| Abd paracentesis w/imaging (49083) |
$2,670.60 |
$4,451 |
2.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,712.40 |
$2,854 |
1.8× |
| Abrasion single lesion (15786) |
$374.40 |
$624 |
1.8× |
| Application Finger Splint Dynamic (29131) |
$183.60 |
$306 |
2.9× |
| Application finger splint static (29130) |
$183.60 |
$306 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$202.20 |
$337 |
1.2× |
| Application Long Leg Splint (29505) |
$193.20 |
$322 |
1.1× |
| Application Short Arm Splint Dynamic (29126) |
$202.20 |
$337 |
1.4× |
| Application short arm splint forearm-hand static (29125) |
$202.20 |
$337 |
1.4× |
| Application short leg splint calf foot (29515) |
$193.20 |
$322 |
1.1× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$484.20–$968.40 |
$807–$1,614 |
varies |
| Arterial puncture (36600) |
$71.40 |
$119 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$872.40 |
$1,454 |
2.7× |
| Aspirate pleura w/ imaging (32555) |
$2,784 |
$4,640 |
4.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$405 |
$675 |
1.9× |
| Biopsy bone open deep (20245) |
$4,456.80 |
$7,428 |
1.5× |
| Biopsy bone open superficial (20240) |
$5,343.60 |
$8,906 |
1.7× |
| Biopsy muscle percutaneous needle (20206) |
$1,738.20 |
$2,897 |
1.0× |
| Bladder Irrigation (51700) |
$465.60 |
$776 |
1.8× |
| Bladder Scan (51798) |
$176.40 |
$294 |
2.8× |
| Blood Transfusion Service (36430) |
$1,230 |
$2,050 |
2.6× |
| Bx breast 1st lesion strtctc (19081) |
$3,814.80 |
$6,358 |
2.2× |
| Bx breast 1st lesion us imag (19083) |
$2,946.60 |
$4,911 |
1.7× |
| Chemical Cautery Tissue (17250) |
$399 |
$665 |
1.9× |
| Clear outer ear canal (69200) |
$1,896.60 |
$3,161 |
13.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$4,296.60 |
$7,161 |
2.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,296.60 |
$7,161 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$162 |
$270 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$39.60 |
$66 |
4.2× |
| Complex drainage wound (10180) |
$5,977.20 |
$9,962 |
1.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$3,171.60 |
$5,286 |
4.1× |
| Debride nail 1-5 (11720) |
$485.40 |
$809 |
7.8× |
| Debride nail 6 or more (11721) |
$357.60 |
$596 |
5.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,171.60 |
$5,286 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$778.80 |
$1,298 |
1.8× |
| Declot vascular device (36593) |
$1,372.80 |
$2,288 |
3.9× |
| Destruction Premalignant Lesion 15/> (17004) |
$285 |
$475 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$186.60 |
$311 |
0.9× |
| Drainage of hematoma/fluid (10140) |
$3,081 |
$5,135 |
1.8× |
| Draw Blood Off Venous Device (36591) |
$97.20 |
$162 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$441.60 |
$736 |
2.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,654.20 |
$2,757 |
2.2× |
| Epidural Blood Patch (62273) |
$1,968 |
$3,280 |
2.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$2,670.60 |
$4,451 |
3.6× |
| Fluoro exam of g/colon tube (49465) |
$918.60 |
$1,531 |
3.6× |
| Fna bx w/us gdn 1st les (10005) |
$1,504.80 |
$2,508 |
2.0× |
| I&d abscess simple (10060) |
$669 |
$1,115 |
3.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$886.80 |
$1,478 |
2.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$4,547.40 |
$7,579 |
2.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,183.80 |
$1,973 |
2.8× |
| Incisional biopsy skin single lesion (11106) |
$871.80 |
$1,453 |
1.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$670.20 |
$1,117 |
2.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$695.40 |
$1,159 |
2.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$684.60 |
$1,141 |
2.1× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$247.20 |
$412 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$424.80 |
$708 |
3.1× |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
$3,355.80–$4,432.80 |
$5,593–$7,388 |
varies |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$326.40–$344.40 |
$544–$574 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$336 |
$560 |
2.4× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$4,432.80 |
$7,388 |
1.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,087.60 |
$10,146 |
1.8× |
| Intro Gastrointestinal Tube (44500) |
$1,007.40 |
$1,679 |
1.0× |
| Myelography Lumbar Injection (62305) |
$5,619 |
$9,365 |
6.8× |
| Myelography Lumbar Injection (62304) |
$3,404.40 |
$5,674 |
4.1× |
| Myelography via lumbar injection rs&i cervical (62302) |
$3,508.80 |
$5,848 |
4.2× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$3,508.80 |
$5,848 |
4.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$467.40 |
$779 |
1.0× |
| Needle Biopsy Lymph Nodes (38505) |
$2,079 |
$3,465 |
1.2× |
| Perq dev breast 1st strtctc (19283) |
$2,320.80 |
$3,868 |
3.1× |
| Perq dev breast 1st us imag (19285) |
$1,985.40 |
$3,309 |
2.6× |
| Perq device breast 1st imag (19281) |
$3,329.40 |
$5,549 |
1.9× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$2,907 |
$4,845 |
3.9× |
| Punch biopsy skin single lesion (11104) |
$489 |
$815 |
1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$704.40 |
$1,174 |
1.6× |
| Puncture Aspiration Cyst Breast (19000) |
$907.80 |
$1,513 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$184.80 |
$308 |
3.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$268.20 |
$447 |
1.3× |
| Reposition Gastrostomy Tube (43761) |
$1,608.60 |
$2,681 |
6.1× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$863.40 |
$1,439 |
0.3× |
| Strapping ankle (29540) |
$117 |
$195 |
0.7× |
| Strapping elbow or wrist (29260) |
$96 |
$160 |
1.5× |
| Strapping hand/finger (29280) |
$143.40 |
$239 |
2.3× |
| Strapping Hip (29520) |
$114 |
$190 |
0.8× |
| Strapping knee (29530) |
$136.80 |
$228 |
1.0× |
| Strapping shoulder (29240) |
$150 |
$250 |
1.1× |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
$201–$561 |
$335–$935 |
varies |
| Tangential biopsy skin single lesion (11102) |
$489 |
$815 |
1.1× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,654.20 |
$2,757 |
2.2× |
| Thrombolytic Therapy Stroke (37195) |
$657.60 |
$1,096 |
1.9× |
| Trim skin lesion (11055) |
$422.40 |
$704 |
2.0× |
| Trim skin lesions 2 to 4 (11056) |
$280.20 |
$467 |
1.3× |
| Trim skin lesions over 4 (11057) |
$252 |
$420 |
1.2× |
| Tx Gastro Intub W/Asp (43753) |
$199.80 |
$333 |
0.9× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,306.80 |
$2,178 |
0.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$123.60 |
$206 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$2,238.60 |
$3,731 |
5.2× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,951.80 |
$3,253 |
2.5× |