Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
$247.50–$2,109.75 |
$330–$2,813 |
varies |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$2,109.75 |
$2,813 |
1.9× |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$11,499 |
$15,332 |
1.8× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$373.50 |
$498 |
1.8× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$373.50 |
$498 |
1.8× |
| Application cast elbow finger short arm (29075) |
$642.75 |
$857 |
1.8× |
| Application Cast Finger (29086) |
$373.50 |
$498 |
1.8× |
| Application Finger Splint Dynamic (29131) |
$135.75 |
$181 |
1.8× |
| Application finger splint static (29130) |
$306 |
$408 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$373.50 |
$498 |
1.8× |
| Application Long Leg Splint (29505) |
$373.50 |
$498 |
1.8× |
| Application of long leg cast (29345) |
$642.75 |
$857 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$306 |
$408 |
1.8× |
| Application short arm splint forearm-hand static (29125) |
$306 |
$408 |
1.8× |
| Application short leg splint calf foot (29515) |
$373.50 |
$498 |
1.8× |
| Apply long arm cast (29065) |
$642.75 |
$857 |
1.8× |
| Apply Multlay Comprs Lwr Leg (29581) |
$373.50 |
$498 |
1.8× |
| Apply Short Leg Cast (29405) |
$642.75 |
$857 |
1.8× |
| Apply short leg cast (29425) |
$642.75 |
$857 |
1.8× |
| Arterial puncture (36600) |
$306 |
$408 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$705.75 |
$941 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,623 |
$2,164 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$705.75 |
$941 |
1.8× |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 3 matching MRF lines |
$140.25–$705.75 |
$187–$941 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$705.75 |
$941 |
1.8× |
Aspirate pleura w/ imaging (32555)
range across 2 matching MRF lines |
$251.25–$1,442.25 |
$335–$1,923 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$1,442.25 |
$1,923 |
1.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$705.75 |
$941 |
1.8× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,805.25 |
$6,407 |
1.8× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$461.25 |
$615 |
1.8× |
| Biopsy muscle percutaneous needle (20206) |
$3,796.50 |
$5,062 |
1.8× |
| Biopsy nail unit (11755) |
$1,627.50 |
$2,170 |
1.8× |
| Biopsy of penis; deep structures (54105) |
$6,677.25 |
$8,903 |
1.8× |
| Biopsy of urethra (53200) |
$4,805.25 |
$6,407 |
1.8× |
| Biopsy Prostate Any Approach Nonimaging-Guided (55705) |
$5,402.25 |
$7,203 |
1.2× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$5,402.25 |
$7,203 |
1.2× |
| Bladder Irrigation (51700) |
$574.50 |
$766 |
1.8× |
| Bladder Scan (51798) |
$135.75 |
$181 |
1.8× |
| Blepharotomy drainage abscess eyelid (67700) |
$729.75 |
$973 |
1.8× |
| Blood Transfusion Service (36430) |
$1,014 |
$1,352 |
1.8× |
Bx breast 1st lesion us imag (19083)
range across 8 matching MRF lines |
$354.75–$3,796.50 |
$473–$5,062 |
varies |
| Bx prostate in-bore CT/MRI trgt les only 1st (55714) |
$8,217 |
$10,956 |
1.2× |
| Bx prostate strtctc saturation sampling img gid (55706) |
$8,103 |
$10,804 |
1.8× |
| Bx prostate tprnl MRI-us gid trgt les 1st (55712) |
$5,402.25 |
$7,203 |
1.2× |
| Bx prostate transperineal ultrasound-guided (55709) |
$5,402.25 |
$7,203 |
1.2× |
| Bx prostate transrectal MRI-us gid trgt les 1st (55711) |
$5,402.25 |
$7,203 |
1.2× |
| Bx prst8 tprn us w/MRI fus 1 (55710) |
$5,402.25 |
$7,203 |
1.2× |
| Bx prst8 trct us w/MRI fus 1 (55708) |
$5,402.25 |
$7,203 |
1.2× |
| Change Cystostomy Tube Complicated (51710) |
$1,602.75 |
$2,137 |
1.8× |
| Change Cystostomy Tube Simple (51705) |
$574.50 |
$766 |
1.8× |
| Chest tube placement (32551) |
$3,618.75 |
$4,825 |
1.8× |
| Circumcision 28 days or older (54161) |
$4,805.25 |
$6,407 |
1.8× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,696 |
$4,928 |
1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$567 |
$756 |
1.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$567 |
$756 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,696 |
$4,928 |
1.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$567 |
$756 |
1.8× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$567 |
$756 |
1.8× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$3,696 |
$4,928 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$567 |
$756 |
1.8× |
| Closed tx mandibular fracture w/manipulation (21451) |
$3,567 |
$4,756 |
1.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$567 |
$756 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,696 |
$4,928 |
1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,696 |
$4,928 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$567 |
$756 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$567 |
$756 |
1.8× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,696 |
$4,928 |
1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$567 |
$756 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$567 |
$756 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$567 |
$756 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$567 |
$756 |
1.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,696 |
$4,928 |
1.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$567 |
$756 |
1.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$567 |
$756 |
1.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$3,696 |
$4,928 |
1.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,601.50 |
$4,802 |
1.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$567 |
$756 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$567 |
$756 |
1.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$567 |
$756 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$567 |
$756 |
1.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,696 |
$4,928 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$567 |
$756 |
1.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,696 |
$4,928 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$567 |
$756 |
1.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$3,696 |
$4,928 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$3,696 |
$4,928 |
1.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$306 |
$408 |
1.8× |
| Collection of venous blood by venipuncture (36415) |
$21 |
$28 |
2.2× |
| Correction hammertoe (28285) |
$7,521.75 |
$10,029 |
1.8× |
| Corrj Hlx Vlgs Bncty Sesmdc Rescj Prox Phlx Base (28292) |
$7,521.75 |
$10,029 |
1.8× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,805.25 |
$6,407 |
1.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$4,805.25 |
$6,407 |
1.8× |
| Cysto w/destruction of lesions (52214) |
$8,103 |
$10,804 |
1.8× |
| Cysto w/insert ureteral stent (52332) |
$8,103 |
$10,804 |
1.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$8,103 |
$10,804 |
1.8× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$4,805.25 |
$6,407 |
1.8× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$12,325.50 |
$16,434 |
1.8× |
| Cysto w/ureteroscopy w/rmvl/manj stones (52352) |
$8,103 |
$10,804 |
1.8× |
| Cysto W/Urtroscopy&/Pyeloscopy Dx (52351) |
$8,103 |
$10,804 |
1.8× |
| Cysto/pyeloscopy bx&/fulguration pelivc lesion (52354) |
$12,325.50 |
$16,434 |
1.8× |
| Cystolithotomy (51050) |
$12,325.50 |
$16,434 |
1.8× |
| Cystostomy Cystotomy W/Drainage (51040) |
$4,805.25 |
$6,407 |
1.8× |
| Cystouretero w/excise tumor (52355) |
$12,325.50 |
$16,434 |
1.8× |
| Cystourethroscopy (52000) |
$1,602.75 |
$2,137 |
1.8× |
| Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus Facility (52330) |
$8,103 |
$10,804 |
1.8× |
| Cystourethroscopy w/dil bladder general anesth (52260) |
$4,805.25 |
$6,407 |
1.8× |
| Cystourethroscopy w/rmvl ureteral calculus (52320) |
$8,103 |
$10,804 |
1.8× |
| Cystourethroscopy with biopsy (52204) |
$4,805.25 |
$6,407 |
1.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,698.75 |
$2,265 |
1.8× |
| Debride nail 1-5 (11720) |
$135.75 |
$181 |
1.8× |
| Debride nail 6 or more (11721) |
$135.75 |
$181 |
1.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,796.50 |
$5,062 |
1.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$934.50 |
$1,246 |
1.8× |
| Delivery of placenta (59414) |
$7,441.50 |
$9,922 |
1.8× |
| Destr penis lesion(s) (54065) |
$4,743 |
$6,324 |
1.8× |
| Destruct B9 Lesion 1-14 (17110) |
$461.25 |
$615 |
1.8× |
| Dilat female urethra general/cndj spinal anes (53665) |
$4,805.25 |
$6,407 |
1.8× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$351.75 |
$469 |
2.2× |
| Dilat Xst Trc New Access Rcs (50437) |
$8,103 |
$10,804 |
1.8× |
| Dilate Urethra Stricture (53600) |
$574.50 |
$766 |
1.8× |
| Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator, male, general or conduction… (53605) |
$8,103 |
$10,804 |
1.8× |
| Drain/inj small joint/bursa w/us (20604) |
$705.75 |
$941 |
1.8× |
| Drainage external auditory canal abscess (69020) |
$1,627.50 |
$2,170 |
1.8× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$3,796.50 |
$5,062 |
1.8× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,627.50 |
$2,170 |
1.8× |
| Drainage of finger abscess simple (26010) |
$461.25 |
$615 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$3,796.50 |
$5,062 |
1.8× |
| Drainage of scrotum (54700) |
$4,805.25 |
$6,407 |
1.8× |
| Draw Blood Off Venous Device (36591) |
$306 |
$408 |
1.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,631.25 |
$2,175 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$461.25 |
$615 |
1.8× |
| Dstrj lesion penis simple surg excision (54060) |
$4,743 |
$6,324 |
1.8× |
| Epididymectomy unilateral (54860) |
$8,103 |
$10,804 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$306 |
$408 |
1.8× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$3,796.50 |
$5,062 |
1.8× |
| Exc Back Les Sc < 3 Cm (21930) |
$3,796.50 |
$5,062 |
1.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$1,627.50 |
$2,170 |
1.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$3,796.50 |
$5,062 |
1.8× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,627.50 |
$2,170 |
1.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,796.50 |
$5,062 |
1.8× |
| Exc Hand Les Sc < 1.5 Cm (26115) |
$3,796.50 |
$5,062 |
1.8× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,627.50 |
$2,170 |
1.8× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$3,796.50 |
$5,062 |
1.8× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$6,677.25 |
$8,903 |
1.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$934.50 |
$1,246 |
1.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,627.50 |
$2,170 |
1.8× |
| Exc urethral diverticulum spx female (53230) |
$12,325.50 |
$16,434 |
1.8× |
| Exc Varicocele/Ligation Spermatic Veins Spx (55530) |
$8,103 |
$10,804 |
1.8× |
| Excision of hydrocele; bilateral (55041) |
$8,230.50 |
$10,974 |
1.8× |
| Excision of hydrocele; unilateral (55040) |
$8,230.50 |
$10,974 |
1.8× |
| Excision spermatocele w/wo epididymectomy (54840) |
$4,805.25 |
$6,407 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,627.50 |
$2,170 |
1.8× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$1,627.50 |
$2,170 |
1.8× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,627.50 |
$2,170 |
1.8× |
Fna bx w/us gdn 1st les (10005)
range across 3 matching MRF lines |
$170.25–$1,627.50 |
$227–$2,170 |
varies |
| Foreskin manipulation (54450) |
$574.50 |
$766 |
1.8× |
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines |
$312.75–$1,627.50 |
$417–$2,170 |
varies |
| I&d abscess peritonsillar (42700) |
$544.50 |
$726 |
1.8× |
| I&d abscess simple (10060) |
$461.25 |
$615 |
1.8× |
| I&d perianal abscess superficial (46050) |
$2,137.50 |
$2,850 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$1,627.50 |
$2,170 |
1.8× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$48,249.75 |
$64,333 |
2.0× |
| Incise external hemorrhoid (46083) |
$574.50 |
$766 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$934.50 |
$1,246 |
1.8× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$6,677.25 |
$8,903 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,796.50 |
$5,062 |
1.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$934.50 |
$1,246 |
1.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$465 |
$620 |
1.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$700.50 |
$934 |
1.8× |
| Incision of rectal abscess (46040) |
$2,751 |
$3,668 |
1.8× |
| Incision of urethra (53020) |
$4,805.25 |
$6,407 |
1.8× |
| Incision&drainage bursa foot (28001) |
$3,796.50 |
$5,062 |
1.8× |
| Incisional biopsy skin single lesion (11106) |
$1,698.75 |
$2,265 |
1.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$461.25 |
$615 |
1.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,033.25 |
$2,711 |
1.8× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$705.75 |
$941 |
1.8× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,623 |
$2,164 |
1.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,033.25 |
$2,711 |
1.8× |
| Injection single tendon origin/insertion (20551) |
$705.75 |
$941 |
1.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$705.75 |
$941 |
1.8× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$705.75 |
$941 |
1.8× |
| Injection therapeutic carpal tunnel (20526) |
$705.75 |
$941 |
1.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,623 |
$2,164 |
1.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,623 |
$2,164 |
1.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$461.25 |
$615 |
1.8× |
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines |
$342.75–$3,618.75 |
$457–$4,825 |
varies |
| Insert multi-comp penis pros (54405) |
$47,643.75 |
$63,525 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$7,258.50 |
$9,678 |
1.8× |
| Insert Temp Bladder Cath (51702) |
$306 |
$408 |
1.8× |
| Insert Uro/Ves Nck Sphincter (53445) |
$47,643.75 |
$63,525 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$306 |
$408 |
1.8× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,618.75 |
$4,825 |
1.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$7,258.50 |
$9,678 |
1.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$3,618.75 |
$4,825 |
1.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$934.50 |
$1,246 |
1.8× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$7,621.50 |
$10,162 |
1.8× |
| Intubation endotracheal emergency procedure (31500) |
$544.50 |
$726 |
1.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$574.50 |
$766 |
1.8× |
| Laparoscopy, surgical, gastric restrictive procedure; placement of adjustable gastric restrictive device (eg, gastric… (43770) |
$24,435 |
$32,580 |
1.8× |
| Laser vaporization of prostate (52648) |
$12,325.50 |
$16,434 |
1.8× |
| Litholapaxy comp/lg > 2.5 cm (52318) |
$8,103 |
$10,804 |
1.8× |
| Litholapaxy smpl/sm <2.5 cm (52317) |
$8,103 |
$10,804 |
1.8× |
| Lithotripsy, extracorporeal shock wave (50590) |
$8,103 |
$10,804 |
1.8× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,623 |
$2,164 |
1.8× |
| N block inj intercost sng (64420) |
$1,623 |
$2,164 |
1.8× |
| N Block Inj Plantar Digit (64455) |
$705.75 |
$941 |
1.8× |
Needle Biopsy Lymph Nodes (38505)
range across 2 matching MRF lines |
$200.25–$3,796.50 |
$267–$5,062 |
varies |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$705.75 |
$941 |
1.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,033.25 |
$2,711 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$2,033.25 |
$2,711 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,623 |
$2,164 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,623 |
$2,164 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$2,033.25 |
$2,711 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$2,033.25 |
$2,711 |
1.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,623 |
$2,164 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$2,033.25 |
$2,711 |
1.8× |
| Occipital Nerve Block (64405) |
$705.75 |
$941 |
1.8× |
| Open Implantation Nea Sacral Nerve (64581) |
$14,766.75 |
$19,689 |
1.9× |
| Orchiectomy radical tumor inguinal approach (54530) |
$8,230.50 |
$10,974 |
1.8× |
| Orchiopexy Ingun/Scrot Appr (54640) |
$8,230.50 |
$10,974 |
1.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,696 |
$4,928 |
1.8× |
| Partial removal of toe (28160) |
$7,521.75 |
$10,029 |
1.8× |
| Partical Excision Bone Phalanx Toe (28124) |
$7,521.75 |
$10,029 |
1.8× |
| Pericardiocentesis W/Imaging (33016) |
$3,618.75 |
$4,825 |
1.8× |
Perq dev breast 1st us imag (19285)
range across 6 matching MRF lines |
$194.25–$1,627.50 |
$259–$2,170 |
varies |
| Perq dilation xst trc endourologic px w/img (50436) |
$8,103 |
$10,804 |
1.8× |
| Placement of needle for intraosseous infusion (36680) |
$1,026.75 |
$1,369 |
1.8× |
| Punch biopsy skin single lesion (11104) |
$934.50 |
$1,246 |
1.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$934.50 |
$1,246 |
1.8× |
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines |
$100.50–$1,627.50 |
$134–$2,170 |
varies |
| Rdctj torsion tstis w/wo fixj clat testis (54600) |
$8,103 |
$10,804 |
1.8× |
| Removal and replacement of inflatable urethral/bladder neck sphincter including pump, reservoir, and cuff at the same… (53447) |
$47,643.75 |
$63,525 |
1.8× |
| Removal Foreign Body Foot Complicated (28193) |
$3,796.50 |
$5,062 |
1.8× |
| Removal foreign body foot deep (28192) |
$3,796.50 |
$5,062 |
1.8× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,627.50 |
$2,170 |
1.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,796.50 |
$5,062 |
1.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$135.75 |
$181 |
1.8× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$135.75 |
$181 |
1.8× |
| Removal of nail bed (11750) |
$934.50 |
$1,246 |
1.8× |
| Removal of testis (54520) |
$8,103 |
$10,804 |
1.8× |
| Removal or bivalving full arm or full leg cast (29705) |
$642.75 |
$857 |
1.8× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$461.25 |
$615 |
1.8× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,627.50 |
$2,170 |
1.8× |
| Remove Intrauterine Device (58301) |
$700.50 |
$934 |
1.8× |
| Remove muti-comp penis pros (54406) |
$8,103 |
$10,804 |
1.8× |
| Remove/replace penis prosth (54410) |
$47,643.75 |
$63,525 |
1.8× |
| Remvl Inflatable Urethral/Bladder Neck Sphincter (53446) |
$12,325.50 |
$16,434 |
1.8× |
| Repair incomplete circumcision (54163) |
$4,805.25 |
$6,407 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$934.50 |
$1,246 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,698.75 |
$2,265 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$934.50 |
$1,246 |
1.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$934.50 |
$1,246 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$934.50 |
$1,246 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$934.50 |
$1,246 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$934.50 |
$1,246 |
1.8× |
| Repair of nail bed (11760) |
$1,698.75 |
$2,265 |
1.8× |
| Revision of scrotum (55180) |
$12,325.50 |
$16,434 |
1.8× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,751 |
$3,668 |
1.8× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,442.25 |
$1,923 |
1.8× |
| Rplc Gtube No Revj Trc (43762) |
$574.50 |
$766 |
1.8× |
| Rplc gtube revj gstrst trc (43763) |
$574.50 |
$766 |
1.8× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$3,618.75 |
$4,825 |
1.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$3,618.75 |
$4,825 |
1.8× |
| Scrotoplasty Simple (55175) |
$8,103 |
$10,804 |
1.8× |
| Shave skin lesion 0.5 cm/< (11300) |
$934.50 |
$1,246 |
1.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$461.25 |
$615 |
1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$461.25 |
$615 |
1.8× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$934.50 |
$1,246 |
1.8× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$461.25 |
$615 |
1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$934.50 |
$1,246 |
1.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$461.25 |
$615 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$461.25 |
$615 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$461.25 |
$615 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$461.25 |
$615 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$1,698.75 |
$2,265 |
1.8× |
| Skin sub graft trnk/arm/leg (15271) |
$1,698.75 |
$2,265 |
1.8× |
| Sling operation for stress incontinence (eg, fascia or synthetic) (57288) |
$11,499 |
$15,332 |
1.8× |
| Slitting of prepuce (54001) |
$4,805.25 |
$6,407 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$461.25 |
$615 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$934.50 |
$1,246 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$934.50 |
$1,246 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$1,623 |
$2,164 |
1.8× |
| Strapping ankle (29540) |
$373.50 |
$498 |
1.8× |
| Strapping elbow or wrist (29260) |
$135.75 |
$181 |
1.8× |
| Strapping hand/finger (29280) |
$135.75 |
$181 |
1.8× |
| Strapping knee (29530) |
$306 |
$408 |
1.8× |
| Strapping shoulder (29240) |
$306 |
$408 |
1.8× |
| Strapping toes (29550) |
$135.75 |
$181 |
1.8× |
| Strapping Unna Boot (29580) |
$373.50 |
$498 |
1.8× |
| Suture/repair testicular injury (54670) |
$8,103 |
$10,804 |
1.8× |
| Tangential biopsy skin single lesion (11102) |
$934.50 |
$1,246 |
1.8× |
| Transurethral incision of prostate (52450) |
$8,103 |
$10,804 |
1.8× |
| Treat humerus fracture (23600) |
$567 |
$756 |
1.8× |
| Treat Knuckle Dislocation (26700) |
$567 |
$756 |
1.8× |
| Treat Metatarsal Fracture (28475) |
$567 |
$756 |
1.8× |
| Treat Thumb Dislocation (26641) |
$567 |
$756 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$567 |
$756 |
1.8× |
| Trim skin lesion (11055) |
$461.25 |
$615 |
1.8× |
| Trim skin lesions 2 to 4 (11056) |
$461.25 |
$615 |
1.8× |
| Trimming Nondystrophic Nails Any Number (11719) |
$135.75 |
$181 |
1.8× |
| Tx superficial wound dehiscence w/packing (12021) |
$934.50 |
$1,246 |
1.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$3,696 |
$4,928 |
1.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$373.50 |
$498 |
1.8× |
| Unlisted procedure femur or knee (27599) |
$567 |
$756 |
1.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$2,109.75 |
$2,813 |
1.9× |
| Urethromeatoplasty W/Mucosal Advancement (53450) |
$8,103 |
$10,804 |
1.8× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$7,441.50 |
$9,922 |
1.8× |
| Vaginal delivery only (59409) |
$7,441.50 |
$9,922 |
1.8× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$4,805.25 |
$6,407 |
1.8× |
| Wedge excision skin nail fold (11765) |
$934.50 |
$1,246 |
1.8× |
| Wedging of cast (29740) |
$642.75 |
$857 |
1.8× |
| Windowing of cast (29730) |
$373.50 |
$498 |
1.8× |