| Abd paracentesis w/imaging (49083) |
$1,040.60 |
$1,892 |
1.2× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$798.88 |
$1,452.50 |
0.9× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,340.80 |
$4,256 |
1.1× |
| Allogeneic lymphocyte infusions (38242) |
$1,937.93 |
$3,523.50 |
1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,079.55 |
$3,781 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,185.70 |
$3,974 |
0.7× |
| Anoscopy Control Bleeding (46614) |
$812.08 |
$1,476.50 |
0.7× |
| Anoscopy diagnostic (46600) |
$112.20 |
$204 |
0.8× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,269.40 |
$2,308 |
1.4× |
| Application finger splint static (29130) |
$148.78 |
$270.50 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$163.63 |
$297.50 |
1.0× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$286.55 |
$521 |
1.0× |
| Application Long Leg Splint (29505) |
$163.63 |
$297.50 |
1.0× |
| Application of long leg cast (29345) |
$286.55 |
$521 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$204.88 |
$372.50 |
1.5× |
| Application short leg splint calf foot (29515) |
$163.63 |
$297.50 |
1.0× |
| Apply long arm cast (29065) |
$286.55 |
$521 |
1.0× |
| Apply Short Leg Cast (29405) |
$337.15 |
$613 |
1.2× |
| Arterial puncture (36600) |
$84.15 |
$153 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$315.15 |
$573 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$508.20 |
$924 |
0.7× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$321.75 |
$585 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$354.75 |
$645 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$233.20 |
$424 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$1,045.28 |
$1,900.50 |
1.7× |
| Aspirate Pleura W/O Imaging (32554) |
$444.68 |
$808.50 |
0.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$167.48 |
$304.50 |
0.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,558.05 |
$4,651 |
1.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$156.20 |
$284 |
0.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$512.88 |
$932.50 |
0.7× |
| Bladder Irrigation (51700) |
$237.05 |
$431 |
1.0× |
| Bladder Scan (51798) |
$138.88 |
$252.50 |
2.4× |
| Blepharotomy drainage abscess eyelid (67700) |
$363.83 |
$661.50 |
1.2× |
| Blood Transfusion Service (36430) |
$532.13 |
$967.50 |
1.2× |
| Car-t admn autologous (38228) |
$480.70 |
$874 |
1.5× |
| Catheter aspiration nasotracheal spx (31720) |
$141.08 |
$256.50 |
0.6× |
| Change Cystostomy Tube Simple (51705) |
$184.25 |
$335 |
0.7× |
| Change of Windpipe Airway (31502) |
$230.45 |
$419 |
1.0× |
| Chest tube placement (32551) |
$991.93 |
$1,803.50 |
0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,189.83 |
$3,981.50 |
1.4× |
| Clear outer ear canal (69200) |
$195.80 |
$356 |
1.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$251.08 |
$456.50 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$184.80 |
$336 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,106.05 |
$2,011 |
0.7× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$286.55 |
$521 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$370.15 |
$673 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$251.08 |
$456.50 |
1.0× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,448.43 |
$2,633.50 |
0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,049.03 |
$3,725.50 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$324.50 |
$590 |
1.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,001 |
$1,820 |
0.6× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,001 |
$1,820 |
0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$952.05 |
$1,731 |
0.6× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$217.80 |
$396 |
0.9× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$229.08 |
$416.50 |
0.9× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$347.88 |
$632.50 |
1.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$188.38 |
$342.50 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,051.88 |
$1,912.50 |
0.7× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$360.80 |
$656 |
1.5× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$767.25 |
$1,395 |
1.4× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$195.80 |
$356 |
0.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$263.73 |
$479.50 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,972.03 |
$3,585.50 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$229.08 |
$416.50 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,051.88 |
$1,912.50 |
0.7× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,019.70 |
$1,854 |
0.6× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$440.28 |
$800.50 |
1.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$300.58 |
$546.50 |
1.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$149.60 |
$272 |
0.6× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$239.80 |
$436 |
1.0× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$162.25 |
$295 |
0.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$311.03 |
$565.50 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,051.88 |
$1,912.50 |
0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,779.25 |
$3,235 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$239.80 |
$436 |
1.0× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$211.20 |
$384 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$197.73 |
$359.50 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$251.08 |
$456.50 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,741.58 |
$3,166.50 |
1.1× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$255.75 |
$465 |
1.0× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,807.85 |
$3,287 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$229.08 |
$416.50 |
0.9× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$243.10 |
$442 |
1.0× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$208.18 |
$378.50 |
0.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,741.58 |
$3,166.50 |
1.1× |
| Cltx Medial Ankle Fx (27760) |
$251.08 |
$456.50 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$355.30 |
$646 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$261.25 |
$475 |
1.1× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,972.03 |
$3,585.50 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$529.65 |
$963 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,001.35 |
$5,457 |
1.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$346.78 |
$630.50 |
1.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$232.93 |
$423.50 |
0.9× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,105.23 |
$2,009.50 |
0.7× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$1,001 |
$1,820 |
0.6× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,008.43 |
$1,833.50 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,051.88 |
$1,912.50 |
0.7× |
Collection of venous blood by venipuncture (36415)
range across 4 matching MRF lines |
$14.03–$19.53 |
$25.50–$35.50 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$480.15 |
$873 |
3.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$309.93 |
$563.50 |
2.3× |
| Control oropharyngeal hemorrhage simple (42960) |
$475.48 |
$864.50 |
0.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$603.63 |
$1,097.50 |
4.6× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$262.35 |
$477 |
1.1× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$3,427.60 |
$6,232 |
1.6× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$2,226.13 |
$4,047.50 |
1.1× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,185.98 |
$3,974.50 |
1.0× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$422.68 |
$768.50 |
1.0× |
| Debride nail 1-5 (11720) |
$37.95 |
$69 |
0.6× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$373.45 |
$679 |
0.9× |
| Declot vascular device (36593) |
$304.70 |
$554 |
0.9× |
| Delivery of placenta (59414) |
$2,067.73 |
$3,759.50 |
0.6× |
| Drain/inj small joint/bursa w/us (20604) |
$287.10 |
$522 |
0.9× |
| Drainage external auditory canal abscess (69020) |
$457.60 |
$832 |
0.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$431.20 |
$784 |
0.6× |
| Drainage Mouth Roof Lesion (42000) |
$215.05 |
$391 |
0.9× |
| Drainage of finger abscess simple (26010) |
$271.98 |
$494.50 |
1.4× |
| Drainage of gum lesion (41800) |
$272.53 |
$495.50 |
2.1× |
| Drainage of hematoma/fluid (10140) |
$1,477.30 |
$2,686 |
0.9× |
| Drainage of hydrocele (55000) |
$868.18 |
$1,578.50 |
1.2× |
| Drainage of nose lesion (30000) |
$219.73 |
$399.50 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,404.43 |
$2,553.50 |
0.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$455.40 |
$828 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$295.35 |
$537 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$216.43 |
$393.50 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$225.78 |
$410.50 |
1.1× |
| Epidural Blood Patch (62273) |
$1,085.15 |
$1,973 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$79.75 |
$145 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$573.10 |
$1,042 |
0.8× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,268.30 |
$2,306 |
0.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,986.05 |
$3,611 |
1.7× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$599.78 |
$1,090.50 |
1.5× |
| Exploration penetrating wound spx extremity (20103) |
$1,389.85 |
$2,527 |
0.8× |
| Fluid Pressure Muscle (20950) |
$455.40 |
$828 |
0.6× |
| Fluoro exam of g/colon tube (49465) |
$422.68 |
$768.50 |
1.8× |
| Fna bx w/us gdn 1st les (10005) |
$1,059.30 |
$1,926 |
1.5× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$18.70 |
$34 |
0.5× |
| Hem heprn nduc trmbctpna srm (0275U) |
$311.03 |
$565.50 |
16.9× |
| I&d abscess peritonsillar (42700) |
$270.33 |
$491.50 |
1.1× |
| I&d abscess simple (10060) |
$180.95 |
$329 |
0.9× |
| I&d perianal abscess superficial (46050) |
$1,261.43 |
$2,293.50 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$431.20 |
$784 |
0.6× |
| I&d thyroglossal duct cyst infected (60000) |
$1,712.98 |
$3,114.50 |
1.1× |
| Incise external hemorrhoid (46083) |
$279.68 |
$508.50 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$328.63 |
$597.50 |
0.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$328.63 |
$597.50 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$205.70 |
$374 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$327.25 |
$595 |
1.1× |
| Incision of rectal abscess (46040) |
$3,100.90 |
$5,638 |
2.6× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,999.25 |
$3,635 |
1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$255.75 |
$465 |
1.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,640.10 |
$2,982 |
2.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$321.75 |
$585 |
1.1× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$381.43 |
$693.50 |
1.2× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$211.20 |
$384 |
0.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,122.83 |
$2,041.50 |
1.6× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$628.38 |
$1,142.50 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$2,164.53 |
$3,935.50 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$196.90 |
$358 |
1.5× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$3,308.53 |
$6,015.50 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$112.20 |
$204 |
0.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,565.10 |
$6,482 |
1.1× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,688.95 |
$4,889 |
0.9× |
| Interdental fixation (21110) |
$1,247.68 |
$2,268.50 |
0.8× |
| Intro Gastrointestinal Tube (44500) |
$631.95 |
$1,149 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$351.45 |
$639 |
1.5× |
| Irrigation of corpora cavernosa for priapism (54220) |
$345.13 |
$627.50 |
1.4× |
| Laryngoscopy flexible diagnostic (31575) |
$121.55 |
$221 |
0.6× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$198.83 |
$361.50 |
1.0× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$3,967.70 |
$7,214 |
1.3× |
| N block inj intercost sng (64420) |
$498.30 |
$906 |
0.7× |
| N Block Inj Pudendal (64430) |
$1,121.45 |
$2,039 |
1.3× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$237.60 |
$432 |
0.5× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,260.78 |
$4,110.50 |
1.3× |
| Nfct ds bct fngl/vir infctj semiq biomchn assmt (0441U) |
$89.65 |
$163 |
0.2× |
Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U)
range across 2 matching MRF lines |
$234.30–$241.18 |
$426–$438.50 |
varies |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$1,573.28 |
$2,860.50 |
0.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$352.55 |
$641 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,935.08 |
$5,336.50 |
0.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$729.85 |
$1,327 |
1.0× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$874.23 |
$1,589.50 |
1.3× |
| Occipital Nerve Block (64405) |
$325.33 |
$591.50 |
1.1× |
| Open Tx Phalangeal Shaft Fracture Prox/Middle Ea (26735) |
$3,993.83 |
$7,261.50 |
1.2× |
| Partial Excision Distal Phalanx Finger (26236) |
$1,947.55 |
$3,541 |
1.2× |
| Penile Injection (54235) |
$220.55 |
$401 |
0.9× |
| Peritoneal Lavage (49084) |
$697.13 |
$1,267.50 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$319.28 |
$580.50 |
0.7× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$3,110.80 |
$5,656 |
1.1× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$3,303.30 |
$6,006 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$330.55 |
$601 |
0.8× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$379.23 |
$689.50 |
0.5× |
| Reduction of rectal prolapse (45900) |
$1,013.93 |
$1,843.50 |
1.1× |
| Removal Embedded Foreign Body Eyelid (67938) |
$323.13 |
$587.50 |
1.0× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,148.20 |
$5,724 |
1.1× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$589.05 |
$1,071 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,796.03 |
$3,265.50 |
1.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$63.25 |
$115 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$84.15 |
$153 |
1.4× |
| Removal of foreign body from pharynx (42809) |
$257.68 |
$468.50 |
0.6× |
| Removal of nail bed (11750) |
$413.33 |
$751.50 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$286.55 |
$521 |
1.0× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$142.18 |
$258.50 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$356.68 |
$648.50 |
1.3× |
| Remove foreign body from eye (65205) |
$109.45 |
$199 |
0.8× |
| Remove Intrauterine Device (58301) |
$229.08 |
$416.50 |
0.8× |
| Remove Nasal Foreign Body (30300) |
$112.20 |
$204 |
0.8× |
| Remove renal tube w/fluoro (50389) |
$876.70 |
$1,594 |
1.3× |
| Remove tissue expander (11971) |
$3,178.18 |
$5,778.50 |
1.1× |
| Repair Achilles Tendon (27650) |
$4,154.15 |
$7,553 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$393.53 |
$715.50 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$694.65 |
$1,263 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$348.70 |
$634 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$526.08 |
$956.50 |
1.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$468.88 |
$852.50 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$635.80 |
$1,156 |
1.6× |
| Repair detached retina (67105) |
$1,829.85 |
$3,327 |
3.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,185.70 |
$3,974 |
1.4× |
| Repair Hand Joint (26540) |
$3,613.78 |
$6,570.50 |
1.1× |
| Repair Hand Tendon (26410) |
$1,597.48 |
$2,904.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$391.33 |
$711.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$408.10 |
$742 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$444.13 |
$807.50 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$488.68 |
$888.50 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$289.03 |
$525.50 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$306.63 |
$557.50 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$425.70 |
$774 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$434.23 |
$789.50 |
1.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$295.90 |
$538 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$355.85 |
$647 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$565.13 |
$1,027.50 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$409.48 |
$744.50 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,539.45 |
$2,799 |
0.7× |
| Repair intrinsic muscles hand each muscle (26591) |
$3,078.08 |
$5,596.50 |
0.9× |
| Repair Laceration Palate </2 Cm (42180) |
$609.68 |
$1,108.50 |
1.1× |
| Repair Laceration Palate >2 Cm/Complex (42182) |
$6,488.08 |
$11,796.50 |
1.1× |
| Repair of nail bed (11760) |
$635.25 |
$1,155 |
0.9× |
| Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) |
$7,925.50 |
$14,410 |
1.1× |
| Repair tongue laceration (41252) |
$929.78 |
$1,690.50 |
3.9× |
| Repair tongue laceration (41250) |
$345.95 |
$629 |
0.8× |
| Replace G-J Tube Perc (49452) |
$781.55 |
$1,421 |
0.9× |
| Replace g/c tube perc (49450) |
$798.88 |
$1,452.50 |
0.9× |
| Reposition Gastrostomy Tube (43761) |
$1,055.73 |
$1,919.50 |
4.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$317.35 |
$577 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$145.48 |
$264.50 |
1.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$259.05 |
$471 |
0.6× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$3,148.20 |
$5,724 |
1.1× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,031.25 |
$1,875 |
0.6× |
| Rplc Gtube No Revj Trc (43762) |
$434.23 |
$789.50 |
1.7× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$432.58 |
$786.50 |
2.2× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$273.08 |
$496.50 |
1.2× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$619.85 |
$1,127 |
1.2× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$752.68 |
$1,368.50 |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,035.93 |
$1,883.50 |
0.7× |
| Sclerotx Fluid Collection (49185) |
$1,569.43 |
$2,853.50 |
1.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$244.75 |
$445 |
0.6× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$438.90 |
$798 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$370.15 |
$673 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$374.83 |
$681.50 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$392.70 |
$714 |
2.0× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$458.70 |
$834 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$342.65 |
$623 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$438.63 |
$797.50 |
2.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$369.88 |
$672.50 |
1.9× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$359.98 |
$654.50 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$402.60 |
$732 |
1.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$423.50 |
$770 |
1.0× |
| Spinal puncture lumbar diagnostic (62270) |
$669.90 |
$1,218 |
1.0× |
| Strapping Hip (29520) |
$143 |
$260 |
1.1× |
| Suture digital nerve hand/foot 1 nerve (64831) |
$5,684.80 |
$10,336 |
2.9× |
| Thrombolytic Therapy Stroke (37195) |
$203.78 |
$370.50 |
0.6× |
Tooth extraction (41899)
range across 3 matching MRF lines |
$216.43–$1,911.53 |
$393.50–$3,475.50 |
varies |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$752.68 |
$1,368.50 |
3.2× |
| Treat humerus fracture (24500) |
$239.80 |
$436 |
1.0× |
| Treat Humerus Fracture (24505) |
$952.05 |
$1,731 |
0.6× |
| Treat humerus fracture (23600) |
$191.68 |
$348.50 |
0.8× |
| Treat Knuckle Dislocation (26700) |
$270.60 |
$492 |
1.1× |
| Treat Metatarsal Fracture (28475) |
$307.73 |
$559.50 |
1.3× |
| Treat Thumb Dislocation (26641) |
$286.55 |
$521 |
1.2× |
| Treat toe dislocation (28630) |
$198.83 |
$361.50 |
0.8× |
| Treat Vaginal Bleeding (57180) |
$222.48 |
$404.50 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$424.60 |
$772 |
1.7× |
| Trim skin lesion (11055) |
$125.40 |
$228 |
0.6× |
| Trnsplj allogeneic hematopoietic cells per donor (38240) |
$36,360.78 |
$66,110.50 |
0.6× |
| Trnsplj autologous hematopoietic cells per donor (38241) |
$3,272.50 |
$5,950 |
2.1× |
| Trnsplj Hematopoietic Cell Boost (38243) |
$2,149.13 |
$3,907.50 |
1.4× |
| Tx Gastro Intub W/Asp (43753) |
$332.48 |
$604.50 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$663.03 |
$1,205.50 |
0.9× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$319.83 |
$581.50 |
1.3× |
Unlisted procedure nervous system (64999)
range across 2 matching MRF lines |
$360.80–$617.10 |
$656–$1,122 |
varies |
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines |
$110.28–$275.28 |
$200.50–$500.50 |
varies |
Unlisted Procedure Rectum (45999)
range across 2 matching MRF lines |
$304.43–$311.30 |
$553.50–$566 |
varies |
| Wedge excision skin nail fold (11765) |
$265.65 |
$483 |
0.7× |
| Windowing of cast (29730) |
$178.20 |
$324 |
1.1× |