Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
— |
$11,421–$15,101 |
— |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 2 matching MRF lines |
— |
$4,343–$5,512 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$13,879 |
— |
Ablate Pulm Tumor Perq Crybl (32994) range across 2 matching MRF lines |
— |
$37,971–$56,956 |
— |
| Ablation 1/> liver tumor perq cryoablation (47383) |
— |
$37,971 |
— |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
— |
$40,099 |
— |
| Abrasion single lesion (15786) |
— |
$728 |
— |
| Adding Walker Previously Applied Cast (29440) |
— |
$2,875 |
— |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
— |
$21,406 |
— |
| Amniocentesis diagnostic (59000) |
— |
$1,442 |
— |
| Amniocentesis therapeutic (59001) |
— |
$5,007 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$13,951 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$19,033 |
— |
| Anoscopy diagnostic (46600) |
— |
$996 |
— |
| Anoscopy W/Rmvl Foreign Body (46608) |
— |
$2,201 |
— |
| Application cast elbow finger short arm (29075) |
— |
$1,012 |
— |
| Application Cast Shoulder Spica (29055) |
— |
$2,712 |
— |
| Application Finger Splint Dynamic (29131) |
— |
$723 |
— |
| Application finger splint static (29130) |
— |
$827 |
— |
| Application long arm splint shoulder hand (29105) |
— |
$1,082 |
— |
| Application Long Leg Cast Brace (29358) |
— |
$1,629 |
— |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
— |
$2,120 |
— |
| Application Long Leg Splint (29505) |
— |
$1,461 |
— |
| Application of cylinder cast (thigh to ankle) (29365) |
— |
$1,223 |
— |
| Application of long leg cast (29345) |
— |
$1,946 |
— |
Application of rigid total contact leg cast (29445) range across 4 matching MRF lines |
— |
$1,052–$2,410 |
— |
| Application Patellar Tendon Bearing Cast (29435) |
— |
$728 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$1,121 |
— |
Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
— |
$758–$1,341 |
— |
Application short leg splint calf foot (29515) range across 3 matching MRF lines |
— |
$589–$1,588 |
— |
| Application, cast; figure-of-eight Facility (29049) |
— |
$1,081 |
— |
| Apply hand/wrist cast (29085) |
— |
$1,150 |
— |
| Apply long arm cast (29065) |
— |
$1,243 |
— |
Apply Multlay Comprs Lwr Leg (29581) range across 3 matching MRF lines |
— |
$1,361–$2,042 |
— |
| Apply Short Leg Cast (29405) |
— |
$1,437 |
— |
| Apply short leg cast (29425) |
— |
$1,656 |
— |
| Apply shoulder cast,plastr velpeau (29058) |
— |
$1,824 |
— |
Arterial puncture (36600) range across 2 matching MRF lines |
— |
$433–$438 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 5 matching MRF lines |
— |
$1,272–$3,560 |
— |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
— |
$3,026 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
— |
$1,272–$4,027 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
— |
$1,330–$1,662 |
— |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 5 matching MRF lines |
— |
$1,155–$1,356 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$5,773 |
— |
Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
— |
$6,287–$13,151 |
— |
Aspirate Pleura W/O Imaging (32554) range across 3 matching MRF lines |
— |
$2,226–$6,287 |
— |
| Aspiration and/or injection thyroid cyst (60300) |
— |
$4,003 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$18,091 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$1,752 |
— |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
— |
$35,699 |
— |
| Biliary ndsc prq t-tube dilat strix w/stent (47556) |
— |
$7,124 |
— |
| Biliary ndsc prq t-tube w/dil duct w/o stent (47555) |
— |
$7,124 |
— |
Biopsy Abdominal Mass (49180) range across 3 matching MRF lines |
— |
$4,778–$9,895 |
— |
| Biopsy bone open deep (20245) |
— |
$14,685 |
— |
| Biopsy bone open superficial (20240) |
— |
$17,285 |
— |
Biopsy bone trocar/needle deep (20225) range across 5 matching MRF lines |
— |
$4,893–$7,491 |
— |
Biopsy Bone Trocar/Needle Superficial (20220) range across 7 matching MRF lines |
— |
$2,673–$6,281 |
— |
Biopsy muscle percutaneous needle (20206) range across 6 matching MRF lines |
— |
$5,507–$8,536 |
— |
| Biopsy Muscle Superficial (20200) |
— |
$9,529 |
— |
| Biopsy of breast; open, incisional (19101) |
— |
$6,592 |
— |
Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
— |
$5,056–$8,727 |
— |
| Biopsy Pleura Percutaneous Needle (32400) |
— |
$9,799 |
— |
| Biopsy Salivary Gland Needle (42400) |
— |
$2,527 |
— |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
— |
$18,448 |
— |
| Bladder Irrigation (51700) |
— |
$3,362 |
— |
| Bladder Scan (51798) |
— |
$674 |
— |
| Blepharotomy drainage abscess eyelid (67700) |
— |
$2,149 |
— |
| Blood Transfusion Service (36430) |
— |
$2,924 |
— |
| Bone Graft Any Donor Area Minor/Small (20900) |
— |
$20,194 |
— |
Bone Marrow Biopsy (38221) range across 3 matching MRF lines |
— |
$640–$6,281 |
— |
| Bone Marrow; Aspiration Only (38220) |
— |
$7,321 |
— |
Bx breast 1st lesion strtctc (19081) range across 12 matching MRF lines |
— |
$5,361–$38,686 |
— |
| Bx breast 1st lesion us imag (19083) |
— |
$7,744 |
— |
Bx breast needle core w/o imaging guidance spx (19100) range across 6 matching MRF lines |
— |
$2,060–$4,124 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$13,776 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$810 |
— |
| Cessj Therapy Cath Removal (37214) |
— |
$16,859 |
— |
| Change Cystostomy Tube Complicated (51710) |
— |
$3,537 |
— |
| Change Cystostomy Tube Simple (51705) |
— |
$1,623 |
— |
| Change of Windpipe Airway (31502) |
— |
$1,330 |
— |
| Change ureter stent percut (50382) |
— |
$22,046 |
— |
Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
— |
$1,477–$1,562 |
— |
Chest tube placement (32551) range across 2 matching MRF lines |
— |
$5,972–$7,167 |
— |
Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) range across 2 matching MRF lines |
— |
$6,553–$9,827 |
— |
Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) range across 2 matching MRF lines |
— |
$6,719–$14,226 |
— |
| Cl Tx Scapular Fx; W Manip (23575) |
— |
$1,685 |
— |
| Cl Tx Tib Shft Fx W Manip (27752) |
— |
$13,528 |
— |
| Clear outer ear canal (69200) |
— |
$1,686 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$1,282 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$1,150 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$6,641 |
— |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
— |
$1,037 |
— |
| Closed Treatment Sesamoid Fracture (28530) |
— |
$2,253 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$4,941 |
— |
| Closed tx ankle dislocation w/o anesthesia (27840) |
— |
$10,216 |
— |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
— |
$5,953 |
— |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
— |
$948 |
— |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
— |
$4,309 |
— |
| Closed tx knee dislocation w/o anesthesia (27550) |
— |
$10,699 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$5,773 |
— |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
— |
$989 |
— |
| Closed tx metatarsal fracture w/o manipulation (28470) |
— |
$3,730 |
— |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
— |
$2,479 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
— |
$316 |
— |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
— |
$7,209 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$7,013 |
— |
| Closed tx patellar dislocation w/o anesthesia (27560) |
— |
$7,218 |
— |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
— |
$5,041 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$1,388 |
— |
| Closed tx radial head/neck fx w/o manipulation (24650) |
— |
$4,297 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$4,961 |
— |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
— |
$3,860 |
— |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
— |
$9,665 |
— |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
— |
$4,368 |
— |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
— |
$4,032 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$3,483 |
— |
| Closed Tx Talus Fracture W/Manipulation (28435) |
— |
$1,685 |
— |
| Closed tx talus fracture w/o manipulation (28430) |
— |
$4,263 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$3,592 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$2,702 |
— |
Closed Tx Ulnar Fracture Prox End W Manipulation (24675) range across 3 matching MRF lines |
— |
$5,788–$6,945 |
— |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
— |
$4,641 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$3,513 |
— |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
— |
$989 |
— |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
— |
$3,788 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$847 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$3,883 |
— |
| Clsd tx clavicular fracture w/o manipulation (23500) |
— |
$4,553 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$8,169 |
— |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
— |
$5,189 |
— |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
— |
$3,749 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$9,644 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$5,953 |
— |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
— |
$5,598 |
— |
| Cltx dstl fibular fx lat malls w/manj (27788) |
— |
$1,041 |
— |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
— |
$4,618 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$4,441 |
— |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
— |
$2,962 |
— |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
— |
$4,226 |
— |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
— |
$5,346 |
— |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
— |
$723 |
— |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
— |
$2,962 |
— |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
— |
$4,832 |
— |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
— |
$872 |
— |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
— |
$1,711 |
— |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
— |
$2,074 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
— |
$2,758 |
— |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
— |
$2,074 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$9,458 |
— |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
— |
$4,321 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$10,715 |
— |
| Cltx hip dislocation traumatic req anesthesia (27252) |
— |
$4,398 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$4,849 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$919 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$1,189 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
— |
$5,009 |
— |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
— |
$850 |
— |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
— |
$2,531 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$5,679 |
— |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
— |
$3,995 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$16,183 |
— |
| Cltx Medial Ankle Fx (27760) |
— |
$1,189 |
— |
| Cltx metacarpal fx w/manipulation each bone (26605) |
— |
$5,519 |
— |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
— |
$3,846 |
— |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
— |
$9,392 |
— |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
— |
$10,227 |
— |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
— |
$5,848 |
— |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
— |
$2,380 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$13,417 |
— |
| Cltx post hip arthrp dislc w/o anes (27265) |
— |
$7,751 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$5,837 |
— |
| Cltx prox fibula/shft fx w/o manj (27780) |
— |
$4,486 |
— |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
— |
$14,934 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$1,133 |
— |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
— |
$2,772 |
— |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
— |
$7,578 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$34,077 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$4,961 |
— |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
— |
$6,630 |
— |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
— |
$3,592 |
— |
| Cltx tibial fx proximal w/o manipulation (27530) |
— |
$948 |
— |
| Cltx tibial shaft fx w/o manipulation (27750) |
— |
$6,356 |
— |
Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
— |
$17,237–$20,684 |
— |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
— |
$8,614 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$134 |
— |
| Colporrhaphy (57200) |
— |
$10,839 |
— |
Complex drainage wound (10180) range across 2 matching MRF lines |
— |
$4,863–$18,294 |
— |
| Control Nasal Hemorrhage Anterior Complex (30903) |
— |
$2,338 |
— |
| Control Nasal Hemorrhage Anterior Simple (30901) |
— |
$1,586 |
— |
| Conversion ext bil drg cath (47535) |
— |
$19,396 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$7,678 |
— |
Convert Nephrostomy Catheter (50434) range across 4 matching MRF lines |
— |
$8,347–$10,231 |
— |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408) range across 5 matching MRF lines |
— |
$9,837–$21,858 |
— |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
— |
$16,295 |
— |
| Correction hammertoe (28285) |
— |
$13,776 |
— |
Cryosurgical Ablation Fibroadenoma, Each (19105) range across 3 matching MRF lines |
— |
$13,966–$20,948 |
— |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
— |
$2,848 |
— |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
— |
$561 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$3,238 |
— |
| Cystourethroscopy (52000) |
— |
$3,308 |
— |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 3 matching MRF lines |
— |
$513–$931 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$6,489 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$9,337 |
— |
Debride nail 1-5 (11720) range across 2 matching MRF lines |
— |
$449–$1,064 |
— |
| Debride nail 6 or more (11721) |
— |
$1,356 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$16,532 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
— |
$1,597–$4,230 |
— |
| Declot vascular device (36593) |
— |
$10,705 |
— |
| Deep Muscle Biopsy (20205) |
— |
$10,810 |
— |
| Delivery of placenta (59414) |
— |
$15,343 |
— |
| Destruction of skin lesions (17106) |
— |
$1,206 |
— |
Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
— |
$338–$409 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$12,575 |
— |
Dilation Esophagus Guide Wire (43453) range across 2 matching MRF lines |
— |
$2,963–$3,175 |
— |
| Drainage external auditory canal abscess (69020) |
— |
$1,224 |
— |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
— |
$2,681 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$6,030 |
— |
| Drainage Mouth Roof Lesion (42000) |
— |
$2,462 |
— |
| Drainage of finger abscess simple (26010) |
— |
$4,344 |
— |
| Drainage of gum lesion (41800) |
— |
$2,024 |
— |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
— |
$9,920–$10,722 |
— |
| Drainage of rectal abscess (45005) |
— |
$5,497 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$8,083 |
— |
| Drainage of scrotum (54700) |
— |
$9,544 |
— |
| Drainage of skene's gland abscess or cyst (53060) |
— |
$9,258 |
— |
| Draw Blood Off Venous Device (36591) |
— |
$4,728 |
— |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
— |
$1,122 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$2,990 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
— |
$1,541–$2,497 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
— |
$1,730–$1,825 |
— |
Dx Bone Marrow Bx & Aspir (38222) range across 2 matching MRF lines |
— |
$488–$2,979 |
— |
Dx Bronchoscope/Wash (31622) range across 2 matching MRF lines |
— |
$4,477–$5,597 |
— |
| Dx gastr intub w/asp spec (43754) |
— |
$4,395 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$6,096 |
— |
Dx lmbr spi pnxr w/fluor/CT (62328) range across 5 matching MRF lines |
— |
$822–$8,036 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$4,368 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$6,959 |
— |
| Endometrial Biopsy (58100) |
— |
$799 |
— |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
— |
$66,768 |
— |
Epidural Blood Patch (62273) range across 4 matching MRF lines |
— |
$3,993–$6,816 |
— |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
— |
$7,457 |
— |
Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) range across 2 matching MRF lines |
— |
$3,815–$4,078 |
— |
Esophagoscopy Flexible Guide Wire Dilation (43226) range across 2 matching MRF lines |
— |
$3,815–$4,078 |
— |
Esophagoscopy Retro Balloon (43213) range across 2 matching MRF lines |
— |
$2,963–$3,175 |
— |
Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) range across 2 matching MRF lines |
— |
$3,815–$6,398 |
— |
Evacuation of subungual hematoma (11740) range across 2 matching MRF lines |
— |
$353–$651 |
— |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
— |
$1,804–$2,201 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$2,673 |
— |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
— |
$3,209 |
— |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
— |
$3,253 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$3,705 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$7,409 |
— |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
— |
$2,772–$7,852 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$13,776 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$2,933 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$3,095 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$3,483 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$3,483 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$2,167 |
— |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 2 matching MRF lines |
— |
$1,805–$2,673 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$6,324 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$3,095 |
— |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
— |
$25,642 |
— |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 6 matching MRF lines |
— |
$4,857–$11,204 |
— |
| Exchange Transfusion Blood Newborn (36450) |
— |
$1,616 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$5,118 |
— |
| Excision of gum lesion (41828) |
— |
$5,478 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$9,849 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$13,776 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$11,623 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$11,260 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$10,600 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$5,634 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$8,375 |
— |
| Exploration penetrating wound spx chest (20101) |
— |
$5,470 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$7,118 |
— |
| Exploration Penetrating Wound Spx Neck (20100) |
— |
$14,336 |
— |
| External cephalic version (59412) |
— |
$2,448 |
— |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
— |
$3,484 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$13,899 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$14,603 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$1,759 |
— |
| Fetal non-stress test (59025) |
— |
$2,742 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$16,401 |
— |
Fine needle aspiration without imaging guidance (10021) range across 5 matching MRF lines |
— |
$1,096–$4,003 |
— |
| Fluid Pressure Muscle (20950) |
— |
$6,784 |
— |
Fluoro exam of g/colon tube (49465) range across 2 matching MRF lines |
— |
$1,766–$4,472 |
— |
Fna Bx W/Fluor Gdn 1St Les (10007) range across 3 matching MRF lines |
— |
$4,051–$9,837 |
— |
Fna bx w/us gdn 1st les (10005) range across 3 matching MRF lines |
— |
$8,737–$9,491 |
— |
| Foreskin manipulation (54450) |
— |
$850 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$20,786 |
— |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
— |
$3,815 |
— |
| I&d abscess peritonsillar (42700) |
— |
$3,040 |
— |
I&d abscess simple (10060) range across 3 matching MRF lines |
— |
$1,631–$2,525 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
— |
$12,564 |
— |
| I&d perianal abscess superficial (46050) |
— |
$4,894 |
— |
I&d pilonidal cyst complicated (10081) range across 2 matching MRF lines |
— |
$3,237–$6,553 |
— |
| I&d pilonidal cyst simple (10080) |
— |
$2,681 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$8,395 |
— |
| Icd Pocket Revision (33223) |
— |
$27,665 |
— |
Image Cath Fluid Colxn Visc (49405) range across 8 matching MRF lines |
— |
$10,523–$21,467 |
— |
Image Cath Fluid Peri/Retro (49406) range across 9 matching MRF lines |
— |
$16,237–$21,067 |
— |
| Incise external hemorrhoid (46083) |
— |
$2,332 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$3,487 |
— |
Incision & drainage leg/ankle abscess/hematoma (27603) range across 2 matching MRF lines |
— |
$9,902–$13,586 |
— |
Incision & removal foreign body subq tiss compl (10121) range across 2 matching MRF lines |
— |
$3,626–$7,852 |
— |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
— |
$1,387–$1,987 |
— |
| Incision and drainage of bartholin's gland abscess (56420) |
— |
$2,242 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$3,741 |
— |
| Incision of eardrum (69420) |
— |
$9,951 |
— |
| Incision of Foot Tendon (28234) |
— |
$13,776 |
— |
| Incision of rectal abscess (46040) |
— |
$8,279 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$15,135 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$2,321 |
— |
Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
— |
$408–$2,759 |
— |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
— |
$2,690 |
— |
Inj W/Fluor Eval Cv Device (36598) range across 2 matching MRF lines |
— |
$1,758–$1,860 |
— |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
— |
$1,508 |
— |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
— |
$2,140 |
— |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
— |
$3,080 |
— |
Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
— |
$3,278–$3,934 |
— |
| Injection Into Brain Canal (61055) |
— |
$1,557 |
— |
| Injection single/mlt trigger point 1/2 muscles (20552) |
— |
$2,734 |
— |
| Injection single/mlt trigger point 3/> muscles (20553) |
— |
$1,672 |
— |
| Injection Sinus Tract Therapeutic Separate Proc (20500) |
— |
$4,938 |
— |
| Injection, anesthetic agent; femoral nerve, single (64447) |
— |
$6,373 |
— |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
— |
$4,169 |
— |
Ins cath ren art 1st bilat (36252) range across 2 matching MRF lines |
— |
$18,200–$18,312 |
— |
Ins cath ren art 1st unilat (36251) range across 6 matching MRF lines |
— |
$6,351–$28,020 |
— |
Ins cath ren art 2nd+ bilat (36254) range across 2 matching MRF lines |
— |
$18,200–$18,312 |
— |
Ins cath ren art 2nd+ unilat (36253) range across 6 matching MRF lines |
— |
$6,351–$9,404 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$40,938 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$40,080 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$36,497 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$1,920 |
— |
Insert cath pleura w/ image (32557) range across 4 matching MRF lines |
— |
$2,734–$18,824 |
— |
Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
— |
$3,280–$11,167 |
— |
| Insert cervical dilator (59200) |
— |
$1,429 |
— |
| Insert Drug Implant Device (11981) |
— |
$430 |
— |
Insert Gastrostomy Tube Percutaneous (49440) range across 3 matching MRF lines |
— |
$4,161–$4,854 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$40,751 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$72,128 |
— |
| Insert hepatic shunt (tips) (37182) |
— |
$66,454 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$6,994 |
— |
| Insert Pacing Lead & Connect (33224) |
— |
$34,409 |
— |
Insert Picc W/O Sub-Q Port <5 Y/O (36568) range across 3 matching MRF lines |
— |
$4,879–$5,737 |
— |
| Insert pulse gen dual leads (33213) |
— |
$46,905 |
— |
| Insert pulse gen mult leads (33221) |
— |
$41,149 |
— |
| Insert Pulse Gen Sngl Lead (33212) |
— |
$32,242 |
— |
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
— |
$850–$1,475 |
— |
| Insert tissue expander(s) (11960) |
— |
$14,091 |
— |
| Insert tun ip cath perc (49418) |
— |
$21,062 |
— |
| Insert tunneled cv cath (36561) |
— |
$24,487 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$1,093 |
— |
Insertion indwelling tunneled pleural catheter (32550) range across 2 matching MRF lines |
— |
$21,123–$27,927 |
— |
Insertion Picc W/Rs&I 5 Yr/> (36573) range across 5 matching MRF lines |
— |
$5,972–$7,550 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$34,967 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$37,085 |
— |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
— |
$5,737 |
— |
Insj Picc Rs&I <5 Yr (36572) range across 3 matching MRF lines |
— |
$5,737–$7,924 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$12,433 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
— |
$4,928–$5,633 |
— |
| Insj Subq Impltbl Dfb Elctrd (33271) |
— |
$58,014 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$15,367 |
— |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
— |
$3,821–$15,367 |
— |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
— |
$147,706 |
— |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) range across 2 matching MRF lines |
— |
$5,498–$34,967 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$24,023 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$78,401 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$112,435 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$111,389 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$103,918 |
— |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
— |
$4,539 |
— |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
— |
$6,398 |
— |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
— |
$2,088 |
— |
Intro cath dialysis circuit (36901) range across 5 matching MRF lines |
— |
$4,524–$6,785 |
— |
Intro cath dialysis circuit w/tcat plmt IV stent (36903) range across 4 matching MRF lines |
— |
$43,000–$64,497 |
— |
Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) range across 4 matching MRF lines |
— |
$31,911–$47,865 |
— |
Intro Gastrointestinal Tube (44500) range across 3 matching MRF lines |
— |
$1,128–$4,576 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$3,110 |
— |
| Irrigation of corpora cavernosa for priapism (54220) |
— |
$8,374 |
— |
| Laryngoscopy diagnostic (31505) |
— |
$861 |
— |
| Laryngoscopy flexible diagnostic (31575) |
— |
$1,693 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$4,261 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$2,903 |
— |
| Laryngoscopy W/Foreign Body Removal (31530) |
— |
$9,902 |
— |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
— |
$6,153 |
— |
| Late closure of wound (13160) |
— |
$14,091 |
— |
| Ligation Of Inf Vena Cava (37619) |
— |
$30,963 |
— |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
— |
$2,908 |
— |
| Mech remov tunneled cv cath (36595) |
— |
$12,575 |
— |
Myelography Lumbar Injection (62305) range across 2 matching MRF lines |
— |
$12,201–$15,252 |
— |
| Myelography Lumbar Injection (62304) |
— |
$16,290 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$12,925 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$2,977 |
— |
| N Block Inj Celiac Pelus (64530) |
— |
$5,866 |
— |
| N Block Inj Ilio-Ing/Hypogi (64425) |
— |
$2,526 |
— |
| N block inj intercost sng (64420) |
— |
$1,539 |
— |
Nasal/Orogastric W/Tube Plmt (43752) range across 3 matching MRF lines |
— |
$2,390–$3,915 |
— |
| Needle Biopsy Lymph Nodes (38505) |
— |
$8,727 |
— |
Needle Biopsy Pancreas (48102) range across 2 matching MRF lines |
— |
$4,508–$8,741 |
— |
| Neuro csf detcj prion prtn quakg conf conv qual (0584U) |
— |
$688 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$3,464 |
— |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
— |
$2,624 |
— |
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) range across 2 matching MRF lines |
— |
$5,448–$14,226 |
— |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
— |
$12,082 |
— |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
— |
$2,121 |
— |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
— |
$5,283 |
— |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
— |
$3,049 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) range across 4 matching MRF lines |
— |
$8,347–$10,231 |
— |
Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) range across 5 matching MRF lines |
— |
$8,347–$10,434 |
— |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
— |
$960 |
— |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
— |
$960 |
— |
| Ob preeclampsia sflt-1/plgf ratio ia serum/plsm (0524U) |
— |
$990 |
— |
| Occipital Nerve Block (64405) |
— |
$1,394 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$9,502 |
— |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
— |
$11,475 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$10,730 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$57,547 |
— |
Open/Perq Place Stent Same (37238) range across 2 matching MRF lines |
— |
$40,114–$51,805 |
— |
| Ostc prtl exostc/condylc metar head (28288) |
— |
$13,776 |
— |
| Ostectomy calcaneus (28118) |
— |
$14,603 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$13,776 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$13,776 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$14,134 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$13,776 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$14,497 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$13,776 |
— |
| Penile Injection (54235) |
— |
$2,776 |
— |
Perc Cryo Ablate Renal Tum (50593) range across 3 matching MRF lines |
— |
$15,011–$56,956 |
— |
| Percut Ablate Liver Rf (47382) |
— |
$19,825 |
— |
| Percut Cath Occlusn Non Cns Lesn (61626) |
— |
$45,334 |
— |
Percut Drain/Inject Renal Cyst (50390) range across 6 matching MRF lines |
— |
$12,254–$18,901 |
— |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
— |
$13,265 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$12,717 |
— |
| Peritoneal Lavage (49084) |
— |
$11,421 |
— |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
— |
$13,082 |
— |
| Perq Cervicothoracic Inject (22510) |
— |
$19,295 |
— |
| Perq dev breast 1st strtctc (19283) |
— |
$15,681 |
— |
| Perq dev breast 1st us imag (19285) |
— |
$5,671 |
— |
| Perq device breast 1st imag (19281) |
— |
$6,678 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$12,575 |
— |
| Perq Lumbosacral Injection (22511) |
— |
$18,242 |
— |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
— |
$14,724 |
— |
| Perq Radiofreq Ablation Tx, Pul Tumor (32998) |
— |
$19,825 |
— |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
— |
$2,527 |
— |
Perq thrmbc/nfs dial circuit trluml balo angiop (36905) range across 5 matching MRF lines |
— |
$32,248–$96,746 |
— |
Perq thrmbc/nfs dialysis circuit img dx angrph (36904) range across 4 matching MRF lines |
— |
$31,911–$47,865 |
— |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
— |
$84,923 |
— |
| Perq Vertebral Augmentation (22513) |
— |
$84,923 |
— |
| Phalangectomy toe each toe (28150) |
— |
$14,603 |
— |
Place Cath Subclavian Art (36225) range across 7 matching MRF lines |
— |
$32,157–$51,900 |
— |
Place Cath Thoracic Aorta (36221) range across 2 matching MRF lines |
— |
$24,361–$25,831 |
— |
Place Cath Vertebral Art (36226) range across 8 matching MRF lines |
— |
$29,491–$58,487 |
— |
| Place Duod/Jej Tube Perc (49441) |
— |
$10,152 |
— |
| Placement of needle for intraosseous infusion (36680) |
— |
$6,856 |
— |
| Plastic Repair Canaliculi (68700) |
— |
$12,249 |
— |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
— |
$19,396 |
— |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
— |
$30,111 |
— |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
— |
$30,111 |
— |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
— |
$30,111 |
— |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 5 matching MRF lines |
— |
$10,166–$19,059 |
— |
Plmt Nephroureteral Catheter (50433) range across 5 matching MRF lines |
— |
$11,606–$17,410 |
— |
Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) range across 3 matching MRF lines |
— |
$15,715–$23,572 |
— |
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 3 matching MRF lines |
— |
$19,644–$23,572 |
— |
Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) range across 3 matching MRF lines |
— |
$15,715–$23,572 |
— |
| Prim art mech thrombectomy (37184) |
— |
$45,334 |
— |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
— |
$3,758 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
— |
$26,809 |
— |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
— |
$33,512 |
— |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
— |
$13,776 |
— |
Pseudoaneurysm Injection Trt (36002) range across 3 matching MRF lines |
— |
$1,225–$28,592 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,828 |
— |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 6 matching MRF lines |
— |
$1,170–$4,513 |
— |
Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
— |
$4,191–$5,239 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$837 |
— |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
— |
$19,554 |
— |
| Redo Endovas Vena Cava Filtr (37192) |
— |
$26,754 |
— |
| Reduction of rectal prolapse (45900) |
— |
$4,215 |
— |
| Relocation Pocket Pacemaker (33222) |
— |
$27,665 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$35,541 |
— |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
— |
$4,652 |
— |
| Removal Embedded Foreign Body Eyelid (67938) |
— |
$1,614 |
— |
| Removal foreign body foot deep (28192) |
— |
$11,235 |
— |
Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
— |
$2,022–$3,104 |
— |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
— |
$2,685–$3,863 |
— |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
— |
$7,209 |
— |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
— |
$443 |
— |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
— |
$910–$1,472 |
— |
Removal Implant Deep (20680) range across 2 matching MRF lines |
— |
$6,437–$6,823 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$11,884 |
— |
| Removal of foreign body from pharynx (42809) |
— |
$2,817 |
— |
| Removal of heel spur (28119) |
— |
$14,603 |
— |
| Removal of kidney stone (50081) |
— |
$15,140 |
— |
Removal of nail bed (11750) range across 2 matching MRF lines |
— |
$3,879–$5,444 |
— |
| Removal of sesamoid bone (28315) |
— |
$13,776 |
— |
| Removal of tunneled intraperitoneal catheter (49422) |
— |
$13,648 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$888 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$20,923 |
— |
| Removal ppm generator only (33233) |
— |
$86,384 |
— |
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
— |
$597–$993 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$16,839 |
— |
| Removal, under anesthesia, of external fixation system (20694) |
— |
$14,611 |
— |
| Removal/bivalving gauntlet boot/body cast (29700) |
— |
$736 |
— |
| Remove Elctrd Transvenously (33244) |
— |
$29,325 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$9,447 |
— |
| Remove foreign body from eye (65205) |
— |
$1,418 |
— |
| Remove Intrauterine Device (58301) |
— |
$1,052 |
— |
Remove intrvas foreign body (37197) range across 2 matching MRF lines |
— |
$23,174–$31,288 |
— |
| Remove lung catheter (32552) |
— |
$9,436 |
— |
| Remove Nasal Foreign Body (30300) |
— |
$1,615 |
— |
Remove Pulse Generator (33241) range across 2 matching MRF lines |
— |
$18,927–$23,676 |
— |
Remove renal tube w/fluoro (50389) range across 4 matching MRF lines |
— |
$5,981–$10,603 |
— |
| Remove ureter stent percut (50384) |
— |
$9,174 |
— |
| Remove&replace pm gen singl (33227) |
— |
$34,967 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$139,674 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$186,874 |
— |
Remv&replc cvd gen sing lead (33262) range across 2 matching MRF lines |
— |
$40,080–$170,280 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$108,129 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$130,408 |
— |
Renal Biopsy Perq (50200) range across 6 matching MRF lines |
— |
$4,778–$9,887 |
— |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
— |
$6,833 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$9,195 |
— |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
— |
$4,982 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
— |
$2,609–$2,760 |
— |
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 2 matching MRF lines |
— |
$1,135–$1,922 |
— |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
— |
$1,025–$7,968 |
— |
| Repair complex trunk 1.1-2.5 cm (13100) |
— |
$3,281 |
— |
| Repair complex trunk 2.6-7.5 cm (13101) |
— |
$2,439 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$5,080 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$11,085 |
— |
| Repair Hand Tendon (26410) |
— |
$6,569 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
— |
$2,926 |
— |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
— |
$3,903 |
— |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
— |
$4,651 |
— |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
— |
$5,492 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$6,422 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$3,510 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$3,829 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$4,475 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$5,166 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
— |
$1,564–$3,201 |
— |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
— |
$2,092–$3,521 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$5,295 |
— |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
— |
$2,287–$4,555 |
— |
| Repair lead pace-defib dual (33220) |
— |
$35,431 |
— |
| Repair Lead Pace-Defib One (33218) |
— |
$38,443 |
— |
| Repair of hammertoe (28286) |
— |
$14,603 |
— |
| Repair of nail bed (11760) |
— |
$2,619 |
— |
| Repair Spica/Body/Jacket Cast (29720) |
— |
$881 |
— |
| Repair tongue laceration (41252) |
— |
$5,675 |
— |
| Repair tongue laceration (41250) |
— |
$3,636 |
— |
| Repair webbed toe(s) (28345) |
— |
$13,776 |
— |
Replace duodenostomy/jejunostomy tube perq (49451) range across 2 matching MRF lines |
— |
$3,446–$4,557 |
— |
| Replace G-J Tube Perc (49452) |
— |
$4,811 |
— |
Replace g/c tube perc (49450) range across 2 matching MRF lines |
— |
$4,072–$5,091 |
— |
Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
— |
$2,814–$3,155 |
— |
| Reposition L Ventric Lead (33226) |
— |
$36,157 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$26,071 |
— |
| Reposition Venous Catheter (36597) |
— |
$3,042 |
— |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
— |
$47,678 |
— |
Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) range across 2 matching MRF lines |
— |
$43,643–$56,310 |
— |
Revsc evasc fpvt angiop uni sf les 1st vsl (37263) range across 2 matching MRF lines |
— |
$43,643–$56,310 |
— |
Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) range across 2 matching MRF lines |
— |
$78,898–$89,517 |
— |
Revsc evasc fpvt athrc uni sf les 1st vsl (37271) range across 2 matching MRF lines |
— |
$78,898–$89,517 |
— |
Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) range across 2 matching MRF lines |
— |
$95,610–$113,480 |
— |
Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) range across 2 matching MRF lines |
— |
$95,610–$113,480 |
— |
Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) range across 2 matching MRF lines |
— |
$76,256–$86,524 |
— |
Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) range across 2 matching MRF lines |
— |
$76,256–$86,524 |
— |
Revsc evasc imvt angiop uni cplx les 1st vsl (37298) range across 2 matching MRF lines |
— |
$76,256–$86,524 |
— |
Revsc evasc imvt angiop uni sf les 1st vsl (37296) range across 2 matching MRF lines |
— |
$76,256–$86,524 |
— |
Revsc evasc ivt angiop uni cplx les 1st vsl (37256) range across 2 matching MRF lines |
— |
$50,316–$62,896 |
— |
Revsc evasc ivt angiop uni sf les 1st vsl (37254) range across 2 matching MRF lines |
— |
$50,316–$62,896 |
— |
Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) range across 2 matching MRF lines |
— |
$79,041–$94,849 |
— |
Revsc evasc ivt st plmt uni sf les 1st vsl (37258) range across 2 matching MRF lines |
— |
$79,041–$94,849 |
— |
Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) range across 2 matching MRF lines |
— |
$26,714–$41,514 |
— |
Revsc evasc tpvt angiop uni sf les 1st vsl (37280) range across 2 matching MRF lines |
— |
$26,714–$41,514 |
— |
Revsc evasc tpvt athrc uni cplx les 1st vsl (37290) range across 2 matching MRF lines |
— |
$57,926–$69,505 |
— |
Revsc evasc tpvt athrc uni sf les 1st vsl (37288) range across 2 matching MRF lines |
— |
$57,926–$69,505 |
— |
| Revsc evasc tpvt st athrc uni cplx les 1st vsl (37294) |
— |
$59,705 |
— |
| Revsc evasc tpvt st athrc uni sf les 1st vsl (37292) |
— |
$59,705 |
— |
Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) range across 2 matching MRF lines |
— |
$59,847–$67,900 |
— |
Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) range across 2 matching MRF lines |
— |
$59,847–$67,900 |
— |
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) range across 3 matching MRF lines |
— |
$11,725–$14,656 |
— |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
— |
$2,250 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$2,377 |
— |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
— |
$1,092 |
— |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
— |
$1,360 |
— |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
— |
$1,156 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$2,795 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$11,528 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$4,046 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$28,513 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$28,513 |
— |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
— |
$1,826–$7,853 |
— |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 3 matching MRF lines |
— |
$6,166–$7,707 |
— |
Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
— |
$2,933–$3,190 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$10,354 |
— |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
— |
$7,465 |
— |
Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) range across 3 matching MRF lines |
— |
$6,331–$7,597 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$13,713 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$12,755 |
— |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
— |
$4,051 |
— |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
— |
$994 |
— |
| Rpr lac cjnc w/wo nonperfor lac sclera dir clsr (65270) |
— |
$13,712 |
— |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
— |
$1,977 |
— |
Rpr Lip Full Thickness Vermilion Only (40650) range across 2 matching MRF lines |
— |
$1,977–$4,236 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$11,728 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$12,001 |
— |
Sclerotx Fluid Collection (49185) range across 2 matching MRF lines |
— |
$6,719–$8,399 |
— |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
— |
$6,533 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$2,375 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$3,128 |
— |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
— |
$7,224 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$3,366 |
— |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
— |
$8,985 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
— |
$1,619–$2,317 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$6,571 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$2,884 |
— |
| Skin Pinch Graft (15050) |
— |
$3,026 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$8,472 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$10,540 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$6,127 |
— |
| Skin Tissue Procedure (17999) |
— |
$3,444 |
— |
| Skn sub grft f/n/hf/g child (15277) |
— |
$5,106 |
— |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 7 matching MRF lines |
— |
$36,117–$71,628 |
— |
Slctv cath carotid/innom art angio xtrcranl art (36222) range across 7 matching MRF lines |
— |
$27,529–$52,787 |
— |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) range across 7 matching MRF lines |
— |
$36,058–$71,510 |
— |
| Slitting of prepuce (54001) |
— |
$7,339 |
— |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
— |
$1,701–$2,549 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$4,135 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$5,793 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$3,605 |
— |
| Strapping ankle (29540) |
— |
$638 |
— |
| Strapping elbow or wrist (29260) |
— |
$913 |
— |
| Strapping hand/finger (29280) |
— |
$761 |
— |
| Strapping knee (29530) |
— |
$1,088 |
— |
| Strapping shoulder (29240) |
— |
$1,136 |
— |
| Strapping toes (29550) |
— |
$591 |
— |
Strapping Unna Boot (29580) range across 4 matching MRF lines |
— |
$736–$1,423 |
— |
| Suture infrapatellar tendon primary (27380) |
— |
$8,665 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$2,193 |
— |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
— |
$126,082 |
— |
Ther Spi Pnxr Csf Fluor/Ct (62329) range across 2 matching MRF lines |
— |
$6,281–$7,885 |
— |
| Therapeutic plasma exchange (36514) |
— |
$8,479 |
— |
Thrmbc/Nfs Dialysis Circuit (36906) range across 4 matching MRF lines |
— |
$65,173–$97,759 |
— |
Thromblytic art/ven therapy (37213) range across 3 matching MRF lines |
— |
$12,751–$16,859 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$41,666 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$9,695 |
— |
| Thrombolytic Venous Therapy (37212) |
— |
$50,456 |
— |
Thyroid biopsy (60100) range across 6 matching MRF lines |
— |
$3,705–$8,007 |
— |
| Tooth extraction (41899) |
— |
$6,613 |
— |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
— |
$5,657 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$6,930 |
— |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
— |
$2,289 |
— |
| Transcatheter biopsy (37200) |
— |
$26,696 |
— |
| Transfusion Intrauterine Fetal (36460) |
— |
$2,814 |
— |
| Treat Big Toe Fracture (28505) |
— |
$12,317 |
— |
| Treat humerus fracture (24500) |
— |
$5,679 |
— |
| Treat Humerus Fracture (24505) |
— |
$4,961 |
— |
| Treat humerus fracture (23600) |
— |
$5,379 |
— |
| Treat knee fracture (27532) |
— |
$3,394 |
— |
| Treat Knuckle Dislocation (26700) |
— |
$5,364 |
— |
| Treat Metatarsal Fracture (28475) |
— |
$1,702 |
— |
| Treat Tail Bone Fracture (27200) |
— |
$3,204 |
— |
| Treat Thumb Dislocation (26641) |
— |
$6,118 |
— |
| Treat Thumb Fracture (26645) |
— |
$7,407 |
— |
| Treat toe dislocation (28630) |
— |
$3,214 |
— |
| Treat Vaginal Bleeding (57180) |
— |
$1,162 |
— |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
— |
$12,099 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$7,802 |
— |
| Trim skin lesion (11055) |
— |
$843 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$897 |
— |
| Trim skin lesions over 4 (11057) |
— |
$1,045 |
— |
| Trimming Nondystrophic Nails Any Number (11719) |
— |
$1,032 |
— |
Trluml Balo Angiop 1St Art (37246) range across 6 matching MRF lines |
— |
$31,907–$47,865 |
— |
Trluml Balo Angiop 1St Vein (37248) range across 7 matching MRF lines |
— |
$31,911–$63,284 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$4,395 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$20,158 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$13,776 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$9,269 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$1,526 |
— |
| Tx superficial wound dehiscence w/packing (12021) |
— |
$1,625 |
— |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
— |
$3,685 |
— |
| Unlisted Cardiac Surgery (33999) |
— |
$2,582 |
— |
| Unlisted procedure anus (46999) |
— |
$1,825 |
— |
| Unlisted Procedure Casting/Strapping (29799) |
— |
$850 |
— |
Unlisted Procedure Endocrine System (60699) range across 3 matching MRF lines |
— |
$6,601–$9,900 |
— |
| Unlisted Procedure Esophagus (43499) |
— |
$3,266 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$1,520 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$882 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$718 |
— |
Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
— |
$1,454–$13,466 |
— |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
— |
$3,509 |
— |
Unlisted Procedure Rectum (45999) range across 2 matching MRF lines |
— |
$1,804–$2,796 |
— |
| Unlisted Procedure Tongue Floor Mouth (41599) |
— |
$989 |
— |
Unlisted Procedure Vascular Surgery (37799) range across 2 matching MRF lines |
— |
$238–$2,582 |
— |
Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
— |
$2,878–$3,453 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$860 |
— |
| Upgrade of pacemaker system (33214) |
— |
$45,968 |
— |
Vaginal delivery only (59409) range across 2 matching MRF lines |
— |
$17,379–$24,790 |
— |
Vasc embolize/occlude artery (37242) range across 2 matching MRF lines |
— |
$17,111–$56,145 |
— |
Vasc Embolize/Occlude Bleed (37244) range across 3 matching MRF lines |
— |
$32,342–$36,267 |
— |
Vasc Embolize/Occlude Organ (37243) range across 3 matching MRF lines |
— |
$32,342–$68,237 |
— |
Vasc embolize/occlude venous (37241) range across 3 matching MRF lines |
— |
$32,342–$42,774 |
— |
| Venous Cutdown >1 Y/O (36425) |
— |
$2,435 |
— |
Venous Mech Thrombectomy (37187) range across 2 matching MRF lines |
— |
$19,988–$22,667 |
— |
| Wedge excision skin nail fold (11765) |
— |
$1,767 |
— |
| Wedging of cast (29740) |
— |
$1,375 |
— |
| Windowing of cast (29730) |
— |
$922 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$5,507 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$6,003 |
— |
Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) range across 2 matching MRF lines |
— |
$6,766–$8,850 |
— |