| Abd paracentesis w/imaging (49083) |
— |
$9,181.36 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$330,743.09 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$67,810.94 |
— |
| Acne surgery (10040) |
— |
$36,380.46 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$46,507.07 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$43,302.35 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$35,328.71 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$137,230.55 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$194,236.32 |
— |
| Amputation foot transmetarsal (28805) |
— |
$194,236.32 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$49,880.09 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$147,199.29 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$58,890.97 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$194,236.32 |
— |
| Amputation, arm through humerus; secondary closure or scar revision Facility (24925) |
— |
$78,102.91 |
— |
| Amputation, forearm, through radius and ulna; secondary closure or scar revision Facility (25907) |
— |
$78,102.91 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$75,433.66 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$239,797.02 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$67,429.79 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$239,797.02 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$239,797.02 |
— |
| Anoscopy diagnostic (46600) |
— |
$198,101.79 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$58,806.57 |
— |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
— |
$86,841.90 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$158,426.49 |
— |
| Apheresis Platelets (36513) |
— |
$210,545.86 |
— |
| Appendectomy (44950) |
— |
$147,783.94 |
— |
| Application multiplane external fixation system (20692) |
— |
$84,531.97 |
— |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
— |
$116,850.18 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$190,630.19 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$190,630.19 |
— |
| Application uniplane external fixation system (20690) |
— |
$116,850.18 |
— |
| Arrest Epiphyseal Open Distal Tibia (27730) |
— |
$158,426.49 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; and distal femur… (27742) |
— |
$156,084.97 |
— |
| Arrest, epiphyseal (epiphysiodesis), any method, combined, proximal and distal tibia and fibula; Facility (27740) |
— |
$156,084.97 |
— |
| Arrst Hemiepiphysl Dstl Femur/Prox Tibia/Fibula (27485) |
— |
$156,084.97 |
— |
| Arthrd midtarsl/tars mlt/transvrs w/osteot (28735) |
— |
$190,972.85 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
— |
$5,670.47–$15,202.47 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$4,971.85 |
— |
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 3 matching MRF lines |
— |
$75,995.35–$82,238.18 |
— |
| Arthroplasty glenohumeral joint total shoulder (23472) |
— |
$158,962.77 |
— |
| Arthroplasty radial head (24365) |
— |
$68,156.01 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$175,721.68 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$34,033.05 |
— |
Arthroscopy Knee Synovectomy 2/>Compartments (29876)
range across 3 matching MRF lines |
— |
$46,505.12–$51,408.29 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$48,083.71 |
— |
Arthroscopy knee w/lysis adhesions w/wo manj spx (29884)
range across 2 matching MRF lines |
— |
$51,735.52–$55,466.80 |
— |
Arthroscopy shoulder distal claviculectomy (29824)
range across 3 matching MRF lines |
— |
$90,220.26–$111,249.99 |
— |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 3 matching MRF lines |
— |
$89,464.81–$92,259.22 |
— |
Arthroscopy, knee, surgical; with lateral release (29873)
range across 3 matching MRF lines |
— |
$47,917.52–$51,031.87 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
— |
$70,813.90 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines |
— |
$89,877.87–$90,918.53 |
— |
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 3 matching MRF lines |
— |
$83,122.80–$88,917.66 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines |
— |
$60,997.32–$85,129.65 |
— |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 3 matching MRF lines |
— |
$87,245.02–$90,037.11 |
— |
| Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) |
— |
$81,994.54 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 3 matching MRF lines |
— |
$89,519.68–$91,892.80 |
— |
| Arthrotomy biopsy interphalangeal joint each (26110) |
— |
$224,771.93 |
— |
Arthrotomy wrist joint with synovectomy (25105)
range across 2 matching MRF lines |
— |
$43,295.91–$48,270.45 |
— |
| Arthrotomy, elbow; with synovial biopsy only Facility (24100) |
— |
$74,769.11 |
— |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
— |
$42,853.84 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$175,721.68 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$114,473.26 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 3 matching MRF lines |
— |
$73,012.30–$78,085.06 |
— |
Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879)
range across 3 matching MRF lines |
— |
$49,326.11–$52,732.05 |
— |
Arthrs knee debridement/shaving artclr crtlg (29877)
range across 3 matching MRF lines |
— |
$34,297.68–$48,908.36 |
— |
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 3 matching MRF lines |
— |
$50,206.27–$56,017.59 |
— |
Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620)
range across 2 matching MRF lines |
— |
$105,556.75–$112,663.61 |
— |
| Arthrt Elbow Capsular Excision Capsular Rls Spx (24006) |
— |
$74,769.11 |
— |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
— |
$100,216.08 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$175,721.68 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$62,324.63 |
— |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
— |
$127,606.99 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$13,884.68 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$78,576.70 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$50,754.07 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$35,348.36 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$5,030.37 |
— |
| Biopsy nail unit (11755) |
— |
$58,672.68 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$64,178.96 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$66,083.38 |
— |
Biopsy of liver, needle; percutaneous (47000)
range across 3 matching MRF lines |
— |
$11,992.29–$25,178.35 |
— |
| Biopsy of rectum (45100) |
— |
$64,328.73 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$78,696.43 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$78,696.43 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$143,199 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$45,344.04 |
— |
Biopsy/removal lymph nodes (38510)
range across 3 matching MRF lines |
— |
$45,448.81–$80,478.78 |
— |
| Blood Transfusion Service (36430) |
— |
$74,781.66 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$142,746.47 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$142,746.47 |
— |
| Bone graft with microvascular anastomosis; fibula Facility (20955) |
— |
$144,377.35 |
— |
| Bone graft with microvascular anastomosis; metatarsal Facility (20957) |
— |
$190,972.85 |
— |
| Bone graft with microvascular anastomosis; other than fibula, iliac crest, or metatarsal Facility (20962) |
— |
$125,406.27 |
— |
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines |
— |
$9,876.35–$10,651.31 |
— |
| Breast Reduction (19318) |
— |
$70,608.72 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$40,148.62 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$186,485.30 |
— |
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines |
— |
$4,671.71–$5,228.62 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$40,001.16 |
— |
Bx/exc lymph node open deep axillary node (38525)
range across 3 matching MRF lines |
— |
$58,851.91–$68,951.95 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$45,023.21 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$58,206.29 |
— |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
— |
$39,879.30 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$147,242.88 |
— |
| Capsulotomy wrist (25085) |
— |
$28,112.81 |
— |
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines |
— |
$32,244.16–$33,773.27 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$683.83 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$34,206.99 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$669.18 |
— |
| Chest tube placement (32551) |
— |
$94,916.24 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$158,269.25 |
— |
| Circumcision 28 days or older (54161) |
— |
$15,756.86 |
— |
| Circumcision Neonate (54160) |
— |
$15,756.86 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$15,756.86 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$70,173.61 |
— |
Claviculectomy partial (23120)
range across 2 matching MRF lines |
— |
$53,860.25–$55,176.68 |
— |
Closed Rx Metacarpal Fx,Percut (26608)
range across 3 matching MRF lines |
— |
$39,734.71–$43,447.41 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$33,602.66 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$146,112.62 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$65,304.45 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$190,630.19 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$100,813.39 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$171,946.68 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$38,276.44 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$171,946.68 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$171,946.68 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$29,737.67 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$171,946.68 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$39,466.12 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$171,946.68 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$190,630.19 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$58,891.42 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$58,891.42 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$110,388.33 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$29,754.03 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$29,754.03 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$93,120.68 |
— |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
— |
$93,120.68 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$146,112.62 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$171,946.68 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$56,504.44 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$33,602.66 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$33,602.66 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$146,112.62 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$29,754.03 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$8,963.63 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$26,639.92 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$33,602.66 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$171,946.68 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$58,891.42 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$58,891.42 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$102,567.71 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$198,101.79 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$16,199.40 |
— |
| Colonoscopy thru stoma (44388) |
— |
$198,101.79 |
— |
| Colonoscopy w/ablation (45388) |
— |
$17,902.08 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$198,101.79 |
— |
| Colonoscopy W/Resection (45390) |
— |
$20,286.15 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$22,189.35 |
— |
| Colpopexy vaginal intraperitoneal approach (57283) |
— |
$126,250.66 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$67,124.64 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$67,124.64 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$37,278.13 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$19,778.80 |
— |
| Complex drainage wound (10180) |
— |
$22,119.40 |
— |
| Conization of cervix (57520) |
— |
$47,785.89 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$130,494.76 |
— |
| Correction hammertoe (28285) |
— |
$63,701.01 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$190,972.85 |
— |
| Corrj hallux valgus w/sesmdc w/prox metar osteot (28295) |
— |
$68,271.37 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$115,554.47 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
— |
$62,324.63 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
— |
$180,277.31 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299) |
— |
$94,703.21 |
— |
| Cross Intrinsic Transfer Each Tendon (26510) |
— |
$53,526.28 |
— |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
— |
$54,683.58 |
— |
| Curettage postpartum (59160) |
— |
$76,980.84 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$200,094.74 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$126,638.85 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$160,694.59 |
— |
| Dcmprn Fasct F/Arm&/Wrst Flxr&Xtnsr W/O Db (25024) |
— |
$113,989.33 |
— |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
— |
$88,629.24 |
— |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
— |
$88,629.24 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$88,629.24 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$84,030.82 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$51,705.16 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$43,383.61 |
— |
| Declot vascular device (36593) |
— |
$113,080.11 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$40,474.99 |
— |
| Decompression fasciotomy(ies), pelvic (buttock) compartment(s) (eg, gluteus medius-minimus, gluteus maximus, iliopsoas,… (27057) |
— |
$164,973.91 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor AND extensor compartment; with debridement of nonviable muscle… (25025) |
— |
$113,989.33 |
— |
| Decompression fasciotomy, forearm and/or wrist, flexor OR extensor compartment; with debridement of nonviable muscle… (25023) |
— |
$113,989.33 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); Facility (27496) |
— |
$211,328 |
— |
| Decompression fasciotomy, thigh and/or knee, 1 compartment (flexor or extensor or adductor); with debridement of… (27497) |
— |
$211,328 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; Facility (27498) |
— |
$211,328 |
— |
| Decompression fasciotomy, thigh and/or knee, multiple compartments; with debridement of nonviable muscle and/or nerve… (27499) |
— |
$211,328 |
— |
| Deep Muscle Biopsy (20205) |
— |
$54,347.20 |
— |
| Delivery of placenta (59414) |
— |
$37,356.60 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$46,572.07 |
— |
| Diagnostic anoscopy (46601) |
— |
$198,101.79 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$15,467.21 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$16,724.74 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$51,780.79 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$37,496.34 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$53,274.59 |
— |
| Drainage of rectal abscess (45020) |
— |
$67,162.23 |
— |
| Drainage of rectal abscess (45005) |
— |
$67,162.23 |
— |
| Drainage of scrotum (54700) |
— |
$51,116.24 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$46,900.06 |
— |
Dx Bone Marrow Bx & Aspir (38222)
range across 3 matching MRF lines |
— |
$9,876.35–$10,744.16 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$40,148.62 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$15,682.97 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$108,500.42 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$23,954.10 |
— |
| Egd cautery tumor polyp (43250) |
— |
$108,500.42 |
— |
| Egd control bleeding any (43255) |
— |
$108,500.42 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$108,500.42 |
— |
| Egd endo mucosal resection (43254) |
— |
$108,500.42 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$108,500.42 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$108,500.42 |
— |
| Egd guide wire insertion (43248) |
— |
$16,267.69 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$108,500.42 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$108,500.42 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$108,500.42 |
— |
| Egd lesion ablation (43270) |
— |
$108,500.42 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$108,500.42 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$108,500.42 |
— |
| Egd place gastrostomy tube (43246) |
— |
$36,782.72 |
— |
| Egd remove lesion snare (43251) |
— |
$19,441.16 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$108,500.42 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$108,500.42 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$108,500.42 |
— |
| Egd Varices Ligation (43244) |
— |
$108,500.42 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$108,500.42 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$108,500.42 |
— |
| Embedded ip cath exit-site (49436) |
— |
$107,561.46 |
— |
| Endoscopic us exam esoph (43237) |
— |
$108,500.42 |
— |
Endoven abltj incmptnt vein xtr rf 1st vein (36475)
range across 3 matching MRF lines |
— |
$19,779.94–$25,066.39 |
— |
Endoven ther chem adhes 1st (36482)
range across 3 matching MRF lines |
— |
$19,565.72–$21,984.46 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$198,101.79 |
— |
| Epidural Blood Patch (62273) |
— |
$4,166.55 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$108,500.42 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$109,509.01 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$109,509.01 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$43,054.89 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$109,509.01 |
— |
| Evacuate mole of uterus (59870) |
— |
$35,925.82 |
— |
| Ex Tum/Vasc Mal Sft Tis Hand/Fngr Subfsc 1.5cm/> (26113) |
— |
$49,429.47 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$39,932.14 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$67,778.81 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$40,844.60 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$24,724.45 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$147,910.47 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$39,906.64 |
— |
| Exc Back Tum Deep 5 Cm/> (21933) |
— |
$31,428.05 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$48,162.40 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$56,713.04 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$57,932.11 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$61,909.21 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$46,092.83 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$107,570.96 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$32,708.39 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$107,570.96 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$107,570.96 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$48,601.45 |
— |
| Exc Flxr Tdn W/Impltj Synth Rod Dlyd Tdn Grf H/F (26390) |
— |
$133,610.70 |
— |
Exc Forearm Les Sc 3 Cm/> (25071)
range across 2 matching MRF lines |
— |
$20,573.47–$37,725.76 |
— |
| Exc Forearm Tum Deep 3 Cm/> (25073) |
— |
$113,989.33 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$133,610.70 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$50,563.43 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$24,845.01 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$44,082.98 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$67,733.87 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$43,720.89 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$39,652 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$68,751.08 |
— |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
— |
$46,516.88 |
— |
| Exc Lesion Tongue W/Clsr Posterior One-Third (41113) |
— |
$46,516.88 |
— |
| Exc lesion tongue w/clsr w/local tongue flap (41114) |
— |
$46,516.88 |
— |
| Exc neuroma hand/foot xcp digital nerve (64782) |
— |
$35,092.40 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$47,070.74 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$40,753.05 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$53,903.32 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$155,978.37 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$47,234.44 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$107,570.96 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$84,952.76 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$36,888.85 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$34,248.06 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$58,169.59 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$60,877.21 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$46,688.19 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$43,044.37 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$48,603.03 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$44,692.80 |
— |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
— |
$107,570.96 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$25,651.49 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$66,730.43 |
— |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
— |
$44,206.29 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$49,151.90 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$27,714.23 |
— |
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075)
range across 2 matching MRF lines |
— |
$31,164.35–$33,468.28 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$136,774.62 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$136,774.62 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$32,284.37 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$30,632.11 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$171,580.18 |
— |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
— |
$55,236.91 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$109,850.47 |
— |
Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071)
range across 2 matching MRF lines |
— |
$46,169.90–$56,153.16 |
— |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
— |
$90,951.58 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$132,627.11 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$126,799.60 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$5,500.19 |
— |
| Excise breast duct fistula (19112) |
— |
$70,608.72 |
— |
| Excise tendon forearm/wrist (25109) |
— |
$373,239.32 |
— |
| Excise Wrist Tendon Sheath (25118) |
— |
$38,847.28 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$112,070.97 |
— |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
— |
$46,004.15 |
— |
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462)
range across 4 matching MRF lines |
— |
$24,922.20–$33,457.20 |
— |
| Excision lesion meniscus/capsule knee (27347) |
— |
$175,721.68 |
— |
| Excision lesion tendon sheath forearm&/wrist (25110) |
— |
$373,239.32 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$46,516.88 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$108,904.03 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$108,904.03 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$112,070.97 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$112,070.97 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$62,591.22 |
— |
Excision of bartholin's gland or cyst (56740)
range across 2 matching MRF lines |
— |
$41,776.57–$57,403.60 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$168,181.14 |
— |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
— |
$133,610.70 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$42,293.27 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$52,526.01 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$54,276.40 |
— |
| Excision of vaginal cyst or tumor (57135) |
— |
$61,914.94 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$90,951.58 |
— |
| Excision or curettage of bone cyst or benign tumor, tarsal or metatarsal, except talus or calcaneus; with iliac or… (28106) |
— |
$132,627.11 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$74,663.16 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$59,594.85 |
— |
| Excision prepatellar bursa (27340) |
— |
$35,904.33 |
— |
| Excision tendon finger flexor/extensor each (26180) |
— |
$133,610.70 |
— |
| Excision tendon palm flexor/extensor single each (26170) |
— |
$133,610.70 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$49,358.21 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$44,922.93 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$33,942.50 |
— |
Excision tumor soft tissue shoulder subq 3 cm/> (23071)
range across 3 matching MRF lines |
— |
$30,571.77–$66,730.43 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$40,866.92 |
— |
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines |
— |
$41,667.13–$47,679.40 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$121,798.52 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$121,798.52 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$141,372.58 |
— |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
— |
$200,094.74 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$55,880.22 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$45,999.32 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$94,922.52 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$43,948.73 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subfascial (eg, intramuscular); 5 cm or greater Facility (27045) |
— |
$171,595.92 |
— |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
— |
$38,625.26 |
— |
Excision/curettage cyst/tumor carpal bones (25130)
range across 2 matching MRF lines |
— |
$43,285.37–$48,270.45 |
— |
| Exploration of knee joint (27310) |
— |
$139,775.40 |
— |
Exploration penetrating wound spx extremity (20103)
range across 2 matching MRF lines |
— |
$33,492.04–$152,196.02 |
— |
| Explore/Treat Elbow Joint (24101) |
— |
$74,769.11 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$100,216.08 |
— |
| External cephalic version (59412) |
— |
$15,415.78 |
— |
| Fascia lata graft; by incision and area exposure, complex or sheet Facility (20922) |
— |
$211,328 |
— |
| Fascia lata graft; by stripper Facility (20920) |
— |
$211,328 |
— |
| Fasciectomy Palm Only (26121) |
— |
$67,733.87 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$50,575.74 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$164,679.98 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$67,733.87 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$30,836.13 |
— |
| Fetal non-stress test (59025) |
— |
$30,836.13 |
— |
Fine needle aspiration bx w/CT gdn 1st lesion (10009)
range across 3 matching MRF lines |
— |
$12,476.23–$13,207.54 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$10,250.21 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$1,878.79 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$2,893.11 |
— |
Fna bx w/us gdn 1st les (10005)
range across 4 matching MRF lines |
— |
$3,520.45–$6,726.55 |
— |
| Free osteocutaneous flap with microvascular anastomosis; great toe with web space Facility (20973) |
— |
$126,799.60 |
— |
| Free osteocutaneous flap with microvascular anastomosis; metatarsal Facility (20972) |
— |
$190,972.85 |
— |
| Free osteocutaneous flap with microvascular anastomosis; other than iliac crest, metatarsal, or great toe Facility (20969) |
— |
$126,661.83 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$84,952.76 |
— |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
— |
$55,776.32 |
— |
| Gastrostomy, open; neonatal, for feeding Facility (43831) |
— |
$106,264.28 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$190,972.85 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$140,696.64 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$64,729.20 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$57,744.61 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$52,216.46 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$45,780.98 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$51,747.25 |
— |
| Hysteroscopy Endometrial Ablation (58563) |
— |
$54,374.61 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$73,639.11 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$66,049.68 |
— |
| I&d abscess simple (10060) |
— |
$46,201.63 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$67,162.23 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$150,407.45 |
— |
| I&d perianal abscess superficial (46050) |
— |
$50,637.88 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$56,419.74 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$6,028.41 |
— |
| Incise finger tendon sheath (26055) |
— |
$34,835.28 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$42,985.19 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$37,099 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$154,419.86 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$154,419.86 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$39,171.36 |
— |
Incision extensor tendon sheath wrist (25000)
range across 3 matching MRF lines |
— |
$25,710.69–$48,468.24 |
— |
| Incision of Foot Tendon (28234) |
— |
$50,302.13 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$28,713.81 |
— |
| Incision of rectal abscess (46040) |
— |
$44,257.27 |
— |
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines |
— |
$2,909.22–$3,285.20 |
— |
Injection anesthetic agent suprascapular nerve (64418)
range across 2 matching MRF lines |
— |
$46,263.04–$47,750.59 |
— |
| Injection for identification of sentinel node (38792) |
— |
$69,139.90 |
— |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines |
— |
$64,190.60–$111,249.99 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$46,578.47 |
— |
Ins cath ren art 1st unilat (36251)
range across 2 matching MRF lines |
— |
$31,456.51–$42,056.37 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$11,464.26 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$7,246.17 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$331,515.83 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$32,884.86 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$34,206.99 |
— |
| Insert cath pleura w/ image (32557) |
— |
$73,940.33 |
— |
| Insert cath pleura w/o image (32556) |
— |
$73,940.33 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$126,733.04 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$2,592.62 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$41,610.90 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$42,565.19 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$69,863.83 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$82,257.60 |
— |
| Insert pulse gen dual leads (33213) |
— |
$41,610.90 |
— |
| Insert pulse gen mult leads (33221) |
— |
$143,060.03 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$32,884.86 |
— |
| Insert spine infusion device (62360) |
— |
$101,986.93 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$63,445.51 |
— |
| Insert tun ip cath perc (49418) |
— |
$44,288.05 |
— |
| Insert tunneled cv cath (36561) |
— |
$42,205.57 |
— |
| Insert tunneled cv cath (36563) |
— |
$122,766.97 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$127,495.90 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$64,970.24 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$1,806.30 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$59,761.16 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$1,787.75 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$103,439.76 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$89,444.39 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$89,444.39 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$4,022.85 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$122,766.97 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$139,068.74 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$139,068.74 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$52,467.22 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$320,786.03 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$37,343.35 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$108,302.49 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$82,940.04 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$331,515.83 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$331,515.83 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$331,515.83 |
— |
| Intro cath dialysis circuit (36901) |
— |
$3,548.35 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$31,651.92 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$40,123.15 |
— |
| Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina, without facetectomy, foraminotomy… (63011) |
— |
$200,094.74 |
— |
| Lap replace gastr adj device (43773) |
— |
$108,500.42 |
— |
| Lap revision perm ip cath (49325) |
— |
$107,561.46 |
— |
| Laparo-vag hyst incl t/o (58552) |
— |
$144,933.20 |
— |
| Laparoscopy aspiration (49322) |
— |
$98,093.84 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$138,131.51 |
— |
Laparoscopy fulguration oviducts (58670)
range across 2 matching MRF lines |
— |
$62,545.17–$80,271.71 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$108,500.42 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$56,954.75 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$86,900.91 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$90,590.73 |
— |
Laparoscopy w/rmvl adnexal structures (58661)
range across 4 matching MRF lines |
— |
$68,370.44–$72,024.16 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$96,301.81 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$76,077.52 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$108,500.42 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$108,500.42 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$143,102.36 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$98,799.67 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$121,023.49 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$59,715.60 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$70,236.46 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$68,369.29 |
— |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 3 matching MRF lines |
— |
$78,754.96–$91,450.19 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$108,500.42 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$154,335.06 |
— |
| Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) |
— |
$137,987.06 |
— |
| Laryngoscopy Flexible Therapeutic Injection Uni (31573) |
— |
$48,716.70 |
— |
| Laryngoscopy Flexible W/Injection Agmntj Uni (31574) |
— |
$48,716.70 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$49,737.42 |
— |
| Late closure of wound (13160) |
— |
$51,635.85 |
— |
| Lateral retinacular release open (27425) |
— |
$66,361.63 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$109,850.47 |
— |
| Ligate leg veins open (37761) |
— |
$109,850.47 |
— |
| Lsh uterus 250 g or less (58541) |
— |
$154,335.06 |
— |
| Lsh uterus above 250 g (58543) |
— |
$154,335.06 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$154,335.06 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$26,464.40 |
— |
| Marsupialization of bartholin's gland cyst (56440) |
— |
$60,144.86 |
— |
Mast mod rad (19307)
range across 2 matching MRF lines |
— |
$79,680.49–$88,356.06 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$70,608.72 |
— |
| Mastectomy partial (19301) |
— |
$53,723.08 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$70,608.72 |
— |
| Mastectomy simple complete (19303) |
— |
$77,548.14 |
— |
| Maternity Care Procedure (59899) |
— |
$126,060.39 |
— |
| Metatarsectomy (28140) |
— |
$190,972.85 |
— |
| Modification of ocular implant with placement or replacement of pegs (eg, drilling receptacle for prosthesis appendage)… (65125) |
— |
$48,638.78 |
— |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
— |
$49,429.47 |
— |
| Muscle-skin graft trunk (15734) |
— |
$71,720.57 |
— |
| Myelography Lumbar Injection (62305) |
— |
$28,959.15 |
— |
| Myelography Lumbar Injection (62304) |
— |
$15,885.61 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$17,718.38 |
— |
| Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) |
— |
$154,271.10 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$78,463.57 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$46,324.77 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$7,873.04 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$27.25 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$27.25 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines |
— |
$38,313.55–$42,620.51 |
— |
| Nipple Exploration (19110) |
— |
$70,608.72 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$2,122.51 |
— |
Njx Noncmpnd Sclrsnt 1 Vein (36465)
range across 3 matching MRF lines |
— |
$8,398.25–$29,694.11 |
— |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
— |
$7,025.30 |
— |
Open biopsy/excision inguinofemoral nodes (38531)
range across 2 matching MRF lines |
— |
$40,827.19–$45,805.52 |
— |
| Open bowel to skin (44300) |
— |
$66,641.86 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$67,188.22 |
— |
Open Repair of Rotator Cuff Acute (23410)
range across 3 matching MRF lines |
— |
$61,926.01–$115,965.74 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines |
— |
$83,338.73–$84,996.75 |
— |
| Open treatment calcaneal fracture (28415) |
— |
$121,265.04 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$119,863.30 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$101,177.20 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$139,014.84 |
— |
Open Treatment Medial Malleolus Fracture (27766)
range across 2 matching MRF lines |
— |
$50,275.15–$52,041.45 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$55,571.81 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$129,598.12 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$76,885.03 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$138,352.73 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
— |
$166,278.54 |
— |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
— |
$166,278.54 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$97,946.70 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$139,014.84 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$100,575.73 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$100,575.73 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$138,352.73 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$138,352.73 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$138,352.73 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$138,230.65 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$129,598.12 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$52,589.72 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$72,478.19 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$81,711.61 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$100,575.73 |
— |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines |
— |
$57,757.10–$66,612.15 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$41,286.19 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$101,388.19 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$101,177.20 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$60,450.24 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$55,578.46 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$100,575.73 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$107,369.97 |
— |
| Open tx tarsal fracture xcp talus & calcaneus ea (28465) |
— |
$121,265.04 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$101,177.20 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822)
range across 2 matching MRF lines |
— |
$72,979.80–$79,552.86 |
— |
| Open tx ulnar fx proximal end (24685) |
— |
$64,126.55 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$63,192.67 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$63,192.67 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$74,104.78 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$66,393.84 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$86,004.83 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$78,354.43 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$59,902.56 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$99,437.70 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$180,277.31 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$190,972.85 |
— |
| Ostectomy calcaneus (28118) |
— |
$90,951.58 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$43,656.67 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$190,972.85 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$190,972.85 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$57,330.02 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$134,855.79 |
— |
| Osteot Tarsal Oth/Thn Calcaneus/Talus W/Agrft (28305) |
— |
$121,265.04 |
— |
| Osteot W/WO Lngth Shrt/Angular Corrj Metar Mlt (28309) |
— |
$190,972.85 |
— |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
— |
$190,972.85 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$61,039.88 |
— |
| Osteotomy calcaneus w/wo internal fixation (28300) |
— |
$121,265.04 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$40,407.10 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$41,793.92 |
— |
| Osteotomy radius distal third (25350) |
— |
$48,468.24 |
— |
| Osteotomy tarsal bones oth/thn calcaneus/talus (28304) |
— |
$121,265.04 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$138,352.73 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$166,278.54 |
— |
| Osteotomy, with or without lengthening, shortening or angular correction, metatarsal; first metatarsal with autograft… (28307) |
— |
$190,972.85 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$117,351.01 |
— |
| Part exc bone femur prox tibia (27360) |
— |
$156,084.97 |
— |
| Part remv talus or calcaneus (28120) |
— |
$90,951.58 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$129,281.57 |
— |
| Partial excision bone metacarpal (26230) |
— |
$41,514.42 |
— |
| Partial Excision Bone Radius (25151) |
— |
$48,468.24 |
— |
| Partial removal of fibula (27641) |
— |
$144,377.35 |
— |
| Partial removal of tibia (27640) |
— |
$158,426.49 |
— |
| Partial removal of toe (28160) |
— |
$126,799.60 |
— |
| Partial removal of tongue (41120) |
— |
$46,516.88 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$75,224.04 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$47,904.08 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$112,253.70 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$8,929.41 |
— |
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines |
— |
$48,547.19–$62,628.11 |
— |
Perq device breast 1st imag (19281)
range across 3 matching MRF lines |
— |
$48,831.76–$57,505.12 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$40,695.63 |
— |
| Phalangectomy toe each toe (28150) |
— |
$126,799.60 |
— |
| Pin Finger Dislocation (26776) |
— |
$58,512.03 |
— |
| Pin hand dislocation (26676) |
— |
$48,900.14 |
— |
| Place Cath Subclavian Art (36225) |
— |
$61,900.18 |
— |
| Place Cath Vertebral Art (36226) |
— |
$8,160.61 |
— |
| Placement of seton (46020) |
— |
$43,869.16 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$6,095.44 |
— |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
— |
$78,328.24 |
— |
| Prim art mech thrombectomy (37184) |
— |
$57,378.69 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$159,496.92 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$198,101.79 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$4,030.92 |
— |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
— |
$65,103.12 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$127,786.73 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$32,276.35 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$127,813.42 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$76,179.78 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$124,649.96 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$37,930.32 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$28,596.62 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$74,928.75 |
— |
| Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) |
— |
$71,734.15 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths flxrs (25115) |
— |
$373,239.32 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$48,270.45 |
— |
| Rad resect hand tumor 3 cm/> (26118) |
— |
$67,733.87 |
— |
| Rad resect tumor soft tissue hand/finger <3cm (26117) |
— |
$67,733.87 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$136,774.62 |
— |
| Rad resection tumor soft tiss face/scalp 2 cm/> (21016) |
— |
$107,570.96 |
— |
| Radical resection of tonsil, tonsillar pillars, and/or retromolar trigone; closure with local flap (eg, tongue, buccal)… (42844) |
— |
$46,516.88 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of back or flank; 5 cm or greater Facility (21936) |
— |
$154,924.98 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of face or scalp; less than 2 cm Facility (21015) |
— |
$107,570.96 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$122,034.80 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$122,034.80 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of forearm and/or wrist area; less than 3 cm Facility (25077) |
— |
$113,989.33 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
— |
$109,850.47 |
— |
| Radical resection of tumor, proximal humerus Facility (23220) |
— |
$129,281.57 |
— |
| Radical resection of tumor; phalanx of toe Facility (28175) |
— |
$126,799.60 |
— |
| Radical resection of tumor; tarsal (except talus or calcaneus) Facility (28171) |
— |
$90,951.58 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$190,972.85 |
— |
| Rcnstj Pst Tibl Tdn W/Exc Accessory Tarsl Navclr (28238) |
— |
$90,951.58 |
— |
| Realignment of hand (25335) |
— |
$228,897.02 |
— |
| Realignment of knee (27455) |
— |
$99,437.70 |
— |
| Reconstruct finger joint (26545) |
— |
$133,610.70 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$58,281.10 |
— |
| Reinforce hip bones (27187) |
— |
$136,277.51 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$8,264.23 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$41,183.68 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$25,256.04 |
— |
| Removal Implant Deep (20680) |
— |
$45,780.85 |
— |
| Removal of adenoids (42835) |
— |
$33,279.73 |
— |
| Removal of adenoids (42830) |
— |
$49,900.58 |
— |
| Removal of bladder cyst (51500) |
— |
$181,356.33 |
— |
| Removal of heel spur (28119) |
— |
$50,575.74 |
— |
| Removal of hip joint lining (27054) |
— |
$143,199 |
— |
Removal of implant from finger or hand (26320)
range across 2 matching MRF lines |
— |
$42,533.91–$47,820.08 |
— |
| Removal of nail bed (11750) |
— |
$39,909.21 |
— |
| Removal of sperm cord lesion (55520) |
— |
$68,836.72 |
— |
| Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft), hand or finger, each rod… (26416) |
— |
$133,610.70 |
— |
| Removal of tendon for graft (20924) |
— |
$199,399.43 |
— |
| Removal of tonsils (42825) |
— |
$40,137.70 |
— |
| Removal of tonsils (42826) |
— |
$45,334.08 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$13,499.68 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$107,561.46 |
— |
| Removal ppm generator only (33233) |
— |
$1,314.79 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$28,740.74 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$5,559.80 |
— |
Removal sweat gland lesion (11450)
range across 3 matching MRF lines |
— |
$42,000.94–$46,633.03 |
— |
Removal, under anesthesia, of external fixation system (20694)
range across 2 matching MRF lines |
— |
$24,936.08–$88,140.83 |
— |
| Remove cerclage suture (59871) |
— |
$5,497.97 |
— |
| Remove drug implant device (11982) |
— |
$56,399.13 |
— |
| Remove Elbow Joint Lining (24102) |
— |
$74,769.11 |
— |
| Remove Intrauterine Device (58301) |
— |
$66,462.12 |
— |
| Remove knee joint lining (27334) |
— |
$175,721.68 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$156,084.97 |
— |
| Remove lung catheter (32552) |
— |
$40,901.49 |
— |
| Remove Pulse Generator (33241) |
— |
$4,315.68 |
— |
| Remove sacrum pressure sore (15937) |
— |
$141,372.58 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$37,667.30 |
— |
| Remove&replace pm gen singl (33227) |
— |
$61,751.26 |
— |
| Remove/graft foot lesion (28102) |
— |
$90,951.58 |
— |
| Remove/graft foot lesion (28107) |
— |
$132,627.11 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$156,084.97 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$133,414.93 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$164,385.77 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$132,358.09 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$70,789.93 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$94,082.23 |
— |
| Renal Biopsy Perq (50200) |
— |
$119,849.40 |
— |
| Repair Achilles Tendon (27650) |
— |
$81,103.74 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$199,138.82 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$199,138.82 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$31,428.05 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$52,036.30 |
— |
| Repair Extensor Tendon Hand W/Graft Each (26412) |
— |
$133,610.70 |
— |
| Repair Finger Tendon (26433) |
— |
$51,371.71 |
— |
| Repair Forearm Tendon Sheath (25275) |
— |
$38,847.28 |
— |
Repair Hallux Rigidus (28289)
range across 2 matching MRF lines |
— |
$39,741.69–$46,408.53 |
— |
| Repair Hand Tendon (26410) |
— |
$61,818.99 |
— |
| Repair humerus with graft (24435) |
— |
$158,426.49 |
— |
| Repair incomplete circumcision (54163) |
— |
$15,756.86 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$104,569.21 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$117,242.18 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$63,258.28 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$80,480.60 |
— |
| Repair initial inguinal hernia, age 6 months to younger than 5 years, with or without hydrocelectomy; incarcerated or… (49501) |
— |
$104,569.21 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$48,758.55 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$199,138.82 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$199,138.82 |
— |
| Repair Leg Fascia Defect (27656) |
— |
$199,138.82 |
— |
| Repair lower leg epiphyses (27734) |
— |
$156,084.97 |
— |
| Repair Nasal Vestibular Stenosis (30465) |
— |
$73,285.02 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$101,177.20 |
— |
| Repair of fibula epiphysis (27732) |
— |
$144,377.35 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$97,946.70 |
— |
| Repair of nail bed (11760) |
— |
$60,079.66 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$100,575.73 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$65,545.74 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$127,199.60 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$101,177.20 |
— |
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines |
— |
$68,846.64–$76,451.37 |
— |
| Repair radius & ulna (25415) |
— |
$100,575.73 |
— |
| Repair recurrent femoral hernia; incarcerated or strangulated Facility (49557) |
— |
$117,242.18 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$104,569.21 |
— |
Repair Rotator Cuff Chronic (23412)
range across 3 matching MRF lines |
— |
$56,280.96–$90,817.56 |
— |
| Repair webbed toe(s) (28345) |
— |
$164,679.98 |
— |
| Repair, initial inguinal hernia, full term infant younger than age 6 months, or preterm infant older than 50 weeks… (49496) |
— |
$104,569.21 |
— |
| Repair, initial inguinal hernia, preterm infant (younger than 37 weeks gestation at birth), performed from birth up to… (49491) |
— |
$104,569.21 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$23,605.27 |
— |
| Replace G-J Tube Perc (49452) |
— |
$84,093.57 |
— |
| Replace g/c tube perc (49450) |
— |
$70,205.58 |
— |
| Reposition L Ventric Lead (33226) |
— |
$12,912.03 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$10,581.29 |
— |
| Rerepair ing hernia reduce (49520) |
— |
$42,115.87 |
— |
| Resect back tum < 5 cm (21935) |
— |
$154,924.98 |
— |
| Resect enlarged toe (28341) |
— |
$141,968.30 |
— |
| Resect forarm/wrist tum 3cm> (25078) |
— |
$113,989.33 |
— |
| Resect hip/pelv tum 5 cm/> (27059) |
— |
$191,399 |
— |
| Resect hip/pelv tum < 5 cm (27049) |
— |
$191,399 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$109,850.47 |
— |
| Resection of elbow joint (arthrectomy) Facility (24155) |
— |
$74,769.11 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$137,181.11 |
— |
| Resection, humeral head Facility (23195) |
— |
$129,281.57 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$80,996.27 |
— |
| Resection/transplantation long tendon biceps (23440) |
— |
$373,239.32 |
— |
| Revis reconst shoulder joint (23473) |
— |
$175,390.69 |
— |
| Revis shoulder arthrplsty humeral&glenoid compnt (23474) |
— |
$175,390.69 |
— |
| Revise finger joint each (26140) |
— |
$41,793.92 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$49,429.47 |
— |
| Revise/Repair Finger/Toe Nerve (64702) |
— |
$40,584.04 |
— |
| Revision of big toe (28310) |
— |
$126,799.60 |
— |
| Revision of humerus (24400) |
— |
$199,888.99 |
— |
| Revision of reconstructed breast (19380) |
— |
$70,608.72 |
— |
| Revision of toe (28312) |
— |
$126,799.60 |
— |
| Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) |
— |
$170,389.93 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$162,657.71 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$128,994.02 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$126,059.16 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$66,361.63 |
— |
Rmvl FB Xtrnl Auditory Canal Anes (69205)
range across 2 matching MRF lines |
— |
$25,476.21–$25,556.65 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$32,692.86 |
— |
| Rmvl Synth Rod & Insj Flxr Tdn Grf H/F Ea Rod (26392) |
— |
$133,610.70 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$28,804.77 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$65,562.11 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,605.79 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$101,986.93 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$46,915.33 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$60,066.41 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$59,379.29 |
— |
| Rpr Aa Hernia 1st > 10 Cm Reducible (49595) |
— |
$109,179.26 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$63,464.32 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$66,061.47 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$66,615.47 |
— |
| Rpr ing hern premie blocked (49492) |
— |
$104,569.21 |
— |
| Rpr Ing Hernia Baby, Reduc (49495) |
— |
$104,569.21 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$104,569.21 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$101,177.20 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$105,318.14 |
— |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$141,452.80 |
— |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
— |
$141,452.80 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
— |
$141,452.80 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$75,310.19 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$20,102.28 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$19,186.42 |
— |
Shoulder Arthroscopy/Surgery (29825)
range across 3 matching MRF lines |
— |
$71,343.62–$85,813.10 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$198,101.79 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$198,101.79 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$20,102.28 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$66,615.47 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$66,615.47 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$66,615.47 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$66,615.47 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$37,176.56 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$67,883.53 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$67,883.53 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$62,081.74 |
— |
| Skin Pinch Graft (15050) |
— |
$62,068.06 |
— |
| Skin Tissue Procedure (17999) |
— |
$49,105.07 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$8,160.61 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$9,160.03 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$75,490.66 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$84,509.33 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$67,883.53 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$67,883.53 |
— |
| Sphincterotomy anal division sphincter spx (46080) |
— |
$36,780.73 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$69,550.81 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$62,068.06 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$55,998.38 |
— |
Submucous Rescj Inferior Turbinate Prtl/Compl (30140)
range across 2 matching MRF lines |
— |
$73,285.02–$76,322.78 |
— |
| Surg Implnt Neuroelect,Epidural (63655) |
— |
$200,094.74 |
— |
| Surg Nasopharyngoscopy Dilat Eustachian Tube Uni (69705) |
— |
$50,247.12 |
— |
| Surg tx anal fistula subq (46270) |
— |
$80,546.27 |
— |
| Surgery to stop leg growth (27479) |
— |
$156,084.97 |
— |
| Surgery to stop leg growth (27477) |
— |
$156,084.97 |
— |
| Suture digital nerve hand/foot 1 nerve (64831) |
— |
$53,704.03 |
— |
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines |
— |
$75,090.15–$204,418.74 |
— |
| Synovectomy carpometacarpal joint (26130) |
— |
$147,242.88 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$157,137 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$157,137 |
— |
| Synovectomy, extensor tendon sheath, wrist, single compartment; with resection of distal ulna Facility (25119) |
— |
$373,239.32 |
— |
| Synovectomy, metacarpophalangeal joint including intrinsic release and extensor hood reconstruction, each digit Facility (26135) |
— |
$147,242.88 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$41,810.78 |
— |
| Talectomy (astragalectomy) Facility (28130) |
— |
$90,951.58 |
— |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
— |
$1,465 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$75,492.20 |
— |
| Tendon transfer with graft (26492) |
— |
$133,610.70 |
— |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
— |
$38,117.49 |
— |
Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680)
range across 3 matching MRF lines |
— |
$88,341.88–$119,105.02 |
— |
Tenolysis, extensor tendon, hand or finger, each tendon (26445)
range across 3 matching MRF lines |
— |
$38,847.28–$62,068.06 |
— |
Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295)
range across 3 matching MRF lines |
— |
$47,639.94–$59,008.48 |
— |
| Tenotomy Hip Abd/Ext Open (27006) |
— |
$143,199 |
— |
| Tenotomy, hip flexor(s), open (27005) |
— |
$143,199 |
— |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
— |
$59,656.47 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$112,253.70 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$2,106.56 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$112,253.70 |
— |
Thyroid biopsy (60100)
range across 2 matching MRF lines |
— |
$4,893.53–$5,448.69 |
— |
| Tlh uterus over 250 g (58572) |
— |
$154,335.06 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$52,160.85 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$42,453.72 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$46,658.31 |
— |
| Tooth extraction (41899) |
— |
$39,777.82 |
— |
| Total Knee Arthroplasty (27447) |
— |
$100,340.81 |
— |
| Transmetacarpal amputation; Facility (25927) |
— |
$83,499.99 |
— |
| Transmetacarpal amputation; re-amputation Facility (25931) |
— |
$83,499.99 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$113,816.48 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$67,162.23 |
— |
| Treat ankle fracture (28445) |
— |
$49,564.27 |
— |
| Treat Big Toe Fracture (28505) |
— |
$55,056.19 |
— |
Treat ectopic pregnancy (59151)
range across 3 matching MRF lines |
— |
$78,829.88–$94,149.19 |
— |
| Treat Elbow Fracture (24635) |
— |
$100,575.73 |
— |
| Treat elbow fracture (24587) |
— |
$100,575.73 |
— |
| Treat Finger Fracture Each (26727) |
— |
$43,735.91 |
— |
| Treat fracture radius/ulna (25575) |
— |
$60,886.47 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$70,856.68 |
— |
| Treat Humerus Fracture (24505) |
— |
$28,901 |
— |
| Treat Kneecap Fracture (27524) |
— |
$73,534.34 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$93,120.68 |
— |
| Treat lower leg dislocation (27832) |
— |
$102,647.67 |
— |
| Treat Thumb Fracture (26645) |
— |
$93,120.68 |
— |
| Treat/graft heel fracture (28420) |
— |
$121,265.04 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$139,014.84 |
— |
| Treatment of tibia fracture (27756) |
— |
$170,165.30 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$16,300.60 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$14,855.86 |
— |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
— |
$48,284.66 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$44,334.18 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$139,014.84 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$42,655.21 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$35,925.82 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$33,602.66 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$33,951.98 |
— |
| Tympanoplasty with mastoidectomy (including canalplasty, middle ear surgery, tympanic membrane repair); with intact or… (69643) |
— |
$107,570.96 |
— |
| Tympanoplasty without mastoidectomy (including canalplasty, atticotomy and/or middle ear surgery), initial or revision;… (69632) |
— |
$107,570.96 |
— |
Tympanostomy general anesthesia (69436)
range across 3 matching MRF lines |
— |
$28,759.41–$30,227.72 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$124,649.96 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$26,407.40 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$73,639.11 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$82,093.67 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$108,500.42 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$90,847.84 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$129,735.28 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$183,172.05 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$58,187.23 |
— |
| Unlisted procedure anus (46999) |
— |
$52,256.44 |
— |
Unlisted procedure arthroscopy (29999)
range across 2 matching MRF lines |
— |
$48,083.71–$49,512.36 |
— |
| Unlisted Procedure Biliary Tract (47999) |
— |
$199,651.54 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$129,598.12 |
— |
| Unlisted Procedure External Ear (69399) |
— |
$107,570.96 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$55,796.52 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$29,499.66 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$129,281.57 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$189,906.51 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$219,859.39 |
— |
| Unlisted procedure liver (47399) |
— |
$26,407.40 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$37,460.92 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$134,785.95 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$163,883.85 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$85,898.52 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$84,509.33 |
— |
| Unlisted procedure stomach (43999) |
— |
$73,931.57 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$160,281.31 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$244,451.35 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$273,477.12 |
— |
| Unlisted procedure, orbit (67599) |
— |
$48,638.78 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$138,496.17 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$61,647.99 |
— |
| Upgrade of pacemaker system (33214) |
— |
$132,317.80 |
— |
| Vag hyst incl t/o complex (58291) |
— |
$90,718.28 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$26,407.40 |
— |
| Vaginal delivery only (59409) |
— |
$26,427.10 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$76,259.03 |
— |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
— |
$101,810.28 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$2,839.83 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$2,459.14 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$2,090.79 |
— |
| Vulvectomy simple partial (56620) |
— |
$61,932.74 |
— |
| Vulvectomy simple; complete (56625) |
— |
$59,699.37 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$62,074.90 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$52,948.26 |
— |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
— |
$112,253.70 |
— |