| Abd paracentesis w/imaging (49083) |
$712 |
$890 |
0.8× |
| Amputation toe metatarsophalangeal joint (28820) |
$1,490.40 |
$1,863 |
0.5× |
| Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584) |
$268 |
$335 |
1.7× |
| Application cast elbow finger short arm (29075) |
$237.60 |
$297 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$90.40 |
$113 |
1.6× |
| Application finger splint static (29130) |
$136 |
$170 |
1.1× |
| Application long arm splint shoulder hand (29105) |
$233.60 |
$292 |
1.5× |
| Application Long Leg Splint (29505) |
$177.60 |
$222 |
1.1× |
| Application of rigid total contact leg cast (29445) |
$419.20 |
$524 |
1.6× |
| Application Short Arm Splint Dynamic (29126) |
$136.80 |
$171 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$237.60 |
$297 |
1.9× |
| Application short leg splint calf foot (29515) |
$158.40 |
$198 |
1.0× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$290.40–$397.60 |
$363–$497 |
varies |
| Arterial puncture (36600) |
$113.60 |
$142 |
0.9× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$677.60–$1,015.20 |
$847–$1,269 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$684.80 |
$856 |
1.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$677.60–$1,015.20 |
$847–$1,269 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
$375.20–$564 |
$469–$705 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$677.60 |
$847 |
2.3× |
| Arthroscopy, knee, surgical; with meniscus repair (medial AND lateral) Facility (29883) |
$1,958.40 |
$2,448 |
0.6× |
| Arthroscopy, knee, surgical; with meniscus repair (medial or lateral) (29882) |
$2,526.40 |
$3,158 |
0.8× |
Arthroscopy, shoulder, surgical; biceps tenodesis (29828)
unusually low: confirm this is the full procedure |
$3,326.40 |
$4,158 |
0.5× |
| Arthrs Knee W/Meniscectomy Med&Lat W/Shaving (29880) |
$3,457.60 |
$4,322 |
1.1× |
| Aspirate pleura w/ imaging (32555) |
$1,388 |
$1,735 |
2.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$407.20 |
$509 |
2.1× |
| Bladder Irrigation (51700) |
$457.60 |
$572 |
1.9× |
| Bladder Scan (51798) |
$67.20 |
$84 |
1.2× |
| Blood Transfusion Service (36430) |
$840.80 |
$1,051 |
2.0× |
| Bx breast 1st lesion strtctc (19081) |
$3,715.20 |
$4,644 |
2.3× |
| Bx breast 1st lesion us imag (19083) |
$3,715.20 |
$4,644 |
2.3× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$946.40 |
$1,183 |
0.6× |
| Catheter aspiration nasotracheal spx (31720) |
$144 |
$180 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$298.40 |
$373 |
1.2× |
| Chemical Cautery Tissue (17250) |
$283.20 |
$354 |
1.5× |
| Chest tube placement (32551) |
$810.40 |
$1,013 |
0.5× |
| Cl Tx Scapular Fx; W Manip (23575) |
$932.80 |
$1,166 |
0.6× |
| Clear outer ear canal (69200) |
$102.40 |
$128 |
0.8× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$323.20 |
$404 |
0.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$227.20 |
$284 |
1.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$284 |
$355 |
0.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$602.40 |
$753 |
2.5× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,027.20 |
$1,284 |
4.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,690.40 |
$2,113 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$539.20 |
$674 |
2.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$688 |
$860 |
0.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$339.20 |
$424 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$733.60 |
$917 |
0.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,337.60 |
$2,922 |
1.5× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$284 |
$355 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$527.20 |
$659 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$524.80 |
$656 |
2.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$804.80 |
$1,006 |
3.4× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$595.20 |
$744 |
2.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,046.40 |
$1,308 |
4.4× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$414.40 |
$518 |
1.7× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,112.80 |
$1,391 |
0.7× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,275.20 |
$1,594 |
0.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$62.40 |
$78 |
0.5× |
| Collection of venous blood by venipuncture (36415) |
$22.40 |
$28 |
2.4× |
| Complex drainage wound (10180) |
$5,532 |
$6,915 |
2.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$309.60 |
$387 |
2.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$309.60 |
$387 |
2.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$170.40 |
$213 |
0.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$2,151.20 |
$2,689 |
0.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,367.20 |
$1,709 |
2.0× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$1,277.60 |
$1,597 |
1.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,542.40 |
$1,928 |
2.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,243.20 |
$4,054 |
2.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,007.20 |
$1,259 |
2.6× |
| Declot vascular device (36593) |
$264 |
$330 |
0.8× |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
$1,278.40–$1,917.60 |
$1,598–$2,397 |
varies |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$1,346.40–$2,019.20 |
$1,683–$2,524 |
varies |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$447.20 |
$559 |
0.5× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$188.80 |
$236 |
0.6× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$781.60 |
$977 |
0.4× |
| Drain Cerebro Spinal Fluid (62272) |
$731.20 |
$914 |
1.1× |
| Drain/inj small joint/bursa w/us (20604) |
$600 |
$750 |
2.0× |
| Drainage of gum lesion (41800) |
$308 |
$385 |
2.4× |
| Drainage of hematoma/fluid (10140) |
$2,960.80 |
$3,701 |
1.9× |
| Draw Blood Off Venous Device (36591) |
$104.80 |
$131 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$352 |
$440 |
1.8× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines |
$610.40–$916.80 |
$763–$1,146 |
varies |
| Epidural Blood Patch (62273) |
$1,220 |
$1,525 |
1.8× |
| Episiotomy or vaginal repair (59300) |
$429.60 |
$537 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$324.80 |
$406 |
2.5× |
| Fasct prtl palmar 1 dgt prox iphal jt w/wo rpr (26123) |
$1,942.40 |
$2,428 |
0.6× |
| Fetal Contraction Stress Test (59020) |
$464 |
$580 |
2.4× |
| Fetal non-stress test (59025) |
$415.20 |
$519 |
2.1× |
| Guide Cathet Fluid Drainage (10030) |
$1,026.40 |
$1,283 |
1.5× |
| Hemorrhoidectomy, internal, by rubber band ligation(s) (46221) |
$773.60 |
$967 |
0.9× |
| I&d abscess simple (10060) |
$356.80 |
$446 |
1.8× |
| I&d perianal abscess superficial (46050) |
$837.60 |
$1,047 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$1,772.80 |
$2,216 |
2.6× |
| Image Cath Fluid Colxn Visc (49405) |
$1,356.80 |
$1,696 |
0.9× |
| Image Cath Fluid Peri/Retro (49406) |
$1,356.80 |
$1,696 |
0.9× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,356.80 |
$1,696 |
0.9× |
| Incise external hemorrhoid (46083) |
$416.80 |
$521 |
1.7× |
| Incise finger tendon sheath (26055) |
$1,407.20 |
$1,759 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$1,007.20 |
$1,259 |
2.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$637.60 |
$797 |
1.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$284 |
$355 |
1.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$349.60 |
$437 |
1.2× |
| Incision extensor tendon sheath wrist (25000) |
$1,369.60 |
$1,712 |
0.9× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,124 |
$1,405 |
0.7× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
$1,840.80–$2,759.20 |
$2,301–$3,449 |
varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,840.80 |
$2,301 |
2.2× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$676.80 |
$846 |
2.3× |
Injection aa&/strd genicular nrv branches w/img (64454)
range across 2 matching MRF lines |
$445.60–$635.20 |
$557–$794 |
varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,854.40 |
$2,318 |
2.2× |
Injection aa&/strd nerves nrvtg si joint w/img (64451)
range across 2 matching MRF lines |
$916–$1,712 |
$1,145–$2,140 |
varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$968.80 |
$1,211 |
1.4× |
| Injection for identification of sentinel node (38792) |
$563.20 |
$704 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$677.60 |
$847 |
2.3× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$677.60 |
$847 |
2.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,454.40 |
$1,818 |
2.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$227.20 |
$284 |
0.3× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$356 |
$445 |
1.8× |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$1,840.80 |
$2,301 |
2.2× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$1,765.60 |
$2,207 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$464 |
$580 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$227.20 |
$284 |
1.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$227.20 |
$284 |
1.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,172 |
$1,465 |
0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$323.20 |
$404 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$284 |
$355 |
1.2× |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines |
$968.80–$1,453.60 |
$1,211–$1,817 |
varies |
| N block inj intercost sng (64420) |
$968.80 |
$1,211 |
1.4× |
| N Block Lumbar/Thoracic (64520) |
$1,854.40 |
$2,318 |
2.2× |
| Ndsc wrst surg w/rls transvrs carpl ligm (29848) |
$1,181.60 |
$1,477 |
0.8× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$40 |
$50 |
1.4× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$57.60 |
$72 |
2.1× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,854.40 |
$2,318 |
2.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$594.40 |
$743 |
2.0× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$1,840.80–$2,759.20 |
$2,301–$3,449 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,892.80 |
$2,366 |
2.8× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,892.80 |
$2,366 |
2.8× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$968.80–$1,454.40 |
$1,211–$1,818 |
varies |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$5,771.20 |
$7,214 |
1.8× |
| Percut Drain/Inject Renal Cyst (50390) |
$1,243.20 |
$1,554 |
1.8× |
| Perq dev breast 1st strtctc (19283) |
$1,473.60 |
$1,842 |
2.2× |
| Perq dev breast 1st us imag (19285) |
$1,228.80 |
$1,536 |
1.8× |
| Perq device breast 1st imag (19281) |
$1,262.40 |
$1,578 |
0.8× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$1,515.20 |
$1,894 |
0.5× |
| Placement of needle for intraosseous infusion (36680) |
$331.20 |
$414 |
0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$1,007.20 |
$1,259 |
2.6× |
| Puncture Aspiration Cyst Breast (19000) |
$682.40 |
$853 |
1.0× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$958.40 |
$1,198 |
0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,680.80 |
$2,101 |
2.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$284 |
$355 |
0.1× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$32.80 |
$41 |
0.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$198.40 |
$248 |
3.5× |
| Removal of nail bed (11750) |
$1,007.20 |
$1,259 |
2.6× |
| Remove foreign body from eye (65205) |
$323.20 |
$404 |
2.5× |
| Remove Intrauterine Device (58301) |
$485.60 |
$607 |
1.7× |
| Remove Nasal Foreign Body (30300) |
$114.40 |
$143 |
0.9× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$878.40 |
$1,098 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,039.20 |
$1,299 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$753.60 |
$942 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$451.20 |
$564 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$693.60 |
$867 |
1.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,062.40 |
$2,578 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$323.20 |
$404 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$323.20 |
$404 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$323.20 |
$404 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$323.20 |
$404 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$388 |
$485 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$323.20 |
$404 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$323.20 |
$404 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$323.20 |
$404 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$451.20 |
$564 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$323.20 |
$404 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$323.20 |
$404 |
0.8× |
| Repair of nail bed (11760) |
$367.20 |
$459 |
0.5× |
| Repair tongue laceration (41252) |
$1,175.20 |
$1,469 |
5.2× |
| Repair tongue laceration (41250) |
$325.60 |
$407 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$323.20 |
$404 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$249.60 |
$312 |
2.0× |
| Rplc Gtube No Revj Trc (43762) |
$586.40 |
$733 |
2.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$323.20 |
$404 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$323.20 |
$404 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$323.20 |
$404 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$227.20 |
$284 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$234.40 |
$293 |
1.2× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$227.20 |
$284 |
1.2× |
| Skin Full Grft Face/Genit/Hf (15240) |
$323.20 |
$404 |
0.2× |
| Skin sub graft face/nk/hf/g (15275) |
$3,949.60 |
$4,937 |
5.6× |
| Skin sub graft trnk/arm/leg (15271) |
$3,949.60 |
$4,937 |
5.6× |
| Skin sub grft t/arm/lg child (15273) |
$7,688 |
$9,610 |
3.9× |
| Skn sub grft f/n/hf/g child (15277) |
$3,949.60 |
$4,937 |
2.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$323.20 |
$404 |
1.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$323.20 |
$404 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$323.20 |
$404 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$884.80 |
$1,106 |
1.3× |
| Strapping Unna Boot (29580) |
$385.60 |
$482 |
2.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$844 |
$1,055 |
0.5× |
| Treatment closed elbow dislocation w/o anes (24600) |
$544.80 |
$681 |
2.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,281.60 |
$1,602 |
1.8× |
| Unlisted procedure nervous system (64999) |
$688 |
$860 |
2.3× |
| Vaginal delivery only (59409) |
$1,461.60 |
$1,827 |
0.5× |
| Wound Prep F/N/Hf/G (15004) |
$1,280.80 |
$1,601 |
3.3× |
| Wound Prep Trk/Arm/Leg (15002) |
$3,769.60 |
$4,712 |
5.3× |