| Abd paracentesis w/imaging (49083) |
$1,422.40 |
$1,778 |
1.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,196 |
$1,495 |
1.4× |
| Anoscopy diagnostic (46600) |
$95.20 |
$119 |
0.7× |
Application cast elbow finger short arm (29075)
range across 2 matching MRF lines |
$331.20–$348 |
$414–$435 |
varies |
| Application finger splint static (29130) |
$103.20 |
$129 |
0.8× |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$147.20–$176.80 |
$184–$221 |
varies |
| Application Long Leg Splint (29505) |
$182.40 |
$228 |
1.2× |
| Application of long leg cast (29345) |
$331.20 |
$414 |
1.2× |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$147.20–$176.80 |
$184–$221 |
varies |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
$147.20–$182.40 |
$184–$228 |
varies |
| Apply long arm cast (29065) |
$331.20 |
$414 |
1.2× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$211.20–$308.80 |
$264–$386 |
varies |
| Apply Short Leg Cast (29405) |
$331.20 |
$414 |
1.2× |
| Apply short leg cast (29425) |
$399.20 |
$499 |
1.5× |
Arterial puncture (36600)
range across 2 matching MRF lines |
$32–$48 |
$40–$60 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$366.40 |
$458 |
1.2× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$342.40–$397.60 |
$428–$497 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$337.60 |
$422 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$975.20 |
$1,219 |
1.6× |
| Aspirate Pleura W/O Imaging (32554) |
$772 |
$965 |
1.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$337.60 |
$422 |
1.1× |
| Aspiration and/or injection thyroid cyst (60300) |
$154.40 |
$193 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$136 |
$170 |
0.7× |
| Biopsy Abdominal Mass (49180) |
$436.80 |
$546 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$324 |
$405 |
0.2× |
| Biopsy muscle percutaneous needle (20206) |
$197.60 |
$247 |
0.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$436.80 |
$546 |
0.3× |
| Biopsy Pleura Percutaneous Needle (32400) |
$440.80 |
$551 |
0.3× |
| Biopsy soft tissue neck/thorax (21550) |
$385.60 |
$482 |
0.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$205.60 |
$257 |
0.1× |
| Bladder instillation anticarcinogenic agent (51720) |
$416 |
$520 |
0.6× |
| Bladder Irrigation (51700) |
$379.20 |
$474 |
1.6× |
| Bladder Scan (51798) |
$94.40 |
$118 |
1.7× |
| Blood Transfusion Service (36430) |
$1,623.20 |
$2,029 |
3.8× |
| Bx breast 1st lesion strtctc (19081) |
$3,250.40 |
$4,063 |
2.0× |
| Bx breast 1st lesion us imag (19083) |
$1,929.60 |
$2,412 |
1.2× |
| Change Cystostomy Tube Simple (51705) |
$388 |
$485 |
1.6× |
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines |
$136.80–$207.20 |
$171–$259 |
varies |
| Chest tube placement (32551) |
$763.20 |
$954 |
0.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,853.60 |
$2,317 |
0.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,528.80 |
$1,911 |
1.0× |
| Clear outer ear canal (69200) |
$95.20 |
$119 |
0.7× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$379.20 |
$474 |
1.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,899.20 |
$2,374 |
8.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$248 |
$310 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$146.40 |
$183 |
0.6× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$423.20 |
$529 |
1.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,899.20 |
$2,374 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$257.60 |
$322 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,792 |
$2,240 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$322.40 |
$403 |
1.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$248 |
$310 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$730.40 |
$913 |
0.5× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$376.80 |
$471 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$248 |
$310 |
1.0× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,192.80 |
$2,741 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$248 |
$310 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$164.80 |
$206 |
0.7× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$7.20–$8 |
$9–$10 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$182.40 |
$228 |
1.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$148 |
$185 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$196.80 |
$246 |
1.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$182.40 |
$228 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$391.20 |
$489 |
0.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,078.40 |
$1,348 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$391.20 |
$489 |
1.0× |
| Declot vascular device (36593) |
$509.60 |
$637 |
1.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$972.80 |
$1,216 |
1.4× |
| Drainage of finger abscess simple (26010) |
$271.20 |
$339 |
1.4× |
| Drainage of gum lesion (41800) |
$232.80 |
$291 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$1,327.20 |
$1,659 |
0.8× |
| Drainage of scrotal wall abscess (55100) |
$484.80 |
$606 |
0.3× |
| Drainage of scrotum (54700) |
$3,102.40 |
$3,878 |
1.5× |
| Draw Blood Off Venous Device (36591) |
$136.80 |
$171 |
1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$232.80 |
$291 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$199.20 |
$249 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$199.20 |
$249 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199.20 |
$249 |
1.0× |
| Epidural Blood Patch (62273) |
$1,240 |
$1,550 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$136 |
$170 |
1.1× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$617.60 |
$772 |
0.9× |
| Excision of lacrimal gland (dacryoadenectomy), except for tumor; partial Facility (68505) |
$440.80 |
$551 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$1,327.20 |
$1,659 |
0.8× |
| External cephalic version (59412) |
$1,811.20 |
$2,264 |
0.6× |
| Fetal Contraction Stress Test (59020) |
$673.60 |
$842 |
3.5× |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
$63.20–$593.60 |
$79–$742 |
varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,765.60 |
$2,207 |
2.6× |
| Fna bx w/us gdn 1st les (10005) |
$930.40 |
$1,163 |
1.4× |
| I&d abscess simple (10060) |
$291.20 |
$364 |
1.5× |
| I&d perianal abscess superficial (46050) |
$3,344.80 |
$4,181 |
3.7× |
| I&d pilonidal cyst simple (10080) |
$232.80 |
$291 |
0.3× |
| Incise external hemorrhoid (46083) |
$283.20 |
$354 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$232.80 |
$291 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$387.20 |
$484 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$220 |
$275 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$220 |
$275 |
0.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$2,178.40 |
$2,723 |
1.5× |
| Incision of rectal abscess (46040) |
$2,338.40 |
$2,923 |
2.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$136 |
$170 |
0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,277.60 |
$1,597 |
1.5× |
| Inj W/Fluor Eval Cv Device (36598) |
$296.80 |
$371 |
1.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$352 |
$440 |
1.2× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,282.40 |
$1,603 |
1.5× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$997.60 |
$1,247 |
1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$997.60 |
$1,247 |
1.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$997.60 |
$1,247 |
1.5× |
| Injection for identification of sentinel node (38792) |
$186.40 |
$233 |
0.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$342.40 |
$428 |
1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,282.40 |
$1,603 |
1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$997.60 |
$1,247 |
1.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$997.60 |
$1,247 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$154.40 |
$193 |
1.2× |
| Insert cath pleura w/ image (32557) |
$331.20 |
$414 |
0.2× |
| Insert cath pleura w/o image (32556) |
$1,058.40 |
$1,323 |
0.6× |
| Insert cervical dilator (59200) |
$438.40 |
$548 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$2,560 |
$3,200 |
0.8× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,293.60 |
$2,867 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$132 |
$165 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$95.20 |
$119 |
0.7× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,208.80 |
$2,761 |
1.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,800 |
$3,500 |
0.9× |
| Insj Picc Rs&I <5 Yr (36572) |
$934.40 |
$1,168 |
1.5× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$4,245.60 |
$5,307 |
1.4× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$4,556 |
$5,695 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,037.60 |
$2,547 |
1.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,812 |
$8,515 |
0.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$463.20 |
$579 |
1.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$463.20 |
$579 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$960 |
$1,200 |
4.2× |
| Laryngoscopy diagnostic (31505) |
$144 |
$180 |
0.8× |
| Myelography Lumbar Injection (62305) |
$856.80 |
$1,071 |
1.1× |
| Myelography Lumbar Injection (62304) |
$696.80 |
$871 |
0.9× |
| Myelography via lumbar injection rs&i cervical (62302) |
$696.80 |
$871 |
0.9× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$696.80 |
$871 |
0.9× |
| N block inj intercost sng (64420) |
$997.60 |
$1,247 |
1.5× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$148.80 |
$186 |
0.3× |
| Needle Biopsy Lymph Nodes (38505) |
$304.80 |
$381 |
0.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$496 |
$620 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,250.40 |
$1,563 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,016 |
$2,520 |
3.0× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,240 |
$1,550 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,016 |
$2,520 |
3.0× |
| Perq Cervicothoracic Inject (22510) |
$486.40 |
$608 |
0.2× |
| Perq dev breast 1st strtctc (19283) |
$1,728 |
$2,160 |
2.5× |
| Perq dev breast 1st us imag (19285) |
$1,929.60 |
$2,412 |
2.8× |
| Perq device breast 1st imag (19281) |
$1,220 |
$1,525 |
0.8× |
| Perq Lumbosacral Injection (22511) |
$486.40 |
$608 |
0.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$790.40 |
$988 |
1.2× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514)
likely a partial charge, not the full procedure |
$486.40 |
$608 |
0.1× |
Perq Vertebral Augmentation (22513)
likely a partial charge, not the full procedure |
$486.40 |
$608 |
0.1× |
| Place Duod/Jej Tube Perc (49441) |
$280.80 |
$351 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$264.80 |
$331 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$540 |
$675 |
1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$232.80 |
$291 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$154.40 |
$193 |
0.2× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$997.60 |
$1,247 |
1.5× |
| Removal Embedded Foreign Body Eyelid (67938) |
$436.80 |
$546 |
1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,069.60 |
$1,337 |
1.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$617.60 |
$772 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$98.40 |
$123 |
1.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$113.60 |
$142 |
2.0× |
| Removal of foreign body from pharynx (42809) |
$132 |
$165 |
0.3× |
| Removal of nail bed (11750) |
$558.40 |
$698 |
1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$136 |
$170 |
0.7× |
| Remove foreign body from eye (65205) |
$139.20 |
$174 |
1.1× |
| Remove Intrauterine Device (58301) |
$220 |
$275 |
0.8× |
| Remove Nasal Foreign Body (30300) |
$94.40 |
$118 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$524 |
$655 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$836 |
$1,045 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$346.40 |
$433 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$721.60 |
$902 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$463.20 |
$579 |
1.2× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,169.60 |
$2,712 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$463.20 |
$579 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$463.20 |
$579 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$463.20 |
$579 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$182.40 |
$228 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$463.20 |
$579 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$182.40 |
$228 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$463.20 |
$579 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$463.20 |
$579 |
0.7× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$182.40 |
$228 |
0.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$182.40 |
$228 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$182.40 |
$228 |
0.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$182.40 |
$228 |
0.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$182.40 |
$228 |
0.5× |
| Repair of nail bed (11760) |
$168.80 |
$211 |
0.2× |
| Repair tongue laceration (41250) |
$146.40 |
$183 |
0.3× |
| Replace G-J Tube Perc (49452) |
$280.80 |
$351 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$139.20 |
$174 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$139.20 |
$174 |
1.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$139.20 |
$174 |
0.3× |
| Rplc Gtube No Revj Trc (43762) |
$385.60 |
$482 |
1.6× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,438.40 |
$1,798 |
1.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,868 |
$2,335 |
1.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$168.80 |
$211 |
0.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$463.20 |
$579 |
0.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$168.80 |
$211 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$168.80 |
$211 |
0.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$168.80 |
$211 |
0.9× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$168.80 |
$211 |
0.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$168.80 |
$211 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$168.80 |
$211 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$168.80 |
$211 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$168.80 |
$211 |
0.9× |
| Skin sub graft face/nk/hf/g (15275) |
$2,756 |
$3,445 |
3.9× |
| Skin sub graft trnk/arm/leg (15271) |
$420.80 |
$526 |
0.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$168.80 |
$211 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$168.80 |
$211 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$168.80 |
$211 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$657.60 |
$822 |
1.0× |
| Strapping ankle (29540) |
$103.20 |
$129 |
0.7× |
| Strapping shoulder (29240) |
$103.20 |
$129 |
0.8× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$211.20–$308.80 |
$264–$386 |
varies |
| Subcutaneous Hormone Pellet Implantation (11980) |
$184 |
$230 |
0.4× |
| Thyroid biopsy (60100) |
$304.80 |
$381 |
0.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$257.60 |
$322 |
1.1× |
| Trim skin lesion (11055) |
$207.20 |
$259 |
1.1× |
| Trim skin lesions 2 to 4 (11056) |
$207.20 |
$259 |
1.1× |
| Trim skin lesions over 4 (11057) |
$396 |
$495 |
2.1× |
| Tx Gastro Intub W/Asp (43753) |
$156 |
$195 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$182.40 |
$228 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$182.40 |
$228 |
0.5× |
| Unlisted procedure nervous system (64999) |
$902.40 |
$1,128 |
3.1× |
| Windowing of cast (29730) |
$177.60 |
$222 |
1.1× |