Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
— |
$1,204–$1,205 |
— |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines |
— |
$1,168–$1,169 |
— |
| Amniocentesis diagnostic (59000) |
— |
$247 |
— |
| Anoscopy diagnostic (46600) |
— |
$1,205 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$1,205 |
— |
| Application cast elbow finger short arm (29075) |
— |
$582 |
— |
| Application finger splint static (29130) |
— |
$338 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$326 |
— |
Application Long Leg Splint (29505)
range across 3 matching MRF lines |
— |
$147–$326 |
— |
Application of long leg cast (29345)
range across 3 matching MRF lines |
— |
$185–$374 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$728 |
— |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
— |
$161–$326 |
— |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
— |
$147–$326 |
— |
| Apply long arm cast (29065) |
— |
$582 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
— |
$189–$454 |
— |
Apply Short Leg Cast (29405)
range across 3 matching MRF lines |
— |
$157–$374 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 6 matching MRF lines |
— |
$134–$490 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 5 matching MRF lines |
— |
$276–$933 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 7 matching MRF lines |
— |
$128–$618 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
— |
$716–$782 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 5 matching MRF lines |
— |
$133–$453 |
— |
Aspirate pleura w/ imaging (32555)
range across 3 matching MRF lines |
— |
$582–$1,180 |
— |
Aspirate Pleura W/O Imaging (32554)
range across 5 matching MRF lines |
— |
$381–$1,102 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines |
— |
$109–$145 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$166 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$217 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$513 |
— |
| Bladder Irrigation (51700) |
— |
$94 |
— |
Bladder Scan (51798)
range across 3 matching MRF lines |
— |
$91–$94 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$293 |
— |
Blood Transfusion Service (36430)
range across 13 matching MRF lines |
— |
$383–$510 |
— |
| Bone Marrow Biopsy (38221) |
— |
$324 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$947 |
— |
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines |
— |
$153–$154 |
— |
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines |
— |
$298–$832 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$824 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$824 |
— |
Chest tube placement (32551)
range across 3 matching MRF lines |
— |
$515–$1,102 |
— |
| Clear outer ear canal (69200) |
— |
$282 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$840 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$1,445 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$1,860 |
— |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
— |
$1,283 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,192 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,709 |
— |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
— |
$1,709 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$876 |
— |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
— |
$1,451 |
— |
Closed Tx Knee Dislocation W/Anesthesia (27552)
range across 2 matching MRF lines |
— |
$1,456–$1,760 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,760 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$757 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$1,435 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,131 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,394 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,090 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$1,946 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$1,721 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$1,509 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$889 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$1,089 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$648 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$249 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$1,721 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$1,813 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$1,721 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$1,100 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$1,100 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$847 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,078 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$1,448 |
— |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
— |
$995 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,582 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$1,273 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$730 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$576 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$1,113 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
— |
$490–$1,386 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$1,760 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$1,760 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$1,451 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$1,386 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$637 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$593 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$593 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,858 |
— |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
— |
$1,760 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$2,003 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$1,382 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$840 |
— |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
— |
$1,451 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$588 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$460 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$1,760 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$1,760 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,008 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$582 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$1,245 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$1,451 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$1,104 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$903 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$1,451 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$985 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$1,501 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$1,445 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$2,516 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$897 |
— |
Cltx sprcndylr/transcndylr humeral fx w/manj (24535)
range across 3 matching MRF lines |
— |
$1,107–$1,960 |
— |
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530)
range across 3 matching MRF lines |
— |
$680–$1,810 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
— |
$1,760 |
— |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
— |
$1,451 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$1,617 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,760 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$1,598 |
— |
Collect Blood From Catheter Venous Nos (36592)
range across 5 matching MRF lines |
— |
$49–$118 |
— |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
— |
$17–$21 |
— |
| Complex drainage wound (10180) |
— |
$5,248 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$567 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$396 |
— |
Cryotherapy Co2 Slush Liquid N2 Acne (17340)
range across 2 matching MRF lines |
— |
$25–$52 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$411 |
— |
Curette/treat cornea (65435)
range across 3 matching MRF lines |
— |
$312–$520 |
— |
| Cystourethroscopy (52000) |
— |
$2,334 |
— |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines |
— |
$374–$674 |
— |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
— |
$408–$832 |
— |
Debride nail 1-5 (11720)
range across 3 matching MRF lines |
— |
$109–$140 |
— |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 4 matching MRF lines |
— |
$453–$832 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 5 matching MRF lines |
— |
$143–$832 |
— |
| Delivery of placenta (59414) |
— |
$308 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$2,720 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$2,060 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$3,824 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$166 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$624 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$282 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$146 |
— |
| Drainage of finger abscess simple (26010) |
— |
$431 |
— |
| Drainage of gum lesion (41800) |
— |
$158 |
— |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
— |
$478–$1,193 |
— |
| Drainage of nose lesion (30000) |
— |
$228 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$587 |
— |
Draw Blood Off Venous Device (36591)
range across 4 matching MRF lines |
— |
$44–$68 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$621 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$621 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 4 matching MRF lines |
— |
$222–$604 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,060 |
— |
| Dx gastr intub w/asp spec (43754) |
— |
$602 |
— |
| Epidural Blood Patch (62273) |
— |
$510 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$117 |
— |
Exc Thrombosed Hemorrhoid Xtrnl (46320)
range across 4 matching MRF lines |
— |
$137–$315 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$560 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$2,089 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$496 |
— |
| Fetal non-stress test (59025) |
— |
$273 |
— |
| I&d abscess peritonsillar (42700) |
— |
$575 |
— |
I&d abscess simple (10060)
range across 6 matching MRF lines |
— |
$424–$922 |
— |
I&d perianal abscess superficial (46050)
range across 3 matching MRF lines |
— |
$205–$314 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$401 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$1,912 |
— |
| Incise external hemorrhoid (46083) |
— |
$213 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$434 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$402 |
— |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
— |
$287–$360 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$483 |
— |
Incision of rectal abscess (46040)
range across 3 matching MRF lines |
— |
$822–$953 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$674 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$408 |
— |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
— |
$608–$1,493 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 3 matching MRF lines |
— |
$135–$265 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,236 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$721 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,751 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$1,132 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$1,148 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$1,236 |
— |
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines |
— |
$138–$531 |
— |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 3 matching MRF lines |
— |
$133–$618 |
— |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
— |
$423–$618 |
— |
Injection therapeutic carpal tunnel (20526)
range across 3 matching MRF lines |
— |
$74–$532 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$721 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$247 |
— |
Insert non-tunnel cv cath (36556)
range across 4 matching MRF lines |
— |
$170–$1,828 |
— |
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines |
— |
$95–$154 |
— |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
— |
$96–$164 |
— |
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 3 matching MRF lines |
— |
$421–$613 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,077 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,509 |
— |
Intubation endotracheal emergency procedure (31500)
range across 4 matching MRF lines |
— |
$247–$556 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$1,061 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$1,148 |
— |
| N block inj intercost sng (64420) |
— |
$1,148 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$902 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$2,627 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$1,891 |
— |
Nasal/Orogastric W/Tube Plmt (43752)
range across 5 matching MRF lines |
— |
$308–$464 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$232 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$54 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$54 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$2,472 |
— |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
— |
$503–$1,545 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
— |
$785–$1,349 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$2,241 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$797 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$1,334 |
— |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
— |
$297–$953 |
— |
| Partial hymenectomy or revision of hymenal ring (56700) |
— |
$758 |
— |
Pericardiocentesis W/Imaging (33016)
range across 3 matching MRF lines |
— |
$531–$1,077 |
— |
Placement of needle for intraosseous infusion (36680)
range across 4 matching MRF lines |
— |
$155–$253 |
— |
Punch biopsy skin single lesion (11104)
range across 3 matching MRF lines |
— |
$325–$674 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$463 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$3,824 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$506 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$1,928 |
— |
| Removal foreign body foot deep (28192) |
— |
$1,678 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$1,252 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$468 |
— |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
— |
$940 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$983 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
— |
$294–$318 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$397 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$293 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$462 |
— |
| Removal of nail bed (11750) |
— |
$695 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$1,077 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$212 |
— |
| Remove foreign body from eye (65205) |
— |
$453 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$2,849 |
— |
| Remove Intrauterine Device (58301) |
— |
$62 |
— |
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines |
— |
$223–$713 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$616 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$737 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$911 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131)
range across 3 matching MRF lines |
— |
$494–$618 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$698 |
— |
Repair complex scalp/arm/leg 1.1-2.5 cm (13120)
range across 3 matching MRF lines |
— |
$455–$513 |
— |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 3 matching MRF lines |
— |
$567–$721 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$431 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$730 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$2,554 |
— |
| Repair Hand Tendon (26410) |
— |
$2,112 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$539 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$588 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$637 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$680 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,705 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,082 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$718 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$764 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$823 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$1,339 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$927 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$618 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$670 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$1,339 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$773 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,082 |
— |
| Repair of nail bed (11760) |
— |
$480 |
— |
| Repair tongue laceration (41252) |
— |
$627 |
— |
Repair tongue laceration (41250)
range across 3 matching MRF lines |
— |
$297–$428 |
— |
Rmvl embedded fb vestibule mouth comp (40805)
range across 3 matching MRF lines |
— |
$407–$552 |
— |
Rmvl Embedded Fb Vestibule Mouth Smpl (40804)
range across 3 matching MRF lines |
— |
$268–$428 |
— |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines |
— |
$379–$701 |
— |
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines |
— |
$312–$592 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$453 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$417 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$807 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$1,766 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$592 |
— |
Rplc Gtube No Revj Trc (43762)
range across 3 matching MRF lines |
— |
$180–$411 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$721 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$1,339 |
— |
Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251)
range across 3 matching MRF lines |
— |
$297–$428 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,015 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$541 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$567 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$1,339 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$428 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$1,339 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines |
— |
$46–$515 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$1,339 |
— |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 3 matching MRF lines |
— |
$411–$618 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$5,930 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,501 |
— |
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines |
— |
$418–$3,327 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$616 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$927 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$1,139 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$597 |
— |
Strapping ankle (29540)
range across 4 matching MRF lines |
— |
$53–$374 |
— |
Strapping elbow or wrist (29260)
range across 4 matching MRF lines |
— |
$57–$374 |
— |
Strapping hand/finger (29280)
range across 3 matching MRF lines |
— |
$102–$374 |
— |
Strapping Hip (29520)
range across 4 matching MRF lines |
— |
$80–$374 |
— |
Strapping knee (29530)
range across 4 matching MRF lines |
— |
$63–$374 |
— |
Strapping shoulder (29240)
range across 5 matching MRF lines |
— |
$102–$374 |
— |
| Strapping thorax (29200) |
— |
$273 |
— |
Strapping toes (29550)
range across 3 matching MRF lines |
— |
$102–$374 |
— |
Strapping Unna Boot (29580)
range across 5 matching MRF lines |
— |
$101–$374 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$674 |
— |
| Tooth extraction (41899) |
— |
$515 |
— |
Tracheostomy Emergency Cricothyroid Membrane (31605)
range across 3 matching MRF lines |
— |
$637–$1,097 |
— |
| Treat humerus fracture (24500) |
— |
$1,571 |
— |
Treat Humerus Fracture (24505)
range across 3 matching MRF lines |
— |
$907–$1,810 |
— |
| Treat humerus fracture (23600) |
— |
$1,957 |
— |
| Treat Knee Fracture(S) (27538) |
— |
$1,484 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$1,046 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$876 |
— |
| Treat Thumb Dislocation (26641) |
— |
$1,132 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$922 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$809 |
— |
Trim skin lesion (11055)
range across 2 matching MRF lines |
— |
$267–$386 |
— |
Tx Gastro Intub W/Asp (43753)
range across 3 matching MRF lines |
— |
$179–$411 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$1,382 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$500 |
— |
| Unlisted procedure nervous system (64999) |
— |
$926 |
— |
| Vaginal delivery only (59409) |
— |
$2,670 |
— |
Vasc Embolize/Occlude Bleed (37244)
range across 3 matching MRF lines |
— |
$1,298–$1,494 |
— |
Vein Access Cutdown < 1 Yr (36420)
range across 3 matching MRF lines |
— |
$154–$205 |
— |
Venous Cutdown >1 Y/O (36425)
range across 3 matching MRF lines |
— |
$124–$164 |
— |