Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
— |
$1,201–$1,365 |
— |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
— |
$610–$2,194 |
— |
| Ablation 1/> liver tumor perq cryoablation (47383) |
— |
$85,607 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$4,754 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$4,754 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$1,734 |
— |
| Anoscopy diagnostic (46600) |
— |
$661 |
— |
Application finger splint static (29130) range across 12 matching MRF lines |
— |
$106–$213 |
— |
Application long arm splint shoulder hand (29105) range across 4 matching MRF lines |
— |
$244–$488 |
— |
Application Long Leg Splint (29505) range across 3 matching MRF lines |
— |
$244–$488 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$987 |
— |
Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
— |
$195–$390 |
— |
Application short leg splint calf foot (29515) range across 3 matching MRF lines |
— |
$244–$488 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$490 |
— |
Arterial puncture (36600) range across 3 matching MRF lines |
— |
$85–$211 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
— |
$622–$676 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$493 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
— |
$622–$676 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$454 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
— |
$676–$793 |
— |
Aspirate pleura w/ imaging (32555) range across 6 matching MRF lines |
— |
$1,175–$2,668 |
— |
Aspirate Pleura W/O Imaging (32554) range across 4 matching MRF lines |
— |
$1,334–$2,668 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$839 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$3,335 |
— |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
— |
$299–$383 |
— |
Biopsy Abdominal Mass (49180) range across 2 matching MRF lines |
— |
$3,856–$4,294 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$7,170 |
— |
Biopsy Bone Trocar/Needle Superficial (20220) range across 2 matching MRF lines |
— |
$5,008–$23,724 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,672 |
— |
Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
— |
$4,021–$4,478 |
— |
| Biopsy of urethra (53200) |
— |
$4,958 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$23,724 |
— |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
— |
$2,102 |
— |
| Biopsy soft tissue neck/thorax (21550) |
— |
$3,076 |
— |
| Bladder Irrigation (51700) |
— |
$148 |
— |
Bladder Scan (51798) range across 3 matching MRF lines |
— |
$115–$160 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$525 |
— |
Blood Transfusion Service (36430) range across 2 matching MRF lines |
— |
$554–$723 |
— |
| Bone Marrow Biopsy (38221) |
— |
$2,215 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$23,724 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$4,450 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$660 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$525 |
— |
| Change of Windpipe Airway (31502) |
— |
$274 |
— |
Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
— |
$285–$708 |
— |
Chest tube placement (32551) range across 3 matching MRF lines |
— |
$667–$1,334 |
— |
Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Clear outer ear canal (69200) range across 3 matching MRF lines |
— |
$93–$186 |
— |
| 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 |
— |
$389–$779 |
— |
Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
— |
$389–$779 |
— |
| Closed tx mandibular fracture w/manipulation (21451) |
— |
$2,025 |
— |
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$2,227 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$4,982 |
— |
Closed tx patellar dislocation w/o anesthesia (27560) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Closed tx radial head/neck fx w/manipulation (24655) range across 3 matching MRF lines |
— |
$1,131–$2,261 |
— |
Closed tx radial shaft fracture w/manipulation (25505) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$737 |
— |
Closed Tx Talus Fracture W/Manipulation (28435) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 3 matching MRF lines |
— |
$2,373–$4,745 |
— |
Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 3 matching MRF lines |
— |
$371–$389 |
— |
Cltx ankle dislc req anes w/wo prq skel fixj (27842) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
— |
$389–$779 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$389 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$389 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
— |
$609–$1,217 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 3 matching MRF lines |
— |
$421–$842 |
— |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
— |
$4,080 |
— |
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Cltx fx grt toe phlx/phlg w/manj (28495) range across 3 matching MRF lines |
— |
$389–$779 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$389 |
— |
Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
— |
$3,066–$6,131 |
— |
Cltx hip dislocation traumatic w/o anesthesia (27250) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) range across 3 matching MRF lines |
— |
$2,433–$4,865 |
— |
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
— |
$609–$1,217 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$389 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$389 |
— |
Cltx Med Ankle Fx W/Mnpj (27762) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$389 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$389 |
— |
Cltx post hip arthrp dislc req anes (27266) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Cltx post hip arthrp dislc w/o anes (27265) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
— |
$2,433–$4,865 |
— |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) range across 3 matching MRF lines |
— |
$1,186–$2,374 |
— |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
— |
$1,699 |
— |
Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$154 |
— |
Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
— |
$10–$15 |
— |
| Colonoscopy Flexible With Decompression (45393) |
— |
$2,003 |
— |
| Colonoscopy w/ablation (45388) |
— |
$3,267 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$2,324 |
— |
| Colporrhaphy (57200) |
— |
$4,065 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$2,571 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$2,003 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$2,558 |
— |
| Complex drainage wound (10180) |
— |
$4,189 |
— |
Control Nasal Hemorrhage Anterior Complex (30903) range across 3 matching MRF lines |
— |
$228–$457 |
— |
Control Nasal Hemorrhage Anterior Simple (30901) range across 3 matching MRF lines |
— |
$228–$457 |
— |
| Control oropharyngeal hemorrhage simple (42960) |
— |
$345 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$3,444 |
— |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
— |
$3,206 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$228 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$228 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$3,206 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$3,206 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$4,958 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$883 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$4,189 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,475 |
— |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
— |
$883–$1,289 |
— |
| Debride nail 1-5 (11720) |
— |
$179 |
— |
| Debride nail 6 or more (11721) |
— |
$430 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$4,008 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
— |
$1,196–$4,300 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$299 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$1,301 |
— |
| Dilate Urethra Stricture (53620) |
— |
$1,072 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$2,505 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$721 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$454 |
— |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
— |
$863 |
— |
Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
— |
$1,051–$2,102 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$2,411 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$345 |
— |
| Drainage of finger abscess simple (26010) |
— |
$299 |
— |
| Drainage of gum lesion (41800) |
— |
$195 |
— |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
— |
$4,253–$6,138 |
— |
| Drainage of nose lesion (30000) |
— |
$345 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$2,411 |
— |
Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
— |
$154–$236 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$1,051 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$443 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
— |
$577–$944 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
— |
$515–$708 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$3,732 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$145 |
— |
Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
— |
$1,164–$2,120 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$2,505 |
— |
| Egd cautery tumor polyp (43250) |
— |
$2,794 |
— |
| Egd control bleeding any (43255) |
— |
$2,638 |
— |
Egd Flexible Foreign Body Removal (43247) range across 2 matching MRF lines |
— |
$1,477–$1,734 |
— |
| Egd guide wire insertion (43248) |
— |
$2,505 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$3,101 |
— |
| Egd place gastrostomy tube (43246) |
— |
$2,360 |
— |
| Egd remove lesion snare (43251) |
— |
$2,505 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$2,467 |
— |
| Egd Varices Ligation (43244) |
— |
$2,360 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$2,195 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$2,195 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$2,407 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
— |
$2,195 |
— |
| Epidural Blood Patch (62273) |
— |
$989 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$2,467 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$156 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$1,051 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$2,411 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$1,051 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$3,561 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$1,711 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$571 |
— |
| Fluid Pressure Muscle (20950) |
— |
$1,051 |
— |
Fna bx w/us gdn 1st les (10005) range across 2 matching MRF lines |
— |
$1,465–$1,855 |
— |
| Foreskin manipulation (54450) |
— |
$421 |
— |
Guide Cathet Fluid Drainage (10030) range across 2 matching MRF lines |
— |
$1,051–$9,380 |
— |
| I&d abscess peritonsillar (42700) |
— |
$345 |
— |
I&d abscess simple (10060) range across 2 matching MRF lines |
— |
$631–$703 |
— |
| I&d perianal abscess superficial (46050) |
— |
$1,302 |
— |
| I&d pilonidal cyst complicated (10081) |
— |
$1,051 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$719 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$1,659 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$5,835 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$3,061 |
— |
| Incise external hemorrhoid (46083) |
— |
$1,102 |
— |
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
— |
$615–$861 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$2,411 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$571 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$1,685 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$537 |
— |
| Incision of rectal abscess (46040) |
— |
$1,711 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$4,266 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$208 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$753 |
— |
| Injection for identification of sentinel node (38792) |
— |
$1,178 |
— |
| Injection Into Brain Canal (61055) |
— |
$1,211 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$885 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
— |
$373–$745 |
— |
Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
— |
$257–$357 |
— |
Insert cath pleura w/ image (32557) range across 3 matching MRF lines |
— |
$1,334–$2,668 |
— |
Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
— |
$2,603–$5,205 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$1,334 |
— |
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
— |
$348–$481 |
— |
| Insert tunneled cv cath (36561) |
— |
$4,603 |
— |
Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
— |
$258–$358 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$1,334 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$571 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,192 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$630 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$475 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$285 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$285 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$558 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$2,476 |
— |
| Late closure of wound (13160) |
— |
$2,783 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$222 |
— |
Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) range across 3 matching MRF lines |
— |
$2,476–$4,952 |
— |
Needle Biopsy Lymph Nodes (38505) range across 2 matching MRF lines |
— |
$291–$4,186 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$23,724 |
— |
| 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 |
— |
$781–$1,563 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$520 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$563 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,365 |
— |
Occipital Nerve Block (64405) range across 3 matching MRF lines |
— |
$781–$1,563 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$4,754 |
— |
| Penile Injection (54235) |
— |
$421 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$13,826 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$12,890 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$1,812 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$3,040 |
— |
| Peritoneal Lavage (49084) |
— |
$1,365 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$12,185 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$258 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$708 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$355 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$945 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$1,982 |
— |
Removal Embedded Foreign Body Eyelid (67938) range across 5 matching MRF lines |
— |
$524–$1,048 |
— |
| Removal foreign body foot deep (28192) |
— |
$5,048 |
— |
Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
— |
$643–$1,287 |
— |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
— |
$969 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
— |
$281–$563 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
— |
$281–$563 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$4,065 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$2,411 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$122 |
— |
| Removal of implant from finger or hand (26320) |
— |
$2,411 |
— |
Removal of nail bed (11750) range across 2 matching MRF lines |
— |
$1,168–$2,134 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$228 |
— |
Remove foreign body from eye (65205) range across 3 matching MRF lines |
— |
$195–$390 |
— |
| Remove Intrauterine Device (58301) |
— |
$387 |
— |
Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
— |
$458–$915 |
— |
Remove Shoulder Foreign Body (23330) range across 3 matching MRF lines |
— |
$1,051–$2,102 |
— |
Renal Biopsy Perq (50200) range across 2 matching MRF lines |
— |
$4,034–$4,493 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$883 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$883 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$571 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$883 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$883 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$883 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$883 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$4,754 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$524 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$524 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$524 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$524 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$883 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$524 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$524 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$524 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$524 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$524 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$524 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$524 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$524 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$2,442 |
— |
| Repair of nail bed (11760) |
— |
$883 |
— |
| Repair tongue laceration (41252) |
— |
$863 |
— |
| Repair tongue laceration (41250) |
— |
$513 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$911 |
— |
Replace G-J Tube Perc (49452) range across 2 matching MRF lines |
— |
$878–$1,470 |
— |
| Replace g/c tube perc (49450) |
— |
$1,365 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$2,025 |
— |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 3 matching MRF lines |
— |
$513–$1,028 |
— |
Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 4 matching MRF lines |
— |
$195–$390 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$1,833 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$3,025 |
— |
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 3 matching MRF lines |
— |
$2,411–$4,822 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$762 |
— |
Rplc Gtube No Revj Trc (43762) range across 2 matching MRF lines |
— |
$404–$589 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$404 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$1,318 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$299 |
— |
| Rpr Lip Full Thickness Vermilion Only (40650) |
— |
$863 |
— |
Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) range across 3 matching MRF lines |
— |
$4,859–$9,719 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$1,545 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$1,671 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$1,480 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
— |
$2,003 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$1,517 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$1,671 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$299 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$299 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$299 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$571 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$299 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$299 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$299 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$299 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$4,237 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$2,017 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$3,487 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$2,017 |
— |
| Small bowel endoscopy (44366) |
— |
$2,964 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$299 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$571 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$571 |
— |
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
— |
$989–$1,615 |
— |
| Strapping ankle (29540) |
— |
$250 |
— |
| Strapping hand/finger (29280) |
— |
$103 |
— |
| Strapping knee (29530) |
— |
$103 |
— |
Strapping Unna Boot (29580) range across 4 matching MRF lines |
— |
$244–$488 |
— |
Subconjunctival injection (68200) range across 3 matching MRF lines |
— |
$257–$513 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$723 |
— |
Ther Spi Pnxr Csf Fluor/Ct (62329) range across 2 matching MRF lines |
— |
$714–$1,164 |
— |
| Therapeutic plasma exchange (36514) |
— |
$1,967 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$533 |
— |
| Thyroid biopsy (60100) |
— |
$1,249 |
— |
| Tooth extraction (41899) |
— |
$1,397 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$1,595 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$2,025 |
— |
Treat Humerus Fracture (24505) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
| Treat knee fracture (27532) |
— |
$4,926 |
— |
Treat Knuckle Dislocation (26700) range across 10 matching MRF lines |
— |
$389–$779 |
— |
Treat Metatarsal Fracture (28475) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
— |
$389–$779 |
— |
Treat toe dislocation (28630) range across 3 matching MRF lines |
— |
$421–$842 |
— |
Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
— |
$2,374–$4,747 |
— |
Treatment closed elbow dislocation w/o anes (24600) range across 3 matching MRF lines |
— |
$389–$779 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$106 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$262 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$883 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$571 |
— |
| Unlisted Craniofacial & Maxillofacial Procedure (21299) |
— |
$345 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$1,581 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$1,365 |
— |
| Unlisted procedure nervous system (64999) |
— |
$513 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$740 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$453 |
— |
| Vaginal delivery only (59409) |
— |
$4,065 |
— |
| Wedge excision skin nail fold (11765) |
— |
$525 |
— |