| Abd paracentesis w/imaging (49083) |
— |
$4,703.92 |
— |
| Abrasion single lesion (15786) |
— |
$75,208.10 |
— |
| Acne surgery (10040) |
— |
$42,360.32 |
— |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
— |
$48,644.50 |
— |
| Amniocentesis diagnostic (59000) |
— |
$586.50 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
— |
$82,791 |
— |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
— |
$37,061.50 |
— |
| Amputate Metacarpal Bone (26910) |
— |
$82,791 |
— |
| Amputation Foot Midtarsal (28800) |
— |
$72,681.89 |
— |
| Amputation foot transmetarsal (28805) |
— |
$33,848.63 |
— |
| Amputation metatarsal with toe single (28810) |
— |
$46,512 |
— |
| Amputation toe interphalangeal joint (28825) |
— |
$24,145.15 |
— |
| Amputation toe metatarsophalangeal joint (28820) |
— |
$31,159.69 |
— |
| Amputation, ankle, through malleoli of tibia and fibula (eg, Syme, Pirogoff type procedures), with plastic closure and… (27888) |
— |
$72,681.89 |
— |
| Amputation, leg, through tibia and fibula; (27880) |
— |
$124,473.20 |
— |
| Amputation, leg, through tibia and fibula; open, circular (guillotine) Facility (27882) |
— |
$124,473.20 |
— |
| Amputation, leg, through tibia and fibula; re-amputation (27886) |
— |
$124,473.20 |
— |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
— |
$124,473.20 |
— |
| Amputation, leg, through tibia and fibula; with immediate fitting technique including application of first cast Facility (27881) |
— |
$124,473.20 |
— |
| Anrct Xm Surg Req Anes General Spi/Edrl Dx (45990) |
— |
$33,543.96 |
— |
| Anterior Tibial Tubercleplasty (27418) |
— |
$67,346 |
— |
| Appendectomy (44950) |
— |
$96,491.35 |
— |
| Application finger splint static (29130) |
— |
$161 |
— |
| Application of rigid total contact leg cast (29445) |
— |
$1,191 |
— |
| Application Short Arm Splint Dynamic (29126) |
— |
$54,650.50 |
— |
| Application short arm splint forearm-hand static (29125) |
— |
$54,650.50 |
— |
| Apply Multlay Comprs Lwr Leg (29581) |
— |
$355 |
— |
| Arterial puncture (36600) |
— |
$50 |
— |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
— |
$2,642.60–$2,668.44 |
— |
Arthrodesis great toe metatarsophalangeal joint (28750)
range across 2 matching MRF lines |
— |
$76,331–$84,951.33 |
— |
Arthroplasty glenohumeral joint total shoulder (23472)
range across 3 matching MRF lines |
— |
$110,804.66–$114,575.74 |
— |
Arthroplasty interposition intercarpal or carpometacarpal joints (25447)
range across 2 matching MRF lines |
— |
$42,619.48–$43,006.48 |
— |
| Arthroplasty Radial Head W/Implant (24366) |
— |
$94,010.50 |
— |
Arthroscopy knee diagnostic w/wo synovial bx spx (29870)
range across 3 matching MRF lines |
— |
$29,627.63–$58,884.25 |
— |
| Arthroscopy Knee Synovectomy 2/>Compartments (29876) |
— |
$54,684.30 |
— |
Arthroscopy knee synovectomy limited spx (29875)
range across 2 matching MRF lines |
— |
$37,502.17–$38,123.50 |
— |
| Arthroscopy knee w/lysis adhesions w/wo manj spx (29884) |
— |
$41,428 |
— |
| Arthroscopy shoulder distal claviculectomy (29824) |
— |
$73,075.50 |
— |
Arthroscopy shoulder surgical capsulorrhaphy (29806)
range across 3 matching MRF lines |
— |
$74,650.18–$91,082 |
— |
| Arthroscopy, knee, surgical; with lateral release (29873) |
— |
$37,347 |
— |
Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882)
range across 2 matching MRF lines |
— |
$73,929.33–$108,847.58 |
— |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
range across 2 matching MRF lines |
— |
$90,678.12–$91,402.13 |
— |
Arthroscopy, shoulder, surgical; debridement, extensive (29823)
range across 3 matching MRF lines |
— |
$78,822.17–$85,126.39 |
— |
Arthroscopy, shoulder, surgical; debridement, limited (29822)
range across 3 matching MRF lines |
— |
$67,350.95–$83,863.88 |
— |
Arthroscopy, shoulder, surgical; repair of slap lesion (29807)
range across 2 matching MRF lines |
— |
$81,691.33–$87,114.50 |
— |
Arthroscopy, shoulder, surgical; with rotator cuff repair (29827)
range across 2 matching MRF lines |
— |
$83,688.39–$87,796.43 |
— |
| Arthrotomy, hip, with drainage (eg, infection) Facility (27030) |
— |
$135,612 |
— |
| Arthrp Acetblr/Prox Fem Prostc Agrft/Algrft (27130) |
— |
$74,998.05 |
— |
Arthrs aided ant cruciate ligm rpr/agmntj/rcnstj (29888)
range across 2 matching MRF lines |
— |
$90,084.67–$98,353.43 |
— |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
— |
$41,600.50 |
— |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
— |
$47,560.50 |
— |
Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880)
range across 3 matching MRF lines |
— |
$33,164–$39,338.39 |
— |
| Aspirate pleura w/ imaging (32555) |
— |
$6,812.50 |
— |
| Aspirate Pleura W/O Imaging (32554) |
— |
$49,929.74 |
— |
| Aspiration bladder insert suprapubic catheter (51102) |
— |
$27,408.70 |
— |
| Avulsion nail plate partial/complete simple 1 (11730) |
— |
$415.50 |
— |
| Axillary lymphadenectomy; complete (38745) |
— |
$57,848.75 |
— |
| Biopsy bone open superficial (20240) |
— |
$6,893 |
— |
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines |
— |
$2,324–$2,432.33 |
— |
| Biopsy of intestine by capsule, tube, peroral (1 or more specimens) (44100) |
— |
$44,586.71 |
— |
| Biopsy of penis; deep structures (54105) |
— |
$26,794.50 |
— |
| Biopsy of rectum (45100) |
— |
$32,596 |
— |
| Biopsy of toe joint lining (28054) |
— |
$25,096.75 |
— |
| Biopsy soft tissue forearm&/wrist deep (25066) |
— |
$33,736.50 |
— |
| Biopsy soft tissue forearm&/wrist superficial (25065) |
— |
$31,796.50 |
— |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
— |
$43,056.50 |
— |
| Biopsy/removal lymph nodes (38510) |
— |
$109,513.25 |
— |
| Bladder instillation anticarcinogenic agent (51720) |
— |
$35,539.01 |
— |
| Bladder Scan (51798) |
— |
$440.75 |
— |
| Blood Transfusion Service (36430) |
— |
$2,229.50 |
— |
| Brnchsc Brushing/Protected Brushings (31623) |
— |
$8,372.50 |
— |
| Bronchoscopy W/Biopsy(S) (31625) |
— |
$7,450 |
— |
| Bronchoscopy W/Removal Foreign Body (31635) |
— |
$78,887.40 |
— |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
— |
$9,309.10 |
— |
Bx breast 1st lesion us imag (19083)
range across 4 matching MRF lines |
— |
$2,535–$3,266.31 |
— |
Bx/exc lymph node open deep axillary node (38525)
range across 2 matching MRF lines |
— |
$44,494–$70,654.62 |
— |
| Bx/exc lymph node open superficial (38500) |
— |
$115,813.13 |
— |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
— |
$75,761.25 |
— |
| Capsulectomy or capsulotomy; interphalangeal joint, each joint (26525) |
— |
$55,246 |
— |
Carpal Tunnel Surgery (64721)
range across 3 matching MRF lines |
— |
$20,539.82–$25,484 |
— |
| Catheter aspiration nasotracheal spx (31720) |
— |
$340.50 |
— |
| Chemical Cautery Tissue (17250) |
— |
$468.43 |
— |
| Circumcision 28 days or older (54161) |
— |
$28,753.55 |
— |
Claviculectomy partial (23120)
range across 3 matching MRF lines |
— |
$60,608.17–$84,353.50 |
— |
| Closed Rx Metacarpal Fx,Percut (26608) |
— |
$25,341.91 |
— |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
— |
$32,886.95 |
— |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
— |
$71,708.50 |
— |
| Closed Treatment Ulnar Styloid Fracture (25650) |
— |
$54,650.50 |
— |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines |
— |
$31,505–$31,596 |
— |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
— |
$70,442.50 |
— |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
— |
$70,442.50 |
— |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
— |
$54,650.50 |
— |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
— |
$16,609.50 |
— |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 3 matching MRF lines |
— |
$24,786.50–$37,733.30 |
— |
| Cltx prox fibula/shft fx w/manj (27781) |
— |
$49,211 |
— |
| Cltx prox tibfib jt dislc req anes (27831) |
— |
$49,211 |
— |
| Cltx prox tibfib jt dislc w/o anes (27830) |
— |
$49,211 |
— |
| Collect Blood From Catheter Venous Nos (36592) |
— |
$3,718.88 |
— |
| Collection of venous blood by venipuncture (36415) |
— |
$58 |
— |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
— |
$62,267.50 |
— |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
— |
$9,190 |
— |
| Colonoscopy w/submucosal inj (45381) |
— |
$10,470.69 |
— |
| Colporrhaphy (57200) |
— |
$53,657.50 |
— |
| Colposcopy cervix vag eltrd conization cervix (57461) |
— |
$29,402.30 |
— |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
— |
$32,903.80 |
— |
| Complex drainage wound (10180) |
— |
$78,829 |
— |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
— |
$25,668.67 |
— |
| Conization of cervix (57520) |
— |
$35,466.25 |
— |
| Conv prev hip tot hip arthrp w/wo agrft/algrft (27132) |
— |
$109,135.38 |
— |
| Correction hammertoe (28285) |
— |
$40,588.22 |
— |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
— |
$39,964 |
— |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
— |
$130,348.50 |
— |
Corrj Hlx Vlgs Bncty Sesmdc W/Double Osteotomy (28299)
range across 2 matching MRF lines |
— |
$29,235.50–$48,646 |
— |
| Cysto Bladder W/Ureteral Catheterization (52005) |
— |
$28,460 |
— |
| Cysto calibration dilat urtl strix/stenosis (52281) |
— |
$28,753.55 |
— |
| Cysto w/complex removal stone & stent (52315) |
— |
$82,663.20 |
— |
| Cysto w/destruction of lesions (52214) |
— |
$145,084.50 |
— |
| Cysto w/insert ureteral stent (52332) |
— |
$44,019.86 |
— |
| Cysto w/irrig & evac multple obstructing clots (52001) |
— |
$82,663.20 |
— |
| Cysto w/removal of lesions small (52224) |
— |
$154,841.75 |
— |
| Cysto w/removal of tumors small (52234) |
— |
$30,468.66 |
— |
| Cysto W/Simple Removal Stone & Stent (52310) |
— |
$33,235 |
— |
| Cysto w/up stricture tx (52342) |
— |
$52,833.98 |
— |
| Cysto w/ureter stricture tx (52341) |
— |
$52,833.98 |
— |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
— |
$41,207.50 |
— |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
— |
$34,589.50 |
— |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
— |
$46,561.81 |
— |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
— |
$33,601.83 |
— |
Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354)
range across 2 matching MRF lines |
— |
$34,791.83–$46,827 |
— |
| Cysto/uretero w/lithotripsy (52356) |
— |
$52,365.56 |
— |
| Cysto/uretero w/up stricture (52345) |
— |
$52,833.98 |
— |
| Cystouretero W/Congen Repr (52400) |
— |
$104,927 |
— |
| Cystouretero w/renal strict (52346) |
— |
$52,833.98 |
— |
| Cystourethroscopy (52000) |
— |
$64,526.79 |
— |
| Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or… (52325) |
— |
$66,659.88 |
— |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
— |
$46,561.81 |
— |
| Cystourethroscopy inj chemodenervation bladder (52287) |
— |
$27,163.25 |
— |
| Cystourethroscopy tx female urethral syndrome (52285) |
— |
$71,650.50 |
— |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
— |
$35,705.23 |
— |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
— |
$42,592.46 |
— |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
— |
$51,688 |
— |
| Cystourethroscopy with biopsy (52204) |
— |
$23,454.25 |
— |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
— |
$33,291.07 |
— |
| Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy,… (52334) |
— |
$52,833.98 |
— |
| Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct… (52010) |
— |
$71,650.50 |
— |
| Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography,… (52007) |
— |
$49,479.60 |
— |
| Cystourethroscopy; with incision or resection of orifice of bladder diverticulum, single or multiple Facility (52305) |
— |
$154,841.75 |
— |
| Cystourethroscopy; with ureteral meatotomy, unilateral or bilateral Facility (52290) |
— |
$52,539 |
— |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
— |
$59,743.33 |
— |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
— |
$144,790.75 |
— |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
— |
$56,227.22 |
— |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
— |
$2,726.28 |
— |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
— |
$6,026.10 |
— |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
— |
$1,627.46 |
— |
| Declot vascular device (36593) |
— |
$20,387 |
— |
| Decompress Fingers/Hand (26035) |
— |
$78,829 |
— |
| Delivery of placenta (59414) |
— |
$36,265.15 |
— |
| Dermabrasion regional other than face (15782) |
— |
$75,208.10 |
— |
| Dermabrasion superficial any site (15783) |
— |
$75,208.10 |
— |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
— |
$11,155.50 |
— |
| Diagnostic sigmoidoscopy (45330) |
— |
$10,327 |
— |
| Dilat Xst Trc New Access Rcs (50437) |
— |
$48,056.10 |
— |
| Dilate Esophagus 1/Mult Pass (43450) |
— |
$8,844.13 |
— |
| Dilation & curettage dx&/ther nonobstetric (58120) |
— |
$35,313.34 |
— |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
— |
$29,195.80 |
— |
| Drain Cerebro Spinal Fluid (62272) |
— |
$9,342.72 |
— |
| Drain Hand Tendon Sheath (26020) |
— |
$22,462 |
— |
| Drainage of finger abscess simple (26010) |
— |
$1,469 |
— |
| Drainage of hematoma/fluid (10140) |
— |
$128,509.25 |
— |
| Drainage of perirenal or renal abscess, open Facility (50020) |
— |
$104,115 |
— |
| Drainage of rectal abscess (45020) |
— |
$99,468.85 |
— |
| Drainage of rectal abscess (45005) |
— |
$99,468.85 |
— |
| Drainage of scrotal wall abscess (55100) |
— |
$225,861.95 |
— |
| Drainage of scrotum (54700) |
— |
$35,270 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
— |
$59,743.33 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
— |
$11,354 |
— |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
— |
$1,045.75 |
— |
| Dstrj lesion anus simple surg excision (46922) |
— |
$28,932.28 |
— |
Dx Bronchoscope/Lavage (31624)
range across 3 matching MRF lines |
— |
$7,096–$8,840.10 |
— |
| Dx Bronchoscope/Wash (31622) |
— |
$7,347.50 |
— |
| Dx gastr intub w/asp specs (43755) |
— |
$29,548.66 |
— |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
— |
$106,976.56 |
— |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
— |
$49,052.32 |
— |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
— |
$8,215.27 |
— |
| Egd cautery tumor polyp (43250) |
— |
$42,974.99 |
— |
| Egd control bleeding any (43255) |
— |
$42,974.99 |
— |
| Egd dilation gastric/duodenal stricture (43245) |
— |
$9,104 |
— |
| Egd endo mucosal resection (43254) |
— |
$42,974.99 |
— |
| Egd Endoscopic Stent Place (43266) |
— |
$42,974.99 |
— |
| Egd Flexible Foreign Body Removal (43247) |
— |
$27,627.44 |
— |
| Egd guide wire insertion (43248) |
— |
$7,219.75 |
— |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
— |
$42,974.99 |
— |
| Egd Intrmural Needle Aspir/Biop Altered Anatomy (43242) |
— |
$49,052.32 |
— |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
— |
$49,052.32 |
— |
| Egd lesion ablation (43270) |
— |
$7,783 |
— |
| Egd Optical Endomicroscopy (43252) |
— |
$49,403.44 |
— |
| Egd Partial/Compl Esophagogastric Fundoplasty (43210) |
— |
$42,974.99 |
— |
| Egd place gastrostomy tube (43246) |
— |
$14,979.50 |
— |
| Egd remove lesion snare (43251) |
— |
$10,159.10 |
— |
| Egd Tube/Cath Insertion (43241) |
— |
$49,052.32 |
— |
| Egd us exam duodenum/jejunum (43259) |
— |
$49,052.32 |
— |
| Egd us transmural injxn/mark (43253) |
— |
$42,974.99 |
— |
| Egd Varices Ligation (43244) |
— |
$8,969.50 |
— |
| Egd W/Thrml Txmnt Gerd (43257) |
— |
$42,974.99 |
— |
| Egd W/Transmural Drain Cyst (43240) |
— |
$42,974.99 |
— |
| Endocervical curettage (57505) |
— |
$28,958 |
— |
| Endoscopic us exam esoph (43237) |
— |
$42,974.99 |
— |
| Endoscopy of ureter (50953) |
— |
$48,056.10 |
— |
| Endoscopy Upper Small Intestine (44360) |
— |
$50,168.56 |
— |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
— |
$50,168.56 |
— |
| Epiphyseal arrest by epiphysiodesis or stapling, greater trochanter of femur Facility (27185) |
— |
$100,170.50 |
— |
| Esc i p ulcer w ostect & flap (15946) |
— |
$35,662.50 |
— |
| Esoph Optical Endomicroscopy (43206) |
— |
$50,168.56 |
— |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
— |
$49,052.32 |
— |
| Esophagoscop Mucosal Resect (43211) |
— |
$50,168.56 |
— |
| Esophagoscop Stent Placement (43212) |
— |
$50,168.56 |
— |
| Esophagoscopy Flexible Transnasal Diagnostic (43197) |
— |
$50,168.56 |
— |
| Esophagoscopy Flexible Transnasal With Biopsy (43198) |
— |
$67,681.10 |
— |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
— |
$50,533.76 |
— |
| Esophagoscopy Flexible Transoral Ultrasound Exam (43231) |
— |
$50,168.56 |
— |
| Esophagoscopy Intra/Transmural Needle Aspirat/Bx (43232) |
— |
$67,681.10 |
— |
| Esophagoscopy Rigid Balloon (43195) |
— |
$50,168.56 |
— |
| Esophagoscopy rigid trnso dx (43191) |
— |
$50,168.56 |
— |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
— |
$67,681.10 |
— |
| Esophagoscp Rig Trnso Biopsy (43193) |
— |
$67,681.10 |
— |
| Evacuate mole of uterus (59870) |
— |
$36,265.15 |
— |
Ex tum/vasc malf sft tiss hand/fngr subq 1.5cm/> (26111)
range across 2 matching MRF lines |
— |
$20,423.75–$30,014 |
— |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
— |
$53,115.57 |
— |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
— |
$74,043 |
— |
| Exc back tum deep < 5 cm (21932) |
— |
$31,287.08 |
— |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
— |
$41,562.50 |
— |
| Exc Face Les Sbq 2 Cm/> (21012) |
— |
$38,568 |
— |
| Exc Forearm Les Sc 3 Cm/> (25071) |
— |
$27,875 |
— |
| Exc ganglion wrist recurrent (25112) |
— |
$26,824 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
— |
$24,848 |
— |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
— |
$28,222 |
— |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
— |
$66,755.70 |
— |
| Exc Hand Les Sc < 1.5 Cm (26115) |
— |
$22,214 |
— |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
— |
$30,486.38 |
— |
| Exc neuroma hand/foot xcp digital nerve (64782) |
— |
$31,810 |
— |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
— |
$27,397.50 |
— |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
— |
$74,043 |
— |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
— |
$44,898.50 |
— |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
— |
$53,115.57 |
— |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
— |
$43,788.50 |
— |
| Exc tendon shth lesion leg/ankle (27630) |
— |
$127,809 |
— |
| Exc thigh/knee les sc 3 cm/> (27337) |
— |
$41,876.50 |
— |
| Exc thigh/knee tum dep 5cm/> (27339) |
— |
$101,789.88 |
— |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
— |
$126,879.64 |
— |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
— |
$53,115.57 |
— |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
— |
$40,111.20 |
— |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
— |
$34,631 |
— |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
— |
$40,132.78 |
— |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
— |
$30,879.25 |
— |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
— |
$43,762.75 |
— |
| Exc tumor soft tissue foot/toe subfasc 1.5+cm (28041) |
— |
$76,062.11 |
— |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
— |
$76,062.11 |
— |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
— |
$30,537.63 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfasc 5 Cm/> (27634) |
— |
$82,442.58 |
— |
| Exc Tumor Soft Tissue Leg/Ankle Subfascial <5cm (27619) |
— |
$82,442.58 |
— |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
— |
$144,790.75 |
— |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
— |
$33,750 |
— |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$32,654.38 |
— |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
— |
$101,789.88 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
— |
$34,720.92 |
— |
| Exc/Curtg Cst/B9 Tum Phalanges Foot (28108) |
— |
$32,999.50 |
— |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
— |
$625.50 |
— |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
— |
$74,330.60 |
— |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
— |
$59,462.50 |
— |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
— |
$42,755 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
— |
$74,330.60 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
— |
$74,330.60 |
— |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
— |
$74,330.60 |
— |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
— |
$74,330.60 |
— |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
— |
$27,171.50 |
— |
| Excision Multiple External Papillae/Tags Anus (46230) |
— |
$32,528 |
— |
| Excision of epiphyseal bar, with or without autogenous soft tissue graft obtained through same fascial incision Facility (20150) |
— |
$115,764.50 |
— |
Excision of ganglion, wrist (dorsal or volar); primary (25111)
range across 2 matching MRF lines |
— |
$29,945.90–$30,219.32 |
— |
| Excision of hydrocele; unilateral (55040) |
— |
$38,676 |
— |
| Excision of pilonidal cyst or sinus; simple (11770) |
— |
$46,298.19 |
— |
| Excision olecranon bursa (24105) |
— |
$28,938 |
— |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
— |
$40,960.38 |
— |
| Excision Pilonidal Cyst/Sinus Extensive (11771) |
— |
$45,948.81 |
— |
Excision spermatocele w/wo epididymectomy (54840)
range across 2 matching MRF lines |
— |
$33,213.50–$61,364.25 |
— |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
— |
$42,190.69 |
— |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
— |
$52,844.50 |
— |
| Excision tumor soft tissue foot/toe subq <1.5cm (28043) |
— |
$33,229.25 |
— |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
— |
$36,122.75 |
— |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
— |
$101,789.88 |
— |
| Excision, coccygeal pressure ulcer, with coccygectomy; with flap closure Facility (15922) |
— |
$35,662.50 |
— |
| Excision, coccygeal pressure ulcer, with coccygectomy; with primary suture Facility (15920) |
— |
$35,662.50 |
— |
Excision, interdigital (morton) neuroma, single, each (28080)
range across 2 matching MRF lines |
— |
$29,339.25–$29,684.08 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; Facility (15944) |
— |
$35,662.50 |
— |
| Excision, ischial pressure ulcer, with skin flap closure; with ostectomy Facility (15945) |
— |
$35,662.50 |
— |
| Excision, sacral pressure ulcer, in preparation for muscle or myocutaneous flap or skin graft closure; Facility (15936) |
— |
$55,338.75 |
— |
| Excision, sacral pressure ulcer, with primary suture; Facility (15931) |
— |
$55,338.75 |
— |
| Excision, sacral pressure ulcer, with primary suture; with ostectomy Facility (15933) |
— |
$55,338.75 |
— |
| Excision, sacral pressure ulcer, with skin flap closure; Facility (15934) |
— |
$55,338.75 |
— |
| Excision, sacral pressure ulcer, with skin flap closure; with ostectomy Facility (15935) |
— |
$55,338.75 |
— |
| Excision, tumor, soft tissue of abdominal wall, subcutaneous; 3 cm or greater (22903) |
— |
$35,323.50 |
— |
| Excision, tumor, soft tissue of leg or ankle area, subcutaneous; 3 cm or greater (27632) |
— |
$144,790.75 |
— |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
— |
$29,477.75 |
— |
| Expl penetrating wound spx abdomen/flank/back (20102) |
— |
$62,742.50 |
— |
| Explo/Drain Breast Abscess (19020) |
— |
$44,070 |
— |
| Exploration of hip joint (27033) |
— |
$135,612 |
— |
| Exploration penetrating wound spx extremity (20103) |
— |
$32,774 |
— |
| Explore/Treat Knee Joint (27331) |
— |
$36,319 |
— |
| External cephalic version (59412) |
— |
$63,492.50 |
— |
| Fasciectomy Palm Only (26121) |
— |
$45,881.50 |
— |
| Fasciotomy palmar open partial (26045) |
— |
$46,597 |
— |
| Fasciotomy, foot and/or toe (28008) |
— |
$35,575.50 |
— |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
— |
$38,773.40 |
— |
| Fetal Contraction Stress Test (59020) |
— |
$255 |
— |
| Fetal non-stress test (59025) |
— |
$772 |
— |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
— |
$64,597 |
— |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
— |
$64,597 |
— |
| Fine needle aspiration without imaging guidance (10021) |
— |
$64,597 |
— |
| Fluoro exam of g/colon tube (49465) |
— |
$741 |
— |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
— |
$64,597 |
— |
| Fna bx w/us gdn 1st les (10005) |
— |
$2,416.33 |
— |
| Fusion Finger Joint (26860) |
— |
$34,517.70 |
— |
Fusion of foot bones (28740)
range across 2 matching MRF lines |
— |
$80,617.63–$110,725.50 |
— |
| Guide Cathet Fluid Drainage (10030) |
— |
$1,625.50 |
— |
| Hallux rigidus w/cheilectomy 1st mp jt w/implt (28291) |
— |
$48,362 |
— |
| Hemiarthroplasty hip partial (27125) |
— |
$92,476.86 |
— |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
— |
$35,244 |
— |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
— |
$39,019 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
— |
$31,215.10 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fissurectomy Facility (46261) |
— |
$126,879.64 |
— |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; with fistulectomy, including fissurectomy, when… (46262) |
— |
$126,879.64 |
— |
| Hemorrhoidectomy, internal and external, single column/group; with fissurectomy (46257) |
— |
$126,879.64 |
— |
| Hrhc 1 Col/Grp W/Fstulectmy Incl Fssrectomy (46258) |
— |
$126,879.64 |
— |
| Hymenotomy Simple Incision (56442) |
— |
$24,848 |
— |
| Hysteroscopy Biopsy (58558) |
— |
$35,444.90 |
— |
| Hysteroscopy Dx Sep Proc (58555) |
— |
$38,050 |
— |
| Hysteroscopy Lysis Intrauterine Adhesions (58559) |
— |
$40,698.50 |
— |
| Hysteroscopy, surgical; with removal of leiomyomata (58561) |
— |
$45,416.75 |
— |
| I&d abscess simple (10060) |
— |
$21,345.50 |
— |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
— |
$99,468.85 |
— |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
— |
$117,188.06 |
— |
| Ileoscopy Stoma W/Bx Single/Multiple (44382) |
— |
$6,447.50 |
— |
| Ileoscopy Thru Stoma Dx W/Collj Spec When Prfmd (44380) |
— |
$50,168.56 |
— |
| Incise external hemorrhoid (46083) |
— |
$126,879.64 |
— |
| Incise finger tendon sheath (26055) |
— |
$20,987.63 |
— |
| Incision & drainage abscess complicated/multiple (10061) |
— |
$44,343.86 |
— |
| Incision & removal foreign body subq tiss simple (10120) |
— |
$19,911.63 |
— |
| Incision and drainage of vulva or perineal abscess (56405) |
— |
$32,479.08 |
— |
Incision extensor tendon sheath wrist (25000)
range across 2 matching MRF lines |
— |
$21,179.29–$25,243 |
— |
| Incision of tibia & fibula (27709) |
— |
$69,427.75 |
— |
| Incision of urethra (53020) |
— |
$24,168 |
— |
| Incisional biopsy skin single lesion (11106) |
— |
$53,115.57 |
— |
| Inj W/Fluor Eval Cv Device (36598) |
— |
$775.17 |
— |
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines |
— |
$76,088.50–$89,577.50 |
— |
Injection anesthetic agent suprascapular nerve (64418)
range across 3 matching MRF lines |
— |
$61,375.28–$69,449.43 |
— |
| Injection for identification of sentinel node (38792) |
— |
$70,654.62 |
— |
Injection, anesthetic agent; brachial plexus, single (64415)
range across 3 matching MRF lines |
— |
$85,575.41–$95,104.25 |
— |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 3 matching MRF lines |
— |
$72,759.70–$81,691.10 |
— |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 3 matching MRF lines |
— |
$67,437.35–$72,995.72 |
— |
| Ins/Rep Subq Defibrillator (33270) |
— |
$121,867.85 |
— |
| Insert 1 Electrode Pm-Defib (33216) |
— |
$17,690 |
— |
| Insert Bladder Cath Complex (51703) |
— |
$29,195.80 |
— |
| Insert cath pleura w/ image (32557) |
— |
$60,801.90 |
— |
| Insert cath pleura w/o image (32556) |
— |
$60,801.90 |
— |
| Insert Gastrostomy Tube Percutaneous (49440) |
— |
$774.50 |
— |
| Insert Heart Pm Atrial (33206) |
— |
$100,548.50 |
— |
| Insert Heart Pm Ventricular (33207) |
— |
$22,363.05 |
— |
| Insert non-tunnel cv cath (36556) |
— |
$99,426.61 |
— |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
— |
$76,097.32 |
— |
| Insert pulse gen dual leads (33213) |
— |
$51,477.87 |
— |
| Insert spine infusion device (62360) |
— |
$74,215.70 |
— |
| Insert Temp Bladder Cath (51702) |
— |
$654.50 |
— |
| Insert tun ip cath perc (49418) |
— |
$2,243.50 |
— |
| Insert tunneled cv cath (36561) |
— |
$35,267.47 |
— |
| Insert tunneled cv cath (36563) |
— |
$60,455.20 |
— |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
— |
$60,455.20 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
— |
$41,950.50 |
— |
| Insertion indwelling tunneled pleural catheter (32550) |
— |
$60,801.90 |
— |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
— |
$10,932.17 |
— |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
— |
$29,367 |
— |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
— |
$18,304.50 |
— |
| Insj Picc Rs&I <5 Yr (36572) |
— |
$78,854.65 |
— |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$75,851.89 |
— |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
— |
$75,851.89 |
— |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
— |
$7,309.66 |
— |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
— |
$60,455.20 |
— |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
— |
$93,185.37 |
— |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
— |
$93,185.37 |
— |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
— |
$117,313.57 |
— |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$43,221.50 |
— |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
— |
$24,877.50 |
— |
| Insrt heart pm atrial & vent (33208) |
— |
$25,587.01 |
— |
| Insrt Pulse Gen W/Dual Leads (33230) |
— |
$164,506.55 |
— |
| Insrt Pulse Gen W/Mult Leads (33231) |
— |
$94,325 |
— |
| Insrt Pulse Gen W/Singl Lead (33240) |
— |
$164,506.55 |
— |
| Intro Gastrointestinal Tube (44500) |
— |
$1,110.50 |
— |
| Intubation endotracheal emergency procedure (31500) |
— |
$384 |
— |
| Kidney endoscopy (50575) |
— |
$65,433 |
— |
| Kidney endoscopy (50553) |
— |
$48,056.10 |
— |
| Kidney endoscopy (50570) |
— |
$104,115 |
— |
| Kidney endoscopy (50551) |
— |
$46,561.81 |
— |
Knee Arthroscopy/Surgery (29874)
range across 2 matching MRF lines |
— |
$29,916.50–$37,072.33 |
— |
| Lap paraesophag hern repair (43281) |
— |
$55,571.61 |
— |
| Lap replace gastr adj device (43773) |
— |
$42,974.99 |
— |
| Laparoscopy aspiration (49322) |
— |
$62,099.50 |
— |
| Laparoscopy Enterolysis Separate Procedure (44180) |
— |
$58,874.15 |
— |
| Laparoscopy gastrostomy (43653) |
— |
$42,974.99 |
— |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
— |
$35,248 |
— |
| Laparoscopy tot hysterectomy >250 g w/tube/ovar (58573) |
— |
$32,264 |
— |
| Laparoscopy w tot hysterectuterus <=250 gram w tube/ovary (58571) |
— |
$70,346.57 |
— |
| Laparoscopy w/rmvl adnexal structures (58661) |
— |
$59,090.17 |
— |
| Laparoscopy, surgical, appendectomy (44970) |
— |
$54,106.50 |
— |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
— |
$50,825.71 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
— |
$42,974.99 |
— |
| Laparoscopy, surgical, gastric restrictive procedure; removal of adjustable gastric restrictive device component only… (43772) |
— |
$42,974.99 |
— |
| Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570) |
— |
$77,123.50 |
— |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
— |
$71,036.46 |
— |
| Laparoscopy, surgical; cholecystectomy with exploration of common duct (47564) |
— |
$103,660.23 |
— |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
— |
$77,626.50 |
— |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
— |
$40,389.53 |
— |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
— |
$53,642.08 |
— |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
range across 2 matching MRF lines |
— |
$57,381.50–$66,992 |
— |
| Laps Gastric Restrictive Px Remove Device & Port (43774) |
— |
$47,261.05 |
— |
| Laps supracrv hysterect 250 gm/< rmvl tube/ovar (58542) |
— |
$32,264 |
— |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
— |
$78,887.40 |
— |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
— |
$78,887.40 |
— |
| Laser vaporization of prostate (52648) |
— |
$47,075.49 |
— |
| Late closure of wound (13160) |
— |
$42,460.50 |
— |
| Lig prfratr vein subfscal rad incl skn grf 1 leg (37760) |
— |
$144,790.75 |
— |
Ligamentous Reconstruction Knee Extra-Articular (27427)
range across 2 matching MRF lines |
— |
$70,186.50–$72,994 |
— |
| Ligate leg veins open (37761) |
— |
$144,790.75 |
— |
Ligation or biopsy temporal artery (37609)
range across 2 matching MRF lines |
— |
$26,121.18–$34,924.60 |
— |
| Litholapaxy comp/lg > 2.5 cm (52318) |
— |
$31,835.65 |
— |
| Litholapaxy smpl/sm <2.5 cm (52317) |
— |
$32,199.20 |
— |
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines |
— |
$31,141–$32,695 |
— |
| Lsh w/t/o uterus above 250 g (58544) |
— |
$32,264 |
— |
Manipulation knee joint under general anesthesia (27570)
range across 2 matching MRF lines |
— |
$23,280–$23,580.50 |
— |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
— |
$46,202 |
— |
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines |
— |
$31,028–$44,451.20 |
— |
Mastectomy partial (19301)
range across 2 matching MRF lines |
— |
$44,557.45–$58,018.95 |
— |
| Mastectomy simple complete (19303) |
— |
$93,525.70 |
— |
| Maternity Care Procedure (59899) |
— |
$63,677.39 |
— |
| Metatarsectomy (28140) |
— |
$51,891 |
— |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
— |
$53,115.57 |
— |
| Myelography Lumbar Injection (62304) |
— |
$8,995.25 |
— |
| Myelography via lumbar injection rs&i cervical (62302) |
— |
$9,953.30 |
— |
N block inj intercost sng (64420)
range across 2 matching MRF lines |
— |
$1,246–$44,082.43 |
— |
| N Block Lumbar/Thoracic (64520) |
— |
$43,012.03 |
— |
| Nasal/Orogastric W/Tube Plmt (43752) |
— |
$14,797.17 |
— |
| Ndsc Eval Intstinal Pouch Dx W/Collj Spec Spx (44385) |
— |
$50,168.56 |
— |
Needle Biopsy Lymph Nodes (38505)
range across 3 matching MRF lines |
— |
$2,887.29–$3,358.50 |
— |
Neuroplasty and/or transposition; ulnar nerve at elbow (64718)
range across 2 matching MRF lines |
— |
$33,536.34–$40,066.68 |
— |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
— |
$1,022.50 |
— |
| Open biopsy/excision inguinofemoral nodes (38531) |
— |
$45,511.63 |
— |
| Open rdl shaft fx closed rad/uln jt dislocate (25525) |
— |
$125,636.75 |
— |
| Open Repair of Rotator Cuff Acute (23410) |
— |
$62,400 |
— |
Open Treatment Bimalleolar Ankle Fracture (27814)
range across 2 matching MRF lines |
— |
$68,954.17–$74,611.38 |
— |
| Open Treatment Fracture Distal Tibia & Fibula (27828) |
— |
$94,171.96 |
— |
| Open treatment fracture distal tibia only (27827) |
— |
$81,254.50 |
— |
| Open treatment greater trochanteric fracture (27248) |
— |
$87,355.30 |
— |
| Open treatment metatarsal fracture each (28485) |
— |
$57,332.25 |
— |
| Open treatment of acromioclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft)… (23552) |
— |
$83,125.12 |
— |
| Open treatment of clavicular fracture, includes internal fixation, when performed (23515) |
— |
$77,327.70 |
— |
| Open treatment of distal femoral epiphyseal separation, includes internal fixation, when performed Facility (27519) |
— |
$90,137.65 |
— |
| Open treatment of femoral fracture, proximal end, head, includes internal fixation, when performed Facility (27269) |
— |
$87,015.91 |
— |
| Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension, includes internal… (27513) |
— |
$90,137.65 |
— |
| Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg, pilon or tibial plafond),… (27826) |
— |
$97,401.33 |
— |
| Open treatment of hip dislocation, traumatic, with acetabular wall and femoral head fracture, with or without internal… (27254) |
— |
$87,355.30 |
— |
| Open treatment of hip dislocation, traumatic, without internal fixation Facility (27253) |
— |
$80,408.50 |
— |
| Open treatment of radial AND ulnar shaft fractures, with internal fixation, when performed; of radius OR ulna Facility (25574) |
— |
$125,636.75 |
— |
| Open treatment of radial shaft fracture, includes internal fixation, when performed, and open treatment of distal… (25526) |
— |
$125,636.75 |
— |
| Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning Facility (27178) |
— |
$87,015.91 |
— |
| Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) Facility (27179) |
— |
$87,015.91 |
— |
| Open treatment of slipped femoral epiphysis; osteotomy and internal fixation Facility (27181) |
— |
$88,563.51 |
— |
| Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft)… (27177) |
— |
$86,107.43 |
— |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27258) |
— |
$80,408.50 |
— |
| Open treatment of spontaneous hip dislocation (developmental, including congenital or pathological), replacement of… (27259) |
— |
$80,408.50 |
— |
| Open treatment of sternoclavicular dislocation, acute or chronic; with fascial graft (includes obtaining graft) Facility (23532) |
— |
$144,790.75 |
— |
| Open Treatment Proximal Fibula/Shaft Fracture (27784) |
— |
$45,449.50 |
— |
| Open Treatment Proximal Humeral Fracture (23615) |
— |
$93,238.10 |
— |
| Open Treatment Radial Shaft Fracture (25515) |
— |
$58,179.18 |
— |
| Open tx carpal scaphoid navicular fracture (25628) |
— |
$52,795.50 |
— |
Open Tx Distal Fibular Fracture Lat Malleolus (27792)
range across 2 matching MRF lines |
— |
$60,802.53–$63,790.17 |
— |
| Open Tx Distal Phalangeal Fracture Each (26765) |
— |
$31,381.75 |
— |
| Open Tx Distal Tibiofibular Joint Disruption (27829) |
— |
$62,492.45 |
— |
| Open Tx Femoral Fracture Distal Med/Lat Condyle (27514) |
— |
$90,137.65 |
— |
| Open tx femoral supracondylar fracture w/o xtn (27511) |
— |
$90,137.65 |
— |
| Open tx humeral supracondylar fracture w/o xtn (24545) |
— |
$113,140.75 |
— |
| Open Tx Intercondylar Spine/Tubrst Fracture Knee (27540) |
— |
$81,254.50 |
— |
| Open Tx Metacarpal Fracture Single Ea Bone (26615) |
— |
$32,711 |
— |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
— |
$46,169.61 |
— |
| Open Tx Radial Head/Neck Fracture (24665) |
— |
$95,934.50 |
— |
| Open Tx Radial Head/Neck Fracture Prosth (24666) |
— |
$72,898 |
— |
| Open Tx Tibial Fracture Proximal Unicondylar (27535) |
— |
$81,254.50 |
— |
| Open tx trimalleolar ankle fx w/o fixj pst lip (27822) |
— |
$51,320 |
— |
Open tx ulnar fx proximal end (24685)
range across 2 matching MRF lines |
— |
$66,462–$68,642.43 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 2 frag (25608) |
— |
$60,905.85 |
— |
| Optx dstl radl i-artic fx/epiphysl sep 3 frag (25609) |
— |
$110,983.50 |
— |
| Optx fem fx prox end nck int fixj/prostc rplcmt (27236) |
— |
$55,706.50 |
— |
| Optx humeral shft fx w/plate/screws w/wocerclage (24515) |
— |
$66,071.33 |
— |
| Optx tibial fx prox bicondylar w/wo int fixj (27536) |
— |
$81,254.50 |
— |
| Optx Tibial Shft Fx W/Plate/Screws W/WO Cerclage (27758) |
— |
$94,171.96 |
— |
| Orchiectomy radical tumor inguinal approach (54530) |
— |
$37,660 |
— |
| Ostectomy calcaneus (28118) |
— |
$55,205.75 |
— |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
— |
$33,842 |
— |
| Osteochondral allograft knee open (27415) |
— |
$79,722 |
— |
| Osteoplasty, femur; shortening (excluding 64876) Facility (27465) |
— |
$89,535.88 |
— |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
— |
$46,756.75 |
— |
| Osteotomy Tibia (27705) |
— |
$69,427.75 |
— |
| Osteotomy, femoral neck (separate procedure) Facility (27161) |
— |
$87,015.91 |
— |
| Osteotomy, femur, shaft or supracondylar; with fixation Facility (27450) |
— |
$96,826.22 |
— |
| Osteotomy, iliac, acetabular or innominate bone; with femoral osteotomy and with open reduction of hip Facility (27156) |
— |
$80,408.50 |
— |
| Osteotomy, iliac, acetabular or innominate bone; with open reduction of hip Facility (27147) |
— |
$80,408.50 |
— |
| Osteotomy; multiple, with realignment on intramedullary rod (eg, Sofield type procedure) Facility (27712) |
— |
$96,079.20 |
— |
| Partial Excision Proximal/Middle Phalanx Finger (26235) |
— |
$20,340.25 |
— |
| Partical Excision Bone Phalanx Toe (28124) |
— |
$33,500.25 |
— |
| Pelvic examination under anesthesia (other than local) (57410) |
— |
$2,322 |
— |
Perq dev breast 1st us imag (19285)
range across 3 matching MRF lines |
— |
$4,718–$7,131.83 |
— |
| Perq dilation xst trc endourologic px w/img (50436) |
— |
$48,056.10 |
— |
| Phalangectomy toe each toe (28150) |
— |
$95,428.25 |
— |
| Pin Finger Dislocation (26776) |
— |
$27,844.50 |
— |
| Placement of seton (46020) |
— |
$38,105.50 |
— |
| Prophylactic treatment (nailing, pinning, plating, or wiring) with or without methylmethacrylate, femur Facility (27495) |
— |
$100,170.50 |
— |
| Prostate laser enucleation (52649) |
— |
$145,084.50 |
— |
| Prq skel fixj femoral fx prox end neck (27235) |
— |
$77,998.60 |
— |
| Prq Skeletal Fix Carpo/Metacarpal Fx Dislc Thumb (26650) |
— |
$31,886.75 |
— |
| Prq Skeletal Fixj Distal Radioulnar Dislocation (25671) |
— |
$56,332.50 |
— |
| Prq Skeletal Fixj Femoral Fx Distal End (27509) |
— |
$80,212.40 |
— |
Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122)
range across 2 matching MRF lines |
— |
$30,664.75–$43,749 |
— |
| Pseudoaneurysm Injection Trt (36002) |
— |
$924.50 |
— |
| Punch biopsy skin single lesion (11104) |
— |
$1,037 |
— |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
— |
$1,859.50 |
— |
Puncture Aspiration Cyst Breast (19000)
range across 3 matching MRF lines |
— |
$1,964.88–$2,108.50 |
— |
| Push Transfusion Blood 2 Yr/Under (36440) |
— |
$59,845.28 |
— |
| Rad resection tumor soft tis thigh/knee 5 cm/> (27364) |
— |
$82,442.58 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; 3 cm or greater Facility (28047) |
— |
$121,881.20 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of foot or toe; less than 3 cm Facility (28046) |
— |
$121,881.20 |
— |
| Radical resection of tumor (eg, sarcoma), soft tissue of leg or ankle area; 5 cm or greater Facility (27616) |
— |
$144,790.75 |
— |
| Radical resection of tumor; phalanx of toe Facility (28175) |
— |
$95,428.25 |
— |
| Realignment of knee (27455) |
— |
$94,171.96 |
— |
| Reconstruction Toe Polydactyly (28344) |
— |
$95,428.25 |
— |
| Reinforce hip bones (27187) |
— |
$83,836.25 |
— |
| Reinforce tibia (27745) |
— |
$69,427.75 |
— |
| Removal Foreign Body Deep Thigh/Knee (27372) |
— |
$29,579.50 |
— |
| Removal foreign body foot deep (28192) |
— |
$27,947 |
— |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
— |
$31,426.50 |
— |
| Removal Implant Deep (20680) |
— |
$33,077.64 |
— |
| Removal Implant Superficial Separate Procedure (20670) |
— |
$24,642.50 |
— |
| Removal of nail bed (11750) |
— |
$23,436.33 |
— |
| Removal of sesamoid bone (28315) |
— |
$29,048.25 |
— |
| Removal of sperm cord lesion (55520) |
— |
$50,818.48 |
— |
| Removal of tendon for graft (20924) |
— |
$127,809 |
— |
| Removal of testis (54520) |
— |
$81,487.67 |
— |
| Removal Pacemaker Electrode (33235) |
— |
$17,894.83 |
— |
| Removal ppm generator only (33233) |
— |
$23,776.50 |
— |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
— |
$74,703 |
— |
| Removal subcutaneous cardiac rhythm monitor (33286) |
— |
$7,438.17 |
— |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
— |
$883.50 |
— |
| Remove Ankle Joint Lining (27626) |
— |
$127,809 |
— |
| Remove armpit lymph nodes (38740) |
— |
$60,490 |
— |
| Remove brain canal fluid (61050) |
— |
$922 |
— |
| Remove drug implant device (11982) |
— |
$42,888.56 |
— |
| Remove Hand Bone Lesion (26200) |
— |
$21,339.50 |
— |
| Remove hip pressure sore (15941) |
— |
$35,662.50 |
— |
| Remove hip pressure sore (15940) |
— |
$35,662.50 |
— |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
— |
$56,215 |
— |
| Remove Intrauterine Device (58301) |
— |
$37,774.75 |
— |
| Remove Pulse Generator (33241) |
— |
$100,548.50 |
— |
| Remove sacrum pressure sore (15937) |
— |
$55,338.75 |
— |
| Remove Skin Nerve Lesion (64774) |
— |
$61,685 |
— |
Remove Tendon Sheath Lesion (26160)
range across 3 matching MRF lines |
— |
$26,718.70–$47,697.50 |
— |
| Remove&replace pm gen singl (33227) |
— |
$19,997.50 |
— |
| Remove/Insert Drug Implant (11983) |
— |
$63,052 |
— |
| Remv&replc cvd gen dual lead (33263) |
— |
$94,307.50 |
— |
| Remv&replc cvd gen mult lead (33264) |
— |
$105,520.50 |
— |
| Remv&replc cvd gen sing lead (33262) |
— |
$121,867.85 |
— |
| Remv&replc pm gen dual lead (33228) |
— |
$20,584.75 |
— |
| Remv&replc pm gen mult leads (33229) |
— |
$61,461 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50580) |
— |
$77,901.50 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50572) |
— |
$46,561.81 |
— |
| Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography,… (50576) |
— |
$104,115 |
— |
| Reopen fallopian tube (58350) |
— |
$43,349 |
— |
| Repair Achilles Tendon (27650) |
— |
$52,122 |
— |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
— |
$830.50 |
— |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
— |
$62,500.40 |
— |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
— |
$41,011.50 |
— |
| Repair extensor tendon finger w/o graft each (26418) |
— |
$35,650.88 |
— |
| Repair Finger/Hand Tendon (26350) |
— |
$42,700.15 |
— |
| Repair Flexor Tendon Leg Primary W/O Graft Each (27658) |
— |
$93,545 |
— |
| Repair forearm tendon/muscle (25265) |
— |
$17,738.50 |
— |
| Repair Hallux Rigidus (28289) |
— |
$31,441 |
— |
Repair inguinal hernia, sliding, any age (49525)
range across 2 matching MRF lines |
— |
$50,099.50–$54,871 |
— |
Repair initial inguinal hernia, age 5 years or older; incarcerated or strangulated (49507)
range across 4 matching MRF lines |
— |
$55,587.50–$78,395.44 |
— |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
— |
$9,023 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
— |
$9,023 |
— |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
— |
$9,023 |
— |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
— |
$9,023 |
— |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
— |
$9,023 |
— |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
— |
$66,533.40 |
— |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
— |
$62,500.40 |
— |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
— |
$44,911 |
— |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
— |
$62,500.40 |
— |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
— |
$62,500.40 |
— |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
— |
$62,500.40 |
— |
| Repair Leg Fascia Defect (27656) |
— |
$62,500.40 |
— |
| Repair Nonunion Hand (26546) |
— |
$95,428.25 |
— |
| Repair Nonunion/Malunion Tibia W/O Graft (27720) |
— |
$81,254.50 |
— |
| Repair of anal sphincter (46760) |
— |
$7,530.50 |
— |
| Repair of arm tendon (24320) |
— |
$17,738.50 |
— |
| Repair of biceps tendon (24340) |
— |
$61,302.70 |
— |
| Repair of fibula nonunion and/or malunion with internal fixation (27726) |
— |
$97,401.33 |
— |
| Repair of nonunion or malunion, radius AND ulna; with autograft (includes obtaining graft) Facility (25420) |
— |
$125,636.75 |
— |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
— |
$125,636.75 |
— |
| Repair of nonunion or malunion, tibia; by synostosis, with fibula, any method (27725) |
— |
$81,254.50 |
— |
| Repair of nonunion or malunion, tibia; with sliding graft Facility (27722) |
— |
$81,254.50 |
— |
Repair of Ruptured Tendon (24342)
range across 2 matching MRF lines |
— |
$63,141.46–$65,713.50 |
— |
| Repair radius & ulna (25415) |
— |
$125,636.75 |
— |
| Repair secondary achilles tendon w/wo graft (27654) |
— |
$93,545 |
— |
| Repair shoulder capsule (23462) |
— |
$84,466.50 |
— |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
— |
$17,738.50 |
— |
| Repair, extensor tendon, leg; secondary, with or without graft, each tendon Facility (27665) |
— |
$93,545 |
— |
| Repair/graft achilles tendon (27652) |
— |
$93,545 |
— |
| Reposition Gastrostomy Tube (43761) |
— |
$701.50 |
— |
| Reposition Pacing-Defib Lead (33215) |
— |
$10,540.50 |
— |
| Repr elbow lat ligmnt w/tiss (24343) |
— |
$94,010.50 |
— |
Rerepair ing hernia reduce (49520)
range across 2 matching MRF lines |
— |
$50,031–$58,861.50 |
— |
| Resect leg/ankle tum < 5 cm (27615) |
— |
$144,790.75 |
— |
| Resection of scrotum (55150) |
— |
$666.50 |
— |
| Revis reconst shoulder joint (23473) |
— |
$66,697.50 |
— |
Revis shoulder arthrplsty humeral&glenoid compnt (23474)
range across 2 matching MRF lines |
— |
$100,711.50–$144,350.50 |
— |
| Revise Hand/Foot Nerve (64704) |
— |
$51,481.50 |
— |
| Revise ulnar nerve at wrist (64719) |
— |
$28,565 |
— |
| Revision of total hip arthroplasty; femoral component only, with or without allograft (27138) |
— |
$94,352.10 |
— |
| Revj tot hip arthrp bth w/wo agrft/algrft (27134) |
— |
$110,265.04 |
— |
| Revj Total Knee Arthrp W/WO Algrft 1 Component (27486) |
— |
$64,709 |
— |
| Rmvl fecal impaction/fb spx under anes (45915) |
— |
$36,420 |
— |
| Rmvl of subq implantable defibrillator electrode (33272) |
— |
$100,548.50 |
— |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
— |
$33,495 |
— |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
— |
$34,340 |
— |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
— |
$418 |
— |
| Rplc Gtube No Revj Trc (43762) |
— |
$25,435.50 |
— |
| Rplcmt compl tun ctr vad w/subq pmp (36583) |
— |
$74,215.70 |
— |
| Rplcmt compl tun ctr vad w/subq port (36582) |
— |
$29,193.50 |
— |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
— |
$99,426.61 |
— |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
— |
$62,148.56 |
— |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
— |
$47,289.01 |
— |
| Rpr aa hernia recr 3-10 cm reducible (49615) |
— |
$58,423.58 |
— |
| Rpr Aa Hernia Recr < 3 Cm Ncrc8/Strangulated (49614) |
— |
$60,165.08 |
— |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
— |
$49,316 |
— |
| Rpr aa hrn 1st 3-10 rdc (49593) |
— |
$44,719.86 |
— |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
— |
$48,604.59 |
— |
| Rpr Extensor Tendon Leg Primary W/O Graft Each (27664) |
— |
$93,545 |
— |
| Rpr flexor tendon leg secondary w/o graft each (27659) |
— |
$62,774.50 |
— |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
— |
$9,023 |
— |
| Rpr Non/Mal Tibia W/Iliac/Oth Agrft (27724) |
— |
$81,254.50 |
— |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
— |
$61,448.83 |
— |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
— |
$8,310 |
— |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
— |
$7,032.50 |
— |
| Shave skin lesion 0.5 cm/< (11300) |
— |
$56,549.80 |
— |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
— |
$46,529.13 |
— |
| Shoulder arthroscopy diagnostic (29805) |
— |
$33,903.50 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
— |
$53,115.57 |
— |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
— |
$53,115.57 |
— |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
— |
$53,115.57 |
— |
| Sigmoidoscopy w/fb removal (45332) |
— |
$62,267.50 |
— |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
— |
$7,364.06 |
— |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
— |
$605.50 |
— |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
— |
$742.50 |
— |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
— |
$858 |
— |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
— |
$33,497.75 |
— |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
— |
$9,023 |
— |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
— |
$9,023 |
— |
| Skin graft, harvest cultured tissue (15040) |
— |
$53,115.57 |
— |
| Skin Pedicle Flap Trunk (15570) |
— |
$50,805 |
— |
| Skin Pinch Graft (15050) |
— |
$53,115.57 |
— |
| Skin sub graft face/nk/hf/g (15275) |
— |
$2,696.88 |
— |
| Skin sub graft trnk/arm/leg (15271) |
— |
$3,649.07 |
— |
| Skin Tissue Procedure (17999) |
— |
$65,675.67 |
— |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
— |
$746.50 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
— |
$9,023 |
— |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
— |
$9,023 |
— |
| Sphincteroplasty, anal, for incontinence or prolapse; adult Facility (46750) |
— |
$7,530.50 |
— |
| Sphnctrop Anal Levator Musc Imbrcj (46761) |
— |
$7,530.50 |
— |
| Spinal puncture lumbar diagnostic (62270) |
— |
$4,719.61 |
— |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
— |
$134.67–$151.91 |
— |
| Surg tx anal fistula subq (46270) |
— |
$34,635.86 |
— |
| Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric (46275) |
— |
$38,105.50 |
— |
| Suture 1 nerve hand/foot common sensory nerve (64834) |
— |
$44,711.10 |
— |
Suture of quadriceps or hamstring muscle rupture primary (27385)
range across 2 matching MRF lines |
— |
$43,411.50–$57,498.13 |
— |
| Synovectomy Tendon Sheath Foot Extensor (28088) |
— |
$127,809 |
— |
| Synovectomy Tendon Sheath Foot Flexor (28086) |
— |
$127,809 |
— |
| Synvct tdn shth rad flxr tdn palm&/fngr ea tdn (26145) |
— |
$23,449 |
— |
| Tangential biopsy skin single lesion (11102) |
— |
$466.50 |
— |
| Tenodesis long tendon biceps (23430) |
— |
$118,722.43 |
— |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
— |
$85,474 |
— |
| Thyroid biopsy (60100) |
— |
$702.50 |
— |
| Tlh uterus over 250 g (58572) |
— |
$73,208.38 |
— |
| Tnot elbow lateral/medial debride open (24358) |
— |
$20,879 |
— |
| Tnot elbow lateral/medial debride open tdn rpr (24359) |
— |
$37,631 |
— |
| Tooth extraction (41899) |
— |
$66,595.28 |
— |
Total Knee Arthroplasty (27447)
range across 2 matching MRF lines |
— |
$76,055.94–$80,272.52 |
— |
| Transmetacarpal amputation; secondary closure or scar revision Facility (25929) |
— |
$82,791 |
— |
| Transrectal Drainage of Pelvic Abscess (45000) |
— |
$99,468.85 |
— |
| Transur electr resection of prostate (52601) |
— |
$44,978.50 |
— |
| Transurethral resection bladder neck (52500) |
— |
$31,304.58 |
— |
| Treat ectopic pregnancy (59151) |
— |
$55,046.50 |
— |
| Treat Elbow Fracture (24635) |
— |
$125,636.75 |
— |
| Treat elbow fracture (24587) |
— |
$125,636.75 |
— |
| Treat Finger Fracture Each (26727) |
— |
$28,971.70 |
— |
| Treat fracture radius/ulna (25575) |
— |
$85,312 |
— |
| Treat Fx Rad Extra-Articul (25607) |
— |
$51,671.57 |
— |
| Treat kneecap dislocation (27566) |
— |
$72,130 |
— |
Treat Kneecap Fracture (27524)
range across 2 matching MRF lines |
— |
$33,506–$60,365.83 |
— |
| Treat lower leg dislocation (27832) |
— |
$94,171.96 |
— |
| Treat thumb fracture (26665) |
— |
$48,456.25 |
— |
| Treatment of ankle fracture (27823) |
— |
$109,993 |
— |
| Treatment of intertrochanteric, peritrochanteric, or subtrochanteric femoral fracture; with plate/screw type implant,… (27244) |
— |
$87,355.30 |
— |
| Treatment of slipped femoral epiphysis; by single or multiple pinning, in situ (27176) |
— |
$100,170.50 |
— |
| Treatment of tibia fracture (27756) |
— |
$106,455 |
— |
| Trim skin lesion (11055) |
— |
$860.37 |
— |
| Trim skin lesions 2 to 4 (11056) |
— |
$455 |
— |
| Trim skin lesions over 4 (11057) |
— |
$53,115.57 |
— |
| Trurl rescj postop bladder neck contracture (52640) |
— |
$154,841.75 |
— |
| Tx Gastro Intub W/Asp (43753) |
— |
$29,548.66 |
— |
| Tx humral shaft fx w/insj imed implt w/w cerclge (24516) |
— |
$59,607.55 |
— |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
— |
$33,497.94 |
— |
| Tx inter/pr/subtrchntric fem fx imed impltscrew (27245) |
— |
$87,355.30 |
— |
| Tx Missed Abortion First Trimester Surgical (59820) |
— |
$32,383.33 |
— |
| Tx Missed Abortion Second Trimester Surgical (59821) |
— |
$36,265.15 |
— |
| Tx open tendon flexor toe 1 tendon spx (28232) |
— |
$44,624.50 |
— |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
— |
$41,381.25 |
— |
| Tx tibl shft fx imed implt w/wo screws&/cercla (27759) |
— |
$59,238.50 |
— |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
— |
$2,202 |
— |
| Unlisted fetal invasive px w/ultrasound (59897) |
— |
$34,903.95 |
— |
| Unlisted hysteroscopy procedure, uterus (58579) |
— |
$26,655 |
— |
| Unlisted laparoscopy procedure stomach (43659) |
— |
$42,974.99 |
— |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
— |
$75,350.82 |
— |
| Unlisted laparoscopy procedure, bladder (51999) |
— |
$71,650.50 |
— |
| Unlisted laparoscopy procedure, esophagus (43289) |
— |
$53,075.23 |
— |
| Unlisted laparoscopy procedure, hernioplasty, herniorrhaphy, herniotomy (49659) |
— |
$58,897.63 |
— |
| Unlisted laparoscopy procedure, intestine (except rectum) (44238) |
— |
$128,700.31 |
— |
| Unlisted laparoscopy procedure, spermatic cord (55559) |
— |
$64,903.25 |
— |
| Unlisted procedure anus (46999) |
— |
$57,038.50 |
— |
| Unlisted procedure excision pressure ulcer (15999) |
— |
$71,311.88 |
— |
| Unlisted procedure femur or knee (27599) |
— |
$72,215.50 |
— |
| Unlisted Procedure Hands/Fingers (26989) |
— |
$78,829 |
— |
| Unlisted Procedure Intestine (44799) |
— |
$75,671.29 |
— |
| Unlisted Procedure Leg/Ankle (27899) |
— |
$124,473.20 |
— |
| Unlisted procedure liver (47399) |
— |
$34,903.95 |
— |
| Unlisted Procedure Male Genital System (55899) |
— |
$35,296 |
— |
| Unlisted Procedure Muscskeletal System General (20999) |
— |
$58,725.62 |
— |
| Unlisted procedure nervous system (64999) |
— |
$76,606.13 |
— |
| Unlisted procedure pelvis/hip joint (27299) |
— |
$63,850 |
— |
| Unlisted procedure stomach (43999) |
— |
$69,768.50 |
— |
| Unlisted Procedure Trachea Bronchi (31899) |
— |
$96,482.45 |
— |
| Unlisted Procedure, Urinary System (53899) |
— |
$90,009 |
— |
| Unlisted px female genital system nonobstetrical (58999) |
— |
$41,612.50 |
— |
| Unlisted vascular endoscopy procedure (37501) |
— |
$56,937 |
— |
| Upgrade of pacemaker system (33214) |
— |
$51,477.87 |
— |
| Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography,… (50961) |
— |
$56,215 |
— |
| Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of… (50972) |
— |
$48,056.10 |
— |
| Vaginal Delivery After Cesarean Delivery (59612) |
— |
$34,903.95 |
— |
| Vaginal delivery only (59409) |
— |
$34,903.95 |
— |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
— |
$39,490.55 |
— |
| Wound Prep F/N/Hf/G (15004) |
— |
$73,487.83 |
— |
| Wound Prep Trk/Arm/Leg (15002) |
— |
$73,487.83 |
— |