| Application finger splint static (29130) |
$50 |
$50 |
0.4× |
| Application long arm splint shoulder hand (29105) |
$154 |
$154 |
1.0× |
| Application Long Leg Splint (29505) |
$127 |
$127 |
0.9× |
| Application of rigid total contact leg cast (29445) |
$711.78 |
$711.78 |
2.8× |
| Application short arm splint forearm-hand static (29125) |
$133 |
$133 |
1.1× |
| Application short leg splint calf foot (29515) |
$133 |
$133 |
0.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$895 |
$895 |
6.0× |
| Arterial puncture (36600) |
$188 |
$188 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$45 |
$45 |
0.2× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$79–$448 |
$79–$448 |
varies |
| Avulsion nail plate partial/complete simple 1 (11730) |
$300 |
$300 |
1.6× |
| Blepharotomy drainage abscess eyelid (67700) |
$162.35 |
$162.35 |
0.6× |
| Blood Transfusion Service (36430) |
$564 |
$564 |
1.4× |
| Catheter aspiration nasotracheal spx (31720) |
$315 |
$315 |
1.6× |
| Chemical Cautery Tissue (17250) |
$670.45 |
$670.45 |
3.7× |
| Chest tube placement (32551) |
$2,786 |
$2,786 |
1.9× |
| Clear outer ear canal (69200) |
$239 |
$239 |
2.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$689.50 |
$689.50 |
3.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$481.95 |
$481.95 |
2.1× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$52.70 |
$52.70 |
0.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$549 |
$549 |
0.4× |
Clsd tx shoulder dislc w/manipulation w/o anes (23650) range across 2 matching MRF lines |
$415.44–$420.70 |
$415.44–$420.70 |
varies |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$647.25 |
$647.25 |
0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,405 |
$2,405 |
1.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$375.81 |
$375.81 |
1.7× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$794 |
$794 |
0.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$235.76 |
$235.76 |
1.0× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$191.18 |
$191.18 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$272 |
$272 |
1.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$141.15 |
$141.15 |
0.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$379 |
$379 |
1.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$338.55 |
$338.55 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$422.35 |
$422.35 |
1.9× |
Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) range across 2 matching MRF lines |
$25–$370 |
$25–$370 |
varies |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$551.05 |
$551.05 |
0.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$985 |
$985 |
0.7× |
| Collection of venous blood by venipuncture (36415) |
$19.95 |
$19.95 |
2.1× |
| Colpotomy; with drainage of pelvic abscess (57010) |
$632.60 |
$632.60 |
0.2× |
Control Nasal Hemorrhage Anterior Simple (30901) range across 2 matching MRF lines |
$83.65–$137.60 |
$83.65–$137.60 |
varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$168.48 |
$168.48 |
1.4× |
Deb Musc/Fascia 20 Sq Cm/< (11043) range across 2 matching MRF lines |
$1,029.25–$1,464.51 |
$1,029.25–$1,464.51 |
varies |
| Debride nail 1-5 (11720) |
$23 |
$23 |
0.4× |
| Debride nail 6 or more (11721) |
$67.95 |
$67.95 |
1.3× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) range across 2 matching MRF lines |
$3,040–$4,043.82 |
$3,040–$4,043.82 |
varies |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 3 matching MRF lines |
$75–$1,132.20 |
$75–$1,132.20 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$110 |
$110 |
0.6× |
| Destruction premalignant lesion 1st (17000) |
$80.90 |
$80.90 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$192.75 |
$192.75 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$270.10 |
$270.10 |
0.2× |
| Drainage Mouth Roof Lesion (42000) |
$174 |
$174 |
0.8× |
| Drainage of finger abscess simple (26010) |
$300 |
$300 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$2,763.45 |
$2,763.45 |
1.8× |
| Drainage of nose lesion (30000) |
$172.80 |
$172.80 |
0.8× |
| Drainage of scrotum (54700) |
$335 |
$335 |
0.2× |
Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) range across 2 matching MRF lines |
$188–$219 |
$188–$219 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) range across 2 matching MRF lines |
$1,132.20–$2,763.45 |
$1,132.20–$2,763.45 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) range across 2 matching MRF lines |
$1,029.25–$1,132.20 |
$1,029.25–$1,132.20 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 6 matching MRF lines |
$85–$1,132.20 |
$85–$1,132.20 |
varies |
| Egd place gastrostomy tube (43246) |
$450 |
$450 |
0.3× |
| Evacuation of subungual hematoma (11740) |
$50 |
$50 |
0.4× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$171.04 |
$171.04 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$223 |
$223 |
0.1× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$186.26 |
$186.26 |
0.3× |
Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) range across 2 matching MRF lines |
$135.10–$279 |
$135.10–$279 |
varies |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$341 |
$341 |
0.2× |
| Exc Skin Benig >4cm Face,Facial (11446) |
$911 |
$911 |
0.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$177.50 |
$177.50 |
0.3× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$149.95 |
$149.95 |
0.2× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$390.89 |
$390.89 |
0.2× |
| Exploration penetrating wound spx extremity (20103) |
$508.20 |
$508.20 |
0.3× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$173.80–$670.45 |
$173.80–$670.45 |
varies |
| I&d perianal abscess superficial (46050) |
$179.65 |
$179.65 |
0.2× |
| I&d pilonidal cyst complicated (10081) |
$241 |
$241 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$141.70 |
$141.70 |
0.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$260.70 |
$260.70 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,447 |
$1,447 |
1.0× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$132–$146 |
$132–$146 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$232 |
$232 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$464 |
$464 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$125.46 |
$125.46 |
0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$1,132.20 |
$1,132.20 |
6.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$448 |
$448 |
1.6× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$60.85 |
$60.85 |
0.2× |
| Insert non-tunnel cv cath (36556) |
$200.75 |
$200.75 |
0.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$393 |
$393 |
1.1× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$500.40 |
$500.40 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$350 |
$350 |
1.6× |
| Manipulation Elbow Under Anesthesia (24300) |
$569.35 |
$569.35 |
0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$99.20 |
$99.20 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$305 |
$305 |
0.1× |
| Placement of needle for intraosseous infusion (36680) |
$88.14 |
$88.14 |
0.2× |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$135.35–$932.34 |
$135.35–$932.34 |
varies |
| Removal Foreign Body Foot Subcutaneous (28190) |
$194.85 |
$194.85 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$366.80 |
$366.80 |
2.0× |
| Remove Forearm Foreign Body (25248) |
$608.32 |
$608.32 |
0.4× |
Remove foreign body from eye (65205) range across 2 matching MRF lines |
$62.40–$108 |
$62.40–$108 |
varies |
Remove Nasal Foreign Body (30300) range across 2 matching MRF lines |
$179.65–$296 |
$179.65–$296 |
varies |
| Repair Blood Vessel Direct Hand Finger (35207) |
$1,072.49 |
$1,072.49 |
0.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$622.25 |
$622.25 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$401.90 |
$401.90 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$475.95 |
$475.95 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$476.20 |
$476.20 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$263.80 |
$263.80 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$381.94 |
$381.94 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$312.90 |
$312.90 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$361 |
$361 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$348.10 |
$348.10 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$248.15 |
$248.15 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$317.90 |
$317.90 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$306 |
$306 |
0.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$445 |
$445 |
0.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$377.30 |
$377.30 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$248 |
$248 |
0.7× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$295.07–$546 |
$295.07–$546 |
varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$386.80 |
$386.80 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$367 |
$367 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$451 |
$451 |
0.2× |
Repair of nail bed (11760) range across 2 matching MRF lines |
$356–$968.85 |
$356–$968.85 |
varies |
| Repair tongue laceration (41250) |
$249 |
$249 |
0.6× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$175 |
$175 |
0.1× |
Rmvl fb xtrnl eye corneal w/o slit lamp (65220) range across 2 matching MRF lines |
$62.95–$620 |
$62.95–$620 |
varies |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$399 |
$399 |
0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$130 |
$130 |
0.1× |
| Rplc Gtube No Revj Trc (43762) |
$400 |
$400 |
1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$203 |
$203 |
1.1× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$410.75 |
$410.75 |
0.6× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$1,634 |
$1,634 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$64.20 |
$64.20 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$546 |
$546 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$300 |
$300 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$300 |
$300 |
1.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$249 |
$249 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$300 |
$300 |
1.6× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 3 matching MRF lines |
$79.65–$300 |
$79.65–$300 |
varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$254 |
$254 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$300 |
$300 |
1.6× |
Skin sub graft face/nk/hf/g (15275) range across 3 matching MRF lines |
$1,491.06–$4,988.32 |
$1,491.06–$4,988.32 |
varies |
Skin sub graft trnk/arm/leg (15271) range across 3 matching MRF lines |
$1,491.06–$4,988.32 |
$1,491.06–$4,988.32 |
varies |
Skin sub grft t/arm/lg child (15273) range across 3 matching MRF lines |
$4,988.22–$8,932.87 |
$4,988.22–$8,932.87 |
varies |
Skn sub grft f/n/hf/g child (15277) range across 3 matching MRF lines |
$1,491.06–$4,988.22 |
$1,491.06–$4,988.22 |
varies |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$102.25–$300 |
$102.25–$300 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$546 |
$546 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$209 |
$209 |
0.6× |
| Strapping Unna Boot (29580) |
$670.45 |
$670.45 |
4.5× |
| Suture/repair testicular injury (54670) |
$719 |
$719 |
0.2× |
| Tangential biopsy skin single lesion (11102) |
$274.35 |
$274.35 |
0.7× |
| Thrombolytic Venous Therapy (37212) |
$530.41 |
$530.41 |
0.2× |
| Treat Knuckle Dislocation (26700) |
$436.92 |
$436.92 |
1.9× |
| Treat Thumb Fracture (26645) |
$610 |
$610 |
0.4× |
| Treat thumb fracture (26665) |
$979 |
$979 |
0.3× |
| Treat toe dislocation (28630) |
$174 |
$174 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$458.90 |
$458.90 |
2.0× |
| Trim skin lesion (11055) |
$1,132.20 |
$1,132.20 |
6.2× |
| Trim skin lesions 2 to 4 (11056) |
$1,132.20 |
$1,132.20 |
6.2× |
| Trim skin lesions over 4 (11057) |
$1,132.20 |
$1,132.20 |
6.2× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$347.10 |
$347.10 |
0.2× |
| Wedge excision skin nail fold (11765) |
$109.73 |
$109.73 |
0.3× |