| Abd paracentesis w/imaging (49083) |
$780 |
$1,300 |
0.9× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$780 |
$1,300 |
0.9× |
| Anoscopy diagnostic (46600) |
$228 |
$380 |
1.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$2,413.20 |
$4,022 |
2.6× |
Appl Mltlayr Compres Sys Uparm Lwarm Hand&Fing (29584)
range across 6 matching MRF lines |
$238.80–$357.60 |
$398–$596 |
varies |
| Application finger splint static (29130) |
$233.40 |
$389 |
1.8× |
| Application long arm splint shoulder hand (29105) |
$334.80 |
$558 |
2.1× |
| Application Long Leg Splint (29505) |
$346.80 |
$578 |
2.1× |
| Application of rigid total contact leg cast (29445) |
$451.20 |
$752 |
1.6× |
| Application short arm splint forearm-hand static (29125) |
$292.80 |
$488 |
2.2× |
| Application short leg splint calf foot (29515) |
$315 |
$525 |
1.9× |
Apply Multlay Comprs Lwr Leg (29581)
range across 9 matching MRF lines |
$254.40–$381.60 |
$424–$636 |
varies |
| Apply Short Leg Cast (29405) |
$367.80 |
$613 |
1.3× |
Arterial puncture (36600)
range across 2 matching MRF lines |
$98.40–$127.20 |
$164–$212 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$577.80 |
$963 |
1.9× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
$609.60–$914.40 |
$1,016–$1,524 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$560.40 |
$934 |
1.8× |
| Arthrodesis sacroiliac joint percutaneous (27279) |
$25,682.40 |
$42,804 |
1.5× |
Aspirate pleura w/ imaging (32555)
range across 5 matching MRF lines |
$1,272.60–$1,282.20 |
$2,121–$2,137 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$963.60 |
$1,606 |
1.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,179 |
$6,965 |
2.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$356.40 |
$594 |
1.8× |
| Biopsy Abdominal Mass (49180) |
$1,828.20 |
$3,047 |
1.1× |
| Biopsy bone trocar/needle deep (20225) |
$3,691.20 |
$6,152 |
2.2× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,059.80 |
$3,433 |
1.2× |
| Biopsy muscle percutaneous needle (20206) |
$1,884.60 |
$3,141 |
1.1× |
| Biopsy of liver, needle; percutaneous (47000) |
$2,350.80 |
$3,918 |
1.4× |
| Biopsy Salivary Gland Needle (42400) |
$1,640.40 |
$2,734 |
2.3× |
| Bladder Irrigation (51700) |
$448.80 |
$748 |
1.8× |
| Bladder Scan (51798) |
$170.40 |
$284 |
2.9× |
| Blepharotomy drainage abscess eyelid (67700) |
$585.60 |
$976 |
1.8× |
| Blood Transfusion Service (36430) |
$642 |
$1,070 |
1.5× |
| Bone Marrow Biopsy (38221) |
$1,782 |
$2,970 |
1.1× |
Bx breast 1st lesion mr imag (19085)
range across 3 matching MRF lines |
$3,628.80–$5,443.20 |
$6,048–$9,072 |
varies |
| Bx breast 1st lesion strtctc (19081) |
$3,219 |
$5,365 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$3,983.40 |
$6,639 |
2.4× |
| Canthotomy Separate Procedure (67715) |
$2,807.40 |
$4,679 |
1.2× |
| Catheter aspiration nasotracheal spx (31720) |
$209.40 |
$349 |
1.0× |
| Cessj Therapy Cath Removal (37214) |
$6,228.60 |
$10,381 |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$623.40 |
$1,039 |
2.5× |
| Chemical Cautery Tissue (17250) |
$299.40 |
$499 |
1.5× |
| Chest tube placement (32551) |
$1,200 |
$2,000 |
0.8× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$3,785.40 |
$6,309 |
1.8× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$5,476.20 |
$9,127 |
1.5× |
| Circumcision w/clamp/oth dev w/block (54150) |
$1,680 |
$2,800 |
0.8× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,806 |
$3,010 |
1.1× |
Clear outer ear canal (69200)
range across 2 matching MRF lines |
$230.40–$345.60 |
$384–$576 |
varies |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$570 |
$950 |
2.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$619.80 |
$1,033 |
2.5× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$626.40 |
$1,044 |
2.5× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,951.80 |
$3,253 |
1.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$759 |
$1,265 |
3.1× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,082.60 |
$3,471 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$400.80 |
$668 |
1.6× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,735.40 |
$4,559 |
1.8× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$3,457.20 |
$5,762 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$557.40 |
$929 |
2.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,560.60 |
$2,601 |
1.0× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,951.80 |
$3,253 |
1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,560.60 |
$2,601 |
1.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$601.80 |
$1,003 |
2.4× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$507 |
$845 |
2.1× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,951.80 |
$3,253 |
1.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$548.40 |
$914 |
2.3× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$472.20 |
$787 |
1.9× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$400.20 |
$667 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$739.80 |
$1,233 |
3.0× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,951.80 |
$3,253 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$510 |
$850 |
2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$691.20 |
$1,152 |
2.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$449.40 |
$749 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$519.60 |
$866 |
2.1× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$432.60 |
$721 |
1.8× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$499.80 |
$833 |
2.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,560.60 |
$2,601 |
1.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$2,182.20 |
$3,637 |
1.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$457.20 |
$762 |
1.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$370.80 |
$618 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$524.40 |
$874 |
2.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$373.80 |
$623 |
1.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$641.40 |
$1,069 |
2.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$461.40 |
$769 |
1.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$522.60 |
$871 |
2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,560.60 |
$2,601 |
1.0× |
| Cltx Medial Ankle Fx (27760) |
$462 |
$770 |
1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$609 |
$1,015 |
2.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$2,547 |
$4,245 |
1.6× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$553.80 |
$923 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$423.60 |
$706 |
1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$676.20 |
$1,127 |
2.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,951.80 |
$3,253 |
1.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$663.60 |
$1,106 |
2.7× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,951.80 |
$3,253 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,560.60 |
$2,601 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$117 |
$195 |
0.9× |
| Collection of venous blood by venipuncture (36415) |
$6 |
$10 |
0.6× |
| Complex drainage wound (10180) |
$4,822.80 |
$8,038 |
1.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$507 |
$845 |
3.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$322.20 |
$537 |
2.4× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$2,882.40 |
$4,804 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$370.80 |
$618 |
2.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$376.80 |
$628 |
1.6× |
| Cystourethroscopy (52000) |
$2,340 |
$3,900 |
3.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$705 |
$1,175 |
1.7× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,382.80 |
$5,638 |
1.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$2,277.60 |
$3,796 |
3.2× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$2,928 |
$4,880 |
4.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,476.60 |
$2,461 |
2.0× |
| Debride nail 1-5 (11720) |
$99 |
$165 |
1.7× |
| Debride nail 6 or more (11721) |
$114 |
$190 |
1.9× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,120 |
$5,200 |
1.9× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$886.20 |
$1,477 |
2.2× |
| Declot vascular device (36593) |
$448.20 |
$747 |
1.4× |
| Destruct B9 Lesion 1-14 (17110) |
$2,014.20 |
$3,357 |
10.0× |
| Drainage external auditory canal abscess (69020) |
$805.20 |
$1,342 |
1.1× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$698.40 |
$1,164 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$2,239.20 |
$3,732 |
1.4× |
| Drainage Mouth Roof Lesion (42000) |
$536.40 |
$894 |
2.3× |
| Drainage of finger abscess simple (26010) |
$489.60 |
$816 |
2.4× |
| Drainage of gum lesion (41800) |
$428.40 |
$714 |
3.2× |
| Drainage of hematoma/fluid (10140) |
$3,049.20 |
$5,082 |
1.8× |
| Drainage of scrotal wall abscess (55100) |
$2,215.20 |
$3,692 |
1.3× |
| Draw Blood Off Venous Device (36591) |
$121.20 |
$202 |
0.9× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$714.60 |
$1,191 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$555 |
$925 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$470.40 |
$784 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$332.40 |
$554 |
1.7× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,805 |
$4,675 |
1.0× |
| Dx Bronchoscope/Lavage (31624) |
$2,514 |
$4,190 |
1.4× |
| Dx Bronchoscope/Wash (31622) |
$2,869.20 |
$4,782 |
1.6× |
| Dx Laryngoscopy Excl Nb (31525) |
$3,143.40 |
$5,239 |
1.8× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,996.80 |
$3,328 |
2.8× |
| Epidural Blood Patch (62273) |
$1,603.20 |
$2,672 |
2.3× |
| Evacuation of subungual hematoma (11740) |
$214.80 |
$358 |
1.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$3,055.80 |
$5,093 |
2.5× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$6,182.40 |
$10,304 |
1.7× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$4,014 |
$6,690 |
1.9× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$2,554.80 |
$4,258 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,631 |
$4,385 |
1.6× |
| Fetal Contraction Stress Test (59020) |
$384 |
$640 |
1.9× |
| Fetal non-stress test (59025) |
$363.60 |
$606 |
1.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,347 |
$2,245 |
1.9× |
| Fine needle aspiration without imaging guidance (10021) |
$907.20 |
$1,512 |
2.2× |
| Fluid Pressure Muscle (20950) |
$1,372.80 |
$2,288 |
1.9× |
| Fluoro exam of g/colon tube (49465) |
$1,179 |
$1,965 |
4.9× |
| Fna bx w/us gdn 1st les (10005) |
$1,471.20 |
$2,452 |
2.1× |
| Foreskin manipulation (54450) |
$700.20 |
$1,167 |
2.8× |
Guide Cathet Fluid Drainage (10030)
range across 2 matching MRF lines |
$1,402.20–$1,409.40 |
$2,337–$2,349 |
varies |
| I&d abscess peritonsillar (42700) |
$558.60 |
$931 |
2.4× |
| I&d abscess simple (10060) |
$496.20 |
$827 |
2.5× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,046.60 |
$8,411 |
1.7× |
| I&d perianal abscess superficial (46050) |
$1,813.20 |
$3,022 |
1.9× |
| I&d pilonidal cyst complicated (10081) |
$1,435.80 |
$2,393 |
2.0× |
| I&d pilonidal cyst simple (10080) |
$697.80 |
$1,163 |
1.0× |
| Icd Pocket Revision (33223) |
$6,400.20 |
$10,667 |
3.1× |
Image Cath Fluid Peri/Retro (49406)
range across 2 matching MRF lines |
$3,139.80–$3,147 |
$5,233–$5,245 |
varies |
| Incise external hemorrhoid (46083) |
$775.80 |
$1,293 |
3.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$756.60 |
$1,261 |
1.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,799.80 |
$6,333 |
2.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$838.20 |
$1,397 |
2.1× |
| Incision and drainage of bartholin's gland abscess (56420) |
$474 |
$790 |
2.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$612 |
$1,020 |
2.0× |
| Incision of rectal abscess (46040) |
$3,562.20 |
$5,937 |
3.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,769 |
$4,615 |
1.7× |
| Incisional biopsy skin single lesion (11106) |
$1,033.20 |
$1,722 |
1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$319.80 |
$533 |
1.6× |
Inj W/Fluor Eval Cv Device (36598)
range across 6 matching MRF lines |
$599.40–$2,038.20 |
$999–$3,397 |
varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,922 |
$4,870 |
3.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$465.60 |
$776 |
1.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$636 |
$1,060 |
2.1× |
Injection for identification of sentinel node (38792)
range across 3 matching MRF lines |
$4,131.60–$6,197.40 |
$6,886–$10,329 |
varies |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$597.60 |
$996 |
1.9× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$554.40 |
$924 |
1.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,630.20 |
$2,717 |
2.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,081.20 |
$1,802 |
1.5× |
| Ins cath ren art 1st bilat (36252) |
$9,459.60 |
$15,766 |
3.0× |
| Ins cath ren art 1st unilat (36251) |
$8,774.40 |
$14,624 |
2.8× |
| Ins endovas vena cava filtr (37191) |
$7,988.40 |
$13,314 |
1.4× |
| Insert 1 Electrode Pm-Defib (33216) |
$12,996.60 |
$21,661 |
1.6× |
Insert cath pleura w/ image (32557)
range across 4 matching MRF lines |
$1,440–$2,920.80 |
$2,400–$4,868 |
varies |
| Insert cath pleura w/o image (32556) |
$1,279.80 |
$2,133 |
0.7× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$3,028.20 |
$5,047 |
1.6× |
| Insert Heart Pm Atrial (33206) |
$19,757.40 |
$32,929 |
1.9× |
| Insert Heart Pm Ventricular (33207) |
$21,288 |
$35,480 |
2.0× |
| Insert non-tunnel cv cath (36556) |
$2,607 |
$4,345 |
0.8× |
| Insert Pacing Lead & Connect (33224) |
$21,155.40 |
$35,259 |
2.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,194.20 |
$3,657 |
1.4× |
| Insert pulse gen dual leads (33213) |
$21,172.20 |
$35,287 |
2.0× |
| Insert pulse gen mult leads (33221) |
$24,350.40 |
$40,584 |
1.3× |
| Insert Pulse Gen Sngl Lead (33212) |
$13,997.40 |
$23,329 |
1.7× |
| Insert Temp Bladder Cath (51702) |
$206.40 |
$344 |
1.5× |
| Insert tun ip cath perc (49418) |
$8,668.20 |
$14,447 |
2.4× |
| Insert tunneled cv cath (36561) |
$4,390.80 |
$7,318 |
1.4× |
Insert,Non-Indwelling Bladder Catheter (51701)
range across 2 matching MRF lines |
$75–$171.60 |
$125–$286 |
varies |
| Insertion indwelling tunneled pleural catheter (32550) |
$5,889.60 |
$9,816 |
1.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,218.80 |
$3,698 |
1.4× |
| Insertion subq cardiac rhythm monitor w/prgrmg (33285) |
$11,649.60 |
$19,416 |
1.4× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$15,196.80 |
$25,328 |
1.8× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,259.20 |
$5,432 |
1.0× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,473.40 |
$10,789 |
2.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,390.80 |
$2,318 |
0.9× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$2,605.20 |
$4,342 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,607 |
$4,345 |
0.8× |
Insj/Rplcmt Defib W/Lead(S) (33249)
range across 2 matching MRF lines |
$41,557.80–$60,573.60 |
$69,263–$100,956 |
varies |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,199.60 |
$18,666 |
1.4× |
| Insrt heart pm atrial & vent (33208) |
$16,583.40 |
$27,639 |
1.6× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$50,273.40 |
$83,789 |
2.3× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$47,526 |
$79,210 |
2.1× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$818.40 |
$1,364 |
2.0× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$733.20 |
$1,222 |
1.8× |
| Intro cath dialysis circuit (36901) |
$5,628.60 |
$9,381 |
3.6× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$34,891.20 |
$58,152 |
3.0× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$13,243.20 |
$22,072 |
2.3× |
| Intro Gastrointestinal Tube (44500) |
$946.20 |
$1,577 |
1.0× |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
$598.80–$640.80 |
$998–$1,068 |
varies |
| Irrigation of corpora cavernosa for priapism (54220) |
$594 |
$990 |
2.4× |
| Myelography Lumbar Injection (62305) |
$3,031.80 |
$5,053 |
3.9× |
| Myelography Lumbar Injection (62304) |
$2,680.80 |
$4,468 |
3.4× |
| Myelography via lumbar injection rs&i cervical (62302) |
$2,680.80 |
$4,468 |
3.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$2,680.80 |
$4,468 |
3.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$1,140 |
$1,900 |
2.5× |
| Needle Biopsy Lymph Nodes (38505) |
$2,039.40 |
$3,399 |
1.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$613.80 |
$1,023 |
2.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,710 |
$7,850 |
1.3× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$6,109.80 |
$10,183 |
1.7× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$3,235.20 |
$5,392 |
3.7× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,449 |
$2,415 |
2.1× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$3,000.60 |
$5,001 |
4.3× |
| Occipital Nerve Block (64405) |
$681.60 |
$1,136 |
2.2× |
| Open/Perq Place Stent 1St (37236) |
$21,840 |
$36,400 |
1.9× |
| Open/Perq Place Stent Same (37238) |
$23,838 |
$39,730 |
2.1× |
Percut Drain/Inject Renal Cyst (50390)
range across 3 matching MRF lines |
$1,677.60–$2,516.40 |
$2,796–$4,194 |
varies |
| Percut Mech Thrombectomy, Venous, Repeat (37188) |
$7,323.60 |
$12,206 |
2.3× |
| Pericardiocentesis W/Imaging (33016) |
$1,987.20 |
$3,312 |
1.3× |
| Perq dev breast 1st us imag (19285) |
$1,461 |
$2,435 |
2.1× |
| Perq device breast 1st imag (19281) |
$1,910.40 |
$3,184 |
1.2× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,765.80 |
$2,943 |
2.5× |
| Perq thrmbc/nfs dial circuit trluml balo angiop (36905) |
$21,151.80 |
$35,253 |
1.8× |
| Perq thrmbc/nfs dialysis circuit img dx angrph (36904) |
$14,425.80 |
$24,043 |
2.5× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$17,648.40 |
$29,414 |
2.4× |
| Perq Vertebral Augmentation (22513) |
$17,648.40 |
$29,414 |
2.4× |
| Place Cath Thoracic Aorta (36221) |
$8,457.60 |
$14,096 |
2.7× |
| Placement of needle for intraosseous infusion (36680) |
$409.80 |
$683 |
0.9× |
| Plmt expandable cath brst following prtl mast (19296) |
$12,066 |
$20,110 |
1.5× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,796.80 |
$6,328 |
1.8× |
Plmt Nephroureteral Catheter (50433)
range across 3 matching MRF lines |
$6,174.60–$9,262.20 |
$10,291–$15,437 |
varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$8,019 |
$13,365 |
2.3× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$6,847.20 |
$11,412 |
1.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,880.80 |
$11,468 |
1.9× |
| Prim art mech thrombectomy (37184) |
$26,112.60 |
$43,521 |
1.4× |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$2,213.40 |
$3,689 |
3.1× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$6,702 |
$11,170 |
1.9× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$7,042.80 |
$11,738 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$393.60 |
$656 |
1.0× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 3 matching MRF lines |
$563.40–$573.60 |
$939–$956 |
varies |
| Puncture Aspiration Cyst Breast (19000) |
$878.40 |
$1,464 |
1.2× |
| Redo Endovas Vena Cava Filtr (37192) |
$3,093.60 |
$5,156 |
1.0× |
| Reduction of rectal prolapse (45900) |
$1,532.40 |
$2,554 |
1.6× |
| Relocation Pocket Pacemaker (33222) |
$6,204 |
$10,340 |
3.0× |
| Rem Endovas Vena Cava Filter (37193) |
$7,112.40 |
$11,854 |
2.2× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$2,416.80 |
$4,028 |
2.7× |
| Removal Embedded Foreign Body Eyelid (67938) |
$1,248.60 |
$2,081 |
3.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,410 |
$2,350 |
2.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,200.40 |
$5,334 |
1.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$145.20 |
$242 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$150.60 |
$251 |
2.5× |
| Removal of foreign body from pharynx (42809) |
$667.20 |
$1,112 |
1.5× |
| Removal of nail bed (11750) |
$783.60 |
$1,306 |
1.9× |
| Removal of tunneled intraperitoneal catheter (49422) |
$6,919.80 |
$11,533 |
2.2× |
| Removal or bivalving full arm or full leg cast (29705) |
$1,833 |
$3,055 |
6.5× |
| Removal Pacemaker Electrode (33235) |
$12,962.40 |
$21,604 |
3.5× |
| Removal ppm generator only (33233) |
$18,484.20 |
$30,807 |
2.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$996 |
$1,660 |
5.0× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$3,640.20 |
$6,067 |
5.1× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$295.80 |
$493 |
1.1× |
| Remove Elctrd Transvenously (33244) |
$9,234.60 |
$15,391 |
2.5× |
| Remove foreign body from eye (65205) |
$484.20 |
$807 |
3.6× |
| Remove Intrauterine Device (58301) |
$871.20 |
$1,452 |
2.9× |
| Remove intrvas foreign body (37197) |
$6,800.40 |
$11,334 |
2.2× |
| Remove lung catheter (32552) |
$2,345.40 |
$3,909 |
3.7× |
| Remove Nasal Foreign Body (30300) |
$267.60 |
$446 |
2.0× |
| Remove Pulse Generator (33241) |
$8,556.60 |
$14,261 |
2.3× |
| Remove renal tube w/fluoro (50389) |
$2,857.80 |
$4,763 |
4.1× |
| Remove&replace pm gen singl (33227) |
$12,253.80 |
$20,423 |
1.5× |
| Remv&replc cvd gen dual lead (33263) |
$28,194 |
$46,990 |
1.3× |
| Remv&replc cvd gen mult lead (33264) |
$40,393.20 |
$67,322 |
1.3× |
| Remv&replc cvd gen sing lead (33262) |
$46,054.80 |
$76,758 |
2.1× |
| Remv&replc pm gen dual lead (33228) |
$14,505.60 |
$24,176 |
1.4× |
| Remv&replc pm gen mult leads (33229) |
$35,583 |
$59,305 |
1.8× |
Renal Biopsy Perq (50200)
range across 3 matching MRF lines |
$2,382.60–$3,574.20 |
$3,971–$5,957 |
varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,240.80 |
$2,068 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,380 |
$2,300 |
1.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,023 |
$1,705 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,391.40 |
$2,319 |
3.4× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,190.40 |
$1,984 |
2.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,695 |
$2,825 |
4.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,405.20 |
$2,342 |
1.9× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,931 |
$4,885 |
4.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$3,556.20 |
$5,927 |
2.2× |
| Repair Finger/Hand Tendon (26350) |
$4,336.20 |
$7,227 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$721.20 |
$1,202 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$705.60 |
$1,176 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$747.60 |
$1,246 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$769.80 |
$1,283 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$988.20 |
$1,647 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$635.40 |
$1,059 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$721.80 |
$1,203 |
1.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$860.40 |
$1,434 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$992.40 |
$1,654 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$840.60 |
$1,401 |
2.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$831.60 |
$1,386 |
2.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,453.20 |
$2,422 |
2.0× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$903 |
$1,505 |
2.2× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,575.80 |
$4,293 |
1.2× |
| Repair Laceration Palate </2 Cm (42180) |
$1,072.20 |
$1,787 |
2.0× |
| Repair lead pace-defib dual (33220) |
$7,771.80 |
$12,953 |
2.1× |
| Repair Lead Pace-Defib One (33218) |
$9,205.20 |
$15,342 |
2.5× |
| Repair of nail bed (11760) |
$932.40 |
$1,554 |
1.3× |
| Repair tongue laceration (41252) |
$996.60 |
$1,661 |
4.2× |
| Repair tongue laceration (41250) |
$457.80 |
$763 |
1.0× |
| Reposition Gastrostomy Tube (43761) |
$991.20 |
$1,652 |
4.0× |
| Reposition L Ventric Lead (33226) |
$7,845.60 |
$13,076 |
2.5× |
| Reposition Pacing-Defib Lead (33215) |
$6,552 |
$10,920 |
2.1× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$22,202.40 |
$37,004 |
1.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$570 |
$950 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$314.40 |
$524 |
2.4× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$721.20 |
$1,202 |
1.6× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$2,728.80 |
$4,548 |
2.3× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$4,469.40 |
$7,449 |
1.5× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$11,107.80 |
$18,513 |
3.0× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,145 |
$3,575 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,342.80 |
$2,238 |
2.1× |
| Rplc Gtube No Revj Trc (43762) |
$559.20 |
$932 |
2.2× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$7,623.60 |
$12,706 |
2.4× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$4,049.40 |
$6,749 |
2.6× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,703.60 |
$4,506 |
1.7× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$4,653 |
$7,755 |
1.5× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$2,778.60 |
$4,631 |
0.9× |
| Rpr ctr vad w/subq port/pmp ctr/prph insj sit (36576) |
$5,116.80 |
$8,528 |
3.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$504 |
$840 |
2.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,147.20 |
$1,912 |
1.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$676.20 |
$1,127 |
2.9× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,409.40 |
$2,349 |
2.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,278 |
$2,130 |
2.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,125.20 |
$3,542 |
1.4× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,741.20 |
$2,902 |
2.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$597.60 |
$996 |
1.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$391.80 |
$653 |
1.9× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$411.60 |
$686 |
2.0× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$686.40 |
$1,144 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$465 |
$775 |
2.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$375.60 |
$626 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$653.40 |
$1,089 |
3.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$438 |
$730 |
2.2× |
| Skin sub graft face/nk/hf/g (15275) |
$1,630.80 |
$2,718 |
2.2× |
| Skin sub graft trnk/arm/leg (15271) |
$1,630.80 |
$2,718 |
2.2× |
| Skin sub grft t/arm/lg child (15273) |
$4,957.20 |
$8,262 |
2.4× |
| Skn sub grft f/n/hf/g child (15277) |
$2,749.80 |
$4,583 |
1.3× |
| Slctv Cath Carotid/Innom Art Angio Intrcranl Art (36223) |
$21,150.60 |
$35,251 |
3.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$395.40 |
$659 |
2.0× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$589.80 |
$983 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$627.60 |
$1,046 |
1.5× |
| Spinal puncture lumbar diagnostic (62270) |
$1,070.40 |
$1,784 |
1.5× |
Strapping Unna Boot (29580)
range across 3 matching MRF lines |
$233.40–$350.40 |
$389–$584 |
varies |
| Tangential biopsy skin single lesion (11102) |
$300.60 |
$501 |
0.7× |
| Tcat Impl Wrls P-Art Prs Snr L-T Hemodyn Mntr (33289) |
$32,373 |
$53,955 |
1.1× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$26,811.60 |
$44,686 |
1.4× |
| Thrmbc/Nfs Dialysis Circuit (36906) |
$31,765.20 |
$52,942 |
1.7× |
| Thromblytic art/ven therapy (37213) |
$5,815.80 |
$9,693 |
1.8× |
| Thrombolytic Art Therapy (37211) |
$8,700 |
$14,500 |
1.6× |
| Thrombolytic Therapy Stroke (37195) |
$703.80 |
$1,173 |
2.1× |
| Thrombolytic Venous Therapy (37212) |
$5,525.40 |
$9,209 |
1.7× |
| Tooth extraction (41899) |
$369.60 |
$616 |
1.6× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,219.20 |
$2,032 |
5.1× |
| Treat Humerus Fracture (24505) |
$1,951.80 |
$3,253 |
1.2× |
| Treat Knuckle Dislocation (26700) |
$537.60 |
$896 |
2.2× |
| Treat Metatarsal Fracture (28475) |
$727.80 |
$1,213 |
2.9× |
| Treat toe dislocation (28630) |
$497.40 |
$829 |
2.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$629.40 |
$1,049 |
2.5× |
| Trim skin lesion (11055) |
$364.20 |
$607 |
1.8× |
| Trim skin lesions 2 to 4 (11056) |
$330 |
$550 |
1.6× |
| Trim skin lesions over 4 (11057) |
$330 |
$550 |
1.6× |
| Trimming Nondystrophic Nails Any Number (11719) |
$76.20 |
$127 |
1.3× |
| Trluml Balo Angiop 1St Vein (37248) |
$12,111 |
$20,185 |
2.1× |
| Tx Gastro Intub W/Asp (43753) |
$371.40 |
$619 |
1.7× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$2,040 |
$3,400 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,441.80 |
$2,403 |
1.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$709.20 |
$1,182 |
1.7× |
| Unlisted procedure nervous system (64999) |
$2,124 |
$3,540 |
6.9× |
| Unlisted Procedure Vascular Surgery (37799) |
$6,372 |
$10,620 |
10.1× |
| Upgrade of pacemaker system (33214) |
$28,318.20 |
$47,197 |
2.7× |
| Vaginal delivery only (59409) |
$3,676.80 |
$6,128 |
1.1× |
| Vasc embolize/occlude artery (37242) |
$21,021.60 |
$35,036 |
1.1× |
| Vasc embolize/occlude venous (37241) |
$20,266.20 |
$33,777 |
1.8× |
Venous Mech Thrombectomy (37187)
range across 2 matching MRF lines |
$24,761.40–$30,429.60 |
$41,269–$50,716 |
varies |
| Wedge excision skin nail fold (11765) |
$496.80 |
$828 |
1.2× |