| Abd paracentesis w/imaging (49083) |
$1,124.40 |
$1,874 |
1.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,101.60 |
$1,836 |
1.3× |
| Application finger splint static (29130) |
$203.40 |
$339 |
1.6× |
| Application long arm splint shoulder hand (29105) |
$203.40 |
$339 |
1.3× |
| Application Long Leg Splint (29505) |
$203.40 |
$339 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$203.40 |
$339 |
1.6× |
| Application short leg splint calf foot (29515) |
$203.40 |
$339 |
1.3× |
| Apply Multlay Comprs Lwr Leg (29581) |
$382.20 |
$637 |
2.5× |
| Apply Short Leg Cast (29405) |
$463.20 |
$772 |
1.8× |
Arterial puncture (36600) range across 2 matching MRF lines |
$43.20–$133.80 |
$72–$223 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$394.80 |
$658 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$318.60 |
$531 |
1.1× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$512.40 |
$854 |
1.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$373.20 |
$622 |
1.3× |
Aspirate pleura w/ imaging (32555) range across 4 matching MRF lines |
$752.40–$1,504.20 |
$1,254–$2,507 |
varies |
Aspirate Pleura W/O Imaging (32554) range across 2 matching MRF lines |
$752.40–$1,504.20 |
$1,254–$2,507 |
varies |
| Avulsion nail plate partial/complete simple 1 (11730) |
$260.40 |
$434 |
1.4× |
| Biopsy Soft Tissue Thigh/Knee Area Deep (27324) |
$594 |
$990 |
0.2× |
| Bladder instillation anticarcinogenic agent (51720) |
$664.20 |
$1,107 |
1.0× |
| Bladder Irrigation (51700) |
$369.60 |
$616 |
1.6× |
| Bladder Scan (51798) |
$50.40 |
$84 |
0.9× |
| Blood Transfusion Service (36430) |
$511.20 |
$852 |
1.2× |
| Bone Marrow; Aspiration Only (38220) |
$118.20 |
$197 |
0.1× |
| Bx breast 1st lesion us imag (19083) |
$1,954.80 |
$3,258 |
1.3× |
| Chemical Cautery Tissue (17250) |
$249.60 |
$416 |
1.3× |
Chest tube placement (32551) range across 2 matching MRF lines |
$1,953.60–$3,906.60 |
$3,256–$6,511 |
varies |
| Circumcision Neonate (54160) |
$366 |
$610 |
0.6× |
| Clear outer ear canal (69200) |
$186.60 |
$311 |
1.5× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$287.40 |
$479 |
1.2× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,440.60 |
$2,401 |
1.0× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$648 |
$1,080 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$3,151.20 |
$5,252 |
2.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$287.40 |
$479 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,000.80 |
$1,668 |
0.7× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,000.80 |
$1,668 |
0.7× |
| Closed tx septal&nose fx (21337) |
$3,151.20 |
$5,252 |
1.0× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$287.40 |
$479 |
1.2× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$345 |
$575 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,827.20 |
$4,712 |
1.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$287.40 |
$479 |
1.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$2,827.20 |
$4,712 |
1.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$287.40 |
$479 |
1.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,000.80 |
$1,668 |
0.7× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,788.40 |
$6,314 |
2.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$287.40 |
$479 |
1.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$287.40 |
$479 |
0.2× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$287.40 |
$479 |
1.2× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$2,827.20 |
$4,712 |
10.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$287.40 |
$479 |
1.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$287.40 |
$479 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$287.40 |
$479 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,788.40 |
$6,314 |
2.5× |
| Cltx prox tibfib jt dislc req anes (27831) |
$3,788.40 |
$6,314 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$155.40 |
$259 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$17.40 |
$29 |
1.9× |
| Complex drainage wound (10180) |
$3,292.20 |
$5,487 |
1.2× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$155.40 |
$259 |
1.2× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$293.40 |
$489 |
1.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$727.80 |
$1,213 |
1.0× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,954.80 |
$3,258 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$480.60 |
$801 |
1.3× |
| Declot vascular device (36593) |
$431.40 |
$719 |
1.4× |
| Drainage of finger abscess simple (26010) |
$307.80 |
$513 |
1.6× |
| Drainage of gum lesion (41800) |
$312 |
$520 |
2.5× |
| Draw Blood Off Venous Device (36591) |
$155.40 |
$259 |
1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$249.60 |
$416 |
0.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$246.60 |
$411 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$195.60 |
$326 |
1.0× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$4,049.40 |
$6,749 |
2.1× |
| Fetal non-stress test (59025) |
$236.40 |
$394 |
1.2× |
| Guide Cathet Fluid Drainage (10030) |
$1,703.40 |
$2,839 |
2.6× |
| I&d abscess simple (10060) |
$321.60 |
$536 |
1.7× |
| I&d perianal abscess superficial (46050) |
$1,156.80 |
$1,928 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$524.40 |
$874 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$480.60 |
$801 |
1.3× |
| Incision and drainage of bartholin's gland abscess (56420) |
$333 |
$555 |
1.8× |
| Incision of rectal abscess (46040) |
$1,378.80 |
$2,298 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$295.20 |
$492 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$242.40 |
$404 |
1.3× |
| Injection for identification of sentinel node (38792) |
$616.80 |
$1,028 |
1.6× |
| Insert Bladder Cath Complex (51703) |
$193.80 |
$323 |
1.6× |
| Insert cath pleura w/o image (32556) |
$2,257.80 |
$3,763 |
1.3× |
| Insert non-tunnel cv cath (36556) |
$3,974.40 |
$6,624 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$155.40 |
$259 |
1.2× |
Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) unusually low: confirm this is the full procedure |
$2,333.40 |
$3,889 |
0.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$155.40 |
$259 |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,497.80 |
$4,163 |
1.7× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,974.40 |
$6,624 |
1.3× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,953.60 |
$3,256 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$415.80 |
$693 |
1.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$33.60 |
$56 |
1.2× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$33.60 |
$56 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$4,467 |
$7,445 |
1.3× |
| Percutaneous skeletal fixation of ulnar styloid fracture (25651) |
$4,828.20 |
$8,047 |
1.6× |
| Peritoneal Lavage (49084) |
$207.60 |
$346 |
0.2× |
| Perq dev breast 1st us imag (19285) |
$1,099.80 |
$1,833 |
1.7× |
| Perq device breast 1st imag (19281) |
$1,099.80 |
$1,833 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$375 |
$625 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$490.20 |
$817 |
1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$496.20 |
$827 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$864 |
$1,440 |
1.3× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 2 matching MRF lines |
$108.60–$216.60 |
$181–$361 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 2 matching MRF lines |
$110.40–$221.40 |
$184–$369 |
varies |
| Removal of nail bed (11750) |
$551.40 |
$919 |
1.4× |
| Remove foreign body from eye (65205) |
$262.80 |
$438 |
2.1× |
| Remove Nasal Foreign Body (30300) |
$315.60 |
$526 |
2.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$942.60 |
$1,571 |
2.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$442.20 |
$737 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$301.20 |
$502 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$301.20 |
$502 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$301.20 |
$502 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$301.20 |
$502 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$301.20 |
$502 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$301.20 |
$502 |
0.8× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$328.80 |
$548 |
0.9× |
| Repair of nail bed (11760) |
$327.60 |
$546 |
0.5× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341) likely a partial charge, not the full procedure |
$1,324.20 |
$2,207 |
0.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$292.20 |
$487 |
0.7× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$292.20 |
$487 |
2.3× |
| Rplc Gtube No Revj Trc (43762) |
$369.60 |
$616 |
1.6× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$327.60 |
$546 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$301.20 |
$502 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$327.60 |
$546 |
1.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$327.60 |
$546 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$301.20 |
$502 |
1.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$327.60 |
$546 |
1.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$327.60 |
$546 |
1.7× |
| Skin Tissue Procedure (17999) |
$249.60 |
$416 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$301.20 |
$502 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$327.60 |
$546 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$327.60 |
$546 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$881.40 |
$1,469 |
1.3× |
Strapping Unna Boot (29580) range across 2 matching MRF lines |
$196.20–$391.80 |
$327–$653 |
varies |
| Thrombolytic Therapy Stroke (37195) |
$426.60 |
$711 |
1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,827.20 |
$4,712 |
1.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$287.40 |
$479 |
1.2× |
| Treatment of tibia fracture (27756) |
$4,828.20 |
$8,047 |
0.7× |
| Trim skin lesion (11055) |
$306.60 |
$511 |
1.6× |
| Trim skin lesions 2 to 4 (11056) |
$303 |
$505 |
1.6× |
| Trimming Nondystrophic Nails Any Number (11719) |
$145.20 |
$242 |
2.6× |
| Tx Gastro Intub W/Asp (43753) |
$463.20 |
$772 |
2.3× |