Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
— |
$2,380–$2,475 |
— |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines |
— |
$2,380–$2,475 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$17,690 |
— |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
— |
$4,793 |
— |
| Acne surgery (10040) |
— |
$529 |
— |
| Adding Walker Previously Applied Cast (29440) |
— |
$674 |
— |
| Amniocentesis diagnostic (59000) |
— |
$1,933 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$8,291 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$8,291 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$8,291 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$8,291 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$820 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$406 |
— |
| Anoscopy Control Bleeding (46614) |
— |
$4,105 |
— |
| Anoscopy diagnostic (46600) |
— |
$330 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$3,041 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$2,313 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$3,041 |
— |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
— |
$427 |
— |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
— |
$719 |
— |
| Application cast elbow finger short arm (29075) |
— |
$674 |
— |
| Application Cast Finger (29086) |
— |
$405 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$719 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$166 |
— |
| Application finger splint static (29130) |
— |
$166 |
— |
| Application Hip Spica Cast 1 Leg (29305) |
— |
$696 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$405 |
— |
| Application Long Leg Cast Brace (29358) |
— |
$696 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$719 |
— |
| Application Long Leg Splint (29505) |
— |
$405 |
— |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) |
— |
$719 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$674 |
— |
| Application of long leg cast (29345) |
— |
$696 |
— |
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines |
— |
$639–$674 |
— |
| Application Patellar Tendon Bearing Cast (29435) |
— |
$719 |
— |
| Application risser jacket localizer body only (29010) |
— |
$719 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$330 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$330 |
— |
| Application short leg splint calf foot (29515) |
— |
$405 |
— |
| Application uniplane external fixation system (20690) |
— |
$17,690 |
— |
| Apply hand/wrist cast (29085) |
— |
$405 |
— |
| Apply long arm cast (29065) |
— |
$674 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$405 |
— |
| Apply Short Leg Cast (29405) |
— |
$674 |
— |
| Apply short leg cast (29425) |
— |
$674 |
— |
| Arterial puncture (36600) |
— |
$381 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$786 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,893 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$1,229 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$792 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$792 |
— |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
— |
$8,291 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$1,909 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,909 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$792 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$5,365 |
— |
| Aspiration bladder trocar/intracatheter (51101) |
— |
$2,752 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$529 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$14,640 |
— |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
— |
$9,417 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$9,417 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$4,157 |
— |
| Biopsy bone open deep (20245) |
— |
$7,747 |
— |
| Biopsy bone open superficial (20240) |
— |
$7,747 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$4,157 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$4,157 |
— |
| Biopsy external ear (69100) |
— |
$616 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$4,157 |
— |
| Biopsy nail unit (11755) |
— |
$1,847 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$12,032 |
— |
| Biopsy of floor of mouth (41108) |
— |
$4,157 |
— |
| Biopsy of lip (40490) |
— |
$616 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$4,157 |
— |
| Biopsy of penis (54100) |
— |
$4,157 |
— |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
— |
$9,175 |
— |
| Biopsy Oropharynx (42800) |
— |
$4,086 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$4,157 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$4,382 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$1,847 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$3,861 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$3,861 |
— |
| Biopsy soft tissue forearm&/wrist deep (25066) |
— |
$6,768 |
— |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
— |
$3,861 |
— |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
— |
$6,768 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$3,861 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$4,157 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$3,861 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$3,861 |
— |
| Biopsy Soft Tissue Shoulder Deep (23066) |
— |
$6,768 |
— |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
— |
$3,861 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$6,768 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$3,861 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$1,337 |
— |
| Biopsy Vaginal Mucosa Extensive (57105) |
— |
$7,566 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$1,933 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$1,933 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$1,337 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$711 |
— |
| Bladder Irrigation (51700) |
— |
$711 |
— |
| Bladder Scan (51798) |
— |
$165 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$819 |
— |
| Blood Transfusion Service (36430) |
— |
$1,132 |
— |
| Bone Marrow Biopsy (38221) |
— |
$4,157 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$4,157 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$4,535 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$8,895 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$8,895 |
— |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
— |
$4,042 |
— |
| Bronchoscopy Balloon Occlusion (31634) |
— |
$18,556 |
— |
| Bronchoscopy Clear Airways (31645) |
— |
$4,535 |
— |
| Bronchoscopy Dilate W/Stent (31631) |
— |
$16,477 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$4,535 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$4,794 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$9,390 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$8,895 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$4,157 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$4,157 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$4,157 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$4,157 |
— |
| Bx Cervix (57500) |
— |
$1,933 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$9,079 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$5,861 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$819 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$4,940 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,685 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$711 |
— |
| Change of Windpipe Airway (31502) |
— |
$616 |
— |
| Change ureter stent percut (50382) |
— |
$5,365 |
— |
| Chemical Cautery Tissue (17250) |
— |
$529 |
— |
| Chemical peel, facial; epidermal (15788) |
— |
$529 |
— |
| Chemical Pleurodesis (32560) |
— |
$1,735 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$792 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,893 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$1,893 |
— |
| Chest tube placement (32551) |
— |
$4,940 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$5,365 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$9,417 |
— |
| Chorionic Villus Sampling (59015) |
— |
$1,914 |
— |
| Circumcision 28 days or older (54161) |
— |
$1,454 |
— |
| Circumcision Neonate (54160) |
— |
$1,454 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$1,454 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$4,302 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$4,057 |
— |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
— |
$330–$406 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$7,710 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$620 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$620 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$4,105 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$653 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$645 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$653 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$653 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$4,057 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$653 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$653 |
— |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
— |
$1,395 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$653 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$4,302 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$653 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$4,105 |
— |
| Closed tx mandibular fracture w/manipulation (21451) |
— |
$4,086 |
— |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
— |
$14,691 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$653 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$4,302 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$4,086 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$7,933 |
— |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
— |
$7,933 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$653 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$653 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$653 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$4,105 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$657 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$4,105 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$653 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$4,105 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$653 |
— |
| Closed tx septal&nose fx (21337) |
— |
$8,532 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$659 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$4,302 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$653 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$653 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$653 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$4,302 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$653 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$653 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$616 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$1,337 |
— |
| Closure lacrimal punctum (68760) |
— |
$819 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$653 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$4,302 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$638 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$4,105 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$653 |
— |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$794 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$620 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$4,105 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$4,105 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$620 |
— |
Cltx Carpal Bone Fx W/Manj Each Bone (25635)
range across 2 matching MRF lines |
— |
$4,105–$4,302 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$645 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$653 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$4,105 |
— |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
— |
$4,302 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$653 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$653 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$653 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$653 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$653 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$4,105 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$4,302 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$653 |
— |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
— |
$1,937 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$620 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$4,302 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$653 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$653 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$629 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$653 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,338 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$653 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$653 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$4,105 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$620 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$653 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$4,302 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$4,302 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$653 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$696 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$653 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$696 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$669 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$4,057 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$4,057 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$653 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$655 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$4,105 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$653 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$653 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$4,105 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$653 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$4,105 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$653 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$4,105 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$8,291 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$653 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$653 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$653 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$4,302 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$4,105 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$4,105 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$653 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$620 |
— |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
— |
$8,291 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$653 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$653 |
— |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$653 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$4,105 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$629 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$330 |
— |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
— |
$9–$24 |
— |
| Colpocleisis (le fort type) (57120) |
— |
$13,573 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$819 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$814 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$474 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$814 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$814 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$7,566 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$814 |
— |
| Colposcopy of vulva (56820) |
— |
$502 |
— |
| Colposcopy Vulva W/Biopsy (56821) |
— |
$814 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$1,933 |
— |
| Complex Cystometrogram (51726) |
— |
$711 |
— |
| Complex drainage wound (10180) |
— |
$7,023 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$8,480 |
— |
| Conization of cervix (57520) |
— |
$8,480 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$348 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$330 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$1,337 |
— |
| Conversion ext bil drg cath (47535) |
— |
$10,439 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$4,716 |
— |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
— |
$9,142 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$330 |
— |
| Create Eardrum Opening (69433) |
— |
$1,337 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$13,920 |
— |
| Cryotherapy Co2 Slush Liquid N2 Acne (17340) |
— |
$97 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$330 |
— |
| Curettage postpartum (59160) |
— |
$7,566 |
— |
| Curette/treat cornea (65435) |
— |
$2,444 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$11,217 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$9,142 |
— |
| Cystometrogram W/Vp (51728) |
— |
$1,770 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$1,701 |
— |
| Cystourethroscopy (52000) |
— |
$1,875 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$6,792 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$9,142 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,505 |
— |
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines |
— |
$2,309–$7,747 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,847 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$2,124 |
— |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
— |
$5,207 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,505 |
— |
| Debride nail 1-5 (11720) |
— |
$166 |
— |
| Debride nail 6 or more (11721) |
— |
$166 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$4,157 |
— |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
— |
$1,337 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$967 |
— |
| Declot vascular device (36593) |
— |
$937 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
— |
$4,105 |
— |
| Deep Muscle Biopsy (20205) |
— |
$6,768 |
— |
Delivery of placenta (59414)
range across 2 matching MRF lines |
— |
$2,106–$7,566 |
— |
| Destr penis lesion(s) (54065) |
— |
$4,914 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$2,459 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$5,207 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$5,207 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$529 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$529 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$2,459 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$2,459 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$4,914 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$4,914 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$967 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$967 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$967 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$529 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$529 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$529 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$529 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$529 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$529 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$529 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$967 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$529 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$4,599 |
— |
| Destruction of skin lesions (17106) |
— |
$919 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$967 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$529 |
— |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$528 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$7,566 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$2,313 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$502 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$9,142 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$2,475 |
— |
| Dilate Urethra Stricture (53600) |
— |
$711 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$8,480 |
— |
| Dilation and catheterization of salivary duct, with or without injection (42660) |
— |
$1,337 |
— |
| Dilation Cervical Canal (57800) |
— |
$7,566 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$4,716 |
— |
| Dilation Salivary Duct (42650) |
— |
$4,086 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,893 |
— |
| Drain penis lesion (54015) |
— |
$4,264 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$792 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$620 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$1,847 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$4,497 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,847 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$4,157 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$616 |
— |
| Drainage of finger abscess simple (26010) |
— |
$529 |
— |
| Drainage of gum lesion (41800) |
— |
$330 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$4,157 |
— |
| Drainage of hydrocele (55000) |
— |
$1,847 |
— |
| Drainage of mouth lesion (41006) |
— |
$4,086 |
— |
| Drainage of mouth lesion (41017) |
— |
$7,933 |
— |
| Drainage of nose lesion (30000) |
— |
$620 |
— |
| Drainage of rectal abscess (45020) |
— |
$7,099 |
— |
| Drainage of rectal abscess (45005) |
— |
$3,041 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$4,497 |
— |
| Drainage of scrotum (54700) |
— |
$5,365 |
— |
| Drainage of skene's gland abscess or cyst (53060) |
— |
$5,365 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) |
— |
$7,566 |
— |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
— |
$7,566 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$330 |
— |
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800)
range across 2 matching MRF lines |
— |
$1,847–$1,946 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$967 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$529 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$529 |
— |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
— |
$1,505 |
— |
| Dstrj Extensive Retinopathy (67227) |
— |
$9,471 |
— |
| Dstrj Lesion Anus Extensive (46924) |
— |
$7,706 |
— |
| Dstrj Lesion Anus Simple Chemical (46900) |
— |
$1,118 |
— |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$7,099 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$7,520 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$5,176 |
— |
| Dstrj Lesion Penis Simple Chemical (54050) |
— |
$967 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$529 |
— |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
— |
$4,914 |
— |
| Dstrj lesion penis simple laser (54057) |
— |
$4,914 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$4,914 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,459 |
— |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
— |
$2,459 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$7,023 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$4,794 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$4,535 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$4,332 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$2,159 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$4,716 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$4,716 |
— |
| Egd place gastrostomy tube (43246) |
— |
$4,716 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$4,716 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$820 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$820 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$421 |
— |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
— |
$13,920 |
— |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
— |
$13,920 |
— |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
— |
$13,920 |
— |
| Endocervical curettage (57505) |
— |
$1,933 |
— |
| Endometrial ablation, thermal, without hysteroscopic guidance (58353) |
— |
$12,937 |
— |
| Endometrial Biopsy (58100) |
— |
$502 |
— |
| Endoscopic us exam esoph (43237) |
— |
$4,716 |
— |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
— |
$8,393 |
— |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
— |
$8,393 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$4,716 |
— |
| Epidural Blood Patch (62273) |
— |
$1,893 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$7,566 |
— |
| Ercp duct stent placement (43274) |
— |
$14,479 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$4,716 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$4,716 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$330 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$1,847 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$4,157 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$3,861 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$1,847 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$1,847 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$4,157 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,847 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$1,847 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$1,847 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$4,157 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$4,157 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$4,157 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$1,847 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$4,157 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$2,444 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$4,105 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$1,847 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$4,157 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$7,023 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$4,157 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$7,023 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$4,157 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$7,023 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$4,157 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$3,041 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$967 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$1,847 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$4,157 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$6,768 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$4,331 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$4,497 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$10,439 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$5,365 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$4,716 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$1,847 |
— |
| Excision Chalazion Multiple Same Lid (67801) |
— |
$2,444 |
— |
| Excision Chalazion Single (67800) |
— |
$847 |
— |
| Excision Hidradenitis Axillary Complex Repair (11451) |
— |
$7,023 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$1,847 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$1,847 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$967 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$1,847 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$1,847 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$4,157 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$7,023 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$4,157 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$1,847 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$1,847 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$4,157 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$7,099 |
— |
| Excision of bartholin's gland or cyst (56740) |
— |
$8,480 |
— |
| Excision of chalazion; multiple, different lids (67805) |
— |
$819 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$8,480 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$7,023 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$4,497 |
— |
| Excision/Transposition Pterygium W/O Graft (65420) |
— |
$5,861 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$4,914 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$4,157 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$4,914 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$1,915 |
— |
| External cephalic version (59412) |
— |
$7,566 |
— |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
— |
$6,123 |
— |
| Fasciotomy palmar percutaneous (26040) |
— |
$4,220 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$502 |
— |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
— |
$502–$623 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,847 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$1,847 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$967 |
— |
| Fluid Pressure Muscle (20950) |
— |
$1,847 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$705 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$1,847 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,847 |
— |
| Foreskin manipulation (54450) |
— |
$711 |
— |
| Frenulotomy of penis (54164) |
— |
$1,454 |
— |
| Fstlj Sclera Glaucoma Trabeculect Ab Externo (66170) |
— |
$6,392 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,847 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$2,313 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$8,480 |
— |
| Hysteroscopy Div/Rescj Intrauterine Septum (58560) |
— |
$13,901 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$8,480 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$13,901 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$13,901 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$8,480 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$13,901 |
— |
| I&d abscess peritonsillar (42700) |
— |
$616 |
— |
| I&d abscess simple (10060) |
— |
$547 |
— |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
— |
$4,105 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$7,747 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$8,291 |
— |
| I&D Mouth/Tong Intra,Masticator (41009) |
— |
$1,370 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,313 |
— |
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines |
— |
$1,847–$1,946 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,847 |
— |
| Icd Pocket Revision (33223) |
— |
$4,914 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,157 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$4,157 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$4,157 |
— |
| Implant Neuroelectrodes (64561) |
— |
$18,198 |
— |
| Implantation iris prosthesis (66683) |
— |
$48,563 |
— |
| Impression & Preparation Oral Surgical Splint (21085) |
— |
$616 |
— |
| Incise external hemorrhoid (46083) |
— |
$711 |
— |
| Incise/Drain Conjunctiva (68020) |
— |
$2,617 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$967 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$7,747 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$4,157 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$967 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$502 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$819 |
— |
| Incision of eardrum (69420) |
— |
$616 |
— |
| Incision of iris (66500) |
— |
$6,123 |
— |
| Incision of lymph channels (38308) |
— |
$9,175 |
— |
| Incision of rectal abscess (46040) |
— |
$3,041 |
— |
| Incision&drainage bursa foot (28001) |
— |
$4,157 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$4,497 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$819 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$950 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$529 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$2,459 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$556 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$2,459 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,459 |
— |
| Inject Intravitreal Pharmcologic (67028) |
— |
$937 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$792 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$2,459 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$2,459 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$2,459 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$2,459 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,893 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$2,459 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$792 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$2,459 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,898 |
— |
| Injection enzyme palmar fascial cord (20527) |
— |
$792 |
— |
| Injection medication/other subst tenon capsule (67515) |
— |
$819 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$792 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$792 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$792 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$4,086 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$792 |
— |
| Injection Turbinate Therapeutic (30200) |
— |
$1,337 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$2,459 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,893 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
— |
$1,893–$1,932 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$792 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$529 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$529 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$2,459 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$2,459 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$8,393 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$8,818 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$13,920 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$97,776 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$23,145 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$419 |
— |
| Insert cath pleura w/ image (32557) |
— |
$4,328 |
— |
| Insert cath pleura w/o image (32556) |
— |
$4,999 |
— |
| Insert cervical dilator (59200) |
— |
$814 |
— |
| Insert Drug Implant Device (11981) |
— |
$330 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$4,716 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$31,050 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$30,076 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$6,574 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$4,940 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$31,050 |
— |
| Insert pessary/other device (57160) |
— |
$502 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$4,940 |
— |
| Insert pulse gen dual leads (33213) |
— |
$31,050 |
— |
| Insert pulse gen mult leads (33221) |
— |
$134,686 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$23,145 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$330 |
— |
| Insert tun ip cath perc (49418) |
— |
$9,417 |
— |
| Insert tunneled cv cath (36561) |
— |
$8,393 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$13,920 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$330 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$9,417 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,328 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$23,145 |
— |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
— |
$9,417 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$23,145 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$4,940 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$8,393 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$4,940 |
— |
| Insj Subq Impltbl Dfb Elctrd (33271) |
— |
$34,275 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$8,393 |
— |
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines |
— |
$98,886–$112,267 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$23,145 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$23,145 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$30,076 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$68,791 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$134,686 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$68,791 |
— |
| Interdental Wiring Other Than Fracture (21497) |
— |
$4,086 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$967 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,063 |
— |
| Intranasal Biopsy (30100) |
— |
$4,086 |
— |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
— |
$623 |
— |
| Intraoral i&d tongue/floor submental space (41007) |
— |
$4,163 |
— |
| Intraoral i&d tongue/floor submndblr space (41008) |
— |
$7,669 |
— |
| Intro cath dialysis circuit (36901) |
— |
$4,940 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$30,010 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$15,004 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$2,475 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$623 |
— |
| Iridoplasty photocoagulation 1/> sessions (66762) |
— |
$1,535 |
— |
Iridotomy/irridectomy laser surg per session (66761)
range across 2 matching MRF lines |
— |
$1,535–$1,857 |
— |
| Irrigation maxillary sinus (31000) |
— |
$616 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$734 |
— |
| Kidney endoscopy (50553) |
— |
$12,816 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$27,255 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$27,255 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$27,255 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$15,632 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$15,632 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$27,255 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$27,255 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$474 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$458 |
— |
| Laryngoscopy W/Biopsy (31535) |
— |
$8,895 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$1,144 |
— |
| Laser Surgery Anal Lesions (46917) |
— |
$7,099 |
— |
| Ligation of femoral vein (37650) |
— |
$8,393 |
— |
| Lyse chest fibrin init day (32561) |
— |
$1,909 |
— |
| Lyse Chest Fibrin Subq Day (32562) |
— |
$1,909 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$1,454 |
— |
| Manipulation Elbow Under Anesthesia (24300) |
— |
$4,105 |
— |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
— |
$1,685 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$7,566 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$4,940 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$8,393 |
— |
| Mrgfus Stereotactic Ablation Target Intracranial (61715) |
— |
$36,890 |
— |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
— |
$8,480 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$2,459 |
— |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines |
— |
$1,893–$1,932 |
— |
| N block inj intercost sng (64420) |
— |
$1,898 |
— |
| N Block Inj Paracervical (64435) |
— |
$1,893 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$792 |
— |
N Block Inj Pudendal (64430)
range across 2 matching MRF lines |
— |
$2,459–$2,555 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$2,459 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$474 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$1,132 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$4,332 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$4,332 |
— |
| Nasal/Sphenoid Sinus Endoscopy,Dx (31235) |
— |
$4,794 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$4,157 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$4,157 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$337 |
— |
| Nipple/areola reconstruction (19350) |
— |
$9,720 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$1,893 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$792 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$9,417 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$9,417 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
— |
$2,171–$2,459 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$2,533 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$1,893 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$1,893 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$2,459 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$2,533 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,893 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$2,459 |
— |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
— |
$4,914 |
— |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
— |
$4,914 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$1,685 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$1,685 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$967 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$967 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$529 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$2,380 |
— |
Occipital Nerve Block (64405)
range across 3 matching MRF lines |
— |
$792–$815 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$18,117 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$18,117 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$8,291 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$8,291 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$8,291 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$30,948 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$30,010 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$19,280 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$36,044 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$4,105 |
— |
| Partial removal of toe (28160) |
— |
$8,291 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$8,927 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$8,480 |
— |
| Penile Injection (54235) |
— |
$711 |
— |
| Perc Cryo Ablate Renal Tum (50593) |
— |
$25,481 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$14,640 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$14,640 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$30,010 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$1,847 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$8,393 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$4,940 |
— |
| Peritoneal Lavage (49084) |
— |
$2,380 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$30,010 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$8,291 |
— |
| Perq dev breast 1st mr guide (19287) |
— |
$1,847 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$1,847 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$1,847 |
— |
| Perq device breast 1st imag (19281) |
— |
$1,847 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$5,365 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$8,291 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$14,640 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,946 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$8,291 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$30,010 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$15,004 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$18,618 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$18,618 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$8,393 |
— |
| Place Cath Subclavian Art (36225) |
— |
$8,818 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$8,393 |
— |
| Place Cath Vertebral Art (36226) |
— |
$13,920 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$4,716 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$1,101 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$5,365 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$9,142 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$9,142 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$9,142 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$9,142 |
— |
| Prim art mech thrombectomy (37184) |
— |
$30,010 |
— |
| Probe lacrimal canaliculi w/wo irrigation (68840) |
— |
$794 |
— |
| Probe nasolacrimal duct w/wo irrig req gen anes (68811) |
— |
$5,861 |
— |
| Probing nasolacrimal duct (68810) |
— |
$812 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$2,313 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$7,706 |
— |
| Proph Retinal Dtchmnt W/O Drg Photocoagulation (67145) |
— |
$1,535 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$9,417 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$10,439 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$8,291 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$1,909 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$529 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$967 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$1,847 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$1,932 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$4,599 |
— |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
— |
$9,142 |
— |
| Reconstruction Nail Bed W/Graft (11762) |
— |
$4,914 |
— |
| Reduction of rectal prolapse (45900) |
— |
$2,313 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$4,914 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$8,393 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$819 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$4,157 |
— |
| Removal foreign body foot deep (28192) |
— |
$4,497 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$1,823 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$4,157 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
— |
$170–$201 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$166 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$7,566 |
— |
| Removal Implant Deep (20680) |
— |
$7,747 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$4,157 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$1,847 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$1,101 |
— |
| Removal of infusion pump (36262) |
— |
$9,354 |
— |
| Removal of nail bed (11750) |
— |
$967 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$8,393 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$696 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$9,037 |
— |
| Removal ppm generator only (33233) |
— |
$23,145 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$529 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$1,847 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$5,176 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$696 |
— |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
— |
$4,637 |
— |
| Remove cerclage suture (59871) |
— |
$7,566 |
— |
| Remove drug implant device (11982) |
— |
$1,101 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$9,037 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$4,302 |
— |
Remove foreign body from eye (65205)
range across 2 matching MRF lines |
— |
$330–$406 |
— |
| Remove Intrauterine Device (58301) |
— |
$814 |
— |
| Remove intrvas foreign body (37197) |
— |
$8,393 |
— |
| Remove iris and lesion (66600) |
— |
$11,564 |
— |
| Remove lung catheter (32552) |
— |
$1,909 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$330 |
— |
| Remove Peritoneal Foreign Body (49402) |
— |
$9,417 |
— |
| Remove Pulse Generator (33241) |
— |
$9,037 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,685 |
— |
| Remove ureter stent percut (50384) |
— |
$5,365 |
— |
| Remove&replace pm gen singl (33227) |
— |
$23,145 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$1,101 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$68,791 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$97,776 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$68,791 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$30,076 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$55,466 |
— |
| Renal Biopsy Perq (50200) |
— |
$4,157 |
— |
| Repair blood vessel lesion (35190) |
— |
$13,920 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,505 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,429 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$4,914 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,505 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,505 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,505 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,505 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,505 |
— |
| Repair detached retina (67105) |
— |
$1,527 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$4,302 |
— |
| Repair Eyelid Wound (67935) |
— |
$6,341 |
— |
| Repair incomplete circumcision (54163) |
— |
$1,454 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$967 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$967 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$967 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$967 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,063 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,505 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$967 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$934 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,505 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$967 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$967 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$967 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,505 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$967 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$4,914 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$1,370 |
— |
| Repair lead pace-defib dual (33220) |
— |
$7,169 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$9,037 |
— |
| Repair of nail bed (11760) |
— |
$1,464 |
— |
| Repair Spica/Body/Jacket Cast (29720) |
— |
$405 |
— |
| Repair tongue laceration (41252) |
— |
$616 |
— |
| Repair tongue laceration (41250) |
— |
$330 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$2,316 |
— |
| Replace G-J Tube Perc (49452) |
— |
$2,380 |
— |
| Replace g/c tube perc (49450) |
— |
$2,380 |
— |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
— |
$14,070 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$711 |
— |
| Reposition L Ventric Lead (33226) |
— |
$8,393 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$8,393 |
— |
| Reposition Venous Catheter (36597) |
— |
$4,940 |
— |
| Retrobulbar injection (67500) |
— |
$819 |
— |
| Revise eyelashes (67825) |
— |
$794 |
— |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
— |
$9,017 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$15,004 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$5,365 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$4,086 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$2,380 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$4,157 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,101 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$330 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$1,101 |
— |
| Rmvl FB/Dacryolith Lacrimal Passages (68530) |
— |
$819 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$3,041 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$4,157 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$14,070 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$9,037 |
— |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
— |
$1,847–$1,909 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,909 |
— |
| Rmvl Vitreous Ant Appr Partial Removal (67005) |
— |
$6,123 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$711 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$711 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$8,393 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$4,940 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$8,393 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$4,940 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$8,393 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$8,393 |
— |
| Rpr blepharoptosis levator rescj/advmnt xtrnl (67904) |
— |
$5,861 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$4,328 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$529 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$919 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$623 |
— |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
— |
$6,476 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,370 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,337 |
— |
| Rpr Retinal Dtchmnt Injection Air/Other Gas (67110) |
— |
$6,123 |
— |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
— |
$11,564 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$8,927 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$8,927 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,909 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$1,847 |
— |
| Severing tarsorrhaphy (67710) |
— |
$2,341 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$529 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$529 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$949 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$529 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$529 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$529 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$967 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$529 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$967 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$529 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$967 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$529 |
— |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
— |
$8,294 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$3,247 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$2,313 |
— |
| Simple Cystometrogram (51725) |
— |
$711 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$967 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$529 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$529 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$967 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$529 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$529 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$529 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$529 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$529 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$4,914 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$4,914 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$9,017 |
— |
| Skin Tissue Procedure (17999) |
— |
$552 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$4,914 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$13,920 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$8,393 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$13,920 |
— |
| Slitting of prepuce (54001) |
— |
$5,365 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$529 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$967 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$967 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,893 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$8,393 |
— |
| Strapping ankle (29540) |
— |
$405 |
— |
| Strapping elbow or wrist (29260) |
— |
$101 |
— |
| Strapping hand/finger (29280) |
— |
$101 |
— |
| Strapping Hip (29520) |
— |
$166 |
— |
| Strapping knee (29530) |
— |
$330 |
— |
| Strapping shoulder (29240) |
— |
$330 |
— |
| Strapping toes (29550) |
— |
$170 |
— |
| Strapping Unna Boot (29580) |
— |
$405 |
— |
| Subconjunctival injection (68200) |
— |
$330 |
— |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
— |
$507 |
— |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
— |
$1,505 |
— |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
— |
$967 |
— |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
— |
$5,861 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$4,105 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$529 |
— |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
— |
$1,452 |
— |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
— |
$1,815 |
— |
| Tcat Rmvl Perm Ldls Pm (33275) |
— |
$1,847 |
— |
| Temporary Closure Eyelids Suture (67875) |
— |
$2,444 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$4,105 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$4,078 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$4,078 |
— |
| Therapeutic plasma exchange (36514) |
— |
$4,008 |
— |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
— |
$13,920 |
— |
| Thrmbc Artl/Ven Grf Xcp Hemo Grf/Fstl W/Revj Grf (35876) |
— |
$13,920 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$48,278 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$4,940 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$13,920 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$997 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$8,393 |
— |
| Thyroid biopsy (60100) |
— |
$1,847 |
— |
| Tongue suspension (41512) |
— |
$14,691 |
— |
Tooth extraction (41899)
range across 3 matching MRF lines |
— |
$616–$976 |
— |
Trabeculoplasty by laser surgery (65855)
range across 2 matching MRF lines |
— |
$1,535–$1,857 |
— |
| Tracheal pnxr prq w/transtracheal aspir&/njx (31612) |
— |
$7,933 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$1,337 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$616 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$4,163 |
— |
| Tracheostomy planned (31600) |
— |
$7,933 |
— |
| Transcatheter biopsy (37200) |
— |
$13,920 |
— |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
— |
$7,566 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$3,041 |
— |
| Transvesical ureterolithotomy Facility (51060) |
— |
$5,365 |
— |
| Treat Dental Ridge Fracture (21440) |
— |
$7,933 |
— |
| Treat humerus fracture (24500) |
— |
$653 |
— |
| Treat Humerus Fracture (24505) |
— |
$4,105 |
— |
| Treat humerus fracture (23600) |
— |
$653 |
— |
| Treat knee fracture (27532) |
— |
$6,427 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$653 |
— |
| Treat metacarpal fracture (26607) |
— |
$8,291 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$653 |
— |
| Treat Thumb Dislocation (26641) |
— |
$653 |
— |
| Treat Thumb Fracture (26645) |
— |
$4,302 |
— |
| Treat toe dislocation (28630) |
— |
$653 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$502 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$4,105 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$653 |
— |
| Treatment extensive retinopathy photocoagulation (67228) |
— |
$1,535 |
— |
| Treatment of penis lesion (54115) |
— |
$7,023 |
— |
| Treatment of retina (67141) |
— |
$971 |
— |
| Treatment of retinal lesion (67208) |
— |
$819 |
— |
| Trim skin lesion (11055) |
— |
$502 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$529 |
— |
| Trim skin lesions over 4 (11057) |
— |
$529 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$166 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$15,004 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$15,004 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$766 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$7,566 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$7,566 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$7,566 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,505 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$620 |
— |
| Unlisted procedure anus (46999) |
— |
$2,313 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$405 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$634 |
— |
| Unlisted procedure nervous system (64999) |
— |
$792 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$2,313 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$1,909 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$2,380 |
— |
| Upgrade of pacemaker system (33214) |
— |
$31,050 |
— |
| Urine Flow Measurement (51736) |
— |
$315 |
— |
| Uvulectomy excision of uvula (42140) |
— |
$7,933 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$8,480 |
— |
Vaginal delivery only (59409)
range across 4 matching MRF lines |
— |
$7,566–$9,895 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$30,010 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$30,010 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$30,948 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$30,010 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$15,004 |
— |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$7,933 |
— |
| Vulvectomy simple partial (56620) |
— |
$8,480 |
— |
| Wedge excision skin nail fold (11765) |
— |
$967 |
— |
| Wedging of cast (29740) |
— |
$719 |
— |
| Windowing of cast (29730) |
— |
$405 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,505 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$1,505 |
— |