| Abd paracentesis w/imaging (49083) |
$884.07 |
$1,881 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$630.27 |
$1,341 |
0.7× |
| Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) |
$8,589.25 |
$18,275 |
0.5× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,314.59 |
$2,797 |
0.4× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$710.17 |
$1,511 |
2.5× |
| Application finger splint static (29130) |
$156.04 |
$332 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$185.18 |
$394 |
1.2× |
| Application Long Leg Splint (29505) |
$156.04 |
$332 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$185.18 |
$394 |
1.5× |
| Application short leg splint calf foot (29515) |
$156.04 |
$332 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$163.56 |
$348 |
1.1× |
| Arterial puncture (36600) |
$92.59 |
$197 |
0.7× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$458.25–$577.16 |
$975–$1,228 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$674.45 |
$1,435 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$417.83–$637.32 |
$889–$1,356 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$731.32 |
$1,556 |
2.5× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$163.09–$283.41 |
$347–$603 |
varies |
| Aspirate pleura w/ imaging (32555) |
$1,895.04 |
$4,032 |
3.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,823.13 |
$3,879 |
0.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$105.28 |
$224 |
0.6× |
| Biopsy Abdominal Mass (49180) |
$1,222.47 |
$2,601 |
0.8× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$821.56 |
$1,748 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$1,222.47 |
$2,601 |
0.8× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,275.58 |
$2,714 |
0.8× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,164.66 |
$2,478 |
0.8× |
| Biopsy Salivary Gland Needle (42400) |
$1,222.47 |
$2,601 |
1.8× |
| Bladder Irrigation (51700) |
$258.97 |
$551 |
1.1× |
| Bladder Scan (51798) |
$110.92 |
$236 |
2.0× |
| Blood Transfusion Service (36430) |
$805.11 |
$1,713 |
1.9× |
| Change Cystostomy Tube Simple (51705) |
$306.91 |
$653 |
1.3× |
| Change of Windpipe Airway (31502) |
$258.50 |
$550 |
1.2× |
| Chemical Cautery Tissue (17250) |
$186.59 |
$397 |
1.0× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,425.98 |
$3,034 |
2.2× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,425.98 |
$3,034 |
2.2× |
| Chemodenerv Musc Migraine (64615) |
$730.85 |
$1,555 |
2.5× |
| Chemodenerv musc neck dyston (64616) |
$650.01 |
$1,383 |
2.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,425.98 |
$3,034 |
2.2× |
| Chemodenerv trunk musc 6/> (64647) |
$1,425.98 |
$3,034 |
2.2× |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$650.01 |
$1,383 |
2.3× |
Chest tube placement (32551) range across 2 matching MRF lines |
$928.72–$1,676.96 |
$1,976–$3,568 |
varies |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$2,697.80 |
$5,740 |
0.8× |
| Clear outer ear canal (69200) |
$62.98 |
$134 |
0.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$282 |
$600 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$517 |
$1,100 |
2.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$598.31 |
$1,273 |
0.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$645.31 |
$1,373 |
0.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$389.16 |
$828 |
1.7× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$469.06 |
$998 |
0.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$185.18 |
$394 |
0.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,647.35 |
$3,505 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$190.82 |
$406 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$278.71 |
$593 |
0.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$389.16 |
$828 |
1.7× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$506.19 |
$1,077 |
2.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,368.64 |
$2,912 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$389.16 |
$828 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$185.18 |
$394 |
0.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$282 |
$600 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$139.12 |
$296 |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$10.34 |
$22 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$247.69 |
$527 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$133.95 |
$285 |
1.1× |
| Conversion ext bil drg cath (47535) |
$2,697.80 |
$5,740 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,159.02 |
$2,466 |
0.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$131.60 |
$280 |
1.1× |
| Declot vascular device (36593) |
$304.09 |
$647 |
1.0× |
| Destroy cerv/thor facet jnt (64633) |
$4,946.28 |
$10,524 |
2.7× |
| Destroy lumb/sac facet jnt (64635) |
$2,239.08 |
$4,764 |
1.2× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,021.47 |
$4,301 |
2.4× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$1,155.26 |
$2,458 |
0.6× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$1,797.28 |
$3,824 |
2.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,021.47 |
$4,301 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$650.01 |
$1,383 |
2.3× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$446.50 |
$950 |
0.7× |
| Drainage of finger abscess simple (26010) |
$209.15 |
$445 |
1.1× |
| Drainage of gum lesion (41800) |
$133.95 |
$285 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$1,724.90 |
$3,670 |
1.1× |
| Drainage of scrotal wall abscess (55100) |
$1,957.55 |
$4,165 |
1.3× |
| Draw Blood Off Venous Device (36591) |
$70.97 |
$151 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$163.09 |
$347 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$163.09 |
$347 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$259.44 |
$552 |
1.4× |
| Dstrj Neurlytic Trigem Nrv 2/3 Div Radio Monitor (64610) |
$1,155.26 |
$2,458 |
0.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,021.47 |
$4,301 |
2.4× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$2,021.47 |
$4,301 |
2.4× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,818.90 |
$3,870 |
0.7× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,398.72 |
$2,976 |
2.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$799.47 |
$1,701 |
2.8× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$799.47 |
$1,701 |
2.8× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$199.75 |
$425 |
0.7× |
| Epidural Blood Patch (62273) |
$1,711.74 |
$3,642 |
2.6× |
| Evacuation of subungual hematoma (11740) |
$133.95 |
$285 |
1.1× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,142.10 |
$2,430 |
0.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$305.50 |
$650 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,496.01 |
$3,183 |
2.3× |
| Exc Forearm Les Sc 3 Cm/> (25071) |
$1,035.41 |
$2,203 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,035.41 |
$2,203 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$812.16 |
$1,728 |
1.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,035.41 |
$2,203 |
0.7× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$599.25 |
$1,275 |
0.9× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$339.34 |
$722 |
0.9× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$568.70 |
$1,210 |
0.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$2,697.80 |
$5,740 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$449.32 |
$956 |
0.7× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,035.41 |
$2,203 |
0.7× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,080.53 |
$2,299 |
1.6× |
| Fna bx w/us gdn 1st les (10005) |
$1,080.53 |
$2,299 |
1.6× |
| Guide Cathet Fluid Drainage (10030) |
$672.57 |
$1,431 |
1.0× |
| I&d abscess peritonsillar (42700) |
$244.40 |
$520 |
1.1× |
| I&d abscess simple (10060) |
$233.12 |
$496 |
1.2× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,420.50 |
$5,150 |
0.9× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$2,067.06 |
$4,398 |
0.7× |
| I&d pilonidal cyst complicated (10081) |
$1,404.83 |
$2,989 |
2.1× |
| I&d pilonidal cyst simple (10080) |
$630.27 |
$1,341 |
0.9× |
| Image Cath Fluid Colxn Visc (49405) |
$948.46 |
$2,018 |
0.6× |
| Image Cath Fluid Peri/Retro (49406) |
$948.46 |
$2,018 |
0.6× |
| Implant neuroelectrodes (63650) |
$8,748.58 |
$18,614 |
1.5× |
| Incise external hemorrhoid (46083) |
$289.99 |
$617 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$431.93 |
$919 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$704.53 |
$1,499 |
0.5× |
| Incision & removal foreign body subq tiss simple (10120) |
$224.66 |
$478 |
0.6× |
| Incision and drainage of vulva or perineal abscess (56405) |
$322.89 |
$687 |
1.1× |
| Incision of rectal abscess (46040) |
$477.05 |
$1,015 |
0.4× |
| Incisional biopsy skin single lesion (11106) |
$296.10 |
$630 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$259.44 |
$552 |
1.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,021.47 |
$4,301 |
2.4× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,797.28 |
$3,824 |
2.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,021.47 |
$4,301 |
2.4× |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$208.21–$349.21 |
$443–$743 |
varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,226.70 |
$2,610 |
1.5× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$269.78 |
$574 |
0.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,605.52 |
$3,416 |
2.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,116.25 |
$2,375 |
1.3× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,605.52 |
$3,416 |
2.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,425.98 |
$3,034 |
2.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$313.02 |
$666 |
1.1× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,797.28 |
$3,824 |
2.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,425.98 |
$3,034 |
2.2× |
| Injection single tendon origin/insertion (20551) |
$650.01 |
$1,383 |
2.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$124.55 |
$265 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$730.85 |
$1,555 |
2.5× |
| Injection therapeutic carpal tunnel (20526) |
$228.89 |
$487 |
0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,226.70 |
$2,610 |
1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,112.49 |
$2,367 |
1.7× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$1,447.60–$1,605.52 |
$3,080–$3,416 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$268.84 |
$572 |
1.4× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,873.89 |
$3,987 |
2.3× |
| Insert Bladder Cath Complex (51703) |
$289.05 |
$615 |
2.4× |
| Insert cath pleura w/ image (32557) |
$961.15 |
$2,045 |
0.7× |
| Insert non-tunnel cv cath (36556) |
$1,676.96 |
$3,568 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$183.30 |
$390 |
1.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$202.10 |
$430 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,295.32 |
$2,756 |
0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,068.78 |
$2,274 |
0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$259.44 |
$552 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$568.23 |
$1,209 |
2.6× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,069.72 |
$2,276 |
1.5× |
| N Block Inj Celiac Pelus (64530) |
$2,021.47 |
$4,301 |
2.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$940.94 |
$2,002 |
1.4× |
| N block inj intercost sng (64420) |
$407.02 |
$866 |
0.6× |
| N Block Inj Plantar Digit (64455) |
$215.73 |
$459 |
0.7× |
| N Block Inj Pudendal (64430) |
$2,021.47 |
$4,301 |
2.4× |
| N Block Lumbar/Thoracic (64520) |
$1,797.28 |
$3,824 |
2.2× |
| Needle Biopsy Lymph Nodes (38505) |
$1,222.47 |
$2,601 |
0.8× |
| Needle Biopsy Pancreas (48102) |
$1,164.66 |
$2,478 |
0.8× |
| Neuro alys b-amyl 1-42&1-40 (0358U) |
$658 |
$1,400 |
2.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$214.32 |
$456 |
0.5× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,021.47 |
$4,301 |
2.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$292.81 |
$623 |
1.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,572 |
$7,600 |
1.1× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,697.80 |
$5,740 |
0.8× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$898.17–$1,082.88 |
$1,911–$2,304 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$991.23 |
$2,109 |
1.2× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$991.23 |
$2,109 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,605.52 |
$3,416 |
2.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,797.28 |
$3,824 |
2.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$991.23 |
$2,109 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,797.28 |
$3,824 |
2.2× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$650.01 |
$1,383 |
1.0× |
| Ob preeclampsia biochem asy sflt-1&plgf serum (0482U) |
$188 |
$400 |
1.5× |
| Occipital Nerve Block (64405) |
$360.02 |
$766 |
1.3× |
| Perc Cryo Ablate Renal Tum (50593) |
$8,589.25 |
$18,275 |
0.9× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,281.22 |
$2,726 |
1.9× |
Perm Occlusion/Embolization,Percut,Cns (61624) likely a partial charge, not the full procedure |
$3,361.44 |
$7,152 |
0.2× |
| Perq Cervicothoracic Inject (22510) |
$5,943.15 |
$12,645 |
1.9× |
| Perq dev breast 1st us imag (19285) |
$1,989.04 |
$4,232 |
3.0× |
| Perq device breast 1st imag (19281) |
$319.60 |
$680 |
0.2× |
| Perq Lumbosacral Injection (22511) |
$5,943.15 |
$12,645 |
1.9× |
Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) range across 2 matching MRF lines |
$8,752.81–$12,726.19 |
$18,623–$27,077 |
varies |
Perq Vertebral Augmentation (22513) range across 2 matching MRF lines |
$8,752.81–$12,726.19 |
$18,623–$27,077 |
varies |
| Placement of needle for intraosseous infusion (36680) |
$727.09 |
$1,547 |
1.7× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,102.79 |
$10,857 |
0.9× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$1,866.37 |
$3,971 |
1.0× |
| Plmt Nephroureteral Catheter (50433) |
$2,052.49 |
$4,367 |
0.6× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$2,779.58 |
$5,914 |
0.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$2,779.58 |
$5,914 |
0.8× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$6,602.09 |
$14,047 |
1.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,697.80 |
$5,740 |
0.8× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$2,697.80 |
$5,740 |
0.8× |
| Punch biopsy skin single lesion (11104) |
$296.10 |
$630 |
0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$393.86 |
$838 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$888.30 |
$1,890 |
1.3× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$940.94 |
$2,002 |
1.4× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$2,021.47 |
$4,301 |
1.1× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$598.78 |
$1,274 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$726.62 |
$1,546 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$147.58 |
$314 |
2.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$111.39 |
$237 |
2.0× |
| Removal of nail bed (11750) |
$436.16 |
$928 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$201.16 |
$428 |
1.1× |
| Remove foreign body from eye (65205) |
$136.77 |
$291 |
1.1× |
| Remove Nasal Foreign Body (30300) |
$156.04 |
$332 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$819.68 |
$1,744 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$400.44 |
$852 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$598.31 |
$1,273 |
1.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,183.93 |
$2,519 |
3.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$259.44 |
$552 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$259.44 |
$552 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$259.44 |
$552 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$259.44 |
$552 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$388.69 |
$827 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$791.48 |
$1,684 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$598.31 |
$1,273 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$259.44 |
$552 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$259.44 |
$552 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$259.44 |
$552 |
0.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$259.44 |
$552 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$259.44 |
$552 |
0.7× |
| Repair of nail bed (11760) |
$242.52 |
$516 |
0.3× |
| Repair tongue laceration (41250) |
$180.95 |
$385 |
0.4× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$1,420.34 |
$3,022 |
0.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$294.69 |
$627 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$294.69 |
$627 |
2.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$294.69 |
$627 |
0.7× |
| Rplc Gtube No Revj Trc (43762) |
$583.74 |
$1,242 |
2.5× |
| Rplc gtube revj gstrst trc (43763) |
$584.21 |
$1,243 |
2.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$259.44 |
$552 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$259.44 |
$552 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$259.44 |
$552 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$259.44 |
$552 |
1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$259.44 |
$552 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$259.44 |
$552 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$259.44 |
$552 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$259.44 |
$552 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$259.44 |
$552 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$259.44 |
$552 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$259.44 |
$552 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$259.44 |
$552 |
0.7× |
| Spinal puncture lumbar diagnostic (62270) |
$529.22 |
$1,126 |
0.8× |
| Strapping elbow or wrist (29260) |
$84.60 |
$180 |
1.5× |
| Strapping hand/finger (29280) |
$84.60 |
$180 |
1.5× |
| Strapping shoulder (29240) |
$79.90 |
$170 |
0.6× |
| Strapping Unna Boot (29580) |
$66.74 |
$142 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$296.10 |
$630 |
0.8× |
| Thyroid biopsy (60100) |
$1,222.47 |
$2,601 |
1.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,257.25 |
$2,675 |
5.7× |
| Treat Knuckle Dislocation (26700) |
$157.45 |
$335 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$550.84 |
$1,172 |
2.4× |
| Tx Gastro Intub W/Asp (43753) |
$171.08 |
$364 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$605.36 |
$1,288 |
0.9× |
Unlisted procedure nervous system (64999) range across 14 matching MRF lines |
$202.57–$7,990 |
$431–$17,000 |
varies |
| Unlisted procedure spine (22899) |
$662.23 |
$1,409 |
2.9× |
| Vaginal delivery only (59409) |
$1,621.97 |
$3,451 |
0.5× |
| Wedge excision skin nail fold (11765) |
$163.09 |
$347 |
0.4× |