| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$786.90 |
$2,623 |
0.9× |
| Application finger splint static (29130) |
$147.60 |
$492 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$195.60 |
$652 |
1.3× |
| Application Long Leg Splint (29505) |
$185.40 |
$618 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$197.40 |
$658 |
1.5× |
| Application short leg splint calf foot (29515) |
$218.40 |
$728 |
1.4× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$146.40–$219.60 |
$488–$732 |
varies |
| Arterial puncture (36600) |
$118.80 |
$396 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$425.10 |
$1,417 |
1.4× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$495.90 |
$1,653 |
1.7× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,922.10 |
$6,407 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$137.10 |
$457 |
0.7× |
| Bladder Irrigation (51700) |
$240 |
$800 |
1.0× |
| Bladder Scan (51798) |
$71.40 |
$238 |
1.3× |
| Blood Transfusion Service (36430) |
$947.70 |
$3,159 |
2.2× |
| Chemical Cautery Tissue (17250) |
$185.10 |
$617 |
1.0× |
| Chest tube placement (32551) |
$603.60 |
$2,012 |
0.4× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,380.30 |
$4,601 |
0.9× |
| Clear outer ear canal (69200) |
$88.50 |
$295 |
0.7× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$229.20 |
$764 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$210.60 |
$702 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$326.70 |
$1,089 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,396.20 |
$4,654 |
0.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$227.70 |
$759 |
1.0× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$424.50 |
$1,415 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,350 |
$4,500 |
0.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,396.20 |
$4,654 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$229.20 |
$764 |
1.0× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$244.50 |
$815 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,527.30 |
$5,091 |
1.0× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$296.40 |
$988 |
1.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,294.80 |
$4,316 |
0.8× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$380.40 |
$1,268 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$561 |
$1,870 |
0.4× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$204.60 |
$682 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$244.20 |
$814 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,387.10 |
$7,957 |
1.5× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,532.10 |
$5,107 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$262.20 |
$874 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$204.60 |
$682 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$174 |
$580 |
0.7× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$204.60 |
$682 |
0.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$222.60 |
$742 |
0.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,550.10 |
$5,167 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$307.20 |
$1,024 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$307.20 |
$1,024 |
1.3× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$227.70 |
$759 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$346.20 |
$1,154 |
1.5× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$229.80 |
$766 |
1.0× |
| Collection of venous blood by venipuncture (36415) |
$15.30 |
$51 |
1.6× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$2,548.50 |
$8,495 |
2.8× |
| Colonoscopy w/ablation (45388) |
$3,505.20 |
$11,684 |
3.0× |
| Colonoscopy w/submucosal inj (45381) |
$2,283.90 |
$7,613 |
2.0× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,877.10 |
$6,257 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$187.20 |
$624 |
1.5× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$271.20 |
$904 |
2.1× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$508.80 |
$1,696 |
4.0× |
| Curette/treat cornea (65435) |
$858.30 |
$2,861 |
0.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$554.40 |
$1,848 |
0.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,110.30 |
$3,701 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$474 |
$1,580 |
1.2× |
| Diagnostic sigmoidoscopy (45330) |
$806.40 |
$2,688 |
0.9× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,685.40 |
$5,618 |
1.9× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,518.90 |
$5,063 |
1.0× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$679.20 |
$2,264 |
1.0× |
| Drainage Finger Abscess Complicated (26011) |
$1,366.80 |
$4,556 |
0.9× |
| Drainage Mouth Roof Lesion (42000) |
$210.30 |
$701 |
0.9× |
| Drainage of finger abscess simple (26010) |
$277.20 |
$924 |
1.4× |
| Drainage of gum lesion (41800) |
$183 |
$610 |
1.4× |
| Drainage of hematoma/fluid (10140) |
$1,657.80 |
$5,526 |
1.0× |
| Drainage of rectal abscess (45005) |
$1,125.30 |
$3,751 |
1.0× |
| Drainage of scrotal wall abscess (55100) |
$2,285.40 |
$7,618 |
1.4× |
| Draw Blood Off Venous Device (36591) |
$109.50 |
$365 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$252.90 |
$843 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$187.50 |
$625 |
1.0× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,656.60 |
$5,522 |
0.9× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,578.30 |
$5,261 |
0.9× |
| Egd Flexible Foreign Body Removal (43247) |
$750.60 |
$2,502 |
0.9× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$1,646.70 |
$5,489 |
0.8× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$894.60 |
$2,982 |
1.0× |
| Esophagoscopy Flexible Transoral Diagnostic (43200) |
$809.70 |
$2,699 |
0.9× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,576.80 |
$5,256 |
0.9× |
| Evacuation of subungual hematoma (11740) |
$51.60 |
$172 |
0.4× |
| I&d abscess peritonsillar (42700) |
$223.50 |
$745 |
1.0× |
| I&d abscess simple (10060) |
$391.80 |
$1,306 |
2.0× |
| I&d perianal abscess superficial (46050) |
$1,881.90 |
$6,273 |
2.1× |
| I&d pilonidal cyst complicated (10081) |
$548.70 |
$1,829 |
0.8× |
| I&d pilonidal cyst simple (10080) |
$260.40 |
$868 |
0.4× |
| Incise external hemorrhoid (46083) |
$232.20 |
$774 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$406.20 |
$1,354 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$2,017.50 |
$6,725 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$669.90 |
$2,233 |
1.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$174.60 |
$582 |
0.9× |
| Incision and drainage of vulva or perineal abscess (56405) |
$407.40 |
$1,358 |
1.4× |
| Incision of rectal abscess (46040) |
$1,125.30 |
$3,751 |
1.0× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,563.90 |
$5,213 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$193.50 |
$645 |
1.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$762.60 |
$2,542 |
0.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$762.60 |
$2,542 |
0.9× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$762.60 |
$2,542 |
0.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$617.10 |
$2,057 |
0.9× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$762.60 |
$2,542 |
0.9× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$762.60 |
$2,542 |
0.9× |
| Injection anesthetic agent suprascapular nerve (64418) |
$617.10 |
$2,057 |
0.9× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$333.60 |
$1,112 |
1.1× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$762.60 |
$2,542 |
0.9× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$617.10 |
$2,057 |
0.9× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$430.20 |
$1,434 |
0.6× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$174.60 |
$582 |
0.9× |
| Insert non-tunnel cv cath (36556) |
$1,173.60 |
$3,912 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$130.20 |
$434 |
1.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$102 |
$340 |
0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,393.20 |
$4,644 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$489 |
$1,630 |
2.1× |
| Monocyte distribution width whole blood (0427U) |
$5.10 |
$17 |
1.1× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$617.10 |
$2,057 |
0.9× |
| N block inj intercost sng (64420) |
$617.10 |
$2,057 |
0.9× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$381 |
$1,270 |
0.9× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$762.60 |
$2,542 |
0.9× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$270.90 |
$903 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$617.10 |
$2,057 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$762.60 |
$2,542 |
0.9× |
| Placement of needle for intraosseous infusion (36680) |
$247.80 |
$826 |
0.6× |
| Punch biopsy skin single lesion (11104) |
$188.40 |
$628 |
0.5× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$156.60 |
$522 |
0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$613.80 |
$2,046 |
0.9× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$61.80–$92.70 |
$206–$309 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$148.80 |
$496 |
2.6× |
| Removal of nail bed (11750) |
$734.40 |
$2,448 |
1.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$129.60 |
$432 |
0.7× |
| Remove foreign body from eye (65205) |
$365.10 |
$1,217 |
2.9× |
Remove Nasal Foreign Body (30300)
range across 2 matching MRF lines |
$304.80–$457.20 |
$1,016–$1,524 |
varies |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$605.40 |
$2,018 |
0.9× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$666 |
$2,220 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$788.70 |
$2,629 |
2.0× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$605.40 |
$2,018 |
1.5× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$633.90 |
$2,113 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$282.30 |
$941 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$336.60 |
$1,122 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$373.80 |
$1,246 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$658.20 |
$2,194 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$529.50 |
$1,765 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$554.40 |
$1,848 |
1.4× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$610.20 |
$2,034 |
0.9× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$547.20 |
$1,824 |
1.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$345.90 |
$1,153 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$423.60 |
$1,412 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$447.30 |
$1,491 |
1.1× |
| Repair of nail bed (11760) |
$283.20 |
$944 |
0.4× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$886.20 |
$2,954 |
1.0× |
| Replace g/c tube perc (49450) |
$874.50 |
$2,915 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$223.50 |
$745 |
0.5× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$123.30 |
$411 |
1.0× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,462.20 |
$4,874 |
0.9× |
| Rplc Gtube No Revj Trc (43762) |
$471.30 |
$1,571 |
2.0× |
| Rplc gtube revj gstrst trc (43763) |
$519 |
$1,730 |
2.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$188.40 |
$628 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$439.50 |
$1,465 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$439.50 |
$1,465 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$887.10 |
$2,957 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$887.10 |
$2,957 |
1.0× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$256.50 |
$855 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$281.70 |
$939 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$393.30 |
$1,311 |
2.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$244.20 |
$814 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276.90 |
$923 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$247.50 |
$825 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$296.40 |
$988 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$381.30 |
$1,271 |
1.0× |
| Strapping ankle (29540) |
$99 |
$330 |
0.6× |
| Strapping hand/finger (29280) |
$186.90 |
$623 |
3.3× |
| Strapping knee (29530) |
$94.80 |
$316 |
0.7× |
| Strapping shoulder (29240) |
$161.10 |
$537 |
1.3× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$119.70–$179.40 |
$399–$598 |
varies |
| Thrombolytic Therapy Stroke (37195) |
$384.60 |
$1,282 |
1.2× |
| Treat humerus fracture (23600) |
$229.20 |
$764 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$227.70 |
$759 |
1.0× |
| Treat toe dislocation (28630) |
$227.70 |
$759 |
1.0× |
| Treatment closed elbow dislocation w/o anes (24600) |
$372.60 |
$1,242 |
1.6× |
| Trim skin lesion (11055) |
$174.60 |
$582 |
0.9× |
| Unlisted procedure nervous system (64999) |
$259.20 |
$864 |
0.9× |