| Abd paracentesis w/imaging (49083) |
$1,512 |
$1,890 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,896.80 |
$2,371 |
1.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,312 |
$2,890 |
0.6× |
| Anoscopy diagnostic (46600) |
$693.60 |
$867 |
4.6× |
| Application finger splint static (29130) |
$137.60 |
$172 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$327.20 |
$409 |
1.8× |
| Application Long Leg Splint (29505) |
$355.20 |
$444 |
1.9× |
| Application of rigid total contact leg cast (29445) |
$328.80 |
$411 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$343.20 |
$429 |
2.3× |
| Application short leg splint calf foot (29515) |
$355.20 |
$444 |
1.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$176.80 |
$221 |
1.0× |
| Apply Short Leg Cast (29405) |
$668.80 |
$836 |
2.1× |
| Arterial puncture (36600) |
$132.80 |
$166 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,012 |
$1,265 |
2.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$1,776 |
$2,220 |
2.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$1,144 |
$1,430 |
3.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$864 |
$1,080 |
2.5× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$880–$1,152 |
$1,100–$1,440 |
varies |
| Aspirate pleura w/ imaging (32555) |
$1,717.60 |
$2,147 |
2.4× |
| Aspirate Pleura W/O Imaging (32554) |
$1,509.60 |
$1,887 |
2.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$275.20 |
$344 |
1.2× |
| Biopsy of lip (40490) |
$527.20 |
$659 |
2.0× |
| Biopsy of palate, uvula (42100) |
$4,324 |
$5,405 |
2.4× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$8,186.40 |
$10,233 |
2.0× |
| Biopsy Salivary Gland Incisional (42405) |
$3,603.20 |
$4,504 |
2.0× |
| Biopsy Salivary Gland Needle (42400) |
$1,703.20 |
$2,129 |
2.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$1,165.60 |
$1,457 |
1.9× |
| Biopsy Tongue Posterior One-Third (41105) |
$9,240 |
$11,550 |
2.4× |
| Biopsy, vestibule of mouth (40808) |
$1,252.80 |
$1,566 |
2.0× |
| Bladder Irrigation (51700) |
$420.80 |
$526 |
1.5× |
| Bladder Scan (51798) |
$106.40 |
$133 |
1.6× |
| Blood Transfusion Service (36430) |
$592 |
$740 |
1.2× |
| Catheter aspiration nasotracheal spx (31720) |
$240 |
$300 |
1.0× |
| Change Cystostomy Tube Simple (51705) |
$397.60 |
$497 |
1.4× |
| Change of Windpipe Airway (31502) |
$769.60 |
$962 |
2.9× |
| Chemical Cautery Tissue (17250) |
$528 |
$660 |
2.3× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,776.80 |
$2,221 |
2.2× |
| Chemodenerv Musc Migraine (64615) |
$654.40 |
$818 |
1.9× |
| Chemodenerv musc neck dyston (64616) |
$796 |
$995 |
2.3× |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$907.20 |
$1,134 |
2.6× |
| Chest tube placement (32551) |
$1,921.60 |
$2,402 |
1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,492.80 |
$1,866 |
0.8× |
Clear outer ear canal (69200)
range across 3 matching MRF lines |
$331.20–$425.60 |
$414–$532 |
varies |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$627.20 |
$784 |
2.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,494.40 |
$1,868 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$472.80 |
$591 |
1.7× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$587.20 |
$734 |
2.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$790.40 |
$988 |
2.8× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$730.40 |
$913 |
2.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,744 |
$2,180 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,357.60 |
$2,947 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,647.20 |
$4,559 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$683.20 |
$854 |
2.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$286.40 |
$358 |
1.0× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$854.40 |
$1,068 |
3.0× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,400 |
$3,000 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$704 |
$880 |
2.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$801.60 |
$1,002 |
0.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,760 |
$2,200 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$616 |
$770 |
2.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$607.20 |
$759 |
2.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,647.20 |
$2,059 |
0.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$640 |
$800 |
2.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$670.40 |
$838 |
2.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,390.40 |
$1,738 |
4.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$455.20 |
$569 |
0.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$3,964 |
$4,955 |
2.2× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$587.20 |
$734 |
2.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$857.60 |
$1,072 |
3.1× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$554.40 |
$693 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,320 |
$1,650 |
4.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$792 |
$990 |
2.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,320 |
$1,650 |
4.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$720 |
$900 |
2.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,177.60 |
$1,472 |
4.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,338.40 |
$2,923 |
1.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,832.80 |
$2,291 |
1.0× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$615.20 |
$769 |
2.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$5,629.60 |
$7,037 |
3.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,200 |
$1,500 |
4.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$587.20 |
$734 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$1,200 |
$1,500 |
4.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$587.20 |
$734 |
2.1× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,408 |
$1,760 |
0.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$4,527.20 |
$5,659 |
2.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$554.40 |
$693 |
2.0× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$560 |
$700 |
0.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$308.80 |
$386 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$952 |
$1,190 |
3.4× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$717.60 |
$897 |
2.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$672 |
$840 |
2.4× |
| Cltx Medial Ankle Fx (27760) |
$1,044.80 |
$1,306 |
3.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,320 |
$1,650 |
4.7× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$704 |
$880 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,320 |
$1,650 |
4.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$792 |
$990 |
2.8× |
| Cltx post hip arthrp dislc req anes (27266) |
$4,068 |
$5,085 |
2.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$695.20 |
$869 |
2.5× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,932.80 |
$2,416 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$574.40 |
$718 |
2.0× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,314.40 |
$2,893 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$575.20 |
$719 |
2.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$3,637.60 |
$4,547 |
2.0× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$931.20 |
$1,164 |
0.5× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$484.80 |
$606 |
1.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$689.60 |
$862 |
2.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,396 |
$1,745 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$179.20 |
$224 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$39.20 |
$49 |
4.2× |
| Colonoscopy thru stoma (44388) |
$2,408 |
$3,010 |
2.3× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$3,178.40 |
$3,973 |
2.3× |
| Colonoscopy w/ablation (45388) |
$3,117.60 |
$3,897 |
2.3× |
| Colonoscopy W/Resection (45390) |
$2,493.60 |
$3,117 |
0.8× |
| Colonoscopy w/submucosal inj (45381) |
$3,117.60 |
$3,897 |
2.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$3,117.60 |
$3,897 |
2.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$862.40 |
$1,078 |
5.7× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$308.80–$564.80 |
$386–$706 |
varies |
| Create Eardrum Opening (69433) |
$1,165.60 |
$1,457 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$803.20 |
$1,004 |
5.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,600 |
$3,250 |
3.1× |
| Debride nail 1-5 (11720) |
$145.60 |
$182 |
2.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,775.20 |
$4,719 |
2.0× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$423.20 |
$529 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,672 |
$2,090 |
3.6× |
| Destroy cerv/thor facet jnt (64633) |
$3,596 |
$4,495 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$3,477.60 |
$4,347 |
1.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$5,352.80 |
$6,691 |
2.4× |
| Diagnostic sigmoidoscopy (45330) |
$2,592.80 |
$3,241 |
2.4× |
Drainage External Ear Abscess/Hematoma Simple (69000)
range across 2 matching MRF lines |
$408–$440 |
$510–$550 |
varies |
| Drainage Finger Abscess Complicated (26011) |
$1,855.20 |
$2,319 |
1.0× |
| Drainage of finger abscess simple (26010) |
$721.60 |
$902 |
3.2× |
| Drainage of gum lesion (41800) |
$301.60 |
$377 |
2.0× |
| Drainage of hematoma/fluid (10140) |
$2,455.20 |
$3,069 |
1.3× |
| Drainage of scrotum (54700) |
$6,451.20 |
$8,064 |
2.7× |
| Draw Blood Off Venous Device (36591) |
$142.40 |
$178 |
0.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$588 |
$735 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$687.20 |
$859 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$504.80 |
$631 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$288 |
$360 |
1.3× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,640 |
$4,550 |
1.8× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,972 |
$3,715 |
1.4× |
| Egd Flexible Foreign Body Removal (43247) |
$2,596 |
$3,245 |
2.5× |
| Egd W/Transmural Drain Cyst (43240) |
$11,804.80 |
$14,756 |
1.7× |
| Evacuation of subungual hematoma (11740) |
$218.40 |
$273 |
1.4× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$1,196.80 |
$1,496 |
1.5× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$1,388.80 |
$1,736 |
1.7× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$2,640 |
$3,300 |
3.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$3,344 |
$4,180 |
1.8× |
| Exc Lesion Tongue W/Clsr Anterior Two-Thirds (41112) |
$6,816.80 |
$8,521 |
1.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$5,420 |
$6,775 |
4.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,624.80 |
$2,031 |
2.0× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$3,228.80 |
$4,036 |
1.8× |
| Excision External Ear Partial Simple Repair (69110) |
$8,095.20 |
$10,119 |
2.4× |
| Excision Lesion Tongue W/O Closure (41110) |
$7,363.20 |
$9,204 |
2.0× |
| Excision/destruction intranasal lesion int appr (30117) |
$7,700 |
$9,625 |
2.0× |
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines |
$248.80–$949.60 |
$311–$1,187 |
varies |
| Fluid Pressure Muscle (20950) |
$1,637.60 |
$2,047 |
2.0× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$469.60 |
$587 |
12.8× |
I&d abscess peritonsillar (42700)
range across 2 matching MRF lines |
$431.20–$464.80 |
$539–$581 |
varies |
| I&d abscess simple (10060) |
$367.20 |
$459 |
1.6× |
| I&d perianal abscess superficial (46050) |
$1,846.40 |
$2,308 |
1.7× |
| I&d pilonidal cyst complicated (10081) |
$3,686.40 |
$4,608 |
4.6× |
| I&d pilonidal cyst simple (10080) |
$904 |
$1,130 |
1.1× |
| Image Cath Fluid Colxn Visc (49405) |
$4,737.60 |
$5,922 |
2.5× |
| Implant neuroelectrodes (63650) |
$7,253.60 |
$9,067 |
1.0× |
| Incise external hemorrhoid (46083) |
$648.80 |
$811 |
2.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$678.40 |
$848 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,734.40 |
$2,168 |
0.9× |
Incision & removal foreign body subq tiss simple (10120)
range across 2 matching MRF lines |
$636.80–$1,040 |
$796–$1,300 |
varies |
| Incision and drainage of bartholin's gland abscess (56420) |
$339.20 |
$424 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$582.40 |
$728 |
1.7× |
| Incision of eardrum (69420) |
$517.60 |
$647 |
1.9× |
| Incision of rectal abscess (46040) |
$2,627.20 |
$3,284 |
1.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$3,935.20 |
$4,919 |
2.1× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$176 |
$220 |
0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,681.60 |
$3,352 |
2.7× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,681.60 |
$3,352 |
2.7× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,488.80 |
$3,111 |
2.5× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$2,054.40 |
$2,568 |
2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,947.20 |
$2,434 |
2.4× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,124 |
$2,655 |
2.1× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$2,054.40 |
$2,568 |
2.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$2,056 |
$2,570 |
2.6× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,981.60 |
$2,477 |
2.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$2,116 |
$2,645 |
2.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$697.60 |
$872 |
2.0× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$783.20 |
$979 |
2.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,211.20 |
$1,514 |
1.2× |
Injection, anesthetic agent; femoral nerve, single (64447)
range across 2 matching MRF lines |
$1,541.60–$2,116 |
$1,927–$2,645 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$961.60 |
$1,202 |
1.2× |
| Insert Bladder Cath Complex (51703) |
$395.20 |
$494 |
2.7× |
| Insert cath pleura w/ image (32557) |
$1,872.80 |
$2,341 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$1,688 |
$2,110 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$185.60 |
$232 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$132.80 |
$166 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,331.20 |
$4,164 |
1.9× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$1,641.60–$1,770.40 |
$2,052–$2,213 |
varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$5,230.40 |
$6,538 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$744.80 |
$931 |
2.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$392 |
$490 |
1.4× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$132 |
$165 |
3.6× |
| Labyrinthotomy Transcanal (69801) |
$3,874.40 |
$4,843 |
2.2× |
Laryngoscopy flexible diagnostic (31575)
range across 2 matching MRF lines |
$960–$979.20 |
$1,200–$1,224 |
varies |
| Laryngoscopy Flexible W/Biopsy(Ies) (31576) |
$3,845.60 |
$4,807 |
1.9× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$1,099.20 |
$1,374 |
2.5× |
| Laryngoscopy Flx/Rgd Telescopic W/Stroboscopy (31579) |
$864 |
$1,080 |
1.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,815.20 |
$2,269 |
2.3× |
| N Block Lumbar/Thoracic (64520) |
$2,198.40 |
$2,748 |
2.2× |
| Nasal Endoscopy Dx (31231) |
$472 |
$590 |
2.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$728.80 |
$911 |
1.4× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$3,593.60 |
$4,492 |
1.8× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$3,593.60 |
$4,492 |
1.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$2,416.80 |
$3,021 |
5.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,938.40 |
$2,423 |
1.9× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
$599.20–$994.40 |
$749–$1,243 |
varies |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$1,822.40 |
$2,278 |
1.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,681.60 |
$3,352 |
3.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,981.60 |
$2,477 |
2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,568 |
$1,960 |
2.0× |
| Occipital Nerve Block (64405) |
$968.80 |
$1,211 |
2.8× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,344 |
$4,180 |
1.8× |
| Penile Injection (54235) |
$757.60 |
$947 |
2.7× |
| Peritoneal Lavage (49084) |
$1,934.40 |
$2,418 |
1.9× |
| Punch biopsy skin single lesion (11104) |
$297.60 |
$372 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$748 |
$935 |
1.6× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$1,423.20 |
$1,779 |
2.8× |
| Removal Embedded Foreign Body Eyelid (67938) |
$324 |
$405 |
0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$2,579.20 |
$3,224 |
3.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$541.60 |
$677 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$160.80 |
$201 |
2.4× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 2 matching MRF lines |
$219.20–$281.60 |
$274–$352 |
varies |
| Removal implantable contraceptive capsules (11976) |
$468 |
$585 |
0.6× |
| Removal of foreign body from pharynx (42809) |
$803.20 |
$1,004 |
1.6× |
| Removal of nail bed (11750) |
$720.80 |
$901 |
1.6× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$420.80 |
$526 |
1.8× |
| Remove foreign body from eye (65205) |
$330.40 |
$413 |
2.2× |
| Remove Intrauterine Device (58301) |
$354.40 |
$443 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$183.20 |
$229 |
1.2× |
Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151)
range across 2 matching MRF lines |
$1,408.80–$1,564.80 |
$1,761–$1,956 |
varies |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,524 |
$1,905 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,057.60 |
$1,322 |
2.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,164 |
$1,455 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,524 |
$1,905 |
3.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$7,872 |
$9,840 |
9.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$885.60 |
$1,107 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$992 |
$1,240 |
2.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,097.60 |
$1,372 |
2.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,204 |
$1,505 |
2.6× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$860 |
$1,075 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$992 |
$1,240 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,097.60 |
$1,372 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,211.20 |
$1,514 |
2.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$896.80 |
$1,121 |
1.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$999.20 |
$1,249 |
2.2× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,540 |
$1,925 |
1.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,105.60 |
$1,382 |
2.4× |
| Repair of nail bed (11760) |
$519.20 |
$649 |
0.6× |
| Repair tongue laceration (41250) |
$420.80 |
$526 |
0.8× |
| Retrobulbar injection (67500) |
$665.60 |
$832 |
1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$249.60 |
$312 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$317.60 |
$397 |
2.1× |
| Rplc Gtube No Revj Trc (43762) |
$622.40 |
$778 |
2.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$1,081.60 |
$1,352 |
4.7× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$2,276 |
$2,845 |
2.1× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$2,939.20 |
$3,674 |
2.2× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$6,816.80 |
$8,521 |
1.8× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$2,208.80 |
$2,761 |
2.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,319.20 |
$1,649 |
2.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$647.20 |
$809 |
2.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$724.80 |
$906 |
3.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$917.60 |
$1,147 |
4.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$566.40 |
$708 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,097.60 |
$1,372 |
4.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$780 |
$975 |
3.4× |
| Skin sub graft face/nk/hf/g (15275) |
$3,578.40 |
$4,473 |
4.3× |
| Skin sub graft trnk/arm/leg (15271) |
$3,326.40 |
$4,158 |
4.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$673.60 |
$842 |
2.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$884.80 |
$1,106 |
1.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$991.20 |
$1,239 |
2.1× |
| Spinal puncture lumbar diagnostic (62270) |
$783.20 |
$979 |
1.0× |
| Strapping shoulder (29240) |
$172 |
$215 |
1.1× |
| Strapping Unna Boot (29580) |
$245.60 |
$307 |
1.3× |
| Thrombolytic Therapy Stroke (37195) |
$707.20 |
$884 |
1.9× |
| Treat humerus fracture (24500) |
$600.80 |
$751 |
2.1× |
| Treat humerus fracture (23600) |
$983.20 |
$1,229 |
3.5× |
| Treat Knuckle Dislocation (26700) |
$726.40 |
$908 |
2.6× |
| Treat Thumb Dislocation (26641) |
$512.80 |
$641 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$607.20 |
$759 |
2.2× |
| Trim skin lesion (11055) |
$264.80 |
$331 |
1.2× |
| Tx Gastro Intub W/Asp (43753) |
$266.40 |
$333 |
1.1× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$731.20 |
$914 |
0.9× |
| Unlisted Procedure Accessory Sinuses (31299) |
$462.40 |
$578 |
1.7× |
| Unlisted Procedure External Ear (69399) |
$1,252.80 |
$1,566 |
4.6× |
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines |
$814.40–$2,054.40 |
$1,018–$2,568 |
varies |
| Vaginal delivery only (59409) |
$4,745.60 |
$5,932 |
1.3× |
| Wedge excision skin nail fold (11765) |
$335.20 |
$419 |
0.7× |