| Abd paracentesis w/imaging (49083) |
$1,181.50 |
$2,363 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,151 |
$2,302 |
1.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,925 |
$3,850 |
1.3× |
| Acne surgery (10040) |
$50 |
$100 |
0.3× |
Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) range across 2 matching MRF lines |
$1,039.50–$3,087 |
$1,485–$6,174 |
varies |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$1,363.60 |
$1,948 |
0.7× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$1,729.70 |
$2,471 |
0.9× |
Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) range across 2 matching MRF lines |
$1,309–$2,766.50 |
$1,870–$5,533 |
varies |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$1,171.10 |
$1,673 |
0.6× |
Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) range across 2 matching MRF lines |
$1,618.40–$2,898 |
$2,312–$5,796 |
varies |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$1,491 |
$2,130 |
0.8× |
| Amputation toe interphalangeal joint (28825) |
$4,025.50 |
$8,051 |
1.3× |
| Amputation toe metatarsophalangeal joint (28820) |
$4,226 |
$8,452 |
1.3× |
| Amputation, leg, through tibia and fibula; secondary closure or scar revision (27884) |
$4,607.50 |
$9,215 |
1.5× |
| Appendectomy (44950) |
$9,654.50 |
$19,309 |
1.6× |
| Application cast elbow finger short arm (29075) |
$74 |
$148 |
0.3× |
Application Cast Finger (29086) range across 2 matching MRF lines |
$182–$350.70 |
$364–$501 |
varies |
Application Finger Splint Dynamic (29131) range across 2 matching MRF lines |
$31.50–$97.50 |
$63–$195 |
varies |
| Application finger splint static (29130) |
$31.50 |
$63 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$67.50 |
$135 |
0.4× |
| Application Long Leg Splint (29505) |
$62.50 |
$125 |
0.4× |
| Application of long leg cast (29345) |
$95 |
$190 |
0.4× |
| Application Short Arm Splint Dynamic (29126) |
$97.50 |
$195 |
0.8× |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$42–$110 |
$84–$220 |
varies |
Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$54.50–$97.50 |
$109–$195 |
varies |
| Apply hand/wrist cast (29085) |
$63.50 |
$127 |
0.4× |
| Apply long arm cast (29065) |
$80.50 |
$161 |
0.3× |
| Apply Multlay Comprs Lwr Leg (29581) |
$25.50 |
$51 |
0.2× |
| Apply Short Leg Cast (29405) |
$68.50 |
$137 |
0.3× |
Apply short leg cast (29425) range across 4 matching MRF lines |
$52–$350.50 |
$97–$701 |
varies |
Arterial puncture (36600) range across 2 matching MRF lines |
$19.50–$145 |
$39–$290 |
varies |
| Arthrd midtarsl/tarsometatarsal mult/transvrs (28730) |
$16,771 |
$33,542 |
1.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$52.50 |
$105 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$874.50 |
$1,749 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$61.50 |
$123 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$410.50 |
$821 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$97.50 |
$195 |
0.3× |
| Arthrodesis ankle open (27870) |
$17,046.50 |
$34,093 |
1.4× |
| Arthrodesis Glenohumeral Joint (23800) |
$9,277.50 |
$18,555 |
1.3× |
| Arthrodesis great toe metatarsophalangeal joint (28750) |
$9,064 |
$18,128 |
1.3× |
Arthrodesis knee any technique (27580) likely a partial charge, not the full procedure |
$3,217.50 |
$6,435 |
0.3× |
| Arthrodesis Posterior/Posterolateral Lumbar (22612) |
$23,780.50 |
$47,561 |
1.4× |
| Arthroscopy Ankle Surgical Debridement Extensive (29898) |
$4,589 |
$9,178 |
1.5× |
| Arthroscopy knee synovectomy limited spx (29875) |
$4,340 |
$8,680 |
1.4× |
| Arthroscopy shoulder surgical capsulorrhaphy (29806) |
$9,556 |
$19,112 |
1.4× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$4,528 |
$9,056 |
1.4× |
| Arthroscopy, shoulder, surgical; biceps tenodesis (29828) |
$9,416.50 |
$18,833 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, extensive (29823) |
$4,434 |
$8,868 |
1.4× |
| Arthroscopy, shoulder, surgical; debridement, limited (29822) |
$4,382.50 |
$8,765 |
1.4× |
| Arthroscopy, shoulder, surgical; repair of slap lesion (29807) |
$9,531 |
$19,062 |
1.4× |
| Arthroscopy, shoulder, surgical; with rotator cuff repair (29827) |
$9,566 |
$19,132 |
1.4× |
| Arthrs Knee Abrasion Arthrp/Mlt Drlg/Microfx (29879) |
$4,502 |
$9,004 |
1.4× |
| Arthrs knee debridement/shaving artclr crtlg (29877) |
$4,461 |
$8,922 |
1.4× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$4,403.50 |
$8,807 |
1.4× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$47 |
$94 |
0.0× |
| Aspirate pleura w/ imaging (32555) |
$854 |
$1,708 |
1.4× |
| Aspirate Pleura W/O Imaging (32554) |
$834.50 |
$1,669 |
1.4× |
| Aspirate/Inj Ganglion Cyst (20612) |
$125 |
$250 |
0.4× |
Aspiration bladder insert suprapubic catheter (51102) range across 2 matching MRF lines |
$2,564 |
$155–$5,128 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$107 |
$214 |
0.6× |
| Biopsy bone open superficial (20240) |
$3,710.50 |
$7,421 |
1.3× |
| Biopsy External Auditory Canal (69105) |
$2,450 |
$3,500 |
1.6× |
| Biopsy external ear (69100) |
$89.50 |
$179 |
0.4× |
| Biopsy Muscle Superficial (20200) |
$2,118.50 |
$4,237 |
1.3× |
| Biopsy nail unit (11755) |
$114.50 |
$229 |
0.2× |
| Biopsy Nasopharynx Visible Lesion Simple (42804) |
$3,950.50 |
$7,901 |
1.2× |
Biopsy of floor of mouth (41108) range across 2 matching MRF lines |
$184.80–$184.88 |
$264–$264.12 |
varies |
| Biopsy of lip (40490) |
$114.50 |
$229 |
0.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,015 |
$4,030 |
1.3× |
| Biopsy of palate, uvula (42100) |
$1,921 |
$3,842 |
1.3× |
Biopsy of penis (54100) range across 3 matching MRF lines |
$261.72–$2,139.50 |
$373.89–$4,279 |
varies |
Biopsy Oropharynx (42800) range across 3 matching MRF lines |
$168.70–$1,928 |
$241–$3,856 |
varies |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$2,553 |
$5,106 |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$88.20 |
$126 |
0.1× |
Biopsy Tongue Anterior Two-Thirds (41100) range across 2 matching MRF lines |
$221.20–$221.47 |
$316–$316.38 |
varies |
| Biopsy Tongue Posterior One-Third (41105) |
$5,136.60 |
$7,338 |
1.6× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$87.50 |
$175 |
0.1× |
Biopsy, vestibule of mouth (40808) range across 2 matching MRF lines |
$214.73–$214.90 |
$306.75–$307 |
varies |
| Biopsy/removal lymph nodes (38510) |
$4,952 |
$9,904 |
1.3× |
| Blepharotomy drainage abscess eyelid (67700) |
$50.50 |
$101 |
0.2× |
| Blood Transfusion Service (36430) |
$611.50 |
$1,223 |
1.4× |
| Bone Graft Any Donor Area Minor/Small (20900) |
$9,102 |
$18,204 |
1.3× |
| Bone Marrow; Aspiration Only (38220) |
$1,995 |
$3,990 |
1.3× |
| Brnchsc Brushing/Protected Brushings (31623) |
$2,148 |
$4,296 |
1.3× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$4,672 |
$9,344 |
1.3× |
| Brnchsc Ebus Guided Sampl 3/> Node Station/Strux (31653) |
$4,695.50 |
$9,391 |
1.3× |
| Bronchoscopy Clear Airways (31645) |
$2,163 |
$4,326 |
1.3× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,172 |
$4,344 |
1.3× |
| Bronchoscopy W/Excision Tumor (31640) |
$4,698.50 |
$9,397 |
1.3× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$4,629 |
$9,258 |
1.3× |
| Bronchoscopy/Needle Bx Each (31629) |
$4,640 |
$9,280 |
1.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$2,000.50 |
$4,001 |
1.3× |
| Bx Cervix (57500) |
$134.50 |
$269 |
0.2× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$4,667.50 |
$9,335 |
1.4× |
| Bx/exc lymph node open deep axillary node (38525) |
$5,214 |
$10,428 |
1.4× |
| Bx/exc lymph node open superficial (38500) |
$4,792 |
$9,584 |
1.3× |
| Capsul mttarphlngl jt w/wo tenorrhaphy ea jt spx (28270) |
$4,176 |
$8,352 |
1.3× |
| Carpal Tunnel Surgery (64721) |
$2,722 |
$5,444 |
1.5× |
Catheter aspiration nasotracheal spx (31720) range across 2 matching MRF lines |
$74–$85.50 |
$148–$171 |
varies |
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$105–$317.50 |
$150–$635 |
varies |
| Change of Windpipe Airway (31502) |
$58.50 |
$117 |
0.3× |
Chemical Cautery Tissue (17250) range across 3 matching MRF lines |
$95.20–$274.50 |
$136–$549 |
varies |
| Chemical peel face dermal (15789) |
$495 |
$990 |
0.7× |
| Chemical peel nonfacial dermal (15793) |
$438 |
$876 |
1.1× |
| Chemical peel nonfacial epidermal (15792) |
$304 |
$608 |
0.4× |
| Chemical peel, facial; epidermal (15788) |
$354.50 |
$709 |
0.9× |
| Chemodenerv 1 extremity 1-4 (64642) |
$930 |
$1,860 |
1.4× |
| Chemodenerv Eccrine Glands (64650) |
$82.50 |
$165 |
0.3× |
| Chemodenerv musc neck dyston (64616) |
$463 |
$926 |
1.6× |
| Chemodenerv trunk musc 1-5 (64646) |
$939.50 |
$1,879 |
1.4× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$467 |
$934 |
1.6× |
| Chest tube placement (32551) |
$293 |
$586 |
0.2× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$4,861 |
$9,722 |
1.4× |
| Circumcision 28 days or older (54161) |
$2,617 |
$5,234 |
1.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$147 |
$210 |
0.1× |
| Clear outer ear canal (69200) |
$152 |
$304 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$183.50 |
$367 |
0.8× |
Closed tx ankle dislocation w/o anesthesia (27840) range across 2 matching MRF lines |
$223–$256 |
$446–$512 |
varies |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$578.50 |
$1,157 |
2.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$502.50 |
$1,005 |
2.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$589.50 |
$1,179 |
2.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$478 |
$956 |
2.0× |
Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) range across 2 matching MRF lines |
$220.50–$1,793 |
$315–$3,586 |
varies |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,927.50 |
$7,855 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$290 |
$580 |
1.2× |
Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$183.50–$211 |
$367–$422 |
varies |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$139.50 |
$279 |
0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$178.50 |
$357 |
0.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$178.50 |
$357 |
0.1× |
| Closed tx talus fracture w/o manipulation (28430) |
$484.50 |
$969 |
2.0× |
Closed tx temporomandibular dislocation 1st/sbsq (21480) range across 2 matching MRF lines |
$66–$76.50 |
$132–$153 |
varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,317.50 |
$4,635 |
1.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$200 |
$400 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$133 |
$266 |
0.6× |
Clsd tx shoulder dislc w/manipulation req anes (23655) range across 3 matching MRF lines |
$375–$2,390.50 |
$750–$4,781 |
varies |
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$213–$245 |
$426–$490 |
varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$262 |
$524 |
0.2× |
Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) range across 2 matching MRF lines |
$210–$365.50 |
$420–$731 |
varies |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,205 |
$4,410 |
1.4× |
Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) range across 2 matching MRF lines |
$282.10–$2,206 |
$403–$4,412 |
varies |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$363 |
$726 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$71 |
$142 |
0.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$97.50 |
$195 |
0.4× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$118 |
$236 |
0.5× |
Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) range across 2 matching MRF lines |
$275–$315 |
$550–$630 |
varies |
Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) range across 2 matching MRF lines |
$655.50–$752 |
$1,311–$1,504 |
varies |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$176 |
$352 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$129 |
$258 |
0.5× |
Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) range across 2 matching MRF lines |
$160–$183.50 |
$320–$367 |
varies |
Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) range across 2 matching MRF lines |
$129–$148.50 |
$258–$297 |
varies |
Cltx Interphalangeal Joint Dislocation W/O Anes (28660) range across 2 matching MRF lines |
$74–$85.50 |
$148–$171 |
varies |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$175.50 |
$351 |
0.7× |
Cltx iphal jt dislc w/manj w/o anes (26770) range across 2 matching MRF lines |
$139–$159.50 |
$278–$319 |
varies |
| Cltx Medial Ankle Fx (27760) |
$580.50 |
$1,161 |
2.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$159.50 |
$319 |
0.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$97.50 |
$195 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$256.90 |
$367 |
0.2× |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) range across 2 matching MRF lines |
$160–$183.50 |
$320–$367 |
varies |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$97.50 |
$195 |
0.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$245 |
$490 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$330 |
$660 |
0.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$568.50 |
$1,137 |
2.4× |
Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$30.80–$145 |
$44–$290 |
varies |
| Collection of venous blood by venipuncture (36415) |
$17.50 |
$35 |
1.9× |
Colonoscopy through stoma; with biopsy, single or multiple (44389) range across 2 matching MRF lines |
$1,571–$2,429 |
$3,142–$3,470 |
varies |
| Colonoscopy thru stoma (44388) |
$1,240 |
$2,480 |
1.4× |
Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) range across 2 matching MRF lines |
$572.60–$1,623 |
$818–$3,246 |
varies |
Colonoscopy w/ablation (45388) range across 2 matching MRF lines |
$735–$1,666.50 |
$1,050–$3,333 |
varies |
| Colonoscopy W/Band Ligation (45398) |
$1,634 |
$3,268 |
1.4× |
| Colonoscopy w/fb removal (45379) |
$631.40 |
$902 |
0.6× |
| Colonoscopy W/Resection (45390) |
$3,664 |
$7,328 |
1.4× |
| Colonoscopy w/submucosal inj (45381) |
$1,598.50 |
$3,197 |
1.4× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$365 |
$730 |
1.2× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$190.40 |
$272 |
0.7× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$116.50 |
$233 |
0.6× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$3,534.50 |
$7,069 |
1.1× |
| Colpotomy; with drainage of pelvic abscess (57010) |
$3,973 |
$7,946 |
1.3× |
Colsc Flexible W/Control Bleeding Any Method (45382) range across 2 matching MRF lines |
$697.20–$1,654 |
$996–$3,308 |
varies |
Colsc Flexible W/Transendoscopic Balloon Dilat (45386) range across 2 matching MRF lines |
$695.10–$1,609.50 |
$993–$3,219 |
varies |
Colsc flx w/removal lesion by hot bx forceps (45384) range across 2 matching MRF lines |
$676.20–$1,627.50 |
$966–$3,255 |
varies |
| Combined anteroposterior colporrhaphy; (57260) |
$6,915.50 |
$13,831 |
1.4× |
| Composite Skin Graft (15760) |
$1,469.30 |
$2,099 |
0.7× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$4,215.50 |
$8,431 |
1.4× |
Control Nasal Hemorrhage Anterior Complex (30903) range across 2 matching MRF lines |
$108–$137.50 |
$216–$275 |
varies |
Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$51.50–$162.50 |
$103–$325 |
varies |
| Correction hammertoe (28285) |
$4,226.50 |
$8,453 |
1.3× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$4,542.50 |
$9,085 |
1.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Joint Arthrodesis (28297) |
$16,650 |
$33,300 |
1.4× |
| Corrj Hlx Vlgs Bncty Sesmdc Prox Phlx Osteot (28298) |
$9,409 |
$18,818 |
1.4× |
| Create Eardrum Opening (69433) |
$737.50 |
$1,475 |
1.4× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) range across 2 matching MRF lines |
$147–$169.50 |
$294–$339 |
varies |
| Ctrl Oropharyngeal Hemorrhage W/Sec Surg Ivntj (42962) |
$4,540 |
$9,080 |
1.4× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$2,554.50 |
$5,109 |
1.3× |
| Cysto w/destruction of lesions (52214) |
$4,322.50 |
$8,645 |
1.3× |
| Cysto w/insert ureteral stent (52332) |
$4,302.50 |
$8,605 |
1.3× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,573 |
$5,146 |
1.3× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$6,542.50 |
$13,085 |
1.3× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$4,495 |
$8,990 |
1.3× |
| Cysto w/urtroscopy w/tx ureteral stricture (52344) |
$4,510.50 |
$9,021 |
1.3× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$4,446 |
$8,892 |
1.3× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$6,567 |
$13,134 |
1.3× |
| Cysto/uretero w/lithotripsy (52356) |
$6,566 |
$13,132 |
1.3× |
Cystostomy Cystotomy W/Drainage (51040) range across 2 matching MRF lines |
$142.50–$163.50 |
$285–$327 |
varies |
| Cystourethroscopy (52000) |
$892 |
$1,784 |
1.3× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,590 |
$5,180 |
1.3× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$2,630 |
$5,260 |
1.3× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$4,390.50 |
$8,781 |
1.3× |
| Cystourethroscopy with biopsy (52204) |
$2,563 |
$5,126 |
1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$156.80 |
$224 |
0.4× |
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) range across 2 matching MRF lines |
$3,629.50 |
$191–$7,259 |
1.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$97.50 |
$195 |
0.1× |
| Dcmprn perq nucleus pulposus 1/> levels lumbar (62287) |
$2,875 |
$5,750 |
1.5× |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$144–$898 |
$288–$1,796 |
varies |
| Debride nail 1-5 (11720) |
$136.50 |
$195 |
2.4× |
| Debride nail 6 or more (11721) |
$97 |
$194 |
1.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,153 |
$4,306 |
1.4× |
| Debridement Mastoidectomy Cavity Cmplx (69222) |
$784 |
$1,568 |
1.5× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$262.50 |
$525 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$58.50 |
$117 |
0.2× |
| Declot vascular device (36593) |
$41.70 |
$83.40 |
0.1× |
| Derma-fat-fascia graft (15770) |
$1,381.10 |
$1,973 |
0.4× |
| Dermabrasion regional other than face (15782) |
$842.80 |
$1,204 |
0.3× |
| Dermabrasion segmental face (15781) |
$882 |
$1,260 |
1.3× |
| Dermabrasion superficial any site (15783) |
$758.80 |
$1,084 |
1.9× |
| Dermabrasion total face (15780) |
$1,443.40 |
$2,062 |
0.5× |
| Destr penis lesion(s) (54065) |
$257 |
$514 |
0.1× |
| Destroy cerv/thor facet jnt (64633) |
$2,484.50 |
$4,969 |
1.3× |
| Destroy lumb/sac facet jnt (64635) |
$2,485 |
$4,970 |
1.3× |
| Destruct B9 Lesion 1-14 (17110) |
$103.50 |
$207 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$122 |
$244 |
0.6× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,257 |
$2,514 |
1.5× |
Destruction by neurolytic agent; plantar common digital nerve (64632) range across 2 matching MRF lines |
$417.50–$420 |
$600–$835 |
varies |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$1,272 |
$2,544 |
1.5× |
| Destruction Lesions Vulva Extensive (56515) |
$265.50 |
$531 |
0.1× |
Destruction Lesions Vulva Simple (56501) range across 3 matching MRF lines |
$175–$245 |
$349.89–$350 |
varies |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$168.50 |
$337 |
0.9× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$193 |
$386 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$228.50 |
$457 |
0.6× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$261 |
$522 |
0.4× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$137 |
$274 |
0.7× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$166.50 |
$333 |
0.9× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$180 |
$360 |
0.9× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$193 |
$386 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$130 |
$260 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$140 |
$280 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$155.50 |
$311 |
0.8× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$176 |
$352 |
0.9× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$195.50 |
$391 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$230 |
$460 |
0.6× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$93.50 |
$187 |
0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,439.50 |
$4,879 |
1.3× |
| Destruction of lesion of lid margin (up to 1 cm) (67850) |
$1,328.50 |
$2,657 |
1.4× |
| Destruction Premalignant Lesion 15/> (17004) |
$156.50 |
$313 |
0.4× |
| Destruction premalignant lesion 1st (17000) |
$62.50 |
$125 |
0.3× |
Diagnostic sigmoidoscopy (45330) range across 3 matching MRF lines |
$170.10–$1,142.50 |
$243–$2,285 |
varies |
| Dilat Anal Sphnctr Spx Under Anes Oth/Thn Local (45905) |
$1,635.50 |
$3,271 |
1.4× |
| Dilat rct strix spx under anes oth/thn local (45910) |
$1,542 |
$3,084 |
1.3× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,156 |
$2,312 |
1.3× |
| Dilate Urethra Stricture (53600) |
$356 |
$712 |
1.5× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,196 |
$8,392 |
1.4× |
| Dilation Lacrimal Punctum W/WO Irrgation (68801) |
$131.50 |
$263 |
0.3× |
| Dise Dyn Eval Sleep Disordered Breathing Flx Dx (42975) |
$2,831.50 |
$5,663 |
1.7× |
Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$66–$76.50 |
$132–$153 |
varies |
Drain shoulder bursa (23031) range across 2 matching MRF lines |
— |
$249–$286 |
— |
| Drain/inj small joint/bursa w/us (20604) |
$397.50 |
$795 |
1.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$725 |
$1,450 |
1.4× |
| Drainage external auditory canal abscess (69020) |
$217 |
$434 |
0.3× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,086.50 |
$4,173 |
1.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$174 |
$348 |
0.3× |
| Drainage Mouth Roof Lesion (42000) |
$63 |
$126 |
0.3× |
Drainage of finger abscess simple (26010) range across 3 matching MRF lines |
$132.50–$152 |
$265–$304 |
varies |
| Drainage of gum lesion (41800) |
$66.50 |
$133 |
0.5× |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$89–$158 |
$178–$316 |
varies |
| Drainage of nose lesion (30000) |
$406.50 |
$813 |
1.8× |
| Drainage of rectal abscess (45005) |
$1,565 |
$3,130 |
1.4× |
| Drainage of salivary gland (42305) |
$4,254.50 |
$8,509 |
1.3× |
| Drainage of scrotal wall abscess (55100) |
— |
$166 |
— |
Drainage of scrotum (54700) range across 2 matching MRF lines |
$2,629.50–$2,633 |
$5,259–$5,266 |
varies |
| Draw Blood Off Venous Device (36591) |
$168 |
$336 |
1.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$66.50 |
$133 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$168 |
$336 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$146.50 |
$293 |
0.8× |
| Dstrj lesion anus simple surg excision (46922) |
$273.50 |
$547 |
0.1× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$99.50 |
$199 |
0.3× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$104 |
$208 |
0.5× |
| Dstrj lesion penis simple surg excision (54060) |
$2,298.50 |
$4,597 |
1.2× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 3 matching MRF lines |
$114.50–$1,200 |
$229–$2,400 |
varies |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,319.50 |
$2,639 |
1.6× |
| Dx Bronchoscope/Lavage (31624) |
$2,150 |
$4,300 |
1.3× |
| Dx Bronchoscope/Wash (31622) |
$2,276.50 |
$4,553 |
1.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,177 |
$4,354 |
1.3× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$906.50 |
$1,813 |
1.3× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$2,489 |
$4,978 |
1.4× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,414 |
$4,828 |
1.3× |
| Egd cautery tumor polyp (43250) |
$2,431 |
$4,862 |
1.3× |
| Egd control bleeding any (43255) |
$2,458.50 |
$4,917 |
1.3× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,436 |
$4,872 |
1.3× |
| Egd Flexible Foreign Body Removal (43247) |
$1,250 |
$2,500 |
1.4× |
| Egd guide wire insertion (43248) |
$1,239.50 |
$2,479 |
1.4× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$2,496 |
$4,992 |
1.4× |
| Egd lesion ablation (43270) |
$2,481.50 |
$4,963 |
1.3× |
Egd place gastrostomy tube (43246) range across 2 matching MRF lines |
$191–$2,461 |
$382–$4,922 |
varies |
| Egd remove lesion snare (43251) |
$2,454.50 |
$4,909 |
1.3× |
| Egd Tube/Cath Insertion (43241) |
$2,403.50 |
$4,807 |
1.3× |
| Egd Varices Ligation (43244) |
$2,501.50 |
$5,003 |
1.4× |
| Endometrial Biopsy (58100) |
$97.50 |
$195 |
0.5× |
| Endoscopic injection/implant (51715) |
$4,347 |
$8,694 |
1.3× |
| Endoscopy upper small intestine w/biopsy (44361) |
$2,418.50 |
$4,837 |
1.3× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$2,554.50 |
$5,109 |
1.4× |
| Enterosc >2nd prtn w/ileum w/wo collj spec spx (44376) |
$2,538.50 |
$5,077 |
1.4× |
| Enteroscopy > 2nd prtn w/plmt prq tube (44372) |
$2,497.50 |
$4,995 |
1.4× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$2,462 |
$4,924 |
1.3× |
| Epidural Blood Patch (62273) |
$933.50 |
$1,867 |
1.4× |
Episiotomy or vaginal repair (59300) range across 2 matching MRF lines |
— |
$210–$241 |
— |
| Ercp W/Biopsy Single/Multiple (43261) |
$4,887 |
$9,774 |
1.3× |
| Esoph Scope W/Submucous Inj (43201) |
$2,366.50 |
$4,733 |
1.3× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,213 |
$2,426 |
1.4× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$2,380 |
$4,760 |
1.3× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$2,365.50 |
$4,731 |
1.3× |
| Esophagoscp Rig Trnso Inject (43192) |
$2,431.50 |
$4,863 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$97.50 |
$195 |
0.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$2,340.50 |
$4,681 |
1.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$118 |
$236 |
0.2× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$192.50 |
$385 |
0.1× |
| Exc Back Les Sc < 3 Cm (21930) |
$2,289 |
$4,578 |
1.4× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$4,116 |
$8,232 |
1.5× |
| Exc Branchial Cleft Cyst Below Subq Tiss&/Phrynx (42815) |
$7,493 |
$14,986 |
1.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$221.50 |
$443 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$249 |
$498 |
0.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$368 |
$736 |
0.2× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$2,348 |
$4,696 |
1.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$132 |
$264 |
0.2× |
Exc Face-Mm B9+Marg 0.6-1 Cm (11441) range across 2 matching MRF lines |
$162.50–$811 |
$325–$1,622 |
varies |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$181 |
$362 |
0.3× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$215 |
$430 |
0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$268.50 |
$537 |
0.2× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$2,282 |
$4,564 |
1.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$118 |
$236 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$149.50 |
$299 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$168 |
$336 |
0.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$152 |
$304 |
0.1× |
| Exc Lesion Eyelid W/O Clsr/W/Simple Dir Closure (67840) |
$63 |
$126 |
0.1× |
| Exc Lesion Tendon Sheath/Capsule W/Synvct Foot (28090) |
$2,205.50 |
$4,411 |
1.4× |
| Exc lesion tendon sheath/capsule w/synvct toe ea (28092) |
$2,170 |
$4,340 |
1.4× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
$3,949 |
$7,898 |
1.2× |
| Exc neuroma major peripheral nrv xcp sciatic (64784) |
$3,139 |
$6,278 |
1.7× |
| Exc Prtd Tum/Prtd Glnd Lat Lobe W/O Nrv Dsj (42410) |
$7,589 |
$15,178 |
1.3× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$4,071.50 |
$8,143 |
1.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$185.50 |
$371 |
0.3× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$222.50 |
$445 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$317 |
$634 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$304 |
$608 |
0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$365.50 |
$731 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$279 |
$558 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$387.50 |
$775 |
0.1× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$426 |
$852 |
0.3× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,516 |
$3,032 |
1.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$145.50 |
$291 |
0.4× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$160 |
$320 |
0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$211.50 |
$423 |
0.1× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$75 |
$150 |
0.0× |
| Exc tumor soft tiss upper arm/elbw subfasc 5+cm (24073) |
$4,068 |
$8,136 |
1.5× |
| Exc tumor soft tissue abdominal wall subq <3cm (22902) |
$59 |
$118 |
0.0× |
| Exc tumor soft tissue foot/toe subfasc <1.5cm (28045) |
$3,907 |
$7,814 |
1.4× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
— |
$150 |
— |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$3,969 |
$7,938 |
1.4× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$4,166 |
$8,332 |
1.3× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$1,988.50 |
$3,977 |
1.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$262 |
$524 |
0.4× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$3,933 |
$7,866 |
1.4× |
| Excision External Ear Partial Simple Repair (69110) |
$3,693 |
$7,386 |
1.3× |
| Excision H/P/P/U Simple/Intermediate Repair (11470) |
$3,850 |
$7,700 |
1.4× |
| Excision inferior turbinate partial/complete (30130) |
$4,583.60 |
$6,548 |
1.4× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$184 |
$368 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$213 |
$426 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$228 |
$456 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$289.50 |
$579 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$188.50 |
$377 |
0.3× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$218 |
$436 |
0.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$484 |
$968 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$185 |
$370 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$214.50 |
$429 |
0.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$236 |
$472 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$230 |
$460 |
0.1× |
| Excision of bone cyst or benign tumor, wing of ilium, symphysis pubis, or greater trochanter of femur; superficial,… (27065) |
$9,030 |
$18,060 |
1.3× |
| Excision of constricting ring of finger, with multiple Z-plasties Facility (26596) |
$1,488.50 |
$2,977 |
0.5× |
| Excision of cystic hygroma, axillary or cervical; without deep neurovascular dissection Facility (38550) |
$4,841 |
$9,682 |
1.3× |
Excision of ganglion, wrist (dorsal or volar); primary (25111) range across 2 matching MRF lines |
$373.10–$2,229 |
$533–$4,458 |
varies |
| Excision of hydrocele; unilateral (55040) |
$4,449.50 |
$8,899 |
1.3× |
| Excision of parotid tumor or parotid gland; lateral lobe, with dissection and preservation of facial nerve Facility (42415) |
$8,009 |
$16,018 |
1.4× |
| Excision of parotid tumor or parotid gland; total, with dissection and preservation of facial nerve Facility (42420) |
$8,133 |
$16,266 |
1.4× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,566.50 |
$7,133 |
1.3× |
| Excision of rectal tumor by proctotomy, transsacral or transcoccygeal approach Facility (45160) |
$4,371.50 |
$8,743 |
1.6× |
| Excision of submandibular (submaxillary) gland (42440) |
$7,379 |
$14,758 |
1.3× |
| Excision olecranon bursa (24105) |
$4,203 |
$8,406 |
1.3× |
| Excision Pilonidal Cyst/Sinus Complicated (11772) |
$4,127 |
$8,254 |
1.5× |
| Excision Skin Abd Infraumbilical Panniculectomy (15830) |
$8,908 |
$17,816 |
1.4× |
| Excision spermatocele w/wo epididymectomy (54840) |
$2,738.50 |
$5,477 |
1.4× |
Excision tumor soft tissue foot/toe subq <1.5cm (28043) range across 3 matching MRF lines |
$245.50–$2,270.50 |
$370–$4,541 |
varies |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$2,239 |
$4,478 |
1.4× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$2,270.50 |
$4,541 |
1.4× |
Excision/destruction intranasal lesion int appr (30117) range across 2 matching MRF lines |
$1,915.20–$6,150.20 |
$2,736–$8,786 |
varies |
| Excision/destruction lesion pharynx any method (42808) |
$3,995 |
$7,990 |
1.3× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$202 |
$404 |
0.1× |
Explo/Drain Breast Abscess (19020) range across 3 matching MRF lines |
$2,417.50 |
$140–$4,835 |
1.5× |
Exploration penetrating wound spx chest (20101) range across 2 matching MRF lines |
$162.50–$186.50 |
$325–$373 |
varies |
| Exploration penetrating wound spx extremity (20103) |
$271 |
$542 |
0.2× |
Exploration Penetrating Wound Spx Neck (20100) range across 2 matching MRF lines |
$518.50–$595 |
$1,037–$1,190 |
varies |
| Explore/Treat Hand Joint (26070) |
— |
$109 |
— |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$24 |
$48 |
0.0× |
| Fasciotomy, hip or thigh, any type (27025) |
$907.50 |
$1,815 |
0.3× |
| Fine needle aspiration without imaging guidance (10021) |
$466.50 |
$933 |
1.2× |
| Fna bx w/us gdn 1st les (10005) |
$1,970.50 |
$3,941 |
2.9× |
| Forehead flap w/vasc pedicle (15731) |
$5,231.50 |
$10,463 |
1.5× |
Foreskin manipulation (54450) range across 2 matching MRF lines |
$335–$350 |
$670–$700 |
varies |
| Fracture Nasal Inferior Turbinate Therapeutic (30930) |
$3,946.50 |
$7,893 |
1.2× |
| Frmj Dir/Tube Pedcl W/Wotr Fh/Ch/Ch/M/N/Ax/G/H/F (15574) |
$1,586.90 |
$2,267 |
0.8× |
| Frmj Direct/Tubed Pedicle W/Wotr E/N/E/L/Ntroral (15576) |
$1,389.50 |
$1,985 |
0.7× |
Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) range across 2 matching MRF lines |
$1,780.80–$2,974.50 |
$2,544–$5,949 |
varies |
Fth/gft free w/direct closure s/a/l 20 cm/< (15220) range across 2 matching MRF lines |
$1,277.50–$2,754 |
$1,825–$5,508 |
varies |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$1,405.60 |
$2,008 |
0.7× |
| Fusion of elbow joint (24800) |
$9,085.50 |
$18,171 |
1.3× |
| Fusion of foot bones (28740) |
$9,513 |
$19,026 |
1.4× |
| Fusion of knuckle (26850) |
$9,603.50 |
$19,207 |
1.4× |
| Fusion of tibiofibular joint (27871) |
$16,741 |
$33,482 |
1.4× |
| Gastrocnemius recession (27687) |
$4,487 |
$8,974 |
1.4× |
| Gastrostomy Opn W/O Constj Gstr Tube Spx (43830) |
$2,966 |
$5,932 |
1.6× |
| Goniotomy (65820) |
$5,598.50 |
$11,197 |
1.4× |
| Hemorrhoidectomy Ntrnl & Xtrnl 1 Column/Group (46255) |
$3,900.50 |
$7,801 |
1.5× |
Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) range across 2 matching MRF lines |
$3,672–$3,887 |
$7,344–$7,774 |
varies |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,271.50 |
$2,543 |
1.4× |
| Hysteroscopy Biopsy (58558) |
$4,197.50 |
$8,395 |
1.4× |
| Hysteroscopy Dx Sep Proc (58555) |
$4,121 |
$8,242 |
1.3× |
| Hysteroscopy Endometrial Ablation (58563) |
$6,407 |
$12,814 |
1.3× |
| I&d abscess peritonsillar (42700) |
$181.50 |
$363 |
0.8× |
| I&d abscess simple (10060) |
$117 |
$234 |
0.6× |
I&D Below Fascia Foot 1 Bursal Space (28002) range across 2 matching MRF lines |
$130–$2,051 |
$260–$4,102 |
varies |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,714.50 |
$7,429 |
1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
— |
$150 |
— |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$4,357 |
$8,714 |
1.4× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$3,888.50 |
$7,777 |
1.5× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$4,694 |
$9,388 |
1.5× |
I&d perianal abscess superficial (46050) range across 4 matching MRF lines |
$62.50–$1,235.50 |
$125–$2,471 |
varies |
I&d pilonidal cyst complicated (10081) range across 3 matching MRF lines |
$136.50–$978 |
$195–$1,956 |
varies |
| I&d pilonidal cyst simple (10080) |
$466.50 |
$933 |
0.7× |
I&d shoulder deep abscess/hematoma (23030) range across 2 matching MRF lines |
$213–$245 |
$426–$490 |
varies |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$67.50 |
$135 |
0.0× |
| Immediate breast prosthesis (19340) |
$8,503 |
$17,006 |
1.1× |
| Implant neuroelectrodes (63650) |
$8,547.50 |
$17,095 |
1.4× |
| Implant Neuroelectrodes (64561) |
$8,442 |
$16,884 |
1.4× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$26,342 |
$52,684 |
1.4× |
Incise external hemorrhoid (46083) range across 3 matching MRF lines |
$248.50–$401 |
$355–$802 |
varies |
Incise finger tendon sheath (26055) range across 2 matching MRF lines |
$2,195.50 |
$109–$4,391 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$201.50 |
$403 |
0.5× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
— |
$150 |
— |
| Incision & removal foreign body subq tiss compl (10121) |
$97.50 |
$195 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$97.50 |
$195 |
0.3× |
Incision and drainage of bartholin's gland abscess (56420) range across 2 matching MRF lines |
$80–$97.50 |
$160–$195 |
varies |
| Incision and drainage of vulva or perineal abscess (56405) |
$97.50 |
$195 |
0.3× |
Incision and drainage, open, of deep abscess (subfascial), posterior spine; cervical, thoracic, or cervicothoracic… (22010) likely a partial charge, not the full procedure |
$71 |
$142 |
0.0× |
| Incision bone cortex foot (28005) |
$4,596 |
$9,192 |
1.5× |
| Incision of eardrum (69421) |
$3,978.50 |
$7,957 |
1.3× |
| Incision of eardrum (69420) |
$309 |
$618 |
1.4× |
Incision of rectal abscess (46040) range across 3 matching MRF lines |
$135.80–$1,818.50 |
$194–$3,637 |
varies |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
— |
$142 |
— |
Incisional biopsy eyelid skin & lid margin (67810) range across 2 matching MRF lines |
$149.08–$149.10 |
$212.97–$213 |
varies |
| Incisional biopsy skin single lesion (11106) |
$143 |
$286 |
0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$74.50 |
$149 |
0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,187 |
$2,374 |
1.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,211 |
$2,422 |
1.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$353 |
$706 |
1.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,085.50 |
$2,171 |
1.3× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,161.50 |
$2,323 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$903 |
$1,806 |
1.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,110 |
$2,220 |
1.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$902.50 |
$1,805 |
1.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$893.50 |
$1,787 |
1.3× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,160 |
$2,320 |
1.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$456 |
$912 |
1.5× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,206.50 |
$2,413 |
1.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$878 |
$1,756 |
1.3× |
| Injection single tendon origin/insertion (20551) |
$340 |
$680 |
1.2× |
Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$68–$340 |
$136–$680 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$340 |
$680 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$408.50 |
$817 |
1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,153.50 |
$2,307 |
1.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$885 |
$1,770 |
1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$845 |
$1,690 |
1.2× |
| Injection, anesthetic agent; vagus nerve (64408) |
$396.50 |
$793 |
1.3× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$97.50 |
$195 |
0.5× |
Injection, intralesional; up to and including 7 lesions (11900) range across 2 matching MRF lines |
$53–$55 |
$106–$110 |
varies |
Insert cath pleura w/ image (32557) range across 2 matching MRF lines |
$2,006.50–$2,052 |
$4,013–$4,104 |
varies |
Insert cath pleura w/o image (32556) range across 3 matching MRF lines |
$171.50–$3,882.20 |
$343–$5,546 |
varies |
| Insert Drug Implant Device (11981) |
$222 |
$444 |
1.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,563 |
$5,126 |
1.4× |
| Insert Nasal Septal Button (30220) |
$1,925 |
$3,850 |
1.3× |
Insert non-tunnel cv cath (36556) range across 6 matching MRF lines |
$210–$5,212.90 |
$207–$7,447 |
varies |
| Insert Temp Bladder Cath (51702) |
$54.50 |
$109 |
0.4× |
| Insert tun ip cath perc (49418) |
$4,601 |
$9,202 |
1.3× |
| Insert tunneled cv cath (36561) |
— |
$207 |
— |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$152 |
$304 |
1.2× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,595 |
$9,190 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$130.92 |
$261.84 |
0.1× |
| Insertion Tunnel Intraperitoneal Cath Dial Open (49421) |
$4,348.50 |
$8,697 |
1.3× |
| Insj Picc Rs&I <5 Yr (36572) |
$812.50 |
$1,625 |
1.4× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
— |
$207 |
— |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 4 matching MRF lines |
$187–$1,860 |
$326–$3,720 |
varies |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$16,091.50 |
$32,183 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$524 |
$1,048 |
0.2× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$37,319 |
$74,638 |
1.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
— |
$503 |
— |
Intmd Rpr Face/Mm 12.6-20 Cm (12055) range across 2 matching MRF lines |
$311–$478 |
$622–$956 |
varies |
Intmd Rpr Face/Mm 20.1-30.0 (12056) range across 2 matching MRF lines |
$425.50–$547 |
$851–$1,094 |
varies |
Intranasal Biopsy (30100) range across 3 matching MRF lines |
$2,041–$2,677.50 |
$119–$4,082 |
varies |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,801.50 |
$7,603 |
1.2× |
Intro Gastrointestinal Tube (44500) range across 2 matching MRF lines |
$13.50–$16 |
$27–$32 |
varies |
| Intubation endotracheal emergency procedure (31500) |
$135.50 |
$271 |
0.6× |
| Island pedicle flap graft (15740) |
$1,761.90 |
$2,517 |
0.9× |
| Knee Arthroscopy/Surgery (29874) |
$4,381.50 |
$8,763 |
1.4× |
| Laparoscopy Surg Rpr Initial Inguinal Hernia (49650) |
$7,303 |
$14,606 |
1.3× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$7,553 |
$15,106 |
1.3× |
| Laparoscopy, surgical, appendectomy (44970) |
$7,473.50 |
$14,947 |
1.3× |
| Laparoscopy, surgical, esophagogastric fundoplasty (eg, nissen, toupet procedures) (43280) |
$14,069.50 |
$28,139 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$7,591 |
$15,182 |
1.3× |
| Laparoscopy, surgical; repair recurrent inguinal hernia (49651) |
$7,843.50 |
$15,687 |
1.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$7,614.50 |
$15,229 |
1.3× |
| Laps fulg/exc ovary viscera/peritoneal surface (58662) |
$7,978 |
$15,956 |
1.4× |
| Largsc W/Njx Vocal Cord Ther W/Micro/Telescope (31571) |
$4,974.50 |
$9,949 |
1.4× |
| Laryngoscopy diagnostic (31505) |
$297.50 |
$595 |
1.6× |
| Laryngoscopy exc tum&/stripping cords/epiglott (31540) |
$4,694.50 |
$9,389 |
1.3× |
| Laryngoscopy flexible diagnostic (31575) |
$250 |
$500 |
1.3× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$575 |
$1,150 |
1.5× |
| Laryngoscopy W/Biopsy (31535) |
$4,643.50 |
$9,287 |
1.3× |
| Larynscop w/tumr exc + scope (31541) |
$4,716 |
$9,432 |
1.3× |
Late closure of wound (13160) range across 2 matching MRF lines |
$1,689.80–$2,945 |
$2,414–$5,890 |
varies |
| Ligation or biopsy temporal artery (37609) |
$2,130.50 |
$4,261 |
1.3× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$4,488 |
$8,976 |
1.3× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,708 |
$9,416 |
1.4× |
| Low Back Disk Surgery (63030) |
$9,436 |
$18,872 |
1.4× |
| Lysis Intranasal Synechia (30560) |
$725 |
$1,450 |
1.4× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$189.50 |
$379 |
0.1× |
| Manipulation hip joint general anesthesia (27275) |
$2,092.50 |
$4,185 |
1.4× |
| Marsupialization of bartholin's gland cyst (56440) |
$174 |
$348 |
0.1× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$1,088.50 |
$2,177 |
1.5× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$1,053.50 |
$2,107 |
1.5× |
| Myringoplasty (69620) |
$4,305.50 |
$8,611 |
1.4× |
| N Block Inj Celiac Pelus (64530) |
$1,176 |
$2,352 |
1.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$97.50 |
$195 |
0.1× |
| N block inj intercost sng (64420) |
$880 |
$1,760 |
1.3× |
| N Block Inj Paracervical (64435) |
$866.50 |
$1,733 |
1.3× |
N Block Inj Plantar Digit (64455) range across 2 matching MRF lines |
$33–$385.50 |
$66–$771 |
varies |
| N Block Inj Pudendal (64430) |
$1,139 |
$2,278 |
1.3× |
| N Block Lumbar/Thoracic (64520) |
$1,166.50 |
$2,333 |
1.4× |
| Nasal Endoscopy Dx (31231) |
$250 |
$500 |
1.3× |
Nasal surgery procedure (30999) range across 2 matching MRF lines |
$15.50–$18 |
$31–$36 |
varies |
Nasal/Orogastric W/Tube Plmt (43752) range across 2 matching MRF lines |
$30.80–$35 |
$44–$50 |
varies |
| Nasal/sinus endoscopy w/maxillary antrostomy (31256) |
$4,635.50 |
$9,271 |
1.3× |
| Nasal/Sinus Endoscopy W/Sphenoidotomy (31287) |
$9,185 |
$18,370 |
1.4× |
Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) range across 3 matching MRF lines |
$2,050–$2,870 |
$4,100–$4,354 |
varies |
| Nasal/Sinus Ndsc Surg W/Concha Bullosa Resection (31240) |
$2,176 |
$4,352 |
1.3× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,050 |
$4,100 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Dilation Frontal Sinus (31296) |
$8,326 |
$16,652 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Dilation Sphenoid Sinus (31297) |
$9,137.50 |
$18,275 |
1.3× |
| Nasal/sinus ndsc tot w/frnt sins expl tiss rmvl (31253) |
$8,640.50 |
$17,281 |
1.3× |
| Nasal/sinus ndsc tot w/sphendt w/sphen tiss rmvl (31259) |
$8,612.50 |
$17,225 |
1.3× |
| Nasal/sinus ndsc w/partial ethmoidectomy (31254) |
$8,388.50 |
$16,777 |
1.2× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$8,521.50 |
$17,043 |
1.3× |
| Nasal/Sinus Ndsc W/Total Ethoidectomy (31255) |
$8,467 |
$16,934 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$49.50 |
$99 |
1.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$57 |
$114 |
2.1× |
| Neuroplasty and/or transposition; ulnar nerve at elbow (64718) |
$2,884.50 |
$5,769 |
1.5× |
| Neuroplasty, major peripheral nerve, arm or leg, open; lumbar plexus Facility (64714) |
$8,520.50 |
$17,041 |
4.5× |
| Neurp Major Prph Nrv Arm/Leg Opn Oth/Thn Spec (64708) |
$2,789 |
$5,578 |
1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,159 |
$2,318 |
1.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$97.50 |
$195 |
0.3× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,172.50 |
$2,345 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$927.50 |
$1,855 |
1.4× |
Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) range across 2 matching MRF lines |
$250–$921.50 |
$500–$1,843 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,189 |
$2,378 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$919.50 |
$1,839 |
1.4× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$513 |
$1,026 |
1.3× |
| Nsl/sinus ndsc max antrost w/rmvl tiss max sinus (31267) |
$8,411 |
$16,822 |
1.2× |
| Nsl/sinus ndsc sphendt rmvl tiss sphenoid sinus (31288) |
$8,380 |
$16,760 |
1.2× |
| Occipital Nerve Block (64405) |
$406 |
$812 |
1.4× |
| Open Implantation Nea Peripheral Nerve (64575) |
$16,528 |
$33,056 |
1.5× |
| Open implantation of cranial nerve (eg, vagus nerve) neurostimulator electrode array and pulse generator Facility (64568) |
$68,338.50 |
$136,677 |
1.6× |
| Open impltj hpglsl nrv nstim ra pg&respir sensor (64582) |
$48,195.50 |
$96,391 |
1.6× |
| Open treatment metatarsal fracture each (28485) |
$9,505.50 |
$19,011 |
1.4× |
Open tx acute shoulder dislocation (23660) range across 2 matching MRF lines |
$657.50–$753.50 |
$1,315–$1,507 |
varies |
Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) range across 2 matching MRF lines |
$174.30–$4,286 |
$249–$8,572 |
varies |
| Orchiectomy radical tumor inguinal approach (54530) |
$4,615 |
$9,230 |
1.3× |
| Ostectomy, complete excision; fifth metatarsal head (28113) |
$4,457 |
$8,914 |
1.4× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$9,315 |
$18,630 |
1.3× |
| Osteot w/wo lngth shrt/corrj metar xcp 1st ea (28308) |
$4,421 |
$8,842 |
1.4× |
| Osteotomy calcaneus w/wo internal fixation (28300) |
$9,551 |
$19,102 |
1.4× |
| Parathyroidectomy or exploration of parathyroid(s); (60500) |
$8,465 |
$16,930 |
1.5× |
| Part remv talus or calcaneus (28120) |
$4,523.50 |
$9,047 |
1.4× |
| Partial removal of fibula (27641) |
$4,682.50 |
$9,365 |
1.5× |
| Partial removal of thyroid (60220) |
$7,568.50 |
$15,137 |
1.3× |
| Partial removal of tongue (41120) |
$7,961 |
$15,922 |
1.4× |
| Partical Excision Bone Phalanx Toe (28124) |
$4,371.50 |
$8,743 |
1.4× |
| Percutaneous implantation of neurostimulator electrode array; cranial nerve Facility (64553) |
$16,686 |
$33,372 |
1.6× |
| Peri-Implant Capsulectomy Breast Complete (19371) |
$5,229.50 |
$10,459 |
1.4× |
| Peritoneal Lavage (49084) |
$1,187 |
$2,374 |
1.4× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$3,772 |
$7,544 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$530.50 |
$1,061 |
1.2× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$2,621.50 |
$5,243 |
1.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,135.50 |
$2,271 |
1.3× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$1,476.50 |
$2,953 |
1.3× |
| Prostatic Rf Thermotx (53852) |
$4,520 |
$9,040 |
1.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$8,459.50 |
$16,919 |
1.4× |
| Prtl exc b1 tarsal/metar b1 xcp talus/calcaneus (28122) |
$4,470.50 |
$8,941 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$115.50 |
$231 |
0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$122 |
$244 |
0.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$878.50 |
$1,757 |
1.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,487.50 |
$4,975 |
1.3× |
| Rcnstj angular dfrm toe soft tiss px only (28313) |
$4,400 |
$8,800 |
1.4× |
| Removal Foreign Body Foot Complicated (28193) |
$126 |
$252 |
0.1× |
| Removal foreign body foot deep (28192) |
$2,026 |
$4,052 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$97.50 |
$195 |
0.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$97.50 |
$195 |
0.1× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$4,029 |
$8,058 |
1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$41 |
$82 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$97.50 |
$195 |
1.7× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$3,534.50 |
$7,069 |
1.1× |
| Removal Implant Deep (20680) |
$3,793 |
$7,586 |
1.4× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,243.50 |
$4,487 |
1.4× |
| Removal intact breast implant (19328) |
$5,075.50 |
$10,151 |
1.4× |
Removal of foreign body from pharynx (42809) range across 2 matching MRF lines |
$105–$120.50 |
$210–$241 |
varies |
| Removal of intranasal lesion (30118) |
$4,503.50 |
$9,007 |
1.4× |
| Removal of mammary implant material (19330) |
$5,166.50 |
$10,333 |
1.4× |
Removal of nail bed (11750) range across 3 matching MRF lines |
$164.50–$206 |
$329–$412 |
varies |
| Removal of tonsils (42826) |
$4,081.50 |
$8,163 |
1.3× |
| Removal of vein clot (34490) |
$4,588.50 |
$9,177 |
1.5× |
| Removal or bivalving full arm or full leg cast (29705) |
$53.50 |
$107 |
0.2× |
| Removal parotid stone (42340) |
$4,167.50 |
$8,335 |
1.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$91.50 |
$183 |
0.5× |
| Removal sweat gland lesion (11450) |
$62.50 |
$125 |
0.0× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$352.50 |
$705 |
1.3× |
| Remove drug implant device (11982) |
$106 |
$212 |
0.2× |
| Remove foreign body from eye (65205) |
$152 |
$304 |
1.2× |
| Remove Intrauterine Device (58301) |
$365 |
$730 |
1.2× |
Remove Nasal Foreign Body (30300) range across 3 matching MRF lines |
$67.50–$162.50 |
$135–$325 |
varies |
| Remove Shoulder Foreign Body (23330) |
$2,092.50 |
$4,185 |
1.3× |
| Remove Skin Nerve Lesion (64774) |
$2,851 |
$5,702 |
1.5× |
| Remove spine eltrd plate (63662) |
$4,910.50 |
$9,821 |
1.5× |
Remove thyroid lesion (60200) range across 2 matching MRF lines |
$7,530–$7,934 |
$15,060–$15,868 |
varies |
| Remove/Insert Drug Implant (11983) |
$275 |
$550 |
0.6× |
| Repair Achilles Tendon (27650) |
$8,891.50 |
$17,783 |
1.3× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$382 |
$764 |
0.1× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$438 |
$876 |
0.1× |
| Repair Collat Ankle Ligmnt,Secondary (27698) |
$9,538 |
$19,076 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$399 |
$798 |
0.6× |
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 2 matching MRF lines |
$732.20–$1,069 |
$1,046–$2,138 |
varies |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$364 |
$728 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$443 |
$886 |
1.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$332.50 |
$665 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$378.50 |
$757 |
1.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$318.50 |
$637 |
0.4× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$370.50 |
$741 |
0.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$116.50 |
$233 |
0.1× |
| Repair incomplete circumcision (54163) |
$2,637 |
$5,274 |
1.3× |
| Repair initial femoral hernia, any age; reducible (49550) |
$4,977 |
$9,954 |
1.4× |
Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) range across 2 matching MRF lines |
$156–$264 |
$312–$528 |
varies |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) range across 2 matching MRF lines |
$196–$295.50 |
$392–$591 |
varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$340 |
$680 |
0.9× |
Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) range across 2 matching MRF lines |
$266.50–$362 |
$533–$724 |
varies |
Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) range across 2 matching MRF lines |
$488–$578 |
$976–$1,156 |
varies |
Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) range across 2 matching MRF lines |
$248–$390.50 |
$496–$781 |
varies |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) range across 2 matching MRF lines |
$138–$245 |
$276–$490 |
varies |
Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) range across 2 matching MRF lines |
$177.50–$289 |
$355–$578 |
varies |
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) range across 2 matching MRF lines |
$213–$355.50 |
$426–$711 |
varies |
Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) range across 2 matching MRF lines |
$399–$520.50 |
$798–$1,041 |
varies |
Repair intermediate s/a/t/e 12.6-20.0cm (12035) range across 2 matching MRF lines |
$245–$366.50 |
$490–$733 |
varies |
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$133–$243.50 |
$266–$487 |
varies |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$151.50–$282 |
$303–$564 |
varies |
Repair intermediate s/a/t/e 20.1-30.0 cm (12036) range across 2 matching MRF lines |
$285–$410 |
$570–$820 |
varies |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$196–$312.50 |
$392–$625 |
varies |
Repair intermediate s/a/t/e >30.0 cm (12037) range across 2 matching MRF lines |
$355–$461.50 |
$710–$923 |
varies |
| Repair nasal septal perforations (30630) |
$4,466 |
$8,932 |
1.4× |
| Repair of Ruptured Tendon (24342) |
$9,278 |
$18,556 |
1.3× |
| Repair secondary achilles tendon w/wo graft (27654) |
$9,612 |
$19,224 |
1.4× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
— |
$255 |
— |
| Repair tongue laceration (41252) |
$464 |
$928 |
2.0× |
| Repair tongue laceration (41250) |
$115.50 |
$231 |
0.3× |
| Replace g/c tube perc (49450) |
$1,214.50 |
$2,429 |
1.4× |
| Reposition Venous Catheter (36597) |
$1,966 |
$3,932 |
1.3× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$4,276.50 |
$8,553 |
1.3× |
| Revise Spine Eltrd Plate (63664) |
$17,117.50 |
$34,235 |
1.6× |
| Revision Peri-Implant Capsule Breast (19370) |
$5,189.50 |
$10,379 |
1.4× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$8,588 |
$17,176 |
1.4× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$4,349 |
$8,698 |
1.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$4,191 |
$8,382 |
1.2× |
Rmvl Embedded Fb Vestibule Mouth Smpl (40804) range across 2 matching MRF lines |
$69.50–$1,136.50 |
$139–$2,273 |
varies |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$2,062.50 |
$4,125 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$472 |
$944 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$97.50 |
$195 |
0.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$97.50 |
$195 |
0.2× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$115.50 |
$231 |
0.1× |
Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) range across 2 matching MRF lines |
$97.50–$112 |
$195–$224 |
varies |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,624.50 |
$5,249 |
1.4× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) range across 2 matching MRF lines |
$1,907.50–$2,091.50 |
$3,815–$4,183 |
varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$45.50 |
$65 |
0.1× |
Rplc Gtube No Revj Trc (43762) range across 3 matching MRF lines |
$305.50–$465.50 |
$611–$665 |
varies |
| Rplc gtube revj gstrst trc (43763) |
$448 |
$896 |
1.9× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$3,880.10 |
$5,543 |
1.3× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$187 |
$374 |
0.1× |
| Rpr aa hernia 1st 3-10 cm ncrc8/strangulated (49594) |
$7,627.50 |
$15,255 |
1.3× |
| Rpr Aa Hernia 1st < 3 Cm Reducible (49591) |
$4,465.50 |
$8,931 |
1.3× |
| Rpr Aa Hernia Recr < 3 Cm Reducible (49613) |
$4,545.50 |
$9,091 |
1.3× |
| Rpr aa hrn 1st 3-10 rdc (49593) |
$8,365.50 |
$16,731 |
1.3× |
| Rpr aa hrn 1st < 3 ncr/strn (49592) |
$7,353 |
$14,706 |
1.3× |
| Rpr Disloc Peroneal Tendon W/O Fibular Osteotomy (27675) |
$4,528 |
$9,056 |
1.4× |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$165.50–$213 |
$331–$426 |
varies |
Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) range across 2 matching MRF lines |
$311–$473.50 |
$622–$947 |
varies |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$730.80 |
$1,044 |
1.4× |
Rpr Lip Full Thickness Vermilion Only (40650) range across 3 matching MRF lines |
$154–$874.50 |
$220–$1,749 |
varies |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$883.40 |
$1,262 |
0.6× |
| Scrotal exploration (55110) |
$4,529 |
$9,058 |
1.3× |
| Septoplasty/Submucous Resecj W/WO Cartilage Grf (30520) |
$4,469 |
$8,938 |
1.4× |
Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) range across 2 matching MRF lines |
$1,521–$2,213.40 |
$3,042–$3,162 |
varies |
| Shave skin lesion 0.5 cm/< (11300) |
$102 |
$204 |
0.3× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$107.50 |
$215 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$169.50 |
$339 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$97.50 |
$195 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$114 |
$228 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$129.50 |
$259 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$137 |
$274 |
0.4× |
| Shoulder arthroscopy (29820) |
$9,041 |
$18,082 |
1.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$127 |
$254 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$146 |
$292 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$123 |
$246 |
0.6× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$141.50 |
$283 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$127 |
$254 |
0.7× |
Sigmoidoscopy & Polypectomy (45333) range across 2 matching MRF lines |
$1,179.50–$1,825.60 |
$2,359–$2,608 |
varies |
| Sigmoidoscopy Flx Ablation Tumor Polyp/Oth Les (45346) |
$1,560 |
$3,120 |
1.4× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,481 |
$2,962 |
1.3× |
| Sigmoidoscopy Flx With With Band Ligation(S) (45350) |
$1,503 |
$3,006 |
1.3× |
Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) range across 2 matching MRF lines |
$193.90–$1,158 |
$277–$2,316 |
varies |
Sigmoidoscopy,Flex,W/Control,Bleeding (45334) range across 3 matching MRF lines |
$277.90–$1,518.50 |
$397–$3,037 |
varies |
Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) range across 2 matching MRF lines |
$212–$355 |
$424–$710 |
varies |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$106.50 |
$213 |
0.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$112.50 |
$225 |
0.6× |
Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) range across 2 matching MRF lines |
$157.50–$355 |
$315–$710 |
varies |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$137 |
$274 |
0.7× |
Simple Repair F/E/E/N/L/M >30.0 Cm (12018) range across 2 matching MRF lines |
$178–$465.50 |
$356–$931 |
varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$89 |
$178 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$224 |
$448 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$126 |
$252 |
0.7× |
| Sinusotomy frontal; external, simple (trephine operation) Facility (31070) |
$7,418 |
$14,836 |
1.3× |
Skin Full Grft Face/Genit/Hf (15240) range across 2 matching MRF lines |
$1,659.70–$2,928.50 |
$2,371–$5,857 |
varies |
| Skin Pinch Graft (15050) |
$918.40 |
$1,312 |
1.3× |
Skin sub graft face/nk/hf/g (15275) range across 2 matching MRF lines |
$89–$2,375.50 |
$178–$4,751 |
varies |
Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$78.50–$2,366.50 |
$157–$4,733 |
varies |
| Skin sub grft t/arm/lg child (15273) |
$4,763 |
$9,526 |
2.4× |
| Skin Tissue Procedure (17999) |
$76.30 |
$109 |
0.4× |
| Skn sub grft f/n/hf/g child (15277) |
$2,501 |
$5,002 |
1.3× |
| Slitting of prepuce (54001) |
$2,561.50 |
$5,123 |
1.3× |
| Small bowel endoscopy (44366) |
$2,496 |
$4,992 |
1.4× |
| Small Bowel Endoscopy,Ablate Lesn - Enteroscopy (44369) |
$2,601 |
$5,202 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$108 |
$216 |
0.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$169 |
$338 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$197.50 |
$395 |
0.5× |
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$163.50–$187.50 |
$327–$375 |
varies |
Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) range across 2 matching MRF lines |
$1,464.40–$4,925.50 |
$2,092–$9,851 |
varies |
Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) range across 2 matching MRF lines |
$1,501.50–$2,850 |
$2,145–$5,700 |
varies |
Strapping ankle (29540) range across 2 matching MRF lines |
$54.50–$97.50 |
$109–$195 |
varies |
| Strapping elbow or wrist (29260) |
$97.50 |
$195 |
1.7× |
| Strapping hand/finger (29280) |
$97.50 |
$195 |
1.7× |
| Strapping Hip (29520) |
$162.50 |
$325 |
1.3× |
Strapping knee (29530) range across 2 matching MRF lines |
$36–$97.50 |
$72–$195 |
varies |
| Strapping shoulder (29240) |
$49 |
$98 |
0.4× |
| Strapping toes (29550) |
$97.50 |
$195 |
1.7× |
Strapping Unna Boot (29580) range across 5 matching MRF lines |
$26–$213.50 |
$52–$427 |
varies |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$4,008 |
$8,016 |
1.3× |
| Suture of facial nerve; extracranial Facility (64864) |
$11,995.90 |
$17,137 |
1.4× |
| Tangential biopsy skin single lesion (11102) |
$93 |
$186 |
0.2× |
| Tenodesis long tendon biceps (23430) |
$9,248 |
$18,496 |
1.3× |
| Tenolysis extensor foot single tendon (28225) |
$4,297.50 |
$8,595 |
1.4× |
| Tenolysis, extensor, foot; multiple tendons Facility (28226) |
$4,435 |
$8,870 |
1.4× |
| Tenotomy shoulder area single tendon (23405) |
$9,121 |
$18,242 |
1.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$926.50 |
$1,853 |
1.4× |
| Therapeutic plasma exchange (36514) |
$1,700 |
$3,400 |
1.1× |
Therapeutic pneumothorax (32960) range across 2 matching MRF lines |
$148.50–$170.50 |
$297–$341 |
varies |
| Thyroidectomy, total or complete (60240) |
$8,562.50 |
$17,125 |
1.5× |
| Thyroidectomy, total or subtotal for malignancy; with limited neck dissection (60252) |
$8,281.50 |
$16,563 |
1.5× |
Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) range across 2 matching MRF lines |
$1,396.50–$2,804.50 |
$1,995–$5,609 |
varies |
| Tonsillectomy and adenoidectomy; age 12 or over (42821) |
$4,129.50 |
$8,259 |
1.3× |
| Total Knee Arthroplasty (27447) |
$16,934.50 |
$33,869 |
1.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$386 |
$772 |
1.7× |
Tracheostomy Emergency Procedure Transtracheal (31603) range across 2 matching MRF lines |
$348–$399 |
$696–$798 |
varies |
| Transur electr resection of prostate (52601) |
$6,872 |
$13,744 |
1.3× |
| Transurethral incision of prostate (52450) |
$4,612.50 |
$9,225 |
1.4× |
Treat Dental Ridge Fracture (21440) range across 2 matching MRF lines |
$347.50–$398.50 |
$695–$797 |
varies |
| Treat dislocation/fracture (23680) |
$17,223 |
$34,446 |
1.4× |
| Treat Humerus Fracture (24505) |
$170 |
$340 |
0.1× |
| Treat humerus fracture (23600) |
$218 |
$436 |
0.9× |
| Treat knee fracture (27532) |
$466.50 |
$933 |
0.1× |
| Treat Knuckle Dislocation (26700) |
$212.80 |
$304 |
0.9× |
Treat Metatarsal Fracture (28475) range across 2 matching MRF lines |
$396.50–$455.50 |
$793–$911 |
varies |
| Treat Thumb Dislocation (26641) |
$309.50 |
$619 |
1.3× |
Treat Thumb Fracture (26645) range across 2 matching MRF lines |
$445.50–$511 |
$891–$1,022 |
varies |
Treatment Closed Elbow Dislocation Req Anes (24605) range across 3 matching MRF lines |
$325.50–$2,248.50 |
$465–$4,497 |
varies |
Treatment closed elbow dislocation w/o anes (24600) range across 2 matching MRF lines |
$232.50–$266.50 |
$465–$533 |
varies |
| Treatment of foot infection (28003) |
$4,302.50 |
$8,605 |
1.4× |
Trim skin lesion (11055) range across 2 matching MRF lines |
$15–$136.50 |
$30–$195 |
varies |
| Trim skin lesions 2 to 4 (11056) |
$21 |
$42 |
0.1× |
| Trim skin lesions over 4 (11057) |
$27 |
$54 |
0.1× |
Trimming Nondystrophic Nails Any Number (11719) range across 2 matching MRF lines |
$37–$97.50 |
$74–$195 |
varies |
Ttrach Intro Ndl Wire Dil/Stent/Tube O2 Ther (31730) range across 2 matching MRF lines |
$201–$230.50 |
$402–$461 |
varies |
| Tx anal fstl trans/supra/xtrasphnctrc incl seton (46280) |
$3,883 |
$7,766 |
1.5× |
Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$29.50–$92 |
$59–$184 |
varies |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,145.50 |
$4,291 |
1.4× |
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$177.50–$281.50 |
$355–$563 |
varies |
Tx superficial wound dehiscence w/packing (12021) range across 2 matching MRF lines |
$135.50–$168 |
$271–$336 |
varies |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$465 |
$930 |
2.0× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$2,096 |
$4,192 |
1.4× |
| Tympanostomy general anesthesia (69436) |
$1,969 |
$3,938 |
1.3× |
| Unlisted laparoscopic procedure liver (47379) |
$7,293 |
$14,586 |
1.3× |
| Unlisted Procedure Casting/Strapping (29799) |
$10.50 |
$21 |
0.1× |
| Unlisted Procedure Esophagus (43499) |
$1,079.50 |
$2,159 |
1.2× |
| Unlisted procedure femur or knee (27599) |
$281 |
$562 |
1.2× |
| Unlisted Procedure Hands/Fingers (26989) |
$175.50 |
$351 |
0.7× |
| Unlisted Procedure Male Genital System (55899) |
$304 |
$608 |
1.3× |
| Unlisted Procedure Muscskeletal System General (20999) |
$259 |
$518 |
1.1× |
Unlisted procedure nervous system (64999) range across 4 matching MRF lines |
$57–$353 |
$114–$706 |
varies |
| Unlisted Procedure Rectum (45999) |
$91 |
$182 |
0.1× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$63 |
$126 |
0.3× |
| Unlisted Procedure Vascular Surgery (37799) |
$48.50 |
$97 |
0.1× |
| Uvulectomy excision of uvula (42140) |
$3,988 |
$7,976 |
1.3× |
Vaginal delivery only (59409) range across 3 matching MRF lines |
$1,406.30–$4,740 |
$2,009–$9,480 |
varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$7,048 |
$14,096 |
1.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$2,646.50 |
$5,293 |
1.3× |
| Ventilating tube removal requiring general anesthesia (69424) |
$4,287.50 |
$8,575 |
1.3× |
| Wedge excision skin nail fold (11765) |
$97.50 |
$195 |
0.3× |
Wound Prep F/N/Hf/G (15004) range across 2 matching MRF lines |
$248–$1,013 |
$496–$2,026 |
varies |
Wound Prep Trk/Arm/Leg (15002) range across 2 matching MRF lines |
$205.50–$2,386.50 |
$411–$4,773 |
varies |
| Xtroral I&D Absc Cst/Hmtma Floor Mouth Subment (41016) |
$7,298.50 |
$14,597 |
1.3× |