| Abd paracentesis w/imaging (49083) |
— |
$3,512 |
— |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
— |
$1,782 |
— |
| Ablate Pulm Tumor Perq Crybl (32994) |
— |
$17,515 |
— |
| Ablation 1/> liver tumor perq cryoablation (47383) |
— |
$14,583 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$8,107 |
— |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
— |
$15,203 |
— |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
— |
$3,116 |
— |
| Acne surgery (10040) |
— |
$493 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$2,722 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$4,533 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$4,783 |
— |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
— |
$5,028 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$4,343 |
— |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
— |
$3,775 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$4,533 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$4,316 |
— |
| Allogeneic lymphocyte infusions (38242) |
— |
$5,306 |
— |
| Alveolectomy W/Curtg Osteitis/Sequestrectomy (41830) |
— |
$3,063 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$954 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$364 |
— |
| Anoscopy Ablation Lesion (46615) |
— |
$1,786 |
— |
| Anoscopy diagnostic (46600) |
— |
$746 |
— |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
— |
$2,310 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$2,372 |
— |
| Apheresis Platelets (36513) |
— |
$4,411 |
— |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
— |
$1,502 |
— |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
— |
$466 |
— |
| Application cast elbow finger short arm (29075) |
— |
$538 |
— |
| Application Cast Finger (29086) |
— |
$297 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$594 |
— |
| Application finger splint static (29130) |
— |
$615 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$534 |
— |
| Application Long Leg Splint (29505) |
— |
$326 |
— |
| Application of long leg cast (29345) |
— |
$448 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$590 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$590 |
— |
| Application short leg splint calf foot (29515) |
— |
$391 |
— |
| Application uniplane external fixation system (20690) |
— |
$8,532 |
— |
| Apply hand/wrist cast (29085) |
— |
$538 |
— |
| Apply long arm cast (29065) |
— |
$515 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$491 |
— |
| Apply Short Leg Cast (29405) |
— |
$476 |
— |
| Arterial puncture (36600) |
— |
$82 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$13,469 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
— |
$12,999 |
— |
| Artery-vein autograft (36825) |
— |
$13,397 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$728 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$2,197 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
— |
$735 |
— |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
— |
$2,204 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$685 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$3,395 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$2,272 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$685 |
— |
| Aspiration & Injection Treatment Bone Cyst (20615) |
— |
$2,886 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$2,310 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$5,577 |
— |
| Aspiration Bladder Needle (51100) |
— |
$9,311 |
— |
| Av fistula revision (36833) |
— |
$12,364 |
— |
| Av Fistula Revision Open (36832) |
— |
$11,897 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$13,098 |
— |
| Av fusion/forearm vein (36820) |
— |
$13,147 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$475 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$3,804 |
— |
| Biliary Endoscopy Prq via T-Tube W/Rmvl Calculus (47554) |
— |
$10,667 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$14,450 |
— |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
— |
$5,579 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$10,232 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$3,272 |
— |
| Biopsy bone trocar/needle deep (20225) |
— |
$3,539 |
— |
| Biopsy Bone Trocar/Needle Superficial (20220) |
— |
$3,009 |
— |
| Biopsy External Auditory Canal (69105) |
— |
$4,739 |
— |
| Biopsy external ear (69100) |
— |
$1,241 |
— |
| Biopsy muscle percutaneous needle (20206) |
— |
$3,009 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$1,974 |
— |
| Biopsy nail unit (11755) |
— |
$1,254 |
— |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
— |
$4,064 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$5,734 |
— |
| Biopsy of conjunctiva (68100) |
— |
$1,400 |
— |
| Biopsy of floor of mouth (41108) |
— |
$2,008 |
— |
| Biopsy of lip (40490) |
— |
$1,219 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$4,065 |
— |
| Biopsy of nerve (64795) |
— |
$3,207 |
— |
| Biopsy of palate, uvula (42100) |
— |
$1,364 |
— |
| Biopsy of penis (54100) |
— |
$2,228 |
— |
| Biopsy Oropharynx (42800) |
— |
$2,008 |
— |
| Biopsy ovary uni/bi separate procedure (58900) |
— |
$3,272 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$3,272 |
— |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
— |
$8,837 |
— |
| Biopsy Salivary Gland Incisional (42405) |
— |
$2,389 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$3,009 |
— |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
— |
$3,272 |
— |
| Biopsy Testis Needle Separate Procedure (54500) |
— |
$3,272 |
— |
| Biopsy Tongue Anterior Two-Thirds (41100) |
— |
$2,008 |
— |
| Biopsy Vaginal Mucosa Simple (57100) |
— |
$879 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$1,530 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$968 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$1,052 |
— |
| Bladder Irrigation (51700) |
— |
$583 |
— |
| Bladder Scan (51798) |
— |
$181 |
— |
| Bld-Drv Hematop Progen Cell Hrvg Trnsplj Autol (38206) |
— |
$4,482 |
— |
| Blepharoplasty Lower Eyelid (15820) |
— |
$4,366 |
— |
| Blepharoplasty upper eyelid (15822) |
— |
$3,950 |
— |
| Blood Transfusion Service (36430) |
— |
$1,492 |
— |
Blood/Lymph System Procedure (38999)
range across 18 matching MRF lines |
— |
$514–$13,708 |
— |
| Bone Marrow Biopsy (38221) |
— |
$1,494 |
— |
| Bone marrow harvest allogen (38230) |
— |
$119,807 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$1,038 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$3,506 |
— |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
— |
$9,928 |
— |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
— |
$13,779 |
— |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
— |
$3,053 |
— |
| Brnchsc Removal Bronchial Valve Initial (31648) |
— |
$6,565 |
— |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
— |
$5,933 |
— |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
— |
$6,451 |
— |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
— |
$3,845 |
— |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
— |
$8,987 |
— |
| Bronchial Valve Init Insert (31647) |
— |
$7,769 |
— |
| Bronchoscopy Balloon Occlusion (31634) |
— |
$7,370 |
— |
| Bronchoscopy Bronch Stents (31636) |
— |
$8,914 |
— |
| Bronchoscopy Clear Airways (31645) |
— |
$3,707 |
— |
| Bronchoscopy Dilate W/Stent (31631) |
— |
$7,172 |
— |
| Bronchoscopy Reclear Airway (31646) |
— |
$3,061 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$3,644 |
— |
| Bronchoscopy W/Excision Tumor (31640) |
— |
$5,911 |
— |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) |
— |
$4,574 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$4,472 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$3,879 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$4,108 |
— |
| Bx breast 1st lesion mr imag (19085) |
— |
$9,375 |
— |
| Bx breast 1st lesion strtctc (19081) |
— |
$4,623 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$3,919 |
— |
| Bx breast needle core w/o imaging guidance spx (19100) |
— |
$1,567 |
— |
| Bx Cervix (57500) |
— |
$1,578 |
— |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) |
— |
$13,441 |
— |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
— |
$8,837 |
— |
| Bx prst8 in-bore CT/MRI bx 1 (55713) |
— |
$13,441 |
— |
| Bx prst8 trct us w/MRI fus 1 (55708) |
— |
$8,837 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$4,909 |
— |
| Car-t admn autologous (38228) |
— |
$5,336 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$320 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$645 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$8,774 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$1,628 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$907 |
— |
| Change of Windpipe Airway (31502) |
— |
$990 |
— |
| Change ureter stent percut (50382) |
— |
$6,304 |
— |
| Chemical Cautery Tissue (17250) |
— |
$407 |
— |
| Chemical peel face dermal (15789) |
— |
$524 |
— |
| Chemical peel nonfacial dermal (15793) |
— |
$911 |
— |
| Chemical peel nonfacial epidermal (15792) |
— |
$911 |
— |
| Chemical peel, facial; epidermal (15788) |
— |
$234 |
— |
| Chemical Pleurodesis (32560) |
— |
$862 |
— |
| Chemodenerv 1 extrem 5/> mus (64644) |
— |
$1,142 |
— |
| Chemodenerv 1 extremity 1-4 (64642) |
— |
$1,142 |
— |
| Chemodenerv Eccrine Glands (64650) |
— |
$659 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$1,104 |
— |
| Chemodenerv musc neck dyston (64616) |
— |
$1,142 |
— |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
— |
$669 |
— |
| Chemodenerv trunk musc 1-5 (64646) |
— |
$1,142 |
— |
| Chemodenerv trunk musc 6/> (64647) |
— |
$1,142 |
— |
| Chemodenervation eccrine glands oth area per day (64653) |
— |
$696 |
— |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
— |
$1,202 |
— |
| Chemodenervation of extraocular muscle (67345) |
— |
$702 |
— |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
— |
$737 |
— |
| Chest tube placement (32551) |
— |
$3,433 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$4,072 |
— |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
— |
$6,870 |
— |
| Ciliary body dstrj cyclophotocoag transsceral (66710) |
— |
$1,629 |
— |
| Clear outer ear canal (69200) |
— |
$269 |
— |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
— |
$5,672 |
— |
| Closure lacrimal punctum (68760) |
— |
$1,204 |
— |
| Clsr Lacrimal Punctum Plug Each (68761) |
— |
$1,014 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$97 |
— |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
— |
$57–$1,602 |
— |
| Colonoscopy Flexible With Decompression (45393) |
— |
$4,949 |
— |
| Colonoscopy Stoma Ablation Lesion (44401) |
— |
$4,062 |
— |
| Colonoscopy Stoma Control Bleeding (44391) |
— |
$3,009 |
— |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
— |
$3,325 |
— |
| Colonoscopy stoma w/balloon dilation (44405) |
— |
$4,230 |
— |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
— |
$5,702 |
— |
| Colonoscopy Stoma W/Endoscopic Ultrasound Exam (44406) |
— |
$5,549 |
— |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
— |
$2,287 |
— |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
— |
$3,981 |
— |
| Colonoscopy Through Stoma With Decompression (44408) |
— |
$4,920 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$3,277 |
— |
| Colonoscopy thru stoma (44388) |
— |
$3,006 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$3,570 |
— |
| Colonoscopy w/ablation (45388) |
— |
$5,372 |
— |
| Colonoscopy W/Band Ligation (45398) |
— |
$5,315 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$3,236 |
— |
| Colonoscopy w/ndl aspir/bx (44407) |
— |
$5,821 |
— |
| Colonoscopy W/Resection (45390) |
— |
$6,450 |
— |
| Colonoscopy w/stent plcmt (45389) |
— |
$5,952 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$3,095 |
— |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
— |
$1,173 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$1,224 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$509 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$1,212 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$7,499 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$3,825 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$1,150 |
— |
| Colposcopy of vulva (56820) |
— |
$545 |
— |
| Colposcopy Vulva W/Biopsy (56821) |
— |
$690 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$1,349 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$3,277 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$3,794 |
— |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
— |
$3,649 |
— |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
— |
$2,632 |
— |
| Complex Cystometrogram (51726) |
— |
$1,501 |
— |
| Complex drainage wound (10180) |
— |
$4,693 |
— |
| Composite Skin Graft (15760) |
— |
$5,452 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$7,038 |
— |
| Constj tracheoesophgl fstl&insj sp prosth (31611) |
— |
$5,445 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$774 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$774 |
— |
| Conversion ext bil drg cath (47535) |
— |
$9,324 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$3,880 |
— |
| Convert Nephrostomy Catheter (50434) |
— |
$9,092 |
— |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
— |
$5,796 |
— |
| Correction of trichiasis; epilation, by forceps only (67820) |
— |
$1,085 |
— |
| Corrj Lagophthalmos Impltj Upr Eyelid Lid Load (67912) |
— |
$4,839 |
— |
| Create Eardrum Opening (69433) |
— |
$1,972 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$13,397 |
— |
| Cryosurgical Ablation Fibroadenoma, Each (19105) |
— |
$9,391 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$574 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$631 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$5,132 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$4,516 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$7,238 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$4,853 |
— |
| Cysto w/dilat rx balo cath urtl strix/sten male (52284) |
— |
$4,832 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$6,577 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$2,308 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$4,179 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$5,864 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$3,887 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$6,937 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$3,886 |
— |
| Cystometrogram W/Up (51727) |
— |
$412 |
— |
| Cystometrogram W/Vp (51728) |
— |
$1,219 |
— |
| Cystometrogram W/Vp&Up (51729) |
— |
$1,634 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$6,413 |
— |
| Cystourethroscopy (52000) |
— |
$1,821 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$7,259 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$3,634 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$4,516 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$7,925 |
— |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
— |
$8,889 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,058 |
— |
| Debride nail 1-5 (11720) |
— |
$345 |
— |
| Debride nail 6 or more (11721) |
— |
$379 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,049 |
— |
| Declot vascular device (36593) |
— |
$1,043 |
— |
| Deep Muscle Biopsy (20205) |
— |
$3,272 |
— |
| Delay Flap/Sctj Flap Eyelids Nose Ears/Lips (15630) |
— |
$4,174 |
— |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
— |
$3,794 |
— |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
— |
$4,924 |
— |
| Dermabrasion segmental face (15781) |
— |
$706 |
— |
| Dermabrasion superficial any site (15783) |
— |
$706 |
— |
| Destr penis lesion(s) (54065) |
— |
$3,218 |
— |
| Destr W Neurolytic; Celiac Plexus (64680) |
— |
$2,810 |
— |
| Destroy cerv/thor facet jnt (64633) |
— |
$4,517 |
— |
| Destroy lumb/sac facet jnt (64635) |
— |
$5,189 |
— |
| Destruc retinal lesn,photocoag (67210) |
— |
$1,856 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$263 |
— |
| Destruction Benign Lesions 15/> (17111) |
— |
$717 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$2,810 |
— |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
— |
$3,439 |
— |
| Destruction by neurolytic agent; pudendal nerve (64630) |
— |
$3,007 |
— |
| Destruction Lesions Vulva Extensive (56515) |
— |
$4,642 |
— |
| Destruction Lesions Vulva Simple (56501) |
— |
$964 |
— |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
— |
$428 |
— |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
— |
$523 |
— |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
— |
$491 |
— |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
— |
$547 |
— |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
— |
$607 |
— |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
— |
$433 |
— |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
— |
$440 |
— |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
— |
$475 |
— |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
— |
$523 |
— |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
— |
$526 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$390 |
— |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
— |
$390 |
— |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
— |
$445 |
— |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
— |
$818 |
— |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
— |
$416 |
— |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
— |
$451 |
— |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
— |
$382 |
— |
| Destruction neurolytic agt genicular nerve w/img (64624) |
— |
$4,500 |
— |
| Destruction of skin lesions (17106) |
— |
$907 |
— |
| Destruction Premalignant Lesion 15/> (17004) |
— |
$991 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$201 |
— |
| Destruction Vaginal Lesions Extensive (57065) |
— |
$5,593 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$5,081 |
— |
| Diagnostic anoscopy (46601) |
— |
$820 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$1,319 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$321 |
— |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
— |
$316 |
— |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
— |
$316 |
— |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
— |
$353 |
— |
| Dilat Urethral Strix Filiform & Follwr Male Sbsq (53621) |
— |
$388 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$16,901 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$1,487 |
— |
| Dilate Urethra Stricture (53620) |
— |
$1,304 |
— |
| Dilate Urethra Stricture (53600) |
— |
$841 |
— |
| Dilation Cervical Canal (57800) |
— |
$3,188 |
— |
| Dilation Esophagus Guide Wire (43453) |
— |
$1,637 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$1,582 |
— |
| Drain Spinal Cord Cyst (62268) |
— |
$4,870 |
— |
| Drain/inj small joint/bursa w/us (20604) |
— |
$2,154 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$455 |
— |
| Drainage of gum lesion (41800) |
— |
$501 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$1,626 |
— |
| Drainage of hydrocele (55000) |
— |
$495 |
— |
| Drainage of scrotum (54700) |
— |
$4,605 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$118 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
— |
$1,400 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$526 |
— |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
— |
$742 |
— |
| Dstrj les/scar vestibule mouth physical meths (40820) |
— |
$858 |
— |
| Dstrj Lesion Anus Simple Chemical (46900) |
— |
$1,126 |
— |
| Dstrj lesion anus simple cryosurgery (46916) |
— |
$1,126 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$3,666 |
— |
| Dstrj Lesion Anus Smpl Eltrdsiccation (46910) |
— |
$1,134 |
— |
| Dstrj Lesion Penis Simple Chemical (54050) |
— |
$275 |
— |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
— |
$949 |
— |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
— |
$964 |
— |
| Dstrj lesion penis simple laser (54057) |
— |
$3,396 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$3,243 |
— |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
— |
$494 |
— |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
— |
$3,439 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$1,618 |
— |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
— |
$3,439 |
— |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
— |
$3,439 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$2,483 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$3,855 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$4,113 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$5,121 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$2,394 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$3,965 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$4,618 |
— |
| Egd cautery tumor polyp (43250) |
— |
$3,052 |
— |
| Egd control bleeding any (43255) |
— |
$3,490 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$3,600 |
— |
| Egd endo mucosal resection (43254) |
— |
$8,834 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$9,418 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$3,595 |
— |
| Egd guide wire insertion (43248) |
— |
$3,131 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$3,677 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$5,145 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$4,050 |
— |
| Egd lesion ablation (43270) |
— |
$8,358 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$12,971 |
— |
| Egd place gastrostomy tube (43246) |
— |
$4,179 |
— |
| Egd remove lesion snare (43251) |
— |
$3,586 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$2,205 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$5,064 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$7,219 |
— |
| Egd Varices Ligation (43244) |
— |
$3,834 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$3,788 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$1,005 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$911 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$866 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$702 |
— |
| Electrolysis Epilation Each 30 Minutes (17380) |
— |
$231 |
— |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
— |
$11,074 |
— |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
— |
$11,372 |
— |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
— |
$11,223 |
— |
| Endocervical curettage (57505) |
— |
$1,023 |
— |
| Endometrial Biopsy (58100) |
— |
$524 |
— |
| Endoscopic injection/implant (51715) |
— |
$6,253 |
— |
| Endoscopic us exam esoph (43237) |
— |
$4,720 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$2,317 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$3,541 |
— |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
— |
$7,648 |
— |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
— |
$8,774 |
— |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
— |
$2,432 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$2,152 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$2,131 |
— |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
— |
$4,683 |
— |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
— |
$6,969 |
— |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
— |
$4,505 |
— |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
— |
$3,864 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
— |
$4,275 |
— |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
— |
$3,987 |
— |
| Epidural Blood Patch (62273) |
— |
$1,973 |
— |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
— |
$6,795 |
— |
| Ercp duct stent placement (43274) |
— |
$11,733 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$6,554 |
— |
| Ercp ea duct/ampulla dilate (43277) |
— |
$11,326 |
— |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
— |
$6,153 |
— |
| Ercp remove forgn body duct (43275) |
— |
$9,228 |
— |
| Ercp Stent Exchange W/Dilate (43276) |
— |
$11,799 |
— |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
— |
$11,677 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
— |
$5,494 |
— |
| Ercp,Sphincterotomy (43262) |
— |
$6,503 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$13,383 |
— |
| Esoph Scope W/Submucous Inj (43201) |
— |
$2,220 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$2,719 |
— |
| Esophagosc Dilate Balloon 30 (43214) |
— |
$9,518 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$10,450 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$7,780 |
— |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
— |
$3,958 |
— |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
— |
$3,356 |
— |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
— |
$6,086 |
— |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
— |
$2,803 |
— |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
— |
$3,421 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$2,804 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$3,953 |
— |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
— |
$2,052 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$6,033 |
— |
| Esophagoscopy Retro Balloon (43213) |
— |
$3,281 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$2,947 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$3,412 |
— |
| Esophagoscp Rig Transoral Hypopharynx Crv Esoph (43180) |
— |
$6,459 |
— |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
— |
$2,779 |
— |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
— |
$3,227 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$1,406 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$2,113 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$1,519 |
— |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
— |
$1,601 |
— |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
— |
$1,670 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$2,130 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$1,448 |
— |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
— |
$1,591 |
— |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
— |
$1,770 |
— |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
— |
$2,015 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$2,113 |
— |
| Exc Frenum Labial/Buccal (40819) |
— |
$1,400 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$2,275 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$2,109 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$2,615 |
— |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
— |
$1,964 |
— |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
— |
$6,315 |
— |
| Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) |
— |
$6,875 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$1,927 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$2,119 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$3,917 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$2,329 |
— |
| Exc Skin Benig >4cm Face,Facial (11446) |
— |
$3,678 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$1,982 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$2,094 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$4,303 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$1,518 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$1,750 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$2,026 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$11,619 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$531 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$3,797 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$6,181 |
— |
| Exc tumor soft tissue pelvis & hip subfasc <5cm (27048) |
— |
$11,619 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$8,879 |
— |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
— |
$8,247 |
— |
| Exchange Transfusion (36455) |
— |
$1,467 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$3,154 |
— |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
— |
$4,068 |
— |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
— |
$1,322 |
— |
| Excise mandible lesion (21040) |
— |
$1,945 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$1,893 |
— |
| Excision & Repair Eyelid < One-Fourth Lid Margin (67961) |
— |
$4,601 |
— |
| Excision & Repair Eyelid One-Fourth Lid Margin (67966) |
— |
$5,063 |
— |
| Excision Bone Mandible (21025) |
— |
$7,737 |
— |
| Excision Chalazion Multiple Same Lid (67801) |
— |
$1,690 |
— |
| Excision Chalazion Single (67800) |
— |
$763 |
— |
| Excision gum each quadrant (41820) |
— |
$1,622 |
— |
| Excision lesion mouth roof (42104) |
— |
$1,356 |
— |
| Excision Lesion Tongue W/O Closure (41110) |
— |
$938 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$1,304 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$1,562 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$1,640 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$2,080 |
— |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
— |
$1,353 |
— |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
— |
$1,924 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$2,316 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$1,353 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$1,571 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$1,718 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$2,396 |
— |
| Excision Maxillary Torus Palatinus (21032) |
— |
$1,553 |
— |
| Excision nasal polyp(s) simple (30110) |
— |
$4,401 |
— |
| Excision of chalazion; multiple, different lids (67805) |
— |
$756 |
— |
| Excision of gum flap (41821) |
— |
$1,506 |
— |
| Excision of tracheal tumor or carcinoma; cervical Facility (31785) |
— |
$12,995 |
— |
| Excision Torus Mandibularis (21031) |
— |
$1,571 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$2,397 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$521 |
— |
| Excision/surgical planing skin nose rhinophyma (30120) |
— |
$4,473 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$5,995 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$5,976 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$3,519 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$2,123 |
— |
| Eye surgery procedure (67299) |
— |
$10,439 |
— |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
— |
$3,927 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$3,959 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$574 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$563 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$3,061 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$3,028 |
— |
| Forehead flap w/vasc pedicle (15731) |
— |
$3,760 |
— |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
— |
$3,760 |
— |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
— |
$4,556 |
— |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
— |
$3,601 |
— |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
— |
$3,601 |
— |
| Graft Ear Crtlg Autogenous Nose/Ear (21235) |
— |
$5,882 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$5,309 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$673 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$6,185 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$5,856 |
— |
| Hysteroscopy Removal Impacted Foreign Body (58562) |
— |
$5,856 |
— |
| I&d abscess simple (10060) |
— |
$702 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$6,282 |
— |
| Icd Pocket Revision (33223) |
— |
$5,526 |
— |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
— |
$5,828 |
— |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
— |
$2,804 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$2,804 |
— |
| Image Cath Fluid Colxn Visc (49405) |
— |
$5,781 |
— |
| Image Cath Fluid Peri/Retro (49406) |
— |
$5,309 |
— |
| Image Cath Fluid Trns/Vgnl (49407) |
— |
$5,781 |
— |
| Implant neuroelectrodes (63650) |
— |
$25,490 |
— |
| Implant Neuroelectrodes (64561) |
— |
$17,239 |
— |
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Facility (62361) |
— |
$30,916 |
— |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
— |
$10,572 |
— |
| Impression & Preparation Auricular Prosthesis (21086) |
— |
$15,409 |
— |
| Impression & Preparation Nasal Prosthesis (21087) |
— |
$13,980 |
— |
| Impression & Preparation Oral Surgical Splint (21085) |
— |
$5,595 |
— |
| Impression & Prepj Palatal Augmentation Prosthes (21082) |
— |
$13,607 |
— |
| Impression and custom preparation; definitive obturator prosthesis Facility (21080) |
— |
$16,357 |
— |
| Impression and custom preparation; facial prosthesis Facility (21088) |
— |
$18,952 |
— |
| Impression and custom preparation; interim obturator prosthesis Facility (21079) |
— |
$14,569 |
— |
| Impression and custom preparation; mandibular resection prosthesis Facility (21081) |
— |
$11,165 |
— |
| Impression and custom preparation; orbital prosthesis Facility (21077) |
— |
$18,100 |
— |
| Impression and custom preparation; palatal lift prosthesis Facility (21083) |
— |
$10,834 |
— |
| Impression and custom preparation; speech aid prosthesis Facility (21084) |
— |
$7,154 |
— |
| Impression&Preparation Surg Obturator Prosthes (21076) |
— |
$7,142 |
— |
| Incise finger tendon sheath (26055) |
— |
$2,332 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$781 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$390 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$611 |
— |
| Incision Drainage Lacrimal Sac (68420) |
— |
$3,420 |
— |
| Incision of eardrum (69420) |
— |
$1,462 |
— |
| Incision of labial frenum (frenotomy) (40806) |
— |
$455 |
— |
| Incisional biopsy eyelid skin & lid margin (67810) |
— |
$1,093 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$1,038 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$403 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$2,266 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$617 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$2,340 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$975 |
— |
| Inject Intravitreal Pharmcologic (67028) |
— |
$880 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$613 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$2,486 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$2,340 |
— |
| Injection aa&/strd genicular nrv branches w/img (64454) |
— |
$3,207 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$1,039 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$3,207 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$2,384 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$3,027 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$638 |
— |
| Injection Anes Superior Hypogastric Plexus (64517) |
— |
$932 |
— |
| Injection anesthetic agent suprascapular nerve (64418) |
— |
$529 |
— |
| Injection medication/other subst tenon capsule (67515) |
— |
$818 |
— |
| Injection of sclerosing solution, hemorrhoids (46500) |
— |
$669 |
— |
| Injection procedure for peyronie disease (54200) |
— |
$629 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$616 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$627 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$690 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$1,974 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$579 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$1,892 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$2,437 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$1,076 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$2,574 |
— |
| Injection, Intralesional; More Than 7 Lesions (11901) |
— |
$443 |
— |
| Injection, intralesional; up to and including 7 lesions (11900) |
— |
$391 |
— |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
— |
$1,370 |
— |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
— |
$1,370 |
— |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
— |
$1,356 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$7,864 |
— |
| Ins cath ren art 1st unilat (36251) |
— |
$7,864 |
— |
| Ins cath ren art 2nd+ bilat (36254) |
— |
$7,734 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$7,864 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$11,980 |
— |
| Ins Vag Brachytx Device (57156) |
— |
$1,822 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$12,978 |
— |
| Insert and remove bone pin (20650) |
— |
$5,270 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$677 |
— |
| Insert cath pleura w/ image (32557) |
— |
$5,029 |
— |
| Insert cath pleura w/o image (32556) |
— |
$4,101 |
— |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
— |
$4,324 |
— |
| Insert Drug Implant Device (11981) |
— |
$163 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$3,646 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$26,193 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$18,672 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$21,923 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$3,779 |
— |
| Insert pessary/other device (57160) |
— |
$381 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$3,475 |
— |
| Insert spine infusion device (62360) |
— |
$30,882 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$227 |
— |
| Insert tun ip cath perc (49418) |
— |
$8,448 |
— |
| Insert tunneled cv cath (36561) |
— |
$8,774 |
— |
| Insert tunneled cv cath (36563) |
— |
$8,774 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$4,935 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$197 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$5,906 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$4,418 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$19,422 |
— |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
— |
$7,165 |
— |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
— |
$6,775 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$3,599 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$4,135 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$6,604 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$6,289 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$3,623 |
— |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
— |
$11,715 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$8,921 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$8,774 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$9,776 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$4,935 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$23,964 |
— |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
— |
$43,854 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$8,561 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$24,849 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$17,080 |
— |
| Instlj ther agent renal pelvis&/ureter via tub (50391) |
— |
$659 |
— |
| Interdental fixation (21110) |
— |
$3,058 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$3,391 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$1,207 |
— |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
— |
$1,267 |
— |
| Intranasal Biopsy (30100) |
— |
$2,132 |
— |
| Intro cath dialysis circuit (36901) |
— |
$10,283 |
— |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
— |
$11,175 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$10,876 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,489 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$926 |
— |
| Iridotomy/irridectomy laser surg per session (66761) |
— |
$1,398 |
— |
| Irrigation maxillary sinus (31000) |
— |
$520 |
— |
| Island pedicle flap graft (15740) |
— |
$4,462 |
— |
| IV injection test vascular flow flap/graft (15860) |
— |
$450 |
— |
| Kidney endoscopy (50553) |
— |
$9,625 |
— |
| Labyrinthotomy Transcanal (69801) |
— |
$2,388 |
— |
| Laryngoscope Injection Vocal Cord Therapeutic (31570) |
— |
$4,228 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$493 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$689 |
— |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
— |
$522 |
— |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
— |
$1,955 |
— |
| Laser Surgery of Cervix (57513) |
— |
$2,414 |
— |
| Late closure of wound (13160) |
— |
$3,601 |
— |
| Ligation of a-v fistula (37607) |
— |
$8,185 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$8,132 |
— |
| Lyse chest fibrin init day (32561) |
— |
$1,160 |
— |
| Lyse Chest Fibrin Subq Day (32562) |
— |
$409 |
— |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
— |
$1,316 |
— |
| Mastopexy (19316) |
— |
$8,558 |
— |
| Maxillary impression for palatal prosthesis Facility (42280) |
— |
$897 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$2,807 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$9,429 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$2,095 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$2,095 |
— |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
— |
$8,918 |
— |
| Myelography Lumbar Injection (62305) |
— |
$3,677 |
— |
| Myelography Lumbar Injection (62304) |
— |
$3,131 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$3,115 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$3,198 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$975 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$975 |
— |
| N block inj intercost sng (64420) |
— |
$975 |
— |
| N Block Inj Paracervical (64435) |
— |
$638 |
— |
| N Block Inj Plantar Digit (64455) |
— |
$887 |
— |
| N Block Inj Pudendal (64430) |
— |
$2,003 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$932 |
— |
| Nasal Endoscopy Dx (31231) |
— |
$655 |
— |
| Nasal sinus therapy (30210) |
— |
$2,029 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$760 |
— |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
— |
$5,711 |
— |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
— |
$525 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$2,551 |
— |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
— |
$2,551 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$3,009 |
— |
| Needle Biopsy Pancreas (48102) |
— |
$3,899 |
— |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
— |
$2,601 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$960 |
— |
| Nipple/areola reconstruction (19350) |
— |
$4,533 |
— |
| Njx anes stellate ganglion crv sympathetic (64510) |
— |
$975 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$975 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
— |
$1,817 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$2,887 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,266 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
— |
$3,701 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$3,449 |
— |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
— |
$2,169 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
— |
$2,420 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
— |
$3,701 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$3,449 |
— |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
— |
$2,420 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$2,449 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
— |
$2,949 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$2,886 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$2,886 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$627 |
— |
| Nocturnal penile tumescence and/or rigidity test Non-Facility (54250) |
— |
$595 |
— |
| Obstructive material removal from gi tube (49460) |
— |
$1,433 |
— |
| Occipital Nerve Block (64405) |
— |
$975 |
— |
| Ocular Surface Reconstruction Amniotic Membrane (65780) |
— |
$9,270 |
— |
| Onc Hl Neo Gen Seq Alys Alg (0364U) |
— |
$4,455 |
— |
| Onc pncrs DNA&mrna seq 74 (0313U) |
— |
$1,705 |
— |
| Open Implantation Nea Peripheral Nerve (64575) |
— |
$20,271 |
— |
| Open Tx Mandibular Fx W/Interdental Fixation (21462) |
— |
$9,656 |
— |
| Open Tx Mandibular Fx W/O Interdental Fixation (21461) |
— |
$9,391 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$33,627 |
— |
| Open/Perq Place Stent Same (37238) |
— |
$33,627 |
— |
| Penile Injection (54235) |
— |
$866 |
— |
| Perc Cryo Ablate Renal Tum (50593) |
— |
$16,020 |
— |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
— |
$4,033 |
— |
| Perc Rf Ablate Renal Tumor (50592) |
— |
$16,020 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$15,367 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$24,922 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$2,550 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$10,442 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$5,347 |
— |
| Peritoneal Lavage (49084) |
— |
$1,782 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$24,922 |
— |
| Perq av fistula creation uxtr sep access sites (36837) |
— |
$8,101 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$9,219 |
— |
| Perq dev breast 1st mr guide (19287) |
— |
$5,286 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$3,833 |
— |
| Perq device breast 1st imag (19281) |
— |
$4,003 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$16,453 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$9,219 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$17,293 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$6,585 |
— |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
— |
$11,664 |
— |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
— |
$11,362 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$20,136 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$20,136 |
— |
| Photopheresis extracorporeal (36522) |
— |
$13,598 |
— |
| Place Amniotic Membra Ocular Surface W/O Sutures (65778) |
— |
$3,808 |
— |
| Place Cath Subclavian Art (36225) |
— |
$7,216 |
— |
| Place Cath Thoracic Aorta (36221) |
— |
$7,521 |
— |
| Place Cath Vertebral Art (36226) |
— |
$7,216 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$2,531 |
— |
| Place ndl musc/tis for rt (20555) |
— |
$3,009 |
— |
| Place Rt Device/Marker Pros (55876) |
— |
$1,515 |
— |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
— |
$4,569 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$10,070 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$9,481 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$10,573 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$11,485 |
— |
| Plmt expandable cath brst following prtl mast (19296) |
— |
$8,674 |
— |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
— |
$8,608 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$10,108 |
— |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
— |
$10,420 |
— |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
— |
$9,478 |
— |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
— |
$10,436 |
— |
Prepare face/oral prosthesis (21089)
range across 5 matching MRF lines |
— |
$417–$5,793 |
— |
| Prim art mech thrombectomy (37184) |
— |
$10,707 |
— |
| Probing nasolacrimal duct (68810) |
— |
$1,128 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$1,919 |
— |
| Proctosgmdsc Rigid Rmvl Mult Tumor Cautery/Snare (45315) |
— |
$5,780 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$1,353 |
— |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
— |
$2,104 |
— |
| Prostatic Rf Thermotx (53852) |
— |
$10,759 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$5,935 |
— |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
— |
$13,618 |
— |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
— |
$3,574 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$10,263 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$10,677 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$16,874 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$11,105 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$1,971 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$719 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$646 |
— |
| Puncture Aspiration Cyst Breast (19000) |
— |
$577 |
— |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
— |
$927 |
— |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
— |
$2,223 |
— |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
— |
$5,029 |
— |
| Rcnstj Mandible/Maxl Endosteal Implant Partial (21248) |
— |
$8,641 |
— |
| Reconstruct lip with flap (40525) |
— |
$6,253 |
— |
| Reconstruction of jaw (21249) |
— |
$8,732 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$7,899 |
— |
| Reinforce hip bones (27187) |
— |
$17,021 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$4,364 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$8,032 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$8,642 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$2,239 |
— |
| Removal foreign body upper arm/elbow deep (24201) |
— |
$948 |
— |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
— |
$531 |
— |
| Removal Implant Deep (20680) |
— |
$5,551 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$4,125 |
— |
| Removal implantable contraceptive capsules (11976) |
— |
$281 |
— |
| Removal intact breast implant (19328) |
— |
$9,174 |
— |
| Removal of a lesion from the floor of the mouth (41116) |
— |
$3,687 |
— |
| Removal of nail bed (11750) |
— |
$1,254 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$7,218 |
— |
| Removal of vein clot (34490) |
— |
$12,469 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$5,390 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$5,426 |
— |
| Removal ppm generator only (33233) |
— |
$5,786 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$566 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$2,576 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$4,873 |
— |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
— |
$6,304 |
— |
| Remove Brain Cavity Fluid (61020) |
— |
$1,583 |
— |
| Remove drug implant device (11982) |
— |
$163 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$6,342 |
— |
| Remove foreign body from eye (65205) |
— |
$563 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$2,011 |
— |
| Remove Intrauterine Device (58301) |
— |
$417 |
— |
| Remove intrvas foreign body (37197) |
— |
$7,672 |
— |
| Remove lung catheter (32552) |
— |
$1,651 |
— |
| Remove Pulse Generator (33241) |
— |
$7,323 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$1,603 |
— |
| Remove tissue expander (11971) |
— |
$6,931 |
— |
| Remove ureter stent percut (50384) |
— |
$5,316 |
— |
| Remove&replace pm gen singl (33227) |
— |
$19,044 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$163 |
— |
| Remv cartilage for graft nasal (20912) |
— |
$5,697 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$24,405 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$24,405 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$24,405 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$27,525 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$32,396 |
— |
| Renal Biopsy Perq (50200) |
— |
$4,065 |
— |
| Repair Blood Vessel Direct Upper Extremity (35206) |
— |
$11,881 |
— |
| Repair blood vessel lesion (35266) |
— |
$11,850 |
— |
| Repair blood vessel with vein graft; lower extremity Facility (35256) |
— |
$11,621 |
— |
| Repair brow ptosis (67900) |
— |
$4,334 |
— |
| Repair cleft lip/nasal (40761) |
— |
$10,242 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$1,697 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$1,959 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$1,329 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,940 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$1,234 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$1,388 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$1,464 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$1,618 |
— |
| Repair Ectropion Suture (67914) |
— |
$3,642 |
— |
| Repair Entropion Suture (67921) |
— |
$3,673 |
— |
| Repair gum (41872) |
— |
$656 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$961 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$1,023 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$1,085 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$1,144 |
— |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
— |
$1,330 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$866 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$795 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$795 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$795 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$3,104 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$961 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$829 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$869 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$961 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$911 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$2,596 |
— |
| Repair Nasal Vestibular Stenosis (30465) |
— |
$10,242 |
— |
| Repair Tooth Socket (41874) |
— |
$3,116 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$1,472 |
— |
| Replace G-J Tube Perc (49452) |
— |
$1,472 |
— |
| Replace g/c tube perc (49450) |
— |
$1,472 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$2,113 |
— |
| Reposition L Ventric Lead (33226) |
— |
$6,602 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$6,731 |
— |
| Reposition Venous Catheter (36597) |
— |
$3,337 |
— |
| Retrobulbar inject,alcohol (67505) |
— |
$908 |
— |
| Retrobulbar injection (67500) |
— |
$1,071 |
— |
| Revise Abdomen-Venous Shunt (49426) |
— |
$5,761 |
— |
| Revision of eyelid (67880) |
— |
$3,808 |
— |
| Revision of reconstructed breast (19380) |
— |
$6,687 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$6,105 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$16,453 |
— |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
— |
$15,135 |
— |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
— |
$5,055 |
— |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
— |
$4,542 |
— |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
— |
$5,055 |
— |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
— |
$4,542 |
— |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
— |
$4,244 |
— |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
— |
$3,249 |
— |
| Rmvl embedded fb vestibule mouth comp (40805) |
— |
$1,400 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$434 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$618 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$563 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$3,661 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$314 |
— |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
— |
$2,810 |
— |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
— |
$6,157 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$2,810 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$4,364 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$2,991 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$1,943 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$1,122 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$1,122 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$3,324 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$3,142 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$3,393 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$7,772 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$6,562 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$6,033 |
— |
| Rpr blvsl w/grf other/than vein lower extremity (35286) |
— |
$16,020 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$2,660 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$837 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$824 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,919 |
— |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
— |
$2,872 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,771 |
— |
| Sclerotx Fluid Collection (49185) |
— |
$7,378 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$6,253 |
— |
| Severing tarsorrhaphy (67710) |
— |
$2,078 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$1,598 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$3,013 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$345 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
— |
$441 |
— |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
— |
$707 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$389 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$420 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$389 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$455 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
— |
$526 |
— |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
— |
$492 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$411 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$446 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$420 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$3,353 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$2,338 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
— |
$4,807 |
— |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
— |
$2,696 |
— |
| Sigmoidoscopy flx tndsc us gid ndl aspir/bx (45342) |
— |
$2,996 |
— |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
— |
$3,396 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$1,941 |
— |
| Sigmoidoscopy w/plcmt stent (45347) |
— |
$5,638 |
— |
| Sigmoidoscopy W/Resection (45349) |
— |
$5,274 |
— |
| Sigmoidoscopy W/Ultrasound (45341) |
— |
$2,812 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$2,033 |
— |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
— |
$2,813 |
— |
| Simple Cystometrogram (51725) |
— |
$824 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$909 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$669 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$761 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$1,005 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$761 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$1,103 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$634 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$909 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$908 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$4,141 |
— |
| Skin Pinch Graft (15050) |
— |
$3,571 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$1,432 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$1,517 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$4,743 |
— |
Skin Tissue Procedure (17999)
range across 2 matching MRF lines |
— |
$577–$8,561 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$3,261 |
— |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
— |
$8,900 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$8,900 |
— |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
— |
$5,689 |
— |
| Slitting of prepuce (54001) |
— |
$4,217 |
— |
| Small bowel endoscopy (44366) |
— |
$3,500 |
— |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
— |
$6,001 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$719 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$954 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$915 |
— |
| Snip Incision Lacrimal Punctum (68440) |
— |
$723 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$1,434 |
— |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
— |
$5,452 |
— |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
— |
$4,984 |
— |
| Strapping elbow or wrist (29260) |
— |
$474 |
— |
| Strapping hand/finger (29280) |
— |
$474 |
— |
| Strapping shoulder (29240) |
— |
$448 |
— |
| Strapping Unna Boot (29580) |
— |
$391 |
— |
| Subcutaneous Injection Filling Material 1 Cc/< (11950) |
— |
$824 |
— |
| Subcutaneous injection filling matrl 1.1-5.0 cc (11951) |
— |
$906 |
— |
| Subcutaneous Injection Filling Matrl >10.0 Cc (11954) |
— |
$1,052 |
— |
| Subcutaneous injection of filling material (eg, collagen); 5.1 to 10.0 cc Facility (11952) |
— |
$956 |
— |
T-cell depletion of harvest (38210)
range across 2 matching MRF lines |
— |
$37,236–$38,445 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$719 |
— |
| Tattooing incl micropigmentation 6.0 cm/< (11920) |
— |
$2,500 |
— |
| Tattooing incl micropigmentation 6.1-20.0 cm (11921) |
— |
$2,938 |
— |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
— |
$34,080 |
— |
| Temporary Closure Eyelids Suture (67875) |
— |
$1,748 |
— |
| Thaw preserved stem cells (38208) |
— |
$3,984 |
— |
| Ther Apheresis,Red Blood Cells (36512) |
— |
$4,411 |
— |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
— |
$2,394 |
— |
| Therapeutic Apheresis White Blood Cells (36511) |
— |
$4,411 |
— |
| Therapeutic plasma exchange (36514) |
— |
$4,411 |
— |
| Thoracoscopy w/bx nodule (32608) |
— |
$9,802 |
— |
| Thoracoscopy w/bx pleura (32609) |
— |
$9,802 |
— |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
— |
$9,802 |
— |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
— |
$7,880 |
— |
| Thrmbc Dir/W/Cath V/C Iliac Fempop Vein Leg Inc (34421) |
— |
$12,999 |
— |
| Thrmbc Opn Arven Fstl W/O Revj Dial Grf (36831) |
— |
$12,999 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$11,664 |
— |
| Thromblytic art/ven therapy (37213) |
— |
$8,774 |
— |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
— |
$16,020 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$9,787 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$804 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$9,625 |
— |
| Thyroid biopsy (60100) |
— |
$2,904 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$4,471 |
— |
| Tooth extraction (41899) |
— |
$3,767 |
— |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
— |
$11,472 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$3,071 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$3,685 |
— |
| Tracheostomy planned (31600) |
— |
$3,402 |
— |
| Transcatheter biopsy (37200) |
— |
$7,546 |
— |
| Transoral lower esophageal myotomy (43497) |
— |
$6,451 |
— |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
— |
$6,313 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$1,718 |
— |
| Treat humerus fracture (24500) |
— |
$960 |
— |
| Treat Humerus Fracture (24505) |
— |
$2,227 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$607 |
— |
| Treatment extensive retinopathy photocoagulation (67228) |
— |
$1,261 |
— |
| Trim skin lesion (11055) |
— |
$474 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$519 |
— |
| Trim skin lesions over 4 (11057) |
— |
$591 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$228 |
— |
| Trluml Balo Angiop 1St Art (37246) |
— |
$11,395 |
— |
| Trluml Balo Angiop 1St Vein (37248) |
— |
$11,586 |
— |
| Trnspl Prepj Hematop Progen Cells Cryoprsrv Stor (38207) |
— |
$10,295 |
— |
| Trnspl Prepj Hematop Progen Concentration Plsm (38215) |
— |
$7,637 |
— |
| Trnspl Prepj Hematop Progen Plsm Vol Deplj (38214) |
— |
$6,859 |
— |
| Trnspl Prepj Hematop Progen Pltlt Deplj (38213) |
— |
$3,890 |
— |
| Trnspl Prepj Hematop Progen Red Bld Cell Rmvl (38212) |
— |
$6,435 |
— |
| Trnspl prepj hematop progen tum cell deplj (38211) |
— |
$40,668 |
— |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
— |
$6,820 |
— |
| Trnsplj autologous hematopoietic cells per donor (38241) |
— |
$5,336 |
— |
| Trnsplj Hematopoietic Cell Boost (38243) |
— |
$5,532 |
— |
| Trurl Rf Female Bladder Neck Strs Urin Incont (53860) |
— |
$5,388 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$166 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$661 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$661 |
— |
| Unlisted laparoscopic procedure liver (47379) |
— |
$45,341 |
— |
| Unlisted laparoscopy procedure, rectum (45499) |
— |
$6,720 |
— |
Unlisted Procedure Biliary Tract (47999)
range across 2 matching MRF lines |
— |
$6,503–$11,407 |
— |
| Unlisted procedure breast (19499) |
— |
$5,449 |
— |
Unlisted procedure colon (45399)
range across 5 matching MRF lines |
— |
$1,371–$5,522 |
— |
Unlisted Procedure Endocrine System (60699)
range across 4 matching MRF lines |
— |
$7,971–$13,252 |
— |
Unlisted Procedure Esophagus (43499)
range across 7 matching MRF lines |
— |
$896–$8,713 |
— |
Unlisted procedure femur or knee (27599)
range across 2 matching MRF lines |
— |
$5,314–$13,708 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$4,273 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$5,314 |
— |
Unlisted Procedure Intestine (44799)
range across 2 matching MRF lines |
— |
$6,345–$6,980 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$4,971 |
— |
Unlisted procedure liver (47399)
range across 2 matching MRF lines |
— |
$4,393–$13,708 |
— |
Unlisted procedure lungs and pleura (32999)
range across 4 matching MRF lines |
— |
$607–$16,020 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$5,843 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$13,022 |
— |
Unlisted procedure nervous system (64999)
range across 9 matching MRF lines |
— |
$638–$9,859 |
— |
Unlisted procedure pancreas (48999)
range across 3 matching MRF lines |
— |
$1,905–$17,515 |
— |
Unlisted procedure pelvis/hip joint (27299)
range across 2 matching MRF lines |
— |
$7,590–$13,708 |
— |
Unlisted procedure shoulder (23929)
range across 2 matching MRF lines |
— |
$5,314–$13,708 |
— |
Unlisted procedure spine (22899)
range across 2 matching MRF lines |
— |
$5,261–$9,390 |
— |
Unlisted procedure stomach (43999)
range across 6 matching MRF lines |
— |
$1,403–$6,345 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$2,998 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$12,008 |
— |
Unlisted procedure, abdomen, peritoneum and omentum (49999)
range across 3 matching MRF lines |
— |
$3,830–$13,708 |
— |
Unlisted Procedure, Urinary System (53899)
range across 4 matching MRF lines |
— |
$316–$10,667 |
— |
Unlisted px female genital system nonobstetrical (58999)
range across 3 matching MRF lines |
— |
$357–$3,272 |
— |
| Upgrade of pacemaker system (33214) |
— |
$35,345 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
— |
$8,114 |
— |
| Ureteral endoscopy via ureterostomy (50951) |
— |
$5,822 |
— |
| Vasc embolize/occlude artery (37242) |
— |
$32,790 |
— |
| Vasc Embolize/Occlude Bleed (37244) |
— |
$32,790 |
— |
| Vasc Embolize/Occlude Organ (37243) |
— |
$31,453 |
— |
| Vasc embolize/occlude venous (37241) |
— |
$31,453 |
— |
| Venous Mech Thrombectomy (37187) |
— |
$10,708 |
— |
| Ventricular puncture previous burr hole w/inj (61026) |
— |
$1,773 |
— |
| Vermilionectomy lip shv w/mucosal advmnt (40500) |
— |
$4,401 |
— |
| Vulvectomy simple partial (56620) |
— |
$5,549 |
— |
| Wash harvest stem cells (38209) |
— |
$7,499 |
— |
| Wedge excision skin nail fold (11765) |
— |
$477 |
— |