| Abd paracentesis w/imaging (49083) |
$967 |
$1,580 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$967 |
$911 |
1.0× |
| Abdomen Surgery Procedure (22999) |
$263 |
$11,421 |
1.0× |
| Ablate inf turbinate submuc (30802) |
$1,654 |
$7,337.25 |
1.0× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$11,335 |
$11,381 |
1.0× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,200 |
$6,645.50 |
1.0× |
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$2,200 |
$11,399.75–$11,399.80 |
1.0× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,200 |
$9,794.50 |
1.0× |
| Amniocentesis diagnostic (59000) |
$982 |
$1,678 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,489 |
$15,713 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,489 |
$12,356 |
1.0× |
| Amputation foot transmetarsal (28805) |
$3,489 |
$17,651 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,489 |
$11,421 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,489 |
$10,660 |
1.0× |
| Anoscopy diagnostic (46600) |
$141 |
$5,617 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,276 |
$4,660.83 |
1.0× |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
$2,959 |
$7,044 |
1.0× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$5,334 |
$8,515.50 |
1.0× |
Application multiplane external fixation system (20692) range across 2 matching MRF lines |
$13,690 |
$15,188.99–$15,189 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$298 |
$869 |
1.0× |
| Application uniplane external fixation system (20690) |
$7,737 |
$25,017 |
1.0× |
| Apply long arm cast (29065) |
$298 |
$3,650.50 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$173 |
$451 |
1.0× |
| Arterial puncture (36600) |
$141 |
$121 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$3,367 |
$20,869 |
1.0× |
Arthrd Ant Interbody Decompress Cervical Belw C2 (22551) range across 2 matching MRF lines |
$13,690 |
$11,652.70–$11,652.71 |
1.0× |
| Arthrd Ant Min Discect Interbody Cerv Below C2 (22554) |
$13,690 |
$9,619.83 |
1.0× |
Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) range across 2 matching MRF lines |
$13,690 |
$91,612.49–$91,612.50 |
1.0× |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$13,690 |
$14,099.50 |
1.0× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$327 |
$494–$930 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$752 |
$833 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$327 |
$849–$6,601 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$327 |
$1,015 |
1.0× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
$327 |
$886–$1,330 |
1.0× |
| Arthrodesis ankle open (27870) |
$13,690 |
$15,809 |
1.0× |
| Arthrodesis great toe interphalangeal joint (28755) |
$7,737 |
$11,792.50 |
1.0× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$7,737 |
$18,461 |
1.0× |
Arthrodesis Posterior Interbody Lumbar (22630) range across 2 matching MRF lines |
$28,934 |
$20,448.49–$20,448.50 |
1.0× |
Arthrodesis Posterior/Posterolateral Lumbar (22612) range across 2 matching MRF lines |
$18,697 |
$24,181–$24,181.05 |
1.0× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$18,697 |
$24,445 |
1.0× |
| Arthrodesis subtalar (28725) |
$13,690 |
$25,892 |
1.0× |
Arthrodesis triple (28715) range across 2 matching MRF lines |
$13,690 |
$21,124.70–$21,124.73 |
1.0× |
| Arthrodesis, sacroiliac joint, open, includes obtaining bone graft, including instrumentation, when performed Facility (27280) |
$18,697 |
$22,820 |
1.0× |
| Arthrodesis, sacroiliac joint, percutaneous, with image guidance, including placement of intra-articular implant(s)… (27278) |
$18,697 |
$23,115 |
1.0× |
| Arthroplasty ankle revision total ankle (27703) |
$18,697 |
$21,020.50 |
1.0× |
| Arthroplasty Ankle W/Implant (27702) |
$28,934 |
$28,786 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$18,697 |
$31,474 |
1.0× |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
$13,690 |
$39,303 |
1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,489 |
$31,056 |
1.0× |
Arthroplasty Patella W/Prosthesis (27438) range across 2 matching MRF lines |
$13,690 |
$41,903.60–$41,903.61 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$3,489 |
$25,892 |
1.0× |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
$3,489 |
$18,277 |
1.0× |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
$3,489 |
$10,030 |
1.0× |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
$3,489 |
$14,562 |
1.0× |
| Arthroscopy knee synovectomy limited spx (29875) |
$3,489 |
$17,311 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,489 |
$7,611.38 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,737 |
$18,971 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,489 |
$17,311 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,489 |
$23,053 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,737 |
$7,918.09 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,489 |
$18,260 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$3,489 |
$17,272 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,737 |
$28,199 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,737 |
$24,118 |
1.0× |
Arthrotomy W/Meniscus Repair Knee (27403) range across 2 matching MRF lines |
$7,737 |
$11,336.30–$11,336.33 |
1.0× |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
$7,737 |
$10,259 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$13,690 |
$35,386 |
1.0× |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
$13,690 |
$32,299 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,737 |
$31,064 |
1.0× |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
$3,489 |
$22,054 |
1.0× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$3,489 |
$17,521 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,489 |
$16,853 |
1.0× |
Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) range across 2 matching MRF lines |
$3,489 |
$18,509.30–$18,509.33 |
1.0× |
Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$668 |
$1,804–$5,926 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$668 |
$1,145 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,229 |
$2,103 |
1.0× |
| Av Fistula Revision Open (36832) |
$5,933 |
$5,013 |
1.0× |
Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
$213 |
$310–$4,021 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,761 |
$3,978 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,097 |
$5,617 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,761 |
$2,009 |
1.0× |
Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
$1,761 |
$1,605–$5,617 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,761 |
$1,605 |
1.0× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$3,535 |
$9,551 |
1.0× |
| Biopsy of breast; open, incisional (19101) |
$4,175 |
$6,153.33 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,761 |
$1,808 |
1.0× |
| Biopsy of rectum (45100) |
$2,959 |
$7,301 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,761 |
$3,629 |
1.0× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$575 |
$5,822 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$982 |
$8,471 |
1.0× |
| Bladder Irrigation (51700) |
$266 |
$555 |
1.0× |
| Bladder Scan (51798) |
$62 |
$175 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$338 |
$9,551 |
1.0× |
| Blood Transfusion Service (36430) |
$470 |
$1,274 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,761 |
$2,920 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,761 |
$2,418 |
1.0× |
Bx breast 1st lesion strtctc (19081) range across 3 matching MRF lines |
$1,761 |
$7,490–$11,237 |
1.0× |
Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
$1,761 |
$6,640–$9,960 |
1.0× |
| Bx Cervix (57500) |
$982 |
$11,421 |
1.0× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$3,758 |
$8,568 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$4,175 |
$15,461 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$4,175 |
$17,272 |
1.0× |
Capsulorrhaphy Anterior With Bone Block (23460) range across 2 matching MRF lines |
$7,737 |
$24,951.30–$24,951.34 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$2,082 |
$8,759 |
1.0× |
| Cataract surgery complex (66982) |
$2,460 |
$8,467 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$233 |
$217 |
1.0× |
| Cerclage cervix pregnancy vaginal (59320) |
$3,451 |
$12,668 |
1.0× |
| Cerclage Uterine Cervix Nonobstetrical (57700) |
$3,451 |
$13,291 |
1.0× |
| Cerv artific diskectomy (22856) |
$18,697 |
$42,663 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,367 |
$4,594 |
1.0× |
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$266 |
$519–$12,050 |
1.0× |
| Change of Windpipe Airway (31502) |
$252 |
$813 |
1.0× |
| Change ureter stent percut (50382) |
$2,229 |
$7,041 |
1.0× |
| Chemical Cautery Tissue (17250) |
$213 |
$331 |
1.0× |
| Chest tube placement (32551) |
$1,678 |
$943 |
1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,229 |
$7,228 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,818 |
$4,091 |
1.0× |
| Circumcision 28 days or older (54161) |
$2,229 |
$8,976 |
1.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,229 |
$8,947 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,714 |
$6,249 |
1.0× |
Clear outer ear canal (69200) range across 2 matching MRF lines |
$141 |
$258–$4,021 |
1.0× |
| Closed Rx Metacarpal Fx,Percut (26608) |
$3,489 |
$11,421 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,654 |
$5,617 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,535 |
$6,395 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,714 |
$9,719 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,714 |
$7,044 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,714 |
$5,617 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$263 |
$5,822 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$263 |
$13,291 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,714 |
$7,931 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,714 |
$10,099 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$263 |
$4,390 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$263 |
$9,946 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,714 |
$19,711 |
1.0× |
Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,714 |
$15,188.99–$15,189 |
1.0× |
Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$141 |
$233–$242 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$78 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,276 |
$9,899 |
1.0× |
| Colpopexy extraperitoneal (57282) |
$7,907 |
$9,898 |
1.0× |
| Combined anteroposterior colporrhaphy; (57260) |
$5,334 |
$16,747 |
1.0× |
| Complex drainage wound (10180) |
$3,097 |
$3,059 |
1.0× |
| Composite Skin Graft (15760) |
$2,200 |
$18,901 |
1.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$3,451 |
$15,469 |
1.0× |
| Conization of cervix (57520) |
$3,451 |
$15,117 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$141 |
$594 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$141 |
$353 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,046 |
$6,458 |
1.0× |
Convert Nephrostomy Catheter (50434) range across 3 matching MRF lines |
$2,229 |
$6,965–$10,449 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,761 |
$5,885 |
1.0× |
| Correction hammertoe (28285) |
$3,489 |
$13,204 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,489 |
$12,928 |
1.0× |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
$3,489 |
$18,901 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$13,690 |
$15,161 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$7,737 |
$11,421 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$3,489 |
$19,373 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,737 |
$15,437 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$5,933 |
$13,775 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,229 |
$7,224 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,229 |
$6,835 |
1.0× |
| Cysto w/destruction of lesions (52214) |
$3,758 |
$6,949 |
1.0× |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
$5,717 |
$9,402 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,758 |
$9,080 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,758 |
$7,044 |
1.0× |
| Cysto w/removal of lesions small (52224) |
$3,758 |
$10,108 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,758 |
$9,227 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,229 |
$7,121 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,717 |
$13,316 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,758 |
$10,009 |
1.0× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$3,758 |
$7,580.50 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,758 |
$9,135 |
1.0× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$5,717 |
$11,421 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,717 |
$16,007 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,229 |
$11,253 |
1.0× |
| Cystouretero w/excise tumor (52355) |
$5,717 |
$5,307.83 |
1.0× |
| Cystourethroscopy (52000) |
$743 |
$6,295 |
1.0× |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
$5,717 |
$11,421 |
1.0× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,758 |
$9,863 |
1.0× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,229 |
$8,041 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,758 |
$12,057 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$5,717 |
$14,103 |
1.0× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,229 |
$6,127 |
1.0× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$3,758 |
$8,125 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,229 |
$7,298 |
1.0× |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
$2,229 |
$5,685 |
1.0× |
| Cystourethroscopy, with internal urethrotomy; male Facility (52275) |
$2,229 |
$5,617 |
1.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,097 |
$8,471 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$755 |
$8,590.75 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$788 |
$1,031 |
1.0× |
| Debride nail 1-5 (11720) |
$62 |
$176 |
1.0× |
| Debride nail 6 or more (11721) |
$62 |
$205 |
1.0× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$1,761 |
$5,390–$13,995 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$433 |
$1,901–$7,301 |
1.0× |
| Declot vascular device (36593) |
$352 |
$1,439 |
1.0× |
| Decompress Spinal Cord Lmbr (63056) |
$7,737 |
$35,318 |
1.0× |
| Delivery of placenta (59414) |
$3,451 |
$11,129 |
1.0× |
| Destr penis lesion(s) (54065) |
$2,200 |
$6,005 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$2,082 |
$4,007.09 |
1.0× |
| Destroy lumb/sac facet jnt (64635) |
$2,082 |
$7,791.48 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$213 |
$4,843 |
1.0× |
| Destruction Lesions Vulva Simple (56501) |
$2,200 |
$12,050 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,082 |
$11,421 |
1.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$433 |
$953 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$213 |
$310 |
1.0× |
| Destruction Vaginal Lesions Simple (57061) |
$3,451 |
$8,378.75 |
1.0× |
Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
$991 |
$10,780.75–$10,780.80 |
1.0× |
| Dilat Xst Trc New Access Rcs (50437) |
$3,758 |
$12,145 |
1.0× |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
$5,933 |
$17,651 |
1.0× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$1,898 |
$7,961 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$327 |
$1,165 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$755 |
$5,617 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,761 |
$1,605 |
1.0× |
| Drainage of rectal abscess (45005) |
$1,276 |
$9,551 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,761 |
$9,899 |
1.0× |
| Drainage of scrotum (54700) |
$2,229 |
$9,166 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$141 |
$520 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$433 |
$478 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$213 |
$300 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$213 |
$262 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$2,959 |
$10,881 |
1.0× |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
$2,200 |
$6,005 |
1.0× |
| Dstrj lesion penis simple surg excision (54060) |
$2,200 |
$6,997 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,097 |
$3,515 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$1,898 |
$3,529 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$752 |
$2,613 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$967 |
$603 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,046 |
$1,709 |
1.0× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$5,933 |
$18,995 |
1.0× |
| Endoscopic injection/implant (51715) |
$3,758 |
$8,628 |
1.0× |
| Endoscopic plantar fasciotomy (29893) |
$3,489 |
$9,551 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,367 |
$6,070 |
1.0× |
Endoven abltj incmptnt vein xtr rf 1st vein (36475) range across 2 matching MRF lines |
$3,367 |
$5,129–$5,172 |
1.0× |
| Endoven ther chem adhes 1st (36482) |
$5,933 |
$18,995 |
1.0× |
| Epidural Blood Patch (62273) |
$752 |
$2,424 |
1.0× |
| Escharotomy; initial incision (16035) |
$433 |
$1,130 |
1.0× |
| Esophagoscopy Retro Balloon (43213) |
$2,046 |
$8,252 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,046 |
$4,522 |
1.0× |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
$6,312 |
$28,199 |
1.0× |
| Ethmoidectomy; intranasal, total Facility (31201) |
$1,654 |
$7,547 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$141 |
$386 |
1.0× |
| Exc abdl tum deep 5 cm/> (22901) |
$3,097 |
$9,898 |
1.0× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,761 |
$8,217 |
1.0× |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$755 |
$796–$12,050 |
1.0× |
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 2 matching MRF lines |
$1,761 |
$3,539–$6,249 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,761 |
$4,390 |
1.0× |
| Exc back tum deep < 5 cm (21932) |
$3,097 |
$8,780 |
1.0× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$4,175 |
$8,471 |
1.0× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$755 |
$7,044 |
1.0× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$1,761 |
$6,645.50 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$755 |
$711 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$755 |
$1,324 |
1.0× |
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 2 matching MRF lines |
$755 |
$1,785–$8,519 |
1.0× |
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 2 matching MRF lines |
$1,761 |
$2,195–$8,947 |
1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$1,761 |
$2,795 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 2 matching MRF lines |
$1,761 |
$2,660–$7,423 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 2 matching MRF lines |
$755 |
$2,925–$8,780 |
1.0× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$1,761 |
$3,218–$6,331 |
1.0× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$1,761 |
$13,291 |
1.0× |
| Exc hydrocele sprmatic cord uni spx (55500) |
$3,758 |
$11,325 |
1.0× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$1,714 |
$8,471 |
1.0× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$3,535 |
$7,044 |
1.0× |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
$3,535 |
$7,301 |
1.0× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$6,312 |
$27,298 |
1.0× |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
$2,959 |
$5,617 |
1.0× |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$755 |
$1,457–$6,536 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,761 |
$3,894 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,097 |
$4,283 |
1.0× |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$1,761 |
$2,442–$6,525 |
1.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$3,097 |
$2,819 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,761 |
$15,161 |
1.0× |
| Exc tendon shth lesion leg/ankle (27630) |
$3,489 |
$5,662.50 |
1.0× |
| Exc thigh/knee les sc 3 cm/> (27337) |
$3,097 |
$5,822 |
1.0× |
| Exc thigh/knee tum dep 5cm/> (27339) |
$3,097 |
$11,325 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,276 |
$13,291 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$433 |
$1,026 |
1.0× |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 2 matching MRF lines |
$755 |
$1,128–$5,617 |
1.0× |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$1,761 |
$1,605–$6,005 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$3,097 |
$8,979 |
1.0× |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$3,097 |
$14,179 |
1.0× |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
$3,097 |
$12,752 |
1.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$3,097 |
$6,402.13 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,761 |
$6,997 |
1.0× |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
$3,097 |
$7,301 |
1.0× |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
$3,097 |
$7,044 |
1.0× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$1,761 |
$5,129.50 |
1.0× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$3,097 |
$18,901 |
1.0× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,761 |
$10,998.50 |
1.0× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$3,097 |
$7,044 |
1.0× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$3,097 |
$11,325 |
1.0× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,097 |
$7,301 |
1.0× |
Exc Varicocele/Ligation Spermatic Veins Spx (55530) range across 2 matching MRF lines |
$3,758 |
$11,300.25–$11,300.30 |
1.0× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 3 matching MRF lines |
$2,229 |
$1,443–$2,143 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,046 |
$2,699 |
1.0× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$3,535 |
$7,044 |
1.0× |
Excise intraspinal lesion (63267) range across 2 matching MRF lines |
$7,737 |
$22,348.78–$22,348.80 |
1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$755 |
$3,910.63 |
1.0× |
| Excision External Ear Partial Simple Repair (69110) |
$3,097 |
$5,710.50 |
1.0× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,097 |
$2,823.68 |
1.0× |
| Excision inferior turbinate partial/complete (30130) |
$3,535 |
$7,580.50 |
1.0× |
| Excision Lesion Tongue W/O Closure (41110) |
$3,535 |
$7,173 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$755 |
$3,416.61 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$755 |
$7,044 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$1,761 |
$5,617 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$3,097 |
$4,615 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$1,761 |
$5,475.75 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,959 |
$9,551 |
1.0× |
| Excision of bartholin's gland or cyst (56740) |
$3,451 |
$11,325 |
1.0× |
| Excision of hydrocele; unilateral (55040) |
$3,818 |
$10,469 |
1.0× |
| Excision of local lesion of epididymis (54830) |
$3,758 |
$6,022.50 |
1.0× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$6,312 |
$21,394 |
1.0× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$6,312 |
$24,511 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,097 |
$9,923 |
1.0× |
| Excision of single external papilla or tag, anus (46220) |
$1,276 |
$7,421 |
1.0× |
| Excision of submandibular (submaxillary) gland (42440) |
$6,312 |
$24,511 |
1.0× |
| Excision of vaginal cyst or tumor (57135) |
$3,451 |
$5,918.50 |
1.0× |
| Excision olecranon bursa (24105) |
$3,489 |
$21,278 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,097 |
$9,898 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$3,097 |
$10,153 |
1.0× |
| Excision prepatellar bursa (27340) |
$3,489 |
$9,898 |
1.0× |
| Excision soft tissue lesion, external auditory canal (69145) |
$3,097 |
$10,385.50 |
1.0× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,229 |
$10,656 |
1.0× |
| Excision Thyroglossal Duct Cyst/Sinus (60280) |
$6,446 |
$12,752 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,761 |
$10,259 |
1.0× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,097 |
$7,758 |
1.0× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$1,761 |
$5,617 |
1.0× |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
$3,097 |
$5,822 |
1.0× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,761 |
$7,044 |
1.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$3,535 |
$8,471 |
1.0× |
| Excision/destruction lesion pharynx any method (42808) |
$3,535 |
$3,650.50 |
1.0× |
| Excision; trochanteric bursa or calcification (27062) |
$3,489 |
$7,861.66 |
1.0× |
| Exploration maxillary sinus (31020) |
$3,535 |
$6,923.68 |
1.0× |
| Exploration of knee joint (27310) |
$3,489 |
$10,259 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$1,761 |
$14,366 |
1.0× |
| Extraction of lens (66920) |
$2,460 |
$13,255 |
1.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,489 |
$9,551 |
1.0× |
| Fetal Contraction Stress Test (59020) |
$215 |
$358 |
1.0× |
| Fetal non-stress test (59025) |
$215 |
$1,512 |
1.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$755 |
$1,846 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$254 |
$433 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$755 |
$1,846 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$755 |
$1,846 |
1.0× |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$3,535 |
$5,378.80 |
1.0× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$2,200 |
$3,790.25 |
1.0× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$2,200 |
$5,918.50 |
1.0× |
| Fusion of foot bones (28740) |
$7,737 |
$23,585 |
1.0× |
| Goniotomy (65820) |
$4,407 |
$5,033.83 |
1.0× |
Graft Ear Crtlg Autogenous Nose/Ear (21235) range across 2 matching MRF lines |
$6,312 |
$10,360.38–$10,360.40 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$755 |
$2,438 |
1.0× |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
$7,737 |
$19,013 |
1.0× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$2,959 |
$9,454 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$2,959 |
$9,361 |
1.0× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$2,959 |
$11,485 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$991 |
$13,775 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$3,451 |
$12,347 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$5,334 |
$13,723 |
1.0× |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
$3,451 |
$10,174 |
1.0× |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
$5,334 |
$14,771 |
1.0× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$213 |
$380–$7,758 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,097 |
$9,050 |
1.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,489 |
$9,898 |
1.0× |
| I&d perianal abscess superficial (46050) |
$991 |
$7,681 |
1.0× |
| Icd Pocket Revision (33223) |
$2,200 |
$4,176 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,761 |
$3,957 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,761 |
$2,416 |
1.0× |
| Implant cochlear device (69930) |
$35,160 |
$23,576 |
1.0× |
| Implant Neuroelectrodes (64561) |
$6,795 |
$10,126 |
1.0× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$20,687 |
$12,607 |
1.0× |
| Implant temple bone w/stimul (69714) |
$13,690 |
$17,031 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,714 |
$7,588 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$433 |
$477 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$433 |
$5,013 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$215 |
$573 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$324 |
$390 |
1.0× |
| Incision extensor tendon sheath wrist (25000) |
$1,714 |
$10,826 |
1.0× |
| Incision of eardrum (69421) |
$3,535 |
$5,617 |
1.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,654 |
$5,822 |
1.0× |
| Incision of urethra (53020) |
$2,229 |
$5,617 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$788 |
$1,001 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$213 |
$267 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$943 |
$5,617 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$226 |
$519 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$327 |
$565 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$943 |
$993 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$752 |
$1,023 |
1.0× |
Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$752 |
$1,079–$29,227 |
1.0× |
| Injection for identification of sentinel node (38792) |
$426 |
$3,261 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$943 |
$917 |
1.0× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$752 |
$938–$5,617 |
1.0× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 5 matching MRF lines |
$752 |
$643–$6,178 |
1.0× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$213 |
$4,591.66 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,367 |
$8,977 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,367 |
$5,778 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,933 |
$6,109 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$33,472 |
$116,365 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$8,824 |
$11,824 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$137 |
$342 |
1.0× |
Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
$1,678 |
$2,016–$2,058 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,046 |
$1,622 |
1.0× |
Insert Gastrostomy Tube Percutaneous (49440) range across 2 matching MRF lines |
$2,046 |
$1,959–$2,001 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$11,145 |
$6,807 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$11,145 |
$13,024 |
1.0× |
Insert non-tunnel cv cath (36556) range across 3 matching MRF lines |
$3,367 |
$1,946–$1,989 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$11,145 |
$18,860 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,678 |
$2,556 |
1.0× |
| Insert pulse gen dual leads (33213) |
$11,145 |
$11,395 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$141 |
$232 |
1.0× |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
$3,367 |
$5,556–$6,179 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$141 |
$196 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,678 |
$3,486 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,824 |
$23,635 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$8,824 |
$112,231 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,367 |
$11,017 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$1,678 |
$3,180–$3,222 |
1.0× |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
$3,367 |
$3,341–$9,899 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$33,472 |
$36,614 |
1.0× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
$8,824 |
$4,218–$4,525 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$8,824 |
$9,973 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$11,145 |
$13,942 |
1.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$2,959 |
$8,471 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,678 |
$1,591 |
1.0× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$12,310 |
$39,716 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$6,069 |
$9,004 |
1.0× |
Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$252 |
$770–$836 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$266 |
$852 |
1.0× |
| Knee arthroscopy/drainage (29871) |
$3,489 |
$9,898 |
1.0× |
| Knee Arthroscopy/Surgery (29874) |
$3,489 |
$6,554.33 |
1.0× |
| Lam facetec & foramot lumbar (63047) |
$7,737 |
$34,670 |
1.0× |
Laminotomy Single Lumbar (63042) range across 2 matching MRF lines |
$7,737 |
$26,373.75–$26,373.80 |
1.0× |
| Lap insert tunnel ip cath (49324) |
$6,446 |
$16,994 |
1.0× |
| Lap revision perm ip cath (49325) |
$6,446 |
$6,005 |
1.0× |
| Laparoscopy aspiration (49322) |
$6,446 |
$16,664 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$6,446 |
$37,223 |
1.0× |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
$11,335 |
$32,813 |
1.0× |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
$11,335 |
$37,591 |
1.0× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$6,446 |
$24,226 |
1.0× |
| Laparoscopy w/rmvl adnexal structures (58661) |
$6,446 |
$31,198 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$6,446 |
$13,686 |
1.0× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$11,335 |
$60,627 |
1.0× |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
$11,335 |
$38,291 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$6,446 |
$40,436 |
1.0× |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
$11,335 |
$39,374 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,446 |
$28,432 |
1.0× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$6,446 |
$42,833 |
1.0× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,446 |
$14,357 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,446 |
$21,047 |
1.0× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$6,446 |
$22,109 |
1.0× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$3,975 |
$7,758 |
1.0× |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
$1,898 |
$13,775 |
1.0× |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
$3,975 |
$9,898 |
1.0× |
| Larynscop w/tumr exc + scope (31541) |
$3,975 |
$7,044 |
1.0× |
| Laser Surgery of Cervix (57513) |
$3,451 |
$12,881 |
1.0× |
Laser vaporization of prostate (52648) range across 2 matching MRF lines |
$5,717 |
$26,709.10–$26,709.13 |
1.0× |
| Late closure of wound (13160) |
$3,778 |
$5,567 |
1.0× |
| Lateral retinacular release open (27425) |
$3,489 |
$7,546.50 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,737 |
$16,428.40 |
1.0× |
| Ligamentous reconstruction knee intra-articular (27428) |
$13,690 |
$32,187 |
1.0× |
| Ligation of a-v fistula (37607) |
$3,367 |
$11,837 |
1.0× |
| Ligation of hemorrhoids (46946) |
$2,959 |
$9,899 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,758 |
$17,748 |
1.0× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$3,758 |
$14,606 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$3,758 |
$13,452 |
1.0× |
| Low Back Disk Surgery (63030) |
$7,737 |
$32,901 |
1.0× |
Lumbar spine fusion combined (22633) range across 2 matching MRF lines |
$28,934 |
$10,579–$10,579.03 |
1.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$2,229 |
$8,471 |
1.0× |
| Manipulation Ankle Under General Anesthesia (27860) |
$3,489 |
$8,636 |
1.0× |
| Manipulation knee joint under general anesthesia (27570) |
$1,714 |
$4,143 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$1,714 |
$4,095 |
1.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$3,451 |
$8,471 |
1.0× |
| Mastectomy partial (19301) |
$4,175 |
$11,527 |
1.0× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$7,080 |
$20,308 |
1.0× |
| Mastectomy simple complete (19303) |
$7,080 |
$12,752 |
1.0× |
| Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg, lymphoma), when performed Facility (39401) |
$6,446 |
$17,272 |
1.0× |
| Middle ear expl thru postaur/ear canal inc (69440) |
$3,535 |
$11,421 |
1.0× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$3,778 |
$3,790.25 |
1.0× |
| Myelography Lumbar Injection (62305) |
$835 |
$2,243 |
1.0× |
| Myelography Lumbar Injection (62304) |
$835 |
$5,329 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$835 |
$5,435 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$835 |
$5,481 |
1.0× |
| N Block Inj Pudendal (64430) |
$943 |
$2,922.75 |
1.0× |
| N Block Lumbar/Thoracic (64520) |
$943 |
$7,301 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$476 |
$504 |
1.0× |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$3,975 |
$11,421 |
1.0× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$7,525 |
$20,771 |
1.0× |
| Nasal/sinus ndsc dstrj cryoablation pst nsl nrv (31243) |
$6,312 |
$11,421 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,898 |
$13,291 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$1,898 |
$5,288.97 |
1.0× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$1,898 |
$11,421 |
1.0× |
Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) range across 2 matching MRF lines |
$7,525 |
$15,851.67–$15,851.70 |
1.0× |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
$7,525 |
$5,080.60 |
1.0× |
| Nasal/Sinus Ndsc W/Lig Sphenopalatine Artery (31241) |
$1,898 |
$12,255.50 |
1.0× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$7,525 |
$5,376.64 |
1.0× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$7,525 |
$18,901 |
1.0× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$7,525 |
$5,822.13 |
1.0× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,714 |
$11,619 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,761 |
$2,994 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$1,761 |
$1,605 |
1.0× |
| Nerve Repair W/Nerve Allograft First Strand (64912) |
$9,358 |
$22,054 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,082 |
$23,432 |
1.0× |
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) range across 2 matching MRF lines |
$2,082 |
$27,329–$27,329.03 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$327 |
$1,034 |
1.0× |
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 4 matching MRF lines |
$3,818 |
$3,321–$17,645 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,818 |
$4,091 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$943 |
$5,617 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$752 |
$4,145 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$752 |
$4,102 |
1.0× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$2,200 |
$6,364 |
1.0× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$2,200 |
$6,328 |
1.0× |
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 3 matching MRF lines |
$743 |
$2,317–$3,454 |
1.0× |
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 2 matching MRF lines |
$743 |
$3,936–$3,979 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$433 |
$575 |
1.0× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$433 |
$642 |
1.0× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$7,525 |
$11,421 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$4,175 |
$11,357 |
1.0× |
| Open Implantation Nea Sacral Nerve (64581) |
$6,795 |
$11,359 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,737 |
$21,278 |
1.0× |
| Open treatment calcaneal fracture (28415) |
$7,737 |
$31,356.30 |
1.0× |
| Open Treatment Humeral Condylar Fracture (24579) |
$13,690 |
$21,020.50 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,737 |
$10,936 |
1.0× |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
$7,737 |
$26,491 |
1.0× |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
$13,690 |
$39,734 |
1.0× |
| Open Treatment of Ulnar Shaft Fracture (25545) |
$7,737 |
$11,792.50 |
1.0× |
Open treatment of ulnar styloid fracture (25652) range across 2 matching MRF lines |
$7,737 |
$17,187.70–$17,187.72 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$13,690 |
$32,257 |
1.0× |
| Open Treatment Radial Shaft Fracture (25515) |
$7,737 |
$25,106 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$3,489 |
$17,290.20 |
1.0× |
| Open tx carpal bone fracture oth/thn scaphoid ea (25645) |
$3,489 |
$21,278 |
1.0× |
| Open tx carpal scaphoid navicular fracture (25628) |
$7,737 |
$22,809 |
1.0× |
Open Tx Carpometacarpal Dislocate Not Thumb (26685) range across 2 matching MRF lines |
$3,489 |
$12,221.39–$12,221.40 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,737 |
$21,735 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,489 |
$10,553 |
1.0× |
Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
$7,737 |
$12,080.88–$12,080.90 |
1.0× |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
$13,690 |
$31,056 |
1.0× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$3,489 |
$11,421 |
1.0× |
| Open Tx Humeral Epicondylar Fracture (24575) |
$13,690 |
$19,663 |
1.0× |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
$13,690 |
$41,182 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,489 |
$5,129.50 |
1.0× |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
$3,489 |
$20,448 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,489 |
$17,818 |
1.0× |
| Open Tx Radial Head/Neck Fracture (24665) |
$7,737 |
$21,020.50 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,737 |
$27,815 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,737 |
$30,123 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$12,310 |
$14,708 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$12,310 |
$12,928 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
$7,737 |
$23,671 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,737 |
$25,603 |
1.0× |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
$13,690 |
$37,427 |
1.0× |
Optx tibial fx prox bicondylar w/wo int fixj (27536) range across 2 matching MRF lines |
$7,737 |
$11,336.30–$11,336.34 |
1.0× |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
$13,690 |
$30,506 |
1.0× |
| Orchiectomy radical tumor inguinal approach (54530) |
$3,818 |
$12,132 |
1.0× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$3,818 |
$12,824 |
1.0× |
| Ostc prtl exostc/condylc metar head (28288) |
$3,489 |
$11,421 |
1.0× |
Ostectomy calcaneus (28118) range across 2 matching MRF lines |
$3,489 |
$11,251.20–$11,251.22 |
1.0× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$3,489 |
$5,662.50 |
1.0× |
| Osteochondral allograft knee open (27415) |
$13,690 |
$36,554 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,489 |
$8,616 |
1.0× |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
$7,737 |
$28,251 |
1.0× |
| Part remv talus or calcaneus (28120) |
$3,489 |
$11,325 |
1.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,714 |
$13,291 |
1.0× |
Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) range across 2 matching MRF lines |
$3,489 |
$33,698.05–$33,698.10 |
1.0× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$3,451 |
$11,421 |
1.0× |
| Partial removal of lip (40530) |
$3,535 |
$3,650.50 |
1.0× |
| Partial removal of thyroid (60220) |
$6,446 |
$15,161 |
1.0× |
| Partial removal of toe (28160) |
$3,489 |
$12,050 |
1.0× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,451 |
$4,021 |
1.0× |
| Perc Cryo Ablate Renal Tum (50593) |
$11,335 |
$9,892 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$755 |
$3,629 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$3,367 |
$11,186 |
1.0× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$3,489 |
$1,956 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,678 |
$6,864 |
1.0× |
| Peritoneal Lavage (49084) |
$967 |
$1,205 |
1.0× |
| Perq av fistula creation uxtr sep access sites (36837) |
$19,548 |
$64,497 |
1.0× |
Perq av fistula creation uxtr single access (36836) range across 2 matching MRF lines |
$19,548 |
$24,250–$64,497 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$755 |
$4,192 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,761 |
$4,192 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,758 |
$5,544 |
1.0× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,489 |
$9,946 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,310 |
$13,768 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,069 |
$8,493 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,737 |
$22,187 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,737 |
$12,044 |
1.0× |
| Phleb Veins - Extrem 20+ (37766) |
$3,367 |
$5,643 |
1.0× |
Place Cath Subclavian Art (36225) range across 2 matching MRF lines |
$3,367 |
$11,018–$15,945 |
1.0× |
Place Cath Thoracic Aorta (36221) range across 4 matching MRF lines |
$3,367 |
$6,216–$11,307 |
1.0× |
Place Cath Vertebral Art (36226) range across 2 matching MRF lines |
$5,933 |
$18,995–$33,410 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$2,046 |
$2,825 |
1.0× |
| Place Rt Device/Marker Pros (55876) |
$1,475 |
$9,418 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$476 |
$360 |
1.0× |
| Placement of seton (46020) |
$2,959 |
$5,869 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$6,446 |
$8,194 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$6,446 |
$10,798 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$6,446 |
$12,900 |
1.0× |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 4 matching MRF lines |
$2,229 |
$3,929–$9,551 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,758 |
$3,590 |
1.0× |
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 3 matching MRF lines |
$3,758 |
$12,145–$18,218 |
1.0× |
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
$3,758 |
$12,035–$18,052 |
1.0× |
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
$3,758 |
$12,050–$12,188 |
1.0× |
| Prim art mech thrombectomy (37184) |
$19,548 |
$7,131 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,818 |
$4,222 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,818 |
$5,595 |
1.0× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,489 |
$11,421 |
1.0× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$7,737 |
$15,713 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,489 |
$10,486 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$668 |
$826 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$433 |
$562 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$433 |
$482 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$755 |
$1,062 |
1.0× |
| Radical resection of tumor, radial head or neck Facility (24152) |
$7,737 |
$21,278 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,082 |
$13,291 |
1.0× |
| Rcnstj Dislocating Patella (27420) |
$7,737 |
$25,892 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$3,758 |
$5,596.50 |
1.0× |
| Reconstruction of external auditory canal (meatoplasty) (eg, for stenosis due to injury, infection) (separate… (69310) |
$6,312 |
$2,653.67 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,367 |
$6,804 |
1.0× |
| Removal Anal Seton Other Marker (46030) |
$1,276 |
$2,195 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$967 |
$1,205 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,761 |
$9,185 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$755 |
$5,617 |
1.0× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,097 |
$6,997 |
1.0× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$62 |
$148–$4,021 |
1.0× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$62 |
$198–$4,021 |
1.0× |
| Removal Implant Deep (20680) |
$3,097 |
$16,308 |
1.0× |
| Removal of adenoids (42830) |
$3,535 |
$7,136 |
1.0× |
| Removal of ankle implant (27704) |
$3,489 |
$5,822 |
1.0× |
| Removal of heel spur (28119) |
$3,489 |
$9,011 |
1.0× |
| Removal of lens material (66852) |
$4,407 |
$7,681 |
1.0× |
Removal of nail bed (11750) range across 2 matching MRF lines |
$433 |
$390–$8,425 |
1.0× |
| Removal of sesamoid bone (28315) |
$3,489 |
$8,749.75 |
1.0× |
| Removal of sperm cord lesion (55520) |
$3,758 |
$42,561 |
1.0× |
| Removal of testis (54520) |
$3,758 |
$13,775 |
1.0× |
| Removal of tonsils (42825) |
$6,312 |
$10,346 |
1.0× |
| Removal of tonsils (42826) |
$3,535 |
$11,602 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,367 |
$18,583 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$3,984 |
$13,096 |
1.0× |
| Removal ppm generator only (33233) |
$8,824 |
$4,173 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$213 |
$310 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$755 |
$1,890 |
1.0× |
| Removal sweat gland lesion (11450) |
$3,097 |
$13,775 |
1.0× |
| Removal, under anesthesia, of external fixation system (20694) |
$1,714 |
$15,809 |
1.0× |
| Remove drug implant device (11982) |
$476 |
$9,898 |
1.0× |
| Remove Elctrd Transvenously (33244) |
$3,984 |
$13,096 |
1.0× |
| Remove foreign body from eye (65205) |
$141 |
$452 |
1.0× |
| Remove Intrauterine Device (58301) |
$324 |
$4,949.50 |
1.0× |
| Remove intrvas foreign body (37197) |
$3,367 |
$10,807 |
1.0× |
| Remove knee joint lining (27334) |
$3,489 |
$16,562.50 |
1.0× |
| Remove lung catheter (32552) |
$668 |
$2,164 |
1.0× |
| Remove muti-comp penis pros (54406) |
$3,758 |
$8,825.50 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$141 |
$360 |
1.0× |
| Remove prostate regrowth (52630) |
$5,717 |
$15,741 |
1.0× |
| Remove Pulse Generator (33241) |
$3,984 |
$13,574 |
1.0× |
Remove renal tube w/fluoro (50389) range across 2 matching MRF lines |
$743 |
$1,407–$1,449 |
1.0× |
| Remove Tendon Sheath Lesion (26160) |
$1,714 |
$9,814 |
1.0× |
| Remove ureter stent percut (50384) |
$2,229 |
$6,964 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,824 |
$39,916 |
1.0× |
| Remove/graft foot lesion (28102) |
$7,737 |
$23,585 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$23,719 |
$91,123 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$33,472 |
$120,482 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$23,719 |
$85,677 |
1.0× |
Remv&replc pm gen dual lead (33228) range across 2 matching MRF lines |
$11,145 |
$11,035–$14,690 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$20,540 |
$15,478 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,761 |
$1,605 |
1.0× |
| Reopen fallopian tube (58350) |
$5,334 |
$5,554.66 |
1.0× |
| Repair Achilles Tendon (27650) |
$7,737 |
$19,912 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$433 |
$8,780 |
1.0× |
| Repair Elbow Perc (24357) |
$3,489 |
$11,421 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,714 |
$10,079 |
1.0× |
| Repair Finger/Hand Tendon (26350) |
$3,489 |
$9,824 |
1.0× |
| Repair Fistula Oromaxillary (30580) |
$6,312 |
$7,701.50 |
1.0× |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
$3,489 |
$19,516 |
1.0× |
| Repair Hallux Rigidus (28289) |
$3,489 |
$12,183 |
1.0× |
| Repair Hand Joint (26540) |
$3,489 |
$20,771 |
1.0× |
| Repair Hand Tendon (26410) |
$1,714 |
$16,156.50 |
1.0× |
| Repair humerus with graft (24435) |
$13,690 |
$46,655 |
1.0× |
| Repair incomplete circumcision (54163) |
$2,229 |
$8,899 |
1.0× |
| Repair initial femoral hernia, any age; reducible (49550) |
$3,818 |
$14,187 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$3,818 |
$36,187 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$433 |
$4,132.75 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$433 |
$3,650.50 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$433 |
$5,662.50 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$433 |
$4,615 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$3,984 |
$13,601 |
1.0× |
| Repair nasal septal perforations (30630) |
$3,535 |
$7,580.50 |
1.0× |
| Repair Nasal Vestibular Stenosis (30465) |
$6,312 |
$10,486 |
1.0× |
| Repair Non/Malunion Humerus W/O Graft (24430) |
$13,690 |
$50,299 |
1.0× |
Repair of biceps tendon (24340) range across 2 matching MRF lines |
$7,737 |
$12,104.60–$12,104.63 |
1.0× |
| Repair of nail bed (11760) |
$788 |
$5,496.85 |
1.0× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$7,737 |
$25,892 |
1.0× |
| Repair of rectocele (45560) |
$2,959 |
$6,376 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$7,737 |
$26,948 |
1.0× |
| Repair of shoulder (23420) |
$7,737 |
$30,506 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,737 |
$10,639 |
1.0× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,737 |
$30,506 |
1.0× |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
$7,737 |
$18,277 |
1.0× |
| Repair, primary, torn ligament and/or capsule, knee; collateral (27405) |
$7,737 |
$28,307 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$967 |
$1,019 |
1.0× |
| Replace G-J Tube Perc (49452) |
$967 |
$1,238 |
1.0× |
| Replace g/c tube perc (49450) |
$967 |
$3,197 |
1.0× |
| Replacement Tissue Expander W/Permanent Implant (11970) |
$7,737 |
$18,713.50 |
1.0× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,984 |
$13,574 |
1.0× |
| Reposition L Ventric Lead (33226) |
$3,367 |
$5,684 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$3,367 |
$4,938 |
1.0× |
| Reposition Venous Catheter (36597) |
$1,678 |
$1,946 |
1.0× |
Repr elbow lat ligmnt w/tiss (24343) range across 2 matching MRF lines |
$3,489 |
$16,881.17–$16,881.20 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,818 |
$15,606 |
1.0× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$3,489 |
$9,228 |
1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,728 |
$7,044 |
1.0× |
| Revise external ear (69300) |
$3,535 |
$9,898 |
1.0× |
| Revise Hand/Foot Nerve (64704) |
$2,082 |
$5,918.50 |
1.0× |
Revise ulnar nerve at wrist (64719) range across 2 matching MRF lines |
$2,082 |
$12,988.80–$12,988.83 |
1.0× |
| Revise/Repair Finger/Toe Nerve (64702) |
$2,082 |
$19,663 |
1.0× |
| Revision of lower leg tendon (27685) |
$3,489 |
$14,099.50 |
1.0× |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
$13,690 |
$47,550 |
1.0× |
| Revision Peri-Implant Capsule Breast (19370) |
$4,175 |
$25,892 |
1.0× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$18,697 |
$40,219 |
1.0× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,728 |
$12,490 |
1.0× |
| Rhinoplasty primary w/major septal repair (30420) |
$6,312 |
$28,251 |
1.0× |
| Rhinoplasty Secondary Major Revision (30450) |
$6,312 |
$13,291 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,229 |
$7,116 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$967 |
$360 |
1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,761 |
$4,411 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$476 |
$296 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$141 |
$363 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,984 |
$4,044 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
$1,678 |
$2,444–$9,551 |
1.0× |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 2 matching MRF lines |
$668 |
$1,609–$1,652 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$266 |
$744 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$266 |
$852 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,678 |
$2,364 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,678 |
$1,946 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$3,367 |
$12,392 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,367 |
$3,309 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,446 |
$30,900 |
1.0× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$3,818 |
$22,685 |
1.0× |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
$6,903 |
$31,468 |
1.0× |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
$6,903 |
$25,102 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,903 |
$21,136 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,446 |
$13,915 |
1.0× |
| Rpr ing hernia init reduce (49500) |
$6,903 |
$9,898 |
1.0× |
| Rpr Nsl Vlv Collapse W/Implt (30468) |
$6,312 |
$9,899 |
1.0× |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
$3,489 |
$18,971 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$668 |
$1,205 |
1.0× |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
$7,737 |
$16,406.50 |
1.0× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$3,489 |
$24,445 |
1.0× |
| Rpr/advmnt tdn w/ntc supfcis tdn prim ea tdn (26370) |
$3,489 |
$4,971.75 |
1.0× |
| Scrotal exploration (55110) |
$3,758 |
$8,471 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$3,535 |
$15,064 |
1.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$433 |
$337 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$213 |
$340 |
1.0× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$433 |
$1,265 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$213 |
$310 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$213 |
$415 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$213 |
$531 |
1.0× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$433 |
$584 |
1.0× |
| Shoulder arthroscopy (29820) |
$7,737 |
$9,485.50 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$213 |
$416 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$433 |
$493 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$213 |
$513 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$433 |
$711 |
1.0× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$213 |
$602 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$213 |
$4,250.66 |
1.0× |
| Sinusotomy Maxillary Rad W/O Rmvl Antroch Polyps (31030) |
$6,312 |
$7,175.68 |
1.0× |
Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$788 |
$1,890–$8,471 |
1.0× |
Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$788 |
$1,890–$7,758 |
1.0× |
Skin sub grft t/arm/lg child (15273) range across 2 matching MRF lines |
$2,200 |
$4,227–$7,137 |
1.0× |
Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
$2,200 |
$4,227–$8,047 |
1.0× |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 3 matching MRF lines |
$5,933 |
$18,834–$28,295 |
1.0× |
Slctv cath carotid/innom art angio xtrcranl art (36222) range across 3 matching MRF lines |
$3,367 |
$7,881–$11,798 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$5,933 |
$15,736 |
1.0× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$5,334 |
$10,299 |
1.0× |
| Slitting of prepuce (54001) |
$2,229 |
$9,551 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$213 |
$12,490 |
1.0× |
| Sphincterotomy anal division sphincter spx (46080) |
$2,959 |
$7,044 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$752 |
$835 |
1.0× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,367 |
$4,060 |
1.0× |
| Strapping shoulder (29240) |
$141 |
$452 |
1.0× |
Strapping Unna Boot (29580) range across 3 matching MRF lines |
$173 |
$522–$784 |
1.0× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$3,535 |
$6,997.55 |
1.0× |
| Surg tx anal fistula subq (46270) |
$2,959 |
$8,780 |
1.0× |
| Surgery to stop leg growth (27477) |
$7,737 |
$26,489 |
1.0× |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
$2,959 |
$7,044 |
1.0× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,082 |
$12,946 |
1.0× |
| Suture infrapatellar tendon primary (27380) |
$7,737 |
$23,585 |
1.0× |
Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) range across 2 matching MRF lines |
$7,737 |
$34,238.70–$34,238.74 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
$7,737 |
$22,662 |
1.0× |
| Suture of quadriceps or hamstring muscle rupture; secondary reconstruction, including fascial or tendon graft Facility (27386) |
$7,737 |
$22,054 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$433 |
$562 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$20,540 |
$61,397 |
1.0× |
Tenodesis long tendon biceps (23430) range across 2 matching MRF lines |
$7,737 |
$20,922.67–$20,922.70 |
1.0× |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
$3,489 |
$8,471 |
1.0× |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
$3,489 |
$6,127.75 |
1.0× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$1,714 |
$7,301 |
1.0× |
| Tenotomy shoulder area single tendon (23405) |
$7,737 |
$6,554.34 |
1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$752 |
$2,613 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$19,548 |
$62,006 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$3,367 |
$6,854 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,933 |
$8,339 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$352 |
$769 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,367 |
$2,458 |
1.0× |
| Thyroid biopsy (60100) |
$755 |
$1,810 |
1.0× |
| Tibial Arthroscopy/Surgery (29855) |
$7,737 |
$22,400.50 |
1.0× |
| Tlh uterus over 250 g (58572) |
$11,335 |
$40,968 |
1.0× |
| Tnot elbow lateral/medial debride open (24358) |
$3,489 |
$9,742.33 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$3,535 |
$12,494 |
1.0× |
| Total Knee Arthroplasty (27447) |
$13,690 |
$33,042 |
1.0× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$6,446 |
$36,400 |
1.0× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$5,717 |
$10,569 |
1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$252 |
$813 |
1.0× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$324 |
$1,201 |
1.0× |
| Transcatheter biopsy (37200) |
$5,933 |
$19,300 |
1.0× |
| Translum Dil Eye Canal (66174) |
$4,407 |
$5,290.89 |
1.0× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$5,717 |
$5,753.50 |
1.0× |
| Transur electr resection of prostate (52601) |
$5,717 |
$13,942 |
1.0× |
| Transurethral resection bladder neck (52500) |
$3,758 |
$9,188 |
1.0× |
| Treat Big Toe Fracture (28505) |
$3,489 |
$13,291 |
1.0× |
| Treat ectopic pregnancy (59151) |
$6,446 |
$18,971 |
1.0× |
| Treat elbow fracture (24586) |
$13,690 |
$32,180 |
1.0× |
| Treat Finger Fracture Each (26727) |
$3,489 |
$14,357 |
1.0× |
| Treat fracture radius/ulna (25575) |
$7,737 |
$44,348 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,737 |
$22,226 |
1.0× |
| Treat Hand Bone Lesion (26034) |
$1,714 |
$9,018 |
1.0× |
Treat Knee Fracture(S) (27538) range across 2 matching MRF lines |
$263 |
$11,336.30–$11,336.33 |
1.0× |
| Treat Kneecap Fracture (27524) |
$7,737 |
$24,484 |
1.0× |
| Treatment of ankle fracture (27823) |
$7,737 |
$25,892 |
1.0× |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
$3,489 |
$11,421 |
1.0× |
| Trim skin lesion (11055) |
$213 |
$242 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$213 |
$255 |
1.0× |
| Trim skin lesions over 4 (11057) |
$213 |
$302 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$62 |
$111 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$6,069 |
$8,493 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$6,069 |
$8,493 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$230 |
$581 |
1.0× |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
$13,690 |
$42,961 |
1.0× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,451 |
$10,174 |
1.0× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$3,451 |
$10,923 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$788 |
$7,758 |
1.0× |
| Tympanoplasty (69631) |
$6,312 |
$9,323.75 |
1.0× |
| Tympanoplasty Mastoidectomy Rad/Compl W/O Ocr (69645) |
$6,312 |
$26,381 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); radical or… (69646) |
$6,312 |
$22,641 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69644) |
$6,312 |
$28,251 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
$6,312 |
$22,641 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with ossicular… (69642) |
$6,312 |
$29,186 |
1.0× |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); without… (69641) |
$6,312 |
$25,192 |
1.0× |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
$6,312 |
$20,070 |
1.0× |
| Tympanostomy general anesthesia (69436) |
$1,654 |
$5,653 |
1.0× |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
$252 |
$5,822 |
1.0× |
Unlisted laparoscopic procedure liver (47379) range across 2 matching MRF lines |
$6,446 |
$27,810.38–$27,810.40 |
1.0× |
| Unlisted laparoscopy procedure stomach (43659) |
$6,446 |
$26,626 |
1.0× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$6,446 |
$26,626 |
1.0× |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
$6,446 |
$37,506 |
1.0× |
| Unlisted Procedure Accessory Sinuses (31299) |
$252 |
$5,955.16 |
1.0× |
Unlisted procedure anus (46999) range across 2 matching MRF lines |
$991 |
$11,596.95–$11,597 |
1.0× |
Unlisted procedure arthroscopy (29999) range across 2 matching MRF lines |
$263 |
$11,538.70–$11,538.72 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$263 |
$12,086 |
1.0× |
| Unlisted procedure larynx (31599) |
$252 |
$17,031 |
1.0× |
| Unlisted Procedure Muscskeletal System General (20999) |
$263 |
$29,227 |
1.0× |
Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$327 |
$643–$7,044 |
1.0× |
| Unlisted procedure pelvis/hip joint (27299) |
$263 |
$15,606 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$266 |
$5,822 |
1.0× |
| Vag hyst complex (58290) |
$7,907 |
$21,239 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$5,334 |
$16,283 |
1.0× |
| Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) |
$5,334 |
$17,031 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$19,548 |
$39,901 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$12,310 |
$23,902 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$12,310 |
$38,029 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$12,310 |
$39,858 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$12,310 |
$8,923 |
1.0× |
| Ventilating tube removal requiring general anesthesia (69424) |
$3,535 |
$5,617 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$433 |
$1,497 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$788 |
$2,530 |
1.0× |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
$5,674 |
$3,840.50 |
1.0× |