Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
$1,000–$1,334.50 |
$2,000–$2,669 |
varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$300 |
$600 |
0.4× |
| Amniocentesis diagnostic (59000) |
$850 |
$1,700 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,000 |
$6,000 |
1.0× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,750 |
$7,500 |
1.2× |
| Anoscopy diagnostic (46600) |
$162.50 |
$325 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$863 |
$1,726 |
1.0× |
| Apheresis Platelets (36513) |
$1,900 |
$3,800 |
4.6× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$250 |
$500 |
0.2× |
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 4 matching MRF lines |
$162.50–$235 |
$325–$470 |
varies |
| Application cast elbow finger short arm (29075) |
$425 |
$850 |
1.6× |
| Application Cast Finger (29086) |
$161.50 |
$323 |
1.1× |
| Application Finger Splint Dynamic (29131) |
$194.50 |
$389 |
3.5× |
| Application finger splint static (29130) |
$200 |
$400 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$200 |
$400 |
1.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$285.50 |
$571 |
1.1× |
| Application Long Leg Splint (29505) |
$212.50 |
$425 |
1.4× |
| Application of long leg cast (29345) |
$285.50 |
$571 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$650 |
$1,300 |
2.5× |
| Application Short Arm Splint Dynamic (29126) |
$137.50 |
$275 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$212.50 |
$425 |
1.7× |
| Application short leg splint calf foot (29515) |
$212.50 |
$425 |
1.4× |
| Apply hand/wrist cast (29085) |
$161.50 |
$323 |
1.1× |
| Apply long arm cast (29065) |
$500 |
$1,000 |
1.9× |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
$195–$225 |
$390–$450 |
varies |
| Apply Short Leg Cast (29405) |
$285.50 |
$571 |
1.1× |
| Apply short leg cast (29425) |
$285.50 |
$571 |
1.1× |
| Arterial puncture (36600) |
$75 |
$150 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$375 |
$750 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$412.50 |
$825 |
0.6× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$475 |
$950 |
1.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$750 |
$1,500 |
2.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$350 |
$700 |
1.2× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$3,000 |
$6,000 |
1.0× |
| Aspirate pleura w/ imaging (32555) |
$1,400 |
$2,800 |
2.4× |
| Aspirate Pleura W/O Imaging (32554) |
$425 |
$850 |
0.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$298.50 |
$597 |
1.0× |
| Aspiration and/or injection thyroid cyst (60300) |
$262.50 |
$525 |
0.4× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,750 |
$3,500 |
0.9× |
| Aspiration Bladder Needle (51100) |
$650 |
$1,300 |
2.8× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,000 |
$2,000 |
1.3× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$142.50–$150 |
$285–$300 |
varies |
| Biopsy Abdominal Mass (49180) |
$500 |
$1,000 |
0.3× |
| Biopsy bone trocar/needle deep (20225) |
$900 |
$1,800 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$400 |
$800 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$325 |
$650 |
0.2× |
| Biopsy of liver, needle; percutaneous (47000) |
$500 |
$1,000 |
0.3× |
| Biopsy Salivary Gland Needle (42400) |
$250 |
$500 |
0.4× |
| Biopsy soft tissue neck/thorax (21550) |
$3,000 |
$6,000 |
2.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$600 |
$1,200 |
0.9× |
| Bladder Irrigation (51700) |
$325 |
$650 |
1.4× |
Bladder Scan (51798)
range across 2 matching MRF lines |
$125–$132.50 |
$250–$265 |
varies |
| Blepharotomy drainage abscess eyelid (67700) |
$212.50 |
$425 |
0.7× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,866.50 |
$3,733 |
1.1× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$1,600 |
$3,200 |
0.5× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$1,600 |
$3,200 |
0.5× |
| Brnchsc Removal Bronchial Valve Ea Addl (31649) |
$2,000 |
$4,000 |
1.2× |
| Brnchsc Removal Bronchial Valve Initial (31648) |
$4,000 |
$8,000 |
1.2× |
Brnchsc Revj Tracheal/Brncl Stent Ins Prev Sess (31638)
unusually low: confirm this is the full procedure |
$2,650 |
$5,300 |
0.4× |
| Brnchsc W/Dstrj Tum Relief Stenosis Oth/Thn Exc (31641) |
$3,250 |
$6,500 |
0.9× |
| Brnchsc W/Plmt Cath Intrcv Radioelmnt Appl (31643) |
$1,200 |
$2,400 |
0.7× |
| Brnchsc W/Tracheal/Bronchial Dilat/Clsd Rdctj Fx (31630) |
$3,400 |
$6,800 |
1.0× |
Bronch Thermoplsty 1 Lobe (31660)
likely a partial charge, not the full procedure |
$1,500 |
$3,000 |
0.2× |
| Bronchial Valve Init Insert (31647) |
$7,500 |
$15,000 |
1.1× |
Bronchoscopic Thermoplasty 2/> Lobes (31661)
likely a partial charge, not the full procedure |
$1,350 |
$2,700 |
0.2× |
Bronchoscopy Balloon Occlusion (31634)
likely a partial charge, not the full procedure |
$1,000 |
$2,000 |
0.2× |
| Bronchoscopy Bronch Stents (31636) |
$3,616.50 |
$7,233 |
0.6× |
| Bronchoscopy Clear Airways (31645) |
$1,341 |
$2,682 |
0.8× |
Bronchoscopy Dilate W/Stent (31631)
likely a partial charge, not the full procedure |
$1,900 |
$3,800 |
0.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,018.50 |
$4,037 |
1.2× |
Bronchoscopy W/Plmt Fiducial Markers Single/Mult (31626)
likely a partial charge, not the full procedure |
$1,500 |
$3,000 |
0.2× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$2,250 |
$4,500 |
1.4× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$2,250 |
$4,500 |
0.6× |
| Bronchoscopy/Needle Bx Each (31629) |
$1,750 |
$3,500 |
0.5× |
| Bx breast 1st lesion mr imag (19085) |
$2,500 |
$5,000 |
1.6× |
| Bx breast 1st lesion strtctc (19081) |
$2,500 |
$5,000 |
1.6× |
| Bx breast 1st lesion us imag (19083) |
$2,000 |
$4,000 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$750 |
$1,500 |
0.5× |
| Bx Cervix (57500) |
$325 |
$650 |
0.4× |
Catheter aspiration nasotracheal spx (31720)
range across 2 matching MRF lines |
$100–$200 |
$200–$400 |
varies |
| Cessj Therapy Cath Removal (37214) |
$5,000 |
$10,000 |
1.7× |
| Change Cystostomy Tube Complicated (51710) |
$1,000 |
$2,000 |
1.5× |
| Change Cystostomy Tube Simple (51705) |
$137.50 |
$275 |
0.6× |
| Change of Windpipe Airway (31502) |
$1,625 |
$3,250 |
7.4× |
| Change ureter stent percut (50382) |
$2,250 |
$4,500 |
1.2× |
| Chemical Cautery Tissue (17250) |
$112.50 |
$225 |
0.6× |
| Chemical Pleurodesis (32560) |
$950 |
$1,900 |
1.6× |
| Chemodenerv Musc Migraine (64615) |
$312.50 |
$625 |
1.1× |
| Chest tube placement (32551) |
$450 |
$900 |
0.3× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,600 |
$9,200 |
1.4× |
| Circumcision w/clamp/oth dev w/block (54150) |
$550 |
$1,100 |
0.3× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,250 |
$2,500 |
0.8× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,092 |
$6,184 |
2.1× |
| Clear outer ear canal (69200) |
$112.50 |
$225 |
0.9× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$187.50 |
$375 |
0.8× |
| Closed rx talotarsal disloc,anesth (28575) |
$1,600 |
$3,200 |
0.5× |
| Closed Treat Vert Body Fract (22310) |
$262.50 |
$525 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$262 |
$524 |
1.1× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$262.50 |
$525 |
0.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$262.50 |
$525 |
1.1× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$262.50 |
$525 |
1.1× |
| Closed Treatment Sesamoid Fracture (28530) |
$187.50 |
$375 |
0.8× |
| Closed Treatment Sternum Fracture (21820) |
$187.50 |
$375 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$75 |
$150 |
0.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$262 |
$524 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$262 |
$524 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$112.50 |
$225 |
0.5× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$3,300 |
$6,600 |
14.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$162.50 |
$325 |
0.7× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,250 |
$2,500 |
0.8× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$150 |
$300 |
0.7× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$1,186 |
$2,372 |
0.8× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,250 |
$2,500 |
0.4× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$262.50 |
$525 |
1.1× |
| Closed tx fx orbit except blowout w/manipulation (21401) |
$750 |
$1,500 |
0.5× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,250 |
$2,500 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$262 |
$524 |
1.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,250 |
$2,500 |
0.8× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,750 |
$3,500 |
1.2× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$350 |
$700 |
0.7× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$4,350 |
$8,700 |
0.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$175 |
$350 |
0.8× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$3,300 |
$6,600 |
2.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,750 |
$3,500 |
1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$1,750 |
$3,500 |
0.6× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$750 |
$1,500 |
0.5× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$4,500 |
$9,000 |
1.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$262.50 |
$525 |
1.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$286.50 |
$573 |
1.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$187.50 |
$375 |
0.8× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$879.50 |
$1,759 |
0.6× |
Closed tx radial head/neck fx w/o manipulation (24650)
range across 2 matching MRF lines |
$350–$358 |
$700–$716 |
varies |
| Closed tx radial shaft fracture w/manipulation (25505) |
$887.50 |
$1,775 |
0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$350 |
$700 |
1.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$888 |
$1,776 |
0.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$187.50 |
$375 |
0.8× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$187.50 |
$375 |
0.8× |
| Closed tx septal&nose fx (21337) |
$1,750 |
$3,500 |
0.6× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$187.50 |
$375 |
0.8× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$187.50 |
$375 |
0.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,250 |
$2,500 |
0.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$200 |
$400 |
0.9× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$187.50 |
$375 |
0.8× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$262.50 |
$525 |
1.1× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$750 |
$1,500 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$187 |
$374 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,250 |
$2,500 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$350 |
$700 |
1.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$350 |
$700 |
1.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$503 |
$1,006 |
2.3× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,250 |
$2,500 |
2.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$187.50 |
$375 |
0.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$187.50 |
$375 |
0.8× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,250 |
$2,500 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$112.50 |
$225 |
0.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$750 |
$1,500 |
1.5× |
| Clsd Tx Pelvic Ring Fx (27198) |
$262.50 |
$525 |
1.1× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$262.50 |
$525 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,494.50 |
$4,989 |
1.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$250 |
$500 |
1.1× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,250 |
$2,500 |
0.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$262.50 |
$525 |
1.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,250 |
$2,500 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$225 |
$450 |
0.2× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$110 |
$220 |
0.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,250 |
$2,500 |
0.8× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$150 |
$300 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$262 |
$524 |
1.1× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,250 |
$2,500 |
0.8× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$187.50 |
$375 |
0.8× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,250 |
$2,500 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$262 |
$524 |
1.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$75 |
$150 |
0.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$212.50 |
$425 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$112.50 |
$225 |
0.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$150 |
$300 |
0.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$200 |
$400 |
0.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,250 |
$2,500 |
0.8× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$150 |
$300 |
0.7× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$200 |
$400 |
0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,550 |
$3,100 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$187.50 |
$375 |
0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$112.50 |
$225 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$200 |
$400 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$150 |
$300 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,308.50 |
$6,617 |
2.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$125 |
$250 |
0.5× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$262.50 |
$525 |
1.1× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$262.50 |
$525 |
1.1× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$3,300 |
$6,600 |
2.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,250 |
$2,500 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$310 |
$620 |
1.4× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$75 |
$150 |
0.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$262.50 |
$525 |
0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,250 |
$2,500 |
0.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$100 |
$200 |
0.4× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,250 |
$2,500 |
0.8× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$225 |
$450 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$137.50 |
$275 |
0.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$300 |
$600 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$175 |
$350 |
0.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$3,092 |
$6,184 |
2.1× |
| Cltx Medial Ankle Fx (27760) |
$75 |
$150 |
0.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$262 |
$524 |
1.1× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$187.50 |
$375 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,250 |
$2,500 |
0.8× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,400 |
$2,800 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$321 |
$642 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$112.50 |
$225 |
0.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,500 |
$3,000 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$250 |
$500 |
1.1× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,250 |
$2,500 |
0.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$75 |
$150 |
0.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,650 |
$3,300 |
1.1× |
| Cltx prox tibfib jt dislc req anes (27831) |
$3,151.50 |
$6,303 |
1.0× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$187.50 |
$375 |
0.8× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$262.50 |
$525 |
1.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$225 |
$450 |
1.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,250 |
$2,500 |
0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$879.50 |
$1,759 |
0.6× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,250 |
$2,500 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$887.50 |
$1,775 |
0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$100 |
$200 |
0.4× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,250 |
$2,500 |
0.8× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$262.50 |
$525 |
1.1× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$2,750 |
$5,500 |
0.9× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$259.50 |
$519 |
1.1× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$150 |
$300 |
0.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$200 |
$400 |
0.9× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$262.50 |
$525 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$888 |
$1,776 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$262.50 |
$525 |
1.1× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$1,250 |
$2,500 |
0.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$262.50 |
$525 |
2.1× |
Collection of venous blood by venipuncture (36415)
range across 6 matching MRF lines |
$14–$28.50 |
$24–$57 |
varies |
| Complex drainage wound (10180) |
$2,500 |
$5,000 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$225 |
$450 |
1.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$227.50 |
$455 |
1.8× |
| Conversion ext bil drg cath (47535) |
$2,550 |
$5,100 |
0.8× |
| Convert Nephrostomy Catheter (50434) |
$1,000 |
$2,000 |
0.5× |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 2 matching MRF lines |
$1,250–$2,100 |
$2,500–$4,200 |
varies |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$6,000 |
$12,000 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$265 |
$530 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$150 |
$300 |
0.7× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,250 |
$4,500 |
1.2× |
| Cystourethroscopy (52000) |
$1,150 |
$2,300 |
1.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$550 |
$1,100 |
1.5× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$750 |
$1,500 |
0.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$750 |
$1,500 |
1.1× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$800 |
$1,600 |
1.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$325 |
$650 |
0.5× |
| Debride nail 1-5 (11720) |
$112.50 |
$225 |
2.1× |
| Debride nail 6 or more (11721) |
$150 |
$300 |
2.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$850 |
$1,700 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$250 |
$500 |
0.7× |
| Declot vascular device (36593) |
$300 |
$600 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$1,100 |
$2,200 |
1.3× |
| Dilate Esophagus 1/Mult Pass (43450) |
$905 |
$1,810 |
1.1× |
| Dilate Urethra Stricture (53600) |
$300 |
$600 |
1.3× |
| Drain Cerebro Spinal Fluid (62272) |
$275 |
$550 |
0.4× |
| Drain penis lesion (54015) |
$3,550 |
$7,100 |
2.3× |
| Drain/inj small joint/bursa w/us (20604) |
$250 |
$500 |
0.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$350 |
$700 |
0.7× |
| Drainage external auditory canal abscess (69020) |
$250 |
$500 |
0.4× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$112.50 |
$225 |
0.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$150 |
$300 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$2,250 |
$4,500 |
1.5× |
| Drainage Mouth Roof Lesion (42000) |
$503 |
$1,006 |
2.3× |
| Drainage of finger abscess simple (26010) |
$150 |
$300 |
0.8× |
| Drainage of gum lesion (41800) |
$150 |
$300 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$250 |
$500 |
0.2× |
| Drainage of nose lesion (30000) |
$537.50 |
$1,075 |
2.4× |
| Drainage of rectal abscess (45005) |
$1,134.50 |
$2,269 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$225 |
$450 |
0.1× |
| Drainage of scrotum (54700) |
$3,808 |
$7,616 |
2.0× |
| Draw Blood Off Venous Device (36591) |
$262.50 |
$525 |
2.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$800 |
$1,600 |
1.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$150 |
$300 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$262.50 |
$525 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$262.50 |
$525 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$162.50 |
$325 |
0.9× |
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines |
$1,100–$1,900 |
$2,200–$3,800 |
varies |
| Dx Bronchoscope/Lavage (31624) |
$2,015.50 |
$4,031 |
1.2× |
| Dx Bronchoscope/Wash (31622) |
$1,750 |
$3,500 |
1.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$950 |
$1,900 |
1.4× |
| Epidural Blood Patch (62273) |
$825 |
$1,650 |
1.3× |
| Escharotomy; initial incision (16035) |
$475 |
$950 |
1.3× |
Evacuation of subungual hematoma (11740)
range across 2 matching MRF lines |
$62.50–$75 |
$125–$150 |
varies |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$850 |
$1,700 |
1.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$850 |
$1,700 |
1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$850 |
$1,700 |
0.6× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$2,900 |
$5,800 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,938.50 |
$7,877 |
3.5× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$382.50 |
$765 |
1.0× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,250 |
$4,500 |
0.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,000 |
$2,000 |
0.5× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$500 |
$1,000 |
0.3× |
| Excision of single external papilla or tag, anus (46220) |
$2,650 |
$5,300 |
2.4× |
| Explo/Drain Breast Abscess (19020) |
$1,598.50 |
$3,197 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$2,200 |
$4,400 |
1.4× |
| External cephalic version (59412) |
$3,400 |
$6,800 |
1.1× |
| Fetal Contraction Stress Test (59020) |
$1,425 |
$2,850 |
7.6× |
| Fetal non-stress test (59025) |
$337.50 |
$675 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,500 |
$3,000 |
2.3× |
| Fine needle aspiration without imaging guidance (10021) |
$250 |
$500 |
0.7× |
| Fluoro exam of g/colon tube (49465) |
$162.50 |
$325 |
0.7× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$800 |
$1,600 |
1.2× |
| Fna bx w/us gdn 1st les (10005) |
$1,150 |
$2,300 |
1.7× |
| Guide Cathet Fluid Drainage (10030) |
$1,000 |
$2,000 |
1.5× |
| I&d abscess peritonsillar (42700) |
$538 |
$1,076 |
2.4× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$175–$230 |
$350–$460 |
varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$2,777.50 |
$5,555 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,777.50 |
$5,555 |
1.0× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$3,151.50 |
$6,303 |
1.0× |
| I&d forearm/wrist bursa (25031) |
$1,573.50 |
$3,147 |
1.1× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$350 |
$700 |
0.7× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$3,151.50 |
$6,303 |
1.0× |
| I&d perianal abscess superficial (46050) |
$225 |
$450 |
0.3× |
| I&d pilonidal cyst complicated (10081) |
$700 |
$1,400 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$250 |
$500 |
0.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$2,777.50 |
$5,555 |
1.0× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,598.50 |
$3,197 |
0.6× |
| Icd Pocket Revision (33223) |
$4,000 |
$8,000 |
2.1× |
| Image Cath Fluid Colxn Visc (49405) |
$4,350 |
$8,700 |
2.8× |
| Image Cath Fluid Peri/Retro (49406) |
$4,350 |
$8,700 |
2.8× |
| Incise external hemorrhoid (46083) |
$316.50 |
$633 |
1.4× |
| Incise/Drain Conjunctiva (68020) |
$800 |
$1,600 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$200 |
$400 |
0.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$2,777.50 |
$5,555 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$600 |
$1,200 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$200 |
$400 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$225 |
$450 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$362.50 |
$725 |
1.3× |
| Incision of rectal abscess (46040) |
$200 |
$400 |
0.2× |
| Incision&drainage bursa foot (28001) |
$1,598.50 |
$3,197 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,598.50 |
$3,197 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$250 |
$500 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$150 |
$300 |
0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$950 |
$1,900 |
1.2× |
| Inj W/Fluor Eval Cv Device (36598) |
$625 |
$1,250 |
3.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,000 |
$2,000 |
1.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$421.50 |
$843 |
1.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$750 |
$1,500 |
0.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$750 |
$1,500 |
1.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$325 |
$650 |
1.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$750 |
$1,500 |
1.1× |
Injection for identification of sentinel node (38792)
range across 2 matching MRF lines |
$300–$500 |
$600–$1,000 |
varies |
| Injection Into Brain Canal (61055) |
$1,000 |
$2,000 |
3.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$200 |
$400 |
0.7× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$450 |
$900 |
1.6× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,000 |
$2,000 |
1.2× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$750 |
$1,500 |
1.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$300 |
$600 |
0.5× |
| Injection, anesthetic agent; vagus nerve (64408) |
$250 |
$500 |
0.9× |
Ins cath ren art 1st bilat (36252)
range across 2 matching MRF lines |
$470–$5,000 |
$940–$10,000 |
varies |
| Ins cath ren art 1st unilat (36251) |
$5,000 |
$10,000 |
1.7× |
| Ins cath ren art 2nd+ bilat (36254) |
$5,250 |
$10,500 |
1.8× |
| Ins cath ren art 2nd+ unilat (36253) |
$5,000 |
$10,000 |
1.0× |
| Ins endovas vena cava filtr (37191) |
$7,000 |
$14,000 |
1.4× |
| Ins Vag Brachytx Device (57156) |
$500 |
$1,000 |
1.8× |
Ins/Rep Subq Defibrillator (33270)
likely a partial charge, not the full procedure |
$6,500 |
$13,000 |
0.2× |
| Insert 1 Electrode Pm-Defib (33216) |
$4,000 |
$8,000 |
0.5× |
| Insert and remove bone pin (20650) |
$3,151.50 |
$6,303 |
1.0× |
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines |
$474–$754.50 |
$948–$1,509 |
varies |
| Insert cath pleura w/ image (32557) |
$1,400 |
$2,800 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,000 |
$4,000 |
1.1× |
| Insert Drug Implant Device (11981) |
$133 |
$266 |
1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,500 |
$5,000 |
1.4× |
| Insert Heart Pm Atrial (33206) |
$5,000 |
$10,000 |
0.5× |
| Insert Heart Pm Ventricular (33207) |
$6,000 |
$12,000 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$1,000 |
$2,000 |
0.3× |
Insert Pacing Lead & Connect (33224)
likely a partial charge, not the full procedure |
$2,250 |
$4,500 |
0.2× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,100 |
$2,200 |
0.8× |
Insert pulse gen dual leads (33213)
unusually low: confirm this is the full procedure |
$4,250 |
$8,500 |
0.4× |
Insert pulse gen mult leads (33221)
likely a partial charge, not the full procedure |
$4,750 |
$9,500 |
0.3× |
Insert Pulse Gen Sngl Lead (33212)
unusually low: confirm this is the full procedure |
$3,750 |
$7,500 |
0.5× |
Insert Temp Bladder Cath (51702)
range across 3 matching MRF lines |
$125–$171.50 |
$250–$343 |
varies |
| Insert tun ip cath perc (49418) |
$6,000 |
$12,000 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$50 |
$100 |
0.4× |
| Insertion indwelling tunneled pleural catheter (32550) |
$2,600 |
$5,200 |
0.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,100 |
$2,200 |
0.8× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$6,500 |
$13,000 |
0.8× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$600 |
$1,200 |
0.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$4,500 |
$9,000 |
0.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,915 |
$3,830 |
0.7× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,000 |
$12,000 |
2.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,250 |
$2,500 |
0.9× |
| Insj Subq Impltbl Dfb Elctrd (33271) |
$4,000 |
$8,000 |
0.5× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,500 |
$3,000 |
0.5× |
Insj/Rplcmt Defib W/Lead(S) (33249)
likely a partial charge, not the full procedure |
$7,500 |
$15,000 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210)
likely a partial charge, not the full procedure |
$1,150 |
$2,300 |
0.1× |
Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211)
likely a partial charge, not the full procedure |
$1,650 |
$3,300 |
0.2× |
| Insrt heart pm atrial & vent (33208) |
$8,000 |
$16,000 |
0.8× |
Insrt Pulse Gen W/Dual Leads (33230)
likely a partial charge, not the full procedure |
$4,000 |
$8,000 |
0.2× |
Insrt Pulse Gen W/Mult Leads (33231)
likely a partial charge, not the full procedure |
$4,250 |
$8,500 |
0.1× |
Insrt Pulse Gen W/Singl Lead (33240)
likely a partial charge, not the full procedure |
$4,000 |
$8,000 |
0.2× |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$3,250 |
$6,500 |
1.3× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$301 |
$602 |
0.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$310 |
$620 |
0.8× |
| Intraoral i&d tongue/floor lingual (41000) |
$750 |
$1,500 |
1.5× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$350 |
$700 |
1.6× |
| Intraoral i&d tongue/floor submental space (41007) |
$800 |
$1,600 |
0.6× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,800 |
$3,600 |
0.6× |
| Intro cath dialysis circuit (36901) |
$1,250 |
$2,500 |
0.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$10,000 |
$20,000 |
0.9× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$5,500 |
$11,000 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$350 |
$700 |
1.6× |
| Irrigation of corpora cavernosa for priapism (54220) |
$340 |
$680 |
1.5× |
| Laryngoscopy diagnostic (31505) |
$185.50 |
$371 |
1.0× |
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines |
$150–$300 |
$300–$600 |
varies |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$468 |
$936 |
1.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$850 |
$1,700 |
2.3× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$189 |
$378 |
1.0× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,641 |
$3,282 |
1.0× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,050 |
$4,100 |
1.4× |
| Marsupialization of bartholin's gland cyst (56440) |
$2,250 |
$4,500 |
0.7× |
| Maternity Care Procedure (59899) |
$231.50 |
$463 |
1.2× |
| Myelography Lumbar Injection (62305) |
$1,750 |
$3,500 |
2.4× |
| Myelography Lumbar Injection (62304) |
$1,500 |
$3,000 |
2.1× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,500 |
$3,000 |
2.1× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,500 |
$3,000 |
2.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$750 |
$1,500 |
1.1× |
| N block inj intercost sng (64420) |
$750 |
$1,500 |
1.1× |
| N Block Inj Paracervical (64435) |
$750 |
$1,500 |
1.1× |
| N Block Inj Plantar Digit (64455) |
$250 |
$500 |
0.9× |
| N Block Inj Pudendal (64430) |
$212.50 |
$425 |
0.3× |
| N Block Lumbar/Thoracic (64520) |
$1,500 |
$3,000 |
1.8× |
| Nasal Endoscopy Dx (31231) |
$212.50 |
$425 |
1.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$350 |
$700 |
0.8× |
| Needle Biopsy Lymph Nodes (38505) |
$650 |
$1,300 |
0.4× |
| Needle Biopsy Pancreas (48102) |
$750 |
$1,500 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$17.50 |
$35 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$30 |
$60 |
1.1× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$460 |
$920 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$200 |
$400 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$200 |
$400 |
0.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$1,400 |
$2,800 |
0.4× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$850 |
$1,700 |
1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$650 |
$1,300 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,000 |
$2,000 |
1.5× |
| Occipital Nerve Block (64405) |
$675 |
$1,350 |
2.4× |
| Open/Perq Place Stent 1St (37236) |
$9,000 |
$18,000 |
0.8× |
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines |
$8,512.50–$9,000 |
$17,025–$18,000 |
varies |
| Partial Excision Distal Phalanx Finger (26236) |
$1,761 |
$3,522 |
1.2× |
| Perc Cryo Ablate Renal Tum (50593) |
$13,000 |
$26,000 |
1.3× |
| Percut Ablate Liver Rf (47382) |
$3,150 |
$6,300 |
0.6× |
Percut Cath Occlusn Non Cns Lesn (61626)
unusually low: confirm this is the full procedure |
$5,250 |
$10,500 |
0.5× |
| Percut Drain/Inject Renal Cyst (50390) |
$700 |
$1,400 |
1.1× |
| Pericardiocentesis W/Imaging (33016) |
$1,350 |
$2,700 |
0.9× |
Perm Occlusion/Embolization,Percut,Cns (61624)
unusually low: confirm this is the full procedure |
$6,400 |
$12,800 |
0.4× |
| Perq dev breast 1st mr guide (19287) |
$1,500 |
$3,000 |
2.3× |
| Perq dev breast 1st us imag (19285) |
$1,000 |
$2,000 |
1.5× |
| Perq device breast 1st imag (19281) |
$1,100 |
$2,200 |
0.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$800 |
$1,600 |
1.2× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$10,000 |
$20,000 |
0.9× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,500 |
$11,000 |
1.0× |
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines |
$3,750–$5,000 |
$7,500–$10,000 |
varies |
| Place Cath Thoracic Aorta (36221) |
$4,000 |
$8,000 |
1.4× |
Place Cath Vertebral Art (36226)
range across 2 matching MRF lines |
$5,000–$7,500 |
$10,000–$15,000 |
varies |
| Placement of needle for intraosseous infusion (36680) |
$900 |
$1,800 |
2.2× |
Plmt Bile Duct Stent Prq Existing Access (47538)
unusually low: confirm this is the full procedure |
$2,600 |
$5,200 |
0.5× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,000 |
$10,000 |
0.9× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$7,500 |
$15,000 |
1.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,500 |
$5,000 |
1.3× |
| Plmt Nephroureteral Catheter (50433) |
$2,500 |
$5,000 |
0.8× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,000 |
$6,000 |
0.9× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$1,000 |
$2,000 |
0.3× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$2,000 |
$4,000 |
0.6× |
| Prim art mech thrombectomy (37184) |
$9,500 |
$19,000 |
0.6× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,000 |
$4,000 |
0.8× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$325 |
$650 |
0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$3,900 |
$7,800 |
1.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$5,000 |
$10,000 |
1.5× |
| Pseudoaneurysm Injection Trt (36002) |
$800 |
$1,600 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$250 |
$500 |
0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$550 |
$1,100 |
1.5× |
| Puncture Aspiration Cyst Breast (19000) |
$137.50 |
$275 |
0.2× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$750 |
$1,500 |
1.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$800 |
$1,600 |
1.2× |
| Redo Endovas Vena Cava Filtr (37192) |
$5,500 |
$11,000 |
1.9× |
| Relocation Pocket Pacemaker (33222) |
$4,100 |
$8,200 |
2.1× |
| Rem Endovas Vena Cava Filter (37193) |
$4,500 |
$9,000 |
1.5× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$800 |
$1,600 |
0.9× |
| Removal Embedded Foreign Body Eyelid (67938) |
$300 |
$600 |
1.0× |
| Removal Foreign Body Foot Complicated (28193) |
$1,715.50 |
$3,431 |
1.1× |
| Removal foreign body foot deep (28192) |
$3,000 |
$6,000 |
2.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$300 |
$600 |
0.5× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,598.50 |
$3,197 |
1.0× |
| Removal Foreign Body Scrotum (55120) |
$2,122 |
$4,244 |
1.1× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,000 |
$6,000 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$100 |
$200 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$90 |
$180 |
1.6× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,250 |
$4,500 |
0.7× |
| Removal intact breast implant (19328) |
$4,000 |
$8,000 |
1.1× |
| Removal of foreign body from pharynx (42809) |
$148.50 |
$297 |
0.4× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$500–$800 |
$1,000–$1,600 |
varies |
| Removal of tunneled intraperitoneal catheter (49422) |
$1,900 |
$3,800 |
0.6× |
| Removal Pacemaker Electrode (33235) |
$2,750 |
$5,500 |
0.8× |
Removal ppm generator only (33233)
likely a partial charge, not the full procedure |
$1,150 |
$2,300 |
0.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$65 |
$130 |
0.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,000 |
$4,000 |
3.0× |
| Remove drug implant device (11982) |
$472.50 |
$945 |
1.1× |
| Remove Elctrd Transvenously (33244) |
$400 |
$800 |
0.1× |
| Remove Forearm Foreign Body (25248) |
$2,000 |
$4,000 |
1.3× |
| Remove foreign body from eye (65205) |
$200 |
$400 |
1.6× |
| Remove Intrauterine Device (58301) |
$100 |
$200 |
0.4× |
| Remove intrvas foreign body (37197) |
$3,750 |
$7,500 |
1.3× |
| Remove lung catheter (32552) |
$450 |
$900 |
0.8× |
| Remove Nasal Foreign Body (30300) |
$137.50 |
$275 |
1.1× |
| Remove Pulse Generator (33241) |
$2,000 |
$4,000 |
0.6× |
| Remove renal tube w/fluoro (50389) |
$750 |
$1,500 |
1.2× |
| Remove Shoulder Foreign Body (23330) |
$850 |
$1,700 |
0.6× |
| Remove ureter stent percut (50384) |
$1,750 |
$3,500 |
0.9× |
| Remove&replace pm gen singl (33227) |
$5,000 |
$10,000 |
0.6× |
Remv&replc cvd gen dual lead (33263)
unusually low: confirm this is the full procedure |
$6,250 |
$12,500 |
0.3× |
Remv&replc cvd gen mult lead (33264)
likely a partial charge, not the full procedure |
$6,250 |
$12,500 |
0.2× |
Remv&replc cvd gen sing lead (33262)
unusually low: confirm this is the full procedure |
$6,250 |
$12,500 |
0.3× |
| Remv&replc pm gen dual lead (33228) |
$6,000 |
$12,000 |
0.6× |
Remv&replc pm gen mult leads (33229)
unusually low: confirm this is the full procedure |
$6,000 |
$12,000 |
0.3× |
| Renal Biopsy Perq (50200) |
$750 |
$1,500 |
0.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$500 |
$1,000 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$600 |
$1,200 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$339 |
$678 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$882 |
$1,764 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$600 |
$1,200 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$475.50 |
$951 |
1.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,550 |
$3,100 |
2.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$475 |
$950 |
0.7× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,151.50 |
$6,303 |
2.1× |
| Repair Eyelid Wound (67935) |
$2,199.50 |
$4,399 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$262.50 |
$525 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$325 |
$650 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$317 |
$634 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$275 |
$550 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$320 |
$640 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$237.50 |
$475 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$250 |
$500 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$300 |
$600 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$250 |
$500 |
0.4× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$407 |
$814 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$250 |
$500 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$300 |
$600 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$319.50 |
$639 |
0.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$300 |
$600 |
0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,200 |
$2,400 |
0.6× |
| Repair Laceration Palate </2 Cm (42180) |
$350 |
$700 |
0.7× |
Repair Laceration Palate >2 Cm/Complex (42182)
unusually low: confirm this is the full procedure |
$1,850 |
$3,700 |
0.3× |
| Repair of nail bed (11760) |
$225 |
$450 |
0.3× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$6,749 |
$13,498 |
1.0× |
| Repair tongue laceration (41252) |
$1,204 |
$2,408 |
5.5× |
| Repair tongue laceration (41250) |
$187 |
$374 |
0.5× |
| Replace g/c tube perc (49450) |
$750 |
$1,500 |
0.9× |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$2,000 |
$4,000 |
0.6× |
| Reposition Gastrostomy Tube (43761) |
$900 |
$1,800 |
3.9× |
| Reposition L Ventric Lead (33226) |
$1,500 |
$3,000 |
0.5× |
| Reposition Pacing-Defib Lead (33215) |
$2,250 |
$4,500 |
0.8× |
| Reposition Venous Catheter (36597) |
$1,150 |
$2,300 |
0.8× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,250 |
$4,500 |
1.2× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$4,300 |
$8,600 |
3.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$400 |
$800 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$250 |
$500 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$175 |
$350 |
1.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$228 |
$456 |
0.5× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,143 |
$2,286 |
1.0× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$2,777.50 |
$5,555 |
1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,750 |
$3,500 |
1.1× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$2,250 |
$4,500 |
0.6× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$2,000 |
$4,000 |
0.6× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,000 |
$4,000 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$250 |
$500 |
0.4× |
| Rplc Gtube No Revj Trc (43762) |
$300 |
$600 |
1.3× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$1,100 |
$2,200 |
0.4× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$4,500 |
$9,000 |
3.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$353.50 |
$707 |
1.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$562.50 |
$1,125 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$500 |
$1,000 |
2.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$800 |
$1,600 |
1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$550 |
$1,100 |
1.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$900 |
$1,800 |
0.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$3,151.50 |
$6,303 |
1.0× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$3,151.50 |
$6,303 |
1.0× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$900 |
$1,800 |
1.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$219.50 |
$439 |
1.2× |
| Sigmoidoscopy w/fb removal (45332) |
$1,134.50 |
$2,269 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$321.50 |
$643 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$275 |
$550 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$150 |
$300 |
0.8× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$211 |
$422 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$225 |
$450 |
1.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$237.50 |
$475 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$260 |
$520 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$265 |
$530 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$275 |
$550 |
1.5× |
Skin sub graft face/nk/hf/g (15275)
range across 2 matching MRF lines |
$550–$1,250 |
$1,100–$2,500 |
varies |
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines |
$600–$1,400 |
$1,200–$2,800 |
varies |
Skin sub grft t/arm/lg child (15273)
range across 2 matching MRF lines |
$1,250–$1,900 |
$2,500–$3,800 |
varies |
| Skin Tissue Procedure (17999) |
$225 |
$450 |
1.2× |
Skn sub grft f/n/hf/g child (15277)
range across 2 matching MRF lines |
$850–$1,150 |
$1,700–$2,300 |
varies |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines |
$6,250–$7,500 |
$12,500–$15,000 |
varies |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines |
$6,000–$7,000 |
$12,000–$14,000 |
varies |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines |
$8,000–$10,000 |
$16,000–$20,000 |
varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$275 |
$550 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$275 |
$550 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$294.50 |
$589 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$362.50 |
$725 |
0.6× |
| Strapping ankle (29540) |
$200 |
$400 |
1.3× |
| Strapping elbow or wrist (29260) |
$197.50 |
$395 |
3.6× |
| Strapping hand/finger (29280) |
$37.50 |
$75 |
0.7× |
| Strapping Hip (29520) |
$70 |
$140 |
0.6× |
| Strapping knee (29530) |
$195 |
$390 |
1.6× |
| Strapping shoulder (29240) |
$175 |
$350 |
1.4× |
| Strapping thorax (29200) |
$195 |
$390 |
1.3× |
| Strapping toes (29550) |
$75 |
$150 |
1.4× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$187.50–$195 |
$375–$390 |
varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$2,199.50 |
$4,399 |
1.0× |
| Tangential biopsy skin single lesion (11102) |
$250 |
$500 |
0.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$16,000 |
$32,000 |
0.6× |
Tcat Insj/Rpl Perm Ldls Pm (33274)
unusually low: confirm this is the full procedure |
$6,000 |
$12,000 |
0.3× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$2,750 |
$5,500 |
0.9× |
| Ther Apheresis,Red Blood Cells (36512) |
$1,900 |
$3,800 |
1.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$750 |
$1,500 |
1.1× |
| Therapeutic Apheresis White Blood Cells (36511) |
$1,900 |
$3,800 |
1.3× |
| Therapeutic plasma exchange (36514) |
$1,900 |
$3,800 |
1.3× |
| Thoracoscopy w/bx pleura (32609) |
$3,850 |
$7,700 |
0.7× |
| Thorsc dx lungs/pericar/med/pleural space w/o bx (32601) |
$3,850 |
$7,700 |
0.7× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$16,000 |
$32,000 |
0.9× |
| Thromblytic art/ven therapy (37213) |
$3,750 |
$7,500 |
1.3× |
| Thrombolytic Art Therapy (37211) |
$4,500 |
$9,000 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$400 |
$800 |
1.3× |
| Thrombolytic Venous Therapy (37212) |
$4,500 |
$9,000 |
1.5× |
| Thyroid biopsy (60100) |
$262.50 |
$525 |
0.4× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$3,000 |
$6,000 |
1.6× |
| Tooth extraction (41899) |
$550 |
$1,100 |
2.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,400 |
$2,800 |
2.8× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,650 |
$3,300 |
1.1× |
| Tracheostomy planned (31600) |
$4,450 |
$8,900 |
1.4× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$3,250 |
$6,500 |
1.1× |
| Treat Dental Ridge Fracture (21440) |
$1,750 |
$3,500 |
0.6× |
| Treat Hip Socket Fracture (27222) |
$4,042 |
$8,084 |
17.6× |
| Treat humerus fracture (24500) |
$125 |
$250 |
0.5× |
| Treat Humerus Fracture (24505) |
$262 |
$524 |
0.2× |
| Treat humerus fracture (23600) |
$200 |
$400 |
0.9× |
| Treat knee fracture (27532) |
$3,300 |
$6,600 |
1.1× |
| Treat Knee Fracture(S) (27538) |
$262.50 |
$525 |
1.1× |
| Treat Knuckle Dislocation (26700) |
$162.50 |
$325 |
0.7× |
| Treat Metatarsal Fracture (28475) |
$187.50 |
$375 |
0.8× |
| Treat Tail Bone Fracture (27200) |
$200 |
$400 |
0.9× |
| Treat Thumb Dislocation (26641) |
$262 |
$524 |
1.1× |
| Treat Thumb Fracture (26645) |
$1,250 |
$2,500 |
0.8× |
| Treat toe dislocation (28630) |
$137.50 |
$275 |
0.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,550 |
$3,100 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$225 |
$450 |
1.0× |
| Trim skin lesion (11055) |
$250 |
$500 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$250 |
$500 |
1.3× |
| Trim skin lesions over 4 (11057) |
$250 |
$500 |
1.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$80 |
$160 |
1.5× |
| Trluml Balo Angiop 1St Art (37246) |
$5,000 |
$10,000 |
0.9× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,000 |
$10,000 |
0.9× |
| Tx Gastro Intub W/Asp (43753) |
$270 |
$540 |
1.3× |
| Tx Opn Tendon Flexor Foot Single/Mult Tendon Spx (28230) |
$1,500 |
$3,000 |
1.0× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,250 |
$2,500 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$850 |
$1,700 |
1.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,250 |
$2,500 |
0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$100 |
$200 |
0.4× |
| Unlisted Cardiac Surgery (33999) |
$11,000 |
$22,000 |
18.9× |
Unlisted Procedure Endocrine System (60699)
likely a partial charge, not the full procedure |
$450 |
$900 |
0.1× |
| Unlisted Procedure Intestine (44799) |
$4,425 |
$8,850 |
5.2× |
| Unlisted Procedure Leg/Ankle (27899) |
$262.50 |
$525 |
1.1× |
| Unlisted procedure lungs and pleura (32999) |
$900 |
$1,800 |
1.5× |
Unlisted procedure nervous system (64999)
range across 3 matching MRF lines |
$100–$700 |
$200–$1,400 |
varies |
| Unlisted Procedure Rectum (45999) |
$1,001.50 |
$2,003 |
1.2× |
| Unlisted procedure stomach (43999) |
$500 |
$1,000 |
0.6× |
| Unlisted Procedure Trachea Bronchi (31899) |
$700 |
$1,400 |
3.8× |
| Unlisted Procedure Vascular Surgery (37799) |
$900 |
$1,800 |
1.5× |
| Upgrade of pacemaker system (33214) |
$5,500 |
$11,000 |
0.6× |
| Vasc embolize/occlude artery (37242) |
$10,500 |
$21,000 |
0.6× |
| Vasc Embolize/Occlude Bleed (37244) |
$12,500 |
$25,000 |
1.2× |
| Vasc Embolize/Occlude Organ (37243) |
$11,500 |
$23,000 |
1.1× |
| Vasc embolize/occlude venous (37241) |
$10,500 |
$21,000 |
1.0× |
| Venous Mech Thrombectomy (37187) |
$10,000 |
$20,000 |
0.9× |
| Wedge excision skin nail fold (11765) |
$62.50 |
$125 |
0.2× |
| Wound Prep F/N/Hf/G (15004) |
$700 |
$1,400 |
1.9× |
| Wound Prep Trk/Arm/Leg (15002) |
$2,250 |
$4,500 |
3.3× |