| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,043.38 |
$1,304.22 |
1.2× |
| Amniocentesis diagnostic (59000) |
$506.17 |
$632.71 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$2,837.92 |
$3,547.39 |
0.9× |
| Anal Sp Inf Pmp W/Reprg&Fill (62369) |
$651.19 |
$813.98 |
2.2× |
| Anoscopy diagnostic (46600) |
$118.63 |
$148.28 |
0.9× |
| Application cast elbow finger short arm (29075) |
$246.99 |
$308.73 |
0.9× |
| Application Finger Splint Dynamic (29131) |
$94.32 |
$117.89 |
1.7× |
| Application finger splint static (29130) |
$222.28 |
$277.85 |
1.7× |
| Application long arm splint shoulder hand (29105) |
$264.28 |
$330.35 |
1.7× |
| Application Long Leg Splint (29505) |
$222.28 |
$277.85 |
1.4× |
| Application of long leg cast (29345) |
$370.49 |
$463.11 |
1.4× |
| Application of rigid total contact leg cast (29445) |
$884.60 |
$1,105.74 |
3.3× |
| Application short arm splint forearm-hand static (29125) |
$214.26 |
$267.82 |
1.7× |
| Application short leg splint calf foot (29515) |
$216.12 |
$270.14 |
1.4× |
| Apply hand/wrist cast (29085) |
$179.07 |
$223.83 |
1.1× |
| Apply long arm cast (29065) |
$246.99 |
$308.73 |
0.9× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$232.26–$464.52 |
$290.32–$580.64 |
varies |
| Apply Short Leg Cast (29405) |
$370.49 |
$463.11 |
1.4× |
| Apply short leg cast (29425) |
$298.45 |
$373.06 |
1.1× |
| Arterial puncture (36600) |
$80.94 |
$101.17 |
0.6× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$647.67–$1,295.33 |
$809.58–$1,619.16 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$647.67–$1,295.33 |
$809.58–$1,619.16 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$647.67 |
$809.58 |
2.2× |
| Aspirate pleura w/ imaging (32555) |
$1,511.68 |
$1,889.59 |
2.5× |
| Aspiration bladder insert suprapubic catheter (51102) |
$2,969.05 |
$3,711.31 |
1.5× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$264.15 |
$330.18 |
1.4× |
| Beta amyloid ab42/40 imprcip (0412U) |
$720 |
$900 |
1.0× |
| Biopsy bone open superficial (20240) |
$4,932.24 |
$6,165.29 |
1.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$444.89 |
$556.11 |
0.7× |
| Bladder Irrigation (51700) |
$393.39 |
$491.73 |
1.6× |
| Bladder Scan (51798) |
$152.84 |
$191.04 |
2.7× |
| Blepharotomy drainage abscess eyelid (67700) |
$345.79 |
$432.23 |
1.1× |
| Blood Transfusion Service (36430) |
$360.10 |
$450.12 |
0.8× |
Bone Marrow Biopsy (38221)
range across 2 matching MRF lines |
$2,273.33–$4,546.66 |
$2,841.66–$5,683.32 |
varies |
| Bone Marrow; Aspiration Only (38220) |
$2,273.33 |
$2,841.66 |
1.4× |
Bx breast 1st lesion mr imag (19085)
range across 2 matching MRF lines |
$745.26–$1,490.52 |
$931.57–$1,863.14 |
varies |
Bx breast 1st lesion strtctc (19081)
range across 2 matching MRF lines |
$1,800.68–$3,601.35 |
$2,250.84–$4,501.68 |
varies |
Bx breast 1st lesion us imag (19083)
range across 2 matching MRF lines |
$745.26–$1,490.52 |
$931.57–$1,863.14 |
varies |
| Bx breast needle core w/o imaging guidance spx (19100) |
$533.58 |
$666.97 |
0.3× |
| Catheter aspiration nasotracheal spx (31720) |
$182.44 |
$228.04 |
0.9× |
| Change Cystostomy Tube Simple (51705) |
$617.38 |
$771.72 |
2.6× |
| Chemical Cautery Tissue (17250) |
$315.60 |
$394.49 |
1.6× |
| Chemodenerv 1 extrem 5/> mus (64644) |
$1,944.48 |
$2,430.60 |
2.9× |
| Chemodenerv 1 extremity 1-4 (64642) |
$1,909.15 |
$2,386.43 |
2.8× |
| Chemodenerv Musc Migraine (64615) |
$391.52 |
$489.40 |
1.3× |
Chemodenerv musc neck dyston (64616)
range across 2 matching MRF lines |
$621.98–$1,243.96 |
$777.47–$1,554.94 |
varies |
| Chemodenerv Parotid&Submandibl Salivary Glnds (64611) |
$564.46 |
$705.57 |
1.9× |
| Chemodenerv trunk musc 1-5 (64646) |
$1,660.12 |
$2,075.15 |
2.4× |
| Chemodenerv trunk musc 6/> (64647) |
$2,493.59 |
$3,116.98 |
3.7× |
Chemodnrvtj Musc Musc Innervated Facial Nrv Unil (64612)
range across 2 matching MRF lines |
$411.16–$822.32 |
$513.95–$1,027.90 |
varies |
| Chest tube placement (32551) |
$524.85 |
$656.06 |
0.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$3,776.42 |
$4,720.52 |
1.9× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$369.97 |
$462.46 |
0.2× |
| Clear outer ear canal (69200) |
$114.34 |
$142.92 |
0.9× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$232.14 |
$290.17 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$425.75 |
$532.18 |
1.8× |
| Closed Treatment Sternum Fracture (21820) |
$311.76 |
$389.69 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$299.60 |
$374.49 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$299.60 |
$374.49 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,901.50 |
$3,626.87 |
1.9× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$425.75 |
$532.18 |
1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$299.60 |
$374.49 |
1.3× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$2,901.50 |
$3,626.87 |
1.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$425.75 |
$532.18 |
1.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$290.43 |
$363.03 |
1.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$299.60 |
$374.49 |
0.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$372.77 |
$465.96 |
1.6× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,382.72 |
$2,978.40 |
1.5× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$587.26 |
$734.07 |
0.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$375.07 |
$468.83 |
1.6× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$299.60 |
$374.49 |
1.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,901.50 |
$3,626.87 |
1.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$425.75 |
$532.18 |
1.8× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,901.50 |
$3,626.87 |
1.9× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$425.75 |
$532.18 |
1.8× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$375.07 |
$468.83 |
0.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$375.07 |
$468.83 |
1.6× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$232.14 |
$290.17 |
1.0× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$232.14 |
$290.17 |
1.0× |
| Closed tx talus fracture w/o manipulation (28430) |
$299.60 |
$374.49 |
1.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$453.95 |
$567.43 |
1.9× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$542.30 |
$677.87 |
0.4× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$299.60 |
$374.49 |
1.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$425.75 |
$532.18 |
1.8× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$370.49 |
$463.11 |
1.6× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$864.45 |
$1,080.56 |
1.7× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$425.75 |
$532.18 |
1.8× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$425.75 |
$532.18 |
1.8× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$299.60 |
$374.49 |
1.3× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,199.50 |
$1,499.37 |
2.3× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$248.11 |
$310.13 |
1.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,668.32 |
$2,085.39 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$375.07 |
$468.83 |
1.6× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$203.53 |
$254.41 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$916.93 |
$1,146.16 |
0.6× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$305.32 |
$381.64 |
1.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$268.72 |
$335.90 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$290.43 |
$363.03 |
1.2× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$425.75 |
$532.18 |
1.8× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$425.75 |
$532.18 |
1.8× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$375.07 |
$468.83 |
1.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$372.77 |
$465.96 |
1.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$375.07 |
$468.83 |
1.6× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$375.07 |
$468.83 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$438.84 |
$548.54 |
1.9× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$2,622.50 |
$3,278.12 |
11.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$299.60 |
$374.49 |
1.3× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$299.60 |
$374.49 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$365.90 |
$457.37 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$299.60 |
$374.49 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,901.50 |
$3,626.87 |
1.9× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$425.75 |
$532.18 |
1.8× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$700.95 |
$876.18 |
3.0× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$750.20 |
$937.75 |
3.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$375.07 |
$468.83 |
1.6× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$232.14 |
$290.17 |
1.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$299.60 |
$374.49 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$375.07 |
$468.83 |
1.6× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$615.54 |
$769.42 |
2.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$369.33 |
$461.66 |
1.6× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$850.88 |
$1,063.59 |
0.6× |
| Cltx Medial Ankle Fx (27760) |
$375.07 |
$468.83 |
1.6× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$425.75 |
$532.18 |
1.8× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$425.75 |
$532.18 |
1.8× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$344.18 |
$430.22 |
1.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$299.60 |
$374.49 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$329.32 |
$411.65 |
1.4× |
| Cltx prox fibula/shft fx w/manj (27781) |
$3,545.87 |
$4,432.33 |
2.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$299.60 |
$374.49 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$3,832.76 |
$4,790.95 |
2.5× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$299.60 |
$374.49 |
1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$375.07 |
$468.83 |
0.2× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$858.88 |
$1,073.59 |
0.6× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$299.60 |
$374.49 |
1.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$290.43 |
$363.03 |
1.2× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$375.07 |
$468.83 |
1.6× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$306.46 |
$383.07 |
1.3× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$232.14 |
$290.17 |
1.0× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,901.50 |
$3,626.87 |
1.9× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$425.75 |
$532.18 |
1.8× |
| Collect Blood From Catheter Venous Nos (36592) |
$149.55 |
$186.93 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$12.95 |
$16.18 |
1.4× |
| Colonoscopy W/Band Ligation (45398) |
$2,701.17 |
$3,376.46 |
2.3× |
| Complex drainage wound (10180) |
$542.30 |
$677.87 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$246.99 |
$308.73 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$148.21 |
$185.26 |
1.2× |
| Conversion ext bil drg cath (47535) |
$3,425.17 |
$4,281.46 |
1.0× |
| Convert Nephrostomy Catheter (50434) |
$3,677.06 |
$4,596.32 |
1.8× |
| Crd ceramides liq chrom plsm (0119U) |
$291.41 |
$364.26 |
3.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$261.81 |
$327.26 |
2.0× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$123.51 |
$154.38 |
0.5× |
| Cysto Bladder W/Ureteral Catheterization (52005) |
$4,314 |
$5,392.50 |
2.1× |
| Cysto w/removal of lesions small (52224) |
$1,529.48 |
$1,911.84 |
0.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$1,854.48 |
$2,318.10 |
0.9× |
| Cystourethroscopy (52000) |
$943.16 |
$1,178.95 |
1.4× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$5,129.76 |
$6,412.19 |
1.8× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$1,270.16 |
$1,587.69 |
1.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$2,029.64 |
$2,537.04 |
2.9× |
| Debride nail 1-5 (11720) |
$198.08 |
$247.59 |
3.5× |
| Debride nail 6 or more (11721) |
$204.69 |
$255.86 |
3.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,459.08 |
$4,323.85 |
2.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,955.32 |
$2,444.15 |
5.0× |
| Declot vascular device (36593) |
$450.24 |
$562.79 |
1.4× |
| Destroy cerv/thor facet jnt (64633) |
$2,936.40 |
$3,670.49 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$2,936.40 |
$3,670.49 |
1.6× |
| Destruct B9 Lesion 1-14 (17110) |
$102.92 |
$128.65 |
0.5× |
| Drain/inj small joint/bursa w/us (20604) |
$647.67 |
$809.58 |
2.2× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$2,967.58 |
$3,709.47 |
1.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$216.12 |
$270.14 |
0.3× |
| Drainage Finger Abscess Complicated (26011) |
$1,481.93 |
$1,852.41 |
0.9× |
| Drainage of finger abscess simple (26010) |
$216.12 |
$270.14 |
1.1× |
| Drainage of gum lesion (41800) |
$384.72 |
$480.89 |
3.0× |
| Drainage of hematoma/fluid (10140) |
$157.09 |
$196.36 |
0.1× |
| Drainage of nose lesion (30000) |
$740.07 |
$925.08 |
3.3× |
| Drainage of scrotal wall abscess (55100) |
$1,935.96 |
$2,419.95 |
1.2× |
| Drainage of scrotum (54700) |
$3,748.30 |
$4,685.37 |
1.9× |
| Draw Blood Off Venous Device (36591) |
$149.55 |
$186.93 |
1.2× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$749.29 |
$936.61 |
1.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$203.76 |
$254.70 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$459.68 |
$574.59 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$383.21 |
$479.01 |
2.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$226.40 |
$282.99 |
1.2× |
Dstrj Neurolytic Agent Other Peripheral Nerve (64640)
range across 2 matching MRF lines |
$2,902.97–$5,805.94 |
$3,628.71–$7,257.42 |
varies |
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines |
$3,984.28–$7,968.55 |
$4,980.34–$9,960.68 |
varies |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$655.62 |
$819.52 |
2.2× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$796.13 |
$995.16 |
2.7× |
| Elect anlys implt ithcl/edrl pmp w/o reprg/refil (62367) |
$602.93 |
$753.66 |
2.0× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$2,978.40 |
$3,723 |
1.5× |
| Epidural Blood Patch (62273) |
$1,290.64 |
$1,613.30 |
1.9× |
| Episiotomy or vaginal repair (59300) |
$534.32 |
$667.90 |
0.2× |
| Evacuation of subungual hematoma (11740) |
$62.04 |
$77.54 |
0.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$1,290.64 |
$1,613.30 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,270.16 |
$1,587.69 |
1.9× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$2,926.92 |
$3,658.64 |
1.8× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$719.85 |
$899.81 |
1.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,270.16 |
$1,587.69 |
1.9× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,926.92 |
$3,658.64 |
1.8× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$719.85 |
$899.81 |
1.8× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$1,451.75 |
$1,814.68 |
0.9× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$3,425.17 |
$4,281.46 |
1.0× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$3,677.06 |
$4,596.32 |
1.8× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$347.48 |
$434.35 |
0.5× |
| Excision tumor soft tissue shoulder subq 3 cm/> (23071) |
$902.89 |
$1,128.61 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$857.59 |
$1,071.98 |
0.5× |
| Fasciotomy, foot and/or toe (28008) |
$6,427.80 |
$8,034.75 |
2.0× |
| Fetal Contraction Stress Test (59020) |
$347.20 |
$433.99 |
1.8× |
| Fetal non-stress test (59025) |
$368.06 |
$460.07 |
1.9× |
| Glycine Receptor Alpha1 Igg Serum/CSF Lcba Qual (0431U) |
$130.95 |
$163.68 |
3.6× |
| Hem heprn nduc trmbctpna srm (0275U) |
$32.85 |
$41.06 |
1.8× |
| Hem inh thrombocytopenia 42 (0276U) |
$2,350.62 |
$2,938.27 |
1.0× |
| Hem vw ds vw factor & collagen IV binding elisa (0280U) |
$32.85 |
$41.06 |
1.9× |
| Hem vw factor&clgn iii bndg (0279U) |
$32.85 |
$41.06 |
2.8× |
| I&d abscess peritonsillar (42700) |
$370.49 |
$463.11 |
1.6× |
| I&d abscess simple (10060) |
$144.57 |
$180.71 |
0.7× |
| I&d perianal abscess superficial (46050) |
$1,757.26 |
$2,196.57 |
2.0× |
| I&d pilonidal cyst complicated (10081) |
$262.45 |
$328.06 |
0.4× |
| I&d pilonidal cyst simple (10080) |
$262.45 |
$328.06 |
0.4× |
| Incise external hemorrhoid (46083) |
$321.09 |
$401.36 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$287.94 |
$359.92 |
0.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$3,077.69 |
$3,847.11 |
1.1× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,440.51 |
$1,800.63 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$271.68 |
$339.60 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$259.34 |
$324.17 |
1.3× |
| Incision and drainage of vulva or perineal abscess (56405) |
$259.34 |
$324.17 |
0.9× |
| Incision of rectal abscess (46040) |
$2,810.76 |
$3,513.44 |
2.4× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$366.52 |
$458.15 |
0.2× |
| Incisional biopsy skin single lesion (11106) |
$702.45 |
$878.06 |
1.0× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$172.88 |
$216.10 |
0.9× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$2,007.47 |
$2,509.33 |
2.4× |
Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479)
range across 2 matching MRF lines |
$1,835.24–$3,670.48 |
$2,294.05–$4,588.10 |
varies |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$2,212.04 |
$2,765.04 |
7.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,974.59 |
$2,468.23 |
2.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,079.95 |
$2,599.93 |
2.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$2,184.16 |
$2,730.20 |
3.2× |
Injection Anes Agent Sphenopalatine Ganglion (64505)
range across 2 matching MRF lines |
$681.03–$1,362.05 |
$851.28–$1,702.56 |
varies |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,354.39 |
$1,692.98 |
2.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$2,212.04 |
$2,765.04 |
7.5× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$2,212.04 |
$2,765.04 |
7.5× |
Injection therapeutic carpal tunnel (20526)
range across 2 matching MRF lines |
$665.92–$1,331.84 |
$832.40–$1,664.80 |
varies |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$2,079.95 |
$2,599.93 |
2.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,238.01 |
$1,547.51 |
1.8× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$1,188.96–$2,377.91 |
$1,486.19–$2,972.38 |
varies |
| Injection, intralesional; up to and including 7 lesions (11900) |
$378.76 |
$473.44 |
2.0× |
| Insert non-tunnel cv cath (36556) |
$2,301.75 |
$2,877.18 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$58.58 |
$73.22 |
0.5× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$190.74 |
$238.42 |
1.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,301.75 |
$2,877.18 |
0.8× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,716.27 |
$2,145.33 |
1.1× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$7,572.47 |
$9,465.58 |
1.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$358.13 |
$447.66 |
0.9× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$370.49 |
$463.11 |
0.9× |
| Intraoral i&d tongue/floor lingual (41000) |
$965.47 |
$1,206.83 |
1.9× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$9,131.91 |
$11,414.88 |
1.7× |
| Intro Gastrointestinal Tube (44500) |
$435.84 |
$544.80 |
0.5× |
| Intubation endotracheal emergency procedure (31500) |
$446.23 |
$557.78 |
2.0× |
| Irrigation of corpora cavernosa for priapism (54220) |
$617.38 |
$771.72 |
2.6× |
| Klhl11 antb serum/csf cell binding assay qual (0432U) |
$66.24 |
$82.79 |
1.8× |
| Ligation or biopsy temporal artery (37609) |
$2,020.36 |
$2,525.44 |
1.3× |
| Lrt iad 18bct/8vir&7arg RNA (0528U) |
$400.12 |
$500.14 |
0.6× |
| N Block Inj Celiac Pelus (64530) |
$2,079.95 |
$2,599.93 |
2.4× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$2,079.95 |
$2,599.93 |
3.1× |
| N Block Lumbar/Thoracic (64520) |
$1,704.63 |
$2,130.78 |
2.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$365.28 |
$456.59 |
0.9× |
| Needle Biopsy Lymph Nodes (38505) |
$1,405.84 |
$1,757.30 |
0.9× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$20 |
$25 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$20 |
$25 |
0.7× |
| Neuro alys b-amyl 1-42&1-40 (0358U) |
$250.08 |
$312.60 |
1.0× |
| Neuro alz ds beta amyl&tau prtn bld lc-ms/ms alg (0503U) |
$108.11 |
$135.13 |
0.1× |
| Nfct agent HIV trgt viral next-gnrj seq alys alg (0219U) |
$696 |
$870 |
1.0× |
| Nfct Ds Bct/Vir Respir Dna/Rna 22 Trgt Sarscov2 (0223U) |
$400.12 |
$500.14 |
1.0× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$400.12 |
$500.14 |
1.0× |
| Nfct ds csf metagenomic ngs bioinformatic alys (0480U) |
$2,041.16 |
$2,551.44 |
1.0× |
| Nfct ds mcrb cll fr DNA untrgt next genrj seq (0152U) |
$2,041.16 |
$2,551.44 |
1.0× |
| Nfct ds pthgn-sna 10vir&4bct (0564U) |
$209.34 |
$261.67 |
0.5× |
| Nfct ds pthgn-sna 11vir&4bct (0563U) |
$209.34 |
$261.67 |
0.5× |
Njx Anes Trigeminal Nrv Any Div/Branch (64400)
range across 2 matching MRF lines |
$2,079.95–$4,159.89 |
$2,599.93–$5,199.86 |
varies |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$1,280.72 |
$1,600.89 |
0.4× |
| Njx Cholangio Prq W/Img Gid Rs&I New Access (47532) |
$1,995.54 |
$2,494.42 |
0.6× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$2,035.35–$4,070.69 |
$2,544.18–$5,088.36 |
varies |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,962.22 |
$2,452.77 |
2.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,962.22 |
$2,452.77 |
2.3× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,962.22 |
$2,452.77 |
2.3× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$1,233.23 |
$1,541.53 |
1.8× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm New Access (50430) |
$1,233.23 |
$1,541.53 |
1.8× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$2,079.95–$4,159.89 |
$2,599.93–$5,199.86 |
varies |
| Onc pan-tumor DNA&RNA next-generation sequencing (0211U) |
$8,116.80 |
$10,146 |
1.0× |
| Onc prostate 5 DNA reg mrk quan PCR whl bld alg (0433U) |
$108.11 |
$135.13 |
0.1× |
| Open treatment metatarsal fracture each (28485) |
$11,308.30 |
$14,135.37 |
1.6× |
| Peritoneal Lavage (49084) |
$1,194.18 |
$1,492.72 |
1.4× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,425.67 |
$1,782.08 |
2.1× |
| Placement of needle for intraosseous infusion (36680) |
$206.27 |
$257.83 |
0.5× |
| Plmt Bile Duct Stent Prq Existing Access (47538) |
$5,738.59 |
$7,173.23 |
1.0× |
| Plmt Nephrostomy Cath Prq New Access Rs&I (50432) |
$3,677.06 |
$4,596.32 |
1.8× |
| Plmt Nephroureteral Catheter (50433) |
$6,293.55 |
$7,866.93 |
1.9× |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$6,293.55 |
$7,866.93 |
1.9× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$6,293.55 |
$7,866.93 |
1.9× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$6,293.55 |
$7,866.93 |
1.9× |
| Prq Lysis Epidural Adhesions Mult Sessions 1 Day (62264) |
$2,752.88 |
$3,441.10 |
3.2× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$2,383.72 |
$2,979.64 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Int-Ext (47534) |
$4,562.92 |
$5,703.65 |
1.3× |
| Punch biopsy skin single lesion (11104) |
$398.06 |
$497.57 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$73.51 |
$91.88 |
0.2× |
| Puncture Aspiration Cyst Breast (19000) |
$620.50 |
$775.62 |
0.9× |
| Rbc DNA gntyp 12 bld grp gen (0282U) |
$691.20 |
$864 |
1.0× |
| Removal Biliary Drg Catheter Req Fluor Gid Rs&I (47537) |
$2,571.36 |
$3,214.20 |
2.9× |
| Removal Embedded Foreign Body Eyelid (67938) |
$297.85 |
$372.31 |
1.0× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$891.90 |
$1,114.87 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$280.15 |
$350.18 |
0.2× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$143.96 |
$179.94 |
2.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$137.23 |
$171.53 |
2.4× |
| Removal of foreign body from pharynx (42809) |
$130.04 |
$162.54 |
0.3× |
| Removal of nail bed (11750) |
$287.09 |
$358.86 |
0.7× |
| Removal or bivalving full arm or full leg cast (29705) |
$142.02 |
$177.52 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$287.09 |
$358.86 |
1.5× |
| Remove foreign body from eye (65205) |
$132.08 |
$165.09 |
1.0× |
| Remove Int Dwell Ureteral Stent Transurethral (50386) |
$1,196.05 |
$1,495.06 |
0.6× |
| Remove Intrauterine Device (58301) |
$443.51 |
$554.38 |
1.5× |
| Remove Nasal Foreign Body (30300) |
$125.05 |
$156.31 |
1.0× |
| Remove Shoulder Foreign Body (23330) |
$920.33 |
$1,150.41 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$370.49 |
$463.11 |
0.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$432.23 |
$540.28 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$271.68 |
$339.60 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$333.44 |
$416.80 |
0.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$246.99 |
$308.73 |
0.6× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$308.75 |
$385.93 |
0.8× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$555.72 |
$694.65 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$308.75 |
$385.93 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$321.09 |
$401.36 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$333.44 |
$416.80 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$345.79 |
$432.23 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$345.79 |
$432.23 |
0.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$308.75 |
$385.93 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$321.09 |
$401.36 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$333.44 |
$416.80 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$323.76 |
$404.70 |
0.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$323.76 |
$404.70 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$323.76 |
$404.70 |
0.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$509.95 |
$637.43 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$323.76 |
$404.70 |
0.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,480.68 |
$1,850.85 |
0.7× |
| Repair of nail bed (11760) |
$399.58 |
$499.47 |
0.6× |
| Repair Tendon Extensor Foot 1/2 Each Tendon (28208) |
$480.89 |
$601.11 |
0.2× |
| Repair tongue laceration (41252) |
$864.45 |
$1,080.56 |
3.8× |
| Repair tongue laceration (41250) |
$271.68 |
$339.60 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$411.93 |
$514.91 |
1.0× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$132.08 |
$165.09 |
1.0× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$411.93 |
$514.91 |
1.0× |
| Rplc Gtube No Revj Trc (43762) |
$490.80 |
$613.49 |
2.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$345.79 |
$432.23 |
1.8× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$358.13 |
$447.66 |
0.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$370.49 |
$463.11 |
1.6× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,038.69 |
$1,298.36 |
2.0× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$2,753.18 |
$3,441.47 |
1.8× |
| Sclerotx Fluid Collection (49185) |
$1,579.55 |
$1,974.43 |
1.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$137.23 |
$171.53 |
0.4× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$218.42 |
$273.02 |
1.1× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$416.64 |
$520.79 |
2.2× |
| Sialot Submndblr Sublngl/Prtd Uncomp Intraoral (42330) |
$617.48 |
$771.84 |
0.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$370.49 |
$463.11 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$308.75 |
$385.93 |
1.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$327.26 |
$409.07 |
1.7× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$575.81 |
$719.76 |
1.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$333.44 |
$416.80 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$246.99 |
$308.73 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$339.60 |
$424.49 |
1.8× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$284.04 |
$355.04 |
1.5× |
| Skin sub graft face/nk/hf/g (15275) |
$1,261.65 |
$1,577.06 |
1.8× |
| Skin sub graft trnk/arm/leg (15271) |
$1,261.65 |
$1,577.06 |
1.8× |
| Skin sub grft t/arm/lg child (15273) |
$4,061.12 |
$5,076.40 |
2.0× |
| Skn sub grft f/n/hf/g child (15277) |
$1,892.48 |
$2,365.60 |
1.0× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$265.51 |
$331.88 |
1.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$302.56 |
$378.20 |
0.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$321.09 |
$401.36 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$305.60 |
$382 |
0.5× |
| Strapping elbow or wrist (29260) |
$172.88 |
$216.10 |
3.0× |
| Strapping hand/finger (29280) |
$185.23 |
$231.53 |
3.3× |
| Strapping shoulder (29240) |
$222.28 |
$277.85 |
1.7× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,627.96 |
$3,284.94 |
1.7× |
| Thrombolytic Therapy Stroke (37195) |
$421.48 |
$526.85 |
1.3× |
| Thyroid biopsy (60100) |
$573.23 |
$716.53 |
0.8× |
| Tooth extraction (41899) |
$267.18 |
$333.97 |
1.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$930.04 |
$1,162.54 |
4.1× |
| Treat humerus fracture (24500) |
$425.75 |
$532.18 |
1.8× |
| Treat Humerus Fracture (24505) |
$2,901.50 |
$3,626.87 |
1.9× |
| Treat humerus fracture (23600) |
$299.60 |
$374.49 |
1.3× |
| Treat Knuckle Dislocation (26700) |
$331.60 |
$414.50 |
1.4× |
| Treat Metatarsal Fracture (28475) |
$372.77 |
$465.96 |
1.6× |
| Treat Tail Bone Fracture (27200) |
$299.60 |
$374.49 |
1.3× |
| Treat Thumb Fracture (26645) |
$232.14 |
$290.17 |
0.2× |
| Treat toe dislocation (28630) |
$375.07 |
$468.83 |
1.6× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,146.68 |
$1,433.35 |
0.7× |
| Treatment closed elbow dislocation w/o anes (24600) |
$375.07 |
$468.83 |
1.6× |
| Trim skin lesion (11055) |
$361.44 |
$451.79 |
1.9× |
| Trim skin lesions 2 to 4 (11056) |
$361.44 |
$451.79 |
1.9× |
| Trim skin lesions over 4 (11057) |
$361.44 |
$451.79 |
1.9× |
| Trimming Nondystrophic Nails Any Number (11719) |
$135.28 |
$169.10 |
2.4× |
| Tx Gastro Intub W/Asp (43753) |
$165.02 |
$206.27 |
0.8× |
| Tx open tendon flexor toe 1 tendon spx (28232) |
$1,821.69 |
$2,277.11 |
1.2× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$520.76 |
$650.95 |
0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$280.96 |
$351.20 |
0.2× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$232.14 |
$290.17 |
1.0× |
| Vaginal delivery only (59409) |
$2,286.92 |
$2,858.65 |
0.7× |
| Wedge excision skin nail fold (11765) |
$92.61 |
$115.76 |
0.2× |