| Anoscopy; with biopsy, single or multiple (46606) |
$702.60 |
$1,171 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$926.10 |
$1,543.50 |
3.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines |
$416.40–$441.30 |
$694–$735.50 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$441.30 |
$735.50 |
1.4× |
| Aspirate pleura w/ imaging (32555) |
$938.70 |
$1,564.50 |
1.5× |
| Aspirate Pleura W/O Imaging (32554) |
$1,049.55 |
$1,749.25 |
1.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$441.30 |
$735.50 |
1.4× |
| Biopsy bone trocar/needle deep (20225) |
$1,935.75 |
$3,226.25 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,935.75 |
$3,226.25 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,459.95 |
$2,433.25 |
0.9× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,265.25 |
$2,108.75 |
0.8× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,112.10 |
$1,853.50 |
0.7× |
Blood Transfusion Service (36430)
range across 4 matching MRF lines |
$761.40–$2,352.15 |
$1,269–$3,920.25 |
varies |
| Bone Marrow Biopsy (38221) |
$2,661.60 |
$4,436 |
1.6× |
| Bone Marrow; Aspiration Only (38220) |
$1,800 |
$3,000 |
1.1× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy Clear Airways (31645) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,034.70 |
$1,724.50 |
0.6× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,229 |
$3,715 |
0.6× |
| Bronchoscopy/Needle Bx Each (31629) |
$2,229 |
$3,715 |
0.6× |
| Bx breast 1st lesion mr imag (19085) |
$3,497.40 |
$5,829 |
2.1× |
| Bx breast 1st lesion strtctc (19081) |
$3,497.40 |
$5,829 |
2.1× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,069.20 |
$1,782 |
0.6× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$7,193.70 |
$11,989.50 |
2.0× |
| Change of Windpipe Airway (31502) |
$517.50 |
$862.50 |
2.2× |
| Chemodenerv Musc Migraine (64615) |
$442.20 |
$737 |
1.4× |
| Chemodenerv musc neck dyston (64616) |
$724.95 |
$1,208.25 |
2.4× |
| Chemodenerv trunk musc 1-5 (64646) |
$724.95 |
$1,208.25 |
1.0× |
| Chemodenervation of internal anal sphincter (46505) |
$3,280.20 |
$5,467 |
2.7× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$498.60 |
$831 |
1.6× |
| Collection of venous blood by venipuncture (36415) |
$23.85 |
$39.75 |
2.6× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/ablation (45388) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy W/Band Ligation (45398) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/fb removal (45379) |
$760.95 |
$1,268.25 |
0.6× |
| Colonoscopy w/submucosal inj (45381) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$760.95 |
$1,268.25 |
0.6× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$760.95 |
$1,268.25 |
0.6× |
| Complex drainage wound (10180) |
$3,295.35 |
$5,492.25 |
1.1× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$972.15 |
$1,620.25 |
0.6× |
Cysto w/insert ureteral stent (52332)
range across 2 matching MRF lines |
$5,257.95–$5,355.90 |
$8,763.25–$8,926.50 |
varies |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,952.65 |
$6,587.75 |
1.9× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$18,681.30 |
$31,135.50 |
3.5× |
| Cystourethroscopy (52000) |
$1,594.35 |
$2,657.25 |
2.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,115.25 |
$1,858.75 |
2.7× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,382.70 |
$2,304.50 |
1.6× |
| Destroy cerv/thor facet jnt (64633) |
$3,138.15 |
$5,230.25 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$3,138.15 |
$5,230.25 |
1.6× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$2,346.60 |
$3,911 |
1.2× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,118.70 |
$1,864.50 |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$1,094.55 |
$1,824.25 |
1.2× |
| Dilate Esophagus 1/Mult Pass (43450) |
$562.65 |
$937.75 |
0.6× |
| Drain Cerebro Spinal Fluid (62272) |
$1,045.65 |
$1,742.75 |
1.5× |
| Dstrj lesion anus simple surg excision (46922) |
$5,903.55 |
$9,839.25 |
2.1× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,382.70 |
$2,304.50 |
1.6× |
| Dx Bronchoscope/Lavage (31624) |
$1,034.70 |
$1,724.50 |
0.6× |
| Dx Bronchoscope/Wash (31622) |
$2,137.05 |
$3,561.75 |
1.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$2,776.65 |
$4,627.75 |
3.9× |
| Egd cautery tumor polyp (43250) |
$1,138.20 |
$1,897 |
0.6× |
| Egd control bleeding any (43255) |
$1,138.20 |
$1,897 |
0.6× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,138.20 |
$1,897 |
0.6× |
| Egd Flexible Foreign Body Removal (43247) |
$731.70 |
$1,219.50 |
0.8× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,138.20 |
$1,897 |
0.6× |
| Egd lesion ablation (43270) |
$1,138.20 |
$1,897 |
0.6× |
| Egd place gastrostomy tube (43246) |
$1,138.20 |
$1,897 |
0.6× |
| Egd remove lesion snare (43251) |
$1,138.20 |
$1,897 |
0.6× |
| Endoscopic us exam esoph (43237) |
$1,138.20 |
$1,897 |
0.6× |
| Endoscopy Upper Small Intestine (44360) |
$2,045.40 |
$3,409 |
1.1× |
| Epidural Blood Patch (62273) |
$1,045.65 |
$1,742.75 |
1.5× |
| Epidural lysis mult sessions (62263) |
$2,440.50 |
$4,067.50 |
2.7× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$731.70 |
$1,219.50 |
0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$890.85 |
$1,484.75 |
1.0× |
| I&d abscess simple (10060) |
$467.85 |
$779.75 |
2.3× |
| Image Cath Fluid Colxn Visc (49405) |
$3,207.15 |
$5,345.25 |
1.9× |
| Implant neuroelectrodes (63650) |
$7,672.50 |
$12,787.50 |
1.2× |
| Implant Neuroelectrodes (64561) |
$13,782.15 |
$22,970.25 |
2.2× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$45,520.80 |
$75,868 |
2.3× |
| Induced abortion dilation and curettage (59840) |
$1,907.85 |
$3,179.75 |
0.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,482.45 |
$2,470.75 |
1.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,382.70 |
$2,304.50 |
1.6× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$441.30 |
$735.50 |
1.4× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,141.35 |
$1,902.25 |
1.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$463.65 |
$772.75 |
0.7× |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445)
range across 4 matching MRF lines |
$880.20–$1,045.65 |
$1,467–$1,742.75 |
varies |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,382.70 |
$2,304.50 |
1.6× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,402.50 |
$2,337.50 |
1.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,045.65 |
$1,742.75 |
1.5× |
| Injection for identification of sentinel node (38792) |
$731.25 |
$1,218.75 |
1.8× |
| Injection Into Brain Canal (61055) |
$746.85 |
$1,244.75 |
2.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$441.30 |
$735.50 |
1.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$441.30 |
$735.50 |
1.4× |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 4 matching MRF lines |
$541.95–$1,382.70 |
$903.25–$2,304.50 |
varies |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$515.55–$1,045.65 |
$859.25–$1,742.75 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,045.65 |
$1,742.75 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$2,899.95 |
$4,833.25 |
0.9× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,780.70 |
$4,634.50 |
1.8× |
| Insertion or replacement of percutaneous electrode array, peripheral nerve, with integrated neurostimulator, including… (64596) |
$28,346.25 |
$47,243.75 |
2.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,510.55 |
$4,184.25 |
1.6× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$24,061.80 |
$40,103 |
0.8× |
| Intro Gastrointestinal Tube (44500) |
$669.90 |
$1,116.50 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$539.85 |
$899.75 |
2.3× |
| Lithotripsy, extracorporeal shock wave (50590) |
$18,406.05 |
$30,676.75 |
5.2× |
| Manipulation Elbow Under Anesthesia (24300) |
$3,400.95 |
$5,668.25 |
2.1× |
| Manipulation hip joint general anesthesia (27275) |
$2,323.20 |
$3,872 |
1.4× |
| Manipulation knee joint under general anesthesia (27570) |
$4,228.95 |
$7,048.25 |
2.6× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,433.30 |
$4,055.50 |
1.5× |
| Myelography Lumbar Injection (62305) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography Lumbar Injection (62304) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,300.20 |
$2,167 |
1.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,300.20 |
$2,167 |
1.7× |
| N Block Inj Celiac Pelus (64530) |
$1,382.70 |
$2,304.50 |
1.6× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,045.65 |
$1,742.75 |
1.5× |
| N block inj intercost sng (64420) |
$1,045.65 |
$1,742.75 |
1.5× |
| N Block Lumbar/Thoracic (64520) |
$1,354.95 |
$2,258.25 |
1.5× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,899 |
$3,165 |
2.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,899 |
$3,165 |
2.0× |
| Needle Biopsy Lymph Nodes (38505) |
$2,853 |
$4,755 |
1.7× |
| Neuro alys b-amyl 1-42&1-40 (0358U) |
$1,041 |
$1,735 |
4.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,382.70 |
$2,304.50 |
1.6× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$264.30 |
$440.50 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,482.45 |
$2,470.75 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,438.95 |
$2,398.25 |
2.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,045.65 |
$1,742.75 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,261.20 |
$2,102 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$2,141.85 |
$3,569.75 |
2.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,001.25 |
$1,668.75 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,261.95 |
$2,103.25 |
1.4× |
| Occipital Nerve Block (64405) |
$427.05 |
$711.75 |
1.4× |
| Pericardiocentesis W/Imaging (33016) |
$2,976.90 |
$4,961.50 |
1.9× |
| Perq dev breast 1st strtctc (19283) |
$490.20 |
$817 |
0.7× |
| Perq dev breast 1st us imag (19285) |
$490.20 |
$817 |
0.7× |
| Perq device breast 1st imag (19281) |
$972.15 |
$1,620.25 |
0.6× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$969.15 |
$1,615.25 |
1.4× |
| Place Cath Subclavian Art (36225) |
$5,377.65 |
$8,962.75 |
1.7× |
| Place Cath Thoracic Aorta (36221) |
$5,377.65 |
$8,962.75 |
1.7× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,150.90 |
$5,251.50 |
1.5× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,272.80 |
$8,788 |
1.5× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$5,272.80 |
$8,788 |
1.5× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,272.80 |
$8,788 |
1.5× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$10,493.25 |
$17,488.75 |
1.6× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$1,393.80 |
$2,323 |
1.6× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$5,641.20 |
$9,402 |
1.6× |
| Punch biopsy skin single lesion (11104) |
$458.25 |
$763.75 |
1.1× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$822 |
$1,370 |
1.2× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,138.15 |
$5,230.25 |
1.6× |
| Remove intrvas foreign body (37197) |
$5,398.35 |
$8,997.25 |
1.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$449.25 |
$748.75 |
1.1× |
| Replace g/c tube perc (49450) |
$1,382.70 |
$2,304.50 |
1.5× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$7,080.45 |
$11,800.75 |
2.0× |
| Revise/Remove Neurostimulator Electrode Array, Peripheral Nerve, W Neurostimulator (64598) |
$7,080.45 |
$11,800.75 |
2.0× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$2,897.70 |
$4,829.50 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$339.60 |
$566 |
2.5× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,167.85 |
$5,279.75 |
1.0× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$1,070.85 |
$1,784.75 |
0.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$547.05 |
$911.75 |
0.6× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$748.50 |
$1,247.50 |
0.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$547.05 |
$911.75 |
0.6× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$748.50 |
$1,247.50 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$312.90 |
$521.50 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$312.90 |
$521.50 |
1.6× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$5,377.65 |
$8,962.75 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$5,377.65 |
$8,962.75 |
1.7× |
| Spinal puncture lumbar diagnostic (62270) |
$1,045.65 |
$1,742.75 |
1.5× |
| Surg Implnt Neuroelect,Epidural (63655) |
$45,520.80 |
$75,868 |
2.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$2,776.65 |
$4,627.75 |
3.9× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$21,248.85 |
$35,414.75 |
1.6× |
| Unlisted procedure nervous system (64999) |
$832.50 |
$1,387.50 |
2.7× |