| Abd paracentesis w/imaging (49083) |
$680.94 |
$702 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,396.80 |
$1,440 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$262.87 |
$271 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$614.98 |
$634 |
4.5× |
| Arterial puncture (36600) |
$131.92 |
$136 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$801.22 |
$826 |
2.6× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$650.87–$2,639.37 |
$671–$2,721 |
varies |
| Aspiration bladder insert suprapubic catheter (51102) |
$617.89 |
$637 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$290.03 |
$299 |
1.4× |
| Bladder Scan (51798) |
$197.88 |
$204 |
3.3× |
| Blood Transfusion Service (36430) |
$799.28 |
$824 |
1.8× |
| Bx breast 1st lesion us imag (19083) |
$2,004.02 |
$2,066 |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$267.72 |
$276 |
1.0× |
| Chemical Cautery Tissue (17250) |
$553.87 |
$571 |
2.7× |
| Chest tube placement (32551) |
$1,560.73 |
$1,609 |
1.0× |
| Clear outer ear canal (69200) |
$465.60 |
$480 |
3.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$307.49 |
$317 |
1.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$323.01 |
$333 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$323.98 |
$334 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$291.97 |
$301 |
1.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$307.49 |
$317 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$323.98 |
$334 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$308.46 |
$318 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$308.46 |
$318 |
1.2× |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 3 matching MRF lines |
$323.98–$485.97 |
$334–$501 |
varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,593.71 |
$1,643 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$291.97 |
$301 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$291.97 |
$301 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$308.46 |
$318 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$323.98 |
$334 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$323.98 |
$334 |
1.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$131.92 |
$136 |
1.0× |
Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$37.83–$85.36 |
$39–$88 |
varies |
| Colonoscopy w/submucosal inj (45381) |
$1,489.92 |
$1,536 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$488.88 |
$504 |
3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$488.88 |
$504 |
3.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$465.60 |
$480 |
1.9× |
Cysto w/insert ureteral stent (52332) range across 3 matching MRF lines |
$1,698.47–$2,147.58 |
$1,751–$2,214 |
varies |
| Cysto w/removal of lesions small (52224) |
$1,917.69 |
$1,977 |
0.5× |
| Cysto w/removal of tumors small (52234) |
$737.20 |
$760 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$837.11 |
$863 |
0.4× |
| Cystourethroscopy (52000) |
$613.04 |
$632 |
0.9× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$2,747.04 |
$2,832 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,453.13 |
$2,529 |
3.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,565.58 |
$1,614 |
3.8× |
| Draw Blood Off Venous Device (36591) |
$131.92 |
$136 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$255.11 |
$263 |
1.2× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,590.87 |
$2,671 |
1.3× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,405.53 |
$1,449 |
0.7× |
| Egd Flexible Foreign Body Removal (43247) |
$1,617.96 |
$1,668 |
1.7× |
| Egd place gastrostomy tube (43246) |
$2,060.28 |
$2,124 |
1.1× |
| Endoven ther chem adhes 1st (36482) |
$15,281.38 |
$15,754 |
2.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$558.72 |
$576 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$710.04 |
$732 |
1.0× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$757.57 |
$781 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$516.04 |
$532 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$760.48 |
$784 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,044.69 |
$1,077 |
0.6× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$802.19 |
$827 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$726.53 |
$749 |
1.0× |
| Fetal non-stress test (59025) |
$252.20 |
$260 |
1.2× |
| I&d abscess simple (10060) |
$302.64 |
$312 |
1.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$478.21 |
$493 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$158.11 |
$163 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$158.11 |
$163 |
1.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,675.19 |
$1,727 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$1,026.26 |
$1,058 |
4.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$465.60 |
$480 |
1.0× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$39.77 |
$41 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,257.12 |
$1,296 |
3.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$992.31 |
$1,023 |
3.2× |
| Punch biopsy skin single lesion (11104) |
$618.86 |
$638 |
1.5× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,521.93 |
$1,569 |
2.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$702.28 |
$724 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$115.43 |
$119 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$513.13 |
$529 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$487.91 |
$503 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$513.13 |
$529 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$539.32 |
$556 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$513.13 |
$529 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$763.39 |
$787 |
1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$488.88 |
$504 |
1.1× |
| Rplc Gtube No Revj Trc (43762) |
$532.53 |
$549 |
2.1× |
| Shave skin lesion 0.5 cm/< (11300) |
$257.05 |
$265 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$310.40 |
$320 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$363.75 |
$375 |
1.8× |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$346.29–$363.75 |
$357–$375 |
varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$363.75 |
$375 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$363.75 |
$375 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$363.75 |
$375 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$10,705.89 |
$11,037 |
14.2× |
| Skin sub graft trnk/arm/leg (15271) |
$10,705.89 |
$11,037 |
14.2× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$363.75–$810.92 |
$375–$836 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$346.29 |
$357 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$776.97 |
$801 |
1.1× |
| Strapping Unna Boot (29580) |
$264.81 |
$273 |
1.6× |
| Thrombolytic Therapy Stroke (37195) |
$700.34 |
$722 |
2.1× |
| Treat humerus fracture (24500) |
$307.49 |
$317 |
1.2× |
| Treat humerus fracture (23600) |
$291.97 |
$301 |
1.2× |
| Trim skin lesion (11055) |
$851.66 |
$878 |
4.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$291.97 |
$301 |
1.2× |