| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$905.34 |
$1,910 |
1.1× |
| Amniocentesis diagnostic (59000) |
$303.83 |
$641 |
0.4× |
| Application cast elbow finger short arm (29075) |
$223.73 |
$472 |
0.9× |
| Application finger splint static (29130) |
$98.59 |
$208 |
0.8× |
| Application long arm splint shoulder hand (29105) |
$98.59 |
$208 |
0.7× |
| Application Long Leg Splint (29505) |
$223.73 |
$472 |
1.5× |
| Application of long leg cast (29345) |
$223.73 |
$472 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$98.59 |
$208 |
0.8× |
| Application short leg splint calf foot (29515) |
$98.59 |
$208 |
0.7× |
| Apply hand/wrist cast (29085) |
$98.59 |
$208 |
0.7× |
| Apply long arm cast (29065) |
$223.73 |
$472 |
0.9× |
Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$59.25–$223.73 |
$125–$472 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$187.16–$223.73 |
$394.85–$472 |
varies |
| Aspirate Pleura W/O Imaging (32554) |
$627.50 |
$1,323.83 |
1.1× |
| Biopsy of breast; open, incisional (19101) |
$548.89 |
$1,158 |
0.2× |
Bladder Scan (51798) range across 2 matching MRF lines |
$91.48–$97.64 |
$193–$206 |
varies |
| Blood Transfusion Service (36430) |
$388.68 |
$820 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$56.88 |
$120 |
0.0× |
| Chest tube placement (32551) |
$276.34 |
$583 |
0.2× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$276.34 |
$583 |
0.2× |
| Clear outer ear canal (69200) |
$223.73 |
$472 |
1.9× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$276.34 |
$583 |
1.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$223.73 |
$472 |
1.0× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$276.34 |
$583 |
0.2× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$276.34 |
$583 |
1.2× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$276.34 |
$583 |
1.2× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$276.34 |
$583 |
1.2× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$276.34 |
$583 |
0.2× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$276.34 |
$583 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$276.34 |
$583 |
0.2× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$276.34 |
$583 |
1.2× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$276.34 |
$583 |
0.2× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$276.34 |
$583 |
1.2× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$276.34 |
$583 |
0.2× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$276.34 |
$583 |
1.2× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$276.34 |
$583 |
1.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$276.34 |
$583 |
0.2× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$276.34 |
$583 |
1.2× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$223.73 |
$472 |
0.2× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$223.73 |
$472 |
1.0× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$223.73 |
$472 |
0.2× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$276.34 |
$583 |
1.2× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$276.34 |
$583 |
1.2× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$276.34 |
$583 |
1.2× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$276.34 |
$583 |
0.2× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$276.34 |
$583 |
0.2× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$276.34 |
$583 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$276.34 |
$583 |
1.2× |
| Cltx fx phlx/phlg oth/thn grt toe w/o manj (28510) |
$276.34 |
$583 |
1.2× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$276.34 |
$583 |
0.2× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$276.34 |
$583 |
1.2× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$223.73 |
$472 |
0.9× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$276.34 |
$583 |
0.2× |
| Cltx Medial Ankle Fx (27760) |
$276.34 |
$583 |
1.2× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$276.34 |
$583 |
0.2× |
| Cltx Metatarsophlngl Jt Dislc Req Anes (28635) |
$223.73 |
$472 |
0.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$276.34 |
$583 |
1.2× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$276.34 |
$583 |
1.2× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$276.34 |
$583 |
0.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$223.73 |
$472 |
1.0× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$276.34 |
$583 |
1.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$216.14 |
$456 |
1.8× |
Collection of venous blood by venipuncture (36415) range across 3 matching MRF lines |
$2.84–$10.43 |
$6–$22 |
varies |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$223.73 |
$472 |
1.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$223.73 |
$472 |
1.9× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$223.73 |
$472 |
1.9× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$24.17 |
$51 |
0.0× |
| Declot vascular device (36593) |
$282.10 |
$595.14 |
0.9× |
| Drainage of finger abscess simple (26010) |
$223.73 |
$472 |
1.2× |
| Draw Blood Off Venous Device (36591) |
$53.56 |
$113 |
0.4× |
| Epidural Blood Patch (62273) |
$1,355.88 |
$2,860.50 |
2.1× |
Fetal non-stress test (59025) range across 3 matching MRF lines |
$146.47–$164.48 |
$309–$347 |
varies |
| I&d abscess simple (10060) |
$223.73 |
$472 |
1.2× |
| Incision & drainage abscess complicated/multiple (10061) |
$223.73 |
$472 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$223.73 |
$472 |
0.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$223.73 |
$472 |
0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$182.96 |
$386 |
1.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$379.20 |
$800 |
0.5× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$853.20 |
$1,800 |
1.1× |
| Injection anesthetic agent suprascapular nerve (64418) |
$379.20 |
$800 |
0.6× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$379.20 |
$800 |
0.5× |
Injection, anesthetic agent; femoral nerve, single (64447) range across 2 matching MRF lines |
$379.20–$782.10 |
$800–$1,650 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$782.10 |
$1,650 |
1.2× |
| Insert non-tunnel cv cath (36556) |
$2,666.25 |
$5,625 |
0.9× |
Insert Temp Bladder Cath (51702) range across 5 matching MRF lines |
$56.88–$127.59 |
$120–$269.18 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$127.59 |
$269.18 |
1.1× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$839.29 |
$1,770.66 |
0.6× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$276.34 |
$583 |
0.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$966.01 |
$2,038 |
0.7× |
| Intubation endotracheal emergency procedure (31500) |
$171.11 |
$361 |
0.8× |
| Myelography Lumbar Injection (62305) |
$1,174.10 |
$2,477 |
1.7× |
| Myelography Lumbar Injection (62304) |
$1,174.10 |
$2,477 |
1.7× |
Myelography via lumbar injection rs&i cervical (62302) range across 2 matching MRF lines |
$558.37–$1,174.10 |
$1,178–$2,477 |
varies |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$1,174.10 |
$2,477 |
1.7× |
| N block inj intercost sng (64420) |
$379.20 |
$800 |
0.6× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$297.67 |
$628 |
0.1× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$276.34 |
$583 |
0.3× |
| Perq dev breast 1st strtctc (19283) |
$1,763.75 |
$3,721 |
2.7× |
| Perq dev breast 1st us imag (19285) |
$172.54 |
$364 |
0.3× |
| Perq device breast 1st imag (19281) |
$507.18 |
$1,070 |
0.3× |
| Placement of needle for intraosseous infusion (36680) |
$276.34 |
$583 |
0.7× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$793.95 |
$1,675 |
0.2× |
| Puncture Aspiration Cyst Breast (19000) |
$398.63 |
$841 |
0.6× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$223.73 |
$472 |
0.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$182.96 |
$386 |
3.4× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$182.96 |
$386 |
3.4× |
| Remove foreign body from eye (65205) |
$182.96 |
$386 |
1.5× |
| Remove Nasal Foreign Body (30300) |
$182.96 |
$386 |
1.5× |
| Repair extensor tendon finger w/o graft each (26418) |
$276.34 |
$583 |
0.2× |
| Repair Hand Tendon (26410) |
$276.34 |
$583 |
0.2× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$223.73 |
$472 |
0.3× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$223.73 |
$472 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$223.73 |
$472 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$223.73 |
$472 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$223.73 |
$472 |
0.6× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$223.73 |
$472 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$223.73 |
$472 |
0.6× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$223.73 |
$472 |
0.6× |
| Repair tongue laceration (41250) |
$93.38 |
$197 |
0.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$182.96 |
$386 |
1.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$223.73 |
$472 |
1.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$223.73 |
$472 |
1.2× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$223.73 |
$472 |
0.6× |
| Spinal puncture lumbar diagnostic (62270) |
$276.34 |
$583 |
0.4× |
| Strapping ankle (29540) |
$115.66 |
$244 |
0.8× |
| Strapping knee (29530) |
$123.16 |
$259.84 |
1.0× |
| Strapping shoulder (29240) |
$98.59 |
$208 |
0.8× |
| Strapping Unna Boot (29580) |
$130.71 |
$275.75 |
0.9× |
| Thrombolytic Therapy Stroke (37195) |
$338.28 |
$713.68 |
1.1× |
| Treat humerus fracture (24500) |
$276.34 |
$583 |
1.2× |
| Treat Humerus Fracture (24505) |
$276.34 |
$583 |
0.2× |
| Treat humerus fracture (23600) |
$276.34 |
$583 |
1.2× |
| Treat Knuckle Dislocation (26700) |
$276.34 |
$583 |
1.2× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$223.73 |
$472 |
0.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$223.73 |
$472 |
1.0× |
| Unlisted procedure nervous system (64999) |
$276.34 |
$583 |
1.0× |