| Abd paracentesis w/imaging (49083) |
$645.57 |
$2,390.99 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$273.29 |
$1,012.19 |
0.2× |
| Acne surgery (10040) |
$59.25 |
$219.45 |
0.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$887.87 |
$3,288.39 |
0.2× |
| Amputation toe interphalangeal joint (28825) |
$778.95 |
$2,885 |
0.2× |
| Apheresis Platelets (36513) |
$135 |
$500 |
0.2× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$45.45 |
$168.35 |
0.2× |
| Application cast elbow finger short arm (29075) |
$78.83 |
$291.96 |
0.2× |
| Application Finger Splint Dynamic (29131) |
$19.15 |
$70.93 |
0.3× |
| Application finger splint static (29130) |
$30.90 |
$114.45 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$137.22 |
$508.23 |
0.7× |
| Application Long Leg Splint (29505) |
$112.73 |
$417.52 |
0.6× |
| Application Short Arm Splint Dynamic (29126) |
$35.72 |
$132.30 |
0.2× |
| Application short arm splint forearm-hand static (29125) |
$84.82 |
$314.14 |
0.5× |
| Application short leg splint calf foot (29515) |
$57.34 |
$212.36 |
0.3× |
| Apply hand/wrist cast (29085) |
$45.05 |
$166.85 |
0.2× |
| Apply long arm cast (29065) |
$78.83 |
$291.95 |
0.2× |
| Apply Multlay Comprs Lwr Leg (29581) |
$45.45 |
$168.35 |
0.2× |
| Apply Short Leg Cast (29405) |
$79.64 |
$294.97 |
0.2× |
| Apply short leg cast (29425) |
$16.20 |
$60 |
0.0× |
| Arterial puncture (36600) |
$73.92 |
$273.76 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$83.07 |
$307.65 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$118.30 |
$438.13 |
0.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$83.07 |
$307.65 |
0.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$94.41 |
$349.65 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$202.50 |
$750 |
0.3× |
| Aspirate Pleura W/O Imaging (32554) |
$207.52 |
$768.60 |
0.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,021.78 |
$3,784.38 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$59.25 |
$219.45 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$193.20 |
$715.55 |
0.2× |
Bladder instillation anticarcinogenic agent (51720) range across 2 matching MRF lines |
$77.68–$144.60 |
$287.70–$535.55 |
varies |
Bladder Irrigation (51700) range across 2 matching MRF lines |
$82.22–$83.07 |
$304.50–$307.65 |
varies |
| Bladder Scan (51798) |
$35.14 |
$130.16 |
0.5× |
| Blepharotomy drainage abscess eyelid (67700) |
$94.97 |
$351.75 |
0.2× |
| Blood Transfusion Service (36430) |
$313.41 |
$1,160.78 |
0.6× |
| Bone Marrow Biopsy (38221) |
$509.73 |
$1,887.90 |
0.2× |
| Bx breast 1st lesion strtctc (19081) |
$486 |
$1,800 |
0.2× |
| Bx breast 1st lesion us imag (19083) |
$460.40 |
$1,705.20 |
0.2× |
| Bx/exc lymph node open superficial (38500) |
$942.35 |
$3,490.20 |
0.2× |
| Cautery Cervix Cryocautery Initial/Repeat (57511) |
$114.25 |
$423.15 |
0.3× |
| Change Cystostomy Tube Complicated (51710) |
$191.65 |
$709.81 |
0.2× |
| Change Cystostomy Tube Simple (51705) |
$97.81 |
$362.25 |
0.3× |
| Chemical Cautery Tissue (17250) |
$63.79 |
$236.25 |
0.3× |
| Chest tube placement (32551) |
$366 |
$1,355.55 |
0.2× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$582.31 |
$2,156.70 |
0.2× |
| Clear outer ear canal (69200) |
$56.36 |
$208.75 |
0.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$75.41 |
$279.30 |
0.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$131.54 |
$487.20 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$453.10 |
$1,678.16 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$69.12 |
$256 |
0.2× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$724.68 |
$2,684 |
0.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$75.41 |
$279.30 |
0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$582.88 |
$2,158.80 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$98.55 |
$365 |
0.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$75.41 |
$279.30 |
0.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$810 |
$3,000 |
0.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$75.41 |
$279.30 |
0.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$453.10 |
$1,678.16 |
0.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$453.03 |
$1,677.90 |
0.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$752.76 |
$2,788 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$75.41 |
$279.30 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$453.10 |
$1,678.16 |
0.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$175.50 |
$650 |
0.6× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$112.05 |
$415 |
0.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$70.16 |
$259.84 |
0.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$513 |
$1,900 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$75.41 |
$279.30 |
0.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$76.01 |
$281.53 |
0.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$75.41 |
$279.30 |
0.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$40.50 |
$150 |
0.1× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$85.62 |
$317.10 |
0.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$571.86 |
$2,118 |
1.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$75.41 |
$279.30 |
0.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,010.01 |
$3,740.79 |
0.5× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$98.55 |
$365 |
0.3× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$108 |
$400 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$75.41 |
$279.30 |
0.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$75.32 |
$278.96 |
0.2× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$718.20 |
$2,660 |
0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$85.86 |
$318.01 |
0.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$724.68 |
$2,684 |
0.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$75.41 |
$279.30 |
0.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$418.45 |
$1,549.80 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$75.41 |
$279.30 |
0.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,246.05 |
$4,615 |
0.6× |
| Cltx Medial Ankle Fx (27760) |
$175.50 |
$650 |
0.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$212.63 |
$787.50 |
0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$75.32 |
$278.96 |
0.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,246.05 |
$4,615 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$85.62 |
$317.10 |
0.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$473.75 |
$1,754.63 |
0.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$84.24 |
$312 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$85.62 |
$317.10 |
0.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$453.11 |
$1,678.17 |
0.2× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$472.69 |
$1,750.69 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$501.27 |
$1,856.55 |
0.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$75.41 |
$279.30 |
0.2× |
| Collection of venous blood by venipuncture (36415) |
$9.19 |
$34.02 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$165.85 |
$614.25 |
0.4× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$154.79 |
$573.30 |
0.4× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$97.24 |
$360.15 |
0.4× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$128.43 |
$475.65 |
0.3× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$790.40 |
$2,927.40 |
0.2× |
| Colposcopy entire vagina w/cervix if present (57420) |
$91.57 |
$339.15 |
0.2× |
| Complex Cystometrogram (51726) |
$189.84 |
$703.12 |
0.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$130.82 |
$484.52 |
0.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$85.73 |
$317.51 |
0.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$91 |
$337.05 |
0.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$71.55 |
$265 |
0.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$582.31 |
$2,156.70 |
0.2× |
| Cysto w/complex removal stone & stent (52315) |
$582.31 |
$2,156.70 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$625.12 |
$2,315.25 |
0.2× |
| Cystometrogram W/Vp&Up (51729) |
$189.84 |
$703.12 |
0.2× |
| Cystourethroscopy (52000) |
$286.90 |
$1,062.60 |
0.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$13.50 |
$50 |
0.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$340.20 |
$1,260 |
0.4× |
| Debride nail 6 or more (11721) |
$24.57 |
$91 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$143.48 |
$531.42 |
0.3× |
| Declot vascular device (36593) |
$99.88 |
$369.92 |
0.2× |
| Delivery of placenta (59414) |
$790.13 |
$2,926.42 |
0.2× |
| Destruct B9 Lesion 1-14 (17110) |
$66.06 |
$244.65 |
0.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$754.61 |
$2,794.86 |
0.3× |
| Destruction Premalignant Lesion 15/> (17004) |
$106.03 |
$392.70 |
0.2× |
| Destruction premalignant lesion 1st (17000) |
$66.06 |
$244.65 |
0.3× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$35.72 |
$132.30 |
0.2× |
| Dilate Urethra Stricture (53600) |
$78.81 |
$291.90 |
0.3× |
| Drain Cerebro Spinal Fluid (62272) |
$215.92 |
$799.70 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$193.91 |
$718.20 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$511.65 |
$1,895 |
0.2× |
| Drainage Mouth Roof Lesion (42000) |
$130.14 |
$482 |
0.4× |
| Drainage of finger abscess simple (26010) |
$82.22 |
$304.50 |
0.3× |
| Drainage of gum lesion (41800) |
$62.94 |
$233.10 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$521.10 |
$1,930 |
0.3× |
| Drainage of scrotal wall abscess (55100) |
$452.47 |
$1,675.80 |
0.2× |
| Drainage of scrotum (54700) |
$742.50 |
$2,750 |
0.3× |
| Draw Blood Off Venous Device (36591) |
$39.53 |
$146.39 |
0.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$211.63 |
$783.80 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$105.18 |
$389.55 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$81.08 |
$300.30 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$59.25 |
$219.45 |
0.2× |
| Egd Flexible Foreign Body Removal (43247) |
$268.76 |
$995.40 |
0.2× |
| Electro-Uroflowmetry First (51741) |
$68.04 |
$252 |
0.3× |
| Endocervical curettage (57505) |
$1,320.82 |
$4,891.94 |
1.1× |
| Endometrial Biopsy (58100) |
$95.82 |
$354.90 |
0.4× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$496.41 |
$1,838.55 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$35.72 |
$132.30 |
0.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$193.91 |
$718.20 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$211.47 |
$783.23 |
0.2× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$328.01 |
$1,214.85 |
0.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$193.91 |
$718.20 |
0.2× |
| Exchange Transfusion (36455) |
$128.14 |
$474.60 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$460.27 |
$1,704.72 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$345.02 |
$1,277.85 |
0.2× |
| Fetal non-stress test (59025) |
$58.40 |
$216.30 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$106.60 |
$394.83 |
0.2× |
| Foreskin manipulation (54450) |
$169.02 |
$626 |
0.5× |
| I&d abscess peritonsillar (42700) |
$112.83 |
$417.90 |
0.4× |
| I&d abscess simple (10060) |
$65.41 |
$242.26 |
0.3× |
| I&d perianal abscess superficial (46050) |
$266.22 |
$986 |
0.2× |
| I&d pilonidal cyst complicated (10081) |
$426.38 |
$1,579.20 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$193.91 |
$718.20 |
0.2× |
| Incise external hemorrhoid (46083) |
$117.65 |
$435.75 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$105.18 |
$389.55 |
0.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$478.73 |
$1,773.09 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$241.60 |
$894.81 |
0.5× |
| Incision and drainage of bartholin's gland abscess (56420) |
$80.51 |
$298.20 |
0.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$91.57 |
$339.15 |
0.2× |
| Incision of rectal abscess (46040) |
$655.74 |
$2,428.65 |
0.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$460.27 |
$1,704.72 |
0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$64.53 |
$239 |
0.3× |
| Inj W/Fluor Eval Cv Device (36598) |
$66.06 |
$244.65 |
0.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$96.39 |
$357 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$85.90 |
$318.15 |
0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$452.02 |
$1,674.16 |
0.5× |
| Injx Anterior Chamber Eye Medication Spx (66030) |
$703.79 |
$2,606.63 |
0.2× |
| Insert Bladder Cath Complex (51703) |
$75.69 |
$280.35 |
0.5× |
| Insert cath pleura w/o image (32556) |
$538.59 |
$1,994.79 |
0.2× |
| Insert Drug Implant Device (11981) |
$36.86 |
$136.50 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$366 |
$1,355.55 |
0.1× |
| Insert pessary/other device (57160) |
$55.57 |
$205.80 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$64.30 |
$238.13 |
0.4× |
| Insert tunneled cv cath (36561) |
$883.95 |
$3,273.90 |
0.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$46.76 |
$173.19 |
0.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$348.53 |
$1,290.84 |
0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$417.24 |
$1,545.33 |
0.2× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$962.44 |
$3,564.61 |
0.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$105.18 |
$389.55 |
0.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$117.67 |
$435.83 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$350.43 |
$1,297.89 |
1.2× |
| Irrigation of corpora cavernosa for priapism (54220) |
$189.54 |
$702 |
0.6× |
| Laryngoscopy flexible diagnostic (31575) |
$94.97 |
$351.75 |
0.4× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$962.44 |
$3,564.61 |
0.2× |
| N Block Lumbar/Thoracic (64520) |
$256 |
$948.15 |
0.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$110.77 |
$410.26 |
0.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$116.28 |
$430.67 |
0.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$116.35 |
$430.91 |
0.3× |
| Occipital Nerve Block (64405) |
$126.72 |
$469.35 |
0.3× |
| Penile Injection (54235) |
$79.95 |
$296.10 |
0.3× |
| Perq dev breast 1st strtctc (19283) |
$193.91 |
$718.20 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$193.91 |
$718.20 |
0.2× |
| Perq device breast 1st imag (19281) |
$193.91 |
$718.20 |
0.1× |
| Place Rt Device/Marker Pros (55876) |
$398.88 |
$1,477.35 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$116.52 |
$431.55 |
0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$105.18 |
$389.55 |
0.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$88.90 |
$329.26 |
0.2× |
| Removal foreign body foot deep (28192) |
$460.40 |
$1,705.20 |
0.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$339.63 |
$1,257.90 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$20.41 |
$75.60 |
0.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$39.41 |
$145.95 |
0.5× |
| Removal of foreign body from pharynx (42809) |
$38.88 |
$144 |
0.1× |
| Removal of nail bed (11750) |
$171.35 |
$634.64 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$66.91 |
$247.80 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$79.10 |
$292.95 |
0.2× |
| Remove foreign body from eye (65205) |
$39.96 |
$148 |
0.2× |
| Remove Intrauterine Device (58301) |
$508.25 |
$1,882.42 |
1.3× |
| Remove Nasal Foreign Body (30300) |
$40.72 |
$150.82 |
0.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$178.35 |
$660.56 |
0.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$163.87 |
$606.91 |
0.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$141.48 |
$524 |
0.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$163.87 |
$606.91 |
0.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$355.05 |
$1,315 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$369.64 |
$1,369.02 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$190.89 |
$707 |
0.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$472.69 |
$1,750.69 |
0.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$230.75 |
$854.64 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$335.77 |
$1,243.58 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$368.13 |
$1,363.43 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$394.42 |
$1,460.81 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$163.87 |
$606.91 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$114.20 |
$422.96 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$152.36 |
$564.31 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$173.77 |
$643.60 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$329.78 |
$1,221.41 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$172.86 |
$640.24 |
0.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$224.36 |
$830.97 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$236.65 |
$876.49 |
0.5× |
| Repair of nail bed (11760) |
$163.87 |
$606.91 |
0.2× |
| Repair tongue laceration (41250) |
$69.46 |
$257.25 |
0.1× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$275.47 |
$1,020.25 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$116.52 |
$431.55 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$66.91 |
$247.80 |
0.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$197.10 |
$730 |
0.4× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$352.83 |
$1,306.76 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$643 |
$2,381.49 |
0.8× |
| Rplc Gtube No Revj Trc (43762) |
$208.48 |
$772.13 |
0.7× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$135 |
$500 |
0.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$162.43 |
$601.60 |
0.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$175.46 |
$649.87 |
0.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$59.25 |
$219.45 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$81.08 |
$300.30 |
0.3× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$59.25 |
$219.45 |
0.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$105.18 |
$389.55 |
0.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$59.25 |
$219.45 |
0.2× |
| Simple Cystometrogram (51725) |
$77.68 |
$287.70 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$210.36 |
$779.10 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$146.82 |
$543.79 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$150.86 |
$558.74 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$156.92 |
$581.18 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$142.79 |
$528.84 |
0.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$59.25 |
$219.45 |
0.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$177.75 |
$658.35 |
0.7× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$157.07 |
$581.73 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$236.66 |
$876.50 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$247.17 |
$915.44 |
0.5× |
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$200.43–$636.42 |
$742.35–$2,357.12 |
varies |
| Strapping ankle (29540) |
$255.46 |
$946.13 |
1.3× |
| Strapping elbow or wrist (29260) |
$21.55 |
$79.80 |
0.3× |
| Strapping hand/finger (29280) |
$21.55 |
$79.80 |
0.3× |
| Strapping Hip (29520) |
$21.55 |
$79.80 |
0.1× |
| Strapping knee (29530) |
$35.72 |
$132.30 |
0.2× |
| Strapping shoulder (29240) |
$35.72 |
$132.30 |
0.2× |
| Strapping thorax (29200) |
$45.45 |
$168.35 |
0.2× |
| Strapping toes (29550) |
$21.55 |
$79.80 |
0.3× |
| Strapping Unna Boot (29580) |
$54 |
$200 |
0.3× |
| Suture Iris Ciliary Body Spx Retrieval Suture (66682) |
$703.89 |
$2,607 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$59.04 |
$218.68 |
0.1× |
| Thrombolytic Therapy Stroke (37195) |
$73.71 |
$273 |
0.2× |
| Tooth extraction (41899) |
$91.80 |
$340 |
0.3× |
| Treat Humerus Fracture (24505) |
$1,246.05 |
$4,615 |
0.6× |
| Treat humerus fracture (23600) |
$75.41 |
$279.30 |
0.2× |
| Treat Knuckle Dislocation (26700) |
$339.63 |
$1,257.90 |
1.1× |
| Treat Metatarsal Fracture (28475) |
$116.10 |
$430 |
0.4× |
| Treat Thumb Dislocation (26641) |
$95.31 |
$353 |
0.3× |
| Treat toe dislocation (28630) |
$186.84 |
$692 |
0.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$256.50 |
$950 |
0.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$75.41 |
$279.30 |
0.2× |
| Trim skin lesion (11055) |
$60.75 |
$225 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$60.75 |
$225 |
0.2× |
| Trim skin lesions over 4 (11057) |
$60.75 |
$225 |
0.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$24.57 |
$91 |
0.3× |
| Tx Gastro Intub W/Asp (43753) |
$84.48 |
$312.90 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$180.90 |
$670 |
0.2× |
| Unlisted Procedure Rectum (45999) |
$249.48 |
$924 |
0.2× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$879 |
$3,255.55 |
0.2× |
| Vaginal delivery only (59409) |
$790.40 |
$2,927.40 |
0.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$786.15 |
$2,911.65 |
0.3× |
| Wedge excision skin nail fold (11765) |
$105.18 |
$389.55 |
0.2× |