| Abd paracentesis w/imaging (49083) |
$2,042.40 |
$2,553 |
2.3× |
| Abltj Soft Tis Inferior Turbinates Uni/Bi Supfc (30801) |
$2,740 |
$3,425 |
1.8× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$1,436 |
$1,795 |
0.5× |
| Anoscopy diagnostic (46600) |
$210.40 |
$263 |
1.6× |
| Application cast elbow finger short arm (29075) |
$225.60 |
$282 |
0.8× |
| Application finger splint static (29130) |
$94.40 |
$118 |
0.7× |
| Application long arm splint shoulder hand (29105) |
$184.80 |
$231 |
1.2× |
| Application Long Leg Splint (29505) |
$184.80 |
$231 |
1.2× |
| Application of rigid total contact leg cast (29445) |
$336 |
$420 |
1.2× |
| Application short arm splint forearm-hand static (29125) |
$143.20 |
$179 |
1.1× |
| Application short leg splint calf foot (29515) |
$184.80 |
$231 |
1.2× |
| Apply long arm cast (29065) |
$241.60 |
$302 |
0.9× |
| Apply Multlay Comprs Lwr Leg (29581) |
$184.80 |
$231 |
1.2× |
| Apply Short Leg Cast (29405) |
$260.80 |
$326 |
1.0× |
| Arterial puncture (36600) |
$204.80 |
$256 |
1.6× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$430.40 |
$538 |
1.4× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$717.60–$1,076 |
$897–$1,345 |
varies |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$391.20 |
$489 |
1.3× |
| Arthrt expl drg/rmvl loose/fb mtcarphlngl jt ea (26075) |
$1,740 |
$2,175 |
0.5× |
| Aspirate pleura w/ imaging (32555) |
$1,044 |
$1,305 |
1.7× |
| Aspirate Pleura W/O Imaging (32554) |
$696.80 |
$871 |
1.1× |
| Aspiration bladder insert suprapubic catheter (51102) |
$1,304.80 |
$1,631 |
0.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$173.60 |
$217 |
0.9× |
| Biopsy external ear (69100) |
$608.80 |
$761 |
2.6× |
| Biopsy of penis (54100) |
$608.80 |
$761 |
0.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$902.40 |
$1,128 |
1.3× |
| Bladder Irrigation (51700) |
$287.20 |
$359 |
1.2× |
| Bladder Scan (51798) |
$348 |
$435 |
6.1× |
| Blood Transfusion Service (36430) |
$609.60 |
$762 |
1.4× |
| Bx breast 1st lesion us imag (19083) |
$2,568 |
$3,210 |
1.6× |
| Catheter aspiration nasotracheal spx (31720) |
$143.20 |
$179 |
0.7× |
| Change Cystostomy Tube Simple (51705) |
$633.60 |
$792 |
2.6× |
| Chemical Cautery Tissue (17250) |
$348 |
$435 |
1.8× |
| Chest tube placement (32551) |
$910.40 |
$1,138 |
0.6× |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$2,027.20 |
$2,534 |
1.0× |
| Circumcision 28 days or older (54161) |
$1,304.80 |
$1,631 |
0.6× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$3,914.40 |
$4,893 |
2.5× |
| Clear outer ear canal (69200) |
$260.80 |
$326 |
2.0× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,111.20 |
$2,639 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$840.80 |
$1,051 |
3.5× |
| Closed Treatment Sesamoid Fracture (28530) |
$696 |
$870 |
2.9× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$664 |
$830 |
2.8× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$869.60 |
$1,087 |
3.6× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,722.40 |
$2,153 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$802.40 |
$1,003 |
3.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$348 |
$435 |
1.5× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$869.60 |
$1,087 |
3.6× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$869.60 |
$1,087 |
3.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$330.40 |
$413 |
1.4× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,565.60 |
$1,957 |
6.5× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,024.80 |
$1,281 |
2.0× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$696 |
$870 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$435.20 |
$544 |
1.8× |
| Clsr Lacrimal Punctum Plug Each (68761) |
$348 |
$435 |
1.1× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,476 |
$1,845 |
0.9× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$615.20 |
$769 |
0.4× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,740 |
$2,175 |
1.1× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$173.60 |
$217 |
0.7× |
| Cltx Carpo/Mtcrpl Dislc Thumb Manj Ea Jt W/Anes (26675) |
$1,435.20 |
$1,794 |
0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,230.40 |
$1,538 |
5.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,435.20 |
$1,794 |
0.9× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,480 |
$4,350 |
2.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$594.40 |
$743 |
2.5× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$652.80 |
$816 |
2.7× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$521.60 |
$652 |
2.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$3,362.40 |
$4,203 |
2.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$956.80 |
$1,196 |
4.0× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$521.60 |
$652 |
2.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$164 |
$205 |
0.7× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,956 |
$3,695 |
1.9× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,304.80 |
$1,631 |
5.4× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,804 |
$2,255 |
7.5× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$1,740 |
$2,175 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,479.20 |
$1,849 |
6.2× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$2,175.20 |
$2,719 |
9.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,168.80 |
$1,461 |
4.9× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$869.60 |
$1,087 |
3.6× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$2,609.60 |
$3,262 |
10.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,008.80 |
$2,511 |
1.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$87.20 |
$109 |
0.7× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$422.40 |
$528 |
3.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$296 |
$370 |
2.3× |
| Control oropharyngeal hemorrhage simple (42960) |
$869.60 |
$1,087 |
1.7× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$696 |
$870 |
5.4× |
| Cysto w/destruction of lesions (52214) |
$1,141.60 |
$1,427 |
0.3× |
| Cysto w/insert ureteral stent (52332) |
$2,609.60 |
$3,262 |
0.8× |
| Cysto w/irrig & evac multple obstructing clots (52001) |
$1,217.60 |
$1,522 |
0.4× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$2,272 |
$2,840 |
1.1× |
| Cystourethroscopy (52000) |
$1,750.40 |
$2,188 |
2.6× |
| Cystourethroscopy inj chemodenervation bladder (52287) |
$2,978.40 |
$3,723 |
1.5× |
| Cystourethroscopy W/Dest &/Rmvl Med Bladder Tum (52235) |
$1,740 |
$2,175 |
0.5× |
| Cystourethroscopy with biopsy (52204) |
$2,272 |
$2,840 |
1.1× |
| Cystourethroscopy, with internal urethrotomy; female Facility (52270) |
$1,740 |
$2,175 |
0.9× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$260.80 |
$326 |
0.7× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$435.20 |
$544 |
0.6× |
| Debride nail 1-5 (11720) |
$43.20 |
$54 |
0.8× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$287.20 |
$359 |
0.7× |
| Destr penis lesion(s) (54065) |
$1,131.20 |
$1,414 |
0.6× |
| Destroy cerv/thor facet jnt (64633) |
$3,828 |
$4,785 |
2.0× |
| Destroy lumb/sac facet jnt (64635) |
$3,740.80 |
$4,676 |
2.0× |
| Destruction by neurolytic agent; plantar common digital nerve (64632) |
$499.20 |
$624 |
1.7× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$260.80 |
$326 |
1.3× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$348 |
$435 |
1.8× |
| Destruction premalignant lesion 1st (17000) |
$159.20 |
$199 |
0.8× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$445.60 |
$557 |
3.6× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$521.60 |
$652 |
0.8× |
| Drainage Mouth Roof Lesion (42000) |
$553.60 |
$692 |
2.4× |
| Drainage of finger abscess simple (26010) |
$574.40 |
$718 |
2.9× |
| Drainage of gum lesion (41800) |
$130.40 |
$163 |
1.0× |
| Drainage of hematoma/fluid (10140) |
$758.40 |
$948 |
0.5× |
| Drainage of hydrocele (55000) |
$391.20 |
$489 |
0.6× |
| Draw Blood Off Venous Device (36591) |
$87.20 |
$109 |
0.7× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$521.60 |
$652 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$217.60 |
$272 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$135.20 |
$169 |
0.7× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$348 |
$435 |
0.9× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,470.40 |
$3,088 |
2.9× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$956.80 |
$1,196 |
1.4× |
| Electro-Uroflowmetry First (51741) |
$696 |
$870 |
3.3× |
| Endometrial Biopsy (58100) |
$696 |
$870 |
3.5× |
| Epidural Blood Patch (62273) |
$1,740 |
$2,175 |
2.5× |
| Evacuation of subungual hematoma (11740) |
$87.20 |
$109 |
0.7× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$1,131.20 |
$1,414 |
1.6× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$1,722.40 |
$2,153 |
1.1× |
| Exc Chalazion Anes Req Hospization Single/Mult (67808) |
$869.60 |
$1,087 |
0.4× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$2,603.20 |
$3,254 |
1.6× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$1,722.40 |
$2,153 |
2.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$1,131.20 |
$1,414 |
1.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,131.20 |
$1,414 |
0.7× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$2,336.80 |
$2,921 |
1.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$1,131.20 |
$1,414 |
1.6× |
| Exc tumor soft tiss upr arm/elbow subfasc <5cm (24076) |
$1,740 |
$2,175 |
0.6× |
| Exchange Biliary Drg Catheter Prq W/Img Gid Rs&I (47536) |
$1,740 |
$2,175 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$2,336.80 |
$2,921 |
3.4× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$2,336.80 |
$2,921 |
5.9× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$2,336.80 |
$2,921 |
3.4× |
| Excision Malignant Lesion F/E/E/N/L >4.0 Cm (11646) |
$2,603.20 |
$3,254 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$2,603.20 |
$3,254 |
1.6× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$2,603.20 |
$3,254 |
1.6× |
| Excision of chalazion; multiple, different lids (67805) |
$652.80 |
$816 |
2.1× |
| Excision of tonsil tags (42860) |
$1,522.40 |
$1,903 |
0.5× |
| Excision/destruction intranasal lesion int appr (30117) |
$608.80 |
$761 |
0.2× |
| Explore/Treat Hand Joint (26070) |
$1,740 |
$2,175 |
1.1× |
| Fetal non-stress test (59025) |
$102.40 |
$128 |
0.5× |
| Fine needle aspiration without imaging guidance (10021) |
$164 |
$205 |
0.4× |
| Fna bx w/us gdn 1st les (10005) |
$1,291.20 |
$1,614 |
1.9× |
| Fth/gft free w/direct closure s/a/l 20 cm/< (15220) |
$1,131.20 |
$1,414 |
0.6× |
| I&d abscess simple (10060) |
$348 |
$435 |
1.8× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$2,788 |
$3,485 |
1.0× |
| I&d pilonidal cyst complicated (10081) |
$368.80 |
$461 |
0.5× |
| I&d pilonidal cyst simple (10080) |
$844.80 |
$1,056 |
1.2× |
| Implant Neuroelectrodes (64561) |
$4,349.60 |
$5,437 |
0.7× |
| Incise external hemorrhoid (46083) |
$435.20 |
$544 |
1.8× |
| Incision & removal foreign body subq tiss compl (10121) |
$984 |
$1,230 |
0.6× |
| Incision & removal foreign body subq tiss simple (10120) |
$304.80 |
$381 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$521.60 |
$652 |
1.8× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$104 |
$130 |
0.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,304.80 |
$1,631 |
1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,844.80 |
$2,306 |
2.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$696 |
$870 |
2.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$2,008.80 |
$2,511 |
2.3× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,845.60 |
$2,307 |
2.7× |
| Injection procedure for peyronie disease (54200) |
$348 |
$435 |
1.4× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,722.40 |
$2,153 |
2.0× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$1,217.60 |
$1,522 |
1.8× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,740 |
$2,175 |
2.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$287.20 |
$359 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$357.60 |
$447 |
2.9× |
| Insert non-tunnel cv cath (36556) |
$696 |
$870 |
0.2× |
| Insert Temp Bladder Cath (51702) |
$276.80 |
$346 |
2.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$260.80 |
$326 |
2.0× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$3,378.40 |
$4,223 |
2.2× |
| Insj prph ctr vad w/subq port age 5 yr/> (36571) |
$3,480 |
$4,350 |
1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$2,913.60 |
$3,642 |
1.9× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$869.60 |
$1,087 |
2.2× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$464.80 |
$581 |
0.1× |
| Intubation endotracheal emergency procedure (31500) |
$696 |
$870 |
3.0× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$696.80 |
$871 |
0.3× |
| Maniplatn palar fascial crd post inj single cord (26341) |
$654.40 |
$818 |
2.7× |
| Myelography Lumbar Injection (62304) |
$3,480 |
$4,350 |
4.6× |
| N block inj intercost sng (64420) |
$1,845.60 |
$2,307 |
2.7× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$260.80 |
$326 |
0.6× |
| Needle Biopsy Lymph Nodes (38505) |
$2,160 |
$2,700 |
1.3× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$22.40 |
$28 |
0.8× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$40.80 |
$51 |
1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$869.60 |
$1,087 |
2.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,600 |
$2,000 |
2.3× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$984 |
$1,230 |
1.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,160 |
$2,700 |
3.2× |
| Occipital Nerve Block (64405) |
$869.60 |
$1,087 |
2.9× |
| Perq device breast 1st imag (19281) |
$1,217.60 |
$1,522 |
0.8× |
| Place Rt Device/Marker Pros (55876) |
$869.60 |
$1,087 |
0.6× |
| Placement of needle for intraosseous infusion (36680) |
$287.20 |
$359 |
0.7× |
| Punch biopsy skin single lesion (11104) |
$326.40 |
$408 |
0.8× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$652.80 |
$816 |
1.7× |
| Puncture Aspiration Cyst Breast (19000) |
$260.80 |
$326 |
0.4× |
| Removal Embedded Foreign Body Eyelid (67938) |
$869.60 |
$1,087 |
2.8× |
| Removal foreign body foot deep (28192) |
$594.40 |
$743 |
0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$471.20 |
$589 |
0.7× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$120 |
$150 |
2.1× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$173.60 |
$217 |
3.0× |
| Removal of nail bed (11750) |
$430.40 |
$538 |
1.1× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$260.80 |
$326 |
1.3× |
| Remove drug implant device (11982) |
$582.40 |
$728 |
1.3× |
| Remove foreign body from eye (65205) |
$260.80 |
$326 |
2.0× |
| Remove Nasal Foreign Body (30300) |
$156 |
$195 |
1.2× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,304.80 |
$1,631 |
1.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$696 |
$870 |
1.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$869.60 |
$1,087 |
2.2× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,931.20 |
$2,414 |
4.9× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$369.60 |
$462 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$435.20 |
$544 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$783.20 |
$979 |
2.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$826.40 |
$1,033 |
2.1× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$608.80 |
$761 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$318.40 |
$398 |
0.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$440 |
$550 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$580 |
$725 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$348 |
$435 |
0.9× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$440 |
$550 |
1.1× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$620 |
$775 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$520 |
$650 |
1.3× |
| Repair of nail bed (11760) |
$480 |
$600 |
0.7× |
| Replace g/c tube perc (49450) |
$1,044 |
$1,305 |
1.2× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$260.80 |
$326 |
0.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$304.80 |
$381 |
0.7× |
| Rplc Gtube No Revj Trc (43762) |
$532.80 |
$666 |
2.2× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$440 |
$550 |
2.3× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$348 |
$435 |
1.8× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$348 |
$435 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$412.80 |
$516 |
2.1× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$416 |
$520 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$432 |
$540 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$369.60 |
$462 |
1.9× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$452 |
$565 |
2.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$409.60 |
$512 |
2.1× |
| Skin sub graft trnk/arm/leg (15271) |
$2,609.60 |
$3,262 |
3.6× |
| Slitting of prepuce (54001) |
$869.60 |
$1,087 |
0.4× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$404 |
$505 |
2.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$419.20 |
$524 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$432 |
$540 |
1.1× |
| Spinal puncture lumbar diagnostic (62270) |
$1,263.20 |
$1,579 |
1.8× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$6,959.20 |
$8,699 |
2.0× |
| Strapping shoulder (29240) |
$82.40 |
$103 |
0.6× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$87.20–$130.40 |
$109–$163 |
varies |
| Thyroid biopsy (60100) |
$1,261.60 |
$1,577 |
1.8× |
| Tprnl Plmt Biodegrdabl Matrl (55874) |
$6,959.20 |
$8,699 |
1.3× |
| Treat Thumb Dislocation (26641) |
$1,740 |
$2,175 |
7.3× |
| Treat toe dislocation (28630) |
$521.60 |
$652 |
2.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,609.60 |
$3,262 |
1.7× |
| Trim skin lesion (11055) |
$156 |
$195 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$156 |
$195 |
0.8× |
| Trim skin lesions over 4 (11057) |
$229.60 |
$287 |
1.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$90.40 |
$113 |
1.6× |
| Tx Gastro Intub W/Asp (43753) |
$368.80 |
$461 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$820 |
$1,025 |
1.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$1,722.40 |
$2,153 |
0.8× |