| Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082) |
$698 |
$872.50 |
0.7× |
| Acne surgery (10040) |
$354.80 |
$443.50 |
1.7× |
| Anoscopy diagnostic (46600) |
$270 |
$337.50 |
1.9× |
| Application cast elbow finger short arm (29075) |
$300 |
$375 |
1.0× |
| Application finger splint static (29130) |
$217.60 |
$272 |
1.5× |
Application long arm splint shoulder hand (29105)
range across 2 matching MRF lines |
$270–$326.40 |
$337.50–$408 |
varies |
| Application Long Leg Splint (29505) |
$300 |
$375 |
1.7× |
| Application of long leg cast (29345) |
$481.60 |
$602 |
1.6× |
Application short arm splint forearm-hand static (29125)
range across 4 matching MRF lines |
$217.60–$300 |
$272–$375 |
varies |
| Application short leg splint calf foot (29515) |
$250 |
$312.50 |
1.4× |
| Apply hand/wrist cast (29085) |
$348 |
$435 |
2.0× |
| Apply long arm cast (29065) |
$404.80 |
$506 |
1.4× |
| Apply Short Leg Cast (29405) |
$354 |
$442.50 |
1.2× |
| Apply short leg cast (29425) |
$378 |
$472.50 |
1.3× |
| Arterial puncture (36600) |
$197.20 |
$246.50 |
1.4× |
Arthrocentesis aspir&/inj interm jt/burs w/o us (20605)
range across 2 matching MRF lines |
$146.80–$250 |
$183.50–$312.50 |
varies |
Arthrocentesis aspir&/inj major jt/bursa w/o us (20610)
range across 3 matching MRF lines |
$173.20–$326.40 |
$216.50–$408 |
varies |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$197.20 |
$246.50 |
0.6× |
| Aspirate Pleura W/O Imaging (32554) |
$457.60 |
$572 |
0.7× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$165.60 |
$207 |
0.8× |
| Bladder Scan (51798) |
$84.80 |
$106 |
1.3× |
Blood Transfusion Service (36430)
range across 5 matching MRF lines |
$176.80–$2,246.40 |
$221–$2,808 |
varies |
| Bx Cervix (57500) |
$438.80 |
$548.50 |
0.4× |
| Cerclage cervix pregnancy vaginal (59320) |
$426.40 |
$533 |
0.1× |
| Change Cystostomy Tube Simple (51705) |
$384.40 |
$480.50 |
1.4× |
| Change of Windpipe Airway (31502) |
$124.80 |
$156 |
0.5× |
| Chemical Cautery Tissue (17250) |
$281.20 |
$351.50 |
1.3× |
| Chemodenerv Musc Migraine (64615) |
$408.80 |
$511 |
1.2× |
| Chemodenerv trunk musc 1-5 (64646) |
$429.20 |
$536.50 |
0.6× |
| Chest tube placement (32551) |
$857.60 |
$1,072 |
0.5× |
| Clear outer ear canal (69200) |
$197.20 |
$246.50 |
1.4× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$1,386 |
$1,732.50 |
5.2× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$1,386 |
$1,732.50 |
5.2× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$457.60 |
$572 |
1.7× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$1,728.80 |
$2,161 |
1.0× |
| Closed tx carpal scaphoid fracture w/manj (25624) |
$1,386 |
$1,732.50 |
0.8× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,481.60 |
$3,102 |
1.4× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$1,866.40 |
$2,333 |
7.1× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$878.80 |
$1,098.50 |
3.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$923.60 |
$1,154.50 |
0.6× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$1,527.20 |
$1,909 |
5.8× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$457.60 |
$572 |
1.7× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$1,307.60 |
$1,634.50 |
4.9× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$1,386 |
$1,732.50 |
5.2× |
Closed tx radial shaft fracture w/manipulation (25505)
range across 2 matching MRF lines |
$1,386–$1,699.60 |
$1,732.50–$2,124.50 |
varies |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$1,096.80 |
$1,371 |
4.1× |
Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565)
range across 2 matching MRF lines |
$2,044–$3,023.60 |
$2,555–$3,779.50 |
varies |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$944.80 |
$1,181 |
3.6× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$330.40 |
$413 |
1.2× |
| Clsd Tx Clavicular Fracture W/Manipulation (23505) |
$1,013.20 |
$1,266.50 |
0.6× |
| Clsd tx clavicular fracture w/o manipulation (23500) |
$1,013.20 |
$1,266.50 |
3.8× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,013.20 |
$1,266.50 |
0.6× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$988.80 |
$1,236 |
3.7× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$988.80 |
$1,236 |
3.7× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$1,728.80 |
$2,161 |
6.5× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$1,096.80 |
$1,371 |
4.1× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$1,386 |
$1,732.50 |
0.8× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$614.40 |
$768 |
2.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$1,818.40 |
$2,273 |
1.1× |
| Cltx Intr/Peri/Sbtrchntc Femoral Fx W/Manj (27240) |
$1,699.60 |
$2,124.50 |
1.0× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$1,598.40 |
$1,998 |
5.3× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$270 |
$337.50 |
1.0× |
Cltx metacarpal fx w/manipulation each bone (26605)
range across 2 matching MRF lines |
$404.80–$988.80 |
$506–$1,236 |
varies |
Cltx phlngl fx prox/middle px/f/t w/manj ea (26725)
range across 3 matching MRF lines |
$270–$725.60 |
$337.50–$907 |
varies |
| Cltx post hip arthrp dislc w/o anes (27265) |
$1,628.40 |
$2,035.50 |
6.2× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$617.20 |
$771.50 |
2.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$1,013.20 |
$1,266.50 |
0.6× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$1,842 |
$2,302.50 |
1.1× |
Collection of venous blood by venipuncture (36415)
range across 5 matching MRF lines |
$6.80–$62.80 |
$8.50–$78.50 |
varies |
Colpocentesis (57020)
likely a partial charge, not the full procedure |
$197.20 |
$246.50 |
0.0× |
| Colporrhaphy (57200) |
$1,002 |
$1,252.50 |
0.3× |
| Colposcopy Cervix Uppr/Adjcnt Vagina W/Cervix Bx (57455) |
$457.20 |
$571.50 |
1.4× |
| Conization cervix w/wo d&c rpr eltrd exc (57522) |
$861.60 |
$1,077 |
0.2× |
| Conization of cervix (57520) |
$1,004.40 |
$1,255.50 |
0.3× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$165.60 |
$207 |
1.2× |
Control Nasal Hemorrhage Anterior Simple (30901)
range across 2 matching MRF lines |
$165.60–$217.60 |
$207–$272 |
varies |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$217.60 |
$272 |
1.5× |
| Curette/treat cornea (65435) |
$287.60 |
$359.50 |
0.3× |
| Cystotomy, with insertion of ureteral catheter or stent (separate procedure) Facility (51045) |
$197.20 |
$246.50 |
0.1× |
Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012)
range across 2 matching MRF lines |
$165.60–$1,615.20 |
$207–$2,019 |
varies |
Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010)
range across 2 matching MRF lines |
$197.20–$1,123.20 |
$246.50–$1,404 |
varies |
Deb Musc/Fascia 20 Sq Cm/< (11043)
range across 4 matching MRF lines |
$597.60–$832.80 |
$747–$1,041 |
varies |
| Debride nail 1-5 (11720) |
$107.60 |
$134.50 |
1.7× |
Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044)
range across 3 matching MRF lines |
$787.20–$887.20 |
$984–$1,109 |
varies |
| Debridement Mastoidectomy Cavity Simple (69220) |
$142.40 |
$178 |
0.7× |
Debridement subcutaneous tissue 20 sq cm/< (11042)
range across 8 matching MRF lines |
$270–$791.20 |
$337.50–$989 |
varies |
| Declot vascular device (36593) |
$85.20 |
$106.50 |
0.2× |
| Destroy cerv/thor facet jnt (64633) |
$1,158.40 |
$1,448 |
0.6× |
| Destroy lumb/sac facet jnt (64635) |
$1,168.40 |
$1,460.50 |
0.6× |
| Destruct B9 Lesion 1-14 (17110) |
$293.20 |
$366.50 |
1.4× |
| Destruction premalignant lesion 1st (17000) |
$250 |
$312.50 |
1.2× |
| Drainage external ear abscess/hematoma cmplx (69005) |
$676 |
$845 |
0.4× |
| Drainage of finger abscess simple (26010) |
$270 |
$337.50 |
1.3× |
| Drainage of gum lesion (41800) |
$250 |
$312.50 |
1.8× |
Drainage of hematoma/fluid (10140)
range across 2 matching MRF lines |
$197.20–$354 |
$246.50–$442.50 |
varies |
| Drainage of scrotal wall abscess (55100) |
$693.20 |
$866.50 |
0.4× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$250 |
$312.50 |
0.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$530.40 |
$663 |
1.2× |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025)
range across 2 matching MRF lines |
$530.40–$589.60 |
$663–$737 |
varies |
Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020)
range across 2 matching MRF lines |
$256–$412.80 |
$320–$516 |
varies |
| Elec Anlys Implt Ithcl/Edrl Pmp W/Repr Phys/Qhp (62370) |
$244.80 |
$306 |
0.7× |
| Elect Analys Implt Ithcl/Edrl Pump W/Reprgrmg (62368) |
$117.60 |
$147 |
0.4× |
| Evacuation of subungual hematoma (11740) |
$197.20 |
$246.50 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$1,083.60 |
$1,354.50 |
0.6× |
| Exc Thrombosed Hemorrhoid Xtrnl (46320) |
$665.60 |
$832 |
0.5× |
| Exc Tumor Soft Tissue Upper Arm/Elbow Subq 3+Cm (24071) |
$1,624 |
$2,030 |
0.5× |
| Excision Excessive Skin & Subq Tissue Other Area (15839) |
$2,520.80 |
$3,151 |
0.8× |
| Excision of vaginal cyst or tumor (57135) |
$706.80 |
$883.50 |
0.2× |
| Explore/Treat Hand Joint (26070) |
$165.60 |
$207 |
0.1× |
Fine needle aspiration without imaging guidance (10021)
range across 2 matching MRF lines |
$250–$301.60 |
$312.50–$377 |
varies |
| Fluid Pressure Muscle (20950) |
$367.20 |
$459 |
0.5× |
Hysteroscopy Biopsy (58558)
range across 4 matching MRF lines |
$846–$3,813.20 |
$1,057.50–$4,766.50 |
varies |
| Hysteroscopy Endometrial Ablation (58563) |
$6,068.40 |
$7,585.50 |
1.1× |
| I&d abscess simple (10060) |
$250 |
$312.50 |
1.2× |
| I&d perianal abscess superficial (46050) |
$679.20 |
$849 |
0.7× |
| I&d pilonidal cyst simple (10080) |
$250 |
$312.50 |
0.3× |
| Implant neuroelectrodes (63650) |
$6,016.80 |
$7,521 |
0.9× |
Implant Spine Infusion Pump (62362)
likely a partial charge, not the full procedure |
$1,028.80 |
$1,286 |
0.1× |
Impltj revj/rpsg ithcl/edrl cath pmp w/o lam (62350)
likely a partial charge, not the full procedure |
$1,060.80 |
$1,326 |
0.1× |
| Incise external hemorrhoid (46083) |
$250 |
$312.50 |
0.9× |
| Incision & drainage abscess complicated/multiple (10061) |
$270 |
$337.50 |
0.6× |
| Incision & removal foreign body subq tiss compl (10121) |
$786.80 |
$983.50 |
0.4× |
| Incision & removal foreign body subq tiss simple (10120) |
$165.60 |
$207 |
0.4× |
| Incision and drainage of bartholin's gland abscess (56420) |
$250 |
$312.50 |
1.2× |
| Incision and drainage of vulva or perineal abscess (56405) |
$375.20 |
$469 |
1.1× |
| Incision of rectal abscess (46040) |
$1,356.40 |
$1,695.50 |
1.1× |
| Induced abortion dilation and curettage (59840) |
$720.80 |
$901 |
0.2× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$165.60 |
$207 |
0.8× |
| Inj Dx/Ther Agnt Paravert Facet Joint,Img Guide,Cerv/Thorac, 1st Level (64490) |
$510 |
$637.50 |
0.5× |
| Inject Anes/Steroid Foramen Cerv/Thoracic W Img Guide ,1 Level (64479) |
$703.20 |
$879 |
0.7× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$154 |
$192.50 |
0.5× |
| Injection aa&/strd genicular nrv branches w/img (64454) |
$586.80 |
$733.50 |
0.8× |
| Injection aa&/strd nerves nrvtg si joint w/img (64451) |
$602.80 |
$753.50 |
0.8× |
Injection single/mlt trigger point 1/2 muscles (20552)
range across 4 matching MRF lines |
$139.60–$181.20 |
$174.50–$226.50 |
varies |
| Injection single/mlt trigger point 3/> muscles (20553) |
$250 |
$312.50 |
0.8× |
| Injection therapeutic carpal tunnel (20526) |
$218 |
$272.50 |
0.7× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$306.40 |
$383 |
0.4× |
Injection, anesthetic agent; other peripheral nerve or branch (64450)
range across 2 matching MRF lines |
$199.60–$217.60 |
$249.50–$272 |
varies |
| Insert non-tunnel cv cath (36556) |
$495.60 |
$619.50 |
0.1× |
| Insert Temp Bladder Cath (51702) |
$280.80 |
$351 |
2.0× |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$208.40 |
$260.50 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$940 |
$1,175 |
0.6× |
| Insj tunneled cvc w/o subq port/pmp age 5 yr/> (36558) |
$642 |
$802.50 |
0.2× |
Insj/Rplcmt Spinal Npg/Rcvr Pocket Crtj&Connj (63685)
likely a partial charge, not the full procedure |
$906 |
$1,132.50 |
0.0× |
| Intmd Rpr Face/Mm 12.6-20 Cm (12055) |
$570 |
$712.50 |
1.3× |
| Intmd Rpr Face/Mm 20.1-30.0 (12056) |
$642 |
$802.50 |
1.5× |
| Intubation endotracheal emergency procedure (31500) |
$431.60 |
$539.50 |
1.7× |
| Irrigation of corpora cavernosa for priapism (54220) |
$678.80 |
$848.50 |
2.5× |
Laparoscopy w/rmvl adnexal structures (58661)
likely a partial charge, not the full procedure |
$1,842.40 |
$2,303 |
0.3× |
Laps abd prtm&omentum dx w/wo spec br/wa spx (49320)
likely a partial charge, not the full procedure |
$926.40 |
$1,158 |
0.1× |
| Laryngoscopy diagnostic (31505) |
$250 |
$312.50 |
1.2× |
| N Block Inj Ilio-Ing/Hypogi (64425) |
$293.20 |
$366.50 |
0.4× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$217.60 |
$272 |
0.7× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$846.80 |
$1,058.50 |
0.2× |
| Njx Dx/Ther Agt Pvrt Facet Jt Lmbr/Sac 1 Level (64493) |
$469.60 |
$587 |
0.5× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/Img Gdn (62321) |
$695.20 |
$869 |
0.9× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$684 |
$855 |
0.9× |
| Occipital Nerve Block (64405) |
$225.20 |
$281.50 |
0.7× |
| Placement of needle for intraosseous infusion (36680) |
$238.40 |
$298 |
0.5× |
Puncture aspiration abscess hematoma bulla/cyst (10160)
range across 2 matching MRF lines |
$250–$334 |
$312.50–$430 |
varies |
| Radiofrequency abltj nrv nrvtg si jt w/img gdn (64625) |
$1,250 |
$1,562.50 |
0.6× |
| Removal Embedded Foreign Body Eyelid (67938) |
$190.80 |
$238.50 |
0.6× |
| Removal foreign body foot deep (28192) |
$1,532 |
$1,915 |
0.9× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$824.80 |
$1,031 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$812.40 |
$1,015.50 |
0.5× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$45.60 |
$57 |
0.7× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$165.60 |
$207 |
2.6× |
| Removal of nail bed (11750) |
$994 |
$1,242.50 |
2.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$165.60 |
$207 |
0.6× |
| Remove foreign body from eye (65205) |
$190.80 |
$238.50 |
1.3× |
| Remove Intrauterine Device (58301) |
$197.20 |
$246.50 |
0.6× |
| Remove Nasal Foreign Body (30300) |
$165.60 |
$207 |
1.2× |
| Remove spine eltrd plate (63662) |
$2,289.20 |
$2,861.50 |
0.6× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$481.60 |
$602 |
0.6× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$590.40 |
$738 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$457.60 |
$572 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$509.60 |
$637 |
1.2× |
| Repair complex scalp/arm/leg 1.1-2.5 cm (13120) |
$431.60 |
$539.50 |
1.0× |
Repair complex scalp/arm/leg 2.6-7.5 cm (13121)
range across 2 matching MRF lines |
$481.60–$673.20 |
$602–$841.50 |
varies |
| Repair complex trunk 1.1-2.5 cm (13100) |
$404.80 |
$506 |
0.5× |
| Repair complex trunk 2.6-7.5 cm (13101) |
$418.80 |
$523.50 |
0.5× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$378 |
$472.50 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$404.80 |
$506 |
0.9× |
| Repair intermediate f/e/e/n/l&/muc 5.1-7.5 cm (12053) |
$457.60 |
$572 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$481.60 |
$602 |
1.1× |
| Repair intermediate f/e/e/n/l&/muc >30.0 cm (12057) |
$746 |
$932.50 |
1.7× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$536.80 |
$671 |
0.7× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$378 |
$472.50 |
0.9× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$431.60 |
$539.50 |
1.0× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$457.60 |
$572 |
0.6× |
| Repair Intermediate N/H/F/Xtrnl Gent >30.0 Cm (12047) |
$725.60 |
$907 |
0.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$509.60 |
$637 |
1.2× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$326.40 |
$408 |
0.7× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$404.80 |
$506 |
0.9× |
| Repair intermediate s/a/t/e 20.1-30.0 cm (12036) |
$590.40 |
$738 |
0.7× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$431.60 |
$539.50 |
1.0× |
| Repair intermediate s/a/t/e >30.0 cm (12037) |
$694 |
$867.50 |
0.3× |
| Repair of nail bed (11760) |
$646.80 |
$808.50 |
0.8× |
| Repair tongue laceration (41250) |
$326.40 |
$408 |
0.7× |
Revj incl rplcmt nstim eltrd prq ra incl fluor (63663)
unusually low: confirm this is the full procedure |
$2,391.60 |
$2,989.50 |
0.4× |
| Revj/Rmvl Impl Spi Npg/Rcvr Dtch Connj Eltrd Ra (63688) |
$801.20 |
$1,001.50 |
0.2× |
| Rmvl Embedded Fb Vestibule Mouth Smpl (40804) |
$920.80 |
$1,151 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$190.80 |
$238.50 |
0.4× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$234 |
$292.50 |
1.6× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$326.40 |
$408 |
0.7× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$270 |
$337.50 |
0.2× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$190.80 |
$238.50 |
0.1× |
| Rmvl Previously Implted Ithcl/Edrl Cath (62355) |
$738.40 |
$923 |
0.4× |
| Rmvl spinal nstim eltrd prq array incl fluor (63661) |
$1,816.40 |
$2,270.50 |
0.9× |
| Rmvl Subq Rsvr/Pump Intrathecal/Epidural Infus (62365) |
$798.80 |
$998.50 |
0.2× |
| Rplc Gtube No Revj Trc (43762) |
$250 |
$312.50 |
0.9× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$431.60 |
$539.50 |
2.0× |
| Rpr Intermediate N/H/F/Xtrnl Gent 20.1-30.0 Cm (12046) |
$620 |
$775 |
0.8× |
| Rpr Lip Full Thickness Vermilion Only (40650) |
$1,866.40 |
$2,333 |
3.2× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$516 |
$645 |
1.2× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$326.40 |
$408 |
1.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$354 |
$442.50 |
1.6× |
| Simple Repair F/E/E/N/L/M 20.1cm-30.0 Cm (12017) |
$590.40 |
$738 |
1.4× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$404.80 |
$506 |
1.9× |
| Simple Repair F/E/E/N/L/M >30.0 Cm (12018) |
$694 |
$867.50 |
3.2× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$300 |
$375 |
1.4× |
| Simple repair scalp/neck/ax/genit/trunk >30.0cm (12007) |
$642 |
$802.50 |
3.0× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$378 |
$472.50 |
1.8× |
Skin sub graft face/nk/hf/g (15275)
range across 3 matching MRF lines |
$4,104–$4,376 |
$5,130–$5,470 |
varies |
Skin sub graft trnk/arm/leg (15271)
range across 3 matching MRF lines |
$4,104–$4,376 |
$5,130–$5,470 |
varies |
Skin sub grft t/arm/lg child (15273)
range across 3 matching MRF lines |
$7,354.40–$7,626.40 |
$9,193–$9,533 |
varies |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$354 |
$442.50 |
1.6× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$481.60 |
$602 |
1.1× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$590.40 |
$738 |
1.4× |
| Spinal puncture lumbar diagnostic (62270) |
$378 |
$472.50 |
0.5× |
| Strapping shoulder (29240) |
$112.80 |
$141 |
0.8× |
| Strapping toes (29550) |
$82 |
$102.50 |
1.3× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$1,201.20 |
$1,501.50 |
4.7× |
| Tracheostomy Emergency Procedure Transtracheal (31603) |
$1,116 |
$1,395 |
0.7× |
Treat Knuckle Dislocation (26700)
range across 2 matching MRF lines |
$270–$404.80 |
$337.50–$506 |
varies |
| Treat Metatarsal Fracture (28475) |
$642 |
$802.50 |
2.4× |
| Treat Thumb Dislocation (26641) |
$270 |
$337.50 |
1.0× |
| Treat vagina infection (57150) |
$197.20 |
$246.50 |
3.1× |
| Treat Vaginal Bleeding (57180) |
$505.60 |
$632 |
2.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,053.20 |
$2,566.50 |
1.2× |
| Treatment closed elbow dislocation w/o anes (24600) |
$736.40 |
$920.50 |
2.8× |
| Tx Gastro Intub W/Asp (43753) |
$197.20 |
$246.50 |
0.9× |
Tx Superficial Wound Dehiscence Simple Closure (12020)
range across 2 matching MRF lines |
$250–$746 |
$312.50–$932.50 |
varies |
| Unlisted procedure anus (46999) |
$339.20 |
$424 |
0.3× |
| Vaginal delivery only (59409) |
$1,386 |
$1,732.50 |
0.4× |
Vaginal hysterectomy, for uterus 250 g or less; (58260)
unusually low: confirm this is the full procedure |
$2,373.60 |
$2,967 |
0.4× |
| Vein Access Cutdown < 1 Yr (36420) |
$590.40 |
$738 |
4.1× |
Venous Cutdown >1 Y/O (36425)
range across 4 matching MRF lines |
$165.60–$746 |
$207–$932.50 |
varies |
| Vulvectomy simple partial (56620) |
$1,662 |
$2,077.50 |
0.5× |