| Abd paracentesis w/imaging (49083) |
$546.90 |
$1,823 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$558 |
$1,860 |
0.6× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$2,553.60 |
$8,512 |
0.8× |
| Anoscopy diagnostic (46600) |
$110.70 |
$369 |
0.9× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$878.10 |
$2,927 |
1.0× |
| Application finger splint static (29130) |
$54.60 |
$182 |
0.4× |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$118.50–$177.75 |
$395–$592.50 |
varies |
| Application Long Leg Splint (29505) |
$113.40 |
$378 |
0.7× |
| Application of rigid total contact leg cast (29445) |
$160.50 |
$535 |
0.6× |
| Application short arm splint forearm-hand static (29125) |
$129.90 |
$433 |
1.0× |
| Application short leg splint calf foot (29515) |
$117.90 |
$393 |
0.8× |
Apply Multlay Comprs Lwr Leg (29581)
range across 6 matching MRF lines |
$107.10–$344.70 |
$357–$1,149 |
varies |
| Arterial puncture (36600) |
$119.40 |
$398 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$253.50 |
$845 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$278.40 |
$928 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$306.30 |
$1,021 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$230.10 |
$767 |
0.8× |
| Aspirate/Inj Ganglion Cyst (20612) |
$285.90 |
$953 |
1.0× |
| Aspiration Bladder Needle (51100) |
$238.20 |
$794 |
1.0× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$166.20 |
$554 |
0.9× |
| Bladder Irrigation (51700) |
$238.20 |
$794 |
1.0× |
| Bladder Scan (51798) |
$126.60 |
$422 |
2.2× |
| Blood Transfusion Service (36430) |
$430.20 |
$1,434 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$722.40 |
$2,408 |
0.5× |
| Catheter aspiration nasotracheal spx (31720) |
$88.20 |
$294 |
0.4× |
| Change Cystostomy Tube Simple (51705) |
$239.10 |
$797 |
1.0× |
| Chemical Cautery Tissue (17250) |
$163.20 |
$544 |
0.8× |
| Chest tube placement (32551) |
$913.50 |
$3,045 |
0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,527.30 |
$5,091 |
1.0× |
| Clear outer ear canal (69200) |
$98.70 |
$329 |
0.8× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$227.70 |
$759 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$222.30 |
$741 |
0.9× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$208.20 |
$694 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$549.60 |
$1,832 |
0.4× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$195.30 |
$651 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$278.40 |
$928 |
1.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$195.30 |
$651 |
0.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$147.60 |
$492 |
0.6× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,323.30 |
$4,411 |
0.9× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$95.10 |
$317 |
0.4× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,684.20 |
$5,614 |
1.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,300.80 |
$4,336 |
0.8× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$195.30 |
$651 |
0.8× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,539.30 |
$5,131 |
1.0× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$222.30 |
$741 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$227.70 |
$759 |
1.0× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$208.20 |
$694 |
0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$559.80 |
$1,866 |
2.4× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$147.60 |
$492 |
0.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$195.30 |
$651 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,366.20 |
$4,554 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$207.30 |
$691 |
0.9× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,366.20 |
$4,554 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$195.30 |
$651 |
0.8× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,647 |
$5,490 |
1.1× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$147.60 |
$492 |
0.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$229.50 |
$765 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$147.60 |
$492 |
0.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,527.30 |
$5,091 |
1.0× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$195.30 |
$651 |
0.8× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,647 |
$5,490 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$228.90 |
$763 |
1.0× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$208.20 |
$694 |
0.9× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$222.30 |
$741 |
0.9× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,557.60 |
$5,192 |
1.0× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$195.30 |
$651 |
0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,298.10 |
$4,327 |
0.8× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,550.10 |
$5,167 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$195.30 |
$651 |
0.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,366.20 |
$4,554 |
0.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$91.80 |
$306 |
0.7× |
| Collection of venous blood by venipuncture (36415) |
$6.90 |
$23 |
0.7× |
| Colonoscopy Stoma W/Submucosal Injection (44404) |
$1,125.30 |
$3,751 |
1.0× |
| Colonoscopy through stoma; with biopsy, single or multiple (44389) |
$1,175.10 |
$3,917 |
1.0× |
| Colonoscopy Thru Stoma,Lesn Rmvl W/Snare - Colonoscopy (44394) |
$1,255.50 |
$4,185 |
1.1× |
| Colonoscopy w/ablation (45388) |
$1,870.20 |
$6,234 |
1.6× |
| Colonoscopy w/submucosal inj (45381) |
$1,309.80 |
$4,366 |
1.1× |
| Colsc Flexible W/Control Bleeding Any Method (45382) |
$1,870.50 |
$6,235 |
1.6× |
| Colsc Flexible W/Transendoscopic Balloon Dilat (45386) |
$1,989.90 |
$6,633 |
1.7× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,871.40 |
$6,238 |
1.6× |
Control Nasal Hemorrhage Anterior Complex (30903)
range across 2 matching MRF lines |
$177.90–$266.85 |
$593–$889.50 |
varies |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$95.10–$142.65 |
$317–$475.50 |
varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$95.10 |
$317 |
0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$618.90 |
$2,063 |
0.9× |
| Debride nail 1-5 (11720) |
$57 |
$190 |
1.0× |
| Debride nail 6 or more (11721) |
$65.40 |
$218 |
1.2× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,301.40 |
$4,338 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$610.20 |
$2,034 |
1.6× |
| Declot vascular device (36593) |
$369.90 |
$1,233 |
1.2× |
| Delivery of placenta (59414) |
$1,814.40 |
$6,048 |
0.6× |
| Destruct B9 Lesion 1-14 (17110) |
$174.30 |
$581 |
0.9× |
| Destruction by neurolytic agent, intercostal nerve (64620) |
$753.90 |
$2,513 |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,722.30 |
$5,741 |
0.9× |
| Diagnostic sigmoidoscopy (45330) |
$373.50 |
$1,245 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$771.30 |
$2,571 |
1.1× |
| Drainage Finger Abscess Complicated (26011) |
$1,314.90 |
$4,383 |
0.8× |
| Drainage Mouth Roof Lesion (42000) |
$236.10 |
$787 |
1.0× |
| Drainage of finger abscess simple (26010) |
$174.30 |
$581 |
0.9× |
| Drainage of gum lesion (41800) |
$180 |
$600 |
1.4× |
| Drainage of scrotal wall abscess (55100) |
$1,153.80 |
$3,846 |
0.7× |
| Draw Blood Off Venous Device (36591) |
$91.80 |
$306 |
0.7× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$679.20 |
$2,264 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$537.90 |
$1,793 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$504.30 |
$1,681 |
2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$470.70 |
$1,569 |
2.4× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$807.90 |
$2,693 |
0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,908.90 |
$6,363 |
1.0× |
| Egd cautery tumor polyp (43250) |
$2,727 |
$9,090 |
1.5× |
| Egd control bleeding any (43255) |
$2,727 |
$9,090 |
1.5× |
| Egd dilation gastric/duodenal stricture (43245) |
$2,727 |
$9,090 |
1.5× |
| Egd Flexible Foreign Body Removal (43247) |
$1,910.10 |
$6,367 |
2.2× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,910.10 |
$6,367 |
1.0× |
| Egd lesion ablation (43270) |
$2,356.50 |
$7,855 |
1.3× |
| Egd place gastrostomy tube (43246) |
$2,029.80 |
$6,766 |
1.1× |
| Egd remove lesion snare (43251) |
$2,727 |
$9,090 |
1.5× |
| Egd Varices Ligation (43244) |
$2,356.50 |
$7,855 |
1.3× |
| Endoscopy Upper Small Intestine (44360) |
$1,461.90 |
$4,873 |
0.8× |
| Enterosc >2nd prtn w/ileum w/bx single/multiple (44377) |
$1,809.90 |
$6,033 |
1.0× |
| Epidural Blood Patch (62273) |
$755.10 |
$2,517 |
1.1× |
| Ercp Dx Collection Specimen Brushing/Washing (43260) |
$5,019.90 |
$16,733 |
1.4× |
| Ercp remove calculi/debris biliary/pancreas duct (43264) |
$5,019.90 |
$16,733 |
1.4× |
| Ercp,Sphincterotomy (43262) |
$5,019.90 |
$16,733 |
1.4× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,426.80 |
$4,756 |
1.6× |
| Esophagoscopy Flex Balloon Dilat <30 Mm Diam (43220) |
$2,727 |
$9,090 |
1.5× |
| Esophagoscopy Flexib Lesion Removal Tumor Snare (43217) |
$2,222.10 |
$7,407 |
1.2× |
| Esophagoscopy, flexible, transoral; with biopsy, single or multiple (43202) |
$1,910.10 |
$6,367 |
1.0× |
| Esophagoscopy, flexible, transoral; with removal of foreign body(s) (43215) |
$2,727 |
$9,090 |
1.5× |
| Evacuation of subungual hematoma (11740) |
$68.70 |
$229 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,301.40 |
$4,338 |
0.8× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$610.80 |
$2,036 |
0.9× |
| Fine needle aspiration without imaging guidance (10021) |
$309.90 |
$1,033 |
0.8× |
| Hemorrhoidopexy by stapling (46947) |
$2,313.30 |
$7,711 |
0.9× |
| I&d abscess peritonsillar (42700) |
$294.30 |
$981 |
1.3× |
| I&d abscess simple (10060) |
$190.20 |
$634 |
1.0× |
| I&d perianal abscess superficial (46050) |
$533.10 |
$1,777 |
0.6× |
| I&d pilonidal cyst complicated (10081) |
$610.80 |
$2,036 |
0.9× |
| I&d pilonidal cyst simple (10080) |
$553.50 |
$1,845 |
0.8× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$3,410.40 |
$11,368 |
1.2× |
| Incise external hemorrhoid (46083) |
$238.20 |
$794 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$339.60 |
$1,132 |
0.9× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,356 |
$4,520 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$309.90 |
$1,033 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$142.80 |
$476 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$213.90 |
$713 |
0.7× |
| Incision of rectal abscess (46040) |
$2,144.70 |
$7,149 |
1.9× |
| Incisional biopsy skin single lesion (11106) |
$309.90 |
$1,033 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$75.30 |
$251 |
0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$807.90 |
$2,693 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$648.90 |
$2,163 |
0.8× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$992.40 |
$3,308 |
1.2× |
Injection 1 tendon sheath/ligament aponeurosis (20550)
range across 2 matching MRF lines |
$236.70–$355.05 |
$789–$1,183.50 |
varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$648.90 |
$2,163 |
0.8× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$648.90 |
$2,163 |
0.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$755.10 |
$2,517 |
0.9× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$524.70 |
$1,749 |
0.8× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$648.90 |
$2,163 |
0.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$648.90 |
$2,163 |
0.8× |
| Injection anesthetic agent suprascapular nerve (64418) |
$524.70 |
$1,749 |
0.8× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$236.70 |
$789 |
0.8× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$648.90 |
$2,163 |
0.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$524.70 |
$1,749 |
0.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$399.30 |
$1,331 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$238.20 |
$794 |
1.9× |
| Insert non-tunnel cv cath (36556) |
$1,965.30 |
$6,551 |
0.6× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,048.80 |
$3,496 |
0.7× |
| Insert Temp Bladder Cath (51702) |
$110.70 |
$369 |
0.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$110.70 |
$369 |
0.9× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,807.40 |
$9,358 |
0.9× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,101.30 |
$3,671 |
0.7× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$6,427.50 |
$21,425 |
0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$639.60 |
$2,132 |
1.6× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$703.50 |
$2,345 |
1.8× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,260.60 |
$4,202 |
0.8× |
| Intubation endotracheal emergency procedure (31500) |
$172.80 |
$576 |
0.8× |
| Irrigation of corpora cavernosa for priapism (54220) |
$222 |
$740 |
0.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$524.70 |
$1,749 |
0.8× |
| N block inj intercost sng (64420) |
$524.70 |
$1,749 |
0.8× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$170.70 |
$569 |
0.4× |
| Ndsc eval intstinal pouch w/bx single/multiple (44386) |
$870.30 |
$2,901 |
1.0× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$648.90 |
$2,163 |
0.8× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$228.30 |
$761 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$590.70 |
$1,969 |
0.9× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$524.70 |
$1,749 |
0.8× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$648.90 |
$2,163 |
0.8× |
| Occipital Nerve Block (64405) |
$236.70 |
$789 |
0.8× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$2,585.40 |
$8,618 |
0.8× |
| Pericardiocentesis W/Imaging (33016) |
$1,562.40 |
$5,208 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$142.20 |
$474 |
0.3× |
| Punch biopsy skin single lesion (11104) |
$174.30 |
$581 |
0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$180 |
$600 |
0.5× |
| Removal Embedded Foreign Body Eyelid (67938) |
$205.20 |
$684 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$553.50 |
$1,845 |
0.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$722.40 |
$2,408 |
0.5× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 2 matching MRF lines |
$55.50–$83.25 |
$185–$277.50 |
varies |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$75.60 |
$252 |
1.3× |
| Removal of foreign body from pharynx (42809) |
$348.30 |
$1,161 |
0.8× |
| Removal of nail bed (11750) |
$390 |
$1,300 |
1.0× |
| Removal or bivalving full arm or full leg cast (29705) |
$113.40 |
$378 |
0.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$167.40 |
$558 |
0.9× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$113.40 |
$378 |
0.4× |
| Remove foreign body from eye (65205) |
$176.70 |
$589 |
1.4× |
| Remove Nasal Foreign Body (30300) |
$135.30 |
$451 |
1.1× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$461.70 |
$1,539 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$461.70 |
$1,539 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$287.10 |
$957 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$461.70 |
$1,539 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$287.10 |
$957 |
0.7× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$461.70 |
$1,539 |
1.2× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$2,119.50 |
$7,065 |
3.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$2,331.60 |
$7,772 |
3.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$437.10 |
$1,457 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$480.90 |
$1,603 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$528.90 |
$1,763 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$581.70 |
$1,939 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$774.30 |
$2,581 |
2.0× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$287.10 |
$957 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$224.70 |
$749 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$261.60 |
$872 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$287.10 |
$957 |
0.4× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$2,041.80 |
$6,806 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$381.60 |
$1,272 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$287.10 |
$957 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$315.30 |
$1,051 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$420 |
$1,400 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$347.10 |
$1,157 |
0.9× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,554.60 |
$5,182 |
0.8× |
| Repair of nail bed (11760) |
$365.40 |
$1,218 |
0.5× |
| Repair tongue laceration (41252) |
$655.80 |
$2,186 |
2.9× |
| Repair tongue laceration (41250) |
$266.70 |
$889 |
0.6× |
| Replace g/c tube perc (49450) |
$460.50 |
$1,535 |
0.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$343.50 |
$1,145 |
0.8× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$378 |
$1,260 |
3.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$381 |
$1,270 |
0.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,337.10 |
$4,457 |
0.8× |
| Rplc Gtube No Revj Trc (43762) |
$228.60 |
$762 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$581.70 |
$1,939 |
3.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$287.10 |
$957 |
0.4× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$423.30 |
$1,411 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$423.30 |
$1,411 |
0.8× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,260.60 |
$4,202 |
0.8× |
| Sgmdsc flx dired sbmcsl njx any sbst (45335) |
$621 |
$2,070 |
0.7× |
| Sgmdsc flx rmvl tum polyp/oth les snare tq (45338) |
$832.80 |
$2,776 |
0.7× |
| Sigmoidoscopy w/fb removal (45332) |
$784.80 |
$2,616 |
0.7× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$764.10 |
$2,547 |
0.9× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$639.60 |
$2,132 |
1.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$306 |
$1,020 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$480.90 |
$1,603 |
2.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$703.50 |
$2,345 |
1.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$528.90 |
$1,763 |
2.7× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$774.30 |
$2,581 |
4.0× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$133.80 |
$446 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$165.60 |
$552 |
0.9× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$124.50 |
$415 |
0.6× |
| Skin sub graft face/nk/hf/g (15275) |
$1,059.60 |
$3,532 |
1.5× |
| Skin sub graft trnk/arm/leg (15271) |
$1,175.40 |
$3,918 |
1.7× |
| Skn sub grft f/n/hf/g child (15277) |
$1,514.10 |
$5,047 |
0.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$147.30 |
$491 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$138.60 |
$462 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$150.60 |
$502 |
0.4× |
| Spinal puncture lumbar diagnostic (62270) |
$419.10 |
$1,397 |
0.6× |
| Strapping ankle (29540) |
$99.30 |
$331 |
0.6× |
| Strapping elbow or wrist (29260) |
$99.30 |
$331 |
1.8× |
| Strapping hand/finger (29280) |
$99.30 |
$331 |
1.8× |
| Strapping knee (29530) |
$99.30 |
$331 |
0.8× |
| Strapping shoulder (29240) |
$99.30 |
$331 |
0.8× |
| Strapping thorax (29200) |
$93.90 |
$313 |
0.6× |
| Strapping toes (29550) |
$99.30 |
$331 |
1.8× |
Strapping Unna Boot (29580)
range across 4 matching MRF lines |
$285.60–$642.60 |
$952–$2,142 |
varies |
| Tangential biopsy skin single lesion (11102) |
$174.30 |
$581 |
0.4× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$1,527.30 |
$5,091 |
1.0× |
| Tenotomy, Percutaneous, Toe; Multiple Tendons (28011) |
$1,860.30 |
$6,201 |
1.2× |
| Thrombolytic Therapy Stroke (37195) |
$295.50 |
$985 |
0.9× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$655.80 |
$2,186 |
2.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$655.80 |
$2,186 |
0.4× |
| Treat humerus fracture (23600) |
$195.30 |
$651 |
0.8× |
| Treat Knuckle Dislocation (26700) |
$195.30 |
$651 |
0.8× |
| Treat toe dislocation (28630) |
$195.30 |
$651 |
0.8× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,300.80 |
$4,336 |
0.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$278.40 |
$928 |
1.2× |
| Trim skin lesions 2 to 4 (11056) |
$189.90 |
$633 |
1.0× |
| Trimming Nondystrophic Nails Any Number (11719) |
$59.40 |
$198 |
1.0× |
| Tx Gastro Intub W/Asp (43753) |
$110.70 |
$369 |
0.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$461.70 |
$1,539 |
0.6× |
| Tx superficial wound dehiscence w/packing (12021) |
$287.10 |
$957 |
0.7× |
| Unlisted Procedure Casting/Strapping (29799) |
$113.40 |
$378 |
0.7× |
| Wedge excision skin nail fold (11765) |
$418.50 |
$1,395 |
1.1× |