Application cast elbow finger short arm (29075) range across 2 matching MRF lines |
$168–$598 |
$168–$598 |
varies |
| Application Cast Finger (29086) |
$84 |
$84 |
0.6× |
Application finger splint static (29130) range across 2 matching MRF lines |
$57–$307 |
$57–$307 |
varies |
| Application long arm splint shoulder hand (29105) |
$308 |
$308 |
2.1× |
| Application Long Leg Splint (29505) |
$320 |
$320 |
2.1× |
Application of long leg cast (29345) range across 2 matching MRF lines |
$125–$384 |
$125–$384 |
varies |
Application short arm splint forearm-hand static (29125) range across 2 matching MRF lines |
$80–$318 |
$80–$318 |
varies |
| Application short leg splint calf foot (29515) |
$318 |
$318 |
2.1× |
| Apply hand/wrist cast (29085) |
$598 |
$598 |
4.0× |
Apply long arm cast (29065) range across 2 matching MRF lines |
$180–$598 |
$180–$598 |
varies |
Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$178–$495 |
$178–$495 |
varies |
| Apply short leg cast (29425) |
$380 |
$380 |
1.5× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) range across 3 matching MRF lines |
$119–$1,215 |
$119–$1,215 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 5 matching MRF lines |
$90–$1,400 |
$90–$1,400 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611) range across 2 matching MRF lines |
$970–$1,900 |
$970–$1,900 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) range across 2 matching MRF lines |
$105–$572.50 |
$105–$572.50 |
varies |
| Aspirate/Inj Ganglion Cyst (20612) |
$118 |
$118 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$187 |
$187 |
1.0× |
| Bladder Scan (51798) |
$95 |
$95 |
1.8× |
| Blood Transfusion Service (36430) |
$712 |
$712 |
1.8× |
| Chest tube placement (32551) |
$2,680 |
$2,680 |
1.9× |
| Clear outer ear canal (69200) |
$165 |
$165 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$400 |
$400 |
1.8× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$200 |
$200 |
0.9× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$496 |
$496 |
2.2× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$417 |
$417 |
1.8× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$510 |
$510 |
2.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$372 |
$372 |
1.6× |
| Closed tx talus fracture w/o manipulation (28430) |
$2,008 |
$2,008 |
8.9× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$572 |
$572 |
2.5× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$483 |
$483 |
2.1× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$521 |
$521 |
0.4× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$360 |
$360 |
1.6× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$547 |
$547 |
2.4× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$414 |
$414 |
1.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$195 |
$195 |
0.9× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$555 |
$555 |
2.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$185 |
$185 |
0.8× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$600 |
$600 |
2.6× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$200 |
$200 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$300 |
$300 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$563 |
$563 |
2.5× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$250 |
$250 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$435 |
$435 |
1.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$280 |
$280 |
1.2× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$400 |
$400 |
1.8× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$315 |
$315 |
1.4× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$412 |
$412 |
1.8× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,761 |
$2,761 |
1.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$198 |
$198 |
1.6× |
Collection of venous blood by venipuncture (36415) range across 2 matching MRF lines |
$20.50–$22.50 |
$20.50–$22.50 |
varies |
| Complex drainage wound (10180) |
$5,223 |
$5,223 |
2.0× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$820 |
$820 |
6.7× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$110 |
$110 |
0.3× |
Debridement subcutaneous tissue 20 sq cm/< (11042) range across 2 matching MRF lines |
$177–$623 |
$177–$623 |
varies |
Destroy cerv/thor facet jnt (64633) range across 2 matching MRF lines |
$3,369–$4,455 |
$3,369–$4,455 |
varies |
Destroy lumb/sac facet jnt (64635) range across 2 matching MRF lines |
$3,369–$4,050 |
$3,369–$4,050 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$190 |
$190 |
1.0× |
| Destruction Benign Lesions 15/> (17111) |
$221 |
$221 |
1.2× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$3,037.50 |
$3,037.50 |
1.7× |
| Destruction Premalignant Lesion 15/> (17004) |
$270 |
$270 |
0.7× |
| Destruction premalignant lesion 1st (17000) |
$142 |
$142 |
0.8× |
| Drain Cerebro Spinal Fluid (62272) |
$723.75 |
$723.75 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$266 |
$266 |
0.2× |
| Draw Blood Off Venous Device (36591) |
$175 |
$175 |
1.4× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$250 |
$250 |
1.4× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) range across 2 matching MRF lines |
$85–$661 |
$85–$661 |
varies |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$2,025 |
$2,025 |
2.5× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$1,116.25 |
$1,116.25 |
1.7× |
| Endometrial Biopsy (58100) |
$238 |
$238 |
1.3× |
| Evacuation of subungual hematoma (11740) |
$93 |
$93 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$226 |
$226 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$310 |
$310 |
0.2× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$254 |
$254 |
0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$269 |
$269 |
0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$301 |
$301 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$455 |
$455 |
0.3× |
Exc Face-Mm B9+Marg 3.1-4 Cm (11444) range across 2 matching MRF lines |
$365–$2,650 |
$365–$2,650 |
varies |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$225 |
$225 |
0.1× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$252 |
$252 |
0.4× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$300 |
$300 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$364 |
$364 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$585 |
$585 |
0.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$268 |
$268 |
0.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$295 |
$295 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$375 |
$375 |
0.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$463 |
$463 |
0.7× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$315 |
$315 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$463 |
$463 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$503 |
$503 |
1.3× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$405 |
$405 |
0.6× |
| I&d abscess simple (10060) |
$203 |
$203 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$335 |
$335 |
0.5× |
Incision & drainage abscess complicated/multiple (10061) range across 2 matching MRF lines |
$386–$1,900 |
$386–$1,900 |
varies |
| Incision & removal foreign body subq tiss simple (10120) |
$271 |
$271 |
0.7× |
| Incision and drainage of vulva or perineal abscess (56405) |
$230 |
$230 |
0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,536 |
$1,536 |
1.9× |
Injection 1 tendon sheath/ligament aponeurosis (20550) range across 3 matching MRF lines |
$126–$506.25 |
$126–$506.25 |
varies |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$517.50 |
$517.50 |
0.6× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$1,286.25 |
$1,286.25 |
2.0× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$1,266.25 |
$1,266.25 |
1.6× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$1,411.25 |
$1,411.25 |
2.2× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$517.50 |
$517.50 |
0.8× |
Injection Anes Agent Sphenopalatine Ganglion (64505) range across 2 matching MRF lines |
$1,643.75–$3,287.50 |
$1,643.75–$3,287.50 |
varies |
| Injection Anes Superior Hypogastric Plexus (64517) |
$2,025 |
$2,025 |
2.5× |
Injection anesthetic agent suprascapular nerve (64418) range across 2 matching MRF lines |
$642.50–$1,285 |
$642.50–$1,285 |
varies |
| Injection single tendon origin/insertion (20551) |
$93 |
$93 |
0.3× |
Injection single/mlt trigger point 1/2 muscles (20552) range across 2 matching MRF lines |
$125–$581.25 |
$125–$581.25 |
varies |
Injection single/mlt trigger point 3/> muscles (20553) range across 2 matching MRF lines |
$120–$581.25 |
$120–$581.25 |
varies |
Injection therapeutic carpal tunnel (20526) range across 2 matching MRF lines |
$506.25–$510 |
$506.25–$510 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$1,436.25 |
$1,436.25 |
2.2× |
| Insert Drug Implant Device (11981) |
$163 |
$163 |
1.3× |
| Insert Temp Bladder Cath (51702) |
$200 |
$200 |
1.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$200 |
$200 |
1.6× |
| Intubation endotracheal emergency procedure (31500) |
$402 |
$402 |
1.8× |
| N Block Inj Celiac Pelus (64530) |
$1,142.50 |
$1,142.50 |
1.4× |
| N block inj intercost sng (64420) |
$517.50 |
$517.50 |
0.8× |
| N Block Inj Plantar Digit (64455) |
$517.50 |
$517.50 |
1.8× |
N Block Inj Pudendal (64430) range across 2 matching MRF lines |
$2,745–$5,490 |
$2,745–$5,490 |
varies |
| N Block Lumbar/Thoracic (64520) |
$791.25 |
$791.25 |
1.0× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$688 |
$688 |
1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$1,382.50 |
$1,382.50 |
1.7× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$1,003.75 |
$1,003.75 |
3.6× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) range across 2 matching MRF lines |
$1,536–$1,947.50 |
$1,536–$1,947.50 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,606.25 |
$1,606.25 |
2.5× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,606.25 |
$1,606.25 |
2.5× |
Occipital Nerve Block (64405) range across 2 matching MRF lines |
$533.75–$1,067.50 |
$533.75–$1,067.50 |
varies |
| Placement of needle for intraosseous infusion (36680) |
$690 |
$690 |
1.7× |
| Punch biopsy skin single lesion (11104) |
$150 |
$150 |
0.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$236 |
$236 |
0.6× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$837 |
$837 |
0.6× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$25 |
$25 |
0.5× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$80 |
$80 |
1.5× |
| Removal implantable contraceptive capsules (11976) |
$248 |
$248 |
0.4× |
| Removal of nail bed (11750) |
$690 |
$690 |
1.8× |
| Removal or bivalving full arm or full leg cast (29705) |
$385 |
$385 |
1.5× |
Removal skn tags mlt fibrq tags any area upw/15 (11200) range across 2 matching MRF lines |
$150–$302 |
$150–$302 |
varies |
| Remove drug implant device (11982) |
$200 |
$200 |
0.5× |
| Remove foreign body from eye (65205) |
$40 |
$40 |
0.3× |
| Remove Intrauterine Device (58301) |
$125 |
$125 |
0.4× |
| Remove Nasal Foreign Body (30300) |
$275 |
$275 |
2.2× |
| Remove/Insert Drug Implant (11983) |
$330 |
$330 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$337.49 |
$337.49 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,130 |
$1,130 |
3.0× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$491 |
$491 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$761 |
$761 |
2.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$428 |
$428 |
1.1× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$535 |
$535 |
1.4× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$800 |
$800 |
1.2× |
Repair intermediate s/a/t/e 7.6-12.5 cm (12034) range across 2 matching MRF lines |
$590–$2,200 |
$590–$2,200 |
varies |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$82 |
$82 |
0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$1,300 |
$1,300 |
0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$451 |
$451 |
2.4× |
| Shave skin lesion 0.5 cm/< (11300) |
$140 |
$140 |
0.4× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$175 |
$175 |
0.9× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$140 |
$140 |
0.8× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$193 |
$193 |
1.0× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$247 |
$247 |
0.7× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$193 |
$193 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$261 |
$261 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$314 |
$314 |
1.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$345 |
$345 |
1.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$407 |
$407 |
2.2× |
Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) range across 2 matching MRF lines |
$296–$530 |
$296–$530 |
varies |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$370 |
$370 |
2.0× |
| Skin sub graft face/nk/hf/g (15275) |
$6,188 |
$6,188 |
9.1× |
| Skin sub graft trnk/arm/leg (15271) |
$4,200 |
$4,200 |
6.2× |
| Skin sub grft t/arm/lg child (15273) |
$3,412 |
$3,412 |
1.8× |
| Skn sub grft f/n/hf/g child (15277) |
$1,117 |
$1,117 |
0.6× |
Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) range across 2 matching MRF lines |
$315–$632 |
$315–$632 |
varies |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$406 |
$406 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$2,123 |
$2,123 |
5.7× |
| Spinal puncture lumbar diagnostic (62270) |
$723.75 |
$723.75 |
1.1× |
| Strapping elbow or wrist (29260) |
$495 |
$495 |
9.1× |
| Strapping hand/finger (29280) |
$384 |
$384 |
7.1× |
| Strapping Unna Boot (29580) |
$88 |
$88 |
0.6× |
| Subcutaneous Hormone Pellet Implantation (11980) |
$130 |
$130 |
0.3× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$1,116.25 |
$1,116.25 |
1.7× |
| Thrombolytic Therapy Stroke (37195) |
$572 |
$572 |
1.9× |
| Trim skin lesion (11055) |
$200 |
$200 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$538 |
$538 |
2.7× |
Tx Superficial Wound Dehiscence Simple Closure (12020) range across 2 matching MRF lines |
$300–$598.40 |
$300–$598.40 |
varies |
| Tx superficial wound dehiscence w/packing (12021) |
$300 |
$300 |
0.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$250 |
$250 |
1.1× |
| Wedge excision skin nail fold (11765) |
$260 |
$260 |
0.7× |
| Wound Prep Trk/Arm/Leg (15002) |
$1,737.53 |
$1,737.53 |
2.6× |