Abd paracentesis w/imaging (49083) range across 2 matching MRF lines |
$176.40–$671.60 |
$352.80–$1,343.20 |
varies |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$385.35 |
$770.70 |
1.4× |
| Application finger splint static (29130) |
$94.50 |
$189 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$94.50 |
$189 |
0.7× |
| Application Long Leg Splint (29505) |
$94.50 |
$189 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$100.80 |
$201.60 |
0.9× |
| Application short leg splint calf foot (29515) |
$94.50 |
$189 |
0.7× |
| Apply Multlay Comprs Lwr Leg (29581) |
$201.60 |
$403.20 |
1.4× |
| Arterial puncture (36600) |
$78.75 |
$157.50 |
0.7× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 2 matching MRF lines |
$578.03–$867.04 |
$1,156.05–$1,734.08 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$665.70 |
$1,331.40 |
1.1× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$385.35–$578.03 |
$770.70–$1,156.05 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$385.35 |
$770.70 |
1.4× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$577.50–$866.25 |
$1,155–$1,732.50 |
varies |
Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$396.90–$515.50 |
$793.80–$1,031 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$396.90 |
$793.80 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$242.55 |
$485.10 |
1.4× |
| Bladder Scan (51798) |
$84.53 |
$169.05 |
1.6× |
| Blepharotomy drainage abscess eyelid (67700) |
$327.60 |
$655.20 |
1.2× |
| Blood Transfusion Service (36430) |
$283.50 |
$567 |
0.7× |
| Catheter aspiration nasotracheal spx (31720) |
$202.13 |
$404.25 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$157.50 |
$315 |
0.7× |
| Chest tube placement (32551) |
$393.75 |
$787.50 |
0.3× |
| Cl Tx Scapular Fx; W Manip (23575) |
$269.85 |
$539.70 |
0.2× |
| Clear outer ear canal (69200) |
$56.70 |
$113.40 |
0.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$129.15 |
$258.30 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$447.30 |
$894.60 |
0.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$286.65 |
$573.30 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,291.50 |
$2,583 |
6.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$141.75 |
$283.50 |
0.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,151.33 |
$2,302.65 |
0.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$521.85 |
$1,043.70 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$81.90 |
$163.80 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$226.80 |
$453.60 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$274.58 |
$549.15 |
1.3× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$356.48 |
$712.95 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$141.75 |
$283.50 |
0.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,291.50 |
$2,583 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$141.75 |
$283.50 |
0.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$129.15 |
$258.30 |
0.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$141.75 |
$283.50 |
0.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$129.15 |
$258.30 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$129.15 |
$258.30 |
0.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$478.80 |
$957.60 |
0.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$173.78 |
$347.55 |
0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$129.15 |
$258.30 |
0.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$129.15 |
$258.30 |
0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,446.38 |
$2,892.75 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$141.75 |
$283.50 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$141.75 |
$283.50 |
0.7× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,291.50 |
$2,583 |
5.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$129.15 |
$258.30 |
0.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,857 |
$3,714 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$129.15 |
$258.30 |
0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$129.15 |
$258.30 |
0.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$141.75 |
$283.50 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$129.15 |
$258.30 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$273 |
$546 |
1.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,262.63 |
$2,525.25 |
0.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,439.55 |
$2,879.10 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$141.75 |
$283.50 |
0.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,063.13 |
$2,126.25 |
0.8× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,244.78 |
$2,489.55 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$492.45 |
$984.90 |
0.3× |
| Collection of venous blood by venipuncture (36415) |
$20 |
$40 |
2.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$81.90 |
$163.80 |
0.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$81.90 |
$163.80 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$81.90 |
$163.80 |
0.7× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$882 |
$1,764 |
1.1× |
Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$1,894.20–$2,840.78 |
$3,788.40–$5,681.55 |
varies |
Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$1,894.20–$2,840.78 |
$3,788.40–$5,681.55 |
varies |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$882 |
$1,764 |
1.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,536.68 |
$3,073.35 |
0.9× |
| Drain Cerebro Spinal Fluid (62272) |
$785.93 |
$1,571.85 |
1.3× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$410.55 |
$821.10 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$103.95 |
$207.90 |
0.2× |
| Drainage Finger Abscess Complicated (26011) |
$945 |
$1,890 |
0.7× |
| Drainage of finger abscess simple (26010) |
$103.95 |
$207.90 |
0.6× |
| Drainage of gum lesion (41800) |
$103.95 |
$207.90 |
0.9× |
| Drainage of hematoma/fluid (10140) |
$945 |
$1,890 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$934.50 |
$1,869 |
0.6× |
| Drainage of scrotum (54700) |
$183.75 |
$367.50 |
0.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$166.95 |
$333.90 |
0.3× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 2 matching MRF lines |
$882–$1,323 |
$1,764–$2,646 |
varies |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$385.35 |
$770.70 |
1.4× |
Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) range across 2 matching MRF lines |
$53.50–$343.88 |
$107–$687.75 |
varies |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$343.88 |
$687.75 |
1.3× |
| Epidural Blood Patch (62273) |
$712.95 |
$1,425.90 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$37.80 |
$75.60 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$695.10 |
$1,390.20 |
1.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$840 |
$1,680 |
0.6× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$1,697.85 |
$3,395.70 |
0.6× |
| Exc Lesion/Tumor Dentoalveolar Strux W/O Rpr (41825) |
$1,712.03 |
$3,424.05 |
0.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,003.50 |
$2,007 |
1.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$2,497.43 |
$4,994.85 |
1.0× |
| Exploration penetrating wound spx extremity (20103) |
$945 |
$1,890 |
0.7× |
| Eye Surg Ant Sgmt Proc Unlisted (66999) |
$336 |
$672 |
0.2× |
| Fine needle aspiration without imaging guidance (10021) |
$126 |
$252 |
0.4× |
| I&d abscess simple (10060) |
$103.95 |
$207.90 |
0.6× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,560.43 |
$5,120.85 |
0.9× |
| I&d perianal abscess superficial (46050) |
$662.55 |
$1,325.10 |
0.8× |
| I&d pilonidal cyst complicated (10081) |
$945 |
$1,890 |
1.5× |
| I&d pilonidal cyst simple (10080) |
$103.95 |
$207.90 |
0.2× |
| Implant neuroelectrodes (63650) |
$7,121.10 |
$14,242.20 |
1.3× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$14,465.33 |
$28,930.65 |
0.9× |
| Implant Spine Infusion Pump (62362) |
$12,947.03 |
$25,894.05 |
0.8× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$4,858.88 |
$9,717.75 |
0.6× |
| Incise external hemorrhoid (46083) |
$157.50 |
$315 |
0.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$355.43 |
$710.85 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$103.95 |
$207.90 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$129.15 |
$258.30 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$402.15 |
$804.30 |
1.5× |
| Incision of rectal abscess (46040) |
$1,644.30 |
$3,288.60 |
1.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,058.40 |
$2,116.80 |
0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$882 |
$1,764 |
1.1× |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$882–$1,323.53 |
$1,764–$2,647.05 |
varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$367 |
$734 |
1.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$698.25 |
$1,396.50 |
1.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$882 |
$1,764 |
1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$698.25 |
$1,396.50 |
1.1× |
Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$385.35–$578.03 |
$770.70–$1,156.05 |
varies |
| Injection Anes Superior Hypogastric Plexus (64517) |
$882 |
$1,764 |
1.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$712.95 |
$1,425.90 |
1.2× |
| Injection enzyme palmar fascial cord (20527) |
$94.50 |
$189 |
0.4× |
| Injection single tendon origin/insertion (20551) |
$363.83 |
$727.65 |
1.4× |
Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$57–$385.35 |
$114–$770.70 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$385.35 |
$770.70 |
1.4× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$77.50–$724.50 |
$155–$1,449 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,069.43–$1,604.14 |
$2,138.85–$3,208.28 |
varies |
| Insert Bladder Cath Complex (51703) |
$155.93 |
$311.85 |
1.4× |
| Insert cath pleura w/o image (32556) |
$1,412 |
$2,824 |
0.8× |
| Insert non-tunnel cv cath (36556) |
$882 |
$1,764 |
0.3× |
| Insert Temp Bladder Cath (51702) |
$47.25 |
$94.50 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$47.25 |
$94.50 |
0.4× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$24,600.98 |
$49,201.95 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$258.30 |
$516.60 |
1.2× |
| Lip Surgery Procedure (40799) |
$91.88 |
$183.75 |
0.4× |
| N Block Inj Celiac Pelus (64530) |
$882 |
$1,764 |
1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$724.50 |
$1,449 |
1.2× |
| N block inj intercost sng (64420) |
$712.95 |
$1,425.90 |
1.2× |
| N Block Inj Pudendal (64430) |
$78 |
$156 |
0.1× |
N Block Lumbar/Thoracic (64520) range across 2 matching MRF lines |
$882–$1,323.53 |
$1,764–$2,647.05 |
varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$521 |
$1,042 |
1.3× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$578.03–$867.04 |
$1,156.05–$1,734.08 |
varies |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$705.60–$1,323.53 |
$1,411.20–$2,647.05 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$882 |
$1,764 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$712.95 |
$1,425.90 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$882 |
$1,764 |
1.1× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$712.95 |
$1,425.90 |
1.2× |
Occipital Nerve Block (64405) range across 2 matching MRF lines |
$385.35–$578.03 |
$770.70–$1,156.05 |
varies |
| Open Implantation Nea Peripheral Nerve (64575) |
$14,465.33 |
$28,930.65 |
1.5× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$1,987.65 |
$3,975.30 |
0.7× |
| Open tx interphalangeal joint dislocation (26785) |
$2,179.80 |
$4,359.60 |
0.8× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$6,593.48 |
$13,186.95 |
1.0× |
| Perq Vertebral Augmentation (22513) |
$6,593.48 |
$13,186.95 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$142.28 |
$284.55 |
0.4× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$6,358.28 |
$12,716.55 |
1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$103.95 |
$207.90 |
0.3× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,536.68 |
$3,073.35 |
0.9× |
| Reduction of rectal prolapse (45900) |
$456.75 |
$913.50 |
0.6× |
| Removal Embedded Foreign Body Eyelid (67938) |
$174.50 |
$349 |
0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$598.50 |
$1,197 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$86.10 |
$172.20 |
1.7× |
| Removal of nail bed (11750) |
$362.25 |
$724.50 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$93.45 |
$186.90 |
0.5× |
| Remove foreign body from eye (65205) |
$84 |
$168 |
0.7× |
| Remove Nasal Foreign Body (30300) |
$50.40 |
$100.80 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$472.50 |
$945 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$313.43 |
$626.85 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$535.50 |
$1,071 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$283.50 |
$567 |
0.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$374.85 |
$749.70 |
0.6× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,386 |
$2,772 |
1.0× |
| Repair incomplete circumcision (54163) |
$1,601.25 |
$3,202.50 |
0.9× |
| Repair inguinal hernia, sliding, any age (49525) |
$2,331 |
$4,662 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$262.50 |
$525 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$315 |
$630 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$367.50 |
$735 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$420 |
$840 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$420 |
$840 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$262.50 |
$525 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$315 |
$630 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$367.50 |
$735 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$420 |
$840 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$262.50 |
$525 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$315 |
$630 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$472.50 |
$945 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$367.50 |
$735 |
1.0× |
| Repair of nail bed (11760) |
$116.55 |
$233.10 |
0.2× |
| Repair of nonunion or malunion, radius OR ulna; without graft (eg, compression technique) Facility (25400) |
$6,081 |
$12,162 |
1.0× |
| Repair tongue laceration (41252) |
$843.15 |
$1,686.30 |
4.1× |
| Repair tongue laceration (41250) |
$81.90 |
$163.80 |
0.2× |
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) likely a partial charge, not the full procedure |
$568 |
$1,136 |
0.1× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$3,386.25 |
$6,772.50 |
1.1× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$3,023.48 |
$6,046.95 |
1.0× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,257.38 |
$2,514.75 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$84 |
$168 |
0.2× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$1,894.20 |
$3,788.40 |
1.1× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,894.20 |
$3,788.40 |
1.1× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$5,442.15 |
$10,884.30 |
1.8× |
| Rplc Gtube No Revj Trc (43762) |
$343 |
$686 |
1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$94.50 |
$189 |
0.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$627.38 |
$1,254.75 |
1.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$551.25 |
$1,102.50 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$94.50 |
$189 |
0.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$94.50 |
$189 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$94.50 |
$189 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$94.50 |
$189 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$94.50 |
$189 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$94.50 |
$189 |
0.5× |
| Skin Tissue Procedure (17999) |
$37.80 |
$75.60 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$94.50 |
$189 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$94.50 |
$189 |
0.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$185.33 |
$370.65 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$296.10 |
$592.20 |
0.5× |
| Strapping ankle (29540) |
$94.50 |
$189 |
0.7× |
| Strapping elbow or wrist (29260) |
$100.80 |
$201.60 |
1.9× |
| Strapping hand/finger (29280) |
$100.80 |
$201.60 |
1.9× |
| Strapping knee (29530) |
$94.50 |
$189 |
0.8× |
| Strapping shoulder (29240) |
$47.25 |
$94.50 |
0.4× |
| Strapping toes (29550) |
$88.20 |
$176.40 |
1.7× |
| Strapping Unna Boot (29580) |
$47.25 |
$94.50 |
0.3× |
| Thrombolytic Therapy Stroke (37195) |
$327.50 |
$655 |
1.1× |
| Treat Humerus Fracture (24505) |
$1,084 |
$2,168 |
0.8× |
| Treat humerus fracture (23600) |
$271.43 |
$542.85 |
1.3× |
| Treat Knuckle Dislocation (26700) |
$129.15 |
$258.30 |
0.6× |
| Treat Thumb Dislocation (26641) |
$169.05 |
$338.10 |
0.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,291.50 |
$2,583 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$141.75 |
$283.50 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$378 |
$756 |
0.6× |
| Unlisted procedure anus (46999) |
$635.25 |
$1,270.50 |
0.8× |
| Unlisted Procedure Leg/Ankle (27899) |
$158.55 |
$317.10 |
0.7× |
Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$385.35–$431.55 |
$770.70–$863.10 |
varies |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$296.50 |
$593 |
1.4× |
| Wedge excision skin nail fold (11765) |
$66.15 |
$132.30 |
0.2× |