| Abd paracentesis w/imaging (49083) |
$1,721.94 |
$2,609 |
2.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,083.06 |
$1,641 |
1.2× |
| Amputation metatarsal with toe single (28810) |
$3,747.48 |
$5,678 |
1.2× |
| Anoscopy diagnostic (46600) |
$160.38 |
$243 |
1.2× |
| Application cast elbow finger short arm (29075) |
$277.20 |
$420 |
1.0× |
| Application Finger Splint Dynamic (29131) |
$246.18 |
$373 |
4.3× |
| Application finger splint static (29130) |
$337.26 |
$511 |
2.6× |
| Application long arm splint shoulder hand (29105) |
$388.08 |
$588 |
2.5× |
| Application Long Leg Splint (29505) |
$384.78 |
$583 |
2.4× |
| Application of long leg cast (29345) |
$758.34 |
$1,149 |
2.8× |
Application of rigid total contact leg cast (29445)
range across 2 matching MRF lines |
$613.14–$919.38 |
$929–$1,393 |
varies |
| Application Short Arm Splint Dynamic (29126) |
$246.18 |
$373 |
1.9× |
| Application short arm splint forearm-hand static (29125) |
$308.88 |
$468 |
2.4× |
| Application short leg splint calf foot (29515) |
$384.78 |
$583 |
2.4× |
| Apply long arm cast (29065) |
$306.90 |
$465 |
1.1× |
Apply Multlay Comprs Lwr Leg (29581)
range across 3 matching MRF lines |
$316.80–$474.54 |
$480–$719 |
varies |
| Apply Short Leg Cast (29405) |
$384.78 |
$583 |
1.4× |
| Arterial puncture (36600) |
$129.36 |
$196 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$697.62 |
$1,057 |
2.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$880.44 |
$1,334 |
1.3× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 5 matching MRF lines |
$708.18–$1,416.36 |
$1,073–$2,146 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$1,087.02 |
$1,647 |
3.6× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$499.62 |
$757 |
1.7× |
| Aspirate pleura w/ imaging (32555) |
$1,364.88 |
$2,068 |
2.2× |
| Aspirate Pleura W/O Imaging (32554) |
$1,087.02 |
$1,647 |
1.8× |
Avulsion nail plate partial/complete simple 1 (11730)
range across 3 matching MRF lines |
$229.68–$404 |
$348–$404 |
varies |
| Biopsy Abdominal Mass (49180) |
$1,627.56 |
$2,466 |
1.0× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$1,871.10 |
$2,835 |
1.2× |
Biopsy muscle percutaneous needle (20206)
range across 2 matching MRF lines |
$518.10–$1,871.10 |
$785–$2,835 |
varies |
| Biopsy of liver, needle; percutaneous (47000) |
$1,627.56 |
$2,466 |
1.0× |
| Bladder Irrigation (51700) |
$474.54 |
$719 |
2.0× |
| Bladder Scan (51798) |
$178.86 |
$271 |
3.1× |
| Blood Transfusion Service (36430) |
$883.74 |
$1,339 |
2.1× |
| Bone Marrow Biopsy (38221) |
$1,871.10 |
$2,835 |
1.2× |
| Bone Marrow; Aspiration Only (38220) |
$1,871.10 |
$2,835 |
1.2× |
| Bx breast 1st lesion mr imag (19085) |
$1,871.10 |
$2,835 |
1.2× |
| Bx breast 1st lesion us imag (19083) |
$3,779.16 |
$5,726 |
2.4× |
| Catheter aspiration nasotracheal spx (31720) |
$234.96 |
$356 |
1.1× |
| Change Cystostomy Tube Complicated (51710) |
$1,779.36 |
$2,696 |
2.6× |
| Change Cystostomy Tube Simple (51705) |
$543.84 |
$824 |
2.2× |
| Change of Windpipe Airway (31502) |
$444.84 |
$674 |
1.9× |
| Chemical Cautery Tissue (17250) |
$405.24 |
$614 |
2.1× |
| Chest tube placement (32551) |
$1,700.82 |
$2,577 |
1.1× |
| Clear outer ear canal (69200) |
$197.34 |
$299 |
1.5× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,022.34 |
$1,549 |
4.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$543.84 |
$824 |
2.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,607.10 |
$2,435 |
1.0× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$549.78 |
$833 |
2.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$3,837.90 |
$5,815 |
2.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$662.64 |
$1,004 |
2.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$3,712.50 |
$5,625 |
2.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,607.10 |
$2,435 |
1.0× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$613.80 |
$930 |
2.6× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$3,711.84 |
$5,624 |
2.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$512.16 |
$776 |
2.1× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$583.44 |
$884 |
2.5× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,121.34 |
$1,699 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,848.66 |
$2,801 |
1.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$819.72 |
$1,242 |
3.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,848.66 |
$2,801 |
1.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$510.18 |
$773 |
2.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$503.58 |
$763 |
2.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$487.74 |
$739 |
2.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$701.58 |
$1,063 |
2.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$638.88 |
$968 |
2.7× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$551.10 |
$835 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,607.10 |
$2,435 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$568.26 |
$861 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$568.26 |
$861 |
2.4× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$629.64 |
$954 |
2.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,848.66 |
$2,801 |
1.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$662.64 |
$1,004 |
2.8× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$614.46 |
$931 |
2.6× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$780.78 |
$1,183 |
3.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$4,391.64 |
$6,654 |
2.8× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$613.14 |
$929 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$450.12 |
$682 |
1.9× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$2,799.06 |
$4,241 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$701.58 |
$1,063 |
2.9× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,848.66 |
$2,801 |
1.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$780.78 |
$1,183 |
3.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,575.88 |
$5,418 |
2.3× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$593.34 |
$899 |
2.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$483.78 |
$733 |
2.0× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$3,754.08 |
$5,688 |
2.4× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$4,019.40 |
$6,090 |
2.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$2,983.20 |
$4,520 |
12.5× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,848.66 |
$2,801 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$129.36 |
$196 |
1.0× |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$16.50–$33 |
$25–$50 |
varies |
| Colporrhaphy (57200) |
$7,072.56 |
$10,716 |
2.2× |
| Colsc flx w/removal lesion by hot bx forceps (45384) |
$1,896.18 |
$2,873 |
1.6× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$434.28 |
$658 |
3.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$357.72 |
$542 |
2.8× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$4,041.18 |
$6,123 |
2.5× |
| Correction hammertoe (28285) |
$3,747.48 |
$5,678 |
1.2× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$411.84 |
$624 |
3.2× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$3,641.22 |
$5,517 |
1.8× |
| Cystourethroscopy (52000) |
$1,171.50 |
$1,775 |
1.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$988.02 |
$1,497 |
1.4× |
| Debride nail 1-5 (11720) |
$89.10 |
$135 |
1.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,175.36 |
$3,296 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$533.28 |
$808 |
1.4× |
| Declot vascular device (36593) |
$583.44 |
$884 |
1.8× |
| Destroy cerv/thor facet jnt (64633) |
$2,960.10 |
$4,485 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$3,202.98 |
$4,853 |
1.7× |
Destruct B9 Lesion 1-14 (17110)
range across 2 matching MRF lines |
$196.02–$229.68 |
$297–$348 |
varies |
| Drain/inj small joint/bursa w/us (20604) |
$850.74 |
$1,289 |
2.9× |
| Drainage external auditory canal abscess (69020) |
$1,325.28 |
$2,008 |
1.9× |
| Drainage Finger Abscess Complicated (26011) |
$3,873.54 |
$5,869 |
2.4× |
| Drainage Mouth Roof Lesion (42000) |
$460.68 |
$698 |
2.0× |
| Drainage of finger abscess simple (26010) |
$395.34 |
$599 |
2.0× |
| Drainage of gum lesion (41800) |
$384.78 |
$583 |
3.0× |
Drainage of hematoma/fluid (10140)
range across 4 matching MRF lines |
$1,871.10–$2,046 |
$2,835–$3,100 |
varies |
| Drainage of scrotal wall abscess (55100) |
$1,871.10 |
$2,835 |
1.2× |
| Drainage of skene's gland abscess or cyst (53060) |
$2,366.10 |
$3,585 |
1.2× |
| Draw Blood Off Venous Device (36591) |
$129.36 |
$196 |
1.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$524.04 |
$794 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$434.28 |
$658 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$374.88 |
$568 |
1.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,125.20 |
$3,220 |
2.5× |
| Dx Bone Marrow Bx & Aspir (38222) |
$2,874.30 |
$4,355 |
1.0× |
| Dx gastr intub w/asp spec (43754) |
$642.18 |
$973 |
3.1× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,364.88 |
$2,068 |
2.0× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$1,665.18 |
$2,523 |
0.8× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,220.24 |
$3,364 |
1.1× |
| Epidural Blood Patch (62273) |
$1,087.02 |
$1,647 |
1.6× |
| Evacuation of subungual hematoma (11740) |
$149.16 |
$226 |
1.2× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,475.76 |
$2,236 |
2.1× |
| Exc Breast Les Preop Plmt Rad Marker Open 1 Les (19125) |
$4,422.66 |
$6,701 |
1.2× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$1,871.10 |
$2,835 |
1.2× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$812.46 |
$1,231 |
1.2× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$1,871.10 |
$2,835 |
1.2× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,305.94 |
$5,009 |
1.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$3,509.22 |
$5,317 |
2.2× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$1,871.10 |
$2,835 |
1.2× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$1,871.10 |
$2,835 |
1.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$1,871.10 |
$2,835 |
2.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$1,432.86 |
$2,171 |
3.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$812.46 |
$1,231 |
1.2× |
| Excision tumor soft tis foot/toe subq 1.5 cm/> (28039) |
$3,305.94 |
$5,009 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,871.10 |
$2,835 |
1.2× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$1,087.02 |
$1,647 |
1.6× |
| Fine needle aspiration without imaging guidance (10021) |
$461.34 |
$699 |
1.2× |
| Fluoro exam of g/colon tube (49465) |
$499.62 |
$757 |
2.2× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$1,087.02 |
$1,647 |
1.6× |
| Fna bx w/us gdn 1st les (10005) |
$1,250.04 |
$1,894 |
1.8× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$640.20 |
$970 |
17.5× |
| Guide Cathet Fluid Drainage (10030) |
$1,186.68 |
$1,798 |
1.7× |
| Hem vw ds vw factor & collagen IV binding elisa (0280U) |
$231.66 |
$351 |
13.4× |
| Hem vw factor&clgn iii bndg (0279U) |
$231.66 |
$351 |
20.1× |
| Hem Vwd Propeptide Ag Lvl (0281U) |
$34.32 |
$52 |
2.0× |
| I&d abscess peritonsillar (42700) |
$583.44 |
$884 |
2.5× |
| I&d abscess simple (10060) |
$306.90 |
$465 |
1.6× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$5,360.52 |
$8,122 |
1.9× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$8,646.66 |
$13,101 |
3.1× |
| I&d perianal abscess superficial (46050) |
$1,087.02 |
$1,647 |
1.2× |
| I&d pilonidal cyst simple (10080) |
$706.86 |
$1,071 |
1.0× |
| Image Cath Fluid Peri/Retro (49406) |
$1,627.56 |
$2,466 |
1.0× |
| Incise external hemorrhoid (46083) |
$434.28 |
$658 |
1.8× |
| Incision & drainage abscess complicated/multiple (10061) |
$770.22 |
$1,167 |
2.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$3,562.68 |
$5,398 |
2.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$461.34 |
$699 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$463.98 |
$703 |
2.4× |
| Incision and drainage of vulva or perineal abscess (56405) |
$543.84 |
$824 |
1.8× |
| Incision bone cortex foot (28005) |
$3,747.48 |
$5,678 |
1.2× |
| Incision of rectal abscess (46040) |
$2,471.04 |
$3,744 |
2.1× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,871.10 |
$2,835 |
1.2× |
| Incisional biopsy skin single lesion (11106) |
$706.86 |
$1,071 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$229.68 |
$348 |
1.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,273.70 |
$3,445 |
2.6× |
| Inj W/Fluor Eval Cv Device (36598) |
$583.44 |
$884 |
2.8× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,028.28 |
$1,558 |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,413.72 |
$2,142 |
1.6× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$341.22 |
$517 |
1.1× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,028.28 |
$1,558 |
1.2× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$2,269.08 |
$3,438 |
2.6× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,028.28 |
$1,558 |
1.2× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$1,028.28 |
$1,558 |
1.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,482.36 |
$2,246 |
2.2× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$2,263.80 |
$3,430 |
2.6× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,696.20 |
$2,570 |
2.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$355.08 |
$538 |
1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$949.74 |
$1,439 |
1.1× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$739.86 |
$1,121 |
1.1× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$799.92 |
$1,212 |
1.2× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$229.68 |
$348 |
1.2× |
| Insert cath pleura w/ image (32557) |
$2,046 |
$3,100 |
1.3× |
| Insert cath pleura w/o image (32556) |
$1,087.02 |
$1,647 |
0.6× |
| Insert Drug Implant Device (11981) |
$184.80 |
$280 |
1.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,191.20 |
$3,320 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$3,161.40 |
$4,790 |
1.0× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$1,794.54 |
$2,719 |
1.2× |
| Insert Temp Bladder Cath (51702) |
$215.82 |
$327 |
1.7× |
| Insert tunneled cv cath (36561) |
$5,794.80 |
$8,780 |
1.9× |
| Insert tunneled cv cath (36563) |
$3,954.06 |
$5,991 |
0.7× |
| Insert tunneled cvc w/o subq port/pmp age <5 yr (36557) |
$4,125 |
$6,250 |
0.8× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$215.82 |
$327 |
1.7× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,856.38 |
$5,843 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,082.86 |
$4,671 |
2.0× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$3,635.28 |
$5,508 |
1.2× |
| Insj Picc Rs&I <5 Yr (36572) |
$2,620.86 |
$3,971 |
4.3× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$6,688.44 |
$10,134 |
2.2× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$6,232.38 |
$9,443 |
2.0× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,560.24 |
$2,364 |
1.0× |
| Insj tun vad req 2 cath 2 sits w/o subq port/pmp (36565) |
$5,840.34 |
$8,849 |
1.9× |
| Insj Tun Vad Req 2 Cath 2 Sits W/Subq Port (36566) |
$8,823.54 |
$13,369 |
1.6× |
| Insj Tunneled Ctr Vad W/Subq Port Under 5 Yr (36560) |
$4,350.06 |
$6,591 |
1.4× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,888.62 |
$7,407 |
1.6× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$865.26 |
$1,311 |
2.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$898.92 |
$1,362 |
2.3× |
| Intubation endotracheal emergency procedure (31500) |
$1,094.94 |
$1,659 |
4.8× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$373.56 |
$566 |
10.2× |
| Laparoscopy, surgical; with biopsy (single or multiple) (49321) |
$6,738.60 |
$10,210 |
1.1× |
| Laryngoscopy diagnostic (31505) |
$344.52 |
$522 |
1.8× |
| Laryngoscopy flexible diagnostic (31575) |
$224.40 |
$340 |
1.2× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$766.92 |
$1,162 |
2.0× |
| Ligation or biopsy temporal artery (37609) |
$1,871.10 |
$2,835 |
1.2× |
| Lyse chest fibrin init day (32561) |
$714.12 |
$1,082 |
1.2× |
| Lyse Chest Fibrin Subq Day (32562) |
$714.12 |
$1,082 |
1.2× |
| Manj W/Anes Shoulder Joint W/Fixation Apparatus (23700) |
$2,259.18 |
$3,423 |
1.4× |
| Mastectomy partial (19301) |
$4,422.66 |
$6,701 |
1.2× |
| Myelography Lumbar Injection (62305) |
$3,280.20 |
$4,970 |
4.3× |
| Myelography Lumbar Injection (62304) |
$2,100.12 |
$3,182 |
2.8× |
| Myelography via lumbar injection rs&i cervical (62302) |
$2,624.82 |
$3,977 |
3.4× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,679.70 |
$2,545 |
2.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$799.92 |
$1,212 |
1.2× |
| N block inj intercost sng (64420) |
$799.92 |
$1,212 |
1.2× |
| N Block Inj Plantar Digit (64455) |
$524.04 |
$794 |
1.8× |
| N Block Inj Pudendal (64430) |
$1,235.52 |
$1,872 |
1.4× |
| N Block Lumbar/Thoracic (64520) |
$1,196.58 |
$1,813 |
1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$460.68 |
$698 |
1.1× |
| Nasal/Sinus Ndsc Surg W/Control Nasal Hemrrg (31238) |
$2,168.76 |
$3,286 |
1.3× |
| Needle Biopsy Lymph Nodes (38505) |
$2,046 |
$3,100 |
1.3× |
| Neuro muscular dystrophy dmd seq alys bld/saliva (0218U) |
$2,632.08 |
$3,988 |
1.2× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$85.80 |
$130 |
0.2× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,314.72 |
$1,992 |
1.5× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
$701.58–$742.50 |
$1,063–$1,125 |
varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$3,544.20 |
$5,370 |
1.0× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$2,281.62 |
$3,457 |
2.7× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,878.36 |
$2,846 |
2.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,186.68 |
$1,798 |
1.7× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/Img Gdn (62327) |
$1,482.36 |
$2,246 |
1.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,704.78 |
$2,583 |
2.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,186.68 |
$1,798 |
1.4× |
| Njx Sclrsnt 1 Incmptnt Vein (36470) |
$461.34 |
$699 |
1.2× |
| Njx Sclrsnt Mlt Incmptnt Vn (36471) |
$326.04 |
$494 |
0.8× |
| Obstructive material removal from gi tube (49460) |
$1,083.06 |
$1,641 |
1.2× |
| Occipital Nerve Block (64405) |
$919.38 |
$1,393 |
3.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$3,032.04 |
$4,594 |
1.9× |
| Perq dev breast 1st mr guide (19287) |
$314.16 |
$476 |
0.5× |
| Perq dev breast 1st us imag (19285) |
$1,595.22 |
$2,417 |
2.3× |
| Perq device breast 1st imag (19281) |
$1,871.10 |
$2,835 |
1.2× |
| Placement of needle for intraosseous infusion (36680) |
$533.94 |
$809 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$401.28 |
$608 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$487.74 |
$739 |
1.2× |
| Puncture Aspiration Cyst Breast (19000) |
$812.46 |
$1,231 |
1.2× |
| Pvb thoracic cont infusion (64463) |
$1,430.22 |
$2,167 |
2.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,321.98 |
$2,003 |
1.9× |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$3,262.38 |
$4,943 |
1.7× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$831.60 |
$1,260 |
1.2× |
| Removal Embedded Foreign Body Eyelid (67938) |
$486.42 |
$737 |
1.6× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$830.28 |
$1,258 |
1.2× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$3,762 |
$5,700 |
2.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$122.10 |
$185 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$99.66 |
$151 |
1.7× |
| Removal Implant Superficial Separate Procedure (20670) |
$3,065.04 |
$4,644 |
1.9× |
| Removal implantable contraceptive capsules (11976) |
$1,223.64 |
$1,854 |
1.8× |
| Removal of foreign body from pharynx (42809) |
$460.68 |
$698 |
1.1× |
Removal of nail bed (11750)
range across 2 matching MRF lines |
$280.50–$1,176.12 |
$425–$1,782 |
varies |
| Removal or bivalving full arm or full leg cast (29705) |
$434.28 |
$658 |
1.6× |
Removal skn tags mlt fibrq tags any area upw/15 (11200)
range across 2 matching MRF lines |
$229.68–$246.18 |
$348–$373 |
varies |
| Removal sweat gland lesion (11450) |
$3,305.94 |
$5,009 |
1.2× |
| Remove drug implant device (11982) |
$744.48 |
$1,128 |
1.7× |
| Remove foreign body from eye (65265) |
$5,758.50 |
$8,725 |
2.6× |
| Remove foreign body from eye (65205) |
$352.44 |
$534 |
2.7× |
| Remove Intrauterine Device (58301) |
$351.12 |
$532 |
1.2× |
| Remove lung catheter (32552) |
$1,285.02 |
$1,947 |
2.1× |
| Remove Nasal Foreign Body (30300) |
$345.84 |
$524 |
2.7× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,186.68 |
$1,798 |
1.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,285.02 |
$1,947 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,186.68 |
$1,798 |
3.0× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,285.02 |
$1,947 |
3.3× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$898.92 |
$1,362 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,186.68 |
$1,798 |
3.0× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$898.92 |
$1,362 |
1.3× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$898.92 |
$1,362 |
1.3× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,878.36 |
$2,846 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$715.44 |
$1,084 |
1.8× |
Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052)
range across 2 matching MRF lines |
$533.94–$783.42 |
$809–$1,187 |
varies |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$792.66 |
$1,201 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$809.82 |
$1,227 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$840.18 |
$1,273 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$583.44 |
$884 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$642.18 |
$973 |
1.6× |
Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044)
range across 2 matching MRF lines |
$554.40–$711.48 |
$840–$1,078 |
varies |
Repair intermediate s/a/t/e 12.6-20.0cm (12035)
range across 2 matching MRF lines |
$643.50–$840.18 |
$975–$1,273 |
varies |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$642.18 |
$973 |
1.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$711.48 |
$1,078 |
1.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$898.92 |
$1,362 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$770.22 |
$1,167 |
2.0× |
| Repair of nail bed (11760) |
$657.36 |
$996 |
0.9× |
| Repair tongue laceration (41250) |
$513.48 |
$778 |
1.2× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$1,364.88 |
$2,068 |
1.5× |
| Replace g/c tube perc (49450) |
$2,228.82 |
$3,377 |
2.5× |
| Reposition Gastrostomy Tube (43761) |
$830.28 |
$1,258 |
3.4× |
| Reposition Venous Catheter (36597) |
$1,878.36 |
$2,846 |
1.2× |
| Rhinoplasty primary w/major septal repair (30420) |
$12,497.10 |
$18,935 |
2.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$1,440.78 |
$2,183 |
1.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$460.68 |
$698 |
1.1× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$372.90 |
$565 |
2.9× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$4,715.70 |
$7,145 |
2.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,198.46 |
$3,331 |
1.4× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,052.04 |
$1,594 |
1.7× |
| Rplc Gtube No Revj Trc (43762) |
$701.58 |
$1,063 |
2.9× |
| Rplc gtube revj gstrst trc (43763) |
$924.66 |
$1,401 |
3.8× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$2,174.04 |
$3,294 |
1.4× |
| Rplcmt compl tun ctr vad w/subq port (36582) |
$5,536.74 |
$8,389 |
1.8× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$721.38 |
$1,093 |
3.7× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$898.92 |
$1,362 |
1.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$988.02 |
$1,497 |
1.9× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$988.02 |
$1,497 |
1.9× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$1,656.60 |
$2,510 |
2.7× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$731.28 |
$1,108 |
1.9× |
Simple repair f/e/e/n/l/m 2.5cm/< (12011)
range across 3 matching MRF lines |
$324.06–$622.38 |
$491–$943 |
varies |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$681.12 |
$1,032 |
3.5× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$751.08 |
$1,138 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$701.58 |
$1,063 |
3.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$503.58 |
$763 |
2.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$721.38 |
$1,093 |
3.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$602.58 |
$913 |
3.1× |
| Skin sub graft face/nk/hf/g (15275) |
$2,112.66 |
$3,201 |
2.9× |
| Skin sub graft trnk/arm/leg (15271) |
$1,837.44 |
$2,784 |
2.6× |
| Skin sub grft t/arm/lg child (15273) |
$4,228.62 |
$6,407 |
2.1× |
| Skin Tissue Procedure (17999) |
$199.32 |
$302 |
1.0× |
| Skn sub grft f/n/hf/g child (15277) |
$2,112.66 |
$3,201 |
1.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$553.08 |
$838 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$658.68 |
$998 |
1.7× |
Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006)
range across 2 matching MRF lines |
$363–$701.58 |
$550–$1,063 |
varies |
| Spinal puncture lumbar diagnostic (62270) |
$1,019.04 |
$1,544 |
1.5× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$4,228.62 |
$6,407 |
1.2× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$3,668.28 |
$5,558 |
1.8× |
| Strapping shoulder (29240) |
$246.18 |
$373 |
1.9× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$306.24–$454.74 |
$464–$689 |
varies |
| Suture infrapatellar tendon primary (27380) |
$11,784.30 |
$17,855 |
1.7× |
| Tangential biopsy skin single lesion (11102) |
$306.24 |
$464 |
0.8× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,186.68 |
$1,798 |
1.7× |
| Thrombolytic Therapy Stroke (37195) |
$528 |
$800 |
1.6× |
| Thyroid biopsy (60100) |
$869.88 |
$1,318 |
1.3× |
| Tooth extraction (41899) |
$542.52 |
$822 |
2.4× |
| Treat Humerus Fracture (24505) |
$1,848.66 |
$2,801 |
1.2× |
| Treat knee fracture (27532) |
$6,407.94 |
$9,709 |
2.0× |
| Treat Metatarsal Fracture (28475) |
$549.78 |
$833 |
2.3× |
| Treat Thumb Dislocation (26641) |
$638.88 |
$968 |
2.7× |
| Treat toe dislocation (28630) |
$593.34 |
$899 |
2.5× |
| Treat Vaginal Bleeding (57180) |
$1,052.04 |
$1,594 |
5.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,848.66 |
$2,801 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$529.32 |
$802 |
2.2× |
| Treatment of penis lesion (54115) |
$6,753.12 |
$10,232 |
2.4× |
| Trim skin lesion (11055) |
$199.98 |
$303 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$227.04 |
$344 |
1.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$118.14 |
$179 |
2.1× |
| Tx Gastro Intub W/Asp (43753) |
$583.44 |
$884 |
2.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,186.68 |
$1,798 |
1.7× |
| Unlisted Procedure Casting/Strapping (29799) |
$285.78 |
$433 |
1.8× |
| Unlisted procedure foot or toes (28899) |
$545.82 |
$827 |
2.3× |
| Unlisted procedure nervous system (64999) |
$351.12 |
$532 |
1.2× |
| Unlisted Procedure Vascular Surgery (37799) |
$1,138.50 |
$1,725 |
1.9× |
| Vaginal delivery only (59409) |
$7,298.28 |
$11,058 |
2.3× |
| Wedge excision skin nail fold (11765) |
$461.34 |
$699 |
1.2× |
| Windowing of cast (29730) |
$655.38 |
$993 |
4.2× |