| Application of rigid total contact leg cast (29445) |
$643.70 |
$643.70 |
2.5× |
| Application short leg splint calf foot (29515) |
$367.90 |
$367.90 |
2.4× |
| Apply Multlay Comprs Lwr Leg (29581) |
$367.90 |
$367.90 |
2.4× |
| Arterial puncture (36600) |
$29.20 |
$29.20 |
0.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$676.20 |
$676.20 |
2.3× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$676.20 |
$676.20 |
2.3× |
| Aspirate Pleura W/O Imaging (32554) |
$986.70 |
$986.70 |
1.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$482.20 |
$482.20 |
2.6× |
| Biopsy bone trocar/needle deep (20225) |
$3,757.80 |
$3,757.80 |
2.4× |
| Biopsy Bone Trocar/Needle Superficial (20220) |
$3,757.80 |
$3,757.80 |
2.4× |
Blood Transfusion Service (36430)
range across 6 matching MRF lines |
$344.60–$758.10 |
$344.60–$758.10 |
varies |
| Bone Marrow Biopsy (38221) |
$149.50 |
$149.50 |
0.1× |
| Bx breast 1st lesion us imag (19083) |
$2,500 |
$2,500 |
1.6× |
| Chemical Cautery Tissue (17250) |
$482.20 |
$482.20 |
2.6× |
Collection of venous blood by venipuncture (36415)
range across 3 matching MRF lines |
$11.40–$20.20 |
$11.40–$20.20 |
varies |
| Colonoscopy w/submucosal inj (45381) |
$97.90 |
$97.90 |
0.1× |
| Complex drainage wound (10180) |
$6,497.20 |
$6,497.20 |
2.4× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$1,319.40 |
$1,319.40 |
1.9× |
| Debride nail 1-5 (11720) |
$152.90 |
$152.90 |
2.8× |
| Debride nail 6 or more (11721) |
$152.90 |
$152.90 |
2.8× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$3,757.80 |
$3,757.80 |
2.4× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$858.10 |
$858.10 |
2.2× |
| Diagnostic sigmoidoscopy (45330) |
$986.70 |
$986.70 |
1.1× |
| Drainage of hematoma/fluid (10140) |
$3,757.80 |
$3,757.80 |
2.4× |
| Draw Blood Off Venous Device (36591) |
$138.40 |
$138.40 |
1.1× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$858.10 |
$858.10 |
2.2× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$482.20 |
$482.20 |
2.6× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$482.20 |
$482.20 |
2.6× |
| Dx Bronchoscope/Wash (31622) |
$1,135.20 |
$1,135.20 |
0.7× |
| Epidermal agrft f/s/n/h/f/g/m/d gt 1st 100 cm/< (15115) |
$4,231.60 |
$4,231.60 |
2.2× |
| Epidrm agrft t/a/l 1st 100 cm/&/1% bdy inft/chld (15110) |
$4,231.60 |
$4,231.60 |
2.2× |
| Evacuation of subungual hematoma (11740) |
$291 |
$291 |
2.3× |
| Fluoro exam of g/colon tube (49465) |
$298.80 |
$298.80 |
1.3× |
| I&d abscess simple (10060) |
$482.20 |
$482.20 |
2.6× |
| I&d pilonidal cyst simple (10080) |
$1,582.70 |
$1,582.70 |
2.4× |
| Incision & drainage abscess complicated/multiple (10061) |
$858.10 |
$858.10 |
2.2× |
| Incision & removal foreign body subq tiss simple (10120) |
$858.10 |
$858.10 |
2.2× |
| Incision of eardrum (69420) |
$640.90 |
$640.90 |
2.9× |
| Incision&drainage bursa foot (28001) |
$3,757.80 |
$3,757.80 |
2.4× |
| Incisional biopsy skin single lesion (11106) |
$931.90 |
$931.90 |
1.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$482.20 |
$482.20 |
2.6× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,070.90 |
$1,070.90 |
1.3× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$819.60 |
$819.60 |
1.2× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,070.90 |
$1,070.90 |
1.3× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$819.60 |
$819.60 |
1.2× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$819.60 |
$819.60 |
1.2× |
| Intubation endotracheal emergency procedure (31500) |
$316.70 |
$316.70 |
1.4× |
Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531)
range across 3 matching MRF lines |
$83.70–$215.30 |
$83.70–$215.30 |
varies |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$286.50 |
$286.50 |
0.3× |
| Prq Plmt Biliary Drg Cath W/Img Gid Rs&I Externl (47533) |
$174.10 |
$174.10 |
0.1× |
| Punch biopsy skin single lesion (11104) |
$482.20 |
$482.20 |
1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$858.10 |
$858.10 |
2.2× |
| Puncture Aspiration Cyst Breast (19000) |
$229.80 |
$229.80 |
0.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$1,582.70 |
$1,582.70 |
2.4× |
| Removal of nail bed (11750) |
$858.10 |
$858.10 |
2.2× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$643.70 |
$643.70 |
2.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$482.20 |
$482.20 |
2.6× |
| Skin sub graft face/nk/hf/g (15275) |
$4,231.60 |
$4,231.60 |
6.1× |
| Skin sub graft trnk/arm/leg (15271) |
$4,231.60 |
$4,231.60 |
6.1× |
| Skin sub grft t/arm/lg child (15273) |
$1,319.40 |
$1,319.40 |
0.7× |
| Skn sub grft f/n/hf/g child (15277) |
$4,231.60 |
$4,231.60 |
2.2× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$482.20 |
$482.20 |
2.6× |
| Spinal puncture lumbar diagnostic (62270) |
$315.60 |
$315.60 |
0.5× |
| Split Agrft F/S/N/H/F/G/M/D Gt 1st 100 Cm/</1 % (15120) |
$7,556.60 |
$7,556.60 |
2.3× |
| Split Agrft T/a/L 1st 100 Cm/&/1% Bdy Inft/Chld (15100) |
$4,231.60 |
$4,231.60 |
2.2× |
| Strapping Unna Boot (29580) |
$367.90 |
$367.90 |
2.4× |
| Tangential biopsy skin single lesion (11102) |
$482.20 |
$482.20 |
1.3× |
| Tenotomy Percutaneous Toe Single Tendon (28010) |
$3,587.90 |
$3,587.90 |
2.4× |
| Trim skin lesion (11055) |
$482.20 |
$482.20 |
2.6× |
| Trim skin lesions 2 to 4 (11056) |
$482.20 |
$482.20 |
2.6× |
| Trim skin lesions over 4 (11057) |
$482.20 |
$482.20 |
2.6× |
| Trimming Nondystrophic Nails Any Number (11719) |
$152.90 |
$152.90 |
2.8× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$1,319.40 |
$1,319.40 |
1.9× |
| Wound Prep F/N/Hf/G (15004) |
$1,319.40 |
$1,319.40 |
3.5× |
| Wound Prep Trk/Arm/Leg (15002) |
$4,231.60 |
$4,231.60 |
6.1× |