| Abd paracentesis w/imaging (49083) |
$1,490 |
$2,980 |
1.5× |
Ablation 1/> liver tumor perq cryoablation (47383)
unusually low: confirm this is the full procedure |
$5,390 |
$10,780 |
0.5× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
likely a partial charge, not the full procedure |
$4,570 |
$9,140 |
0.2× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$4,900 |
$9,800 |
0.6× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,550 |
$7,100 |
2.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,950 |
$3,900 |
0.9× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,605 |
$5,210 |
1.2× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$1,950 |
$3,900 |
0.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,950 |
$3,900 |
0.9× |
| Amniocentesis diagnostic (59000) |
$500 |
$1,000 |
0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,630 |
$7,260 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,630 |
$7,260 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$5,780 |
$11,560 |
1.6× |
| Amputation toe metatarsophalangeal joint (28820) |
$5,780 |
$11,560 |
1.6× |
| Apheresis Platelets (36513) |
$2,195 |
$4,390 |
4.6× |
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 2 matching MRF lines |
$222.50–$265 |
$445–$530 |
varies |
| Application cast elbow finger short arm (29075) |
$307.50 |
$615 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$135 |
$270 |
2.1× |
Application finger splint static (29130)
range across 2 matching MRF lines |
$160–$245 |
$320–$490 |
varies |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$360–$370 |
$720–$740 |
varies |
Application Long Leg Splint (29505)
range across 2 matching MRF lines |
$360–$370 |
$720–$740 |
varies |
| Application of long leg cast (29345) |
$540 |
$1,080 |
1.8× |
| Application of rigid total contact leg cast (29445) |
$535 |
$1,070 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$265 |
$530 |
1.8× |
Application short arm splint forearm-hand static (29125)
range across 3 matching MRF lines |
$245–$300 |
$490–$600 |
varies |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
$305–$370 |
$610–$740 |
varies |
| Apply long arm cast (29065) |
$362.50 |
$725 |
1.2× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$295–$360 |
$590–$720 |
varies |
Apply Short Leg Cast (29405)
range across 3 matching MRF lines |
$420–$635 |
$840–$1,270 |
varies |
| Arterial puncture (36600) |
$125 |
$250 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$437.50 |
$875 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$705 |
$1,410 |
0.9× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$545–$1,060 |
$1,090–$2,120 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$545 |
$1,090 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$437.50 |
$875 |
1.3× |
| Aspirate pleura w/ imaging (32555) |
$1,215 |
$2,430 |
1.8× |
Aspirate Pleura W/O Imaging (32554)
range across 2 matching MRF lines |
$1,215–$1,370 |
$2,430–$2,740 |
varies |
| Aspiration and/or injection thyroid cyst (60300) |
$1,120 |
$2,240 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$362.50 |
$725 |
1.7× |
| Biliary Endo Prq T-Tube Dx W/Collect Spec Brush (47552) |
$5,080 |
$10,160 |
0.7× |
| Biliary ndsc prq t-tube w/bx single/multiple (47553) |
$5,390 |
$10,780 |
0.8× |
| Biopsy Abdominal Mass (49180) |
$2,195 |
$4,390 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$2,195 |
$4,390 |
1.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,760 |
$3,520 |
1.0× |
| Biopsy muscle percutaneous needle (20206) |
$1,760 |
$3,520 |
1.0× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,625 |
$5,250 |
1.5× |
| Biopsy Pleura Percutaneous Needle (32400) |
$2,195 |
$4,390 |
1.2× |
| Biopsy Salivary Gland Needle (42400) |
$1,400 |
$2,800 |
1.8× |
| Biopsy soft tissue neck/thorax (21550) |
$2,935 |
$5,870 |
1.6× |
| Biopsy Soft Tissue Shoulder Deep (23066) |
$3,815 |
$7,630 |
1.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$3,550 |
$7,100 |
1.1× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$2,470 |
$4,940 |
1.4× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,255 |
$2,510 |
1.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$1,255 |
$2,510 |
1.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$392.50 |
$785 |
0.5× |
| Bladder Irrigation (51700) |
$515 |
$1,030 |
1.9× |
| Bladder Scan (51798) |
$135 |
$270 |
2.1× |
| Blepharotomy drainage abscess eyelid (67700) |
$287.50 |
$575 |
0.8× |
| Blood Transfusion Service (36430) |
$1,005 |
$2,010 |
2.1× |
| Bone Marrow Biopsy (38221) |
$1,030 |
$2,060 |
0.6× |
| Bone Marrow; Aspiration Only (38220) |
$855 |
$1,710 |
0.5× |
| Bronchoscopy Clear Airways (31645) |
$2,310 |
$4,620 |
1.2× |
| Bx breast 1st lesion mr imag (19085) |
$2,495 |
$4,990 |
1.4× |
| Bx breast 1st lesion strtctc (19081) |
$2,420 |
$4,840 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$2,420 |
$4,840 |
1.4× |
| Canthotomy Separate Procedure (67715) |
$2,280 |
$4,560 |
0.9× |
| Cessj Therapy Cath Removal (37214) |
$1,605 |
$3,210 |
0.5× |
| Change Cystostomy Tube Simple (51705) |
$515 |
$1,030 |
1.9× |
Change ureter stent percut (50382)
range across 2 matching MRF lines |
$2,920–$3,190 |
$5,840–$6,380 |
varies |
| Chemical Cautery Tissue (17250) |
$300 |
$600 |
1.4× |
Chest tube placement (32551)
range across 2 matching MRF lines |
$1,790–$3,580 |
$3,580–$7,160 |
varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,930 |
$5,860 |
1.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$5,160 |
$10,320 |
1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,790 |
$3,580 |
1.0× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$190–$275 |
$380–$550 |
varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$270 |
$540 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$270 |
$540 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$270 |
$540 |
1.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,790 |
$3,580 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$270 |
$540 |
1.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,790 |
$3,580 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,790 |
$3,580 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$270 |
$540 |
1.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,790 |
$3,580 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,790 |
$3,580 |
1.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,790 |
$3,580 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$265 |
$530 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$275 |
$550 |
1.1× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$580 |
$1,160 |
1.0× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650)
range across 2 matching MRF lines |
$270–$540 |
$540–$1,080 |
varies |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,790 |
$3,580 |
1.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$270 |
$540 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$270 |
$540 |
1.0× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605)
range across 2 matching MRF lines |
$1,790–$3,580 |
$3,580–$7,160 |
varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,790 |
$3,580 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,790 |
$3,580 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$270 |
$540 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$270 |
$540 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,790 |
$3,580 |
1.0× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,790 |
$3,580 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$270 |
$540 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,790 |
$3,580 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$270 |
$540 |
1.0× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$2,040 |
$4,080 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$270 |
$540 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$270 |
$540 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$270 |
$540 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$270 |
$540 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,790 |
$3,580 |
1.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$270 |
$540 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$270 |
$540 |
1.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,790 |
$3,580 |
1.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,790 |
$3,580 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,790 |
$3,580 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$192.50 |
$385 |
1.3× |
| Collection of venous blood by venipuncture (36415) |
$22.50 |
$45 |
2.4× |
| Colporrhaphy (57200) |
$3,105 |
$6,210 |
0.9× |
| Complex drainage wound (10180) |
$3,035 |
$6,070 |
1.0× |
| Composite Skin Graft (15760) |
$2,195 |
$4,390 |
1.0× |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines |
$150–$300 |
$300–$600 |
varies |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$150–$300 |
$300–$600 |
varies |
| Control oropharyngeal hemorrhage simple (42960) |
$322.50 |
$645 |
0.6× |
| Conversion ext bil drg cath (47535) |
$5,090 |
$10,180 |
1.3× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$2,445 |
$4,890 |
1.2× |
| Convert Nephrostomy Catheter (50434) |
$1,550 |
$3,100 |
0.7× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,140 |
$4,280 |
1.2× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines |
$150–$300 |
$300–$600 |
varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$275 |
$550 |
1.1× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,295 |
$4,590 |
1.0× |
| Cystostomy Cystotomy W/Drainage (51040) |
$2,295 |
$4,590 |
1.0× |
| Cystourethroscopy (52000) |
$1,080 |
$2,160 |
1.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,035 |
$6,070 |
1.0× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$7,450 |
$14,900 |
3.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,160 |
$2,320 |
1.5× |
| Debride nail 1-5 (11720) |
$137.50 |
$275 |
2.2× |
| Debride nail 6 or more (11721) |
$130 |
$260 |
2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,030 |
$4,060 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$665 |
$1,330 |
1.5× |
| Declot vascular device (36593) |
$472.50 |
$945 |
1.3× |
| Delivery of placenta (59414) |
$1,680 |
$3,360 |
0.5× |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$2,300–$2,840 |
$4,600–$5,680 |
varies |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,910 |
$5,820 |
1.4× |
| Dilat Xst Trc New Access Rcs (50437) |
$5,020 |
$10,040 |
1.3× |
| Dilate Urethra Stricture (53620) |
$740 |
$1,480 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$800 |
$1,600 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,790 |
$3,580 |
1.0× |
| Drainage of finger abscess simple (26010) |
$240 |
$480 |
1.1× |
| Drainage of gum lesion (41800) |
$150 |
$300 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$1,780 |
$3,560 |
1.0× |
| Drainage of hydrocele (55000) |
$860 |
$1,720 |
1.1× |
| Drainage of scrotal wall abscess (55100) |
$1,800 |
$3,600 |
1.0× |
| Drainage of scrotum (54700) |
$2,930 |
$5,860 |
1.3× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$3,695 |
$7,390 |
1.1× |
| Draw Blood Off Venous Device (36591) |
$205 |
$410 |
1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$800 |
$1,600 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$515 |
$1,030 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$442.50 |
$885 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$337.50 |
$675 |
1.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,220 |
$2,440 |
1.3× |
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines |
$1,310–$1,620 |
$2,620–$3,240 |
varies |
| Dx Bronchoscope/Wash (31622) |
$2,095 |
$4,190 |
1.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,665 |
$3,330 |
2.2× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$497.50 |
$995 |
1.5× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$497.50 |
$995 |
1.5× |
| Endometrial Biopsy (58100) |
$1,290 |
$2,580 |
5.9× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,410 |
$6,820 |
1.0× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$4,195 |
$8,390 |
1.2× |
| Endoven ther chem adhes 1st (36482) |
$4,150 |
$8,300 |
0.7× |
| Epidural Blood Patch (62273) |
$885 |
$1,770 |
1.2× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$4,460 |
$8,920 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$145 |
$290 |
1.0× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,790 |
$3,580 |
1.0× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$855 |
$1,710 |
1.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$4,070 |
$8,140 |
1.1× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435)
range across 2 matching MRF lines |
$1,050–$1,720 |
$2,100–$3,440 |
varies |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,850 |
$5,700 |
1.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,195 |
$4,390 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$3,385 |
$6,770 |
1.9× |
| External cephalic version (59412) |
$1,725 |
$3,450 |
0.5× |
| Fasciotomy, foot and/or toe (28008) |
$5,065 |
$10,130 |
1.4× |
| Fetal Contraction Stress Test (59020) |
$452.50 |
$905 |
2.1× |
| Fetal non-stress test (59025) |
$450 |
$900 |
2.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$2,035 |
$4,070 |
2.7× |
| Fine needle aspiration without imaging guidance (10021) |
$372.50 |
$745 |
0.8× |
| Fluid Pressure Muscle (20950) |
$1,300 |
$2,600 |
1.7× |
| Fluoro exam of g/colon tube (49465) |
$430 |
$860 |
1.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,805 |
$3,610 |
2.4× |
| Fna bx w/us gdn 1st les (10005) |
$1,620 |
$3,240 |
2.1× |
| Foreskin manipulation (54450) |
$340 |
$680 |
1.3× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$1,950 |
$3,900 |
0.9× |
| Guide Cathet Fluid Drainage (10030) |
$1,275 |
$2,550 |
1.7× |
| Hem heprn nduc trmbctpna srm (0275U) |
$310 |
$620 |
16.9× |
| I&d abscess peritonsillar (42700) |
$275 |
$550 |
1.1× |
| I&d abscess simple (10060) |
$480 |
$960 |
2.2× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,035 |
$6,070 |
1.0× |
| I&d perianal abscess superficial (46050) |
$1,020 |
$2,040 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$800 |
$1,600 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$570 |
$1,140 |
0.7× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,035 |
$6,070 |
1.0× |
| Icd Pocket Revision (33223) |
$2,960 |
$5,920 |
1.3× |
| Image Cath Fluid Colxn Visc (49405) |
$2,195 |
$4,390 |
1.2× |
| Image Cath Fluid Peri/Retro (49406) |
$2,195 |
$4,390 |
1.2× |
| Incise external hemorrhoid (46083) |
$470 |
$940 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$605 |
$1,210 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$465 |
$930 |
1.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$472.50 |
$945 |
2.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$362.50 |
$725 |
1.1× |
| Incision of rectal abscess (46040) |
$1,330 |
$2,660 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$690 |
$1,380 |
0.9× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$295 |
$590 |
1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,220 |
$2,440 |
1.3× |
| Inj W/Fluor Eval Cv Device (36598) |
$500 |
$1,000 |
2.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,135 |
$2,270 |
1.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$412.50 |
$825 |
1.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,135 |
$2,270 |
1.2× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,135 |
$2,270 |
1.2× |
| Injection for identification of sentinel node (38792) |
$710 |
$1,420 |
1.6× |
| Injection single tendon origin/insertion (20551) |
$412.50 |
$825 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$500 |
$1,000 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$625 |
$1,250 |
1.9× |
| Injection therapeutic carpal tunnel (20526) |
$670 |
$1,340 |
2.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,300 |
$2,600 |
1.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$905 |
$1,810 |
1.2× |
| Ins cath ren art 1st bilat (36252) |
$4,610 |
$9,220 |
1.4× |
| Ins cath ren art 1st unilat (36251) |
$5,120 |
$10,240 |
1.5× |
| Ins cath ren art 2nd+ bilat (36254) |
$4,045 |
$8,090 |
1.2× |
| Ins cath ren art 2nd+ unilat (36253) |
$3,555 |
$7,110 |
0.6× |
| Ins endovas vena cava filtr (37191) |
$5,190 |
$10,380 |
0.9× |
| Ins/Rep Subq Defibrillator (33270) |
$39,785 |
$79,570 |
1.2× |
| Insert 1 Electrode Pm-Defib (33216) |
$9,090 |
$18,180 |
1.0× |
| Insert Bladder Cath Complex (51703) |
$245 |
$490 |
1.8× |
| Insert cath pleura w/ image (32557) |
$1,215 |
$2,430 |
0.7× |
| Insert cath pleura w/o image (32556) |
$3,490 |
$6,980 |
1.7× |
| Insert Cecostomy/Other Colonic Tube Percutaneous (49442) |
$2,180 |
$4,360 |
1.7× |
| Insert Drug Implant Device (11981) |
$270 |
$540 |
1.9× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,445 |
$4,890 |
1.2× |
| Insert Heart Pm Atrial (33206) |
$12,270 |
$24,540 |
1.1× |
| Insert Heart Pm Ventricular (33207) |
$11,825 |
$23,650 |
1.0× |
Insert hepatic shunt (tips) (37182)
likely a partial charge, not the full procedure |
$5,510 |
$11,020 |
0.3× |
| Insert non-tunnel cv cath (36556) |
$1,460 |
$2,920 |
0.4× |
| Insert Pacing Lead & Connect (33224) |
$12,270 |
$24,540 |
1.1× |
| Insert pulse gen dual leads (33213) |
$12,140 |
$24,280 |
1.1× |
| Insert pulse gen mult leads (33221) |
$22,150 |
$44,300 |
1.1× |
| Insert Pulse Gen Sngl Lead (33212) |
$8,770 |
$17,540 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$245 |
$490 |
1.7× |
| Insert tun ip cath perc (49418) |
$4,135 |
$8,270 |
1.1× |
| Insert tunneled cv cath (36561) |
$5,035 |
$10,070 |
1.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$6,960 |
$13,920 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$220 |
$440 |
1.5× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,980 |
$9,960 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,635 |
$3,270 |
1.0× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$9,090 |
$18,180 |
1.0× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$5,090 |
$10,180 |
1.3× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$8,770 |
$17,540 |
1.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,215 |
$2,430 |
0.4× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,950 |
$3,900 |
2.9× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,075 |
$8,150 |
1.2× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$4,195 |
$8,390 |
1.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,215 |
$2,430 |
0.7× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$9,090 |
$18,180 |
1.0× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$4,195 |
$8,390 |
1.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,665 |
$7,330 |
1.1× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$33,815 |
$67,630 |
1.0× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$9,090 |
$18,180 |
1.0× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$9,090 |
$18,180 |
1.0× |
| Insrt heart pm atrial & vent (33208) |
$12,270 |
$24,540 |
1.1× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$28,720 |
$57,440 |
1.2× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$39,930 |
$79,860 |
1.2× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$28,720 |
$57,440 |
1.2× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,195 |
$4,390 |
1.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$800 |
$1,600 |
1.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$865 |
$1,730 |
2.0× |
| Intro cath dialysis circuit (36901) |
$2,035 |
$4,070 |
1.2× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$15,625 |
$31,250 |
1.3× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$6,360 |
$12,720 |
1.0× |
| Intro Gastrointestinal Tube (44500) |
$1,245 |
$2,490 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$565 |
$1,130 |
2.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$515 |
$1,030 |
1.9× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$62.50 |
$125 |
1.7× |
| Laryngoscopy flexible diagnostic (31575) |
$215 |
$430 |
1.0× |
| Ligate leg veins open (37761) |
$3,920 |
$7,840 |
1.2× |
Lithotripsy, extracorporeal shock wave (50590)
range across 2 matching MRF lines |
$6,445–$7,515 |
$12,890–$15,030 |
varies |
| Lyse chest fibrin init day (32561) |
$1,250 |
$2,500 |
1.8× |
| Lyse Chest Fibrin Subq Day (32562) |
$1,230 |
$2,460 |
1.8× |
| Mech Remov Intralum Obstr Cv Dev Thru Lumen (36596) |
$1,535 |
$3,070 |
0.9× |
| Mech remov tunneled cv cath (36595) |
$4,195 |
$8,390 |
1.2× |
| Musc myocutaneous/fasciocutaneous flap uxtr (15736) |
$2,195 |
$4,390 |
1.0× |
| Musc myoq/fscq flap head&neck w/named vasc pedcl (15733) |
$4,010 |
$8,020 |
1.0× |
| Myelography Lumbar Injection (62305) |
$1,195 |
$2,390 |
1.4× |
| Myelography Lumbar Injection (62304) |
$935 |
$1,870 |
1.1× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,195 |
$2,390 |
1.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,195 |
$2,390 |
1.4× |
| N Block Inj Celiac Pelus (64530) |
$1,135 |
$2,270 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$890 |
$1,780 |
1.2× |
| N block inj intercost sng (64420) |
$895 |
$1,790 |
1.2× |
| N Block Lumbar/Thoracic (64520) |
$1,220 |
$2,440 |
1.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$560 |
$1,120 |
1.2× |
| Needle Biopsy Lymph Nodes (38505) |
$1,610 |
$3,220 |
0.9× |
| Needle Biopsy Pancreas (48102) |
$2,195 |
$4,390 |
1.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$785 |
$1,570 |
1.9× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,460 |
$4,920 |
1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$477.50 |
$955 |
1.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,135 |
$8,270 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$5,165 |
$10,330 |
1.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,245 |
$2,490 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,145 |
$2,290 |
1.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,050 |
$2,100 |
1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,315 |
$2,630 |
1.7× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$477.50 |
$955 |
1.1× |
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 2 matching MRF lines |
$645–$870 |
$1,290–$1,740 |
varies |
| Njx Sclrsnt Spider Veins (36468) |
$302.50 |
$605 |
0.7× |
| Obstructive material removal from gi tube (49460) |
$925 |
$1,850 |
0.9× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$477.50–$640 |
$955–$1,280 |
varies |
| Onc Hl Neo Gen Seq Alys Alg (0364U) |
$3,055 |
$6,110 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$3,630 |
$7,260 |
1.0× |
| Open tx interphalangeal joint dislocation (26785) |
$3,320 |
$6,640 |
0.9× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,630 |
$7,260 |
1.0× |
| Open/Perq Place Stent 1St (37236) |
$10,460 |
$20,920 |
0.8× |
| Open/Perq Place Stent Same (37238) |
$12,785 |
$25,570 |
1.0× |
| Partical Excision Bone Phalanx Toe (28124) |
$3,905 |
$7,810 |
1.1× |
| Perc Cryo Ablate Renal Tum (50593) |
$9,085 |
$18,170 |
0.8× |
Perc Rf Ablate Renal Tumor (50592)
range across 2 matching MRF lines |
$5,390–$6,470 |
$10,780–$12,940 |
varies |
| Percut Ablate Liver Rf (47382) |
$4,315 |
$8,630 |
0.7× |
| Percut Cath Occlusn Non Cns Lesn (61626) |
$12,495 |
$24,990 |
1.0× |
Percut Drain/Inject Renal Cyst (50390)
range across 2 matching MRF lines |
$750–$1,120 |
$1,500–$2,240 |
varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$4,195 |
$8,390 |
1.2× |
| Pericardiocentesis W/Imaging (33016) |
$1,620 |
$3,240 |
1.0× |
| Peritoneal Lavage (49084) |
$1,245 |
$2,490 |
1.3× |
Perm Occlusion/Embolization,Percut,Cns (61624)
likely a partial charge, not the full procedure |
$2,840 |
$5,680 |
0.1× |
| Perq av fistula creation uxtr sep access sites (36837) |
$18,175 |
$36,350 |
0.9× |
| Perq av fistula creation uxtr single access (36836) |
$15,580 |
$31,160 |
0.8× |
| Perq Cervicothoracic Inject (22510) |
$8,245 |
$16,490 |
2.3× |
| Perq dev breast 1st mr guide (19287) |
$955 |
$1,910 |
1.2× |
| Perq dev breast 1st strtctc (19283) |
$1,340 |
$2,680 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$1,055 |
$2,110 |
1.4× |
| Perq device breast 1st imag (19281) |
$1,070 |
$2,140 |
0.6× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,150 |
$6,300 |
0.8× |
| Perq Lumbosacral Injection (22511) |
$4,625 |
$9,250 |
1.3× |
| Perq p-art revsc 1 nm nt uni (33900) |
$10,705 |
$21,410 |
0.9× |
| Perq p-art revsc st 1st abnor connj unilateral (33902) |
$17,310 |
$34,620 |
0.9× |
| Perq p-art revsc st 1st abnormal connj bilateral (33903) |
$21,635 |
$43,270 |
1.7× |
| Perq p-art revsc st 1st nml native connj bi (33901) |
$13,385 |
$26,770 |
1.1× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,170 |
$2,340 |
1.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$12,785 |
$25,570 |
1.0× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$6,950 |
$13,900 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,485 |
$16,970 |
1.1× |
| Perq Vertebral Augmentation (22513) |
$9,280 |
$18,560 |
1.2× |
| Phleb Veins - Extrem 20+ (37766) |
$4,355 |
$8,710 |
1.3× |
Place Cath Subclavian Art (36225)
range across 3 matching MRF lines |
$3,555–$4,720 |
$7,110–$9,440 |
varies |
| Place Cath Thoracic Aorta (36221) |
$4,195 |
$8,390 |
1.2× |
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines |
$4,970–$5,960 |
$9,940–$11,920 |
varies |
| Place Duod/Jej Tube Perc (49441) |
$2,375 |
$4,750 |
1.1× |
| Place Rt Device/Marker Pros (55876) |
$1,900 |
$3,800 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$350 |
$700 |
0.7× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$7,460 |
$14,920 |
1.1× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,390 |
$10,780 |
0.8× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$5,390 |
$10,780 |
0.8× |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 2 matching MRF lines |
$2,515–$3,780 |
$5,030–$7,560 |
varies |
| Plmt Nephroureteral Catheter (50433) |
$3,600 |
$7,200 |
0.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,390 |
$6,780 |
0.9× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$3,390 |
$6,780 |
0.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,510 |
$9,020 |
1.2× |
Prim art mech thrombectomy (37184)
likely a partial charge, not the full procedure |
$5,550 |
$11,100 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,100 |
$2,200 |
1.1× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,120 |
$2,240 |
1.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$5,090 |
$10,180 |
1.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$5,165 |
$10,330 |
1.3× |
| Pseudoaneurysm Injection Trt (36002) |
$1,215 |
$2,430 |
1.8× |
| Punch biopsy skin single lesion (11104) |
$402.50 |
$805 |
0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$550 |
$1,100 |
1.3× |
| Puncture Aspiration Cyst Breast (19000) |
$840 |
$1,680 |
1.1× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$575 |
$1,150 |
0.8× |
| Redo Endovas Vena Cava Filtr (37192) |
$3,080 |
$6,160 |
0.9× |
| Relocation Pocket Pacemaker (33222) |
$2,960 |
$5,920 |
1.3× |
| Rem Endovas Vena Cava Filter (37193) |
$3,785 |
$7,570 |
1.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,245 |
$2,490 |
1.3× |
| Removal foreign body foot deep (28192) |
$1,790 |
$3,580 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$800 |
$1,600 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$940 |
$1,880 |
0.5× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$125–$150 |
$250–$300 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$125–$150 |
$250–$300 |
varies |
| Removal Implant Deep (20680) |
$3,815 |
$7,630 |
1.2× |
| Removal of foreign body from pharynx (42809) |
$347.50 |
$695 |
0.7× |
| Removal of nail bed (11750) |
$700 |
$1,400 |
1.6× |
| Removal of tunneled intraperitoneal catheter (49422) |
$4,195 |
$8,390 |
1.2× |
| Removal or bivalving full arm or full leg cast (29705) |
$390 |
$780 |
1.3× |
| Removal Pacemaker Electrode (33235) |
$3,340 |
$6,680 |
0.8× |
| Removal ppm generator only (33233) |
$9,090 |
$18,180 |
1.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,275 |
$2,550 |
1.7× |
| Removal Sutures/Staples Requiring Anesthesia (15851) |
$125 |
$250 |
0.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$225 |
$450 |
0.7× |
| Remove Elctrd Transvenously (33244) |
$3,340 |
$6,680 |
0.8× |
| Remove foreign body from eye (65205) |
$187.50 |
$375 |
1.3× |
| Remove Intrauterine Device (58301) |
$790 |
$1,580 |
2.4× |
| Remove intrvas foreign body (37197) |
$3,115 |
$6,230 |
0.9× |
| Remove lung catheter (32552) |
$1,215 |
$2,430 |
1.8× |
| Remove Nasal Foreign Body (30300) |
$267.50 |
$535 |
1.9× |
| Remove Pulse Generator (33241) |
$2,675 |
$5,350 |
0.7× |
Remove renal tube w/fluoro (50389)
range across 2 matching MRF lines |
$1,050–$1,180 |
$2,100–$2,360 |
varies |
Remove ureter stent percut (50384)
range across 3 matching MRF lines |
$2,920–$7,020 |
$5,840–$14,040 |
varies |
| Remove&replace pm gen singl (33227) |
$9,090 |
$18,180 |
1.0× |
| Remv&replc cvd gen dual lead (33263) |
$28,675 |
$57,350 |
1.2× |
| Remv&replc cvd gen mult lead (33264) |
$39,785 |
$79,570 |
1.2× |
| Remv&replc cvd gen sing lead (33262) |
$28,675 |
$57,350 |
1.2× |
| Remv&replc pm gen dual lead (33228) |
$12,270 |
$24,540 |
1.1× |
| Remv&replc pm gen mult leads (33229) |
$17,475 |
$34,950 |
0.8× |
Renal Biopsy Perq (50200)
range across 2 matching MRF lines |
$2,190–$2,195 |
$4,380–$4,390 |
varies |
| Repair Achilles Tendon (27650) |
$4,995 |
$9,990 |
0.6× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$3,670 |
$7,340 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$820 |
$1,640 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$945 |
$1,890 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$820 |
$1,640 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$945 |
$1,890 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$945 |
$1,890 |
2.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,790 |
$3,580 |
1.0× |
| Repair Finger/Hand Tendon (26350) |
$3,630 |
$7,260 |
1.0× |
| Repair Hand Joint (26540) |
$3,630 |
$7,260 |
1.0× |
| Repair Hand Tendon (26410) |
$1,790 |
$3,580 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$620 |
$1,240 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$675 |
$1,350 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$705 |
$1,410 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$740 |
$1,480 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$620 |
$1,240 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$675 |
$1,350 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$740 |
$1,480 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$800 |
$1,600 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$620 |
$1,240 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$675 |
$1,350 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$865 |
$1,730 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$740 |
$1,480 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$925 |
$1,850 |
0.4× |
| Repair Laceration Palate </2 Cm (42180) |
$580 |
$1,160 |
1.0× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$4,195 |
$8,390 |
0.7× |
| Repair lead pace-defib dual (33220) |
$3,255 |
$6,510 |
0.8× |
| Repair Lead Pace-Defib One (33218) |
$3,255 |
$6,510 |
0.8× |
| Repair of nail bed (11760) |
$625 |
$1,250 |
0.8× |
| Repair tongue laceration (41252) |
$275 |
$550 |
1.1× |
| Repair tongue laceration (41250) |
$350 |
$700 |
0.7× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,320 |
$2,640 |
1.3× |
| Replace G-J Tube Perc (49452) |
$1,320 |
$2,640 |
1.3× |
| Replace g/c tube perc (49450) |
$1,320 |
$2,640 |
1.3× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$3,255 |
$6,510 |
0.8× |
| Reposition Gastrostomy Tube (43761) |
$1,355 |
$2,710 |
5.0× |
| Reposition L Ventric Lead (33226) |
$4,895 |
$9,790 |
1.4× |
| Reposition Pacing-Defib Lead (33215) |
$3,080 |
$6,160 |
0.9× |
| Reposition Venous Catheter (36597) |
$1,535 |
$3,070 |
0.9× |
| Revj Transvns Intrahepatic Portosystemic Shunt (37183) |
$6,010 |
$12,020 |
1.0× |
Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387)
range across 2 matching MRF lines |
$2,335–$3,000 |
$4,670–$6,000 |
varies |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$615 |
$1,230 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$417.50 |
$835 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$265 |
$530 |
1.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$385 |
$770 |
0.8× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,035 |
$6,070 |
1.0× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$3,255 |
$6,510 |
0.8× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$3,340 |
$6,680 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,545 |
$3,090 |
0.9× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,545 |
$3,090 |
2.3× |
| Rplc Gtube No Revj Trc (43762) |
$465 |
$930 |
1.7× |
| Rplc gtube revj gstrst trc (43763) |
$385 |
$770 |
1.4× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$4,190 |
$8,380 |
1.2× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,215 |
$2,430 |
0.7× |
| Rplcmt Compl Prph Ctr Vad W/Subq Port (36585) |
$4,185 |
$8,370 |
1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,310 |
$2,620 |
0.8× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,195 |
$8,390 |
1.2× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,360 |
$6,720 |
1.0× |
| Rpr blood vessel direct lower extremity (35226) |
$800 |
$1,600 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$495 |
$990 |
2.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$580 |
$1,160 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$580 |
$1,160 |
1.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,735 |
$3,470 |
1.0× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$3,630 |
$7,260 |
1.0× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$1,610 |
$3,220 |
0.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,215 |
$2,430 |
1.8× |
| Sclerotx Fluid Collection (49185) |
$1,035 |
$2,070 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$402.50 |
$805 |
1.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$535 |
$1,070 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$410 |
$820 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$452.50 |
$905 |
2.1× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$575 |
$1,150 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$472.50 |
$945 |
2.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$620 |
$1,240 |
2.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$410 |
$820 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$620 |
$1,240 |
2.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$495 |
$990 |
2.3× |
| Skin Full Grft Face/Genit/Hf (15240) |
$1,950 |
$3,900 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$1,800 |
$3,600 |
2.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,800 |
$3,600 |
2.3× |
| Skin sub grft t/arm/lg child (15273) |
$3,150 |
$6,300 |
1.4× |
| Skn sub grft f/n/hf/g child (15277) |
$2,700 |
$5,400 |
1.2× |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines |
$4,970–$7,030 |
$9,940–$14,060 |
varies |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines |
$4,195–$5,550 |
$8,390–$11,100 |
varies |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines |
$4,970–$7,710 |
$9,940–$15,420 |
varies |
| Slitting of prepuce (54001) |
$2,295 |
$4,590 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$452.50 |
$905 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$535 |
$1,070 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$575 |
$1,150 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$1,050 |
$2,100 |
1.4× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,440 |
$8,880 |
1.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$2,530 |
$5,060 |
1.1× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,785 |
$7,570 |
1.1× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$295–$360 |
$590–$720 |
varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$2,280 |
$4,560 |
0.9× |
| Suture 1 Nerve Ulnar Motor (64836) |
$4,995 |
$9,990 |
1.4× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$2,000 |
$4,000 |
0.9× |
| Tangential biopsy skin single lesion (11102) |
$402.50 |
$805 |
0.9× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$38,470 |
$76,940 |
1.2× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$18,565 |
$37,130 |
0.9× |
| Tendon transplantation or transfer, flexor or extensor, forearm and/or wrist, single; each tendon Facility (25310) |
$3,630 |
$7,260 |
1.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,980 |
$3,960 |
1.1× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,230 |
$4,460 |
1.3× |
| Ther Apheresis W/Extracorporeal Immunoadsorption (36516) |
$4,250 |
$8,500 |
0.9× |
| Ther Apheresis,Red Blood Cells (36512) |
$2,195 |
$4,390 |
1.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,660 |
$3,320 |
2.2× |
| Therapeutic Apheresis White Blood Cells (36511) |
$2,195 |
$4,390 |
1.3× |
| Therapeutic plasma exchange (36514) |
$2,195 |
$4,390 |
1.3× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$19,340 |
$38,680 |
1.0× |
| Thromblytic art/ven therapy (37213) |
$1,795 |
$3,590 |
0.5× |
| Thromboendarterectomy, including patch graft, if performed; deep (profunda) femoral (35372) |
$6,120 |
$12,240 |
1.0× |
| Thrombolytic Art Therapy (37211) |
$5,190 |
$10,380 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$410 |
$820 |
1.1× |
| Thrombolytic Venous Therapy (37212) |
$3,150 |
$6,300 |
0.9× |
| Thyroid biopsy (60100) |
$1,245 |
$2,490 |
1.6× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$1,950 |
$3,900 |
0.9× |
| Tooth extraction (41899) |
$275 |
$550 |
1.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$307.50 |
$615 |
1.2× |
| Transcatheter biopsy (37200) |
$4,090 |
$8,180 |
0.7× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$2,720 |
$5,440 |
0.8× |
| Treat Humerus Fracture (24505) |
$1,790 |
$3,580 |
1.0× |
| Treat knee fracture (27532) |
$3,630 |
$7,260 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$270 |
$540 |
1.0× |
| Treat Metatarsal Fracture (28475) |
$270 |
$540 |
1.0× |
| Treat Thumb Dislocation (26641) |
$270 |
$540 |
1.0× |
| Treat toe dislocation (28630) |
$270 |
$540 |
1.0× |
| Treat Vaginal Bleeding (57180) |
$447.50 |
$895 |
2.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$270 |
$540 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$105 |
$210 |
1.6× |
| Trluml Balo Angiop 1St Art (37246) |
$8,900 |
$17,800 |
1.4× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,090 |
$10,180 |
0.8× |
| Tx Gastro Intub W/Asp (43753) |
$340 |
$680 |
1.5× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,765 |
$5,530 |
0.8× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,175 |
$4,350 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$765 |
$1,530 |
1.0× |
| Tx superficial wound dehiscence w/packing (12021) |
$840 |
$1,680 |
1.9× |
| Unlisted Procedure Endocrine System (60699) |
$7,045 |
$14,090 |
1.1× |
| Unlisted procedure liver (47399) |
$700 |
$1,400 |
0.9× |
| Unlisted procedure lungs and pleura (32999) |
$900 |
$1,800 |
1.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,040 |
$2,080 |
1.5× |
| Upgrade of pacemaker system (33214) |
$12,270 |
$24,540 |
1.1× |
| Vaginal delivery only (59409) |
$1,135 |
$2,270 |
0.3× |
| Vasc embolize/occlude artery (37242) |
$15,055 |
$30,110 |
0.8× |
| Vasc Embolize/Occlude Bleed (37244) |
$12,785 |
$25,570 |
1.0× |
| Vasc Embolize/Occlude Organ (37243) |
$12,385 |
$24,770 |
1.0× |
| Vasc embolize/occlude venous (37241) |
$12,785 |
$25,570 |
1.0× |
| Venous Cutdown >1 Y/O (36425) |
$350 |
$700 |
0.7× |
| Venous Mech Thrombectomy (37187) |
$11,825 |
$23,650 |
0.9× |
| Wedge excision skin nail fold (11765) |
$485 |
$970 |
1.1× |
| Wound Prep Trk/Arm/Leg (15002) |
$2,280 |
$4,560 |
2.9× |
| Xtrnl Cannula Decltng Spx W/Balo Cath (36861) |
$5,560 |
$11,120 |
0.9× |