| Application cast elbow finger short arm (29075) |
$261 |
$326 |
0.9× |
Application finger splint static (29130) range across 3 matching MRF lines |
$129–$192 |
$161–$240 |
varies |
Application long arm splint shoulder hand (29105) range across 3 matching MRF lines |
$215–$256 |
$269–$320 |
varies |
| Application Long Leg Splint (29505) |
$203 |
$254 |
1.2× |
Application short arm splint forearm-hand static (29125) range across 3 matching MRF lines |
$124–$253 |
$155–$316 |
varies |
| Application short leg splint calf foot (29515) |
$242 |
$303 |
1.4× |
| Apply long arm cast (29065) |
$342 |
$428 |
1.2× |
Apply Multlay Comprs Lwr Leg (29581) range across 2 matching MRF lines |
$285–$320 |
$356–$400 |
varies |
| Arterial puncture (36600) |
$80 |
$100 |
0.6× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$146–$201 |
$182–$251 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 4 matching MRF lines |
$170–$618 |
$212–$773 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$139–$150 |
$174–$187 |
varies |
Aspirate/Inj Ganglion Cyst (20612) range across 2 matching MRF lines |
$130–$342 |
$163–$428 |
varies |
| Aspiration bladder insert suprapubic catheter (51102) |
$262 |
$328 |
0.1× |
Avulsion nail plate partial/complete simple 1 (11730) range across 2 matching MRF lines |
$190–$230 |
$238–$287 |
varies |
| Biopsy of breast; open, incisional (19101) |
$1,061 |
$1,326 |
0.3× |
| Bladder Scan (51798) |
$151 |
$189 |
2.5× |
Blood Transfusion Service (36430) range across 2 matching MRF lines |
$150–$1,064 |
$187–$1,330 |
varies |
| Change Cystostomy Tube Simple (51705) |
$279 |
$349 |
1.1× |
| Change of Windpipe Airway (31502) |
$780 |
$975 |
3.2× |
| Chemical Cautery Tissue (17250) |
$118 |
$147 |
0.6× |
| Chemodenerv Musc Migraine (64615) |
$463 |
$579 |
1.5× |
Clear outer ear canal (69200) range across 2 matching MRF lines |
$196–$233 |
$245–$291 |
varies |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$658 |
$822 |
2.6× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$683 |
$854 |
2.7× |
Cltx metacarpal fx w/o manipulation each bone (26600) range across 2 matching MRF lines |
$528–$544 |
$660–$680 |
varies |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$574 |
$718 |
2.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$326 |
$408 |
1.3× |
Cltx tibial fx proximal w/o manipulation (27530) range across 2 matching MRF lines |
$818–$843 |
$1,023–$1,054 |
varies |
Cltx tibial shaft fx w/o manipulation (27750) range across 2 matching MRF lines |
$605–$623 |
$756–$779 |
varies |
Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$24–$48 |
$30–$60 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$257 |
$321 |
1.9× |
Control Nasal Hemorrhage Anterior Simple (30901) range across 4 matching MRF lines |
$209–$267 |
$261–$334 |
varies |
| Create Eardrum Opening (69433) |
$554 |
$693 |
1.0× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 4 matching MRF lines |
$222–$881 |
$277–$1,101 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$161 |
$201 |
0.8× |
Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) range across 2 matching MRF lines |
$518–$533 |
$647–$666 |
varies |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$244 |
$305 |
1.2× |
Destruction premalignant lesion 1st (17000) range across 3 matching MRF lines |
$139–$187 |
$174–$234 |
varies |
Drainage of gum lesion (41800) range across 2 matching MRF lines |
$271–$279 |
$339–$349 |
varies |
| Drainage of hematoma/fluid (10140) |
$287 |
$359 |
0.2× |
| Drainage of nose lesion (30000) |
$290 |
$362 |
1.2× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 3 matching MRF lines |
$214–$225 |
$268–$281 |
varies |
| Evacuation of subungual hematoma (11740) |
$84 |
$105 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$212 |
$265 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$452 |
$565 |
0.3× |
| Exc Back Les Sc < 3 Cm (21930) |
$1,242 |
$1,552 |
0.7× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$718 |
$898 |
1.0× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$985 |
$1,231 |
1.3× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$1,410 |
$1,763 |
0.8× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$307 |
$384 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$361 |
$451 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$1,795 |
$2,244 |
1.0× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$290 |
$362 |
0.4× |
Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) range across 2 matching MRF lines |
$492–$1,853 |
$615–$2,316 |
varies |
| Exc Tumor Soft Tiss Face&Scalp Subfascial 2+Cm (21014) |
$1,634 |
$2,042 |
0.5× |
| Exc tumor soft tiss face&scalp subfascial < 2cm (21013) |
$1,977 |
$2,471 |
1.2× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$1,368 |
$1,710 |
0.8× |
| Excis Mouth Mucosa/Sub,Simpl Repair (40812) |
$2,447 |
$3,059 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$333 |
$416 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$599 |
$749 |
0.8× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$2,896 |
$3,620 |
1.0× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$426 |
$532 |
0.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,464 |
$3,080 |
1.4× |
| Excision soft tissue lesion, external auditory canal (69145) |
$2,471 |
$3,089 |
0.8× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,467 |
$1,834 |
0.9× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$1,702 |
$2,127 |
1.0× |
I&d abscess simple (10060) range across 4 matching MRF lines |
$234–$309 |
$292–$386 |
varies |
| I&d pilonidal cyst simple (10080) |
$298 |
$373 |
0.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$394 |
$492 |
0.9× |
Incision & removal foreign body subq tiss simple (10120) range across 2 matching MRF lines |
$248–$615 |
$310–$769 |
varies |
| Incision of eardrum (69420) |
$326 |
$407 |
1.3× |
| Incision of lingual frenum (frenotomy) (41010) |
$371 |
$464 |
0.2× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$510 |
$637 |
0.6× |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 2 matching MRF lines |
$140–$201 |
$175–$251 |
varies |
| Injection single tendon origin/insertion (20551) |
$134 |
$168 |
0.4× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$130 |
$163 |
0.4× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$590 |
$737 |
1.9× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$342 |
$427 |
0.4× |
| Insert Bladder Cath Complex (51703) |
$296 |
$370 |
2.2× |
| Insert Temp Bladder Cath (51702) |
$189 |
$236 |
1.4× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$199 |
$249 |
1.4× |
| Intubation endotracheal emergency procedure (31500) |
$702 |
$877 |
2.9× |
Laryngoscopy flexible diagnostic (31575) range across 2 matching MRF lines |
$296–$308 |
$370–$385 |
varies |
| Nasal Endoscopy Dx (31231) |
$315 |
$394 |
1.5× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$454 |
$567 |
1.1× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$466 |
$582 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,281 |
$1,601 |
1.7× |
Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) range across 3 matching MRF lines |
$535–$2,215 |
$669–$2,769 |
varies |
Punch biopsy skin single lesion (11104) range across 2 matching MRF lines |
$118–$293 |
$147–$366 |
varies |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$198 |
$248 |
0.5× |
| Removal foreign body foot deep (28192) |
$2,205 |
$2,756 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$522 |
$652 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$1,379 |
$1,724 |
0.8× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$46 |
$57 |
0.8× |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) range across 3 matching MRF lines |
$99–$129 |
$124–$161 |
varies |
| Removal of nail bed (11750) |
$395 |
$494 |
0.9× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$152 |
$190 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$192 |
$240 |
0.7× |
| Remove drug implant device (11982) |
$234 |
$292 |
0.5× |
| Remove Intrauterine Device (58301) |
$126 |
$157 |
0.4× |
| Remove Nasal Foreign Body (30300) |
$194 |
$242 |
1.4× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$675 |
$844 |
0.9× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$836 |
$1,045 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$811 |
$1,014 |
1.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$608 |
$760 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$525 |
$656 |
1.2× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,187 |
$1,484 |
2.8× |
Repair intermediate s/a/t/e 2.6-7.5 cm (12032) range across 2 matching MRF lines |
$462–$662 |
$577–$827 |
varies |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$822 |
$1,028 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$703 |
$879 |
1.7× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$230 |
$288 |
0.5× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,632 |
$2,040 |
1.0× |
| Shave skin lesion 0.5 cm/< (11300) |
$154 |
$192 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$190 |
$237 |
0.9× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$250 |
$313 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$134 |
$167 |
0.6× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$166 |
$207 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$232 |
$290 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$222 |
$278 |
1.1× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$211 |
$264 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$190 |
$237 |
0.9× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$224 |
$280 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$225 |
$281 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$214 |
$268 |
1.0× |
Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) range across 2 matching MRF lines |
$250–$374 |
$313–$468 |
varies |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$284 |
$355 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$428 |
$535 |
2.1× |
| Skin sub graft face/nk/hf/g (15275) |
$266 |
$332 |
0.3× |
| Skin sub graft trnk/arm/leg (15271) |
$1,290 |
$1,612 |
1.7× |
| Skin sub grft t/arm/lg child (15273) |
$3,304 |
$4,130 |
1.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$307 |
$384 |
1.5× |
Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) range across 2 matching MRF lines |
$187–$440 |
$234–$550 |
varies |
| Strapping Unna Boot (29580) |
$107 |
$134 |
0.6× |
| Tangential biopsy skin single lesion (11102) |
$188 |
$235 |
0.4× |
Trim skin lesion (11055) range across 3 matching MRF lines |
$82–$249 |
$103–$311 |
varies |
| Trim skin lesions 2 to 4 (11056) |
$127 |
$159 |
0.6× |
| Trimming Nondystrophic Nails Any Number (11719) |
$44 |
$55 |
0.7× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$640 |
$800 |
2.5× |
| Wedge excision skin nail fold (11765) |
$387 |
$484 |
0.9× |