| Abd paracentesis w/imaging (49083) |
$501.60 |
$627 |
0.6× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$501.60 |
$627 |
0.6× |
| Amputation toe interphalangeal joint (28825) |
$1,944 |
$2,430 |
0.6× |
| Amputation toe metatarsophalangeal joint (28820) |
$2,628 |
$3,285 |
0.8× |
| Anoscopy diagnostic (46600) |
$86.40 |
$108 |
0.7× |
| Application cast elbow finger short arm (29075) |
$307.20 |
$384 |
1.1× |
| Application finger splint static (29130) |
$109.60 |
$137 |
0.9× |
| Application long arm splint shoulder hand (29105) |
$151.20 |
$189 |
1.0× |
| Application Long Leg Splint (29505) |
$151.20 |
$189 |
1.0× |
| Application short arm splint forearm-hand static (29125) |
$151.20 |
$189 |
1.2× |
| Application short leg splint calf foot (29515) |
$151.20 |
$189 |
1.0× |
| Apply long arm cast (29065) |
$187.20 |
$234 |
0.7× |
| Apply Multlay Comprs Lwr Leg (29581) |
$190.40 |
$238 |
1.2× |
| Arterial puncture (36600) |
$69.60 |
$87 |
0.5× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$287.20–$344 |
$359–$430 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 2 matching MRF lines |
$318.40–$344 |
$398–$430 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$276 |
$345 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$744 |
$930 |
1.2× |
| Aspirate Pleura W/O Imaging (32554) |
$670.40 |
$838 |
1.1× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$162.40 |
$203 |
0.8× |
| Bladder instillation anticarcinogenic agent (51720) |
$210.40 |
$263 |
0.3× |
Bladder Irrigation (51700)
range across 2 matching MRF lines |
$300.80–$346.40 |
$376–$433 |
varies |
| Bladder Scan (51798) |
$80.80 |
$101 |
1.4× |
| Blood Transfusion Service (36430) |
$534.40 |
$668 |
1.3× |
| Bone Marrow Biopsy (38221) |
$415.20 |
$519 |
0.3× |
| Bx breast 1st lesion mr imag (19085) |
$657.60 |
$822 |
0.4× |
| Bx breast 1st lesion strtctc (19081) |
$1,588 |
$1,985 |
1.0× |
| Bx breast 1st lesion us imag (19083) |
$1,532 |
$1,915 |
1.0× |
| Bx breast needle core w/o imaging guidance spx (19100) |
$729.60 |
$912 |
0.5× |
Change Cystostomy Tube Simple (51705)
range across 2 matching MRF lines |
$105.60–$307.20 |
$132–$384 |
varies |
| Chemical Cautery Tissue (17250) |
$153.60 |
$192 |
0.8× |
Chest tube placement (32551)
range across 2 matching MRF lines |
$538.40–$664 |
$673–$830 |
varies |
| Clear outer ear canal (69200) |
$166.40 |
$208 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$350.40 |
$438 |
1.5× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$212 |
$265 |
0.9× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$273.60 |
$342 |
1.2× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$497.60 |
$622 |
0.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$939.20 |
$1,174 |
0.6× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,407.20 |
$1,759 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$292.80 |
$366 |
1.2× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$1,152 |
$1,440 |
0.7× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$322.40 |
$403 |
1.4× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$634.40 |
$793 |
0.4× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$212 |
$265 |
0.9× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$176 |
$220 |
0.7× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,510.40 |
$1,888 |
1.0× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$216.80 |
$271 |
0.9× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$176 |
$220 |
0.7× |
| Cltx metacarpophalangeal dislc w/manj w/anes (26705) |
$467.20 |
$584 |
0.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$259.20 |
$324 |
1.1× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$335.20 |
$419 |
0.2× |
| Collect Blood From Catheter Venous Nos (36592) |
$76.80 |
$96 |
0.6× |
| Collection of venous blood by venipuncture (36415) |
$24 |
$30 |
2.6× |
| Complex drainage wound (10180) |
$2,400.80 |
$3,001 |
0.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$205.60 |
$257 |
1.6× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$196.80 |
$246 |
1.5× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$220 |
$275 |
1.7× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$188 |
$235 |
0.8× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$7,457.60 |
$9,322 |
3.7× |
| Cysto w/complex removal stone & stent (52315) |
$968 |
$1,210 |
0.5× |
| Cysto W/Simple Removal Stone & Stent (52310) |
$799.20 |
$999 |
0.4× |
| Cystourethroscopy (52000) |
$684 |
$855 |
1.0× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$384 |
$480 |
0.5× |
| Debride nail 1-5 (11720) |
$119.20 |
$149 |
2.1× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$1,056 |
$1,320 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$624.80 |
$781 |
1.6× |
| Declot vascular device (36593) |
$283.20 |
$354 |
0.9× |
| Delivery of placenta (59414) |
$756.80 |
$946 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$3,034.40 |
$3,793 |
1.6× |
| Destroy lumb/sac facet jnt (64635) |
$1,572 |
$1,965 |
0.8× |
| Destruct B9 Lesion 1-14 (17110) |
$172.80 |
$216 |
0.9× |
| Destruction neurolytic agt genicular nerve w/img (64624) |
$1,597.60 |
$1,997 |
0.9× |
| Dilat Female Urethra W/Suppository&/Instlj Ini (53660) |
$3,075.20 |
$3,844 |
24.9× |
| Dilat Female Urt W/Suppository&/Instlj Sbsq (53661) |
$3,075.20 |
$3,844 |
24.0× |
| Dilat Urethral Strix Dilator Male Sbsq (53601) |
$434.40 |
$543 |
3.4× |
| Dilate Urethra Stricture (53600) |
$434.40 |
$543 |
1.8× |
| Drain Cerebro Spinal Fluid (62272) |
$344 |
$430 |
0.5× |
| Drainage of finger abscess simple (26010) |
$310.40 |
$388 |
1.6× |
| Drainage of hematoma/fluid (10140) |
$496.80 |
$621 |
0.3× |
| Drainage of hydrocele (55000) |
$671.20 |
$839 |
1.0× |
| Draw Blood Off Venous Device (36591) |
$76.80 |
$96 |
0.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$302.40 |
$378 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$244.80 |
$306 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$234.40 |
$293 |
1.2× |
| Dstrj Neurolytic Agent Other Peripheral Nerve (64640) |
$945.60 |
$1,182 |
1.1× |
| Endocervical curettage (57505) |
$981.60 |
$1,227 |
1.1× |
| Endometrial Biopsy (58100) |
$259.20 |
$324 |
1.3× |
| Epidural Blood Patch (62273) |
$1,291.20 |
$1,614 |
1.9× |
| Evacuation of subungual hematoma (11740) |
$65.60 |
$82 |
0.5× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$212 |
$265 |
0.3× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$454.40 |
$568 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$450.40 |
$563 |
0.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$468 |
$585 |
0.7× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$279.20 |
$349 |
0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$448 |
$560 |
0.7× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$258.40 |
$323 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$324 |
$405 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$389.60 |
$487 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$412.80 |
$516 |
0.6× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$589.60 |
$737 |
0.2× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$543.20 |
$679 |
0.3× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$543.20 |
$679 |
0.3× |
| Exc Skin Malig >4 Cm Remaindr Body (11626) |
$789.60 |
$987 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$771.20 |
$964 |
0.5× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,628 |
$2,035 |
1.4× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$284 |
$355 |
0.7× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$348 |
$435 |
0.5× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$476.80 |
$596 |
0.3× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$530.40 |
$663 |
0.8× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$380.80 |
$476 |
0.6× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$434.40 |
$543 |
1.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$696.80 |
$871 |
1.0× |
| Excision malignant lesion f/e/e/n/l 0.5 cm/< (11640) |
$433.60 |
$542 |
0.6× |
| Excision Malignant Lesion F/E/E/N/L 2.1-3.0 Cm (11643) |
$548 |
$685 |
0.3× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$1,955.20 |
$2,444 |
1.2× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$385.60 |
$482 |
0.6× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$440 |
$550 |
0.6× |
| Fetal non-stress test (59025) |
$161.60 |
$202 |
0.8× |
| Fine needle aspiration bx w/CT gdn 1st lesion (10009) |
$202.40 |
$253 |
0.3× |
| Fna bx w/us gdn 1st les (10005) |
$167.20 |
$209 |
0.2× |
| Foreskin manipulation (54450) |
$304.80 |
$381 |
1.3× |
I&d abscess simple (10060)
range across 2 matching MRF lines |
$246.40–$254.40 |
$308–$318 |
varies |
| I&d perianal abscess superficial (46050) |
$961.60 |
$1,202 |
1.1× |
| I&d pilonidal cyst simple (10080) |
$948 |
$1,185 |
1.4× |
| Incise external hemorrhoid (46083) |
$302.40 |
$378 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$264 |
$330 |
0.7× |
| Incision & removal foreign body subq tiss simple (10120) |
$244 |
$305 |
0.6× |
| Incision and drainage of bartholin's gland abscess (56420) |
$209.60 |
$262 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$248.80 |
$311 |
0.8× |
| Incision of rectal abscess (46040) |
$2,547.20 |
$3,184 |
2.2× |
| Incisional biopsy skin single lesion (11106) |
$262.40 |
$328 |
0.4× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$168 |
$210 |
0.2× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$937.60 |
$1,172 |
1.1× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$320 |
$400 |
1.1× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$800 |
$1,000 |
1.2× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$229.60 |
$287 |
0.3× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$386.40 |
$483 |
1.3× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$328 |
$410 |
1.1× |
| Injection single/mlt trigger point 3/> muscles (20553) |
$204 |
$255 |
0.7× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$510.40 |
$638 |
0.8× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$124.80 |
$156 |
0.6× |
| Insert Bladder Cath Complex (51703) |
$133.60 |
$167 |
1.1× |
| Insert non-tunnel cv cath (36556) |
$1,371.20 |
$1,714 |
0.5× |
| Insert Temp Bladder Cath (51702) |
$137.60 |
$172 |
1.1× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$80.80 |
$101 |
0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,592 |
$1,990 |
1.1× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,313.60 |
$1,642 |
0.9× |
| Intubation endotracheal emergency procedure (31500) |
$285.60 |
$357 |
1.3× |
| Ligation or biopsy temporal artery (37609) |
$2,334.40 |
$2,918 |
1.5× |
| N block inj intercost sng (64420) |
$488.80 |
$611 |
0.7× |
| N Block Lumbar/Thoracic (64520) |
$1,498.40 |
$1,873 |
1.8× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$640 |
$800 |
1.5× |
Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493)
range across 2 matching MRF lines |
$1,012–$1,567.20 |
$1,265–$1,959 |
varies |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$1,247.20 |
$1,559 |
1.8× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,160 |
$1,450 |
1.7× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$1,583.20 |
$1,979 |
2.3× |
| Occipital Nerve Block (64405) |
$457.60 |
$572 |
1.6× |
| Perq dev breast 1st us imag (19285) |
$1,094.40 |
$1,368 |
1.6× |
| Perq device breast 1st imag (19281) |
$286.40 |
$358 |
0.2× |
Placement of needle for intraosseous infusion (36680)
range across 2 matching MRF lines |
$188–$334.40 |
$235–$418 |
varies |
| Proctopexy Perineal Approach (45541) |
$3,194.40 |
$3,993 |
1.2× |
| Punch biopsy skin single lesion (11104) |
$219.20 |
$274 |
0.6× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$197.60–$272 |
$247–$340 |
varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$945.60 |
$1,182 |
0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$928.80 |
$1,161 |
1.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$91.20 |
$114 |
1.6× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$100.80 |
$126 |
1.8× |
| Removal Implant Deep (20680) |
$3,063.20 |
$3,829 |
1.1× |
| Removal of nail bed (11750) |
$464 |
$580 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$172.80 |
$216 |
0.9× |
| Remove foreign body from eye (65205) |
$241.60 |
$302 |
1.9× |
| Remove Intrauterine Device (58301) |
$264 |
$330 |
0.9× |
| Remove Nasal Foreign Body (30300) |
$166.40 |
$208 |
1.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$558.40 |
$698 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$320 |
$400 |
0.8× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$449.60 |
$562 |
1.2× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$579.20 |
$724 |
1.5× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$272 |
$340 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$337.60 |
$422 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$708 |
$885 |
1.0× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$372.80 |
$466 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$302.40 |
$378 |
0.8× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$340.80 |
$426 |
0.9× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$416 |
$520 |
1.1× |
| Repair tongue laceration (41252) |
$871.20 |
$1,089 |
3.8× |
| Repair tongue laceration (41250) |
$179.20 |
$224 |
0.4× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$241.60 |
$302 |
0.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$359.20 |
$449 |
0.8× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$1,294.40 |
$1,618 |
0.9× |
| Rplc Gtube No Revj Trc (43762) |
$357.60 |
$447 |
1.5× |
| Rplc gtube revj gstrst trc (43763) |
$444.80 |
$556 |
1.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$284.80 |
$356 |
1.5× |
| Rpr tun/non-tun ctr vad cath w/o subq port/pmp (36575) |
$700 |
$875 |
1.2× |
| Shaving Skin Lesion 1 F/E/E/N/L/M Diam 0.5 Cm/< (11310) |
$225.60 |
$282 |
1.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$219.20 |
$274 |
1.1× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$250.40 |
$313 |
0.6× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$478.40 |
$598 |
2.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$180 |
$225 |
0.9× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$240.80 |
$301 |
1.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$526.40 |
$658 |
2.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$412 |
$515 |
2.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$224 |
$280 |
1.2× |
| Skin sub graft face/nk/hf/g (15275) |
$392 |
$490 |
0.6× |
| Skin sub graft trnk/arm/leg (15271) |
$1,247.20 |
$1,559 |
1.8× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$180 |
$225 |
0.9× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$267.20 |
$334 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$328.80 |
$411 |
0.8× |
| Spinal puncture lumbar diagnostic (62270) |
$468 |
$585 |
0.7× |
| Strapping shoulder (29240) |
$85.60 |
$107 |
0.7× |
| Strapping Unna Boot (29580) |
$122.40 |
$153 |
0.8× |
| Surg tx anal fistula subq (46270) |
$1,037.60 |
$1,297 |
0.4× |
| Tangential biopsy skin single lesion (11102) |
$174.40 |
$218 |
0.4× |
| Thyroid biopsy (60100) |
$605.60 |
$757 |
0.9× |
| Treat Knuckle Dislocation (26700) |
$228 |
$285 |
1.0× |
| Treat Thumb Dislocation (26641) |
$560 |
$700 |
2.4× |
| Treat toe dislocation (28630) |
$234.40 |
$293 |
1.0× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,636.80 |
$2,046 |
1.1× |
| Treatment closed elbow dislocation w/o anes (24600) |
$234.40 |
$293 |
1.0× |
| Trim skin lesion (11055) |
$200 |
$250 |
1.0× |
| Trim skin lesions 2 to 4 (11056) |
$232 |
$290 |
1.2× |
| Tx Gastro Intub W/Asp (43753) |
$70.40 |
$88 |
0.3× |