| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,736.03 |
$2,736.03 |
1.4× |
| Anosc Rmvl 1 Tum Polyp/Oth Les Snare Tq (46611) |
$3,504.67 |
$3,504.67 |
4.1× |
| Anosc Rmvl Mult Tumors Cautery/Snare (46612) |
$3,504.67 |
$3,504.67 |
1.4× |
Anoscopy diagnostic (46600) range across 2 matching MRF lines |
$137.07–$232 |
$137.07–$232 |
varies |
| Anoscopy remove lesion (46610) |
$3,504.67 |
$3,504.67 |
1.4× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,308.54 |
$1,308.54 |
1.2× |
| Application cast elbow finger short arm (29075) |
$172.12 |
$172.12 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$185.88 |
$185.88 |
1.3× |
Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$162.94–$185.88 |
$162.94–$185.88 |
varies |
| Application short arm splint forearm-hand static (29125) |
$173.59 |
$173.59 |
1.4× |
| Application short leg splint calf foot (29515) |
$153.76 |
$153.76 |
1.0× |
| Apply hand/wrist cast (29085) |
$191.63 |
$191.63 |
1.3× |
| Apply long arm cast (29065) |
$449.28 |
$449.28 |
1.8× |
| Apply Short Leg Cast (29405) |
$394.63 |
$394.63 |
1.5× |
| Arterial puncture (36600) |
$84 |
$84 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$457.23 |
$457.23 |
1.6× |
| Aspirate Pleura W/O Imaging (32554) |
$775 |
$775 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$142 |
$142 |
0.8× |
Blood Transfusion Service (36430) range across 4 matching MRF lines |
$81.10–$344.24 |
$81.10–$344.24 |
varies |
| Bone Marrow Biopsy (38221) |
$113.93 |
$113.93 |
0.1× |
| Bone Marrow; Aspiration Only (38220) |
$61.52 |
$61.52 |
0.0× |
| Cataract surg w/iol 1 stage (66983) |
$3,000 |
$3,000 |
1.4× |
| Cataract surgery complex (66982) |
$3,000 |
$3,000 |
1.4× |
| Chemical Cautery Tissue (17250) |
$368 |
$368 |
2.0× |
| Chest tube placement (32551) |
$862.11 |
$862.11 |
0.6× |
| Clear outer ear canal (69200) |
$114.23 |
$114.23 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,705.98 |
$2,705.98 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$262.98 |
$262.98 |
1.2× |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$11.08–$15 |
$11.08–$15 |
varies |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$2,100 |
$2,100 |
1.9× |
| Curettage postpartum (59160) |
$2,318 |
$2,318 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$482.98 |
$482.98 |
1.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$687 |
$687 |
1.0× |
| Debride nail 1-5 (11720) |
$41 |
$41 |
0.8× |
| Debride nail 6 or more (11721) |
$70 |
$70 |
1.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,602 |
$1,602 |
1.1× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$482.98–$687 |
$482.98–$687 |
varies |
| Delivery of placenta (59414) |
$3,579 |
$3,579 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,308.54 |
$1,308.54 |
1.5× |
| Dissection, deep jugular node(s) Facility (38542) |
$3,448.23 |
$3,448.23 |
0.6× |
| Drainage of hematoma/fluid (10140) |
$273.15 |
$273.15 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$368 |
$368 |
2.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,658.48 |
$2,658.48 |
1.5× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,658.48 |
$2,658.48 |
1.5× |
| Egd place gastrostomy tube (43246) |
$2,658.48 |
$2,658.48 |
1.5× |
Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) range across 2 matching MRF lines |
$1,325–$2,398.95 |
$1,325–$2,398.95 |
varies |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,398.95 |
$2,398.95 |
1.6× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$2,398.95 |
$2,398.95 |
3.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$2,398.95 |
$2,398.95 |
3.7× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$2,398.95 |
$2,398.95 |
1.6× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$2,398.95 |
$2,398.95 |
3.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$2,398.95 |
$2,398.95 |
3.7× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$2,398.95 |
$2,398.95 |
3.7× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,398.95 |
$2,398.95 |
1.6× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$2,398.95 |
$2,398.95 |
1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$2,398.95 |
$2,398.95 |
1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$2,398.95 |
$2,398.95 |
3.7× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,398.95 |
$2,398.95 |
1.6× |
Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) range across 2 matching MRF lines |
$1,602–$2,398.95 |
$1,602–$2,398.95 |
varies |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$2,398.95 |
$2,398.95 |
1.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$2,398.95 |
$2,398.95 |
0.9× |
Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) range across 2 matching MRF lines |
$2,398.95–$2,865 |
$2,398.95–$2,865 |
varies |
| Exc Skin Benig >4cm Face,Facial (11446) |
$2,398.95 |
$2,398.95 |
0.9× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$2,398.95 |
$2,398.95 |
1.6× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$2,398.95 |
$2,398.95 |
0.9× |
Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) range across 2 matching MRF lines |
$2,398.95–$4,694 |
$2,398.95–$4,694 |
varies |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$2,398.95 |
$2,398.95 |
6.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$2,398.95 |
$2,398.95 |
3.7× |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$2,398.95–$2,865 |
$2,398.95–$2,865 |
varies |
| Exchange Intraocular Lens (66986) |
$3,000 |
$3,000 |
1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$2,398.95 |
$2,398.95 |
3.7× |
Excision external ear; complete amputation Facility (69120) likely a partial charge, not the full procedure |
$960.09 |
$960.09 |
0.2× |
| Excision H/P/P/U Complex Repair (11471) |
$2,398.95 |
$2,398.95 |
0.9× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$2,398.95 |
$2,398.95 |
0.9× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$2,398.95 |
$2,398.95 |
0.9× |
| Excision Hidradenitis Inguinal Complex Repair (11463) |
$2,398.95 |
$2,398.95 |
0.9× |
| Excision Hidradenitis Inguinal Smpl/Intrm Rpr (11462) |
$2,398.95 |
$2,398.95 |
0.9× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$2,398.95 |
$2,398.95 |
3.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$2,398.95 |
$2,398.95 |
3.7× |
Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) range across 2 matching MRF lines |
$796.97–$2,398.95 |
$796.97–$2,398.95 |
varies |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,398.95 |
$2,398.95 |
3.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$2,398.95 |
$2,398.95 |
3.7× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$2,398.95 |
$2,398.95 |
1.6× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$2,398.95 |
$2,398.95 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,398.95 |
$2,398.95 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$2,398.95 |
$2,398.95 |
3.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$2,398.95 |
$2,398.95 |
3.7× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,398.95 |
$2,398.95 |
1.6× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$4,349.99 |
$4,349.99 |
3.0× |
| Extraction of lens (66940) |
$3,000 |
$3,000 |
1.4× |
| Extraction of lens (66920) |
$3,000 |
$3,000 |
1.4× |
| Fetal Contraction Stress Test (59020) |
$139.02 |
$139.02 |
0.8× |
Fetal non-stress test (59025) range across 2 matching MRF lines |
$70.62–$150 |
$70.62–$150 |
varies |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$2,736.03 |
$2,736.03 |
1.4× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$2,808.07 |
$2,808.07 |
1.5× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$5,126.31 |
$5,126.31 |
2.0× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,182 |
$1,182 |
1.4× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$248.65–$2,374.48 |
$248.65–$2,374.48 |
varies |
| I&d perianal abscess superficial (46050) |
$1,182 |
$1,182 |
1.4× |
| I&d pilonidal cyst complicated (10081) |
$405 |
$405 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$248.65 |
$248.65 |
0.4× |
| Incise external hemorrhoid (46083) |
$245 |
$245 |
1.1× |
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$248.65–$496 |
$248.65–$496 |
varies |
| Incision & removal foreign body subq tiss simple (10120) |
$248.65 |
$248.65 |
0.7× |
| Injection of sclerosing solution, hemorrhoids (46500) |
$1,820 |
$1,820 |
2.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$548.67 |
$548.67 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$548.67 |
$548.67 |
2.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$682.45 |
$682.45 |
1.1× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$538.23 |
$538.23 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$2,124.28 |
$2,124.28 |
0.7× |
Insert Temp Bladder Cath (51702) range across 2 matching MRF lines |
$104.02–$114.23 |
$104.02–$114.23 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$114.23 |
$114.23 |
0.9× |
| Insj Io Lens Prosthesis Not W/Concurrent Rmvl (66985) |
$3,000 |
$3,000 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$307 |
$307 |
1.4× |
| Ligation or biopsy temporal artery (37609) |
$2,150.22 |
$2,150.22 |
1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$113.49 |
$113.49 |
0.3× |
| Proctosgmdsc rigid w/dilation (45303) |
$1,948 |
$1,948 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$114.23 |
$114.23 |
2.1× |
| Removal of nail bed (11750) |
$3,798.71 |
$3,798.71 |
10.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$153.78 |
$153.78 |
0.8× |
| Removal sweat gland lesion (11450) |
$2,398.95 |
$2,398.95 |
0.9× |
| Remove foreign body from eye (65205) |
$185.33 |
$185.33 |
1.5× |
| Remove Nasal Foreign Body (30300) |
$438 |
$438 |
3.6× |
| Remove Peritoneal Foreign Body (49402) |
$375 |
$375 |
0.1× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$869.85 |
$869.85 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$375 |
$375 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$569.98 |
$569.98 |
1.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$569.98 |
$569.98 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$569.98 |
$569.98 |
1.5× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$472.78 |
$472.78 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$869.85 |
$869.85 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$569.98 |
$569.98 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$366 |
$366 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$360.30 |
$360.30 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$569.98 |
$569.98 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$497 |
$497 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$555 |
$555 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$569.98 |
$569.98 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$569.98 |
$569.98 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$967.50 |
$967.50 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$569.98 |
$569.98 |
1.5× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$209.08 |
$209.08 |
0.1× |
| Rmvl Lens Material Phacofragmentation Aspir (66850) |
$3,000 |
$3,000 |
1.4× |
| Rplc Gtube No Revj Trc (43762) |
$275 |
$275 |
1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$209.08 |
$209.08 |
1.1× |
| Severing Ads Ant Seg Incal Tq Spx Goniosynechiae (65865) |
$3,000 |
$3,000 |
1.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,308.54 |
$1,308.54 |
1.2× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,308.54 |
$1,308.54 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$306 |
$306 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$209.08 |
$209.08 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$209.08 |
$209.08 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$209.08 |
$209.08 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$209.08 |
$209.08 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$209.08 |
$209.08 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$209.08 |
$209.08 |
1.1× |
| Skin sub graft trnk/arm/leg (15271) |
$1,600 |
$1,600 |
2.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$209.08 |
$209.08 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$209.08 |
$209.08 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$209.08 |
$209.08 |
0.6× |
| Strapping Unna Boot (29580) |
$197.38 |
$197.38 |
1.3× |
| Trabeculoplasty by laser surgery (65855) |
$1,385 |
$1,385 |
2.8× |
| Treatment of anal fissure (46940) |
$3,549.83 |
$3,549.83 |
1.4× |
| Trim skin lesion (11055) |
$45 |
$45 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$64 |
$64 |
0.3× |
| Trim skin lesions over 4 (11057) |
$84 |
$84 |
0.5× |
| Trimming Nondystrophic Nails Any Number (11719) |
$21 |
$21 |
0.4× |
Vaginal delivery only (59409) range across 2 matching MRF lines |
$740.20–$3,579 |
$740.20–$3,579 |
varies |