| Abd paracentesis w/imaging (49083) |
$1,160 |
$6,196.80 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,160 |
$8,771.59 |
1.0× |
| Acne surgery (10040) |
$256 |
$185.40 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,640 |
$3,737.22 |
1.0× |
| Amniocentesis diagnostic (59000) |
$1,178 |
$1,040.50 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$4,187 |
$13,116.70 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$4,187 |
$4,735.67 |
1.0× |
| Amputation metatarsal with toe single (28810) |
$4,187 |
$17,355.10 |
1.0× |
Amputation toe interphalangeal joint (28825)
range across 2 matching MRF lines |
$4,187 |
$4,735.67–$14,437.50 |
1.0× |
| Anoscopy diagnostic (46600) |
$170 |
$207 |
1.0× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,190 |
$3,763.80 |
1.0× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,531 |
$8,307.50 |
1.0× |
| Anoscopy; with dilation (eg, balloon, guide wire, bougie) (46604) |
$1,531 |
$8,307.50 |
1.0× |
| Apheresis Platelets (36513) |
$564 |
$3,664.25 |
1.0× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$2,058 |
$3,566.25 |
1.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$207 |
$639.35 |
1.0× |
| Application cast elbow finger short arm (29075) |
$357 |
$1,116.45 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$75 |
$261.85 |
1.0× |
| Application finger splint static (29130) |
$170 |
$846.21 |
1.0× |
| Application long arm splint shoulder hand (29105) |
$207 |
$954.21 |
1.0× |
| Application Long Leg Splint (29505) |
$207 |
$1,062.30 |
1.0× |
| Application of long leg cast (29345) |
$357 |
$1,398.77 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$357 |
$982.90 |
1.0× |
| Application Short Arm Splint Dynamic (29126) |
$170 |
$763 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$170 |
$846.21 |
1.0× |
| Application short leg splint calf foot (29515) |
$207 |
$954.21 |
1.0× |
| Apply long arm cast (29065) |
$357 |
$658.95 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$207 |
$1,524.71 |
1.0× |
| Apply Short Leg Cast (29405) |
$357 |
$658.95 |
1.0× |
| Apply short leg cast (29425) |
$357 |
$1,279.40 |
1.0× |
| Arterial catheterization for prolonged infusion therapy (chemotherapy), cutdown Facility (36640) |
$4,041 |
$1,355.75 |
1.0× |
| Arterial puncture (36600) |
$170 |
$871.60 |
1.0× |
| Arteriovenous Anastomosis Open Direct (36821) |
$4,041 |
$15,750 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$392 |
$982.63 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$903 |
$1,529.54 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$392 |
$1,585.23 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$392 |
$1,981.54 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$392 |
$982.63 |
1.0× |
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 2 matching MRF lines |
$4,187 |
$48,860.66–$48,860.70 |
1.0× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,187 |
$12,300 |
1.0× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,286 |
$6,150 |
1.0× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,187 |
$25,875 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$802 |
$5,370.46 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$802 |
$3,629.93 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$392 |
$1,585.23 |
1.0× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$906 |
$2,896.70 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$906 |
$2,896.70 |
1.0× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,675 |
$14,078 |
1.0× |
| Aspiration Bladder Needle (51100) |
$319 |
$1,068.90 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$256 |
$1,166.61 |
1.0× |
| Biopsy Abdominal Mass (49180) |
$2,113 |
$15,688.40 |
1.0× |
| Biopsy bone open deep (20245) |
$3,717 |
$5,631.75 |
1.0× |
| Biopsy bone open superficial (20240) |
$3,717 |
$4,988.06 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$2,113 |
$5,378.88 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,113 |
$3,585.92 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$2,113 |
$10,757.80 |
1.0× |
| Biopsy Muscle Superficial (20200) |
$2,113 |
$4,190.78 |
1.0× |
| Biopsy nail unit (11755) |
$906 |
$2,368 |
1.0× |
| Biopsy of floor of mouth (41108) |
$2,113 |
$6,877.50 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,113 |
$20,170.80 |
1.0× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,113 |
$2,500.89 |
1.0× |
| Biopsy Salivary Gland Needle (42400) |
$906 |
$1,452 |
1.0× |
| Biopsy soft tissue back/flank deep (21925) |
$2,113 |
$3,546.20 |
1.0× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$2,113 |
$2,145 |
1.0× |
| Biopsy soft tissue forearm&/wrist deep (25066) |
$3,717 |
$3,481.20 |
1.0× |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
$2,113 |
$3,345 |
1.0× |
| Biopsy Soft Tissue Leg/Ankle Area Deep (27614) |
$3,717 |
$4,543 |
1.0× |
| Biopsy soft tissue leg/ankle area superficial (27613) |
$2,113 |
$2,522 |
1.0× |
| Biopsy soft tissue neck/thorax (21550) |
$2,113 |
$3,585.92 |
1.0× |
| Biopsy Soft Tissue Pelvis&Hip Area Superficial (27040) |
$2,113 |
$8,742.98 |
1.0× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,717 |
$4,140.80 |
1.0× |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
$2,113 |
$3,441 |
1.0× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,717 |
$4,780.25 |
1.0× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$2,113 |
$2,535.70 |
1.0× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$2,113 |
$4,175 |
1.0× |
| Bladder Irrigation (51700) |
$319 |
$1,565.98 |
1.0× |
| Bladder Scan (51798) |
$75 |
$554.41 |
1.0× |
| Blepharotomy drainage abscess eyelid (67700) |
$406 |
$1,543.37 |
1.0× |
| Blood Transfusion Service (36430) |
$564 |
$2,643.77 |
1.0× |
| Blood/Lymph System Procedure (38999) |
$564 |
$1,914.50 |
1.0× |
| Bone Marrow Biopsy (38221) |
$2,113 |
$163.50 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$2,113 |
$163.50 |
1.0× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,278 |
$11,650.30 |
1.0× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$4,771 |
$18,434.80 |
1.0× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$4,771 |
$17,840.30 |
1.0× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$2,278 |
$5,187.50 |
1.0× |
| Brnchsc Removal Bronchial Valve Initial (31648) |
$4,771 |
$9,959.60 |
1.0× |
| Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638) |
$9,032 |
$15,332.40 |
1.0× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$4,771 |
$9,959.60 |
1.0× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
$2,278 |
$5,187.50 |
1.0× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$4,771 |
$9,959.60 |
1.0× |
| Bronch Thermoplsty 1 Lobe (31660) |
$9,032 |
$15,332.40 |
1.0× |
| Bronchial Valve Init Insert (31647) |
$9,032 |
$15,332.40 |
1.0× |
| Bronchoscopic Thermoplasty 2/> Lobes (31661) |
$9,032 |
$45,091.40 |
1.0× |
| Bronchoscopy Balloon Occlusion (31634) |
$9,032 |
$15,332.40 |
1.0× |
| Bronchoscopy Bronch Stents (31636) |
$9,032 |
$15,332.40 |
1.0× |
| Bronchoscopy Clear Airways (31645) |
$2,278 |
$11,650.30 |
1.0× |
| Bronchoscopy Dilate W/Stent (31631) |
$9,032 |
$15,332.40 |
1.0× |
| Bronchoscopy Reclear Airway (31646) |
$500 |
$3,160.94 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,278 |
$11,650.30 |
1.0× |
| Bronchoscopy W/Excision Tumor (31640) |
$4,771 |
$9,959.60 |
1.0× |
| Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626) |
$9,032 |
$15,332.40 |
1.0× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,278 |
$9,320.24 |
1.0× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,771 |
$19,436.50 |
1.0× |
| Bronchoscopy/Needle Bx Each (31629) |
$4,771 |
$11,281.80 |
1.0× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$3,717 |
$3,900 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$2,113 |
$5,263.15 |
1.0× |
| Bx breast 1st lesion strtctc (19081) |
$2,113 |
$5,263.15 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$2,113 |
$8,742.98 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,113 |
$2,436.70 |
1.0× |
| Canthotomy Separate Procedure (67715) |
$3,042 |
$11,132.40 |
1.0× |
Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270)
range across 2 matching MRF lines |
$4,187 |
$11,428.75–$11,428.80 |
1.0× |
| Cataract surgery complex (66982) |
$2,953 |
$8,451.52 |
1.0× |
| Catheter aspiration nasotracheal spx (31720) |
$280 |
$1,229.97 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$4,041 |
$7,049.99 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$892 |
$1,068.90 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$319 |
$1,470.77 |
1.0× |
| Change of Windpipe Airway (31502) |
$303 |
$501.35 |
1.0× |
| Change ureter stent percut (50382) |
$2,675 |
$9,227.15 |
1.0× |
| Chemical Cautery Tissue (17250) |
$256 |
$1,201.61 |
1.0× |
| Chemical Pleurodesis (32560) |
$802 |
$3,100.05 |
1.0× |
| Chemodenerv 1 extremity 1-4 (64642) |
$903 |
$3,221.70 |
1.0× |
| Chest tube placement (32551) |
$2,014 |
$10,843.50 |
1.0× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,582 |
$20,719.80 |
1.0× |
| Chorionic Villus Sampling (59015) |
$1,178 |
$2,436.25 |
1.0× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,058 |
$1,069.15 |
1.0× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,058 |
$8,363.83 |
1.0× |
| Clear outer ear canal (69200) |
$170 |
$756.80 |
1.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$315 |
$845.45 |
1.0× |
| Closed rx talotarsal disloc,anesth (28575) |
$4,187 |
$6,560.90 |
1.0× |
| Closed Treat Vert Body Fract (22310) |
$315 |
$1,069.15 |
1.0× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$315 |
$1,284 |
1.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,058 |
$845.45 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$315 |
$1,485.34 |
1.0× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$315 |
$845.45 |
1.0× |
| Closed Treatment Sesamoid Fracture (28530) |
$315 |
$845.45 |
1.0× |
| Closed Treatment Sternum Fracture (21820) |
$315 |
$845.45 |
1.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$315 |
$1,069.15 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$315 |
$1,282.40 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,058 |
$3,554.77 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$315 |
$1,474 |
1.0× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$315 |
$3,566.25 |
1.0× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$315 |
$511.80 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,058 |
$567.65 |
1.0× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$315 |
$511.80 |
1.0× |
| Closed Tx Craniofacial Separation (21431) |
$7,576 |
$9,731 |
1.0× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$315 |
$1,069.15 |
1.0× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$1,985 |
$3,233.30 |
1.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,058 |
$5,753.40 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$315 |
$1,474 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,058 |
$6,560.90 |
1.0× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,985 |
$6,334.30 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$690 |
$618.60 |
1.0× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$7,576 |
$18,650.20 |
1.0× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$315 |
$511.80 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,058 |
$1,245.23 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,985 |
$8,093.41 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,243 |
$2,542.70 |
1.0× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$1,985 |
$9,731 |
1.0× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$4,243 |
$18,650.20 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$315 |
$3,566.25 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$315 |
$1,416.19 |
1.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$315 |
$1,069.15 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,058 |
$1,069.15 |
1.0× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$315 |
$511.80 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,058 |
$3,566.25 |
1.0× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$315 |
$511.80 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,058 |
$8,363.83 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$315 |
$845.45 |
1.0× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$315 |
$845.45 |
1.0× |
| Closed tx septal&nose fx (21337) |
$4,243 |
$4,214 |
1.0× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$315 |
$1,069.15 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$315 |
$1,069.15 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,058 |
$6,560.90 |
1.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$315 |
$845.45 |
1.0× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$315 |
$845.45 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$315 |
$991.65 |
1.0× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,985 |
$9,731 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$315 |
$1,206.95 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,058 |
$8,363.83 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$315 |
$845.45 |
1.0× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$315 |
$511.80 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$303 |
$618.60 |
1.0× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$690 |
$1,125 |
1.0× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$315 |
$1,069.15 |
1.0× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$315 |
$511.80 |
1.0× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,058 |
$3,566.25 |
1.0× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$315 |
$511.80 |
1.0× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$690 |
$2,411.20 |
1.0× |
| Clsd Tx Pelvic Ring Fx (27198) |
$315 |
$3,566.25 |
1.0× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$315 |
$1,069.15 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,058 |
$8,363.83 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$315 |
$1,629.96 |
1.0× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$2,058 |
$6,560.90 |
1.0× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$315 |
$845.45 |
1.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,058 |
$9,396.33 |
1.0× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$315 |
$576.15 |
1.0× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$315 |
$511.80 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$315 |
$845.45 |
1.0× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,058 |
$575.60 |
1.0× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$315 |
$845.45 |
1.0× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$315 |
$1,206.95 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$315 |
$1,242 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$315 |
$1,206.95 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$315 |
$1,206.95 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$315 |
$1,206.95 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,058 |
$9,396.33 |
1.0× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$315 |
$1,069.15 |
1.0× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$2,058 |
$2,235.47 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$315 |
$1,069.15 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,058 |
$560.75 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$315 |
$1,206.95 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$315 |
$511.80 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$315 |
$1,206.95 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$315 |
$1,206.95 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,058 |
$7,166.30 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$315 |
$1,069.15 |
1.0× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$315 |
$1,069.15 |
1.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$315 |
$1,069.15 |
1.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,058 |
$6,560.90 |
1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,058 |
$3,566.25 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$315 |
$1,427.57 |
1.0× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$315 |
$1,069.15 |
1.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$315 |
$845.45 |
1.0× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$357 |
$1,116.45 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$315 |
$1,206.95 |
1.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$357 |
$4,138 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$315 |
$1,508.69 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,058 |
$6,560.90 |
1.0× |
| Cltx Medial Ankle Fx (27760) |
$315 |
$511.80 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$315 |
$1,728.45 |
1.0× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$315 |
$1,206.95 |
1.0× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,058 |
$6,560.90 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$315 |
$1,269 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$315 |
$1,206.95 |
1.0× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,058 |
$8,607 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$315 |
$1,697.50 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,058 |
$8,363.83 |
1.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$315 |
$511.80 |
1.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,058 |
$4,154.20 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$315 |
$845.45 |
1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$315 |
$1,069.15 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$315 |
$1,206.95 |
1.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,058 |
$3,566.25 |
1.0× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,058 |
$8,363.83 |
1.0× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,058 |
$1,764.25 |
1.0× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$315 |
$511.80 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$2,058 |
$1,069.15 |
1.0× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$315 |
$1,069.15 |
1.0× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$4,187 |
$10,213.30 |
1.0× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$315 |
$845.45 |
1.0× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$315 |
$511.80 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$315 |
$511.80 |
1.0× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$315 |
$845.45 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,058 |
$3,554.77 |
1.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$315 |
$511.80 |
1.0× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$4,187 |
$6,560.90 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$170 |
$394.10 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$9 |
$51.50 |
1.0× |
| Colonoscopy Flexible With Decompression (45393) |
$1,531 |
$8,129.02 |
1.0× |
| Colonoscopy Stoma Ablation Lesion (44401) |
$1,531 |
$2,546.70 |
1.0× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,531 |
$3,763.80 |
1.0× |
| Colonoscopy stoma rmvl les by hot biopsy forceps (44392) |
$1,531 |
$3,763.80 |
1.0× |
| Colonoscopy stoma w/balloon dilation (44405) |
$1,531 |
$3,763.80 |
1.0× |
| Colonoscopy Stoma W/Endoscopic Mucosal Rescj (44403) |
$1,531 |
$3,763.80 |
1.0× |
| Colonoscopy Stoma W/Endoscopic Stent Plcmt (44402) |
$7,769 |
$18,067.80 |
1.0× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$1,190 |
$3,763.80 |
1.0× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,531 |
$3,763.80 |
1.0× |
| Colonoscopy Through Stoma With Decompression (44408) |
$1,190 |
$3,763.80 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,531 |
$7,892.25 |
1.0× |
| Colonoscopy thru stoma (44388) |
$1,190 |
$6,056.63 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,531 |
$3,763.80 |
1.0× |
| Colonoscopy w/ablation (45388) |
$1,531 |
$3,949.30 |
1.0× |
| Colonoscopy W/Band Ligation (45398) |
$1,531 |
$6,313.80 |
1.0× |
| Colonoscopy w/fb removal (45379) |
$1,531 |
$6,313.80 |
1.0× |
| Colonoscopy W/Resection (45390) |
$3,552 |
$3,763.80 |
1.0× |
| Colonoscopy w/stent plcmt (45389) |
$7,769 |
$18,067.80 |
1.0× |
| Colonoscopy w/submucosal inj (45381) |
$1,531 |
$6,313.80 |
1.0× |
| Colporrhaphy (57200) |
$4,143 |
$8,073.05 |
1.0× |
| Colpotomy; with drainage of pelvic abscess (57010) |
$4,143 |
$6,500 |
1.0× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,531 |
$7,892.25 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,531 |
$3,763.80 |
1.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,531 |
$7,892.25 |
1.0× |
| Colsc Flx W/US Guid Ndl Aspir/Bx W/US Rctm Et Al (45392) |
$1,531 |
$8,307.50 |
1.0× |
| Complex drainage wound (10180) |
$3,717 |
$7,071.40 |
1.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$170 |
$852 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$170 |
$756.80 |
1.0× |
| Conversion ext bil drg cath (47535) |
$4,582 |
$13,325.90 |
1.0× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,455 |
$10,154.20 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$2,675 |
$8,698.75 |
1.0× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,113 |
$9,512.75 |
1.0× |
| Correction hammertoe (28285) |
$4,187 |
$10,500 |
1.0× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,187 |
$28,875 |
1.0× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$4,187 |
$13,125 |
1.0× |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
$7,121 |
$18,375 |
1.0× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$170 |
$932.41 |
1.0× |
| Cysto/uretero w/lithotripsy (52356) |
$6,862 |
$12,937.50 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,675 |
$8,478.40 |
1.0× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$6,862 |
$15,375 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$520 |
$2,520.80 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$906 |
$4,132.90 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$945 |
$4,360.98 |
1.0× |
| Debride nail 1-5 (11720) |
$75 |
$135.29 |
1.0× |
| Debride nail 6 or more (11721) |
$75 |
$359.21 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,113 |
$11,256.60 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$520 |
$2,800.51 |
1.0× |
| Declot vascular device (36593) |
$422 |
$1,123.58 |
1.0× |
| Deep Muscle Biopsy (20205) |
$3,717 |
$5,012.70 |
1.0× |
| Destruc retinal lesn,photocoag (67210) |
$703 |
$2,201.90 |
1.0× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,531 |
$2,462.25 |
1.0× |
| Destruction Premalignant Lesion 15/> (17004) |
$520 |
$552.26 |
1.0× |
| Destruction premalignant lesion 1st (17000) |
$256 |
$212.96 |
1.0× |
Diagnostic sigmoidoscopy (45330)
range across 2 matching MRF lines |
$1,190 |
$1,401.05–$4,845.30 |
1.0× |
| Dilat Xst Trc New Access Rcs (50437) |
$4,511 |
$14,634.30 |
1.0× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,160 |
$4,813.05 |
1.0× |
| Drain Cerebro Spinal Fluid (62272) |
$903 |
$1,495.90 |
1.0× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$690 |
$1,051.14 |
1.0× |
| Drainage external auditory canal abscess (69020) |
$906 |
$3,783.75 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$906 |
$4,729.69 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,113 |
$8,742.98 |
1.0× |
| Drainage Mouth Roof Lesion (42000) |
$303 |
$1,260.30 |
1.0× |
| Drainage of finger abscess simple (26010) |
$256 |
$1,316.06 |
1.0× |
| Drainage of gum lesion (41800) |
$170 |
$941.64 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$2,113 |
$11,206 |
1.0× |
| Drainage of nose lesion (30000) |
$303 |
$1,163.65 |
1.0× |
| Drainage of palmar bursa single bursa (26025) |
$4,187 |
$6,749.70 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$2,113 |
$8,742.98 |
1.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$906 |
$2,695.55 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$520 |
$2,175.15 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$256 |
$1,052.85 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$256 |
$1,166.61 |
1.0× |
| Dstrj lesion anus simple surg excision (46922) |
$3,552 |
$10,500 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$3,717 |
$15,061.40 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$2,278 |
$11,650.30 |
1.0× |
| Dx Bronchoscope/Wash (31622) |
$2,278 |
$10,124.70 |
1.0× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,278 |
$9,320.24 |
1.0× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$903 |
$6,882.95 |
1.0× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,455 |
$12,692.70 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,455 |
$10,154.20 |
1.0× |
| Egd cautery tumor polyp (43250) |
$2,455 |
$12,692.70 |
1.0× |
| Egd control bleeding any (43255) |
$2,455 |
$12,692.70 |
1.0× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,455 |
$10,154.20 |
1.0× |
| Egd endo mucosal resection (43254) |
$2,455 |
$5,440 |
1.0× |
| Egd Endoscopic Stent Place (43266) |
$7,769 |
$34,950.10 |
1.0× |
| Egd Flexible Foreign Body Removal (43247) |
$1,160 |
$6,016.31 |
1.0× |
| Egd guide wire insertion (43248) |
$1,160 |
$3,728 |
1.0× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,455 |
$10,154.20 |
1.0× |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
$2,455 |
$5,440 |
1.0× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$2,455 |
$5,440 |
1.0× |
| Egd lesion ablation (43270) |
$2,455 |
$2,400.15 |
1.0× |
| Egd place gastrostomy tube (43246) |
$2,455 |
$11,137.60 |
1.0× |
| Egd remove lesion snare (43251) |
$2,455 |
$12,692.70 |
1.0× |
| Egd Tube/Cath Insertion (43241) |
$2,455 |
$12,692.70 |
1.0× |
| Egd us exam duodenum/jejunum (43259) |
$2,455 |
$5,440 |
1.0× |
| Egd us transmural injxn/mark (43253) |
$2,455 |
$12,692.70 |
1.0× |
| Egd Varices Ligation (43244) |
$2,455 |
$12,692.70 |
1.0× |
| Egd W/Transmural Drain Cyst (43240) |
$7,769 |
$9,902.15 |
1.0× |
| Endoscopic us exam esoph (43237) |
$2,455 |
$5,440 |
1.0× |
| Endoscopy Upper Small Intestine (44360) |
$2,455 |
$8,125.10 |
1.0× |
| Endoscopy upper small intestine w/biopsy (44361) |
$2,455 |
$5,440 |
1.0× |
| Endovasc Temp Balloon Occlus,Head/Nck (61623) |
$14,775 |
$61,891.50 |
1.0× |
| Endoven abltj incmptnt vein mchnchem 1st vein (36473) |
$4,041 |
$11,798 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$4,041 |
$7,919.72 |
1.0× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$2,455 |
$5,440 |
1.0× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,455 |
$4,262.15 |
1.0× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$2,455 |
$5,440 |
1.0× |
| Enteroscopy > 2nd prtn ileum control bleeding (44378) |
$2,455 |
$5,440 |
1.0× |
| Enteroscopy > 2nd prtn tndsc stent plmt (44370) |
$7,769 |
$18,067.80 |
1.0× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,455 |
$5,440 |
1.0× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$2,455 |
$5,440 |
1.0× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Cautery (44365) |
$2,455 |
$5,440 |
1.0× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$2,455 |
$5,440 |
1.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,640 |
$3,002.39 |
1.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,640 |
$5,260.50 |
1.0× |
| Epidural Blood Patch (62273) |
$903 |
$1,424.35 |
1.0× |
| Ercp Destruction/Lithotripsy Calculi Any Method (43265) |
$7,769 |
$38,194.40 |
1.0× |
| Ercp duct stent placement (43274) |
$7,769 |
$38,194.40 |
1.0× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,934 |
$23,763.90 |
1.0× |
| Ercp ea duct/ampulla dilate (43277) |
$4,934 |
$19,011.10 |
1.0× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$4,934 |
$19,011.10 |
1.0× |
| Ercp remove forgn body duct (43275) |
$2,455 |
$23,763.90 |
1.0× |
| Ercp Stent Exchange W/Dilate (43276) |
$7,769 |
$30,555.50 |
1.0× |
| Ercp Tumor/Polyp/Lesion Ablation W/Dilation&Wire (43278) |
$4,934 |
$9,765.30 |
1.0× |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,934 |
$23,763.90 |
1.0× |
| Ercp,Sphincterotomy (43262) |
$4,934 |
$24,476.80 |
1.0× |
| Escharotomy; initial incision (16035) |
$520 |
$1,135.75 |
1.0× |
| Esoph Scope W/Submucous Inj (43201) |
$2,455 |
$5,324.30 |
1.0× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,160 |
$4,813.05 |
1.0× |
| Esophagosc Dilate Balloon 30 (43214) |
$2,455 |
$5,440 |
1.0× |
| Esophagoscop Mucosal Resect (43211) |
$2,455 |
$5,440 |
1.0× |
| Esophagoscop Stent Placement (43212) |
$7,769 |
$15,875.40 |
1.0× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$2,455 |
$2,400.15 |
1.0× |
| Esophagoscopy Flex Transoral Injection Varices (43204) |
$2,455 |
$3,728 |
1.0× |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
$4,934 |
$9,575.75 |
1.0× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$2,455 |
$5,440 |
1.0× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$2,455 |
$5,324.30 |
1.0× |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
$1,160 |
$3,726.80 |
1.0× |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
$1,160 |
$3,726.80 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$1,160 |
$6,016.31 |
1.0× |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
$2,455 |
$5,440 |
1.0× |
| Esophagoscopy Flexible W/Bleeding Control (43227) |
$2,455 |
$12,692.70 |
1.0× |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
$2,455 |
$5,440 |
1.0× |
| Esophagoscopy Retro Balloon (43213) |
$2,455 |
$10,154.20 |
1.0× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,455 |
$12,692.70 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,455 |
$5,440 |
1.0× |
| Esphagoscopy Flex Lesion Removal Hot Bx Forceps (43216) |
$2,455 |
$9,575.75 |
1.0× |
| Esphgoscopy Flex W/Band Ligation Esophgl Varices (43205) |
$2,455 |
$12,692.70 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$170 |
$846.21 |
1.0× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,113 |
$3,737.22 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$906 |
$1,892.80 |
1.0× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$906 |
$1,892.80 |
1.0× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$906 |
$4,132.90 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,113 |
$4,132.90 |
1.0× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$2,113 |
$4,132.90 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,113 |
$2,757.80 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$906 |
$2,209.50 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,113 |
$2,855 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,113 |
$6,707.05 |
1.0× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,717 |
$9,121.55 |
1.0× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$3,717 |
$9,121.55 |
1.0× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$2,113 |
$4,847.55 |
1.0× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$3,717 |
$9,121.55 |
1.0× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,113 |
$7,071.40 |
1.0× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,531 |
$1,042.85 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$906 |
$4,132.90 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,582 |
$4,170.32 |
1.0× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
$2,675 |
$11,391.70–$13,518.40 |
1.0× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,455 |
$7,416.75 |
1.0× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$4,243 |
$12,898.80 |
1.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,985 |
$8,093.41 |
1.0× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$906 |
$4,709.90 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$906 |
$4,709.90 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$906 |
$2,403.20 |
1.0× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$520 |
$2,403.20 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$906 |
$4,709.90 |
1.0× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,113 |
$7,175 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,113 |
$4,847.55 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$906 |
$11,621 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$906 |
$4,847.55 |
1.0× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,113 |
$6,707.05 |
1.0× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$3,552 |
$8,307.50 |
1.0× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,058 |
$8,304.15 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,717 |
$9,121.55 |
1.0× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$3,717 |
$11,624 |
1.0× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$2,113 |
$10,500 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,640 |
$5,414.20 |
1.0× |
| Explo/Drain Breast Abscess (19020) |
$2,113 |
$6,991.40 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,113 |
$1,418.20 |
1.0× |
| Fetal non-stress test (59025) |
— |
$405.35 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$906 |
$3,783.75 |
1.0× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$906 |
$2,896.70 |
1.0× |
| Fine needle aspiration without imaging guidance (10021) |
$520 |
$2,175.15 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$305 |
$1,419.19 |
1.0× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$906 |
$2,896.70 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$906 |
$4,130.92 |
1.0× |
| Foreskin manipulation (54450) |
$319 |
$1,464.21 |
1.0× |
| Guide Cathet Fluid Drainage (10030) |
$906 |
$4,329.80 |
1.0× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,552 |
$8,307.50 |
1.0× |
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260)
range across 2 matching MRF lines |
$3,552 |
$15,836.25–$15,836.30 |
1.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,190 |
$2,462.25 |
1.0× |
| Hysteroscopy Biopsy (58558) |
$4,143 |
$11,400 |
1.0× |
| Hysteroscopy Endometrial Ablation (58563) |
$6,402 |
$10,500 |
1.0× |
| I&d abscess peritonsillar (42700) |
$303 |
$810.38 |
1.0× |
| I&d abscess simple (10060) |
$256 |
$1,425.26 |
1.0× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
$2,058 |
$7,276.30 |
1.0× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,717 |
$8,036.25 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,717 |
$4,134 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$4,187 |
$4,955 |
1.0× |
| I&d forearm/wrist bursa (25031) |
$2,058 |
$7,073.04 |
1.0× |
| I&D Intramural Im/Absc Transanal Anes (46045) |
$3,552 |
$12,217 |
1.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$4,187 |
$5,428 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,190 |
$6,056.63 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$906 |
$3,894 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$906 |
$3,783.75 |
1.0× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,717 |
$4,687 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,717 |
$4,615 |
1.0× |
| Icd Pocket Revision (33223) |
$2,640 |
$5,986.90 |
1.0× |
| Ileoscopy Stoma W/Balloon Dilation (44381) |
$2,455 |
$3,726.80 |
1.0× |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
$1,160 |
$3,726.80 |
1.0× |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
$1,160 |
$3,726.80 |
1.0× |
| Image Cath Fluid Colxn Visc (49405) |
$2,113 |
$9,512.75 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$2,113 |
$5,378.88 |
1.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$2,113 |
$6,877.50 |
1.0× |
| Incise external hemorrhoid (46083) |
$319 |
$1,252.78 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$520 |
$881.93 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,717 |
$4,200 |
1.0× |
| Incision & drainage leg/ankle infected bursa (27604) |
$4,187 |
$7,867.83 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$520 |
$2,175.15 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$258 |
$1,360.95 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$390 |
$1,702.24 |
1.0× |
| Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) |
$2,058 |
$7,073.04 |
1.0× |
| Incision of Foot Tendon (28234) |
$2,058 |
$7,172.60 |
1.0× |
| Incision of hip tendon (27001) |
$4,187 |
$13,010.70 |
1.0× |
| Incision of lymph channels (38308) |
$5,011 |
$14,080 |
1.0× |
| Incision of rectal abscess (46040) |
$1,531 |
$3,915.07 |
1.0× |
| Incision&drainage bursa foot (28001) |
$2,113 |
$4,709.90 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,113 |
$6,369.85 |
1.0× |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
$4,187 |
$1,500 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$945 |
$1,570.40 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$256 |
$1,316.06 |
1.0× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,132 |
$4,968.55 |
1.0× |
| Inj W/Fluor Eval Cv Device (36598) |
$272 |
$1,204.39 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,132 |
$7,350.15 |
1.0× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,132 |
$3,360.30 |
1.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$392 |
$674.45 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,132 |
$4,968.55 |
1.0× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,132 |
$3,360.30 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,132 |
$3,360.30 |
1.0× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$1,132 |
$3,360.30 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$903 |
$3,756.76 |
1.0× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,132 |
$3,360.30 |
1.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$903 |
$1,863.80 |
1.0× |
| Injection for identification of sentinel node (38792) |
$511 |
$1,048.32 |
1.0× |
| Injection Into Brain Canal (61055) |
$392 |
$1,154.44 |
1.0× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$1,190 |
$2,462.25 |
1.0× |
| Injection single tendon origin/insertion (20551) |
$392 |
$517 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$392 |
$1,981.54 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$392 |
$1,585.23 |
1.0× |
| Injection therapeutic carpal tunnel (20526) |
$392 |
$569.78 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,132 |
$1,863.80 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$903 |
$3,756.76 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$903 |
$4,695.95 |
1.0× |
| Injection, anesthetic agent; vagus nerve (64408) |
$392 |
$1,056.05 |
1.0× |
| Ins cath ren art 1st bilat (36252) |
$4,041 |
$17,368.60 |
1.0× |
| Ins cath ren art 1st unilat (36251) |
$4,041 |
$17,368.60 |
1.0× |
| Ins cath ren art 2nd+ bilat (36254) |
$4,041 |
$12,463.70 |
1.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,121 |
$12,154.50 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$7,121 |
$38,582.30 |
1.0× |
| Ins/Rep Subq Defibrillator (33270) |
$40,173 |
$74,446.90 |
1.0× |
| Insert 1 Electrode Pm-Defib (33216) |
$10,591 |
$19,636 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$164 |
$345.49 |
1.0× |
| Insert cath pleura w/ image (32557) |
$2,014 |
$5,313.35 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,455 |
$10,154.20 |
1.0× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$1,531 |
$7,275.80 |
1.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,455 |
$12,692.70 |
1.0× |
| Insert Heart Pm Atrial (33206) |
$13,377 |
$61,444.10 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$13,377 |
$60,220.90 |
1.0× |
| Insert hepatic shunt (tips) (37182) |
$23,462 |
$28,289 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$4,041 |
$19,034 |
1.0× |
| Insert Pacing Lead & Connect (33224) |
$13,377 |
$48,739.90 |
1.0× |
| Insert pessary/other device (57160) |
$258 |
$301 |
1.0× |
| Insert pulse gen dual leads (33213) |
$13,377 |
$75,276.10 |
1.0× |
| Insert pulse gen mult leads (33221) |
$24,652 |
$49,222.20 |
1.0× |
| Insert Pulse Gen Sngl Lead (33212) |
$10,591 |
$17,734 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$170 |
$779.50 |
1.0× |
| Insert tun ip cath perc (49418) |
$4,582 |
$12,431.90 |
1.0× |
| Insert tunneled cv cath (36561) |
$4,041 |
$18,479.60 |
1.0× |
| Insert tunneled cv cath (36563) |
$7,121 |
$8,850.73 |
1.0× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$7,121 |
$8,850.73 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$170 |
$846.21 |
1.0× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,582 |
$25,813.60 |
1.0× |
| Insertion of cannula (36800) |
$7,121 |
$12,117.50 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,014 |
$9,394.17 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$10,591 |
$37,020.60 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath W Subq Port (49419) |
$7,121 |
$8,850.73 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$10,591 |
$18,328.80 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$4,041 |
$3,045.68 |
1.0× |
| Insj Picc Rs&I <5 Yr (36572) |
$802 |
$3,100.05 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,041 |
$21,710.70 |
1.0× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$4,041 |
$8,077.80 |
1.0× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$2,014 |
$4,326.40–$11,168.80 |
1.0× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$7,121 |
$29,966.90 |
1.0× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$4,041 |
$8,077.80 |
1.0× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,041 |
$22,362.10 |
1.0× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$40,173 |
$112,944 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,591 |
$59,490.30 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$10,591 |
$19,636 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$13,377 |
$75,276.10 |
1.0× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$28,468 |
$54,946.90 |
1.0× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$3,552 |
$8,307.50 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$520 |
$843 |
1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$520 |
$1,099.65 |
1.0× |
| Intraoral i&d tongue/floor lingual (41000) |
$690 |
$3,233.30 |
1.0× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,985 |
$6,395.50 |
1.0× |
| Intro cath dialysis circuit (36901) |
$2,014 |
$11,069.50 |
1.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$7,284 |
$63,208.80 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$303 |
$1,632.23 |
1.0× |
| Iridotomy/irridectomy laser surg per session (66761) |
$703 |
$2,349.35 |
1.0× |
| Irrigation maxillary sinus (31000) |
$303 |
$1,420.75 |
1.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$319 |
$1,584.50 |
1.0× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$7,737 |
$26,625 |
1.0× |
| Laparoscopy, surgical, appendectomy (44970) |
$7,737 |
$29,171.80 |
1.0× |
| Laryngoscopy diagnostic (31505) |
$255 |
$239.05 |
1.0× |
| Laryngoscopy flexible diagnostic (31575) |
$255 |
$471 |
1.0× |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$2,278 |
$6,919.90 |
1.0× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$500 |
$1,932 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$2,278 |
$6,846.45 |
1.0× |
| Laryngoscopy w/wo tracheoscopy aspiration (31515) |
$500 |
$6,297.75 |
1.0× |
| Laser treatment of retina (67040) |
$5,290 |
$16,903.80 |
1.0× |
| Late closure of wound (13160) |
$4,535 |
$2,150.60 |
1.0× |
| Ligation of hemorrhoids (46946) |
$3,552 |
$8,307.50 |
1.0× |
| Ligation Of Inf Vena Cava (37619) |
$7,121 |
$21,324.80 |
1.0× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$4,041 |
$11,236.70 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,511 |
$12,000 |
1.0× |
| Lyse chest fibrin init day (32561) |
$802 |
$3,100.05 |
1.0× |
| Lyse Chest Fibrin Subq Day (32562) |
$802 |
$3,100.05 |
1.0× |
| Manometric stds thru tube/ndwellg urtrl cath (50396) |
$892 |
$2,811.25 |
1.0× |
| Mastectomy partial (19301) |
$5,011 |
$12,300 |
1.0× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$2,014 |
$5,468.15 |
1.0× |
| Mech remov tunneled cv cath (36595) |
$4,041 |
$13,207.60 |
1.0× |
| Myelography Lumbar Injection (62305) |
$1,003 |
$3,071.40 |
1.0× |
| Myelography Lumbar Injection (62304) |
$1,003 |
$4,318.87 |
1.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,003 |
$3,071.40 |
1.0× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,003 |
$3,071.40 |
1.0× |
| N Block Inj Celiac Pelus (64530) |
$1,132 |
$4,260.90 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$903 |
$1,863.80 |
1.0× |
| N block inj intercost sng (64420) |
$903 |
$3,756.76 |
1.0× |
| N Block Inj Paracervical (64435) |
$903 |
$794.88 |
1.0× |
| N Block Inj Plantar Digit (64455) |
$392 |
$896.90 |
1.0× |
| N Block Inj Pudendal (64430) |
$1,132 |
$3,360.30 |
1.0× |
| N Block Lumbar/Thoracic (64520) |
$1,132 |
$2,231.50 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$571 |
$2,413.13 |
1.0× |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
$1,190 |
$3,763.80 |
1.0× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$1,190 |
$3,763.80 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$2,113 |
$12,550.70 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$2,113 |
$2,500.89 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$416 |
$2,083.90 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$392 |
$1,585.23 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,582 |
$8,733.48 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$4,582 |
$3,826 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,132 |
$2,649.45 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,132 |
$3,193.30 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$903 |
$2,534.90 |
1.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$903 |
$3,360.30 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,132 |
$2,466.30 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,132 |
$3,193.30 |
1.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$903 |
$3,756.76 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,132 |
$2,466.30 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$892 |
$1,510.88 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$892 |
$3,918.85 |
1.0× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$520 |
$350.75 |
1.0× |
| Njx Sclrsnt Spider Veins (36468) |
$520 |
$882.25 |
1.0× |
| Obstructive material removal from gi tube (49460) |
$1,160 |
$1,031.30 |
1.0× |
| Occipital Nerve Block (64405) |
$392 |
$1,863.80 |
1.0× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,187 |
$13,116.70 |
1.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,187 |
$9,637.95 |
1.0× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$4,187 |
$9,637.95 |
1.0× |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
$9,286 |
$37,950 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$14,775 |
$61,891.50 |
1.0× |
| Open/Perq Place Stent Same (37238) |
$14,775 |
$28,883.60 |
1.0× |
| Part exc bone femur prox tibia (27360) |
$4,187 |
$5,364 |
1.0× |
| Part remv talus or calcaneus (28120) |
$4,187 |
$20,700 |
1.0× |
Partial removal of penis (54120)
range across 2 matching MRF lines |
$4,511 |
$13,518.75–$13,518.80 |
1.0× |
| Partial removal of tibia (27640) |
$4,187 |
$6,390.66 |
1.0× |
Partial removal of toe (28160)
range across 2 matching MRF lines |
$4,187 |
$13,518.75–$13,518.80 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,187 |
$12,191.70 |
1.0× |
| Penile Injection (54235) |
$319 |
$1,177.40 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,771 |
$5,959.60 |
1.0× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$14,775 |
$12,576.60 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$906 |
$2,500.89 |
1.0× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,041 |
$17,368.60 |
1.0× |
| Pericardiocentesis W/Imaging (33016) |
$2,014 |
$9,120.56 |
1.0× |
| Perm Occlusion/Embolization,Percut,Cns (61624) |
$23,462 |
$1,557 |
1.0× |
| Perq Cervicothoracic Inject (22510) |
$4,187 |
$13,010.70 |
1.0× |
| Perq dev breast 1st mr guide (19287) |
$906 |
$707.28 |
1.0× |
| Perq dev breast 1st strtctc (19283) |
$906 |
$530.46 |
1.0× |
| Perq dev breast 1st us imag (19285) |
$906 |
$707.28 |
1.0× |
| Perq device breast 1st imag (19281) |
$2,113 |
$707.28 |
1.0× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,511 |
$8,698.75 |
1.0× |
| Perq Lumbosacral Injection (22511) |
$4,187 |
$13,010.70 |
1.0× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$14,775 |
$61,891.50 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$7,284 |
$25,283.50 |
1.0× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,286 |
$41,942.30 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$9,286 |
$25,165.40 |
1.0× |
| Place Cath Subclavian Art (36225) |
$4,041 |
$17,625 |
1.0× |
| Place Cath Thoracic Aorta (36221) |
$4,041 |
$8,505.98 |
1.0× |
| Place Cath Vertebral Art (36226) |
$7,121 |
$15,973.80 |
1.0× |
| Place Duod/Jej Tube Perc (49441) |
$2,455 |
$10,154.20 |
1.0× |
| Place Rt Device/Marker Pros (55876) |
$1,771 |
$5,959.60 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$571 |
$2,751.73 |
1.0× |
| Plmt Access Thru Biliary Tree Into Small Bwl New (47541) |
$8,285 |
$14,736.60 |
1.0× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$7,737 |
$22,979.30 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$7,737 |
$22,979.30 |
1.0× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$7,737 |
$22,979.30 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,675 |
$19,709.30 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$4,511 |
$8,698.75 |
1.0× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$4,511 |
$14,634.30 |
1.0× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$4,511 |
$8,698.75 |
1.0× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,511 |
$14,634.30 |
1.0× |
| Prim art mech thrombectomy (37184) |
$23,462 |
$61,891.50 |
1.0× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,190 |
$2,238.10 |
1.0× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,531 |
$4,683.45 |
1.0× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$906 |
$3,351.80 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,582 |
$20,719.80 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,582 |
$7,429 |
1.0× |
| Pseudoaneurysm Injection Trt (36002) |
$802 |
$2,084.18 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$520 |
$882.25 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$520 |
$440.97 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$906 |
$1,040.50 |
1.0× |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$4,511 |
$9,060.90 |
1.0× |
| Redo Endovas Vena Cava Filtr (37192) |
$4,041 |
$12,463.70 |
1.0× |
| Relocation Pocket Pacemaker (33222) |
$2,640 |
$5,962.25 |
1.0× |
| Rem Endovas Vena Cava Filter (37193) |
$4,041 |
$11,236.70 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,160 |
$9,022.21 |
1.0× |
| Removal Embedded Foreign Body Eyelid (67938) |
$406 |
$1,491.75 |
1.0× |
| Removal foreign body foot deep (28192) |
$2,113 |
$4,462.85 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$906 |
$3,783.75 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,113 |
$1,234.30 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$75 |
$418.91 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75 |
$364.93 |
1.0× |
| Removal Implant Deep (20680) |
$3,717 |
$13,306.30 |
1.0× |
| Removal of foreign body from pharynx (42809) |
$571 |
$2,201.38 |
1.0× |
| Removal of nail bed (11750) |
$520 |
$2,175.15 |
1.0× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,041 |
$21,710.70 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$357 |
$321.45 |
1.0× |
| Removal Pacemaker Electrode (33235) |
$4,782 |
$21,367.10 |
1.0× |
| Removal ppm generator only (33233) |
$10,591 |
$7,204.40 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$256 |
$1,052.85 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$906 |
$2,896.70 |
1.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$357 |
$387.75 |
1.0× |
| Remove & Replace Indwell Ureteral Stent Trurthrl (50385) |
$2,675 |
$9,368.40 |
1.0× |
| Remove Elctrd Transvenously (33244) |
$4,782 |
$7,204.40 |
1.0× |
| Remove foreign body from eye (65205) |
$170 |
$676.97 |
1.0× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$2,675 |
$9,368.40 |
1.0× |
| Remove Intrauterine Device (58301) |
$390 |
$708.35 |
1.0× |
| Remove intrvas foreign body (37197) |
$4,041 |
$7,049.99 |
1.0× |
| Remove lung catheter (32552) |
$802 |
$4,216.11 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$170 |
$676.97 |
1.0× |
| Remove Peritoneal Foreign Body (49402) |
$4,582 |
$14,736.60 |
1.0× |
| Remove Pulse Generator (33241) |
$4,782 |
$8,555.20 |
1.0× |
| Remove renal tube w/fluoro (50389) |
$892 |
$4,701 |
1.0× |
Remove Tendon Sheath Lesion (26160)
range across 2 matching MRF lines |
$2,058 |
$13,518.75–$13,518.80 |
1.0× |
| Remove&replace pm gen singl (33227) |
$10,591 |
$19,636 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$28,468 |
$78,201.90 |
1.0× |
| Remv&replc cvd gen mult lead (33264) |
$40,173 |
$133,574 |
1.0× |
| Remv&replc cvd gen sing lead (33262) |
$28,468 |
$68,749.80 |
1.0× |
| Remv&replc pm gen dual lead (33228) |
$13,377 |
$75,276.10 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$24,652 |
$93,056.30 |
1.0× |
| Renal Biopsy Perq (50200) |
$2,113 |
$14,343.70 |
1.0× |
| Repair blood vessel direct neck (35201) |
$7,121 |
$22,981 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$4,041 |
$12,463.70 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$945 |
$1,597.75 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$945 |
$1,578.55 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$520 |
$369.28 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$520 |
$3,387.17 |
1.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$520 |
$369.28 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$520 |
$3,387.17 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$945 |
$1,262.84 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$945 |
$1,578.55 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,058 |
$4,653.65 |
1.0× |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
$4,582 |
$15,375 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$520 |
$2,175.15 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$520 |
$2,718.94 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$520 |
$2,175.15 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$520 |
$2,718.94 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$520 |
$1,099.65 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$945 |
$1,159.40 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$520 |
$2,175.15 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$520 |
$2,175.15 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$945 |
$3,387.17 |
1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,640 |
$2,150.60 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$520 |
$2,718.94 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$520 |
$2,175.15 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$520 |
$2,175.15 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$945 |
$670.40 |
1.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$520 |
$2,718.94 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,640 |
$2,150.60 |
1.0× |
| Repair lead pace-defib dual (33220) |
$4,782 |
$11,736.20 |
1.0× |
| Repair Lead Pace-Defib One (33218) |
$4,782 |
$18,328.80 |
1.0× |
| Repair of nail bed (11760) |
$945 |
$3,387.17 |
1.0× |
| Repair tongue laceration (41252) |
$303 |
$2,411.20 |
1.0× |
| Repair tongue laceration (41250) |
$571 |
$2,751.73 |
1.0× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,160 |
$3,007.40 |
1.0× |
| Replace G-J Tube Perc (49452) |
$1,160 |
$5,504.60 |
1.0× |
| Replace g/c tube perc (49450) |
$1,160 |
$5,504.60 |
1.0× |
| Replantation digit complete (20822) |
$2,058 |
$6,566.70 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$319 |
$2,881.83 |
1.0× |
| Reposition L Ventric Lead (33226) |
$4,041 |
$7,880.25 |
1.0× |
| Reposition Pacing-Defib Lead (33215) |
$4,041 |
$7,880.25 |
1.0× |
| Reposition Venous Catheter (36597) |
$2,014 |
$3,428.95 |
1.0× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$7,284 |
$23,392.70 |
1.0× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,675 |
$8,698.75 |
1.0× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$1,985 |
$9,731 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,160 |
$182.60 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$571 |
$2,201.38 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$170 |
$423.80 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$571 |
$368.30 |
1.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,531 |
$1,709.60 |
1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,113 |
$1,605.25 |
1.0× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$4,782 |
$7,204.40 |
1.0× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$2,014 |
$10,500–$10,843.50 |
1.0× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$802 |
$4,216.11 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$319 |
$1,427.93 |
1.0× |
| Rplc gtube revj gstrst trc (43763) |
$319 |
$819.95 |
1.0× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$2,014 |
$5,313.35 |
1.0× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$4,041 |
$17,368.60 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,014 |
$3,542.23 |
1.0× |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
$7,121 |
$21,882.60 |
1.0× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,041 |
$13,207.60 |
1.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,041 |
$21,710.70 |
1.0× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,737 |
$20,500 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$906 |
$3,783.75 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$256 |
$1,577.50 |
1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$945 |
$1,099.65 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$690 |
$2,411.20 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$690 |
$2,663.44 |
1.0× |
| Rpr Retinal Dtchmnt W/Vitrectomy Any Meth (67108) |
$5,290 |
$4,000 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$802 |
$3,100.05 |
1.0× |
| Sclerotx Fluid Collection (49185) |
$2,113 |
$2,500.89 |
1.0× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$4,243 |
$10,995.30 |
1.0× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$1,190 |
$2,462.25 |
1.0× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,531 |
$3,763.80 |
1.0× |
| Sigmoidoscopy & decompress (45337) |
$1,190 |
$1,401.05 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$1,190 |
$2,462.25 |
1.0× |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,531 |
$3,763.80 |
1.0× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,531 |
$3,763.80 |
1.0× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,531 |
$3,763.80 |
1.0× |
| Sigmoidoscopy w/fb removal (45332) |
$1,531 |
$6,313.80 |
1.0× |
| Sigmoidoscopy w/plcmt stent (45347) |
$7,769 |
$18,067.80 |
1.0× |
| Sigmoidoscopy W/Resection (45349) |
$3,552 |
$3,763.80 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,190 |
$4,845.30 |
1.0× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,531 |
$2,370.10 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$520 |
$2,175.15 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$256 |
$1,166.61 |
1.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$520 |
$2,369 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$256 |
$1,359.55 |
1.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$256 |
$730.70 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$256 |
$1,355.54 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$256 |
$2,188.75 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$256 |
$1,365.34 |
1.0× |
| Skin Full Grft Face/Genit/Hf (15240) |
$2,640 |
$3,587.50 |
1.0× |
| Skin sub graft face/nk/hf/g (15275) |
$945 |
$12,604.50 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$945 |
$10,739.80 |
1.0× |
| Skin sub grft t/arm/lg child (15273) |
$2,640 |
$1,926.70 |
1.0× |
| Skin Tissue Procedure (17999) |
$256 |
$1,100 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,640 |
$1,926.70 |
1.0× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$7,121 |
$29,966.90 |
1.0× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$4,041 |
$21,150 |
1.0× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$7,121 |
$12,759 |
1.0× |
| Slitting of prepuce (54001) |
$2,675 |
$8,143.80 |
1.0× |
| Small bowel endoscopy (44384) |
$2,455 |
$18,067.80 |
1.0× |
| Small bowel endoscopy (44366) |
$2,455 |
$5,440 |
1.0× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,455 |
$5,440 |
1.0× |
| Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, including ileum; with transendoscopic stent… (44379) |
$7,769 |
$18,067.80 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$256 |
$1,377.56 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$520 |
$2,718.94 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$520 |
$2,175.15 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$903 |
$4,065.92 |
1.0× |
| Strapping ankle (29540) |
$207 |
$849.84 |
1.0× |
| Strapping elbow or wrist (29260) |
$75 |
$444.94 |
1.0× |
| Strapping hand/finger (29280) |
$75 |
$358.16 |
1.0× |
| Strapping Hip (29520) |
$170 |
$279.25 |
1.0× |
| Strapping knee (29530) |
$170 |
$676.97 |
1.0× |
| Strapping shoulder (29240) |
$170 |
$676.97 |
1.0× |
| Strapping toes (29550) |
$75 |
$321.45 |
1.0× |
| Strapping Unna Boot (29580) |
$207 |
$1,394.02 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$520 |
$882.25 |
1.0× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$36,710 |
$146,704 |
1.0× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$24,652 |
$86,193.70 |
1.0× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$4,041 |
$13,207.60 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,058 |
$4,709.90 |
1.0× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,993 |
$5,277 |
1.0× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$903 |
$3,172.95 |
1.0× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,993 |
$5,277 |
1.0× |
| Therapeutic plasma exchange (36514) |
$1,993 |
$5,277 |
1.0× |
| Thoracoscopy w/bx nodule (32608) |
$13,604 |
$15,764.60 |
1.0× |
| Thoracoscopy w/bx pleura (32609) |
$7,737 |
$15,764.60 |
1.0× |
| Thoracoscopy w/dx bx of lung infiltrate unilatrl (32607) |
$13,604 |
$15,764.60 |
1.0× |
| Thoracoscopy, diagnostic (separate procedure); mediastinal space, with biopsy Facility (32606) |
$7,737 |
$15,764.60 |
1.0× |
| Thoracoscopy, diagnostic (separate procedure); pericardial sac, with biopsy Facility (32604) |
$13,604 |
$15,764.60 |
1.0× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$7,737 |
$15,764.60 |
1.0× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$23,462 |
$77,567.40 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$4,041 |
$18,479.60 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$7,121 |
$29,966.90 |
1.0× |
| Thrombolytic Therapy Stroke (37195) |
$422 |
$2,424.14 |
1.0× |
| Thrombolytic Venous Therapy (37212) |
$4,041 |
$947.38 |
1.0× |
| Thyroid biopsy (60100) |
$906 |
$3,783.75 |
1.0× |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,243 |
$13,969.90 |
1.0× |
| Tooth extraction (41899) |
$303 |
$1,211.73 |
1.0× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$303 |
$3,233.30 |
1.0× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,985 |
$2,320.75 |
1.0× |
| Tracheostomy planned (31600) |
$4,243 |
$8,084.50 |
1.0× |
| Transcatheter biopsy (37200) |
$7,121 |
$31,738 |
1.0× |
| Treat Dental Ridge Fracture (21440) |
$4,243 |
$9,731 |
1.0× |
| Treat Elbow Fracture (24635) |
$9,286 |
$16,708.40 |
1.0× |
| Treat Hip Socket Fracture (27222) |
$315 |
$2,958.33 |
1.0× |
| Treat humerus fracture (24500) |
$315 |
$511.80 |
1.0× |
| Treat Humerus Fracture (24505) |
$2,058 |
$3,554.77 |
1.0× |
| Treat humerus fracture (23600) |
$315 |
$511.80 |
1.0× |
| Treat knee fracture (27532) |
$4,187 |
$6,560.90 |
1.0× |
| Treat Knee Fracture(S) (27538) |
$315 |
$1,069.15 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$315 |
$1,206.95 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$315 |
$1,069.15 |
1.0× |
| Treat Tail Bone Fracture (27200) |
$315 |
$845.45 |
1.0× |
| Treat Thumb Dislocation (26641) |
$315 |
$1,206.95 |
1.0× |
| Treat Thumb Fracture (26645) |
$2,058 |
$1,069.15 |
1.0× |
| Treat toe dislocation (28630) |
$315 |
$1,206.95 |
1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,058 |
$4,914.55 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$315 |
$1,516.88 |
1.0× |
| Treatment of foot infection (28003) |
$4,187 |
$7,276.30 |
1.0× |
| Trim skin lesion (11055) |
$256 |
$1,355.54 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$256 |
$1,355.54 |
1.0× |
| Trim skin lesions over 4 (11057) |
$256 |
$442.80 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$75 |
$335.13 |
1.0× |
| Trluml Balo Angiop 1St Art (37246) |
$7,284 |
$24,115.80 |
1.0× |
| Trluml Balo Angiop 1St Vein (37248) |
$7,284 |
$33,474.80 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$276 |
$423.55 |
1.0× |
Tx Incomplete Abortion Any Trimester Surgical (59812)
range across 2 matching MRF lines |
$4,143 |
$5,584.28–$10,500 |
1.0× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,058 |
$7,172.60 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,058 |
$4,914.55 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$945 |
$4,233.96 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,058 |
$845.45 |
1.0× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$315 |
$511.80 |
1.0× |
| Unlisted Procedure Casting/Strapping (29799) |
$207 |
$926.42 |
1.0× |
| Unlisted Procedure Endocrine System (60699) |
$7,737 |
$21,198 |
1.0× |
| Unlisted procedure femur or knee (27599) |
$315 |
$10,088.20 |
1.0× |
| Unlisted procedure humerus/elbow (24999) |
$315 |
$1,206.95 |
1.0× |
| Unlisted procedure liver (47399) |
$906 |
$2,896.70 |
1.0× |
| Unlisted procedure nervous system (64999) |
$392 |
$3,684.88 |
1.0× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$303 |
$2,060 |
1.0× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$303 |
$1,058 |
1.0× |
| Unlisted Procedure Vascular Surgery (37799) |
$802 |
$2,084.18 |
1.0× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,160 |
$3,807.75 |
1.0× |
| Unlisted Procedure, Urinary System (53899) |
$319 |
$1,157.10 |
1.0× |
| Upgrade of pacemaker system (33214) |
$13,377 |
$26,904.20 |
1.0× |
| Vaginal delivery only (59409) |
$4,143 |
$16,485.10 |
1.0× |
| Vasc embolize/occlude artery (37242) |
$23,462 |
$105,427 |
1.0× |
| Vasc Embolize/Occlude Bleed (37244) |
$14,775 |
$36,498.10 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$14,775 |
$28,883.60 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$14,775 |
$61,891.50 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$14,775 |
$77,364.40 |
1.0× |
| Wedge excision skin nail fold (11765) |
$520 |
$2,175.15 |
1.0× |
| Wedging of cast (29740) |
$357 |
$321.45 |
1.0× |
| Windowing of cast (29730) |
$207 |
$321.45 |
1.0× |
| Wound Prep F/N/Hf/G (15004) |
$520 |
$1,771 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$945 |
$1,771 |
1.0× |