| Abd paracentesis w/imaging (49083) |
$825.30 |
$1,310 |
0.9× |
| Application finger splint static (29130) |
$54.81 |
$87 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$151.20 |
$240 |
0.9× |
| Application Long Leg Splint (29505) |
$130.41 |
$207 |
0.8× |
| Application short arm splint forearm-hand static (29125) |
$109.62 |
$174 |
0.8× |
| Application short leg splint calf foot (29515) |
$121.59 |
$193 |
0.7× |
| Arterial puncture (36600) |
$97.02 |
$154 |
0.7× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
$79.38–$173.88 |
$126–$276 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$197.82 |
$314 |
0.3× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
$91.98–$209.79 |
$146–$333 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$515.34 |
$818 |
1.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$67.41 |
$107 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$117.18 |
$186 |
0.5× |
| Bladder instillation anticarcinogenic agent (51720) |
$325.71 |
$517 |
0.4× |
| Bladder Scan (51798) |
$187.74 |
$298 |
3.0× |
| Blood Transfusion Service (36430) |
$868.14 |
$1,378 |
1.8× |
| Bx breast 1st lesion us imag (19083) |
$1,453.41 |
$2,307 |
0.8× |
| Chemodenerv Musc Migraine (64615) |
$355.32 |
$564 |
1.1× |
| Circumcision w/clamp/oth dev w/block (54150) |
$999.18 |
$1,586 |
0.4× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,013.67 |
$1,609 |
0.6× |
| Clear outer ear canal (69200) |
$166.32 |
$264 |
1.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$453.60 |
$720 |
1.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$298.62 |
$474 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$292.95 |
$465 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$454.86 |
$722 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$687.96 |
$1,092 |
0.4× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,055.25 |
$1,675 |
0.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$825.30 |
$1,310 |
2.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$352.80 |
$560 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$292.95 |
$465 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,081.71 |
$1,717 |
0.6× |
| Collection of venous blood by venipuncture (36415) |
$16.38 |
$26 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$149.31 |
$237 |
1.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$372.33 |
$591 |
2.6× |
| Declot vascular device (36593) |
$311.22 |
$494 |
0.9× |
| Destroy cerv/thor facet jnt (64633) |
$2,410.38 |
$3,826 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,410.38 |
$3,826 |
1.2× |
Drain/inj small joint/bursa w/us (20604)
range across 3 matching MRF lines |
$156.87–$313.74 |
$249–$498 |
varies |
| Drainage of scrotum (54700) |
$1,305.36 |
$2,072 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$173.25 |
$275 |
0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$910.98 |
$1,446 |
1.0× |
Dx lmbr spi pnxr w/fluor/CT (62328)
range across 2 matching MRF lines |
$479.43–$484.47 |
$761–$769 |
varies |
| Evacuation of subungual hematoma (11740) |
$224.91 |
$357 |
1.6× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,181.06 |
$3,462 |
1.2× |
| Fetal non-stress test (59025) |
$286.65 |
$455 |
1.3× |
| Fna bx w/us gdn 1st les (10005) |
$413.91 |
$657 |
0.5× |
| I&d abscess simple (10060) |
$177.66 |
$282 |
0.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$243.81 |
$387 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$306.81 |
$487 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$190.89 |
$303 |
0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$119.07 |
$189 |
0.6× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$942.48 |
$1,496 |
1.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$82.53 |
$131 |
0.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$379.89 |
$603 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$1,033.20 |
$1,640 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$148.68 |
$236 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$111.51 |
$177 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$243.18 |
$386 |
1.0× |
| Lithotripsy, extracorporeal shock wave (50590) |
$5,817.42 |
$9,234 |
1.5× |
| N Block Lumbar/Thoracic (64520) |
$942.48 |
$1,496 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$156.87 |
$249 |
0.5× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$1,140.93–$1,217.16 |
$1,811–$1,932 |
varies |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines |
$926.10–$987.84 |
$1,470–$1,568 |
varies |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines |
$926.10–$987.84 |
$1,470–$1,568 |
varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$71.82 |
$114 |
1.1× |
| Removal of nail bed (11750) |
$354.06 |
$562 |
0.8× |
| Remove foreign body from eye (65205) |
$122.22 |
$194 |
0.9× |
| Remove Intrauterine Device (58301) |
$575.19 |
$913 |
1.8× |
| Remove Nasal Foreign Body (30300) |
$82.53 |
$131 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$616.14 |
$978 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$643.23 |
$1,021 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$616.14 |
$978 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$643.23 |
$1,021 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$669.06 |
$1,062 |
1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$294.84 |
$468 |
0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$774.90 |
$1,230 |
0.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$793.80 |
$1,260 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$354.06 |
$562 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$364.14 |
$578 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$545.58 |
$866 |
2.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$362.88 |
$576 |
1.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$358.47 |
$569 |
1.7× |
Strapping ankle (29540)
range across 2 matching MRF lines |
$110.88–$118.44 |
$176–$188 |
varies |
| Treat humerus fracture (24500) |
$149.94 |
$238 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$274.68 |
$436 |
1.0× |