| Abd paracentesis w/imaging (49083) |
$936.90 |
$2,082 |
1.1× |
| Amputation toe interphalangeal joint (28825) |
$2,260.80 |
$5,024 |
0.7× |
| Application finger splint static (29130) |
$83.70 |
$186 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$202.95 |
$451 |
1.3× |
| Application Long Leg Splint (29505) |
$202.95 |
$451 |
1.3× |
| Application of rigid total contact leg cast (29445) |
$396 |
$880 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$157.05 |
$349 |
1.2× |
| Application short leg splint calf foot (29515) |
$202.95 |
$451 |
1.3× |
| Apply Multlay Comprs Lwr Leg (29581) |
$140.85 |
$313 |
0.9× |
| Apply Short Leg Cast (29405) |
$383.40 |
$852 |
1.4× |
| Arterial puncture (36600) |
$24.30 |
$54 |
0.2× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
$158.40–$450.90 |
$352–$1,002 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$473.85 |
$1,053 |
1.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$473.85 |
$1,053 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$105.30 |
$234 |
0.4× |
| Aspirate pleura w/ imaging (32555) |
$892.80 |
$1,984 |
1.5× |
| Aspiration and/or injection thyroid cyst (60300) |
$339.75 |
$755 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$252 |
$560 |
1.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,395.35 |
$5,323 |
1.5× |
| Bladder Irrigation (51700) |
$343.35 |
$763 |
1.5× |
Bladder Scan (51798)
range across 3 matching MRF lines |
$70.65–$83.25 |
$157–$185 |
varies |
| Blood Transfusion Service (36430) |
$474.75 |
$1,055 |
1.1× |
| Bx breast 1st lesion strtctc (19081) |
$1,968.75 |
$4,375 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$1,968.75 |
$4,375 |
1.3× |
| Bx/exc lymph node open deep axillary node (38525) |
$2,517.30 |
$5,594 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$342.45 |
$761 |
1.4× |
| Chemical Cautery Tissue (17250) |
$204.75 |
$455 |
1.1× |
| Chest tube placement (32551) |
$1,954.80 |
$4,344 |
1.3× |
| Clear outer ear canal (69200) |
$157.05 |
$349 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$320.85 |
$713 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,017.80 |
$4,484 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$320.85 |
$713 |
1.4× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,413.45 |
$3,141 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,013.75 |
$4,475 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$342.45 |
$761 |
1.5× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,295.90 |
$5,102 |
1.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$320.85 |
$713 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$301.50 |
$670 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,013.75 |
$4,475 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$369.45 |
$821 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$268.20 |
$596 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$320.85 |
$713 |
1.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$320.85 |
$713 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$320.85 |
$713 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$309.15 |
$687 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$320.85 |
$713 |
1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,045.80 |
$2,324 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$696.15 |
$1,547 |
0.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$188.55 |
$419 |
1.5× |
| Collection of venous blood by venipuncture (36415) |
$18 |
$40 |
1.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$133.20 |
$296 |
1.1× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$157.05 |
$349 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$157.05 |
$349 |
1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$266.40 |
$592 |
1.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,096.20 |
$2,436 |
1.6× |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
$537.75–$738 |
$1,195–$1,640 |
varies |
Debride nail 1-5 (11720)
range across 2 matching MRF lines |
$89.10–$91.80 |
$198–$204 |
varies |
| Debride nail 6 or more (11721) |
$91.80 |
$204 |
1.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,670.40 |
$3,712 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$463.95 |
$1,031 |
1.2× |
| Declot vascular device (36593) |
$278.10 |
$618 |
0.9× |
| Destroy cerv/thor facet jnt (64633) |
$2,683.80 |
$5,964 |
1.5× |
| Destroy lumb/sac facet jnt (64635) |
$2,683.80 |
$5,964 |
1.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,872.80 |
$6,384 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$855 |
$1,900 |
1.3× |
| Drainage of finger abscess simple (26010) |
$147.15 |
$327 |
0.8× |
| Drainage of gum lesion (41800) |
$172.80 |
$384 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$1,347.30 |
$2,994 |
0.9× |
| Draw Blood Off Venous Device (36591) |
$43.20 |
$96 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$514.35 |
$1,143 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$124.65 |
$277 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$252 |
$560 |
1.3× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$501.30 |
$1,114 |
0.6× |
| Dx Bronchoscope/Lavage (31624) |
$1,847.25 |
$4,105 |
1.1× |
| Dx Bronchoscope/Wash (31622) |
$1,847.25 |
$4,105 |
1.1× |
| Epidural Blood Patch (62273) |
$611.10 |
$1,358 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$157.05 |
$349 |
1.2× |
| Explo/Drain Breast Abscess (19020) |
$1,009.35 |
$2,243 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$855 |
$1,900 |
0.5× |
| Fna bx w/us gdn 1st les (10005) |
$863.55 |
$1,919 |
1.3× |
| I&d abscess simple (10060) |
$252 |
$560 |
1.3× |
| I&d perianal abscess superficial (46050) |
$612 |
$1,360 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$370.80 |
$824 |
0.6× |
| Image Cath Fluid Peri/Retro (49406) |
$3,381.30 |
$7,514 |
2.2× |
| Implant neuroelectrodes (63650) |
$7,907.85 |
$17,573 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$368.10 |
$818 |
1.0× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$355.05–$363.60 |
$789–$808 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$252.90 |
$562 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$406.35 |
$903 |
1.4× |
| Incision of rectal abscess (46040) |
$1,584.45 |
$3,521 |
1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$129.60 |
$288 |
0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,140.75 |
$2,535 |
1.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,493.10 |
$3,318 |
1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$486.90 |
$1,082 |
1.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$217.35 |
$483 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$923.85 |
$2,053 |
1.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$903.60 |
$2,008 |
1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$619.65 |
$1,377 |
0.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$269.10 |
$598 |
0.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$468.45 |
$1,041 |
0.7× |
| Injection for identification of sentinel node (38792) |
$129.15 |
$287 |
0.3× |
| Injection single tendon origin/insertion (20551) |
$268.65 |
$597 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$486.90 |
$1,082 |
1.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$240.75 |
$535 |
0.8× |
| Injection therapeutic carpal tunnel (20526) |
$165.60 |
$368 |
0.6× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$567.45 |
$1,261 |
0.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$430.65 |
$957 |
0.6× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$810.90–$1,235.70 |
$1,802–$2,746 |
varies |
| Insert cath pleura w/o image (32556) |
$2,128.95 |
$4,731 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$1,466.55 |
$3,259 |
0.5× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$157.05–$246.60 |
$349–$548 |
varies |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$157.05–$265.50 |
$349–$590 |
varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,014.75 |
$2,255 |
0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,004.30 |
$4,454 |
0.6× |
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines |
$270.45–$335.25 |
$601–$745 |
varies |
| Laryngoscopy diagnostic (31505) |
$160.20 |
$356 |
0.8× |
| Late closure of wound (13160) |
$2,605.95 |
$5,791 |
0.8× |
| Monocyte distribution width whole blood (0427U) |
$3.15 |
$7 |
0.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$280.35 |
$623 |
0.4× |
| N block inj intercost sng (64420) |
$304.20 |
$676 |
0.5× |
| N Block Lumbar/Thoracic (64520) |
$339.30 |
$754 |
0.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$334.35 |
$743 |
0.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$336.60 |
$748 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$760.50 |
$1,690 |
0.9× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
$240.75–$440.55 |
$535–$979 |
varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$967.95 |
$2,151 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,631.25 |
$3,625 |
2.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,493.10 |
$3,318 |
2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,631.25 |
$3,625 |
2.4× |
| Occipital Nerve Block (64405) |
$256.05 |
$569 |
0.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,642.05 |
$3,649 |
2.5× |
| Perq dev breast 1st us imag (19285) |
$374.40 |
$832 |
0.6× |
| Perq device breast 1st imag (19281) |
$436.50 |
$970 |
0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$488.25 |
$1,085 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$692.55 |
$1,539 |
1.6× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$4,258.35 |
$9,463 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$261 |
$580 |
0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$363.60 |
$808 |
0.9× |
| Puncture Aspiration Cyst Breast (19000) |
$279.90 |
$622 |
0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$422.55 |
$939 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$684 |
$1,520 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$80.55 |
$179 |
1.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$83.70 |
$186 |
1.5× |
| Removal of foreign body from pharynx (42809) |
$292.50 |
$650 |
0.7× |
| Removal of nail bed (11750) |
$463.95 |
$1,031 |
1.2× |
| Remove foreign body from eye (65205) |
$209.70 |
$466 |
1.7× |
| Remove Intrauterine Device (58301) |
$121.50 |
$270 |
0.4× |
| Remove Nasal Foreign Body (30300) |
$83.25 |
$185 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$728.55 |
$1,619 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$463.95 |
$1,031 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$463.95 |
$1,031 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$463.95 |
$1,031 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$474.75 |
$1,055 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$463.95 |
$1,031 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$463.95 |
$1,031 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$417.60 |
$928 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$398.25 |
$885 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$463.95 |
$1,031 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$463.95 |
$1,031 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$391.05 |
$869 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$463.95 |
$1,031 |
1.2× |
| Repair of nail bed (11760) |
$728.55 |
$1,619 |
1.0× |
| Repair tongue laceration (41252) |
$861.75 |
$1,915 |
3.8× |
| Repair tongue laceration (41250) |
$157.05 |
$349 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$657.90 |
$1,462 |
1.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$691.20 |
$1,536 |
5.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,228.95 |
$2,731 |
2.1× |
| Rplc Gtube No Revj Trc (43762) |
$342.90 |
$762 |
1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$252 |
$560 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$342.45 |
$761 |
0.7× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,630.35 |
$3,623 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$463.95 |
$1,031 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$252 |
$560 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$252 |
$560 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$252 |
$560 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$252 |
$560 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$252 |
$560 |
1.3× |
| Skin sub graft face/nk/hf/g (15275) |
$667.80 |
$1,484 |
1.0× |
| Skin sub graft trnk/arm/leg (15271) |
$667.80 |
$1,484 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$252 |
$560 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$463.95 |
$1,031 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$463.95 |
$1,031 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$530.55 |
$1,179 |
0.8× |
| Strapping shoulder (29240) |
$157.05 |
$349 |
1.2× |
| Strapping toes (29550) |
$102.60 |
$228 |
1.8× |
| Strapping Unna Boot (29580) |
$145.35 |
$323 |
0.9× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$9,525.60 |
$21,168 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$211.05 |
$469 |
0.7× |
| Tooth extraction (41899) |
$396.90 |
$882 |
1.8× |
| Treat Humerus Fracture (24505) |
$886.50 |
$1,970 |
0.6× |
| Treat toe dislocation (28630) |
$322.65 |
$717 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$320.85 |
$713 |
1.4× |
| Trim skin lesion (11055) |
$275.40 |
$612 |
1.5× |
| Trimming Nondystrophic Nails Any Number (11719) |
$55.35 |
$123 |
1.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$928.35 |
$2,063 |
1.3× |
| Unlisted Procedure Casting/Strapping (29799) |
$202.95 |
$451 |
1.3× |
| Unlisted procedure nervous system (64999) |
$196.20 |
$436 |
0.7× |
| Unlisted Procedure Vascular Surgery (37799) |
$422.55 |
$939 |
0.7× |
| Vaginal delivery only (59409) |
$2,409.30 |
$5,354 |
0.8× |