Abd paracentesis w/imaging (49083) range across 4 matching MRF lines |
— |
$248–$2,074 |
— |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) range across 3 matching MRF lines |
— |
$358.40–$1,202 |
— |
| Abdomen Surgery Procedure (22999) |
— |
$621.10 |
— |
| Acetabuloplasty (27120) |
— |
$3,133.30 |
— |
| Acetabuloplasty resection femoral head (27122) |
— |
$1,861.20 |
— |
Acne surgery (10040) range across 4 matching MRF lines |
— |
$174.10–$323.40 |
— |
| Acromiopl/Acromionect Partial (23130) |
— |
$991.90 |
— |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
— |
$1,241.20 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$1,489.40 |
— |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
— |
$1,674.80 |
— |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
— |
$1,613 |
— |
Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) range across 2 matching MRF lines |
— |
$985.70–$1,741.70 |
— |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
— |
$1,489.40 |
— |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
— |
$1,861.20 |
— |
| Adjustment/Revj Xtrnl Fixation System Req Anes (20693) |
— |
$806.50 |
— |
| Amniocentesis diagnostic (59000) |
— |
$430 |
— |
Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) range across 2 matching MRF lines |
— |
$433.60–$869.30 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$743.70 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$991.90 |
— |
Amputate Thigh,Re-Amputatn (27596) range across 2 matching MRF lines |
— |
$589.20–$1,178.30 |
— |
| Amputation follow-up surgery (27594) |
— |
$931.10 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$1,178.30 |
— |
Amputation foot transmetarsal (28805) range across 2 matching MRF lines |
— |
$1,117.60–$3,164.20 |
— |
Amputation metatarsal with toe single (28810) range across 4 matching MRF lines |
— |
$254.40–$2,977.70 |
— |
| Amputation thigh through femur any level (27590) |
— |
$1,613 |
— |
Amputation toe interphalangeal joint (28825) range across 2 matching MRF lines |
— |
$589.20–$1,553.20 |
— |
Amputation toe metatarsophalangeal joint (28820) range across 3 matching MRF lines |
— |
$651–$1,298.80 |
— |
Amputation, leg, through tibia and fibula; (27880) range across 3 matching MRF lines |
— |
$869.30–$2,184.60 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$1,483.20 |
— |
Amputation, leg, through tibia and fibula; re-amputation (27886) range across 2 matching MRF lines |
— |
$621.10–$1,241.20 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$2,455.50 |
— |
| Amputation, thigh, through femur, any level; open, circular (guillotine) Facility (27592) |
— |
$1,668.60 |
— |
| Anal/Urinary Muscle Study (51784) |
$85 |
$684 |
0.7× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
— |
$311.10 |
— |
Anoscopy diagnostic (46600) range across 4 matching MRF lines |
— |
$48.40–$180.30 |
— |
Anoscopy W/Rmvl Foreign Body (46608) range across 3 matching MRF lines |
— |
$161.70–$515 |
— |
| Anoscopy; with biopsy, single or multiple (46606) |
— |
$521.20 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$372.90 |
— |
Ant Vesicourethropexy/Urethropexy Smpl (51840) range across 2 matching MRF lines |
— |
$2,255–$2,717.10 |
— |
Anterior colporraphy rpr cystocele w/cysto (57240) range across 3 matching MRF lines |
— |
$743.70–$1,476 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$589.20 |
— |
Appendectomy (44950) range across 2 matching MRF lines |
— |
$1,828–$2,202.10 |
— |
Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) range across 2 matching MRF lines |
— |
$137–$205 |
— |
| Application Body Cast Shoulder Hips (29035) |
— |
$496.50 |
— |
Application cast elbow finger short arm (29075) range across 3 matching MRF lines |
— |
$73.10–$266.80 |
— |
| Application Cast Finger (29086) |
— |
$210.10 |
— |
Application Finger Splint Dynamic (29131) range across 3 matching MRF lines |
— |
$29.90–$119.50 |
— |
Application finger splint static (29130) range across 5 matching MRF lines |
— |
$35–$227.60 |
— |
Application long arm splint shoulder hand (29105) range across 5 matching MRF lines |
— |
$105.10–$285.30 |
— |
Application Long Leg Cast Walker/Ambulatory Type (29355) range across 2 matching MRF lines |
— |
$254.40–$274 |
— |
Application Long Leg Splint (29505) range across 4 matching MRF lines |
— |
$59.70–$285.30 |
— |
| Application multiplane external fixation system (20692) |
— |
$1,241.20 |
— |
Application of cylinder cast (thigh to ankle) (29365) range across 2 matching MRF lines |
— |
$50.50–$128.80 |
— |
Application of long leg cast (29345) range across 2 matching MRF lines |
— |
$240–$469.70 |
— |
| Application of multiplane (pins or wires in more than 1 plane), unilateral, external fixation with stereotactic… (20696) |
— |
$931.10 |
— |
Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
— |
$438.80–$957.90 |
— |
Application Short Arm Splint Dynamic (29126) range across 3 matching MRF lines |
— |
$70–$144.20 |
— |
Application short arm splint forearm-hand static (29125) range across 5 matching MRF lines |
— |
$45.30–$227.60 |
— |
Application short leg splint calf foot (29515) range across 4 matching MRF lines |
— |
$59.70–$285.30 |
— |
| Application uniplane external fixation system (20690) |
— |
$682.90 |
— |
Apply hand/wrist cast (29085) range across 3 matching MRF lines |
— |
$79.30–$265.70 |
— |
Apply long arm cast (29065) range across 3 matching MRF lines |
— |
$80.30–$268.80 |
— |
Apply Multlay Comprs Lwr Leg (29581) range across 4 matching MRF lines |
— |
$43.30–$542.80 |
— |
Apply Short Leg Cast (29405) range across 4 matching MRF lines |
— |
$71.10–$469.70 |
— |
Apply short leg cast (29425) range across 4 matching MRF lines |
— |
$138–$6,142.90 |
— |
| Arterial puncture (36600) |
— |
$80.30 |
— |
| Arteriovenous Anastomosis Open Direct (36821) |
— |
$2,909.80 |
— |
| Arteriovenous anastomosis, open; by upper arm cephalic vein transposition Facility (36818) |
— |
$1,737.60 |
— |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
— |
$1,241.20 |
— |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$300 |
$90.60–$533.50 |
1.0× |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 3 matching MRF lines |
$350 |
$137–$682.90 |
0.5× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 6 matching MRF lines |
$400 |
$110.20–$532.50 |
1.3× |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 6 matching MRF lines |
$450 |
$185.40–$806.50 |
1.5× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
$150 |
$42.20–$590.20 |
0.5× |
| Arthrodesis ankle open (27870) |
— |
$2,295.90 |
— |
| Arthrodesis great toe interphalangeal joint (28755) |
— |
$682.90 |
— |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
— |
$869.30 |
— |
| Arthrodesis knee any technique (27580) |
— |
$2,481.30 |
— |
| Arthrodesis subtalar (28725) |
— |
$1,364.80 |
— |
| Arthrodesis triple (28715) |
— |
$1,737.60 |
— |
| Arthrodesis Wrist Complete W/O Bone Graft (25800) |
— |
$1,457.50 |
— |
| Arthrodesis, distal radioulnar joint with segmental resection of ulna, with or without bone graft (eg, Sauve-Kapandji… (25830) |
— |
$1,923 |
— |
| Arthrodesis, wrist; with iliac or other autograft (includes obtaining graft) Facility (25810) |
— |
$1,674.80 |
— |
| Arthrodesis, wrist; with sliding graft Facility (25805) |
— |
$1,520.30 |
— |
| Arthroplasty Ankle (27700) |
— |
$402.70 |
— |
| Arthroplasty Ankle W/Implant (27702) |
— |
$2,481.30 |
— |
Arthroplasty glenohumeral joint total shoulder (23472) range across 3 matching MRF lines |
— |
$465.60–$931.10 |
— |
| Arthroplasty Glenohumrl Jt Hemiarthroplasty (23470) |
— |
$2,450.40 |
— |
| Arthroplasty interphalangeal joint each (26535) |
— |
$1,086.70 |
— |
Arthroplasty interposition intercarpal or carpometacarpal joints (25447) range across 3 matching MRF lines |
— |
$558.30–$1,303 |
— |
Arthroplasty Patella W/Prosthesis (27438) range across 2 matching MRF lines |
— |
$517.10–$1,551.20 |
— |
| Arthroplasty radial head (24365) |
— |
$1,740.70 |
— |
| Arthroplasty Radial Head W/Implant (24366) |
— |
$2,141.40 |
— |
| Arthroplasty with prosthetic replacement; lunate Facility (25444) |
— |
$1,457.50 |
— |
| Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) Facility (25443) |
— |
$1,364.80 |
— |
| Arthroplasty, knee, tibial plateau; with debridement and partial synovectomy Facility (27441) |
— |
$2,110.50 |
— |
| Arthroplasty, patella; without prosthesis (27437) |
— |
$1,551.20 |
— |
| Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee, with or without… (29851) |
— |
$2,110.50 |
— |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
— |
$1,613 |
— |
| Arthroscopy Ankle Surgical Debridement Limited (29897) |
— |
$3,476.30 |
— |
| Arthroscopy Ankle Surgical W/Ankle Arthrodesis (29899) |
— |
$2,110.50 |
— |
| Arthroscopy ankle w/removal loose/foreign body (29894) |
— |
$402.70 |
— |
| Arthroscopy Elbow Surgical Debridement Extensive (29838) |
— |
$2,110.50 |
— |
Arthroscopy Elbow Surgical Debridement Limited (29837) range across 5 matching MRF lines |
— |
$931.10–$6,266.50 |
— |
| Arthroscopy Elbow Surgical Synovectomy Partial (29835) |
— |
$1,463.60 |
— |
| Arthroscopy hip w/femoroplasty (29914) |
— |
$1,203 |
— |
| Arthroscopy knee diagnostic w/wo synovial bx spx (29870) |
— |
$869.30 |
— |
| Arthroscopy Knee Osteochondral Allograft (29867) |
— |
$3,102.40 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$2,078.50 |
— |
| Arthroscopy knee synovectomy limited spx (29875) |
— |
$1,737.60 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$1,799.40 |
— |
Arthroscopy shoulder distal claviculectomy (29824) range across 2 matching MRF lines |
— |
$656.10–$1,241.20 |
— |
Arthroscopy shoulder surgical capsulorrhaphy (29806) range across 2 matching MRF lines |
— |
$1,241.20–$2,481.30 |
— |
| Arthroscopy, ankle (tibiotalar and fibulotalar joints), surgical; synovectomy, partial (29895) |
— |
$521.20 |
— |
Arthroscopy, elbow, surgical; with removal of loose body or foreign body Facility (29834) range across 3 matching MRF lines |
— |
$1,054.70–$1,489.40 |
— |
| Arthroscopy, hip, diagnostic with or without synovial biopsy (separate procedure) Facility (29860) |
— |
$1,545 |
— |
Arthroscopy, hip, surgical; with debridement/shaving of articular cartilage (chondroplasty), abrasion arthroplasty,… (29862) range across 2 matching MRF lines |
— |
$1,655.20–$1,936.40 |
— |
| Arthroscopy, hip, surgical; with removal of loose body or foreign body Facility (29861) |
— |
$2,307.20 |
— |
| Arthroscopy, hip, surgical; with synovectomy Facility (29863) |
— |
$1,936.40 |
— |
| Arthroscopy, knee, surgical; osteochondral autograft(s) (eg, mosaicplasty) (includes harvesting of the autograftºs»)… (29866) |
— |
$2,110.50 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$3,476.30 |
— |
Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) range across 2 matching MRF lines |
— |
$827–$2,481.30 |
— |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) range across 2 matching MRF lines |
— |
$2,009.50–$2,481.30 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828) range across 3 matching MRF lines |
— |
$931.10–$1,489.40 |
— |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
— |
$2,047.60 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822) range across 2 matching MRF lines |
— |
$931.10–$1,861.20 |
— |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807) range across 2 matching MRF lines |
— |
$1,241.20–$2,110.50 |
— |
| Arthroscopy, shoulder, surgical; synovectomy, complete Facility (29821) |
— |
$1,600.60 |
— |
Arthroscopy, shoulder, surgical; with removal of loose body or foreign body (29819) range across 2 matching MRF lines |
— |
$682.90–$2,047.60 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) range across 3 matching MRF lines |
— |
$248.20–$515 |
— |
| Arthroscopy, wrist, surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement Facility (29846) |
— |
$1,489.40 |
— |
| Arthrotomy ankle w/expl drainage/removal fb (27610) |
— |
$931.10 |
— |
Arthrotomy W/Biopsy Hip Joint (27052) range across 2 matching MRF lines |
— |
$580.90–$1,742.80 |
— |
| Arthrotomy W/Meniscus Repair Knee (27403) |
— |
$1,241.20 |
— |
| Arthrotomy W/Synovectomy Ankle (27625) |
— |
$1,303 |
— |
| Arthrotomy Wrist Joint With Biopsy (25100) |
— |
$931.10 |
— |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
— |
$1,241.20 |
— |
Arthrotomy, hip, with drainage (eg, infection) Facility (27030) range across 2 matching MRF lines |
— |
$948.60–$1,395.70 |
— |
| Arthrotomy, knee; with synovial biopsy only Facility (27330) |
— |
$1,117.60 |
— |
| Arthrotomy, with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral Facility (27333) |
— |
$1,489.40 |
— |
Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) range across 3 matching MRF lines |
— |
$1,241–$3,722.40 |
— |
| Arthrp Knee Condyle&Plateau Medial/Lat Cmprt (27446) |
— |
$2,581.20 |
— |
| Arthrp Mtcarphlngl Jt W/Prostc Implt Ea Jt (26531) |
— |
$1,241.20 |
— |
| Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888) |
— |
$3,722.40 |
— |
| Arthrs Aided Pst Cruciate Ligm Rpr/Agmntj/Rcnstj (29889) |
— |
$2,835.60 |
— |
| Arthrs Ankle Exc Ostchndrl Dfct W/Drlg Dfct (29891) |
— |
$2,822.20 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$2,110.50 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$2,047.60 |
— |
| Arthrs Knee Drilling Osteochond Dissecans Lesion (29886) |
— |
$1,613 |
— |
| Arthrs Knee Drlg Osteochond Dissecans Int Fixj (29887) |
— |
$1,861.20 |
— |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
— |
$1,166 |
— |
| Arthrt Acromclav Strnclav Jt Expl/Drg/Rmvl FB (23044) |
— |
$869.30 |
— |
| Arthrt ankle w/expl w/wo bx w/wo rmvl loose/fb (27620) |
— |
$974.40 |
— |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
— |
$682.90 |
— |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
— |
$527.40 |
— |
| Arthrt Pst Capsul Rls Ankle W/WO Achll Tdn Lngth (27612) |
— |
$991.90 |
— |
| Arthrt W/Exc Semilunar Crtlg Knee Medial/Lat (27332) |
— |
$1,848.90 |
— |
| Arthrt w/expl drg/rmvl loose/fb iphal jt (28024) |
— |
$527.40 |
— |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
— |
$558.30 |
— |
| Arthrt W/Expl Drg/Rmvl Loose/FB Ntrtrsl/Tars Jt (28020) |
— |
$743.70 |
— |
Arthrt w/synvct kne ant&post w/pop area (27335) range across 2 matching MRF lines |
— |
$752.90–$2,282.50 |
— |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
— |
$621.10 |
— |
Aspirate pleura w/ imaging (32555) range across 7 matching MRF lines |
— |
$241–$1,132 |
— |
Aspirate Pleura W/O Imaging (32554) range across 5 matching MRF lines |
— |
$320.30–$1,335.90 |
— |
Aspirate/Inj Ganglion Cyst (20612) range across 3 matching MRF lines |
— |
$49.40–$124.60 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$407.90 |
— |
| Av fistula revision (36833) |
— |
$3,052.90 |
— |
| Av Fistula Revision Open (36832) |
— |
$3,319.70 |
— |
| Av Fuse Uppr Arm Basilic (36819) |
— |
$3,227 |
— |
Avulsion nail plate partial/complete simple 1 (11730) range across 7 matching MRF lines |
$150 |
$107.10–$665.40 |
0.7× |
| Axillary lymphadenectomy; complete (38745) |
— |
$1,985.80 |
— |
| Biopsy Abdominal Mass (49180) |
— |
$372.90 |
— |
| Biopsy bone open deep (20245) |
— |
$743.70 |
— |
Biopsy bone open superficial (20240) range across 3 matching MRF lines |
— |
$651–$6,145 |
— |
Biopsy bone trocar/needle deep (20225) range across 2 matching MRF lines |
— |
$333.70–$433.60 |
— |
Biopsy Bone Trocar/Needle Superficial (20220) range across 3 matching MRF lines |
— |
$152.40–$4,092.20 |
— |
Biopsy external ear (69100) range across 2 matching MRF lines |
— |
$121.50–$150.40 |
— |
Biopsy muscle percutaneous needle (20206) range across 3 matching MRF lines |
— |
$124.60–$545.90 |
— |
Biopsy nail unit (11755) range across 2 matching MRF lines |
— |
$567.50–$2,087.80 |
— |
Biopsy of breast; open, incisional (19101) range across 3 matching MRF lines |
— |
$331.70–$832.20 |
— |
Biopsy of foot joint lining (28052) range across 2 matching MRF lines |
— |
$645.80–$1,289.60 |
— |
| Biopsy of foot joint lining (28050) |
— |
$496.50 |
— |
Biopsy of lip (40490) range across 2 matching MRF lines |
— |
$124.60–$185.40 |
— |
Biopsy of liver, needle; percutaneous (47000) range across 2 matching MRF lines |
— |
$621.10–$1,326.60 |
— |
| Biopsy of palate, uvula (42100) |
— |
$199.80 |
— |
| Biopsy of rectum (45100) |
— |
$695.30 |
— |
Biopsy of urethra (53200) range across 2 matching MRF lines |
— |
$572–$690.10 |
— |
| Biopsy or excision of lymph node(s); open, deep cervical node(s) with excision scalene fat pad Facility (38520) |
— |
$980.60 |
— |
| Biopsy or excision of lymph node(s); open, internal mammary node(s) Facility (38530) |
— |
$1,054.70 |
— |
Biopsy Oropharynx (42800) range across 2 matching MRF lines |
— |
$320.30–$1,274.10 |
— |
Biopsy ovary uni/bi separate procedure (58900) range across 2 matching MRF lines |
— |
$1,133–$1,364.80 |
— |
Biopsy Salivary Gland Needle (42400) range across 3 matching MRF lines |
— |
$127.70–$635.50 |
— |
| Biopsy soft tissue back/flank deep (21925) |
— |
$621.10 |
— |
Biopsy Soft Tissue Back/Flank Superficial (21920) range across 3 matching MRF lines |
— |
$334.80–$1,518.20 |
— |
Biopsy soft tissue forearm&/wrist superficial (25065) range across 3 matching MRF lines |
— |
$198.80–$496.50 |
— |
| Biopsy soft tissue leg/ankle area superficial (27613) |
— |
$311.10 |
— |
Biopsy soft tissue neck/thorax (21550) range across 3 matching MRF lines |
— |
$311.10–$629.30 |
— |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
— |
$1,136.10 |
— |
| Biopsy Soft Tissue Shoulder Deep (23066) |
— |
$621.10 |
— |
| Biopsy Soft Tissue Shoulder Superficial (23065) |
— |
$248.20 |
— |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
— |
$558.30 |
— |
| Biopsy soft tissue thigh/knee area superficial (27323) |
— |
$372.90 |
— |
Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
— |
$180.30–$274 |
— |
| Biopsy Tongue Posterior One-Third (41105) |
— |
$281.20 |
— |
Biopsy Vaginal Mucosa Extensive (57105) range across 2 matching MRF lines |
— |
$705–$848.70 |
— |
Biopsy Vaginal Mucosa Simple (57100) range across 2 matching MRF lines |
— |
$406–$488.20 |
— |
Biopsy Vulva/Perineum 1 Lesion Spx (56605) range across 2 matching MRF lines |
— |
$268–$323.40 |
— |
| Biopsy, vestibule of mouth (40808) |
— |
$465.60 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$1,160.80 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$124.60 |
— |
Bladder Irrigation (51700) range across 2 matching MRF lines |
— |
$297–$811.60 |
— |
Bladder Scan (51798) range across 7 matching MRF lines |
— |
$73.10–$225.60 |
— |
Blepharotomy drainage abscess eyelid (67700) range across 3 matching MRF lines |
— |
$120.50–$334.80 |
— |
| Blood Transfusion Service (36430) |
— |
$948.60 |
— |
| Bone Graft Any Donor Area Major/Large (20902) |
— |
$185.40 |
— |
Bone Marrow Biopsy (38221) range across 4 matching MRF lines |
— |
$193.60–$601.50 |
— |
Bone Marrow; Aspiration Only (38220) range across 3 matching MRF lines |
— |
$156.60–$438.80 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$832.20 |
— |
| Bronchial Valve Init Insert (31647) |
— |
$629.30 |
— |
Bronchoscopy Clear Airways (31645) range across 2 matching MRF lines |
— |
$743.70–$3,121.90 |
— |
Bronchoscopy Reclear Airway (31646) range across 2 matching MRF lines |
— |
$439.80–$825 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$769.40 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$806.50 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$927 |
— |
| Bronchoscopy/Needle Bx Each (31629) |
— |
$1,372 |
— |
Bx breast 1st lesion strtctc (19081) range across 4 matching MRF lines |
— |
$1,613–$4,659.70 |
— |
Bx breast 1st lesion us imag (19083) range across 4 matching MRF lines |
$550 |
$372.90–$1,613 |
0.3× |
Bx breast needle core w/o imaging guidance spx (19100) range across 3 matching MRF lines |
— |
$148.30–$433.60 |
— |
Bx Cervix (57500) range across 2 matching MRF lines |
— |
$463–$557.20 |
— |
| Bx prostate strtctc saturation sampling img gid (55706) |
— |
$1,039.30 |
— |
| Bx/exc lymph node open deep axillary node (38525) |
— |
$1,117.60 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$1,135.10 |
— |
| Capsulectomy or capsulotomy, hip, with or without excision of heterotopic bone, with release of hip flexor muscles (ie,… (27036) |
— |
$2,352.50 |
— |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
— |
$991.90 |
— |
| Capsulectomy/capsulotomy mtcarphlngl joint each (26520) |
— |
$2,047.60 |
— |
| Capsulorrhaphy Anterior Putti-Platt/Magnuson (23450) |
— |
$2,047.60 |
— |
| Capsulorrhaphy Anterior W/Labral Repair (23455) |
— |
$3,102.40 |
— |
| Capsulorrhaphy, glenohumeral joint, posterior, with or without bone block Facility (23465) |
— |
$1,985.80 |
— |
| Capsulotomy wrist (25085) |
— |
$806.50 |
— |
| Capsulotomy, midfoot; medial release only (separate procedure) Facility (28260) |
— |
$869.30 |
— |
| Carpal Tunnel Surgery (64721) |
— |
$1,054.70 |
— |
| Carpectomy All Bones Proximal Row (25215) |
— |
$1,507.90 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$80.30 |
— |
Cautery Cervix Cryocautery Initial/Repeat (57511) range across 3 matching MRF lines |
— |
$154.50–$637 |
— |
Cautery Cervix Electro/Thermal (57510) range across 2 matching MRF lines |
— |
$754–$909.50 |
— |
Cerclage cervix pregnancy vaginal (59320) range across 2 matching MRF lines |
— |
$631–$761.20 |
— |
Change Cystostomy Tube Complicated (51710) range across 2 matching MRF lines |
— |
$221.50–$537.70 |
— |
Change Cystostomy Tube Simple (51705) range across 3 matching MRF lines |
— |
$145.20–$544.90 |
— |
| Change of Windpipe Airway (31502) |
— |
$103 |
— |
Chemical Cautery Tissue (17250) range across 6 matching MRF lines |
— |
$43.30–$633.50 |
— |
| Chemical Pleurodesis (32560) |
— |
$682.90 |
— |
Chemodenerv Musc Migraine (64615) range across 2 matching MRF lines |
$1,600 |
$265.70–$308 |
5.2× |
Chest tube placement (32551) range across 5 matching MRF lines |
— |
$382.10–$3,639 |
— |
| Circumcision 28 days or older (54161) |
— |
$550 |
— |
Circumcision Neonate (54160) range across 2 matching MRF lines |
— |
$567–$682.90 |
— |
Circumcision w/clamp/oth dev w/block (54150) range across 4 matching MRF lines |
— |
$239–$447 |
— |
Cl Tx Tib Shft Fx W Manip (27752) range across 3 matching MRF lines |
— |
$931.10–$3,693.60 |
— |
| Claviculectomy partial (23120) |
— |
$931.10 |
— |
| Claviculectomy; total (23125) |
— |
$1,054.70 |
— |
Clear outer ear canal (69200) range across 6 matching MRF lines |
— |
$92.70–$621.10 |
— |
Closed Rx Metacarpal Fx,Percut (26608) range across 2 matching MRF lines |
— |
$340.90–$682.90 |
— |
| Closed Rx Spontaneous Hip Disloc (27256) |
— |
$621.10 |
— |
| Closed rx talotarsal disloc,anesth (28575) |
— |
$496.50 |
— |
| Closed Treat Vert Body Fract (22310) |
— |
$402.70 |
— |
Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) range across 3 matching MRF lines |
— |
$774.60–$924.90 |
— |
Closed Treatment Pst Malleolus Fracture W/O Manj (27767) range across 3 matching MRF lines |
— |
$496.50–$682.90 |
— |
Closed Treatment Sesamoid Fracture (28530) range across 2 matching MRF lines |
— |
$291.50–$303.90 |
— |
| Closed Treatment Sternum Fracture (21820) |
— |
$274 |
— |
Closed Treatment Ulnar Styloid Fracture (25650) range across 3 matching MRF lines |
— |
$572.70–$897.10 |
— |
Closed tx ankle dislocation w/o anesthesia (27840) range across 3 matching MRF lines |
— |
$707.60–$1,383.30 |
— |
Closed Tx Bimalleolar Ankle Fracture W Manip (27810) range across 3 matching MRF lines |
— |
$931.10–$3,509.20 |
— |
Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) range across 3 matching MRF lines |
— |
$574.70–$947.60 |
— |
Closed Tx Calcaneal Fracture W/O Manipulation (28400) range across 3 matching MRF lines |
— |
$219.40–$749.80 |
— |
| Closed tx carpal scaphoid fracture w/manj (25624) |
— |
$621.10 |
— |
Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) range across 3 matching MRF lines |
— |
$523.20–$814.70 |
— |
Closed Tx Femoral Shaft Fx W/O Manipulation (27500) range across 3 matching MRF lines |
— |
$950.70–$1,142.30 |
— |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
— |
$775.60 |
— |
Closed tx knee dislocation w/o anesthesia (27550) range across 3 matching MRF lines |
— |
$908.50–$1,501.70 |
— |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
— |
$713.80 |
— |
Closed tx metatarsal fracture w/o manipulation (28470) range across 2 matching MRF lines |
— |
$311.10–$496.50 |
— |
Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) range across 3 matching MRF lines |
— |
$1,099–$1,233.90 |
— |
| Closed tx patellar dislocation w/anesthesia (27562) |
— |
$621.10 |
— |
Closed tx patellar dislocation w/o anesthesia (27560) range across 5 matching MRF lines |
— |
$404.80–$1,015.60 |
— |
Closed Tx Patellar Fracture W/O Manipulation (27520) range across 3 matching MRF lines |
— |
$563.40–$676.70 |
— |
| Closed tx radial head/neck fx w/manipulation (24655) |
— |
$570.60 |
— |
Closed tx radial head/neck fx w/o manipulation (24650) range across 3 matching MRF lines |
— |
$451.10–$664.40 |
— |
| Closed tx radial shaft fracture w/manipulation (25505) |
— |
$621.10 |
— |
Closed Tx Radial Shaft Fracture W/O Manipulation (25500) range across 3 matching MRF lines |
— |
$467.60–$713.80 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) range across 3 matching MRF lines |
— |
$936.30–$1,269 |
— |
Closed tx radial&ulnar shaft fractures w/o man (25560) range across 3 matching MRF lines |
— |
$467.60–$734.40 |
— |
Closed Tx Scapular Fracture W/O Manipulation (23570) range across 3 matching MRF lines |
— |
$311.10–$545.90 |
— |
| Closed tx talotarsal joint dislc w/o anes (28570) |
— |
$311.10 |
— |
Closed tx talus fracture w/o manipulation (28430) range across 3 matching MRF lines |
— |
$400.70–$899.20 |
— |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
— |
$402.70 |
— |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
— |
$280.20 |
— |
Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
— |
$73–$540 |
— |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
— |
$558.30 |
— |
Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) range across 3 matching MRF lines |
— |
$502.60–$621.10 |
— |
Closed tx ulnar shaft fracture w/o manipulation (25530) range across 3 matching MRF lines |
— |
$447–$694.20 |
— |
| Closure of cystostomy (separate procedure) Facility (51880) |
— |
$1,575 |
— |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
— |
$372.90 |
— |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
— |
$311.10 |
— |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
— |
$402.70 |
— |
Clsd tx clavicular fracture w/o manipulation (23500) range across 3 matching MRF lines |
— |
$418.20–$606.70 |
— |
Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
— |
$527.40–$2,806.80 |
— |
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 4 matching MRF lines |
— |
$404.80–$906.40 |
— |
| Clsr Anal Fstl W/Rct Advmnt Flap (46288) |
— |
$2,295.90 |
— |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
— |
$651 |
— |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
— |
$589.20 |
— |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
— |
$496.50 |
— |
Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) range across 3 matching MRF lines |
— |
$405.80–$595.30 |
— |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
— |
$558.30 |
— |
Cltx Carpal Bone Fx W/O Manj Each Bone (25630) range across 3 matching MRF lines |
— |
$248.20–$621.10 |
— |
Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) range across 5 matching MRF lines |
— |
$404.80–$1,103.10 |
— |
Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) range across 3 matching MRF lines |
— |
$927–$1,091.80 |
— |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
— |
$961 |
— |
Cltx dstl fibular fx lat malls w/manj (27788) range across 3 matching MRF lines |
— |
$824–$969.20 |
— |
Cltx dstl fibular fx lat malls w/o manj (27786) range across 3 matching MRF lines |
— |
$549–$859 |
— |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
— |
$372.90 |
— |
Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) range across 3 matching MRF lines |
— |
$342–$535.60 |
— |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
— |
$507.80–$1,281.30 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 5 matching MRF lines |
— |
$402.70–$2,806.80 |
— |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
— |
$956.90 |
— |
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 3 matching MRF lines |
— |
$1,393.60–$1,640.80 |
— |
Cltx fem fx dstl end medial/lat condyle w/o manj (27508) range across 3 matching MRF lines |
— |
$974.40–$1,145.40 |
— |
Cltx Fem Fx Prox End Nck W/O Manj (27230) range across 3 matching MRF lines |
— |
$926–$1,089.70 |
— |
Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) range across 3 matching MRF lines |
— |
$1,578–$1,858.10 |
— |
Cltx fx grt toe phlx/phlg w/o manj (28490) range across 3 matching MRF lines |
— |
$235.90–$422.30 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
— |
$211.20–$347.10 |
— |
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 3 matching MRF lines |
— |
$124.60–$372.90 |
— |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
— |
$869.30 |
— |
Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) range across 3 matching MRF lines |
— |
$584–$688 |
— |
Cltx greater humeral tuberosity fx w/o manj (23620) range across 3 matching MRF lines |
— |
$486.20–$558.30 |
— |
Cltx Greater Trochanteric Fx W/O Manj (27246) range across 3 matching MRF lines |
— |
$763.20–$897.10 |
— |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
— |
$496.50 |
— |
Cltx hip dislocation traumatic req anesthesia (27252) range across 3 matching MRF lines |
— |
$899.20–$3,407 |
— |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
— |
$651 |
— |
Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) range across 5 matching MRF lines |
— |
$582–$699.40 |
— |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
— |
$621.10 |
— |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
— |
$621.10 |
— |
Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) range across 3 matching MRF lines |
— |
$544.90–$1,208.20 |
— |
Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) range across 3 matching MRF lines |
— |
$906.40–$1,066.10 |
— |
Cltx Interphalangeal Joint Dislocation Req Anes (28665) range across 4 matching MRF lines |
— |
$154.50–$433.60 |
— |
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 5 matching MRF lines |
— |
$175.10–$484.10 |
— |
Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) range across 2 matching MRF lines |
— |
$621.10–$1,241.20 |
— |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
— |
$402.70 |
— |
Cltx iphal jt dislc w/manj w/o anes (26770) range across 5 matching MRF lines |
— |
$404.80–$748.80 |
— |
| Cltx Med Ankle Fx W/Mnpj (27762) |
— |
$621.10 |
— |
Cltx Medial Ankle Fx (27760) range across 3 matching MRF lines |
— |
$586.10–$772.50 |
— |
Cltx metacarpal fx w/manipulation each bone (26605) range across 5 matching MRF lines |
— |
$612.90–$721 |
— |
Cltx metacarpal fx w/o manipulation each bone (26600) range across 3 matching MRF lines |
— |
$514–$621.10 |
— |
Cltx metacarpophalangeal dislc w/manj w/anes (26705) range across 3 matching MRF lines |
— |
$496.50–$3,407 |
— |
Cltx Metatarsophlngl Jt Dislc Req Anes (28635) range across 3 matching MRF lines |
— |
$311.10–$2,481.30 |
— |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 6 matching MRF lines |
— |
$154.50–$745.70 |
— |
Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) range across 4 matching MRF lines |
— |
$364.60–$402.70 |
— |
| Cltx post hip arthrp dislc req anes (27266) |
— |
$931.10 |
— |
Cltx post hip arthrp dislc w/o anes (27265) range across 3 matching MRF lines |
— |
$778.70–$981.60 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$558.30 |
— |
Cltx prox fibula/shft fx w/o manj (27780) range across 3 matching MRF lines |
— |
$529.40–$819.90 |
— |
Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) range across 3 matching MRF lines |
— |
$682.90–$3,509.20 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$621.10 |
— |
Cltx prox tibfib jt dislc w/o anes (27830) range across 3 matching MRF lines |
— |
$675.70–$794.10 |
— |
Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) range across 3 matching MRF lines |
— |
$793.10–$872.40 |
— |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 5 matching MRF lines |
— |
$108.20–$404.80 |
— |
Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) range across 3 matching MRF lines |
— |
$1,042.40–$1,206.10 |
— |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
— |
$1,489.40 |
— |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
— |
$651 |
— |
Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) range across 3 matching MRF lines |
— |
$661.30–$1,085.60 |
— |
Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) range across 3 matching MRF lines |
— |
$990.90–$1,166 |
— |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
— |
$372.90 |
— |
Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) range across 2 matching MRF lines |
— |
$359.50–$432.60 |
— |
Cltx tibial fx proximal w/o manipulation (27530) range across 3 matching MRF lines |
— |
$740.60–$849.80 |
— |
Cltx tibial shaft fx w/o manipulation (27750) range across 3 matching MRF lines |
— |
$610.80–$991.90 |
— |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
— |
$806.50 |
— |
Cltx trimalleolar ankle fx w/manipulation (27818) range across 3 matching MRF lines |
— |
$1,023.80–$2,806.80 |
— |
Cltx trimalleolar ankle fx w/o manipulation (27816) range across 3 matching MRF lines |
— |
$545.90–$663.30 |
— |
Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
— |
$57.70–$70 |
— |
Collection of venous blood by venipuncture (36415) range across 6 matching MRF lines |
— |
$15–$38.10 |
— |
| Colonoscopy Flexible With Decompression (45393) |
— |
$1,013.50 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$533.50 |
— |
| Colonoscopy thru stoma (44388) |
— |
$806.50 |
— |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
— |
$695.30 |
— |
| Colonoscopy w/ablation (45388) |
— |
$1,197.90 |
— |
| Colonoscopy w/fb removal (45379) |
— |
$604.60 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$788 |
— |
Colpocentesis (57020) range across 2 matching MRF lines |
— |
$418–$503.70 |
— |
Colpoperineorrhaphy Suture Inj Vagina&/Perineu (57210) range across 2 matching MRF lines |
— |
$1,074–$1,294.70 |
— |
Colpopexy extraperitoneal (57282) range across 2 matching MRF lines |
— |
$891–$1,073.30 |
— |
Colporrhaphy (57200) range across 2 matching MRF lines |
— |
$849–$1,022.80 |
— |
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) range across 4 matching MRF lines |
$450 |
$162.70–$605.60 |
1.5× |
Colposcopy Cervix Endocervical Curettage (57456) range across 2 matching MRF lines |
— |
$530–$638.60 |
— |
Colposcopy cervix upper/adjacent vagina (57452) range across 4 matching MRF lines |
— |
$110.20–$462.50 |
— |
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) range across 2 matching MRF lines |
— |
$560–$674.70 |
— |
Colposcopy cervix vag eltrd conization cervix (57461) range across 2 matching MRF lines |
— |
$1,247–$1,501.70 |
— |
Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) range across 2 matching MRF lines |
— |
$1,051–$1,266.90 |
— |
Colposcopy entire vagina w/cervix if present (57420) range across 2 matching MRF lines |
— |
$340–$409.90 |
— |
Colposcopy of vulva (56820) range across 2 matching MRF lines |
— |
$233–$281.20 |
— |
Colposcopy Vulva W/Biopsy (56821) range across 2 matching MRF lines |
— |
$460–$554.10 |
— |
Colposcopy,Entire Vagina,W/Biopsy(S) (57421) range across 2 matching MRF lines |
— |
$465–$560.30 |
— |
Colpotomy; with exploration (57000) range across 2 matching MRF lines |
— |
$644–$775.60 |
— |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
— |
$1,426.60 |
— |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
— |
$1,364.80 |
— |
Colsc flx w/removal lesion by hot bx forceps (45384) range across 3 matching MRF lines |
— |
$372.90–$1,117.60 |
— |
Combined anteroposterior colporrhaphy; (57260) range across 4 matching MRF lines |
— |
$412–$1,977.60 |
— |
Complex Cystometrogram (51726) range across 2 matching MRF lines |
— |
$1,095–$1,318.40 |
— |
Complex drainage wound (10180) range across 5 matching MRF lines |
— |
$353–$9,331.80 |
— |
Conization cervix w/wo d&c rpr eltrd exc (57522) range across 2 matching MRF lines |
$800 |
$1,065–$1,282.40 |
0.2× |
Conization of cervix (57520) range across 2 matching MRF lines |
— |
$1,225–$1,476 |
— |
Control Nasal Hemorrhage Anterior Simple (30901) range across 5 matching MRF lines |
— |
$69–$227.60 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$4,405.30 |
— |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
— |
$2,110.50 |
— |
| Correction hammertoe (28285) |
— |
$651 |
— |
Create Eardrum Opening (69433) range across 4 matching MRF lines |
— |
$136–$322.40 |
— |
| Crtj Arven Fstl Xcp Dir Arven Anast Nonautog Grf (36830) |
— |
$2,928.30 |
— |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
— |
$1,559.40 |
— |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 3 matching MRF lines |
— |
$227.60–$459.40 |
— |
Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) range across 2 matching MRF lines |
— |
$328.60–$406.90 |
— |
Curettage postpartum (59160) range across 2 matching MRF lines |
— |
$774–$933.20 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$372.90 |
— |
Cysto calibration dilat urtl strix/stenosis (52281) range across 3 matching MRF lines |
— |
$382.10–$584 |
— |
Cysto w/complex removal stone & stent (52315) range across 2 matching MRF lines |
— |
$489.30–$774.60 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$496.50 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$436.70 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$577.80 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$694.20 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$112.30 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$715.90 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$1,098 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$1,163.90 |
— |
Cystometrogram W/Up (51727) range across 2 matching MRF lines |
— |
$1,004–$1,034.10 |
— |
Cystometrogram W/Vp (51728) range across 2 matching MRF lines |
— |
$890–$1,071.20 |
— |
| Cystometrogram W/Vp&Up (51729) |
$485 |
$1,221 |
0.7× |
Cystorrhaphy suture of bladder wound injury or rupture simple (51860) range across 2 matching MRF lines |
— |
$2,363–$2,845.90 |
— |
| Cystoscopy and radiotracer (52250) |
— |
$675.70 |
— |
Cystostomy Cystotomy W/Drainage (51040) range across 2 matching MRF lines |
— |
$703.50–$3,629.70 |
— |
| Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material Facility (51020) |
— |
$1,311 |
— |
| Cystouretero W/Congen Repr (52400) |
— |
$1,205.10 |
— |
Cystourethroscopy (52000) range across 4 matching MRF lines |
— |
$493.40–$1,032.10 |
— |
Cystourethroscopy inj chemodenervation bladder (52287) range across 2 matching MRF lines |
— |
$412–$1,814.90 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$812.70 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$1,106.20 |
— |
| Cystourethroscopy w/dil bladder general anesth (52260) |
— |
$801.30 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$396.60 |
— |
| Cystourethroscopy, with dilation of bladder for interstitial cystitis; local anesthesia (52265) |
— |
$780.70 |
— |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) range across 5 matching MRF lines |
— |
$35–$979.50 |
— |
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 3 matching MRF lines |
— |
$769.40–$2,865.50 |
— |
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) range across 3 matching MRF lines |
— |
$465.60–$1,171.10 |
— |
Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) range across 3 matching MRF lines |
— |
$682.90–$1,269 |
— |
| Dcmprn Fasct Leg Ant&/Lat Compartments Only (27600) |
— |
$621.10 |
— |
Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) range across 2 matching MRF lines |
— |
$450–$1,112 |
— |
| Dcmprn fasct leg post compartment only (27601) |
— |
$621.10 |
— |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 6 matching MRF lines |
— |
$311.10–$1,967.30 |
— |
Debride nail 1-5 (11720) range across 5 matching MRF lines |
— |
$37.10–$237.90 |
— |
Debride nail 6 or more (11721) range across 3 matching MRF lines |
— |
$63.90–$237.90 |
— |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 5 matching MRF lines |
— |
$544.90–$4,646.30 |
— |
Debridement Mastoidectomy Cavity Simple (69220) range across 2 matching MRF lines |
— |
$83.40–$141.10 |
— |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines |
— |
$120.50–$1,271 |
— |
Declot vascular device (36593) range across 3 matching MRF lines |
— |
$402.70–$414.10 |
— |
| Decomp forearm,1 compart,w/o debride (25020) |
— |
$743.70 |
— |
| Decompress Fingers/Hand (26035) |
— |
$1,098 |
— |
| Decompression of leg (27894) |
— |
$2,038.40 |
— |
| Decompression of leg (27892) |
— |
$806.50 |
— |
| Decompression of tibia nerve (28035) |
— |
$743.70 |
— |
| Decompressive fasciotomy hand (26037) |
— |
$1,054.70 |
— |
| Deep Muscle Biopsy (20205) |
— |
$669.50 |
— |
| Delay flap/sectioning flap f/c/c/n/ax/g/h/f (15620) |
— |
$621.10 |
— |
Delivery of placenta (59414) range across 3 matching MRF lines |
— |
$407–$490.30 |
— |
Destr penis lesion(s) (54065) range across 3 matching MRF lines |
— |
$266.80–$639.60 |
— |
Destroy cerv/thor facet jnt (64633) range across 6 matching MRF lines |
— |
$465.60–$1,600.60 |
— |
Destroy lumb/sac facet jnt (64635) range across 6 matching MRF lines |
— |
$411–$1,768.50 |
— |
Destruct B9 Lesion 1-14 (17110) range across 4 matching MRF lines |
— |
$122.60–$337.80 |
— |
Destruction Benign Lesions 15/> (17111) range across 2 matching MRF lines |
— |
$76.20–$191.60 |
— |
Destruction by neurolytic agent, intercostal nerve (64620) range across 4 matching MRF lines |
— |
$378–$875.50 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$533.50 |
— |
Destruction Lesions Vulva Extensive (56515) range across 2 matching MRF lines |
— |
$847–$1,020.70 |
— |
Destruction Lesions Vulva Simple (56501) range across 2 matching MRF lines |
— |
$207–$249.30 |
— |
Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) range across 3 matching MRF lines |
— |
$185.40–$323.40 |
— |
Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) range across 3 matching MRF lines |
— |
$231.80–$396.60 |
— |
Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) range across 4 matching MRF lines |
— |
$137–$348.10 |
— |
Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) range across 3 matching MRF lines |
— |
$196.70–$474.80 |
— |
Destruction malignant lesion t/a/l 0.5 cm/< (17260) range across 3 matching MRF lines |
— |
$137–$217.30 |
— |
Destruction neurolytic agt genicular nerve w/img (64624) range across 2 matching MRF lines |
— |
$404.80–$3,752.30 |
— |
Destruction of skin lesions (17106) range across 2 matching MRF lines |
— |
$348.10–$521.20 |
— |
Destruction Premalignant Lesion 15/> (17004) range across 3 matching MRF lines |
— |
$271.90–$374.90 |
— |
Destruction premalignant lesion 1st (17000) range across 4 matching MRF lines |
— |
$75.20–$287.40 |
— |
Destruction Vaginal Lesions Extensive (57065) range across 2 matching MRF lines |
— |
$1,433–$1,726.30 |
— |
| Destruction Vaginal Lesions Simple (57061) |
— |
$716 |
— |
Diagnostic sigmoidoscopy (45330) range across 2 matching MRF lines |
— |
$138–$412 |
— |
| Diaphragm or cervical cap fitting with instructions (57170) |
— |
$339 |
— |
Dilat female urethra general/cndj spinal anes (53665) range across 2 matching MRF lines |
— |
$125–$149.40 |
— |
Dilat Female Urethra W/Suppository&/Instlj Ini (53660) range across 3 matching MRF lines |
— |
$104–$239 |
— |
Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) range across 2 matching MRF lines |
— |
$239–$287.40 |
— |
| Dilat rct strix spx under anes oth/thn local (45910) |
— |
$521.20 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$221.50 |
— |
Dilate Urethra Stricture (53620) range across 2 matching MRF lines |
— |
$217.30–$433.60 |
— |
Dilate Urethra Stricture (53600) range across 2 matching MRF lines |
— |
$179.20–$260.60 |
— |
Dilation & curettage dx&/ther nonobstetric (58120) range across 2 matching MRF lines |
— |
$1,050–$1,264.80 |
— |
Dilation Cervical Canal (57800) range across 2 matching MRF lines |
— |
$189–$226.60 |
— |
| Direct repair of aneurysm, pseudoaneurysm, or excision (partial or total) and graft insertion, with or without patch… (35011) |
— |
$8,190.60 |
— |
| Disarticulation At Knee (27598) |
— |
$1,613 |
— |
| Disarticulation of hip Facility (27295) |
— |
$621.10 |
— |
| Distal revascularization and interval ligation (DRIL), upper extremity hemodialysis access (steal syndrome) Facility (36838) |
— |
$3,722.40 |
— |
Drain Hand Tendon Sheath (26020) range across 2 matching MRF lines |
— |
$248.20–$621.10 |
— |
Drain/inj small joint/bursa w/us (20604) range across 2 matching MRF lines |
$200 |
$143.20–$340.90 |
0.7× |
Drainage abscess parotid simple (42300) range across 3 matching MRF lines |
— |
$254.40–$639.60 |
— |
Drainage External Ear Abscess/Hematoma Simple (69000) range across 3 matching MRF lines |
— |
$299.70–$1,587.20 |
— |
| Drainage Finger Abscess Complicated (26011) |
— |
$433.60 |
— |
Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
— |
$266.80–$575.80 |
— |
Drainage of gum lesion (41800) range across 5 matching MRF lines |
— |
$227.60–$645.80 |
— |
Drainage of hematoma/fluid (10140) range across 9 matching MRF lines |
— |
$139.10–$5,369.40 |
— |
| Drainage of hydrocele (55000) |
— |
$803.40 |
— |
| Drainage of rectal abscess (45020) |
— |
$1,327.70 |
— |
| Drainage of rectal abscess (45005) |
— |
$634.50 |
— |
Drainage of scrotal wall abscess (55100) range across 3 matching MRF lines |
— |
$323.40–$3,667.80 |
— |
| Drainage of scrotum (54700) |
— |
$607.70 |
— |
Drainage of skene's gland abscess or cyst (53060) range across 2 matching MRF lines |
— |
$227.60–$459.40 |
— |
Drainage Ovarian Cyst Uni/Bi Spx Abdominal (58805) range across 2 matching MRF lines |
— |
$1,170–$1,410.10 |
— |
Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) range across 2 matching MRF lines |
— |
$925–$1,115.50 |
— |
Draw Blood Off Venous Device (36591) range across 3 matching MRF lines |
— |
$25.80–$213.20 |
— |
Dressing Change Under Anesthesia (15852) range across 2 matching MRF lines |
— |
$95.80–$237.90 |
— |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
— |
$658.20 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 4 matching MRF lines |
— |
$319.30–$730.30 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 3 matching MRF lines |
— |
$221.50–$665.40 |
— |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 7 matching MRF lines |
— |
$63.90–$665.40 |
— |
Dstrj Lesion Anus Extensive (46924) range across 2 matching MRF lines |
— |
$1,602–$1,930.20 |
— |
Dstrj Lesion Anus Simple Chemical (46900) range across 2 matching MRF lines |
— |
$767–$879.60 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$396.60 |
— |
Dstrj Lesion Anus Smpl Eltrdsiccation (46910) range across 2 matching MRF lines |
— |
$602–$726.20 |
— |
Dstrj Lesion Penis Simple Chemical (54050) range across 3 matching MRF lines |
— |
$213.20–$499.60 |
— |
Dstrj Lesion Penis Simple Cryosurgery (54056) range across 3 matching MRF lines |
— |
$217.30–$322.40 |
— |
| Dstrj Lesion Penis Simple Electrodesiccation (54055) |
— |
$328.60 |
— |
| Dstrj lesion penis simple laser (54057) |
— |
$340.90 |
— |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 4 matching MRF lines |
— |
$1,246.30–$1,589.30 |
— |
| Dx Bronchoscope/Lavage (31624) |
— |
$780.70 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$713.80 |
— |
| Dx Laryngoscopy Excl Nb (31525) |
— |
$2,465.80 |
— |
Dx lmbr spi pnxr w/fluor/CT (62328) range across 2 matching MRF lines |
— |
$233.80–$561.40 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$743.70 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$496.50 |
— |
| Egd cautery tumor polyp (43250) |
— |
$545.90 |
— |
Egd control bleeding any (43255) range across 3 matching MRF lines |
— |
$485.10–$3,408.30 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$533.50 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$621.10 |
— |
| Egd Flx Trnsorl W/Dplmnt Ntrgstr Bariatric Balo (43290) |
— |
$440.80 |
— |
| Egd Flx Trnsorl W/Rmvl Ntrgstr Bariatric Balo (43291) |
— |
$388.30 |
— |
| Egd guide wire insertion (43248) |
— |
$869.30 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$726.20 |
— |
| Egd lesion ablation (43270) |
— |
$735.40 |
— |
| Egd place gastrostomy tube (43246) |
— |
$658.20 |
— |
| Egd remove lesion snare (43251) |
— |
$623.20 |
— |
| Elbow arthroscopy (29830) |
— |
$869.30 |
— |
Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) range across 4 matching MRF lines |
— |
$235.90–$359.50 |
— |
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 4 matching MRF lines |
— |
$156.60–$282.20 |
— |
Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) range across 4 matching MRF lines |
— |
$62.80–$124.60 |
— |
| Electrical stimulation bone healing noninvasive (20974) |
— |
$465.60 |
— |
| Electro-Uroflowmetry First (51741) |
$20 |
$305 |
0.1× |
Endocervical curettage (57505) range across 2 matching MRF lines |
— |
$352–$385.20 |
— |
Endometrial ablation, thermal, without hysteroscopic guidance (58353) range across 2 matching MRF lines |
— |
$1,049–$1,263.80 |
— |
Endometrial Biopsy (58100) range across 4 matching MRF lines |
$200 |
$105.10–$525.30 |
1.0× |
Endoscopic injection/implant (51715) range across 2 matching MRF lines |
— |
$425–$437.80 |
— |
| Endoscopy upper small intestine w/biopsy (44361) |
— |
$1,054.70 |
— |
| Enterorrhaphy single perforation (44602) |
— |
$3,227 |
— |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
— |
$621.10 |
— |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
— |
$743.70 |
— |
Epidural Blood Patch (62273) range across 5 matching MRF lines |
— |
$285.30–$533.50 |
— |
Episiotomy or vaginal repair (59300) range across 2 matching MRF lines |
— |
$602–$724.10 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$869.30 |
— |
| Esophagoscopy Flex Transoral Lesion Ablation (43229) |
— |
$457.30 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$391.40 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$385.20 |
— |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
— |
$454.20 |
— |
Evacuate mole of uterus (59870) range across 2 matching MRF lines |
— |
$1,389–$1,672.70 |
— |
Evacuation of subungual hematoma (11740) range across 3 matching MRF lines |
— |
$60.80–$227.60 |
— |
| Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111) |
— |
$1,724.20 |
— |
| Exc abdl tum deep 5 cm/> (22901) |
— |
$1,691.30 |
— |
Exc arm/elbow les sc < 3 cm (24075) range across 3 matching MRF lines |
— |
$651–$1,029 |
— |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 4 matching MRF lines |
— |
$140.10–$439.80 |
— |
Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) range across 4 matching MRF lines |
— |
$248.20–$576.80 |
— |
Exc Back Les Sc < 3 Cm (21930) range across 3 matching MRF lines |
— |
$732.30–$1,017.60 |
— |
Exc Back Tum Deep 5 Cm/> (21933) range across 3 matching MRF lines |
— |
$857–$2,660.50 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$1,489.40 |
— |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
— |
$1,109.30 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$1,215.40 |
— |
Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) range across 4 matching MRF lines |
— |
$269.90–$675.70 |
— |
Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) range across 3 matching MRF lines |
— |
$311.10–$869.30 |
— |
Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) range across 3 matching MRF lines |
— |
$342–$645.80 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$889.90 |
— |
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 4 matching MRF lines |
— |
$151.40–$451.10 |
— |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 4 matching MRF lines |
— |
$190.60–$553.10 |
— |
Exc Face-Mm B9+Marg 1.1-2 Cm (11442) range across 3 matching MRF lines |
— |
$170–$537.70 |
— |
Exc Face-Mm B9+Marg 2.1-3 Cm (11443) range across 4 matching MRF lines |
— |
$210.10–$1,518.20 |
— |
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 5 matching MRF lines |
— |
$268.80–$2,141.40 |
— |
Exc Forearm Les Sc 3 Cm/> (25071) range across 3 matching MRF lines |
— |
$372.90–$1,303 |
— |
Exc Forearm Tum Deep 3 Cm/> (25073) range across 3 matching MRF lines |
— |
$527.40–$1,150.50 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$743.70 |
— |
Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) range across 4 matching MRF lines |
— |
$139.10–$440.80 |
— |
Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) range across 6 matching MRF lines |
— |
$137–$1,270 |
— |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 4 matching MRF lines |
$185 |
$248.20–$743.70 |
0.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$496.50 |
— |
| Exc hand tum deep < 1.5 cm (26116) |
— |
$806.50 |
— |
Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) range across 6 matching MRF lines |
— |
$116.40–$468.70 |
— |
Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) range across 3 matching MRF lines |
— |
$527.40–$715.90 |
— |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
— |
$433.60 |
— |
Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) range across 2 matching MRF lines |
— |
$599.50–$1,079.40 |
— |
Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) range across 3 matching MRF lines |
— |
$289.40–$2,783.10 |
— |
| Exc Lip Transvrs Wedge Exc W/Prim Clsr (40510) |
— |
$1,067.10 |
— |
Exc Neurofibroma/Neurolemmoma Cutan Nrv (64788) range across 2 matching MRF lines |
— |
$665.40–$1,192.70 |
— |
| Exc neurofibroma/neurolemmoma major prph nrv (64790) |
— |
$2,010.60 |
— |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
— |
$2,003.40 |
— |
| Exc Rct Tum Not Incl Muscularis Propria (45171) |
— |
$2,507 |
— |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
— |
$1,637.70 |
— |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 6 matching MRF lines |
— |
$222.50–$552.10 |
— |
Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) range across 5 matching MRF lines |
— |
$248.20–$3,556.60 |
— |
Exc Skin Benig >4 Cm Remaindr Body (11426) range across 4 matching MRF lines |
— |
$372.90–$961 |
— |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 4 matching MRF lines |
— |
$433.60–$961 |
— |
Exc Skin Benig >4cm Face,Facial (11446) range across 3 matching MRF lines |
— |
$651–$896.10 |
— |
Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) range across 3 matching MRF lines |
— |
$344–$516 |
— |
Exc Skin Malig >4 Cm Remaindr Body (11626) range across 2 matching MRF lines |
— |
$602.60–$669.50 |
— |
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 3 matching MRF lines |
— |
$621.10–$1,023.80 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$682.90 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$1,035.20 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$1,837.50 |
— |
Exc Thrombosed Hemorrhoid Xtrnl (46320) range across 3 matching MRF lines |
— |
$219.40–$1,878.70 |
— |
Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) range across 9 matching MRF lines |
— |
$168.90–$913 |
— |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) range across 4 matching MRF lines |
— |
$248.20–$700.40 |
— |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 3 matching MRF lines |
— |
$190.60–$477.90 |
— |
Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) range across 2 matching MRF lines |
— |
$621.10–$1,241.20 |
— |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
— |
$743.70 |
— |
| Exc tumor soft tiss neck/thorax subfascial <5cm (21556) |
— |
$961 |
— |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
— |
$806.50 |
— |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
— |
$621.10 |
— |
| Exc tumor soft tissue abdl wall subfascial <5cm (22900) |
— |
$931.10 |
— |
Exc tumor soft tissue abdominal wall subq <3cm (22902) range across 3 matching MRF lines |
— |
$640.70–$991.90 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$621.10 |
— |
Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) range across 3 matching MRF lines |
— |
$651–$1,434.80 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$931.10 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$713.80 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$1,737.60 |
— |
Exc tumor soft tissue neck/ant thorax subq <3cm (21555) range across 3 matching MRF lines |
— |
$706.60–$1,209.20 |
— |
Exc tumor soft tissue pelvis & hip subq <3cm (27047) range across 3 matching MRF lines |
— |
$682.90–$1,372 |
— |
Exc tumor soft tissue thigh/knee subfasc <5cm (27328) range across 3 matching MRF lines |
— |
$743.70–$1,189.70 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$894 |
— |
| Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) |
— |
$869.30 |
— |
| Exc/curtg bone cyst/b9 tumortarsal/metatarsal (28104) |
— |
$682.90 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$496.50 |
— |
Exc/fulguration urethral caruncle (53265) range across 2 matching MRF lines |
— |
$726–$874.50 |
— |
| Excis penile plaque (54110) |
— |
$1,748.90 |
— |
| Excise tendon forearm/wrist (25109) |
— |
$931.10 |
— |
Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) range across 3 matching MRF lines |
— |
$323.40–$647.90 |
— |
| Excision Distal Ulna Partial/Complete (25240) |
— |
$775.60 |
— |
| Excision Excessive Skin & Subq Tissue Buttock (15835) |
— |
$2,401 |
— |
Excision Excessive Skin & Subq Tissue Other Area (15839) range across 2 matching MRF lines |
— |
$2,366–$2,851 |
— |
Excision H/P/P/U Simple/Intermediate Repair (11470) range across 3 matching MRF lines |
— |
$558.30–$954.80 |
— |
Excision Hidradenitis Inguinal Complex Repair (11463) range across 5 matching MRF lines |
— |
$621.10–$1,117.60 |
— |
Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) range across 4 matching MRF lines |
— |
$41.20–$443.90 |
— |
| Excision inferior turbinate partial/complete (30130) |
— |
$1,526.50 |
— |
Excision lesion meniscus/capsule knee (27347) range across 2 matching MRF lines |
— |
$500–$1,225 |
— |
Excision lesion mouth roof (42104) range across 2 matching MRF lines |
— |
$342–$409.90 |
— |
| Excision lesion tendon sheath forearm&/wrist (25110) |
— |
$682.90 |
— |
Excision Lesion Tongue W/O Closure (41110) range across 3 matching MRF lines |
— |
$322.40–$2,971.60 |
— |
Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) range across 5 matching MRF lines |
— |
$217.30–$644.80 |
— |
Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) range across 3 matching MRF lines |
— |
$258.50–$389.30 |
— |
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 4 matching MRF lines |
— |
$281.20–$701.40 |
— |
Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) range across 3 matching MRF lines |
— |
$256.50–$720 |
— |
Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) range across 3 matching MRF lines |
— |
$225.60–$338.90 |
— |
Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) range across 3 matching MRF lines |
— |
$276–$508.80 |
— |
Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) range across 2 matching MRF lines |
— |
$813.70–$880.70 |
— |
Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) range across 3 matching MRF lines |
— |
$219.40–$329.60 |
— |
Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) range across 3 matching MRF lines |
— |
$259.60–$391.40 |
— |
Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) range across 3 matching MRF lines |
— |
$291.50–$436.70 |
— |
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 3 matching MRF lines |
— |
$248.20–$502.60 |
— |
| Excision malignant tumor mandible (21044) |
— |
$2,353.60 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$658.20 |
— |
Excision of bartholin's gland or cyst (56740) range across 2 matching MRF lines |
— |
$893–$1,076.40 |
— |
Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
— |
$311.10–$621.10 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$931.10 |
— |
| Excision of local lesion of epididymis (54830) |
— |
$869.30 |
— |
| Excision of neuroma; digital nerve, 1 or both, same digit (64776) |
— |
$621.10 |
— |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
— |
$3,387.70 |
— |
| Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length Facility (54112) |
— |
$2,635.80 |
— |
| Excision of penile plaque (Peyronie disease); with graft to 5 cm in length Facility (54111) |
— |
$2,248.50 |
— |
Excision of pilonidal cyst or sinus; simple (11770) range across 3 matching MRF lines |
— |
$324.50–$688 |
— |
Excision of single external papilla or tag, anus (46220) range across 3 matching MRF lines |
— |
$198.80–$496.50 |
— |
| Excision of sublingual salivary cyst (ranula) (42408) |
— |
$942.50 |
— |
| Excision of submandibular (submaxillary) gland (42440) |
— |
$1,320.50 |
— |
Excision of vaginal cyst or tumor (57135) range across 2 matching MRF lines |
— |
$955–$1,044.40 |
— |
Excision of vaginal septum (57130) range across 2 matching MRF lines |
— |
$1,241–$1,494.50 |
— |
| Excision olecranon bursa (24105) |
— |
$621.10 |
— |
| Excision or curettage of bone cyst or benign tumor of femur; (27355) |
— |
$1,364.80 |
— |
| Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft… (24126) |
— |
$1,241.20 |
— |
| Excision or curettage of bone cyst or benign tumor, humerus; with allograft Facility (24116) |
— |
$1,489.40 |
— |
| Excision or curettage of bone cyst or benign tumor, talus or calcaneus; Facility (28100) |
— |
$806.50 |
— |
| Excision or fulguration; Skene's glands Facility (53270) |
— |
$409 |
— |
Excision Pilonidal Cyst/Sinus Complicated (11772) range across 2 matching MRF lines |
— |
$1,106.20–$1,364.80 |
— |
Excision Pilonidal Cyst/Sinus Extensive (11771) range across 2 matching MRF lines |
— |
$851.80–$1,141.20 |
— |
| Excision prepatellar bursa (27340) |
— |
$621.10 |
— |
| Excision Radial Head (24130) |
— |
$929.10 |
— |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
— |
$2,371.10 |
— |
| Excision spermatocele w/wo epididymectomy (54840) |
— |
$894 |
— |
| Excision synovial cyst popliteal space (27345) |
— |
$900.20 |
— |
| Excision tendon finger flexor/extensor each (26180) |
— |
$589.20 |
— |
Excision tumor soft tis back/flank subq 3 cm/> (21931) range across 3 matching MRF lines |
— |
$496.50–$1,241.20 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$1,241.20 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$496.50 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$869.30 |
— |
Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) range across 3 matching MRF lines |
— |
$496.50–$985.70 |
— |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
— |
$1,210.30 |
— |
| Excision, interdigital (morton) neuroma, single, each (28080) |
— |
$558.30 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$1,806.60 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$1,360.60 |
— |
Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) range across 2 matching MRF lines |
— |
$855–$1,030 |
— |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
— |
$1,117.60 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$1,169.10 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$1,154.60 |
— |
Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) range across 4 matching MRF lines |
— |
$561.40–$930.10 |
— |
| Excision/curettage cyst/tumor carpal bones (25130) |
— |
$1,048 |
— |
| Excision/curettage cyst/tumor phalanx finger (26210) |
— |
$1,241.20 |
— |
| Excision/Curettage Cyst/Tumor Radius/Ulna (25120) |
— |
$869.30 |
— |
Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
— |
$577.80–$2,311.30 |
— |
| Excision/destruction lesion pharynx any method (42808) |
— |
$5,716.50 |
— |
| Excision; trochanteric bursa or calcification (27062) |
— |
$1,241.20 |
— |
Expl penetrating wound spx abdomen/flank/back (20102) range across 3 matching MRF lines |
— |
$508.80–$1,117.60 |
— |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
— |
$1,054.70 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$1,042.40 |
— |
| Exploration of hip joint (27033) |
— |
$1,491.40 |
— |
| Exploration of knee joint (27310) |
— |
$1,426.60 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$726.20 |
— |
Exploration, retroperitoneal area with or without biopsy(s) (separate procedure) (49010) range across 2 matching MRF lines |
— |
$2,428–$2,924.20 |
— |
| Exploratory elbow surgery (24000) |
— |
$806.50 |
— |
| Explore treat shoulder joint (23107) |
— |
$1,520.30 |
— |
| Explore/Treat Elbow Joint (24101) |
— |
$621.10 |
— |
| Explore/Treat Hand Joint (26070) |
— |
$589.20 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$1,117.60 |
— |
External cephalic version (59412) range across 4 matching MRF lines |
— |
$456.30–$612.90 |
— |
| Fasciectomy Palm Only (26121) |
— |
$1,487.30 |
— |
| Fasciectomy Plantar Fascia Partial Spx (28060) |
— |
$651 |
— |
| Fasciotomy Iliotibial Open (27305) |
— |
$1,178.30 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$806.50 |
— |
| Fasciotomy palmar percutaneous (26040) |
— |
$450.10 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$558.30 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$1,364.80 |
— |
Fetal Contraction Stress Test (59020) range across 2 matching MRF lines |
— |
$193–$330.60 |
— |
Fetal non-stress test (59025) range across 4 matching MRF lines |
— |
$88–$357.40 |
— |
Fine needle aspiration without imaging guidance (10021) range across 3 matching MRF lines |
— |
$111.20–$359.50 |
— |
| Flap; neurovascular pedicle (15750) |
— |
$1,426.60 |
— |
| Fluid Pressure Muscle (20950) |
— |
$621.10 |
— |
Fna bx w/us gdn 1st les (10005) range across 6 matching MRF lines |
— |
$270.90–$1,610 |
— |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
— |
$558.30 |
— |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
— |
$1,351.40 |
— |
| Fuse hand bones with graft (25825) |
— |
$1,364.80 |
— |
| Fusion Finger Joint (26860) |
— |
$775.60 |
— |
| Fusion of foot bones (28740) |
— |
$931.10 |
— |
| Fusion of hand bones (25820) |
— |
$991.90 |
— |
| Fusion of knuckle (26850) |
— |
$1,782.90 |
— |
| Fusion of knuckle joint (26516) |
— |
$1,054.70 |
— |
| Fusion of tibiofibular joint (27871) |
— |
$1,551.20 |
— |
| Gastric restrictive procedure, open; removal and replacement of subcutaneous port component only Facility (43888) |
— |
$1,275.10 |
— |
| Gastric restrictive procedure, open; revision of subcutaneous port component only Facility (43886) |
— |
$1,054.70 |
— |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
— |
$2,996.30 |
— |
Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) range across 3 matching MRF lines |
— |
$819.90–$1,637.70 |
— |
| Hand tendon reconstruction (26500) |
— |
$869.30 |
— |
Hemiarthroplasty hip partial (27125) range across 2 matching MRF lines |
— |
$402.70–$621.10 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$1,123.70 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$780.70 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$1,072.20 |
— |
Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) range across 3 matching MRF lines |
— |
$198.80–$496.50 |
— |
| Hemorrhoidopexy by stapling (46947) |
— |
$899.20 |
— |
| Hip arthro acetabuloplasty (29915) |
— |
$2,513.20 |
— |
| Hip arthro w/labral repair (29916) |
— |
$4,281.70 |
— |
| Hysteroscopy Bi Tube Occlusion W/Perm Implnts (58565) |
— |
$3,123 |
— |
Hysteroscopy Biopsy (58558) range across 2 matching MRF lines |
$3,500 |
$873–$1,052.70 |
1.1× |
Hysteroscopy Dx Sep Proc (58555) range across 3 matching MRF lines |
— |
$464–$1,120.60 |
— |
Hysteroscopy Endometrial Ablation (58563) range across 2 matching MRF lines |
$7,500 |
$3,346–$4,032.50 |
1.5× |
Hysteroscopy Lysis Intrauterine Adhesions (58559) range across 2 matching MRF lines |
— |
$1,025–$1,236 |
— |
Hysteroscopy Removal Impacted Foreign Body (58562) range across 2 matching MRF lines |
— |
$925–$1,115.50 |
— |
Hysteroscopy, surgical; with removal of leiomyomata (58561) range across 2 matching MRF lines |
— |
$1,805–$2,175.40 |
— |
I&d abscess peritonsillar (42700) range across 2 matching MRF lines |
— |
$327.50–$508.80 |
— |
I&d abscess simple (10060) range across 8 matching MRF lines |
$250 |
$134.90–$665.40 |
1.2× |
| I&D Below Fascia Foot 1 Bursal Space (28002) |
— |
$496.50 |
— |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
— |
$838.40 |
— |
| I&D Intramural Im/Absc Transanal Anes (46045) |
— |
$956.90 |
— |
I&D Ischiorct/Intramural Absc W/WO Seton (46060) range across 2 matching MRF lines |
— |
$924.90–$1,117.60 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$991.90 |
— |
I&d perianal abscess superficial (46050) range across 5 matching MRF lines |
— |
$198.80–$2,033.20 |
— |
I&d pilonidal cyst complicated (10081) range across 4 matching MRF lines |
— |
$392.40–$3,227 |
— |
I&d pilonidal cyst simple (10080) range across 7 matching MRF lines |
— |
$118.50–$2,340.20 |
— |
| I&d shoulder deep abscess/hematoma (23030) |
— |
$465.60 |
— |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
— |
$558.30 |
— |
| I&d vaginal hematoma obstetrical/postpartum (57022) |
— |
$538 |
— |
Ileoscopy Stoma W/Bx Single/Multiple (44382) range across 2 matching MRF lines |
— |
$2,575–$3,102.40 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$280.20 |
— |
Implant neuroelectrodes (63650) range across 4 matching MRF lines |
— |
$695.30–$1,688.20 |
— |
Implant Spine Infusion Pump (62362) range across 4 matching MRF lines |
— |
$621.10–$1,426.60 |
— |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) range across 4 matching MRF lines |
— |
$621.10–$1,415.20 |
— |
Incise external hemorrhoid (46083) range across 6 matching MRF lines |
— |
$125.70–$829.20 |
— |
| Incise finger tendon sheath (26055) |
— |
$961 |
— |
| Incise Wrist/Forearm Tendon (25290) |
— |
$1,013.50 |
— |
Incision & drainage abscess complicated/multiple (10061) range across 7 matching MRF lines |
— |
$225.60–$1,271 |
— |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$682.90 |
— |
| Incision & drainage leg/ankle infected bursa (27604) |
— |
$558.30 |
— |
Incision & removal foreign body subq tiss compl (10121) range across 5 matching MRF lines |
— |
$395.50–$5,369.40 |
— |
Incision & removal foreign body subq tiss simple (10120) range across 8 matching MRF lines |
— |
$173–$1,271 |
— |
Incision and drainage of bartholin's gland abscess (56420) range across 6 matching MRF lines |
— |
$108.20–$536.60 |
— |
Incision and drainage of vaginal hematoma; non-obstetrical (eg, post-trauma, spontaneous bleeding) Facility (57023) range across 2 matching MRF lines |
— |
$824–$991.90 |
— |
Incision and drainage of vulva or perineal abscess (56405) range across 7 matching MRF lines |
— |
$244.10–$777.70 |
— |
Incision and drainage, pelvis or hip joint area; infected bursa Facility (26991) range across 2 matching MRF lines |
— |
$590.20–$1,182.40 |
— |
| Incision bone cortex foot (28005) |
— |
$806.50 |
— |
| Incision extensor tendon sheath wrist (25000) |
— |
$527.40 |
— |
| Incision of fibula (27707) |
— |
$1,272.10 |
— |
Incision of labial frenum (frenotomy) (40806) range across 4 matching MRF lines |
— |
$55.60–$645.80 |
— |
Incision of lingual frenum (frenotomy) (41010) range across 5 matching MRF lines |
— |
$340.90–$1,241.20 |
— |
Incision of rectal abscess (46040) range across 3 matching MRF lines |
— |
$1,025.90–$2,649.20 |
— |
| Incision of tibia & fibula (27709) |
— |
$1,799.40 |
— |
| Incision&drainage bursa foot (28001) |
— |
$372.90 |
— |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$433.60 |
— |
| Incision, bone cortex, pelvis and/or hip joint (eg, osteomyelitis or bone abscess) Facility (26992) |
— |
$1,426.60 |
— |
| Incision, deep, with opening of bone cortex, femur or knee (eg, osteomyelitis or bone abscess) Facility (27303) |
— |
$1,178.30 |
— |
Induced abortion, by dilation and evacuation (59841) range across 2 matching MRF lines |
— |
$1,161–$1,398.70 |
— |
| Initial Tx 1st Degree Burn Local Tx (16000) |
— |
$248.20 |
— |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 7 matching MRF lines |
— |
$415.10–$2,167.10 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$154.50 |
— |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
— |
$119.50 |
— |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 4 matching MRF lines |
— |
$471.70–$2,079.60 |
— |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 5 matching MRF lines |
— |
$59.70–$277.10 |
— |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
— |
$161.70 |
— |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
— |
$119.50 |
— |
Injection aa&/strd genicular nrv branches w/img (64454) range across 5 matching MRF lines |
— |
$214.20–$1,582 |
— |
Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 5 matching MRF lines |
— |
$119.50–$806.50 |
— |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
— |
$119.50 |
— |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
— |
$208.10 |
— |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
— |
$142.10 |
— |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
— |
$119.50 |
— |
Injection Anes Agent Sphenopalatine Ganglion (64505) range across 3 matching MRF lines |
— |
$198.80–$322.40 |
— |
Injection Anes Superior Hypogastric Plexus (64517) range across 2 matching MRF lines |
— |
$318.30–$540.80 |
— |
Injection anesthetic agent suprascapular nerve (64418) range across 9 matching MRF lines |
— |
$119.50–$1,688.20 |
— |
| Injection enzyme palmar fascial cord (20527) |
— |
$80.30 |
— |
Injection for identification of sentinel node (38792) range across 2 matching MRF lines |
— |
$233.80–$869.30 |
— |
Injection single tendon origin/insertion (20551) range across 4 matching MRF lines |
— |
$111.20–$714.80 |
— |
Injection single/mlt trigger point 1/2 muscles (20552) range across 7 matching MRF lines |
— |
$63.90–$911.60 |
— |
Injection single/mlt trigger point 3/> muscles (20553) range across 6 matching MRF lines |
— |
$104–$682.90 |
— |
Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
— |
$43.30–$132.90 |
— |
Injection, anesthetic agent; brachial plexus, single (64415) range across 6 matching MRF lines |
— |
$119.50–$453.20 |
— |
Injection, anesthetic agent; femoral nerve, single (64447) range across 5 matching MRF lines |
— |
$142.10–$676.70 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 10 matching MRF lines |
— |
$82.40–$1,575.90 |
— |
| Injection, anesthetic agent; vagus nerve (64408) |
— |
$119.50 |
— |
Injection, Intralesional; More Than 7 Lesions (11901) range across 2 matching MRF lines |
— |
$95.80–$143.20 |
— |
Injection, intralesional; up to and including 7 lesions (11900) range across 6 matching MRF lines |
— |
$95.80–$685 |
— |
| Ins endovas vena cava filtr (37191) |
— |
$849.80 |
— |
| Insert and remove bone pin (20650) |
— |
$311.10 |
— |
Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
— |
$118.50–$356.40 |
— |
| Insert cath pleura w/o image (32556) |
— |
$1,181.40 |
— |
Insert cervical dilator (59200) range across 2 matching MRF lines |
— |
$254–$591.20 |
— |
Insert Drug Implant Device (11981) range across 4 matching MRF lines |
$800 |
$100.90–$361 |
6.0× |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$2,418.40 |
— |
| Insert multi-comp penis pros (54405) |
— |
$2,270.10 |
— |
Insert non-tunnel cv cath (36556) range across 5 matching MRF lines |
— |
$208.10–$5,829.80 |
— |
Insert pessary/other device (57160) range across 2 matching MRF lines |
— |
$290–$349.20 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$2,637.80 |
— |
| Insert self-contd prosthesis (54401) |
— |
$1,822.10 |
— |
| Insert semi-rigid prosthesis (54400) |
— |
$1,483.20 |
— |
Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
— |
$49.40–$284.30 |
— |
Insert tunneled cv cath (36561) range across 2 matching MRF lines |
— |
$1,373–$1,514.10 |
— |
Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
— |
$34–$79.30 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$646.80 |
— |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
— |
$912.60 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$2,606.90 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 6 matching MRF lines |
— |
$240–$1,463.60 |
— |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
— |
$1,270 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$870.40 |
— |
Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) range across 2 matching MRF lines |
— |
$968.20–$2,233 |
— |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) range across 4 matching MRF lines |
— |
$570.60–$1,191.70 |
— |
Int hrhc by ligation single hroid w/o img gdn (46945) range across 3 matching MRF lines |
— |
$428.50–$639.60 |
— |
Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
— |
$727.20–$961 |
— |
Intraoral i&d tongue/floor lingual (41000) range across 2 matching MRF lines |
— |
$292.50–$495.40 |
— |
Intraoral i&d tongue/floor submental space (41007) range across 3 matching MRF lines |
— |
$436.70–$1,412.10 |
— |
| Intro cath dialysis circuit (36901) |
— |
$632.40 |
— |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
— |
$943.50 |
— |
Intubation endotracheal emergency procedure (31500) range across 5 matching MRF lines |
— |
$119.50–$508.80 |
— |
Irrigation of corpora cavernosa for priapism (54220) range across 2 matching MRF lines |
— |
$260.60–$525.30 |
— |
| Knee arthroscopy/drainage (29871) |
— |
$1,364.80 |
— |
| Knee Arthroscopy/Surgery (29885) |
— |
$1,861.20 |
— |
| Knee Arthroscopy/Surgery (29874) |
— |
$2,078.50 |
— |
Lap paraesoph her rpr w/mesh (43282) range across 2 matching MRF lines |
— |
$1,985.80–$3,970.70 |
— |
Lap paraesophag hern repair (43281) range across 2 matching MRF lines |
— |
$931.10–$3,722.40 |
— |
| Lap revision perm ip cath (49325) |
— |
$1,117.60 |
— |
Laparo-vag hyst incl t/o (58552) range across 4 matching MRF lines |
— |
$1,529–$3,683.30 |
— |
Laparoscopy aspiration (49322) range across 3 matching MRF lines |
— |
$1,126.80–$1,413.20 |
— |
Laparoscopy Enterolysis Separate Procedure (44180) range across 5 matching MRF lines |
— |
$1,310–$3,157 |
— |
Laparoscopy fulguration oviducts (58670) range across 2 matching MRF lines |
— |
$1,216–$1,463.60 |
— |
Laparoscopy salpingostomy (58673) range across 3 matching MRF lines |
— |
$1,602–$4,112.80 |
— |
Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) range across 2 matching MRF lines |
— |
$496.50–$1,613 |
— |
Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) range across 4 matching MRF lines |
— |
$510–$2,439 |
— |
Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) range across 4 matching MRF lines |
— |
$544–$1,966.30 |
— |
Laparoscopy W/Lysis Of Adhesions (58660) range across 4 matching MRF lines |
— |
$1,044–$2,516.30 |
— |
Laparoscopy w/rmvl adnexal structures (58661) range across 5 matching MRF lines |
— |
$627.30–$2,455.50 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
$7,500 |
$1,489.40 |
1.2× |
Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) range across 2 matching MRF lines |
— |
$869.30–$2,606.90 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$1,936.40 |
— |
Laparoscopy, surgical, splenectomy (38120) range across 2 matching MRF lines |
— |
$2,140.30–$4,277.60 |
— |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) range across 4 matching MRF lines |
— |
$515–$1,861.20 |
— |
Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) range across 4 matching MRF lines |
— |
$680–$3,255.80 |
— |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus greater than 250 g; (58553) |
— |
$3,590 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$2,481.30 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$1,923 |
— |
| Laparoscopy, surgical; orchiopexy for intra-abdominal testis Facility (54692) |
— |
$2,131.10 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$1,861.20 |
— |
| Laparoscopy, surgical; sling operation for stress incontinence (eg, fascia or synthetic) Facility (51992) |
— |
$2,331.90 |
— |
Laparoscopy, surgical; with biopsy (single or multiple) (49321) range across 4 matching MRF lines |
— |
$146.30–$1,312.20 |
— |
Laparoscopy, Tubal Block (58671) range across 2 matching MRF lines |
— |
$1,216–$1,464.70 |
— |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) range across 4 matching MRF lines |
— |
$268–$1,244.20 |
— |
Laps fulg/exc ovary viscera/peritoneal surface (58662) range across 4 matching MRF lines |
— |
$664–$2,665.60 |
— |
Laps Gastric Restrictive Px Remove Device & Port (43774) range across 3 matching MRF lines |
— |
$869.30–$1,395.70 |
— |
Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) range across 5 matching MRF lines |
— |
$373–$2,474 |
— |
| Laps surg prst8ect smpl stot robotic assistance (55867) |
— |
$2,561.60 |
— |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) range across 2 matching MRF lines |
— |
$2,380–$2,867.50 |
— |
Laps Vaginal Hysterect > 250 Gm Rmvl Tube&/Ovar (58554) range across 5 matching MRF lines |
— |
$659–$3,176.50 |
— |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
— |
$806.50 |
— |
Laryngoscopy flexible diagnostic (31575) range across 3 matching MRF lines |
— |
$68–$322.40 |
— |
| Laryngoscopy w/biopsy microscope/telescope (31536) |
— |
$899.20 |
— |
Late closure of wound (13160) range across 2 matching MRF lines |
— |
$2,230–$2,687.30 |
— |
| Lateral retinacular release open (27425) |
— |
$1,674.80 |
— |
| Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) |
— |
$991.90 |
— |
Ligamentous Reconstruction Knee Extra-Articular (27427) range across 3 matching MRF lines |
— |
$991.90–$1,985.80 |
— |
Ligamentous reconstruction knee intra-articular (27428) range across 3 matching MRF lines |
— |
$248.20–$2,481.30 |
— |
| Ligate/strip short leg vein (37718) |
— |
$931.10 |
— |
| Ligation of a-v fistula (37607) |
— |
$1,395.70 |
— |
| Ligation of hemorrhoids (46946) |
— |
$576.80 |
— |
Ligation or biopsy temporal artery (37609) range across 3 matching MRF lines |
— |
$743.70–$880.70 |
— |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
— |
$954.80 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$1,341.10 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$982.60 |
— |
| Lithotripsy, extracorporeal shock wave (50590) |
— |
$1,576.90 |
— |
| Low Back Disk Surgery (63030) |
— |
$3,102.40 |
— |
Lsh uterus 250 g or less (58541) range across 4 matching MRF lines |
— |
$340–$1,639.80 |
— |
Lsh uterus above 250 g (58543) range across 4 matching MRF lines |
— |
$378–$1,818 |
— |
Lsh w/t/o uterus above 250 g (58544) range across 4 matching MRF lines |
— |
$405–$1,947.70 |
— |
Lyse chest fibrin init day (32561) range across 2 matching MRF lines |
— |
$180.30–$389.30 |
— |
Lysis of labial adhesions (56441) range across 2 matching MRF lines |
— |
$498–$599.50 |
— |
| Manipulation Ankle Under General Anesthesia (27860) |
— |
$433.60 |
— |
| Manipulation Elbow Under Anesthesia (24300) |
— |
$506.80 |
— |
| Manipulation hip joint general anesthesia (27275) |
— |
$433.60 |
— |
Manipulation knee joint under general anesthesia (27570) range across 2 matching MRF lines |
— |
$402.70–$439.80 |
— |
| Manipulation wrist under anesthesia (25259) |
— |
$991.90 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$496.50 |
— |
Marsupialization of bartholin's gland cyst (56440) range across 4 matching MRF lines |
— |
$216.30–$881.70 |
— |
Mast mod rad (19307) range across 2 matching MRF lines |
— |
$1,148.50–$2,729.50 |
— |
| Mastectomy for gynecomastia (19300) |
— |
$1,364.80 |
— |
| Mastectomy partial (19301) |
— |
$1,117.60 |
— |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
— |
$2,009.50 |
— |
Mastectomy simple complete (19303) range across 2 matching MRF lines |
— |
$1,067.10–$2,134.20 |
— |
Maternity Care Procedure (59899) range across 2 matching MRF lines |
— |
$475–$519.10 |
— |
| Metatarsectomy (28140) |
— |
$1,204.10 |
— |
| Muscle, myocutaneous, or fasciocutaneous flap; lower extremity (15738) |
— |
$2,572.90 |
— |
Muscle-skin graft trunk (15734) range across 2 matching MRF lines |
— |
$2,749.10–$3,102.40 |
— |
| Myelography Lumbar Injection (62305) |
— |
$2,174.30 |
— |
| Myelography Lumbar Injection (62304) |
— |
$1,862.20 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$1,862.20 |
— |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
— |
$1,862.20 |
— |
Myomectomy 1-4 Myomas 250 Gm/< Vaginal Appr (58145) range across 2 matching MRF lines |
— |
$1,608–$1,937.40 |
— |
| Myringoplasty (69620) |
— |
$1,433.80 |
— |
N Block Inj Ilio-Ing/Hypogi (64425) range across 6 matching MRF lines |
— |
$119.50–$1,582 |
— |
N block inj intercost sng (64420) range across 5 matching MRF lines |
— |
$119.50–$539.70 |
— |
N Block Inj Paracervical (64435) range across 2 matching MRF lines |
— |
$119.50–$572 |
— |
N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
— |
$115.40–$119.50 |
— |
N Block Inj Pudendal (64430) range across 5 matching MRF lines |
— |
$119.50–$872.40 |
— |
N Block Lumbar/Thoracic (64520) range across 4 matching MRF lines |
— |
$378–$875.50 |
— |
Nasal Endoscopy Dx (31231) range across 3 matching MRF lines |
— |
$93.70–$275 |
— |
| Nasal surgery procedure (30999) |
— |
$1,591.40 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$213.20 |
— |
Nasal/sinus endoscopy dx maxillary sinusoscopy (31233) range across 3 matching MRF lines |
— |
$228.70–$576.80 |
— |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
— |
$838.40 |
— |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
— |
$562.40 |
— |
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 4 matching MRF lines |
— |
$311.10–$682.90 |
— |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
— |
$620.10 |
— |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
— |
$1,097 |
— |
| Nasal/sinus ndsc total with sphenoidotomy (31257) |
— |
$1,301.90 |
— |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
— |
$1,159.80 |
— |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
— |
$2,150.60 |
— |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
— |
$1,702.60 |
— |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
— |
$1,054.70 |
— |
Needle Biopsy Lymph Nodes (38505) range across 3 matching MRF lines |
— |
$179.20–$391.40 |
— |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
— |
$354.30 |
— |
| Needle insertion w/o injection 3 or more muscles (20561) |
— |
$354.30 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718) range across 3 matching MRF lines |
— |
$496.50–$991.90 |
— |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
— |
$1,364.80 |
— |
Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) range across 4 matching MRF lines |
— |
$773–$1,080.50 |
— |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
— |
$472.50 |
— |
| Nipple Exploration (19110) |
— |
$991.90 |
— |
Njx anes stellate ganglion crv sympathetic (64510) range across 4 matching MRF lines |
— |
$359.50–$484.10 |
— |
Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 9 matching MRF lines |
— |
$122.60–$665.40 |
— |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 6 matching MRF lines |
— |
$495.40–$2,079.60 |
— |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) range across 2 matching MRF lines |
— |
$433.60–$621.10 |
— |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) range across 2 matching MRF lines |
— |
$334.80–$801.30 |
— |
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) range across 2 matching MRF lines |
— |
$433.60–$806.50 |
— |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 2 matching MRF lines |
$900 |
$174.10–$259.60 |
1.3× |
Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) range across 3 matching MRF lines |
— |
$340.90–$713.80 |
— |
Njx Sclrsnt Mlt Incmptnt Vn (36471) range across 2 matching MRF lines |
— |
$212.20–$387.30 |
— |
| Njx Sclrsnt Spider Veins (36468) |
— |
$311.10 |
— |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
— |
$1,349.30 |
— |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
— |
$1,023.80 |
— |
Occipital Nerve Block (64405) range across 6 matching MRF lines |
— |
$142.10–$911.60 |
— |
Occlusion flp tube dev vag/suprapubic appr (58615) range across 2 matching MRF lines |
— |
$881–$1,060.90 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$1,212.30 |
— |
| Open bowel to skin (44300) |
— |
$1,589.30 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$1,861.20 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$1,674.80 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814) range across 2 matching MRF lines |
— |
$899.20–$1,799.40 |
— |
Open treatment calcaneal fracture (28415) range across 3 matching MRF lines |
— |
$217.30–$465.60 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$2,171.20 |
— |
Open treatment fracture distal tibia only (27827) range across 2 matching MRF lines |
— |
$340.90–$527.40 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$1,904.50 |
— |
| Open Treatment Grter Humeral Tuberosity Fracture (23630) |
— |
$1,272.10 |
— |
| Open Treatment Humeral Condylar Fracture (24579) |
— |
$1,364.80 |
— |
| Open treatment interphalangeal joint dislocation (28675) |
— |
$527.40 |
— |
| Open Treatment Lunate Dislocation (25695) |
— |
$991.90 |
— |
Open Treatment Medial Malleolus Fracture (27766) range across 3 matching MRF lines |
— |
$527.40–$1,054.70 |
— |
| Open treatment metacarpophalangeal dislocation (26715) |
— |
$1,711.90 |
— |
Open treatment metatarsal fracture each (28485) range across 2 matching MRF lines |
— |
$1,104.20–$2,171.20 |
— |
| Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns, includes t-fracture and both… (27228) |
— |
$3,102.40 |
— |
| Open treatment of acetabular fracture(s) involving anterior or posterior (one) column, or a fracture running… (27227) |
— |
$3,939.80 |
— |
Open treatment of acromioclavicular dislocation acute or chronic (23550) range across 2 matching MRF lines |
— |
$1,092.80–$1,241.20 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$1,861.20 |
— |
Open treatment of clavicular fracture, includes internal fixation, when performed (23515) range across 2 matching MRF lines |
— |
$228.70–$899.20 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$1,737.60 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$2,984.90 |
— |
| Open treatment of femoral shaft fracture with plate/screws, with or without cerclage Facility (27507) |
— |
$2,450.40 |
— |
| Open treatment of femoral shaft fracture, with or without external fixation, with insertion of intramedullary implant,… (27506) |
— |
$2,729.50 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$2,606.90 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$894 |
— |
Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) range across 2 matching MRF lines |
— |
$2,060–$3,305.30 |
— |
Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) range across 3 matching MRF lines |
— |
$1,799.40–$2,442.10 |
— |
| Open treatment of humeral supracondylar or transcondylar fracture, includes internal fixation, when performed; with… (24546) |
— |
$1,799.40 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$869.30 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$1,737.60 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$2,295.90 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$2,418.40 |
— |
| Open treatment of talotarsal joint dislocation, includes internal fixation, when performed Facility (28585) |
— |
$280.20 |
— |
Open Treatment of Ulnar Shaft Fracture (25545) range across 2 matching MRF lines |
— |
$610.80–$1,117.60 |
— |
| Open treatment of ulnar styloid fracture (25652) |
— |
$1,054.70 |
— |
| Open treatment posterior malleolus fracture (27769) |
— |
$1,694.40 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$1,054.70 |
— |
Open Treatment Proximal Humeral Fracture (23615) range across 2 matching MRF lines |
— |
$558.30–$1,674.80 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$1,241.20 |
— |
| Open Treatment Tarsal Bone Dislocation (28555) |
— |
$806.50 |
— |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
— |
$217.30 |
— |
Open tx carpal scaphoid navicular fracture (25628) range across 2 matching MRF lines |
— |
$584–$1,750 |
— |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) range across 3 matching MRF lines |
— |
$621.10–$1,241.20 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$527.40 |
— |
| Open Tx Distal Radioulnar Dislc Acute/Chronic (25676) |
— |
$806.50 |
— |
Open Tx Distal Tibiofibular Joint Disruption (27829) range across 2 matching MRF lines |
— |
$393.50–$1,178.30 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$1,923 |
— |
Open tx femoral supracondylar fracture w/o xtn (27511) range across 2 matching MRF lines |
— |
$1,054.70–$2,110.50 |
— |
| Open Tx Humeral Epicondylar Fracture (24575) |
— |
$1,178.30 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$1,674.80 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$1,364.80 |
— |
| Open tx interphalangeal joint dislocation (26785) |
— |
$651 |
— |
Open Tx Metacarpal Fracture Single Ea Bone (26615) range across 2 matching MRF lines |
— |
$558.30–$931.10 |
— |
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
— |
$552.10–$1,799.40 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$1,117.60 |
— |
| Open Tx Radiocarpal/Intercarpal Dislc 1/> Bones (25670) |
— |
$1,117.60 |
— |
Open Tx Tibial Fracture Proximal Unicondylar (27535) range across 2 matching MRF lines |
— |
$869.30–$1,737.60 |
— |
Open tx trimalleolar ankle fx w/o fixj pst lip (27822) range across 2 matching MRF lines |
— |
$393.50–$1,893.10 |
— |
Open tx ulnar fx proximal end (24685) range across 2 matching MRF lines |
— |
$682.90–$1,364.80 |
— |
| Open/Perq Place Stent 1St (37236) |
— |
$1,985.80 |
— |
| Opponensplasty Supfcis Tdn Tr Typ Ea Tdn (26490) |
— |
$1,241.20 |
— |
Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) range across 2 matching MRF lines |
— |
$558.30–$1,551.20 |
— |
Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) range across 2 matching MRF lines |
— |
$558.30–$1,551.20 |
— |
Optx fem fx prox end nck int fixj/prostc rplcmt (27236) range across 3 matching MRF lines |
— |
$1,228.80–$2,455.50 |
— |
Optx humeral shft fx w/plate/screws w/wocerclage (24515) range across 2 matching MRF lines |
— |
$883.70–$2,650.20 |
— |
| Optx Pst/Ant Actblr Wall Fx W/Int Fixj (27226) |
— |
$1,613 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$1,054.70 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$1,551.20 |
— |
| Orchiopexy Ingun/Scrot Appr (54640) |
— |
$1,331.80 |
— |
| Orchiopexy, abdominal approach, for intra-abdominal testis (eg, Fowler-Stephens) Facility (54650) |
— |
$1,990 |
— |
| Ostc compl all metar heads w/prtl prox phalangc (28114) |
— |
$1,433.80 |
— |
| Ostectomy calcaneus (28118) |
— |
$806.50 |
— |
| Ostectomy Complete Other Metatarsal Head 2/3/4 (28112) |
— |
$558.30 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$589.20 |
— |
| Ostectomy, complete excision; first metatarsal head (28111) |
— |
$806.50 |
— |
| Ostectomy, partial excision, fifth metatarsal head (bunionette) (separate procedure) (28110) |
— |
$453.20 |
— |
| Osteochondral allograft knee open (27415) |
— |
$2,171.20 |
— |
| Osteochondral knee autograft (27416) |
— |
$584 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$248.20 |
— |
| Osteotomy and transfer of greater trochanter of femur (separate procedure) Facility (27140) |
— |
$1,705.70 |
— |
| Osteotomy Clavicle W Bone Graft (23485) |
— |
$1,489.40 |
— |
| Osteotomy Metacarpal Each (26565) |
— |
$931.10 |
— |
| Osteotomy Tibia (27705) |
— |
$1,489.40 |
— |
| Osteotomy, femur, shaft or supracondylar; without fixation Facility (27448) |
— |
$1,303 |
— |
| Osteotomy, iliac, acetabular or innominate bone; Facility (27146) |
— |
$2,171.20 |
— |
| Osteotomy, intertrochanteric or subtrochanteric including internal or external fixation and/or cast Facility (27165) |
— |
$2,854.10 |
— |
Ovarian cystectomy, unilateral or bilateral (58925) range across 3 matching MRF lines |
— |
$695–$2,588.40 |
— |
| Palatopharyngoplasty (42145) |
— |
$1,861.20 |
— |
Parathyroidectomy or exploration of parathyroid(s); (60500) range across 2 matching MRF lines |
— |
$1,858.10–$3,714.20 |
— |
| Part remv talus or calcaneus (28120) |
— |
$743.70 |
— |
| Partial excision bone clavicle (23180) |
— |
$1,054.70 |
— |
| Partial Excision Bone Humerus (24140) |
— |
$1,054.70 |
— |
| Partial excision bone metacarpal (26230) |
— |
$869.30 |
— |
| Partial Excision Distal Phalanx Finger (26236) |
— |
$621.10 |
— |
| Partial excision of lip (40520) |
— |
$1,076.40 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$931.10 |
— |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27071) |
— |
$1,241.20 |
— |
| Partial excision, wing of ilium, symphysis pubis, or greater trochanter of femur, (craterization, saucerization) (eg,… (27070) |
— |
$1,551.20 |
— |
Partial hymenectomy or revision of hymenal ring (56700) range across 2 matching MRF lines |
— |
$565–$680.80 |
— |
Partial removal of thyroid (60220) range across 2 matching MRF lines |
— |
$537.70–$1,613 |
— |
| Partial removal of toe (28160) |
— |
$496.50 |
— |
Partial thyroid lobectomy, unilateral; with or without isthmusectomy (60210) range across 2 matching MRF lines |
— |
$1,705.70–$1,968.30 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$558.30 |
— |
| Patellectomy or hemipatellectomy (27350) |
— |
$1,364.80 |
— |
Pelvic examination under anesthesia (other than local) (57410) range across 2 matching MRF lines |
— |
$494–$595.30 |
— |
| Percutaneous skeletal fixation of metatarsophalangeal joint dislocation, with manipulation Facility (28636) |
— |
$627.30 |
— |
| Percutaneous skeletal fixation of talus fracture, with manipulation Facility (28436) |
— |
$806.50 |
— |
| Percutaneous skeletal fixation of tarsal bone dislocation, other than talotarsal, with manipulation Facility (28546) |
— |
$527.40 |
— |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
— |
$806.50 |
— |
| Pericardiocentesis W/Imaging (33016) |
— |
$696.30 |
— |
Perineoplasty rpr perineum nonobstetrical spx (56810) range across 2 matching MRF lines |
— |
$808–$974.40 |
— |
Peritoneal Lavage (49084) range across 2 matching MRF lines |
— |
$227–$340.90 |
— |
Perq Cervicothoracic Inject (22510) range across 2 matching MRF lines |
— |
$1,060.90–$7,282.10 |
— |
Perq dev breast 1st us imag (19285) range across 5 matching MRF lines |
— |
$340.90–$915.70 |
— |
Perq device breast 1st imag (19281) range across 5 matching MRF lines |
— |
$248.20–$1,406 |
— |
Perq Lumbosacral Injection (22511) range across 2 matching MRF lines |
— |
$6,152.20–$7,992.80 |
— |
| Perq nl/pl lithotrp simple up to 2 cm 1 location (50080) |
— |
$2,420.50 |
— |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
— |
$1,117.60 |
— |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
— |
$5,583.60–$10,986 |
— |
Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
— |
$1,364.80–$10,986 |
— |
| Phalangectomy toe each toe (28150) |
— |
$496.50 |
— |
| Pin knuckle dislocation (26706) |
— |
$589.20 |
— |
Placement of needle for intraosseous infusion (36680) range across 4 matching MRF lines |
— |
$147.30–$770.40 |
— |
| Placement of seton (46020) |
— |
$682.90 |
— |
| Plastic Repair Introitus (56800) |
— |
$765 |
— |
| Plmt expandable cath brst following prtl mast (19296) |
— |
$912.60 |
— |
Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) range across 3 matching MRF lines |
— |
$190.60–$1,369.90 |
— |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
— |
$297.70 |
— |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
— |
$340.90 |
— |
Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) range across 3 matching MRF lines |
— |
$157.60–$433.60 |
— |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
— |
$2,644 |
— |
Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) range across 2 matching MRF lines |
— |
$621.10–$1,378.10 |
— |
Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) range across 2 matching MRF lines |
— |
$621.10–$1,231.90 |
— |
Prq skel fixj femoral fx prox end neck (27235) range across 2 matching MRF lines |
— |
$1,228.80–$2,450.40 |
— |
| Prq skel fixj metar fx w/manj (28476) |
— |
$1,033.10 |
— |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
— |
$1,303 |
— |
| Prq Skel Fixj Tars Jt Dislc W/Manj (28606) |
— |
$1,241.20 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$806.50 |
— |
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) range across 2 matching MRF lines |
— |
$775.60–$1,305 |
— |
Punch biopsy skin single lesion (11104) range across 7 matching MRF lines |
$265 |
$217.30–$1,271 |
0.7× |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 7 matching MRF lines |
— |
$148.30–$1,271 |
— |
Puncture Aspiration Cyst Breast (19000) range across 4 matching MRF lines |
— |
$99.90–$433.60 |
— |
Puncture shunt tube/reservoir aspiration/inj px (61070) range across 2 matching MRF lines |
— |
$386.30–$634.50 |
— |
Pvb Thoracic Single Injection Site W/Img Gid (64461) range across 2 matching MRF lines |
— |
$228.70–$639.60 |
— |
Quadricepsplasty (eg, Bennett or Thompson type) Facility (27430) range across 2 matching MRF lines |
— |
$931.10–$1,295.70 |
— |
| Rad exc bursa synva wrst/f/arm tdn shths xtnsrs (25116) |
— |
$1,209.20 |
— |
| Radical resection of tumor; ischial tuberosity and greater trochanter of femur Facility (27078) |
— |
$1,861.20 |
— |
Radical resection of tumor; scapula Facility (23210) range across 3 matching MRF lines |
— |
$496.50–$1,303 |
— |
| Radical resection of tumor; tibia Facility (27645) |
— |
$1,861.20 |
— |
| Radical Resection Tumor Metatarsal (28173) |
— |
$5,210.80 |
— |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
— |
$621.10 |
— |
| Rcnstj Coltrl Ligm Mtcarphlngl 1 W/Tdn/Fscal Grf (26541) |
— |
$1,364.80 |
— |
| Rcnstj Dislocating Patella (27420) |
— |
$402.70 |
— |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
— |
$1,263.80 |
— |
| Realignment extensor tendon hand each tendon (26437) |
— |
$1,178.30 |
— |
| Realignment of knee (27457) |
— |
$2,513.20 |
— |
| Realignment of knee (27455) |
— |
$1,861.20 |
— |
| Reconstruct elbow joint (24360) |
— |
$1,737.60 |
— |
| Reconstruct extra finger (26587) |
— |
$2,866.50 |
— |
| Reconstruct Finger Joint (26548) |
— |
$1,241.20 |
— |
| Reconstruct wrist joint (25445) |
— |
$311.10 |
— |
| Reconstruction Nail Bed W/Graft (11762) |
— |
$372.90 |
— |
| Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg, Campbell,… (27422) |
— |
$1,489.40 |
— |
| Reconstruction Tongue Fold (41520) |
— |
$930.10 |
— |
| Reinforce hip bones (27187) |
— |
$1,861.20 |
— |
| Reinforce tibia (27745) |
— |
$1,178.30 |
— |
| Reinforce ulna (25491) |
— |
$1,861.20 |
— |
| Release of shoulder ligament (23415) |
— |
$1,054.70 |
— |
| Relieve Pressure on Nerve(S) (64722) |
— |
$991.90 |
— |
| Rem Endovas Vena Cava Filter (37193) |
— |
$1,073.30 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$621.10 |
— |
| Removal Foreign Body Foot Complicated (28193) |
— |
$651 |
— |
| Removal foreign body foot deep (28192) |
— |
$621.10 |
— |
Removal Foreign Body Foot Subcutaneous (28190) range across 3 matching MRF lines |
— |
$267.80–$402.70 |
— |
Removal Foreign Body Muscle/Tendon Sheath Simple (20520) range across 2 matching MRF lines |
— |
$291.50–$342 |
— |
Removal foreign body upper arm/elbow deep (24201) range across 4 matching MRF lines |
— |
$150.40–$1,030 |
— |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 5 matching MRF lines |
$25 |
$51.50–$143.20 |
0.4× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 10 matching MRF lines |
$75 |
$40.20–$237.90 |
1.3× |
Removal impacted vag fb spx w/anes oth/thn local (57415) range across 2 matching MRF lines |
— |
$292–$352.30 |
— |
Removal Implant Deep (20680) range across 4 matching MRF lines |
— |
$351.20–$2,792.30 |
— |
Removal Implant Superficial Separate Procedure (20670) range across 3 matching MRF lines |
— |
$199.80–$496.50 |
— |
Removal implantable contraceptive capsules (11976) range across 5 matching MRF lines |
— |
$113.30–$644.80 |
— |
| Removal of adenoids (42831) |
— |
$932.20 |
— |
| Removal of adenoids (42830) |
— |
$862.10 |
— |
| Removal of anal fissure (46200) |
— |
$894 |
— |
| Removal of ankle implant (27704) |
— |
$1,570.80 |
— |
| Removal of bladder cyst (51500) |
— |
$1,241.20 |
— |
| Removal of bone lesion (23140) |
— |
$931.10 |
— |
| Removal of cervix (57530) |
— |
$1,009 |
— |
| Removal of heel spur (28119) |
— |
$651 |
— |
| Removal of hip prosthesis; (separate procedure) Facility (27090) |
— |
$1,303 |
— |
| Removal of humerus lesion (23150) |
— |
$991.90 |
— |
| Removal of implant from finger or hand (26320) |
— |
$1,014.60 |
— |
| Removal of kidney stone (50081) |
— |
$3,566.90 |
— |
| Removal of knee prosthesis (27488) |
— |
$2,233 |
— |
Removal of nail bed (11750) range across 7 matching MRF lines |
— |
$219.40–$1,271 |
— |
| Removal of prosthesis, includes debridement and synovectomy when performed; humeral and glenoid components (eg, total… (23335) |
— |
$3,908.90 |
— |
| Removal of sperm cord lesion (55520) |
— |
$1,012.50 |
— |
| Removal of testis (54520) |
— |
$931.10 |
— |
| Removal of tonsils (42826) |
$3,200 |
$1,054.70 |
1.0× |
Removal of tunneled intraperitoneal catheter (49422) range across 2 matching MRF lines |
— |
$1,058.80–$1,246.30 |
— |
| Removal of vein clot (34490) |
— |
$1,905.50 |
— |
| Removal or bivalving full arm or full leg cast (29705) |
— |
$97.90 |
— |
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 6 matching MRF lines |
— |
$99.90–$280.20 |
— |
Removal subcutaneous cardiac rhythm monitor (33286) range across 2 matching MRF lines |
— |
$210.10–$1,377.10 |
— |
Removal Sutures/Staples Requiring Anesthesia (15851) range across 2 matching MRF lines |
— |
$94.80–$159.70 |
— |
Removal sweat gland lesion (11450) range across 3 matching MRF lines |
— |
$484.10–$627.30 |
— |
Removal/bivalving gauntlet boot/body cast (29700) range across 2 matching MRF lines |
— |
$93.70–$166.90 |
— |
| Remove & graft wrist lesion (25136) |
— |
$1,023.80 |
— |
| Remove & graft wrist lesion (25135) |
— |
$931.10 |
— |
| Remove Ankle Joint Lining (27626) |
— |
$1,364.80 |
— |
Remove drug implant device (11982) range across 2 matching MRF lines |
$250 |
$248.20–$433.60 |
0.6× |
| Remove Elbow Joint Lining (24102) |
— |
$991.90 |
— |
| Remove Forearm Foreign Body (25248) |
— |
$651 |
— |
Remove foreign body from eye (65205) range across 2 matching MRF lines |
— |
$67–$292 |
— |
| Remove groin lymph nodes (38760) |
— |
$2,555.40 |
— |
Remove hip pressure sore (15941) range across 2 matching MRF lines |
— |
$1,810.70–$1,985.80 |
— |
Remove hip pressure sore (15940) range across 3 matching MRF lines |
— |
$1,171.10–$2,928.30 |
— |
| Remove humerus lesion (24110) |
— |
$869.30 |
— |
Remove Intrauterine Device (58301) range across 5 matching MRF lines |
$285 |
$130.80–$713.80 |
0.9× |
Remove knee joint lining (27334) range across 3 matching MRF lines |
— |
$806.50–$1,613 |
— |
| Remove Lower Leg Bone Lesion (27635) |
— |
$1,178.30 |
— |
Remove lung catheter (32552) range across 3 matching MRF lines |
— |
$209.10–$936.30 |
— |
Remove Nasal Foreign Body (30300) range across 4 matching MRF lines |
— |
$185.40–$372.90 |
— |
Remove Peritoneal Foreign Body (49402) range across 2 matching MRF lines |
— |
$2,096.10–$2,284 |
— |
| Remove prostate regrowth (52630) |
— |
$1,115.50 |
— |
| Remove Shoulder Foreign Body (23330) |
— |
$248.20 |
— |
| Remove shoulder joint lining (23105) |
— |
$1,054.70 |
— |
| Remove Skin Nerve Lesion (64774) |
— |
$961 |
— |
| Remove Tendon Sheath Lesion (26160) |
— |
$651 |
— |
| Remove/graft foot lesion (28102) |
— |
$991.90 |
— |
| Remove/graft forearm lesion (25125) |
— |
$1,241.20 |
— |
| Remove/graft leg bone lesion (27637) |
— |
$1,520.30 |
— |
Remove/Insert Drug Implant (11983) range across 3 matching MRF lines |
— |
$277.10–$693.20 |
— |
Reopen fallopian tube (58350) range across 2 matching MRF lines |
— |
$338–$407.90 |
— |
Repair Achilles Tendon (27650) range across 3 matching MRF lines |
— |
$713.80–$1,426.60 |
— |
| Repair Anorectal Fistula Plug (46707) |
— |
$943.50 |
— |
Repair Blood Vessel Direct Upper Extremity (35206) range across 3 matching MRF lines |
— |
$832.20–$1,054.70 |
— |
Repair Collat Ankle Ligmnt,Secondary (27698) range across 2 matching MRF lines |
— |
$1,364.80–$4,156.10 |
— |
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) range across 3 matching MRF lines |
— |
$249.30–$623.20 |
— |
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 5 matching MRF lines |
— |
$418.20–$1,421.40 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) range across 3 matching MRF lines |
— |
$218.40–$402.70 |
— |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 5 matching MRF lines |
— |
$356.40–$1,421.40 |
— |
Repair complex scalp/arm/leg 1.1-2.5 cm (13120) range across 6 matching MRF lines |
— |
$197.80–$1,137.10 |
— |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 3 matching MRF lines |
— |
$400.70–$664.40 |
— |
Repair complex trunk 1.1-2.5 cm (13100) range across 3 matching MRF lines |
— |
$241–$361.50 |
— |
Repair complex trunk 2.6-7.5 cm (13101) range across 4 matching MRF lines |
— |
$372.90–$1,421.40 |
— |
| Repair Elbow Perc (24357) |
— |
$1,154.60 |
— |
| Repair Extensor Tendon Finger W/Graft Each (26420) |
— |
$961 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$931.10 |
— |
| Repair Finger Tendon (26433) |
— |
$743.70 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$991.90 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$899.20 |
— |
| Repair Foot Dislocation (28615) |
— |
$1,241.20 |
— |
| Repair Hand Joint (26540) |
— |
$1,054.70 |
— |
| Repair Hand Tendon (26410) |
— |
$838.40 |
— |
| Repair humerus with graft (24435) |
— |
$2,171.20 |
— |
Repair incomplete circumcision (54163) range across 2 matching MRF lines |
— |
$621–$747.80 |
— |
| Repair inguinal hernia, sliding, any age (49525) |
— |
$1,209.20 |
— |
| Repair initial femoral hernia, any age; incarcerated or strangulated (49553) |
— |
$1,391.50 |
— |
| Repair initial femoral hernia, any age; reducible (49550) |
— |
$1,265.90 |
— |
| Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507) |
— |
$1,409 |
— |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 3 matching MRF lines |
— |
$248.20–$402.70 |
— |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 4 matching MRF lines |
— |
$275–$651 |
— |
Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) range across 3 matching MRF lines |
— |
$201.90–$503.70 |
— |
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
— |
$365.70–$545.90 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$433.60 |
— |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 5 matching MRF lines |
— |
$185.40–$912.60 |
— |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 5 matching MRF lines |
— |
$274–$886 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$311.10 |
— |
Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
— |
$479–$533.50 |
— |
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 5 matching MRF lines |
— |
$180.30–$961 |
— |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 4 matching MRF lines |
— |
$303.90–$463.50 |
— |
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
— |
$664–$1,437 |
— |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 4 matching MRF lines |
— |
$372.90–$912.60 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$4,173 |
— |
| Repair Leg Fascia Defect (27656) |
— |
$991.90 |
— |
| Repair lower leg tendons (27676) |
— |
$1,117.60 |
— |
| Repair Non/Malunion Humerus W/O Graft (24430) |
— |
$1,178.30 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$1,613 |
— |
Repair of enterocele, vaginal approach (separate procedure) (57268) range across 2 matching MRF lines |
— |
$1,368–$1,648 |
— |
Repair of fibula nonunion and/or malunion with internal fixation (27726) range across 2 matching MRF lines |
— |
$311.10–$545.90 |
— |
| Repair of hydrocele (55060) |
— |
$1,058.80 |
— |
| Repair of knee ligaments (27409) |
— |
$2,233 |
— |
| Repair of metatarsals (28322) |
— |
$844.60 |
— |
Repair of nail bed (11760) range across 6 matching MRF lines |
— |
$262.70–$1,137.10 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$1,799.40 |
— |
| Repair of nonunion or malunion, radius OR ulna; with autograft (includes obtaining graft) Facility (25405) |
— |
$1,420.40 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$1,768.50 |
— |
Repair of rectocele (45560) range across 5 matching MRF lines |
— |
$464–$2,417.40 |
— |
| Repair of Ruptured Tendon (24342) |
— |
$869.30 |
— |
Repair of shoulder (23420) range across 2 matching MRF lines |
— |
$1,054.70–$2,110.50 |
— |
| Repair paravag defect lap (57423) |
— |
$2,885 |
— |
| Repair radius & ulna (25415) |
— |
$1,551.20 |
— |
Repair recurrent inguinal hernia, any age; incarcerated or strangulated (49521) range across 2 matching MRF lines |
— |
$869.30–$1,737.60 |
— |
| Repair Rotator Cuff Chronic (23412) |
— |
$1,799.40 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$1,551.20 |
— |
| Repair shoulder capsule (23462) |
— |
$2,326.80 |
— |
| Repair shoulder capsule (23466) |
— |
$1,737.60 |
— |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$496.50 |
— |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) range across 4 matching MRF lines |
— |
$675.70–$1,737.60 |
— |
| Repair Toe Dislocation (28645) |
— |
$558.30 |
— |
Repair tongue laceration (41250) range across 2 matching MRF lines |
— |
$350.20–$365.70 |
— |
| Repair, nonunion or malunion, femur, distal to head and neck; with iliac or other autogenous bone graft (includes… (27472) |
— |
$2,481.30 |
— |
| Repair, nonunion or malunion, femur, distal to head and neck; without graft (eg, compression technique) Facility (27470) |
— |
$2,358.70 |
— |
Repair, primary, disrupted ligament, ankle; collateral (27695) range across 2 matching MRF lines |
— |
$433.60–$607.70 |
— |
Repair, primary, torn ligament and/or capsule, knee; collateral (27405) range across 2 matching MRF lines |
— |
$1,643.90–$1,674.80 |
— |
| Repair/graft achilles tendon (27652) |
— |
$1,489.40 |
— |
| Repair/graft femur head/neck (27170) |
— |
$2,450.40 |
— |
| Repair/Revise Wrist Joint (25320) |
— |
$1,551.20 |
— |
| Replace duodenostomy/jejunostomy tube perq (49451) |
— |
$2,171.20 |
— |
| Replace elbow joint (24363) |
— |
$2,606.90 |
— |
| Replace g/c tube perc (49450) |
— |
$1,265.90 |
— |
| Reposition Venous Catheter (36597) |
— |
$239 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$1,496.60 |
— |
Repr torn cruciate knee ligam (27407) range across 2 matching MRF lines |
— |
$931.10–$1,861.20 |
— |
Rerepair ing hernia reduce (49520) range across 2 matching MRF lines |
— |
$613.90–$1,401.80 |
— |
Resection, condyle(s), distal end of phalanx, each toe Facility (28153) range across 3 matching MRF lines |
— |
$496.50–$1,520.30 |
— |
| Resection, partial or complete, phalangeal base, each toe (28126) |
— |
$496.50 |
— |
| Resection/transplantation long tendon biceps (23440) |
— |
$1,117.60 |
— |
Revis reconst shoulder joint (23473) range across 2 matching MRF lines |
— |
$1,493–$3,731 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$991.90 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$931.10 |
— |
Revision including removal of prosthetic vaginal graft vaginal approach (57295) range across 2 matching MRF lines |
— |
$1,504–$1,811.80 |
— |
| Revision of colostomy; with repair of paracolostomy hernia (separate procedure) Facility (44346) |
— |
$2,606.90 |
— |
| Revision of foot (28116) |
— |
$869.30 |
— |
| Revision of foot bones (28737) |
— |
$1,303 |
— |
| Revision of humerus (24400) |
— |
$1,241.20 |
— |
| Revision of knee joint (27442) |
— |
$1,023.80 |
— |
| Revision of lower leg tendon (27685) |
— |
$1,178.30 |
— |
Revision of total hip arthroplasty; acetabular component only, with or without autograft or allograft Facility (27137) range across 3 matching MRF lines |
— |
$775.60–$4,510.40 |
— |
Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) range across 3 matching MRF lines |
— |
$1,551.20–$3,102.40 |
— |
| Revision of urethra (57220) |
— |
$914 |
— |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
— |
$1,248.40 |
— |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
— |
$1,923 |
— |
Revj tot hip arthrp bth w/wo agrft/algrft (27134) range across 2 matching MRF lines |
— |
$2,481.30–$4,962.50 |
— |
Revj Tot Knee Arthrp Fem&Entire Tibial Compone (27487) range across 2 matching MRF lines |
— |
$2,363.90–$4,962.50 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$3,256.90 |
— |
Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) range across 2 matching MRF lines |
— |
$991.90–$992.90 |
— |
| Rhinp Prim Complete Xtrnl Parts (30410) |
— |
$3,356.80 |
— |
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
— |
$263–$2,074 |
— |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
— |
$3,861.50 |
— |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
— |
$81.40–$923.90 |
— |
Rmvl fb xtrnl eye corneal w/slit lamp (65222) range across 2 matching MRF lines |
— |
$96.80–$284.30 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$801.30 |
— |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
— |
$1,042.40 |
— |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
— |
$372.90 |
— |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
— |
$621.10 |
— |
Rmvl Previously Implted Ithcl/Edrl Cath (62355) range across 4 matching MRF lines |
— |
$621.10–$1,266.90 |
— |
Rmvl spinal nstim eltrd prq array incl fluor (63661) range across 4 matching MRF lines |
— |
$880.70–$5,312.70 |
— |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
— |
$780.70 |
— |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 3 matching MRF lines |
— |
$426.40–$931.10 |
— |
Rmvl Tun Cvc W/O Subq Port/Pmp (36589) range across 7 matching MRF lines |
— |
$235.90–$1,416.30 |
— |
Rmvl/revj sling stress incontinence (57287) range across 2 matching MRF lines |
— |
$2,138–$2,576 |
— |
Rplc Gtube No Revj Trc (43762) range across 7 matching MRF lines |
— |
$91.70–$647.90 |
— |
| Rplcmt cath ctr vad subq port/pmp (36578) |
— |
$875.50 |
— |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
— |
$1,733.50 |
— |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
— |
$3,560.70 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$784.90 |
— |
Rplcmt compl tun cvc w/o subq port/pmp (36581) range across 2 matching MRF lines |
— |
$443.90–$788 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$1,843.70 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$844.60 |
— |
Rpr Aa Hernia 1st > 10 Cm Reducible (49595) range across 2 matching MRF lines |
— |
$635–$1,905.50 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$1,579 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$1,412.10 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$1,039.30 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$1,416.30 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$1,174.20 |
— |
| Rpr blood vessel direct lower extremity (35226) |
— |
$1,060.90 |
— |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
— |
$884.80 |
— |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
— |
$869.30 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$420.20 |
— |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
— |
$235.90–$353.30 |
— |
| Rpr ing hernia init reduce (49500) |
— |
$943.50 |
— |
Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) range across 2 matching MRF lines |
— |
$1,054.70–$2,110.50 |
— |
Rpr Prim Disrupted Ligm Ankle Bth Coltrl Ligms (27696) range across 2 matching MRF lines |
— |
$217.30–$1,697.40 |
— |
| Rpr Tdn Flxr Foot 1/2 W/O Free Grafg Each Tendon (28200) |
— |
$743.70 |
— |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
— |
$1,023.80 |
— |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
— |
$1,466.70 |
— |
| Rpr Tendon Flxr Foot Sec W/Free Graft Ea Tendon (28202) |
— |
$991.90 |
— |
| Rpr Tendon Xtnsr Foot Sec W/Free Graft Ea Tendon (28210) |
— |
$651 |
— |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
— |
$1,376.10 |
— |
| Rpr/Advmnt Flxr Tdn N/Z/2 W/Fr Graft Ea Tendon (26352) |
— |
$1,364.80 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$1,241.20 |
— |
| Rpr/Advmnt Tdn W/Ntc Supfcis Tdn W/O Free Grf Ea (26373) |
— |
$1,364.80 |
— |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
— |
$2,535.90 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$558.30 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$378 |
— |
Shave skin lesion 0.5 cm/< (11300) range across 3 matching MRF lines |
— |
$42.20–$107.10 |
— |
Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) range across 3 matching MRF lines |
— |
$185.40–$433.60 |
— |
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) range across 6 matching MRF lines |
— |
$74.20–$198.80 |
— |
Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) range across 6 matching MRF lines |
— |
$25.80–$239 |
— |
Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) range across 4 matching MRF lines |
— |
$80.30–$260.60 |
— |
Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) range across 2 matching MRF lines |
— |
$210.10–$420.20 |
— |
| Shoulder arthroscopy (29820) |
— |
$2,110.50 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$1,737.60 |
— |
Shoulder Arthroscopy/Surgery (29825) range across 3 matching MRF lines |
— |
$474.80–$1,425.50 |
— |
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) range across 3 matching MRF lines |
— |
$124.60–$291.50 |
— |
Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) range across 3 matching MRF lines |
— |
$228.70–$465.60 |
— |
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) range across 4 matching MRF lines |
— |
$64.90–$328.60 |
— |
Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) range across 2 matching MRF lines |
— |
$85.50–$112.30 |
— |
Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) range across 3 matching MRF lines |
— |
$76.20–$189.50 |
— |
| Sigmoidoscopy & decompress (45337) |
— |
$447 |
— |
| Sigmoidoscopy & Polypectomy (45333) |
— |
$388.30 |
— |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
— |
$1,303 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$931.10 |
— |
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
— |
$218.40–$464.50 |
— |
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
— |
$319.30–$730.30 |
— |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 5 matching MRF lines |
$90 |
$68–$441.90 |
0.4× |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 5 matching MRF lines |
— |
$71.10–$353.30 |
— |
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 4 matching MRF lines |
— |
$186.40–$353.30 |
— |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 6 matching MRF lines |
— |
$102–$539.70 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$248.20 |
— |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 5 matching MRF lines |
— |
$176.10–$441.90 |
— |
| Skin Full Grft Face/Genit/Hf (15240) |
— |
$1,117.60 |
— |
Skin Pinch Graft (15050) range across 3 matching MRF lines |
— |
$558.30–$1,861.20 |
— |
Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
— |
$409.90–$3,040.60 |
— |
Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
— |
$334.80–$3,039.50 |
— |
| Skin sub grft t/arm/lg child (15273) |
— |
$10,079.60 |
— |
Skin Tissue Procedure (17999) range across 2 matching MRF lines |
— |
$570.60–$931.10 |
— |
Skn sub grft f/n/hf/g child (15277) range across 2 matching MRF lines |
— |
$635.50–$3,040.60 |
— |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
— |
$1,283.40 |
— |
Sling operation for stress incontinence (eg, fascia or synthetic) (57288) range across 6 matching MRF lines |
— |
$618–$2,854.10 |
— |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 7 matching MRF lines |
$175 |
$146.30–$621.10 |
0.9× |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 5 matching MRF lines |
— |
$235.90–$730.30 |
— |
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) range across 2 matching MRF lines |
— |
$300.80–$730.30 |
— |
Sphincterotomy anal division sphincter spx (46080) range across 2 matching MRF lines |
— |
$320.30–$554.10 |
— |
Spinal puncture lumbar diagnostic (62270) range across 8 matching MRF lines |
— |
$98.90–$1,575.90 |
— |
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
— |
$1,454.40–$1,861.20 |
— |
Strapping Unna Boot (29580) range across 5 matching MRF lines |
— |
$41.20–$542.80 |
— |
Subcutaneous Hormone Pellet Implantation (11980) range across 2 matching MRF lines |
— |
$309–$362 |
— |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
— |
$1,756.20 |
— |
| Surg tx anal fistula subq (46270) |
— |
$1,035.20 |
— |
Suture infrapatellar tendon primary (27380) range across 2 matching MRF lines |
— |
$496.50–$991.90 |
— |
| Suture of infrapatellar tendon; secondary reconstruction, including fascial or tendon graft Facility (27381) |
— |
$1,613 |
— |
| Suture of quadriceps or hamstring muscle rupture primary (27385) |
— |
$1,295.70 |
— |
Tangential biopsy skin single lesion (11102) range across 4 matching MRF lines |
— |
$110.20–$128.80 |
— |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; with tendon graft(s) (includes… (25312) |
— |
$422.30 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$621.10 |
— |
| Tenodesis proximal interphalangeal joint each (26471) |
— |
$1,178.30 |
— |
| Tenolysis extensor foot single tendon (28225) |
— |
$496.50 |
— |
| Tenolysis Flexor Foot Multiple Tendons (28222) |
— |
$775.60 |
— |
| Tenolysis flexor foot single tendon (28220) |
— |
$651 |
— |
| Tenolysis flexor tendon palm&finger each tendo (26442) |
— |
$1,178.30 |
— |
| Tenolysis flexor tendon palm/finger each tendon (26440) |
— |
$961 |
— |
| Tenolysis flxr/xtnsr tendon leg&/ankle 1 each (27680) |
— |
$869.30 |
— |
| Tenolysis, extensor tendon, hand or finger, each tendon (26445) |
— |
$931.10 |
— |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
— |
$651 |
— |
| Tenolysis, flexor or extensor tendon, forearm and/or wrist, single, each tendon (25295) |
— |
$931.10 |
— |
| Tenotomy extensor hand/finger open each tendon (26460) |
— |
$743.70 |
— |
| Tenotomy Flexor Palm Open Each Tendon (26450) |
— |
$743.70 |
— |
| Tenotomy Hip Abd/Ext Open (27006) |
— |
$1,737.60 |
— |
| Tenotomy Percutaneous Single Each Digit (26060) |
— |
$372.90 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$433.60 |
— |
| Tenotomy Prq Achilles Tendon Spx General Anes (27606) |
— |
$621.10 |
— |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
— |
$433.60 |
— |
| Tenotomy shoulder area single tendon (23405) |
— |
$1,241.20 |
— |
| Tenotomy, open, elbow to shoulder, each tendon Facility (24310) |
— |
$1,401.80 |
— |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
— |
$589.20 |
— |
| Thrmbc/Nfs Dialysis Circuit (36906) |
— |
$1,613 |
— |
| Thrombolytic Art Therapy (37211) |
— |
$1,737.60 |
— |
| Thrombolytic Therapy Stroke (37195) |
— |
$1,027.90 |
— |
Thyroidectomy, total or complete (60240) range across 3 matching MRF lines |
— |
$1,098–$3,545.30 |
— |
Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) range across 2 matching MRF lines |
— |
$1,229.80–$3,688.40 |
— |
| Tibial Arthroscopy/Surgery (29855) |
— |
$2,110.50 |
— |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
— |
$1,563.50 |
— |
Tlh uterus over 250 g (58572) range across 4 matching MRF lines |
— |
$453–$2,149.60 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$1,425.50 |
— |
Tnot elbow lateral/medial debride open tdn rpr (24359) range across 2 matching MRF lines |
— |
$538.70–$1,615 |
— |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
— |
$1,270 |
— |
Total Knee Arthroplasty (27447) range across 4 matching MRF lines |
— |
$1,069.10–$4,281.70 |
— |
Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) range across 2 matching MRF lines |
— |
$1,790.10–$3,578.20 |
— |
Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) range across 2 matching MRF lines |
— |
$878–$1,057.80 |
— |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
— |
$381.10 |
— |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
— |
$720 |
— |
| Tracheostomy planned (31600) |
— |
$779.70 |
— |
| Transection/Avulsion Oth Spinal Nrv Xdrl (64772) |
— |
$1,362.70 |
— |
| Transfer, tendon or muscle, hamstrings to femur (eg, Egger's type procedure) Facility (27400) |
— |
$2,056.90 |
— |
Transfer/transplant tendon palmar w/o graft each (26485) range across 2 matching MRF lines |
— |
$433.60–$869.30 |
— |
| Transplant/graft hand tendon (26483) |
— |
$1,489.40 |
— |
| Transur electr resection of prostate (52601) |
— |
$2,047.60 |
— |
| Treat ankle dislocation (27848) |
— |
$1,551.20 |
— |
| Treat Ankle Dislocation (27846) |
— |
$1,457.50 |
— |
Treat ankle fracture (28445) range across 2 matching MRF lines |
— |
$496.50–$1,489.40 |
— |
Treat Big Toe Fracture (28505) range across 3 matching MRF lines |
— |
$152.40–$743.70 |
— |
Treat ectopic pregnancy (59151) range across 2 matching MRF lines |
— |
$2,361–$2,843.80 |
— |
| Treat elbow fracture (24586) |
— |
$1,238.10 |
— |
| Treat Finger Fracture Each (26727) |
— |
$743.70 |
— |
Treat fracture radius/ulna (25575) range across 2 matching MRF lines |
— |
$1,154.60–$2,885 |
— |
Treat Fx Rad Extra-Articul (25607) range across 3 matching MRF lines |
— |
$510.90–$1,023.80 |
— |
| Treat Hip Socket Fracture (27222) |
— |
$1,426.60 |
— |
Treat humerus fracture (24500) range across 2 matching MRF lines |
— |
$617–$1,054.70 |
— |
| Treat Humerus Fracture (24505) |
— |
$682.90 |
— |
| Treat humerus fracture (23616) |
— |
$3,598.80 |
— |
Treat humerus fracture (23600) range across 3 matching MRF lines |
— |
$577.80–$863.10 |
— |
| Treat knee fracture (27532) |
— |
$743.70 |
— |
Treat Knee Fracture(S) (27538) range across 3 matching MRF lines |
— |
$863.10–$1,020.70 |
— |
| Treat kneecap dislocation (27566) |
— |
$1,457.50 |
— |
Treat Kneecap Fracture (27524) range across 4 matching MRF lines |
— |
$700–$1,750 |
— |
Treat Knuckle Dislocation (26700) range across 5 matching MRF lines |
— |
$404.80–$868.30 |
— |
| Treat lower leg dislocation (27832) |
— |
$991.90 |
— |
Treat metacarpal fracture (26607) range across 3 matching MRF lines |
— |
$884.80–$1,042.40 |
— |
Treat Metatarsal Fracture (28475) range across 3 matching MRF lines |
— |
$215–$537 |
— |
| Treat midfoot fracture (28456) |
— |
$621.10 |
— |
| Treat scapula fracture (23585) |
— |
$1,295.70 |
— |
Treat Tail Bone Fracture (27200) range across 3 matching MRF lines |
— |
$355.40–$417.20 |
— |
Treat Thumb Dislocation (26641) range across 3 matching MRF lines |
— |
$642.70–$1,148.50 |
— |
Treat Thumb Fracture (26645) range across 3 matching MRF lines |
— |
$754–$885.80 |
— |
| Treat thumb fracture (26665) |
— |
$1,489.40 |
— |
| Treat toe dislocation (28630) |
— |
$185.40 |
— |
Treat Vaginal Bleeding (57180) range across 2 matching MRF lines |
— |
$567–$682.90 |
— |
| Treat/graft heel fracture (28420) |
— |
$1,861.20 |
— |
Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
— |
$558.30–$3,509.20 |
— |
| Treatment closed elbow dislocation w/o anes (24600) |
— |
$496.50 |
— |
| Treatment of anal fissure (46940) |
— |
$496.50 |
— |
| Treatment of ankle fracture (27823) |
— |
$1,799.40 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$2,450.40 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$2,171.20 |
— |
| Treatment of tibia fracture (27756) |
— |
$1,426.60 |
— |
Trim skin lesion (11055) range across 7 matching MRF lines |
— |
$47.40–$595.30 |
— |
Trim skin lesions 2 to 4 (11056) range across 4 matching MRF lines |
— |
$92.70–$665.40 |
— |
Trim skin lesions over 4 (11057) range across 4 matching MRF lines |
— |
$117.40–$665.40 |
— |
Trimming Nondystrophic Nails Any Number (11719) range across 4 matching MRF lines |
— |
$21.60–$237.90 |
— |
Tubal ligation (58600) range across 2 matching MRF lines |
— |
$1,117–$1,346.20 |
— |
Tx Gastro Intub W/Asp (43753) range across 4 matching MRF lines |
— |
$52–$718 |
— |
Tx humral shaft fx w/insj imed implt w/w cerclge (24516) range across 2 matching MRF lines |
— |
$838.40–$1,674.80 |
— |
Tx Incomplete Abortion Any Trimester Surgical (59812) range across 2 matching MRF lines |
— |
$872–$1,051.60 |
— |
Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) range across 3 matching MRF lines |
— |
$909.50–$2,729.50 |
— |
Tx Missed Abortion First Trimester Surgical (59820) range across 2 matching MRF lines |
$3,500 |
$1,093–$1,316.30 |
1.1× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$1,247.30 |
— |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
— |
$788 |
— |
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 6 matching MRF lines |
— |
$242.10–$1,137.10 |
— |
Tx superficial wound dehiscence w/packing (12021) range across 3 matching MRF lines |
— |
$97.90–$248.20 |
— |
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 3 matching MRF lines |
— |
$368.70–$1,134 |
— |
Tx tibl shft fx imed implt w/wo screws&/cercla (27759) range across 2 matching MRF lines |
— |
$2,110.50–$4,218.90 |
— |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
— |
$426.40 |
— |
| Tympanoplasty (69631) |
— |
$3,350.60 |
— |
Tympanostomy general anesthesia (69436) range across 2 matching MRF lines |
$2,500 |
$449.10–$669.50 |
1.6× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
— |
$2,185.70 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$412 |
— |
Unlisted laparoscopic procedure liver (47379) range across 2 matching MRF lines |
— |
$496.50–$991.90 |
— |
| Unlisted laparoscopy procedure appendix (44979) |
— |
$1,861.20 |
— |
| Unlisted laparoscopy procedure oviduct ovary (58679) |
— |
$743.70 |
— |
Unlisted laparoscopy procedure stomach (43659) range across 3 matching MRF lines |
— |
$311.10–$2,482.30 |
— |
Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) range across 3 matching MRF lines |
— |
$465.60–$1,861.20 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$911.60 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$2,110.50 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$2,481.30 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$377 |
— |
Unlisted laparoscopy procedure, uterus (58578) range across 2 matching MRF lines |
— |
$436–$525.30 |
— |
| Unlisted procedure anus (46999) |
— |
$806.50 |
— |
| Unlisted procedure arthroscopy (29999) |
— |
$2,110.50 |
— |
| Unlisted procedure breast (19499) |
— |
$294.60 |
— |
| Unlisted procedure colon (45399) |
— |
$1,241.20 |
— |
Unlisted procedure femur or knee (27599) range across 2 matching MRF lines |
— |
$558.30–$2,110.50 |
— |
| Unlisted procedure foot or toes (28899) |
— |
$743.70 |
— |
| Unlisted procedure forearm or wrist (25999) |
— |
$621.10 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$621.10 |
— |
| Unlisted procedure humerus/elbow (24999) |
— |
$2,481.30 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$621.10 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$806.50 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$248.20 |
— |
Unlisted Procedure Muscskeletal System General (20999) range across 5 matching MRF lines |
— |
$743.70–$1,489.40 |
— |
Unlisted procedure nervous system (64999) range across 7 matching MRF lines |
— |
$130.80–$1,489.40 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$743.70 |
— |
| Unlisted Procedure Rectum (45999) |
— |
$496.50 |
— |
| Unlisted procedure shoulder (23929) |
— |
$844.60 |
— |
Unlisted Procedure Vascular Surgery (37799) range across 4 matching MRF lines |
— |
$268.80–$1,861.20 |
— |
Unlisted procedure, abdomen, peritoneum and omentum (49999) range across 2 matching MRF lines |
— |
$1,030–$1,241.20 |
— |
Unlisted px female genital system nonobstetrical (58999) range across 5 matching MRF lines |
— |
$1,103–$2,472 |
— |
| Uvulectomy excision of uvula (42140) |
— |
$386.30 |
— |
Vag hyst complex (58290) range across 4 matching MRF lines |
— |
$886–$4,270.40 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$2,848 |
— |
| Vaginal delivery only (59409) |
— |
$3,158 |
— |
Vaginal hysterectomy, for uterus 250 g or less; (58260) range across 4 matching MRF lines |
— |
$618–$1,985.80 |
— |
Vaginal hysterectomy, for uterus 250 g or less; with repair of enterocele Facility (58270) range across 2 matching MRF lines |
— |
$1,617.10–$2,684 |
— |
Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) range across 4 matching MRF lines |
— |
$700–$3,359.90 |
— |
Vasectomy uni/bi spx w/postop semen exams (55250) range across 2 matching MRF lines |
$850 |
$1,117.60–$1,205.10 |
0.4× |
| Ventilating tube removal requiring general anesthesia (69424) |
— |
$259.60 |
— |
Vulvectomy simple partial (56620) range across 2 matching MRF lines |
— |
$1,533–$1,846.80 |
— |
Wedge excision skin nail fold (11765) range across 5 matching MRF lines |
— |
$106.10–$912.60 |
— |
| Windowing of cast (29730) |
— |
$86.50 |
— |
Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
— |
$957.90–$1,091.80 |
— |
Wound Prep Trk/Arm/Leg (15002) range across 3 matching MRF lines |
— |
$463.50–$4,426.90 |
— |
Wrist arthroscopy with partial removal of joint lining (29844) range across 2 matching MRF lines |
— |
$703.50–$2,110.50 |
— |
| Xfer Single Deep Low Leg Tendon (27691) |
— |
$1,303 |
— |