| Abd paracentesis w/imaging (49083) |
$561.90 |
$1,873 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$561.90 |
$1,873 |
0.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$546 |
$1,820 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$138.30 |
$461 |
2.6× |
| Application finger splint static (29130) |
$58.65 |
$195.50 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$58.65 |
$195.50 |
0.4× |
| Application Long Leg Splint (29505) |
$58.65 |
$195.50 |
0.4× |
Application of rigid total contact leg cast (29445)
range across 4 matching MRF lines |
$119.85–$172.35 |
$399.50–$574.50 |
varies |
| Application Short Arm Splint Dynamic (29126) |
$134.10 |
$447 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$58.65 |
$195.50 |
0.5× |
| Application short leg splint calf foot (29515) |
$58.65 |
$195.50 |
0.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$100.95 |
$336.50 |
0.7× |
| Arterial puncture (36600) |
$52.95 |
$176.50 |
0.4× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 8 matching MRF lines |
$186.75–$564.48 |
$622.50–$1,881.60 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$318.30 |
$1,061 |
1.1× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$137.70 |
$459 |
0.5× |
Aspirate pleura w/ imaging (32555)
range across 4 matching MRF lines |
$421.05–$544.50 |
$1,403.50–$1,815 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$262.80 |
$876 |
0.5× |
| Aspirate/Inj Ganglion Cyst (20612) |
$194.40 |
$648 |
0.7× |
| Aspiration Bladder Needle (51100) |
$167.85 |
$559.50 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$131.10 |
$437 |
0.7× |
| Biopsy bone open superficial (20240) |
$4,873.23 |
$16,244.10 |
1.9× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,916.43 |
$9,721.44 |
2.0× |
| Biopsy nail unit (11755) |
$444.60 |
$1,482 |
0.7× |
| Bladder Irrigation (51700) |
$105.90 |
$353 |
0.5× |
| Bladder Scan (51798) |
$87.15 |
$290.50 |
1.6× |
Blood Transfusion Service (36430)
range across 8 matching MRF lines |
$291–$690.30 |
$970–$2,301 |
varies |
| Bx breast 1st lesion us imag (19083) |
$680.55 |
$2,268.50 |
0.5× |
| Catheter aspiration nasotracheal spx (31720) |
$366.15 |
$1,220.50 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$204.90 |
$683 |
0.9× |
| Change of Windpipe Airway (31502) |
$145.65 |
$485.50 |
0.7× |
Chemical Cautery Tissue (17250)
range across 4 matching MRF lines |
$124.95–$128.40 |
$416.50–$428 |
varies |
| Chest tube placement (32551) |
$873.90 |
$2,913 |
0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$995.40 |
$3,318 |
0.7× |
| Clear outer ear canal (69200) |
$244.67 |
$815.58 |
2.0× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$154.20 |
$514 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$154.20 |
$514 |
0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$147.45 |
$491.50 |
0.7× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$154.20 |
$514 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$154.20 |
$514 |
0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$987.60 |
$3,292 |
0.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$191.10 |
$637 |
0.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$969 |
$3,230 |
0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$762.90 |
$2,543 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$154.20 |
$514 |
0.7× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$962.70 |
$3,209 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$969 |
$3,230 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$81.45 |
$271.50 |
0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$968.85 |
$3,229.50 |
0.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$154.20 |
$514 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$762.90 |
$2,543 |
0.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$147.45 |
$491.50 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$150.45 |
$501.50 |
0.7× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$154.20 |
$514 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$150.45 |
$501.50 |
0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$164.25 |
$547.50 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$453.61 |
$1,512.06 |
2.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$192 |
$640 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$150.45 |
$501.50 |
0.7× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$81.45 |
$271.50 |
0.4× |
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines |
$11.70–$16.50 |
$39–$55 |
varies |
| Complex drainage wound (10180) |
$1,694.25 |
$5,647.50 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$59.10 |
$197 |
0.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$59.10 |
$197 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$59.10 |
$197 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$374.70 |
$1,249 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$374.70 |
$1,249 |
0.6× |
| Debride nail 1-5 (11720) |
$39.75 |
$132.50 |
0.7× |
| Debride nail 6 or more (11721) |
$39.75 |
$132.50 |
0.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,005.90 |
$3,353 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$247.20 |
$824 |
0.7× |
| Destruct B9 Lesion 1-14 (17110) |
$128.40 |
$428 |
0.7× |
| Destruction of skin lesions (17106) |
$247.20 |
$824 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$128.40 |
$428 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,302.24 |
$4,340.82 |
2.0× |
| Drainage of finger abscess simple (26010) |
$368.96 |
$1,229.88 |
2.0× |
| Drainage of gum lesion (41800) |
$52.20 |
$174 |
0.4× |
| Draw Blood Off Venous Device (36591) |
$38.85 |
$129.50 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$196.05 |
$653.50 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$187.50 |
$625 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$178.95 |
$596.50 |
1.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,097.70 |
$3,659 |
0.4× |
Egd intrmural us needle aspirate/biopsy esophags (43238)
range across 2 matching MRF lines |
$456.90–$1,092 |
$1,523–$3,640 |
varies |
| Epidural Blood Patch (62273) |
$460.65 |
$1,535.50 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$82.35 |
$274.50 |
0.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$444.60 |
$1,482 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,037.26 |
$10,124.22 |
2.0× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,005.90 |
$3,353 |
0.7× |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403)
range across 4 matching MRF lines |
$444.60–$579.45 |
$1,482–$1,931.50 |
varies |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,694.25 |
$5,647.50 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,072.05 |
$3,573.50 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,005.90 |
$3,353 |
0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$247.20 |
$824 |
0.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$444.60 |
$1,482 |
0.7× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$1,005.90 |
$3,353 |
0.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,307.25 |
$4,357.50 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$444.60 |
$1,482 |
0.7× |
| Fetal non-stress test (59025) |
$118.80 |
$396 |
0.6× |
| Fluoro exam of g/colon tube (49465) |
$277.20 |
$924 |
1.3× |
| Foreskin manipulation (54450) |
$194.25 |
$647.50 |
0.9× |
I&d abscess simple (10060)
range across 3 matching MRF lines |
$128.40–$178.50 |
$428–$595 |
varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,694.25 |
$5,647.50 |
0.6× |
| I&d perianal abscess superficial (46050) |
$546 |
$1,820 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$1,151.10 |
$3,837 |
1.8× |
| Incise external hemorrhoid (46083) |
$167.85 |
$559.50 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$247.20 |
$824 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$981.30 |
$3,271 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$252.30 |
$841 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$118.80 |
$396 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$201.15 |
$670.50 |
0.7× |
| Incision of rectal abscess (46040) |
$1,260 |
$4,200 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$374.70 |
$1,249 |
0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$124.95 |
$416.50 |
0.7× |
| Injection therapeutic carpal tunnel (20526) |
$564.48 |
$1,881.60 |
2.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$446.85 |
$1,489.50 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$299.37 |
$997.92 |
1.6× |
| Insert Anter Drainage Dev W/O Extraoc Reservoir (66183) |
$2,859.15 |
$9,530.50 |
0.8× |
| Insert Bladder Cath Complex (51703) |
$57.90 |
$193 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$1,166.10 |
$3,887 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$125.70 |
$419 |
1.0× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 4 matching MRF lines |
$97.05–$99.30 |
$323.50–$331 |
varies |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,166.10 |
$3,887 |
0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$740.40 |
$2,468 |
0.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$146.25 |
$487.50 |
0.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$146.25 |
$487.50 |
0.4× |
| Intubation endotracheal emergency procedure (31500) |
$385.05 |
$1,283.50 |
1.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$161.40 |
$538 |
0.7× |
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines |
$530.10–$1,502.40 |
$1,767–$5,008 |
varies |
| Laryngoscopy diagnostic (31505) |
$1,096.65 |
$3,655.50 |
6.1× |
| Late closure of wound (13160) |
$1,226.25 |
$4,087.50 |
0.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$5,466.61 |
$18,222.06 |
1.9× |
| Myelography Lumbar Injection (62304) |
$523.50 |
$1,745 |
0.7× |
| Myelography via lumbar injection rs&i cervical (62302) |
$421.35 |
$1,404.50 |
0.6× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$421.35 |
$1,404.50 |
0.6× |
| Nasal Endoscopy Dx (31231) |
$139.65 |
$465.50 |
0.8× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$718.35 |
$2,394.50 |
1.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$187.05 |
$623.50 |
0.7× |
| Occipital Nerve Block (64405) |
$187.05 |
$623.50 |
0.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$4,276.50 |
$14,255 |
0.7× |
| Perq Vertebral Augmentation (22513) |
$4,276.50 |
$14,255 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$259.95 |
$866.50 |
0.6× |
Punch biopsy skin single lesion (11104)
range across 4 matching MRF lines |
$171.60–$247.20 |
$572–$824 |
varies |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 4 matching MRF lines |
$169.95–$247.20 |
$566.50–$824 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$413.55 |
$1,378.50 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,005.90 |
$3,353 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$39.30 |
$131 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$39.30 |
$131 |
0.7× |
| Removal of foreign body from pharynx (42809) |
$282.15 |
$940.50 |
0.7× |
Removal of nail bed (11750)
range across 4 matching MRF lines |
$247.20–$263.25 |
$824–$877.50 |
varies |
| Removal or bivalving full arm or full leg cast (29705) |
$164.25 |
$547.50 |
0.6× |
| Remove foreign body from eye (65205) |
$50.10 |
$167 |
0.4× |
| Remove Nasal Foreign Body (30300) |
$210.90 |
$703 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$214.35 |
$714.50 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$225 |
$750 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$228.45 |
$761.50 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$240 |
$800 |
0.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$355.35 |
$1,184.50 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$374.70 |
$1,249 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$214.35 |
$714.50 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$214.35 |
$714.50 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$163.80 |
$546 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$653.70 |
$2,179 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$146.25 |
$487.50 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$355.35 |
$1,184.50 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$653.70 |
$2,179 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$653.70 |
$2,179 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$747.57 |
$2,491.92 |
2.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$163.80 |
$546 |
0.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,001.55 |
$3,338.50 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$653.70 |
$2,179 |
1.8× |
| Repair tongue laceration (41252) |
$145.65 |
$485.50 |
0.7× |
| Repair tongue laceration (41250) |
$264 |
$880 |
0.7× |
| Reposition Pacing-Defib Lead (33215) |
$1,981.05 |
$6,603.50 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$652.95 |
$2,176.50 |
1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$50.10 |
$167 |
0.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$259.95 |
$866.50 |
0.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$1,694.25 |
$5,647.50 |
0.6× |
| Rplc Gtube No Revj Trc (43762) |
$281.10 |
$937 |
1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$68.85 |
$229.50 |
0.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$409.50 |
$1,365 |
0.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$964.65 |
$3,215.50 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$247.20 |
$824 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$68.85 |
$229.50 |
0.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$68.85 |
$229.50 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$68.85 |
$229.50 |
0.4× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$68.85 |
$229.50 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$68.85 |
$229.50 |
0.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$68.85 |
$229.50 |
0.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$68.85 |
$229.50 |
0.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,250.55 |
$4,168.50 |
1.9× |
| Skin sub graft trnk/arm/leg (15271) |
$1,250.55 |
$4,168.50 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$68.85 |
$229.50 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$653.70 |
$2,179 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$653.70 |
$2,179 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$428.25 |
$1,427.50 |
0.7× |
| Strapping ankle (29540) |
$58.65 |
$195.50 |
0.4× |
| Strapping elbow or wrist (29260) |
$58.65 |
$195.50 |
1.1× |
| Strapping knee (29530) |
$58.65 |
$195.50 |
0.5× |
| Strapping shoulder (29240) |
$58.65 |
$195.50 |
0.5× |
| Strapping thorax (29200) |
$52.35 |
$174.50 |
0.4× |
| Strapping toes (29550) |
$52.35 |
$174.50 |
1.0× |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
$52.35–$100.95 |
$174.50–$336.50 |
varies |
| Tangential biopsy skin single lesion (11102) |
$128.40 |
$428 |
0.3× |
| Thrombolytic Therapy Stroke (37195) |
$264.60 |
$882 |
0.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$145.65 |
$485.50 |
0.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$964.65 |
$3,215.50 |
0.7× |
| Translum Dil Eye Canal (66174) |
$2,859.15 |
$9,530.50 |
0.8× |
| Treat Knuckle Dislocation (26700) |
$165 |
$550 |
0.7× |
| Treat Thumb Dislocation (26641) |
$154.20 |
$514 |
0.7× |
| Treat toe dislocation (28630) |
$154.20 |
$514 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$81.45 |
$271.50 |
0.4× |
| Trim skin lesion (11055) |
$128.40 |
$428 |
0.7× |
| Trim skin lesions 2 to 4 (11056) |
$128.40 |
$428 |
0.7× |
| Trim skin lesions over 4 (11057) |
$128.40 |
$428 |
0.7× |
| Trluml Balo Angiop 1St Vein (37248) |
$12,750 |
$42,500 |
2.5× |
| Tx Gastro Intub W/Asp (43753) |
$288.45 |
$961.50 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$355.35 |
$1,184.50 |
0.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$228.45 |
$761.50 |
0.6× |
| Vaginal delivery only (59409) |
$1,019.10 |
$3,397 |
0.3× |
| Wedge excision skin nail fold (11765) |
$252.30 |
$841 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$374.70 |
$1,249 |
1.0× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,226.25 |
$4,087.50 |
1.8× |