| Abd paracentesis w/imaging (49083) |
$676.89 |
$1,847 |
0.8× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,062.80 |
$2,900 |
1.2× |
| Abrasion single lesion (15786) |
$120.21 |
$328 |
0.6× |
| Adding Walker Previously Applied Cast (29440) |
$174.82 |
$477 |
1.1× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,005.99 |
$2,745 |
0.3× |
| Anoscopy diagnostic (46600) |
$110.68 |
$302 |
0.9× |
| Application cast elbow finger short arm (29075) |
$174.82 |
$477 |
0.6× |
| Application Cast Shoulder Spica (29055) |
$231.62 |
$632 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$128.64 |
$351 |
2.3× |
| Application finger splint static (29130) |
$111.05 |
$303 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$179.95 |
$491 |
1.1× |
| Application Long Leg Cast Brace (29358) |
$231.62 |
$632 |
0.9× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$231.62 |
$632 |
0.9× |
| Application Long Leg Splint (29505) |
$190.94 |
$521 |
1.2× |
| Application of cylinder cast (thigh to ankle) (29365) |
$226.49 |
$618 |
0.8× |
| Application of long leg cast (29345) |
$231.62 |
$632 |
0.9× |
| Application Patellar Tendon Bearing Cast (29435) |
$231.62 |
$632 |
0.9× |
Application Short Arm Splint Dynamic (29126) range across 2 matching MRF lines |
$116.91–$182.88 |
$319–$499 |
varies |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$174.45–$202.30 |
$476–$552 |
varies |
| Application short leg splint calf foot (29515) |
$153.19 |
$418 |
1.0× |
| Application, cast; figure-of-eight Facility (29049) |
$231.62 |
$632 |
0.9× |
| Apply hand/wrist cast (29085) |
$174.82 |
$477 |
1.1× |
| Apply long arm cast (29065) |
$199.37 |
$544 |
0.7× |
| Apply Short Leg Cast (29405) |
$186.18 |
$508 |
0.7× |
| Apply short leg cast (29425) |
$193.87 |
$529 |
0.7× |
| Apply shoulder cast,plastr velpeau (29058) |
$231.62 |
$632 |
0.9× |
| Arterial puncture (36600) |
$42.88 |
$117 |
0.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$223.19 |
$609 |
0.8× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$269–$322.87 |
$734–$881 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$293.19 |
$800 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$223.19 |
$609 |
0.8× |
Aspirate pleura w/ imaging (32555) range across 3 matching MRF lines |
$387.74–$531.03 |
$1,058–$1,449 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$531.03 |
$1,449 |
0.9× |
| Aspiration bladder insert suprapubic catheter (51102) |
$400.20 |
$1,092 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$122.41 |
$334 |
0.6× |
Biliary ndsc prq t-tube w/dil duct w/o stent (47555) unusually low: confirm this is the full procedure |
$1,904.97 |
$5,198 |
0.3× |
| Biopsy muscle percutaneous needle (20206) |
$598.10 |
$1,632 |
0.4× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,382.37 |
$3,772 |
0.9× |
| Biopsy Pleura Percutaneous Needle (32400) |
$198.64 |
$542 |
0.1× |
| Biopsy Salivary Gland Needle (42400) |
$648.31 |
$1,769 |
0.9× |
| Bladder Irrigation (51700) |
$205.97 |
$562 |
0.9× |
| Bladder Scan (51798) |
$150.63 |
$411 |
2.6× |
| Blepharotomy drainage abscess eyelid (67700) |
$261.31 |
$713 |
0.9× |
| Blood Transfusion Service (36430) |
$388.11 |
$1,059 |
0.9× |
| Bone Marrow Biopsy (38221) |
$265.70 |
$725 |
0.2× |
| Bone Marrow; Aspiration Only (38220) |
$243.71 |
$665 |
0.2× |
| Brnchsc Brushing/Protected Brushings (31623) |
$1,469.96 |
$4,011 |
0.9× |
| Brnchsc Ebus Guided Sampl 1/2 Node Station/Strux (31652) |
$3,043.26 |
$8,304 |
0.8× |
| Bronch Thermoplsty 1 Lobe (31660) |
$5,721.50 |
$15,612 |
0.8× |
Bronchoscopic Thermoplasty 2/> Lobes (31661) unusually low: confirm this is the full procedure |
$2,147.21 |
$5,859 |
0.3× |
| Bronchoscopy Reclear Airway (31646) |
$362.82 |
$990 |
1.0× |
| Bronchoscopy W/Biopsy(S) (31625) |
$1,469.96 |
$4,011 |
0.9× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$1,469.96 |
$4,011 |
0.9× |
| Bronchoscopy w/transbronchial lung bx 1 lobe (31628) |
$3,043.26 |
$8,304 |
0.8× |
| Bx breast 1st lesion strtctc (19081) |
$2,106.53 |
$5,748 |
1.3× |
| Bx breast 1st lesion us imag (19083) |
$467.27 |
$1,275 |
0.3× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,073.68 |
$8,387 |
0.8× |
| Catheter aspiration nasotracheal spx (31720) |
$13.20 |
$36 |
0.1× |
| Change Cystostomy Tube Complicated (51710) |
$601.03 |
$1,640 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$174.82 |
$477 |
0.7× |
| Change of Windpipe Airway (31502) |
$230.89 |
$630 |
1.0× |
| Chemical Cautery Tissue (17250) |
$149.53 |
$408 |
0.8× |
| Chemical Pleurodesis (32560) |
$531.03 |
$1,449 |
0.9× |
| Chemodenerv musc neck dyston (64616) |
$304.92 |
$832 |
1.0× |
| Chest tube placement (32551) |
$1,381.64 |
$3,770 |
0.9× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$3,125.72 |
$8,529 |
0.9× |
| Circumcision w/clamp/oth dev w/block (54150) |
$774.74 |
$2,114 |
0.4× |
| Cl Tx Scapular Fx; W Manip (23575) |
$218.06 |
$595 |
0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$288.06 |
$786 |
0.2× |
| Clear outer ear canal (69200) |
$171.52 |
$468 |
1.3× |
| Closed Rx Spontaneous Hip Disloc (27256) |
$288.06 |
$786 |
1.2× |
| Closed rx talotarsal disloc,anesth (28575) |
$684.59 |
$1,868 |
0.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$288.06 |
$786 |
1.2× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$288.06 |
$786 |
1.2× |
| Closed Treatment Sesamoid Fracture (28530) |
$215.86 |
$589 |
0.9× |
| Closed Treatment Sternum Fracture (21820) |
$182.51 |
$498 |
0.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$288.06 |
$786 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$288.06 |
$786 |
1.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$288.06 |
$786 |
0.2× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$288.06 |
$786 |
1.2× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$288.06 |
$786 |
1.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$288.06 |
$786 |
1.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$288.06 |
$786 |
0.2× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$288.06 |
$786 |
1.2× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,097.61 |
$2,995 |
0.7× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$288.06 |
$786 |
1.2× |
| Closed tx mandibular fracture w/manipulation (21451) |
$654.91 |
$1,787 |
0.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$288.06 |
$786 |
1.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,466.05 |
$6,729 |
1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$231.99 |
$633 |
0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$575.38 |
$1,570 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$274.13 |
$748 |
1.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$127.54 |
$348 |
0.5× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$288.06 |
$786 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$288.06 |
$786 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$288.06 |
$786 |
0.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$288.06 |
$786 |
1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$288.06 |
$786 |
0.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$288.06 |
$786 |
1.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$218.06 |
$595 |
0.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$288.06 |
$786 |
1.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$288.06 |
$786 |
0.2× |
| Closed tx talus fracture w/o manipulation (28430) |
$288.06 |
$786 |
1.2× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$288.06 |
$786 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$156.86 |
$428 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$288.06 |
$786 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$288.06 |
$786 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$288.06 |
$786 |
1.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$186.18 |
$508 |
0.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,196.20 |
$3,264 |
2.3× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$218.06 |
$595 |
0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$218.06 |
$595 |
0.9× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$515.64 |
$1,407 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$684.59 |
$1,868 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$215.13 |
$587 |
0.9× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$218.06 |
$595 |
0.1× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$288.06 |
$786 |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,097.61 |
$2,995 |
0.7× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$195.34 |
$533 |
0.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$200.84 |
$548 |
0.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$288.06 |
$786 |
0.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$288.06 |
$786 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$288.06 |
$786 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$288.06 |
$786 |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$288.06 |
$786 |
1.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$218.06 |
$595 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$211.83 |
$578 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$288.06 |
$786 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$288.06 |
$786 |
0.2× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$288.06 |
$786 |
1.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,227.71 |
$3,350 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$190.21 |
$519 |
0.8× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$163.46 |
$446 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$178.11 |
$486 |
0.7× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$163.46 |
$446 |
0.7× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$288.06 |
$786 |
0.2× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$288.06 |
$786 |
1.2× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,215.99 |
$3,318 |
0.8× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$288.06 |
$786 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$115.45 |
$315 |
0.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$288.06 |
$786 |
0.2× |
| Cltx Medial Ankle Fx (27760) |
$288.06 |
$786 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$288.06 |
$786 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$161.99 |
$442 |
0.7× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$218.06 |
$595 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$204.50 |
$558 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$243.35 |
$664 |
1.0× |
| Cltx prox fibula/shft fx w/manj (27781) |
$288.06 |
$786 |
0.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$288.06 |
$786 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$289.16 |
$789 |
0.2× |
| Cltx prox tibfib jt dislc req anes (27831) |
$1,097.61 |
$2,995 |
0.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$288.06 |
$786 |
1.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$288.06 |
$786 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$247.75 |
$676 |
1.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$288.06 |
$786 |
0.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$861.97 |
$2,352 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$288.06 |
$786 |
0.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$288.06 |
$786 |
1.2× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$257.27 |
$702 |
1.1× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$288.06 |
$786 |
1.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$288.06 |
$786 |
1.2× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$288.06 |
$786 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$288.06 |
$786 |
0.2× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$288.06 |
$786 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$64.87 |
$177 |
0.5× |
| Collection of venous blood by venipuncture (36415) |
$19.43 |
$53 |
2.1× |
| Colonoscopy Flexible With Decompression (45393) |
$1,032.75 |
$2,818 |
0.9× |
| Colposcopy entire vagina w/cervix if present (57420) |
$258.74 |
$706 |
0.9× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,315.30 |
$3,589 |
1.1× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,315.30 |
$3,589 |
1.1× |
| Complex drainage wound (10180) |
$2,194.86 |
$5,989 |
0.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$253.98 |
$693 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$253.98 |
$693 |
2.0× |
| Control oropharyngeal hemorrhage simple (42960) |
$225.39 |
$615 |
0.4× |
| Ctrl Nasopharyngeal Hemrrg Smpl W/Pst Nsl Packs (42970) |
$293.56 |
$801 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$283.66 |
$774 |
2.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$293.56 |
$801 |
1.3× |
| Cysto/uretero w/lithotripsy (52356) |
$4,246.41 |
$11,587 |
0.8× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$120.21 |
$328 |
0.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$778.04 |
$2,123 |
1.1× |
| Debride nail 1-5 (11720) |
$94.19 |
$257 |
1.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$387.01 |
$1,056 |
1.0× |
| Delivery of placenta (59414) |
$1,062.80 |
$2,900 |
0.3× |
| Destruct B9 Lesion 1-14 (17110) |
$110.32 |
$301 |
0.6× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$124.24 |
$339 |
1.0× |
Drain Cerebro Spinal Fluid (62272) range across 2 matching MRF lines |
$285.86–$432.45 |
$780–$1,180 |
varies |
| Drain shoulder bursa (23031) |
$612.03 |
$1,670 |
0.2× |
| Drain/inj small joint/bursa w/us (20604) |
$269 |
$734 |
0.9× |
| Drainage abscess parotid simple (42300) |
$746.89 |
$2,038 |
0.5× |
| Drainage external auditory canal abscess (69020) |
$598.47 |
$1,633 |
0.9× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$348.89 |
$952 |
0.2× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$190.57 |
$520 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$883.22 |
$2,410 |
0.6× |
| Drainage Mouth Roof Lesion (42000) |
$167.49 |
$457 |
0.7× |
| Drainage of finger abscess simple (26010) |
$228.69 |
$624 |
1.2× |
| Drainage of gum lesion (41800) |
$190.94 |
$521 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$403.13 |
$1,100 |
0.3× |
| Drainage of palmar bursa single bursa (26025) |
$1,128.40 |
$3,079 |
0.4× |
| Drainage of rectal abscess (45005) |
$278.53 |
$760 |
0.2× |
| Drainage of salivary gland (42320) |
$212.20 |
$579 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$583.08 |
$1,591 |
0.4× |
| Drainage of skene's gland abscess or cyst (53060) |
$1,844.13 |
$5,032 |
0.9× |
| Draw Blood Off Venous Device (36591) |
$64.87 |
$177 |
0.5× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$167.49 |
$457 |
0.2× |
| Drg Lymph Node Absc/Lymphadenitis Smpl (38300) |
$612.03 |
$1,670 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$196.44 |
$536 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$228.32 |
$623 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$228.32 |
$623 |
1.2× |
| Dx Bone Marrow Bx & Aspir (38222) |
$243.71 |
$665 |
0.1× |
Dx Bronchoscope/Lavage (31624) range across 2 matching MRF lines |
$1,014.79–$1,469.96 |
$2,769–$4,011 |
varies |
| Dx Bronchoscope/Wash (31622) |
$1,469.96 |
$4,011 |
0.9× |
| Dx Laryngoscopy Excl Nb (31525) |
$762.28 |
$2,080 |
0.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$610.19 |
$1,665 |
0.9× |
| Egd Balloon Dil Esoph30 Mm/> (43233) |
$1,595.66 |
$4,354 |
0.9× |
| Egd cautery tumor polyp (43250) |
$1,595.66 |
$4,354 |
0.9× |
| Egd endo mucosal resection (43254) |
$1,595.66 |
$4,354 |
0.9× |
| Egd Flexible Foreign Body Removal (43247) |
$757.15 |
$2,066 |
0.9× |
| Egd place gastrostomy tube (43246) |
$1,443.94 |
$3,940 |
0.8× |
| Endocervical curettage (57505) |
$783.91 |
$2,139 |
0.9× |
| Endometrial Biopsy (58100) |
$216.23 |
$590 |
1.1× |
| Endoscopy Upper Small Intestine (44360) |
$1,595.66 |
$4,354 |
0.9× |
| Enteroscopy > 2nd prtn conv gstrst tube (44373) |
$1,675.92 |
$4,573 |
0.9× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,595.66 |
$4,354 |
0.9× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$1,674.09 |
$4,568 |
0.9× |
| Epidural Blood Patch (62273) |
$565.85 |
$1,544 |
0.8× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$3,016.87 |
$8,232 |
0.8× |
| Ercp ea duct/ampulla dilate (43277) |
$3,016.87 |
$8,232 |
0.8× |
| Esophagoscopy Flexible Guide Wire Dilation (43226) |
$1,595.66 |
$4,354 |
0.9× |
| Esophagoscopy Retro Balloon (43213) |
$1,595.66 |
$4,354 |
0.9× |
| Esophagoscopy Rigid Balloon (43195) |
$3,016.87 |
$8,232 |
0.8× |
| Evacuation of subungual hematoma (11740) |
$87.96 |
$240 |
0.7× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$3,073.68 |
$8,387 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$635.85 |
$1,735 |
0.9× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$635.85 |
$1,735 |
0.9× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$635.85 |
$1,735 |
0.4× |
| Exc Frenum Labial/Buccal (40819) |
$1,447.97 |
$3,951 |
1.0× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,242.01 |
$3,389 |
0.8× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$1,616.18 |
$4,410 |
0.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$233.82 |
$638 |
0.2× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$612.03 |
$1,670 |
0.3× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$1,148.19 |
$3,133 |
0.4× |
| Explo/Drain Breast Abscess (19020) |
$871.50 |
$2,378 |
0.5× |
| Exploration of knee joint (27310) |
$2,722.95 |
$7,430 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$263.50 |
$719 |
0.2× |
| Exploration Penetrating Wound Spx Neck (20100) |
$164.55 |
$449 |
0.3× |
| External cephalic version (59412) |
$188.01 |
$513 |
0.1× |
| Fetal Contraction Stress Test (59020) |
$52.78 |
$144 |
0.3× |
| Fetal non-stress test (59025) |
$52.78 |
$144 |
0.3× |
| Filleted Finger/Toe Flap W/Prepj Recipient Site (14350) |
$1,206.82 |
$3,293 |
0.6× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$567.32 |
$1,548 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$244.81 |
$668 |
0.6× |
| Fluid Pressure Muscle (20950) |
$612.03 |
$1,670 |
0.9× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$675.06 |
$1,842 |
1.0× |
| Fna bx w/us gdn 1st les (10005) |
$590.40 |
$1,611 |
0.9× |
| Foreskin manipulation (54450) |
$271.93 |
$742 |
1.1× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$1,682.88 |
$4,592 |
0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$779.51 |
$2,127 |
0.9× |
| I&d abscess peritonsillar (42700) |
$193.14 |
$527 |
0.8× |
| I&d abscess simple (10060) |
$253.98 |
$693 |
1.3× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$612.03 |
$1,670 |
0.2× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,498.18 |
$4,088 |
0.5× |
| I&d forearm/wrist bursa (25031) |
$1,498.18 |
$4,088 |
1.0× |
| I&D Ischiorct/Intramural Absc W/WO Seton (46060) |
$1,759.84 |
$4,802 |
0.7× |
| I&d perianal abscess superficial (46050) |
$233.82 |
$638 |
0.3× |
| I&d pilonidal cyst complicated (10081) |
$403.13 |
$1,100 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$212.20 |
$579 |
0.3× |
| I&d shoulder deep abscess/hematoma (23030) |
$612.03 |
$1,670 |
0.2× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$612.03 |
$1,670 |
0.2× |
| Incise external hemorrhoid (46083) |
$233.82 |
$638 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$274.13 |
$748 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$856.47 |
$2,337 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$264.60 |
$722 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$225.39 |
$615 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$225.39 |
$615 |
0.8× |
| Incision of labial frenum (frenotomy) (40806) |
$167.49 |
$457 |
0.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,333.26 |
$3,638 |
0.9× |
| Incision of rectal abscess (46040) |
$310.41 |
$847 |
0.3× |
| Incision&drainage bursa foot (28001) |
$612.03 |
$1,670 |
0.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$583.08 |
$1,591 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$382.61 |
$1,044 |
0.5× |
| Induced abortion, by dilation and evacuation (59841) |
$220.99 |
$603 |
0.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$177.01 |
$483 |
0.9× |
| Inj W/Fluor Eval Cv Device (36598) |
$83.20 |
$227 |
0.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$329.47 |
$899 |
1.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$331.30 |
$904 |
0.4× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$728.57 |
$1,988 |
0.9× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$690.45 |
$1,884 |
1.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$808.83 |
$2,207 |
0.9× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$734.80 |
$2,005 |
0.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$816.16 |
$2,227 |
1.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$623.75 |
$1,702 |
0.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$316.28 |
$863 |
0.5× |
| Injection for identification of sentinel node (38792) |
$409 |
$1,116 |
1.1× |
| Injection therapeutic carpal tunnel (20526) |
$516.38 |
$1,409 |
1.7× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$911.81 |
$2,488 |
1.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$398 |
$1,086 |
0.6× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$393.24–$424.76 |
$1,073–$1,159 |
varies |
Ins endovas vena cava filtr (37191) likely a partial charge, not the full procedure |
$726 |
$1,981 |
0.1× |
| Insert Bladder Cath Complex (51703) |
$213.66 |
$583 |
1.7× |
| Insert cath pleura w/ image (32557) |
$966.41 |
$2,637 |
0.6× |
| Insert cath pleura w/o image (32556) |
$1,535.56 |
$4,190 |
0.8× |
| Insert cervical dilator (59200) |
$171.15 |
$467 |
0.6× |
| Insert non-tunnel cv cath (36556) |
$1,163.21 |
$3,174 |
0.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,317.87 |
$3,596 |
0.9× |
| Insert Temp Bladder Cath (51702) |
$66.70 |
$182 |
0.5× |
| Insert tunneled cv cath (36561) |
$1,354.15 |
$3,695 |
0.4× |
Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$41.78–$261.31 |
$114–$713 |
varies |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,970.20 |
$5,376 |
0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$486.32 |
$1,327 |
0.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,274.62 |
$3,478 |
0.4× |
| Insj Picc Rs&I <5 Yr (36572) |
$505.75 |
$1,380 |
0.8× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$1,094.32 |
$2,986 |
0.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$977.77 |
$2,668 |
0.6× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$2,570.13 |
$7,013 |
0.8× |
Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) likely a partial charge, not the full procedure |
$1,536.66 |
$4,193 |
0.3× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$597.73 |
$1,631 |
0.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$322.87 |
$881 |
0.8× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,196.20 |
$3,264 |
2.3× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$167.49 |
$457 |
0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$2,632.43 |
$7,183 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$448.21 |
$1,223 |
2.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$210.73 |
$575 |
0.9× |
| Laryngoscopy diagnostic (31505) |
$138.53 |
$378 |
0.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$1,847.80 |
$5,042 |
1.1× |
| Lithotripsy, extracorporeal shock wave (50590) |
$6,278.18 |
$17,131 |
1.8× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$209.63 |
$572 |
0.3× |
| Lyse chest fibrin init day (32561) |
$521.14 |
$1,422 |
0.9× |
| Mastectomy partial w/axillary lymphadenectomy (19302) |
$5,258.26 |
$14,348 |
0.8× |
| Maternity Care Procedure (59899) |
$167.49 |
$457 |
0.9× |
| Myelography Lumbar Injection (62304) |
$561.09 |
$1,531 |
0.7× |
| Myelography via lumbar injection rs&i cervical (62302) |
$561.09 |
$1,531 |
0.7× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$633.28 |
$1,728 |
0.8× |
| N Block Inj Pudendal (64430) |
$808.83 |
$2,207 |
0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$677.26 |
$1,848 |
1.6× |
| Needle Biopsy Lymph Nodes (38505) |
$760.45 |
$2,075 |
0.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$27.12 |
$74 |
1.0× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$27.12 |
$74 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$417.06 |
$1,138 |
1.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$318.48 |
$869 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$229.06 |
$625 |
0.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$534.70 |
$1,459 |
0.8× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$339.73 |
$927 |
0.9× |
| Occipital Nerve Block (64405) |
$94.19 |
$257 |
0.3× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$1,196.20 |
$3,264 |
0.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$1,787.70 |
$4,878 |
0.6× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,005.99 |
$2,745 |
0.6× |
| Percutaneous skeletal fixation of fracture great toe, phalanx or phalanges, with manipulation Facility (28496) |
$2,220.88 |
$6,060 |
0.7× |
| Perq device breast 1st imag (19281) |
$262.04 |
$715 |
0.2× |
| Place Cath Subclavian Art (36225) |
$1,341.69 |
$3,661 |
0.4× |
| Place Cath Thoracic Aorta (36221) |
$1,469.22 |
$4,009 |
0.5× |
Place Cath Vertebral Art (36226) unusually low: confirm this is the full procedure |
$1,878.22 |
$5,125 |
0.3× |
| Place Duod/Jej Tube Perc (49441) |
$1,674.09 |
$4,568 |
0.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$461.40 |
$1,259 |
0.2× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$3,083.57 |
$8,414 |
0.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$3,101.53 |
$8,463 |
0.9× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$779.51 |
$2,127 |
0.9× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$6,056.46 |
$16,526 |
1.0× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,789.65 |
$7,612 |
0.8× |
Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$178.48–$179.95 |
$487–$491 |
varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$220.26 |
$601 |
0.6× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$580.51 |
$1,584 |
1.4× |
| Pvb thoracic cont infusion (64463) |
$623.39 |
$1,701 |
0.9× |
| Removal Embedded Foreign Body Eyelid (67938) |
$274.13 |
$748 |
0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$398 |
$1,086 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$437.58 |
$1,194 |
0.3× |
| Removal Foreign Body Scrotum (55120) |
$1,733.46 |
$4,730 |
0.9× |
| Removal foreign body upper arm/elbow deep (24201) |
$1,044.47 |
$2,850 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$53.51 |
$146 |
0.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$104.45 |
$285 |
1.8× |
| Removal of foreign body from pharynx (42809) |
$211.83 |
$578 |
0.5× |
| Removal of nail bed (11750) |
$437.58 |
$1,194 |
1.1× |
| Removal or bivalving full arm or full leg cast (29705) |
$108.12 |
$295 |
0.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$1,243.84 |
$3,394 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$82.10 |
$224 |
0.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$108.12 |
$295 |
0.4× |
| Remove foreign body from eye (65235) |
$587.11 |
$1,602 |
0.3× |
| Remove foreign body from eye (65205) |
$251.41 |
$686 |
2.0× |
| Remove Intrauterine Device (58301) |
$114.35 |
$312 |
0.4× |
| Remove Nasal Foreign Body (30300) |
$135.97 |
$371 |
1.1× |
| Remove renal tube w/fluoro (50389) |
$481.56 |
$1,314 |
0.7× |
| Remove Shoulder Foreign Body (23330) |
$398 |
$1,086 |
0.2× |
| Renal Biopsy Perq (50200) |
$531.03 |
$1,449 |
0.3× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$1,097.61 |
$2,995 |
0.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$476.06 |
$1,299 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$386.64 |
$1,055 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$496.59 |
$1,355 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$371.98 |
$1,015 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$440.88 |
$1,203 |
1.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$466.17 |
$1,272 |
0.7× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$466.17 |
$1,272 |
0.7× |
| Repair Elbow Perc (24357) |
$1,312.37 |
$3,581 |
0.4× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,097.61 |
$2,995 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$457.37 |
$1,248 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$289.52 |
$790 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$322.87 |
$881 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$322.87 |
$881 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$355.12 |
$969 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$274.13 |
$748 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$308.95 |
$843 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$322.87 |
$881 |
0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$621.56 |
$1,696 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$355.12 |
$969 |
0.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$267.90 |
$731 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$281.46 |
$768 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$445.65 |
$1,216 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$335.70 |
$916 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$347.43 |
$948 |
0.2× |
| Repair Laceration Palate </2 Cm (42180) |
$443.45 |
$1,210 |
0.8× |
| Repair of nail bed (11760) |
$267.90 |
$731 |
0.4× |
| Repair Spica/Body/Jacket Cast (29720) |
$145.50 |
$397 |
0.9× |
| Repair tongue laceration (41252) |
$572.81 |
$1,563 |
2.5× |
| Repair tongue laceration (41250) |
$212.93 |
$581 |
0.5× |
| Reposition Gastrostomy Tube (43761) |
$247.38 |
$675 |
1.0× |
| Retrobulbar injection (67500) |
$269 |
$734 |
0.9× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$167.49 |
$457 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$252.14 |
$688 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$251.41 |
$686 |
2.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$251.41 |
$686 |
0.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$270.83 |
$739 |
0.2× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$398 |
$1,086 |
0.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$398 |
$1,086 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$768.88 |
$2,098 |
1.3× |
| Rmvl/Bivalv Sho/Hip Spica Minerva/Risser Jacket (29710) |
$137.44 |
$375 |
0.5× |
| Rplc Gtube No Revj Trc (43762) |
$160.52 |
$438 |
0.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$1,381.64 |
$3,770 |
0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$587.11 |
$1,602 |
3.0× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$1,196.20 |
$3,264 |
5.2× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$732.97 |
$2,000 |
3.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$409 |
$1,116 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$185.81 |
$507 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$321.41 |
$877 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$425.49 |
$1,161 |
2.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$262.04 |
$715 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$168.59 |
$460 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$151.73 |
$414 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$387.37 |
$1,057 |
2.0× |
| Skin sub graft face/nk/hf/g (15275) |
$504.28 |
$1,376 |
0.7× |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) range across 2 matching MRF lines |
$1,878.22–$1,925.49 |
$5,125–$5,254 |
varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$516.74 |
$1,410 |
0.2× |
| Smn1&smn2 ful gen alys chng dupl&delet&insj (0236U) |
$157.59 |
$430 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$280.73 |
$766 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$550.09 |
$1,501 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$527.74 |
$1,440 |
1.3× |
| Spinal puncture lumbar diagnostic (62270) |
$231.99 |
$633 |
0.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$3,056.08 |
$8,339 |
1.0× |
| Strapping ankle (29540) |
$108.12 |
$295 |
0.7× |
| Strapping elbow or wrist (29260) |
$174.82 |
$477 |
3.1× |
| Strapping hand/finger (29280) |
$174.82 |
$477 |
3.1× |
| Strapping Hip (29520) |
$108.12 |
$295 |
0.8× |
| Strapping knee (29530) |
$123.88 |
$338 |
1.0× |
| Strapping shoulder (29240) |
$174.82 |
$477 |
1.4× |
| Strapping thorax (29200) |
$174.82 |
$477 |
1.1× |
| Strapping toes (29550) |
$108.12 |
$295 |
1.9× |
| Strapping Unna Boot (29580) |
$108.12 |
$295 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$259.47 |
$708 |
0.7× |
| Therapeutic plasma exchange (36514) |
$1,340.22 |
$3,657 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$299.42 |
$817 |
0.9× |
| Thyroid biopsy (60100) |
$330.57 |
$902 |
0.5× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$444.55 |
$1,213 |
0.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,240.17 |
$3,384 |
5.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$735.16 |
$2,006 |
0.5× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$230.15 |
$628 |
0.8× |
| Transcatheter biopsy (37200) |
$4,865.76 |
$13,277 |
0.9× |
| Treat humerus fracture (24500) |
$121.68 |
$332 |
0.5× |
| Treat Humerus Fracture (24505) |
$288.06 |
$786 |
0.2× |
| Treat humerus fracture (23600) |
$288.06 |
$786 |
1.2× |
| Treat knee fracture (27532) |
$288.06 |
$786 |
0.1× |
| Treat Knee Fracture(S) (27538) |
$288.06 |
$786 |
1.2× |
| Treat Knuckle Dislocation (26700) |
$218.06 |
$595 |
0.9× |
| Treat metacarpal fracture (26607) |
$274.13 |
$748 |
0.1× |
| Treat Metatarsal Fracture (28475) |
$288.06 |
$786 |
1.2× |
| Treat Tail Bone Fracture (27200) |
$218.06 |
$595 |
0.9× |
| Treat Thumb Dislocation (26641) |
$220.26 |
$601 |
0.9× |
| Treat Thumb Fracture (26645) |
$288.06 |
$786 |
0.2× |
| Treat toe dislocation (28630) |
$183.25 |
$500 |
0.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,097.61 |
$2,995 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$288.06 |
$786 |
1.2× |
| Trim skin lesion (11055) |
$172.62 |
$471 |
0.9× |
| Tx Gastro Intub W/Asp (43753) |
$300.15 |
$819 |
1.4× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$1,097.61 |
$2,995 |
0.7× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$293.56 |
$801 |
0.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$267.90 |
$731 |
0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$288.06 |
$786 |
0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$288.06 |
$786 |
1.2× |
| Unlisted laparoscopy procedure stomach (43659) |
$4,971.31 |
$13,565 |
0.8× |
| Unlisted procedure breast (19499) |
$5,258.26 |
$14,348 |
1.4× |
| Unlisted Procedure Esophagus (43499) |
$794.90 |
$2,169 |
0.9× |
Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$269–$329.47 |
$734–$899 |
varies |
| Unlisted Procedure Palate Uvula (42299) |
$208.90 |
$570 |
0.9× |
| Unlisted procedure stomach (43999) |
$794.90 |
$2,169 |
0.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$565.48 |
$1,543 |
0.9× |
| Vaginal delivery only (59409) |
$1,202.43 |
$3,281 |
0.4× |
| Vasc Embolize/Occlude Bleed (37244) |
$5,920.86 |
$16,156 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$551.19 |
$1,504 |
1.4× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,675.92 |
$4,573 |
2.3× |