| Abd paracentesis w/imaging (49083) |
$1,560.80 |
$1,951 |
1.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,007.20 |
$1,259 |
1.0× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$2,173.60 |
$2,717 |
0.9× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$2,026.40 |
$2,533 |
0.9× |
| Anoscopy diagnostic (46600) |
$261.60 |
$327 |
1.8× |
Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$412–$596 |
$515–$745 |
varies |
| Application Cast Finger (29086) |
$412 |
$515 |
2.3× |
Application finger splint static (29130) range across 3 matching MRF lines |
$117.60–$412 |
$147–$515 |
varies |
Application long arm splint shoulder hand (29105) range across 2 matching MRF lines |
$321.60–$412 |
$402–$515 |
varies |
| Application Long Leg Splint (29505) |
$341.60 |
$427 |
1.9× |
| Application Short Arm Splint Dynamic (29126) |
$140 |
$175 |
0.9× |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$261.60–$412 |
$327–$515 |
varies |
Application short leg splint calf foot (29515) range across 2 matching MRF lines |
$341.60–$412 |
$427–$515 |
varies |
Apply hand/wrist cast (29085) range across 2 matching MRF lines |
$412–$596 |
$515–$745 |
varies |
Apply long arm cast (29065) range across 2 matching MRF lines |
$412–$1,191.20 |
$515–$1,489 |
varies |
Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$412–$596 |
$515–$745 |
varies |
| Arterial puncture (36600) |
$82.40 |
$103 |
0.6× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$412–$642.40 |
$515–$803 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$412 |
$515 |
0.5× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$290.40–$545.60 |
$363–$682 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 3 matching MRF lines |
$185.60–$412 |
$232–$515 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 3 matching MRF lines |
$412–$642.40 |
$515–$803 |
varies |
Aspirate pleura w/ imaging (32555) range across 2 matching MRF lines |
$612.80–$1,384 |
$766–$1,730 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$834.40 |
$1,043 |
1.2× |
| Aspirate/Inj Ganglion Cyst (20612) |
$412 |
$515 |
1.2× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,236.80 |
$2,796 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$339.20 |
$424 |
1.5× |
| Biopsy Oropharynx (42800) |
$412 |
$515 |
0.2× |
| Bladder Scan (51798) |
$250.40 |
$313 |
3.8× |
| Blood Transfusion Service (36430) |
$476.80 |
$596 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$418.40 |
$523 |
0.2× |
| Canthotomy Separate Procedure (67715) |
$2,052.80 |
$2,566 |
0.8× |
| Cataract surgery complex (66982) |
$6,420 |
$8,025 |
2.5× |
| Catheter aspiration nasotracheal spx (31720) |
$248.80 |
$311 |
1.0× |
| Change Cystostomy Tube Complicated (51710) |
$615.20 |
$769 |
0.8× |
Change Cystostomy Tube Simple (51705) range across 2 matching MRF lines |
$585.60–$591.20 |
$732–$739 |
varies |
| Chemodenerv musc neck dyston (64616) |
$412 |
$515 |
1.2× |
Chest tube placement (32551) range across 2 matching MRF lines |
$1,384–$2,414.40 |
$1,730–$3,018 |
varies |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,894.40 |
$2,368 |
1.1× |
Clear outer ear canal (69200) range across 2 matching MRF lines |
$327.20–$412 |
$409–$515 |
varies |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$258.40 |
$323 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$300.80 |
$376 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$3,142.40 |
$3,928 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$244 |
$305 |
0.9× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$412 |
$515 |
1.5× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,792 |
$2,240 |
1.0× |
Closed tx patellar dislocation w/o anesthesia (27560) range across 2 matching MRF lines |
$298.40–$514.40 |
$373–$643 |
varies |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,142.40 |
$3,928 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$412 |
$515 |
1.5× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,142.40 |
$3,928 |
1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$3,142.40 |
$3,928 |
1.8× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$388.80 |
$486 |
1.4× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$412 |
$515 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$3,142.40 |
$3,928 |
1.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$493.60 |
$617 |
1.8× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,894.40 |
$2,368 |
1.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$412 |
$515 |
1.5× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$680.80 |
$851 |
2.5× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$412 |
$515 |
1.5× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$258.40 |
$323 |
0.9× |
Cltx dstl radial fx/epiphysl sep w/o manj (25600) range across 2 matching MRF lines |
$412–$865.60 |
$515–$1,082 |
varies |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,142.40 |
$3,928 |
1.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$987.20 |
$1,234 |
3.6× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$412 |
$515 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$220 |
$275 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$412 |
$515 |
1.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$412 |
$515 |
1.5× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,142.40 |
$3,928 |
1.8× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,503.20 |
$1,879 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$697.60 |
$872 |
2.5× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,886.40 |
$3,608 |
1.6× |
Cltx metacarpal fx w/manipulation each bone (26605) range across 2 matching MRF lines |
$412–$680.80 |
$515–$851 |
varies |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$412 |
$515 |
1.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$3,142.40 |
$3,928 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$680.80 |
$851 |
2.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$3,142.40 |
$3,928 |
1.8× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$313.60 |
$392 |
1.1× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,581.60 |
$1,977 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$680.80 |
$851 |
2.5× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,739.20 |
$2,174 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$412 |
$515 |
1.5× |
Cltx trimalleolar ankle fx w/manipulation (27818) range across 2 matching MRF lines |
$1,727.20–$1,739.20 |
$2,159–$2,174 |
varies |
Collect Blood From Catheter Venous Nos (36592) range across 3 matching MRF lines |
$184–$262.40 |
$230–$328 |
varies |
Collection of venous blood by venipuncture (36415) range across 5 matching MRF lines |
$11.20–$52 |
$14–$65 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$371.20 |
$464 |
2.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$261.60 |
$327 |
1.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$371.20 |
$464 |
2.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$371.20 |
$464 |
1.4× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,230.40 |
$1,538 |
2.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$570.40 |
$713 |
0.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,928.80 |
$2,411 |
1.1× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$646.40 |
$808 |
1.4× |
| Declot vascular device (36593) |
$707.20 |
$884 |
1.9× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$412 |
$515 |
1.2× |
| Drain Cerebro Spinal Fluid (62272) |
$645.60 |
$807 |
0.8× |
| Drain/inj small joint/bursa w/us (20604) |
$412 |
$515 |
1.2× |
| Drainage Finger Abscess Complicated (26011) |
$2,700.80 |
$3,376 |
1.5× |
| Drainage Mouth Roof Lesion (42000) |
$216 |
$270 |
0.8× |
Drainage of finger abscess simple (26010) range across 2 matching MRF lines |
$232.80–$412 |
$291–$515 |
varies |
| Drainage of gum lesion (41800) |
$581.60 |
$727 |
3.9× |
Drainage of hematoma/fluid (10140) range across 2 matching MRF lines |
$412–$2,700.80 |
$515–$3,376 |
varies |
| Drainage of scrotal wall abscess (55100) |
$1,820 |
$2,275 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$262.40 |
$328 |
1.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$656 |
$820 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$232.80 |
$291 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$339.20 |
$424 |
1.5× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$412 |
$515 |
0.4× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$412 |
$515 |
0.5× |
| Epidural Blood Patch (62273) |
$412 |
$515 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$78.40 |
$98 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$412 |
$515 |
0.5× |
| Exploration penetrating wound spx extremity (20103) |
$2,700.80 |
$3,376 |
1.5× |
| Exploration Penetrating Wound Spx Neck (20100) |
$1,976.80 |
$2,471 |
3.3× |
| External cephalic version (59412) |
$412 |
$515 |
0.1× |
Fetal non-stress test (59025) range across 5 matching MRF lines |
$218.40–$402.40 |
$273–$503 |
varies |
| Fine needle aspiration without imaging guidance (10021) |
$316.80 |
$396 |
0.7× |
| I&d abscess peritonsillar (42700) |
$248.80 |
$311 |
0.9× |
I&d abscess simple (10060) range across 2 matching MRF lines |
$339.20–$412 |
$424–$515 |
varies |
| I&d perianal abscess superficial (46050) |
$934.40 |
$1,168 |
0.9× |
| I&d pilonidal cyst complicated (10081) |
$732 |
$915 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$566.40 |
$708 |
0.7× |
| Incise external hemorrhoid (46083) |
$591.20 |
$739 |
2.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$654.40 |
$818 |
1.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$941.60 |
$1,177 |
0.5× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$412–$646.40 |
$515–$808 |
varies |
| Incision and drainage of vulva or perineal abscess (56405) |
$360.80 |
$451 |
1.1× |
| Incision of Foot Tendon (28234) |
$412 |
$515 |
0.2× |
| Incision of rectal abscess (46040) |
$1,152 |
$1,440 |
0.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$412 |
$515 |
0.4× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$412 |
$515 |
0.4× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$412 |
$515 |
1.2× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$412 |
$515 |
0.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$412 |
$515 |
0.4× |
Injection aa&/strd nerves nrvtg si joint w/img (64451) range across 2 matching MRF lines |
$412–$747.20 |
$515–$934 |
varies |
| Injection single tendon origin/insertion (20551) |
$412 |
$515 |
1.2× |
Injection single/mlt trigger point 1/2 muscles (20552) range across 3 matching MRF lines |
$412–$642.40 |
$515–$803 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$412 |
$515 |
1.2× |
Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$325.60–$412 |
$407–$515 |
varies |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$440.80 |
$551 |
0.6× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 2 matching MRF lines |
$412–$642.40 |
$515–$803 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$412 |
$515 |
1.8× |
Insert Bladder Cath Complex (51703) range across 2 matching MRF lines |
$180.80–$497.60 |
$226–$622 |
varies |
| Insert cath pleura w/o image (32556) |
$1,844 |
$2,305 |
0.9× |
Insert non-tunnel cv cath (36556) range across 2 matching MRF lines |
$412–$2,473.60 |
$515–$3,092 |
varies |
| Insert pessary/other device (57160) |
$805.60 |
$1,007 |
3.6× |
Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$147.20–$262.40 |
$184–$328 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$138.40 |
$173 |
0.9× |
Insertion Picc W/Rs&I 5 Yr/> (36573) range across 2 matching MRF lines |
$1,504.80–$1,595.20 |
$1,881–$1,994 |
varies |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) range across 3 matching MRF lines |
$364–$1,504.80 |
$455–$1,881 |
varies |
| Intubation endotracheal emergency procedure (31500) |
$597.60 |
$747 |
2.3× |
| Laryngoscopy diagnostic (31505) |
$388 |
$485 |
1.7× |
| Laryngoscopy flexible diagnostic (31575) |
$405.60 |
$507 |
1.8× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$405.60 |
$507 |
1.8× |
| Myelography via lumbar injection rs&i cervical (62302) |
$1,220.80 |
$1,526 |
1.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,220.80 |
$1,526 |
1.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$412 |
$515 |
0.5× |
| N block inj intercost sng (64420) |
$412 |
$515 |
0.5× |
| N Block Inj Plantar Digit (64455) |
$412 |
$515 |
1.2× |
| Nasal/Sinus Ndsc W/Rmvl Tiss From Frontal Sinus (31276) |
$6,856.80 |
$8,571 |
0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$412 |
$515 |
0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$642.40 |
$803 |
1.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$412 |
$515 |
0.4× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$412 |
$515 |
0.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$412 |
$515 |
0.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$412 |
$515 |
0.5× |
| Occipital Nerve Block (64405) |
$412 |
$515 |
1.2× |
| Pericardiocentesis W/Imaging (33016) |
$2,036 |
$2,545 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$524 |
$655 |
1.1× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$991.20 |
$1,239 |
1.0× |
Puncture aspiration abscess hematoma bulla/cyst (10160) range across 2 matching MRF lines |
$412–$654.40 |
$515–$818 |
varies |
| Reduction of rectal prolapse (45900) |
$991.20 |
$1,239 |
1.0× |
| Removal foreign body foot deep (28192) |
$4,052 |
$5,065 |
2.2× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$696.80 |
$871 |
0.9× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,403.20 |
$3,004 |
1.3× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$3,127.20 |
$3,909 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$76.80 |
$96 |
1.2× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$228 |
$285 |
3.5× |
Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$412–$4,052 |
$515–$5,065 |
varies |
| Removal of foreign body from pharynx (42809) |
$261.60 |
$327 |
0.5× |
| Remove Forearm Foreign Body (25248) |
$4,169.60 |
$5,212 |
2.3× |
| Remove foreign body from eye (65205) |
$261.60 |
$327 |
1.8× |
| Remove Intrauterine Device (58301) |
$718.40 |
$898 |
2.1× |
| Remove lung catheter (32552) |
$572 |
$715 |
0.8× |
| Remove Nasal Foreign Body (30300) |
$261.60 |
$327 |
1.8× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$676.80 |
$846 |
0.8× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$617.60 |
$772 |
0.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$431.20 |
$539 |
1.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$601.60 |
$752 |
1.3× |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121) range across 2 matching MRF lines |
$620.80–$639.20 |
$776–$799 |
varies |
| Repair complex trunk 2.6-7.5 cm (13101) |
$620.80 |
$776 |
0.8× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,492 |
$1,865 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$646.40 |
$808 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$173.60 |
$217 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$646.40 |
$808 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$339.20 |
$424 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$646.40 |
$808 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$339.20 |
$424 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$646.40 |
$808 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$646.40 |
$808 |
0.8× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$646.40 |
$808 |
1.4× |
Repair intermediate s/a/t/e 2.5 cm/< (12031) range across 2 matching MRF lines |
$412–$646.40 |
$515–$808 |
varies |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$646.40 |
$808 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$646.40 |
$808 |
1.4× |
| Repair of nail bed (11760) |
$639.20 |
$799 |
0.8× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,384 |
$1,730 |
1.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$917.60 |
$1,147 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$261.60 |
$327 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$261.60 |
$327 |
1.8× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$261.60 |
$327 |
0.5× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$576 |
$720 |
0.8× |
| Rplc Gtube No Revj Trc (43762) |
$306.40 |
$383 |
1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$339.20 |
$424 |
1.5× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$352 |
$440 |
0.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$393.60 |
$492 |
1.8× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$339.20 |
$424 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$339.20 |
$424 |
1.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$339.20 |
$424 |
1.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$339.20 |
$424 |
1.5× |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$39,351.20 |
$49,189 |
6.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$339.20 |
$424 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$339.20 |
$424 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$339.20 |
$424 |
0.8× |
Spinal puncture lumbar diagnostic (62270) range across 2 matching MRF lines |
$412–$1,676.80 |
$515–$2,096 |
varies |
| Strapping Unna Boot (29580) |
$224 |
$280 |
1.2× |
| Tangential biopsy skin single lesion (11102) |
$204 |
$255 |
0.5× |
Ther Spi Pnxr Csf Fluor/Ct (62329) range across 2 matching MRF lines |
$412–$720.80 |
$515–$901 |
varies |
| Thrombolytic Therapy Stroke (37195) |
$381.60 |
$477 |
1.0× |
| Treat Humerus Fracture (24505) |
$412 |
$515 |
0.2× |
| Treat humerus fracture (23600) |
$412 |
$515 |
1.5× |
| Treat Knuckle Dislocation (26700) |
$680.80 |
$851 |
2.5× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$3,142.40 |
$3,928 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$493.60 |
$617 |
1.8× |
| Trim skin lesion (11055) |
$144.80 |
$181 |
0.6× |
| Tx Gastro Intub W/Asp (43753) |
$128 |
$160 |
0.5× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$3,142.40 |
$3,928 |
1.8× |
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$412–$639.20 |
$515–$799 |
varies |
| Tx superficial wound dehiscence w/packing (12021) |
$435.20 |
$544 |
1.0× |
Unlisted procedure nervous system (64999) range across 2 matching MRF lines |
$412–$440.80 |
$515–$551 |
varies |
| Vaginal delivery only (59409) |
$5,332.80 |
$6,666 |
1.5× |