| Abd paracentesis w/imaging (49083) |
$690 |
$1,380 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$560 |
$1,120 |
0.6× |
| Abltj 1/+Thyroid Nodule 1 Lobe/Isthmus Perq Rf (60660) |
$3,550 |
$7,100 |
2.2× |
| Amniocentesis diagnostic (59000) |
$272.50 |
$545 |
0.3× |
| Anoscopy diagnostic (46600) |
$160 |
$320 |
1.2× |
| Application cast elbow finger short arm (29075) |
$215 |
$430 |
0.8× |
| Application Cast Finger (29086) |
$167.50 |
$335 |
1.1× |
| Application finger splint static (29130) |
$142.50 |
$285 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$215 |
$430 |
1.4× |
| Application Long Leg Splint (29505) |
$287.50 |
$575 |
1.8× |
| Application of long leg cast (29345) |
$287.50 |
$575 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$402.50 |
$805 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$200 |
$400 |
1.5× |
| Application short leg splint calf foot (29515) |
$225 |
$450 |
1.4× |
| Apply hand/wrist cast (29085) |
$167.50 |
$335 |
1.1× |
| Apply Multlay Comprs Lwr Leg (29581) |
$212.50 |
$425 |
1.3× |
| Apply Short Leg Cast (29405) |
$225 |
$450 |
0.8× |
| Arterial puncture (36600) |
$80 |
$160 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$620 |
$1,240 |
2.1× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$960 |
$1,920 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$675 |
$1,350 |
2.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,020 |
$2,040 |
3.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$540 |
$1,080 |
1.8× |
| Aspirate pleura w/ imaging (32555) |
$1,150 |
$2,300 |
1.9× |
| Aspirate Pleura W/O Imaging (32554) |
$1,030 |
$2,060 |
1.7× |
| Aspiration and/or injection thyroid cyst (60300) |
$455 |
$910 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$225 |
$450 |
1.2× |
Biliary ndsc prq t-tube w/bx single/multiple (47553) unusually low: confirm this is the full procedure |
$2,740 |
$5,480 |
0.4× |
| Biopsy Abdominal Mass (49180) |
$1,000 |
$2,000 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
$790 |
$1,580 |
0.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,050 |
$2,100 |
0.7× |
| Biopsy Salivary Gland Needle (42400) |
$725 |
$1,450 |
1.1× |
| Bladder Irrigation (51700) |
$272.50 |
$545 |
1.1× |
| Bladder Scan (51798) |
$120 |
$240 |
2.1× |
| Blood Transfusion Service (36430) |
$725 |
$1,450 |
1.7× |
| Bone Marrow Biopsy (38221) |
$590 |
$1,180 |
0.4× |
| Bone Marrow; Aspiration Only (38220) |
$580 |
$1,160 |
0.4× |
| Bx breast 1st lesion us imag (19083) |
$3,165 |
$6,330 |
2.0× |
| Catheter aspiration nasotracheal spx (31720) |
$70 |
$140 |
0.3× |
| Cerclage cervix pregnancy vaginal (59320) |
$2,165 |
$4,330 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$212.50 |
$425 |
0.9× |
| Change of Windpipe Airway (31502) |
$302.50 |
$605 |
1.3× |
| Chemical Cautery Tissue (17250) |
$272.50 |
$545 |
1.4× |
| Circumcision w/clamp/oth dev w/block (54150) |
$120 |
$240 |
0.1× |
| Clear outer ear canal (69200) |
$75 |
$150 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$82.50 |
$165 |
0.6× |
| Collection of venous blood by venipuncture (36415) |
$12.50 |
$25 |
1.3× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,270 |
$2,540 |
0.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$470 |
$940 |
0.7× |
| Debride nail 6 or more (11721) |
$90 |
$180 |
1.6× |
| Declot vascular device (36593) |
$272.50 |
$545 |
0.8× |
| Delivery of placenta (59414) |
$635 |
$1,270 |
0.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,060 |
$2,120 |
1.2× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,605 |
$3,210 |
1.8× |
| Drain Cerebro Spinal Fluid (62272) |
$910 |
$1,820 |
1.3× |
| Drain/inj small joint/bursa w/us (20604) |
$880 |
$1,760 |
2.9× |
| Drainage of hematoma/fluid (10140) |
$935 |
$1,870 |
0.6× |
| Drainage of scrotum (54700) |
$2,030 |
$4,060 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$252.50 |
$505 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$207.50 |
$415 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$157.50 |
$315 |
0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,210 |
$2,420 |
1.4× |
| Dx Bone Marrow Bx & Aspir (38222) |
$880 |
$1,760 |
0.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,130 |
$2,260 |
1.6× |
| Egd place gastrostomy tube (43246) |
$1,820 |
$3,640 |
1.0× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$555 |
$1,110 |
1.9× |
| Epidural Blood Patch (62273) |
$1,000 |
$2,000 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$75 |
$150 |
0.6× |
| External cephalic version (59412) |
$770 |
$1,540 |
0.2× |
| Fasciotomy, foot and/or toe (28008) |
$2,545 |
$5,090 |
0.8× |
Fetal non-stress test (59025) range across 2 matching MRF lines |
$132.50–$275 |
$265–$550 |
varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,750 |
$3,500 |
2.5× |
| Fine needle aspiration without imaging guidance (10021) |
$377.50 |
$755 |
1.0× |
| Fluoro exam of g/colon tube (49465) |
$615 |
$1,230 |
2.6× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$910 |
$1,820 |
1.3× |
| Fna bx w/us gdn 1st les (10005) |
$1,120 |
$2,240 |
1.6× |
| Guide Cathet Fluid Drainage (10030) |
$1,175 |
$2,350 |
1.7× |
| Hem heprn nduc trmbctpna srm (0275U) |
$310 |
$620 |
16.9× |
| I&d pilonidal cyst simple (10080) |
$145 |
$290 |
0.2× |
| Image Cath Fluid Peri/Retro (49406) |
$2,890 |
$5,780 |
1.8× |
| Incise external hemorrhoid (46083) |
$195 |
$390 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$675 |
$1,350 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$210 |
$420 |
0.5× |
| Incisional biopsy skin single lesion (11106) |
$230 |
$460 |
0.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$112.50 |
$225 |
0.6× |
| Inj W/Fluor Eval Cv Device (36598) |
$377.50 |
$755 |
1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$580 |
$1,160 |
1.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,195 |
$2,390 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,060 |
$2,120 |
1.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$910 |
$1,820 |
1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,060 |
$2,120 |
1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,645 |
$3,290 |
2.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$515 |
$1,030 |
0.7× |
| Injection for identification of sentinel node (38792) |
$257.50 |
$515 |
0.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$895 |
$1,790 |
3.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$1,120 |
$2,240 |
3.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,195 |
$2,390 |
1.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$515 |
$1,030 |
0.7× |
| Insert Bladder Cath Complex (51703) |
$327.50 |
$655 |
2.6× |
| Insert cath pleura w/o image (32556) |
$1,120 |
$2,240 |
0.6× |
| Insert cervical dilator (59200) |
$382.50 |
$765 |
1.3× |
| Insert Drug Implant Device (11981) |
$305 |
$610 |
2.4× |
| Insert non-tunnel cv cath (36556) |
$1,085 |
$2,170 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$195 |
$390 |
1.5× |
| Insert tun ip cath perc (49418) |
$3,490 |
$6,980 |
1.0× |
| Insert tunneled cv cath (36561) |
$2,665 |
$5,330 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$117.50 |
$235 |
0.9× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,125 |
$6,250 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,015 |
$4,030 |
1.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,085 |
$2,170 |
0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,085 |
$2,170 |
0.7× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,555 |
$3,110 |
0.5× |
| Intro Gastrointestinal Tube (44500) |
$457.50 |
$915 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$302.50 |
$605 |
1.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$455 |
$910 |
1.9× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$62.50 |
$125 |
1.7× |
| Lig&div long saph vein saphfem junct/interrupj (37700) |
$4,255 |
$8,510 |
1.4× |
| Ligation or biopsy temporal artery (37609) |
$3,385 |
$6,770 |
2.1× |
Maternity Care Procedure (59899) range across 3 matching MRF lines |
$180–$252.50 |
$360–$505 |
varies |
| Myelography Lumbar Injection (62305) |
$2,770 |
$5,540 |
3.6× |
| Myelography Lumbar Injection (62304) |
$1,850 |
$3,700 |
2.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,850 |
$3,700 |
2.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,850 |
$3,700 |
2.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$515 |
$1,030 |
0.7× |
| N block inj intercost sng (64420) |
$610 |
$1,220 |
0.9× |
| N Block Lumbar/Thoracic (64520) |
$1,255 |
$2,510 |
1.5× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$485 |
$970 |
1.1× |
| Needle Biopsy Lymph Nodes (38505) |
$910 |
$1,820 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$775 |
$1,550 |
1.9× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,240 |
$4,480 |
1.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$985 |
$1,970 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$515 |
$1,030 |
1.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$945 |
$1,890 |
0.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$925 |
$1,850 |
1.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,030 |
$2,060 |
1.5× |
| Occipital Nerve Block (64405) |
$515 |
$1,030 |
1.7× |
| Onc Hl Neo Gen Seq Alys Alg (0364U) |
$3,055 |
$6,110 |
1.5× |
| Pelvic examination under anesthesia (other than local) (57410) |
$3,235 |
$6,470 |
1.0× |
| Penile Injection (54235) |
$305 |
$610 |
1.3× |
| Perq dev breast 1st us imag (19285) |
$1,165 |
$2,330 |
1.7× |
| Perq device breast 1st imag (19281) |
$1,060 |
$2,120 |
0.7× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,230 |
$2,460 |
1.8× |
| Placement of needle for intraosseous infusion (36680) |
$247.50 |
$495 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$230 |
$460 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$282.50 |
$565 |
0.7× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$725 |
$1,450 |
1.1× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$575 |
$1,150 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$392.50 |
$785 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$30 |
$60 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$50 |
$100 |
0.9× |
| Removal of foreign body from pharynx (42809) |
$140 |
$280 |
0.3× |
| Removal or bivalving full arm or full leg cast (29705) |
$157.50 |
$315 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$185 |
$370 |
0.7× |
| Remove drug implant device (11982) |
$305 |
$610 |
0.7× |
| Remove foreign body from eye (65205) |
$137.50 |
$275 |
1.1× |
| Remove Intrauterine Device (58301) |
$162.50 |
$325 |
0.5× |
| Remove Nasal Foreign Body (30300) |
$140 |
$280 |
1.1× |
| Remove/Insert Drug Implant (11983) |
$455 |
$910 |
1.0× |
| Renal Biopsy Perq (50200) |
$1,150 |
$2,300 |
0.7× |
| Repair Elbow Perc (24357) |
$3,770 |
$7,540 |
1.2× |
| Repair of nail bed (11760) |
$357.50 |
$715 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$227.50 |
$455 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$227.50 |
$455 |
1.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,085 |
$2,170 |
0.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$665 |
$1,330 |
1.1× |
| Rplc Gtube No Revj Trc (43762) |
$365 |
$730 |
1.5× |
| Rplc gtube revj gstrst trc (43763) |
$457.50 |
$915 |
1.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$910 |
$1,820 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$580 |
$1,160 |
0.8× |
| Strapping knee (29530) |
$110 |
$220 |
0.8× |
| Strapping shoulder (29240) |
$110 |
$220 |
0.8× |
| Strapping Unna Boot (29580) |
$230 |
$460 |
1.5× |
| Tangential biopsy skin single lesion (11102) |
$230 |
$460 |
0.6× |
| Tenotomy Adductor Hip Percutaneous Spx (27000) |
$2,365 |
$4,730 |
1.5× |
| Tenotomy Prq Achilles Tendon Spx Local Anes (27605) |
$2,660 |
$5,320 |
1.7× |
| Tenotomy Prq Adductor/Hamstring 1 Tendon Spx (27306) |
$2,365 |
$4,730 |
0.7× |
| Tenotomy Prq Adductor/Hamstring Multiple Tendon (27307) |
$3,785 |
$7,570 |
1.2× |
| Tenotomy shoulder area single tendon (23405) |
$3,770 |
$7,540 |
0.5× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,660 |
$3,320 |
2.4× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$10,145 |
$20,290 |
0.8× |
| Thrombolytic Therapy Stroke (37195) |
$335 |
$670 |
1.0× |
| Thyroid biopsy (60100) |
$755 |
$1,510 |
1.1× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,020 |
$2,040 |
4.4× |
| Transcervical ablation of uterine fibroid(s), including intraoperative ultrasound guidance and monitoring,… (58580) |
$6,340 |
$12,680 |
0.9× |
| Trim skin lesion (11055) |
$100 |
$200 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$112.50 |
$225 |
0.6× |
| Trim skin lesions over 4 (11057) |
$125 |
$250 |
0.6× |
| Trimming Nondystrophic Nails Any Number (11719) |
$50 |
$100 |
0.9× |
Unlisted Procedure Muscskeletal System General (20999) range across 2 matching MRF lines |
$37.50–$2,660 |
$75–$5,320 |
varies |
| Unlisted procedure nervous system (64999) |
$1,245 |
$2,490 |
4.2× |
| Wedge excision skin nail fold (11765) |
$247.50 |
$495 |
0.6× |