| Abd paracentesis w/imaging (49083) |
$748.30 |
$1,069 |
0.9× |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 2 matching MRF lines |
$368.90–$497.70 |
$527–$711 |
varies |
| Application Finger Splint Dynamic (29131) |
$58.80 |
$84 |
1.1× |
| Application finger splint static (29130) |
$58.80 |
$84 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$63 |
$90 |
0.4× |
| Application Long Leg Splint (29505) |
$61.60 |
$88 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$56 |
$80 |
0.5× |
| Application short leg splint calf foot (29515) |
$63 |
$90 |
0.4× |
| Apply hand/wrist cast (29085) |
$46.90 |
$67 |
0.3× |
| Apply Short Leg Cast (29405) |
$86.10 |
$123 |
0.3× |
| Apply short leg cast (29425) |
$58.80 |
$84 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$558.60 |
$798 |
2.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$546.70 |
$781 |
0.8× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$502.60–$838.60 |
$718–$1,198 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$558.60 |
$798 |
2.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$558.60 |
$798 |
2.0× |
| Aspirate pleura w/ imaging (32555) |
$665.70 |
$951 |
1.2× |
| Aspirate Pleura W/O Imaging (32554) |
$790.30 |
$1,129 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$139.30 |
$199 |
0.8× |
| Biopsy Abdominal Mass (49180) |
$453.60 |
$648 |
0.3× |
| Biopsy bone trocar/needle deep (20225) |
$453.60 |
$648 |
0.3× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$453.60 |
$648 |
0.3× |
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines |
$399.70–$407.40 |
$571–$582 |
varies |
Biopsy of liver, needle; percutaneous (47000)
range across 4 matching MRF lines |
$375.20–$462.70 |
$536–$661 |
varies |
| Biopsy Salivary Gland Needle (42400) |
$226.10 |
$323 |
0.3× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$254.10 |
$363 |
0.2× |
| Biopsy soft tissue neck/thorax (21550) |
$453.60 |
$648 |
0.3× |
| Biopsy soft tissue thigh/knee area superficial (27323) |
$430.50 |
$615 |
0.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$463.40 |
$662 |
0.5× |
| Biopsy/removal lymph nodes (38510) |
$407.40 |
$582 |
0.1× |
| Bladder Irrigation (51700) |
$73.50 |
$105 |
0.3× |
| Bladder Scan (51798) |
$37.80 |
$54 |
0.7× |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
$381.50–$666.40 |
$545–$952 |
varies |
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines |
$453.60–$462.70 |
$648–$661 |
varies |
| Bone Marrow; Aspiration Only (38220) |
$462.70 |
$661 |
0.3× |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
$674.80–$730.80 |
$964–$1,044 |
varies |
Bx breast needle core w/o imaging guidance spx (19100)
range across 2 matching MRF lines |
$489.30–$3,591 |
$699–$5,130 |
varies |
| Bx/exc lymph node open deep axillary node (38525) |
$749 |
$1,070 |
0.2× |
| Change Cystostomy Tube Complicated (51710) |
$302.40 |
$432 |
0.5× |
| Change of Windpipe Airway (31502) |
$95.90 |
$137 |
0.4× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$542.50 |
$775 |
0.8× |
| Chemodenerv Musc Migraine (64615) |
$802.20 |
$1,146 |
2.8× |
| Chemodenervation of internal anal sphincter (46505) |
$427 |
$610 |
0.4× |
| Chest tube placement (32551) |
$141.40 |
$202 |
0.1× |
| Circumcision w/clamp/oth dev w/block (54150) |
$345.10 |
$493 |
0.2× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$23.10–$72.10 |
$33–$103 |
varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$630 |
$900 |
2.2× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$630 |
$900 |
2.2× |
| Complex drainage wound (10180) |
$51.10 |
$73 |
0.0× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$1,109.50 |
$1,585 |
0.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$51.10 |
$73 |
0.4× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$721.70 |
$1,031 |
0.4× |
Core Needle Bx Lung/Mediastinum Perq W/Img (32408)
range across 3 matching MRF lines |
$410.90–$1,294.30 |
$587–$1,849 |
varies |
| Cysto w/insert ureteral stent (52332) |
$543.20 |
$776 |
0.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$543.20 |
$776 |
0.3× |
| Cystourethroscopy (52000) |
$973.70 |
$1,391 |
1.5× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$265.30 |
$379 |
0.7× |
| Declot vascular device (36593) |
$163.80 |
$234 |
0.5× |
| Destroy cerv/thor facet jnt (64633) |
$814.10 |
$1,163 |
0.5× |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$558.60–$838.60 |
$798–$1,198 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$208.60 |
$298 |
1.1× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$86.10 |
$123 |
0.5× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$824.60 |
$1,178 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$86.10 |
$123 |
0.5× |
| Drain Cerebro Spinal Fluid (62272) |
$558.60 |
$798 |
0.9× |
| Drainage of finger abscess simple (26010) |
$72.80 |
$104 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$231 |
$330 |
0.2× |
| Drainage of rectal abscess (45005) |
$128.80 |
$184 |
0.1× |
| Draw Blood Off Venous Device (36591) |
$88.90 |
$127 |
0.7× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$542.50 |
$775 |
0.7× |
| Dx Bone Marrow Bx & Aspir (38222) |
$439.60 |
$628 |
0.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$729.40 |
$1,042 |
1.1× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$1,733.20 |
$2,476 |
0.6× |
| Epidural Blood Patch (62273) |
$536.90 |
$767 |
0.8× |
| Exc arm/elbow les sc < 3 cm (24075) |
$334.60 |
$478 |
0.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$88.90 |
$127 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$107.10 |
$153 |
0.1× |
| Exc Back Les Sc < 3 Cm (21930) |
$702.10 |
$1,003 |
0.5× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$903 |
$1,290 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$123.90 |
$177 |
0.2× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$128.80 |
$184 |
0.2× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$490 |
$700 |
0.3× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$215.60 |
$308 |
0.1× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$427 |
$610 |
0.7× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$88.90 |
$127 |
0.1× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$88.90 |
$127 |
0.1× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$95.90 |
$137 |
0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$170.10 |
$243 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$88.90 |
$127 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$159.60 |
$228 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$98.70 |
$141 |
0.1× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$310.10 |
$443 |
0.2× |
| Exc Shoulder Tum Deep 5 Cm/> (23073) |
$784 |
$1,120 |
0.3× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$114.10 |
$163 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$128.80 |
$184 |
0.1× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$269.50 |
$385 |
0.1× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$368.90 |
$527 |
0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$368.90 |
$527 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$149.10 |
$213 |
0.1× |
Exc Skin Malig >4 Cm Remaindr Body (11626)
range across 2 matching MRF lines |
$435.40–$858.20 |
$622–$1,226 |
varies |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$405.30 |
$579 |
0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$88.90 |
$127 |
0.2× |
Exc Tr-Ext B9+Marg 1.1-2 Cm (11402)
range across 2 matching MRF lines |
$88.90–$246.40 |
$127–$352 |
varies |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$304.50 |
$435 |
0.2× |
| Exc tumor soft tis neck/ant thorax subq 3 cm/> (21552) |
$319.90 |
$457 |
0.1× |
| Exc tumor soft tiss shoulder subfasc <5cm (23076) |
$749 |
$1,070 |
0.3× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$301.70 |
$431 |
0.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$329.70 |
$471 |
0.2× |
| Exc tumor soft tissue pelvis & hip subq <3cm (27047) |
$203 |
$290 |
0.1× |
| Exc tumor soft tissue thigh/knee subfasc <5cm (27328) |
$350 |
$500 |
0.1× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$665.70 |
$951 |
0.2× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$731.50 |
$1,045 |
0.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$123.90 |
$177 |
0.2× |
| Excision External Ear Partial Simple Repair (69110) |
$357 |
$510 |
0.1× |
| Excision Hidradenitis Axillary Complex Repair (11451) |
$214.90 |
$307 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$95.90 |
$137 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$95.90 |
$137 |
0.1× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$113.40 |
$162 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$436.10 |
$623 |
0.7× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$86.10 |
$123 |
0.1× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$193.20 |
$276 |
0.1× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$308.70 |
$441 |
0.1× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$86.10 |
$123 |
0.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$128.80 |
$184 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$269.50 |
$385 |
0.2× |
| Excision of sublingual salivary cyst (ranula) (42408) |
$338.10 |
$483 |
0.1× |
| Excision synovial cyst popliteal space (27345) |
$427 |
$610 |
0.1× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$864.50 |
$1,235 |
0.6× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$368.90 |
$527 |
0.2× |
| Excision Tumor Soft Tissue Thigh/Knee Subq <3Cm (27327) |
$296.80 |
$424 |
0.2× |
| Excision, tumor, soft tissue of shoulder area, subcutaneous; less than 3 cm (23075) |
$224 |
$320 |
0.1× |
| Exploration penetrating wound spx extremity (20103) |
$51.10 |
$73 |
0.0× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$476.70 |
$681 |
0.7× |
| Fna bx w/us gdn 1st les (10005) |
$714.70 |
$1,021 |
1.1× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$417.20 |
$596 |
0.2× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$389.90 |
$557 |
0.2× |
| Guide Cathet Fluid Drainage (10030) |
$476 |
$680 |
0.7× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$158.90 |
$227 |
0.2× |
| I&d abscess simple (10060) |
$802.90 |
$1,147 |
4.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$256.20 |
$366 |
0.1× |
| I&d pilonidal cyst complicated (10081) |
$335.30 |
$479 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$45.50 |
$65 |
0.1× |
| Image Cath Fluid Colxn Visc (49405) |
$714.70 |
$1,021 |
0.5× |
| Image Cath Fluid Peri/Retro (49406) |
$756 |
$1,080 |
0.5× |
| Incise external hemorrhoid (46083) |
$142.10 |
$203 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$299.60 |
$428 |
0.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$217.70 |
$311 |
0.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$308 |
$440 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$98 |
$140 |
0.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$439.60 |
$628 |
1.6× |
| Incision of rectal abscess (46040) |
$231 |
$330 |
0.2× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$336 |
$480 |
1.2× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 4 matching MRF lines |
$454.30–$897.40 |
$649–$1,282 |
varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$558.60 |
$798 |
2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$824.60 |
$1,178 |
1.3× |
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines |
$344.40–$558.60 |
$492–$798 |
varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$714.70 |
$1,021 |
1.1× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$347.90 |
$497 |
0.5× |
| Injection anesthetic agent suprascapular nerve (64418) |
$558.60 |
$798 |
0.9× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$123.20–$558.60 |
$176–$798 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$630.70 |
$901 |
2.2× |
| Injection therapeutic carpal tunnel (20526) |
$542.50 |
$775 |
1.9× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$558.60–$838.60 |
$798–$1,198 |
varies |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$333.20 |
$476 |
0.4× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$333.20 |
$476 |
0.4× |
| Insert cath pleura w/ image (32557) |
$926.80 |
$1,324 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$462.70 |
$661 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$88.20 |
$126 |
0.7× |
Insert tunneled cv cath (36561)
range across 2 matching MRF lines |
$453.60–$462.70 |
$648–$661 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$88.20 |
$126 |
0.7× |
Insertion Picc W/Rs&I 5 Yr/> (36573)
range across 2 matching MRF lines |
$635.60–$648.20 |
$908–$926 |
varies |
Insj prph ctr vad w/subq port age 5 yr/> (36571)
range across 2 matching MRF lines |
$342.30–$375.20 |
$489–$536 |
varies |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$221.20–$363.30 |
$316–$519 |
varies |
| Int hrhc by ligation single hroid w/o img gdn (46945) |
$439.60 |
$628 |
0.2× |
| Intubation endotracheal emergency procedure (31500) |
$320.60 |
$458 |
1.5× |
| Ligation or biopsy temporal artery (37609) |
$462.70 |
$661 |
0.3× |
| Myelography Lumbar Injection (62304) |
$462.70 |
$661 |
0.6× |
| Myelography via lumbar injection rs&i cervical (62302) |
$439.60 |
$628 |
0.6× |
Myelography Via Lumbar Injection Rs&I Thoracic (62303)
range across 2 matching MRF lines |
$453.60–$462.70 |
$648–$661 |
varies |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines |
$558.60–$838.60 |
$798–$1,198 |
varies |
N block inj intercost sng (64420)
range across 2 matching MRF lines |
$558.60–$838.60 |
$798–$1,198 |
varies |
N Block Lumbar/Thoracic (64520)
range across 3 matching MRF lines |
$558.60–$838.60 |
$798–$1,198 |
varies |
| Nasal/Orogastric W/Tube Plmt (43752) |
$125.30 |
$179 |
0.3× |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
$452.90–$462 |
$647–$660 |
varies |
| Njx anes stellate ganglion crv sympathetic (64510) |
$302.40 |
$432 |
0.4× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
$558.60–$838.60 |
$798–$1,198 |
varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$665.70 |
$951 |
0.2× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$851.90–$1,278.20 |
$1,217–$1,826 |
varies |
Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321)
range across 2 matching MRF lines |
$714.70–$728.70 |
$1,021–$1,041 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$606.90 |
$867 |
0.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$824.60 |
$1,178 |
1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$721.70 |
$1,031 |
1.1× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$78.40 |
$112 |
0.2× |
Njx Sclrsnt Mlt Incmptnt Vn (36471)
range across 4 matching MRF lines |
$157.50–$453.60 |
$225–$648 |
varies |
| Occipital Nerve Block (64405) |
$542.50 |
$775 |
1.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$375.20 |
$536 |
0.6× |
| Perq dev breast 1st us imag (19285) |
$434 |
$620 |
0.7× |
| Perq Lumbosacral Injection (22511) |
$721.70 |
$1,031 |
0.2× |
| Place Duod/Jej Tube Perc (49441) |
$714.70 |
$1,021 |
0.4× |
| Place Rt Device/Marker Pros (55876) |
$453.60 |
$648 |
0.4× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$665.70 |
$951 |
0.3× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$790.30 |
$1,129 |
0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$110.60 |
$158 |
0.3× |
| Puncture Aspiration Cyst Breast (19000) |
$247.10 |
$353 |
0.4× |
| Removal foreign body foot deep (28192) |
$542.50 |
$775 |
0.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$382.20 |
$546 |
0.3× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$109.90–$360.50 |
$157–$515 |
varies |
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines |
$86.10–$139.30 |
$123–$199 |
varies |
| Remove Forearm Foreign Body (25248) |
$489.30 |
$699 |
0.3× |
| Remove Nasal Foreign Body (30300) |
$410.90 |
$587 |
3.4× |
| Remove Tendon Sheath Lesion (26160) |
$244.30 |
$349 |
0.2× |
| Renal Biopsy Perq (50200) |
$462.70 |
$661 |
0.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$334.60 |
$478 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$280 |
$400 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$291.90 |
$417 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$256.20 |
$366 |
0.7× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$233.80 |
$334 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$277.90 |
$397 |
0.7× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$224 |
$320 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$336 |
$480 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$224 |
$320 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$224 |
$320 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$197.40 |
$282 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$512.40 |
$732 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$200.90 |
$287 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$214.90 |
$307 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$152.60 |
$218 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$109.20 |
$156 |
0.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$224 |
$320 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$109.90 |
$157 |
0.3× |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034)
range across 2 matching MRF lines |
$427–$453.60 |
$610–$648 |
varies |
| Repair of nail bed (11760) |
$353.50 |
$505 |
0.5× |
| Resection, condyle(s), distal end of phalanx, each toe Facility (28153) |
$462.70 |
$661 |
0.2× |
| Revj Colostomy Smpl Rls Supfc Scar Spx (44340) |
$202.30 |
$289 |
0.1× |
Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590)
range across 2 matching MRF lines |
$453.60–$462.70 |
$648–$661 |
varies |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$375.20 |
$536 |
0.7× |
| Rplc Gtube No Revj Trc (43762) |
$462.70 |
$661 |
2.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$707.70 |
$1,011 |
0.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$375.20 |
$536 |
0.1× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$462.70 |
$661 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$74.20 |
$106 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$80.50 |
$115 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$88.20 |
$126 |
0.5× |
| Sigmoidoscopy & Polypectomy (45333) |
$277.20 |
$396 |
0.3× |
| Sigmoidoscopy w/fb removal (45332) |
$105.70 |
$151 |
0.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$51.10 |
$73 |
0.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$61.60 |
$88 |
0.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$100.80 |
$144 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$51.10 |
$73 |
0.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$53.90 |
$77 |
0.3× |
Skin sub graft trnk/arm/leg (15271)
range across 2 matching MRF lines |
$342.30–$430.50 |
$489–$615 |
varies |
| Skin Tissue Procedure (17999) |
$170.10 |
$243 |
0.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$51.10 |
$73 |
0.3× |
| Spinal puncture lumbar diagnostic (62270) |
$520.80 |
$744 |
0.8× |
| Strapping elbow or wrist (29260) |
$57.40 |
$82 |
1.1× |
| Strapping thorax (29200) |
$57.40 |
$82 |
0.4× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$687.40 |
$982 |
1.1× |
Thyroid biopsy (60100)
range across 2 matching MRF lines |
$470.40–$480.20 |
$672–$686 |
varies |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$758.10 |
$1,083 |
0.4× |
| Treat Knuckle Dislocation (26700) |
$154.70 |
$221 |
0.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$490 |
$700 |
0.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$266.70 |
$381 |
0.4× |
| Unlisted Procedure, Urinary System (53899) |
$973.70 |
$1,391 |
4.2× |
| Vaginal delivery only (59409) |
$462.70 |
$661 |
0.2× |
| Wedge excision skin nail fold (11765) |
$224 |
$320 |
0.6× |