Abd paracentesis w/imaging (49083)
range across 2 matching MRF lines |
$809.60–$1,295.54 |
$1,619.20–$2,591.07 |
varies |
Abdom Paracentesis Dx/Ther W/O Imaging Guidance (49082)
range across 3 matching MRF lines |
$810–$1,407 |
$1,620–$2,814 |
varies |
| Adjacent Tissue Transfer/Reargmt Trunk 10 Sqcm/< (14000) |
$2,606.30 |
$5,212.59 |
1.3× |
| Amniocentesis therapeutic (59001) |
$466.94 |
$933.88 |
1.6× |
| Amputation foot transmetarsal (28805) |
$4,626.04 |
$9,252.09 |
1.5× |
| Amputation toe metatarsophalangeal joint (28820) |
$3,935.01 |
$7,870.02 |
1.3× |
| Amputation, leg, through tibia and fibula; (27880) |
$10,224 |
$20,448 |
1.5× |
| Application Finger Splint Dynamic (29131) |
$55.66 |
$111.32 |
1.0× |
| Application finger splint static (29130) |
$67.25 |
$134.50 |
0.5× |
| Application long arm splint shoulder hand (29105) |
$120.50 |
$241 |
0.8× |
| Application Long Leg Splint (29505) |
$120.50 |
$241 |
0.8× |
| Application Short Arm Splint Dynamic (29126) |
$111.95 |
$223.90 |
0.9× |
| Application short arm splint forearm-hand static (29125) |
$120.50 |
$241 |
0.9× |
| Application short leg splint calf foot (29515) |
$120.50 |
$241 |
0.8× |
| Apply Multlay Comprs Lwr Leg (29581) |
$225.20 |
$450.39 |
1.4× |
| Arterial puncture (36600) |
$100 |
$200 |
0.8× |
| Arthrocentesis aspir&/inj interm jt/burs w/o us (20605) |
$261.17 |
$522.34 |
0.9× |
| Arthrocentesis aspir&/inj major jt/bursa w/o us (20610) |
$242.75 |
$485.50 |
0.8× |
| Arthrocentesis aspir&/inj small jt/bursa w/o us (20600) |
$261.17 |
$522.34 |
0.9× |
| Aspirate pleura w/ imaging (32555) |
$930.02 |
$1,860.03 |
1.5× |
| Av Fuse Uppr Arm Basilic (36819) |
$7,157.50 |
$14,315 |
1.3× |
| Avulsion nail plate partial/complete simple 1 (11730) |
$176.75 |
$353.50 |
0.9× |
| Biopsy of liver, needle; percutaneous (47000) |
$3,089.50 |
$6,179 |
1.9× |
Bladder Irrigation (51700)
range across 2 matching MRF lines |
$253.25–$316.50 |
$506.50–$633 |
varies |
| Blood Transfusion Service (36430) |
$814.10 |
$1,628.20 |
1.9× |
| Bx breast 1st lesion strtctc (19081) |
$3,089.50 |
$6,179 |
1.9× |
| Bx breast 1st lesion us imag (19083) |
$3,089.50 |
$6,179 |
1.9× |
| Bx/exc lymph node open superficial (38500) |
$4,224.02 |
$8,448.03 |
1.1× |
| Chest tube placement (32551) |
$2,288.90 |
$4,577.79 |
1.5× |
| Circumcision 28 days or older (54161) |
$2,910.99 |
$5,821.98 |
1.4× |
| Circumcision Neonate (54160) |
$976.29 |
$1,952.58 |
1.5× |
| Cl Tx Tib Shft Fx W Manip (27752) |
$2,088.52 |
$4,177.05 |
1.4× |
| Clear outer ear canal (69200) |
$64 |
$128 |
0.5× |
| Closed treatment of ulnar shaft fracture; with manipulation (25535) |
$337.04 |
$674.07 |
1.4× |
| Closed Tx Bimalleolar Ankle Fracture W Manip (27810) |
$2,297 |
$4,593.99 |
1.5× |
| Closed Tx Bimalleolar Ankle Fracture W/O Manip (27808) |
$208 |
$416 |
0.9× |
| Closed Tx Nasal Bone Fx W/Mnpj W/O Stabilization (21315) |
$2,179.58 |
$4,359.15 |
1.5× |
| Closed tx patellar dislocation w/anesthesia (27562) |
$538.75 |
$1,077.50 |
2.3× |
| Closed tx patellar dislocation w/o anesthesia (27560) |
$324.30 |
$648.60 |
1.4× |
| Closed tx radial head/neck fx w/o manipulation (24650) |
$208 |
$416 |
0.9× |
| Closed tx radial shaft fracture w/manipulation (25505) |
$2,297 |
$4,593.99 |
1.5× |
| Closed Tx Radial Shaft Fracture W/O Manipulation (25500) |
$130 |
$260 |
0.5× |
| Closed tx temporomandibular dislocation 1st/sbsq (21480) |
$206.19 |
$412.38 |
0.9× |
| Closure Gastrostomy Surg (43870) |
$5,473.50 |
$10,947 |
1.5× |
| Clsd tx shoulder dislc w/manipulation req anes (23655) |
$1,460.25 |
$2,920.50 |
0.9× |
| Clsd tx shoulder dislc w/manipulation w/o anes (23650) |
$208 |
$416 |
0.9× |
| Cltx dstl fibular fx lat malls w/manj (27788) |
$208 |
$416 |
0.9× |
| Cltx dstl fibular fx lat malls w/o manj (27786) |
$208 |
$416 |
0.9× |
| Cltx dstl phlngl fx fngr/thmb w/manj ea (26755) |
$208 |
$416 |
0.9× |
| Cltx Dstl Phlngl Fx Fngr/Thmb W/O Manj Ea (26750) |
$130 |
$260 |
0.5× |
| Cltx dstl rdl fx/epiphysl sep w/manj when perf (25605) |
$2,297 |
$4,593.99 |
1.5× |
| Cltx fem shft fx w/manj w/wo skin/skeletal tracj (27502) |
$1,502.50 |
$3,005 |
1.0× |
| Cltx fx grt toe phlx/phlg w/manj (28495) |
$208 |
$416 |
0.9× |
| Cltx fx grt toe phlx/phlg w/o manj (28490) |
$130 |
$260 |
0.5× |
| Cltx hip dislocation traumatic w/o anesthesia (27250) |
$208 |
$416 |
0.9× |
| Cltx Humeral Epicondylar Fx Medial/Lat W/Manj (24565) |
$2,297 |
$4,593.99 |
1.5× |
| Cltx Interphalangeal Joint Dislocation W/O Anes (28660) |
$130 |
$260 |
0.5× |
| Cltx iphal jt dislc w/manj w/o anes (26770) |
$130 |
$260 |
0.5× |
| Cltx metacarpal fx w/manipulation each bone (26605) |
$208 |
$416 |
0.9× |
| Cltx metacarpal fx w/o manipulation each bone (26600) |
$337.04 |
$674.07 |
1.4× |
| Cltx phlngl fx prox/middle px/f/t w/o manj ea (26720) |
$130 |
$260 |
0.5× |
| Cltx post hip arthrp dislc req anes (27266) |
$1,703.75 |
$3,407.50 |
1.1× |
| Cltx post hip arthrp dislc w/o anes (27265) |
$208 |
$416 |
0.9× |
| Cltx rdl head sublxtj chld nursemaid elbw w/manj (24640) |
$208 |
$416 |
0.9× |
| Cltx trimalleolar ankle fx w/manipulation (27818) |
$2,869.05 |
$5,738.10 |
1.9× |
| Collect Blood From Catheter Venous Nos (36592) |
$105 |
$210 |
0.8× |
| Collection of venous blood by venipuncture (36415) |
$6 |
$12 |
0.6× |
| Colonoscopy Stoma Control Bleeding (44391) |
$1,105.50 |
$2,211 |
1.0× |
| Colonoscopy Stoma W/Rmvl Foreign Body (44390) |
$1,105.50 |
$2,211 |
1.2× |
| Colonoscopy w/fb removal (45379) |
$1,105.50 |
$2,211 |
1.0× |
| Colposcopy Cervix Vag Loop Eltrd Bx Cervix (57460) |
$2,062.80 |
$4,125.60 |
0.7× |
| Combined anteroposterior colporrhaphy; (57260) |
$3,784 |
$7,568 |
0.8× |
| Conization of cervix (57520) |
$3,784 |
$7,568 |
1.2× |
| Control Nasal Hemorrhage Anterior Complex (30903) |
$111.95 |
$223.90 |
0.9× |
| Control Nasal Hemorrhage Anterior Simple (30901) |
$100.75 |
$201.50 |
0.8× |
| Ctrl nsl hemrrg pst nasal packs&/cautery 1st (30905) |
$182.56 |
$365.13 |
1.4× |
| Ctrl Nsl Hemrrg Pst Nasal Packs&/Cautery Subsq (30906) |
$211.60 |
$423.20 |
0.9× |
| Cystoscopy implant stent (52282) |
$4,357.50 |
$8,715 |
1.3× |
| Cystourethroscopy (52000) |
$808.50 |
$1,617 |
1.2× |
| Debridement subcutaneous tissue 20 sq cm/< (11042) |
$471.12 |
$942.24 |
1.2× |
| Delivery of placenta (59414) |
$4,468.16 |
$8,936.31 |
1.4× |
| Diagnostic sigmoidoscopy (45330) |
$691.50 |
$1,383 |
0.8× |
| Dilation & curettage dx&/ther nonobstetric (58120) |
$4,468.16 |
$8,936.31 |
1.4× |
| Drainage External Ear Abscess/Hematoma Simple (69000) |
$1,005.54 |
$2,011.08 |
1.5× |
| Drainage of hematoma/fluid (10140) |
$2,063.25 |
$4,126.50 |
1.3× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq large (16030) |
$569.88 |
$1,139.76 |
1.5× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq medium (16025) |
$176.75 |
$353.50 |
0.9× |
| Drs&/dbrdmt prtl-thkns burns 1st/sbsq small (16020) |
$176.75 |
$353.50 |
0.9× |
| Egd Balloon Dilation Esophagus <30 Mm Diam (43249) |
$1,519.50 |
$3,039 |
0.8× |
| Egd control bleeding any (43255) |
$1,519.50 |
$3,039 |
0.8× |
| Egd dilation gastric/duodenal stricture (43245) |
$1,519.50 |
$3,039 |
0.8× |
| Egd Flexible Foreign Body Removal (43247) |
$1,005.50 |
$2,011 |
1.2× |
| Egd Injection Sclerosis Esophgl/Gastric Varices (43243) |
$1,005.50 |
$2,011 |
0.5× |
| Egd place gastrostomy tube (43246) |
$2,436.12 |
$4,872.25 |
1.3× |
| Endometrial Biopsy (58100) |
$284 |
$568 |
1.5× |
| Enteroscopy > 2nd prtn w/rmvl foreign body (44363) |
$1,256 |
$2,512 |
0.7× |
| Enteroscopy > 2nd Prtn W/Rmvl Lesion Snare (44364) |
$1,849.50 |
$3,699 |
1.0× |
| Epidural Blood Patch (62273) |
$988.35 |
$1,976.70 |
1.5× |
| Esophagogastroduodenoscopy Submucosal Injection (43236) |
$1,005.50 |
$2,011 |
1.2× |
| Evacuation of subungual hematoma (11740) |
$72.75 |
$145.50 |
0.6× |
| Exc b9 les mrgn xcp sk tg t/a/l 0.5 cm/< (11400) |
$922 |
$1,844 |
1.4× |
| Exc Back Tum Deep 5 Cm/> (21933) |
$4,061.02 |
$8,122.05 |
1.5× |
| Exc Face-Mm B9+Marg 2.1-3 Cm (11443) |
$2,317.12 |
$4,634.25 |
1.5× |
| Exc H-F-Nk-Sp B9+Marg 1.1-2 (11422) |
$961.50 |
$1,923 |
0.6× |
| Exc Skin Benig 2.1-3 Cm Trunk,Arm,Leg (11403) |
$869.01 |
$1,738.02 |
1.3× |
| Exc Skin Benig >4 Cm Remaindr Body (11426) |
$3,874.88 |
$7,749.75 |
1.4× |
| Exc Skin Benig >4 Cm Trunk,Arm,Leg (11406) |
$2,063.25 |
$4,126.50 |
1.3× |
| Exc Tr-Ext B9+Marg 0.6-1 Cm (11401) |
$471.12 |
$942.24 |
1.2× |
| Exc Tr-Ext B9+Marg 1.1-2 Cm (11402) |
$869.01 |
$1,738.02 |
1.3× |
| Exc Tr-Ext B9+Marg 3.1-4 Cm (11404) |
$2,063.25 |
$4,126.50 |
1.3× |
| Exc Tumor Soft Tissue Neck/Ant Thorax Subfascial 5+Cm (21554) |
$4,061.02 |
$8,122.05 |
1.5× |
| Excision H/P/P/U Complex Repair (11471) |
$4,061.02 |
$8,122.05 |
1.5× |
| Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm (11604) |
$987.64 |
$1,975.27 |
1.5× |
| Excision of bartholin's gland or cyst (56740) |
$3,784 |
$7,568 |
1.2× |
| Excision of ganglion, wrist (dorsal or volar); primary (25111) |
$2,297 |
$4,593.99 |
1.5× |
| Excision tumor soft tis back/flank subq 3 cm/> (21931) |
$1,854.15 |
$3,708.30 |
1.2× |
| Excision, tumor, soft tissue of pelvis and hip area, subcutaneous; 3 cm or greater (27043) |
$3,222 |
$6,444 |
1.2× |
| Exploration penetrating wound spx extremity (20103) |
$1,010.40 |
$2,020.80 |
0.6× |
| Fetal non-stress test (59025) |
$1,051.26 |
$2,102.52 |
5.4× |
| Fna bx w/us gdn 1st les (10005) |
$1,340.72 |
$2,681.44 |
2.0× |
| Foreskin manipulation (54450) |
$266.14 |
$532.28 |
1.1× |
| Gastrorrhaphy sutr prf8 duol/gstr ulcer wnd/inj (43840) |
$5,472 |
$10,944 |
1.5× |
| Hemorrhoidectomy, internal and external, 2 or more columns/groups; (46260) |
$4,012.86 |
$8,025.72 |
1.5× |
| Hysteroscopy Biopsy (58558) |
$2,645 |
$5,290 |
0.8× |
| I&d abscess simple (10060) |
$191.50 |
$383 |
1.0× |
| I&D Deep Absc/Hematoma Neck/Chest (21501) |
$3,567.44 |
$7,134.87 |
1.3× |
| I&d perianal abscess superficial (46050) |
$793.65 |
$1,587.30 |
0.9× |
| I&d pilonidal cyst complicated (10081) |
$949 |
$1,898 |
1.4× |
| I&d pilonidal cyst simple (10080) |
$1,005.54 |
$2,011.08 |
1.5× |
| Incise flexor carpi radialis (25001) |
$4,626.04 |
$9,252.09 |
1.5× |
Incision & drainage abscess complicated/multiple (10061)
range across 2 matching MRF lines |
$191.50–$256.30 |
$383–$512.61 |
varies |
| Incision & removal foreign body subq tiss compl (10121) |
$1,407 |
$2,814 |
0.9× |
| Incision & removal foreign body subq tiss simple (10120) |
$329.50 |
$659 |
0.8× |
| Incision and drainage of bartholin's gland abscess (56420) |
$152 |
$304 |
0.8× |
| Incision and drainage of vulva or perineal abscess (56405) |
$227.25 |
$454.50 |
0.8× |
| Incision&Drainage Upper Arm/Elbow Bursa (23931) |
$1,013.50 |
$2,027 |
0.6× |
| Initial Tx 1st Degree Burn Local Tx (16000) |
$286.12 |
$572.25 |
1.5× |
| Injection 1 tendon sheath/ligament aponeurosis (20550) |
$262 |
$524 |
0.9× |
| Injection aa&/strd axillary nerve w/img gdn (64417) |
$1,302.68 |
$2,605.35 |
1.5× |
| Injection Aa&/Strd Sciatic Nerve W/Img Gdn (64445) |
$988.35 |
$1,976.70 |
1.5× |
| Injection single/mlt trigger point 1/2 muscles (20552) |
$371.22 |
$742.44 |
1.3× |
| Injection, anesthetic agent; brachial plexus, single (64415) |
$1,302.68 |
$2,605.35 |
1.5× |
| Injection, anesthetic agent; femoral nerve, single (64447) |
$988.35 |
$1,976.70 |
1.5× |
| Injection, anesthetic agent; other peripheral nerve or branch (64450) |
$988.35 |
$1,976.70 |
1.5× |
| Insert Bladder Cath Complex (51703) |
$253.25 |
$506.50 |
2.0× |
Insert cath pleura w/ image (32557)
range across 2 matching MRF lines |
$1,406.14–$2,288.08 |
$2,812.28–$4,576.17 |
varies |
| Insert cath pleura w/o image (32556) |
$1,625.02 |
$3,250.04 |
0.9× |
| Insert cervical dilator (59200) |
$1,700.69 |
$3,401.38 |
5.8× |
| Insert non-tunnel cv cath (36556) |
$4,555.52 |
$9,111.03 |
1.5× |
Insert Temp Bladder Cath (51702)
range across 2 matching MRF lines |
$118–$232.22 |
$236–$464.44 |
varies |
| Insert,Non-Indwelling Bladder Catheter (51701) |
$118 |
$236 |
0.9× |
| Insertion Picc W/Rs&I 5 Yr/> (36573) |
$2,250 |
$4,500 |
1.5× |
| Insj Non-Tunneled Central Venous Cath Age < 5 Y (36555) |
$4,555.52 |
$9,111.03 |
1.5× |
| Insj prph cvc w/o subq port/pmp age 5 yr/> (36569) |
$1,406.14 |
$2,812.28 |
0.9× |
Intubation endotracheal emergency procedure (31500)
range across 3 matching MRF lines |
$124.60–$415.68 |
$249.20–$831.35 |
varies |
| Irrigation of corpora cavernosa for priapism (54220) |
$266.14 |
$532.28 |
1.1× |
| Laparoscopy aspiration (49322) |
$6,515.19 |
$13,030.38 |
1.1× |
| Laparoscopy fulguration oviducts (58670) |
$7,818.22 |
$15,636.45 |
1.3× |
| Laparoscopy W/Lysis Of Adhesions (58660) |
$5,472.50 |
$10,945 |
0.9× |
Laparoscopy, surgical, appendectomy (44970)
range across 2 matching MRF lines |
$7,590.68–$8,246.38 |
$15,181.35–$16,492.77 |
varies |
| Laparoscopy, surgical, with vaginal hysterectomy, for uterus 250 g or less; (58550) |
$8,048 |
$16,096 |
1.4× |
| Laparoscopy, surgical; cholecystectomy with cholangiography (47563) |
$8,246.38 |
$16,492.77 |
1.4× |
| Laps abd prtm&omentum dx w/wo spec br/wa spx (49320) |
$4,396.50 |
$8,793 |
0.8× |
| Laps Tx Ectopic Preg W/O Salping&/Oophorectomy (59150) |
$3,016.48 |
$6,032.97 |
0.5× |
| Mastectomy partial (19301) |
$4,224.02 |
$8,448.03 |
1.1× |
| N Block Inj Pudendal (64430) |
$1,005 |
$2,010 |
1.2× |
| Needle Biopsy Lymph Nodes (38505) |
$3,089.50 |
$6,179 |
1.9× |
| Njx Cholangio Prq W/Img Gid Rs&I Existing Access (47531) |
$2,000 |
$4,000 |
0.6× |
| Njx Dx/Ther Sbst Intrlmnr Crv/Thrc W/O Img Gdn (62324) |
$1,302.68 |
$2,605.35 |
1.5× |
| Njx Dx/Ther Sbst Intrlmnr Lmbr/Sac W/O Img Gdn (62326) |
$1,302.68 |
$2,605.35 |
1.5× |
| Ovarian cystectomy, unilateral or bilateral (58925) |
$3,784 |
$7,568 |
0.8× |
| Pelvic examination under anesthesia (other than local) (57410) |
$2,063 |
$4,126 |
0.7× |
| Perq device breast 1st imag (19281) |
$3,089.50 |
$6,179 |
1.9× |
| Placement of needle for intraosseous infusion (36680) |
$569.44 |
$1,138.89 |
1.3× |
| Proctosgmdsc rgd dx w/wo collj spec br/wa spx (45300) |
$691.50 |
$1,383 |
0.8× |
| Proctosgmdsc Rigid Control Bleeding (45317) |
$1,169 |
$2,338 |
1.0× |
| Proctosgmdsc Rigid W/Rmvl Foreign Body (45307) |
$2,485.50 |
$4,971 |
0.9× |
| Proctosigmoidoscopy, rigid; with biopsy, single or multiple (45305) |
$1,169 |
$2,338 |
1.0× |
| Puncture aspiration abscess hematoma bulla/cyst (10160) |
$191.50 |
$383 |
0.5× |
| Removal Foreign Body Foot Subcutaneous (28190) |
$769.25 |
$1,538.50 |
1.1× |
| Removal Foreign Body Muscle/Tendon Sheath Simple (20520) |
$2,317.12 |
$4,634.25 |
1.5× |
| Removal foreign body, intranasal; requiring general anesthesia (30310) |
$2,736.39 |
$5,472.78 |
0.9× |
| Removal impacted cerumen irrigation/lvg unilat (69209) |
$55.66 |
$111.32 |
1.0× |
| Removal Impacted Cerumen Requiring Instrumentation, Unilateral (69210) |
$64 |
$128 |
1.1× |
| Removal impacted vag fb spx w/anes oth/thn local (57415) |
$2,063 |
$4,126 |
0.7× |
| Removal or bivalving full arm or full leg cast (29705) |
$383.82 |
$767.64 |
1.4× |
| Removal/bivalving gauntlet boot/body cast (29700) |
$241.17 |
$482.34 |
0.9× |
| Remove foreign body from eye (65205) |
$92.75 |
$185.50 |
0.7× |
| Remove Intrauterine Device (58301) |
$284 |
$568 |
1.0× |
| Remove Nasal Foreign Body (30300) |
$118 |
$236 |
0.9× |
| Remove Tendon Sheath Lesion (26160) |
$2,280.56 |
$4,561.12 |
1.5× |
| Repair complex eyelid/nose/ear/lip 1.1-2.5 cm (13151) |
$491.25 |
$982.50 |
0.7× |
| Repair complex eyelid/nose/ear/lip 2.6-7.5 cm (13152) |
$491.25 |
$982.50 |
0.7× |
| Repair complex f/c/c/m/n/ax/g/h/f 1.1-2.5 cm (13131) |
$238.75 |
$477.50 |
0.6× |
| Repair complex f/c/c/m/n/ax/g/h/f 2.6-7.5 cm (13132) |
$897.60 |
$1,795.20 |
2.3× |
| Repair complex scalp/arm/leg 2.6-7.5 cm (13121) |
$491.25 |
$982.50 |
1.3× |
| Repair intermediate f/e/e/n/l&/muc 2.5 cm/< (12051) |
$238.75 |
$477.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 2.6-5.0 cm (12052) |
$238.75 |
$477.50 |
0.6× |
| Repair intermediate f/e/e/n/l&/muc 7.6-12.5 cm (12054) |
$238.75 |
$477.50 |
0.6× |
Repair intermediate n/h/f/xtrnl gent 2.5cm/< (12041)
range across 2 matching MRF lines |
$223.96–$238.75 |
$447.93–$477.50 |
varies |
| Repair intermediate n/h/f/xtrnl gent 2.6-7.5 cm (12042) |
$238.75 |
$477.50 |
0.6× |
| Repair intermediate n/h/f/xtrnl gent 7.6-12.5cm (12044) |
$897.60 |
$1,795.20 |
1.3× |
| Repair intermediate s/a/t/e 12.6-20.0cm (12035) |
$491.25 |
$982.50 |
1.3× |
| Repair intermediate s/a/t/e 2.5 cm/< (12031) |
$238.75 |
$477.50 |
0.6× |
| Repair intermediate s/a/t/e 2.6-7.5 cm (12032) |
$519.15 |
$1,038.30 |
1.3× |
| Repair intermediate s/a/t/e 7.6-12.5 cm (12034) |
$238.75 |
$477.50 |
0.6× |
| Rmvl FB Xtrnl Auditory Canal Anes (69205) |
$1,407 |
$2,814 |
0.9× |
| Rmvl fb xtrnl eye corneal w/o slit lamp (65220) |
$569.44 |
$1,138.89 |
1.3× |
| Rmvl fb xtrnl eye corneal w/slit lamp (65222) |
$92.75 |
$185.50 |
0.7× |
| Rmvl fb xtrnl eye embed scjncl/scleral nonperfor (65210) |
$569.44 |
$1,138.89 |
1.3× |
| Rmvl fecal impaction/fb spx under anes (45915) |
$1,036.96 |
$2,073.92 |
0.9× |
| Rmvl Foreign Body Intranasal Lateral Rhinotomy (30320) |
$1,352.79 |
$2,705.58 |
0.9× |
| Rmvl tun ctr vad w/subq port/pmp ctr/prph insj (36590) |
$930.02 |
$1,860.03 |
0.6× |
| Rplc Gtube No Revj Trc (43762) |
$347.13 |
$694.26 |
1.4× |
| Rplc gtube revj gstrst trc (43763) |
$266.14 |
$532.28 |
1.1× |
| Rpr F/E/E/N/L/M 7.6-12.5 Cm (12015) |
$100.50 |
$201 |
0.5× |
| Sigmoidoscopy w/fb removal (45332) |
$1,169 |
$2,338 |
1.0× |
| Sigmoidoscopy, flexible; with biopsy, single or multiple (45331) |
$691.50 |
$1,383 |
0.8× |
| Sigmoidoscopy,Flex,W/Control,Bleeding (45334) |
$1,169 |
$2,338 |
1.0× |
| Simple repair f/e/e/n/l/m 12.6cm-20.0 cm (12016) |
$346 |
$692 |
0.9× |
| Simple repair f/e/e/n/l/m 2.5cm/< (12011) |
$100.50 |
$201 |
0.5× |
| Simple repair f/e/e/n/l/m 2.6cm-5.0 cm (12013) |
$100.50 |
$201 |
0.5× |
| Simple repair f/e/e/n/l/m 5.1cm-7.5 cm (12014) |
$100.50 |
$201 |
0.5× |
| Simple repair scalp/neck/ax/genit/trunk 2.5cm/< (12001) |
$100.50 |
$201 |
0.5× |
| Simple rpr scalp/neck/ax/genit/trunk 7.6-12.5cm (12004) |
$100.50 |
$201 |
0.5× |
| Smpl repair scalp/neck/ax/genit/trunk 2.6-7.5cm (12002) |
$100.50 |
$201 |
0.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 12.6-20.0cm (12005) |
$569.88 |
$1,139.76 |
1.5× |
| Smpl rpr scalp/neck/ax/genit/trunk 20.1-30.0cm (12006) |
$238.75 |
$477.50 |
0.6× |
Spinal puncture lumbar diagnostic (62270)
range across 2 matching MRF lines |
$424.75–$988.35 |
$849.50–$1,976.70 |
varies |
| Strapping ankle (29540) |
$225.20 |
$450.39 |
1.4× |
Strapping elbow or wrist (29260)
range across 2 matching MRF lines |
$67.25–$87.42 |
$134.50–$174.84 |
varies |
Strapping hand/finger (29280)
range across 2 matching MRF lines |
$67.25–$87.42 |
$134.50–$174.84 |
varies |
Strapping knee (29530)
range across 2 matching MRF lines |
$67.25–$182.56 |
$134.50–$365.13 |
varies |
Strapping shoulder (29240)
range across 2 matching MRF lines |
$67.25–$182.56 |
$134.50–$365.13 |
varies |
| Strapping toes (29550) |
$67.25 |
$134.50 |
1.2× |
| Thyroid biopsy (60100) |
$1,340.72 |
$2,681.44 |
2.0× |
| Total thyroid lobectomy, unilateral; with contralateral subtotal lobectomy, including isthmusectomy Facility (60225) |
$8,246.38 |
$16,492.77 |
1.4× |
| Tracheostomy Emergency Cricothyroid Membrane (31605) |
$654 |
$1,308 |
2.9× |
| Transabdominal Amnioinfusion W/Ultrsnd Guidance (59070) |
$1,700.69 |
$3,401.38 |
5.8× |
| Treat Humerus Fracture (24505) |
$2,297 |
$4,593.99 |
1.5× |
| Treat Knuckle Dislocation (26700) |
$208 |
$416 |
0.9× |
| Treatment Closed Elbow Dislocation Req Anes (24605) |
$1,460.25 |
$2,920.50 |
0.9× |
| Treatment closed elbow dislocation w/o anes (24600) |
$309.30 |
$618.60 |
1.3× |
| Trim skin lesion (11055) |
$264.68 |
$529.35 |
1.4× |
| Tubal ligation (58600) |
$3,534.11 |
$7,068.22 |
1.1× |
| Tx Gastro Intub W/Asp (43753) |
$448.59 |
$897.18 |
2.2× |
| Tx Incomplete Abortion Any Trimester Surgical (59812) |
$1,951.38 |
$3,902.77 |
0.6× |
| Tx Missed Abortion First Trimester Surgical (59820) |
$1,867.02 |
$3,734.05 |
0.6× |
| Tx Superficial Wound Dehiscence Simple Closure (12020) |
$575 |
$1,150 |
0.8× |
| Unlisted laparoscopy procedure, abdomen, peritoneum and omentum (49329) |
$4,396.50 |
$8,793 |
0.8× |
| Unlisted procedure, abdomen, peritoneum and omentum (49999) |
$1,171.64 |
$2,343.29 |
1.3× |
| Vag hyst w/t/o & vag repair (58263) |
$7,108.65 |
$14,217.30 |
1.5× |
| Vaginal delivery only (59409) |
$4,468.16 |
$8,936.31 |
1.4× |