| Abd paracentesis w/imaging (49083) |
$1,979.10 |
$2,199 |
2.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$387.90 |
$431 |
0.4× |
| Anoscopy diagnostic (46600) |
$320.40 |
$356 |
2.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$523.80 |
$582 |
0.6× |
| Application cast elbow finger short arm (29075) |
$255.60 |
$284 |
1.0× |
| Application finger splint static (29130) |
$216 |
$240 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$245.70 |
$273 |
1.6× |
| Application Long Leg Splint (29505) |
$218.70 |
$243 |
1.4× |
| Application of long leg cast (29345) |
$366.30 |
$407 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$207.90 |
$231 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$208.80 |
$232 |
1.6× |
| Application short leg splint calf foot (29515) |
$227.70 |
$253 |
1.5× |
| Apply long arm cast (29065) |
$278.10 |
$309 |
1.0× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$227.70–$454.50 |
$253–$505 |
varies |
| Apply Short Leg Cast (29405) |
$315.90 |
$351 |
1.2× |
| Arterial puncture (36600) |
$130.50 |
$145 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$218.70 |
$243 |
0.7× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$273.60 |
$304 |
0.4× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$309.60–$495.90 |
$344–$551 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$227.70 |
$253 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$190.80 |
$212 |
0.6× |
| Aspirate pleura w/ imaging (32555) |
$913.50 |
$1,015 |
1.5× |
| Aspirate Pleura W/O Imaging (32554) |
$534.60 |
$594 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$236.70 |
$263 |
1.2× |
| Biopsy Abdominal Mass (49180) |
$488.70 |
$543 |
0.3× |
| Biopsy bone trocar/needle deep (20225) |
$867.60 |
$964 |
0.5× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$573.30 |
$637 |
0.4× |
| Biopsy muscle percutaneous needle (20206) |
$216 |
$240 |
0.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$561.60 |
$624 |
0.4× |
| Biopsy Pleura Percutaneous Needle (32400) |
$413.10 |
$459 |
0.3× |
| Bladder instillation anticarcinogenic agent (51720) |
$607.50 |
$675 |
0.9× |
| Bladder Irrigation (51700) |
$403.20 |
$448 |
1.7× |
| Bladder Scan (51798) |
$75.60 |
$84 |
1.3× |
| Blood Transfusion Service (36430) |
$783 |
$870 |
1.8× |
| Bone Marrow Biopsy (38221) |
$505.80 |
$562 |
0.3× |
| Bx breast 1st lesion us imag (19083) |
$2,141.10 |
$2,379 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$264.60 |
$294 |
1.1× |
| Chemical Cautery Tissue (17250) |
$208.80 |
$232 |
1.1× |
| Chemodenerv Musc Migraine (64615) |
$551.70 |
$613 |
1.9× |
| Chemodenerv musc neck dyston (64616) |
$376.20 |
$418 |
1.3× |
| Chest tube placement (32551) |
$682.20 |
$758 |
0.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,857.60 |
$2,064 |
1.2× |
| Clear outer ear canal (69200) |
$146.70 |
$163 |
1.1× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,186.20 |
$1,318 |
5.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$553.50 |
$615 |
2.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$675.90 |
$751 |
2.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$706.50 |
$785 |
0.5× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,294.20 |
$1,438 |
5.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$547.20 |
$608 |
2.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$839.70 |
$933 |
0.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,536.20 |
$2,818 |
10.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$853.20 |
$948 |
3.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,622.70 |
$1,803 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$342.90 |
$381 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$637.20 |
$708 |
2.7× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$238.50 |
$265 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,585.80 |
$1,762 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$730.80 |
$812 |
3.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$438.30 |
$487 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$837 |
$930 |
3.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$580.50 |
$645 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$270 |
$300 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$919.80 |
$1,022 |
3.9× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,571.40 |
$1,746 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$531 |
$590 |
2.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,019.50 |
$3,355 |
2.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$530.10 |
$589 |
2.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$341.10 |
$379 |
1.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$647.10 |
$719 |
2.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,076.40 |
$1,196 |
4.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,076.40 |
$1,196 |
4.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,980 |
$2,200 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$603.90 |
$671 |
2.5× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,671.10 |
$4,079 |
2.4× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$616.50 |
$685 |
2.6× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$361.80 |
$402 |
1.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,817.10 |
$2,019 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$101.70 |
$113 |
0.8× |
| Collection of venous blood by venipuncture (36415) |
$22.50 |
$25 |
2.4× |
| Colonoscopy W/Band Ligation (45398) |
$1,525.50 |
$1,695 |
1.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$252 |
$280 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$199.80 |
$222 |
1.6× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$326.70 |
$363 |
2.6× |
| Debride nail 1-5 (11720) |
$58.50 |
$65 |
1.0× |
| Debride nail 6 or more (11721) |
$90 |
$100 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$338.40 |
$376 |
0.9× |
| Declot vascular device (36593) |
$766.80 |
$852 |
2.4× |
| Destroy cerv/thor facet jnt (64633) |
$3,926.70 |
$4,363 |
2.1× |
| Destroy lumb/sac facet jnt (64635) |
$3,732.30 |
$4,147 |
2.0× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$873 |
$970 |
0.5× |
| Drain Cerebro Spinal Fluid (62272) |
$678.60 |
$754 |
1.0× |
| Drain/inj small joint/bursa w/us (20604) |
$218.70 |
$243 |
0.7× |
| Drainage of gum lesion (41800) |
$579.60 |
$644 |
4.5× |
| Drainage of hematoma/fluid (10140) |
$394.20 |
$438 |
0.2× |
| Draw Blood Off Venous Device (36591) |
$76.50 |
$85 |
0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$370.80 |
$412 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$333 |
$370 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$280.80 |
$312 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$199.80 |
$222 |
1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,590.30 |
$1,767 |
1.9× |
| Epidural Blood Patch (62273) |
$694.80 |
$772 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$148.50 |
$165 |
1.2× |
| Excision Lingual Frenum Frenectomy (41115) |
$561.60 |
$624 |
0.4× |
| External cephalic version (59412) |
$357.30 |
$397 |
0.1× |
Fetal non-stress test (59025)
range across 2 matching MRF lines |
$380.70–$760.50 |
$423–$845 |
varies |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$904.50 |
$1,005 |
1.3× |
| Fluoro exam of g/colon tube (49465) |
$310.50 |
$345 |
1.4× |
| Fna bx w/us gdn 1st les (10005) |
$484.20 |
$538 |
0.7× |
| I&d abscess simple (10060) |
$206.10 |
$229 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$496.80 |
$552 |
0.7× |
| Incise external hemorrhoid (46083) |
$404.10 |
$449 |
1.7× |
| Incision & drainage abscess complicated/multiple (10061) |
$381.60 |
$424 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,562.40 |
$1,736 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$737.10 |
$819 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$394.20 |
$438 |
1.0× |
| Incision and drainage of bartholin's gland abscess (56420) |
$370.80 |
$412 |
1.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$534.60 |
$594 |
1.8× |
| Incision of lingual frenum (frenotomy) (41010) |
$486.90 |
$541 |
0.3× |
| Incision of rectal abscess (46040) |
$991.80 |
$1,102 |
0.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,922.40 |
$2,136 |
2.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$199.80 |
$222 |
0.7× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$480.60 |
$534 |
0.7× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$607.50 |
$675 |
0.7× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$954 |
$1,060 |
1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$579.60 |
$644 |
0.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$338.40 |
$376 |
1.1× |
| Injection for identification of sentinel node (38792) |
$1,011.60 |
$1,124 |
2.6× |
| Injection single tendon origin/insertion (20551) |
$43.20 |
$48 |
0.1× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$199.80–$392.40 |
$222–$436 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$264.60 |
$294 |
0.9× |
| Injection therapeutic carpal tunnel (20526) |
$199.80 |
$222 |
0.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$654.30 |
$727 |
1.0× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$464.40 |
$516 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$148.50 |
$165 |
0.8× |
| Insert cervical dilator (59200) |
$158.40 |
$176 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$1,465.20 |
$1,628 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$236.70 |
$263 |
1.9× |
| Insert tunneled cv cath (36561) |
$2,851.20 |
$3,168 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$318.60 |
$354 |
2.5× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,967.40 |
$2,186 |
1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,967.40 |
$2,186 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$392.40 |
$436 |
1.7× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$607.50 |
$675 |
0.9× |
| N block inj intercost sng (64420) |
$607.50 |
$675 |
0.9× |
| N Block Lumbar/Thoracic (64520) |
$747 |
$830 |
0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$199.80 |
$222 |
0.5× |
| Needle Biopsy Lymph Nodes (38505) |
$1,256.40 |
$1,396 |
0.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$598.50 |
$665 |
0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$416.70 |
$463 |
1.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,037.60 |
$2,264 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,146.50 |
$2,385 |
3.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,061.10 |
$1,179 |
1.6× |
| Occipital Nerve Block (64405) |
$394.20 |
$438 |
1.3× |
| Open Tx Fracture Phalanx/Phalanges Not Great Toe (28525) |
$430.20 |
$478 |
0.1× |
| Perq dev breast 1st strtctc (19283) |
$1,508.40 |
$1,676 |
2.2× |
| Perq device breast 1st imag (19281) |
$781.20 |
$868 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$299.70 |
$333 |
0.7× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$328.50 |
$365 |
0.8× |
| Removal foreign body foot deep (28192) |
$2,229.30 |
$2,477 |
1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$562.50 |
$625 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$431.10 |
$479 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$141.30 |
$157 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$107.10 |
$119 |
1.9× |
| Removal of foreign body from pharynx (42809) |
$468.90 |
$521 |
1.1× |
| Removal of nail bed (11750) |
$437.40 |
$486 |
1.1× |
| Remove foreign body from eye (65205) |
$153 |
$170 |
1.2× |
| Remove Intrauterine Device (58301) |
$261 |
$290 |
0.9× |
| Remove Nasal Foreign Body (30300) |
$413.10 |
$459 |
3.2× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$921.60 |
$1,024 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,638.90 |
$1,821 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$830.70 |
$923 |
2.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$771.30 |
$857 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$876.60 |
$974 |
2.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$616.50 |
$685 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$697.50 |
$775 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$594 |
$660 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$568.80 |
$632 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$647.10 |
$719 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$771.30 |
$857 |
2.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$710.10 |
$789 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$572.40 |
$636 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$677.70 |
$753 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$756 |
$840 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$703.80 |
$782 |
1.8× |
| Repair of nail bed (11760) |
$806.40 |
$896 |
1.1× |
| Reposition Venous Catheter (36597) |
$311.40 |
$346 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$431.10 |
$479 |
0.5× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$385.20 |
$428 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$199.80 |
$222 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$153 |
$170 |
1.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$543.60 |
$604 |
0.3× |
| Rplc Gtube No Revj Trc (43762) |
$651.60 |
$724 |
2.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$430.20 |
$478 |
2.2× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$1,742.40 |
$1,936 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$325.80 |
$362 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$341.10 |
$379 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$380.70 |
$423 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$295.20 |
$328 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$453.60 |
$504 |
2.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$369 |
$410 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$331.20 |
$368 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$432 |
$480 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$472.50 |
$525 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$385.20 |
$428 |
0.6× |
| Strapping ankle (29540) |
$79.20 |
$88 |
0.5× |
| Strapping elbow or wrist (29260) |
$122.40 |
$136 |
2.2× |
| Strapping shoulder (29240) |
$122.40 |
$136 |
1.0× |
| Strapping toes (29550) |
$42.30 |
$47 |
0.7× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$283.50–$566.10 |
$315–$629 |
varies |
| Thyroid biopsy (60100) |
$352.80 |
$392 |
0.5× |
| Treat Knuckle Dislocation (26700) |
$694.80 |
$772 |
2.9× |
| Treat Thumb Dislocation (26641) |
$598.50 |
$665 |
2.5× |
| Treat toe dislocation (28630) |
$450.90 |
$501 |
1.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,849.50 |
$2,055 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$944.10 |
$1,049 |
4.0× |
| Trim skin lesion (11055) |
$153 |
$170 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$180.90 |
$201 |
0.9× |
| Trim skin lesions over 4 (11057) |
$208.80 |
$232 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$231.30 |
$257 |
1.1× |
| Unlisted procedure colon (45399) |
$1,230.30 |
$1,367 |
1.4× |
| Wedge excision skin nail fold (11765) |
$283.50 |
$315 |
0.7× |