| Abd paracentesis w/imaging (49083) |
$903 |
$2,341.77 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,056 |
$7,371.71 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$3,261 |
$9,755.73 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$3,261 |
$8,670.96 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,261 |
$8,713.67 |
1.0× |
| Anoscopy Ablation Lesion (46615) |
$2,766 |
$2,544.85 |
1.0× |
| Application finger splint static (29130) |
$132 |
$629.19 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$161 |
$788.34 |
1.0× |
| Application Long Leg Splint (29505) |
$161 |
$788.34 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$278 |
$1,272.61 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$132 |
$629.19 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$132 |
$629.19 |
1.0× |
| Application short leg splint calf foot (29515) |
$161 |
$788.34 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$161 |
$1,140.48 |
1.0× |
| Arterial puncture (36600) |
$132 |
$332.74 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$305 |
$1,405.53 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$305 |
$1,722.19 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$305 |
$1,639.57 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$305 |
$1,498.28 |
1.0× |
| Arthroplasty glenohumeral joint total shoulder (23472) |
$17,476 |
$20,184.20 |
1.0× |
| Arthroplasty interposition intercarpal or carpometacarpal joints (25447) |
$3,261 |
$9,063.07 |
1.0× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$3,261 |
$2,594.61 |
1.0× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$7,232 |
$11,217.70 |
1.0× |
| Arthroscopy, knee, surgical; with lateral release (29873) |
$3,261 |
$7,933.93 |
1.0× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$3,261 |
$6,453.27 |
1.0× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$7,232 |
$2,610.85 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$3,261 |
$6,725.66 |
1.0× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$7,232 |
$7,632.71 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$7,232 |
$2,708.94 |
1.0× |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
$12,796 |
$22,225 |
1.0× |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
$7,232 |
$6,453.27 |
1.0× |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
$12,796 |
$6,453.27 |
1.0× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$3,261 |
$6,516.58 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$625 |
$5,918.10 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$625 |
$3,091.30 |
1.0× |
Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$2,083 |
$8,799.10–$9,991.08 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$199 |
$1,002.04 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$1,646 |
$7,851.20 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$1,646 |
$5,019.72 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,646 |
$7,851.20 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,646 |
$7,955.46 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,646 |
$3,178.20 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$705 |
$3,472.36 |
1.0× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$1,646 |
$7,851.20 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$1,646 |
$8,071.70 |
1.0× |
| Bladder Irrigation (51700) |
$249 |
$1,139.78 |
1.0× |
| Bladder Scan (51798) |
$58 |
$310.61 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$316 |
$1,494.65 |
1.0× |
| Blood Transfusion Service (36430) |
$439 |
$2,218.24 |
1.0× |
| Bone Marrow Biopsy (38221) |
$1,646 |
$6,217.56 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,646 |
$7,851.20 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,774 |
$8,799.10 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$1,774 |
$8,348.44 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,716 |
$18,375.50 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$1,646 |
$5,856.15 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,646 |
$7,520.97 |
1.0× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,902 |
$5,683.13 |
1.0× |
| Bx/exc lymph node open superficial (38500) |
$3,902 |
$5,891.43 |
1.0× |
| Carpal Tunnel Surgery (64721) |
$1,946 |
$7,483.95 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$218 |
$1,048.86 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$3,147 |
$16,416.80 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$249 |
$844.46 |
1.0× |
| Change ureter stent percut (50382) |
$2,083 |
$9,994.40 |
1.0× |
| Chemical Cautery Tissue (17250) |
$199 |
$931.67 |
1.0× |
| Chest tube placement (32551) |
$1,568 |
$7,846.65 |
1.0× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,083 |
$9,700.08 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,568 |
$10,621.10 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,602 |
$7,886.35 |
1.0× |
| Clear outer ear canal (69200) |
$132 |
$175.54 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$245 |
$1,116.60 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$245 |
$1,157.15 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,546 |
$7,548.23 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$245 |
$1,150.10 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,602 |
$7,609.41 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$245 |
$1,150.10 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$245 |
$1,150.10 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,602 |
$7,772.08 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$245 |
$1,199.40 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$245 |
$1,150.10 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,602 |
$7,772.08 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$245 |
$1,150.10 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$245 |
$1,150.10 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$245 |
$1,150.10 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$245 |
$1,150.10 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$245 |
$1,150.10 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$245 |
$1,098.08 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$245 |
$1,098.08 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$245 |
$1,150.10 |
1.0× |
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 2 matching MRF lines |
$1,602 |
$7,592.86–$7,772.08 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$245 |
$1,150.10 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,602 |
$7,886.35 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,602 |
$7,772.08 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$132 |
$609.26 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$53.92 |
1.0× |
| Colonoscopy thru stoma (44388) |
$926 |
$2,438.15 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,192 |
$5,786.31 |
1.0× |
| Colonoscopy W/Resection (45390) |
$2,766 |
$13,632 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,192 |
$6,107.41 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,192 |
$7,592.86 |
1.0× |
| Complex drainage wound (10180) |
$2,895 |
$13,942.90 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$132 |
$629.19 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$132 |
$629.19 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,083 |
$9,994.40 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,646 |
$8,071.70 |
1.0× |
| Correction hammertoe (28285) |
$3,261 |
$10,875.90 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$3,261 |
$5,906.73 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$12,796 |
$34,599.10 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
$7,232 |
$2,628.48 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$132 |
$629.19 |
1.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$236 |
$1,102.43 |
1.0× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,083 |
$8,799.10 |
1.0× |
| Cysto w/insert ureteral stent (52332) |
$3,513 |
$7,853.83 |
1.0× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$3,513 |
$8,542.82 |
1.0× |
| Cysto w/removal of tumors small (52234) |
$3,513 |
$10,559.10 |
1.0× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,083 |
$8,465.45 |
1.0× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$5,344 |
$8,542.82 |
1.0× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$3,513 |
$8,628.25 |
1.0× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$3,513 |
$8,628.25 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$5,344 |
$9,424.13 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,083 |
$9,991.08 |
1.0× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$3,513 |
$14,501.60 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$3,513 |
$7,592.86 |
1.0× |
| Cystourethroscopy with biopsy (52204) |
$2,083 |
$7,627.34 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$736 |
$2,755.96 |
1.0× |
| Debride nail 1-5 (11720) |
$58 |
$271.93 |
1.0× |
| Debride nail 6 or more (11721) |
$58 |
$314.38 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,646 |
$7,520.97 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$405 |
$1,824.32 |
1.0× |
| Declot vascular device (36593) |
$329 |
$705.62 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$1,946 |
$9,474.09 |
1.0× |
Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$1,946 |
$7,592.86–$9,534.95 |
1.0× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$881 |
$9,063.07 |
1.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,946 |
$9,474.09 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$926 |
$2,566.66 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$903 |
$2,053.79 |
1.0× |
| Dilation Esophagus Guide Wire (43453) |
$1,912 |
$7,371.71 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$703 |
$3,543.28 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$705 |
$3,452.35 |
1.0× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,646 |
$7,955.46 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$705 |
$3,472.36 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,646 |
$7,954.36 |
1.0× |
| Drainage of finger abscess simple (26010) |
$199 |
$1,002.04 |
1.0× |
| Drainage of gum lesion (41800) |
$132 |
$629.19 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,646 |
$7,520.97 |
1.0× |
| Drainage of rectal abscess (45005) |
$1,192 |
$5,744.30 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$1,646 |
$7,955.46 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$132 |
$220.30 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$199 |
$957.89 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199 |
$931.67 |
1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$881 |
$4,593.44 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,895 |
$5,019.72 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$1,774 |
$8,348.44 |
1.0× |
Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
$1,774 |
$3,193.10–$7,592.86 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$703 |
$3,801.22 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,912 |
$7,371.71 |
1.0× |
Egd control bleeding any (43255) range across 2 matching MRF lines |
$1,912 |
$2,566.66–$7,592.86 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,912 |
$1,898.21 |
1.0× |
| Egd Endoscopic Stent Place (43266) |
$6,050 |
$2,166.22 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$903 |
$7,639.75 |
1.0× |
| Egd guide wire insertion (43248) |
$903 |
$7,649.81 |
1.0× |
Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$1,912 |
$8,642.06–$9,484.95 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$1,912 |
$9,063.13 |
1.0× |
| Egd Varices Ligation (43244) |
$1,912 |
$7,371.71 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$1,912 |
$2,566.66 |
1.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$1,912 |
$1,584.51 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$1,912 |
$2,777.77 |
1.0× |
| Epidural Blood Patch (62273) |
$703 |
$736.60 |
1.0× |
| Ercp duct stent placement (43274) |
$6,050 |
$7,592.86 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,842 |
$4,411.61 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$3,842 |
$1,116.39 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$3,842 |
$7,820.65 |
1.0× |
Ercp remove forgn body duct (43275) range across 2 matching MRF lines |
$1,912 |
$1,539.76–$7,592.86 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$3,842 |
$4,731.73 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$3,842 |
$7,592.86 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$903 |
$4,448 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$903 |
$2,246.54 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,912 |
$2,566.66 |
1.0× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$1,912 |
$2,566.66 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$1,912 |
$2,406.03 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$132 |
$629.19 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,646 |
$9,010.44 |
1.0× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,646 |
$9,280.75 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,646 |
$6,042.05 |
1.0× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$705 |
$8,799.10 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,646 |
$11,297.70 |
1.0× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,646 |
$5,866.07 |
1.0× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$2,895 |
$16,032.30 |
1.0× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,646 |
$7,592.86 |
1.0× |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
$2,895 |
$8,542.82 |
1.0× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$1,646 |
$7,592.86 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,568 |
$10,754.20 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,083 |
$6,348.36 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,912 |
$5,412.11 |
1.0× |
| Excision olecranon bursa (24105) |
$3,261 |
$7,592.86 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$2,895 |
$9,280.75 |
1.0× |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
$2,895 |
$12,688.70 |
1.0× |
| Excision; trochanteric bursa or calcification (27062) |
$3,261 |
$9,063.07 |
1.0× |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
$3,261 |
$4,443.55 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$237 |
$847.91 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$705 |
$3,523.56 |
1.0× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$199 |
$931.67–$7,371.71 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,895 |
$13,942.90 |
1.0× |
| I&d perianal abscess superficial (46050) |
$926 |
$4,428.17 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$705 |
$3,472.36 |
1.0× |
| Icd Pocket Revision (33223) |
$2,056 |
$9,419.85 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$1,646 |
$5,019.72 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,646 |
$7,520.97 |
1.0× |
| Implant neuroelectrodes (63650) |
$6,352 |
$9,098.15 |
1.0× |
| Incise external hemorrhoid (46083) |
$249 |
$1,484.86 |
1.0× |
| Incise finger tendon sheath (26055) |
$1,602 |
$9,063.07 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$405 |
$1,928.66 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$405 |
$1,928.66 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$201 |
$950.62 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$303 |
$1,573.75 |
1.0× |
| Incision of rectal abscess (46040) |
$1,192 |
$5,790.45 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$736 |
$1,528.29 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$199 |
$1,002.04 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$881 |
$1,718.75 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$212 |
$682.67 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$881 |
$3,886.12 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$305 |
$803.15 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$881 |
$1,107.21 |
1.0× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$881 |
$1,431.91 |
1.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$703 |
$3,640.54 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$881 |
$4,257.58 |
1.0× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$703 |
$1,718.75 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$703 |
$3,085.25 |
1.0× |
| Injection for identification of sentinel node (38792) |
$398 |
$2,026.25 |
1.0× |
| Injection single tendon origin/insertion (20551) |
$305 |
$1,498.28 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$305 |
$1,498.28 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$305 |
$1,159.99 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$881 |
$3,886.12 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$703 |
$3,085.25 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$703 |
$3,085.25 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$3,147 |
$9,095.15 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$3,147 |
$9,639 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$5,546 |
$15,561.70 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$8,248 |
$46,470.50 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$128 |
$779.06 |
1.0× |
| Insert cath pleura w/ image (32557) |
$1,568 |
$3,586.66 |
1.0× |
| Insert cath pleura w/o image (32556) |
$1,912 |
$9,484.95 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,912 |
$5,412.11 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$10,417 |
$35,567.10 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$18,271 |
$12,073.70 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$3,147 |
$3,990.53 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$10,417 |
$58,020.10 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$132 |
$629.19 |
1.0× |
| Insert tun ip cath perc (49418) |
$3,568 |
$10,754.20 |
1.0× |
| Insert tunneled cv cath (36561) |
$3,147 |
$9,095.15 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$132 |
$629.19 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,568 |
$10,754.20 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,568 |
$9,918.96 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,248 |
$36,019.20 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$8,248 |
$45,525 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,147 |
$15,737.50 |
1.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,568 |
$3,586.66 |
1.0× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$8,248 |
$45,525 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,147 |
$9,095.15 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$31,285 |
$112,969 |
1.0× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$30,756 |
$8,542.82 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$8,248 |
$26,894.20 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$10,417 |
$35,567.10 |
1.0× |
| Intro cath dialysis circuit (36901) |
$1,568 |
$3,990.53 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$5,672 |
$18,554 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$903 |
$1,925.28 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$236 |
$1,180.52 |
1.0× |
| Lap paraesoph her rpr w/mesh (43282) |
$10,594 |
$32,087.90 |
1.0× |
Laparoscopy, surgical, appendectomy (44970) range across 2 matching MRF lines |
$6,025 |
$9,966.27–$27,647.80 |
1.0× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$6,025 |
$21,742.50 |
1.0× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$6,025 |
$10,251.60 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,774 |
$8,622.35 |
1.0× |
| Late closure of wound (13160) |
$3,532 |
$8,799.10 |
1.0× |
| Ligamentous Reconstruction Knee Extra-Articular (27427) |
$7,232 |
$19,359.85 |
1.0× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$3,513 |
$15,839.20 |
1.0× |
| Lyse chest fibrin init day (32561) |
$625 |
$2,262.60 |
1.0× |
| Lyse Chest Fibrin Subq Day (32562) |
$625 |
$2,262.60 |
1.0× |
| Mastectomy partial (19301) |
$3,902 |
$14,947.50 |
1.0× |
| Mastectomy simple complete (19303) |
$6,618 |
$12,536.45 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$3,147 |
$9,639 |
1.0× |
| Muscle-skin graft trunk (15734) |
$3,532 |
$12,539.83 |
1.0× |
| Myelography Lumbar Injection (62305) |
$781 |
$4,207.39 |
1.0× |
| Myelography Lumbar Injection (62304) |
$781 |
$4,207.39 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$781 |
$4,207.39 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$703 |
$3,543.28 |
1.0× |
| N block inj intercost sng (64420) |
$703 |
$1,718.75 |
1.0× |
| N Block Lumbar/Thoracic (64520) |
$881 |
$2,233.92 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$445 |
$1,995.20 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$1,646 |
$7,520.97 |
1.0× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$1,946 |
$5,213.77 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$881 |
$1,374.55 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$305 |
$1,457.86 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,568 |
$17,753.30 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$3,568 |
$10,621.10 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$881 |
$4,593.44 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$703 |
$3,543.28 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$703 |
$1,718.75 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$703 |
$2,675.65 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$695 |
$2,052.63 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$695 |
$3,801.22 |
1.0× |
| Occipital Nerve Block (64405) |
$305 |
$1,374.55 |
1.0× |
| Open biopsy/excision inguinofemoral nodes (38531) |
$3,902 |
$8,542.82 |
1.0× |
| Open Treatment Bimalleolar Ankle Fracture (27814) |
$7,232 |
$13,115.30 |
1.0× |
| Open treatment metatarsal fracture each (28485) |
$7,232 |
$20,504.20 |
1.0× |
| Open Treatment Proximal Humeral Fracture (23615) |
$12,796 |
$18,001 |
1.0× |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
$7,232 |
$13,847.50 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$7,232 |
$17,599.30 |
1.0× |
| Open tx ulnar fx proximal end (24685) |
$7,232 |
$12,688.70 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$11,506 |
$38,348.30 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$11,506 |
$35,279.10 |
1.0× |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
$7,232 |
$9,408.82 |
1.0× |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
$3,261 |
$12,251.39 |
1.0× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$3,261 |
$5,279.83 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,261 |
$8,212.78 |
1.0× |
| Patellectomy or hemipatellectomy (27350) |
$7,232 |
$25,630.50 |
1.0× |
| Penile Injection (54235) |
$249 |
$1,484.86 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$705 |
$3,472.36 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$1,568 |
$3,990.53 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$3,261 |
$9,652.77 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$705 |
$3,077.23 |
1.0× |
| Perq device breast 1st imag (19281) |
$1,646 |
$8,101.20 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$3,261 |
$9,652.77 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,506 |
$38,348.30 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,672 |
$28,046.10 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,232 |
$20,456.30 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$7,232 |
$20,456.30 |
1.0× |
| Place Cath Subclavian Art (36225) |
$3,147 |
$15,973.60 |
1.0× |
| Place Rt Device/Marker Pros (55876) |
$1,379 |
$6,484.90 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$445 |
$1,604.02 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,083 |
$6,187.74 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$3,513 |
$6,348.36 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,513 |
$17,106.10 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,513 |
$6,348.36 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,513 |
$17,001.60 |
1.0× |
| Prim art mech thrombectomy (37184) |
$18,271 |
$18,554 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$926 |
$2,053.79 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$705 |
$2,114.59 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,568 |
$10,754.20 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$3,568 |
$10,754.20 |
1.0× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$3,261 |
$7,371.71 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$625 |
$1,636.14 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$405 |
$172.11 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$405 |
$1,928.66 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$705 |
$3,472.36 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,056 |
$1,777.22 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$3,147 |
$15,802 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$903 |
$2,780.05 |
1.0× |
| Removal Embedded Foreign Body Eyelid (67938) |
$316 |
$1,459.66 |
1.0× |
| Removal foreign body foot deep (28192) |
$1,646 |
$2,933.03 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$58 |
$310.61 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$58 |
$195.06 |
1.0× |
| Removal Implant Deep (20680) |
$2,895 |
$8,542.82 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$445 |
$1,955.09 |
1.0× |
| Removal of nail bed (11750) |
$405 |
$1,928.66 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$3,147 |
$9,639 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$3,724 |
$19,269.30 |
1.0× |
| Removal ppm generator only (33233) |
$8,248 |
$45,525 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$705 |
$2,819.08 |
1.0× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$2,056 |
$7,250.78 |
1.0× |
| Remove foreign body from eye (65205) |
$132 |
$629.19 |
1.0× |
| Remove lung catheter (32552) |
$625 |
$2,262.60 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$132 |
$629.19 |
1.0× |
| Remove Pulse Generator (33241) |
$3,724 |
$19,214.60 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$695 |
$2,052.63 |
1.0× |
| Remove&replace pm gen singl (33227) |
$8,248 |
$27,014.70 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$22,170 |
$80,256.90 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$31,285 |
$170,149 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$22,170 |
$80,256.90 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$10,417 |
$35,567.10 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$19,198 |
$64,504.80 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,646 |
$3,178.20 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$405 |
$1,997.65 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$405 |
$2,922.44 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$405 |
$1,928.66 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$405 |
$1,928.66 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$405 |
$1,997.65 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$405 |
$1,956.59 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$736 |
$2,922.44 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$405 |
$1,928.66 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$405 |
$1,928.66 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$736 |
$2,922.44 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$405 |
$1,928.66 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$405 |
$1,910.36 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$405 |
$1,928.66 |
1.0× |
| Repair of nail bed (11760) |
$736 |
$2,922.44 |
1.0× |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
$7,232 |
$7,302.30 |
1.0× |
| Repair of Ruptured Tendon (24342) |
$7,232 |
$9,295.60 |
1.0× |
| Repair secondary achilles tendon w/wo graft (27654) |
$7,232 |
$23,565.70 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$903 |
$2,780.05 |
1.0× |
| Replace G-J Tube Perc (49452) |
$903 |
$2,780.05 |
1.0× |
| Replace g/c tube perc (49450) |
$903 |
$2,780.05 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$3,147 |
$9,639 |
1.0× |
| Rerepair ing hernia reduce (49520) |
$3,568 |
$14,501.56 |
1.0× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,484 |
$19,147.20 |
1.0× |
| Revision of big toe (28310) |
$7,232 |
$4,106.39 |
1.0× |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
$17,476 |
$34,419.80 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$445 |
$1,995.20 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$132 |
$629.19 |
1.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,568 |
$2,236.21 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$625 |
$2,236.21 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$249 |
$865.11 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,568 |
$3,586.66 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,568 |
$7,858.54 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,147 |
$9,095.15 |
1.0× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$6,025 |
$13,079.60 |
1.0× |
Rpr Aa Hernia 1st < 3 Cm Reducible (49591) range across 2 matching MRF lines |
$3,568 |
$12,319.20–$17,645.30 |
1.0× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$3,568 |
$10,559.10 |
1.0× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$6,452 |
$24,131.80 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$6,025 |
$7,855.24 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$199 |
$1,002.04 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$537 |
$2,523.65 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$1,646 |
$3,523.56 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,192 |
$7,820.65 |
1.0× |
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$926 |
$1,444.53–$7,706.76 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$199 |
$1,002.04 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$199 |
$1,002.04 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$199 |
$1,002.04 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$199 |
$876.59 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$736 |
$8,683.24 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$736 |
$8,683.24 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$199 |
$1,002.04 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$405 |
$1,928.66 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$405 |
$1,928.66 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$703 |
$3,085.25 |
1.0× |
| Strapping ankle (29540) |
$161 |
$788.34 |
1.0× |
| Strapping elbow or wrist (29260) |
$58 |
$310.61 |
1.0× |
| Strapping hand/finger (29280) |
$58 |
$304.90 |
1.0× |
| Strapping knee (29530) |
$132 |
$629.19 |
1.0× |
| Strapping shoulder (29240) |
$132 |
$469.31 |
1.0× |
| Strapping Unna Boot (29580) |
$161 |
$761.85 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$405 |
$953.01 |
1.0× |
| Tenodesis long tendon biceps (23430) |
$7,232 |
$4,431.55 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,552 |
$8,267.50 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$18,271 |
$68,434.50 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$3,147 |
$3,990.53 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,546 |
$15,969 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$329 |
$1,700.39 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$3,147 |
$9,639 |
1.0× |
| Thyroid biopsy (60100) |
$705 |
$3,178.20 |
1.0× |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
$3,261 |
$11,900.90 |
1.0× |
| Total Knee Arthroplasty (27447) |
$12,796 |
$21,074.90 |
1.0× |
| Transcatheter biopsy (37200) |
$5,546 |
$15,967.90 |
1.0× |
| Treat Big Toe Fracture (28505) |
$3,261 |
$12,656.50 |
1.0× |
| Treat fracture radius/ulna (25575) |
$7,232 |
$16,919.04 |
1.0× |
| Treat Fx Rad Extra-Articul (25607) |
$7,232 |
$15,710.48 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$245 |
$1,150.10 |
1.0× |
| Treat Thumb Dislocation (26641) |
$245 |
$1,150.10 |
1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,602 |
$7,596.04 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$245 |
$1,150.10 |
1.0× |
| Trim skin lesion (11055) |
$199 |
$931.67 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$199 |
$957.89 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$5,672 |
$18,554 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,672 |
$18,554 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$215 |
$642.52 |
1.0× |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
$7,232 |
$6,029.09 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$736 |
$3,081.76 |
1.0× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$3,568 |
$12,287.90 |
1.0× |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
$6,025 |
$3,625.39 |
1.0× |
| Unlisted procedure breast (19499) |
$3,902 |
$18,703.70 |
1.0× |
| Unlisted procedure foot or toes (28899) |
$245 |
$5,279.83 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$245 |
$1,150.10 |
1.0× |
| Unlisted procedure nervous system (64999) |
$305 |
$1,889.71 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$236 |
$1,198.56 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$903 |
$4,515.10 |
1.0× |
| Upgrade of pacemaker system (33214) |
$10,417 |
$54,789 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$18,271 |
$86,042.60 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$11,506 |
$35,279.10 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$11,506 |
$56,702.80 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$11,506 |
$53,981.30 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$11,506 |
$17,070.50 |
1.0× |
| Wedge excision skin nail fold (11765) |
$405 |
$1,956.59 |
1.0× |