Abd paracentesis w/imaging (49083)
range across 3 matching MRF lines |
— |
$569–$580 |
— |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines |
— |
$476–$672 |
— |
| Ablation 1/> liver tumor perq cryoablation (47383) |
— |
$7,472 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$2,021 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$2,021 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$1,475 |
— |
| Anoscopy diagnostic (46600) |
— |
$83 |
— |
Application finger splint static (29130)
range across 12 matching MRF lines |
— |
$95–$190 |
— |
Application long arm splint shoulder hand (29105)
range across 4 matching MRF lines |
— |
$104–$208 |
— |
Application Long Leg Splint (29505)
range across 3 matching MRF lines |
— |
$104–$208 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$822 |
— |
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines |
— |
$83–$166 |
— |
Application short leg splint calf foot (29515)
range across 3 matching MRF lines |
— |
$104–$208 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$408 |
— |
| Arterial puncture (36600) |
— |
$460 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$575 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$210 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$575 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$193 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$575 |
— |
Aspirate pleura w/ imaging (32555)
range across 6 matching MRF lines |
— |
$567–$1,134 |
— |
Aspirate Pleura W/O Imaging (32554)
range across 4 matching MRF lines |
— |
$326–$1,134 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$811 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$2,836 |
— |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
— |
$127–$319 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$2,242 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$1,256 |
— |
Biopsy Bone Trocar/Needle Superficial (20220)
range across 2 matching MRF lines |
— |
$1,760–$4,173 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$2,242 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$2,242 |
— |
| Biopsy of urethra (53200) |
— |
$2,108 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$1,121 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$1,016 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$1,117 |
— |
| Bladder Irrigation (51700) |
— |
$105 |
— |
| Bladder Scan (51798) |
— |
$93 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$250 |
— |
| Blood Transfusion Service (36430) |
— |
$495 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,293 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$1,122 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$4,837 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$637 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$445 |
— |
| Change of Windpipe Airway (31502) |
— |
$233 |
— |
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines |
— |
$243–$590 |
— |
Chest tube placement (32551)
range across 3 matching MRF lines |
— |
$284–$567 |
— |
Cl Tx Tib Shft Fx W Manip (27752)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Clear outer ear canal (69200)
range across 3 matching MRF lines |
— |
$83–$166 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$2,325 |
— |
Closed treatment of ulnar shaft fracture; with manipulation (25535)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Closed tx ankle dislocation w/o anesthesia (27840)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Closed tx knee dislocation w/o anesthesia (27550)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
| Closed tx mandibular fracture w/manipulation (21451) |
— |
$862 |
— |
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$947 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$4,745 |
— |
Closed tx patellar dislocation w/o anesthesia (27560)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Closed tx radial head/neck fx w/manipulation (24655)
range across 3 matching MRF lines |
— |
$1,010–$2,020 |
— |
Closed tx radial shaft fracture w/manipulation (25505)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$702 |
— |
Closed Tx Talus Fracture W/Manipulation (28435)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Closed Tx Ulnar Fracture Prox End W Manipulation (24675)
range across 3 matching MRF lines |
— |
$2,017–$4,035 |
— |
Clsd tx clavicular fracture w/o manipulation (23500)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Clsd tx shoulder dislc w/manipulation req anes (23655)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Cltx ankle dislc req anes w/wo prq skel fixj (27842)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Cltx dstl fibular fx lat malls w/manj (27788)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Cltx dstl fibular fx lat malls w/o manj (27786)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$166 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$166 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 3 matching MRF lines |
— |
$259–$517 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines |
— |
$1,010–$2,020 |
— |
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Cltx fem fx dstl end medial/lat condyle w/o manj (27508)
range across 3 matching MRF lines |
— |
$179–$358 |
— |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
— |
$1,735 |
— |
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Cltx fx grt toe phlx/phlg w/manj (28495)
range across 3 matching MRF lines |
— |
$348–$696 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$166 |
— |
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Cltx hip dislocation traumatic req anesthesia (27252)
range across 3 matching MRF lines |
— |
$1,304–$2,607 |
— |
Cltx hip dislocation traumatic w/o anesthesia (27250)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565)
range across 3 matching MRF lines |
— |
$1,159–$2,317 |
— |
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560)
range across 3 matching MRF lines |
— |
$259–$517 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$166 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$166 |
— |
Cltx Med Ankle Fx W/Mnpj (27762)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$166 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$166 |
— |
Cltx post hip arthrp dislc req anes (27266)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Cltx post hip arthrp dislc w/o anes (27265)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605)
range across 3 matching MRF lines |
— |
$1,159–$2,317 |
— |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675)
range across 3 matching MRF lines |
— |
$505–$1,010 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,699 |
— |
Cltx trimalleolar ankle fx w/manipulation (27818)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$131 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$15 |
— |
| Colporrhaphy (57200) |
— |
$1,729 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$1,728 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$1,719 |
— |
| Complex drainage wound (10180) |
— |
$1,781 |
— |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 3 matching MRF lines |
— |
$97–$194 |
— |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines |
— |
$97–$194 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$147 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$4,485 |
— |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
— |
$1,364 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$97 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$97 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$1,364 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$1,364 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$2,108 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$376 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$1,781 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,254 |
— |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
— |
$376–$1,074 |
— |
| Debride nail 1-5 (11720) |
— |
$113 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$3,340 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
— |
$826–$3,583 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$127 |
— |
| Dilate Urethra Stricture (53620) |
— |
$456 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$653 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$193 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$367 |
— |
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 3 matching MRF lines |
— |
$447–$894 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$1,026 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$147 |
— |
| Drainage of eye (65800) |
— |
$3,206 |
— |
| Drainage of finger abscess simple (26010) |
— |
$127 |
— |
| Drainage of gum lesion (41800) |
— |
$83 |
— |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
— |
$3,617–$5,115 |
— |
| Drainage of nose lesion (30000) |
— |
$147 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$1,026 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$140 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$447 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$452 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines |
— |
$481–$713 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
— |
$439–$590 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$3,462 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$123 |
— |
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines |
— |
$1,250–$2,194 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$1,475 |
— |
| Egd lesion ablation (43270) |
— |
$3,251 |
— |
| Epidural Blood Patch (62273) |
— |
$421 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$133 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$447 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$1,026 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$447 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$2,967 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$727 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$243 |
— |
| Fluid Pressure Muscle (20950) |
— |
$447 |
— |
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines |
— |
$169–$1,585 |
— |
| Foreskin manipulation (54450) |
— |
$179 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$447 |
— |
| I&d abscess peritonsillar (42700) |
— |
$147 |
— |
| I&d abscess simple (10060) |
— |
$586 |
— |
| I&d perianal abscess superficial (46050) |
— |
$554 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$447 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$509 |
— |
| Incise external hemorrhoid (46083) |
— |
$179 |
— |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
— |
$512–$732 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$1,026 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$243 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,433 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$229 |
— |
| Incision of rectal abscess (46040) |
— |
$727 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$4,266 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$213 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$348 |
— |
| Injection for identification of sentinel node (38792) |
— |
$1,280 |
— |
| Injection Into Brain Canal (61055) |
— |
$1,118 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$558 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
— |
$333–$665 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$241 |
— |
Insert cath pleura w/ image (32557)
range across 3 matching MRF lines |
— |
$567–$1,134 |
— |
Insert cath pleura w/o image (32556)
range across 3 matching MRF lines |
— |
$1,107–$2,213 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$721 |
— |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
— |
$296–$316 |
— |
| Insert tunneled cv cath (36561) |
— |
$1,957 |
— |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
— |
$296–$316 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$1,134 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$243 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$596 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$603 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$404 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$122 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$122 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$475 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$1,053 |
— |
| Late closure of wound (13160) |
— |
$1,184 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$189 |
— |
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238)
range across 3 matching MRF lines |
— |
$1,053–$2,106 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$2,242 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$1,121 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$417 |
— |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 3 matching MRF lines |
— |
$333–$665 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$240 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$580 |
— |
Occipital Nerve Block (64405)
range across 3 matching MRF lines |
— |
$333–$665 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$2,021 |
— |
| Penile Injection (54235) |
— |
$179 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$1,945 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$12,825 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$11,957 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$3,262 |
— |
| Peritoneal Lavage (49084) |
— |
$580 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$11,302 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$219 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$590 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$362 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$811 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$1,686 |
— |
Removal Embedded Foreign Body Eyelid (67938)
range across 5 matching MRF lines |
— |
$468–$936 |
— |
| Removal foreign body foot deep (28192) |
— |
$5,048 |
— |
Removal Foreign Body Foot Subcutaneous (28190)
range across 3 matching MRF lines |
— |
$274–$547 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$824 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 3 matching MRF lines |
— |
$120–$239 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 3 matching MRF lines |
— |
$120–$239 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$1,729 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$1,026 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$103 |
— |
| Removal of implant from finger or hand (26320) |
— |
$1,026 |
— |
Removal of nail bed (11750)
range across 2 matching MRF lines |
— |
$994–$1,778 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$194 |
— |
Remove foreign body from eye (65205)
range across 3 matching MRF lines |
— |
$83–$166 |
— |
| Remove Intrauterine Device (58301) |
— |
$329 |
— |
Remove Nasal Foreign Body (30300)
range across 3 matching MRF lines |
— |
$195–$390 |
— |
Remove Shoulder Foreign Body (23330)
range across 3 matching MRF lines |
— |
$447–$894 |
— |
| Renal Biopsy Perq (50200) |
— |
$2,242 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$376 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$376 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$243 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$376 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$376 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$376 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$376 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$2,021 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$223 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$223 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$223 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$223 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$376 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$223 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$223 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$223 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$223 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$1,039 |
— |
| Repair of nail bed (11760) |
— |
$376 |
— |
| Repair tongue laceration (41252) |
— |
$367 |
— |
| Repair tongue laceration (41250) |
— |
$218 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$775 |
— |
Replace g/c tube perc (49450)
range across 2 matching MRF lines |
— |
$580–$812 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$862 |
— |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220)
range across 3 matching MRF lines |
— |
$218–$437 |
— |
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 4 matching MRF lines |
— |
$83–$166 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$891 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$2,572 |
— |
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200)
range across 3 matching MRF lines |
— |
$1,026–$2,050 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$432 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$315 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$315 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$1,120 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$127 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$367 |
— |
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260)
range across 3 matching MRF lines |
— |
$2,314–$4,628 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$127 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$127 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$127 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$243 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$127 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$127 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$127 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$127 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$3,531 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$1,681 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$2,906 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$1,681 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$127 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$243 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$243 |
— |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
— |
$421–$434 |
— |
| Strapping ankle (29540) |
— |
$213 |
— |
| Strapping hand/finger (29280) |
— |
$87 |
— |
| Strapping knee (29530) |
— |
$87 |
— |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
— |
$104–$362 |
— |
Subconjunctival injection (68200)
range across 3 matching MRF lines |
— |
$110–$218 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$602 |
— |
Ther Spi Pnxr Csf Fluor/Ct (62329)
range across 2 matching MRF lines |
— |
$330–$1,250 |
— |
| Therapeutic plasma exchange (36514) |
— |
$1,756 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$508 |
— |
| Thyroid biopsy (60100) |
— |
$811 |
— |
| Tooth extraction (41899) |
— |
$1,189 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$1,357 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$862 |
— |
Treat Humerus Fracture (24505)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
| Treat knee fracture (27532) |
— |
$4,692 |
— |
Treat Knuckle Dislocation (26700)
range across 10 matching MRF lines |
— |
$166–$332 |
— |
Treat Metatarsal Fracture (28475)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Treat Thumb Dislocation (26641)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
Treat toe dislocation (28630)
range across 3 matching MRF lines |
— |
$179–$358 |
— |
Treatment Closed Elbow Dislocation Req Anes (24605)
range across 3 matching MRF lines |
— |
$1,010–$2,018 |
— |
Treatment closed elbow dislocation w/o anes (24600)
range across 3 matching MRF lines |
— |
$166–$332 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$45 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$268 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$376 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$243 |
— |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
— |
$147 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$1,344 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$1,219 |
— |
| Unlisted procedure nervous system (64999) |
— |
$218 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$629 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$385 |
— |
| Vaginal delivery only (59409) |
— |
$1,729 |
— |
| Wedge excision skin nail fold (11765) |
— |
$419 |
— |