Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
— |
$535–$710.60 |
— |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
— |
$337–$612.90 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$1,680 |
— |
| Acne surgery (10040) |
— |
$113.30 |
— |
| Acromiopl/Acromionect Partial (23130) |
— |
$1,476.90 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$357 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$480 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$482 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$690 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$503 |
— |
| Amniocentesis diagnostic (59000) |
— |
$77.70 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$1,083.30 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$991.85 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$724.75 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$743.10 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$248.80 |
— |
| Appendectomy (44950) |
— |
$1,513.45 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$186 |
— |
Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
— |
$151.60–$243.80 |
— |
| Application finger splint static (29130) |
— |
$74 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$153 |
— |
| Application Long Leg Splint (29505) |
— |
$149 |
— |
| Application of long leg cast (29345) |
— |
$372.40 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$320 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$98.70 |
— |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
— |
$115–$197.90 |
— |
| Application short leg splint calf foot (29515) |
— |
$126 |
— |
| Apply hand/wrist cast (29085) |
— |
$152.40 |
— |
Apply long arm cast (29065) range across 2 matching MRF lines |
— |
$173.20–$270.55 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$196 |
— |
| Apply Short Leg Cast (29405) |
— |
$162.40 |
— |
| Apply short leg cast (29425) |
— |
$169.30 |
— |
| Arterial puncture (36600) |
— |
$135 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
— |
$112–$142.80 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$912 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
— |
$124–$172 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
— |
$100–$760 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
— |
$89–$140.30 |
— |
Arthroplasty glenohumeral joint total shoulder (23472) range across 2 matching MRF lines |
— |
$2,455–$3,250.05 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$1,013 |
— |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
— |
$1,541 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$1,062 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
— |
$976–$1,289.90 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$1,809 |
— |
| Arthrotomy W/Meniscus Repair Knee (27403) |
— |
$1,043 |
— |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 2 matching MRF lines |
— |
$2,372–$2,904.40 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$1,633 |
— |
Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
— |
$495–$777.40 |
— |
Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
— |
$372–$651.30 |
— |
Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
— |
$106–$169.50 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$401 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$185 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$591.10 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$246.70 |
— |
| Biopsy external ear (69100) |
— |
$162 |
— |
Biopsy muscle percutaneous needle (20206) range across 4 matching MRF lines |
— |
$80.60–$590.80 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$178 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$1,377.60 |
— |
Bladder Irrigation (51700) range across 2 matching MRF lines |
— |
$147–$195.40 |
— |
| Bladder Scan (51798) |
— |
$145 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$363 |
— |
Blood Transfusion Service (36430) range across 10 matching MRF lines |
— |
$205.50–$820.55 |
— |
Bx breast 1st lesion us imag (19083) range across 2 matching MRF lines |
— |
$311.50–$1,470 |
— |
| Bx Cervix (57500) |
— |
$247 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$1,076.10 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$1,206.45 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$163.40 |
— |
Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
— |
$84–$139 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$250 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$225 |
— |
Chest tube placement (32551) range across 2 matching MRF lines |
— |
$295–$357.30 |
— |
| Circumcision Neonate (54160) |
— |
$250 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$257 |
— |
Cl Tx Scapular Fx; W Manip (23575) range across 2 matching MRF lines |
— |
$669–$1,147.20 |
— |
Cl Tx Tib Shft Fx W Manip (27752) range across 2 matching MRF lines |
— |
$897–$1,520.35 |
— |
Claviculectomy partial (23120) range across 2 matching MRF lines |
— |
$972–$1,411.80 |
— |
| Clear outer ear canal (69200) |
— |
$216 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$1,160.50 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$804.05 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$201 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$539 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$789 |
— |
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 2 matching MRF lines |
— |
$326–$567 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$427 |
— |
Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
— |
$359–$592.85 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$410 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$797 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$566 |
— |
Closed Tx Patellar Fracture W/O Manipulation (27520) range across 2 matching MRF lines |
— |
$547–$924.30 |
— |
Closed tx radial head/neck fx w/o manipulation (24650) range across 2 matching MRF lines |
— |
$443–$753.95 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,475.30 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$816.60 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 2 matching MRF lines |
— |
$871–$1,558.80 |
— |
Closed Tx Scapular Fracture W/O Manipulation (23570) range across 2 matching MRF lines |
— |
$391–$664.60 |
— |
| Closed tx septal&nose fx (21337) |
— |
$487 |
— |
Closed tx talus fracture w/o manipulation (28430) range across 2 matching MRF lines |
— |
$399–$664.65 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$369 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$408 |
— |
Closed tx ulnar shaft fracture w/o manipulation (25530) range across 2 matching MRF lines |
— |
$444–$754.80 |
— |
Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
— |
$371–$645.40 |
— |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
— |
$295.35 |
— |
Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
— |
$682–$1,046.95 |
— |
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
— |
$551–$1,084.55 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$836 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$616 |
— |
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 2 matching MRF lines |
— |
$386–$655.45 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$366.20 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$500 |
— |
Cltx dstl fibular fx lat malls w/manj (27788) range across 2 matching MRF lines |
— |
$710–$1,246.55 |
— |
Cltx dstl fibular fx lat malls w/o manj (27786) range across 2 matching MRF lines |
— |
$537–$875.05 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$530 |
— |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 2 matching MRF lines |
— |
$313–$551.05 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
— |
$563–$963.55 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
— |
$916–$1,586.35 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$1,148 |
— |
Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 2 matching MRF lines |
— |
$626.20–$1,340.85 |
— |
Cltx fx grt toe phlx/phlg w/o manj (28490) range across 2 matching MRF lines |
— |
$252–$396.60 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$277 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$213 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,510.35 |
— |
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 2 matching MRF lines |
— |
$528–$891.70 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$774 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$1,160 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$618.70 |
— |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
— |
$584 |
— |
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 2 matching MRF lines |
— |
$544–$976.90 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$780 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$248 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$645 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$480 |
— |
Cltx Medial Ankle Fx (27760) range across 2 matching MRF lines |
— |
$566–$941 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$547 |
— |
Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
— |
$498–$854.15 |
— |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
— |
$565–$989.40 |
— |
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 2 matching MRF lines |
— |
$337–$588.65 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$962 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$681 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$713 |
— |
Cltx prox fibula/shft fx w/o manj (27780) range across 2 matching MRF lines |
— |
$520–$883.35 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$674 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$212.60 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$570 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$608 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$1,289 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$511 |
— |
Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
— |
$345–$584 |
— |
Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
— |
$808–$1,461.95 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$386.70 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$173.10 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$25 |
— |
| Colonoscopy w/ablation (45388) |
— |
$480 |
— |
Colonoscopy w/submucosal inj (45381) range across 2 matching MRF lines |
— |
$704–$1,225.75 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$272 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$230 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$204 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$243 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$720 |
— |
| Complex drainage wound (10180) |
— |
$417 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$303 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$251 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$553 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$463 |
— |
| Curettage postpartum (59160) |
— |
$396.60 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$147.80 |
— |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
— |
$373–$598.65 |
— |
| Debride nail 1-5 (11720) |
— |
$59 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$801.55 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$331.50 |
— |
| Declot vascular device (36593) |
— |
$199 |
— |
| Delivery of placenta (59414) |
— |
$158 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$1,520 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$2,128 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$2,128 |
— |
Destruct B9 Lesion 1-14 (17110) range across 2 matching MRF lines |
— |
$106–$191 |
— |
Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
— |
$124–$226 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$312 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$279 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$238 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$234 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$2,432 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$52.50 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$141 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$537.75 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$760 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$325 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$352 |
— |
| Drainage of finger abscess simple (26010) |
— |
$548 |
— |
| Drainage of gum lesion (41800) |
— |
$482 |
— |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
— |
$276–$435.85 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$159.20 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
— |
$235–$414.15 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
— |
$141–$232.15 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$1,368 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$428 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,368 |
— |
| Egd cautery tumor polyp (43250) |
— |
$270 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$393.25 |
— |
Egd guide wire insertion (43248) range across 2 matching MRF lines |
— |
$282–$1,144.75 |
— |
| Egd place gastrostomy tube (43246) |
— |
$445.85 |
— |
| Endometrial Biopsy (58100) |
— |
$187 |
— |
Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
— |
$1,805–$2,640.15 |
— |
| Epidural Blood Patch (62273) |
— |
$1,216 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$250.90 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$95 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$982.65 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$536 |
— |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
— |
$212–$319.80 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$340 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$720 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$1,194 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$1,567.80 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$316 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$457 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$578 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$232 |
— |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
— |
$286–$434.20 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$318 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$314 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$706 |
— |
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
— |
$210–$312.30 |
— |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
— |
$268–$398.30 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$310 |
— |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
— |
$642 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$1,001 |
— |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
— |
$324–$499.30 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$849.95 |
— |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
— |
$522–$834.10 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$615 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$561 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$751 |
— |
Exc thigh/knee les sc 3 cm/> (27337) range across 2 matching MRF lines |
— |
$682–$1,020.20 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$1,287 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$345 |
— |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
— |
$254–$387.45 |
— |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
— |
$282–$427.50 |
— |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
— |
$366–$577.80 |
— |
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
— |
$725–$1,072.75 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$880 |
— |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
— |
$1,110 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$926 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$753 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$702 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$1,336.70 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$1,002 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$356 |
— |
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 2 matching MRF lines |
— |
$475–$690.50 |
— |
| Excision lesion tendon sheath forearm&/wrist (25110) |
— |
$566 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$251 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$391 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$528 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$860 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$331 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$389 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$416 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$511.20 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$688.85 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$307 |
— |
| Excision olecranon bursa (24105) |
— |
$895.05 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$1,730.80 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$1,874 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$780 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$685 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$511 |
— |
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines |
— |
$707–$1,071.90 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$219 |
— |
| External cephalic version (59412) |
— |
$194.60 |
— |
| Fetal non-stress test (59025) |
— |
$86 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$256 |
— |
| Fluid Pressure Muscle (20950) |
— |
$425 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$1,198.90 |
— |
| I&d abscess peritonsillar (42700) |
— |
$309 |
— |
I&d abscess simple (10060) range across 2 matching MRF lines |
— |
$204–$321.45 |
— |
| I&d perianal abscess superficial (46050) |
— |
$341 |
— |
I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
— |
$400–$673.85 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$4,208 |
— |
Incise external hemorrhoid (46083) range across 2 matching MRF lines |
— |
$333–$563.60 |
— |
Incise finger tendon sheath (26055) range across 2 matching MRF lines |
— |
$843–$1,573.95 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$344 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$260 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$300 |
— |
Incision and drainage of vulva or perineal abscess (56405) range across 2 matching MRF lines |
— |
$237–$364.85 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$850.80 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$363 |
— |
Incision of rectal abscess (46040) range across 2 matching MRF lines |
— |
$884–$1,575.50 |
— |
Incisional biopsy skin single lesion (11106) range across 2 matching MRF lines |
— |
$190–$260 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$1,824 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
— |
$43–$151.15 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,216 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$356 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$375 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$1,520 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,368 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$760 |
— |
Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
— |
$106–$900 |
— |
Injection single tendon origin/insertion (20551) range across 3 matching MRF lines |
— |
$45–$151.15 |
— |
Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
— |
$96–$129.45 |
— |
Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
— |
$111–$149.45 |
— |
Injection therapeutic carpal tunnel (20526) range across 3 matching MRF lines |
— |
$57–$220.45 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$1,216 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$1,064 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$127.90 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$98 |
— |
| Insert Drug Implant Device (11981) |
— |
$239 |
— |
Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
— |
$498.60–$594.50 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$144 |
— |
| Insert tunneled cv cath (36561) |
— |
$2,406.40 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$77.30 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$1,958.90 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$673 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$372 |
— |
Laparoscopy aspiration (49322) range across 2 matching MRF lines |
— |
$600–$888.25 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$739 |
— |
Laparoscopy w/rmvl adnexal structures (58661) range across 2 matching MRF lines |
— |
$1,036–$1,465.10 |
— |
Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
— |
$959–$1,145.05 |
— |
Laparoscopy, surgical; repair recurrent inguinal hernia (49651) range across 2 matching MRF lines |
— |
$961–$1,374.95 |
— |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 2 matching MRF lines |
— |
$544–$790.55 |
— |
Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 2 matching MRF lines |
— |
$1,173–$1,616.25 |
— |
| Late closure of wound (13160) |
— |
$1,851.75 |
— |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
— |
$1,210 |
— |
| Ligamentous reconstruction knee intra-articular (27428) |
— |
$1,884 |
— |
| Ligation or biopsy temporal artery (37609) |
— |
$472.20 |
— |
| Maternity Care Procedure (59899) |
— |
$500 |
— |
| Metatarsectomy (28140) |
— |
$1,404.35 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$1,368 |
— |
N Block Inj Ilio-Ing/Hypogi (64425) range across 2 matching MRF lines |
— |
$231–$302.30 |
— |
| N block inj intercost sng (64420) |
— |
$172 |
— |
N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
— |
$83–$125.25 |
— |
| N Block Inj Pudendal (64430) |
— |
$1,216 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$1,216 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$349.10 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$1,064 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$211 |
— |
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
— |
$81.30–$396.90 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$1,520 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$1,672 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,520 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$302.25 |
— |
Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 2 matching MRF lines |
— |
$150–$512.65 |
— |
| Occipital Nerve Block (64405) |
— |
$177 |
— |
Open Repair of Rotator Cuff Acute (23410) range across 2 matching MRF lines |
— |
$357–$1,774.30 |
— |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
— |
$1,285 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$1,794 |
— |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
— |
$1,193–$1,697.30 |
— |
Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines |
— |
$1,012–$1,486.95 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$1,519.50 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$833 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$1,185 |
— |
Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) range across 2 matching MRF lines |
— |
$1,535–$2,187.25 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$1,182 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$1,369.25 |
— |
Open Tx Tibial Fracture Proximal Unicondylar (27535) range across 2 matching MRF lines |
— |
$1,477–$2,037.85 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
— |
$1,453–$2,065.50 |
— |
Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
— |
$1,053–$1,555.40 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$1,774.70 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$1,722 |
— |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 2 matching MRF lines |
— |
$1,913–$2,724.10 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$1,903 |
— |
Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) range across 2 matching MRF lines |
— |
$1,435–$2,082.95 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$749 |
— |
| Partial removal of rib (21600) |
— |
$905 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$1,185.65 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$1,080 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$191.10 |
— |
Placement of needle for intraosseous infusion (36680) range across 2 matching MRF lines |
— |
$100–$144.45 |
— |
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 2 matching MRF lines |
— |
$942–$1,497.90 |
— |
Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
— |
$214–$303.10 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
— |
$222–$329 |
— |
Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
— |
$176–$240.50 |
— |
Radical resection of tumor; clavicle Facility (23200) range across 2 matching MRF lines |
— |
$2,386–$3,412.80 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$320 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$358 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$1,018 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$27 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$91 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$293 |
— |
| Removal Implant Deep (20680) |
— |
$1,579.70 |
— |
Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
— |
$132–$245 |
— |
Removal of nail bed (11750) range across 3 matching MRF lines |
— |
$354.90–$394.10 |
— |
Removal of sperm cord lesion (55520) range across 2 matching MRF lines |
— |
$736–$1,123.70 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$150 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$169 |
— |
| Removal sweat gland lesion (11450) |
— |
$426 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$101 |
— |
| Remove drug implant device (11982) |
— |
$270 |
— |
| Remove foreign body from eye (65205) |
— |
$181.40 |
— |
| Remove Intrauterine Device (58301) |
— |
$178 |
— |
| Remove knee joint lining (27334) |
— |
$1,105 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$407 |
— |
Remove Tendon Sheath Lesion (26160) range across 2 matching MRF lines |
— |
$970–$1,644.05 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$375 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$905 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$566 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$687 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$939 |
— |
| Repair Hand Tendon (26410) |
— |
$936 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$437 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$503 |
— |
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
— |
$254–$296 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$688 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$409 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$493 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$653 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$419 |
— |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
— |
$518–$749.80 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$533 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$658 |
— |
| Repair Non/Malunion Humerus W/O Graft (24430) |
— |
$1,785 |
— |
| Repair of nail bed (11760) |
— |
$320 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$1,361 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$1,313 |
— |
| Repair of shoulder (23420) |
— |
$1,559 |
— |
Repair Rotator Cuff Chronic (23412) range across 2 matching MRF lines |
— |
$1,365–$1,927 |
— |
| Replantation digit complete (20822) |
— |
$2,831 |
— |
Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
— |
$1,030–$1,520.15 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$102 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$107 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$420 |
— |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
— |
$426–$562.75 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$362 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$1,216 |
— |
Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) range across 2 matching MRF lines |
— |
$1,200–$1,705.40 |
— |
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
— |
$553–$788.85 |
— |
Rpr Aa Hernia Recr < 3 Cm Reducible (49613) range across 2 matching MRF lines |
— |
$499–$967.50 |
— |
Rpr aa hrn 1st 3-10 rdc (49593) range across 2 matching MRF lines |
— |
$922–$1,312.25 |
— |
Rpr aa hrn 1st < 3 ncr/strn (49592) range across 2 matching MRF lines |
— |
$761–$1,091.85 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$378 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$799 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$169 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$196 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$169 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$207 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$190 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$274 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$206 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$242 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$259.20 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$448 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$232 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$255 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$301 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$236 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$506 |
— |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
— |
$295–$404.95 |
— |
| Skin Tissue Procedure (17999) |
— |
$312 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$250 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$365 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$452 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$272 |
— |
Strapping Unna Boot (29580) range across 2 matching MRF lines |
— |
$103–$200 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$1,005 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$977 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$173 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$1,201 |
— |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
— |
$720.40 |
— |
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
— |
$396–$822 |
— |
Total Knee Arthroplasty (27447) range across 2 matching MRF lines |
— |
$2,532–$2,897.70 |
— |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
— |
$905 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$1,215 |
— |
| Treat Hip Socket Fracture (27222) |
— |
$2,210.60 |
— |
Treat humerus fracture (24500) range across 2 matching MRF lines |
— |
$602–$1,037.85 |
— |
| Treat Humerus Fracture (24505) |
— |
$837 |
— |
Treat humerus fracture (23600) range across 2 matching MRF lines |
— |
$552–$952.65 |
— |
| Treat Kneecap Fracture (27524) |
— |
$1,280 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$563 |
— |
| Treat toe dislocation (28630) |
— |
$432 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$791 |
— |
Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
— |
$608–$1,191.40 |
— |
Treatment of ankle fracture (27823) range across 2 matching MRF lines |
— |
$1,590–$2,307.60 |
— |
Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) range across 2 matching MRF lines |
— |
$2,026–$2,802.55 |
— |
| Treatment of tibia fracture (27756) |
— |
$1,410.90 |
— |
| Trim skin lesion (11055) |
— |
$116 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$134 |
— |
| Trim skin lesions over 4 (11057) |
— |
$79.25 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$537 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$2,088 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$643 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$617 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$474 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$348 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$1,646 |
— |
Unlisted laparoscopic procedure liver (47379) range across 2 matching MRF lines |
— |
$478–$719.75 |
— |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 2 matching MRF lines |
— |
$871.30–$1,950 |
— |
| Unlisted procedure anus (46999) |
— |
$1,190 |
— |
Unlisted procedure humerus/elbow (24999) range across 2 matching MRF lines |
— |
$675.30–$1,178.60 |
— |
| Unlisted procedure nervous system (64999) |
— |
$456 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$1,554 |
— |
| Vaginal delivery only (59409) |
— |
$1,464.70 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$814 |
— |