| Abd paracentesis w/imaging (49083) |
$669 |
$1,014 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$407 |
$617 |
0.4× |
| Acne surgery (10040) |
$267 |
$404 |
1.3× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$432 |
$654 |
1.4× |
| Anal/Urinary Muscle Study (51784) |
$300 |
$454 |
2.2× |
| Application cast elbow finger short arm (29075) |
$325 |
$493 |
1.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$435 |
$659 |
1.5× |
| Application of long leg cast (29345) |
$521 |
$789 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$285 |
$432 |
2.1× |
| Apply hand/wrist cast (29085) |
$158 |
$240 |
0.9× |
| Apply long arm cast (29065) |
$627 |
$950 |
2.2× |
| Apply Short Leg Cast (29405) |
$350 |
$530 |
1.2× |
| Arterial puncture (36600) |
$163 |
$247 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$378 |
$573 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$300 |
$455 |
0.9× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$378 |
$573 |
1.2× |
| Aspirate pleura w/ imaging (32555) |
$829 |
$1,256 |
1.3× |
| Aspirate Pleura W/O Imaging (32554) |
$946 |
$1,433 |
1.5× |
| Aspirate/Inj Ganglion Cyst (20612) |
$356 |
$540 |
1.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,606 |
$2,433 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$267 |
$405 |
1.3× |
| Biopsy muscle percutaneous needle (20206) |
$1,384 |
$2,097 |
0.8× |
| Biopsy Salivary Gland Needle (42400) |
$901 |
$1,365 |
1.2× |
| Biopsy Vaginal Mucosa Simple (57100) |
$821 |
$1,244 |
0.9× |
| Bladder instillation anticarcinogenic agent (51720) |
$833 |
$1,262 |
1.2× |
| Bladder Irrigation (51700) |
$378 |
$573 |
1.5× |
Bladder Scan (51798)
range across 2 matching MRF lines |
$109–$117 |
$165–$177 |
varies |
Blood Transfusion Service (36430)
range across 4 matching MRF lines |
$521–$591 |
$790–$896 |
varies |
| Bone Marrow Biopsy (38221) |
$677 |
$1,025 |
0.4× |
| Bronchoscopy W/Biopsy(S) (31625) |
$2,061 |
$3,122 |
1.1× |
| Bx breast 1st lesion us imag (19083) |
$1,563 |
$2,368 |
0.9× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$1,563 |
$2,368 |
0.9× |
| Bx Cervix (57500) |
$1,668 |
$2,527 |
1.7× |
| Catheter aspiration nasotracheal spx (31720) |
$293 |
$444 |
1.3× |
| Change Cystostomy Tube Complicated (51710) |
$732 |
$1,109 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$358 |
$543 |
1.4× |
| Chemical Cautery Tissue (17250) |
$281 |
$426 |
1.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$274 |
$415 |
0.1× |
| Clear outer ear canal (69200) |
$243 |
$368 |
1.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$439 |
$665 |
1.7× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$284 |
$431 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$263 |
$399 |
1.0× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$439 |
$665 |
1.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$163 |
$247 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$21 |
$32 |
2.2× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,890 |
$2,863 |
1.5× |
| Colonoscopy thru stoma (44388) |
$1,890 |
$2,863 |
2.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$2,039 |
$3,090 |
1.6× |
| Colonoscopy w/ablation (45388) |
$1,982 |
$3,003 |
1.6× |
| Colonoscopy w/submucosal inj (45381) |
$1,890 |
$2,863 |
1.5× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$363 |
$550 |
1.1× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$174 |
$264 |
0.8× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,890 |
$2,863 |
1.5× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,890 |
$2,863 |
1.5× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 3 matching MRF lines |
$281–$288 |
$425–$437 |
varies |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,561 |
$3,880 |
1.2× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$3,581 |
$5,425 |
1.6× |
| Cystometrogram W/Vp&Up (51729) |
$576 |
$872 |
0.8× |
| Cystourethroscopy (52000) |
$1,203 |
$1,823 |
1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$449 |
$680 |
0.6× |
| Debride nail 1-5 (11720) |
$86 |
$131 |
1.4× |
| Debride nail 6 or more (11721) |
$88 |
$134 |
1.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,563 |
$2,368 |
0.9× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$244 |
$370 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$477 |
$723 |
1.1× |
| Declot vascular device (36593) |
$440 |
$667 |
1.3× |
| Destroy cerv/thor facet jnt (64633) |
$2,376 |
$3,600 |
1.2× |
| Destroy lumb/sac facet jnt (64635) |
$2,006 |
$3,040 |
1.0× |
| Destruction Internal Hemorrhoid Thermal Energy (46930) |
$1,501 |
$2,274 |
1.2× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$267 |
$405 |
1.3× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,486 |
$3,766 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$1,709 |
$2,590 |
1.8× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,236 |
$1,872 |
1.3× |
| Dilate Urethra Stricture (53620) |
$2,367 |
$3,587 |
3.3× |
| Dilate Urethra Stricture (53600) |
$381 |
$578 |
1.5× |
| Drain Cerebro Spinal Fluid (62272) |
$851 |
$1,290 |
1.2× |
| Drainage of hematoma/fluid (10140) |
$1,563 |
$2,368 |
0.9× |
| Drainage of hydrocele (55000) |
$904 |
$1,370 |
1.2× |
| Draw Blood Off Venous Device (36591) |
$163 |
$247 |
1.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,164 |
$1,764 |
1.3× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,295 |
$3,477 |
1.2× |
| Egd control bleeding any (43255) |
$1,836 |
$2,782 |
0.9× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,890 |
$2,863 |
0.9× |
| Egd Flexible Foreign Body Removal (43247) |
$1,817 |
$2,753 |
1.9× |
| Egd remove lesion snare (43251) |
$1,965 |
$2,978 |
1.0× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$432 |
$654 |
1.4× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$432 |
$654 |
1.4× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$432 |
$654 |
1.4× |
| Electro-Uroflowmetry First (51741) |
$198 |
$300 |
0.9× |
| Endometrial Biopsy (58100) |
$1,552 |
$2,352 |
7.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$3,673 |
$5,565 |
1.1× |
| Epidural Blood Patch (62273) |
$927 |
$1,404 |
1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,461 |
$2,213 |
0.9× |
| Excision nasal polyp(s) simple (30110) |
$1,085 |
$1,644 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$270 |
$409 |
0.6× |
| Fna bx w/us gdn 1st les (10005) |
$884 |
$1,340 |
1.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$545 |
$825 |
0.6× |
| I&d abscess simple (10060) |
$432 |
$655 |
2.1× |
| I&d perianal abscess superficial (46050) |
$820 |
$1,243 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$801 |
$1,213 |
1.1× |
| Implant neuroelectrodes (63650) |
$9,022 |
$13,670 |
1.4× |
| Implant Spine Infusion Pump (62362) |
$25,817 |
$39,117 |
1.4× |
| Incise external hemorrhoid (46083) |
$280 |
$424 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$842 |
$1,275 |
2.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,505 |
$2,281 |
3.6× |
| Incision of eardrum (69420) |
$591 |
$896 |
2.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,719 |
$2,604 |
1.0× |
| Incisional biopsy eyelid skin & lid margin (67810) |
$350 |
$530 |
1.1× |
| Incisional biopsy skin single lesion (11106) |
$534 |
$809 |
0.7× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,281 |
$1,941 |
1.4× |
| Inj W/Fluor Eval Cv Device (36598) |
$507 |
$768 |
2.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$378 |
$573 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$851 |
$1,290 |
1.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$380 |
$575 |
0.4× |
| Injection single tendon origin/insertion (20551) |
$356 |
$540 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$381 |
$578 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$591 |
$895 |
1.9× |
| Injection therapeutic carpal tunnel (20526) |
$356 |
$540 |
1.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$259 |
$393 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$202 |
$306 |
1.5× |
| Insert Temp Bladder Cath (51702) |
$172 |
$261 |
1.2× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 3 matching MRF lines |
$130–$143 |
$197–$217 |
varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,964 |
$2,975 |
1.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,304 |
$1,975 |
0.8× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$43,798 |
$66,360 |
1.4× |
| Intraoral i&d tongue/floor lingual (41000) |
$921 |
$1,395 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$366 |
$554 |
1.5× |
| Laryngoscopy flexible diagnostic (31575) |
$251 |
$380 |
1.2× |
| Myelography Lumbar Injection (62304) |
$1,074 |
$1,628 |
1.3× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,074 |
$1,628 |
1.3× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,074 |
$1,628 |
1.3× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$894 |
$1,355 |
1.2× |
| N block inj intercost sng (64420) |
$989 |
$1,499 |
1.3× |
| N Block Inj Plantar Digit (64455) |
$259 |
$393 |
0.8× |
| Needle Biopsy Lymph Nodes (38505) |
$2,193 |
$3,322 |
1.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$610 |
$924 |
1.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,281 |
$1,941 |
1.4× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,281 |
$1,941 |
1.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$951 |
$1,441 |
1.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,057 |
$1,602 |
1.2× |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323)
range across 2 matching MRF lines |
$881–$1,319 |
$1,335–$1,999 |
varies |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$371 |
$562 |
0.9× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$371 |
$562 |
0.9× |
| Njx Sclrsnt Spider Veins (36468) |
$187 |
$283 |
0.4× |
| Occipital Nerve Block (64405) |
$399 |
$605 |
1.3× |
| Perq Cervicothoracic Inject (22510) |
$3,831 |
$5,804 |
1.1× |
| Perq dev breast 1st us imag (19285) |
$1,169 |
$1,771 |
1.6× |
| Perq device breast 1st imag (19281) |
$999 |
$1,514 |
0.6× |
| Perq Lumbosacral Injection (22511) |
$3,831 |
$5,804 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$9,811 |
$14,865 |
1.3× |
| Perq Vertebral Augmentation (22513) |
$8,202 |
$12,427 |
1.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,482 |
$2,246 |
3.5× |
| Puncture Aspiration Cyst Breast (19000) |
$877 |
$1,329 |
1.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$877 |
$1,329 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$96 |
$145 |
1.6× |
| Removal Implant Superficial Separate Procedure (20670) |
$2,577 |
$3,904 |
1.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$267 |
$405 |
1.3× |
| Remove drug implant device (11982) |
$412 |
$624 |
0.9× |
| Remove Intrauterine Device (58301) |
$654 |
$991 |
2.1× |
| Remove Tendon Sheath Lesion (26160) |
$1,913 |
$2,898 |
1.1× |
| Remove/Insert Drug Implant (11983) |
$412 |
$624 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$490 |
$742 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$490 |
$742 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$381 |
$577 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$418 |
$633 |
1.0× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$9,510 |
$14,409 |
1.4× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$4,522 |
$6,852 |
1.2× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$2,487 |
$3,768 |
1.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,055 |
$1,598 |
1.6× |
| Rplc Gtube No Revj Trc (43762) |
$610 |
$924 |
2.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,965 |
$2,978 |
1.6× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$3,454 |
$5,233 |
1.0× |
| Sigmoidoscopy & Polypectomy (45333) |
$2,039 |
$3,090 |
2.1× |
| Sigmoidoscopy w/fb removal (45332) |
$2,039 |
$3,090 |
1.6× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$1,742 |
$2,640 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$328 |
$497 |
1.6× |
| Spinal puncture lumbar diagnostic (62270) |
$899 |
$1,362 |
1.2× |
| Strapping ankle (29540) |
$114 |
$172 |
0.7× |
| Strapping Unna Boot (29580) |
$286 |
$433 |
1.7× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,057 |
$1,602 |
1.4× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,085 |
$1,644 |
1.9× |
| Treat humerus fracture (23600) |
$265 |
$401 |
1.0× |
| Trim skin lesion (11055) |
$267 |
$405 |
1.3× |
| Trim skin lesions 2 to 4 (11056) |
$267 |
$405 |
1.3× |
| Trim skin lesions over 4 (11057) |
$267 |
$405 |
1.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,547 |
$2,344 |
0.7× |