| Abd paracentesis w/imaging (49083) |
$461.70 |
$1,539 |
0.5× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$692.40 |
$2,308 |
0.8× |
| Application Finger Splint Dynamic (29131) |
$202.20 |
$674 |
3.6× |
| Application finger splint static (29130) |
$213.30 |
$711 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$366.60 |
$1,222 |
2.3× |
| Application Long Leg Splint (29505) |
$330.30 |
$1,101 |
2.1× |
| Application of rigid total contact leg cast (29445) |
$259.20 |
$864 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$305.70 |
$1,019 |
2.4× |
| Application short leg splint calf foot (29515) |
$299.40 |
$998 |
1.9× |
| Apply hand/wrist cast (29085) |
$341.40 |
$1,138 |
2.2× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$153–$229.80 |
$510–$766 |
varies |
| Arterial puncture (36600) |
$76.50 |
$255 |
0.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$1,168.80 |
$3,896 |
4.0× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 4 matching MRF lines |
$584.10–$876.15 |
$1,947–$2,920.50 |
varies |
| Avulsion nail plate partial/complete simple 1 (11730) |
$349.50 |
$1,165 |
1.8× |
| Bladder Irrigation (51700) |
$341.40 |
$1,138 |
1.4× |
| Bladder Scan (51798) |
$66 |
$220 |
1.2× |
| Blepharotomy drainage abscess eyelid (67700) |
$307.20 |
$1,024 |
1.0× |
| Blood Transfusion Service (36430) |
$1,048.50 |
$3,495 |
2.5× |
| Bx breast 1st lesion us imag (19083) |
$1,127.40 |
$3,758 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$229.80 |
$766 |
1.0× |
| Chemical Cautery Tissue (17250) |
$194.70 |
$649 |
1.0× |
| Chest tube placement (32551) |
$928.80 |
$3,096 |
0.6× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,670.60 |
$8,902 |
1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,527.30 |
$5,091 |
1.0× |
| Clear outer ear canal (69200) |
$151.80 |
$506 |
1.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$244.50 |
$815 |
1.0× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$396 |
$1,320 |
1.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,408.20 |
$4,694 |
0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$229.20 |
$764 |
1.0× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$2,601 |
$8,670 |
11.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,523.40 |
$5,078 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$169.20 |
$564 |
0.7× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,774.80 |
$5,916 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,340 |
$7,800 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$558.30 |
$1,861 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$264.30 |
$881 |
1.1× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$227.70 |
$759 |
1.0× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,205.40 |
$4,018 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$215.10 |
$717 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$229.20 |
$764 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,408.20 |
$4,694 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$396 |
$1,320 |
1.7× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$254.40 |
$848 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$236.70 |
$789 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$374.70 |
$1,249 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$215.10 |
$717 |
0.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,350.60 |
$4,502 |
0.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$230.40 |
$768 |
1.0× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$343.80 |
$1,146 |
1.4× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,527.30 |
$5,091 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$314.10 |
$1,047 |
1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,422.60 |
$4,742 |
0.9× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,774.80 |
$5,916 |
1.1× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,550.10 |
$5,167 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$117 |
$390 |
0.9× |
| Collection of venous blood by venipuncture (36415) |
$15.30 |
$51 |
1.6× |
| Colonoscopy w/submucosal inj (45381) |
$1,604.10 |
$5,347 |
1.4× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,138.20 |
$3,794 |
1.0× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,471.20 |
$4,904 |
1.3× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,603.80 |
$5,346 |
1.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$123.30 |
$411 |
1.0× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$552–$828 |
$1,840–$2,760 |
varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$508.80 |
$1,696 |
4.0× |
| Cysto w/insert ureteral stent (52332) |
$19,297.20 |
$64,324 |
5.7× |
| Cysto/uretero w/lithotripsy (52356) |
$19,297.20 |
$64,324 |
3.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$584.40 |
$1,948 |
1.5× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,524.90 |
$5,083 |
2.2× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$567 |
$1,890 |
0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,523.10 |
$5,077 |
1.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$374.40 |
$1,248 |
1.0× |
| Destruct B9 Lesion 1-14 (17110) |
$197.40 |
$658 |
1.0× |
| Diagnostic sigmoidoscopy (45330) |
$660.30 |
$2,201 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$242.70 |
$809 |
0.4× |
| Drainage Finger Abscess Complicated (26011) |
$1,490.10 |
$4,967 |
0.9× |
| Drainage of finger abscess simple (26010) |
$299.40 |
$998 |
1.6× |
| Drainage of gum lesion (41800) |
$115.50 |
$385 |
0.9× |
| Drainage of hematoma/fluid (10140) |
$2,372.10 |
$7,907 |
1.5× |
| Drainage of scrotal wall abscess (55100) |
$1,737 |
$5,790 |
1.1× |
| Draw Blood Off Venous Device (36591) |
$117 |
$390 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$301.50 |
$1,005 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$273.60 |
$912 |
1.4× |
| Dx Bronchoscope/Wash (31622) |
$933.90 |
$3,113 |
0.5× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$2,003.10 |
$6,677 |
1.1× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,678.80 |
$5,596 |
0.9× |
| Egd Flexible Foreign Body Removal (43247) |
$1,741.80 |
$5,806 |
2.0× |
| Egd guide wire insertion (43248) |
$1,658.70 |
$5,529 |
1.9× |
| Egd intrmural us needle aspirate/biopsy esophags (43238) |
$1,835.10 |
$6,117 |
1.0× |
| Egd place gastrostomy tube (43246) |
$1,720.80 |
$5,736 |
0.9× |
| Egd remove lesion snare (43251) |
$1,835.10 |
$6,117 |
1.0× |
| Evacuation of subungual hematoma (11740) |
$98.10 |
$327 |
0.8× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$629.40 |
$2,098 |
0.9× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,061.10 |
$3,537 |
0.9× |
| Exploration penetrating wound spx extremity (20103) |
$2,169.90 |
$7,233 |
1.4× |
| External cephalic version (59412) |
$2,794.20 |
$9,314 |
0.9× |
| Fetal Contraction Stress Test (59020) |
$390.90 |
$1,303 |
2.0× |
| Fetal non-stress test (59025) |
$268.50 |
$895 |
1.4× |
| Fine needle aspiration without imaging guidance (10021) |
$362.70 |
$1,209 |
0.9× |
| Fna bx w/us gdn 1st les (10005) |
$1,340.70 |
$4,469 |
2.0× |
| I&D Absc Rtrphrngl/Parapharyngeal Intraoral (42720) |
$3,117.90 |
$10,393 |
1.0× |
| I&d abscess peritonsillar (42700) |
$236.10 |
$787 |
1.0× |
| I&d abscess simple (10060) |
$366.60 |
$1,222 |
1.9× |
| I&d perianal abscess superficial (46050) |
$974.40 |
$3,248 |
1.1× |
| I&d pilonidal cyst complicated (10081) |
$679.20 |
$2,264 |
1.0× |
| I&d pilonidal cyst simple (10080) |
$301.80 |
$1,006 |
0.4× |
| Incise external hemorrhoid (46083) |
$378.90 |
$1,263 |
1.6× |
| Incision & drainage abscess complicated/multiple (10061) |
$435 |
$1,450 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,563.90 |
$5,213 |
1.0× |
| Incision & removal foreign body subq tiss simple (10120) |
$1,917.60 |
$6,392 |
4.9× |
| Incision and drainage of bartholin's gland abscess (56420) |
$165.90 |
$553 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$333 |
$1,110 |
1.1× |
| Incision of rectal abscess (46040) |
$1,138.20 |
$3,794 |
1.0× |
| Incisional biopsy skin single lesion (11106) |
$336 |
$1,120 |
0.5× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$150.90 |
$503 |
0.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$783 |
$2,610 |
0.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$783 |
$2,610 |
0.9× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$783 |
$2,610 |
0.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$633.30 |
$2,111 |
0.9× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$783 |
$2,610 |
0.9× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$335.40 |
$1,118 |
1.1× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$790.50 |
$2,635 |
0.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$633.30 |
$2,111 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$331.80 |
$1,106 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$365.40 |
$1,218 |
1.2× |
| Injection therapeutic carpal tunnel (20526) |
$299.40 |
$998 |
1.0× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$783 |
$2,610 |
0.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$633.30 |
$2,111 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$657 |
$2,190 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$1,897.20 |
$6,324 |
0.6× |
| Insert Temp Bladder Cath (51702) |
$208.20 |
$694 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$177.60 |
$592 |
1.4× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,927.80 |
$6,426 |
1.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$3,003 |
$10,010 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$860.10 |
$2,867 |
2.2× |
| Intubation endotracheal emergency procedure (31500) |
$663.30 |
$2,211 |
2.9× |
| Irrigation of corpora cavernosa for priapism (54220) |
$282 |
$940 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$633.30 |
$2,111 |
0.9× |
| N block inj intercost sng (64420) |
$633.30 |
$2,111 |
0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$381 |
$1,270 |
0.9× |
| Needle Biopsy Lymph Nodes (38505) |
$1,524.90 |
$5,083 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$790.50 |
$2,635 |
0.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$462 |
$1,540 |
1.6× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$633.30 |
$2,111 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$783 |
$2,610 |
0.9× |
| Perq device breast 1st imag (19281) |
$623.70 |
$2,079 |
0.4× |
| Placement of needle for intraosseous infusion (36680) |
$384.90 |
$1,283 |
0.9× |
| Punch biopsy skin single lesion (11104) |
$336 |
$1,120 |
0.9× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$404.70 |
$1,349 |
1.0× |
| Puncture Aspiration Cyst Breast (19000) |
$651.30 |
$2,171 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,392.90 |
$4,643 |
2.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$63.30 |
$211 |
1.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$163.50 |
$545 |
2.9× |
| Removal of nail bed (11750) |
$1,142.40 |
$3,808 |
2.9× |
| Remove drug implant device (11982) |
$377.70 |
$1,259 |
0.9× |
| Remove foreign body from eye (65205) |
$280.80 |
$936 |
2.2× |
| Remove Nasal Foreign Body (30300) |
$537.60 |
$1,792 |
4.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$509.40 |
$1,698 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$340.50 |
$1,135 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,084.80 |
$3,616 |
2.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$805.50 |
$2,685 |
2.1× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,852.50 |
$6,175 |
2.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$482.10 |
$1,607 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$530.40 |
$1,768 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$582.90 |
$1,943 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$723.60 |
$2,412 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$440.70 |
$1,469 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$504.60 |
$1,682 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$523.20 |
$1,744 |
0.7× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$510.30 |
$1,701 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$528 |
$1,760 |
1.4× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$547.20 |
$1,824 |
1.4× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,758.60 |
$5,862 |
0.9× |
| Repair of nail bed (11760) |
$321.90 |
$1,073 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$207.90 |
$693 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,421.10 |
$4,737 |
0.9× |
| Rplc Gtube No Revj Trc (43762) |
$1,156.50 |
$3,855 |
4.8× |
| Rplc gtube revj gstrst trc (43763) |
$1,272 |
$4,240 |
5.3× |
| Rpr blood vessel direct lower extremity (35226) |
$956.40 |
$3,188 |
1.4× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$840 |
$2,800 |
4.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$528.30 |
$1,761 |
1.0× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,243.20 |
$4,144 |
2.4× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$840.60 |
$2,802 |
0.9× |
| Sigmoidoscopy flx tndsc balo dilat (45340) |
$1,101 |
$3,670 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$870.30 |
$2,901 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$974.40 |
$3,248 |
2.5× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$386.40 |
$1,288 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$425.40 |
$1,418 |
2.2× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$762.90 |
$2,543 |
4.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$412.50 |
$1,375 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$442.80 |
$1,476 |
2.3× |
| Skin sub graft face/nk/hf/g (15275) |
$1,758.60 |
$5,862 |
2.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,758.60 |
$5,862 |
2.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$426.60 |
$1,422 |
2.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$486.90 |
$1,623 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$536.10 |
$1,787 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$648 |
$2,160 |
1.0× |
| Strapping ankle (29540) |
$191.70 |
$639 |
1.2× |
| Strapping hand/finger (29280) |
$123.30 |
$411 |
2.2× |
| Strapping knee (29530) |
$177.30 |
$591 |
1.4× |
| Strapping shoulder (29240) |
$303.90 |
$1,013 |
2.4× |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
$153–$344.70 |
$510–$1,149 |
varies |
| Tangential biopsy skin single lesion (11102) |
$336 |
$1,120 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$401.10 |
$1,337 |
1.3× |
| Thyroid biopsy (60100) |
$566.10 |
$1,887 |
0.8× |
| Treat Knuckle Dislocation (26700) |
$333 |
$1,110 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$215.10 |
$717 |
0.9× |
| Treat Thumb Dislocation (26641) |
$320.70 |
$1,069 |
1.4× |
| Treat toe dislocation (28630) |
$229.20 |
$764 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$455.40 |
$1,518 |
1.9× |
| Trim skin lesion (11055) |
$194.70 |
$649 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$214.20 |
$714 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$309.60 |
$1,032 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$2,610.90 |
$8,703 |
3.7× |
| Unlisted Procedure Pharynx Adenoids/Tonsils (42999) |
$214.20 |
$714 |
0.9× |
| Wedge excision skin nail fold (11765) |
$315.30 |
$1,051 |
0.8× |