| Abd paracentesis w/imaging (49083) |
$1,008 |
$1,344 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$364.50 |
$486 |
0.4× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$253.50 |
$338 |
0.8× |
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 8 matching MRF lines |
$187.50–$238.50 |
$250–$318 |
varies |
| Application cast elbow finger short arm (29075) |
$171 |
$228 |
0.6× |
| Application Cast Finger (29086) |
$127.50 |
$170 |
0.7× |
| Application finger splint static (29130) |
$79.50 |
$106 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$120 |
$160 |
0.7× |
| Application Long Leg Splint (29505) |
$178.50 |
$238 |
1.0× |
| Application of rigid total contact leg cast (29445) |
$125.25 |
$167 |
0.4× |
| Application short arm splint forearm-hand static (29125) |
$99.75 |
$133 |
0.7× |
| Application short leg splint calf foot (29515) |
$173.25 |
$231 |
1.0× |
| Apply hand/wrist cast (29085) |
$179.25 |
$239 |
1.0× |
| Apply long arm cast (29065) |
$183 |
$244 |
0.6× |
Apply Multlay Comprs Lwr Leg (29581)
range across 9 matching MRF lines |
$86.25–$210 |
$115–$280 |
varies |
| Arterial puncture (36600) |
$81 |
$108 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$600 |
$800 |
1.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$600 |
$800 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$600 |
$800 |
1.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$600 |
$800 |
1.8× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$600–$642 |
$800–$856 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$325.50 |
$434 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$237 |
$316 |
1.1× |
| Blood Transfusion Service (36430) |
$729.75 |
$973 |
1.5× |
| Bone Marrow Biopsy (38221) |
$189.75 |
$253 |
0.1× |
| Bone Marrow; Aspiration Only (38220) |
$196.50 |
$262 |
0.1× |
| Bx breast 1st lesion us imag (19083) |
$2,299.50 |
$3,066 |
1.3× |
| Catheter aspiration nasotracheal spx (31720) |
$131.25 |
$175 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$389.25 |
$519 |
1.5× |
| Change of Windpipe Airway (31502) |
$111 |
$148 |
0.4× |
| Chemical Cautery Tissue (17250) |
$75.75 |
$101 |
0.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,459.50 |
$1,946 |
1.9× |
| Chemodenerv Eccrine Glands (64650) |
$604.50 |
$806 |
1.8× |
| Chemodenerv Musc Migraine (64615) |
$604.50 |
$806 |
1.8× |
| Chemodenerv musc neck dyston (64616) |
$604.50 |
$806 |
1.8× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,459.50 |
$1,946 |
1.9× |
| Chest tube placement (32551) |
$909.75 |
$1,213 |
0.5× |
| Clear outer ear canal (69200) |
$205.50 |
$274 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$750 |
$1,000 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$704.25 |
$939 |
2.7× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,232.25 |
$1,643 |
4.7× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$864 |
$1,152 |
3.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$696.75 |
$929 |
2.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$603.75 |
$805 |
2.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$391.50 |
$522 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$847.50 |
$1,130 |
3.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,061.25 |
$1,415 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$625.50 |
$834 |
2.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,288.50 |
$1,718 |
0.7× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$976.50 |
$1,302 |
3.7× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$310.50 |
$414 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,089.75 |
$1,453 |
4.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$439.50 |
$586 |
1.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$522.75 |
$697 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$783 |
$1,044 |
0.5× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,087.25 |
$2,783 |
1.2× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$2,787.75 |
$3,717 |
1.6× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,464.50 |
$3,286 |
1.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$337.50 |
$450 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$945 |
$1,260 |
0.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,370.75 |
$3,161 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,791.75 |
$2,389 |
6.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$434.25 |
$579 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$544.50 |
$726 |
2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$511.50 |
$682 |
0.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$603.75 |
$805 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$905.25 |
$1,207 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$820.50 |
$1,094 |
3.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,671.75 |
$2,229 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$360 |
$480 |
1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$569.25 |
$759 |
0.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$681.75 |
$909 |
0.4× |
Collect Blood From Catheter Venous Nos (36592)
range across 2 matching MRF lines |
$230.25–$237 |
$307–$316 |
varies |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$24–$25.50 |
$32–$34 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$344.25 |
$459 |
2.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$255 |
$340 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$475.50 |
$634 |
3.3× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$573.75 |
$765 |
2.3× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$1,299 |
$1,732 |
0.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$381 |
$508 |
0.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$453 |
$604 |
0.6× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$372 |
$496 |
0.5× |
| Debride nail 1-5 (11720) |
$59.25 |
$79 |
0.9× |
| Debride nail 6 or more (11721) |
$66 |
$88 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$517.50 |
$690 |
0.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$123.75 |
$165 |
0.3× |
| Declot vascular device (36593) |
$85.50 |
$114 |
0.2× |
| Destr W Neurolytic; Celiac Plexus (64680) |
$1,891.50 |
$2,522 |
2.0× |
| Destroy cerv/thor facet jnt (64633) |
$4,035 |
$5,380 |
1.9× |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$2,794.50–$4,035 |
$3,726–$5,380 |
varies |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$1,891.50 |
$2,522 |
2.0× |
| Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale Facility (64605) |
$4,035 |
$5,380 |
1.9× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$600 |
$800 |
1.8× |
| Destruction by neurolytic agent; pudendal nerve (64630) |
$1,891.50 |
$2,522 |
2.0× |
| Destruction Lesions Vulva Simple (56501) |
$253.50 |
$338 |
0.1× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,035 |
$5,380 |
1.9× |
| Drain Cerebro Spinal Fluid (62272) |
$1,459.50 |
$1,946 |
1.9× |
| Drain/inj small joint/bursa w/us (20604) |
$600 |
$800 |
1.8× |
| Drainage of finger abscess simple (26010) |
$397.50 |
$530 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$346.50 |
$462 |
0.2× |
| Drainage of scrotal wall abscess (55100) |
$366 |
$488 |
0.2× |
| Draw Blood Off Venous Device (36591) |
$243 |
$324 |
1.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$456 |
$608 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$381 |
$508 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$164.25 |
$219 |
0.8× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,891.50 |
$2,522 |
2.0× |
| Dstrj Trigeminal Nrv Supraorb Infraorb Branch (64600) |
$1,891.50 |
$2,522 |
2.0× |
| Dx Bone Marrow Bx & Aspir (38222) |
$210 |
$280 |
0.1× |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$380.25 |
$507 |
1.2× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$219.75 |
$293 |
0.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$198 |
$264 |
0.6× |
| Epidural Blood Patch (62273) |
$1,459.50 |
$1,946 |
1.9× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$195 |
$260 |
0.1× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$441.75 |
$589 |
0.1× |
| I&d abscess peritonsillar (42700) |
$392.25 |
$523 |
1.5× |
| I&d abscess simple (10060) |
$261 |
$348 |
1.2× |
| I&d pilonidal cyst complicated (10081) |
$579.75 |
$773 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$271.50 |
$362 |
0.4× |
| Incise external hemorrhoid (46083) |
$388.50 |
$518 |
1.5× |
| Incision & drainage abscess complicated/multiple (10061) |
$512.25 |
$683 |
1.2× |
| Incision & removal foreign body subq tiss compl (10121) |
$644.25 |
$859 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$282 |
$376 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$366.75 |
$489 |
1.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$364.50 |
$486 |
1.1× |
| Incision of rectal abscess (46040) |
$1,002 |
$1,336 |
0.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$730.50 |
$974 |
0.4× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
$1,803.75–$1,891.50 |
$2,405–$2,522 |
varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,891.50 |
$2,522 |
2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$600 |
$800 |
1.8× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,891.50 |
$2,522 |
2.0× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,459.50 |
$1,946 |
1.9× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,459.50 |
$1,946 |
1.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,459.50 |
$1,946 |
1.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$600 |
$800 |
1.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,891.50 |
$2,522 |
2.0× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,459.50 |
$1,946 |
1.9× |
| Injection into disk lesion (62292) |
$4,035 |
$5,380 |
1.9× |
| Injection into spinal artery (62294) |
$1,850.25 |
$2,467 |
2.0× |
| Injection single tendon origin/insertion (20551) |
$600 |
$800 |
1.8× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$253.50–$600 |
$338–$800 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$600 |
$800 |
1.8× |
| Injection therapeutic carpal tunnel (20526) |
$600 |
$800 |
1.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,891.50 |
$2,522 |
2.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,459.50 |
$1,946 |
1.9× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$1,459.50–$1,931.25 |
$1,946–$2,575 |
varies |
| Injection, anesthetic agent; vagus nerve (64408) |
$600 |
$800 |
1.8× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,891.50 |
$2,522 |
2.0× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$1,891.50 |
$2,522 |
2.0× |
| Injx/Infusion Neurolytic Substance Subarachnoid (62280) |
$1,891.50 |
$2,522 |
2.0× |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
$279–$381.75 |
$372–$509 |
varies |
| Insert Temp Bladder Cath (51702) |
$85.50 |
$114 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$85.50 |
$114 |
0.6× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,974 |
$2,632 |
1.2× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,060.50 |
$1,414 |
2.4× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,320.75 |
$1,761 |
3.0× |
| Intubation endotracheal emergency procedure (31500) |
$715.50 |
$954 |
2.8× |
| N Block Inj Celiac Pelus (64530) |
$1,891.50 |
$2,522 |
2.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,459.50 |
$1,946 |
1.9× |
| N block inj intercost sng (64420) |
$1,459.50 |
$1,946 |
1.9× |
| N Block Inj Pudendal (64430) |
$1,891.50 |
$2,522 |
2.0× |
| N Block Lumbar/Thoracic (64520) |
$1,891.50 |
$2,522 |
2.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,891.50 |
$2,522 |
2.0× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$600 |
$800 |
1.8× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$381.75 |
$509 |
0.1× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$1,891.50–$1,920.75 |
$2,522–$2,561 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62325) |
$1,891.50 |
$2,522 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,459.50 |
$1,946 |
1.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,459.50 |
$1,946 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,891.50 |
$2,522 |
2.0× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,891.50 |
$2,522 |
2.0× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,459.50 |
$1,946 |
1.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,891.50 |
$2,522 |
2.0× |
| Occipital Nerve Block (64405) |
$1,038.75 |
$1,385 |
3.2× |
| Open treatment metacarpophalangeal dislocation (26715) |
$489.75 |
$653 |
0.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$14,393.25 |
$19,191 |
1.9× |
| Perq Vertebral Augmentation (22513) |
$14,393.25 |
$19,191 |
1.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$207 |
$276 |
0.5× |
| Puncture shunt tube/reservoir aspiration/inj px (61070) |
$1,459.50 |
$1,946 |
1.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$4,035 |
$5,380 |
1.9× |
| Relieve Pressure on Nerve(S) (64722) |
$4,035 |
$5,380 |
1.9× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$221.25 |
$295 |
0.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$538.50 |
$718 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$131.25 |
$175 |
2.1× |
| Removal of nail bed (11750) |
$403.50 |
$538 |
0.9× |
| Removal or bivalving full arm or full leg cast (29705) |
$170.25 |
$227 |
0.6× |
| Remove foreign body from eye (65205) |
$137.25 |
$183 |
1.0× |
| Repair Blood Vessel Direct Upper Extremity (35206) |
$462 |
$616 |
0.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,076.25 |
$1,435 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,514.25 |
$2,019 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$873.75 |
$1,165 |
2.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,362.75 |
$1,817 |
3.1× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$736.50 |
$982 |
1.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$864 |
$1,152 |
2.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$713.25 |
$951 |
0.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,004.25 |
$1,339 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$600.75 |
$801 |
0.3× |
| Repair Hand Tendon (26410) |
$600.75 |
$801 |
0.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$559.50 |
$746 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$609.75 |
$813 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$720 |
$960 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$820.50 |
$1,094 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,571.25 |
$2,095 |
3.6× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$867 |
$1,156 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$528.75 |
$705 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$606.75 |
$809 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$725.25 |
$967 |
0.9× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,151.25 |
$1,535 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$802.50 |
$1,070 |
1.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$480.75 |
$641 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$546 |
$728 |
1.3× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,011.75 |
$1,349 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$673.50 |
$898 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,187.25 |
$1,583 |
0.5× |
| Retrobulbar injection (67500) |
$600 |
$800 |
1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$143.25 |
$191 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$186.75 |
$249 |
1.3× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$170.25 |
$227 |
0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$1,044.75 |
$1,393 |
0.3× |
| Rplc Gtube No Revj Trc (43762) |
$253.50 |
$338 |
0.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,974 |
$2,632 |
1.2× |
| Rpr blood vessel direct lower extremity (35226) |
$462 |
$616 |
0.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$705.75 |
$941 |
3.3× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,071 |
$1,428 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$962.25 |
$1,283 |
1.7× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$950.25 |
$1,267 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$875.25 |
$1,167 |
2.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$399.75 |
$533 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$455.25 |
$607 |
2.1× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$1,143 |
$1,524 |
2.6× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$549.75 |
$733 |
2.6× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$1,371.75 |
$1,829 |
6.4× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$382.50 |
$510 |
1.8× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$976.50 |
$1,302 |
4.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$506.25 |
$675 |
2.4× |
| Skin sub graft face/nk/hf/g (15275) |
$225 |
$300 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$206.25 |
$275 |
0.3× |
| Skin sub grft t/arm/lg child (15273) |
$525 |
$700 |
0.2× |
| Skn sub grft f/n/hf/g child (15277) |
$600 |
$800 |
0.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$421.50 |
$562 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$645.75 |
$861 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$867 |
$1,156 |
2.0× |
| Spinal puncture lumbar diagnostic (62270) |
$1,459.50 |
$1,946 |
1.9× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$2,109.75 |
$2,813 |
1.0× |
| Strapping ankle (29540) |
$135.75 |
$181 |
0.8× |
| Strapping shoulder (29240) |
$201 |
$268 |
1.4× |
| Strapping thorax (29200) |
$195.75 |
$261 |
1.1× |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
$78.75–$168.75 |
$105–$225 |
varies |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$282.75 |
$377 |
0.2× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$706.50 |
$942 |
0.4× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$28,335 |
$37,780 |
2.1× |
| Thrombolytic Therapy Stroke (37195) |
$228.75 |
$305 |
0.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$825.75 |
$1,101 |
3.3× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,008 |
$1,344 |
0.6× |
Treat humerus fracture (23600)
range across 2 matching MRF lines |
$667.50–$969.75 |
$890–$1,293 |
varies |
| Treat Knuckle Dislocation (26700) |
$741.75 |
$989 |
2.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,158.75 |
$1,545 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$894.75 |
$1,193 |
3.4× |
| Trim skin lesion (11055) |
$78.75 |
$105 |
0.4× |
| Trim skin lesions 2 to 4 (11056) |
$59.25 |
$79 |
0.3× |
| Trim skin lesions over 4 (11057) |
$72 |
$96 |
0.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$27 |
$36 |
0.4× |
| Tx Gastro Intub W/Asp (43753) |
$187.50 |
$250 |
0.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$600.75 |
$801 |
0.8× |
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines |
$600–$789 |
$800–$1,052 |
varies |
| Vaginal delivery only (59409) |
$3,659.25 |
$4,879 |
1.1× |
| Wedge excision skin nail fold (11765) |
$136.50 |
$182 |
0.3× |