| Abd paracentesis w/imaging (49083) |
$1,302.75 |
$2,895 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,215 |
$2,700 |
1.4× |
| Amniocentesis diagnostic (59000) |
$901.80 |
$2,004 |
1.0× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,236.40 |
$7,192 |
1.0× |
| Amputation toe interphalangeal joint (28825) |
$2,167.20 |
$4,816 |
0.7× |
| Anoscopy diagnostic (46600) |
$103.50 |
$230 |
0.8× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$773.10 |
$1,718 |
0.9× |
| Application cast elbow finger short arm (29075) |
$435.60 |
$968 |
1.6× |
| Application finger splint static (29130) |
$288.90 |
$642 |
2.3× |
| Application long arm splint shoulder hand (29105) |
$530.10 |
$1,178 |
3.4× |
| Application Long Leg Splint (29505) |
$332.10 |
$738 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$556.65 |
$1,237 |
4.4× |
| Application short leg splint calf foot (29515) |
$332.10 |
$738 |
2.2× |
| Apply Short Leg Cast (29405) |
$593.10 |
$1,318 |
2.2× |
Arterial puncture (36600) range across 2 matching MRF lines |
$10.35–$94.50 |
$23–$210 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$644.40 |
$1,432 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$664.20 |
$1,476 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$625.05 |
$1,389 |
2.2× |
| Aspirate pleura w/ imaging (32555) |
$1,309.50 |
$2,910 |
2.2× |
| Aspirate Pleura W/O Imaging (32554) |
$949.95 |
$2,111 |
1.6× |
| Aspirate/Inj Ganglion Cyst (20612) |
$625.05 |
$1,389 |
2.2× |
| Aspiration and/or injection thyroid cyst (60300) |
$386.55 |
$859 |
0.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,421.80 |
$7,604 |
1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$486 |
$1,080 |
2.6× |
| Bladder Irrigation (51700) |
$466.20 |
$1,036 |
2.0× |
| Bladder Scan (51798) |
$101.25 |
$225 |
1.8× |
| Blepharotomy drainage abscess eyelid (67700) |
$433.35 |
$963 |
1.4× |
| Blood Transfusion Service (36430) |
$1,179 |
$2,620 |
2.8× |
| Bx breast 1st lesion us imag (19083) |
$1,783.35 |
$3,963 |
1.1× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,983.40 |
$8,852 |
1.1× |
| Cerclage cervix pregnancy vaginal (59320) |
$5,989.05 |
$13,309 |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$432 |
$960 |
1.8× |
| Change of Windpipe Airway (31502) |
$581.85 |
$1,293 |
2.6× |
| Chemical Cautery Tissue (17250) |
$307.80 |
$684 |
1.6× |
| Chest tube placement (32551) |
$949.95 |
$2,111 |
0.6× |
| Circumcision w/clamp/oth dev w/block (54150) |
$853.20 |
$1,896 |
0.4× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,684.35 |
$3,743 |
1.1× |
| Clear outer ear canal (69200) |
$265.95 |
$591 |
2.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$433.35 |
$963 |
1.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$685.80 |
$1,524 |
2.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$909 |
$2,020 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$774.45 |
$1,721 |
3.3× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$256.05 |
$569 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$774.45 |
$1,721 |
3.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$433.35 |
$963 |
1.9× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$3,089.25 |
$6,865 |
13.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,037.25 |
$2,305 |
4.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$433.35 |
$963 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,628.10 |
$3,618 |
1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,123.65 |
$2,497 |
0.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$504 |
$1,120 |
2.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$774.45 |
$1,721 |
3.3× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$734.40 |
$1,632 |
3.3× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,097.55 |
$2,439 |
2.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,969.55 |
$6,599 |
2.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$946.35 |
$2,103 |
4.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$563.40 |
$1,252 |
2.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$774.45 |
$1,721 |
3.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$319.95 |
$711 |
1.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$499.05 |
$1,109 |
2.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$920.70 |
$2,046 |
0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,543.05 |
$3,429 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$426.15 |
$947 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$454.95 |
$1,011 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$328.50 |
$730 |
1.4× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$484.65 |
$1,077 |
0.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$792.90 |
$1,762 |
3.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$424.80 |
$944 |
1.8× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$837.45 |
$1,861 |
3.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$705.60 |
$1,568 |
3.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$518.40 |
$1,152 |
2.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$433.35 |
$963 |
1.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$413.55 |
$919 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$328.50 |
$730 |
1.4× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,562.65 |
$7,917 |
2.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$474.75 |
$1,055 |
2.0× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$774.45 |
$1,721 |
3.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,971.90 |
$4,382 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,224 |
$2,720 |
5.2× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$774.45 |
$1,721 |
3.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$909 |
$2,020 |
3.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$909 |
$2,020 |
0.6× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$774.45 |
$1,721 |
3.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$147.15 |
$327 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$11.25 |
$25 |
1.2× |
| Complex drainage wound (10180) |
$3,331.35 |
$7,403 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$487.80 |
$1,084 |
3.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$443.25 |
$985 |
3.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$946.35 |
$2,103 |
7.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$267.30 |
$594 |
1.2× |
| Curettage postpartum (59160) |
$2,948.40 |
$6,552 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$820.80 |
$1,824 |
2.1× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$4,010.85 |
$8,913 |
1.5× |
| Debride nail 1-5 (11720) |
$183.60 |
$408 |
3.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,867.50 |
$4,150 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$820.80 |
$1,824 |
2.1× |
| Declot vascular device (36593) |
$512.55 |
$1,139 |
1.6× |
| Delivery of placenta (59414) |
$1,993.05 |
$4,429 |
0.7× |
| Destroy cerv/thor facet jnt (64633) |
$3,238.65 |
$7,197 |
1.8× |
| Destroy lumb/sac facet jnt (64635) |
$3,238.65 |
$7,197 |
1.8× |
| Dilate Urethra Stricture (53620) |
$3,421.80 |
$7,604 |
5.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$459 |
$1,020 |
0.7× |
| Drainage Mouth Roof Lesion (42000) |
$573.30 |
$1,274 |
2.6× |
| Drainage of finger abscess simple (26010) |
$499.95 |
$1,111 |
2.6× |
| Drainage of gum lesion (41800) |
$527.85 |
$1,173 |
4.2× |
| Drainage of hematoma/fluid (10140) |
$2,587.50 |
$5,750 |
1.7× |
| Drainage of scrotal wall abscess (55100) |
$1,991.25 |
$4,425 |
1.3× |
| Draw Blood Off Venous Device (36591) |
$149.85 |
$333 |
1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$905.40 |
$2,012 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$512.55 |
$1,139 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$488.70 |
$1,086 |
2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$364.50 |
$810 |
1.9× |
| Endometrial Biopsy (58100) |
$734.40 |
$1,632 |
3.8× |
| Epidural Blood Patch (62273) |
$833.40 |
$1,852 |
1.2× |
| Episiotomy or vaginal repair (59300) |
$3,354.75 |
$7,455 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$293.40 |
$652 |
2.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,234.35 |
$2,743 |
1.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$1,750.50 |
$3,890 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$2,152.80 |
$4,784 |
1.4× |
| External cephalic version (59412) |
$1,143.45 |
$2,541 |
0.4× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$1,799.10 |
$3,998 |
0.8× |
| Fetal Contraction Stress Test (59020) |
$863.55 |
$1,919 |
4.5× |
| Fetal non-stress test (59025) |
$576.45 |
$1,281 |
3.0× |
| Fine needle aspiration without imaging guidance (10021) |
$544.50 |
$1,210 |
1.4× |
| Fna bx w/us gdn 1st les (10005) |
$1,588.50 |
$3,530 |
2.4× |
| I&d abscess peritonsillar (42700) |
$944.55 |
$2,099 |
4.2× |
| I&d abscess simple (10060) |
$657 |
$1,460 |
3.5× |
| I&d perianal abscess superficial (46050) |
$774.45 |
$1,721 |
0.9× |
| I&d pilonidal cyst complicated (10081) |
$2,417.40 |
$5,372 |
3.6× |
| I&d pilonidal cyst simple (10080) |
$321.30 |
$714 |
0.5× |
| Implant neuroelectrodes (63650) |
$8,028.45 |
$17,841 |
1.3× |
| Incise external hemorrhoid (46083) |
$486 |
$1,080 |
2.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$689.40 |
$1,532 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,105.90 |
$6,902 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$689.40 |
$1,532 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$679.95 |
$1,511 |
3.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$602.55 |
$1,339 |
2.1× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,341.80 |
$5,204 |
1.6× |
| Incision of rectal abscess (46040) |
$3,745.35 |
$8,323 |
3.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,201.30 |
$7,114 |
2.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$335.70 |
$746 |
1.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,196.90 |
$4,882 |
2.6× |
| Inj W/Fluor Eval Cv Device (36598) |
$63 |
$140 |
0.3× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,282.95 |
$2,851 |
1.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$625.05 |
$1,389 |
2.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,935.90 |
$4,302 |
2.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$813.15 |
$1,807 |
1.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$638.55 |
$1,419 |
2.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$676.80 |
$1,504 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$527.85 |
$1,173 |
1.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$555.75 |
$1,235 |
1.9× |
| Injection therapeutic carpal tunnel (20526) |
$540.45 |
$1,201 |
1.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$601.20 |
$1,336 |
0.9× |
| Insert cath pleura w/o image (32556) |
$1,592.55 |
$3,539 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,213.20 |
$2,696 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$631.35 |
$1,403 |
5.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$631.35 |
$1,403 |
5.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,480.85 |
$5,513 |
1.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,494.95 |
$12,211 |
1.8× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,769.40 |
$23,932 |
1.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$891.90 |
$1,982 |
2.3× |
| Intubation endotracheal emergency procedure (31500) |
$809.10 |
$1,798 |
3.6× |
| Laryngoscopy diagnostic (31505) |
$112.50 |
$250 |
0.6× |
| Lsh uterus 250 g or less (58541) |
$11,877.75 |
$26,395 |
1.2× |
Maternity Care Procedure (59899) range across 2 matching MRF lines |
$1,118.25–$1,596.15 |
$2,485–$3,547 |
varies |
| Monocyte distribution width whole blood (0427U) |
$3.15 |
$7 |
0.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$729.45 |
$1,621 |
1.1× |
| N block inj intercost sng (64420) |
$625.50 |
$1,390 |
0.9× |
| N Block Inj Pudendal (64430) |
$1,017 |
$2,260 |
1.2× |
| N Block Lumbar/Thoracic (64520) |
$638.55 |
$1,419 |
0.8× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$474.75 |
$1,055 |
1.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27 |
$60 |
1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$27 |
$60 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$520.20 |
$1,156 |
1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$772.20 |
$1,716 |
2.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,211.75 |
$4,915 |
2.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,161.80 |
$4,804 |
3.2× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,656 |
$3,680 |
2.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,125.80 |
$4,724 |
3.2× |
| Occipital Nerve Block (64405) |
$734.40 |
$1,632 |
2.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,820.15 |
$6,267 |
0.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,062.45 |
$2,361 |
1.6× |
| Perq dev breast 1st us imag (19285) |
$745.65 |
$1,657 |
1.1× |
| Perq device breast 1st imag (19281) |
$956.25 |
$2,125 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$807.75 |
$1,795 |
1.9× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$9,056.70 |
$20,126 |
1.5× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$2,297.25 |
$5,105 |
2.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$546.30 |
$1,214 |
1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,117.80 |
$2,484 |
1.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,204.20 |
$2,676 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$108.45 |
$241 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$318.60 |
$708 |
5.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,305.70 |
$7,346 |
1.1× |
| Removal of foreign body from pharynx (42809) |
$318.60 |
$708 |
0.8× |
| Removal of nail bed (11750) |
$974.25 |
$2,165 |
2.5× |
| Removal or bivalving full arm or full leg cast (29705) |
$300.15 |
$667 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$347.40 |
$772 |
1.8× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$307.35 |
$683 |
1.2× |
| Remove foreign body from eye (65205) |
$397.80 |
$884 |
3.2× |
| Remove Intrauterine Device (58301) |
$617.40 |
$1,372 |
2.1× |
| Remove Nasal Foreign Body (30300) |
$409.95 |
$911 |
3.3× |
| Remove Shoulder Foreign Body (23330) |
$969.75 |
$2,155 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$657 |
$1,460 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$689.40 |
$1,532 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$601.65 |
$1,337 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$841.05 |
$1,869 |
2.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$463.95 |
$1,031 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$800.55 |
$1,779 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$561.60 |
$1,248 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$800.55 |
$1,779 |
1.1× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,773.45 |
$3,941 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$468 |
$1,040 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$539.10 |
$1,198 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$641.70 |
$1,426 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$848.70 |
$1,886 |
2.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$713.70 |
$1,586 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$477.45 |
$1,061 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$549 |
$1,220 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$576.45 |
$1,281 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$787.05 |
$1,749 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$391.05 |
$869 |
1.0× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$462.60 |
$1,028 |
1.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$992.25 |
$2,205 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$585.45 |
$1,301 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,057.05 |
$2,349 |
0.5× |
| Repair of nail bed (11760) |
$375.30 |
$834 |
0.5× |
| Repair tongue laceration (41252) |
$989.10 |
$2,198 |
4.4× |
| Repair tongue laceration (41250) |
$1,042.20 |
$2,316 |
2.5× |
| Reposition Venous Catheter (36597) |
$1,377 |
$3,060 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$327.15 |
$727 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$327.15 |
$727 |
2.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,237.75 |
$7,195 |
1.2× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,595.25 |
$3,545 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,200.15 |
$2,667 |
0.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,318.95 |
$2,931 |
2.2× |
| Rplc Gtube No Revj Trc (43762) |
$594.90 |
$1,322 |
2.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,713.95 |
$6,031 |
1.8× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$3,982.05 |
$8,849 |
1.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$585.45 |
$1,301 |
3.1× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$393.75 |
$875 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,801.35 |
$4,003 |
3.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,561.95 |
$3,471 |
2.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$729.45 |
$1,621 |
1.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$466.20 |
$1,036 |
2.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$510.75 |
$1,135 |
2.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$881.10 |
$1,958 |
2.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$567 |
$1,260 |
3.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$452.70 |
$1,006 |
2.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$721.80 |
$1,604 |
3.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$556.65 |
$1,237 |
2.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$459 |
$1,020 |
2.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$675.90 |
$1,502 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$687.60 |
$1,528 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$993.60 |
$2,208 |
1.5× |
| Strapping shoulder (29240) |
$282.15 |
$627 |
2.2× |
| Thrombolytic Therapy Stroke (37195) |
$532.35 |
$1,183 |
1.7× |
| Tooth extraction (41899) |
$1,709.10 |
$3,798 |
7.6× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$6,588.90 |
$14,642 |
2.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,772.10 |
$3,938 |
1.2× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$167.85 |
$373 |
0.6× |
| Treat humerus fracture (24500) |
$774.45 |
$1,721 |
3.3× |
| Treat humerus fracture (23600) |
$774.45 |
$1,721 |
3.3× |
| Treat Knuckle Dislocation (26700) |
$401.40 |
$892 |
1.7× |
| Treat Thumb Dislocation (26641) |
$762.30 |
$1,694 |
3.3× |
| Treat toe dislocation (28630) |
$774.45 |
$1,721 |
3.3× |
| Treat Vaginal Bleeding (57180) |
$495.90 |
$1,102 |
2.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$3,037.05 |
$6,749 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,093.50 |
$2,430 |
4.7× |
| Trim skin lesion (11055) |
$505.35 |
$1,123 |
2.7× |
| Tubal ligation (58600) |
$7,276.50 |
$16,170 |
2.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,977.30 |
$4,394 |
0.6× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$6,227.55 |
$13,839 |
2.0× |
| Tx Missed Abortion Second Trimester Surgical (59821) |
$6,227.55 |
$13,839 |
2.0× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$969.75 |
$2,155 |
1.4× |
| Unlisted procedure lungs and pleura (32999) |
$913.50 |
$2,030 |
1.5× |
| Unlisted procedure nervous system (64999) |
$551.25 |
$1,225 |
1.9× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$3,339.45 |
$7,421 |
1.1× |
| Vaginal delivery only (59409) |
$2,974.05 |
$6,609 |
1.0× |
| Wedge excision skin nail fold (11765) |
$406.35 |
$903 |
1.1× |