| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$788 |
$788 |
0.8× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$941 |
$941 |
0.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$727 |
$727 |
0.3× |
| Application cast elbow finger short arm (29075) |
$95 |
$95 |
0.3× |
| Application finger splint static (29130) |
$104 |
$104 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$146 |
$146 |
0.9× |
Application Long Leg Splint (29505) range across 4 matching MRF lines |
$192–$232 |
$192–$232 |
varies |
Application short arm splint forearm-hand static (29125) range across 4 matching MRF lines |
$80–$148 |
$80–$148 |
varies |
| Application short leg splint calf foot (29515) |
$183 |
$183 |
1.1× |
| Apply hand/wrist cast (29085) |
$103 |
$103 |
0.6× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 6 matching MRF lines |
$49–$247 |
$49–$247 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 7 matching MRF lines |
$58–$164 |
$58–$164 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$97 |
$97 |
0.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$203 |
$203 |
0.6× |
Avulsion nail plate partial/complete simple 1 (11730) range across 4 matching MRF lines |
$128–$202 |
$128–$202 |
varies |
| Biopsy external ear (69100) |
$109 |
$109 |
0.4× |
| Biopsy of palate, uvula (42100) |
$159 |
$159 |
0.1× |
| Biopsy Tongue Anterior Two-Thirds (41100) |
$222 |
$222 |
0.4× |
| Biopsy, vestibule of mouth (40808) |
$214 |
$214 |
0.4× |
Bladder Scan (51798) range across 6 matching MRF lines |
$19–$42 |
$19–$42 |
varies |
| Blepharotomy drainage abscess eyelid (67700) |
$439 |
$439 |
1.3× |
Blood Transfusion Service (36430) range across 4 matching MRF lines |
$744–$979 |
$744–$979 |
varies |
| Bx breast 1st lesion us imag (19083) |
$2,513 |
$2,513 |
1.5× |
| Carpal Tunnel Surgery (64721) |
$3,226 |
$3,226 |
1.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$310 |
$310 |
0.4× |
| Chemodenerv 1 extremity 1-4 (64642) |
$674 |
$674 |
0.9× |
| Chemodenerv Musc Migraine (64615) |
$390 |
$390 |
1.2× |
Chemodenerv musc neck dyston (64616) range across 4 matching MRF lines |
$350–$361 |
$350–$361 |
varies |
| Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612) |
$135 |
$135 |
0.4× |
| Chest tube placement (32551) |
$546 |
$546 |
0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,809 |
$1,809 |
1.1× |
| Clear outer ear canal (69200) |
$85 |
$85 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,591 |
$1,591 |
1.0× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$216 |
$216 |
0.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,281 |
$1,281 |
5.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,727 |
$1,727 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,517 |
$1,517 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,131 |
$1,131 |
4.4× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,442 |
$1,442 |
5.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,900 |
$1,900 |
1.1× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$556 |
$556 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$996 |
$996 |
3.9× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,152 |
$1,152 |
4.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,353 |
$1,353 |
5.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$308 |
$308 |
1.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,633 |
$1,633 |
1.0× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$132 |
$132 |
0.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$271 |
$271 |
0.1× |
Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$188–$202 |
$188–$202 |
varies |
| Create Eardrum Opening (69433) |
$238 |
$238 |
0.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$376 |
$376 |
2.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$63 |
$63 |
0.1× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$305 |
$305 |
0.4× |
| Debride nail 1-5 (11720) |
$36 |
$36 |
0.6× |
| Debride nail 6 or more (11721) |
$42 |
$42 |
0.7× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$358 |
$358 |
0.2× |
| Debridement Mastoidectomy Cavity Simple (69220) |
$110 |
$110 |
0.5× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 6 matching MRF lines |
$152–$224 |
$152–$224 |
varies |
| Declot vascular device (36593) |
$675 |
$675 |
2.0× |
Destroy cerv/thor facet jnt (64633) range across 4 matching MRF lines |
$2,982–$5,964 |
$2,982–$5,964 |
varies |
Destroy lumb/sac facet jnt (64635) range across 4 matching MRF lines |
$4,100–$6,150 |
$4,100–$6,150 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$147 |
$147 |
0.7× |
Destruction by neurolytic agent, intercostal nerve (64620) range across 4 matching MRF lines |
$231–$659 |
$231–$659 |
varies |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$2,492 |
$2,492 |
1.2× |
| Destruction premalignant lesion 1st (17000) |
$76 |
$76 |
0.4× |
Draw Blood Off Venous Device (36591) range across 8 matching MRF lines |
$45–$203 |
$45–$203 |
varies |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$81 |
$81 |
0.4× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640) range across 7 matching MRF lines |
$1,136–$1,711 |
$1,136–$1,711 |
varies |
Endometrial Biopsy (58100) range across 4 matching MRF lines |
$92–$371 |
$92–$371 |
varies |
| Endoven abltj incmptnt vein xtr rf 1st vein (36475) |
$6,451 |
$6,451 |
2.0× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$260 |
$260 |
0.4× |
Exc Face-Mm B9+Marg 0.5 Cm/< (11440) range across 4 matching MRF lines |
$175–$406 |
$175–$406 |
varies |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$195 |
$195 |
0.3× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$211 |
$211 |
0.3× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$189 |
$189 |
0.1× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$298 |
$298 |
0.2× |
| Excis Mouth Mucosa/Sub,No Repair (40810) |
$276 |
$276 |
0.1× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$314 |
$314 |
0.2× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$309 |
$309 |
0.2× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$437 |
$437 |
0.1× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$272 |
$272 |
0.4× |
| Excision of single external papilla or tag, anus (46220) |
$311 |
$311 |
0.3× |
| Fetal non-stress test (59025) |
$282 |
$282 |
1.3× |
| Fna bx w/us gdn 1st les (10005) |
$1,632 |
$1,632 |
2.2× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$375 |
$375 |
10.3× |
| I&d abscess simple (10060) |
$403 |
$403 |
1.9× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,844 |
$1,844 |
0.6× |
| I&d perianal abscess superficial (46050) |
$371 |
$371 |
0.4× |
| Implant neuroelectrodes (63650) |
$4,487 |
$4,487 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$436 |
$436 |
1.0× |
| Incision of eardrum (69420) |
$231 |
$231 |
0.9× |
| Incision of lingual frenum (frenotomy) (41010) |
$289 |
$289 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$195 |
$195 |
0.3× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) range across 4 matching MRF lines |
$1,571–$3,050 |
$1,571–$3,050 |
varies |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$2,014 |
$2,014 |
2.2× |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 4 matching MRF lines |
$49–$178 |
$49–$178 |
varies |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,284 |
$1,284 |
1.4× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$569 |
$569 |
1.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,210 |
$2,210 |
2.4× |
| Injection anesthetic agent suprascapular nerve (64418) |
$917 |
$917 |
1.3× |
| Injection single tendon origin/insertion (20551) |
$210 |
$210 |
0.7× |
Injection single/mlt trigger point 1/2 muscles (20552) range across 6 matching MRF lines |
$45–$137 |
$45–$137 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$155 |
$155 |
0.5× |
| Injection therapeutic carpal tunnel (20526) |
$327 |
$327 |
1.0× |
Injection, anesthetic agent; other peripheral nerve or branch (64450) range across 6 matching MRF lines |
$78–$596 |
$78–$596 |
varies |
Insert Temp Bladder Cath (51702) range across 4 matching MRF lines |
$93–$185 |
$93–$185 |
varies |
Insert,Non-Indwelling Bladder Catheter (51701) range across 4 matching MRF lines |
$93–$204 |
$93–$204 |
varies |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$753 |
$753 |
0.5× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,597 |
$1,597 |
2.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,854 |
$1,854 |
1.1× |
| Intubation endotracheal emergency procedure (31500) |
$505 |
$505 |
2.1× |
| Laryngoscopy flexible diagnostic (31575) |
$155 |
$155 |
0.7× |
| Ligation or biopsy temporal artery (37609) |
$310 |
$310 |
0.2× |
| N Block Inj Celiac Pelus (64530) |
$2,647 |
$2,647 |
2.9× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$1,239 |
$1,239 |
1.7× |
| N block inj intercost sng (64420) |
$1,150 |
$1,150 |
1.6× |
| N Block Inj Plantar Digit (64455) |
$163 |
$163 |
0.5× |
| N Block Lumbar/Thoracic (64520) |
$2,100 |
$2,100 |
2.3× |
| Nasal Endoscopy Dx (31231) |
$241 |
$241 |
1.2× |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$1,360 |
$1,360 |
0.7× |
| Needle Biopsy Lymph Nodes (38505) |
$3,163 |
$3,163 |
1.8× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$990 |
$990 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$680 |
$680 |
2.1× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 4 matching MRF lines |
$1,787–$3,470 |
$1,787–$3,470 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,066 |
$1,066 |
1.5× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$968 |
$968 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,066 |
$1,066 |
1.5× |
| Occipital Nerve Block (64405) |
$692 |
$692 |
2.2× |
Open Tx Distal Fibular Fracture Lat Malleolus (27792) likely a partial charge, not the full procedure |
$495 |
$495 |
0.1× |
Partial removal of tongue (41120) likely a partial charge, not the full procedure |
$1,042 |
$1,042 |
0.2× |
| Placement of needle for intraosseous infusion (36680) |
$209 |
$209 |
0.5× |
| Punch biopsy skin single lesion (11104) |
$157 |
$157 |
0.4× |
Removal impacted cerumen irrigation/lvg unilat (69209) range across 4 matching MRF lines |
$31–$60 |
$31–$60 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 4 matching MRF lines |
$42–$119 |
$42–$119 |
varies |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$289 |
$289 |
1.4× |
| Remove foreign body from eye (65235) |
$2,755 |
$2,755 |
1.1× |
| Remove Nasal Foreign Body (30300) |
$460 |
$460 |
3.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,024 |
$1,024 |
1.3× |
Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) range across 4 matching MRF lines |
$450–$1,233 |
$450–$1,233 |
varies |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,118 |
$1,118 |
2.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$953 |
$953 |
2.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$914 |
$914 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$759 |
$759 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$740 |
$740 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$796 |
$796 |
1.9× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$539 |
$539 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$728 |
$728 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$800 |
$800 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$871 |
$871 |
2.1× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$562 |
$562 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$710 |
$710 |
1.7× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,003 |
$1,003 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$757 |
$757 |
1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$152 |
$152 |
0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$520 |
$520 |
0.3× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,184 |
$2,184 |
1.3× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,406 |
$1,406 |
2.2× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$245 |
$245 |
0.1× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011) range across 4 matching MRF lines |
$116–$195 |
$116–$195 |
varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$202 |
$202 |
1.0× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$260 |
$260 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$159 |
$159 |
0.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$258 |
$258 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$207 |
$207 |
1.0× |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 4 matching MRF lines |
$164–$329 |
$164–$329 |
varies |
| Spinal puncture lumbar diagnostic (62270) |
$936 |
$936 |
1.3× |
| Tangential biopsy skin single lesion (11102) |
$247 |
$247 |
0.6× |
Thermal dstrj intraosseous bvn 1st 2 lmbr/sac (64628) unusually low: confirm this is the full procedure |
$4,223 |
$4,223 |
0.3× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$705 |
$705 |
0.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,773 |
$1,773 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,276 |
$1,276 |
5.0× |
| Trim skin lesion (11055) |
$98 |
$98 |
0.5× |
| Trim skin lesions 2 to 4 (11056) |
$107 |
$107 |
0.5× |
| Trimming Nondystrophic Nails Any Number (11719) |
$15 |
$15 |
0.2× |
| Tympanic Memb Rpr W/WO Prepj Perfor Patch (69610) |
$345 |
$345 |
0.2× |
| Unlisted procedure nervous system (64999) |
$102 |
$102 |
0.3× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,393 |
$1,393 |
0.6× |