| Abd paracentesis w/imaging (49083) |
$535.92 |
$957 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$934.64 |
$1,669 |
1.1× |
| Anal/Urinary Muscle Study (51784) |
$528.08 |
$943 |
4.3× |
| Anoscopy diagnostic (46600) |
$117.60 |
$210 |
0.9× |
| Anoscopy dx w/hra &chem agnts enhancement w/bx (46607) |
$1,888.32 |
$3,372 |
1.6× |
| Anoscopy; with biopsy, single or multiple (46606) |
$1,888.32 |
$3,372 |
1.6× |
| Application cast elbow finger short arm (29075) |
$188.72 |
$337 |
0.7× |
| Application Finger Splint Dynamic (29131) |
$186.48 |
$333 |
3.3× |
| Application finger splint static (29130) |
$186.48 |
$333 |
1.5× |
| Application long arm splint shoulder hand (29105) |
$282.80 |
$505 |
1.8× |
| Application Long Leg Splint (29505) |
$101.36 |
$181 |
0.6× |
| Application of rigid total contact leg cast (29445) |
$371.84 |
$664 |
1.4× |
| Application Short Arm Splint Dynamic (29126) |
$262.08 |
$468 |
2.0× |
| Application short arm splint forearm-hand static (29125) |
$223.44 |
$399 |
1.7× |
| Application short leg splint calf foot (29515) |
$143.92 |
$257 |
0.9× |
| Apply long arm cast (29065) |
$188.72 |
$337 |
0.7× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$221.20–$331.52 |
$395–$592 |
varies |
Arterial puncture (36600)
range across 2 matching MRF lines |
$53.76–$110.32 |
$96–$197 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$486.08 |
$868 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$486.08 |
$868 |
0.7× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$431.76–$530.32 |
$771–$947 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$530.32 |
$947 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$442.40 |
$790 |
1.5× |
| Aspirate pleura w/ imaging (32555) |
$493.92 |
$882 |
0.8× |
| Aspirate Pleura W/O Imaging (32554) |
$304.08 |
$543 |
0.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$278.32 |
$497 |
1.4× |
| Biopsy bone trocar/needle deep (20225) |
$179.76 |
$321 |
0.1× |
| Bladder Irrigation (51700) |
$124.32 |
$222 |
0.5× |
| Bladder Scan (51798) |
$112 |
$200 |
2.0× |
| Blood Transfusion Service (36430) |
$595.28 |
$1,063 |
1.4× |
| Bx breast 1st lesion strtctc (19081) |
$1,947.68 |
$3,478 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$1,378.16 |
$2,461 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$417.76 |
$746 |
1.7× |
| Chemical Cautery Tissue (17250) |
$278.32 |
$497 |
1.4× |
| Chemodenerv Musc Migraine (64615) |
$589.12 |
$1,052 |
2.0× |
| Chest tube placement (32551) |
$289.52 |
$517 |
0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$934.08 |
$1,668 |
0.6× |
| Clear outer ear canal (69200) |
$117.60 |
$210 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$655.20 |
$1,170 |
2.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$804.72 |
$1,437 |
0.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$519.68 |
$928 |
2.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$397.60 |
$710 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$372.96 |
$666 |
1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$277.20 |
$495 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$443.52 |
$792 |
1.9× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$510.72 |
$912 |
2.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$436.80 |
$780 |
1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$847.28 |
$1,513 |
0.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$541.52 |
$967 |
2.3× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$459.20 |
$820 |
1.9× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$216.16 |
$386 |
0.9× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$801.92 |
$1,432 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$315.84 |
$564 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$594.16 |
$1,061 |
0.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$517.44 |
$924 |
2.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$518.56 |
$926 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$350 |
$625 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$599.76 |
$1,071 |
2.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$942.48 |
$1,683 |
0.6× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,069.60 |
$1,910 |
0.7× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$257.04 |
$459 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$315.84 |
$564 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$211.12 |
$377 |
0.9× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$491.12 |
$877 |
2.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,583.12 |
$2,827 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$188.16 |
$336 |
0.8× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,676.08 |
$2,993 |
1.1× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$315.84 |
$564 |
1.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$995.68 |
$1,778 |
0.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$544.32 |
$972 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$548.24 |
$979 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$381.36 |
$681 |
1.6× |
| Cltx post hip arthrp dislc req anes (27266) |
$923.44 |
$1,649 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$832.72 |
$1,487 |
3.5× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$483.28 |
$863 |
2.0× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$686 |
$1,225 |
2.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$315.84 |
$564 |
1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$715.68 |
$1,278 |
0.5× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$762.72 |
$1,362 |
0.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$847.28 |
$1,513 |
0.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$45.92 |
$82 |
0.4× |
Collection of venous blood by venipuncture (36415)
range across 2 matching MRF lines |
$14–$51.52 |
$25–$92 |
varies |
| Complex drainage wound (10180) |
$4,006.80 |
$7,155 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$162.40 |
$290 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$184.80 |
$330 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$184.80 |
$330 |
1.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,041.60 |
$1,860 |
0.5× |
| Cysto w/ureteroscopy w/lithotripsy (52353) |
$3,339.28 |
$5,963 |
0.6× |
| Cysto/uretero w/lithotripsy (52356) |
$4,524.80 |
$8,080 |
0.9× |
| Cystourethroscopy (52000) |
$1,144.08 |
$2,043 |
1.7× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,064.72 |
$3,687 |
1.0× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$544.32 |
$972 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$856.80 |
$1,530 |
1.2× |
| Debride nail 1-5 (11720) |
$83.44 |
$149 |
1.5× |
| Debride nail 6 or more (11721) |
$83.44 |
$149 |
1.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,268.56 |
$4,051 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$559.44 |
$999 |
1.4× |
| Declot vascular device (36593) |
$48.16 |
$86 |
0.2× |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
$1,710.80–$2,566.48 |
$3,055–$4,583 |
varies |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$1,710.80–$2,566.48 |
$3,055–$4,583 |
varies |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,004.08 |
$1,793 |
0.5× |
| Diagnostic anoscopy (46601) |
$117.60 |
$210 |
0.3× |
| Drain/inj small joint/bursa w/us (20604) |
$442.40 |
$790 |
1.5× |
| Drainage Mouth Roof Lesion (42000) |
$221.76 |
$396 |
1.0× |
| Drainage of finger abscess simple (26010) |
$296.80 |
$530 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$2,268.56 |
$4,051 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$865.20 |
$1,545 |
0.5× |
| Drainage of scrotum (54700) |
$430.08 |
$768 |
0.2× |
| Draw Blood Off Venous Device (36591) |
$40.88 |
$73 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$559.44 |
$999 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$278.32 |
$497 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$278.32 |
$497 |
1.4× |
| Dstrj lesion anus simple surg excision (46922) |
$2,626.40 |
$4,690 |
1.0× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$1,261.12 |
$2,252 |
1.5× |
| Dx Laryngoscopy Excl Nb (31525) |
$397.04 |
$709 |
0.2× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,560.88 |
$4,573 |
1.3× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,560.88 |
$4,573 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$66.64 |
$119 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$795.20 |
$1,420 |
1.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,192.80 |
$2,130 |
1.8× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$2,626.40 |
$4,690 |
2.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$897.68 |
$1,603 |
2.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,080.80 |
$1,930 |
1.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$1,080.80 |
$1,930 |
1.6× |
| Excision Multiple External Papillae/Tags Anus (46230) |
$2,626.40 |
$4,690 |
1.0× |
| Excision nasal polyp(s) simple (30110) |
$813.68 |
$1,453 |
0.5× |
| Excision of single external papilla or tag, anus (46220) |
$2,626.40 |
$4,690 |
2.3× |
| Fetal non-stress test (59025) |
$283.92 |
$507 |
1.5× |
| Foreskin manipulation (54450) |
$456.40 |
$815 |
1.9× |
| Hemorrhoidectomy, external, 2 or more columns/groups (46250) |
$3,220 |
$5,750 |
1.2× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$1,206.80 |
$2,155 |
1.3× |
| I&d abscess simple (10060) |
$278.32 |
$497 |
1.4× |
| I&d perianal abscess superficial (46050) |
$823.76 |
$1,471 |
0.9× |
| I&d pilonidal cyst complicated (10081) |
$985.04 |
$1,759 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$985.04 |
$1,759 |
1.4× |
| Incise external hemorrhoid (46083) |
$214.48 |
$383 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$559.44 |
$999 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,268.56 |
$4,051 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$559.44 |
$999 |
1.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$185.36 |
$331 |
1.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$219.52 |
$392 |
0.7× |
| Incision of rectal abscess (46040) |
$823.76 |
$1,471 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$856.80 |
$1,530 |
1.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$168.56 |
$301 |
0.9× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
$896.56–$1,345.12 |
$1,601–$2,402 |
varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,086.40 |
$1,940 |
1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$442.40 |
$790 |
1.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$729.12 |
$1,302 |
1.1× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$896.56 |
$1,601 |
1.1× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$729.12 |
$1,302 |
1.1× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$493.92 |
$882 |
1.7× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$442.40 |
$790 |
1.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$486.08 |
$868 |
1.6× |
| Injection therapeutic carpal tunnel (20526) |
$442.40 |
$790 |
1.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,273.44 |
$2,274 |
1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$896.56 |
$1,601 |
1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$896.56 |
$1,601 |
1.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$355.60 |
$635 |
1.8× |
| Insert non-tunnel cv cath (36556) |
$174.72 |
$312 |
0.1× |
| Insert pessary/other device (57160) |
$105.28 |
$188 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$68.32 |
$122 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$232.96 |
$416 |
1.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$927.36 |
$1,656 |
0.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$641.20 |
$1,145 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$241.36 |
$431 |
1.1× |
| Laparoscopy, surgical; partial nephrectomy (50543) |
$6,233.36 |
$11,131 |
0.6× |
| Laser vaporization of prostate (52648) |
$4,762.24 |
$8,504 |
0.9× |
| Lithotripsy, extracorporeal shock wave (50590) |
$4,803.12 |
$8,577 |
1.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$896.56 |
$1,601 |
1.3× |
| N block inj intercost sng (64420) |
$896.56 |
$1,601 |
1.3× |
| N Block Lumbar/Thoracic (64520) |
$896.56 |
$1,601 |
1.1× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$70 |
$125 |
0.2× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$11.20 |
$20 |
0.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$16.80 |
$30 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$369.60 |
$660 |
0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$896.56 |
$1,601 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$896.56 |
$1,601 |
3.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$571.20 |
$1,020 |
0.2× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$896.56–$1,345.12 |
$1,601–$2,402 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$756 |
$1,350 |
1.1× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$756 |
$1,350 |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$756 |
$1,350 |
1.1× |
| Occipital Nerve Block (64405) |
$896.56 |
$1,601 |
3.0× |
| Perq dev breast 1st us imag (19285) |
$874.16 |
$1,561 |
1.3× |
| Perq device breast 1st imag (19281) |
$389.76 |
$696 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$125.44 |
$224 |
0.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$1,261.68 |
$2,253 |
1.4× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$1,888.32 |
$3,372 |
1.6× |
| Punch biopsy skin single lesion (11104) |
$559.44 |
$999 |
1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$559.44 |
$999 |
1.4× |
| Puncture Aspiration Cyst Breast (19000) |
$203.84 |
$364 |
0.3× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$759.36 |
$1,356 |
1.1× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,004.08 |
$1,793 |
0.5× |
| Removal foreign body foot deep (28192) |
$356.16 |
$636 |
0.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$600.88 |
$1,073 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$56 |
$100 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$117.60 |
$210 |
2.1× |
| Removal of nail bed (11750) |
$559.44 |
$999 |
1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$474.32 |
$847 |
2.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$68.32 |
$122 |
0.3× |
| Remove foreign body from eye (65205) |
$170.80 |
$305 |
1.3× |
| Remove Intrauterine Device (58301) |
$165.76 |
$296 |
0.6× |
| Remove Nasal Foreign Body (30300) |
$117.60 |
$210 |
0.9× |
| Renal Biopsy Perq (50200) |
$1,665.44 |
$2,974 |
1.0× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$921.20 |
$1,645 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$595.28 |
$1,063 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$929.60 |
$1,660 |
2.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$595.28 |
$1,063 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$595.28 |
$1,063 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$595.28 |
$1,063 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$580.72 |
$1,037 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$365.12 |
$652 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$505.68 |
$903 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$641.76 |
$1,146 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$316.96 |
$566 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$315.84 |
$564 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$434.56 |
$776 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$595.28 |
$1,063 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$595.28 |
$1,063 |
1.5× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$595.28 |
$1,063 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$566.72 |
$1,012 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$595.28 |
$1,063 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$542.08 |
$968 |
0.3× |
| Repair of nail bed (11760) |
$318.64 |
$569 |
0.4× |
| Repair tongue laceration (41252) |
$1,178.24 |
$2,104 |
5.2× |
| Repair tongue laceration (41250) |
$184.80 |
$330 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$175.28 |
$313 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$134.40 |
$240 |
1.1× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,817.20 |
$3,245 |
1.2× |
| Rplc Gtube No Revj Trc (43762) |
$63.84 |
$114 |
0.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$202.72 |
$362 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$202.72 |
$362 |
0.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$202.72 |
$362 |
1.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$202.72 |
$362 |
1.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$202.72 |
$362 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$202.72 |
$362 |
1.1× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$202.72 |
$362 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$202.72 |
$362 |
1.1× |
| Skin sub graft face/nk/hf/g (15275) |
$1,499.68 |
$2,678 |
2.1× |
| Skin sub graft trnk/arm/leg (15271) |
$1,499.68 |
$2,678 |
2.1× |
| Skin sub grft t/arm/lg child (15273) |
$4,433.52 |
$7,917 |
2.2× |
| Skn sub grft f/n/hf/g child (15277) |
$1,499.68 |
$2,678 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$202.72 |
$362 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$202.72 |
$362 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$202.72 |
$362 |
0.5× |
| Spinal puncture lumbar diagnostic (62270) |
$346.08 |
$618 |
0.5× |
| Strapping shoulder (29240) |
$42.56 |
$76 |
0.3× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$221.20–$331.52 |
$395–$592 |
varies |
| Tangential biopsy skin single lesion (11102) |
$278.32 |
$497 |
0.7× |
| Thrombolytic Therapy Stroke (37195) |
$362.32 |
$647 |
1.1× |
| Tooth extraction (41899) |
$361.76 |
$646 |
1.6× |
| Treat humerus fracture (23600) |
$532 |
$950 |
2.2× |
| Treat Knuckle Dislocation (26700) |
$402.64 |
$719 |
1.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,022.56 |
$1,826 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$315.84 |
$564 |
1.3× |
| Trim skin lesion (11055) |
$278.32 |
$497 |
1.4× |
| Trim skin lesions 2 to 4 (11056) |
$278.32 |
$497 |
1.4× |
| Trim skin lesions over 4 (11057) |
$278.32 |
$497 |
1.4× |
| Trimming Nondystrophic Nails Any Number (11719) |
$83.44 |
$149 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$315.28 |
$563 |
0.4× |
| Unlisted procedure anus (46999) |
$2,626.40 |
$4,690 |
2.9× |
| Unlisted procedure nervous system (64999) |
$896.56 |
$1,601 |
3.0× |
| Unlisted px female genital system nonobstetrical (58999) |
$126 |
$225 |
0.6× |
| Vaginal delivery only (59409) |
$1,467.76 |
$2,621 |
0.5× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,988.56 |
$3,551 |
1.0× |
| Wedge excision skin nail fold (11765) |
$193.20 |
$345 |
0.5× |