| Abd paracentesis w/imaging (49083) |
$313.05 |
$626.10 |
0.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$211.05 |
$422.10 |
0.2× |
| Application finger splint static (29130) |
$84.40 |
$168.80 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$105.60 |
$211.20 |
0.6× |
| Application Long Leg Splint (29505) |
$126.65 |
$253.30 |
0.7× |
| Application of rigid total contact leg cast (29445) |
$558.25 |
$1,116.50 |
1.9× |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$126.65–$416.90 |
$253.30–$833.80 |
varies |
| Application short leg splint calf foot (29515) |
$126.65 |
$253.30 |
0.7× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$229.50–$344.25 |
$459–$688.50 |
varies |
| Arterial puncture (36600) |
$42.25 |
$84.50 |
0.3× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
$85.75–$246.30 |
$171.50–$492.60 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$137.95 |
$275.90 |
0.2× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$83.40–$246.30 |
$166.80–$492.60 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$154.75 |
$309.50 |
0.5× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 3 matching MRF lines |
$83.15–$246.30 |
$166.30–$492.60 |
varies |
| Aspirate pleura w/ imaging (32555) |
$519.30 |
$1,038.60 |
0.8× |
| Aspirate Pleura W/O Imaging (32554) |
$211.05 |
$422.10 |
0.3× |
| Aspirate/Inj Ganglion Cyst (20612) |
$100 |
$200 |
0.3× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$88–$324.35 |
$176–$648.70 |
varies |
| Biopsy muscle percutaneous needle (20206) |
$1,309.75 |
$2,619.50 |
0.7× |
| Bladder Irrigation (51700) |
$175.95 |
$351.90 |
0.7× |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
$167.55–$527.70 |
$335.10–$1,055.40 |
varies |
| Bx breast 1st lesion us imag (19083) |
$844.30 |
$1,688.60 |
0.5× |
| Catheter aspiration nasotracheal spx (31720) |
$40.25 |
$80.50 |
0.2× |
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines |
$100.55–$105.60 |
$201.10–$211.20 |
varies |
Chemical Cautery Tissue (17250)
range across 2 matching MRF lines |
$254.75–$276.35 |
$509.50–$552.70 |
varies |
| Chest tube placement (32551) |
$894.30 |
$1,788.60 |
0.5× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$513.30 |
$1,026.60 |
0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$232.20 |
$464.40 |
0.1× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$111.15–$166.75 |
$222.30–$333.50 |
varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$110.55 |
$221.10 |
0.4× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$885.50 |
$1,771 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$110.55 |
$221.10 |
0.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$116.10 |
$232.20 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$885.50 |
$1,771 |
0.5× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,175.10 |
$4,350.20 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$116.10 |
$232.20 |
0.4× |
| Closed tx mandibular fracture w/manipulation (21451) |
$221.20 |
$442.40 |
0.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$110.55 |
$221.10 |
0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$211.05 |
$422.10 |
0.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$105.60 |
$211.20 |
0.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$116.10 |
$232.20 |
0.4× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$232.20 |
$464.40 |
0.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$232.20 |
$464.40 |
0.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$885.50 |
$1,771 |
0.5× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$221.20 |
$442.40 |
0.8× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$116.10 |
$232.20 |
0.1× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$116.10 |
$232.20 |
0.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$116.10 |
$232.20 |
0.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$105.60 |
$211.20 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$110.55 |
$221.10 |
0.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$175.95 |
$351.90 |
0.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$221.20 |
$442.40 |
0.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$110.55 |
$221.10 |
0.4× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$221.20 |
$442.40 |
0.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$116.10 |
$232.20 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$116.10 |
$232.20 |
0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$885.50 |
$1,771 |
0.5× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$110.55 |
$221.10 |
0.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$211.05 |
$422.10 |
0.8× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$885.50 |
$1,771 |
0.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$116.10 |
$232.20 |
0.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$116.10 |
$232.20 |
0.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$110.55 |
$221.10 |
0.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$232.20 |
$464.40 |
0.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$105.60 |
$211.20 |
0.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$100.55 |
$201.10 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$105.60 |
$211.20 |
0.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$100.55 |
$201.10 |
0.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$110.55 |
$221.10 |
0.4× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$110.55 |
$221.10 |
0.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$885.50 |
$1,771 |
0.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$105.60 |
$211.20 |
0.4× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$116.10 |
$232.20 |
0.4× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$232.20 |
$464.40 |
0.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$116.10 |
$232.20 |
0.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$110.55 |
$221.10 |
0.4× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$885.50 |
$1,771 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$116.10 |
$232.20 |
0.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$110.55 |
$221.10 |
0.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$688.40 |
$1,376.80 |
2.6× |
| Cltx prox fibula/shft fx w/manj (27781) |
$232.20 |
$464.40 |
0.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$232.20 |
$464.40 |
0.1× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$105.60 |
$211.20 |
0.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$759.75 |
$1,519.50 |
0.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$885.50 |
$1,771 |
0.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$885.50 |
$1,771 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$885.50 |
$1,771 |
0.5× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$12.20–$14.80 |
$24.40–$29.60 |
varies |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines |
$105.60–$171.05 |
$211.20–$342.10 |
varies |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$105.60–$171.05 |
$211.20–$342.10 |
varies |
Control oropharyngeal hemorrhage simple (42960)
range across 2 matching MRF lines |
$105.60–$134.05 |
$211.20–$268.10 |
varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$105.60 |
$211.20 |
0.7× |
Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000)
range across 2 matching MRF lines |
$325.50–$426.85 |
$651–$853.70 |
varies |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 2 matching MRF lines |
$351.80–$1,328.80 |
$703.60–$2,657.60 |
varies |
| Debride nail 1-5 (11720) |
$123.65 |
$247.30 |
2.0× |
| Debride nail 6 or more (11721) |
$177.55 |
$355.10 |
2.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,638.05 |
$3,276.10 |
0.9× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 2 matching MRF lines |
$369.40–$860.90 |
$738.80–$1,721.80 |
varies |
| Declot vascular device (36593) |
$48.75 |
$97.50 |
0.1× |
| Drainage Finger Abscess Complicated (26011) |
$116.10 |
$232.20 |
0.1× |
| Drainage of finger abscess simple (26010) |
$105.60 |
$211.20 |
0.5× |
| Drainage of gum lesion (41800) |
$263.20 |
$526.40 |
1.8× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$704.85–$740.10 |
$1,409.70–$1,480.20 |
varies |
| Draw Blood Off Venous Device (36591) |
$110.20 |
$220.40 |
0.8× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030)
range across 2 matching MRF lines |
$105.85–$111.15 |
$211.70–$222.30 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines |
$105.85–$111.15 |
$211.70–$222.30 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
$105.85–$111.15 |
$211.70–$222.30 |
varies |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$373.70 |
$747.40 |
0.5× |
| Epidural Blood Patch (62273) |
$262.65 |
$525.30 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$105.60 |
$211.20 |
0.7× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,055.35 |
$2,110.70 |
0.8× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$994.70 |
$1,989.40 |
0.3× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$457.30 |
$914.60 |
0.6× |
| Fna bx w/us gdn 1st les (10005) |
$527.70 |
$1,055.40 |
0.7× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$228.70–$251.30 |
$457.40–$502.60 |
varies |
| I&d perianal abscess superficial (46050) |
$383.20 |
$766.40 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$180.90 |
$361.80 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$351.80 |
$703.60 |
0.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$211.05 |
$422.10 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$185.05 |
$370.10 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$185.60 |
$371.20 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$218.25 |
$436.50 |
0.7× |
| Incision of rectal abscess (46040) |
$936.35 |
$1,872.70 |
0.7× |
Initial Tx 1st Degree Burn Local Tx (16000)
range across 2 matching MRF lines |
$105.85–$111.15 |
$211.70–$222.30 |
varies |
| Inj W/Fluor Eval Cv Device (36598) |
$188.05 |
$376.10 |
0.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$90.25 |
$180.50 |
0.3× |
| Injection for identification of sentinel node (38792) |
$457.30 |
$914.60 |
1.1× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$60.90–$84.15 |
$121.80–$168.30 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$96.75 |
$193.50 |
0.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$211.05 |
$422.10 |
0.3× |
| Insert Bladder Cath Complex (51703) |
$105.60 |
$211.20 |
0.8× |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
$211.05–$1,041.35 |
$422.10–$2,082.70 |
varies |
| Insert Temp Bladder Cath (51702) |
$158.35 |
$316.70 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$158.35 |
$316.70 |
1.1× |
| Insertion indwelling tunneled pleural catheter (32550) |
$1,252.80 |
$2,505.60 |
0.3× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$272.25 |
$544.50 |
0.1× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$773.95–$1,436.65 |
$1,547.90–$2,873.30 |
varies |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$450.25 |
$900.50 |
1.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$531.20 |
$1,062.40 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$211.05 |
$422.10 |
0.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$398.75 |
$797.50 |
1.5× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$225.75 |
$451.50 |
1.1× |
| Myelography Lumbar Injection (62305) |
$433.65 |
$867.30 |
0.5× |
| Myelography Lumbar Injection (62304) |
$398.30 |
$796.60 |
0.5× |
| Myelography via lumbar injection rs&i cervical (62302) |
$402.85 |
$805.70 |
0.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$409.80 |
$819.60 |
0.5× |
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines |
$64.35–$475.75 |
$128.70–$951.50 |
varies |
| Needle Biopsy Lymph Nodes (38505) |
$188 |
$376 |
0.1× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$44.75 |
$89.50 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$31.90 |
$63.80 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$794.35 |
$1,588.70 |
1.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$177.75 |
$355.50 |
0.5× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$661.40 |
$1,322.80 |
0.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$501.50 |
$1,003 |
0.7× |
| Percut Drain/Inject Renal Cyst (50390) |
$150.35 |
$300.70 |
0.2× |
| Perfluoroalkyl substances (PFAS) (eg, perfluorooctanoic acid, perfluorooctane sulfonic acid), by liquid chromatography… (0535U) |
$1,010.65 |
$2,021.30 |
16.3× |
| Peritoneal Lavage (49084) |
$201 |
$402 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$105.60 |
$211.20 |
0.2× |
| Pseudoaneurysm Injection Trt (36002) |
$237.95 |
$475.90 |
0.4× |
| Punch biopsy skin single lesion (11104) |
$667.15 |
$1,334.30 |
1.5× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$165.55–$199.30 |
$331.10–$398.60 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$199.20 |
$398.40 |
0.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$91.90 |
$183.80 |
0.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$770.30 |
$1,540.60 |
0.8× |
| Removal Embedded Foreign Body Eyelid (67938) |
$167.55 |
$335.10 |
0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$211.05 |
$422.10 |
0.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$201 |
$402 |
0.1× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$84.40–$126.40 |
$168.80–$252.80 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$105.60–$179.10 |
$211.20–$358.20 |
varies |
| Removal of nail bed (11750) |
$211.05 |
$422.10 |
0.5× |
| Remove foreign body from eye (65205) |
$105.60 |
$211.20 |
0.7× |
| Remove Intrauterine Device (58301) |
$242.10 |
$484.20 |
0.7× |
| Remove Nasal Foreign Body (30300) |
$105.60 |
$211.20 |
0.7× |
| Remove renal tube w/fluoro (50389) |
$650.10 |
$1,300.20 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$211.05 |
$422.10 |
0.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$292 |
$584 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$185.05 |
$370.10 |
0.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$221.60 |
$443.20 |
0.5× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$175.95 |
$351.90 |
0.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$255.45 |
$510.90 |
0.6× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$211.05 |
$422.10 |
0.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$211.05 |
$422.10 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$220 |
$440 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$269.50 |
$539 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$310.30 |
$620.60 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$377.05 |
$754.10 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$600.15 |
$1,200.30 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$246.30 |
$492.60 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$220 |
$440 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$175.95 |
$351.90 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$211.05 |
$422.10 |
0.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,090.95 |
$2,181.90 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$281.45 |
$562.90 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$263.85 |
$527.70 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$211.05 |
$422.10 |
0.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$316.50 |
$633 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$246.30 |
$492.60 |
0.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,090.95 |
$2,181.90 |
0.5× |
| Repair of nail bed (11760) |
$105.60 |
$211.20 |
0.1× |
| Repair tongue laceration (41250) |
$105.60 |
$211.20 |
0.2× |
| Reposition Gastrostomy Tube (43761) |
$200.95 |
$401.90 |
0.8× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$201 |
$402 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$105.60 |
$211.20 |
0.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$231.20 |
$462.40 |
1.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$100.55 |
$201.10 |
0.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$201 |
$402 |
0.1× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$201 |
$402 |
0.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$201 |
$402 |
0.1× |
| Rplc Gtube No Revj Trc (43762) |
$398.65 |
$797.30 |
1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$211.05 |
$422.10 |
1.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$281.45 |
$562.90 |
0.4× |
| Rpr/advmnt flxr tdn zone 2 w/o fr grft ea tendon (26356) |
$4,366.95 |
$8,733.90 |
1.2× |
| Shave skin lesion 0.5 cm/< (11300) |
$273.45 |
$546.90 |
0.6× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$87.85 |
$175.70 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$246.30 |
$492.60 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$206.20 |
$412.40 |
1.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$140.75 |
$281.50 |
0.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$281.45 |
$562.90 |
0.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$175.95 |
$351.90 |
0.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$316.50 |
$633 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$194.85 |
$389.70 |
0.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$246.30 |
$492.60 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$140.75 |
$281.50 |
0.7× |
| Skin sub graft face/nk/hf/g (15275) |
$2,138.20 |
$4,276.40 |
2.7× |
| Skin sub graft trnk/arm/leg (15271) |
$1,746.70 |
$3,493.40 |
2.2× |
| Skin sub grft t/arm/lg child (15273) |
$921.40 |
$1,842.80 |
0.4× |
| Skn sub grft f/n/hf/g child (15277) |
$737.10 |
$1,474.20 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$207.60 |
$415.20 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$175.95 |
$351.90 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$211.05 |
$422.10 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$211.05 |
$422.10 |
0.3× |
| Strapping ankle (29540) |
$100.55 |
$201.10 |
0.6× |
| Strapping elbow or wrist (29260) |
$100.55 |
$201.10 |
1.6× |
| Strapping hand/finger (29280) |
$100.55 |
$201.10 |
1.6× |
| Strapping Hip (29520) |
$100.55 |
$201.10 |
0.7× |
| Strapping knee (29530) |
$100.55 |
$201.10 |
0.7× |
| Strapping shoulder (29240) |
$105.60 |
$211.20 |
0.7× |
| Strapping Unna Boot (29580) |
$184.30 |
$368.60 |
1.1× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$478.20 |
$956.40 |
0.6× |
| Thrombolytic Therapy Stroke (37195) |
$387.65 |
$775.30 |
1.1× |
| Thyroid biopsy (60100) |
$457.30 |
$914.60 |
0.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$478.65 |
$957.30 |
1.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$221.20 |
$442.40 |
0.1× |
| Treat Humerus Fracture (24505) |
$885.50 |
$1,771 |
0.5× |
| Treat Knuckle Dislocation (26700) |
$116.10 |
$232.20 |
0.4× |
| Treat Metatarsal Fracture (28475) |
$110.55 |
$221.10 |
0.4× |
| Treat Tail Bone Fracture (27200) |
$110.55 |
$221.10 |
0.4× |
| Treat Thumb Dislocation (26641) |
$116.10 |
$232.20 |
0.4× |
| Treat Thumb Fracture (26645) |
$221.20 |
$442.40 |
0.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$116.10 |
$232.20 |
0.4× |
| Trimming Nondystrophic Nails Any Number (11719) |
$103 |
$206 |
1.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$211.05 |
$422.10 |
0.3× |
| Unlisted Procedure Male Genital System (55899) |
$398.65 |
$797.30 |
1.5× |
| Unlisted Procedure Muscskeletal System General (20999) |
$4,510.15 |
$9,020.30 |
17.1× |
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines |
$366.80–$725.10 |
$733.60–$1,450.20 |
varies |
| Vaginal delivery only (59409) |
$3,266.50 |
$6,533 |
0.9× |
| Venous Cutdown >1 Y/O (36425) |
$100.55 |
$201.10 |
0.2× |
| Wedge excision skin nail fold (11765) |
$252.70 |
$505.40 |
0.6× |