 |
1.0× |
| Removal of anal fissure (46200) |
$2,770 |
$11,230.80 |
1.0× |
| Removal of cervix (57530) |
$4,992 |
$46,327.05 |
1.0× |
| Removal of heel spur (28119) |
$3,265 |
$28,125 |
1.0× |
| Removal of nail bed (11750) |
$405 |
$2,471 |
1.0× |
| Removal of testis (54520) |
$3,518 |
$15,625 |
1.0× |
Removal of tunneled intraperitoneal catheter (49422)
range across 2 matching MRF lines |
$3,151 |
$6,275.98–$29,480.80 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$3,729 |
$7,954.20 |
1.0× |
| Removal ppm generator only (33233) |
$8,259 |
$24,997.10 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$200 |
$993.50 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$706 |
$3,244.85 |
1.0× |
| Removal sweat gland lesion (11450) |
$2,899 |
$17,187.50 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$279 |
$818.25 |
1.0× |
| Remove cerclage suture (59871) |
— |
$5,342 |
— |
| Remove elbow lesion (24120) |
$3,265 |
$7,291.66 |
1.0× |
| Remove Elctrd Transvenously (33244) |
$3,729 |
$9,266.20 |
1.0× |
| Remove foreign body from eye (65205) |
$132 |
$580.55 |
1.0× |
| Remove Hand Bone Lesion (26200) |
$1,604 |
$4,166.66 |
1.0× |
| Remove Intrauterine Device (58301) |
$304 |
$510.87 |
1.0× |
| Remove intrvas foreign body (37197) |
$3,151 |
$15,177.10 |
1.0× |
| Remove lung catheter (32552) |
$626 |
$2,057.04 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$132 |
$575.80 |
1.0× |
| Remove prostate regrowth (52630) |
$5,351 |
$16,846.20 |
1.0× |
| Remove Pulse Generator (33241) |
$3,729 |
$10,550.50 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$695 |
$2,937.80 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,604 |
$11,458.33 |
1.0× |
| Remove ureter stent percut (50384) |
$2,086 |
$13,022.20 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,259 |
$24,997.10 |
1.0× |
| Remove/replace penis prosth (54410) |
$20,686 |
$45,484.70 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$22,201 |
$70,000 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$31,329 |
$75,000 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$22,201 |
$70,652.60 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,432 |
$21,240.60 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$19,225 |
$60,000 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,648 |
$5,068.60 |
1.0× |
| Reopen fallopian tube (58350) |
$4,992 |
$22,461.60 |
1.0× |
| Repair Achilles Tendon (27650) |
$7,242 |
$43,519.35 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$405 |
$1,930.78 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$405 |
$2,992 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$737 |
$16,846.20 |
1.0× |
| Repair Hallux Rigidus (28289) |
$3,265 |
$31,586.60 |
1.0× |
| Repair Hand Joint (26540) |
$3,265 |
$21,057.75 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$405 |
$1,997.65 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$405 |
$1,765 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$405 |
$1,865.35 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$737 |
$2,904.75 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$405 |
$1,765 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$405 |
$1,765 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$737 |
$3,060.65 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$405 |
$1,865.35 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$405 |
$1,865.35 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$405 |
$1,765 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$405 |
$1,865.35 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,059 |
$8,629.30 |
1.0× |
| Repair lead pace-defib dual (33220) |
$3,729 |
$8,973.75 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$3,729 |
$11,843 |
1.0× |
| Repair Nonunion Hand (26546) |
$7,242 |
$33,692.40 |
1.0× |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
$7,242 |
$20,833.34 |
1.0× |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
$7,242 |
$10,416.66 |
1.0× |
| Repair of hydrocele (55060) |
$3,518 |
$17,187.50 |
1.0× |
| Repair of nail bed (11760) |
$737 |
$2,904.75 |
1.0× |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
$7,242 |
$75,807.90 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,242 |
$36,767.50 |
1.0× |
| Repair of rectocele (45560) |
$2,770 |
$42,115.50 |
1.0× |
| Repair of rectum (45505) |
$2,770 |
$46,327.10 |
1.0× |
| Repair radius & ulna (25415) |
$7,242 |
$50,538.60 |
1.0× |
| Repair Rotator Cuff Chronic (23412) |
$7,242 |
$117,656 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$905 |
$5,395.74 |
1.0× |
| Replace elbow joint (24363) |
$17,500 |
$100,000 |
1.0× |
| Replace G-J Tube Perc (49452) |
$905 |
$6,652.97 |
1.0× |
| Replace g/c tube perc (49450) |
$905 |
$4,309.30 |
1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,729 |
$10,550.50 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$3,151 |
$8,770.89 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,571 |
$5,244.90 |
1.0× |
| Repr elbow lat ligmnt w/tiss (24343) |
$3,265 |
$47,062.40 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,573 |
$46,327.10 |
1.0× |
| Revise lower leg tendon (27690) |
$7,242 |
$39,307.80 |
1.0× |
| Revision of foot (28116) |
$3,265 |
$21,057.80 |
1.0× |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
$12,814 |
$94,124.80 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$5,680 |
$25,309.50 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,086 |
$9,274.40 |
1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,648 |
$7,723.75 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$445 |
$1,995.20 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,194 |
$16,846.20 |
1.0× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$3,729 |
$7,607 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,729 |
$6,894 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$1,571 |
$4,288.17–$9,465.97 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$626 |
$4,032.75 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$249 |
$1,706.79 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,571 |
$5,708.12 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,571 |
$6,816.65 |
1.0× |
Rplcmt compl tun ctr vad w/subq port (36582)
range across 2 matching MRF lines |
$3,151 |
$11,661.10–$29,480.80 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,151 |
$14,618.20 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,034 |
$50,365.40 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,573 |
$45,113.60 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$6,461 |
$87,971.10 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
$6,034 |
$57,000 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,573 |
$50,538.60 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,461 |
$65,092.90 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,034 |
$39,198.40 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,571 |
$4,715 |
1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$737 |
$2,904.75 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$538 |
$2,546.25 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,265 |
$11,765.60 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$626 |
$2,960.05 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,265 |
$37,500 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26357) |
$3,265 |
$12,890.63 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$1,648 |
$3,177.70 |
1.0× |
| Scrotoplasty Simple (55175) |
$3,518 |
$46,327.10 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$928 |
$4,052.40 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,194 |
$5,414.55 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$200 |
$752 |
1.0× |
| Shoulder Arthroscopy/Surgery (29825) |
$3,265 |
$25,269.30 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$928 |
$4,155.20 |
1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,194 |
$5,414.55 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,194 |
$5,295.30 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,194 |
$5,895.40 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$928 |
$2,001.25 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,194 |
$5,414.55 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$405 |
$1,899.60 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$200 |
$917 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$200 |
$917 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$200 |
$817.83 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$200 |
$953.75 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$200 |
$890.10 |
1.0× |
| Skin graft, harvest cultured tissue (15040) |
$2,059 |
$16,846.20 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$737 |
$8,746.30 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$737 |
$8,746.30 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,059 |
$17,981.10 |
1.0× |
| Skin Tissue Procedure (17999) |
$200 |
$5,615.40 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,059 |
$5,247.78 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,553 |
$17,477 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,151 |
$15,296.90 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,553 |
$18,310 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$4,992 |
$45,591.70 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$200 |
$865.85 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$405 |
$843.98 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$405 |
$1,865.35 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$704 |
$2,162.38 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,151 |
$13,105 |
1.0× |
| Strapping ankle (29540) |
$162 |
$478.48 |
1.0× |
| Strapping elbow or wrist (29260) |
$58 |
$636.30 |
1.0× |
| Strapping hand/finger (29280) |
$58 |
$479.18 |
1.0× |
| Strapping knee (29530) |
$132 |
$635.28 |
1.0× |
| Strapping shoulder (29240) |
$132 |
$596.38 |
1.0× |
| Strapping toes (29550) |
$58 |
$397.95 |
1.0× |
| Strapping Unna Boot (29580) |
$162 |
$731.18 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,309 |
$14,225.20 |
1.0× |
| Surg tx anal fistula subq (46270) |
$2,770 |
$16,846.20 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,770 |
$17,688.50 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$7,242 |
$54,750.20 |
1.0× |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
$7,242 |
$21,057.75 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$405 |
$902.90 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,242 |
$34,888.28 |
1.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,265 |
$10,416.66 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,554 |
$8,527.33 |
1.0× |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
$5,553 |
$16,846.20 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$18,296 |
$51,406.20 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$3,151 |
$18,118.40 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,553 |
$24,351.30 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$329 |
$5,546.67 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,151 |
$13,408.30 |
1.0× |
| Thyroid biopsy (60100) |
$706 |
$3,177.70 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,265 |
$12,500 |
1.0× |
| Tooth extraction (41899) |
$236 |
$1,161.10 |
1.0× |
| Total Knee Arthroplasty (27447) |
$12,814 |
$79,417.80 |
1.0× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$6,034 |
$54,750.20 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$304 |
$750 |
1.0× |
| Transcatheter biopsy (37200) |
$5,553 |
$14,610.80 |
1.0× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$3,231 |
$7,345.42 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,351 |
$24,278.30 |
1.0× |
| Transurethral resection bladder neck (52500) |
$3,518 |
$21,057.75 |
1.0× |
Treat ectopic pregnancy (59151)
range across 2 matching MRF lines |
$6,034 |
$13,348–$37,061.60 |
1.0× |
| Treat elbow fracture (24586) |
$12,814 |
$58,828 |
1.0× |
| Treat fracture radius/ulna (25575) |
$7,242 |
$46,327.10 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,242 |
$58,828 |
1.0× |
| Treat humerus fracture (24500) |
$246 |
$1,035.05 |
1.0× |
| Treat Humerus Fracture (24505) |
$1,604 |
$7,656.65 |
1.0× |
| Treat humerus fracture (23600) |
$246 |
$1,035.05 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,242 |
$35,686 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$246 |
$1,035.05 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$246 |
$1,123.45 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$246 |
$1,035.05 |
1.0× |
| Treatment of penis lesion (54115) |
$2,899 |
$16,565.40 |
1.0× |
| Trim skin lesion (11055) |
$200 |
$706.59 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$200 |
$550.20 |
1.0× |
| Trim skin lesions over 4 (11057) |
$200 |
$771.64 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$58 |
$386.26 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$5,680 |
$20,349 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,680 |
$25,425 |
1.0× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$3,518 |
$18,935.10 |
1.0× |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$2,770 |
$25,269.30 |
1.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$12,814 |
$58,828 |
1.0× |
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines |
$3,231 |
$5,532.50–$15,476.80 |
1.0× |
Tx Missed Abortion First Trimester Surgical (59820)
range across 2 matching MRF lines |
$3,231 |
$5,452–$13,376.90 |
1.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$3,231 |
$5,400.50 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,604 |
$7,721.18 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$737 |
$2,904.75 |
1.0× |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
$12,814 |
$52,945.20 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,548 |
$18,750 |
1.0× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$3,573 |
$25,269.30 |
1.0× |
| Unlisted laparoscopic procedure liver (47379) |
$6,034 |
$7,370.21 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,034 |
$27,375.10 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,034 |
$23,531.20 |
1.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$6,034 |
$25,269.30 |
1.0× |
| Unlisted laparoscopy procedure, uterus (58578) |
$6,034 |
$47,062.40 |
1.0× |
| Unlisted procedure anus (46999) |
$928 |
$16,846.20 |
1.0× |
| Unlisted procedure arthroscopy (29999) |
$246 |
$23,531.20 |
1.0× |
| Unlisted procedure breast (19499) |
$3,908 |
$7,359.10 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$246 |
$1,035.05 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$246 |
$25,269.30 |
1.0× |
| Unlisted Procedure Intestine (44799) |
$905 |
$5,565 |
1.0× |
| Unlisted procedure lungs and pleura (32999) |
$626 |
$3,091.30 |
1.0× |
| Unlisted Procedure Male Genital System (55899) |
$249 |
$25,269.30 |
1.0× |
| Unlisted Procedure Muscskeletal System General (20999) |
$246 |
$1,473.50 |
1.0× |
| Unlisted procedure nervous system (64999) |
$306 |
$2,433.28 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$246 |
$21,875 |
1.0× |
| Unlisted procedure stomach (43999) |
$905 |
$1,879 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$626 |
$25,269.30 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$905 |
$5,444.33 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$249 |
$2,314.20 |
1.0× |
| Unlisted Px Salivary Glands/Ducts (42699) |
$236 |
$1,039.15 |
1.0× |
| Unlisted vascular endoscopy procedure (37501) |
$626 |
$2,892.50 |
1.0× |
| Upgrade of pacemaker system (33214) |
$10,432 |
$31,858 |
1.0× |
| Vag hyst complex (58290) |
$7,401 |
$20,799.70 |
1.0× |
| Vag hyst incl t/o complex (58291) |
$4,992 |
$13,510.50 |
1.0× |
| Vaginal delivery only (59409) |
$3,231 |
$8,066.85 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$4,992 |
$13,510.50 |
1.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$4,992 |
$13,510.50 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$18,296 |
$33,726 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,522 |
$33,726 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$11,522 |
$33,726 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$11,522 |
$33,726 |
1.0× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,086 |
$11,988.43 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$11,522 |
$21,952.60 |
1.0× |
Vulvectomy simple partial (56620)
range across 2 matching MRF lines |
$3,231 |
$8,038.68–$20,312.50 |
1.0× |
| Vulvectomy simple; complete (56625) |
$3,231 |
$8,038.68 |
1.0× |
| Wedge excision skin nail fold (11765) |
$405 |
$1,997.65 |
1.0× |
| Wedge Rescj/Bisctj Ovary Uni/Bi (58920) |
$7,401 |
$20,799.70 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$405 |
$4,211.55 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$737 |
$9,375 |
1.0× |