| Abd paracentesis w/imaging (49083) |
— |
$2,441 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,953 |
— |
| Ablate Pulm Tumor Perq Crybl (32994) |
— |
$11,783 |
— |
| Ablation ire liver 1+ tumors w/img gdn perq (47384) |
— |
$43,441 |
— |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
— |
$18,844 |
— |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
— |
$6,481 |
— |
| Allogeneic lymphocyte infusions (38242) |
— |
$3,208 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$2,459 |
— |
| Application finger splint static (29130) |
— |
$516 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$632 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$516 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
— |
$149–$350 |
— |
| Arterial puncture (36600) |
— |
$364 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
— |
$643–$1,286 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$1,313 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
— |
$643–$1,286 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines |
— |
$708–$1,416 |
— |
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines |
— |
$2,473–$4,946 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$2,473 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$444 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$3,208 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,208 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,916 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,208 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$3,255 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$2,831 |
— |
Biopsy Testis Needle Separate Procedure (54500)
range across 3 matching MRF lines |
— |
$4,883–$9,766 |
— |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
— |
$6,557 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$1,192 |
— |
| Blood Transfusion Service (36430) |
— |
$1,639 |
— |
Blood/Lymph System Procedure (38999)
range across 3 matching MRF lines |
— |
$1,749–$7,774 |
— |
Bone Marrow Biopsy (38221)
range across 3 matching MRF lines |
— |
$3,208–$6,416 |
— |
Bone Marrow; Aspiration Only (38220)
range across 4 matching MRF lines |
— |
$3,208–$6,416 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$4,334 |
— |
| Car-t admn autologous (38228) |
— |
$3,208 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$2,581 |
— |
| Change of Windpipe Airway (31502) |
— |
$929 |
— |
| Chemical Cautery Tissue (17250) |
— |
$444 |
— |
| Chemical Pleurodesis (32560) |
— |
$1,736 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$2,140 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,428 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$1,181 |
— |
Chemodenerv musc neck dyston (64616)
range across 3 matching MRF lines |
— |
$1,181–$2,362 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$2,493 |
— |
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 3 matching MRF lines |
— |
$1,181–$2,362 |
— |
| Chest tube placement (32551) |
— |
$2,581 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$6,352 |
— |
Clear outer ear canal (69200)
range across 3 matching MRF lines |
— |
$276–$552 |
— |
| Closure lacrimal punctum (68760) |
— |
$809 |
— |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$809 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$516 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$24 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$423 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$705 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$705 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$516 |
— |
| Conversion ext bil drg cath (47535) |
— |
$13,185 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$5,225 |
— |
Convert Nephrostomy Catheter (50434)
range across 3 matching MRF lines |
— |
$8,195–$16,389 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$4,433 |
— |
| Csf shunt reprogram (62252) |
— |
$689 |
— |
| Debride nail 1-5 (11720) |
— |
$148 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$719 |
— |
| Declot vascular device (36593) |
— |
$781 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$771 |
— |
| Diagnostic anoscopy (46601) |
— |
$276 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,313 |
— |
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines |
— |
$643–$1,286 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$516 |
— |
| Dressing Change Under Anesthesia (15852) |
— |
$1,685 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$1,454 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$755 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$444 |
— |
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines |
— |
$4,768–$7,151 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$3,475 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$2,625 |
— |
| Epidural Blood Patch (62273) |
— |
$1,247 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$6,352 |
— |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 3 matching MRF lines |
— |
$3,687–$7,374 |
— |
| Exchange Transfusion (36455) |
— |
$1,639 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$5,226 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$719 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$561 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$2,814 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,384 |
— |
| Head Surgery Procedure (21499) |
— |
$930 |
— |
| Hem gen pltlt do 43 genes (0274U) |
— |
$2,555 |
— |
| Hem genetic bld do 60 genes (0272U) |
— |
$2,555 |
— |
| Hem inh thrombocytopenia 42 (0276U) |
— |
$9,795 |
— |
| Hem vw factor&clgn iii bndg (0279U) |
— |
$46 |
— |
| Hem Vwd Propeptide Ag Lvl (0281U) |
— |
$69 |
— |
| Hematology (genetic platelet function disorder), genomic sequence analysis of 31 genes, blood, buccal swab, or amniotic… (0277U) |
— |
$2,396 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,960 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$2,916 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$2,916 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$6,481 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$719 |
— |
| Incision of urethra (53020) |
— |
$7,681 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$755 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$417 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$2,707 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$3,561 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$2,770 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$2,707 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$2,707 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$514 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$643 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$3,561 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
— |
$2,707–$5,414 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$511 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$8,498 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$5,666 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$9,730 |
— |
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines |
— |
$2,581–$5,162 |
— |
| Insert cath pleura w/o image (32556) |
— |
$3,748 |
— |
| Insert Drug Implant Device (11981) |
— |
$276 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$3,448 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$4,605 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$1,609 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$544 |
— |
| Insert tun ip cath perc (49418) |
— |
$6,988 |
— |
| Insert tunneled cv cath (36561) |
— |
$6,232 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$8,957 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$6,352 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,594 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$3,148 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$2,604 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,375 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$6,232 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$8,957 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,856 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$929 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$777 |
— |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
— |
$1,872 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$6,232 |
— |
| Myelography Lumbar Injection (62305) |
— |
$1,430 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$3,161 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$2,707 |
— |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 3 matching MRF lines |
— |
$2,707–$5,414 |
— |
| N block inj intercost sng (64420) |
— |
$2,707 |
— |
| N Block Inj Pudendal (64430) |
— |
$2,707 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$777 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$718 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$3,208 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,752 |
— |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
— |
$8,931 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$2,707 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$643 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431)
range across 3 matching MRF lines |
— |
$2,670–$5,340 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430)
range across 3 matching MRF lines |
— |
$2,362–$4,724 |
— |
Occipital Nerve Block (64405)
range across 3 matching MRF lines |
— |
$643–$1,286 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$35,374 |
— |
Perc Cryo Ablate Renal Tum (50593)
range across 3 matching MRF lines |
— |
$41,645–$83,290 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$10,502 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$6,033 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,384 |
— |
| Photopheresis extracorporeal (36522) |
— |
$8,433 |
— |
| Place Cath Subclavian Art (36225) |
— |
$5,666 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$5,225 |
— |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines |
— |
$3,687–$7,374 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$7,307 |
— |
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695)
range across 3 matching MRF lines |
— |
$6,208–$11,328 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$10,961 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$6,352 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,307 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$719 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$1,428 |
— |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
— |
$2,880 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$5,666 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$1,688 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
— |
$238–$476 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines |
— |
$238–$476 |
— |
| Removal of nail bed (11750) |
— |
$818 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$9,112 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$3,294 |
— |
| Remove drug implant device (11982) |
— |
$866 |
— |
| Remove Intrauterine Device (58301) |
— |
$423 |
— |
| Remove intrvas foreign body (37197) |
— |
$5,666 |
— |
| Remove lung catheter (32552) |
— |
$1,287 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$516 |
— |
Remove renal tube w/fluoro (50389)
range across 3 matching MRF lines |
— |
$1,201–$2,402 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$996 |
— |
Renal Biopsy Perq (50200)
range across 3 matching MRF lines |
— |
$2,916–$5,832 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$3,101 |
— |
| Replace G-J Tube Perc (49452) |
— |
$3,101 |
— |
| Replace g/c tube perc (49450) |
— |
$3,101 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$482 |
— |
| Reposition Venous Catheter (36597) |
— |
$2,581 |
— |
| Revision of eyelid (67880) |
— |
$4,199 |
— |
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 3 matching MRF lines |
— |
$5,910–$11,820 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$276 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$2,828 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,287 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$304 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$2,796 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$2,581 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$6,020 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$5,666 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$2,458 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,861 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$4,499 |
— |
| Severing tarsorrhaphy (67710) |
— |
$2,544 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$355 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$3,294 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,294 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$5,693 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$6,585 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,428 |
— |
| Strapping elbow or wrist (29260) |
— |
$238 |
— |
| Strapping hand/finger (29280) |
— |
$238 |
— |
| Strapping Hip (29520) |
— |
$516 |
— |
| Strapping knee (29530) |
— |
$516 |
— |
| Strapping shoulder (29240) |
— |
$516 |
— |
| Strapping Unna Boot (29580) |
— |
$632 |
— |
| T-cell depletion of harvest (38210) |
— |
$3,825 |
— |
| Temporary Closure Eyelids Suture (67875) |
— |
$1,743 |
— |
| Thaw preserved stem cells (38208) |
— |
$3,825 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$2,951 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$2,625 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$2,951 |
— |
| Therapeutic plasma exchange (36514) |
— |
$2,951 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$4,249 |
— |
Thrombolytic Art Therapy (37211)
range across 3 matching MRF lines |
— |
$8,957–$17,914 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$5,666 |
— |
| Thyroid biopsy (60100) |
— |
$1,266 |
— |
| Transcatheter biopsy (37200) |
— |
$9,730 |
— |
| Trgt gen seq alys sld orgn neo cll-fr DNA 311+ (0239U) |
— |
$14,700 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$12,281 |
— |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
— |
$3,825 |
— |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
— |
$3,825 |
— |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
— |
$3,825 |
— |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
— |
$3,825 |
— |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
— |
$3,825 |
— |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
— |
$5,054 |
— |
| Trnsplj autologous hematopoietic cells per donor (38241) |
— |
$6,557 |
— |
| Trnsplj Hematopoietic Cell Boost (38243) |
— |
$6,557 |
— |
| Tympanostomy general anesthesia (69436) |
— |
$2,666 |
— |
| Unlisted procedure larynx (31599) |
— |
$929 |
— |
Unlisted Procedure Leg/Ankle (27899)
range across 3 matching MRF lines |
— |
$960–$1,440 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$2,473 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$960 |
— |
| Unlisted procedure nervous system (64999) |
— |
$1,181 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$960 |
— |
| Unlisted procedure shoulder (23929) |
— |
$1,009 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$22,073 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$22,073 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$41,928 |
— |
| Von willebrand factor type 2b plasma (0283U) |
— |
$74 |
— |
| Vw factor type 2n eval plsm (0284U) |
— |
$69 |
— |
| Wash harvest stem cells (38209) |
— |
$3,825 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$1,281 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$3,294 |
— |