| Abd paracentesis w/imaging (49083) |
$485.55 |
$747 |
0.6× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$1,764.10 |
$2,714 |
1.0× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$139.10 |
$214 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$139.10 |
$214 |
1.0× |
| Arterial puncture (36600) |
$263.42 |
$405.26 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$162.50 |
$250 |
0.6× |
| Aspirate pleura w/ imaging (32555) |
$1,076.40 |
$1,656 |
1.9× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$176.15 |
$271 |
1.0× |
| Biopsy bone trocar/needle deep (20225) |
$952.25 |
$1,465 |
0.6× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$952.25 |
$1,465 |
0.6× |
| Biopsy Muscle Superficial (20200) |
$522.60 |
$804 |
0.4× |
| Biopsy of liver, needle; percutaneous (47000) |
$247 |
$380 |
0.2× |
| Bladder Scan (51798) |
$167.38 |
$257.50 |
3.2× |
| Blood Transfusion Service (36430) |
$274.62 |
$422.50 |
0.7× |
| Bx breast 1st lesion strtctc (19081) |
$3,927.88 |
$6,042.90 |
2.7× |
Bx breast 1st lesion us imag (19083)
range across 3 matching MRF lines |
$3,896.67–$5,845 |
$5,994.87–$8,992.31 |
varies |
| Collection of venous blood by venipuncture (36415) |
$5.49 |
$8.45 |
0.6× |
| Colonoscopy W/Band Ligation (45398) |
$893.75 |
$1,375 |
0.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$775.45 |
$1,193 |
0.5× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,043.25 |
$1,605 |
2.9× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,239.55 |
$1,907 |
2.0× |
| Debride nail 1-5 (11720) |
$61.10 |
$94 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,198.60 |
$1,844 |
3.3× |
| Destroy cerv/thor facet jnt (64633) |
$975.36 |
$1,500.55 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$2,044.90 |
$3,146 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$2,455.58 |
$3,777.82 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$2,944.50 |
$4,530 |
2.0× |
| Draw Blood Off Venous Device (36591) |
$305.18 |
$469.50 |
2.6× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$598.60 |
$920.92 |
0.8× |
| Dx Bone Marrow Bx & Aspir (38222) |
$162.50 |
$250 |
0.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$369.85 |
$569 |
0.6× |
| Endoscopic us exam esoph (43237) |
$526.50 |
$810 |
0.3× |
| Epidural Blood Patch (62273) |
$458.90 |
$706 |
0.7× |
| Evacuation of subungual hematoma (11740) |
$66.95 |
$103 |
0.6× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$222.30 |
$342 |
0.4× |
| Excision Lingual Frenum Frenectomy (41115) |
$6,500 |
$10,000 |
4.7× |
| Fine needle aspiration without imaging guidance (10021) |
$1,261.65 |
$1,941 |
3.5× |
| Fluoro exam of g/colon tube (49465) |
$299.06 |
$460.10 |
1.4× |
| Fna bx w/us gdn 1st les (10005) |
$3,409.58 |
$5,245.50 |
5.4× |
| I&d abscess simple (10060) |
$111.74 |
$171.90 |
0.6× |
| I&d pilonidal cyst simple (10080) |
$1,239.55 |
$1,907 |
2.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,890.20 |
$2,908 |
5.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$5,470.40 |
$8,416 |
3.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,977.30 |
$3,042 |
5.5× |
| Incision of eardrum (69421) |
$9,750 |
$15,000 |
3.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,372.15 |
$2,111 |
2.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$933.50 |
$1,436.16 |
0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$688.35 |
$1,059 |
1.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$688.35 |
$1,059 |
1.9× |
| Intubation endotracheal emergency procedure (31500) |
$335.08 |
$515.50 |
1.6× |
| Lip Surgery Procedure (40799) |
$455 |
$700 |
2.2× |
| Myelography Lumbar Injection (62305) |
$2,127.45 |
$3,273 |
3.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$3,116.61 |
$4,794.79 |
4.5× |
| Myringoplasty (69620) |
$9,750 |
$15,000 |
3.3× |
| N Block Lumbar/Thoracic (64520) |
$434.20 |
$668 |
0.6× |
| Needle Biopsy Lymph Nodes (38505) |
$822.33 |
$1,265.12 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$48.75 |
$75 |
1.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$45.50 |
$70 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$689.65 |
$1,061 |
1.1× |
| Perq device breast 1st imag (19281) |
$536.90 |
$826 |
0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,222 |
$1,880 |
3.4× |
| Puncture Aspiration Cyst Breast (19000) |
$388.05 |
$597 |
0.6× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$598.60 |
$920.92 |
0.3× |
| Removal of nail bed (11750) |
$291.85 |
$449 |
0.8× |
| Removal of tonsils (42825) |
$13,000 |
$20,000 |
2.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$102.70 |
$158 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$535.60 |
$824 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$736.45 |
$1,133 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$726.05 |
$1,117 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$650 |
$1,000 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$658.45 |
$1,013 |
1.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$683.15 |
$1,051 |
1.9× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$629.20 |
$968 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$750.75 |
$1,155 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$2,453.75 |
$3,775 |
6.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$2,612.30 |
$4,018.93 |
7.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,175.85 |
$1,809 |
3.2× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,038.05 |
$1,597 |
2.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$688.35 |
$1,059 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,043.25 |
$1,605 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,261.65 |
$1,941 |
3.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,458.60 |
$2,244 |
4.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,779.70 |
$2,738 |
2.7× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$3,411.20 |
$5,248 |
1.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,060.80 |
$1,632 |
2.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,355.25 |
$2,085 |
3.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,478.75 |
$2,275 |
4.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$2,142.40 |
$3,296 |
3.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,684.80 |
$2,592 |
4.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$3,411.20 |
$5,248 |
1.9× |
| Repair of nail bed (11760) |
$488.80 |
$752 |
0.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$592.80 |
$912 |
3.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,043.25 |
$1,605 |
1.6× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$585.75 |
$901.16 |
0.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$509.60 |
$784 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$210.89 |
$324.45 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$230.49 |
$354.60 |
1.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$688.35 |
$1,059 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$567.45 |
$873 |
3.2× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$357.50 |
$550 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$212.94 |
$327.60 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$357.50 |
$550 |
2.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$530.60 |
$816.30 |
3.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$228.44 |
$351.45 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$785.20 |
$1,208 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$637.65 |
$981 |
1.8× |
| Strapping Unna Boot (29580) |
$73.45 |
$113 |
0.5× |
| Submucous Rescj Inferior Turbinate Prtl/Compl (30140) |
$13,000 |
$20,000 |
4.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$204.75 |
$315 |
0.9× |
| Trimming Nondystrophic Nails Any Number (11719) |
$22.10 |
$34 |
0.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$749.45 |
$1,153 |
1.1× |
| Tx superficial wound dehiscence w/packing (12021) |
$230.75 |
$355 |
0.6× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$6,500 |
$10,000 |
4.7× |
| Tympanoplasty (69631) |
$13,000 |
$20,000 |
2.5× |
| Tympanostomy general anesthesia (69436) |
$6,500 |
$10,000 |
4.7× |
| Unlisted procedure nervous system (64999) |
$552.50 |
$850 |
2.0× |
| Vaginal hysterectomy; with removal of tube(s), and/or ovary(s) (58262) |
$1,738.75 |
$2,675 |
0.4× |
| Ventilating tube removal requiring general anesthesia (69424) |
$9,750 |
$15,000 |
3.3× |
| Wedge excision skin nail fold (11765) |
$162.50 |
$250 |
0.4× |