Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$2,408–$2,412 |
$4,816–$4,824 |
varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$940 |
$1,880 |
1.0× |
| Anoscopy diagnostic (46600) |
$177 |
$354 |
1.3× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,190.50 |
$4,381 |
2.3× |
| Application cast elbow finger short arm (29075) |
$163 |
$326 |
0.6× |
| Application Finger Splint Dynamic (29131) |
$130.50 |
$261 |
2.2× |
Application finger splint static (29130) range across 3 matching MRF lines |
$88.50–$93.50 |
$177–$187 |
varies |
Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$123–$332.50 |
$246–$665 |
varies |
| Application Long Leg Splint (29505) |
$113 |
$226 |
0.7× |
| Application of rigid total contact leg cast (29445) |
$195 |
$390 |
0.7× |
Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$123–$139 |
$246–$278 |
varies |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$125.50–$141.50 |
$251–$283 |
varies |
| Application short leg splint calf foot (29515) |
$113 |
$226 |
0.7× |
| Apply long arm cast (29065) |
$163 |
$326 |
0.6× |
| Apply Multlay Comprs Lwr Leg (29581) |
$139 |
$278 |
0.8× |
| Apply Short Leg Cast (29405) |
$153.50 |
$307 |
0.5× |
| Arterial puncture (36600) |
$95.50 |
$191 |
0.7× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$453.50–$479 |
$907–$958 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$554 |
$1,108 |
0.8× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$710.50–$797.50 |
$1,421–$1,595 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$686 |
$1,372 |
2.2× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$190.50–$389 |
$381–$778 |
varies |
Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$1,557.50–$1,748 |
$3,115–$3,496 |
varies |
Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$1,007–$1,009 |
$2,014–$2,018 |
varies |
| Aspirate/Inj Ganglion Cyst (20612) |
$170 |
$340 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,230 |
$2,460 |
0.6× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$167–$187 |
$334–$374 |
varies |
| Biopsy Abdominal Mass (49180) |
$2,088 |
$4,176 |
1.2× |
| Biopsy bone trocar/needle deep (20225) |
$2,455 |
$4,910 |
1.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,888 |
$3,776 |
1.1× |
| Biopsy muscle percutaneous needle (20206) |
$2,073.50 |
$4,147 |
1.2× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,935 |
$3,870 |
1.2× |
| Biopsy Salivary Gland Needle (42400) |
$1,540 |
$3,080 |
2.1× |
| Biopsy soft tissue neck/thorax (21550) |
$1,964.50 |
$3,929 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$1,587.50 |
$3,175 |
1.7× |
Bladder Irrigation (51700) range across 2 matching MRF lines |
$217–$242.50 |
$434–$485 |
varies |
| Bladder Scan (51798) |
$245 |
$490 |
4.1× |
| Blepharotomy drainage abscess eyelid (67700) |
$412 |
$824 |
1.3× |
| Blood Transfusion Service (36430) |
$396 |
$792 |
0.9× |
| Bone Marrow; Aspiration Only (38220) |
$2,441 |
$4,882 |
1.5× |
| Bx breast 1st lesion mr imag (19085) |
$3,018.50 |
$6,037 |
1.8× |
| Bx breast 1st lesion strtctc (19081) |
$1,301.50 |
$2,603 |
0.8× |
| Bx breast 1st lesion us imag (19083) |
$3,301.50 |
$6,603 |
2.0× |
| Bx Cervix (57500) |
$2,962 |
$5,924 |
3.2× |
| Canthotomy Separate Procedure (67715) |
$1,317.50 |
$2,635 |
0.5× |
| Catheter aspiration nasotracheal spx (31720) |
$208 |
$416 |
0.9× |
| Change Cystostomy Tube Complicated (51710) |
$2,326.50 |
$4,653 |
3.3× |
| Change Cystostomy Tube Simple (51705) |
$595 |
$1,190 |
2.3× |
Change of Windpipe Airway (31502) range across 2 matching MRF lines |
$106–$129 |
$212–$258 |
varies |
Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$252–$266 |
$504–$532 |
varies |
| Chemical Pleurodesis (32560) |
$1,567 |
$3,134 |
2.5× |
Chest tube placement (32551) range across 2 matching MRF lines |
$547.50–$614.50 |
$1,095–$1,229 |
varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,038.50 |
$8,077 |
1.1× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,106 |
$2,212 |
0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,476 |
$2,952 |
0.9× |
| Clear outer ear canal (69200) |
$206.50 |
$413 |
1.5× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$713 |
$1,426 |
2.8× |
| Closed Treat Vert Body Fract (22310) |
$720.50 |
$1,441 |
2.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$824.50 |
$1,649 |
3.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$3,471.50 |
$6,943 |
13.9× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$637 |
$1,274 |
2.5× |
| Closed Treatment Sternum Fracture (21820) |
$494.50 |
$989 |
2.0× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$614.50 |
$1,229 |
2.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$824.50 |
$1,649 |
3.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,476 |
$2,952 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$614.50 |
$1,229 |
2.5× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$1,230 |
$2,460 |
4.9× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$614.50 |
$1,229 |
0.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$614.50 |
$1,229 |
2.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$412 |
$824 |
1.6× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,492.50 |
$2,985 |
0.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$614.50 |
$1,229 |
1.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$614.50 |
$1,229 |
2.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,493 |
$2,986 |
0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,230 |
$2,460 |
0.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,080.50 |
$8,161 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,230 |
$2,460 |
4.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$824.50 |
$1,649 |
3.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$614.50 |
$1,229 |
2.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$412 |
$824 |
0.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$412 |
$824 |
1.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,230 |
$2,460 |
0.8× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$614.50 |
$1,229 |
2.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,230 |
$2,460 |
0.8× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$614.50 |
$1,229 |
2.5× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$614.50 |
$1,229 |
2.5× |
| Closed tx septal&nose fx (21337) |
$3,561.50 |
$7,123 |
1.1× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$249 |
$498 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,230 |
$2,460 |
0.8× |
| Closed tx talus fracture w/o manipulation (28430) |
$412 |
$824 |
1.6× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$412 |
$824 |
1.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$103 |
$206 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$412 |
$824 |
0.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$614.50 |
$1,229 |
2.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$614.50 |
$1,229 |
2.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$412 |
$824 |
1.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$775 |
$1,550 |
1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$412 |
$824 |
1.6× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$600 |
$1,200 |
0.4× |
Clsd tx clavicular fracture w/o manipulation (23500) range across 2 matching MRF lines |
$614.50–$1,791.50 |
$1,229–$3,583 |
varies |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,708.50 |
$3,417 |
3.1× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$551 |
$1,102 |
2.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$824.50 |
$1,649 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$614.50 |
$1,229 |
2.5× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$410 |
$820 |
0.3× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,230 |
$2,460 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$412 |
$824 |
0.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,493 |
$2,986 |
0.9× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$426.50 |
$853 |
1.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$613.50 |
$1,227 |
2.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$883.50 |
$1,767 |
3.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$569 |
$1,138 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$595.50 |
$1,191 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$614.50 |
$1,229 |
2.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$614.50 |
$1,229 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$614.50 |
$1,229 |
0.4× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,700 |
$3,400 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,230 |
$2,460 |
4.9× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$989.50 |
$1,979 |
0.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,700 |
$3,400 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$412 |
$824 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$412 |
$824 |
1.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$412 |
$824 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,791.50 |
$3,583 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,476 |
$2,952 |
5.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$614.50 |
$1,229 |
2.5× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$674.50 |
$1,349 |
2.7× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$951.50 |
$1,903 |
0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,720 |
$3,440 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$412 |
$824 |
1.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$414 |
$828 |
1.7× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,952 |
$3,904 |
1.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$614.50 |
$1,229 |
2.5× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,189.50 |
$4,379 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$412 |
$824 |
1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$824.50 |
$1,649 |
2.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$412 |
$824 |
1.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,791.50 |
$3,583 |
1.1× |
| Cltx Medial Ankle Fx (27760) |
$614.50 |
$1,229 |
2.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$614.50 |
$1,229 |
2.5× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$412 |
$824 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$412 |
$824 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$412 |
$824 |
1.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,286.50 |
$6,573 |
2.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$494.50 |
$989 |
2.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,332 |
$4,664 |
1.4× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$614.50 |
$1,229 |
2.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,230 |
$2,460 |
0.8× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$2,382.50 |
$4,765 |
9.5× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$1,230 |
$2,460 |
4.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$614.50 |
$1,229 |
2.5× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,230 |
$2,460 |
0.8× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$412 |
$824 |
0.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$412 |
$824 |
0.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$824.50 |
$1,649 |
3.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$883.50 |
$1,767 |
3.5× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$824.50 |
$1,649 |
3.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$989.50 |
$1,979 |
3.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,476 |
$2,952 |
0.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$630 |
$1,260 |
2.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$85 |
$170 |
0.6× |
| Collection of venous blood by venipuncture (36415) |
$5 |
$10 |
0.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$635.50 |
$1,271 |
2.1× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$168 |
$336 |
0.5× |
| Complex drainage wound (10180) |
$1,110.50 |
$2,221 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$412 |
$824 |
3.0× |
Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$206.50–$242 |
$413–$484 |
varies |
| Convert Nephrostomy Catheter (50434) |
$1,611 |
$3,222 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,776.50 |
$7,553 |
2.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$412 |
$824 |
3.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$208 |
$416 |
0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,316.50 |
$2,633 |
0.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$582.50 |
$1,165 |
0.8× |
| Debride nail 1-5 (11720) |
$162 |
$324 |
2.7× |
| Debride nail 6 or more (11721) |
$120.50 |
$241 |
2.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$881 |
$1,762 |
0.5× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$463–$519.50 |
$926–$1,039 |
varies |
Declot vascular device (36593) range across 2 matching MRF lines |
$185–$208 |
$370–$416 |
varies |
| Delivery of placenta (59414) |
$1,330.50 |
$2,661 |
0.4× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$2,006 |
$4,012 |
2.2× |
| Destroy cerv/thor facet jnt (64633) |
$4,394 |
$8,788 |
2.2× |
| Destroy lumb/sac facet jnt (64635) |
$4,460 |
$8,920 |
2.2× |
| Destruct B9 Lesion 1-14 (17110) |
$154 |
$308 |
0.8× |
| Destruction Benign Lesions 15/> (17111) |
$133.50 |
$267 |
0.7× |
| Destruction Lesions Vulva Simple (56501) |
$2,830 |
$5,660 |
1.4× |
| Destruction Premalignant Lesion 15/> (17004) |
$358 |
$716 |
0.9× |
| Destruction premalignant lesion 1st (17000) |
$121.50 |
$243 |
0.6× |
| Diagnostic sigmoidoscopy (45330) |
$1,765 |
$3,530 |
1.9× |
| Dilat Xst Trc New Access Rcs (50437) |
$5,898 |
$11,796 |
1.6× |
| Drain Spinal Cord Cyst (62268) |
$2,518 |
$5,036 |
2.8× |
| Drain/inj small joint/bursa w/us (20604) |
$499.50 |
$999 |
1.6× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$2,012 |
$4,024 |
3.7× |
| Drainage external auditory canal abscess (69020) |
$523.50 |
$1,047 |
0.7× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,230 |
$2,460 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$206.50 |
$413 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,230 |
$2,460 |
0.7× |
| Drainage Mouth Roof Lesion (42000) |
$412 |
$824 |
1.7× |
Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$299.50–$614.50 |
$599–$1,229 |
varies |
| Drainage of gum lesion (41800) |
$206.50 |
$413 |
1.5× |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$812.50–$828 |
$1,625–$1,656 |
varies |
| Drainage of scrotal wall abscess (55100) |
$614.50 |
$1,229 |
0.4× |
| Drainage of scrotum (54700) |
$1,493 |
$2,986 |
0.7× |
| Draw Blood Off Venous Device (36591) |
$105 |
$210 |
0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$412 |
$824 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$847 |
$1,694 |
2.1× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$315–$353 |
$630–$706 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$414.50–$465.50 |
$829–$931 |
varies |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,999.50 |
$3,999 |
0.7× |
| Dx Bronchoscope/Lavage (31624) |
$1,014 |
$2,028 |
0.6× |
| Dx Bronchoscope/Wash (31622) |
$1,237.50 |
$2,475 |
0.7× |
| Dx Laryngoscopy Excl Nb (31525) |
$1,120 |
$2,240 |
0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,515.50 |
$3,031 |
2.1× |
| Egd place gastrostomy tube (43246) |
$807 |
$1,614 |
0.4× |
| Endometrial Biopsy (58100) |
$129 |
$258 |
0.6× |
Epidural Blood Patch (62273) range across 2 matching MRF lines |
$1,096–$1,230 |
$2,192–$2,460 |
varies |
| Escharotomy; initial incision (16035) |
$600 |
$1,200 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$56 |
$112 |
0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,115 |
$2,230 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$201.50 |
$403 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,685 |
$3,370 |
2.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,693.50 |
$3,387 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$547.50 |
$1,095 |
0.3× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,096 |
$2,192 |
0.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$249.50 |
$499 |
0.6× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$463 |
$926 |
0.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$6,416.50 |
$12,833 |
1.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,962 |
$5,924 |
1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$768 |
$1,536 |
1.1× |
| External cephalic version (59412) |
$1,529 |
$3,058 |
0.5× |
| Fetal Contraction Stress Test (59020) |
$193.50 |
$387 |
0.9× |
| Fetal non-stress test (59025) |
$325 |
$650 |
1.6× |
Fine needle aspiration without imaging guidance (10021) range across 2 matching MRF lines |
$547.50–$614.50 |
$1,095–$1,229 |
varies |
| Fluid Pressure Muscle (20950) |
$930.50 |
$1,861 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$129.50 |
$259 |
0.5× |
| Fna bx w/us gdn 1st les (10005) |
$1,599.50 |
$3,199 |
2.2× |
| Foreskin manipulation (54450) |
$1,662 |
$3,324 |
6.5× |
| Guide Cathet Fluid Drainage (10030) |
$2,073.50 |
$4,147 |
2.9× |
| Hem vw ds vw factor & collagen IV binding elisa (0280U) |
$53 |
$106 |
3.1× |
| I&d abscess peritonsillar (42700) |
$412 |
$824 |
1.7× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$202.50–$227 |
$405–$454 |
varies |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$4,961 |
$9,922 |
1.5× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$1,905.50 |
$3,811 |
3.5× |
I&d perianal abscess superficial (46050) range across 2 matching MRF lines |
$680–$824.50 |
$1,360–$1,649 |
varies |
| I&d pilonidal cyst complicated (10081) |
$614.50 |
$1,229 |
0.9× |
I&d pilonidal cyst simple (10080) range across 2 matching MRF lines |
$203–$206.50 |
$406–$413 |
varies |
| Icd Pocket Revision (33223) |
$996 |
$1,992 |
0.5× |
| Image Cath Fluid Colxn Visc (49405) |
$3,071.50 |
$6,143 |
1.8× |
| Image Cath Fluid Peri/Retro (49406) |
$2,172 |
$4,344 |
1.3× |
Incise external hemorrhoid (46083) range across 2 matching MRF lines |
$412–$624 |
$824–$1,248 |
varies |
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$602–$676 |
$1,204–$1,352 |
varies |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$797.50 |
$1,595 |
0.3× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,230 |
$2,460 |
0.7× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$585.50–$657 |
$1,171–$1,314 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$412 |
$824 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$614.50 |
$1,229 |
2.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,066.50 |
$2,133 |
0.7× |
| Incision of rectal abscess (46040) |
$1,230 |
$2,460 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,216 |
$6,432 |
1.9× |
| Incisional biopsy skin single lesion (11106) |
$566.50 |
$1,133 |
0.8× |
Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$259.50–$427 |
$519–$854 |
varies |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$441 |
$882 |
0.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$465.50 |
$931 |
2.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,852.50 |
$3,705 |
2.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$2,222 |
$4,444 |
7.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$996 |
$1,992 |
1.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$996 |
$1,992 |
1.4× |
| Injection for identification of sentinel node (38792) |
$1,411.50 |
$2,823 |
3.5× |
| Injection single tendon origin/insertion (20551) |
$270 |
$540 |
0.9× |
Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$445–$568.50 |
$890–$1,137 |
varies |
Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$94.50–$569 |
$189–$1,138 |
varies |
| Injection therapeutic carpal tunnel (20526) |
$296.50 |
$593 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$996 |
$1,992 |
1.1× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$996–$3,501 |
$1,992–$7,002 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$614.50–$996 |
$1,229–$1,992 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$174 |
$348 |
0.9× |
| Ins Vag Brachytx Device (57156) |
$903 |
$1,806 |
2.9× |
Ins/Rep Subq Defibrillator (33270) range across 2 matching MRF lines |
$29,122.50–$31,015 |
$58,245–$62,030 |
varies |
| Insert 1 Electrode Pm-Defib (33216) |
$6,944.50 |
$13,889 |
0.8× |
| Insert and remove bone pin (20650) |
$4,243 |
$8,486 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$170 |
$340 |
1.3× |
| Insert cath pleura w/ image (32557) |
$1,761.50 |
$3,523 |
1.1× |
Insert cath pleura w/o image (32556) range across 2 matching MRF lines |
$538–$603.50 |
$1,076–$1,207 |
varies |
| Insert Drug Implant Device (11981) |
$677.50 |
$1,355 |
5.0× |
Insert Gastrostomy Tube Percutaneous (49440) range across 2 matching MRF lines |
$1,106–$1,240.50 |
$2,212–$2,481 |
varies |
| Insert Heart Pm Atrial (33206) |
$10,622.50 |
$21,245 |
1.0× |
| Insert Heart Pm Ventricular (33207) |
$7,109.50 |
$14,219 |
0.7× |
Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$1,822.50–$2,046 |
$3,645–$4,092 |
varies |
| Insert Pacing Lead & Connect (33224) |
$11,772.50 |
$23,545 |
1.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$844.50 |
$1,689 |
0.5× |
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$120.50–$134.50 |
$241–$269 |
varies |
| Insert tunneled cv cath (36561) |
$1,493 |
$2,986 |
0.5× |
Insert,Non-Indwelling Bladder Catheter (51701) range across 3 matching MRF lines |
$120.50–$134.50 |
$241–$269 |
varies |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,222 |
$10,444 |
1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,725.50 |
$5,451 |
1.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,754.50 |
$17,509 |
1.0× |
| Insertion Uterine Tandem&/Vaginal Ovoids (57155) |
$5,313.50 |
$10,627 |
1.0× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$7,128 |
$14,256 |
0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,369.50 |
$4,739 |
0.7× |
| Insj Picc Rs&I <5 Yr (36572) |
$2,365.50 |
$4,731 |
3.7× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 2 matching MRF lines |
$1,777–$1,994.50 |
$3,554–$3,989 |
varies |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$21,327.50 |
$42,655 |
0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$4,621 |
$9,242 |
0.5× |
| Insrt heart pm atrial & vent (33208) |
$7,109.50 |
$14,219 |
0.7× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$15,640.50 |
$31,281 |
0.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$2,523.50 |
$5,047 |
1.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$676 |
$1,352 |
1.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$725 |
$1,450 |
1.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,230 |
$2,460 |
0.4× |
| Intro Gastrointestinal Tube (44500) |
$1,090.50 |
$2,181 |
1.2× |
Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$819–$820.50 |
$1,638–$1,641 |
varies |
| Irrigation of corpora cavernosa for priapism (54220) |
$412 |
$824 |
1.6× |
| Laryngoscopy diagnostic (31505) |
$190.50 |
$381 |
0.9× |
Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$206.50–$442.50 |
$413–$885 |
varies |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$2,858 |
$5,716 |
7.2× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$3,081 |
$6,162 |
1.7× |
| Lithotripsy, extracorporeal shock wave (50590) |
$12,192 |
$24,384 |
3.4× |
| Maternity Care Procedure (59899) |
$2,345.50 |
$4,691 |
11.4× |
| Myelography Lumbar Injection (62305) |
$907 |
$1,814 |
1.1× |
| Myelography Lumbar Injection (62304) |
$715.50 |
$1,431 |
0.9× |
| Myelography via lumbar injection rs&i cervical (62302) |
$715.50 |
$1,431 |
0.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$2,188.50 |
$4,377 |
2.7× |
| N Block Inj Celiac Pelus (64530) |
$1,757.50 |
$3,515 |
2.0× |
| N block inj intercost sng (64420) |
$3,147 |
$6,294 |
4.4× |
| N Block Inj Plantar Digit (64455) |
$205.50 |
$411 |
0.7× |
Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$631–$708 |
$1,262–$1,416 |
varies |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$4,073 |
$8,146 |
2.3× |
| Ndl Emg Stds Emg Anal/Urtl Sphnctr Any Tq (51785) |
$324 |
$648 |
1.3× |
| Needle Biopsy Lymph Nodes (38505) |
$1,636 |
$3,272 |
1.0× |
| Needle Biopsy Pancreas (48102) |
$2,115 |
$4,230 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$398 |
$796 |
1.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$4,665 |
$9,330 |
2.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$206.50 |
$413 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$8,145 |
$16,290 |
2.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$7,784.50 |
$15,569 |
2.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$340.50 |
$681 |
0.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,070.50 |
$4,141 |
2.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$944 |
$1,888 |
1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$5,387.50 |
$10,775 |
7.6× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,876 |
$3,752 |
2.6× |
Occipital Nerve Block (64405) range across 2 matching MRF lines |
$1,096–$1,098 |
$2,192–$2,196 |
varies |
| Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens, fresh or formalin-fixed… (0297U) |
$113 |
$226 |
0.0× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,332.50 |
$2,665 |
0.4× |
| Penile Injection (54235) |
$671.50 |
$1,343 |
2.6× |
| Perc Rf Ablate Renal Tumor (50592) |
$6,219.50 |
$12,439 |
1.0× |
| Percut Ablate Liver Rf (47382) |
$6,219.50 |
$12,439 |
1.0× |
| Percut Drain/Inject Renal Cyst (50390) |
$692 |
$1,384 |
1.0× |
Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$791.50–$1,201.50 |
$1,583–$2,403 |
varies |
| Perq dev breast 1st us imag (19285) |
$2,702 |
$5,404 |
3.8× |
| Perq device breast 1st imag (19281) |
$1,124.50 |
$2,249 |
0.7× |
| Perq dilation xst trc endourologic px w/img (50436) |
$4,976 |
$9,952 |
1.4× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$8,156.50 |
$16,313 |
1.1× |
| Perq Vertebral Augmentation (22513) |
$8,642.50 |
$17,285 |
1.2× |
| Place Cath Thoracic Aorta (36221) |
$3,074.50 |
$6,149 |
1.0× |
| Place Rt Device/Marker Pros (55876) |
$2,740.50 |
$5,481 |
1.9× |
| Placement Needle Pelvic Organ Radioelement Appl (55920) |
$6,361.50 |
$12,723 |
1.3× |
| Placement of needle for intraosseous infusion (36680) |
$594 |
$1,188 |
1.3× |
| Plmt Bile Duct Stent Prq New Access W/O Sep Cath (47539) |
$5,149 |
$10,298 |
0.8× |
| Plmt Bile Duct Stent Prq New Access W/Sep Cath (47540) |
$10,540.50 |
$21,081 |
1.7× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$1,855.50 |
$3,711 |
0.9× |
| Plmt Nephroureteral Catheter (50433) |
$3,856 |
$7,712 |
1.1× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$6,098.50 |
$12,197 |
1.7× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$4,706 |
$9,412 |
1.3× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$1,929 |
$3,858 |
2.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$4,932 |
$9,864 |
1.4× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,932 |
$9,864 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$330.50 |
$661 |
0.8× |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$184–$206.50 |
$368–$413 |
varies |
Puncture Aspiration Cyst Breast (19000) range across 2 matching MRF lines |
$308–$315 |
$616–$630 |
varies |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,994.50 |
$3,989 |
2.8× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,562.50 |
$7,125 |
1.8× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$1,526.50 |
$3,053 |
2.1× |
| Reduction of rectal prolapse (45900) |
$614.50 |
$1,229 |
0.7× |
| Relocation Pocket Pacemaker (33222) |
$4,153.50 |
$8,307 |
2.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$1,637.50 |
$3,275 |
1.8× |
| Removal Embedded Foreign Body Eyelid (67938) |
$494.50 |
$989 |
1.5× |
| Removal foreign body foot deep (28192) |
$1,230 |
$2,460 |
0.7× |
Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$614.50–$1,083.50 |
$1,229–$2,167 |
varies |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$614.50 |
$1,229 |
0.4× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$104–$116.50 |
$208–$233 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$52.50–$103 |
$105–$206 |
varies |
| Removal implantable contraceptive capsules (11976) |
$145 |
$290 |
0.2× |
| Removal of foreign body from pharynx (42809) |
$412 |
$824 |
0.9× |
Removal of nail bed (11750) range across 2 matching MRF lines |
$184–$1,330 |
$368–$2,660 |
varies |
| Removal Pacemaker Electrode (33235) |
$5,648.50 |
$11,297 |
1.5× |
| Removal ppm generator only (33233) |
$5,188.50 |
$10,377 |
0.6× |
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$265.50–$373 |
$531–$746 |
varies |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$2,285.50 |
$4,571 |
3.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$104.50 |
$209 |
0.4× |
| Remove Brain Cavity Fluid (61020) |
$1,229 |
$2,458 |
1.4× |
Remove drug implant device (11982) range across 2 matching MRF lines |
$836–$1,095.50 |
$1,672–$2,191 |
varies |
| Remove Elctrd Transvenously (33244) |
$4,670.50 |
$9,341 |
1.2× |
| Remove foreign body from eye (65205) |
$247.50 |
$495 |
1.8× |
Remove Intrauterine Device (58301) range across 2 matching MRF lines |
$132–$206.50 |
$264–$413 |
varies |
| Remove Nasal Foreign Body (30300) |
$206.50 |
$413 |
1.5× |
| Remove renal tube w/fluoro (50389) |
$1,805.50 |
$3,611 |
2.5× |
| Remove&replace pm gen singl (33227) |
$12,047.50 |
$24,095 |
1.4× |
| Remove/Insert Drug Implant (11983) |
$261.50 |
$523 |
0.6× |
| Remv&replc cvd gen dual lead (33263) |
$25,137 |
$50,274 |
1.1× |
| Remv&replc cvd gen mult lead (33264) |
$28,854.50 |
$57,709 |
0.9× |
| Remv&replc cvd gen sing lead (33262) |
$25,474.50 |
$50,949 |
1.1× |
| Remv&replc pm gen dual lead (33228) |
$10,197 |
$20,394 |
1.0× |
| Remv&replc pm gen mult leads (33229) |
$11,709.50 |
$23,419 |
0.6× |
| Renal Biopsy Perq (50200) |
$2,030.50 |
$4,061 |
1.2× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$2,792 |
$5,584 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$824.50 |
$1,649 |
1.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$614.50 |
$1,229 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$614.50 |
$1,229 |
1.5× |
Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) range across 2 matching MRF lines |
$614.50–$2,049.50 |
$1,229–$4,099 |
varies |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$614.50 |
$1,229 |
1.5× |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$614.50–$1,945 |
$1,229–$3,890 |
varies |
| Repair complex trunk 1.1-2.5 cm (13100) |
$614.50 |
$1,229 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$614.50 |
$1,229 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$614.50 |
$1,229 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$824.50 |
$1,649 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$676 |
$1,352 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$676 |
$1,352 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,098 |
$2,196 |
2.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$412 |
$824 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$676 |
$1,352 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$676 |
$1,352 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$676 |
$1,352 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$676 |
$1,352 |
1.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$676 |
$1,352 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$676 |
$1,352 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$824.50 |
$1,649 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$676 |
$1,352 |
1.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$824.50 |
$1,649 |
0.4× |
| Repair Lead Pace-Defib One (33218) |
$5,024 |
$10,048 |
1.3× |
| Repair of nail bed (11760) |
$412 |
$824 |
0.5× |
| Repair tongue laceration (41252) |
$738 |
$1,476 |
3.1× |
| Repair tongue laceration (41250) |
$206.50 |
$413 |
0.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,230 |
$2,460 |
1.3× |
| Replace G-J Tube Perc (49452) |
$1,718.50 |
$3,437 |
1.9× |
Replace g/c tube perc (49450) range across 2 matching MRF lines |
$1,096–$1,230 |
$2,192–$2,460 |
varies |
| Repos Previously Implanted Subq Implantable Dfb (33273) |
$4,951.50 |
$9,903 |
1.3× |
Reposition Gastrostomy Tube (43761) range across 2 matching MRF lines |
$296.50–$1,230.50 |
$593–$2,461 |
varies |
| Reposition L Ventric Lead (33226) |
$3,882.50 |
$7,765 |
1.2× |
| Reposition Pacing-Defib Lead (33215) |
$4,680 |
$9,360 |
1.5× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$3,081 |
$6,162 |
1.5× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$566 |
$1,132 |
0.6× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,330.50 |
$2,661 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$123.50 |
$247 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$154 |
$308 |
1.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$145 |
$290 |
0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$672 |
$1,344 |
0.6× |
| Rmvl of subq implantable defibrillator electrode (33272) |
$4,153.50 |
$8,307 |
1.1× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$5,413 |
$10,826 |
1.4× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,879.50 |
$3,759 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$343 |
$686 |
0.5× |
| Rplc Gtube No Revj Trc (43762) |
$206.50 |
$413 |
0.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$566.50 |
$1,133 |
0.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$676 |
$1,352 |
3.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$824.50 |
$1,649 |
1.1× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
$1,688.50 |
$3,377 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,651.50 |
$3,303 |
3.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,728.50 |
$3,457 |
3.2× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,593 |
$5,186 |
1.6× |
| Sclerotx Fluid Collection (49185) |
$2,209 |
$4,418 |
1.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$123 |
$246 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$240.50 |
$481 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$127 |
$254 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$228 |
$456 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$166 |
$332 |
0.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$136.50 |
$273 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$676 |
$1,352 |
1.6× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$445–$676 |
$890–$1,352 |
varies |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$557.50–$676 |
$1,115–$1,352 |
varies |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$824.50 |
$1,649 |
2.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$412 |
$824 |
2.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$673 |
$1,346 |
3.3× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$602–$676 |
$1,204–$1,352 |
varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$676 |
$1,352 |
3.3× |
Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) range across 2 matching MRF lines |
$453.50–$676 |
$907–$1,352 |
varies |
| Skin sub graft face/nk/hf/g (15275) |
$4,038.50 |
$8,077 |
5.4× |
| Skin sub graft trnk/arm/leg (15271) |
$4,038.50 |
$8,077 |
5.4× |
| Skin sub grft t/arm/lg child (15273) |
$5,600.50 |
$11,201 |
2.7× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$371–$676 |
$742–$1,352 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$676 |
$1,352 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$676 |
$1,352 |
1.6× |
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$710.50–$797.50 |
$1,421–$1,595 |
varies |
| Strapping elbow or wrist (29260) |
$195.50 |
$391 |
3.3× |
| Strapping shoulder (29240) |
$129 |
$258 |
1.0× |
| Strapping Unna Boot (29580) |
$110 |
$220 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$330.50 |
$661 |
0.8× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$19,587.50 |
$39,175 |
0.7× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$23,481 |
$46,962 |
1.2× |
| Tcat Rmvl Perm Ldls Pm (33275) |
$6,053 |
$12,106 |
1.9× |
| Thromblytic art/ven therapy (37213) |
$3,499 |
$6,998 |
1.1× |
| Thrombolytic Art Therapy (37211) |
$4,299 |
$8,598 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$738 |
$1,476 |
2.2× |
| Thrombolytic Venous Therapy (37212) |
$4,752 |
$9,504 |
1.5× |
| Thyroid biopsy (60100) |
$1,039 |
$2,078 |
1.4× |
| Tooth extraction (41899) |
$187 |
$374 |
0.8× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$5,922 |
$11,844 |
1.1× |
Tracheostomy Emergency Cricothyroid Membrane (31605) range across 2 matching MRF lines |
$914.50–$989.50 |
$1,829–$1,979 |
varies |
| Tracheostomy planned (31600) |
$5,610.50 |
$11,221 |
1.7× |
| Transcatheter biopsy (37200) |
$3,526 |
$7,052 |
0.6× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$7,509 |
$15,018 |
1.4× |
| Treat Hip Socket Fracture (27222) |
$1,139.50 |
$2,279 |
4.5× |
| Treat humerus fracture (24500) |
$412 |
$824 |
1.6× |
| Treat Humerus Fracture (24505) |
$1,853 |
$3,706 |
1.1× |
| Treat humerus fracture (23600) |
$614.50 |
$1,229 |
2.5× |
| Treat Knuckle Dislocation (26700) |
$614.50 |
$1,229 |
2.5× |
| Treat Metatarsal Fracture (28475) |
$475 |
$950 |
1.9× |
| Treat Tail Bone Fracture (27200) |
$412 |
$824 |
1.6× |
| Treat Thumb Dislocation (26641) |
$614.50 |
$1,229 |
2.5× |
| Treat toe dislocation (28630) |
$412 |
$824 |
1.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,230 |
$2,460 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$824.50 |
$1,649 |
3.3× |
Trim skin lesion (11055) range across 2 matching MRF lines |
$118.50–$133 |
$237–$266 |
varies |
| Trim skin lesions 2 to 4 (11056) |
$166.50 |
$333 |
0.8× |
| Trim skin lesions over 4 (11057) |
$173.50 |
$347 |
0.9× |
Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$47.50–$82.50 |
$95–$165 |
varies |
| Tx Gastro Intub W/Asp (43753) |
$412 |
$824 |
1.9× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,511 |
$5,022 |
0.8× |
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$547.50–$614.50 |
$1,095–$1,229 |
varies |
Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) range across 2 matching MRF lines |
$360.50–$412 |
$721–$824 |
varies |
Unlisted procedure nervous system (64999) range across 3 matching MRF lines |
$2,331.50–$3,495.50 |
$4,663–$6,991 |
varies |
| Unlisted Procedure Trachea Bronchi (31899) |
$3,195 |
$6,390 |
15.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,379 |
$2,758 |
1.5× |
| Upgrade of pacemaker system (33214) |
$8,652.50 |
$17,305 |
0.8× |
| Vaginal delivery only (59409) |
$3,524.50 |
$7,049 |
1.1× |
| Vw factor type 2n eval plsm (0284U) |
$53 |
$106 |
3.1× |
Wedge excision skin nail fold (11765) range across 2 matching MRF lines |
$160–$218.50 |
$320–$437 |
varies |