| Abd paracentesis w/imaging (49083) |
$2,260.67 |
$3,767.78 |
2.3× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$4,170.07 |
$6,950.12 |
1.9× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$4,170.07 |
$6,950.12 |
1.9× |
| Amputation metatarsal with toe single (28810) |
$7,401.67 |
$12,336.12 |
2.1× |
| Amputation toe metatarsophalangeal joint (28820) |
$7,401.67 |
$12,336.12 |
2.1× |
| Application Finger Splint Dynamic (29131) |
$85.13 |
$141.88 |
1.3× |
| Application finger splint static (29130) |
$85.13 |
$141.88 |
0.6× |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$717.70–$778.04 |
$1,196.17–$1,296.73 |
varies |
Application Long Leg Splint (29505)
range across 2 matching MRF lines |
$360.31–$832.46 |
$600.52–$1,387.43 |
varies |
| Application of rigid total contact leg cast (29445) |
$614.11 |
$1,023.52 |
2.0× |
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines |
$162.07–$832.46 |
$270.12–$1,387.43 |
varies |
| Application short arm splint forearm-hand static (29125) |
$162.07 |
$270.12 |
1.1× |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
$360.31–$545.88 |
$600.52–$909.80 |
varies |
| Apply Multlay Comprs Lwr Leg (29581) |
$360.31 |
$600.52 |
2.1× |
| Arterial puncture (36600) |
$196.36 |
$327.26 |
1.4× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$128.09–$420.40 |
$213.48–$700.66 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$956.51 |
$1,594.18 |
1.3× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$105.58–$158.36 |
$175.96–$263.94 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$435.69 |
$726.15 |
1.3× |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$83.06–$124.60 |
$138.44–$207.66 |
varies |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$7,401.67 |
$12,336.12 |
2.1× |
| Aspirate pleura w/ imaging (32555) |
$3,110.78 |
$5,184.63 |
4.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$457.80 |
$763 |
2.1× |
| Biopsy of breast; open, incisional (19101) |
$8,716.30 |
$14,527.16 |
2.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$661.72 |
$1,102.87 |
0.4× |
| Blood Transfusion Service (36430) |
$2,147.50 |
$3,579.17 |
4.5× |
| Catheter aspiration nasotracheal spx (31720) |
$168.25 |
$280.42 |
0.7× |
| Chemical Cautery Tissue (17250) |
$457.80 |
$763 |
2.1× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$6,177.37 |
$10,295.62 |
1.6× |
| Clear outer ear canal (69200) |
$111.79 |
$186.32 |
0.8× |
| Closed Treat Vert Body Fract (22310) |
$712.66 |
$1,187.76 |
2.7× |
| Closed Treatment Sesamoid Fracture (28530) |
$315.39 |
$525.65 |
1.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$752.26 |
$1,253.76 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$938.57 |
$1,564.28 |
3.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$750.70 |
$1,251.16 |
2.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$559.73 |
$932.88 |
2.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$701.02 |
$1,168.36 |
2.7× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,152.05 |
$1,920.08 |
4.4× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$499.18 |
$831.96 |
1.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$831.43 |
$1,385.72 |
3.1× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$739.82 |
$1,233.04 |
2.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$610.97 |
$1,018.28 |
2.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$638.14 |
$1,063.56 |
2.4× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$641.23 |
$1,068.72 |
2.4× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$600.86 |
$1,001.44 |
2.3× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$608.43 |
$1,014.05 |
2.3× |
| Closed tx talus fracture w/o manipulation (28430) |
$513.91 |
$856.52 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$659.88 |
$1,099.80 |
2.5× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$581.47 |
$969.12 |
2.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$566.71 |
$944.52 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$985.15 |
$1,641.92 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$738.29 |
$1,230.48 |
2.8× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$988.25 |
$1,647.08 |
3.7× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$701.78 |
$1,169.64 |
2.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$701.02 |
$1,168.36 |
2.7× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$473.54 |
$789.24 |
1.8× |
Cltx dstl radial fx/epiphysl sep w/o manj (25600)
range across 2 matching MRF lines |
$801.94–$1,202.90 |
$1,336.56–$2,004.84 |
varies |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,618.61 |
$2,697.68 |
0.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,150.51 |
$1,917.52 |
4.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$295.01 |
$491.68 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$748.37 |
$1,247.28 |
2.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$640.46 |
$1,067.44 |
2.4× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$934.68 |
$1,557.80 |
3.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$418.44 |
$697.40 |
1.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$771.65 |
$1,286.08 |
2.9× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,126.44 |
$1,877.40 |
0.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$224.35 |
$373.92 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$649.01 |
$1,081.68 |
2.5× |
| Cltx Medial Ankle Fx (27760) |
$756.12 |
$1,260.20 |
2.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$710.33 |
$1,183.88 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$469.68 |
$782.80 |
1.8× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$701.02 |
$1,168.36 |
2.7× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$860.16 |
$1,433.60 |
3.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,194.74 |
$1,991.24 |
4.5× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$711.10 |
$1,185.16 |
2.7× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$790.30 |
$1,317.16 |
3.0× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$721.92 |
$1,203.20 |
2.7× |
| Collect Blood From Catheter Venous Nos (36592) |
$233.07 |
$388.45 |
1.6× |
| Collection of venous blood by venipuncture (36415) |
$4.91 |
$8.19 |
0.5× |
| Complex drainage wound (10180) |
$6,497.64 |
$10,829.40 |
2.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,436.16 |
$2,393.60 |
3.3× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$6,497.64 |
$10,829.40 |
2.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,436.16 |
$2,393.60 |
1.8× |
| Debride nail 1-5 (11720) |
$139.87 |
$233.12 |
2.2× |
| Debride nail 6 or more (11721) |
$139.87 |
$233.12 |
2.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,707.40 |
$6,179 |
2.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$911.81 |
$1,519.68 |
2.1× |
| Derm autograft face/nck/hnd/ft/gen <100 sqcm (15135) |
$8,203.82 |
$13,673.04 |
2.2× |
| Dermal autograft, trunk, arms, legs; first 100 sq cm or less, or 1% of body area of infants and children Facility (15130) |
$4,170.07 |
$6,950.12 |
1.9× |
| Destruct B9 Lesion 1-14 (17110) |
$457.80 |
$763 |
2.1× |
| Destruction of skin lesions (17106) |
$911.81 |
$1,519.68 |
2.1× |
| Destruction Premalignant Lesion 15/> (17004) |
$911.81 |
$1,519.68 |
2.1× |
| Destruction premalignant lesion 1st (17000) |
$457.80 |
$763 |
2.1× |
| Drain/inj small joint/bursa w/us (20604) |
$435.69 |
$726.15 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$3,707.40 |
$6,179 |
2.1× |
| Draw Blood Off Venous Device (36591) |
$267.09 |
$445.15 |
1.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$911.81 |
$1,519.68 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$457.80 |
$763 |
2.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$457.80 |
$763 |
2.1× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$1,436.16 |
$2,393.60 |
1.8× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$4,170.07 |
$6,950.12 |
1.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$850.52 |
$1,417.54 |
1.1× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$635.02 |
$1,058.36 |
0.2× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$4,170.07 |
$6,950.12 |
1.9× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$4,170.07 |
$6,950.12 |
1.9× |
| Epidural Blood Patch (62273) |
$820.86 |
$1,368.10 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$292.10 |
$486.84 |
2.0× |
| Exploration penetrating wound spx extremity (20103) |
$3,707.40 |
$6,179 |
2.1× |
| External cephalic version (59412) |
$3,028.66 |
$5,047.77 |
0.9× |
| Fetal Contraction Stress Test (59020) |
$1,253.46 |
$2,089.10 |
5.8× |
| Fetal non-stress test (59025) |
$701.74 |
$1,169.57 |
3.2× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$4,170.07 |
$6,950.12 |
1.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$4,170.07 |
$6,950.12 |
1.9× |
| Fth/Gft Free W/Direct Closure Trunk 20 Sq Cm/< (15200) |
$4,170.07 |
$6,950.12 |
1.9× |
| Guide Cathet Fluid Drainage (10030) |
$642.80 |
$1,071.33 |
0.8× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$457.25 |
$762.08 |
0.5× |
| I&d abscess simple (10060) |
$457.80 |
$763 |
2.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$911.81 |
$1,519.68 |
2.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,707.40 |
$6,179 |
2.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$911.81 |
$1,519.68 |
2.1× |
| Incisional biopsy skin single lesion (11106) |
$1,436.16 |
$2,393.60 |
1.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$457.80 |
$763 |
2.1× |
| Inj W/Fluor Eval Cv Device (36598) |
$280.27 |
$467.11 |
1.2× |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
$136.26–$677.28 |
$227.10–$1,128.80 |
varies |
| Injection for identification of sentinel node (38792) |
$949.63 |
$1,582.72 |
2.2× |
Injection single tendon origin/insertion (20551)
range across 2 matching MRF lines |
$89.28–$133.92 |
$148.80–$223.20 |
varies |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$84.62 |
$141.04 |
0.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$96.26 |
$160.44 |
0.3× |
| Ins endovas vena cava filtr (37191) |
$17,664.16 |
$29,440.27 |
3.0× |
| Insert non-tunnel cv cath (36556) |
$2,410.51 |
$4,017.52 |
0.7× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$16,429.99 |
$27,383.32 |
1.9× |
| Lithotripsy, extracorporeal shock wave (50590) |
$32,624.84 |
$54,374.73 |
8.6× |
| Myelography Lumbar Injection (62305) |
$2,407.85 |
$4,013.09 |
2.9× |
| Myelography Lumbar Injection (62304) |
$1,178.66 |
$1,964.44 |
1.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,247.20 |
$2,078.67 |
1.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,160.65 |
$1,934.41 |
1.4× |
N Block Inj Plantar Digit (64455)
range across 2 matching MRF lines |
$76.85–$115.27 |
$128.08–$192.12 |
varies |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$300 |
$500 |
0.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,624.26 |
$2,707.10 |
1.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,470.22 |
$2,450.37 |
1.9× |
| Njx Sclrsnt Spider Veins (36468) |
$204.60 |
$341 |
0.5× |
| Pericardiocentesis W/Imaging (33016) |
$2,065.82 |
$3,443.03 |
1.2× |
| Peritoneal Lavage (49084) |
$2,260.67 |
$3,767.78 |
2.3× |
Place Cath Subclavian Art (36225)
range across 2 matching MRF lines |
$7,421.60–$14,844.06 |
$12,369.34–$24,740.10 |
varies |
| Place Cath Thoracic Aorta (36221) |
$7,555.66 |
$12,592.76 |
2.2× |
| Punch biopsy skin single lesion (11104) |
$911.81 |
$1,519.68 |
2.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$911.81 |
$1,519.68 |
2.1× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$2,147.50 |
$3,579.17 |
4.5× |
| Redo Endovas Vena Cava Filtr (37192) |
$12,188.31 |
$20,313.85 |
3.6× |
| Rem Endovas Vena Cava Filter (37193) |
$12,188.31 |
$20,313.85 |
3.6× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$36.48–$54.72 |
$60.80–$91.20 |
varies |
| Removal of nail bed (11750) |
$238.32 |
$397.20 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$457.80 |
$763 |
2.1× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$3,026.81 |
$5,044.68 |
4.0× |
| Remv&replc cvd gen mult lead (33264) |
$54,909.60 |
$91,516 |
1.6× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,422.33 |
$2,370.55 |
2.1× |
| Skin Full Grft Face/Genit/Hf (15240) |
$4,170.07 |
$6,950.12 |
1.9× |
| Skin Pinch Graft (15050) |
$1,436.16 |
$2,393.60 |
1.8× |
| Skin sub graft face/nk/hf/g (15275) |
$4,170.07 |
$6,950.12 |
5.3× |
| Skin sub graft trnk/arm/leg (15271) |
$4,170.07 |
$6,950.12 |
5.3× |
| Skin sub grft t/arm/lg child (15273) |
$8,203.82 |
$13,673.04 |
3.7× |
| Skin Tissue Procedure (17999) |
$457.80 |
$763 |
2.1× |
| Skn sub grft f/n/hf/g child (15277) |
$4,170.07 |
$6,950.12 |
1.9× |
Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223)
range across 2 matching MRF lines |
$19,048.12–$27,598.88 |
$31,746.87–$45,998.14 |
varies |
| Slctv cath carotid/innom art angio xtrcranl art (36222) |
$19,128.61 |
$31,881.02 |
5.7× |
Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224)
range across 2 matching MRF lines |
$19,241.11–$31,137.41 |
$32,068.51–$51,895.68 |
varies |
| Spinal puncture lumbar diagnostic (62270) |
$850.52 |
$1,417.54 |
1.1× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$8,203.82 |
$13,673.04 |
2.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$4,170.07 |
$6,950.12 |
1.9× |
| Stab phlebt varicose veins 1 xtr 10-20 stab incs (37765) |
$617.95 |
$1,029.92 |
0.2× |
| Strapping ankle (29540) |
$204.87 |
$341.45 |
1.2× |
| Strapping elbow or wrist (29260) |
$48.82 |
$81.37 |
0.8× |
| Strapping hand/finger (29280) |
$48.82 |
$81.37 |
0.8× |
| Strapping Hip (29520) |
$85.13 |
$141.88 |
0.6× |
| Strapping knee (29530) |
$162.07 |
$270.12 |
1.1× |
Strapping shoulder (29240)
range across 2 matching MRF lines |
$48.82–$226.30 |
$81.37–$377.17 |
varies |
| Strapping thorax (29200) |
$204.87 |
$341.45 |
1.2× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$11.52–$204.87 |
$19.20–$341.45 |
varies |
| Tangential biopsy skin single lesion (11102) |
$457.80 |
$763 |
1.1× |
Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289)
likely a partial charge, not the full procedure |
$6,799.70 |
$11,332.83 |
0.2× |
| Therapeutic Apheresis White Blood Cells (36511) |
$3,336.28 |
$5,560.46 |
2.0× |
| Therapeutic plasma exchange (36514) |
$3,336.28 |
$5,560.46 |
2.0× |
| Thrombolytic Therapy Stroke (37195) |
$516.19 |
$860.31 |
1.5× |
| Thyroid biopsy (60100) |
$378.22 |
$630.36 |
0.5× |
| Tissue cultured skin autograft, face, scalp, eyelids, mouth, neck, ears, orbits, genitalia, hands, feet, and/or… (15155) |
$8,203.82 |
$13,673.04 |
2.2× |
| Tissue cultured skin autograft, trunk, arms, legs; first 25 sq cm or less Facility (15150) |
$4,170.07 |
$6,950.12 |
1.9× |
| Treat humerus fracture (24500) |
$820.56 |
$1,367.60 |
3.1× |
| Treat humerus fracture (23600) |
$779.42 |
$1,299.04 |
2.9× |
| Treat Knuckle Dislocation (26700) |
$770.11 |
$1,283.52 |
2.9× |
| Treat Tail Bone Fracture (27200) |
$471.22 |
$785.36 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$836.88 |
$1,394.80 |
3.2× |
| Trim skin lesion (11055) |
$457.80 |
$763 |
2.1× |
| Trim skin lesions 2 to 4 (11056) |
$457.80 |
$763 |
2.1× |
| Trim skin lesions over 4 (11057) |
$457.80 |
$763 |
2.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$465.79 |
$776.32 |
1.8× |
| Unlisted Procedure Casting/Strapping (29799) |
$162.07 |
$270.12 |
0.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$285.12 |
$475.20 |
0.4× |
| Wound Prep F/N/Hf/G (15004) |
$1,436.16 |
$2,393.60 |
3.3× |
| Wound Prep Trk/Arm/Leg (15002) |
$4,170.07 |
$6,950.12 |
5.3× |