| Abd paracentesis w/imaging (49083) |
$913 |
$913 |
1.0× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$388 |
$388 |
0.4× |
| Anoscopy diagnostic (46600) |
$212 |
$212 |
1.6× |
| Application cast elbow finger short arm (29075) |
$185 |
$185 |
0.6× |
| Application finger splint static (29130) |
$87 |
$87 |
0.6× |
| Application long arm splint shoulder hand (29105) |
$189 |
$189 |
1.1× |
| Application short arm splint forearm-hand static (29125) |
$250 |
$250 |
1.8× |
| Application short leg splint calf foot (29515) |
$153 |
$153 |
0.9× |
| Apply Short Leg Cast (29405) |
$175 |
$175 |
0.6× |
| Arterial puncture (36600) |
$117 |
$117 |
0.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$173.25 |
$173.25 |
0.6× |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) range across 2 matching MRF lines |
$200–$415 |
$200–$415 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$227 |
$227 |
0.7× |
| Aspirate/Inj Ganglion Cyst (20612) |
$127.05 |
$127.05 |
0.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$207 |
$207 |
1.0× |
| Biopsy Vulva/Perineum 1 Lesion Spx (56605) |
$183 |
$183 |
0.2× |
| Bladder Scan (51798) |
$153 |
$153 |
2.5× |
| Blepharotomy drainage abscess eyelid (67700) |
$141 |
$141 |
0.4× |
| Blood Transfusion Service (36430) |
$1,133 |
$1,133 |
2.5× |
| Bx Cervix (57500) |
$267 |
$267 |
0.3× |
| Chemodenerv musc neck dyston (64616) |
$375 |
$375 |
1.2× |
| Circumcision w/clamp/oth dev w/block (54150) |
$336 |
$336 |
0.2× |
| Clear outer ear canal (69200) |
$209 |
$209 |
1.5× |
| Collect Blood From Catheter Venous Nos (36592) |
$161 |
$161 |
1.2× |
| Collection of venous blood by venipuncture (36415) |
$25 |
$25 |
2.7× |
| Colposc,Cervix W/Adj Vag,W/Bx & Curretag (57454) |
$319 |
$319 |
1.0× |
| Colposcopy Cervix Endocervical Curettage (57456) |
$281 |
$281 |
0.9× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$298 |
$298 |
1.0× |
| Colposcopy Vulva W/Biopsy (56821) |
$345 |
$345 |
1.1× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$465 |
$465 |
3.4× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$315 |
$315 |
2.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$120 |
$120 |
0.3× |
| Debride nail 1-5 (11720) |
$33 |
$33 |
0.5× |
| Debride nail 6 or more (11721) |
$300 |
$300 |
5.0× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$624 |
$624 |
1.5× |
| Destruct B9 Lesion 1-14 (17110) |
$177 |
$177 |
0.9× |
| Destruction Benign Lesions 15/> (17111) |
$177 |
$177 |
0.9× |
| Destruction Lesions Vulva Simple (56501) |
$273 |
$273 |
0.1× |
| Destruction premalignant lesion 1st (17000) |
$135 |
$135 |
0.7× |
| Destruction Vaginal Lesions Simple (57061) |
$266 |
$266 |
0.1× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$470 |
$470 |
0.1× |
| Dilation Cervical Canal (57800) |
$140 |
$140 |
0.0× |
| Drainage of gum lesion (41800) |
$515 |
$515 |
3.8× |
| Drainage of hematoma/fluid (10140) |
$340 |
$340 |
0.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$354 |
$354 |
1.7× |
| Endocervical curettage (57505) |
$213 |
$213 |
0.2× |
| Endometrial Biopsy (58100) |
$228 |
$228 |
1.1× |
| Evacuation of subungual hematoma (11740) |
$104 |
$104 |
0.8× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$285 |
$285 |
0.4× |
| Exc b9 lesion mrgn xcp sk tg s/n/h/f/g 2.1-3.0cm (11423) |
$526 |
$526 |
0.3× |
| Exc F/E/E/N/L Mal+Mrg 0.6-1 (11641) |
$497 |
$497 |
0.7× |
| Exc F/E/E/N/L Mal+Mrg 1.1-2 (11642) |
$584 |
$584 |
0.8× |
| Exc F/E/E/N/L Mal+Mrg 3.1-4 (11644) |
$847 |
$847 |
0.5× |
| Exc Face-Mm B9+Marg 0.5 Cm/< (11440) |
$280 |
$280 |
0.4× |
| Exc Face-Mm B9+Marg 1.1-2 Cm (11442) |
$394 |
$394 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 0.5/< (11420) |
$255 |
$255 |
0.2× |
| Exc H-F-Nk-Sp B9+Marg 0.6-1 (11421) |
$327 |
$327 |
0.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$365 |
$365 |
0.2× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$415 |
$415 |
0.6× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$677 |
$677 |
0.4× |
| Exc Skin Malig 2.1-3 Cm Remaindr Body (11623) |
$457 |
$457 |
0.3× |
| Exc Skin Malig >4 Cm Trunk,Arm,Leg (11606) |
$947 |
$947 |
0.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$599 |
$599 |
0.5× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$361 |
$361 |
0.5× |
| Excise, Malign Lesion w/Margins, Trunk, Arms, or Legs; Excised diam 2.1 to 3.0 cm Charge (11603) |
$420 |
$420 |
0.6× |
| Excision Lesion Tongue W/O Closure (41110) |
$609 |
$609 |
0.2× |
| Excision Mal Lesion Trunk/Arm/Leg 0.5 Cm/< (11600) |
$400 |
$400 |
0.6× |
| Excision Mal Lesion Trunk/Arm/Leg 0.6-1.0 Cm (11601) |
$476 |
$476 |
0.7× |
| Excision mal lesion trunk/arm/leg 1.1-2.0 cm (11602) |
$50 |
$50 |
0.1× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$679 |
$679 |
0.9× |
| Excision Malignant Lesion S/N/H/F/G 0.6-1.0 Cm (11621) |
$480 |
$480 |
0.7× |
| Excision malignant lesion s/n/h/f/g 1.1-2.0 cm (11622) |
$366 |
$366 |
0.5× |
| Excision of vaginal cyst or tumor (57135) |
$413 |
$413 |
0.1× |
| Fetal non-stress test (59025) |
$152 |
$152 |
0.7× |
| Fine needle aspiration without imaging guidance (10021) |
$260 |
$260 |
0.6× |
| I&d abscess simple (10060) |
$450 |
$450 |
2.2× |
| I&d perianal abscess superficial (46050) |
$215 |
$215 |
0.2× |
| Incise external hemorrhoid (46083) |
$236 |
$236 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$600 |
$600 |
1.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$225 |
$225 |
0.5× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$1,350 |
$1,350 |
1.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$1,350 |
$1,350 |
1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$1,820 |
$1,820 |
2.5× |
| Injection single tendon origin/insertion (20551) |
$315 |
$315 |
1.0× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$415 |
$415 |
1.3× |
Injection single/mlt trigger point 3/> muscles (20553) range across 3 matching MRF lines |
$415–$705 |
$415–$705 |
varies |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$975 |
$975 |
1.4× |
| Injection, Intralesional; More Than 7 Lesions (11901) |
$147 |
$147 |
0.7× |
| Injection, intralesional; up to and including 7 lesions (11900) |
$117 |
$117 |
0.6× |
| Insert Drug Implant Device (11981) |
$305 |
$305 |
2.2× |
| Insert pessary/other device (57160) |
$159 |
$159 |
0.8× |
| Insert Temp Bladder Cath (51702) |
$205 |
$205 |
1.5× |
| Lysis/excision penile postcircumcision adhesions (54162) |
$546 |
$546 |
0.3× |
| N Block Inj Plantar Digit (64455) |
$200 |
$200 |
0.6× |
| Needle insertion w/o injection 1 or 2 muscles (20560) |
$21 |
$21 |
0.7× |
| Needle insertion w/o injection 3 or more muscles (20561) |
$28 |
$28 |
0.9× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$966 |
$966 |
1.3× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$966 |
$966 |
1.3× |
| Occipital Nerve Block (64405) |
$450 |
$450 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$266 |
$266 |
0.6× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$250 |
$250 |
0.6× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$1,200 |
$1,200 |
1.7× |
| Removal foreign body foot deep (28192) |
$682.50 |
$682.50 |
0.4× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$60 |
$60 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$109 |
$109 |
1.8× |
| Removal implantable contraceptive capsules (11976) |
$378 |
$378 |
0.5× |
| Removal of foreign body from pharynx (42809) |
$205 |
$205 |
0.4× |
| Removal of nail bed (11750) |
$336 |
$336 |
0.8× |
| Removal or bivalving full arm or full leg cast (29705) |
$142 |
$142 |
0.5× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$159 |
$159 |
0.8× |
| Remove drug implant device (11982) |
$225 |
$225 |
0.5× |
| Remove foreign body from eye (65205) |
$155 |
$155 |
1.1× |
| Remove Intrauterine Device (58301) |
$197 |
$197 |
0.6× |
| Remove/Insert Drug Implant (11983) |
$530 |
$530 |
1.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$1,032 |
$1,032 |
2.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$570 |
$570 |
1.4× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$494 |
$494 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$495 |
$495 |
1.2× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$605 |
$605 |
1.5× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$525 |
$525 |
1.3× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$532 |
$532 |
0.6× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$140.70 |
$140.70 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$141 |
$141 |
1.0× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$475 |
$475 |
2.3× |
| Shave skin lesion 0.5 cm/< (11300) |
$80 |
$80 |
0.2× |
| Shaving Skin Lesion 1 S/N/H/F/G Diam 0.5 Cm/< (11305) |
$215 |
$215 |
1.0× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam 0.6-1.0 Cm (11301) |
$250 |
$250 |
1.2× |
| Shvg Skin Lesion 1 Trunk/Arm/Leg Diam >2.0 Cm (11303) |
$155 |
$155 |
0.4× |
| Shvg Skn Lesion 1 Trunk/Arm/Leg Diam 1.1-2.0 Cm (11302) |
$135 |
$135 |
0.7× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$400 |
$400 |
2.0× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$425 |
$425 |
2.1× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$450 |
$450 |
2.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$225 |
$225 |
1.1× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$279 |
$279 |
1.4× |
| Skin sub graft trnk/arm/leg (15271) |
$1,200 |
$1,200 |
1.6× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$275 |
$275 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$337 |
$337 |
0.8× |
| Tangential biopsy skin single lesion (11102) |
$84 |
$84 |
0.2× |
| Trim skin lesion (11055) |
$171 |
$171 |
0.8× |
| Trim skin lesions 2 to 4 (11056) |
$239 |
$239 |
1.2× |
| Trimming Nondystrophic Nails Any Number (11719) |
$112 |
$112 |
1.9× |
| Tx superficial wound dehiscence w/packing (12021) |
$250 |
$250 |
0.6× |
| Unlisted procedure, vestibule of mouth (40899) |
$25 |
$25 |
0.1× |
| Vasectomy uni/bi spx w/postop semen exams (55250) |
$840 |
$840 |
0.4× |
| Wedge excision skin nail fold (11765) |
$309 |
$309 |
0.7× |