Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines |
— |
$1,652.78–$5,884.85 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,652.78 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$10,006.56 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$3,498.52 |
— |
| Amniocentesis therapeutic (59001) |
— |
$363 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$5,784.56 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$8,836.10 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$5,936.96 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$777.67 |
— |
| Anoscopy diagnostic (46600) |
— |
$1,268.06 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$1,620.96 |
— |
| Application cast elbow finger short arm (29075) |
— |
$648.42 |
— |
| Application finger splint static (29130) |
— |
$345.42 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$345.42 |
— |
| Application Long Leg Splint (29505) |
— |
$345.42 |
— |
| Application of long leg cast (29345) |
— |
$550 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$569.50 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$575 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$345.42 |
— |
| Application short leg splint calf foot (29515) |
— |
$345.42 |
— |
| Apply long arm cast (29065) |
— |
$648.42 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$523 |
— |
| Apply Short Leg Cast (29405) |
— |
$492.76 |
— |
Arterial puncture (36600)
range across 2 matching MRF lines |
— |
$72–$230.32 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$916 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606)
range across 2 matching MRF lines |
— |
$1,297.04–$1,694.12 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
— |
$1,308–$1,400.08 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines |
— |
$1,150–$1,643.07 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$533.66 |
— |
Aspirate pleura w/ imaging (32555)
range across 6 matching MRF lines |
— |
$1,580–$3,313 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,860 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$351.70 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$5,130 |
— |
| Aspiration Bladder Needle (51100) |
— |
$701.24 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$366.80 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$4,010.08 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$3,309.40 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$2,873.98 |
— |
Biopsy bone trocar/needle deep (20225)
range across 2 matching MRF lines |
— |
$2,237–$4,526.98 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$2,873.98 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,873.98 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$2,873.98 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$1,683.85 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$1,892.73 |
— |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
— |
$1,881.14 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$1,400.41 |
— |
| Bladder Irrigation (51700) |
— |
$543.54 |
— |
Bladder Scan (51798)
range across 3 matching MRF lines |
— |
$113.70–$408.93 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$551.50 |
— |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
— |
$810.74–$1,053 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,488.75 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$2,873.98 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$2,145 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$6,108 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$5,965 |
— |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
— |
$6,625 |
— |
Brnchsc Removal Bronchial Valve Initial (31648)
range across 2 matching MRF lines |
— |
$3,714–$9,361 |
— |
| Bronchial Valve Init Insert (31647) |
— |
$23,725 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$2,145 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$2,619 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$2,145 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$2,464 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$3,303.44 |
— |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
— |
$2,873.98–$4,621.24 |
— |
| Canthotomy Separate Procedure (67715) |
— |
$506 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$213.61 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$11,619.27 |
— |
Change Cystostomy Tube Complicated (51710)
range across 2 matching MRF lines |
— |
$4,367.44–$4,585.88 |
— |
Change Cystostomy Tube Simple (51705)
range across 3 matching MRF lines |
— |
$477–$4,028.39 |
— |
| Change of Windpipe Airway (31502) |
— |
$258.06 |
— |
| Change ureter stent percut (50382) |
— |
$6,565.13 |
— |
| Chemical Cautery Tissue (17250) |
— |
$583.28 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$1,201 |
— |
| Chest tube placement (32551) |
— |
$2,872.32 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$5,847.92 |
— |
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490)
range across 2 matching MRF lines |
— |
$3,650–$6,575 |
— |
| Chorionic Villus Sampling (59015) |
— |
$851.48 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$1,600 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$2,880 |
— |
| Clear outer ear canal (69200) |
— |
$362.09 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$1,440.60 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$2,500 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$1,213.52 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$2,845.02 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$1,892 |
— |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
— |
$3,261.77 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$1,602 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$2,845.02 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$3,816.70 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$1,641 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$3,789.02 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$1,213.52 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$744.09 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$2,845.02 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$1,602 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$2,845.02 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$2,845.02 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$509.18 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$2,037.38 |
— |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
— |
$517.53 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$543 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$3,188 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$460.11 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$1,526.68 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$1,213.52 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$2,845.02 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$1,213.52 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$2,845.02 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$1,346.84 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$2,845.02 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$3,773.87 |
— |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
— |
$1,842 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$1,213.52 |
— |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
— |
$1,188.67 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$2,880 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$812.04 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$2,181.60 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$2,845.02 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$3,013.25 |
— |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
— |
$3,426 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$3,202 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$2,880 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$648.42 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$3,046 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$1,580.45 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$2,889.65 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$3,121.40 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$1,072 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$3,265.66 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$1,213.52 |
— |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
— |
$11,512.06 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$1,213.52 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$1,213.52 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$2,880 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$1,213.52 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$1,705.89 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$1,213.52 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$4,402.38 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$1,213.52 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$3,503.50 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$4,172.31 |
— |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
— |
$2,709.33 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$1,213.52 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$2,650.19 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$1,121.58 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$2,845.02 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$2,500 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$823.20 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$2,873.96 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$230.32 |
— |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
— |
$25–$30 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$2,103.62 |
— |
Complex drainage wound (10180)
range across 2 matching MRF lines |
— |
$4,981.15–$6,175.18 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$1,176 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$733.26 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$3,648.46 |
— |
| Conversion ext bil drg cath (47535) |
— |
$5,028.04 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$6,375.03 |
— |
| Convert Nephrostomy Catheter (50434) |
— |
$9,561.02 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines |
— |
$4,111.42–$5,952 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$531.77 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$489 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$5,834.43 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$2,454.56 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$5,783.03 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$2,083.73 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$1,069.78 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$4,843.10 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,069.78 |
— |
| Debride nail 1-5 (11720) |
— |
$148 |
— |
| Debride nail 6 or more (11721) |
— |
$465.11 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$2,873.98 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 3 matching MRF lines |
— |
$706–$4,363.59 |
— |
Declot vascular device (36593)
range across 5 matching MRF lines |
— |
$345.94–$860 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$1,489.25 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$5,871 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$4,273 |
— |
Drain Cerebro Spinal Fluid (62272)
range across 2 matching MRF lines |
— |
$1,565.05–$1,668.08 |
— |
| Drain Spinal Cord Cyst (62268) |
— |
$1,683.85 |
— |
Drain/inj small joint/bursa w/us (20604)
range across 2 matching MRF lines |
— |
$693.87–$1,694.12 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$941.91 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$612.83 |
— |
| Drainage external ear abscess/hematoma cmplx (69005) |
— |
$4,008 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$1,271.08 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$6,372.63 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$599.50 |
— |
| Drainage of finger abscess simple (26010) |
— |
$480.26 |
— |
| Drainage of gum lesion (41800) |
— |
$472 |
— |
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines |
— |
$987.74–$7,363.59 |
— |
| Drainage of nose lesion (30000) |
— |
$2,121.97 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$2,873.98 |
— |
| Drainage of scrotum (54700) |
— |
$3,657.30 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$230.32 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
— |
$1,075.65 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$1,271.08 |
— |
| Drg Absc Submaxillary/Sublingual Intraoral (42310) |
— |
$860.14 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$706 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$635 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$557.52 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$4,983.57 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$2,145 |
— |
Dx Bronchoscope/Wash (31622)
range across 2 matching MRF lines |
— |
$2,145–$5,249 |
— |
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines |
— |
$2,482–$3,752 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$2,972.62 |
— |
| Egd lesion ablation (43270) |
— |
$4,653 |
— |
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368)
range across 2 matching MRF lines |
— |
$272–$868 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$468.60 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$1,954.68 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$2,853.22 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$15,109 |
— |
| Endoven ther chem adhes 1st (36482) |
— |
$12,176 |
— |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
— |
$2,853.22 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$2,853.22 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$2,853.22 |
— |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
— |
$2,853.22 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$2,853.22 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
— |
$2,853.22 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
— |
$2,853.22 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$3,894.70 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$3,894.70 |
— |
| Epidural Blood Patch (62273) |
— |
$2,041.50 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$230.32 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,271.08 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$2,873.98 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$3,188.83 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,255.94 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$2,873.98 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$7,449.45 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$6,582 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$3,156 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$1,701.39 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$1,411.12 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$3,390 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$4,246.76 |
— |
Extensive Retinopathy 1/> Sess Preterm Infant (67229)
range across 2 matching MRF lines |
— |
$2,903.54–$4,884.08 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$539.65 |
— |
| Fetal Scalp Blood Sampling (59030) |
— |
$6,219.10 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$1,271.08 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$632 |
— |
| Fluid Pressure Muscle (20950) |
— |
$3,050 |
— |
Fluoro exam of g/colon tube (49465)
range across 2 matching MRF lines |
— |
$1,517–$2,496.60 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$755.16 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$1,271.08 |
— |
| Foreskin manipulation (54450) |
— |
$1,003.66 |
— |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
— |
$1,225 |
— |
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines |
— |
$1,221.39–$2,038.38 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$1,169.22 |
— |
| I&d abscess peritonsillar (42700) |
— |
$921.92 |
— |
I&d abscess simple (10060)
range across 2 matching MRF lines |
— |
$612.83–$1,189.28 |
— |
| I&D Mouth/Tong Intra,Masticator (41009) |
— |
$3,927.75 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,620.96 |
— |
I&d pilonidal cyst complicated (10081)
range across 2 matching MRF lines |
— |
$1,128.92–$2,952.74 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$1,474.10 |
— |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
— |
$1,805.01 |
— |
| Icd Pocket Revision (33223) |
— |
$6,189.87 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$4,221 |
— |
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines |
— |
$4,019–$6,863 |
— |
| Incise external hemorrhoid (46083) |
— |
$739 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$2,227.05 |
— |
Incision & removal foreign body subq tiss compl (10121)
range across 2 matching MRF lines |
— |
$2,873.98–$3,004 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,613.48 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$347.98 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$695.50 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$3,268.58 |
— |
| Incision of rectal abscess (46040) |
— |
$4,560 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$4,068.50 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$2,084.68 |
— |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines |
— |
$323.97–$839 |
— |
Inj W/Fluor Eval Cv Device (36598)
range across 2 matching MRF lines |
— |
$733–$918 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$386.67 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$1,062.90 |
— |
| Injection for identification of sentinel node (38792) |
— |
$7,126.56 |
— |
| Injection Into Brain Canal (61055) |
— |
$1,824.57 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$1,057.50 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$533.66 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$628 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$1,297.04 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$13,877 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$10,672.27 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$21,326.24 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$14,961.85 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$15,984.05 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$48,631.75 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$12,390 |
— |
| Insert and remove bone pin (20650) |
— |
$5,511.22 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$306.95 |
— |
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines |
— |
$3,262–$4,210 |
— |
| Insert cath pleura w/o image (32556) |
— |
$2,155.65 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$5,600.32 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$39,781.76 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$39,781.76 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$35,131 |
— |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
— |
$5,254–$5,847.26 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$24,320.65 |
— |
Insert Picc W/O Sub-Q Port <5 Y/O (36568)
range across 3 matching MRF lines |
— |
$1,900.55–$7,150.67 |
— |
| Insert pulse gen dual leads (33213) |
— |
$17,546.50 |
— |
| Insert pulse gen mult leads (33221) |
— |
$21,190 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$230.32 |
— |
| Insert tun ip cath perc (49418) |
— |
$9,847 |
— |
| Insert tunneled cv cath (36561) |
— |
$9,307.92 |
— |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557)
range across 3 matching MRF lines |
— |
$3,027.09–$9,614.23 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$230.32 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$7,045 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,181 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$14,284.59 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$15,174.33 |
— |
Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555)
range across 2 matching MRF lines |
— |
$1,446.30–$5,847.26 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$3,738 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$2,233 |
— |
| Insj Subq Impltbl Dfb Elctrd (33271) |
— |
$20,159.86 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$9,307.92 |
— |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558)
range across 3 matching MRF lines |
— |
$3,480.23–$9,614.23 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$75,528.53 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$10,365.58 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$40,076.43 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$2,402 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$2,045.25 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$2,408.85 |
— |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
— |
$838.59 |
— |
| Intro cath dialysis circuit (36901) |
— |
$6,311.20 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$54,341.52 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$37,287.84 |
— |
Intro Gastrointestinal Tube (44500)
range across 3 matching MRF lines |
— |
$757–$3,331 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$645.50 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$452.52 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$517.85 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$545.61 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$1,104.73 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$873.54 |
— |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
— |
$3,586.30 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$5,884.94 |
— |
| Myelography Lumbar Injection (62305) |
— |
$5,875.80 |
— |
| Myelography Lumbar Injection (62304) |
— |
$4,646.51 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$5,301 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$4,646.51 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$2,103 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$2,138.77 |
— |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
— |
$2,873.98–$4,751.37 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$1,683.85 |
— |
| Neu prksn msfl a-syncln prtn (0393U) |
— |
$3,000 |
— |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) |
— |
$1,800 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$1,468.79 |
— |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
— |
$2,756.25 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$857 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$6,498.70 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$6,902 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$1,199.87 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$4,615.65 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$1,000 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$1,489 |
— |
| Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) |
— |
$900 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,702.56 |
— |
| Occipital Nerve Block (64405) |
— |
$1,150.65 |
— |
| Onc nonsm cll lng ca 37 gen (0388U) |
— |
$5,250 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$2,704.31 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$3,720 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$44,946.80 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$41,719.09 |
— |
| Osteotomy Phalanx Finger Each (26567) |
— |
$8,295.83 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$4,272.35 |
— |
| Penile Injection (54235) |
— |
$751.80 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$28,044 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$7,276.08 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$6,735 |
— |
| Peritoneal Lavage (49084) |
— |
$2,067.40 |
— |
| Perq av fistula creation uxtr single access (36836) |
— |
$24,810 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$12,106 |
— |
| Perq dev breast 1st mr guide (19287) |
— |
$3,003.35 |
— |
Perq dev breast 1st us imag (19285)
range across 2 matching MRF lines |
— |
$714.47–$1,271.08 |
— |
| Perq device breast 1st imag (19281) |
— |
$2,559.85 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$2,540 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$10,808.91 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$30,196 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$1,428.96 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$49,717.54 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$25,052.13 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$17,050 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$17,050 |
— |
| Phleb Veins - Extrem 20+ (37766) |
— |
$7,388 |
— |
| Place Cath Subclavian Art (36225) |
— |
$10,179.62 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$10,394.34 |
— |
| Place Cath Vertebral Art (36226) |
— |
$14,004.64 |
— |
| Place Rt Device/Marker Pros (55876) |
— |
$1,523 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$727 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$6,162.32 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$11,857 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$12,364.99 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$16,075.45 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$8,567.43 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$14,506.40 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$20,728.10 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$8,779 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$13,316.30 |
— |
| Prim art mech thrombectomy (37184) |
— |
$8,231 |
— |
Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267)
range across 2 matching MRF lines |
— |
$2,237–$4,525.70 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$8,738.50 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$4,689.20 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$959 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines |
— |
$1,421.07–$3,595.28 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines |
— |
$517.85–$1,830 |
— |
| Reconstruction Tongue Fold (41520) |
— |
$189.71 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$20,589.27 |
— |
| Reduction of rectal prolapse (45900) |
— |
$1,856 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$6,189.87 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$19,608.79 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$4,383.52 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$601.70 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$3,046 |
— |
| Removal foreign body foot deep (28192) |
— |
$2,873.98 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$2,987.58 |
— |
| Removal Foreign Body Scrotum (55120) |
— |
$2,499.70 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$978 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$686.30 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$771.50 |
— |
| Removal of nail bed (11750) |
— |
$774.17 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$4,490 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$492.76 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$8,619.50 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$4,195.03 |
— |
| Removal ppm generator only (33233) |
— |
$8,689.38 |
— |
| Removal shoulder foreign body deep subfascial/im (23333) |
— |
$4,843.10 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$1,863 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$2,346 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$460.34 |
— |
| Remove brain canal fluid (61050) |
— |
$1,434.30 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$7,988 |
— |
| Remove foreign body from eye (65205) |
— |
$465.11 |
— |
| Remove Intrauterine Device (58301) |
— |
$576.08 |
— |
| Remove intrvas foreign body (37197) |
— |
$7,862.50 |
— |
| Remove lung catheter (32552) |
— |
$2,835.90 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$1,407.44 |
— |
| Remove Pulse Generator (33241) |
— |
$7,955 |
— |
Remove renal tube w/fluoro (50389)
range across 3 matching MRF lines |
— |
$2,746.98–$3,239.21 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$1,271.08 |
— |
| Remove ureter stent percut (50384) |
— |
$4,028.39 |
— |
| Remove&replace pm gen singl (33227) |
— |
$39,781.76 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$53,729.15 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$75,828.53 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$53,729.15 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$39,781.76 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$43,966.05 |
— |
| Renal Biopsy Perq (50200) |
— |
$5,322 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$2,100 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$2,427.03 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,181.70 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,988 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,069.78 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$2,843 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$3,248.25 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,786.68 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$4,526.82 |
— |
| Repair Hand Joint (26540) |
— |
$3,225.02 |
— |
| Repair Hand Tendon (26410) |
— |
$8,421.34 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$2,370.75 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,322.60 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,460.46 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$2,965 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$2,727 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$1,630.14 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$798.41 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$1,060.50 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$1,213.52 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$3,498.52 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$5,618 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$1,624 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$2,074 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$4,590 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$2,523 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$5,488 |
— |
| Repair intrinsic muscles hand each muscle (26591) |
— |
$8,354.98 |
— |
| Repair Laceration Palate </2 Cm (42180) |
— |
$923.80 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$9,128 |
— |
| Repair of nail bed (11760) |
— |
$1,126.03 |
— |
| Repair tongue laceration (41252) |
— |
$1,980 |
— |
| Repair tongue laceration (41250) |
— |
$554.36 |
— |
Replace duodenostomy/jejunostomy tube perq (49451)
range across 3 matching MRF lines |
— |
$2,258–$6,230.82 |
— |
| Replace G-J Tube Perc (49452) |
— |
$2,017 |
— |
| Replace g/c tube perc (49450) |
— |
$1,654 |
— |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
— |
$11,329 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$964.87 |
— |
| Reposition L Ventric Lead (33226) |
— |
$663 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$4,488 |
— |
| Reposition Venous Catheter (36597) |
— |
$1,766 |
— |
| Respir iadna 18 viral&2 bact (0115U) |
— |
$1,251 |
— |
| Revise Abdomen-Venous Shunt (49426) |
— |
$4,909.86 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$28,099.28 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$4,028.39 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$2,555.01 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$1,652.78 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$812.04 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$870 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$642 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$2,875.50 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$2,274 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$8,750 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$7,177.11 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,205 |
— |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589)
range across 4 matching MRF lines |
— |
$1,049–$2,098 |
— |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
— |
$599.38 |
— |
Rplc Gtube No Revj Trc (43762)
range across 2 matching MRF lines |
— |
$693.87–$1,100 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$6,013.35 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$6,886.70 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$4,387.95 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$7,458.59 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$6,558.81 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$3,605 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$3,619.79 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$1,213.52 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$2,791 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$432.14 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$2,432.49 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$2,105 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$2,450.22 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$871.45 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$3,369 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$2,058.32 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$366.80 |
— |
| Sigmoidoscopy W/Resection (45349) |
— |
$11,258.63 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$1,213.52 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$713.57 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$713.57 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$2,307.35 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$858 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$2,307.35 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001)
range across 3 matching MRF lines |
— |
$574.19–$792 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$2,307.35 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$866.58 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$2,637.09 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$6,725.09 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$4,522.28 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$7,192.44 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$3,498.52 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$17,035.81 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$13,771.09 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$17,231.07 |
— |
| Small bowel endoscopy (44366) |
— |
$2,853.22 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$2,853.22 |
— |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
— |
$9,476.39 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$686.30 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$1,213.52 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$2,307.35 |
— |
Spinal puncture lumbar diagnostic (62270)
range across 3 matching MRF lines |
— |
$1,297.04–$2,048.74 |
— |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
— |
$6,467 |
— |
| Strapping ankle (29540) |
— |
$416.63 |
— |
| Strapping elbow or wrist (29260) |
— |
$416.63 |
— |
| Strapping hand/finger (29280) |
— |
$416.63 |
— |
| Strapping Hip (29520) |
— |
$263.63 |
— |
| Strapping knee (29530) |
— |
$723 |
— |
| Strapping shoulder (29240) |
— |
$416.63 |
— |
| Strapping thorax (29200) |
— |
$288.58 |
— |
| Strapping Unna Boot (29580) |
— |
$608.12 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$959 |
— |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
— |
$39,923 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$36,955 |
— |
| Tcat Rmvl Perm Ldls Pm (33275) |
— |
$7,720.50 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$2,040 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$2,374 |
— |
| Therapeutic plasma exchange (36514) |
— |
$4,669.92 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$66,771.21 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$11,619.27 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$7,759.79 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$947.05 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$7,759.79 |
— |
| Thyroid biopsy (60100) |
— |
$987.74 |
— |
| Tooth extraction (41899) |
— |
$843.51 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$1,142 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$4,520.88 |
— |
| Transcatheter biopsy (37200) |
— |
$5,139.59 |
— |
| Treat Hip Socket Fracture (27222) |
— |
$1,576.25 |
— |
| Treat Humerus Fracture (24505) |
— |
$19,949.50 |
— |
| Treat humerus fracture (23600) |
— |
$2,181.60 |
— |
| Treat knee fracture (27532) |
— |
$5,784.56 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$1,213.52 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$2,425.52 |
— |
| Treat Thumb Dislocation (26641) |
— |
$1,213.52 |
— |
| Treat toe dislocation (28630) |
— |
$782.15 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$2,845.02 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$1,213.52 |
— |
Trim skin lesion (11055)
range across 2 matching MRF lines |
— |
$366.80–$468 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$465.11 |
— |
| Trim skin lesions over 4 (11057) |
— |
$465.11 |
— |
Trimming Nondystrophic Nails Any Number (11719)
range across 2 matching MRF lines |
— |
$69.90–$113.70 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$25,964.67 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$24,665.42 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$646 |
— |
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines |
— |
$1,069.78–$4,595.97 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$1,192 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
— |
$4,523.56 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$7,056.01 |
— |
| Unlisted Procedure Endocrine System (60699) |
— |
$10,217.97 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$3,385.99 |
— |
| Unlisted procedure lungs and pleura (32999) |
— |
$1,199.71 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$3,850.76 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$3,827 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$1,903.25 |
— |
| Upgrade of pacemaker system (33214) |
— |
$24,320.65 |
— |
| Vaginal delivery only (59409) |
— |
$5,359.12 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$29,838.42 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$28,417.68 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$28,417.68 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$28,417.68 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$8,231 |
— |
| Wedge excision skin nail fold (11765) |
— |
$1,039.29 |
— |
| Wedging of cast (29740) |
— |
$481.13 |
— |