| Abd paracentesis w/imaging (49083) |
$639.80 |
$3,199 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$371.80 |
$1,859 |
0.4× |
| Ablation 1/> liver tumor perq cryoablation (47383) |
$6,441.80 |
$32,209 |
0.6× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982) unusually low: confirm this is the full procedure |
$6,951.40 |
$34,757 |
0.4× |
| Ablatj Bone Tumor Cryo Perq W/Img Gdn When Prfmd (20983) |
$6,832.40 |
$34,162 |
1.0× |
| Amniocentesis diagnostic (59000) |
$1,157.60 |
$5,788 |
1.3× |
| Amniocentesis therapeutic (59001) |
$417.60 |
$2,088 |
1.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$3,733.40 |
$18,667 |
1.2× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$3,733.40 |
$18,667 |
1.2× |
| Anal/Urinary Muscle Study (51784) |
$209 |
$1,045 |
1.7× |
| Anoscopy diagnostic (46600) |
$206.40 |
$1,032 |
1.6× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$421.20 |
$2,106 |
0.5× |
| Application cast elbow finger short arm (29075) |
$369.60 |
$1,848 |
1.4× |
| Application finger splint static (29130) |
$500.80 |
$2,504 |
3.9× |
| Application long arm splint shoulder hand (29105) |
$276.80 |
$1,384 |
1.8× |
| Application Long Leg Splint (29505) |
$765.80 |
$3,829 |
4.9× |
Application of rigid total contact leg cast (29445) range across 2 matching MRF lines |
$707.20–$813.40 |
$3,536–$4,067 |
varies |
| Application short arm splint forearm-hand static (29125) |
$276.80 |
$1,384 |
2.2× |
| Application short leg splint calf foot (29515) |
$276.80 |
$1,384 |
1.8× |
| Apply long arm cast (29065) |
$404.60 |
$2,023 |
1.5× |
| Apply Multlay Comprs Lwr Leg (29581) |
$202.60 |
$1,013 |
1.3× |
| Arterial puncture (36600) |
$122 |
$610 |
1.0× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$404.20 |
$2,021 |
1.4× |
Arthrocentesis aspir&/inj interm jt/burs w/us (20606) range across 2 matching MRF lines |
$415–$982.80 |
$2,075–$4,914 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$233 |
$1,165 |
0.8× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$412.40 |
$2,062 |
1.4× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$363.40 |
$1,817 |
1.2× |
| Arthrotomy, glenohumeral joint, including exploration, drainage, or removal of foreign body Facility (23040) |
$2,549.20 |
$12,746 |
0.8× |
| Aspirate pleura w/ imaging (32555) |
$596 |
$2,980 |
1.0× |
| Aspirate Pleura W/O Imaging (32554) |
$371.80 |
$1,859 |
0.6× |
| Aspiration & Injection Treatment Bone Cyst (20615) |
$883.60 |
$4,418 |
1.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,885.80 |
$14,429 |
1.4× |
| Aspiration Bladder Needle (51100) |
$835.60 |
$4,178 |
3.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$251.20 |
$1,256 |
1.3× |
| Biopsy Abdominal Mass (49180) |
$2,051 |
$10,255 |
1.3× |
| Biopsy bone trocar/needle deep (20225) |
$2,771.80 |
$13,859 |
1.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$837.20 |
$4,186 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$546.60 |
$2,733 |
0.3× |
| Biopsy of liver, needle; percutaneous (47000) |
$4,532.20 |
$22,661 |
2.9× |
| Biopsy Pleura Percutaneous Needle (32400) |
$1,713.80 |
$8,569 |
1.1× |
| Biopsy Prostate Transrectal Ultrasound-Guided (55707) |
$3,022.80 |
$15,114 |
0.9× |
| Biopsy Salivary Gland Needle (42400) |
$564.60 |
$2,823 |
0.8× |
| Biopsy soft tissue neck/thorax (21550) |
$2,051 |
$10,255 |
1.3× |
| Biopsy soft tissue pelvis&hip deep/subfscal/im (27041) |
$1,713.80 |
$8,569 |
1.1× |
| Biopsy Soft Tissue Upper Arm/Elbow Superficial (24065) |
$2,887.80 |
$14,439 |
1.8× |
| Biopsy Spinal Cord Percutaneous Needle (62269) |
$1,202.60 |
$6,013 |
0.8× |
| Bladder Irrigation (51700) |
$351.60 |
$1,758 |
1.5× |
| Bladder Scan (51798) |
$306.40 |
$1,532 |
5.4× |
| Blepharotomy drainage abscess eyelid (67700) |
$579.40 |
$2,897 |
1.9× |
| Blood Transfusion Service (36430) |
$442.80 |
$2,214 |
1.0× |
| Bone Marrow; Aspiration Only (38220) |
$1,938.60 |
$9,693 |
1.2× |
| Bx Arm/Elbow Soft Tissue,Deep (24066) |
$1,877.40 |
$9,387 |
0.7× |
| Bx breast 1st lesion mr imag (19085) |
$4,473 |
$22,365 |
2.8× |
| Bx breast 1st lesion strtctc (19081) |
$3,334.40 |
$16,672 |
2.1× |
| Bx breast 1st lesion us imag (19083) |
$1,763.80 |
$8,819 |
1.1× |
| Bx/exc lymph node open deep axillary node (38525) |
$3,515.60 |
$17,578 |
0.9× |
| Canthotomy Separate Procedure (67715) |
$1,698.80 |
$8,494 |
0.7× |
| Catheter aspiration nasotracheal spx (31720) |
$268.20 |
$1,341 |
1.3× |
| Change Cystostomy Tube Simple (51705) |
$335.40 |
$1,677 |
1.4× |
| Change of Windpipe Airway (31502) |
$157.80 |
$789 |
0.7× |
| Chemical Cautery Tissue (17250) |
$323.40 |
$1,617 |
1.7× |
| Chest tube placement (32551) |
$1,172.80 |
$5,864 |
0.8× |
| Cholecystostomy Prq W/Imaging & Catheter Plmt (47490) |
$2,783.20 |
$13,916 |
0.8× |
| Circumcision w/clamp/oth dev w/block (54150) |
$125.60 |
$628 |
0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,735.80 |
$13,679 |
1.8× |
| Clear outer ear canal (69200) |
$161 |
$805 |
1.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$756 |
$3,780 |
3.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$850.60 |
$4,253 |
0.6× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$864.40 |
$4,322 |
3.6× |
| Closed Treatment Sternum Fracture (21820) |
$266.40 |
$1,332 |
1.1× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$571 |
$2,855 |
2.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$714.60 |
$3,573 |
3.0× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,998.60 |
$9,993 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$570.60 |
$2,853 |
2.4× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$433.20 |
$2,166 |
1.8× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$753.20 |
$3,766 |
0.5× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$529.60 |
$2,648 |
2.2× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$928.80 |
$4,644 |
3.9× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$914.20 |
$4,571 |
3.9× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$873.40 |
$4,367 |
1.7× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$389.40 |
$1,947 |
1.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,948.40 |
$9,742 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,181.80 |
$10,909 |
1.5× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$643.20 |
$3,216 |
2.7× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$455.40 |
$2,277 |
1.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,998.60 |
$9,993 |
1.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$476.60 |
$2,383 |
2.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,998.60 |
$9,993 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$478.60 |
$2,393 |
2.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$399.20 |
$1,996 |
1.7× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$357.60 |
$1,788 |
1.5× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$800.80 |
$4,004 |
0.5× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$499.80 |
$2,499 |
2.1× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$451 |
$2,255 |
1.9× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,000.60 |
$5,003 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$471 |
$2,355 |
2.0× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$373.20 |
$1,866 |
1.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,332.20 |
$11,661 |
1.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$785.40 |
$3,927 |
3.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$536.80 |
$2,684 |
2.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$615.40 |
$3,077 |
2.6× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$737.40 |
$3,687 |
3.1× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$544.40 |
$2,722 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$521.80 |
$2,609 |
2.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$349.20 |
$1,746 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,018 |
$5,090 |
4.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,998.60 |
$9,993 |
1.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,618 |
$8,090 |
1.0× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$951.60 |
$4,758 |
4.0× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$892.20 |
$4,461 |
0.6× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$530.80 |
$2,654 |
2.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$444.80 |
$2,224 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$458.60 |
$2,293 |
1.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$387 |
$1,935 |
1.6× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,999.40 |
$9,997 |
1.3× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$672 |
$3,360 |
2.8× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,001.80 |
$10,009 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$361 |
$1,805 |
1.5× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,236 |
$11,180 |
1.4× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$547.40 |
$2,737 |
2.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$420.80 |
$2,104 |
1.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$487.40 |
$2,437 |
2.1× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$832.60 |
$4,163 |
0.5× |
| Cltx Medial Ankle Fx (27760) |
$579 |
$2,895 |
2.4× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$558 |
$2,790 |
2.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$553.20 |
$2,766 |
2.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$607 |
$3,035 |
2.6× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$349.20 |
$1,746 |
1.5× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$770.80 |
$3,854 |
3.2× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$530.80 |
$2,654 |
2.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,998.60 |
$9,993 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$533.20 |
$2,666 |
2.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$2,001.80 |
$10,009 |
1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,998.60 |
$9,993 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,277.20 |
$11,386 |
1.5× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$533.20 |
$2,666 |
2.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$606.60 |
$3,033 |
2.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,998.60 |
$9,993 |
1.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$550 |
$2,750 |
2.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$151.40 |
$757 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$31 |
$155 |
3.3× |
| Colporrhaphy (57200) |
$2,790 |
$13,950 |
0.9× |
| Complex Cystometrogram (51726) |
$2,123.60 |
$10,618 |
8.8× |
| Complex drainage wound (10180) |
$3,412.20 |
$17,061 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$361 |
$1,805 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$276.80 |
$1,384 |
2.2× |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$1,115 |
$5,575 |
0.7× |
| Corpora Cavernosa-Glans Penis Fstlj Priapism (54435) |
$4,313.60 |
$21,568 |
1.3× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$483.80 |
$2,419 |
3.8× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$355.60 |
$1,778 |
1.6× |
| Cystometrogram W/Vp (51728) |
$2,402.20 |
$12,011 |
3.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$876.60 |
$4,383 |
2.2× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,412.20 |
$17,061 |
1.2× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$2,278 |
$11,390 |
3.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,234.40 |
$6,172 |
1.7× |
| Debride nail 1-5 (11720) |
$83.20 |
$416 |
1.5× |
| Debride nail 6 or more (11721) |
$141 |
$705 |
2.5× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,957.20 |
$9,786 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$276.80 |
$1,384 |
0.7× |
| Declot vascular device (36593) |
$805.80 |
$4,029 |
2.5× |
| Delivery of placenta (59414) |
$3,339.60 |
$16,698 |
1.1× |
| Destroy cerv/thor facet jnt (64633) |
$1,508.40 |
$7,542 |
0.8× |
| Destruction of skin lesions (17106) |
$233 |
$1,165 |
0.6× |
| Dilate Urethra Stricture (53600) |
$335.40 |
$1,677 |
1.4× |
| Drain Cerebro Spinal Fluid (62272) |
$811.40 |
$4,057 |
1.2× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$2,944 |
$14,720 |
5.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$890.80 |
$4,454 |
1.3× |
| Drainage Finger Abscess Complicated (26011) |
$2,695 |
$13,475 |
1.7× |
| Drainage Mouth Roof Lesion (42000) |
$341.40 |
$1,707 |
1.5× |
| Drainage of finger abscess simple (26010) |
$342.40 |
$1,712 |
1.8× |
| Drainage of gum lesion (41800) |
$286 |
$1,430 |
2.2× |
| Drainage of hematoma/fluid (10140) |
$2,051 |
$10,255 |
1.3× |
| Drainage of rectal abscess (45005) |
$1,387.40 |
$6,937 |
1.2× |
| Drainage of scrotal wall abscess (55100) |
$2,364.80 |
$11,824 |
1.5× |
| Drainage of scrotum (54700) |
$7,941.60 |
$39,708 |
4.0× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$7,981.60 |
$39,908 |
2.6× |
| Draw Blood Off Venous Device (36591) |
$151.40 |
$757 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$903.20 |
$4,516 |
2.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$633.40 |
$3,167 |
3.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$618 |
$3,090 |
3.2× |
| Dstrj Cutaneous Vascular Lesions 10.0-50.0 Sq Cm (17107) |
$363.40 |
$1,817 |
0.5× |
| Dstrj Cutaneous Vascular Lesions >50.0 Sq Cm (17108) |
$1,163.40 |
$5,817 |
0.6× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$397.80 |
$1,989 |
0.6× |
| Electro-Uroflowmetry First (51741) |
$213.80 |
$1,069 |
1.0× |
| Endoven abltj incmptnt vein xtr laser 1st vein (36478) |
$2,448.20 |
$12,241 |
0.8× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$2,880.80 |
$14,404 |
1.5× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,264.60 |
$11,323 |
1.1× |
| Escharotomy; initial incision (16035) |
$395 |
$1,975 |
1.0× |
| Esophagoscopy rig transoral removal foreign body (43194) |
$2,157.80 |
$10,789 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$157 |
$785 |
1.2× |
Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) range across 2 matching MRF lines |
$2,492.20–$3,792.20 |
$12,461–$18,961 |
varies |
| Exchange Transfusion (36455) |
$965.40 |
$4,827 |
2.3× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$1,744 |
$8,720 |
0.9× |
| Excision Lingual Frenum Frenectomy (41115) |
$1,742.40 |
$8,712 |
1.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$2,324.40 |
$11,622 |
1.2× |
| External cephalic version (59412) |
$228.40 |
$1,142 |
0.1× |
| Fetal Contraction Stress Test (59020) |
$203.80 |
$1,019 |
1.0× |
| Fetal Fluid Drainage W/Ultrasound Guidance (59074) |
$539 |
$2,695 |
1.8× |
| Fetal non-stress test (59025) |
$156.80 |
$784 |
0.8× |
| Fetal Shunt Placement W/Ultrasound Guidance (59076) |
$909 |
$4,545 |
3.1× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$541.40 |
$2,707 |
0.8× |
| Fine needle aspiration bx w/mr gdn 1st lesion (10011) |
$519 |
$2,595 |
0.8× |
| Fine needle aspiration without imaging guidance (10021) |
$466 |
$2,330 |
1.2× |
| Fluoro exam of g/colon tube (49465) |
$347.40 |
$1,737 |
1.5× |
| Fna Bx W/Fluor Gdn 1St Les (10007) |
$519 |
$2,595 |
0.8× |
| Fna bx w/us gdn 1st les (10005) |
$361.20 |
$1,806 |
0.5× |
| Foreskin manipulation (54450) |
$910.40 |
$4,552 |
3.8× |
| Guide Cathet Fluid Drainage (10030) |
$513 |
$2,565 |
0.8× |
| I&d abscess simple (10060) |
$276.80 |
$1,384 |
1.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,998.60 |
$19,993 |
1.4× |
| I&d perianal abscess superficial (46050) |
$1,283 |
$6,415 |
1.4× |
| I&d pilonidal cyst complicated (10081) |
$371.80 |
$1,859 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$371.80 |
$1,859 |
0.5× |
| Image Cath Fluid Colxn Visc (49405) |
$1,210.80 |
$6,054 |
0.8× |
| Image Cath Fluid Peri/Retro (49406) |
$888.60 |
$4,443 |
0.6× |
| Image Cath Fluid Trns/Vgnl (49407) |
$1,926 |
$9,630 |
1.2× |
| Incise external hemorrhoid (46083) |
$335.40 |
$1,677 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$371.80 |
$1,859 |
1.0× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,957.20 |
$9,786 |
1.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$474.60 |
$2,373 |
1.2× |
| Incision and drainage of bartholin's gland abscess (56420) |
$239.60 |
$1,198 |
1.2× |
| Incision of lingual frenum (frenotomy) (41010) |
$1,875.40 |
$9,377 |
1.3× |
| Incision of rectal abscess (46040) |
$2,317 |
$11,585 |
2.0× |
| Incisional biopsy skin single lesion (11106) |
$737.40 |
$3,687 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$358 |
$1,790 |
1.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$729 |
$3,645 |
0.9× |
| Inj W/Fluor Eval Cv Device (36598) |
$179 |
$895 |
0.9× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$1,022.20 |
$5,111 |
1.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$435 |
$2,175 |
0.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$695.80 |
$3,479 |
2.4× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,007 |
$5,035 |
1.2× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$1,101.20 |
$5,506 |
1.3× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$524.20 |
$2,621 |
0.8× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$547 |
$2,735 |
0.6× |
| Injection Aa&/Strd Lumbar Plexus Cont Nfs Cath (64449) |
$1,217.20 |
$6,086 |
1.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,521 |
$7,605 |
2.2× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$1,137.60 |
$5,688 |
1.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$1,407 |
$7,035 |
4.8× |
| Injection Anes Superior Hypogastric Plexus (64517) |
$1,882 |
$9,410 |
2.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$817.80 |
$4,089 |
1.2× |
| Injection for identification of sentinel node (38792) |
$304 |
$1,520 |
0.8× |
| Injection Into Brain Canal (61055) |
$881 |
$4,405 |
3.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$293.80 |
$1,469 |
1.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$574 |
$2,870 |
0.8× |
| Injection, anesthetic agent; vagus nerve (64408) |
$1,217.20 |
$6,086 |
4.1× |
| Ins endovas vena cava filtr (37191) |
$4,918.60 |
$24,593 |
0.9× |
| Insert Bladder Cath Complex (51703) |
$131.80 |
$659 |
1.1× |
| Insert cath pleura w/ image (32557) |
$879.80 |
$4,399 |
0.6× |
| Insert cath pleura w/o image (32556) |
$2,037.60 |
$10,188 |
1.1× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$2,037.60 |
$10,188 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$371.80 |
$1,859 |
0.1× |
| Insert Picc W/O Sub-Q Port <5 Y/O (36568) |
$2,367.60 |
$11,838 |
1.6× |
| Insert Temp Bladder Cath (51702) |
$136.20 |
$681 |
1.1× |
| Insert tun ip cath perc (49418) |
$1,879.60 |
$9,398 |
0.5× |
| Insert tunneled cv cath (36561) |
$6,510.20 |
$32,551 |
2.1× |
| Insert tunneled cv cath (36563) |
$6,355.20 |
$31,776 |
1.2× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$164.20 |
$821 |
1.3× |
| Insertion indwelling tunneled pleural catheter (32550) |
$3,961.60 |
$19,808 |
1.2× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,382.40 |
$6,912 |
0.9× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$1,417.80 |
$7,089 |
0.5× |
| Insj Picc Rs&I <5 Yr (36572) |
$1,036.80 |
$5,184 |
1.7× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,367.60 |
$11,838 |
1.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$4,737.60 |
$23,688 |
1.6× |
Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) likely a partial charge, not the full procedure |
$2,061.80 |
$10,309 |
0.3× |
| Insrt heart pm atrial & vent (33208) |
$7,260.60 |
$36,303 |
0.7× |
| Interstitial Dev Plmt Radiation Therapy 1/Mlt (49411) |
$1,077 |
$5,385 |
0.8× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$692.40 |
$3,462 |
1.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$763 |
$3,815 |
2.0× |
| Intubation endotracheal emergency procedure (31500) |
$152.60 |
$763 |
0.7× |
| Irrigation of corpora cavernosa for priapism (54220) |
$443.40 |
$2,217 |
1.8× |
| Laryngoscopy diagnostic (31505) |
$73.80 |
$369 |
0.4× |
| Laryngoscopy flexible diagnostic (31575) |
$143.80 |
$719 |
0.7× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$250 |
$1,250 |
0.7× |
| Myelography Lumbar Injection (62305) |
$934.20 |
$4,671 |
1.2× |
| Myelography Lumbar Injection (62304) |
$934.20 |
$4,671 |
1.2× |
| Myelography via lumbar injection rs&i cervical (62302) |
$890.60 |
$4,453 |
1.2× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$808.40 |
$4,042 |
1.1× |
| N Block Inj Celiac Pelus (64530) |
$1,045 |
$5,225 |
1.2× |
| N block inj intercost sng (64420) |
$435.40 |
$2,177 |
0.6× |
| N Block Inj Paracervical (64435) |
$1,171.80 |
$5,859 |
1.7× |
| N Block Lumbar/Thoracic (64520) |
$1,224.20 |
$6,121 |
1.4× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$499.80 |
$2,499 |
1.2× |
| Needle Biopsy Lymph Nodes (38505) |
$2,421 |
$12,105 |
1.5× |
| Needle Biopsy Pancreas (48102) |
$1,093.80 |
$5,469 |
0.7× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$12.60 |
$63 |
0.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$409.40 |
$2,047 |
1.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$804.80 |
$4,024 |
0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$363.40 |
$1,817 |
1.2× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,476.80 |
$12,384 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$2,877.80 |
$14,389 |
0.8× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$849 |
$4,245 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$856.60 |
$4,283 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$856.60 |
$4,283 |
1.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$737.20 |
$3,686 |
1.1× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,340 |
$11,700 |
1.5× |
| Penile Injection (54235) |
$338.80 |
$1,694 |
1.4× |
| Perc Cryo Ablate Renal Tum (50593) |
$10,665.60 |
$53,328 |
1.0× |
| Perc Place Intra-Thoracic Interstit Rad Therapy Guide, 1/Mult (32553) |
$1,077 |
$5,385 |
0.8× |
| Perc Rf Ablate Renal Tumor (50592) |
$6,643 |
$33,215 |
1.1× |
| Percut Ablate Liver Rf (47382) |
$7,452.80 |
$37,264 |
1.3× |
| Percut Drain/Inject Renal Cyst (50390) |
$883.60 |
$4,418 |
1.3× |
Pericardiocentesis W/Imaging (33016) range across 2 matching MRF lines |
$1,238–$3,349 |
$6,190–$16,745 |
varies |
| Perq dev breast 1st mr guide (19287) |
$3,413.60 |
$17,068 |
5.0× |
| Perq dev breast 1st strtctc (19283) |
$1,006.60 |
$5,033 |
1.5× |
| Perq dev breast 1st us imag (19285) |
$150.80 |
$754 |
0.2× |
| Perq device breast 1st imag (19281) |
$172 |
$860 |
0.1× |
| Perq dilation xst trc endourologic px w/img (50436) |
$3,682.60 |
$18,413 |
1.1× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$7,969.80 |
$39,849 |
1.1× |
| Perq Vertebral Augmentation (22513) |
$8,167 |
$40,835 |
1.2× |
| Photopheresis extracorporeal (36522) |
$8,693.20 |
$43,466 |
2.1× |
| Place Duod/Jej Tube Perc (49441) |
$2,037.60 |
$10,188 |
1.1× |
| Place Rt Device/Marker Pros (55876) |
$1,060.80 |
$5,304 |
0.8× |
| Placement of needle for intraosseous infusion (36680) |
$477 |
$2,385 |
1.1× |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432) range across 2 matching MRF lines |
$3,808.40–$5,795.20 |
$19,042–$28,976 |
varies |
Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) range across 2 matching MRF lines |
$3,832.60–$5,831.40 |
$19,163–$29,157 |
varies |
| Prq Aspir Pulposus/Intervertebral Disc/Pvrt Tiss (62267) |
$437.60 |
$2,188 |
0.6× |
| Pseudoaneurysm Injection Trt (36002) |
$607 |
$3,035 |
1.0× |
| Punch biopsy skin single lesion (11104) |
$249.20 |
$1,246 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$541.20 |
$2,706 |
1.4× |
| Puncture Aspiration Cyst Breast (19000) |
$493.20 |
$2,466 |
0.7× |
| Push Transfusion Blood 2 Yr/Under (36440) |
$721.60 |
$3,608 |
1.7× |
| Reduction of rectal prolapse (45900) |
$1,328.40 |
$6,642 |
1.5× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$2,766.60 |
$13,833 |
3.2× |
| Removal foreign body foot deep (28192) |
$2,125.20 |
$10,626 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,189.20 |
$5,946 |
1.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,957.20 |
$9,786 |
1.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$177.60 |
$888 |
3.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$191.80 |
$959 |
3.4× |
| Removal of foreign body from pharynx (42809) |
$240 |
$1,200 |
0.6× |
| Removal of nail bed (11750) |
$462 |
$2,310 |
1.2× |
| Removal or bivalving full arm or full leg cast (29705) |
$515 |
$2,575 |
1.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$251.20 |
$1,256 |
1.3× |
| Removal subcutaneous cardiac rhythm monitor (33286) |
$998.60 |
$4,993 |
1.5× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$353.60 |
$1,768 |
1.3× |
| Remove cerclage suture (59871) |
$2,341 |
$11,705 |
0.8× |
| Remove foreign body from eye (65205) |
$81 |
$405 |
0.6× |
| Remove Intrauterine Device (58301) |
$549.20 |
$2,746 |
1.9× |
| Remove lung catheter (32552) |
$930.40 |
$4,652 |
1.5× |
| Remove Nasal Foreign Body (30300) |
$200 |
$1,000 |
1.6× |
| Remove/Insert Drug Implant (11983) |
$393.80 |
$1,969 |
0.9× |
| Renal Biopsy Perq (50200) |
$2,197.40 |
$10,987 |
1.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$724.80 |
$3,624 |
1.0× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$844 |
$4,220 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$504.40 |
$2,522 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$724.80 |
$3,624 |
1.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$724.80 |
$3,624 |
1.9× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$819.20 |
$4,096 |
2.1× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$724.80 |
$3,624 |
1.0× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$745.80 |
$3,729 |
1.0× |
| Repair Eyelid Wound (67935) |
$1,700 |
$8,500 |
0.7× |
| Repair Hand Tendon (26410) |
$2,551 |
$12,755 |
1.6× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$462 |
$2,310 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$549.60 |
$2,748 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$553.60 |
$2,768 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$600.40 |
$3,002 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$838 |
$4,190 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$746.20 |
$3,731 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$462 |
$2,310 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$515.80 |
$2,579 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$724.80 |
$3,624 |
1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,163.40 |
$5,817 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$952.60 |
$4,763 |
2.4× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$499.80 |
$2,499 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$625.40 |
$3,127 |
1.6× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,163.40 |
$5,817 |
1.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$789 |
$3,945 |
2.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$2,496.20 |
$12,481 |
1.3× |
| Repair of nail bed (11760) |
$724.80 |
$3,624 |
1.0× |
| Repair tongue laceration (41252) |
$546.60 |
$2,733 |
2.4× |
| Repair tongue laceration (41250) |
$478.60 |
$2,393 |
1.1× |
| Replace g/c tube perc (49450) |
$1,134.40 |
$5,672 |
1.3× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$276.80 |
$1,384 |
0.6× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$258.40 |
$1,292 |
2.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$258.40 |
$1,292 |
0.6× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$5,336.20 |
$26,681 |
1.9× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,957.20 |
$9,786 |
1.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$2,570.80 |
$12,854 |
1.7× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$506 |
$2,530 |
0.8× |
| Rplc Gtube No Revj Trc (43762) |
$276.80 |
$1,384 |
1.2× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$1,657 |
$8,285 |
1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$677.40 |
$3,387 |
3.5× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$746.20 |
$3,731 |
1.0× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,290.20 |
$6,451 |
2.5× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$745.80 |
$3,729 |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,555.60 |
$7,778 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$677.40 |
$3,387 |
1.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$131.80 |
$659 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$276.80 |
$1,384 |
1.4× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$814.20 |
$4,071 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$677.40 |
$3,387 |
3.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$921.40 |
$4,607 |
4.8× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$131.80 |
$659 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$684.80 |
$3,424 |
3.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$276.80 |
$1,384 |
1.4× |
| Skin sub graft face/nk/hf/g (15275) |
$1,942 |
$9,710 |
2.7× |
| Skin sub graft trnk/arm/leg (15271) |
$1,942 |
$9,710 |
2.7× |
| Skin sub grft t/arm/lg child (15273) |
$3,322.80 |
$16,614 |
1.7× |
| Skn sub grft f/n/hf/g child (15277) |
$1,941.20 |
$9,706 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$276.80 |
$1,384 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$684.80 |
$3,424 |
1.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$684.80 |
$3,424 |
1.8× |
| Spinal puncture lumbar diagnostic (62270) |
$389.80 |
$1,949 |
0.6× |
| Strapping ankle (29540) |
$221 |
$1,105 |
1.4× |
| Strapping elbow or wrist (29260) |
$252.20 |
$1,261 |
4.4× |
| Strapping knee (29530) |
$198.80 |
$994 |
1.6× |
| Strapping shoulder (29240) |
$244 |
$1,220 |
1.9× |
| Strapping toes (29550) |
$212.80 |
$1,064 |
3.8× |
| Strapping Unna Boot (29580) |
$171 |
$855 |
1.1× |
| Tangential biopsy skin single lesion (11102) |
$483.40 |
$2,417 |
1.2× |
| Tgsap sld org neo DNA 523&RNA 55 next gnrj seq (0379U) |
$739 |
$3,695 |
0.2× |
| Ther Apheresis,Red Blood Cells (36512) |
$4,901.60 |
$24,508 |
3.3× |
| Therapeutic Apheresis White Blood Cells (36511) |
$4,901.60 |
$24,508 |
3.3× |
| Therapeutic plasma exchange (36514) |
$4,857.20 |
$24,286 |
3.2× |
| Thrombolytic Therapy Stroke (37195) |
$309.40 |
$1,547 |
1.0× |
| Thyroid biopsy (60100) |
$1,926 |
$9,630 |
2.8× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,512.20 |
$7,561 |
6.6× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,389.20 |
$6,946 |
0.9× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$377.60 |
$1,888 |
1.3× |
| Transcatheter biopsy (37200) |
$4,852.40 |
$24,262 |
0.9× |
| Treat humerus fracture (24500) |
$622 |
$3,110 |
2.6× |
| Treat Humerus Fracture (24505) |
$1,998.60 |
$9,993 |
1.3× |
| Treat humerus fracture (23600) |
$583 |
$2,915 |
2.5× |
| Treat knee fracture (27532) |
$3,733.40 |
$18,667 |
1.2× |
| Treat Knuckle Dislocation (26700) |
$212.80 |
$1,064 |
0.9× |
| Treat Metatarsal Fracture (28475) |
$436.60 |
$2,183 |
1.8× |
| Treat Thumb Dislocation (26641) |
$668.40 |
$3,342 |
2.8× |
| Treat toe dislocation (28630) |
$319.80 |
$1,599 |
1.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,000.60 |
$5,003 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$643.20 |
$3,216 |
2.7× |
| Trim skin lesion (11055) |
$387.40 |
$1,937 |
2.0× |
| Trim skin lesions 2 to 4 (11056) |
$547 |
$2,735 |
2.8× |
| Trim skin lesions over 4 (11057) |
$723 |
$3,615 |
3.7× |
| Trimming Nondystrophic Nails Any Number (11719) |
$83.20 |
$416 |
1.5× |
| Tx Gastro Intub W/Asp (43753) |
$370.40 |
$1,852 |
1.8× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$3,339.60 |
$16,698 |
1.1× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,332.20 |
$11,661 |
1.5× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$999.60 |
$4,998 |
1.4× |
| Tx superficial wound dehiscence w/packing (12021) |
$752.80 |
$3,764 |
1.9× |
| Unlisted procedure liver (47399) |
$147.20 |
$736 |
0.2× |
| Unlisted procedure lungs and pleura (32999) |
$1,421.80 |
$7,109 |
2.4× |
Unlisted procedure nervous system (64999) range across 5 matching MRF lines |
$347.40–$1,007.40 |
$1,737–$5,037 |
varies |
| Unlisted Procedure Trachea Bronchi (31899) |
$276.80 |
$1,384 |
1.4× |
| Vaginal delivery only (59409) |
$2,979.80 |
$14,899 |
1.0× |
| Wedge excision skin nail fold (11765) |
$262 |
$1,310 |
0.7× |
| Wound Prep F/N/Hf/G (15004) |
$734.20 |
$3,671 |
1.9× |