| Abd paracentesis w/imaging (49083) |
— |
$3,929.08 |
— |
| Abrasion single lesion (15786) |
— |
$12,283.12 |
— |
| Acne surgery (10040) |
— |
$515.33 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$3,495.38 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$3,356.22 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$2,697 |
— |
| Amputate Thigh,Re-Amputatn (27596) |
— |
$92,508.67 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$62,583.24 |
— |
| Amputation foot transmetarsal (28805) |
— |
$1,802.98 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$15,581.81 |
— |
| Amputation thigh through femur any level (27590) |
— |
$1,848.30 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$13,480.20 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$12,174.27 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$62,583.24 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$2,120.80 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$87,217.45 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$87,217.45 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$87,217.45 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$87,217.45 |
— |
| Amputation, thigh, through femur, any level; immediate fitting technique including first cast Facility (27591) |
— |
$92,508.67 |
— |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
— |
$92,508.67 |
— |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
— |
$18,106.29 |
— |
| Anal/Urinary Muscle Study (51784) |
— |
$155 |
— |
| Anoscopy diagnostic (46600) |
— |
$239.47 |
— |
| Appendectomy (44950) |
— |
$1,593.53 |
— |
| Application cast elbow finger short arm (29075) |
— |
$208.30 |
— |
| Application Cast Finger (29086) |
— |
$303 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$857 |
— |
| Application finger splint static (29130) |
— |
$158 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$198.18 |
— |
| Application Long Leg Cast Brace (29358) |
— |
$618 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$547 |
— |
| Application Long Leg Splint (29505) |
— |
$206.68 |
— |
| Application of long leg cast (29345) |
— |
$329.38 |
— |
Application of rigid total contact leg cast (29445) range across 3 matching MRF lines |
— |
$238.68–$729.12 |
— |
| Application Patellar Tendon Bearing Cast (29435) |
— |
$300 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$187.43 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$155.80 |
— |
| Application short leg splint calf foot (29515) |
— |
$172.68 |
— |
| Application uniplane external fixation system (20690) |
— |
$1,475.05 |
— |
| Application, cast; figure-of-eight Facility (29049) |
— |
$380 |
— |
| Apply hand/wrist cast (29085) |
— |
$229.68 |
— |
| Apply long arm cast (29065) |
— |
$231.15 |
— |
| Apply Short Leg Cast (29405) |
— |
$194.15 |
— |
| Apply short leg cast (29425) |
— |
$186.68 |
— |
| Apply shoulder cast,plastr velpeau (29058) |
— |
$472 |
— |
| Arterial puncture (36600) |
— |
$18.08 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
— |
$256.96 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
— |
$2,052.34–$2,085.34 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
— |
$214–$772.56 |
— |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
— |
$124.10 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$6,257.39 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$2,298.48 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$21,584.75 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$1,224.53 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$2,376 |
— |
Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
— |
$45,242.49–$67,516.31 |
— |
Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
— |
$65,707.58–$73,964.98 |
— |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
— |
$2,077.73 |
— |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
— |
$27,796.12–$69,357.93 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 2 matching MRF lines |
— |
$37,280.83–$46,129.96 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$1,422.65 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 3 matching MRF lines |
— |
$41,455.98–$73,810.40 |
— |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
— |
$2,556.45 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 2 matching MRF lines |
— |
$37,280.83–$52,494.27 |
— |
| Arthrotomy W/Meniscus Repair Knee (27403) |
— |
$2,443 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
— |
$8,111.53 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$6,257.39 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$86,900.18 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$2,865.28 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) range across 3 matching MRF lines |
— |
$62,558.54–$88,099.81 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$19,031.16 |
— |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
— |
$1,853.75 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$1,385.73 |
— |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
— |
$58,980.15 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$969.40 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$6,257.39 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$8,111.53 |
— |
| Arthrt w/synvct kne ant&post w/pop area (27335) |
— |
$1,840.10 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$951.58 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$5,263.93 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$1,804.50 |
— |
| Aspirate/Inj Ganglion Cyst (20612) |
— |
$151.65 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$575.15 |
— |
Avulsion nail plate partial/complete simple 1 (11730) range across 3 matching MRF lines |
— |
$130.80–$415.86 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$7,244.99 |
— |
Biopsy bone trocar/needle deep (20225) range across 3 matching MRF lines |
— |
$600–$3,373.99 |
— |
Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
— |
$242–$1,675.64 |
— |
| Biopsy external ear (69100) |
— |
$387 |
— |
Biopsy muscle percutaneous needle (20206) range across 3 matching MRF lines |
— |
$220–$2,995.42 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$820.25 |
— |
Biopsy of lip (40490) range across 3 matching MRF lines |
— |
$138.43–$1,810.63 |
— |
| Biopsy of liver, needle; percutaneous (47000) |
— |
$8,582.06 |
— |
| Biopsy of penis (54100) |
— |
$488.23 |
— |
| Biopsy of penis; deep structures (54105) |
— |
$671.68 |
— |
| Biopsy of rectum (45100) |
— |
$1,160 |
— |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
— |
$35,833.56 |
— |
Biopsy Pleura Percutaneous Needle (32400) range across 3 matching MRF lines |
— |
$330–$3,605.78 |
— |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
— |
$17,494.27 |
— |
Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) range across 3 matching MRF lines |
— |
$446.15–$1,433.56 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$39,348.40 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$2,006 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$27,093.67 |
— |
| Bladder Irrigation (51700) |
— |
$39,805.22 |
— |
| Bladder Scan (51798) |
— |
$22,409.90 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$674.40 |
— |
| Blood Transfusion Service (36430) |
— |
$1,654.88 |
— |
| Bone Marrow Biopsy (38221) |
— |
$16,767.11 |
— |
Bx breast 1st lesion strtctc (19081) range across 2 matching MRF lines |
— |
$4,706.56–$5,200.85 |
— |
Bx breast 1st lesion us imag (19083) range across 3 matching MRF lines |
— |
$3,613.61–$4,370.64 |
— |
| Bx Cervix (57500) |
— |
$178.63 |
— |
| Bx prostate transperineal ultrasound-guided (55709) |
— |
$7,760.19 |
— |
Bx prostate transrectal MRI-us gid trgt les 1st (55711) range across 3 matching MRF lines |
— |
$333.15–$5,402 |
— |
| Bx prst8 trct us w/MRI fus 1 (55708) |
— |
$18,602.55 |
— |
Bx/exc lymph node open deep axillary node (38525) range across 3 matching MRF lines |
— |
$23,583.07–$54,137.33 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$825.25 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$10,363.65 |
— |
Cataract surgery complex (66982) range across 2 matching MRF lines |
— |
$12,254.88–$13,596.88 |
— |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
— |
$348.45 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$327.68 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$597.17 |
— |
| Change of Windpipe Airway (31502) |
— |
$338.18 |
— |
Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
— |
$216.85–$462.07 |
— |
| Chemodenerv Musc Migraine (64615) |
— |
$737.98 |
— |
| Chest tube placement (32551) |
— |
$616.50 |
— |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
— |
$4,460.52 |
— |
| Circumcision 28 days or older (54161) |
— |
$19,200.16 |
— |
| Circumcision Neonate (54160) |
— |
$824 |
— |
| Circumcision w/clamp/oth dev w/block (54150) |
— |
$19,672.77 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$1,188.33 |
— |
| Clear outer ear canal (69200) |
— |
$481 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$16,215.68 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$1,043.65 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$1,531.20 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$7,475.36 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$7,475.36 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$7,475.36 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$13,978.86 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$7,475.36 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$12,605.07 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$7,475.36 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$990.05 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$821.28 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$939.93 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$7,475.36 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$13,989.69 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$1,200.05 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$834.85 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$7,475.36 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$1,625 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$30,017.25 |
— |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
— |
$1,197.28 |
— |
Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
— |
$69.85–$595.93 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$27.06 |
— |
| Colonoscopy w/ablation (45388) |
— |
$2,895.90 |
— |
| Colposcopy Cervix Endocervical Curettage (57456) |
— |
$514.75 |
— |
| Colposcopy cervix upper/adjacent vagina (57452) |
— |
$785.84 |
— |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
— |
$1,051.73 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$718.25 |
— |
| Colposcopy entire vagina w/cervix if present (57420) |
— |
$323.23 |
— |
| Colposcopy of vulva (56820) |
— |
$6,941.43 |
— |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
— |
$418.28 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$2,381 |
— |
| Complex drainage wound (10180) |
— |
$58,373.56 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$449.56 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$32,875.47 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 2 matching MRF lines |
— |
$7,674.04–$9,793.34 |
— |
| Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) Facility (55873) |
— |
$32,503.88 |
— |
| Csf shunt reprogram (62252) |
— |
$15,458.81 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$719.53 |
— |
| Curettage postpartum (59160) |
— |
$444.83 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$24,627.56 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$25,945.19 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$1,130.50 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$1,770.13 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$31,777.62 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$1,058.43 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$23,726.12 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$22,302.89 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$26,067.92 |
— |
| Cysto w/up stricture tx (52342) |
— |
$65,758.51 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$49,301.40 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$29,555.33 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$27,420.13 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$34,005.35 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$727.95 |
— |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
— |
$40,753.19 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$38,449.57 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$34,005.35 |
— |
| Cystometrogram W/Vp (51728) |
— |
$867.45 |
— |
| Cystorrhaphy suture of bladder wound injury or rupture simple (51860) |
— |
$1,812.78 |
— |
| Cystoscopy and radiotracer (52250) |
— |
$58,869.76 |
— |
| Cystoscopy implant stent (52282) |
— |
$44,697.14 |
— |
| Cystostomy Cystotomy W/Drainage (51040) |
— |
$4,711.80 |
— |
| Cystouretero w/renal strict (52346) |
— |
$27,881.06 |
— |
| Cystourethroscopy (52000) |
— |
$20,105.70 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
— |
$44,882.63 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$1,441.15 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$928.10 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$29,152.18 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$27,410.20 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$506.60 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$44,882.63 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$18,882.15 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$18,364.92 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$65,418.81 |
— |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
— |
$38,932.83 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$137.13 |
— |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
— |
$1,656.08 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$1,161.93 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$1,236.74 |
— |
| Debride nail 1-5 (11720) |
— |
$123 |
— |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
— |
$543.68–$2,352.15 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$999.33 |
— |
| Declot vascular device (36593) |
— |
$798.31 |
— |
| Delivery of placenta (59414) |
— |
$215.35 |
— |
| Dermabrasion regional other than face (15782) |
— |
$12,283.12 |
— |
| Dermabrasion superficial any site (15783) |
— |
$12,283.12 |
— |
| Destruct B9 Lesion 1-14 (17110) |
— |
$272 |
— |
| Destruction by neurolytic agent, intercostal nerve (64620) |
— |
$2,003.16 |
— |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
— |
$664.18 |
— |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
— |
$540 |
— |
| Destruction premalignant lesion 1st (17000) |
— |
$311 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$2,423.96 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$65,758.51 |
— |
| Dilate Urethra Stricture (53600) |
— |
$214.60 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$13,060.28 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$1,654 |
— |
| Drainage of finger abscess simple (26010) |
— |
$1,017 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$2,464.20 |
— |
| Drainage of hydrocele (55000) |
— |
$291.08 |
— |
| Drainage of perirenal or renal abscess, open Facility (50020) |
— |
$70,009.82 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$40,049.51 |
— |
| Drainage of scrotum (54700) |
— |
$519.55 |
— |
| Drainage of urethra abscess (53040) |
— |
$27,340.71 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$617.18 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$12,283.12 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$12,283.12 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$277.79 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$10,946.53 |
— |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
— |
$333.53 |
— |
| Dstrj lesion penis simple surg excision (54060) |
— |
$475.20 |
— |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
— |
$2,003.16 |
— |
| Dx Bone Marrow Bx & Aspir (38222) |
— |
$13,690.59 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$10,167.59 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$1,084.04 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$27,793 |
— |
| Egd place gastrostomy tube (43246) |
— |
$17,271.66 |
— |
| Egd remove lesion snare (43251) |
— |
$1,167.63 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$27,793 |
— |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
— |
$18,106.29 |
— |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
— |
$18,106.29 |
— |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
— |
$18,106.29 |
— |
| Electro-Uroflowmetry First (51741) |
— |
$34.58 |
— |
| Embedded ip cath exit-site (49436) |
— |
$30,564.29 |
— |
| Endometrial Biopsy (58100) |
— |
$482.68 |
— |
| Endoscopy of ureter (50953) |
— |
$65,758.51 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$5,383 |
— |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
— |
$188.38 |
— |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
— |
$168.19 |
— |
| Epidural Blood Patch (62273) |
— |
$1,532.04 |
— |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
— |
$71,556.33 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$13,978.84 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$13,978.84 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$241.30 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$13,978.84 |
— |
| Evacuate mole of uterus (59870) |
— |
$22,365.55 |
— |
| Evacuation of subungual hematoma (11740) |
— |
$133.83 |
— |
| Exc arm/elbow les sc < 3 cm (24075) |
— |
$793.73 |
— |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
— |
$200.28–$1,512.74 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$3,645.54 |
— |
| Exc Back Les Sc < 3 Cm (21930) |
— |
$1,180.33 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$22,428.22 |
— |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
— |
$666 |
— |
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 3 matching MRF lines |
— |
$253.70–$1,583.08 |
— |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 3 matching MRF lines |
— |
$315.38–$1,583.08 |
— |
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
— |
$349.25–$1,583.08 |
— |
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 3 matching MRF lines |
— |
$426.60–$3,645.54 |
— |
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 3 matching MRF lines |
— |
$540.28–$3,645.54 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$3,645.54 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$1,583.08 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$3,645.54 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$17,490.19 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$34,506.10 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$34,506.10 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$2,640 |
— |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
— |
$357.18–$1,583.08 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$3,645.54 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$6,439.62 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$16,950.38 |
— |
Exc Skin Benig >4cm Face,Facial (11446) range across 3 matching MRF lines |
— |
$758.18–$6,439.62 |
— |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
— |
$494.93 |
— |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
— |
$951.63 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$1,051.70 |
— |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
— |
$250.85–$898.95 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$11,877.81 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$10,501.42 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$1,071.40 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$2,057 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$1,106.18 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$2,613 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$1,746.93 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$974.08 |
— |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
— |
$841.10 |
— |
| Excis urethral prolapse (53275) |
— |
$22,823.29 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$652.63 |
— |
| Excision lesion meniscus/capsule knee (27347) |
— |
$2,018 |
— |
| Excision Lingual Frenum Frenectomy (41115) |
— |
$345.50 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$736 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$532.45 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$571.55 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$728.23 |
— |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
— |
$1,187 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
— |
$460.25 |
— |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
— |
$535.53 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$591.48 |
— |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
— |
$22,823.29 |
— |
Excision of extraparenchymal lesion of testis (54512) range across 2 matching MRF lines |
— |
$26,553.65–$26,977.83 |
— |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
— |
$791.53 |
— |
| Excision of hydrocele; bilateral (55041) |
— |
$1,248.40 |
— |
Excision of hydrocele; unilateral (55040) range across 2 matching MRF lines |
— |
$22,105.98–$25,406.72 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$7,884.54 |
— |
| Excision of single external papilla or tag, anus (46220) |
— |
$662.63 |
— |
| Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach Facility (55535) |
— |
$1,050.53 |
— |
| Excision olecranon bursa (24105) |
— |
$874.33 |
— |
| Excision prepatellar bursa (27340) |
— |
$1,419 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$30,564.29 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$1,160.23 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$40,789.15 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$40,789.15 |
— |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg Facility (15833) |
— |
$465.46 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$1,083.30 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$30,564.29 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$18,032.12 |
— |
Exploration penetrating wound spx extremity (20103) range across 3 matching MRF lines |
— |
$835.73–$3,645.54 |
— |
| Exploratory elbow surgery (24000) |
— |
$50,571.83 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$1,178 |
— |
| External cephalic version (59412) |
— |
$8,937.49 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$40,789.15 |
— |
| Fasciotomy Plantar Fascia Radical Spx (28062) |
— |
$40,789.15 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$737.49 |
— |
| Fetal non-stress test (59025) |
— |
$410.96 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$406 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$450 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$457.38 |
— |
| Fixation contralateral testis separate procedure (54620) |
— |
$725.55 |
— |
| Fluid Pressure Muscle (20950) |
— |
$684.54 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$335 |
— |
Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
— |
$261–$1,371.02 |
— |
| Foreskin manipulation (54450) |
— |
$167.78 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$35,161.69 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$539 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$2,700.58 |
— |
| Hemiepiphyseal Arrest (24470) |
— |
$80,117.84 |
— |
| I&d abscess simple (10060) |
— |
$671.02 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$6,439.62 |
— |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$19,282.19 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$2,005 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$20,900.64 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$58,373.56 |
— |
| I&d perianal abscess superficial (46050) |
— |
$20,900.64 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$249.03 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$1,364 |
— |
| Implant Neuroelectrodes (64561) |
— |
$17,157.01 |
— |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
— |
$1,066.25 |
— |
| Incise external hemorrhoid (46083) |
— |
$508.86 |
— |
| Incise finger tendon sheath (26055) |
— |
$11,938.77 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$34,374.51 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$6,439.62 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
— |
$435.98 |
— |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
— |
$355–$582 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$23,517.66 |
— |
| Incision bone cortex foot (28005) |
— |
$1,446.03 |
— |
| Incision of lingual frenum (frenotomy) (41010) |
— |
$4,388.16 |
— |
| Incision of rectal abscess (46040) |
— |
$17,049.96 |
— |
| Incision of urethra (53020) |
— |
$233.60 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$60,661.81 |
— |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
— |
$3,666 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$371.85 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$2,341.58 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$1,406.86 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$1,794.47 |
— |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
— |
$2,341.58 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$269.60 |
— |
Injection aa&/strd axillary nerve w/img gdn (64417) range across 2 matching MRF lines |
— |
$50,327–$54,103.58 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$1,794.47 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$34,374.51 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$1,794.47 |
— |
| Injection for identification of sentinel node (38792) |
— |
$203.53 |
— |
| Injection single tendon origin/insertion (20551) |
— |
$138.20 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$395.38 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$945 |
— |
| Injection therapeutic carpal tunnel (20526) |
— |
$386.06 |
— |
| Injection, anesthetic agent; brachial plexus, single (64415) |
— |
$45,469.10 |
— |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
— |
$28,827.46–$58,270.36 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$40,284.75 |
— |
Injection, intralesional; up to and including 7 lesions (11900) range across 3 matching MRF lines |
— |
$72.85–$331.98 |
— |
| Ins cath ren art 1st bilat (36252) |
— |
$6,132 |
— |
| Ins cath ren art 2nd+ unilat (36253) |
— |
$8,530 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$15,069.62 |
— |
| Insert cath pleura w/ image (32557) |
— |
$3,165 |
— |
| Insert cath pleura w/o image (32556) |
— |
$2,205 |
— |
| Insert cervical dilator (59200) |
— |
$13,940.52 |
— |
| Insert Drug Implant Device (11981) |
— |
$1,592.38 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$16,052.90 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$1,741 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$1,846 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$33,758.58 |
— |
| Insert pessary/other device (57160) |
— |
$174.25 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$31,544.73 |
— |
| Insert prost urethral stent (53855) |
— |
$8,812.72 |
— |
| Insert pulse gen dual leads (33213) |
— |
$1,323 |
— |
| Insert pulse gen mult leads (33221) |
— |
$1,379 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$1,267 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$22,795.60 |
— |
| Insert tunneled cv cath (36561) |
— |
$14,375.95 |
— |
| Insert tunneled cv cath (36563) |
— |
$31,544.73 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$299.44 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$13,949.78 |
— |
Insertion Picc W/Rs&I 5 Yr/> (36573) range across 3 matching MRF lines |
— |
$13,974.45–$22,844.55 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$28,610.97 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
— |
$9,766.52–$26,941.30 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$31,544.73 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$31,544.73 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$31,544.73 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$3,037 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$17,712.47 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$15,402.16 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$1,996 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$515.94 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$1,009.71 |
— |
| Kidney endoscopy (50575) |
— |
$70,009.82 |
— |
| Kidney endoscopy (50553) |
— |
$65,758.51 |
— |
| Kidney endoscopy (50570) |
— |
$70,009.82 |
— |
| Kidney endoscopy (50551) |
— |
$65,758.51 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$1,267.25 |
— |
| Knee Arthroscopy/Surgery (29850) |
— |
$33,789.03 |
— |
| Lap revision perm ip cath (49325) |
— |
$30,564.29 |
— |
| Laparo ablate renal mass (50542) |
— |
$2,810.08 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$2,280.40 |
— |
| Laparoscopy fulguration oviducts (58670) |
— |
$1,418 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$24,042.66 |
— |
| Laparoscopy surgical orchiectomy (54690) |
— |
$46,683.90 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$18,334.01 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$30,627.57 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$42,039.75 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$1,385.15 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$1,329 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$1,255 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$14,088.78 |
— |
| Laser vaporization of prostate (52648) |
— |
$3,845.58 |
— |
| Late closure of wound (13160) |
— |
$30,564.29 |
— |
Ligamentous Reconstruction Knee Extra-Articular (27427) range across 2 matching MRF lines |
— |
$69,357.93–$88,099.81 |
— |
| Ligation of a-v fistula (37607) |
— |
$8,064.68 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$30,854.42 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$23,386.55 |
— |
Lithotripsy, extracorporeal shock wave (50590) range across 3 matching MRF lines |
— |
$21,472.89–$29,366.06 |
— |
| Lysis/excision penile postcircumcision adhesions (54162) |
— |
$623.53 |
— |
| Mast mod rad (19307) |
— |
$25,965.18 |
— |
Mastectomy partial (19301) range across 3 matching MRF lines |
— |
$17,336.39–$29,391.13 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$30,760.67 |
— |
| Mastectomy simple complete (19303) |
— |
$54,043.80 |
— |
| Maternity Care Procedure (59899) |
— |
$3,105.35 |
— |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
— |
$22,823.29 |
— |
| Myelography Lumbar Injection (62304) |
— |
$13,165.07 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$435 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$24,246.79 |
— |
Ndsc wrst surg w/rls transvrs carpl ligm (29848) range across 2 matching MRF lines |
— |
$12,602.40–$12,771.22 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$4,160.06 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$71.31 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$71.31 |
— |
Neuroeltrd Stim Post Tibial (64566) range across 3 matching MRF lines |
— |
$69.95–$260.98 |
— |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
— |
$1,466.28 |
— |
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 3 matching MRF lines |
— |
$336–$1,349.82 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,341.58 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$2,341.58 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$754.38 |
— |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
— |
$32,974.50 |
— |
| Onc sol tum cfdna&RNA ngs ir gm chip tum-drv snv (0485U) |
— |
$14,231.10 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$1,129.60 |
— |
| Open bone biopsy (20251) |
— |
$7,404.70 |
— |
| Open Implantation Nea Sacral Nerve (64581) |
— |
$1,597.25 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$2,978 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$2,026.50 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
— |
$41,165.93–$44,865.41 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$63,904.11 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$1,877.65 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$80,117.84 |
— |
| Open Treatment Medial Malleolus Fracture (27766) |
— |
$24,125.23 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$2,507 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$1,777.38 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$79,701.98 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$63,017.64 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
— |
$3,714 |
— |
Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) range across 2 matching MRF lines |
— |
$53,883.71–$54,259.37 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$79,701.98 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$63,904.11 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$80,117.84 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$123,203.83 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$123,203.83 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$63,017.64 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$63,017.64 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$70,780.09 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$70,780.09 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$40,789.15 |
— |
| Open Treatment of Ulnar Shaft Fracture (25545) |
— |
$1,536.03 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$2,366 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$66,383.74 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$2,552 |
— |
| Open Tx Distal Fibular Fracture Lat Malleolus (27792) |
— |
$43,483.86 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$38,318.22 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$2,302.88 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$2,370.05 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$2,799 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$80,117.84 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$2,001.53 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$123,203.83 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$2,794 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$3,424 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
— |
$40,333.12–$42,123.03 |
— |
Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
— |
$45,821.90–$53,567.03 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$2,036.53 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$44,620.17 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$2,954.53 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$3,343 |
— |
| Orchiectomy partial (54522) |
— |
$46,683.90 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$1,240.95 |
— |
| Orchiectomy, radical, for tumor; with abdominal exploration Facility (54535) |
— |
$46,683.90 |
— |
| Orchiopexy Ingun/Scrot Appr (54640) |
— |
$28,705.75 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$68,590.81 |
— |
| Osteotomy Tibia (27705) |
— |
$1,780.53 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$63,017.64 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$77,176.19 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$45,755.75 |
— |
| Partial removal of tibia (27640) |
— |
$3,196 |
— |
| Partial removal of toe (28160) |
— |
$1,634 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$1,192.80 |
— |
| Penile Injection (54235) |
— |
$30,767.85 |
— |
| Percut Drain/Inject Renal Cyst (50390) |
— |
$225.85 |
— |
| Percutaneous skeletal fixation of humeral epicondylar fracture, medial or lateral, with manipulation Facility (24566) |
— |
$2,736 |
— |
Pericardiocentesis W/Imaging (33016) range across 3 matching MRF lines |
— |
$501.13–$975.15 |
— |
Perq dev breast 1st strtctc (19283) range across 3 matching MRF lines |
— |
$359–$444.12 |
— |
Perq dev breast 1st us imag (19285) range across 3 matching MRF lines |
— |
$304–$397.01 |
— |
Perq device breast 1st imag (19281) range across 2 matching MRF lines |
— |
$30,760.67–$34,042.50 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$65,758.51 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$303 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$1,635.20 |
— |
| Place Cath Subclavian Art (36225) |
— |
$5,778 |
— |
Place Rt Device/Marker Pros (55876) range across 2 matching MRF lines |
— |
$465–$3,359.49 |
— |
| Placement of seton (46020) |
— |
$13,143.33 |
— |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
— |
$776–$2,120.03 |
— |
| Plmt Nephroureteral Catheter (50433) |
— |
$2,639.83 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$46,947.31 |
— |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
— |
$71,556.33 |
— |
| Prostate laser enucleation (52649) |
— |
$2,002.75 |
— |
| Prostatic microwave thermotx (53850) |
— |
$9,730.65 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$2,243.95 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$1,330 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$1,882.33 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$42,374.56 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$397 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$898.95 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$28,292.20 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$40,789.15 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$40,789.15 |
— |
| Radical resection of tumor; ischial tuberosity and greater trochanter of femur Facility (27078) |
— |
$7,890 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$1,786.68 |
— |
| Reinforce hip bones (27187) |
— |
$71,556.33 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$1,317 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$58,373.56 |
— |
| Removal Foreign Body Foot Subcutaneous (28190) |
— |
$998 |
— |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 3 matching MRF lines |
— |
$352.85–$3,645.54 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 3 matching MRF lines |
— |
$35.90–$133.65 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
— |
$79.35–$200 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$615 |
— |
Removal Implant Deep (20680) range across 3 matching MRF lines |
— |
$13,004.86–$98,353.53 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$345.48 |
— |
| Removal intact breast implant (19328) |
— |
$1,236.55 |
— |
| Removal of bladder cyst (51500) |
— |
$30,564.29 |
— |
| Removal of foot joint lining (28072) |
— |
$39,405.94 |
— |
| Removal of kidney stone (50081) |
— |
$2,723.15 |
— |
| Removal of nail bed (11750) |
— |
$373.73 |
— |
| Removal of sperm cord lesion (55520) |
— |
$1,098.05 |
— |
| Removal of tendon for graft (20924) |
— |
$34,506.10 |
— |
| Removal of testis (54520) |
— |
$801.38 |
— |
| Removal peritoneal-venous shunt (49429) |
— |
$30,564.29 |
— |
| Removal ppm generator only (33233) |
— |
$902 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$217.15 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$5,281.04 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$381 |
— |
| Removal sweat gland lesion (11450) |
— |
$1,454 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$1,624 |
— |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
— |
$2,371.70 |
— |
Remove drug implant device (11982) range across 3 matching MRF lines |
— |
$172.35–$263.87 |
— |
| Remove foreign body from eye (65205) |
— |
$435.40 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$1,770.48 |
— |
| Remove Intrauterine Device (58301) |
— |
$288 |
— |
| Remove knee joint lining (27334) |
— |
$6,257.39 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$2,255 |
— |
| Remove prostate regrowth (52630) |
— |
$22,679.77 |
— |
| Remove renal tube w/fluoro (50389) |
— |
$965.93 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$1,398.58 |
— |
| Remove ureter stent percut (50384) |
— |
$2,007.78 |
— |
| Remove&replace pm gen singl (33227) |
— |
$1,318 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$292 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$25,804.65 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$895.55 |
— |
Renal Biopsy Perq (50200) range across 3 matching MRF lines |
— |
$501–$3,472.59 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
— |
$60,696.95 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$65,758.51 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) |
— |
$70,009.82 |
— |
| Repair Achilles Tendon (27650) |
— |
$35,363.93 |
— |
| Repair Bladder-Vagina Lesion (57320) |
— |
$1,383.25 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
— |
$1,821 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$984.83 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$2,691 |
— |
| Repair Hallux Rigidus (28289) |
— |
$39,405.94 |
— |
| Repair incomplete circumcision (54163) |
— |
$534.65 |
— |
Repair inguinal hernia, sliding, any age (49525) range across 2 matching MRF lines |
— |
$28,999.91–$30,173.91 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$1,451.65 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$609.75 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$719.75 |
— |
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
— |
$509.73–$888.75 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$705.60 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$670.68 |
— |
| Repair Non/Malunion Humerus W/O Graft (24430) |
— |
$4,035 |
— |
| Repair of anal sphincter (46760) |
— |
$13,048.36 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$123,203.83 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$123,203.83 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$28,830.55 |
— |
| Repair radius & ulna (25415) |
— |
$123,203.83 |
— |
| Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) |
— |
$1,714.43 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$1,838.08 |
— |
| Repair umbilical lesion (49600) |
— |
$30,564.29 |
— |
| Repair webbed toe(s) (28345) |
— |
$40,789.15 |
— |
| Repair, primary, disrupted ligament, ankle; collateral (27695) |
— |
$1,849 |
— |
| Reposition Venous Catheter (36597) |
— |
$141.28 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$2,688 |
— |
Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
— |
$21,060.82–$25,326.57 |
— |
| Resect enlarged toe (28341) |
— |
$34,506.10 |
— |
| Resection of scrotum (55150) |
— |
$21,152.56 |
— |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
— |
$19,295.83 |
— |
| Rev/rmv prph sac/gstr npg/r (64595) |
— |
$877.18 |
— |
| Revision including removal of prosthetic vaginal graft vaginal approach (57295) |
— |
$8,564.06 |
— |
| Revision of humerus (24400) |
— |
$80,117.84 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$75,274.60 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$32,170.57 |
— |
| Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) |
— |
$4,352.88 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$3,345.55 |
— |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
— |
$581.90 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$4,140.84 |
— |
Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) range across 3 matching MRF lines |
— |
$592.90–$6,439.62 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$9,574.13 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$3,549.25 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$862.29 |
— |
| Rplc gtube revj gstrst trc (43763) |
— |
$941.79 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$3,188.01 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$29,213.07 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$33,012.20 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$33,069.79 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$15,055.24 |
— |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$34,506.10 |
— |
| Rpr/advmnt flxr tdn zone 2 w/fr graft ea tendon (26358) |
— |
$34,506.10 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/Free Graft Ea (26372) |
— |
$34,506.10 |
— |
| Scrotal exploration (55110) |
— |
$947.55 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$3,748.76 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
— |
$375 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
— |
$22,823.29 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
— |
$548 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$22,823.29 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$596 |
— |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
— |
$2,532.58 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$671.45 |
— |
| Simple Cystometrogram (51725) |
— |
$8,812.72 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$15,055.24 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$15,055.24 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$15,055.24 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$15,055.24 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$623.90 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$11,814.33 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$299.99 |
— |
Skin Pinch Graft (15050) range across 3 matching MRF lines |
— |
$1,120–$1,391.72 |
— |
Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
— |
$226–$4,744.25 |
— |
Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
— |
$201.58–$4,891.02 |
— |
Skin sub grft t/arm/lg child (15273) range across 3 matching MRF lines |
— |
$457.48–$7,758.22 |
— |
| Skin Tissue Procedure (17999) |
— |
$447.08 |
— |
Skn sub grft f/n/hf/g child (15277) range across 3 matching MRF lines |
— |
$526.88–$7,816.65 |
— |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
— |
$1,816.98 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$447.08 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$692.31 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$11,814.33 |
— |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
— |
$13,048.36 |
— |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
— |
$13,048.36 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$32,068.65 |
— |
| Strapping hand/finger (29280) |
— |
$317.39 |
— |
| Strapping toes (29550) |
— |
$192.26 |
— |
Strapping Unna Boot (29580) range across 3 matching MRF lines |
— |
$63.98–$617.98 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$2,270 |
— |
| Suture/repair testicular injury (54670) |
— |
$998.55 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$34,506.10 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$34,506.10 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$243.95 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$1,839.80 |
— |
Tenotomy Percutaneous Toe Single Tendon (28010) range across 3 matching MRF lines |
— |
$506.73–$4,961.39 |
— |
Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) range across 3 matching MRF lines |
— |
$647–$5,471.89 |
— |
| Thyroid biopsy (60100) |
— |
$2,324.15 |
— |
| Total Knee Arthroplasty (27447) |
— |
$58,856.87 |
— |
| Trabeculoplasty by laser surgery (65855) |
— |
$1,996.88 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$2,311.15 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$28,560.13 |
— |
| Transplant of thigh tendon (27396) |
— |
$1,491.30 |
— |
| Transur electr resection of prostate (52601) |
— |
$39,620.18 |
— |
| Transurethral incision of prostate (52450) |
— |
$27,255.57 |
— |
| Transurethral resection bladder neck (52500) |
— |
$1,201.80 |
— |
| Treat Elbow Fracture (24635) |
— |
$123,203.83 |
— |
| Treat elbow fracture (24587) |
— |
$123,203.83 |
— |
| Treat Finger Fracture Each (26727) |
— |
$1,162.03 |
— |
| Treat fracture radius/ulna (25575) |
— |
$2,225.78 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$50,327 |
— |
| Treat Kneecap Fracture (27524) |
— |
$1,859.40 |
— |
| Treatment of ankle fracture (27823) |
— |
$2,420.25 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$4,699 |
— |
| Treatment of penis lesion (54115) |
— |
$1,117.08 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$71,556.33 |
— |
| Trim skin lesion (11055) |
— |
$153.08 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$220 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$33.60 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
— |
$27,255.57 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$664.25 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$80,117.84 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$18,857.95 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$3,037.83 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$15,941.88 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$22,365.55 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$11,814.33 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$2,468.25 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$614.30 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$12,463.77 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$26,513.50 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$36,790.54 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$40,052.22 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$39,826.69 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$14,171.06 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$26,262.04 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$88,495.87 |
— |
| Unlisted procedure liver (47399) |
— |
$12,463.77 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$12,761.58 |
— |
| Unlisted procedure nervous system (64999) |
— |
$664.18 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$1,336.81 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$60,756.94 |
— |
| Unlisted Procedure Vascular Surgery (37799) |
— |
$7,164.99 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$10,956.38 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$22,824.82 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$65,758.51 |
— |
| Urethrorrhaphy sutr urethral wound/inj penile (53505) |
— |
$1,185.05 |
— |
| Urinary Reflex Study (51792) |
— |
$8,812.72 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$2,145.03 |
— |
| Vaginal delivery only (59409) |
— |
$3,167 |
— |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
— |
$17,060.31 |
— |
| Vaginoplasty for intersex state Facility (57335) |
— |
$13,940.52 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$808.55 |
— |
| Wedge excision skin nail fold (11765) |
— |
$427.17 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$2,283.34 |
— |
Wound Prep Trk/Arm/Leg (15002) range across 3 matching MRF lines |
— |
$520.03–$1,889.15 |
— |
| Xcapsl ctrc rmvl insj io lens prosth insj 1+ (66991) |
— |
$22,864.32 |
— |