| Abd paracentesis w/imaging (49083) |
$1,347.85 |
$1,347.85 |
1.4× |
| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$416.15 |
$416.15 |
0.4× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$2,289.55 |
$2,289.55 |
0.7× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$981.30 |
$981.30 |
0.3× |
| Anoscopy diagnostic (46600) |
$99.40 |
$99.40 |
0.7× |
| Anoscopy W/Rmvl Foreign Body (46608) |
$1,208.90 |
$1,208.90 |
1.2× |
| Application cast elbow finger short arm (29075) |
$90.65 |
$90.65 |
0.3× |
| Application Finger Splint Dynamic (29131) |
$183.20 |
$183.20 |
2.9× |
| Application finger splint static (29130) |
$176.65 |
$176.65 |
1.2× |
| Application long arm splint shoulder hand (29105) |
$355.90 |
$355.90 |
2.1× |
| Application Long Leg Splint (29505) |
$287.85 |
$287.85 |
1.7× |
| Application of long leg cast (29345) |
$142.65 |
$142.65 |
0.5× |
| Application short arm splint forearm-hand static (29125) |
$249.90 |
$249.90 |
1.8× |
| Application short leg splint calf foot (29515) |
$300.90 |
$300.90 |
1.7× |
| Apply hand/wrist cast (29085) |
$239.20 |
$239.20 |
1.4× |
| Apply long arm cast (29065) |
$438.95 |
$438.95 |
1.5× |
| Apply Short Leg Cast (29405) |
$323.20 |
$323.20 |
1.1× |
| Arterial puncture (36600) |
$268.75 |
$268.75 |
1.9× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$323.20 |
$323.20 |
1.0× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$323.20 |
$323.20 |
1.0× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$440.25 |
$440.25 |
1.3× |
| Aspirate pleura w/ imaging (32555) |
$2,186.25 |
$2,186.25 |
3.3× |
| Aspirate Pleura W/O Imaging (32554) |
$1,089.85 |
$1,089.85 |
1.6× |
| Aspiration bladder insert suprapubic catheter (51102) |
$3,052.75 |
$3,052.75 |
1.4× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$132.15 |
$132.15 |
0.6× |
| Biopsy muscle percutaneous needle (20206) |
$781.25 |
$781.25 |
0.4× |
| Bladder instillation anticarcinogenic agent (51720) |
$509 |
$509 |
0.7× |
| Bladder Irrigation (51700) |
$251.15 |
$251.15 |
0.9× |
| Bladder Scan (51798) |
$130.85 |
$130.85 |
2.1× |
| Blepharotomy drainage abscess eyelid (67700) |
$388.60 |
$388.60 |
1.1× |
| Blood Transfusion Service (36430) |
$1,263.85 |
$1,263.85 |
2.7× |
| Bronchoscopy W/Removal Foreign Body (31635) |
$4,377.85 |
$4,377.85 |
2.3× |
| Bx breast 1st lesion us imag (19083) |
$2,348.50 |
$2,348.50 |
1.3× |
| Catheter aspiration nasotracheal spx (31720) |
$265.60 |
$265.60 |
1.1× |
| Change Cystostomy Tube Simple (51705) |
$260.35 |
$260.35 |
1.0× |
| Chest tube placement (32551) |
$679 |
$679 |
0.4× |
| Circumcision Neonate (54160) |
$247.30 |
$247.30 |
0.3× |
| Circumcision w/clamp/oth dev w/block (54150) |
$247.30 |
$247.30 |
0.1× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$1,354.15 |
$1,354.15 |
0.8× |
| Clear outer ear canal (69200) |
$90.20 |
$90.20 |
0.6× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$1,739.60 |
$1,739.60 |
1.0× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$358.95 |
$358.95 |
1.4× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$228.95 |
$228.95 |
0.9× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$188.45 |
$188.45 |
0.1× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$228.95 |
$228.95 |
0.9× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,165.60 |
$2,165.60 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$359.80 |
$359.80 |
1.4× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$228.95 |
$228.95 |
0.9× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$1,557.55 |
$1,557.55 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,360.95 |
$2,360.95 |
1.4× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$498.45 |
$498.45 |
0.3× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$255.10 |
$255.10 |
1.0× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,400.60 |
$2,400.60 |
1.4× |
| Closure Laceration Vestibule Mouth 2.5 Cm/< (40830) |
$350.15 |
$350.15 |
1.4× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$2,322.55 |
$2,322.55 |
1.4× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$566.55 |
$566.55 |
0.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$243.35 |
$243.35 |
0.9× |
| Cltx ankle dislc req anes w/wo prq skel fixj (27842) |
$652.90 |
$652.90 |
0.4× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$523.35 |
$523.35 |
0.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,360.95 |
$2,360.95 |
1.4× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$299.50 |
$299.50 |
1.1× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$271.90 |
$271.90 |
1.0× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$200.60 |
$200.60 |
0.8× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$219.80 |
$219.80 |
0.8× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$234.15 |
$234.15 |
0.1× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$3,828.30 |
$3,828.30 |
2.2× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$340.70 |
$340.70 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$219.80 |
$219.80 |
0.8× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$1,482.85 |
$1,482.85 |
0.9× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$442.20 |
$442.20 |
1.7× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$362.90 |
$362.90 |
0.2× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,388.90 |
$2,388.90 |
1.4× |
| Cltx Interphalangeal Joint Dislocation Req Anes (28665) |
$460.80 |
$460.80 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$219.80 |
$219.80 |
0.8× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$219.80 |
$219.80 |
0.8× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$1,889.35 |
$1,889.35 |
1.1× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$588.75 |
$588.75 |
2.2× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$392.45 |
$392.45 |
1.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,059.15 |
$1,059.15 |
0.6× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$219.80 |
$219.80 |
0.8× |
| Cltx prox fibula/shft fx w/manj (27781) |
$1,303.05 |
$1,303.05 |
0.8× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$1,002.20 |
$1,002.20 |
0.6× |
| Cltx Rdcrpl/Intercarpl Dislc 1/> Bones W/Manj (25660) |
$485 |
$485 |
1.8× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$228.95 |
$228.95 |
0.9× |
| Cltx Rdl Shft Fx&Cltx Dislc Dstl Rad/Uln Jt (25520) |
$357.75 |
$357.75 |
0.2× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$620.15 |
$620.15 |
0.4× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$174.10 |
$174.10 |
0.1× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,360.95 |
$2,360.95 |
1.4× |
| Cltx Tarsal Dislc Oth/Thn Talotarsal W/Anes (28545) |
$691.25 |
$691.25 |
0.2× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$647.60 |
$647.60 |
0.4× |
| Collect Blood From Catheter Venous Nos (36592) |
$134.75 |
$134.75 |
0.9× |
| Collection of venous blood by venipuncture (36415) |
$27.50 |
$27.50 |
2.9× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$140 |
$140 |
1.0× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$140 |
$140 |
1.0× |
| Cysto calibration dilat urtl strix/stenosis (52281) |
$1,246 |
$1,246 |
0.6× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$403 |
$403 |
0.9× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$951.55 |
$951.55 |
0.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$566.55 |
$566.55 |
0.7× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$243.35 |
$243.35 |
0.6× |
| Declot vascular device (36593) |
$565.25 |
$565.25 |
1.6× |
| Drain Cerebro Spinal Fluid (62272) |
$318.95 |
$318.95 |
0.4× |
| Drainage external auditory canal abscess (69020) |
$652.90 |
$652.90 |
0.9× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$311.50 |
$311.50 |
0.4× |
| Drainage Mouth Roof Lesion (42000) |
$217.25 |
$217.25 |
0.9× |
| Drainage of finger abscess simple (26010) |
$210.65 |
$210.65 |
1.0× |
| Drainage of gum lesion (41800) |
$402.05 |
$402.05 |
2.8× |
| Drainage of hematoma/fluid (10140) |
$1,180.10 |
$1,180.10 |
0.7× |
| Drainage of scrotal wall abscess (55100) |
$297 |
$297 |
0.2× |
| Drainage of scrotum (54700) |
$3,027.45 |
$3,027.45 |
1.4× |
| Draw Blood Off Venous Device (36591) |
$81.10 |
$81.10 |
0.6× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$1,138.25 |
$1,138.25 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$518.45 |
$518.45 |
1.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$180.55 |
$180.55 |
0.8× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$180.55 |
$180.55 |
0.8× |
| Dx Bone Marrow Bx & Aspir (38222) |
$1,962.60 |
$1,962.60 |
0.6× |
| Epidural Blood Patch (62273) |
$202.70 |
$202.70 |
0.3× |
| Episiotomy or vaginal repair (59300) |
$220.50 |
$220.50 |
0.1× |
| Evacuation of subungual hematoma (11740) |
$58.90 |
$58.90 |
0.4× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$1,768.60 |
$1,768.60 |
1.4× |
| Explo/Drain Breast Abscess (19020) |
$2,546.10 |
$2,546.10 |
1.4× |
| External cephalic version (59412) |
$1,146.30 |
$1,146.30 |
0.3× |
| Fetal non-stress test (59025) |
$376.80 |
$376.80 |
1.7× |
| Fine needle aspiration without imaging guidance (10021) |
$141.35 |
$141.35 |
0.3× |
| Fluid Pressure Muscle (20950) |
$715.40 |
$715.40 |
0.9× |
| Fluoro exam of g/colon tube (49465) |
$862.15 |
$862.15 |
3.4× |
| Fna bx w/us gdn 1st les (10005) |
$1,962.60 |
$1,962.60 |
2.6× |
| Foreskin manipulation (54450) |
$59.65 |
$59.65 |
0.2× |
| I&d abscess peritonsillar (42700) |
$403 |
$403 |
1.6× |
| I&d abscess simple (10060) |
$243.35 |
$243.35 |
1.1× |
| I&d perianal abscess superficial (46050) |
$1,221.80 |
$1,221.80 |
1.2× |
| I&d pilonidal cyst complicated (10081) |
$1,046.65 |
$1,046.65 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$243.35 |
$243.35 |
0.3× |
| I&d upper arm/elbow deep abscess/hematoma (23930) |
$2,095.90 |
$2,095.90 |
0.7× |
| Incise external hemorrhoid (46083) |
$283.90 |
$283.90 |
1.1× |
| Incision & drainage abscess complicated/multiple (10061) |
$243.35 |
$243.35 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$1,935.10 |
$1,935.10 |
1.1× |
| Incision & removal foreign body subq tiss simple (10120) |
$323.20 |
$323.20 |
0.7× |
| Incision and drainage of bartholin's gland abscess (56420) |
$233.70 |
$233.70 |
1.1× |
| Incision and drainage of vulva or perineal abscess (56405) |
$193.65 |
$193.65 |
0.6× |
| Incision of rectal abscess (46040) |
$422.60 |
$422.60 |
0.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,419.30 |
$2,419.30 |
1.4× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$132.15 |
$132.15 |
0.6× |
| Inj W/Fluor Eval Cv Device (36598) |
$1,363.30 |
$1,363.30 |
6.0× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$296.10 |
$296.10 |
0.3× |
| Injection aa&/strd intercostal nrv ea addl lvl (64421) |
$921.10 |
$921.10 |
1.0× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$921.10 |
$921.10 |
1.2× |
| Injection anesthetic agent suprascapular nerve (64418) |
$1,027.90 |
$1,027.90 |
1.4× |
| Injection for identification of sentinel node (38792) |
$665.35 |
$665.35 |
1.6× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$373.80 |
$373.80 |
1.1× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,393.35 |
$1,393.35 |
1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$180.65 |
$180.65 |
0.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$373.80 |
$373.80 |
0.5× |
| Insert Bladder Cath Complex (51703) |
$140 |
$140 |
1.0× |
| Insert cath pleura w/o image (32556) |
$2,134.40 |
$2,134.40 |
1.0× |
| Insert non-tunnel cv cath (36556) |
$1,291.35 |
$1,291.35 |
0.4× |
| Insert Temp Bladder Cath (51702) |
$81.10 |
$81.10 |
0.6× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$81.10 |
$81.10 |
0.6× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$1,962.60 |
$1,962.60 |
1.2× |
| Insj Picc Rs&I <5 Yr (36572) |
$2,355.05 |
$2,355.05 |
3.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,308.35 |
$1,308.35 |
0.8× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$2,281.05 |
$2,281.05 |
0.7× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$443.50 |
$443.50 |
1.0× |
| Intubation endotracheal emergency procedure (31500) |
$355.90 |
$355.90 |
1.4× |
| Irrigation of corpora cavernosa for priapism (54220) |
$388.25 |
$388.25 |
1.5× |
| Laryngoscopy diagnostic (31505) |
$217.25 |
$217.25 |
1.0× |
| Lip Surgery Procedure (40799) |
$243.35 |
$243.35 |
1.0× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$373.80 |
$373.80 |
0.5× |
| N block inj intercost sng (64420) |
$373.80 |
$373.80 |
0.5× |
| N Block Inj Plantar Digit (64455) |
$449.30 |
$449.30 |
1.4× |
| N Block Lumbar/Thoracic (64520) |
$551.80 |
$551.80 |
0.6× |
| Nasal/Orogastric W/Tube Plmt (43752) |
$397.70 |
$397.70 |
0.8× |
| Needle Biopsy Lymph Nodes (38505) |
$994.35 |
$994.35 |
0.6× |
| Nfct ds bct/vir respir DNA/RNA 22 trgt sarscov2 (0202U) |
$715.40 |
$715.40 |
1.7× |
| Njx anes stellate ganglion crv sympathetic (64510) |
$265 |
$265 |
0.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$323.20 |
$323.20 |
1.0× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$514.95 |
$514.95 |
0.7× |
| Njx dx/ther sbst intrlmnr crv/thrc w/o img gdn (62320) |
$1,535.40 |
$1,535.40 |
2.0× |
| Occipital Nerve Block (64405) |
$373.80 |
$373.80 |
1.1× |
| Penile Injection (54235) |
$570.45 |
$570.45 |
2.1× |
| Perq dev breast 1st us imag (19285) |
$226.30 |
$226.30 |
0.3× |
| Perq device breast 1st imag (19281) |
$448.75 |
$448.75 |
0.3× |
| Perq sft tiss loc device plmt 1st les w/gdnce (10035) |
$1,424.10 |
$1,424.10 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$210.65 |
$210.65 |
0.4× |
| Prq Skel Fixj Dstl Phlngl Fx Fngr/Thmb Ea (26756) |
$4,811.10 |
$4,811.10 |
1.4× |
| Punch biopsy skin single lesion (11104) |
$511.70 |
$511.70 |
1.2× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$243.35 |
$243.35 |
0.6× |
| Puncture Aspiration Cyst Breast (19000) |
$862.15 |
$862.15 |
1.1× |
| Pvb Thoracic Single Injection Site W/Img Gid (64461) |
$357.75 |
$357.75 |
0.5× |
| Removal Embedded Foreign Body Eyelid (67938) |
$508.05 |
$508.05 |
1.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$995.40 |
$995.40 |
1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$117.75 |
$117.75 |
1.9× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$90.20 |
$90.20 |
1.4× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$132.15 |
$132.15 |
0.6× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$160.90 |
$160.90 |
0.5× |
| Remove foreign body from eye (65205) |
$160.90 |
$160.90 |
1.1× |
| Remove Intrauterine Device (58301) |
$870 |
$870 |
2.7× |
| Remove Nasal Foreign Body (30300) |
$81.10 |
$81.10 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$949.80 |
$949.80 |
2.2× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$443.50 |
$443.50 |
1.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$443.50 |
$443.50 |
1.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$1,935.10 |
$1,935.10 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$154.45 |
$154.45 |
0.4× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$443.50 |
$443.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$443.50 |
$443.50 |
1.0× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$443.50 |
$443.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$154.45 |
$154.45 |
0.4× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$443.50 |
$443.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$497.30 |
$497.30 |
0.6× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$443.50 |
$443.50 |
1.0× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$154.45 |
$154.45 |
0.4× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$443.50 |
$443.50 |
1.0× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$528.25 |
$528.25 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$443.50 |
$443.50 |
1.0× |
| Repair of nail bed (11760) |
$147.85 |
$147.85 |
0.2× |
| Repair tongue laceration (41252) |
$425.70 |
$425.70 |
1.7× |
| Repair tongue laceration (41250) |
$132.15 |
$132.15 |
0.3× |
| Rev/rmv prph sac/gstr npg/r (64595) |
$3,659.25 |
$3,659.25 |
1.0× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$160.90 |
$160.90 |
0.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$160.90 |
$160.90 |
1.1× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$71.55 |
$71.55 |
0.2× |
| Rmvl Tun Cvc W/O Subq Port/Pmp (36589) |
$1,045.05 |
$1,045.05 |
1.6× |
| Rplc Gtube No Revj Trc (43762) |
$624.25 |
$624.25 |
2.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$154.45 |
$154.45 |
0.7× |
| Rpr Lip Full Thickness Half/< Vertical Height (40652) |
$805.95 |
$805.95 |
1.4× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$805.95 |
$805.95 |
1.4× |
| Rpr Lip Full Thkns >One-Half Vert Height/Comple (40654) |
$604.50 |
$604.50 |
0.4× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$154.45 |
$154.45 |
0.4× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$154.45 |
$154.45 |
0.7× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$154.45 |
$154.45 |
0.7× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$154.45 |
$154.45 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$154.45 |
$154.45 |
0.7× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$300.45 |
$300.45 |
1.4× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$154.45 |
$154.45 |
0.7× |
Skin Tissue Procedure (17999)
range across 2 matching MRF lines |
$163.55–$205.10 |
$163.55–$205.10 |
varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$154.45 |
$154.45 |
0.7× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$154.45 |
$154.45 |
0.4× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$499.50 |
$499.50 |
1.2× |
| Spinal puncture lumbar diagnostic (62270) |
$484.05 |
$484.05 |
0.6× |
| Strapping ankle (29540) |
$208.05 |
$208.05 |
1.2× |
| Strapping elbow or wrist (29260) |
$219.80 |
$219.80 |
3.5× |
| Strapping knee (29530) |
$227.65 |
$227.65 |
1.6× |
| Therapeutic plasma exchange (36514) |
$4,814.50 |
$4,814.50 |
2.9× |
| Thrombolytic Therapy Stroke (37195) |
$685.60 |
$685.60 |
1.9× |
| Thyroid biopsy (60100) |
$205.40 |
$205.40 |
0.3× |
| Tooth extraction (41899) |
$342.70 |
$342.70 |
1.4× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$805.95 |
$805.95 |
0.5× |
| Treat Hip Socket Fracture (27222) |
$536.10 |
$536.10 |
2.0× |
| Treat Humerus Fracture (24505) |
$174 |
$174 |
0.1× |
| Treat knee fracture (27532) |
$5,148.30 |
$5,148.30 |
1.5× |
| Treat Knee Fracture(S) (27538) |
$350.55 |
$350.55 |
1.3× |
| Treat Knuckle Dislocation (26700) |
$219.80 |
$219.80 |
0.8× |
| Treat Thumb Dislocation (26641) |
$178.85 |
$178.85 |
0.7× |
| Treat toe dislocation (28630) |
$340.70 |
$340.70 |
1.3× |
| Treat Vaginal Bleeding (57180) |
$293.20 |
$293.20 |
1.4× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,360.95 |
$2,360.95 |
1.4× |
| Treatment closed elbow dislocation w/o anes (24600) |
$219.80 |
$219.80 |
0.8× |
| Trimming Nondystrophic Nails Any Number (11719) |
$266.95 |
$266.95 |
4.2× |
| Tx Gastro Intub W/Asp (43753) |
$99.40 |
$99.40 |
0.4× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$2,981 |
$2,981 |
0.9× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$431.65 |
$431.65 |
0.5× |
| Unlisted procedure humerus/elbow (24999) |
$3,881.35 |
$3,881.35 |
14.7× |
| Unlisted Procedure Muscskeletal System General (20999) |
$443.50 |
$443.50 |
1.7× |
| Unlisted procedure nervous system (64999) |
$298.10 |
$298.10 |
0.9× |
Unlisted Procedure Pharynx Adenoids/Tonsils (42999)
range across 2 matching MRF lines |
$373.80–$464.45 |
$373.80–$464.45 |
varies |
Unlisted Procedure Vascular Surgery (37799)
range across 2 matching MRF lines |
$134.75–$2,165.85 |
$134.75–$2,165.85 |
varies |
| Wedge excision skin nail fold (11765) |
$491.55 |
$491.55 |
1.1× |