| Amp F/Th 1/2 Jt/Phalanx W/Neurect Local Flap (26952) |
$4,056 |
$4,056 |
1.3× |
| Amp F/Th 1/2 Jt/Phalanx W/Neurect W/Dir Clsr (26951) |
$4,056 |
$4,056 |
1.3× |
Anterior thoracic vertebral body tethering, including thoracoscopy, when performed; up to 7 vertebral segments Facility (22836) range across 4 matching MRF lines |
$5–$13 |
$5–$13 |
varies |
| Application cast elbow finger short arm (29075) |
$332 |
$332 |
1.2× |
| Application Cast Finger (29086) |
$197 |
$197 |
1.3× |
| Application Finger Splint Dynamic (29131) |
$74 |
$74 |
1.3× |
| Application finger splint static (29130) |
$161 |
$161 |
1.3× |
| Application long arm splint shoulder hand (29105) |
$197 |
$197 |
1.3× |
| Application Long Leg Splint (29505) |
$197 |
$197 |
1.3× |
| Application of long leg cast (29345) |
$332 |
$332 |
1.2× |
| Application of rigid total contact leg cast (29445) |
$332 |
$332 |
1.2× |
| Application Short Arm Splint Dynamic (29126) |
$161 |
$161 |
1.3× |
| Application short arm splint forearm-hand static (29125) |
$161 |
$161 |
1.3× |
| Application short leg splint calf foot (29515) |
$197 |
$197 |
1.3× |
| Apply hand/wrist cast (29085) |
$197 |
$197 |
1.3× |
| Apply long arm cast (29065) |
$332 |
$332 |
1.2× |
Apply Short Leg Cast (29405) range across 2 matching MRF lines |
$332–$440 |
$332–$440 |
varies |
| Arterial puncture (36600) |
$161 |
$161 |
1.3× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$369 |
$369 |
1.2× |
| Arthrocentesis aspir&/inj interm jt/burs w/us (20606) |
$866 |
$866 |
1.3× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$369 |
$369 |
1.2× |
| Arthrocentesis aspir&/inj major jt/bursa w/us (20611) |
$369 |
$369 |
1.2× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$369 |
$369 |
1.2× |
| Arthrt expl drg/rmvl loose/fb iphal jt ea (26080) |
$2,001 |
$2,001 |
1.3× |
| Arthrt w/expl drg/rmvl loose/fb mttarphlngl jt (28022) |
$4,056 |
$4,056 |
1.3× |
| Arthrt wrst w/jt expl w/wo bx w/wo rmvl loose/fb (25101) |
$4,056 |
$4,056 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$248 |
$248 |
1.3× |
| Bladder Irrigation (51700) |
$3 |
$3 |
0.0× |
| Bladder Scan (51798) |
$74 |
$74 |
1.3× |
| Blood Transfusion Service (36430) |
$546 |
$546 |
1.3× |
| Chemical Cautery Tissue (17250) |
$248 |
$248 |
1.3× |
| Chest tube placement (32551) |
$1,942 |
$1,942 |
1.3× |
| Cl Tx Scapular Fx; W Manip (23575) |
$2,001 |
$2,001 |
1.3× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,001 |
$2,001 |
1.3× |
| Clear outer ear canal (69200) |
$161 |
$161 |
1.3× |
| Closed Treatment Of Distal Radioulnar Dislocation With Manipulation (25675) |
$300 |
$300 |
1.3× |
| Closed treatment of posterior malleolus fracture; with manipulation (27768) |
$2,001 |
$2,001 |
1.3× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$300 |
$300 |
1.3× |
| Closed Treatment Pst Malleolus Fracture W/O Manj (27767) |
$300 |
$300 |
1.3× |
| Closed Treatment Ulnar Styloid Fracture (25650) |
$300 |
$300 |
1.3× |
| Closed tx ankle dislocation w/o anesthesia (27840) |
$300 |
$300 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,001 |
$2,001 |
1.3× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$300 |
$300 |
1.3× |
| Closed Tx Calcaneal Fracture W/O Manipulation (28400) |
$300 |
$300 |
1.3× |
| Closed Tx Carpal Scaphoid Fracture W/O Manj (25622) |
$300 |
$300 |
1.3× |
| Closed Tx Knee Dislocation W/Anesthesia (27552) |
$2,001 |
$2,001 |
1.3× |
| Closed tx knee dislocation w/o anesthesia (27550) |
$300 |
$300 |
1.3× |
| Closed Tx Lunate Dislocation W/Manipulation (25690) |
$2,001 |
$2,001 |
1.3× |
| Closed tx metatarsal fracture w/o manipulation (28470) |
$300 |
$300 |
1.3× |
| Closed Tx Monteggia Fx Dislocation Elbow W/Manj (24620) |
$2,001 |
$2,001 |
1.3× |
| Closed Tx Nasal Bone Fx W/Mnpj W/Stabilization (21320) |
$4,054 |
$4,054 |
1.3× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$300 |
$300 |
1.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$300 |
$300 |
1.3× |
| Closed Tx Patellar Fracture W/O Manipulation (27520) |
$300 |
$300 |
1.3× |
| Closed tx radial head/neck fx w/manipulation (24655) |
$2,001 |
$2,001 |
1.3× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$300 |
$300 |
1.3× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,001 |
$2,001 |
1.3× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$300 |
$300 |
1.3× |
| Closed Tx Radial&Ulnar Shaft Fractures W/Manj (25565) |
$2,001 |
$2,001 |
1.3× |
| Closed tx radial&ulnar shaft fractures w/o man (25560) |
$300 |
$300 |
1.3× |
| Closed Tx Talus Fracture W/Manipulation (28435) |
$2,001 |
$2,001 |
1.3× |
| Closed tx talus fracture w/o manipulation (28430) |
$300 |
$300 |
1.3× |
| Closed tx tarsometatarsal dislocation w/o anes (28600) |
$300 |
$300 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W Manipulation (24675) |
$2,001 |
$2,001 |
1.3× |
| Closed Tx Ulnar Fracture Prox End W/O Manipulate (24670) |
$300 |
$300 |
1.3× |
| Closed tx ulnar shaft fracture w/o manipulation (25530) |
$300 |
$300 |
1.3× |
| Clsd tx acromioclavicular dislc w/manipulation (23545) |
$300 |
$300 |
1.3× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$2,001 |
$2,001 |
1.3× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$300 |
$300 |
1.3× |
| Cltx artclr fx invg mtcarphlngl/iphal jt w/manj (26742) |
$2,001 |
$2,001 |
1.3× |
| Cltx Carpal Bone Fx W/Manj Each Bone (25635) |
$2,001 |
$2,001 |
1.3× |
| Cltx Carpal Bone Fx W/O Manj Each Bone (25630) |
$300 |
$300 |
1.3× |
| Cltx carpo/metacarpl dislc thmb manj ea w/o anes (26670) |
$300 |
$300 |
1.3× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$300 |
$300 |
1.3× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$300 |
$300 |
1.3× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$300 |
$300 |
1.3× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$300 |
$300 |
1.3× |
| Cltx dstl radial fx/epiphysl sep w/o manj (25600) |
$300 |
$300 |
1.3× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,001 |
$2,001 |
1.3× |
| Cltx Fem Fx Dstl End Medial/Lat Condyle W/Manj (27510) |
$2,001 |
$2,001 |
1.3× |
| Cltx fem fx dstl end medial/lat condyle w/o manj (27508) |
$300 |
$300 |
1.3× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$300 |
$300 |
1.3× |
| Cltx fx phlx/phlg oth/thn grt toe w/manj (28515) |
$300 |
$300 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tib w/skel tracj (27825) |
$2,001 |
$2,001 |
1.3× |
| Cltx fx w8 brg artclr prtn dstl tibia w/o manj (27824) |
$300 |
$300 |
1.3× |
| Cltx hip dislocation traumatic req anesthesia (27252) |
$2,001 |
$2,001 |
1.3× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$300 |
$300 |
1.3× |
| Cltx Humeral Condylar Fx Medial/Lat W/O Manj (24576) |
$300 |
$300 |
1.3× |
| Cltx humeral condylar fx medial/lateral w/manj (24577) |
$2,001 |
$2,001 |
1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,001 |
$2,001 |
1.3× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/O Manj (24560) |
$300 |
$300 |
1.3× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$300 |
$300 |
1.3× |
| Cltx Iphal Jt Dislc W/Manj Req Anes (26775) |
$332 |
$332 |
1.2× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$300 |
$300 |
1.3× |
| Cltx Med Ankle Fx W/Mnpj (27762) |
$2,001 |
$2,001 |
1.3× |
| Cltx Medial Ankle Fx (27760) |
$300 |
$300 |
1.3× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$300 |
$300 |
1.3× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$300 |
$300 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/manj ea (26725) |
$300 |
$300 |
1.3× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$300 |
$300 |
1.3× |
| Cltx post hip arthrp dislc req anes (27266) |
$2,001 |
$2,001 |
1.3× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$300 |
$300 |
1.3× |
| Cltx prox fibula/shft fx w/manj (27781) |
$2,001 |
$2,001 |
1.3× |
| Cltx prox fibula/shft fx w/o manj (27780) |
$300 |
$300 |
1.3× |
| Cltx prox humrl fx w/manj w/wo skeletal tracj (23605) |
$2,001 |
$2,001 |
1.3× |
| Cltx prox tibfib jt dislc w/o anes (27830) |
$300 |
$300 |
1.3× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$300 |
$300 |
1.3× |
| Cltx shoulder dislc w/fx humeral tubrst w/manj (23665) |
$2,001 |
$2,001 |
1.3× |
| Cltx Shoulder Dislc W/Surg/Antmcl Neck Fx W/Manj (23675) |
$2,001 |
$2,001 |
1.3× |
| Cltx sprcndylr/transcndylr humeral fx w/manj (24535) |
$2,001 |
$2,001 |
1.3× |
| Cltx Sprcndylr/Transcndylr Humeral Fx W/WO Manj (24530) |
$300 |
$300 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/Manj (27503) |
$2,001 |
$2,001 |
1.3× |
| Cltx Sprcndylr/Trnscndylr Fem Fx W/O Manj (27501) |
$300 |
$300 |
1.3× |
| Cltx tarsal dislc oth/thn talotarsal w/o anes (28540) |
$300 |
$300 |
1.3× |
| Cltx tibial fx proximal w/o manipulation (27530) |
$300 |
$300 |
1.3× |
| Cltx tibial shaft fx w/o manipulation (27750) |
$300 |
$300 |
1.3× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,001 |
$2,001 |
1.3× |
| Cltx trimalleolar ankle fx w/o manipulation (27816) |
$300 |
$300 |
1.3× |
| Collect Blood From Catheter Venous Nos (36592) |
$161 |
$161 |
1.3× |
| Collection of venous blood by venipuncture (36415) |
$11 |
$11 |
1.2× |
| Complex drainage wound (10180) |
$3,578 |
$3,578 |
1.3× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$161 |
$161 |
1.3× |
| Dbrdmt extensv eczema/infect skn up 10% bdy surf (11000) |
$765 |
$765 |
2.0× |
| Dbrdmt Fx&/Dislc Subq T/M/F Bone (11012) |
$3,578 |
$3,578 |
1.3× |
| Dbrdmt w/rmvl fm fx&/dislc skin&subq tissus (11010) |
$879 |
$879 |
1.3× |
| Dbrdmt W/Rmvl Fm Fx&/Dislc Skn Subq T/M/F Musc (11011) |
$879 |
$879 |
1.3× |
| Deb Musc/Fascia 20 Sq Cm/< (11043) |
$765 |
$765 |
1.1× |
| Debride nail 1-5 (11720) |
$74 |
$74 |
1.3× |
| Debridement Bone Muscle &/Fascia 20 Sq Cm/< (11044) |
$2,025 |
$2,025 |
1.3× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$499 |
$499 |
1.3× |
Declot vascular device (36593) range across 2 matching MRF lines |
$415–$681 |
$415–$681 |
varies |
| Dilation of vagina (57400) |
$3 |
$3 |
0.0× |
| Disarticulation of shoulder; secondary closure or scar revision Facility (23921) |
$216 |
$216 |
0.1× |
| Drainage Finger Abscess Complicated (26011) |
$2,025 |
$2,025 |
1.3× |
| Drainage of finger abscess simple (26010) |
$248 |
$248 |
1.3× |
| Drainage of hematoma/fluid (10140) |
$2,025 |
$2,025 |
1.3× |
| Draw Blood Off Venous Device (36591) |
$161 |
$161 |
1.3× |
| Drg Absc Cst Hmtma Vestibule Mouth Smpl (40800) |
$19 |
$19 |
0.0× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$248 |
$248 |
1.3× |
| Dstrj nulyt w/worad mntr suprior hypogstr plexus (64681) |
$81 |
$81 |
0.1× |
| Dx Laryngoscopy Excl Nb (31525) |
$2,156 |
$2,156 |
1.3× |
| Electrical stimulation bone healing noninvasive (20974) |
$50 |
$50 |
0.5× |
| Evacuation of subungual hematoma (11740) |
$161 |
$161 |
1.3× |
Exc/Curettage Cyst/Tumor Talus/Calcaneus Algrft (28103) likely a partial charge, not the full procedure |
$2 |
$2 |
0.0× |
| Excision Malignant Lesion S/N/H/F/G 0.5 Cm/< (11620) |
$3 |
$3 |
0.0× |
| Excision of extensor tendon, with implantation of synthetic rod for delayed tendon graft, hand or finger, each rod… (26415) |
$2 |
$2 |
0.0× |
| Excision of pilonidal cyst or sinus; simple (11770) |
$3,578 |
$3,578 |
1.3× |
| Excision prepatellar bursa (27340) |
$4,056 |
$4,056 |
1.3× |
| Exploration penetrating wound spx extremity (20103) |
$2,025 |
$2,025 |
1.3× |
| Fine needle aspiration without imaging guidance (10021) |
$499 |
$499 |
1.3× |
| Fluid Pressure Muscle (20950) |
$879 |
$879 |
1.3× |
| I&d abscess simple (10060) |
$248 |
$248 |
1.3× |
| I&d deep absc bursa/hematoma thigh/knee region (27301) |
$3,578 |
$3,578 |
1.3× |
| I&d perianal abscess superficial (46050) |
$1,140 |
$1,140 |
1.3× |
| I&d pilonidal cyst simple (10080) |
$879 |
$879 |
1.3× |
| Incision & drainage abscess complicated/multiple (10061) |
$499 |
$499 |
1.3× |
| Incision & removal foreign body subq tiss simple (10120) |
$499 |
$499 |
1.3× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$2,025 |
$2,025 |
1.3× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$248 |
$248 |
1.3× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$369 |
$369 |
1.2× |
| Injection Anes Agent Sphenopalatine Ganglion (64505) |
$369 |
$369 |
1.2× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$463 |
$463 |
1.6× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,113 |
$1,113 |
1.3× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$866 |
$866 |
1.3× |
| Insert Bladder Cath Complex (51703) |
$238 |
$238 |
1.9× |
| Insert Temp Bladder Cath (51702) |
$161 |
$161 |
1.3× |
Insert,Non-Indwelling Bladder Catheter (51701) range across 2 matching MRF lines |
$98–$161 |
$98–$161 |
varies |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,942 |
$1,942 |
1.3× |
| Intubation endotracheal emergency procedure (31500) |
$290 |
$290 |
1.3× |
| Lavage cannulation sphenoid sinus (31002) |
$4 |
$4 |
0.0× |
Lengthening of tendon, extensor, hand or finger, each tendon Facility (26476) range across 3 matching MRF lines |
$4–$12 |
$4–$12 |
varies |
Lengthening of tendon, flexor, hand or finger, each tendon Facility (26478) range across 5 matching MRF lines |
$3–$11 |
$3–$11 |
varies |
| Manipulation spine requiring anesthesia (22505) |
$6 |
$6 |
0.0× |
| Myelography Lumbar Injection (62305) |
$988 |
$988 |
1.3× |
Myelography Lumbar Injection (62304) range across 2 matching MRF lines |
$988–$2,758 |
$988–$2,758 |
varies |
Myelography via lumbar injection rs&i cervical (62302) range across 2 matching MRF lines |
$988–$2,766 |
$988–$2,766 |
varies |
| Myelography Via Lumbar Injection Rs&I Thoracic (62303) |
$988 |
$988 |
1.3× |
| Njx Anes Trigeminal Nrv Any Div/Branch (64400) |
$369 |
$369 |
1.2× |
| Njx dx/ther sbst intrlmnr lmbr/sac w/img gdn (62323) |
$2,925 |
$2,925 |
4.3× |
| Open treatment metatarsal fracture each (28485) |
$8,930 |
$8,930 |
1.3× |
| Open Tx Distal Phalangeal Fracture Each (26765) |
$4,056 |
$4,056 |
1.3× |
Open tx femoral supracondylar fracture w/o xtn (27511) likely a partial charge, not the full procedure |
$58 |
$58 |
0.0× |
Osteot w/wo lngth shrt/corrj 1st metar (28306) likely a partial charge, not the full procedure |
$28 |
$28 |
0.0× |
| Partial Excision Distal Phalanx Finger (26236) |
$2,001 |
$2,001 |
1.3× |
| Perq skel fixj distal radial fx/epiphysl sep (25606) |
$4,056 |
$4,056 |
1.3× |
| Prq Skel Fixj Sprcndylr/Transcndylr Humeral Fx (24538) |
$8,930 |
$8,930 |
1.3× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$499 |
$499 |
1.3× |
| Removal Foreign Body Deep Thigh/Knee (27372) |
$3,578 |
$3,578 |
1.3× |
| Removal Foreign Body Foot Complicated (28193) |
$2,025 |
$2,025 |
1.3× |
| Removal foreign body foot deep (28192) |
$2,025 |
$2,025 |
1.3× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$879 |
$879 |
1.3× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,025 |
$2,025 |
1.3× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$74 |
$74 |
1.3× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$74 |
$74 |
1.3× |
Removal Implant Superficial Separate Procedure (20670) range across 2 matching MRF lines |
$2,025–$2,571 |
$2,025–$2,571 |
varies |
| Removal of nail bed (11750) |
$499 |
$499 |
1.3× |
| Removal or bivalving full arm or full leg cast (29705) |
$332 |
$332 |
1.2× |
| Removal skn tags mlt fibrq tags any area upw/15 (11200) |
$248 |
$248 |
1.3× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$332 |
$332 |
1.2× |
| Remove foreign body from eye (65205) |
$161 |
$161 |
1.3× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$765 |
$765 |
1.1× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$499 |
$499 |
1.3× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$765 |
$765 |
2.0× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$765 |
$765 |
2.0× |
| Repair extensor tendon finger w/o graft each (26418) |
$2,001 |
$2,001 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$499 |
$499 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 12.6-20 cm (12045) |
$765 |
$765 |
1.1× |
| Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041) |
$499 |
$499 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$499 |
$499 |
1.3× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$765 |
$765 |
1.1× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$499 |
$499 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$499 |
$499 |
1.3× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$499 |
$499 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$499 |
$499 |
1.3× |
| Repair of nail bed (11760) |
$765 |
$765 |
1.1× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$499 |
$499 |
1.2× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$161 |
$161 |
1.3× |
| Rmvl Foreign Body Upper Arm/Elbow Subcutaneous (24200) |
$2,025 |
$2,025 |
1.3× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$248 |
$248 |
1.3× |
| Simple Cystometrogram (51725) |
$7 |
$7 |
0.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$499 |
$499 |
1.3× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$248 |
$248 |
1.3× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$248 |
$248 |
1.3× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$248 |
$248 |
1.3× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$248 |
$248 |
1.3× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$248 |
$248 |
1.3× |
| Skin Tissue Procedure (17999) |
$248 |
$248 |
1.3× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$248 |
$248 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$499 |
$499 |
1.3× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$499 |
$499 |
1.3× |
| Strapping shoulder (29240) |
$161 |
$161 |
1.3× |
| Strapping thorax (29200) |
$197 |
$197 |
1.3× |
Tendon shortening (26477) range across 4 matching MRF lines |
$2–$7 |
$2–$7 |
varies |
| Tenotomy Flexor Finger Open Each Tendon (26455) |
$2,001 |
$2,001 |
1.3× |
| Treat humerus fracture (24500) |
$300 |
$300 |
1.3× |
| Treat Humerus Fracture (24505) |
$2,001 |
$2,001 |
1.3× |
| Treat humerus fracture (23600) |
$300 |
$300 |
1.3× |
| Treat knee fracture (27532) |
$4,056 |
$4,056 |
1.3× |
| Treat Knee Fracture(S) (27538) |
$300 |
$300 |
1.3× |
| Treat Knuckle Dislocation (26700) |
$300 |
$300 |
1.3× |
| Treat Metatarsal Fracture (28475) |
$300 |
$300 |
1.3× |
| Treat Thumb Dislocation (26641) |
$300 |
$300 |
1.3× |
| Treat Thumb Fracture (26645) |
$2,001 |
$2,001 |
1.3× |
| Treat toe dislocation (28630) |
$300 |
$300 |
1.3× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$2,001 |
$2,001 |
1.3× |
| Treatment closed elbow dislocation w/o anes (24600) |
$300 |
$300 |
1.3× |
| Trimming Nondystrophic Nails Any Number (11719) |
$74 |
$74 |
1.3× |
| Tx Spon Hip Dislc Abdct Splnt/Trcj W/Manj Anes (27257) |
$2,001 |
$2,001 |
1.3× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$765 |
$765 |
1.1× |
| Tx Tarsal Bone Fx Xcp Talus&Calcn W/Manj (28455) |
$2,001 |
$2,001 |
1.3× |
| Unlisted Procedure Casting/Strapping (29799) |
$197 |
$197 |
1.3× |
| Unlisted procedure femur or knee (27599) |
$300 |
$300 |
1.3× |
| Unlisted Procedure Hands/Fingers (26989) |
$300 |
$300 |
1.3× |
| Unlisted procedure humerus/elbow (24999) |
$300 |
$300 |
1.3× |
| Unlisted Procedure Leg/Ankle (27899) |
$300 |
$300 |
1.3× |
| Unlisted procedure pelvis/hip joint (27299) |
$300 |
$300 |
1.3× |
| Wedge excision skin nail fold (11765) |
$499 |
$499 |
1.3× |
| Windowing of cast (29730) |
$197 |
$197 |
1.3× |