Abd paracentesis w/imaging (49083) range across 3 matching MRF lines |
$694.15–$1,308.60 |
$771.28–$1,454 |
varies |
| Ablate inf turbinate submuc (30802) |
$1,998.90 |
$2,221 |
1.4× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$1,998.90 |
$2,221 |
1.4× |
| Adding Walker Previously Applied Cast (29440) |
$207 |
$230 |
1.3× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$2,812.50 |
$3,125 |
1.4× |
| Anal/Urinary Muscle Study (51784) |
$374.40 |
$416 |
3.1× |
| Application cast elbow finger short arm (29075) |
$297 |
$330 |
1.1× |
| Application Cast Finger (29086) |
$207 |
$230 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$176.40 |
$196 |
3.2× |
| Application finger splint static (29130) |
$169.20 |
$188 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$207 |
$230 |
1.3× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$407.70 |
$453 |
1.5× |
| Application Long Leg Splint (29505) |
$270 |
$300 |
1.8× |
| Application of cylinder cast (thigh to ankle) (29365) |
$369.90 |
$411 |
1.4× |
| Application of long leg cast (29345) |
$388.80 |
$432 |
1.5× |
| Application of rigid total contact leg cast (29445) |
$407.70 |
$453 |
1.5× |
| Application Patellar Tendon Bearing Cast (29435) |
$379.80 |
$422 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$193.50 |
$215 |
1.5× |
| Application short arm splint forearm-hand static (29125) |
$176.40 |
$196 |
1.4× |
| Application short leg splint calf foot (29515) |
$247.50 |
$275 |
1.6× |
| Apply hand/wrist cast (29085) |
$207 |
$230 |
1.3× |
| Apply long arm cast (29065) |
$302.40 |
$336 |
1.1× |
Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$261–$391.50 |
$290–$435 |
varies |
| Apply Short Leg Cast (29405) |
$352.80 |
$392 |
1.3× |
| Apply short leg cast (29425) |
$369.90 |
$411 |
1.4× |
| Arterial puncture (36600) |
$150.30 |
$167 |
1.2× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 7 matching MRF lines |
$664.20–$996.30 |
$738–$1,107 |
varies |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 4 matching MRF lines |
$1,015.20–$1,522.80 |
$1,128–$1,692 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 9 matching MRF lines |
$664.20–$996.30 |
$738–$1,107 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 4 matching MRF lines |
$664.20–$996.30 |
$738–$1,107 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 7 matching MRF lines |
$664.20–$996.30 |
$738–$1,107 |
varies |
| Aspirate pleura w/ imaging (32555) |
$1,099.80 |
$1,222 |
1.9× |
| Aspirate Pleura W/O Imaging (32554) |
$994.50 |
$1,105 |
1.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$664.20 |
$738 |
2.3× |
| Autologous Chondrocyte Implantation Knee (27412) |
$9,375.30 |
$10,417 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$262.80 |
$292 |
1.4× |
| Biopsy Abdominal Mass (49180) |
$1,485 |
$1,650 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,124.90 |
$2,361 |
1.4× |
| Biopsy muscle percutaneous needle (20206) |
$2,124.90 |
$2,361 |
1.4× |
| Biopsy of liver, needle; percutaneous (47000) |
$1,485 |
$1,650 |
1.0× |
| Bladder instillation anticarcinogenic agent (51720) |
$603 |
$670 |
0.9× |
| Bladder Irrigation (51700) |
$237.60 |
$264 |
1.0× |
| Bladder Scan (51798) |
$175.50 |
$195 |
3.1× |
| Blood Transfusion Service (36430) |
$585 |
$650 |
1.4× |
| Bx breast 1st lesion strtctc (19081) |
$3,924 |
$4,360 |
2.5× |
| Bx breast 1st lesion us imag (19083) |
$4,477.50 |
$4,975 |
2.9× |
| Cessj Therapy Cath Removal (37214) |
$4,041 |
$4,490 |
1.4× |
| Change Cystostomy Tube Simple (51705) |
$493.20 |
$548 |
2.1× |
| Chemical Cautery Tissue (17250) |
$396 |
$440 |
2.1× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,620 |
$1,800 |
2.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,558.80 |
$1,732 |
2.3× |
| Chemodenerv Musc Migraine (64615) |
$664.20 |
$738 |
2.3× |
| Chemodenerv musc neck dyston (64616) |
$664.20 |
$738 |
2.3× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,558.80 |
$1,732 |
2.3× |
| Chemodenerv trunk musc 6/> (64647) |
$1,620 |
$1,800 |
2.4× |
| Chemodenervation Muscle Larynx Unilat W/Emg (64617) |
$908.10 |
$1,009 |
1.4× |
| Chest tube placement (32551) |
$1,732.50 |
$1,925 |
1.2× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,895.40 |
$2,106 |
1.0× |
| Clear outer ear canal (69200) |
$232.20 |
$258 |
1.8× |
| Closed Treat Vert Body Fract (22310) |
$409.50 |
$455 |
1.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$315 |
$350 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$700.20 |
$778 |
3.0× |
| Closed Treatment Sternum Fracture (21820) |
$409.50 |
$455 |
1.8× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$298.80 |
$332 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$315 |
$350 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,106.90 |
$2,341 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$304.20 |
$338 |
1.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,106.90 |
$2,341 |
1.4× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$279 |
$310 |
1.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,106.90 |
$2,341 |
1.4× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,941.30 |
$2,157 |
1.3× |
| Closed Tx Mandibular Fx W/Interdental Fixation (21453) |
$7,749.90 |
$8,611 |
1.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$216 |
$240 |
0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,106.90 |
$2,341 |
1.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$1,998.90 |
$2,221 |
1.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,924 |
$4,360 |
1.3× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$1,941.30 |
$2,157 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$315 |
$350 |
1.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,106.90 |
$2,341 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$241.20 |
$268 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,106.90 |
$2,341 |
1.4× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$259.20 |
$288 |
1.1× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,106.90 |
$2,341 |
1.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$264.60 |
$294 |
1.1× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$215.10 |
$239 |
0.9× |
| Closed tx septal&nose fx (21337) |
$4,248.90 |
$4,721 |
1.4× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$315 |
$350 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,106.90 |
$2,341 |
1.4× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,941.30 |
$2,157 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$315 |
$350 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,106.90 |
$2,341 |
1.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$265.50 |
$295 |
1.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$241.20 |
$268 |
1.0× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$356.40 |
$396 |
1.6× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$721.80 |
$802 |
1.4× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$315 |
$350 |
1.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$215.10 |
$239 |
0.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,106.90 |
$2,341 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$215.10 |
$239 |
0.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$220.50 |
$245 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,106.90 |
$2,341 |
1.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$303.30 |
$337 |
1.3× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$315 |
$350 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$212.40 |
$236 |
0.9× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$279 |
$310 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$315 |
$350 |
1.3× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$315 |
$350 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$315 |
$350 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$216 |
$240 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$306.90 |
$341 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx dstl xtnsr tdn insj w/wo percutan pinning (26432) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$315 |
$350 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$216 |
$240 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$216 |
$240 |
0.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$246.60 |
$274 |
1.1× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$351 |
$390 |
1.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$315 |
$350 |
1.3× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$315 |
$350 |
1.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$301.50 |
$335 |
1.3× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$315 |
$350 |
1.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$443.70 |
$493 |
1.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$264.60 |
$294 |
1.1× |
| Cltx Medial Ankle Fx (27760) |
$315 |
$350 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$297.90 |
$331 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$273.60 |
$304 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$310.50 |
$345 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$216 |
$240 |
0.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$315 |
$350 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$280.80 |
$312 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$315 |
$350 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$315 |
$350 |
1.3× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,997.10 |
$2,219 |
1.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$315 |
$350 |
1.3× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$315 |
$350 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,106.90 |
$2,341 |
1.4× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$299.70 |
$333 |
1.3× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$4,250.70 |
$4,723 |
1.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$153 |
$170 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$14.40 |
$16 |
1.5× |
| Colposcopy cervix upper/adjacent vagina (57452) |
$315 |
$350 |
1.6× |
| Colposcopy entire vagina w/cervix if present (57420) |
$522.90 |
$581 |
1.8× |
| Complex drainage wound (10180) |
$5,238 |
$5,820 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$274.50 |
$305 |
2.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$3,721.50 |
$4,135 |
2.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$274.50 |
$305 |
2.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,126.60 |
$3,474 |
1.6× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$4,568.40 |
$5,076 |
1.4× |
| Cysto w/removal of lesions small (52224) |
$4,590 |
$5,100 |
1.4× |
| Cysto w/removal of tumors small (52234) |
$5,490 |
$6,100 |
1.6× |
Cysto W/Simple Removal Stone & Stent (52310) range across 2 matching MRF lines |
$3,514.50–$4,403.70 |
$3,905–$4,893 |
varies |
| Cystometrogram W/Vp (51728) |
$603 |
$670 |
0.9× |
| Cystourethroscopy (52000) |
$3,213 |
$3,570 |
4.9× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,367 |
$2,630 |
1.2× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$6,390 |
$7,100 |
1.9× |
| Cystourethroscopy W/Dest &/Rmvl Tumor Large (52240) |
$7,290 |
$8,100 |
1.4× |
| Cystourethroscopy with biopsy (52204) |
$2,683.80 |
$2,982 |
1.4× |
| Cystourethroscopy with direct vision internal urethrotomy (52276) |
$4,403.70 |
$4,893 |
2.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$837 |
$930 |
1.2× |
| Debride nail 1-5 (11720) |
$81 |
$90 |
1.5× |
| Debride nail 6 or more (11721) |
$102.60 |
$114 |
1.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,601 |
$2,890 |
1.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$660.60 |
$734 |
1.7× |
| Declot vascular device (36593) |
$301.50 |
$335 |
1.0× |
Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$4,393.80–$6,590.70 |
$4,882–$7,323 |
varies |
Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$4,393.80–$6,590.70 |
$4,882–$7,323 |
varies |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$2,003.40 |
$2,226 |
2.4× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$4,393.80 |
$4,882 |
2.4× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$205.20 |
$228 |
1.7× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$169.20 |
$188 |
1.3× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$169.20 |
$188 |
1.3× |
| Dilate Urethra Stricture (53600) |
$674.10 |
$749 |
2.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$922.50 |
$1,025 |
1.4× |
| Drainage Finger Abscess Complicated (26011) |
$2,124.90 |
$2,361 |
1.4× |
| Drainage of finger abscess simple (26010) |
$262.80 |
$292 |
1.4× |
| Drainage of gum lesion (41800) |
$230.40 |
$256 |
1.8× |
| Drainage of hematoma/fluid (10140) |
$2,676.60 |
$2,974 |
1.7× |
| Drainage of hydrocele (55000) |
$922.50 |
$1,025 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$2,123.10 |
$2,359 |
1.4× |
| Drainage of scrotum (54700) |
$4,500 |
$5,000 |
2.3× |
| Draw Blood Off Venous Device (36591) |
$153 |
$170 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$459 |
$510 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$351 |
$390 |
1.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$297 |
$330 |
1.6× |
| Dstrj lesion penis simple laser (54057) |
$2,396.70 |
$2,663 |
1.2× |
| Dstrj lesion penis simple surg excision (54060) |
$2,396.70 |
$2,663 |
1.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,003.40 |
$2,226 |
2.4× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,587.50 |
$2,875 |
0.9× |
| Dx Bronchoscope/Wash (31622) |
$2,569.50 |
$2,855 |
1.5× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$675 |
$750 |
2.3× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$675 |
$750 |
2.3× |
| Electro-Uroflowmetry First (51741) |
$408.60 |
$454 |
2.0× |
| Endoscopic injection/implant (51715) |
$4,568.40 |
$5,076 |
1.4× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$4,826.70 |
$5,363 |
1.6× |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$4,826.70 |
$5,363 |
1.6× |
| Endoven ther chem adhes 1st (36482) |
$8,477.10 |
$9,419 |
1.6× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,812.50 |
$3,125 |
1.4× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,812.50 |
$3,125 |
1.4× |
| Epidural Blood Patch (62273) |
$1,558.80 |
$1,732 |
2.3× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$5,019.30 |
$5,577 |
1.4× |
| Ercp W/Biopsy Single/Multiple (43261) |
$5,269.50 |
$5,855 |
1.4× |
| Evacuation of subungual hematoma (11740) |
$203.40 |
$226 |
1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,395 |
$1,550 |
0.9× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,440 |
$1,600 |
2.1× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$2,777.83 |
$3,086.48 |
1.8× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$2,686.50 |
$2,985 |
1.4× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$1,485 |
$1,650 |
2.2× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$1,530 |
$1,700 |
2.3× |
| Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip Facility (15834) |
$3,749.40 |
$4,166 |
1.4× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,396.70 |
$2,663 |
1.2× |
| Exploration penetrating wound spx chest (20101) |
$2,396.70 |
$2,663 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$2,124.90 |
$2,361 |
1.4× |
| Exploration Penetrating Wound Spx Neck (20100) |
$667.80 |
$742 |
1.3× |
| Extracorporeal shock wave, high energy, performed by a physician or other qualified health care professional, requiring… (28890) |
$2,097 |
$2,330 |
1.4× |
| Fetal non-stress test (59025) |
$170.10 |
$189 |
0.9× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,305 |
$1,450 |
1.9× |
| Fna bx w/us gdn 1st les (10005) |
$1,305 |
$1,450 |
1.9× |
| Foreskin manipulation (54450) |
$520.20 |
$578 |
2.2× |
| Head Surgery Procedure (21499) |
$1,593 |
$1,770 |
7.1× |
| I&d abscess simple (10060) |
$454.50 |
$505 |
2.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,749.40 |
$4,166 |
1.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,749.40 |
$4,166 |
1.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$4,250.70 |
$4,723 |
1.4× |
| I&d forearm/wrist bursa (25031) |
$2,106.90 |
$2,341 |
1.4× |
| I&d perianal abscess superficial (46050) |
$2,357.10 |
$2,619 |
2.7× |
| I&d pilonidal cyst complicated (10081) |
$1,211.40 |
$1,346 |
1.8× |
| I&d pilonidal cyst simple (10080) |
$952.20 |
$1,058 |
1.4× |
| I&d shoulder deep abscess/hematoma (23030) |
$3,749.40 |
$4,166 |
1.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,749.40 |
$4,166 |
1.4× |
| Icd Pocket Revision (33223) |
$2,396.70 |
$2,663 |
1.2× |
| Implant neuroelectrodes (63650) |
$14,767.20 |
$16,408 |
2.4× |
| Implant Neuroelectrodes (64561) |
$14,767.20 |
$16,408 |
2.4× |
| Implant Periph/Gastric Neurostim/Receiver (64590) |
$48,249.90 |
$53,611 |
2.6× |
| Implant Spine Infusion Pump (62362) |
$39,767.40 |
$44,186 |
2.3× |
| Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350) |
$14,409.90 |
$16,011 |
1.7× |
| Incise external hemorrhoid (46083) |
$324 |
$360 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$577.80 |
$642 |
1.5× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,123.10 |
$2,359 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$796.50 |
$885 |
2.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$582.30 |
$647 |
2.0× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,633.50 |
$1,815 |
1.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,124.90 |
$2,361 |
1.4× |
| Incisional biopsy skin single lesion (11106) |
$720 |
$800 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$193.50 |
$215 |
1.0× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 2 matching MRF lines |
$2,003.40–$3,005.10 |
$2,226–$3,339 |
varies |
| Inj W/Fluor Eval Cv Device (36598) |
$578.70 |
$643 |
2.9× |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) range across 2 matching MRF lines |
$2,003.40–$3,005.10 |
$2,226–$3,339 |
varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$664.20 |
$738 |
2.3× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$2,003.40 |
$2,226 |
2.4× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,558.80 |
$1,732 |
2.3× |
Injection aa&/strd intercostal nrv ea addl lvl (64421) range across 4 matching MRF lines |
$2,003.40–$3,005.10 |
$2,226–$3,339 |
varies |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,558.80 |
$1,732 |
2.3× |
Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) range across 4 matching MRF lines |
$1,558.80–$2,337.30 |
$1,732–$2,597 |
varies |
Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$664.20–$996.30 |
$738–$1,107 |
varies |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,003.40 |
$2,226 |
2.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,558.80 |
$1,732 |
2.3× |
| Injection single tendon origin/insertion (20551) |
$664.20 |
$738 |
2.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$664.20 |
$738 |
2.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$664.20 |
$738 |
2.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,003.40 |
$2,226 |
2.4× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$1,558.80–$2,337.30 |
$1,732–$2,597 |
varies |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 3 matching MRF lines |
$1,558.80–$2,337.30 |
$1,732–$2,597 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$285.30 |
$317 |
1.5× |
| Ins cath ren art 1st bilat (36252) |
$6,608.70 |
$7,343 |
2.2× |
| Ins cath ren art 1st unilat (36251) |
$5,286.60 |
$5,874 |
1.8× |
| Ins cath ren art 2nd+ bilat (36254) |
$8,999.10 |
$9,999 |
3.0× |
| Ins cath ren art 2nd+ unilat (36253) |
$7,201.80 |
$8,002 |
1.4× |
| Ins endovas vena cava filtr (37191) |
$7,957.80 |
$8,842 |
1.5× |
| Insert 1 Electrode Pm-Defib (33216) |
$10,842.30 |
$12,047 |
1.4× |
| Insert Bladder Cath Complex (51703) |
$269.10 |
$299 |
2.2× |
| Insert cath pleura w/o image (32556) |
$2,493.90 |
$2,771 |
1.4× |
| Insert Drug Implant Device (11981) |
$270 |
$300 |
2.1× |
| Insert Heart Pm Atrial (33206) |
$13,993.20 |
$15,548 |
1.4× |
| Insert Heart Pm Ventricular (33207) |
$13,993.20 |
$15,548 |
1.4× |
| Insert non-tunnel cv cath (36556) |
$2,752.20 |
$3,058 |
0.9× |
| Insert Pacing Lead & Connect (33224) |
$13,993.20 |
$15,548 |
1.4× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,620 |
$1,800 |
1.1× |
| Insert pulse gen dual leads (33213) |
$13,993.20 |
$15,548 |
1.4× |
| Insert Pulse Gen Sngl Lead (33212) |
$10,842.30 |
$12,047 |
1.4× |
| Insert Temp Bladder Cath (51702) |
$153 |
$170 |
1.2× |
| Insert tunneled cv cath (36561) |
$2,889.90 |
$3,211 |
1.0× |
Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$153–$307.97 |
$170–$342.19 |
varies |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,847.40 |
$5,386 |
1.4× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,620 |
$1,800 |
1.1× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$8,779.50 |
$9,755 |
1.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$11,382.30 |
$12,647 |
1.5× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,620 |
$1,800 |
2.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,620 |
$1,800 |
1.1× |
| Insj Stablj Dev W/O Dcmprn Lumbar Single Level (22869) |
$28,951.20 |
$32,168 |
2.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,752.20 |
$3,058 |
0.9× |
| Insj/Rplcmt Defib W/Lead(S) (33249) |
$43,111.80 |
$47,902 |
1.5× |
| Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685) |
$68,565.60 |
$76,184 |
2.3× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$10,842.30 |
$12,047 |
1.4× |
| Insrt heart pm atrial & vent (33208) |
$15,392.70 |
$17,103 |
1.6× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$30,888 |
$34,320 |
1.5× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$711.90 |
$791 |
1.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$810 |
$900 |
2.1× |
| Intro cath dialysis circuit (36901) |
$1,395 |
$1,550 |
0.9× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$14,856.30 |
$16,507 |
1.4× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$7,469.10 |
$8,299 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$661.50 |
$735 |
3.0× |
| Laser vaporization of prostate (52648) |
$6,780.60 |
$7,534 |
1.3× |
| Late closure of wound (13160) |
$2,812.50 |
$3,125 |
0.8× |
| Lateral retinacular release open (27425) |
$4,250.70 |
$4,723 |
1.4× |
| Ligamentous reconstruction knee intra-articular (27428) |
$17,246.70 |
$19,163 |
1.4× |
| Ligation of a-v fistula (37607) |
$4,176.90 |
$4,641 |
1.4× |
| Ligation or biopsy temporal artery (37609) |
$2,789.10 |
$3,099 |
1.8× |
| Myelography Lumbar Injection (62305) |
$1,693.80 |
$1,882 |
2.3× |
| Myelography Lumbar Injection (62304) |
$1,511.10 |
$1,679 |
2.0× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,511.10 |
$1,679 |
2.0× |
| N Block Inj Celiac Pelus (64530) |
$2,003.40 |
$2,226 |
2.4× |
N Block Inj Ilio-Ing/Hypogi (64425) range across 4 matching MRF lines |
$1,558.80–$2,337.30 |
$1,732–$2,597 |
varies |
N block inj intercost sng (64420) range across 4 matching MRF lines |
$1,558.80–$2,337.30 |
$1,732–$2,597 |
varies |
| N Block Inj Pudendal (64430) |
$2,003.40 |
$2,226 |
2.4× |
| N Block Lumbar/Thoracic (64520) |
$2,003.40 |
$2,226 |
2.4× |
| Needle Biopsy Lymph Nodes (38505) |
$2,373.30 |
$2,637 |
1.5× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$44.10 |
$49 |
1.6× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$54 |
$60 |
2.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$2,003.40 |
$2,226 |
2.4× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400) range across 5 matching MRF lines |
$664.20–$996.30 |
$738–$1,107 |
varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,177 |
$3,530 |
0.9× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$2,003.40–$3,005.10 |
$2,226–$3,339 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,558.80 |
$1,732 |
2.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,558.80 |
$1,732 |
2.3× |
| Njx Noncmpnd Sclrsnt 1 Vein (36465) |
$2,700 |
$3,000 |
1.4× |
| Njx Noncmpnd Sclrsnt Mlt Vn (36466) |
$2,880 |
$3,200 |
1.5× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,998.90 |
$2,221 |
3.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$922.50 |
$1,025 |
1.4× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$594.90 |
$661 |
1.5× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$594.90 |
$661 |
1.5× |
| Njx Sclrsnt Spider Veins (36468) |
$594.90 |
$661 |
1.5× |
Occipital Nerve Block (64405) range across 4 matching MRF lines |
$664.20–$996.30 |
$738–$1,107 |
varies |
| Open Implantation Nea Peripheral Nerve (64575) |
$28,058.40 |
$31,176 |
2.7× |
| Open Implantation Nea Sacral Nerve (64581) |
$8,962.20 |
$9,958 |
1.5× |
| Open treatment of nasal fracture; uncomplicated Facility (21325) |
$4,248.90 |
$4,721 |
1.4× |
| Open treatment of rib fracture(s) with internal fixation, includes thoracoscopic visualization when performed,… (21811) |
$9,359.10 |
$10,399 |
1.4× |
| Open Tx Articular Fracture Mcp/Ip Joint Ea (26746) |
$4,250.70 |
$4,723 |
1.4× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,250.70 |
$4,723 |
1.4× |
| Open tx interphalangeal joint dislocation (26785) |
$4,250.70 |
$4,723 |
1.4× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$4,250.70 |
$4,723 |
1.4× |
| Open/Perq Place Stent 1St (37236) |
$17,217 |
$19,130 |
1.6× |
| Open/Perq Place Stent Same (37238) |
$17,217 |
$19,130 |
1.6× |
| Osteot w/wo lngth shrt/corrj 1st metar (28306) |
$9,375.30 |
$10,417 |
1.4× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,106.90 |
$2,341 |
1.4× |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$6,086.70 |
$6,763 |
2.0× |
| Perq dev breast 1st us imag (19285) |
$2,236.50 |
$2,485 |
3.3× |
| Perq device breast 1st imag (19281) |
$2,236.50 |
$2,485 |
1.4× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,250.70 |
$4,723 |
1.4× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$11,583 |
$12,870 |
1.1× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$5,823 |
$6,470 |
1.1× |
| Phleb Veins - Extrem 20+ (37766) |
$4,386.60 |
$4,874 |
1.5× |
| Place Cath Subclavian Art (36225) |
$3,675.60 |
$4,084 |
1.2× |
| Place Cath Thoracic Aorta (36221) |
$3,675.60 |
$4,084 |
1.2× |
| Place Cath Vertebral Art (36226) |
$6,011.10 |
$6,679 |
1.1× |
| Placement of needle for intraosseous infusion (36680) |
$550.80 |
$612 |
1.3× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,927.60 |
$4,364 |
2.0× |
| Prim art mech thrombectomy (37184) |
$22,814.10 |
$25,349 |
1.3× |
| Prq Impltj Neurostimulator Eltrd Peripheral Nrv (64555) |
$14,767.20 |
$16,408 |
2.4× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$4,250.70 |
$4,723 |
1.4× |
| Pseudoaneurysm Injection Trt (36002) |
$558 |
$620 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$391.50 |
$435 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$576 |
$640 |
1.5× |
| Puncture Aspiration Cyst Breast (19000) |
$922.50 |
$1,025 |
1.4× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$720 |
$800 |
1.7× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$4,393.80 |
$4,882 |
2.4× |
| Reconstruction Nail Bed W/Graft (11762) |
$2,396.70 |
$2,663 |
1.2× |
| Redo Endovas Vena Cava Filtr (37192) |
$4,176.90 |
$4,641 |
1.4× |
| Relocation Pocket Pacemaker (33222) |
$2,396.70 |
$2,663 |
1.2× |
| Rem Endovas Vena Cava Filter (37193) |
$4,595.40 |
$5,106 |
1.5× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,749.40 |
$4,166 |
1.4× |
| Removal Foreign Body Foot Complicated (28193) |
$2,430 |
$2,700 |
1.6× |
| Removal foreign body foot deep (28192) |
$2,124.90 |
$2,361 |
1.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$922.50 |
$1,025 |
1.4× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,124.90 |
$2,361 |
1.4× |
| Removal foreign body upper arm/elbow deep (24201) |
$3,749.40 |
$4,166 |
1.4× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$172.80–$259.20 |
$192–$288 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$196.20 |
$218 |
3.5× |
| Removal of foreign body from pharynx (42809) |
$522.90 |
$581 |
1.2× |
| Removal of nail bed (11750) |
$540 |
$600 |
1.4× |
| Removal Pacemaker Electrode (33235) |
$5,403.60 |
$6,004 |
1.5× |
| Removal ppm generator only (33233) |
$10,842.30 |
$12,047 |
1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$209.70 |
$233 |
1.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$1,098 |
$1,220 |
1.6× |
| Remove drug implant device (11982) |
$540 |
$600 |
1.3× |
| Remove Elctrd Transvenously (33244) |
$5,146.20 |
$5,718 |
1.5× |
| Remove Forearm Foreign Body (25248) |
$2,106.90 |
$2,341 |
1.4× |
| Remove foreign body from eye (65235) |
$3,054.60 |
$3,394 |
1.4× |
| Remove foreign body from eye (65205) |
$207 |
$230 |
1.6× |
| Remove Intrauterine Device (58301) |
$421.20 |
$468 |
1.5× |
| Remove intrvas foreign body (37197) |
$4,176.90 |
$4,641 |
1.4× |
| Remove lung catheter (32552) |
$994.50 |
$1,105 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$270 |
$300 |
2.1× |
| Remove Pulse Generator (33241) |
$5,146.20 |
$5,718 |
1.5× |
| Remove renal tube w/fluoro (50389) |
$1,552.50 |
$1,725 |
2.4× |
| Remove Shoulder Foreign Body (23330) |
$2,124.90 |
$2,361 |
1.4× |
| Remove/Insert Drug Implant (11983) |
$675 |
$750 |
1.6× |
| Remv&replc pm gen dual lead (33228) |
$13,993.20 |
$15,548 |
1.4× |
| Renal Biopsy Perq (50200) |
$1,485 |
$1,650 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$832.50 |
$925 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$877.50 |
$975 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$832.50 |
$925 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$877.50 |
$975 |
2.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$832.50 |
$925 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$877.50 |
$975 |
2.3× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$832.50 |
$925 |
1.2× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$877.50 |
$975 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$540 |
$600 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$565.20 |
$628 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$589.50 |
$655 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$639 |
$710 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$909 |
$1,010 |
2.4× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$711.90 |
$791 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$540 |
$600 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$589.50 |
$655 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$639 |
$710 |
0.9× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,398.50 |
$2,665 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$711.90 |
$791 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$540 |
$600 |
1.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$589.50 |
$655 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$810 |
$900 |
1.2× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$639 |
$710 |
1.7× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,398.50 |
$2,665 |
1.2× |
| Repair lead pace-defib dual (33220) |
$5,403.60 |
$6,004 |
1.5× |
| Repair Lead Pace-Defib One (33218) |
$5,146.20 |
$5,718 |
1.5× |
| Repair of nail bed (11760) |
$823.50 |
$915 |
1.2× |
| Repair tongue laceration (41252) |
$331.20 |
$368 |
1.5× |
| Repair tongue laceration (41250) |
$522.90 |
$581 |
1.2× |
| Reposition Gastrostomy Tube (43761) |
$547.20 |
$608 |
2.3× |
| Reposition L Ventric Lead (33226) |
$4,176.90 |
$4,641 |
1.4× |
| Reposition Pacing-Defib Lead (33215) |
$4,176.90 |
$4,641 |
1.4× |
| Reposition Venous Catheter (36597) |
$2,050.20 |
$2,278 |
1.4× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$7,738.20 |
$8,598 |
2.3× |
| Revj incl rplcmt nstim eltrd prq ra incl fluor (63663) |
$14,767.20 |
$16,408 |
2.4× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$7,738.20 |
$8,598 |
2.3× |
| Revj/rmvl peripheral neurostimulator electrode (64585) |
$7,738.20 |
$8,598 |
2.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$522.90 |
$581 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$343.80 |
$382 |
2.7× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$3,749.40 |
$4,166 |
1.4× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$3,749.40 |
$4,166 |
1.4× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,124.90 |
$2,361 |
1.4× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$4,393.80 |
$4,882 |
2.4× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$4,393.80 |
$4,882 |
2.4× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$14,409.90 |
$16,011 |
4.5× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$5,146.20 |
$5,718 |
1.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,043 |
$2,270 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,494 |
$1,660 |
2.5× |
| Rplc Gtube No Revj Trc (43762) |
$472.50 |
$525 |
2.0× |
| Rplc gtube revj gstrst trc (43763) |
$630 |
$700 |
2.7× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$4,617 |
$5,130 |
1.5× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,827 |
$2,030 |
1.2× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,844.60 |
$6,494 |
2.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$5,425.20 |
$6,028 |
1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$424.80 |
$472 |
2.2× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$810 |
$900 |
1.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$331.20 |
$368 |
1.5× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,063.80 |
$1,182 |
2.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$713.70 |
$793 |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,998.90 |
$2,221 |
1.4× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$4,250.70 |
$4,723 |
1.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$540 |
$600 |
1.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$270 |
$300 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$308.70 |
$343 |
1.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$694.80 |
$772 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$347.40 |
$386 |
1.8× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$848.70 |
$943 |
4.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$270 |
$300 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$848.70 |
$943 |
4.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$424.80 |
$472 |
2.2× |
| Skin sub graft face/nk/hf/g (15275) |
$2,588.40 |
$2,876 |
3.7× |
| Skin sub graft trnk/arm/leg (15271) |
$2,588.40 |
$2,876 |
3.7× |
| Skin sub grft t/arm/lg child (15273) |
$5,377.50 |
$5,975 |
2.8× |
| Skn sub grft f/n/hf/g child (15277) |
$2,686.50 |
$2,985 |
1.4× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$4,950 |
$5,500 |
0.9× |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$3,675.60 |
$4,084 |
1.2× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$6,011.10 |
$6,679 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$347.40 |
$386 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$540 |
$600 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$694.80 |
$772 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$1,558.80 |
$1,732 |
2.3× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$4,176.90 |
$4,641 |
1.4× |
| Strapping ankle (29540) |
$198 |
$220 |
1.3× |
| Strapping elbow or wrist (29260) |
$81 |
$90 |
1.5× |
| Strapping hand/finger (29280) |
$81 |
$90 |
1.5× |
| Strapping Hip (29520) |
$175.50 |
$195 |
1.4× |
| Strapping knee (29530) |
$175.50 |
$195 |
1.4× |
| Strapping shoulder (29240) |
$169.20 |
$188 |
1.3× |
| Strapping thorax (29200) |
$207 |
$230 |
1.3× |
| Strapping toes (29550) |
$81 |
$90 |
1.5× |
Strapping Unna Boot (29580) range across 3 matching MRF lines |
$261–$391.50 |
$290–$435 |
varies |
| Tangential biopsy skin single lesion (11102) |
$336.60 |
$374 |
0.9× |
| Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) |
$28,951.20 |
$32,168 |
2.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$23,524.20 |
$26,138 |
1.4× |
| Thromblytic art/ven therapy (37213) |
$4,041 |
$4,490 |
1.4× |
| Thrombolytic Art Therapy (37211) |
$7,201.80 |
$8,002 |
1.4× |
| Thrombolytic Therapy Stroke (37195) |
$436.50 |
$485 |
1.4× |
| Thrombolytic Venous Therapy (37212) |
$4,041 |
$4,490 |
1.4× |
| Tooth extraction (41899) |
$486.90 |
$541 |
2.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$484.20 |
$538 |
2.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,998.90 |
$2,221 |
1.4× |
| Transcatheter biopsy (37200) |
$7,201.80 |
$8,002 |
1.4× |
| Transperineal Plmt Ndl/Caths Prostate Radj Insj (55875) |
$6,957.90 |
$7,731 |
1.4× |
| Treat Dental Ridge Fracture (21440) |
$4,248.90 |
$4,721 |
1.4× |
| Treat humerus fracture (24500) |
$315 |
$350 |
1.3× |
| Treat Humerus Fracture (24505) |
$2,106.90 |
$2,341 |
1.4× |
| Treat humerus fracture (23600) |
$302.40 |
$336 |
1.3× |
| Treat Knuckle Dislocation (26700) |
$315 |
$350 |
1.3× |
| Treat lower jaw fracture (21452) |
$7,749.90 |
$8,611 |
1.4× |
| Treat Tail Bone Fracture (27200) |
$315 |
$350 |
1.3× |
| Treat Thumb Dislocation (26641) |
$315 |
$350 |
1.3× |
| Treat Thumb Fracture (26645) |
$2,106.90 |
$2,341 |
1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,106.90 |
$2,341 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$315 |
$350 |
1.3× |
| Trim skin lesion (11055) |
$262.80 |
$292 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$274.50 |
$305 |
1.4× |
| Trim skin lesions over 4 (11057) |
$306.90 |
$341 |
1.6× |
| Trimming Nondystrophic Nails Any Number (11719) |
$81 |
$90 |
1.5× |
| Trluml Balo Angiop 1St Art (37246) |
$6,241.50 |
$6,935 |
1.2× |
| Trluml Balo Angiop 1St Vein (37248) |
$5,760 |
$6,400 |
1.1× |
| Trurl dstrj prst8 tiss rf wv thermotherapy (53854) |
$6,093 |
$6,770 |
1.8× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,106.90 |
$2,341 |
1.4× |
| Unlisted Procedure Intestine (44799) |
$1,228.50 |
$1,365 |
1.4× |
Unlisted procedure nervous system (64999) range across 5 matching MRF lines |
$664.20–$996.30 |
$738–$1,107 |
varies |
| Unlisted procedure spine (22899) |
$988.20 |
$1,098 |
4.2× |
| Unlisted Procedure Tongue Floor Mouth (41599) |
$331.20 |
$368 |
1.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,430.10 |
$1,589 |
2.4× |
| Upgrade of pacemaker system (33214) |
$13,993.20 |
$15,548 |
1.4× |
| Vasc embolize/occlude artery (37242) |
$16,245 |
$18,050 |
0.9× |
| Vasc Embolize/Occlude Bleed (37244) |
$10,215 |
$11,350 |
0.9× |
| Vasc Embolize/Occlude Organ (37243) |
$10,215 |
$11,350 |
0.9× |
| Vasc embolize/occlude venous (37241) |
$10,215 |
$11,350 |
0.9× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$6,805.80 |
$7,562 |
3.4× |
| Venous Mech Thrombectomy (37187) |
$10,800 |
$12,000 |
1.0× |
| Wedge excision skin nail fold (11765) |
$523.80 |
$582 |
1.4× |