| Abd paracentesis w/imaging (49083) |
$1,853.28 |
$2,574 |
1.9× |
| Application cast elbow finger short arm (29075) |
$286.56 |
$398 |
1.0× |
| Application finger splint static (29130) |
$307.44 |
$427 |
2.2× |
| Application long arm splint shoulder hand (29105) |
$308.88 |
$429 |
1.8× |
| Application Long Leg Splint (29505) |
$307.44 |
$427 |
1.8× |
| Application Short Arm Splint Dynamic (29126) |
$307.44 |
$427 |
2.2× |
| Application short arm splint forearm-hand static (29125) |
$306 |
$425 |
2.1× |
| Application short leg splint calf foot (29515) |
$373.68 |
$519 |
2.1× |
| Apply long arm cast (29065) |
$286.56 |
$398 |
1.0× |
| Apply Multlay Comprs Lwr Leg (29581) |
$299.52 |
$416 |
1.7× |
| Apply Short Leg Cast (29405) |
$286.56 |
$398 |
1.0× |
| Arterial puncture (36600) |
$138.96 |
$193 |
1.0× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 3 matching MRF lines |
$662.40–$1,324.80 |
$920–$1,840 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$662.40–$1,324.80 |
$920–$1,840 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$766.80 |
$1,065 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$318.96 |
$443 |
1.0× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 2 matching MRF lines |
$223.20–$310 |
$310 |
varies |
| Bladder Irrigation (51700) |
$262.80 |
$365 |
1.0× |
| Bladder Scan (51798) |
$338.40 |
$470 |
5.4× |
| Blood Transfusion Service (36430) |
$488.16 |
$678 |
1.0× |
| Bx breast 1st lesion mr imag (19085) |
$3,052.80 |
$4,240 |
1.7× |
| Bx breast 1st lesion us imag (19083) |
$3,197.52 |
$4,441 |
1.8× |
| Canthotomy Separate Procedure (67715) |
$3,319.20 |
$4,610 |
1.3× |
| Catheter aspiration nasotracheal spx (31720) |
$219.60 |
$305 |
0.9× |
| Change of Windpipe Airway (31502) |
$467.28 |
$649 |
1.8× |
Chest tube placement (32551)
range across 2 matching MRF lines |
$1,458.72–$2,098.80 |
$2,026–$2,915 |
varies |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,728.72 |
$2,401 |
1.0× |
| Clear outer ear canal (69200) |
$168.48 |
$234 |
1.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,458.80 |
$3,415 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$544.32 |
$756 |
2.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$563.76 |
$783 |
2.1× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$438.48 |
$609 |
1.7× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$3,307.68 |
$4,594 |
1.9× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,496.16 |
$2,078 |
0.9× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$438.48 |
$609 |
1.7× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,076.56 |
$4,273 |
1.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$429.84 |
$597 |
1.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$480.24 |
$667 |
1.8× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$523.44 |
$727 |
2.0× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$636.48 |
$884 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$429.84 |
$597 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$3,405.60 |
$4,730 |
2.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$429.84 |
$597 |
1.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$417.60 |
$580 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$438.48 |
$609 |
1.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$440.64 |
$612 |
1.7× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,186.72 |
$4,426 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$480.24 |
$667 |
1.8× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,728.72 |
$2,401 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,728.72 |
$2,401 |
1.0× |
| Collect Blood From Catheter Venous Nos (36592) |
$159.84 |
$222 |
1.1× |
| Collection of venous blood by venipuncture (36415) |
$24.48 |
$34 |
2.6× |
| Colporrhaphy (57200) |
$5,794.56 |
$8,048 |
1.7× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$236.88 |
$329 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$292.32 |
$406 |
2.1× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$300.24 |
$417 |
1.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,954.96 |
$5,493 |
1.8× |
| Declot vascular device (36593) |
$610.56 |
$848 |
1.7× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$226.08 |
$314 |
1.1× |
| Dilate Esophagus 1/Mult Pass (43450) |
$2,110.32 |
$2,931 |
2.2× |
| Drainage Mouth Roof Lesion (42000) |
$658.80 |
$915 |
2.6× |
| Drainage of gum lesion (41800) |
$367.20 |
$510 |
2.6× |
| Drainage of hematoma/fluid (10140) |
$3,276 |
$4,550 |
1.9× |
| Drainage of scrotum (54700) |
$4,234.32 |
$5,881 |
1.9× |
| Draw Blood Off Venous Device (36591) |
$159.84 |
$222 |
1.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$780.48 |
$1,084 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$431.28 |
$599 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$447.84 |
$622 |
2.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,895.12 |
$4,021 |
1.5× |
| Epidural Blood Patch (62273) |
$1,348.56 |
$1,873 |
1.8× |
| Evacuation of subungual hematoma (11740) |
$231.12 |
$321 |
1.6× |
| Fluoro exam of g/colon tube (49465) |
$488.88 |
$679 |
1.9× |
| Fna bx w/us gdn 1st les (10005) |
$2,021.04 |
$2,807 |
2.7× |
| I&d abscess simple (10060) |
$402.48 |
$559 |
1.9× |
| I&d perianal abscess superficial (46050) |
$2,162.88 |
$3,004 |
2.2× |
| I&d pilonidal cyst simple (10080) |
$759.60 |
$1,055 |
1.0× |
| Incision & drainage abscess complicated/multiple (10061) |
$800.64 |
$1,112 |
1.8× |
| Incision & removal foreign body subq tiss simple (10120) |
$692.64 |
$962 |
1.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$443.52 |
$616 |
2.0× |
| Incision and drainage of vulva or perineal abscess (56405) |
$421.92 |
$586 |
1.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$223.20 |
$310 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,748.16 |
$2,428 |
1.8× |
| Injection for identification of sentinel node (38792) |
$970.56 |
$1,348 |
2.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,748.16 |
$2,428 |
1.8× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,348.56 |
$1,873 |
1.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,550.88 |
$2,154 |
2.1× |
| Insert Bladder Cath Complex (51703) |
$298.80 |
$415 |
2.2× |
| Insert non-tunnel cv cath (36556) |
$3,399.12 |
$4,721 |
1.0× |
| Insert Temp Bladder Cath (51702) |
$270 |
$375 |
1.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$166.32 |
$231 |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,607.20 |
$5,010 |
2.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,534.32 |
$2,131 |
0.9× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$6,410.88 |
$8,904 |
1.9× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$3,502.80 |
$4,865 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$668.88 |
$929 |
2.6× |
| Laryngoscopy flexible diagnostic (31575) |
$904.32 |
$1,256 |
4.2× |
| Myelography Lumbar Injection (62304) |
$1,843.92 |
$2,561 |
2.2× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$431.28 |
$599 |
0.9× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$69.84 |
$97 |
2.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,077.84 |
$1,497 |
2.6× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,748.16 |
$2,428 |
1.8× |
| Perq dev breast 1st mr guide (19287) |
$1,348.56 |
$1,873 |
1.8× |
| Perq dev breast 1st us imag (19285) |
$882.72 |
$1,226 |
1.2× |
| Perq device breast 1st imag (19281) |
$1,749.60 |
$2,430 |
1.0× |
| Placement of needle for intraosseous infusion (36680) |
$599.04 |
$832 |
1.3× |
| Pseudoaneurysm Injection Trt (36002) |
$1,393.20 |
$1,935 |
2.1× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$431.28 |
$599 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$2,130.48 |
$2,959 |
2.8× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,749.60 |
$2,430 |
1.0× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$126.72 |
$176 |
2.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$193.68 |
$269 |
3.1× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$1,133.28–$1,574 |
$1,574 |
varies |
| Remove foreign body from eye (65205) |
$345.60 |
$480 |
2.4× |
| Remove Nasal Foreign Body (30300) |
$168.48 |
$234 |
1.2× |
| Repair Blood Vessel Direct Hand Finger (35207) |
$7,236 |
$10,050 |
2.1× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$3,925.44 |
$5,452 |
9.0× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$431.28 |
$599 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$464.40 |
$645 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$573.12 |
$796 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$689.04 |
$957 |
1.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$797.04 |
$1,107 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$962.64 |
$1,337 |
2.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$799.92 |
$1,111 |
1.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$742.32 |
$1,031 |
1.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$862.56 |
$1,198 |
2.0× |
| Repair of nail bed (11760) |
$660.96 |
$918 |
0.8× |
| Repair tongue laceration (41250) |
$631.44 |
$877 |
1.3× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,786.32 |
$2,481 |
1.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$451.44 |
$627 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$298.80 |
$415 |
2.1× |
| Rplc Gtube No Revj Trc (43762) |
$603.36 |
$838 |
2.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$487.44 |
$677 |
2.3× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,105.92 |
$1,536 |
1.9× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,236.96 |
$1,718 |
1.8× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$581.76 |
$808 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$298.80 |
$415 |
1.4× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$327.60 |
$455 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$362.88 |
$504 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$275.76 |
$383 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$444.96 |
$618 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$333.36 |
$463 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$303.84 |
$422 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$375.12 |
$521 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$375.12 |
$521 |
0.9× |
| Spinal puncture lumbar diagnostic (62270) |
$1,395.36 |
$1,938 |
1.8× |
| Thrombolytic Therapy Stroke (37195) |
$905.04 |
$1,257 |
2.6× |
| Thrombolytic Venous Therapy (37212) |
$3,399.12 |
$4,721 |
1.0× |
| Transcerv Fallopian Tube Cath W/WO Hystosalping (58345) |
$5,577.84 |
$7,747 |
1.6× |
| Treat Humerus Fracture (24505) |
$1,728.72 |
$2,401 |
1.0× |
| Treat Knuckle Dislocation (26700) |
$429.84 |
$597 |
1.6× |
| Treat toe dislocation (28630) |
$486.72 |
$676 |
1.8× |
| Treatment closed elbow dislocation w/o anes (24600) |
$438.48 |
$609 |
1.7× |
| Tx Gastro Intub W/Asp (43753) |
$562.32 |
$781 |
2.4× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,118.16 |
$1,553 |
1.4× |
| Vaginal delivery only (59409) |
$4,092.48 |
$5,684 |
1.2× |
| Wedge excision skin nail fold (11765) |
$431.28 |
$599 |
1.0× |