| Abd paracentesis w/imaging (49083) |
$1,826.40 |
$2,283 |
2.1× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,440 |
$1,800 |
1.7× |
| Acne surgery (10040) |
$240 |
$300 |
1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,600 |
$2,000 |
0.5× |
| Application cast elbow finger short arm (29075) |
$580.80 |
$726 |
2.2× |
| Application finger splint static (29130) |
$31.20 |
$39 |
0.2× |
| Application long arm splint shoulder hand (29105) |
$220 |
$275 |
1.4× |
| Application Long Leg Splint (29505) |
$154.40 |
$193 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$591.31 |
$739.14 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$35.20 |
$44 |
0.3× |
| Application short leg splint calf foot (29515) |
$346.30 |
$432.87 |
2.2× |
| Apply long arm cast (29065) |
$580.80 |
$726 |
2.2× |
| Apply Multlay Comprs Lwr Leg (29581) |
$346.30 |
$432.87 |
2.2× |
| Arterial puncture (36600) |
$48.80 |
$61 |
0.4× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$112.80 |
$141 |
0.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$240 |
$300 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$240 |
$300 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$240 |
$300 |
0.4× |
| Aspirate Pleura W/O Imaging (32554) |
$196 |
$245 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$440.16 |
$550.20 |
2.3× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$120 |
$150 |
0.1× |
| Bladder Scan (51798) |
$28 |
$35 |
0.5× |
| Blood Transfusion Service (36430) |
$604.80 |
$756 |
1.4× |
Chemical Cautery Tissue (17250) range across 2 matching MRF lines |
$82.40–$440.16 |
$103–$550.20 |
varies |
| Chest tube placement (32551) |
$149.60 |
$187 |
0.1× |
Clear outer ear canal (69200) range across 2 matching MRF lines |
$44–$88 |
$55–$110 |
varies |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,212 |
$1,515 |
5.1× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$132 |
$165 |
0.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$384 |
$480 |
0.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,040 |
$1,300 |
0.7× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$588 |
$735 |
2.5× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,040 |
$1,300 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$220 |
$275 |
0.9× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$513.60 |
$642 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$732 |
$915 |
3.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$513.60 |
$642 |
2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$513.60 |
$642 |
2.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$840 |
$1,050 |
3.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$620 |
$775 |
2.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$540 |
$675 |
2.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$420 |
$525 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$513.60 |
$642 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$132 |
$165 |
0.6× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$920.23 |
$1,150.29 |
0.6× |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$10.40–$36.80 |
$13–$46 |
varies |
| Complex drainage wound (10180) |
$564 |
$705 |
0.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$49.60 |
$62 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$92.80 |
$116 |
0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,283.74 |
$1,604.67 |
1.8× |
Debride nail 1-5 (11720) range across 2 matching MRF lines |
$72–$136.44 |
$90–$170.55 |
varies |
| Debride nail 6 or more (11721) |
$136.44 |
$170.55 |
2.4× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,448.78 |
$4,310.97 |
2.2× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$308–$847.20 |
$385–$1,059 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$240.80 |
$301 |
1.2× |
| Destruction Benign Lesions 15/> (17111) |
$287.20 |
$359 |
1.5× |
| Destruction Premalignant Lesion 15/> (17004) |
$330.40 |
$413 |
0.8× |
| Destruction premalignant lesion 1st (17000) |
$146.40 |
$183 |
0.8× |
| Drainage of hematoma/fluid (10140) |
$3,448.78 |
$4,310.97 |
2.2× |
| Draw Blood Off Venous Device (36591) |
$22.40 |
$28 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$847.20 |
$1,059 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$440.16 |
$550.20 |
2.3× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$122.40–$440.16 |
$153–$550.20 |
varies |
| Evacuation of subungual hematoma (11740) |
$123.20 |
$154 |
1.0× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$160 |
$200 |
0.2× |
| Exc Back Les Sc < 3 Cm (21930) |
$807.43 |
$1,009.29 |
0.5× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$1,630.66 |
$2,038.32 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$220 |
$275 |
0.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$180 |
$225 |
0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$200 |
$250 |
0.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$240 |
$300 |
0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$400 |
$500 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$320 |
$400 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$360 |
$450 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$380 |
$475 |
1.0× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$440 |
$550 |
0.6× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$84–$440.16 |
$105–$550.20 |
varies |
| I&d pilonidal cyst complicated (10081) |
$760 |
$950 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$420 |
$525 |
0.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$847.20 |
$1,059 |
2.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$600 |
$750 |
0.4× |
Incision & removal foreign body subq tiss simple (10120) range across 3 matching MRF lines |
$92.80–$847.20 |
$116–$1,059 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$280 |
$350 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$1,283.98 |
$1,604.97 |
1.8× |
Initial Tx 1st Degree Burn Local Tx (16000) range across 2 matching MRF lines |
$40–$440.16 |
$50–$550.20 |
varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$220.06 |
$275.07 |
0.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$228 |
$285 |
0.8× |
| Injection anesthetic agent suprascapular nerve (64418) |
$137.42 |
$171.78 |
0.2× |
| Injection single tendon origin/insertion (20551) |
$96 |
$120 |
0.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$92 |
$115 |
0.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$620 |
$775 |
0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$480 |
$600 |
0.7× |
| Injection, anesthetic agent; vagus nerve (64408) |
$280 |
$350 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$216.80 |
$271 |
1.8× |
| Insert Drug Implant Device (11981) |
$210.02 |
$262.53 |
1.6× |
| Insert non-tunnel cv cath (36556) |
$180 |
$225 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$126.40 |
$158 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$126.40 |
$158 |
1.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$800 |
$1,000 |
0.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$184 |
$230 |
0.1× |
| Insj Picc Rs&I <5 Yr (36572) |
$800 |
$1,000 |
1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,200 |
$1,500 |
0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$771.20 |
$964 |
2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$771.20 |
$964 |
2.0× |
Intubation endotracheal emergency procedure (31500) range across 2 matching MRF lines |
$96.80–$423.20 |
$121–$529 |
varies |
| Manipulation Elbow Under Anesthesia (24300) |
$936.96 |
$1,171.20 |
0.6× |
| N block inj intercost sng (64420) |
$159.70 |
$199.62 |
0.2× |
| N Block Inj Plantar Digit (64455) |
$118.40 |
$148 |
0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$220 |
$275 |
0.7× |
| Occipital Nerve Block (64405) |
$225.60 |
$282 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$312.80 |
$391 |
0.7× |
Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$227.20–$847.20 |
$284–$1,059 |
varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$847.20 |
$1,059 |
2.2× |
| Removal Foreign Body Foot Complicated (28193) |
$760 |
$950 |
0.5× |
| Removal foreign body foot deep (28192) |
$760 |
$950 |
0.5× |
Removal Foreign Body Foot Subcutaneous (28190) range across 2 matching MRF lines |
$114.40–$1,525.30 |
$143–$1,906.62 |
varies |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$140 |
$175 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$140 |
$175 |
2.5× |
| Removal implantable contraceptive capsules (11976) |
$200 |
$250 |
0.3× |
| Removal of foreign body from pharynx (42809) |
$291.05 |
$363.81 |
0.7× |
| Removal of nail bed (11750) |
$320 |
$400 |
0.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$195.20 |
$244 |
1.0× |
| Remove drug implant device (11982) |
$232.13 |
$290.16 |
0.5× |
| Remove foreign body from eye (65205) |
$40 |
$50 |
0.3× |
| Remove Intrauterine Device (58301) |
$231.07 |
$288.84 |
0.8× |
| Remove Nasal Foreign Body (30300) |
$88 |
$110 |
0.7× |
| Remove Tendon Sheath Lesion (26160) |
$680 |
$850 |
0.4× |
| Remove/Insert Drug Implant (11983) |
$298.18 |
$372.72 |
0.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$680.26 |
$850.32 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$744.84 |
$931.05 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$354.40 |
$443 |
0.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$980 |
$1,225 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$404.80 |
$506 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$172 |
$215 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$771.20 |
$964 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$692 |
$865 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$771.20 |
$964 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$600 |
$750 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$128 |
$160 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$439.20 |
$549 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$772.80 |
$966 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$248.80 |
$311 |
0.6× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$163.20–$240 |
$204–$300 |
varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,196 |
$1,495 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$172 |
$215 |
0.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$780 |
$975 |
0.4× |
| Repair of nail bed (11760) |
$396 |
$495 |
0.6× |
| Repair tongue laceration (41252) |
$494.40 |
$618 |
2.2× |
| Repair tongue laceration (41250) |
$252 |
$315 |
0.6× |
| Reposition Gastrostomy Tube (43761) |
$235.22 |
$294.03 |
1.0× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$260 |
$325 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$36 |
$45 |
0.1× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$544 |
$680 |
0.5× |
Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) range across 2 matching MRF lines |
$110.40–$384.80 |
$138–$481 |
varies |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$494.40 |
$618 |
2.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$100 |
$125 |
0.5× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 2 matching MRF lines |
$48.80–$243.20 |
$61–$304 |
varies |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$52.80–$267.20 |
$66–$334 |
varies |
Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) range across 2 matching MRF lines |
$66.40–$317.60 |
$83–$397 |
varies |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$40–$198.40 |
$50–$248 |
varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$66.40 |
$83 |
0.3× |
| Skin sub graft face/nk/hf/g (15275) |
$4,198.22 |
$5,247.78 |
5.9× |
| Skin sub graft trnk/arm/leg (15271) |
$4,198.22 |
$5,247.78 |
5.9× |
| Skin sub grft t/arm/lg child (15273) |
$8,630.93 |
$10,788.66 |
4.3× |
| Skn sub grft f/n/hf/g child (15277) |
$4,198.22 |
$5,247.78 |
2.1× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$52.80–$243.20 |
$66–$304 |
varies |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$84–$374.40 |
$105–$468 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$233.60 |
$292 |
0.6× |
| Strapping ankle (29540) |
$132 |
$165 |
0.8× |
| Strapping elbow or wrist (29260) |
$101.60 |
$127 |
1.8× |
| Strapping hand/finger (29280) |
$22.40 |
$28 |
0.4× |
| Strapping knee (29530) |
$22.40 |
$28 |
0.2× |
| Strapping toes (29550) |
$124 |
$155 |
2.2× |
Strapping Unna Boot (29580) range across 2 matching MRF lines |
$346.30–$440 |
$432.87–$550 |
varies |
| Subcutaneous Hormone Pellet Implantation (11980) |
$300 |
$375 |
0.7× |
| Tangential biopsy skin single lesion (11102) |
$440.16 |
$550.20 |
1.1× |
| Treat Thumb Dislocation (26641) |
$516 |
$645 |
2.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$88 |
$110 |
0.4× |
Trim skin lesion (11055) range across 2 matching MRF lines |
$28–$440.16 |
$35–$550.20 |
varies |
| Trim skin lesions 2 to 4 (11056) |
$440.16 |
$550.20 |
2.3× |
| Trim skin lesions over 4 (11057) |
$440.16 |
$550.20 |
2.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$136.44 |
$170.55 |
2.4× |
| Tx Gastro Intub W/Asp (43753) |
$22.40 |
$28 |
0.1× |
| Unlisted Procedure External Ear (69399) |
$260.80 |
$326 |
1.1× |
| Vaginal delivery only (59409) |
$1,650.40 |
$2,063 |
0.5× |
| Wedge excision skin nail fold (11765) |
$228 |
$285 |
0.6× |