Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$98–$133.70 |
$140–$191 |
varies |
| Application finger splint static (29130) |
$184.80 |
$264 |
1.4× |
| Application long arm splint shoulder hand (29105) |
$133.70 |
$191 |
0.8× |
| Application Long Leg Splint (29505) |
$133.70 |
$191 |
0.8× |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$18.90–$133.70 |
$27–$191 |
varies |
| Application short leg splint calf foot (29515) |
$133.70 |
$191 |
0.8× |
| Apply hand/wrist cast (29085) |
$119 |
$170 |
0.7× |
| Apply Short Leg Cast (29405) |
$119 |
$170 |
0.4× |
| Apply short leg cast (29425) |
$19.60 |
$28 |
0.1× |
Arterial puncture (36600) range across 3 matching MRF lines |
$53.20–$184.80 |
$76–$264 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$404.60 |
$578 |
1.3× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 3 matching MRF lines |
$16.80–$404.60 |
$24–$578 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$70.70 |
$101 |
0.2× |
| Arthroscopy shoulder distal claviculectomy (29824) |
$826.70 |
$1,181 |
0.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$136.50 |
$195 |
0.7× |
| Bladder instillation anticarcinogenic agent (51720) |
$988.40 |
$1,412 |
1.4× |
Bladder Irrigation (51700) range across 2 matching MRF lines |
$99.40–$164.50 |
$142–$235 |
varies |
Bladder Scan (51798) range across 2 matching MRF lines |
$42.70–$88.20 |
$61–$126 |
varies |
Blood Transfusion Service (36430) range across 2 matching MRF lines |
$513.80–$628.60 |
$734–$898 |
varies |
| Chemical Cautery Tissue (17250) |
$123.20 |
$176 |
0.6× |
| Chest tube placement (32551) |
$2,317.70 |
$3,311 |
1.5× |
| Clear outer ear canal (69200) |
$81.90 |
$117 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$319.20 |
$456 |
1.3× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$133.70 |
$191 |
0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$318.50 |
$455 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$319.20 |
$456 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$319.20 |
$456 |
1.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$319.20 |
$456 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$319.20 |
$456 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$296.80 |
$424 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$319.20 |
$456 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$319.20 |
$456 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$319.20 |
$456 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,057.70 |
$1,511 |
4.3× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,650.60 |
$2,358 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$319.20 |
$456 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$319.20 |
$456 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$296.80 |
$424 |
1.2× |
| Cltx Medial Ankle Fx (27760) |
$286.30 |
$409 |
1.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$285.60 |
$408 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$319.20 |
$456 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$341.60 |
$488 |
1.4× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$319.20 |
$456 |
1.3× |
Collect Blood From Catheter Venous Nos (36592) range across 2 matching MRF lines |
$41.30–$184.80 |
$59–$264 |
varies |
| Collection of venous blood by venipuncture (36415) |
$35.70 |
$51 |
3.8× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$193.90 |
$277 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$184.80 |
$264 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$177.80 |
$254 |
0.4× |
| Destruct B9 Lesion 1-14 (17110) |
$119.70 |
$171 |
0.6× |
| Draw Blood Off Venous Device (36591) |
$184.80 |
$264 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$214.90 |
$307 |
0.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$167.30 |
$239 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$136.50 |
$195 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$184.80 |
$264 |
1.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,510.90 |
$3,587 |
1.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$279.30 |
$399 |
0.2× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$480.20 |
$686 |
1.2× |
| Fine needle aspiration without imaging guidance (10021) |
$285.60 |
$408 |
0.7× |
| Fna bx w/us gdn 1st les (10005) |
$113.40 |
$162 |
0.2× |
I&d abscess simple (10060) range across 3 matching MRF lines |
$110.60–$289.80 |
$158–$414 |
varies |
| I&d pilonidal cyst simple (10080) |
$226.80 |
$324 |
0.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$286.30 |
$409 |
0.7× |
| Incision & removal foreign body subq tiss compl (10121) |
$243.60 |
$348 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$226.80 |
$324 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$147.70 |
$211 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$346.50 |
$495 |
1.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$136.50 |
$195 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$493.50 |
$705 |
0.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$82.60 |
$118 |
0.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$170.80 |
$244 |
0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$259.70 |
$371 |
0.4× |
Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$189.70–$226.10 |
$271–$323 |
varies |
| Insert cath pleura w/ image (32557) |
$956.90 |
$1,367 |
0.6× |
| Insert cath pleura w/o image (32556) |
$956.90 |
$1,367 |
0.5× |
| Insert non-tunnel cv cath (36556) |
$4,613 |
$6,590 |
1.5× |
Insert Temp Bladder Cath (51702) range across 3 matching MRF lines |
$115.50–$184.80 |
$165–$264 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$184.80 |
$264 |
1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$957.60 |
$1,368 |
0.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$286.30 |
$409 |
0.7× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$286.30 |
$409 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$353.50 |
$505 |
1.5× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$576.80 |
$824 |
1.3× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 2 matching MRF lines |
$123.20–$227.50 |
$176–$325 |
varies |
| Occipital Nerve Block (64405) |
$428.40 |
$612 |
1.4× |
| Pericardiocentesis W/Imaging (33016) |
$2,317.70 |
$3,311 |
1.5× |
| Placement of needle for intraosseous infusion (36680) |
$576.80 |
$824 |
1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$121.10 |
$173 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$88.20 |
$126 |
1.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$81.90 |
$117 |
1.4× |
| Removal of nail bed (11750) |
$448.70 |
$641 |
1.1× |
| Remove foreign body from eye (65205) |
$106.40 |
$152 |
0.8× |
| Remove Nasal Foreign Body (30300) |
$77.70 |
$111 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$571.20 |
$816 |
1.4× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$546.70 |
$781 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$571.20 |
$816 |
1.4× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$571.20 |
$816 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$241.50 |
$345 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$241.50 |
$345 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$241.50 |
$345 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$241.50 |
$345 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$286.30 |
$409 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$241.50 |
$345 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$576.80 |
$824 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$576.80 |
$824 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$241.50 |
$345 |
0.3× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$286.30 |
$409 |
0.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$286.30 |
$409 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$576.80 |
$824 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$576.80 |
$824 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$286.30 |
$409 |
0.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$241.50 |
$345 |
0.6× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$286.30 |
$409 |
0.1× |
| Repair of nail bed (11760) |
$241.50 |
$345 |
0.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$576.80 |
$824 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$184.80 |
$264 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$909.30 |
$1,299 |
1.5× |
| Rplc Gtube No Revj Trc (43762) |
$357.70 |
$511 |
1.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$241.50 |
$345 |
1.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$286.30 |
$409 |
0.4× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$1,253 |
$1,790 |
1.1× |
| Sigmoidoscopy & decompress (45337) |
$1,253 |
$1,790 |
1.4× |
| Sigmoidoscopy & Polypectomy (45333) |
$736.40 |
$1,052 |
0.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$736.40 |
$1,052 |
0.8× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,253 |
$1,790 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$241.50 |
$345 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$289.80 |
$414 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$289.80 |
$414 |
1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$286.30 |
$409 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$220.50 |
$315 |
1.1× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$286.30 |
$409 |
1.4× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$116.90–$289.80 |
$167–$414 |
varies |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$286.30 |
$409 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$289.80 |
$414 |
1.4× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$223.30–$289.80 |
$319–$414 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$576.80 |
$824 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$241.50 |
$345 |
0.6× |
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$581–$609 |
$830–$870 |
varies |
| Strapping ankle (29540) |
$133.70 |
$191 |
0.8× |
| Strapping elbow or wrist (29260) |
$133.70 |
$191 |
2.3× |
| Strapping hand/finger (29280) |
$133.70 |
$191 |
2.3× |
| Strapping knee (29530) |
$133.70 |
$191 |
1.0× |
| Strapping toes (29550) |
$88.20 |
$126 |
1.5× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$690.90 |
$987 |
0.4× |
Tx Gastro Intub W/Asp (43753) range across 2 matching MRF lines |
$115.50–$454.30 |
$165–$649 |
varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$241.50 |
$345 |
0.3× |
| Tx superficial wound dehiscence w/packing (12021) |
$571.20 |
$816 |
1.4× |