| Ablate inf turbinate submuc (30802) |
— |
$7,647.98 |
— |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
— |
$3,261.93 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$4,203.44 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$5,735.36 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$4,203.44 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$16,288.88 |
— |
| Apheresis Platelets (36513) |
— |
$5,684.99 |
— |
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 6 matching MRF lines |
— |
$383.84–$671.18 |
— |
Application Finger Splint Dynamic (29131)
range across 6 matching MRF lines |
— |
$156.54–$274.93 |
— |
Application finger splint static (29130)
range across 7 matching MRF lines |
— |
$191.27–$375.98 |
— |
Application long arm splint shoulder hand (29105)
range across 6 matching MRF lines |
— |
$383.84–$814.84 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$332.96 |
— |
Application Short Arm Splint Dynamic (29126)
range across 6 matching MRF lines |
— |
$290.73–$650.67 |
— |
Application short arm splint forearm-hand static (29125)
range across 6 matching MRF lines |
— |
$394.90–$476.10 |
— |
Apply Multlay Comprs Lwr Leg (29581)
range across 7 matching MRF lines |
— |
$55.28–$671.18 |
— |
Arterial puncture (36600)
range across 2 matching MRF lines |
— |
$176.33–$468 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$1,017.70 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
— |
$1,908.84–$1,985.19 |
— |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
— |
$37,300.66 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$588.01 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$4,284.25 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$4,284.25 |
— |
Bladder instillation anticarcinogenic agent (51720)
range across 2 matching MRF lines |
— |
$577.52–$891.20 |
— |
| Bladder Irrigation (51700) |
— |
$919.45 |
— |
Bladder Scan (51798)
range across 3 matching MRF lines |
— |
$427.52–$427.91 |
— |
Blood Transfusion Service (36430)
range across 8 matching MRF lines |
— |
$1,351.21–$2,356.08 |
— |
| Bone Marrow Biopsy (38221) |
— |
$198.52 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$5,341.94 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,542.76 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$2,907.68 |
— |
| Chemical Cautery Tissue (17250) |
— |
$98.96 |
— |
| Chest tube placement (32551) |
— |
$1,623.12 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$3,062.66 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$5,178.16 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$5,395.26 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$10,473.08 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$3,020.76 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,521.21 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines |
— |
$997.80–$1,496.71 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 4 matching MRF lines |
— |
$3,008.41–$7,906.34 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$423.81 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$46.54 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$609.50 |
— |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
— |
$148.46–$450.49 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$609.50 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$434.88 |
— |
| Debride nail 1-5 (11720) |
— |
$42.80 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$651.20 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
— |
$172.80–$1,456.47 |
— |
| Declot vascular device (36593) |
— |
$941.14 |
— |
Delivery of placenta (59414)
range across 2 matching MRF lines |
— |
$3,579.07–$8,562.88 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$6,482.85 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$310.63 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$585.90 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$372.48 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$308 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$148.88 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$2,499.22 |
— |
| Egd place gastrostomy tube (43246) |
— |
$4,438.28 |
— |
| Endoscopic plantar fasciotomy (29893) |
— |
$7,362.58 |
— |
Epidural Blood Patch (62273)
range across 3 matching MRF lines |
— |
$303.16–$2,465.46 |
— |
| Episiotomy or vaginal repair (59300) |
— |
$5,871.28 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$234.93 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$2,523.85 |
— |
| External cephalic version (59412) |
— |
$3,721.70 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$707.49 |
— |
| Fetal non-stress test (59025) |
— |
$778.52 |
— |
| Fluid Pressure Muscle (20950) |
— |
$2,354.54 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$855.40 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$617.40 |
— |
I&d abscess simple (10060)
range across 2 matching MRF lines |
— |
$268.48–$3,185.35 |
— |
| I&d perianal abscess superficial (46050) |
— |
$2,328.40 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$3,898.84 |
— |
| Incise finger tendon sheath (26055) |
— |
$3,830.85 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$499.36 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$1,284.92 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$283.61 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$159.26 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$589.79 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$1,741.96 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$988.70 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$172.72 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$327.43 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$119.29 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$533.09 |
— |
| Insert cath pleura w/o image (32556) |
— |
$6,151.68 |
— |
Insert cervical dilator (59200)
range across 2 matching MRF lines |
— |
$674.33–$1,345.27 |
— |
Insert non-tunnel cv cath (36556)
range across 3 matching MRF lines |
— |
$232.95–$5,561.67 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$363.12 |
— |
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines |
— |
$80.32–$471.81 |
— |
| Insert tun ip cath perc (49418) |
— |
$9,209.02 |
— |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
— |
$901.78–$10,833.11 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$309.25 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$216.55 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$1,029.15 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$910.10 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$685.08 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$4,979.45 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$216.31 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$8,933.32 |
— |
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines |
— |
$299.68–$614.38 |
— |
| Lip Surgery Procedure (40799) |
— |
$550.79 |
— |
| Manipulation Elbow Under Anesthesia (24300) |
— |
$3,620.12 |
— |
| Manipulation knee joint under general anesthesia (27570) |
— |
$3,620.12 |
— |
| Manipulation, finger joint, under anesthesia, each joint (26340) |
— |
$3,620.12 |
— |
| Myelography Lumbar Injection (62305) |
— |
$5,882.45 |
— |
| Myelography Lumbar Injection (62304) |
— |
$3,947.21 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$3,947.21 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$4,144.58 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$1,022.95 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$45 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$56.24 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$12,432.54 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$246.15 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$2,499.22 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$2,256.71 |
— |
| Occipital Nerve Block (64405) |
— |
$1,058.42 |
— |
| Occlusion flp tube dev vag/suprapubic appr (58615) |
— |
$8,628.81 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$16,288.88 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$16,288.88 |
— |
| Part remv talus or calcaneus (28120) |
— |
$3,085.24 |
— |
| Peritoneal Lavage (49084) |
— |
$3,018.31 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$2,224.39 |
— |
| Perq device breast 1st imag (19281) |
— |
$2,354.54 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$3,873.69 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$3,858.15 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$6,666.65 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$6,666.65 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$16,288.88 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$130.97 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
— |
$235.04–$777.06 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
— |
$244.80–$376.07 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$94.80 |
— |
| Removal of nail bed (11750) |
— |
$533.68 |
— |
| Removal of sesamoid bone (28315) |
— |
$51,871.81 |
— |
| Remove Intrauterine Device (58301) |
— |
$177.40 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$59,870.83 |
— |
| Repair Hand Joint (26540) |
— |
$5,735.58 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$8,276.87 |
— |
| Replace g/c tube perc (49450) |
— |
$3,008.06 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$9,893.86 |
— |
| Revise external ear (69300) |
— |
$10,671.93 |
— |
| Revision of penis (54300) |
— |
$3,898.17 |
— |
| Rhinp Prim Lat&Alar Crtlgs&/Elvtn Nasal Ti (30400) |
— |
$13,223.74 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$3,868.42 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$2,384.14 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$1,681.68 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$5,381.26 |
— |
Shave skin lesion 0.5 cm/< (11300)
range across 2 matching MRF lines |
— |
$81.73–$949.80 |
— |
| Shoulder arthroscopy (29820) |
— |
$8,304 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$118.70 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$682.52 |
— |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004)
range across 2 matching MRF lines |
— |
$203.11–$698.66 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$277.84 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$240.40 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$511.37 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$580.37 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$11,848.19 |
— |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
— |
$128.95–$1,079 |
— |
Strapping ankle (29540)
range across 6 matching MRF lines |
— |
$383.84–$671.18 |
— |
Strapping Hip (29520)
range across 6 matching MRF lines |
— |
$243.34–$426.48 |
— |
Strapping knee (29530)
range across 6 matching MRF lines |
— |
$255.99–$451.73 |
— |
Strapping toes (29550)
range across 6 matching MRF lines |
— |
$243.34–$426.48 |
— |
Strapping Unna Boot (29580)
range across 6 matching MRF lines |
— |
$383.84–$671.18 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$104.36 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$13,316.32 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$2,821.16 |
— |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
— |
$16,056.78 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$5,684.99 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$5,684.99 |
— |
| Therapeutic plasma exchange (36514) |
— |
$5,684.99 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$1,176.39 |
— |
Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070)
range across 2 matching MRF lines |
— |
$768.83–$1,232.21 |
— |
| Trim skin lesion (11055) |
— |
$44.88 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$63.60 |
— |
| Trim skin lesions over 4 (11057) |
— |
$83.36 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$22 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$486.66 |
— |
Unlisted Procedure Casting/Strapping (29799)
range across 2 matching MRF lines |
— |
$513.90–$558.95 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$538.23 |
— |
| Unlisted procedure neck or thorax (21899) |
— |
$788.89 |
— |
| Unlisted procedure nervous system (64999) |
— |
$976.06 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$3,054.34 |
— |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
— |
$3,210.64 |
— |