| Abd paracentesis w/imaging (49083) |
$567.60 |
$946 |
0.7× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$143.40 |
$239 |
0.2× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$1,382.40 |
$2,304 |
0.7× |
Amniocentesis diagnostic (59000)
range across 2 matching MRF lines |
$60–$241.20 |
$100–$402 |
varies |
Anoscopy diagnostic (46600)
range across 3 matching MRF lines |
$39–$165 |
$65–$275 |
varies |
| Anterior colporraphy rpr cystocele w/cysto (57240) |
$1,325.40 |
$2,209 |
0.3× |
| Application cast elbow finger short arm (29075) |
$167.40 |
$279 |
0.6× |
| Application Cast Finger (29086) |
$143.40 |
$239 |
0.9× |
Application Finger Splint Dynamic (29131)
range across 2 matching MRF lines |
$86.40–$91.20 |
$144–$152 |
varies |
Application finger splint static (29130)
range across 2 matching MRF lines |
$71.40–$76.80 |
$119–$128 |
varies |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$153.60–$165 |
$256–$275 |
varies |
| Application Long Leg Splint (29505) |
$145.20 |
$242 |
0.9× |
Application Short Arm Splint Dynamic (29126)
range across 2 matching MRF lines |
$134.40–$145.20 |
$224–$242 |
varies |
Application short arm splint forearm-hand static (29125)
range across 2 matching MRF lines |
$113.40–$131.40 |
$189–$219 |
varies |
| Application short leg splint calf foot (29515) |
$131.40 |
$219 |
0.8× |
| Apply hand/wrist cast (29085) |
$179.40 |
$299 |
1.1× |
Arterial puncture (36600)
range across 2 matching MRF lines |
$59.40–$62.40 |
$99–$104 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$115.80 |
$193 |
0.4× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$146.40–$147 |
$244–$245 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$228.60 |
$381 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$106.20 |
$177 |
0.4× |
| Aspirate pleura w/ imaging (32555) |
$545.40 |
$909 |
0.9× |
| Aspirate Pleura W/O Imaging (32554) |
$399.60 |
$666 |
0.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$81 |
$135 |
0.3× |
| Aspiration bladder insert suprapubic catheter (51102) |
$434.40 |
$724 |
0.2× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$187.80 |
$313 |
1.0× |
Biopsy Vaginal Mucosa Extensive (57105)
range across 2 matching MRF lines |
$64.80–$259.20 |
$108–$432 |
varies |
Biopsy Vaginal Mucosa Simple (57100)
range across 2 matching MRF lines |
$42.60–$170.40 |
$71–$284 |
varies |
Biopsy Vulva/Perineum 1 Lesion Spx (56605)
range across 2 matching MRF lines |
$37.80–$153 |
$63–$255 |
varies |
| Bladder Irrigation (51700) |
$154.80 |
$258 |
0.6× |
| Bladder Scan (51798) |
$30.60 |
$51 |
0.5× |
Blepharotomy drainage abscess eyelid (67700)
range across 2 matching MRF lines |
$127.20–$508.80 |
$212–$848 |
varies |
Blood Transfusion Service (36430)
range across 2 matching MRF lines |
$295.80–$334.80 |
$493–$558 |
varies |
Bx Cervix (57500)
range across 2 matching MRF lines |
$60–$241.20 |
$100–$402 |
varies |
Cautery Cervix Cryocautery Initial/Repeat (57511)
range across 2 matching MRF lines |
$68.40–$275.40 |
$114–$459 |
varies |
Cautery Cervix Electro/Thermal (57510)
range across 2 matching MRF lines |
$241.20–$241.80 |
$402–$403 |
varies |
| Change Cystostomy Tube Simple (51705) |
$100.80 |
$168 |
0.4× |
| Change of Windpipe Airway (31502) |
$67.20 |
$112 |
0.3× |
| Chemical Cautery Tissue (17250) |
$68.40 |
$114 |
0.4× |
| Chest tube placement (32551) |
$468 |
$780 |
0.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$947.40 |
$1,579 |
0.6× |
| Clear outer ear canal (69200) |
$207 |
$345 |
1.6× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$828.60 |
$1,381 |
3.5× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$847.20 |
$1,412 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,005.60 |
$1,676 |
4.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$765 |
$1,275 |
3.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$909 |
$1,515 |
0.6× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$574.20 |
$957 |
2.4× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,199.40 |
$1,999 |
0.8× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$958.80 |
$1,598 |
4.0× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$924 |
$1,540 |
0.6× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$399.60 |
$666 |
1.7× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,056.60 |
$1,761 |
0.7× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$532.20 |
$887 |
0.4× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$504 |
$840 |
0.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$922.80 |
$1,538 |
3.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$723.60 |
$1,206 |
3.1× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$962.40 |
$1,604 |
0.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$479.40 |
$799 |
2.0× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$730.20 |
$1,217 |
0.5× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$481.20 |
$802 |
2.0× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$620.40 |
$1,034 |
0.4× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$427.20 |
$712 |
1.8× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$181.80 |
$303 |
0.8× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$792 |
$1,320 |
0.5× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$513.60 |
$856 |
2.3× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$694.20 |
$1,157 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$616.80 |
$1,028 |
2.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$414 |
$690 |
1.7× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$771 |
$1,285 |
0.5× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$574.80 |
$958 |
2.4× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$949.20 |
$1,582 |
0.6× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$703.80 |
$1,173 |
0.5× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$630 |
$1,050 |
2.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$813 |
$1,355 |
3.4× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$546 |
$910 |
2.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$622.20 |
$1,037 |
2.6× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$344.40 |
$574 |
1.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$553.80 |
$923 |
2.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,200.60 |
$2,001 |
0.8× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,314.60 |
$2,191 |
0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,530.60 |
$2,551 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$358.20 |
$597 |
1.5× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$303 |
$505 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$230.40 |
$384 |
1.0× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$952.20 |
$1,587 |
0.6× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,492.80 |
$2,488 |
1.0× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$346.80 |
$578 |
1.5× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$967.20 |
$1,612 |
0.6× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$215.40 |
$359 |
0.9× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$727.20 |
$1,212 |
2.7× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$512.40 |
$854 |
2.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$849.60 |
$1,416 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$610.20 |
$1,017 |
2.6× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$547.20 |
$912 |
2.3× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$789 |
$1,315 |
0.5× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$647.40 |
$1,079 |
2.7× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$351 |
$585 |
1.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,114.20 |
$1,857 |
0.7× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$766.20 |
$1,277 |
3.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$588.60 |
$981 |
0.4× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$727.20 |
$1,212 |
3.1× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$782.40 |
$1,304 |
3.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$189.60 |
$316 |
0.8× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$759 |
$1,265 |
0.5× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$762.60 |
$1,271 |
3.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$954 |
$1,590 |
0.6× |
| Collect Blood From Catheter Venous Nos (36592) |
$51 |
$85 |
0.4× |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$3–$13.80 |
$5–$23 |
varies |
| Colonoscopy w/ablation (45388) |
$1,218 |
$2,030 |
1.1× |
Colporrhaphy (57200)
range across 2 matching MRF lines |
$198–$793.80 |
$330–$1,323 |
varies |
Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454)
range across 2 matching MRF lines |
$72–$288.60 |
$120–$481 |
varies |
Colposcopy Cervix Endocervical Curettage (57456)
range across 2 matching MRF lines |
$61.20–$246 |
$102–$410 |
varies |
Colposcopy cervix upper/adjacent vagina (57452)
range across 2 matching MRF lines |
$63.60–$255.60 |
$106–$426 |
varies |
Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455)
range across 2 matching MRF lines |
$75–$301.80 |
$125–$503 |
varies |
Colposcopy cervix vag eltrd conization cervix (57461)
range across 2 matching MRF lines |
$135–$541.20 |
$225–$902 |
varies |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$1,807.20 |
$3,012 |
0.6× |
Colposcopy entire vagina w/cervix if present (57420)
range across 2 matching MRF lines |
$63–$252.60 |
$105–$421 |
varies |
| Combined anteroposterior colporrhaphy; (57260) |
$1,707.60 |
$2,846 |
0.4× |
| Complex drainage wound (10180) |
$472.80 |
$788 |
0.2× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$500.40 |
$834 |
0.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$361.80 |
$603 |
2.8× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$179.40 |
$299 |
1.4× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$448.20 |
$747 |
3.5× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$259.20 |
$432 |
1.1× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$55.20 |
$92 |
0.1× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$538.80 |
$898 |
0.8× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$299.40 |
$499 |
0.4× |
| Debride nail 1-5 (11720) |
$28.20 |
$47 |
0.5× |
| Debride nail 6 or more (11721) |
$48 |
$80 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$223.20 |
$372 |
0.6× |
| Declot vascular device (36593) |
$60.60 |
$101 |
0.2× |
Destruction Lesions Vulva Extensive (56515)
range across 2 matching MRF lines |
$109.80–$439.80 |
$183–$733 |
varies |
| Destruction Lesions Vulva Simple (56501) |
$250.80 |
$418 |
0.1× |
| Destruction premalignant lesion 1st (17000) |
$160.20 |
$267 |
0.8× |
Destruction Vaginal Lesions Extensive (57065)
range across 2 matching MRF lines |
$107.40–$429.60 |
$179–$716 |
varies |
Diaphragm or cervical cap fitting with instructions (57170)
range across 2 matching MRF lines |
$27–$108.60 |
$45–$181 |
varies |
| Dilate Urethra Stricture (53620) |
$169.20 |
$282 |
0.3× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$448.20 |
$747 |
0.1× |
| Dilation And Curettage Of Cervical Stump (57558) |
$236.40 |
$394 |
0.1× |
| Dilation Cervical Canal (57800) |
$136.80 |
$228 |
0.0× |
| Drain Cerebro Spinal Fluid (62272) |
$304.80 |
$508 |
0.4× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$222.60 |
$371 |
0.4× |
| Drainage external auditory canal abscess (69020) |
$268.20 |
$447 |
0.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$327.60 |
$546 |
0.5× |
| Drainage Finger Abscess Complicated (26011) |
$117.60 |
$196 |
0.1× |
| Drainage Mouth Roof Lesion (42000) |
$196.80 |
$328 |
0.9× |
| Drainage of finger abscess simple (26010) |
$494.40 |
$824 |
2.6× |
| Drainage of gum lesion (41800) |
$465 |
$775 |
3.6× |
| Drainage of hematoma/fluid (10140) |
$324.60 |
$541 |
0.2× |
| Drainage of hydrocele (55000) |
$217.20 |
$362 |
0.3× |
| Drainage of nose lesion (30000) |
$222.60 |
$371 |
1.0× |
| Drainage of rectal abscess (45020) |
$1,033.20 |
$1,722 |
0.4× |
| Drainage of rectal abscess (45005) |
$516 |
$860 |
0.4× |
| Drainage of scrotal wall abscess (55100) |
$322.20 |
$537 |
0.2× |
| Drainage of scrotum (54700) |
$423.60 |
$706 |
0.2× |
| Drainage Ovarian Cyst Uni/Bi Spx Vaginal Appr (58800) |
$1,246.20 |
$2,077 |
0.4× |
| Draw Blood Off Venous Device (36591) |
$46.20 |
$77 |
0.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$430.80 |
$718 |
0.8× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$430.80 |
$718 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$259.20 |
$432 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$298.20 |
$497 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$162.60 |
$271 |
0.8× |
| Dx Laryngoscopy Excl Nb (31525) |
$304.80 |
$508 |
0.2× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$492 |
$820 |
0.7× |
| Egd Flexible Foreign Body Removal (43247) |
$349.80 |
$583 |
0.4× |
Endocervical curettage (57505)
range across 2 matching MRF lines |
$48–$193.20 |
$80–$322 |
varies |
Endometrial Biopsy (58100)
range across 2 matching MRF lines |
$51.60–$207 |
$86–$345 |
varies |
| Endometrial cryoablation with ultrasonic guidance, including endometrial curettage, when performed Facility (58356) |
$3,543 |
$5,905 |
0.7× |
| Epidural Blood Patch (62273) |
$182.40 |
$304 |
0.3× |
Evacuate mole of uterus (59870)
range across 2 matching MRF lines |
$211.20–$846 |
$352–$1,410 |
varies |
| Evacuation of subungual hematoma (11740) |
$91.20 |
$152 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$152.40 |
$254 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$257.40 |
$429 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$153 |
$255 |
0.1× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$361.20 |
$602 |
0.3× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$216.60 |
$361 |
0.3× |
| Excision of bartholin's gland or cyst (56740) |
$603 |
$1,005 |
0.2× |
| Excision of vaginal cyst or tumor (57135) |
$382.80 |
$638 |
0.1× |
Excision Thyroglossal Duct Cyst/Sinus (60280)
likely a partial charge, not the full procedure |
$898.80 |
$1,498 |
0.2× |
| Expl penetrating wound spx abdomen/flank/back (20102) |
$493.80 |
$823 |
0.2× |
| Explo/Drain Breast Abscess (19020) |
$882.60 |
$1,471 |
0.6× |
| Exploration penetrating wound spx extremity (20103) |
$1,077 |
$1,795 |
0.7× |
| External cephalic version (59412) |
$409.80 |
$683 |
0.1× |
| Fetal non-stress test (59025) |
$93 |
$155 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$133.20 |
$222 |
0.3× |
| Hysteroscopy Biopsy (58558) |
$2,577.60 |
$4,296 |
0.8× |
| Hysteroscopy Dx Sep Proc (58555) |
$808.80 |
$1,348 |
0.3× |
| Hysteroscopy Endometrial Ablation (58563) |
$3,008.40 |
$5,014 |
0.6× |
| I&d abscess peritonsillar (42700) |
$259.20 |
$432 |
1.1× |
| I&d abscess simple (10060) |
$217.80 |
$363 |
1.1× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$969.60 |
$1,616 |
0.3× |
| I&d perianal abscess superficial (46050) |
$379.80 |
$633 |
0.4× |
| I&d pilonidal cyst complicated (10081) |
$325.80 |
$543 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$332.40 |
$554 |
0.5× |
| Incise external hemorrhoid (46083) |
$337.80 |
$563 |
1.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$402 |
$670 |
1.0× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,043.40 |
$1,739 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$348.60 |
$581 |
0.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$283.80 |
$473 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$232.80 |
$388 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$208.20 |
$347 |
0.7× |
| Incision of rectal abscess (46040) |
$964.20 |
$1,607 |
0.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$307.20 |
$512 |
0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$135 |
$225 |
0.7× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$410.40 |
$684 |
0.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$304.80 |
$508 |
0.4× |
| Injection Aa&/Strd Brach Plex Cont Nfs Cath Img (64416) |
$445.20 |
$742 |
0.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$304.80 |
$508 |
0.4× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$239.40 |
$399 |
0.4× |
| Injection Aa&/Strd Sciatic Nrv Cont Nfs Cath Img (64446) |
$410.40 |
$684 |
0.5× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$285.60 |
$476 |
1.0× |
Injection single tendon origin/insertion (20551)
range across 3 matching MRF lines |
$28.20–$120.60 |
$47–$201 |
varies |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 2 matching MRF lines |
$110.40–$115.20 |
$184–$192 |
varies |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
$115.20–$121.20 |
$192–$202 |
varies |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$273.60 |
$456 |
0.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$239.40 |
$399 |
0.4× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$171.60 |
$286 |
0.3× |
Injection, intralesional; up to and including 7 lesions (11900)
range across 2 matching MRF lines |
$25.80–$105 |
$43–$175 |
varies |
| Injx/Infus Neurolyt Sbst Epidural Lumbar/Sacral (62282) |
$364.80 |
$608 |
0.4× |
| Injx/Infus Neurolyt Subst Epidural Cerv/Thoracic (62281) |
$388.20 |
$647 |
0.5× |
Insert Bladder Cath Complex (51703)
range across 2 matching MRF lines |
$149.40–$239.40 |
$249–$399 |
varies |
Insert cervical dilator (59200)
range across 2 matching MRF lines |
$34.20–$138 |
$57–$230 |
varies |
Insert non-tunnel cv cath (36556)
range across 2 matching MRF lines |
$344.40–$833.40 |
$574–$1,389 |
varies |
Insert pessary/other device (57160)
range across 2 matching MRF lines |
$57–$228 |
$95–$380 |
varies |
| Insert Temp Bladder Cath (51702) |
$139.80 |
$233 |
1.1× |
| Insert tunneled cv cath (36561) |
$1,938 |
$3,230 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$103.80 |
$173 |
0.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$402 |
$670 |
0.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$748.80 |
$1,248 |
0.5× |
| Insj Prph Ctr Vad W/Subq Port Under 5 Yr (36570) |
$456.60 |
$761 |
0.2× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$469.80 |
$783 |
0.3× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$1,274.40 |
$2,124 |
0.4× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$849 |
$1,415 |
2.2× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$740.40 |
$1,234 |
1.9× |
Intubation endotracheal emergency procedure (31500)
range across 2 matching MRF lines |
$262.80–$275.40 |
$438–$459 |
varies |
| Irrigation of corpora cavernosa for priapism (54220) |
$440.40 |
$734 |
1.8× |
Laparoscopic myomectomy (58545)
unusually low: confirm this is the full procedure |
$1,845 |
$3,075 |
0.3× |
Laparoscopy Enterolysis Separate Procedure (44180)
unusually low: confirm this is the full procedure |
$1,773 |
$2,955 |
0.3× |
Laparoscopy fulguration oviducts (58670)
likely a partial charge, not the full procedure |
$1,463.40 |
$2,439 |
0.3× |
Laparoscopy w/rmvl adnexal structures (58661)
unusually low: confirm this is the full procedure |
$2,154.60 |
$3,591 |
0.4× |
Laparoscopy, surgical, with total hysterectomy, for uterus 250 g or less; (58570)
likely a partial charge, not the full procedure |
$1,968.60 |
$3,281 |
0.2× |
Laparoscopy, Tubal Block (58671)
likely a partial charge, not the full procedure |
$723 |
$1,205 |
0.1× |
Laps fulg/exc ovary viscera/peritoneal surface (58662)
likely a partial charge, not the full procedure |
$1,370.40 |
$2,284 |
0.2× |
Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150)
likely a partial charge, not the full procedure |
$1,454.40 |
$2,424 |
0.3× |
| Laryngoscopy diagnostic (31505) |
$93 |
$155 |
0.5× |
| Laryngoscopy flexible diagnostic (31575) |
$127.20 |
$212 |
0.7× |
| Ligj Divj &/Excj Varicose Vein Cluster 1 Leg (37785) |
$718.20 |
$1,197 |
0.2× |
Marsupialization of bartholin's gland cyst (56440)
range across 2 matching MRF lines |
$153.60–$616.20 |
$256–$1,027 |
varies |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$171.60 |
$286 |
0.3× |
| N block inj intercost sng (64420) |
$190.20 |
$317 |
0.3× |
N Block Inj Paracervical (64435)
range across 2 matching MRF lines |
$54.60–$219.60 |
$91–$366 |
varies |
| Nasal/Orogastric W/Tube Plmt (43752) |
$159 |
$265 |
0.4× |
| Nipple Exploration (19110) |
$915.60 |
$1,526 |
0.2× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$258 |
$430 |
0.9× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$327 |
$545 |
0.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$472.80 |
$788 |
0.7× |
| Occipital Nerve Block (64405) |
$193.20 |
$322 |
0.7× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$961.80 |
$1,603 |
0.3× |
| Open tx interphalangeal joint dislocation (26785) |
$1,028.40 |
$1,714 |
0.3× |
| Partial hymenectomy or revision of hymenal ring (56700) |
$344.40 |
$574 |
0.1× |
| Penile Injection (54235) |
$142.20 |
$237 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$118.80 |
$198 |
0.3× |
| Posterior colporrhaphy, repair of rectocele with or without perineorrhaphy (57250) |
$1,188 |
$1,980 |
0.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$246 |
$410 |
0.6× |
| Removal Embedded Foreign Body Eyelid (67938) |
$222.60 |
$371 |
0.7× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$482.40 |
$804 |
0.7× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$381.60 |
$636 |
0.2× |
| Removal Foreign Body Scrotum (55120) |
$686.40 |
$1,144 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$27.60 |
$46 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$92.40 |
$154 |
1.6× |
Removal impacted vag fb spx w/anes oth/thn local (57415)
range across 2 matching MRF lines |
$86.40–$347.40 |
$144–$579 |
varies |
| Removal implantable contraceptive capsules (11976) |
$177.60 |
$296 |
0.3× |
| Removal of foreign body from pharynx (42809) |
$233.40 |
$389 |
0.5× |
| Removal of nail bed (11750) |
$190.80 |
$318 |
0.5× |
| Removal or bivalving full arm or full leg cast (29705) |
$90 |
$150 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$141.60 |
$236 |
0.7× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$129.60 |
$216 |
0.5× |
Remove cerclage suture (59871)
range across 2 matching MRF lines |
$61.20–$246 |
$102–$410 |
varies |
| Remove foreign body from eye (65205) |
$103.80 |
$173 |
0.8× |
Remove Intrauterine Device (58301)
range across 2 matching MRF lines |
$45–$181.20 |
$75–$302 |
varies |
| Remove Nasal Foreign Body (30300) |
$430.20 |
$717 |
3.4× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$826.80 |
$1,378 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,110.60 |
$1,851 |
1.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$709.80 |
$1,183 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,148.40 |
$1,914 |
2.9× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$456.60 |
$761 |
1.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$873 |
$1,455 |
2.2× |
Repair complex trunk 1.1-2.5 cm (13100)
range across 2 matching MRF lines |
$397.80–$488.40 |
$663–$814 |
varies |
| Repair complex trunk 2.6-7.5 cm (13101) |
$488.40 |
$814 |
0.7× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$528.60 |
$881 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$603.60 |
$1,006 |
1.5× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$666.60 |
$1,111 |
1.7× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$706.20 |
$1,177 |
1.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$831 |
$1,385 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$727.20 |
$1,212 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$499.80 |
$833 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$573.60 |
$956 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$677.40 |
$1,129 |
1.0× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$670.20 |
$1,117 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$729 |
$1,215 |
1.9× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$480 |
$800 |
1.2× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$602.40 |
$1,004 |
1.5× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$797.40 |
$1,329 |
1.1× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$601.20 |
$1,002 |
1.5× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$633.60 |
$1,056 |
0.3× |
| Repair of nail bed (11760) |
$418.80 |
$698 |
0.6× |
| Repair tongue laceration (41252) |
$408.60 |
$681 |
1.8× |
| Repair tongue laceration (41250) |
$298.80 |
$498 |
0.7× |
| Replace g/c tube perc (49450) |
$1,342.80 |
$2,238 |
1.5× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$110.40 |
$184 |
0.3× |
Rmvl fb xtrnl eye corneal w/slit lamp (65222)
range across 3 matching MRF lines |
$32.40–$138 |
$54–$230 |
varies |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$117.60 |
$196 |
0.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$439.20 |
$732 |
0.4× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$924 |
$1,540 |
0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$262.80 |
$438 |
0.2× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$571.80 |
$953 |
0.4× |
| Rplc Gtube No Revj Trc (43762) |
$460.80 |
$768 |
1.9× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$344.40 |
$574 |
0.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$357 |
$595 |
1.9× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$600.60 |
$1,001 |
0.8× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$482.40 |
$804 |
2.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$625.80 |
$1,043 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$75 |
$125 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$446.40 |
$744 |
1.1× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$228.60 |
$381 |
1.2× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$245.40 |
$409 |
1.3× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$294 |
$490 |
0.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$292.20 |
$487 |
1.5× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$332.40 |
$554 |
1.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$191.40 |
$319 |
1.0× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$517.20 |
$862 |
2.7× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$265.80 |
$443 |
1.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$224.40 |
$374 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$365.40 |
$609 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$454.80 |
$758 |
1.2× |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
$288.60–$303 |
$481–$505 |
varies |
| Strapping hand/finger (29280) |
$88.80 |
$148 |
1.6× |
| Strapping shoulder (29240) |
$99 |
$165 |
0.8× |
| Strapping toes (29550) |
$22.20 |
$37 |
0.4× |
| Strapping Unna Boot (29580) |
$90 |
$150 |
0.6× |
Subcutaneous injection filling matrl 1.1-5.0 cc (11951)
range across 2 matching MRF lines |
$46.80–$189 |
$78–$315 |
varies |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$610.80 |
$1,018 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$560.40 |
$934 |
1.8× |
| Trachelorrhaphy Plstc Rpr Uterine Cervix Vag (57720) |
$675.60 |
$1,126 |
0.2× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$442.20 |
$737 |
1.9× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$620.40 |
$1,034 |
0.4× |
| Treat Humerus Fracture (24505) |
$858 |
$1,430 |
0.6× |
| Treat Knuckle Dislocation (26700) |
$624 |
$1,040 |
2.6× |
| Treat Metatarsal Fracture (28475) |
$495 |
$825 |
2.1× |
| Treat Thumb Dislocation (26641) |
$690 |
$1,150 |
2.9× |
| Treat Thumb Fracture (26645) |
$807 |
$1,345 |
0.5× |
| Treat toe dislocation (28630) |
$210.60 |
$351 |
0.9× |
| Treat Vaginal Bleeding (57180) |
$258.60 |
$431 |
1.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$905.40 |
$1,509 |
0.6× |
| Treatment closed elbow dislocation w/o anes (24600) |
$691.80 |
$1,153 |
2.9× |
| Trim skin lesion (11055) |
$31.20 |
$52 |
0.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$14.40 |
$24 |
0.3× |
| Tubal ligation (58600) |
$1,353 |
$2,255 |
0.4× |
| Tx Gastro Intub W/Asp (43753) |
$42 |
$70 |
0.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$609.60 |
$1,016 |
0.2× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$781.80 |
$1,303 |
0.3× |
Tx Missed Abortion Second Trimester Surgical (59821)
range across 2 matching MRF lines |
$212.40–$849.60 |
$354–$1,416 |
varies |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$528.60 |
$881 |
0.7× |
| Umbilectomy, omphalectomy, excision of umbilicus (separate procedure) Facility (49250) |
$1,089 |
$1,815 |
0.3× |
| Unlisted Procedure Intestine (44799) |
$540 |
$900 |
0.6× |
| Unlisted procedure nervous system (64999) |
$171.60 |
$286 |
0.6× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$473.40 |
$789 |
0.2× |
Vaginal delivery only (59409)
range across 3 matching MRF lines |
$302.40–$1,324.80 |
$504–$2,208 |
varies |
| Vaginal hysterectomy, for uterus 250 g or less; (58260) |
$1,583.40 |
$2,639 |
0.3× |
| Vulvectomy simple partial (56620) |
$895.20 |
$1,492 |
0.3× |
| Wedge excision skin nail fold (11765) |
$316.20 |
$527 |
0.8× |