| Abd paracentesis w/imaging (49083) |
$401.40 |
$669 |
0.3× |
| Anoscopy diagnostic (46600) |
$75 |
$125 |
0.4× |
| Application cast elbow finger short arm (29075) |
$101.40 |
$169 |
0.3× |
| Application finger splint static (29130) |
$193.20 |
$322 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$105.60 |
$176 |
0.5× |
| Application Long Leg Splint (29505) |
$136.80 |
$228 |
0.7× |
| Application short arm splint forearm-hand static (29125) |
$91.80 |
$153 |
0.5× |
| Application short leg splint calf foot (29515) |
$108 |
$180 |
0.5× |
| Apply long arm cast (29065) |
$291.60 |
$486 |
0.8× |
| Apply Multlay Comprs Lwr Leg (29581) |
$115.20 |
$192 |
0.6× |
| Apply Short Leg Cast (29405) |
$142.80 |
$238 |
0.4× |
| Apply short leg cast (29425) |
$204 |
$340 |
0.6× |
| Arterial puncture (36600) |
$55.80 |
$93 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$95.40 |
$159 |
0.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$210.60 |
$351 |
0.5× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$210.60 |
$351 |
0.5× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$84 |
$140 |
0.2× |
| Aspirate pleura w/ imaging (32555) |
$944.40 |
$1,574 |
1.2× |
| Aspirate Pleura W/O Imaging (32554) |
$807.60 |
$1,346 |
1.0× |
| Aspirate/Inj Ganglion Cyst (20612) |
$176.40 |
$294 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$134.40 |
$224 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$361.20 |
$602 |
0.2× |
| Biopsy Soft Tissue Back/Flank Superficial (21920) |
$337.20 |
$562 |
0.2× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$418.20 |
$697 |
0.1× |
| Biopsy Vaginal Mucosa Simple (57100) |
$255.60 |
$426 |
0.2× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$136.80 |
$228 |
0.1× |
| Blood Transfusion Service (36430) |
$361.80 |
$603 |
0.6× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$259.80 |
$433 |
0.1× |
| Bx Cervix (57500) |
$163.20 |
$272 |
0.1× |
| Chemical Cautery Tissue (17250) |
$53.40 |
$89 |
0.2× |
| Chest tube placement (32551) |
$484.20 |
$807 |
0.2× |
| Circumcision w/clamp/oth dev w/block (54150) |
$273 |
$455 |
0.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$587.40 |
$979 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$514.20 |
$857 |
1.6× |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$11.40–$12.60 |
$19–$21 |
varies |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$199.20 |
$332 |
0.5× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$199.20 |
$332 |
0.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$172.20 |
$287 |
0.7× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$199.20 |
$332 |
0.5× |
| Colposcopy cervix vag eltrd conization cervix (57461) |
$398.40 |
$664 |
0.1× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$342 |
$570 |
0.1× |
| Colposcopy entire vagina w/cervix if present (57420) |
$172.20 |
$287 |
0.4× |
| Colposcopy of vulva (56820) |
$172.20 |
$287 |
0.7× |
| Colposcopy Vulva W/Biopsy (56821) |
$285 |
$475 |
0.7× |
| Colposcopy,Entire Vagina,W/Biopsy(S) (57421) |
$285 |
$475 |
0.2× |
| Complex Cystometrogram (51726) |
$656.40 |
$1,094 |
2.0× |
| Correction of trichiasis; epilation, by forceps only (67820) |
$136.80 |
$228 |
0.8× |
| Corrj hallux valgus w/sesmdc w/dist metar osteot (28296) |
$32.40 |
$54 |
0.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$441.60 |
$736 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$596.40 |
$994 |
0.6× |
| Debride nail 1-5 (11720) |
$39.60 |
$66 |
0.5× |
| Debride nail 6 or more (11721) |
$55.80 |
$93 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$151.20 |
$252 |
0.3× |
| Declot vascular device (36593) |
$178.80 |
$298 |
0.4× |
| Destruct B9 Lesion 1-14 (17110) |
$174 |
$290 |
0.7× |
| Destruction Benign Lesions 15/> (17111) |
$210.60 |
$351 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$304.20 |
$507 |
1.2× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$355.20 |
$592 |
1.4× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$423 |
$705 |
0.8× |
| Destruction mal lesion f/e/e/n/l/m 3.1-4.0cm (17284) |
$493.20 |
$822 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m >4.0 cm (17286) |
$556.20 |
$927 |
0.6× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$257.40 |
$429 |
1.0× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$303.60 |
$506 |
1.2× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$348.60 |
$581 |
1.4× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$403.80 |
$673 |
0.8× |
| Destruction mal lesion trunk/arm/leg > 4.0 cm (17266) |
$466.20 |
$777 |
0.9× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$258.60 |
$431 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$251.40 |
$419 |
1.0× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$280.20 |
$467 |
1.1× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$317.40 |
$529 |
1.2× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$363 |
$605 |
0.7× |
| Destruction malignant lesion s/n/h/f/g 3.1-4.0cm (17274) |
$452.40 |
$754 |
0.9× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$217.20 |
$362 |
0.8× |
| Destruction Premalignant Lesion 15/> (17004) |
$295.80 |
$493 |
0.6× |
Destruction premalignant lesion 1st (17000) range across 2 matching MRF lines |
$63–$101.40 |
$105–$169 |
varies |
| Diaphragm or cervical cap fitting with instructions (57170) |
$94.80 |
$158 |
0.4× |
| Drainage of hematoma/fluid (10140) |
$230.40 |
$384 |
0.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$153 |
$255 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$69.60 |
$116 |
0.3× |
| Dstrj mal lesion s/n/h/f/g lesion diam > 4.0 cm (17276) |
$537.60 |
$896 |
1.0× |
| Endocervical curettage (57505) |
$991.20 |
$1,652 |
0.8× |
| Endometrial Biopsy (58100) |
$177 |
$295 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$105.60 |
$176 |
0.1× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$466.20 |
$777 |
0.2× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$541.20 |
$902 |
0.6× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$921 |
$1,535 |
0.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$286.20 |
$477 |
0.3× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$182.40 |
$304 |
0.2× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$417 |
$695 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$282 |
$470 |
0.1× |
| Exc Face-Mm B9+Marg 3.1-4 Cm (11444) |
$703.20 |
$1,172 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$122.40 |
$204 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$223.80 |
$373 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$359.40 |
$599 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$226.80 |
$378 |
0.2× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$574.80 |
$958 |
0.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$787.80 |
$1,313 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$348 |
$580 |
0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$871.20 |
$1,452 |
0.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$388.80 |
$648 |
0.2× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,040.40 |
$1,734 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$856.20 |
$1,427 |
0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$142.80 |
$238 |
0.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$181.20 |
$302 |
0.2× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$265.80 |
$443 |
0.1× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$503.40 |
$839 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$187.80 |
$313 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$244.20 |
$407 |
0.3× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$290.40 |
$484 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$388.80 |
$648 |
0.4× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$342 |
$570 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$793.80 |
$1,323 |
0.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$1,212.60 |
$2,021 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$351 |
$585 |
0.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$441 |
$735 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$290.40 |
$484 |
0.3× |
Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) range across 2 matching MRF lines |
$498–$774.60 |
$830–$1,291 |
varies |
| Excision of pilonidal cyst or sinus; simple (11770) |
$679.20 |
$1,132 |
0.2× |
| Excision soft tissue lesion, external auditory canal (69145) |
$198.60 |
$331 |
0.1× |
| Fine needle aspiration without imaging guidance (10021) |
$283.80 |
$473 |
0.5× |
| Foreskin manipulation (54450) |
$411.60 |
$686 |
1.3× |
| I&d abscess simple (10060) |
$99.60 |
$166 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$407.40 |
$679 |
0.4× |
| Incise external hemorrhoid (46083) |
$370.20 |
$617 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$322.20 |
$537 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$172.20 |
$287 |
0.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$172.20 |
$287 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$172.20 |
$287 |
0.4× |
| Incision of rectal abscess (46040) |
$1,162.80 |
$1,938 |
0.8× |
| Incisional biopsy skin single lesion (11106) |
$66 |
$110 |
0.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$85.20 |
$142 |
0.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$72.60 |
$121 |
0.2× |
Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$123–$158.40 |
$205–$264 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$69–$180 |
$115–$300 |
varies |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$142.80 |
$238 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$104.40 |
$174 |
0.4× |
| Insert non-tunnel cv cath (36556) |
$651.60 |
$1,086 |
0.2× |
| Insert pessary/other device (57160) |
$172.20 |
$287 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$172.20 |
$287 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$560.40 |
$934 |
3.3× |
| Intubation endotracheal emergency procedure (31500) |
$916.80 |
$1,528 |
3.0× |
| Marsupialization of bartholin's gland cyst (56440) |
$172.20 |
$287 |
0.0× |
| N Block Inj Plantar Digit (64455) |
$110.40 |
$184 |
0.3× |
| Needle Biopsy Lymph Nodes (38505) |
$265.80 |
$443 |
0.1× |
| Placement of needle for intraosseous infusion (36680) |
$329.40 |
$549 |
0.6× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$250.80 |
$418 |
0.2× |
| Punch biopsy skin single lesion (11104) |
$177 |
$295 |
0.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$192 |
$320 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$76.80 |
$128 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$70.20 |
$117 |
0.9× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$342 |
$570 |
0.1× |
Removal implantable contraceptive capsules (11976) range across 2 matching MRF lines |
$174–$496.20 |
$290–$827 |
varies |
| Removal of nail bed (11750) |
$288 |
$480 |
0.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$78.60 |
$131 |
0.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$47.40 |
$79 |
0.1× |
| Remove drug implant device (11982) |
$198.60 |
$331 |
0.3× |
| Remove foreign body from eye (65205) |
$214.20 |
$357 |
1.3× |
| Remove Intrauterine Device (58301) |
$99.60 |
$166 |
0.3× |
| Remove Nasal Foreign Body (30300) |
$129 |
$215 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$498.60 |
$831 |
0.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$750 |
$1,250 |
1.4× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$453.60 |
$756 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$565.80 |
$943 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$252 |
$420 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$335.40 |
$559 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$252 |
$420 |
0.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$335.40 |
$559 |
0.6× |
| Repair of hydrocele (55060) |
$273 |
$455 |
0.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$295.80 |
$493 |
1.7× |
| Shave skin lesion 0.5 cm/< (11300) |
$60.60 |
$101 |
0.1× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$174.60 |
$291 |
0.7× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$348 |
$580 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$109.80 |
$183 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$187.80 |
$313 |
0.7× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$221.40 |
$369 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$297.60 |
$496 |
0.6× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$169.80 |
$283 |
0.7× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$244.20 |
$407 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$114 |
$190 |
0.4× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$199.80 |
$333 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$147.60 |
$246 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$252 |
$420 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$335.40 |
$559 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$142.80 |
$238 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$322.80 |
$538 |
0.3× |
Skin sub graft trnk/arm/leg (15271) range across 2 matching MRF lines |
$304.80–$396 |
$508–$660 |
varies |
| Skn sub grft f/n/hf/g child (15277) |
$628.80 |
$1,048 |
0.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$168.60 |
$281 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$155.40 |
$259 |
0.3× |
| Tangential biopsy skin single lesion (11102) |
$85.20 |
$142 |
0.2× |
| Treat Knuckle Dislocation (26700) |
$324.60 |
$541 |
1.0× |
| Trim skin lesion (11055) |
$53.40 |
$89 |
0.2× |
| Trim skin lesions 2 to 4 (11056) |
$53.40 |
$89 |
0.2× |
| Trim skin lesions over 4 (11057) |
$81.60 |
$136 |
0.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$28.20 |
$47 |
0.4× |
| Urine Flow Measurement (51736) |
$123 |
$205 |
0.7× |
| Wedge excision skin nail fold (11765) |
$288 |
$480 |
0.6× |