| Abd paracentesis w/imaging (49083) |
$3,782.95 |
$3,782.95 |
4.3× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$1,648.50 |
$1,648.50 |
1.9× |
Ablation Bone Tumor Rf Perq W/Img Gdn When Done (20982)
unusually low: confirm this is the full procedure |
$8,420.45 |
$8,420.45 |
0.5× |
| Acne surgery (10040) |
$93.60 |
$93.60 |
0.5× |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$894.40 |
$894.40 |
0.4× |
| Adjnt tis transfr/rearrange trunk 10.1-30.0 sqcm (14001) |
$894.40 |
$894.40 |
0.4× |
| Adjnt tis trnsfr/reargmt any area 30.1-60 sq cm (14301) |
$1,685.65 |
$1,685.65 |
0.5× |
| Adjt Tis Reargmt Eye/Nose/Ear/Lip 10.1-30.0 Sqcm (14061) |
$894.40 |
$894.40 |
0.4× |
| Adjt tis trns/reargmt f/c/c/m/n/a/g/h/f 10sqcm/< (14040) |
$894.40 |
$894.40 |
0.4× |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< (14020) |
$894.40 |
$894.40 |
0.4× |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm (14041) |
$894.40 |
$894.40 |
0.4× |
| Adjt/Rearrgmt Scalp/Arm/Leg 10.1-30.0 Sq Cm (14021) |
$894.40 |
$894.40 |
0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$593.25 |
$593.25 |
0.2× |
| Anoscopy diagnostic (46600) |
$1,351.75 |
$1,351.75 |
10.5× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,351.75 |
$1,351.75 |
1.5× |
| Appl Clubfoot Cast Molding/Manj Long/Short Leg (29450) |
$950.55 |
$950.55 |
6.1× |
| Appl cranial tong/strtctc frame w/removal spx (20660) |
$1,718.55 |
$1,718.55 |
1.1× |
| Appl Hip Spica Cast One&One-Half Spica/Both Legs (29325) |
$950.55 |
$950.55 |
3.5× |
| Application cast elbow finger short arm (29075) |
$950.55 |
$950.55 |
3.5× |
| Application Cast Finger (29086) |
$950.55 |
$950.55 |
6.1× |
| Application Cast Shoulder Spica (29055) |
$950.55 |
$950.55 |
3.5× |
| Application Finger Splint Dynamic (29131) |
$950.55 |
$950.55 |
16.7× |
| Application finger splint static (29130) |
$950.55 |
$950.55 |
7.4× |
| Application Hip Spica Cast 1 Leg (29305) |
$950.55 |
$950.55 |
3.5× |
| Application long arm splint shoulder hand (29105) |
$950.55 |
$950.55 |
6.1× |
| Application Long Leg Cast Walker/Ambulatory Type (29355) |
$950.55 |
$950.55 |
3.5× |
| Application Long Leg Splint (29505) |
$950.55 |
$950.55 |
6.1× |
| Application of body cast, shoulder to hips; including 1 thigh Facility (29044) |
$950.55 |
$950.55 |
6.1× |
| Application of cylinder cast (thigh to ankle) (29365) |
$950.55 |
$950.55 |
3.5× |
| Application of long leg cast (29345) |
$950.55 |
$950.55 |
3.5× |
Application of rigid total contact leg cast (29445)
range across 6 matching MRF lines |
$804.55–$1,901.10 |
$804.55–$1,901.10 |
varies |
| Application Patellar Tendon Bearing Cast (29435) |
$950.55 |
$950.55 |
3.5× |
| Application risser jacket localizer body only (29010) |
$950.55 |
$950.55 |
3.5× |
| Application Short Arm Splint Dynamic (29126) |
$950.55 |
$950.55 |
7.4× |
| Application short arm splint forearm-hand static (29125) |
$950.55 |
$950.55 |
7.4× |
Application short leg splint calf foot (29515)
range across 2 matching MRF lines |
$950.55–$1,901.10 |
$950.55–$1,901.10 |
varies |
| Apply hand/wrist cast (29085) |
$950.55 |
$950.55 |
6.1× |
| Apply long arm cast (29065) |
$950.55 |
$950.55 |
3.5× |
Apply Multlay Comprs Lwr Leg (29581)
range across 2 matching MRF lines |
$537.95–$1,075.90 |
$537.95–$1,075.90 |
varies |
| Apply Short Leg Cast (29405) |
$950.55 |
$950.55 |
3.5× |
| Apply short leg cast (29425) |
$950.55 |
$950.55 |
3.5× |
| Arterial puncture (36600) |
$168.05 |
$168.05 |
1.3× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$1,298.60–$2,597.20 |
$1,298.60–$2,597.20 |
varies |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$2,254 |
$2,254 |
3.3× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$1,445.45–$2,890.90 |
$1,445.45–$2,890.90 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/us (20611)
range across 2 matching MRF lines |
$2,463.10–$4,926.20 |
$2,463.10–$4,926.20 |
varies |
Arthrocentesis aspir&/inj small jt/bursa w/o us (20600)
range across 2 matching MRF lines |
$603.85–$1,207.70 |
$603.85–$1,207.70 |
varies |
| Aspirate pleura w/ imaging (32555) |
$3,783.05 |
$3,783.05 |
6.3× |
| Aspirate Pleura W/O Imaging (32554) |
$1,351.75 |
$1,351.75 |
2.2× |
Aspirate/Inj Ganglion Cyst (20612)
range across 2 matching MRF lines |
$140.90–$896.80 |
$140.90–$896.80 |
varies |
| Aspiration bladder insert suprapubic catheter (51102) |
$4,426.35 |
$4,426.35 |
2.2× |
| Aspiration Bladder Needle (51100) |
$1,346.95 |
$1,346.95 |
5.6× |
| Aspiration bladder trocar/intracatheter (51101) |
$1,346.95 |
$1,346.95 |
1.6× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$665.80 |
$665.80 |
3.4× |
| Biopsy Abdominal Mass (49180) |
$3,592.80 |
$3,592.80 |
2.3× |
| Biopsy bone trocar/needle deep (20225) |
$4,291.50 |
$4,291.50 |
2.7× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$2,917.55 |
$2,917.55 |
1.8× |
| Biopsy external ear (69100) |
$107.75 |
$107.75 |
0.5× |
| Biopsy muscle percutaneous needle (20206) |
$2,610.75 |
$2,610.75 |
1.6× |
| Biopsy nail unit (11755) |
$336.30 |
$336.30 |
0.5× |
| Biopsy of lip (40490) |
$107.75 |
$107.75 |
0.5× |
| Biopsy of liver, needle; percutaneous (47000) |
$3,592.80 |
$3,592.80 |
2.3× |
| Biopsy of penis (54100) |
$777.10 |
$777.10 |
0.5× |
| Biopsy of penis; deep structures (54105) |
$1,338.60 |
$1,338.60 |
0.5× |
| Biopsy Pleura Percutaneous Needle (32400) |
$3,592.80 |
$3,592.80 |
2.3× |
| Biopsy Salivary Gland Needle (42400) |
$2,610.75 |
$2,610.75 |
3.8× |
| Biopsy soft tissue neck/thorax (21550) |
$2,615.90 |
$2,615.90 |
1.6× |
| Biopsy Vaginal Mucosa Extensive (57105) |
$1,465.10 |
$1,465.10 |
0.5× |
| Biopsy Vaginal Mucosa Simple (57100) |
$364.60 |
$364.60 |
0.4× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$364.60 |
$364.60 |
0.4× |
| Bladder Irrigation (51700) |
$480.20 |
$480.20 |
2.0× |
| Bladder Scan (51798) |
$631.25 |
$631.25 |
11.1× |
| Blepharotomy drainage abscess eyelid (67700) |
$1,065.25 |
$1,065.25 |
3.5× |
| Blood Transfusion Service (36430) |
$1,106.40 |
$1,106.40 |
2.6× |
| Blood/Lymph System Procedure (38999) |
$883.20 |
$883.20 |
2.1× |
| Bone Marrow Biopsy (38221) |
$2,255.50 |
$2,255.50 |
1.4× |
| Bone Marrow; Aspiration Only (38220) |
$2,255.50 |
$2,255.50 |
1.4× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$901.55 |
$901.55 |
0.5× |
| Bx breast 1st lesion strtctc (19081) |
$8,370.75 |
$8,370.75 |
5.3× |
| Bx breast 1st lesion us imag (19083) |
$6,727.05 |
$6,727.05 |
4.2× |
| Canthotomy Separate Procedure (67715) |
$2,501.15 |
$2,501.15 |
1.1× |
| Cessj Therapy Cath Removal (37214) |
$6,489.45 |
$6,489.45 |
2.1× |
| Change Cystostomy Tube Complicated (51710) |
$1,346.95 |
$1,346.95 |
2.0× |
| Change Cystostomy Tube Simple (51705) |
$1,110.30 |
$1,110.30 |
4.6× |
| Change of Windpipe Airway (31502) |
$830.75 |
$830.75 |
3.6× |
| Change ureter stent percut (50382) |
$3,183.80 |
$3,183.80 |
1.6× |
| Chemical Cautery Tissue (17250) |
$631.25 |
$631.25 |
3.3× |
| Chemical Pleurodesis (32560) |
$1,813.45 |
$1,813.45 |
3.0× |
Chest tube placement (32551)
range across 2 matching MRF lines |
$2,401.45–$4,802.90 |
$2,401.45–$4,802.90 |
varies |
| Chng Urtrost Tube/Xtrnlly Accessible Stent Ileal (50688) |
$4,047.05 |
$4,047.05 |
2.0× |
| Circumcision w/clamp/oth dev w/block (54150) |
$2,556.25 |
$2,556.25 |
1.3× |
| Cl Tx Scapular Fx; W Manip (23575) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,718.55 |
$1,718.55 |
1.1× |
Clear outer ear canal (69200)
range across 3 matching MRF lines |
$367.90–$735.80 |
$367.90–$735.80 |
varies |
| Closed Rx Spontaneous Hip Disloc (27256) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed rx talotarsal disloc,anesth (28575) |
$1,718.55 |
$1,718.55 |
0.5× |
| Closed Treat Vert Body Fract (22310) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Treatment Sesamoid Fracture (28530) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Treatment Sternum Fracture (21820) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Calcaneal Fracture W/Manipulation (28405) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$1,718.55 |
$1,718.55 |
7.2× |
Closed Tx Craniofacial Separation (21431)
unusually low: confirm this is the full procedure |
$1,718.55 |
$1,718.55 |
0.3× |
| Closed Tx Femoral Fracture Prox Head W/Manj (27268) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed tx femoral fracture prox head w/o manj (27267) |
$1,718.55 |
$1,718.55 |
0.5× |
| Closed Tx Femoral Shaft Fx W/O Manipulation (27500) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed tx mandibular fracture w/manipulation (21451) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed Tx Mandibular Fracture W/O Manipulation (21450) |
$1,718.55 |
$1,718.55 |
3.3× |
Closed Tx Mandibular Fx W/Interdental Fixation (21453)
unusually low: confirm this is the full procedure |
$1,718.55 |
$1,718.55 |
0.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$325.05 |
$325.05 |
0.2× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$325.05 |
$325.05 |
0.1× |
| Closed Tx Nasomaxillary Complex Fracture (21345) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed Tx Palatal/Maxillary Fx W/Fixation/Splint (21421) |
$1,718.55 |
$1,718.55 |
0.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Scapular Fracture W/O Manipulation (23570) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx septal&nose fx (21337) |
$1,718.55 |
$1,718.55 |
0.5× |
| Closed Tx Sternoclavicular Dislc W/Manipulation (23525) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx talotarsal joint dislc w/o anes (28570) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed tx talus fracture w/o manipulation (28430) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed Tx Tarsometatarsal Dislocation W/Anes (28605) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx temporomandibular dislc comp 1st/sbsq (21485) |
$1,718.55 |
$1,718.55 |
1.1× |
Closed tx temporomandibular dislocation 1st/sbsq (21480)
range across 2 matching MRF lines |
$1,718.55–$3,437.10 |
$1,718.55–$3,437.10 |
varies |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$1,718.55 |
$1,718.55 |
1.1× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$1,718.55 |
$1,718.55 |
7.2× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$1,087.75 |
$1,087.75 |
4.8× |
| Closure Laceration Vestibule Mouth > 2.5 Cm/Cpl (40831) |
$1,087.75 |
$1,087.75 |
2.1× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$1,718.55 |
$1,718.55 |
7.2× |
| Clsd Tx Acromioclavicular Dislc W/O Manipulation (23540) |
$1,718.55 |
$1,718.55 |
7.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,718.55 |
$1,718.55 |
1.1× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,718.55 |
$1,718.55 |
7.2× |
| Clsd tx fx orbit except blowout w/o manipulation (21400) |
$1,718.55 |
$1,718.55 |
3.3× |
| Clsd Tx Pelvic Ring Fx (27198) |
$1,718.55 |
$1,718.55 |
7.2× |
| Clsd Tx Pelvic Ring Fx W/O Manipulation (27197) |
$1,718.55 |
$1,718.55 |
7.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,718.55 |
$1,718.55 |
1.1× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$1,718.55 |
$1,718.55 |
7.2× |
| Clsd tx sternoclavicular dislc w/o manipulation (23520) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Acetabulum Hip/Sockt Fx W/O Manj (27220) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Artclr Fx Invg Mtcrphlngl/Iphal Jt W/O Manj (26740) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Distal Femoral Epiphysl Separation W/O Manj (27516) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Dstl Fem Epiphysl Sep W/Manj W/WO Skin/Skel (27517) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Fem Fx Prox End Nck W/Manj W/WO Skel Tracj (27232) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Fem Fx Prox End Nck W/O Manj (27230) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx greater humeral tuberosity fx w/o manj (23620) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Greater Trochanteric Fx W/O Manj (27246) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Grter Humeral Tuberosity Fx W/Manipulation (23625) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx inter/peri/subtrochanteric fem fx w/o manj (27238) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$1,718.55 |
$1,718.55 |
6.4× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$361.15 |
$361.15 |
1.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Medial Ankle Fx (27760) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx prox tibfib jt dislc req anes (27831) |
$1,718.55 |
$1,718.55 |
0.5× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$1,718.55 |
$1,718.55 |
0.5× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Trans-Scaphoprilunar Typ Fx Dislc W/Manj (25680) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,718.55 |
$1,718.55 |
1.1× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$1,718.55 |
$1,718.55 |
7.2× |
| Cltx Vrt Fx&/Dislc Csting/Bracing Manj/Trcj (22315) |
$1,718.55 |
$1,718.55 |
0.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$268.10 |
$268.10 |
2.1× |
| Collection of venous blood by venipuncture (36415) |
$36.60 |
$36.60 |
3.9× |
| Complex drainage wound (10180) |
$1,065.25 |
$1,065.25 |
0.4× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$692.60 |
$692.60 |
5.4× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$692.60–$1,385.20 |
$692.60–$1,385.20 |
varies |
| Control oropharyngeal hemorrhage simple (42960) |
$692.60 |
$692.60 |
1.3× |
| Convert gastrostomy-gastro-jejunostomy tube percutaneous (49446) |
$3,019.70 |
$3,019.70 |
1.6× |
Convert Nephrostomy Catheter (50434)
range across 2 matching MRF lines |
$3,817.75–$7,635.50 |
$3,817.75–$7,635.50 |
varies |
| Core Needle Bx Lung/Mediastinum Perq W/Img (32408) |
$6,365.75 |
$6,365.75 |
4.0× |
Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905)
range across 2 matching MRF lines |
$692.60–$1,385.20 |
$692.60–$1,385.20 |
varies |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$692.60 |
$692.60 |
3.0× |
| Curettage postpartum (59160) |
$4,877.70 |
$4,877.70 |
1.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$1,012.25 |
$1,012.25 |
2.6× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$1,718.55 |
$1,718.55 |
0.6× |
| Dcmprn Fasct Leg Ant&/Lat&Pst Cmprt (27602) |
$4,747 |
$4,747 |
1.5× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,517.95 |
$1,517.95 |
2.1× |
| Debride nail 1-5 (11720) |
$262.55 |
$262.55 |
4.6× |
| Debride nail 6 or more (11721) |
$262.55 |
$262.55 |
4.6× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,255.50 |
$2,255.50 |
1.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$1,012.25 |
$1,012.25 |
2.6× |
Declot vascular device (36593)
range across 2 matching MRF lines |
$710.35–$1,286.95 |
$710.35–$1,286.95 |
varies |
| Delivery of placenta (59414) |
$631.25 |
$631.25 |
0.2× |
| Destr penis lesion(s) (54065) |
$886.20 |
$886.20 |
0.4× |
Destroy cerv/thor facet jnt (64633)
range across 2 matching MRF lines |
$3,424.15–$6,848.30 |
$3,424.15–$6,848.30 |
varies |
Destroy lumb/sac facet jnt (64635)
range across 2 matching MRF lines |
$3,424.15–$6,848.30 |
$3,424.15–$6,848.30 |
varies |
| Destruct B9 Lesion 1-14 (17110) |
$93.60 |
$93.60 |
0.5× |
| Destruction Benign Lesions 15/> (17111) |
$93.60 |
$93.60 |
0.5× |
| Destruction mal lesion f/e/e/n/l/m 0.6-1.0cm (17281) |
$193.40 |
$193.40 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 1.1-2.0cm (17282) |
$193.40 |
$193.40 |
1.0× |
| Destruction mal lesion f/e/e/n/l/m 2.1-3.0cm (17283) |
$193.40 |
$193.40 |
0.5× |
| Destruction mal lesion trunk/arm/leg 0.6-1.0 cm (17261) |
$93.60 |
$93.60 |
0.5× |
| Destruction mal lesion trunk/arm/leg 1.1-2.0cm (17262) |
$93.60 |
$93.60 |
0.5× |
| Destruction mal lesion trunk/arm/leg 2.1-3.0cm (17263) |
$93.60 |
$93.60 |
0.5× |
| Destruction mal lesion trunk/arm/leg 3.1-4.0cm (17264) |
$193.40 |
$193.40 |
0.5× |
| Destruction malignant lesion f/e/e/n/l/m 0.5cm/< (17280) |
$93.60 |
$93.60 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.5 cm/> (17270) |
$93.60 |
$93.60 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 0.6-1.0cm (17271) |
$93.60 |
$93.60 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 1.1-2.0cm (17272) |
$93.60 |
$93.60 |
0.5× |
| Destruction malignant lesion s/n/h/f/g 2.1-3.0cm (17273) |
$193.40 |
$193.40 |
0.5× |
| Destruction malignant lesion t/a/l 0.5 cm/< (17260) |
$93.60 |
$93.60 |
0.5× |
| Destruction Premalignant Lesion 15/> (17004) |
$193.40 |
$193.40 |
0.5× |
| Destruction premalignant lesion 1st (17000) |
$93.60 |
$93.60 |
0.5× |
| Dilate Esophagus 1/Mult Pass (43450) |
$1,351.75 |
$1,351.75 |
1.5× |
| Drain Cerebro Spinal Fluid (62272) |
$2,070.10 |
$2,070.10 |
3.0× |
| Drain/inj small joint/bursa w/us (20604) |
$856.20 |
$856.20 |
2.9× |
| Drainage Abscess/Hematoma Nasal Septum (30020) |
$1,065.25 |
$1,065.25 |
2.0× |
| Drainage external auditory canal abscess (69020) |
$1,065.25 |
$1,065.25 |
1.6× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$1,065.25 |
$1,065.25 |
0.7× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,065.25 |
$1,065.25 |
1.6× |
| Drainage Finger Abscess Complicated (26011) |
$1,065.25 |
$1,065.25 |
0.7× |
| Drainage Mouth Roof Lesion (42000) |
$1,065.25 |
$1,065.25 |
4.7× |
| Drainage of finger abscess simple (26010) |
$1,065.25 |
$1,065.25 |
5.5× |
| Drainage of gum lesion (41800) |
$1,065.25 |
$1,065.25 |
8.3× |
| Drainage of hematoma/fluid (10140) |
$2,703.35 |
$2,703.35 |
1.7× |
| Drainage of hydrocele (55000) |
$1,204.40 |
$1,204.40 |
1.8× |
| Drainage of nose lesion (30000) |
$1,065.25 |
$1,065.25 |
4.7× |
| Drainage of rectal abscess (45005) |
$1,065.25 |
$1,065.25 |
0.9× |
| Drainage of scrotal wall abscess (55100) |
$1,065.25 |
$1,065.25 |
0.7× |
| Drainage of scrotum (54700) |
$2,408.85 |
$2,408.85 |
1.2× |
| Draw Blood Off Venous Device (36591) |
$268.10 |
$268.10 |
2.1× |
| Drg Absc Cst Hmtma Vestibule Mouth Comp (40801) |
$1,065.25 |
$1,065.25 |
2.0× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,065.25 |
$1,065.25 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$628.85 |
$628.85 |
1.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$552.15 |
$552.15 |
2.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$444.15 |
$444.15 |
2.3× |
| Dstrj Lesion Penis Simple Chemical (54050) |
$193.75 |
$193.75 |
0.5× |
| Dstrj Lesion Penis Simple Cryosurgery (54056) |
$93.60 |
$93.60 |
0.5× |
Dx Bone Marrow Bx & Aspir (38222)
range across 2 matching MRF lines |
$3,262.75–$6,525.50 |
$3,262.75–$6,525.50 |
varies |
| Dx Bronchoscope/Lavage (31624) |
$3,783.05 |
$3,783.05 |
2.2× |
| Dx Laryngoscopy Excl Nb (31525) |
$901.55 |
$901.55 |
0.5× |
| Dx lmbr spi pnxr w/fluor/CT (62328) |
$4,007.25 |
$4,007.25 |
5.9× |
| Egd Flexible Foreign Body Removal (43247) |
$715.20 |
$715.20 |
0.8× |
| Emblc/thrmbc ax brach innominate subcla art (34101) |
$9,077.40 |
$9,077.40 |
1.7× |
| Emblc/Thrmbc Femoral Popliteal Aorto-Iliac Art (34201) |
$9,077.40 |
$9,077.40 |
1.7× |
| Emblc/Thrmbc Popliteal-Tibio-Proneal Art Leg Inc (34203) |
$9,077.40 |
$9,077.40 |
1.7× |
| Embolectomy or thrombectomy, with or without catheter; radial or ulnar artery, by arm incision Facility (34111) |
$9,077.40 |
$9,077.40 |
1.7× |
| Endometrial Biopsy (58100) |
$524.45 |
$524.45 |
2.7× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$4,210.20 |
$4,210.20 |
2.1× |
| Epidural Blood Patch (62273) |
$2,076.60 |
$2,076.60 |
3.1× |
| Escharotomy; initial incision (16035) |
$1,012.25 |
$1,012.25 |
2.6× |
| Evacuation of subungual hematoma (11740) |
$455.35 |
$455.35 |
3.5× |
| Exc arm/elbow les sc < 3 cm (24075) |
$777.10 |
$777.10 |
0.5× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$777.10 |
$777.10 |
0.5× |
| Exc Back Les Sc < 3 Cm (21930) |
$777.10 |
$777.10 |
0.5× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$336.30 |
$336.30 |
0.5× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$336.30 |
$336.30 |
0.5× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$777.10 |
$777.10 |
0.5× |
| Exc Face Les Sbq 2 Cm/> (21012) |
$777.10 |
$777.10 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$295.40 |
$295.40 |
0.4× |
| Exc Face-Mm B9+Marg 0.6-1 Cm (11441) |
$336.30 |
$336.30 |
0.5× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$336.30 |
$336.30 |
0.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$777.10 |
$777.10 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$336.30 |
$336.30 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$777.10 |
$777.10 |
0.5× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$336.30 |
$336.30 |
0.5× |
| Exc Skin Benig 3.1-4 Cm Remaindr Body (11424) |
$777.10 |
$777.10 |
0.5× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$1,392.70 |
$1,392.70 |
0.5× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$777.10 |
$777.10 |
0.5× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$777.10 |
$777.10 |
0.5× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$1,387.55 |
$1,387.55 |
0.5× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$777.10 |
$777.10 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,065.25 |
$1,065.25 |
0.9× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$193.40 |
$193.40 |
0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$336.30 |
$336.30 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$777.10 |
$777.10 |
0.5× |
| Exc tumor soft tiss forearm&/wrist subfasc <3cm (25076) |
$777.10 |
$777.10 |
0.5× |
| Exc Tumor Soft Tissue Forearm &/Wrist Subq <3Cm (25075) |
$777.10 |
$777.10 |
0.5× |
| Exc tumor soft tissue leg/ankle subq <3cm (27618) |
$777.10 |
$777.10 |
0.5× |
| Exc tumor soft tissue neck/ant thorax subq <3cm (21555) |
$777.10 |
$777.10 |
0.5× |
| Exchange Nephrostomy Catheter Prq W/Img Gid Rs&I (50435) |
$7,283.65 |
$7,283.65 |
3.6× |
| Exchng Absc/Cst Drg Cath Rad Gid Spx (49423) |
$4,133.60 |
$4,133.60 |
2.2× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$336.30 |
$336.30 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$344.85 |
$344.85 |
0.5× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$193.40 |
$193.40 |
0.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$336.30 |
$336.30 |
0.5× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$336.30 |
$336.30 |
0.5× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$777.10 |
$777.10 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$336.30 |
$336.30 |
0.5× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$336.30 |
$336.30 |
0.5× |
| Excision Malignant Lesion S/N/H/F/G 3.1-4.0 Cm (11624) |
$777.10 |
$777.10 |
0.5× |
| Excision, tumor, soft tissue of face or scalp, subcutaneous; less than 2 cm (21011) |
$777.10 |
$777.10 |
0.5× |
| Expl po hemrrg thrombosis/infctj xtr (35860) |
$4,768.85 |
$4,768.85 |
1.6× |
| Explo/Drain Breast Abscess (19020) |
$1,065.25 |
$1,065.25 |
0.7× |
| Fetal non-stress test (59025) |
$898.80 |
$898.80 |
4.6× |
| Fine needle aspiration without imaging guidance (10021) |
$631.25 |
$631.25 |
1.6× |
| Fluoro exam of g/colon tube (49465) |
$580.10 |
$580.10 |
2.5× |
| Fna bx w/us gdn 1st les (10005) |
$3,326.50 |
$3,326.50 |
4.9× |
| Fth/Gft Free W/Direct Closure N/E/E/L 20 Sq Cm/< (15260) |
$894.40 |
$894.40 |
0.4× |
| Guide Cathet Fluid Drainage (10030) |
$4,024.60 |
$4,024.60 |
5.9× |
| Head Surgery Procedure (21499) |
$1,893.70 |
$1,893.70 |
8.3× |
| I&d abscess peritonsillar (42700) |
$1,065.25 |
$1,065.25 |
4.7× |
| I&d abscess simple (10060) |
$650.85 |
$650.85 |
3.4× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$1,065.25 |
$1,065.25 |
0.4× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$1,065.25 |
$1,065.25 |
0.4× |
| I&D Forearm&/Wrist Deep Abscess/Hematoma (25028) |
$1,065.25 |
$1,065.25 |
0.3× |
| I&d forearm/wrist bursa (25031) |
$1,065.25 |
$1,065.25 |
0.7× |
| I&D Mouth/Tong Intra,Masticator (41009) |
$1,065.25 |
$1,065.25 |
2.0× |
| I&d pelvis/hip jt area deep abscess/hematoma (26990) |
$1,065.25 |
$1,065.25 |
0.3× |
| I&d perianal abscess superficial (46050) |
$1,065.25 |
$1,065.25 |
1.2× |
| I&d pilonidal cyst complicated (10081) |
$869.90 |
$869.90 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$869.90 |
$869.90 |
1.3× |
| I&d shoulder deep abscess/hematoma (23030) |
$1,065.25 |
$1,065.25 |
0.4× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$1,065.25 |
$1,065.25 |
0.4× |
| Icd Pocket Revision (33223) |
$6,959.75 |
$6,959.75 |
3.5× |
| Image Cath Fluid Colxn Visc (49405) |
$6,650.35 |
$6,650.35 |
4.2× |
| Image Cath Fluid Peri/Retro (49406) |
$6,334.65 |
$6,334.65 |
4.0× |
| Image Cath Fluid Trns/Vgnl (49407) |
$8,679.40 |
$8,679.40 |
5.5× |
| Incise external hemorrhoid (46083) |
$896.80 |
$896.80 |
3.7× |
| Incise/Drain Conjunctiva (68020) |
$1,065.25 |
$1,065.25 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$650.85 |
$650.85 |
1.7× |
| Incision & drainage leg/ankle abscess/hematoma (27603) |
$1,065.25 |
$1,065.25 |
0.4× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,802 |
$1,802 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$650.85 |
$650.85 |
1.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$1,065.25 |
$1,065.25 |
5.5× |
| Incision and drainage of vulva or perineal abscess (56405) |
$1,065.25 |
$1,065.25 |
3.6× |
| Incision of rectal abscess (46040) |
$1,065.25 |
$1,065.25 |
0.9× |
| Incision&drainage bursa foot (28001) |
$1,065.25 |
$1,065.25 |
0.7× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,065.25 |
$1,065.25 |
0.7× |
| Incisional biopsy skin single lesion (11106) |
$301 |
$301 |
0.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$444.15 |
$444.15 |
2.3× |
Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490)
range across 2 matching MRF lines |
$1,903.20–$3,806.40 |
$1,903.20–$3,806.40 |
varies |
| Inj W/Fluor Eval Cv Device (36598) |
$827.50 |
$827.50 |
4.0× |
| Inj,Anes Agent,Femoral Nerve,Cont Inf (64448) |
$806.75 |
$806.75 |
0.9× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,903.20 |
$1,903.20 |
2.2× |
| Inject Intravitreal Pharmcologic (67028) |
$631.25 |
$631.25 |
2.0× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$140.90 |
$140.90 |
0.5× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,177.60 |
$1,177.60 |
1.4× |
Injection aa&/strd intercostal nrv ea addl lvl (64421)
range across 2 matching MRF lines |
$1,572.40–$3,144.80 |
$1,572.40–$3,144.80 |
varies |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,177.60 |
$1,177.60 |
1.7× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,177.60 |
$1,177.60 |
1.7× |
| Injection for identification of sentinel node (38792) |
$2,972.70 |
$2,972.70 |
7.7× |
| Injection single tendon origin/insertion (20551) |
$140.90 |
$140.90 |
0.5× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines |
$631.25–$3,542.30 |
$631.25–$3,542.30 |
varies |
Injection single/mlt trigger point 3/> muscles (20553)
range across 2 matching MRF lines |
$2,636.70–$5,273.40 |
$2,636.70–$5,273.40 |
varies |
| Injection therapeutic carpal tunnel (20526) |
$140.90 |
$140.90 |
0.5× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,177.60 |
$1,177.60 |
1.4× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$642.35 |
$642.35 |
0.9× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$1,177.60–$2,355.20 |
$1,177.60–$2,355.20 |
varies |
| Injection, anesthetic agent; vagus nerve (64408) |
$1,177.60 |
$1,177.60 |
4.0× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$93.60 |
$93.60 |
0.5× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$93.60 |
$93.60 |
0.5× |
| Ins cath ren art 1st bilat (36252) |
$10,242.65 |
$10,242.65 |
3.4× |
| Ins cath ren art 1st unilat (36251) |
$10,242.25 |
$10,242.25 |
3.4× |
| Ins endovas vena cava filtr (37191) |
$18,765.85 |
$18,765.85 |
3.5× |
Ins/Rep Subq Defibrillator (33270)
unusually low: confirm this is the full procedure |
$15,128.60 |
$15,128.60 |
0.5× |
| Insert 1 Electrode Pm-Defib (33216) |
$12,102.90 |
$12,102.90 |
1.5× |
| Insert and remove bone pin (20650) |
$1,718.55 |
$1,718.55 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$475.80 |
$475.80 |
3.8× |
| Insert cath pleura w/ image (32557) |
$3,119.20 |
$3,119.20 |
2.1× |
Insert cath pleura w/o image (32556)
range across 4 matching MRF lines |
$2,242.75–$4,485.50 |
$2,242.75–$4,485.50 |
varies |
| Insert Drug Implant Device (11981) |
$1,078.15 |
$1,078.15 |
8.4× |
| Insert Gastrostomy Tube Percutaneous (49440) |
$3,019.70 |
$3,019.70 |
1.6× |
| Insert Heart Pm Atrial (33206) |
$15,128.60 |
$15,128.60 |
1.5× |
| Insert Heart Pm Ventricular (33207) |
$15,128.60 |
$15,128.60 |
1.5× |
| Insert non-tunnel cv cath (36556) |
$4,846.30 |
$4,846.30 |
1.6× |
| Insert Pacing Lead & Connect (33224) |
$18,154.20 |
$18,154.20 |
1.8× |
| Insert pulse gen dual leads (33213) |
$15,128.60 |
$15,128.60 |
1.5× |
| Insert Pulse Gen Sngl Lead (33212) |
$15,128.60 |
$15,128.60 |
1.9× |
| Insert Temp Bladder Cath (51702) |
$234.90 |
$234.90 |
1.8× |
| Insert tunneled cv cath (36561) |
$8,849.45 |
$8,849.45 |
2.9× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$234.90 |
$234.90 |
1.8× |
| Insertion indwelling tunneled pleural catheter (32550) |
$4,357.55 |
$4,357.55 |
1.3× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$5,653.80 |
$5,653.80 |
3.7× |
Insertion subq cardiac rhythm monitor w/prgrmg (33285)
likely a partial charge, not the full procedure |
$1,006.35 |
$1,006.35 |
0.1× |
| Insj 2 Transvns Eltrd Perm Pacemaker/Impltbl Dfb (33217) |
$12,102.90 |
$12,102.90 |
1.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$2,566.30 |
$2,566.30 |
0.8× |
Insj prph cvc w/o subq port/pmp age 5 yr/> (36569)
range across 2 matching MRF lines |
$4,846.30–$5,653.80 |
$4,846.30–$5,653.80 |
varies |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$10,026.45 |
$10,026.45 |
3.3× |
Insj/Rplcmt Defib W/Lead(S) (33249)
unusually low: confirm this is the full procedure |
$15,128.60 |
$15,128.60 |
0.5× |
| Insj/rplcmt temp transvns 1chmbr eltrd/pm cath (33210) |
$11,459.95 |
$11,459.95 |
1.4× |
| Insj/rplcmt temp transvns 2chmbr pacg eltrds spx (33211) |
$12,102.90 |
$12,102.90 |
1.5× |
| Insrt heart pm atrial & vent (33208) |
$15,128.60 |
$15,128.60 |
1.5× |
| Insrt Pulse Gen W/Dual Leads (33230) |
$15,128.60 |
$15,128.60 |
0.7× |
| Insrt Pulse Gen W/Mult Leads (33231) |
$15,985 |
$15,985 |
0.5× |
| Insrt Pulse Gen W/Singl Lead (33240) |
$14,272.30 |
$14,272.30 |
0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$1,087.75 |
$1,087.75 |
2.8× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$1,087.75 |
$1,087.75 |
2.8× |
| Intraoral i&d tongue/floor lingual (41000) |
$1,065.25 |
$1,065.25 |
2.0× |
| Intraoral i&d tongue/floor sublngl supfc (41005) |
$1,065.25 |
$1,065.25 |
4.7× |
| Intraoral i&d tongue/floor submental space (41007) |
$1,065.25 |
$1,065.25 |
0.7× |
| Intraoral i&d tongue/floor submndblr space (41008) |
$1,065.25 |
$1,065.25 |
0.3× |
| Intro cath dialysis circuit (36901) |
$2,722.75 |
$2,722.75 |
1.8× |
| Intro cath dialysis circuit w/tcat plmt IV stent (36903) |
$23,293.95 |
$23,293.95 |
2.1× |
| Intro Cath Dialysis Circuit W/Trluml Balo Angiop (36902) |
$23,293.95 |
$23,293.95 |
4.2× |
| Intubation endotracheal emergency procedure (31500) |
$1,621.55 |
$1,621.55 |
7.1× |
| Iridotomy/irridectomy laser surg per session (66761) |
$1,756.65 |
$1,756.65 |
3.3× |
| Irrigation of corpora cavernosa for priapism (54220) |
$631.25 |
$631.25 |
2.6× |
| Laryngoscopy diagnostic (31505) |
$901.55 |
$901.55 |
4.7× |
| Laryngoscopy direct, with or without tracheoscopy; with dilation, subsequent Facility (31529) |
$901.55 |
$901.55 |
0.3× |
| Laryngoscopy flexible diagnostic (31575) |
$901.55 |
$901.55 |
4.7× |
| Laryngoscopy Flx Rmvl Foreign Body(S) (31577) |
$901.55 |
$901.55 |
2.4× |
| Laryngoscopy Indirect W/Removal Foreign Body (31511) |
$901.55 |
$901.55 |
4.7× |
| Laryngoscopy W/Foreign Body Removal (31530) |
$901.55 |
$901.55 |
0.5× |
| Ligation of a-v fistula (37607) |
$4,768.85 |
$4,768.85 |
1.6× |
| Ligation of femoral vein (37650) |
$4,768.85 |
$4,768.85 |
1.6× |
| Marsupialization of bartholin's gland cyst (56440) |
$896.80 |
$896.80 |
0.3× |
| Mohs micrographic h/n/h/f/g 1st stage 5 blocks (17311) |
$301.15 |
$301.15 |
0.4× |
| Mohs trunk/arm/leg 1st stage 5 blocks (17313) |
$301.15 |
$301.15 |
0.4× |
| Myelography Lumbar Injection (62305) |
$4,210.75 |
$4,210.75 |
5.6× |
| Myelography Lumbar Injection (62304) |
$3,369.15 |
$3,369.15 |
4.5× |
| Myelography via lumbar injection rs&i cervical (62302) |
$3,369.15 |
$3,369.15 |
4.5× |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$3,369.15 |
$3,369.15 |
4.5× |
N Block Inj Ilio-Ing/Hypogi (64425)
range across 2 matching MRF lines |
$1,049.25–$2,098.50 |
$1,049.25–$2,098.50 |
varies |
N block inj intercost sng (64420)
range across 2 matching MRF lines |
$1,285.55–$2,571.10 |
$1,285.55–$2,571.10 |
varies |
| N Block Inj Paracervical (64435) |
$1,177.60 |
$1,177.60 |
1.7× |
| N Block Inj Pudendal (64430) |
$1,177.60 |
$1,177.60 |
1.4× |
| Nasal Endoscopy Dx (31231) |
$692.60 |
$692.60 |
3.6× |
Nasal/Orogastric W/Tube Plmt (43752)
range across 2 matching MRF lines |
$509.10–$744 |
$509.10–$744 |
varies |
| Nasal/Sinus Ndsc Surg W/Bx Polypect/Dbrdmt Spx (31237) |
$692.60 |
$692.60 |
0.4× |
| Needle Biopsy Lymph Nodes (38505) |
$2,995.10 |
$2,995.10 |
1.9× |
| Needle Biopsy Pancreas (48102) |
$3,592.80 |
$3,592.80 |
2.3× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$1,325.40 |
$1,325.40 |
3.2× |
| Nfct ds bct/viral 32 genes immune response mrna (0588U) |
$1,155 |
$1,155 |
1.5× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$1,177.60 |
$1,177.60 |
4.0× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$6,467.85 |
$6,467.85 |
1.9× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 4 matching MRF lines |
$1,903.20–$7,445.20 |
$1,903.20–$7,445.20 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$2,996.95 |
$2,996.95 |
4.4× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,996.95 |
$2,996.95 |
4.4× |
| Njx Px Antegrde Nfrosgrm &/Urtrgrm Exstng Acess (50431) |
$2,491.55 |
$2,491.55 |
3.7× |
| Obstructive material removal from gi tube (49460) |
$1,388.45 |
$1,388.45 |
1.6× |
Occipital Nerve Block (64405)
range across 2 matching MRF lines |
$536.40–$1,072.80 |
$536.40–$1,072.80 |
varies |
| Open tx interphalangeal joint dislocation (26785) |
$4,957.70 |
$4,957.70 |
1.6× |
| Open/Perq Place Stent 1St (37236) |
$31,445.65 |
$31,445.65 |
2.8× |
Open/Perq Place Stent Same (37238)
range across 2 matching MRF lines |
$31,445.65–$62,891.30 |
$31,445.65–$62,891.30 |
varies |
| Penile Injection (54235) |
$631.25 |
$631.25 |
2.6× |
| Percut Drain/Inject Renal Cyst (50390) |
$3,592.80 |
$3,592.80 |
5.3× |
| Pericardiocentesis W/Imaging (33016) |
$2,553.85 |
$2,553.85 |
1.7× |
| Peritoneal Lavage (49084) |
$1,648.50 |
$1,648.50 |
1.9× |
| Perq Cervicothoracic Inject (22510) |
$12,622.60 |
$12,622.60 |
4.0× |
| Perq dev breast 1st us imag (19285) |
$2,121.20 |
$2,121.20 |
3.1× |
| Perq device breast 1st imag (19281) |
$3,301.30 |
$3,301.30 |
2.1× |
| Perq Lumbosacral Injection (22511) |
$12,622.60 |
$12,622.60 |
4.0× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,157 |
$1,157 |
1.7× |
| Perq vert agmntj cavity crtj uni/bi cannulj lmbr (22514) |
$16,617.40 |
$16,617.40 |
2.4× |
| Perq Vertebral Augmentation (22513) |
$16,617.40 |
$16,617.40 |
2.4× |
| Place Cath Subclavian Art (36225) |
$8,914.80 |
$8,914.80 |
2.9× |
| Place Cath Thoracic Aorta (36221) |
$8,914.80 |
$8,914.80 |
2.9× |
| Place Duod/Jej Tube Perc (49441) |
$509.10 |
$509.10 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$731.80 |
$731.80 |
1.7× |
Plmt Nephrostomy Cath Prq New Access Rs&I (50432)
range across 3 matching MRF lines |
$3,933.45–$7,866.90 |
$3,933.45–$7,866.90 |
varies |
Plmt Nephroureteral Catheter (50433)
range across 2 matching MRF lines |
$4,255.60–$8,511.20 |
$4,255.60–$8,511.20 |
varies |
| Plmt Urtrl Stent Prq New Access W/Sep Nfros Cath (50695) |
$5,501.30 |
$5,501.30 |
1.6× |
| Plmt Urtrl Stent Prq Pre-Existing Nfros Tract (50693) |
$6,256.45 |
$6,256.45 |
1.8× |
| Plmt Urtrl Stnt Prq New Acess W/O Sep Nfros Cath (50694) |
$5,501.30 |
$5,501.30 |
1.6× |
| Prim art mech thrombectomy (37184) |
$13,980.40 |
$13,980.40 |
0.8× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$1,351.75 |
$1,351.75 |
0.5× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$8,520.30 |
$8,520.30 |
2.5× |
| Pseudoaneurysm Injection Trt (36002) |
$1,226.55 |
$1,226.55 |
2.0× |
| Punch biopsy skin single lesion (11104) |
$542.25 |
$542.25 |
1.4× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$749.20 |
$749.20 |
1.9× |
Puncture Aspiration Cyst Breast (19000)
range across 2 matching MRF lines |
$382.85–$2,370.70 |
$382.85–$2,370.70 |
varies |
| Relocation Pocket Pacemaker (33222) |
$6,959.75 |
$6,959.75 |
3.5× |
| Rem Endovas Vena Cava Filter (37193) |
$6,982.50 |
$6,982.50 |
2.3× |
| Removal Embedded Foreign Body Eyelid (67938) |
$367.90 |
$367.90 |
1.2× |
| Removal Foreign Body Foot Complicated (28193) |
$2,454.90 |
$2,454.90 |
1.5× |
| Removal foreign body foot deep (28192) |
$715.20 |
$715.20 |
0.4× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$715.20 |
$715.20 |
1.0× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$715.20 |
$715.20 |
0.4× |
| Removal Foreign Body Pelvis/Hip Deep (27087) |
$715.20 |
$715.20 |
0.2× |
| Removal Foreign Body Scrotum (55120) |
$367.90 |
$367.90 |
0.2× |
| Removal foreign body upper arm/elbow deep (24201) |
$715.20 |
$715.20 |
0.3× |
Removal impacted cerumen irrigation/lvg unilat (69209)
range across 4 matching MRF lines |
$275.20–$550.40 |
$275.20–$550.40 |
varies |
Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210)
range across 4 matching MRF lines |
$275.20–$550.40 |
$275.20–$550.40 |
varies |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$715.20 |
$715.20 |
0.2× |
| Removal Implant Superficial Separate Procedure (20670) |
$631.25 |
$631.25 |
0.4× |
| Removal of foreign body from pharynx (42809) |
$367.90 |
$367.90 |
0.9× |
| Removal of nail bed (11750) |
$455.35 |
$455.35 |
1.2× |
| Removal or bivalving full arm or full leg cast (29705) |
$950.55 |
$950.55 |
3.5× |
| Removal Pacemaker Electrode (33235) |
$7,564.35 |
$7,564.35 |
2.1× |
| Removal ppm generator only (33233) |
$11,127 |
$11,127 |
1.4× |
| Removal shoulder foreign body deep subfascial/im (23333) |
$715.20 |
$715.20 |
0.3× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$457.75 |
$457.75 |
2.4× |
Removal subcutaneous cardiac rhythm monitor (33286)
range across 2 matching MRF lines |
$2,414.90–$3,810.90 |
$2,414.90–$3,810.90 |
varies |
| Removal/bivalving gauntlet boot/body cast (29700) |
$950.55 |
$950.55 |
3.5× |
| Remove Elctrd Transvenously (33244) |
$6,051.80 |
$6,051.80 |
1.7× |
| Remove Forearm Foreign Body (25248) |
$715.20 |
$715.20 |
0.5× |
| Remove foreign body from eye (65205) |
$367.90 |
$367.90 |
2.9× |
| Remove Intrauterine Device (58301) |
$524.45 |
$524.45 |
1.8× |
| Remove intrvas foreign body (37197) |
$12,014.80 |
$12,014.80 |
3.9× |
| Remove lung catheter (32552) |
$1,358.20 |
$1,358.20 |
2.2× |
| Remove Nasal Foreign Body (30300) |
$367.90 |
$367.90 |
2.9× |
| Remove Pulse Generator (33241) |
$6,051.80 |
$6,051.80 |
1.7× |
| Remove renal tube w/fluoro (50389) |
$2,548.10 |
$2,548.10 |
3.8× |
| Remove Shoulder Foreign Body (23330) |
$715.20 |
$715.20 |
0.4× |
| Remove&replace pm gen singl (33227) |
$15,128.60 |
$15,128.60 |
1.9× |
| Remv&replc cvd gen dual lead (33263) |
$14,272.30 |
$14,272.30 |
0.7× |
Remv&replc cvd gen mult lead (33264)
unusually low: confirm this is the full procedure |
$14,272.30 |
$14,272.30 |
0.5× |
| Remv&replc cvd gen sing lead (33262) |
$14,272.30 |
$14,272.30 |
0.7× |
| Remv&replc pm gen dual lead (33228) |
$15,128.60 |
$15,128.60 |
1.5× |
| Remv&replc pm gen mult leads (33229) |
$15,128.60 |
$15,128.60 |
0.8× |
| Renal Biopsy Perq (50200) |
$3,592.80 |
$3,592.80 |
2.3× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$1,087.75 |
$1,087.75 |
1.5× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$1,087.75 |
$1,087.75 |
1.5× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair complex trunk 1.1-2.5 cm (13100) |
$1,087.75 |
$1,087.75 |
1.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$1,087.75 |
$1,087.75 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,718.55 |
$1,718.55 |
1.1× |
| Repair Eyelid Wound (67935) |
$1,087.75 |
$1,087.75 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$1,087.75 |
$1,087.75 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$1,087.75 |
$1,087.75 |
1.5× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$1,087.75 |
$1,087.75 |
0.5× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$1,087.75 |
$1,087.75 |
1.5× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$1,087.75 |
$1,087.75 |
2.8× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$1,087.75 |
$1,087.75 |
0.5× |
| Repair Laceration Palate </2 Cm (42180) |
$1,087.75 |
$1,087.75 |
2.1× |
Repair Laceration Palate >2 Cm/Complex (42182)
likely a partial charge, not the full procedure |
$1,087.75 |
$1,087.75 |
0.2× |
| Repair lead pace-defib dual (33220) |
$12,102.90 |
$12,102.90 |
3.4× |
| Repair Lead Pace-Defib One (33218) |
$12,102.90 |
$12,102.90 |
3.4× |
| Repair of nail bed (11760) |
$455.35 |
$455.35 |
0.6× |
| Repair Spica/Body/Jacket Cast (29720) |
$950.55 |
$950.55 |
6.1× |
Repair Tendon/Muscle Upper Arm/Elbow Ea (24341)
likely a partial charge, not the full procedure |
$1,718.55 |
$1,718.55 |
0.2× |
| Repair tongue laceration (41252) |
$1,087.75 |
$1,087.75 |
4.8× |
| Repair tongue laceration (41250) |
$1,087.75 |
$1,087.75 |
2.5× |
| Replace duodenostomy/jejunostomy tube perq (49451) |
$509.10 |
$509.10 |
0.6× |
| Replace G-J Tube Perc (49452) |
$3,295.40 |
$3,295.40 |
3.8× |
| Replace g/c tube perc (49450) |
$1,504.40 |
$1,504.40 |
1.7× |
| Reposition Gastrostomy Tube (43761) |
$509.10 |
$509.10 |
2.1× |
| Reposition L Ventric Lead (33226) |
$7,564.35 |
$7,564.35 |
2.5× |
| Reposition Pacing-Defib Lead (33215) |
$9,077.40 |
$9,077.40 |
3.0× |
| Reposition Venous Catheter (36597) |
$2,599.65 |
$2,599.65 |
1.7× |
| Revision of lower leg tendon (27685) |
$4,210.20 |
$4,210.20 |
1.3× |
| Revsc evasc fpvt angiop uni cplx les 1st vsl (37265) |
$14,533.85 |
$14,533.85 |
2.6× |
| Revsc evasc fpvt angiop uni sf les 1st vsl (37263) |
$14,533.85 |
$14,533.85 |
2.6× |
| Revsc evasc fpvt athrc uni cplx les 1st vsl (37273) |
$30,356.15 |
$30,356.15 |
1.7× |
| Revsc evasc fpvt athrc uni sf les 1st vsl (37271) |
$30,356.15 |
$30,356.15 |
1.7× |
| Revsc evasc fpvt st athrc uni cplx les 1st vsl (37277) |
$45,596.70 |
$45,596.70 |
2.6× |
| Revsc evasc fpvt st athrc uni sf les 1st vsl (37275) |
$45,596.70 |
$45,596.70 |
2.6× |
| Revsc evasc fpvt st plmt uni cplx les 1st vsl (37269) |
$31,760.40 |
$31,760.40 |
2.9× |
| Revsc evasc fpvt st plmt uni sf les 1st vsl (37267) |
$31,760.40 |
$31,760.40 |
2.9× |
| Revsc evasc ivt angiop uni cplx les 1st vsl (37256) |
$14,533.85 |
$14,533.85 |
2.6× |
| Revsc evasc ivt angiop uni sf les 1st vsl (37254) |
$14,533.85 |
$14,533.85 |
2.6× |
| Revsc evasc ivt st plmt uni cplx les 1st vsl (37260) |
$16,696.75 |
$16,696.75 |
1.5× |
| Revsc evasc ivt st plmt uni sf les 1st vsl (37258) |
$16,696.75 |
$16,696.75 |
1.5× |
| Revsc evasc tpvt angiop uni cplx les 1st vsl (37282) |
$14,533.85 |
$14,533.85 |
1.3× |
| Revsc evasc tpvt angiop uni sf les 1st vsl (37280) |
$14,533.85 |
$14,533.85 |
1.3× |
| Revsc evasc tpvt st plmt uni cplx les 1st vsl (37286) |
$24,058.15 |
$24,058.15 |
1.4× |
| Revsc evasc tpvt st plmt uni sf les 1st vsl (37284) |
$24,058.15 |
$24,058.15 |
1.4× |
| Rmvl & rplcmt xtrnl accessible nephrourtrl cath (50387) |
$2,641.35 |
$2,641.35 |
1.3× |
| Rmvl embedded fb from dentalvlr struxs soft tiss (41805) |
$715.20 |
$715.20 |
0.5× |
| Rmvl embedded fb vestibule mouth comp (40805) |
$715.20 |
$715.20 |
1.4× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$715.20 |
$715.20 |
0.8× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$367.90 |
$367.90 |
0.9× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$865.55 |
$865.55 |
6.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$865.55 |
$865.55 |
2.0× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,351.75 |
$1,351.75 |
1.2× |
| Rmvl Foreign Body Muscle/Tendon Sheath Deep/Comp (20525) |
$715.20 |
$715.20 |
0.3× |
| Rmvl foreign body pelvis/hip subcutaneous tiss (27086) |
$715.20 |
$715.20 |
0.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$715.20 |
$715.20 |
0.4× |
| Rmvl transvns pm eltrd 1 lead sys atr/ventr (33234) |
$7,564.35 |
$7,564.35 |
2.1× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$4,524.40 |
$4,524.40 |
7.5× |
| Rplc Gtube No Revj Trc (43762) |
$509.10 |
$509.10 |
2.1× |
| Rplcmt cath ctr vad subq port/pmp (36578) |
$8,111.05 |
$8,111.05 |
2.7× |
| Rplcmt compl non-tun cvc w/o subq port/pmp (36580) |
$4,519.20 |
$4,519.20 |
3.0× |
| Rplcmt Compl Prph Cvc W/O Subq Port/Pmp (36584) |
$4,519.20 |
$4,519.20 |
3.0× |
| Rplcmt compl tun cvc w/o subq port/pmp (36581) |
$4,524.40 |
$4,524.40 |
1.5× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$1,087.75 |
$1,087.75 |
5.6× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$1,087.75 |
$1,087.75 |
1.5× |
| Rpr Lac 2.5 Cm/< Pst One-Third Tongue (41251) |
$1,087.75 |
$1,087.75 |
4.8× |
| Rpr Lac Appl Tissue Glue Wound Cornea&/Sclera (65286) |
$631.25 |
$631.25 |
0.3× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$1,087.75 |
$1,087.75 |
2.1× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,087.75 |
$1,087.75 |
2.1× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$1,087.75 |
$1,087.75 |
0.7× |
| Rpr Tdn/Musc Flxr F/Arm&/Wrst Prim 1 Ea Tdn/Mu (25260) |
$1,718.55 |
$1,718.55 |
0.5× |
| Rpr Tdn/Musc Xtnsr F/Arm&/Wrist Prim 1 Ea Tdn (25270) |
$1,718.55 |
$1,718.55 |
0.5× |
| Shave skin lesion 0.5 cm/< (11300) |
$93.60 |
$93.60 |
0.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$93.60 |
$93.60 |
0.5× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam >2.0 Cm (11313) |
$193.40 |
$193.40 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$93.60 |
$93.60 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.6-1.0 Cm (11306) |
$93.60 |
$93.60 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 1.1-2.0 Cm (11307) |
$93.60 |
$93.60 |
0.5× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam >2.0 Cm (11308) |
$193.40 |
$193.40 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 0.6-1.0 Cm (11311) |
$93.60 |
$93.60 |
0.5× |
| Shvg Skin Lesion 1 F/E/E/N/L/M Diam 1.1-2.0 Cm (11312) |
$193.40 |
$193.40 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$93.60 |
$93.60 |
0.5× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$193.40 |
$193.40 |
0.5× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$93.60 |
$93.60 |
0.5× |
| Sigmoidoscopy w/fb removal (45332) |
$1,351.75 |
$1,351.75 |
1.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$1,087.75 |
$1,087.75 |
2.8× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$1,087.75 |
$1,087.75 |
5.6× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$1,087.75 |
$1,087.75 |
5.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$1,087.75 |
$1,087.75 |
2.8× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$1,087.75 |
$1,087.75 |
5.6× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$1,087.75 |
$1,087.75 |
5.6× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$1,087.75 |
$1,087.75 |
5.6× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$1,087.75 |
$1,087.75 |
5.6× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$1,087.75 |
$1,087.75 |
5.6× |
| Skin Full Grft Face/Genit/Hf (15240) |
$894.40 |
$894.40 |
0.4× |
| Skin sub graft face/nk/hf/g (15275) |
$2,556.25 |
$2,556.25 |
3.6× |
| Skin sub graft trnk/arm/leg (15271) |
$2,556.25 |
$2,556.25 |
3.6× |
| Skin sub grft t/arm/lg child (15273) |
$4,210.20 |
$4,210.20 |
2.1× |
| Skin Tissue Procedure (17999) |
$604.20 |
$604.20 |
3.1× |
| Skn sub grft f/n/hf/g child (15277) |
$2,556.25 |
$2,556.25 |
1.3× |
Slctv cath carotid/innom art angio xtrcranl art (36222)
range across 2 matching MRF lines |
$4,457.40–$8,914.80 |
$4,457.40–$8,914.80 |
varies |
| Slctv Cath Intrnl Carotid Art Angio Intrcrnl Art (36224) |
$11,400.10 |
$11,400.10 |
2.1× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$1,087.75 |
$1,087.75 |
5.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$1,087.75 |
$1,087.75 |
2.8× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$1,087.75 |
$1,087.75 |
2.8× |
| Spinal puncture lumbar diagnostic (62270) |
$2,070.10 |
$2,070.10 |
3.0× |
| Strapping ankle (29540) |
$361.20 |
$361.20 |
2.3× |
| Strapping elbow or wrist (29260) |
$361.20 |
$361.20 |
6.4× |
| Strapping hand/finger (29280) |
$361.20 |
$361.20 |
6.4× |
| Strapping Hip (29520) |
$361.20 |
$361.20 |
2.8× |
| Strapping knee (29530) |
$361.20 |
$361.20 |
2.8× |
| Strapping shoulder (29240) |
$361.20 |
$361.20 |
2.8× |
| Strapping toes (29550) |
$361.20 |
$361.20 |
6.4× |
Strapping Unna Boot (29580)
range across 2 matching MRF lines |
$537.95–$1,075.90 |
$537.95–$1,075.90 |
varies |
| Sutr Wnd Eyelid/Margin/Tarsus/Conjunc Prtl Thick (67930) |
$1,087.75 |
$1,087.75 |
0.5× |
| Tangential biopsy skin single lesion (11102) |
$542.25 |
$542.25 |
1.4× |
| Tcat Insj/Rpl Perm Ldls Pm (33274) |
$37,648.65 |
$37,648.65 |
2.0× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$2,543.45 |
$2,543.45 |
1.6× |
| Ther Spi Pnxr Csf Fluor/Ct (62329) |
$4,007.25 |
$4,007.25 |
5.9× |
| Thrmbc Artl/Ven Grf Oth/Thn Hemo Grf/Fstl (35875) |
$9,682.55 |
$9,682.55 |
1.8× |
| Thromblytic art/ven therapy (37213) |
$6,489.45 |
$6,489.45 |
2.1× |
| Thrombolytic Art Therapy (37211) |
$9,455.65 |
$9,455.65 |
1.8× |
| Thrombolytic Therapy Stroke (37195) |
$1,744.25 |
$1,744.25 |
5.5× |
| Thrombolytic Venous Therapy (37212) |
$4,421.20 |
$4,421.20 |
1.5× |
| Thyroid biopsy (60100) |
$3,075.70 |
$3,075.70 |
4.5× |
| Tis Trnfr E/N/E/L 10 Sq Cm/< (14060) |
$894.40 |
$894.40 |
0.4× |
| Tooth extraction (41899) |
$631.25 |
$631.25 |
2.8× |
| Tracheobrnchsc Thru Est Trachs Inc (31615) |
$1,121.15 |
$1,121.15 |
2.2× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$2,452.25 |
$2,452.25 |
1.6× |
| Tracheostomy planned (31600) |
$5,086.05 |
$5,086.05 |
1.6× |
| Transcatheter biopsy (37200) |
$9,455.65 |
$9,455.65 |
1.8× |
| Treat Dental Ridge Fracture (21440) |
$1,718.55 |
$1,718.55 |
0.5× |
| Treat Hip Socket Fracture (27222) |
$1,718.55 |
$1,718.55 |
7.2× |
| Treat humerus fracture (24500) |
$1,718.55 |
$1,718.55 |
7.2× |
| Treat Humerus Fracture (24505) |
$1,718.55 |
$1,718.55 |
1.1× |
| Treat humerus fracture (23600) |
$1,718.55 |
$1,718.55 |
7.2× |
| Treat knee fracture (27532) |
$1,718.55 |
$1,718.55 |
0.5× |
| Treat Knee Fracture(S) (27538) |
$1,718.55 |
$1,718.55 |
7.2× |
| Treat Knuckle Dislocation (26700) |
$1,718.55 |
$1,718.55 |
7.2× |
| Treat Metatarsal Fracture (28475) |
$1,718.55 |
$1,718.55 |
7.2× |
| Treat Tail Bone Fracture (27200) |
$1,718.55 |
$1,718.55 |
7.2× |
| Treat Thumb Dislocation (26641) |
$1,718.55 |
$1,718.55 |
7.2× |
| Treat Thumb Fracture (26645) |
$1,718.55 |
$1,718.55 |
1.1× |
| Treat toe dislocation (28630) |
$1,718.55 |
$1,718.55 |
7.2× |
| Treat Vaginal Bleeding (57180) |
$715.20 |
$715.20 |
3.7× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,718.55 |
$1,718.55 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$1,718.55 |
$1,718.55 |
7.2× |
| Trim skin lesion (11055) |
$296.65 |
$296.65 |
1.5× |
| Trim skin lesions 2 to 4 (11056) |
$436.95 |
$436.95 |
2.3× |
| Trim skin lesions over 4 (11057) |
$299.60 |
$299.60 |
1.5× |
| Trimming Nondystrophic Nails Any Number (11719) |
$455.35 |
$455.35 |
8.0× |
| Trluml Balo Angiop 1St Art (37246) |
$23,655.95 |
$23,655.95 |
4.3× |
| Trluml Balo Angiop 1St Vein (37248) |
$23,655.95 |
$23,655.95 |
4.3× |
| Tx Gastro Intub W/Asp (43753) |
$382.80 |
$382.80 |
1.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,087.75 |
$1,087.75 |
1.5× |
| Tx superficial wound dehiscence w/packing (12021) |
$1,087.75 |
$1,087.75 |
2.8× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$1,718.55 |
$1,718.55 |
1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/O Manj (28450) |
$1,718.55 |
$1,718.55 |
7.2× |
| Unlisted Cardiac Surgery (33999) |
$2,097.55 |
$2,097.55 |
3.5× |
| Unlisted Procedure Biliary Tract (47999) |
$1,420.55 |
$1,420.55 |
1.6× |
| Unlisted Procedure Endocrine System (60699) |
$12,601.85 |
$12,601.85 |
2.2× |
| Unlisted procedure nervous system (64999) |
$1,177.60 |
$1,177.60 |
4.0× |
| Unlisted Procedure Rectum (45999) |
$1,351.75 |
$1,351.75 |
1.5× |
| Unlisted Procedure Vascular Surgery (37799) |
$937.05 |
$937.05 |
1.5× |
| Unlisted Procedure, Urinary System (53899) |
$539.70 |
$539.70 |
2.2× |
| Upgrade of pacemaker system (33214) |
$18,154.20 |
$18,154.20 |
1.8× |
| Vaginal Delivery After Cesarean Delivery (59612) |
$8,914.90 |
$8,914.90 |
2.9× |
Vaginal delivery only (59409)
range across 2 matching MRF lines |
$5,038.95–$8,914.90 |
$5,038.95–$8,914.90 |
varies |
| Vasc embolize/occlude artery (37242) |
$26,232 |
$26,232 |
1.5× |
| Vasc Embolize/Occlude Organ (37243) |
$26,232 |
$26,232 |
2.4× |
| Vasc embolize/occlude venous (37241) |
$18,673.85 |
$18,673.85 |
1.7× |
| Venous Cutdown >1 Y/O (36425) |
$604.65 |
$604.65 |
1.4× |
| Venous Mech Thrombectomy (37187) |
$13,980.40 |
$13,980.40 |
1.3× |
| Wedge excision skin nail fold (11765) |
$455.35 |
$455.35 |
1.2× |
| Wedging of cast (29740) |
$950.55 |
$950.55 |
3.5× |
| Windowing of cast (29730) |
$950.55 |
$950.55 |
6.1× |
| Xtrnl Cannula Decltng Spx W/O Balo Cath (36860) |
$4,745.35 |
$4,745.35 |
3.1× |